HomeMy WebLinkAbout1121 Washburn Ctt� IV
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
' PERMIT APPLICATION
Application No:
Documented Construction Value: $�
Job Address:oZ wo*` awrx a - Historic District: Yes ❑ No
Parcel ID: a$ - lei - S6 -- �`t�? -tri- LIto Residentiag Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair Demo ❑ Change of Use ❑ Move ❑
Description of Work: I'C,
Plan Review Contact Person: L)y� L4\0. rK Title:
Phone: Lto 1- Fax: *1'1 S 5 3 Email: 5t�1� I th% O UCLU 02.0
Property Owner Information Cqom�)�
Name Ayy\ � 4<- WL�sm Phone: L10'7 �� %__90
Street: 1Resident of property?
City, State Zip: .7[ _7
Contractor Information
Name
Street: 1A
City, State Zip: fQ*L P-
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: Orr- ;'7�3-o�ie(p�l
Fax: L40!z - aaa - 3a 5
State License No.:
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 1053 Shall be Inscribed with the date of application and the code in effect as of that date: 5"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 1 will notity 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.
-41 t -4 [It,
Signature of Owner/Agent Date ature of Contractor/Agent Date
Print Owner/Agent's Name int ontmctor/Agent's N
� L
Signature of Notary -Stara of Florida DateSignStui$ of - melon a Date
N; MICHF.!.LE SODOSNI
f, �1•.' Notary Public • State o1 Florida
t Comm. Expires Jan 26. 2018
,,,,�;°•' Commission N FF 076322
Owner/Agent is Personally Known to Me or ontractor/Agent iPersonally 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: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
4,ANI Property Record Card
fPjAM!7HffRParcel: 20-19-30-5RZ-0000-1110
Owner: MANN ANNETTE L
rr'p`rroO1J1Y/� Properly Address: 1121 WASHBURN CT SANFORD. FL 37771
"areal Information
Parcel
28-19-30-5RZ-0000-1110
Owner
MANN ANNETTE L
Property Address
1121 WASHBURN CT SANFORD. FL 32771
Mailing
1121 WASHBURN CT SANFORD, FL 32771
Subdivision Name
REGENCY OAKS UNIT ONE
Tax District
S1-SANFORD
DOR Use Code
0103-TOWNHOME
Exemptions
Depredated EXFT Value
Value Summary
Tax Amount without SOH:
2016 Working
2015 Certified
$996.26
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
t 1
1
Depredated Bldg Value
1$108,368
; $98,446
Depredated EXFT Value
$1,001
$1,050
Lend Value (Market)
1$23.000
$23,000
Land Value Ag�
50 r
$132,369
JusUMnrkol Vnluo
$132,369
$122,496
Portability Ad)
Save Our Homes Ad)
$0
$33,185
Amendment 1 Ad)
ZO
P&G Adj -
1$0 — -
SO
Assessed Value
i 5132,369 -
589,311
Tax Amount without SOH:
$1,671.63
2015 Tax Bill Amount
$996.26
Tax Estimator
$132,369
Save Our Homes Savings:
$675.37
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 111 ~
REGENCY OAKS UNIT ONE
PB 68 PGS 88 - 92
Taxes
Taxing Authority
I Assessment Value I Exempt Values
I Taxable Value
Page
County Bonds
$132,369
SO ,
$132,369
SJWM(Saint Johns Water Management)
$132,369
SO
$132,369
County General Fund
$132,369 r
$0
$132,369
City Sanford
$132,369 ,
$0 '
$132,369
Schools
$132.3691
50 r
$132,369
Sales ---
Description
Date
Book
Page
Amount Oualified
Vadlmp
WARRANTY DEED
4/1/2007
0665)3
1179
$225,000 Yes
Improved
WARRANTY DEED
6/1/2006
06325
1771
$232,400 - Yes
Improved
I
—Ir, uAiomparabloSolrs-I. ._...– - --- -- -- ---- ---- -- -' - --I
Land
Method Frontage Dept Units Units Price I Land Value t
`t $23,000.00 – $23,000
Building Information
ed/Badi count Wro oct 'Ndt Hprg,
# Description Year Built Flxlures Bed j Bath Base AreaTobl SF I Uving SF Exl Wall Adj Value Rapt Value Appendages
AcluallERecUve
1 'SINGLE 2006 8 _t 25 721 1,980 1,667 CBS+WOOD $108,368 $112.883 Description I Area
DL=A1 R
--
Healing - Air Conditioning
State CertCAC032448 Appliances • Electrical
(888)-831-2665
24 Hours - 7 Days a Week
WWW.DELAIR.COM
Sales Agreement
Annette Mann Phone Insert Date Thanks Don Stewart
1121 Washburn Ct 407 341 9890 almann@cfl.rr.com 407 257 4818
Sanford FL 32771 dstewart@gelair.com
Description Size SEER RATING
Carrier Comfort 14 Puron® HP 3 Ton 14.5
Carrier Limited Factory Warranty: 10 years all functional parts 1 year on labor. Air handler 8 yrs parts 1 year Labor
For the sum set forth we agree to install and service the following Del -Air comfort system as per the specifications outlined
including the equipment and materials listed on proposal. Materials not listed are not included.
