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. .. ---~.__.._..___. .
Aypr•ss j %3 y6[
rct:t n::raoare .`c siaasas._ :Ll()q—_i jo
Naa .
s
cL rya .
ii . 9 ai71.d s+b" 5L-raac rst c [n is..
1 17GD T - .ECliee e aBT+•ieablo.
t-r 4?g'1....YaL__iz*n • .._._.s., F..:.32-;1 1_..__.__.._--_..._.._..._.:__.._...._..__-._-
fYaer csi,s: end F Y'ic:+eso 'JZs<c OaiLe+ +mi3 e"Ys •a3 oivg113cnei.na+ r s:i,.rte.a•y- noz:t.r.:
s-a a4 aia o]Cion . yr tiaa ;# rm` s Ft-'a @r raudaer tsa a trt C sa> . :7u:..
pr C[i6 P. • c, 0 1S il ,.ti ;127- • kS.±! :
resper<ivo aas rva c-e coasoecr i ova_s , p-- _ . evs'a s ba ++cd
asanser toerg-- =3F '*":LS'r:l is i,>ir.3a cvd.
e..,.'ephone i'•;3aWPUry
i . abAe^vxs%ioa
I cjC1:c' /
i Fitt7c.:s'ia: y^q Ip Y
Waror C;omaaXbY
oar
Cs_ OCx1®Ca (4PG G:omAa.Y- ccC.•;
p - 0. icz 7r:Coa¢•• by_ ••..._ --^-
tram;-a3.ea r o+D . _- ' r.^---__---..
CCc•CiC3.C«C-LOr. by-. _._---------_.---
02/07/2005 18:48 FAX 4072280082 Global Demolition
rd{oo6
r,Cr.-Jcass ci Ssr•ricr aissoro='% ;;
za+Mtcr- ID1-._LL.i..l.!u-4_i'• "Crc liaav= f'._
O O C -}? DLO Z . i C1-'' --• ----•----.._-,.-. __-:.........
Ar.Bt+ess>
a+k:_-•_[zt t_::z1-w::.-st1.c 2-Q-r
i d Y .:r:::i._ i:.r, ' ....-..,...............
u+lCiC.i C6 .D
3 F r CCr'W - d_ ::%'ti_L••
t3if3.7_i1+.1: Cj Li:.:.:s V '•:.
tf.">V1c ECla:oc7c :DS upp:L:L b?...1
7 rr-'- n ' -F .-•3 2Z D 1. _.. _ ..........
ra:: :'ii=si :szc gr_ 3 serd ^.=1t+ sta:ii3 ccr r Z;,s-m mvn
c.i :. au.d17L'c• :.o : Le=S;C r.'iY z. i; :1.:.:.
a.,.nn9ittvYa. c•?' i3a= i irm_5`Purcl asa Os+der. 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