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HomeMy WebLinkAbout112 Bristol CirECEIVE CITY OF SANFORD BUILDING & FIRE PREVENTION D . TIONMAR1720% PERMIT APPLICATION z _ gy Application No: Documented Construction Value: $ &A /0 Job Address: a 6,L-J;6 i0/ (2//L. \6A/u /_D &6 Historic District: Yes No Z Parcel ID: 0 62 O •3 1 •5 0& • Qpo© • O S-/ O Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use ElMove Description of Work: 0 / IA AJQ 5 cl 0,./ % (A Plan Review Contact Persont6(4( akJ 9 ) (J1'6 40, Title:' 4_;V- 00OP-6. Phone: 41©% &59-RS6I Fax: (/0735`7 `iSM C/ Emaik6 LXie_LRAMaiPAQ Ai2Qii Dh&qt./-Jzt 11 Property Owner Information Name ga<' .(J1 - UU /L Phone: 407 3a I LD S,3 Street: / 2i •S-'D _ 1 Qr Resident of property?: \ l F_S City, State Zip:\")A Q 1OL D 3,2713 Contractor Information Name Ame-12i'm/UAii A old Phone: /-/ 67 &S_7 9Sa l Streeti_'5_0Q '_6 - Eozoy a 1, Fax: q6 % 3s 'r 4S044 City, State Zip: W 1,e d D 4L State License No.: p m I? o 4 9'; 3 S Arch itectlEngineer 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: 5°i Edition (2014) Florida Building Code Revised: June 30, 2015 Permit 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 constructio>p and zoning. Signature of Owner/Agent Date Signa re of Co - r/Agent Date Print Owner/Agent's Name 4` 6 Print Contractoent's Name Signature of Notary -Slate of Florida Owner/Agent is Personally Known to Me or Produced ID Type of ID BARSW 1. Off ure o ary-State of Florida Date MY COMMISSION Y FF 939109 EXPIRES: December 19, 2019 Bonded Thm Notary Publk UnderwThrs Contractor/Agent is V 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 # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application tit MAIN OFFICE: Ame 'an All tL H.et. "" 5025, G,on C„r In o.. A,. FL 32765 4073599501. Fa+ 4073599504 7.800.421.000L (2665) JH INSTALL^TION AGREEMENT r 1. 1, ..+r r..•i• Am ,iemAirA. ue_c eR CUSTOMER NAME.__. JOBLOCATION__ CITY r_1__. _^ _.__...__ .ST f' ^—_ ZIP HONE PHONE RILL TO CITY ST rip Q A/C V MGAT PUMP e CONOENSER HTR/COIL AIR HANDLE" SYSTEM r , y_ _•,____ r .. SEER SYSTEM Z SEER ___,___. _ SIZE O NEW INDOOR DISCONNECT V Fa "IEw OyTDOOR DISCONNECT Q REPLACE SUPPLY PLENUM HEAT LOAD CALCULATION (MANUAL J) 1 E3 NEW WIRE WHIP; Q REPLACE RETURN PLEVMN O INSULATFONINSPECTION Cl NEW LOW VOLTAGEWIRINO RECONNECT SUPPLY/RETURN 3RE-LINEPLATFORM QMISC/OTHER___„_, NEW HURRICANE STRAPS F)THERMOSTAT_ a 0 N EWREINFORCEDE6UIPMENTPAD P,eLATFORMTOP p_,—,, O HIGH EFFICIENCY FILTER ^ -- — --- Q NEW CONDENSATE DRAIN MFWSVPPLYOUCT(S) MEWUVAIRPURIFIER.. _ —^ LINE C9 MEW REFRIGERANT LINESET O — _ . NEW RETURN OUCT(S) TALL CODE REQUIREMENTS JJ-11'/GTALL REALACEDUCSYSTEM Q REMOVAL OF OLD EQUIPMENT DCLEAMWOR/ f