HomeMy WebLinkAbout1011 Oak Ave (3):rmit H
,b Address: _ to h
-scription of Work:
istoric District:
Zoning:
CITY OF SANFORD PERMIT APPLICATION
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Date:
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3 V Total SquareFootage
Value of Work: $
;rmit Type: Building X—Electrical Mechanical Plumbing Fire Sprinkier/Alarm Pool
ectrical: New Service — H of AMPS
echanicaL Residential Non -Residential
umbing/ New Commercial H of Fixtures
umbing/New Residential H of Water Closets _
tcupancy Type: Residential Commercial
Addition/Alteration Change of Service fcmporary Pole ___
_ Replacement New (Duct Layout & Energy Calc. Required)
H of Water & Sewer Lines H of Gas Lines
Plumbing Repair — Residential or Commercial
Industrial
instruction Type: Hof Stories: H of Dwelling Units: Flood Zone: (MMA form required )
veers Name & Address: %%►'1 • ' r C� �/ / !y
ohl ?5A ` K Y;_2 c" )� Phone: Q� 9 9-7_
,retractor Name &AAddress- G� • / r te% t✓/ e
103-0 IPA T` yil�__ Ul State License Number:
one & Fax Contact Person: Phone:
nding Company:
(dress:
wigage Lender:
'.dress:
chitect/Engineer:
dress:
Phone:
Fax
plication 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
ranee ofa permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction_ l understand that a separate
mit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
t CONDITIONERS, etc_
MER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will W done in compliance with all applicable laws regulating
Lstruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
(ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
,TICE: 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
; county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
xptanceof petmit is verification that 1 will notify the owner of the property of the requiremen f Florida Lien Law, FS 713
07
Signature of Owner/Agent Date
Signature of retractor/Agent
Date
_
tZ"? Pp. R(3)' yl/de
' Print Owner/Agent's Name
Print ContractorlAgent's Naine
�
Signature of Notary -State of Florida Date
Signature of Notary -State of Florida
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Owner/Agent is Personalty Known to Me or
Contractor/Age is Personally Known to Medi- #DD507198 m
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?ROVALS: ZONING: Uf[L: FD:
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tial Conditions:
03/2006 $ 5 IS, b 0
CITY OF SANFORD HISTORIC PRESERVATION ARD
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
P.O. Box 1788, Sanford, FL 32772-1788
Phone: 407 330-5672 Fax: 407 330-5679
TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA
0 Downtown Commercial Historic District C3,Residential Historic District
0 This application is filed in response to a notice from the Code Enforcement Department
ADDRESS OF PROPERTY: /(Q // 0
Property Owner
Signature: Print Name:
Mailing Ad ss: 1 G) ri
Phone: yo - i y -7 - 6 0/ 3 Fax:
Applicant/Agent
Signature: Print Name:
Mailing Address:
Phone: Fax:
I certify that all information contained in this application is true and accurate to the best of my knowledge.
Applicant/Owner: Date: /U - 7 - c s
Please use the attac criteria checklist 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 allthat apply)
❑ Site Improvements/driveway/walkway 'o Storage shed ❑ Moving structures
❑ Replacement windows or doors ❑ Underskirting ❑ Awnings
❑ New construction/additions ❑ Signs ❑ Demolition
ORoofs/gutters/downspouts ❑ AC/Mechanical ❑ Fences/Gates/Pergolas
o Replacement siding/flooring/porch (Paint ❑ 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.
/ — 4Gc T
i'/ rl '� wr ' ✓M W i P
A Certificate of Appropriateness is valid for six months unless otherwise noted
OFFICIAL USE ONLY
Historic Preservation Board Meeting Date:
Application is Approved
Conditions
Signed:
Approved with Conditions
Date:
Staff Review Date:
Denied
***This Certificate must be prominently displayed on the building when work is in progress***
FASHA ENGTistoric Preservation Board\C of A Application.doc
Permit Number
Parcel Identification Number
Prepared By: �-
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Return to: Z , I p Kjj,L-t P r�
277
NOTICE OF /COMMENCEMENT
State ofl
I IN 11111111 oil 111I 911111N 11 NI_ N III I � I{I I illl
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 06550 fig 11251 Qpg)
CLERK'S # 2007005342
RECORDED 01/10/2007 16061125 AM
RECORDING FEES 10.00
RECORDED BY t holden
CERTIFIED CON
IWARYARWE MORSE
1LFM QF-fIRCL/T tr)URh
SEM
County of .3C,1ir,,Lt2 BY
The undersigned hereby gives notice that improvement(s) will be made to certain real property, and In accordance with ER
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property, (legal description of property, and street address if available) (l. AN 10 2001
/071/ 014% Atri 9J'T S
2. General description of improvement(s)
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3. Owner 7�A Informationn
Name 17h't �1 /3ii � I Telephone Number CIO -7
Address/ 0//
Number
f�f°l1 �� Interest in Propertyf'�
4. Fee Simple Title Holder (if other than owner shown above)
Name Telephone Number
Address Fax Number
5. Contractor
Name
Address
1OSV ,,W A
6. Surety (if any)
Name
Address
7., Lender (if any)
Name
Address
Telephone Number
Fax Number if®�
Telephone Number
Fax Number
Amount of bond $
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 Section 713.13(a)7., Florida Statutes.
Namep Telephone Number
Address ii4 Fax Number
9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in Section 713.13(1)(b), Florida Statutes.
Name Telephone Number
Address 1-6 Fax Number
10. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a
different date is specified):
{� L
e igned Signa a of. wner [Note: per Section 713.13(1)(g), "owner must
sig ...and no one else may be permitted to sign in his or her
/ �,sttead."]
Sworn to and su scribed before me this . F d day of �1 A i j 20 by
who is personally known to me OR 7t- produced Yl L
as identification.
Sig ature of Notary (notarial seal to appear belo
Form Revised: 3198
o.0'' P06<,� JOHN A. SANDARGAS
a MY COMMISSION # DD 422283
* EXPIRES: August 25,2009
�f�rEOF f`0�\�s Bonded Thru Budget Notary Services