190 Bolivia Ct - M18-004656 - AC CHANGE OUT1v fw'CITYOF
Sk 40RD NOV,
Documented Construction Value: $ 8900.00
Job Address: 190 Bolivia Ct Historic District: Yes NoFv(-]
Parcel ID: 31-19-31-300-0020-0000 Residential Commercial
Type of Work: New[] Addition Alteration Repair Demo Change of Use Move
Description of Work: AC Change Out
Plan Review Contact Person. Lori Title: Asst
Phone:407-602-3374 Fax: Email:lori.lockhart@protechac.com
Property Owner Information
Name NEW TRIBES MISSION, INC Phone: 407-330-1505
Street: 1000 E 1 ST ST Resident of property?
City, State Zip: Sanford, FI 32771
Contractor Information
Name Pro -Tech AC & Plumbing Service, Inc Phone: 4072911644
Street: 2425 Silver Star Rd Fax:
City, State Zip: Orlando, FI 32804 State License No.:
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: 6tn Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other, governmental entities such as watermanagementdistricts, state agencies, or federal agencies.
Acceptance ofpermit 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 at the time ofpermit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinance. 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.
0 LC--" i.
Signature of Owne Agent Date Signature ofContractor/Agent Date
T
Print Owner/Agent's Name Print Contractor/Agent's Name
he, Sig at ' . ftaROLMA KE NEDY Da Stgnat a of Not-Stateof Florida Date c MY
COMMISSION # FF907271 EXPIRES August
05, 2019 4071395-0'
S3 Fior."ota yServrexam Owner/Agent
is Personally Kr,nwn to Meor Contractor/Agent is Personally Known to Me or Produced IDTypeofIDProducedIDTypeofIDBELOWIS
FOR OFFICE USE ONLY Permits Required:
Building Electrical Mechanical Plumbing Gas Roof Construction Type:
Occupancy Use: Flood Zone: Total Sq
Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction:
Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler
Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING:
UTILITIES: WASTE WATER: ENGINEERING: FIRE:
BUILDING: COMMENTS: Revised:
January
1, 201 S Permit Application
Grant Malo , Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #2018134633 Book:9256 Page:359; (1 PAGES) RCD: 11/29/2018 2:49:24 PMRECFEE $10.00
CERWIE
Ai'M)
THIS INSTRUMENT PREPARED BY:
Name: Lori Lockhart - ProTech A/C & Plumbing Service IncAddress: 2425 SI{ver Star Rd.
Orlando, FL 32804
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number. 31-19-31-300-0020-0000
The undersigned hereby gives notice that improvement will -be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) SEC 31 TWP 19S RGE 31E NE 1/4 OF NE 1/4 (LESS RY & RD & S 25 FT)
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: New Tribes Mission 1000 E 1ST ST SANFORD, FL 32771
Interest in property: Own
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: Pro -Tech A/C & Plumbing Service Inc ____ Phone Number: 407-291-1644Address: 2425 Silver Star Rd., Orlando.:FL.32804 .' T
5. SURETY (If applicable, a copy of the payment 'bond'it£ of
Address:
t
6. LENDER Name:
Address:
Name:
Amount of Bond:
Phone Number.
7. Persons within the State of Florida Designated. by Owner upon whom notice or other documents maybe served as provided by Section713.13(1)(a)7., Florida Statutes.
Name:.
Phone Number.
8. In addition, Owner designates of
to receive a copy ofthe 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 ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, .SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTNICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOUR-NOTICE'OF COMMENCEMENT.
Signature of Owner or Lessee, or Owners or L csee'cAuthorizedOMcep[Arector/PaMer/tAanager)
CAlar /klOMIN1STKl+TiVE
Print Name and Provide wgnatorys 1 ju. .)
State of mho A County of ipp+
TheforegoinginstrumentwasacknowledgedbeforemethisO
rjdayor _ A10 f/0_46"_ 20 by _ _Bki A-M -` OE T Pam/ E2_ Name
of person making statement Who is personally known to me OR who
has produced Identification 0 type of identificatiori produced: CAROLINA.
KENNEDY . MY.
COMMISSION # FF9072171 EXPIRES
August 05. 2019` IAg7)
39t)-otS3 FloridallourySewioe.can Notary Signature
P Circuit Court & Comptroller Seminole County
Custom,"! • I I a, h. • -
1729185
PRO TECI!• Receipt
Receipt Date 1112912015
Account Balance: 0.00
Accols,., No: 855254 16.00
1 NOTICE COMM NOTICE COMMBKIPG9256/359Inst# 2018'134633 6.00
10.00
TIRED COPY _
RECORDING FEE - 43C)UNTY 13.00
2 NOTICE CORM NOTICE COMMBIUPG92561360Inst# 2018134634 3.00
10.00
CERTIFIED COPYRECORDING FEE 29.00
COUNTY
R p" „ a1 29.00
Paid By:
CRECI NCOURT
Total Tendered
HAVE /, p
Recording I-iours 8:OOX+V4 - 4:30PM
Passport Flours 8:30AM - 3:OOPM
Rec By: hdevore
Printed: I V29i2=.J1 a 2:49 pm
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Certificatw,v- of ProductKatings
AHRI Certified Reference Number: 10093496 Date : 11-26-2018 Model Status : Active
AHRI Type: HRCU-A-CB
Series : XV201
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TWV0036A1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TAM9AOC36V31
The manufacturer of this TRANE 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 : 35000
SEER: 19.75
EER (A2) -Single or High Stage (95F)
Heating,Capacity (H1:2);Single,o High.S ge (47,E)33,00 t
HSPF (Region IV)`: 10.00j
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 being
marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new Dublished rating is shown along with the previous (i.e. 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 Certificate. AHRI expressly disclaims all liability for damages of any kind arising out ofthe use or performance of the product(s), or the
unauthorized alteration of data listed on this Certificate. 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,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life better'"' 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.
2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131877106788145474