127 Pinefield Dr - M18-002812 - HVACPrFO/r/J • S P
JBUILDING DIVISION
JUN 2 1 2018
Q
PERMIT APPLICATION
Z
p
Application No: I a
Documented Construction Value: $ Sg
Job Address: 12 % Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration QRepair Demo Change of Use Move
Description of Work: FIN
Plan Review Contact Person: ' /{'-l ' /'n.r,i/ Title:
Phone: y0 -7 e 8-,6 *_Fax:.. Email:
Property Owner Information
Name rA
Street:
City, State Zip: J"sq ^j,t- e r` ck r L -7 q/
Phone:
Resident of property? :
s Ca„1S' f /P-fi7 Contractors Information
Name n Aefi r a Ss r' r3 L `v v 1 , Phone: Street:
r7 Fax: 9v
7 -- 6 9r-- $rKip", City,
State Zip: whr 1' 11' ! /(, % 9 State License No.: ep1M OrOA 1 Name:
Street:
City,
St, Zip: Bonding
Company: Address:
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 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.
Revised:
June, 2018 Permit Application
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 611 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 ofpermit is verification that I will notify the owner ofthe 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.
Signature ofOwner/Agent Date Signalure of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
LQL4 v 0. a/k
Signature of Notary -State of Florida Date Signature of Nota T., , on a JZ-BB E SLAUMSv,..ram •. tty CObtMISSION # FF 178M
XPIRES: February 25, 2019
5p;i LoldsCT Urisrvrl!ers
Owner/Agent is Personally Known to Me or Contractor/Agent is Persona!no w_ n 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: 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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June, 2018 Permit Application
Q®OI.iNG AND NEA'iitr GC®. I . . -
14J5 Centres/
Service ePot• 876
Falkirk Dr. Winter Springs, FI, 32708 Cooling -
Heating - Refrigeration Installation -
Sales and Service ST.
CERT. f# CA C058126 NAME:
Tracy Young 127
Pinefield Drive ADDRESS:
CITY/
STATE: Sanford, FL ZIP: 32771-6813 EQUIPMENT:
Package
Unit tons I ) Heat Pump X)
1 Condenser 2.
5/3 tons (K Heat Pump X)
1 Air Handler 2'
5_ tons ( ) Coil
tons ( ) X)
1 Heating 5
KW K.W. Strip MIS
CELLANEOUS• X )
Thermostat ( ) Heat:Cool (K ) Heat Pump X ):
precast -slab for condenser unit Ref.
lines ( ) Condensate line .( ) Line Cover X )
Plans f < ,) Permit fK ) Clean up X )
TCONT401 AS42DAA / Trane Digital Wall Thermostat. Invoice #
06192018 40
7) 876-4411 40
7) 605-4848 40
7) 331. -4005 DATE:
6/19/2018 PHONE: (
H) 407
321 6196 JOB
NAME: Young Residence X )
Model•# 4TWR503W1000A K )
Model # TEM6A0B30H21 SA Vert. _ ( )
Hoft Model # SEER
15+
HSPF 8.90 DUCT
SYSTEM: New
system supplies with dampers Fiberglass -
Duct ( ) Flex System (X )
Filter back gril Direct
Return ( ) Ducted Return X )
Dud reconstruction, return and supply. LIMITED
WARRANTY AND GUARANTEES: X )
Manufacturers 1_
0 year warranty on compressor. X)
10 year warranty on all other parts installed by Central Service Depot
Inc. X )Trane ten year all part and two year labor warranty. NOTE:
System registration required with Trane Co. PROPERTY
LEGAL DESCRIPTION: Lot
Block Tadypcpc@gmail.
com SERVICE
PERFORMED: r _ _...
L.:nrrnrrnanre Trane XR15 Heat Pump System, to include Variable Speed Air Handler and Trane Thermostat ti ., instanation
or new ..1y.. ram••- - -- We
agree to furnish and install the above described labor and materials on the terns indicated below for the purchaser. 4,693.00 ACCEPTANCE
TOTAL
CONTRACT PRICE OF: S
The
customer acknowledges that prior to signing this CUSTOMER REBATE 4,593.00 proposal
he has read the terms and conditions contained Customer Referral-$100.00, Total = herein
and hereby accepts this Proposal. Date:
Purchas
Sales
Engineer: Ric . ongiove CAC_0 I