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ECiEeVE CITY OF SANFORD
JAN 2 8 2016 """'BUILDING "'WFIRE'PREVENTION
BY• w
PERMIT APPLICATION
Application No: 1Q Ol
Documented Construction Value: $ H W U
Job Address: 6ID i o NHistoric District: Ves No 12/
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
1
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Property-Owner-Information--
v
Name i 1 i'4 1 Phone: LVI-
Street: -- -
1
D Resident of property? • -_
City, State Zip:.,
k..a, ,•,a.. `^' `' Contractor Information
Name Phone:
Street: o l+ Fax: (4M 3' 3 - ,95-
City, State Zip: State License No.: ojqusa.y/
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE:'In°addifioh,to'the-regiiirem-dnts'af-tliis peffit, there may''be'additiohAl rest'ricttons appIic abld'to this propdtV'that inay be
found in the public records of this county, and there may be additional permits required from othe 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.
29 ILP
Signature of Owner/Agent Date—gigature 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
WBERT
P ' Contractor/AgentsNa e
Signature of Notary -State of Florida Date
MIRINDAMURNER
c MY COMMISSION Y FF 223790
EXPIRES: June 14, 2019
Rf Bonded Thru 110 ubrr Undewbfs
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 Typ
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
BUILDING:
Revised: June 30, 2015 Permit Application
Z
DSL = AI -R --.-----.._.----
Heating • Air Conditioning
Refrigeration., In.c.
POWER OF ATTORNEY
hereby a•u•thorize
License Holder) [
Auchoriud Person•— Please ri t)
to obtain a permit and/or sign for me in my behalf under in license L6 Q
for the job described below: .
Site Address • (ILYA _G
t
Tax Parcel #
LICENSE HOLDER SIGNATURE)
State of Florida County of
Affirmed and subscribed before me this day of20 112_6yFODBEEifMU®ViTCCP who is personally known to me or who has oduced
as identification.
MIRINDAC.TURNER
r.
MY COMMISSION i FF 223790
BondedThmRbtalYPubrZUndRES:
June '
elwbm
J3I v JQ(SGo YY1j/
OTARYPUBUCSTATEOFFLOkIDa PRM'f TYPEOR-STAMP NAMEOF NOTARY
Sanford, '17L 32771
Phone (407) 333 -COOL (2865)
SALESdmlR r_r_nc r rgpnr'1
SOPA Parcel View: 34-19-30-520-0000-1370 Page 1 of 2
04itvld.3olwnoon.Cr^ Property Record Card
PRCIPERYY Parcel: 34-19-30-520-0000-1370
PPRMSER, Owner: ADAMS DANA C & DEBRA A
SOMI- I OOUN'rY FLORIDA Property Address: 510 KAYS LANDING DR SANFORD, FL 32771
Parcel: 34-19-30-520-0000-1370
Property Address: 510 KAYS LANDING DR
Owner: ADAMS DANA C & DEBRA A
Mailing: 458 COUNTRY CLUB DR
LANSDALE, PA 19446-1464
Subdivision Name: KAYS LANDING PHASE 2
Tax District: Si-SANFORD
Exemptions:
DOR Use Code: 01 -SINGLE FAMILY
Value Summary
Tax Amount without SOH: $4,439.94
2015 Tax Bill Amount $4,439.94
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 137
KAYS LANDING PHAS
PB 69 PGS 43-44
tip?
Taxes
Taxing Authority
2016 Working 2015 Certified
Amount
Values Values
Valuation Method i Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 175,316 168,929
i....... . ......" .....
Depreciated EXFT Value 4,056 4,235
Land Value (Market) 45,000 45,000
Land Value Ag i
Just/Market Value
224,372 218,164
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
Assessed Value 224,372 218,164
Tax Amount without SOH: $4,439.94
2015 Tax Bill Amount $4,439.94
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 137
KAYS LANDING PHAS
PB 69 PGS 43-44
tip?
Taxes
Taxing Authority Assessment Value Exempt Values
Amount
Taxable Value
County General Fund
Schools
224,372 ;
224,372
0
0
224,372
224,372
City Sanford 224,372 , 0 224,372
SJWM(Saint Johns Water Management)
County Bonds
224,372
224,372
0
0
224,372
224,372
Sales
Description Date Book Page Amount Qualified Vac/Imp
SPECIAL WARRANTY DEED 11/1/2007
I ................................................... .....................................................
SPECIAL WARRANTY DEED ; 12/1/2006
06872......._.....1.1458
06525 1390
400,500
876,800
Yes
No
Improved
Vacant
Finn comparable Sales wltnln tn15 SubnNislon
Land
Method Frontage Depth Units Units Price Land Value
LOT I 1 45,000.00 $45,000
Building Information
Description
Year Built
Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective
1 SINGLE 1 2007 12 ; 1,882 3,884 2,951 CB/STUCCO $175,316 $182,146
Description Area
fFAMILY
I ( FINISH
http://www.sepafl.org/PareelDetailInfo.aspx?PID=34193052000001370 1/26/2016
S,CPA Parcel View: 34-19-30-520-0000-1370 Page 2 of 2
i I
OPEN
PORCH
FINISHED
GARAGE
FINISHED 564
OPEN
PORCH 171
FINISHED
UPPER
STORY 1069
FINISHED
Permits
Permit # I Type Agency Amount CO Date Permit Date
01945 New -Residential Sanford 136,908 10/16/2007 4/25/2007
Extra Features
Description Year Built Units Value NewCost
SCREEN ENCL 2 j 10/1/2008 1 $3,668 $5,000
PATIO 1 10/1/2007$500388
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=34193052000001370 1/26/2016
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 7045677 Date: 1/26/2016
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 14HPX-024-230-19
Indoor Unit Model Number: CBX27UH-024-230*+TDR
Manufacturer: LENNOX INDUSTRIES, INC.
Trade/Brand name: MERIT
Series name: 14HPX SERIES
Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC.
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 Capac'Ity-(Btuh}: D` 25200
EER'Rat nig ((Cooling): 13.50DbSEERRating-(- oo ling 6 00
Heating Capacity(Btuh) @ 47 F: 21800,
Region IV HSPF Rating (Heating): 9.00
Heating Capacity`(Btuh) @"17-F: 1370(
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 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.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal; ndersonalandRiconfidentialreferencepurposes. 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.ahridlrectory.org, click on "Verify Certificate" link we make life better -
and enter the,AHRI Certified Reference Number. and the,date on.which the certificatewas3ssued_, ,
which is listed above, and the Certificate No., which Is listed at bottom right.
130983152123848429
2014 Air -Conditioning, Heating, and Refrigeration Institute [—CERTIFICATE NO.:
Heating 'Air 24 Hours - 7 Days a Week
Sales Agreement
Dan'a & Debra Adams Phone Insert Date Joe Toccl,.ir.
510,Kays Landing Dr.' 407-314-9039 adamsdcda@yah6o.ci 321-228-0079
Sanford FL 32771
LENNOX'Merit HEAT PUMP 2.0 Ton 16.0
Lennox Factory Warranty;l Year -Labor, 10'Years' Functional Oarts,10 Ye6i- Co-m-pretsor
For the sum sbtforth,we agree to install and service the following De!-Aircoi4ptt.syst&h ar; per- tho#ecifications outlined
i.ndlqding the -equipment and 'materials listed on proposal. Materials not listed are hot included.
Total Including Permit $ 4,450
Tdrms and C6nditions Credit Card
Homeowners are'respoh ible to stay home foi one (1) full day for the Building bepartment ln,pqdtiori.
Ciei-kr gives n6 gua ' ranteb for any existing 6onditions such as, but not limited to, pre-existing PeUrical, Quatw6(k, Mechanical Equipment & House Structure,
WHO,W RK ON YOUR PROPERTY 0
STATUTES)-, THOSE'
0 R PROVIDE- MATERtALS AND AKE NbT -PAID IN FULL HAVE THE "RI G -HT TO
HEIR T -YOUR, PROPERTY,. IF YOUR CONTRACTOR ORA
SUBCONTRACTOR' F'AILS TO PAY SUBCONTRACTORS, tUB-SU*B'ONTRACT6R'S, OR MATERIAL SUPPLIEC RS, THE
PEOPLE WH&ARE OWED MONEY MAY LOOK TOYOUR PROP' ERTY FOR PAYMENT, EVEN -IF YOU ALREADY'PA"ib
YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAvt-A
LIEN ON YOOR PkOPERT Y. THIS MEANS IF A LIEN IS FILED,. YOU PRO'PERTYCOULD'BE SOLO AGAINST YOUR,
WILL Ti-O''PAY 'FOR LABOR, MATERIALS, OR OTHER SERVICES THAT Y6URC'ONTRACTOR OR'A SUBCONTRACTOR
MAYHAvE FAIL ED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS, CONTRACT THAT BEFORE-. AN, P YMENT
11
ISMADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDEYOUNWH A WRITTEN REL . EASE OF LIEN
FkOMANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A"NOTICE.TO OWNER." FLORIDA'S
CONSTRUCTION -LIEN LAW IS COMPLEX, ANDTFIS RECOM' ENDM. ED THAT YOU CONSULT AN ATTORNEK
Add Additional Notes Here
Darfa & Debra Adams
In the event payrrfent is not made promptly in accordance with
1/26/2016 agreed terms, it shall'be.sellees, option to charge a service
service charge will be due 15 days from t ' he date bf the billing of
our amount due on the job. In the event of collection by anItisunders s and equipment covered by attorney, all attorney fees, courtbosts, and other legal fees shall
the contract rqmains solely in the seller until the entire purchase price be, bome by the buyer; in the event of nori-payment, purchaserhasbeen,paid in full and the manner of installation an/or attachment to agrees -1:6 llowselleir on premises to remoVe6quipment'
any equipment and/or any portion -of the building structure in which the installed. This sales- agreement'shillbe,bi , nding upon the.heirs, installation is made shall not in ny manner jeopardize the seller's title. successors, and/or assigns of the parN hereto.