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HomeMy WebLinkAbout911 S Park Ave (3)CITY OF Building & Fire Prevention Division Ski!4FOR DPERMIT APPLICATION FIRE DEPARTMENT Application No: Documented Construction Value: $ Job Address: 9% S Ec,rk1,,654N tl'L 377 l Historic District: Yes ©No❑ Parcel ID: Type of Work: New[] Addition❑ Alteration Residential Commercial❑ ❑ Demo ❑ Change of Use[] Move ❑ Description of Work: Re pirf c-e— S v ,s he tty L )xe tCo✓ L.►Re, Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name 7J_o1,'e_ 8 t/9A vSS Phone: 773' S7b`233 7 Street: Cjo`i Resident of property?: ueS City, State Zip: SGr fozi 9 'C 3 L 7 7 1 Contractor Information Name�ke 's �►'I��+,c,N ��) �2vrJ/Ct s Street: ZZ) Isla I-�'-C, City, State Zip: S P, -14,- & & 3 Name: Street: City, St, Zip: Bonding Company: Address: Phone: yo7-91Y5 'rcl5 Z Fax: State License No.: C-AZ / Al S`7 5S3 Architect/Engineer Information Phone: 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 of application and the code in effect as of that date: 61' Edition (2017) Florida Building Code Revised: January 1, 2018 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. 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 A, Signature Signature of Contractor/Agent Date 4!21ci,c, l ulfqa'.-0 Print Contractor/Agent's Name lUay 31 � Z,O l� Signature of Notary -State of Florida Date SEAN M. PRICE o r p°m� Notary Public, State of Florida Commission# FF 178868 My Comm. expires Nov. 23, 2018 Contractor/Agentersona y Known to Me or Produced IDy" Type of ID Fla-1 d& 1-A rev t S Gic�.y< BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: S i J L I ITIES: ENGINEERING: COMMENTS: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January 1, 2018 Permit Application F, This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Rating AHRI Certified Reference Number: 9033754 Date: 05-31-2018 Model Status : Active AHRI Type: HRCU-ACS Series: SAVER 15 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A6H5030H1 Indoor Unit Model Number (Evaporator and/or Air Handier) : GAM5B0B30M21 The manufacturer of this AMERICAN STANDARD product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSUAHRi 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 : 28800 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 Heating Capacity (H12) -Single or High Stage (47F) : 27000 HSPF (Region IV) : 9.50 t'Aetive' 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 arc those that an AHRI Certification Program Participant is no longer producing BUT is still selling or I edng for sale. Ratings that aro accompani d by WAS indicate an involurLry re -rate. The new published retina is shown alone with the previous (i.e. WASI ratino. DISCLAIMER ANRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to. and assumes no rosponslbllily for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages Of any kind arlsing out of the use or performance of the products] or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the dlreclory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, 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 individual. personal and confidential reference. CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at www.ahridirectmy.org, click on 'Verity Certificate' 0nk and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, vrhleh Is listed above, and the Certificate No., which is listed at bottom right 1 ©2018AIr-Conditioning, Heating, and Refrigeration institute i CERTIFICATE NO.: AIR-CONDITIONING, HEATING, 6 REFRIGERATION INSTITUTE we make life better- 131722490066856033 Mike's Mechanical Services 822T Via Bonita Sanford, FL 32771 viviano.mike@gmaii.com Estimate 1118 ADDRESS J urruss Park l Park Ave DATE, ® . Sanford, FL 32771 05/03/201& e e United States ACTIVITY _ OTY RATE AMOUNT Equipment:Equipment 1 4,000.00 4,000.00 2.5 ton Amercian Standard seer heat pump system Equlpment:Misc Duct Supplies 1 200.00 200.00 duct work and copper MIS Material 1 125.00 125.00 aux drain pan and overflow switches Installation Labor 1 1,200.00 1,200.00 We propose to remove existing upstairs air conditioning system. Install new American Standard heat pump system. Includes: TOTAL $5525.00 All equipment All labor THANK YOU. Aux Drain pan 2 overflow switches Accepted By Accepted Date o4S�rrono �o • CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: Julie Burruss For 911 S. Park Avenue Sanford, FL 32771 DATE ISSUED: May 31, 2018 DATE EXPIRES: December 02, 2018 BP#18-2485 Approved to remove and install new AC Unit on left side or rear of main structure. Christine Dalton, AICP Historic Preservation Officer/Community Planner Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACT4VITY LISTED ABOVE? 01YES ❑ NO Building Department Representative CITY OF `\ }SX FORD FLORIDA APPLICATION # FOR A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complete. General Information Downtown Commercial Historic District[] Residential Historic District' Is this a retroactive request? Yes❑ No❑ Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes[] Noo Proposed improvements will affect the following elevations: North South ❑ East ❑ West ❑ Property Address: q 1 i PC"/< ? -7 71 Property Own r Inform Print Name: c,_I I. Mailing Phone: AppucanuHgent ►nrormat►on Print Name: .61 Ike �r F'mne,n /e- I e, U/,w _S Mailing Address: `�2�-� t%�w (30►-, SU �i�� IL_ 3Z77 Phone: `�0'1 �cltl���yS�cnail: J>L✓►tiro ..n,/tc ua i:. + l • CyF-7-1 Signature: -/I4 BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. Signature: Date: �-Ai/ ZO/8 Would you like to receive emails regarding Historic Preservation and Community Planning within your community? )escription of proposed work ,ompletely describe the entire scope of work, including changes in material and color, and methods that will be used to ccomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. /A c,_ Ale- 5 (4S kvr, On r ko t _ / 771 ;TORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32171 •407.688.5145 • www.sanfordfl.gov/HP cam•• rP ti� �; • �•• ���� � •� --i�lrlaL.. w�.rJ•�.1�.� "'T""" Z' Ga.Y.,�: ri.�.0 t �Js ..v -'"•- r. 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