HomeMy WebLinkAbout2020 Adams Ave 17-1549 Permit App HVAC1 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: -'
00
Documented Construction Value: $ %%
Job Address: A0,go AdA/r25 2Q V ._ AJ l o D 3a 7 71 Historic District: Yes No W
Parcel ID: Residential pvCommerciai
Type of Work: New Addition Alteration EJRepair 0 Demo Change of Use Move - (-'ho 1
Description of Work: (2hANGE Ow`f- Rt0A LX,6Ee'P_ S`-2t!JI6k* 000L
A/0— 64.5YLerz_
Plan Review Contact Personay L[sSA %%%/, e'Q Title: ,2 rn, Q3 c p
Phone: y 07y?`j t f Fax: n 9 SZ> q Email: Ziee i2Alid he4f• "E-t Property
Owner Information Name
J o s Phone: q0 i o 97 Street:
C2,0 a U Acb0 m5 A V E- Resident of property? £S City,
State Zip;- 6,0 Ill NCO 2 O 3Q `7 `7/ Contractor
Information Name )
1Me 21'r A,V A- i R q- Phone: 41 e) 7 i ' 9 5-6 1 Street'
t !(0 a P 1? o 4J C r 2 Fax: '/ 6 7 3s T- Ci 5-- 6 At City,
State Zip• l3 V I E CQ a ZE a7f-S- State License No.: Name:
Street:
City,
St, Zip: Bonding
Company: Address:
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. t\ FBC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application ((( lb
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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal.
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 construe 'on and zoning.
EI C-o v--z A Q: /#7
Signature of Owner/Agent Date Signature of C tractor/A t Date
Print owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
6
aturep - of Date
y 9.4R9.4AA L h{CGILL
i •' CCNViSSiCN O FF 9,?9109
EXPIRES: December 19, 2019
sonded T`,tu t otaN Publ'c L' erxnte e
Owner/Agent is Personally Known to Me or Contractor/Agent isPersonally Known to Me or
Produced ID Type of ID Produced ID Type of ID
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:
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:
Revised: June 30, 2015 Permit Application
MAIN OFFICE: INSTALS.AT 10T4.ArlREEMENT
A-,i,.n Air 8. Heat Inc 17502S. Econ C J., O-J.. rL 32765
4073S9.9S01 - F- 4073S995011
1.800.421.COOL(2665)
CUSTONERNAME.-__
JOB LOCATION_ CITY
ST ZIP
HOME PHONE
0(LLTO_
Ajel 0"CATPUHP NTRICOIL AingANDLER
CONDENSER
SYSTEM SECR ILI SIZE
SYSTEM; SEER — SIZE
ih r
0NEWINDOOnDISCONNECT r 1ii REPLACE SUPPLY PLENUM U1,4EAtI,0ADCALCULAI3 OM(MANuhLj)
ONEWOUTDOOR D15CONNECT onEPLACERETURNPLEMUM
O HtsclOTHErt0NEWWIREWHIPS0RECONNECTSUPPLY/RETURN
0,14EWILOW'VOLTAG WIRING Az nr-umr PLATFORM
PXMEW HURRICANE STRAPS OHIGHEMCIENCYFWTEROPrA-TFORHTOP
141qtW REINFORCED EQUIPMENT PAD 1,0 NEW SUPPLY DUCTS) ONEWUVAIRPIJRIFiER
Q—MDEMSATEDRAIN LINE 0--NrWRECO -TURN DUCTS) Ef-HEETALL CODE REquiREmENTS
f lelrWREFRIGERANT JAMESET PiSEAILCUCTSYS_MM PTREMOVALOFOLD EQUIPMENT
rfrr&_TE REFRIGERANT SUCTION LINES REPLACE DUCT SYSTEM OCLEAN WORK ARFATC, CUSTOMER SAnSPACTlON
El`TRSTALLREFRIGERANTDPIeR(S) )3'ITASTICAND SEALALLPLENUMS gSTARTUPSYSTEM
49-ev, c PEFRiGERANTsYsTEm 0 FLUSH CONDENSATE DRAIN LIMPS YEAR LABOR WARRANTY
R-TIl U 14 KIT 0 AUX. DRAW PAN W/ SAFETY SWITCH YE&RWARRANTYOt-;ALt.F-UNcnOt ALPARTS
q.
