515 S Myrtle; 18-3857; AC UNIT5t•I RD ". • l8 -3 S4 PERMIT
APPLICATION Application
No: Documented
Construction Value: $ -3 %v Job
Address:-S ,- rJ°it7/ Historic District: Yes o Parcel
ID: Residential Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: C1.ti• i Plan
Review Contact Person: "54P"o Z'e'141L', Title: Phone:
oo Fax: Email: Property
Owner Information Name
Phone: Street:
Resident of property?: City,
State Zip: Contractor
Information Name
c/i"MOs Street: /;
L i/.tr. ,P City,
State Zip: Name:
Street:
City,
St, Zip: Bonding
Company: Address:
PhoneO'
Fax:
State
License No.: b y z z Architect/
Engineer Information Phone:
Fax:
E-
mail: 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.
FB@ 105J Shall,be inscribed with the date of application and the code in effect as of that date: 6 Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe 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
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print,C ntractor/AAgent's Name
Signature of Not
DEBBIE BIANTON4YL'e G MY COMMISSION # F"r 17864E
Lr;: { EXPIRES: February 25, 2019
Bonded Thm Notary Public Underm ters
Contractor/ ersona y nown to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Y,
APPROVALS: ZONING
COMMENT
s El No # of Heads
UTILITIES:
ENGINEERING:
e
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes No
H$2-3
WASTE WATER:
BUILDING:
Steve Richards' Air Conditioning & Heating, Inc.
Residential & Commercial
612 Sanford Avenue
Sanford, FL 32771
STATE CERTIFIED FL LIC. #CAC043962
PH 407-463-6764 EMAIL srichardsair@yahoo.com
PROPOSAL SUBM TIED TO
b,t4/ v^
PHONE DATE
J
STREET
5
JOB NAME
CITY, STATE and ZIP CODE JOB LOCATION
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for:
We Propos ereby to Wish material d la r --- mplete and accordance with above specifications for the sum of:
Dollars ($ )
Payment to be made as f ws:
All material is guaranteed to be a specified. All work to be completed in a
workmanlike manner according to standard practices. Any alteration or deviation
from above specifications involving extra costs will be executed only upon written
orders, and will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accidents or delays beyond our control.
Owner to carry fire, tomado and other necessary insurance. Our workers are
fully covered by Workman's Compensation Insurance.
Acceptance of Proposal -- The above prices, specifications and conditions
are satisfactory and are hereby accepted. You are authorized to do the work as
specified. Payment will be made as outlined above.
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
Wr
Signature'`
Date of Acceptance: Signature
C4
yFORp `
CITY OF
SkNFORD
FLORIDA
v p s
APPLICATION # t6ZSSSCo
FOR A CERTIFICATE OF APPOPRIATENESS
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? Yes[] No[]
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes[] Notrq2aF'
Proposed improvements will affect the following elevations: North South East West
Property Address: S ' /cyR i < =_ 4e_ J i+ry E-, j 3 Z7-1
Property Owner Information
Print Name: /14d-r ufz a
MailingAddress: 5 1 -5, /1`f/z i LF /0uc-. ,.,1l vrl it L , -'7 Phone:
L10---120-010 Email: M 1 14.v1Z0Se:-J ) (0j P;Vr,he-uSignature:. Applicant/
Agent Information Print
Name: c9'00eSMailing
Address: Phone:
Email: Signature: BY
SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF
WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A
BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK
ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE
THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE
BEST OF YOUR KNOWLEDGE. I
hereby understand and agree to the above st ements and will pay all city fees related to this application as required
bio . Signature: — Date:
p 2
Would
you
like to receive emails 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 used to accomplish the
proposed work. For large projects an itemized list is required. Use the reverse side if necessary. HISTORIC PRESERVATION
BOARD • 300 N. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP
APPLICATION #
FOR A CERTIFICATE OF APPOPRIATENESS
Supplemental Information - Please use the space below to provide additional details regarding proposed work.
i
Description of proposed work (continued from previous page):
Site Details
Please use the space below to illustrate site details.
HISTORIC PRESERVATION BOARD • 300 N. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP