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HomeMy WebLinkAbout1708 W 12 Sti. CITY OF SANFORD PERMIT APPLICATION; Permit # :v,) 3 30 . 0 Date: Job Address: j7p f( W it Description of Work: tlQ,d''1O S 17Q Historic District: Zoning: Value of Work: Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Ah mt Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary PoleMechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. 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 21- Commercial Industrial Total Square Footage: I J O Construction Type: # of Stories: # of Dwelling Units: Flood Zone FEMA form required for other than X) Parcel #: Owners Name & Address: Contractor Name & Address: Phone & Far. 116 Bonding Company: Address: Mortgage Lender: Address: Contact Person: ach Proof of Ownership & Legal 1 lckhg„ Phone: Architect/Engineer. r Address: e: 77 a Fax: rues Application is hereby made to obtain a permit to do the work and installations as indicated. 1 ce ti that no wfroissuanceofafY htnori 1 Lkmm riot to thepermitandthatallworkwiUbeperformedtomeetstandardsofalllawsgulatingconstrtitxiom ' icbbm#lha apermitmustbe. secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, 80 S; i.y/1 i ERS, TANKS, anduAIRCONDITIONERS, 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 regconstructionandzoning. WARNING TO OWNER: gulatinYOURFAILURETORECORDANOTICEOFCOMMENCEMENTMAYRESULT [N YOUR PAYGTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN IN 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 ofthiscounty, and there may be additional permits required from other govemmental entities such as water management districts state agencies, or federal agencies. Acceptance of permit is verification that 1 will notify die owner of the property of the requireme01,n La 713. 3 30SignatureofOwner/Agent Date Si/Agent Date Print Owner/Agent's Name bIgnature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Zoning: Ini Date) Special Conditions: nn o cto genreM 3a-,r SIg Notar-Beare of-Fieti to DEB 11E BLANTON MY COMMISSION # DD IeM91 G Co t'i gent is EXPIF)Fe so`F i4f Q8 t o / d / JPFBduced1DRYtranyDc. 7 Initial & Date) Utilities: Initial & Date) FD: 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 FAX: (407) 665-7366 1101 EAST FIRST STREET DATE: 05/04/04 SANFORD, FL 32771 I, Sylvain Brein _(name) Who reside at 9390 Wickhan Way, Orlando FL 32836 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# 26-19-30-505-0200-0060 Len lot 6 Blk 2 Meischs Subd PB 3 PG 84 (legal description of property), further described as_1708 W 12 1h 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. WITNESS- gaed, sealed and delivered in our presence: Sig a caner) 5yL)lnr• lt59'1a Print Narne-) Print Name Q State of El me Pin Q_2 County The fore oing instrument wl acknowledged before me this day of A I N &LC I who personally known to me or FCC 7.) re . L(type of identification and who (dam (did not) take an oath. ^ w ? as by LAMprojectsloommunity devACleorance 20032004LettersandAuthori4LtionsU 708W 125tBreinL=rofAuthorizationForm9.doc Feb 08 OS O4:11p Florida Public Utilities 386-668-2692 p.3 02/07/200.5 18:48 FAX 4072280082 Global Demolition IQ,!008 C.Ir ir'3esarSoQn,,or Service is eY' oreaehc c y_ :,3:ya1.