HomeMy WebLinkAbout1307 Travertine Ter (2)D a CITY OF SANFORD
BUILDING & FIRE PREVENTION
tj PERMIT APPLICATION
Aoulication No: / w - q /3 Documented Construction Value: S 5,885
Job Address: 1307 Travertine Ter. Historic District: Yes N,S
Parcel I D: 33-19-30-521-0000-1110 Zoning:
Description of Work: AIC Change Out, 3 ton HP, 14 SEER, 9 HSPF. No Duct Work, Replacing Permit 15-2403.
Plan Review Contact Person: Jim Lundy Title: Install Manager
lam.? ' G-,•,ram
Phone: (407) 841-3310 Fax: (407) 425-9934 E-mail: servjSc'A .westbsrookfi.om
Property Owner Information
Name Frank Anzaldi Phone: 407-448-5836
Street: 812 Edgeforest Ter. Resident of property? : No
City, State Zip: Sanford FI 32771
Contractor Information
Name James Roberts/Westbrook Service Corn_ Phone: (407) 591-4612
Street: 1411 S_ Oranae Blossom Trail Orlando. FI Fax: (407) 425-9934
City, State Zip: Orlando. FI.32805 State License No.: CMC1249312
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
Building Permit
Square Footage: _ 2,540 Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical O Plumbing
New Service — No. of AMPS: New Construction - No. of Fixtures:
Mechanical ® (Duct layout required for new systems) Fire Sprinkler/Alarm O No. of heads:
Shall be Inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida
Statutes. REV 07.14
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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.
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.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released. I I
signatum orOwner/Agent pate
Print Owner/Agent's Name
signature o r Notary -State or Flurida Uate
Owner/Agent is Personally Known to Me or
Produced 1D Type of ID
APPROVALS. ZONING: UTILITIES:
COMMENTS:
CHRi SSMA L LOVER
MY (C)*11S5i0N / FF NW,,0
h. ' EXPIRES: Octctrr; 2017
Bati TtuurktaryhYt LtiUern
Contractor/Agent is X_ Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
ENGINEERING: FIRE: BUILDING:
Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6)
Florida Statutes. REV 07.14
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City of Sanford
HVAC Permit Application Checklist
D
All permit application packages must be complete prior to acceptance. You must check each
box to the left or indicate n/a on this submittal. A complete application package shall
include the following:
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
Completed and signed Owner Builder Statement J Affidavit (if the owner is the applicant).
One (1) copy of equipment sizing calculations — for new construction installations:
o Residential - ACCA Manual J-2003 or other approved heating and cooling calculation
methodology.
o Commercial - ACCA Manual N-2005 or other approved heating and cooling calculation
methodology.
03/24/16
orContrncio&Agent Date
These guidelines were compiled to assist the applicant in preparing a HVAC change out permit application and
nrgv not be complete. The applicant is required to meet all City of Sanford, state, and federal code
requirements.
Revised: March 2014
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Is
Soon Hanks
Office Lens 20150721-192526 1pg
July 21, 2015 at 8,26 PM
Ingrid
Scan Banks
Please sign and send back asap
Thks
if,
Tanya Valenline
Westbrook a.,'tlr r
il ',• Aga. r •. i .
1.' OF 1111MK/1 nxv/p• rr .w
COMFORT AGREEMENT s. • .,
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TOTAL COMFORT SYSTEM
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After Credit Total far
added oFt'-_ FLr Cttmto_
n, S'ysiWm Pncn_ 1_pss
LAddy Rebate AIR DISTRIBUTION
New.nsutated
platform w,lh a•a plywood trip and slaps Add 5 i5!t call Cap exrstsrty
stand mth 314 plywood and r t insulate iAocxmnect supply
plenum Add ..-..,_ return Rap runs Add Int;reat,e ,.-_ aucttly tier rube A-,.W 2f;coonnuU
return plenum 7Add .- - supply flax nrns Add Increase _'. _ return fie, runs A01, Zrlrr* return
rise( Add _. Ruplaco uxrsLng duel syt.tl.'rn Ada - Qthur Ci New
supply rrser Add_ Replace relum all grill Ada CONTROLS AND
ELECTRICAL Neuse existing
low 1pllagc wire fiun naw lob cstage wor. Reuse existing
tvgh voltage wire Run rum WAP hlrh %cinge or a-i Ad.: D Install
new disconnect Adn UL)grdue k4ilrtnwm WVK V.. Ada v lnsW
new zone system Add Roptacti __ _ AMP oreaker Aid Install. -.__ now :
ort-dampers Add Oehler i Install _
new Ihmmoscals Add -- _ Nd 0L
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PIPING
0 Supplementary drain pan with fatl•sate condensate Ilona a wnch = New chase cover with Dui CaP ...W....- It Add
GI—Conneet to existing refrigerant Imes -. tw 5 •v, r ,f 4.Jr ! Lc New reInp WI ltrie set Size _ _ Add
r4 New polyptpe drain Add _ New chase cover with cap It Add
r ensate drain hookup with clean out tee d In -Line safety T,sw%lch
M43CELLANEOUS
Ramovel of the cw6ling equ,pment (ram prerises _.•-Ail wwk to be performed in a rival and piolessronal manner s,)
r, %recast concrete condensar pad Sire __ journeymen Vass lechntrian Swoeorng dusting and vacuuming
j Now egtbpf"nt ada wts wta be painted with whim mastic wnIF be arxompttshed at the Conctus,on of ealh clay!. work dud is!)
OU{er ..x_ yr o/ rL .v G•c,LFi • 7a dehrr, remnved thin 1hn premises
I work done in aanrdailLe Amth a{rstmg Codes aria requI l vrmwt.
NOTE E(.c j wrong, afcud breakers, piping, grilles, Condensate pump. float swlldl etc. have a One -Year Part and Labor WwrjnlS
We pnVow h tt>Dy ro ntnusn Comp/elo as ,ibwoe spoofed for tho sawn of
Payment terms wan ba C Upon Completion L1 Credit Caro --'Check Fimincu _ per month (appro. 1
e1/yewxrdiarr rocwcLL• you rme ftivro Wr cANCFL MIS TRA44ACT*V P9:000 rP•rJV N^4n tL 0J, WfAVEV ltirr.00T r"I rl C-; I'M11.4 r.,i:. At.. ri4rr
PROe rDA+D,urGNr Or?K- TNORD auSityESSDAYAFIER r,rE DATE or rifrS T4ANSACT!0!J
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Sean Banks
Comfort Advisor
Westbrook Service Corporation
321-505-5111 cell
888-389-3069 fax
1411 South Orange Blossom Trail
Orlando. FL. 32605
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A4.eORhlo CERTIFICATE OF LIABILITY INSURANCE 27a°" M
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(6), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is on ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms end conditions of the policy, certain policies may require an endorsement A statsmsnt on this certificate does not confer rights to the
certificate holder In lieu of such endorsements .
PRODUCER
Brown t Brown of Florida, Inc.
2600 Lake Lucien Drive
Suite 330
Maitland FL 32751
Samantha Murray
PHONE (407) 660-8282 Ieo7l660-2012
AC no
amurrayibborlando.com
N5URE S AFFORDING COVERAGE NAIC0
s E A:FFVA Mutual Insurance Co. 10385
INSURED
Westbrook Service Corp.
1411 S. Orange Bloasoa Trail
Orlando FL 32905
INSURER
INSURER C
WSURERO
1 INSMIt it:
COVERAGES CERTIFICATE NUMBERCL1612604397 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L13TED BELOW HAVE BEEN 155UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDU CEO BY PAID CLAIMS.
