HomeMy WebLinkAbout900 Willow AveCITY OF SANFORD, FLORIDA
APPLICATION FOR THE DEMOLITION AND REMOVAL
If OF BUILDINGS AND STRUCTURES
PERMIT ADDRESS _{ IJI.J ` `^' PERMIT NUMBER O Z - U 0)
TOTAL CONTRACT PRICE OF DEMOLITIONl/U O(/ TOTAL SQUARE FT.
TAX PARCEL NUMBER
OWNER PHONE NUMBER
ADDRESS--' v
CITY STATE ZIP
CONTRACTOR
ADDRESS
CITY STATE
TYPE OF STRUCTURE TO BE DEMOLISHED:
FRAME Zi CONCRETE BLOCK
PREVIOUS USE OF BUILDING OR STRUCTURE
PROPOSED USE OF THE SITE
ST.
PHONE NUMBER
LICENSE NUMBER
ZIP
STEEL OTHER
GAS COMPANY DISCONNECT NUMBER (IF APPLICABLE)-Y1LGy i / ,j f-+ L D
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 HEREB AFFIRM THAT I HAVE COMPLIED WITH THE PROVISIONS OF
STATUT , AND HAVE NOTIFIED THE DEPARTMENT OF ENVIRONMENTAL
INTENTI TO REMOVE ASBE OS, IF APPLICABLE.
IGNATURE OF OWNER/AGENT & DATE SIGNATURE OF CONTRACTOR & DATE
SECTION 455-302, FL
REGULATION OF MY
TYPE OR PRINT OWNER/AGENT NAME TYPE OR PRINT CONTRACTOR'S NAME
Q'I kK-'V- m r /I, /oz,
SIGNATURE OF NCWARY & DATE SIGNATURE OF NOTARY & DATE
OFFICIAL SEAL) (OFFICIAL SEAL)
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APPLICATION APPROVED BY
FEES: BUILDING S APPLIC TION
DATE — I I—O Z
OI OTHER
PERMIT VALIDATION: CHECK CASH DATE BY .
ORIGINAL (BUILDING) YELLOW CUSTOMER) PINK (COUNTY TAX OFFICE)
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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:
Additional Comments:
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CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
CONSTRUCTION CONTRACTING
Oxvners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors. when building or improving farni
outbuildings or one -family or two-famih, residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25.000. on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of am such
stricture by the owner -builder within I year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that persons license. For the purposes of this subsection, the term "owners of property'
includes the owner of a mobile home•situated on a leased lot. To qualify for exemption under tills
subsection, an owner must personal]-,' appear and sign the building permit application.
State law requires construction to be done by licensed contractors. You have applied for a permit under
an exemption to that laN\-. The exemption allows you. as the owner of your propert., to act as your own
contractor Nvith certain restrictions even though you do not have a license. You must provide direct,
onsite supervision of the constriction yourself. You may build or improve a one -family or two-family
residence or a farm outbuilding. You may also build or improve a commercial building, provided your
costs do not exceed $25.000. The building or residence must be for your own use or occupancy. It may
not be built or substantially improved for sale or lease. If you sell or lease a building you have built or
substantially improved yourself within I year after the construction is complete, the law Nvill presume that
N"ou built or substantially improved it for sale or tease,. which is a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on'your building. It
is \-our responsibilih to make sure that people employed by \ou have licenses required by state law and
b\. county or municipal licensing ordinances. You may not delegate the responsibility for supervising
work to a licensed contractor who is not licensed to perform the work being done. Any person working
oil your building who is not licensed must work under your direct supervision and must be employed by
you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable lays,
ordinances, building codes, and zoning regulations.
1, do hereby state that I am qualified and capable of performing theXKrequestedconstrictioninvolvedwiththepermitapplicationfiled.
I yi assume full responsibility as an 0\\iier/Builder Contractor, and will personal]\- supervise all work
all wed by lacy on the permi ed structure.
Ze0ner/Builder Signature ),
Print Owner/Builder Name
naturc of Nolan —Blatt of Florida Datc EMJOANNho, joliNSONCOMMISSIONNCC 921808
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Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL
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GENERAL
Parcel Id: 2'-1-30-5AG-110E- Tax District: S1-SANFORD VALUE SUMMARY
Value Method: Market
Owner: ADAMS BERT A Dor: 01-SINGLE
HEIRS FAMILY Number of Buildings: 1
C/O DOROTHY M Depreciated Bldg Value: $28,116
Own/Addr: ADAMS Depreciated EXFT Value: $0
Address: 900 WILLOW AVE
Exemptions: 00-HOMESTEAD
Land Value (Market): $5,000
City,State,ZipCode: SANFORD FL 32771 Land Value Ag: $0
Property Address: 900 WILLOW AVE 33,116
Subdivision Name: SANFORD TOWN Assessed Value (SOH): $32,966
OF
Exempt Value: $6,623
Taxable Value: $26,343SALES
Deed Date Book Page Amount Vaclimp 545
LAND
Land Unit Land LEGAL DESCRIPTION
Land Assess Method Frontage Depth
Units Price Value LEG LOT 1 BLK 11 TR F TOWN OF SANFORD
FRONT FOOT &
50 117 000 10000 $5.000
PB 1 PG 56
DEPTH
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1945 3 1,737 1,080 SIDING AVG $28,116 $45,904
Appendage / Sgft OPEN PORCH FINISHED / 225
Appendage / Sgft CARPORT UNFINISHED / 432
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem
tax purposes
re_web. semi nole_county_title?parcel=2519305AG 1 1 OF0010&cpad=willow&cpad_num=9CO3/ 1 1 /2002