HomeMy WebLinkAbout1214 Crescentst�6°Iz a�9
JAN 1 8 2018
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
2-t476
Documented Construction Value: $
Job Address: j��( U&s c_t ri ' Historic District: Yes ❑ No ❑
Parcel ID: -rS U/t - o20Q - Ca o Residential M Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ emo Change of Use ❑ Move ❑
Description of Work: (J 'hn 01 =fAA 13C Dku ��� d"�,AX�'J
Plan Review Contact Person: t S iseA uj,-t, /MelTitle: t,,,,d -tbk
Phone: A01 30 Z LS461 Kid Fax: (40 �1)-? g 1 0 1 Email:-64ihnahh r,0-
Property Owner Information
Name DAa -p— ( Puy 1 Lc vi Phone: 4VI. - US S - s1 lP-2-
Street:
QD oX 1-1gi Resident of property?': i l p _
City, State Zip: sGW1Fot�i .-FL 2772
Contractor Information
Name ,'V� rik'S Sf-k_ 'Dw,tWPnu4± Phone: L{-CQ cJ2 j;Sy A `
Street: 40-0 ti jS ya In h1h i!-k_ Co v-e_ Fax: AU �; 0z 41101
City, State Zip: State License No.: &[A G b5& 7c
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
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.
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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
i
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 permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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 cons tion and oning.
r�
i
Signature of caner/Agent Date atu Con actor/A L ent Date
Print O yr er/Agent's Name
as b? j- phi �k--
Print G6ttitractor/Agent's Name
�J 1 I
I _� o
����
L
Date
ANNETTE M BLAND L Notary Public State o rida
Notar Pcblic -State of Florida Y Lori YOUSif
Corrrrissior = GG 170900 0`My Commission FF 201661
� �Nly Corrrr. Expires Jar 16, 2022 o� Expires 03/25/2019
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Owner/Ag F ersonally Known to Me or Contractor/Agent is � 4ersonally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Construction Type: Occupancy Use: Flood Zone: -
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
CITY OF SANFORD, FLORIDA - INFORMAL BID REQUEST Appendix 4-A-1
Return Bids) To: Darrel Presley
Telephone: (407) 688-5162
DATE OF REQ.
P.O. Box 1788
FAX: (407) 688-5161
1111/2017
Sanford, FL 32772
Email: darnel. resue sanfordfl. ov
REQUEST NO.
RESPOND BY
1. Bids may be submitted via Email, FAX, Mail or Hand Delivery
Date: Time:
I
2. Bids received late will not be considered
CE2018-01
11/30/2017 5:00PM
Bidder
Information:
Company Name and Address:
White's Site Development
4000 Nyah White Cove
Sanford, FL 32771
Telephone No: 407-302-1549 FAX No.: 407-302-9101
Contact Person: Evan Shelley Title: Project Manager/Estimator
TERMS AND CONDITIONS:
1. The City of Sanford reserves the right to reject any and all bids in entirety or in part, to waive Informalities and to make the award which
Is in its best interests.
2. Terms and or conditions indicating a time frame(s) for payment other than in accordance to Chapter 218, part VII of the Florida Statutes
are objected to and shall not be accepted unless agreed to, in writing, by the City of Sanford. `
3. Bid pricing must be F.O.B. Destination. If so indicated by the P.O., prior notification of delivery shall be required.
4. These terms and conditions, the bid, and any resulting Purchase Order shall constitute the entire agreement of any order resulting
thereof, unless agreed upon, in writing, by the Purchasing Agent of the City of Sanford. Also, if this bid Involves service, the bidder
warrants that if awarded the project he/she will provide an insurance certificate In compliance with the attached requirements.
5. The City of Sanford shall be responsible only for Items which are actually ordered, via a City of Sanford Purchase Order, regardless of
quantities or estimates Indicated herein.
6. Time Is of the essence with regard to delivery of this bid and any goods or services ordered as a result of this bid. Also, the City of
Sanford will consider only timely bids received. Timely delivery is the responsibility of the bidder.
7. The bidder is responsible to identify exactly what is being bid by indicating brand, model, as relevant, size, packaging, quantities
included, delivery and warranty information.
LINE
ITEM
DESCRIPTION AND SPECIFICATIONS
QTY
UNIT AND
UNIT PRICE
EXTENDED COST
1
Scope of Work: Demolition of residential structure at
n/a
1214 Crescent Street, Sanford, Florida
Parcel #31-19-01-604-0200-0260
Supply Equipment, Labor, Insurance, and Dump Fees to
n/a
complete the Project in a timely and workman like manner.
Disconnect all Utilities
n/a
Obtain Permitting by City of Sanford & Inspections per local codes
n/a
Demolish all residential structures Including all foundations, concrete
n/a
$4000
slabs, driveway's and bushes
n/a
The sites will be left in a good workmanlike manner, clean of all
n/a
debris, and rough graded
Signature of Pennon Submitting Bid
Printed Name Date:
Evan K Shelley 11/29/2017
Vill. Complete the waste disposal site information.
IX. List the amount of RACM or ACM of each type of asbestos to be removed. (Note: A volume measurement of RACM
off facility components is only permissible if the length or area could not be measured previously.) Identify and
describe the listed surfacing material and other listed materials as applicable.
X. Provide the address where the Department is to send the invoice for any fee due. Do not send a fee with the
notification. The fee will be calculated by the Department pursuant to Rule 62-257.400, F.A.C.
Sign the form and mail the original to the district or local air program having jurisdiction in the county where the project is
scheduled (DO NOT FAX). The correct address can be obtained by contacting the State Asbestos Coordinator at:
Department of Environmental Protection, Division of Air Resources Management, 2600 Blair Stone Road, Tallahassee, FL
32399-2400.
CITY OF
&k�4FORD
Building & Fire Prevention Division
FIRE DEPARTMENT DEMOLITION PERMIT GUIDELINES
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
❑ Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
❑ Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
❑ Copy of applicable contractor's license issued by the State of Florida
❑ A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/'rs Ir company to sign the permit application as the contractor.
❑ Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
❑ A copy of an onsite sewage disposal system abandonment permit that has been issued by the Seminole
County Health Department. ( if applicable)
"Please Note: A licensed General, Building or Residential Contractor is required for issuance of a Demolition
Permit, as required by and limited under 489.105 Florida Statutes
Partial Demolitions (Commercial & Residential)
"The partial interior or exterior demolition of existing commercial or residential spaces will not be issued as a
Demolition Permit. This type of work will require an Alteration permit including at least an existing and
proposed floor plan indicating the extent and location of the demolition — in addition to required submittal
documents for any alterations or renovations.
❑ Existing Floor Plan, indicating area of demolition (must specify structural or non-structural)
❑ Proposed Floor Plan
These guidelines were compiled to assist the applicant in preparing a demolition permit application and may not be complete. The
applicant is required to meet all City of Sanford, state, and federal code requirements.
Effective: August 1,2017
ROR A r
March 2013
Florida Department of
NOTICE OF Environmental Protection
DEMOLITION Division of Air Resource Management
RENOVATION
TYPE OF NOTICE (CHECK ONE ONLY): ❑ ORIGINAL ❑ REVISED ❑ CANCELLATION
TYPE OF PROJECT (CHECK ONE ONLY): 0 DEMOLITION ❑ RENOVATION
IF DEMOLITION, IS IT AN ORDERED DEMOLITION? ❑YES ONO
IF RENOVATION:
IS IT AN EMERGENCY RENOVATION OPERATION? ❑YES ENO
IS IT A PLANNED RENOVATION OPERATION? []YES K] NO
DEP Form 62-257.900(1)
Effective 10-12-06
Page 1 of 2
OR ASBESTOS
❑ COURTESY
1. Facility Name
Address —Z2'—
City 5 State--fl_Zip —Zjs County S e4VI i rL 14
Site Consultant Inspecting Site
Building Size 147DO (Square Feet) # of Floors 1— Building Age in Years _LS
Prior Use: ❑ School/College/University Residence ❑ Small Business ❑ Other
Present Use: ❑ School/College/University ❑ Residence ❑ Small Business (Other CDY',(_L.tmylpil Kpiyu-
II. Facility Owner Phone (140) U069 —S I (4Z
Address P0 6�,
City State Zip Ezaj
III. Contractor's Name —Phone.3 01—
Address + to -�.
City Sa ti6:� State fl, Zip 31711
Is the contractor exempt from licensure under section 469.002(4), F.S.? ❑ YES :9 NO
IV. Scheduled Dates: (Notice must be postmarked 10 working days before the project start date)
Asbestos Removal (mm/dd/yy) Start: Finish: Demo/Renovation (mm/dd/yy) Start: Finish:
V. Description of planned demolition or renovation work to be performed and methods to be employed, including demolition or renovation techniques
to be used and description of affected facility components.
Procedures to be Used (Check All That Apply):
01
Strip and Removal
❑
I Glove Bag
0
Bulldozer
❑
Wrecking Ball
❑
I Wet Method
Dry Method
❑
Explode
❑
Bum Down
OTHER:
VI. Procedures for Unexpected RACM: -
VII. Asbestos Waste Transporter: Name
Address
City
Vill. Waste Disposal Site: Name
Address
City State Zip
IX. RACM or ACM: Procedure, including analytical methods, employed to detect the presence of RACM and Category I and II nonfriable ACM.