EFRiGRErRIGEiL./,TORITIONLINES McJ7ALLREFRIGERAN70RIER(S) REPLACE DUCT SYSTEM AREA TOCUSTOMER SATISFACTION Q EVACUATE REFRIGERANT MASTIC AND SEAL ALL PLENUMS 0S7ARTUPSYSTCM SYSTEM O R- 11 FLUSH KIT Cl FLUSH CONDENSATE DRAIN LINES YEAR LABOR WARRANT/ O COMFORT CONCERNS AUX. DRAIN PAN W/SAFETY SWITCH J :_ YEAR WARRAI•ITYON ALL FUNCTIONAL PARTS O OUCTCALCULATION( MANUAL D) NEW CONDENSATE O/F SAFETY SWITCH y:-'_ YEARwARRANTY ON COMPRESSOR ONEWCONDENSATEPUMPW/SAFETYSWITCH Ma PFACEOF MIND GUARANTEES H/C 0 VISA DISC .O AMEX OCAS" O CHECK M _ _ _ —, ' COMFORT SYSTEM INVESTMENT FINANCING (SAC/ MO) OTHER FPL REBATES--- MANUFACTURER REBATE WERCO.M _- - _ CREDIT AMOUNT _--__ ___ SERVICE INVOICE AMOUNT nl.a Ru..nnt•Jd ,e b. a++Pral.ed All ,.u,L ,n b• t•n,Pkerd n ...«LmanLLe in•nnr. n. ru, d.n,P s nJn.d p.•eer•. nnl,....ennn. d..,,nn f.un .,bn.e a haleona .n.d..n II L..n•. ut.d onl Pn< [ 'n •• n nrnnw' y uPen w ..d..• and AMERIGNAIR i HEAT PROMOTION' her• n v . rh .<, All .nt n,n .v,d nb..+ th. .• nR...m .nLen t.L.a r,Jrnt,' d.loya b.ynnd 7u nl^.. A, .,F (;a,d n..n.r rry ti. r wdn, n,l uth.r n...... A." •. f,dly w rrd by tOwn.rherbywsb,t , ny's ,Kb,+nf aib, 6d.0 nd w n i, NOTE mpl., ieM . , 11 n or.n.d and u do to J,6y thti 1+ • ,1..., 111 . .,.pm and pn„alwhrh • wld n•, h..< u .h..11 NOT brreml f.. . pn, of ,hr .rol r 1r wh... ,I,r . pl«.d. S dnpn.t, •nJ .Gu p.nln ah.11 ime nm' per onel p.np•rty of A n..no , An S H•a I, In<. .m,d pnrment „,full c w w .,1 [fuyn. he..by nQc••a ,h1, and equ. P.n v b• ..pn .d .n thr e1 n n-p. Svs, ms a :J h..d un M,.nu,l J h..., Inad Thr , ndn a In, th.. alr ulln n .,. 9i'de,e s utdee 1nAr /•: .Ind.. .r,dur• mp.ru ... .. p.. rq.i P- •f. A........... A.. N.el .r<•pta inr Nr1t•a ru•,.m... •,t. r , env•m. «, ..I. MONTHLY INVESTMENT MOS. s.l a .d,d /,. qD d.y. udn.+eth•w,ap •p«drd NET INVESTMENT PRICE OWNER AUTHORIZATION AMERICANAIR i HEAT AUTHORIZATION i .' ElATE_-.. " I DATE r Fa - friendly se vi e— Aais... AmericanAmerican SCPA Parcel View: 07-20-31-506-0000-0510 Page 1 of 2 On -Ad ,Johnoon.C..FA Property Record Card PROPERTY Parcel: 07-20-31-506-0000-0510 APPRAISER Owner: WILBUR ROGER G III SE'MNOLLICCUNTY. FLCAJDA Property Address: 112 BRISTOL CIR SANFORD, FL 32773-7324 Parcel: 07-20- 31-506-0000-0510 1 Property Address: 112 BRISTOL CIR Owner: WILBUR ROGER G III Mailing: 112 N BRISTOL CIR SANFORD, FL 32773- 7324 Subdivision Name: BRYNHAVEN 1ST REPLAT Tax District: Sl- SANFORD Exemptions: 00-HOMESTEAD ( 1994) DOR Use Code: 01-SINGLE FAMILY 1y 1 Value Summary 2016 Working 2015 Certified Values Values Valuation Method Cost/ Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 101,054 97,550 Depreciated EXFT Value 1,000 1,000 Land Value Value ( Market) 20,000 20,000 Land Value Ag Just/Market Value 122,054 118, 550 Portability AdI - -- Save Our Homes AdI 42,170 39,221 Amendment 1 AdI Assessed Value 79, 884 79,329 Tax Amount without SOH: C.,N 2015 Tax Bill Amount Tax Estimator e r' Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments 1,337.39 642.39 695. 