1603 Williams Ave; 18-4196; DUCT WORK0 op•
r
CITY OF SANFORD
BUILDING $ FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 q/
Documented Construction Value: $ 5 t05 • 0 0
Job Address: W'd 1 OAMS AVk), Sot n foy-d, FL 311dential[K
ric District: Yes No
Parcel ID: a
Commercial
Type of Work: New Addition Alteration M Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name oin eS I" D r b 15 Phone: l) I' — I +-
Street: L(.l% b-5 j I i + I L a mS rhv- _
Resident
ofproperty? City, State Zip:
V-rl Yt i j Contractor Information i
Name nQ
5toV n. H Dati n .— Phone: I —1 _ Street:122'aSandscovedS1Q, Fax: City, State Zip:
W I n 4,i poArr— Fi— 371 612— State License No.: Architect/Englneer 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 FORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITHYOURLENDERORANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. Application ishereby
made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior totheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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: 5111 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 befoundinthepublicrecordsofthiscountyjandtheremaybeadditionalpermitsrequiredfromothergovernmentalentitiessuchaswatermanagementdistricts, state agencies, or federal agencies.
Acceptance ofpermit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FPS 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, inaccordancewithlocalordinance. 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.
L L Ig
Signature of Owner/Agent Date Sig atureofConttactor/Agent.
1n n
Date
Print Owner/Agent's Name PrintContractor/Age ' Name
SignetureofNotary-State ofFlorida Date SignatujgofNoti 11WPAdaE
Jul e
MIC ML RAFFENSSERGER
NOTARY PUBLIC
STATE OF FLORIDA
C*Yvn# FF937207
Owner/Agent is Personally Known to Me or Contractor/Agent is Personalty Known t i o?JI9/2019
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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: J07')'l0
ONESLL P
COOLING AND HEATING, LLC.
7225 Sandscove Ct., Suite 1 Winter Park, FL 32792
407) 629-6920 / (407) 629-9307 FAX
CAC 032444
8/22/18
Mr.1 Morris
1603 Williams Ave
Sanford, fl. 32773
407 221 1425
Please review our Proposal to replace the existing ductwork as follows :
6- Supply Ducts to be R 6 Silver Flex
6- Supply Grills to be Custom White
3- Returns to be R 6 Silver Flex
3- Return Grilles to be Custom White
1- 3/8 and 3/4 Refrigerant Tubing with Insulation
1- 3/4 inch drain thru closet and out wall.
Total Install $ 2365.00
Auth / Date
Thank You,
George Perina
cr
O
m
mod
2
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 11 W 11D I
hereby name and appoint: Adam L I b a f y an
agent of: O n e, S-lyf (V ai n o and H eofi ntll LL-lJ 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): The
specific ermit and ation for work located at: MS
AV -P, Street
Address) Expiration
Date for This Limited Power of Attorney: f 1 License
Holder Name: (fy) n St i n C/ State License
Number: CA C0;3 2- QL4 Signature of
License Holder:1 5 STATE OF
FLORIDA COUNTY OF
OM The foregoir
201j', by
acknowledged before
me this JSday - N a , I & _ who
is rsonally known to me
or who has produced identification an
o did (did Notary MICHAEL
RAFFENSBERGER
NOTARY PUBLIC
STATE OF
FLORIDA o Cornm#
FF937207
J 4tE
Is Expires 12/1912019 take an
I I
cle>nS-e h 01 d e-vM c
Print or
type name Notary Public -
State of Commission No.
My Commission
Expires: as Rev.
08.
12)