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Home My WebLink About1013 Oak Ave04 Permit # :y Job Addmw. fG Description of Work: Historic District: tl- Yam" ' OF SANFORD PERMIT APPLICATION Zoning: Value f work: $y ;Z % S. Permit Type: Building 4/_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole V Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) -4 Plumbing! New Commercial: # of Fixam # of Water & Sewer Lines # of Gas Lines S s S Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage. • Construction Type: # of Storks: # of Dwelling Units: Flood Zone: (PIMA form required for other than Y) MEN Par #: S ) q - 30 —5 Air — l_ p V •- W9FQ (Attseb Proof of OwaersWp & Legal Description) Owners Name & Address: 1 O•R ,charVaAO 5 t • Ott _/-(. 3Z.100L/ Phone: Contractor Name & Address: Ro uflnR C lMnat6f to LioamseNum64Wber Doi r t) 81volcotlFA Phone & Fax: ofbeat Phone:. Bonding company: , a 22792 Phi 40 -7 J- 7 — %0 x (0 -7 - q 0 0 S Addrew. A ,( Mortgage Leader 17 -"' Address: Archltect/Ealilneer: Address: Phone: Fax: Application is herehy made w olnain a permit to do die work find irdWiations as indicated. I certify that no work or installation has commenced priorto the issuance of a permit end that all work.will be performed to meet standards of all laws regulating constriction in this jurisdiction I understand that a separate paymir mp..st be scc=4 for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS. FURNACES, BOILERS, HEATERS. TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: t certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable taws 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 p¢rmi% 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 v(anot! tie !Ter of pc oC the requirements of Florida Li cn La FS 713. O 41, SET Sign e o O itrlAgent Date Signature of Contractor/Agent Date p tIDR( G • 4 0 t CALP 1,_1-L. Print Owner/Agent's Name Print Co / sAll J In Z A t TidZ ,1/QS r,, k 2 a s Signature of Note ` on _ Doe Signature of NotorytiState of Florida Date m a - --- s yo Owner/Agent is Pe nally Known to Me; or Comrmtor/Agent isson Perally Knownto Me or 1A PmdueedlDEl,Q•L• eURU.-5 i3-ssy-—ProducedlD _ - OWN - APPLICATION APPROVED BY: Bldg: 7.oning: g (initial8t Date) (initial &Date) (initial Special Conditions: or Santoro rianning 4U7 JJU bb*tb p.I CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Box 1789, Sanford, FL 32772-1798 Phone: 407 330-5672 Fax: 407 330-5679 TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA 0 D " Residential Historic District 0 Tab application Is Med to response to a notice from the Code Rnforeement Department ADDRESS OF PROPERTY: 10 , Oa/<' aXAZ. S. , -;1-/. -3 2 amm own Signature:v t are• RG+ A .Low e LL Mailing Address: Phone: Fax: AzdjmMst Signature' Print Name: Mailing Address: US ; . - LY,,1,( /. 3 Z xi - Phone: a-72 --20-7 0 Fax (0 —7 C'( --1IOCS' I ratify that all information contained inthisapplication is true and accurate to the best of my lmowlcdge. Applicant/ Owner. t=i( Date: Please use the attached criteria checklist as a guide to completing the application Imcamplete applications cannot be reviewed and will be repuned to you for more iaforrmation. You are encouraged to contact the preservation plainer at 407- 330-5672 to make an your application is complete. Description of Proposed WorktApplication Category: (Cherie all that apply) O Site Improvements/driveway/walkway o Storage shed 0 Moving structures O Replacement windows or doors o Underslorting O Awnings O New construction/additions 0 Signs O Demolition oofr/ gutteWdownspouts 0 AC/Mechanical 0 Fences/Gates/Pergolas o Replacement sidhWflom*;/porch 0 Paint 0 Other Completely describe the entire scope of work. all changes in material, color or location to the exterior of file building, where on the property the work will occur and how the work will be aceompliahed. For large projects, an itemized list is recommended. Attach additional pages if necessary. P L 5 S S 17,- A Cartiffeate of Apprepriatenen Is valid for six months unless otherwise noted OFFICIAL USE ONLY Historic Preservation BowdM Date: Staff .Review Date: Application is Approved Approved