HomeMy WebLinkAbout209 5 StCITY OF SANFORD PERMIT APPLICATION
Permit # : y5 2011
Job Address: bq 5-1--x1 '-5tYPe} E f4pylDi6 I\ 3a-1-11
Description of Work:
Historic District:
Zoning:
Value
Date:
2C�5, aQ
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures _
Plumbing/New Residential: # of Water Closets _
Addition/Alteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Occupancy Type: Residential >/ Commercial Industrial _
Construction Type: # of Stories: # of Dwelling Units:
Plumbing Repair — Residential or Commercial
Total Square Footage:
Flood Zone: (FENIA form required for other than X)
Parcel #: 5 - -\ _ ":�O" 5 c-' 0—I M- O0I A (Attach Proof of Ownershi(p� & Legal
Description) i
ONrners Name & Address: 1 T OiG !1 �� � �rJt'1 �t�l�[t'i Y�� IU �t� t l 3' -7-1 1
Phone:
Contractor Name & Address: HPi(SYl Y1Pfn17.`SXL1. MCC l C-QMJ.I( Odl\r--) t I t` % st C-�M r tvr tt_
k1 State License Number:
Phone & F�x:4�86--G 67--%{e5 "5q lei Contact Person: k' 1G�1_l JDPkE Phone:
Bonding Company:
Address:
Mortgage Lender:
Address:
Arch itect/Engineer: Phone.
Address: Fax: -
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. 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 required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requir ents of F rids Lie w FS I
Signature of Owne V Agent Date t ature of Contractor ntii Date
�
Print caner/Age 's Name "PriintCctor/Agent's me
Wendy Ripple
Signa o Notary -State of Florida Date Signature of Notary- ofk;Oa e
tut DD2805's9
Expires December 25, 2004
Stephanie Powers °'"
it DD212854
Owner/Agent isPersonally Known to os l gi=1EMe %mor/Agent is_ Personally Known to Me or
Produced IDA Q. 301Lded ItIM Produced ID
WI OF tip` AtImtic BondingCo.,Inc.
APPLICATION APPROVED BY: Bldg, a &lying:
(Initial & Date)
Special Conditions:
Utilities:
(Initial & Date)
FD:
(Initial & Date) (Initial & Date)
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: �<Z {, ,br.,S'E2c Cyb� Cds .License#: Q C °LO S��% (9-
6165 51A. cst-k N_ �wu
Project Information
Owner: 240^'k Q bS TL PS OJ��
name
ess�L.
phone
Permit
Subdivision:
Lot #:
I, . „ Lv= k , 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.
Contractor: AP—., L(; WY-
signature
punted name
STATE OF FLORIDA
COUNTY O r
This instrument was acknowledged before me this day of /)00 , 200 , by the
above referenced individual, S roK , who acknowledged that he/she is a
duly licensed contractor with NPc!h and who acacnowledged that
he/she was authorized to execute this document. He/she i er personally knovn to me r
produced
as
WITNESS my hand and seal this J day of _� () J
/Nq,) �,y Public
BLANTON
ADEBBIE
d"Y COMMISSION # DD 188491
Ex•PIF. S: February 25, 2007
Y FL Notary Discount Assoc. co.
8/30/04 2:12PM;
02:02 407-324-0623
40-7 324 0623.-> HERSH; Page'4.'
SANFORD PROPERTIES
PAGE 04. -
...+iuvaVnt UIOISWAr CITY OF SANFORD
t- r
_�. HISTORICPRESER VA
T'ION BOARD
APPLICATION rnD
A
CERTIFICATE OF. APPROP.WA TENESSr
P.O. Box 1788, Sanford, FL 32 772-1 788
CpR ORTDpA tee' Phone: 407 330-5672 Fax: 407 336-5679
In ,addition to a Certificate of Appropriateness, a buildingY
Department. 407 330-5660, A Certificate of Appropriateness rmiay be required fo .projectsack than. fhe BuNd+rng
a buildin
g Permit.t do not regk:Frr'
This Certificate must be prominently displayed on the building when work.is. ,ln progress "
..` ;
General Inforimation °err:
Property Owner• 2�4M
Property Address! ^la�
Mailing Address:
Phone Number: L/ 0'7 7a y -,,�u �/V
Fax Number:
Agent:
Phone Number;
Address:
Fax Number:
❑ Downtown Commercial Historic District: .
Residential Historic District:
❑ This application is filed in response tp a no rce from the Code Enforcement Department.
