HomeMy WebLinkAbout109 Venetian Bay CrCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
IR Application No: / to -, 0 -
Documented Construction Value: S 7 OJ
1)
Job Address: OR UQ_n ek a_. 18 94 C -r:_ Historic District: Yes ❑ No ❑
ParcelID: �Z�,l- QGCIb-- t��i'l7 Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair lJ Demo Change of Use ❑ Move ❑
Description of Work: f
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name tqv l Phone: W07- %-
Street: Resident of property? : t3
City, State Zip: 20 77/
Contractor Information
Name AJ Phone: 4,/c%�
Street: id iQ&zsr hyr, Fax: 402 — 09S% - LD C/&&
City, State Zip: VNO" ic t30 -M-03 State License No.: � 1�s13Sas
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: 1,)J14 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 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. 1 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'" 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.
Si ature of Owner gent Q ,, Date
my -
b k M M
nnAgent's Name
J��M�,r .N •. ,,r I DEOt{" A 5Jvin"00vn
k1blic • state 01 Florid$
• = C0,siun * FF 974552
f.
My -)III, F .ow s Mar 23.202
� re_
��S�L(I
Signature of Contractor/Agent Date
Eiy)AR,b e.
Print Contractor/Agent's Name
Signature of N iaa to
tBBy BJORNSSON
`•� ty Public •Stale of Florida
# FF 974552
' • Commission
&u My My Comm. Etphes Mar 23.2020
�eTAgent is V Personally Known to Me or gent=s -6'- 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
Fire Sprinkler Permit: Yes❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised. June 30, 2015 Permit Application
rg
E.C.
Air Conditioning & Heat
Waters Air Conditioning & Heating
4333 Silver Star Rd #165. Orlando, FL 32808
P:407-294-6464 F:407-294-6466
infAecwaters.com�O
C
AC1813508
i
i c ,ani / L�'aC Cv r�4rl
Aontrois and Electrical
.ir•r.,
w control wire to thermostat —Wire equipment from existing _ amp panel with copper wiring and
New Control wire to condenser _ HCAR rated breakers _ Indoor _ amp _ Outdoor _ amp 0
use existing wiring _Ngw 220 Circuit For AH/Coad /�/t -�� Z
In P new breakers as needed/ ��urncane Anchors v "�'`�" Le�' � rzD
ew Disconnect O Yes No Meuse existing disconnect
New Condenser electric Whip Y✓✓✓Air Handier in al;l e
<-.iAC =(t -ye -
Air Distribution
Reconnect Supply plenum _ Reconnect return plenum —fi�e existing duct system will eused replaced_
//New insulated platform with 314 plywood top —New supply diffuser(s) _Ceiling —Side-wall —Floor
�LZL existing platform with 3/4 plywood return air grille(s) Ceiling _ Side-wall Floor, f�
Re -insulate existing platform Sanitize Duct system JL�Falerbeck grilles Z I ✓ �r �E
_ • _Foll.tlexible duct systems. , . _ V Relocate Vrills I. .. _ , • ✓Tha eicistibg duct system wiV be inspected . .
_Rigid fiberglass main trunk duct system'with foil Ilexible branch end return ducts tr—Q�u ��T (J��/!�
Piping
Pressure test existing lines ��1�//
New Refrigerant line: Liquid gg/
�a6uclion If
_Connect to existing refrigerant lines
_Connect to existing drain 8 add in-line safety T -switch
No Implied Warranty on the reuse of existing refrig. d drain lines
—=-New drain hook-up with clean��in-0ne
safety -T -switch
Supplementary drain pan with fail-safe condensate float switch
/Miscellaneous
—j—Wval of the existing equipment fr emises ZAII work done in accordance with existing codes and
—Precast concrete condenser pad ew O Reused teduired permits. �(4 �C�
fy✓
e-,. galvanized steel weatherproofing piping cover _ ft. _Standard Manufacturer's Warranty
�� ,/ORr �Ty
Vm*k b be performed in a neat and professional manner by journeymen class technician. Clean up will be r /�
.• a=nflpl shed at fire oon fusion of each day's work, and all debris removed from the premises. %�t�eAYS l•00iI'
NOTE: El P r I 'r al w- - Cb A breakers, condensate pump, float switch, etc. have a One -Year Part and Labor Warranty
Please read then sign the required disclaimer below.
