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Home My WebLink About155 Wildwood Dr (3)Application No: t C) - Job Address: Parcel ID: (� Description of Work: Plan Re 'eehw Contact Phone'?(O ) ' CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION n10 0 Documented Construction Value: S LD5GU Historic District: Yes ❑ No ❑ Zoning: LW_%� Title: Property Owner Information I nom,ClJ�-� a4 o� ' 3Ca- • Q I�� Name h�lPhone: Street: -b'( Resident of property? : S City, State Zip: 1 6) 773 73 Contractor In ormation 1 Name . LiL (AM S Phone:: rr,T� 1- 9yQ�Q - OW Street: i Fax: (Itfl City, State Zip: State License No.:l 1► l ' �o�`f"� Architect/Engineer Information Name: Pho Street: ax: City, St, Zip: E-mail: Bonding Company: Address: Building Permit O Address: PERMIT INFORMATION Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical O New Service - No. of AMPS: Mechanical O (Duct layout required for new systems) Y foto �-S Lender: No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm O No. of heads: 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, creme will be applied to your permit fees when the permit is released. / / n 1W 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: JCntYII4:11 MARSHALL NOTARY PUBLIC - STATE OF FLORIDA COMMISSION # EE070545 EXPIRES 3/6/2015 BON DED THRU ,-088-NOTAR W Contractor/Agent is Y— Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Home Depot Information: Leads I. a+9 I 1-5:6 6 1stone OZ 3 3 TI/D lrotb a Equipment Information: (attach additional list of equipment if necessary) Manufacturer. 0 -1 --tem O CpWonsornilaw ni pea Model # O Coll Model # Serial 0Thermostat Model# O Condenser/Heat Pump 12 Model # O Air Cleaner Model I Serial o O Humkfiner Modal # O 12 year O Port a Labor O FumaaalMrlTaRe10►1rT Modal IF D Other Serial a Model # O Furnsca(Nr Handler 42 Model I OOther Serial I Model # Provider Length Type Equipment Covered Extended Service O Home Depot O 5 Year O Perls O Compote SyalorNPkg unit O Accessory ' Agreement Only O ManNscWror 13'10 Year O Labor O Condensing Unit O Baler O 12 year O Port a Labor O Fumace/Alr Handler O Other OOlher 0100 all thin appy: O Now Amp electric servke/dlecarnect 11CIvan work area to custom ea sedalaction lil'�ompet system startup 25nernevl adsdrp equrpmom from promilm I;W polm Inaleaatlon audit OOthor Prices quoted will be VAUD for a period of 10 days from the C4 proposal date of this contract. Total Investment $ �--f ` Oi . 00 NOTICE TO OWNER: DO NOT SIGN THIS CONTRACT IF Taxes $ BLANIS.__.... YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT Total Amount S S S THE TIME YOU SIGN. PermlVlnspection Wormation: Parr* 11.aalroel [ayes O No Prue `, r eby ccuray losvinp Pwmlt edw&" lespMbn Dlianerre Notice of Cancellation form received: J Initial Termination clause reviewed: Initial Definitions: "You'T'Your" means the customer Identified above. "Installation" means the Installation services specified In this Agreement. "Installation Professional" or "Professional" means an Independent contractor authorized by Home Depot (licensed and Insured as required by Home Depot and applicable law) and the contractor's employees, agents and subcontractors."Agreement"means this Special ServiceslHome Improvement Agreement betweenYou and Home Depot U.S.A., Inc. (interchangeably referred to as"Home Depot"), which Includes this page, the General Terns and Conditions following this page, the State Supplement, the Invoice or Specifications and any other documents expressly made a part of this Agreement Please see this Agreement's GeneralTerms and Conditions for additional definitions. Acceptance and Authorkatlon:By signing below, You authorize Home Depot to (a) arrange for Installation Professional to perform Installation andfor (b) order and arrange for the delivery of special order merchandise, Including special order merchandise that may be custom made, as specified in this AgmemenLYou understand this Agreement constitutes the entire understanding between You and Home Depot and may only be amended by a Change Order signed by Home Depot (or by Installation Professional or Its authorized representative on Home Depot's behalf) endYou.Thta Agreement expressly supersedes all prior written or verbal agreements or representations made by Home Depot, Installation Professlonal,You, or anyone else. Except as set forth in this Agreement, You agree there are no oral or written representations or Inducements, express or Implied, in any way conditioning this Agreement, and You expressly disclaim their existence. Do not sign If blank or Incomplete. (Installation Prolessional's/permitting Information may need to be provided Wolf later.) By signing,You acknowledge thalYou have read, understand, and accept this Agreement In its entlrety.You further acknowledge receiving a complete copy. Keep It to protect Your legal rights. DISTRIBUTION: While --Home Depot Copy Yellow—Customer ACceptance a Invoke Copy Pink—Installation Professional Copy Gold --Customer Proposal Copy MD463 (414111) SITE'INSPE(MON: (explain responses in the Scope of Workiection below ACCA Manual J Load calculation performed _ Equipment listed in this proposal will satisfy the load requirements determined in load calculation . performed for this structure X Is the existing ductwork properly sized to meet the requirements of: x 'SystemAiM&l 400 cfrhAon) .[ Standard Velocity in branch and main ducts ?< (If any deficiencies in existing ductwork, explain in the Scope of Work section below) 1 What existing system components will remain a part of this system: (explanation RE UIRED In the Some of work section below) Outdoor Condensing Unit C Refrigerant Lines �C Furnace k EvaporatorCoil X Are existing system components compatible with refrigerant type and efficiency of the new equipment listed in the proposal? X. SCOPE OF WORK: (attach additional description and/or drawings if necessary) Zti S+all Z . S N .( rte-, Gc,S v e r -t. S S+.t_ Prepow dart daft Expacled ewrw.00n date Qptoats..lgprolta� � t» cos"of01bK. This contact Is not oonshWed to be binding wehaa the authorizod afgnaWre of a licensed HVAC InsUpaoon Professional By signing this contract. the licensed HVAC InstallaWn Pwfessonal admwiscIgos the work b be performod will be In accordance with all federal. state. and local oodere DISTRIBUTION: Whfte—Home Depot Copy Yollow—Cuslomer Acceptance & lrwolce Copy Pink—Installation Professional Copy Gold --Customer Pmpoaal Copy Ho-243W110Q