HomeMy WebLinkAbout119 N Summerlin Ave (2)Job Address:
Oc)_ 0 I -GDo
On!
104?. A0
R -4L,, I, CITY OF SANFORD
BUILDING, W-'FIRE'PREVENTION
LJAI
112016 PERMIT APPLICATION
BX._-- Application No: i G - q3 1
Documented Construction Value: $0 J
Historic District: Yes No 2
Parcel ID: 7O I G cS '6_J_J Residential Q-c-ommercial
Type of Work: New Addition Alteration Repair L`7 Demo Change of Use Move '
Description of Work: macac CAO V10 l L 2y ,
1 Al ^ _ . 1. — 1 -
k — i
Plan Review Contact Person: Title:_(e+a i
pp Phone: W A 12V54C t) Fax ' C Email: 6L e) r) g[w t C" 1
Property Owner Information -- - - ----- - -- — -
Phone_ c / ! aree-e-1
Resident of=property?-: -
Contractor Information
nn '
Name o Phone:
Street: C O'd (Q-,
Fax: i3'j5:isQ S
City, State Zip: G'1-' j,% 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: 5'h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
r
NOTICE:'In"additioh-to'the'reg4iremdnts'dflhis'permYt, there m'ayU'additional'rdsfri6tions appiicalile'to`this property that maybe
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 a k will
be done in compliance with all applicable laws regulating construction and zonin
Signature of Owner/Agent Date Signature of Contractor/Agent
ROBERT G. DELLO' RUSSO
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print
1I1.,P
Date
71
Date
MY COMMISSION FF 23790
EXPIRES: June 14, 20 19
Banded lhruNotary Pt.hl : Undenvdters Contractor/
Agent is Personally Known to Me or Produced
ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction
Type: Occupancy Use: Flood Zone: - Total
Sq Ft of Bldg: Min. Occupancy Load: New
Construction: Electric - # of Amps. Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
r
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S
DAL = AI-R--------.-_.___...-------------._--.-
Heating • Air Conditioning
Refrigeration., In.c.
POWER OF ATTORNEY
hereby authorize t
VLicenseHolder) (Authorized Person- Please Print)
to obtain a permit and/or sign for me in my behalf under my license
for the job described below: .
Owner
Site Address -
Tax Parcel #6 0 0
LICENSE HOLDER SIGNATURE)
State of Florida County
Affirmed and subscribed before me this L— day of ALP by
IlO1iRT C nFl '1 Ci Ri I. ho is personali r known t_o me or who has prodiVed
as identification.
tw « MIRINDA C. MRNER
MY COMMISSION 0 FF 23790
a EXPIRES: June 14, 2019
Bonded?hru Notary PGMs Underwriters
SCE
R£A6NOTARY PU$UCSTATE OF'FLORIOA PRINPTYPEORSfAMPNAMEOFiVOTARYJ31Co
Samford, FL 32771
Phone (407) 333-COOL (2g65)
SALES4n71RR1-f_rlry f9FP t
SCPA Parcel View: 30-19-31-504-0400-0020 Page 1 of 2
r,crvid Jd,n ;o,.C1 Property Record Card
PROPERTY Parcel: 30-19-31-504-0400-0020
t pp SER Owner: ALLEYNE ROMAN I. & KAY
M' n Property Address: 119 N SUMMERLIN AVE SANFORD, FL 32771
Parcel: 30-19-31-504-0400-0020
Property Address: 119 N SUMMERLIN AVE
Owner: ALLEYNE ROMAN L & KAY
Mailing: 119 N SUMMERLIN AVE
SANFORD, FL 32771-1553
Subdivision Name: MAYFAIR
Tax District: SS-SANFORD
Exemptions:
DOR Use Code: 01-SINGLE FAMILY
Value Summary
2016 Working 2015 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 103,831 101,146
I ............ ....-.......
Depreciated EXFT Value 8,245 8,461
Land Value (Market) 25,696 25,696
Land Value Ag
Just/Market Value
137,772 135,303
Portability Adj
Save Our Homes Adj 0
4
0
Amendment 1 Adj 0 0
Assessed Value 137,772 135,303
Tax Amount without SOH: $2,753.60
2015 Tax Bill Amount $2,753.60
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=30193150404000020 1/4/2016
I m min
Certificate of Product Ratings
AHRI Certified Reference Number: 6938164 Date: 1/2/2016
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 25HBC548A**30
Indoor Unit Model Number: FV4CN(B,F)005L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER AIR CONDITIONING
Series name: COMFORT SERIES PURON HP
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING
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): 46500
EER"Ratg ('Cooling): 12 50
SEER sting -(Cooling): 5:00
Heating Capacity(Btuh) @ 47 F: 44500 s
Region IV HSPF Rating (Heating): 8.00
Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerale.
DISCLAIMER
AHRI does not endorse the product(s) listed an 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 AR E
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'
andenter the.AHR1.Cer.Ufied.Refcrence Numbex andthe date an which.the.certificatewas Issues. ,
which is listed above, and the Certificate No., which is listed at bottom right.
2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130962469010961774
a
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4Y
DEL=AIR
P.
t8S,8j-831-25fi5
Heating • Air Conditioning I 24 Hours-7 Days a'Week
SUte Cart GlC032448 APplionces•Electrical ` WWW.DELAIR.COM 11-17.2015
Roman & Kay Allayna Phone 1/2/2016 : Joe Toccl, Jr.
119 N. Summerlin Ave. 407-6884221 Email 321-228-0079
Sanford'. FL •32771 yoaJ&deratrccm
i".na.mm ev-1'x.'+•.r+«nc-i d'& r'Si;,a; .*,.;eT,.••,, ii=8r'
escr tton- SIZE ?ExecuUvid'A Jt!!? {
5SEEIt
Cafrler Comfort is Purone HP 4 TON Me '9,545 ! 2,1101 7,435
i "'`p '!r•3,4f Z :?
s`t - .
re,r >~:'r^ ,;?g, Jt i;. 1'i" >"z _`
iLt Re"nEw Ux.
only
On a 93 Degree -Day 0te inslde Terpperalure can 6e 78 and on a 30 Degree Day the Temperature vnll Avorage 70 Degrees
Your First PlanneH-Maintenance is Included With This System
ti"'`v`:•';'z.> •... .., J„@s.N,;p-w-• :•.wt-u•-+i .: ?!c*s.•-`a .1, <'L n,.« -".' < ,,"r3'^-+": `- - wPrice-, Recotnn?¢niledgpUonalili<cessongs&Eirfe[tdedtNarran r^ :%Tdoitel' 4. ±+Iric uifed'
Ail Extended warranties regtiire annual mainlenande or coverage is declined
J8&AssodatesS/C.HPSpIitSystemocPkgUnilwmFlTheimostat,tOYra.PertsBletwr 'S 1,195 JBALGBTC •;. 1,195
FlYbdd & Tankless Water Heaters -. _ '
Opfional•IAQ Enhancements
EfriclencyAgreement 0 Ot. 01 0
i°':K •'::fia't'°4 - ^'m^.'r'kyf a nHeater.. H VY90 ; . A-, r•
Ani 537116 X211/8 X 221/16 — CE2601C10 1 FV4CNF005Lg0_
25HBC548COND2815116X35X351
Camer Qerfonnarlde V Fi Thermostat(SYtt`WatragtylNlien-Rcgtstered)' ', 1 TP-WEMOt
Platfo_!;L er6New3d`'i+: Topr:x3: _ Location
of Ref. Lines 4. 2 LINE
SET 318x7/8x112.25' 3/8 718 ! LS387825 1 ILS387825 R
lace 3/4 PVC Drain t.{rie idith,Ctneset"• ° r "-=`+•• ^r.>*.3r' • 1 r v-
InS&IlWwCoridenserPed3X3 •`'R'`Vd' a `' 1 3X3 For
Duct Seal Enter The Number OfSuolRy and Retain Drops to'Be Sealed to the Right 12 Duct seal dro s RETURN
GRILL- NO DUCT -WITH FILTER -MAX (20 X 20) I 1k`:'
4r` WIRINGOF'COND` UNIT ONLY ;n , €<'" 1 H025575 Dispose
Or Old Equipment+}a New'
A' Line,Safgty:FloattStv it ,r', r? kk, Clean
Work AreaAt Job Complelton,« New
Code App Itrrrirala Straps 'r v:" 4 . 1 Teedy,. • Yrwrr1LxiReconnectExistlAgSupplyPlenumtonewunit.:'.>: .r 1 Permit,
whegular
mordhry payments cINF12MonthsNo /Merest (f pald to tug Paying
By 11019 GO6fFORTSYSTE6}
F1;F(5~ SAL: „yi. -`%'.1'.'Y.`':&`¢s'`Sj "'t?; ; S' tertr•)nYestme tk'',. •.%- `.•$'"-.q>: `•`' ':,,.an Total
7,435 Optional
Items 1,195 5o
Dol-Air GHt Card Balance
Due S 8,580 l
Date
112=1I T
Roman &.K Alieyna -jPfposaIV.IldUlUI 1 2/1/2016 Page
1 of 2 le
1 DEL=
AIR (888)-831-2665 Heatin ,
Ajr Copditioning„ • 24
Hours-7 Days Week State
Cert CAC032448 Appliances - Electrical WWW.DELAIR.COM Sales
Agreement Roman &
Kay Aileyna Phone Insert Date Jde Toccl, Jr
t!l'/ vv r CIARYANK. - MORSEf SEMINOLE COUNTY
tgIV 7V CIRCUIT COURT h COMPTROLLERQK612Ps11123 (1Pss)
CLERK'S v 20160029E4
RECORDED 01111f2016 10-32=411 AN
RECORDING FEES $10.00
RECORDED BY tidevare
NOTICE OF COMMENCEMENTvvvFS713.13
THIS DOCUMENT MUST BE COMPLETED (AMEN CONSTRUCTION VALUE EXCEEDS $Z600.00.
