449 Sand Cove Dr; 17-3156; HEATPUMPW I CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No
Documented Construction Value: $
Job Address: -/ 7 i&( _LC.
Parcel ID:
Historic District: Yes No
Residential ['Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: / T
Phone:,-Aq . Fax: % Email:
Property Owner Information / [" "
Name ")&d!a A- 4(A.Y1N Phone: 't( . 2 2—
Street:-qqq Resident of property?
City, State Zip:
Contractor Information
70 // Name Phone: J d • - 3 &:, '700
Street: Fax: 39,00__ 7 3 3 _
City, State Zip: Z State License No.: / C,2(a
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
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.
t
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5ie Edition (2014) Florida Building Code
Revised: June 30, 2015 Penn it Application
It
a
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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
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
J
Date: 8/29/2017 Meals on Wheels, Etc, Bidlf: 1100001
lobii: SWX17-0O3 Client: Robert Lacombr• iuhnne: 407-L3-7562 -
Inspector: Lance Gast Address: 44S Sand Cove Or.
727-452-4026 City: Sanford _ { State: FL Zip Code: 32771
Ccrrtr,C.or. Car+.tractErs ___ _ _
Site -Built Yr. Built: '-933i
VOit(C ORDER g(p LSW NOT REQUIRED
1ty. Unit llr0lty Measure. - _ - A4.at rrial labor Total --; T
1
Eac'st h;stall Pra Tech CC Lk cctor J5:115 2.0201.2e & 2.030l.2) t;n icvcl, !ry bedfooim v
50.00 25.00 e ? f i5.00 b
Note: !
rrbed rooms 2 Each -
Install new bath ran & smooth pipe with lmulatlan, wire, to outside (5WS 6.60) S 360.00 360.00 I 720.00 Note: -loth
bathrooms 30 cfrn or better C 1
Each Pipe cyater Heater Pressure dram tc Bucket/Exterior (SW5 7.3102 1,F, 7.0103.1e) 45.00 MUD 115.00 ' i Note: 1
N/
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1
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Mote:
1
NIA
NIA t i N/
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1
N/A Note: N/
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MJA N/A Note: J
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N/A K/A Note: i
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FIJA N/A I -tote:
Isa,r::
avrzrcuax:>a,:zola:zca<ccdnr.5•:..amu_rr:c!:rata pormati HFSSub-1'utal 455.00 455.00 310.00j z 3-
Each
iY04APPROVED REQUIRED
MFA5t11iE5 Racn.:L:.to,: ara ee:n otl at WatEr Ploe
Insulation R-3.5 1s[ 6' hot/cold @ DWH (SWS 7.0103.1c) Wonu vsccu
tt,htir,e.an'N w,mottuccd 0.00
5:a
rmf UUF Pa t3-s! _ 30.00 $
50.00 j 1-aNote:b
1
Each 45.0ter Neater Insulation (SWS 7.3103.ic) Add R-10 Blanket E52 0,00 30.00 $ 80.00 Note: c
0
Each Faucet aerator 2 2 6KI, or Less (SWS 7,B101.1) Alreade Has. __._--__..
Note: td
1 Each Replace HVAC Filter and supply extra (Not Pleated) E.00 10,00 $ 18.00 { i Note:
JI 1.._...._-•-_------
10
Each
Llghtlnj; Retrofits (SL'JS 7.0003.1.) CFL or LF.O 40,00 40.00 0 Each
Ln:•r-Flcr7Shnwerhe-ids 2.5 GPM or Less (SINS 7.8101.11 WnIC: itifeadY
Him, i1 I ` ?
Each•
D'
uctScating(5rJ53.160?.1-3.1602,7)WholcSystem 1.00e•aC-FtrUti 15u,00 250.00 410.00 Note: r
jh !
Each -Door. Replace wfinetal Prehang, w/paint&hardware (SWS 3J.201,3) 600.00 530.00 T 1,130.00 { Note: Bothdnors. __ _ --
Sq. ft -
Mali: tyHnor Yrall rcpsir ieak!ng to attic (SINS 3,100131 1.2.00 16.00 28.00 Note: Hole
in hallway hail. d 17.
5q. Ft. -Hoar: h41nor floor repair(5W$ 3.1401.1 Thru 3.1488.1) 1U8.00 156.00 264.00 L Note:
Niasterbathroam floor.. - i e
0.5 Hrs.-Alrseal hates and - cfs in thermal boundary-(Caulk&Foam) 15.00 20.00 35.00 ' Note: Anyhule
you can find around the home. -- f 1
Each -Door. Repair v7/ loc'sset, hi1192, adjustment ISNS 3.12013) 0,00 100.00 150.00 Note Front
slider. Do the test you can do put the r;lass back In Ws track. Note. -- _'-"------- h
1
NfA -N/A t S
I
Note:
I 1
NIA J 1
N/A -N/A Noce: -- k
1
NIA N%A t. Note:
Let ine !Mow If you need a rermit.--
l a I N/A -N/A
tote:
b i N/A -NIA
Note:
C 1 N/A -f.JA
Nole-
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7
q uwuryrc rn+i.w a -
a 1 N/A NIA
Note:
b 1 fi/A -N/A
8 l:•IiIt. IN UusrrVw JV:aclrivlYv 7
t
Note:
1 N/A -N/A
Note:
g ANON!AULEMEASURES- NEAT N,HF.AREQUTMEDExceotltefrieratur redrrNFATUIH6\! Can i,.Mete.
z 1 Each AH & Condenser replace 14 Seer Heat pump -- to 15^.a sc it. (sn S 53rxz) 2,500.00 1,400A0 $ 3,900A0
Note:
b 1 N/A N/A
Note:
Sc1N/A N/A
Note:
d I N/A N/A
Note:
e 1 Gad: Permit: AN / Condenser Building permit, if required. 85.00 6S.00 15D.D0
late:
30—`— t isiTb lt ly cASIIftS---
a 1 Each Programmable lirrrmostat: With HOLD hutton(S 14 5.30'J3.9) 100.00 I $ 65.00 165.00
N/A N/A Sb1
Disclaimers:
SltjS A's are for ileference and may include many, other sections.
Contractor to warrant wo:t•. to pus bklg. codes & W z Pro.&,ram.
Contractor ve fy lead test as needed.
4t)
ontractor's Signature Dale
veriicn GaD-5.9 Au:ua 2017
veimuu a.=
TOTAL S i 902.00 $ 3 187.00 S 7,389.00
Meals on wheels, Etc. Uate
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