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HomeMy WebLinkAbout219 W 12 St - M17-000283 - HVAC & Duct WorkIVE CITY OF SANFORDJAN302017BUILDING & FIRE PREVENTION i3y. e PERMIT APPLICATION Application No - Documented Construction Value: $ Job Address: Historic District: Yes El NoEl Parcel ID: ResidentialEl CommercialEl Type ofWork: NewD Addition D'Alteration El RepairEl Denro[] Change ofUse E] MoveEl Description of Work: chIK4'l — "' %4 _ /e C11 -------- Plan Review Contact Person: Phone: Fax: Email: Property Owner Information Name Phone: Street: % Resident of property? City, State ZIP:.;',, ...... Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Arch itect/E ng ineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Knumm Mortgage Lender: 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 issu2xce of a permit an4 that all work, will be peribrated 1:6zaeet standards if 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 data 5"' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be addiiioral 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 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. in omer to calcunac a pian 77,71711 criarge ano-Mui OF consluereu tire estimatco construction Mitic or tire jorr 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 7 Signature of Contractor/Agent Date Print Contractor/Agent's Narne 13011-7 Signature of Notary -State of Florida Date Signatu a 01 ANNETTE BLAND 2, Notary Public - $14% of Florida Commissloit 0 QG M623 My Comm. Expires JAR 16, 2016 Owner/Agent is — Personally Known to Me or Contractor/Agent is — Personally Known to Me or Produced ID Type of ID Produced ID _ Type of ID 13ELOW IS FOR OFFICE USE ONLY Permits Required: Building D Electrical D Mechanical [] Plumbing E] Gas [] RoofE] Construction Type: Occupancy Use: Flood Zone: MM Total Sq Fit of Bldg: in. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes El No of Heads —_ Fire Alarm Permit: Yes [:] NOE] APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: COMMENTS: BUILDING:3 Revised: June 30,2015 Permit Application Steve Richards"Air Conditioning & Heating, Inc. Residential & Commercial 11 1 South Oak Avenue Sanford, 3 771 STATEI ' I L.I#CAC043962 PH 407-463-6764 EMAIL srichardsair@yahoo.com i PROPOSAL SUBMITTED TO PHONE DATE JOB NAME CITY, STATE and ZIP ARCHITECT We hereby submit s JOB PHONE wr _ # p rn N r 5 for. and labor ---® complete and accordance with above specifications for the sum of; Do tars ( " Payment to be made as follows: All material is guaranteed to be a specified. All work to be completed in a Authorized workmanlike manner according to standard practices. Any alteration or deviation SignaturefromabovespecificationsinvolvingextracostswillbeexecutedonlyuponwrittenSig - F , orders and will become an extra charge over and above the estimate. All note: This proposal mayzIbe days. agreements contingent upon strikes, accidents or delays beyond our control, withdrawn by us if not accepted within Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation. Insurance. Acceptance of Proposal -- The above prices, specifications and conditions rt are satisfactory and are hereby accepted. You are authorized to do the work as 'Signature specified. Payment will be made as outlinedlabove, SignatureDateofAcceptance: n '' s ' o ar cal Ps ResidentialSteveRichards' Air Conditioning & Heating, Inc. Commercial I 101 South, Oak Avenue Sanford, FL 32771 STATE CERTIFIED FL t . EMAILPH407-463-6764 r . PROPOSAL SUBMITTED TO PH E DATE STREETJOB NAME CITY, STATE and ZIP CODE JOB LOCATION ARCHiTECT DATE OF PLANS JOB PWO-NE--- We hereby submit specifications and estimates for: We Propose hereby to furnish material and labor complete and accordance with above specifications for the sum of Dollars f Payment to be made as follows: All material is guaranteed to be a specifled. All work to be completed in a Authorized workmanlikemanneraccordingtostandardpractices. Any alteration or deviat" Signature fromabovespecificationsinvolvingiswilleledonlyuponwrittenNOW This proponl my be orders, and will become an extra charge over and above the estimate. All m4ftram by us rr not accepted V41thin days, agreementscontingentuponstrikes, accidents or delays beyond our control. Owner to carry fire, tornado andother necessary insurance, Out workers are fully covered by Workman' s pensation Insurance, e rt c cs Proposal The above noes specifications pand ' conditions pare satisfactory and are hereby aepted. You are authorized to do the work as Signature spectged, Payment will be made as outfined above. Date of Acceptance- Signature tm JAN 3 20117 Ills3 NCE 4 DATE AWQB, A ER ?r. ",3U-Kt- .'' s tee. E CONSTRUED :. ; ' E OT ASLICENSE: ' 0 PROCEED WITH THE WORK AND N ASIDE ANY OF THE PROVISIONS OF THE -;:CHNrA' CODES, ) ,>SALISSUANCE JIT THEE BUILDINGOFF0AL FROIM THEREAFTER REQUIRING A CORRECTION OF ERRORSIN PLANS, ON" T IRI ` N ;:3r VIOLANS OF THIS CODE j r R - pF RJ4IrIT t . o anv wol'or outs h'$4 ,.-" e3 s„`i'. g Imo=i. 'n.vt..., IMST03 RIC PERA111'r All work naust be done in strict acc "m "evvith'th", Ap0,r0VC`,d CCTI.ificatc of ApprqMmteness Building d , cxm not approve 341Y Waik ("maside this ixi-1877— tlennhAp ., plicant is SkIley res; sible nr cotnphance CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD ry 300 S. Park Avenue Sanford, Florida 32771 407.688.5145,o www.sanfLo- 0 ISSUED TO: Steve Richards for 217 & 219 W. 12 1h Street Sanford, FL 32771 Install A/C units on south elevation adjacent to alley, within property line. its must be screened from view with landscaping or framed wood lattice. 6'V Christine Dalton, AICP 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 FQ T -A71VITY LISTED ABOVE? k1 YES 0 NOPE Building Department presentative k 1 0 aW*" HISTOIRIC PE&VIT AH vku'%rk" akust to done in sttict accordaknee with theAim Ae- V. fAAppveen, caw o ppropriateness fluilding dots not apprcwc any work outside ffiissc:ope, JJCWRX "C Sm ley 78P07MTW compnimace 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 407.688.5145 to ensure your application is complete. General Information Downtown Commercial Historic District[] Residential Historic DistrictlIs this a retroactive request? Yes[] Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes[J No[TW I Proposed improvements will affect the following elevations: North South East rLJ West El Property Address, '211 Print Name L4= Applicant/ Agent Information Print Name: MOM I e MailingAddress- // by Phone: Email: 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 YO, R KNOWLEDGE. 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. M Emil 1 01111011 APPLICATION# / /, FOR A CERTIFICATE OF APPOPRIATENESS Will Ill Ill lill l IMST(MIC 1"OE"'RAfff AH am"k, nilmst ble Building dcws not approve any work ouW'de this scopc FA U U k 9 L01 z r-41 Wol 4 A mfflqM!! Please use the space below to illustrate site details. IIH1111 1161 1, 1111 1M Mifil iI