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HomeMy WebLinkAbout122 W 17 St (2)a CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT'APPLICATION Application No: . (- 9S L Documented Construction Value: $ 6790.00 Job Address: 122 W 17th Street Sanford Historic District: Yes No Parcel 1D: 36-19-30-506-0000-0220 Residential Commercial Type of Work: New Addition Alteration Repair 3 Demo Change of Use Move Description of Work: hvac changeout to 3 ton 15 seer Goodman Plan Review Contact Person: nytlin Pill Title: permit coordinator Phone: 407-532-8000 'Fax: 407-297-7577 Email:_rayern amcritprHapmail cxm Name Nelson Beverly Street: 122 W 17th Str pt City, State Zip: Sanford, FL 32771 Property Owner Information i 407-920-1937Phone. Resident of property? : yes Contractor Information Name Ameritech A/C Phone: - 4o7-5 -son Street: 6290 Edgewater Dr Fax: 407-297-7577 City, State Zip: ^r'ando FL 2s1n State License No.: CAC1817383 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: Bonding Company:, Address: 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 hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstruction in this jurisdiction. I understand that a separate permit most be ,secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed wit the date of applicaddn and the code In effect as of that date: 51" 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 io 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. 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 ning. JAAA\OkC , T(,ISignatureofOwncr/Agent Date Signa re f .ontrac or/Agcn to Print Owner/Agent's Name Signature of Notary -State of Florida Dane Brian Novotny Print Contractor/Agent's Name Signature of ry-State _.Mod Date CAYTLIN HILL i•; •: MY COMMISSION # EE221184 Owner/Agent is Personally Known to Me or Con eat i XPIREE3ett tBAll ol to to Me or Produced ID Type ofID Prod ' 6'. F 10Xn BELOW IS FOR.OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Storiesi New Construction: Electric - # of Amps Plumbing - #.of Fixtures . Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads Fire Alarm Permit: Yes No UTILITIES: ARE: WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Date: 3US-/ B Owner of property: Co -Owner or Tenant: Job Location: e REPAIR IT - REPLACE IT'* MAINTAIN IT Work Order # Cell Phone (`t D) 9610- l J Email: BilIiiig'Address (if different): We hereby propose: • Tofurnish, install and service under warranty '(stated below) products or related equipment for your homeorbinessinaccordancewiththeconditionsandspecificationssetforthbelow. Condenser O A'tAJ PKG@ S/C Other gAifHandler g-tO 0 VA h VoKW a n-A?C pad size e Gas Furnace ra Thermostattype i S All work to be done in accordance w/existing code with Coilperm mg. AHRI# Tons Removal of existirig•equipment from the premises. p- SYSTEM SEER RATING SEER RATINGS ARE DETERMINED BY E COMBINATION OF BOTH UNITS) All work to be performed in a neat and professional aFlo` od Switch _ manner by a •trained technician. All debris removed from o, U—quidLine 3jg Suction Line premises each day. 'AmeriTech will guarantee the install of the product free from defects in workmanship for 1 one year from ondensate Pump • e New Drain Line w date of install. Accept Decline qknnufacturer warranty. on parts 10 years. Condenser and Air Handler. AmeriTech will file warranty paperwork Line set protective cover ft. after payment in full and permit is complete. Customer must contact AmeriTech if warranty certificate is not received within Zonin Zones 45 days of install. apply Duct Ce- ''Ark Return Duct Direct eilmg SW New Platform Air Purifier Air Filter type andsize kZ© Duct Sanitize: Accept Decline Duct Seal: Accept Decline New electrical disconnect for condenser New electrical for AHU disconnect Surge Protector. Purchase extended manufacture labor warranty years. Condenser and Air Handler. Warranty on zoning electrical Warranty on dampers U" Uftturer warranty on compressor - years. AmeriTech will file warranty paperwork after payment in full and permit is complete. Customer must contact AmeriTech if warranty certificate is not'received within 45 days of install. arranty on duct work Vf Im- Warranty on other _ LIU14 Company . - Note: please follow guidelines for local utility regarding any possible rebates) This entire document, including the terms and conditions below, and any agreement executed in writing, pursuant thereto, between BNL Contractors, LLC a/b/a AmeriTech Air -Conditioning and Heating (hereinafter referred to as "AmeriTech") and the property owner(s) or property owner's representative(s), hereby referred as the "Customer", are subject to the laws in effect in the state of Florida, and that failuretopayallamountsdueshallconstituteamaterialbreachofthisagreement' and Customer shall be responsible for any and interest at 1. 