105 Kaywood Dr; 18-3851; HVACCITY OF SEp 1 1 2018
4 3 _ PERMIT APPLICATIONSk40RD
t } BUILDING DIVISION c
Application No: 5
Documented Cony ssttruction Value: $ 139' .0 0
Job Address: l%5 a wood Dr.. 2 R '32-n1 Historic District: Yes No W
Parcel ID: _2_— l G - J 56 S `-(oo 0450 Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: 2 ---l/A'—_ U n t+5 ch ay l qe o u+ m o h I-( Cs I l C
Plan Review Contact Person:
Fax:
Name
Street:
City, S1
Email: 1^'1 GC C l C w I s2YtJ 1 C C
Provertv Owner Information --
y _
G o 0
Phone: `' 1 U 1 91 % -, n
Resident of property?:
I,,,/ {
ContractorInformation
j (l / )
Name JP I t7 atrial `'f-%1 CCS I Phone: 40-7 6c)q 1(er ( `7)7402_7g1(
Street: c Ly m12 19 Fax:
City, State Zip: r kl fT 2-107 State License No.:
rKIP
y R 32
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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.
MC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6`s Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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.
A t Date
y 6 2vL &,,
Pri caner/Agent's Name
CJ O
Signature of Notary -State of Florida DiL,
Signature of Contractor/Agent Date
121 0 v A-o,1q J
MARISOL MORALES
Notary Public - State of Florida
My Germ. Expires 9rp 5. 201
ati@ *Jibn # FF 1230N9tf
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hETTE
SPublic -St170900
r e 16 2022Owner/Agnna4ljJy e or Contractor/Agent is Persona y Known to e or
Produced Produced ID Type of I IJ
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:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
This Agreement ("Contract") is made this // day of Gi iG.u%ciC , 20 /9 ,
r
between FCt4tw,,c1- C FL y '.1NC • ("Contractor") and
Z61NiV IX eI7-1 L6 G ("Owner") at /D-f- ,4f9YW 0QD JA
z,,cro,20 3 a 77 /
SECTION 1. SCOPE The Contractor agrees to furnish all labor, materials,
equipment and other facilities required to complete the following work:
SECTION 2. PRICE AND PAYMENT The Owner agrees to pay the Contractor for
the strict performance of the work, the sum of
73% - ° iD )
subject to adjustments for changes in the work
as may be agreed to by the Owner and the Contractor, as may be required under this
Contract.
Payments will be due and payable within thirty days of invoice.
SECTION 3. ENTIRE AGREEMENT. This agreement represents the entire
agreement between the Contractor and the Owner regarding the work described in
Section 1, and supersedes any prior written or oral agreements or representations as to
that work.
Dated: // / g Dated:
OWNER Ca krl-b xy oCONTRACTOR: /VECM J,,rW J &, lC- -;We By:
By: gMon p'l o,CAG % Name) (
Name) Title) (
Title)