HomeMy WebLinkAbout402 Oak AveC
Permit #
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Job Address:
Description of Work: _
Historic District: (/
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CITY OF SANFORD PERMIT APPLICATION % o�
NHL /I _ Date: �r/ ✓
Value of Work
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Permit Type: Building cal Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cak. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industria) Total Square Footage: v t3
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for otbcr than X)
Parcel #:
Legal Description)
Phone & Far JV v Contact Person: Phone:
Bonding Company: ^'�•
Address:
Mortgage Lender:
Address: _
Architect/Engineer: Phone:
Address: Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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.
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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 ents of rida Li �111
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Signature of Owner/Agent Date Signature of Contractor/Agent Date
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Print Owner/Agent's Name /
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Signature of Notary -State of Florida Date Sig of N'Vol tate:.o� da --
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Owner/Agent is _Personalty Known to Me or D leml
ContracturlAgeri[isyv P na��Knbw-[f a or
_ Produced ID _ Produced ID�aNaOe Ca
APPLICATION APPROVED BY: Bid . Zoning: `7 UtiG[iu: FD:
(Initial & Date) (initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
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AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: _ (1 &La -
f
r., Project Information
Owner:
n® namv/
address
phone
Permit #:
Subdivision:
Lot M
I, , affiant, hereby affirm that I am the duly licensed
contractor of record for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor:
ftC-Psignature
ft
printed name
STATE OF FLORIDA
COUNTY OF
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This instrument was acknowledged before me this day of , 20 , by the
above referenced individual, , who acknowledged that he/she is a
duly licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced as valid identification.
WITNESS my hand and seal this day of 720
Notary Public
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CITY OF SANFORD HISTORIC PRESERVATION BOARD
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
P.O. Box 1788, Sanford, FL 32772-1788
Phone: 407.302.5805 Fax: 407.330.5679
TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA
O Downtown Commercial Historic District O Residential Historic District
13 This application is filed in response to a notice from the Code Enforcement Department
ADDRESS OF PROPERTY: 404 tJ
Signature:
Mailing Address:
Phone:
Applicant/Agent
Signature:
Mailing Address:
Phone:
Fax:
Fax:
Print Name:�� ]jj C./ U
Print Name:
I certify that all informati n contained in this application is true and accurate to the best of my knowledge.
Applicant/Owner: Q -Gvti- 0 Date: 7 % •-�
Please use the attacffed criteria checklist as a guide to comple mg appica on. Incomplete applications cannot be
reviewed and will be returned to you for more information. You are encouraged to contact the preservation planner at
407-330-5672 to make sure your application is complete.
Description of Proposed Work/Application Category: (Check all that apply)
D Site Improvements/driveway/walkway o Storage shed o Moving structures
o Replacement windows or doors o Underskirting o Awnings
0_>oW construction/additions o Signs o Demolition
rlRoofs/gutters/downspouts o AC/Mechanical o Fences/Gates/Pergolas
o Replacement siding/flooring/porch D Paint o Other
Completely describe the entire scope of work: all changes in material, color or location to the exterior of the building,
where on the property the work will occur and how the work will be accomplished. For large projects, an itemized list is
recommended. Attach additional pages if necessary._ _ , •,g / e n
A Certificate of Appropriateness is valid for six months unless otherwise noted
OFFICIAL USE ONLY
Historic Preservation Board Meeting Date: Staff Review Date:
Application is Approved Approved with Conditions Denied
Conditions:
***This Certificate must be prominently displayed on the building when work is in progress***
Requirements for Certificate of Appropriateness Application
\
i Requirements for Certificate of Appropriateness Application
City of Sanford, Florida
The Historic Preservation Board Meets on the fourth Thursday of every month at 5:30 P.M. in the City Commission
Chambers, 1st floor, 300 N. Park Avenue, Sanford, Florida. Applications reviewed by the Board must be submitted a
minimum of 10 business days prior to the meeting.