LTRM TYPE Of INSURANCE
UL ON POLICY E" PC
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COMMERCIAL GENSRALUA &nY
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Dedudble
DESCRMTION
OF DPERATIDNS I LOCATIONs I VEHICLES (ACORD 101, Addldwsl Ranurto Schedule, may betta attachedIt mom apace Is raWWW) REF:
Eric Avery License NER13014484 City
of Sanford Building
Department 300
North Park Ave. Sanford,
FL 32771 SHOULD
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE
WITH THE POLICY PROVISIONS. AUTHORLM
REPRESENTATIVE D'
Avanzo, CPCU/9986 "-' !./ "~J
m
19B8-2014 ACORD CORPORATION. All rights reserved. ACORD
26 (2014101) The ACORD name and logo are registered marks of ACORD INS028rrnunit
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STATE OF FLORIDA'-
DEPARTMENT OF BUSINESS AND -PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
ROBERTS, JAMES D
WESTBROOK SERVICE CORPORATION
1411 S. ORANGE BLOSSOM TRAIL
ORLANDO FL 32805
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque restaurants,
and they keep Florida's economy strong.
Every day we work to improve the way we do business In order to
serve you better. For information about our services, please log onto
www.myflaildalicense.com. There you can find more information
about our divisions and the regulations that impact you, subscribe
to department newsletters and leam more about the Department's
Initiatives.
Our mission at the Department is; License Efficiently, Regulate Fairly.
We constantly strive to serve you better so that you can serve your
customers. Thank you for doing business In Florida,
and congratulations on your new license!
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
CMC1249312 4w . IS{SED y08/14/2014 .
CERTIFIED MECHANICAL CONTRACTOR
ROBERTS, JAMEb 5
WESTBROOK S VICE C RPO T,ION
IS CERTIFIED` under the'provlzl
Eapkalmn dit . AUG 31, 2916
rls of Ch.480 Fe.
L140614=1994
DETACH HERE
RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY
STATE OF FLORIDA ,
E - DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
The MECHANICAL CONTRACTOR
I Named below.IS CERTIFIED',. -
Under. the'provision"s of Chapter 489 FS.
f d t AUG31Explraronae. ,,.,.. • -•.h,., , _ ,
ROBERTS; JAMES Q- . M _ .,
s`•;.,""WESTBROOKSERVICE,,ORf?ORATION ` '. °•
1411 S •ORANGE BLOS80M1TRAIL
OR NO W!12805"".,.
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CORP. ROBERTSIJAMES
D'OUALIFIERI FL:
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This flocalptis official when
volidaW by the Tax Collector.,
LIMITED POWER OF ATTORNEY
Date: 03/24/16
I hereby name and appoint: Stephen Willi
an agent of: _ Westbrook Service Corp
ame oT ompany
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
appointment for (check only one option):
All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:
1307 Travertine Ter.
street aris)
33-19-30-52 1 -0000-1110
Parts )
Expiration Date for This Limited Power of Attorney: 12-31-16
License Holder Name: James Roberts
State License Number. C C124 312
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF _ Orange
The foregoing Instrument was acknowledged before me this y ofGf'- ,
2016 by 1411 S. Orange Blossom Trail Orlando, Fl who is ®personally known to me or
who has produced
d o did (did not) take an oath.
