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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 m b r-- 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 g11111NIJJ/I w ig RY PUBLIC •• •'•''.''sTAY 8 P My Commission Expires J = * : _MW THIS INSTR rCL R1906 UMENT PREPARED BY S •=:3a.•• _`` V Owl ADDR.. ywl' b GWIFIiED COPY MRRYANINE fi ORSE VLERK OF -CIRCUIT COUM'R iiMtMltlM CUtif+i`' DEC 2 9 Zuv,, 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 c commum twme i OD113MB OF f LOBO MY COMMMSION SWIFE$ MAY 2.2006 L:lcrgrojecMeommmity d-\Clearance120032004Lctoe mdAuthoriiradonsll2OOMv3PusdneAveWiUiamsMCCloudtAuthorizationFornt9.doc Seminole County Property Appraiser Get Infomation by Parcel Number_ Page I of ': PARCEL DETAIL a 4[`.]ffitYiSI C 47ii2Sit c ro'rtw f raiier crT 7es I t 0 1 IK 14r9t tiF. T FS - logo 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. r Ct( J L -- , V 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)