Any exterior work, including repairs, on a Historic Landmark or on a structure or property located in the Downtown
Commercial Historic District or the Residential Historic District.must receive a Certificate of Appropriateness before the
work begins. In addition to a Certificate of Appropriateness, a building permit may be required. Check with the Building
Department at 407.330.5660. A Certificate of Appropriateness may be required for projects that do not require a building
permit.
In order to be reviewed by either the staff or the Historic Preservation Board, applications must be complete. The
documentation listed below must be submitted with the application form. Seven (7) copies of all drawings larger than
11" X 17" and seven (7) copies of all photos must be submitted for proiects that will be reviewed by the Historic
Preservation Board.
Paint
Color samples of all colors must be submitted.
2. Fences/Gates/Pergolas/Sheds
• A site plan of the property showing the location of the fence, gates and/or pergola. The plan must show
the property's dimensions.
• A picture of the proposed structure. This can be an elevation drawing, sketch, brochure or photo of an
existing shed, fence, gate or pergola provided that the dimensions are included.
• A description of the materials that will be used in the project.
• Photo of the yard(s) in which the structure will be placed.
New Construction/Additions
• Elevation drawings to scale of each fagade indicating proposed alterations or additions. Drawing must
clearly depict the existing building and the proposed changes.
• Site plan showing lot dimensions, location and dimensions of existing building, location and dimensions
of proposed addition, location of all exterior ground and roof mounted equipment.
• Description and/or samples of materials to be used.
• Where applicable, drawings and site plan of other improvements such as fences, walkways, lighting,
decks, etc.
• Photos (7) of existing structure.
47 Awnings/Signs
• Sketch or elevation drawing of the building fagade with proposed sign/awning.
• Dimensioned drawing of awning/sign.
• Sample of colors.
• Photo of building.
Site Improvements/Driveway/Walkway/AC/Mechanical
• Site plan showing lot dimensions, location and dimensions of existing building, location and dimensions
of proposed improvements.
• Description and/or samples of materials to be used.
• AC/Mechanical equipment must be screened by shrubs.
6. Replacement Windows/Doors
• Photos (7) of building facades where replacement will occur.
• Photos (7) of each deteriorated windows/doors.
• Dimensions of all replacement windows and doors and the existing dimensions of the openings.
• Pictures (brochures or photos) of the proposed windows/doors.
• Completed Window Survey.
F:\LDR\Cunent LDR on WebsiteWtike W's FoldeffiPB-Certificate of Appropriateness Application.doc
severity of deterioration requires replacement of a distinctive feature, the new feature shall match the cold,
in design, color, texture, and other visual qualities and, where possible, materials. Replacement of
missing features shall be substantiated by documentary, physical, or pictorial evidence.
7. Replacement Siding/Flooring/Porch
• Photo of existing deteriorated materials.
• Description of replacement materials.
• Written reason for replacement. Explanation of how the proposed replacement complies with Secretary
of Interior's Standard: Deteriorated historic. features shall be repaired rather than replaced. Where the
severity of deterioration requires replacement of a distinctive feature, the new feature shall match the old
in design, color, texture, and other visual qualities and, where possible, materials. Replacement of
missing features shall be substantiated by documentary, physical, or pictorial evidence.
8. Underskirting/Roofs/Gutters/Downspouts
• Photo of building facades impacted by improvements.
• Description and/or sample of building materials to be used.
9. Moving Structures
• Provide a reason for the relocation.
• Explain what will be moved, where, why and any proposed changes.
• Include photos (7) of the existing site and structure to be moved and the proposed relocation site.
• Provide a dimensioned site plan of the new site showing the location and dimensions of the structure.
• Describe any site features which will be altered as a result of the placement of the structure.
10. Demolition of Structure
• See section 11.0 of Schedule S, Historic Preservation of the Sanford Land Development Regulations.
11. Application Fee
• Application for Minor Review (staff approval) - $0.00
• Application for Major Review (HPB approval):
Single Family Residential - $10.00
All Other Applications - $200.00
• Application after the fact - Minor or Major:
Single Family Residential - $200.00
All Other Applications - $400.00
• 2nd Application after the fact (same owner, within one year) - $1,000.00
• Variance to Schedule S - $100.00