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HomeMy WebLinkAbout4155 St Johns Pkwy - 12-500DEC 29 2011 kpplieation No: - C5� _ ocumented Con., ob Address:{. �� • -S �6.(� J-.N� .i CITY OF SA1`ii;ORD BUILDING .& FIRE PRI VENTiO . PERMIT APPLICATIO�i on Value: Historic District: Yes ❑ No ❑ 'arcel ID: `� �� \a �� Zoning: lescription of Work: - TO: Ian Review Contact Person: Title: hone: Fag: E -mail: Property Owner Information �P Phone: Greet: ��,S 7S �U��S O–' V �X Resident of property? ity, State Zip: F�-��� , �L� j��� \ ` 1 Contractor Information C.( ame (`2N�� ( 8 N q Phone: 3 reef: �� �l, 1 v Fax :`1 ty, State Zap: ,1) ) 1d �L State License No.: -C -ect: :y, St, Zip: ading Company: dress: Wing Permit ❑ are Footage: of Dwelling Units: trical ❑ Service – No. of AMPS: Architect/Engineer Information Phone: Fax: E -mail: — Mortgage ]Leader: Address: PERMIT INFORMATION Construction Type: Mood Zone: hanieal 13 (Duct layout required for new systems) No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler /Alarm ❑ No. of heads: Application E hereby made to obtain a permit to do the work and installations as indicated. I certify that n4 work or installation has commenced piior to the issuance of a per and that all work will be perfozxY+.ed 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. 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. 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 COMIYIENCEMENT. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied O your permit tees when the permit is released. t j� Signature of Owner /Agent Date Print Owner /Agent's Name Signature of Notary-State of Florida Date Dwner /Agent is Personally Known to Me or ?roduced ID Type of ID %PPROVALS: ZONING: UTILITIES: ENGINEERING: :OMMENTS: :v 11.08 Date Print Contractor /Agent's Name Signature ofFloriaEBBIE BLANi Rate a °. 1: Notary Public - State of Florida ;• + : •E My Comm. Expires Feb 25, 2015 Commission # EE 60132 Bonded Through National Notary Assn. --.—1 Contractor /Agent is Personal Known to Me o Produced ID Type of ID� -�_�- WASTE WATER: �[ Hill CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I a - s--UrJ Documented Construction Value: $ L- 0 ©o , Job Address: L P 5 5 S -r 0 vb\-S V K v,) � --L— 1200 Historic District: Yes ❑ NoB Parcel ID• Zoning: Description of Work: ' 5__rktc- AC U"1_(_ �3 a 5 �1 �� �� ►U �- � � \-T, Plan Review Contact Person: Ca K Title: C-� C. Phone: Fax: E -mail: Property Owner Information Name DPsy _C_ St Phone: Street: Resident of property? City, State Zip: Contractor Information Name .PQ51 Ti V & eLv S P-r- ) Q C Phone: q °+ Street: 44o (L€ 'D m f 09-C- Fax: City, State Zip: w1-a (el2 & ej L 3`F State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E -mail: Bonding Company: Address: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical ❑ New Service — No. of AMPS: Mechanical 13 (Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler /Alarm ❑ No. of heads: POSITIVE PLUS AIR CONDITIONING INC. _j 410 Regal Downs Circle - � E Winter Garden , FL 34787 t- _ Phone 407 - 529 -5689 • Fax 407 654 -2771 Email positiveac@yahoo.com www.positiveac�.com C BILL TO: Name: Cb X C 06 �` 5 "CiZv L� 1btV j b Ou - I'��G_ ASS Si, S kA-,\,S S P tiN Fo �LD F >_ Attn: Address: Address: City /State /Zip Invoice Number: Work Description: Invoice Date: Total Due Date: Upon Receipt Remit payment to: Positive Plus AC Inc Attn: Naresh Jamwant 410 Regal Downs Circle Winter Garden, FL 34787 SERVICES FOR: Work Description: Permit No: Total Psi. L C U tJl T � T IN��L�S PG <<1L� Model # Serial #: PO #: Project #: Quantity Description Unit Price Total Phone: C_ U N i f $ - $ - r) fi NS G CT 1 bTJ $ - $ - $ - 0 1 — t5 u Y,\j Op -v $ OVO s �o Total $ ()U U - Previous Unpaid Invoices Date Invoice Number Amount Phone: Email: Total Previous Unpaid Invoices $ - Approved: Name: Signature: Date: If vnii have nnv aniestinns reaardino this invoice_ nlease contact: Naresh Jamwant 407 - 529 -5689 positiveac(a�vahoo.com Name: ` Phone: Email: Y/'0"'UV'j Copyright Positive AC Inc