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HomeMy WebLinkAbout2519 Poinsetta Ave 18-4711SANFORD � i PERMIT APPLICATION BUILDING DIVISION p Application No: [ b -g -11.1 Documented Construction Value: $ -3000.00 Job Address: a s I L I yl-s�A- Historic District.- Yes ❑ No[r Parcel ID. - 5L - � b- 3 J- 5o� - OS9a,�-, oma fCy Residential LU Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration E 'Repair ❑ Demo❑ Change of Use ❑ Move ❑ Description of Work dkPe OhQ✓)gz ( :tJ- ho 17��-I-cJor�� Plan Review Contact Person: 5 0:54-Yt k 0 fYiba4 e,40 Tide: �i1Giz Fhone:3R�'S�s�J-.,Z�(�� Fax: Email• SL I ag.377 Property Owner Information Name _ u S �3 wny- %Yl U S� _ Phone Street: _t-1 1 S Resident of property?: _ /)(a City, State Zip: 00-a.hors) CIL, oic _ 1131 OX LL Contractor Information Name m 7 34 C. Ala- 91- 14600-;� Phone: Z/07- 3.Z A - 5', `J Street: �. -Bd�j 3q/ 0�ry s 5 3Fax3. City, State Zip: De j4o 1 e- ! -Jj . -5;Z-7!5(3 StateUcense xo.: CRS l S /y�d£s Architect/Engineer Information Name: Phone: City, St, Zip: Bonding Company: Address: Fax E-mail: _ Mortgage Lender. Address: WARNING TO OWNER: YOUR FAILURETO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMIt'NTS 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 herebymade to obtaina permit to do the work and installations as indicated. I certify that no workorinstallation has commenced prior to the issuance of a permit and that all mrk wig 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, fumam bo0ers, heaters, tanks, and air conditioners, eta 0 ':., FBC 1053 ShaU be inscribed with the date of application and the code in effect as of that date: 6* Edition (2017) Florida Building Code NOTICE: In addition to the requirements ofthis permit, there maybe additional restrictions applicable to this property that maybe 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 Ci of Sanford requires payment of a ' Ian review fee at the time of permit submittal. A co of the executed contract is required in order to City q� P Ym P p PY q 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 Yalt.atlon Table in effect at the timc 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. i OWNEWS 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 of OunerlAgentDate Signature of Contractor/Agent Date Tg 1&&- A-4.� N A I � Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida to Signature of No ary-State of Florida Date Owner/Agent is \./Personally Kn wn to Me or Contractor/Agent is �nally Known to Me or rodt� �.�rpe of ID i Produced TD Type of 1D _ LEN B. DOMINY NOTARY PUBLIC HE NOTARY PUBLIC STATE OF FLORIDA STATE OF FLORIDA • Comm# FF188843 BELOW IS FOR OFFICE USE ONLY Corn* FF18013 i� Expires 1/92/2019 n Expires 1/12/2019 Permits Required: Building ❑ i Electrical ❑ Mechanical ❑ Plumbing ❑ Gas ❑ Roof ❑ Construction Total Sq Ft Occupancy Use:- Min. se: Min. Occupancy Load: Flood Zone: # of Stories: Mew Construction: Electric - # o Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑Nq ❑ # ofHeads Fire Alarm Permit: Yes ❑ No El APPROVALS: ZONING: UTILITIES: WASTE WATER ENGINEERING: FIRE: BUILDING: i COMMENTS: i r 4k Mistic Air & Heat P.O. Box 391054 Deitone, FL 3739 Ph: (407) 322-5559 Ph: (386) 775-;7751 Fx: (386) 7757753 State License # 6Ailfl-14608 I BILL TO i i HVAC SERVICE ORDER INVOICE 5360 THIS WORK IS TO BE O C.O.D. O CHARGE G NO CHARGE MAKE MAKE MODEL MODEL SERIAL NUMBER SERIAL NUMBER NAME ENVIRONAKNTALCHECKI(ST r : . .. ... .. ....: WORK PEIiFORMEO ST ET E 1' WOMPETtt�FN1ED 41Y. TVPEJDISPOSITiON ' CONEIMSNGtnrrr Co"ISATEDRAINS O RECOVERED CITY PROMISED LEVELED CLEANED MAIN DRAIN Q RECYCLED CLEANC0004 MAIREPIJub A1/RRN RARn PHONE CALL BEFORE O AAI. O P.M. O RECLAIMED CHECKED CHARGE CLEANED PAN DRAR4 REPAIRED LEAK W COtt REPAIRED PAN DRAIN TECHNI AUTHORIZED BY O RETURNED REPAIRED LEAK IN COPPER RiRM OR FAN COIL VIORK TO BE PREPARED t ` i O DISPOSAL t nil. REPLACED BELT O D ED TOTALS O CHANGEDO1JiJREPtACED Ci�ioa ADIUSUPSILT CHAHGEo MOTOR IRIPLACCO Pulpy QTY. MATERIALS & SERVICE UNIT PRICE AMOUNT DESCRIPTION OF WORK PERFORMED REPIACED attr ADRnTED Putty REFRIGERANT R- 185. � ; I ' �,'� \� � /1DIUit[O aELr :LEANED etOW[R 1 1 I I / C \ � `J G J i� lY� REPLACED CONTACTOR REPLACED aEARxrGS REFI STARE Rt�r oLLro Moron jl I I i i t � OQEDBEARIUM REPIACEDRWE CAPACITOR CLEARED HEAT VKH. 1 1 ' 1 1 1 CLEANED OR AOI.CONtACTOR REPLACED HEAT EXCK REPAIRED WiRREG CIEAMDOR ADL PRAT 1 I 1 i REPLACED FUSEREPLACED THERAi000unE REPLACED COMPRESSOR REPAIRED VALVF. 