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HomeMy WebLinkAbout718 Celery Ave����.,.�✓ r-- yQ -t- ��� -9173 CITY OF SANFORD PERMIT APPLICATION Application #: �/ J Submittal Date: Job Address: _ , �'ei�e,�u JPr1� Q Value of Work: $ Lf y Parcel ID:Zoning: Historic District: Description of Work: Square Footage: I Sk 50 .......... ........................................................................................................ Permit Type: Building IV Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential '❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc, Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential ❑ Commercial ❑ Occupancy Type: Residential {Y Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: WWO # of Stories: # of Dwelling Units: Flood Zone: (FEND form required ) •• • •Property Owner G { oy•ef i:< �f a'w 6" .... -- r)50 'r1 Contractor: _W)0 ( Pl�`! • • ....... ••.. Q1 f1 't (C?C,'tl00 . Ad�dress: 1090(_0 1 Address: 3�i - W\. � iS 6(PS Qj I-LkZ Phone: -mail: Pone 04171 State License Number: Bonding Company: _N//\A Mortgage Lender: Address: _ &14 Address: '\ Architect/Engineer: Address: Plan Review Contact Person: Phone: Fag: Phone: 'ate Fax: E-mail: 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. 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 notifythe ower of the property of the requirements of Florida Iden Lavr,.J: S 713 APPROVALS: ZONING: UTIL: FD: ENG: BLDG: Special Conditions: Rev 02/2007 ell C.T` J / Vat gn/ature of Owner/Ag gn eofContra for/Age/ntt /er r7D�ate y(1 kigwoerlAg Name Print Contractor/A Na of No -State of Florida Date Si a of No ` fi JULIA Cttf _ - " Notary Public -!tate of flotilla yp CAROLYN ANN,"LLIS �• • • ,a.� ,� Comm. Expires Jan 9, 2010 Coriutdssion # D0 487358 MY COMMISSION EXPIRES Bonded By National Notary Assn. ,r - d Apr1 22, _ - Contractor/Agent is. Tpersonally Known to Me or _ Produced ID— Produced ID APPROVALS: ZONING: UTIL: FD: ENG: BLDG: Special Conditions: Rev 02/2007 ell C.T` Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 L*ARC L DETAOL OAYID JOHN90N6.CFA, ASA PROPERTY APPRAISER SEMINOLE COUNTY FL 1101 E. FIRST,ST SANFORD. FL 32771-1468 407-6b5,F7508 2007 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 30-19-31-522-0000-0180 Number of Buildings: 1 Owner: JOHNSON MARY G &GLOVER O Depreciated Bldg Value: $30,888 Own/Addy: JOHNSON & PERMON J JOHNSON Depreciated EXFT Value: $0 Mailing Address: 10906 OLYMPIA DR Land Value (Market): $17,172 City,State,ZipCode: HOUSTON TX 77042 Land Value Ag: $0 Property Address: 718 CELERY AVE Just/Market Value: $48,060 Subdivision Name: HOLDEN REAL ESTATE COMPANYS ADD Assessed Value (SOH): $48,060 Tax District: S1-SANFORD Exempt Value: $0 Exemptions: Taxable Value: $48,060 Dor: 01 -SINGLE FAMILY Tax Estimator SALES 2006 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified 2006 Tax Bill Amount: $826 WARRANTY DEED 08/1978 01183 0244 $100 Improved No 2006 Taxable Value: $41,968 DOES NOT INCLUDE NON -AD VALOREM Find Comparable Sales within this Subdivision ASSESSMENTS LAND LEGAL DESCRIPTION Land Assess Land Unit Land Frontage Depth PLATS: Pick... L� Method Units Price Value LEG LOT 18 HOLDEN REAL ESTATE FRONT FOOT & 53 119 .000 360.00 $17,172 COMPANYS ADD DEPTH PB 1 PG 89 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New 1 SINGLE 1928 3 976 1,250 976 SIDING AVG $30,888 $77,220 FAMILY Appendage / Sgft SCREEN PORCH UNFINISHED / 90 Appendage / Sgft OPEN PORCH UNFINISHED / 184 