HomeMy WebLinkAbout214 Terry Lane (2)Application No: / / J 8,/
Job Address: Z 1 y iY R , L
Parcel ID:
RECEIVED
N0V 2 9 2010 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ -/g° `' . d d
Historic District: Yes No N
Description of Work: { e,4 L-A G 'L '3 / d O/L. i
D
Plan Review Contact Person:
Zoning:
Title:
Phone: Fax: E-mail:
Property Owner Information
Name C/ A-0 e-y '?A-0o K S Phone: 0.7
Street:y1hb / 2 Resident of property?
City, State Zip: 3-2
Contractor Information
Name ? f Z_ A le Sc/LyIC e L 4.- C Phone: 4/07 `2 3 9 3 o i
Street: / 9l7 1?4 e't /,, G &V 0/ D 2 Fax: #,j 7 3 Z / 3'? S' Z.
City, State Zip: /hp j i LA viz 'SZ-756 State License No.: 04Co V
Arch itectlEngineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit
Square Footage: 1,2oo Construction Type:)Ie_e No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical Plumbing
New Service — No. of AMPS: New Construction - No. of Fixtures:
Mechanical A (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
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 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.
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.
6, - f o Z
Signature of Owner/Agent Date nature of Contractor/Agent Date
Print Owner/Agent's me
SignatureSty a e o ort a Date
ERNESTO REYES
NOTARY PUBLIC - STATE OF FLORIDA
COMMISSION # DD798891
EXPIRES 6/18/2012
BONDED THRU t-BB&NO,TARYt
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
4 wil el% -Le 112, d A L.DS6 AJ
Print Contractor/Agent's Name !!:tACO
ignature of Notary -State of Florida Date
DEBBIE BLAN CONYCOMMISSIONrDD62996
rw a MEYPIS;.I S. February 25,'-11
r--c°Q Fi. No!ary Discoan! P::a:n. Co.
I-KW-3-NOT LILY-sv".Sl.•+i4a`..
Contractor/Agent is Persona]] Known to Me t)pr
Produced ID Type of M , e-" - 111, LL'
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Rev 1.1.08
t HEATING SERVICE, INC.
State License #CAC048129
407-830-8940/Cel l : 407-739-3096
Proposal submitted to: Date
Street Billing Address) Street (Billing Address)
City, State, Zip Code
r.
City, State, Zip Code
Phone Phone
Res. Work
We hereby propose: To furnish, install and service under warranty stated below, the products or related
equipment for your home in accordance with the conditions and specifications set forth
in this proposal.
NEW EQUIPMENT.. Make 0apr%is+R rJ CONTROLS AND ELECTRICAL
Air Conditioning - Tons -Model o 3 X rz,9 Manual five function heating cooling thermostat
Heat Pump -:Tons Model fIRF x';16 L3 Deluxe manual heat pump•thermostat
Al Air Handler -Tons. Model R Programmable thermostat
Coil Tons Model O Install amp, electrical service including a
Furnace Model new meter base, main load center, lightning arrestor,
Auxiliary Heater KW ` Model _HKIl 10 ground rod, and weather head.
Cooling.Btuh SEER New all copper, insulated electrical circuit(s).with
Heating Btuh HSPF disconnect switch box(es), nonautomatic circuit
Firestat Model breaker(s), and weatherproof conduit and connections at
Filter — Model the condensing unit.
Time Delay Relay Model New indoor unit electrical circuit -
Other Other
piping " WARRANTIES
o
A Condensate drain hook-up ^].Primary 0 Secondary PARTS AND LABOR WARRANTY FURNISHED BY B&L
Refrigerate field piped copper A. Liquid line s I, ( 'yr. labor warranty ; lC yr. parts warranty
A Suction line with armaflex/thermacel % MANUFACTURERS EQUIPMENT WARRANTY (PARTS' ONLY)
O ,Condensate pump " 0 Air handler warranty . f & years AlCondenser,coil ! C years
Supplementary drain.pan with fail-safe condensate float switch N' Compressor 1 0 years O HeatExchanger ` years
Refrigerant line"driers The cooling system will produce'a 78 degree inside
temperature on a 95 degree day
U Manufacturer's Extended Equipment Warranty,
AIR DISTRIBUTION- MISCELLANEOUS
O Modifications of.supply plenum return plenum';; All work done in accordance with existing codes
New.supply'diffuser(s) ceiling sidewall'`` All required permits
Floor Al rust resistant anodized aluminum Removal of the existing equipment from the premises
O New return air filter grille(s) ' ceiling Cl sidewall Weather resistant vibration' proof isolation pads
door grille(s) - Rust resistant anodized aluminum Chimney cap
O Rigid fiberglass duct system with reinforced rip -guard vapor L31'. Condenser pad
barrier main trunk and flexible branch.and return duct. 2j 28 gauge galvanized steel weatherproof: channel cover .
New air handler platform constructed of plywood and lined 0( All work to be performed in:a neat and professional manner by .
with fiberglass journeymen class technicians. Sweeping, dusting, and
The existing duct system will be inspected vacuuming will be accomplished at the conclusion of each
Other ;:- day's work and all debris removed from premises
b No painting included
p
We propose hereby to furnish complete as above specified, for the sum of r
L ' / 4,,,9 40 i s h u.r i ncc ra ""t, 'o s o dollars (S 11,1e,0 . c) ca
4 Payment terms will be
Other
BUYER'S. RIGHT. TO CANCEL: YOU THE BUYER, MAY CANCEL THIS TRANSACTION WITHOUT PENALTY OR OBLIGATION ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAYAFTER THE
DATE OF THIS TRANSACTION:
As further conditions to this estimate, it is understood that we will be not be responsible for delays caused by conditions beyond our control, that this proposal may be withdrawn by us it not accepted within
30 days from this date; that any alteration or deviation from the above named items or either of them will become an extracharge, over and above the sum quoted above. All warranty work will be done during '.
regular business hours.
It is agreed and understood by the parties that all equipment and parts which are sold pursuant hereto shall not become fixtures, or part of the real estate where the are placed. Said parts and equipment shallatalltimesremainpersonalpropertyandtheWetheretososhallremainintheselleruntilpaymentfullisreceived. Buyer hereby agrees that all parts and equipment maybe repossessed in the event of nonpayment:
l have authority to ordertlined stheworkasouaboveand agree furthermore to pay a service of 1 1121, If tees should
collectionefforts eever;becomemecessary. - B%A.
P.R) on the unpaid balance beyond terms stated. l also agree to pay all court costs and attorney .' 4 A
Signature: rrSignature.:
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ram (
nf fi - Y k
74; . / / (GOstamer)
Signature: Date
BBL Form
00003052003 Customer)' -