301 Larkwood Dr 17-337 HVACECE1VEn
7 200 U CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / / -_ J -
Documented Construction Value:
Job Address: zo ( Lox LLP=d '1DY%V11 Historic District: Yes No
Parcel ID:3S • A - -3b -'56 Z • bFC6 — OCy 10 Residential [A Commercial
Type of Work: New Addition %. Alteration Repair Demo 11 __'Change of Use Move
Description of Work: 64 PyuS*G 35'.' flea[ aAay tW 1fh
3 `5 'fiun I LASCer 51A 4em Plan
Review Contact Person: Title: Im-kil Phone:
Qb 1-BP-4- LkSSC Fax: Llb1-541-$-0Email: afwa& wa oz_-• * Property Owner
Information Name s
le Wl 1...1n5L Phone: Street: C
l Residentof property? : l City, State
Zip: L 3.211 Contractor j
Information
NameC ;
fyirpw
PAY Gon blllll i rIII Ua n Phone- 33 (— tosqG StreetLO _<94?4
44 1) Fax: 461^ 33 (- S3V City, State Zip: L.
A)() ltJO gl FL_ SX State License No.:CPjf—* 03-1U0 Architect/Engineer Information Name:
Phone: Street: City,
St, Zip:
Bonding
Company: Address: 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. 1 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
he inscribed with the date of application and the code in effect as of that date: S" Edition (2014) Florida Building Code Revised: Jtttte 30.2013
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 ofOwncr/Agent Date
Print Oarer/Agent's Name
Signature of Notary -Sonic of Florida Dane
r
Signature of Contractor/Agent Date
r1
Print ContractorfAient's
Signature of Notary•Soate of Florid Date
e'• DANIEL E ZASOWSKI
Mr coMMISSION 0 FF95`121 I
EXPIRES February 27- 2020
Owner/Agent is Personally Known to Me or ContractorAeng t is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
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 # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
FIRE: BUILDING:
Revised- June 30. 2013 Permit Application
755 W. State Road 434; Suite-D
Longwood, FL 32750ServiC6000Phone: (407) 331-689 Fax: (407) 331-8381 AIR
CONDITIONING & PLUMBING State Cert. #CAC1813760 & CFC1428376 Customer:
Wilkinson Res Date: 1/16/2017 Leslie
Job
Address: 301 Larkwood Dr Phone: 407-688-4539 Sanford,
FI. 32771 We,
ServiceOne Air Conditioning & Plumbing propose to furnish, install and service the heating and/or air
conditioning products and related equipment for your building located at the job address above in accordance
with the conditions and specifications set forth in this proposal. Air
Conditioning/Heating System Equipment: 1-
Trane XR14series 3.5ton heat pump 14seer outdoor model # 4TWR4042 1-
Trane 3.5ton Air Handler with 8kw (w/brk) indoor model # TEM4AOC42 1-
Trane XL624 touch screen progamable stat. 1- 45amp Siemens breaker for AHU. 1-
Copper to go over head with line cover 1-
ClubOne Service agreement for 2 check up's Equipment/
System Warranty: 3-
year warranty on labor, 10-year Rd. warranty on all parts, 10-year lid. warranty on compressor. Must
be registered by homeowner, otherwise 5-year parts warranty Installation
Specifications: 1.
All necessary labor and materials to install the above equipment to the existing duct system. 2.
New air handler to be reconnected to the existing duct system with UL listed fiberboard, fabric tape, mastic
for an air tight seal. Air handler to be replaced using 3/4" plywood decking & sealed. 3.
All accessible duct work to be inspected and any minor repairs to be corrected at no additional charge
to the customer. Air handler platform to have all damaged insulation repaired/replaced & resealed. 4.
All new insulated copper suction line, copper liquid line, and Sch. 40 PVC drain line to be installed. Refrigerant
lines leak tested, evacuated to 500 microns, & charged by superheat/subcool method. 5.
All necessary high & low voltage wiring, breaker adjustments, & new whip are included. 6.
Outdoor unit set on vibration isolation pads & fastened to new 4" thick hurricane rated concrete pad. 7.
All necessary safety devices & condensation overflow protection are included. System
will be permitted & inspected. System to be installed according to State & Local codes. 8.
Removal of all job related trash, debris, and old equipment provided by ServiceOne. 9.
100% Satisfaction Guarantee. Terms:
Net upon completion. Price: $5,235 Senior
Citizens discount -$150 Responsibilities:
Cash Discount -$150 Net
Total. $4,935 The
following responsibilities will be assumed by each party as indicated. Equipment
Foundation Wiring
to Building Panel Wiring
from Disconnects to Conditioners Wiring
of Control System Cutting
Holes and Patching Redecorating
and Painting Local
Permits and Licenses This
proposal will be cancelled if not accepted' by: esGc
W:l1.:so., Purchaser
Acceptance: wuwnsa, way s,. zo, Purchaser
Seller X
n/
a X
X
X
X
X
2/
15/2017 Date:
Seller
Approval: Otto Boy Jr Date: 1/16/17
STATUTORY WARNINGS
LIEN LAW
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001 - 713.37, FLORIDA
STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND
ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR
PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR
OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS,
OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK
TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN
FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE
A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD
BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES
THAT YOUR CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO PAY.
TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY
PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A
WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO
YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT
IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
CHAPTER 558 NOTICE OF CLAIM
ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE
PROVISIONS OF CHAPTER 558, FLORIDA STATUTES.
FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND
PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS'
CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER
CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A
LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A
CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE
FOLLOWING TELEPHONE NUMBER AND ADDRESS: (850) 487-1395, 1940 N. MONROE ST.,
TALLAHASSEE, FL 32399-0783, WWW.MYFLORIDALICENSE.COM.
Lw
se, rycece g _ - Wilkinson Leslie
Adobe Sign Document History 01/31/2017
Created: 01/31/2017
By: Service One (docs@serviceone'ac:oo(n
Status: Signed
Transaction ID: CBJCHBCAABAAVMn9sr,-AAZsFtBXxau85wYP.ds5pne"
Wilkinson Leslie" History
f5 Document created by Service One (dots@serviceoneac.com)
01/31/2017-10:58:02 AM PST- IP address: 208.54.35.168
Document emailed to Leslie Wilkinson (LCW4757@aol.com) for signature
01/31/2017 - 10:58:27 AM PST
f5 Document viewed by Leslie Wilkinson (LCW4757@aol.com)
01/31/2017-12:13:06 PM PST- IP address: 99.170.246.134
do Document e-signed by Leslie Wilkinson (LCW4757@aol.com)
Signature Date: 01/31/2017-12:17:12 PM PST - Time Source: server- IP address: 99.170.246.134
Signed document emailed to Service One (dots@serviceoneac.com) and Leslie Wilkinson
LCW4757@aol.com)
01/31/2017-12:17:12 PM PST
0 Adobe Sign
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 2 I1
l hereby name and appoint:
an agent of: SeYV iceb
A
any
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
O The specific permit and application for work located at:
Str"t Address)
Expiration Date for This Limited Power of Attorney: ZI 3 12 I b
License Holder Name: WI I <<Q
State License Number: lP
Signature of License Holder:
STATE OF FL RIDA
COUNTY OF—MIl)6ft0,
The foregoing instrument was acknowledged before me this 3 day of ,
20p, by W i l lialM 9- 61%A'1 who is X personally own
to me or o who has produced as
identification and who did (did not) to an ath.
Signature
harp E ZA90W8K1
MY COMIAISSXk1 a FF951211
EXPIRES Fewwy 27.2020
r ya„o.wm
c: vNw•sa
Rev. 08 12 )
10&! 11 Ia5o 6b
Print or type name
Notary Public - State of on06-
Commission No. S 17-11
My Commission Expires: 2 2 Zow
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
7ow — 1. 11
PERMIT NO. ISSUE DATE:
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK: Ub I&—&. w
Post this permit in a conspicuous location outside
Approved plans must be penrutwithrtfor inspection Leave
all work uncovered until Inspected and approved TPermitexpires6monthsfromdateofissueorIasiapprovedinspection PROTECT
FROM WEATHER BUILDING
INSPECTION7TPF.
APPROVED REJECTED INSPECTOR ELECTRICAL
INCPEC"
ONTYPE APPROVED REJECTED INSPECTOR FOOTER
INSPECTION ELECTRIC UNDERGROUND STEMWALL
FOOTER/SLAB STEEL BOND FORMBOARD
SURVEY T U.G. / PRE POWER SLAB /
MONO -SLAB ELECTRIC ROUGH LINTEL /
TIE BEAM ELECTRIC FINAL SHEATHING -
ROOF MECHANICAL fiaPECTION
TYPE APPROVED REJECTED INSPECTOR SHEATHING - WALLS FRAME
MECHANICAL ROUGH INSULATION
ROUGH IN MECHANICAL FINAL 4 DRYW
ALUSHEETROCK PLUMBING INSPECIFONTIPE
APPROVED RFJECTEO INSPECTOR LATHINSPECTIONFINAL
STUCCO/SIDING UNDERGROUND ROUGH FIREWALL
SCREW TUB SET FIREWALL
FINAL SEWER INSULATION
FINAL PLUMBING FINAL FINAL
SFR GAS INSPECTIONS INSPECTION
TYPE APPROVED RFJ£CTFD INSPECTOR ROOFINSPE.