ZkOMFORTCCNCEPNS 0 NEWCOtIDENSATEOIFSAFMSWITCH YFARWARRAMTYOM COMPRESSOR
0 DUCT CALCULATION (MANUAL D) 0 NEWCONDENsATrPumPw1sAFETYsYnTcH 0-PEACEOFIMMEIGUARANTEES
MZ
0 M/C OVISA OC)1'5C DAMEX ,OCASH 0 CHECK # COMFORT SYSTEM INVESTMENT F1
ONG (SACIMO) OTHER UTILITY REBATES r'
iMANUFACTURER
REBATE ADDITiONALINFO
lif'
op INVOICE AMOUNT POWER
CO. # CRECITAHOUNIT SERVICE Ail —
tc—I;,g--taeJ I. All —4t"'. 6 iu Pkt,djn. AMERICAN AIR& "EAT PROMOTION DILIC
A. 0 Qb,con,o evr
eon*rd «Acts of God. Owner to carry fk.. to -I'd, -J fishy covered by W
0i
3 after_
rnp?v;_ or -tract. NOTE: 1, L, .&rtJ -4 , -4-nd 6y the Parties that a 11 equipment and p.,t. who - Bold. M
q.;P,*.t shall.' p-t I,,rat. sh.0 NOT become — or parr of th. -1 I "Is to A_ they an placed S.;j "," at
all times -in p-nal pm,,,ey afArncric nkr HcaL Inc until payment in full Is received 8"'h,rciyorne.t6t may
be"j, ....... J;. ItIe aa,t of non-payment. Systems are bed b.,cj j 6,t lo'd P69 -7-DeP05.1 deign
specifications Amerimp Air 9 He,at accepts no mspo"SjVjjy for %,srmer, attempting to opt ate synte_t1i4e. tlive. c6;,7,
conclitin. If IN VESTMENT
ENTPRICE r,epesHH07HEO
ER AUTHORIZATION
j-
11 AMERICAN AIR& HEAT AUTHORIZATION AN, V.; OAT TF25
ry DA
A American
servo
p-
71wt's P40 1k. ar
mT%6b, J
502 S. Econ
Oviedo F1 32765
CMC049238
x_800_g2x_C00L " Quality is our specialty "
BILL TO: Adam Atkins
2020 Adams Dr
Sanford FI 32771
PHONE: 407 687 4473
DESCRIPTION
WIV, 1y E
DATE 5/27/2017
INVOICE #
INSTALLED NEW CARRIER 2 TON ST COOL A/C SYSTEM WITH DUCT WORK
FFMANP025
10KW HEAT KIT
24ACC424
PRO 6000 T STAT
10 YEAR PARTS WARRANTY
5 YEAR T STAT WARRANTY
1 YEAR LABOR WARRANTY
Cash:
Check #
CC #
CC expire date:
CUSTOMER SIGNATURE
1 was given instructions on the thermostat, filter & drain line.
AMOUNT
6,439.00
TOTAL $6,439.00
DCT WK $ 2,250.00
AAH DISC $ (893.00)
COD
UPON COMPLETION I $5,796.[
FINANCED
AHRI Certified Reference Number: 9764302 Date: 5/26/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 24ACC424A*030*
Indoor Unit Model Number: FFMANP025
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be
installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name: COMFORT 14 AC
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -SourceHeatPumpEquipmentandsubjecttoverificationofratingaccuracybyAHRI-sponsored, independent, third
party testing:
Cooling Capacity (Btuh): 22800
EER Rating (Cooling): 12.00
SEER Rating (Cooling): 14.50
IEER Rating (Cooling):
Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an Involuntary rerate
DISCLAIMERAHRIdoesnot endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responslbillty for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of arty kind arising out of the use or performance of the product(s), or theunauthorizedalterationofdatalistedonthisCertificate. Certified ratings are valid only for models and configurations listed In the
directory at www.ahridirectory.org.
