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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 i 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 a 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