Development ServicesCenter 178 Sams Street Decatur, GA3 30030 bmopssalmss 404-371-2155(0);404-371-455600) C DeKalb County G RGSA Michael Thurmond Chief Executive Officer DEPARTMENTOF PLANNING & SUSTAINABILITY Interim Director Cedrick Hudson Application for Certificate of Appropriateness Date submitted:. 7heo Applicant: Address: Applicant Mailing Phone: Applicant Date Received:. Thesbe-Sellwer B24/24 Address of Subject Property: W /935 Ponce de leonAue NE,AHast, 6A307 Reag LLL E-Mail: telsellra@gpelta LeonAVe-NE 2109Ponce dle Atlanta GA30307 4041431-9201 Applcantsreationshp tot the owner: Owner Architect Contractor/Builder Other Owner(s): TheoReag LChhbrsl tesellnaegmal.co Owner(s): Email: Owner(s) Mailing Address: 2109 Owner(s) Telephone! Number:. Ponee-deleor Ave NE,Alloate, 6430307 404/431-9201 Approximate date of construction oft the primary: structure ont the propertyanda any other structures affected byt this project: /928 Natured ohorx(Checkalthtappy, New construction Demolition Addition MovingaBuilding New Accessory Building Landscaping Fence/Wall Sign Installation Other Building Changes Other Environmental Changes Other *Rafinish Dejvewey D D Description ofWork: Refinish driveway in Plave wil no oferqHerations This form must be completed in its entirety and be accompanied bys supporting documents,such: as plans, list ofmaterials, color samples, photographs, etc. All documents should be in PDF format, except for photographs, which may be in JPEG format. Email the application and supporting material to sAnPeAEANRRN and emiseeabouese An incomplete application will not bea accepted. Signature eofApplicant: 775L C DeKalb County OR4 GEA DEPARTMENTOEI PLANNING & SUSTAINABILITY Authorization ofa Second Partyto Apply fora Certificate ofAppropriateness Thisf formi isi required ifthei individual makingther requesti is not the ownerofthe, property. 7heb-P.sellren I/We: TheoRecg LLC being gowner(s) hereby Ponee de at: 1935 Conshrvction ofthe! property delegate authority to: LA-NEHILAGASWI LLC Serices Pro toi file an application aertfaiadfappasens inr my/our behalf. 16H/K SignaturegfOwner(). Date: 8/24/24 Please review the following information pertinent county, state, and federal regulations. Approval of this Certificate of Appropriateness does not release the recipient from compliance with all other Before making any changes to your approved plans, contact the preservation planner (404/371- 2155). Some changes may fall within the scope of the existing approval, but others will require review by the preservation commission. Ifwork is performed which is not in accordance with your certificate, a Stop Work Order may be Ifyour project requires that the county issue a Certificate of Occupancy: at the end of construction, an inspection may be made to verify thatt the workl has been completed in accord with the Certificate of Appropriateness. Ifthe work as completed is not the: same as that approved in the Certificate of Appropriateness) you will noti receive a Certificate of Occupancy. You may also be subjectto other penalties including fines and/or required demolition If you do not commence construction within twelve months of the date of approval, your Certificate of Appropriatenesswill bDecomevoldandyouwilIn mdtopybranecertinae ifyoustill intendt to do the work. issued. of the non-contorming work.