433 Wilton Cir - M18-002758 - HVACCITY OF
S 0M
FIRE DEPARTMENT
4
JUN 19 2818 Building & Fire Prevention Division
PERMIT APPLICA TION
4
C-t b Application No: I - d-).S:r
O
Documented Construction Value: S
Job Address: A73 Historic District: Yes NoN___
Parcel ID: 0 L- a-0 -3 0 -S06 -- 00017 - O 13 0 Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: LTT,,e---r-
Phone: 9 D `( - 6 $ 6 -%/'fig Fax• iJD % 70Y
Title: k
Email• e- 1,, 1 ,
Property Owner Information
Name ?Ielcce Phone: yoi ? o /S S, y
Street: Li 3 3 C:t C Resident of property?
City, State Zip: e.,n dl l-1 32-773
II
Contractor Information
14Name04. ( A-V Te 0 Phone: ^900 - v90
Street: 13 o p L a- Q _.. _ T)r . 5v;1-C,4 Fax: Yy 7 -7o Y - 6 i '7 5
City, State Zip: Or 3.2&09 State License No.: ChCd 0/b Y ? S
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. 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: 61 Edition (2017) Florida Building Code
Revised January 1, 2018 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 ofthe requirements ofFlorida 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.
x d4 l D_L15/s
Signature of Owner/Agent D to
decca S'{.l'11
Print /Agent's Name Z2, / If 5 l6
MY COMMISSION 0 00003575
EXPIRES June 19, 2020
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of tractor/A Date
r,c-o Lo -• I rb'c7
Print Contracto gent's Name
o -tomy &Q(9-1'. Signature
of Notary -State of Florida Date E[
171, DE:
BEBLANTONION 1 FF 178648 bruary
25, 2019 i
Pu. Undervviiters Contractor/
Agentis ersona y or Produced ID
Type of ID BELOW IS
FOR OFFICE 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: WASTE WATER: ENGINEERING: COMMENTS:
FIRE:
BUILDING:
Revised: January
1, 2018 Permit Application
SCPA Parcel View: 02-20-30-506-0000-0780 Page ] of 2
r(- t i"
Legal Description
LOT 78
PLACID LAKE TOWNHOMES
PB 61 PGS 70 -75
Taxes
Property Record Card
Parcel: 02-20-30-506-0000-0780
Property Address: 433 WILTON CIR SANFORD, FL 32773
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 84.462 71,168
Depreciated EXFT Value
Land Value (Market) s18,000 18,000
Land Value Ag
Jusil arketValue" 102,462 89,168
Portability Adj
Save Our Homes Adj 43.079 31.006
Amendment 1 Adj s0
P&G Adj s0 01$58,162AssessedValue59,383
Tax Amount without SOH: $900.00
2017Tax Bill Amount $520.00
Tax Estimator
Save Our Homes Savings: $380.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 59,383 34.883 24,500
Schools 59.383 25,500 s33,883
City Sanford 59,383 34,883 24.500
SJWM(Saint Johns Water Management) 59.383 34.883 24,500
County Bonds 59,383 34.883 24.500
Description Date Book Page Amount Qualified Vadlmp
WARRANTY DEED 4/1/2012 07758 1875 72,5W Yes Improved
SPECIAL WARRANTY DEED 5/1/2009 07200 0114 64,000 No Improved
CERTIFICATE OF TITLE 12/1/2008 07104 0634 100 No Improved
WARRANTY DEED 9/1/2004 05477 1295 s143,000 Yes Improved
WARRANTY DEED 6/1/2004 I 05339 1033 1 $308,300 1 No j Vacant
flr d ComporaWs Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT 11 18,000 00 18,000
Building Information
I Description Year Built ,. I Fixtures I Bed I Bath I Base Area I Total SF I Living SF I Ext Well I Adj Value I Repl Value I AppendagesActuIhttp://
parceidetaii.scpafl.org/ParceiDetailInfo.aspx?PID=02203050600000780 6/15/2018
p I,'" We Serve the Entire Metropolitan Area
ti
i P%ai A: T.
l
iiauc%+alHeatingandAi% c nditioning ;of Florida, Inc.
