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Home My WebLink About255 Clydesdale Cira r G xcr D JUL 201 CITY OF SANFORD BUILDING & FIRE PREVENTION Y: PERMIT APPLICATION 1-5' c Documented Construction Value: $D. OD Application No• tt Job Address: 46c ( e tO I CI.G / K Historic District: Yes No 11 Parcel ID: 'A O - 31 - 5PS - DODD - 0 Y io Zoning: Description of Work: A)s a-&3.STiY 11/ Seer . l0 4- 1Wheem Ile. - Plan Review Contact Person: Sit S A21 ,{1n, ba i do Title: p ra Phone: 3& . 581 - A 3r_>.--1- Fax: 3?6, %..L • Sb 3 ' E-mail: SL lrn b 377 +9 L• C.t Property Owner Information Name VaNc- . llu sdu, 4- L' R'i S-)in a.. / Phone: YO? -7 4 G Street: S s (/ Q Cl >, Resident of property? : r S City, State Zip: Sig A Contractor Information Name 3eW ds &- la -Me i?ri CG- Phone: g S y ' 7 • /yt Street: A7 S l`f, J to 3 go' Fax: City, State Zip: ! 'J df State License No.: (W O j y G 1 S' Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Square Footage: _ Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical New Service - No. of AMPS: Mechanical (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 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. /7 Signature of Owner/Agent Print Owner/Agent's Name Date 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: IM -9 t 7,n Print ConWtorhYAcht's Name i J ignatur fRotary-State of F oAda — a e 4a% . B ARDOstipL®ib. My COM&IISSION # EE180163 EXPIRES January 28, 2010 sorvieo.eamFiorldallotary4V39&b133 ontractor/A nt is !/ Peisonally Known to Me or dType of ID WASTE WATER: BUILDING: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 SCPA Parcel View: 18-20-31-505-0000-0490 i t]rlvtd.lohrteoM7CWA Property Record Card Parcel: 18-20-31-505-0000-0490 Owner: VALLE JUSWIN & CRISTINA I M 81Bd1pJJC]LBCOUNTY,FLC10A Property Address: 255 CLYDESDALE CIR SANFORD, FL 32771 Parcel: 18-20-31-505-0000-0490 Property Address: 255 CLYDESDALE CIR Owner: VALLE JUSWIN & CRISTINA I M Mailing: 255 CLYDESDALE CIR SANFORD, FL 32773 Subdivision Name: BAKERS CROSSING PHASE 1 Tax District: Sl-SANFORD Exemptions,. OD -HOMESTEAD (2004) DOR Use Cade: 01 -SINGLE FAMILY Legal Description LOT 49 BAKERS CROSSING PH 1 PB 60 PGS 27 - 29 Taxes Value Summary Tax Amount without SOH: $2,153.70 2014 Tax Bill Amount $1,471.54 Tax Estimator Save Our Homes Savings: $682.16 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2015 Working Values 2014 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depredated Bldg Value 124,144 118,239 Depreciated EXFT Value 1,400 501000 Land value (Market) 30,000 30,000 Land Value Ag 64,895 County Bonds ust/Market Value 155,544 148,239 Portability Adj Save Our Homes Adj 40,649 34,256 Amendment 1 Adj Assessed Value 114,895 113,983 Tax Amount without SOH: $2,153.70 2014 Tax Bill Amount $1,471.54 Tax Estimator Save Our Homes Savings: $682.16 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Depth Units Units Price Taxable Value County General Fund 114,895 50,000 64,895 Sdools 114,895 25,000 891895 City Sanford 114,895 501000 64,895 SJWM(Saint Johns Water Management) 114,895 50,000 64,895 County Bonds 114,895 50,000 64,895 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 9/1/2003 05064 1056 $167,200 Yes Improved WARRANTY DEED 3/1/2003 04766 0558 $281,500 No Vacant Find Comparable Sales within this Subdivision Land Method Frontage Depth Units Units Price Land Value LOT Ext Wall 1 $30,000.00 30,000 Building Information Description YActua Effective Fixtures Base Area Total SF Lmng SF Ext Wall Adj Value Repl Value Appendages 1 ; SINGLE 2003 18 I 2,044 2,547 2,044 CB/STUCCO 124,144 129,994 FAMILY j I FINISH DescriptionArea GARAGGEEDFINISH 383 Page 1 of 2 http://www.sepafl.org/ParcelDetaiUnfo.aspx?PID=18203150500000490 7/15/2015 Certificate. of Product Ratings AHRI Certified Reference Number: 7489180 Date: 7/15/2015 Product: Split System: -Heat Pump with Remote Outdoor Unit -Air -Source . Outdoor Unit Model Number: RP1442AJ1 Indoor Unit Model Number: RH1T4821STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. 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: i:.. ,F : : .. . `- --sir`;•:`: -L r3f .,-.. >, z-L cT. 'r MN 3 J*.:: Conlin Capacity (Btuh): 4250 •• n`'#' Q,.•` :'Ivz- :..s-«.ic5.•i:'e4 '... u.,^.`I,'r:i:..•:a'"; 4 _ ,.i iS':':' v;= :,rr .•<`•.: •ro; r; t: - :?{. .. . kn- ld" n - EERaCoo4nhn Co:;,.:z'• t3y ''.::.-::.`•-- s'. ^ ... ....... .. .'.•.OL ft" t" yC:; .. i7.;.y.... r:t'r_ik':Fy •;<E.::?.: .•':t Heatino.Cdpj cit Btijh};@;:1 +F x 4$00 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 www.ahridirectory.org. TERMS AND CONDITIONS ANN This Certificate and its contents are proprietary products of AHRL This Certificate shag only be used for Individual, personal and 1Wconfidentialreferencepurposes. The contents of this Certificate may not, in whole or In part, be reproduced; copied; disseminated; lr entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the usee's Individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION REFRIGERATION INSTITUTE The information for the model cited on this certificate can be vedffed at www.shrldirectory.org, click on 'Verify Ceitificate' link me make life better - and enter the AHRI 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. ;kr7g.