HomeMy WebLinkAbout4155 St Johns Pkwy - 12-501eel
DEC 2 9 2011
BY:
kpplacanon No: 2 7 [ Documented =
ob Address: 14 15,E S.A- c)\'\ AS Uidl-
'arcel ID: QN' -v \\ oU
sescription of work: J I G i -► t
'lazy Review Contact Person,:
'hone:
Fax:
Vi Y Vr a7i'11Yi V�tiL
BUILDING &;FIRE PREVENTIQN
PERMIT APPLICATIQN
action Value: $ --- _17 • C��
Historic District: Yes ❑ No ❑
Zoning:
E -mail:
Title:
Property Owner Information
aza�e V° L (— Phone:
treet: �A 1 s.s S-� (\-s cj rk we>/ Resident of property?:
ity, State Zap: ,S(3--' \- V/—j ,��: ,j Q-_71 \
,�
Con-tractor Information
ame �M� RC V \ ,j ,\`6 ,1� Phone:
reef: (\ • Fax:%
ty, State Zip: �-®- �� State License No.: �LC� S7
Arch iteetlEngineer Information
%1'PfE-4
•eet:
`y, St, Zap:
ading Company:
dress:
lding Permit CI
are Footage:
of Dwelling Units:
trical ❑
Service - No. of AMPS:
Phone:
Fax:
E-mail: —
7 Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
hanicai 13 (Duct layout required for new systems)
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 13 No. of heads:
,pplication No:
ob Address: kil S , 7;
arcel ID:
Description of Work: c<<
Ian Review Contact Person:
hone:
BUILDING & FIRE PREVENTION
JA�i �� 2012 PERMIT APPLICATION
b�cumented Construction Value:
111V5 F14,Lk k1A i*020 Historic District: Yes 0 No O
Zoning:
I 2 Ccitv�0�2 :3,S .5AfewO coot jol'k
Title:
Fax: E-mail:
Property Owner Information
ame Phone:
:reef: Resident of property?
ity, State Zap:
Contractor Information
ame 1 7)A- iY\y`!A/\J7 Phone: q d ' 7
reef: 246 Fax:
i State License No.• ty, State Zap: ofie-q 0c2Y 3C % �' A C `61 S lS
ArchitectlEngineer Information
ame: Phone:
eet: Fax:
y, St, Zip: - E-mail:
atlang Company:
dress:
Mortgage Lender:
Address:
a .;:3 w frwlo PERMIT INFORMATION
Wing Permit D
are Footage: Construction Type: No. of Stories:
of Dwelling Units: Flood Zane:
.trical 13 Plumbing 13
Service — No. of AMPS: New Construction - No. of Fixtures:
hanieal E3 (Duct layout required for new systems) Fire Sprinkler /Alarm 13 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that "`' -' 1
work or`installad6n has commenced prior to the issuance of a permit and that all work will be performed
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 COMMENCEMENT.
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 to your permit tees when the
permit is released.
q J),2
Signature of Owner /Agent Date Sign 're of Contractor /Agent Date
v �N2r N D n
Print Owner /Agent's Name ° �� lc
Print Contractor /Agents Name
Signature of Notary-State of Florida Date
Dwner /Agent is Personally Known to Me or
?roduced ID Type of ID
%PPROVALS: ZONING: UTMITIES:
ENGINEERING:
:OMMENTS:
:v 11.08
Ol.oSfIL
Signa
•,, DEBBIE BLANTON
olrµv "�e'•.
:2 ,`mss Notary Public - State of Florida
�; •_ My Comm. Expires Feb 25, 2015
`o Commission # EE 60132
Bonded Through National Notary Assn.
Contractor /Agent is Personally Known to Me or
Produced ID Type of ID FZ L C . ! If • -S% /
WASTE WATER.:
t �t
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 permtt
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 COMMENCEMENT.
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 to your permit fees when the
permit is released.
Signature of Owner /Agent Date
Print Owner /Agent's Name
Signature of Notary-Mate of Florida Date
Dwner /Agent is Personally Known to Me or
°roduced ID Type of ID
NPPROVALS: ZONING:
ENGINEERING:
:OMMENTS:
-v 11.08
UTILITIES:
Signature
�Nr
Name
rf.m%ofFlorid®EBBIE BLANTO Notary Public - State of Florida
My Comm. Expires Feb 25. Commission # 2015
EE 60 � a2
Bonded Through National Notary Assn.
Contractor /Agent is Personals Known to Me or �,
Produced ID Type of iD
WASTE WATER.:
BUILDING:
IZ-S�
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: Z-
I hereby name and appoint: % a fI �' rL� J -C' M W' 11
an agent of: Fo s X-r J,. 4�_- P
(Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
All permits and applications submitted by this contractor.
\/ The specific permit and application for work located at:
Pa . rj'S 11ay �36n
(Street Address
Expiration Date for This Limited Power of Attorney: '3 1 `1 / 12..
License Holder Name: j /'Aa'f -s,A -T A„'wa -3;
State License Number: G A ----1 8)< 1!�; e-o
Signature of License Holder: ,I, AM
STATE OF FLORIDA
COUNTY OF 52,-)t ��LZ
The foregoing instrument was acknowledged before me this `" day, of T'Q�jvQ ,
20a) z—, by who is . sow na y snow
to me or ? who has produced as
identification and who did (did not) take an oath.
(Notary Seal)
(Rev. 3/27/07)
Signature
Print or type name (407
Notary Public - State of 1^-L-
Commission No.
My Commission Expires:
RY Iy'••
RUSSELL T CAMMACK
MY COMMISSION # EE054427
EXPIRES January 11 2015
398.0' ;J
FloridaN.1 -1;nr — —
Positive Plus
410 Regal Downs Circle
Winter garden Florida 34787
C AC1815156
Contract:
This contract is between Positive Plus and David Cox, to install 2 complete 3.5 straight cool air
conditioning units at 4155 St. Johns parkway units 1100 and 1300 for the sum of $4000.00.
Naresh Jamwant
FAq
llh�
Cox `Construction and Development, Corp.
PO Box 120597
Clermont, FL 34712 -0597
Name / Address
Positive Plus Air Conditioning, Inc.
410 Regal Downs Circle
Winter Garden, Florida 34787
Estimate
Date
Estimate #
1/2/2012
105
Project
Description
Qty
Rate
Total
New heating and cooling system
1
4,000.00
4,000.00
Total $4,000.00