HomeMy WebLinkAbout110 E 1 StPermit # :_
Job Address: 116
Description of Work: _
Historic District:
C
Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date:
L Totaguare Footage Value
of Work: S W3 V Permit
Type: Building Electrical 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 Calc. 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 Industrial Construction
Type: ' # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) Owners
Name & Address: Contractor
Name & Phone &
Fax: Bonding
Company: Address:
BAR Mortgage
Lender: Qri l
Address:
Architect/
Engineer: Address:
Phone:
1A
Sig State License Number: KO
aN Contact Person: i27f [ Phone: 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. i
OWNER'
S AFFIDAVIT: 1 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 1 will notify the owner of the property of the Signature
of Owner/Agent Date Print
Owner/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is _ Personally Known to Me or Produced
ID I
APPROVALS:
ZONING: i
Special
Conditions: Rev
03l2006 I
1
UTIL:
FD: iireme -
ts o,Flor*da Lien La FS ,1tj j Signature
of Contractor/A tom' r Gul a
Prin/
t Contractor/Agent's g soa.
a ; OQ, Contractor/
Agent i Personally Known to Produced
ID ENG:
BLDG: tl
40-
b6
yFnr11) CITY OF SANFORD HISTORIC PRESERVATION BOARD
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
P.O. Box 1789, Sanford, Ft. 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 n Residential Historic District
0 Tbls application is tiled in response to a notice from the Code Enforcement Department
ADDRESS OF PROPERTY: r _ _ t ''F`'•
PFORCM Owner
Signature:
Mailing Address:
Phone: Fax: _
ApRlicant/Agent 11 rn
Signature: , W
Print Name:
4iD7 - 311- o ti
ft+lrlc
Print Name:.rn H• QM
Mailing Address: q/.5 L*J aw- U. 317']1
Phone: 402- 313- 3517 Fax: 6129
1 certify that all information contain Jn thi ap on is true and accurate to the best of my knowledge.
Applicant/Owner: f7 • a Date: I Q (q ld /0
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)
U Site Improvements/driveway/walkway O Storage shed 0 Moving structures
O Replacement windows or doors O Underskirting o Awnings
L7 New construction/additions O Signs U Demolition
O Roofs/gutters/downspouts )OC/Mechanical u Fences/Gates/Pergolas
C] Replacement siding/flooring/porch O Paint u 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
recogtmended. Attach additional pages if necessary. A
TT
A Certificate of Appropriateness is valid for six montbs unless otherwise noted
OFFICIAL USE ONLY
Historic Preservation Board Meetin ate:
Application is Approved
Conditions:
Signed:
Staff Review Date:
Approved with Conditions Denied _
This Certificate must be prominently displayed on the building when work is in progress***
Requirements for Certificate of Appropriateness Application
TO 39Vd a 6LSSTZEL6D 9Z;ST 996Z/69/6T
CITY OF SANFORD HISTORIC PRESERVATION BOARD
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
P.O. Box 1789, Sanford, Fl. 32772.1798
Phone:407.302.5805 Fax:407.330,5679
TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA
9c:"' Downtown Commercial Historic District n Residential Historic District
0 This application is tiled in response to a notice from the Code Enforcement Department
ADDRESS OF PROPERTY: _, O
Property Owner
Signature:
Mailing Address:
Phone: Fax: _
ApRlicant/Agent
Signature: , W
Print Name:
Z %L' &A.1
qb,?- 3)-1- 0ti
Print Name: 6tril and l- AL ICJ" A,. Mailing
Address: !1/5 LoJ e1 W V., ,SAn y .31771 Phone.
40111- Fax: tom)- 3/- 5579 1
certify that all information containe n thi apnlkation is true and accurate to the best of my knowledge. Applicant/
Owner: a f •a Date: / t 9 AD /a 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) U
Site Improvements/driveway/walkway O Storage shed G Moving structures O
Replacement windows or doors O Underskirting o Awnings Q
New construction/additions b Signs C) Demolition O
Roofs/gutters/downspouts PZC/Mcchanical u fences/Gates/Pergolas U
Replacement siding/flooring/porch O Paint U 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 recogimended.
Attach additional pages if necessary. A
Certificate of Appropriateness is valid for six months unless otherwise noted Historic
Preservation Board T.Iinate: Application
is Approved Conditions:
OFFICIAL
USE ONLY Staff
Review Date: Approved
with Conditions Denied . This
Certificate must be prominently displayed on the building when work is in progress*** Requirements
for Certificate of Appropriateness Application i0
39Vd a 6LSSUELOD OL:Si 9OOL/60/Oi