122 Wilson Bay Ct - M17-002733 - HVACo1a
Job Addre
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1-7 --ZT
Documented Construction Value: $ J OlQr
Historic District: Yes No
Parcel ID: -{p40 Residential0- Commercial
Type of Work: New Addition Alteration Repair F1 Demo Change of Use Move
Description of Work:
Plan Review Contact Person: Lzr'L
u u
Phone: —`-Fax: Email:
Property Owner Information
Title:aytA-
Name Q 5 Phone: —1-j .q_ "I -
Street: Resident of property?
City, State Zip: 5 3
Contractor Information
Name Phone:
Street: Fax:
City, State Zip: ( f)AO I A, a State License No.: _CA D i3a
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 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 Pen -nit Application
J.
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.
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.
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.
Acceptance of permit 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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature/1 er/Agent Date
Print Owner/Agent's Name
Signature of Notary -State F a e
MY COMMISSION # FF907271
a' • EXPIRES August 05.2019
407t3q"'.53 Fk111da 1.ySerooe.car
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Signat..rC.nl..,.,/Agent Date
T,q0 +t5 If%,)(,o d
Print Contractor/Agent's Name
Signature
39"153
MY COMMISSION # FF907271
EXPIRES August 05, 20%
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
PRO SECIiMCOM M &R RMMWL ThennosMt
M
M Pet WWFees: ntaRire
Ifllailrrtenance: Comfort -Club knLMMfiw: --
FuN
System Price: - 7 pm
Tech comfort dub Rebate` vr
ate`= —Six Theimastat
Upgrade U
Air Putftabw uv Ligtit p
w A Acabo t sy-gt-- — Zonis%
SnbeM R
Duct
5 /G1s rA
p
Comfort Club (2nd Vr) S
frkmmbwq Adk `-__ ;_. Ts Customer'
s Name: V (st Today'
s Date: [ - ns— -----
y
Valid
until: 9-Z -17 TCOW
Ooe to Pto-Tech: _- Pbwet
Coop eY I0% 72W 00% 60ib 00% 72W 0% 60Mo - f15.
974 E Farar+
OpCio' Difsoo.
Peo-Ted rA — , cwwxK be combemd wO Weis €arp fnarxww_ Ct '
b. C.e rebameffolft0*
at =6 01 Mfp oes+t and uP- Trasac5e— 4x.ir4 and T.a-c xiue Lus
a, DOW— Lal
arai Terms A $ Credit Card: $ OCbeddCak:S aw.
r+ +•f 1°` -..a ...w" ra.. NlaMar OM PMP.t6 09ROAR /wUrt YeVOWWWO r. ai WOW w.e.S it 4" Ae tie9~1 spite t• drw a $SrAw 4=0 no ymssa.....
yaaes—w=awW/.ej.<`aensdglaeieet m *Mwka+t r
V/ % d Mod ee .a.aese le yR ffwwtAatq.tteae, /firer a/a+'s aeatiw fir at Pis +n rt eet a ywaw Ltt e. Ait iwt PRVMM AM be stet
sea aurae sr a oftie riw fr• t s.tiwrYtiat 4 Jre 4 as ""M at test •M tie rtie 1
e>atl/s ra! stt !r a ew,raf taeidit tafi site r• a" am*-.t -w-ar P-d- ofw- boom" tta. UM a tiff; at wmfts w is Meet a/ so to flt
wrlf 1I/L g-
FVm
3 of 3 i
it "limp o ' This combination qualifies for a Federal Energy
CERTIFIED Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 10093511 Date: 9/14/2017
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: 4TWV8048A1
Indoor Unit Model Number: TAM9AOC48V41
Manufacturer: TRANE
Trade/Brand name: TRANE
Series name: XV181
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:
f
i 1
Cooling Capacity. (Btuh) 47000
EER Rating,(Cooling): r - 1250 _
SEER Rating (Cooling):' 18.'00
Heating Capacity(Btuh) @ 47 F: 41000 oPO4"+
Region IV HSPF Rating (Heating): 10.00
Heating Capacity(Btuh) @ 17 F: 36400
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 Certiflcate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data listed on this Certiflcate. Certifled ratings are valid only for models and configurations listed in the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS MThisCertificateandItscontentsareproprietaryproductsofAHRI. This Certiflcate shall only be used for Individual, personal and
confidential reference purposes. The contents of this Certiflcate may not, in whole or in part, be reproduced; copied; disseminated;naienteredintoacomputerdatabase; or otherwise utilized, in any form or manner or by any means, except for the user's individual,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verifled at www.ahridirectory.org, click on "Verify Certificate" link we make life better" and enter the AHRI Certifled Reference Number and the date on which the certificate was issued,
which is listed above, and the Certiflcate No., which is listed at bottom right.
131498909921398800
2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
THIS INSTRUMENT PREPARED BY:
Name: Lori Lockhart - ProTech A/C & Plumbing Service, Inc.
Address: 2425 Silver Star Rd., 32804
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number. 22-19-30-503-0000-2640
1 WIN 11111111111111111111111111111111
GRANT 11ALOY/ SEMINOLE COUNTY
CLERK OF CIRCUIT COURT « COMPTROLLER
BK 8990 Ps 1397 (IPss)
CLERK'S T 2017093722
RECORDED CIO/191'201`1' 12:42:::)5 1-111
RECORDING FEES $10.00
RECORDED BY ,ierkenro
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LOT 264, PRESERVE AT LAKE MONROE UNIT 2 PB66 PGS 10&11, 122 WILSON BAY CT., 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
A/C Change Out
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: James & Judy Morn, 122 Wilson Bay Ct., Sanford, FL 32771
Interest in property: Own
Fee Simple Title Holder (f other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Pro -Tech A/C & Plumbing Service, Inc Phone Number. 407-291-1644
Address: 2425 Silver Star Rd., Orlando, FL 32804
5. SURETY (If applicable, a copy ofthe payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: Phone Number.
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
8. In addition, Owner designates
Phone Number.
of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number.
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
4--
O
t/. (
Signature ofOwner or Lessee, or er's Ir Lessee's (Print Name and Provide Signatorys riitle/Orfice)
Authorized Officer/Director/Partne per)
State of County of rW/l'1016rlll p
s
The foregoing instrument was acknowleedged before me this / day of S% G f— f1 a
by--JaM 5 A/19210 Who is personally known tome OR . a -
Name o person making sthtement
who has produced identification type of identification produced: % L - ( z . o
CAROLINA KENNEDY
MY COMMISSION * FF907271
y;,,,. • EXPIRES August 05, 2019407)3M ois3 l7oridnNoq 3srviri.ean
t7 _j t-
Notary Signature w U 0wxv7
t=orr:1Jp— w r