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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 $21.379 Appendage f Sgft OPEN PORCH FINISHED 1 120 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valoremtar, purposes, If you recently PurChaCed a homesteaded pEgpeloy your next year's property tax will be based on JustlMarket value, http://www.scpafl.org/pls/web/re_web.seniinole_county title?PARCEL=261930505020001(... 2/4/2005 Feb-14-2005 03:09pm From -PO CONSTRUCTION 904-322-3444 T-540 P-006/006 F-522 I OVO''+` Yi eb C@Jdte lSc . 3. `vr Ci?'ui,+DllBif? iuiC$•r/n r ouvc,-Ure to be ties, r id04+11 ^ (ch"Clc sw spPl.rsb3e_ I dread ^--•--j•....... Tlsa i`ir. end ices 3f Cera' ''i1oe >a. C t3.PY ''pil Cn+r30sR p siSr:La:s no k. yr the AvAavea demclitian- or the Mru'JS purchase •order nua6mv, to attest tlt at theirresmztiveseirvieeCIDOeectio= er.,c. .. be Pew-> VW Or sealed md p3.z ; a!'. wane` berom MY domolitian JU la itiAted. P.a. Qs Cexzi.Fk ta'> water owqzwv, gtse C t$c oa h I.D- NO. Y...... CLW rEgon y Other: ELM Compaliy. eu.; I er CiaF±-..._._._.._.... or Carom by Gerrk>:'iratrian Vy Oahe Feb 108 05 08: 15a 02/,07/2005 18:31 FAX 4072280002 I Global Demolition Certirl estl4n or Service DiSCMmecc 1 tj'H:16T Ai7 L CC EL j adarss9 f1 008 Yt.r,:::p 1 `i aLl14ai 7.t:i7ia1Q L"•..f..Lt.L.wG.Z-,L[I•b4Q......w.1 ' — %....•..,....»......,...,. 1:, eai ng Srracture to tit: ties. OCOMO- j i Ot,'jQ MOVED (Cfmcft am npral.icalb2a. t dc5c4s7 1.esas<l. t eSL•cipi:iAn ._...._ .,...._. _.._.._ aw:7asr oA t1tsCX 7ae r&L—` s and Ceffcxs 93 red UWAl'o statis33 c>=•atil rnumber to attest rX,uk• to tsz,t,s xsy roe ia:Y. a« iri>Is Dswgo•asd iomoiiCi on. one the fi.rm•s p errchase Order auwber Cz Hsi: respective s lrvxca eoaaectioasLv, et,c.. wJU be rewO%Md Or Seated and bugged in Manner befi n-VP 22yV deMPU L106's i,s initiated— r r.;: ybc ne +CwQ uty $ . C3blav'xBioR Cwrt. tc::tica by -- , — ' ' Cat 3lhcr tiGoua aw _.. IDn:; Oxw y . id:1C8r Company 0. N. 0 . y, Otl oe: (L.Pri COopanr. 'et--- i P . 0 . Ce+Ctji rjLca Lioi1 p.2 Feb 08 05 04:11p Florida Public Utilities 386-668-2692 02/0.7/2005 16,.46 FAX 4072280062 Global Demolition p. 2 cer.r,Lf.jr _azLon of 5or"Ce visawmect rAmitractOr—f gpWaL dress des. tchsu '9 wilCunir tc MOVED lei Chiba4wV103-L cxs or the :r:Lr S P-r Chv-se Ord&= rat. to The Tim -ass w to, or sealed and VII 5 etc_." 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YLe. i p_ V. 710.,,_ CeirtiMcatLan T00 1782,'ON Z9008ZZL0b F H01ddSIQ Id N30 20:TT S00Zi8T/z0 03/14/2005 03:41 4075789451 BHN CENTRAL OFFICE 02/07/,2005 18:38 FAX 4072280062 Global Demolition PAGE 03/08 0 010 Gan-urAtsCloa of sm-wive 91"Or4mci I ' i i. .1LPP rc=t: CAMtractor 61Q10a fJN:YI' % o n, z_ orlGtn Q, •, . Issue y I Expiratiod Date fit: ftamtuee v& be L%s s..,tl1 . j Ota'er i ' " The r rMs an cfiia es 2xs%e3 b6iUM *b%3-% csr%ivv thss A,3,cgti bo st.zrLTY raozi.aca09' ther PrOPOS" tSon. Or the MZWOs pvvebsae cV4*x swwber to &-test that taw;Lti respactiVS sO rvice COMMCUMS, CM.. coLIX W MOUVed Or SeaX d aW ice.umd in a 5a.'..'" lukMer beflore 8*y decoUtton i s ira't t iAted. F_C. Mv_ or Gate l3aa l p: y„ Certivication b3f.,....,._........ .,..,—. Date P.O. or ate -C3 . Water cospeny fl c4u'::La'alc:¢Mioa tw ate........,.-......._.._......,.... ._,._.,,... Merl (LPO Company. etc.,; . P.O. No. ,......,. CarriPtCatuft py 1 e b 6 t' o- 3ay.. 1'?s9 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: 7z t w n 1.!x 1IT, tro: •Ti• l_ e- b 4y0u- 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 i ! i lf v 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 j,• c ' r p ice Sc:. j. •Min : P—b b 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