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HomeMy WebLinkAbout121 Crooked Pine DrSUN 01 tail CITY OF SANFORD B LDING & FIRE PREVENTION ' 13y PERMIT APPLICATION D Application No: Documented Construction Value: $ 7 9G(rt .04 Job Address: a UOQ F_Q Q; MC � Historic District: Yes ❑ No & Parcel ID: Q O - 30 - SOG - OOgp - 05'7 Residential N Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ® Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: B1�2 0nQyC>F (W7 146') AW vum.p Plan Review Contact Person: �-75-n S wN%w Title: PhoneA O7 - 4� DJ 45 Fax: Email: Property Owner Information q,3-7/' Name � �\` � �i M %boo sU tJ Phone: 3/`7 - !9("-7g Street: 1 a� (�LLtb k, iEl) P 1 N P City, State Zip: SW,O UJ Tt. 3 ' -7 Resident of property? : pp Contractor Information Name Phone: 40?- 900 aSo r Street: 1 U4 Q _S_ZyU k K9f-x-> Fax: City, State Zip: �S ���� Sem. State License No.: Qfi u Si 8 2'7 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. 1 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: 51 Edition (2014) Florida Building Code Revised: lune 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 Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced 1D Type of ID � Cfl-7- ZOIC Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature o oridapNNETTE SC tc Notary Public State of Florl a • = My Comm. Expires Jan 16.1016 • o Commission FF 071760 +•� o d ` g ,r,ded Through NlMonal NttlatyAssAss^ Contrac r gent is Personally nown to Me or Produced ID Type of 1D BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Flood Zone: Min. Occupancy Load: New Construction: Electric - # of Amps, # of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 11-20-30-506-0000-0570 Page 1 of 2 ,/nn � Property Record Card CIA Parcel: 11-20-30-506-0000-0570 Owner. ROBINSON WILLIAM L JR 8 TERESA ac'�olrtoounKAoro� Properly Address: 121 CROOKED PINE DR SANFORD. FL 32773-5627 Parcel Information Parcel 11-20.30.506-0000.0570 Owner ROBINSON WILLIAM L JR 3 TERESA Property Address 121 CROOKED PINE DR SANFORD, FL 32773.5627 Mailing 121 CROOKED PINE DR SANFORD. FL 32773-5627 Subdivision Name HIDDEN LAKE PH 3 UNIT 2 Tax District St-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions 00-HOMESTEAD(1994) ascription -AKE PH 3 UNIT 2 S 48 3 49 Taxes Taxing Authority County General Fund Schools City Sanford SJWM(SaIn1 Johns Water Management) County Bonds Sales Value Summary r ® 13 2 14 + ,ds t 12 Values Values Valuation Method • 1T.19 75 rJ1.ti i4� $, 5, �� 791• 79.17 b ^ N o a 1 ry 14037 � 55 V 5no�e .J t � N I / ' ascription -AKE PH 3 UNIT 2 S 48 3 49 Taxes Taxing Authority County General Fund Schools City Sanford SJWM(SaIn1 Johns Water Management) County Bonds Sales Value Summary r Tax Amount without SOH: $1,177.79 2015 Tax Bill Amount $827.77 Tax Estlmator Save Our Homes Savings: $350.02 Does NOT INCLUDE Non Ad Valorem Assessments Description Date Book Page Amount Qualified VaGlmp WARRANTY DEED 8/1/1983 01482 0611 558,600 Yes Improved Find Comparable Sales Land Information rih count incorrect? Click Here. # 2016 Working 2015 Certified Bed Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $88,718 $77,380 Depreciated EXFT Value $2,756 $2,851 Land Value (Market) $21,000 $18,000 Land Value Ag Just/Market Value •• $112,474 $98,231 Portability Adj Save Our Homes Adj $30,675 $17,199 Amendment 1 Adj P&G Adj $0 $0 Assessed Value $81,599 $81,032 Tax Amount without SOH: $1,177.79 2015 Tax Bill Amount $827.77 Tax Estlmator Save Our Homes Savings: $350.02 Does NOT INCLUDE Non Ad Valorem Assessments Description Date Book Page Amount Qualified VaGlmp WARRANTY DEED 8/1/1983 01482 0611 558,600 Yes Improved Find Comparable Sales Land Information rih count incorrect? Click Here. # I Description Year Built Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Ad/ Value Repl Value Appendages 1 SINGLE 1983 6 3 20 1,476 1,962 1,476 CONC $88,718 $104,068 Description Area FAMILY BLOCK No Appendages Permits http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=11203050600000570 6/6/2016 The Alr Source LLC 1042 Seminole rd Osteen, FL 32764 (407)402-2505 theairsourcellc@yahoo.com ESTIMATE poli Solik,-._ ADDRESS Roberson 121 Crooked Pine Dr Sandford, FI 32773 ESTIMATE # 1019 DATE 06/01/2016 ACTIVITY OTY RATE AMOUNT Installation 1 4,966.00 4,966.00 Remove and install new Bryant 3 ton heat pump 14 seer system with 10KW and heat strips Price includes New air handler and condenser New hurricane pad and tiedowns 42 inch air handler to be installed over hot water heater New plywood for top a platform Flash and leak check refrigerant lines and drain additional cost of $300 to replace lines if needed Reconnect electrical and duct work Inspected ductwork and provide additional "if needed New safety switch for condensate drain 10 years limited manufacture warranty One year labor warranty Permit .............................................................................................................................................................. TOTAL tA W-066.00 Accepted By Accepted Date Bill Digitally signed by Bill Robinson DN: cn=Bill Robinson, o=ADMI, ou=Project Management, US Robinson Date: 2016.06.07 0' Date: 2016.06.07 08:03:57 -04'00' Certificate of Product Ratinas AHRI Certified Reference Number: 6950494 Date: 6/7/2016 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 215BNA036****A Indoor Unit Model Number: FV4CNF002L Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade/Brand name: BRYANT HEATING AND COOLING SYSTEMS Series name: 15 SEER LEGACY LINE PURON HP Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING SYSTEMS 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): 33600 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 Heating Capacity(Btuh) @ 47 F: 34200 Region IV HSPF Rating (Heating): 8.20• Heating Capacity(Btuh) @ 17 F: 21200 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 the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahrldirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products o1 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 forth or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INSTrrtrrE The information for the model cited on this certificate can be verified at www.ahridlroctory.org. click on 'Verity Certificate' 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 Certificate No., which Is listed at bottom right ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131097813704277192 . - RECEI`cTEID JUN 0 7 2016 City of Sanford D BY: HVAC Permit Application Checklist F . All permit application packages must be complete prior to acceptance. You must check each n box to the left or indicate n/a on this submittal. A complete application package shall include the following: 1;4, Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value �O 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. IN. 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). 0� Completed and signed Owner Builder Statement/ Affidavit (if the owner is the applicant). V One construction ins s: 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. �5. Addition or alteration of duct work, including new construction installations, requires two (2) copies of a floor plan (duct layout) showing the location of the ducts, the size of the ducts and the register sizes. "This will require a plan review These guidelines were compiled to assist the applicant in preparing a HVAC change out permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. Revised: February 2015