Item M3
Board of County Commissioners
Agenda Item Summary
Meeting Date: July 26, 2000
Bulk Item: Yes /' No
Division: B.O.C.C.
Department: George R Neugent
Agenda Item Wording:
Request from the Board of County Commissioners to waive permitting fees for
removal and replacement ofthe residence of Mr. Hernandez at A50 8th Ave.
Stock Island, Key West PI.
Item Background:
Mr. Hernandez, an elderly gentlemen who had his resident deemed unsafe following
Hurricane Georges. Habitat for Humanity is replacing the trailer and Edward H.
Brugman (contractor) donated the pilings.
Previous Relevant BOCC Action:
Commissioner Recommendation:
Total Cost:
N/A
Cost to County
Budgeted: Yes No
Revenue Producing: Yes_ No_
Amt per month
Year
Approved By: County Atty _ OMB/Purchasing _ Risk Mgmt
c:!!:j~#oo~
Documentation: Included V
To Follow
Not Required _
Disposition:
Agenda Item # j ., m 3
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The foregoing instrument was acknowledge~ before me thiso!'AllY,
~~ ~~~' p~~~d:~ ,::'.tv~J;l~~n, :~ ~:~~~~i~!~sonallY k"o"'FJ;\?(\J') , '
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Notary Public
Printe,d Nam~t-l'h-h~15~1f
Commission # L'l.' b '1&3 B / _ I ..
My Commission Expires: ~;?IC<flll/(?;-~/0 'ZoO /
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* *My ~:CCIT.~381 (;<:;.~~,\/ .. ~,J;;; <,
\;.,=, ExpIru September 01. 2001. -': -':.':>')"7
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LIMITED POWER OF ATTORNEY
STATE.ORFLORIDA ) -:z.. ::2. / 8
)ss ~7:2- (;);;;- .../.J is?
COllNTYOF"MONROE )
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,KN.g~;~~~~~~jbythese present, that I, Edward H.-Brugman,. the _ -...,
undersigned, and the "principal" of property located at A50 8th Avenue, Stock.
Islan,d, KeyWe~t, Florida, 33040, do hereby make, constitute and appoint
~ILLLOEWY", Habitat for Humanity of Key West and Lower Florida Keys,
Inc., my true andlawful ATTORNEY~IN-FACT for me and in my name, place
and stead, anc;l on behalf, and for my use and benefit:
For removal and replacement of the trailer at A50 8th Avenue,
Stock Island, Key West, Florida, 33040.
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IN WITNESS HEREOF, I set my hand this 5th day of July, 2000.
'64to'ti.IVlr! ~.,~
EDWARD H.BRUG _. -,': >':.';:'
WITNESSES:
~Au~vYr
-Pript,Name:k{ n I~ - A6 b ~5
'~~z.. (irys1~~
'Print Name: B (?,IAtV C,../'Y1()[2G.!:I,v
Address: .po~. :2.1 \
~1)p,~FL. ~304L-.
Address: ;;:;)-9;). I !/{jwK,IIJS '-'1
c..oDSO'L...Kij IF<... 330 '-(do.
\'
Habitat for Humanity of Key West & Lower Florida Keys, Inc.
Buildin'g houses in partnership with God's people in need
RELEASE OF CONFIDENTIAL INFORMATION
A.I3R U G/VlANJ fE..dW4Rd I{ hereby authorizes Habitat for Humanity.
Print Full Name '. \
of Key West.and Lower Florida Keys, Inc., to release to the agency or
persons any information maintained by Habitat for Humanity of Key
West and Lower Florida Keys, Inc., that is relevant for the purpose of
replacing my home.
~I
,--"
B~,Ufr/"'(Itr./ ,Edw/iR..d 1-I.hereby authorizes Habitat for Humanity
Print Full Name ./ .' . . .
of Key West and Lower Florida Keys, Inc., to use photographs, video
tapes and the ne~s rp.edia of my home and myself in conjunction with
the removal and replacement of my home for the purpose of public
relations. .
,; ~~ I-! !?J~
". .,. Signature of Head of Hou 61d
lPlJJ j :?~wPthv
Signature Spouse . tI
~/b/~()CJd
Date I /
,7/5-/:2 OC)O
Date
f.
