Loading...
HomeMy WebLinkAbout613 Magnolia Ave; 18-3502; HVACCITY OF AUG 1S 2018 PERMIT APPLICATIONNANF"RD BUILDING DIVISION 12 —3_5t Application No: Documented Construction Value: $ E( © Job Address: r ( G!3 S _) v O V ( 60 Historic District: YesANo Parcel ID: Residential -a Commercial Type of Work: New A djdition Alteration Repair Demo J Change of UseEl Move Description of Work: ('I 0 C Ct4 1"i°l+ ©t' ` 11 / CF ` 7 Plan Review Contact Person: Phone: Fax: Email: Title: Property Owner Information Name I ` Phone: Street: tD ! 5 ` I l Resident of property?: ls City, State Zip:.5..r Qfl;,, Contractor Information 3 c Name S .. v ,r. / rJ 7-/`C- Phone: o ll Street: o `1 V-1SS G t S D P Fax: City, State Zip: ? 7 State License No.: Ciz'4 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: 61' Edition (2017) Florida Building Code NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe 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 Date Si I ture of Contractor/Agent Date Print Owner/Agent's Name Agent's Name 15, l 5 Signature of Notary -State of Florida Date Signature No i sle of Florida Date ANNETTE BLAND Notary Public - State of Florida Commission # GG 060623 IfeOFF d:' My Comm. Expire Ja 16, 2018Owner/Agent is Personally Known to Me or Contra c na ll mown 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: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Flood Zone: of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes [—]No L•- 1 APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: ( ( FIRE: BUILDING: COMMENTS P' C.r't"- T & S Air Designs, Inc. Air Conditioning Service & Repair KE OOL 407-321-8006 tsair@bellsouth.net Bill To Benny Crosby 613 S. Magnolia Ave Sanford FL 32771 Web: www. tsairdesigns. com Service Invoice Date Invoice # 8/14/2018 TS8276 Customer E-mail Customer Phone Type Schedule Date Terms r tvVL 407-878-6749 Installation 8/15/2018 Due on receipt C,10 q 1 v . CITY Item Description Unit Make Serial # Model # Amount 1 1609 System Install New System Installation -Replace existing system Goodman 5,600.00 with New Goodman 4 Ton 1'5Seer Heat Pump 5,600.00 System with 5 kw heat 1 1601 Air Handler ID Air Handler Information Goodman 0.00 1 1603 Install Kit Sta... Standard Installation Kit 0.00 0.00 1 1621 Included System above includes all labor, parts and materials 0.00 0.00 to install Warranty Information: 1 1661 MFR Warranty System Includes Standard Manufacturer 10 Year 0.00 Parts Limited Warranty 1 1662 T & S Warranty T & S Air Designs, Inc. 1 Year Labor Warranty 0.00 Comments: Balance due upon system start up. Does not include $300 Permit fee. LIMITED WARRANTY: All materials, parts and equipment provided above are warranted by the Total $5,600.00manufacturers' or suppliers written warranty only. All labor performed above by T & S Air Designs; Inc. is warranted for 30 days or as.otherwise indicated in writing. T & S Air Designs, Inc. does not warranty condensate drain lines or leak repairs. By signing below I acknowledge that I have the authority to order the work performed above which has been satisfactorily completed by T & S Air Designs, Inc. I agree that seller retains title to equipment/materials famished until final payment is made. If payment is not made as Payments/Credits $0.00 agreed, seller can remove said equipment/materials at seller's expense. Any damage resulting from said removal -all no be tt responsibility of s e Signature _ .! V ate c -rs Ij Balance Due $5,600.00 f Thank you for ch ing T & S Air Designs for all your air conditioning needs!