HomeMy WebLinkAbout184 Bristol Forest TrlV-o 3 -5- y -0 0 1/) t1' 00
CITY OF SANFORD
BUILDING & FIRE PREVENTION
W PERMIT APPLICATION
Application No: A.,
Documented Construction Value: $ Ll ! -7 0
Job Address: l Historic District: Yes No E--
Parcel ID:
Type of Work:
Description of Work:
Residential Ei Commercial
J Addition U Alteration Repair Demo Change of Use Move
Plan Review Contact Person: I
Phone•'UO') 3(0'5 Fax:
Title:
Email:
Property Owner Information
QQName %l coPhone: Lio
Street.
o _
rjh_j+4p 1 ^ oA= Resident of property?
City, State Zip:1T /1f)iAr'r
I
s Contractor Information
Name l Phone:
Street: Fax:
City, State Zip: I State License No.: py'z'&W L17
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
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: 5'h 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 construction and zoning.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Signature of Contractor/Agent Date
ROBERT G. DELLO kUo,-J
Print Contractor/Agent's lame
I 0IV
Signature f NNotag;State of Flortdq,,.I]ate-
MIRINDAC. TURNER
MY COMh9iSS10N 0 FF 223790
li ^•J' :
EXPIRES. June 14, 20 19
of t, 3onded Thra Notary ?r,h!;o Undenvrters
nv
Owner/Agent is Personally Known to Me or Contractor? /Agent 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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised June 30, 2015 n _ __
Permit Application
LrWTE rD POWER OF A.TTORNEy
Date: 3I % 1 A0
This letter is written to give authorization forte- -` to pick up the in h Iical permit forInc. for -1 OLA K , ram, i el-Air Heating Air Conditio i
Property Address)
Thank you,
Robert G. Dello Russo, President
DEL -AIR HEATING, AIR CONDITIONING & REFRIGPERATION, INC.
Refrigeration,
STATE -OF FLORIDA-
COUNTY OF -- - -- - - -- - - — - - — -- - - -- - -
The foregoing instrument was acknowledged this20' by Robert G. Dello Russo who is erso
day of
acknowledged that he signed
U Wally known and appeared before me andgntheinstrumentvoluntarilyforthepurposeexpressedinit.
Signature of Notary Public
Notary Seal)
Print, Type or Stamp Name of Notary Public
tiH' 7''• MIRINDA C. TURNERiaMYCOMMISSIONtFF223790
4a= EXPIRES: June 14, 2019
Bonded Th. Notary Pub9c Undmndbm
531 Codisco Way
Sanford, FL 32771.
Phone: 407-333-2665
Fax: 407-33.3-3853
SCPA Parcel View: 22-19-30-502-0000-0500 Page 1 of 2
t:)r"""""r"'"'• ••" % Property Record Card
PR PER7Y Parcel: 22-19-30-502-0000-0500
APPRAISER Owner: ROBERTSON QUINTON & REBECCAv:xn-t"t:rai,^""v r't'(,w•, .;
Property Address: 184 BRISTOL FOREST TRL SANFORD, FL 32771
Parcel: 22-19-30-502-0000-0500
Value Summary -
Property Address: 184 BRISTOL FOREST TRL
Owner: ROBERTSON QUINTON & REBECCA Values
Working
Values
Certified
Mailing: 184 BRISTOL FOREST TRL
ValuValues
SANFFORDORD,ValuationFFL32771Method Cost/Market i Cost/Market Subdivision
Name: PRESERVE AT LAKE MONROE Number of Buildings 1- 1 1 - Tax
District: S3-SANFORD-WATERFRONT REDVDST Depreciated Bldg Value $146,053 131,978 Exemptions:
00-HOMESTEAD (2009) Deprecated
EXFT Value $15,535 16,102 DORUseCode: 01-SINGLE FAMILY Land
Value (Market) $34,000 30,400 Land
Value Ag st/
Market Value 195,
588 178,480 PortabilityAdl
Save
Our Homes AdI $53,154 i $37,036 jam'
f Amendment 1 AdI - Assessed
Value $142,434 141,444 F•
Tax Amount without SOH: 2,810.97 2015
Tax Bill Amount 2,057.24 Tax
Estimator Save
Our Homes Savings: 753.73 Does
NOT INCLUDE Non Ad Valorem Assessments Legal
Description LOT
50 PRESERVE
AT LAKE MONROE PB62PGS12-
15 Taxes
Taxing
Authority j Assessment Value Exempt Values` Taxable Value I _ I
County General Fund I $
142,434 $50,000 _ Schools $
92,
434 142,
434 $25,000 $117,434 City
Sanford ;142,
434 - m- $
50,
000 -- _-- __._.__.- 92,434 SJWM(
Samt Johns Water Management) $142,
434 _ $50,000 92,434 County
Bonds 142,
434 $50,000 Sales
Description
Date Book Page Amount Qualified Vac/Imp WARRANTY
DEED 7/1/2008 07038 0243 $258,000 Yes i Improved WARRANTYDEED4/1/2004 05292 1095 $214,000 Yes l Improved I
Find Comparable Sales within this Subdivision - ---" -' V--------------_ _ Land
Method
i Frontage De ` - Units Price _ Pth 'Units l land
Value LOT - - -
34,
000.00 _ $34,000 Building
Information - - - - - Year
Built E # Description
Actual/
Effective I
Fixtures
Base Area Total SF Living SF Ext Wall ;AdI Value ` Repl Value Appendages 91
SINGLET 2004 9 1,447 3,157 I 2,721 i CB/STUCCO $146,053 $152,935 FAMILY - II:
l I FINISH Description Area I
I GARAGE j FINISHED (
f 420 http://
www.scpafl.org/ParcelDetailInfo.aspx?PID=22193050200000500 3/7/2016
