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