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,
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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:
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Phone:?.
Contractor Name & Address:
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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
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Signature of Notary -State of Florida
Owncn/Agent is >—Ie-rsonally Known to Me or
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TION APPROVED BY: Bld
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Special Conditions:
irements "Fiot` hien Law FS 713.
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Signature of Notary -State of Florida Date
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Contactor/Agent, is_P rs-orally Known to Me or
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Produced ID
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(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.
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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
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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
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NE MORSE, CLERK OF CIRCUif"COURT
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KIS # 2004157073
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MARYANNE MORSE
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RUTH DENNISON
My COMMISSION# DD 047565 .......
... ..........
I' dft
'M r 9 005
EXPIRES: September 9,2005
Public
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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