«...;•z., =.= ^•. yej<l.('• .:I, ',r ' 130814894027071266' 2014 Air -Conditioning, Heating, and Refrigeration Institute `CtRTWid TE NO.: y:' ; : :•;;' AERVICE Corporate office Af4EPJCA: 2755 NW 63rd Court • Ft Lauderdale, FL 33309 a a rviceaedmconn w e50Y.e www semSALES AGREEMENT CustomerNeme: /t 3,1r4V 7321tS / / .9 l- Account/Contract#-. Home phone: 1407 -7 b _. l/.)_a Email Address: Other phone: t Z -S / zs•s- eG nrsn.cc- eta..• Installation Address: hatBldg: Apt System Type: it. :.t Package O Water Source U Straight Cool om Condenser Location: 7d 7 Roof 7 Crane Needed I ___# of Stories I Air Handler Location: 1-888-201-5759 Date: ! -/ Y_ 1Jr— S.0.6: O# Admin.. Feee ZIN. I ZIP 3 Attic 3 Closet 0- Thermostatat Type: Replace Circuit Breaker. U Air Handler. Condensate Drain Hook-up: U primary Secondary P(oUProgrammable Size ':' Type 0 New Condensate Pum O Slabp O Wiring: UCondenser.Auxilaryfloatsafetyswitch Auxiliary drain pan U Horizontal drain pan 7 Thermostat Type Refrigerant copper liquid line size: L•t Disconnect Box Si/'a lTHeater. t , U Refrigerant copper suction line size: o Smoke Detector Sae U Gas pipe from Model Cond R/f tlZ/>`S)n1/f O Refrigerant line cover tOA Flush installation Information: All work poriormad in accordance with existing codes. Includoz as required pormits for work perfumed by rm Mounting hardmm for incta0ation, woatharresistantvibratlonrnsclatioopads, hurricane strapping and removal of old equipment. System 1 System 2 Make Ltdr N% Make Make Tons r L SEER i y Tons SEER Tons SEER BTU KWH i ._... BTU _. KWH BTU KWH Model A/H t1i'(1 ! /K 2-1 S j /}n) rl'i- Model A/H Model Cond R/f tlZ/>`S)n1/f Model AM Model Cond Model Cond Price Price Price System Investment install Kit Crane Rdades/Credits utility Service America Other Replacement Credit Recommendations: Insulation Duct Cleaning UV Light Other Administrative Fee Total Investment Down Payment Balance Due 0 ZCID 9N 36e3 Installation Date: 7- td-%- is' IMT 1SAE Parts &Labor Warrant yA/H _ Yrs, SAE Parts & Labor Warranty Cond. _ 1 _ Yrs, gkofg: s Warranty on Compressor i<% Yrs. 3 Mfg: s Warranty on Outdoor Coil t A • Yrs, EFMfg:sWarrantyonIndoorCoil to Yrs, IMfg.s Warranty Parts Yrs, Method of Payment: 0 Cash Financing Cl Credit Card 0 Chedc # • • CC Type Visa MC Discover Credit Card # Expiration Date: CSV# Signature: Financing Company: ized to parfarm cork a s soedf, w-c.-rouweouyarmayunr_ftnistraruaetionwititoutpenxlyor - - '----—._.'•.`''•••"'"•,`"y'nenr.n,v:rrsmcorveo.auyersngxto noel4'2tioAPaymerrtduetoinstallers fnfull upon cemplatlonofin latrten,anypmaprortamidrtghtofthechidhusuassdayafterthedataofWstransactionbypmper My signature adcnowledges aweptance of the terms above. I have read and understand all information an r_ ne irorm ana aacic of Is Safes Agreement. Customer Signature: JEDate:% Comfort Consultarrt: d for lnspection:- Yes IJNo 'Sizer tticeAnVM UCfk CAC019619.ECW07Jr'7. CFC6r6a9I tWe Copt-ot6cs. Ydku•Copr. Canomrr. F.ekCmr_A,.„ r ur.,...._en. _. . City of Sanford HVAC Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n a on this submittal. A complete application gppp " package shall include the following: d;-"*'* Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. MX Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value 1 Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). E),V'A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. 6,,A Certificate of insurance indicating worker's compensation insurance coverage and namirig the City of Sanford as certificate holder, or. a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). C mp' leted and signed Owner Builder Statement / Affidavit (if the owner is the applicant). EI One (1) copy of equipment sizing calculations — for new construction installations: o Residential - ACCA Manual J-2003 or other approved heating and cooling calculation methodology. o Commercial - ACCA Manual N-2005 or other approved heating and cooling calculation methodology. Addition or alteration of duct work, including new construction installations, requires two (2) copies of a floor plan (duct layout) showing the location of the ducts, the size of the ducts and the register sizes. This will require a plan review These guidelines were compiled to assist the applicant in preparing a HVAC change out permit application and may not be, complete. The applicant. is required to meet all City of Sanford, state, and federal code requirements. Revised: February 2015