1102 Sandstone Run 17-1223; HVACDescription of Work: _Mpnhnajrajs; e n rt 2 top j,Sppr HP s li system NP duct
Plan Review Contact Person': Allen GaskinsF 'Title PermittingJW4[ranty
Phone: 407-654-3777 Fag -4Q7 654-4828 Email: aaaskins Rannlaar_rnm
Property Owner Information
Name Jose Ortiz- Phone 407-967-5185
Street: :91 [l2:'SandstnneTRi(II Resident.of property? . YES
City, Sttate ZtpS$afgrti, FL 8 77'1
Contractor Information
Nam e PPt 1 attn rlAnnit? AJ(` oR:Hpg{jn Ph ne 4()Z 65i 3777
Street: 149 -Woodland St Fax: 4QZ;-65d-4828
City, State Zip: enter Garden, FI 34787 State License No.: CMCQ56836
Architet:tlEngineer lnfarmat on
Name: ° 'j isd, Phone: }
Street: Fax.
City, St, Zip: E-mail
Bonding Company: Mort it e Lenderito Address :: :..., Address: ,
WARNING TO
OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN PUR. PAYING TWICE'
FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE* OF COMMENCEMENT MUST BE RECORDED AND
POSTED PN THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU,.INTEND TO OBTAIN FINANCING,•" CONSUI;
T WITH --YOUR -•LENDER OR AN A T rORNEY 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,
beaters, tanks, and air conditioners, etc. FBC 1053
Shall be inscribed with the date of application and the code In effect as of that date: 51h Edition (2014) Florida Building Code Revised: June
30, 2015 ' Permit Application
r...
ONTIDEIrreddrtiontotheregwremegtsofthispermit, there may be additional restrictions applicable to this property that maybe
found'in the publicrecords of-tlus county, and tl_ e re:may'be additional permits required from other goverumenial.entities such es water ;
managetnenhdslrit s,sfa!e•agencies, or federal agencies.. r`
Acceptance of permh is verification that.I will notify the,owner of the property ofthe requircments of Florida Lien Law, FS
The. City of Sanford requires payment of a plan reA60 fee at the time of perrnit subtruttal, .A copy of the executed contract is required
in,order.to calculate4a.plan-:review charge and willaUt considered`the estimated construction value of the j'ob at thB,fime of submittal.
The. actual construction. slue will• be:figured based on the current ICC Valuation Table in effect at the tirne-jhe permit is issued, in
accordance with local ordinance Should calculated charges figured `off the executed contract exceed the„actual construction value,
t e
credit;wrll , applied to your permit fees.when the perm rs issued
5
OWNER'S AFFIDAVIT:,I certify that all ofAthe.foregomg mformation is accurate` and that all vYorkTwill
be done°in compliance ypith all applicable „laws regulatingcoils rue on and zoncng. w... ...
511117 ....
Signature
of Owna/Agent .- ", ., '. Date Signature o. Cont r/Agent. 11 Date a Pgfe
Laftner Print
Owner/Agent's Name Print Contractor/Agent's Name Signature
of Notary -State of Florida . :: Date Signature of Notary -State offlorida _ :Date E.
J 'l 1CI`N WoODRO1NALLEGA3_ S,; MY
COMMISSION # GG040II& EXPIRES
tJctoberi3. 2020. . Owner/
Agent is Personally Known to Me or. Contractor/Agent is X_.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: _..Occupancy Use:. Flood Zone,; Total
Sq Ft of Bldg:- _ _- _-- .._: Min: Occupancy. Load: - _._ : __ . ___- _ --- .. # of Stories: = New
Construction: Electrie`= # of Amps-Plumbin _. #"of Fixtures gFire
Sprinkler Permit:. Yes No # of Heads Fire Alarm. Permit:. Yes No ` Revised:
June 36, 2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 5/1117
I hereby name and appoint: Allen raskins
an agent of, Apple A/C & Heating
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):
g The specific permit and application for work located at:
1102 Sandaton _ Run Sanford F 771
street Address)
Expiration.Date for This Limited Power of Attorney: 1 /311617 License
Holder Name: Pete Lattner Jr. State
License Number. Signature
of License Holder: STATE
OF FLORIDA. COUNWOF
Orange The
foregoing instrument was acknowledged before me this 1st day of May ' 20(
d Ljby Pete Lattner who is Qcpersonally known to
me or p whohas produced as identification andl
who did (did not) take an oath. Signature p
C
Notary Seal) (
iII wvS Print or
typ name Notary Public
State of Commission No.
