Loading...
HomeMy WebLinkAbout417 W 2 St (5)Permit # : v `" a Job Address: Description of Work: I Historic District: I / t CITY OF SANFORD PERMIT APPLICATION Date: Zoning: Value of Work: SD© . Permit Type: Building 4- Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Dud Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Phmtbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: � ## of Dwelling Units: Flood Zane: (FEMA form required for other than X) Parcel a: a S ! ! �% , �O' �i i"►V - &fD7 _0o6o (Attach Proof of Ownership & Legal Description) Owners Name & Address Q✓ Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: . Address: ArchitecttEnginew: Address: State License Number: Contact Person: Phone: Phone: Fa:: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commemed! 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>c additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit eriScation tha�dl notify the owner of thy property of the requirements of Florida Lien Law, FS 713 APPLICATION APPROVED BY: BI Zoning: Utilities: UWdni@r& DW (Initial & Date) Special Conditions: FD: (Initial & Date) (Initial & Date) C -- SiAt Si I / t of Contractor/Agent Date x /0� 15"Signature U r;S<3 Print Ag 's N Print Contractor/Agent's Name C Signa e o eta Florida tore of Notarytate of Florida Date LORI D. TUCKER MY COMMISSION # DD 406941 Owner/Agent is I Personal Lor EXPIRES: April 2, 2009 Publ c Undenvrners ��/Agent is , Personally Known to Me or jf�Produced ID F Produced ID APPLICATION APPROVED BY: BI Zoning: Utilities: UWdni@r& DW (Initial & Date) Special Conditions: FD: (Initial & Date) (Initial & Date) CITY OF SANFORD HISTORIC PRESER VA TION BOARD APPLICATION FOR A CERTIFICATE OFAPPROPRIATENESS P.O. Box 1788, Sanford, FL 32772-1788 Phone: 407 330-5672 Fax: 407 330-5679 In addition to a Certlflcate of Appropriateness, a building permit may be required. Check with the Building Department: 407 330-"60, A Certificate of Appropriateness may be required for projects that do not require a building permit. This Certificate must be prominently displayed on the buuaing wnen wvrw 136 1n Prv}J.vaa. 1. General Information r. 10 Property Ownea,ld ± Sor Property Address: Mailing Address: S CA v>^ -e Phone Number. Agent: Address: U Downtown Commercial Historic District: Fax Number. Phone Number. x-10._} - � �;�\ - li� Fax Number. Residential Historic District: ❑ This application is filed in response to a notice from the Code Enforcement Department 1 certify that all i rmation ontained in this applicatio=tru nd accu to to the best of my knowledge. Applicant: Owner: Date: a D 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 Meeting Date: Staff Review Date: Application is Approved_ Approved with Conditiops Denied Signed: D ✓1TI) lu O.. �C., Date: `y FA,%i ENG11istoric Preservation BoardVCertificatc of Appropriatenon.doc 1. f or SU!,AN PIDD Legal bewription Lots 6 and 7, Block 4, Tier 7, FLORIDA LAND AND COLONIZATION COMPANY LIMITED E.R. TRAFFORD'S MAP OF THE TOWN OF SANFORD, according to the plat thereof recorded in Plat Book 1, Pages 56 through 649 of the Public Records of Seminole County, Florida. 0