444 Summerlin Ave 08-2188tii \�ik: t: :J
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 0 J � -�_ � �_ V Documented Construction Value: $ OP3
Job Address: (&I V E. SK m rW e-,-I h All-P � Historic District: Yes ❑ No
Parcel ID:
Description of Work: C "r'e &.C-A L rr
Plan Review Contact Person:
Phone:
Fax:
Zoning:
E -mail:
Title:
Property Owner Information
Name N.ec.J I el-i Ixo //1&I r Phone: AW 3,�-�- 34 3 - 6 gee r
r
Street: l/» o �. f L S�. Resident of property?
City, State Zip:�T
Contractor Information
Name BARNES HEATING 8r
915 W. 2ND SL
Street: SAWS M
City, State Zip: #07) 323- 17 • e {4 b 321.6579
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical ❑
New Service - No. of AMPS:
Phone:
Fax:
State License No.:
Architect/Engineer Information
Phone:
Fax:
E -mail: _
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler /Alarm ❑ No. of heads:
09: 01 L10'7396579 B
OAMWES
HE TPA AIR, CONCATMONWIP3, INC.
WOM Rod aveot
Sanftrd, Fividds U771
(407) m3-SE11T
earl
nX
New Tribes Mission lr�c,
STREET JOB KAME
1000 E. I st 81, Fax 407-!547-2444
ST I ZIF,
FL 32771
LOCATION
S. Summerfin Ave.
ESTIMATE
Install Wevi Cmitar Infiribl 21.00 2 Ton Straight CW Spmmm
(1) 26ANA124AW3 Candeozer
M Fr'-MMBO"000 Pair hondfor
il) Kr-cE-wN65 Newor
0) SY-STXCCUfD01-A Gonftl$w;
Above haludeq, pmmit, fmom Fmrr�, line cm,"'r, faIflb; i'lon't mviteh, 2 bedmoom. Pk to
to compi i-te job.
NOW H10 vziWV7 Olnific,:, DIF hank�r 01BOI-73`i+ Snd d0se= to !m- JoAz by 01heri
$7,016.00 - $766.00 FPL Rebate
J
PAGE a]
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=01P THE SLIP Si)g Thoueand Two � qusdred Sixty Three 4ollars and 001100
Authohz�-:d Signature
Rabeil Evans
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