HomeMy WebLinkAbout1200 Mangoustine AveV `Vrr...,, p
CITY OF SANFORD PERMIT APPLICATION
Permit #
Date: 3OU
Job Address:
Description of Work: _ De Me 1S 4 r c.ie . ro D
Historic District: Zoning: Value of Work: S
Permit Type; Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: 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 Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone; FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax W V; 47K y1,7 aar o -.2
Bonding Company:
Address:
Mortgage Lender:
Address:
Attach Proof of Ownership & Legal Description)
Phone:
State Licensee Number.
C7Person: _ C%i_S G/G S Phone
Architect/Engineer; - JA N 4 n 2004J,(JL Phone:
Address:
Fax:
Application is hereby made to obtain a permit to do the work andinstallations i n or installation has commenced prior to theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofallatinimisjurisdiction1understandthataseparatePermitmustbe. secured for ELECTRICAL WORK, PLUMBING, SIGNS, WE a
ERS, HEATERS, TANKS, andAIRCONDITIONERS, etc.
OWNER'S AFFIDAVIT:1 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.
TICE: 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 ratify the owner of the property of the requirements 0, r W. FS
laYSignatureofOwner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
P t Contractor/Agen ame
ell - 30SignatureofNotary -State of Florida Date
gnahmrc p FLUHEIVI I E GRAVEry- Date
io .:;Wrk
MY COMMISSION # DD 164260
EXPIRES: November 12, 2006Owner/Agent is _ Personally Known to Me or cti ri Bpw4qfaq ,.\ _ ProducedIDProducedIDtt .4 -l\1
M `1y —
o APPLICATION
APPROVED BY: Bldg: Zoning: Initial &
Date) Special
Conditions: Initial &
Date) Utilities:
FD: Initial &
Date) (Initial & Date) t
9,s p0
Certification of Service Disconnect
1. Applicant: Q Contractor
Owner Name Bade HAm.-
Address
3. Occupational License
No. issued By Expiration -Date
DEMOLISHED
4 . Wi],dt ng Structure to be or Res. Comm . Other
MOVED (Check as applicable)
14-
Legal Description
R
Owner oC Record Address
The firms and offices listed below shall certify this application to signify notice
of the proposed demolition. or the r ra's purchase order number to attest that their
respective sez4ice connections. etc.. will be removed or sealed and plugged in a safe
manner before any demolition is initiated.
1. Teleph a an 4. Cablevision
77
P.Q. No. or P.O. No. or
Certification by •Certification by
Date Date
Z. Gas Company 5. Water Company
P.O. No. or P.O. NO. or
CertiT by Certif3 cation by
Da Date
3. Electric 6. Other: (LPG Company. etc.)
i
P.O. Nv. or P.O. No.
Certification by Certification by
Date Date
POWER OF ATTORNEY
FULL S COMPLETE
I, /a # Ni a Aft 0- DGAJ- residing at /,2 b C
do hereby appolnt 'D.4/ST M e ?—Ig ie l _ _ , who resides st 10@2 el vc
S,yi 'CL , as my attorney in fact to
act in my capacity to do every act that I may legally do through and attorney in fact for
myself. This power shall be in full force and effect on the date below and shall remain
in force until rescinded by either party.
DOW: M*4f
signed: , „c'r
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State of
County of rem# -y O lk
MA- J-11
QJ%o. j (2e R . W 0 JA L, . *-jKS
BEFORE ME, the undersigned authoq y, on this _f tay of , 2001), •
personally appeared _ p!>R yryie Ifte er To me well known fto be the person
described in and who signed the foregoing, and acknowledged •to me that he e m
the same freely and voluntarily for the uses and purposes therein expressed. nri
my hand and official seat the date abresald: $ is ro
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w ig
RY PUBLIC •• •'•''.''sTAY
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Commission Expires J = * : _MW THIS
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PREPARED BY S •=:3a.•• _`` V
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GWIFIiED
COPY MRRYANINE
fi ORSE VLERK
OF -CIRCUIT COUM'R iiMtMltlM
CUtif+i`' DEC
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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: 12/29/03
SANFORD, FL 32771
1, Daisy McCloud (name) Who reside at 1002 Locust Ave, Sanford, FL 32771
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_#
26-19-30-505-0600-0050 LouLot 5 Blk 6 Meischs Subd PB 3 PG 84 (legal
description of property), further described as 1200 Man4oustine Ave, Sanford, FL 32771
street address)
I represent that we are the legal owner(s) 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: Signed, sealed and delivered in our presence:
Signature ( er)
State of +(C i dQ '%-Cmc' CN,-, County
Th foregoing J ent was aokn n+tedged before me this os T1 'day of 111 by
S r (Name),
who ' rsonallb,/L—
known to me or who producedF'lo r - a(type of identification) as identification
and who (did) (did not) take an oath.
