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HomeMy WebLinkAbout25107 Northlake DrCITY OF SANFORD BUILDING &I FIRE PREVENTION AUG PERMIT APPLICATION 12016 Application No. Documented Construction Value: $ 3494.00 Job Address: 25107 Northlake Dr Sanford FL 32773 Historic District: Yes No LxJ Parcel ID: 14-0230-517-2500-1n7n Residential © Comimercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work hvac changeout to 2 ton 14 seer Goodman Plan Review Contact Person: Caytlin Hill Title:permitting agreement Phone: 407-532-8000 Fax: 407-297-7577 Email: Caytlin.ameritechfl(a)_gmail.com Property Owner Information Name Aaron Guthrie Phone: 407-547-5225 Street:Resident of property? :._yes City, State Zip: Sanford FL 32=773 Contractor Information Name Ameritech AIG Phone: 407-532-8000 Street: 6290 Edgewater Dr Fax: 407-297-7577 City, State Zip: Sanford FL 32773 State License No.: CAC1817383 Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax': E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORDrA NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR. PROPERTY. A NOTiCF 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 pertnit to do the work and installations as indicated. l certify that no work or installation has comrnen ced rior tb the is uatice of a Pc mit and- that pail work will be secured for electrical work, plumbing, g construction p 1! be performed to meet standards o€all aws se Mating in this jurisdiction. I understand that a se atatc errant mu signs, wells, pools, furnaces, boilers, treaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of applicationandthe code in effect as of that date: 51" Edition (2014)' Florida Building Cade Revised: June 30,2035 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 I 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 oTder'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 ICG 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' I 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' OwneriAgelit Date Print 0%vner/Agent's Name Signature Of Notary -State of Florida Date Owner/Agent is ___ Personally Known to Me or Produced ID - Type of ID m tze Si ant IF 'o n r/Agent DateCntracw Brian Novotny Print,Contractor/Ageut's Name Signa 91.1 ip of Fvo 7-state of lorida LWY Notary public State of Floridaat Caytlin Hill MMy Cc_ 1 181MycommissionGG002181 Expires commissions.'o ( 0Expires07/31/2020 Contr n to Me or Produced ID Type of ID, BELOW IS. FOR OFFICE USE ONLY Permits Required: Building[] Electricatn MechanicaIF] Plumbing[] Gas[] RoofEl Construction Type: Occupancy Use- Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: #'of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes [] No [] APPROVALS: ZONING: ENGINEERING: COMMENTS: 4 of Heads . — Fire Alarm Permit: Yes L] NoEl UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30,2015 Permit Application Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: 08/11/IQ ., 1, hereby name and appoint: Amber Wilson an agent of Ameritech A/C ( NaineofCornpany) 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): p All permits and applications submitted by this contractor. w The specific permit and application for work located at: 25107 Northlake Dr, Sanford, FL 32773 Street Address) Expiration Date For This Limited Power Of Attorney: 1 08/11/17 License Holder Name: Brian Nomptny State License Number: Signature of License Holder: I top STATE OF FLORIDA COUNTY OF Orange The foregoing instrument was acknowledged before me this 11 day of August 20_16, by Brian Novotny who is personally known to me/ or who has produced as identification and who did/did not take an oath. Ou Notary Public State of Florida Signdaaia cquin Hill My Commission GG 002181 Expires 0713112020 Caytlin Hill . ......... Print or Type Narhe Notary Seal). Notary Public - State of Florida Commission Number GG002181 My Commission Expires: 07120... - Cott - --- tJ AAltz# Tone .. SYSTEM SEEM RATING UMP RATINGS ARIL Di t i p11 py t'{EfibMAtNATtON OP abtH 17vrj51rnoadrl'mtch 7Liquid .Lint ( uctionL$s><e I"f.ondensate Pump 3 &—Drafn Line Atccpt decline Line set protective covey it Zoniag ?ones supply Duct Return Duct. Direct ,(} Ceftz SW Ww Fl>attform 'CO y''1" Ur Puritfier Ur F'lttelr'tj a and sig Zh `` t _L J1` nt% luct Sanitize: Accept Y .