HomeMy WebLinkAbout309 W 9 St; 17-2204; AC & NEW DUCTCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / /-- &A a
Documented Construction Value: ti
Job Address: ')O cl , , Q ; „, A Historic District: Yes No
Parcel ID: Residential 0 Commercial
Type of Work: NewEl Addition 1 Alteration Repair Demo Change of Use Move Description
of Work: Plan
Revicw Contact Person: _ta.t \, Title: Q Phone:
3311-?-I-2b Fay:..19g5 Email: ; , , Y1,lo Ser ;cc czv.a Property
Owner Information Name
v ra %o\:nos Phone: Street:
Resident of property? ; o City,
State Zip: Contractor
Information Name
Phone: S\3- 33tA---7 ` -M Street: `-
l-S\o . `.,., 9'; Fax: City,
State Zip: 72tt 1, S7 (_t b State License No.: -t Architect/
Engineer Information Name:
Street:
City, $
t, Zip: Phone:
Fax:
E-
mail: Bonding
Company: Mortgage Lender: Address:
Address: WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEtiNIENTS 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 in-sta llation has commenced
prior to the issuance of a pen -nit 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,
boilcrs,,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: 'h Edition {2014} Florida Building Code Revised:
June 30. 2015 Permit Application
NOTICE; in addition to the reclu reinents of this, permit, there may be additional restrictions applicable to this property that may be
idttnd in the public.:, records of this county, and therei-nay 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 requirements of Florida lien Law, FS 713.
The City of'Sanford requires paytnent of plan review fee at the timeof permit -submittal. A copy ot'the executed contract is tequired
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 clone in compliance with all applicable laws regulating construction and zoning.
Signature of OwncrtAgent Date.
PrintCjwncr/Aecnt's Name.
Sig iaqure bf Notar.-State of Florida Date
Owner/Agent is Personally Known to ale or
Produced I D "Type of 1 D
Signature of Contractor/Agent Date
Print ContractortAaenr's Name
Signature ofNotary=State of Florida Date
Christine K. Walker
NOTARY PUBLIC
lv; STATE OF FLORIDAComm# GG048439NIEteExpires
11/16/2020 Contractor/
agent is Personally Known to Me or Produced
ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing[] Gas Roof E] Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: , &-)79r UTILITIES: ENGINEERING:
Ise
COMMENTS:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUiL.
DING: SP- Revised:
June 30. 101 i Pemit Application
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:
Mark Wysong
for
309 W. 91h Street
Sanford, FL 32771
BP#17-2229
DATE ISSUED:
July 20, 2017
DATE EXPIRES:
January 20, 2018
Approved to replace AC unit, adjacent to east elevation and screened from view by wood
privacy fence; installation of security lights in area depicted on Figure 1.
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?ES NO
Building Department Representative
0R11 797W'--Q44
APPLICATION # ,
FOR A CERTIFICATE OF APPROPRIATENESS
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
407.688.5146 to ensure your application is complete. .
General Information
Downtown Commercial Historic DistrictQ Residential Historic DistriCE—Is this a retroactive request? Yes[] NOD
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes No
Proposed improvements will affect t f Ilowi g elevations: North South East West El
Property Address& - - /N/
Property Owner Information
Print Name:
Mailing
W
Addres/s://'' . S Z `
Phonet;KW•-IPZSEmail: Si
Print Name:
Mailing Address: toe-L4'
BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE QUIRED FOR THE
3COPE OF WORK LISTED BELOW. YOl1 ,MUST CONTACT THE BUILDING DEPARTMENT TO
3ETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL
1ESULT IN A STOP WORK ORDER, DOUBLE,,.PERMIT FEES, AND POTENTIAL FINES. BY SIGNING
3ELOW, YOU ALP. CKNOWLEDGE AT THE INFORMATION CONTAINED IN THIS APPLICATION IS
TRUE AND AC RA E TO
XTHEX
OF YOUR KNOWLEDGE.
Signature: Date.—,,;,
Would you like recei a email' regarding Historic Preservation and Community Planning within your community?
escription of prop d work
ompletely describe the entire scope of work, including changes in material and color, and methods that will be used to
ccomplish the proposed w,prk. For. large projects an itemized list is required. Use the reverse side if necessary.
ISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP
APPLICATION # rl (VcTu 1
FOR A CERTIFICATE OF APPOPRIATENESS
Supplemental Information - Please use the space below to provide additional details regarding proposed work.
Description of proposed work (continued from previous page):
ONLY WORK SPECIFICALLY INDICATED ABOVE IS PERMITTED. ANY CHANGES
TO THE BUILDING NOT LISTED ABOVE ARE NOT PERMITTED AND REQUIRE AN
ADDITIONAL CERTIFICATE OF APPROPRIATENESS.
Site.Details
Please use the space below to illustrate site details.
a
iISTORIC PRESERVATION BOARD - 300 S. Park Avenue - Sanford, Florida 32771-407.688.5145 - www.sanfordfl.gov/HP
RECORD COPY
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1021 E. Adamo Dr. #89634
Tampa. FL .33689
Email: n.h.q.2000@gmail.com
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