323 San Lanta Cir - M18-003694 - HVACCITY OF SANFORD
r BUILDING & FIRE PREVENTION
F Dj PERMIT APPLICATION
Application No: •
Documented Construction Value: $ _ FOO •
Job Address: _32 3 5,9-h `(, ti&, C, c1c__ Historic District: Yes No
Parcel ID: (- 19 - 1 — 57D<-_C00 p _O y z) Residential Commercial
Type of Work: New Addition[] Alteratiioon Repair Demo Change of Use Move
Description of Work: /74/,Gti rt/r„ J J 1 d
Plan Review Contact Person: _LUS41n La Mb a4atO Title: W/4C^
Phone: Fax: Email:__
Property Owner Information
Name 5 /3 f/e %uS /V fJ %rLySfecr Phone:
Street: "-To Resident of property? ; NO
City, State Zip: O wJ4V -10 _ 3 2t6)
Contractor Information
Name ! Si4 c. /c'e_ cL ' t-a..7l Phone: 7
Street: _ 1C 39/OSY Fax:
City, State Zip: _De- 1740hr, -,-Y 3a7-37 State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation hascommencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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 ofapplication and the code in effect as ofthat date: 5i° 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 ofthe property of the requirements of Florida Lien Law, FS 713
The City of Sanford requires payment ofa plan review fee at the time of permit submittal. A copy ofthe 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.
7ignahire of %Twer/Agcnt Dye
stgrtattueer Notary -State ofFlorid HELEN S. DOWY NOTARY
PUBLIC STATE
OF FLORIDA Cornrg0
FFISS843 to
Expires 1/12/2018 Owner/
Agent is Personally Known to Me or Produced
ID Type of ID Signat6re
of Contractor/Agent Date t
v18
W, Hu t Print
on;/
Agent'
s Namer
Siptatttre
of Notarytatc of Florida Date HELEN
B. DOMINY NOTARY
PUBLIC ESTATE
OF FLORIDA CtMMW
FFISS843 Contractor/
Agent is Personally of n 1o11 e oIProduced
ID Type of ID BELOW
ISTOROFFICE 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 Fire Alarm Permit: Yes No APPROVALS: ZONING:
UTILITIES: ENGINEERING: COMMENTS:
WASTE
WATER:
FIRE: BUILDING:
Revised;lune
30, 2015Permit Application
Mistic Air A Heat
P.O. Box 391054
Deltona, FL 32739
Ph: (407) 322-5559
Ph: (386) 775-7751
Fx: (386) 775-7753
State License # CAC1814608
BILL TO
HVAC
SERVICE ORDER
INVOICE
5076
THIS WORK 15 TO BE
O GO.D. O CHARGE O NOCHARGE
MAKE MAKE
MODEL MODEL
SERA NUMBER SERIAL NUMBER
NAME
EMMDNMFMALOIKR UST
STREET C/,-- l
V
WORKPERFORMED OTX TYPF/DLSPpSTigN
3a7
O RECOVERED
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RECWMPOTEC„NIOA
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WORK TO BE PREPARED
a
O DISPOSAL
pC6WOUTIRF1CDPOA p
D, TOTALS
CITY.
MATERIALS 6 SERVICE UNIT PRICE AMOUNT DESCRIPTION OF WORK PERFORMED REFRIGERANT
R• LDS. L:
2 FILTERS
x y FILTERS
y A BELTS
RECOMMENDATRONS
TOTAL
MATERIALS HRS.
