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618 Park Ave; 17-2422; HVAC CHANGEOUTt e Ce, CITY OF SANFORD BUILDING & FIRE PREVENTION i PERMIT APPLICATION r 7_ ' Application No: t Documented Construction Value: $ ,j w _... Job Address: 6d 4d Historic District: Yes `] 11'0 Parcel ID: 2 - d j , '' - / —0a Residential 0 Commercial Type of Work: New Addition Alteration [ Repair ElDemo ElChange of Use El Move Description of Work: 4 e 1'1AQ - Plan Review Contact Person: L Phone: ' 407--D-5 6 S l :Fax: Title: Email: rOj rrA ; SLR r G -( /( Property Owner Information Name L1_L4il(1fW4jA ZXM-011 0k-3 Phone: q07- 312- 2,204 Street: f 9 1961,-k- Resident of property? : City, State Zip: .-„ E `"'/ .- ravrC Contractor Information Name ; lom 'fie -'t`7 ! p i 1C Phone: `/ 0 7957. Ong gStreet: GZ/ltl t i elL Fax: 1497 City, State Zip: r 1L `-L State License No.: - Architect/ Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company:. Address: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, Application is hereby made to obtain a permit to do the work andinstallations 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised: June 30,, 2015 Permit Application NOTIC . 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, stave agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the rrquirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ]CC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. AAArvin,Lofzo%n ewA v. ent Date Sign.-durc of CM-tractor/AVem DOC Oft MiA r--1 P", 1, YA Print 0%vwe/.Aeent's Nam Print COntraCtDr/Agent'S iNutpe Notary Public = Slatot"Florida, Notary P State of FloridaotarPo 6rg029908 z CorfirnissiDn # GG 029908 My Comm. Expires Jan 8, 2'021J2an _8' 2 0 1 Bonded through National 0 y ss Bonded through National Notary Assn." My Comm. Expires Jan-8, 2021 tional Notary Assn, 7 1 Florida 0"A'ner/Ageni is —)crsoffally Known to Me or Contractor/Agent is Personally Known to Me or Produced, ID Type of ID Produced ID — Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: BuildingO Electricaln Mechanical[:] PlurnbingFj , Gasn RoofEl Construction Type: Occupancy Use: Flood, Lone: Total Sq Ft of Bldg: Min. Occupancy Load: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes n No [I #of Heads Fire Alarm Permit: Yes [I NoEl APPROVALS: ZONING: UTILITIES: WASTEWATER:, ENGINEERING: FIRE: BUILDING. 'iF 'f-ZD-k-7 COMMENTS: Revised: )Line 30. 2015 N,,rmiv AppkiCAU`Qn Ambrose Air, Inc. 448 W. Landstreet Rd. Orlando, FL 32824 407-857-0889 Phone 407-857-5503 Fax NAMEIADDRESS I CYNTHIA SIMONTON 618 S PARK AVE SANFORD YL 32771 Estimate DATE ESTIMATE NO. 11/7R013 9609 RECORD COPY P HISTORIC PERMIT All work must be done in strict accordance with the 7 Approved Certificate of Appropriateness Building does not approve any work outside this scope Permit Applicant is soley responsible for compliance CERTIFICATE OF APPROPRIATENESS CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST RE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: Cynthia Simonton for 618 Park Avenue Sanford, FL 32771 DATE ISSUED: August 29, 2017 DATE EXPIRES: October 29, 2017 Approved to replace HVAC that was installed in 2014 per Building Permit No. 14-980. Russ Gibson, AICP Planning and Development Services Director Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? AYES NO , 2 s r.;oRo Building Department Representative O PAR Z HISTORIC PERMIT All work must be done in strict accordance with the Approved Certificate of AppropriatenessC8?— Building does not approve any work outside this scope Permit Applicant is soley responsible for compliance APPLICATION # FOP, A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complete. General Information Downtown Commercial Historic District residential Historic District Is this a retroactive request? [{Ries No Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes ERCo Proposed improvements will affect the following elevations: Whlorth South East West Property Address: 619 04a C,fProperty Owner Infolnati Print Name: ((++/ . Mailing Address: Phone; ? Email: geI/uj:5!!) Signature: c Appiicant/ Agent Information Print Name: 1Z . ",a / t. A BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY of R-P"rUIRED FOR THE SCOPE OFWORKLISTEDBELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE iF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT OR DEVIATION FROM AN APPROVED CERTIFICATE OF APPROPRIATENESS WILL RESULT iN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE TH T THE INFORMATION CONTAINED IN THIS APPLICATION 1S TRUE AND 4 ACCURATETOT ST OF YOUR KNOWLEDGE. Yes, i would y 'u like t eceive emills regarding Historic Preservation and Community Planning within your community. Description of proposed work Completely describe the entire scope of work, including changes in material and color, and method§ that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. HISTORIC PRESERVATION BOARD • 360 N. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP MACE 0 Model 5CM Air to Water Heat Pump —Installation, Operation &Maintenance Manual Section 3: DIMENSIONS Ftgure 3 Model SCM dimensions (ALL DIMENSIONS- IN INCHES) J B DEFT SIDE J- 77-7—. o, o, 4 ................ TOP HISTORIC PERMIT All work must be done in strict accordance with the Approved Certificate of Appropriateness uWing does not approve any work oulside this scope Petmtt Applicant is soley responsibly compliance G A TW2W1T FRONT t A B: D. Model { Front to in Mountin Moutitm Btto BtoBs, Mol LuunbngCahLeg, e depth eraconnec 4 con verallO ugy center,.gvtugcenters return supply of tower fan Height bon ' ; bon width nf'ers . to edge SCM- 036 1 10 17 3/4 17 3/s 15 3/4 5 Yz 15 % 25 53 V NPT 1" NPT 43 % 1 27 th 715A6 SCM 060 T, 1Q 173l. 17?/a 15'3/• 5'h 15':'/< 25 FTVI- r tr: q.,.... 8 .. S Ra t - hie)) i ISTORIC PERMIT All or m t be done in strict accordance with the A ro d Certi ficate of Appropriateness MAN BuiI ng of approve any work outside this scope JAI Pe it r'Y ppl t is soley responsible for compliancern IP w;ndow SAUF.ORD G FPARiM t7-242 5lf SITE COPY I HISTOW PERMIT All work must be done in strict accordance with the Approved Certificate of Appropriateness uilding does not approve any work outside this scope Permit Applicant is soley responsible for compliance CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 www.sanfordfl.gov/HP ISSUED TO: Cynthia Simonton for 618 Park Avenue Sanford, FL 32771 DATE ISSUED: August 29, 2017 DATE EXPIRES: October 29, 2017 Approved to replace HVAC that was installed in 2014 per Building Permit No. 14-980. Russ Gibson, AICP Planning and Development Services Director Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? AYES NO 2422 4ac; GBuildingDepartmentRepresentative HISTORIC PERMIT All work must be done in strict accordance with the Approved Certificate of Appropriateness Building does not approve any work outside this scope VM-1877— Permit Applicant is soles responsible for compliance APPLICATION # FOR A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complete. General Information Downtown Commercial Historic District [ Residential Historic District Is this a retroactive request? W'es No Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes [ o Proposed improvements will affect the following elevations: [North South East West Property Address: 619 &xi IL Ave, Property Owner Print Name: Mailing Address: (p(e Phone: Email Applicant/Agent Information / Print Name: vt/? ' MA 040- MOYNE Mailing Address: -6P1. ;.-ftr-J+Py{ 1" F r Phone ' Email: -r +` . ( Signature. _ BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY SCOPE OF WORK LISTED? BELOW. YOU MUST CONTACT THE BUILt F UIRED FOR THE G DEPARTMENT TO DETERMINE IF A BUILDING PERMIT 1S REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT OR DEVIATION FROM AN APPROVED CERTIFICATE OF APPROPRIATENESS WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL PINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEpGE 7, H, T THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO'EHWST OF YOUR KNOWLEDGE. Yes. I would y u like t eceive emalls regarding Historic Preservation and Community Planning within your community Description of proposed stork Completely describe the entire scope of work, including changes in material and color, and methods that will be used HISTORIC PRESERVATION BOARD - 300 N. Park Avenue + Sanford,Florida 32771 407.688.5145 • www.sanfordfl. !HP rLDrN' o SAiJF0FRD O Aq RTM, Model SCMAir to Water Heat Pump — Installation, Operation & Maintenance Manual Section 3: DIMENSIONS Figure 3 Model SCM dimensions (ALL DIMENSIONS IN INCHES) ffMIURIG AgRART All work must be done in strict accordance With the Approved Certificate of Ap rophateness III ding does not apMye any M UtSide this Scope UHtPermitApplicantissoleyresponsibleforianceDI D2 r 7 7- 72F TOP a G IF--- ----- - A N 1 B W2 wl IL 01'1/ G, LEFT SIDE FRONT SAtqpoj,' D D"" J Model Leg Frontt4 Cap,neNour2hng Mounting Uhti T 0' 0depth Height Vvlth g t centersret,m suj ply of lower fan' Doti; Z SCM- 036 1 10 173/4 173/a 153/4 51/2 151/4 25 53 1'NPT 1"NPT 43% 27 '/2 7 '$A6 M r wak) i1 a ` Ro y 1 - z t . 