CRONTYPE APPROVED RFJE.CTW INSPECTOR GAS UNDERGROUND PIPE ROOF
DRY -IN GAS ROUGH -IN FINAL
ROOF IGAS FINAL MISCELLANEOUS /
FINAL INSPECTIONS INCPECDONTYPE
APPROVED REJECTED IN.VECTUR INPPECTIONTYPE APPROVED RFJECTEO INSPECTOR PRE -
DEMO FINAL DOOR FINAL
DEMO FINAL WINDOW FINAL
SOLAR PANELS IRRIGATION FINAL FINAL
POOL SCREEN I FINAL SCREEN ROOM FINAL
UTILITY BUILDING FINAL BUILDING OTHER MOBILE
HOME TIE -DOWN MOBILE HOME FINAL 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. 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
FBC105.3.3 REVISED:
OCTOBER 1014 layman Line: SSSS411112
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 17-00000337 Date 2/06/17
Property Address . . . . . .
Parcel Number . . . . . . . .
Application description . . .
Subdivision Name . . . . . .
Property Zoning . . . . . . .
301 LARKWOOD DR
33.19.30.502-OF00-0040
MECHANICAL PERMIT
IDYLLWILDE OF LOCH ARBOR SEC 5
NOT APPLICABLE
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 971739
Permit pin number 971739
Required Inspections
Phone Insp
Seq Insp# Code Description initials Date
1000 410 MH02 MECHANICAL FINAL
CITY OF SWORD
CUSTO10 RECEIPT m
Oper: MAMA Type: OC Drawer: 1
Date: 2/87/17 81 Receipt no: 70518
Year Nwber Amat
2816 2345
121EIBM ST SANFORD9
FL 32771 BP
BUILDING PERMIT RECEIPTS 2917
337 f139.
88 381
LARKVOOD DR SWORD,
FL 32771 BD
BUILDING PERMIT RECEIPTS 114.
88 AC
491316 Tender
detail TToota
lnderedd $
2253.
09 Total
paysent f253.08 Trans
date: 2/97/17 Tice: 13:54:18
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 16-00002345 Date 2/07/17
Application pin number . . . 399675
Revision number . . . . . . . 2
Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING 50.00
01-APPLCTN FEE -MECHANIC 25.00
01-APPLCTN FEE -PLUMBING 25.00
01-SLOG PLAN REVIEW 624.00
01-PREPOWER AGREEMENT 100.00
01-FIRE IMPACT 8-2015 373.91
01-LIBRARY IMPACT FEE 54.00
01-PARKS IMP-RS SINGLE 1086.29
01-POLICE IMPACT 8-2015 374.90
01-SEM CNTY RD IMPACT FEE 705.00
01-SCHOOL IMPACT FEE 5000.00
WD IMPACT:SINGLE FAMILY 1343.00
SD IMPACT:SINGLE FAMILY 3025.00
01-BLDG DCA SURCHARGE 40.84
01-BLDG DBPR SURCHARGE 40.82
j------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 110.00 00 .00 110.00
Other Fee Total 12892.76 12863.76 .00 29.00
Grand Total 13002.76 12863.76 .00 139.00
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Application Number . . . . . 16-00002345 Date 2/07/17
Application pin number . . . 399675
Revision number . . . . . . . 2
Property Address . . . . . . 121 E 18TH ST
Parcel Number . . . . . . . . 36.19.30.509-OI00-0010
Application type description NEW SINGLE FAMILY HOME - DETACHED
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Application valuation . . . . 207667
Application desc-
NOC ON FILE
Owner Contractor
ALEXANDER, BRIAN INTERGRITY REMODELING CUSTOM
401 W SEMINOLE BLVD 2948 HUNTERS LANE
SANFORD FL 32771 CHULUOTA FL 32766
502) 819-8091 (407) 625-8286
Structure Information 000 000 ----------------------
Construction Type . . . . . VB
Occupancy Type . . . . . . RESIDENTIAL USE GROUP
Flood Zone NONE
Other struct info . . . . . PLUMBING FIXTURES 14.00
NUMBER OF STORIES 1.00
SQUARE FOOTAGE 2149.00
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 971994
Permit pin number 971994
Sub Contractor SERVICEONE AIR CONDITIONING AN
Permit Fee . . . . 110.00
Issue Date . . . . 2/07/17 Valuation . . . . 8994
Expiration Date . . 8/06/17
Qty Unit Charge Per Extension
BASE FEE 110:00
Special Notes and Comments
All projects within the City shall use
WastePro for debris removal. Please
contact WastePro at 407.774.0800.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday. Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrichosanfordfl.gov
separate roof permit required this is a
metal roof.
roof dry in- 10
final -1000
August 22, 2016 3:21:18 PM blaker.
Water impact fee $1343.00
Sewer impact fee $3025.00
Other Fees . . . . . . . . . 01-APPLCTH FEE -ELECTRIC 25.00
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.