HomeMy WebLinkAbout201 Nations RdCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ION `-t `CJ Documented Construction Value: $
San -A, -d, Fz
3 -1 0 O.00
Job Address: ?_OI i1Q-honS Kul Historic District: Yes ❑ No ❑
Parcel ID: 3 ) -dol —31 - 30D — 00 Zo — 000D Zoning:
Description of Work:
Plan Review Contact Person: �hrns+n- a,, i eu n(la n Title:
Phone: LA0_1-02 al)—110L4L4 Fax: LT1-5 as - OLN5 E-mail: thnlS noa r-Witi man
Property Owner Information pro 4-ee-tna c'. Cay -1
Name (6AJ f 1 %PS M ISSlar1 +-JV 2 S Phone:
Street: %O I n6k-h on S " • Resident of property?
City, State Zip: 561rrADC-d , I, 3 1-1 I
-�- n Contractor Information
Name -P1'DI e G� Air Coy,, i i"1"t� Phone: 1401- a�l I - I U LN
Street: P"4c_)5 Si IUe_ &iar- 2Gt Fax: _ UO'1 - 5aa- Dt4L45
City, State Zip: Orta rnel 0 r -K— J2 State License No.: (tom C_6Z°► 3cl
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit O
Square Footage: _
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical CI
New Service - No. of AMPS:
Mechanical (Duct layout required for new systems)
No. of Stories:
Plumbing O
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O No. of beads:
of
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 coning.
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 released.
J �z L�11
Sienature off Owner/Agent Date Signature ofContractor/Agent Datc
14- t 1 i_ A /111, I117
Print Owner/Agent's Name
�) _0
Signature of tary-State of Florida /Date
..........WILLIAM •C..�N� .........
Comm# DD08=75
=� �G Explrea 10/1912012
Florida Notary Asan., Inc
Owner/Agent i " Personally Knlyoetl104e or
Produced ID Type of ID
APPROVALS: ZONING:
COMMENTS:
Rev 11.08
ENGINEERING:
UTILITIES:
FIRE:
-TvArnrnas (llxon
Print Contractor/Agent's Name
0 ulo� NI I
Signature of Notary -State of Florida Date
+� CNRI511NA E. NEWMAN
MY COMMISSION Y DD 804130
�• a EXPIRES: July 8 2012
fix„1ti Bonded 1>w Notary Rft UndetwtL
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Al PUJYBING 8ERV1� N�
December 2, 2011
We are installing (2), 1.5 Ton 13 Seer Straight Cool Systems for:
New Tribes Mission Homes
201 Nations Rd., Sanford, FL 32771 $3,700.00
416 Greenland Ct., Sanford, FL 32771 $3,700.00
Delivering comfort, trust, confidence and quality since 1961.
Service Hotline: 407.291.1644 • Toll -Free: 800.305.5187 • Fax: 407.522.0445
service@protechac.com • www.protechac.com • 2425 Silver Star Rd, Orlando, FL 32804
State Certified CACO2939 • CFC1426770