1916 Hibiscus Ct - M17-002608 - HVACw
l] i V7
r r , CITY OF SANFORD
BUILDING & FIRE PREVENTION
t ' I „ r, PERMIT APPLICATION
i L Application No: I I " '(
361 ,- Documented . CanstruL/etionValue: $ t > ( Sob
Address' v- 1 '= Lt; Historic; District. es No D Parcel
ID: t _` Residential CommercialEl Type
of Work: New Addidou Alteration Repair D Demo Change of Use 0 Move Description
of Work`., on _ ._... _.. T
f l ) \ . 1.. .. 1 ...— ( _ _
a
i _. it , 1 Plan
Review Contact Person: --' k Phone: ' :
I Fax: Title:
Property
owner mForrnavon t
N-
ame ' #E`'i a` Phone: E r
Ll -- , 2street: `\ ' — Residentofproperty? JtSCity,
State Zip: n _
Contractor information , Name
street:
city,
State Zip: UQX4-A,10 Name:
Phone: /
L09: r -ly (• Fax: _
y
State
License No.: # ' Information
Phone:
Street:
Fax: Cat
St, Zip: E-mail.- Bonding
COMPSW Mortgage Lender: _ Address
Address: — -- WARNING
TO OWNER! YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEi5 ZN`T5 TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST. BE RECORDED
AN 1) POSTED ON THE JOB 81TE 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 commencedpriortotheissuanceofapermitandthatallworkwillbeporfotmedtomeetstandardsofalllawsregulatingconstructiuuinthisjurisdiction. I understand that a separate permit must be secured for eleetrleal work, plumbing, sign5e wells, pools, furnarm,
boilers, heaters, tanim, and air conditioners, etc. FgC
105.3 Smell be Inscribed with the date of application and the code In effect as ofthat date: Y4 Edition (2014) Fiortda Building Code permit Application
Reviled- June
30 2015
T
N.OIXE: 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 ofthis county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance ofpermit is verification that I will notify the owner ofthe property of the requirements of Florida Lion Law, FS 7I3.
The City of Sanford requires payment ofa plan review fee at the time ofpermit 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 6e figured based on the current 1CC Valuation Table in affect at the time 16e 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.
be done in
Print f 4tcdAgcai'sNamc
r f
IT: I certify that all of the foregoing information is accurate and that all work will
with all applicable laws regulating construction and voning.
atuii:it+i 9nwY nt',,Y `tl!;SfOh t GG 034Tb ,•P.
berOwner/Agent zPersonallyis Known to Me or
Produced ID Type of 11) _
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Sig sture ofNotary -Sate ofFlodds Date
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Fc gpy9v trJv fiPl:%'pr &-s Contractor/
Agent is V Personally Known to Me or ProducedID
Type of ID BELOW IS
FOR OFFICE USE ONLY Permits Required:
Building Electrical Mechanical [] Plumbing[] Gas Roof [] Construction Type:
Occupancy Use: Flood Zone: Total Sq
Ft of Bldg: Min. Occupancy Load: of Stories: New Construction;
Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler
Permit: Yts No # of pleads Fire Alarm }Permit: Yes No APPROVALS: ZONING:
UTILITIES: WASTE WATER: ENGINEERING: FIRE.
BUILDING: _- COMMENTS: Arviuxl:
June
30, 2015 rcmit Application
a
s .A.C. USHACJ&UMWM&e«AC
555 Dag Track Road
Longwood, 'FL 32750 WORK ORDER:
17-75772
INVOICE
Bill to: EA JENNIFER Invoice pate: 08/25l2017
19ta HI0190us CT Site: 191B HIBISCUS LT
SANFORD, FL 32771 1916 HIBISCUS CT
Attention: JENNIFER Eli? SANFORD, FL 32771
407) 421-25BS
Work done description:
Item Description MY Rate Amount $
7, INSTALLATION SUPPLY AND INSTALL ONE (2.5 ) TON 14 SEER SIC
SY§TgM WIT"5Kff—HFAT AND NEW T-STAT
1.00 4100.00 41.00.00
Sub Total: 4100.00
Toth Amount Due: 4100.D0
Acc.pted
Printed N
dry, Dale:
nme:
SvqutsWaplaa caq.40r_7:re_asM
Labot'Guaranteo: The labor charge as recorded flare relative to the equipment serviced as noted, is guaranteed far a period of 30 hays. We
donot guarantee otherparts thanthese we Install. It repairslater become necessary due to other defective parts, they will be charged
separately InNuding labor.