212 Melissa Ct - BR18-004323CITY OF
SkA4FORD PERMIT APPLICATION
BUILDING DIVISION
Application No:
Documented Construction Value: S
Job Address: l2 I Q Y(17ejk 1 jsQ a.Sco4om Historic District: Yes No
Parcel ID: " 0" 05 0-501 "Ccop" l I t1JQ Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: t Title: fAwers 0
Phone: q QAUd (0, Fax: Email: KC uma A& 64.
Property Owner Information 5 t•'
Name r C,-)n rAr Phone: 3X (& 7'6&
Street: Lksn t Wr • Resident of property?:
City, State Zip: G
Name
Street:
City, SI
nnir rinr infnrmatlOn
4?r. Fax:
State License No.: _0 Ac igmgsN_."
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
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 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: 61" Edition (2017) Florida Building Code
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 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 estimated construction value of the job at the time of submittal. 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 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.
Signature ofOwner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
bri an
Print Contractor/Agent's Name
Si ature of Notary-StateR l' N{NGHAM to
r°
SAY eUde,a
c MY COMMISSto tt GG 034278
efContraERSffAgentis ly Known to Me or
Produced ID Type of 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:
Date: 10/20/201.8
Price valid until 11/1912018 Work Order # 35147
Owner of Property Mike Conner Cell Phone $ ~,S S - S tG' .7
Co -Owner or Tenant Kiery Cell Phone 407-383-0672
Job Location 212 Melissa Court Sanford, 32773
Email Redmdc9@gmail.com Billing Address(lfdifferent): 1{ 7 Uit fGyre dill n r ela;,.J.0?J y
We hereby propose: To furnish, install and sen:ice under warranty # (stated below) products or related equipmentforyour home or
business in accordance with the conditt d specifications set forth in this proposal.
X Condenser Goodman 2.5ton HJP S C Other
X SEER !q KW 8 PKG Split X A / C pad size 36x36
ARI #
Coil
X Air Handler Goodman
Gas Furnace
X Flood Switch SS2
X Liquid Line 3/8 Suction Line 3/4
Condensate Pump
X New Drain Line Accept X Decline
Line set protective cover ft.
Zoning
Supply Duct
Zones
Return Duct Direct Ceiling SW
X New Platform REPLACE TOP ONLY
Air Purifier
X Air Filter type and size 1SX20X1
Duct Sanitize: Accept Decline
Duct Seal: Accept Decline
XThermostat type T6 1C/1H
X All work to he done in accordance w/existing code with
permitting
X Removal of existing equipment from the premises.
X All work to be performed in a neat and professional manner
by a trained technician. All debris removed from premises
each day. .kincriTech a ill guarantee the install of the
product free frrtni defects in workmanship for t (un(,) } enr
from data: of inoall.
X Manufacturer warranty on parts 10 years.
On Condenser and Air Handler, AmeriTech %t ill lilc
Nlarrantrl 1),aptrwork after payment in full and permit is
complete. ('ustomer must contact .%nieriTecIt if marranty
cerrlf u,tc is not reecivei F4ithin 45 da%s of inita11.
Purchase extended manufacture labor warranty
years. Condenser and Air Handler.
Warranty on zoning electrical
Warranty on dampers
X Manufacturer warranty on compressor 10 years.
Antcrfl'cch will rile warranty paperwork, after payment in
full and permit is complete, Custoxner must contact
merifech if warranty certificate is not received within 45
days of install.
X New electrical disconnect for condenser YES Warranty on duct work
New electrical for AHU disconnect _ Warranty on other
Surge Protector Utility Company
Note: oknso ro[tawauWebmfor kcal uWlrt renrdinaenv -- rvftml This
entire document, including the terms and conditions below, and any`agreement executed in writing, pursuant thereto, between BNL Contractors,
LLC d/b/a AmeriTech Air -Conditioning and Heating (hereinafter referred to as "AmeriTech") and the property owner(s) or property owner'
s representative(s), hereby referred as the "Customer", are subject to the laws in effect in the state of Florida, and that failure to pay all amounts
due shall constitute a material breech of this agreement and Customer shall be responsible for any and interest at 1.5% per month (18% per
annum.), costs, and attorney's fees incurred by AmeriTech to recover said amounts owed. Customer shall pay AmeriTech's attorney's fees and costs
for collection of any sums due hereunder, whether or not suit is filed: Total
Price: $4,139.00 #NAME' Deposit
NA Terms:*
Cash f financing & terms are pending on credit approval and must be complete befo -vvo j}` Company
acceptance signature Date: i( Owner
acceptance signature Date: Options/
Notes MUST BE PAID IN 1' L DATE ON INSTALL BY CHECK AmeriTech
Office: 407-532-8W Fax: 407-297-7577 P.Q. Box 680666, Orlando, FL 32868 License H CAC1S17383/ EC13008184 Page
I of 2
TERMS AND CONDITIONS
This dmument contains die full and entire agreement hctwexrn the panics
hereto and shall not be amended or altered in any manner unless such
alteration or amendment is in writing and executed on lxhall'of;bneriTech by
one of its authorized mprin-writative s at its general ofiiee.
