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Home My WebLink About212 Brazil Ct; AC CHANGE OUT0 CITY OF SANFORD BUILDING & FIRE PREVENTION 3 PERMIT APPLICATION Application No: Documented Construction Value: $a Job Address: a- /QZI " Historic District: Yes No Parcel ID: Residential 9--commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: AL ehao o _ OAZ — 2P_r_kW V _ C& 1.6 4cy-N A0 _ ` --7) Plan Review Contact Person: L D Title: Phone: T 1 Pa`1 Fax: Email: Property Owner Information ter— Name 51,DC Phone: 3:L1—J P j' LP 1'14 Street: 1000 e . I S 'S Resident of property? : City, State Zip: 's bf 4 L Contractor Information Name t—, Q— 7S. eeA, N °' 1 , Phone: Street: ( I \ 4"r Fax: City, State Zip: .D 1 L 3 D State License No.: Ae,oa Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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'n Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 tomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permitmustbesecuredforelectricalwork, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air conditioners, etc. 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. 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 THEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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 FloridaLienLaw, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 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 APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: C ignature of Contactor/Agent Date rint Con ctor/Agent's Name c c.Aa4- -- rgnature f Notary -State of lorida Date r yrq+'e LORI LOCIOIART MY COMMISSION Y GG 008697 M EXPIRES: hiy S, 2020 P,M1.'1r Bonded Thru Notary Public Underwiters Contractor/Agent is Personally Known to Me or Produced ID Type of M WASTE WATER: BUILDING: Rev 11.08 3 r11>ax1,3i;k System Description: Thermostat: Pull All Permits/Fees: j((Preventative Maintenance: t+Attic Installation: A. Customer'sName: Today' s Date: Valid until: XR 14 L_ tncIuded _ i Included f1 Comfort Club Included r Included System Pric Comfort Club Rebate Applied: Pro Tech Rebate: Pro - Tech Cash Discount: Manufacturer Rebate: tl Thermostat Upgrade p Air Purification System g Zone Systems r ; Duct System/Grills i . a Comfort Club 12nd yr) d ` Electrical Upgrades e Plumbing Additional Items v Approved Upgrades: Total Due to Fro•T'ech: Power Company Rebate: Wells Fargo Finance: e: 1 - I I Manufacturer, Pro -Tech Rebates, & Pro -Tech cash Discount cannot be combined with Wells Fargo financing and/or any promotions. Install Date: Iraq.: ___ nt- pnd 1 err Check / Cash/Credit Card Discount: $ Financing: $ 1 have authority to order the work outlined above. In the event that payment is not made promptly in accordance with agreed terms, it shall be the seller's option to charge a service charge not exceeding 1.3% a month, the first service charge becoming due 15 days from the date of installation of our amount due on the job. In the event of collection by attorney, all attorney casts, court cost and other legal fees shall be borne by the buyer. In the event of nonpayment, purchaser agrees to alloy seller on premises to remove equipmentin. This roves CilsOpilSAl atl be binding upon the heirs, successor, or assigns of the parties hereto. It is understood that the title to all products and equipmentcove} a contract remains solely to the s tit the entire purchase price has been paid in full and the manner of installation and/or attachment to any equipmed/or any portion of the building structure in which the m - at'or' is made shall not in any manner jeopardize the setter's title. Cc s7 Date: r Signature Customer Pro - Tech Comfort Spr°cialist version 172017 Date: Date. Page 3 Of 3 6/ 25/2018