HomeMy WebLinkAbout100 Wilner Cir 1136CITY OF SANFORD
(�(f ��� BUILDING & FIRE PREVENTION
MAY 2 4 0j6 PERMIT APPLICATION
2 �v -
BY: Application No:
p ion
ocum 9
ted Construction Value: S
Job Address: i dU �� c5G1it/vl R,$2 I Historic District: Yes ❑ No ❑
Parcel ID: Residential ❑ Commercial ❑
Type of Work: New ❑ Addition WAlteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person:
Phone: H 0) . -1 SU • I S -A1 Fax:
Title:
J �
Email: `--(fY dC4 .I'JU/('; fiOI.�mx rw)
Property Owner Information
Name !Z-Y1dC L
Street: i W lel In tx G`f gu,L Crd )L -e32 —n i
City, State Zip:
Phone: y(A - D22. £S(9 i0
Resident of property? :
Contractor Information
Name d
Street: 11 iynp1 1Q.(1 ►h�.
City, State Zip:.{ Ica rt.' 5211 2.
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: q0. -IK . �gA-)
Fax:
State License No.: G MG 0S(D Ct_71
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
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.
FBC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 5i° Edition (2014) Florida Building Code
Revised: lune 30, 2015 Permit Application 'A;J
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 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.
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
4��Lovr
Signature of Contractor/Agent V Date
Print Contractor/Agent's Name
Signature of Notary -State of Flo 'd l e
DEBBIE BIAMON
MY COMMISSION 6 FF 17
EXPIRES: February 25, 2019
Bonded ThN w1W Pubk UndervAI"
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID / d /I?
Ft)t-eP-p.
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING: UTILITIES:
COMMENTS:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
Force Air VSA
Randy Boyd, Sr.
Mechanical Contractor
PROPOSAL SUBMITTED TO:
Greystone Properties
Attn: Brenda Boyd
PROPOSAL
DATE OF PROPOSAL: 5-24-16
Lic# CMC056971
PROJECT LOCATION:
Overlook at Monroe
SCOPE OF WO AS D SCRIBED BELOW:
Apartments 1 nd 1136 to be upgraded with new HVAC Systems.
Site will prov a conde ser, air handler, thermostats (if applicable), front flush panels (if applicable).
Site will repair all drywall, paint, etc. as required.
PROPOSAL COST:
2 units at $875.00 each total contract cost $1,750.00.
Cost includes permitting fees of $50.00 per unit. Site will schedule and manage inspections in
coordination with Mechanical Contractor.
Contractor will schedule and manage inspections for an additional $50.00 per unit.
PROPOSAL EXCLUSIONS AND CLARAFICATIONS:
Includes 90 day labor warranty from startup date. Equipment warranty by manufacturer.
Does not include any new high voltage electric. Does not include any new low voltage electric.
14 sl '� 11 U
Signature of Acceptance Date of Acceptance
STATE OF FLORI_D_•A,,�,I
COUNTY OF, Ir►�r�ut - ,,��
T forego' g ins u ent w s acknowledged before me thi $ day of 209 , by
who is o personally known to mi or o who has produced
as identification and who did (did not) take an oath.
Signature
(Notary Seal)
Print or type name6�0 19h n -Cole-
Notary Public - State of J
Commission No. - 7a
My Commission Expires: (O
w KATHY A VAGMIW WEE
s•; MY commms ON O EE17me
VitEXPIRES June 09.:019
1778 Imperial Palm Dr., Apopka, Florida 32712
Phone 407-780-1547 Page 1