Leader In Home tort Sin6e:1931
I
NAME 6eccIn (1 /M •
FIRST , I LAST
CITY CNTo/ I I
EQUIPMENt:
United Air Temp, Heating and Aigcc
below in accordance with the follow
PO Box 6300
Springfield, VA 22150
1-800-890-4328
UnitedAirTemp.com
DATE
TEL (H)Vo %.
ST F ZIP 3a.77_ i TEL (W)
tioning of. Florida, Inc., proposes to furnish and install. equipment listed
conditions and specifications:
OTY MODEL #
4-Hea'-f
DESCRIPTION
on4l Unit: ' ARI SEER.. BTU's:
P' m . . I•SEER:/ HSPF: BTU's: a
Co'i ir'Handle )
rnec ,/Boiler: AMA AFUE: BTU's:
Mer.iri
Them' scat: O Digital O Analog
Air';dle ner: O Electronic O Electrostatic
Fresh r,:Systetn: O ERV : O Barometric
Water' roatment:. D Softener O Filter O, Neutralizer
Wat r. eater.: '
Humidi i r with Humidistat
Ultr4 V o et Light,
Ult'-Z e•
x ••b lv Ste.
RESPONSIBILITY: I
The following responsibilities will b;
Delivery, uncrating j I
t
Equipment Foundation'
Required Permits
Cutting necessary hol 21
LICENSES:
Florida Contractors' Liceln e, .1
I i'
PIPING: I I
Any new connecting piping,betwee
in a neat, professional manner' III j iaclosedcellrubberinsulation #o na i
Page t of 3 1313B • 1 I ;
umed by us, unless otherwise indicated:
Wiring from Panel to Unit
Wiring of Control'System
Drywall "repairs are not included
Electrical,Service Heavy -up not•included
1816478
E '
ndensing unit and cooling coil will be top quality grade materials, installed
in piping will be secure and leak'tested. Cold,piping will be insulated with
in peak efficiency and prevent condensation.
CUSTOMER'S LS:
Form 0302
71vaaecwa
Heating and AN
Leader in Horhip i
I
DUCT WORK: I E
Duct work installed. by United All
Society of Heating and Air Condit
WARRANTIES: ,
Years Parts and Labor for: I
with annual preventive air'
additional cost of S
Years Compressor Part: VM
Years Heat Exchanger Part-.(
Years Accessories: pHum'ii
LOCATION OF EQUIPMENT: I
Suitable space and access.for t
Water condensed from air 1
Water condensed from furr
Vent Pipe for 90% furnace*,
B
INSTALLATION SCHEDULE: , i
The equipment will be ready for
We estimate the time,requE'-d fi
GENERAL: f ±
During installation we.shall:take,
We shall not be liable for, conseq
Title to the equipment will,re na
We shall have the right to:t InsRlegalholder. Cleanings and repui
light bulbs) are not included.
Restocking fee of 15% of ;co i,
equipment or -after the 3-day rei
We shall not assume responsiii
We shall not be liable for delay c
This proposal does not includ di
It is understood that this p oposg
This proposal will be a contract b departments. We are not res 'or?
This proposal may be withd ari
Page 2 or 3 BBB
T—
ditioning: of
Since 1931
P.O Box 6300
Florida; Inc. Springfield, VA 22150
1-800-890-4328
UnitedAirT.emp.com
will be designed, fabricated :and installed in accordance with the American
Engineers Standards, within the limits of existing installation conditions.
nace [:D Boiler Q Merlin Q.AJC 2@ Heat Pump ® Air Handler
e required commencing at the start of the _second year third year at an
per year/per unit. L_units). Multiple units can be serviced at visit.
Thermostat Q Electronic Air -Cleaner
Water Heater Q Condensate Pump
i
installation is to be provided'byyouu: CoA4
will be disposed by
be disposed by
house
Q Attic Fan
will be installed on
tallation."in approximately days.
his installation to be days. '
reasonable- precautions to avoid -injury to. persons:and damage to property.
ntial damages resulting from the- use of the equipment specified herein.
nrith us- until.all sums due United Air Temp have been paid.
any or all notes hereunder, and'the title or right of possession will pass to the
ment.for items that require routine maintenance (eg, humidifier panels or UV
price .may be deducted .from deposit if contract is cancelled on special -order
Sion period.
or equipment or -,duct work installed:by others.
sed by.steikes, labor difficulties, governmental orders or regulations.
gating, unless.spe6fied.
ets forth our entire agreement.-
veen us ifraccepted by you, subject-to,the approval of our credit and engineering
le for prexisting c nditions.
not,accepted in _days.
CUSTO <'SITIALS: R Q
Forth 0303
Un e-w air
Heating and A
Leader in Home
PO Box 6300
nditioning', of Florida, Inc. Springfield, VA 22150
O.Since 1931 1-800-890-4328
UnitedAiffemp.com
PRICE: R
Cost of installation, including tax: ; : $ O
Credit for Existing Full ServiceAre ent (customer Update form must be attached) $
ADDITIONAL OPTIONS:
For your consideration, we have included with our proposal options, that if accepted, will greatly increase the year- round comfort you receive from your pew system.
2. i I $
3. 1 $
4. !
i $
5. $
6. t $
hy -Po
aofrscf cay4;,:n1ey ce
as
FV
FINANC
nn $
V DoWnpayme_nit I $ Downpayment
Balance uponC rnpletion $ Financed by
in the event the Buyer -fails. to: perf i.
pursuant to the terms of the agreement or defaults under any of the termsr
hereof, United Air Temp may, among -apy remedies available by law or equity, commence an action at law for damagesincludinglossofbargain, cost,ofrsui and aftorney's fees.
i i ! ,[
RESPECTFULLY SUBMITTED: ' . By, /
ePridNam0 6
Date ' i
ACCEPTANCE:
i i B er g )
1A This
Proposal is accepted j ; ' er Y
i Buyer ii(
te Page
3 of'3,, T1. ' I I CUSTOMER'
S IfALS: Form
1304
CITY OF
SWORD
FIRE DEPARTMENT
Building & Fire Prevention Division
HVAC (NEW AND CHANGEOUT)
PERMIT GUIDELINES
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
W Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
30" A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
O Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
D Owner Builder Statement / Affidavit (if the owner is the applicant).
Must be signed in person at the Building Department)
D One (1) copy of equipment sizing calculations — for new construction installations:
o Residential - ACCA Manual J-2003 or other approved heating and cooling calculation
methodology.
o Commercial - ACCA Manual N-2005 or other approved heating and cooling calculation
methodology.
O Addition or alteration of duct work, including new construction installations, requires two (2) copies of a
floor plan (duct layout) showing the location ofthe ducts, the size ofthe ducts and the register sizes.
This will require a plan review
These guidelines were compiled to assist the applicant in preparing a HVAC change out permit application and
may not be complete. The applicant is required to meet all City ofSanford, state, andfederal code requirements.
Effective: August 1, 2017
POWER OF ATTORNEY
Date: 04-19-18
I hereby name and appoint: o
An agent of: KOCD
Name of Company)
To be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for, and do
all things necessary to this appointment for:
X] All permits and applications submitted by this contractor.
The specific permit and application for work located at:
Street address: t-j 3-'
Parcel Identification: O 1-
Expiration date for this power of attorney: 04/19/2019
License holder name: Michael Giordano
State license number: CAC1816478
Signature of license holder:
State of. Vir inia
County of. Fairfax
The following instrument was acknowledged before me this 19`h day of April, 2018, by
Michael Giordano, who is [X] personally know to me or [ ] who produced
as identification and who did (did not) take an oath.
Katy Guerra o`-""'"GUERR"N,
nature of 1 otary)
NptP•F:Y .
aEGoM0tssoNMYCXp,F ES zE012022SC