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Home My WebLink About1108 W 12 StCITY OF SANFORD PERMrr APPLICATION Permit # • — y ' 3o . OS Job Address: _ I 10 J. ' ST Date: Description of Work: I>An V ST- V- Historic District: Zoning. Value of Work: n o yn P ermit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary PoleMechanical: Residential PI b' Non -Residential Replacement New (Duct Layout &Energy Calc. Required) um tnw New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential i<. CDmmcriri Industrial Total Square Footage: Construction Type: # of Stories: 1— # of Dwelling Units: —I— Flood Zone FEMA form required for other than X) Parcel #: Owners Name & Address: Contractor Name & Address: Phone & Fax: L07 4 io Contact Person: Bonding Company: Address: Mortgage Lender. Proof of Ownership & Legal Description) Phone: Address: ArchitectlEngineer. 3 Pho a .raPGN Address: az: Application is hereby made to obtain a Permit to do the work and installations as indicated: 1 -1r;ify that l - issuance of a permit and that all work will be performed to meet standards of all lawsjurdo has commenced prior to the permit must be -secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, t a separate AIR CONDITIONERS, etc. OWNER' SAFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. 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 thiscounty, and there may be additional permits required from other governmental entities such as water management districts, a agencies, or federal agencies. Acceptance of permit is verification that 1 will notify the owner of the property of the requirements ofAorAda 11fedl w_ FS7i Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name signature of Notary -State of Florida Date Owner/ Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg nin lnitia Qc Date) g• Special Conditions: Prin n Age 's Name 3- 3 v- S Signature of Notary -State of Florida Date Contractor/ Agent is _ Personally Known to Me or, Produced ID 0 7 Initial & Date) Utilities: FD: Initial & Date) (Initial & Date) Release and Hold Harmless Letter of Authorization to Participate in the Seminole County CommunityDevelopmentBlockGrantDemolition/Clearance Program SEMINOLE COUNTY GOVERNMENT PHONE: (407) 6654384PLANNINGANDDEVELOPMENTDEPARTMENTFAX: (407) 665-73661101EASTFIRSTSTREETDATE: 071 21/04SANFORD, FL 32771 We, New Mount Calvary Church and Ricky Scott (name) Who reside at PO Box1821SanfordFL32771 (address) Do hereby authorize Semiindie*'`County and itsauthorizedemployeesandagents, to enter upon and demolish and clear structures and debrisfromthefollowingproperty: Parcel ID# 25-19-30-510-3600-0050 Leg-5 Blk M W Clarks Subd. PB 1 PG 107 (legal description of property), further described as. Single -Family unitat1108W12St. Sanford, FL 32771 (street address) We represent that we are the legal owner(s) and hold title of the foregoing property and that wehavefullauthorityandrighttograntthepermissiongivenbythisdocument. We also recognize and agree that funding for this program is entirely granted by the CommunityBlockGrant (CDBG) and that We will release, indemnity and hold harmless Seminole County, the Board of County Commissioners, Officers, employees, and agents from and against any andallliability, claims for personal injury or death, and loss or damage to any property of any