HomeMy WebLinkAbout110 Golfside Cirw
RECEIVED
_ AUG 1 2011
D BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
I l— ao $9468.00
Application No: Documented Construction Value: $
Job Address: 110 G o l f s i d e U r c l e Historic District: Yes ❑ No
Parcel ID: 04-20-30-513-0000-0440 Zoning:
Description of Work: Replace existing HVAC with Lennox 4 T HEat Dump system with 8 KW
Plan Review Contact Person: Kathleen Busalacchi Title: heater.
Phone: 407-275-0705 Fax: 407-274-9654 E-mail: Khnca1arrhiR6@gmai1 rom
Property Owner Information
Name MArcia McGovern Phone: 407-766-9358
Street. 110 G o l f s i d e C i r c l i Resident of property? : y e s
City, State Zip: Sanford. F1 32773
Contractor Information
Name Rinaldi's A/C Service
Street: 15264 E. Colonial Drive
City, State Zip: Orlando, FL 32826
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit O
Square Footage: _
No. of Dwelling Units:
Electrical O
New Service - No. of AMPS:
Phone: 907-275-0705
Fax: 407-273-9654
State License No.: CAC055565
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
Flood Zone:
Plumbing O
Mechanical [3 (Duct lay�°ut required for new systems)
�3K
• Y�
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O No. of heads:
w
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
mee-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 Date Signature of Contractor/Agent i5ate
Mp,e- n lMyc-,�,J
Print Owner/Agent's Name
�P+►v IJotary Public State of Florida
r° Veronica Anne Hopper
Ny pt My Commission DDS71499
oo ad` Expires 03/1712013
- _�J
Owner/Agent is Personall4Xown to Me or
Produced ID L, Type of I L I ZPl�L,S�
APPROVALS: ZONING:
COMMENTS:
Rev 11.08
UTILITIES:
ENGINEERING: FIRE:
Robert Rinaldi
nt Contractor/Agent's Name
(M /\
Signature of Notary -State of Florida Date
E
Notary Public State of Flonda
: Veronica Anne Hopper
My Commission DDS71499
Expires 0 3/1 712 01 3
Contractor/Agent is (-�Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
DIAGNOSTIC LIST • • • •
0 CONDENSER
o HEATPUMP o ST.0001 Irseall a Lennox 4 Ton Heat Pum
O APPRQx AGE
O AMBIENT TEMP system with- 8KW heater and an I -C
O R.22 O 8410 O OTHER -
0 SUCTION PSI T—Stat.
O FEAR PSI
O SUPERHEAT
O
O PROPER C•tARM D LEAK Lennox rebate
O AOC LBS F+
O COMPRESSOR Rl-_RLA 6 to 8 weeks.
O COMPRESSOiMB3AWM
O COMP "CAP LIF
O CDMA RUN CAP RM
—
0 COMP START CAP UF -
0 COMP START CAP ROG
$600.00 to follow
. -11
DFAN RA_—FILA_— ###Qualifies for Tax Credit***
O FAN RUN CAP OF
We wish to provide the highest level of professionalism and quality service along Wath the best
O STATIC PFESSUFE
O HUMIDRY %
O BLOWER LEAN
0FANRUNCAPRDG
7REFRIGERANT
TYPE
One
Year
Limited Warranty
on Lab
O COIL CLEAN O COIL OIRTY
O BLOWER DIRTY 1 AI parts replaced by us win be wartented to be free of defects for a period of O 1 Year
O A/H CABINET CLEAN
O . Marry service companies provide 30.60 or 90 day wamenves. We feel that
DRAIN UNE CLOGGED
O A/H CABINET DOM
O FILTER CLEAN
D FILTER DIRTY
O FILTER REPLACED O YES O NO
DmNTACTDRBURNT
PEAK PERFORMANCE MAINTENANCE CONTRACT
Ten
Year
Limited Warranty
on Par
O CONTACTOR CLEAN
OREVERSWGVALVE CC
Ten
Year
Limited Warranty
on
O DEFROST BOARD OK
0 AIR HANDLER
Compressor.
O STANDARD O VAR. SPD.
O APPROX AM
O GARAGE O CDg7 O ATTC
D ENTOB LVGDB
All
coupons
and Discounts
ARRlie
O TEMP SPLIT
C,/U MARE
M®.
SERIAL MAM
D FANRA_RLA_—
LENNOX
XP -16-048
O FAN RUN CAP OF
OFAN RUN CAPROG
•A /H I.v
LENNOX
ICBX40UHV-048-;(11Av
O FAN RELAY OX
O EVAN COIL CLEAN
RINALDI'S
WARRANTY TERMS
If
INVOICEt #
ort AIR CONDITIONING SERVICE - DATE
15264 East Colonial Drive • ORLANDO, FLORIDA 32826 06/17
(407) 275-0705 FAX (407) 273-9654 • www.rinaldis.com G/s.
STATE LICENSE NO. CAC055565 • Since 1969 1 1 n S f; A
CITY STATE
REPAIRS AND PARTS DESCRIPTIONS
I
-Comfort SN : !' t
rmn-OR RN -80/0
O EVAP COIL DIRTY
We wish to provide the highest level of professionalism and quality service along Wath the best
O STATIC PFESSUFE
O HUMIDRY %
O BLOWER LEAN
customer assurance policy in the industry Our service repair wain anty policy is:
7REFRIGERANT
TYPE
O $TRIP FEAT KW.
