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172 Golfside Cir; 18-3936; HVAC CHANGE OUTCITY OF M `RDSki4F0 PERMIT APPLICATION BUILDING DIVISION Application No: I Documented Construction Value: $ (Pa (DO f Job Address: h a CQW75 d e C(Z fQ(-V&d 3) Vtoric District: Yes Non Parcel ID: Oq ' Z C) ._ SO - S 1 a " C7QC Q 00 3 3 Residential z Commercial Type of Work: New Addition Alteration Repair,Z'Demo Change of Use Move Description of Work: \/ QC Cr\nr'\Q-P Plan Review Contact Person: _S'\Cr r e e Sn-1 L 4- h Title: f-r(n 1 11 (G- Phone: L , 0 OS Fax: C/0_7a7.3 ql( SC/ Email: m `4'%1 'o 0 t CCir--- n Property Owner Information Name n Ot S ' C QW i (_1n rL1S Phone: S o1 a () 3 ysI1 , Street: a- 6,)l -AS, Gtz Resident of property?: J25 City, State Zip: SGn-RY ( 3' , a 3 Contractor Information Name _ k V-\ (a 161 -L' Phone: q n r8_J- O-7Q,:, Street: I Sa U Q C Cy t of 1 r Fax: gc- _z' - City, State Zip: ` a ncio '52 S Z (_0 State License No.: C lie ©555(pS Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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 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: 61' Edition (2017) Florida Building Code 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 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 zoning. 7 CL17( 'ibU Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's N e Pri t Contractor/Agent's N e t ( 1y SignatureofNotary -State of Florida Date Signature of Notary -State of Florida Date Owner/ Agent is Personally Known to Me or Contractor/Agent is 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: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: i0 -i r S /555 TIM KNIGHT 407-275-0705Y 1 . y ,1 s tkniaht@rinaldis.com www.rinaidis.com CAC055565 15264 E. Colonial Dr. Orlando, FI. 32826 Phone: (407) 275-0705 Fax: (407) 273-9654 Customer Name: VALERIE MARBLE (- i'( 1) C C k-- Date: 6-Sep-18 Addres:172 GOLFSIDE CIR Phone: 352-250-3745 City, State, Zip SANFORD, FL 32773 Email: THOMASROWE4427@ATT.NET For the sur set forth we agree to furnish, install, and service the equipment listed below at the price, terms and conditions listed on the proposal. Equipment Manufacturer DAIKIN Tons 2.5 SEER 15 Heat Pump/Straight Cool H/P H/P H/P Refrigerant Type R-410A R-410A R-410A Condenser Model # DZ14SA0301 7 CC 1 ` / Air Handler Model # DV30PTCC14 l)\J 1 Heater Model # 5KW 5KW 5KW tandard Compressor Warranty 12 Years LIFETIME 10 Years Standard Condenser Coil Warranty 12 Years 10 Years 10 Years Standard Parts Warranty 12 Years 10 Years 10 Years Standard Labor Warranty 1 Years 1 Years 1 Year SubTotal 6,200.00 Utility Rebate DUKE Manuf. Rebate Rinaldis Discount Net Investment 6,200.00 0.00 0.00 Installation Shall Include: Air Handler in GARAGE Inspect duct work and make recommendations Install new copper lines 3/4 and 3/8 1 Hurricane Concrete Slab Condenser Hurricane Straps New 3/4 drain line with float safety switch EPA Refrigerant Recovery Remove & Haul Away Existing Equipment T-stat HONEYWELL 8000 WIFI Extended Labor Warranty OF $975.00 CAN BE ADDED All work is performed by qualified, factory trained technicians Tax, labor, and materials are included in total above Existing breakers will be changed to match new system New 4 piece supply hook up Insulate return platform under unit Warranty MON - FRI 8 - 5 Quality Control Inspection & Fine Tune 1- 6 MONTH peak performance maintenance check 2- 1" Pleated Filters Supplied, If Applicable Clean Work Area To Customer Satisfaction All Necessary Permits Will Be Obtained Meet All Industry Standard Codes Complete System Start Up J ANCING AVAILABLE FOR QAULIFYING CUSTOMERS. ADDITIONAL CHARGES MAY APPLY N CHARGES W PLY. ABOVE PRICES ARE CASH OR CREDIT GARCustomer11Z;Z OI-- 1 Date: ( (i(- Comfort Specialist: TIM KNIGHT Date: 6-Sep-18 sc av yap Parcel 0420-30 513-0000 0030 2018 Working 2017 Certified Owner(s) ROWE THOMAS LIVING TRUST- Trust Values Values Address 172 GOLFSIDE CIR SANFORD, FL 32773 Valuation Method Cost/Market Cost/Market Number of Buildings 1 1Mailing172GOLFSIDECIRSANFORD, FL 32773 Subdivision Name MAYFAIR CLUB PH 1 Depreciated ValueDepre ' t d Bldg V I 1 2 51 83 106,247 Depreciated EXFT Value Tax District S1-SANFORD Land Value (Market) 35,000 35,000 DOR Use Code 01 SINGLE FAMILY Land Value Ag Exemptions 00 HOMESTEAD(2011) Just/Market Value 147,583 141,247 C) L Portability Adj Save Our Homes Adj $55,148 $50 713 Amendment 1 Adj $0 P&G Adj $0 $0 Assessed Value f $92,435 $90 534 Tax Amount without SOH: $1,901.71 2017 Tax Bill Amount $936.05 Tax Estimator Save Our Homes Savings: $965.66 TRIM Notice HEIR w_ W Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 3 MAYFAIR CLUB PH 1 PB53PGS7&8 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 92,435 Schools 92,435 City Sanford 92,435 SJWM(Saint Johns Water Management) 92,435 County Bonds 92,43.5 Sales 50,000 42,435 25,000 67,435 50,000 42,435 50,000 42,435 50,000 42,435 Descnp6on_ Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 4/1/2012 07752 1719 100 No Improved WARRANTY DEED _ 9/1/2010 07460 1517 120,000 No Improved WARRANTY DEED 7/1/2006 06335 0456 226,000 Yes ImP roved WARRANTY DEED 4/1/2004 05284 0049 100 No Improved WARRANTY DEED 3/1/2003 04751 1748 100 No Improved WARRANTY DEED 12/1/2002 04653 1852 133,000 Yes Improved SPECIAL WARRANTY DEED 12/1/1998 03565 1575 92,100 Yes Improved .' Find Comparable Saks Land Method Frontage Depth Units Units Price Land Value LOT 0.00 0 00 1-$35,000.00 35,000 Building Information Is Bed/Bath count Incorrect? Click Here Description Year Built Actual/Effective Fixtures Bed Bath _ Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 of 2 9/11/2018, 2:18 PM SCPA Parcel View: 04-20-30-513-0000-0030 http://parceidetail.scpafl. org/ParcelDetailInfo.aspx?PID=0420305 1 SINGLE 1998 7 3 2.0 1,264 1,680 1,264 CB/STUCCO $112,583 121,057FAMILYFINISH Description Area GARAGE FINISHED 400.00 OPEN PORCH 16.00 FINISHED Permits Permit # Description Agency Amount CO Date Permit Date 02717 1680 SQ FT SANFORD 58 500 12/30/1998 8/1/1998 Pe ttAdC Aces notorIgInatetrorn me Semlrlde e H property Appr uer's otrke. for AeOils or QueStlons concerning a perml; please eonGct Ne bulking Aepartment of me bx AlStrkt In Whkh the propertyl51oea0ed. Extra Features Description Year Built Units Value New Cost A I NO VALUE 1/1/1998 1 :.......,..._..........................$0 2 of 2 9/11/2018, 2:18 PM AC"RD CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDD/YYYY) 08/15/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kristin TuhacekNAME: Lassiter -Ware Insurance of Maitland PHONE (800)845-8437 FAx (88 8)883-8680A/C No Ext : A/C, No): 2701 Maitland Center Parkway ADDR1ESS: KdstinT@lassiterware.com Suite 125 INSURER(S) AFFORDING COVERAGE NAIC # Maitland INSURERA: United Fire & Casualty Company 13021FL32751 INSURED INSURER B : AmGUARD Insurance Company 42390 Air Conditioning Contractors, Inc., et al INSURER C : Travelers Property Casualty Company of America 25674 DBA: Rinaldi's Air Conditioning Service INSURER D : FFVA Mutual Insurance Company 10385 15264 E. Colonial Drive INSURER E : Orlando FL 32826 INSURER F : rccv1QlV14 IYUmCStK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATEMAYBEISSUEDORMAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR TYPE OF INSURANCE INSD WVD POLICYNUMBER POLICY EFF MM/DD/YYYY P LICY EXP MM/DD/YYYY LIMITS AN X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR 60339268 08/15/2018 08/15/2019 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTE15,lOO,000PREMISESEaoccurrence MED EXP (Any one person) 5,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X jE0. LOO GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OPAGG 2,000,000HOTHER, Employee Benefits s 1,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNEDSCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED ONLY AUTOS ONLYIX AIAU942636 08/15/2018 08/15/2019 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S S C D X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE NlA ZUP-14S5034A-18-NF WC840-0032928-2018A 08/15/2018 01/01/2018 08/15/2019 01/01/2019 EACH OCCURREN CE S S,000,OOO AGGREGATE 5,000,000 DED I X1 RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? Mandatory in ( f yes, describe underI DESCRIPTION OF OPERATIONS below X STATUTE ER S E.L. EACH ACCIDENT 500,000 E.L. DISEASE- EA EMPLOYEE 500,000 E.L. DISEASE - POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CFRTIFICeTP 44nl nco City of Sanford P.O. Box 1788 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Sanford FL 32772 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SrtyPOR177OPF. • mlolt BUILDINGDIVISION ssr Isar PERMIT NO. ISSUE DA CONTRACTOR: / • JOB ADDRESS: i TYPE OF WORK: Building & Fire Prevention Division Residential Permit Card o I FT I aG4. mac. 9. i 7. 141 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 TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL 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 INSPECTION 7TPE 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 7TPE APPROVED REJECTED INSPECTOR FINAL DEMO FINAL DOOR FINAL SOLAR PANELS FINAL WINDOW 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 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 5:00 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 SHEATHING - WALLS 115 MECHANICAL FRAME 109 MECHANICAL ROUGH 409 INSULATION ROUGH -IN 110 MECHANICAL FINAL 410 DRYWALL / SHEETROCK 131 PLUMBING 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 FINAL DEMO 126 FINAL DOOR 136 FINAL SOLAR PANELS 134 FINAL WINDOW 137 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 855.541.21,12 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 . . . . . 18-00003936 Date 9/17/18 Property Address . . . . . . 172 GOLFSIDE CIR Parcel Number . . . . . . . . 04.20.30.513-0000-0030 Application description . . . MECHANICAL PERMIT Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL Additional desc . . Phone Access Code 1077650 Permit pin number 1077650 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 410 MH02 MECHANICAL FINAL / /