312 Holly Ave - BR17-002781 - DEMO SFH2,017
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
D $11550.00ocumentedConstructionvalue:,,)
312 Holly Ave Sanford FL 32771JobAddress: Historic District: Yes No
Parcel ID: 25-19-30-SAG-0511-0040 Residential 1!1 Commercial
Type of Work: New Addition Alteration Repair Demo EJ Change of Use -El Move
Description of Work: Demo SFR
PO# 035526 City of Sanford
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name Steve Wilcox
Phone:
Street: 564 Saint Louis Ave Resident of property? : NO
City, State -Zip: Youngstown OH 44511
Contractor Information
Name L & L demolition & Salvage, Inc. Phone: 407-295-0875
Street: 5500 Old Winter Garden Rd 4 -
Fax:
City, State Zip: Orlando FL 32811 State License No.: 1809-0065768-17-2779CCard
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICF. OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated_ I certify that no work or installation has 011,
commenced prior to the issuance ofa permit and that all work will be performed to meet standards ofall laws regulating constructioninthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as ofthat date: 5t1 Edition (2014) Florida Building Code
Revised: June 30, 20! 5 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from othergovernmental entities such as water managementdistricts, state agencies, or federal agencies. Acceptance
of permit is verification that I will notify the owner of theproperty of therequirements of FloridaLien Law, FS 713 The
City of Sanford requires payment of aplan review fee at the time of permit submittal. A copy of the executed contract is required inordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. TheactualconstructionvaluewillbefiguredbasedonthecurrentICCValuationTableineffectatthetimethepermitisissued, in accordancewithlocalordinance. Should calculated charges figured off the executed contract exceed the actual construction value, creditwillbeappliedtoyourpermitfeeswhenthepermitisissued_ 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. 9-
19-17 SignahveofOwnerlAgent
Date Si;naIDreOfC t c[or/Agent Date Leonard
P Linhares Print
OwneriAgent's Name Prior Contractor/Agent's Name 9-
19-17 Signature
of NotaryState of Florida Date rgnature of Notary -State of FloridaOwner/
Agent is Personally .Known to Me or Produced
ID Type of ID usr
u Notary Public State of Florida James
L McDaniel 1-eMy Commission GG 111a01'ip
Expires 06/04/2021 Co
r o a y nown to Me or Produced
ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas Roof Construction
Type: Occupancy Use: Flood Zone: Total
Sq Ft of Bldg: Min. Occupancy Load: _ New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No # of Heads of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No APPROVALS:
ZONING: UTILITIES: WASTE AVATER: ENGINEERING:
FIRE: BUILDING: COMMENTS:
Revised:
June 30, 2015 Permit Application
SEP-19-2017 09:10 From:425 5eo gee6 Pa9e:2,2
CERTIFICATION OF SERVICE DISCONNECT
1. & L Demolition & Salvage, Inc. A I an t X_" cl n Ira C! 0. 407-948-8 88 5 -cell
5500 Old Winter Garden Rd Uri rl 32811 407-295-0875 407-296.9855-ihx
01 co! L 35
egccu.:Datiorai i.icerise 1809-0065768 Oran9-18 N
o
ce D E h! 0!_ , S H F D 312
Holly Avc.Sanrord F1, 32771 IS-
1 9-31111AAGAM I 31
irn Steve
Wilcox 564 Saint Louis Ave Youngstown OH 44511 City of Sanford Rinora
J,
7-s and of iiVec beio,,-,- snal! certify !his aprlicaticn :0 5.gr.1"y r-.-D',tce demolition:
or the Frm:s purchase order n,,.,mt)er to attest th.a( conneCtions:
etc will De removed or sealLpfi zi'd p:.Jg e-J 'n a s,-,f(r ani
dernoloion s in!fMle,.4 7e!
opfione 4 AT&
T ry
0
r
to Florida
Public thilities No
Florida
Power & Light Kc—
Certificaiiori
By C.
Spectrum
5y
Date
I
Dale
Sep 15 2017 06:16PM HP Fax page 1
CERTIFICATION OF SERVICE DISCONNECT
1, E plicant: L & L Demolition &Salvage, Inc.
407-948-8885-Cell
0 Owner Marne Tradd tdartildemolition@gmail.com
2. 5500 Old Winter Garden Rd Orl Fl 32811 407-295-0875 407-296-9855-fax
Addrass CRY stats ---- 2 --- --, _
3. OCCUP Oona.l License 1809-0065768 Orange _ 9-18 _
4, Building Structure to bg DJEMOUSHED
or aResident al :YC;ommerdal t c
312112ft. Ave Sanford FL 32771
Site Mdttsr,
7L19,31MeGAS I1 -OOM Legai
Daacript;os — Steve
Wilcox 564 Saint Louis Ave Youngstown OH 44511 City of Sanford The
flm and offices lined Wow shall certify this: application to $ignIf'ynoice of tree proposed
demolition, or the flin"s purchase order dumber to attest that their respective Service
connectforxs, etc, will be removed or sealed and }lugged in a safe manner before
any demolition ,s initiated. 1.
r leph af;e compa. 4, Cablev;sion AT&T
Spectrum P.O.
No..-- Certliltetlt3tl By _
Cer#*:.aUon By Date date-
2. Gas
Company S. Waiter Company Florida Pubtic
Utilities P,O,
No. f l .t zh o,. _ certification By.
COrt1ACQUon By Dante Date
3. Electric
Company 6. Ot1"mef. (LPG Company, Florida Power &
Light P-O-
Noc 4r Certification By
f.ie foBy Date Bate
iPiiat OQ{
I16Ct"Ffir.'1tiM1i i JlFrFii1-l0{Qiiii/iW 1itWOO iGl 6 Per i
of t
CERTIFICATION OF SERVICE DISCONNECT
Applicant: u Contractor L & L Demolition & Salvage, Inc. 407-948-8885-cell
o Owner Name Trade Namdldemolition@gmail.com
2 5500 Old Winter Garden Rd Orl F1 32811407-295-0875 407-296-9855-fax Address
City State Zip 3.
Occupational License 1809-0065768 Orange 9-18 No.
Issued By Expiration Dale 4.
Building Structure to by DEMOLISHED or
aRResidential oCommercial Other Check
as applicable) 312
Holly Ave Sanford FL 32771 Site
Address 15-
19_30-S A G=0511-0040 Legal
Description Steve
Wilcox 564 Saint Louis Ave Youngstown OH 44511 City of Sanford Owner
of Record Address The
firms and offices listed below shall certify this application to signify notice of the proposed
demolition, or the firm's purchase order number to attest that their respective service
connections, etc, will be removed or sealed and plugged in a safe manner before
any demolition is Initiated. Telephone
Company AT&
T 4.
Cablevision Spectrum
P.
O.No. or Certification
By Date
2.
Gas Company 5. Florida
Public Utilities P.
O. No. or Certification
By, Date
3.
Electric Company 6. Florida
Power & Light P.
O.No. r Certification
B Date
9 7 Z C:
Vlins CoordindonWastcr FormslCtrtifiucoa-ol'Scrvice Disconnectdoo Pigc
I of 1 11101/
98 P.
O.No. Certification
By Date
Water
Company Z
P.
O.No. or Certification
By Date
Other: (
LPG Company, etc.) P.
O.No. or Certification
By Date
DATE: of,jli /17 PURCHASE ORDER
PO NUMBER 035526
CITY OF SANFORD
P:O. BOX 1788
PURCHASING QFEICE: 407.688.5030 (300. NORTH' PARK AVENUE) SUBMIT INVOICES TO: ACCOUNTS PAYABLE
ACCOUNTS PAYABLE: 407.688:5020 SANFORbI .FLORIDA 32772 FINANCE DEPT.
FACS[M M- 407.688.5021 FLORIDA TAX EXEMPT NO.: 858012621681 C-B P.O. BOX 1788
SANFORD; FL 32772
VENDOR NO.: 11496
TO: SHIP TO:
L & L DEMOLITION & SALVAGE, IN CITY OF SANFORD
5500 OLD WINTER GARDEN RD 300 N: PARK AVENUE
ORLANDO, FL 32811 SANFORD, FL. 32771
DELIVER BY TERMS F.O.B. DESTINATION BID OR QUOTATION NO. REQUISITION NO.
