HomeMy WebLinkAbout319 Wilton CirCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
1
Application No: mill
Documented Construction Value: S 7) Z) H -
Job Address: c'r Historic Distric . Yes ❑ No
Parcel ID: �o�'o?C7 - ResidentialCommercial
❑
Type of Work: New ❑ Addition ❑ Alteration Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: e+Yar%z 6( L'-11 /_eu ane& ► StPI -6
Plan Review Contact Person:c-�-_nN W
Phone:3$(07o7S Fax: ;3 to (v7) !o�'o� Email:
Property Owner Information
Name �1t Phone: 33 1 -LI —1 15
Street: Llo A 1 t CDnc l I"
City, State Zip: 101ce LY pV / , FC -3;)L
�Ilp
Resident of property? :
Contractor Information
Name MCC,.kff Phone: 3T o -1 �' &-q40'3 _
Street: t A Fax:
City, State Zip: State License No.: CAC_ I L0160 Z,
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.
FISC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'" Edition (2014) Florida Building Code
Revised: lune 30, 2015 Permit Application
A1I1.06
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. • 9
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
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
iorl�l.
Signature of Contractor/Agent tote
e (_P/40440
rat ontr gent's Name �n
ntnature oTNotory State of Flor,
r`'"•''"°4,� JENNIFER BOWERS
MY COMMISSION #FF17978f.-
�??e, EXPIRES November 30, 2018
7) 396.0157 FloridaNOtarySeMC
Cuntractur/Agent is Persunally Known to Me or
Produced ID Typc of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Construction Type: Occupancy Use: Floud Zone:
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes❑ No ❑ # of Heads
# of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: "ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE:
BUILDING:
Revised: June 30, 2015 Permit Application
:ERTIFIED CLIMATE CONTROL, LLC.
Air Conditioning ac Heating Contract q: 7 6 5 4
690A E. Rhode Island Ave
11251 Business Park Blvd. • Suite 7
Orange City, FI 32763
Jacksonville, FI 32256
Volusto 386.675.6963
Jacksonville/St. Augustine
Orange/Semincle 407.888-0678
904451.6538 _117
Air Conditioning & Heating
rr�.
License/CAC1816634 Email: owner@cergheddimate.com 40.7_ p79-PS3y
)%r,as&pk, NooL-A 33i /5';--2797
Proposal m To: Dale, Telephone: H I W
3/9 w / C w 3a1 -k I
Street Uob location) city Zip Email Address
We hereby propose: To furnish, install and service under warranty (stated below) products and service or related
equipment for your home or business In accordance with the conditions and specifications set forth in this proposal.
O Tonnage,7- LSEER—L-'/—KW��PKG
A/C. H/PCondenser do- c60o
® Air Handler 6caaZ ,- a
O
Flood Switch WAux. Closet Pan
q' Condensate Pump / Drainline New Flush' r
O Copper lines New Flush / Pressure Test'
O U.V. Protected Armor Flex O lineset Cover
O
O SuppN Duct axe �� �+ re ocov #%r
O Return Duct
O Zoning Zones
O
O Drywall/ Door Repair
01 Platform/Insulate Yes t6�o
O UVlight Kit
O Air Filter Type & Size
Ek Antimicrobial Spray ri.c%aft./
O Duct Seal: Yes No
O
O New Electrical to Condenser Disconnect
O New Electrical to AHU Disconnect
FA/CPad&Size yet Attr�rts�,r�v
p Thermostat Reu Z25!5Touch screen Dehum Wifi
O
NOTES
(A All work done in accordance with existing codes with permitting
CR Removal of existing equipment from the premises
(!R All work to be performed in a neat and professional manner by a
trained technician. Sweeping, dusting and vacuuming will be
accomplished and all debris removed from the premises.
Customer is responsible for registering equipment with
manufacturer with in 60 days to receive warranties listed below.
Minimum of one preventative maintenance per calendar year performed
by a licensed contractor is required to maintain warranty listed below
(No Malmenance Is included in this contract unless It is listed on this contract.)
All warranties are limited to the original purchaser unless authorized
by manufacturer
q Warranty on Parts /_Q— Years. Condenser & air handler only
® Warranty on labor / Years. Condenser & air handler -only
MWarranty on Compressor
O Warranty on Zoning Components
O Warranty on Duclwork
4 V Gc,e
p !zzo��i��= 3?? V
Total Price/(tax included) $ I f s K !'/11 od
-Ih4ee7�ruaa.. ezdz<�G�ab/ S,tyrrJ COrlars
Terms: a10
•AllhooneW rums arePendingfiedhApprowl
Signature (company)
Signature (custo
Date: 6 Proposal valid until: 4AE _
Options:
Requested Install Date te S'l d
Finance paperwork must be signed before the start otwork.
