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.
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