UNLESS OTHERWISE INDICATED
0 8 /'0"8 / 17 NET./ 3'0 66018
ACCOUNT NO.: 0 0 1- 110 3 - 519 . 3 4 - 0 2 PROJECT:NO.:
NO DEVIATION FROM THIS PURCHASE ORDER WILL BE ALLOWED, UNLESS AUTHORIZED BY THE PURCHASING MANAGER - CITY OF SANFORD
UNIT OF .
ITEM NO. DESCRIPTION QUANTITY ISSUE UNIT COST EXTENDED COST
1 DEMOLITION OF A CONDEMNED 6650.00 NA 1.00 6650.00
PROPERTY 310 HOLLY AVE
2 DEMOLITION OF A CONDEMNED 11550.00 NA 1.00 11550.00
I
APPROVED BY:4 APPROVED' BY:
PORCH G AGENT ITY MAN ER
All packages and Invoices applicable to this:P.O.'must bearthis P.O. Number. The'Vendor shat comply with all specified andreferencedhereinbeforeandafter. Any attempts -to insert language to change these terms and conditions are hereby rejected
and will be resolved in favor of the City of Sanford. Standard terms and conditions hereby incorporated into this purchase
order may be found at http://Www.sanfordfl.gov/index.aspx?page=879 Terms and conditions applicable to P.O.'s
r-...,-.. --A ..,n'litlnne httn•1/%Aititw.sanfordfI.aovAndex.aspx?page=883
m rwa Florida Department of DEP Form 62-257.900(1)
Environmental Protection
Effective 10-12-08
Page1of2
FLORNA Division of Air Resource Management
NOTICE OF DEMOLITION OR ASBESTOS RENOVATION
TYPE OF NOTICE (CHECK ONE ONLY): ORIGINAL . REVISED CANCELLATION x COURTESY
TYPE OF PROJECT (CHECK ONE ONLY): DEMOLITION RENOVATION
IF DEMOLITION, IS ITAN ORDERED DEMOLITION? OYES ® NO
IF RENOVATION:
IS IT AN EMERGENCY RENOVATION OPERATION? OYES NO
IS IT A PLANNED RENOVATION OPERATION? OYES NO
I. Facility Name residential
Address 312 Holly Ave
City Sanford State FL Zip 32771 County Seminole
Site holly ave Consultant Inspecting Site Pro Air
Building Size 1900 (Square Feet) of Floors 1 Building Age in Years 87
Prior Use: School/College/University Residence Small Business Other
Present Use: School/College/University x Residence Small Business Other
11. Facility Owner Steve Cox Phone (407) 295-0875
Address 312 Holly Ave
City Sanford State FL Zip
III. Contractor's Name L & L Demolition & Salvage, Inc. - Leonard P Linhare, Phone
Address 5500 Old Winter Garden Rd
32771
407) 296-0875
City Orlando State FL Zip 32811
Is the contractor exempt from licensure under section 469.002(4), F.S.? [] YES NO
IV. Scheduled Dates: (Notice must be postmarked 10 working days before the project start date)
Asbestos Removal (mm/dd/yy) Start: 09/21/2017 Finish: 09/22/2017 Demo/Renovation (mm/dd/yy) Start:09/21/2017Finish: 09/22/2017
V. Description of planned demolition or renovation work to be performed and methods to be employed, including demolition or renovation techniques
to be used and description of affected facility components. demo sfr
Procedures to be Used (Check All That Apply):
I Strip and Removal 10 1 Glove Bag Bulldozer Wrecking Ball
1 Wet Method I [jI Dry Method Explode Bum Down
OTHER:
VI. Procedures for Unexpected RACM: stop work
VII. Asbestos Waste Transporter: Name L & L Demolition & Salvage, Inc. Phone
Address 5500 old winter garden Rd
City Orlando State Zip 32811
VIII. Waste Disposal Site: Name MID-FLORIDA MATERIALS (AKA HUBBARD) Class
Address GOLDEN GEM RD
City PLYMOUTH State FL Zip 32768
IX. RACM or ACM: Procedure, including analytical methods, employed to detect the presence of RACM and Category I and II nonfriable ACM.