__' - — IDeclitte acct Seal: Accept !Decline ew clettrical disconnectt for condenser _.. ew electrical for ABU disconnect Irge !Protector t 'X-11 work to be done in accordance W/atitting code with permitting. elge-m-oyal of existing. equipment from the promises. work to be performed in a neat and profemlonal manner by attratued technician. All debris removed from premises each day. `AmeriTech will guarantee the install or the product tree f vra defects in workmanship for l figpt year from of lasta ll. tSlinufacturer wsirrauty on parts .10 yea m Condenser and Air lr. widler. AmenTe' ch will register warranty paperwork after paYatenttn fultand permit is complete. Customer most contact Amenreeb if warrAnty certificate Is not received within 45 days of inStta[L a,rurcb*se extended Manufacture labor warranty years. Condenser and Ak Handler n Warlranty an zoning electrical cr Warranty on dampers UTMM- uracturtr warranty an compressor 0 years. AmeriTeeh Will Cie warranty paperwork after p9ymcnt in roll and permit is complete. Gmtomer most contact A>rrteri'1[ nh if warranty ccr"ACRO is not received within 45 days of Install. cr WarrA tyon duct work I:i Warranty an other 0 UdUV Company Note: PIMse fallow gufdbliracs for "'vow uulityrt bardiriff.ft,ptrtutiblc ntratts) etttfre document, i ncludiho the terms and conditions below, and, any agreement eXecuW In wriOug, pursuant thereto, hetwe" BN -Ltactors, LLC d/b/a. AmeriTeeb Air-Couditioni ng and Heating (hereluatter referred to ala" Anteri T'ccii"')I and true property WAer(s) ormyowner's represcntative(s), hereby referred as the "Customer , are subject to tele laws Ed efrect in the state of Florida, and that 6. to PAY2Ll xxgahnts due #U U constitute A material brmach of this agreortrent and Customer shalt be responsible for slay and'iatereat at per month (1"8% per annum.), costs; and attorney's fps i nclarred by AmtrITNA to recover SW xl &ftnt4 owl& Costumier Ahall pay eCitrdi s itarttsi's; null costs for colkcNon of aoy u rsA"dac h'ereundc, vvtcr au-neu srrft is 1— 6j -A- PricePricpe S T f?ollars rv. („ • "All lira cin tcwa sec ort crcYtit appravnt and must be coiuplotcd`before WI'ark boons atxy accunce sigztature We: _2 / --3 r / r acceptance signstutrLate: / 1 4m,ratch offiice: 407-53x,8W Fats: d07-247-7577 P.O. BOX 6806A 0440405 F1, 32968 Licemm # CA-CI8173s3 W*111 kill; 111,11 REPAIR I7 * REPLACE IT - MAINTAIN rt Work order # Rate; " Price valid alt ' Cell Phone 7—, 4WMCl' O{FIDPI'3tY: (} cnvnm agwtmbb txptYraan) Cell 1 8 CQ -Owner or Tenant: Job Location: L I'% . Email: hrd ,ti• l q Ui`h rt " ' +.h ci 8dling .Address (if difrerent), rode els or related eoipntentfor yarir home11warronty (,stated below) Pweherebypirase: ro fu and servtce tinder of bqmatr fk accordance wit ' conditions and ovYl ations sct forth below. lir nde>lser . G .i 1 A PPG H/P o Other Q-Atr Handler _ . ` O Mvt d } VW_ii r5 A, l C pad size Furnace - FQa P i prThermostat type Ob n Cott - --- tJ AAltz# Tone .. SYSTEM SEEM RATING UMP RATINGS ARIL Di t i p11 py t'{EfibMAtNATtON OP abtH 17vrj51rnoadrl'mtch 7Liquid .Lint ( uctionL$s><e I"f.ondensate Pump 3 &—Drafn Line Atccpt decline Line set protective covey it Zoniag ?ones supply Duct Return Duct. Direct ,(} Ceftz SW Ww Fl>attform 'CO y''1" Ur Puritfier Ur F'lttelr'tj a and sig Zh `` t _L J1` nt% luct Sanitize: Accept Y .__' - — IDeclitte acct Seal: Accept !Decline ew clettrical disconnectt for condenser _.. ew electrical for ABU disconnect Irge !Protector t 'X-11 work to be done in accordance W/atitting code with permitting. elge-m-oyal of existing. equipment from the promises. work to be performed in a neat and profemlonal manner by attratued technician. All debris removed from premises each day. `AmeriTech will guarantee the install or the product tree f vra defects in workmanship for l figpt year from of lasta ll. tSlinufacturer wsirrauty on parts .10 yea m Condenser and Air lr. widler. AmenTe' ch will register warranty paperwork after paYatenttn fultand permit is complete. Customer most contact Amenreeb if warrAnty certificate Is not received within 45 days of inStta[L a,rurcb*se extended Manufacture labor warranty years. Condenser and Ak Handler n Warlranty an zoning electrical cr Warranty on dampers UTMM- uracturtr warranty an compressor 0 years. AmeriTeeh Will Cie warranty paperwork after p9ymcnt in roll and permit is complete. Gmtomer most contact A>rrteri'1[ nh if warranty ccr"ACRO is not received within 45 days of Install. cr WarrA tyon duct work I:i Warranty an other 0 UdUV Company Note: PIMse fallow gufdbliracs for "'vow uulityrt bardiriff.ft,ptrtutiblc ntratts) etttfre document, i ncludiho the terms and conditions below, and, any agreement eXecuW In wriOug, pursuant thereto, hetwe" BN -Ltactors, LLC d/b/a. AmeriTeeb Air-Couditioni ng and Heating (hereluatter referred to ala" Anteri T'ccii"')I and true property WAer(s) ormyowner's represcntative(s), hereby referred as the "Customer , are subject to tele laws Ed efrect in the state of Florida, and that 6. to PAY2Ll xxgahnts due #U U constitute A material brmach of this agreortrent and Customer shalt be responsible for slay and'iatereat at per month (1"8% per annum.), costs; and attorney's fps i nclarred by AmtrITNA to recover SW xl &ftnt4 owl& Costumier Ahall pay eCitrdi s itarttsi's; null costs for colkcNon of aoy u rsA"dac h'ereundc, vvtcr au-neu srrft is 1— 6j -A- PricePricpe S T f?ollars rv. („ • "All lira cin tcwa sec ort crcYtit appravnt and must be coiuplotcd`before WI'ark boons atxy accunce sigztature We: _2 / --3 r / r acceptance signstutrLate: / 1 4m,ratch offiice: 407-53x,8W Fats: d07-247-7577 P.O. BOX 6806A 0440405 F1, 32968 Licemm # CA-CI8173s3 AHRI Certified Reference Number: 8655532 Date: 8/11/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140241L* Indoor Unit Model Number: ARUF29B14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR 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 regions) for which they meet the regibmLefficiency requirement: Ser1e,S nam e dh x et s a Manufacturer resppr-is ib16,§, rthe rating ofthls,systeWcombmatlon is G40DMAN'MANUFAOTUR NG"CO wce iird Al"', L+C1E1dWtjl t'•t7tU1t) a G.,iutiV r rst ,, . m EER Rating (Cooling) e, x'_,t. fir. SEER Rating (oolfng): ";. 14:00 ` IEE R'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 far, 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 confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;MM 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. REFRIGERATING, HEATING, REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www,ahridirectory.org, click on "Verify Certificate" link we make lif'e 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. CERTIFICATE ND 1 31 1 53959385$051 5 $ i02014Air -Conditioning, Heating, and Refrigeration Instituteo ` i 0f #;'MPERMITNO. 4F)44ISSUE DA CONTRACTOR JOB ADDRESS: TYPE OF WORT City of Sanford Building & Fire Prevention Division Residential Permit Card 11-1611 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 TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE ELECTRICAL APPROVED REJECTED INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEM WALL FOOTER/SLAB STEEL BOND FORMBOARD SURVEY T.U.G. /PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF INSPECTION TYPE MECHANICAL APPROVED REJECTED INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK INSPECTION TYPE PLUMBING APPROVED REJECTED INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTION TYPE INSPECTIONS APPROVED REJECTED INSPECTORROOF INSPECTION TYPE APPROVED RLIFCTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS / FINAL INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE 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 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 Inspection Linc: 855.541.2112