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100 Maplewood DrApplication No: o — I Lp r) q RECEIVED CITY OF SANFORD JUN 0 7 2O10 BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ Job Address: 1 dQ A4 tpIR Parcel ID: 1.01 - 30- 5e IM- 0Cs00- vtJ 10 Description of Work: Plan Review Contact Person: Historic District: Yes ❑ No ❑ Zoning: Title: Phone: Fax: E-mail: Property Owner Information Name At> mrr C4'6fa HA.T.r Phone: Street: Ll Y� f�ap��..�opc� �o'Zr Resident of property? City, State Zip: -- n pD rcl , F-L' j�-- Contractor Information , L N Name t A L - Phone: `,• 3Z7- � Street: CA - " `1 Fax: qi - 5Z12- q City, State Zip:yQ�'�� �L -'J> 1� 1 State License No.: CSC a'JO'� Name: Street: Architect/Engineer Information Phone: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: PERMIT INFORMATION Building Permit Square Footage: /� - "Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical ❑ New Service — No. of AMPS: 10 Mechanical (Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ 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, heaters, 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, crept will be applied to your permit fees when the permit is released. 7 A Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: IWI�91 - 7--/0 Date IZOr--�- FJA&e�v-4 4* >� Print Contractor/Agent's Name Signature of No -State of Flo da Date !a: BRANDY KNOY , I" ,,,,, MY COMMISSI N 8D202949` EXPIRES (407) 998-0103 Contractor gen Al d a wn to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 FAG&�N�VER AIR CONDITIONING & HEATING, INC. 3805 St. John's Parkway • Sanford, Florida 32771 (407) 322-7455 • (407) 322-3255 Fax . Residential & Commercial RETAIL SALES AGREEMENT License #CAC050428 PREPARED FOR: �FilL1C / I M f 1 DATE: 6 - Z , 1O BILLING `' ADDRESS: /VD InAe .C(vpoD BILLING ADDRESS: CITY. s,,q g Fj,y_D STATE: FL_ ZIP: J z?� I CITY: STATE: ZIP: PHONE: lIO- Z1 - OD 2� % PHONE: FOR THE SUM SET FORTH WE AGREE TO FURNISH, INSTALLAND SERVICE THE FOLLOWING FACEMYER TOTAL COMFORT SYSTEM WITH JOURNEYMAN CLASS TECHNICIANS AS PER THE SPECIFICATIONS OUTLINED BELOW: Total Comfort System Zh,PC)"tEST / BETTER GOOD EQUIPMENT MANUFACTURER (LLr� nz„-r6t NLGN� �r1tS71 1�L-�,,, �rtm3rf L HEAT PUMP / STRAIGHT COOL 1+r fy f T pUrwtp �T v OUTDOOR UNIT MODEL# (ZPf2LL-031je,(- (LPQL-D3(,Ur--Z P GLi--c)31,.r;Z INDOOR UNIT MODEL# aNPLNm3G7r1,T 12)+rLAfA3t-17 4t-Lpm 36171 SEER / HSPF RATING % Iv . j - 9. '/ 15, J - /b 15 ,y _ • p HEAT STRIP MODEL/KW lokW 6A.,- /pt4W INSTALLED EQUIPMENT PRICE $ 7 SbZ. °v $-. _ _3i(v •�,, $ S", t351 DUCT SANITIZING ❑ 5" MEDIA ❑ CLEAN EFFECTS ❑ OTHER ULTRAVIOLETAIR PURIFIER INSTALLED IAQ PRICE $ $ $ SUBTOTAL $ $ $ LESS REBATE (IF APPLICABLE) $ 110 er` 5 °' $ /�Lp �° 3�J $ TOTAL INVESTMENT $ 5,9 7-2. e2 $ 5-N Z), eo- $ S Lf 7,-°° MONTHLY INVESTMENT $ $ Is AIR DELIVERY # of Supply # of Return Floor Ceiling ' Side SYSTEM ;dReconnect Supply X Reconnect Return ❑ New Supply ❑ New Return PIPING Liquid Line gSuctionLine P!