HomeMy WebLinkAbout1700 W 12 Sty
CITY OF SANFORD PERMIT APPLICATION
Permit # :_ 94
V _ O
i
Job Address: 001 _ /d0 W , I? 1 — S—r
Date:
Description of Work: \-em O S V-9 -
Historic District: Zoning: Value of Work: ,I-
Permit Type: Building Electrical - Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary PoleMechanical: 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 or Commercial
Occupancy Type: Residential X Commercial Industrial Total Square Footage:
Construction Type: # of Stories: -- # of Dwelling Units: J---__ Flood Zone: FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax: O t.'
Contact Person: _
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Attach Proof of Ownership & Legal Description)
Phone:
Phone:
Or
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no pwo l- or'nstallaho'n has m a ced prior to theissuance
us a permit and that all work will be performed to meet standards of all laws regulating constntctiod inthj nsdicgon. I undersiand that a separatepermitmustCONDITIbe. securedONERS, for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, 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 regulatingconstructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT.
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 ofthiscounty, 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 o o ' Law 13.
r
3.d-offSignatureofOwner/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: coin g:
Initial & Date)
Special Conditions:
Initial & Date)
Contractor/Agent's Name
J ",
PAY COMMISSION # DD 188491
EXPIRES: February 25, 2007
rw Personally1Ksaowt1A*( C@r
Utilities: FD:
Initial & Date) (Initial & Date)
Release and Hold Harmless
Letter of Authorization to Participate in the Seminole County Community
Development Block Grant (Demolition/Clearance Program
SEMINOLE COUNTY GOVERNMENT PHONE: (407) 665-7384
PLANNING AND DEVELOPMENT DEPARTMENT I'AX: (407) 665-7366
1101 EAST FIRST STREET DATE: 05/04/04
SANFORD, FL 32771
I, Alexander Wynn III (name) Who reside at 1818 S Summerlin Ave, Sanford FL
32772 (address) Do hereby authorize Seminole County and its authorized employees
and agents, to enter upon and demolish and clear structures and debris from the following
property, Parcel ID# 26-19-30-505-0200-0100 Len lot 10 Blk 2 Meischs Subd PB 3
PG 84 (legal description of property), further described as '1700 _W 12t St, Sanford, FL
32771 (street address) -
I represent that I am the legal owner and hold title of the foregoing property and that I have full
authority and right to grant the permission given by this document.
I also recognize and agree that funding for this program is entirely granted by the Community
Block Grant (CDBG) and that I will release, indemnity and hold harmless Seminole County, the
Board of County Commissioners, Officers, employees, and agents from and against any and all
liability, 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.
WITH Signed, sealed and delivered in our presence;
4 0 "'/
gnat re (Owner)
Alexander C . Wvnn X Xi
Prin. ame
x-
Signature (Witness)
Vanessa Nernimar
Print Name
State of Florida Seminole County
The foregoing instrument was acknowledged before me this 15t:h day of may by
Name),
who personally known to me orfa,— produced
type of identification) as identification
and who (did) (did not) take an oam.
Signat re) Notary Pubiiand for # e County and
State of A (Seal). ALZADA wA!
F ( GTO t Y
NOI ry PabIla- Stafa at. Florida Co"nlssonExptasJan42007CQn' MWon
it DD 156630 Bohdmd By
Nofionc! NofaryAssR, I-Arrlprojectslcommunity
dev\Clcarancc\20
Seminole County PA upf;rty Appraiser Get Information by Parcel Number Page 1 of 1
DAYtD iOHlVS1004, GFJa.hSRUJ
PROPERTY
APPRAISER f " I < ui 4 v: I
LU
r tat E. "Jr %rsT Nh12TH S
SAkFOIW. FL ZIZ77f-1468
407-r7 06
2005 WORKING VALUE SUMMARYGENERAL
Value Method: Market
Parcel Id: 26-19-30-505-0200-0100 Tax District: SANFORD Number of Buildings: 1
FIRST 130STON CORP ETOwner: Exemptions:
Depreciated Bldg Value, $6,552
AL #C/0 Depreciated EXFT Value: $0
Own/Addr: WYNN ALEXANDER C III Land Value (Market): $4,881
Address: 1818 S SUMMERLIN AVE Land Value Ay: $0
C1ty,$tate,ZipCode: SANFORD FL 32771 Just/Market Value: $13,433
Property Address: 1700 12TH ST W SANFORD 32771 Assessed Value (SOH): $13,433
Subdivision Name: MEISGHS SUBD Exempt Value: $0
Don 01-SINGLE FAMILY Taxable Value: $13,433
Tax Estimator
SALES
Deed Date Book Page Amount Vaellmp 2004 VALUE SUMMARY
ARTICLES OF AGREEMENT 09/1997 03714 0653 $15,0DD Improved
TAX DEED 07/1997 03273 0609 $2,000 Improved
2004 Tax Bill Amount $275
QUIT CLAIM DEED DB/1988 01970 1575 $100 Improved
2004 Taxable Value. $13,433
DOES NOT INCLUDE NON -AD VALOREMWARRANTYDEED1011986017870946 $10,000 improved ASSESSMENTS
Find Comparable Sales within this Subdivision
LAND
Land Assess Method Frontage Depth Land Unit Land LEGAL DESCRIPTION PLATUnitsPriceValue
FRONT FOOT a LEG LOT 10 BLK 2 MEISGHS SUED PS 3 PG 84
DEPTH 51 110 '000 110.00 $4,881
BUILDING INFORMATION
Bid Num Sid Type Year Blt Fixtures Base SF Gross SF Heated 5F Ext Wall Bid Value Est, Cost New
1 SINGLE FAMILY 1930 3 730 850 730 SIDING AVG $8,552 $21.379
Appendage f Sgft OPEN PORCH FINISHED 1 120
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valoremtar, purposes,
If you recently PurChaCed a homesteaded pEgpeloy your next year's property tax will be based on JustlMarket value,
http://www.scpafl.org/pls/web/re_web.seniinole_county title?PARCEL=261930505020001(... 2/4/2005
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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
A.
e Department Acknowledgement
raffic Control0'
rowd Control/Security
l
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'ln
Address of Job: I ') OLD Lo I a
Additional Comments:
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3a...s 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 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 I
I
Address
of Job: I r) 0 Additional
Comments: 1
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14
04/05/2005 09:36 4073022540 SANFORD PD PAGE 04
Nor 31 05 11:176 City oP Sanford Butlding 407 328 3869 P•1
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CITY OF SANFORD
DEMOLITION
Building Division Acknowledgement
A. Permit Application
B. S:,ete Forms .
C. State Statu%es.'ContraCWr Li"nsing
Public W 99M AeknoNvledgetnent
A. Sidcxalk Clnsirg
a. Street UseiClosing
l . Walkways — Protection — Width
Barricades — Protection — Widtb
3, Fencing — Protection -•Width - Height
4, Curb Proteetion/Sidawalk ProteetioniStreet
5. SlQrm Sewer Protection
C. Dust Control
Mice Departaaent Acknowledgement --
V
Traffic Control Ok
ti. Crowd Cootr*VSecurity
Utility Departnsent Acknowledgement
A. Water, Sewer — Capped off, Seated
B. Water for Dust Control (Meter)
Engineering dt Planning AcknowledgementA. Historic District
S. Zoning Issues
Address of Job:
Additional COttttaenlS:
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
lz-:.
It OL
Address of Job: I ') 0 0 w I a- zt—
Additional Comments:
I