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HomeMy WebLinkAbout393 Fairfield Ave=BY: I CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I a - (_P (41, 4 Documented Construction Value: S -�7 O Job Address: 375 FAIR F;C%d 0e, Historic District: Yes ❑ No Parcel ID: �2 - I �1 3) _ �� - D o0 6 " b Zsb Zoning: Description of Work: 21kc - a — STblefn 3 Tarn ott-V,6ar C c1�.v+a�clS Plan Review Contact Person: %A,l 6 -7 Title: FF.C.1, vL 644 w AIC - Phone: Fax: t{,� - Z7� ' 1� t E-mail: G i►,rc �� Oo��, Gfi� �.• •C6Y►o Property Owner Information Name �_'W tIS- �oSe war c -s c� Phone: 440 Street: 3�(� �A'�� �i�.�� AvQ. Resident of property? : Ve City, State Zip: br 1ay% �,0 1-L Contractor Information Name CGu, %,"(!0 Phone: 4•0l- (05"1 '3Zo3J Street: 'Mi fSk ,4f Fax: (4%") - 2'l� 13 r1► City, State Zip: 0r k-ft'k yL. •31,825 State License No.: C M C.0 Architect/Engineer Information Name: Street: City, St, Zip: Phone: Qhs Fax: E-mail: Bonding Company: %i Mortgage Lender: �e IIS &Q fqo As�/�t� Address: Address: n7'- 6 3 V- 33(/ f' PERMIT INFORMATION Building Permit Square Footage: No. of Dwelling Units: Electrical 13 Construction Type: Flood Zone: New Sece — No. of AMPS: Mechanic (Duct layout required for new systems) ,48 .P IOS No. of Stories: Plumbing 17 New Construction - No. of Fixtures: Fire Sprinkler/Alarm D No. of heads: 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, beaters, tanks, and air conditioners, etc. 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Print Owner/Agent's Narne Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: e/ /-7/7/ Signature of Con r/Agent Date Print Contractor/Agent's Name MOB 11 BLANTON Notary Public - State of Florida My Comm. Expires Feb 25. 2015 Commission N EE 60182 Bonded Through National Notary Assn. Contractor/Agent is Personally Known to Me or Produced ID Type of ID Ll r2 -p -I oda � J I WASTE WATER: BUILDING: y1 v p -- - -- 0 BURGOS AIC CORP. HVAC Air Conditioning & Heating SERVICE ORDER Sales • Service • Installation 891 Islander Avenue 1V V O i C+E ORLANDO, FLORIDA 32825 INVOICE (407) 657-3636 FAX (407) 275-1397 -8594 UC.* CMC056752 / � p� BILLTO a l �U'( - ... _....._...__._ _.. ___ - THIS WORK IS BE i ❑ C.O.D. O CHARGE ❑ NO CHARGE ANS - -v-� Iy N---rn�-.��-,j/LY� /� U -- _ -A- I, . A AY i . I I MAK ' . ..,h.. i NAME J o Sq I P 1 I V �f• L ,ATE _r U�� rf4 (-:I M40561 SERIAL NUMBER STR ` l _ REPLACE[ BELT B ENVIRONMENTAL CHECKLIST CI7v /� ` f 1 PROMISED WORK PERFORMED OTY. TYPE/DISPOSITION ❑ RECOVERED RECOMMENDATION�AS� PHO 40 Z ^ IN Q , „ n 1141i � K _ /►(/� ; .. — CALL BEFORE O A.M. O P.M. O RECYCLED TECHNICIAN AUTHORIZED BY es $greed. $offer can remove said equipment/materials at Sellers expense. Any damage resulting from said removal shall not be the responsibility of Seller. ^ '^/ ) I / / / ' / ❑ RECLAIMED TRAVEL CHARGE ❑ RETURNED O REGULAR O WARRANTY WORK TO BE PERFORMED TAY r ❑ DISPOSAL ❑ DISMANTLED QTY. I MATERIALS & SERVICES I UNIT PRICE I AMOUNT REFRIGERANT R• LBS. I I - I .. ....... .... ..... . ..... ... .. FILTERS > It x FILTERS x % BELTS HRS. I 1 I I I I I I I I I I I I I I TOTAL MATERIALS I LABOR RATE AMOUNT WORK PERFORMED CONDENSING UNIT COND'SATE DRAINS LEVELED CLEANED IMIN DRAIN CLEANED I•.OIL REPAIRED nouu REPAIRED LEAK IN COIL ❑ CHANGED OUTfAEPLACEO TOTAL s CHECKED MOTOR PACD RUN Ert DESCRIPTION OF WORK PERFORMED CHANGED MOTOR ^ REPLACE[ BELT B ADJUS7E[ BELT REPLACED EXP. VALVE I REF - p �' I � . i5/_O_{l.O A _,o L_.. / Cyt V Ve I J .._....__ .... .. _._...._._.._... .~ �5 7 _ � �s'• I/ (.�'� J�Irry L _....—_.___...... ........ ............ ..... .... .... ... • .. ��!!�♦, 1 /1�����/ ♦ _//v_...___._—V`.-_,---._......_.._..♦_......_���.......R��/���•.�CC_._��_—•�_c��—•J/_��.__ W' , •1 �I U!�......f � - _ _..... ` C �y 14 �t APACrtoR PACD RUN Ert CADJ LEANED OR CONTACTOR REPAIRED RE WIRING REPLACED FUSE REPLACED OOMPRED EVAPORATOR COIL REPLACED EXP. VALVE ADJUSTED VALVE EREPLLACED CAP TUBE D BE REPAIRED COR LEAK REPAIRED COPPER CONN RECOMMENDATION�AS� CLEANED COIL Z ^ IN Q , „ n 1141i � K _ /►(/� ; .. — LEVELED COIL ELECT.HTR. LABOR REPLACED LINK REPLACED KUX. I I -..- _... ...... _. .__ ..... �..._..._ _•-_.. _....._.. .». _...._"_ _.