, .
P.O. Box 421003
305-744-3460/872.4456."
Summerland Key, Florida3.3Q42.' .."
Fax 305.872.4404 HABlKEYS@AOL;COM:':-,~. .
. ... .
.-
APPLICATION FOR BUILDING PERMIT
MONROE COUNTY GROWTH MANAGEMENT DIVISION
Note: All OWNER BUILDERS MUST APPLY IN PERSON (F.S. 489.103VJ)
Rec'd by:
Date______
Permit'
Property Owner's Name: ~ tI MI A J- tI 1-/ ~ y v Pm;; nJ
Address: '7.BIr:..)' au" A. SJ' #-c'Ktff:~L , S 56 Clo
Property Description: ~ey S/OC" J; / \' I'J we! '7 L , Lot /I"'jO Block
Subdivision L I 'l1'~" /11 . G~ yo J ~ ... ~ MM
.
RE#
Application Date:
PhoneGBO.("),$1 f/-ftJ./1
./ (01(-"_,,.) 2.7:l ~~-sr.o '
Street
Land Use District Sec. _ Twn. _ Rge. _ Flood Zone Panel #
Proposed Construction: rem/J//.::1/ t1McI r>eplnt"t<?(7YJ,,!,l'lf ;-)!- dtl7/~""Mf4.IIe~
.
Check applicable box for Roofing Permit: N~W 0
"""';',
RE.ROOF 0
RE-COVER 0
Square Feetl.....1r ,ppllcabl.) -Estimated Total Cost
Contractors Name: (.:1r1bJud j;, 'B.-v" '''-'OM / /-/c>J ,/,,1'/';'1- .llvJ1I;!I('t7'y Phone:;.o ~- ~ t7 -y- goB'!
I L c:;' /. . I / C.O~~TER' CERTIFICATE'
Address: 7 J. / S () \I ..,. rr s.t /1 f 51 w p- .<J,.-I, r^- 330"'/ ()
Bonding Company Name:
Address:
Architect/Engineer's Name:
Address:
Mortgage lender's Name:
Address:
Phone:
Phone:
Phone:
License #
COUNTY 1ST ATE
C.S#
C.S#
C.S#
C,S#
Estimated Job Cost
Subcontractors:
Roofing
Electrical
Mechanical
Plumbing
Monroe County Driveway Permit #
General Remarks:
Computer #
10#
10#
10#
10#
Septi.; Tank - Health Dept, Permit #
I hereby certify that I have read and examined this apfllication and know that same to be true and correct. All flrovisions of laws and
ordinances governing this type work will be complied with whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any local. state or federal laws regulating construction or the performance of construction,
"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 additioral permits required from other governmental entitles such as water management
districts, state agencies or federal agencies."
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 ATIORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Owner Contractor c?,! a.
Signature: ., Sig(lature: '?Utf:J/)J../-Ilv~A1..
Date. T/ 1/ ~ 21'./'--,J'? ~ Raben. LOUdenSlager Date _ ~~o~ r
7't4f<b ~r""~'/d~?,A'1."J~:::::onCC~7'~OI ~ : -' .r; ~bA'./~eY.A--
NOTARY a$ to Owner . mbu< 01, Zool NOTARY as to ontractor
My Commission Expires .sP,/.' /PJ'IJ be/! / __ ::hlO / My commiss~~~~S~fr 0 I) '2 tJO I
,~..~ ExpII8I Septe_ 01,2001
PERMIT COST RECEIPT# DATE
FIRE MARSHAL
RAD/REC
BUILDING
ROOFING
ELECTRICAL
A/C. MECHANICAL
PLUMBING
TOTAlPERMITFEE
APP. FEE CREDIT ( I
PERMIT FEE DUE IMPACT FEE FOR DEPARTMENT USE ONLY
RECEIPT#
DATE
___DEVE~DPMENT
NON.OEVELOPMENT
BUilDING OFFICIAL, ASS'T BUilDING OFFICIJI,l
APPROVED FOR ISSUANCE OF PERMIT
BPAPP3/97LF