00 http:// www.scpafl. org/ParcelDetailInfo.aspx?PID=07203150600000510 3/16/2016 Certificate of Product Ratinas AHRI Certified Reference Number: 8072181 Date: 3/16/2016 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 25HCE436A'*31 Indoor Unit Model Number: F134CNP036L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Series name: 14 SEER 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: r1 Cooling Capl cry (Btuh): D 33000 E R.Rating`(Co`oling): 11.70 _ 1 F11 MEV D SEERRRating,,(C o ofng):'' 14-00 ,,,111 - Heating Capacity(Btuh) @ 47 F: 33800mmg * W1 6 1 LRegion,IV HSPF Rating (Heating): 8.20 Heating CapacitV(13tGh)-@-17-F"21000 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.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, AM personal and confldentlal 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 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.: 131026027751243506 HEAT GAIN Name Roger Wilbur Address 112 Bristol City, Zip Sanford for CALL INST COOLING LOAD (HEAT LOSS) 95 DEGREE DAY WINDOWS AREA BTU GAIN HEAT GAIN NORTH (SINGLE) 33 26 858 NORTH (DOUBLE) 0 21 0 EAST/WEST (SINGLE) 64 60 3840 EAST/WEST (DOUBLE) 0 49 0 SOUTH (SINGLE) 41 36 1476 SOUTH (DOUBLE) 0 25 0 DOORS 42 13 546 WALLS NO INSULATION 1416 8 11328 R-13 0 3 0 R-19 0 2 0 CEILINGS NO INSULATION 0 22 0 R-11 0 4.1 0 R-19 1549 2.6 4027.4 R-30 0 1.6 0 FLOORS NO INSULATION 0 3 0 CARPET 0 2 0 R-11 0 1 0 SLAB ON GRADE 1549 0 0 INFILTRATION HOME SQ. FEET 1549 3.5 5421.5 INTERNAL GAINS NUMBER OF OCCUPANTS 6 530 3180 KITCHEN/BATH ALLOWANCE 1 1250 1250 SUB TOTAL 31926.9 DUCT MULTIPLIER 1.13 Tonnage TOTAL 36077.397 3.0 LIMITED POWER OF ATTORNEY Date aLI& /me I hereby name and appoint An agent of: O nbil4CI j41ZC1A,.S American Air and Heat To be my lawful attorney —in-fact to act for me to apply for, receipt for, and sign for and do all things necessary to this appointment for: Address of Job) Expiration date for this limited power of attorney: '3 16 / /l Aar- ignatur f CeIFtified Contractor) JeKEy Bent, CMC049238 Printed Name of Contractor and License Number) State of Florida County of / 1UO %E S orn to and subscribed before me this %6 day of DV (O / f by l-{ Who is person me or who has produced (identification) O • / L (Notary Seal) Notary Public a Commission expires: / C ' 19 % / BARBARA L MCGILL MY COMMISSION t FF 939109 Print or Type Name) a, EXPIRES: December 19. 2019 lJr,.4.`t Bonded Thru Notary Pubic Undem brs