HomeMy WebLinkAbout160 Crown Colony Way (2)Type of; Work: New'
Description of Work:
CITY,OF $ANFORD
BUILDING & FIRE PREVENTION `
PERMIT APPLICATION
Application No: (O S —
Documented'Construction Value: $ tp!cx:). 00
I}istric ;Yes No 0 4
ial Corriinereial a
ge of Use Move
A - /
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 pernut 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 vased,on the current ICC Valuation Table in effect at the,time the.-permit isvissued, in .
accordance with local orclinancc .Should "Calculated charges f gured off the executed c'otttraet cxceedtltc actual construction value, tj .
I creditwillbe`Applicd toyouc perrriiifees vlteri.theermiC"is, iss eiI.. a
OWNER'S AFF'IbAVIT: I certifythat-all oUthe foregoing,information is accurate and that all work will be
done in compliance with all applicable laws regulating construction and zoning.
The Installation Professional named below will furnish; instalVarid -service the equip
Service -Provider Information:
at the price, terms and conditions as,oultined on this form:
Proposal DateAddressWonseN/Exp. Date -f /,
V% Or
city, State, Zip wna a:-
Z6, Home
Diiibt Information. Store
4 A
Lead
V W1
tkT, cdsr1Wfo,
rmat1on: SerAce Address
V L, If,1^1 14o 1 Phonewa:
0* city.... late. Zip 41- iuiP'r`;'
nt,ancI System=Deslin int6rriiati;o'n:',,, eating Load
Calculation C661ing-1-'6ad Cilculatlon"- Senslblo latent4- Standard Condenser/
He—
al-Pump Manufacturer mode! f2 VS yl Air Handler/
Fumace Manufactu, Model k,• T Strip 14eavc
I Manufact acturer l, J, Model 'it" Thermostat me Manufacturer
Model 0Other Ire Manufacturer
Model" Manufacturer+ TF Provider,
a
iLqng!
h Type,.:; Equipment Covered,, 3 Parts Unit
ZoAcce*p. Ho'me,Depo ; o Dmo o,,t 0 Parts 0 Comp! ystemfPk 05Year or ExtendedService
oDeductiblearor, 0 densirig Unit ar Agreement Only 0
Deductible 12,Yeai. Parts & t.lbor IiFurrtace/AirHandler 'D Othhdr. Other 0 Other,,;
SCOPEOFWORK.
Complete each box with YES, NO, or N/A (Not Applicable) OUTDOOR UNIT REFRIGERANT
AND REFRIGERANT LINES Now outdoor unit
pad? -J, Install and connect new retrigera-VII livies Use existing outdoor
unit pad? R6connw existing rela§erant lines DUCT SYSTEM COMedhT
CONTROLS Ducts 6ri6s property
sized V 400dm per ton Reconnect existing thermostat Reconnect existing ductwork
to now oquiprrient-, Install now thermostat Ductwork modifications are
needed (see notes) VV OLD EQUIPMENT INDOOR UNIT (cifPandler
or furnace) Remove old equipment from ibbsite Reconnect toexistingcondensate pu
pi' circle all thatapoly)
0
e' A' Remove old ductwork from
jbbsitd ELECTRICAL Now condensate pumpAinaldrainJoverflow
pan (
circle all that apply) Reconnect existing electrical at indodiunit Reconnect to existing flue
piping Reconnect existing electrical to outdoor unit New We piping itenting
through (circitrone) foundation, roof, wall, or
chitiinay Now indoor electrical Included
in proposal New outdoor electrical Inlouded
In proposal VV 66corir4ct to existing gas
or fuel One Electrical upgrade needed - SEE NOTE New gas or fuel
line -SEE NOTES Circle any existing components
oftho"HVAC ly system that willbe
reconnected and used: FURNACE, 1 4, AIR-CONOtTK)
NER, HEAT
PUMP, COIL, AIR HANDLEDR NOTES: WON wjlar=_BVA
ME
A N yti ed
PTt
NOTICE
TO
OWNEODO
NOT
SIGN,_.THIS CONTRACTAF Total Invest'Intl$ 57.0 D KYOU ARE ENTITLEDTOA COPY
OFTHIS CONTRACT Taxes. 5_
HARYANNE 1-10RSE1 SEhITF1ULE CDUFITYCLERKOFCIRCUITCOURT & COMPTROLLERF20(
0I5Permit Number: LE85 4
f'94sI9} F ORI)ED I0/1112016 I2=:t)lls_,r3 FM Folio/Parcel Identification Number. - - - Q - ~ Ol-1pc11;;,,,,.I6 EEEg 1.10. _! Preparedby: Amelican_Residential Services of FL RECORDED BY hdevova Ou
Return
to: OF
COMMENCEMENT State
of Florida, County of 5.emlr^oke, The
undersigned hereby gives notice that Improvement will be made to certain real property, and In accordance with
Chapter 713, Florida Statutes, the following information is provided In this Notice of Commencement. 1.
