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HomeMy WebLinkAbout1411 W 14 StCITY OF SANFORD, FLORIDA APPLICATION FOR THE DEMOLITION AND REMOVAL OF BUILDINGS AND STRUCTURES O N b d U 7 d O w L a 0 PERMIT ADDRESS ryi • I S-% (F u PERMIT NUMBER o2s-74 TOTAL CONTRACT PRICE OF DEMOLITION t 1D00 TOTAL SQUARE FT. TAX PARCEL NUMBER OWNER NeAk,#- ADDRESS Nil CITY v'-'a«vVrp PHONE NUMBER STATE FL- ZIP 3 L'1l l CONTRACTOR Eta Z4bt4-kf ! Clwsj • S 21`v ADDRESS 7qy g i c- 4r-e,-. -o2 CITY (,OrJG.wemy STATE TYPE OF STRUCTURE TO BE DEMOLISHED: PHONE NUMBER 4(0'7' g3i' b o1 ST. LICENSE NUMBER (' or_ 05 040 ZIP '57-75-O FRAME _ CONCRETE BLOCK STEEL OTHER PREVIOUS USE OF BUILDING OR STRUCTURE S F/t PROPOSED USE OF THE SITE QeLOl 1S rac'{t GAS COMPANY DISCONNECT NUMBER (IF APPLICABLE) GAS COMPANY PERSONNEL ISSUING NUMBER NOTE: GAS COMPANY SECTION MUST BE COMPLETED BEFORE DEMOLITION PERMIT WILL BE ISSUED. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER THE WORK IS COMMENCED. 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. THE NAMED CONTRACTOR/OWNER BUILDER TO WHOM THE PERMIT IS ISSUED SHALL HAVE THE RESPONSIBILITY FOR SUPERVISION, DIRECTION, MANAGEMENT, AND CONTROL OF THE CONSTRUCTION ACTIVITIES ON THE PROJECT FOR WHICH THE BUILDING PERMIT WAS ISSUED. OWNER'S AFFIDAVIT: I CERTIFY THAT ALL THE FOREGOING INFORMATION IS ACCURATE AND THAT ALL WORK WILL BE DONE IN COMPLIANCE WITH ALL APPLICABLE LAWS REGULATING CONSTRUCTION AND ZONING. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ASBESTOS NOTIFICATION STATEMENT (SEC. 553.79(11), FL STATUTES) FOR FACILITIES OTHER THAN SINGLE FAMILY OR DUPLEX HOUSING. I HEREBY AFFIRM THAT I HAVE COMPLIED WITH T PROVISI STATUTES, AND HAVE NOTIFIED THE DEPARTMENT OF NVIRON INTENTION TO REMOVE ASBESTOS, IF APPLICABLE. SIGNATURE OF OWNER/AGENT & DATE TYPE OR PRINT OWNER/AGENT NAME SIGNATURE OF NOTARY & DATE OFFICIAL SEAL) TION 455/3D"% FL OF SIGNATURE'OF CONTRACTOR & DATE pI jdkoipfej j QQSU7 TY OR PRINT CON RACTOR'S NAME SIGNATURE OF NOTARY & D TE OFFICIAL SEAL) t Candace A. Birle C"U48 ion # OC 829133 EXPIM Apr 19, 2003 n•p Bonded TAru Bo+dinc Co., Ine, APPLICATION APPROVED BY Drrl DATE 1 8I0Z FEES: BUILDING 15 APPLICATION lO . OTHER PERMIT VALIDATION: CHECK CASH DATE --'CrLBY PINK (COUNTY TAX OFFICE) ORIGINAL (BUILDING) YELLOW (CUSTOMER) I 1 . SEMINOLE COUNTY HOUSINGIRECONSTRUCTION4PROGRAM AGREEMENT BETWEEN SEMINOLE COUNTY AND OWNER THIS AGREEMENT made and entered into this / day of to 2001, by and between Elie Baidgjn whose address is 14U Fist 14th Stmet, Saf®d , Florida 3Z771 hereinafter referred to as the "OWNER" and SEMINOLE COUNTY, a political subdivision of the State of Florida, whose mailing address is 1101 East First Street, Sanford, Florida 32771, hereinafter referred to as the "COUNTY". WHEREAS, W I T N E S S E T H: It11ie Baldvan is the OWNER of that certain lot, piece or parcel of land situate in the County of Seminole, Flor- ida, hereinafter referred to as "Property," and described as follows: Legal Description] lots 71 and 72, aE the FIIIM,1P D AV G ItMt1'Il'N 030 f• i yr •. WHEREAS, OWNER has applied to COUNTY for a grant, the proceeds of which shall be used solely for payment for rehabilitation and renova- tion of the above described Property, hereinafter referred to as "Re- construction Funds" in accordance with the plans and specifications submitted to and approved by COUNTY and set forth in Exhibit "A," at- tached hereto and incorporated herein; and WHEREAS, COUNTY has determined that the OWNER satisfied State of Florida criteria for receipt of Reconstruction Funds pursuant to the terms, conditions and provisions of the Seminole County Housing Recon- struction Program; and CERTIFIED COPY MARYANNE MORSE I CLERK OF CIRCUIT COURT SE NOLE COUNTY. FLORIDA WHEREAS, OWNER agrees that COUNTY shall be entitled to recover the Reconstruction Funds if the conditions hereunder set forth occur,. NOW, THEREFORE, in consideration of the mutual covenants herein contained and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: Section 1. General. a) The parties agree that disbursement of Reconstruction Funds hereunder shall be set forth in the Reconstruction Agreement between the COUNTY and Contractor for the above described Property, attached hereto and incorporated herein as Exhibit "Er. b) This Agreement shall not be