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HomeMy WebLinkAbout105 Golfside Cir; 17-2465; heatpump system change outLt Y CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ` 4 Documented Construction Value: $ Job Address: /CeF_ e//L CIF, Historic District: Yes No Parcel ID: QX/ a0.3D 5/.3 G Gb 'D Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: &&K1 e. 2- lot /X- '10 %6 P/X- Plan Review Contact Person :, d! /771k ie y—yC_ Title: Phone: ,4/o7&,S- 9s01 Fax: +t//11 7,,3 7 9S6'-1 Emaii&- 4 e e Q1n646 f"; IL at c heo-/ ij,- t Property Owner Information Name / 041AId- _C.li'n/9tit Phone: Street: za:5 C7Q""/1L%2G f Resident_ of property? ayC/ City, State Zip/t/kA_// z6z CV- J9 Contractor Information Q,t/LName /%7, /('?L e Phone: '1,07a59 Street: 0 ,(> Fax: 'S7 /59 g,s--.o 7 City, State Zip: I /I/1f 0 V l `AS State License No.: eR?a6,V 2458 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, 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, 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: So' Edition (2014) Florida Building Code Revised: June 30, 2015 09.rJ Permit Application L A. QED POWER OldATTORNEY Date '8 i 1 I n I hereby name and appoint f\N \ O) e:7 c An agent of: .American Aar and Heat To be my lawful. attorney —in-fact to act for me to apply for, receipt for, and sign for and do all things necessary to this appointment for: sl o,- O-AfL— Address of Job) Expiration date for this limited power of attorney: C 1 s I j - n Signature Jerry Sent CMC049238 _ Printed Name of Contractor and License Number) State of Fl County of M1 L le - Swam to and cribed before me this day of by Who is personally known to me o has produced (identification) Notary Public Commission expires: a Q1 1 j Print or Type Name) Notary Seal) B.ARBAAA L MCGILL LMY COMMISSION # FF 939109 EXPIRES: December 19, 2019 BondedThmNotaryPubfi.UndervM_ 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 1 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. _ 69- (( "Y a-,g& Signature of Ovmer/Agent Date Print owner/Agent's Name Signature V6 Print Contractor/Agent's Name 11h Signature of Notary -State of Florida Date a. ., Sign A(q IptrlB Late of F 'da p litiPy BARB.A:''. all GILD CCMMISSICN FF 939169 _ 9' MY CCMMIS' .'iQ FF 939109 a' EXPIRES: December 19, 2019-ITS EXPIRES D^c^_tuber 19, 2019 Bonded ThN Rbtary Puhfic Under>~citers Bonded Thru ne? .y P IIc Underrrrs Owner/Agent is Personally Known to Me or Contractor/Agent is iiPersonally Known to Me or Produced ID Type of ID roduced ID Type of ID 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 Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Permit Number: <S Lj (p5 Folio/ Parcel ID .-OZO Prepared by: S. Minietta American Air and Heat 502 S. Econ Circle Oviedo FI 32765 Return to: American Air and Heat 502 S. Econ Circle Oviedo, A 32765 NOTICE OF COMMENCEMENT GRANT nALOYs SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER 8K 8969 Ps 24 (1Pgs) CLERK' S x 2017080686 RECORDED 08/09/2017 02:59:19 Pfl RECORDING FEES $10.00 RECORDED BY hdpvore State of Florida, County of Orange 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. 1. 2. 3. Interest in Property Name and address of fee simple titleholder (if different from Owner listed above) Name Address 4. Contractor Air and Heat Telephone Number 407 359 9501 5. Surety (if applicable, a copy of the payment bond is attached) Name Telephone Number. Address Amount of Bond $_ 6. Lender Name Telephone Number 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes. Name Telephone Number Address B. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.13(1)(b), Florida Statutes. Name Telephone Number Address 9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,.SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POS THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH — YOUR L9 6ffi ORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Oza 4U . or Owner's or Lessee's Authorized Officer/Director/Pariner/Manager Signatory'sTitle/Office The foregoing instrument was acknowledged before me this //"day of/g a y 2&41d A1Yj 1/J m yi7 earname of person as Owner for Self . Type of authority, e.g., officer, trustee, attorney in fact Name of party on behalf of whom instrument was executed A Signature of Notary Public - State of Florida Print, type, or stamp commissioned name of Notary Public Personally Known OR Produced ID Type of ID Produced n1 t iMAID -: -. •A OF C CIRCUIT COURT sSr' N, CERj1ilEDCLERK " in; 4, 2 r ANfl CCMPTRCLL. Form content revised: 01/23/14 SEW ayoy , 8ARggRALWGILL MY Co>.1 1155lC I FF 939109 Hos EXPIRES: 4ecember 19, 2019 ty ' eor&dihm tlotwy Pubic thdemt1r, x , OFFICE.SNSTALLAT•I{O1MAINOFFICE. i AG2 r< x r a^ AmecicanQ r&l a:lnc G3 . 4 5rJ2 S. Ecah circle, C uii do. F 377b5 s DATE _ t 407s54S50f S ar 4b7.359.9504 Amce; ra-zi;ritn..Fi:ni.cnr7i hLZIp FSO;-! F_i-NOTiE_:_.-- {••.r-=._._. {,.%_: CEtt--'-------_-...__ _.-......__—-_E 1,. — _-._.____'••------^--.."""..._ wr r ZIP__--- MLLTO-_ ..:__.__._.._._---_.—.-._ __._...,---------.__----.. CITY fs1;,`•. 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