This instrument prepared by:
C 00 or2o
PERM{T FAX PARCEL
ST-4TE OF w M l7—J COUNTY OF O
The undersigned hereby gives notice that'}nprsvernsnt will be made to certain rent prapadY. and in accordance with Chapter 713• Florida Statutes, the
Following information is provided in this Notice of Commencement. (n {//1
I Lagai description of property- I %) _ 2 V/, /ttt
and Areal address if available)-r
A' t/ _
j t / 1 bo / /'
Z General description of improvements) ft l — co I (
lJ / ll.!
3, Owner. Addreaddress: J lSVn
a Interest In property.
to Name and address of fee simple titleholder (if other than owner) Phone-
4 Contractor Name: L`
Address:S3! CVQV
Phone:1o) __DWenFa:c il l VI_ 33
5 Surety. Name and Address:
Phone. Fax:
Bond amount
3. Lender: Name and Address.
Phone: Fax:
Persons within the Slate of Florida designated by Cwner upon whorn notices or other doaunams may be served as provided by section
713.13(1)(a)7, Florida Statutes:
Name, address, phone number, and fax number).
3 In addition to.himself. Owner designates the following persons) to receive a copy of the Llemi's Notice as provided in Section 713.13(1 Xb), Florida
Statutes: (Name, address, phone number, and fax number).
9 Expiration date of Notice of Commencement (the expiration date is one (1) year from the 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 IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE -BEFORE THE FIRST INSPEGTION: IF YOU -INTEND TO -OBTAIN FINANCING,..CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the
foregoing d that the facts stated In It are true to the best of my knowledge and belief.
Sigma re of Owner)[Note: Der SeG n "1' )g, Florida Statutes (PRINT OWNER'S NAME)
Signature of OwS r Own 's Authorized Officer/DirectorlPartner/Manager
1. - - q, So 3 y-
State of Courty o
The foregoing instrument was ackrowledga before me this day by_ `--
Who M personally known tome or laz proau _ as i en6IcaUon, and
did take an 2ath__dld not, an oath IV
BY v` @E119C 16
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /4 " a? 3 / _
Documented Construction Value: $ (Q aZ (4
Job Address: 119 S oluititCl20 K) AUY AJU G Historic District: Yes No
Parcel ID: 30 • I'I 31 - 50y ' Oq 00.004'O Residential 9Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: W 1 e-1 N &I [.01.J_Iz fly Se" f2 0 Iry i -r
Plan Review Contact Person: 6V'r; ritr ov M Title:
Phone:S7)1.10(o • I i 115r/07Fax: 10-)- 5_$5 - l 0" Email: rz P
i Et ,• c o•1
nn
Property Owner Information
Name ZOA4KtN 4ttl-EUNr Phone:
Street: Sot A m E(at,t" AvE"U6 Resident of property?
City, State Zip: SAiQFtW-f>. FL-
Contractor Information
Name' 17,_- O i i e 7-tz-:t c r) L Phone:
Street: 531 C C,01SCO W rt-q Fax: q n- 5 85 • t OUP
City, State Zip: S APF-0yZ_r (-- 1 State License No.: 0—C''1' r11 S 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.rsecared.fox- electrical,-work,,plumbingrsigns, wells,.poels,..•i•• •• 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: 5t° Edition (2014) Florida Building Code Revised: June 30,
2015 Permit Application
i
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 gild zoning.
f17 b - Signature
of Owner/Agent Date . Signature of Contractor/Agent Date Print
Owner/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is Personally Known to Me or Produced
ID Type of ID Jc,;
r f'rl ST 1?Ja-1714 Print
Contractor/Agent's Name Si
nature of Notary -State of FloridaDate ram......
MELLISA
ANN HUBBARD, Commiss(
onf FF1'43445 kpires
JUly 20.,2U18 aoudad
Thu Troy Feh lrtmrr¢e 800J85.7018 Contractor/
Agent is Personally Known to Me or Produced
ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas Roof Construction
Type: Occupancy Use: Flood Zone: Total
Sq Ft of Bldg: Min. Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
of
Heads UTILITIES:
FIRE:
of
Stories:. Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application