10 ., i i Z e., 1 i r J w,ur p 4itt?5 2 - STORIC PERMIT All be done in strict accordance with th Certificate of Appropriateness Bui t approve any work outside this sco; i A pli t is soley responsible for compliant Mew 1 7 - 2 4 2 2 SA- :. D REQUIRED INSPECTION SEQUENCE H P4 %q1 *7A 7-7- Address: 6 Ig BUILDING )PERMIT min Max .. Inns ection DDescri ti®n Footer / Setback Stemwall Foundation / Form Board Survey Slab / Mono Slab Prepour Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In Frame Insulation Rough In Firewall Screw Pattern Drywall / Sheetrock Lath Inspection Final Solar Final Firewall Final Roof Final Stucco / Siding Insulation Final Final Utility Building Final Door Final Window Final Screen Room Final Pool Screen Enclosure Final Single Family Residence Final Building (Other) Min Max Ins ectionn DDescri tion Electric Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final Electric Final f9 Jff44+•v'PM43 b !/1'4(. 1L .1wM1f!Y i 4V7:1..r>.N 4.}ifi 1.,$ {,f j Q Min Max Ins ection DDescri tion Plumbing Underground Plumbing Sewer Plumbing Tub Set Plumbing Final tE HANICAL:IPERMIT. Min Max Inspection Descri tionn Mechanical Rough r9 tll Mechanical Final min Max Ims ectionn Descri tionn Gas Underground Gas Rough Gas Final REVISED: June 2014 APPLICATION # . FOR A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will notbereviewed. If you have questions about application requirements contact the Historic Preservation Officerat407.688.514S to ensure your application is complete. General Information Downtown Commercial Historic District N Residential Historic District Is this a retroactive request? Wes []NoIsthisapplicationfiledinresponsetoaNoticeofViolationfromtheCodeEnforcementDepartment? r, Proposed improvements will affect the following elevations: LSO North South WesfEast Yeso Property Address: In J R a.,, I/ dL Property Owner Information Print Name: /- i-'-1 /_ , Mailing Address:_p/ `mil %Up `yji l.f LPhone:' - mac '' Emailr9ar., _ `1.d__=--_l'Y! IQ r.s Signature: L vYtApplicant/Agent Information Print Name: ,1 vil) tnrZie,,j iA P ^ l , BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY k UIREO FORSCOPEOFWORKLISTEDBELOW. YOU MUST CONTACT THE BUILDING DEPAR MNTTHETODETERMINEIFABUILDINGPERMITISREQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT. ORDEVIATIONFROMANAPPROVEDCERTIFICATEOFAPPROPRIATENESSWILLRESULTINASTOPWORKORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSOACKNOWLEDGETHTTHEINFORMATIONCONTAINEDINTHISAPPLICATIONISTRUEANDACCURATE Teuliket OF YOUR KNOWLEDGE. Signature:i ) Date: / Yes, t wouldve emits regarding Historic Preservation -and Community Planning within your community. Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be usedtoaccomplishtheproposedwork. For large projects an itemized list is required. -Use the reverse silo is HISTORIC PRESERVATION BOARD • 300 N. Park Avenue • Sanford, •Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP i t Em I IPACE PAIC Model SCM Air to Water Heat Pump —Installation, Operation & Main tenance Manual Section 3: DIMENSIONS Figure 3 Model SCM dimensions (ALL DIMENSIONS IN INCHES) 77- o -.. t 0 D1 D2 TOP D' Imo_ WI' dnFnI H Tj a o T F ----- -- - -p- IN 0L-i 4j LEFT SIDE G W2 .1-4 W1 FRONT iJ Model A B D D1 D2 E F G H J K V1 RWunting W2 Leg height Front to return Cabinet de thD Mounting lug depth Mounting lug centers Bottom to return Bottom to supply Base to bottom ed a9 of lower fan Overall Height Return connec- tJon SupplyPPY connec- hon Overall width centers Lug center to edge SCM-036 1 10 17 3/4 17 3/8 15 3/4 51/2 15'/4 25 53 1" NPT 1" NPT 43 3/a 271/2 715/,e SCM-060 1 10 317 ./4 17 /a a15 /4 5 h 15'/4 25 53' 1" NPT 1"NPT 43'i5 271h 715/,e FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 1 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number 17-00002422 Date 8/29/17 Property Address . . . . . . Parcel Number . . . . . . . . Application description . . . Subdivision Name . . . . . . Property Zoning . . . . . . . 