___ ...._..I'.__... ...... ...— _I _._ .-. ._ ... _ ..._ _ ._... .____..._ REPAIREDWIRE / d /krP REP EDCONT _ ... _.._...__.._........._._........... _..... _ .........__.... I.._.._... _..._.... _ I... _ ....._.... _ _ .... _._........ ........... FURN. OR FAN COIL REPLACED BELT ADJUSTED BELT OILED MOTOR OILED BEARINGS CLEANED HEAT EXCH. REPAIRED VALVE CLEANED BURNERS DUCT REPAIRED ADJUSTED THERMOSTAT REPLACED ADJUSTED CLG TOWER CLEANED PUMP(S) wNTINU DONOMERSIo TOTAL LABOR I LIMITE WARRANTY: All materials, parts and equipment are warranted by the manufacturers' suppliers' written warranty only. All labor performed by the above named FILTERS ❑ cLEANrD O REPLACED TOTAL SUMMARY TERMS ,6� � TOTAL 1 company is warranted for 30 days or as MATERIALS I TOTAL otherwise indicated in writing. The above named company makes no other warranties, express or implied, and its agents or technicians are not authorized to make any such warranties LABOR 1 have Butlloiy to order the work outlined above which has been satisfactorily completed. I agree that Seer retains true to equlpmem/materlals furnished until find payment is made tt payment rs not made I� es $greed. $offer can remove said equipment/materials at Sellers expense. Any damage resulting from said removal shall not be the responsibility of Seller. ^ '^/ ) I / / / ' / on behalf of above named company TRAVEL CHARGE I I O REGULAR O WARRANTY r� cc --r_ —IT — 1. TAY r 12--('`fI GILBERTO PEREZ, PE 8519 Cypress Hollow Court — Sanford, FL 32771 Tel. 407-330-9092 E-mail: gilperez@cfl.rr.com March 12, 2012 Seminole County Building Dept. 1101 East First Street Sanford FL, 32771-1468 Re: 393 Fairfield Dr - Sanford, FL — Air Conditioners system efficiency. Dear Sirs; This letter is to comply with the certification requirement of the FBC 2007 — Ch 13 Article 13-607.B.3.I.I. After a site visit, based upon my inspection, operating characteristics of the system components and within a reasonable degree of engineering certainty, I hereby certify that the systems installed in this location are in compliance with the minimum efficiency requirement of the FBC — Ch 13 Article 13-607.AB.3.1.2 and Table 13-607.AB.3.1.2A — ELECTRICALLY OPERATED UNITARY AIR CONDITIONERS AND CONDENSING UNITS — MINIMUM EFFICIENCY REQUIREMENTS. Please, contact me if need more information. FL License # 51674 MAR - 9 2012 GILBERTO PEREZ, PE L13y - ---= 8519 Cypress Hollow Court — Sanford, FL 32771 Tel. 407-330-9092 E-mail: gilperez@cfl.rr.com March 12, 2012 Seminole County' Building Dept. 1101 East First Street Sanford FL, 32771-1468 Re: 393 Fairfield Dr - Sanford, FL — Air Conditioners system efficiency. Dear Sirs; This letter is to comply with the certification requirement of the FBC 2007 — Ch 13 Article 13-607.B.3.I.I. After a site visit, based upon my inspection, operating characteristics of the system components and within a reasonable degree of engineering certainty, I hereby certify that the systems installed in this location are in compliance with the minimum efficiency requirement of the FBC — Ch 13 Article 13-607.AB.3.1.2 and Table 13-607.AB.3.1.2A — ELECTRICALLY OPERATED UNITARY AIR CONDITIONERS AND CONDENSING UNITS — MINIMUM EFFICIENCY REQUIREMENTS. Pleasc, contact m? is need more information. GILBERTO PEREZ, PE 8519 Cypress Hollow Court — Sanford, FL 32771 Tel. 407-330-9092 E-mail: gilperez@cfl.rr.com March 12, 2012 Seminole County Building Dept. 1101 East First Street Sanford FL, 32771-1468 Re: 393 Fairfield Dr - Sanford, FL — Air Conditioners system efficiency. Dear Sirs; This letter is to comply with the certification requirement of the FBC 2007 — Ch 13 Article 13-607.B.3.1.1. After a site visit, based upon my inspection, operating characteristics of the system components and within a reasonable degree of engineering certainty, I hereby certify that the systems installed in this location are in compliance with the minimum efficiency requirement of the FBC — Ch 13 Article 13-607.AB.3.1.2 and Table 13-607.AB.3.1.2A — ELECTRICALLY OPERATED UNITARY AIR CONDITIONERS AND CONDENSING UNITS — MINIMUM EFFICIENCY REQUIREMENTS. Please; contact,me if need more information. FL License # 516'14