HomeMy WebLinkAbout1916 Hibiscus Ct (4)CITY OF SANFORD PERMIT APPLICATION
Application N: l Submittal Date:
Job Address: S C LLS C+- Value of Work: $ 39
Parcel ID: 7 -ti, I - Lq - 3 I - 5 11 ^4I0 010 - 4) 1 1 O Zoning: Historic District:
Description of Work: (:"g >IlE AL �r bt4x-+;S Square Footage:
........................................................................................................................
Permit Type: Building ❑ Electrical ❑ Mechanical)Q Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential Non -Residential D Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑
Construction Type: # of Stories: # of Dwelling Units:
Plumbing Repair- Residential ❑ Commercial ❑
Occupancy Use Group(s):
Flood Zone: (FEMA form required)
.....................................................................................................................
Property Owner: W r 1 f•1G m m d mK g n Contractor: BARNES HEATING &
AIR CONDIfieNINS
Address: La 1 P_ hi t t us CSF_ Address: 915 W. 2ND ST,
Sag
SANFORD, Ft -?2771
r�17 . Fax 40) 521-5519
Phone: E-mail: Phone: State License Number: CA 4.0368a.SF
Bonding Company:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Mortgage Lender:
Address:
Phone:
Fax:
Phone: Fax:
E-mail:
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. 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 v -i ion that I will notify the owner of a property of the requir ents of Florid Li Law)S 7l
Signatue er/Agent Date Signature of Contractor/Agent Date
Printa Agent's Wme Print Contractor/Agent's Name
Olt, - �
ature of No ary- tate of Florida Date Signature of Notary -State of Florida Date
p!P
SHMERRILL MAad
Notary Public - State t'
3 : • .My Commission Expires MY COMMISSION # DD629096
Commission # DD��X�a Fx�tR> s: Febry 2s.2otcoOwner ent isFersonall Kno to Me or �p„; ;°•`' on Knownito Me Hr'S DISCO "��g T���Bonded By t��(br y-.
--Produced ID
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APPROVALS: ZONING: UTIL: FD: ENG: BLD 1
Special Conditions:
Rev 02/2007
NOTICE OF COMMENCEMENT
State of Florida . County of Seminole
Permit No. Tax Folio No. (PID) 3)- {q- 31- $/I - 0000- 0 /IO
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.
DESCRIPTIO qF PROPERTY (Le al description of the property and street address) 31- I� - 31 • 61 / - 0000- 0
GENERAL DESCRIPTION OF IMPROVEMENT
IPISTRIIMENT PREPARED RV
OWNER INFORMATION t ► I
Name and address lair �I1Gt W+ �dY'G4 t�� tie t•t t C+
Interest in property (Fee Simple, Partnership, etc.)
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER (IF OTHER THAN OWNER)
CONTRACTOR
Name and Addn
DARNL: HtAuivb a
AIR CONDITIONING
SURETY (Bonding Company) (407) 323-3517 • FAX OU)) sn-091a Sk:M:I:NI U (;CII•INN
Name and address SK 06019 Int) 0729, (1pg)
CLERK' S # 2007134286
Amount of Bond REC(NNDU 09/1'//200'/ 11:07137 AM
LENDER RHAIRDINO FEES 101.00
Nanie and address 112 I;L11111!_D by H DeVore
................................................................................................................................... w✓Erc iff t e u "c o Py
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as proyyided,by�Sl�dion�ORSE
713.13(1)(0)7., Florida Statutes: CLERK OF U"-^UIF C-01 T
Name and addressSEP VO' OOJN T'� { I;ORiDA
Hy
- V
In addition to himself, Owner designates �GIi .. 9 7of
to receive a copy of the L"ide'o'r's Notice as
Provided in Section 713.13(1)(b), Florida Statutes.
( e3r kation dat8 i' 1 +V8�rrfr°t Et Tate of cording unless a different date is
c - , +c of RzFda 1
•'a a' i f� I1 �Y.J'2 Ftiljj 562009� A%
s
1N9* V` I Saure erD,tC2it i �
Swornb and subscribed before me this 1 day of
f. 2 ti > My Commission Expires: ; -moi At
o`tary Public
T e fore oing instrument was acknowledged before me this /"�_ day of ? . /' 20'1 by
?I 1 f�c'7Yl I 1 �` �;1_e (name of perso acknowledged), who is perso fly known to me or
who has produced -k "+t :rt�i J i - (type of identification) as identification and who di did_ not take an oath.
BARNES
HEATING & AIR CONDITIONING, INC.
Proposal 915 West 2nd Street
Sanford, Florida 32771
(407) 323-3517
NAME PHONE DATE
Gene Morgan 07-484-6550 9/14/07
STREET JOB NAME
1916 Hibiscus Court
CITY ST ZIP JOB LOCATION
Sanford FI 32771
JOB PHONE
ESTIMATE
Install New Trane XI19i 4 Ton Heat Pump System
(1) 2TWZ9048B1000A -Condenser
(1) 2TEE3F49A1000A Varaible Speed Airhandler
(1) BAYHTR 1408 BRKA Heat Strip
(1) TFM260BOAHO 5" Air Cleaner
(1) TCONT 803AS32DA Digital Touch Screen Thermostat
(11) Supply Ducts and Grills 4 1 ;,, N!� Rt�,��M
(5) Return Ducts and Grills
(1) Aux. Drain Pan
(2) Float Switches
1 1/8 and 3/8 Freon Line Set
Drain Line
Line Cover for Freon Lines 10'
Slab for Condensing Unit
Hanging Materials to hang Airhandler in attic
Work Platform for Airhandler
Extended Part and Labor Warrenty for 10 years.
WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR—COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS,
FOR THE SUt DOI,
Payment to be made as follows:
Authorized Signature
All material is guaranteed to be as specified. All work to be completed in a workmanlike Note: This proposal may be
manner according to standard practices. Any alteration or deviation from above specifiea- withdrawn by us if not accepted
tions involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements contigent upon strikes, accidents within days.
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are hereby Signature
accepted. You are authorized to do the work as specified. Payment will be made g
as outlined above.
f j IZ��� Signature
Date of Acceptance: / � / f
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BARNES HEATING &
AIR CONDITIONING
915 K 2ND ST
SANFORD, Ft 32771 j
1407) 323-3517 • FAX (407) 321.5579
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