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished Base Semi Finshed NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. *** Ifyou recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value. http://www.scpafl.org/web/re_web. seminole_county_title?parcel=30193152200000180&cp... 5/8/2007 Permit No. Parcel Identification Number: 30-19-31-522-0000-0180 1 7red by: Jennifer Sweeney Central Environmental Services Inc. 3210 Friendly Ave Orlando FL, 32808 NOTICE OF COMMENCEMENT State of Florida County of Seminole IIIA lid 11Rion Hill Neill 1111011hill 1M1Nlillam MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY SK'06685 Fig 1366; (1 pg) CLERK" S # 20()7()F,8403 RECORDED 05/08/2007 10:24:29 AM RECORDING FEES 10.00 RECORDED BY T Saith FOR RECORDER'S USE ONLY CERTIFIED COPY, MARYANNE MORSE CLERK OF CIRCUIT COURT%_ SE II� , � , - OUNTY. F RIDA_ BY DFPI.I rYr cq .. 4y _0 `9007 The undersigned hereby gives notice that the improvement(s) will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1 Description of property (legal description and street address if available) LEG LOT 18 HOLDEN REAL ESTATE COMPANYS ADD PB 1 PG 89 718 CELERY AVENUE, SANFORD FL 32771 2 General decription of Improvement(s) DEMOLISH AND REMOVE ONE SINGLE FAMILY RESIDENCE 3 Owner Information Name GLOVER & MARY JOHNSON Phone Number N/A Address 10906 OLYMPIA DR Fax Number N/A HOUSTON, TX 77042 Interest in Property OWNER 4 Fee Simple Title Holder (if other than owner shown above) Name N/A Phone Number Address Fax Number 5 Contractor Name Thornley Construction/Central Environmental Services. Inc. Phone Number 407-851-4339 Address 3487 West Saint Brides Circle, Orlando FL 32812 Fax Number 407-851-4339 6 Surety (if any) Name N/A Phone Number Address Fax Number 7 Lender (if any) Name N/A Phone Number Address Fax Number 8 Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by 713.13 (1)(a)7 Florida Statutes. Name Phone Number Address Fax Number 9 In addition to him or herself, the owner designates the following to receive a copy of the Lienoes Notice as provided in 713.13(1)(b), Florida Statutes. Name Phone Number Address - Fax Number -- 10 Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): 5 ---ter -7 Date Signed Signature of Own ote: per .I3(1)(g), "owner must sign ... and one else y be permitted to sign in his or her ead." m to nd s c d eore me hisda f V , 20� by �./t0/ ho is personally kno# to me OR produced as identification. ` :CA Signature o otary Public t6--- ROLYNANNWIW8 (seal to appear below). OMMISSION EXPIRESApril 22, 2009 CITY OF SANFORD DEMOLITION TpLa4ts' 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: Power of Attorney Date:C'�5 I I hereby name and appoint: Jennifer Sweeney of Central Environmental Services Inc. to be my lawful attorney in fact to act for me and sign for a Demolition Permit for work to be performed at a location described as: Parcel Id # JULIA CRAWFORD MOINYPdk-St* ofF� • ����, MY Comm. Eom ism f8 Lot: ' Block: Subdivision: Address of Job: Owner of Property and Address Glouto ►i .5;� (Y)o,-4U- -- and to sign my name and do all things necessary to this appointment. Robert F Thornley Type or print name of Contractor Signature of Contractor The foregoing pwktryment aqknowledg d before me this ,3 day of by who is p to me or6kho produced as identification and who did not take an oath. State of Florida County of Orange Notary Seal Notary Signatu My b mission expires: �—% " j � �•� �3 JULIA CRAWFORD