Desc iptlon of roperty (lee description of the properly, nit street a dress If available) 2.
GeneFqI descriptign of improv nt 3.
Owner irlortnation or Lesseq Information if the Lessee contracted for the Interest
in Property___()wr%u-' Name
and -address of fee simple titleholder (if different from Owner listed above) Name
Address
4.
Contractor Telephone
Number(407) 299-0068 5.
Surety (if applicable, a copy of the payment bond is atta Aooress
Amolki & %T1tf 6.
Lender COMPTA()LLE1 Name
RC<<. Telepl 7.
Persons within the State of Florida designated by Owner upon whom n ument64nB19VRK be
served as rovlded by §713.13(1)(a)7, Florida Statutes. OCT 1 p Namen11c, Telephone Number .0 u 2016 Address8.
in addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice
as provided In §713.13(1)(b), Florida Statutes. Name
Telephone Number Address
9.
Expiration date of notice of commencement (the expiration date may not be before the completion of construction
and final payment to the contractor, but will be 1 year from the date of recording unless a differentdateisspecified) WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under
penalty of perjury, I declare that 1 have read the foregoing notice of commencement and that the facts
stated in It are true to the best of my knowledge and belief. Of
Le68e076r owners or T119
foregoing instrument was acknowledged before me this as
S2T fo Type
of authority, e, er, tee, =6minfadgnalum
ofNotPubila —Slate of daPersonally
KnownORPtdue10Type
of ID Produced1'L ollk Owc.
er-
Signatory's
TltkdOfRee day of !
y"n-,,Oy0\0.mon r
name or person r _ ^ ear
re - Name of
party on behalf of whom instrument vra"xeculed JEWIFER CARLY
PEREt olary Public -
Siole of Florida C"Noslon
100 032247' e M
edMI
M.
4
ber 26. 2011 Notary Asxn
r>rnrrrd y.
Ouse`
For:
160 Crown Colony Way, Sanford, FL 32771
VICIII U simplisiea
Construction quality Average Latent Cooling Equiprrient load Sizing
Fireplaces 0 fS1
tructur6
tliii.t.1r "
2g54
0Btuh
Btuh ,
A; Heatin 'Cooiirig gft} Central vent 0 cfrn}`0 BtuhPlea40924092.
Volume (fp) 36824 r° 36824
Equipment latent load 2954 Btuh
Air changes/hour" 0:28 0.15
Equiv: AVF {cfmj 172
Equipment take{ ltaaci` 34271 BtuFt92Reqtotal,capac{ty at,0.70 SHR ° m 3.7 ton;
qq
Heating Equipment Summary Cooling Equlpment Summary:
Make gala, MakeTradenlaTrade
Model nla ContiAHRIref, h1a Col
Efficiency n/a
AHRI ref `
Efficiency, 0 SEERHeatinginput0' Btuh
Heating output 0 Btuh
Sensible cooling
Latent cooling
0 Btuh
Temperature rise 0 OF Total cooling -
0
0
Btuh
BtuhActual` air flour' 1426 cfm
Air flow factor 0.052-cfm/Btuh
Actual.iikrow
Air flow -factor °
14 2
0.046
cfrn
cfm/BtuhStatiepressure0inH2O:
Space thermostat Static pressure 0 inH2O
Load sensible heat ratio 0.91
nual J t3th.Ed; Calculation`s approved by ACCA to meet all requirements of Ma00,
Wri httsoft' tots sap-2T 1002 is . Rigtrt SuAe® Universal 2017 17 0.07 RigWAS) FAogde
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s..Right-J&WOrksheet _ rob: .
Entire House gate: 9127/2016
By:
1
2
Room name
Exposed wall
Entire House First Floor
3 Room height
391.3 it
9,0 fl d
196.2 8
9.0 It heattcool4Roomdimensions
5 Roomnrea 4091.5 fi'
1.Q x 2058.5 ft
2058.5 fN
Ty Construction U•value Or HTMI Area (w) I LoadI Area (It') Loadnumber, et Uhl N--T) Btu h A _ or .perimeter Pt) 8tuh) or perimeter (8) Bluh)
Haat Caul Gross N1PIq Heat Cod Gros NtPlS Heat Cool
6 k' f2COtriv Cx"; iD e2owf1 ."°
t Oi091
0,570
n'
n
2
f18 53',
iA7a
21 90'83
rr ro I lid 822
0
f' 21fi9
1543
i;! di2t1 468 400 1056 f 590
wa,._...., c.1 L'` 0.390 a11.31 t1.97,,a_:21 21238
12044 47 D 77t 1022
Yy 12C4bw 0.091
na' Y251..; 21 f 21.,...,.,._238j 251'
iD-c2ow 0.570
a
a
2.64
16.53
1.47
63.98
855
86
769 2030 1134 432 389 1026 573
1Q 12C-0bw 0,091 s 2,64 1.47 939
0
846
1419
2233
5492
1247
43
470
0
423
716
1116
2773
82410-c2ow
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s _
w
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2 64
24.86
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93
792
0
712
1543
1880
2321
1050
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396
0
366
771
940
1160
525Dc2ow
i`
9ad p1fiB 169
0,570 16.53 fi3.98
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io
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01 10
Envelopetosstgaln 21959 27619' 11990 12427
12 a) Infiltration
b) Room ventilation
5471 18D9 2743 907
0 0 0 Q
13 Internalgafns: Occupants 230 3 690 3 690Applancestother12001200
Subtotal pines 6 to 13) 27431 31318 147321 15224
Less external load 0 0Lesstransfer
0 0
0
0
0
Redistribution 0 0
0
14
15
Subtotal
Duel bads 77431 3131
0
14732
Q
1522
0% 0% 0 0 0% 0% 0 0
Total room load
Air required (cfm) 274311 31318 1 14732 15224
14261 1426 7661 693
d _
Galeulatlons aoDrovad by AGCA to meet all reoutremenls of WhU61 J 8thd
VYr31gF111 tOTt 201 p
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11'Jt" Nause Date: 912712016
By:
i Room name Second Floor2Exposedwall1952tt3Roomheight9.0 ft heat/cod 4Roomdimensionsi.,
Q x 2033.0 ft 5Roomarea2033,0 f N Ty
Construction Uvalue Or HTM Area fft') Load Area Load number (F3tuhJ1Y F {91uhf1t } or perlrneter »(ft) (8tuh or perimoter Heat
Goot Gross NA'!S Heat Coot Gross NfiIS Heat Gapi 6'
12G Obwa ,i 3i};091 g , 2.fr4' -1.47, „a,,„ 468 21 „ 1112ONN!
