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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Do
v
cumented Construction Value: S '
Job Address_ _ , /I . ice, Historic District: Yes No
Parcel ID: 3 - Q(^ 3n - sQ. O - I Zoning:
Description of Work: • &t i..,
Flan Review Contact Person:
Phone: Fax: E-mail:
Property Owner Information
Title:
Name aA h L GP..c s Phone: V 7 - 3.13 - /? W
Street:._1 [n/- , Resident of property?
City, State Zip: .n 4rd, /-r/• 3 L27 r
Contractor Information
Name BARNES HEATING &
AIR CONBIJIUMNU
Street: 915 W. 2ND ST.
City, State Zip: = 17 a EAx0071=41# ,
Phone:
Fax:
State License No.: Cl2= 316 TI V;
Architect/Engineer Information
Name:. Phone:
Street ' S4"4% ,,,. , iw , ,'•` F.3 . '-•'. `f-.., i.'` .
Fax:
City, St, zip: E-mail:
t
bb •F
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service - No. of AMPS:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:'
Flood Zone:
Mechanical (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
00
1 1
Application is hereby made to obtain a permit to do the workarid` installations as indicated. I certify that'no
work or installation has commenced prior to the issuance oea 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 constructioi ,sand 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 a)Eeeuted'c6hfract is required in order4WIMOIT164133At
to calculate a plan review charge. If the executed contract is not submitted, we @6 ry e right to calculate the
plan review fee based on past permit activity levels. Should caVg;4 e'd1• 9r"es.; -kceed the documented
construction value when the executed contract is submitted, credit wiTlli pliefdf o o pennnit fees when the
permit is released.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
fit"a
Signature of Contractor/Agent
I
Date
ft/.. KJo'ia n
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
40732321E2
f// C.
Ehrvpomd
LACEY
IMACARENA 942 P01
SARNO
HFA71ING & AIR CONDMOMM, INC.
915 WON Stag
sm i
40n ,7
1841
23 LARKWQOD DRIVE
FL
3UN 02111 08:39
4./'v
6/1-fi l
OPT 1 - WSTALL SUC-nON AND L QIUD LINE SERVICE VALVES THEN R CHARGE SYSTEM $'eM.00
PT 2-SYPASS SERviGE VALVES AND INSTALL SCH4RAD0i VALVES THEN RECHARGE SYSTEM $680.00
CiPT 3 - REMOVE AIR KANDLER To PULL AND CLEAN EVAPORATOR COIL $1360.00
OPT 4 - PAYNE BY CARRIER (5 TOM) MMELS PHI SNA050ncI0 / PF4Md+tAo8ITQ057MBTU'S 03(X 0134 S.E.E.R
55ow STLI's HF-AT 0 7.8 H$PP
NO F:PL DISCOUNT $
54s1.oDOMNOTOtMLE-Y FOR TAX CREDIT
MANUFACTURERS 10 YR COMPRESSOR a PARTS WARRANTY,1 YR BARNES LABOR
865 - PAYNE BY CARRIER (5 TON) MODELS PH15NS0 G / P 4MNMI TOO7000STU$ COOL & 15.0 SE.E,R
570M BTV$ HEAT @ 8.7 HSPtr
SOM 00 - $M.00 F~PL DWC4L fT $5484.00QUAUFtESIMAX .0o TAX CR1ECtT
MANUFACTURERS 10 YA COMR EMR & PARTS WARRANTY,1 YR BARNES LABOR
PRICE FOR ABOVE ALSO INCLUDES REMOVAL OF OLD IrQUW EN ; TIF SACK INTO YOUR EXISTING t)ucTSMDF.LEC'iR C4%, NEW PAD, NEW MEON LINES, NEW D*iTAL THERMOSTAT, PERMIT, LABOR AND TAXES.
WE PROPOSE wjp&w TU RMasH MAIEML Am jAqoR_omwLM N ACt3ommm VM_H AMvr ^s ECtI=tDATiC i$, FOR THE I SEE ABOVE
Auoriaef Signature
THOMAS CCCHEER
A fltate le Saar ed to ba as SWH]Qd. Ali wo* tp be aompieted, In a vvo»anMe Note; This pmposal may beyaasrIonardevl (Cunt ett6t r st ocf - wbdrewn by us if W accepted
Brad tloa eettmasa. N 1 °'t1°' awd wilt beeat je e
auGidergs wltttitt 30 _hays. delays heyttnd cxv . ONH1ftr to early biro. tomstdo and necessary ire. oar warlcera are by Wfarkntaq's C,wttper,s on ktecsar+e.
