Loading...
1908 Mellonville Ave; 17-2770; HVACCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION fn Application No: Documented Construction Value: $ Job Address: ©V Historic District: Yes No [ Parcel ID: `- '" ©© © Residential Commercial Type of Work: New Addiction Alteration Repair Demo Cha ge of Use Move Description of Work: V 0 C C 9,414, E d v T A) o L'C t c.) 0 2 (e Plan Review Contact Person: Phone: Fax: v YVI f) L., i Email: Title: Prope y Owner information -7 Name I C l r-f O P UO IJ Phone: 3 a /_ - 6 — (6 Street: D/ Resident of property? : S City, State Zip: ;Jq, j Contractor Information t a Name 0 IJ c © / ' Phone: 4I®% _ ` 6 7- Street: 5 Z Z 14 Y)SS 0 C s L c o p 7 J Fax: LIE)? 3; ` /— F lCity, State Zip: /4X C MA 2 % /" l I State License No.: C'r_ / 6) -? 6 !E> Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Mortgage Lender: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. Si tore of Owner/Agent Date Sig of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Signature of Not5* y,F;,,,,, DEBBIEBIANTGN J``'°' MY COMMISSION ik I-"r 1 i8648EXPIRESebruary25, 2019 FPublic Underwriters ram: •qS` Bonded 7hru Notzr Owner/ Agent is Personally Known to Me or Contractor/Agent is Personall own to Me or Produced ID Type of ID Produced ID Type of ID e o_ BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps. Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application r &.S Air Designs, Inc. 407-321-8006 Web: www.tsairdesigns.com tsair@bellsouth.net Estimate Date 9/19/2017 Name/Address Mike Henderson 1908 Mellonville Ave Sanford, FL 32771 Estimate No. Schedule Date 9118 9/20/2017 Customer Phone Customer E-mail Project/Job 321-363-7685 mike—henderson@ntm.org Qty Item Description Unit Total 1 1609 System In... New System Installation -Install New Goodman 5 Ton 16 7,040.00 7,040.00 Seer Heat Pump with 8 kw heat 1 1601 Air Handle... Air Handler Information -Variable speed 0.00 0.00 1 1605 Thermost... Digital Thermostat 0.00 0.00 1 1632 Condense... Condenser Pad 0.00 0.00 1 1603 Install Kit ... Standard Installation Kit 0.00 0.00 1 1621 Included System above includes all labor, parts and materials to 0.00 0.00 install 1 10 Permit Fee City Permit Fees included 0.00 0.00 Warranty Information: 1 1661 MFR War... System Includes Standard Manufacturer 10 Year Parts 0.00 Limited Warranty 1 1662 T & S Wa... T & S Air Designs, Inc. 1 Year Labor Warranty 0.00 Comments: Balance due upon system start up. Estimate Terms Total 7,040.00 I agree to have T & S Air Designs, Inc. perform the work as described above. Furthermore, I understand that this is only an estimate and in some cases will not reflect the actual costs involved in completing this project. Due on receipt Note: The above estimate is based solely upon the project description and initial inspection of the project work site. Estimate could change upon discovery of the need for additional work Thank you for choosing T & S Air and or materials once the project has started. Any alterations or deviation from the above Designs for all your air conditioningspecificationsinvolvingextracostswillbeexecutedonlyuponwrittenconsentbycustomer needs) and will become an extra charge over and above the estimate. Date 17 Signature Estimate expires in 30 days