HomeMy WebLinkAbout1588 Travertine TerrECEIVE CITY OF SANFORD
BUILDING & FIRE PREVENTION
JAN 14 2016 PERMIT APPLICATION
BY' Application No:
Documented Construction Value: $
Job Addre
Parcel ID:
Type of Work: New[] AdditionEl AlterationEl
Description of Work:
Plan Review Contact Person: W I
Phone: qfl-3 I- & Fax:
I
Historic Dist ict: YesEl NoEl
Residential Commercial 11
RepairEl DemoEl Changeo Us('4 MoveEl
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17) r) flf 4 PM fyl W
Email:
Title:
Property Owner Information
Name Wks q b Onno Conopft;r Phone: qV
Street: ) M U or — Resident of property? as
City, State Zip: J10010ral, U q01- 531-0rq
Name
Street:
city, S
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
V Arch itect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTI E 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.
M
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 511 Edition (2014) Florida Building Code
Revised: June 30, 2015 Pennit 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 ofOwner/Agent
Print 0%vner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Name
0 it:, M1M);;
Contractor/Agent is A Persona
Produced ID - T pe of ID
BELOW IS FOR OFFICE USE ONLY
Date
ANDREA JOHNSON
MY COMMISSION # FF904064
EXPIRES July 28. 2019
to Me or
Permits Required: Building 0 ElectricalEl MechanicalF] PlumbingF] GasF] Roof []
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes F No Fj
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes [-] No []
WASTE WATER:
BUILDING:
Revised: June 30,2015 Permit Application
EM @
755 W. State Road 434; Suite-D
Longwood, FL 32750serviceePhone: (407) 331-6589 Fax: (407) 331-8381
NR CONDITIONIRG & PLUMBING State Cert. # CAC1813760 & CFC1428376
Customer: Conatser Res Date: 1/13/2016
Charles
Job Address: 1588 Travertine Terr Phone: 407-688-7148
Sanford, Fl. 32771
We, ServiceOne Air Conditioning propose to furnish, install and service the heating and/or
air conditioning products and related equipment for your building located at the job address above in
accordance with the conditions and specifications set forth in this proposal.
Air Conditioning/Heating System Equipment:
1- Trane 2.5 ton XR14 series 14.5 SEER outdoor model # 4TWR403OD1
1 - Trane 2.5 Hyperion Variable speed Air Handler with 5kw (no/brk) indoor model # TAM7AOB30
2- Tcont602 stats, 1- 25amp SD HL Breaker for outdoor (use existing 30amp for AHU)
1- Honeywell Media filter cabinet with MERV1 3 filter model # F20OF201 0/1-1
1- Club One service agreement for 2 check up's
1-14" damper, 1-12" damper, 1- Bmplus3000 control board. By EWC 3 year warranty on Zone control parts
2-year warranty on labor, 10-year ltd. warranty on all parts, 10-year ltd. warranty on compressor.
Must be registered by homeowner, otherwise 5-year parts warranty
Installation Specifications:
1. All necessary labor and materials to install the above equipment to the existing duct system.
2. New air handler to be reconnected to the existing duct system with UL listed fiberboard, fabric tape,
mastic for an air tight seal. Air handler to be replaced using 3/4" plywood decking & sealed.
3. All accessible duct work to be inspected and any minor repairs to be corrected at no additional
charge to the customer. Air handler platform to have all damaged insulation repaired/replaced & resealed:
4. All new insulated copper suction line, new copper liquid line, & new 3/4" PVC drain line installed.
Refrigerant lines leak tested, evacuated to 500 microns, & charged by superheat/subcool method.
5. All necessary high & low voltage wiring, breaker adjustments, & new whip are included.
6. Outdoor unit set on vibration isolation pads & fastened to new 4" thick hurricane rated concrete pad.
7. All necessary safety devices & condensation overflow protection are included.
System will be permitted & inspected. System to be installed according to State & Local codes.
8. Removal of all job related trash, debris, and old equipment provided by ServiceOne.
9. 100% Satisfaction Guarantee.
Terms: Net upon completion. Price: $5,868
0
Responsibilities: $0
Net Total. $5,868
The following responsibilities will be assumed by each party as indicated.
Equipment Foundation
Wiring to Building Panel
Wiring from Disconnects to Conditioners
Wiring of Control System
Cutting Holes and Patching
Redecorating and Painting
Local Permits and Licenses
This proposal will be cancelled if not accepted by:
Purchaser Acceptance: JQ -&- &--t-
Mrs. Donna Conatser (Jan 13, 2016)
Purchaser Seller
X
n/a
X
X
X
X
X
2/12/2016
Date:
Seller Approval: Otto Boy Jr Date: 1/7/16
I I 1 1 1 11
1 IN4"
atmcqgne Conatser Proposal
Adobe Document Cloud Document
History
1/13/16
Created: 1/13/16
By: Service One (docs@serviceoneac.com)
Status: SIGNED I
Transaction ID: CBJCHBCAABAAZatflsmSWUPE9SNd—p4Nls3tvCv9a9-r
Conatser Proposal" History
S Document created by Service One (docs@serviceoneac.com)
1/13/16 - 9:12:35 PST - IP address: 108.188.20.193
E2 Document emailed to Mrs. Donna Conatser (donatserl 969@yahoo.com) for signature
1/13/16 - 9:13:36 PST
P- Document viewed by Mrs. Donna Conatser (donatserl969@yahoo.com)
1/13/16 - 9:14:47 PST - IP address: 184.90.174.115
Document e-signed by Mrs. Donna Conatser (donatserl969@yahoo.com)
Signature Date: 1/13/16 - 3:39:09 PST - Time Source: server- IP address: 184.90-174.115
Signed document emailed to Mrs. Donna Conatser (donatserl 969@yahoo.com) and Service One
docs@serviceoneac.com)
1/13/16 - 3:39:09 PST
1. Adobe Document Cloud
Certificate of Product Ratinas
AHRI Certified Reference Number: 7417538 Date: 1/14/2016
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 4TWR403OD1
Indoor Unit Model Number: *AM7AOB3OH21
Manufacturer: TRANE
Trade/Brand name: TRANE
Series name: XR14
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:
N.
Cod(linag C)apPCit;_(Btuh ED 31600city
EER-Rating (CCooling)--- 12.00
1 1iI - K" 'I L - i [D:f
E rR _ _ -0SERafing (Cooling). -1-4-.50-
IHeating Capacity(Btuh) @ 47 F 30000
I egion IV HSPF Rating (Heating): 8.50
Bt-uh)_@_17-F_-- 18900
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.ah ridirectory.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, AM
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life beLtel—
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.
130972618316315543
@20:L4 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
ISSUED: 05/28/2015 DISPLAYAS REQUIRED BY LAW SEQ# L1505280000936
ISSUED: 05/28/2015 DISPLAY AS REQUIRED BY LAW SEQ # L1505280000939
SEMINOLE COUNTY MUL TI-JUR ISDICTIONA L
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Date: 0 m ,
Seminole County, Winter Springs
I hereby name
I
and appoint:— MOM j ohn) 00
an agent of..UV f Oft MY GOnalh 6n I ffl A 211A M W
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this
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a intment for (check only one option):
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All permits and applications submitted by this contractor.
EI The specific permit and application for work located at:
19 k k ikm w, rh 6,f rrr P a n -wl n
Expiration Date for
License Holder Na
State License Nurr
Signature of Licem
STATE OF FLORIDA ,
COUNTY OF
The foregoing instrjmentv
6s
acknoredoed before me this D-qdayof_k)on MOP
20_4_U, by_ , I W I who is personally known to me or
0 who has produced
t
as identification
r_
d e an oath.
Signature of Nota
NIEL E. SKI
e-j1L6:" W.- # Er=173395
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27.206IR
FR~W
1407)398
WWI IWOWSP
Print 6-r type Notary name
Notary-Public - State-af---
Commission No.
My Commission Expires: 15::e-,-Jn A