HomeMy WebLinkAbout1670 W Airport Blvd 18-3943 Interior remodelCITY OF
SANF PERMIT APPLICATION
11'J:J'
BUILDING D VISI
I
N ;
Application No:
Doeu iieli Ed Constr6etion raluc: $: o 0 ;
n 1
Job Address 70 i?+ r tT' :-'U% I F 3a?3 historic Dislrict: Yes No
Parcel ID• O2 i ZQT.3O— 3,, ` G 3 O' ! ; I
I Residential. Cdlrimercial,
I
Type of Work: New WAddi ioiil i I ! Alfe'rat on L I aie Dgirid Change of Use move • I'
t
t Descriptioli o[W k
1?lari Review Contact er 'Title:
Phone: ,3 Cil aii• ire
a``
vro;, tiCt WJL 1 LiFoi natl»
Name' D n / :(...' h gamI'I)oiie: Street:
421, ,011 •. i!3rc? 1 I ! I
i l I 4R itlent of f'operty? I 1 t I , i. L.• ;)
1 •, 'L I ,ii 4t' 7 Ill 3'i ," ':!. • I; :;; i` + •{
I' 1 City, State• 'p•'1! " i ! I ; (: , I ! i :!: j: 1
I: Ii .1;ti ) J. + t .1t• cl I,+I r '
I '•'' ?I :' _ 't'•! it •'!• t't•I li 1 i'•i •1 r , ( I I 1 ? !• ! I .'t , i '
tr.
1GOC 1i
11 Phone;
fo 38; !: Sfreet:
140' ti !' '
Ta I.! -t .`.739 ' City,
State Zip: a 1%; '3 7 I I i :Stat License No.: I C CO A'
rchit wEngin' er Information (' { ' ! =•i Name: , ,
I 1. I {{ Phone Street:
Fax: I : tl r
Clty,'St, Zip: li, !
I,' , )I J '
FF.
Ii I
1 ,
i
I ;:•
t It 1
BondingCoinpa
y:. I!
I
M r ggc cider: w II I'
1 i A s. I', '' ., •'
I
Address: !• i I i 1 A d ejs st r it, t .•. .
f:l' !' ' ' I -:I •11. 1' ( I ,I I{ j t. ii
it • I' n I 1 : rr j 1! '1 i i it l . Iilli
r 1 '• :1 i S i 1 ': , 1 i . 1 I! •^ ,I' I ; , `j s
li .r• I 'I 1 I' .1 '' ' i .) , 13 •I I. • . ( •r', 1VARNING •
I'O OW .It: YQUI( A1 U tti'I 0 K1.l I E7 A,O'I IC: ;O ON1n1 -NC' 1\'IGN7 N1Al ItISUI: r IN 1r I'AY! IN 1 t
a. 1 Ili I II 1 1 i III I 1., jj 1'
11'ICIi FOR IN-111It' 'li)\I1:\'I'S'I'("V&1li 1'•ItQI'I: ti1'1'. A NC)'IIICI (h (:O I IIiNCIiAIIiN'I' I\IUSI lili It1iCOltlllil) AN'{) lI,• I'
C)S'I'lil> ON'I'IlE' JC!)I11•SI'I'I' ItITORE'I'III's I IItiS'I'' NSI'1(;'I'I(1N'. I: lOU'IN'I'I'ND TO (>IVI'AIN'.hINANCINU, C. NSUI:'r VITI
1'OUK LliNpl}lt illt ANI ,\'I"h 'Rhl:.1' IIj+AI i'Itl:(lUltl7lf c:1 ti',A li N(:1'I'ICI:ICIF.001\II IIiNCIi II:N'I' 1 7 Application
is hcrebl• m c lo,vblain a peri I t t) tlo ht W rlt) nil his tllatitins as in lic I(c 1. I certify That no wink or his t'allatitlnhas t tj1111 i ntcd )rior r
t !' !I}. { ill III i +11$ : 11 I III•:1 to
the issuance n a perl) an'I Thal all tv q wl I he a•1 f Ortc to nlchl lilt lards o d laws i•ct;ulolit N.coI1sU•uctinn hl this jllristhc{iun. 1lunticr ltilid tt11I, 0 6 i I ! V•• I Il I t I :•, f t 1• 'I Ulot1 se arolc )cnilil t ust' a si ilrcd o cl IC i al tvo k,' 'llilnb{il{{ s` s we Is, 041s, I'urnacesl' 6bilcrs, hc'lers, tonla, it n r titlitio iCrs, i
h:l •}' P.
I, i ' ( V•
Al; r 1. clt, ,
1 :, ),
iG.I , i .l ' It• I . lJ1 'i I 1 y!41ti.,''' 7 3 -, !• • (j'' .{ SI i ' 1 II • ' 'i, ' > tj i " I !'. {4 I,f 'j' I
r, .}
Ii 11 I ;i. ! i, 1 ;. I 1 :' ' j';j I ;; .' ; `s k ; ° i''j '; I s;, t:: •I 'I .I .,.'.• 1,• I ;I •If 1 •. C !,: .i• II ..t. ,.' j I,a
1
i
1~BC 11 3 Shall be inscribed with the date of application and the code in effect as of that date: 6" L•tlition (2017) Florida Building Code
oTICh: 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 he 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 ofthe requirements of Florida Lien•Law, FS 713.
The Citv of Sanford requires payment of a plan review fee at the lino of permit submittal. A copy of the executed contract is required in order to
calculate a INI;1n review charge and will he Considered the esIimaIed C,mstYUCIinn adtic of the ioh a the time ofsuhmival. The actual construction value
will be figured based on the current ICC Valuation •fable 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 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.
1 -2- •t8L'a V-- -
Signature of Owner/Agent Date
Print Owner/Agent's Name
14W."k. "/--)a 1-30`a
Signature of Contractor/Agent Date
Print Contractor/Agent's id.une
It
Signature of Noiary•State.of F11da r ;'r' ate DONNA ANIAIONE mare of NotaryState of
FlotjjliaL ;
o"Y ate DONNA ANIALONE
OMMISSION S GG 070289 MYCOMMISSIONN GG 079289drfEXPIRES:46129 2021e3EXPIRES: April 29. 2021 ?, t4d Bon W TIbynwNottityPubkUndwAm Ptmac u wmr,rl„
Owner/Agent is Persona y Known o ntractor/Agent is)K ,, Personally Known o
Produced ID Type of ID Produced ID 'Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building L'lectrical 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: Yes []No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASrrc WATER:
ENGINEERING:
CO'i\,I ICI 1:NTS:
FIRE: BUILDING:
tAnik Bean
construction
PROPOSAL
Phone: Date:
To: ASR Pizza/Tony Reulbach
610 Brookfield Terrace 8/30/2018
Deland, FL 32724 Job Name/Location
Dominos #5056Architect/Engineer Date of Plans
Jason B. Gnich Architects 7/23/2018 1670 W Airport Road, Sanford
We hereby submit specifications and estimates for:
Interior build -out per plans dated 7/23/2018 by Jason B. Gnich Architects
We Propose to Furnish Material and Labor Complete in Accordance with the Above Specifications for the Sum of:
Two Hundred Twenty -Five Thousand Eight Hundred Dollars 225,800.00
Payment to be Made as Follows:
Monthy Application
All material is guaranteed to be as specified. All work is to be
completed in a professional manner according to standard
practices. Any alteration of deviation from above
specifications involving extra cost will be executed only upon BRIAN REYNOLD , PRESIDENT
written order and will become an extra charge over and above This proposal may be withdrawn if not accepted
the estimate. All agreements contingent upon strikes, within IQ
accidents, or delays beyond our control. days
ACCEPTANCE OF PROPOSAL
THE ABOVE PRICES, SPECIFICATIONS, AND CONDITIONS ARE
SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO
SIGNATUREWORKASSPECIFIED. PAYMENT WILL BE MADE AS OUTUNED.
STATE CERTIFIED GENERAL CONTRACTOR CGC038397
STATE CERTIFIED MECHANICAL CONTRACTOR CMC1250184
PO Box 909
Deland, FL 32721-0909
Phone: (386) 738-4484 — Fax: (386) 957-5419
OF
IMPACTTYFEE STATEMENT
BUILDINGTANUMBER: LICATIONI#: 18-10000837 DATE: October il, 2018
BUILDING PERMIT NUMBER: 18-10000837
UNIT ADDRESS: AIRPORT BLVD W 1670 02-20-30-300-032C-0000
TRAFFIC ZONE:022 JURISDICTION -
SUBDIVISION P.G' SUF: PARCEL:
PLAT BOOK: PLAT BOOK PAGE: TRACT:
BLOCK: LOT:
OWNER NAME:
ADDRESS:
APPLICANT NAME: ZHA SONG INV LLCADDRESS: 934 WESTPARK DR CELEBRATION FL 34747
LAND USE: RETAIL
TYPE USE:
WORK DESCRIPTION: CITY-SANFORDSPECIALNOTES: 1670 W AIRPORT BLVD / DOMINO'S PIZZA / RETAIL
BENEFIT RATE UNIT CALC UNIT TOTAL DUE
FEE -------
TYPE DIST SCHED RATE UNITS TYPE
ROADS-ARTERIALS N/A
ROADS -COLLECTORS N/A 00
FIRE RESCUE N/A 00
LIBRARY N/A 00
SCHOOLS N/A 00
PARKS N/A 00
LAW ENFORCE N/A 00
DRAINAGE N/A 00
AMOUNT DUE ..00
00
PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THESEMINOLECOUNTYROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONALISSUANCEOFABUILDINGPERMIT.
PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER, TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEESMUSTBEEXERCISEDBYFILINGAWRITTENREQUESTWITHIN45CALENDARDAYSOFTHEDATEABOVEBUTNOLATERTHANCERTIFICATEOFOCCUPAN7fOROCCUPANCY. THE REQUEST FOR REVIEWOPIESEETTHEOFRULESEGOVERNNINGSAPPEALSMAYNBEPICKEDEUP, OR REQUESTED, FROM THE BUSINESS OFFICE: 1101 EAST FIRST STREET, SANFORD FL, 32771; 407-665-7356.
PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORDBUILDING1101EASTDFIRSTTMSTREETSANFORD, FL 32771 SHOULDENT
YCHECKUBEORPNLODEETHECOUNTYBUIILDINGPERMITNMERATTHETOEFTOFTHISSTATMENT. THIS STATEMENT IS
NO LONGER VALID IF A BUILDING PERMIT IS NOT ISSUED WITHIN 60CALENDARDAYSFROMTHEDATEABOVE
CITY OF boSkNFORDSEP182018 PERMIT APPLICATION
BUILDING DIVISION -3 9-3ApplicationNo:
Dv
Documented Construction Value: $ a no
Job Address: 1670 W Airport Road (Riverboat Commerce Center) Historic District: Yes No
Parcel ID: 02-20-30-300-032C-000 Residential Commercial x
Type of Work: New Addition x Alteration Repair Demo Change of Use Move
Description of Work: interior renovation
Plan Review Contact Person: Brian Reynolds Title: President
Phon .. 386-738-4484 Fax: 386-957-5419 Email: brian@beanconstructioninc.com
Property Owner Information
Name Tony Reulbach Phone: 386-717-3017 nn 1 !F.2a AD Street:
610 Brookfield Terrace Resident of property?: City,
State Zip: DeLand, FL 32724 Name
Bean Construction, Inc. Street:
1411 Carter Road City,
State Zip: DeLand, FL 32724 Name:
Jason D Gnich Architect Street:
9 SE 3rd Avenue, Suite 110 Contractor
Information Phone:
386-738-4484 Fax:
386-957-5419 No
State
License No.: CGC038397 Architect/
Engineer Information Phone:
503-552-9079 Fax:
503-241-7055 City,
St, Zip: Portland, OR 97214 E-mail: Bonding.
Company: N/A __Mortgage.Lender:_. N/A Address:
Address: WARNING
TO OWNER: YOUR FAILURE 1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENT'S TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND 110 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 commenced prior to
the issuance of a permit and that all work will be performed to meet standards of all laws regulating construuion 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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: & Edition (2017) Florida Building Code
7'I E: In addition to the requircmcnis ofdiis permit, dierc may be additional restrictiotu applicable to this property drat maybe found in the public
records of this county, and there may be additional permits required from oilier governmental entities such as water management districts, state
agencies, or federal agencies.
Acceptance ofpermit is verification that I will notify the owner of the property of die requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment ofa plan review fee at die time of permit submittal. A copy of the executed contract is required in order to
calculate a plan review charge and will be considered die estimated construction value of die job at die time ofsubmittal. The actual construction value
will be figured based on die current ICC Valuation Table in effect at the tine the permit is issued, in accordance widi local ordinance. Should cilculated
charges figured off the executed contract exceed die actual construction value, credit will be applied to your permit fees when die 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.
Signature of Oumcr/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Horida Date
Owner/Agent is Personally Known to Me or
Produced ID Type ofID
qxl:>QL=:012018
Signature of Contractor/A cnt
Bean Construction, Inc/Brian Reynolds
Print Contractor/Agent's Name
v141.1
Signatu yfwotary-StoIw Date
Comb" 9 GG 19l>a30
Etas ,hms 25, 2022
o lad ditry s"'bs
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
t
Total Sq Ft of Bldg: Min. Occupancy Load: of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes QNo. # ore AfHeads — —Filarm Permit: -Yes o-N-Q---" APPROVALS:
ZONING: • 1 . moo/ UTILITIES: WASTE WATER: 011
ENGINEERING:
FIRE: BUILDING: COMMENTS: )
AP01mf i5 0 &.4A in'06ti;ar as sA6k1,, oh
in
ro ri
BUILDING DIVISION
CP
SEP 18 2018 PERMIT APPLICATION
b Application No:
00
Documented Construction Value: $ 0150
job Address: 1670 W Airport Road (Riverboat Commerce Center) Historic District: Yes [I No
Parcel ID: 02-20-30-300-032C-000 Residential Commercial x
Type of Work: New Addition D Alteration Repair Demo Change of Use Move
S
Description of Work: interior renovation
Plan Review Contact Person: Brian Reynolds
Phone: 386-738-4484
ly - 3 1 43
Title: Presid6nt
Fax: 386-957-5419 Email: brian@beanconstructioninc.com
Name Tony Reulbach
Street: 610 Brookfield Terrace
City, State Zip: Deland, FL 32724
Name Bean Construction, Inc.
Street: 1411 Carter Road
City, State Zip: Deland, FL 32724
Name: Jason D Gnich Architect
Street: 9 SE 3rd Avenue, Suite 110
City, St, Zip: Portland, OR 97214
Bonding Company:
Address:
N/A
Property Owner Information
Phone: 386-717-3017
Resident of property?: No
Contractor Information
Phone: 386-738-4484
Fax: 386-957-5419
State License No.: CGC038397
Architect/Engineer Information
Phone: 503-552-9079
Fax: 503-241-7055
E-mad:
Mortgage Lender: N/A
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENT'S TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND T-O OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A'1717ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior
to the issuance ofa permit and dint all work will be performed to meet standards ofall laws regulating construction in this jurisdiction. 1 understand
that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners,
etc.
1 -7;9 S
t
FBC 105.3 Shall be inscribed with the dateof application and the code in effect as ofthat date: 61° Edition (2017) Florida Budding Code
Noi'ICI:: An addition to the requirements ofthis 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 required in order to
calculate a plan review charge and will be considered the estimated construction value ofthe job at the time of submittal. 'llte actual construction value
will he 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 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.
11 ql"012018
Signature of Owner/Agent Date Signature ofContractor/A en1
Bean Construction, Inc/Brian Reynolds
Print OwnerlAgent's Name Print Contractor/Agent's Name
Signature of Votary -Stale of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signatu*Q;Votnry-S1aW Date
fE• Cpmdai0n = fiG 19tib 0f
c*.,,lwt.2s,2oa
MW+no strew
Contractor/Agent isersonally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Iectrical Mechanical lumbing Gas Roof
Construction Type: a2id Occupancy Use: .0ar:..irs r Flood Zone:
Total Sq Ft of Bldg:_ 41 Min. Occupancy Load: /J' # of Stories: a
te.,77,,,
New Constructiol( Electric - # of AmpsPlumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes []No APPROVALS:
ZONING: UTILITIES:'-/X WASTE WATER: ENGINEERING:
FIRE: BUILDING: - COMMENTS:
M.:r'_ 1 PROPOSAL
Phone: Date:
To: ASR Pizza/Tony Reulbach
610 Brookfield Terrace 8/30/2018
Job Name/Location
Dominos #5056
DeLand, FL 32724
Architect/Engineer Date of Plans
Jason B. Gnich Architects 17/23/2018 1670 W Airport Road, Sanford
We hereby submit specifications and estimates for:
Interior build -out per plans dated 7/23/2018 by Jason B. Gnich Architects
We Propose to Furnish Material and Labor Complete in Accordance with the Above Specifications for the Sum of:
Two Hundred Twenty -Five Thousand Eight Hundred Dollars 225,800.00
Payment to be Made as Follows:
Monthy Application
All material is guaranteed to be as specified. All work is to be r--
completed in a professional manner according to standard
practices. Any alteration of deviation from above
specifications involving extra cost will be executed only upon
written order and will become an extra charge over and above
the estimate. All agreements contingent upon strikes,
accidents, or delays beyond our control.
BRIAN REYNOLDS
This proposal may be withdrawn if not accepted
within M
days
ACCEPTANCE OF PROPOSAL
THE ABOVE PRICES, SPECIFICATIONS, AND CONDITIONS ARE
SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO
WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED. SIGNATURE
STATE CERTIFIED GENERAL CONTRACTOR CGC038397
STATE CERTIFIED MECHANICAL CONTRACTOR CMC1250184
PO Box 909
Deland, FL 32721-0909
Phone: (386) 738-4484 — Fax: (386) 957-5419
Pp1F ORJLLIP •
BUILDING DIVISION
FST:78
OPERMITSEP182018 APPLICATION
Application No: f! - 39 43
Documented Construction Value: $ o1
Job Address: 1670 W Airport Road (Riverboat Commerce Center) Historic District: Yes No
Parcel ID: 02-20-30-300-032C-000 Residential Commercial x
Type of Work: New Addition x Alteration Repair Demo Change of Use Move
Description of Work: interior renovation
Plan Review Contact Person: Brian Reynolds Title: President
Phone. 386-738-4484
Name Tony Reulbach
Street: 610 Brookfield Terrace
City, State Zip:
Fax: 386-957-5419
DeLand, FL 32724
Name Bean Construction, Inc.
Street: 1411 Carter Road
City, State Zip: DeLand, FL 32724
Name: Jason D Gnich Architect
Street: 9 SE 3rd Avenue, Suite 110
Email: brian@beanconstructioninc.com
Property Owner Information
Phone: 386-717-3017
Resident of property?:
Contractor Information
Phone: 386-738-4484
Fax386-957-5419 a
State
License No.: CGC038397 Architect/
Engineer Information Phone:
503-552-9079 Fax:
503-241-7055 City,
St, Zip: Portland, OR 97214 E-mail: Bonding.
Company: N/A _Mortgage.Lender:_ Address:
Address: WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENTSTO 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. 1 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. J
FBC 105.3 Shall be inscribed with the date of application and the code in effect as ofthat date: 61 Edition (2017) Florida Budding Code
1'1 An addition to the requirements ofthis permit, there may be additional restrictions applicable to dhLc 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 City of Sanford requires payment ofa plan review fee at die time of permit submittal. A copy of the executed contract is required in order to
calculate a plan review charge and will be considered die estunated construction value of die job at die time ofsubmittal. '17ie actual construction value
will be figured based on die current ICC Valuation Table in effect at the turn the permit Lc issued, in accordance with local ordinance. Should calculated
charges figured off die executed contract exceed die actual construction value, credit will he applied to your perniit fees when die 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.
Signature of Oavner/Agent
Print Owner/Agents Name
Date
Signature of Notary -State of11orida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
0/2018
Signature ofContractor/A eat
Bean Construction, Inc/Brian Reynolds
Print Contractor/Agcut's Name
VA-J-1 9/0/ZOi,,6
Signatu yJuNotary-Sta,W Date
CornnbalM i GG /96WARLE*kn J wta 26, 2022W14I, - -tlOnrm s b
Contractor/Agent isPersonally Known to Me or
Produced ID 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
FireSprinklerPermit -YesQNo Q # of Heads --Fire Alarm Permit -Yes -No Q — -
APPROVALS: ZONING:
COMMENTS:
UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
11FORp Al
o O
BUILDING DIVISION
s
Fsr. is
40 SEP 18 2018 PERMIT APPLICATION
Application No: lfl - 39 4.3
ov
Documented Construction Value: $ a Jr no
jobAddress: 1670 W Airport Road (Riverboat Commerce Center) Historic District: Yes No Parcel
ID: 02-20-30-300-032C-000 Residential Commercial x Type
of Work: New Addition x Alteration Repair Demo Change of Use Move Description
of Work: interior renovation Plan
Review Contact Person: Brian Reynolds Title: President Phone:
386-738-4484 Fax: 386-957-5419 Name
Tony Reulbach Street:
610 Brookfield Terrace City,
State Zip: DeLand, FL 32724 Name
Bean Construction, Inc. Street:
1411 Carter Road City,
State Zip: DeLand, FL 32724 Name:
Jason D Gnich Architect Street:
9 SE 3rd Avenue, Suite 110 Email:
brian@beanconstructioninc.com Property
Owner Information Phone:
386-717-3017 Resident
of property?: No Contractor
Information Phone:
386-738-4484 Fax:
386-957-5419 State
License No.. CGC038397 Architect/
Engineer Information Phone:
Fax:
503-
552-9079 503-
241-7055 City,
St, Zip: Portland, OR 97214 E-mail: Bonding-
Company:.--N/A—.___—__ Address:
Mortgage
Lender:__ N/A 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 commenced prior to
de issuance of a permit and that all work will he performed to nice[ standards of alllaws 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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6'° Edition (2017) Florida Building Code
NO.I•ICE-In addition to the requirements ofthis permit, there maybe additional restrictions applicable to this property that may be found in de 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 ofpermit is verification that I will notify the owner of the property of die requirements of Florida Licit Law, WS 713.
The City of Sanford requires payment of a plan review fee at de time of permit submittal. A copy of die executed contract is required in order to
calculate a plan review charge and will be considered die estimated construction value ofde job at die time of submittal. The actual construction value
will be figured based on de current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured off de executed contract exceed de actual construction value, credit will be applied to your permit fees when de 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.
e&'
C>2L L 0/2018
Signature of Ouner/Agent Date Signature of Contractor/Alt
Print Oumer/Agcnis Name
Signature of Notary -State of 11orida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Bean Construction, Inc/Brian Reynolds
Print Contractor/Agcnis Name
Signatu !!,Nctary•St;W"s w Date0+'1 * Contntls" # GG 196W
E*M June 25.2W
o loddltlti awuYw
Contractor/Agent is = Personally Known to Me or
Produced ID 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: Yes QNo Q—"# of Heads ---- — —Fire Alarin Permit -Yes "No 0-----
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: t BUILDING:
COMMENTS:
CITY Of
Building & Fire Prevention DivisionCORDCOMMERCIALPERMITGUIDELINES
FIRE DEPARTMENT
All permit application packages must be complete prior to acceptance. You must check each box
to the left or indicate n/a on this submittal.
A complete application package shall include the following:
L Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
t Copy of a contract, signed by the contractor and property owner, indicating the documented construction
value
Copy of the contractor's license issued by the State of Florida (if contractor is applicant).
O' A. A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
@i Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
O N4G Owner Builder Statement / Affidavit (if owner is applicant).
Must be signed in person at the Building Department)
LLC's do not qualify for the Owner Builder exception per Florida Statute
04 Approval letter from sanitary sewer provider (if other than the City of Sanford).
ONlP Copy of the onsite sewage disposal system construction permit issued by Seminole County Health
Department for new or existing septic systems, grease interceptors, etc. (if applicable).
O 4p. Seminole County Impact Fee Statement.
V Five (5) sets signed and sealed building construction plans.
O t4P Two (2) sets signed and sealed site development plans approved by City of Sanford Planning &
Development Services Department.
D r1A Letter from Planning & Development Services agreeing to submittal of plan without development plan
approval. This is at the developer's risk.
O 11[p Two (2) sets signed and sealed floor and roof truss engineering.
O N1P Completed and signed Statewide Product Approval Specification Form.
O Mli Two (2) copies ofthe manufacturer's installation instructions for the following products: windows, doors,
roofing materials, engineered lumber products, glass blocks, soffit materials and siding.
5;' Three (3) sets of completed and signed energy calculations (signed/sealed if required by Florida Statute
or code).
O State of Florida Division of Hotel and Restaurant approval (if applicable).
O 4, Florida Department of Environmental Protection Notice of Asbestos Renovation or Demolition (if
applicable).
O N1R State of Florida Notification on Gas Tanks (if applicable).
