HomeMy WebLinkAbout103 N Mellonville AveEC ZEDJ 6 0
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I D — 1 5 ' Documented Construction Value: $ G S -0 . S (,
Job Address: 103 V3 . lAu vtA-A Historic District: Yes ❑ Not
Parcel ID: `3O-Sod b 10O 0050 Zoning:
Description of Work: (�.P 0_0,Ai__ 3..cS eAL-��� ,
Plan Review Contact Person: A'CQ9- )bi�..y� Title:
Phone: Fax: LAO% —2Q l—'2_V3 E-mail: Q @py1D\-e"(_
Property Owner Information C-c'rn
Name Car01 1..e6W rid Phone: -4-0'3- —Q J'? —SC�9
Street: M aJ . �AeA l )n\, l� 1%V 2 • Resident of property?:
City, State Zip:1 �� , 'F�_
Contractor Information
Name �irL� -h Phone: L1na �'Z`ll —ls eL+4
Street: Q4SS 12�i\y,lit 0,AGiX- '�Iw. Fax: A0--4-
City, State Zip: State License No.: ! AC,'02n 3QR
Name:
Street:
City, St, Zip:
Bonding Company: _
Address:
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Electrical ❑
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
New Service — No. of AMPS:
Mechanical *Duct layout required for new systems)
Plumbing ❑
No. of Stories:
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 0 No. of heads:
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. I understand that a separate permit
must be secured for electrical work, plumbing, signs; wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
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.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
aaTture.r Owner/Agent Date
0/1 G L 61' VgeZNGj
Print Owner/Agent's Name _ ,
. ...,,....,.......... /
Signature of Not St�(g,p,{, lorida Date :
�OtpY oG ii Comm# DD0832075
Expires 10/19/2012
Fbrida Notary Assn., Inc
ienuuu.nuunwuuununuuunuu.�
Owner/Agent is Personally Known to Me or
Produced ID _ j�Type of IDy L
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
% ,� ,2 o
Sigr awre of Contractor/Agent D to
dM-0-S -�—
Pri C ntractor/Agent's Name
igna otary-State of Florida Date
GREGORY MEISENBURG
NOTARY PUBLIC
STATE OF FLORIDA
. -Comm# DD0936897
Contractor s E I r& I v&
9ftfipown to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
i'
AIR! CONDITIONING & HEATING SERVICE, INC.
Service Hotline: 407-291-1644
2425 Silver Star Road • Orlando, FL 32804
Service Hotline: 407-291-1644 • Fax:407-291-2631
service@protechac.com • www.protechac.com
State Certified CACO29393 - CMC1249685
NAME /1 /` (7 a L LZAg-w Eb
ZI
NAME
STREET dD > P 6 Cs . 0� V I ` t
STREET ADDRESS
CITY � � STATE ZIP �% t•�..��
CITY STATE ZIP
PHONE (DAY)� �j 2 c 4(�iONE(EVENING)
{
(-J T S `�J O l,7 L
PHONE (DAY) PHONE(EVENING)
I
CELL PHONE E-MAIL
CELL PHONE EMAIL
Eq
ENE 4,V,1 ;
SEER'
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Brand
Outdoor unit #
TU 5Q'TZ
HSPF2
Indoor unit #
LFTCE3F 6S'51
BTUH cooling
T7 pQ
Auxiliary heater
? 5-we C'—Le- ISF-
BTUH heating
00
Digital thermostat
TC 01\JT P-L
Other:
Platform (return air box) will be lined with R-6, antimicrobial,
The new equipment will be located in the same place as the
❑
g.
UL3-approved ductboard for quieter operation
existing equipment i
Platform top will be replaced with 3/a" plywood
❑
The equipment will be located as shown in the drawings
El
A new platform will be built of galvanized metal or pressure
treated 2x4s & 3/a" plywood, caulked & painted
❑
The existing platform will be reused
❑
Rubber vibration -proof isolated pads placed under outside unit
Pre -formed concrete outdoor pad
❑
Other: z-
� I
Any new ductwork necessary to connect the new equipment to the existing duct system will be constructed of R-6, antimicrobial,
j ❑ UL-approved ductboard. All seams will be sealed with fab mesh &latex mastic for a positive, durable connection.
F'Tneeded
The existing duct system will be balanced for proper air distribution & will be inspected for air leaks. Any major duct improvement
will be proposed & billed separetely.
