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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: i to
Documented Construction Value: S 4300.00
Job Address: 1262 Travertine Terrace, Sanford FL 32771 Historic District: Yes ❑ No
Parcel ID: 33-19-30-521-0000-0640 Residential ® Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair 9 Demo ❑ Change of Use ❑ Move ❑
Description of Work: Hvac changeout to 3 ton 14 seer Trane
Plan Review Contact Person: Caytlin Hill Title: Permit Coordinator
Phone: 407-532-8000 Fax: 407-297.7577 Email: caytlin ameritechfliyemail mm
Property Owner Information
Name Jay Kundaraou Phone: s2�-sss_a5aa
Street: 1262 Travertine TPrrarp Resident of property? : no
City, State Zip: Sanford, FL 32771
Contractor Information
Name Ameritech A/C -Brian Novotny Phone: 407-532-8000
Street: 6290 Edgewater Dr Fax: 407-297-7577
City, State Zip: Orlando, FL 32810 State License No.: rAclA173t33
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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 issuattce of a permit and that all work will be performed to meet standards of all laws regulati ng construction
in this jurisdiction. 1 understand that a separate perutit must be secured for electrical work, plumbing, signs, wells, peals,
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: 5i0 Edition (2014) Florida Building Code
Revised: June 30, 2015 Pernut Application
O" I E: 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 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 TCC 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%nd zonjng.
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 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:
Total Sq Ft of Bldg: Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
7
le or
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: lune 30.2015 Permit Application
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,v New elcttrical disconnect for condenser
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rlttmn%al of r%win8 equipment from the premie-,.
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Warranty on dampers
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11.1. wittier docomenl. including the forms sod eondillon% helots. and an7 a=rttmrot twined In a►Itiag. pursuant Metric. twoween 14\1
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• CERTIFIED
Certificate of Product Ratings
AHRI Certified Reference Number: 7419657 Date: 5/19/2016
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 4TWR4036D1
Indoor Unit Model Number: TEM4AOC36S41+TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
Series name: XR14
Manufacturer responsible for the rating of this system combination is TRANE
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): 34000 _
EER'Ratilig (Cooling): 11.50
SEER Rating -(Cooling): 14:00
Heating Capacity(Btuh) @ 47 F: 34000
Region IV HSPF Rating (Heating): 8.20
Heating Capacity(Btuh) @ 17 F: 23400
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.ohrldlroctory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and
AM
confidential reference purposes. The contents of this Certificate may not. In whole or In port, 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 INSTITUTE
The Information for the model cited on this certificate can be verified at www.shridirectory.org, dick on 'Verity Certificate' link we make lire better -
end 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.
CERTIFICATE NO.: 131081422777956085
02014 Air -Conditioning, Heating, and Refrigeration Institute
city of Sanford
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. I liJ_ 1 00 ISSUE DATE: q+
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:1AVA& C.60N00-- r/
• 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
IWECY70NTYPE APPROVED REJECTED
INSPECTOR
INVEC770N 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
IINSPECTION TYPE
MECHANICAL
APPROVED
REJECTED INSPECTOR
SHEATHING - WALLS
FRAME
MECHANICAL ROUGH
INSULATION ROUGH IN
MECHANICAL FINAL
DRYWALL/SHEETROCK
/NSPECTTONTME
PLUMBING
APPROVED
REJECTED INSPECTOR
LATH INSPECTION
FINAL STUCCO/SIDING
UNDERGROUND ROUGH
FIREWALL SCREW
TUB SET
FIREWALL FINAL
SEWER
INSULATION FINAL
PLUMBING FINAL
FINAL SFR
INSPECTIONTTPE
GAS INSPECTIONS
APPROVED
REJECTED INSPECTOR
ROOF
INSPECTTON 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 INSPECTIONTTPE
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: IN 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 FBCI05.5.5
REVISED: OCTOBER 2014 loepealon IA= SSSJ411112
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 expti-ience difficblty, 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
GAS ROUGH -IN
328
314
ROOF
ROOF DRY.IN
116
GAS FINAL
315
FINAL ROOF
111
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
----------------------------------------------------------------------------
Page 2
Application Number . . . .
. 16-00001450 Date 5/19/16
Property Address . . . . .
. 1262 TRAVERTINE TER
Parcel Number' .
. 33.19.30.521-0000-0640
Application description . .
. MECHANICAL PERMIT
Subdivision Name . . . . .
.
Property Zoning . . . . . .
. MULTIPLE FAMILY
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 940056
Permit pin number 940056
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 410 MH02 MECHANICAL FINAL / /
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
----------------------------------------------------------------------------
Application Number . . . . . I6-00001450
Date 5/19/16
Application pin number . . . 457350
Property Address . . . . . . 1262 TRAVERTINE TER
Parcel Number • ► . . 33.19.30.521-0000-0640
Application type description MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . MULTIPLE FAMILY
Application valuation . . . . 4300
----------------------------------------------------------------------------
Application desc
HVAC CHANGE OUT
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SMITH BETH OWNER
1262 TRAVERTINE TERR
SANFORD FL 32771
(407) 237-3128
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 940056
Permit pin number 940056
Permit Fee . . . . 70.00
Issue Date . . . . 5/19/16 Valuation . .
. . 4300
Expiration Date . . 11/15/16
Qty Unit Charge Per
Extension
BASE FEE
70.00
----------------------------------------------------------------------------
Special Notes and Comments
Rejected inspections require payment of
a re -inspection fee prior to scheduling
another inspection.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday. Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrichosanfordfl.gov
----------------------------------------------------------------------------
Other Fees . . . . . . . . . 01-APPLCTN FEE -MECHANIC
25.00
O1 -BLDG PLAN REVIEW
15.00
O1 -BLDG DCA SURCHARGE
2.00
O1 -BLDG DBPR SURCHARGE
2.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited
----------------- -------------------- ----------
Due
----------
Permit Fee Total 70.00 .00 .00
70.00
Other Fee Total 44.00 .00 .00
44.00
Grand Total 114.00 .00 .00
114.00
----------------------------------------------------------------------------
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
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 . . . . . 16-00001450 Date 5/19/16
Property+ Address " . . . 1262 TRAVERTINE TER
Parcel Number . . 33.19.30.521-0000-0640
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . MULTIPLE FAMILY
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 940056
Permit pin number 940056
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 410 MH02 MECHANICAL FINAL
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