HomeMy WebLinkAbout300 W Airport Blvd 12-1389 Walk in cooler,
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $ f� /
Job Address: O L, /L /`� F A f �dC� ❑ ❑
Historic District: Yes No
Parcel ID: c2 —,Z `� � ��� 'C�S.,I /�� (gono 7.anina-
Description of Work:
Plan Review Contact Person: __ ��i� r l�
Phone:/ -%? l {� - � ;/? { Fax:
Name
Street:
City, State Zip:
Owner Information
W/ LLC phone:
Resident of property? :
/// Contractor Information
Name 4 11C ,ie'f .atczC-i 1C Phone:
Street: 1,2.� /5 Fax: ��2 / —,j 723 —1r'%
�n
City, State Zip: (Ye(alud && �L . 22 % 2 State License No.: C 9.�C�S`�9 l
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical ❑
New Service — No. of AMPS:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
Flood Zone:
Plumbing ❑
Mechanical ❑ (Duct layout required for new systems)
New Construction - No. of Fixtures:
Fire Sprinkler /Alarm 11 No. of heads:
�/1 ¢y
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 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 fees when the
permit is released.
Signature of Owner /Agent
Print Owner /Agent's Name
Date
Signature of Notary-State of Florida Date
Owner /Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
Signature of Contractor /Agent Date
/ 1 tip
Print Contractor /Agent's Name /
L�ILOOAA_P"-A 1 1Z
Signa fNotary- Stateof to da Date
RYAN DURLEWANGER
Notary Public, State of Florida
My comm. Expires Sept. 13, 2014
No. EE 2585
Contractor /Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Pelican Aire
CommErciai SEnricE, /nc
12815 Automobile Blvd. Clearwater, Fl 33762 727- 573 -5733 Fax 727- 573 -2573
3 -28 -12
Installation Agreement between
Pelican Aire Commercial Service, Inc.
12815 Automobile Blvd
Clearwater, Fl 33762
TJM Properties
Renaissance Retirement Center
300 West Airport Blvd
Sanford, F132773
Scope of Work
Installation of new system
• Provide and assemble 7'0" x 6'6" x 7'8" walk -in freezer
• Erect box in accordance with manufacturers specifications and approved drawings
• Install all related components including evaporator condensing unit
• Provide and install all refrigeration piping and condensate drains
• Complete all necessary testing to insure the integrity of the refrigeration piping
• Perform start and test of entire system on completion
Cost:
Walk -in freezer: $8,863.00 7' x 6'6" x 7'8" tall
Freight $425.00
Installation: $3,228.00
Demolition: $925.00
Electrician: As needed
Permit: To be determined
HARYNK MORSE, CLEW, OF CIRWIT CQRT
SEND R E CIi 4TY
W-1 07751 Pq 1531; (1pq)
THIS INSTRUMENT P EPARED BY: CLIEIRK" S # e=;01,i='o.64..3681
Name: D r a FECOiitE1) 04/16/0 %2 11-.15:51 M
Address: ✓ 41V A (' r� - FECORDING FEES 10.00
r 2 SEMINOLE COUNTY MM FY T Sa th 1E0I0ED COPS
State of Flo ida FLORIDA'S NATURAL CHOICE yWgr MGRS
MAR ` !'� CIRCl11T COURT
CLERK OE �I}NTY. FLORIDA
SEM
NOTICE OF COMMENCEMENT " cLERK
jM 16
Permit Number Parcel ID Number (PID) 0,2 -�Z') -so' rr -
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided in this Notice of Commencement. %
D ES CRIP 10 OF PROPERTY (Legal description of the property and street address if available:) �'cX
Gl �fc ���1''
GENERAL DESCRIPTION OF IMPROVEMENT
OWNER INFORMATION
Name and address: �e
4? 0
CONTRACTOR r
Name and address: �C CPd 6 �Q - e' ���
xPersons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(1)(b), Flgrida Statute q /� � L
Name and address: i tL� ,% /�1�� 5 W oI C 1! ° N K