HomeMy WebLinkAbout3207 Stonebrook Drf
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
tApplicationNo: fa
Documented Construction Value: S
Job Address:
Historic District: Yes NoParcelID: ,L)
Residential Commercial
Type of Work: New Addition Altertion Repair eDmo Chan a of Use M F-1DescriptionofWork:
e—
Plait Review Contact Person:
Phone: r r%% rf S7 •ax:
W
I , g Ove
Email:
Title:
Property Owner Information
Name
Phone:
Street:
City, State Zip:
Resident of property? :
I , l I I Contractor Information
Name rY C l I V1d. Phone:
Street:
7Fax: -i_=
City, State Zip: 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 YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAINFINANCING, CONSULT WI -1-11 YOUR LENDER OR AN ATTORNEY BEFORE. RECORDING YOUR NOTICE OFCOMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtoIncastandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate perinil must be secured for electrical work, plumbing, signs, wells, pools, furnaces: boilers, heaters, tanks, and air conditioners, etc.
FRC 105.3 Shall be inscribed with the dale
of application and the code in effect as of that date: 5'h Edition (2014) Florida Building Code
J
Ri;viscd: lune 30, 2015
Permit Application
qj VD
Application is hereby made to obtain a permit to du the work and installations as indicated. I ceitify that noworkorinstallationhascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permitmustbesecuredforelectricalwork, plumbing, signs, wells, pools, fuair'conditioners, etc. rnaces, boilers, heaters, tanks, and
OWNER'S AFFIDAVIT: !
be done in certify that all of the foregoing informution is accurate and that all work willcompliancewithailapplicabletawsregulatingconstructionandzoning.
WARNINGIO OWNER: YOUR FAILURE, TO RECORD A NOTICE OF COMMENCEMENT MAYRESULTINYOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICEOFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOURLENDERORANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT.
NO C : In addition to the requirements of this permit, there may be additional restrictions applicable to thisPropertythatmaybefoundinthepublicrecordsofthiscounty, and there may be additional permits requiredfromothergovernmentalentitiessuchaswatermanagementdistricts, state agencies, or Pcdcral agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of FloridaLienLaw, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the caiecuted contract is required in ordertocalculateaplanreviewcharge. If the executed contract is not suhmiwecd, reserve the right to calculate theilitactivity
levelsn.
Should calculated charges exceed the documented
plan review fee based on past pert
construction value when the executed contract is submitted, credit will be applied to your permit fres when thepermitisreleased.
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MILEIDYS M CASILL.AS
i tore orNotmy Stale of Florida
CUNNINGHAM
MY COMMISSION #FFta3765
o.r WIRES Septarntser2a,2ote
a.:
Q
KAREN E.
Notary PuDllc -State of Florida
kly Comm. EXs Dec 1, 2016
qty Fla AdtlVot hraom Co mi ron1 EE 223084
Produced 1D wn to Me or Co bond. T ough National Notary Assn.
Type of ID
ro uced ID __ Type of ID
Me or
APPROVALS: ZONING: UTILITIES: WASTE WATER -
ENGINEERING: FIRE: BUILDING:
COMMENTS:
RV 07.11beinscribed with rhe date of application aril thREV e wdc in eft"' as of that dote (Code 2010 FDC) 731.1330x6) Florida Stalutes:
PROPOSAL
CO UnSuH.A.C.
PLUMBING ELECTRICAL HVAC
U.S.H.A.0 - ORLANDO
624 Daggs Averluo, Sults 1402 U.S.H.A.0 • TAMPA
5415 56 Commerce Park Btvd U.S.H A.0 - MIAMI
A 7'171 tiprir% .
