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Home My WebLink About103 Larkwood Dr 17-310 HVACI-7 T CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I 7 _ I ® Documented Construction Value: S le & 7 7. -- Job Address: /0`3 . eAr k t,J p& cA * Sa n-'*vrc(Historic District: Yes No Parcel ID: Zoning: _ Description of Work: Alru.n o Plan Review Contact Person: _ _ n f-l.: G [, Title: (P s en./ Phone: Fax: W c277-,0 3 3 3 E-mail: Cd rN*_wAaGreensener9r 10 3 Property Owner Information • C o nr— Name Bill Osetek Phone: 4.07-321-0354 Street: 103 Larkwood Dr Resident of property? City, State Zip: Sanford, FL 32771 Contractor Information Name Greens Energy Phone: 407-282-5000 Street: 186 N Goldenrod rd Fax: -'6/ o- a-27- a 3 3 3 City, State Zip: Orlando, FL 32807 State License Plo.: C#C 18-/3 7a 4P Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: _ Address: Address: PERMIT INFORMATION Building Permit O Square Footage: 1.50 2> Construction Type: No. of Stories: I No. of Dwelling Units: 1 Flood Zone: Electrical O New Service — No. of AMPS: Mechanical (Duct layout required for new systems) Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/ Alarm O No. of heads: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07. 14 I _e) s 1b®o v 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. OWNER'S AFFIDAVIT: 1 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. 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 Ol? 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 tie 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. J& 6 -- Signature of Owner/Agent Date DE80RAH L. SENN Notary Public . Slate of Florida lay Comm. Expires Jan 15.2018 Comt jsion # FF 060684 Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: to Me or ignature of Contnxtor/Agcnt Date ahr. t rree... Phi ontractor/Agent's Name ignature of Notary -State of Florida Date i'• °o;%, DEBORAH L. SENN Notary Public State of floridap M11y Comm. Expires Jan 15. 2018 Commission N ff 380ti84 Known to Me or Produced ID Type of ID UTILITIES: FIRE: WASTE WATER: BUILDING: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5 K6) Florida Statutes. REV 07.14 ENERGY SERVICES INC. Proposed by: Robbie Austin 407) 506 5239 raustin@greensenergy.com Included Deductions: CASH/CHECK DISCOUNT ($944.58) 186 N. Goldenrod Road Orlando, FL 32807 407) 282 5000 I bNA411.y1 _VIA; N VtU www.greensenergy.com ak Proposed for: Bill Osetek 103 Larkwood Drive Sanford, Florida 32771 845) 216 4158 845) 216 4158 Bsosetek@aol.com GREENS ENERGY'S EXCLUSIVE FULL SYSTEM PROMOTION ($250.00) Net Investment: $6,677 Carrier 25HCE436A003 Carrier FX4DNF037L00 Carrier CE2501 C08 CE Honeywell Comfort Series -Air Handler -Auxiliary Heater TH8321 WF1001 WiFi Slat Single Stage Heat Pump -Fixed Speed Motor View My Brochure -TXV installed 10 year pens AnWad to origins/ View My Brochure purchaser upon (!rely registration otherwise 5 years (Applies to tosi*rtdal instaff sm or*) AHRI Matchup: AHRI # : 9661108 Cooling Capacity: 34400 Healing Capacity: 33800 SEER: 15 EER : 12.5 HSPF : 8.5 Included Services: 5-year Limited Warranty t COPPER LINE SET WS X 314 INCH, FULLY INSULATED - INSTALL NEW DRAIN SAFETY SWITCH FROM AIR HANDLER TO CONDENSER (50 FEET OR LESS) - REPLACE DRAIN LINES WITH 3M INCH PVC INSTALL NEW CONDENSER PAD WITH PROPER - APPLY/PULL PROPER PERNIT WITH CITY/COUNTY HURRICANE STRAPS CONNECT TO EXISTING ELECTRICAL, CHANGE BREAKERS AS NEEDED INCLUDES 1 YEAR GREENS EXCLUSIVE LABOR WARRANTY PERFORM A PEAK PERFORMANCE CHECK 14-28 BUSINESS DAYS AFTER YOUR NEW SYSTEM IS INSTALLED AIR HANDLER ATTIC INSTALLATION, INCLUDES ALL HANGING MATERIAL NEEDED, AUXILIARY DRAIN PAN RESIDENTIAL INSTALLATIONS: GREENS WILL REGISTER AND FLOAT SAFETY SWITCH YOUR MANUFACTURERS' LIMITED WARRANTY TO - RELOCATE AIR HANDLER CLOSER TO SCUTTLE HOLE EXTEND COVERAGE TO 10 YEARS ON ALL FUNCTIONAL PARTS TO ORIGINAL HOMEOWNER NEW ELECTRICAL OUTLET AND LIGHT IN ATTIC PER CODE 1. To View The HVAC Opcost website - CLICK THIS LINK! 2. To read about Greens Energy Services, Inc. - CLICK THIS LINK! IN GARAGE. RUN NEW 16" FLEX FROM SUPPLY PLENUM TO CAPPED OFF DISTRIBUTION BOX. RUN NEW 16" RETURN FLEX FROM RETURN PLENUM TO DISTRIBUTION BOX. 3. To View Greens Energy Services Received Carrier's 2016 President's Award - CLICK THIS LINK! TERMS & CONDITIONS OF AGREEMENT ALL WORK TO BE PERFORMED IN A NEAT WORK AND PROFESSIONAL MANNER 1. Purchaser hereby accepts the equipment and services described above and agrees to pay Greens Energy Services. Inc. the price shown above. 2. All equipment and material are guaranteed by Greens Energy Services, Inc. to be as specified. All wok will be completed in a workmanlike manner according to normally accepted practices. 3. Materials and work in addition to that described herein will be furnished only on Purchaser's authorization and will be paid by Purchaser as an extra charge. 4. Upon failure to pay any sums due hereunder, Purchaser agrees to pay Greens Energy Services, Inc. interest at the rate of one and one half percent (I %%) per month (annual rate of 18%) on all outstanding balances. 5. Greens Energy Services, Inc. shall not be liable for any default caused by events beyond its control, including but not limited to, fire, flood, strikes, accidents, or delays affecting this work or other operations in which it is involved, directly or indirectly. 6. Purchaser shall permit Greens Energy Services. Inc. reasonable access to the property on which equipment is to be installed. Title to all provided equipment remains with Greens Energy Services, Inc. until all amounts due thereon are paid in full, whether such equipment is affixed to the realty or not, and shall remain personal property and be deemed sever -able without injury to the freehold. On any payment default by Purchaser, or it in Greens Energy Services, Inc.'s judgment, reasonably exercised, its equity appears to be imperiled, then, Greens Energy Services, Inc. may without further notice enter the premises and remove or resell the equipment, and Purchaser shall be liable for any deficiency or loss sustained by Greens Energy Services, Inc. in connection therewith. 7.Once equipment is connected at Purchaser's property, Purchaser assumes all risk of loss or damage to such equipment and shall insure same fully to protect all interests of Greens Energy Services, Inc., cost of insurance to be paid by Purchaser. Greens Energy Services, Inc. carries liability insurance and Worker's Compensation Insurance. 8. Greens Energy Services, Inc. provides an exclusive limited labor warranty on all new systems. Length of warranty varies by system type. Equipment or system failure due to lack of proper maintenance service or abuse is expressly excluded. Normal maintenance check-ups and filter replacements are the responsibility of Purchaser. All other warranties, expressed or implied, are the responsibility of the manufacturer of the equipment, parts, or materials used in connection with the services. 9. There are no warranties, expressed or implied, for existing equipment, ductwork, or other materials not installed by Greens Energy Services, Inc.. 10. All warranty work will be performed during Greens Energy Services, Inc.'s normal working hours, 8:004M to 5:00PM, Monday through not suit is filed. 