HomeMy WebLinkAbout421 Elliott Ave (2)Jp4 3 0 2Qi�
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 6 & 1 �
Documented Construction Value: $ "0
Job Address: y a 1 /l ivy 9 v� ,4nr&t- _ �L, Historic District: Yes ❑ No ❑
Parcel ID: Residential Commercial ❑
Type of Work: New ❑ Addition ❑ AlterationWRepair 10 Demo ❑ Change of Use ❑ Move ❑
Description of Work: /4� /�� �,� S it y 5 ` dh' Al C A r,-5
Plan Review Contact Person: (�0_.-y- Title:
Phone: ` cf) - r)D - J &(03 Fax: Email: ma..r 0 V
Property Owner Information INly-1
0"�k
Name M#4rk' goe) Rnefr&!Cp CatlyleR_ ) Phone:
Street: Y O / F_// ,'6-l' Resident of property?: V g s
City, State Zip: ,Jr , Pt J 3 -7 7Z
Contractor Information
Name N & Iy ly� �rd� �r�� Cry .��c ° v�`L i Phone: _ Yp7 — -70 ? —_26 1.,3
Street: J T 70 k5iu i to AW Fax:
City, State Zip: L�-5 /t4rrr, I-E-1 •J off% aY State License No.: G'/}cco c/ 3 9/ 3
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
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, CONSUJ,T WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the, work and installations as indicated.. I certify that no work of 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, beaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application 6
� �' �
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 at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Zl &ck AIA,�e JA— y 11.11/////
Print Contractor/Agent's Name ���T H L y.
Signature of Notary -State of Florida 'JF)atei• MY COMM. E Ores•'
No. G 1425
N 009
�A ;
ipt!13QG ••' ��Q
/fit
OF R-O
Contractor/Agent is Personally Known tMe or
Produced ID Type of ID 6Lt o .tAA- DR -'(Xi t L'U>N4SL
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING: -,-F 2.1 • / 8
COMMENTS:
Revised: June 30, 2015 Permit Application
M&M Mechanical Services LL
1570 Kevin Lane
Deland, FL 32724*407-709-2663
#CAC043938
Estimate
HOMEOWNER INFO: Andrea and Mark Cochran
JOB INFO: 421 Elliot Ave. Sanford,FL.
CARRIER BID
We hereby propose to furnish the materials and perform the labor necessary
for the completion of:
REMOVE EXISTING EQUIPMENT AND DUCT WORK AND RELACE WITH:
Equipment: 1 CARRIER 5 TON 16.0 SEER HEAT PUMP SYSTEM
CONDENSING UNIT IS 2 SPEED AIRHANDLER IS VARIABLE SPEEDAND
NEW LINE SET LINE COVER A/C PAD
DUCT SYSTEM: REMOVE EXISTING DUCTS AND REPLACE WITH NEW FLEX SYSTEM
14 SUPPLY DROPS 2 RETURNS 4 PASSIVE RETURNS
EXISTING BOOTS TO REMAIN IN PLACE
Thermostat: PROGRAMA13LE
PRICE INCLUDES PERMIT
Warrant : 10 YEAR PARTS 10 YEAR COMPRESSOR 1 YEAR LABOR
All material is guaranteed to be as specified, and the above
work to be performed in accordance with the drawings and
specifications submitted for above work and completed in a
substantial workmanlike manner for the sum of the
TOTAL JOB BID:$12,141.00
With payments to be made as follows: 50% DOWN 50% ON COMPLETION.
Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will
becomes and extra charge over and above the estimate. All agreements contingent upon strikes,price increase, accidents or delays
beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public
Liability Insurance on above work to be taken out by: M&M Services.
/Mechanical
Respectfully submitted: ' "'ram-?.
Per: MARK NADELKOV f OWNER
M&M Mechanical. Services, LLC
Note: - This proposal may be withdrawn by us if not accepted within 30 days.
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment will be made as utlined above.
Signature
Date%'130- /a,
Building & Fire Prevention Division
HVAC (NEWAND CHANGEOUT)
PERMIT GUIDELINES
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
1
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
/ construction value
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
❑ A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
[V Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
❑ Owner Builder Statement / Affidavit (if the owner is the applicant).
