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HomeMy WebLinkAbout121 Conch Key Way; 18-4067; AC CHANGE OUTSEP 2 7 2018 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 0/ Documented Construction Value: $/ Job Address: n(3A Ue a Historic District: Yes No Parcel ID: 2_4 r_ /Cl — --? / / o O © -- 2-1 c Q Residential Commercial ElTypeofWork: New X Addition Alteration Repair Demo Change ofUse Move Description of Work: Ckatg4e ou7 1-f >.(.g /S #ea AL"_4 Plan Review Contact Person: JARED FACEMYER Title: INSTALL Phone: 407-322-7455 Fax: Email: JARED@FACEMYERAC.COM Property Owner Information Name r cr a Phone: Street: / 2-% (--aoC'4 iIAJ& V Resident of property? City, State Zip: &n64 `2'77t Contractor Information Name FACEMYER AC & HEATING Phone: 407-322-7455 Street: 3805 ST JOHNS PKWY Fax: City, State Zip: SANFORD, FL 32771 State License No.: CAC050428 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, 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: 5ch Edition (2014) Florida Building Code Revised: June 30, 2015 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 c pliance with all applicabl laws regulating construction and zoning. ignature of Owner/Agent Date signature of Contractor/Agent Date Print OvAer/Aeedt's Name MNAM.ODAY Date' Commission # GG 040051 Expires October 19, 2020 Bonded Thru Troy Fain Insurance 800.385.7019 Name MWa&Y Date Commission # GG 040051 Expires October 19, 2020 Bonded Thru Troy Fain Insurance 800.385.7019 15 Owner/Agent is / Personally Known to Me or Contractor/Agent is' Personally Known to Me or Produced ID Type of ID Produced 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 Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application