618 PARK AVE 25.19.30.5AG-0804-0040 MECHANICAL PERMIT TWN OF SANFORD (TRAFFORDS MAP) SINGLE FAMILY Permit . . . . . . MECHANICAL PERMIT -COMMERCIAL Additional desc . . Phone Access Code 1001098 Permit pin number 1001098 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10 409 MHO1 MECHANICAL ROUGH IN 1000 410 MH02 MECHANICAL FINAL CITY OF SANFORD CUSTOMER RECEIPT *#* Oper: BLANDA Type: OC Drawer: 1 Date: 8/29/17 01 Receipt.no: 184634 Year Number Amount 2917 2422 618 PARK AVE SANFORD, FL 32771 BP BUILDING PERMIT RECEIPTS 199.94 AC 029960 Tender detail CC CREDIT CARD $199.94 Total tendered $199.94 Total payment $199.94 Trans date: 8/29/17 Time: 16:03:02 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS ` 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Application Number . . . . . 17-00002422 Date 8/29/17 Application pin number . . . 800594 Property Address . . . . . . 618 PARK AVE Parcel Number . . . . . . . . 25.19.30.5AG-0804-0040 Application type description MECHANICAL PERMIT Subdivision Name . . . . . . TWN OF SANFORD (TRAFFORDS MAP) Property Zoning . . . . . . . SINGLE FAMILY Application valuation . . . . 22940 Application desc HVAC C/O AND DUCT WORK/replacing permit # 14 980 Owner Contractor 618 PARK LLC AMBROSE AIR INC PO BOX 263 448 W LANDSTREET RD GENEVA FL 32732 ORLANDO FL 32824 407) 857-0889 Permit . . . . . . MECHANICAL PERMIT -COMMERCIAL Additional desc . . Phone Access Code 1001098 Permit pin number 1001098 Permit Fee . . . . 170.00 Issue Date . . . . 8/29/17 Valuation . . . . 22940 Expiration Date . . 2/25/18 Qty Unit Charge Per Extension BASE FEE 170.00 Special Notes and Comments Rejected inspections require payment of a re -inspection fee prior to scheduling another inspection. Normal hours for inspections are from 7:30 through 4:30 Monday through Thursday. Please be aware you must contact the Building Official to schedule a Friday or after hours inspection. This is required since not every inspector is licensed to do every type inspection. Communication is the key, so please contact the Building Official if you have any questions at 407.688.5058 or at dave.aldrich@sanfordfl.gov Other Fees . . . . . . . . . 01-APPLCTN FEE -MECHANIC 25.00 O1-BLDG DCA SURCHARGE 2.01 O1-BLDG DBPR SURCHARGE 2.93 Fee summary Charged Paid Credited Due Permit Fee Total 170.00 170.00 .00 .00 Other Fee Total 29.94 29.94 .00 .00 Grand Total 199.94 199.94 .00 .00 FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED. NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED. I- CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATIOND Application No: I / " 3L( 0111c Documented Construction Value: $, -- Job Address:Ft7e^/ Historic District: Yes N o Parcel ID: .- 3rr'_/„ ` Residential R) Commercial Type of Work: New Ajddition Alteration Repair Demo Change of Use Move Description of Work: /t-y VA/1 Plan Review Contact Person: Phone: Fax: Email: Property Owner Information Title: Name t- Phone: Street: / r---k tsp Resident of property?: Y.t rCity, State Zip:. /.1, f / 32 7`7/ C1&-e1/;- . 1 Contractor Information Name , z Apnb/ SC> ,l i /,ydG Phone: _ ZXQ 57 !% Street: Q/" t[[l'r-fie —r—— --;; Fax: _ _ t2 City, State Zip: 1 G% , F--- r ag';4. State License No.: Name: Street: City, St, Zip: Bonding Company: Address: WARNING TO OWNER: YOUR PAYING TWICE FOR IMPRO` RECORDED AND POSTED ON FINANCING, CONSULT WITH COMMENCEMENT. Architect/Engineer Information J004 OA, V 407 6, CEMENT MAY RESULT IN YOUR F COMMENCEMENT MUST BE ON. IF YOU INTEND TO OBTAIN RECORDING YOUR NOTICE OF Application is hereby made to obtain .. / commenced prior to the issuance of a „,,-, ,. ., , ` 1 certify that ws regulating work or installation has ardsinthisjurisdiction. I understand that a separate permit must be secured for electricals work, all plumbing, , signs wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. ' p g b pools, FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Pennit