L certify that all information contained in this application is true and accurate
knowledge. to the best of my
Applicant:
Owner:'
Date:
Date: -�
Please use the attached criteria checklist as a guide to complefin thea
applications cannot be reviewed and will be returned to you for more infopMatatl�n Ihcornplete
encouraged to contact the preservation planner at 407 330.5672 to make sure your a
ion; Yop_ara
complete.
A Certificate of Appropriateness Is valid for six rttonths unless othe
' rwrise noted
OFFICIAL. USE ONLY
historic Preservation Board- eetIng-Date..
- - __ ....Staff-• - -- ----- -- --
Application is Approved
Approved with Conditions
Conditions: — —� Denied
Signed:..
F.ASIIA_ENG�Historic Preservation Board\#Ceniricato or AppropriAteness.doc
Completely describe the ®ntlre scope of work: all changes in irrtaterial, color or location to the
exterior of the building, where on the property the worbc will occur and how the work will
accomplished. For large projects, an itemized list Is recommended. Attach additional be
necessary. Pages If
3 r,
L V? � �a vh
3. Documentation; In order to be reviewed by either the staff or the Historic
complete, p The documentatreservation
ion listed below must be subrnittt d with the application form, 1 1 copies of all dre Boaanappa�c�hons must be
and 11. copies of all photos must be submitted.
g rger thsrt
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. Th
r dimensions. 9 e plan must show the property's
F A picture of the proposed structure. This can be
fence, gate or pergola provided that the dian elevation drawing, sketch, tensions are included. �, brochure or photo of. an existing shed,
G A description of the materials that will be used in the project.
'• Photos of the yards) in which the structure will be placed, (11 copies of each
f Photo must be
.submitted).
[,.,`New construction/additions
Elevation drawings.to scale of each. fagade Indicating
existing building and the proposed changes. proposed alterations or additions. Drawing must clearly depict ttie.
Site plan showing lot dimensions, location and dimensions of existing building, 1oc
addition, location of all exterior ground and roof mounted equipment..
9. abon and dimensions of proposedrK
Description and/or samples of materials to be used.
'here* aPPlicable; drawings'and"site-prl"f-Crth�r-improvements such as ten
' Photos (11) of existing structure, ces, walkways, lighting, decks; etc. -�'
awnings/Signs
Sketch or elevation drawing of the building fagade with proposed sign/awning.'
.Dimensioned drawing of awning/sign,
,
....Sample of colors.
Impeovements/drivewa /wal
e plan showing lot dimensions, location a d dimensions oh ex sIca l'
f xovements:existing building, location and dimensions of pro osed
acription and/or samples of materials to be used. p
`;tea AC/Mechanical equipment must be screened by �hr,tip
iA ENO\Historic Preservation 9oar"CenlrICBM or ADDroorl;ltenCsS.dbC -
2.
Re*4eived: 8/30/04 2:12PM;
"
407 324 0623->.HERSH; Page 5
E
58/30/2004 02:02. 407-324-0623
SANFORD.PROPERTIES
'PAGE.. -05
L '
ption of Proposed Work
n Category.
9 ry: (Check all that apply) '
1
provements/driveway/walkway
FAa
windows
❑
Storage shedment
MovingstrucCD
or doors
❑
Underskirt.ing
❑Awningsnstruction/additions❑
.
Signs
❑Demolitionutters/downspouts
❑ Replacement siding/flooring/porch
❑
AC/Mechanical
❑ .Fences/Gates/Pergolas
❑Paint
Completely describe the ®ntlre scope of work: all changes in irrtaterial, color or location to the
exterior of the building, where on the property the worbc will occur and how the work will
accomplished. For large projects, an itemized list Is recommended. Attach additional be
necessary. Pages If
3 r,
L V? � �a vh
3. Documentation; In order to be reviewed by either the staff or the Historic
complete, p The documentatreservation
ion listed below must be subrnittt d with the application form, 1 1 copies of all dre Boaanappa�c�hons must be
and 11. copies of all photos must be submitted.
g rger thsrt
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. Th
r dimensions. 9 e plan must show the property's
F A picture of the proposed structure. This can be
fence, gate or pergola provided that the dian elevation drawing, sketch, tensions are included. �, brochure or photo of. an existing shed,
G A description of the materials that will be used in the project.
'• Photos of the yards) in which the structure will be placed, (11 copies of each
f Photo must be
.submitted).
[,.,`New construction/additions
Elevation drawings.to scale of each. fagade Indicating
existing building and the proposed changes. proposed alterations or additions. Drawing must clearly depict ttie.
Site plan showing lot dimensions, location and dimensions of existing building, 1oc
addition, location of all exterior ground and roof mounted equipment..
9. abon and dimensions of proposedrK
Description and/or samples of materials to be used.
'here* aPPlicable; drawings'and"site-prl"f-Crth�r-improvements such as ten
' Photos (11) of existing structure, ces, walkways, lighting, decks; etc. -�'
awnings/Signs
Sketch or elevation drawing of the building fagade with proposed sign/awning.'
.Dimensioned drawing of awning/sign,
,
....Sample of colors.
Impeovements/drivewa /wal
e plan showing lot dimensions, location a d dimensions oh ex sIca l'
f xovements:existing building, location and dimensions of pro osed
acription and/or samples of materials to be used. p
`;tea AC/Mechanical equipment must be screened by �hr,tip
iA ENO\Historic Preservation 9oar"CenlrICBM or ADDroorl;ltenCsS.dbC -
2.
[ ...
_> HERSH; Pa
Received: 8/30/04 2:11 PM; 407 324 0623 Page .7
'..,
'
IN,
08/30/2004 02:02 407-324-0623 SANFORD PROPERTIES
FAGE:. 01'. .
4
} P
114 W. 2ND J70 Ptil� 4®r-3�4-�®44
�rA oRp, . a�rrx VAX* 407424-0623
FAK SHEET
To: Wendy. & Scott
T;
From Stephanie Powers
Date: August 30,2004
RE: M W. 2nd St./209 E. 5th St.
Here is the C of A's for the historic part Make sure, you have the r
i
when pulling a Permit.
Thanks,
Stephanie Powers
i
C
r
ni, .
Titer rcecorouiy
Return to:
MARYANNE XORSEt CLERK OF GIMT COURT
PY [1Cr>nti yc'�ieY1 ':ern n eti5 1 nC SEMINOLE COUMtY
BK 05506 PG 101.6
Lr7C1cu s Le if r 1 a �'=,Ca CLERK' S #i 2112104171406
U RECORDED 11/05/2W 11:605:11 AN
RECORDING FEES 10.0
Notice of CommencemelMORDED BY L McKinley
FS 713.13
Permit No.
Tax Folio #
State of F jt]Yr fkG
County of 2Xx'1'tnc)
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues,
the following information is provided in the Notice of Commencement.
1. Legal description of property: -L ECS 41 11 Z FT n F LUT ( al_ 1 �� Tbu:� (L)
of ���,F�>� �►� I �� �-��
Genera: cescnp:;on or cnproverien;
3. Owner: Name and address LrAYV1t �� � � L_� 150'n Rcnc' )S mon:gj)V-d
a. Interest in properly:
b. Name and address of fee simple titleholder (if other than Owner)
4. Contractor: Name and address 14pr5h Rff-N'SAT- c:bi`Y "M'iY'n e-5 1fy- - I on,i� RLy'%dC.C9CHW k—L—k -X-LU Io ngLW6god
---- -
---- ---a---Phone-nuniber---q 0-1-BLO-.5---j---1------Fax-number- (option al-, f service -by -fax -is -acceptable)
5. Surety: Name and address
a. Phone number
6. Lender: Name and address
a. Phone number
Fax number (optional, if service by fax is acceptable)
Fax number (optional, if service by fax is acceptable)
Bond S
Persons within the State of Florida designated by Owner upon notices or other documents may be served as provided by Section 713.13(1) (a)
7. 7., Florida Statutes: (name and address):
a. Phone number Fax number (optional, if service by fax is acceptable)
8. In addition to himself, Owner diesignates To receive a copy of the Lienor's Notice as provided in
Section 713.13(1) (b), Florida Statutes.
a. Phone number Fax number (optional, if service by fax is acceptable)
9. Expiration date of notice of commencement (the expiration date is one (1) year from the date of recording unless different date is specified)
20
Si nature of Owner
State of Florida Inn
County of jQvyS,MO�`
The foregoing instrument was acknowledged before me this day of 6.�� , 20 by 2(: Uynr /OSE j iC4 k-1
who is Personally Known To me or has produced l�Q�ftl11c C1,t Litj as identification and who did (did not) take an oath.
n`'� Stephanie Powers
ab` r'°4' Commi ati # 0112854 n n.
�P jIIriG 5, 2006 (SEAL) Not Public
o� : Bonded ihru MARYANNE; MORSE
'�.,°f,;;,.• Atlantic Bonding Co.. Inc. CLINOLE
F CIRCUIT CO RT
�EOLE
COU FLO IDA
P T .CLERK
NOV 52004