«.G itG. ,CO.ir_•O+GCOr_,.11.0 1.." `7.S>.1... W._esy£- 0`e. .. ---~.__.._..___. . 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Srrd'!le Gr+y r i ][3C _. ._ UY Feb 08 05 O8:15a 02/07/Y005 10:30 FAX 4072280062 Global Demolition IQ008 p.3 C* rUfIcation of ScrwLM 01"O ert Vim. wr wt s4q. 54 Issued Sd Expi:rPtion Aacco tt . bt i'lding Strvctara to tse ; Q t .' . cumo • Uu1 :` 8ay (Qrvck as oppli.cebla) aaGQ$s U+.•:cr c 11e:sr '...... ------ --- rlcldresS and a?A+_-es T1,3 Ycted ++ s9m3'13 r'L'L'.C.:.4':r t4tiy r r ict.ia. t+O a.gni.'y aoxi.r., of Cho pmpaxho IMM's Vurd ase order pusher CA a;.tCst that.ad d—d i"On. or CCtMW `_ respective s-erVice cosTwCt:swss. *cc... tolU be reumvsd ar seal!ed ace P1UUW :L manner beflure z-_nydesoUxi.oII is initiated. 3. _ j'e e ionP -C*Al"TAY j .. i_ LCtt-14: GYawpassy 4. Cablevisiort S . water COMP ay b. dt2 ec= (LPG ComvwY. etc-) on ce - 02/07/2005 17:29 NQ.016 9008 02/07/2006 18:28 PAZ 4072260002 Global Demolition loo$ CarzkMean"n Or Se9'113. 90J jc not nA pncinr.'t l Coa zrsC for 1. .p,3.w s s tlsaeo r. %i 74 1i7Cdp iliASr. 4.R0 8•,..i ' 8 `i CQ$C.E3A A@i L dies.lip. 0i c 8ttildlilg $Cc+X84:ao t8' `7v 14 , Q,dck ti9 apPlic0b3.ol U1d^Sr CS` I pJli2Y'v - - p 3€.C.Y ppaGi:: 316b3s1m +31e 4= tc'-Ls m,pAicse9 vautr-"t that i ros: aMd ocd w . or 6iae l.a a `s P seat" 80'as i the P sons. e.c.. w85 CA 8e A wwMaa._ ,- i in 1pitLated. CMIrmer p. Q. Crr txt'.iEYcOt / Ui; y1,p.r, .•. crititie., COWPOOV 4. mb)'O 'Sion or. ter b. other'. CLPQ Comer. r P. O. i00 08L'ON Z9008ZZLOP f HOlddSIG Id N30 99:0i S00zi81iz0 03/14/2005 03:41 4075789451 BHN CENTRAL OFFICE PAGE 04/08 02/07-/2005 10:37 FAX 4071280062 Global Demolition 009 _ i I CsrLi'iCaaSoa e[' Ses'rr c DAsc Orl S ICl,DA33. 1dr:; i 1y IQ //,,,,,,Q _ y 1 6QS . k . fkdli a eg Stowture to t* Res . --^^-- men_ - 7nDV8 i ;MhOC c IM sPP216" 2Z) Clth_ lue Mra 9 Me atricem Msted 2wi.r v Aftw-% wwstuL a tus 0"24—tsoea to t:f y;'y pov iCsaOrt" PMPOS" 42=011rion, or the Mvews p2rchw* venter uuwber to attest thiat r%pactive se,4c* cKowma w, etc.. Ulu to raww d or sqaed Ma plumd in a 9er" csMt1v1cec— by - Cek!tkAffi e tk &ft y - 5. E&®Ccmw ampWay a tts 5. b. OCrivr: (M Goepwr. etc.1 P.O. me. ceerui'tctst:f.a 10y to r_.. Isar-15-2005 08:59am From -PO CONSTRUCTION 904-322-3444 aa ovrccouuvs Global Demliti.on tgg besunlPti0f T-T18 P.002/002 F-050 rific,! FAWay; g. DGAQ--p 9i•.`C 7 Ord Fit 9 . Tan 'rim• Wnd eFt% A SrF 'f 3• si 93 ' bD L`T p11'L a t="Mu'v$ mwmmr barvre wr ammucial is 3m6Stis ed. s . TelaQhm% an-V 1 4 • cablPASIDn or M1 y • V MP Iirw wlM Zr r • r LPL S VG Y - _:._• -_ -_- n i i r ram•\ P.V. :2w-. r or* YMV J14• 1i' Senlin,Olc Cou;,1ty Property Appraiser Get Information by Parcel Number page I of 1 IY VV 11 TH 5T rr JaGN. CPA, AAAvsoHNiY LPRQP CAPPRAMIER I SEIMiPtOLE. C?13XTYFa., I_ _ 1107E F7R57,5T l2TH ST SlaFCPbRp: FL3.Z9''7S•S,df.Bn ' ap?