MOINYPdk-St* ofF� • ����, MY Comm. Eom ism f8 OF Ft�•�; COM-W38im M 00 4473588 Bmftd BY Nabmal NoterY Asan. FEB -20-2007 09:35A FROM:THORNLEY CONST INC. (407(282-7368 TO:4072957004 P.1 r 02-07-2007 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 02/07/2007 PERSON: THORNLEY FEIN: 593525975 BUSINESS NAME AND ADDRESS: THORNLEY CONSTRUCTION INC 3487 W SAINT BRIDES CIRCLE ORLANDO FL 32812 SCOPES OF BUSINESS OR TRADE: 1— CERTIFIED BUILDING CONTRACTOR EXPIRATION DATE: 02/06/2009 ROBERT F IUPORTANT! Pursuant to Chapter 440 , 06(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Cenllicaial of election to be exempt... apply only within the scope of the basrmett or trade listed on the notice of election to be exempt, Pursuant to Chapter 440.06113), F.S„ Wotices of election to be exempt ad certificates of electloa to be exempt shall be subject to revocation 11, at may time after the filing of the notice or the issuance of the certificate, the parson named an the notice or ceitilicato eo longer meets the regtdrsmeats of this section for Issuance of a cortilrcate, The department shall revoke a certificate rat any time for failure of the person asmed on the certificate to meet the requirements at this section, QUESTIONS? (850) 413-1609 DWC-151 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW 0 EFFECTIVE: 02/07/2007 EXPIRATION DATE: 02/08/2009 PERSON: ROBERT F THORNLEY FEIN: 583528975 BUSINESS NAME AND ADDRESS: THORNLEY CONSTRUCTION INC 3487 W SAINT BRIDES CIRCLE ORLANDO, FL 32812 SCOPE OF BUSINESS OR TRADE: i • CERTIFIED BUILDING CONTRACTOR IMPORTANT OPursuant to Chapter 440.05(14), F,S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(11), F.S., Certificates of election to be H exempt., apply only within the scope of the busineg4 or trade listed an R the notice of election to be exempt P E Pursuant to Chapter 440,05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shell be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section, CUT HERE Ol1ESTIONST (850) 413-1609 t Carry bottom portion on the job, keep upper portion for your records. DWC-251 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-05 %-IT6tE _ was?rzR,^_r 1,^` Or ` 'ROFESSIOINAL REGULATION i ICBCO26183 06/10/06 05082/005 I CERTIFIED BUILDING CONIRCT:OR THORNLEY, ROBERT FRANKLI_Nr THORNLEY CONSTRUCTION INC yc-C ?T7F---G61:��_� the nrovis_ors`o'i Cn. o° rS -_P>? ati ov tla te6 At1G ..31 2.008 LGE06T0003D6.':.' E ul uvi si on= 0_ Chapter a89. 0 ET _. _ _.on- d --e AUG J31,. �1 O8 , LGV THORNLEYCO ' l C1 I .J _- 3487 r.y .. BRIDES 1TL 1221--1 _ ... _ .._ Earl K. Wood, Tax Collector This license is in Occupational License Orange County, Floric addition to and not in lieu of any other license required by law or municipal ordinance. It is subject to regulation of zoning, health and any other lay authority. It is valid from October 1 through September 30 of license Delinquent year. penalty is added October 1. ***ORIGINAL*** 2006 EXPIRES 9/30/2007 1801-0023981 1801 CONTR-BUILDER $30.00 1 EMPLOYEE=.-.f.