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HomeMy WebLinkAbout127 Hays DrCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / �` �' L Documented Construction Value: $ 1,I6� Job Address: 1 7� ) �C,`,6 � Parcel ID: ,--C,X/c Type of Work: New ❑ Addition ❑ Alteration L�I" Repair ❑ Diem t Description of Work: Plan Review Contact Person: Phone: Fax: Email: Historic District: Yes ❑ No Residential commercial ❑ ❑ Change of Use ❑ Move[] . --) C - 1_1 i' _ _ pr— Title: Property Owner Information Q Name cz� k ('n `1-c Phone: Street: Resident of property? City, State Zip: Contractor Information Phone: Name -f' �' \'� M�r,� r C) T 'tCL S� C j AZ Fax: vV�` Street: : � c. State License No.: City, State Zip� Architect/Engineer Information Phone: Name: Fax: Street: City, St, Zip: Bonding Company: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5th Edition (2014) Florida Building Code Permit application Revised: June 30, 2015 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 ofO%vner/Agent Print Owner/Agent's Name Date Signature State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID _ Type of ID mature of /4 fl?�,i i; of �T o[,:, Date, Y C, 0 to, I S S I a*T7;-S cv-- r Contractor/Agerit is VPorsonally Known to Me or Produced ID — Type of ID PER -We 'VA Permits Required: . Building ❑ Electrical [-1 MechanicaIF1 PlumbingR GasF] Roof ❑ Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: min. Occupancy Load: 9 of Stories: New Construction: Electric - # of Amps Plumbing - 4 of Fixtures - Fire Sprinkler Permit: Yes F] No R 4 of Heads _ Fire Alarm Permit: Yes [] No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Permit Application Revised: June 30, 2015 r avww'ahridr�ro�ctory org, � e a ? e ofProduct Ratings AHRI Certified Reference Number: 7998783 DateModel AHRI Type: HRCU-A-CB Outdoor Unit Brand Name: DAIKIN Outdoor Unit Model Number (Condenser or Single Package): DZ14SN0301 A* Indoor Unit Model Number (Evaporator and/or Air Handier) i ARUF29Bl4A*+TXV The manufacturer of this DAIKIN product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 27600 CFGR • 14 00 fi"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale OR new models that are being marketed but are not yet being produced .Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Rahn s that are accom anied b WAS indicate an involuntaryre-rate. The new ubiished ratin is shown alongwith the previous i.e. WAS rating DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations. warranties or guarantees as to, and assumes no responsibility for, the products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used forindividual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's lndividual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION wY make life better" The information for the model cited on this certificate can be verified at www.ahrtdUectory.org, click on "Verify Certificate' link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. 1317051225f 127078Oy; CERT1Fx1GATE NO s 02018Air-Conditioning, Heating, and Refrigeration institute„ �_• „ AuthentisignID: 4F1C98 -AA I I I ED CLIMATE CONTROL' LLC. Air Conditioning & Heating 690A E Rhode Island Ave 11261 Business Park No,Suite 7 Orange City, FL 32763 Jacksonville, A 32256 Contract;k Volusa 38M75.6963 Jacksonville/St. Augustine OranoSeminole 407ZB-0678 904-551-6538 127bordner ,Air conditioning & Meeting L cenSe#CAC1816634' Emil: owner@certiftedclimate.coni MELITA BORDNER t;11 8 407�383-3937 Proposal Submihed : Date Telephone' H W 127 HAYS DR SANFORD 32771 MELITASORDNER@HOTMAIL.0' emit n i imec t propow TO fumisk in25g3l) for jwr home or busirrm in Tonnage 2.5 SEER 14 KW. 5 n NIA Brand Daikin Single Stage m AIC Condenser, Heat Pump Ql Air Handler Non Variable Speed I Z! Flood Switch ❑ Aux, Closet Pan 0 Condensate Draintine Flush* Qj Copper tines Flush Pressure Test* 0 UV, Protected Armor Flex CI L neset Cover V NEW DRAIN LINE IF POSSIBLE ;6Supply Duct MODIFY & RECONNECT p Return Duct. Zoning 0 Zones. Drywall/ Door Repair 0 Platform Complete Platform 1 Insulate Yes p WUghtKt 0 Air FiiterType&Sim REUSE fILTERBACK GRILL _ ITl AntimicrobijSpray'VWHOLE