- fi85-9S45 c 2005 WORKING VALUE SUMMARY Value Method; Market GENERAL Number of Buildings: 1 Parcel W 26-19'0-505-0200-0060 Tax District: Si-SANFORD Depreciated Bldg Value: $10,313 Owner: BREIN SYLVAIN Exemptions: Depreciated EXFT Value: $0 Address: 9390 WICKHAM WAY Land Value (Market): $4,881 City, State,ZipCode: ORLANDO FL 32836 Land Value Ag: $0 Property Address: 1708 12TH ST W SANFORD 32771 Just/Market Value: $15,194 Subdivision Name: MEISCHS SUED Assessed Value (SOH): $15,194 Dor: DI-SINGLEFAMILY Exempt Value: $0 Taxable Value: $15,194 Tax Estimator SALES Deed Date Book Page Amount Vacllmp WARRANTY DEED 12/2002 04649 0482 $42,500 Improved WARRANTY DEED 10/2002 04561 0617 $10,000 Improved 2004 VALUE SUMMARY WARRANTY DEED 10/2002 04561 0616 $35,D00 Improved 2004 Tax Bill Amount: $316 QUIT CLAIM DEED 04/2DDD 03842 3302 $100 Improved 2004 Taxable Value: $15,428 QUIT CLAIM DEED 10/1999 03779 0481 $100 Improved DOES NOT INCLUDE NOWAD VALOREM WARRANTY DEED 0411987 01841 1927 $12,000 Improved ASSESSMENTS WARRANTY DEED 04l1987 01840 0918 $14,500 Improved WARRANTY DEED 12/19M 01516 0957 $22,000 Improved Find Comparable Sales within this Subdivision LAND Land Assess Method Frontage Depth Land Unit Land LEGAL DESCRIPTION PLAT UnitsPriceValueFRONT FOOT & LEG LOT 6 6LK 2 MEISCHS SUBD PB 3 PG 84 DEPTH 51 110 D00 110.00 $4, 881 BUILDING INFORMATION Bid Num Bld Type Year Bit Fixtures Base SF Gross SF Heated SF Ext Wall Bid Value Est, Cost New 1 SINGLE FAMILY 1943 3 1,032 1,444 1,032 SIDINGAV(3 $10,313 $18,751 Appendage / Sgft ENCLOSED PORCH FINISHED / 120 Appendage / SgfE SCREEN POP.CH FINISHED / 108 Appendage / Sgft ENCLOSED PORCH FINISHED] 184 NOTE: Assessed values shown are N07certified values and therefore are subject to change before being finalized forad valorem fax purposes. ifourecently Purchgsed a homesteaded pf2PQrtY Your next ear's proper4y tax will be based on Just/Market value, http://Nvww,scpafl. orglpls/webire_,,veb,seminole_county_titte?PARCEL=261930505020000e.., 2/4/2005 PI c-e+'-k r (-, - u,i `fir z e b b; imoro,••rrn 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 Po a Department Acknowledgement Traffic Control 4 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: r) u $ l,43 I a' Z— 14 kLL; ick .-)g \ e-P f y_ rvrnn• .•r - CITY OF SANFORD DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing 2. et Use/Closing Walkways — Protection — Width Barricades — Protection — Width 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: 'i V AD a - Additional Comments: 1?:1'111 A It 04/05/2005 09:36 4073022540 SANFORD PD PAGE 03 Mar 31 05 11:17a City of Sanford Building 407 328 3859 p.2 to •. d .t ,1(;JA O C A)ep r- M o1. 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. Barricadts -• Protection — Width 3. Fencing — Protection — Width - Height 4. Curb Protection/Sidewalk Protection/Suva S. Storm Sewer Protection C. Dust Control P -ce Department Acknowledgement Traffic Control S. Crowd ControVSecurity Utility Department Acknowledgement A. Water, Sewer— Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning [Rues Address of ]ub: Additional Comments: I ease De•p.j kf ..D eb b ; e_ PA. L40-7-3ay-3e-q l \CITYLLL I / A , • 1 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: V/ a 7