Signature) Notary Public in and for the
County and State of (Sea)).
v
rpY AV!`'
ANNIE WARD *SOW
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OF f LOBO MY COMMMSION SWIFE$
MAY 2.2006
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Seminole County Property Appraiser Get Infomation by Parcel Number_ Page I of ':
PARCEL DETAIL
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GENERAL.
Parcel Id: 26-19-30-505-0600- Tax District: S1-SANFORD0050
Owner: WILLIAMS ANNIE M Exemptions: 00LIFEESTHOMESTEAD
Own]Addr: (THOMAS JONNIE E)
Address: 1200 S MANGOUSTINE AVE
City,State,ZipCode: SANFORD FL 32771
Property Address: 1200 MANGOUSTINE AVE SANFORD 32771
Subdivision Name: MEISCHS SUBD
Dor: 01-SINGLE FAMILY
SALES
Deed Date Book Page Amount Vacllmp
WARRANTY DEED 0111977 01151 0045 $100 Improved
Find Comparable SaleS within this Subdivision
LAND
Land Assess Method Frontage Depth Land Unit Land
Units Price Value
FRONT FORT &
DEPTH 50 134 .000 90.00 $4,365
C. < Back r.> .01
r +
M
2004 WORKING VALUE SUMMARY
Value Method; Marke!
Number of Buildings: 1
Depreciated Bldg Value: $16,156
Depreciated EXFT Value: $0
Land Value (Market): $4,365
Land Value Ag: $0
Just/Market Value: $20.621
Assessed Value (SOH):
Exempt Value: $18,092
Taxable Value: So
2003 VALUE SUMMARY
Tax Value(without SOH): $0
2003 Tax Bill Amount: $0
Savings Duo To SOH; 50
2003 Taxable Value: $0
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
LEGAL DESCRIPTION PLAT
LEG LOT 5 SLK 6 MEISCHS SUED PB 3 PG 84
BUILDING INFORMATION
Bid Num Bld Type Year Sit Fixtures Gross SF Heated SF Ext Wall Old Value Est, Cost New
1 SINGLE FAMILY 1928 3 1,534 1,534 CONC BLOCK $16,156 $38.o1,.
Assessed values Shown are NOT certified values and therefore are subject to Change before being finalized for ad vatorem tax
u recently purchased a homesteaded Property your next year's property tax will be based on Just/Market value.
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http:;;/w-v-"',scpafl.org/ptsr`web,,/re_web_seminole_county tit1e?PARCEL=2619305050600C... I2/'29/2003
DEMOLITION
Building Division Acknowledgement
A. Permit Application
B. State Forms
C. State Statutes/Contractor Licensing
Public Works Acknowledgement 1 M' ' 5g
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/Secuity
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: k 6C--(') lac,, ,,.0.r ,
Additional Comments: _\Q
02/02/2004 07:35 4073022540
1-30-204 d:tiPM FROM
SANFORD PD PAGE 03
P, 6
C3 - o `t
DEMOLITION
Building Division Acknowledgement
A. Permit Application
S. State Forms
C. State Statuteecontractor Licensing
Public Works Acknowledgement
A. Sidewalk Closing
B. Sheet Use/Closing
1 Walkways - Protection - Width
2 Barricades - Protedion - Width
3. Fencing - Protection - Widtb - Height
4. Curb Protection/Sidewalk ProtectionfStreet
5. Stormi Sewer Protection
C. Dust_p6npol• .
opt
A. Traffic Control
B. Crowd ConLcaUScourity'
Utility Dcpartmeut Acknowledgement
A. Water. Sewer - Capped off Sealed
L. Water for Dust Control (Meter)
Engineering & Planning Ackpowledgemeat
A. Historic District
S. Zoning Issues
Addruss uffob: t dOO h1
Additional (:omments: C, .
3C - o --
DEMOLITION
330 Slop
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 Contrdl'
Police Department Acknowledgement
A. -Traffic Control'-.
B., Crowd Control/Security
cif
Utility Department Acknowledgement S'z vJ 1
A. Water, Sewer — Capped off, Sealed yC
B. Water for Dust Control (Meter)
Engineering & Planning Acknowledgement
A. Historic District _
B. Zoning Issues
Address of Job: ,a ly\y ,,,, Loe* I G CS S.
Additional Comments: IOUs
1D %A- -Q 151 214 b
C' %• a15'3 4 q
DEMOLITION
v1 - 330 ^Sloe
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/Secucity
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: iu
Additional Comments: V\oUs"-C)