HomeMy WebLinkAbout1108 Palmetto AveRECEIVED
Nov 0 4 20
T CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: " lD I Documented Construction Value: $ I , 300. 00
Job Address: H+& -a Y11 e Ave.CG MuT d 32771 historic District: Yes No
Parcel ID: A6 - III 3n - 5AC - 06022 - QO 28 Zoning: S h A
Description of Work: In4,11 OPT Sides of`•cxi Slur porch W41k ajotwil dw ecreen ehC)O$
Plan Review Contact Person: PAaru Ua 6.f''L 0 C 105jr- A°' 0 SiVdtiTitle:
Phone: ` 0j - 31+ 6q 31 Fax: E-mail: YKeVc,,,[ bellso o _-w
Property Owner Information
Name _ &N114061d ?a9IrV7A j Shirt V1 Phone: LItO?' 523. 53 9 Z
Street: _ I 1744 yoe.'f "t"0 Resident of property? : Ye3
City, State Zip: _ 54KtWp( 32'7-7 J
Contractor Information
Name OW heY- DV )Atr Phone:
Street:
City, State Zip:
Fax:
State License No.:
Architect/Engineer Information
Name: $YJOA M0 Ye1', M_ 0-C PNGI nt9VIi Phone: A00
Street: 1666 E. 1y%jV*isl Driyq.Svitt W Fax: 3S b 77y - b6 43
City, St, Zip: Q ro-N a Ci }i 1=L 377423 E-mail: VKQ 14 G-' (_ /G. 0 O • ro e,
Bonding Company:
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit , Existfiry Pb(ci+)
Square Footage: 12$ 5 F Construction Type: 2:D No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical
New Service - No. of AMPS:
Mechanical (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
d0
U re
a
ki
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, po66, furnaces, boil ers, beaters, tanks, and.
air conditioners; etc.
OWNER'S AFFIIDAVIT: 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. 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.
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 Florida
Lien Law, FS 713.
T
calculate a plan review charge.
of a plan review fee. A copy of the executed contract is required in orderTheCityofSanfordrequiresa
p ge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceedthe documented construction
value when the executed contract is submitted, credit will be applied 'to your permit fees when the permit
is released. A Date
V
f
Printner/
Agent's Name Signature
of Notary to of da Date Signature
of Contractor/Agent Date Print
Contractor/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is Personally Known o Me or Contractor/Agent is Personally Known to Me or Produced
ID Type of ID f Produced ID Type of ID Lpiit
Td9iii J•V APPROVALSZ;, / UTILITIES: WASTE WATER: 0 NG:
FIRE: BUILDING: /i 0 COMMENTS: VOTARY
Rev
11.
08
OWNER BUILDEk STATEMENTIAFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISIONTO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
2
I understand that building permits are not required to be signed by a property owner unless, he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on "a permit. I understand that I
may, protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a, contractor is required by law to beV&
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
C
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my .contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. 1, as an owner -builder, may be held liable and subjected to serious financial risk for any
sustained by an,unlicensed person or his or her employees while working on my property. Myjpinjurieshomeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under" the Federal Insurance Contributions Act (FICA) and must provide- workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
I agree that, as the party legally and finaticially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
7
I am of aware of construction practices and I have access to the Florida Building Codes.
I understandthat I may obtain more information regarding my obligations as an employer, from the Internal Revenue
Service, the United States Small Business Administration;;. the Florida Department of Financial Services,
and .the Florida Department of Revenue. I also understand that I may, contact the Florida Construction
Industry Licensing.Board at 1-850-487-1395 or at www.mynori.da.com/dbpr/pro/cilb/ for more
information about licensed contractors. I
am aware of, and consent. to, an owner -builder building permit applied for in my name and understand that
I am the party legally' and financially responsible for the proposed construction activity at the address listed
below. J
agree to notify the, building department immediately of any additions, deletions, orrchanges to, any of the hn
information that have provided on this disclosure or in the permit application package. Licensed
contractors are regulated by laws designed to protect the public. If you contract with aperson who
does not have a license, the Construction Industry Licensing Board, the Department of Business and, Professional
Regulation and the building department may be unable to assist you with any `.financial loss that
you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil "
court. It is also' important for you to understand that, if an unlicensed contractor of employee of an individual
or firm is injured while working on your property, you may be held liable for damages., If you obtain
an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying, whether
the contractor is property licensed and the status of the contractor's workers' compensation coverage.
Property
Address: 1 0% — r —ro . V • 3"CDUt- b \k h
do hereby state that 1-'am qualified and
capable ,of performing the requested construction involved with the permit application filed and agree to the co `
itions specified 90ove. Signature
of iti -uild Date Form;
of Identification Must
be Photo ID) A
violation of this exemption is a misdemeanor of the first degree punishable by a'term of imprisonment not
exceeding 1 year and a $1,000A0 fine in addition to any civil penalties.","In, `addition, the local permitting
jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for
unlicensed activityagainst -the owner and any person performing work that requires licensure under the
permit issued. a
Rev.
