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HomeMy WebLinkAbout1013 S Myrtle Ave�� CITY OF SANFORD PERMIT APPLICATION Permit # :_ n�_ Date: Job Address: 10/3 oS: In a,7Z� AU ,c /��rd -7 301 7 7177 eC, f t Description of Work: /alAi�fi�I[ �1VL /7�>� ���'%J� Historic District: Zoning: Value of Work: S a U � Permit Type: Building _!/ Electrical _ Mechanical __ Plumbing _T Fire Sprinkler./Alarm _ Pool _ Electrical: New Service - # of AMPS _ _ Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures __ Plumbing/New Residential: 7 of Water Closets. Addition/Alteration Change of Service Temporary Pole — _ Replacement J__ New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair - Residential or Commercial _ Occupancy Type: Residential ___��Commercial __ Industrial Total Square Footage: Construction Type: # of Stories: of Dwelling Units: �_ Flood Zone: _ (FEMA form required for other than X) Parcel#; �` _ ��^ �� _s��G - / v`2 rrJ ^-�'8 t7 (Attach Proof of Ownership & Legal Description) Owners Name & Address: /O/ Phone:?. Contractor Name & Address: ;t SLI Met_ A/fATjj J� pState License Number: Phone&Fax:''9y bg;_7 7 Fgrya756� 9�0 Contact Person: �1/D Wt A/U� Phone:.yvy��� 7�CZ Bonding Company: _ _ - Address: f3 Mortgage Lender: Address: Architect/Engineer: Address: Phone: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. I cer -ffy that no works 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 mist be secured for ELECTRICAL WORK, PLUMBING, SIGNS; WELLS, POOLS; FURNACES, BOILERS, HEATERS; TANKS, and AIR. CO\iDITIONERS, etc. 04ilNF..R'S AFFiDAV IT: 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 0".NI ER: YOUR FAILURE TO RECORD A NOTICE OF COMM ENCEMFNT MAY RL=SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY i3EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: in addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe found in the public records of :his county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of p OtO,,�W,:Cr aton that I will notify the owner of the property of the '•� i azAgent Dale mi__ C z zEr co S2 0 u,�� oc� B z C n o`Doz A. C) as En Print.At's Namev _.T Signature of Notary -State of Florida Owncn/Agent is >—Ie-rsonally Known to Me or _ Produced tD TION APPROVED BY: Bld (h�Date) Special Conditions: irements "Fiot` hien Law FS 713. t• ter- `t>. NJj•. • S; re of Contractor.%Agent ate -°qo••••�' ,17 (C��CtiyJ o m1{` Print Cont • ctoriA t s Name / x a o Z u) -_ � / V o . - Fn = Signature of Notary -State of Florida Date 2 - o m "z Contactor/Agent, is_P rs-orally Known to Me or a�SD N � S Produced ID (Initial & Date) Z Utilities: FD: (Initial & Date) (Initial & Date) WATERFRONT GATEWAY CITY OF SANFORD HISTORIC PRESER VA TION BOARD APPLICATION FOR A CER TIFICA TE OF APPR OPRIA TENESS 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. r 11— ..errmcate must oe prominenvy displayed on the building when work is in 1. General Information Property Owner: A All l -,)J Mailing Address: Agent: Address: Property Address: Phone Number: Fax Number:0/. Phone Number: Fax Number: ❑ 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: r� r A A/�k G`u v Cl-( r,,/ #"-,FtW*60wner: 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 Meting Date: Staff Review Date: Application is Approved Approved with Conditions Conditions: Signed: 0.-, (�J2 Date: 10 - lq-o FASHA_ENGMistoric Preservation Board\# Certi Fi cate ofAppropriateness.doc 1. Denied 2. Description of Proposed Work Application Category: (Check all that apply) ❑ Site Improvements/driveway/walkway ❑ Storage shed ❑ Moving structures ❑ Replacement windows or doors ❑ Underskirting ❑ Awnings ❑ New construction/additions ❑ Signs Ee"'Roofslgutters/downs pouts ❑ AC/Mechanical ❑ Demolition ❑ Fences/Gates/Pergolas ❑ Replacement siding/flooring/porch ❑ Paint ❑ 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 additional pages if necessary. 44 ed r Z�_A S T4���a-1 c., Tri s, ¢- q� m t.