All material and work shall be as specified in this contract. Any alterations, or deviations from the above specifications for
materials or requiring any additional or different work or labor will be performed only upon written order signed by the customer
and contractor and will become an extra charge item over and above that set forth in this Agreement. Verbal agreements with
our workman or subcontractors will not be recognized. Seller/Contractor shall not be responsible for incidental losses or
damages resulting to Buyers property as a result of obtaining access or connecting this installation provided in this Agreement
and shall not be liable for any consequential damaged to the Buyer.
The above prices, specifications and conditions are hereby accepted and the Seller/Contractor is authorized to do the work as
specified. Payment will be made by Buyer as specified in this contract and any related financing contract as well as executed
written orders. Buyer agrees to permit Seller/Contractor access required to perform the work and agrees to take no action that
would interfere with or prevent Seller/Contractor from completing the contract. Buyer agrees that if Buyer breaches this contract
and Seller/Contractor is required to obtain the services of an attorney for collection to enforce this contract, Buyer shall pay
Seller/Contractor reasonable attorney's fees and costs, whether or not suit is filed in connection with any appeal. Venue in any
lawsuit shall be Orange County, Florida
CONSTRUCTION INDUSTRIES RECOVERY FUND
Payment may be available from the construction industries recovery fund if you lose money on a project performed under
contract, where the loss results from specified violations of Florida law by a state -licensed contractor. For information about
the recovery fund and filling a claim, contact the Florida Construction Industry Licensing Board at the following address:
Construction Industry and Licensing Board
1940 North Monroe Street, Tallahassee, FL 32399-1039
Signature:14/ Signature:
stomer Date E.C. Wakers, Inc.
Signature:
Customer Date
N
THIS INSTRUMENT PREPARED BY:
Name: Debby Bjornsson/EC Waters, Inc
Address: 4333 Silver Star Rd #165
_Orlando. FL 32808
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
MARYAMME HORSEY SEMINOLE COUNTY
ERK_ OF _ , CIR�JI� NUF t, COMPTROLLER
Ph
p''• O°IIF �y � ►I d ��
RECORDING FEES tgrj.00
RECORDED EY hdnvorn
Parcel ID Number: 23-19-30-502-0000-0690
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:
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
Lot 69
Venetian Bay
"I
PB 63 PGS 84-88 COPY- MARANNF Mn&&F
CLERK OF T UI
TAND
GENERAL DESCRIPTION OF IMPROVEMENT:
COMPTROI ER
y.?
Replace existing heat pump system
SEMINOLEC
OWNER INFORMATION:
Or
DEPUTY CLERK
Name: Harold Broman
1 52016 2016
Address: 109 Venetian Bay Circle, Sanford, FL 32771
1Y
Fee Simple Title Holder (if other than owner) Name: N/A
Address:
CONTRACTOR:
Name: EC Waters, Inc
Address: 1405 N Forest Ave, Orlando, FL 32803
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name: N/A
Address:
In addition to himself, Owner Designates N/A of
To receive a copy of the Lienors Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date Is 1 year from date of recording unless a
different date Is specified) 11/15/2017
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 penaltie of erjury, I declare that I have read the foregoing and that the facts stated in it are true
to the b now dge aDd belief.
'.Y4 YE Harold Broman
rl s k-ignature Owner's Printed Name
Florida Statute 713.13(1)(9): ' The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead'
State of County of(')ronciip
The foregoing instrument was acknowledged before the this day of 1y� 20 i
by iif+P—P,-1 Who is personally known to me ❑
Name of person making statem,e'
,—/�� O
OR who has produced identification LV type of identification produced: (� -
,•;•►" "�s';,,, DEBBY A BJORNSSON
Notary Public -State of Florida ` 1
• . 's
�o. Comfriibsion t/ FF 974552 lary sign
%;f,,, r.�' My Comm. Expires Mar 23.2020
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: .-,tom r—> a -TM,
an agent of:
(Name of Company)
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):
The specifiNermitpnd application fork lo
ted at:
- --- a-,
Expiration Date for This Limited Power of Attorney: �f 1(0
License Holder Name:
State License Number;
Signature of License Holder:Lex- X ZZZA/
STATE OF FLORIDA
COUNTY OF,2,
.T
The foregoing instrument was acknowledged before me this / J day of ,
204 ,o by Q1 fit%it-7/ZC who isrsonally known
to me or o who has produced
identification and who did (did not) take an oath.
(Notary Seal)
DEBBY A BJOMSSON
Notary PuMic - State of Florida
Commission 0 FF 974552
My Comm. Expires Mar 23, 2020
(Rev. 08.12)
Notary Public - State of
Commission No.
My Commission Expires: &
as