O WIP, Floodplain development application completed and signed if any portion of the property is in a flood
hazard area as identified on the most current flood insurance rate map.
THE BUILDING CONSTRUCTION DOCUMENTS MUST INCLUDE, AT A MINIMUM, THE
FOLLOWING:
Nlp SITE PLAN (Development plan includes additional requirements)
O All parking and accessible routes
O Accessible parking space(s) and signage details
O Accessible entrances
O Accessible ramps, handrails, guardrails, curb cuts and details
Effective: August /. 2017 Page 1 of 7
O All required building exits accessible (not less than 60% if all are not required exits)
O Areas of rescue assistance
O Accessible signage
O Fire access
O Vehicle loading
O Driving/turning radius
O Fire hydrant/water supply/post indicator valve (Pl V)
O Location of septic systems (if applicable)
O Setbacks/fire separation (assumed property lines)
O Utility lines (water, sewer, irrigation
O Meters and backflow devices
B ILDING PLAN
Ed Construction documents shall indicate code edition being applied
Ei Page size minimum 1 1" x 17"
Plans to minimum 1/4" scale
gr All pages numbered and labeled
@I Plans signed/sealed and dated by a Florida Design Professional as applicable
C Designer information: name, address, registration # on all pages
Y Reference the currently adopted code editions
O KIp Wind design data required on drawings per FBC 1603.1.4 to meet 129 mph ultimate design wind speed
for risk category I buildings, 139 mph ultimate design wind speed for risk category 11 buildings and 149
mph ultimate design wind speed for risk category III and IV buildings
Ultimate design wind speed (Vult)
Nominal design wind speed (Vasd)
Risk category
Exposure category
Enclosure classification
Internal pressure coefficient
Component and cladding design wind pressures in terms of psf
Structural Calculations, if necessary
O NU Threshold Inspection Plan (for threshold buildings)
D' All areas dimensioned and use noted
O p4p, Corridors
O N(P Shafts and elevator hoistways
O ftlp Stair location/guardrails/handrails
V Partition denotations and schedule
19( Door locations, sizes, door and hardware schedule
O N R Window locations, sizes and schedule
l Tempered glass locations
O r4A Attic ventilation and access
O 41P Air barrier requirements
R( Interior finish ratings and schedule
014 Light and ventilation
O Sanitation
O NIP Elevators
0141 Escalators
O P A Lifts
O NJP Roof coverings
C nstruction type design criteria:
j Type of construction denoted (per table 503)
Effective: August 1, 2017 Page 2 of 7
@1 Occupancy group classification denoted for building and rooms/areasVGrosssquarefootage — Net square footage calculations
O t4A Building height
O M(P Percentage ofexterior openings calculations
O Njp Classification of hazard of contents (if applicable)
PIP Structural Design Criteria:
O Ultimate design wind speed (Vult)
O Nominal design wind speed (Vasd)
O Risk category
O Exposure category
O Enclosure classification
O Internal pressure coefficient
O Component and cladding design wind pressures in terms of psf
O Structural Calculations, if necessary
O Floor loads — psf
O Stair loads — psf
O Roof loads — psf
O Balcony loads — psf
D Corridor loads — psf
O Storage loads — psf
Materials to be reviewed shall at a minimum include the following:
vWood / grade — species O
10 Steel / type - grade O
NI1t Aluminum er"
Concrete O
N4p Plastic pt!
AGlass O
gia Masonry R(
Gypsum board and plaster VInsulating (mechanical) O
01P Roofing O
BJp Insulation D
g1p Alternate materials I
ll1 Structural: O
Signed and sealed soil report with a positive conclusion required O
Compaction requirements O
Foundation locations, dimensions and depth specified O
Foundation denotations, schedules and details O
Reinforcing steel, amount, size, grade, spacing, and lap specified O
Footing dowel locations O
Maximum filled cell spacing D
Embedment's O
Slab thickness and reinforcement O
Vapor barrier O
Termite protection O
Relieving arch steel details at pipe penetrations O
Brick ledge detail including flashing and weep hole size and spacing O
Building materials used O
Lintel locations, denotations and schedule D
Exterior and interior structural wall sections Effective:
August 1, 2017 Page 3 of
O Columns
O Tie beams
O Structural steel size, type, connections
Framing details and fastening
O Load path connectors
O Floor deck and fastening
O Wall sheathing and fastening
O Roof deck and fastening
O Stair construction
O Window and door details, including design pressure of openings
O Fastening details for windows and doors, (type, length, and quantity)
O Exterior mounted mechanical units fastening methods to meet wind load
O Roof and floor framing, truss layout, connector schedule
Fire Protection Requirements:
D 4a Fire separation requirements for corridors, elevators, stairways, floors & shafts
D Occupancy separation requirements
O Tenant separation requirements
Fire resistant protection details for type of construction
D Rated requirements for walls, floor -ceiling and roof -ceiling assemblies
O Design numbers and details for all rated assemblies
O Design numbers and details for all rated penetrations
O Rated door and hardware schedules
0 Fire blocking and draft stopping
0 ly Calculated fire resistance
V Interior finishes (flame spread/smoke development)
Li Safety:
Occupant load calculations and egress capacities
D 141* Special occupancy requirements
E!f Egress plan
6( Number of exits
Ei/ Capacity ofexits
L Arrangement of exits
D Travel distance to exits/common path of travel
O FNp Stairs construction/geometry and protection
D MIA Horizontal exits/exit passageways
C( Illumination of exits
R( Exit signs
er" Emergency lighting
O f*- Enclosures
O AID Handrails
D N(p Guardrails
O N{p Ramps
O Early warning systems schematic
O IJIb Smoke control systems schematic
D,Stair pressurization systems schematic
V Extinguishing requirements
O HID Areas of rescue assistance
Accessibility Building:
Door sizes, hardware schedule
O 41P, Vertical accessibility
Effective: August 1, 2017 Page 4 of7
M/ Accessible route dimensions
W Maneuvering clearances
O Nip Hi-Lo drinking fountain
Ei Equipment clear floor space/reach ranges
O t4 k Areas of rescue assistance
E( Signage
O t4 ATM machines
Accessibility Restroom s/Bath rooms:
W Turning radius
er" Required floor space for fixtures
Li Fixture and equipment mounting dimensions
R( Adaptability
Accessible requirements for special occupancies in addition to general requirements will also be reviewed.
PLUMBING PLAN
Plumbing plans submitted
V Piping materials
E Piping supports
f Determine minimum plumbing fixtures required based on occupant load calculated per FBC 1004
C Water distribution diagram
Ei Water hammer arrestors
Plumbing drain, waste and vent riser diagram
Grease trap detail
O NIP, Grease trap Health Dept. report on existing
fd Interceptors
O N(P Roof drains/calculations for flat roofs
O Backflow prevention
O 14P Medical gas
O 01P Oxygen systems
O 141h Environmental requirements
Water Heaters:
Lcf T & P drain
Air gap
O tp. Pan drain
O Thermal expansion device
O NIP Heat traps
O NIP Mounting platform
GAS PLAN
EType of gas
IF( Gas pressure
I' Appliances schedule and BTU's
R Chimneys and Vents
EMI Combustion air
O 14P LP tank size and location (above or below grade)
O Protection requirements
qps Riser Diagram:
Pipe type
Pipe sizing
Effective: August 1, 2017 Page 5 of7
d Total developed length
GJ(, Segment lengths
N Appliance locations
C Shut -offs valves
MECHANICAL PLAN
Rf Mechanical plans submittedWEnergycalculations
G( Duct systems and sizing
D WIN Duct work clearances at mechanical room (4" minimum)
Gd/ Duct supports
3 Means for balancing HVAC system
Ci/ Diffusers (size and direction)
CFM requirements
Ventilation
G Combustion air
G( Outdoor air calculations
G Balanced return air
Ga' Make-up air
E Equipment location and working clearances ( 30" wide by 36" deep, 6' high minimum)
Condensate piping and disposal
O t4b Required platforms and catwalks
Roof mounted equipment (including equipment and curb anchorage)
G Details and specifications
d Equipment sizing calculations
G Equipment specifications
d Joint sealing methods and product specification
V Air balance table
O Rated penetrations - fire damper details and manufacturer's installation instructions
Ge Means for automatic fan shutdown
G' Kitchen hood, duct plans, fire suppression and specifications
Ci Bathroom exhaust systems
Special exhaust systems
3 Chimneys, fireplaces and vents
Other appliances
O PIP, Boilers
Li Refrigeration
R( Bathroom ventilation
O t0' Laboratory
ELECTRICAL PLAN
Maximum available fault current at service
AIC rating of equipment
Voltage and phase of electrical system
Load calculation
Electrical service riser diagram indicating overcurrent protection sizes, conductor and conduit types and
sizes, number of service disconnecting means, grounding electrode system: bonded to the foundation steel,
structural steel, metal piping, size and type, separately derived system or not? (solid neutral or switching)
O WIN Transformer sizes and types if used
t f Panel schedules and ratings
EJ Power plan
0 Panel locations and working clearances
Effective: August /, 2017 Page 6 of 7
6( Lighting plan
C( Device legend
d Wiring methods and materials
Feeders and branch circuits, conduit sizes and types
tJ j Grounding conductors
Cif Exit lights
f Emergency lighting
Egress lighting
t Signage and disconnecting means location
O 14 Generator type: emergency or standby
O OP Remote annunciation
O/Vl( Load shed (if necessary)
Nf Required receptacle outlets
GFCI's
Q Equipment
O 1464' Special occupancies
O 4 Emergency systems
O i4r- Communication systems
O 4 Low voltage
Nlp FIRE PROTECTION/FIRE SUPPRESSION PLAN J P/511iP-Ii
O Early warning smoke evacuation and control
O Sprinkler design criterion (separate permit required)
O Fire alarm design criterion (separate permit required)
O Pre-engineered systems
O Riser diagram
O Standpipes
These guidelines were compiled to assist the applicant in preparing a new commercial permit/plan submittal and
may not be complete. The applicant is required to meet all City ofSanford, state, andfederal code requirements.
Please be aware that a separate permit is required for any fire sprinkler system and fire alarm system. All site
related signs, fences, hardscape features, guard/hand rails, free standing walls, retaining walls, canopies,
accessory structures, site electrical and lighting, satellite dishes, dumpster enclosures, irrigation systems, lift
stations, and any demolition ofstructures.
Effective: August 1, 2017 Page 7 of 7
DATE: ( slit
BUSINESS/PROJECT NAME:, /
ADDRESS: 1470 t Atili CONTACT
NAME: CITY
OF SANFORD BUILDING AND FIRE PREVENTION DIVISION FIRE
PLAN REVIEW SERVICE FEES PHONE:
407.688.5052 FAX:
407.688.5052 PERMIT
NUMBER: / O `-? / Y-3PHONE:
PLAN
REVIEW INFORMATION to/
oNSTRUCTION [ ]C/O [ ] FIRE ALARM [ ] FIRE SPRINKLER [ ] HOOD [ ]PAINT BOOTH [)TANK DOES
20% REDUCTION IN FIRE IMPACT FEES APPLY: YES NO TOTAL
FEES:/ • i
City of Sanford
Building Division
P.O. Box 1788
Sanford, Florida 32771
Phone: 407.688.5150
Fax: 407.688.5152
PLAN REVIEW COMMENT
Date: October 2, 2018 Project: Renovation
Contact Person: Brian Reynolds Job Address: 1670 W. Airport Blvd.
Contact Phone Number: Application Number: 18-3943
Contact E-mail: brian@beanconstructioninc.com Contact Fax Number:
ARCHITECTURAL
1. Submit two site specific Florida Product Approval or Miami Dade County Notice of Acceptance for
any new storefront systems.
STRUCTURAL
1. No comments.
MECHANICAL
1. Sheet M2.0. Submit two sets of specifications and installation instructions for walk in cooler.
2. Sheet A1.0. Submit two sets of manufactures shop drawings for hood system.
PLUMBING
1. No comments.
ELECTRICAL
1. No comments.
Please direct any questions you may have to Joy Deen at 407.688.5064 or fax to 407.688.5152.
You may also contact me by e-mail at joy.deen@sanfordfl.gov.
Respectfully,
Joy Deen, Plans Examiner
PERMIT It /-J /7 3
XD 9002A
AGKGSWGHE
10/16/2017
OFFICE
Simple. Smart.