stop work
Amount of RACM or ACM*
0 square feet surfacing material
0 linear feet pipe
0 cubic feet of RACM off facility components
0 square feet cementitious material
0 square feet resilient flooring
0 square feet asphalt roofing
Identify and describe surfacing material and other materials as applicable:
X. Fee Invoice Will Be Sent to Address In Block Below: (Print or Type)
Name:
Address:
City:
State/Zip:
I certify that the above information is correct and that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on -site
during the demolition or renovation and evidence that the required training has been accomplished by this person will be available for inspection during
normal business hours.
Leonard Linhares
Print Name of Owner/Operator)
Leonard Linhares
Of
Date)
DEP'U$E ONLY Postmark/Date Receivetl 77771
SCPA Parcel View: 25-19-30-5AG-0511-0040-
Prouerty Record Card
rmo Parcel: 25-19-30-5AG-0511-0040
j Owner: WILCOX STEVEivNEEPropertyAddress: 312 HOLLY AVE SANFORD, FL 32771
Parcel Information Value Summary
Parcel
Owner
25-19.30-5AG-0511-0040 -- -
WILCOX STEVE
Property Address 312 HOLLY AVE SANFORD, FL 32771
j Mailing 564 SAINT LOUIS AVE YOUNGSTOWN. OH 44511-1735
C_ Subdivision Name SANFORD TOWN OF
Tax District St-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
Legal Description
ILOT 4 BLK 5 TR 11
TOWN OF SANFORD
PB1PG61
Taxes
Page 1 of 2
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value $3.601 $3,432
Depreciated EXFT Value $7,492 $7,492
Land Value (Market) , $8,700 $8.700
Land Value Ag s
JusUMarket Value " ^ $19,793 1 $19,824
Portability Adj
Save Our Homes Adj $0 $0
Arnendmerlt 1 Adj SO $0
P&G Adj $0 I $0
Assessed Value $19,793 1$19,624
Tax Amount without SOH: $393.38
2016 Tax Bill Amount $393.38
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments _--J
Taxing Authority Assessment Value Exempt Values Taxable Value
County Bonds
County General Fund
19,793 . So I
So4.' - - -
19,793
3
19,793 19,79
City Sanford 19,793 1 19,793
SJWM(Saint Johns Water Management) 19,793 19,793
Sales
Description Date Book Page I Amount l Qualified jVaGlmp
SPECIAL WARRANTY DEED 10/1/2011 1 07651 1122 000 NO Improved
CERTIFICATE OF TITLE 3/1I2011 07547 0398 100 . No Improved
QUIT CLAIM DEED 1/1/2006 05611 1238 100 No Improved
WARRANTY DEED
QUIT CLAIM DEED
8/1/1998
8/1/1987
j 03486
01890
0645
0399
65,000 Yes —
100 , No
I Improved
Improved
WARRANTY DEED 611/1979 01230 0086 25000 Yes - - Improved
LWARRANTY DEED -_ - 1/1/1974 01039 0842 i- 8,000 i Yes Improved
FindCompmbk Safes
Land
00
Units Price Land Value
i
Units
o i s174.00 6,700
FrontageMDepththodONTFOOT & DEPTH i 50.00 ! 117.
Building Information
r
http://parceldetaii.scpafl.org/ParceiDetailInfo.aspx?PID=2519305AGO5110040 7/17/2017
Page 1 of 1
Parcel: 25-19-30-SAG-0511-0040 Building No.: 1 Page No: i
Print friendly
httn://parceldetail.scbafl.orp-/FootprintPaae.aspx?PID=2519305AG05110040&BLDGNO=... 7/17/2017
