HomeMy WebLinkAbout127 Andrews Rd; 17-2918; HVAC (2)f..
CT 0 3 209
CITY OF SANFORD
BUILDING & FIRE PREVENTION
Application No:
PERMIT APPLICATION
I
Documented Construction Value: $ duq
Job Address: Z-4 11J AerL s 'Eck
Parcel ID: 2--() C)ao(D • O--
Type of Work: New Alddition Alteration
Description of Work: -YV} e Cy , Plan
Review Contact Person: Nl Pho
Ce-aJJ L,,f Z t 24F4 Name ,_—) I
Gt Street: 12-
4 City, State
Zip: Name Street:
Q-
City, State
ZiR Name: Street:
Historic
District-
Yes No 2 Reside ntia
Commercial Repair Demo
twit 1 (
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19 Email: of se
Move Property Owner
Information S Pho
e: Resident of
property? 4qA Contractor
Information
Pho e : (
J 2' 124-1 Fa ,1i7 (
J G1 State License
No. HOC U 1S qZ(-e Architect/Engineer
Information Phone: 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: 5' Edition (2014) Fl rida Building Code f5c'.-?S
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
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
1,7e of Contractor/Agent Date
I ek l ok- nol/
Print Contractor/Agent's Name
1) / N
Signature 010 \ Date
aPµv . e`
1 Notary Public - State of Flori
w = Commission # FF 952004
9jFOF p` My Comm. Expires Jan 20, 2020
Bonded through National Notary Ass
Contractor/Agent is `O Personally Known to Me or
Produced ID Type of ID
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 Pe rmit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
m ® ` nj*
ONI- }:
CUSTOM
SYSTEM
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CAC1815726 CAC1817215
CFC
1427591
CFC 1429175
Customer Name
jj Date
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Z I Work Order Address, u,
City ffJ/(
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Craftsman Installation & St mgent,Code 1 ° Compliance `. Compliance " O All
required permits'. Compliance , O All required permits O All required per . O Removal
and disposal of existing ," qll required `permits O Removal and disposal of existing 0 Removal and disposalofexisting - equipment . O'Removal
and disposal of existing equipment equipment ' Fully licensed and
insured equipment.. ,. O Fullyliceosed and insured i . O Fully licensed and insured , O Warranties: _yrs
Parts yrs Labor' O Fully licensed and insured O Warranties. . yrs Parts yrs Labor. O Warrantiesiyrs Pans -yrs Labor; yrs Compressor S
O Warranties: :_yrs Parts_^_yrs Labor i ` yrs Compressor '. _. yrs Compressor O CommunicatingThermostat , yrs
Compressor f O Non -Programmable Thermostat O R 470A Refrigerant O 2 Speed
Control O Programmable Thermostat.,;;{ O Hi, ffficlency Air Handler O Dram Pan,Treatmen[ .t . O 10yr Replacement
on :One Hour': O Variable Speed Air Handler - = [7 R-470A Refrigerant, - O 100 % Satisfaction Guarantee BrandCondensing Unit - O
10yr Replacement on One.Hour t O.Cond`ensation Control System.;, if Compressor Fails
Brand Condensing Unit , . O Drain Pan Treatment - O Variable Speed
Air Handler if"Compressor Fails O Quiet 11R 410ARefrigemnit .- 2
Speed Control 100 % Satsfaction :Guarantee O Condensation Control System -
O R-410A Refrigerant . ry- r Indoor Air Quality Features (optional) i Drain Pan Treatment
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Condensation Control System O Level 41 Filtration C_ ontrol 6 66 O Quietest . , 7
100 % .Satisfaction Guarantee
IndoorArr QualityFeatures(opLonal) O
Drain Pan Treatment (7
Cleaner Air , I O. Quieter , .. =r - iivc •
I . 100 / Satsfaction Guarantee I'
O Level #1 Fkrat on
Control Indoor Air Quality Features (opLonal) 1 /r O Level tt2 UV Control
O Level #1 Filtration Control /xtf0^ 0 Level p3,Au Purification
Control:` tO Level #2 UV Control. J G p Y"l"ty IA!'+d 10 Cleaner,. Fresher, Healthier Air
O Cleaner, Fresher Ai Refrigerant tine - Required O , - O
Declined O. Size .. Accepted -/'
4 Refrigerant Line - Required.0 ` ri
Lure Required f3 - Accepted O Ded ed Size - /
cc Declined O Sire . Refrigerant U l ! i it
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Size Ducted to Modification for properair
flow &
system, ys m"".efficiency - Required.
0DuctModification for proper air
flow & Duch Modification for proper air flow & system efficiency - Required O system
efficiency - Required O '° . . Duch Modification for proper'air
flow & system efficiency Required'O -. Accepted
O Declined O . Accepted
O Declined [I 'Accepted O Declined O - - Accepted 0, Declined Description Description t Desc iption -
Description Subtotal' Subtotal: " Subtotal: Subtotal: ' Discount
Coupons: - Discount Coupons:. - 777-
777 -Discount Coupons: Discount
Coupons: - Utility
Rehate: - - Utility Rebate: -- -; UtilityRebate:. -- - -'
Utility Rebate: •. Totalinvestfnem: Total Investment_ _. .IF Total Investment:
Total Investment: mimt. Ah.
Diu<g FTee Our /
olLrssl;nal
Highly Tramed and Drug Free assoc ates will perform your ork Criminal Background Investigation An Investigation iS
performed onall employees to insur t s 'fe f yir family 'and your home . We hereby propose to furnish coin
lete s specified abov ,'for the investment of onl $ ` 0 Ze" Payment terms will e: AI/
00e O/' Acceptance: Authorization: Date: S rOME COMPANY
Notice to Buyer:
You the Buyer,
may cancel this transaction at any time prior to the midnight of the business day after the date of this transaction.