104 Hazel Blvd - M17-002922 - HVACCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
C2 0ApplicationNo:
Documented Construction Value: S
479000
Job Address: 1104 Hazel Blvd, Sanford, FL 32773 Historic 'District: Yes n No
Parcel ID: 1 O-20-30-509-0000-0450 ResidentialE] Commercial
l'ype til'Work: New El Addition Alteratian n Re air Demo F] Change of Use El move El
Description of Work: hvac changeout, to 3 ton 14 seer Goodman
Cay(lin Hill Office -ManagerPlanReviewContactPerson:
Phone: 407-
1
552-8000 Fax: 407-297-7577 Email:
Property Owner Information,
Name
Beatrice Dadin
1`04 Hazel Blvd' Street:
Sanford, FL 32773
City'. State, Zip:
Name Ameritech Alt -Brian Novotny
Street: 8290 Eclgdwater Dr
Citv, State Zip: Orlando, FL 32810
Name:
Street:
City, St. Zip:
Bonding Company:
Add ress:
Phone:
ca
I
ytlimameritechfl@gmail,com
407-509-0290
Resi'den't,of property? yes
Contractor Information
407-5328000
Phone:
Fat* 407-2977577
State License No.: CAC1817383
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO ONNINER; 'YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT iNiAy RESULT IN YOUR
PAYING; TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT musIr BE
N. I ND To OBTAINRECORDEDANDPOSTEDONTHEJ013SITEBEFORETki FIRST INSPECTIO. _F YOU INTL
FINANCING, CONSULT WITH YOUR LENDER OR AN A'YFORNEY BEFORE RECORDING YOUR NOTICE
COMMENCEMENT.
kpplication is hereby made to obtain a pennJi' to dot the work and instiillations ass indiczited. I certify. that no work orinstallition has couvilencedpriortotheisSuwlucufdpolinitandthatarilworkvs,ill be performed to rneet standards . dsof all law4 regulafing construction" in,
this jurisdiction. I understand- that, a separate permit must- be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, heaters4lanks, andstirconditioners,. etc. FBC 105.
3 Shall be inscribed with the date of application and the code in effect as 6f that date: 511 Editioa (2014) Florida Building. Code Rvx,rSc&
kine Yk 2015 Perniit AppliciOiwi
QL may be additional restrictions applicable to this p.roperiy that may be1(-'r- In addition to the req u ir6me tits of this permit, there i
found in
jt , he public records.of this county. and there may -be additional permits required from other governmental entities such as water
management districts, state a0encie's, or roderal agencies:
Acceptance of permit is verification that I will notify the owner olFthc property of the" requirement.,; of FloridaLien Law, FS 7 13.
The City of Sanford requires payment aft plan- revic-,.v fee at the linic of permit submittal. A copy oF the executed contract, is required
in,order to calcxilatc a 0.n reviem charge and %vi'll be considered Ole estimated C011SLILlCtiOn value of the jqb, at the rime, of submittal.
The actual construdtiQn value will be figured based oil the current ICC Valuation Table: in effect; at the time the permit is issued, in
accordance xvith local ordinance.. Should calculated charges Figured off the executed contract exceed the actual constniction value,
credit wi I I be applied to-scourpenrurfeeq when the permit is issued,,
OWNEW-S_ AFFIDAVIT I certify that all of the fbregoinginforniation is accurate and that all work will
Cie done in c6rnp . liance with all applicable laws regulating construction and coning.,
Pri
SiLiniitijrel-t,i(,NOrUY-Stzlle of FIDT412 Dwe
Owner/Agent is _.._,Persona1I1y'K.n_ow-n to Me or
Produced ID Type of ID
10/02/17A
Vianire ofContractoilA, ent Daic
Brian Novotny
iPriC. Na;tiu
1,0102/17
S Date
AMY M MAKIN
d -1: MYC0MMJSSl0t4#FFl740M
11-, e, i EXPIRES November 4, 2018e
Contract
Ior/Agent Xol Yoe
Troduced1b Type of ID
BELOW IS OR OFFICE USE, ONLY,
Perm
I
its Required: Building,F Ele(fricatR Mechanic8l n Plumbing[]
Construction Type: occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy'Load:
New Construction-. Electric - # of Anips
Fire Sprinkler Permit Yes No
APPROVALS: ZONING:
E N G, IN LE,
I
KING:
COMHENTS:
Gas[] Roof [I
Flood Zone:
of Stories:
PluMbing - # of Fixtittres.
of Heads Fire Alarm Perniit: YeSR NOR
UTILITIES: WASTE WATER:
FIRE: BUILDING"
Revised: juno 30, 2015
Permit AppkstiOn
roe
Date;
a ITC
l'l-it~in valid uutit t! •. w -
p rr • REAtACE IT , idAWAIii IT WWit Order # a
Cell Phone ();
0,,rner of Fropet y . t'' «,
Cel (tone 0 ) 509 is
Co -Owner or Tenant, e'
in
fi
Job i,ocaon; r r .
Entail, q r 1 rBilling Addzr s (if different):
urrush, im4aft ttnd rerilcc wafer u urrunt '(.*fiats b+rla+vJ tndurtr car rflOthis P frqaiprnrnt rtrYnttr home
or TI•nw.ii rdu F dI e c mdfri ns and snee#Jicutlo°"silt fv Irr this trrepr 2.
ndenser s lI C tiOther
ER -.tom IC YKt= 5p1it WArc.pad stre
tt A:l2I tr'
s Coil .
lrHandier ?i2 YViAI {l
a Gas Furnaces
elfo'od Switch
suctiob'1.tne quid iAae
13 Condensam Pttmp ..-
4ecrgrein lA e. Accept` Dci tins.
acne set protcet °e cover
Duct CDuctC
a AchtruDuct Direct Criling gtiV e-
wPlatform _ tAir
Par#tier a
AirRtetr type ond.size to
t3act , tize: Accept uct
Seal:, Accept Decline —--------- tS-
Ner elecrHc.*tl discoatne condenser arNew
electrical for 011J disconnect surge
Protector' o
Tbermostot type t-
VWork,tp be done In aecordonee wrlexisttitg_co"dewith permitting.
emovai
of existing equipment from the preGnlsta csork
to' be performed in a neat andprofessional mAnner
by a trained tech"% its. Ail debrb removed from preMIM
each day. ' n rr;rett+ asltl u raatsc ttrrtaa raft r the product
tree froia dt[ects In w00'nwnthip for errs year teem date
of Install. anufactarerwaft
amtyOn, parts & yea rs.Con deaserand AirHandler.
Artstr(Tech "In file wurraaiy Paperwork", after paymentln fuitaild
hermit Is compicte. Castomer enwacontact Amt riTceh ,1VWArrittkq, Cecil licnle Iz natreeels;ed "i hto 45,day 6tlaataili
o purchase extended
maoufacture lsbor warranty yeurs, Coadenser stud
AIr Hs+ndler. r Wart+anty
oo zoning electrical u Warranty on
dsanpers annfaeturer v,•ttrronty
on compressor t' years. AmerMth will file
srarrttnty"gaperwartt after paymeat in lull and permlt`is
camplrte. Custesatar snail roatact:AtneATech:it evarronty certincotels not
reeeiyed %*hin AS days of in;tali. r%Warranty on
ductwtirl;, b 1lrarrartty on
other ri u014 Company,
tto riiwces 040taplcascfoltuwve tdtldies tor 'local utilityec at+S,any ThisentL" doctfinent,
Including the terms and conditions t We , Il d'any agreement executed in w {ting;. trsnant<#here#(l, itatvreea 13Nt Contractors,
L1,C.dtbla AmeriTech Air. -Conditioning and .Heating fhereiaafter referred to as "AmrrMcb"), and.We propertyalwner(s) or property owner's representative(s), hereby referred as the "Customer", src.subject to the rows in effeet in thestateof -Florida, acid that failur> to pay all amounts due shall constitute"a materiai breach of this ogre nt and Customer shoii'be
respanslbte for.any and.interest at 1;5% per month (18% per annum.), costs, and attorneys fees incurred by Artier ierIt
to reeoversaid amounts ovred. Customer shall pay Am6 fech's attarueys tees and costs for eoliecdon of any sums due hereunder, w•hettter or notsuit isfiled. totalPrieto5
Aare: Company acceptance siguatuce
I } It t f
Date: Owner acr..eptance•
t Options/Notes:^ Ametd
lecfh Ofnecs
i4?-532 9000 £a tz 407,297-7577 p.O. Box b8tltibti, Orlando,'pt.. 52868 Utedse t# 6k-C181"7383 Fagc Iof3
iqimf i J i - Jpqpii
AHRI Certified Reference Number: 7996254 'Date: 10/3/2017
Prodvct:,.Split, System: Heat Pump with Remote Outdoor Unit -Air -Source.
Outdoor Unit Model Number: GSZ140361K'
Indoor Unit Model 'Number:ARUF37D14A*
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Tradeffirand name: GOODMAN; JANITROL; AMANA: DISTMCTIONSEVERREST', ONE HOUR AIR CONDITIONING
AND HEATING; ENERGI AIR; FRANKLIN Series
name: GSZ14 Ma'
nufadttirer responsible, for- the rating of thiscsystem, combination is GOODMAN.MANUFACtUkiNG CO., LP. Rated
as follows in accordance with AHRI Standard 210/2404008 for Unitary, Air -Conditioning and Air -Source, Heat
Pijmo,'EqUipiiient'arfa-iubicici"to,4'eri4cition,of irating;kcuracy b AHAI-'sipcin'soired, independent, third 0,
J
tifil,
I .
I -
arty
fasting: q.: Cooling
Capacity (Stuh): 314,400EER
Rating (Cooling): 11'.'50 SEER
Rating (Cqol1n1g)*, 14,00 Heating
Capacity(Btuh), @ 47 F: 32806 Pegion -
IV HSPF Rating (Heating): 8.20 Heating
Capacilyi(Btuh)@ 17 F20000 RAfrnas fr4owed
6" an aslan_&4 j-) zndtcatt a voluntary rarato of previously liublished ditir, unless naomonived Wth a WAS. which inicliwws in -involuntary ref_ -a DISCLAIMER AHRI
does
n0oifdorso the producim listed on 01,,is, ConifiCala and mak-zs norepicspittations. warranties or paiamees as'to. and assumes no esponsibIlilry tat. the O'
clififtt(S) listed on this C.artificat ' t-. AHRI exprcs_,Iy disclaims, all Ij lbillty for damages of any kind arls-!ng out of the use or performance of the ptoduct(s). or the unauthofizzid alceiation
of data listed on this Certificate, Certified rilings are wilio only for.models -,and configurations listedinthe IERMS$ AND I
CONDITIONS This Certificate
and
its cont;-rits, are proprietary products of AHRI. This Certificate shall only,be used for Indhidual, personal and ponfidenti,il reference
purposes. The contents'of,thts Certificate may not, in wtickle,or in part. be reprodu=4: copied: dimernfoated; entered nto,a
computer in,,my form cir,manner or byany means. except for the user'sin"idual, personal and confidenti-afreterence.
ft"TIN0, CERTIFICATE VERIFICATION REFRIGERATION INSTITUTE
The.1n.1ofmation roithe
model cited on this ceYliftace Can be Yettilled at urwvlt. afu Wt ectory.0tZ, click on 'Verify Clertifleato' link usv L""li and enter the AHRICertified _Reference Number and tho,daieon Whitb thece(titkato ryas issuecl. which Is fisted above,
and tile Urtlficm-c No., which Is listed at bottom right 1315-15098372460683 62014 Air-Conditionind 0, Heating, and RefrigerationInstitute CERTIFICATE NO.:
PERMIT NO. / ISSUE DATE:_
nivmn rrnn. , A A
JOB ADDRESS:
TVDF 3@ 1 1k C-0
Building & Fire Prevention Division
Residential Permit Card
C.
r
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 INSPECTOR
LATH INSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTORROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF L GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED 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: 407.792.6069 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
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 . . . . 17-00002922 Date 10/03/17
Property Address . . . . . 104 HAZEL BLVD
Parcel Number . . . . . . . 10.20.30.509-0000-0450
Application description . . MECHANICAL PERMIT
Subdivision Name . . . . . HAZEL GLENN
Property Zoning . . . . . . SINGLE FAMILY
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 1005339
Permit pin number 1005339
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 410 MH02 MECHANICAL FINAL / /