5% per month (18% per annum.), costs, and attorney's fees incurred by AmeriTech to recover said amounts owed? Customer shall pay AmeriTech' s atto ne r' fl a© costs for collection of any sums due hereun er, whether or not suit is Total Price VL_ 1 tK 4 Il Dollars Terms*: * L inarfing 8c t(Emsm4ndng on credit approval and must be completed before work gins Company acceptance signat Owner acceptance signature Notes: Date: - 3— / / jl_ Date: - 3— / ff— / j ro_ AmeriTech Office: 407-532-8000 Fax: 407-297-7577 P.O. Box 680666 Orlando, FL 32868 License #•CA-0817383 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: 8331286 Date: 3/18/2016 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: GSZ160361 B* Indoor Unit Model Number: AVPTC36C14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR Series name: GSZ16 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment_and subject to d-1 ification;of rating accuracy,bk3A RIF'sponsored; independent, third party testing:, _._... _.. i ' T= • . s.J jtp Y i_ . Z7 a •.h ti'b r. , Z w d ',• !.ti j'i",i!-i}" 7.,/ J ",,<..-.,C ... r ,hi r`4y:'r.. •kti Cooking Capacity.(Btuh): 32600 t EER atin 12:50 t`a<i!`.lt..tw.'sLssY.,^•'-;''_.w sc.,.b:....-..M.aa..t t...o:__...,..:_..+...:_'!`'.,:..:ia o.:..+i,:n,c...:.,coca.,:iF' Heating'Capacity(Btuh) @17 F`t g216007.7' 5 Ratings followed by an astensk (*) 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 Certiflcate. AHRI expressly disclaims all liability for damages of any kind arlsing out of the use or performance of the product(s), or theunauthorizedalterationofdatalistedonthisCertiflcate. Certified ratings are valid only for models and configurations listed In the directory at www.ahrldlrectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certiflcate shall only be used for Individual, personal and confldentlal reference purposes. The contents of this Certiflcate 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, EFRIGRATNINSTITUTE N TITUTE CERTIFICATE VERIFICATION & REFRIGERATION tNSTITIITE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certiflcate* 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 Certiflcate No., which Is listed at bottom right. f, -+ r_ CERTIFICATE-NO.•-,131027825099006808, 2014 Air -Conditioning, Heating, and Refrigeration Institute «.,, 41,,],.4 s,,- . _ .-f-;.,; ;:,_Z"-4 ` City of Sanford Building & Fire Prevention Division Residential Permit Card PERMIT NO. I (V Tor 9 ISSUE DATE: CONTRACTOR: A I er JOB ADDRESS: I 1.,4 36W i TYPE OF WORK: C lo "A 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 ELECTRICAL INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEMWALL FORMBOARD SURVEY FOOTER/SLAB STEEL BOND T U G / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF MECHANICAL INSPECTION TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTIONS INSPECTION TYPE. APPROVED REJECTED INSPECTORROOF INSPECTION TYPE APPROVED REJECTED 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 REJECTED INSPECTOR PRE -DEMO FINAL DOOR FINAL DEMO FINAL WINDOW FINAL SOLAR PANELS IRRIGATION FINAL FINAL POOL SCREEN IFINAT.RCRI717M ROOM FINAL UTILITY BUILDING FINAL BUILDING OTHER 4MOBILEHOMETIE -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 FEDERALAGENCIESFBC10533 REVISED: OCfOBER 2014 Inspection Line: $55.541.2112 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 t* 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 105 ELECTRIC ROUGH 212 SHEATHING - ROOF 106 ELECTRIC FINAL 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 328 ROOF GAS ROUGH -IN 314 ROOF DRY -IN 116 GAS FINAL 315 FINAL ROOF I l l 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 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 16-00000859 Date 3/21/16 Property Address . . . . . . 122 W 17TH ST Parcel Number . . . . . . . . 36.19.30.506-0000-0220 Application description . . . MECHANICAL PERMIT Subdivision Name . . . . . . SANFORD HEIGHTS Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL Additional desc . . Phone Access Code 932640 Permit pin number 932640 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 410 MH02 MECHANICAL FINAL / / CITY OF SANFORD f BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: S J a U' 0 U Job AddressJ ZZ W m. JQy)yo--6 Historic District: Yes No Parcel ID: 3 Lb QW0- 0220 Residential ®' Commercial Type of Work: New Addition Alteration Repair - Demo Change of Use Move Description of Work: \Yiy)q C'\\ Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name & Vp, f m un Sorg Phone: L- I01- CQ0- ! Cl 3-7 Street: 17.2 ;. 1 -)41 City, State Zip: ScmPoo, C Z-?71 Resident of property? : N-)- e S Contractor Information Name C_V 1SA C 1' U 6(of i n Phone: Sup -)I-) LI-nl Street: 3Z-) 311. wil."('.,.('nsit1 CLLy. Fax: S 6 ')63 IS QS City, State Zip: N`. IP co( t C 1 3Z us State License No.: LC 13WUS8-7 Name: Street: City, St, Zip: Bonding Company: Address: Arch itectlEngIneer 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 permitand 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 Pemit Application t' OI!I TICS: 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 ofthe executed contract is required in older 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 regulatinghsfruction Aid Aping.". Signature of (Tuner/Agent Date Wiie of Contractor/Agent Date Print OwnedAgent's Name rint Contractor/Agent's Name t f 1(p Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date Rra W ERUb@*i Wh% NOTARY PUBLIC STATE OF FI.ORIGA CtmraW FFt1W522 Owner/Agent is Personally Known to Me or og4Mt*3MsPersonall Known to Me or Produced ID Type of ID Produced ID Type of ID Y QM6, BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: 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