HomeMy WebLinkAbout310 Clydesdale CirApplication No:
AUG 9 2095
V•
s
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ , yyo. 00
Job Address: I D C lej P sd ale C t r, Historic District: Yes No
Parcel ID: T -2_6-,jj "55-06,- Cow - W%O Zoning:
Description of Work: flPnIdC-t 3.5 Tw AC4 R""'n S&L+Crr.
Plan Review Contact Person: Krm cry, Title: _C3{ g !'Yl&M,jr
Phone: Y67 859 `!75 6 Fax: `%7 Z9 3695 E-mail: aSS6 c_ o;r A I OL • Corh
Property Owner Information Qka .A -'-q4 8c kler3
Name DL6Gde %dk A)ztro rA •irta.el
Street: -WA 514"fCO '3 vd,
City, State Zip: Ef, iYl i ll , SC a9 7/5
adjr
Phone: 1/07 .234 09P_0
Resident of property? :
Contractor Information
Name Ame,i tical `l wrm Ser-vereS Phone: Y67 859 `1751
Street: _ /bz3 29/* S%. Fax: 96.5 30. 5
City, State Zip: QH,2.&Id, F/. 32$05 State License No.: COCOS8/39
Arch itect/Eng1neer Information
Name:
Street:
City, St, Zip:
Bonding Company: _
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service - No. of AMPS:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
Flood Zone:
Mechanical (Duct layout required for new systems)
Ab DQO GlaO K )
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes.
REV 07.14
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:
x zo16
Signature of Contracto gent Date
FIRE:
45doi- Jam.JF'nidA
Print Contractor/Agent's Name
Signature of No ary-State of Florida Date
KIMBERLY A. VANDERVOORT
Nobly PON - 8124 of FRWICIA
C0111*810 i FF 213068
MY Caron. E*kU Mar 26, 2019
Contractor/Ag
M
Produced ID Type of ID
WASTE WATER:
BUILDING:
Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes.
REV 07.14
Proposal submitted to:
Quality First Builders
4500 36th St.
Orlando, Fl. 32811
PMFMN@ BERVICESP Im102329THST.
Orlando, FL 32805
Office: (407) 859-4756 • Fax: (407) 859-3095
Work to be performed at:
310 Clydesdale Cir.
Sanford, FL 32773
We here by propose to provide labor and materials to purchase and install new Comfortmaker 3.5 ton (r -41 0a
refrigerant) heat pump system as specified:
New air handler to be Comformaker model #FXM4X42 with 10 Kw heater
New outdoor unit to be Comfortmaker model #NXH542
This matched system has a SEER rating of 15.00
New copper refrigerant piping included
New platform top and return plenum
New digital thermostat and new concrete pad for outdoor unit
Permit included
All material is guaranteed to be as specified and the work to be performed in accordance with the drawings and
specifications submitted for above work and completed in a workmanlike manner for the sum of ($4,440.00) with
payments as follows: I
4,440.00 Due upon completion
Any alteration or deviation from above specifications involving extra costs will be executed only upon written
orders and will become an extra charge over and above the original estimate. All agreements contingent upon
strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon
above work. Workmen's Compensation and Public Liability Insurance to be taken out by Associated Piping
Services, Inc.
Respectively submitted by Associated Piping Services, Inc.
Kenneth J. SrAfth, Vice President
Note - we may withdraw this proposal if not accepted within 30 days of this date: (07/24/15).
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. Associated Piping
Services, Inc. is authorized to do the work as specified. Payment will be made as outlined above.
Accepted by
Signature Date.
CAC058136 CFC057471 QB -0015049
v
10-13- Ah
POWER OF ATTORNEY
Date:
I hereby name and appoint QBr ;t4JGK U H M br'os1 of i
be my lawful attorney-in-fact to act for me, and apply to the Division of Building a
permit for work to be performed at a location described as:
Parcel ID #
Subdivision name: 'BaKer ' CrC si-a- P ase Z
Owner of Property:])gLjSci a B.,,: Nu4c0.3A Ttrksf
Project address: yo c1qd e sci tLiej r.
City: Sa''fprrl Zip Code: 32-773
And to sign my name and do all things necessary to this appointment.
c sm,<PA cAGCi6-B
Print ntractname) (Contractors license number)
Contractors signature)
Theforegoing instrument was acknowledged before me this 3_day of_ AA-
by &ctl,)ard SM,& o is p rsonal y k ` wn to
me or who produced as identification and who id not take
an oath.
V&VN,.O—
otary Pub signature)
KN&A VQ beryoo-A—
Notary Publk printed name)
Notary Public Seal:
KNKR1LY A. WMOERMRT
Non NO • aw d Flaw
tNi1Ns • A K1>0A
91p Com Elw ft 24.2019
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