HomeMy WebLinkAbout812 S Magnolia AvePermit # : ( )
Job Address:
Description of Work:
Historic District:
P`ITV AC CA N1Cf1Dn YCDL4n' ADI/I rf ATI
Date: NE10M. OM N - -O M
Permit Type: Building j 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 )
Contractor Name & Address:
ate License Number:
Phone & Fax: 0 — t IZ- Contact Person: Phone: 07 SIP -"7X6;L
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Eogineer:
Address:
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. 1 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 permit er' cation that I w er of the proDitrigof thy requirements of Florida Lien Law, FS 713.
Signaturo of Owner/Agent Date
v0/
Signature of Contractor/Agent Date
1v ss /-1
P,riQt Owner!Agent's Name
Signature of Notary -State of Florida Date
DEBBIE 13LANTON
MY COMMISSION # DD IeWl
Owncr/A en Per>sd(Afl 9Cf@Uii new
Prod - ri f FL Notary Discounl Assoc. co.
APPROVALS: ZONING:
Special Conditions:
Rev 03/2006
UTIL: FD:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to r
Produced ID
ENG: BLDG:
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 0 Residential Historic District
0 This application is filed in response to a notice from the Code Enforcement Department
ADDRESS OF PROPERTY: 8 %-2, 5,
Property Owner
Signature: Print Name: 1 1):S:3 tFy
Mailing Address:'9r
Phone: 4/TX7 ,,; ? l2'7-d 6 :Z Fax: ,
Applicant/Agent
Signature:
Mailing Address:
Phone: Fax:
Print Name:
I certify that all informat' ontained in this app is 'on =je d accurate to the best of my knowl dge.
Applicant/Owner: Date: / ,n7. > Q
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
0 Replacement windows or doors 0 Underskirting 0 Awnings
o New construction/additions 0 Signs O Demolition
12Roofs/gutters/downspouts A AC han' al 0 Fences/Gates/Pergolas
Replacement siding/flooring/porch 0 Paint 0 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
reco ended. Attach additional pa es if necessary.
r
A Certificate of Appropriateness is valid for six months unless otherwise noted
OFFICIAL USE ONLY
Historic Preservation Board Meeting Date: Staff Review Date:
Application is Approved. Approved with Conditions
Conditions:
Signed Date:
Denied
This Certificate must be prominently displayed on the building when work is in progress***
Requirements for Certificate of Appropriateness Application