HomeMy WebLinkAbout810 S Oak AvePermit # : 0 `� 4c
Job Address:
Description of Work:
Historic District:
Zoning:
Permit Type: Building Electrical
CITY OF SANFORD PERMIT APPLICATION
r, C—) _ Date_ tel' II % l 0('O
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential _
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Value of Work: $ 1 d, :�01a _
Mechanical Plumbing Fire Sprinkler/Alarm Pool
_ Addition/Alteration Change of Service Temporary Pole
_ Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer lines # of Gas Lines
Plumbing Repair — Residential or Commercial _
Industrial
Construction Type: #11 of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Owners Name & Address: C - i d o V !7 1 ■ of Jk '310 S • 00-4/1ne
L I 1 1%K
Phone & Fax:
Bonding Company:
Address:
Mortgage Leader:
Address-
Architect/Engineer:
Address:
Phone:
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.
kDo
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 requiremen f Florida Lien FS 713.
6101
Signature of Owner/Agent Date re of COO,
o ctor/Agent Date
n Ow r/Agent;s Na Print Contractor/Agent's Name
Signature
WA �Solyte••• ori A to Siure of Notary -State of FI ida Date
o AY ai
* W COMMISSION # DD 516404 , f, JU ANN M, JOHNSON
EXPIRES: June 9, 2010 + * MY COMMISSION # OD 285622
Baded Thu eudp�t iktr/ SMces EXPIRES: March 23, 2008
_�' ' Bonded T.' to Me or
Owner/Agent is Personally Known to Me or ContractoUgent is _
Produced 1D Produced ID L 1D. 2 $ • 6_1
APPROVALS: ZONING:
Special Conditions:
Rev 03/2006
UTIL: FD:
ENG: BLDG:
111897
LIMITED POWER OF ATTORNEY
Date: &O // &/06
I hereby name and appoint
of/ -I Lar -j3 -oh ye-LIo275 .�oo 'i� a ZI'7c . to be my lawful attorney
in fact to act for me and apply to`i
a Lj 1 ►, permit for work to be performed
at a location described as: Section Township Range
Lot Block
Subdivision
S I O �q Ve,- ( 5'a,1- Y-6 , FL 3,22 7
p (Address of Job)
K-iCIKx CL -Ir-0Q4- I o S O u}�, C0 P"2
(Owner of Property and Address) 3a -i r
and to sign my name and do all things necessary to this appointment.
G rsso-n CCC, 0,5 7 0 71
or Print name orifi ctor and License #)
Acknowledged:
Sworn to and
p subscribed before me this
�lp Day of A.D. o20c(2
Notary Public, State of Florida
01.
(Seal) P Lynne KenneAy
loy Commission DD283303
7ur �� Expires January 21 2W9My Commission Expires:
C'
I Illl II III II 111 II III 11111 II 111 II III II 111 li 111 II III II Ill I IIII
Permit Number
Parcel Identification Number
Prepared by: A V o1 V 5-� L O�.'��c ryL
Return to: fj . Loa.Y'S15bY-14-30r"s Qcc�c_,\
NOTICE OF COMMENCEMENT
State of P7 6Y I dc>`
County ofyY> j t"10 1 c
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 06290 Pg 1911; Q pg)
CLERK'S # 2006097932
RECORDED 06/16/2006 01:15:27 PN
RECORDING FEES 10.00
RECORDED , BY H BeNFI ED COPY, k .
MARYANNE MORSE
CLERK OF CIRCUIT COURT
SEMINOLE Cg-Irg----- IDq
Irf
DEPUTY C ERK iy
VOUNA 6 2006
The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property (legal description of the property, and street address if available)
10 S. 00A iCNV-1__1
2. General description of improvement(s)
rte- ('o0Q L,) I � nClk e.5
3. N Owner' formation
Name I,jLw-rd "TTOUt Telephone Number
Address 9-1 o S. Oo-k- Fax Number
or& F - x -a 7- 71 Interest in Property:
4. Fee Simpla='I'itle Holder (i? other than the owner shown above)
Name Telephone Number
Address Fax Number
5. Contractor
Name. �r�jSay�-. Jt''t'LT p-dc� nc��SYCTelephone Number
Address��p� r„cc{i •�o� a c' C 1 jo'M c1Fax Number ya _ �y5 J _ `3 ys� °l
6. Surety (�t ao:•a` F 3 ��7�
Name ti1 R Telephone Number
Address Fax Number
Amount of bond $
7. Lender (if any)
Name N
Address
Telephone Number
Fax Number
8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by §713.13(1)(a)7., Florida Statutes.
Name Av V L0.Y�Si p�y, Telephone Number qq - $ 9,0 3v"e-,
Address�J��ez-bt r ��Cjj, Q4
�,> j\i6a"umber 'A 6-1-
9. In addition�h�i oor eerrslelf, owner nigra es the following to receive a copy of the Lienor's Notice
as provided in §713.13(1)(b), Florida Statutes.
f Name Telephone Number
I Address Fax Number
10. Expiration date of notice of commencement (the expiration date is one year from the date of recording
unless a different date is specified):
a e Signed
Signature of Owner Q Qtg: per §713.13(1)(g), "owner
must sign ...and no one else may be permitted to
sign in his or her stead."
Sworn to and subscribed before me this day
who is V personally known to me OR
as identification.
Forin Revised: 4/98
,20 0 (P by
Signature of Notary (ii "a] seal must appear below)
io`; • • •.°4c VICTORIA IL FORDHAM
* * MY COMMISSION I DD 516404
FXPIRFR•.hinaQ 9nin
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: A l_GtI"S'Sa�t. �Om 7Ta'1C . License #: CCC O S 7 4 7
doa 3M.W'eh 0±fxl b I vCl .
Project Information
Owner: �IV' Ck_rck Permit M
name
g S • ajL Tc • Subdivision:
address
�orc� , 1� L 3 -,)-_' )1 Lot #:
phone
I, AmV LoL 556w , affiant, hereby affirm that I am the duly licensed
contrac or 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:
signature
YLir SSC' -,--
printed name
STATE OF FLO IDA
COUNTY OF
This instrument was acknowledged before me this 2Z day of -.Jc n -L , 20ose, by the
above referenced individual, Am� , who acknowledged that he/she is a
duly licensed contractor with A s�axi� , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced Iu"I> L as valid identification.
WITNESS my hand and seal this Zz day of , 20C 4,.
Lary Public.
P+l' COMMISSION DD
SSEXPIRES�' March 23 2D08
•y�Fpyor Pncr!gS T .� �:�.
Jpet Notn Soft
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 .
D Downtown Commercial Historic District' D Residential Historic District
D This application is filed in response to a notice from the Code Enforcement Department
ADDRESS OF PROPERTY: SIO S , 061 lA ,.P L xA A - Ci, 39-271
Property Owner
Signature:
Mailing Address: 21n f)�. nak nue
-
Phone: t{0% -,ata --1090 Fax:
Signature:
Print Name: Q -Ti-,,, '
Print Name: /`f m
Mailing Address: 0 b & Woe_. �-
Phone: 401-73'0-3141x• 07 - %$a-- jggq
I certify that all info on contained in this application is true and accurate to the best of myowl dge.
Applicant/Owner: Date: (p /a 701-
Please use the attached criteria`6ecklist as a guide to completing the application. 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)
o Site Improvements/driveway/walkway 0 Storage shed 0 Moving structures
D Replacement windows or doors 0 Underskirting 0 Awnings
o New construction/additions b Signs 0 Demolition'
Roofs/gutters/downspouts 0 AC/Mechanical 0 Fences/Gates/Pergolas
D Replacement siding/flooring/porch D Paint 0 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.
re - r0o�' w / �1�1 ir)$1 L - S Qg21 A, 00(0 r -f- 5 f -u
A Certificate of Appropriateness is valid for six months unless otherwise noted
Historic Preservation Board Meeting Date:
Application is Approved
Conditions:
Signed:
OFFICIAL USE ONLY
Approved with Conditions
Date:
Staff Review Date: 6 dam)
Denied
***This Certificate must be prominently displayed on the building when work is in progress***
Requirements for Certificate of Appropriateness Application