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Home My WebLink About1506 S Mulberry Ave (2)g�CF i JAN19 2012 I D CITY OF SANFORD ILDINf-�FIRE PREVENTION PERMIT APPLICATION Application No: 12— G 5 1 Documented Construction Value: S I'-'/ 30 Job Address: /50to .3 MA /%ir,,-lu AL140- Historic District: Yes ❑ No ❑ Parcel ID:x'35 -/q- 30- SIL -0000-004--0 Zoning: Description of Work: %1p.,r:,'Q Plan Review Contact Person: v,5kK.n 4,-0 Pkd Title: Phone: q67 -RC19 2(nq Fax: E-mail: Property Owner Information Name .ghQ1Q pnL-. &SW6 1 Phone: Street: ),99n S 0,tOhemi. Le. . Resident of property?: �Y.S City, State Zip: fiWd r/ -SZ-7'? I Contractor Information Name TEC. Phone: t'07"Z-`x$4470 Street: 350 S V4 4QQ 6�s.r At L Fax: 32(—Zsu - W cl S— City, State Zip: O/I&r jn -3 IC[ 37.11 State License No.: Me- I S /q 49 2 Architect/Engineer Information Name: Yi Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: Building Permit -+v10 fjV PERMIT INFORMATION Square Footage: 5;b Construction Type: W00j No. of Stories: No. of Dwelling Units: Flood Zone: Electrical 0 Plumbing 0 New Service - No. of AMPS: New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm E3 No. of heads: 12/28/11 12:41PM EST Clean Site Services -> 2/2• Demolition Permit Al Certification of Service Applicaal: Contractor or Owner 13883223444 Pg Address: 130618 Mulberry Ave I Saaford I FL 321 Street City Stan Zip Code Building/Mmoture to be: .g''?EMO SHED Residential Commercial altirer Legal Description Owner on Record 1. Electric titil' Certified By Date I.), — *)A- I I 2. Cis Company Certified By 3. Water Cotntmtty yDateCertified BY— Date *PLEASE SEND NOTICE ON YOUR LETTERHE TO PROVIDE TO Semkwle County TO CONFIRM UTILITY DIW, NNF=* 6827 Pe Ln. Or1Ra,do 32807 PS. 407-999-2699_ Fax 866- 19.0238 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: 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. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 042 Signature of owner/Agent Date CJ, I�i'1/1,✓Y, � 'h/�^d�oie P;0i Name M-fs tore of Notary -State of r4rida Date .►�,o�- -4 12,2 Cos Gcsmntil s� ► m I � Xpersonally Owner Agent is Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: 1 COMMENTS: Rev 11.08 Signature of Contractor/Agent FDate v?J'bi nA,- ► 64 -MNP -,e Print Contractor/Agent's Name � 9�2 Signahue of Notary -State lorida Date /1� i Szr Ll Cd 6M 1X161 v'n.. -i. 152 52 S .eV 10 Ill I I / 7,0/d/ k- Contractor/Agent 1- Personally Known to Me or Produced ID Type of ID WASTE WATER: ENGINEERINFIRE: BUILDING: December 28, 2011 Clean Site Services 6827 Partridge Ln Orlando, FL 32807 Re: Service Removal Florlda Power& Light Company, 3000 6pmce Cnok Rd., Port Orange, Fl. 92129 This letter confirms that the meter And service drop wire were removed from 1506 S Mulberry Ave, Sanford, FI on December 22, 2611, If you need further information, Thank you, Susan Zellers Power Systems contact me at 386-322-3420. Dec -27- 2011 10:57AM Florida Public Utilities 12/21/11 10:15AM EST Clean Site Services -> /2 - - 0 Demolition Permit Application Cartification of Service Disconnect Date: 12121/2011 Applicant: Contractor or Owner Clow Site Services No.9059 P. 1/1 3866682692 Pg 2 Address: 1506 S Mulbeay Aya Sanford FI., 32771 Street city State Zip Code BWding/Stru ctwe to be:.4EMOUSHED R.esiden6al Commercial pother Legal Description 35-19-30-312-0000-0040 Owner on Record Shahama Boswell 1. Electric Utility Certified lay Dale 2. On COMM Certified By� Date r + 3. water ComM Certified