HomeMy WebLinkAbout1015 S Elm Ave (3)CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 ® www.sanfordfl.gov/HP
THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO: DATE ISSUED:
Adam Allen January 17, 2018
for
1015 S. Elm Avenue DATE EXPIRES:
Sanford, FL 32771 June 18, 2018
BP# 18-468
Approved to construct wood 10'x12' shed per the designs reflected in drawings dated
January 16, 2018 and revised January 31, 2018. A separate CofA is required for the door
design.
Christine Dalton, AICP
Historic Preservation Officer/Community Planner
Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from
the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of
Appropriateness does not constitute final development approval. The applicant is responsible for obtaining
all necessary permits and approvals from applicable departments before initiating development.
IS A BUILDING PERMIT REQUIRED FO HE ITY LISTED ABOVE? DYES ❑ NO
Building Department Representative ,
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APPLICATION #
FOR A CERTIFICATE OF APPOPRIATENESS ^--_t._._»_...`.„
Answer all the questions on this form and submit all required attachments. Incomplete applications will not
be reviewed. If you have questions about application requirements contact the Historic Preservation Officer
at 407.688.5145 to ensure your application is complete.
General Information �y
Downtown Commercial Historic District[] Residential Historic District l"I Is this a retroactive request? Yes[:] Nop/
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes[] No®
Proposed improvements will affect the following elevations: North ❑ ��11South ❑ East ❑ West ❑
Property Address: 42/5' cj C/,„ -ve �n� A 3.L77/
Property Owner Information
Print Name:
Mailing Addr
Phone: 407
-
Applicant/Agent Information A Print Name: oun .
Mailing Address: _ 10 ig" $ Z"A" r Sa-1&rCJ a 3A 55 /
Phone: _407430 54/o Email: AIAamAa&A6Jcwno.:/. Coy.•• Signature:
BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE
OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF
A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP
WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO
ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO
THE BEST OF YOUR KNOWLEDGE.
hereby understand and agree to the above statements and will pay all city fees related to this application as
required by the city'sadopted Fee Resolution. ! /
Signature: _ .04e Date:
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Description of proposed work
Completely describe the entire scope of work, including changes in material and color, and methods that will be used to
accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary.
HISTORIC PRESERVATION BOARD • 300 N. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP
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