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HomeMy WebLinkAbout410 Magnolia Ave 08-2105CITY OF SANFORD PERMIT APPLICATION Application # : V O _ Vy Submittal Date: -2,A Job Address: t-1I0 �_(\t ^A����1�' Value of Work: $ ��U t1� ParcelID: c �-<<1 �(�"�f�% -C�iOO,� —Cot() Zoning: Historic District: Description of Work: i P1 \`oN L 07L CA e-Ailoac t-W)6ND 2iPhfj°P ►a7 M. CA 1-' "'Square ,00tage: .. ........................... ^..I ................................................. ............................... Permit Type: Building ❑ Electrical ,d Mechanical ❑ Plumbing ❑ Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition /Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non- Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential ❑ Commercial ❑ Occupancy Type: Residential ❑ Commercial lE Industrial ❑ Construction Type: # of Stories: # of Dwelling Units: Occupancy Use Group(s): Flood Zone: (FEMA form required) ......................................................................................,. 1.... ............................... Property Owner: 4CA I � ' a yy (!hwa -\ Contractor: (IC(-3 Address: — 1 P Address: k t'� i �giP ac . Phone: '-In E -mail: Phone: 1-0-1 _V State License Number: Bonding Company: N 11 � Mortgage Lender: � ) r 1 Address: Architect /Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: Phone: Fax: E -mail: 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, ctc. 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. A NOTICE 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 OF COMMENCEMENT. NOTICE: in addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found i the ublic records of this county, and there may be additional permits required from other governmental entities such as water management districts, state age ics, federal agencies. Acceptance of permit is verification that I will notify the owner of the pro crty the rc irem is of Florida Licn aw S71 l Signature of IOwncr /Agent Date Signature of Contractor /Agent Date F e c'4 T Gm-\ 1 ED no e- . 1�C xz�Q}f 1 C=6. Print Owner /Agent's Name Print Contractor /Agent's Name lghothud+efSD Date Signature of Notary-State of Florida Date Yo1►"rPYo Notary Public State of Florida Deborah Wiedrich ff rr e` My Commission DD747762 =o Y��^ Notary Public State of Florida Deborah Wiedrich ' ?ar mop Expires 04/0412012 a� My Commission DD747762 ? o� Expires 04/04/2012 1wner /Agent is crsonal y nown to a or Co -actoAA c t i Pc o f n w t e r Produced ID •o u e I APPROVALS: ZONING: 00 13-WIM UTIL: FD: ENG: BLDG: Special Conditions: Rev 07.07 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary,•Longwood, Sanford, Seminole County, Winter Springs Date: 12/13/2007 I hereby name and appoint: 'Richard Rogers an agent of: Tri Ci Fl an't ri r.al (!nnt`ra'nt�ra f (Name ofCompmy) to be my lawful attorney -in -fact to act for me to. apply for, receipt for, sign for and do .all. things .necessary to this appointment for (check only one optioxi): All permits and applications submitted by this contractor. ❑ The specific permit -and application for work located at:.: .(Street Address) . Expiration Date for This Limited Power of Attorney: License Holder Name:.. Rance .Borclerick State License Number: E C 0 0 0 0 9 ' Signature of License Holder: STATE OF FLORIDA .. :,..-.COUNTY OF Seminole -The foregoing instrument was acknowledged before me this 13 day of Dec. 2007 , by: Rance Bcrderick who is 'personally known . to me or o who has produced as " identification and who.did (did not) take.an oath... . :. Signature (Notary Seal) Deborah Wiedrich Print or type name Notary Public-State of Florid Deborah Wiedrich a My :Corrinmion 174929- Notary Public - State.'of F1 on da of Expires 04104!2008 Commission No. 1749.21 My Commission Expires :0 4/ 0 4/ 2 0 0 8 (Rev. 3/27/07) MIS INSTRUtIFTIT PnPARED RY: Iii- �91�fiit�f-➢ tl��lii0fiti��lttitttitf -1t111-111ftiittl- I�A�!!