A- 621 " ti 1t3{%
W 7 04570 16,53. 21.9{l: tiirx h K {' AID0»`
i1.31 f1.97, } d7
0 771 iwtk390 tM0006,
091 a 2.64 1,47 423 381 1004 561 11 1D-c2ow 0.570 e 16.53 6398 43 0 703 2719 12C-0bw 0.091 s 2,64. IA7 470 423 1116 624 10-c2ovi-. 0,570 s N6 53 24,86 47 0 . 771 1160 12C-Obw 0,091 w 2,64 IA7 396 356 940 525 iDe2ow0.570 w 16.53 6396 0 0 661 2559 F
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r4° MINICAR mom ,nm SkiCd1 c) AEDexcursion 0
Envelope
tosstgain 9969
15192
12 a) Infit>at
on b) RoomveniiEalion - 272 902 »
13 internal gains: Occupants
230 . 0 0 Applianceslother 0 Subtetal;final
6 to
13) Less eirtemal load 0
Less transfer 0
0Redistribution,0
0 " 14Subtotal ' 12$96 ` 16tt94 15
Duct loads 096n o a Total rife toad 12E98
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For.
Component ,orstru6#i6'ns
Entire House`
160 Crown Colony Way, Sanford, FL 32771
Job:
Date. 91271201,6
By:
Location: Indoor: Heating CoolingOrlandoSanfordAP, FL, US Indoor temperature (T) 70 75Elevation: 52 it Design iD F) 29 18Latitude: 29°N
Outdo'r: Heating
Relative. humidity (°/a} 30 gp
Dr
Cooling
bulb (T) 41
grllb) 2.4 37.7
93 Infratiion: ji4isture`difference
Da lyrange ff) - 17
t bulb (°F)
M } ethod Simplified
75
W d speed (mph) 15.0 7.5
Construction quality Average
irep[aces 0
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t .
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Construction descriptions or Area U value Insul R Htg HTM Loss Cig HTM Gain
Walls,
x awmI-fir a. •r'raan abnm sim, eantt+ 81,a,
12C-0bw:Frm wall, brk 4'.ex{, r-13 cay ins, 1/2"'gypsum board.int 822," '
fnsh 2"xA"Wood hm,-'16" o.c. stud,
n
e 769
0.091°
0.091
r 13,0
13.0 _
2:64
2,64
2169 '
2030
1.47
1.47
1211
1134 _
s 846 0.091 13.0 264 2233 1.47 1247
w 712 0A91 13.0 2.64 1880 1.47 1050
all 3150 0`091 13.0 2.64 8312 1,47 4643
Partitions
none}
Windows
10-c2ow: 2 glazing, clr outr, air gas, wd thn mat, cir innr, 1/4" gap,; n 93 0.570 0
1!8" thk; 6.67 ft head M' a 86 0.570 0
16.5 1543 21.9 2044
16.5 1419 640 5492
s 93 01570 0 f 16.5 1543 24.9 2321
w 80 0.570 0 16 5 1322 64.0 5119
N
l all 353 0.570 0 16:5 5827
wq
42;5 14975
Doors +
11D0„,Door, wd so type n 21 0390 0 11 3 238 12.0 251
Ceilings
1613-19ad: Attic celiing, asphalt shingles roof mat, r719 cell'ins, 1/2" 2059 0.049 19.0 1.42 2926 2.66 5468gypsumboardtntfnsh
Floors i
20P-111: Flr floor, wd 8rd.1" thkns, the fir fnsh, r-11 ext ins, amb ovr 2059 OM78 11.0 2.26 4656 1.11 2280
0 0`.078 11.0 2.26 1 1.11 1
t
all 2059 0.078 11.0 2.26 4657 1:11 2281
ightSulte6! Universal2017 17 0 O7Right ADM2016-Sep 27 10.101: obile 1,7s, 34 8cac5dtrcb5a9rup
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uOM
160 Crown Colony Way, Sanford, FL 32771
k
r
Location: Indoor: Heating CoolingOrlandoSanfordAP, FL, US Indoor temperature (°F) 70 75Elevation: 52 ft
Latitude: 29ON
Design TD (°F) 29 18
Outdoor: - Heating Coolie g
Relative humidity (°!o} 30
Moisture diffehsnce (grllb) ' 2.4
50
37.