My._C.
ommission-Expires_.._..._-._...._..-_..-._..---..._'..._.__...._.._-._._._..--.------....----.. __._....-._..._.._..._-..... KELLY LYNN.
LEGROS MY COMMISSION #
FF96W68 tev. 08.12) EXPIRES Match
18.2020 NGiao6 te] F16avica.mn
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IFJOSE ORTIZ
Address_ 111102 SANDS
SANFORDv
FL
e:407 967 5185°Zip 1
bWPLE
Air Conditioning & Heating, Inc.
We take a slice out of yaUrr energy costs!
We take a slice out ofyour- energy costs!
ate ]I4/28/2017
m `
Billing
000sal #: R104282017151056-1 miCity:
6
By signing this agreement I acknowledge that I have read and
understand each page, including the terms and conditions.
Customer Date
04/28/2017
149 S W dland St • Winter Garden, FL 34787
E ;Afl s R
M
I "' J
i Base System _
ew$0.00;a
4 752 43
F-Optional Items Total:
0 00> i(
G ..
I Sales Tax ._ _ $0 00 ,
ystem Total: 4,752.43
Initial Investment 0 001;
yBalance 4 752 43
Term: 12 Rate 0% Est Payment $396 04 '.
Type tCVF 1019 12 MOS llnvestment _ ii
Net Investment After Credit & Rebates $4,752.4 1, 3777
wwwf appleaacom Page
1
m w
PPLE
Air Conditioning & Heating, Inc.
yIC AN ex'y We take a slice out. of your energy costs!
We take a slice out of your energy costs!
Name iJOSE ORTIZ j _ Proposal Numberi Rl04282017151056 1 Date 4/28/
Components m` Bese System Investment Tax Credits and Reba
Qty
a
Mode%# . Descr on
4E
E AMANA 16 SEER SINGLE SPEED
5
BATE
p2 TON 16 SEER AMANA R410A HEAT PUMP WITH-
1 (ASZ160301 L LWARRANTY COMPRESSORWAR(( I ._ Inclusions - I
MULTI -POSITION WITH EEM MOTOR AMANA AIR S` 14ASPT37C14HANDLER1 `
HKSX 05XCSKW AMANA BREAKERD ELECTRIC HEAT KIT+; 2
POLE CUTLER 21HAMMER
BROWN1 2 POLE CUTLER HAMMER BROWN TAB TAB
1
ELEC-RECON-OD1 PACKAGE
UNIT OR OUTDOOR UNIT FINAL ELECTRIC / l [
EXISTING DISCONNECT. , iRECONNECTING
EXISTING ELECTRICAL CIRCUIT TO 1 I1
ELEC-RECON-AH i AIR HANDLER. DOES NOT INCLUDE NEW DISCONNECT FOR OUTDOOR
UNITS.ji 1 ] DRIPPAN-
FS _ ` DRIP PAN FOR AIR HANDLER WITH FLOAT SWITCHI 2 TRANSITION
DUCTWORK TRANSITION _ _- 1 COUNTY
PERMIT
i 1ACPAD 3636 (
36 X 36 AC PAD Exclusions By
signing
this agreement I acknowledge that I have read and Representative understand each
page, including the terms and conditions. Customer Date
9iApproved by 04/28/
2017 mT •• 149
s
oodland St •Winter Garden. FL 34787 Ph: 407-654-3777 •www Page 2
4KPPLE
Air Conditioning & Heating, Inc. BBB
We take a slice out of your enetgy costs!
