HomeMy WebLinkAbout240 Fairfield Dr 17-1605; HVACr Al
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I „ CITY OF SANFORD
JV, { ' BUILDING & FIRE PREVENTION
PERMIT APPLICATION
F D; BY:.
Application No• 1 1 --- 1 CD® 5
Documented Construction Value: $ z 06
Job Address: 7 f% l V`!% i99Historic District: Yes Nol
Parcel ID: 139 _3/ ;s/_cra"ZOO Residential,, Commercial
Type of Work: New Addition Alteration RepairN Demo Change of Use Move
Description of Work: , )0 [/&Is— C2 a
Plan Review Contact Person:
Phone: 7Z1(ZI) 7 —g2:2 7- %%/S Fax:
Property Owner Information
Title: &4 i
Name 2-0 44-M d: 1/%Q S Phone:
Street: 27d412, Resident of property? City,
State Zip: I/i-3;2_71j0' Contractor
Information Name
P0krG d/r/Akc_ Phone: Street: /
S e Fax: 7 L— City,
State Zip: M- 1140ik 3Zi!52? State License No.: &We2197 '- 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. FBC 105.
3 Shall be inscribed with the date of application and the code in effect as of that date: Ste Edition (2014) Florida Building Code Revised: June
30, 2015 Permit Application
r
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 in compliance w' all applicable laws regulatingcon ruct on e
Signg of Owner/Agent e ture o ctor/A to
i
Signature
Owner/Agent is
Produced ID
Personally Known to Me or
Signature of "ri-State o&Noisida
Z •. #FF 173590
i •• ndetl hN
Contractor/Agent is !t
Produced ID Tyr
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building
Construction Type:
Known to)Me or
Electrical Mechanical Plumbing Gas Roof
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: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
y &I
Revised: June 30, 2015 Permit Application
City of Sanford
HVAC Permit Application Checklist
IX:
3 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 shallppp p g
include the following:
V/
I'Building Permit Application completed, signed and notarized. Application must include correct address
Za
d complete parcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
pplicant).
A site specific notarized power of attorney shall be required from the licensed contractor if
e/she appoints an employee of his/her company to sign the permit application as the contractor.
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).
Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
One (1) copy of equipment sizing calculations — for new construction installations:
o Residential - ACCA Manual J-2003 or other approved heating and cooling calculation
methodology.
o Commercial - ACCA Manual N-2005 or other approved heating and cooling calculation
methodology.
Addition or alteration of duct work, including new construction installations, requires two (2) copies of a
floor plan (duct layout) showing the location of the ducts, the size of the ducts and the register sizes.
This will require a plan review
These guidelines were compiled to assist the applicant in preparing a HVAC change out permit application and
may not be complete. The applicant is required to meet all City of Sanford, state, and federal code
requirements.
Revised: February 2015
Pat Lynch Construction LLC
909 Dennis Avenue
Orlando, Florida 32807
Subject: IFB Contract for HVAC Services for Residential Properties.
PO # 40279 *** Total Order $6,500.00
JOB ADDRESS: 240 FAIRFIELD DRIVE, SANFORD, FL 32771
PARCEL ID #: 32-19-31-515-0000-0740
CONTACT PERSON: ZORAIDA RAMOS
PHONE: (407) 432-4208
The services provided by your firm shall begin on 5 23 2017 and shall reach final completion thi 30
calendar days from Notice to Proceed date (June 22, 2017), as described in the contract documents.
The timely and accurate performance of the work set forth in the contract documents is important to
the County. It is also a primary consideration for the contractor selection on future projects.
Please acknowledge below, retain a copy for your records and return the original to the Seminole
County Community Development Office.
DO NOT start the job until the required permits have been obtained and the work is scheduled.
Please email a digital copy of the HVAC permit to: lalbelo@seminolecountyfl.gov
Upon completion of work please notify the Construction Project Manager and submit a copy of the
inspection final.
We are glad to have you as part of the County's project team and we look forward to a successful
project.
Sincerely,
Guises il-l elo
Construction Project Manager
Community Development
Seminole County Government
Phone: 407-665-2385
Fax: 407-665-2399
www.seminolecountvfk.gov
ACCEPTANCE OF NOTICE
is hereby acknowledged, this 23h Day of May. 2017.
Title:
SCPA Parcel View.: 32-19-31-51.5-0000-0740 http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=3219315150...
Property Record Card
gJaArvxr. CFA Parcel: 32-19-31-515-0000-0740
1p Owner: RAMOS ZORAIDA
Property Address: 240 FAIRFIELD DR SANFORD, FL 32771
Parcel Information
Parcel , 32-19-31-515-0000-0740
Owner! RAMOS ZORAIDA
Property Address 240 FAIRFIELD DR SANFORD, FL 32771
Mailing { 240 FAIRFIELD DR SANFORD, FL 32771
Subdivision Name CELERY LAKES PHASE 1
Tax District St-SANFORD
DOR Use Code { 01-SINGLE FAMILY
Exemptions j OD-HOMESTEAD(2013)
C)
L J
Sales
Value Summary
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 120,946 105.034
Depreciated EXFT Value 338 350
Land Value (Market) 30,000 23,000
Land ValueAg
Just/MarketValue" 151,284 128,384
Portability Adj
I Save Our Homes Adj 56,716 35,761
Amendment 1 Adj
P&G Adj 0 0
Assessed Value 94,568 92,623
O
Tax Amount without SOH: $1,750.00
2016 Tax Bill Amount $1,033.00
Tax
i
Estimator
Save Our Homes Savings: $717.00
i!
Does NOT INCLUDE Non Ad Valorem Assessments
Seminole County GIS
Assessment Value Exempt Values Taxable Value
94,568 50,500 44,068
94,568 25,500 69,068
94,568 50,500 44,068
94,568 50,500 44,068
94,568 50,500 44,068
Description Date Book Page Amount Qualified
SPECIAL WARRANTY DEED 2/1/2012 07716 0826 103,400 Yes
SPECIAL WARRANTY DEED 11/1/2011 07661 1379 88.000 No
CERTIFICATE OF TITLE 8/1/2010 07428 0524 100 No
WA RRANTY DEED 6/1/2007 06741 0868 216.000 Yes
I
WARRANTY DEED 12/1/2005 06069 0888 260,000 Yes
SPECIAL WARRANTY DEED 12/1/2004 05551 1012 145,600 Yes
Find Comparable Sales
Vac/Imp
Improved
Improved
Improved
Improved
Improved
Improved
Land Value
30,000.00 $30,000
I of 2 5/25/17, 6:35 AM
SEIVI/NOLE COUNTY MULTI )URI5DICT/ONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: 1q,
an agent of:
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this
appointment for (check only one option):
All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney: 1.?1(31 16Z01 7.
License Holder Name:
State License Number: 7 14 i S97Z/ /9tzi, ed 67 C / W 7LT 3 7
Signature of License He
STATE OF FLORIDA
COUNTY OF.t[_
The foregoing instrument was acknowledged before me this ?> of
20Q_, by h S who is perso kno;a or
0who has produced as identification and
who did (did not) take an oath. Signature
of Notary ccJL
C-
kk-+e Print
or type Notary name g
PAD:" '°q''''• 1SSpN°•.f''y Notary Public - State of, NO
2 o %tr: %
Commission
No. 3
A•tl My Commission Expires: 2'S" FF
173590 Q i9•
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