_ MARYANNV MOWil - -j t;LkFM 01= rriNWIT UJURT ADDR. "f' �%f .: i _ SEMINOLE i;t INtY PK 010e4 Pg 0083; (1pg) CLERK' S # 2008077336 NOTICE OF COMMENCEMENT RECORDED 07/03/2008 02:54:17 PM Tax Parcel Identification Number 25 "1 30 -"5AG 0603 -CO10 Rf CONDYNO F=LU 10.00 RECON01,71) AY L h10(inley THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal descrlprlon) Z�7�_ 1 &2 BLK 6 TR 3 'ICON OF S4TCPZDPB 1 FG 58 a) Street (job) Address: 410 SI Vaqmlicl Ave. 2. General description oflmprovements: Replace existing eXteficr 400anp 3 phase 120/240V ab p3nel with nEw 3. Owner Information r. a) Nameand address: H01V Cn)SS Epismpal Chime' b) Name and address of fee simple titleholder (if other than owner) c) Interest in property, 4. Contractor information a) Name and address: rLfi City Electrical C0ntL'aCt0rS b) Telephone No.: Fax No. (Opt.) r S 5. Surety Information a) Name and address: 2 b) AmountufBond: c) Telephone No.: Fax No. (Opt.) G. Lender a) Name and address: b) Phone No- CERTIFIED COPY 7. Identity of person within the Slate of Florida designated by Owner upon whom notices or other documents may be served: MARYANNE MORSE a. Name and address: b. Telephone No.: Fax No. (Opt) L14 K OF CIRCUIT EOURT 8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Nutice as provided UITIN. FLORID! in Section 713.13(1) (b), Florida Statues: a) Name and address: b) Telephone Nu.: 9. Expiration dale of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): 8 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AF TE11 TILE EXPHIATION OF THE NOTICE U L, 3 O " COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I SEC'T'ION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVE IVIENTS TO YOUR PROPERTY; A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE F11191' INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMVENCING WORK OR RECORDING YOUR NOTTC E OF COMMENCEMENT. STATE OF FLO IDA to. �.,c.c�1t? ✓<+/ti�% COUNTY OF _ 1 Signature of Owner or Owner's Authorized Office/Director Print Name The foregoing instrument was acknowledged before me, a Florida Notary, this_ j(j day of 20 f j , by: r r�,-j �1 T_nMe 1 L as (type of authority, e.g, officer, trustee, attorney fact) for - A (yC-;-, C llu�rr ln� (name of party on behalf of whom instrument was executed). Personally Known— L�OR Produced Identification Type ZW ++,�Notary Sig7iature�� l�t �]bldiary Stamp or tary Pub r. titate of Florida - A-N-p_ borah W ewich 11. Verification pursuant to Section 92.525, Florida Statues. U4:UN �clare that I have read the foregoing and that the facts stated in it at' true to n (ge audab Signature of Natural Person Signing (in line 910 above) roiia lUI/fI4R4ULW' CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Box 1788, Sanford, FL 32772 -1788 Phone: 407.302.5805 Fax: 407.330.5679 TO: THE HISTORIC PRESERVATION BOARD OF TIE CITY OF SANFORD, FLORIDA ❑ Downtown Commercial Historic District ❑ Residential Historic District ❑ This application is filed in response to a notice from the Code Enforcement Department ADDRESS OF PROPERTY: `-, �C Property Owner Signature: �%,�' mV Mailing Address: \L' Phone: ADnlicant/ 9,ent r Signature: Mailing Address: Print Name: Print Name: Oki(-(- ' '- x- x- Cl�'���C 1 ;fit'_ 5 . t �t1C �3 , t- :i �^l I - -1 Phone: IC -I - -1 °�S`•s- r�CC's Fax: �-AO -J I certify that all information contained in this application is true and accurate to the best of my knowledge. Applicant/Owner: � --,.1 X/, Date: -7 - -7 - F Please use the attached criteria checklist as a guide to completing the application. Incomplete applications cannot be reviewed and will be returned to you for more information. You are encouraged to contact the preservation planner at 407 -330 -5672 to make sure your application is complete. Description of Proposed Work/Application Category: (Check all that apply) ❑ Site Improvements /driveway /walkway ❑ Storage shed ❑ Moving structures ❑ Replacement windows or doors ❑ Underskirting ❑ Awnings ❑ New construetion/additions ❑ Signs ❑ Demolition • Roofs /gutters /downspouts ❑ AC/Mechanical ❑ Fences /Gates /Pergolas • Replacement siding /flooring/porch ❑ Paint 0. Other Completely describe the entire scope of work: all changes in material, color or location to the exterior of the building, where on the properly the work will occur and how the work will be accomplished. For large projects, an itemized list is recommended. Attach additional pages if necessary. - �\'itt(�� (' Xi�-i r�,('ti C'x�C -� ire �- lc'�c� q��,��,��c,�e �• >c� I a�lc� �i <� �-�.�, \> �lc�c�r \ � ���.;�= M\oo)' : i .oL �'rA �u 4kkcw --� --�A \`A I�1\ A Certificate of Appropriateness is valid for six months unless otherwise noted Historic Preservation Board Meeting te: Application is Approved Conditions: OFFICIAL USE ONLY Staff Review Date: Approved with Conditions Denied Signed: /��/Gi'�/� / Date: 7z.7•�g This Certificate must be prominently displayed on the building when work is in pro gressrYr Requirements for Certificate of Appropriateness Application L.,(�i4C..•