HomeMy WebLinkAbout118 S Palmetto Aveqr Nis
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: i la-
c' (.
041 Documented Construction
Value: $ () Job Address:
118 South Palmetto Avenue Sanford FL Historic District: Yes ® No Parcel ID:
25-19-30-5AG-0302-0050 rr-- Residential
Commercial
Q Type of
Work: New Addition Alteration u Repair Demo Change of Use Move Description of
Work- Fence in the back yard of 114, 116 & 118 for alley access to courtyard and create -new parking area. 551
See attached documents and plot plan. Plan Review
Contact Person: Kim House/Peter House Phone: Fax:
Email: Property Owner
Information Name Peter
and Kim House Street: PO
Box 271 City, State
Zip: Sanford, FL 32772 Name Street:
City,
State
Zip: Title: Owners
Phone: 407-
416-1779 or 407-474-8412 Resident of
property? : No, commercial property Contractor Information
Phone: Fax:
State
License
No.: Architect/Engineer
Information Name: Phone:
Street: City,
St,
Zip: Bonding Company:
Address: 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: 5"' Edition (2014) Florida Building Code Revised: June
30, 2015 Permit Application
LWJ
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 Contractor/Agent Date
Print'' .
f"
gent's Name Print Contractor/Agent's Name
ofI('
p gteofFlori%NITTE SCOTT Date
Notary Public 8Wt o1 Florida
My Comm. Explat Jan 16. 2018
rsa Comml6tIN / "071760
Bonded likso Nail m ' Notary Assn
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Notary -State of Florida Date
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 Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps.
Fire Sprinkler Permit: Yes No
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
qL
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMAE Ve tr
FIRE: BUILD
q-27-Zo(
Revised: June 30, 2015 Permit Application
a'I
CU°s
R,IVF,
SEP v , 2016
BY:
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 • www.sanfordfl.gov/HP
THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO:
Kim and Peter House
for
118 S. Palmetto Avenue
Sanford, FL 32771
DATE ISSUED:
September 28, 2016
DATE EXPIRES:
March 28, 2016
BP#16-2649
Approved to install a maximum 6 foot high black aluminum fence with 4 foot gate and
10 foot double gate to match existing fence along alley side as shown on survey
attached to building pemit.
Russ Gibson, AICP
Planning and Development Services Director
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? YES NO
Building Department Representative
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 • www.sanfordfl.gov/BAP
THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO:
Kim and Peter House
for
118 S. Palmetto Avenue
Sanford, FL 32771
BP#16-2649
DATE ISSUED:
September 28, 2016
DATE EXPIRES:
March 28, 2016
Approved to install a maximum 6 foot high black aluminum fence with 4 foot gate and
10 foot double .gate to match existing fence along alley side as shown on survey
attached to building pemit.
Russ Gibson, AICP
Planning and Development Services Director
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 T ACTIVITY LISTED ABOVE? IdYES NO
Building Department Representative
APPLICATION #
FOR A CERTIFICATE OF APPROPRIA ENESS----------- -._...__.__.___._.._.____._.__......_....._-_-.____.-..__-._- -
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[] Is this a retroactive request? Yes No
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes[-] Nq®
Proposed improvements will affect the following ele tions: North South East West MV
Property Address:
Property 01
Print Name:
Mailing Addr
Phone:
Applicant/Agent Info ation
Print Name:
Mailing Address:
Phone: _ Email: 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 ACCURATE TO THE BEST OF YOUR KNOWLEDGE.
Signature: - Date:
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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 necessarv.
sc_
HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP