HomeMy WebLinkAbout108 Belgian Way (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
'4 PERMIT APPLICATION
Application No:
Documented Construction Value: S
Job Address:W Rdoon Historic District: Yes ❑ No ❑
Parcel ID: IS " 20 - SOS - - 02j2)b Residential [A Commercial ❑
4 Type of Work: New ❑ Addition ❑ Alteration Repair ❑ Demo ❑ Change of Use ❑ Move ❑
i -�Description of Work. r
�SCer
Plan Review Contact Person: bCA H6WL Title:
Phon 451 �"3�` r Fax ' ���I� ( Email: (an0& .!�erV/(e &e Cr 6lil)
Property Owner Information
Namet i� Knit ll� -bey_ Phone:
`
Street: to ( Resident of property?:
City, State Zip: 2—D
Contractor Information
Nam kN1( I Phone:
T
Street:jSz�: U-) S(- 4-J4 Jl ���-; Fax: I
City, State Zip:. QWA fL� �� (\�� State License No.: l UD
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 COYt.NIENCEi'*IENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT ivIUST 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 regulatin- 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: ill Edition (2014) Florida Building Code
Revised: June 30. 201= Permit .application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, 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 O«ner/Agent Date
Print Owner/Agents Name
Signature of Notan-State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Date
IIL)( ) II0M �< L, IU���
Print Contractor/-Nsent's Name
Signature of Notary -State ofida Date
DLANA RODRIQUEZ
MY COMM19SION # 6GO41266
EXPIRES Oc"Or 24, 2020
Contractor/Agent is N rersoriaiiyown to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical 0 Plumbing[:] Gas Roof [-]
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes] No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE:
BUILDING:
Rey ised..lone 30.20 1 � Permit Application
755 W. State Road 434; Suite-D
Longwood, FL 32750
Phone: (407) 331-6589 Fax: (407) 331-8381
State Cert. # CAC1813760 & CFC1428376
Customer: Diemer Residence Date: 2/16/2018
Andrew & Christie Diemer
Job Address: 108 Blegian Way Phone: (407) 579-1065
Sanford, FL 32773
We, ServiceOne Air Conditioning & Plumbing propose to furnish, install and service the heating and/or
air conditioning products and related equipment for your building located at the job address above in
accordance with the conditions and specifications set forth in this proposal.
Air Conditioning/Heating System Equipment:
1 - 3.0-ton Trane XR14 Heat Pump Unit, Model # - 4TWR4036, 14.50 SEER, R-410a
1 - 3.0-ton Trane Hyperion Variable Speed Air Handler Unit, Model # - TAM7AOC36, 8.50 HSPF
1 - 5kw Heater Assy w/ Circuit Breaker
1 - Trane Digital / Programmable Thermostat
Equipment/System Warranty:
2-year warranty on labor, 10-year ltd. warranty on all parts, 10-year ltd. warranty on compressor.
*Must be registered by homeowner, otherwise 5-year parts warranty
Installation Specifications:
1. All necessary labor and materials to install the above equipment to the existing duct system.
2. New air handler to be reconnected to the existing duct system with UL listed fiberboard, fabric tape,
& mastic for an air tight seal. Air handler to be replaced using 3/4" plywood decking & sealed.
3. All accessible duct work to be inspected and any minor repairs to be corrected at no additional
charge to the customer. Air handler platform to have all damaged insulation repaired/replaced & resealed.
4. All new insulated copper suction line, copper liquid line, and Sch. 40 PVC drain line to be installed.
Refrigerant lines leak tested, evacuated to 500 microns, & charged by superheat/subcool method.
5. All necessary high & low voltage wiring, breaker adjustments, & new whip are included.
6. Outdoor unit set on vibration isolation pads & fastened to new 4" thick hurricane rated concrete pad.
7. All necessary safety devices & condensation overflow protection are included.
System will be permitted & inspected. System to be installed according to State & Local codes.
8. Removal of all job related trash, debris, and old equipment provided by ServiceOne.
9. 100% Satisfaction Guarantee.
Terms: Net upon completion. Price: $5,89
Utility Co. Rebate: $0
Responsibilities: Manufacturer Rebate: $0
Net Total: $5,895
The following responsibilities will be assumed by each party as indi ated.
Equipment Foundation
Wiring to Building Panel
Wiring from Disconnects to Conditioners
Wiring of Control System
Cutting Holes and Patching
Redecorating and Painting
Local Permits and Licenses
This proposal will be cancelled if not accepted by:
Purchaser Acceptance:1`/Gtw
Purchaser
Seller
X
n/a
X
X
X
X
X
3/18/2018
Date:
Seller Approval: Date:
STATUTORY WARNINGS
LIEN LAW ,
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001 -- 713.37, FLORIDA
STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND
ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR
PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR
OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS,
OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK
TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN
FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE
A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD
BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES
THAT YOUR CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO PAY.
TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY
PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A
WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO
YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT
IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
CHAPTER 558 NOTICE OF CLAIM
ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE
PROVISIONS OF CHAPTER 558, FLORIDA STATUTES.
FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND
PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS'
CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER
CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A
LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A
CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE
FOLLOWING TELEPHONE NUMBER AND ADDRESS: (850) 487-1395, 1940 N. MONROE ST.,
TALLAHASSEE, FL 32399-0783, WWW.MYFLORIDALICENSE.COM.
