HomeMy WebLinkAbout220 Casa Marina Pl (2)Fax"
NOV tl-$ 2016
Application No:
Documented Construction Value: S
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Job Address: 00 co< Historic District: Y s No
Parcel ID: 1" %'' -31-501--6-5 0 -3 0 Residential Commercial
Type of Work: New Addition -92 rAlteration Repair Demo Change of Use Move
Description of Work:
C,'r' 15 JJFFJz J
Plan Review Contact Person:
Phone:
W, -C t2 ne-(-1
Title:
Email: J-_*J' (01 ce(u
N a .
pp
Property Owner Information
CovVl
Name N c',5',r g Crl d,ez Phone:
Street: C_Db C_C Resident of property? : LAeJ)
City, State Zip:
Contractor Information
Name 'r' ' c u c nc f con ') f1 Phone:3 &Z 67 i - 6_6 6:, )
Street: (9 6/'Yip 6/0'X '1 ' Fax:
City, State Zip: t 6) L l FC — State License No.:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
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: 51' 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.
J,L ILQ 1) \ )I ) i c.PSignatureofOwner/Agent Date Signature of Contractor/Agent Date
C7-\\
C -' 14 A) I
Print Owner/Agent's Name P ent's Name
Signature of Notary -State of Florida Date Signature
JEAXWER.Bo RS
MY COMMISSION #FFt 79789
EXPIRES November 30, 2018
caner Agent is Personally Known to Me or Contractor/Agent is--N7 Personally 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:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
I CERTIFIED CLIMATE CONTROL, LLC.
Atli lot 11 Air Conditioning & Heating Contract #:8 6 91
690A E. Rhode Island Ave 11251 Business Park Blvd. • Suite 7
Orange City, FI 32763 Jacksonville, FI 32256
Volusia 386.675-6963 Jacksonville/St Augustine
DUgLt Oran9 a/Seminole 407-888-0678 904-551-6538
Air Conditioning&Heating License# CAC1816634 Email•owner@certifiedclimate.com 3S--? _8!2 —11`1514 SeSS,`c-e
je.SS tC'o ACex /yi041'ge Z 3 2 81- `ltX 3 f JeX
Date
220 COS-0 z /car%na L SQI)rol-D 3.2?71
Street (Job Location) City Zip Email Address
We hereby, propose: To furnish, install and service under warranty (stated below) products and service or related
equipment for your home or business in accordance with the conditions and specifications set forth in this proposal.
I
1$( Tonnage Z SEER /S KW a PKG
A A/C H/P ndenser al(,, qn
AAir Handlerr
Flood Switch Aux. Closet Pan
Condensate Pump / Drainline New Flush*
Copper Lines New Flush / Pressure Test*
U.V. Protected Armor Flex Lineset Cover
XSupplyDuct MOO It recon A
Return Duct
r
Zoning PFCA2t'f " S TA-TfC 1 ,G
i(1 Zones
13
Drywall / Door Repair
Platform ILI"PlyL 0 /Insulate Yes No
UV Light Kit
Air Filter Type & Size / /
X Antimicrobial Spray n O to / /OL6
Duct Seal: Yes No
11
New Electrical to Condenser Disconnect
New Electrical to,AAHLI Disconnect
A/C Pad & Size / VQ w w/AnCib I- IC;- --
Thermostat Reuse Programmable Touch screen Dehum Wifi
0*11
NOTES YAA? Pof e I'e,-J e-
0 All work done in accordance with existing codes with permitting
91 Removal of existing equipment from the premises
Pd All work to be performed in a neat and professional manner by a
trained technician. Sweeping, dusting and vacuuming will be
accomplished and all debris removed from the premises.
Customer is responsible for registering equipment with
manufacturer with in 60 days to receive warranties listed below.
Minimum of one preventative maintenance per calendar year performed
by a licensed contractor is required to maintain warranty listed below
No Maintenance is included in this contract unless it is listed on this contract.)
All warranties are limited to the original purchaser unless authorized
by manufacturer
Warranty on Parts /Q Years. Condenser & air handler only
Warranty on Labor 2 Years. Condenser & air handler only
AWarranty on Compressor /0
Warranty on Zoning Components
Warranty on Ductwork
i 7S .2SrAl)-q tes
ptall`Price (tax included) $S', 12 a
OA& lWe, dollars
Signature (company) -'—'2/
mac b/2/G
Signature (customer)
Date: - 6 '/%Prtosalvalid until: It Options:
Requested
Install Date ` ) Cl— to am Finance
paperwork must be signed before the start of work. Certified
Climate Control always recommends replacement of copper lines and drain lines when possible. Certified
Climate Control provides no warranty expressed or implied on preexisting copper or drain lines. BUYERS
RIGHT TO CANCEL: You, the buyer, may cancel this transaction without penalty anytime prior to midnight of the third business day after the date
of this transaction. See reverse side for terms and conditions. I
have read and understand the above statement
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
HILL, DAVID BERNARD
CERTIFIED CLIMATE CONTROL, LLC
3053 LAGOON AVENUE
DELTONA FL 32738
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque
restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order
to serve you better. For information about our services, please
log onto www.myfloridalir-ense.com. There you can find more
information about our divisions and the regulations that impact
you, subscribe to department newsletters and learn more about
the Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate
Fairly. We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida,
and congratulations on your new license!
