Loading...
HomeMy WebLinkAbout1113 S Elm AveCITY OF SANFORD PERMIT APPLICATION N (5 te -e 2 Q Application # : o� .� 3 ✓ 7 7 Submittal Date: 7 , ZL Job Address: Gann AI Value of Work: S /, 7 /(9 •y� Parcel ID: 3 " t q' ©"s G " / 36/o' D©d?e) Zoning: Historic District: Description of Work: g :IN ja 1s° n mrd Z 1 a� ___ Square Footage: oz©a Permit Type:. Building )d.. •.Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm El 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 ❑ Occupancy Type: Residential A Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: a tis .. Hof Stories: I # of Dwelling Units: -- Flood Zone: (FEMA form required) .................................................................................................................. Property Owner: C 1d v ,4-__ P� tom-\ Contractor: J�n e - Address: 31D Civs�'e�\ �• Address: TnAbRP6 Z -Id' 'S p- r� ���� ��v�ev��1. =3�73P "°'f4� d�z r X12 Phone:ye? 3,2�% $?� E-mail: Phone: H9.5. State License Number: Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: Address: Phone: Fax: 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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. "a, will of per i v rfi ton that I will notitV the owner of the property of the requirements of Florida Lien Law, FS 713. 9 1 t q Signature of Owner/Agent Date Signature of Contractor/Agent%Note czlillee /y/ A�14 Print Owner/Agent's Name Prin ontractor/A2e 's Nin g F i .� � r �`t6, s i y� 70 Signl of otary-State of Florida r_ Date Signature of Notary-Statd=f aridfor w•..n • FO 1 � `. O _ JOYCE M. PIGIRDA� i�%��� t�° 4• c" CommA 00=416 // �/�� • Fa �. tns. ae ���<a r onded Mm (800)432-4254: �////q`,19 y pnuz,S`` Florida Notary Assn., Inr, Contractor/A ent is Personall�K�N►s�tL nr Owner/Agent is 1� Personally Kno jAjy� or,,,.•.•..•.•.............o,.,, _d g n 1104 Produced 1D — Produced ID APPROVALS: ZONING: UTIL: FD: ENG: ____ BLDG. Special Conditions: - - Rev 07.07 NOTARIZE Permit Number: Parcel Identification Number 2-5711- SO -5 A6-1 �ng --,dqv Prepared by: Ga 1 I Mo r r 1 S. 1260 Saratoga Ln, Geneva, F1. 32732 Return to. D R and G, Inc, 1260 Saratoga Ln. Geneva, FI, 32732 NOTICE OF COMMENCEMENT State of F I o r da County of SPm i no 1 P _. I loll IA 111111 ail if all It Ila If 11111 AI 11111 Il 111 II III 11 III 1 Illi MARYANNE MIJRE,l_-1 CLERK OF CIRCUIT COUNT SEMINOLE COUNTY BK 0680-6 pg 1614; U pg ) CLERK'S # 2007138491 RkWN01U 09/6/0-007 01118:0-9 PM RUIROINB K*1.17 10.00 RkQ01400 NY L McKinley CERTIFIED COPY MARYANNE MORSE CLERK OF CIRCUIT COURT SEMINOLE OUNTY, FLORIDA, BY D U Y CL&K kP 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 (legal description of the property, and street address if available) 1113 S_L ivn Awe. JcvA-!Sc) Z.A 7 7/ L,e-5 Lz is /o '3i 13 1 R 4 1i S c � .Srcr� i;-1 (12 1 P6 4=- d 2. General description of improvement(s) 3. Owner information Name ckk:,re H . Pry -Lx -1 Telephone Number..y e 7 3d Address 3;6 c.Fax Number Wit. 3,773 Interest in Property: 4. Fee SimvIe..Title Holder (if other than owner shown above) Name Telephone Number... Address Fax Number 5. Contractor Name :,.D.._. R and G, Inc. Telephone Number 407 327 5636 / Address Number 407 349 1398 1260 Saratoga Ln Geneva, FI. 3� 2 6. Surety (if any) Name Telephone Number Address Fax Number Amount of bond $ —7. Lender (if any) Name Telephone Number Address Fax Number 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, 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 Fax Number 10. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless ailiffer7t date is specified): �- 101414 Date Signed Signature of Owner [Note: 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 fore me this day of aeva 7 by C,L,414C ,4 u who is __personally known to me OR produced as identification. / Signatur of otary (notarial seal to appear below) a.munnn..n....gets ................... N JOYCE M. PICARDAT r QWMW D=67415 EWW IMAM iOrN11 Zhu (800)432.42 4.' Plaids Notary Assn., W;; ............ — .. Form Revised: 3198 HISTORIC WATERFRONT GATEWAY AT CITY OF SANFORD HISTORIC PRESER VA TION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Box 1788, Sanford, .FL 32772-1788 Phone: 407 330-5672 Fax: 407 330-5679 In addition to a Certificate of Appropriateness, a building permit may be required. Check with the Building Department: 407 330-5660. A Certificate of Appropriateness may be required for projects that do not require a building permit. This Certificate must be prominently displayed on the bunging wnen worK is in progress. 1. General Information Property Owner: Clci <,,-- 14. V)aL k Property Address: / ! 1 Z I v✓L lq v,-- S . Mailing Address: 3 1 a 2S. Cr,J Sta-\"bX , Phone Number: %V1)7 Sas.Xk�-,b•T7�) �?x ?? Fax Number: Agent: +k:lc 1/LC• Phone Number: x'47 3 CY 56- I ab® Seva-to�c L4J• Address: 6'P-n---vC1, Fax Number: &7 3,q cl I ❑ Downtown Commercial Historic District: Residential Historic District: ❑ This application is filed in response to a notice from the Code Enforcement Department 1 certify that all information contained in this application is true and accurate to the best of my knowledge. Applicant: Owner: Date: 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. 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 / Denied I :\S1 In LING\I Iistoric Preservation t3oard\#Certificate of Appropriateness.doc I . Date: 0, ?-t