HomeMy WebLinkAbout2466 Sanford AveBonding 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
this county, and there may be additional permits required from other governmental entities such as water man
Acceptance of " is
r/
\ ✓ ature of
I will notify the owner of the property of the requirements
Signature of Notary -State of Florida
0^l.I
fund in the public records of
agencies, or federal agencies.
, FS
R --p CA -0 Date- Si re ofC%<ractor/Agent1--1 Date
+L�G DELIP
F- l
rint ontractor/ gent's Nam
Date Signature of Notary -St of Florida Date
Owner/Agent is—ersonally Known ��
w.�n to_ M4or
-/Produced IDr ),o
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
UTIL: FD:
155 3— 30 o,, 4, t- (
MIRINDA C. TURNER
MY COMMISSION # DD 667937
EXPIRES: June 14 2011
Bonded ThruGi�tiiyn$f9fOC!idibr�s
ENG:
MIRINDA C. TURNER
MY COMMISSION # DD 667937
EXPIRES: June 14, 2011
t0MA&6rhru Notary Public Underwriters
BLDG:
CITY OF SANFORD PERMIT APPLICATION Jam,
o-7-/1 "r? �
S
Application #:
Submittal Date: (�`+'L �Q I
_
Job Address: �b C,�q �
/ l Ain- Value of Work: S C ��
//oC /6
Parcel ID: iC [ �. �! QQ ��5
onin(g: istoric District:
Description of Work: t �_
V 1 �Qk4p ,S`[' Uhti a,4,S
Jktauare Footage: 5-
...: :...L�1�..1.+
-e
. - ......1...... ..!!l►',K....... �:�.4 .........................
Permit Type: Building ❑ Electrical ❑
Mechanical Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical. New Servic MP
# of AS
Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential Non -Residential
O 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
Plumbing Repair -Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories:
# of Dwelling Units: Flood Zone: (FEMA form required )
...................j.....................................................................................................
Property Owner: )-Ory,!4 V 7-
Contractor: DEJAIR HEATING & AIR COND+
Address: �J 0Y -C)
%�U Address: 531 CO®ISCO WAY
<5 QMlf� v,A , F4
3.), 7 7 / SANFORD, FL 32771
Phone: 107)DA) &23 —64 ZE-mail:
/�9 p
Phone ���j" 2State License Number: %/'n '' 133 Y�p
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
this county, and there may be additional permits required from other governmental entities such as water man
Acceptance of " is
r/
\ ✓ ature of
I will notify the owner of the property of the requirements
Signature of Notary -State of Florida
0^l.I
fund in the public records of
agencies, or federal agencies.
, FS
R --p CA -0 Date- Si re ofC%<ractor/Agent1--1 Date
+L�G DELIP
F- l
rint ontractor/ gent's Nam
Date Signature of Notary -St of Florida Date
Owner/Agent is—ersonally Known ��
w.�n to_ M4or
-/Produced IDr ),o
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
UTIL: FD:
155 3— 30 o,, 4, t- (
MIRINDA C. TURNER
MY COMMISSION # DD 667937
EXPIRES: June 14 2011
Bonded ThruGi�tiiyn$f9fOC!idibr�s
ENG:
MIRINDA C. TURNER
MY COMMISSION # DD 667937
EXPIRES: June 14, 2011
t0MA&6rhru Notary Public Underwriters
BLDG:
DEL -AIR
HEATING - AIR CONDITIONING
REFRIGERATION, INC.
Date
City of Sanford
Building Division
P.O. Box 1788
Sanford, FL 32772-1788
Dear Sir:
This letter is written to give authorization ford h P �2u� I Y X m IC to pull a mechanical permit for
Del -Air Heating, Air Conditioning & Refrigeration, Inc. forAy �� (� Sqm e ✓r.� A ire .
Thank You,
ert G. Dello Russo, President
DEL -AIR HEATING, AIR CONDITIONING &
REFRIGERATION, INC.
RGDR/j d
Sworn to b re me by Rqkrt G. Dello Russo
on Ps 1 0day of 7
NOTARY PUBLIC D)
MY COMMISSION EXPIRES:
( rr
MIRINDA C. TURNER
MY COMMISSION # DD 007937
x•. �€ EXPIRES: June 14, 2011
Bonded Thru Notary Public UndOMN010/9
531 Codisco Way 58501 SALES
Sanford, FL 32771 SERVICE
Phone (407)333 -COOL (2665) INSTALLATION
(407)831 -COOL (2665)