HomeMy WebLinkAbout200 W First St1 RECEIVED
CITY OF SANFORD PERMIT APPLICATION
Permit #:
Job Address:
Description of Work:
Historic District: Zoning:
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Value of Work:
Date: 1 Ug'1 I -S, O JEB ; 3 2006
Mechanical Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial _
Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: ` - (z jo 1 0,!T — 0 d /I / J (Attach Proof of Ownership & Legal Description)
Owners Name & Address:
1 431 k/6
Contractor Nam Addr
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Phone & Fax:467 Z
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address: 7-44ol—
Phone: Q51.r <10 °.. 'Tel ,O
L,D, t— State License Number: (-D l GUUU Z— I
Contact Person: / y 6L l "e Phone: -407 O S7 & 2'Z' 0
2 _,ryryPhone: 3
Z rFax:
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 permit is verification that I will notify the owner of the property of the requirements of Flon Lien Law, FS 713.
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Signature of Owner/Agent Date Signature of Contractor/Agent Date
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Print Owner/Agent's Name Print C ctor/Ag ame
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Signature of Notary -State of Florida Date gnature of Notary-Sta o Florida Date
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Owner/Agent is _ Personally Known to Me or Contractor/Agent is Personally Known ID Me rar E ICA J. FISK
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Special Conditions:
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SANF'OFRE:>, F'LOFRIEXA 3277 l
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407 657-6220 FAX 407 657-6482
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CITY OF SANFORD HISTORIC PRESERVATION BOARD .
APPLICATION' FOR A CERTIFICATE OF APPROPRIATENESS
P.O. Box 1788,-Sanford, FL 3277271788
Phone: 407 330-5672 Fax: 407 330-5679
TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA
Downtown Commercial Historic District. Residential Historic District
This application is filed in response to a notices from the Code Enforcement Department
ADDRESS OF PRO TY: 1 JT 1
Property Own
Signature: Print Name: Ant onv J. Bower
Mailing'Address: + (% ifs
Phone;
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Applicant/Agent
Signature: I IcYj " PrintNam Mailing
Address: Phone: —]
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certify that all inforijnaponcqntaijZ this application is true and accurate to the best of my ow dge. A
lica wner: Date: 7 Please
use the attache 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. Description
of Proposed Work/Application Category: (Check all that apply) o
Site Improvements/driveway/walkway 0 Storage shed Moving structures Replacement
windows or doors o Underskirting Awnings o
New con struction/additions o Signs o Demolition o
Roofs/gutters/downspouts AC/Mechanical o Fences/Gates/Pergolas 11
Replacement siding/flooring/porch Paint D4Dther 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. A
Certificate of Appropriateness is.valid`for six months unless otherwise noted OFFICIAL
USE ONLY Historic
Preservation Bo d ting Date: Staff Review Dater}3 Application
is Approve yd 3 Approved with Conditions Denied Conditions:
Signed:
Date: }3 E
s
Cer r ineptly displayed on the building when work is in progress*** otary
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