1765 Travertine Ter - M17-002613 - HVACCITY OF SANFORD
1311ILDIRG & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value- S ri
Job Address: Historic District: YesO No R'
Pareel ID: 'Y3 "l Residential 19 /Commercial F]
Type of Work: New 1-1 Addition 11 Alteration RepairD Demo R Change of Use El MoveM
Description of Work: 1-1J J CkkQw gjo ytp,,% '3 Ac;r, YW- Caen (- -C 4
S2 A4 4 Plan
Review Contact Person: Title:- Phone:
3 Fax: 3 % 6v &-7 ' &9& V Email: &eelr 60tpe4 - co, Property
Owner Information Name
iOurcz f3vy c)_T Phone: Street:
1'1(,S T*eK- Resident of property? : bej City,
State Zip: 5 04,;i TL, -5 ;) _n I V
Contractor
Information Name
C b r-""A crn r. I Phone: -3 6 6p- 6? S- &5&7 Street: (
a l(a A41--u b(O-ld Fax: 3WP, City,
State Zip: 0('qWc jj 1K, 3.?--) (.o3 State License No.: CAC I Ako&3 Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Arch
itect/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. 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 ofthe 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
Print Owner/Agent's Name
Signature ofNotary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Permits Required: Building
Construction Type:
tgnature ofContractor/Agent Date
wn to Me
Produced ID Type of ID
ElectricaI Mechanical ] Plumbing Gas Roof
Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
Now Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
am
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
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Air Conditioning Heating
690AE Rhode Island Ave 11251 Business Park 9vd. • Suite 7
Orange City, FL 32763 Jacksonville, FI 32256
Volusa 386-675-6963 JacksonvilleJSt, Augustine
Orange(Seminole 407-888-0678 904-551-6538
Air Conditioning & Heating License#CAC1816634 Email: owner@certifiedclimate.com
Contract#:
11765berrios
Edwin Berrios 8/25/17 321-246-6520
Proposal Submitted To: Date Telephone: H I W
1765 Travertine Terr Sanford 32771
Street (Job Location) City lip Email Address
W'eherebypropose. Tofurnish, instaBandserviceunderwarrarty(statedbefow)productsandseMceorrelated equipment
foryourhome orbusinessin accordance with the conditionsandspecifications set forthin thisproposal Tonnage
3 SEER 14 KW 5 PIG N/A . I Gel All work done in accordance with existing codes with permitting Brand
Daikin Single Stage A/
C Condenser Heat Pump Ql
Air Handier Non Variable Speed Flood
Switch Aux. Closet Pan Condensate
Drainline Flush* m
Copper Ones Flush Pressure Test* pJ
U.V. Protected Armor Flex Lineset Cover A
Full attic install kit Q1
Supply Duct modify & reconnect Return
Duct j
add 8" bypass damper j
Zoning reuse zone system 1 Zones Drywall!
Door Repair Platform
N/A I Insulate No UVught
Kt AirRlterType&
Siza Antimicrobial
Spray whole house Duct
Seal: No El
New
Electrical to CondenserDisconnect New
Sectrical to AHU Disconnect. A/
CPad&Sze New with Anchor Kit Thermostat
Programmable new
thermostat upstairs and down 0
Removal of existing equipment from the premises CZ
All work to be performed ain a neatand professional manner by a trained
technician. SNeeping, dusting and vacuuming will be accomplished
and all debris removed from the premises Customer
is responsible for registering equipment with manufacturer
with in 60 daysto receive warranties listed below. Minimum
of one preventative mantenance per calendar year performed by
a licensed contractor is requiredto maintain warranty listed below No
Maintenance is includedin this contract unless it islisted on this contrad.) All
warranties arelimitedto the originalpurchaser unless authorizedby
manufacturer Warranty
on Farts 12 years condenser & air handler only Warranty
on Labor 2 years condenser & air handier only V4rranty
on Compressor 12 years Warranty
on Zoning Components N/A Wuranty
on Ductwork Florida
Power and Light / Rebate: OYesO No $ 0.00 Sub -
total: $ 4,931.00 Discounts & Rebates: $ 234.00 Discounts
service credh $ 0.00 Manu:acrures Rabata $ 0.00 ccc
Disoot,m $ 234.00 Member Discount $ 0.00 Angies
t.u; s% $ 0.00 COD Discoum s% $ 0.00 Total
Rice (tax included) $ $ 4,697.00 Terms:
Finance 9.9% interest Arl
Rnandng & TermsarePent$ng pit Aoproval. op.
n,:tFw -r ri.umm Signature (company)Grgg.ylLt1' M.x,=.axa,siarcrar Signature (
custom — — Date.
