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Home My WebLink About112 Anderson AveCITY OF SANFORD 4 z- BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: c� Documented Construction Value: $ ,07tTo Job Address: &g z&'0e/160'k1 Ave Historic District: Yes ❑ No W Parcel IDS/ f 9 ; V, Me— • /04f® Residential EFCommercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: &yAo, alwx/6 e oa,4 ; 'S� �D•c! �eC��' ,000dX ,O Plan Review Contact Persona Y4dMdzzUL&z P ",a- 6Tit1e:4P/1/X d-- oR ,Q Phone: y0 / ��i,&59 Fax: 4/0 18!59 250Email,�/Td��IJL�Aef/�OJ/LO�t/D%l�Z •VFi� Property Owner Information Na Ra(/ Phone: Street:✓e Resident of property? zles City, State Zip• LLOSZD e%7/ Contractor Information ,` // ,� Nam i z x - e ,(/J' Phone: YU7��►J 7 Stree Fax: 9/ 9 S'by p City, State Zip: �F�p tx �a %�o-� State License No.: (20.0- ' 19d3y- Name: Street: City, St, Zip: Bonding Company: Address: ArchitectlEngineer 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: 5°i Edition (2014) Florida Building Code Revised: June 30, 201 S 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. Aeceptance 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/Agrnt Date Print Owner/Agent's Name ///�Ar., Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of 1D Contractor/Agent Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑ 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 ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application or c� `� • �'�, � li I R HEA � w FLLr— A MAIN OFFICE: American Air & Heat. Inc 502 S. Econ Circle, Oviedo, FL 32765 407359.9501 • Fax 4073599504 1.80OA21.COOL(2665) AoneresaooAir6laedHcatteemm INSTALLATION AGREEMENT DATE / - —11C CUSTOMER NAME ""'- JOBLOCATION - CnY ✓i ST- a—ZIP_.SZ-77/ HOME PHOHE - CELL EMAIL ,w SILLTO CRY ST .ZIP SEER SIZE SYSTEM 2 SEER SIZE O NEW INDOOR DISCONNECT O NEW OUTDOOR DISCONNECT O NEWWIREWHIPS PAW LOW VOLTAGEWIRING ' �IEWHURRICANESTRAPS 9IEW MMWORCED EQUIPMENT PAD PREW CONDENSATE DRAIN UNE EW(Ew REFRIGERANT LINESET � /9LIL"E REFRIGERANTSUCnON LINES 04TALLREFRIGERANTDRIER(S) - M6ACUATE REFRIGERANTSYSTEM 0 R -n FLUSH IQr O COMFORTCONCERNS 0 DUCTCALCULATION(MANUALD) O REPLACE SUPPLYPLENUM 0_ REPLACE RETURN PLENUM kd4wm4m SUPPwRETuRN jg-LME PLATFORM EPMCATFORM TOP O NEWSUPPLYDUCTCS) 0 HEW RElU1tH DUCTS) 0 SEALDUCTSYSTEM 0 REPLACEDUCTSYSTEM gVQSnC AHD SEAL ALL PLENUMS &WMH CONDENSATE DRAIN LINES 0 AUX DRAIN PAN W/ SAFETYSWI7 CH ®rI�E1N CONDENSATE O/F SAFETY SW RCH �1/CONDENSATE PUMP W/ SAFETYSW RICH O M/C 0 VISA (3DISC O AMEX 0 CASH 0 FINANCING POWERCO.# ADmotwWi5gmwsn%edm6eas,, M 'RJAOworktobosmmpbtedIna wbbnar" menwemerdrstosbrn1. practices.practices.iry Aehuman or dov aunt from above tpeaRcodens orvalrins b mob auba . be ama,bd a* upon written anis and w,T bocornm on a, ba dm p over and above the esdmMo AO agaements oar &vm* upon atri am eoddares, delays beyond aur mrnrol an Acs of God Owner m Carry Fera, tomodo, sod admr neoeasery, kauranme Our war" we frdy covered lays Nbrbrmn. eorrporstian kmuon c*. Owror hereby wave hie kwu wax mmponyL rWa of srdno�u and waiver mntirares otter osrnpbtiarn d mnmoct NOTE k b aVead and unuderstaod by the pantie that ell e*dpmmnt and ports which one sold pum ma lw o shoo MM6&=.w fotaoes or part of dm red c whero they aro p6md Said partsand equipment dA 0 e0 time remain pe Bond praparty of Amerimn Air & Heat. Inc. ung pa,nssnt In fA b ramive& Buyer haneby agrae that sD parts and equornern may be repossessed in the even of nonr pay wa Sidw we sand based on Moraw J heat bed nal- bdor, The mnddbm for d* miadadw ao 95 degaas outdoor and 75 degeo in I bmparatwn as per eup 0nonrt design it 6Rosaons American Air & Neat aampts no rrpmngAlty for antoness am g2th to opocab systema out" dwse deign own&danrs. 