A.D.
seruiceone
Dierner Residence
Adobe Sign Document History
02/26/2018
Created:
02/26/2018
By:
Service One (dots@serviceoneac.com)
Status:
Signed
Transaction ID:
CBJCHBCAABAAdK7s_TVZTtBt7LZNDOMZBZUpgQ6ozFNO
"Diemer Residence" History
Document created by Service One (docs@serviceoneac.com)
02/26/2018 - 11:45:46 AM EST- IP address: 108.189.26.69
PM Document emailed to Andrew Diemer (adiemer@gmail.com) for signature
02/26/2018 - 11:46:41 AM EST
Document viewed by Andrew Diemer (adiemer@gmail.com)
02/26/2018 - 11:49:48 AM EST- IP address: 66.249.88.26
6® Document e-signed by Andrew Diemer (adiemer@gmail.com)
Signature Date: 02/26/2018 - 12:44:17 PM EST - Time Source: server- IP address: 104.190.188.41
Signed document emailed to Andrew Diemer (adiemer@gmail.com) and Service One
(docs@serviceoneac.com)
02/26/2018 - 12:44:17 PM EST
a Adobe Sil
TSXNFORD
OF
DEPARTMENTFIRE
PERMIT NO. / ®� ISSUE DA
CONTRACTOR:
a
JOB ADDRESS:
TYPE OF WORK: (! &
Building & Fire Prevention Division
Residential Permit Card
.oCo,iQ
Twn
• Post this permit in a conspicuous location outside
• Approved plans must be posted with permit for inspectionT
Leave all work uncovered until inspected and approved
Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INS'PECHON TYPE APPROVED REJECTED INSPECTOR
ELECTRICAL
INSPECTION TYPE APPROVED RFJECTED INSPECTOR
FOOTER INSPECTION
ELECTRIC UNDERGROUND
STEMWALL
FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY
T.U.G. / PRE POWER
SLAB / MONO -SLAB
ELECTRIC ROUGH
LINTEL / TIE BEAM
ELECTRIC FINAL
SHEATHING - ROOF
MECHANICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR
SHEATHING - WALLS
FRAME
MECHANICAL ROUGH
INSULATION ROUGH IN
MECHANICAL FINAL
DRYWALL/SHEETROCK
PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTOR
LATH INSPECTION
FINAL STUCCO/SIDING
UNDERGROUND ROUGH
FIREWALL SCREW
TUB SET
FIREWALL FINAL
SEWER
INSULATION FINAL
PLUMBING FINAL
FINAL SFR
GAS INSPECTIONS
INSPECTION 7YPE APPROVED REJECTED INSPECTOR
ROOF
INSPECTION 7YPE APPROVED REJECTED INSPECTOR
GAS UNDERGROUND PIPE
ROOF DRY -IN
GAS ROUGH -IN
FINAL ROOF
IGAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION 7YPE APPROVED REJECTED INSPECTOR INSPECTION 7YPE APPROVED REJECTED INSPECTOR
FINAL DEMO
FINAL DOOR
FINAL SOLAR PANELS
FINAL WINDOW
FINAL POOL SCREEN
FINAL SCREEN ROOM
FINAL UTILITY BUILDING
FINAL BUILDING OTHER
MOBILE HOME TIE -DOWN
MOBILE HOME FINAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS
OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES OR FEDERAL
AGENCIES FBC 105.3.3
REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts' -
8
xxX To Schedule Fire Inspections:,Please call 407.562.2786 xxx
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business
day. If you experience difficulty; please call 407.688.5150 Monday - Thursday 7:30 am -
5:30` pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
BUILDING
ELECTRICAL
FOOTER
104
ELECTRIC UNDERGROUND
211
STEMWALL
102
FOOTER / SLAB STEEL BOND
221
FORMBOARD SURVEY
147
T.U.G.
216
SLAB / MONO -SLAB
103
PRE POWER FINAL
218
LINTEL / TIE BEAM
105
ELECTRIC ROUGH
212
SHEATHING - ROOF
106
ELECTRIC FINAL
213
SHEATHING - WALLS
115
MECHANICAL
FRAME
109
MECHANICAL ROUGH
409
INSULATION ROUGH -IN
110
MECHANICAL FINAL
410
DRYWALL / SHEETROCK
131
PLUMBING
LATH INSPECTION
132
UNDERGROUND ROUGH
322
FINAL STUCCO / SIDING
130
TUB SET
312
FIREWALL SCREW
120
SEWER
311
FIREWALL FINAL
143
PLUMBING FINAL
313
INSULATION FINAL
113
GAS
FINAL SFR
138
GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314
ROOF
ROOF DRY -IN
116
GAS FINAL
315
FINAL ROOF
111
FINAL DEMO
FINAL SOLAR PANELS
FINAL POOL SCREEN
FINAL UTILITY BUILDING
MOBILE HOME TIE -DOWN
Miscellaneous Notes:
MISCELLANEOUS / FINAL INSPECTIONS
126
FINAL DOOR
136
134
FINAL WINDOW
137
139
FINAL SCREEN STRUCTURE
127
124
FINAL BUILDING - OTHER
112
145
MOBILE HOME BUILDING FINAL
146
REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112
FIRE INSPECTIONS
CITY
OF SANFORD
407.562.2786
BUILDING & FIRE
PREVENTION
BUILDING INSPECTIONS
300
N PARK AVE
855.541.2112
SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
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Page 2
Application Number . . . .
. 18-00001198
Date 3/06/18
Property Address . . . . .
. 108 BELGIAN WAY
Parcel Number . . . . . . .
. 18.20.31.505-0000-0200
Application description . .
. MECHANICAL PERMIT
Subdivision Name . . . . .
.
Property Zoning . . . . . .
. PUD
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 1036029
Permit pin number 1036029
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Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 410 MH02 MECHANICAL FINAL / /