200 S Park Ave - CERTIFICATE OF APPROPRIATENESS (STOP WORK ORDER)CITY OF SANFORD HISTORIC PRESERVATION BOARD
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
P.O. Box 1788, Sanford, FL 32772-1788
Phone-. 407.302.5805 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 notice from the Code Enforcement Department CS-rop 0UOP
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ADDRESS OF PROPERTY: 0o X
Property Owner /
Signature: int Name:R(9
Mailing Address:
Phone: O 5, t Fax:
Applicant/Agent
Signature: Print Name:
Mailing Address:
Phone: Fax: /
1
I certify that all informatio nta' this is tion is
Applicant/Owner:
Please use the attach criteria checklist as a 4ide to comf
reviewed and will be returned to you for more information:
407-330-5672 to make sure your application is complete.
Vue.'ndccurate to the best of my knowledge.
Date: J' (0 3
tang the application. Incomplete applications cannot be
You are encouraged to contact the preservation planner at
Description of Proposed Work/Application Category: (Check all that apply)
Site Improvements/driveway/walkway Storage shed Moving structures
Replacement windows or doors Underskirting Awnings
New construction/additions Signs Demolition
Roofs/gutters/downspouts AC/Mechanical Fences/Gates/Pergolas
El 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
recomme ded. Attach additional pag if ne essary.
O 4 GLG
VC ram'
A Certificate of Appropriateness is valid for six months unless otherwise noted
OFFICIAL USE ONLY
Historic Preservation Board Meetin ate: 7• 23• X) Staff Review bate:
Application is Approved Approved with Conditions Denied _
Conditions:
Signed: /'/
I
L1 / Date:
This Certificate must be prominently displayed on the building when work is in progress***
Requirements for Certificate of Appropriateness- Application