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Home My WebLink About105 Club RdFJUL 7 Z015 BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / Documented Construction Value: $ S-96 9- Job Address: M S el v 6' Parcel ID: 3s'- / 9 - 30 - Saa - 0 yv - OU3 0 Historic District: Yes No 2 Zoning: Description of Work: ur - S X&, r- Plan Review Contact Person: Oe- 1zld-Sco Title: Pooae,r:IN Phone: 'f07- P-2-0q Fag: Il07-r,?/- 2- ?e E-mail: 671;-dSc0s.3 co re Property Owner Information Name Z'5rzc e_ 0—' 7gb'r_' a Phone: Yd 7- f ?fo - 3G Z .S Street: 3 3 `- L471- e"' /7y y2 Resident of property? : /tN City, State Zip: 7s(9 Contractor Information Name f/1/C-'SSOn Phone: Odd -J-06 / Street: Fag: *2_ d-3/- e_ S 90 City, State Zip: 2750 State License No.: G/d'CO ,S6 7d 6' Architect/ Engineer Information Name: Phone: Street: Fag: City, St, Zip: E-mail: Bonding Company: /+ Mortgage Lender: Address: Address: Building Permit Square Footage: PERMIT INFORMATION Construction Type: No. of Dwelling Units: Flood Zone: Electrical New Service - No. of AMPS: Mechanical bC (Duct layout required for new systems) No. of Stories: 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. 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: FIRE: Signature of Contractor/Agent Date 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: 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 priorito the issuance of a permit and that all work will be performed to ltteet 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. Print Owoer/Agent's Name 6-3t7-/.5' to of Fto4AESA B SHAVE ' at NotarY, Public - Slate of Florida My•Corriet. trtpfres Jun 21. 2018 Comtnla5ion N Ff 097498, Owner/Agent is sonally Kno toa or Produced ID Type o APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: i f7' Signature of Contractor/Agent Date Print Csmtractor/Agent's Name Ac0ARR46ANETTE BON _ Notary Public - State of Florida My Comm. Expires Jun 1, 2016 Commission # EE 194633 Bonded Through National Notary Assn. Contractor/Agent is _ ,,T-ersonally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 F11Q 731.135(5)(6) Florida Statutes. REV 07.14 SCPA Parcel View: 35-19-30-522-OG00-0030 Page 1 of 2 David Joriri,on. CF q PROPERTY APPRAISER SEMINOLE COUNTY, FLORIDA Property Record Card Parcel: 35-19-30-522-OG00-0030 Owner: RICHARDS JANICE C & DAVID L Property Address: 105 CLUB RD SANFORD, FL 32771-4106 I Parcel:35-19-30-522-OGOO-0030 I Property Address: 105 CLUB RD Owner: RICHARDS JANICE C & DAVID L Mailing: 633 E WARREN AVE LONGWOOD, FL 32750-5339 Subdivision Name: COUNTRY CLUB MANOR UNIT 3 Tax District: Sl-SANFORD D Exemptions: DOR Use Code: Ol-SINGLE FAMILY Value Summary 2015 Working 2014 Certified values VIaloes Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 28,345 27,477 Depreciated EXFT Value 600 600 Land Value (Market) 12,000 9,500 Land Value Ag Just/Market Value 40,945 37,577 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 189 526 Assessed Value 40,756 37,051 Tax Amount without SOH: 741.97 2014 Tax Bill Amount 741.97 Tax Estimator Save Our Homes Savings: 0.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 3 BLK G I COUNTRY CLUB MANOR UNIT 3 PB12PG76 I Taxes Taxing Authority _ Assessment Value Exempt Values Taxable Value County General Fund T 40,756 $0 $40,756 40,945 $0 $40,945 IISchoolsCitySanford 40,756 $0 $40,756 SJWM(Saint Johns Water Management) County Bonds - -- _ _ 40,756 $0 $40,756 40,756 - _$0 $40,756 Sales Description ^ T - — Date TBook ^ Page nt _ Qualified _ Vac/Imp — PROBATE RECORDS 4/1/2015 08449 1254 $100 No Improved QUIT CLAIM DEED 3/1/2015 Find Comparable Sales within this Subdivision 08450 1387 $100 No Improved Land Method TFrontage T-- Depth Unit Units Price 'Land Value LOT _ _ 0 0 1 $12,000.00 $12,000 Building Information Description Year Built FatActual/Effective ures Base Area I Total SF Living SF Ext Wall Adj Value Rep, Value i AppendagesI iL 1 SINGLE 1960 3 720 1,175 720 CONC $28,345 $44,463 IljDescription ; - OPEN PORCH UNFINISHED OPEN PORCH 70 UNFINISHED I http://www.scpafl.org/ParcelDetailInfo.aspx?PID=3519305220G000030 7/1/2015 WESSON AIR, INC Air Conditioning & .bleating R1chardsC1ubRoadXR15.wrd Page 3 of 3, Richards, Trane XR 15 Heat Pump System with Comfort-R., 2.5 ton 15 Seer. PROPER START-UP: After the mechanics have completed the installation work a NATE certified Wesson Air Inc. technician shall be dispatched to perform proper start-up. To assure that your new Wesson Comfort System operates