Dry bul b (T) 41- 93 Irifiltration: Daily range ("F) 17 (. )
Wet bu lb (T) 75
Wind speed (mph) 15.0 7.5
10 .110U rl 1zi, a n g ad,
20,00A
R
r
16,00
B a seb -on'th 6 comfort assessment; ,'home " dad and energy aria ysis,' ah'& vckinspectionofvobrexistingmui6rn--ein't that -we'ha -
performed, here are three HVAC systern'recorfirnenda'flon's for you to conisiderWhile'e"ach of these systems meets your care needs,
they range in price and features as we discussed. Each of these options inludes installation and warranty, I .
I I E I I - 11 ..
Pi'rF
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
3
which
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. —lb _Q1D8 I ISSUE DATE: ID.Iqo
CONTRACTOR: Orl a Ao
JOB ADDRESS: 160 I
TYPE OF WORK: b
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
ELECTRICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR
TOOTER INSPECTION ELECTRIC UNDERGROUND
STEMWALL FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY T.U.G. / PRE POWER
SLAB / MONO -SLAB ELECTRIC ROUGH
LINTEL / TIE BEAM R. ELECTRIC FINAL
SHEATHING - ROOF V I R MECHANICAL
INSPECTION TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN
1'
MECHANICAL FINAL
DRYWALL/SHEETROCK PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIRE WALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTORROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY-fN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPEC7ION 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 FBC 105.3.3
REVISED: OCTOBER 2014 Inspection Line: 555.541.2112
TO SCHEDULE AN INSPECTION:
Dial855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
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
314ROOF
ROOF DRY -IN 116 GAS FINAL 315
FINAL ROOF III
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
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Application Number . . . . . 16-00002681 Date 10/19/16
Application pin number . . . 918862
Property Address . . . . . . 160 CROWN COLONY WAY
Parcel Number . . 33.19.30.5QS-0000-0400
Application type description MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Application valuation . . . . 10500
Application desc
c/o hvac noc on file
Owner Contractor
Oyola, Antonio/Pamela ARS OF ORLANDO
3012 MERCY DR
ORLANDO FL 32808
407) 299-0068
Permit . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 956854
Permit pin number 956854
Permit Fee . . 170.00
Issue Date . . . 10/19/19 _ Valuation . . 10500
Expiration Date 4/17/17
Qty Unit Charge Per Extension
BASE FEE 170.00
Special Notes and Comments
Rejected inspections require payment of
a re -inspection fee prior to scheduling
another inspection.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday.- Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrichesanfordfl.gov
Other Fees . . . . . . . . . 01-APPLCTN FEE -MECHANIC 25.00
01-BLDG PLAN REVIEW 33.00
01-BLDG DCA SURCHARGE 3.42
01-BLDG DBPR SURCHARGE 3.42
Fee summary Qharged Paid Credited Due Permit
Fee Total 170.00 .00 .00 170.00 Other
Fee Total 64.84 .00 .00 64.84 Grand
Total 234.84 .00 .00 234.84 CITY
OF SANFORD BUILDING 300
N PARK AVE SANFORD,
FL 32771 SALE
MID:
9520 Store: 4616 Term 2901 REF#:
00000007 Batch #:
149 RRN: 629319402813 0119/
16 15:27-03 CUC:
Y Trans
ID: 1019MCPAFVYGR APPR
CODE: 028375 MASTERCARD
Manual CNP AMOUNT $
234.84 APPROVED
I
AGREE TO PAT ABOVE TOTAL AMOUNT IN
ACCORDANCE IYITH CARD ISSUER'S AGREEMENT
MERCHANT
AGREEMENT IF CREDIT VOUCHER) RETAIN
THIS COPY FOR STATEMENT VERIFICATION
MERCHANT
COPY per:
ANTONINIL Type: DC Drawer: i Date:
10/19/16 01 Receipt no: 10034 2016
2661 BP
BUILDING PERMIT RECEIPTS 1.
00 $234.84 CC
CREDIT CARD $234.84 Total
tendered $234.84 Total
payQent $234.84 Trans
date: 10/19/16 Tine: 15:27:16 FAILURE
TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. NOTE:
ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED. NOTE:
PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.