9.14.2009
JESSE CREWS CONSTRUCTION INC.
WINTER SPRINGS, FL. 32708
407-430-3968
Invoice No.
INVOICE
Customer Misc
Name SHREVE Date 06/26/07
Address 11 08S. PALMETTO AVE Order No. City
SANFORD State FL _ ZIP Rep Phone
FOB I QY--
1 Description Unit Price TOTAL 1
INSTALLATION OF NEW SCREEN ROOM APPROX. 13 X 9 WITH $1,300.00 i $ 1,300.00 ONE
36 IN. DOOR I Payment
Comments
Name _
CC #
Expires
SubTotal $
1,300. Shipping
j $ - Tax
Rate(s) TOTAL $
1,300.00 THANK
YOU I
a I I a8 f&IVVCffb Ave.
Chapter 2 - SCREEN ROOMS
1 " 'X 2" OB ® PERIMETER
i
4 _
Lli
z 1" X 1" X 1/16" ANGLES 2" LONG WITH 2—#8 X 1/2"
L LONG S.M.S. AT EACH LEG TYPICAL EACH SIDE, TOP
V); & BOTTOM)
HOST. STRUCTURE " a °a °
4ELEMENTSa o4 ° a
a .d
v
a
a
d b A
a
a Q
CONNECTION WITH EXPOSED FASTENERS
u— 1" X 2" OB ® PERIMETER
REFER TO NOTE #1 — THIS SHEET
2— # 10 S.M.S. FROM INSIDE FACE OF 1 X 2
vOB INTO SCREW SPLINES OF 1 X 2 OB (1"
EMBEDMENT MINIMUM.)
Q Ln
w REFER TO NOTE #1 — THIS SHEET
en
O
2 Gi
a ° . d
HOST .STRUCTURE °d °
FLEMEN.TS a .
a
a .d
d °
a d <
a Q
CONNECTION WITH CONCEALED FASTENERS
PARTIAL ELEVATIONS / 1" X 2" TO 1" X 2" CONNECTIONSJRNMOLYETENGINEW1060EASTINDUSTRIA
ORANGE CITYPE0415CERT. OF
AUTRAAFGuidetoAluminumConstructioninHighWindAreasPage2
r~ ~ SCREEN ' r"==' °- o^--" ,^^ov,o
LOADS .APPUED TO THERDOF PANELS AND ROOF SUPPORT BEAMS D PO
THE SHAPE OF THE ROOM AND ITS ATTACHMENT TO ADJACENT SOLID 'WALLS.
YPE.1ROOF |PANEL -AND -BEAM SPAN TABLES ARE -TYPICAL AND -CAN 'BE 'APPLIED TO
ANY SHAPE E||S DEFINED AS "PARTIALLY ENCLOSED" WITH A GCpi OF 0.
55)``TYPE U SPAN TABLES CAN BE APPLIED |F, AND ONLY /F THE ROOM /S' EITHER
FREE—STANDING ATTACHED TO OR, IS ATTACHED ON ONE SIDE
ONLY AND THE LENGTH OF THE ROOM DOES -NOT EXCEED THETABLULAR VALUE IN
TABLE 200 BELOW. TYPE U IS DEFINED BY THE FBC AS"ENCLOSED" WITH GCoi
0 8AND REMAINING COMPONENTS WERE DESIGNED WITH PRESSURES IN TABLE
2002.4` FBC. ' ROOM EXAMPLE SHAPE
1 BOUNDED ON MORE
THAN ONE SIDE BY HOST, MAY
NOT BE TYPE U) SCREEN ROOM O| | |
L-
Leng
ROOMEXAMPLE
SHAPE
2
BOUNDED ON ONE SIDE
BY MOS|, MAY BE TYPE
U) Screen Room SHAPE TABLE
Table 200 This table applies only
to rooms attached to host on'one side only) TABULAR VALUES ARE MAAMUM
LENGTHS (in feet) FOR TYPE 11 Mean Ro6f Height (in
feet) How10use this table: Find
p(in feet) and Mean Roof Rooms ~with ~lengths "less than
y0 un~vr ov uoa s7ypeU vth e -----'— '
tablua'\slue e\emate structure as '
rype[ ORANGE, CITY, FL 32763 PEo*/ov9 CERT, OF AQT 11#
00009855 .
H'06PALIVIETTO AVE., 5ANFORD, FLORIDA DESIGN STATEMENT
THIS STRUCTURE
HAS BEEN DESIGNED IN ACCORDANCE WITH
THE FLORIDA BUILDING CODE - RESIDENTIAL,
2007 EDITION WITH 2009 SUPPLEMENTS
THE DESIGN
CRITERIA ARE AS FOLLOWS: BASIC WIND
SPEED (3 SEC. GUST): 120 MPH WIND IMPORTANCE
FACTOR: I BUILDING CATEGORY:
II WIND EXPOSURE:
B INTERNAL PRESSURE
COEFF.: 0. 18 COMPONENTS * CLADDING
DESIGN PRESSURE +
25.9 / 34.7 STRUCTURAL ENGINEER:
MOLYET ENGINEERING
LLC I OGO.
