HomeMy WebLinkAbout3094 Orlando DrIcer, A41 r _,r
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hfAy 2 4 21 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
I- 15(v' Application No: Documented Construction Value: $
J i -n 1'1 \i - Historic District: Yes El No 11obAddress:
Parcel H):
Description of W,
Plan Review Contact Person' ' - - }-P w 5 ; r)don
Phone: -- IQ4b Fax: &bS Aga- ^ 0 2'I
Zoning:
I '
Title: CS
E-mail: /i¢a e 5 "i cep l -C cra'
Property Owner Information
Name,ea1 L4- Cc. Phone:
Street:
n I^
it Resident of property?
City, State Zip:
Contractor Information
Name 4k ( as
Street: 03k S 1^J 6 (2(
City, State Zip: M k ) k , fj 3 ) Iq q
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage: _
Phone: 35
State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical
New Service Xuct
AMPS:
Mechanical
f/
ayout required for new systems)
S
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
W 11.
0
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 release
7alt 7
Signature & Con for/Agent Date
Owner/Agent is
Produced ID
Personally Known to Me or
Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
rY-e1 \ Aft( Off
Print Contractor/Agent's Name
vdM SS1 N#EEOSBI42
APR. 26,2015
r-,^,.AARoNNOTARYcan
16 /71-6 t, I
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Permit No.
Tax Folio No. - `D X20
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement
will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement.
11 all 11NJ1111
MARYPI NE NORM, CLERK OF CIRCUIT COURTSEMINOLECOUNTY
0,-70 Illi 07482 pg 04501 (i pg ) CLE RK I S # 2010133805.
RECORDED 11/18/,0010 02157:27 Rif
RECORDING FEES 10.00
RECORDED BY,J Eckenroth(all)
Description of property: (legal description of the property, acid street address if
2. General description of improvement:—, h". ' 1 o tVA
3. Owner information: Name:_
Address: ` -T-rit/'171 L l 6, Dc!
b. Interest in property:
c. Name and address of fee simple titleholder (if other than Owner): Name:
Address:
I[/4. Contractor Name: Y i Phone number:
c. Address: l0 —?( ,) 15; 9 4,ili7 G( 331YLJ
5. Surety Name ri-W11 ll•U GUI'>I
Address: MARM11141NE 'MORS
b. Amount of bond: $CLER F; CIRCUIT 00
6. Lender: Name:
Address:
b. Lender's phone number:-
Ta. Persons within the State of Florida designated by Owner upon whom notices or other docu t be s r ped: as
provided by Section 713.13(1)(a)7., Florida Statutes: Name:
Address:
8.a. In addition to himself or herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9 Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERT NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE T FIR T INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR ATTO OMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENC MENT.
Signature of Owner or Owne Authorized O icer irec or er Signatory's Title/Office
X71 D
The foregoing instrumen was acknowledged before me this day of KW , (ryear) , by (name a person) as (typ of
authority, ... e.g. officer, trustee, attorney in fact) for (name of party on behalf of hom instrument was executed) .
Notary Public State of Florida
U (SEAL) ® ` Nicole Glass
Signature of Notary Public . ro` My Commission ,0,0032587
7Ex 'r s 10!05! 14
Personally Known OR Produced Identification f'b 1 e i' a t e
Verificaf purs a 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that
the fa s stated i it re rue to the be my knowledge and belief.
Signature of N tural Person Signing Above (}tl$ 1MSTkUy =
u M'
Rev. date 3/ 08 NAMEl
1 03 I 5
JADU
1 (_tib l
Golden Sands General Contractors, Inc.
2500 NW 39 Street, Suite 104
Miami FL 33142
305 633-3336
License: CGC062617
To: Harper's Air, Inc.
1031 S.W. 69th Avenue
Miami FL 33144
Subcontract
Contract#: 1012-60
Contract Date: 06/21/2010
Project: 1012
BA RCI SANFORD
3094 Orlando Drive
Sanford FL 32773
You are hereby directed to perform the following work per Plans Attachedtheplansandspecificationsprovided.
Retention Rate: 0 % Specifications Attached
Description of Work Cost Code Description Amount
1. two Carrier model #50HCD08A package unit 15.500 HVAC
refrigerant three phase 208/230 with 12 kw hea 15.500 HVAC
2. Carrier single phase 208/230 410A refrigera 15.500 HVAC
split system model #24ABC624 condenser • 15.500 HVAC
and model #FB4CNF03 0 air handler and no he 15.500 HVAC
3. Economizer, convenience outlet, a -coat. 15.500 HVAC
4. Unit installed on existing curb. 15.500 HVAC
5. Connect to existing ductwork, electrics. 15.500 HVAC
6. Crane service. 15.500 HVAC
7. Warranty 15.500 HVAC 29,672.00
Courtesy discount per JF and Steve 15.500 HVAC -1,483.60
Subcontractor to perform the tasks set forth in, and pursuant to the terms. of this subcontract, and in accordance In the terms of the agreement.
All initial capitalized terms used herein shall have the.meanings set forth or referred to in the Agreement unless otherwise defined herein:
1. Pursuant to the terms to the Master Subcontractor Agreement, the Contractor is directing the Subcontractor to complete the work as described
in the attached, Subcontractors proposal.
2. As per the Contractor's Agreement with the owner an amount of 10% retainage will be held on all payments until the completion of the sub-contrac
3. Submission for payment must be provided by the 1 st of the month for payment on the 20th of the month.
Amount of Contract 28,188.40
Contractor- print name Signature Date
Subcontractor - print name Signature Date