HomeMy WebLinkAbout916 Locust Ave (2)Permit #
Job Address: _41_
CITY OF SANFORD PERMIT APPLICATION
Date:
Description of Work: Df WI bll + IVr\
Historic District: Zoning: Value of Work: S 1000
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures _
Plumbing/New Residential: # of Water Closets
Mechanical Plumbing Fire Sprinkler/Alarm Pool
— Addition/Alteration Change of Service Temporary Pole _
_ Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: _L_ # of Dwelling Units:
Plumbing Repair — Residential or Commercial
Total Square Footage:
Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: Y�lc.fy eQ Dir i S
1�//��� Phone:
Contractor Name & Address: �l �/��' De%f bh �Vn '� RPfyC1tnA T/li
l� State Li nse Number:
Phone & Fax: 0 W 97ki UU7 as VOL 'I Contact Person: LOf. Phone:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Phone:
Fax:
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. 1 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: 1 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 water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirem!�s%� rida Li aw, FS 713.
Signature of Owner/Agent
Date Signature of Contractor/Agent
Date
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_T. ck,11.5bow P.
Print Owner/Agent's Name
Print 9oV /Age me
01.7�51_20
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Signature of Notary -State of Florida
Date re of Notary -State of Florida
ate 3
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Owner/Agent is _ Personally Known to Me or
Contractor/Agent is _ Personally Known
to Me or w p d
Produced ID
(produced ID
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APPLICATION APPROVED BY: Bldg:
"Coning: Utilities:
O
FD:
(Initial & Date)
(Initial & Date) (Initial & Date)
(Initial & Date)
Special Conditions:
Seminole County Property Appraiser Get Information by Parcel Number
Page 1 of 1
PARCEL DETAIL'ir�
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2003 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 25-19-30-5AG-1 1 OD -0040 Tax District: S1-SANFORD
Number of Buildings: 1
Owner: ASHLEY GENEVA & Exemptions:
Depreciated Bldg Value: $18,830
Own/Addr: MORRIS MARY LEE
Depreciated EXFT Value: $0
Address: PO BOX 12877
Land Value (Market): $4,450
City,State,ZipCode: WILMINGTON DE 19850
Land Value Ag: $0
Property Address: 916 LOCUST AVE SANFORD 32771
Just/Market Value: $23,280
Subdivision Name: SANFORD TOWN OF
Assessed Value (SOH): $23,280
Dor: 01 -SINGLE FAMILY
Exempt Value: $0
Taxable Value: $23,280
SALES
2002 VALUE SUMMARY
Deed Date Book Page Amount Vaclimp
2002 Tax Bill Amount: $493
Find Comparable Sales within this Subdivision
2002 Taxable Value: $23,280
LAND
Land Unit Land
LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Units Price Value
LEG LOT 4 BLK 11 TR D TOWN OF SANFORD PB
FRONT FOOT &
50 117 100.00 $4,450
1 PG 56
DEPTH .000
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1928 3 1,451 1,176 SIDINGAVG $18,830 $47,075
Appendage / Sgft SCREEN PORCH FINISHED / 128
Appendage / Sgft SCREEN PORCH FINISHED / 147
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
purposes.
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http://www.scpafl.org/pls/web/re_web.seminole_county_title?PARCEL=2519305AG 1 l ODO,... 1/2/2003
May 23 03 12:55p Florida Public Utilities 306-660-2692 p.2
FROM FAX No. Mag. 22 2003 12:21AM P1
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DEMOLITION
Building Division Acknowledgement
A. Permit Application
B. State Forms
C. State Statutes/Contractor Licensing
Public Works Acknowledgement V
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: t + LnC_y f-tVQ�
Additional Comments:
► J "'m"M , S - L7 • C7s
5-29-203 8:52AM FROM
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
I . Walkways - Protection -- Width
2. Barricades - Protection - Width
3. Fencing - Protection - Width - Height
4. Curb Prowtion/Sidewalk Protection/Street
5. Storm Sewer Protection
C. Dust Control
Policc Department Acknowledgement
A. Trak Control .
B. Crowd Contcol/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: l +
Additional Comments
P. 1
In
y�o3
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: (1 ` (4> LoLJ �" AJ6
Additional Comments: 4oZO `l-'5-t_oG=:t::� W/O..
wl0 /1Yo4 r sc-
y t ..
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)
t t---.ru-•..+r1 —.. E -ii�S--.t.^aI�r..w - .
Engineering.& Planning Acknowledgemeni7 0
A. Historic District
B. Zoning Issues
Address of Job: q + (419 L4n LJ �" A16
Additional Comments:
.
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: l + (4�9 LnLJ A16
Additional Comments:
1
Release and'Nold Harmless
Letter of Authorization to -Participate in the Seminole County Community
Development Block Grant DemolitiordClearance Program
SEMINOLE COUNTY GOVERNMENT PHONE: (407) 665-7384
PLANNING AND DEVELOPMENT DEPARTMENT FAX: (407) 565-7366
1101 EAST FIRST STREET DATE: 1
SANFORD, FL 32771
we, Mary Lee Morris (name) Who resides at P.O. Box 12877 Wilminton, DE 19850,
(address) Do hereby authorize Seminole County and its authorized employees and agents, to
enter upon and demolish ano clear structures and debris from the following property: Pare
�. N,.. e 4 nn-nndn i Fr: LOT d BILK 11 TR D Town of Sanford PB PG 86
(legal description of properly), further described as 916 LOCUST Avenue 00191MM. « W" • ••
(street address)
We, represent that We are the legal vwner(s) and hold title of the foregoing property and that we
have full authority and right to grant the permission given by this document.
we, also recognize and agree that funding for this program is entirely granted by the Community
Block Grant (C030) and that we 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:
00
4ZigWtu(wner)
Man► Lee Morris
Print N e 15
Af L-�
Signatur (Witness)
Print Name
Signature (Witness)
Print Name
Signature (Witness)
Print Name
State of ; ` r j W—W G K VAA) S � County
The foregoing instrument was ar�k�towledged before me this day of r� n • by
An � L • ,�'l Dy r i.e'
(Name),
who personally I known to me
Liceh (type of identification) as identification
and who (did) (did not) take an oath. n
ire) Nota ubliC, in and for the
and State OW4e0de (Seal).
Z>c i (4-V 19ARBI J. DENK4M
NOTARY PUBLIC
STATE OF DELAWARE
Mytomrnfwr c -p1^, Sept. 5, 20M
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