Signature or Notary
CHRISTINAL.GLOVER
MYCCAIMS50N't! FFWSW
EXPIRES' QcN W 7, 2017
f, 4y. ,•` SWAB Tflu Not?P1 P049 Ur. ^62'1
1^
as identification
Zv"-57&,a v(/
Print or type Notary name
Notary Public - State of
Commission No,
My Commission Expires:
2L
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From Susie Rosser Fax (866) 794-5128 To 4076885152@rcfax con Fax +14076885152 Page 1 of 1903/2412016 2 10 PM FAX
To:
4076885152@rcfax.com Phone
Fax
Number +14076885152 replacement
for permit 15-2403 Date:
03/24/2016 Pages
including cover sheet: 19 From:
ISusie Rosser Westbrook
Service Corporal 1750
Anderson Street Clermont
FL
34711 Phone +
1 (321) 246-8446 Fax
Number (866) 794-5128 Send
and receive faxes with RingCentral, www ringcentral corn R&OCO&
PERMIT NO. / 1*10 0 ql%3 ISSUE DA
CONTRACTOR: k/e57 oroo
6
JOB ADDRESS:
TYPE OF WORK: C/o MV*4<.,
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
03. d 4,0
Post this permit In a conspicuous location outside
Approved plans must be posted with permit for Inspection
Leave all work uncovered until Inspected and approved
Permit expires 6 months from date of Issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION TYPE APPROVED REJECTED INSPECTOR
ELECTRICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FOOTER INSPECTION ELECTRIC UNDERGROUND
STEMWALL FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY T U G. / PRE POWER
SLAB / MONO -SLAB ELECTRIC ROUGH
LINTEL / TIE BEAM ELECTRIC FINAL
SHEATHING - ROOF MECHANICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR
SHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL 4
DRYWALL/SHEETROCK PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTOR
LATH INSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION TYPE APPROVED RFJECTED INSPECTORROOF
INSPECTION TYPE APPROVED RFJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED RFJECTED INSPECTOR
PRE -DEMO FINAL DOOR
FINAL DEMO FINAL WINDOW
FINAL SOLAR PANELS IRRIGATION FINAL
FINAL POOL SCREEN FINAL SCREEN ROOM
FINAL UTILITY BUILDING FINAL BUILDING OTHER
MOBILE HOME TIE -DOWN MOBILE HOME FINAL
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.
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 FBC105 3 3
REVISED. OCTOBER 2014 Inspection Line: 9555/1.2112
TO SCHEDULE AN INSPECTION:
Dial855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
To Schedule Fire Inspections: Please call 407.562.2786 ***
PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business
day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am -
5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
BUILDING ELECTRICAL
FOOTER 104 ELECTRIC UNDERGROUND 211
STEMWALL 102 FOOTER / SLAB STEEL BOND 221
FORMBOARD SURVEY 147 T.U.G. 216
SLAB / MONO -SLAB 103 PRE POWER FINAL 218
LINTEL / TIE BEAM
SHEATHING - ROOF
105
106
ELECTRIC ROUGH
ELECTRIC FINAL
212
213
SHEATHING - WALLS 115 MECHANICAL
FRAME 109 MECHANICAL ROUGH 409
INSULATION ROUGH -IN 110 MECHANICAL FINAL 410
DRYWALL / SHEETROCK 131 PLUMBING
LATH INSPECTION 132 UNDERGROUND ROUGH 322
FINAL STUCCO / SIDING 130 TUB SET 312
FIREWALL SCREW 120 SEWER 311
FIREWALL FINAL 143 PLUMBING FINAL 313
INSULATION FINAL 113 GAS
FINAL SFR 138 GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314ROOF
ROOF DRY -IN 116 GAS FINAL 315
FINAL ROOF III
MISCELLANEOUS / FINAL INSPECTIONS
PRE -DEMO 144 FINAL DOOR 136
FINAL DEMO 126 FINAL WINDOW 137
FINAL SOLAR PANELS 134 IRRIGATION FINAL 321
FINAL POOL SCREEN 139 FINAL SCREEN STRUCTURE 127
FINAL UTILITY BUILDING 124 FINAL BUILDING - OTHER 112
MOBILE HOME TIE -DOWN 145 MOBILE HOME BUILDING FINAL 146
Miscellaneous Notes:
RE Inspection me: .2112
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 16-00000913 Date 3/24/16
Property Address . . . . . . 1307 TRAVERTINE TER
Parcel Number . . 33.19.30.521-0000-1110
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 933416
Permit pin number 933416
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 410 MH02 MECHANICAL FINAL / /