HOUSE ❑ Dud Seal: No ❑ New Electrical to Condenser Dunned ❑ New Bedrical to AHU Disconned ® AFCPad&Sze New with Anchor Kit 0 thermostat Programmable W Ali work done inacccrdancewith existing caleswdh permitting 2 Removal of existing equipment from the premises V All work to be Wormed tin a neat and profesaonal manner by a trained technician.. &veeping, dusting aid vacuuming will be accomplished and all debrisremoved from the premises Customer is responsible for registering equipment with manufacturer with in 60 daysto recivewalrantiesliSted below. Minimum o€one preventative maintenance per c aendi ryas performed byaliranwd- contractor isrequired to maintainvarrantY listed below (No- Maintenance.isinduded in thiscontraciunless@ islisted onthisa>nirax:) All wartarities are limited to the original purchaser unless afthoAmd by manufacturer W)i4rrantyonNts 12 year, condenser & air handier drily W) Warratty on Labor i 0'years condenser & air handier only W] Wai antyonCompreW 12'years ❑ Warranty on Zoning Components NIA warrant onDudwotk Florida Power and Light i Rebate: 0Yese No S 0.00 Sub -total: $ 4,326.00 Oiswunts & Rebates; S 159 AQ ziDtScounts,fv serZe—a s 59.0o ❑ plan 9-dGresRsow- s 0.o0 R]CCc Di -um 5100.00 0 Mem.W Dl1=M <$ 0.00 13 A,4P s List s% S 0,00 ❑ Coo wswure 5% $ 0.00 Total Price (ta(induded) $ $ 4t167 Terms coo •A31 Finandrx�& ramsare✓a9 n� SignatUro(oompaty) DREG lTE' Signature (aistcmer 05I14I2018 5114121119:10:14 AM EDT (Date; Proposal valid until: Options dueled Instal Date NOTES REMOVE ALL INSULATION FROM RETURN BOX Certified Climate Control always recommends replacement of copper lines and drain lines when possible. *Certified Climate Control provides no warranty expressed or implied on pree)jsting copper or drain lines. 3JY6SRiGHTTOC CE-You,thebuydr,maycancelthistransactionwithoutpenaltyanytimepriortomidnightofthethirdbusnessdayafterthe date of this transadion:S�e reverse side for termsand conditions STATE OF FLORIDA 4 t , DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION lu �a CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREE_j TALLAHASSEE FL 32399-0783 HILL, DAVID BERNARD CERTIFIED CLIMATE CONTROL, LLC 3053 LAGOON AVENUE DELTONA FL 32738 (850) 487-1395 l licensed by the Department of Business he riy and, STATE OF FLORIDA onegrrirlliiontFioridians Professional Regulation. Our professionals and businesses range DEPARTPv1EfT�C3F BUSINESS AND from architects to yacht brokers, from boxers to barbeque �i i?RC3FESSIrDifiL Rf;GULATTON restaurants, and they, keep Florida's, economy strong: �'p6TION 16: CAC1'816634 Every we work to improve the way we dal business in order ry better. For information about our services, please , AiR NET to serve you tog onto www.myfVart'da[icense.com. There you can find more �E f,IFIED DFAIED information about our divisions uvnstetters the andtions that learn more about - CEFtTiact CL1MA IE� f L you, subscribe to department ne _ _ , _ ,• the Department's initiatives. w Our mission at the Department is: License Efficiently, Regulate can u- or ch ass Fs Fairly. Vile constantly stave to serve you better so that -you Thank you for doinq business in Florida, s GER'rIFiED under the provisions 8x vat+a� date AUG 3 ogt 9 4 5600274000373 serve yourcustomers. on your new ticensel and congratulations DETACH HERE KEN LAWSON, SECRETARY RICKSC0TT, GOVERNOR a 0 rA rc'r-iG PI nR'InA CictiJuancv u Ir,�+t1Fn nnl?717n16 (]1;,iPLAY A � DATE (MMIDE)i I IkC40RE) CERTIFICATE OF LIA'BIL.ITY INSURANCE 6/6/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the po dorsem) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements PRODUCER Blackadar Insurance Agency, Inc. 1436 N Ronald Reagan Blvd I onawood FL 32750 RER INSURED CERTCLI-01 INSURER B :� Certified Climate Control, LLC INSURER C : 690 Ste A East Rhode Island Ave. INSURER D : Orange City FL 32763 INSURER E : N JVERAGES CERTIFICATE NUMBER: 468437888 REVISION NUMBER: THIS IS To CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR DOCUMENT ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION,OF ANY CONTRACT OR.OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF.SUCH�000 POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED e F PAID cY EXPs LIMITS 'R' TYPE OP INSURANCE. , INSR IWVD POLICY NUMBER 1 MMIDOIYYYY MM/DDIYYYY ._ R 5/20/2017 1.5/2012018 EACH OCCURRENCE $1,000,000 GENERAL LIABILITY) i 60383315 A A RE=N PREMISES Ea occurrence S100,000 X--COMMERCIAL GENERAL LIABILITY 1 MED£XP (Any one person) i $5,000 I CLAIMS•MADE' u OCCUR lj i I PFRSONALBADVINJURY I $1,000,000 EN'L AGGREGAATE LIMIT APPLIES PER: 17 PRO- 1 LOC POLICY ,UTOMOBILE LIABILITY 60383315 BODILY INRY Per person) 5/2012017 j 5/20/2018 Ea accident SLO JUS ANY AUTO - _ t) S BODILY INJURY (Per accident) ALL OWNED F� SCHEDULED AUTOS, AUTOS 111 i NON -OWNED i ���jjjX I t PROPERTY DAMAGE g Peraccident AUTOS ---1,,, AUTOS I S HIRED I UMBRELLA LIAR 1 X '60383315 - 5/20/2017 5/20/2018 EACH OCCURRENCE S1,( OCCUR AGGREGATE S EXCESS LIAR 1 CLAIMS-FhADEI� t Dcp I RETENTIONS 001 WCI7A70791 VV S7ATU• OTH- 6/2312017 6l23/2018 } X , QRv �� TG 1 ER_� WORKERS COMPENSATION (35� AND EMPLOYERS LIASILITY Y ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ N I A q ,. E�L. EACH ACCIDENT �, E,L. DISEASE - EA EMPLOYEE] $5( OFFICERIMEMBER EXCLUDED? ` , I (Mandatory in NH) EL. DISEASE -POLICY LIMIT ($5f If yes, describe under__ _.__ •_ ,_ ! j � , I DESCRIPTION OF OPERATIONS LOCATIONS:! VEHICLES {Attach ACORD 101, Additional Remarks Schedule, if more space is I J I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Sanford THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 N Park Ave ACCORDANCE WITH THE POLICY PROVISIONS. Sanford FL 32771 AUTHORIZED R PRESENTATIVE i ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD PERMIT AUTHORIZATION AVID HILL hereby I, D Y authorize (License Holder) (.authorized Person) To obtain a permit in my behalf under my license � CAC 1816634 To theSCnQ`"n-� Job described below: PERMIT TYPE HVAC Tax Parcel # State of Florida Building department for the County Of Vn WS 1 G DESCRIPTION Owner on 2 , 4<� Site Address ru (License Holder)SignaJ Date Affi ed and subscribed before me on this � f j day of 201by DAVID HILL who is personally known to e ,.. .. No;ary ? b c - 5-ate of Florida Co�Tission 4 GG 115095 My Comm. Expires ;u! 24. 2021 gn ure f Not blic, state tda Print, Type or Stamp Fame of Notary Notary Seal TSANFORD s _7_ PERMIT NO. `r/ ISSUE DATE: CONTRACTOR: Clee*Aa4e ® 1 JOB ADDRESS:/ a67 A�a& s TYPE OF WORK: Building & Fire Prevention Division Residential Permit Card r/A • Post this permit in a conspicuous location outside • Approved plans must be posted with permit for inspection Leave all work uncovered until inspected and approved Permit expires 6 months from date of issue or last approved inspection PROTECT FROM WEATHER BUILDING INSPECTION TYPE APPROVED REJECTED INSPECTOR ELECTRICAL INSPECTION 7YPE APPROVED REJECTED 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 TYPE APPROVED REJECTED INSPECTOR ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS / FINAL INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE 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 *** To Schedule Fire Inspections: Please call 407.562.2786 *** 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 MECHANICAL SHEATHING - WALLS 115 FRAME 109 MECHANICAL ROUGH 409 INSULATION ROUGH -IN 110 MECHANICAL FINAL 410 PLUMBING DRYWALL / SHEETROCK 131 LATH INSPECTION 132 UNDERGROUND ROUGH 322 FINAL STUCCO / SIDING 130 TUB SET 312 FIREWALL SCREW 120 SEWER 311 FIREWALL FINAL 143 PLUMBING FINAL 313 GAS INSULATION FINAL 113 FINAL SFR 138 GAS PIPING UNDERGROUND GAS ROUGH -IN 328 314 ROOF ROOF DRY -IN 116 GAS FINAL 315 FINAL ROOF III 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 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 18-00002247 Date 5/15/18 Property Address . . . . . . 127 HAYS DR Parcel Number . . . . . . . . 35.19.30.522-OA00-0060 Application description . . . MECHANICAL PERMIT Subdivision Name . . . . . . COUNTRY CLUB MANOR UNIT III Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL Additional desc . . Phone Access Code 1051010 Permit pin number 1051010 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 410 MH02 MECHANICAL FINAL _/_/_