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Home My WebLink About2408 S Palmetto AvePermit No.: O Job Address U CITY OF SANOORD I''ERAUT APPLICATION 3 Date Permit Type: gL Building Electrical Description: of Work: y � 03 Mechanical Plumbing Fire Alarm/Sprinkler C� - Additional Information for Electrical & Plumbing Permits Electrical: _Addition/Alteration _Change of Service Temporary Pole _New AND Service (# of AMPS ) Plumbine esidential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy Type: 2CResidential _Commercial _ Industrial Total Sq Ftg: Value of Work: $ �� Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units: Parcel No.: c - 1 Cj - 3 () - ( 9 ) -6)000 ' 00,�-A _ (Attach Proof of Ownership & Legal Description) Owner/Address/Phone: r l -Pe Iy- Contractor/. License Number: Contact Person: 1 S Phone & Fax Number: Title: -Holder (If other than Owner): A rlAracc• _ Bonding Company: Address• l 4nrti aoe Tender: Andress: Architect/Engineer Phone No.: Address• Fax No.: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, 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 regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN 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 of this county, and there may be additional permits, required from other governmental entities such as watermanagement districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Print Co 's Name y1g/0- S'i0fuff-e-o otary-State of Florida Date Melissa Dunklin Commission #DD 163723 Expires: Dec 20, 2005 e ; Bonded Thru Atlantic Bonding Co., Inc. Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Produced ID Gt 4 3 -115 3 x.80 APPLICATION APPROVED BY: r Date: Special Conditions: 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: 10/18/02 SANFORD, FL 32771 I, Darlene Szabo (name) Who resides at 2408 S Palmetto Avenue, 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# 36-19-30-541-0000-005A, Leg S 36 of W 35 ft of Lot 50 & W 35 ft of Lot 51 Pine Heights (legal description of property), further described as 2408'/2 S. Palmetto Avenue, Sanford, FL 32771 (street address) I represent that I am 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: Sig ed, ealed and delivered in our presence: r % nature (Own ) 0 rin Name Siature (Witness) g4C(?F(7!'A A. VEf7*rCPS- Pri Name Sio.mature (Witness d�e.a (- 2'En ei". Print Name State of Florida, Seminole County .##s�f �, ':05The ego instrent6as aac nowledged before me this � day of nom( by J Jccl'�upa n� Name), who . personally known to me or who produced r C i J�� L—. (type of identification) as identification and who (did) (did not) take an oath. (Signature) Notary Public, in and r the County and State of Florida (Seal). OFFICIAL NOTARY SEAL 1P%v AU49 ANNIE WARD KNIGHT O�/* COMMISSION NUMBER DD113988 MY COMMISSION EXPIRES OF F> MAY 2.2006 L:\pd\teams\CD\PROJECTS\Clearance\20012002DemoCases\Letterofauthorization2408PalmettoSzabotoForm9. doc 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- ControUSecurity 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: � 6 slh- :)- q40 FAAMIM �i1 DEMMOLITION 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: 2 � 6SY2,5 Additional Comments: f� 3 � M •y, N1,hs t'1, �, D 04/09/2003 14:36 4073022540 a-08-203 I C: 3kr1 FfzON SANFORD PD DEMOLITION Building Division Acknowl*cment A Permit Application S. State 1^oltus 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 Proteccion/Street 5. Stone Sewer Protection C„ Ditsi Control; .. .. ftlice Department Ackaowledgeumpt A .x'raffsc Control B. Crowd- Control/Swurity' Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Histonc District 13, Zoning issues PAGE 02 P- i Address of'Job: -� � O � ��CYtQ� _ 7�t1� —&�ftR , j Additional Comsncrnts DEMOLITION Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acl�nowledgement 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 X,Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues q-11`7-5- PM Address of Job: Additional Comments: � )- t� (,S-�� (40 j q 55-G (P ' i 5 DEM[OL,ITION 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 . Historic District B. Zoning Issues Address of Job: C�IYYtiQi Additional Comments: vml0/%1 i r