The URL can be used to link to this page

Home My WebLink About2400 Narcissus AveRob b U b 0w a x O R a. 3 N G Z to r4 15 w 0 to 41 w a ZQ a F CITY OF SANFORD, FLORIDA APPLICATION FOR THE DEMOLITION AND REMOVAL OF BUILDINGS -AND STRUCTURES PERMIT ADDRESS 2-7 W oroSSNS Ave, PERMIT NUMBER Va TOTAL CONTRACT PRICE OF DEMOLITION $ _ TOTAL SQUARE FT. /,?,/v I TAX PARCEL NUMBER OWNER ra !'[L I C4i% 4 5PHONENUMBER4/7 -3 DO ADDRESS (/W . CITY Q8 X STATE ZIP I CONTRACTOR PHONE NUMBER ADDRESS ST. LICENSE NUMBER Ck- 05 S_60 I CITY 0 4/;Wj)D STATE I-G ZIP S TYPE OF STRUCTURE TO BE DEMOLISHED: ' FRAME J CONCRETE BLOCK STEEL OTHER ) PREVIOUS USE OF BUILDING OR STRUCTUjtE ar-Q,Q PROPOSED USE OF THE SITE SI.1./lj/nlwiy / igt,Fy 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. 1 I 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. 1 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 THE PROVISIONS OF SECTION 455-302, FL STATUTES, AND HAVE NOTIFIED THE DEPARTMENT OF ENVIRONMENTAL REGULATION OF MY INTENTIONJITO RJgMOVE ASBESTOS, IF APPLICABLE. e_ SIGNATIM9-OF OWNE4f/AG$NT/*f DATE SIGNATURE OF TYP T WNERfAGENT NA E TYPE o g - SIGNATU OF NOTARY & DATE SI y 02 ti .......... VICKEY P. BARDEN N DD 063371gfn S cc MY COMMISSION EXPIRES: February 17, 2006 W o:'h Bonded Thm Notary Publk UndemdWS PRINT TR TE W(ya O ACTOR'S NAME 044 - A NOTARY & DATE SEAL) HICKEY P. BARDEN MY COMMISSION a DD 063371 EXPIRES: February 17, 2006 Bonded Tft No" POP Undarndtaa APPLICATION APPROVED BY 1 DATE r0 -0 2- FEES; BUILDING I C; > — APPLICATION _ JD- OTHER rr PERMIT VALIDATION: CHECK CASH DATE lD 3'02- BY ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) 4 ro z e m 0 b M ,- m w a 0 z 44 H N N F+ t 64 le O 0 v M 0 d C n D G. PHILLIP SIMMONS - demolition acknowledgements Page 2 DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways - Protection - Width 2. Barricades - Protection - Width 3. Fencing - Protection - Width - Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd Control/Security Utility Department Acknowledgement A. Water, Sewer - Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: 2400 Narcissus Ave Additional Comments: 5,,s G. 3 . o WILLIAM MARCOUS - demolition acknowledgements Page 2 2nd Acknowledgement DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways - Protection - Width 2. Barricades - Protection - Width 3. Fencing - Protection - Width - Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd Control/Security Utility Department Acknowledgement A. Water, Sewer - Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: 2400 Narcissus Ave C—l`J 4eS— Additional Comments: DIANE STOLFI - demolition meets DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State StatutewContractor Licensing Public Works Acknowledgement A. Sidewalk Closing e. Street Usetclosing 1. Walkways - Protection - Width 2. Barricades - Protection - Width 3. Fencing - Protection - Width - Height 4. Curb ProteetionlSidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control Ponce Department Acknowledgement A. Traffic Control 6. Crowd ConVWSecurity Utility Department Acknowledgement A. Water. Sewer - Capped off, Sealed B. Water for Dust Cord(ol (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: 24M WwAag&is Ave Additional Comments: Z0 39Vd ad GdOdNVS 00GUO L0D 9Z:91 Z00VU/60 DAVID RICHARDS - demolition acknowledgements Page 2 DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways - Protection - Width 2. Barricades - Protection - Width 3. Fencing - Protection - Width -"Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd Control/Security Utility Department Acknowledgement A. Water, Sewer - Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: 2400 Narcissus Ave Additional Comments: