HomeMy WebLinkAbout309 W 5 St (2)CITY OF SANFORD PERMIT APPLICATION
Application #: C7 1)1p Yc�� Submittal Date: G
Job Address: 2:09W W. S� I .. c and . P1 3x771 Value of Work: $ S(SW DV
Parcel ID: as- 9 - 30- 5196 0761c - 66W Zoning: Historic District:
Description of Work: S� 2e "Rr_n Square Footage:
.... .. .:,....,, .. .,....... ......
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair -Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
...............................;�X., .................0......... .......................... 0-0
Property Owner: l Contractor: S c-cP,P c-. O C
Address: W S c- Address: �Z`�jl� TGt� D , L 1Aar
_k
!yy 13a�7) ��� d PI 'x773
Phorl0_353 -3M E-mail: PhoC10ne: -litobbState License Number: e_ ISD?D2g;l
Bonding Company:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Mortgage Lender:
Address:
Phone: Fax:
Phone:
Fax:
E-mail:
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.
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 uired from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance p it is v 'fication that will n t the owner of the property of the requi
3 nts of Florida w, FS 713.
— 02$ -o? cam- � —z— S 2g a
ature of er/Agent Date Signature of Contractor/Agent Date
__F,o>M s rz Cp�s� ti 3 (�s 107
Cowimm # DD 38aii� Date S' `,4 otary
-stat
'� Notary Ptt� - Slab of FIotN.
Assn.
utlN Nauottal •buy CamNs*n Eames Jun 5, 2010
s Cont i W 560313
�. Br NdwW Notary Asan.
Owner/Agent is _ Personally KnoV to Me or Contractor/Agent is ! Personally Known to Me or
—Produced ID ((!) (, Z 3L19, ? _ Produced ID
APPROVALS: ZONING: UTIL: FD: ENG: BLDG:
Special Conditions:
Rev 02/2007
Superior Roofing Solutions, Inc.
1290 Tropic Park Drive
Sanford, F132773
Phone (407) 688-6600
To whom it may concern:
Effective immediately, and until further notice, this.letter will stand as authorization for
Laurie Coursey to obtain permits and receive Certificates of
Occupancy in my name and license for the subdivision(s) and lot(s) specified below:
Job: Kevin Best, 309 W. 5' St., Sanford Fl. 32771
Parcel ID 25-19-30-5AG-0706-0060
Thomas R. Cason
CCC1327027
State of Florida
County of
okti
Sworn to and subscribed before me the v day of 1 r Wc-C,20 U-1
Personally known to me or has produced
My commission expires:
Notary Pu lic < 6 N
Stamp:
„"•. KAYDEE DODSOD
`t+y No" PubBc - SW of Fbft
ANY Ca=b*n Edea ,hie S. 2010
Co MbOm 0 DD 560313
60ndid 8% Na0nd NOW Man._
L�I
as identification.
THIS INSTRUMENT PREPARED BY: Building & Fire Inspection
Name: l aL c, e 6P---c5-e-" 1101 East First Street
Address: t'Lq b "TTo (31. c arK Sanford, Florida 32771
Scac,fz�rd C ( 3 a7�3 SEIti�It�v'DLE COUNTY
State of Florida"°''� �_' = I County of Seminole
NOTICE OF COMMENCEMENT
Parcel ID Number (PID) --25-- /1 - 3,1 - 5a 6- 0706 -,ml Loll
The undersigned hereby gives notice that improvement 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.
DESCRIPTION OF PROPERTY (Legal description of the property and street add
GENERAL DESCRIPTION OF IMPROVEMENT 1IN 1111111111111 fit 1111111111111111II Ill 11 III 11111111111 ILII
AK 06639 Pg 0186; (3Tr})
CLERK'S # 2007046105
OWNER INFORMATION ��-�
RECORDED 031E8/5003 04 0@ 41s �-
Name and address: ;1 ; r� )06 RECORDING FEES iQ���+��Q �®�
2 ^ C1, i iZ -UC - S., �l . r .! � i 21`7') 1 - RLU q#, Vt4A� :\\-\
CONTRACTOR
Name and address:
tire` �,� v, �. ; ��y • .,
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name and address:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement
(The expiration date is 1 year from date of recording u
STATE OF FLORIDA
COUNTY OF SEMINOLE
of
To receive a copy of the Lienor's Notice as Provided in
i a different date is s
Signature of Owner
The foregoing instrument was acknowledged before me this c
by
S-�
Of . L , 204
Who is personally known to me
Name of person making statement
OR who has produced identification (n O 1� _ type of identification produced
KAYDEE DODSON
Noiary Pubo - Stam of Fiorkm
CCpM&ft)E#M Jun 0. 2010
Coma+ hW= 0 DO 580319
Wei 8y Natbeef Nomry Assn• Notary Signature
14-7
CITY OF SANFORD HISTORIC PRESERVATION BOARD
'PLICATION FOR CERTIFICATE OF APPROPRIATENESS
P.O. Box 1788, Sanford, FL 32772-1788
FORD Phone: 407.302.5805 Fax: 407.330.5679
pe: OC Drawer: 1
ceipt no: 30130
li
Quantity -Amount
566,DING"PERMIT RECEIPTS
1.00 $10.00
565; , ,
BUILDING PERMIT RECEIPTS
1.00 $10.00
'r detail
CHECK 453.,. $20.00
t
tat tendered $20.00.
oal payment $20.00
Trans date: 12/05/06 Time: 11:42:08
�1 BOARD OF THE CITY OF SANFORD, FLORIDA
`ic District X Residential Historic District
ionse to a notice from the Code Enforcement Department
itth Street
IKevin Joel Best
`" Paint Name: William 13Williamson
Fax: 619-374-2242
Print Name:
Phone: Fax:
I certify that all information contained in this application is true and accurate to the best of my knowledge.
Applicant/Owner: Date: 12-3-2006
Please use the attached 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 all that apply)
❑ Site Improvements/driveway/walkway ❑ Storage shed o Moving structures
"eplacement windows or doors ❑ Underskirting o Awnings
o �NN w construction/additions El Signs ❑ Demolition
'Roofs/gutters/downspouts ❑ AC/Mechanical ❑ Fences/Gates/Pergolas
X Replacement siding/flooring/porch ❑ 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.
Replacement of side entr ndin and s s / addition of roof coverin
As per attached hot doppeg w
A Certificate of Appropri t n -ss is valid for six months unless otherwise noted
OFFICIAL USE ONLY
Historic Preservation Board Meeting Date: 1, a5 _-, AV 7 Staff Review Date: ti . ='W
Application is Approved Approved with Conditions Denied
Conditions: -
Signed:
Date:
***This Certificate must be prominently displayed on the building when work is in progress***
C:\DOCUME—1\jonesm\LOCALS-1\Temp\XPGrpWise\HPB-Certificate of Appropriateness Application.doc