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Home My WebLink About113 Palmetto Ave (3)11 CX1W CITY OF SANFORD PERMIT APPLICATION Permit # : O Date: 7 S_ Job Address: % G.h'l T' Ut2,. 'SahA0 vim_ Description of Work: Historic District: t4e, $ Zoning Value of Work: $ Permit Type: Building wl--- Electrical 40- Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential I-' Commercialy Industrial Construction Type: 131 d1-k # of Stories: Z # of Dwelling Units: Parcel #: Owners Name & Address: Contractor Name & Addr Phone & Fax: Bonding Company: Address: Plumbing Repair — Residential or Commercial Total Square Footage: 5300 Flood Zone: (FEMA form required for other than X) Attach Proof of Ownership & Legal Description) State License Number: Contact Person: Phone: Mortgage Lender: Address: Architect/ 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 verifi that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Date Signature of Contractor/Agent TAIMAR- 4- %4H.s.y Pri Owner/Agent's Name Print Contractor/Agent's Name ign ture of Notary -State of Florida Date Signature of Notary -State of Florida DEBBIE BLANTON ID - - 1. 80P3•NOTAAY FL XW-y nwoW Assoo. Co. APPLICATION APPROVED BY: Special Conditions: Date Date Contractor/ Agent is _ Personally Known to Me or Produced ID Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) 7 w r 'HISTOIUCfWATEUOmGATEWAY CITY OF SANFORD HISTORIC PRESER VATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS 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. I * v=I UI116ALC muST alp on the building when work is in progress. 1. General Information r P,9PropertyOwner: 14Ji Property Address: 3 Li-ti (- Mailing Address: _ r r: PhoneNumber. On//,, `' I U l, C- Cj CC( Fax Number: Agent: Address: Phone Number. Fax Number: Downtown Commercial Historic District: Residential Historic District: This application is filed in response to a notice from the Cod%Enforcement Department 1 certify that all information contained in this application is true and accurate to the best of my knowledge. Applicant: T_ 4% Owner. Date: 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 ofherwise noted OFFICIAL USE ONLY Historic Preservation Board Meeting Date: Staff Review Date: Application is Approved Approved with Conditions. Conditions: Signed: ./ t (/jit CGc Date: Denied FASHA_ ENGUiistoric Preservation BoardW atificate of Appropriateness.doc 1. i 2. Description of Proposed World Application Category: (Check all that apply) Site Improvements/driveway/walkway Storage shed zUnderskirting Signs Replacement windows or doors New construction/additions Roofs/gutters/downspouts Replacement siding/flooring/porch 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 temized list is recommended. Attach additional pages if necessary. ` /r011 0 A Ct`1 (C.11 z /'1n G.- -Utr hA nr . Al f 1 5 r r { S O Y1 Gt W n lil'c , I S 1 r 1 S SI , U /1 t Aa kl' 1 / V - r k-l%i /GL[• e— A II 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. 1 I copies of all drawings larger than I I " X 17" and l 1 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. facade indicating proposed alterations or additions. Drawing must clearly depict the existingbuildingandtheproposedchanges. 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/walkway/AC/Mechanical 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. F: SHA ENGWistoric Preservation Board\#Cenificatc or ADVODriateness.doc 2.