XLT Oven & AVI Hood
Technical/Rough-In Specifications
for Gas & Electric Ovens & Hoods
This appliance is for professional use by qualified personnel. This appliance must be installed
by qualified persons in accordance with the regulations in force. This appliance must be installed with
sufficient ventilation to prevent the occurrence of unacceptable concentrations of substances harmful
to health in the room in which it is installed. This appliance needs an unobstructed flow of fresh air for
CAUTION satisfactory combustion & must be installed in a suitably ventilated room in accordance with current
regulations. This appliance should be serviced by qualified personnel at least every 12 months or
sooner if heavy use is expected.
Electronic copies of the Installation & Operation Manual, Parts & Service Manual, Architectural
Drawings, & a list of International Authorized Distributors are available at: www.xitovens.com
For use with the following XLT Gas & Electric Oven Versions: For use with the following AVI Hood Versions:
Australian (AE) G Standard (S) E
Korea (K) G World (W) E
Standard (S) G
World (W) G
1 O(T C E (6),
Intertek Intertek 0359 GAS40066
2000887 SAI Global
XLT Ovens
PO Box 9090
Wichita, Kansas 67277
US:888-443-2751 FAX:316-943-2769 INTL: 316-943-2751 WEB: www.xitovens.com
Roof
Roof J
Fire
Suppn
Box
AVI H
X LT (
Roof Curb
Typical Store Installation
RTU)
Valance
fling
rvlce
nel
ias
ervice
loor
RevisiontlisloryTable
1
Revision Comments Date
A New Release 10/16/2017
Technical Support US: 888-443-2751 `_ . Technical Support INTL: 316-943-2751
TypicalStore Installation............................................................................................................. 2
Warning & Safety Information..................................................................................................... 4
Descriptions........................................................
Oven Electrical Requirements ............................
Hood Electrical Requirements ............................
Gas Requirements ...............................................
Fire Suppression .................................................
Oven Crate Dimensions ......................................
Hood and Shroud Crate Dimensions .................
Oven Dimensions ..........................................
Hood Dimensions ..........................................
Ventilation Requirements ................................
Pre -Installation Checklist ................................
Installation Responsibilities ............................
Exhaust Fan Specifications .............................
5
6
7
8
10
12
13
14
16
18
19
21
22
This document is intended for use by general contractors, architects, sub -contractors and
store owners to provide information during the planning & pre -installation phases of installing
XLT Ovens & AVl Hoods. Please refer to the XLT Installation & Operation Manual for instruc-
tions on the assembly and utility hook-up phase of the project.
The process of getting a facility configured to owners' expectations can be difficult and
frustrating, or it can be accomplished smoothly and on time. The information presented here can
help move the "D" portion ofthe image below towards "on time" and "under budget".
The end goal is to obtain an occupancy permit from the Authority Having Jurisdiction
AHJ). A thorough understanding of the prevailing local codes can expedite this process and pre-
vent unexpected surprises. Proper planning and execution will allow the successful installation of
new ovens and hood in an existing store overnight with NO downtime.
The purpose of building codes is to provide minimum standards for the protection of life,
limb, property, environment, the safety and welfare of the consumer, general public, and the own-
ers and occupants of structures regulated by codes. Building codes are constantly changing and
they can vary by state, county, city , town, and/or borough. While some states like California,
Florida, Massachusetts, Michigan, and New York have their own set of building codes, most states
have adopted the International Code Council (ICC) series of codes. Always check with your local
building code department in order to learn which codes are being used and how they will affect
you and your construction project. You may want to start by contacting your local inspection de-
partment, office of planning and zoning, and/or department of permits.
The information presented here has been proven to satisfy the latest code requirements.
Technical Support US: 888443-2751 N Technical Support INTL: 316-943-2751
The information contained in this manual should be distributed and read by all parties in-
volved in procuring and installing this equipment prior to any work being performed.
To ensure an smooth installation the pre -installation checklist found in the back of this
manual must be reviewed before the XLT equipment is scheduled to arrive.
It is also advisable that a schedule be developed by the general contractor to ensure all ac-
tivities are completed in the proper sequence and performed by the proper personnel.
XLT will assist in the coordination of disseminating information and scheduling the deliv-
ery of equipment. Please contact XLT or your distributor for additional assistance.
XLT wants you to be totally satisfied with every aspect of owning & using your oven &
hood. Your feedback, both positive & negative, is very important to us as it helps us understand
how to improve our products & our company. Our goal is to provide you, our customer, with
equipment that we can be proud to build & you can be proud to own.
To receive technical support for the oven or hood you purchased, contact XLT anytime day
or night, 365 days per year. Please be prepared to provide the Model & Serial Number.
AL Installation of all gas appliances & ventilation exhaust hoods should only be per-
formed by a qualified professional who has read & understands these instructions &
JAW is familiar with proper safety precautions. Read this manual thoroughly before in -
WARNING stalling or servicing this equipment.
All electrical connections must be made by a qualified electrician in accordance with NEC,
OSHA, and all applicable national, state, and local codes.
All plumbing connections must be made by a qualified plumber in accordance with all applica-
ble national, state, and local codes.
All HVAC components must be made by a qualified mechanical contractor in accordance with
national, state, and local codes.
All ovens must have their own separate electrical circuit.
All systems in the AVI Hood must have their own separate electrical circuit.
Each XLT Oven must have it's own gas shut-off valve.
XLT Ovens reserves the right to make changes in design & specifications, and/or make ad-
ditions to or improvements to its product without imposing any obligations upon itself to install
them in products previously manufactured.
Technical Support US: 888-443-2751 M, . Technical Support INTL: 316-943-2751
This manual covers the following XLT GAS Oven & AVI Hood models:
Ovens
Hoods
H3E-1832-xxxxxX3G-1832-xxxxx-HP
tandard
X3G-1832-xxxxx
X3G-2440-xxxxx X3G-2440-xxxxx-HP H3E-2440-xxxxx
X3G-3240-xxxxx X3G-3240-xxxxx-HP H3E-3240-xxxxx
X3G-3255-xxxxx X3G-3255-xxxxx-HP H3E-3255-xxxxx
X3G-3270-xxxxx X3G-3270-xxxxx-HP H3E-3270-xxxxx
X3G-3855-xxxxx X3G-3855-xxxxx-HP H3E-3855-xxxxx
X3G-3870-xxxxx X3G-3870-xxxxx-HP H3E-3870-xxxxx
The first 2 digits of the model number after the dash represent the conveyor width and the
last two digits indicate the bake chamber length. The five x's after those numbers represents the
oven and hood configuration number. The HP after the five x's represents the faster baking high
performance ovens. The 3270 & 3870 models have two burners, one on each side, & have two
control boxes. All other models have only a single burner with a single control box that can be
supplied on either end. The ovens may be used in a single, double, or triple oven stack configura-
tion. All ovens are gas -fired & are available in Natural gas or Liquid Petroleum gas models
Electric ovens are also available). All models can be configured for a split belt conveyor.
All installations must conform to local building & mechanical codes.
Utilities must be easily accessible when the ovens are in the installed position. Do not in-
stall utilities directly behind the ovens.
In Australia follow AS/NZS 3000 Wiring and AS5601 Gas Installation.
Additional restrictions apply. Please see the XLT Installation & Operation Manual for more de-
tails.
CERTIFICATIONS
For a complete list of Certifications, please see the XLT Installation & Operation Manual.
Technical Support US: 888-443-2751 Technical Support INTL: 316-943-2751
Gas'Oven-Ele_ctrical-_Reuirements `- . y... •
Per EACH Oven=-;;_ : - :. - _-.. - - yOw'
ven"" Model
Standard
Australia-&-World Korea Volts=
ACm Hertz Volts AC Amps--- Hertz Volts -AC Watts= 1832
120
VAC
14) 4.
8 50/
60 220/
230/ 240
VAC
14) 3
50/
60 220
VAC
14) 660
2440
4.8 3 3240
4.8 3 3255
4.8 3 3270
8.5 7 1540 3855
4.8 3 660 3870
8.5 7 1540 All
HP Models Included Install
in accor Lince with AS/
NZS 3000•Wiring wlFOR
EACH GAS OVEN: A
separate 20 amp circuit breaker must be provided for each oven deck. Electrical
connections must be accessible when the ovens are in the installed position. Electrical
connections must meet all local code requirements. 7 . - `
Electric_Oven'Electrical'=Re uirements _ r
OvieaModeISTAND
D.. =
r .m WORL'D - V-oItS_
ACAin = V_oItsL-ACAm „= He- rtz= P-hase' 1832208/
240
45/39
60 380
31 50
3
16 2440
82/
65 51 27 3240 3255
90/
80 55 32 3855 4
Wire
Service - Ll, L2, L3 1 Ground (
per oven) 5 Wire
Service - Ll, L2, L3 N +2
Grounds er n) lw__ A DISCONNECT
MUST BE INSTALLED IN ACCORDANCE TO LOCAL BUILDING CODES: Conveyor Belt
Times 5"01
Models... MINIMUM
MAXIMUM
1832 130
17,00 aoc40-xx70
130 20-00 Oven_Operating
Temperature Range ! O MINIMUM
MAXIMUM
Mode,ls,..
All 3000
F
5900 F 1500 C
3100 C Technical Support
US: 888-443-2751 Technical Support INTL: 316-943-2751
Inputs into Electrical
AV_I.Hood_Elec-tn -'utilitySpecifications--
ofXircuits,
Sta
1 208/240 VAC, 1 Phase, 60 H4 6 A VFD Controller
up to 3 120 VAC, I Phase, 60 HZ, 20 Amp Ovens
Wd
1 230 VAC, 1 Phase, 50 Hz, 6 Amp VFD Controller
up to 3 230 VAC, I Phase, 50 Hz, 10 Amp Ovens
Outputs from Electrical
The AV] Hood system provides:
Up to (3) switching outputs for HVAC damper and/or dedicated unit.
One (1) 230 VAC, 10 Amp, variable frequency, three phase power output for the ventilation
exhaust fan.
Up to Three (3) receptacles for ovens.
One (1) 24 VDC fire alarm signal.
APS for MUA and Exhaust.
For Oven & Hood installations with the VFD option, all electric utilities for the hood and
exhaust fan connect through the electrical box located on the front of main canopy. The capacitive
touch buttons are located on the Hood User Interface on the front of main canopy, and interlock
the function of the hood and oven(s). There are relays that provide interlocks for equipment such
as, HVAC dampers, and/or dedicated MUA units and there is a optional relay for fire suppression.
For Oven & Hood installations without the VFD option only the lighting is connected on
the front of the hood and oven receptacle connections are made on the back of the hood. Ovens
without a AVI hood are plugged into the receptacles on the wall.
Technical Support US: 888-443-2751 . W. Technical Support INTL: 316-943-2751
Gas Oven Fuel Pressure Requirements
Oven
Inlet Pressure Range
Manifold Pressure
Standard, World, and Australia Korea
Models Natural Gas LP Gas Natural Gas LP Gas Natural Gas LP Gas
WIC mbar kPa
11.5-14
mbar kPa kPa kPa1 V1'/C mbar kPa W/C mbar kPa
All 6-14 15-35 1.50-3.50 7.5-35 2.75-3.50 1.50-2.50 2.30-3.30 3.5 18.75 10,8751 10 1 25 1 2.5
Australia (230V/5011z) - Gas Oven Heating Values & Orifice Sides
Oven Model
Ileating Values Orifice Sizes
NAT LP NAT LP
KW/IIR MJ/IIR K%*/HR M.1/HR MM MM
1832 16.41 59.1 14.80 53.3 3.45 2.13
2440 20.80 74.9 20.80 74.9 3.86 2.49
3240 25.79 92.8 23.44 84.4 4.32 2.64
3240-HP 35.75 128.7 35.75 128.7 4.98 1 3.18
3255 33.70 121.3 1 35.16 126.6 4.75 3.05
3255-HP 38.10 137.2 3546 127.7 5.31 3.30
3270 55.68 2004 55.68 200.4 4.47 2.82
3270-HP 70.30 253.1 70.30 253 1 497 3.17
3855 33.00 118.8 33.70 121.3' 4.98 3.12
3855-HP 43.37 156.1 39.85 1 1435 1 5.54 1 3.40
3870 58.03 1 208.9 54.22 1 195.2 1 4.60 1 2.82
3870-HP 70.30 253.1 70.30 1 253.1 1 4.98 1 3.18
World & New Zealand (230V/5011z) - Gas Oven Heating Values & Orifice Sizes
Oven Model
Heating Values Orifice Sizes
Natural
G20 G25
Butane
G30-
Propane
G31 NAT LP
KW/HR MJ/HR KW/HR KEY/HR KWAiR MJAIR MM M1%I
1832 16.41 59.08 13.18 16.41 14.80 53.28 3.45 2.13
2440 1 20.80 74.88 16.99 23.15 20.80 74.88 3.86 2.49
3240 25.79 92.85 20.80 25.79 1 23.44 9439 4.32 1 2.64
3240-HP 35.75 128.70 27.98 38.24 35.75 128.70 4.98 3.18
3255 33.70 121.32 26.08 39.56 35.16 126.58 4.75 3.05
3255-HP 38.10 137.16 33.11 39.85 35.46 127.66 5.31 3.30
3270 55.68 200.45 46.30 58.03 55.68 20045 4.47 2.82
3270-HP 70.30 253.09 55.00 76.78 70.30 253.09 4 98 3.18
3855 33.00 11880 24.32 38.10 1 33.70 1 121.32 4.98 1 3.12
3855-HP 43.37 156.14 34 58 43.37 39.85 143.46 5.54 3.40
3870 5803 208.91 4735 58.03 54.221 195.20 4.60 2.82
3870-HP 7030 1 253.09 55.00 76.20 70.30 253.09 4.98 3.18
NOTE
The HP behind Oven Model stands for High Performance.
Gas Oven Bypass Orifice Sizes
Gas Types Orifice Sizes (in.)
Natural 0.074
Propane 0.046
The gas supply should have a gas meter & regulator large enough to handle all of the gas
appliances, such as the furnace, water heater, & ovens, in operation at the same time. Add up all
of the BTU / kw / MJ ratings to determine the total load. Gas hose assemblies with quick discon-
nects for each oven deck will be installed at each valve during oven installation when purchased.
Technical Support US: 888-443-2751 Technical Support 1NTL: 316-943-2751
Utilities must be easily
accessible when the ovens are in
00 the installed position. Do not
F6] install utilities behind the ovens.
qDElectrical Supply
48.00
1219]
12.00
1067]
GAS MANIFOLD WITH SEDIMENT TRAP
A sediment trap must be installed by the owner and/or General Contractor as close as prac-
tical to the inlet of the oven at the time of installation. This requirement is in keeping with ANSI
Z223.1-2012/NFPA 54-2012, section 9.6.7. The design shown below will effectively keep all con-
taminates from getting into the gas valves in the ovens. The cost to construct the gas manifold is
extremely inexpensive compared to the costs associated with oven failure, such as downtime, re-
placement parts, and service call labor. Failure to install a sediment trap will void the product war-
ranty. The Gas Supply manifold is available from XLT upon request.
A minimum of a 1 1/2 supply line is required. 1em #
r
Descri tion t
I Manual Gas Valve 3
2 1-%z Ball Valve I
3 x 3 Nipple 3
4 I-%z Pipe Cap 1
5 1-%z x 10 Nipple 2
6 I-%z x 3 Nipple 2
7 1-%z x 5 Nipple I
8 1-%z Tee I
9 1-'/z x% x 1-'/z Reducing Tee 2
10 1-'/z x % Reducing Elbow 1
Do not use Teflon tape on gas line connections as this can possibly cause gas valve mal-
function or plugging of orifices from shreds of tape. Use of Teflon tape WILL VOID
warranty.
Technical Support US: 888-443-2751 Technical Support INTL: 316-943-2751
In the event you are required to install fire suppression, XLT offers an accessory kit for ov-
ens, and also fire suppression piping for the AV] hood as an option. The Engineers at XLT have
designed the fire suppression system for XLT ovens and AVI hoods to meet ICC and NFPA codes.
Field installations can be more expensive, less effective, and can interfere with daily operations
and maintenance.
A fire suppression system consists of five (5) main components:
Manual Pull Station
Main Cabinet that houses the tank and valve
Mechanical Gas Valve
Oven Piping & Nozzles
Hood Piping & Nozzles
All of these elements need to be interconnected mechanically with wire rope cables, and a
piping system must connect the tank with fire agent to the nozzles in both the oven and hood.
The fire suppression system can be activated by either manually pulling down on the han-
dle, or whenever the temperature rises high enough to melt a link in the hood. When the link melts
or the handle is pulled, spring tension opens the valve which releases the agent contained in the
tank and then sprays through nozzles mounted in both the oven and hood.
EXPLODED VIEW OF OVEN FIRE SUPPRESSION
Technical Support US: 888-443-2751 W. Technical Support INTL: 316-943-2751
TRANSPARENT VIEW OF HOOD FIRE SUPPRESSION
Technical Support US: 888=443-2751 Technical Support INTL: 316-943-2751
INTERNATIONAL WOOD CRATES
Internationnl_W_o_alCrnte,Dimensions
Gas-nnd Dectric Owns- ;
76 293/4 603/8
1930) 756) 15341
84 293/4 663/8
2134) 756) 16861
84 293/4 743/8
2134] 756) 1899) I 99 293/4 743/8
2315) 756) 1889)
1151/2 293/4 743/8
12934) 756] I889)
293/4 803/8
2515)[756] 12042)
115 I/2 29 3/4 80 3/8
129341 7561 2042)
DOMESTIC WOOD CRATES
rl X-;r 1Z zi= ZQ%I.-.- ho- r
n) - ae Yef Z—
53/4 313/4 17 591/2 53/4 313/4 131/2 56
1832 2178) 19061 4321 115111 121781 1906) 343) 14221
853/4 313/4 17 651/2 853/4 313/4 131/2 622440
2178) 1806) 1432) 11664) 21781 806) 1343) 1575)
853/4 313/4 17 731/2 853/4 313/4 131/2 703240
12178] 8061 14321 118671 121781 18061 343) 117781
115314 31314 17 731/2 1153/4 313/4 131/2 70
3255
I2940) 18061 4321 11867) 129401 9061 343) 117781
1153/4 313/4 17 73I/23270
129401 18061 14321 18671
1153/4 313/4 17 791/2 1153/4 313/4 131/2 763855
12940) 8061 14321 120191 129401 8061 13431 119301
115 3/4 313/4 17 791/2
3870 129401 18061 432J 120191
METAL SKIDS (Containers Only)
Gu:Oven.-_,wm
7-FT"-
l--
Xt;
55 22 8 5/9 51 1/8 55 22 61/2 49
1832
113971 15591 12191 11--"] 113971 15591 11651 11245)
63 22 85/8 571/9 63 22 61/2 55
2440
16001 5591 2191 114511 11600] 559) 11651 113971
63 2-' 8518 651/8 63 22 61/2 633240
1600) 559] 12191 116541 116001 559) 11651 11600)
78 22 95/9 651/8 78 22 61/2 63
3255 19811 15591 1219) 1654J 1 (1981 J 559] 11651 1600]
3270
115 22 93/4 661/4
2921) 5591 1248) 116831
78 22 8 5/8 71 1/8 78 22 6 V2 693855
119811 15591 219) 118071 m) 15591 11651 117531
3870 II5 22 9314 721/4
Iz921J 559] 1 1249) 1 118351
Technical Support US: 888-443-2751 Technical Support INTL: 316-943-2751
04
HOOD CRATES
Hoal68te Dimensions
M vvpxw
X
tAww
1
ww
7.
uriwl O rr3W rrirl i.r iir
94 1/4 27 58 3/8
32
23941 686) 1483]
102 1/4 27 64 3/8
M40
25971 686] 16351
117 1/4 27 72 3/8
xd5
29781 6861 18381
132I/4 27 72 3/8 oc70133591
6861 18381 SHROUD
CRATES 2n
roud,Crntc Dimensions 1
q'. 511/
4 251/2 271/2 18
2 13021
1648) 6991 661/
4 251/2 271/2 18311683]
16481 6991 511/
4 251/2 311/2 24)m2 1302) 648) 18001 661/
4 251/2 311/2 24)m3 16831
1 1648) I8M1 511/
4 251/2 391/2 32sr211302)
WI 1003) 661/
4 251/2 391/2 32xv-
3 11683)
1648) 1003) 511/
4 251/2 451/2 38)
o6-2 1302]
648] 1 [11561 66114
251/2 45112 38.v31 1683) 16481 111561 NOTE
All dimensions in inches [millimeters], f 1/4 [6], unless otherwise noted. All
weights in pounds [kilograms] unless otherwise noted. Technical
Support US: 888-443-2751 W. Technical Support INTL: 316-943-2751
w
0
Technical Support US: 888-443-2751 "W Technical Support INTL: 316-943-2751
1
OVEN. AF40
C D E F G H i
WEIGHT WEIGHT
1832 1848 3/8 70 1/4 67 1/4 42 3/4 32 N/A N/A
609 746
457 1229 1784 1708 1086 813 27 338
2444
2454 3/8 78 1/4 75 1/4 42 3/4 32 N/A N/A
726 880
610 10161 13811 f 1988 1911 1086 813 329 399
32 40 62 3/8 78 1/4 75 1/4 42 3/4 32 755 915
3240
813 1016 1584 1988 1911 108 813
N/A N/A
342 415
3255 32 55 62 3/8 93 1/4 901/4 42 3/4 32 N/A N/A
884 1064
813 1397 1584 2369 2292 1086 813 401 483
3270 32 70 62 3/8 111 105 1/4 42 3/4 32 N/A N/A
1128 1322
813 1778 1584 2819 2673 1086 813 512 600
3855 38 55 68 3/8 93 1/4 901/4 42 3/4 32 N/A N/A
981 1166
965 1397 1737 2369 2292 1086 813 445 529
3870 38 70 68 3/8 111 105 1/4 42 3/4 32 N/A N/A
1279 1478
965 1778 1737 2819 2673 1086 813 580 670
I,IW 1 CJJA.CKC E F G H
ST,ACK,
1832
ti
52
J
WEIGHT._ WEI_GHT,
671/4 623/4 32'• 13971832
u
483/8
457 813 1229 P74 1708 1594 813 1321
N/A1123
509 63424402440543/8 751/4 623/4 32 52 1342 1650
610 1016 1381 1911 1594 813 1321
N/A
609 748
32 40 62 3/8 78 1/4 75 1/4 62 3/4 32 52 1389 1709
3240 N/A
813 101 1584 1988 1911 1594 813 1321 630 775
32 55 62 3/8 93 1/4 901/4 62 3/4 32 52 1629 1989
3255
813 1397 1584 2369 2292 1594 813 1321
N/A
739 902
32 70 62 3/8 111 105 1/4 62 3/4 32 52 2099 2487
3270 N/A
813 1778 1584 2819 2673 1594 813 1321 952 1128
38 55 68 3/8 93 1/4 901/4 62 3/4 32 52 1812 2182
3855
965 1397 1737 2369 2292 1594 813 1321
N/A
822 990
38 70 68 3/8 111 105 1/4 62 3/4 32 52 2385 2783
3870 N/A
965 1778 1737 2819 2673 1594 813 1321 1082 1262
S7ACKw
A
18
B CF701i7/4 EF673/4
li
57
WE1CdiT
1603
WEI.GHT
201432483/8 671/4 F43 37
1832 457 813 1229 1708 940 1448 727 91424402440543/8 75 1/4 37 57 1927 2389
610 1016 1381 1988 1911 1721 432 940 1448 874 1084
32 40 62 3/8 78 1/4 75 1/4 67 3/4 17 37 57 1985 2465
3240
813 10161 1584 1988 1911 1721 432 1 940 1448 900 1118
32 55 62 3/8 93 1/4 901/4 67 3/4 17 37 57 2335 2875
3255
813 13971 1584 2369 2292 1721 433 9411 1448 1059 1304
32 70 62 3/8 111 105 1/4 67 3/4 17 37 57 3032 3614
3270
813 1778 1584 2819 2673 1721 433 941 1448 1375 1639
38 55 68 3/8 93 1/4 901/4 67 3/4 17 37 57 2602 3157
3855 965] 1397] 1737] 2369] 2292] 1721] 433] 941] 1448] 1180] 1432]
38 70 68 3/8 111 105 1/4 67 3/4 17 37 57 3445 4042 '
3870L 1 [965] 1778] 1737] 2819] 2673] 1721] 433] 941] 1448] 1563] 1833]
Technical Support US: 888-443-2751 MT. Technical Support 1NTL: 316-943-2751
FE
C A
D
B
ALL DIMENSIONS ARE FROM FINISHED
Technical Support US: 888-443-2751 MT. Technical Support INTL: 316-943-2751
en flood Dimensions oodJ_ei ht rated ._ei by 2_ r,tes
7-, C F•'inramn%kmob_. ble
495
n leT.Pr
495
Sr.
523
in T P..
310
Daub
264
ie
304343/8 88 5/8 18 32 30 5/8 506
1832
873 2251 457 813 778 230 225 225 23 141 120 138
40 3/8 96 5/8 24 40 33 5/8 590 565 560 610 339 281 322
2440
1026 2454 610 1E1 954 268 256 254 277 154 127 146
48318 96 5/8 32 40 37 5/8 685 640 660 661 373 304 333
3240
1229 2454 813 1016 13 1/2
1343]
956 12
1305]
69 5/8
11768]
89 7/8
12283]
91 7/8
123341
311 290 299 300 169 138 151
483/8 111 5/8 32 55 37 5/8 735 680 700 724 385 310 333
3255 1229 2835 813 1397 956 333 308 318 328 175 141 151
48 319 126 5/8 32 70 37 5/8 760 705 737 782 391 304 328
3270 1229 3216 813 1778 956 345 320 334 35 I 138 149
54 318 111 5/8 38 55 40 5/8 795 730 745 764 408 310 3393855138128359651397I03236133133834185141154
54 3/8 126 5/8 38 70 40 5/8 825 770 770 828 419 322 3453870138132169651778103237434934937619011461156
E2 liausl 'an And
wGuntul)imemsionsim
Crated Weight (Stacked)
1853113167
7 7871 11702184
M4All dimensions in inches [millimeters], f 1/4 [6], unless otherwise noted.
All weights in pounds [kilograms] unless otherwise noted.
NOTE * E and F are the minimum distances from a non combustible wall structure.
Solgle
xhaust blow ales LRMinre
x
commended
32xxtches_ n
Igxx 38xxTo .
X
fiddle ofom
187.5 93.75 93.75
57.1557.15Ti 28.58 28.58
Double
X
187.5 187.5 93.75 93.75
57.15 57.15 28.58 28.58
X
189.75 241.5 155.25 181.125
57.84 73.61 47.32 55.21
X X
189.75 241.5 155.25 181.125
57.84 73.61 47.32 55.21
Triple
X
187.5 187.5 93.75 93.75
57.15 57.15 28.58 28.58
X 189.75 241.5 155.25 181.125
57.84 73.61 47.32 55.21
X 287.25 365.625 235.125 274.3125
87.55 111.44 71.67 83.61
X X
189.75 241.5 155.25 181.125
57.84 73.61 47.32 55.21
X X
287.25 365.625 235,125 274.3125
87.55 111.44 71.67 83.61
X X 287.25 365.625 235.125 274.3125
87.55 111.44 71.67 83.61
X X X
287.25 365.625 235.125 274.3125
87.55 111.44 71.67 83.61
All values are FPM [M/Min] unless otherwise noted. Figures represent VELOCITY
measured at the Grease Filter. Most building codes require 500 Feet per Minute veloc-
NOTE ity. Exhaust duct is 1 ft2. Check with your local building official for requirements.
Technical Support US: 888-443-2751 W. . Technical Support 1NTL: 316-943-2751
Ventilation Requirements
A powered ventilation hood is required to remove heat and vapors. Some provision must
be made to replenish the amount of air that is extracted from the building. The hood and HVAC
installation must meet local building and mechanical codes. Requirements vary throughout the
country depending upon location. Proper ventilation is the oven owner's responsibility. The AVI
Hood system is designed to meet all requirements for XLT ovens and it is our recommendation
that this system be used.
Ventilation Guidelines
Obtain information from the authority having jurisdiction to determine the requirements for
your installation. Your ventilation hood supplier and HVAC contractor should be contacted to
provide guidance. An air balance test is highly recommended, performed by a licensed contractor.
A properly engineered and installed ventilation hood and HVAC system will expedite approval,
reduce all maintenance costs, and provide a more comfortable working environment. XLT also
recommends that the operator switches for the ovens and the operator switch for the exhaust fan be
interlocked so that the exhaust fan gets energized whenever the ovens are turned on. For more in-
formation, see the following links at xltovens.com:
Kitchen Ventilation Design Guide I
Kitchen Ventilation Design Guide 2
Kitchen Ventilation Design Guide 3
Kitchen Ventilation Design Guide 4
Ventilation Performance Test
Refer to the Installation & Operation manual for AVI Hood Operation Test
Technical Support US: 888-443-2751 . Technical Support INTL: 316-943-2751
There are many things that will help with the installation of XLT equipment, and make for
a smooth installation. The following list outlines the tasks necessary for successful installation of
ovens and/or hoods, whether the installation occurs in a new store or for the remodel of an existing
store. This list is to be used as a checklist to verify all aspects of XLT equipment is installed prop-
erly. If any additional information is required please refer to the 1&0 Manual. Manuals can be
found at xltovens.com:
Gas Requirements:
DYes ONo . Install adequate size gas lines (2" preferred 1 1/2" minimum)
DYes DNo . Install shutoff gas valve for each oven
DYes ONo Install gas meter & regulator (Individual regulator for each oven is pre-
ferred)
DYes ONo Verify adequate gas pressure for all equipment in store (Minimum 6"
W.C. supplied to ovens with all other equipment running at full load)
OYes ONo Sediment trap must be installed, refer to local code for proper require-
ments
Electrical Requirements:
DYes ONo . Dedicated 20 Amp breaker installed for each gas oven
DYes ONo . Dedicated disconnect for each electric oven
DYes ONo . All applicable dedicated circuits are installed for the AVI
DYes ONo . All circuits are the correct Phase for each piece of equipment
Hood Requirements: (If Applicable)
DYes ONo . Proper ceiling support is in place for hood installation
DYes ONo . Proper ceiling clearance for the AVI
DYes ONo . Install Roof Curb
DYes ONo . Install Exhaust Fan (Adequate Fan for installation)
DYes ONo . Install Duct
Technical Support US: 888-443-2751 . ' Technical Support INTL: 316-943-2751
This page is intentionally left blank.
Technical Support US: 888-443-2751 W. . Technical Support 1NTL: 316-943-2751
Responsibility
r/S rvice
o any
UOwne r
Contra'"10
Site Survey: Verify electric and gas meter/regulator sizes X
Supply wiring from TSl #R3, R4, R5 to exhaust fan X
Supply (1) single phase 230 volt 10 amp circuit from breaker panel to
XLT Hood X
Assembly of new hood per XLT Installation & Operation Manual X
Suspend XLT Hood from ceiling X
Install new exhaust fan on roof X
Supply power to XLT Hood X
Install Duct Cover or Valance above XLT Hood X
Assembly ofnew ovens per XLT Installation & Operation Manual
Stands assembled and set in place X
Ovens moved and stacked with proper lifting equipment X
Assemble shrouds & brackets to XLT Oven/Hood X
Connecting fuel to XLT products
Install piping and drip legs X
Weld ducting to XLT Hood X
Check for leaks X
Install flexible gas hoses X
Connect electrical supply X
Connection may require Permit and Code Inspections X
Relocate Make -Up -Air to enter the room at the ends of the ovens X
Start-up per XLT Installation & Operation Manual: X
Graspressure/leak testing, hood/oven functions, adjust as necessary X
Start -Up Checklist must be submitted to XLT to validate Warranty X
Technical Support US: 888-443-2751 MT. Technical Support INTL: 316-943-2751
PrclexSoachPad
Loar9am
Acmo Engincoring and Manufacturing Corporation Cw;omer.Atme Engs 6 IAIp CcP.O. Box 978, Muakogoa OK 74402 Archcoct
C
I D
0051ma51mm
A-
Enpktcer.
Ccrttraaw..
Print Data: 1/2312013 2:48:23 PM Submlced by.Da+rd Well
PDURG
Direct Drive Cont7lfugal Upblast Grease Roof
Exhauster
Standard Construction Foatusos
ftmkun curb ap • knkgni drain hoc
Backward hcfiwd n wicricading olirniu mwted
Ctrtdtit Pwt Through y11e1dband
Oboxww r4ch
Heavy Oaugc akaw m hou*o
1/,cto b=rnps ore pt7manOrttJy k6ftatod Wtss special meta
roouiranenls ere sPWIcd
Ouldtratooso hood btdm
RestaurantoppFkstbro
Tlk rriim Wbaatatoa (1,11.762) la togawars eftust Optbm &
Accessories CR
17.3 X 17.5 x 24• High Galanacd Cub Still Fkshhg ec%
w.lcnView A
o c 0 row
12a.41 I roam 00JIS4SIONSOndla)
Rough opening: t4.60Xt4.50 POU135RG
G4 to HD MWf w PNndGWDP I SPecd EneW E(rKiad Mow RPIa; t 725 PERFORMAH
AId • 0 IL Tom • 8 eate perm • 0.075 b" Oy
Model Site 1
PDU135RG Vdurno
SP P0.+'M SpMd TS OV wawa cdm)
MWD) (bhp) (rlxri) ((pm) (fPIN Ora) 1800
1A00 0.4421023 1 5736 1 I= 0.00 SOUND
1•kn tree waee ®S tetl 11A k1CerA] OcA
to 1 1 z 1 3 4 5 6 7 11 1 L-A I dgA• I S~ Sta'JcTaal Ell
Ell Sumd
pw.
w68.8 7&9 84.5 75.3 65.0 60.0 83 3 53.4 78.5 67.0 15.0 64.20 71.30 btocar
Info. I Fom Raft- ULM CSA HP
Vales Piwa I Hz I End RPIA Sph Idp 1Q
1 230 1 3 160 1 ODP 1 1725 1 ISPO 114.
sate ramps sawn No w ross %"m (a I-w"nomm use:
et 1.0 toCM In 4 re(slUtecco nee (Ma Gemuco me A
CA 4ta+414 sal. Vr4.s sr4 a10.00( Mtrat1 mrra. A D.
AVGOMIIq,A V* 40";
7t1n ID WQ rotes oVj. 2.
00 0.50 1.
60--y, 0.45 1.
60 ter J 0.40 1.
40 i 0.35 v 1.
20 0.30 j{
3.00 0.25 d
0.60 I:' 0.20 3 0.
60 w
0.40 i 0.10 0.
20 0.05 0.
00 0.00 76
424 924 1424 1924 2424 Flow (
ctm) Performance - -
System • Operating POW POrtM
hum. Pertamwrco • Operating Power V.•
usdr.r m1~"no to er..np. sm.den4.n .weAr Cock. Rase .+voice o..io. (c•G.srearot ou-.ow orb av N can" 1fY'-12013 248:23 PM rW.
eW:r bmerateMftlUno+darica.:y rwmrot re:..tlry ero..mtir wnu en Technical
Support US: 888-443-2751 X". Technical Support INTL: 316-943-2751
H Acmo Engineering and Manufacturing Corporation
P.O. Box 97E. hiuskogoo, OK 74402
Acmo Engr a 4119 Co Print Oste: 1102013 2.48.23 PIA
OPTIONAL
aWVO!"TOIOTa WPCtVSrVRENeGASKET
ilk SO.
N _.
SO.(K
H
Is" STD
L J
I_ 30. (K 7•)
EbvK! nVkw
f I K rt
2$40 mm
DWENSIONS (11C W)
CR17.5K 17.5 x 24• Nigh Gatwntted Cur* SO R sshhg
Ofy Modd Size
1 CR17.Sx17.5
CR
Pr*U:SrtatdrPad
1.pI. 1M.
Cw, mer.Am ErW b Mfg Cc
Ardiocl:
Enowr:
Controcmr.
Sutrwami gr.Da Ad OW
Curb, Restaurant
Standard Constrwflon Features
114• p r-yrmo gasfmt (Top Ledge)
18 ga. p wrttzsd stcd
Contirrsous vcidod suns
Design tooomptyvAth ipplicatlte HFPA *ad-- requIremovs
InLVM baso Otto
T.woywr Orkod ugnarty
Options 6 Accessories
sNf Rash"
wcgtu
t7Eo)
21A0
tiWiJJ9 mror a+r nrlbe+cee/teotcr tn..eer rcaa. nia.rrs7>:r e: jlMtn'a.MW woow erq ware Donut 112=132ASM Pi41
eW 111K. ar qua sccmtr'JOn
Technical Stipport US: 888-443-2751 Technical Support 1NTL: 316-943-2751
Projecl:PNURG 600/1500dm
Location:
ACME Acme Engineering and Manufacturing Corporation CustomerW'olfe Electric IncP.O. Box 978. Muskogee. ON 74402 Architect:
Engineer.
Contractor
1lolfe Electric Inc Print Date: 7/9/201311:48:34 AM Submitted binJerryMaxey e
TYPICAL
DIM. uO.
