HomeMy WebLinkAbout606 Palmetto Ave (Unit 3)AUG 1 0 2016
BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 b L 2
Documented Construction Value: $ 4,200.00
Job Address: 606 Palmetto Avenue cok)'T 3/ Historic District: Yes No
Parcel ID: 25-19-30-5AG-0802-0010 Residential X Commercial
Type of Work: New Addition Alteration® Repair Demo Change of Use Move
Description of Work: Remove and replace existing A/C system with same size.
Plan Review Contact Person: _ Af( S sn N- V, f S C) r) Title:
Phone: 0'T.g1- 1b`i4 Fax: Email•,MeI SC{,q,v P>rSo
Property Owner Information t' C, C_•C-0't't
Name Palmetto Ave Four Plex, LLt
Street: 175 Semoran Commerce PL #C
City, State Zip: Apopka, FL 32703
Phone: 407-257-2402
Resident of property? :
Contractor Information
Name, Pro -Tech Air Conditioning & Plumbing Svcs, Inc. Phone: (407) 291-1644
Street: 2425 Silver Star Road Fax: (407) 522-0445
City, State Zip: Orlando FL 32804 State License No.: CACO29393
Architect/Engineer 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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015
l (U/oIq 3
Permit Application
1 L-1. ad
4
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 etTcct 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.
OWNk; 'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be telin compli c with all applicable laws regulating construction and coning.
A I N
Signa re w t ate Signature of Contractor/Agent Date
tSJf- fr kr-0416
Print er/Agent's Name
CAROLINIC'kENNEDY
MY COMMISSION # FF907271
EXPIRES August 05, 2019
Owner/Agent is Personally Kno,wp o Me or
Produced ID j Type of ID _
Thomas T Nixon. President
Print Contractor/Attent a Name n
IEL(SSA J ANDERSON
Y COMMISSION # FF928786
EXPIRES Oc"w 19, 2019
Contractor/Agent is __V_ Personally Known to Me or
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:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30.2015
Permit Application
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18777--
APPLICATION 4416 • 7
FOR A CERTIFICATE OF APPROPRIATENESS
Answer all the questions on this form and submit all required attachments. Incomplete applications will not be
reviewed. If you have questions about application requirements contact the Historic Preservation Officer at
407.688.5146 to ensure your application is complete.
General Information
Downtown Commercial Historic District[] Residential Historic District I Is this a retroactive request? Yes Non
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes Non
Proposed improvements will 55 ct the following elevations: North South East West
Property Address: (4 0 h ffi-114 7%(o AJ1,CAll1,C l aice/% 7 -
Property Property Owner Information
Print Name:L14 i /(J P-,k
Mailing Address:_%7,5 5/MoPg;g p/w eggs
Phone: L16"7 5 % yf mail•
Print Name:
Mailing Address:
Email:
Signature:
Signature:
S/,
BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE
SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO
DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL
RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING
BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS
TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE.
Signature:_ ha " ZuIte / Date: /b 9,va'— Z%7 -307- 1707 /
Would you like to receive emails regarding Historic Preservation and Community Planning within your community?
Description of proposed work
Completely describe the entire scope of work, including changes in material and color, and methods that will be used to
accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary.
moi A -fl- , 9D 790 IW -E W15n)94L
HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 -407.688.5145 • www.sanfordfI.govMP
MODEL No.
ss.,R . VAL NO..
Arl-R. COU 'TT -ONEPD .7
Dags: V-8737
PHASE, - j '
74A
4/6,7-3:)7
a
Service Hotline: (407) 291-1644
www.ProTechAC.com - Service@ProTechAC.co
State Certified CACO29393 - CFC1426770
Install Date:
As Heard On Comfort Specialist: lason Hoag 407-375-2482
Ask The Experts" Dates 7/28/2016
Sunday lam 9am Valid until: 8/4/2016
ProTech Labod ® 1 1 - I - I - I ProTech Labor 0 - I -
unit comeswlth a 5-yearwarranty.1st Owner's registration warranty. Manufacturer requires Customerto complete online registration for additional
warranty activation. See Manufacturers Information for Specific Coverage.
Customer Initials:
Finstafriatic ney Back Guarantee
n Guarantee
nce Guarantee
Your comfort system will be installed with the absolute highest quality, care, and craftsmanship and will comply with all governing codes
and regulations. pro Tech GUARANTEES your 100% 5attsfaction. We truly care about our customers and that's why WE NEVER CLOSE.
SEER' Seasonal Energy Ef ciency Rating / 2HSPF: Heating segsonal Performance Factor
3Set manufacturer's literature for specific, dewled warranty Information. online Registration is required for warranty activistion.
16 Varoion 1t2o16
PAGE 1
System 1 System 2
Year x
11
2 5 1101 12 Year 1 2 5 1 10 112
Compressor Compressor - q
Parts 0 Parts -
Outdoor Coil Q Outdoor Coll -
Indoor Coll Q Indoor Coil 1 - 13 13-
Thermostat Thermostat
ProTech Labod ® 1 1 - I - I - I ProTech Labor 0 - I -
unit comeswlth a 5-yearwarranty.1st Owner's registration warranty. Manufacturer requires Customerto complete online registration for additional
warranty activation. See Manufacturers Information for Specific Coverage.
Customer Initials:
Finstafriatic ney Back Guarantee
n Guarantee
nce Guarantee
Your comfort system will be installed with the absolute highest quality, care, and craftsmanship and will comply with all governing codes
and regulations. pro Tech GUARANTEES your 100% 5attsfaction. We truly care about our customers and that's why WE NEVER CLOSE.
SEER' Seasonal Energy Ef ciency Rating / 2HSPF: Heating segsonal Performance Factor
3Set manufacturer's literature for specific, dewled warranty Information. online Registration is required for warranty activistion.
16 Varoion 1t2o16
PAGE 1
A-3 7
NMV&TMIE Customer's Name: Wayne Deming
M & Today's Date: 7/28/2016 Valid until: 5/4/2016
Location of Equipment
New equipment will be located in some place as existing equipment
ld Platform (return air box) will be lined with R-6 antimicrobial, UL' approved ductboard for quieter operation
Platform top till be replaced with 3/4" plywood or rebuild support for top as needed
@1 Install new pre -formed concrete pad for outdoor unit (condenser)
if attic installation drain pan will be installed with condensate safety flow switch
Other:
Other:
Pipih
21 New copper (deh drated & sized) refrigerant lines will be sized according to manufacturer's specifications and suction
lines will be covered with thick closed cell foam rubber insulation. Lines will be run in existing chase pipe
i f The lines will be evacuated by use of a refrigerant vacuum pump to assure that no harmful contaminates infiltrate new
system
Z A new schedule 40 PVC drain line will be Installed to remove condensate water
7 The new equipment will be connected to the existing copper refrigerant lines, will re -use existing drain line7Other:
3 Other:
Ductwork
I Any new ductwork necessary to connect the new equipment to the existing duct system will be constructed of R-6,
antimicrobial UL' approved ductboard. All seams will be seated with fab mesh & latex mastic for a durable connection.
I The existing duct system will be balanced for proper air distribution and will be inspected for air leaks
Other:
1 Other:
Wiring --
Furnish & install all low voltage thermostat control wiring for new system (copper 18 ga UL -approved wire)
Furnish & install all necessary power voltage wiring for new equipment (all copper wire)
Power wiring of the new system will be done by a certified master electrician
Other_
Additional Services Preformed During Install
Seal line chase from outside contaminates to protect system
Certified system start-up and installation quality assurance analysis
Remove old equipment and installation debris
Cut & patch any necessary holes at the time of installation
Cover floors with drop -cloths; sweep, dust & vacuum at the end of each days work
Pull all local permits and licenses; call for inspections
other:
New System Comfort Club membership: SYSTEM 1 1:aofYea 1 1ofvis 1 Aofsrtems
SYSTEM Morrea :a of m54 Sorsystems
16 Verelan-ltiois
PAGE 2
4l&-30-7
Customer initials:
Customer's Name: Wayne Deming
Today's Date: 7/28/2016 valid until: 8/4/2016
Current Comfort Club Member? 0 YES O YES
System Description
Comfort Club Included Included
Pull all permits/fees Included
Electrical Upgrades
Total System Price 4,495.65
Comfort Club Discount:
Manufacture Rebate By Pro -Tech:
Thermostat Upgrade 0.0o Thermostat Upgrade
p Air Purification 0.00 Air Purification
t Zoning Systems
i Duct System
o Comfort Club (2nd yr)
n Electrical Upgrades
a Plumbing Additional Items 0.00 Plumbing Additional Items
I Piumbrng Additional items 0.00 Plumbing Additional Items
Notes-
notal with Rebate & Discount:
4pproved Optional Items 0.00
Total Due to Pro -Tech;
rebate direct from Power Company
kpproximate MonthlyApprces Only To Trane xR16 & UD
nvestment (if financed): 112.39 0.00
Payment and Terms
Financing:
Q Credit Card; $
Chec2SZ:
Cash: $
I have authority to order the work outlined abom in the event that payment Is not made promptiy In accordance with agreed terms, it shall be the selrues option to charge a
sewlw charge not elcceeding 11/2% o month, the fNst service charge bete, Ing due 1S days from the data of Instalietion of our amount due an the Job. in the event of colleetlon
by atmmey, all attomey vests, court cost and other legal fees shall be borne by the buyer. in the event of nonpayment, purchaser agrees to allow seller on premises, to remove
equipment Installed. This investment proposal shall be binding upon the helm succe r, or assign orthe parties herhto. it Is understood that the title to all pmduets and
equipment co by the contract remains solely in the seller until the entire purchase price has been paid In full and the manner of installation and/or attachmerrt to anyequipmntan!/ anyportionoftheWildingstructureInuihtchtheInstallationismadeshallnotInanymannerjeopardl:ethesaneestme.
4016
Customer Printed Name
7
Z` 2
4, -, -
VWorrlT201c
Date:
Date:
Date: ;
I- Z- gm
PAGE 3
TOTAL P.03
I 1 i
1, RUUD AIR CONDITIONER
MODEL NO. UAKA-024JAZ
SERIAL NO. 5882 M0298 08737 MFD. 01/98
OUTDOOR USEVOLTS208/230 PHASE, 1 HERTZ 60COMPRESSORR.L.A. 12-2/12-2 L.R.A. 61OUTDOORFANMOTORF.L.A. 9
MIN. SUPPLY CIRCUIT AMPACITY
H.P. 116
MAX. FUSE OR CKT. bRK. SIZE*
MIN. FUSE OR CKT.
16/16 A"'-
25/25 AM -` P
BRK. SIZE*
DESIGN PRESSURE HIGH 20!20 AM
DESIGN PRESSURE LOW 300 PSIG
OUTDOOR UNITS FACTORY CHARGE
150 PSIG
TOTAL SYSTEM CHARGE SO OZ. R22
OZ. R?_2
SEE INSTRUCTIONS INSIDE ACCESS PANEL. RUUD AIR CONDITIONING DIVISION
RFIEEM MANUFACTURING COMPANY
FORT SMITH. ARKANSAS nlnl)I•;
7N TII F;
HP.CI-1 TYP[- BREAKER FOR U.S.A SA
I 1 i