Phone �)
State Zip
Class
Amount of RACM or ACM' X. Fee Invoice Will Be Sent to Address in Block Below: (Print or Type)
square feet surfacing material
linear feet pipe
cubic feet of RACM off facility components
square feet cementitious material
square feet resilient flooring
square feet asphalt roofing
Name:
Address:
City:
State/Zip:
"Identify and describe surfacing material and other materials as applicable:
I certify that the above information is correct and that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on -site
during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection during
normal busine_$s hours. _ __—n
(Print
(Date)
r UCrUJC UIYLT rUJU Id11VUGtl7 RCI.CIVCU ✓n - y '
DEP Form 62-257.900(1)
Effective 10-12-08
Page 2 of 2
Instructions
The state asbestos removal program requirements of s. 376.60, F.S., and the renovation or demolition notice
requirements of the National Emission Standards for Hazardous Air Pollutants (NESHAP), 40 CFR Part 61, Subpart M, as
embodied in Rule 62-257, F.A.C., are included on this form.
Check to indicate whether this notice is an original, a revision, a cancellation, or a courtesy notice (i.e., not required by
law). If the notice is a revision, please indicate which entries have been changed or added.
Check to indicate whether the project is a demolition or a renovation.
If you checked demolition, was it ordered by the State or a local government agency? If so, in addition to the
information required on the form, the owner/operator must provide the name of the agency ordering the demolition, the
title of the person acting on behalf of the agency, the authority for the agency to order the demolition, the date of the
order, and the date ordered to begin. A copy of the order must also be attached to the notification.
If you checked renovation, is it an emergency renovation operation? If so, in addition to the information
required on the form, the owner/operator must provide the date and hour the emergency occurred, the description of the
sudden, unexpected event, and an explanation of how the event caused unsafe conditions or would cause equipment
damage or an unreasonable financial burden. If you checked renovation and it is a planned renovation operation,
please note that the notice is effective for a period not to exceed a calendar year of January 1 through December 31.
I. Complete the facility information. This section describes the facility where the renovation or demolition is scheduled.
This address will be used by the Department inspector to locate the project site. Provide the name of the consultant
or firm that conducted the asbestos site survey/inspection. For "prior use" check the appropriate box to indicate
whether the prior use of the facility is that of a school, college, or university; residence, as 'residential dwelling" is
defined in Rule 62-257.200, F.A.C.; small business, as defined in s. 288.703(1), F.S.; or other. If 'other" is checked,
identify the use. Please follow the same instructions for "present use."
Il. Complete the facility owner information.
III. Complete the contractor information.
IV. List separately the scheduled start and finish dates (month/day/year) for both the asbestos removal portion of the
project and the renovation or demolition portion of the project.
V. Describe and check the methods and procedures to be used for a planned demolition or renovation. Include a
description of the affected facility components. (Note: The NESHAP for asbestos, which is adopted and incorporated
by reference in Rule 62-204.800, F.A.C., requires obtaining Department approval prior to using a dry removal method
in accordance with 40 CFR section 61.145(3)(c)(i).)
VI. Describe the procedures to be used in the event unexpected RACM is found or previously nonfriable asbestos
material becomes crumbled, pulverized, or reduced to powder after start of the project.
VII. Complete the asbestos waste transporter information.
VIII. Complete the waste disposal site information.
IX. List the amount of RACM or ACM of each type of asbestos to be removed. (Note: A volume measurement of RACM
off facility components is only permissible if the length or area could not be measured previously.) Identify and
describe the listed surfacing material and other listed materials as applicable.
X. Provide the address where the Department is to send the invoice for any fee due. Do not send a fee with the
notification. The fee will be calculated by the Department pursuant to Rule 62-257.400, F.A.C.
Sign the form and mail the original to the district or local air program having jurisdiction in the county where the project is
scheduled (DO NOT FAX). The correct address can be obtained by contacting the State Asbestos Coordinator at:
Department of Environmental Protection, Division of Air Resources Management, 2600 Blair Stone Road, Tallahassee, FL
32399-2400.
SCPA Parcel View: 31-19-31-504-0200-0260 Page 1 of 2
//91U_W79 Joham,CFA Property Record Card
PAPPPR Parcel: 31 19-31-504-0200-0260
Aerv�o,.c000x,v,nocmw Property Address: 1214 CRESCENT ST SANFORD, FL 32771-3918
Legal Description
E 50 FT OF LOT 26 + W 20
FT OF LOT 27 (LESS N 7 FT
FOR ALLEY) BLK 2
BEL-AIR
PB 3 PG 79 & 79A
Taxes
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$16,533
$0 '
$16,533
Schools _
$16,533
$0
$16,533
City Sanford
$16,533
$0—
$16,533
SJWM(Saint Johns Water Management)
$16,533
$0 ;
$16,533
County Bonds
$16,533
$0.� --.... —
$16,533 33
Sales
Description Date Book Page Amount Qualified Vac/Imp
No Sales
Find Cnmparabe Sales I
Land
Method Frontage Depth = Units
FRONT FOOT & DEPTH 70.001 118.00 3 �0]1��$17�5.00��$i 25
Building Information
Is Bed/Bath count incorrect? Click Here.
# Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective
1 SINGLE 1952 3 2 1.0 875 1,256 1 875 BOCK $4,908 $9,576 E Description Area
FAMILY
http://parceldetail. scpafl.org/ParcelDetailInfo.aspx?PID=31193150402000260 1 / 18/2018