514 Kay Landing Dr 17-1483; HVACCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / 1 / S
00
Documented Construction Value: $ 2_. 100
Job Address: 514 Kay Landing Dr. Historic District: Yes No
Parcel ID: 34-19-30-520-0000-1360 Residential ® Commercial
Type of Work: New Addition Alteration ® Repair Demo Change of Use Move
Description of Work: Air Handler Change Out Only - ReplacingLpermit 15-1633
Plan Review Contact Person: Stephen Williams 'Title: Permit Tech.
Phone: (407) 841-3310 Fax: (407) 425-9934 Email: permittinq_(a)westbrookfl_com
Property Owner Information
Name Jacob Novak Phone: 314-210-4612
Street: 514 Kays Landing Dr. Resident of property? : Yes
City, State Zip: Sanford FI 32771
Name
Contractor Information
James Roberts/Westbrook Service Corp. Phone: (407) 841-3310
Street: 1411 S. Oranae Blossom Trail Orlando. FI
City, State Zip:
Name:
Street:
City, St, lip:
Bonding Company:
Address:
Orlando, FI. 32805
Fax: (407) 425-9934
State License No.: CMC1249312
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT tNIA1` REISULT IN YOUR
PAYING TNYICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMINIENCEMEN"I ML;ST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN I END TO 061AIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE: RECORDING YOUR NOTRI.F 0F
COMM ENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certii'y that no work or installation Fists
cornmenced prior to the issuance of a permit and that all work will be performed to meet standards of all iaws regulalin_ construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work; plumbing,, sig,ns, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 10*S.3 Shall he inscribed with the date of application and the code in effect as of that date: 5"' Edition (2014) Florida Building, Code
Revised: June 30. 2015 fennit Application
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 othergovernmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner oft lie property of the requiremenispf Florida Lien t,aw, F'S 713
The City of Sanford requires payment of a plan review fce 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 tgured 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 constructio and zomn ,
05122117---
Signature of 0woer/Agent Date Signs re of Contracior/Agent ate
tephen Williams
Print Owner/Agent's Name Print Con for/Agee ame
s zzl 'i
Signature of Notary -State of Florida Date .: ignature ot'Nota ,1-1 , ti AMANDA MARIE WILLIAMS
ip `ti Notary Public -State of Florida
g Commlaalon FF 242919
sb,, My Comm. Explrea Jun 22, 2019
1' r°,',t. /"8ondad throuoh Natlataf Ntxary Asan.
Owner/Agent is Personally Known to Me or Contractor/Agent t. c st a
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFF CE 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:
E
i
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Revised: June 30, 2015
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
i
Permit Application
5/19/2017 SC PA Parcel View: 34-19- 30- 52G- 0000- 1360
oavia Joi;AWO, CFA ParciE 34.. 3 2ik )01;11,_i 360
3 P
B & SAhIANIHAOwner: NOVAK JACO0PORR
Property Address: 1- KA1.'S LANDING [)R SANFCiRD, 11 Parcel
Information Value Summary Parcel
34-19-30-520-0000-1360 2017 Working 2016 Certified V
ValuesaluesOwner
NOVAK JACOB & SAMANTHA Valuation
Method Cost/Market Cost/Market Property
Address 514 KAYS LANDING DR SANFORD. FL 32771 Number of Buildings Mailing
514 KAYS LANDING DR SANFORD. FL 32771-7788 Depreciated Bldg Value $211,576 $198,380 Subdivision
Name Lil1ys Depreciated EXFT Value Tax
District S1-SANFORD Land Value (Market) $52,000 $45,000 DOR
Use Code 01-SINGLE FAMILY Land Value Ag Exemptions
00 -HOMESTEAD (2016) $263.576 $243.380 i
Portability Adj $30,974 Save
Our Homes Adj $46,709 Amendment
1 Adj C $
0 P&
G Adj 7X %, $
212,406 Kz , "M, 1 , , - 4 Assessed
Value, 136
ATax mouiwitho,it SOH: S-,,065.00 444.00
Save Our
Homes Savings: $621.00 0) 7G
1
Does
NOT INCLUDE Non Ad Valorem Assessments Se,minoki
C'OUON GIS Legal Description
L OT
136 KAYS LANDING
PHASE 2 PB 69
PGS 44 - 44 Taxes Assessment
Value
Exempt Values Taxing Authority
216,867
County General
Fund 216,867
Schools 216,
867
City Sanford
SJWM(Saint
Johns Water Management) 216,867
216 867
County Bonds
Sales taxable
Value
S50,000
166,867 S25,000
191,867 50,000
S, 66.867 50,000
166,867 S50,000
166867 Date Book
Page Amount Quai'lled Description 267.
oLk Nc SPECIAL WARRANTY
DEED 30 i20 15 CERTIFICATE OF
TITLE 11/1/2014 100 No
SPECIAL WARRANTY
DEED 71112007 06 ,gyp$368,100 Yes SPECIAL WARRANTY
DEED 8/1/2006 438,400
No Improved Improved
Improved
Vacant
Land
Method
I .
1
Frontage , ge
Depth " Units Units Price Land Value 52,000
OC $52000 LOT Building
Information
Description Year
Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Aaj Value Rr_,pI ValueAppendages http:/iparceldetaii.
scpafl.or(:VParcelDetaiilnfo.aspx?PID=34193052000001360 112
1411 S ORANGE BLOSSOM TRAIL
ORLANDO, FLORIDA 328M
wwwv.westbrookfl.com
YOU 1 1 Ib=t+bU c' (407)841-3310
AX {467) 425 493d
Lk. CMC1249312
1K iucrxxlu ,<i riu.avw ^ rraalm mae»c u; 1'i T`` 1
EA.,- 331-S0S- S l ( 1 COMFORT AGREEMENT R_4v
apaRA7 Sl1br•.dSed To:
ICJ /v OU: t' -. __.. _ '_ _
DMn .
t .. r W $y} Street. l D t r -Y Odlarvnr)
y S1.ke, Zp CadeSlute, Zip Ca1c Work
cey o ` /J CJ Far TOTAL
COMFORT SYSTEM NEW
EQUIPMENT MANUFACTURER _ SEER /
HSPF/COP ARI RATINGS PREMIUM
DELUXE p11 ti
STANDARD
w
4 1 0
S t Air Handier C I Condenser Packa a Heat Pum St -Cool C7 at Pum t Cool _ Neat Pvm Outdoor
Unit Model Tons Indoor
Unit Model y-L, Fan
Coil Bower 7voe Variable [ Ncxt-variable ar aW van sable nabl N -versa e Ca
ci. Cooling / Heats Btuh Heat
StripSize /Breaker S¢e rnaarnor
oonnt 1rTc Thermostat
Type Add
S225.00 —IN HealthyClimateFitterMery10Add $225.00 1 Health
Climate Flier Mery 16 295.00 d $295.00 795.
00 Health
Climate Gerrrdcdal UVC La_ s Add
Add $
295.00 5-00 Health
Climate Pure Air Add $795.00 Add $7 .CO ly'
4I11142111:311111ArlrZ\:III e/A aaiiJ:i9tai 10
year parts and labor warranty year
Comfort Club Agreement Included Included Included Standard
Manufacturer's Warranty Compressor Compressor Compressor Parts _
Condenser if f VPa _ Condenser rt Year
if2Pans —
Condenser Westbrook
Labor Warranty1 Year 1 Year COMFORT
SYSTEM PRICING Comfort
System Price Less
Manufacturers Rebate Less
Incentives t p 04 og O Total
After Creoptic TotTotalforaddedoptionsFinal
Comfort System Price Less
Ublqy Rebate AIR
DISTRIBUTION 0
New insulated platform with 314 plywood top and sides Add $350.00 C C
a existing stand with 3/4 plywood and re -insulate 1
Reconnect supply plenum Add retum flex runs Add Increase.— supply flex runs -Add -- __ 0
Reconnect return plenum 0 Add —supply flex runs Add []Increase .--stun flex n ns Add New
return riser Add _— Replace existing duct system Add Other 0
New supply riser Add Replace return air grill Add , CONTROLS
AND ELECTRICAL a
Reuse existing low voltage wire O Run new low voltage wire Add El
Rouse existing high voltage wire Run new AMP high voltage ci.cult Add — 0Install
new disconnect Add _ O Upgrade electrical service Add D Install
new zone system Add D Replace AMP breaker Add D install
new zone dampers Add D Other 0 Install
new thermostats Add PIPING 0
Supplementary
drain pan with fail-safe condensate float switch New chase cover with out cap 0t rennect
to existing refrigerant lines New refrigerant line set Size __ A El New
polypipe drain Add New chase cover with cap — _ H. Add LJ-fondensate
drain hook-up with dean out tee & In -Line safety T-switch }' MISCELLANEOUS -- Removal
of
the existing equipment from premises L„j. , work to be performed in a nea+and 0 Precast
concrete condenser pad Size journeymen class technician. Sweaptnt, 0 New
equipment platforms will be painted with white mastic. will be acoompilshed at the cor elusion of each dajrs work and e I7 Otlr__- -- — _---- . --_--
d ris removed from the premises.' work done
in accordance wllbetxisting cases and required pe NOTE: Elecxrical
wiring, circuit breakers, piping, grilles, condensate pump, floatswlSch, etc. have a One-Ye1 r Part 11nd L66or W we propose
hereby to furnish complete as above specilrscf for the sum of: jII i
Paymenttermswillber } Upon Gompietion VCredri Card Ol Cheek D Finance per,rlion 9urElrswY;,HrTOC+
WCFc:- YOU THE eUYEnwtrGwcElnils:7fur;s4CTroNMOP 7oAnrl/iiC,)P,Ke6NG1NIrbaTF.CtWi7}vUTPEY.St.. o i71CYt`,grym PRt0R T01arBMGHT OF
THE THARD."1NES$ DAYAFTER 7HE D47—r OF THIS 7RANSAC71Rti. At flow cz-
dov's tb ", AAf7rrrwro, 41a rrderarond f f " *4 flop t> raspo"U* foe [slays caused by=xv0twi s ba)*w BitrConlro7, lfnH tld® RniprasM nMY frdrawn 6}' :-..a far A-orlt
dothm—d"6vn thla day, fhat Wry 89KA1,dn of dvoo+ Prom the otgw rnxmr6 ownsa skftw, of them*,W brccvna dg stlbR r., W26 Gc# aW.+beva OtiD ti_f"x able AVrwrar V
ww* wRl 6A darw dwfilp mgu&r&*kw" t our% . Arw #uM.grMy b
adw,ya nark a owlar»d+rbOv irW agree fiYthArrc+ao 14 F+ry A Aerncs chetge b7 r-iCf1 t1Y6 A.P.Ft) ott 1CA urmaM baMnc f tHeyaW Earth! Etatad 7 ,'. I pey ff co.
1 and aawmy ilm &Wuhi 30 #01DO a IYP'bICOmCr1eCAS.nIry ./ a _ f rw, c ety
autrwo, the ws,x oumnw above usirlg the &Tripme t li=ta !n La PREMIUM DELUXE 60 ST,44 A D :. t, rcoa5>k"rrrF_
PRF3f_
VTATrv'i'1_iCU3T6fAERt t/rvsla uY45m) s>
trP ..._--^-...--.-•.t- 9fe
v.
Date: 05/22/17
I hereby name and appoint:
an agent of: Westbrook Service
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):
Ll All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:
514 Kay Landing Dr.
34-19-30-520-0000-1360
Parcel ID)
Expiration Date for This Limited Power of Attorney.
License Holder Name:_ James Roberts
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Orange
The foregoing instrument w
2017 by 1411 ..Ora
who h!-(
d"
rodu
oe_zatewho 6 oo
12-31-17
Iged,tefore me this 2JIL4day of `{
som Trail Orlando, FI who ismpersonally known to me or
as identification
l.x-)t
Signature of Notary Print or type Notary name
i...e
1,,a .,, AMANOA MARIE WILLIAMS
Notary Public - St ' Notary Public - State of Florida
a Commission a' Ff 212919
Commission No. p019
My Commission E ' BondedtllrotphlgdomlNt aryAssn.
2
City of Sanford
HVAC Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each
box to the left or indicate n/a on this submittal. A complete application package shall
include the following:
0 Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
F1 Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
X A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
Completed and signed Owner Builder Statement / Affidavit (if the owner 1sj the applicant).
One (I ) copy of equipment sizing calculations — for new constriction installations:
o Residential - ACCA Manual J-2003 or other approved heating and cooling calculation
methodology.
o Commercial - ACCA Manual N-2005 or other approved heating and cooling calculation
methodology.
A 117
Conlrictor`Agcnt Date
These guidelines were coinpiled to assist the applicant in preparing a H! AC change out pei,n it application and
niay not be cotniplete. The applicant is required to meet all City of Sanford, state, and federal code
requiretnents.
Revised: March 2014
Tb
Pip rco 15 • v 33
PERMIT NO. ISSUE DA
WeSk br'oo k c
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORI
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
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 RIJFCTED INSPECTOR
ELECTRICAL
INSPF-CTION 77PE 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 4
DRYWALL/SHEETROCK PLUMBING
INSPECTION 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
INS'PF_C77ON 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 I 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
Tb 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
INSULATION FINAL 113 GAS
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
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 . . . 17-00001483 Date 5/22/17
Property Address . . . . 514 KAYS LANDING DR
Parcel Number 34.19.30.520-0000-1360
Application description . MECHANICAL PERMIT
Subdivision Name . . . .
Property Zoning . . . . . PUD
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 985887
Permit pin number 985887
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 410 MH02 MECHANICAL FINAL _/_/