HomeMy WebLinkAbout110 W 13 St 12-1466 HVAC permit�%J�jv r
I ApR 232012
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 _ 144162 !a — Documented Construction Value: $ 4&X)'&a
Job Address:� i lJ (,�3 •, ' 13 T A �, Historic District: Yes,�1 No ❑
Parcel ID: � i,S � G r3b SAG, j 9o�l 0 J Q0 Zoning: \
Description of Work: 10,:`,; Aa , Al c Sr- gr"un ALO Duc.Y 'oc k_ '
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name T700 Phone:
Street: I ( 0 UD; Resident of property? : QP
City, State Zip:
`II Contractor Information
Name V,O I UW P-rC4 A I S COUD : Phone: gj27 V9- ?,?23L
Street: 1560 5, C.(Q QY- r S Fax: 4v l` ?qu 53 7 f
City, State Zip: S460f6W , >= - 7L11) State License No.: CACI l��{EI
Architect/Engineer Information
Name: Phone:,
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
E-mail: `
Mortgage Lender:
Address: '
Ec�Cai's�'C3,. j4� �•
PERMIT INFORMATIONJav na.,,o t ;
Building Permit ❑ �-" ` t+"'�`?S Ffr4 --- �`'
Square Footage: 1)-9-)& Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service — No. of AMPS:
Mechanical 0 (Duct layout required for new systems)
Plumbing ❑' •
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that law
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. l
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
1976TWT- 4119M
Type of M
APPROVALS: ZONING:( UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
10-1 1"
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
i I t 1 u iLJ
`"1
r•
Wilco beating & Air Conditioning, Jnc.
Wiled fludin & Air Conditionin+`, .Inc.
Estimate
P 0 Sox 952020
Lake Mary, FL 33795-2020
(407)302-2983
info c ivilcohcatandair:com
www.Nvilcohedtandair.com
Dave Heine
I i0 W. 13th St.
Sanford, PL 33771
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tdetermined
:Estimate# .x"
0310112012
2000
• 13 SEER tleat Ptimp-ATC'Heatin, s",stem (size -of system by energy
l
04101/2012
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tdetermined
3:.
Quantitt%
_ ;,J
.. r +rSF"TM' �
'':RateAmount.
:'xhrlr . ;saaK.r.�c .w .. ,a..�Apr„
y
� xt�.i is -43 `il.
• 13 SEER tleat Ptimp-ATC'Heatin, s",stem (size -of system by energy
l
3,717.00,
3,717.00
calculation, which is included in price) includes permit, duct system, complete a/c
licatintz'system and all miscellaneous items to complete• installation, also includes 10
car parts warranty and 1 yr labor warrant%,
• Labor
1
1,083.00
I,OS3.00
` t 1 SEERSysteri: Materials 4135.00',- Labor 1083.00= 5218.00]
3
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