(3/4" PVC Drain Line w/ Flush Out "T" ❑ Drain Pan w/ Float Switch ❑ Line Cover ❑ Condensate Pump ff In -Line Float Switch ELECTRICAL ❑ 200 AMP Service Upgrade Including Lightning Arrestor and Driven Ground ❑ Copper Wiring to Air Handler ❑ Copper Wiring to Condensing Unit includes Required Disconnects, Switches, Breakers and Conduit THERMOSTAT ❑ Digital Heat Pump Thermostat Digital Heat Pump Programmable Thermostat ❑ Digital Heat / Cool Thermostat ❑ Digital Heat / Cool Programmable Thermostate MISCELLANEOUS Platform Top Onsulate Platform XReinforced Slab EPA Recovery ENERGY SAVINGS ITEMS ❑ Hot Water Recovery w/o Water Lines ❑ w/ water Lines REMOVAL Remove Condensing Unit XRemove Air Handler ❑ Remove Package Unit PHaul Away WARRANTY �d / Yr Labor Ff ZOYr Parts Warranty /I/D Yr Compressor Warranty ❑ _ Yr Condensor Coil Limited Warranty_ O _ Yr Parts & _ Yr Labor Ext. Warranty ❑ Cooling'Warranty: On 93° Day, Inside Temp Will Be 75° - On 30' Day, Inside Temp Will Average 70° ❑ Lifetime Ductwork Warranty 1124 Hour Emergency Service ❑ _ Yr Limited Heat Exchanger Warranty STANDARD BENEFITS ❑ 1 Yr Peak Performance Maintenance Agreement ❑ _ Pleated Filters Notes 62VAu r-ti r--flti Tl4L; -r71-x &Wi: - Gi cI e—Lc N i T74 YovA- r ► AD vl -pt.5 Retail Sales Agreemegz-hl ective For Staff Consultant •7h-- 1Date .-2-/fl CustomerApproval . %.�� Customer Approval I @9-' have the authority to order the work outlined e• In the event payment is not made promptly in accordance w/ agreed terms it shall be the seller's option to charge a service charge no exceeding 2% per month. The first service charge becoming due 15 days from the date of the billing of our amount due on the job. In the event of collection by attorney, all attorney, court costs and other legal fees shall be bome by the buyer: In the event of nonpayment, purchaser agrees to allow seller on premises to remove equipment Installed. This sales purchaser agrees to allow seller on premises to remove equipment Installed. This sales agreement shall be binding upon the heirs, successor, or assigns of the party hereto. It Is understood that the title of all products and equipment covered by the contract remains solely In the seller until the entire purchase price has been paid in full and the manner of Installation and/or attachment to any equipment and/or any portion of the building structure In which the installation Is made shall not In any manner jeopardize the seller's title. Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 PARC gL,PE-+All. 11 a d 23 W DAVIDJONN N. CFA,ASA 12 C9 a 7r ♦ f`71( PROPERTY 13 2 2 ����1d k ti B1 SEMINOLE COiUPM FL- Ia 0 -- k / DOGMUL) UK 1101 -E. FIRsr ST 9ANFoRD.FL32771-1468 a07-66,5�--7S06 e a 9 E 4 .1 - - - t2 1,E 10 7 8.D 8.C48.E 48.F 48.G48.0 48 VALUE SUMMARY VALUES 2010 2009 Workinct Certified GENERAL Value Method Cost/Market Cost/Market Parcel Id:33-19-30-5EM-OCOO-0010 Number of Buildings 1 1 Owner. MILLER HARRY M & DEBRA J Depreciated Bldg Value $120,857 $133,496 Mailing Address: 100 MAPLEWOOD DR Depreciated EXFT Value $816 $816 City,State,MpCode: SANFORD FL 32771 Land Value (Market) $28,000 $30,000 Property Address: 100 MAPLEWOOD DR SANFORD 32771 Land Value Ag $0 $0 Subdivision Name: IDYLLWILDE OF LOCH ARBOR SEC 6 JustlMarket Value $149,673 $164,312 Tax District S1-SANFORD Portablity Adj $0 $0 Exemptions: OD -HOMESTEAD (1994) Save Our Homes Adj $43,7091 $61,134 Dor. 01-SINGLE FAMILY Assessed Value (SOH) 1 $105,9641 $103,178 Tax Estimator Portability Calculator 2010 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $105,964 $50,000 $55,964 Schools $105,964 $25,000 $80,964 City Sanford $105,964 $50,0DO $55,964 SJWM(SaInt Johns Water Management) $105,964 $50,000 $55,964 County Bondsi $105,9641 $50,000 1 $55,964 Potential Portability Amount is $43,709 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. 