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HomeMy WebLinkAbout618 Palmetto Ave (2)jilm IAi111 1111 Al il ' 1 2016 CITY OF SANFORD JAN 2 BUILDING & FIRE PREVENTION M ` PERMIT APPLICATION Application No: Documented Construction Value: $ 6,500.00 14is 3 Job Address: 618 Palmetto Avenue Historic District: Yes X No Parcel ID: 25-19-30-5AG-0802-0050 Residential X Commercial Type of Work: New Addition Alteration X Repair Demo Change of Use Move Description of Work: Replace existing A/C system with new 3 Ton heat pump Plan Review Contact Person: Title: Phone: Name Sara Nixon Street: 618 Palmetto Avenue Fax: City, State Zip: Sanford, FL 32771 Email: Property Owner Information Phone: (407) 928-4716 Resident of property? : Contractor Information Name Pro -Tech A/C & Plumbing Services, Inc. Phone: (407) 291-1644 Yes Street: 2425 Silver, Star Road Fax: (407) 522-0445 City, State Zip: Orlando, FL 32804 State License No.: CAG029393 Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required 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 done in compliance with all applicable laws regulating construction and zoning. 20 as I1A °z2 SigiiatureofOwner/Agent Date Signa re of Contractor/Age Date A, . I . --- nt A /I", Melissa Anderson, POA I Signdwr6 of No m S'e of Florida „ , Date 1 ANGELA L. ROR MV COMMISSION V f EXPIRES October IIOII SBE 0137 F Owner/Agent is Personally Known to Me or Produced ID Type of ID Print C tractor/Age Name 2OI C 7z, IZ01('e Signature otary-Sta of Florid Date ANGELA L. RODRIGUEZ W COMMISSION # FF929774 EXPIRES Ocbbw 21, 2019 N07) • 757 Cont n to Me or Produced ID Type of ID'- BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: Z,) 6 ,1,0 UTILITIES: ENGINEERING: COMMENTS: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application V87- 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 0 Residential Historic District Is this a retroactive request? Yes J& No Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes RNo Proposed improvements will affect the following elevations: JZ North South East West Property Address: G / 8 Pa_ i' &1 L Ayen e Property Print Nai Mailing Phone:&U-f) `HI&Email: Applicant/Agent Information Print Name: Signature: Mailing Address: e t _!D l l V(X M. r )r lawn0 fw L ---5Zr-110 Phone: Email: Mtyl_I-ana, ai1 C2a6n2 i nature: 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 OR DEVIATION FROM AN APPROVED CERTIFICATE OF APPROPRIATENESS 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 YOUR KNOWLEDGE. Signature: 51WA-Wk4E 6L Arrlf Mb BU/LD1k) FeP-14f-1- Date: Yes, I 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. HISTORIC PRESERVATION BOARD - 300 N. Park Avenue - Sanford, Florida 32771 -407.688.5145 - www.sanfordfl.gov/HP CERi'IFI Ai'E ®F AP1 ' RaI i'EI E S S - •t` "- I'ISTORIC PRWSERUATIOI B°®ARD FSANFORD z .. X30jj 0 S: P,rk Avenue . 407.6,88.5145 .w w wa a;n fiodrd fl osv/rH1P . - - . y,.- : 1"H'I sDOCIJEI I/IIJSI' BE POSi'ED s 1'-/aLlyi'It1%IE=SOp UNi'I,L WIRE IS CO`11/I P ElEI :.• = `' . ISSUED 10, IS yU E'WD:' _ Sara(ebrarq 1 6 01 6` al:....;; - _ r:: 't M1a'Srs _ y' '?'1,.`, forz:.. 618 S. alm o Avenue DEC. Ai i' , .;''- - :•,` - +'-»v ... r'• - 7- 2t- , = .• `anfordFL 2j77a1;;:: W_ -% a; YAu ust 16 2.01 j a', i ..!,•?++,,.. • j..,_.'s.; g.,.e- "'',-,'1'°°=b t..Ew...1., - - it-• . ''"` ::/, SBP.#=16-3.45 _ A. roved. , °" ' `'' • ` :.. -` nfigure 1(apptoreplaceACunitInlocationde' 9 Icted o F' plied . i , J-+z,« - e .. . ,, cam"-'- • ;''- -. - Christine..Dalton AICD rj` s a Historic Pre"`seanon Officer/Cmrnuy PlannerR fa-jnutFgjand approvals from applicable departments beforei„ ,nititing 9deveM mnt. ISA BUI!_DING PERMIT REQUIRED FOR THE A IVITIf LISTED ABOVE? LL,,YES NO " E - wilding Dep x : t Repr,ese nta '-r r - ' • ... `,: _„ _ _ _ -. f > r. '. - . _ i -• -= fir. J, S Pa I m 44,c) 11G 26 ATF 780 sf 30 DBL 26 GRF 780 sf 30 I,