HomeMy WebLinkAbout160 Pine Isle Dry
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
OQ
Application No: a C Documented Construction Value: $ O0
Job Address: 160 Pine Isle Dr. Historic District: Yes No®
f
JUN 3 0 ZU15
BY:
Parcel ID: 10-20-30-511-0000-0760 Zoning:
Description of Work: A/C Change Out, 3 Ton HP, 15 SEER, 9.5 HSPF. No Duct Work, Same Locatior
Plan Review Contact Person: Jim Lundy Title: Install Manager
Phone: (407) 841-3310 Fax: (407) 425-9934 E-mail: tvalentineOMestbrookfl.con
Property Owner Information
Name Hung Luong
Street: 160 Pine Isle Dr.
City, State Zip: Sanford FI 32773
Phone: 407-314-3856
Resident of property? :
Contractor Information
Name James RobertsAA/estbrook Service Corp. Phon3
Yes
407) 591-4612
Street: 1411 S. Oranae Blossom Trail Orlando, FI Fax: (407) 425-9934
City, State Zip: Orlando, A. 32805 State License No.: CMC1249312
Architect/Engineer Information
Name: Phone:
Street: Fax: _
City, St, Zip: E-mail:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
New Service — No. of AMPS:
Mechanical ® (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:
X9 ll iPlMA11I
e of Contractor/Agent Date
Stepheri-Williams
CHRISTINALGLOVER __
MY COMMISSIU1 # FF OE05M
EXPIRES: October 7. 2017
aond=d Thru Notary Public Undersrders
is
W/
1
Contractor/Agent is x_ Personally Known to Me or
Produced ID Type of ID
UTILITIES: WASTE WATER:
FIRE: 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
6/2612015
f7avld Johnson. C 4
PROPERTY
APPRAISER
EMINOLE COUNTY, FLQRIOA
SCPA Parcel View:10-20-30-511-0000-0760
Property Record Card
Parcel:10-20-30-511-0000-0760
Owner: LUONG HUNG K
Property Address: 160 PINE ISLE DR SANFORD, FL 32773
Parcel: 30-20-30-S 11-0000-0760
Property Address: 160 PINE ISLE DR
Owner: LUONG HUNG K
1 Mailing: 160 PINE ISLE DR
SANFORD, FL 32773
i Subdivision Name: STERLING WOODS
l Tax District: S1-SANFORD
Exemptions:
DOR Use Code: 013D•SINGLE FAMILY WATERFRONT I
71
4 LX C'i
72
r
73
77
I
I
I
Legal Description
LOT 76
STERLING WOODS
PB 54 PGS 93 THRU 95
Taxes
Value Summary
2015 Working 2014 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 135,343 128,864
I Depreciated EXFT Value
Land Value (Market) 30,000 30,000
I
Land Value Ag
I
Valuest/Market 165,343 158,864
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 0 6,049
Assessed Value 165,343 152,815
Tax Amount without SOH: 3,090.85
2014Tax Bill Amount $3,090.85
Tax Estimator
Save Our Homes Savings: 0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
J
County General Fund 165,343 0 165,343
Schools 165,343 0 165,343
City Sanford 165,343 0 165,343
SJWM(Saint Johns Water Management) 165,343 0 165,343
County Bonds 165,343 0 165,343
Sales
Description Date I Book I Page Amount ( Qualified I Vac/Imp
j SPECIAL WARRANTY DEED 1/1/2001 03994 0410 $134,100 Yes Improved I
WARRANTY DEED 9/1/2000 03929 0084 _$327,000 No Vacant
Find Comparable Sales Whin this Subdivision
Land
Method Frontage Depth Units Units Price Land Value
LOT 1 $30,000.00 $30,000
Building Information
Year Built
Description
Actual/Effective
Rxtures Base Area Total SF F Living SF Ext Wall — Adj Value Repl Value j Appendages
1-- j -L---- -- ----- — —_
1 SINGLE 2001 7 1,874 2,530 2,114 CB/STUCCO $135,343 $142,466 I
FAMILY FINISH
Description Area
http:/Amm.scpafl.org/ParcelDetail info.aspx?PID=10203051100000760 1/2
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 package shall
include the following:
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
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.
Certificate of insurance indicating worker's compensation insurance coverage and naming 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).
Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
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.
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: March 2014
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: 7699415 Date: 6/26/2015
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 4TWR5036G1
Indoor Unit Model Number: TEM6AOC36H31+TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
Series name: XR15
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): 35800
EER Rating (Cooling): 12.50
SEER Rating (Cooling): 15.00
Heating Capacity(Btuh) @ 47 F: 34000
Region IV HSPF Rating (Heating): 9.50
Heating Capacity(Btuh) @ 17 F: 21400
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 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.
2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130798127230944858
LIMITEPPOWER OF ATTORNEY
Date: 06/29/15
1 hereby name -and,,appbirit; Stephen Williams
ian agent of: Westbrook Service Corp
ame of Company),
to; be my lawful attorney -in -fact 16 ad for me ",to apply for, receipt fof, 4ti -h for,and do 1611 things "necessary to 'this
aPpqintrrfe'ritfor {check, 6nly,6h6 opti6h)':
All permits -and'.appli&atibns§tibmiitEid'b -jh is contractor.
Or
2] The spedifid,perniii-and'appjication f6.rwork- located at:
160 Pine Isle Dr.
10-20-30-511-0000-0760
Parcel ID)
fHxpiration Date for This Limited Power of Attorney: 12-31-15
License Holder Name: James Robqqs
State Licehse, Number: CACIZ4, 312
S-ignatute of Lic6hs'e H61def.
