HomeMy WebLinkAbout103 Aldean DrCITY OF SANFORD
ED BUILDING & FIRE PREVENTION
JUL 2 8 015
PERMIT APPLICATION
Application No: / 7
Documented Construction Value: $
Job Address: JC)3 A c e,Q N, -1 Historic District: Yes No N
Parcel ID• 3 - 9 ` 30 - ;' ( --) 0 s Q 3 Residential N Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person:
Phone: Fax:
Title:
Email:
Property Owner Information
Name S'c„
Street: 1 CA
City, State Zip: .
Phone:
Resident of property? :
Contractor Information
Name -7 ",'C - Phone:
Street: f C-4-Q( ,sq-YP- N N &Z L(:-> Fax:
City, State Zip• 3 7-) ('4 State License No.: Q-Aeosi RS)17
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
ArchitectlEngineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
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. * )S.' 1
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51e Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that ma37be
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.
75N 11 Laj,, -2 - 09
Signature of Owner/Agent Date Signature of Contractor/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
Print Contractor/Agent's Name
a 1. c9-(?. / S'
a Y :Py''• DEBBIE BLANTON
MY COMMISSION k FF 178648A-g - EXPIRES: February 25, 2019
Bonded Thru Notary Public Underwriters
Contractor/Agent is Personall Known to Me or
Produced ID Type of ID,
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
e
1042 Seminole rd
ThAir Source L L C Osteen, FI 32764 theairsourcellc@yahoo.coi
1 I 407-402-
2505 quote 07-
13-2015 Ricky Eckstein
BALANCE DUE 103 Aldean
Dr Upon Receipt Sanford,Fl
32771 7735. 9`
T Notes! Ise
this SP&ICO f6r coiinients ;c yu; Materials and labor
relocated Includes Payne 15
seer
4 ton heat pump with 10 kw heat I PH15NB04800G PF4MNB049L00
New coffin
box
for AHU New hurricane pad
New hurricane tie
Reconnect to existing
Duct work duct work into
attic Run new refrigerant
lines Run drain line
New safety switch
1 New Programmable
Stat Misc materials and
duct board Permit $173.76
Notice of commencement $
14.00 10 year manufacture
warranty must be register
I year labor
Please sign and
date for acceptance Like this template?
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THIS INSTRUMENT PREPARED BY: MARYANNE HORSEY SEMINOLE COUNTYName: John Wilks CLERK OF CIRCUIT COURT & COMPTROLLERAddress: 1042 Seminole Rd Bfs 5515 Fs i.14> i (1Fas ) w (stean i 1 3 764
CLERK'S s 201508167E
RECORDED
NOTICE OF COMMENCEMENT RECORDI FEES7/28/201
i_ 1 .nig:55°56 All
RECORDED BY hdevore
State of Florida
County of Seminole
Permit Number: Parcel ID Number: 34-19-30-517-0000-0020
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
103 Aldean Dr
GENERAL DESCRIPTION OF IMPROVEMENT:o';
air conditioning upgrade s'• ®
e "WIV S et
OWNER INFORMATION:
Name: Rick Eckstein
Address: 360 Queensway Dr Lexington,KY 40502
Fee Simple Title Holder (if other than owner) Name:
CONTRACTOR:
Name: The Air Source LLC G
Address: 1042 Seminole Rd Osteen,Fl 32764
9
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
of
To receive a copy of the Lienor's Notice as Provided in
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to th best f-Ty knowledge and belief.
a c zle- i
Owner's Signature Owners Printed Name
Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
State of County of \1610n
The foregoing Instrument was acknowledged before me this Ai day of 20 N07
Uc_ l r Ll.
l
unn 'Y
by l Who is personally known to me
Name of person making staleme% ( ,
OR who has produced identification l type of identification produced: V t \w - L c
s.