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Home My WebLink About300 Rachelle AveCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / & A_ Documented Construction Value: $ 2.100, UO Job Address: 3oa Ag,C A d 4- A v e._ UA i' 116 Historic District: Yes No Parcel ID: Residential 11 Commercial E] Type of Work: New 11Addition Alteration Repair Demo Change of Use Move Description of Work: 14 VAC_ C_Agn 1 e o qf Plan Review Contact Person: Title: Phone: Name Street: City, State Zip: Fax: Email: Property Owner Information Phone: Resident of property? : Contractor Information Name H'Ir con); ,, d ijih &rets Street: IS12 E. Gary dol 0 City, State Zip: L 4 k c, 1, I'L • 3 3 -q Name: Street: City, St, Zip: Bonding Company: Address: Phone: 1l qw -Y'o o Fax: State License No.: GAG 1 V 757 r 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 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application It41 I Z9. CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / & A_ Documented Construction Value: $ 2.100, UO Job Address: 3oa Ag,C A d 4- A v e._ UA i' 116 Historic District: Yes No Parcel ID: Residential 11 Commercial E] Type of Work: New 11Addition Alteration Repair Demo Change of Use Move Description of Work: 14 VAC_ C_Agn 1 e o qf Plan Review Contact Person: Title: Phone: Name Street: City, State Zip: Fax: Email: Property Owner Information Phone: Resident of property? : Contractor Information Name H'Ir con); ,, d ijih &rets Street: IS12 E. Gary dol 0 City, State Zip: L 4 k c, 1, I'L • 3 3 -q Name: Street: City, St, Zip: Bonding Company: Address: Phone: 1l qw -Y'o o Fax: State License No.: GAG 1 V 757 r 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 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" 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 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 Date Signature of Cont I ctor Agent Date Print Owner/Agent's Name innontractor/Agept's Name 7 1 AkVV40.,1 0] 1 P H 1/1L Q I IgIko Signature of Notary -State of Florida Date re of Notary-Sta f Florida ate Jp ER C Uiiz cp GH tqi••• Owner/Agent is Personally Known to Me or ;• ` Contlj,t'lAgttt is Personall Known to Me o,& r., Produced ID Type of ID _'} ; r uced I Type of ID exp' Z : c FF 100263 iA ded ih bpc Unde • BELOW IS F®I'' i F ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 Permit Application HEATING & AIR CONDITIONING 1512 E. GARY RD LAKELAND FL 33801 ORLANDO 407-COOLI NG -TAMPA/ LAKELAND 863-940-9800 9/13//2016 Home Depot 2335 West Seminole Ave. Regotta Shores unit 116 300 Rachelle Ave. Sanford Fl. 32771 Electric split system 1.5 ton pancake (R-22) NOTE: Some sheetrock may have to be opened to install new air handler,. All repairs of sheetrock to be completed by GC. 1.5 ton pancake HVAC system includes the following: 1.5 ton outdoor unit 14 SEER with R -410A refrigerant 1.5 ton air handler with 5KW heat strips Ductwork (tie into existing) Digital Thermostat Low & high voltage (tie into existing) Mastic seal joints at system Remove existing & discard Hurricane Pad for outdoor unit Hurricane tie downs Includes all labor & material to complete job Mechanical permit Costs: Above system $2200.00 Refrigerant Lines $ 700.00 Total: $2900.00 Michael Baxter Air Conditioning Experts Office: (863) 940 9800 Cell: (407) 931 6339 A IR CONDITIONING' ExP1= , I +In c. Authorized Representative Form I, Keely Richardson of Air Conditioning Experts, hereby authorize Ronald Horns Obtain a permit in my behalf under my Florida Contractor License Number CAC1817578. to Keely Richardson I Air conditioning Experts 1 FL State Lic # CAC1817578 Orlando: (407) COOLING Tampa/Lakeland: (863) 940-9800 FAX: (863) 606-5972