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HomeMy WebLinkAbout1507 SW AveH b U 7 d 0 w a a 0 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) v z 64m0 y a 0 64 M N H G z v 7 r 0 x ro 0 a c 0 v 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 5-t6-t995 7.30Mt FROM PAGE 01 D_ 1 0"n DEMOLITION L,W-r- 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: A -T 11-1 - . nun 04-. c6a'i--t'j kil