HomeMy WebLinkAbout106 Woodfield Ct 11-759 (replace air handler)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
O0
Application No: I /- % Documented Construction Value: $
Job Address: /06 1J000p 1 , Gd' C4 I
Parcel ID:
Z o
Historic District: Yes No
Zoning:
Description of Work: I4 L`e Q C r Qn d e r ac ec v2 oQe r, r V e-
Plan Review Contact Person: / ,cC k P6 r•. o Title: Qreyca c', f
Phone: 3s'a - d6 7- /(O>O Fax: 3S3-.5-P'-(,1 l E-mail: r%7 rc cuf% c;)*,"6cL^q yr ae'l ca*"
Property Owner Information
Name reb2sxj Fi rti4 L f'Y14jf0e Phone: v7--r q-s`rcS
Street: /OG WoocQplt'Q C% Resident of property? : Ve.P
City, State Zip: S(:41 PyrS je4 3 -) 77 /
pp 11
Contractor Information
Name &JQTcLre- Phone: 351-73s- GG
Street: p U . BQ k /3.16 Fax: 3s_; - S"% sr- 1 t
City, State Zip: kk7A A r% f-L 3, 7-T State License No.: CAC OS 7JP0 7
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service - No. of AMPS:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical (Duct layout required for new systems)
No. of Stories:
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 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.
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:
vim Date
Print Contractor/Agent's Name
V Signature of Notary -State of Florida Date
FIRE:
p Q MY COMMISSION = l)W 096
s 41"; o EXPIRFS.. February25, 20I l FOF
1-
8W-3-NOTARY FI. No'Diwo-t Asa:. Co. 4 ao
AA AAA ContractorAgentisVPersonal] nown to Me or Produced
ID Type of ID l-( WASTE
WATER: BUILDING:
Rev
11.08
AUG-31-2009 06:27 FROM: TO:14076885152 P.2/2
Aft" ®/1,
w0kno Work Write Up for Weatherization Program
To ContiwtoG
Items Bated an the work writs up may not pertain to your core business function, Thom items should be bid under the umbrella of your oompafly through licensed
contractors such as Plumbing, Electrical, HVAC, Roofing Etc. It is your responsibility to pun permlte and provide results pertaining to your business function
according to Local Municipatlty and Code and or provide the same from licensed contractors pertaining to Plumbing, EbMical, HVAC. Roofing Etc You are
required to provided Cartified Payroll for an work perf*mvd on residence, far your company and all aub-conhRctors hired by you. Any house or trailar built one 1978
II require EPA Lead -Safe Work Phrctios or Lead Testing to be performed by a EPA LOW-Ule tenoned Farm: Photos of EPA LeaV%afe Worn Practice or
Documan tfon Supporting Negative Teat Raaub are mquimd to,, agency exxinlent8tion & dimll Ilia- if addltlonal items are needed in oortjunetion with a Work
Write Up Item, you must provide an addendum explaining rOpair. In order for payment to be processed you must provide the Payment Request Form, Signed Invoice
Release of Lien, Passed Permits. LSW Documentation for pre-1978. homes & Davis Bacon Compliance. AdditionaF into may be required. All Work and Punch List
Items must be 100% complete. Prices. & items may be subject to change, to meet budget requirements, if ao, price and item changas *Ali be owe" upen verhany-
s bid wAl then be adiusto0, signed try MOW as (Addendum to Bid), and sent back to you. You are required to sign as (Acceptance of Addendum 0 010) ano send
back to MOW:. mOW vNll then sign as (Acceptance of Bid) and fend Deck to you. Worts -may begin specifications,rmAllspecifications, terms and wndiliano then be as described in the
OWNER/CONTRACTOR AGREEMENT and the FLORIDA WEATHERiZATiON HANDBOOK, MATERIALS. INSYALLATION and WORKMANSHIP STANDARDS.
Item 9 006cription of M rialelgervices Required Prio rl.ty g Material LaborTotal
1 Ropiaft EAM COMMi AC Wi best 14 SEER heal pump sysDam NO DUCTWORK
a 1,800,00 8iX1.110 2,600•00
2
3
4
5
B
7.
B
9
10
11
12
13
14
15
16
17
NAME: Mtehelins Lambert DATE, 111012011 s 2,600.00
isullt 19" dO6 8 ' mlambort2-11
ADDRESS: 106 Woodfield CL Sanford FL, 32M PHONE: 407449-116941321-2964840
Notiw to illd
Please inspect the property and submit Me want-writa up with your coat to mo NO LATER THAN 1-10-2011. if your bid meets the criteria, you will
be contacted with the Notice To Proceed With Work, signed. with a time frame for wqrk to be Completed in.
Coatmtor. (% ..J Gr-t -Signature: Date: .
Addendum to 81d; Data:
MOW
MOUGO To Proceed With' Work
Your contract and proposal for homeowner repairs and upgrade& ai the above mentioned address. Owners have been e)amined and
acceptlrtt by IN WesthedWion Program stiff. Items have MOO the approval of the dient. items mentioned above are to be completed wrmtn ina specified
time frame- You may begirt Work on XX-XX-2010. You shall. complete all worts on or before XX-XX-201 tl
Acceptance of 8Ed: Date: Jay Curbow I Wearnertwtion Manger
MOW (may procead) Weals on Wheole Etc.
Acceptance of 2201,3, Financial CL Sanford FL, 32773
Addendum to Skis Data: Ofitco: 407333-11877 exL1141 Pax 407-820.2468
CONTRACTOR (sign A send beck) call: 321-MIS-4828
AUG-31-2009 06:27 FROM: TO:14076885152 P.1/2
W /a, a % Nuatherization
Assistance Program
WeatJierization Works "Providing energy efficient homesfor
in Florida Florida's low income citizens"
I;Wnded by the U.S. Department of Enemy and the U. S. Department of Health and
Human Services
SVEMSON CONSTRUCTION INC
FAX COVED SHEET
TO; City of Sanford From: James Svenson
Attn: Debbie Svenson Construction Inc
Fax: 407-688-5152 Phone # 321-299-5453
Re: Lembart HVAC
Date: 2/2/11
Comments
Thank you,
Number of Pages 2
James Svenson
President Svenson Construction Inc.
Svensonconstruction@embarqmaii.com
www.Svensonconstruction.com