HomeMy WebLinkAbout514 Liberin CtCY,n,I 8 20%
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
J/
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Application No •
Documented Construction Value: $
Job Address: y L.l 21t >7 0 T l - Historic District: Yes NoI4,
Parcel ID: N wox) -606 Residential Commercial
Type of Work: New Addition AlterationR Repair Demo Change of Use Move
Description of Work: k a atx--.r
Plan Review Contact Person: L2((al- Title: A61y 1X CSP
Phone: 407. 221 . q Qt 8 Fax: q67. 330. 9c8 ci Email: 42_(uNA2+ 'SW_ (2 /L rA .04& --
Property Owner Information
Name new be_S'ss l o Y) % n . Phone: 3(
C
Street: O D , _ S•- i ` - Resident of property?
City, State Zip: flA'o & YL -32,7-71
Contractor Information In 5ucr iNV-C,L
Name 7 F 12 1 1 vl Phone: LA0 7 YLIA
Street: y,c S Il vz SfiA 12 Fax: 1A0'7 . 04 4 5
City, State Zip: 1 A nJ a State License No.: nC,
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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.
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Signatu of Owner/Agent Date 91gnature of Contractor/Agent Date
s Name
i Y om S i y Ifs Y' t2 S1 2Y 1.
Piirrt Eent actor/Agent's Name '
Si u o otary-Stat lorida Date gnature of Notary -State o _rid Date
JdSON HOAG i"'^i{v4;: JASON HOAG
J,,, '= MY COMMISSION # GG021943 MY COMMISSION # GG021943
ain ,.•'` EXPIRES August 16, 2020 {a EXPIRES August 16, 2020
Owner/Agent is Persona y own o e or Contrac or g to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE 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:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
RtY
174
Proposal
September 21, 2016
Customer Name: NEW TRIBE MISSIONS
Site Address: 514 LIBERIA CT
Date: 9/21/16
Submitted By: TOM NIXON
Proposal For:
FURNISH AND INSTALL 1.5 TON 14 SEER STRAIGHT COOL
SYSTEM
Qty Description Unit Price Total
1 FURNISH AND INSTALL 1.5 TON 14 SEER
STRAIGHT COOL SYSTEM
1 4,200.00
Subtotal 4,200.00
Tax included
Total 4,200.00
Comments
Your HVAC System will be installed with the highest quality, care and workmanship -
Pro -Tech guarantees your 100% satisfaction, 24 hours a day, 7 days a week, 365 days a
year.
Thank you for choosing Pro -Tech Air Conditioning and Plumbing for your air
conditioning needs.
All of our parts are covered under a 1 year parts and labor warranty. Any questions
please give us a call on our 24 hour service hotline 407-291-1644.
2425 Silver Star Road, Orlando, Florida 32804
Service: 407-291-1644 • Fax: 407-291-2631 • Commercial: 407-291-1642 • Fax: 407-522-0445
Main Office: 407-291-1643 • Fax: 407-522-0445 • www.protechac.com