HomeMy WebLinkAbout1507 SW AveH
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CITY OF SANFORD, FLORIDA
APPLICATION FOR THE DEMOLITION AND REMOVAL
OF BUILDINGS AND STRUCTURES
t.
PERMIT ADDRESS 160 j/a& PERMIT NUMBER VZ S7S
TOTAL CONTRACT PRICE OF DEMOLITION $1X0 TOTAL SQUARE FT. elva
TAX PARCEL NUMBER
OWNER / ble W4111
ADDRESS /rb7 vT1+
CITY C, ;nQrr STATE %-
PHONE NUMBER
ZIP
CONTRACTOR Elizab4lien PHONE NUMBER 407_ -640,r
ADDRESS f/ ff,4 TAft DW. l90 ST. LICENSE NUMBER C44C OOOYO
CITY 4'4&ft ` ` STATE —FL ZIP 73Z
TYPE OFSURE TO BE DEMOLISHED:
FRAME CONCRETE BLOCK
PREVIOUS USE OF BUILDING OR S UCTURE
PROPOSED USE OF THE SITE %(ecals we
STEEL OTHER
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 ROVISIONS OF SEC ON 455- 02, FL
STATUTES, AND HAVE NOTIFIED THE DEPARTMENT '"FEE VIRONME TA REGUL TION F MY
INTENTION TO REMOVE ASBESTOS, IF APPLICABLE.
SIGNATURE OF OWNER/AGENT & DATE SIGNATURE Ot CONTRACTOR & DATE
IL601 JMD, MSID047
TYPE OR PRINT OWNER/AGENT NAME TYPE OR PRINT CONT CTOR'S NAME
SIGNATURE OF NOTARY & DATE
v
SIGNATURE OF NOTARY & DATE
OFFICIAL SEAL) (OFFICIAL SEAL)
Candace A. Dirlc
Commiuion # OC 929133
Expires Apr. 19, 2003
Bonded Thru
AUantio Bonding Co., Inc.
APPLICATION APPROVED BY DM F DATE — t 8 -o Z
FEES: BUILDING 151— APPLICATION 10 OTHER
PERMIT VALIDATION: CHECK CASH DATE 1— 'OZ BY
ORIGINAL (BUILDING) YELLOW CUSTOMER) PINK (COUNTY TAX OFFICE)
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SEMINOLE COUNTY HOUSINGIRECONSTRUCT ION PROGRAM AGREEMENT
BETWEEN SEMINOLE COUNTY AND OWNER THIS
AGREEMENT made and entered into this 15tb day of Baum ,
2001, by and between Nkiale M11am , whose address is
15UT SaLdbwaaf aged , Florida 3ZTIl 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". W
I T N E S S E T H: WHEREAS,
IdleFfilcts 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] 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 CLERK
OF CIRCUIT COURT SEMINOLE
COUNTY, FLORIDA I_
011- p
TY CLERK
r ?
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 " B".
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
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/loo DOLLARS ($0,0oo), 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
3
IN WITNESS WHEREOF, the parties hereto have executed this'Agree-
ment for the purposes• herein
above written.
WITNESSES
4EEY
SIGNATURE
STATE OF FLORIDA)
COUNTY OF SEMINOLE)
expressed on the date and year first
I HEREBY CERTIFY that, on t
fore me, in the State and C
Nicole Mam , Ffi
are personally known to me or who
identification.
TONI MARIE ANDERSON
MY COMMISSION • DD 019M
EVIRES: April 10, zoos
eoo3rloT wy FLNawy s.rvj0 a 9*j& me ATTEST:
ORSE
er
to the Board of County
Commissioners of 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 reconstnictionagt
Attachments:
Exhibit "
A" - Plans and Speci Exhibit "
B" - Reconstruction OWNER
A
SIURE SIGNATURE
o
his
15th day of , 2001, be- unty
aforesaid, personally appeared and
who have
producedFCD"-_US•SOIip ,as 42Anjll
Z Notary
Public, State *oFlonrida My
commission expires: ytr9 (a;05 BOARD
OF COUNTY COMMISSIONERS MINGLE
COUNTY, FLORIDA By:
Darv1
r. Z
Chairpan
Date: /¢
O/ As
authorized for execution by the
Board of County Commission- ers
at their /dt-// , 200/,
regular meeting. fications
Aqreement
7
01/15/2011 14:36 4073022540 SANFORD PD
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DEMOLITION
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40-1)330: S;-- :,_
Bonding Division Aciwowledgetocat
A. Permit Apylication
B.. $taco Forms
C. State Statutes/Conuactor Licuoilkil
Public Works AcknowlsdgIR0011
A Sidewalk Closing
Street Use/Closing
1. Walkways -• Ps*sctioa - Width
I Barricades - Protection - Widtb
3. kothcing - PMIection - Width - Hei&
4. Curb ProtecovWSidewelk ProtectiodStrcct
S. Storm Sewer Protection
C. Dust Conn of
Polite Departraeot Aelmowkdganeat
A• Traffic Control
B. Crowd ControliSecurity
Utility Departmout Ac Owledpnc It
A. Water, Sewer - Gipped A Sealed
B. Water for Dust Control (Meter)
Engineering & Planning Acknowledgement
A. Historic District
B. - Zoning issues
Address of Job
Additional Comments:
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