VVe take a slice out of your energy costs!
Name: JOSE ORTIZ Consultant JASON TINIER
Site Address: 1102 SANDSTONE RUN Date: 4/28/2017 Billing Address:
City: SANFORD Proposal #: R104282017151056-1 City:
State: FL State:
Phone: 407-967-5185Zip : 32771 Phone: Zip Your
Home Consultant Proposal
Notes Proposal
good for 30 Days. We
hereby propose to furnish material and labor in complete accordance with the above specifications for the sum of: Four
Thousand Seven Hundred Fifty Two Dollars and Forty Three Cents Total
extended Price with Tax after Discount) By
signing this agreement I acknowledge that I have read and Representative understand
each page, including the terms and conditions. Customer
Date Approved by 04/
28/2017 149
S Vocliand St • Winter Garden, FL 34787 • Ph: 407-654-3777 •www.appleac.com • CL# : CMCO 56836 4,
752.43 Date
Date
Page
3
PERMIT NO.
CONTRACTOR:
JOB ADDRESS:
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
s 1 ISSUE DATE:
5— 1-1
TYPE OF WORK: A 1CM 6 M a
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 expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION TYPE APPROVED REJECTED INSPECTOR
ELECTRICAL
INSPECTION TYPE APPROVED? RFJF_CTED 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 INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALL/SHEETROCK PLUMBING
INSPECTIONTYPE APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIRE WALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTORROOF
INSPECTION TYPE APPROVED RFECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPEC7ION 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: 4-17 Inspection Line: 407.792.6069 or 855.541.2112
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Application Number . . . . . 17-00001223 Date 5/01/17
Application pin number . . . 535815
Property Address . . . . . . 1102 SANDSTONE RUN
Parcel Number . . 33.19.30.520-0000-0010
Application type description MECHANICAL PERMIT
Subdivision Name . . . . .
Property Zoning . . . . . . . PUD
Application valuation . . . . 4752
Application desc
a/c c/0 2.5 ton 15 seers hp split no duct work
Owner Contractor
ORTIZ, JOSE APPLE AIR CONDITIONING & HEATI
1102 SANDSTONE RUN 149 S WOODLAND ST
SANFORD FL 32771 WINTER GARDEN FL 34787
407) 967-5185 (407) 654-3777
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 982439
Permit pin number 982439
Permit Fee . . . . 70.00
Issue Date . . . . 5/01/17 Valuation . . 4752
Expiration Date . . 10/28/17
Qty Unit Charge Per Extension
BASE FEE 70.00
Special Notes and Comments
Rejected inspections require payment of
a re -inspection fee prior to scheduling
another inspection.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday. Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrich@sanfordfl.gov
Other Fees . . . . . . . . . 01-APPLCTN FEE -MECHANIC 25.00
01-BLDG PLAN REVIEW 15.00
01-BLDG DCA SURCHARGE 2.00
01-BLDG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 70.00 .00 .00 70.00
Other Fee Total 44.00 .00 .00 44.00 i
Grand Total 114.00 .00 .00 114.00
CITY OF SANFORD
aee CUSTOMER RECEIPT +**
Oper: BLANDA Type: OC Drawer: 1
Date: 5/81/17 61 Receipt no: 116293
Year Number Amount
2017 1223
1102 SANDSTONE RUN
SANFORD, FL 32771
BP BUILDING PERMIT RECEIPTS
114.80
AC 071246
Tender detail
CC CREDIT CARD $114.88
Total tendered $114.80
Total payment $114.00
Trans date: 5/01/17 Time: 13:49:45
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 17-00001223 Date 5/01/17
Property Address . . . . . . 1102 SANDSTONE RUN
Parcel Number . . 33.19.30.520-0000-0010
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 982439
Permit pin number 982439
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 410 MH02 MECHANICAL FINAL / /