The URL can be used to link to this page

Home My WebLink About409 W 3 StPermit # �" Job Address: /� ! 1lf1, c Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION Date: Zoning: Value of Work: S 2 w Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole _ Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial _ Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) �49 Phone & Fax: Contact Person: Phone: Bonding Company: w Address: Mortgage Lender: Address: 0( 4VA Architect/Engineer: Phone: Address: Fax: 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. 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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 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 lorida Lien Law, FS 71_3. Signature of Owner/Agent Date i�rc-oontractor/Agent Date <..e g Print Owner/Agent's Name Prin�ntrator/ent'sName % I /A Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or ContractE�1!_i ss° Pet�onaal9�y o�d�to Kiev r Produced [D ProMY '30113 iSS'ON # DD 18491 n ` EY,PES":5: Eebrua— ray 2 2I3�7 3-P:OTAR'! FL p.!n,erl Discount Assoc CoAPPLICATION APPROVED BY: Bid Zoning:s� (Initia & Date, (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Box 1788, Sanford, FL 32772-1788 Phone: 407 330-5672 Fax: 407 330-5679 TO: THE HISTORIC PRESERVATION BOARD OF THCITY OF SANFORD, FLORIDA 0 Downtown Commercial Historic District esidential Historic District ❑ This application is filed in response to a notice from the Code Enforcement Department ADDRESS OF PROPERTY: Property Owner Signature: 1'rtt Name: Mailing Address: /47 Phone: yo l Fax: Applicant/Agent Signature: Mailing Address: Phone: Fax: I certify that all information ntained in this application is true and accurate to the best of my kpwledQe. Applicant/Owner:Date: 7 ;r Please use the attached crite ' checklist as a guide to completing the application. Incomplete applications cannot be reviewed and will be re ed to you for more information. You are encouraged to contact the preservation planner at 407-330-5672 to make sure your application is complete. Description of Proposed Work/Application Category: (Check all that apply) ❑ Site Improvements/driveway/walkway ❑ Storage shed ❑ Moving structures ❑ Replacement windows or doors ❑ Underskirting - ❑ Awnings ❑N.�w construction/additions C3Signs ElDemolition kloofs/gutters/downspouts ❑ AC/Mechanical ❑ Fences/Gates/Pergolas ❑ Replacement siding/flooring/porch ❑ Paint ❑ Other Completely describe the entire scope of work: all changes in material, color or location to the exterior of the building, where on the property the work will occur and how the work will be accomplished. For large projects, an itemized list is recommend . Attach add' Tonal ages ifnecessary. _ A Certificate of Appropriateness is valid for six months unless otherwise noted Historic Preservation Board Meeting Date: Application is Approved Conditions: Signed: OFFICIAL USE ONLY Approved with Conditions Staff Review Date: Denied Date: 7 - k !S - ***This Certificate must be prominently displayed on the building when work is in progress*** FASHA ENGTistoric Preservation Board\C of A Application.doc Workmans Comp ' 1101 East 1" Street Checked: Sanford, FI 32771 SEMINOLE COUNTY Phone: 407.665.7050 1:1.0111llA'S NATURAL C1101CF Fax: 407.665.7486 SEMINOLE COUNTY RESIDENTIAL PERMIT APPLICATION Job Street Address: D 1 Date: ZZ 1- D S City: I Zi 32 7 7 Parcel ID: d, 5 --/s tr/ 3S / s Directions to Job Site: 17.-yPA Y -o Owner Name: Address: 7 CitySt/zip: S Z 76 Phone: — Fax: Y o 15t — 13 S Contact Person:� .e. -J Da Phone: O -- Contractor: Address: 4'd W AfIrl City/St/zip Phone:Fax: Lic. Holder Name: I State Re ./Cert#: `Attach Proof of Ownership: Tax Record from Seminole Co. Property Appraiser's Office Tax Receipt or Deed etc. Parcel ID: '(W 3�c✓ Plat Book: / I P e s : sl Z Subdivision Name: -- DESCRIPTION OF WORK Valuation of Work (Estimate): $ &4" o� . Total Square Footage: Total HVAC/Living Space Square Footage: Will trees be removed? Yes I No If yes, complete an Arbor Permit Utilities Septic Tank Well Public Water v1 ublic Sewer Existing Well Utility Letter Include Utility Letter From Appropriate A enc SUBCONTRACTORS Business Name License # Reg/Cert Card Holder's Name Electrical Mechanical Plumbing Roofing Low Voltage Low Voltage Gas Irrigation Other NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS COMMENCED. I hereby certify that I have read and examined this application and know the same to be true and correct. All Provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority or violate or cancel the provisions of any other state or local law regulating construction or the permanence or construction. The valuation for this permit will be calculated using the SBCC/ Building Valuation Data using the Good category. By my signature, I acknowledge this fact and waive any rights to appeal said valuation and or permit fees I hereby certify that at the time of the application and issuance of the above permit, all necessary Workmen's Compensation Insurance required by the State of Florida has been obtained to effect the proper protection of those workers under my employ. Signature of Contractor: Date: Signa ref Owner: Date:2�111' 7 //r05 7-1q,05