12. Except as provided herein Greens Energy Services, Inc. makes no other representations or warranies, either express or implied, including, but not limited to, any implied warranties of merchantability or fitness for a particular purpose Greens Energy Services, Inc. expressly disclaims all other warranties. Greens Energy Services, Inc.'s maximum liability hereunder shall consist of refunding all moneys paid to it by Purchaser hereunder subject to removal and return to Greens Energy Services, Inc. of all equipment provided he eunder. Under no circumstances will Greens Energy Services, Inc. be liable to Purchaser or any other person for any damages, including, vrithout limitation, any indirect, incidental, special, or consequential damages, expenses, cost, profits, lost savings or earnings, lost or corrupted data, or other liability arising out of or related to this agreement, or the services or equipment provided hereunder. 13. This agreement shall be governed and construed solely according to the internal laws of the State of Florida, without reference to any conflicts of laws. 14. This agreement is the complete and exclusive statement of the agreement between Purchaser and Greens Energy Services, Inc. and it supersedes all prior oral and written proposals and any prior or subsequent communications pertaining to the subject matter hereof. 15. Warranty if 5 years unless registered within 90 days of installation. With Registration, the warranty is 10 Years to initial owner. 16. It is agreed the seller will retain title ownership to any equipment or material that may be furnished until final payment is made, and if settlement is not made as agreed, the seller will be harmless for any damages resulting from the removal thereof. INVe agree to pay all costs and reasonable attomey's fee if this invoice is placed in the hands of an attorney for collection. Yearly maintenance not included in warranty. Si atu of AA orized Purch r: Date 1 Payment to be made as follows: Balance on completion Greens Energy Services, Inc. proposes hereby to furnish and install the equipment and materials as described above on the terms and conditions provided herein. This proposal is good for thirty (30) days from the date hereof, but may be accepted at any later date at the sole discretion of Greens Energy Services, Inc.. Signat e o u)glzed R96r ive of Greens Energy Services. Inc.: Date / 7 Bill Osetek • Date Created: 01-19-2017 Proposal Approval Section Quality levels Better Print your name Draw your signature I accept the terms •06 this agreement. LIMITED POWER OF ATTORNEY Date: September 7, 2016 I hereby appoint: Cynthia Durham as an agent of: Greens Enemy Services, Inc. _ 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): O All permits and applications submitted by this contractor. O The specific permit and application for work located at: Expiration Date for This Limited Power of Attorney: 9/7/17 License Holder: John T. Green State License Number: CAC1813726 Signature of license Holder: STATE OF FLORIDA COUNTY OF ORANGE The foregoing instrument was acknowledged before me this —L_ day of t' 20 Flo , by r% 7- c-,re en who is CB -personally known to me or O who has produced as identification and who did did not) take an oath. Signature Notary Seal) LAURA COLYAR Print or type name Notary Public - State of F11wift Commission r FF 925212 Notary Public —State of FloridaddMyComm. Expires Oct 25.2019a •• ••••• 9oneed tMaupAtrlalipW*WyAM Commission No. h—r q a`'a a My Commission Expires: ___\, a SCPA Parcel View: 14-20-30-507-0000-0020 Page 1 of 2 Property Record Card P0i1dJolown, CrA Parcel: 14-20-30-507-0000-0020 Owner: AMSOUTH BANK waeoowrtiannor Property Address: 3815 ORLANDO DR SANFORD, FL 32773 Parcel Information Value Summary Parcel 14-20-30-507-0000-W20 2017 Working Values Owner AMSOUTH BANK Valuation Method Cost/Market Property Address 3815 ORLANDO DR SANFORD, FL 32773 Number of Buildings 1 Mailing 250 RIVERCHASE PKWY E BIRMINGHAM, AL 35244-1832 Depreciated Bldg Value 376,780 Subdivision Name LAKE MARY BLVD/17-92 COMMERCIAL SUBDIVISION i Depreciated EXFT Value 30,987 Tax District S4-SANFORD- 17-92 REDVDST Land Value (Market) 577,160 DOR Use Code 23-FINANCIAL INSTITUTE Land Value Ag Exemptions 984,927 3 f]izRtl ti 7 Portability Adj 2016 Certified Values Cost/Market 1 382,404 31,849 577,160 991,413 i Save Our Homes Adj $0 $0 Amendment 1 Adj $0 $0 P&G Adj $0 $0 Assessed Value $984,927 $991,413 Tax Amount without SOH: $19,873.47 15 Tax Bill Amount $19,873.47 Tax Esti-.,ator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 2 LAKE MARY BLVD/17-92 COMMERCIAL SUBDIVISION PB 62 PGS 35 - 37 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value Schools 984,927 0 984,927 1 City Sanford 984,927 0 984,927 SJWM(Saint Johns Water Management) 984,927 0 984,927 County Bonds 984,927 0 984,927 County General Fund 984,927 0 984,927 Sales Description I Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 9/1/2003 05047 1348 100 No Vacant SPECIAL WARRANTY DEED 9/1/2003 05047 1354 875,000 No Vacant Find Comparable Sales Land Method Frontage Depth Units Units Price LLand Value i SQUARE FEET 57716 10.00 577.160 Building Information Year Built Description Stories Total SF Ext Wall Actual/Effective Adj Value Repl Value Appendages 1 WOOD 2004 1 3,884 STONE VENEER WITH WOOD OR 376,780 $449,887 Description Area BEAM/COLUMN METAL STUDS CARPORT 1305.00 FINISHED 288.00 http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=14203050700000020 1/31/2017 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ L-t' v b)) Job Address: 1 ' •— lk:i_ 1 _ Historic District: Yes [INo IL Parcel ID: Residential [Commercial Type of Work: New Addition Alteration Repair ff' Demo Change of Use Move Description of Work: ^ c'f AtA Plan Review Contact Person: Phone: Fax: Email: Property Owner Information Name OSL' 1 e/< Aa ///in S /,Fe Street: / 0 5 Phone: `— Title: @AL_-Ei-,. Resident of property? : 1s G v V^ City, State Zip: SFti-%,. Cam/ 3 77/ 6 1 Contractor Information Name /4 ,,e13 /; Iecriq,'L,a L LL-c Phone: Street: 3 2 0 J G i Fax: City, State Zip: /l-'s S,`r ram,' , % / 3 `17 y y State License No.: if G % 3 wG i ArchitectlEngineer 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 Shalt be inscribed with the date of application and the code in effect as of that date: 50 Edition (2014) Florida Building Code Rcvised: June 30.2015 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. Signature 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 Signature of ContractoriAgent Date 7G/1diA,-C1! ntractorrvgent s na i 11 vyze e of Notary -State of Florida Date It A CONNIE L. HAUPT 6 °l Notary Public. State of Florida Commission# FF 167538 My comm. expires Oct. 9, 2018 Contractor Agent is Personally Known to Me or Produced ID Type of ID F1- 61- - 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30.2015 Permit Application Purchase Order Greens Energy Services. Inc. 186 North Goldenrod Road Orlando. 1-132807 Phone:(407)282-5000 Fax:(407)277-2333 A&B ELECTRICAL LLC 3200 LARGE OAK CT NARCOOSSF,E. Ff., 34744 iNIHGY 1[7VIOS INC Ship To: OSETEK, BILL 103 LARKWOOD DR SANFORD, Ft, 32771-3640 845)216-4158 Phone: (866)225-5178 Fax: ( ) - P.O. Number P.O. Date Call Slip # Page Number 58166 1/30/2017 237760 1 of 1 Notes: Code g Description Ordered Cost Each j Amount RECEPTACLE & AMC LIGHT 1 450.0000 450.0000 Subtotal, this page: 450.00 Total, this Vendor, this P.O.: 450.00