159 Longleaf Pine Cir - M18-004625 - AC CHANGEOUTI
Job Add
Parcel Fl
PENT APPLICATION
Application No I - `1 Co a
Documented Construction Value: $
t
t t`t'
y Historic District: Yes No[]
f Residential0 Cotninercial
Type of Work: New Addition' Alteration Repair ` Demo Change of Use Move
Description of Work: Z { C t rr_r +
t
Plan Review Contact'.Persot ' ' - Title: C i-;% L, ( ci —'
tt jj
n ` `f It ur7 Fax: '"° Email: f C' 1 '17 )Lt-
Nance
City, State Zip.
Dance.
Street
City, St, Zip:
Bonding Company:
Address:
Contractor Information
State License No..
Architect/Engineer Information
Plione
Fax:
E-mail:
Mortgage Lender:
Address:
WARNPNG TO OWNE . YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN-rhIAY RESUL`I'':IN YOUR PAYING, - TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. A, NOTICE OF COA"IINIENCENIENTMUST BE RECORDED AND POSTED
OIN THE„IOg St'f.E BEFORE THE FIRS'C INSI'EC"IIOiti'. IF YOU INTENDTO OBTAIN FINiANCING CONSULT W [TII
YOUR LENDER<OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 'OP CO:MvIF.NiCE1NIFNT 1pplitati6 is.
h.reby made to obtafn a permit to do the work and installations as indicated I cert fy that no %work or installation has coninicnced prior to the
issuance bt a permittand tliatall work will he performed to meet standards of all lawsrel ulat;tig construction in this }urisdiction, A:understandthat a separate
p<rmit must be secured for electrical work, plumbing, sips, wells, pools, furnaces, boilers. heaters, tanks; and airconditioners, etc.
FBC 05 3-Shall be inscribed with the date of application and the code in effectasthat date- 6'h Edition (2017) Florida Buildlinl;,Cqde j\
10TlCLAn addition to the, requirements,of thispermit, there may be additional restrictions applicable to this property that maybe found in the public rec6rds'
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 permitis verification that I will notify the owner of theproperty of the requirements of Florida Lien I. 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 estini.ated. construction value of thejob at,the time of submittal'. The actual construction value will ,
befigured based on the current lQCValuation Table in effect at the time.the permit is issued, in accordance with localcirdinance. Should calculated clialrges',figufed
off the executed contract -exceed the actual construction value, credit will be -applied toyour permit fees when the permi issued. OWNER'S AFFIDAVIT:
I certify that all of the foregoing information is accurate and that all work `sill be done in compliance
with all applicable, laws regulating construction and zoning. Signature-Of6smer/Agent
Date 'iKature Of C01111'rictor/Ageot Date Print OwnorlAgem's
Niniv Signfjuire Date rin
C ntracltor/
Ag n ;-Nanie gvature:.:ifNotiry-'t;
1tC aria 7 Date O.Nl6'ier/
agent is _Person ally 1 n own, to Me or ContractortA it -is Persdoaffly KiYowh to Me or Produced 11) __T
Type of ID'-
Produced ID 'FypeofJD BELOW IS FOR OFFICE
USE ONLY Pern I iits,Re(
iuired:
13,,
ulillding 0 Electrical ElMechanical [I Plumbing 10 Gas 0 Roof El Construction Type: Occupancy Use:
Flood Zone: — Total Sy Ft of
Bldg: Min. Occupancy Load: # of Stories,; New Construction: Electric - # of
Amps,_— Plumbing - # of Fixtures Fire Sprinkler Perinit: Yes
nNo n # of Heads Fire Alarin -Permit: Yes El NTO APPROVALS: S: ZONING: ENGINEERING:
COMMENTS: UTILITIES: FIRE:
WASTE
WATER:
BUILDING:
AHRI Certified Reference Number :201417643 Date: 11-26-201, 8 Model Status: Active
did AHRI Reference Number: 8665532
AHRI Type: RCU-A-CB
Series : GSX1 4
Outdoor Unit- Brand ,Name : GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ARUF29B14A*
Region: Southeast and North (AL, AR, DC, DE, FL. GA, HI, KY, LA., MD, MS, NC, OK, SC. TN. TX, vA. AK, CO. CT, ID, IL,
IA, IN; KS. MA, ME, Ml.,MN, MO, MT, ND. NE. NH, NJ, NY, Ofl, OR, PA, Rl, SD, UT: UT; WA: WV, W. VVY, U.S.
Territorie's)
Region Note: Central air conditioners manufactured prior to January 1, 2015 are,eligibletto be installed in a!I regions
until June' jO.2016,1Beginning July1, 2016`central air, conditioners can only be installe d in reglon(s), for
dency., ' Whl6h thdymeet the ,regional 'effi` r6quiremient, Themanufaci
this:-GOODMAN:proiduct Is responsible for the rating,.Cifthis system combination. Rated it;
In nzI , na, , ng:O nitary as I&I, 0 OV4111) accordantewe latest etl -o (6f Sl,*41 11 v lh'Maenda I and-2,?erf6n Air 61nditlCinin6 4Air .
Source Heal, Pump Equipment and subject to rating accuracy by AHRI-spoitsored, indq eridpnt, th:rd, padlest ng: Cooling. C*city (A2) -
Single 6r'High:Stage',(95F), bt'u-h,:,23600 SEER: 14i011EER (A2),-,
Sing_l6
orl-lijhStage 11 ,60 a" Model Status are thcise
that an AHRI Certification Program Participant is currently producing ,AND, selling or offering for sale, OR new models that are being Dd but are not yol,
tiptrig produced,'Producticin Stopped' Model Status are tno$e that an'AHRI Certification Program Parlicipant is no longer prOd uVing IBUT is still DISCLAIMER ARRI does not endorse
the
product(s) listed on this Certificate and makes no representations. warranties criguurantees as to, and assumes no responsibility for. the product(i) I(sted
on this Certificate. AHRI expressly d1scLilms all liability for damages of any kind arising out of the use or performance of the procluct(s), or the unauthorized alteration of data listed
on this Cartificate.Certiffed ratings are valid onty,lor models and configurations 11sled In the directory, at wwwailirldfractoty.org. TERMS
AND CONDITIONS This Certiftnie
and its coritents,
ate proprietary products of AIIRI. This certificate shall only be used for individual. persona! and confidential reference purposes. The content,, of this certificate may W. In whole or in part, be reproduced: copied; disseminated; k entered Into a computer
database:
or other -wise utilized. In arni form or manner or by any meanq., except for the user's Individual. uersonal and conn-cleoVai reference. AIR-CONDITIONING, HEATING CERTIFICATE VERIFICATION 4 REFRIURATION INSTITUIE
The Information for the model
cited on this; certificate can be verified at %aivw,ah4dIrcct,7q,oql, click on -VoWy Ccrtllicaua* illik and crilerAhe AHRI C criMed
flefc(ence Number andthe date on which the certificate was Issued, which Is listed above, and
the Certificate No.. which is listed at bottom right. @)2018Ajr-Cond,tloning. Heatind,
and Refrigeration Institute CERTIFICATE NO.: kn, 77 i3l8409'.5547051,670