LABOR RATE AMOUNT TOTAL
LABORLIMITED WARRANTY- AB materials, parts and equipment are
warranted by the manufacturers' Or suppliers' written warranty
only. AN Labor performed by the above named company
is warranted for 30 days Of as otherwise Indicated In
writing. The above named company makes no other TERMS
1
Nw .uawM reorder Na wM1 oARilwd ateva Slid. Pus Ives YtldAQ-Ely rDalpltnad. I apes that SaOarrgalrotlUebaPrbmRN/matrdab hVNrhM r»tlldW paVrawgHmada. tf pyyrnrnlbneinude» aPevFroyePPbegdPRrenVouteHAbassver's erpnrre. not
De d se3o. ' d""
r Er'gf1O1' Tab Vrarrantim
express or implied, and itsagentsor too.-.. are
not authorited to makeany suchwarranties on behaV Ofabovenamedcompany. Na responsible bevFor
any drain linei»ues at arty tlfne - Warranty uviD be scalded if yearly maintenance
checkups are not performed. CLIfTON[
R r0tu DA1< O
REGULAR p WARRANTY METHOD
OF PAYMENT O
SERVICE CONTRACT O
CASHO CHECKCK ND. 0 CREDITCARD r1/ _ _ _ / P WORK
PERFORMED COHOD6aIGIPrIr
mrmsAn naAnra LIVELLD
CLEANED AtA1NOMU1CLEA01111000.
REPAIRED A"
In DXAVICHARGE
CLEARED ryylMAINAEPAWD
tLAXPIODAREPAIRED PAR
DRAW RI
AI ED LEARWCLIPPER
AUS10. OR PARCM P
AEr• UPLACED ELT CHIOCED
M
AIDTOMorDRADJUSTED ELT OWIGED
MOioaRVIACID PUUErREPLACED
MILEADAATED Poll" AOn/
fTED BEEFCEMU0 FLOWERRENACm
clDwEIORIAREPLACED ELAA= ILEA
START REny
OREDUMN RLPCAYR
wAtntsROUCKARIOS AEPAACEDIglN
wAOTORCLEAIEO HTArEXITiCEEAMIDOR
AM.
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AIRED vvIRDaGCtLUEDOR ADL
ntor REPLACED
PRE AtPlActo THIRA "U'lE KEPIAMP
CORORLmnREPAIRED VALVELYAPOFNrOa
ODE umm VALVEREPLACED
DIP.
VALVE LEAFED auuElOADAM111)
CD.
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w.
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CAP. TURF ADAFSTto REPAIRED
mrl1EARTHFIMOSTAI COPPER
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IIDMK DEC.
HTL QGTMM REPLACED
I= CIFAHCD RIP
ACEDIRM IEPAIRLDVTE
PLAOM u
JACEDcowr. GKrAsro RtMIRED
nLTM
D 01"Ill O REPLACED TOTAL
SUMMARY TOTAL
MATERIALSTOTAL
LABORTAX
TOTAL
s
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. I ?`-3(eqf ISSUE DATE: Olt 0 A 9
CONTRACTOR: I a f, ca o4 ir
JOB ADDRESS:
TYPE OF WORK:
fwql. C
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
IN.SPEC170N 77PF APPROVFD RFJFCTED INSPECTOR
ELECTRICAL
INSPF.C77ONTYPE APPROVED RFJ)1.'CfF.'D INSPECTOR
FOOTER INSPECTION ELECTRIC UNDERGROUND
STEMWALL FOOTER/SLAB STEEL BOND
FORMBOARD SURVEY T.0 G. / PRE POWER
SLAB / MONO -SLAB ELECTRIC ROUGH
LINTEL / TIE BEAM ELECTRIC FINAL
SHEATHING - ROOF MECHANICAL
WSPEC7I0N77PE APPROVED RFJECTED WSPECMASHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL -4
DRYWALUSH EETROCK PLUMBING
INSPECRON77PF. APPROVED RFJECa.D INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION 7TPE APPROIFD RFJF-CTFD INSPECTORROOF
INSPECTION7TPE APPROVED RFJFCTED WSPECroR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPF.CT10NTYPE APPROVED RFIECTF0 INSPECTOR INSPF.CTION7TP& APPROVED RFJECTFD 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: 407.792A"9 or $55311.2112
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
MECHANICALSHEATHING - WALLS 115
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
FINALS R 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 . . . . . 18-00003694 Date 8/28/18
Property Address . . . . . . 323 SAN LANTA CIR
Parcel Number . . 31,19.31.505-0000-0490
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . . SAN LANTA 3RD SECTION
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 1074343
Permit pin number 1074343
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 410 MH02 MECHANICAL FINAL _/_/_