�/ ��5-4, S L 3. Documentation: In order to be reviewed by either the staff or the Historic Preservation Board, applications must be complete. The documentation listed below must be submitted with the application form. 11 copies of all drawings larger than 11" X 17" and 11 copies of all photos must be submitted. Paint: Color samples of all colors must be submitted. Fences/Gates/Pergolas/ Sheds: • A site plan of the property showing the location of the fence, gates and/or pergola. The plan must show the property's dimensions. • A picture of the proposed structure. This can be an elevation drawing, sketch, brochure or photo of an existing shed, fence, gate or pergola provided that the dimensions are included. • A description of the materials that -will be used in the project. • Photos of the yard(s) in which the structure will be placed. (11 copies of each photo must be submitted). New construction/additions • Elevation drawings to scale of each facade indicating proposed alterations or additions. Drawing must clearly depict the existing building and the proposed changes. • Site plan showing lot dimensions, location and dimensions of existing building, location and dimensions of proposed addition, location of all exterior ground and roof mounted equipment.. • Description and/or samples of materials to be used. • Where applicable, drawings and site plan of other improvements such as fences, walkways, lighting, decks, etc. • Photos (11) of existing structure. Awnings/ Signs • Sketch or elevation drawing of the building fagade with proposed sign/awning. • Dimensioned drawing of awning/sign. • Sample of colors. Site Improvements/driveway/walkway/AC/Mechanical Site plan showing lot dimensions, location and dimensions of existing building, location and dimensions of proposed improvements. Description and/or samples of materials to be used. Note: AC/Mechanical equipment must be screened by shrubs. P \SHA FNIMIlistoric Preservation Roard`:=Certificate nrAnnronriateness.doc 2. Nuoll . ........ MARY SEMI1 Ila CLE hy, Ruth Dennison 1.9867 Lake Pickett Rd. Orlando,Fl. 32820 W-16,1kyt, toOriange County Roofing, In(,. —19867 Lal<e Pickett Rd. Orlanda,F1.32B20 RECO 1111111 oil 111111111111111111111111111111111 if NE MORSE, CLERK OF CIRCUif"COURT LE COUNTY 5479 PG 0021 KIS # 2004157073 ED 10/11/2004 08:23:45 AM ING FEES 10.00 ED BY t holden GtHWILU LUPY MARYANNE MORSE ;L&V Of CIRCUIT 00URT jjAat kIIgla'afr�rl, rlg(p -31 Dew.-A'Apifigm U9, pv-npody (fop ll gescanIft of Ole PrOPCIIIjf, aq-0 5tfelal �addvm,;a if ainAVal -7-7 k3t.K j TF r, e -vv-, C) L) -p- 14 U U-JCA-roz' Ptnmio A lvb" TelojAvuu* P4umbor 7. 73 3-Z-1 7t Von Wwubg"w k:"k-W W'Altblkl WWU HIA&F (if Whor Elias mApnoi- aboun halt: ife) NAA AAf P TRV!j)h',1-1VAn . WVRWWj- Addhwu,. I !/,°t F&I.w K10-4whor t. . .. ...... ... Orlando, Fl. 32820 j 'Emealy (if �.okv). T61e,phann NufflIum, ;� f I - I - F) t.j. - , 2 -,r�A-77nA Telppbrna Nukabol, F'�w' WOUVIAlr Avivinomf �j;. x7'wg 010 iRklic of Howida dc�"'Aqnaled by 0 mmor upon mitgn4l nnth'05 or othe'l. dorlunvot:', Inny he f,)q"'jrve'("j k� , Numm"I ". P , I)ono Fan W410-Irw followhing I'm r-opy of Am Livfkor's hislice ;ijn hAAA 4jjAt4'P Of PA F, 11,111V.1111 11-111 apAnpIrll ti -&(- H )AY of ......... . %who ip4 .......-wally Anown 1. 0 Rif- , 0R v- - 1-7;; j on, Wellfifict-.41 2v RUTH DENNISON My COMMISSION# DD 047565 ....... ... .......... I' dft 'M r 9 005 EXPIRES: September 9,2005 Public U Skinaturo of matay (owc.nirij qrqo tc Bonded Thru Notary pubHc Underwriters GRANGE COUNTY R001'-'ING, INC. ccc(ow,iti 19867 Lake Pickett Rd., Orlando, Fl. 32820 Ph:(407) 568-7702 ............. Fax:(407) 568-7704 Date Building Department V—Vj44�� To Whom. It May Concern: This letter is to notify you that W &exan{�, f la, -4 -of Orange County Roofing, Inc.is authorized to apply for and receive roofing permits in the Ork�7-' &47 Florida in my name. is hereby authorized to sign my name in all matters concerning the application for and the receipt of a permit for the following address. SignedL' date—/Pky Christ her A. )Wieland Signed a( , rn bete -e this_. Z day or, Notary Public for the State of Florida seal: RUTH DENNISOAI MY COMMISSION N # DD 047565 EXPIRES:Ptemb 9,2 5 BOnded Thru Notary Public Underwriters