2617 S French Ave - BR08-001061 (REROOF) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
Application # :
Job Address: n F9 C--- 14 6 t/C'
Parcel ID: Zoning:
Description of Work: 1\C 01' J}12 T (a j Square Footage: 77 -3'q
Permit Type: Building X\ Electrical Mechanical Plumbing Fire Sprinkler,'Alarin Pool Sign
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Submittal Date: - V
Value of Work:
1
Historic District:
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential Commercial
Occupancy Type: Residential Commercial Industrial Occupancy Use Group(s):
Construction Type: Ce 2LJ_ # of Stories: __t_ # of Dwelling Units: Flood Zone: (FEMA form required )
Property Owner: 40n 14 ! 4141i Contractor: G}-V) I'1 ( O L-1 j/\J c
Address:. 1 r7 57 2 / . I C 11 n-pG Address:
TP a 3 ? 1
Phone: E-mail: Phone: State License Number:
Bonding Company:
Address:
Architect(Engineer:
Address:
Plan Review Contact Person:
Mortgage Lender:
Address:
Phone:
Fax:
Phone: Fax: E-mail-
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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION- 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 dpicts, state agencies, or federal agencies.
is rification that I will notify the owner of the property of fe requireme of Florida Lien Law, FS 713. J--
Date
S grtatu f ootrac / gent Date of
Florida Date f,
1 DEBBIE BLAN N DFBBI
BLANTON" MY COMMISSION # DD629096 MY
COMMISSION # DD6909I-RIX)
6 EXPIRES:
February 25, 2011 wl : February25
2-0 ^' Fl. Notary Discount Anna e6: OF Ft.
Notary Discount Assce. Co. _ Owner/A
nt is}-1OT, Rlseason o or /- Contractor/Agent is ersonally Known to Me r/ 11 ! Produ ID
I.. , v _ Produced ID 1 i- ' -7 O "
A. S4 *ement Statement U.S. Departmentof H;ousin g OMB Approval No. 2502-0265andUrbat,i'Develop',nent
B. Type of Loan
1, ( ) FHA 2. ( ) FmHA 3. [ ) Conv.Unins. 6. File Number. 7. Loan Number: 8. Mortgage Insurance Case Number: 4.[ ) VA 5. [ ) Conv.lns.
280139-KJ
SETTLEMENT AGENT ARE SHOWN. ITEMS MARKED "(P.O.C.)" WERE PAID OUTSIDE THE CLOSING: THEY ARE SHOWN HERE FORINFORMATIONALPURPOSESANDNOTINCLUDEDINTHETOTALS.
D. Name and Address of Borrower E. Name and Address of Seiler F. Name and Address of Lender
SHELL CONSTRUCTION CORPORATION, AN FRANCISCO I. CARDONA
ILLINOIS CORPORATION, DB/A ECONO-AIR
CORPORATION 2838 ARAGON TERRACE
LAKE MARY, FL 32746
1987 CORPORATE SQUARE
LONGWOOD, FL 32750
G. PROPERTY LOCATION H. Settlement Agent
2617 SOUTH FRENCH AVENUE, WATSON TITLE SERVICES, INC.
SANFORD, FL 32773
COUNTY: SEMINOLE Place of Settlement I. Settlement Date I
1435 WEST S.R. 434, SUITE 109, Disbursement Date
LONGWOOD, FL 32750
2/29/2008/2/29/2008
J. SUMMARY OF BORROWER'S TRANSACTIONS K. SUMMARY OF SELLER'S TRANSACTIONS
100. Gross Amount Due From Borrower 400. Gross Amount Due To Seller
101. Purchase Price 221,000.00 401. Purchase Price
102. Personal Property 402. Personal Property
103. Settlement Charges to Borrower 699.00 403.
104. 404,
105. 405.
Adjustments For Items Paid By Seller In Advance Adjustments For Items Paid By Seller in Advance
106. City/Town Taxes 406. City/Town Taxes
107. County Taxes 407. County Taxes
108. Assessments 408. Assessments
109. 409.
110. 410.
111. 411.
112. 412.
120. Gross Amount Due From Borrower $221,699.00 420. Gross Amount Due To Seller $0.00
200. Amounts Paid By Or In Behalf Of Borrower 1500. Reductions In Amount Due Tn caller
201. Deposit or Earnest Money 5,000.00 501. Excess deposit
202. Principal Amount of New Loan(s). 502. Settlement Charges To Seller (line 1400) 0.00
203. Existing loan(s) taken subject to 503. Existing Loan(s) taken Subject To
204. 504. Payoff of First Mortgage Loan
205. 505. Payoff of Second Mortgage Loan
206. 506.
207. 507.
208. 508.
209. 509.
Adjustments For Items Unpaid By Seller Adjustments For Items Unpaid By Seiler
210. City/Town Taxes 510. City/Town Taxes
211. County Taxes 2,278.47tyr l/l/2008 to 2/29/2008 367.29 511. County Taxes
212. Assessments 512. Assessments
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220. Total Paid By/For Borrower $5,367.29 520. Total Reduction Amount Due Seller $0.00
300. Cash At Settlement From/To Borrower 600. Cash At Settlement To/From Seller
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