7 t T 1 EVAPORATOROOR REPLACED VE j 1 REPLACED EXRVALVE CLENUD OURNERS ADAWTO EXP. VALVE DUCT FILTERS x x III 1 RIKALCED CAP. TIRE REPAIRED > FILTERS x x i ADIUSTED BELTS Ir F ! REEJOIVIMEi�I?ATtCNS ,;� REPAIRED coaLEAIc nitAlic"AT REPAIRED COPPERCONN. RtPAIAED j TOTAL MATERIALS I I cLEanEncoR AausrEo HRS. LABOR 3 RAITE AMOUNT LEVELED= 3 1 1 � 1 I ox". NIX aayowm 1 1 REPIActoLINK CIEARED REPLACED IRLr. 1 1 REPAIREDUnK Pulum TOTAL LdBOR LIMITED WARRANTY: All materials, parts and equipment are Warranted by the manufacturers' 0r suppliers! written warranty only; All labor performed by the above named tympany is warranted for 30 days or as otherwise Indicated In writing. The above named company makes no other warranties, express or Implied, and Its agents or technicfaru are not authorized to make any such warranties on behalf Of above harried company. Not responsible for any dram Ifne Issues •aCapy time - Warranty Will be voided If yearly malntenance check-ups are not performed. RPLAcrecorEr. GREASED REPAIRED TERMS } rnTEAS O CLEANED O 01PLAtED i 1 have authority to order the work outlined *bows vAkh has Deep satfdzs orh completed. I &Um that Setkr retains tstls to eaulpmeWroaterials furnished sat11 Anal payment K m, 4e. if payment is not nssda as agreed, seller an remove said egvipment/materials at Setters expense. Any damage resulting from said removal shall not be the responsibilavol seller. , � TIT _ + . ` el t a+,a z TOTAL MATERIALS r TCTTAL cusroasERsr,NATua 17ATE O REGULAR O WARRANTYUUM METHOD OF PAYMENT } Cl SERVICECONTRACT Tax / O CASH 0 CHECK CK No. 0 CFtMfTCARD /i=r►fFia�i �L TOTAL ;� 3 I d lot 6 AUDI awaCERTIFIED' AHRI Certified Reference Number :9473187 Date: 05-30-2018 Model Status: Active AHRI Type: RCU-A-CB Series: 14 SEER W SERIES R41 CA AC Outdoor Unit Brand Name: GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) : WCA4304GKA^ Indoor Unit Model Number (Evaporator and/or Air Handler) : WAHL304B' Region: Southeast and North (AL. AR. DC, DE, FL, GA, HI, KY, LA, MD, MS, NC. OK, SC. TN, TX, VA, AK, CO. CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR. PA, RI, SO, UT, VT, WA W V, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 1. 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. The manufacturer of this GRANDAIRE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 with Addenda 1 and 2, Performance Rating of Urinary Air-CondNonig & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsonW, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 28600 SEER :15.00 EER (A2) - Single or High Stage (95F) :12.50 p'ACthW Model status arc those Mat an AHRI Certfxation Pmgmm Participant a currently producing AND selling or onenng far sale: OR naw models Met are being marketed but are not yet being pmducad.-Production Slopped' Model Status are those Nal an AHRI Certification Program Participant Is no boder products., BUT is 5911 se "no or offering for sale. RatingsN t mpaniad by WASindicate 'nvoi q is -rade. The new published rating is shoson alwd wool the prmiom li e. WAS) rating. DISCLAIMER AHRI does not endorse the moduct(s) listed on this Certificate and makes no mpresemallons. warranties or guarantees as to, and assumes no respomiDllity, for, the products) listed on this CenMcele. AHRI expressly declaims sll liability for damages of any kind arising oro of the use or performance of the product(s), or the unauthorized alteration of data listed on this CerdPcate. Cemfled ratings are valid only ref models and configurations listed In Me directorTERMS at D CONDITIONS tory.org TERMS AND CONDITIONS Tho Certiflcete and IN cenlenis are proprietary products of AHRI. This Cemlicete shall only be used for IndMdual, personal and confidential reference purposes. The wntents at Mie CeNficere may not, in where or in part, W reproduce d; Coplod; tlisseminated: entered Into a computer database: or oNemiso utilized, in any form or manner or by any means, except for the user's lndhidual, AIRC0%DtODNINC HF/tM personal and Confidential reference. RFFRIDERATIDN INaTIr1r1E CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.anddimctery.Drg, click on'Verlfy Certificate' link wewin, tire beecr- and enter the AHRI CerdOed Reference Number and the date an which the certificate was issued. _ which Is listed above, and Me Carlini No., which Is listed at helicon d®tt 131721622820935318 ©201 SAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: