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Home My WebLink About500 S Myrtle AveJob Address:., iUlJ Parcel ID • aS \ Type of Work: New Description of Work: JUN p p /^ `O1V CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I G- r i O (o Documented Construction Value: $ (1 Historic District: Yes ❑ No L� t:5 54, MOAD M\C') Residential ommercial El 00, Addition ❑ Alteration ❑ Ijgpair ❑. Dgmo ❑ Change of Use Q Mgve ❑ Plan Review Contact Person: PhoneMOI ?z_�D IQEE"' Fax: Ltn 2ZQ Q�WSEmail: � J(V1(ahk Property Owner Information 8)9_T�. C Name Phone: �5kD b.�n �Vk Street: C -A Resident of property? : City, SA%—( - p: Contractor Information C Name Phone: Lim 'RC1 Street: VA Cf)�CIL \r J I *lc_ Fax: LV:o Y 22r>1 45� City, State Zip: S � I State License No.: (Ala uz ?J� Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: 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 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: 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 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 regulatipg`F51011tuction and zoning. Signature of Owner/Agent Date Name Signature of Notary -State of Florida Date Name ,/ L Date RE9E9CA MARIE SLAQ* �I MY COMMISSION #FF084485 •''jai: EXPIRES J a n u a 20, 2018 (407) 399.0153 FtorldaN ervlce.com Owner/Agent is Personally Known to Me or Contractor/Agent is L.-fFersonally 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: Total Sq Ft of Bldg: Occupancy Use: Flood Zone: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures, Fire Sprinkler Permit: Yes❑ No ❑ # of Heads APPROVALS: ZONING: 24 , 1 ( UTILITIES: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: k - l,0CMVD 60 Sou -n+ SIM 6fz FWCRI-1, h-lysT -Be U.EEJUEb :Frw V11F10 Revised: June 30, 2015 Permit Application Air Handlers Inc. 119 Commerce Way AIR HINC. 3 Sanford, FI. 32771 •407-320-1855 ******For the sum set forth Air Handlers Inc. shall provide the following services. All services shall be performed by aualified oersonel and in compliance with all state. local and manufactorer's specifications as outlined below****** Customer Name Jessica Bond Job Name: rnn f, MvMA AVP same Billing Address: Job Address: Sanford, Fl. 32771 Citv/Zio Code: Citv/Zio Code Description We shall remove and haul away the existing equipment and install a 2.0 ton Goodman 14 SEER gas system. Included are new work to be refrigerant lines/Or Flush Kit, thermostat, hurricane pad, permits, and all miscellaneous materials needed to complete install System tvpe: Goodman 14SEER 2 ton gas system Indoor unit location: Attic performed: Condenser Model # GSX140241K Air Handler Model # CHPF363686C / GMS80604BN Condenser Model # Air Handler Model # IAO needs: 1 20X20 PLEATED FILTER I Pinine needs: Liouid line: flush Suction Line: flush Thermostat: I None (reuse) Electrical needs: N/A Drain: flush Pad: no Description of ductwork RECONNECT SUPPLY AND RETURN AND SEAL AS NEEDED Warranty: 1 year labor, 10 years parts List any other items needed or any other miscellaneous services to be performed: Total of job including tax: Three Thousand Eight Hundred Eighty 15/100 $ 3880.15 TERMS: COD upon install of equipment I have the authority to order the work above, I understand all material is guaranteed to be as specified. All work to be completed a workmanlike manner according to standard practices. Any alteration or deviation from the above specificotion involving extra costs will be executed only upon written request and will become an extra charge over and above the estimate shown above. All agreements contingent upon strikes, accidents, delays beyond our control or acts of God. Owner to carryfire, tomodo and other necessary insurance. Our workers ore fully covered by workman's compensation insurance. Owner hereby waives his insurance company's right of subrogotion and waiver continues after completion of contract. Note: It is agreed and understood by the parties that all equipment and parts which are sold pursuant shall at all times remain personal property of Air Handlers Inc. until payment in full is received. Buyer herby agrees that all parts and equipment may be repossessed in the event of non-poyment. Retail sales agreement effective for 3u days. �at�FIEO�` souaR cook tT o Date: 06/1W016 Staff Consultant: Ernj tadden �EAM' EM Customer signature: Customersienature: Comments: 1 BBB j 1 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and apRoint: an agent of: (Namc of Company) 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): MP The specific permit and Expiration Date for This Limited Power of Attorney: ' k AQ - o�\� License Holder Name: State License Numbe Signature of License STATE OF COUNTY( The foregoing ' strumentw I 206_, by to me or o who hiaeprodu&d identification 4 who did (did (Notary Seal) REBECCA MARIE SLADE t. `� • F MY COMMISSION *FF084485 EXPIRES January 20.2018 (407) 398-0157 FlorfdeNotarySo^dce"m (Rev. 08.12) before me this or type who is�rsonally known Notary Public - State of ;:A . Commission No. VV6Blllk My Commission Expires: \-jDg� 46 as Certificate of Product Ratinas AHRI Certified Reference Number: 8278538 Date: 6/16/2016 Product: Year -Round Air -Conditioner, Remote Air -Cooled Condensing Unit Outdoor Unit Model Number: GSX140241K' Furnace Model Number: G'E80603B'B' Manufacturer: GOODMAN MANUFACTURING CO., LP. Indoor Unit Model Number: C(A,C,D,E)36A34+TDR Manufacturer: ASPEN MANUFACTURING Trade/Brand name: ASPEN 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: Manufacturer responsible for the rating of this system combination is ASPEN MANUFACTURING 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): 23600 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.50 IEER Rating (Cooling): Ratings followed by an asterisk (•) indicate a voluntary cerate 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.