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Home My WebLink About1101 S Park AveJob Address: / /0 / CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION MAR 0 7 2015 � Application No: Documented Construction Value: $ S ?G'e,Q� Historic District: Yes ❑ No ❑ Parcel ID: S-- I y - 30 - SAG -1303 --CAD G d Residential Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration W Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: ._,P_' 41'T"- e ("5-64 f e-%rCg'1 Cg 1 ,Dar& 1 Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name &5J L m ur 11r Phone: CIO Street: A o .,P Jo •, R011 Resident of property? : V0 City, State Zip: L'►�� ., , `�'L 3 a 7'.U� Contractor Information Name t rrf1S Phone: L/� 7 �! 7 - D9 ! ? Street: S l J rho K ry, A.r Fax: City, State Zip: Poe, az 3 -_w State License No.: z1_ 2 c)D, s' L/ Name: Street: City,. St, Zip: Bonding Company: Address: Arch itectlEngineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 511, Edition (2014) Florida Building Code Revised: June30,2015 ' J�� I ��, f�N1 Permit Application (/ , , e�f 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 *ateL. management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID atur ntractor/Agent Date Prin ntractor/Agent's e .. Signature of Notary -State of Florida Date " ANNETTE M BLAND a� V'6F'•, r� s Notary Public — Staie of Florica Commissior = GG ' 7C9CC tity Comm. Expires Jar '�o. 2C22 `9�cc �� '•` BCrCCC T�r"�C� tid cra ti�:B' ASS" Contractor/pill o Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Flood Zone: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZON 4ih -� UTILITIES: ENGINEERING: COMMENTS: L 11' Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application CITY . u ®' y Sk�40RD SI. 18 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: Steele Mycroft for 1101 S. Park Avenue Sanford, FL 32771 DATE ISSUED: March 07, 2018 DATE EXPIRES: September 08, 2018 BP# 18-1228 Approved to remove existing electrical panel and replace with new in same location. 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 FOR THE ACTIVITY LISTED ABOVE?ESL] NO Building Department Representative rnFORp 5 A V ® ?CITY OF SXNFORD FLORIDA APPLICATION It i q— 1 2-Z<2 FOR A CERTIFICATE OF APPOPRIATENESS 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 407.688.6146 to ensure your application is complete. General Information Downtown Commercial Historic District[] Residential Historic District Is this a retroactive request? Yes❑ No❑ Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yell Nom Proposed.,improvements will.affect the following. elevations: North ❑ South ❑ East WestJ. ❑ Property Address: L 1 C-) St I � Co<</ Property Owne Information Print Name. / ] h " 1 & Mailing Address: _ i/G/ Phone: 1/0�-&3i&?$7 Email: Applicant/Agent Information ✓'� Print Name: Rr-dc , Signature: Mailing Address: S �� Pb, 14, e WiFe- 3a7,7 4 Phone: Yo7-617-004+� Email: 5,1relcf!n e.e4:'2p fro •►„�, 1 . co sy 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's ado ted Fee Resolution. % J Signature: Date: ❑ Would you like to receive emails regarding Historic Preservation and Community Planning within your community? 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. �cpl��P-��sfi�� cl.��--��•�/ ��.�1 U-% Stine HISTORIC PRESERVATION BOARD • 300 N. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP