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HomeMy WebLinkAbout200 W 1st St 09-94 Rooftop HVACCITY OF SANFORD PERMIT APPLICATION ro. Application # c : U l — q q _ Submittal Date: / Jo - Address: Ob w ��J '17i Value of Work: S Parcel ID: Zoning: Historic District: Description of Work: 2/plueP &4 *V X Square Footage: t.. Permit Type: Building ❑ Electrical ❑ Mechan5cal- Plumbin • ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sim 11 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 Plumbing/New Residential: # of Water Closets Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ # of Gas Lines Plumbing Repair -Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood `Gone: (FEMA form required ) ................................ c............................. ............................./. ............................... Property Owner: Contractor: NS lr t�n�� L°4 frC i4 Address: 0,1VAK-le, 14 ' -p— Address_ _ ._I& D A BAR �i4k� 6J© F/ 3a 80 I �j�n�DD ��( 3,2 go Phone: E -mail: Phone: 07d�d g1tate License Number: Z&4 Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Ntortgage Lender: 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, 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 TWICF. FOR IMPROVEitENTS 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 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 re rements of Florida Lie Law. FS 713.p SignatureofOwner /Agent Date Signature Contracto AAgent Date Xok -ry`7 etc, 77-r`tit IV Print Owner/Agent's Name - Print txr/Agen t's me c iolel Signature of Notary-State of Florida Date Sig4ature of Notary-State of Florida Date Owner /Agent is _ Personally Known to Me or Produced ID APPROVALS: ZONING: Special Conditions: Rev 0 7.0 7 UTIL: FD: ,WY rlo­.d�' 'DEBDIL, r B- MY COMMSSION # DD629096 RES: February 25, 2011 Contractoa;elt`i�= '} Pcf' dtEcJttaM;r>z e r Produced ID ENG: BLDG: l CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Box 1788, Sanford, FL 32772 -1788 Phone: 407.688.5145 Fax: 407.688.5141 TO: THE HISTORIC PRESERVATION BOARD OF THE 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: Property Owner Signature: Print Name: Mailing Address: Phone: Fax: Email: Applicant/Agent Signature: Print Name:c�v� Mailing Address: %a C5 Co Ace,4 4 F1 Sd Phone: Fax: Email: I certify that all informati c ntained in this application is true and accurate to the best of my knowledge. Applicant/Owner: Date: o s%D B Please use the attached criteria checklist J 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 Historic Preservation Officer at 407.688.5145 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 construction/additions ❑ Signs ❑ Demolition ❑ Roofs /gutters /downspouts 5,A-C?Mechanical ❑ Fences /Gates/Pergolas ❑ Replacement siding/flooring/porch ❑ Paint ❑ Other Completely describe the entire scope of work: all changes in material, color or location to the exterior of the building, where on the property the work will occur and how the work will be accomplished. For large projects, an itemized list is recommended. Attach additional pages if necessary. 4m C � %�v a 7" fb.t9 le,U � A Certificate of Appropriateness is valid for six months unless otherwise noted OFFICIAL USE ONLY Historic Preservation Board Meeting Date: Staff Review Date: Application is Approved N Z Approved with Conditions Conditions: Signed: Date: to Denied ***This Certificate must be prominently displayed on the building when work is in progress*** T:\LDR \Current LDR on Website\Applications & Submittal Requirements\HPB- Certificate of Appropriateness Application.doc