HomeMy WebLinkAbout1100 S Park Avet A
CITY OF SANFORD PERMIT APPLICATION
ib Address:
ascription of Work:
istoric District:
7
Date: I Z - / 7 -- o
A Total Square Foolagc TaS 9
Zoning: Value of Work: S oW 0 O
emit Type: Building
x Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
ectrical: New Service — # of AMPS Additiort/Alteration Change of Service Temporary Pole _
echanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
umbing/ New Commercial: # of Fixtures N of Water & Sever Lines A of Gas Lines
umbing/New Residential: It of Water Closets Plumbing Repair -- Residential or Commercial _
cupancy Type: Residential Commercial Industrial
tmstruction Type: M of Slories: k of Dwelling Units: Flood -Lone: (FEMA form required)
aers Name & Address. _
Jl oo Sr
mtractur Name &
one & Fax:
nding Company:
ldress:
trtgage Lender:
dress:
chilect/F.ngineer:
dress:
11M.4 AJ
N
N
Contact Person:
Phone. Vo / 330 / o :2—C)
S4 _ State LicCCC /32609!V AccuseNumber: // rr''
Phone. 7V 7 7/('Oxo b 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 nice
of a permit and drat all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate mit
must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, BEATERS, TANKS, and t
CONDITIONERS, etc. NER'
S AFFIDAVIT: I certify that all of the foregoing infonnalion is accurate and that all work will be done in compliance with all applicable laws regulating tstruction
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 01: COMMENCEMENT. TICE:
In addition to the mquirerme is of (his 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. eplance
of permit is verification dum I will notify the owner of the property of the requicem of Florida Lien Law, FS 713. '\o Signature
of Own cr/Agent Date Signature o ontractor/A - I s
fTa
a GGMMtss p • m i
er
c:2rhl ` Prins
Ownu/A eu's Nanrie g y ' ,•, gPnmnotetodAgent's erne _ a • • • Signature
of Notary -State of Florida Date Signature of 1, otary-State of Florida i D98 0`;' N
Own"/
Agent is _ Personally Known to Me or Pcodumd
ID ROVALS:
ZONING: vial
Conditions: 03/
ZO06 U
IL: FD: Contractor/
Agent is Personally Known to e g Produced
1D PX. IF 256-1-{ 7"004— b ENG:
BLDG:
a
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
0 Downtown Commercial Historic District' 4ikResidential Historic District
0 This application is filed in response to a notice from the Code Enforcement Department
ADDRESS OF PROPERTY: //06 Nvt Property Owner
Signature: Print
Name: ?AW by 44,NkiU Mailing Address:
110 Q S •'PAA?_JL AS SfNu'FUR,d , R Phone: 4M , -
J>W . ID -_)rO Fax: Applicant/Agent
Signature: CQiry
Q Print Name: CD r" / I2 c Mailing Address:
U 5 , /Qv-P WINWI-kakp PA `s Z ,' Phone: q67 q
1 C o 3 o Fax: 1 certify that
all inform 'on contained in this application is true and accurate to the best of my knowledge. Applicant/Owner: CX_
V 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) o Site Improvements/
driveway/walkway 0 Storage shed 0 Moving structures O Replacement windows
or doors 0 Underskirting 0 Awnings o New construction/
additions 0 Signs 0 Demolition 5Q,00fs/gutters/
downspouts 0 AC/Mechanical 0 Fences/Gates/Pergolas 0 Replacement siding/
flooring/porch 0 Paint D 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 add' '
nal pagesAif necess ry. V4 CA-01J)
hJ l f !
r P J A Certificate of
Appropriateness is valid for six months unless otherwise noted OFFICIAL USE ONLY
Historic Preservation Board
Meeting Date: Application is Approved
Approved with Conditions Conditions: Staff Review
Date:
Denied This Certificate
must
be prominently displayed on the building when work is in progress*** Requirements for Certificate
of Appropriateness Application
111111111111111111111111111INIita111111111HIII111111
Permit Number
Parcel Identification Number
repared by: /2o ce rn , P- e
eturn to: l65Z 1' 7A 34<9 AL-( W)
rr,-t PAzk 0-9z-7tc NOTICE
OF COMMENCEMENT State
of V"'i 4 County
of CPM /IL 141 MARYANNE
MORSE, CLERK OF. CIRCUIT COURT SEMINOLE
COUNTY BK
06524 Pg 17261 tlpg) CLERK'
S # 2006199901 RECORDED
12/19/2006 03:471lS PM RECORDING
FEES 10.00 RECORDED
BY t holden MORSi "
CLERK
JF CHIT ®R t•' SEMINOL
U IDA B.
xpEP
CL 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 (le al des nptio of the property, and street address if available) 00
S, 9---A &-4 2.
General description of improvement(s) 3.
Owner infor ation c Name {•
N A .,mA Telephone Number P
1 i Addressjrp1Fax Number Interest
in Property: 4.
Fee Simple Title Holder (if other than owner shows above) Name
Telephone Number Address
Fax Number 5.
Contractor Name
f PU Telephone Number Address
Fax Number 6.
Surety (if any) Name
A Address7.
Lender (if any Name
Al Address
Telephone
Number Fax
Number Amount
of bond $ _ Telephone
Number Fax
Number 3
102d 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
Telephone Number Address
A4 N e 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 713.13(1)(b), Florida Statutes. Name
Telephone Number Address
AMAJ'e. Fax Number 10.
Expiration date of notice of commencement (if expiration date is one year from the date of recording unless different
date is specified): ZA
o Date
Signed Signature of O ner (Dote: 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 of , 20 Q 6 ' by known
to me OR Signature
of Notary produced
P A L-+ as identification. who
is personally o,* !
w,,
ION P. SANDAROAS 1r[
3W1111ASSION 1 DO 810149 EXPIRES:
May 13, 2007 Bonded
Thro Budget NoWq brow 23-
20 (9/04)