8/25/17 Proposal valid until: Options
Requested
Install Date 9/1/17 Finance
paperwork must besigrredbetoreMesMrt0I&M. NOTES
do not register equipment in Berrios name customer will call if house is sold before 60 days Certified
Climate Control always reoommends replacement of copper lines and drain lineswhen possible. Certified
Climate Control provides no warranty expressed or implied on preexisting copper or drain lines BUY6iSRGHTTO
CANCB: You, the buyer, may cancel thistransaction without penalty anytime priorto midnight of thethirdbusnessday after the date
of thistransaction. See reverse side for termsand conditions
AHRI Certified Reference Number: 7998864 Date: 8/28/2017
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: DZ14SN0361A*
Indoor Unit Model Number: ARUF37C14A*+TXV
Manufacturer: DAIKIN MANUFACTURING COMPANY, L.P.
Trade/Brand name: DAIKIN
Series name: DZ14SN
Manufacturer responsible for the rating of this system combination is DAIKIN MANUFACTURING COMPANY,
L.P.
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -SourceHeatPumpEquipmentandsubjecttoverificationofratingaccuracybyAHRI-sponsored, independent, third
party testing:.,,.
Cooling Capacity_(Btuh): 34600
EER Rating (Cooling): 11.50
SEER Ratin Conlin 14.00
HeafingLLCapacity(Btuh)'@ 47 F: 32800
Region IV HSPF Ratinating`);g (He8.20 Heating Capacity(
Btuh) @ 17 F: 19000 Ratings followed
by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate 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 product(s), or the unauthorized alterationofdatalistedonthisCertificate. Certified ratings are valid only for models and configurations listed in the directory at
www.ahridirectory.org. TERMS AND
CONDITIONS This Certificate
and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference
purposes. The contents of this Certificate may not, in whole or in part. be reproduced; copied; disseminated; entered intoacomputerdatabase; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING. HEATING, personal and
confidential reference. REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION
The information
for the model cited on this certificate can be verified at www.ahridirectory.org. click on "Verify Certificate" link w make iiiE, iu- w"" 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. 131483974094280541 2014 Air -
Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
PERMIT AUTHORIZATION
I, DAVID HILL hereby authorize C14nn
License Holder} (Authorized Person)
To obtain a permit in my behalf under my license # CAC1816634
To the , 3 r \ ar
Job described below:
PERMIT TYPE
HVAC
Tax Parcel #
State of Florida
Building department for the
DESCRIPTION
OwnerGJ'in
Site Address
S ej (-Carr (2-C
License Holder Signature
Date
County Of L C
Affirmed and subscribed before me on this ? day of
20-qby DAVID HILL who is personally - own to me.
JODY L MCLEER
MY COMMISSION #FF039242
EXPIRES July 23. 2017
Nntajus-icexom
PrInt, I ype or stamp Name of Notary
PERMIT NO. _
CONTRACTOR:_
JOB ADDRESS: _
TYPE OF WORK:
Building & Fire Prevention Division
Residential Permit Card
0 e. j, &/, / --7
ISSUE DATE:
At /? / Inf-A %.Of/ &fc
06 Tt^R er i T
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
INSPECTION TYPE 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
DRYWALL/SHEETROCK PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INS'PECTIONTYPE APPROVED REJECTED 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 REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED INSPECTOR
PRE -DEMO FINAL DOOR
FINAL DEMO FINAL WINDOW
FINAL SOLAR PANELS IRRIGATION FINAL
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.
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
FINAL SFR 138 GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314ROOF
ROOF DRY -IN 116 GAS FINAL 315
FINAL ROOF III
MISCELLANEOUS / FINAL INSPECTIONS
PRE -DEMO 144 FINAL DOOR 136
FINAL DEMO 126 FINAL WINDOW 137
FINAL SOLAR PANELS 134 IRRIGATION FINAL 321
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 . . . . . 17-00002613 Date 8/28/17
Property Address . . . . . . 1765 TRAVERTINE TER
Parcel Number . . . . . . . . 33.19.30.520-0000-1070
Application description . . . MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . NOT APPLICABLE
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 1000868
Permit pin number 1000868
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 410 MH02 MECHANICAL FINAL _/_/