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213 S Laurel Ave - E18-004311 - TEMP POWER POLEi Job Address: z)3 S A Parcel ID: CITY OF BUILDING DIVISION Application No: Documented Construction Value: $ 4 o o V_t• Historic District: Yes No Type of Work: New MdditionFl Alteration Description of Work: Z L-PpmY/ 0Ve,r Plan Review Contact Person: Phone: Fax: PERMIT APPLICATION Residential Commercial Vtepa' Demo El Change of Use [I Move ElIA7;Vi-r-P9 1, Email: Title: J Prop /r/ty Owner Information Name Y)4}"b D/ G J l i1P )VfU4Phone:2s2) Street: City, State Zip: Resident of property?: A127 Contractor Information n Phone: Name D y, S rt J ' Street: 63 7 4 Fax: City, State Zip:11V Gl V-P A&S&O'dif I 1 3 State License No.: C J` j2O i Name: Street: City, St, Zip: Bonding Company: Address: 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 ofall 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: 61 Edition (2017) Florida Building Code NOTICE: In addition to the requirements ofthis 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 ofNotary -State ofFlorida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature o ..tractor/Agent Date Print Contractor/Agent's Name Biv,V at Signature ofNotary-Stat a p{eBLANTGN gar v•. My CO EXPIRMMISSIONM Fr 17 2p19 ES. Feoruary 25, c? Q. Public Underwriters F ,:: •.. , Bonded Thru Notary Contractor/ Agent ice- Personall own to Me or Produced ID Type of ID I L. e,- P . i i 301Ik 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: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures. Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 9 www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: Charles Hull for 213 Laurel Avenue Sanford, FL 32771 BP# 19-82 DATE ISSUED: October 22, 2018 DATE EXPIRES: April 22, 2019 Approved to install temporary electrical pole for a period not to exceed 6 months or the duration which the ongoing building permits are in effect (BP 18-2709 and 18-4311). Pole will be located in rear yard near alley in approximate location shown in Figure #1. If the Temporary Pole exceeds 6 months, a new Certificate of Appropriateness shall be issued or an extension granted. J i Eileen Hinson, AICP Development Services Manager 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 responsime Tor optaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? DYES NO Building Department Representative yr;FORp;r, sr.is a APPLICATION # 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 407.688.6146 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 NoQ. Proposed improvements will affect the following elevations: North South East 4 West Property.)---1-3----5 --4-CL --- -- -- Property Owner Information Print Name:1,% G& e Mailing Address: i (9 / Sc Phone: 1 2- (.. '78-.13 imail: 3 Applicant/Agent Information l Print Name: r/GtGl4Zl a Mailing Address: 10 ! /,( r Uwe L`to /—v Signature: Phone: 3 u - f7ff - 0,/ Email: t, Gt im, aJ 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. hereby understand and agree to the above statements and will pay all city fees related to this application as required by the city's adopted Fee esolution. Signature: 6/Date: Z tIle 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 larae proiects 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 APPROPRIATENESS Supplemental Information - Please use the space below to provide additional details regarding proposed work. Description of proposed work (continued from previous page): Site Details Please use the space below to illustrate site details. 117-1 tat Q lz U lir— 1 kv -e x c.e e e C-u- o p ' e© VVN 0 4--N - ->) o- a r%(-3.- COP rA C_ : _ vj C_ c) IA