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102 W 23 St; 18-3990; HVACCITY OF P SA 40RD PERMIT APPLICATION BUILDING DIVISION J Q Q Application No: / -3 / / D Documented Construction Value: $_j©, Job Address:/ 0.A ZA)• E, = Historic District: Yes NoJ89 Parcel ID:26 - / 9 •'10 • * • WOO .0 / ResidentialI Pommercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: 1.5- 4 O u h P `+ fl a n n C .4 fix_ AIo D11 7.-- LU01? — Plan Review Contact Person: Phone: Fax: Email: Title: Property Owner Information Name !? 1JE iC/£SD,c/ Phone: 'L%O- a Street: f _ 9 %Q' Resident of property?: IU 0 City, State Zip:J,4 cltiU,C/ Contractor Information Name / / Ftigivv A T.'L S - &81 y- Phone: 46 7 135-1j 4 S--6 Street:%-- 56oa ? - &n U 21 t Fax: 60 7 05 9 2 S2) I City, State Zip: QV 8 (,1G -f / &a 7& S State License No.: e I%617DIV -Q3 _ Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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 permitand 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, beaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the dateof application and the code in effect as of that date: 6' Edition (2017) Florida Building Code NOTICE: In addition to the requirements ofthis 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 taw, FS 713. The City of Sanford requires payment of a plan review fee at the time ofpermit 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 ofthejob at the time ofsubmittal. 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 offthe 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. rTl/ mill% 71 e . 17/8 Signature of ()wrier/Ageni `y Date Signature Print Owner/Agent'sName pit Signature ofNotary -State ofFlorida BARBARA L MCGILL Signa M'( CCMMISSI014 ;f FF 939109 pZ EXPIRES: December 19, 2019 3onded Thv t`o:ary Public U tdenyr ters Date Agent's Name 9-/7•/2 8az-41P ofNotary -State of Florida Date / 7' Owner/Agent is Personally ICn tioVeor - Contractor/Agent is Produced ID -->,10 Type of ID 7—) .C-. Produced ID BARBARA L MCGILLoyMYCCMNJSSICU1FF939109XPIRES: December 19, 2019 6 , PubrxUnderwriters Type o 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: HEAT GAIN Name Address . City, Zip CALL INST : COOLING LOAD -(HEAT LOSS) 95 DEGREE DAY WINDOWS :'. AREA BTU GAIN HEAT GAIN NORTH SINGLE 0 25 c NORTH (DOUBLE) 54 20 108C EAST/WEST SINGLE 0 55 0 EAST/WEST(DOUBLE) 0 50 0 SOUTH (SINGLE)' 0 30 0 SOUTH DOUBLE 60 25i 1500 SKY LIGHT 0 65 0 21 15 315 iNAL.LS i K.: NO INSULATION 1 1 1344 8 10752 R-3 1" I 1 0 4.5 0 NO INSULATION 0 11 Q R-11 3'` 1764 3 5292 R-19 61, 0 1.5 0 R-25 9" 0 1.2 0 FLO;URS., 4.: NO INSULATION 0 3 0 CARPET I 0 2 0 R-1] 10 1 0 SLAB ON GRADE 1764 0 p INF,I,LTRATION HOME SQ. FEET 1764 2.5 4410 INTERNAL'GAINS': NUMBER OF OCCUPANTS 2 530 1060 KITCHEN/BATH ALLOWANCE 1 2400 2400 vut.;r.=;uiur rucrcw 1.13 Tonnage TOTAL > 30294.2 2.5 I AHRI Certified Reference Number: 201927927 Date: 09-17-2018 Model Status : Active AHRI Type: HRCU-A-CB Series: MERIT 14HPX SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : 14HPX-030-230-22 Indoor Unit Model Number (Evaporator and/or Air Handier): CBX25UHV-030-230 The manufacturer of this LENNOX product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 28600 SEER: 15.00 EER (A2) - Single or High Stage (95F) :.12.50 Heating Capacity (H12) - Single or High Stage (4717) : 25600 HSPF (Region IV) : 8.50 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are beingmarketedbutarenotyetbeingproduced'Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is stillsellingorofferingforsale. Ratings that are accompanied by WAS indicate an involuntary re -rate The new published ratino is shown along with the previous lie WAS) rating 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 theunauthorizedalterationofdatalistedonthisCertificate. 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 Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's individual, &"-WHIS personal and confidential reference. Alta-conpmoNINc, MFATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahrldirectory.org, click on "Verify Certificate" link we make life betterandentertheAHRICertifiedReferenceNumberandthedateonwhichthecertificatewasIssued, which is listed above, and the Certiflcate No., which is listed at bottom right 2018AIr-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 131816668693063532 sAmerican ry J, FLLIC :rCHC04923D CUSTOMER NAME L E'' ''`` (}' ' ; t ; JOB LOCATION HOMEPFIflNE CELL BILLTO O AIC . gHEAT PUMP T SY$TEN11 1- {Yn 0'<SEER: SIZE L SYSTEM2 SEER SIZE lt>'x s P ii:`n'r rk'.•r* ,y'ix` C) NEW 1N000R DISCONNECT e CJ REPLACE SUPPLY PLENUM HEATLOADCALCULATION (MANUALJ) 0 NEW OUTDOOR DISCONNECT REPLACERETURN PLENUM INSULATIONINSPECTION EewvnREWHIPS RRECONNECTSUPPLY/RETURN MISC/OTHER --- .- NEW LOWVOLTAGEWIRING RE -LINE PLATFORM O THERMOSTAT, EW HURRICANE STRAPS PLATFORMTOP 01'"IGH EFFICIENCY.FILTER MNEW REINFORCEDEQUIPMENTPAD 0 NEWSUPPLYDUCT(S) f. ti NEWUVAIRPURIFIER CI' NEWCONDENSATEDRAINLINE 1 NEWRETURNOUCT(Sj MEETALLCODEREQUIREMENTS RNEWREFRIGERANTLINESET GkSF_ALDUCTSYSTEM9PERMtTTING pl, INSULATEREFRtGERANtSUCTIONLMESREPLACE DUCTSYSTEM 97REMOVALOFOLDEQUIPMENT imSTAI. LREFRIGERANTDRIER(S) G"STICAND SEALALL PLENUMS RCLFANWORKAREATOCUSTOMERSAMSFACTION EVACUATE REFRIGERANTSYSTEM 0 FLUSH CONDENSATE DRAIN LINES 01STARTUPSYSTEM R- 11FLUSH KIT CIAUXMAIN PANW/SAFETY SWITCH YEARLABORWARRAWN gtCOMFORTCONCERNS NEN!CONDENSATEOJFSAFETYSWITCH jO—Y6ARWARRANTYONALLFUNC710NALPARti'S P()UCTCALCULATION (MANUAL D) DtgFWCONDENSATEPUMPW/SAFETYSWITCH 10—YEARWARRANTYONCOMPRESSOR. Pr ACE OF MIND GUARANTEESM/C *ISA 0 DISC FO AMEX C) CASH EI CHECK # -, COMFORTSYSTEM INVESTMENT ' f 0 FINANCING (SAC/MO) OTHER MANUFACTURERREBATE ADDMIONALINFO SERVICE'INVOI.CEAMOUNT POWERCO. # CREDITAMOUNT . alter AMERICAAsNAIRBiHEATPROM+ An maurintis guaranteed teb¢az, pea4ied. Ag -cakes be<mnpfetcd inaworkmonlike manner a<rng tenondned practices yOT{pN fJ`L k -- .L ltere• ienor deviation from above spt6ficationt 1— Ning in extra costs will be ester ned only upon written order: and Arry If brame an exva .)urgeoverand ebeve the estimate. All agreements eantmgent upon strikes aaidonn, delays beyond nor control or Aa of God. Owner to carry fire.to.nada and other net "y insurance Our workers are Iugy levered by Vjo,iunan s Componmtien in ana to. Ownerhenbywniieshisin-r— company'sr0tofsubrogation and waiver cominum after complation of contract NOTE, It is opted and understood by the parties that all equipment and parts whlcfr arc sold pursuant hereto shall NOT became ll. ums err part of the real -Mtn -hate they tm placed Said ports and equi,pmont shag a, all time, remain parson.) property of Arne—. Air & Heat, lot: untifp arm m in full is received, Buyer hereby agrees that an pass and equip -ant may be repossessed in the ,van of non-payment System, are :-od based on Manua) J heat food ealtuiotiens. n. <ardit;— for this cakvteden era 9.S dtgrao: outdoor and 78degmes indoer tompem _ a, pn equfpmaM do,ipfi specifications. American Air & Hem adepts no res.—hility for customers attempting to apemen systems outside theta dmign <mrd;tior.a. P7.t,;. propn,.l n. adafFar30 fey, voters oth-4sn spsrifir:d HOM£ OWNER AUTHORIZATION Co NIOMTHLYINYESTMEt} T MOS NETINVESTMENT, PRIC1^ AMERICAN AIR R HEAT DATE or Is Grant Maloyy Clerk Of The Circuit Court & Comptroller Seminole County FLInst#20181a7468 Book:9214 Page:778; (1 PAGES) RCD: 9/19/2018 9:15.45 AMRECFEE $10.00 Permit Number. Folio/Parcel ID# •/ • 3d 3a .C16W -0//5n- Prepared by: Susan Minietta Return to: American Air and Neat 602 S. Econ Circle Oviedo, Fi 32765 NOTICE OF COMMENCEMENT CERTIFIED COPY GRANT h1ALOY CLERK OF THE CIRCU; I COURT AND COMiiPTROLLER SEMINOL- NTY, FLORIDA; BY 'bPU RK Oate 7 State of Florida, County of Orange 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. Descrlptlon of property (legal description of the propeft and street address If available) it A CAA un.E OcY- • f,u / ec- /Jl.< 3. Owner inf _rmation ocJ,_essee information if the Lessee Interest in Property Name and address of fee simple titleholder (if different from Owner listed above) Name Address 4. Contractor i Air a Econ 5. Surety (if applicable, a copy of the payment bond is telephone Number407 359 9509 Name Telephone Number Address Amount of Bond $ 6. Lender Namp Telephone Number Address 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes. Name Telephone Number Address • 8. in addition to himself or herself, Owner designates the following W receive a copy of the Lienor's Notice as provided in §713.13(1)(b), Florida -Statutes. Name Telephone Number Address 9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 COMMENCEMENTMUST 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 OIZ RECORDING YOUR NOTICE OF COMMENCEMENT. OwnerSignatuyownerorLessee, or o4grs or Lesse rs Authorized Officer/DirectodPartnedManager SignatoryAs Tiitttee/Oflice The foregoing instrument was acknowledged before me this % day at4 aLJ by /77A R'Za /-1—CliSC A-1 momnlyear name of person as Owner for Self Type ofauthority, e.g., offloer, trustee, attorney in fact Name ofparty on behalf ofvfiorn instrument was executed q P -a Signature of Notary Public — State of Florida Personally Known OR Pro aced ID Type of iD Produced Form content revised: 01/23/14 Barbara L. McGill Print, type, orstamp commissioned name of Notary Pubflc BARBARA L WGiLL 5 r_ 5r(C0!h1.9SS{OA a FI` 93 " L EX?1RES. December 19.2019 PAt° a dedSDrj N:pqPub%UM—Z'xa SEMINOLE COUNTY MULTI%URISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 9/17/18 I hereby name and appoint: Susan Minietta an agent of. American Air and Heat 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 (check only one option): All permits and applications submitted by this contractor. Or 12/1 The specific permit and application for work located at: 102 W. 23rd Street Street Address) Expiration Date for This Limited Power of Attorney: 9/30/18 License Holder Name: Jerry Bent State License Number: Signature of License He Pnn(""nAQ')gQ STATE OF FLORI A COUNTY OF!'/Mi The foregoing instrument was anowledged before me this /! day of &-Pk r ff-A— , 20J, by y E Aj %- who is IVpersonally known to me or who has produced and who did (did not) take an oath. Signature of Notary Notary Seal) 4 !.'-4q B,ARBARA L hiGGILL NiY CCIIMISSICN00 FF 939109 EXPIRES: December 19, 2019 3;nded Thru Notary Public Underwriters as identification Print or type Notary name Notary Public - State of V"/0Z/d L Commission No. Fl--939l09 My Commission Expires: 10 19-a CITY OF S,,kNFORD Building & Fire Prevention Division BUILDING DIVISION Residential Permit Card PERMIT NO. q q 0 /0 ISSUE DATE: 0 q1' 02a ' I? CONTRACTOR: Amerec ao. aok JOB ADDRESS: /0 07 w 42 Ira S TYPE OF WORK: Atgd* V 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 INSPECTION TYPE 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 TYPF_ 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 SHEATHING - WALLS 115 MECHANICAL FRAME 109 MECHANICAL ROUGH 409 INSULATION ROUGH -IN 110 MECHANICAL FINAL 410 DRYWALL / SHEETROCK 131 PLUMBING LATH INSPECTION 132 UNDERGROUND ROUGH 322 FINAL STUCCO / SIDING 130 TUB SET 312 FIREWALL SCREW 120 SEWER 311 FIREWALL FINAL 143 PLUMBING FINAL 313 INSULATION FINAL 113 GAS FINAL SFR 138 GAS PIPING UNDERGROUND GAS ROUGH -IN 328 314ROOF ROOF DRY -IN 116 GAS FINAL 315 FINAL ROOF III FINAL DEMO FINAL SOLAR PANELS FINAL POOL SCREEN FINAL UTILITY BUILDING MOBILE HOME TIE -DOWN Miscellaneous Notes: MISCELLANEOUS / FINAL INSPECTIONS 126 FINAL DOOR 136 134 FINAL WINDOW 137 139 FINAL SCREEN STRUCTURE 127 124 FINAL BUILDING - OTHER 112 145 MOBILE HOME BUILDING FINAL 146 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 . . . . . 18-00003989 Date 9/20/18 Property Address . . . . . . 102 W 23RD ST Parcel Number . . 36.19.30.532-0000-0100 Application description . . . MECHANICAL PERMIT Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL Additional desc . . Phone Access Code 1078302 Permit pin number 1078302 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 410 MH02 MECHANICAL FINAL _/_/_