450 Co E R,T I_F1I_E_D®
www.ahridir' ectory org
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Product rlxatings
AHRI Certified Reference Number: 7017565 Date: 3/6/2016
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 25HBC530A**30
Indoor Unit Model Number: FX4DN(B,F)031L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Series name: COMFORT 13 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 -SourceHeatPumpEquipmentandsubjecttoverificationofratingaccuracybyAHRI-sponsored, independent, thirdpartytesting:
Cooling C pacity (Btuh)I:
28800
E`ER Rating (Co'oli ng):-€ _
I ,...--
12.5 0
I SEER Ratin Coolin-- I 9( g) 1521.1 -_
tI
Heating Capacity(Btuh) @ 47 F: 28200 j,,
Region IV HSPF Rating (Heating): 8.50
Heating Capacity(Btuh)-@-17-F. -17000
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 theunauthorizedalterationofdatalistedonthisCertificate. Certified ratings are valid only for models and configurations listed in thedirectoryatwww.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal andconfidentialreferencepurposes. 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 INSTITUTETheinformationforthemodelcitedonthiscertificatecanbeverifiedatwww.ahridirectory.org, click on "Verify Certificate" linkandentertheAHRICertifiedReferenceNumberandthedateonwhichthecertificatewasissued, we make life better"
which is listed above, and the Certificate No., which is listed at bottom right. -- -- - -_
2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.- 131017507235249142
State Cert CAC032448
Quinton Robertson
184 Bristol Forest Trl
ller,Vtlr: - Ai; Syfmd4itl€,?i}ing
Appliances r Elpc:tricji
Sales Agreement
407-687-5026 3/7/2016
Cell Email
888)-831-2665
24 Hours - 7 Days a Week
WWW.DELAIR.COM
Craig Fortin
407-417-3892
Sanford FL 32771 WWW DELAIR i
Description Size SEER RATING
Carrier Comfort 15 Puron® HP 2.5 TON 15.2
Carrier Limited Factory Warranty: 10 years all functional parts 1 year on labor.
For the sum set forth we agree to install and service the following Del -Air comfort system as per the specifications outlinedincludingtheequipmentandmaterialslistedonproposal. Materials not listed are not included.
erms and Conditions
Total Including Permit $ 4,776
Credit Card
Homeowners are responsible to stay home for one (1) full day for the Building Department Inspection
Del -Air gives no guarantee for any existing conditions such as, but not limited to, pre-existing Electrical, Ductwork, Mechanical Equipment & House Structure
Florida's Lien Law
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001 — 713.37, FLORIDA STATUTES), THOSEWHOWORKONYOURPROPERTYORPROVIDEMATERIALSANDARENOTPAIDINFULLHAVETHERIGHTTOENFORCETHEIRCLAIMFORPAYMENTAGAINSTYOURPROPERTY. IF YOUR CONTRACTOR OR A
SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THEPEOPLEWHOAREOWEDMONEYMAYLOOKTOYOURPROPERTYFORPAYMENT, EVEN IF YOU ALREADY PAIDYOURCONTRACTORINFULLIFYOUFAILTOPAYYOURCONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE ALIENONYOURPROPERTY. THIS MEANS IF A LIEN IS FILED, YOUR PROPERTY COULD BE SOLD AGAINST YOURWILLTOPAYFORLABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTORMAYHAVEFAILEDTOPAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFOREANYPAYMENTISMADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIENFROMANYPERSONORCOMPANYTHATHASPROVIDEDTOYOUA "NOTICE TO OWNER." FLORIDA'S
CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
X
aigna[ure
Quinton
Add Additional Notes Here
I have the authority to order the work outlined above.
In the event payment is not made promptly in accordance with
3/7/2016 agreed terms, it shall be seller's option to charge a service
Craig Fortin charge not exceeding two (2) percent per month. The first service
charge will be due 15 days from the date of the billing of our
amount due on the job. In te event of collection by an attorney, It is understood that the title of all products and equipment covered by the all attoney fees, court costs, and other legal fees shall be borne contractremainssolelyintheselleruntiltheentirepurchasepricehasbythebuyer; in the event of non-payment, purchaser agrees to beenpaidinfullandthemannerofinstallationan/or attachment to any allow seller on premises to remove equipment installed This equipmentand/or any portion of the building structure in which the sales agreement shall be binding upon the heirs, successors, installationismadeshallnotinanymannerjeopardizetheseller's title and/or assigns of the oartv hPretn Proposal
is no longer valid after; 4/6/2016