HomeMy WebLinkAbout404 San Carlos AveNOV 2
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PERMIT APPLICATION
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BUILDING DIVISION
Application No:,.,
Documented Construction Value: $ ''USop
Job Address: 116,1 3,AQ_ C'4-tw"S A j1
I cHistoricDistrict:1Yes ❑ NQV
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1, pParcelil): -0)64' Residentiai Commercial ❑
Type of Work: New AdditionEl Alteration [I RepairEl DemoEl Change of Use ❑ Move
❑
Description of I Aup HQq-ri J
e Work:
Plan Review Contact Person: 40104MOU61AYIS Title: f12jCS1 Xjvj-
Phone: - q0j —Fax: 1401=362.-5377 -Email:.
Property Owner Information
Name Phone:
Street: Resident -of property?
City, State Zip:
Contractor Information
Name C000) Phone:
Street: Fax:
City, State Zip: No.: CAC (il 3 q 9�)
'77 T �r State,License
Architect/Engineer Information
Name: Phone:
. .� 7
Street: I
ax:
City, St, Zip:
Bonding Company. Mortgage Lender:
Address: Address:
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WARNING TO OWNER: -YOURFAiLURE 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
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POSTED ON -THE JOB SITE BEFORE THE FIRST INSPECTION.- IF YOU -INTEND TO OBTAIN FINANC1Nd,'-C6NSULT
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,regu lating construction in.thisjurisdiction. 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: Wh Edition (2017) Florida Building Code
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 h6iify 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.oti the current ICQValuation 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.
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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 r
/ 27
Signature of Contractor/Agent D to
r.
Print C n actor/Agent's e t .'
"aYPOBi;'. --ANNETTE BLAND
Notary Public -State of Florida
Commission # GG 060623
Co 'raeFt jgeHffsomm. Exl 6alfyXffi3wn to Me or . .
BELOW 'IS FOR OFFICE USE ONLY "
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Gas ❑ Roof ❑
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load:
# 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:
s ENGINEERING: ;TIRE: BUILDING:.
COMMENTS:
AV— si
WIL00
x6044 a A& Condftnmg; lim.
ADDRESS
PNT Property Partners
1675 EE Williamson Road
Longwood, FL 32779 USA
Wilco Heating & Air Conditioning, Inc.
708 W. 2nd Street
Sanford, FL 32771-1130
(407) 302-2982
wilcoheatandair@gmail.com
www.wilcoheatandair.com
JOB NAME
404 San Carlos Ave. Sanford, FL
SHIP TO
PNT Property Partners
1675 EE Williamson Road
Longwood, FL 32779 USA
SALES REP
Andrae
ESTIMATE # 6000
DATE 11 /27/2018
Thank you for considering Wilco Heating & Air Conditioning, Inc. for TOTAL $6 500.00
your project. �pv
Accepted By
Accepted Date
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