213 Terry Ln 17-169 HVACCITY OF SANFORD
h JAN 1
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
BY• ppIlcation IYo: (P
Documented Construction Value: S
Job Address: 1 -T1..ei_ FL 3x.)71 Historic District: Yes No Parcel
ID: 3J - -Sa, - G (j Residential [0 Commercial Type
of Work: New Addition Alteration FRepairEl Demo Change of Use Move Description
of Work: gwE 14 eAc;Oins GL, j'J ' Plan
Review Contact Person: Title: Phone:
tolj Fax.• f 7- 91-0 O Email: tW{1CP.lti nO y c. C—ow) Property
Owner Information Name
Phone: 1/07 - 3a4 YSk Street:
kS_TeffNj (S 2 Resident of property?: "4e Q City,
State Zip: '7 Contractor
Information Name
X Dflu\LAO 1z Phone: `'[V- Z 1CJ -oc)(9 0 Street:
W l _L Men -b Fax: W U 3a O City,
State Zip: fZCJQfd() State License No.: CAS' @:'. 9 Arch
ltect/EngIneer Information CAA I C) P Name:
Phone: Street:
City,
St, Zip: Bonding
Company: Address:
Fax:
E-
mail: Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. 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 inthisjurisdiction. 1 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: P Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit
Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinance. 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.
Signature orovma/Agem We
Print Ottnrr/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
bignamrc otiuntrat'05Ag N.,Date
Print Coauac[or/Agen" Name 1
g purr of Notary-Sto • of Florida os
Contractor/Agent is —""Personally Known
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: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: lute 30, 2015
Permit Application
JH, provemeflkAgreelTtErltMVACins t ilation
The Installation Professional named below will (umish, install and service the equipment listed below at the price, t rms and conditions as lined on this form.
Service Provider Information:,
Iratasat m Prat Orrel
ii
Admen w-. Le<e BrE. oeu propesa / .
stale. p
I
V(
B
f
of
Home Depot I atkm:
Load B e
custnanes trrfernSatfea, S'r vw •. rlt; t.A %t r v C
THD trK3 B
w 1 A.
Equipment' and System Deslnn Infoiinatlon:
IMA_
JE , f
It
YW W W I M W2K.—"'AW"AE=
v
ProWder /
13Nbar"
Type Eeptipmettt
Htxne Depot Home [Is Pert Complete emlPlcg Una
Extended Service Una Soper / U467AgreementOnly uctiMa Parts & Labor Fu Air Handler Otter`^
SCOPE OF WORK: Complete each box with YES, NO, or WA (Not Applicable)
OUTDOOR UNIT REFRIGERANT AND REFRIGERANT LINES
New outdoor unit pad? Install and correct new refrigerant Ilries
Use exfst(ng oukloor unit paw Reconnect existirig refrigerant rtiiai
DUCT SYSTEM'qOMFqffT CONTROLS
Ductwork Is property sized 0,400dm per ton Reconnect existing th
Reconnect wdsdng duotvb to rimy equipment Install new thenrwstat,
Ductwork nioddicadons ate needed (see notes) EOUtPBdENT
INDOOR UNIT (air handier or furnace) Remove old equipment from jobsite
Reconnect to existing condensate pumpAkWdrakdoverflow pan
ckda all that apply)
Remove old ductwork from'tohsite
J ELECTRICAL
New wndenssale PuffWAkKWdrakV&vedkW pan (circle as that apply) Recomtect exlstkrg electrical at ktdoor unit _ _
Reconnect to existl q; tkm p4*V LAD Recorutect exLstireg electrical to outdoor unit
New flue piping venting through (circle one)
bwWalicn roof, will; or chimney fj DNew
New indoor electrical IT"ided In proposal
outdoor electrical Mlctided In proposal
Reconnect to mdsting gas or fuel line Bectrw ttpg" needed - SEE NOTE
Now gas or fuel Ikee - SE NOTES Ckde any existing components of the HVAC
system that will be reconnected and used: FURNACE,
AIR -CONDITIONER. HEA PUMP. COIL, AIR HANDLEDR
I 11` Home il tproveme t A reet nent:HVAC 6nst`altairori
The Installation Prolesslohal named below will famish, Install and service the equipment listed below at Um price, ltrms and conditions as neii on this norm. Service
Provider Information: InEwA
ion Pratecslmw + _ Ad&
wa Ucernrs tME Oate pmpasal vtr2ir ov
Horne
Depot i anon: Lead
r s 0IC D tI1L1 9M 0 Custn•
nar rnfeneatlene SY10® • •. '%it PJJ A 1 eJ L - • ON"
40 VEMIR-
Mr.-M-FRM Equipment
and System Desian Intorfmatlon: 1.....
lei, r..r i iL: C
W211" 7, W.May"At= r Length.
TXP4
FAltipmem
CqArad Home
Depot 'Home Complete mVPhg Urdu Emended
Service O War, Unh Boller Agreement
Only O uetiMe Labor Fu Air Handler 0ef r ! ff
SCOPE
OF WORK: Complete each box with YES. NO, or WA (Not Appikable) OUTDOOR
UNIT REFRIGERANT AND REFRIGERANT LINES New
outdoor unit paw and connect new rehigera l Ilnes Use
existing outdoor unit pact? EInstall pReconnectexLsting reltlgea t fines DUCT
SYSTEM 90MFWCONTROLS Ductwork
is property sized ®'400drn per ton Reconnect existing th S Reoonnecl
ewsting ductwork to rtew equipment Install new ftrmostal. Ductwork
nxxfAcations ate needed (see notes) EOUtPAtENT INDOOR
UNIT (air handler or luntace) Remove old egtdpmenl from jabatis Reconned
to axisting condensate pumpAineMraWoverllow pan ckde
ell that apply) Remove
old ductwork from jobsite ELECTRICAL
New
condensate punpWWdraWaverflow pan (drae all that apply) c V JES. RecortrreO Misting electrical at indoor unit _ Reconnect
to existing Ikte piping Reoomed existing eWdcal to outdoor unit New
flue piping venting through (circle one) toundalion
roof, waJI. or chlmney Now'
tndoor electrical Included In proposal Now
outdoor electrkal inlcuded In proposal Reconnect
to existing gas or fuel line r EW*kal upgrade needed - SEE NOTE Now
gas or fuel tine - SEE NOTES Chile any eAsting components d the HVAC system
that win be reconneded and used: FURNACE, AIR•
CONDITIONER, HM PUMP, COIL, AIR HANOLEDR l:!•' ,
T. vcc..
Intent $ 4 %pJ r."
e a e—
N IC : In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinance. 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.
Signature of Owner/Agrnt Date
Print Owter/Agent's Name
Signature of Notary -Slate of Florida We
signs c ofioat o g pate - P.
Print Contractor/Agent's Name
g pure of Notary-Sta of Florida eb
I
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Contractor/Agent is Personally Known
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: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: lute 30, 2015
Permit Application
City of Sanford
D ' ' Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. I I 1 `,Q ISSUE DATE: I I • 'I
CONTRACTOR: ARV Orjohljo
JOB ADDRESS: W06 Ifoo "y t id N e.
TYPE OF WORK: Owt4la New 2 4cN %
7— Post this permit in a conspicuous location outside
Approved plans must be posted with permit for inspection
all work uncovered until inspected and approved
PerLmit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION TYPE APPROVED RFJEC'TED INSPECTOR
ELECTRICAL
INSPECTION TYPE APPROVED RFIF.C'TFO 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
INSPECT/ON TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALUSHEETROCK PLUMBING
INSPF.CTION7TPE 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 RFJFC'TFD 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