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3323 Palmway Dr 17-1665; AC CHANGEOUTJun 0517 03:45a America Fresh Air & Heat 4073627073 p.1 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: '% (P et4' Documented Construction Value: S 3934.16 JobAddress: 3323 Pal mway Dr., Sanford FL 32773 Historic District: Yes No Parcel ID: r a` do - 30 ~ 5C> 3— O ) UV - U i `i D Residential © Commercial Type of Work. New Addition Alteration Repair Demo Change of Use Move Description of Work: Change Out AC System- 3 Ton Mini Spilit. One AHU in each bedroom and one unit in ithe Living room.. Plan Review Contact Person: Willie Hlckman Phone• 407443-0787 Fax: 407-362-7073 Name Emanda Ensor Street: 3323 Palmway Dr. City, State Zip: 32773 Title: Operation Maanger Owner Email: williehickman1967@att.net Property Owner Information Phone: 407-302-3207 Resident of property? : Yes Contractor Information Name America Fresh Air & Heat LLCI Wayne Benner Phone: Street: 8805 Fort Jeffferson Blvd City, State Zip: Orlando FL 32822 Name: Street: City, St, Zip: Bonding Company: Address: _ Fax: 407- 443-0787 407- 362-7073 State License No.: CMC1249933 Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Lender: 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 INSPECTION. IF YOU 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 worts 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 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51° Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application Jun 0517 03:4.5a America Fresh Air & Heat 4073627073 p.2 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 wil I 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 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 figured based on the current ICC Valuation Table in effect at the time the 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonings d 41 Signature of Owner/Agent Date Signature of Co or/Agent Date Print Rwner/Agent's Name Signature of Notary -State of Florida Date Prio ontrac lAgent's Name ature o Notary -State of Florida Date Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to 1V Produced ID Type of ID Produced ID A-- Type of ID fL- BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: FIood Zone: of Stories: Plumbing -# of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Jun 0517 03:48a America Fresh Air & Heat 4073627073 America Fresh Air & Heat LLC 8805 Fort Jefferson Blvd Orlando, FL 32822-4700 407)443-0787 will iehi ckman 1967@att.net http J/americafreshair_com ESTUMATE ADDRESS Emanda Ensor 3323 Palmway Dr Sanford, fl 32773 P.O. NUMBER EE3323-060117 ESTIMATE # 1148 DATE 06101/2017 EXPIRATION DATE 06/07/2017 SALES REP WILLIE HICKMAN DATE A^ TIV11Y 0' 0610112017 Services 1 Installation of 3 ton Heat pump mini Split System: GREE MULT136HP23DVl AO - 3 Ton 16 SEER EVO+ Multi Ductless Mini - Split Heat Pump 208-230 V, Three AHU GREE NE012HP230V1 AH -1 Ton 20 SEER NEO Ductless Mini -Split Indoor Unit 208-230 V) 06/01/ 2017 America Fresh Air & Heat LLC is pleased to provide the following scope of work and pricing for Heating & Cooling - Scope of Work: Install GREE MULT136HP230V1A0 - 3 Ton 16 SEER EVO+ Multi Ductless Mini -Split Heat Pump 208-230 V. Install the condenser in the same area as the existing unit. One AHU in each bedroom, wall mounted and Install one AHU in living room. We will use the same power that is being used for the existing Unit. Will pull Mechanical Permits City or County as required. This proposal is qualified with certain inclusions and exclusions as noted herein. Payment is required at the completion of installation. i;AI E ANICUNT 3,934. 16 3,934.16 TOTAL $39934. 16 Jun 0517 03:4.5a America Fresh Air & Heat 4073627073 p.3 This documerit was prepared by: Wayne Francis Beruzer 312 East Bay Street Davenport, Florida 33837 Return To: Wayne Francis Benner 312 East Bay Stree t Davenport, Florida 33837 DURABLE POWER OF ATTORNEY OF Wayne Francis Benner I. PRINCIPAL AND ATTORNEY -IN -PACT 1, Wayne Francis Benner, who reside at 312 East Bay Street, Davenport, Florida 33837, appoint the following person to serve as my attorney -in -fact, to act for me in any lawful Nvay with respect to the subjects indicated below: Willie Hickman, Jr. Orlando, .Florida DOCWNW00408 Jun 051703:4.6a America Fresh Air& Heat 4073627073 p.4 II. EFFECTIVE TIME This durable power of attorney is effective immediately and is not terminated by the subsequent incapacity of the principal except as provided in Chapter 709, Florida Statutes. III. POWERS Of ATTORNEY -IN -FACT To the extent permitted by law, Iny attorney -in -fact may act in my name, place, and stead in any way that I myself could with respect to the folto-win- matters: YOUR ATTORNEY -IN -FACT SHALL BE AUTHORIZED TO ENGAGE ONLY IN THOSE ACTIVITIES THAT ARE INITIALED. BUSINESS OPERATION TRANSACTIONS: s Buy, sell, expand, reduce, or terminate a business interest, including shares in a corporation, membership interests in a Limited liability company, and partnership interests in a general, limited, or limited liability partnership. Manage and operate any business or business interest that I now have or later acquire, including the authority to: Enter into, amend, enforce, and terminate any business contract. Disburse, receive, and demand money in the operation of tilt.' business, Merge, reorganize, or sell a. business or part of a business. Determine the location, nature, and method of operating the business. Hire and discharge employees and agents. If an agent is permitted by law to act for a principal, and subject to the terms of any partnership or operating agreement, perform any duty and exercise any right, power, or privilege that I have under a partnership or operating ab eement, to enforce the terms of a partnership or operating agreement, and to defend, arbitrate, and settle any legal proceeding to which I am a party Jun 0517 03:4.6a America Fresh Air & Heat 4073627073 p.5 because of membership in a partnership or limited liability company. Exercise a right, power, or privilege that I have as the holder of a bond, share, or instrument of similar character and to defend, arbitrate, and settle any Iegal proceeding to which I am a party because of any bond, share, or similar instrument. w ) Notwithstanding the foregoing, the authority of my attorney -in -fact is limited as follows: For the purpose of filling for and obtaininLT gpernuts to do Mechanical and Air Conditioning work for America Fresh Air and Heat LLC only. IV. GENERAL PROVISIONS 1) Reliance By Third Parties. I hereby agree that any third party receiving a duly executed copy of this document may rely on and act under it. Revocation or termination of this power of attorney will be ineffective as to a. third party unless and until that third party receives written notice of the revocation or termination. Notice to a financial institution is subject to the requirements of section 709.2121, Florida Statutes. For myself and. for my hens, executors, legal representatives, devisees, and assigns, I hereby agree to indemnify and hold harmless any third party from any and all claims because of good faith reliance on this instrument. 2) Severability. If any provision in this power of attorney is found to be invalid or unenforceable, this invalidity or unerdorceability will not affect the other provisions of this document, and the other provisions will be given effect without the invalid or unenforceable provision. 3) Revocation, l may revoke this power of attorney at any time. Any revocation of this power of attorney must be in writing signed by me. 4) Maintenance of Records; Accounting. My attorney -in -fact must maintain records of all actions taken on my behalf, including transactions, receipts, disbursements and investment. My attorney -in -fact shall provide an accounting for all funds handled and all acts performed as my attorney -in - fact, but only upon my request, the request of a personal representative or Jun 05 17 03:4.6a America Fresh Air & Heat 4073627073 p.6 a fiduciary acting on my behalf, or court order. Any requirement of my attorney -in -fact to file inventories and accounts with the county clerk or with the court is specifically waived. 5) Compensation and Reimbursement. My attorney -in -fact is entitled to reasonable compensation for services provided on my behalf pursuant to this power of attorney. My attorney -in -fact will be reimbursed for all reasonable expenses incurred relating to his or her responsibilities under this power of attorney. 6) No Personal Benefit. Except as specifically provided in this document, my attorney -in -fact may not personally benefit from any transaction engaged in or on inly behalf, or use my assets to discharge any of his or her own legal obligations, excluding me and those I am legally obligated to support. 7) Liability of Attorney -in -Fact. All persons or entities that in good faith endeavor to carry out the provisions of this power of attorney will not be liable to me, my estate, or my heirs for any damages or claims arising because of their actions or inactions based on this power of attorney. -tidy estate will indemnify and hold theirs harmless. A successor attorney -in - fact will not be liable for the acts of a prior attorney -in -fact. Jun 0517 03:47a America Fresh Air & Heat 4073627073 p.8 WITNESSES By sibping as a witness, I an-L acknowledging the signature of the principal who signed in any presence, and the fact that he or she stated that this poxver of attorney reflects his or her wishes and is being executed voluntarily. I believe the principal to be of sound mind. I have not been appointed as attorney -in -fact by the principal, asn not related to him or her by blood, marriage, or adoption, and, to the best of my knowledge, am not entitled to any portion of his or her estate under his or her last will and testament. 1. Print Dame) 2' Address) 1G 0 Ciq,, 5tate,'ZIP) lee2. Signature of witness) (P _nt Name) DKvV Address) r Cit),, State, ZIP) 6 Jun 051703:47a America Fresh Air& Heat 4073627073 p.9 ACKNOWLEDGMENT OF NOTARY PUBLIC State of Florida Coup , ofYC j. On this 1b day of 20-L L, before me, the undersigned Notary Public, personally appeared Wayne Francis Benner, personally known to me (or proved to me on the basis of satisfactory evidence) to be the individual who signed the foregoing power of attorney and acknowledged to me that he or she executed the same in his or her authorized capacity, and that by such signature, the person executed the instrument. Witness my hand and seal. f Signature of Notary Public: 11- PATRICK J CHERY Notary Public - State of Florida My Comm. Expires Nov 19, 2016 Commission # EE 852702 7 Jun 05 1703:48a America Fresh Air& Heat 4073627073 P.10 N, Se'RFTPO KSN jIO14aIDAssloNALaSGULA t T'T. NOR STA'C6 OF FL 1 CRY LICENSIN oARo Rlc sc gUS1N NOpUs pEFARrCoj4ORGTIQNi 1 r+on ara t F CMC1249933 OTOR MEGNANICATheLERTiFIEOter489F5 beiU toowIS C Named tovistAUG31 24' 8 Expeatlon pdate• AYNE FRANOIS. T LLC BENNI~R' W SVJ AIR & HEA AMEplCA, F R F RSON 13*10 SSo5 FOR FL 32822 ORLA14DO p1SPi AY AS REOOIRED SY LAW SEQ# I-160525000209 ISSUED: 08125120'16 rang- M — tonln9. heal,' alx eeeep a Suble to ragulatfon Q1Cia usWin eSS nce. Business pl' bIa++ a muni rtt 0 SIty is added sober t. aX O e4'+ other tax requked Y Ro cent peoaltY 11132-19 not in lieu 01 any ut receipt year. De 4 5000- 2 EMPLOYEE Cp it<on and 1 through September3o 913012 7 $3a.ao a tax rece9Pt is to addEXPIRES 1 busing vaTid from Octe T,FIED MP C}{ANIGLA This foes This receipt is "ria,ful authorities- 2046 EMPLO l37` 5000 BUSINESS OFFICE 60.00 OTAL TAX g60.00 PReAOUSLY PAID $ 0.00 TOTAL DUE T 8805 FORT JEFFERSON BLVD (MOBILE) U . ORl.ANDO. 32822 0098-007346397t26f2a15Collector. 60.00 Tax PAID: en validated by the This raGOO is official tNlt g NER WAYNE FRANCIS QUALMER MAN WII.LIE FJR T LLC ERICA F AYNE FRPNCIS F N IF 7 jsFFERSON aLVD 0 O FL 32822 RLAND City of Sanford Building & Fire Prevention Division Residential Permit Card PERMIT NO. / / — ISSUE DATE: V ® (Aw I CONTRACTOR: JOB ADDRESS: a3a-6 palft\WOL04.0 TYPE OF WORK: C/o M1,418, r ! jJ ®/ 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 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 7YPE APPROVED REJECTED INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING INS'PF_C7ION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION 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 FBC 105.3.3 REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts To Schedule Fire Inspections: Please call 407.562.2786 *** PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES BUILDING ELECTRICAL FOOTER 104 ELECTRIC UNDERGROUND 211 STEMWALL 102 FOOTER / SLAB STEEL BOND 221 FORMBOARD SURVEY 147 T.U.G. 216 SLAB / MONO -SLAB 103 PRE POWER FINAL 218 LINTEL / TIE BEAM 105 ELECTRIC ROUGH 212 SHEATHING - ROOF 106 ELECTRIC FINAL 213 MECHANICALSHEATHING - WALLS 115 FRAME 109 MECHANICAL ROUGH 409 INSULATION ROUGH -IN 110 MECHANICAL FINAL 410 PLUMBINGDRYWALL / SHEETROCK 131 LATH INSPECTION 132 UNDERGROUND ROUGH 322 FINAL STUCCO / SIDING 130 TUB SET 312 FIREWALL SCREW 120 SEWER 311 FIREWALL FINAL 143 PLUMBING FINAL 313 GASINSULATIONFINAL113 FINAL SFR 138 GAS PIPING UNDERGROUND GAS ROUGH -IN 328 314ROOF ROOF DRY -IN 116 GAS FINAL 315 FINAL ROOF III MISCELLANEOUS / FINAL INSPECTIONS PRE -DEMO 144 FINAL DOOR 136 FINAL DEMO 126 FINAL WINDOW 137 FINAL SOLAR PANELS 134 IRRIGATION FINAL 321 FINAL POOL SCREEN 139 FINAL SCREEN STRUCTURE 127 FINAL UTILITY BUILDING 124 FINAL BUILDING - OTHER 112 MOBILE HOME TIE -DOWN 145 MOBILE HOME BUILDING FINAL 146 Miscellaneous Notes: REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112 FIPE 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 . . . 17-00001665 Date 6/06/17 Property Address . . . . 3323 PALMWAY DR Parcel Number . . . . . . 12.20.30.503-0200-0130 Application description . MECHANICAL PERMIT Subdivision Name . . . . Property Zoning . . . . . SINGLE FAMILY Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL Additional desc . . Phone Access Code 987677 Permit pin number 987677 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 410 MH02 MECHANICAL FINAL / /