HomeMy WebLinkAbout1201 and 1203 Myrtle AveCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
NIS
07ApplicationNo:
Documented Construction Value: $
Job Address: /"Io/ avo /97! f/z- Historic District: Yes allo
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description o Work: ='Z X411__-7 7"a"' f4C
Plan Review Contact Person:
Phone: yO- `163 --O&ice Fax:
re"e /Ir/cf/Ati125
Email:
Property Owner Information
Name
Street:
City, State Zip:
Phone:
Title:
Resident of property? ,
Contractor Information
Name Ir<' l r_11 . S Phone:
Street: /V /
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
State License No.: C l py:T'G Z
Arch itect/Eng1neer 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.
Q
c
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
1,
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.
Signature of ONvner/Agent Date Signature of Contractor/Agent Da
Print Owner/Agent's Name Print tractor/Agent's Name
Signature of Notary -State of Florida Date tgnature of NolarSeta at DEBBIE BL"'ON
MY COMMISSION # FF 178648
EXPIRES: February 25, 2019
Bonded Thru Notay Public Underwriters
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
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical d Plumbing[] Gas 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 < I31 ' 1,6 UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: -2C q -'1- l ro
Revised: June 30, 2015 Permit Application
IR
Page No. of Pages
Steve Richards' Air Conditioning & Heating, Inc.
Residential & Commercial
1101 South Oak Avenue
Sanford, FL 32771
STATE CERTIFIED FL LIC. #CAC043962
PH 4,f7-463-6764 EMAIL srichardsair@yahoo.com
We hereby submit specifications and estimates for:
are, 7'l , .A•c
We Propose hereby to furnish mate 1 and labor ---- complete and accordance with above specifications for the sum of:
Dollars ($
Payment to be made as follows:
All material is guaranteed to be a specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or deviation
from above specifications involving extra costs will be executed only upon written
orders, and will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accidents or delays beyond our control.
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
are satisfactory and a here ccepted. You are horized todo he woyk as
specified. Payment w be a as outli e e. I
Date of Acceptance:
C77 /7
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
Signature
Signature
REQUIRED INSPECTION SEQUENCE
BP# 1L - 2442 Address: %2. , -, w(U-Lg
BUILDING PERMIT
Min Max Inspection Description
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Prepour
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Firewall
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Final Single Family Residence
Final Building (Other)
ELECTRICAL PERMIT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
P rse ,
Min Max Inspection Description
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
MECHANICAL PERMIT
Min Max Inspection Description
to Mechanical Rough
Mechanical Final
Inspection DescriptionMinMax
Gas Underground
Gas Rough
Gas Final
REVISED: June 2014
407.688.5145 • www.s:anfordfl.gov/H`P
THIS DOCUMENT MUST BE POSTED AT ALL TIMES -UNTIL
PROJECT IS COMPLETED.
ISSUED TO: DATE ISSUED:
Future First LLC/Mark Wysong August 30,, 2015
for
1201-1203 Myrtle Avenue DATE EXPIRES:
Sanford, FL 32771 February 30, 2016
BP#16-2441
Approved for two AC condenser units adjacent to the east elevation. Units will:
be set -on concrete pads a'nd will be screened from the right of way: Asep'arate
CofA and permit for fencing is required.
ERD'o
lM
Christine
Dalton, AICP # 1 6- 2 4 42 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
ABUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? L'I YES NO Building
Department Representative
APPLICATION # 16-,244 I
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
407.688.6145 to ensure your application is complete.
General Information
Downtown Commercial Historic District Residential Historic District dis this a retroactive request? Yes Non
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes Non
Proposed improvements will affect the following elevations: North South East West
Property Address: fQ0 / CL «n 3 ,
Property Owner Information
Print Name: L A fV .V
Mailing Address: 4;2 0 / 41 f,(
Phone Email: Signature:
Applicant/Agent Information
Print Name: ,r o
Mailing Address: 001 f -pr4K rr`
Phone: _P-5(63-9/6YEmail:. CaC14 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 ACCURAT TO THE BEST YOUR KNOWLEDGE.
Signature: Date: lip
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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 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP