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HomeMy WebLinkAbout251 W 1 St (2)Permit # : Job Address: Description of Work:iZ e ?oa� ; Y) Historic District: Zoning: CITY OF SANFORD PERMIT APPLICATION Date: / C — 7- O 4- �s� SAreN} Sc,ne,- \ TL 3;177/ Value of Work: $ .51000.00 000•cO Permit Type: Building V 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 Occupancy Type: Residential Commercial Addition/Alteration Change of Service Temporary Pole Replacement New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines ✓ Industrial Construction Type: # of Stories: # of Dwelling Units: Plumbing Repair — Residential or Commercial Total Square Footage: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: _'>Cn c c C . �cj E S" , 4 e 1 d0 ©,d U.>1 c�"i) _FL 3a 3 1 qII II Phone: iC> �l .moi 7 o — 751.5 Contractor Name & Address: Cruz— A'.IO 3'su n CO Cc >5 Irucy Or, Co,:- �>c -C-14, 00 -P-0. 3c X 162 gR4 i 4 / 4ci ,Y c),74 E' S'pri n c�5 P,G State License Number: G C C 150 21-5-C/ Phone & aa: A U I) 464- 6.62 10 Contact Person: >016Ch C Phone: (40.2) 9o23 ` 6.51 7 Bonding Company: IQ Address: Mortgage Lender: Address: Architect/Engineer: aa�b i 4e_ c + '!5 i r1 y As �3� �S:1 y� Phone: C40).) G,;, 9 11/ % Address: I�� CA-)yrvkorr)4,e Fag: 40-2) h 9 ` 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. 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 it is erification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Sign re of Owner/Agent Date Signature of Co tractor/Agent Date of NotarVS(ate of Owner/Agent isPersonally Known Produced ID APPLICATION APPROVED BY: Bldg: Special Conditions: Print DateNELIDA A. R01)0 ure o Notary Public - State of Florida '• _: MyComiftsian.Expires Sep '17,2005 commissian'# :0{3057304 r 1 Bonded By National 44 %qo - .. Zoning: (Initial & Date) ror/A ent's Name L / oft-mis Jcdotary-State Per na�j.t` ID Utilities: (Initial & Date) EWIUSKA DURAN Notary Public - State of Florida My Commssion 6pres May 17,20M Commission S DD 103188 teltn fed By National Notary Assn. FD: (Initial & Date) 111897 LL%=D POWER OF ATTORNEY Date: 10 -7- "'1004- I hereby name and appoint of (SCC) 6&� 0g G r to be my lawful attorney in fact to act forme and apply to ` F h e c 4., o cord for a Co o -f-."Ir �-cic� o r) � ?e s permit for work to be performed at a location described as: Section Township Range Lot Block Subdivision f C tv S`i Sir �J' 1,s Pe S xri Eo c,� (Address of Job) t 3CxnCc� �o �c�:f '31.5.2,3 Comnio-;4y Circle �� �� j(Oy �zr la��ciZ7 3c>-5'19 (Owner of Property and Address) and to sign my name and do all things necessary to this appointment. os Acknowledged: V. �-c mcAn C- 6 C I se -+15 Ci (Type or Print name of Certified Contractor and License #) (Signature of Sworn to and subscribed before me this Day ofyl cr4'- A.D.,200�/- Notary Public, State of Florida MARIA P. FRANCO qv OOhAMISSION # DD 032822 . EXPIRES: June 11 2005 (Seal) '1.011 bonded Thru Notary Public Underwriters My Commission NOTICE OF COMMENCEMENT THIS INSTRUMENT PREPARED BY: Permit No.Tax Folio No. -�1• 't oC(H State of Florida R County of Seminole AD D R. 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. 1. Description of property: (legal description of the property and street address if available) g,5 j CUee -I + �s-I- S-I`Yee+ Sctn f r-� JFL 2. General description of improvement: 3. Owner information a. Name and address, c:o��u (ate�cl e 5,,:-4 e )Qo E1- 3,;z*tq b. Interest in property c. Name and address of fee simple titleholder (if other than Owner) Contractor Name and address Cc sA e to J rc;v\c,o Cc r, 54 :s,,t-� a � CC) 17 Vo,-Ct 0 -P,o- -Bo x f6cZ841 > 14c ncn4e 5 r L 3?716 —,,194- b. X84b. Phone number C 4v>> qa ,3 - c, 617 Fax number CZrc'�) 464- 66- CO 5. Surety i 1111 I1 Ili 11111 it 111 Ii/1111111/1 Ilii 11 Ill 1I Iii 1111111 ill 11111 a. Name and address b. Phone number Fax nur>ehliftNULE COUNTY c. Amount of bond BK 05482 F16 1 148 6. Lender CLERK'S # 2004158607 a. Name and address REC;OWE D 10113/2004 02:34:56 PM REWPOINU r&S 10.00 b. Phone number Fax num er btb 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address �. 7 b. Phone number Fax number In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.130)(b), Florida Statutes. a. Phone number Fax number Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Sworn to ( r affirm d) and ubscnbe before me this _ day of d r� Personally Known OR Produced Identification of Expires: NELIDA A. RODRIGUEZ My Commission Expires Sep 17, 2005 Commission # DD057364 Bonded By National Notary Assn. v a—zc Signature of Owner r , 20 by IEU M" WIARYANIJE MORSE —; i ii rf'pfuit — evil—W_ CITY OF SANFORD HISTORIC PRESER VA TION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIA 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. This Certificate must be prominently displayed on the building when work is in progress. 1. General Information Property Owner. neo �o�� l Q Y Property Address: .7.S, c�r5+ t; ,�+ s 4 . snE Mailing Address:_ 85a.3 CoYn�roc� j„ Yc� Phone Number: Coo)) 370 - 7 51 5 rL 3a; SQ, �e ioo oc la,-,dC, :PL Fax Number. 3a.diq Agent: �a��r\b �jrancp Coyl'zLvok:oh phone Number. C4o-�� 9a3 - 6 X17 Address:? o x Ua I >il�amon �e ----Y- Fax Number: C4o�) A-644 - 66a0 - or;aa a?t6-,;Lg41 WDowntown 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: Date: Owner: _ 160,r cn -� av 10 -C Date: _ IC-)- - a� 4 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 Conditions: Signed: arg-,y, C1, - ( JZOS� FASHA_ENGWistoric Preservation Board\: Certificate of Appropriateness.doc Date: (0If-S)DI-4 )escription of Proposed Work. iplication Category: (Check all that apply) Site improvements/driveway/walkway ❑ Replacement windows or doors ❑ New construction/additions E� Roofs/gutters/downspouts ❑ Replacement siding/flooring/porch ❑ Storage shed ❑ Underskirting ❑ Signs ❑ AC/Mechanical ❑ Paint ❑ Moving structures ❑ Awnings ❑ Demolition ❑ Fences/Gates/Pergolas ❑ 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. ' _, e – —;—>oo L ,� v-1 ca 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. I 1 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 fagade 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 facade with proposed sign/awning. Dimensioned drawing of awning/sign. • Sample of colors. Site Improvements/driveway/waIkway1AC/MechanIca l 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. c ecu A PMC. uif,nrir PrP�Pr ation Rnard\=Certificate of Aonronriate nes5.doc 2.