HomeMy WebLinkAbout1700 W 16th St 17-1791; AC CHANGEOUT (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ % (D n . 0 (l
Job Address:17 Ob kJ ? 0'
N" Srot F -( Historic District: Yes NoEP Parcel
ID: 3 Ll -t 9 - 30 — V ' 0 no '-( Residential commercial Type
of Work: New Addition Alterationepair Demo Change of Use Move Description of
Work: q i. ,djrri(o Plan Review
Contact Person: Title: if n l- (CC/11 Phone: 40-
7' Lq4 - CU(->$r Fax: L ? -Zc1 7 -07!p)-O Email: -w"s reszn enc @ a _ CtNr Property Owner
Information Name Ai.
1 k , mg Phone: LILP^ Eft 1 75(0`7 Street: 1"7on
W Iy#" Si- Resident of property? :yew City, State Zip: S6440r-
d , FL Contractor Information Name AQ's
na %do
I `S s O.('2,i Phone: I "7 Z r 1-b0 (o $ Street: I t)) a. ^ a _
1 r- Fax: LI U 7- Z 1 —03oZ t City, State Zip: 0r ar•
n . rL 3a G State License No.: C1Ji lGt o`r7 S3 Architect/Engineer Information Name: Street:
City, St, Zip:
Bonding
Company:
Address: 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: 41° Edition (2014) Florida Building Code Revised: June 30, 2015 Penait
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 etittties 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
to 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 Oaner/Agars Date Signature of Contmcto !Agrnt``"' Date
Print Owner/Agent's Name
Signature of Notary-Statc of Florida Date
OwnerlAgent is Personally Known to Me or
Produced ID Type of ID
Pr t Contractor/Agent's Name
at. of Notary -St of Florida Date
Contractor/Agent is \.,Personally Known to
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type: 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:
COMMENTS:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
Home Improvement Agreement: Page 1
Home Depot Contractor License Numbers:
Home Depot license numbers are listed on page 3, and at www.homedepot.com./licensenumbers
Salesperson Name: Registration No. (if applicable):
Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will fumish, instal( and/
or service the equipment listed below at the price, terms and conditions as outlined on this form.
Customer Information:
W ,q
Last Name First Name Store # Lead #
1 Ica t
Customer Address City State Zip
Home Phone# Work Phone# Cell Phone# Customer Email Address
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT HOME DEPOT USA INC.,
2455 PACES FERRY ROAD, BLDG. B-3, ATLANTA, GEORGIA 30339 or
Email)
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS`DAYS AFTER HOME
DEPOT°S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE
SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED
TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN
SHIPMENT AT HOME DEPOT'S EXPENSE.
THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEASE SI BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL
AND WRITTEN NOTICEEIY,0VR RIGHT TO CANCEL.
Acknowledged by:
nature r
Contract Price and Payment Schedule: Payment of the Contract Price is due upon signing unless a
different payment schedule is specified below or in the State Supplement.
Contract Price: Includes all applicable discounts and rebates'Excludes finance charges.*
Sales Tax: ® (If applicable)
Total Sale Amount: Includes taxes
Minimum deposit ONLY applicable in MD, MA, ME (33%), NJ (90%), OH (90%), W1(99%)
Min. FR-1 % Deposit Amount ® Final Payment Amt. (Due Upon Completion)
Customer Care: 1-877.467-2581
The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339
HsM Agreement (Feb, 20, 2017)
i
Home Improvement Agreement: HVAC Installation (Scope of Work)
Existing Equipment and System Design Information:
Needs are determined based on 12,000 BTUITon.
Full Manual J or Block Load computed
Heatin
777=7777k
7, 7 LatentyHaatRatio ,r
Senslblet7777
Unit
m
iylpA 11gIIBrandrmMorlel N,umbe°r IAdal'Rr WWafJ
AC
Heat Pump L1 C- 1 01 S
Air Handler
Furnace o_R a
Coil
Thermostat E Z. Reotd
Other
Other
i, k Pri.
a., y 3ri* 1 5
ernn (years) Deductible Price
3 5 10 Other $ None 1$1
ered.rir lid i
h ICE nti®#it COY ' Condensing -
Unit AC Mini -Split AC Heat Strips (as part of a split system AC or HP) Condensin
Unit HP Mini -Split HP Air Handler Furnace
Mini -Splits Head Count: # of Thermostat (as an accessory) Packaged
AC Heads U Standard Accessories PackagedGEAir
Handler Mini -Split >4 Boller Packaged HP/
Dual Fuel # of Heads,= Boiler Accessories Indoor Coil (
as part of system) 1-YEAR
WARRANTY 1S PROVIDED BY. HOME DEPOT EFFECTIVE FOR,1 YEAR FROM DATE OF INSTALLATION. e , EXTENDED
WARRANTY,
IF PURCHASED, IS -PROVIDED BY HOME'DEPOT THROUGH SERVICE NETlAIG AND YOU ILL RECEIVE
A WARRANTY CERTIFICATE BY MAIL FROM SERVICE NET. IF CERTIFICATE IS NOT RECEIVED THIN 60
DAYS OF INSTALLATION. PLEASECALL SERVICE NET AT (866) 413-8201. ANY NON-EOUIMENT WORK,, N.DUCTWORK,
REFRIGERANT
REPLACEMENT, VENTING, GAS LINE,°ROUTINE MAINTENANCE, ETC., HAS A 1- AR WARRANTY
ONLY. NOTES: H
Spa
11 I _r Cart- ec- Iti Seed 1= -i- Fu m o EZ Read `Tk er, s- =ii- Yew Pact
4 5+q-ct P S R e 1: H e y aZGd ec K Ck c Dc> c f-5' HS-320
SCW (Feb. 20, 2017) Customer Care:
1-577-467-2581 The Home
Depot - 2455 Paces Ferry Road, N.W. Bldg: B-3, Atlanta, Georgia 30339
Perntil
Folio/Parcel Identification Number: 04a6
Prepared by: American Residential Services or F
301 MercV Wive
Orlando.FL 32808
Realm to:_ AnIeEiGgg Residential Seevices ofLL
3012_Mercy Drive
NOTICE OF COMMENCEMENT
SIM6 of Florida, 6011111y of Setra.ftd,e.
The undersigned hereby gives nnlice that improvement will be mado to certain real, properly, and in accordance
With Chapter 713. Florida Statutes, the following Information is provided In this Notice of Commencenienl.
1. Description of properly (legal description of the prnporly, and street address if available)
olfuw Ll i s?- P>~3 LP1al
y2, General description of Improveprove ment
a
3. Owner Information or Lessee In rmalion Ihoo Lesson contraeted for the improveegment )lob 1G'r^S{ Str ore(
Natc
AddressR -- ¢w1;r.e4t l._ , +G4,. VOTT._ - -
Interest in Properly__( y
S - —
Nanic and ddress of fee simple tilleholder (if diffcrenl from Owner Iistect : hove)
Address - -
1 Contractor
t,lame_,American Residential Services of FL Telaillainia Nuuther_(407)?.rJrJ-l]OG8Address301T'2Merc l]fi.!e = orlanclo. FL 32808 i:
Surely (if ,,pph,abto, a copy of thn payment band is atlarhed) Alamo
i`alelttione Numbery Adche; Mm3unl of Hnnrl $ G,
Lander Name.. -
i"oiapltunc Nlrmhcr Address
7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may beservedasprovidedby §713.13(1)(a)7, Florlda Statutes. Name _
Toiulihone Number Address---
11.
In addition to himself or herself, Owner designates the following to receive a copy of the Lionor's _ Notice
as provided in §713.13(1)(b), Florida Statutes. Nance
Telephono Number. Address
9.
Explratfon elate Of notice of commencement (the expiration date may not be before Die completion or - construction
and final payment to the contractor, but will be 1 year from the date of recording unless a difinrenldaltiIsspecified) WARNING
TO 07111ER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS 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, CONSUL WITH
YOUR LENOER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDRIG YOUR NOTICE OF COMMENCE&IENT_ Under
pqalty of perjury, I declare that I have read the foregoing notice Of commencement and that the factsdIretruetothebestofmyknowledgeandbelief. S
j+r u of O:nor Le.3ea; er Orcrwi s nr Le,ser:'s Arillintized Oficn Dua:ggrlParinerrl lnnngor luryr s Trq'elOgiceThe
foregoing instrument was acknowledged before me Ills _(_,e day of-qfi by_ RK710ndd W+mv, as
bW r9_c- for Iwo
oof aultrcrity. a g, ollker, iru co. all y in tact natunl
Noli Puhiic -Slate o rid , Personalty Known
OR Produced ID Type of
ID Produced name or
person Name of
early on trehall of wilml inslrumenl hu executed Print type.
or stamp commissTowd n;rnly o atary pubt1c Form R"!;
Od: Seplemsber 26 2UI I GRANT MALOY,
CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S #
2017044938 BK 8907 Pg 1363: (1pg) E-RECORDED 05/0812017 09:55:14 AM 00 2
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PERMIT NO. 1 " I "I R % ISSUE DA
CONTRACTOR: A R's
JOB ADDRESS: i 100 W I U
TYPE OF WORK:
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
04011 9/0 /
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 4
DRYWALL/SHEETROCK PLUMBING
INSPECTION 7YPE APPROVED REJEC71D INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION 7YPE 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 7YPE 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 ipspection 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 1 ]
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 . . . . . 17-00001791 Date 6/15/17
Property Address . . . . . . 1700 W 16TH ST
Parcel Number . . . . . . . . 34.19.30.5AK-OA00-0420
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . . SMITH, M.M 2ND SUB BLK A
Property Zoning . . . . . . . MULTIPLE FAMILY
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 989319
Permit pin number 989319
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 410 MH02 MECHANICAL FINAL / /
u