kind whatsoever arising out of or in any way connected with the permission given by this document. WITNESS: Signed, sealed and delivered in our presence: V CA Sig tur Owner) Signature (Owner) k PriryyNa JPrint Name S nat re(witness) Signature (Witness) J 1 ame Print Name tuurre (Wi (Witness) - ^ Signature (Witness) Print Name ) Print Name State of Florida, Seminole County The foregoing ins%ument was acknowledged before me this 7 A day of byco "( Name), who to me or who produced and (type o ident cation) as identificationandwho (did) did not) take an oath. Sign tt rf otFry Public, in and for the County and State of Florida (Seal). RUBY N. BLAKE Koi Public - SFale of Florld9 Carnm'sn Fxpm Nov 14,E COmihIaslah 9 pD 07190a as ,. gCnd#n13Y irayortt+l Notary As6n. LAcAprojectsNeornintmily dcvkClc3rance120032004LerrersandAutborizarions51108W 12S1CalvaryCurchLcrterofAutborizuionFormp.doc j Crrunoie _.ounty r'ropeit' ,Appraiser Get lnfbv uiativ.n by Parcel Ntunber Page I of ) o"rarvaa soN.Crn.nF-h Lu 1i- PROPERTY APPRAISER 0 SQvlINOLE COUNT A— s It" >n_ FlasrsT 9AXFORD FL n,2771,I. SS W 11 TH !ST T-7 I VLU IN C S7 GENERAL Parcel Id: 25-19-30-510-3600-005D Tax District: $I- SANFORD Owner: CHURCH NEW MT CALVARY MISS Exemptions: OwnlAddr: BAPTIST INC & SWAP JOHN ET AL Address: PO BOX 1821 City,State,ZipCode: SANFORD FL 32772 Property Address: 1108 12TH ST W SANFORD 32771 Subdivision Name: Dor: 01-SINGLE FAMILY SALES Deed Date Book Page Amount Vac/Imp WARRANTY DEED 04J2004 05320 0219 $5,000 Improved QUITCLAIM DEED 05/1996 03081 0106 $100 Improved QUITCLAIM DEED 0111996 o3019 1191 $100 Improved Find Comparable Sales within this Subdivision LAND Land Assess Method Frontage Depth Land Unit Units Price FRONT FOOT Fi DEPTH 50 140 .000 10.00 2005 WORKING VALUE SUMMARY Value Method: Market Number of Buildings: 1 Depreciated Bldg Value: 11,393 Depreciated EXIT Value: p Land Value (Market): 5,445 Land Value Ag: 0 Just/Market Value: 16,838 Assessed Value (SOH): 16,838 Exempt Value: 0 Taxable Value: 16,838 Tax Estimator 2004 VALUE SUMMARY 2004 Tax Bill Amount: $351 2004 Taxable Value: $17,109 DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS Land LEGAL DESCRIPTION Value LEG LOT 5 BILK 36 M W CLARKS SUED PB 1 P 5,445G 107 BUILDING INFORMATION Bid Num Bid Type Year Olt Fixture$ Base SF Gross SF Heated 5F Ext Wall Bid Value Est, Cost New 1 SINGLE FAMILY 1941 3 660 918 660 SIDING AVG $11,393 $21:700 Appendage / So SCREEN PORCH UNFINISHED / 184 Appendage J Sgft ENCLOSED PORCH UNFINISHED / 74 ITE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorpurposes_ if you recently urchaseci a homesteaded prooeity your next veer's property tax will be based on Just A9arket value, httpalw-vvw.scpafl.or 'pls/web/re_web_$eml-nole_county_title?PARCEL=251930510360000`,,, 2/7/2005 Feb-14-2005 03:09pm From -PO CONSTRUCTION 904-322-3444 T-549 P.00T/009 F-522 AdasmosIRS NO. i'mmed upiratibu Date, f - Suttcrst ta be files. cl 4 i'tiv MOVED 'haatc as u splzcab,re) Legal iii-scripmo-t 1+:33• day :C+1 - i r?.SSr " •....,,.. w---^ The ftras =4 OCC& = 3Sstres3 . . sor -pmposeo ewoj& asp trespopetzLve.Y fmte st rhsL t-CYai 7 R'C' 3Cii' 3i2' C3 2 2ai3 is 3f ItLowd. co=tirLcmc!ccr by rti>f cati, y 4 . ca bievision t tt tl!`,e8tt oes r yj' . watior compaw ot>tmw: {LPG compuzy. ett. i P.0. No. Gertir r.