135 Rockhill Dr 17-3011 HVACCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
D
Application No: / % _ 3
Documented Construction Value:
Job Address: % O G/ !r'.I 1 /, Historic District: Yes No
q r-
0UD 0 0 Residential Commercial Parcel ID • ,33 - / r3S /-
Type of Work: New Addition Alteration Repair Demo Change of Use Move ElDescriptionofWork: A /(--. _ k G`t G -C ou
Plan Review Contact Person: Title:
Phone: L 75^ Fax: `' f % /°/ maiL• I / ,Q 1/ c, C 6 i J'
Property Owner Information
l/
NamePhone: 7/) /( '- yv3 2 Street:
35 Resident of property? City,
State 7,ip: z . G / !s1 7 ) Contractor
Information Name (
o i 1_1, , Phone: 3 ; J 6 _ S_ Street:
Z Z f b V7-' %Z Fax: 3_ -' City,
State Zip: Gt % 3, State License No.: G AC-D5, Y Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Mortgage Lender: Address:
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: 5" 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 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 ]CC 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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
SignatureofNotary-State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature ofContracto A%ent bate'
Print Contractor/Agent's Name
MY COMMiS.4tON S FF 88 79
t- E*11 .June15.2D20
iNrq OQV {IYY FUbLV
Contractor/Agent is t/ Personally Known to Me or
Produced ID Type of ID
r
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
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:
Revised: June 30, 2015 Permit Application
Deft! DeBary DeLand/Orange City
6, 8-8752 386)734-9770
ytona
386j 761-8319
Brevard County FLORIDA321) 723-2040 aA1.j)
LIC # CAC050422
NAME AIR CONDITIONING,. INCC.
REFERRED
r
t
HOMEPHONE a CELL t
ITEMS
CHECKED APPLY O'PERMIT MANUAL J I7 MANUAL D Package
Unit tons ( );Heat Pump Condenser
tons (+) Heat Pump Air
Handler Coil
tons
cfrn w3
tons Heating
kw. strip Drain
Pan condensate Pump Locking
Gas Caps ej Hurricane Mounting Kit FilterRackFilterAprilaire
Shroud Sanford
Orlando 407)
322-0199 (407) 628-5748 New
Smyrna 386)
427-9149 ALL
OTHER AREAS:1-888-MID-FLAC 643-
3522 BILLING
ADDRESS IF DIFFERENT FROM
JOB LOCATIov CTE/
ZIP WORK EMAIL
1
INSTALLER
112 INSTALLERS El"l HELPER 2 HELPERS HORIZONTAL VERTICAL s. coot
Brand s. cool
Brand - Ns) vert. ( )
horiz. Model # f c _ `a ` SEER 4
L -' HSPF MISCELLANIOUS o}
Thermostat
wall type ( ) non -programmable programmable Precast slab
for condenser unit Ref. Lines
ft. ( ) ref. line cover ( )Flush Kit t) Condensate
Line iPlans - Clean-
up Plywood Top ( ), `
2 x 4 Studs Float Switch (")
Wet Switch DUCT SYSTEM
New System
supplies with dampers Fiberglass Duct
Flex System
Direct Return ( )
ducted ( } filter back grill Insulate Platform
Reconnect Plenum
O Mastic MISCELLANEOUS OR
EXTRAS: EXISTING BREAKERS
BREAKERS NEEDED Type Type
Indoor Amps (-}
F) thick ( ) thin Indoor Amps ( ) thick ( ) thin Outdoor { Amps (
f°) thick thin .Outdoor Amps ( )thick ( )thin ELECTRICAL Hook-
up
by MID-FLORIDAAIC, INC. k") Low
Voltage by MID-FLORIDAA/C, INC. Electrical by
others if needed not in price Initial LIMITED WARRANTY
AND GUARANTEES Manufacturers year
warrantyoncompressor. ra year warranty
on all other Manufacturers parts. ' t free service
from date of start up F) year warranty
on all other parts installed by MID -FL A/C, INC. Warranty does not
cover Filters, Tripped Breakers or Maintenance Manufacturers warranty for
original homeowner only z We agree
to
furnish and install the above described labor and materials on the terms indicated below. It is agreedthatthepurchaserreleasesthesellerfromandthatthesellerassumesnoliabilityandshallnotberesponsiblefor any loss, damage or delay caused by actsofgovernment, strikes, lockouts, fire, explosion, theft, floods, rain, water damage, riot, civil commotion, war, nuclear disaster, fungi, mold, bacteria, malicious mischief, picket tines, acts of God, or by any cause beyond its control and any event of consequential damages. If any claims or disputes arise itisagreedtobythepurchaserandsellerthattheywillbesettledbyamediator. y, PAYMENTTYPE: El
CHECK El CASH CREDITCARDThe customer acknowledges that priortosigningthisproposalhehas $ read the terms andconditionscontainedhereinandherebyacceptsa^ this proposal including the
conditions on the reverse sine hereof which $ are a part of
the proposal; and further agrees to make payments as a $ follows: 100 /o WHENEQUIPMENTIS INSTALLED $ PRICE INCLUDES ALL
DISCOUNTS,
BUYER'S RIGHT TO
CANCEL." REBATES AND INCENTIVES If this is a
home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by mailing a notice to the seller., This notice must be postmarkedbeforemidnightofthethirdbusinessdayafteryousigntheagreement. If you cancel this agreement, the seller may keep all or part ofanycashdownpayment, not to exceed the lesser of 5 percent of the cash price or $50.' Date Purchaser Estimator. ' = r
We
Recommend
the Power
Company Test Your Ducts For Leaks 0 FPL DUKE ENERGY
PHONE 1-866-712-3413
TSXNFORD
DEPARTMENTFIRE
PERMIT NO.
CONTRACTOR:
JOB ADDRESS:
7-zolf ISSUE DATE:
M led. Florifoca.
Building & Fire Prevention Division
Residential Permit Card
cZ. / c.
35 I2ockh;ll 4-re" TYPE OF WORK: C/
o 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 77PE' APPROVED
REJECTED
INSPECTOR ELECTRICAL INSPEC7%ON77PE_ APPROVED
RE:
IE_CTFD INS'Ph_'CTOR 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
INSPECTOR SHEATHING - WALLS FRAME MECHANICALROUGHINSULATION
ROUGH IN MECHANICAL
FINAL DRYWALL/SHEETROCK PLUMBING INSPECTION
TYPE APPROVED REJECTED
INSPECTOR LATH INSPECTION FINAL STUCCO/SIDING UNDERGROUND
ROUGH FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER INSULATION
FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION TYPE APPROVED REJECTED
INSPECTOR ROOF INSPECTION TYPE APPROVEDREJECTED
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 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 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 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.
BUILDING
FOOTER
STEMWALL
FORMBOARDSURVEY
SLAB / MONO -SLAB
LINTEL / TIE BEAM
SHEATHING - ROOF
SHEATHING - WALLS
FRAME
INSULATION ROUGH -IN
DRYWALL /SHEETROCK
LATH INSPECTION
FINAL STUCCO / SIDING
FIREWALL SCREW
FIREWALL FINAL
INSULATION FINAL
FINAL SFR
ROOF
ROOF DRY -IN
FINAL ROOF
FINAL DEMO
FINAL SOLAR PANELS
FINAL POOL SCREEN
FINAL UTILITY BUILDING
MOBILE HOME TIE -DOWN
Miscellaneous Notes:
AUTOMATED INSPECTION SYSTEM CODES
ELECTRICAL
104 ELECTRIC UNDERGROUND 211
102 FOOTER / SLAB STEEL BOND 221
147 T.U.G. 216
103 PRE POWER FINAL 218
105 ELECTRIC ROUGH 212
106 ELECTRIC FINAL 213
115 MECHANICAL
109 MECHANICAL ROUGH 409
110 MECHANICAL FINAL 410
131 PLUMBING
132 UNDERGROUND ROUGH 322
130 TUB SET 312
120 SEWER 311
143 PLUMBING FINAL 313
113 GAS
138 GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314
116
III
GAS FINAL 315
MISCELLANEOUS / FINAL INSPECTIONS
126 FINAL DOOR 136
134 FINAL WINDOW 137
139 FINAL SCREEN STRUCTURE 127
124 FINAL BUILDING - OTHER 112
145 MOBILE HOME BUILDING FINAL 146
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
7--------------------
Page 2
Application Number . . . 17-00003011 Date 10/12/17
Property Address . . . . 135 ROCKHILL DR
Parcel Number 33.19.30.516-0000-1560
Application description . MECHANICAL PERMIT
Subdivision Name . . . .
Property Zoning . . . . . PUD
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 1006865
Permit pin number 1006865
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 410 MH02 MECHANICAL FINAL / /