213 Melissa Ct 04-265 RoofCITY OF SANFORD PERMIT APPLICATION
Permit # : Date:
d1L 5 ob Address: 1 f '_Y
CQ
iA/Z Description of
Work:`-- Historic District:
Zoning: Vale f Work: $ gUoN 1-D w Permit Type:
Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New
Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential
Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New
Commercial: # of Fixtures of Water & Sewer Lines # of Gas Lines Plumbing/New
Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type:
Residential Commercial Industrial Total Square Footage: Construction Type: #
of Stories: of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners
Name &
Address: 213 CME'
L I MA Contractor Name &
Address: Attach Proof
of Ownership & Legal Description) Phone: W_)
T )2? - State License
Number: Phone & Fax:
Contact Person: Phone: Bonding Company:
Address: Mortgage
Lender:
Address: Architect/
Engineer:
Phone: Address: Fax:
Application is
hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of
a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must
be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS,
etc. OWNER'S
AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and
zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In
addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county,
and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance ylf
rmit is of0 Agent
ier/Agent'
s Name the owner
i atute
ot.
tuotary-6tate ofonoaSOW5 CCN MYGOMMiSSi i
fu'Q,?808 EXP!r;
EB: f0arch 23 th property
of the requirements of Florida Lien Law, FS 713. 3120o3 Signature
of
Contractor/Agent Date LD Print
Contractor/
Agent's Name 113 Date
Signature
of Notary -State of Florida Date l I
l Contractor/Agent
is _ Personally Known to Me or t _ Produced
ID I I
I-3 x APPLICATION APPROVED
BY: Bldg: t Zoning: Utilities: FD: Initial & ate) (
Initial & Date) (Initial & Date) (Initial & Date) Special Conditions:
BUILDING DIVISIO:,
OWNER/BUILDER
CONSTRUCTION CONTRACTING
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, when building or improving farm
outbuildings or one -family or two-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within 1 year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
State law requires construction to be done by licensed contractors. You have applied for a permit under
an exemption to that law. The exemption allows you, as the owner of your property, to act as your own
contractor with certain restrictions even though you do not have a license. You must provide direct,
onsite supervision of the construction yourself. You may build or improve a one -family or two-family
residence or a farm outbuilding. You may also build or improve a commercial building, provided your
costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may
not be built or substantially improved for sale or lease. If you sell or lease a building you have built or
substantially improved yourself within 1 year after the construction is complete, the law will presume that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on your building. It
is your responsibility to make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the responsibility for supervising
work to a licensed contractor who is not licensed to perform the work being done. Any person working
on your building who is not licensed must work under your direct supervision and must be employed by
you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordi;iinces, building,eedes, aAd zon'g regulations.
I,
I wilVassume ill resl
allowed by law on the
Owner/Builoe4 Signature
Print Owner/Builder N
do hereby state that I am qualified and capable of performing the
with the permit application filed.
as an Owner/Builder Contractor, and will personally supervise all work
structure.
Date
Signature of;Norar y aa a ofilSlJridaCC3 18,08
oe EXPp-S r0arch e s .
Owner is Per"so' ally -Known -to Me or
Produced lDV--t, i) 1— ) 4 2.3 .
07
I
A. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
SETTLEMENT STATEMENT
Fidelity National Title Insurance Company of New York
Date of Printing: Friday, October 24, 2003, 16:09
B. TYPE OF LOAN
1. )X1 FHA 2. 1 1 FmHA 3. 1 1 Conv. Unins
4. 1 ] VA 5. 1 1 Conv. Ins
6. ESCROW NUMBER: 7. LOAN NUMBER:
03-001-61 1964 77039543
8. MORTGAGE INSURANCE NUMBER: 094-4949502-729
NOTE: THIS FORM IS FURNISHED TO GIVE YOU A STATEMENT OF THE ACTUAL SETTLEMENT COSTS. AMOUNTS PAID TO AND BY THE SETTLEMENT AGENT ARE SHOWN.
ITEMS MARKED "(P.O.C.)" WERE PAID OUTSIDE OF THE CLOSING: THEY ARE SHOWN HERE FOR INFORMATIONAL PURPOSES AND ARE NOT INCLUDED IN THE TOTALS.