2009 VALUE SUMMARY SALES Tax Amount (without SOH): $2,423 Deed Date Book Page Amount Vac/lmp Qualified 2009 Tax Bill Amount: $1,231 WARRANTY DEED 07/1990 02203 0789 $94,500 Improved Yes Save Our Homes (SOH) Savings: $1,192 WARRANTY DEED 08/1979 01241 0572 $63,400 Improved Yes 2009 Certified Taxable Value and Taxes Find Comparable Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LEGAL DESCRIPTION LAND Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS: Pick... 111 LOT 0 0 1.000 28,ODO.00 $28,000 LEG LOT 1 BLK C IDYLLWILDE OF LOCH ARBOR SEC 6 PB 21 PG 40 BUILDING INFORMATION Bid Num Bid Type Year BR Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Building 1 SINGLE FAMILY 1979 6 1,814 2,450 rl"8'14W CONCRETE BLOCK $120,857 $139,317 Sketch Appendage / Sgft OPEN PORCH FINISHED / 28 Appendage / Sgft GARAGE FINISHED / 608 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartmen4 Enclosed Porch Finished Base Semi Finshed Permits EXTRA FEATURE Description Year BR Units EXFT Value EsL Cost New ALUM SCREEN PORCH W/CONC FL 1991 240 $816 $2,040 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad vabrem tax purposes. ff you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value. http://www.scpafl.org/web/re web.seminole county title?parcel=3319305EM00000010&c... 6/2/2010 20-10 Florida Annual Resale Certificate for Sales Tax DR-13 R. 01/10 M(.� THIS CERTIFICATE EXPIRES ON DECEMBER 31, 2010 OF REEVE ENE OF REVENUE Business Name and Location Address Registration Effective Date Certificate Number FACEMYER AC & HEATING INC 10/10/01 69-8012160133-6 3805 SAINT JOHNS PKWY SANFORD FL 32771-6371 This is to certify that all tangible personal property purchased or rented, real property rented, or services purchased on or after the above Registration Effective Date by the above business are being purchased or rented for one of the following purposes: • Resale as tangible personal property. Re -rental as real property. • Incorporation as a material, Ingredient, or • Re -rental as tangible personal property. Incorporation into and sale as part of the repair of component part of tangible personal property • Resale of services. tangible personal property by a repair dealer. that is being produced for sale by manufacturing, • Re -rental as transient rental property. compounding, or processing. This certificate cannot be reassigned or transferred. This certificate can only bd used by the active registered dealer or its authorized employees. Misuse of this Annual Resale Certificate will subject the user to penalties as provided by law. Use signed photocopy for resale purposes. Presented to: =,Presented by: li sed name o seller an photocopy (date) Authorized Signature u ase ate :: •Q ,, TATE0F�,FL'ORID f" °15E:?AR MEI T 'O 13 •355• AP7i'1D''P:ROF,E'SSS'ON'AL REG bATI0 f ri.'.GO S N':.. -; �N ;;Rt7C :IO�N�'v2NDUSTRY-01t-CENSTIjG' B4OARD.' I0131 + tLTGE,NS�I)%9NB:R?ice "� ' -. .•.,�, ;h �. 08/08 2008.:0•8Q,Ot0,80:4•-4:;Itt: CAG'0'5:•0.4%2i8.of r.: i�' 1 "�."�-: The CLASS' $' AIR"- CO`IJbt-_TS6NI-I�Cki�C,fJ �i[ia_ TOR.