HomeMy WebLinkAbout927 S Park Avei
CITY OF SANFORD PERMIT APPLICATION
Permit # :
R -/
Date: Z,
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Description I'!z/'foJa oco Roof` 4'rp 1'0181 Square Footage pri
Historic District: "Zoning: riVpal euof.Wo k`S moo
Permit.Type Building X 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 & L=nergy 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
Dccupancy Type: Residential _X_ Commercial Industrial
Construction Type: H of Stories: # of Dwelling Units: Flood -Zone: (FEMA form required)
Jwne _Name•& -Address: C'1+111'.151asPF'll IJt
1& 5.A110- Phone:
contractor Name & Address: 594-4
hone & Fa::
3onding Compaay:
ddress:
Mortgage tender:
ddress:
Contact Person:
State license Number:
rchilect/Engineer: Phone:
Address: Fa X:
1pplication is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commeinced prior to the
ssuance 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
UR CONDITIONERS, etc.
WNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and drat all work will be done in compliance with all applicable laws regulating
onstruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TfORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
40TICE: 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
his county, and drere may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit
r
Signature of
Print sl
venbcation that 1 wI ratify the owner of the property of the requirements of Florida Lien Law, FS 713. d'
PROVALS. ZONING: pecial
Conditions: cv
03/2006 5.
I
Date
OEBBIE
BLANTON ZMYCOMMISSION # DD 168491 a(
PIHES: February 25, 2007 UTIL:
FD: Signature
of Contractor/Agent Date Print
Contractor/Agent's Name Signature
of Notary -State of Florida Date Contractor/
Agent is _ Personally Known to Me or Produced
ID ENG:
BLDG:
Octti31 2006.2:29PM City of Sanford Planning 407 330 5679 P.1
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: THS I DST'ORIC PRESERVATION BOARD OF -THE CITY OF SANFORD, FLORIDA
D Downtown Caotmerdal Bisteric District 117 Residenttal Historic DIM*
G 716 appUmdon is MW m response to a notice from the Code Enforcement Departmeat
ADDRESS OF PROPERTY: S . AW AIL 5*oact4p FL- 319qq Siga9tuYz:
f(
iM. /j ir.r Mailing
Addrirss: S NA.. /be'allt• Phone:
Fax: Print
Name: 5 !/1,C ,S Mailing
Address: S*nA /4s /Si'oJls phone:
Fax: I
certify that all info corsi n,ed in this app atiop is true and accurate to the best of my Imolvledge. Applicant/
Owner. iGmPlt , Date: M/5 r hu Please
use the attached criteria checklist as a guide tocompleting the application. Incomplete applications cannot be roviewed
and will be rawned to you for more information. You are encouraged to contact the preservation planner at 407330-5672 to make sure your application is complete. Description
of Proposed Work/Application Category: (Check all that apply) o
Site Improvementsldriveway/walkway O Storage shed o Moving structures D
Replacement windows or doors 0 Underskirting D Awnings New
construction/additions o Sips o Demolition gRoofsl8utters/
dbwosDouts D AC/Mechanical O Fences/Gates/Pergolas o
Replacement siding/i'looring/porch o 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 reconjamded. Attach additional vanes if necessarv. A
CertHkate of Appropriateness is valid for six months unless otherwise noted OFFICIAL
USE ONLY Historic
Preservation Board Me 'ng Date: Application
is Approved Staff
Review Date: Approved.
with Conditions Denied Conditions:
Signed:
Date: This
Certificate most be prominently displayed on the building when work is in progress*** Requireniants
for Certificate of Appropriateness Application
ry
w . 44
Company:
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
License M
Project Information
Owner: !tc n I -'r— - Permit #:
PaA-k ay Subdivision:
address
Lot M
phone
I, , affiant, hereby affirm that I am the duly licensed
contractor of record for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contrac r:
gnature I
printed name
STATE OF FLORIDA
COUNTY OF &
This instrument was acknowledged before me this _ day of q J,) , Ob(-by the
above referenced individual, , who acknowledged that he/she is a
duly licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced
WITNESS my hand and seal this
as valid identification.
day of -, 20
Notary Public
MCDEBBIE B T020NyOAIIWMIONpDO18p81 (9
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