HomeMy WebLinkAbout313 Helena CtFEB 2 5 2016
CITY OF SANFORD
By, __ BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
for
Documented Construction Value: S
Job Address: V 3 t" -P 0 a CL Historic District: Yes No Q/
Parcel ID: Residential commercial
Type of Work: New Addition Alteration Kf Repair Demo C Move
Description of Work: f1UA )I Lo lac.-< o •s 0 r r
Plan Review Contact Person: nn b Title: 1
Phone:3 `:6 l` '_) (!0%3 Fax: Email: kedc ca,
Property Owner Information
Name SC rq fy1 06S's Pt,i C Z Phone: 'DD9 (' Oyo
Street: 313 P o- Resident of property?
City, State Zip: '5c nq/6
C
Contractor Information
Name Pf_ C r ` Phone: ' ' Y_'& 9423
Street: (OQ6 rz IZ c O (S)e O/ AL,,.? Fax: P'% ' LR9(PL/
City, State Zip: U cang CLd PC State License No.: CPC I
Arch itectlEngineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 51" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
111114,00
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 Date r,,'Lignature of Contractor/Agent Date
Print Owner/Agent's Name
Signature ofNotary-State of Florida Date
s
of Notary -State of
JENNIFER BOWERS
MY COMMISSION #FF179789
EXPIRES November 30, 2018
7) 398.0153 FloridallotarySery
Owner/Agent is Personally Known to Me or Contractor/Agent is V Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
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:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtu
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
CK 7 l 1 1 1 Y.i
UTILITIES:
M
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
PERAUT AUTHORIZATION
I, DAVID HILL hereby authorize
License Holder) (Authorized Person)
To obtain a permit in my behalf under my license # CAC1816634
To the
o' v-t(
Building department for the
Job described below:
PEPMT TYPE
HVAC Owner * 750,(Q Mecr 'C o `C Z
Site Address 3 )-3 Qk
Tax Parcel #
License Holder Signature)
Date ) It/ % 2
State of Florida
l `
County Of
Affirmed and subscribed before me on this day of
20-)& by DAVID HILL who is personally known to me.
a A P B'• JODY L MCLEER1I -p A' `
w MY COMMISSION #FF039242
EXPIRES July 2a. 2017
dallota Sorvico.com
Stkndture of No blit, State of Florida or p ame of Notary
Notary Seal
iM.n..MA.t `
a1w. .10..Y! •N.«......l.r.nww.-`.wr.- .
j- Certified Climate Control, LLC
Air Conditioning & Heating
690A E. Rhode Island Ave • Orange City, FI 32763
VOLLISIA 386675.6963.ORANGE 1 SEMINOLE 407-888-0678
Air Conditioning & Heating License# CAC1816634 • email: owner@certifiedclimate.com
0CKiPw;e
X13 Helena Cf S
22 9 - Co
Contract #: 6 8 5 5
773
FEB 2 5 2016
Street (Billing Address) City State Zip
We hereby propos Tofurn#shlnstallervice under warranty (stated below) products and service or related
equipment for yourdance withthe conditions and specifications set forth in this proposal
A/CCondenserJF- X11014
AH/P Condenser 2112 Vn CMo)!hcin
X SEER 1S KW /0 PKGSPLIT
Coil
IXAirHandler z -Oh CY00a M0 n
AHorz R Horz L Down Vert X
Gas Furnace
X Flood Switch X)e I V
A Liquid Line /{%G' W 'SLP
XSuction Line /f/19 / 4
Condensafe Pump / DraIriIine
O Lineset Protective Cover
Zoning P i
Zones
XSupply Duct -2 itlaw y,
t f0
Return Dud
XNew Platform / Insulate Yes No
UV Light Kit
1
Air FilterType & Size !
t /
6 r
Dut:t- An f 1)licftrb;,i
DuctSeal: Accept Decline
New Service Upgrade
New Electrical to Condenser Disconnect
New Electrical toAHU Disconnect
XOtherrDn 10 144 C, d or k; -
Other-&! LivI/O/fags
Other
JKA/C Pad and Size X/E' W
Thermos at: Digital Programmable Touchscreen Dehum Wili
1 All work done in accordance with existing codes with permitting
0 Removal of existing equipment from the premises
All work to be performed in a neat and professional manner by a
trained technician. Sweeping, dusting and vacuuming will be
accomplished and all debris removed from the premises.