8TATL,br FLORIDA
COUNTY OF Orange
The fo(Ogfoing instrument was acknowledged before me ,this !day of I -
2015.by 1411 S. Orange Blossom Trail Orlando, Fl who lapersonally known'to me'br
E] who bat produced as identificatione6tificatibn
ho did '(q' hot)" take 0 , rijoath'.
lzz=;v N&Wgure of Notary Print or typg Notary name,
GVjRjS11NA L CLOVER ota^-y Public =State ofMYCOMMISSION # FF OE05CO2017EXPIRES" October 7, omr-hission No.
6-MP- Bonded Thru Notary public Undomfiters
y Commission Ekpir6s:
1411 S. ORANGE BLOSSOM TRAIL
ORLANDO, FLORIDA 32805
www.westbrookfl.com
407) 841-3310
AX (407) 425-9934
Lic. CMC1249312
Proposal Submitted To: Date:
Street ) (Billing Address) Street: (Job Location - if Differen )
r .10-
City, State, Zip Code City, S ta,IZl Code
f j ya7,
Phone fU,
C I ` Fax: Home: Work: l
TOTAL COMFORT SYSTEM
NEW EQUIPMENT MANUFACTURER PREMIUM DELU STANDARD
SEER / HSPF/COP ARI RATINGS
PumSystem Air Handler ndenser Package Heat Pump St -Cool Mhteat Pum - ool Heat St -Cool
Outdoor Unit Model To
Indoor Unit Model
Fan -Coil Blower Type Variable Non -variable CDP-tP3riable Non -variable Variable Non -variable
Capacity Cooling / Heating Btuh Satin -
Heat Strip Size / Breaker Size V
COMFORT PRODUCTS
Thermostat Type t
Healthy Climate Filter Mery 10 Add $225.00 Add 25.00 Add $225.00
Healthy Climate Filter Mery 16 Add $295.00 d 295.00 Add $295.00
Healthy Climate Germicidal UVC Lams Add $295.00 Add .00 Add $295.00
Healthy Climate Pure Air Add $795.00 1 Add $795.0 ' Add $795.00
EXTENDED WARRANTY AND SERVICE
10 year parts and labor warranty
veal Comfort Club Agreement Included Included Included
Standard Manufacturer's Warranty Compressor
Parts _ Condenser Coil
Compressor
11 Parts 1 Q Condenser Coil
Compressor
Parts — Condenser Coil
Westbrook Labor Warranty 1 Year 1 Year 1 1 Year
COMFORT SYSTEM PRICING
Comfort System Price o f,_
Less Manufacturers Rebate
Less Incentives
Sub Total After Credit
Total for added options
Final Comfort System Price
Less Utility Rebate
AIR DISTRIBUTION
New insulated platform with 314 plywood top and sides Add $350.00
Gap existing stand with 3/4 plywood and re -insulate
econnect supply plenum Add return flex runs Add Increase supply flex runs Add
Reconnect return plenum El Add supply flex runs Add Increase return flex runs Add
New return riser Add Replace existing duct system Add - Other
Add M- - New supply riser Add Replace return air grill r'• (
CONTROLS AND ELECTRICAL
Q-Reuse existing low voltage wire Run new low voltage wire Add
C Keuse existing high voltage wire Run new AMP high voltage circuit Add
Install new disconnect Add Upgrade electrical service
eplace_*ILLAMP breaker
Add
Ad l'L
Install new zone system Add
Install new zone dampers Add Other &S &i
Install new thermostats Add jV,U,,( 0
PIPING
Supplementary drain pan with fail-safe condensate float switch
lines
New chase cover with out cap ft.
C*l<ew refrigerant line set. Size V
Add
AddConnecttoexistingrefrigerant
New polypipe drain Add New chase cover with cap ft. Add
I,-'o'ndensate drain hook-up with clean out tee & In -Line safety T switch
MISCELLANEOUS
2rRemoval of the existing equipment from premises
Precast concrete condenser pad. Size
El New equipment platforms will be painted with white mastic.
Other
All work to be performed in a neat and professional manner by
journeymen class technician. Sweeping, dusting and vacuuming
will be accomplished at the conclusion of each day's work and all
debris removed from the premises.
All work done in accordance with existing codes and required permits
NOTE: Electrical wiring, circuit breakers, piping, grilles, condensate pump, float switch, etc. have a One -Year Part and Labor Warranty.
We propose hereby to furnish complete as above specified, f the sum k
Payment terms will be Upon Completion Credit Card Check Finance per month (approx.)
BUYER'S RIGHT TO CANCEL - YOU THE BUYER MAY CANCEL THIS TRANSACTION PRIOR TO ANY WORK BEING INITIATED WITHOUT PENALTY OR OBLIGATION ANYTIME
PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAYAFTER THE DATE OF THIS TRANSACTION.
As further conditions to this estimate, it is understood that we will not be responsible for delays caused by conditions beyond our control; that this proposal may withdrawn by us if
not accepted within days from this day; that any alteration or deviation from the above named items or either of them will become an extra charge over and above the sum quoted
above. All warranty work will be done during regular business hours.
I have authority to order the work as outlined above and agree furthermore to pay a service charge of 1-1/2 (18% A.P.R.) on the unpaid balance beyond terms stated. I also agree
to pay all court and attorney fees should collection efforts ever become necessary.
I he authorize the wo outlined above using the equipment listed in: PREMI KIDELUXE STANDARD
Signature Date
COMP R PR SENTATIV STOMER)
Signature Date
W54529 le (05/11) (CUSTOMER)