_
STRIP KXJAMPS
YYO
OUANTr
O HEATS®/RELAYOK
O BLOWER DIRTY 1 AI parts replaced by us win be wartented to be free of defects for a period of O 1 Year
O A/H CABINET CLEAN
O . Marry service companies provide 30.60 or 90 day wamenves. We feel that
DRAIN UNE CLOGGED
O A/H CABINET DOM
O FILTER CLEAN
D FILTER DIRTY
O FILTER REPLACED O YES O NO
the part- here instan have been carefully selected and meet or exceed manufacturer specifics-
flans For this meson we feel comfortable offering this excellent warrenry.
2. Our repair labor is warranted for a period of O 1 Year O This is the labor
to repair or replace the pert we instaled in the initial repair, and not to can*= other prob.
Isms that may have ansen In the interim.
PEAK PERFORMANCE MAINTENANCE CONTRACT
O CHECK If / DL q SUB.
O CASH
OCC
O FILTER SIZE
O FILTER TYPE
• •
O STATIC PFESSUFE
O HUMIDRY %
7REFRIGERANT
TYPE
O $TRIP FEAT KW.
_
STRIP KXJAMPS
YYO
OUANTr
O HEATS®/RELAYOK
O DRAIN LINE CLEAR
TIME
DRAIN UNE CLOGGED
/ '30D
ARRIVED
PEAK PERFORMANCE
CUSTOMER AGREES TD TERMS AND
_
CONDITIONS OF PEAK P6OURMANCE
MAINTENANCE AGREEMENT. (SEE REVERSE SIDE)
— . ACCEPT [:]OECUNE
CUSTOMERS INITIALS X
M OF SYSTEMS M OF YEARS_
I HAVE THE AUTHOFM TO DRDER THE ASTM V "K AND M SO OFIDER AS OURAI•ID ABO&
R 6 AWEED THAT THE SEU24 WILL FIETAN TIRE TO ANY EDUPNENT OR MATMAL RJR
N8ED UNTIL FINAL 6 COMPLETE PAYAENT 6 MADE, AND F SEMS ENT 6 PDT NAD: AS
AGFEED THE MER SHALL HAVE THE FIGHT TO MOW SANE AND THE SELLER PULL BE HELD
HARMLESS FOR ANY DAMAGES RESULTING ROM THE FEAOVAL THEREOF. A DISU DLEM
CHAFIGE OF 1 1/M PER MONTH APPLES ON ALL PAST DEF AMO NM ALL P1000 -SES AEE
SST TO COLLECTION FEES COUM 030 AND AflCW&EYS FEES F UNPAID AND VENUE
SHALL EE ORANGE COUDiIY. RAiDA
MP
REG I REM
PRICE FRO
14.
DIAGNOSTIC
DISCOUNT
SUBTOTAL
D RES D COM
O PEAK D REG
O OC O RW
$780.
AUTHORIZED SIGNATM a
A OMM rwncocn %AAnev unc accts (YIKACn lr=n Akin I ArW. NrhA/l FTY.F RFMIPT rF MY COPY.
innum�rnaainaM��Igaalu��moauirlun
' THIS INSTRUMENT PREPARED BY:
Name: NRRYRNNE NORSE, CLERK OF CIRCUIT COURT
Address:
r an oSENINOLE COUNTY
,
• State of Florida BK 07592 Pg 1202; llpg)
CLERK'S tl 2031068382
RECORDED 06/29/2011 09:31:22 AN
NOTICE OF COMMENCEMBORDINs FEES 10.o0
RECORDED BY J Eckenroth(all)
Permit Number Parcel ID Number (PID) 04-20-30-513-0000-0440
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided to this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of the property ajt street address if available) 01-SingleFamily
GENERAL DESCRIPTION OF IMPROVEMENT Replace existing HVAC system with Lennox 4 Ton
Neat Pump System with an 8 KW heater.
OWNER INFORMATION
Name and address: P) a t- c,._ Mc Gov e.t•-n
I IcLcG. S:AP- im, s�„���d,
Name and address of Fee Simple Title Holder (if other than owner) :
CONTRACTOR
Name and address:
Rinaldi's Air Conditioning Service
15264 E. Colonial Drive, Orlando, FL 32826
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(1)(b), Florida Statutes.
Name and address -
In addition to himself, Owner Designates of
To receive a copy of the Lienors Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement:
The expiration date Is 1 year from date of recording unless a different date Is specified.
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF#THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF Florida n COUNTY OF Orange
"(NOTE: Per Florida Statute 713.13(1) (g), owner must sign...... and no one else may be permitted to sign in his or her stead."
The foregoing Instrument was acknowledged before me this _,Z26y of \ M26.17,5 , 1111
Who is personally known to me ❑
'Name of person making statem / n
OR who has produced identiffcationb type of identification produced d, vp/vL r `Cly
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT
ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF.
�U o4 ry ub4�c st8P6orP P6j,�Nl ABOVE
Veronica Anne Hopper
My Commission DD871499
Expires 03/17/3g
Notary Signature