128 Queen Ct - M18-002955 - HVACCITY OF
VSXNFORD Building &Fire Prevention Division
PERMIT APPLICAATION
FIRE DEPARTMENT 1 ( , d 01S S/ Application No:
Documented Construction Value: S
Job Address)28 QuealCl Historic District: YesF—]Now
Parcel 1D: 53-19-- 04r) . 13-Ootlp- OCayb Residential Commercial
Type of Work: Ne"D Additio),TJ Alteration RepairD Demo Change of Use Move ®
Description of Work:
Plan Review Contact Per son::V U 1 Title: Ili ( •
Phone:"lb1'3 'ZWc, Fax4b7L. ?&T Emai1: •
p. Property Own r Information
r.
Name wI Q Phone: to - 2Qb- `'14%-
Street: a1) eeo C Resident of property? :
City, State Zlp: J0 i L 3171 1
Contractor Information
t
Name i Phone:L4U 1'333"'Z(0(Qs
Street: U Fax: —I V7- L3/_
p,'
oSC, +.,_
Q
City, State Zip: I State License No.: f _ lTl.V3)t4q p
Architect/Engineer Information
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
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. 1 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 most be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Sball be Inscribed with the date or application and the code In effect as of that date: 611 Edition (2017) Florida Building Code
Revised: January 1, 201It Permit Application
NOTICE: In addition to the rcquirenncnts 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 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 offthe executed contract exceed the actual construction value,
credit will be applied to your permit fees whet) the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and flint orlt will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Ag ut Date
Prim Owner/Agent'sName / is - 'naeUn/Aga st i
Signatum of Notary -State or Florida Date signature orNm fi ICFLu; ttta gv:; CHERYL i) A
MY COMMISSION if FF998962
FXpIFtEr June 05, 2020
play a ro:err9c.rco corn
Owner/Agent is_ Personally Known to Me or Con ?llten _ ersonally, Known to Mc 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 Atttps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No It of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING
COMMENTS:
UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
Revised: lonuary 1, 2019 Permit Application
SCPA Parcel View: 33-19-30-513-0000-0660 http://parceldetail.scpafl.org/ParcelDctailinfo.aspx?PI D=331930513...
r
I APPt'tA15ER
OL'MI iLr11Y..J'IV
Property Rocord Card
Parcel: 33-19-30-513-0000.0660
Property Address: 128 QUEENS CT SANFORD. FL 32771
Parcel Information Value Summary
1 -
Parcel * 33.19.30.513.0000-0660• _ _
y
2018 Working rtifi20Ceed1—' "— -
I_ Values Values Owners))
DIAMOND, WILLIAM T Valuation
Method Cost/Markel CosUMar- ket Property
Address' 128 QUEENS CT SANFORD, FL 32771 I 1 Number
of Buildings tI1 1 Moiling
128 QUEENS CT SANFORD, FL 32771 i Depreciated
Bldg Value 143,425 138.556 1
Subdivision
Name M AYFAIR OAKS_t3t930513 I Depreciated EXFT Value 2,063 E2,075 Tax
oislrict St-SANFORD Land Value (Market) 38,000 38,000 DOR
Use Code 0130•SINGLE FAMILY WATERFRONT Just/
MaretValue "Value " $183,488 $178.631 Portability
Adj Save
Our Homes Adj S28.142 $27,460 Amendment
1 Adj SO P&
G Adj $1 - -- $1 - 1 Assessed
Value ; $154,348 5151,171 Tax
Amount wlthoul SOH: $2,613.55 220
7 ill Al TnxBAmountxBillBillAAmo ,tnt $2,090.68 Tax
Estimator Save
Our Homes Savings: $522.87 Does
NOT INCLUDE Non Ad Valorem Assessments Legal
Description LOT
66 - - MAYFAIR
OAKS PB
50 PGS 38 THRU 41 Taxes
Taxing
Authority Assessment Value Exempt Values Taxable Value County
Gonad Fund ! 164.346 50.000 104,346 Schools
154,346 25.000 129,346 City
Sanford 154,346 50,000 104.346 SJWM(
Sdnl Johns Water Management) 154.346 50,000 104,346 County
Bonds 154.346 50.000 104.346 Sales
Description
Date Book Page Amount Qualified Vac/Imp I WARRANTY
DEED 8/1/2015 08544 oaGs $196,000 Yes Improved f SPECIAL
WARRANTY DEED 9/3/2009 07247 11882 $126,500 No Improved I CERTIFICATE
OF TITLE 5/15/2009 07184 D908 $100 No Improved Ij WARRANTYDEED7/1/2004 05416 1292 $177,500 Yes I WARRANTY
DEED 6/1/1999 03688 0W87 $120.000 Improved
Yes
Improved I
Find Comparable Sales ' Land
1
Method 1Frontage I Depth 1
I Units 11 Units Price _ Land Value LOT
0.00 0.00 1 $38,000.00 38.0 0i L
Building
Information V
Is
BedlBath count incorrect? Click Here Doscription
Year Built Fixtures Bed Bath Base Area ! Total SF J Living SF ( Ext Wall 1 Adj Value Rep) Value T Appendages I
of 2 6/25/2018, 4:01 PM
poll
DEL=AIR 88*831-2665
24 Hours - 7 Days a Week 04/20/2013
Healing - Air Condrtioonry-Appliant:'s v3
State Cat CAC032.a WWW.DELAIR.COM
TREY DIAMOND 386-290.9406 6/21/2018 JOHN ALDRICH
128 QUEENS CT Email 407-353-6139
SANFORD FL 32771 WWW.DELAIR.COM
o S 2ESEPr o S t
Trane XR 16 HP system with VAR SPC A/H 3 TON 16.0 7,101 867 6,234
XR Warranty; 10 years on all functional parts, 1 Year labor, and 10 year compressor & 10 year coil.