Accoohme of prowmi
Ift ftmpooss, swacimm artd omom e are eitgaaoWVW. YOU We RUO* Gd to do the I" = spst kd. ftytnoM wW be madeasoathtedab ".
nato of Ac rw: 7 Z-- f .. 3,1 '
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Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PARCEL DETAIL
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PROPERTY
APPRAISER
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VALUE SUMMARY
VALUES
2011 2010
Working Certified
Value Method Cost/Market Cost/MarketGENERAL
Number of Buildings 1 1ParcelId: 34-19.30.518.OA00.0120
Depreciated Bldg Value 129,213 145,077 Ownef: LACEY JOHN LJR & MACARENA R Depreciated
EXFT Value 9.902 10,253 MailingAddress: 123 LARKWOOD DR Land
Value (Market) 23.000 28,000 CIty,State,ZipCodif: SANFORD FL 32771 Property
Address: 123 LARKWOOD OR SANFORD 32771 Land Value Ag SO So Subdivision
Name: IDYLLWILDE OF LOCH ARBOR SEC 4 JustiMarket Value 162.115 S183,330 Portablity
AdJ 0 SO TaxDistrict: St-SANFORD Exemptions:
00-HOMESTEAD (1994) Save Our Homes AdJ 19,148 42,476 Dor:
01-SINGLE FAMILY Amendment 1 AdJ SO SO Assessed
Value (SOH) 142.967 S140,854 Tax
Estimator Portability
Calculator 2011
TAXABLE VALUE WORKING ESTIMATE Taxing
Authority Assessment Value Exempt Values Taxable Value County
General Fund S142,967 S50,500 92,467 Amendment
1 adjustment is not applicable to school assessment) Schools S142,967 25.500 S117,467 City
Sanford 142.967 50.500 92.467 SJWM(
Salnt Johns Water Management) 142.967 50,500 92,467 County
Bonds 142,967 50.500 92,497 Potential
Portability Amount is S19.148 The
taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES
2010
VALUE SUMMARY Deed
Date Book Page Amount Vacllmp Qualified CORRECTIVE
DEED 0716!009 07207 1132 $100 Improved No Tax
Amount (without SOH): $z,863 QUITCLAIMDEED
04Itt2005 05882 0867 $100 Improved No 2010
Tax Bill Amount: $2.010 QUIT
CLAIM DEED 1011984 01585 0994 $100 Improved No Savo
Our Homes (SOH) Savings $853 2010
Certified Taxable Value and Taxes WARRANTY
DEED 12,1980 01313 0367 S74,900 Improved Yes DOES
NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find
Cuma fabie Sales ynihin lh;s SuMw;sicn LEGAL
DESCRIPTION LAND
Land
Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick... - LOT
0 0 1,000 23,000,00 $23.000 LEG LOT 12 BLK A IDYLLWILDE OF LOCH ARBOR SEC 4 PB 16
PG 100 BUILDING
INFORMATION Bid
Num Bld Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost iNew
Building "Ma
etchetch1
SINGLE FAMILY 1972 9 2.044 3,164 2,464 CONC BLOCK $129.213 $160.016 Appendage
I Sgft BASE SEMI FINISHED /420 Appendage/
Still GARAGE FINISHED /588 Appendage
I Sqft OPEN PORCH FINISHED / 112 NOTE:
Appendage Codes included n Living Area: Base, Upper Story Base, Upper Story Finished,, Apartment, Enclosed Porch Fmished,Base Semi
Finshed ermlts
EXTRA
FEATURE Description
Year Bit Units EXFT Value Est. Cost New FIREPLACE
1979 1 $600 S1,500 POOLGUNITE
1991 660 S6,600 $13.200 SCREEN
ENCLOSURE 1991 2,830 S2,264 S5,660 COOL
DECK PATIO 1991 250 $438 $875 NOTE:
Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. Ifyou
recent rchased a homesteadetl your next ear's property tax will be based on Just/Market value http://www.
sepafl.org/web/re_web.seminole_County_title?parcel=341930518OA000120&cp... 6/1 /2011
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2011.
Certificate of Product Ratings
AHRI Certified Reference Number: 3653904 Date: 6/1/2011
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: PH15NB060****A
Indoor Unit Model Number: PF4MNB061
Manufacturer: PAYNE HEATING AND COOLING
Trade/Brand name: PAYNE PH15
Manufacturer responsible for the rating of this system combination is PAYNE HEATING AND COOLING
Rated as follows in accordance with AHRI Standard 210/240-2008 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): 57000
EER Rating (Cooling): 12.50
SEER Rating (Cooling): 15.00
Heating Capacity(Btuh) @ 47 F: 57000
Region IV HSPF Rating (Heating): 8.70
Heating Capacity(Btuh) @ 17 F: 35400
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 ofthe use or performance ofthe 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 www.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 www.ahridirectory.org, At ® Air -Conditioning, Heating,
click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on A. ®® 0 and Refrigeration Institutewhichthecertificatewasissued, which is listed above, and the Certificate No., which is listed below.
2011 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129514170182732557