137 Rockhill Dr 17-1096; HVACEl", r" CEIV
APR 19 2017t CITY OF SANFORD
BUILDING- & FIRE PREVENTION
lay:,.. PERMIT APPLICATION
Application No 7-1 /oyb
Documented Construction Value: $<C"
Job Address: i 1 F Historic District: Ves No
Parcel ID: Residential [ Commercial 1
Tvpe of Work: New A//ddition d Alteration Repair Demo Change of Use moveEl of
Work: /`"t /fv_ t 1A,:Xr P + Plan
Review Contact Person:._Gt Phone:
3OM 1""5 Fax:.. :.`vrYv i/ Email: Property
Owner Information e
e:i^-j Name: ,
e, ,t 1 ° Phone: / b ;3 _ Street:
Resident of property,? City,
State Zip: 55ezyv' Or _ ' Contractor
Information Name
KII A, / // o f in 41.61- f 1 Phone: 3 ' J6 ` ,575 Street:
Fax: C ( 3 1 City,
State Zip: J
p:
r State -License :io.:C—%.5L'1 Architect/
Engineer Information Name
Street -
City,
St, Zip: Bonding
Company: Phone:
Fax:
E-
mail: Mortgage;
Lendert 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 I,.NSPECTION. IF YOIT 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: V4 Edition (2014) Florida;Building:Code Revised:
June 30, NIS Permit application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions, applicableto thispiroperty that'may be foundin,the public records of this county; and there may . be additional permit's , required fiom - other governmental entities such as water management,
districts, state' agencies, or federal ag encies. Acceptance
of permit is verification that I will notify the owner of the,property,9f the requirements of Florida Lien Law, FS 713 The
City of Sanfor ' d 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 fuzured'based on the current ICC Valuation Table in effect- at the time t I he
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 informationis accurate and that all work will be
done in compliance with .all applicable laws regulating construction and zoning. inC
7 signature
of 0--Nmer/Agent Date Signature ofVontrAtoriAgent Date Print
Owner/Agent's Name Print Contractor/Agent's Name Signature
of Notary -State of Florida Date 8w45dTN0N,
d Owner/
Agent is Personally Known to Me or Contra6tor/Agent is L.,f' Personally Known to Me or W Produced
ID
Type of ID Produced ID Type oflD BELOW IS
FOR OFFICE USE ONLY Permits Required,:
Building [I Electrical,E] Mec'hanicalE] PlurnbingF] Construction Typ
e: pe: OccupancyUse: — GasE] Roof
El Flood Zone -
Total Sy
Ft of Bldg: Load: Min. Occupancy # of,Stories: New Construction:
Electric of Amps Plumbing - # of Fixtures Fire Sprinkler
Permit: YesF] No D # of Heads Fire, Alarm Permit: YesF1 NoFJ APPROVAL$; ZONING:
ENGINEERING: COMMENTS:
UTILITIES:
WASTE
WATER: FIRE: BUILDING:
Revised: luxe
30,2015 Permit Application
Deltona/DeBary
386) 668-8752
Daytona
386) 761-8319
LIC # CAC050422
DeLah,d/Orange City
386)734-9770
Brevard County
321) 723-2040
C
R/DAI
eta® -.
AIR rniVnrx"inrulvr_ RAFn
Sanford Orlando.
407) 322-0199 (407) .628-5748
New Smyrna
386) 427-9149
ALL OTHER AREAS: 1-888-MID-FLAC
NAME
It)I JJ REFERRED BY I INSTALL DATE, . INSPECTION DATE
ADDRESS
BILLING ADDRESS IF DIFFERENT
FROM JOB LOCATION
CITY/STAMZjR. •, T, CIiY/STATE2IP
HOME PHONE CELL WORK EMAIL
ITEMS CHECKED APPLY f,jPERMIT MANUAL J MANUAL D INSTALLER 2INSTALLERS .s HELPER 112 HELPERS HORIZONTAL 0 VERTICAL
Package Unit tons (j!FHeatPump
Condenser •tons {) Heat Pump
cj —L_Air HandlA Wtons ctm
L—Coil tons
Heating k.w. strip
n
Drain Pan ( } Condensate Pump
Y Locking Gas Caps I>4a1umcane Mounting Kit
Filter Rack ( ) Filter
Aprilaire ( ) Shroud
s_ cool Brand
s- cool Brand
Vert. ( -) horiz. Model #
SEER_)- HSPF
MISCELLANIOUS
Thermostat wall type non -programmable (,*programmable
Precast slab fo rondenser unit
SXj Ref_ Lines _ ft., ref. line cover ( ) Flush. Kit
1y -) Condensate Line
4—) Plans - Clean-up
Plywood Top j 2 x 4 Studs (
Float Switch
i
Wet Switch 1
DUCT SYSTEM
NewSystem_—
Fiberglass Duct
Flex System
Direct Return
lj,5) Insulate Platform
T Reconnect Plenum
j
supplies with dampers
ducted ( ) filter back grill
Mastic /
EXIS INaBREAKERS
rl
Type " u Ik" I
Indoor- SQ Amps ( thick( ) thin
Outdoor 13i Amps thick ( ) thin
BREAKERS NEEDED
Type
Indoor Amps ( ) thick ( } thin
Outdoor Amps ( ) thick { ) thin
ELECTRICAL
Hook-up by MID-FLORIDA A/C,, INC,
Low Voltage by MID-FLORIDAA/C, INC.
Electrical by others if needed not in price Initial
LIMITED WARRANTY AND GUARANTEES
Manufacturers 11) year warranty on compressor
year warranty on all other Manufacturers parts.
free service from date of start up
year warranty on all other parts installed by MID -FLAK, INC.
Warranty does not cover Filters, Trripped Breakers or Maintenance
We agree to furnish and install the above described labor and materials on the terms indicated below.
It is agreed that the purchaser releases the seller from and that the seller assumes no liability and shall not be responsible for any loss, damage or delaycausedbyactsofgovernment, strikes, lockouts, fire, explosion, theft, floods, rain, water damage, riot, civil commotion, war, nuclear disaster, fungi, mold, bacteria, malicious mischief, picket lines, acts of God, or by any cause beyond Its control and any event of consequential damages. If any claims ordisputesariseitisagreedtobythepurchaserandsellerthattheywillbesettledbyamediator.
wse, MAs"HRr on mscorm
PAYMENTTYPE: AICHECK El CASH El CREDIT CARD
The customer acknowledges that prior to signing this proposal he has $ ,rj 5 2j
read the terms and conditions contained herein and hereby accepts $ it 33 f' ;, :<, ilLL^hthisproposalincludingtheconditionsonthereversesidehereofwhichi
are a part of the proposal; and
WHEN EQUIPMENT IS ?eoandfurtheragreestomakepaymentsas Lr $ t JrL" /jy 4follows: T
INSTALLED
PRICE iNCLU .
REBATES AND INCENTIVES^ . -
BUYER'S RIGHT TO CANCEL,
if this is a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by mailing a notice to the seller. Thisnoticemustbepostmarkedbeforemidnightofthethirdbusinessdayafteryousigntheagreement. If you cancel thisnt, the seller may keepallorpartofanycashdownpayment, not to exceed the lesser of 5 percent of the cash price
Date —
j Purchas:.
Estimator— We Recommend the Power Compa Test Your Ducts For Leaksr
Pic FPL DUKE ENERGY PHONE 1-86&712-3413
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. 10
CONTRACTOR:/ • I
JOB ADDRESS:
J
Evnt: nITwnow.
Post this permit in a conspicuous location outside
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected and approved
Permit ex ices 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
IASPECTION TYPE APPROVED REJECTED INSPECTOR
ELECTRICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FOOTER INSPECTION ELECTRIC UNDERGROUND
STEMWALL FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY T.U.G. / PRE POWER
SLAB / MONO -SLAB ELECTRIC ROUGH
LINTEL / TIE BEAM ELECTRIC FINAL
SHEATHING - ROOF MECHANICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR
SHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN IMECHANICAL FINAL
DRYWALL/SHEETROCK PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTOR
LATH INSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTORROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED 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 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 FBC105.3.3
REVISED: OCTOBER 2014
Inspection Line: 855.541.2112