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
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SERIAL NUMBER
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ENVIRONMENTAL CHECKLIST
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PROMISED
WORK PERFORMED
OTY. TYPE/DISPOSITION
❑ RECOVERED
RECOMMENDATION�AS�
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40
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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
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❑ DISPOSAL
❑ DISMANTLED
QTY. I MATERIALS & SERVICES I UNIT PRICE I AMOUNT
REFRIGERANT R• LBS. I
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FILTERS
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FILTERS x %
BELTS
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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
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ADJUS7E[
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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
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LEVELED COIL
ELECT.HTR.
LABOR
REPLACED LINK
REPLACED KUX.
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-..- _... ...... _. .__ ..... �..._..._ _•-_.. _....._.. .». _...._"_ _.___ ...._..I'.__... ...... ...— _I _._ .-. ._ ... _ ..._ _ ._... .____..._ REPAIREDWIRE
/ d /krP REP EDCONT
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...........
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
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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
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TAY
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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