7
32714
407.774-9850 407.774.4419 fax Tampa, Fbraa 33810 3911 SW 4701 Ave ,Suite 907
Davie. FL 33314
513•E23S8te 513-023.1931 fu 9954-651-0333 954-581-3230rax
LICENSES PLUMB NCFC057167 ELEC NEC0000524 MECH XCMC056240
Customer:
STONEBROOK APARTMENTS
1000 STONEBROOK DRIVE
SANFORD, FL 32773
INSTALLER:
Page I of I
PROPOSAL
Friday, August 14, 2015
Reference#: 28480-707883
Due Date: 9/13/2015
S/C $75.00HR
Job Name:
STONEBROOK - BLDG. 3
1000 STONEBROOK DR APT. 207
SANFORD, FL 32773
407 - 322 9556
We Hereby Submit Specifications And Estimates For:
BLDG. 3 APT. 207 — SUPPLY & INSTALL GOODMAN 2.5 TON UPFLOW SYSTEM WITH F/S RETURN AIRHANDLERWITH5KWHEAT. INSTALL SS2 FLOAT SWITCH AND PROGRAMMABLE T—STAT. SET CONDENSERONPADANDSECUREWITHHURRICANE. CLIPS AND LOCKING CAPS
TOTAL J08:_2,250.00
it Is QL*Wlood to be as specified AS work to completed In a profeseWnal mamer euordup to standardInv0*V 0x70 cotta bo 0xooutod wrRton
In P
orld
sb
becarrlo an ccs P W[Kes. Any alfenxion 0r devtOtion ham aboveupondelays1:w4 w cavol P Ser a9roes aU casts d c05edion, indudirq attorrloys roas T
hover era. e» eurnno
wapraern
p M°1ta+oaboveduodate. PMP0e01 m be wthdrawrl by d not
Authorized Signatu
1
Acceptance Signature Data
http://scrvcr9/WorkOrderPrintForiii.asp?ID=707883&CN=28480&IN=569&rpt=l' 8/13/2015
LIMITED POWER QF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint:
an agent of:
amc ( Company)
to be my lawful attorney-in-fact to act for me.,to apply, for, receipt for, sign for and do all thingsnecessarytothisappointmentfor (check only one option):
The specific permit and ann1
3177_3
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF .S
The foregoing ins umcnt was ackn wl d red before me this ay200, by U.S f'/
o ' who i person ly knowntomeorowhohasproduced
identification and who did (did not) talc an oath.
as
KAREN E. CUNNINGHAM Tga re
rttolary Public •State of Florida
it s Expires Doc 1. 2016
o, ' 4';
Commission 11 EE 223084
J,:,`' Bonded thtoug11 IIA"n l notary Assn. type name
Notary Public - State of
Cominission No.
My Commission Expires: aQ/(4
Rev. 08.12)
AHRI Certified Refereriae Number: 7516243 Date: 1/20/2016
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: GSX140301K`
Indoor Unit Model Number: AWUF31XX16A'
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR
CONDITIONING AND HEATING; ENERGI AIR
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI,,MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be
Installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name: GSX14
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 verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
Cooling Capacity (Btuh): 28000
EER Rating (Cooling): 11.50
SEER Rating (Cooling): 14.00
IEER Rating (Cooling):
Ratings followed by an astonsk () IMicAto a voluntary rarate of'Ixewously published data, unless nccompanied with a WAS, which indicates an involuntary rerato.
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
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 users Individual,
personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at dick on ' " link
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
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130977785372523922
E
r
E
AHRI Certified Reference Number: 7516243 Date: 1/20/2016
Product: Split System:'Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: GSX140301K*
Indoor Unit Model Number: AWUF31XX16A*
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST,; ONE HOUR AIR
CONDITIONING AND HEATING; ENERGI AIR
Region: Southeast and North (AL, AR, DC, DE, FLS GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be
installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name: GSX14
Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP.
Rated as follows in accordance with AHRI Standard 2101240-2008 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 Capacity (Btuh): 28000
EER Rating (Cooling): 11.50
SEER Rating (Cooling): 14.00
IEER Rating (Cooling):
Raptxpa followed by an astonsk (') Indicata n voluntary rara;o of previously published data, unless artorepanied with n WAS, which indicalus an rmoluntary rersto
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
unnuthorized alteration of data listed on this Certificate. Certified ratings are valld only for models and configurations listed In the
dlrectory at
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 utlllzed, In any form or manner or by any means. except for the user's Individual,
personal and confidential reference.
CERTIFICATE VERIFICATION
The Information for the model cited on this certificate can be verified at click on " " link „
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
02014 Air-Conditloning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130977785372523922
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: Ty ,f%, Q` I
an agent of:
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):
D The specific permit and
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
y,
The foregoing i trument as acknowledged before me this 1/dayo ,
200 , by l 5 C who is pers ally k own
to me or who has produced as
identification and who did (did not) take an oath.
ignature
KAREN .
CUNNINGHAM
1,
PVB
o• C" Notary Public -Stale of Flori a
My Comm. Expires Dec 1, 2016
s • `
oma; Commission # EE 223064
gnnl rl Through ational NeNtary Assn.
Rev. 08.12)
n
P int or type name
Notary Public - State of
Commission No.
My Commission Expires: p`!(o
rM