R CK,SC.QTT, .GOVERNOR .
850) 487-1395
STATE OF FLORIDA
DEPART MFN t -F Bl1S1NESS AND
PROFEC}IALR'E IJLATION
CAG181.6634 ISS1 E r06/.2712Q16
CERTIFIED A!R C t i?1D GOI TR :
HiLl DAVtD't3E .
GERTIFIEC CL CO a CAL LC
H .
Y
IsvltE _T156eO wn-clex the pr_oxis11
ions
of Ch 4-88 F.S. .. EKpiraggn.
dato,='AU.G37„2W9._ _. LlSM27GbOW?3'- -- DETACH
HERE KEN
LAWSON, SECRETARY STATE
OF FLORIDA o
A
is.
qt IFn• n907/2016 nISPi.-AY AS REQUIRED BY LAW SEQ # L1606270000373
This- combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
i ' ' ' i
I , , a
AHRI Certified Reference Number: 6951190 Date: 1.1/1/2016
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 215BNA042****A
Indoor Unit Model Number: FX4DN(B,F)043L
Manufacturer: BRYANT HEATING AND COOLING SYSTEMS
Trade/Brand name: BRYANT HEATING AND COOLING SYSTEMS
Series name: 15 SEER LEGACY LINE PURON HP
Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLINGSYSTEMS
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -SourceHeatPump,Equipment and subject to ;Verification of rating accuracy by AHRI-sponsored, independent, thirdpartytesting
fed, s *x e'r^Kn.:"-`n'(^"'.r
Om
s r
C
ra° v
ff!Cooling Cap,,pcity (Btuh): 41500 ' "`
to
EEFt Rating#{Cooling) ( w 12 50
x
RSEER'slRatfnga{Goofing)y
g3 ".. d ," jw kS t 1' . ":..P T , t tr7k*Ek Y t :^
i " " 1 J j *•
Heafing Capacity(Btuh) @47 F x '42000
t
I Region IV HSPF;Ratingp(leating) 8 50'''
Heating Capacity(Btuh) @ 17 F:. 26400
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 theunauthorizedalterationofdatalistedonthisCertificate. Certified ratings are valid only for models and configurations listed in thedirectoryatwww.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;
enteredentered 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" linkandentertheAHRICertifiedReferenceNumberandthedateonwhichthecertificatewasissued, «e make ilia btto r
which is listed above, and the Certificate No., which is listed at bottom right.
PC2014Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131224737936819828
PERMIT AUTHORIZATION
I, DAVID HILL hereby authorize ),, ', , 1, . , ,
License Holder) (Authorized Person)
i
To obtain a permit in my behalf under my license # CAC 1816634
4Tothe Building department for the
r(
Job described below:
PERMIT TYPE DESCRIPTION
RVAC Owner 'n Q K (, " i C Q M (arA rx-p-le
Site Address ? Z'Q CCxa:
Or
Tax Parcel #
License Holder Signature)
Date
State of Florida
County Of Yj,. ') S o
A fqmed and subscribed before me on this k day of
2U_U,1 by DAVID HILL who is personally known to me.
JODY L MCLEER
MY COMMISSION IVFF039242
EXPIRES July 24. 2017
11 1.0 —41 Ft—itiaNmArvsprvice.com
PrTfT I ype or Sta—m—p-N—ame of Notary
ley ul oaniora
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO._ 110 9
ISSUE DATE:
CONTRACTOR: ,
JOB ADDRESS: dQa® Cootm
1 TYPE
OF WORK: JWL V (L p i i+ A o---.,
E,
INUIICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. 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 YOURLENDERORANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. 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 OFTHISCOUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES OR FEDERALAGENCIESD
THE .3.
3 nSED:
OCTOBER2014 lnJPcction
Iinc: 8SS51121I2
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof '
Hurricane Mitigation Inspection Affidavit
Permit #: /6— "296/
I, i,l - t hereby acknowledge that I personally inspected
ACRoofdecknailingand/or 'Secondary water barrier work
at and have determined that the work
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 F.S.
i ature of Contractor
Printed Nam of Contractor
Dat
C6(f 05-T, 6/
License #
License Type: General Building Residential E?RCoofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sworn to (or affirmed) and subscribed before me 's _ day of yU&- , 20 l6 , by
who is ersonally Known to me or has Produced (type of
identification) as identification.
SEAL)
Signature of Notary Public
State of Florida
I-Kerlv1146110-11-e
Print/Type/Stamp Name
of Notary Public
KERRY MCINTYRE
E My COMMISSION A FF212303
EXPIRES March 22. 2019
3