HomeMy WebLinkAbout915 Elm AveCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 16-1409
Documented Construction Value: $
Job Address: 1115 G-1 V k �1Y_tl Historic District: Yes N No ❑
Parcel ID: 2S- ICt —_3O — S kG — k 14)(C2 —X20 Residential 91 Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
on of Work:
Plan Review Contact Persson: C' ,,ri S�lti� [+terSD✓1 Title: e)%'C�
e IN -'c, .
Phone: M- L-63 -7014 Fax:3WaldoK- (Ghff4) Email:&41)c1l#Pi1/1�10U�
Property Owner Information
Name_�y ICI G.- Phone: 407 4'30--2gg5_
Street: q 1S eI u y\, Resident of property? : Yes
City, State Zip: S -n4>r-A -7 1
t Contractor Information [`'�
Name CCcA-i �e ��L,(Y_e. Clic • Phone: 3&—(Dbg-(o_704
Street: gal 1 S. l.YDAes f k'CLL i &j( Fax: �3 x(D-(n(n & loOSd
City, State Zip: 'NIWU , -!PL_ 3 a, 3 State License No.: X13bq 2y 0M 3
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. 1 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: 5" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there niay be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional pen -nits 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 constructidi and coning.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
IF
Signature of Contractor/Agent Date
t
Print Contractor/Agent's N
e Z .2019 42
ttttyt,� s► NOISS1MIWOO AW
1'1rA MVV VW00
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas F] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING* s' n' (� UTILITIES:
ENGINEERING:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
COMMENTS: k)bbD 60(,� • V WYL, 15 'fRbW):61 TCB
Revised: June 30, 2015 Permit Application
pin%ix�tt
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 • www.sanfordfl.jzov/HP
THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO: DATE ISSUED:
Patricia Hall April 5, 2016
For
915 S. Elm Avenue
Sanford, FL 32771
BP#16-1429
DATE EXPIRES:
October 5, 2016
Approved to 86' of 4' high wood picket fence with 2 walk gates and 24' of 6' high
wood board on board privacy fence per the style and location depicted in Figures 1-7.
Christine Dalton, AICP
Historic Preservation Officer/Community Planner
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 FOR THE ACTIVITY LISTED ABOVE? a)YES O NO
Building Departrhent"Representative
I
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L AND S MORTGt COR PAGE 13
• BUUNDARYSURVEY
)_EGAL DESS IP110N: LOT 9. BLOCK 11, -nElt 6. TOWN OF SANFORO, ACCORDING TO -DiE PLAT 7HEREOF AS REC,
IN PLAT BOOK 1 PAGES 56 - 53 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY. FLORIDA.
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IHETVAE FENCE INC.
Tym OF
871 S. CHARLES RICHARD BEALL BLVD DEBARY, FL 32713
OFFICE -386 -BBB -6747 / FAX 3BB-BBB-6050
LEFT GATE RI6DT GATE OACK
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LEFT GATE 4W 1.� 06A fUWff GATE n/O*-O'e 13ACK GATE—.2& I/
Tear out-Yes/no clearing- Yes/no pool code- yes/no
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FOOTAGE
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City of Sanford
Fence Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
Fences must be compliant with the City Land Development Regulations, Schedule F
co v Fence Permit Application completed and signed. Application must include correct address and complete
parcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
/l& the_B.usirtess Tax Receipt_(if_the-contr-actor-is-theappl-icant-)—
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
Indicate the number of linear feet, height, number of gates, and type of material on application.
Ad Two (2) copies of site plan indicating where the fence will be located on the property.
All fences over six feet in height require two sets of signed and sealed sets of plans and drawings to a
readable scale. Structure details signed and sealed by a Florida licensed design professional. Architectural
drawings signed and sealed by architect.
Contact person information entered in Naviline?
1 Application forms stamped received and initialed?
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Revised: May 2015