HomeMy WebLinkAbout4043 W 1 StCkee Pe
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D' CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION '
Q
Application No: 5 ' Documented Construction Value: S -I;)-`D
11 r E
Job Add W ` S Historic District: Yes No
Parcel AD: ZoninLy:
Description of Work:
Plan Review Contact . .,...
Phone: Fax: E-mail:
Property Owner Information,
Name +(1'111M VCM I1.lPPS )Phone:
r
Street: qD LA.). /
I''
5, Resident of property?
City, State Zip •i YC+.. d-(, 01 /
Contractor Information
Name BARNES HEATING &
Phone: CONDITIONINGNDITIONING
Street:
915 W. 2ND ST..
Fax:
923-3517 -fAX, (447)' 321'=
City, State Zip: State License No.:
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
1 ltic.
Bonding Company:
Address:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit
Square Footage: Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical
New Service - No. of AMPS:
Mechanical (Duct layout required for new systems)
No. of Stories:
Plumbing
New Construction - No. of Fixtures. -
Fire Sprinkler/Alarm 0 No. of heads:
I
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 IMPROVEMENTSTO 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.
i
x}Idill'I'All23i"1k_3
The City of Sanford requires payment of a plan review fee. A copy of theexecutedU;contract is required in order
to calculate a plan review charge. If the executed contract is not submitWd we res:ez e the right to calculate the
plan review fee based on past permit activity levels. Should"cJilateci'ttargesXced 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:
COMMENTS:
ENGINEERING:
Signature of Contractor/Agent Date
jw b"
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
UTILITIES: WASTE WATER:
FIRE: BUILDING:
F9 + 11; <F111. 15 1 a43 t 1 MC4<,EE t Ul SThIJCT Ii?I'1
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7" Monroe Rosid
Sooford, FL 32771
phone: 0,407) 323-) I $V
ids (497) 3W,3!14
SUBCONTRACTAGREEMENT
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cj=?e 1i1'?t311 17:32 407323'3704 MCKEE CONSTRUCTIUN
CONT T,R,AC I- NO, i 19062-02 Sarni H(iating an Air "AnCitioning
156,'hQ -$2.2901 110
i_:i 7i. ES; FOR PA t MFvi NT N0
PAY PEP.I` 6 ENDTING
PROJECT
Wireless i u l limerif Genices, lna,
C•r3 final Commy, Amaurit nq[).Qp
pprovcd Change Ordcrs S ;
Total Revised Contract 5 2,790,00_
Valtie of Work to Hate S
Valuc of ivialeria.i Stored at Site T -f,
TOTAL , $-
4 r,}, itttain S I
Earned to Dznc S
Less rcviau4i3ICLtiG
PavaNc this rNucst. ; $_
r'sat j, .11 LI.
790 Monroe .Rwd
Sanford, Florida. 3277I
Phone: d07)323-115<0
Fax: (4 07) 323.4504
ALL PAY cEQUE ST MUST I:j'Ad'T,
THIS F RM ATTACHED
az.FLEASE - The Subcontractor ceniflics that all materials„ lahar and service, Curnished by him through the above; mentioned pa;v rcriod ha.vo bccn fully paid for k—Pt as NSOX bolow) and the prerni.ses of the above names job cannot
ne m7ac subject: 10am, valid lienar cltami by anyonc vx:ho furnishes ma.teriai, fabc%r or scrvices la the Subcontractor for
use 'r said joh,;and the Subcontractor hereby releases McKee Conctrue!ion Co. (icnoTal Contractors, and the Owner,
frau any further liability iso ca,nnccdnn with all materials, iabor and .;ert ices firnishOd by the Subcontractor thru the
Fay' period..
This release is giver, .in ord r to induce paymcni in the arnnum of and on rccelpt o said payment by the Subcontractorchisr®lease bccomes in frill fk rcc and
EXCEP 1iONS ARE AS FCtL.LC)W t:_.__ flames Heating end G,ir Condirimir,
S9;AT.1; CiF,
Subcontractor
SWORN TIO AND SUBSCRJI'LlEr, SEFOP-E ME T -IIS By;
DAY OF
Since 1,973