HomeMy WebLinkAbout252 Bella Rosa Cir - M18-003699 - HVACPERMIT APPLICATION
Application No:
Documented Construction Value: $ 8,726.00
Job Address: 252 BELLA ROSA CIRCLE. SANFORD 32771 Historic District: Yes[-] No
Parcel ID: 29-19-31-502-0000-0280 Residential X Commercial
Type of Work: New Addition x Alteration Repair Demo Change of Use Move
Description ofWork: HVAC CHANGEOUT-3 TON/ 15 SEER/ HP
Plan Review Contact Person: COLBY LOVERIDGE
Phone: 321-332-0001
Name CHAD GODLEY
Street: 252 BELLA ROSA CIRCLE
Fax:
City, State Zip: SANFORD, FL 32771
Title: PERMIT TECHNICIAN
Email: CALCS@SYSTEMATIC-LOGIC.COM
Property Owner Information
Phone: 407-790-0101
Resident ofproperty? :
Contractor Information
Name SERVICE EXPERTS- CAREY ZARM
Street: 226 MARION STREET
City, State Zip: IHB, FL 32937
Name: N/A
Street:
City, St, Zip:
Bonding Company: N/A
Address:
Phone: 321-332-0001
Fax: 1-321-281-4733
YES
State License No.: CAC1817129
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender: N/A
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 INSPE-Cl'ION. IF YOU IN"I'L'•ND 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 ofa permit and that all work will be performed to meet standards ofall 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: 6i1 Edition (2017) Florida Building Code
O.1'1 : 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 1 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 estimnted construction value of the job at the time of submittal. The actual construction value
will be figured based on the current [CC 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.
Signatutc ofOwncr/Agent
Print Owncr/Agent's Name
Date Signature of Contractor/Agent
CAREY ZARM
Print Contractor/Aem ' Name
8/17/18
JESSECA COLBY LOVERIDGE
a. .Notary Public • State of Florida
A! Commission O GG 175692
My Comm. Expires Jun 23, 2020
Bonded through National Notary Assn.
Signature of Notary -State of Florida Date SWature of No(U,9'tate of Florida U Date
Owner/Agent is Personally Known to Me or Contractor/Agent is X Personally 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: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # ofAmps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
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1110 4 Service Experts 1412Intrepid Drive, Unit C
Deland, FL 32724
HEATING & AIR CONDITIONING
Customer Name:
Street dress: S —
City: - Stale, 0- Zip: 3g-M Email:
Primary Phone: O 740- oz o % Secondary Phone:
Service Address:
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0 VISA U M/C 0 AMEX 0 DISC Check # , Id 0 Loan S Amount Financed
1 1 1 1 1 1• L l l Loan Type BY SIGNING
BELOW, I AGREE TO THE TERMS OF THIS SERVICE ORDER, THE ATTACHED GENERAL TERMS AND
CONDITIONS, AND WHERE APPLICABLE, THE THIRD PARTY SERVICE NET WARRANTY, LLC TERMS
AND CONDITIONS. I ALSO AGREE THAT I HAVE BEEN NOTIFIED VERBALLY OF MY RIGHT TO CANCEL,
THAT I HAVE RECEIVED TWO COPIES OF THE NOTICE OF RIGHT TO CANCEL AND WHERE APPLICABLE,
ANY ADDENDUM DE, CRIBING MY RIGHTS UNDER STATE LAW. Print Customer
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existingduct work Siidd Supply
Add Return
O insulate
duct work O seal
duct work erwance air
flow O Reconnect
existing %dring O Weatherproof
elec. disconnectO Circuit
breaker O Pow
circuit O Control
wiring O Ceiling
saver Pit wrauto cutctt O Gas
Piping 7) Fiuo
Piping ) Flue Liner t ) Opu•
s;ted retrigemnt plpira O Architectural
piping cover O Condensate
piping/pump O Condenser
foundation pad O YibraWshock
isolators O Combustion
air O Ulm
Water Heater 0 Replaced
components disposal O Other
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pxete cleanup a vacuuming O Corlified
rebigerslt hmx tg O Inspect
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Investment Total Investment
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Upon Completion OualifyIng Rebates'
Qualifying Credits•
Rent = and
CiedbareareiedtoapplrnblermreCace.erterrns>3d W-t= You, the
buyer, may cancel this transaction at any time prior to midnight
of the third business day after the date of this transaction. See
the notice of cancellation torn) for an explanation of
this right. J Ask Us
about expert Canmerclal Service nor yoar larshress or employm. O ?.eta
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Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018098341 Book:9199 Page:756; (1 PAGES) RCD: 8/25/2018 9:33:00 AM
REC FEE $10.00
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Permit # Tax Folio #
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF nfM%110LE
THE UNDERSIGNED hereby gives notice that improvement vrill be made to certain real property, and in accordance with Chapter 713,
Flo da Statutes, the following IMornation is provided In this Notice of Cornmencernent
1. DESCRIPTION OF PROPERTY (legal description and street address, N available):
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. , OWNER INFORMATION:
a. Name and address: CHAIR G rAjPU
b. Interest in prc
c. Name and ad
4. CONTRACTOR:
a. Name: SEP
b. Address: 14
c. Phone Numb
5. SURETY COMPANY
Owner): N/A
IF Appfirable, a copy of the payment bond is attached):
a. Name 8r Address: N/A
b. Phone Number: Bond Amount
6. LENDERMORTGAGE COMPANY:
a. Name & Address: N/A _
b. Phone Number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents
may be served as provided by section 713.13(1)(a)7., Florida Statutes (name and address)
S. In addition to himself, Owner designates of
address) to receive a copy of the Lienor's Notice as provided in section 713.13(1)(b),
Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is one year from the date of recording
unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THEOWNER AFTER THE EXPIRATIONOF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.136 FLORIDA STATUTES AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTSTOYOUR PROPERTY. A NOTICE OF COMMENCEMENTMUST BE RECORDED AND POSTEDON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TOOBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS IN IT ARE TRUE
TO THE EST OF MY DGE AND BELIEF (SECTION 92.525, FLORIDA STATUTES
OWNER
SIGNATURE OF OWNE NER'S AUTHORIZED OFFICER SIGNATORY'S TITLE/OFFICE
The foregoing instrument was acknowledged before me this 13TV day of AbC-YUST 201E
by CAA G, as
NAME) (TYPE OF AUTHORITY ... e.g. officer, Irwin)
for
NAME OF PARTY ON BEHALF OF WHICH INSTRUMENT WAS EXECUTED)
0 PERSONALLY KNOWN Ok PRODUCED IDENTIFICATION, TYPE OF IDENTIFICATION PRODUCED _ M
1;fr o`•: RSSECA.COLBYLOVERtDGE
Nutary PioKc - State of Florida
t •' Commission; GG 1?',692
Mr Comm. Lrtires Jun 23. 2020
Boded through 83tin,'01 Notary Assn.