`_ _ rt+ Y'• LR R j +N _ d -- Named below, IS "CERIIFnfrEDlj :��'ht3c = — Under the prov`isiorrs': 'D Chap_• Expiration d'ite': 'AUG :3'1;,'a20'10• `�' � � 8 '' r'-a�,+., FACEkYE LYN;N,,." ROD FACEMYER4AZC :HE:. ' ;?•"a'i�:��J`{{}y; 'a t ;' a,'Sa " •,M1��,?^'k' j)!`*y:. y;;F4:;Tr. t._iy; •iiz .li ., tyw1.. ,;.. 3805'ST-60HNS"'PKWY `r SANFORD CHARLIE CRIST GOVERNOR `' ' > >S'- CHARLES ; W,.`.r,DRAGO'•, :�;,s e,r; w:; d SECRE.TARY:;:•; ,AS REQUIRED BY LAW ,•_ _ , . .�•, . SEMINOLE COUNTY BUSINESS TAX RECEIPT RAY VALDES, SEMINOLE COUNTY TAX COLLECTOR PO Box 630 n Sanford, FL 32772-0630 • Telephone: 407-665-1000 www.seminoletax.org VALID THROUGH - 09/30/2010 Business name: ROD FACEMYER A/C & HEATING INC Business Address: 3805 ST JOHNS PKWY City, State, Zip: SANFORD, FL 32771- Owner(s): RODNEY L FACEMYER (OWNER) Account #: 094380 REGULATED State Lic.# - CAC050428 Qualifier- RODNEY LYNN FACE ** CITY LICENSE REQUIRED ** Receipt #: OLHS2009090403064 Amount Paid: 45.00 Date Paid: 09/04/2009 ACQRa. CERt(' FICATE OF LIABILITY INSURANCE 06/03/2 9' I i PRODUCER (321) 383-4554 II FAX (321) 383-4523 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J.W. Edens & Company, It tic. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 278 T^,Isville, FL 32781-02`I8 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. II INSURERS AFFORDING COVERAGE NAIC # INSURED Rod Facemeyer A/C 3805 St. John's Pa�^kway 'I Heating, Inc. INSURERA: FCCI Commercial Insurance Comp j INSURERB: Bridgefield Employers Ins. Co. Sanford, FL 32771 1iI INSURERC: INSURER D: INSURER E: COVERAGES�) THE POLICIES OF INSURANCE LISI'D ANY REQUIREMENT, TERM OR CO MAY PERTAIN, THE INSURANCE AFFORDED POLICIES. AGGREGATE LIMITS SHAWN BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING DITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE II POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDDfM LIMITS GENERAL LIABILITY CPP0003812 06/06/2009 06/06/2010 EACH OCCURRENCE $ 1,000,060 A X COMMERCIAL GENERAL LI�IBILITY CLAIMS MADE � IQCCUR II DAMAGE TO RENTED $ 100 1 00 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIgS POLICY PRO- JECT GENERAL AGGREGATE $ 2,000,000 PER: I` LOC PRODUCTS -COMP/OPAGG $ 2,000 000 AUTOMOBILE LIABILITY ANY AUTO CA00046695 06/06/2009 06/06/2010 COMBINED SINGLE LIMIT (Ea accident) $ 300,000 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ I II GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR FICLAIMS I DE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ I JOTH- $ WORKERS COMPENSATION AND II EMPLOYERS' LIABILITY II 83027732 06/12/2009 06/12/2010 X wCSTATU- X E.L. EACH ACCIDENT $ 500 00 B ANY PROPRIETOR/PARTNER/EXECUTI OFFICER/MEMBER EXCLUDED? If y SPes,ECIdescribe under AL PROVISIONS below E _T E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 5000Q OTHER DESCRIPTION OF OPERATIONS / LOCATIONS Ii EHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 10 days for notice of cancellation for non-payment of the premium. City of Sanford is additional ilso additional insured j I CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Sanford BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 300 North Park Ave.Ave.1 Sanford, FL 32771 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE J. Wayne Edens ONNE l ACORD 25 (2001/08) FAX: (467)322-3255 I� ©ACORD CORPORATION 19681