SQPA Parcel View: 25-19-30-5AG-0511-0040
1 Is Bed/Bath count incorrect? Click Here.
Year BuiltI # I Description i Fixtures Bed Bath Base AreaActual/Effective I I
Fage 2 012
Total SSFI Living SF Ext Wall Adj Value Repl Value Appendages
1 SINGLE
FAMILY
1930/1940 i 3 3 1 1.0 1,537 1 1.7801 1,537 SIDING j $3,601
GRADE 3 9,0031 Description Area
SCREEN
PORCH i 243.00
FINISHED
Permits
Permit# Description Agency Amount CO Date Permit Date
99943 50 ARCH MOD FOR INTIEXTER CONDITION. [COUNTY 215/2013
99903
I ----------- . ---- --- ------
REQUESTED RECHECK -RESIDENTIAL ;COUNTY $0 f 9/1/1997
Extra Features
i— Description Year Built Units Value New Cost
ALUM UTILITY BLDG WCONC FL 6/111985 420 $1,092 i 2,730
POOL 1 611/1985 5.600 14,000
SHED 611/1970 1_ $2001 500
LL FIREPLACE 1 6/11/1930 1 1 i $600 1.500
htti):Hi).arceldetail.sci)afl.orRIParcelDetaillnfo.asl)x?PID=2519305AGO5110040 7/17/2017
AcoR>> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
09/23/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
TriGen Insurance Solutions, Inc.
315 SE Mizner Blvd
CONTACT
NAME:
PHOWC,NED (877) 987-4436 ac No:(954) 252-4426 E-
MAIL ADDRESS:
certs@trigensolutions.com Suite213Boca
Raton FL 33432 INSURERS
AFFORDING COVERAGE NAIC S INSURER
A: Guarantee Insurance Company 11398 INSURED (
904) 731-9014 Convergence
Employee Leasing, Inc. INSURER
B : Convergence
Employee Leasing II, Inc. INSURERC: INSURERD:
ConvergenceEmployeeLeasingIII, Inc. 3951
Baymeadows Road Jacksonville
FL 32217 INSURERE: INSURER
F : COVERAGES
CERTIFICATE NUMBER: Cert ID 18491 REVISION NUMBER: THIS
IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE
MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS
AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IPOLICY
LTRTYPEOFINSURANCEINSDWVOSUER
POLICY
NUMBER M/DDDPOLICY EFF EXP M
DD/YYYY LIMITS COMMERCIAL
GENERAL LIABILITY EACH OCCURRENCE CLAIMS -
MADE OCCUR DAMAGE TO RENTED PREMISES
Ea occurrence)$ MED
EXP (Any one person) PERSONAL
8 ADV INJURY GEN'
L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY
PRO LOC
JECTPRODUCTS - COMP/OP AGG OTHER:
AUTOMOBILE
LIABILITY COMBINED SINGLE LIMIT Ea
accident BODILY
INJURY (Per person) ANYAUTOALL
OWNED SCHEDULED AUTOS
AUTOS BODILY INJURY (Per accident) PROPERTY
DAMAGE Per
accident NON -
OWNED HIRED
AUTOS AUTOS UMBRELLA
LIAB OCCUR EACH OCCURRENCE AGGREGATE
EXCESSLIABCLAIMS -MADE DED
I I RETENTION $ A
WORKERS
COMPENSATION Y /
N ANDEMPLOYERS' LIABILITY ANY
PROPRIETOR/PARTNER/EXECUTIVE WCP500075002GIC
09/30/2016 09/30/2017 X STATUTE ERH E.
L. EACH ACCIDENT 1,000,000 OFFICER/
MEMBER EXCLUDED? N / A E.
L. DISEASE - EA EMPLOYEE 1,000,000 MandatoryinNH) If
yes, describe under DESCRIPTIONOFOPERATIONSbelow E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION
OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage
provided for all leased employees but not subcontractors of: L 6 L Demolition 6 Salvage Inc.
Location coverage effective: 9/30/2016. 4076885021
CERTIFICATE
HOLDER CANCELLATION SHOULD
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City
of Sanford ACCORDANCE
WITH THE POLICY PROVISIONS. 300
N. Park Ave AUTHORIZED REPRESENTATIVE Sanford
FL 32771 Dulo,t.G1988-
2013 ACORD CORPORATION. All rights reserved. ACORD
25 (2013/04) The ACORD name and logo are registered marks of ACORD Paqe
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