I
The main plenum will be constructed of R-6, antimictobial, UL-approved ductboard. The run-offs will be UL-approved foil flexible
j❑
duct with 1 1/2"thick R-6 insulation. All seams will be sealed for a positive, durable connection.The grilles will be aluminum & com-
i
pletely adjustable for better comfort control. Number of supply grilles: Number of return grilles:
I
Other:
10
New refrigerant lines will be sized according to manufacture's specifications & suction lines will be covered with thick closed -cell
foam rubber insulation
i ❑
IThe lines will be evacuated by use of a refrigerant vacuum pump to assure that no harmful contaminates infiltrate the new system
ii
Condensate water will be removed by a new drain line (schedule 40 pvc)
❑
Condensate water will be removed bythe existing drain line & will be evacuated to prevent harmful contaminates in the new system
j❑
!The new equipment will be connected to the existing copper refrigerant lines _1
❑
1 Condensate water will be removed by heavy-duty condensate pump which utilizes a copper drain line with a safety float switch !
1 0
26 gauge galvanized steel chase cover (unpainted) will be installed over the lines on the outside wall
'
Refrigerant lines will be run in existing chase pipe. If not possible, new refrigerant lines will run from the outside unit to the indoor
❑
unit on the exterior wall through the attic. A 26 gauge galvanized'cover (unpainted) will be installed over the line set.
i 0 10ther
_ —-----•-- —
kurnish & install all thermostat control voltage wiring of the new system (copper 18 gauge UL-approved wire)
Furnish & install all necessary equipment power voltage wiring (all copper wire)
❑
Power wiring of the system will be done by a certified master electrician
❑
Install amp, electrical service including a new meter based, main load center, lightning arrestor, ground rod, & weatherhead
❑
1 Other:
FM
Additiqr
Certified system start-up & installation quality assurance analysis ❑
ices
An oversized auxiliary drain pan will be installed with a con-
I densate safety flow switch
ZK
Remove old equipment & installation debris
Cut & patch any necessary holes at the time of installation
1 ❑
An auxiliary drain line will be run from the auxiliary pan to the
eve edge of the home
(�
Cover floors with drop clothes
Sweep, dust & vacuum at the end of each day's work
❑
Comfort Club Membership for 1 year on systems
Pull all local permits & licenses;,call for inspections
I ❑
Other:
❑ ; Financing: I Credit card - -- ❑ ! Check - ❑ I Cash
I have authority to order the work outlined above. In the event that payment is not made promptly in accordance with agreed terms, it shall be the seller's option to charge a service
charge not exceeding 1 1/2% a month, the first service charge becoming due 15 days from the date of the installation of our amount due on the job. In the event of collection by at-
torney, all attorney costs, court costs & 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 investment proposal shall be binding upon the heirs, successor, or assigns of the parties hereto. It is understood that the title to all products & equipment covered by
the contract remains solely in the seller until the entire purchase price has been paid in full & the manner of installation and/or attachment to any equipment and/or any portion of
the building structure in which the installation is made shall not in any manner jeopardize the sellers title.
STNA, CIF -TECH PROJECT MANAGER.�_sRIGNATURE WORK AUTHORIZEU By
>uN�T�FEti 707RA7UTflORIZED BY
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: r-T rT (O
I hereby name and appoint: 11 o na'm_ --`i-
an agent of: ��� — --Ve5'� ABC LbCN.V
to be my lawful attomey-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):
All permits and applications submitted by this contractor.
The specific permit and application for work located at:
(Street Address)
Expiration Date for This Limited Power of Attorney: Lov '�o
License Holder Name: 'L�mo`/�— �x0Y--)
State License Number: ,b2a K9 c2z' /
Signature of License Holder: A
STATE OF FLORIDA
COUNTY OF py LY
The foregoing instrument was acknowledged before me this i 5 da of
200 10 _, by —11 o(y%, N �x an who issonally knoperwn
to me or ? who has produced as
identification and who did (did not) take an oath.
Signature `
(Notary Seal) . (2('-e
Print or typename
GREGORY MEISENBURG Notary Public - State of F/
NOTARY PUBLIC
STATE OF FLORIDA Commission No.
Comm# DD09368S7 My Commission Expires: 9
Expires 1OW12013
(Rev. 3/27/07)