HomeMy WebLinkAbout101 Pinefield DrJob Addre
Parcel ID:
7BY—
CITYOF SANFORD L
2 2 2015 BUILDING & FIRE PREVENTION PERMIT
APPLICATION Application
No: 5 r-03q Documented Construction
Value: $ o r o Historic District:
Yes NoEl Residential FZr
Commercial Type of
Work: New Addition Alteration Repair Demo Change of Use Move Description of
Work: Plan Review
Contact Person: Phone: Fax:
Email: M Title:
l/
Property
Owner
Information Name 5
icti Phone: to D Street: /
Cs
Ps J/ Resident of property? City, State
Zip: ll.'%OicJ y e4K " 7 Contractor Information
Name / t
CJ Phone: 3i r7 Y-3 2 2 Street: /i/
ti l z"
O'
Fax: Zpz; 2zo-0 ;WG 1 City, State
Zip: 3a 74 3 State License No.: Name: Street:
City,
St,
Zip: Bonding Company:
Address: Architect/
Engineer
Information Phone: Fax:
E-
mail:
Mortgage Lender:
Address: 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. 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. FBC 105.
3 Shall be inscribed with the date of application and the code in effect as of that date: 5ch Edition (2014) Florida Building Code Revised: June
30, 2015 Permit Application
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 at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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.
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
S
Sig&dWe tractor/Agent Date
PrintZQntractor/Agent's Name
9- 22-15
Signature of Not ` s- iiao€Jorida Ai hETTE =T1
a „
Notary . • - Y Public - StateMComm.e of FloridcYExpiresJan
Foav oe°•' Commission 16, 201E
Y/ FF 071760bonded
National Notary Assn.
Contractor/Agent is Personally Known o ' e or
Produced ID Type of ID fL ()L
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Jul 21 1510:33a cool day inc 386 960 7209 p,1
hfQ _Tq : In addition -to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found its the public records of this county, and there may be additional permits required from otherSovemmental enrities such as water
management districts, state agencies, or federal agencies.
Acceptance of, permit is verification that I will notify the owner of the properly of the requirements of. Florida Lien Law, PS 713.
The City of Sanford requires payment of plan review fee at the time of penrtit submittal. A copy of the executed contract is required
in order to calculate a plan n:view charge and will be considered the estimated construction value of the job at the time of. submittal.
The actual construction value will be lagurcd based on the current ICC Valuation, Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual constriction, value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: X certify that all of the foregoing information is accurate and tlltat all work will
b done' c pliance with all applicable laws regulating construction and zoning.
ignatI=W..Ovmer(Ageat DAte signature of Contractor/Agent Datc
C"'iez!z *,a
PtintOwner.'Apwit s Name
Owner:Agent is _L Personally Known to Me or
Produced ID 'Type of 1D
Print Contractor/AgoWs Name
Signature of NarM,-State of Flrxida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW XS FOR OFFICE USE ONLY
Permits Required; Building[] Electrical[] Mechanical Plumbing[] GAs Roof
Construction Type: Occupancy use. -
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction. Electric # of Amps
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Treads Fire Alarms Permit: Yes No 0
APPROVALS: ZONING: TJ71LTTIES: WASTE WATER:
ENGINEERING: FIRE: BUIL DING:
COMMENTS:
Revnscd: June 30, 20]5
Permit Application,
COOL -DAY
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SCPA Parcel View: 32-19-31-515-0000-0960 Page 1 of 2
C)avld Johnsorl,CFA Property Record Card
PROPERTY Parcel: 32-19-31-515-0000-0960
APPRAISER Owner: SRMOF II 2012-1 TRUST TR FBO
SEMINOLECOUNTY.FLORIDA Property Address: 101 PINEFIELD DR SANFORD, FL 32771
Parcel:32-19-31-515-0000-0960 1
Property Address: 101 PINEFIELD DR
Owner: SRMOF II 2012-1 TRUST TR FBO
Mailing: 9990 RICHMOND AVE #4005
HOUSTON, TX 77042
Subdivision Name: CELERY LAKES PHASE 1
Tax District: Sl-SANFORD
Exemptions: 00-HOMESTEAD (2009)
DOR Use Code: 01-SINGLE FAMILY
I Value Summary
2015 Working
Values
2014 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 97,814 93,156
Depreciated EXFT Value 350
Land Value (Market) 20,000 20,000
Land Value Ag
Just/Market Value 118,164 113,156
Portability Adj
Save Our Homes Adj 29,203 24,901
Amendment 1 Adj
Assessed Value 88,961 88,255
Tax Amount without SOH:
2014 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem Assessments
1,455.08
959.21
495.87
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=32193151500000960 7/21/2015
q,17 6 0 r"?
www.ahridirectory.ar9
AHRI Certified Reference Number: 7995401 Date: 7/21/2015
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: GSZ140421 K*
Indoor Unit Model Number: ARUF43C14A*+TXV
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR
CONDITIONING AND HEATING; ENERGI AIR
Series name: GSZ14
Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP.
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): 39000
EER Rating (Cooling): 11.50
SEER Rating (Cooling): 14.00
Heating Capacity(Btuh) @ 47 F: 40000
Region IV HSPF Rating (Heating): 8.20
Heating Capacity(Btuh) @ 17 F: 24000
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
t The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we mare 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.: 130819559432507891
JUL 2 2 2015
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:
L' Building pp PPermitApplicationcompleted, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
1, 4Tu 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.
C// 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).
0,"' Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
PX 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.
N ' 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