Resbenu.x use
Ontr
On a 93 Degree Day the inside Temperature can be 78 and on a 30 Degree Day the Temperature will Average 70 Degrees f
Your First Planned Maintenance is Included With This System
Reco E t n 1121.t c e c
a, Basic Extended Warranty coverage includes equipment and standard thermostat b, basic
Extended Warranty coverage does NOT Include Will Themxostat, EAC, Damper Systems, or other accessories unless purchased separtely c, All
Extended Warranties require annual maintenance or coverage is void
Extended Warranties S I Dedined
Optional MO Enhancements — _ — -
Elficlency Agreement $ • t QL; $
NH 51.27X 23.5 X21.3 1 _BAYH_T_R16068RKC
37 X 37 X 34 t
TEM6A0C36H31SA
COND 1 4TWR603SH1000A
Use Existing Stet 1
1PlatformLineri3NewTop
LINE SET 310 x 7/8 x 3/4-30' 318 I 7/8 1 LS387830 H033430 1 LS387830 H033430
Replace 3/4 PVC Drain Line with Line Set 1 i
Install New Condenser Pad 40 X 40 1 H022745 j
RETURN GRILL - NO DUCT - WITH FILTER - MAX (20 X 20) 1
1 SAYSF123SAAARequiredAccessoriesBAYSF1235AAA
Dispose Of Old Equipment 1
1NewIrt-Line Safety Float Switch
1CleanWorkAreaAtJobCompletion
1ReconnectExistingSupplyPlenumtonewunit
1Permit
Paying By I Check or Cosh
COM R ST M P OPOSA S stem I -estmem
Total S 6,234
S
S
S
No Power Compaov Keuale E
a
In ,r S
BalanceDue ' S 6,234
Date 6/21/2018
TREY DLRAOND Proposal Valid Until 7/21/2018 JOHN ALDRICH
Page 1 of 2
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 7562981 Date: 5/24/2016
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 4TWR6036H1
Indoor Unit Model Number: TEM6AOC36H31;TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
Series name: XR16
Manufacturer responsible for the rating of this system combination is TRANE
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
Cooling Capacity (Btuh): -' N 34600 _ , 3
EER Rating (Cooling): __ -` 13.00
SEER Rating (Cooling): \' 16.00 -
Heating Capacity(Btuh) @ 47 F: 33000
Region IV HSPF Rating (Heating): 9.00
Heating Capacity(Btuh) @ 17 F: 21200
Ratings followed by an asterisk I') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which Indicates an involuntary rerale,
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the producl(s). or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the
dlreclory at www.nhrldlrectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used forindividual, personal and
confidential reference purposes. The contents of this Certifkate may not, in whole or in part, be reproduced. copied: disseminated;
entered into a computer dntabase; or otherwise utilized. in any form or manner or by any means, except for the users individual,
personal and confidential reference. AIR-CONDITIONING. HEATING,
CERTIFICATE VERIFICATION 6 REFRIGERATION INSTITUTE
The Information for the model cited on thiscertificate can be verified at www.ahrldlrectory.org, click on'Verity Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued.
which is listed above, and the Certificate No., which Is listed at bottom right.
@2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13108612754971a400
cuR,, .
10
y
DIVISIONBUILDING
PERMIT NO. I • 9) 5 So ISSUE DA
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
Building & Fire Prevention Division
Residential Permit Card
o7.os, i
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
INSPECTIONTYPE 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
DRYWALUSHEETROCK PLUMBING
INS EC77ON TYPE APPROVED REIRCTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION TYPE APPROVED RFJECTED INSPECTORROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE. APPROVED RFJF.CTFD INSPECTOR INSPECTION 77PF. APPROVED RFECTEO 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 Lint: 407.792.6069 or $53.341.2112
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
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
GASINSULATIONFINAL113
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 855.541.2112
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 . . . . . 18-00002955 Date 7/05/18
Property Address . . . . . . 128 QUEENS CT
Parcel Number . . . . . . . . 33.19.30.513-0000-0660
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 1062405
Permit pin number 1062405
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 410 MH02 MECHANICAL FINAL _/_/_