it
Certificate of Product Ratings
AHRI Certified Reference Number: 201842198 Date: 08-17-2018 Model Status: Active
AHRI Type: HRCU-A-CB
Series: ELITE XP14 SERIES
Outdoor Unit Brand Name: LENNOX
Outdoor Unit Model Number (Condenser or Single Package) : XP14-036-230-10
Indoor Unit Model Number (Evaporator and/or Air Handier) : CBA38MV-042-230'+TDR
The manufacturer of this LENNOX product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btu6 : 34800
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.50
Heating Capacity (H12) - Single or High Stage (47F) : 32600
HSPF (Region IV) : 9.00
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are beingmarketedbutarenotyetbeingproduced. Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate The new published rating is shoum along with the previous (i.6. WASI reline. -
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the producUs), or theunauthorizedalterationofdatalistedonthisCertificate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahrldlrectory.org.
TERMS AND CONDITIONS
This Certificate and Itsscontents are proprietary products of AHRI. This Certificate shall only be used for indiriduat, personal and Am
confidential reference purposes. 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 individuol.
personal and confidential reference. AIR-CONDITIONING.
N
HEATING,
CERTIFICATE VERIFICATION
A REFRIGERATION INSTITUTE
The Information for the model cited on this certincote can be verified of www.ohrldlrcctory.org. click on -verity Certificate' link c make Ide beltcr'
and enter theAHRI 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 131789965838128092
2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
A •
BUILDING DIVISION
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. /90* .34 4? 9 ISSUE DATE:
CONTRACTOR: U, • C to veoe'W
e
fS
JOB ADDRESS: 074 4A j6d i / a I
TYPE OF WORK: CO /0 VA
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 APPR0IFU RFJF.'CIED INSPECTOR
ELECTRICAL
INSPECTION TYPE. APPROVED RFJECIED INSPECTOR
FOOTER INSPECTION ELECTRIC UNDERGROUND
STEMWALL FOOTER/SLAB STEEL BOND
FORM BOARD SURVEY T.U.G. / PRE POWER
SLAB / MONO -SLAB ELECTRIC ROUGH
LINTEL / TIE BEAM ELECTRIC FINAL
SHEATHING - ROOF MECHANICAL
INSPEC77ONTYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALUSHEETROCK PLUMBING
INSPECTION TYPE APPROVED RFJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION77PF APPRO17:'D REIF.CTF.D INSPECTORROOF
INSPECTION TYPE APPROVFD RFJECEED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE APPROVED RFJF'CTI:'D INSPECTOR INSPECTION TYPE. APPR01'ED RFJF.CTFD INSPECTOR
FINAL DEMO FINAL DOOR
FINAL SOLAR PANELS FINAL WINDOW
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 TOTHE REQUIREMENTS OFTHIS PERMIT, THERE MAYBE ADDITIONAL RESTRICTIONS APPLICABLE TOTHIS PROPERTY THAT MAYBE FOUND IN THE PUBLIC RECORDS
OFTHIS COUNTY, ANDTHERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENTDISTRICTS, STATE AGENCIES OR FEDERAL
AGENCIES FBC105 3 3
REVISED: 4.17 Inspection Lim: 407.792.6069 or $53341.2112
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 5:00 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
STEM WALL 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
PLUMBINGDRYWALL / SHEETROCK 131
LATH INSPECTION 132 UNDERGROUND ROUGH 322
FINAL STUCCO / SIDING 130 TUB SET 312
FIREWALL SCREW 120 SEWER 311
FIR EWALL 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
FINAL DEMO 126 FINAL DOOR 136
FINAL SOLAR PANELS 134 FINAL WINDOW 137
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 . . . . . 18-00003699 Date 8/29/18
Property Address . . . . . . 252 BELLA ROSA CIR
Parcel Number . . 29.19.31.502-0000-0280
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc .
Phone Access Code 1074392
Permit pin number 1074392
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 410 MH02 MECHANICAL FINAL _/_/_