YVART 1YrfH
MOTOR SELECTION
Belt
Drive Centrifugal Upblast Roof Grease Exhauster
Standard
Construction Features Aluminum
curb cap • Integral drain hole Backward
incised non -overloading aluminum wheel Disconnect
SvMch - Wea0m Resistant Enclosure Heavy
gauge aluminum housing Mow
bearings are permanently lubricated unless special motor
requirements are speed Pre-
Ifricated bearings in duplex split p0 my block housing rated
at L-50 W of 200.000 hours - 5-year limited warranty Quick
release hood latches Restaurant
applications Two-
year limited warranty underwriters
Laboratories (UL702 1or restaurant exhaust Vibration
isclation W/
Variable pitch drives designed for 1.5 Servioe Factor Options
a Accessories Fan4o-
Curb Hinge Kt Elevation
View CR28.
5 X 26.5 x IT High GaNanaed Curb Self Flashilo A
8 C D 23M
25.53 Sam 21.tr DDAENSIOHS (
wches) Rough Opening: 23.50 X 23.50 PNU180RG
W Hp 1151Single Phase180 HdODP 1 Speed w/TOL Standard Efficiency Motor RPM: 1750 Fan -to -Curb Wive KA PERFORMANCE
IAltitade = 0 fl.Ternixi are = 68 ees F. Dens' = 0.075 IW3 0ty
1 Model Site 1
IPNUIBORG 2.
00 Simm
A
1 Motor
Inb. Fan Rating: UL702 CSA EeIGW4PowerSpeedTSOVWeighHP
Volts Phase Hz End RPM SplWdg bhp) (rpm) ($m) (W) pbs) 0381
1388 8030 150D 148.00 1/2 I15 1 80 ODP 1750 1SPD SOUND
Pln free soave ft 5 feet/ 1.5 Meters) Octave
1 2 3 4 5 8 7 8 LwA dBA' Scenes' Static Total EBEffSound
ParerED.B 78 5 75.8 1 68.8 1 65.8 632 1 59.7 1 53.2 72.0 61.4 11.6 W.50 74.80 Z
Z
N
Ra
txtrq rxn0:.ran a2 CItTG: vJIYO b t M=41101 Qu
a! 1.5ot+0 NaRC1CAYn017G- re:c01nCrJper AUCAr=
M"301. V*w-.=:rvcl pf r"--V=m TypeA he W-
2 rAMAMK1XS:are treC WeA' ceGC!n-1gs WS ap0les b
L71e rG: Tn. 0.50
0.45
0.40
0.35
0.30
0.25 _
0.20 $
a 0.15 "
0.10
0.05
0.00
0 400
goo 120D 16D0 2007 20D 6W
1000 1e00 law Flow (cfml
Pedormanco -•-- System •
Operating Pow01 Parer • Operating
Point eb'r.'
errre:exe, tee rpm o CWCe wed == =Cc%& mlm. Trace we V121:3 vaWTCs mr etxr.=au pace:e cep pro we eanee 7Mi2013 11.4834 AAA r.Ar.
IMI: f r nwrr.31 U=IrmrML-cmd"r- Trey W na mc-== r ucs a=nl0r--ru= s Technical Support
US: 888-443-2751 Technical Support INTL: 316-943-2751
ACME Acme Engineering and Manufacturing Corporation
P.O. Box 978. Muskogee. OK 74402
4lolfe Electric Inc Print Date: TPA01311:48:34 AM
OPTIOUAL
1' x A' VENT SLOTO 11" POLYSTYRENE GASKET
SO. -I
N
80.(K-3")
M
18" STD
314 '
J
SO. (KIT")
Elevation View
1 I it 1 p
3:.9 I 25M I MM
DYAENSIONS (arches)
CR28.5 X 20.5 x 18' KO Galvanized Curb Self Flashing
Oty Model Size
1 CR20.5 X 20.5
CR
Project:PNURG 60011500dm
Location:
Customw:L:olfe Electric Inc
Ardlitect:
Engineer.
Contractor:
Submitted by:Jerry Maxey
Curb, Restaurant
Standard Construction Features
114' polystyrene gasket (Top Ledge)
18 ga. gahanmed steel
Continuous welded seams
Design to comply with applicable NFPA code requirements
Iraegral base plate
Two-year limaed warranty
Options d Accessories
Self. Flashing
M:3 b=r,rre:erve3 the rtm oglYre metrrxma .cua ndue. TVc:e we VGb ao rc: ON s'nW..::Ma cme aIr are sr =7M 71M013 11.48:34 AIA
I: /n but Itr wrc31 e=1=''1 reZVeaerh TKy 3D rM.%- --a7r4 :..VW 3M&1mrr.-JWM
Technical Support US: 888-443-2751 `-'' Technical Support 1NTL: 316-943-2751
XLT Ovens
PO Box 9090
Wichita, Kansas 67277
US:888-443-2751 FAX:316-943-2769 INTL: 316-943-2751 WEB: www.xltovens.coni
INSPECTION SEQUENCE
BP# 18-3943
ADDRESS: 1670 W. Air ort Road
BUILDING PERMIT
Min Max Inspection Description
Footer / Setback
Stemwall
10 Slab / Mono Slab
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
20 Frame
Insulation Rough
Firewall Screw Pattern
30 Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof Com'l)
Building Ceiling Grid
Final Roof
Final Stucco / Siding
Final Insulation
Final Firewall
Final Door
Final Window
Final Utility Building
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial —
1000 Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
PLECTRICAL PERMIT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
10 Electric Rough
Pre -Power Final
11000 Temporary Pole
Electric Final
UMBING PF R ' ITL'
Min Max inspection Description
Rough Plumb
10 Plumbing Underground
20 Plumbing 2"d Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
1000 Plumbing Final
MECHANICAL PERMIT
Min Max Inspection Description
10 Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Light / Water Test Ck Welds
Mechanical Grease Duct Wrap
1000 l MechanicalFinalREVISED:
June 2014
INSPECTION SEQUENCE
BP# 18-3943
ADDRESS: 1670 W. Airport Road
AS
Min Max Inspection Description110GasUndergroundPiping
Gas Rough -In
1000 Gas Final
Medical Gas Rough -In
Medical Gas Final
Min Max Inspection Description
10 Hood System Rough
20 Hood System Insulation
10 Light/Water Test Ck Welds
1000 Hood System Final
ROOISDNWIN ERm-- IT Min
Max Inspection Description Roof
Dry -In Final
Roof REVISED:
June 2014
Comptroller Seminole County, FL
1 PAGES) RCD: 10/23/2018 01:56:29 PM
THIS INSTRUMENT PREPARED BY:
Name: Bean Construction
Address: PO BOX VUV
e n
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: 18-10000837
CERTIFIED COPY GRAIN MALOY
CLERK OF THE CIRCUIT COURT •'^
AND COMPTROLLER
SEMINOL E COUNTY, FLORIDA ``•',!:
BY rIN19 - OEPUTY CLERKOae
OCT 23.20181
Parcel ID Number- 02-20-30-300-032C-000
The undersigned hereby gives notice that Improvement will be made to certain real property, and In accordance with
Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement
DESCRIPTION OF PROPERTY: (Legal description of the property and street address If available)
SEC 02 TWP 20SRGE 30E 1670 W Airport Road, Riverboat Commerce Center
N 666.6 FT OF W 623.97 FT OF NW 114
LESS N 280 FT OF W 240 FT & RDS
GENERAL DESCRIPTION OF IMPROVEMENT:
Domino's Pizza Tenant Build -Out
OWNER INFORMATION:
Name: Tgry•Reulbach
Address: 610 Brookfield Terrace. DeLand. FL 32724
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name: Bean Construction, Inc.
Address. 1411 Carter Road. DeLand. FL 32724
Persons within the State of Florida Designated by Owner upon whom. notice or other docum6nts may be served
as provided by Section 713.13(1)(b). Florida Statutes.
Name: Tony Roulbach
Address: 610 Brookfield Torraco. DoLand, FL 32724
In addition to himself, Owner Designates N/A of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration data Is 1 year from date of recording unless a
different date Is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13.
FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury. 1 declare t have read the foregoing and that the facts stated in it are true
to the best of k owledg nd ef..
Tony Reulbach
s na Owner's Printed Name
Florida Statute 713.13(1)(9): - Tho owner must sign the notloo ofcommencoment and no one also may be pormMed to sign In•hls or her stood'
State of Florida County of Volusis
The foregoing Instrument was acknowledged before me this 22nd day of October 0218
by Tony Reulbach Who Is personally known to me FAI
Name of person making stotomont
OR who has produced Identification typo of Identification produced:
1" IOYIIEGWNES
s Oomeioionll 1i010M30
B. F boa Ame2iti Ze72
orrW' •ssr.lAnVL+M sat.+
SEAL
Notary Signature
i8- 39 3
TESTAND BALANCE
sting and Balancing HVAC Systems
lependent CertifiedAgency"
TEST AND BALANCE ANALYSIS REPORT
FOR:
Domino's Pizza Bakery Store #5056
i 1670 West Airport Blvd.
I Sanford, Florida
Serving Florida since 1984
1326 W. North Blvd. Suite 7
Leesburg, FL 34748
Office: 407.522.5644 • Fax: 407.522.34844
www.hvactb.com
TEST AND BALANCE ANALYSIS REPORT
FOR
Domino's Pizza Bakery Store #5056
1670 West Airport Blvd.
Sanford, Florida
Permit
CONTRACTOR
ARCHITECT
CERTIFICATION
18-3943
Bean Construction
Jason D Gnich ENGINEER Jason D Cmich
Air distribution system has been completely balanced as per requirements of
specifications and results of tests herein listed. Test and balance warranty one year.
Certification No: 2002-30
by Flori
Date April 18, 2019 Approved
Jack
Florida Test and Balance
Testing, Adjusting and Balancing of Air Conditioning, Ventilating and Heating Systems
1326 W. North Blvd.
Suite 7
Leesburg, FL 34748
Office 407-522-5644
Fax 407-522-4844
Florida Test & Balance INSTRUMENr LIST
Testing, Adjusting and Balancing Air Conditioning, Ventilating and Heating Systems PHONE 888-551-0002
1VSTRUIVIENT° 1VANTJFACTURER . 1VIODEL"::::` 1lVGE'
Ault 1VI ASUl 1VG:
Air Data Meter Shortridge ADM 870 50 - 8000 F.P.M.
0.001" - 50.0" H2O
Micromanometer Alnor AXD 550 179 - 17910 F.P.M.
0.002" - 20.0" H2O
Balometer Alnor 6463 0 - 2000 C.F.M.
Flow Hoods Alnor 2x2 2x4 lx4 0 - 2000 C.F.M.
Thermal Anemometer Dwyer 470-1 0 - 6000 FTI.M.
Florite Bacharach 16-7001 0 - 1000 F.P.M.
Florite Bacharach 16-7002 0 - 3000 F.P.M.
Magnehelics Dwyer 5 gauges 0 - 5.0" H2O
Velgrid Shortridge ADM 870 50 - 2500 F.P.M.
Airfoil Shortridge ADM 870 50 - 2500 F.P.M.
Pitot Tubes Shortridge 18" - 36" 0 - 8000 F.P.M.
T, CHCi -TERS
O tical / Digital Ametek 1726 6 - 99,999 R.P.M.
Digital Infrared Tif 780 80 - 20,000 R.P.M.
Contact Stewart -Warner Dial 50 - 4000 R.P.M.
TG819MMi.
Electronic Quad Probe Control Systems T-100 50 to 300° Fahrenheit
Thermometers Miller Glass / Mercury 30 to 120° Fahrenheit
Sling Psychrometer Bacharach 12-701.1 10 - 100 RH
Digital Meter Amprobe ACD-10 Super 0.1 - 600 Volts
0.1 - 300 Amps
Analog Meter Amprobe Ultra 0.1 - 600 Volts
0.1-300Amps
SYSTEMS: _CONTROL:- "..
Notebook Computer Compaq Presario 1200-XL Windows 98
HXAROIV)<GS:
Hydro Data Meter Shortridge HDM 300 0 - 300 PSI H2O
Analoiz Data Meter Florida H dronics R-50I 0 - 50" H2O
PM" Abu, S, VREMENT: .