�,r. •`� L,t a ti • TOTAL TAX $30.00 4; THbRNLEY CONSTRUCTION INC PREVIOUSLY PAID $ , THO NLEY ROBERT Ff R TOTAL DUE $0.00'r 347V1(,"S�BRIDES CII: x ORLAND(tj-L 32$'12-5935 3487 W ST BRIDES CR (MOBILE) r TH0RN'LE Y ROBERT F U - ORLANDO, 32812 y PAID: $30.00 99-313475 8/15/2006 This form becomes a receipt when validated by the Tax Collector. MaB 08 07 01:22a David Chong/State Farm In 407-850-0020 p.2 CERTIFICATE OF INSURANCE This certifies that ❑ STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois Ll STATE FARM GCNERAL INSURANCE COMPANY, Bloomington; Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ® STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Name of policyholdor ` 00RNI.r',Y CON15TTR1[TTON TNIC Address of policyholder 3481 WL' si, :,A-LNT BRil.)LIS CiRCLli --- _ Location of operations Description of operations The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims, _ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ;Expiraton Date (at beginning of policy period)__ Comprehensive BODILY INJURY AND itr-TN-isu.7ti-'; I3 Business Liability 01-05-0-7 01-05-08 PROPERTY DAMAGE ----------------- This insurance includes: p.. . . Products - Completed Operation, ® Contractual Liability ® Underground Hazard Coverage Each Occurrence $ 'mu, o0o ® Personal Injury ® Advertising Injury General Aggregate $ t;oo, 000 I Explosion Hazard Coverage ® Collapse Hazard Coverage Products — Completed $ (,OO, ()00 ❑ Operations Aggregate EXCESS LIABILITY POLICY PERIOD Effective Date ; Expiration Date BODILY INJURY AND PROPERTY DAMAGE (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ Disease Each Employee $ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ; Expiration Date (at beginning of policy period) THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder ' 0 Name and Address of Certificate Holder days before cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed T11L UITY 0F SANFORD on Statearm or its a epts or representatives. /" nox 1788 anNFi,rtn, FI. 3211?.—l'102 Segnatuln-eF uthorized Rcpresentativc nq�nr. 05/07/07 Title 03te Agent's Code Stamp AFO Code F:;`',J 5513-994 a,3 04.1999 Printed in U.S.A. Page 1 of 1 BLANTON, DEBORAH From: WILLIS, HALLIE Sent: Tuesday, May 08, 2007 12:26 PM To: BLANTON, DEBORAH Subject: RE: 718 Celery Ave 07-2077 .Approved -patrol 5- Lt. Scott From: BLANTON, DEBORAH Sent: Tuesday, May 08, 2007 12:24 PM To: BEHRENS, SUZAN; JOHNSON, JOANN; LOTEMPIO, CATHY; ROBERTSON, LARRY; SCOTT, ANNETTE; WILLIS, HALLIE Subject: 718 Celery Ave 07-2077 Demo single family Thornley Construction 5/8/2007 Page 1 of 1 BLANTON, DEBORAH From: ROBERTSON, LARRY Sent: Wednesday, May 09, 2007 4:43 PM To: BLANTON, DEBORAH Subject: RE: 718 Celery Ave 07-2077 OK to demo From: BLANTON, DEBORAH Sent: Tuesday, May 08, 2007 12:24 PM To: BEHRENS, SUZAN; JOHNSON, JOANN; LOTEMPIO, CATHY; ROBERTSON, LARRY; SCOTT, ANNETTE; WILLIS, HALLIE Subject: 718 Celery Ave 07-2077 Demo single family Thornley Construction 5/10/2007 BLANTON, DEBORAH From: LOTEMPIO, CATHY Sent: Wednesday, May 09, 2007 1:35 PM To: BLANTON, DEBORAH Subject: RE: 718 Celery Ave 07-2077 Approved for Public Works 5.9.07 Bilal Iftikhar & Jeff Davis From: BLANTON, DEBORAH Sent: Tuesday, May 08, 2007 12:24 PM To: BEHRENS, SUZAN; JOHNSON, JOANN; LOTEMPIO, CATHY; ROBERTSON, LARRY; SCOTT, ANNETTE; WILLIS, HALLIE Subject: 718 Celery Ave 07-2077 Demo single family Thornley Construction 5/9/2007 Page 1 of 1 BLANTON, DEBORAH From: BEHRENS, SUZAN Sent: Thursday, May 24, 2007 8:55 AM To: JOHNSON, JOANN Cc: BLANTON, DEBORAH Subject: RE: 718 Celery Ave - DEMO request Okay per Utilities to sign off on permit. Thank you. From: JOHNSON, JOANN Sent: Monday, May 21, 2007 7:35 AM To: BEHRENS, SUZAN Subject: 718 Celery Ave - DEMO request Hey Suzan: Did you by any chance let Debbie know if this is ok to demo — she's out today and I don't have access to her e- mail and the contractor is calling. Thanks, JoAnn 5/24/2007