1. 11mycrx Right To Canctl — Customer may cancel this agreement by
providing written notice to the seller in person, by fax, or by
certified mall, delivered or postmarked Before midnight of the third
husinem day after its execution. Cancellation of this agreement will
result In the full refund of any payment made prior to caneellat.inn.
2. Acceptance ofthis agreement is contingent upon review and approval by
one ol'Amcritech's amhoriitd representative at its general of ace.
3. This cumrret shall be hinding ulxai inure to the bcnctit or the parties
hereto and their respective heirs. vxceutom adminisiraos.
representatives. successors and assigns.
4. Chadiae3:. Additional labor and/or materials at ('usiomcr's request or
required to bring existing work to applicable code arcnot included and will
be to an additional cost unless otherwise noted out the contract Customer
may self perform, but would be rcquirccd io comnpdctc any such worts
within live (5) days of recciving. written notice by AmeriTech. If Custcmicr
elects to have AnicriT'ech perform work, it will he executed only
upon the panics entering into u written change order. s,
fWay3: AinctiTcch will be excused fw any delay beyond its reasonable control.
anti sholl not be responsible for delays in periiirmance and/or reserve:;
the right without penalty or obligation to suspend delivery cx Installation
of items In the event of labor disputes. labor transportation interruption,
accident to plant and/or Lquipriwnt- fire. flood. acts to (iod. acts
of public authority, or other unforeseen contin6cncics, including failure
a nd4x delay in customer mukine, payment or other continl,;olcies. 6.
Witmnties: Amefacch warranty all work for the period of time outlined
above. Customer understands and agrees that this is the only warranty
bring given by Ainerirech and that Amcr!Tcch's obligation under
this watramy shall he limited to the repair or ruplacenwin of any defects
in material or wtxkmanship. Customer shall have. the obligwitn to
noify AmcriTech immedimcly upon the detection of any defects in materials
and woekmnnsliip and, upon receiving such entice: Amcrifeel Oat)
repair or replace such items within u reasonable perio dof time. Customer'
s failure to timely notify Amcri'rmh of any such defect shall relieve
AmeriTcch from any responsibility tinder this warranty. This warranty
dos not include any obligntitan to repair damages caused by the
Customer through normal -,tear and teat, negligence or otherwise. Warranty,
service is available Sam-ilpttt, Monday through Friday except
holidays. 7.
t rtnuarx: AmcriTvrh will rite he responsible for any damage caused by those
persons or actions beyond the ctintrol of ArrieriTech. and shalt in no
way be liable fix indirect, consequential. special or resultant damage*,
including, without limitation, personal injuries. loss or damage to
any property of any kind, other injury whatsoever, whether caused directly
or indirectly by, or arising in coiartecil in with, the purchase, installation.
tar use of items. The style liability of Amcrrrich in connection
with the purchase. installation or use of the items shall be fiver the
repair or tepltcenicnt of defective items and accept as expressly hercinabove
provided. AMERITEC I IMAKES NO GUARANTEE OIL WARRANTY.
FXPRFSSED OR IMPLIED, INCLUDING. WITI1OUT LIMITA-
r(ON. WARRANTIES OR FITNESS OR MECI1ANTABil-
ITY. WrnI RI spFcTri TT if_ rrEms SOLD. R.
gf'aul: Custom r understands and agrees that if payment is not made under
the terms of this agreement. Amcril*cch is cntidtd to all remedies at
saw. including the recording and 11>mlo5ure of a Claim of Lien on the pruperty.
Customer further understands and uaares that failure to pay all anuu.
tnts due shall constitute a material breach of this agrectmin and. Customer
shall he responsible for any and interest, coasts. and attorney's rces
incurred by AmeriTcch. to recover said amounts cnvcd. Customer shall
pay AmcriTcch's attomcy's fees and costs fox collection of any stuns
due hereunder. whether or not suit is filed. 9.
v,ennt: Netinuc of any pmcmdinp rclatinit to the contract shall be in Change
County. 1 lodda. 10.
Pre -Snit Metliatinn; With the cxccpticm of rayrnentr owed to AmenYceh,
pro -suit mediation is a cw ilition precedent to filing suit on any
issues arising out of this aWrenicnt. 'ihe mcdiauir shall he. compensated
with cult pan). to pay one hnlfofthe mediation tee. tl,
Eautrimcm OwncrshiE Chviicrship of Equipment remains with Amer
feeh until Pall payment is received. In case of default for tailurc ofCustorner
it) nttrkc puyincnt when due, the full umourrt ofihc purchase price
unpaid shalt become due and hectnic payable, and Amerfruch may.
at its option and .without notice or demand and without legal process,
take possession of such ilents wherever they may he located. Customer
shall not bu released tivm its obhgation until the full amount of
the purchase price is paid, plus thc. gists incurred in collection as outlined
herein. 12.
