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Home My WebLink About612 Magnolia Ave (2)'"1 OF SANFORD PERMIT APPLICATION Application # : qT Submittal Date: Job Address: (P t x fVVC'n AJ\i C1 CUv-O- Value of Work. S -O O Parcel ID: �� 30 ' 5gb -- O tto3 --oo3b Zoning: Historic District: �5 Description of Work: ('p Square Footage: .........P.......................................................................................0.0.................... Permit Type: Building A 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 17 Occupancy Type: Residential ❑ Commercial ❑ Industrial O Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) ..... .............r.............. ....... ................. ..,.............. ..... .+....... .............,. •...,.....,.., ....... Property Owner: Contractor: Address: �.Dds i5y►c\\� cy Address: �r�� 5 t Sr- ARK` --Fl ' �l\ p lan E ( Phone: 3JA -303-NNE-mail: Phone: 1W 737) tate License Number: CCL D57 S�5 Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Phone: Address: Fag: Plan Review Contact Person: 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 required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of verification that I will notify the owner of the property of the requirements of Florida i Law FS 713. X " 3/7 m Signature of Owner/ACenf Drate Signatum4f Con r/'Agent Date PFir►t Owner/ 's N Print Con r en ' Sign of ................� Date Signature of otary-St of FIorida Date E t)AV;� C. CONNELL ?.....n.....................................� DAV;D C. CONNELL �'.T.^ft CD0330503 f :s 6/20/2008 oY P Comrcrtt 000330503 V% C 6/20/2008 Ufa`? C_ •,._, t: ru (800)132-4254: .,^.iraa >j7g • 'o°,% � �`'�, F;�„ ida Nctary Assn. Inc• E3ond;.J th,u ( C0�32�254' ,,," �n�,; ; Owner/Agent is Personally Known to me or Flo Contractor/AgOlitis•serral�•�enowrr�a`ir�anr ^�Pcr or� _ Produced lD Produced ID APPROVALS: ZONING: Special Conditions: Rev 02/2007 UTIL: FD: ENG: BLDG: D 11��J �J ST LIC#CCC057528 427 Gaston Foster Rd. • Suite E • Orlando, FL 32807 �� Office: 407-737-4474 • Fax: 407-306-0257 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 ❑ Downtown Commercial Historic District X1 Residential Historic District ❑ This application is filed In response to a notice from the Code Enforcement Department ADDRESS OF PROPERTY: (V a M� A6v -' C\,,,.e Property Owner , Signature: fir,, L'�-" Print Name: b\C�(, we. ktle -\ Mailing Address: (pUS- c,- C Phone: 3a-\ 3 '1y t Fax: Applicant/Agent Signature: Mailing Address: Phone: Fax: Print Name: I certify that all information contained in this application is true and accurate to the best of my knowledge. Applicant/Owner: Date: 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 ❑ Moving structures ❑ Replacement windows or doors ❑ Underskirting ❑ Awnings ❑ New construction/additions ❑ Signs ❑ Demolition A Roofs/gutters/downspouts ❑ AC/Mechanical ❑ Fences/Gates/Pergolas ❑ 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. R -e (u�-.--1 Gam, A Certificate of Appropriateness is valid for six months unless otherwise noted OFFICIAL USE ONLY Historic Preservation Board M tin Staff Review Date: Application is Approved Conditions: Signed: Approved with Conditions Date: Denied ***This Certificate must be prominently displayed on the building when work is in progress*** C:\DOCUME-1\jonesm\LOCALS-1\TempWGtpWise\HPB-Certificate of Appropriateness Application.doc POWER OF ATTORNEY Date: 31, lu b—) I hereby name and appoint lb 0, '. Z LCM -Q- t� of �! t Zsart= •- y to be my lawful attorney in fact to act'for me and apply to the Building Department for a CC - C00-(- permit for work to be performed at a location described as: Section -�5- Township VA Range 30 Lot 03 Block J Subdivision c,4 --since z U (Address of Job) F- (Owner of Property aWd Address) and to sign my name and do all things necessary to this appointment. ccc_ oS -1 Type or Print Name of Certified Cd4actor and Contractor's License Number Contractor The foregoing instrument was acknowledged before me this day of 20 a by Ch 3� who is personally known to me/who produced as identification and who did not take oath. State of Florida County of BONNIE CAHILL MY COMMISSION # DD 611197 EXPIRES: November 2, 2010 Bonded Thru Notary Pubk Underwriters Neat Notary Public, range County, Florida NOTICE OF COMMENCEMENT Permit No. Parcel ID: State of Florida County of Seminole 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. I=1111111nip 1tipoil 111111112-2-11111IIIIItoll III I IN MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY HK 0662-8 Pg 02-2-8; (lpg) CLERK'S # 2007040956 RECORDED 0311912-007 1:08:12 PM RECORDING FEES 10.00 RECORDED BY T Smith 1. Description of property: (legal description of the property and street address if available) Le� i —, � �i tL g 2. General description of improvement: C' — 3. Owner Name and address: rimjc,,l-\,.e_ - � 00S ri 3)�i� v a. Interest in property ...wit " b. Name and address of fee simple titleholder (if other than Owner) 4. Contractor Name and address: 5. Surety a. Name and address b. Amount of bond 6. Lender Name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address 8. In addition to himself or herself, Owner designates 713.13(1)(b), Florida Statutes. of to receive a copy of the Lienor's Notice as provided in Section 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) Signature of Owner Sworn to (or affirmed) and subscribed before me this 1 day of PVM)t , , 20 Q y1 , by �FF1�� CQpY Personally Known �L _ or Produced Identification cc" R, Q Type of Ide 'fication Pr ced �p1tY ANC R M 0 i �1 E� of 0 UN�Y, RIDP Signature of Notary Public, State of Florida , ..................................... , u o RK Commission Expires:s oAv,o C. CG:..;':LL ""' �Y p 0p.wu Coma:' CD0330503 ' `200 lH4S INSTRUMENT PREPARED BY: R 1 9`. i t �oi Expres o/20/2M ' ,��r?Bonded thru (800)432.4254: NAME , �� \ C�` Fonda Notary Assn.. Inc i ............................................ i ADDR. f