D. NAME OF BORROWER:
Jose J. Delgado
213 Melissa Court
Sanford, FL 32773
E. NAME OF SELLER:
Ruben Delgado
F. NAME OF LENDER:
Town & Country Mortgage Services, Inc..
200 E, Marks Street
Orlando, FL 32803
G. PROPERTY LOCATION:
213 Melissa Court
Sanford, FL 32773
H. SETTLEMENT AGENT:
Fidelity National Title Insurance Company of New York
I. SETTLEMENT DATE:
10/24/03
PLACE OF SETTLEMENT:
601 N. Magnolia Avenue #200
Orlando, FL 32801
J. SUMMARY OF BORROWER'S TRANSACTIONS OF SELLER'S TRANSACTIONS
1Q0'`GEi0 5A;gJN :: U.:..f.RGI.:.:'.::.t3EiPR R ::::::<.>"...::` ::.>:,<:.:.,::>r:>A. a:.... .a11.. .A... £ti R
101. Total Consideration 95,000.00 siderationW03. 95,000.00
102. Personal Property Property
103. Settlement charges to borrower (line 1400) 1,140.00
104. 404.
105. 405.
Adjustments: Items Paid by Seller in AdvanceAdjustments: Items Paid by Seller in Advance
106. City/Town Taxes 406, City/Town Taxes
107. County Taxes 07. County Taxes
108. Assessments 08. Assessments
109. 09.
110. 10,
ill. 11.
112. 412.
113. 413.
114. 414.
115. 415.
116. 16.
117. 17.
118. 18.
120. GROSS AMOUNT DUE FROM BORROWER 96,140.00 20, GROSS AMOUNT DUE TO SELLER 95,000.00
201. Deposit or earnest money 01. Excess deposit (see Inst.)
202. Principal Amount of New Loan(s) 14 .00 02. Settlement charges to seller (line 1400) 9,1 63.69
203. Existing loan(s) taken subject to _ 03. Existingloan(s) taken subject to
204. Gift Equity 22,600.00 04. Gift Equity 22,600.00
205. 05. Payoff To Chase Manhattan Mortgage 53,380.23
206. 06.
207. 07.
208. 08
209. 09.
Adjustments: Items Unpaid by Seller djustments: Items Unpaid by Seller
210. City/Town taxes 10. City/Town Taxes
1 2 i I. County Taxes tr u I /u 1 /us to I u/24/us I bS i.44 Id 1 1. County I.axes tt 01 /01103 to 1 n/24/03 I sq7 dd I
NAME:
ADDR SS- — NOTICE OF COMMENCEMEI y 9ORSE,- CLERK OF CIRCUIT COURT
SMINME COUN'iY-
Pe,..,;r 'N9F91§0W.. PG 1533
State of Florida CLERK-1
County of Seminole RECOW 11/03/m 04318:48 P9 Wj=
196 FEES & 00 The
undersigned hereby gives notice that improvement will be made to certain Ay S Df Ke1leq andinaccordancewith Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement. General
description of improvement: 3(
Owner information a.
Name and address b. ,
Interest in property c.
Name and address of fee simple titleholder (if other than Owner) 4.
Contractor a.
Name and address b.
Phone number Fax number 5.
Surety a.
Name and address b.
Phone number Fax number CC.
Amount
of bond Lender
a.
Name and address I Uw 3-z CU 14 GA V i -1 Y ` ' _
lJ D0 4, 32 b.
Phone number I eax number 7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(l)(a)7., Florida Statutes: a.
Name and address b.
Phone number Fax number 8.
In addition to himself or herself, Owner designates of to
receive a copy of the Lienor's Notice as provided in Section a
713.
13(1)(b), Flonda Statutes. a.
Phone number Fax number Expiration
date of notice of commencement (the expiration date is 1 ye m date
is specified) Sworn
to (or affirmed) d s {scribed before me this day of Person
I Known OR Produced Id tification Type
of Identification Producedef—b Vb ignature
of Notary blic, State of Florida Commission
Expires: z(
8 .Q • CER1ItIE0 GOP1 MARYANNE
MORSE CLERK
OF CIRCUIT COURT- SEMINOLE-
COUN F1,0 0
p11'
a'V i,FR NOV
3 2003