EAST INDUSTRIAL DRIVE, SUITE W ORANGE CITY,
FL 327G3 PH. 800-
399-455G; FAX 38G-774-G843 PE 041
509 CERT. OF
AUTH. #00009855 Classic 407-
324-9437 e S
I I'1 meval@bell5outh.net
g 1
300 MAGNOLIA AVE. Studio SANFORD,
FLORIDA 32771 AREA
CALCU
LATION5 NO ADDITIONS
OR CHANGES IN SQUARE FOOTAGE
OF EXISTING HOUSE; SCREENED
PANELS ENCLOSE EXISTING
OPEN PORCH, 128 SQUARE
FEET EXISTING BREEZEWAY
0
O
Ln
EXISTING
GARAGE
3
5'-
0" DRAWING INDEX
I COVER *
SITE PLAN 2 FLOOR
PLAN 3 EXTERIOR
ELEVATIONS 1 1
7-0" EXISTING HOUSE
DATE ISSUED
1 1-
1-10 PERMIT EXISTING PORCH
o
SCOPE
OF
WORK: SCREEN TWO WALLS OF
EXISTING PORCH LU Q
0
r-
LLJ
J
mkr
EX15TING
GLU-LAM BEAM
I " X 2" ALUMINUM
FRAME, ANCHOR TO
BEAM @ 24" O.C. MAX.
2" X 2" ALUMINUM
P05T OR I " X 2"
ALUM. PERIMETER
FRAMING (SEE
ELEVATIONS)
FIBERGLASS 5CREEN
2" X 2" SQUARE
ALUMINUM MID -RAIL,
ATTACH TO FRAMING
WITH I"X 111X 2"
ANGLE
I " X 2" ALUMINUM
FRAME, ANCHOR TO
SLAB @ 24" O.C. MAX.
EXISTING CONCRETE
SLAB/FOOTING
SECTION
SCALE: 3/4" = I '-0"
TTCICSSiC 407-324-9437 DATE:
Design 1 300 Magnolia Ave.
I I/I/10
Stud I O Sanford, Florida
32771
I . V y L" ' PANEL5, TYPICAL OF 2 WALLS
FLOOR PLAN
SCALE: 1 /2" = I '-0"
SCREENED PORCH
1 108 PALMETTO AVE., 5AN FORD
FLOOR PLAN
SECTION DETAIL
ji ShEET
2oF3
IV LVV VI\L LI V L.V V\J l/1\ `Y
PANELS AT EXISTING PORCH
WEST ELEVATION
IN LVV VI\LLLIVLV I MIVLLJ t"%I LA1-; 1 IIVV 1 VI\VI 1 SOUTH
ELEVATION II =
1 I1 11 = I 11 ' SCALE: 3/8 I -0 SCALE: 3/8 I -O 11
C
I C1 S S I C 407-324-9437 DATE: 1 H EET I /
I / I o SCREENED PORCH 5C.REEN ED PORCH Design
1300 Magnolia Ave. ELEVATI
StudioSanford, Plorida 1 108 PALMETTO AVE., 5AN FORD ON5 3 of 3 32771
t
k5,.1"$i>..,..s
1, a r r, sa >x a ': r ' • La.: r , k ,# n .Y..s1^ §
i„s..GkL'Ek S i,i ti, F', 2:2 f;C,tF4 id..;. 1A, rS 4P j1ta t 1:" 3', e',i i,r., .;Fty._ h np h ( rF a,S' i. f' F a] rt:,x'9 FFst'1#S! k"z 4 r r lylt I,Qr.i J.
m: x' P
p, 'M Uk ;: P.`"..c wa< >.a,5.rh '- o, ."6,;,- x4s - L z'^''ft C€,e- +i 4w}. 5x •a q, - CITY OF SANFO.RD HISTORIC PRESERVATION BOARDS
4i h d t ('! 4
APPLICATIONFOR-A CERTIFICATE OF#APPROPRIATENESS k `{ hJe'
b 4
14 "{.'y
N 'fi
p
a r nn
x." ',,.