at peak performance, your system is dehydrated with nitrogen and suction, then tuned to your home by measuring the temperature split, sub cooling, super heat in addition to measuring the These essential steps are over looked in 90% of Installations nationally and results in less comfort, economy and rellabl/itIf to you, the consumer. WARRANTY: Wesson Air Inc. shall provide one-year part and labor coverage on installed system. Wesson Air Inc. shall provide lifetime warranty on all of the new ductwork installed by Wesson Air Inc. against defective material and workmanship. Trane shall provide standard five-year part coverage for the compressor and five-year part coverage on all of the new Trane components.. Factory 10 year part warranty registration is Included In your total investment. PAYMENT SCHEDULE: Balance upon completion. S 6,151.00 Florida Power & Light Rebate an amount less you pay. < $109.00 > $ 6,042.00 with Wells Fargo Visa, 36 month equal payments @ 0% interest $ 167.84 Or TraneSDrin-t 2016 cash discount Instead of Factory Financina Promotion. $ 5.660.00 Apply for Trane 96Numer financing on line at wessonal Click on PayrrreM'OGpttDns,;P'ck on Finance. WESSON AIR I C. - BY t IG URE 1. John Bandur DATE 12015 Proposal valid for fo r days. OPTIONS: Post installation Options: 108. 00 High performance mery eight rated filters one case of twelve. Six filters included with installation. 169. 95 Energy Saving Agreement, factory recommended precision preventive maintenance. Included. Trane optional extended part & labor warranty through the installation date of 2025. $1,788.00 Installation Option: In the unlikely event replacement refrigerant lines are required new lines not to exceed. $ 865.00 240. 00 XL 824, High Def Color, Wi Fi, Radar Weather Alert with Nexia Home Automation Tstat. Florida homeowner's construction recovery fund. Payment may be available from the Florida homeowner's construction recovery fund if you lose money on a project performed under contract, where the loss results from specified violation of Florida law by a licensed contractor. For information about the recovery fund and filing a claim, contact the Florida construction industry licensing board at the following telephone number and address: 1. 850.487-1395 Florida homeowner's construction recovery fund. 1940 N. Monroe St., Tallahassee, Fl. 32399 Rlc hardsC IubRoadXR15. W rd 156 Ba vood Ave. • Longwood, Florida 32750 • 407 831-5061 • Fax 407 831-2570 • Lic. # C C05G70G NJ ti.. CERTIFIED www.ahridirectory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. Certificate of Product Ratings AHRI Certified Reference Number: 7562380 Date: 7/1/2015 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 4TWR603OH1 Indoor Unit Model Number: TEM6AOB3OH21+TDR Manufacturer: TRANE Trade/Brand name: TRANE Series name: XR16 Manufacturer responsible for the rating of this system combination is TRANE 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): 28600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 Heating Capacity(Btuh) @ 47 F: 27800 Region IV HSPF Rating (Heating): 9.00 Heating Capacity(Btuh) @ 17 F: 18400 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 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. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we eke bfe 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. 130802324262240526 2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: r_r rW SEMINOLE COUNTY MULTI%URISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 7 / I hereby name and appoint: an agent of: Name of to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for_(check only one option): All permits and applications submitted by this contractor. Or 9 The specific permit and application for work located at: iS Aeg,&-Z-> Ag -19 L 327? / Street Address) Expiration Date for This Limited Power of Attorney: 7-3 % License Holder Name: /-/'h4-.`A/'!'i y6V State License Number: G/ Co Signature of License Holder: STATE .OF FLORIDA COUNTY OF SEM /17 The foregoing instrument was acknowledged before me this jday of 20by n ersonallvkn wn to me or who has produced as identification and who did (did not) take an oath. Signature of Notary Print or type Notary name ANN JEANETTE BONACKI Notary Public - State of YpNotary Public - State of Florida / t : My Comm. Expires Jun 1, 2016 Commission No. 4 iC(o33faryQpffg1psion # EE 194633 My Commission Expires: n ` (, r br(a n„ lt ' Bonded Through National Notary Assn.