Notices; All notices shall Ix in writing. and shall be domed given when perstnully
dcliver d or deposited in the mail, postage prepaid, addressed In
the other party at the address appearing. on the reverse side of this agreement.
13.
Wnivtr. A waiver of default for any provision of this agnxnicnt shall not
be deemed a waiver for any other default. id.
Substitution of Materialt Antcri 1'cch may substitute materials with serimcn
mnicc it) the Cwmorncr in order to allow the wort: to proceed provided
that the substituted materials arc of nnlesser quality than those listed
in the specifceutifwis. t.
5. Sun-lvnblllh: It' any provision oaf' this contract should bu devilled invalid
or unenforceable, the validity and cnforccability of the renaming provisions
shall remain intro. 1,
6, Entire Aareemnt: This document cotsiitute-, die entire agreement by the
parties. No other documents exist. This Agreement can be modified only
by written agrec rocnt sigxd by both parties. 17.
Minn "A^ Sttcrlal Conditions: U.
AmeriTceh shall not be respon:aibic for any existing building code violations.
and are the sv+lo responsibility of theCusumxT. K
Customer mny reserve the right to pull hisrher own permit from their
heal municipality at their own risk and financial respowibihiy.
Cusloncr will he responsible for ensuring all upplicnblc
permits unit inspections arc applied for, scheduled and communicated
to their municipality, and that any and all applicable fits
for those items arc paid directly to that entity. c.
Customer undcoaands that Amcri'rcch does not oficr air distribution
balancing in any Fashion for residential propenics. All now
construction conmercicd projccis require air distribution balancing,
This certification process is perfunncd by an outside vendor
on txhalfol'AmcriTech at an additional charge. d,
AmcriTech dos not treat or remove mold. All duct cleaning is done
solely to remove din and dc^lris. c,
Ameracch will not be held rupoitsible for mum damage resulting From
water leaks caused by neat• or existing clogged and/or inoperable
drain lines, faulty' andior non-functioning ftotxl/flo at switches
andlor frozen coils. Condensate drain fines are not warranted
under any conditions. r. ('
Nice permits have hecn applied flu. Customer agrees to pay 10% of
contruct price to Amcri such due to pronaturc cancellation of the
contract. g.
Custorrtcr dull be responsible fear all emts incurred by AmeiiTec.h as
a rj~sutt of euiv re -inspections fees caused by the failure of Customer
to cooperate, with the inspectors and: or appear at the dateand
time schcdulcxf fix inspection. h.
Should a situation arise that requires the use of mistingrefrigerant to
oincr line sets, Amcri'Nch will test the line set fix funks and reuse
the line set, but shall no be held responsible rev any leaks or damaged
that may be caused should the cutipe:r fait. ANY
REPRESENTATIONS, STA1T MENT'S, OR OTHER COMMtINICA'
rR)N NOT WRIT117N IN THIS CONTRACT, OR MADE ill
WRITING PUTRSUANT T11I RETCt. ARE AfiREFD TO Be INVALID, AND
NOT RI''LIEi) ON BY larl'HER PARTY AND, DO NOV SURVIVE TRb
EXEC'UTiON OFTHIS CONTRACT. AmeriTech
Office: 407-332-80M Fax: 407-297-7577 P.O, Box 680666. Orlando, FL 32968 License M CA-C1.817383 MT.
ai Page
2 of 2
QS;
aPORp { •
ayBUILDING DIVISION
6x,T xa7
PERMIT NO. a 6
6
CONTRACTOR: f 'If
JOB ADDRESS: 4Q'
TYPE OF WORK:
Building & Fire Prevention Division
Residential Permit Card
D•22•L - --
il& v Akohld;sa
Post this permit in a conspicuous location outside
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected and approvedFPermitexpires6monthsfromdateofissueorlastapproved inspection
PROTECT FROM WEATHER
BUILDING
INSPECTION 7TPE APPROVED REIECT1,D INSPECTOR
ELECTRICAL
INSPECTION 7TPE APPROVED RF_/E'C'/YiD 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 77PE APPROVED REJFCTED INSPFC7'ORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRl'\\' \1.1 ClIf.PT'ROCR PLUMBING
INSPECTION 7TPE APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPFC77ON 7TPE APPROVED REJECTED INSPECTORROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY-fN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION 7TPE APPROVED REJECTED INSPECTOR INSPECTION 7TPE APPROVED RFJECTAI) 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 FBC 105.3.3
REVISED: 4-17 Inspection Line: 407.792.6069 or855.541.2112
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 328
ROOF GAS ROUGH -IN 314
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