t t#..N':.*k S EYa. '7""if Ai Z .-""-i ,tf§ }''§LM ,4' a '*,p%,! , G4 Y S }2 y''X%M1"t S k .:b i•ro-.:l h£ :k ,r' r?"b' 7+,
YT '" f^' : ,},,, ,`R . SytJ h '' h t #i ' 4%' J., ,rA, 1`.A r•s ey: ,ep z' f rt'::, +h Lf , •p,-.. rte}''.trt d rt:. t ,,`z Fii` xtl t,`a',t Y.Lq 1 k.S' ijf " i4•': 4
k 2:z, d
t_. PP x
i }. 4
v6 iitE3!'NgjG, K::s« iM'"E"'l S3^ ... i _.. Y`r 31i <r t ' O Box 1a788, Sanford, FL 32772'=1788 y, ,W` fo i'Ar A
i
x r,P
71 77 -_
t h n1.... ! `-`«p,. t f z'. w'L X,i{,Yq+,,ti° , -::`> ar .nz:, s ;.....,t p"4 < MrT $ •" 'i' !
t 1 7
II
y. '
nd r ,<; k- , , N f t'hone 407$688., Fax :407 688 5141 . r
fi x, r t+ t s 5 h ,,.r
Y "
k>x 'a 5 t . e , s
s
s.4?
i
i.
at,'{Y "zs,= t ,i`.?k y1, t., 4 3:It.. '3 y:"k `S :2', `yl. :' 5 j :.:-f\n 5' Y-t • ax t,, .. 2Z ,. ;J.1R- P,: _,....n s Y, ::.)er S .4c#'i.a' k' ," .
A`
Answer all.'the uestions on`this form and uired`attachments A:Incom lete, lications will not bePPP,
GJ : f \_..:.,
tsubmitv,all :re _a:
t ", ,h . q r" t , _ : -N Y 1 wf q 3 j rz 4 4 , I ; ; n :;
fi ->. u'.•y 5 '.. i:. 'F'9..,:w=x .«.' k.4• Z:.,.,... ,..h. 4„ r.e ,w't ......,,.w-:. ,2, .,, .... F :...l v: s.,o-.J} f..,.;.... _. .,5 ;+'X, •.s Yntx_ .y. m ..
ei , {Rrc.,...n. S ., S 4 y s #
reviewedI,;If ou;;,have.. uestions about=•a hcahon re uir,,ements contact the Historic Preservation ,Ofir, 6 4YqiPP9: : r.
s#L ,#ti. -,. 1 t _
a> #, F LL L } kr' .. .. J -p- rki d - .k 'SC+"1 y,'Y C.i h Z ,: = 'hn.:Ait i i N S" k •#f
407 688 5145 to ensure your application is completeA building permit may be requiiredvfor the actrv ty detailed
111,
11
below Please' contact the Buildm De artment atr407 688 51503r more information Failure to obtain a -building e
R:
k &'r
Y i?
y
Af. a *s•' i 11 -, -re1 4 ,.;;.24^ . $"'f 2A-`U'
g'
ia: ," S x;'; ,t, st r«S_,v a i.i L- "G ` Vie'` .+ .*`' x 41. _x t`+3 S+l):SV,'4h` ? n . ,. '
ik. -:,A {iy "$ ` ' S`{r`•' {' 8
k +#_`. ;" • ''{ h ' 9::'' k 5 N, t' „3„`T ° i v'. 'i Yv I.p'k ' ,,,_ fi . 11'r '6 :* ermit ma result m fines and/.or double ermit fees y
8'. f
y„1:` tP§jzYi
z rt>, P„$ek r
L
i ri r' fix§ ' s: + x.4 c,.? i S^ z 'G 't A ... ;,. T - .t-a ? ,, , N "- L' `
J._
c
t<`L} _ zc, xbf: i.4, ,_ L G ., r- 'X .- .4f S, 1
fi
x, >s3' ,. i i '
h+ Z' #Z (
S,
1 3 h.3.°TE. ST., 1 ., i. 11xGENERALINFORMATION -, s ;` + ` { '
Y,,
y .1 .;.t7k
f . ti " , , ,
W tt... Yf ;p :SX i2 v,..5., .k+ M+f ! YRI4 W f t Jt' ,. 4 `3 4;, kt 1 `I x I° ,G mt.P n$'d,4tL } { ,s :
b:k S 3 e \ t`. _3' A yJ l+..' g; *'
E4 4. # t t 3h fi c € «.
W ..,i d a'..r i3t% J;:L {S"v d i.+fbA P n H„7 ^., g h 1i :. . k <.,-I'd,.'a ,. ' a _' t„ i 4
ti': k rd ;, ,
al-.. cs ., :_.q E .eA"'"-ti`L' .r; ''
v`4': ..zuS i.. . Downtown Commercial Hlstorlc Dlstrlct K Residential Hlstonc Dlstnct .:YIs thls a retYroactivetrequest? r C FYes No
t: .
r.
3.. C"o-t $:.ah ,.. .•c ,N ... _
z,,, „" n,ae,, j :r4; i-_ .f'; .4 •7 r. :k'^ ` ,. Y:r '.t „fin i i ay i $ 4,i" ry. ;T$ i+ '.W>i _.?l , 1 t^S„` :Y',, Y`'(. 'i!'i'y' i-
Is thls a hcatlon filedt n res onse to Notice of UlolatLon, f om the Code Enforcement De arhment. G4 Yes ; No w 1 y Y. r
Txt5PP P
r.
y
W is .36 Y iPB' « 3 .
rtH-,'.
r7 '?
A
11 ., il l c ii Gjic /y
yv _W17/t , Property`Address 7,..x lYj l / r .. r s , aJ
S «, ,, : f : ".:.P
b ':., 4 "2 ,':.ti ' Si u,r } d -. "5`+- a ''„r^Y Y;#= cgat -a } r : g ,.,. 5• , • f.rv.. „ R '!;'x.:,'. ..:}ti,.•g _,::'Y.,.x #fi Y gg h °'.' , ,t-. t a .y. P.F4 :, S 2 ,.:+. fEr a? { y,.A- " "-rt„l„ i ??:. F. f rn Yi-e .`,' U" ,...: $ {s"5 «4..,)Y. , 4: ,. , e<'-,i A k,f ', .'4 :".S'.wvia' %s1;.' `xYt °a` ... ..xnS''.`..:,;.. i '1%.-. .,. uaS* k, ..'"Li L. ,u.£`4 d":,= 3 YL . '+.j,.. 11,, 4 t#., hk,',1 x E`. :. a k v . s;?:]c. t x. i. ' 1S i. > r i` tiJ1 t# ... tl, E:
Pro ert/,Owne 'I'nformation - . -, `,NU ., r
q 'S - ? p sy- 5 *r r 3 f t ia4i. f T,t#I R
l
3
J 4 -,. ,J H' :fv+ , L ,-L . yc` j ,. ,tw.. tip S rd §F:S iS # S si '_ t »
e^
y..
u 6f/. , 14 }` 5 'f; - Priri`tName OY ,: G i f 2 1t<- D at_ p4
r ,,
xh `2 a..V zY' i .:. (( ! A i i' t 1 # J. :-
yam. "''+i '' ,, " 7 ,lx r d yr
Malling ddress` .%C is r cck +'c c dl, i
Et $4 t
9 . ,t4
F ' d"R ii'4.' : " •'{`x.« Z ekzsAyi:'fil,.d%:fva { ` .,f ,.:''iir-p,+a,., 3e ..i RJ t$- `+,S t' fzf+ F'\• h fii6,.d'Sxs, ?y.2Li+Y'1'a k' P, 'Pdf .. #'ky t.4Y";
Y -k 1Y ..YY. R3iS' 7 t P,3' S 6 ,try }. &
d, ' J' dY.F t + ' "
a :f 1 L dPhone3 - v Fax "ate Email k
P ;: YE- S --". ', t o
A -; y l S j'' 4 1} x- k""
y: S # +w 4 -; y
SlgnatUre - t' t t _
a r
4,
w K
a '."i
KSa,{;`„
n,
4 h hi ll fi. YE F, n"d' 't3 t W4saii"'-' i ' . *!.' ? ; 'L" 'S
i,-n!:: -, n s tt, ,. - t:.y, !7: s +y .: S ,.r<` s t.'ti.ta :'v-::
t •ti` r > F. .,, •'+.
4'. "f-... ,.;"•,.,, t+ y; •`@ 4 ,? ` 'x N u+,t1ti?'"* 3 r'`'i ` ;x^l5.. ks L 1" E' k +'y dJ 4 T w`''+ ..a n 's1AIicant/A a :t info ` anon r,. . ; J; > i x k , ::' , k ,
X_
S'..: 'r ! "
n
t
kf ,`
i 4ds."`r'kk Y ,..j:, #3Sc 4'-;'"t<- ,,
u; !.. scsYg/,.. ,"t,:"yi `X -';r } "'}`#' y 1 rs 1eii-4 6 C:. ,7' r3
a }kH`%C
a rrk w r Ott a a.• 9 s r
i.t'F•'-
PrintName hH._. ,- _, . .: ^-
4
j'
v
a
Mailmg cldress ' /l) t R,/ai" ' e1 l J a ems,
i"` -:-{t 'EfyN,WM (t c` 1. F 5 ;` ' F .v'`i'.: as {
g x G ,.v. $ Y h' Y i` i 'Y;4 Y"E ,g 't"° :J .Y" _: x1t A 4 R
lFsF ' Eixlail Y3 ;,# `: 1Phone
S )a
J <
T 3a , t: t+x + .:
r ..
x + `k r 'z is ' 1 w :i 1'Y a s} a'' - »z,+,:': ,,., - _' ! t '« r -' *'E x r ; ih riv,..
Lc u ram-. s Nx s .1 YGr rS.Y a 4 ° :
Si aturergnu l '. Y 'Y- t i'i 2..,{ rf Y ,Y { " 4.'
t' ' .d.l* > J f-. i x },.