(Must be signed in person at the Building Department)
❑ One (1) copy of equipment sizing calculations — for new construction installations:
o Residential - ACCA Manual J-2003 or other approved heating and cooling calculation
methodology.
o Commercial - ACCA Manual N-2005 or other approved heating and cooling calculation
methodology.
4' Addition or alteration of duct work, including new construction installations, requires two (2) copies of a
floor plan (duct layout) showing the location of the ducts, the size of the ducts and the register sizes.
"This will require a plan review
These guidelines were compiled to assist the applicant in preparing a HVAC change out permit application and
may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
Effective: August 1, 2017
RECORD COPY
1
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REVIEWED FOR CODE COMPLIANCE
PLANS EXAMINER
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SANFORD
BUILDING DIVISION
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91
A PERMIT
LICENSE
ISSUED SHALL BE CONSTRUED TO BE A
TO PROCEED WITH THE WORK AND NOT AS
I
AUTHORITY
TO VIOLATE, CANCEL, ALTER OR SET
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CODES,
ANY OF THE PROVISIONS OF THE TECHNICAL
NOR SHALL ISSUANCE OF A PERMIT PREVENT
THE
BUILDING OFFICIAL FROM THEREAFTER
REQUIRING
CONSTRUCTION
A CORRECTION OF ERRORS IN PLANS, "
OR VIOLATIONS OF THIS CODE
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THIS Nin�iRumr=N RL BY. � 'E
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11111111111111111 ME 11I1 11111
Wlff PIALO', SEMINOLE COUNTY
CLERK OF (:IRWIT COURT & CONKROLLER
BK 91*.)-71---1 'ro. 5%
CLERK'S 201i013869
RECORDED 02/136/201111 It:49:30 AN
RECORDING FEES $10.00
RECORDED U lidevore
Permit Number.
Parcel ID Number, 14
The undersigned hereby givais 09tipb that improvement -will be:made to certain real property, and In accordance with Chapter 713, Florida Statutes, the
following,i'nforrOation,is'ptbvided, in this N j Commencement
1
o ' tice,of Commeiioernen
1. DESCRIPTION OF PROPERTY: (Legal description of the property and sbW address if available)
N 1/2 OF BLK ISTR 13
7T(-)Wtj0F KAMPrIon
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Replacement Of HVAC System. Packajcle unit
3. OWNERINFORMAPON OR
Name and ad,dre$-,:,rVr(,41"
Interest in property.
Fee Simple T1qe Holder ff,ol
4. CONTRACTOR. N;
Address: 521,1 Co
5. SURETY (if. _V011M
THE
than owner listed above) Name!
and A/C., Phone
a copy of the payment bond Is attached): Name:
Amount of Bond.
Address: Phone Number
T. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided -by Section
713.113(1Xjj17-* Florida Stalubm
Phone Number.
8. In addition, Owner designates 9A Of
to receive a copy of the Llenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number',
9. Expiration Date of Notice of Commencement (The expiration is I year from date of recording unless a different dab is specified)
PAYKWMrs MADE BY THE OMER AFTER THE
71
— I 4—r,W1 VWIV11VIV-114%lre1VII
-T JOB SITE BEFORE HFIRST'
I P,- INSPECTION. IF YOU INTEND Tic OBTAIN !FIN'A 14046.,CC
BEFORE COMMENCING WORK OR RECORDING YOUR'NOTICt &; "
COWENCEMENT.'
THE NOTICE OF COMAWNCEMENT ARE
STATUTES,;AND CAN RESULT IN YOUR
S-T, BE RECORJ6Ed AND POSTED ON T �HE
141TH YOUR: LENDER OR AN ATTORNEY
!W'W= Of 0—Wn& or L (PAMnRa and t3f a Tjg&0frj0D)
dek2
Shft Of L. C couftof
The foregoing Instrunie" nt was acknowledged before me this day of
by
WAM tress predLmxW
of klerMcation pnxkmgd:
Who is personally known to me