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Home My WebLink About2470 Narcissus Aveb d U 7 d 0 M no a 0 CITY OF SANFORD, FLORIDA APPLICATION FOR THE DEMOLITION AND REMOVAL OF BUILDINGS AND 'STRUCTURES PERMIT ADDRESS 2#N /V 4f `cw,< s 19'V PERMIT NUMBER TOTAL CONTRACT PRICE OF DEMOLITION a' U0 TOTAL SQUARE FT. TAX PARCEL NUMBER 1,0 OWNER V(.I) ( ADDRESS CITY CONTRACTOR ADDRESS CITY PHONE NUMBER 7D2-13/-3W C ail j O PHONE NUMBER 9(-8 7— ? 0 QV ST. LICENSE NUMBER G/3-CdS4/1T6o STATE %L ZIP 319sn TYPE OF STRUCTURE TO BE DEMOLISHED: FRAME CONCRETE BLOCK STEEL OTHER PREVIOUS SE OF BUILDING OR STRUCTURE PROPOSED USE OF THE SITE S Kb9;6 (in,,. 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 THE PROVISIONS OF SECTION 455-302, FL STATUTES, AND HAVE NOTIFIED THE DEPARTMENT OF ENVIRONMENTAL REGU OF MY INTENTION TO REMOVE ASBESTOS, IF APPLICABLE. l SIGNAT E OIF OVRAStlft& DATE SIGNATURE OF CONTRACTOR b OR PjtTft-,-OWNER/AGEPT NAME A, TY SIG RE OF NOTARY b DATE Si CIAL SEAL SSIONN # D 0071MYCOMM February cn to EXPIRES: d .• Bpi Th w Notary Pubic lila: wcc f h• W i PRINT,XenRA.CTOR' S N OF NOTARY & DATE IAL SEAL) CKEY P. URDEN MY COMMISSION # DD 0833• EXPIRES: February 17, 20' Bonded Thou Notary Pubrc Undo: PPLICATION APPROVED BY r- DATE EES: BUILDING 1S APPLICATION 10 — OTHER r, PERMIT VALIDATION: CHECK CASH DATE o z—BY ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) PHILLIP SIMMONS - demolition acknowledgements From: JOANN JOHNSON To: DAVID RICHARDS; DIANE STOLFI; PHILLIP SIMMONS; WILLIAM MARCOUS Date: 5/29/0211:10AM . 14 Subject: demolition acknowledgements Please submit any comment and return to me. Thanks, Jo -Ann 1st 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: 2470 Narcissus Ave Additional Comments: 2nd Acknowledgement S1MM0&Ja bIANE STOLFI - demolition P 1 From: JOANN JOHNSON To: DAVID RICHARDS; DIANE STOLFI; PHILLIP SIMMONS; Dab: Wed, May 29, 2002 11:10 AM Subject: demolition acknowledgements Please submit any comment and return to me. Thanks. Jo -Ann 1st Acknowledgement DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State SUduieWContractot 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 ProtectioNSidewalk ProkCOONSVON 5. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd ControllSecurly Utility Department Acknowledgement A. Water, Sewer - Capped off, Sealed S. Water for Dust Control (Meter) Enginsenng & Planning Admowledgement A. Historic District S. Zoning Issues Addron of Job: Additional Comments: 2nd Acknowledgement Qd G80-INiS Ob9ZZOELOO 9Z:91 zouf L%50 DAVID RICHARDS -demolition acknowledgements Page 1 From: JOANN JOHNSON To: DAVID RICHARDS; DIANE STOLFI; PHILLIP SIMMONS; WILLIAM MARCOUS Date: 5/29/02 11:10AM Subject: demolition acknowledgements Please submit any comment and return to me. Thanks, Jo -Ann 1st 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 S U2 A. Historic District B. Zoning Issues Address of Job: 2470 Narcissus Ave Additional Comments: 2nd Acknowledgement INILLIAM MARCOUS - demolition acknowled ements Pa e 1 From: JOANN JOHNSON To: DAVID RICHARDS; DIANE STOLFI; PHILLIP SIMMONS; WILLIAM MARCOUS Date: 5/29/02 11:10AM Subject: demolition acknowledgements Please submit any comment and return to me. Thanks, Jo Ann 1st Acknowledgement DEMOLITION Building Division Acknowledgement A. Permit Application S. 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: Additional Comments: 4