1s4'+,a
t pt"< w
K F. ,. , - Y - s / '+x '
x
r fi .,, xt i 4" •H,p 5.'-z ,.' "s -f h'-..,n x
rgT''• sn ^t = 3... ''.#,s.i Y: t F•.:u
r"rG ±-,.(,`., P4 ? i (A .t '3T'F ?" SF ^S "`z .. I
s ., -. s ,: . n'
i l = <
v .4 :, ;: , o- 'k ., : :.ew +ten :. - .:;. ' ' I certlfy that all Info atron.e t me thls1 IIc Is true andN:accurate to the best of'rn e a ` !". "
4
r .i.
f
4knowled
I , Y w,. ^ xp r Y g
y.t, ..,.1. ),,.».,.m u'+r..i., 3.:u `; h:
I r ixr, `i,"tt ;,I, :;.. .. L',q$,-.y d, r x , k*L , asai;?^ €'''' '+X v'lii ?,:i-,sy i 'L i':`4k;fs, „7. '.r;.r? Apphcantl0wner,Slgnature ri r
a
Gn # F r W
t t kfSF.
Y i: r," .,
lag
H'
k"
Sr'-t e, _. rE` ` 't y1Y i 3 .5, } +
x4 ;§. > ''
f. fx U -
T
ash=: . ., wWouldyouIlketoreceiveemallsdregdingHlstoncPreservatlonandGommunity4Plannmg5iny ur community
Y
E
rk s;5
3
k .fi fi, ' -:' y,. f?1' av ' - s:'1 s,, '. K , -' -4 'r.^ ' . a t x 7 !'SI A+ : i k 3 '< ', a s 6 .'X t<' u;"- { f Er
C , t, r:.,.zw era ,H`:? a' _? "' `t"`+>r riK9fhr J a .a K' 'tu.„ ay,{'k -' - te,r t''"'4 ``+st .'' - s& Ja`:Ya M `, i,. 3iYk,.d^n `rx rS
y
k',ur>krk
x .r' a,, t
a=TM' ...'.`s. ,"u}'ts'„'?, ..ztir Ut A: ,. -, 1R w . -. * s-"1..:,,, e :' dF'S,, c x r' 5*-j 'r' 6+%+h «. .
t .q tt .,+ .ya t 4 ' f l_ h" a't .`-~YP .. ', `. '' §3 ..= r"' .F.v V73F M "sT '.ax eE' {.._°'-.C'a 7 ,i:iPy ' 1 _ € ,.t "stt + x4'Sw'w •j- t'c. Y ,yt _., S+ 2.. y r :t - -E 1 t , , _,. . tx.: }' R,•° r '
M
S - 7 `..,1
r . i.. y2 y .xF < - ? a_, 4
2 APPLICATION CATEGORY(Check all that°apply). ' " z :
i- 2 q ry.. =. fY §' 'F}3.-F.. :. yi.-t r "L M ?+ S S S i E .€q V 5"C.,,, 1 s "` 5::
T } .e 1 ' - •'',;'#u
4 Pro osed.rirn roVements Will.'affect thei:foll6Wiii""'elevations -O. North:, 1 d h t" E 'W s 'M w
p p S ut ast e t
t 'r-+.d , 7 T iL : v ".,. , n'M _ YA SL"iih +YS N7" .,,, { A .,t5 ^t U-c L!ii ,' n .M'Fr,, si L, jui `' $ s4r` i •:;. , ¢=5 } rk'
i.+'U , v ,..... 5... :V-.i^x. ¢v,. ..Y .: ^< " r ,Y S 4.a:'.. ',IA,.. R! {N . 1, J3ei L4* _ iIi "M1i d ;3E
te ; ..r,r, .! <,,.:: - ,ti.,
4;
t Situ'Im roVernents/Dnvewa. /Walkv a ,} xk, 4 ,." z , p .. x,. y , Storage Shed Replacement Siding/Floor/Porch.' , tdc; fti" f ..-.
v'. r:. pt:F' Y '3 h,5a: .+.. a i, F Y .Y s & G X :.i 4 z .., 5'C. 'e }#.,. "tT # 1 :: "
t i, ro ' Y"Yt
y <
i
iJr0' Replacetment Windows or Doors fi . a Underskirting ', Signs"/Awnings,= fix t.*
l'
t.. isr 5-
k"L i '
t
r J ..<': - ..f' }''_., c 4 ', a !.
lNewConstructionlAddiwhsfi #, s '
d ''
4 ,: " , ;,
I
x Paint <Fences/Gates/Per olas t '
k. 3. .ax3
w :: ; . >
Y' ,.x`
kF,,«,.. , q1 .... '; as 7 .4 sv f a rH. ? ...., TY E=, w J '+ .:{., i M r,3'F cC x 3 Yn` _i m.S`:: l1'. .,-. Gv y +f;3 u_,, ',L ., `A y f t'3 .'?„i f t y
Roofs/Gutters/Do n _ s +_ t w spouts /C/Mechanical , 1 '
t'd }
p.