with Conditions Denied Conditions: T' bb Certificate most be prominently displayed on the banding when work is in progress*** JrASHA_ BNG%sW= Prearmuca Bond\C of A ApplicabonAim POWER OF ATTORNEY Be it known that I C Ql n9— U06kWafes-'all power needed pertaining to permitting for Michael Fleming, Fleming Brothers Roofing Co.,Inc. License#RC 0067429 For: Jobsite: i A t-`o W Signature Michael Fleming Printed name STATE OF FLORIDA COUNTY OF sew) Ir?19 This instrument was acknowledged before me this ? day of r'::' , 2005 by the above referenced individual, Michael Fleming , who acknowledged that he is a duly licensed contractor with Fleming Brothers Roofing Co., and who acknowledged that he was authorized to execute this document. He is personally known to me QOC or produced as valid identification. Witness my hand and official seal this 2 U day of e h ' 2005 Notary Public Printed Name: a• - ` 'f-. % :'` My commission Expires: Roc aroJ Fiem;na c MY CommissionMie8336orF-Xo g AP61 19, 20o7 Yermif I IIIIIIIIIIIUi1111U11111loll 111131111111U111111D11 parcel Identification Number ;- -1 ^ -,; ( - / Prepared by: WI Fleming Brothers Roofing Co. Winter Park, FL 32792 Return to: Fleming Brothers Roof e-0. Winter Park, FL 32792 NOTICE OF COMMENCEMENT State of r--6r County -of , k} MARYANNE MORSE, CLERK OF CIRCUIT COURT 6HAt COUNTY aK 05631 PG 0211 CLERX'S # 2005034340 RECORDED 03/01/2005 12:27:46 PM RECURDiNG FEES 10.00 RECORDED BY G Harford The undersigned hereby gives notice that improvements) will be made to certain rca.l property, and in accordance; ith Chapter 713, Florida Statutes, the following information is provided in this Notice o.f Commencement. 1. Description of p operty (legal de cription of the property, and str eet•'address if a.vail}ble). Le Cr. ( 70 K l . PSI 2. Gener;tl descrirtton of improvcment(s) -7 3. Owner information . ? , p 7/ Name IY\ Ca 1 t w :( c , I- _ I Telephone Number rr, A dress . -. 102 e .; Fa.x Number ' g ' Interest in Property: 4, Fee Simple Title Holder -.(•,if other than the owner shown above) Name / Telephone Number Address Fax Numbcr 5. ContractoFleming Brothers Roofing Co.phone NumberQ0 — Name Telephone (, Address 2 69 50 Eax,Nlvi'ber L f -7— (07q— 7 C)0S Winter Park, FL 32792. `"' 01• 20 5 6• Surety (if any)' mber Name Telephone NuERTIFI D COPY MARS AddressFaxNumberA - AmountofbondSPANNECLERK 0%Ft_0 DA 7. Lender (if any) Name / Telephone Number CLERK Address !!! Fax Number • u 8. Persons within the State of Florida designated by Owner upon whom notices or othet uments may be served as provided by §713.13(1)(a)7., Florida Statutes. Na. me Telephone Number Address Fax Number 9. In addition to himself.or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.130)(b), Florida Statutes, Name Telephone Number Address Fax Number 10. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a different date is specified): , o 2- 73 ,off Date Signed FL Sworn to aad subsvr bpd yxfow-rnc OA, who is _personaliy known tb ine OR as identification. eft, P Fiai oBroeker e N P Elaine fteker • ^n795915 My Commission DD2fi608 V "r • : %+. zVU8 Inj Expires March 03. 2= 4 ignature of Owner Ni ote per § 13. l3(1)(g), "owner must sign ...and no one else may be permitted to sign in his or her stead." 20 y roduccd — tom Signature of Notary (notaria seal must appear be ow). R r t AFFIDAVIT REGARDING ROOF DRY -IN AND FL0"ASHING INSPECTIONS Company: (- / 0r}'" S Lice ise #:C yc CCn ; v s cy v F, a Project Information Owner: Wvww Permit #: name Subdivision: Lot M phone I, P ( ( h e &D e e r 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: Imo. Q2z" 40, 1 signature printed name STATE OF FLORIDA COUNTY OF 1 1J--x- This instrument was acknowledged before me this day of / 117 2by the above referenced individual, l i uZ -who acknowledged that he/she is, a duly licensed contractor with F1 ert1, , and who acknowledged that he/she was authorized to execute this document. He/she is either per ally-kriown fo me or produced as valid idend ication WITNESS my hand and seal this I '1 day of GI C , 20uy"' Notary Public EBBIE BLANTONQDMYC0MkPISSIONMDD16MI EXPIRES: February 25, 20D7ARYFLNotaryDa.00urn Assoc. Co.