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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 40 0/ q U S/A Ila 6.tA y lo P 1 V 10 e4 PTdab I/ I0, PA C# 1'- 2 2 0 4 ING col v f CRIPTION fy ` gym N.H.Q. AIR d " r. SUB -CONTRACTOR Specializing in Central Heat and Air r,,.-: •°`'" j Contact: Shea Phone: (813)476-8382 1021 E. Adamo Dr. #89634 Tampa. FL .33689 Email: n.h.q.2000@gmail.com DATE / c`a . o l 17 II 7' l 0- UP TSB 1 NAME-/' J J n DATE SCHEDULED ADDRESS Q PHONE Y STATE ZIP J WORK PHONE j oaw Existing a/h model# Existing a/h serial # Existing condenser model # Existing condenser serial # i i New a/h model # New a/h serial # j ii New condenser model # N ew condenser serial # i I i GUST ME X i fn T HNICIAN X DATE 1x SUB- TOTAL FPL REBATE I TRIP CHARGE TAX I I Balance Owed j TOta"1 ARIOUn DUe r