Total Including Permit $ 3,437
Terms and Conditions 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), THOSE
WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE THE RIGHT TO
ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. IF YOUR CONTRACTOR OR A
SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THE
PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU ALREADY PAID
YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A
LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED, YOUR PROPERTY COULD BE SOLD AGAINST YOUR
WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR
MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE
ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN
FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S
CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
Add Additional Notes Here
000,0
4/ c" Siq: ahture� ` C a �--� " 628016 I have the authority to order the work outlined above.
Annette Mann
In the event payment is not made promptly in accordance with
6/22016 agreed terns, it shall be seller's option to charge a service
Thanks Don Stewart 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 the event of collection by an attorney,
It is understood that the title of all products and equipment covered by the all attorney fees, court costs, and other legal fees shall be bome
contract remains solely in the seller until the entire purchase price has by the buyer; in the event of non-payment, purchaser agrees to
been paid in full and the manner of installation an/or attachment to any allow seller on premises to remove equipment installed. This
equipment and/or any portion of the building structure in which the sales agreement shall be binding upon the heirs, successors,
installation is made shall not in any manner jeopardize the sellers title. and/or assigns of the party hereto.
Proposal is no longer valid after; 722016
Page 2 of 2
Certificate of Product Ratinas
AHRI Certified Reference Number: 8072182 Date: 6/2/2016
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 25HCE436A*'31
Indoor Unit Model Number: FB4CNP042L
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:
Cooling Capacity (Btuh):
34200
EER Rating (Cooling):
12.00
SEER Rating (Cooling):
14.50
Heating Capacity(Btuh) @ 47 F:
33800
Region IV HSPF Rating (Heating):
8.20
Heating Capacity(Btuh) @ 17 F:
21000
Ratings followed by an asterisk (') Indicate a voluntary rerale of previously published data, unless accompanied with a WAS, which Indicates an Involu lary 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 produot(sL 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.alioldirectory.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,
personal and confidential reference.
AIR•CONOFTIONING. HEATING.
CERTIFICATE VERIFICA71ON
6 REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahvidirectory.org. dick on 'Verily Certificate' link
and enter the AHRI Certified Reference Number and the data on which the certificate was Issued,
which Is listed above, and the Certificate No., which Is listed at bottom right. f
®2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
131093533833879811
%..ity oz aaniora
Building & Fire Prevention Division
Residential Permit Card
PERMITNO. /& /& & le ISSUE DATE: D&a
Ak w •
CONTRACTOR: L Prowl qw
JOB ADDRESS: �iV as h barn C�
TYPE OF WORK:
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
INSPECTION TYPE
ELECTRICAL
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
INSPECTION TYPE
MECHANICAL
APPROVED REJECTED
INSPECTOR
SHEATHING - WALLS
FRAME
MECHANICAL ROUGH
INSULATION ROUGH IN
MECHANICAL FINAL
DRYWALUSHEETROCK
INSPECTIONTME
PLUMBING
APPROVED REJECTED
INSPECTOR
LATH INSPECTION
FINAL STUCCO/SIDING
UNDERGROUND ROUGH
FIREWALL SCREW
TUB SET
FIREWALL FINAL
SEWER
INSULATION FINAL
PLUMBING FINAL
FINAL SFR
INSPEC77ONTYPE
GAS INSPECTIONS
APPROVED REJECTED
INSPECTOR
ROOF
INSPECTIONTTPE APPROVED REJECTED
JNSPECTVR
GAS UNDERGROUND PIPE
ROOF DRY -IN
GAS ROUGH -IN
FINAL ROOF
GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTIONTYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE
APPROVED REJECTED
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: M ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND M 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 FBC105.3.7
REVISED: OCTOBER 2014 Inspection Linc: $9341 at 12
TO SCHEDULE AN INSPECTION:
• Dial 855.541.2112
• 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
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 1
GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314
ROOF
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:
REVISED: OCTOBER 2014 Inspection Line: 855.541.2112
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
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Page 2
Application Number . . . . . 16-00001664 Date 6/14/16
Property Address . . . . . . 1121 WASHBURN CT
Parcel Number . . . . . . . . 28.19.30.5RZ-0000-1110
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 942664
Permit pin number 942664
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Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
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1000 410 MH02 MECHANICAL FINAL _/_/_