TERMS AND CONDITIONSThisCertificateanditscontents are proprietary products of AHRI. This Certificate shall only be used for individual, personal andconfidentialreferencepurposes. 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, AIR-CONDITIONING, HEATING,
personal and confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The Information for the model died on this certificate can be verifled at www.ahridirectory.org, click on "Verity Certificate" link we make life better'
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. 131402931142373252
2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
Datq_ Gj-Y
Ihereby 'name and appoint eats n /l 1 mjj);r—)JL An
agent of; American To
be my lawfW attorney —in-fact to act for me to apply for, receipt for, and sign for and do all things necessary
to this appointment for: Address
of Job) Expiration
date for this limited power of attorney: to f-
d Rtractor) Jerry
Sent CMCQ44233 Printed
Name of Contractor and License Number) County "
O' flLm.(LDIF Swo
to and Tscribed before me this & day of in A V C 01-7 by Who is
Per-MaRY knownto me dr who has produced (identification) Notary&W)
Notary Pu6ucCommissionexpires
Print or
Type Name) MY QO.VIV.ISSICN OFF 9391.09 EXPIRES: December
19,2019 Sonded Taro
NoL" Putlic Llvdarwr-tert
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. /70* /5q9 ISSUE DATE: 05, 3/,./77
OAe; H e&-fCONTRACTOR: AmC%'I G
4110 aW6*,.,wJOBADDRESSOdRI4^
TYPE OF WORK: am
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 TYPE 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 INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALL/SHEETROCK PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTORROOF
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
PRE -DEMO FINAL DOOR
FINAL DEMO FINAL WINDOW
FINAL SOLAR PANELS IRRIGATION FINAL
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 3:30 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
314ROOF
ROOF DRY -IN 116 GAS FINAL 315
FINAL ROOF III
MISCELLANEOUS / FINAL INSPECTIONS
PRE -DEMO 144 FINAL DOOR 136
FINAL DEMO 126 FINAL WINDOW 137
FINAL SOLAR PANELS 134 IRRIGATION FINAL 321
FINAL POOL SCREEN 139 FINAL SCREEN STRUCTURE 127
FINAL UTILITY BUILDING 124 FINAL BUILDING - OTHER 112
MOBILE HOME TIE -DOWN 145 MOBILE HOME BUILDING FINAL 146
Miscellaneous Notes:
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 . . . . . 17-00001549 Date 5/30/17
Property Address . . . . . . 2020 ADAMS AVE
Parcel Number . . . . . . . . 31.19.31.504-1000-0230
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . . BEL-AIR
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 986513
Permit pin number 986513
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 410 MH02 MECHANICAL FINAL _/_/_
Permit Number.
3 l - I C1Folio/Parcel Ideritificatiof 1-50y- I 0 30
Prepared by: S • n i'&A c_%V-t Cc ,
liiiiiiiiiiiiiiiiiiiiillillilillifililI
GRANT NALOYr SEHINDLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 8023 Ps 1063 (11`9s)
CLERK'S ; 2017054107
RECORDED 05/31/2017 12.19:11 I'll
RECORDING FEES $10.00
RECORDED BY rdtenp
CERTIFIED COPY - GRANT MALOY.,4pp
roRt A,,; -,cm Air t•, Heat CLERK OF THE CIRCUIT COURT Vie,'"-`
mom a Ak L
r s. jEcon C,aGe s: f
Return to: . 0 (`ircle if?2 AND COMPTROLLER
5p`-" Gg tes?J, 365 SEMINOLE C UNTY RIDA
F 2783 `/ewr
NOTICE OF COMMENCEMENT aY DEPUTY CI
State of Florida, i 1 N 11
The undersigned hereby gives nonce that improvement will be made to certain real property, and in a n
with Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement
ors ription of property (legal descrip ion of the property, and street address if available)
C- DAus e- c-1,rq'210 ki R n ,eusl 2.
Gene al description of'mprove- meld o1-s- A%n. A6 6 79A 3.
Owner i f r atio or Lessee information if the Lessee contracted for the Improvement Maine ?
7/its Address
Oo?O QrIArnS V,- L.1 ZO.0 D e3a 77/ Interest
in Property Name
and address of fee simple titleholder (if different from Owner listed above) Name
Address
4.
Contractor Name
American Air & Heat Inc. Telephone Number407-359-9501 Address
502 S Econ Cir, Oviedo FL 32765 6.
Surety (if applicable, a copy of the payment bond is attached) Name
Telephone Number Address
Amount of Bond $ 6.
Lender Name
Telephone Number Address
7.
Persons within the State of Florida designated.by Owner upon whom notices or other documents may be
served as provided by §713.13(1)(a)7, Florida Statutes. Name
Telephone Number Address
8. •
In addition to himself or herself, Owner designates the following to receive a copy of the Llenor's Notice
as provided in §713.13(1)(b), Florida Statutes. Name
Telephone Number Address
9.
rxpiration date of notice of commencement (the expiration date may not be before the completion of construction
and final payment to the contractor, but will be 1 year from the date of recording unless a different
date is specified) WAgNiNG
TO OWNEF;L ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENT'S UNDER CHAPTER 713, PART I, 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 WITHYOURLENDERORANATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENW-ZUnder
penalty of perjury, t declare that I have read the foregoing notice of commencement and that ?Q facts
stied in it W true to the best of my knowledge and belief. Sigma
of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager sfgnarorfs f m The
foregoing Instrument was acknowledged before me this: df a0% byP- /v m nthtyear
name of person for r==
Type of
authority, e.g., offiice(r, trustee, attorney in fact Name of party on behalf of whom instrument was Signature of
Notary Public —State of Rot& Print, type, or stamp commissioned name of Nota Personally Known
OR Produced ID Type of
ID Produced /)/ tF.