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HomeMy WebLinkAbout1506 W 13 PlRECEIVED OCT 1 9 2010 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: l I — Doc mented Construction Value: $r "IDS Job Address: i5Uo W . i Jl r PI - SA n u Historic District: Yes No Parcel ID: 35- H-3b-- ZZi Zoning: Description of Work: Plan Review Contact Persons: Phone: 40 'f 0`' 4— 000I Fax: E-mail: Property Owner Information Title: Name I 9 In ly),es Phone: 'f bq 3-9,0— V/ZZ Street: 1 v 4 01 P1 ii Resident of property? City, State Zip: Si) FV j,/ Contractor Information Name Ivlak)& v0 i Phone: Street: fliolkob Ave, Fax: City, State Zip: State License No.: Gfff-U4-22 0A Architect/Engineer Information Name: rr Phone: Street City, St, Zip: Bonding Company: 14 Address: Building Permit Square Footage: L= /' No. of Dwelling Units: Electrical Fax: E-mail: Mortgage Lender: I) ft Address: PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: New Service — NN . of AMPS: Mechanical t+J (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: v i 4 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: 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. 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. 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. Signature of Owner/Agent Date Owner/Agent's Name Signature of Notary -State of Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: COMMENTS: ENGINEERING: UTILITIES: FIRE: L Signature of Contractor/Agent Date Print Contr ctor/Agent's Name Signl5 -State of Florida. _ Date PRAVIN DEVA NOTARY PUBLIC- STATE OF FLORIDA COMMIS,ION #DD772688 EXPIRES 03/27/2012 BONDEDTMRU 14887NOTARYI Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTEWATER: BUILDING: Rev 11.08 Crums Climate Control Inc . .... Since 1941 r 4 • — - Air Conditioning, Heating & FireplacesCiB'DE199s CBeB09®$e C®aotr®1 2773 Navigator Ave., Sanford, Florida 32773 (407) 644-6601 Brian Wrong email: Owner@crumsac.com IS Proposal Submitted To: Date Phone W / H 15 0 6 l, . 13 Q L F—.r-j L '' 7 / Street ( Job Location) City State Zip Code SGi/vv(._ Street ( Billing Address) City State Zip Code We hereby propose : To furnish, install and service under warranty ( stated below ) products and service or related equipment for your home or business in accordance with the conditions and specifications set forth in this proposal. nA/C Condenser / B-IVFCondenser SEER 13 KW j PKG Coil L trHandler / VA) x'o. f IlJ _ / Horz R Horz L Down _ Vert aGas Furnace ood Switch f Liquid Line Suction Line ensate Pu L/ nrrx ramle CG -P' C' eClea Lineset Protective Cover Zoning _ Zones Supply Duct Return Duct Direct Ceiling SW Insulate Platform New Platform Air Purifier Air Filter Type & Size Duct Sanitize Duct Clean: Accept Decline Duct Seal : Accept Decline New Service Upgrade New Electrical to Condenser Disconnect New Electrical to AHU Disconnect Other NOTES l f L I r/ ti t h 4 Z-! 0 A/C Pad and Size hermostat : Mercury i tta ' Programmable All work done in accordance with existing codes with permitting emoval of existing equipment from the premises All work to be performed in a neat and professional manner by a trained technician. Sweeping, dusting and vacuuming will be accomplished at the conclusion of each day of work and all debris removed from the premises. Warranty on Parts LV Years. Condenser & air handler only Warranty on Labor-_Years. Condenser & air handler only 0 Warranty on Zoning Electrical Warranty on Dampers T arranty on Compressor e a Warranty on Duct Work aWarranty on Other Total Price (tax included) S 1-41 S f IV 6 Alt A u kd-e4 1Wln e))011ars Terms : , D '-D All Financing & Term g edit Ap v e dl Signature (company) t4 Signature (customer) C-1 Date: Proposal valid until: Options: Requested Install Date Finance paperwork must be signed before the start of work c l h I •ti BUY ERS RIGHT TO CANCEL: You, the buyer, may cancel this transaction without penalty any time prior to midnight of the third business day after the date of this transaction. See reverse side for terms and conditions. fyou sign today to take advantage of a discount, you have two weeks to cancel before installation. AHRI Certified Reference Number: 1443971 Date: 8/23/2010 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: GSZ130241A* Indoor Unit Model Number: AR*F182416B* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand. name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this. system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 210/240-2006 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 23000 EER Rating (Cooling): 11.00 SEER. Rating (Cooling): 13.00 Heating Capacity(Btuh) @ 47 F: 23000 Region IV HSPF Rating (Heating): Heating Capacity(Btuh) @ 17 F: ,. 13400 Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate 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 product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at mvw.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and 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 individual, personal and confidential reference. CERTIFICATE VERIFICATION The information forthe model cited on this certificate can be verified at wwsv.ahrid irectory.org, Air -Conditioning, Heating, clickon "Verify Certificate" link and enterthe AHRI Certified Reference Number and the date on and Refrigeration Institute whichthecertificatewasissued, which is listed above, and the Certificate No., which is listed below. MM -am 2010 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129270683300101184