'fhb pnepmd b void for 3O days udon odwrwbe epedRad O HEATIAADCALCU ATION04ANUALJ) O INSULAMONDISPecROH O MW4OTHER 049mMOSTAT O HIGHEFFICIENCYFIL7ER O NEW UVAIR PURIFIER wEETALLCODE REQUIREMENTS OVALOFOLD EQUIPMENT WORKAREATOCUSTOMERSATISFACTION. ARTUPSYSTEM / YEAR LABOR WARR/UrTY YEAR WARRAWffONALLRINCROIW LPAKM kYEAR WARRAN iYON GDMPRE'SSOR CE OF MIND GUARANTEES COMFORTSYSTEM INVESTMENT -tmLRYREBATES - MANUFACTURER REBAATE - SERVICE INVOICEAMOUNT -AMERICANAIRTk PROMOTION MONTHLYINVESTMENT _ MOS. NETINVESTMENTPRICE HOMEOWNERAU HORIZATION AMERICANAIRBtNEATAUTHORQATION 6 j"10- Al. IA -FE% DATE HEAT GAIN Name Thomton Address city, Z' CALL INST : COOLING LOAD HEAT LOSS 95 DEGREE DAY NUIPID,OWS AREA BTU GAIN HEAT GAIN NORTH SINGLE 45 25 1125 NORTH DOUBLE 0 20 0 EASTMEST SINGLE 65 55 3575 EAST/WEST DOUBLE 0 50 0 SOUTH SINGLE 27 30 810 SOUTH DOUBLE 0 25 0 42 15 630 WAKME iN NO INSULATION 0 11 0 R-3 1" 1456 4.5 6552 CEILIN�,S:gR NO INSULATION 0 11 0 R-11 3" 0 4.1 0 R-19 6" 1501 2 3002 R-25 9" 0 1.2 0 FLOO,Rgv NO INSULATION 0 3 0 CARPET 0 2 0 R-11 0 1 0 SLAB ON GRADE 1501 0 0 WFI0TRATR5 HOME SQ. FEET 1501 3.5 5253.5 INTERN4-Md►1NSF'n,. NUMBER OF OCCUPANTS 3 530 1590 KITCHEN/BATH ALLOWANCE 1 1250 1250 00-- 2 3787.5 DUCT MULTI001 R'W � 1.13 Tonnage T,O�TA11`a" • :K,;.:T � ! -.ems � � •r 26879.875 2.2 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of NrOductKafinas AHRI Certified Reference Number: 7044090 Date: 11/29/2016 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 14HPX430-230.19 Indoor Unit Model Number: CBX25UHV-030-230' Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: MERIT Series name: 14HPX SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 28600 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh) @ 47 F: 25600 Region IV HSPF Rating (Heating): 8.50 Heating Capacity(Btuh) @ 17 F: 16400 FootNote 11 - The AHRI 210/240 certified EER ratings are calculated under the same methodology as the EER ratings at T1 conditions of ISO 5151:2010 and ISO 13253:2011. ' Ratings tollowed by an asletlsk (') tr is ste a voluntary rerale 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 an liability for damages of arry kind arising out of the use or performance of the product(s), or the unauthorized alteration of date listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.shridirectory.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 par. be reproduced; copied; disseminated: entered Into a computer database; or otherwise utilized. In any forth or manner or by any means, except for the user's Individual, MM personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION A REFRIGERATWN INSTITUTE The information for the model cited on this certificate can be verified at www.uhridireetory.org, click on 'Verity Certlticate' 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. 02014 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 131249168363718113 LEV MD POWER OF ATTORNEY D a te /��i19hee I hereby name and appoint An agent of American Air and Heal To be my lawful attomey in -fact to act for me to apply for, receipt for, and sign for and do all things necessary to this appointment for: (AAdress of Job) Expiration date for this limited power of attomey: AQ /10 / 1te (g ) Jerry Bent CMCU4M8 (Printed Name of Coiottador and License Ntmtber) and scnbed beforo me sb%day of/v01% c?O /Co by �iL?f"wbo is petsonak Mown to me or wbo bas produced (identification) P (Notary seal) Wotary Pnbiic Commission eexpir BARBARA L MCGIL A W COMMISSION a FF 939109 (PrW of Typ Nme) s EXPIRES: December 19,2D19 aoneae LNu ►+omn vuhbc U�m�a4us PERMIT NO. %3/ 14 ISSUE DA' CONTRACTOR: J4/Me-**__ I • CGQ..'2 C4;** JOB ADDRESS: TYPE OF WORK: so City of Sanford Building & Fire Prevention Division Residential Permit Card • Post this permit in a conspicuous location outside Approved plans must be posted with pentut 