construed to' make the COUNTY liable to materialmen, subcontractors, craftsman, laborers, or others for goods or services delivered by, to, or upon said premises or for debts, or claims accruing to said parties against the OWNER. It is understood and agreed that no contractual relationship, either ex- pressed or implied, between the COUNTY and any materialmen, subcon- tractors, craftsmen, laborers, or any other person supplying work, la- bor, materials, or services to rehabilitate and renovate the Property exists. c) Disbursements, inspections and other services rendered by or on behalf of the COUNTY, its employees, agents or supervisors of rehabilitation and renovation services shall be made and rendered solely for the protection and benefit of the COUNTY. Neither the OWNER nor any other person, firm or corporation shall be entitled to claim or recover any loss or damage against the COUNTY, its employees, 2 i agents, or supervisors of rehabilitation and renovation services due to the failure of• the OWNER or any materialmen, subcontractors, craftsmen or laborers to comply with any contract, agreement or under- standing between the OWNER and any other person, firm or corporation engaged or interested in the reconstruction and completion of reha= bilitation and renovation on the Property herein described. Section 2. Responsibilities.of OWNER. a) OWNER acknowledges receipt from COUNTY of the sum of Sixty -Five Thousand and NO/I DOLLARS tt6s,m), which is the proceeds of the Re- construction Funds to be disbursed to the Contractor for rehabilita- tion and renovation of the subject Property. b) OWNER shall duly pay all real property taxes, and assess- ments, if applicable, for the term of the Seminole County Housing Re- construction Program Lien ("Lien"). OWNER shall maintain homeowners insurance in an amount at*least sufficient to cover the total sum of the Lien and any institutional mortgage constituting a prior lien upon the Property and flood insurance if the unit is located in a flood zone. c) OWNER shall allow access to' the Property for annual moni- toring/inspection purposes. OWNER agrees to properly maintain the dwelling unit in a safe, fit, sanitary and habitable condition and keep yard clear of debris. d) OWNER shall repay COUNTY the following sum as repayment of the Reconstruction Funds provided the Property if he transfers, con- veys, leases, or otherwise ceases to use the Property 'as his primary residence within a fifteen (15) year period from the date first above K r IN WITNESS WHEREOF, the parties hereto have executed this Agree- ment for the purposes herein expressed on the date and year first above written. WITNESSES STATE OF FLORIDA) COUNTY OF SEMINOLE) OWNER SIGNATURE SIGNATURE I HEREBY CERTIFY that, on this 156 J day of , 2001, be- fore me, in the State and County aforesaid, personally appeared and who are ersonally known to m or who have produced as identification. A) ww Notary Public, State of Florida My commission expires: q//9/XO5TONIMARIEANDERSON MY COMMISSION # DD 01 W42 EXPIRES: April 1 O, 2005 14W4# TARY R hbtwy SwvjW d q0 K& . kV a ATTEST: BOARD OF COUNTY COMMISSIONERS LE C UNTY, FLORIDA By: C airman C arv.oJ r o the Board of County Commissioners of Date: Seminole County, Florida. For the use and reliance of Seminole County only. Approved as to form and legal sufficiency County Attorney SED/lpk 3/2/01 reconstructionagt Attachments: As authorized for execution by the Board of County Commission- ers at their /,I -i/ 200 regular meeting: Exhibit "A" - Plans and Specifications Exhibit "B" - Reconstruction Agreement 7 01/15/2011 14:36 4073022540 SANFORD PD FROM PAGE 04 P. 2 DEMOLITION guildlag Dlvlsion Aclwvwledgemeat A. Permit Application B. State Forms C. State Statutes/ContraeWr Lung Public Works AdwwvlWgement A,, Sidewalk Ciosing B. Stteet Use/Closing 1. Walkways - Protection - Width 2. Ban ieades -- protection - Width 3. Fencing - Prvtactivn - Width - Height a. Curb ProteWoWSidewalk Protection/Street S. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A_ Traffic Control B. Crowd ControUSewrity Utility Department Acknowledgement A. Water, Sewer - Capped oil Sealed B. watu for Dust Control (Meter) Engineering & PLenning Acknowledgement A. Historic District S. Zoning Issues Address of Job AdditionR! Comments: 1 1/, Iva-SiT T- 7. -- 1 a 1 s