ti
M :.:'"'
y; E p Othbe, E ,€r, . ,It
h. q. {5i rfTf',s •3.i ''i p h& a 3 „iat" 'A ., ,,, .k''"i£ _..:-i 2 ' ,i %a ,{' i at, f t!i L i#`Y' '„' °'k i iTMr" 1 SS ? '"y' 5C ` `
4 A t`
tk.i
i+.'M.k ' .
t f rs. :"_ .c-b'.. 2.,,.m^u,+;.. t t,, o^Z .. .,..`..yL;'} N.. ,T , -, a-t" try «f -zt-iz rS'y' ;, ? t''e i^ff".yt'._ .`#.,.;:}t•
C3DESCRIPTIONOFPROPOSEDWORK
r:
nli .fik::
f y r'46':,'i.+s .<v.it %. J':x. 4 .1 'x'p' s -:K 't-d },'' gip.%bk .: €:, 1 'tY.. r..,.'.-Sxrvp' S. ;.p G n 14 ,'...w'--' -
F '
f = h xE rk „`y 1 fit"°'
z <.. : . a,..,:KCompl-, ,aescrioe the entiresco a of "' T, ncludin9 «char(.i es in;matenal<antl.;color andrmethods thatrwill be.used to: Y' P 4.-. i`
q!-
hair
u
t
t d'i ?i .. ..::z, 4 , Lr<x.s Cr ?".' R ?+'S..rNs i h, ;{ ", X`F. kw,bi ;fi P"`? ;.w,:k..i^l ,. ,, :M,x,. i' -4Q T#r.. :. »Zj ;y .: y,.ZYt : s,.
4. acco I the, ro ed vvork °For lar e' ro .acts an atemize8 li lw it f ` _ '` '' P „ P ^ P E , 9 tp l `_ <a,
st equ ed Use the reverse,side d necessary A. " '-kR . Y d; R' f ' S +.,. -i h sw- "t.. , d ff :_- s.. - i i4; fz'.P¢// z(,4+/Y`E..'-! Y ; f'
M1-...
5,
F 4' '. t
a x
C
u, -,.' k 'b'' frz..ii) y« _" t ,+:1 U't
x v K.,a a s s" > €" i +' .'rsy z Irv, t a .4"Rt xt . a
6 C.. L F /L.( .a t' n++ r r
d
Z',k1
X_>
t"-Co?/t .: ': v Yd` `vd i 1 "F,' i ` 'E's PG53'? Y i -3i` t L J« +'cE. Y . `
YZ -Li}. i, .r ' lz r.es "-`" ' ;. v >' k'f`„'"` .'L' "- ; :"`et ' z.: s :. - --.
w- .r .,.. u,. ' `
Ty` tz £t -: t' `%z"'rt?' :. tE K!« ::a' C 1.?ar 3 C '. {' SR-t> ?5 > +aR,z R b 4} F x
k £
S
Y' L .F
5^ £X...°
F ' t +^C' Y, f 'ti sv' §` d f P, •- i ^f` jr'.
Y t'?.,. fi. ,. ZY
Z.E§§'.
L''
H r ; q M +6't' J 4 i.p F f y,: rt 91a.`. ,cs 7! .« fi t.R 3_ 7 sg.: h
fiY ,zr i :.:'ffi. k x`sp . ,-"' Y1'3,';+r,-,,?.r ', yy,,{{ .r. fi ••h..: X7i,§
G !4'Y4. 1 "jh +Fds"' «i A '. L.t}S .at'§ .4fFq """'^ 1 F 3,'Ey' ;''L:,i,{vi f:2:hsr.'"ce F4£ A#`%.T,,.r, ti'i.7's `ti- s; ?s+, )4. `t sl Jxr".- dl xT'mC s jpvc:Mvf
3'urAsM"".
L ..'a.,#` ,"`'Pi
Y1'41-"Z"' `t ,, '«
t`,.-Yi ..R'i'"'3: r^s s te.s'. {-. 4 '` 4 S r' i a. S + "`i 3 > n " , ' rn't u' 71,.: "I »' " ti 9J:-P nG r.t ,;..v., aa.3r... ar ,i '+.,
i :.
i,x, k`2 r ! r4x )e „r.,
x '`'.
fie--:".-e`:'.
vIIfM1 ji
L4^r. . .,-Y_•.
t ,.µ }:; sue' a . , n e :
a
tF -
C` r. , ..t,
3- 7 'k
1.
h iFyxlyti, a { y
i' -' '` z ry.,. L h .i Vt$; n'G , }, _ 'E , id K ;; :f.Lf. t ,a u'2N 'R'fi ,Cf' p` .. i .n -,,; 35 Y ,nE 4 I t ,Ap '. ii,1 w..;i Rb ,2= .. . - Fa,dSa ''
v 3 fi n r A X
j4 r'
t \'-
t ;,t. f ,;, .., :. a OFFICIAL USE ONLY z , :, ,E , .... A I catian Receoved{On r kt = .,, k pp a
rd A„1.y .- . t Y ,t; .,
I _ f, l: ... r„ a'd,. 'f', .-6r•R"-. k' ,,:'Jia-4 tl. ,:'v2 'ti...,.k, 'Fh N# 'k. d` .I, .#'-Y, i3 .