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 INSPECTION TTPF BUILDING APPROVED RFJFCTFD IKSPFCrOR INSPECTION TTPF, ELECTRICAL APPROVF,D RFJF.CTFD INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEMWALL FOOTER/SLAB STEEL BOND FORMBOARD SURVEY T.0 G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF INSPFC77ON TYPE MECHANICAL APPROVED REJECTED INSPECTOR SHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALUSHEETROCK INSPFC77ON 7TPE PLUMBING APPROVED RFJECTF.D INSPECTOR LATH INSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR INSPECTION TYPE GAS INSPECTIONS APPROVED WF.CTFD INSPF.C70R 1NSPEC770N TYPF, ROOF APPROVED RFJF.CTF.D INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL INSPEC770N TYPE APPROVED MISCELLANEOUS / FINAL INSPECTIONS RF-IF.CTFD INSPECTOR INSPFC770N TTPF. APPROVED RFJF.CTF.D 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 MAYBE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAYBE FOUND M 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 Lint: 85SS41.2112 TO SCHEDULE AN INSPECTION: • Dial 855.541.2112 • 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 328 314 ROOF ROOF DRY -IN 116 11 GAS FINAL 315 FINAL ROOF 111 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 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 16-00003194 Date 11/29/16 Property Address . . . . . . 112 ANDERSON AVE Parcel Number . . . . . . . . 35.19.30.522-OF00-0010 Application description . . . MECHANICAL PERMIT Subdivision Name . . . . . . WASHINGTON OAKS SECTION 2 Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL Additional desc . . Phone Access Code 963850 Permit pin number 963850 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 410 MH02 MECHANICAL FINAL / / CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: /6' 319i" Documented Construction Value: $ $150.00 Job Address: 112 ANDERSON AVE SANFORD, FL 32771-3933 Historic District: Yes ❑ No Parcel ID: 31-19-31-525-0600-0080 Residential X❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration 9 Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Install an outlet for a condensate pump Plan Review Contact Person: Robby Dollard Title: Owner Phone: 407-366-7498 Fax: Email: info@dollardelectric.com Name James Thornton Street: 112 Anderson Ave City, State Zip: Sanford, FL 32771 Property Owner Information Phone: Resident of property? : Contractor Information Name Dollard Electric Phone: 407-366-7498 Street: 2714 Veritas Drive Fax: 321-244-0238 Yes City, State Zip: Oviedo, FL 32765 State License No. • EC13005224 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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 T1iE 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. T 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, beaters, tanks, and air conditioners, etc. FISC 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 Pemba Application ti <5Y� 4i` CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: /6' 319i" Documented Construction Value: $ $150.00 Job Address: 112 ANDERSON AVE SANFORD, FL 32771-3933 Historic District: Yes ❑ No Parcel ID: 31-19-31-525-0600-0080 Residential X❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration 9 Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Install an outlet for a condensate pump Plan Review Contact Person: Robby Dollard Title: Owner Phone: 407-366-7498 Fax: Email: info@dollardelectric.com Name James Thornton Street: 112 Anderson Ave City, State Zip: Sanford, FL 32771 Property Owner Information Phone: Resident of property? : Contractor Information Name Dollard Electric Phone: 407-366-7498 Street: 2714 Veritas Drive Fax: 321-244-0238 Yes City, State Zip: Oviedo, FL 32765 State License No. • EC13005224 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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 T1iE 