1112 Oak Ave; 17-3111; HVACCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I 0- 3 11 l
Documented Construction Value:0_/
Job Address: 1 ,q,/ Historic District: Yes LJ No
Parcel ID: Residential Commercial
Type of Work: New Addition / Alteration Li_( Repair Demo Change of Use Move
Description of Work: "11
Plan Review Contact Person:
Phone: Fax: Email:
r"
Title:
Property Owner Information
Name 7 1/0 -SZle ly,= Phone:
Street: f`//r S'- o^el 4-c Resident of property?
City, State Zip: '/
Contractor Information
Name /r/Cir%S
Street: /,1 Sf 1%iGvf2d'
y,/)
ye
City, State Zip: Sit I,, // -?2 V /
Phone: y
Fax:
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 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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5th Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 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 ICC 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.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is Personally 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: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:,.,)`>-f l D • Z i IdTITITIES:
ENGINEERING:
COMMENTS:
A N
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
AtQ-e
Revised: June 30, 2015 Permit Application
BP200I01 CITY OF SANFORD 10/24/17
Application Inquiry 09:23:14
Application number . . . . . 05 00002081
Application status, date . . CLOSED 5/30/07
property . . . . . . . . . . 1112 OAK AVE
Parcel Number. . . . . . . . 25.19.30.5AG-1305-0040
Old CID . . . . . . . . . . .
Subdivision . . . . . . . . TWN OF SANFORD (TRAFFORDS MAP)
Zoning . . . . . . . . . . . SR1 SINGLE FAMILY
Application type . . . . . . MECH MECHANICAL PERMIT
Application date . . . . . . 3/31/05
Tenant number, name . . . .
Master plan number, rev'wd by: 138
Estimated valuation . . . . 2400
Total square footage . . . . 0
Public building . . . . . . NO
Work description, qty . . .
Pin number . . . . . . . . .
Application desc . . . . . .
Press Enter to continue.
F3=Exit F5=Land inq F7=Appl names F8=Tracking inq F9=Bond inquiry
Fll=Receipts F12=Cancel F13=Val calcs F14=Misc info F24=More keys
F10=Fees
nn.
yo CITY OF SANFORD HISTORIC PRESERVATION BOARD
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
P.O. Box 1788, Sanford, FL 32772-1788
Phone: 407 330-5672 Fax: 407 330-5679
TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD; FLORIDA
Downtown Commercial Historic District dential Historic District
This application is filed in response to a notice from the Code Enforcement Department
ADDRESS OF PROPERTY: ///2 0,4,C Ae-
Propqjy Owner
Signature:
Mailing Address:
Print Name:
Phone: Fax:
Applicant/Agent
Signature:
Z
Print Name: fj
Mailing Address: Z2,9V i2Ae , 4(ee
Phone: y0i- ,7 • Fax: y'di 3aL- Ga93
I certify that all information contained in this application is true and accurate to the best of my knowledge.
Applicant/Owner: 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.
Description of Proposed Work/Application Category: (Check all that apply)
Site Improvements/driveway/walkway Storage shed o Moving structures
Replacement windows or doors Underskirting Awnings
New construction/additions Sips Demolition
ElRoofs/gutters/downspouts C3'AC/Mechanical Fences/Gates/Pergolas
Replacement siding/flooring/porch Paint 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 additio 1 pages if necessary.
2vfto/' ' oL,,;W
A Certificate of Appropriateness is valid for six months unless otherwise noted
Historic Preservation Board Meeting Date:
Application is Approved V/
Conditions:
Signed:
OFFICIAL USE ONLY
Approved with Conditions
Date:
Staff Review Date:
Denied
This Certificate must be prominently displayed on the building when work is in progress***
FASHA_ENG\Historic Preservation Board\C of A Application.doc
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Del,/ 1.c"e
AFFIDAVIT
William. 13. DUOte'
RA,,, 0015039 Florida
Re: Permit -#s 96-1804 (General repairs), 05-615 (Electrical) 05-2081 (Mdohanical Y. 1,
01liam,R, Dupre' havepersonalty inspected the ,property at 'I I 120,1k Ave, Parr,el#,
25.*1,930,5AG-1305-004.0, Sanford, Florida and certify the work that was completed on the
above referenced per,mits, was constructedto the best of My knowled' e:and
complies.with the rninimurn applicable FloridaBLIildin.g Code 1, 9. s neffectat the time
the work wascompleted A IA, NCARB
AA26001576 1112600 1420
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