606 Mexico Ct; 18-3848; AC CHANGE OUTCITY OF
DEPARTMENTSkNFORDFIRE
Building & Fire Prevention Division
PERMIT APPLICATION
Application No:
Documented Construction Value: •4200 7
Job Address: 606 Mexico Ct. Historic District: Yes No
Parcel ID: 31-19-31-300-0020-000 Residential Commercial
Type of Work: New[] Addition[] Alteration[] Repair Demo[] Change of Use Move
Description of Work: AC Change Out
Plan Review Contact Person: Lori
Phone:407-602-3374 Fax:
Name New Tribes Mission
Title: Asst
Email: lori.lockhart@protechac.com
Property Owner Information
Phone:
Street: 1000 E. 1 st St Resident of property?
City, State Zip: Sanford, FI 32771
Contractor Information
Name Pro -Tech AC & Plumbing Service, Inc Phone: 4072911644
Street: 2425 Silver Star Rd Fax:
City, State Zip: Orlando, FI 32804
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
State License No.:
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. 1 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: 6 h Edition (2017) Florida Building Code
Revised: January I, 2018 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.
Signature of Owner/Agent Date
Owner/Agent's Name
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
ignatdre of Not -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 # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
ac
Customer's Name:
Today's Date: Valid until:
1!il'tl'i;tt !'/3s i /t _t . 3`%a;il i .
System Description: XR 14
Thermostat: `(p pip i
Pull All Permits/Fees: Included Included
jPreventaiive Maintenance: Comfort Club Included included }
Attic Installation:
q
Systern Price:
Comfort Club Rebate Applied:
jlpro Tech Rebate: j
Pro -Tech Cash Discount:
j,
I
Manufacturer Rebate: ; !
0
i Thermostat Upgrade-
p jAir Puri`ication SvsterFii
I —
j g !Zone 5ystems
i r ;Duct System/Grills
a Comfort Club (Znd yr}
d `Electrical Upgrades i }
Plumbing Additional Items i
Tpr.ved Upgrades:
Total Due to Fro-T"eclt:
1 Power Company Rebate: A 1
Wells Fargo Finance: j
Manufacturer, Pro Tech Rebates, & Pro Tech cash Discount cannot be combined with Wells Fargo financing and/or any promotions.
Install Date:
t'ay.*_1I andteLp
Check / Casa/Credit Care! Discount: $ 00 ® Financing; $
I have allthority to order the work outlined above. In the event that payment is not made promptly in accordance with agreed terms, it shaft be the seller's option to charge a
service charge not exceeding 2.5% a month, the first service charge becoming due is days from the date of installation of our amount due on the job. In the event of collection by
attorney, all attorney costs, court cost and other legal fees shall be borne by the buyer. in the event of nonpayment, purchaser agrees to allow seller on premises to remove
equipment installed. This Inver t.prz A.W all be binding upon the heirs, successor, or assigns of the parties hereto. it is understood that the title to all products andequipmentcovef !rt°ffie contract remains solely in the-sWOeurttt the entire purchase price has been paid in full and the manner of installation and/or attachment to anyequipmed/or any portion of the building structure in which the Riation is made shall not in any manner jeopardize the seller's title. Date:
CustOfner
Signature Dater
Customer
Printe Name irate.
Pro -
Tech Comfort Spt•cialist- vers!
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