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. T 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, beaters, tanks, and air conditioners, etc. FISC 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 Pemba 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 Dote Print Owncv/Agent's Name Signature ol'Notary-Stute of Floridu Date Owner/Agent is Personally Known to Me or Produced ID Type of ID X4*4 kh4 -g Signature of Contractor/Agent Date Ru6&,t L_ ba Print Contractor/Agent'ss Name V Signat of Notary.State of Florida u Notary Public Stns of Florida ief. Jacob miss rtar Mr Commission FI 048711 or w Expires 08R8R017 Contractor/Agent isPersonally Known to Me or Produced 1D Type of 1D 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: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Ycs ❑ No ❑ APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: WASTE WATER: BUILDING: American- MR, , Fj W -': Mm - M0 , WW" FLUcaC"C JOB MAIN OFFICE: INSTALLATION AGREEMENT American Air 4t Heat, Inc 502 S. Econ Circle, Oviedo. FL 32765 %f DATE 407.359.9501 • Fax 407359.9504 1.800.421,COOL(2665) ArnerocanA irAndF oat com ..'r CITY g e ST-ElZIP I HOME PHONE CELL EMAIL BILLTO CITY ST ZIP SEER STZE0� SYSTE42 SEER SIZE O NEW INDOOR DISCONNECT O REPLACE SUPPLYPLEHUM O HEATLOADCALCULATiON(MANUALJ) D NEW OUTDOOR DISCONNECT REPLACE RETURN PLENUM D 04SULATKMD SPECMH O HEW WIRE WHIPS —O WRECONNECT SUPPLY/RETURN O MISCIOTHER PEW LOW VOLTAGE WIRING ttl/ -umr. PLATFORM @4VERMOSTAT WEEW HURRICANE STRAPS PCATFORMTOP O HIGH EFFICIENCYFILTER 0<EWRONFORCEDEQUIPMENTPAD O NEWSUPPLYDUCT(S) ON///EWUVAIRPURIFIER PREWCONDENSATEDRAINLINE O NEW RETURNDUCTS M413TALLCODEREQUIREMENTS 't EWREFRIGERANTLINESET 0SEA, DUCTSYSEM ��_ OVALOFOLDEQUIPMENT OREPIACEDURSYSTEMA WORKAREATOCUSOMERSATISFACTON RIERNNS SLLENUCTO 9#4ASTICANDSEALALL PLENUMSUPSYS7EM 116ACUATEREFRICiERAKTSYSTEM &FCUSHCONDENSATEDRAINUNES YEARLABORWARRANTY OR -TI FLUSH KIT DAUX DRAIN PAN W/SAFETY SWITCH YEARWARRAKYONALLFUNClONALPARTS COMFORTCONCERNS ®f.CDENATEO/FSFTYSIiC WARRANYON COMPRESSORO 41=MINDGUARANTEES D DUCTCALCULATION(MNUALD) &"NDENATEPUMPW/SAFETYSWTI01 D M/C O VISA O DISC O AMEX O CASH GAA-*ECK ff O FINANCING (SAC/M0) OTHER ADDITIONALINFO 1 1 4 L1 `7 /, POWER CO. # v CREDITAMOUNT Anw.uu" ov dmbemspeciRed.ABw Atobecwwle edinawor6rwr&6memueroccwct%toatar4wpisetias Any dmratim a de+meien from above speeifiatlaus 4woh ig in esus costs will be esoeatsd only upon wwittsu orders and will I — an cam Arp over and above dr astimata AB ogreomrus cenirwnt upon otrrinea aoddsn tz, debys beyond ae mmol or Acts of God. Owner to awry firs. tonuede, and other rrecummy insuronco, Our ww6 ars fully covered by Worimnn's Carpenseion worenaa Owner hereby wolves his insurance annporuy i right of subs orpion and waive, eomi too efts► ow w6don of controcL NOTE: It is agreed and understood by On partes dot all equornent and ports wWd, are sold pursreat hoe shill NOT become fiaturss or part of the mol eatsto where they we pbcea Said pw and equipment droll a oll dines nnnei, personal property of American Air 8 Heat, bre. ureal poymanut In full is received Buyer hereby even that ds pores and equipment may be repossessed in the wan of for pay w System we sized based on Manual i heel toed almladorm The eau htiw for this calculation am 9S degrem outdoor and 7S levees indoor tar peretrvn as per equpment desivu spedRcsions. Amerimn Air & Hoot emepa no #a pwIN* for custamrs attenpirl to op"ote syat@ outside those desip coniWonn This proposal Is wild for 30 days unless othawin wedged COMFORTSYSTEM INVESTMENT - UTILITY REBATES - MANUFACTURER REBATE - SERVICE INVOICEAMOUNT -AMERICANAIR H TPROMOTION .0-te.0-teeq^ MONTHLYINVESTMENT _ MOS. NETINVESTMENTPRICE HOMEOWNERAUTHORIZATION r AMERICAN AIR AHEATAUTHORIZATION 4?�fJ /%; � //�/1 ' Z4,- S C• % y DATE r 6