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HomeMy WebLinkAbout909 Willow Ave; 17-2235; DEMO HOMECITY OF SANFORD BUILDING & FIRE PREVENTION JUL 2 4 2017 PERMIT APPLICATION x/' t 1 Application No: I O 3BY' Documented Construction value: S 2400.00 Job Address: 909 Willow -Ave Sanford FL 32771 0HistoricDistrict: Yes No 25-19-30-5AG-110G-0080 Parcel ID: Residential`F1 Commercial Type of Work: New Addition Alteration Repair Demo CT Change ofUse moveEl Demolish a residential structureDescriptionofWork: Plan Review Contact Person: Title: Phone: Fax: Email - Property Owner Information Name Virgil .Tones Phone. 404-906-9218 Street: 485 Dix -Lee on Dr. Resident of roe NO P P }'` City, State,Zip: Fayetteville GA 30214 Contractor Information L & L Demolition & Salvage, Inc. 407-9488885 lldemolition@gmail.com Name Phone; ' Street 5500 Old Winter Garden Rd Fax: 407-296-9855 State Zip: Orlando FL 32811 City, P: State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St. Zip: E-mail: Bonding Company: Mortgage.Lender: Address: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT` MAY RESULT IN.YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NO'171('F 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 RECORDINGYOUR NOTICE OF COMMENCEMENT' Application is hereby made to obtain a permit to do the work and installations as indicated. .I certity 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:'5f° Edition (2014) Florida Building Code Revised: June 30, 2015 Pennit Application 5 1VOTICE: In addition to the requirements of this permit, there may be additional restrictions applicableto this property, that may be foundinthepublicrecordsofthiscounty, and there may be additional permits required from othergovernmental entities such as water management districts; state agencies, or federal agencies. Acceptance of permit is verification that 1 wil I 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 withlocalordinance. Should calculated charges figured off the executed contract exceed the actual construction value,. credit willbeappliedto;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 construction and zoning. SignaUurc ofOwnerlAgent Date Signature Contra ! gent / Date PrintOwneriAgent's Name Print Contractor/Agent's Name SignatuicofNotary-State of Florida Date S' nature ofNotat State Date Or cis Notary Public State of.Flonda r° James L McDaniel cc My Commission GG 111401 Expires 0610412021 Owner/Agent, is Personally Known to Me or n t ersonally Known to Me or, Produced IDTypeof11).Produced 1L) Type of ID BELOW. IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Q Plumbing[Gas O Roof [] Construction,Type: Occupancy Use: Flood Zone: Total ;Sq Ft of Bldg: Min. Occupancy Load: _ # of Stories: New Construction: Electric 7# of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: i 1TILITIES: NIVASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June30, 2615 _ PermitApplication i ILA 1 000" h kff ® ht PROPOSAL Residential, Commercial, Industrial Dater6-28-17 Building Demolition. Contractors Established 1959 Page 01 of Submitted to: - Project Address: Virgil Jones 48.5 Dix -Lee on Dr. Fayetteville GA 30214 909 Willow Ave. Sanford Fl 32771 Parcel#25-19-30-5AG-11 OG-0080 Demolition L & L Demolition and Salvage, Inc. Propose to supply Equipment, Labor, Demolition Insurance, and Dump Fees to complete the above Project in a timely and workman like manner. This work will be performed under the following conditions. Demolition of a residential structures: L & L Demolition & Salvage, Inc. will disconnect all utilities. Permitting by the City of Sanford & inspections per local codes. All salvageable material to become our property. Demolish a residential structures including all foundations, shed, concrete slabs, and bushes. Root rake area. The site will be left in a good workmanlike manner, clean of all debris, and rough graded. Payment of Two Thousand Four Hundred Dollars ($2,400.00) due to L & L Demolition & Salvage, Inc. upon approval at job completion. Submitted by: Accepted by: Leonard P.Linhares 407-948-8885-cell President Ildemolition@gmail.com Date; If awarded this contract we are confident that you will be pleased with our work. 5500 Old Winter Garden Rd. Orlando, FI.32811 Phone 407-295-0875 Fax 407.296.9855 CERTIFICATIO OF SERVICE 013C NN CT 407-296-9855 fax 11demolition@gmai.l.com t < ApOicanl: , ; t;arzir c(c r Clean Building Inc/L & L Demo 0 Owner r'Iarrut Tr i aNa;;!r407--948 88.8.5-c P O Box 2`211 Pinter Park F1 32789 Qccupat onai Lice,n,e CGC 1517907F1 State N/A to be :.MOLIS'HED P*' 0vC-1i j 909 Willow Ave Sanford FL 32771 25- 19-30-SAG-110G-00M iciress he ilrms.and'OffigeS Itsttd beJOW sh811 cerlHy il'tiS proposed demoli'rion; _or,the firm's purchase Order nVmber to attest' that ttiew service connections, etc: will be removed or sPaled and plucged In a safe minr,amr anydernoiiliori-,.is initiated. Telephone Cornpall?' AT& T eniflca iion, By tf;rf a 'in B, x F3. Public Utilities NIDC: rtficationByartifica{"t5n Care Date Rx" i.rir, rCbr r p,rf>: V. CT?r<r: Florida Power 'Fight Date i ,. wlLZ:§( 31+'li3COhtb?bYttt('. tl7,3v.'•tr SAil:u c;rdcit S,: I..t..t J7 CERTIFICATION OF SERVICE DISCONNECT 407-296-9855-fan Lldemolition@gmail.com Aopiicant: ro Contractor Clean Building Inc/L L Demo C. Owner Narro, ;rare Na nr 407-9 8-8885-0 P O Box 2211 Winter Park F1 32789 3. Occupational License CGC 1517907 Fl State H/A No. Zsueu By 5xp;atw y Building Structure to be I DACXLISHED Rr.J til+rirIj L, i_]i - •': r=. MOVED 909 Willow Ave Sanford FL 32771 25-19-30-SAG-11oG-0080 Virgil Jones 485 Dix -Lee on Dir. Fayetteville GA 30214 Urger e! Record Acaress fxms and offices listed below shall certitr this appiit:3t=,or; 0 5ig.1;y ncUce o: V, proposed demolition, or the firm's purr, hase ordernumber to attest *hat their res;::iev, enitce connections, etc. will be removed or sesled any p uggea ir. a safe manner NIC! @ any derr?ofi:ion IS initiate. AT& T Date Gas compatr; 5 a?er 4ompa:t. Fl Public Utilities Ot O IteS ~ .P. 0. Or crtiiacat en cv Csttfi rtific 'By A4-4-W1 Date l anon taddcesS Electric Corr -pan'. Florida Posner Light ai oG r y atematei: 4 Nit CERTIRICATIC'N OF SERVICE DISCONNECT 407-296-9855-fax Lldemolition@gmail.com Af,., i C Clean Building Inc/L & L Demo P 0 Box 2211., Winter Park F1 32789 C, CGC 1517907 Fl State N/A 909 Willow Ave Sanford FL 32771 25-19-30-SAG-II4G-0080 Virgil Jones 485 Dix -Lee on Dr. Fayetteville GA 30214 @,-,j 44 er,, i!,)Ijiion, .ter the i-,-rr,s m CrI 17 ty'. AT&T 0- Fl Public Utilities by Florida Power Light L&LDEMn-01 D TSONE MlDD/YYYIf) 14 W?® CERTIFICATE ®F:LIABILITY INSURANCE DA6123/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE NOT. IMPORTANT:' If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NTACTMP Insurance Office of America, Inc. 1855 West State Road 434 Longwood, FL 32750 PHONE FAXA/c, No, EXt : (407) 788-3000 AIC, No): 407 788-7933 E-MAIL INSURERS AFFORDING COVERAGE NAIC If INSURER A: Interstate Fire & Casual Company 22829 INSURED INSURERS: American Automobile Insurance Cold arl 21849 INSURER C : Federal Insurance Company 20281L&L Demolition & Salvage, Inc INSURER D : Westchester Surplus Lines Insurance Company 101725500OldWinterGardenRd Orlando, FL 32811 INSURER-E INSURER F : r_r1VPRAGGS CCOTICl/-ATC k111aI1QCO. nw11-lr u •u(eenins. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY. REQUIREMENT, TERM OR CONDITION OF ANY •CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE' MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I T R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR Professional Liab DAN1000488 06/26/2017 06/26/201$ EACH OCCURRENCE 1,000,000 DAMAGE TO RENTEDr1noe 300,000 X MED EXP An one person)$ 5,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: RPOLICY F T LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMPlOP AGG 2,000,000 B AUTOM081LE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X NON-OWNEDONLY MXA80326276 06/26/2017 06/26/2018 COMBINED SINGLE LIMIT Ea accident) 1,000,000 X BODILY INJURY Per person) BODILY INJURY Per accident X PerraccidenDAMAGE UMBRELLA LIAB EXCESS LIAR OCCUR EACH OCCURRENCEHCLAIMS-MADE AGGREGATE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE - POLICY LIMIT C D Equipment Floater Pollution Liability 45468805 G28133789002 09/01/2016 06/26/2017 09/01/2017 06/26/2018 Leased/Rented Equip Each Pollution Cond 200,000 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CFRTIFICATF Hnl nFR CANrFI I ATinki SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE " DELIVERED IN - ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Sanford Attn: Darrel Presley 300 N Park Ave. ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD R