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Home My WebLink About211-217 E 1 StCITY OF SANFORD PERMIT' APPLICATION Permit # : V Date: Job Address: .7/1--)17 s -L Street Description of Work: - Historic District: t/ Zoning: — Value of Work: Permit Type: Building _� Electrical .----___ Mechanical _ Plumbing __ Fire Sprinkler/Alarm Pool _ Electrical: New Service - # of AMPS ._.. _„ _,_ _ _ _ __ Addition/Alteration--_•___._._ Change of Service --Temporary Pole_ Mechanical: Residential ------- Non -Residential —.-_ Replacement —M New,_____- (Duct Layout & Energy Cala Required) Plumbing/ New Commercial: # of Fixtures . # of Water & Sewer Lines _ # of Gas Lines Plumbing/Now Residential: # of Water Closets Plumbing Repair - Residential or Commercial Occupancy Type: Residential Commercial Industrial _—._ Total Square Footage: Construction Type: Z # of Stories: __—,_- # of Dwelling units: _ .._-_.. Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address: ' fir C7VN N & Address: Phone & Fax: 2 Bonding Company: Address: Mortgage Lender: Address: Architectt Engineer: Address: C7 -30Z -CMO Contact Person: (Attach Proof of Ownership & Legal Description) Phone: I� Phone: 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 conuncnced prior to the issuance of a penWt 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 ELECIRICAL WORIr., 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 FAILURF TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M 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 _ o that I will notify the owner of the property of the req ' e of Flori Ia , F 1 . Signature of ter/Agent Date Signature of ConttactorlAgent Date Si a `Signa�,ure c NMICY & GROVES 4 Notary Public - Skft Of FkMda a Owner/Agent ,� a f�2l3 Contractor) _ Produced ��n,n� ProdL APPLICATION APPROVED BY: Bg2t Zoning: _ - (ln al & Date (Initial & Date) Special Conditions:____,.__ Utilities: Name DEBBIE Bi ANTON M\' COW-fi!GSION # DD 188491 EXPIRES: F ebruar y 25, 2007, FD: (Initial & Date) (Initial & Nate) A, Company: AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS License #: (!� e L' d� V V 499 Project Information Owner: Permit #: _ name Subdivision: address c of%`�- Lot #: phone 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. Contracto . signature printed name STATE OF FLORIDA COUNTY OF This instrument was acknowledged before me this day of , 20 , 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 as valid identification. WITNESS my hand and seal this day oK- ��T 2p y PPUbhc, & war ` gLANTON N\ oC0,V: -SEON # DD 188491 L... ,.. _.". February 25, 2007 1200-3 �T"•�., Y FU`..!ay Discount Assoc. Co. CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATEI 1ES S P.O. Box 1788, Sanford, FL 32772-1788 Phone: 407 330-5672 Fax: 407 330-5679 TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA ❑ Downtown Commercial Historic District ❑ Residential Historic District ❑ This application is filed in response to a notice from the Code Enforcement Department ADDRESS OF PROPERTY: C�2 1 Property OwnphL (�, Signature: �� Ail( Print Name: Mailing Address: Phone: Applicant/Agent Signature: Mailing Address: Phone: Fax: Fax: Print Name: I certify that all information contained in this application is true and accurate to the best of my knowledge. Applicant/Owner: 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 407-330-672 to make sure your application.is complete. Description of Proposed Work/Application Category: (Check all that apply) O Site Improvements/driveway/walkway O Storage shed O Moving structures O Replacement windows or doors O Underskirting O Awnings gw construction/additions o Signs O Demolition 'Roofs/gutters/downspouts o AC/Mechanical O Fences/Gates/Pergolas O Replacement siding/flooring/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 reco ended. Attach additional pages if necessary. A Certificate of Appropriateness is valid for six months unless otherwise noted OFFICIAL USE ONLY Historic Preservation Board M�eetin Date: Staff Review Date: Application is Approved Approved with Conditions Denied Conditions: Signed: Date: ***This Certificate must be prominently displayed on the building when work is in progress*** FaSHA_ENGWistoric Preservation Board\C of A Application.doc Age, State of Florida Permit No. dNOR11,VOLE COf1NUY IVA'S N.M URAL CI W.W.T. NOTICE OF COMMENCEMENT Building & Fire Inspectior 1101 East 1" Stree Sanford, FL 3277 County of Seminole Tax Folio No. (PID) . /1 3O 5-fi C O HOZ>oc The undersigned hereby gives notice that improvement 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. OF PROPERTY (Legal description of the property and street address) /j/eS GENERAL DESCRIPTION OF IMPROVEMENT AVi-1 . - T TT..-\ M1 1 Ti AYT Interest in property (Fee Simple, NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER. (IF OTHER THAN OWNER) MAR24WvP MIlR.W, 0 ERK W MROITT til IRT SE MINULE CWNT� i UK Cor J CLERtt'+ S # 2005159066 R�GY NDE D 09/15/2005 t12:01:35 PH � r ,, A� ��i� �� . ;. �Ja % �-� vt#RUII'E-ES 10.00�../}1r SURETY (Bonding Company) Name and address Amount of Bond LENDER Name and address MARY A0p03\1 SOURS C1 ERK OF �n� t ORIS Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as 1 by Section 713.13(1)(a)7., Florida Statutes: Name and address Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713:13(1)(a)7.,F1orida Statutes: Name and address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Pro, ided in Section 713.13(l)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a Signature of is specified.) nee tries`' Day of� wyft Cwnwissiin Expires: V Public - State of Florida 1?6tary Public ;�� `"'."..®"".'.�.,�'..,"�`'"".' , aFP Commb*m # DD 374417 j foregoing ins�C / e this � � day of ��- � , Z by I n (�'1, ej (Name of person acknowledged), who erson ly known to or wh produced(Type of identification), as idenu o did not tak �.rd. 0at?.