$tim--- Dace -j- ---. Feb 08 05 08:15a 02/07'/2005 16:30 FAX 4072280062 Global Demolition (6005 p.4 x,v-r,acat34n of seaviee olscorme 'i. 5'.:.is:.'•C: Cc ai:r ictor,,,l..d1Q%!Q _.t,1,1.t3.... ._. ..... ltol r j_ i t`.4•"f}i3'lillbr ii'n!'iC'J l•.L.. .. .,b S.• ,. j'D .-...........-.>....,..,. I io. 1p3t1Hd XpZTt.t•Gn i)A Mh i:. U"Id;g Sttvctua to be to . 11ei;. Como. Oti: r- 11aY L' Ichec3e as applicabi¢) Aaar a Z-7••:7 sC' .fit' FIOC:rs'..._...._...... - -' » liC eL`. ..._....,_...._...•.... C._.,........._..._.._. acLl at3d o! ii rs 33 r8! 9set]. slaa33 a rtity Yti9 paAAicaci•v+ tt! iCxtSxa.i'y nc'ca...•>. ov ime prvpmed 4to avIitioIR, O'e the fiMOS pu&'Ctwse OVdet number CO attest rkhax. ct+a: respw,tave Sevvim COMOc'tivns. etc.. will be ve wvea or sealed W34 PIU9W IV- ;;! S2.t-:.' vmy3per bRfaxW any desoli r ion is ini tx.A trnd. 2 Fed whape. COMWOr.Y P.U. "Cs- Or 11. Cablevision CsrtsiYcriC3oa1 by _, Date — tiHa ': 0+6 t:itx .. S . kfater COMP i7y E recCr- COWPDX LPG Coeompy. =tc- ) Certificatior• Feb 08 05 O4:11p Florida Public Utilities 386-668-2692 02/07/2005 16:46 FAX 4072280062 Global Demolition ID007 P. 1 4. c8b9.QVLSLen c'-rr_Lr:LCSzj'0a Or Service D7tSWn610cc CAI rIO Oa:tier. Ad r^ss ae too . issooe d z F.xp fit. 9tsiid o Sts`ttCt%scat Co be fee. stable. MOVED/ _ tcl c,cx aea upto l' La S'i z =rm:i xd of'ic+s. 31se d 4 s.+ '34]131.. G¢Tt7.4' 'If3•"' eaS•Ai cariois ' iii ni_4:T ti:a 3.:::1 of the p.cwisosed dcavlitimn, mr, tbt ,irm's r e ordes nuobaz' to attest thst. e:c: : respoariveQacvicc eontsecto:as. etc.. a zi be e ved ar Sea]!["d sndl.z gec 1-: Wiz:' wanner tocdrosw 3"N de&MIiIIoas is snit.l.rated. re'ieghane OWUSY cesrtiFxwcic=> Y - - -- ri.ctr.•ir i; p;gparJ S. water company Otivar: (LPG Company. ctc. i Cersif:i.c Cior VY_. —..-_—._..._ Dace. _._ ...___......_. 02/07/2005 17:29 J00e au. cv rA.s 1turz4*uu0Z Global Demolition or Serwic-6 Discar+teec Z- lL flea . 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JLomp bar = a ..... O leer a (UG C*mp= .1. etc . j CBItti rrC, b41 qp. CITY OF SANFORIT, 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 lice Department Acknowledgement A. Traffic Control i B. Crowd Control/Security 1p S' 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: eb CITY OF SANFORD 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 1 IN-170:rJ I Address of Job: 110,9 w I r Additional Comments: 04/05/2005 09:36 4073022540 SANFORD PD PAGE 01 Mor 31 05 111170 City of Sanferd Building 07 320 3859 p.3 lHkc r, : e't14::r ti y o • .3 ? k' Sr7 CITY OF SA.NFORD DEMOLITION Building Division Acknowledgement A. Permit Application 9. State ronns statc StamieslContractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways - Protemiov - Width 2. Barricades - Protection - Width 3. Fe-ncing -Protection - Width - Height a. Curb Protection Side.walk ProtectiorvStreet 5. Storm Sewer Protection nuyt Control P,Wice Department Acknowledgement 7rafc Control VA. C:rcwd CoauvVSev.:ricy tility Department Acknowledgement A. Witter, Sewer -Capped off, Sealed B. Wate for Dust Control (?Meter) Engineering dr Pluntoing Acknowledgement A. H'.swric District B. Zort:ng luues address of lub: __ 1 rI V eY_— ___ •_,ice _-----. ---- -- Additiamil Cortmrnt;: r .7+', - -- rf•fira^,.ryn 1. _ 1 1 • } E, O I CITY OF SANFORD 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: g Ll.) 1 4- Um