2004 Lily Ct - M17-002651 - HVAC2017
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: T ;"s
Documented Construction Value: $ YT 0 / /
Job Address: 2-W L( 'Lc - C)_ SS&)Vk lc'( Historic District: Yes No
Parcel ID: 31- 0 - .31 ' S- / I - CJ00 o - U 97SU Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Uut—
Plan Review Contact Person:
Phone: Fax: Email:
Property Owner Information
Title:
Name Pam. LoVVMl leg- 6AtbeM* C.n.1C_q,+A) Phone: Street:
2_00 C-1 / 4 C i' Resident of property? : •S City,
State Zip: Contractor
Information Name
yTU 6 'U Phone: 0 2 l 7 7 7S ,15 Street:
l• U • d 'g` Fax: City,
State Zip: . ort' 3 zie i' State License No.: e 0f,07797Z'Z. Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Mortgage Lender: Address:
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 commencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructionin
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 be inscribed with the date of application and the code in effect as of that date: 5"' Edition (2014) Florida Building Code
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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. 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 he ripplied 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 is compliance with all applicable laws regulating construction and zoning.
Signature of t 1, • aedAgent
Print ownc•ri,\,.nt's Name
Date
3l J
Signat of Contractor/Age Date
JZ l w h a -eh e
Print Contractor/Agent's Name
dF.J/.i7
Signature of Notary -State of Florida Date Signature of Nota NTt--
O
e
Y.;
tiP,c pFF}Bt_BLA FF 5786;8 COMMISSION #?r 2Ci9 EXPIRES: February .e, BondedThorNotaPUN;tjndeRNRTr J Owner/
A,; ;nt is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced
lD Type of ID Produced ID Type of ID F t L e-
r- II I I f BELOW
IS FOR OFFICE USE ONLY Permits
Pi-quired: 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
Sprinlder Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPRC'%` ,
LS: ZONING: UTILITIES: WASTE WATER: ENGINEERING:
FIRE: BUILDING: COMIN
OESTERLING AIR CONDITIONING & HEATING, INC.
P.O. BOX 780961, ORLANDO, FL 328784)%l
PHONE: 407-977-7550
Proposal submitted to: Peter & Barbara Kovank Date: 8/21/17
Location: 2004 Lily Ct.
City, State, Zip: Sanford, FL 32771 Email: Thubarb2O]5@gmaii.com
M)POSAL TO INSL One
American Standard 2-5 ton, 41 OA, 14.50 SEER heat pump system $4,01 1 price
doesn't include City of Sanfordpermit fee) 797
1F
REJECTING EXUPiDER LABOR WARRANTY: (Signature Date
SK .\,
60L I L_\SF:t=tt-Iila.. K. 1)tnui aNaiiahlc on mi.mr +Narr:im L.
t]N vN V tNG \\ \11 \h1 l 9 ll) \PRE i<<i 1-ate of 12 months S \(. ('?:99", , if not paid Installation
includes: New
concrete pad Digital
heat ptnnp thermostat Overflow
safety switch Registered
parts warranty Removal/
disposal of old equipment New
disconnect Note
1: All refrigerant lines are soldered using nitrogen to keep lines clear of debris Note
2: All gaits are anchored to a concrete pad using manufacturer's mounting kit, as per FL Building Code requirements.
Payment
to be made as follows: PAYMENT UPON COMPLETION All
material is guaranteed to be as specified_ All work to be completed in a workmanlike manner according to standard
practices. Any ahaalm or deviation firm above specifications involving extra costs will be er euntedonly
upon written orders and wW become an extra charge over and above the estimate. All agreements contingent
upon accidents or delays beyond our control. Our workers are filly covered by Workers Compensation
insurance. _ Authorized
signature { c
Y(
j'""` p Date 8/21/17 Note:
This proposal may be withdrawn by us if notaccepted by 9i20/ 17. This proposal becomes a contract upon
acceptance: The above prices, specifications and conditions are satisfactory and are hereby accepted. You
are authorizad tondo th w as ed. Payment will be made outlined above. Signature .
G Date SignatureDate
1, . , „. - /