The URL can be used to link to this page

Home My WebLink About604 Casa Manna Plr" ffierrl--() L47 0d S1"SC G CITY OF SANFORD 2016 ' "-`°''BUILDING&"-FIRETPREVENTK N PERMIT APPLICATION Y' Application No: to—.5373 Documented Construction Value: $ — So Job Address:(00 02U W(kcl a j Historic District: Yes No H' Parcel ID: 90 1 l ?7 ` JV 1 f (OL I0 Residential Commercial 11TypeofWork: New Addition 11 Alteration L o"' 2epair Demo Change of Use Move Description of Work: Y 1 Q_. Ci o 06 GLU r-I S— ciD Plan Review Contact Pe son: U hd I Title: Phone: LA6&p (,,; ja ' -; Fax: T."---; S Email: Property-Owner Information - n — - - ---- — -- Name 1h Phone: I I Street: - - — - -- -.-- Resident of property?.: - City, State Zip--,atit64 Contractor Information Name Phone: Street: Od 'RO 0 10 CV Fax: City, State Zip: l State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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: Stn Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application R I INOSTICE 4In"addition-to'the~requireineitts nf-this'permit, there'mhy'be'addiiiuni#1'resHbticrosyappiicable'to'this-propetty'`thtit-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 ork will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Date of Contractor/Agent Date ROBERT G. DELLO RUSSO Print Owner/Agent's Name - - -- • - Print ontractor/Agent's N e Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 1 Cl_ -;Iho /IV Signature of Notary -State of Florida Date MIRINDA C. TURNER MY COMNUSSION # FF 223790 EXPIRES: June 14, 2019 Bonded Thru Notary Public Underwriters 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: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No APPROVALS: ZONING: X ENGINEERING: Flood Zone: of Stories: Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application TED POWER OF ATTORNEY' Date: 2] Ko h(P This letter is written to give authorization for IJN L& to pick up the mechanical ermit for Del -Air Heath Axr Conditioning & Refrigeration, Inc. for ' I roperty .Address) Thank you, Robert G. Dello Russo, President DEL -AIR HEATING, AIR CONDITIONING & REFRIGERA'T'ION, INC. STATE:OF FL__ COUNTY OF, The foregoing instrument was*acknowledged this da of20byRobertG: Dello Russo who is pey kn_azhd appeared beforeacknowledgedthathesignedtheinstrumentvoluntarilyfortheToseexpressed n i and p P P Signature of Notary Public Notary Seal) t 1 Print, Type or Stamp Name of Notary Public MIRINOAC.TURN ER r. it W COMMISSION # FF 223790 a EXPIRES: June 14, 2019 Rf fl Bonded Thru Notary PubPc Underwrbra 531 Codisco Way Sanford, FL 32771. Phone: 407-333-2665 Fax: 407-33.3-3853 TED POWER OF ATTORNEY' Date: 2] Ko h(P This letter is written to give authorization for IJN L& to pick up the mechanical ermit for Del -Air Heath Axr Conditioning & Refrigeration, Inc. for ' I roperty .Address) Thank you, Robert G. Dello Russo, President DEL -AIR HEATING, AIR CONDITIONING & REFRIGERA'T'ION, INC. STATE:OF FL__ COUNTY OF, The foregoing instrument was*acknowledged this da of20byRobertG: Dello Russo who is pey kn_azhd appeared beforeacknowledgedthathesignedtheinstrumentvoluntarilyfortheToseexpressed n i and p P P Signature of Notary Public Notary Seal) t 1 Print, Type or Stamp Name of Notary Public MIRINOAC.TURN ER r. it W COMMISSION # FF 223790 a EXPIRES: June 14, 2019 Rf fl Bonded Thru Notary PubPc Underwrbra 531 Codisco Way Sanford, FL 32771. Phone: 407-333-2665 Fax: 407-33.3-3853 Certificate of Product Ratings AHRI Certified Reference Number: 5187083 Date: 2/20/2014 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 14HPX-036-230-18 Indoor Unit Model Number: CBX27UH-042-230*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: 14HPX SERIES Series name: 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 Apaccity_(Btuh): 36000 . EER -Rating (Cooling): 13. 0 SEER Rating -(Cool ng): 6:00 Heating Capacity(Btuh) @ 47 F: 33000 a i i i it Region IV HSPF Rating (Heating): 8.70 TF: —71 FootNote 11 - The AHRI 210/240 certified EER ratings are calculated under the same methodology as the EER ratings at T1 conditions of ISO5151:2010 and ISO 13253:2011. Ratings followed by an asterisk (") indicate a voluntary rerale 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.ahridirectory.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, 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 - 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. 2014 Air -Conditioning, Heating, and Refrigeration Institute [ CERTIFICATE NO.: 130373618537718753