Application CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: Cynthia Simonton for 618 Park Avenue Sanford, FL 32771 BP#14-980 DATE ISSUED: August 29, 2017 DATE EXPIRES: October 29, 2017 Approved to replace HVAC that was installed in 2014 per Building Permit No. 14-980. Russ Gibson, AICP Planning and Development Services Director Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? Ll YES NO r . Building Department Representative CITY OF SANFORD INSPECTIONS BUILDING PERMITS 24 HOUR NOTICE REQUIRED j a300NPARKAVFORALLINSPECTIONS SANFORD, FL 32771 PHONE 407.688.5151 Application Number 14-0.0000980 Date 3/11/14Applicationpinnumber . . . 504820 Property Address . . . . . . 618 PARK AVE Parcel Number . . . . . . 25.19.30.5AG-0804-0040 Application type description RESIDENTIAL MECHANICAL PERMIT Subdivision Name . . . . . . TWN OF SANFORD (TRAFFORDS MAP) Property Zoning . . . . . . . SINGLE FAMILY Application valuation . . . . 22940 Appl.icati.on desc noc exp 02.25.15 Owner PERRY TACY B & NICHOLAS B & SIMONTON CYNTHIA B 618PARK AVE SANFORD FL 32771 Contractor AMBROSE AIR INC 448 W LANDSTREET RD ORLANDO FL 32824 407) 857-0889 Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL Additional desc . . Permit pin number . 853366 Permit Fee . . . . 170.00 Issue Date Valuation . . . . 22940 Expiration Date . . 9/07/14 Qty Unit Charge Per Extension BASE PEE 170.00 Special Notes and Comments Rejected inspections require payment of, a re -inspection fee prior to scheduling another inspection. All projects within the City shall use WastePro for debris removal. Please contact WastePro at 407.774.0800. Other Fees . . . . . . . . . 01-APPLCTN FEE -MECHANIC 25.00 01- BLDO PLAN REVIEW 69.00 O1- BLDG DCA SURCHARGE 3.96 O1- BLDG DBPR SURCHARGE 3.95 Fee summary Charged Paid Credited Due Permit Fee Total 170.00 .00 .00 170.00 OtherFeeTotal101.91 .00 .00 201.91 GrandTotal271_91 .00 .00 271.91 FAILURE TO COMPLY WITH'MECHANIC-s LEIN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED. NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED. NOTICg- In addition to the requirements of this permii, there may be additional restrictions applicable to .this property that may befoundinthe'public records of this county, and there may be additional permits required from other governmen]lal eniities such as watermanagementdistricts, state agencies; or 'federat agencies. Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the curreni ICC Valuation Table in effect at the time the pen -nit is issued, inaccordancewithlocalordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work willbedoneincompliancewithallapplicablelawsregulatingconstructionandzoning. i t narLrU Of t lLTtr%r`(`nt Date hve: of ntrnctor/Agrnt Date Print Owner/Agent's Name PrintC0ntra,.tor1Agent'a_ Signmu of ;l aie of Flon ISA RFRE NDnate Notary Pub State of Florida Commission # GG 029908 Ate•' My Comm. Expires Jan 8, 2021 nor ;.`° Bonded through National Notary Assn. OwnerlAgeni is crsonally Known to Me or Produced. ID "I-ype of ID Commission # 6'029908 My Comm. Expires Jan 8, 2021 Bonded through National Notary Assn. Contractor/Agent is Personally Known to Me or Produced ID ype of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building [j Electrical .Mechanical Plumbing[] Gas[] Roof[] Construction Type: Occupancy Use: flood Zone: Total Sq :Ft of Bldg:_ Min. OccupancyLoad: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes[] No # of Heads Fire Alarm Permit: Yes Q NoL6)cj—) APPROVALS: ZONING,2_9 (Ju- IT S: WASTE WATER:. ENGINEERING: COMMENTS: Revised: June 30, 2015 FIRE: BUILDING. P` mil AppGcmion i CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park. Avenue Sanford, Florida 32771 407.688.5145 ® www.sanfordfl.gov%HP PROJECT IS COMPLETED. ISSUED TO: Cynthia Simonton for 618 Park Avenue Sanford, Ft 32771 DATE ISSUED - August 29, 2017 DATE EXPIRES: October 29, 2017 Approved to replace HVAC that was installed in 2014 per Building Permit No. 14-980. S: Russ Gibson, AICP Planning and Development Services Director Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved C©A that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits. and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? E YES Cl NO r Building Department Representative