Certified Climate Control always recommends replacement of copper lines and drain lines when possible.
a Certified Climate Control provides no warranty expressed or implied on preexisting copper or drain lines.
BUYERS RIGHTTO CANCEL: You, the buyer, may cancel this transaction without penalty anytime prior to midnight of the third business day after the
date of this transaction. See reverse side for terms and condi '
I have read and understand the above statement
Certificate of Product Ratings
AHRI Certified Reference Number: 7996113 Date: 6/10/2016
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: GSZ140301 K'
Indoor Unit Model Number: ARUF31B14A'
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR
CONDITIONING AND HEATING; ENERGI AIR
Series name: GSZ14
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: _r ;__'_�_ �� - _ - c . -• - _-.� _ '
' Cooling Capacity-(Btuh): �_,� E 28000 - - -•- • - %=�
EER -Rating, (Cooling} - __I ; �� 12.00
i
_�
SEER Rating (Cooling). ` -14:00
Heating CapacRy(6tuh) @ 47 F: 27800h� u'ryi4E►ll i {;,lC1 ; G�
`Region. V-HSPF Rating (Heating): -82Q,-,
M Mwµ- �✓
' Heating-Capacity(Btuh) Q 17'F' " 16200
Ratings followed by an asterisk (•) indicate o voluntary rerete of previously published data. unless accompanied with a WAS. which indicates on 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 date listed on this Certificate. Certified ratings are valid only for models and configurations listed In the
directory at www.ohridi►ectory.oig.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate chap only be used for Individual, personal and Ain
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 Indlvldual,
personal and confidential reference. AIR-CONDITIONING. HEATING.
CERTIFICATE VERIFICATION 6 REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.abridirectory.org, click on 'Verity Certificate' link wr 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
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131100381591320105
PERMIT AUTHORIZATION
\,\
I, DAVID HILL hereby authorize "n�,
(License Holder) (Authorized Person)
To obtain a permit in my behalf under my license # CAC 1816634
To the C ►%q - Building department for the
s�
Job described below:
PERMIT TYPE
HVAC
Tax Parcel #
State of Florida
County Of V ►►
DESCRIPTION
Owner
Site Address 3 ) q 6 n (24 �
(License Holder Signature)
Date (.01 c d
Alli ed and subscribed before me on this R day of �-e.► r.� ,
20y DAVID HILL who is personally known to me.
JODY L MCLEER
�,•�: 'd►
MY COMMISSION #FF038242
EXPIRES July 24. 2017
P or
p ame ot Notary
PERMIT NO.
CONTRACTOR: l it
JOB ADDRESS: 3
TYPE OF WORK:
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
ISSUE DATE:
X41 CoKtro
116�cbiA1 C;f%
• 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 77PE APPROVED RUJI.TTE'D
INSPECTOR
1NSPEC770N TYPE
ELECTRICAL
APPROVED
RFJECTED 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
INSPFrnON TYPE
MECHANICAL
APPROVED
RFJECTED INSPFCTOR
SHEATHING - WALLS
FRAME
MECHANICAL ROUGH
INSULATION ROUGH IN
MECHANICAL FINAL
DRYWALUSHEETROCK
IN.7BC170N TYPE
PLUMBING
APPROVED
RFJECrED INSPECTOR
LATH INSPECTION
FINAL STUCCO/SIDING
UNDERGROUND ROUGH
FIREWALL SCREW
TUB SET
FIREWALL FINAL
SEWER
INSULATION FINAL
PLUMBING FINAL
FINAL SFR
INSPECTION TYPE
GAS INSPECTIONS
APPROVEW
RFJ)`M.'0 INSPECTOR
ROOF
INSPECTION TYPE APPROVED RFJF.'CTED
INSPECTOR
GAS UNDERGROUND PIPE
ROOF DRY -IN
GAS ROUGH -IN
FINAL ROOF
GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
1N.7F.C770N TYPE APPROVED RFJF.CTF.D INSPECTOR 1NSPh.'C770N 77PE
APPROVED
RFJF.CTF'D 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 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 FBC105.3.3
REVISED: OCTOBER 2014 I mpalios LIM: 855-11.2112
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 . I • , i.
*** 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
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