HomeMy WebLinkAbout102 Belgian Way - M18-003691 - HVAC0 I AUG 18 1018
CITY OF
Sik FORD PERMIT APPLIC TION
BUILDING DIVISION 3C qApplicationNo• 1
Documented Construction Value: $ Laos - 15/0
Job Address: i : I oh ftv Historic District: Yes[:] No
Parcel ID: U i o Q V Residential OCommercial I
Type of Work: New Iddition E] /A'llteernation Repair Demo ] Change of Use Move El
Descrivtion of Work: 1ftvh-c, l/1< I.I I 3• : J I U 1 I f l VPII D Plan
Review Contact Peison: Ca I I 1 Vj i 1 V1 Title: I ,' }
1 2 Phone:
I p
V
I U 0 U Ue 1:) Fax: 9 211 Email: YT1 a (a l rcd r l- '' l Property
Owner Information Name
l' I i I llX, l 8! 1 &V NPhone: V/ l u -
IS Street: V
vLl Q IW 1 V U W AResident of property?: City, State
Zip: S(aA&a I Contractor
In
ormationName cb0,
4P11,'N 0 , kh0al I i*,e hone: Street o I!
1 d Fax: City, State Zip:
I yl (I WU-LU50State
License
No.: Ci( 15 .L 5 -L Architect/Engineer Information
Name: Phone: Street:
I I
Fax: City, St, Zip:
I I E-mail: Bonding Company: Mortgage
Lender: Address: I I
Address - WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITEZEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, C NSULT WITH YOUR LENDER
OR iAI 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 comme ced prior to the issuance
of a permit and ti ai all workwill be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separatepermitmustbeI (cured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. Ir
F$C 105.3 Shall be inscribed itli the date ofapplication and the code in effect as of that date: 6" Edition (2017) Florida Building Code
NOTICE: In addition to the req trements of this permit, there maybe additional restrictions applicable to this property that maybe 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.
t
Acceptance of permit is verifica ion that I will notify the owner ofthe property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires p yment 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 curt nt 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.
done in compliance
Signature of Owner/Agent
Print Owner/Agent's Name
Signature of Notary -State of
I I certify that all of the foregoing information is accurate and that all work will be
jail applicable laws regulating construction and zoning.
l
Date awmactor/Agent Date
Date
Owner/Agent'is Per ovally Known to Me or Contractor/A]
ONALYMn
e orProducedIDTypifIDProduced
IDreteorFtotioaRobertson2o22 187oe5BELOWISFOROFFICEUSE
Permits Required: Bi
Construction Type:_
Total Sq Ft ofBldg:_
New Construction: El
Fire Sprinkler Permit:
APPROVALS: ZONIT
COMMENTS:
Electrical Mechanical Plumbing Gas Roof
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
of Stories:
of Amps Plumbing - # of Fixtures
No # of Heads
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Plum
FL MECH: CAC1815232
FL PLUMB: CFC1425814
GA MECH: CR110119
LA MECH: 62099
SC MECH: M11427,9!
Qff
I . PO BOX 2064
I Middleburg, FL 32050
904.282.5050 (p)
OptionJ6
904.291.5956 (f)
perm its@tote la irdare.net
i,
By this contract, Emmel and Katie Rivers, agree to allow Total Air Care, Inc. pull a permit for a HVAC change out
in their behalf thrc h The City of Sanford, hereafter known as the contractor assigned to Install their H\RC system. '
This is an HVAC change out 3.5 ton heat pump -system, for a total cost of $608.00. In
addition, the followl'!terms and conditions apply. rOnce
the new HVAC unilis successfully installed the homeowner must make access for The City of Sanford, to inspecttheunittoensireeverythingisuptocodesothatthepermitmaybefinalizedandnothaveanyholdingsorrepercussionisagainsteitherpartyinvolved. i By
signing this agreement, all parties agree to the terms as described above. Alterations to this agreement cant onlybemadebybothpaii-ties and must be placed in writing. Both parties will receive a printed copy of this agreement,
and will belresponsible for upholding its terms. l jIN //
08/27/2018 Contractor) —
Total Air; are, Inc— Michael Niquette (Date) IC08/
27/2018 Err
Manuel or Katie Rivers (Date) ' i
I
If
l I
CITY OF
f-SkNFORD Building &Fire Prevention Division
Residential Permit Card
FIRE DEPARTMENT
o 2S*
PERMIT NO. I g• 1 ISSUE DATE:
CONTRACTOR: 7&W1 A, r JOB
ADDRESS: O 1 q • WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY KIrbuju1 rtrl svvn rn a.• 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
M ADDITION TO THEREQUIREMENTS OF THIS PERMIT. THERE MAYBE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAYBE FOUND IN THE PUBLIC RECORDS OFTHISCOUNTY, AND THEREMAYBE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTRIES SUCH AS WATER MANAGEMENT DISTRICTS. STATE AGENCIESOR FEDERALAGENCIES
FBC 105.3.3 InfpcclionUnc:
l07.797.6069erI SMI-211I REVISED:
4-17
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
Application Number . . . . . 18-00003691 Date 8/28/18
Application pin number . . . 578603
Property Address . . . . . . 102 BELGIAN WAY
Parcel Number . . . . . . . . 18.20.31.505-0000-0170
Application type description MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Application valuation . . . . 608
Application desc
a/c c/o no duct work
Owner Contractor
rivers, emmanuel or kate TOTAL AIR CARE INC
102 belgian way PO BOX 2004
SANFORD FL 32773 MIDDLEBURG FL 32050
706) 263-8089 (904) 282-5050
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc .
Phone Access Code 1074293
Permit pin number 1074293
Permit Fee . . . . 40.00
Issue Date . . . . 8/28/18 Valuation . . 608
Expiration Date . . 2/24/19
Oty Unit Charge Per Extension
BASE FEE 40.00
Special Notes and Comments
Rejected inspections require payment of
a re -inspection fee prior to scheduling
another inspection.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday. Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrich®sanfordfl.gov
Other Fees . . . . . . . . . 01-APPLCTN FEE -MECHANIC 25.00
01-BLDG PLAN REVIEW 3.00
01-BLDG DCA SURCHARGE 2.00
DBSURCHARGE 200 SLOG Feesummary
Charged Paid Credited Due Permit Fee
Total 40.00 .00 .00 40.00 Other Fee
Total 32.00 .00 .00 32.00 Grand Total
72.00 .00 .00 72.00 FAILURE TO
COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE PROPERTY OWNER
PAYING TWICE FOR BUILDING IMPROVEMENTS. NOTE: ALL
FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED. NOTE: PLEASE
BE ADVISED ALL PERMITS MUST BE INSPECTED. wat CUSTOMERS
RECEIPT **+ Oper: BLANDA
Type: OC Drawer: 1 Date: 8128118
01 Receipt no: 184914 Year Number
Amount 2018 102
BELGIAN
WAY3691 SANFORD, FL
32773 BP BUILDING
PERMIT RECEIPTS 72.00
AC 013224
Tender detail
CC CRLDIT
CARD 72.00 Total tendered
72.09 Total payment
72.68 Trans date:
8/28/18 Time: 15:12:32
CITY OF
Sjk 401 PERMIT APPLICATION
AUG 2 8 2018BUILDINGDIVISION
Application No:
Documented Construction Value: $ '1 -OU
Job Address: k r o 4-+ 4 A . Historic District: Yes NoO-
Parcel ID: Residential Commercial 4d
Type of Work: New Addition Q Alteration Repair Demo Change of Use Move
Description of Work: 0 r' P /4e ACL4 ' o -->
3 r_P rn.n- - C l r& -st,,, C CIS Rio C o
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name 2 r + O LL_ Q- Phone: Street:
City,
State Zip: Resident
of property? : Contractor
Information Name
Y-> il'---1 r -fir• ,-L . SPI U C2S Phone: y0`7 -3--)a &Cl c( a Street:
p d . =D/ L/ City,
State Zip: Name:
Fax:
State
License No.: 6fR 7 / Architect/
Engineer Information Phone:
Street:
Fax: City,
St, Zip: Bonding
Company: Address:
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: 61h Edition (2017) Florida Building Code
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 ofthe 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 theestimated construction value of the job at the time ofsubmittal. 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 ofOwner/Agent
Print Owner/Agent's Name
Date Signature of Contractor/Agent Date 5$/oro /g
PyMJ Contractor/Agent's Name
e, 2g- (8
Signature of Notary -State of Florida Date Sign relpi State of Florida
ANNETTE BLAND
Notary Public . state ofJFlorldaCommission # GG 06MyComm. E Ires JanOwner/Agent is Personally Known• to Me or Cola 'ersonn to Me or
Produced ID Type of ID Produced ID Type JUT -
BELOW IS FOR OFFICE -USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
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:'.
FREEDOM ELECTRIC SERVICES, INC
P.O. BOX 214
OSTEEN, FL 32764
OFFICE PHONE (407) 322-8992
Email — freedomelectric@earthIink.net
July 31, 2018
DESIGN ENTERPRISES
ATTN -GLEN
P.O. BOX 848
WINTER PARK, FL 32790
Proposal
Description of Work:
Location - Inns Performance Group @ Brio — Bldg 4
Engineered Plans for Permitting
Permit
2 new 2x4 fluorescent layins
3 new general receptacles
re-switch lights as needed for new layout
1 new timeclock for receptacle control
Price for Above
Amount:
2,750.00
FREEDOM ELECTRIC SERVICES INC.
P.O. BOX 214
OSTEEN, FL 32764
Proposed Work Order Submitted by Dean Patrick
Approved by Signature
Printed Name
Date