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HomeMy WebLinkAbout103 Water Oak Drz CITY OF IRE VEPARIMW )ABuildinz & Fire Prevention Division 0 20�8 PERMIT APPLICATION APR 1 ,. �----Application No: /S - /72-�p Documented Construction Value: $ lq3_591 03 Job Address: �-� C�(��{ E'r 04k iJr � Historic District: Yes❑No® Parcel ID: P`67-4 3O _700 Residential Commercial❑ Type of Work: New❑ Addition❑ Alt/erattiofn❑ Repair© Demo❑ C1hange of Use❑ Move❑ Description of Work: �/�t r�.�' a/ --C,I)e c"7�1 �6 G��.C�T L�''6{k Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name /'KA f)*t. C. lV e Aon Street: / 03 k- kb I/ 4 '6 l City, State Zip: S [^ Al A& _31-7 Phone: Resident of property? : Contractor Information Name/c,oJ/�� l�/C 7'�/7L°G/!Ly(��, Phone:Ql Street: 1-3Fax: c/ City, State Zip: 6�/Q �L ���32 State License No.: C4 08' T 3 N Arch itectlEngineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: 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, CONSULT 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 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6" Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application 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 cons1ruct and zom Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 1�- � a `i. w ,( , osepY rU DEBBIE BLANTON MY COMMISSION # rF 178648 'a EXPIRES: February 25, 2019 Bonded Thru Notary Public Underwriters Contractor/Agent is . Personall own to Me or D Produced ID Type of I� 13 L. ,e o� F a-i /d�/ 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: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January 1, 2018 Permit Application ALAN RHODES A/C & HEATING SERVICE INC. 1300 IRONIIORSE BEND GENEVA, FL. 32732 (407) 349-2445 alanrhodesinc@gmail.com L1C. # CAC1814394 20:26 DATE:04/09/2018 CUSTOMER: ADDRESS: CITY & ZIP: JOB ADDRESS: PHONE # : Marie Nelson 103 Wateroak Dr. Sanford,32773 Same 407-323-5728 Quote is to replace existing 2 ton central system with a new Broan 2 ton 15 SEER heat Pump with 10 kw heat, new copper line set, platform repair, digital Honeywell thermostat, Float switch, locking caps, concrete pad and tied down. Total includes labor, materials, Sales tax and permit fees. A $126.00 discount for non credit card payment. Signature shows acceptance of contract Restocking fee 10% if canceled after equipment is ship ed Pa it o , b nce upon completion X TCFTA1—PRt" INqIUDES SALES TAX: $ 4359.23