Customer is responsible for registering equipment with
manufacturer with in 60 days to receive warranties listed below.
g] Warranty on Parts _A2_ Years. Condenser & air handler only
Warranty on Labor :2 Years. Condenser & air handler only
Wiiranty on Zoning Electrical
Warranty on Dampers
A Warranty on Compressor 10
Warranty on
Total Price (tax included) $_Cir 27341
terty fWv ' 1;rtY -"osr dollars
Terms: 9 % F: X 0 i'n fprprl -7q, 10
Aflnnanong& reimsare penAingCrednAppmmi
Signature (company)
until::-
Signature (customer)
No Maintenance is included in this
conDaterproposalvalidy-/
Options:
Requested Install Date 2 ' Z 3 — (, t ?
o
Finance paperworkmust besigned before thestart of work.
NOTES 12 ii 0144 s• i(a Fn 7`el s 9-75-:2 3 1b y,4 -Z
9% F;xeQ %er si- o L15- IIanfZ
BUYERS RIGHTTO CANCEL: You, the buyer, may cancel this transaction without penalty any time prior to midnight of the third business day after thedateofthistransaction. See reverse side for terms and conditions.
Ifyou sign today to take advantage of discount, you have two weeks to cancel before installation.
7
Sanford{
1'
Permiter' it, Card
v
PERMIT
09
CONTRA,
fV'41 JOB ADDAESV •x 31,3.r,
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TYPE OF WORK:
sa e all i or'• ifncov6red Iinijlinnoutsie,'--mvonspiFPosttisprrnnjqa, ous iocattio' spected fidappro'ved-,--',--',;,-', ij.
an"mu oit`e'w'itl ermii forinspection Pei_'fAppro;Ved s* p*- ri iti-ir6s 6r 8niiii,frot date 6fissue'6r,lagt*approve inspection
0V > PRPROTECT FROM WEATHER'-t-,'_
GBUILDINI ELECT RIC AL: lu
APPROVED INSPECTOR IkSPEMONME. INSPECTION TYPE • 'RVSPECTOR, RVECTE6'I'_
i0bilEl'N'SPECTION ELECTRIC UNDERGROUND'
FOOTER/SLAB STEELBONDFrEMWAL
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aA
T,.b.d.WkE,PO.WER:-'_ FORMBOARD SURVEY'.'i'
MONO-SLAB!i:.`, ELECTRIC'ROUGil'i",":
LINTEL/ TIE,BEAM ELECTRIG-FIN/
yr
ROOF I,'- A MECHAN CAL- SHEATHING 4. 1.;,
A'PPROVED";-,G7z"-';REJEC7E[• hVSPEC7OR:,` vf%_; SHEA H']JqG,
MECHANICAL ROUGH
lie;
4 MECHANI ALFINAL! INSULATION ROUGHIN,_", AL
DRYWALL/SHEETROCK ',,,',PUMBING;
LATH INSPECTION INSPEC77 NYYPE ,Aik,VED, t' RE/ECTED` INSPECTOR'`,
v, .
UNDERGROUND ROUGHFINALSTUCCO/SIDING,=-r",`
TOB §Ef t-'t' 'tFIREWALL
S8WER'r-N,"- FIREWALUFINAL:
PLUMBINGUMBINGFINAt-__
CTIONS-,' GAS.INSAFINALSFR
FED if,')WJE&Eb INSPECTMj !1P 0
INSPECTION TYPE' • -kEY' GAS UNDERGROUND PIP'
IN- PVROUGH- ROOF DRY-IN G A's
FINAL ROOF GAS FINAt 4a
LLANEOUS FIN INSPECTIONS
4,e '-- )NSPEc -TOR`- I *SPECTOR' APPROVED RFUECTED, INSPECTION7YPE _AifRb E6
RE-13tMb
FINAL DEMO INAL WINDOW,
L SCREEN: FINAL SCREEN"ROOM Y,, giNA'L 66'-"
FINAL BO _,vffyFINAL- UTff BfJILbIRG,'
ME,]E-&iN MOBILE Ii6MMOBILEHO';
ly 4
VARNING70, OWNER:',Y_'dU"R"' FAILURE TO RECORD A: NOTICE, OF -COMMENCEMENT Y RESULT IN YOUR'fAYJNG',;;-`,'-.,
RECORDED. Wf4ii-' TWICE -YOR IMPROVEMENTS :°T0,;YOUR',PRbPEilTY.7-`"4,NOTICE#OF COMMENCEMENYMUSPBE C
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POSTED ON THE JOB SITE BEFORk THiTIRS`f.INSPECT1ON,,, IF:,YOU iNTEND',TO OBTX1&-Fir4NCI N G-, CONS-`U L'T
Bu
11 - J4_
1
41
YOUR LEN]q]R ORAN-&TbRNE'Y BEFORE RECORDING Ydb*'N6TICj9 OF
6,
AY*11 ADDITIONALTILE11EIREM M
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4U
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OF _,P- -T,
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DIT'ON,
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FOUND IN THE PUBLICItECOk
F COUNTY AND THERE0Tfs STATE AGENCIESDRYEDERAL
AGENCIES CC..
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TO,SCHEDULE •AN INSPECTION:. ,,r'.,' ,•r -'.,` 1: t `' ..; .
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g ` ,ac: Provide the items'requested-during Fthe'messa e\`, '"4'• _n,
The type of inspection •requested must -be scheduled under the appropriate.per'mit type . `, f: _'•
Follow the`roinlp •ts`
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ns` scheduled b m3:30'":m will' becondutd' the` next business.; LEASE NOTE:' Inspectio y . jj, j
Y. :. _ - . _• ,-..
day: 4f you experiencev_difficu_ lty,,,,pley,a e ca1140T688:5150 rMongay•-:Thursdays 7:30 am' = 4
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1,': 61 14• i;j'`c{ : i' `:• •;` .,, '» .s•J'}Fs„ - 30`pm,foraas>stan e.
AUT OMATED,INSPECTION SYSTEM CODES
7 r.r•
Miscellaneous Notes
BUILDING. `:
tt,; ,;' ' " ;, ,, • }: ELECTRICAL°
f'?'K:' " `" 104: ELECTRIC UNDERGROUND' . : . 211'
FOOTER. `'
ALL' ' ' "
F
FOOTER LAB STEEL BONDSTEMW - , r.: "'!:', ,' •102.6:
47,'
w'.
216 - FORMBOARD SURVEY' s
i ry': o'`
SLAB'-/MONO-
SLABn : "
ti .103 ,' V' '' pRE POWER FINAL-
QL •2•. .1: •3, E {•t,-'. fid, r, 7'. ,
5,,':
x- ; >, . '' ,'''
LINTEL / TIE BEAM ' ^ =' «, 105_. Y ELECTRICTtOUGH 212'
h: '. a.• a
ROOT 06. KCTRIC•FINALSHEATHING213'
ry
t• 3 .
r' 1,}• .••3' ,p` .f.,' ,, c•'-A{`_. `'}i. .
SHEATHING =WALLS115 - MECHANICAL
T t. :•'e),°f •
Lry
Ar :J"' .A' .l a •, Y4 IS V''•.: '•j: .,`w.
t - - '
1
r.?`'{, ',';.. >'109; MECHANICI L ROUGH` 409
FRAIVIE-y ,;`,';-%-
INSUI:ATIONTROUC,II-IN. ai", 110 ='' MECHANICALFINAL+ r=, 410
t T.
t. 5':=:'
PLUMBING ti. •. s f '.• t
131f -
r .,, •1 _. DRYWALL/SHEETROCK; f`f''
a' LATH INSPECTION ";' ' ` ' 'rr y •^ 132 ' . ,
C '.
b" UNDERGROUND ROUGH'
t TUB SET..t•: 312
FINAL STUCCO /SIDING . 4'; `'
t_i
311
FIREWALL SCREW, '{' >-.,-
y. ,.' ; x;120 ,'Y< SEWER
FIREWALL`FINAL' a:'' : ~ 143.-.:' r'.:a j ',PLUMBING FINAL. 'tr ' r . 313
INSULATION FINAL'.-: H.cr Y,,r'•i+
4.. ' . F t.; r
c. ti 113'; =:.,, GAS: • t:
i' .
iF} ' f ' '
1 GAS PIPING UNDERGROUND :,; "f 832 .
FINAL SFRr ,138
GAS ROUGH -IN 314 -
ROOF ' =ti
a., ;,.. _ r,
115'x''' GASFINAL .,. ,: ,- ' f:x,315 , ROOF DRY -IN ;A'.
FINAL ROOF .. 't "` 111 _. •
MISCELLANEOUS 7 FINAL INSPECTIONS';'
y.. '' =f FINAL DOOR'':.' • ^ L”' ',' .. 136
PRE -DEMO',,. .y -144
i. f i F' ; 7126 :' FINAL WINDOW` r;:'' ,. 1`37h. < FINAL DEMO :
r= IRRIGATION'FINAL"- FINAL",SOI AR PANELS'° ''' ;134 :"`
FINAL POOL SCREEN `: ii 'i;Ft FINAL: SCREEN STRUCTURE 1'27
UTILITY BUILDING ' " 124 s'` FINAL BUILDING - OTHER , •s_ :^' 112
FINAL ;
TIE hyi '' MOBILE'HOME BUILDING FINAL L46
MOBILE -DOWN
Miscellaneous Notes
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R Inspection Line: '541 .2112
4V.