HomeMy WebLinkAbout106 Rabun CtSEP 19 2616
Documented Construction Value: $ ,y , Z -!_.3
Job Address: , /Q ' R a L-'n Gi" Historic District: Yes No
Parcel ID: O %- dO*- 3 1-- SS-0 %- 0000 - 0 476 Residential Ef Commercial
Type of Work: New Addition Alteration 9 Repair Demo Change of Use Move
Description of Work: ,,Q & c_lAah ,eC>vt _Si ^e_ 4r Si me- r)U d e+1,,vvK
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ' a.6 (P D
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name _5_0l1t1.{-4n 6 L-16b5 Phone: '5107
Street: Resident of property? :
City, State Zip: 27 73 M,''
r'Contractor Information Name
pi l d Fl U r, dot A'lL Phone: 3 GG b - 9 %s'tZ Street:
Ae 5, I ('G/crd 6eci ll 6jvz Fax: 3 ,6 466 — 6 5 9q City,
State Zip: O e h n , FL 32 7%3 State License No.: G A c, / %i16 d. 9 I c, Arch
itectlEngineer Information Name:
Street:
City,
St, Zip: Bonding
Company: Address:
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
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 regulating construction and zoning.
Signature of Owner/Agent
Print Owner/Agent's Name
011k Zug
Sig ure of Contractor/Agent Date
Print Contractor/Agent's Name
1! 1 lq /6r
Signature of Notary -State of Florida Date Signa re of Notary-,t of Fl rida
cifl`Pv IAY COA d{S M / FF OOM
is = WW.Jura 1S,20QA
O` ea dea Nofery PubOo lfidenvr
Owner/Agent is Personally Known to Me or Contr is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
Date
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 07-20-31-507-0000-0470
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sen uaie casrtv Fcor a
Parcel Information
Property Record Card
Parcel: 07-20-31-507-0000-0470
Owner: GRUBBS JONATHAN M
Property Address: 106 RABUN CT SANFORD, FL 32773
Parcel 07-20-31-507-0000-0470
Owner
Property Address
GRUBBS JONATHAN M ®
106 RABUN CT SANFORD, FL 32773 i
Mailing 106 RABUN CT SANFORD, FL 32773
Subdivision Name SANORA SOUTH UNIT 1
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2008)
I kju
78 Seminole County GIS
m
Legal Description
LOT 47
SANORA SOUTH UNIT 1
PB 19 PGS 76 & 77
Taxes
Value Summary
2016 Working 2015 Certified
Values Values
j Valuation Method Cost/Market Cost/Market
Number of Buildings
Depreciated Bldg Value 57 874 48,609
Depreciated EXFT Value
Land Value Market 19,000 17 500
Land Value Ag
Just/Market Value 76,874 66,109
Portability Adj
Save Our Homes Adj 21,066 10,689
Amendment 1 Adj
1 i
Assessed Value 55,808 T $55,420
r
m Tax Amount without SOH: $635.23
a 2015 Tax Bill Amount $551.34
Tax Estimator
Save Our Homes Savings: $83.89
TRIM Notice Helg
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 55,808 30,808 25,000
Schools 55 808 25,000 30,808
City Sanford 55 808 30 808 25,000
SJWM(SaintJohns Water Management) 55,808 ; 30,808 25,000
County Bonds
i
55,808 . $30808 _.....__...__. i 25,000
Sales
Description Date Book Page Amount =, Qualified Vac/Imp
QUITCLAIM DEED 1/1/2014 08195 1229 i $100 No j Improved
WARRANTY DEED 6/1/2007 06757 0717 165,000 ;Yes Improved
QUIT CLAIM DEED 5/1/1979 01226 1365- 1001 No
w
Improved
WARRANTY DEED 5/1/1979 01224 11906 32,200 ;Yes Improved
Find Comparable Sales
Land
Method Frontage Depth I Units Units Price Land Value
LOT 0.00 0.00 1 $19,000.00 1 $19,000
I, Building Information
Is Bed/Bath count incorrect? Click Here
i-.._.-_-- Year Built I
http://parceidetaii.scpafl.orgIParceiDetail Info.aspx?PID=07203150700000470 1/2
Deltona/DeBary
386) 668-8752
Daytona
386) 761-8319
LIC # CAC050422
DeLand/Orange City
386)734-9770
Brevard County
321) 723-2040
Sanford Orlando
407) 322-0199 (407) 628-5748
New Smyrna
386) 427-9149
ALL OTHER AREAS: 1-888-MID-FLAC
643-3522
NAME--- REFERRED BY INSTA DA%! INSPECTION DATE
ADDRESS BILLING ADDRESS IF DIFFERENT
FROM JOB LOCATION
CITY/STATE/ZIP
S t G 73
CITY/STATE/ZIP
HOME PH O E
3t
r
CELL WORK EMAI
G: his a Gnu
ITEMS CHECKED APPLY ERMIT MANUAL J MANUAL D 1 INSTALLER 2 INSTALLERS 1 HELPER 2 HELPERS HORIZONTAL VERTICAL
Package Unit_tons Heat Pump
Condenser tons ( ) Heat Pump
f --- LAir Handler A 5 tons cfm
Coil tons
f_ Heating _k.w. strip
grain Pan
V7 Locking Gas Caps
Condensate Pump
Hurricane Mounting Kit
Filter Rack Filter
Aprilaire Shroud
MISCELLANEOUS
cool Brand ,Grl6; n tit GryGC.