E£* r is 4v^• Historic Preservati3o n Board,Meeting a={//Jr_
a
SYw1?ti{
i ky' MJ
Date n r k _ "{
L ,,
ryY 1 "Y.,:. -'aTd C{ `Sti„' f, s ; '
Y -..
i ti '(-„s+,"C S : Y E S 'I S A R D Below)
t fF i.
pro ed U Demed (Conditions Noted v _ - ,
r« E 'a_ x. ,, x. `' -' } ait -s t xt, r '^r` n,i ';, a "f ': '' 'k '' I ti 'a
x
k ` c}
t"E * :r
t 5....j
t ,: ,..? ;ems-$ ;'7 ' .X :,
c-, ',i.-. ..,> *
s`.
i. {
r::: a i^: .r :i"-^ :, ii' u* s'? '" ,xi3 It , ,# t k to a d't.. a :ts Esc; ''*". 0 _, f..' a .`x.r'A t { u 'n ,,vl re " i'r 3•,g ,-'t " x'- e' i 3, ,---, a-,t k`;.'£7 ,?7 ''t. .-; x u' ': s';. $h i3r,.'t 'r- +;. ,e' n`h
rat .
7 R L .1 `'w ti' ,,i ` 'fl xja'k P rN ^eLF Y••' rN ,d }i ems., i,3'; `' lii.= " { 1 rf .'rf,ZL*aj k y 'naC'5. +. b 3•;bk 4`.i d i m iF -,, ..2 Y *e
N 2AU II
c
t , j , 1UN' 1-"1' E
Ce v' .'''' a> s::•:z . 't F' tt s.,. 6 t ' f. L F4Rom. t
r. .',£ ...r" ,-, a'ti t
ti F S T -1 ST'¢^' 2f`-p ,4 -, Y ''(# _ C "[' ,- ` ,y«F £- `t- A w .,i, 'w }
tS1J£ .
i , .'eF 4...ti §S+ !
q[' «
C i{ srt {,.( X _ .
4 7z. N' 3 W Y 4
Lab . - '''t-34a=,`..v' iit.S,. .. 4' *)'c #`. ^f
t, '•. „ +b `._, .'i',,.'
i'
i .. 0.'i'.ary } x
i
4
R, ..
t£A ' w, F,' .1 ;£ .nA ,T ,{.tv.. nature.'', Zr 5 £5 2 q 4
tJ Y , ! S9, Datef s: J ilEr 5 e v A
h,: r @ s :. ; _ , } 3 7,
E 7 1 t PLAN!!NG A , OP J ENT . S4 •h i` .r'. N t''.^ t 'F., V) ;u 't ' fiSr J " +s 9 "iL'r-i 'i C ' Ld
a;
1, 5F
APPROVAL ISVALID FOR SIXIMQNTHS UNLESS#OTHERWISE'NOTED")k r AF a
k, a r µ
i 1:. ; , ...`^'a,. tz -. i i „-Ts.:e , ?'-Y. '#`.'M.r t.t L pt.t' %=.'3't.,gv
t; Z.:1 r ?; yiV .,`.'
t'i°'tx > E.'`.•:#*a%.. a
tt. .f..
THIS CERTIFICATE`MUST;'BE PROMINENTLY`;DISPLAYED:aONvFTHE SITEWHEN;;WORK=IS.INPRQGRESS `
k x ... +,+t
K
7s"yyV. i' "N-`";
y}. _.: '*`, :".:.
r 3` 4.i .
s>'.::a f"` f y4` L C.ey -.iG4 'r'..: ,-y { t _ . -. i^yf"! wMary..p+K" '• ""
ia rtY
T y's -y, . S p - d ttu is } s: 5 '- "'' s,4{` T' adyyE L` 1'l' .. S s ,fin.R -. -
py,: s•s§y-.
Lg 1 yr''lk' y,,Ef -- ri it`tE"K TY 'Cd t1' A £= M'4.,'} ._ a ro".1 ), b• y ,'.-Y+'- f .*2j-r :.';; "xz ,d':. w,:; 3'=:,..a r7' '.r,-aps' a'c M ,.,.£:t .`etc , x, r.+. ..`ra.`: t z..::,"4d,. ate"':.^K; .}'., ,&- s` r3w .rh
File #: 10-001697
Address: 1108 PALMETTO
Date: May 28, 2010
May 28, 2010DateTaken
Comments:
Date Taken: May 28, 2010
Comments: 1108 Palmetto, view from front sidewalk