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2020 Lily Ct 04-704 RoofCITY OF SANFORD PERMIT APPLICATION Permit # Job Address: Description of Work: Historic District: Zoning: Date: Value of Work: S (%©6 Permit Type: Building P4 -- 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#: 3-3J- 511,- 6066 -O Attach Proof of Ownership &Legal Description) Owners Name & Address: S l t,c i la Cy\l b F P rJ Q Phone: 1(0~l— Contractor Name & Address: W k t.0 l rAJ 1 SPEC G ZE State License Number: Phone &Fax: L(U _ a — i Contact Person: L1 \mot l 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 of per it is verification that I will notify the owner of the property of the requirements of Flori a Lin a FS 713. l \ r— o = S ignaTure of Owner/Agent Date N O Zpo EU o F .r Print r ent's Qn. 3om` rySignafiateofFlorida Date 0 E ' FL ' o X C W Q Owner/ Agent is—ji rso 11 Known to Me or q\ ProducedID1715 ( V APPLICATION APPROVED BY: Bldg: Zoning: Initial & Date) Special Conditions: Slign` ature Signature of Notary -Sty of L- o') Date Contractor/ Agent is Pers9nal Known to Me or produced ID 1 Z `7 1 S VM Z.Y Q Initial & Date) Utilities: FD: Initial & Date) (Initial & Date) Permit Na. STATE Of k COUNTY OF U 1%- Tax Folio No. 7k- \ -?A '-G kk- n ©bt - Notice Of. Commencement THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. I . Description of property: (legal description of property, and street address if possible). 2. General description of improvement: 3.Owner Information: a. Name and Address: JuSc„" C,(p b. Interest. in property: Gu, r C. Name and address of fee simple titleholder (if other than owner): 4. Contractor: (name and address) 5. surety: j 32r a. Namkd Address b. Amount of bond $ I IW III 1110 11111 11111111111111111111111111 tin 11111111111 Iii1 14ARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 05152 FAG 0284 CLERK' S 11 2003225858 R1,1, )IZUE1) 12/31 /2003 03:07 t 51 FM REGLIJ DING FEES 6.00 CONDED BY 8 O'Kelley CERTIFIED COPY MARYANNE; MORSE: CLERK OF CIRCUIT COURT MME COUNTY. FLORIDA 6. Lender: (Name and Address) A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by section 713.3 (1) (a) 7., Florida Statutes: (name and address) 8. In addition to himself, Owner designates the following persons (s) to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b)_ Florida Statutes: ( name and address) 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) JxXorn to and subscribed before me this da 20 0-3 Signature ofNotary Public) Melissa Dunklin f P' ; Commission#DD163723 Expires: Dee 20, 2005 s e, Bonded Thiu F"O, Atlantic Bonding Co., Inc. 4iv03 Signature Of Owner) SII rr, in C. Owner's Name) 1(j Owners Address) U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT B. TYPE OF LOAN SETTLEMENT STATEMENT I. 0 FHA 2. FMHA 3. [X] CONY. UNINS. Kampf Title & Guaranty Corporation 4. OVA 5. [-]CONV.INS. 200 West First Street Sanford, Florida 32771 6. File Number: 7. Loan Number: 407-322-9484 fax: 407-330-5062 57206 193428 g Mortgage Ins. Case No.: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked p.o.c.) were paid outside the closing. They are shown here for informational purposes and are not included in the totals SUSAN E. BAKER and JAMIE C. STERRETT D. Borrower: 112 Wild Fern Drive Longwood, Florida 32779 BOBBI JO HOLCOMBE E. Seller: 2020, Lily Court Sanford, Florida 32771 SOUTHERN SECURITY MORTGAGE COMPANY F. Lender: 755 Rinehart Road Lake Mary, Florida 32746 2020 Lily Court G. Property: Sanford, Seminole County, Florida 32771 Lot 69 & 71, ROSE COURT ADDITION TO SANFORD, Book 3, Page 3, 4 AND 5 Seminole County, Florida _ H. Settlement Agent: Kampf Title & Guaranty Corporation Place of Settlement: 200 West First Street, Sanford, Florida 32771 I. Settlement Date: December 5, 2003 J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. Gross Amount Due From Borrower: 400. Gross Amount Due To Seller: 101. Contract Sales Price 130, 000.00 4 11. Contract Sales Price 130,000.00 102. Personal Property 402. Personal Property 103. Settlement Charges to Borrower (line 1400) 2,651.53 403. Adjustments for Items Paid by Seller in Advance: Adjustments for Items. Paid by Seller in Advancer 106_ City / Town Taxes _ 406. City / Town Taxes 107. County / Parish Taxes Dec 5, 2003 thru Dec 31, 2003_ 101.62 407. County / Parish Taxes Dec 5, 20 33 thru Dec 31, 2003 101.62 108. Assessments 408. Assessments 120. Gross Amount Due from Borrower: _ 132,753.15 420. Gross Amount Due to Seller: 130,101.62 200. Amounts Paid by or in Behalf of Borrower: 500. in Amount Due to Seller: 201. Deposit / Earnest Money 1,000.00 501. Reductions Excess Deposit (see instructions) 202. Principal Amount of New Loan 117,000.00 502. Settlement Charges to Seller (Line 1400) 8,521.00 203. Existing Loan(s) 503. Existing Loan(s) 204. 504. Payoff of First Mortgage HOMEQ 0000320065535 to HOMEQ SERVICING 135,079.19 205. 505. Payoff of Second Mortgage to 206 506. Purchase Money Mortgage to Adjustments for Items Unpaid by Seller: Adjustments for Items Unpaid by Seller: 210. City / Town Taxes 510. City / Town.Taxes. 211. County / Parish Taxes 51 1. County / Parish Taxes 212. Assessments 512. Assessments 220. Total Paid by /for Borrower: 118,000.00 520. Total Reductions in Amount Rue Seller: 143,600.19 300. Cash at Settlement from / to Borrower: 600. Cash at Settlement to / from Seller: 301. Gross Amount due from Borrower (line 120) 132, 553.15 601. Gross Amount due to Seller line 420 130,101.62 302. Less Amount Paid by/for Borrower (line 220) 118,000.00 602. Less Reductions Amount due Seller (line 520) 143,600.19 303. Cash From Borrower: 14,753.15 603. Cash From Seller: 13,498.57