HomeMy WebLinkAbout1411 W 14 StCITY OF SANFORD, FLORIDA
APPLICATION FOR THE DEMOLITION AND REMOVAL
OF BUILDINGS AND STRUCTURES
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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
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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)
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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,
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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
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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
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01/15/2011 14:36 4073022540 SANFORD PD
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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
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