HomeMy WebLinkAbout1018 W First St 11-208 (hvac change out)i
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RECEIVED
y.l CITY OF SANFORD
OCT 2 7 2010 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $ 3' LOD tl
Job Address:1018 V'?PFJ Sri,- SAnhiQrd , F') Historic District:Yes ❑ No ❑
Parcel ID• Zoning:
Description of Work: Sir % 6+,ocul tS\f-ACrn
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name &-Orwih nr u7V RCtM- Phone: tl0- - )1)89 -57C9
Street: I01 P) )I - �� r� Resident of property? V e_ S
City; State Zip: (�nrljrord F`I 3a7 l
Contractor Information
Name �) IZ T(ZO IN JO S 1= LC_ Phone: 9 Q7 - q Li r, 39
Street:' I u 2 0 - L )e I f'nSf P I Fax: D°7` CI r7 I- 22h
s City, State Zip: C}) U 1 u b r I �M 1,2 1/2 State License No.: CIS C- ") g I (0143 .
a
Architect/Engineer Information
Name: Phone:
Street: Fax: E
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit ❑
Square Footage:. Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical ❑ Plumbing ❑
New Service - No. of AMPS: New Construction - No. of Fixtures:
Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm ❑ No. of heads:
bill
r �
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.
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 TORECORD 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.
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. 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
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
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
9
- j o ar7 ao co
Si ature of Contractor/Agent
� y Date
j
Print Contractor/Agent's Name
R `4 �'
Signature of Notary -State of Florida Date
ILLAN'i'OM
+a MY COMMISSION _ DD629096
nrof �oPe EXPIRES February 25, 2011 i?
L8008-NOTARY R. I�b�sy Di;counr Asioc. C, e�
Q• Fa,a4 Ft r..q„bpA
Contractor/Agent is Personally Known to Me o J
Produced ID Type of ID i, e
WASTE WATER:
BUILDING:
Rev 11.08
AirTronics LLC
1020 S. Belfast Place
Chuluota, Florida 32766
Proposal for Hvac Change Out
To supply and install a Goodman GIVIC 5 ton 13 seer complete split system.
Included a 5 year warranty on all functioning parts and compressor and 1 year
warranty on labor of installation. Permit fees also included.
Price for install $3,200.00 Terms $1,600.00 down due On November 1, 2010
Payments of $266.00 due on the 1st of December 2010,the 1st January, February,
March ,April 2011, with final payment due June 1st,2011 of $270.00.
Customer
Contractor
Date 10 y
ago i 0loff-
. fan
AirTronics LLC 407-947-3911 cac1816193