HomeMy WebLinkAbout1900 Sanford AveAD=C,
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DEC 7 1016•
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ (05//
Job Address: /qW Sc� pU�
Parcel
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair
Description of Work:
Plan Review Contact Person:
Phone:
Historic District: Yes ❑ No ❑
ResidentialCommercial ❑
Demo ❑ Change of Use ❑ Move ❑
Fax: Email:
Property Owner Information
Title:
Name Ste_6"r .QCA(&— Phone: A167 -47q-.3960
Street: 1106 So.,,� Ave Resident of property? : Y
City, State Zip: Ft- 3o *77f
Contractor Information
Name /fes Sol cre-S T+- A I Phone: 1 67- F3,Q - CX c(
Street: _16 V AA/� Woms CD(_ Fax: q07 -� 3a - oS
f Q
City, State Zip: f�(S' lnrnef , r -J-- 37416 State License No.: CI c/9-66543
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Arch itect/Eng 1 neer 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: 51° 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 1 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 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,�St'�
Signature of otary-State f Florida Dat
DtMON RApe ft 11
NOTARYPUSUC
STATE OF FLORIDA
. Carnw 0002OV3
Contractor/Agent is Ee sr�� Known to Me or
Produced ID Type of 1D
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:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES: WASTE WATER:
FIRE:
BUILDING:
Revised: June 30, 2015 Permit Application
Billing Address
Bernice Siebuhr
1900 Sanford Avenue
Sanford, FL 32771 USA
Ace Solves it All for Electrical, Plumbing, Estimate 96424845
Heating & Air Conditioning Job 96423275
Corporate Office: Estimate Date 12/5/2016
1692 Dolores Drive Customer PO
Kissimmee, FL 34746
877-765-4223
service@acesolvesitall.com
CFC 1428235, CAC 1816543, EC 3144
Estimate Details
Task # Description
2TNMERrr14HPX Lennox 1.5 Ton Merit 14HPX Heat Pump With Fan Coil
MERIT 14HPX Up to 15 SEER 8.2 HSPF Heat Pump
MERIT CBX25UHv varible speed Air Handler
COMFORTSENSEO 7500 SERIES 7 -DAY PROG TOUCHSCREEN THERMOSTAT
System Benefits:
Helps save up to 43% on your cooling energy bills
Helps save up to 29% on your heating energy bills
Provides more efficient and reliable heating/cooling
Rust -resistant protection from the elements
Reduces greenhouse gas emissions
Heavy steel insulated cabinet holds more air in the unit
Job Address
Bernice Siebuhr
1900 Sanford Avenue
Sanford, FL 32771 USA
All systems from Ace includes new pad, tie -downs, locking charge caps, disconnect and
whip with Emergency Heat Kit For Above Manufacturer Spec and Local Code as well.
All Materials and Parts American Made
HVAC-THNK Thank you for choosing Ace for your new Comfort System.
We look forward to doing a wonderful job for you!
All of Systems have:
a full 10 year parts warranty
2 year labor warranty
2 year 100% Satisfaction Promise from Ace
1 Year Family Value Plan
All of your rebates, permitting and financing (if applicable) paperwork will be
facilitated by Ace.
Credits & Rebates will be 10-12 weeks from time of installation and an inspection will
be scheduled as well.
Once again, Thank You For Your Business
-Management
Your Your
Quantity Price Total
1.00 $6,311.00 $6,311.00
1.00 $0.00 $0.00
HVAC-SPC-INST Installers Special Instructions
Horizontal install
Insure duct I attic are sealed
Fab and mastic for plenum
Ss2 and ss3 float switches
Cs7500 control
Rx11 flush copper
Nitrogen purge and 300 micron vacuum
New pad, tie downs, locking charge caps
10 by 20 filter back return system included
5 kW em heat kit
Breker changes for code included
15 seer Eco friendly refrigerant
Thank You for doing business with Ace Solves It All
1.00 $0.00 $0.00
Sub -Total $6,311.00
Tax $0.00
Total $6,311.00
I hereby authorize Ace Solves it All to proceed with all stated work at the price provided in the estimate. I understand that any deposit I
have paid is a non-refundable deposit and the total balance is due upon completion of the work.
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:& & G
-12Z
I hereby name and appoint: t;,J c
an agent of: Oce -�aC ,Les
(Name of Company)
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific
/9� c
ication for work located at:
'.5a,a _ F4 -59?71
' (Street Addrest7
Expiration Date for This Limited Power of Attomey:
License Holder Name: C�u (e --s roe P -'r
State License Number:
Signature of License H
STATE OF FLQMA
COUNTY OF la
Th regoing ' fient w�;
20
to me or o who as produced
identification and who did (di
(Notary Seal)
CATHY ORTIZ
MY COMMISSION # EES56902
"I d'g EXPIRES December 06, 2016
(sOt) 398-0753 F1ofid*N01BrySer41W corn
(Rev. 08.12)
acknowly4Xed bgje me jhis day of
Notary Public - State of
Commission No.
My Commission Expires:
as