s. cool Brand
vert. ( ) horiz. Model #
SEER HSPF
5—
Thermostat wall type non -programmable ( ) programmable
recast slab fX condenser unit
N*ef. Lines Sv ft. ref. line cover ( ) Flush Kit
Condensate Line
J Plans - Clean-up
J Plywood Top 2
Float Switch
x 4 Studs
N,4 Wet Switch
DUCT SYSTEM
New System supplies with dampers
Fiberglass Duct
j Flex System
vJ Direct Return ( ) ducted ( ) filter back grill
Insulate Platform
Reconnect Plenum ( ) Mastic
MISCELLANEOUS OR EXTRAS:
EXISTING BREAKERS BREAKERS NEEDED
Type t" rP Type Indoor
Amps ( ) thick ( ) thin Indoor Amps ( ) thick ( ) thin Outdoor
Amps ( ) thick ( ) thin Outdoor Amps ( ) thick ( ) thin ELECTRICAL
I
Hook-up by MID-FLORIDA A/C, INC. L4
Low Voltage by MID-FLORIDA A/C, INC. Vlectricoth
rs if ILe de of in price a jInitialLl ITED
WARRANTY AND GUARANTEES Manufacturers .10
year warranty on compressor. year warranty
on all other Manufacturers parts. i free
service from date of start up L ear
warranty on all other parts installed by MID -FL A/C, INC. Warranty does
not cover Filters, Tripped Breakers or Maintenance Manufacturers warranty
for original homeowner only We agree
to furnish and install the above described labor and materials on the terms indicated below. It is
agreed that the purchaser releases the seller from and that the seller assumes no liability and shall not be responsible for any loss, damage or delay caused byactsofgovernment, strikes, lockouts, fire, explosion, theft, floods, rain, water damage, riot, civil commotion, war, nuclear disaster, fungi, mold, bacteria, malicious
mischief, picket lines, acts of God, or by any cause beyond its control and any event of consequential .damages. If any claims or disputes ariseitisagreedtobythepurchaserandsellerthattheywillbesettledbyamediator. vIS , RIASTERCARO
DR DISCDVER PAYMENTTYPE: CHECK
El CASH RE® The customer
acknowledges that prior to signing this proposal he has $ 6.)176 read the
terms and conditions contained herein and hereby accepts $ 7 A% this proposalincludingtheconditionsonthereversesidehereofwhicharea
part of the proposal; and further agrees to make payments as 100% WHEN EQUIPMENT IS $ ` S follows: INSTALLED
C
ir,44 PRICE INCLUDES
r a, REBATES AND [
INGENTIV S BUYER'S
RIGHT TO CANCEL." '!'.4 If this
is a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by mailing a notice to the seller. This notice must
be postmarked before midnight of the third business day after you sign the agreement. If you cancel this agreement, the seller may keep all orpartofanycashdownpaymenj, not to exceed the lesser of 5 percent of the cash price or $50." Date Purchaser
Estimator WW
Recommend the Power Company Test Your Ducts For Leaks FPL 0
DUKE ENERGY PHONE 1-866-712-3413 0
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
M4;qol?"jU IM, 1 1, 1
AHRI Certified Reference Number: 8626294 Date: 9/15/2016
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 4A7A603OJ1
Indoor Unit Model Number: TEM6AOB3OH21+TDR
Manufacturer: AMERICAN STANDARD
Trade/Brand name: AMERICAN STANDARD
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, CA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME,
MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX,
UT, VA, 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.
rce
A
IEER Rating (Cooling):
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.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 AMconfidentialreferencepurposes. 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-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.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. ;
2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13118a224807,709f
D
I
City of Sanford
HVAC Permit Application Checidist
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.
Mf Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
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.
n/ 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).
Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
I 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
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