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HomeMy WebLinkAbout201 E 1 Stz J. Permit # : i Job Address: Description of Work: Historic District: Zoning: CITY OF SANFORD PERMIT APPLICATION t4,a T 7-15- ,-J ovoyo © l2o aJTo SToB Value of Work: $ apop C - n do%,J 51,1151, Permit Type: Building —x— 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 (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial Occupancy Type: Residential Commercial — Industrial Total Square Footage: Construction Type: # of Stories: _L— # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address: Address: Mortgage Lender: l 1- Address: v l Attach Proof of Ownership & Legal Description) Phone: rZJto - -71 Contact Person: /5 Ce eso Phone: Architect/Engioeer: 4 Phone: Address: 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 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 thg Inay, be ermiIs required from other governmental entities such as water management districts, state agencies, or federal agencies. Ac nce of t is 'fication th 1 notify the owner of the p perry of the requirements of Florida Lien Law, FS 713. 4Owner8t 2 © Si lure of Contractor/Ag t Date er/Agent'sITMarl PnntContractor/Agent's ame s a L S.- Pwormo fate of onda to Si . to Totary-State of Flori a Date DEBBIE BLANTON SO tMY COMMISSION # DD 1OMI aEXPIRES: February 25, 2007 Owner/Agent is Lf _ Personally Known to Me or C 48>1`1'lQblRKs FL IMouallx.Knawn 20 or Produced ID APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning: q o?-7--Vr Utilities: rtial & Date) OZ- 0 . sd 3a, FD: Initial & Date) (Initial & Date) IV Ll I CITY° OF SANFORD HISTORIC PRESERVATION 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 Certificate of Appropriateness, a building permit maybe 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. v — %vansncase muss oe prominently displayed on the building when work is in I. General Information Property Owner. W__64Z n I f 6C , 4)604roperty Address: ZO 5 d Z65- &AST /-"rS 7164 Mailing Address: '400 G6Wt r /2AC41AX4W Phone Number. (407) ZSrc- ///,5 V Fax Number. Agent:Phone Number. Address: Fax Number. I& Downtown Commercial Historic District: Residential Historic District: This application is filed in response to a notice from the Code Enforcement Department 1 certify thatC ifiform ton co fined in this applicatio - curate to the best of my knowledge. Applicant: ` Owne Date: Z &6 Date: 2 1 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 V , Approved with Conditions Denied Conditions: Signed: &T/14LSL, CWAQ Date: L51 -, FASHA_ENGWistoric Preservation BoardWCertificate of Appropriateness.doc l . 2. Description of Proposed Work Application Category: (Check all that apply) Site Improvements/driveway/walkway P Replacement windows or doors New construction/additions 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. C-%::--I,oc. WCA r&u Gn fZ4(-- Ee& T t J&--4X" Q;, 2D I c sT S;t-Aaff 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. 11 copies of all drawings larger than 1 I" X 17" and 1 I 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'sdimensions. 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 theexistingbuildingandtheproposedchanges. Site plan showing lot dimensions, location and dimensions of existing building, location and dimensions of proposedaddition, 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 fagade 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 proposedimprovements. Description and/or samples of materials to be used. Note: AC/Mechanical equipment must be screened by shrubs. F:ISHA ENG\Historic Preservation BoardWCertificate of Moropriateness.doc 2.