By Date *PLEASE SEND NOTICE ON YOUR LWITER 841) TO PROVIDE TO 9emirwle Comity TO CONFIRM UTILITY DISCONNEM Ak FBS U T I L I T I E S Dan Salbben EMINGlFOW .1-LIMAO[ 7 p: 386.968937.8 c: 380.747.8703 1: 386.8882710 e: dSGR W@Npuc=m 450 South Highwey 17.9210e8ary, FlWida 327131 wwwlpue.00m 6827 Partridge Ln, Orlando FL 32807 PH. 407-999-2699 Fax 866-319.0258 01/12/2012 11:08 FAX 4076888114 SANF-CUS-SER L/12/12 10:53AM EST Clean Site Services -> Susan y . Demolition Permit Appli;:ation Certification of Service Di::connect Date: 12/21/2011 Applicant: Contractor or Owner Clean Site Services 41u7u"v01L% Ws Address: 1506 9 I&ulberry &ve Sanford F[, 3277 Street City state Zip Code Building/Stractwe to be: IMPEMOLISHED Rtsidav6al Connneraial OXhar Legal Description 35-19-30-512-0000-0040 Owner on Record Sha1►ama Boawal 1. Elcclric Utility Certified By Date 2. On Company Certified By_ Date 3. WaW Company Certified By Date *PLEASE SEND NOTICE ON YOUR LETTERHEAD TO PROVIDE TO Seminole Camay TO CONFIRM UTILITY DIEICONNECI'* 6827 Partridge Ln. Orlando I'L 32807 PH. 407.999-2699 Fax 866:319-0258 Florida Department of DEP Form e2.257800(1) EOecbve 2.9-N Environmental Protection pay Division of Air Resources Management NOTICE OF ASBESTOS RENOVATION OR DEMOLITION TYPE OF NOTICE (CHECK ONE ONLY): ■ ORIGINAL TYPE OF PROJECT (CHECK ONE ONLY): ■ DEMOLITION IF DEMOLITION, IS ITAN ORDERED DEMOLITION? IF RENOVATION: IS IT AN EMERGENCY RENOVATION OPERATION? IS IT A PLANNED RENOVATION OPERATION? Facility Name Shahama Boswell Address 1506 S Mulberry Ave D REVISED D CANCELLATION p COURTESY 0 RENOVATION Cl YES ■ NO p YES ■ NO ■ YES O NO city Sanford state FL zo 32771 county Seminole site Residential Consultant Inspecting Site n/a Building Size 538 (Square Feet) # of Floors 1 Age in Years 57 Prior Use: O School/College/University ■ Residence O Small Business O Other Present Use: O School/College/University D Residence O Small Business D Other It. Facility Owner Shahama Boswell Phone U Address 1506 S Mulberry Ave city Sanford State FL -zip 32771 Ili. Contractors Name Clean Site Services Phone4( 07 ) 999-2699 Address 6827 Partridge Ln city Orlando state FL zp 32807 Florida License No. CGC 1514499 Is the contractor exempt from licensure under section 469.004(7), F.S.? 0 YES 13NO IV. Scheduled Dates: (Notice must be postmarked 10 world ng days before the project start date) Asbestos Removal (mm/ddyy) Start: Finish: Demo/Renovation (mm/ddyy) Start 12/25/2011 Finish: 01/25/2011 V. Procedures to be Used (Check All That Apply): Strip and Removal Glove Bag Bulldozer Wrecking Ball Wet Method 'Dry Method Explode Burn Down OTHER: 'MUST OBTAIN PRIOR DEP APPROVAL BEFORE USING A DRY METHOD VI. Procedures for Unexpected RACK stop and re-examine VII. Asbestos Waste Transporter: Name Phone ( Address City State Zip VIII. Waste Disposal Site: Name Orange County Solid Waste class 3 city IX. Amount of RACM or ACM square feet surfacing material linear feet pipe State r1 Zip X. Fee Invoice Will E cubic feet of RACM off facility components square feet oementitious material square feet resilient flooring square feet asphalt roofing Subpart M) will be on-site during the demolition or renovation and evidence that the required training has been accomplished by ` ( this person will be railable for inspection during normal business hours. y�j,fl,„,r,,r•,-, 1,1 /e2 -ego -f (Signature of Owner/ODerator) (Date) Notaries Public Department Menu Commission Detail Notary ID: 1326469 Last Name: Taylor First Name: Kevin Middle Name: Birth Date:8/6/XX Transaction Type: NEW Certificate: EE 152525 Status: ACT Issue Date: 12/12/11 Expire Date: 12/11/15 Bonding Agency: Budget Notary Services Mailing Address: Orlando, FL 32807 [Department of State][Notary Public Access Svstem][Email Us] Florida Department of State Division of Corporations P.O. Box 6327 Tallahassee, FL. 32314 Phone (SSO) 24S -694S Page 1 of l http://notaries.dos.state.fl.us/NotIdSearch.asp?ID=I 326469 1/19/2012 Date: November 11, 2011 Contractor: Seminole County Project: 1506 Mulberry Ave Attn: Becky Heckters Sanford FL32771 Ph: 407-665-2388 Fax: 407-665-2399 Email: bheckters@seminolecounty.gov Clean Site Services Inc, hereby proposes and agrees to furnish all necessary labor, materials, equipment, machinery, safety gear, environmental protection, liability insurance and workers compensation to perform the following scope of work in accordance with the specifications supplied and reviewed. No hazardous waste, toxic chemicals or asbestos abatement included. SCOPE OF WORK 1. Demolition of 538 sq ft wood structure @ $1.17/ sq ft. $ 629.46 2. Asbestos survey. $ 450.00 3. Capping of septic line $ 150.00 4. Tree Removal $ 150.00 5. 10 yds of dirt to back fill hole from tree root @ 5.00 per yard $ 50.00 6. Haul all demolition debris offsite to a legal landfill for proper disposal. Additional items not included: asbestos abatement and tipping fees not able to estimate at this time. Total Proposal Price $ 1.429.46 Respectively Submitted by: Mike Craft Acceptance of Proposal The above prices, specifications and conditions are satisfactory and accepted, hereby authorizing Clean Site Services Inc. to proceed with above-mentioned project. All salvage rights reserved by Clean Site Services, Inc. at commencement of project. Please sign and mail or fax to our office for scheduling. No hazardous waste, toxic chemicals or asbestos abatement included. Payment terms are net 30 days from completion unless otherwise agreed to prior to the commencement of said proposed scope of work. A deposit may be required. Signature: Printed Name: 6827 Partridge Lane Orlando, F132807 Ph: 407.999.2699 Fax: 866.319.0258 Date: PURCHASE ORDER PURCHASING AND CONTRACTS DIVISION SEMINOLE COUNTY GOVERNMENT 1301 EAST SECOND STREET SANFORD, FL 32771-1468 OFFICE (407) 665-7116 FAX (407) 665-7956 Shipped From: CLEAN SITE SERVICES INC 6827 PARTRIDGE LANE ORLANDO FL 32807 Ship To: COMMUNITY SERVICE/ASSISTANCE 534 W LAKE MARY BLVD SANFORD FL 32773-7400 12/21/11 Page - 1 Order Number 29483 000 OP Branch/Plant 066000 Requestor. GARCIA, GLORIA Vendor No. 337746 Delivery: Community Services Line Rev Description Ordered UOM Unit Price Extended Price Order No Ty 1.000 0 Demolition Services EA .0000 1,429.46 00000304 OB 066710.580821 IFB-600847-10/GMG 1,429.46 ***Total Order Purchasing Agent: GARCIA, GLORIA www.sanfordfl.gov Mailing Address: City of Sanford P.O. Box 2847 Sanford, FL 32772-2847 Physical Address: City Hall 300 North Park Ave Sanford, FL 32771-1244 January 19, 2012 To Whom it May Concern, UTILITY DEPARTMENT CUSTOMER SERVICE RE: 1506 S Mulberry Ave, Sanford, FL 32771 Please be advised the above referenced address has had water service disconnected and meter removed effective 12/28/2011. Also, no sewer service through the City is connected. Please let us know if you need further information by calling 407-688-5116. Thank you, Suzan Behrens City of Sanford Utility Coordinator/Report Specialist