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Home My WebLink About410 Magnolia Ave 09-75CITY OF SANFORI7 PERMIT APPLI('ATTON 4ppliotion #: — �y , Job Address: 410 hf tdAAOA�i� Parcel LD: ZS"�- I "3� "�^[G 0%b3�OD(�D Zoning: Submittal Date: �` J , 0 0 Value of Work; $ e!. Historic District: Description of Work: t'%00T* tCLf?4 r Square Footage: ........................................................................................ ............................... Permit Type; Building ❑ Electrical ❑ 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 Calc. 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 W Industrial ❑ Occupancy Use Group(s): l construction Type: �� t # of Stories: # of Dwelling Units: Flood Zone: (FEhIA form required) /-'ropertyOwner� b�v• Cre[ S• �Disee, oe. l•• ��vrc. �►•..•• •••Contractor:•••11n!{(�1('Pl30 /V C•.••••..•.••••••.• kddress: Ll Address: E80 �k_Y� 4 e u sa tt � 2 7 7 ( Z 7 7 'hone: E -mail: Pho vv ne:12.2• 7J7 State License Number: (� Cc 4Z �Jb 3onding Company: kddress: k rch i tect/Engineer: kddress: Mortgage Lender: Address: 'Ian Review Contact Person: Phone: Fax: Phone: Fax: E -mai k �ppiication 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 ssuance 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 omit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and IiR CONDITIONERS, etc. )WNER'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 onstruction and zoning. YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M YOUR PAYING TWICE FOR MPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SFM BEFORE THE 'iRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR 40TICE OF COMMENCEMENT. IOTICE: 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 its county, and that 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 prope ` f the cquirements of rida Lien aw 7 3. ate ure o Dat Signature of Owner /Agent rtoA k 2 OP- p Af , -/g oq c=_, c cr /Ag is N Print Co tractor /A ent's Name -C � �� Notary- S o rida , Date Signature of Notary-State of Florida Date ilJA�CSe'6•.w1vpV{l.�ii1.117V�V �1,t1/-�V7�V7sV�..7 �o <M L •c �I;BBIE S7Z.111V t �N MLinda A K 9 tj�':'? �lti' COMYIISSION r DD629096 MY Commission DD359999 X IRES: February25, 2011 q Expires December 09, 2008 ! 5�i.i.z_NOTluR Fl. Notary Dismunt As oc. Co. Oxzt r/ ent is _ Personal! Known�n Me r ontractor /A ent is ro l Personal! Known to Me or VProduced ID IO IPA �C /C' . % G S f/ ��(D Produced ID y PPROVALS: ZONING: UTIL: FD: ENG: BLDG: pecial Conditions: l cv 07.07 I htrrdby: name and �aAppoint:cJt/ GC /e C an -agent d. C /t le00F1 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 option): 0 All permits and applications submitted by this contractor, l The specific ;permit and application for work located t: i10. IPA rko,'l� 6 aVA_ nary�`� (Street Address) Expiration Date for This Limited Power of Attorney: 10" License Holder Name: f�/V,UiQ�`LlJ J- /�,C7('QC'/e� State LicenseiNumber: Signature of license H STATE OF F,L RIDA COUNTY OF SF I*10eF The for. oing instrument was a kno led ed before this 7 day o, 200„ by Al � heff dC'��who is day- of/ known r to me or u who has pxo.duced as identification and who did (di_ta_ke an oa i (Notary Sea]) Si I_ /N,0 g /a, A-�F- FGIN6 Print or type name Linde A Keeling �'"' 6 My Commission DD369909 Notary Public -State of // G 6//p �AO�� ExpiresDecemt 09.2005 Commission No. /J.0,3,5, My Commission Expires: /Z (Rev. 3/27/07) THIS INST UM ,NT P [ARED BY: #� Name: t/ of GG �0C�1D? r1 Address: 7-7 Yl State of Florida to rr■ 1111111111111111111111111 if 11111111II III 11 III 11111 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 07073 Pg 1048; O pg ) CL.ERKI S # 2008112578 RECORDED 10/06/2008 10:09:02 AM RECORDING FEES 10.00 RECORDED BY T Smith NOTICE OF COMMENCEMEN_T_/ /J� Permit Number Parcel ID Number (PID) v 7 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. address if available) OERT[F(En Copy 'ANNE MORSE OF CIRCUIT COURT _E COUNTY, FLORIDA OWNER INFORMATION / I � v' - �; Name and address: CIO d . CONTRACTOR pr a Name and address: (, 0 d/1 d Uf . , i Led f `e /rG Q yj Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name and address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement: The expiration date is 1 year from date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF SEMINOLE OWNERS SIGNATURE OWNERS PRINTED NAME "(NOTE: Per Florida Statute 713.13(1) (g), owner must sign....., and no one also may be permitted to sign in his or her stead.., "(� The foregoing Instrum�e entwas ,/acknowledged before me this � day of C1/ 200 by ^ / I�� // 7-A/7 Who is personally known to me Name of person making statement OR who he' oduced identification Z>k V0-'2S ��r'e -1 1 r � type of identification produced X5'6 r! ��, �D -gala _ v VERIFICATION PURSUANT TO SECTION 92.625, FLORIDA STATUTES. A/,? 2 7' / UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE TO THE BEST OF MY KNOWLEIJGE AND BELIEF. "l` .V Linda A Kaolin 7C SIGNATURE OF NATURAL PERSON SIGNING ABOVE g M / \ Vol/ Expires December 09, 2008 CITY OF SANFORD HISTORIC PRESER VATION BOARD APPLICATION FOR A CERTIFICATE. OF APPROPRIATENESS P.O. Box 1788, Sanford, FL 32772 -1788 Phone: 407 330 -5672 Fax: 407 330 -5679 In addition to a Certificate of Appropriateness, a building permit may be required. Check with the Building Department. 407 330 -5660. A Certificate of Appropriateness may be required for projects that do not require a building permit. This Certificate must be prominently displayed on -the building when work is in 1. Genera( Information ress. Property Owner: &1v C L0SJ ,'t ,(0,W6t I C kc{Property Address: V d I %Yl r,//d, �IG t Ap Mailing Address: l G Phone Number: Y72. 9.I1'f �a-,�! lyd%dl _7 Fax Number: Agent: �l t or k WDO )6 "1, C Phone Number: yf!z 2 Z • ��f� Address: 0d & ( Civ,-t J'01A 1 Fax Number: l�U] J' ?0 , QJ� F] Jzy y Downtown Commercial Historic District: ❑ Residential Historic District: ❑ This application is filed in response to a notice.from the Code Enforcement Department 1 certify that all. information contained in this application is true and accurate to the best of my knowledge' / Applicant: d i'/G 0/ / /r �(% JiJ Owner: �7U1� �%� ��Isc �a/ cLt--/ Date: / - 1 JJ Date: �)� -0y 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. 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 �v� Approved with Conditions Denied Conditions: Signed: ajj]�14CC Date: EVSHA_ENGHstoric Preservation Board\# Certi fi cate of Appropriateness.doc