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and AME 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 arty form or manner or by any means, except for the user's individual, irm M personal and confidential reference. AIR -CON HONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTMI E The Information for the model cited on this certificate can be verified at www.ahrldirectory.org, click on "Verify 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. 02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13t 1055a28094302a9 FLORIDA ENERGY CONSERVATION CODE Mandatory Duct Inspection Certification for HVAk change -out For use when part of the duct and/or H VAC system has been replaced (Sec)fol 101.1.7p. 1 & FS 553.912) Owner: Contractor name: Street address: S MifAkQ ArA. Jurisdiction: City: Permit No.: Zip: 3�0 `71 1 Final inspection date: I certify that I have inspected the duct work associated with the HVAC unit referenced by the permit listed above and found it complies with the requirements of Section 101.4.7.1.1 as indicated below: O Where needed, the existing ducts have been sealed using reinforced mastic or code -approved equivalent. O Ducts re located within conditioned space. (Section 101.4.7.1.1 exception l) �f'he joints or seams are already sealed with fabric and mastic (Section 101.4.7.1.1 exception 2) 0 System was tested (see>eXw) and repare made as necessary — (Section 101.4.7.1.1 exception 3) Signature: Printed Name: Contractor License #: Qk.JR>k7S-t:-,1 ll1 Date: LO U00 1 certified I have tested the replaced air distribution system(s) referenced by the permit listed above at a pressure differential of 25 Pascals (0.10 in. w.c.). Signature: Printed Name: Form revision date: March 18, 2011 Date: W ICD -1I-0 DUCT DRAW FOR 500 S MYRTLE AVE. SANFORD, FL. 32771 (upstairs system) 2.0 ton Gas furnace system "Duct existing no changes other than new grills" New 10x6 grill only New 104 grill only New 10x6 n80 grill only 6/16/2016 SCPA Parcel View: 25-19-30-5AG-0706-0010 Property Record Card P��.. 0A Parcel: 25-19-30-5AG-0706-0010 14" ��i�—( Owner: BOND JESSICA A 8 OLIVER C scoaurrv,nona Property Address: 500 MYRTLE AVE SANFORD, FL 32771 Parcel Information Parcel 25-19-30-5AG-0706-0010 Owner BOND JESSICA A & OLIVER C Properly Address 500 MYRTLE AVE SANFORD, FL 32771 Mailing 500 S MYRTLE AVE SANFORD, FL 32771 - Subdivision Name SANFORD TOWN OF Tax District S1-SANFORD DOR Use Code 0102 -SINGLE FAMILY - SANFORD HISTORICAL DISTRICT Exemptions 00-HOMESTEAD(2015) Seminole County GIS Legal Description LOT 1 BLK 7 TR 6 TOWN OF SANFORD PB 1 PG 59 ! Taxes Value Summary Tax Amount without SOH: $1,258.61 2015 Tax Bill Amount $1,258.61 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2016 Working Values 2015 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $94,243 $88,372 Depreciated EXFT Value $600 $600 Land Value (Market) $13,230 $13230 Land Value Ag $52,917 County Bonds Just/MarketValue'• $108,073 $102,202 Portability Adj $260,000 Yes Save Our Homes Adj $5,156 $0 Amendment 1 Adj $85,000 P&G Adj $0 $0 Assessed Value t $102,917 $102,202 Tax Amount without SOH: $1,258.61 2015 Tax Bill Amount $1,258.61 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value Page County General Fund $102,917 $50,000 $52,917 Schools $102,917 $25,000 $77,917 City Sanford $102,917 $50,000 $52,917 SJWM(Saint Johns Water Management) $102,917 $50,000 $52,917 County Bonds $102,9171$50,000 11/1/2004 $52,917 Sales Description Date Book Page Amount Oualified VacAmp SPECIAL WARRANTY DEED 8/1/2014 08313 Q,Q� $95,000 No Improved CERTIFICATE OF TITLE 5/1/201380 042 15662, $100 No Improved WARRANTY DEED 11/1/2004 05513 1889 $260,000 Yes Improved WARRANTY DEED 5/1/2003 04838 $85,000 No Improved WARRANTY DEED 5/1/2003 04838 $85,000 Yes Improved CERTIFICATE OF TITLE 4/1/2003 04786 !?7Z $53,700 No Improved WARRANTY DEED 10/1/2002 04574 0373 $100 No Improved WARRANTY DEED 10/1/1998 103529 0815 $55,000 1 No Improved WARRANTY DEED 7/1/1998 03480 oa7o $30,000 1 No Improved ADMINISTRATIVE DEED 5/1/1996 03078 11147 $100 1No Improved Page 1 of 2 (11 items) [i] 2 ht:/"rceldetail.scpadl.org/ParcelDetaillydo.aspx?PID=2519305AG07060010 1/2 RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CAC1815376 rhe CLASS AAIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 HARRELSON, BRADLEY S AIR HANDLERS INC 119 COMMERCE WAY SANFORD FL 32771 ISSUED: 07/302014 DISPLAY AS REQUIRED BY LAW SED # L1407300001405 City of Sanford HVAC Permit Application Checklist D� All permit application packages must be complete prior to acceptance. You must check each -' box to the left or indicate n/a on this submittal. A complete application package shall include the following: 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 Cpy of applicable contractor's license issued by the State of Florida (if the contractor is the apoplicant). 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. 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). Oompleted and signed Owner Builder Statement / Affidavit (if the owner is the applicant). One (1) copy of equipment sizing calculations — for new construction installations: 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. 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 i 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