Digital Force Gage Wagner FDX 100 0 - 100 lbf
ABBREVIATION LIST
ABBR. DEFINITION ABBR. DEFINITION
A Am eres) AMP LBW Leavin Wet Bulb
AHU Air Handling Unit LWT Leaving Water Temperature
BHP Brake Horsepower MA Mixed Air
BTU British Thermal Unit MBH Thousands BTU's Per Hour
BTUH British Thermal Unit Per Hour MHP Millihorse ower
CFM Cubic Feet Per Minute N/A Not Applicable
CLG Cooling N/D No Dampers
C.S. Circuit Setter N/F I Not Finished
CU Condensin Unit N/I Notlnstalled
dB Decibel N/N No Number
dBA Decibel "A" Scale N/NP No Nameplate
DB Dry Bulb N/R NotRunnin
DCT During Cooling Test N/S NotS ecified
D/D DirectDrive N/T Not Tested DHT
During Heatin Test N/W Not Wired DSP
Discharge Static Pressure NAFS Not Available From Submittal DX
Direct Ex ansion NFM Not Field Measureable EAT
Entering Air Temperature NLA No Load Amperes EDH
Electric Heater OA Outside Air EF
Exhaust Fan OB Octave Band ESP
External Static Pressure OD Outside Diameter EWT
Entering Water Temperature PSI Pounds Per Square Inch FCU
Fan Coil Unit RPM Revolutions Per Minute FLA
Full Load Amperes SA Supply Air . FT
Feet (I SCFM Cubic Feet per Minute Standard - Air SF
Square Feet SF Service Factor or Safety Factor CF
Cubic Feet SFA Service Factor Amperes F/
M Flowmeter SP Static Pressure GAL
Gallon STP Suction Total Pressure GPM
Gallons Per Minute TA TestAm eres f-'
Hg Inches of Mercury Th Enthalapy H20
Inches of Water TP Total Pressure HP
Horsepower TSP Total Static Pressure HTG
Heating W Watts Hz
Hertz (Frequency) WB Wet Bulb ID
Inside Diameter or Inside Dimensions WPD Water Pressure Drop in
Feet ofWater Unless Otherwise Noted) IA
Inaccessible IN
Inches PD Pressure Differential or Pressure Drop KW
Kilowatts ENTH Enthalapy LB(
s) Pound(s) TD Temperature Differential LAT
Leaving Air Temperature See Note LD
Linear Diffuser See Note (1) LRA
Locked Rotor Amperes Percentage
Florida Test & Balance, Inc. PHONE407-522-5644
Testing, Adjusting and Balancing Air Conditioning, Ventilating and Heating Systems FAX 407-5224844
DATE April 18, 2019
BUILDING PRESSURIZATION
JOB NAME Domino's Pizza Bakery Store
The following is a chart description of outside air and exhaust and building pressurization:
Unit r:
Outsde•`' Ai"r
1. ;,<:;;, Designr
r-r•z°' Outside Air
t l
Ubit
xhaust Air
b
Design
1254
EztiaustAiry
Actual
H
loc ty•; - z:.:r! ;
1362 1362 FPM
AHU - 1 540 580 KH - l
EF - 1 75 77 Not Applicable
AM - 2 324 349
EF - 2 75 80 Not Applicable
AHU - 3 540 574
esign otal
1404
ctual Total
1519
sign Total Actual Total
15031404
Neutral
1
0.00011,
Smoke containment test was performed on the hood with full containment observed. ps
MEMBER
2013-14
Florida Test & Balance KITCHEN HOOD SHEET
Testing, Adjusting and Balancing Air Conditioning, Ventilating and Heating Systems PHONE 407.522.5644
JOB NAME Domino's Pizza Bakery Store DATE April 18, 2019
ESIGN DATA
UNIT:
HOOD NUMBER KH - 1
LOCATION/AREA SERVED Kitchen
MANUFACTURER XLT
MODEL NUMBER H3E-3255-01289
HOOD SIZE & TYPE Pizza Hood
TEST DATA DESIGN ACTUAL
EXHAUST CFM 1254 1362
SUPPLY CFM Make air through RTUs Make air through RTUs
EXHAUST FAN DATA
MANUFACTURER
MODEL NUMBER
SERIAL NUMBER
ACME
PDU135RG G4
18K1455-1
SUPPLY FAN DATA
MANUFACTURER
MODEL NUMBER
SERIAL NUMBER
Make air through RTUs
Make air through RTUs
Make air through RTUs
Make air through RTUs
MOTOR: MOTOR:
MANUFACTURER Marathon MANUFACTURER
MOTOR FRAME 56 MOTOR FRAME
HORSEPOWER 50 HORSEPOWER
RPM 1725 RPM
VOLTAGE: VOLTAGE:
RATED VOLTAGE 230 / 460 RATED VOLTAGE
ACTUAL VOLTAGE 250 ACTUAL VOLTAGE
ERAGE:AMPERAGE:
RATED AMPERAGE 1.7 / 0.85 RATED AMPERAGE
ACTUAL AMPERAGE 1.2 ACTUAL AMPERAGE
SAFETY FACTOR 1.25 SAFETY FACTOR
OVERLOAD HEATERS: OVERL•OAD•HEATERS:
HEATERS None HEATERS
HEATER RATING Not Applicable HEATER RATING
MOTOR SHEAVE: MOTORSHEAVE: PULLEY
SIZE Direct Drive PULLEY SIZE PITCH
Direct Drive PITCH MTR.
SLED. ADJUSTMENT Direct Drive MTR. SLED. ADJUSTMENT AN
SHEAVE: FAN SHEAVE: PULLEY
SIZE Direct Drive PULLEY SIZE RPM
Direct Drive RPM BELT
S Direct Drive BELT S CENTER
TO CENTER Direct Drive CENTER TO CENTER STATIC
PRESSURES: STATIC PRESSURES: SUCTION /
DISCHARGE 0.29" / Atmogiphere SUCTION / DISCHARGE TOTAL
0.29" TOTAL NOTES:
Smoke containment test was performed on the hood with full containment
observed. EXHAUST VELOCITY
1362 FPM MEMBER 2013-
14
Florida Test & Balance SMOKE DETECTORS
Testing, Adjusting and Balancing Air Conditioning, Ventilating and Heating Systems PHONE 407.522.5644
JOB NAME Domino's Pizza Bakery Store #5056 DATE April 18, 2019
JOB INFORMATION:
ADDRESS 1670 West Airport Blvd.
CITY Sanford, FL
COUNTY Osceola
BUILDING PERMIT # 18-3943
MECHANICAL PERMIT # 18-3943
SMOKE DETECTOR INFORMATION
MANUFACTURER System Sensor
MODEL NUMBER D4120
MFG. REQUIRED PRESSURE DIFFERENTIAL 0.01" - 1.11"
AIR HANDLER
NUMBER
DETECTOR
LOCATION
ACTUAL
PRESSURE
DIFFERENTIAL
DETECTOR
LOCATION
ACTUAL
PRESSURE
DIFFERENTIAL
AC-1 Return 0.19"
AC-2 Return 0.14"
AC-3 Return 0.18"
NOTE
n
NFP/r
MEMBER
2013-14
CITY OF
a = SEP 18 2015 PERMIT APPLICATIONSANFORD
BUILDING DIVISION 3 9,3ApplicationNo:
Documented Construction Value: $ e;
job Address: 1670 W Airport Road (Riverboat Commerce Center) Historic District: Yes [I No
Parcel ID: 02-20-30-300-032C-000 Residential Commercial X
Type of Work: New Addition x Alteration Repair Demo [I Change of Use Move
Description of Work: interior renovation
Plan Review Contact Person:
Phone. 386-738-4484
Brian Reynolds Title: President
Fax: 386-957-5419 Email: brian@beanconstructioninc.com
Property Owner Information
Name Tony Reulbach Phone: 386-717-3017
Street: 610 Brookfield Terrace
City, State Zip: Deland, FL 32724
Resident of property? :
Contractor Information
Name Bean Construction, Inc. Phone: 386-738-4484
Street. 1411 Carter Road
City, State Zip: DeLand, FL 32724
Name: Jason D Gnich Architect
Street: 9 SE 3rd Avenue, Suite 110
F V. 386-957-5419a.
No
State License No.: CGC038397
Architect/Engineer Information
Phone: 503-552-9079
Fax: 503-241-7055
City, St, Zip: Portland, OR 97214 E-mail:
Bonding.Company:_ N/A .___Mortgage Lender:__ . N/A
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 commenced prior
to the issuance of a permit and that all work will be performed to meet standards ofall laws regulating construction in this jurisdiction. I understand
that a separate permit must be secured for electrical work, plumbing, signs, weUs, 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: 61 Edition (2017) Florida Building Code
N(' '1 -In addition to the requirements ofthis permit, there may be additional restrictio u 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 verif catiohh that I will notify the owner of the property of die requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at de tine of permit submittal. A copy of die executed contract is required in order to
calculate a plan review charge and will be considered die estimated construction value of die jot) at die line of submittal. The actual construction value
will he figured based on de current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured off to executed contract exceed die actual construction value, credit will he applied to your permit fees when de 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.
Signature of Owner/Agent
Print Owner/Agent's Vane
Date
Signature of Notary -State of 11orida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
qX1Z>!2L: 0/2018
Signature ofCuntractor/A Ant
Bean Construction, Inc/Brian Reynolds
Print
fContractor/
Agcot's Name
v41/O1jW-"'P Signatt
NNotary-Sta1WDate AaL I1
c'
4mff tw 1GG 196M t FWins,kites25,
2M OlI 0
lodrdlM sw' Contractor/Agent
is Personally Known to Me or Produced ID
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: -Yes QNo Q---"# ofHeads — —FireAlarm Permit: -Yes "WC? APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE:
BUILDING: COMMENTS:
CITY OF
SANFORDt PERMIT APPLICATION
BUILDING DIVISION
Application No: lSs— 3 9 y3
Documented Construction Value: $ / 00 d
Job Address: A 70 /A4d 5'1zHAod . f=l 72 %17i Historic District: Yes No[]
Parcel ID: Residential Commercial
Type of Work New Addition Alteration Repair Demo[N Change of Use Move
Description of Work 16w,`d'..4: f -25t 'Fle
Plan Review Contact Person:
Phone: Fax: Email:
Property Owner Information
Name Phone:
Street:
City, State Zip:
Title:
Resident ofproperty? :
Contractor Information
Name &.- wo // 4--lo,7t.-, c, &,, Phone: 407- y37- 7 W
Street: q/1Kf lS , s Cd/.e /f1,_W
City, State Zip: Or lug Fl State License No.: jEAyd/O S7/ Architect/
Engineer Information Name:
Phone: Street:
City,
St, Zip: Bonding
Company: Address:
Fax:
E-
mail: Mortgage
Lender: 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 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.
FBC 105.3 Shall be inscribed with the date ofapplication and the code in effect as of that date: 61 Edition (2017) 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 ofFlorida 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 required in order to
calculate a plan review charge and will be considered the estimated construction value ofthe job at the time ofsubmittal. The actual construction value
will be figured based on thecurrent 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 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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Jt4G2 /V i4 S
Print Contractor/Agent's Name
i
Signature of
DEBBIEBLANTON
FAY COMMISSION I FF 178648
Via: EXPIRES: February 25, 2079 :v..
1f' t`'' DoWed TAru NOW Public rs
Contrac n to Me or
Produced ID Type ofID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: 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:
Blanton, Deborah
From: Bruce hicks <bwh1001@yahoo.com>
Sent: Monday, December 10, 2018 1:48 PM
To: Blanton, Deborah
Subject: Re: Comp card
oh Sorry it is $14,000.00
Bruce Hicks
Projects Manager
ph. (407)937-9481
On Monday, December 10, 2018 11:35:02 AM EST, Blanton, Deborah <DEBORAH.BLANTON@Sanfordfl.gov> wrote:
Bruce,
How much are you charging for the 1670 W Airport job?
Deb
From: Bruce hicks <bwh1001@yahoo.com>
Sent: Monday, December 10, 2018 9:26 AM
To: Blanton, Deborah <DEBORAH.BLANTON@Sanfordfl.gov>
Subject: Comp card
Here is the last paperwork you need
Bruce Hicks
Projects Manager
ph. (407)937-9481
PLEASE NOTE: Florida has a very broad public records law. Any written communication to or from City officials regarding
City business is a public record available to the public and media upon request. Your e-mail communications may be
subject to public disclosures.
LIMITED POWER OF ATTORNEY
Date:
I hereby name and appoint
to be my lawful attorney -in -fact to act for me to apply for, receipt for, signed for and do all thingsnecessary
to this point (check only one option)
All permits and applications submitted by this contractor
the specific permit and application for work located at:
I G-70 P -34,) LVD Sc:4n1
License Holder Name
e=. 9,cx os-- I
State License Number
Signature of License Holder
State of Florida
County of_CKc.
The foregoing instfument was acknowledged before me this
day of _ 2017, by 3FIM',S Id &ruj f- who is personallyknowntome
or
who has produced as
identification n (did not) take an oath.
VA
Signature - ;; POW STACKtMYCOMMISSIONrcc220873
Print or type name (Kota Seal) s:May a,M2
aw"Notary Public State of «"+'Way P`' `-
Commission No: a6 Z S 7gMyCommissionexpires: n A •i 2 2-CO 22