1177 Senegal St - M18-004655 - AC CHANGEOUTl
CITY OF NOV 3 20'1,8 Building & Fire Prevention DivisionkNFORDPE"IT APPLICATION
FIRE DEMATMENT g 4 55ApplicationNo:
Documented Construction Value: $ I U i l-00
Job Address: 1177 Senegal St. Historic District: Yes Nov
Parcel ID: 31-19-31-300-0020-0000 Residential Commercial
Type of Work: New[] Addition Alteration w] 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
Street: 1000 E 1 ST ST
City, State Zip: Sanford, FI 32771
Phone: 407-330-1505
Resident of property? :
Contractor Information
Name Pro -Tech AC & Plumbing Service, Inc Phone: 4072911644
Street: 2425 Silver Star Rd Fax:
City, State Zip:
Name:
Street:
City, St, Zip: _
Orlando, FI 32804
Bonding Company:
Address:
State License No.:
Architect/Engineer Information
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 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 musi`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: 6'" 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 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, 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.
AIr '
lI
z 1,1/ Signature
of Owner/Agent Date iy
It I- F,9 N( f,# r' Print
Owner/Agent's Name Q /
O
ip Signature
off'. d' 11-114A PyLvirota My
COMMISSION # FF907271 EXPIRES
August 05, 2019 1,407) M-0153 Fkxidallota yserviw.car Owner/
Agent is Personally Known'to Me or Produced
ID Type of ID 1
Signahae
of Contractor/Agent Date t—
Print
Contractor/Agent's Name G
gnat
a of Not -State of Florida Date Contractor/
Agent is Personally 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: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
January 1, 2018 Permit Application
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018134633 Book:9256 Page:359; (1 PAGES) RCD: 1112912018 2:49:24 PM
REC FEE $10.00 '
THIS INSTRUMENT PREPARED BY:
Name: Lori Lockhart - ProTech A/C & Plumbing Service, Inc.
Address: 2425 Silver Star Rd.
Orlando, FL 32804
NOTICE OF COMMENCEMENT
Permit Number:
trM'
4t
All;r
U?"TY'CLERK
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, the
following information is provided in this Notice ofCommencement.
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: 407-291-1644
Address: 2425 Silver Star Rd., Orlando, :FL.32804 _
5. SURETY (If applicable, a copy of the payment 'bond'is aftaef etf)? Name:
Address: Amount of Bond:
6. LENDER. Name: Phone Number.
Address:
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 of the Uenor'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 ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR -NOTICE OF COMMENCEMENT.
k1:3 MINISTl2l+TtVE 0 lGG SignatureorOwnerorLessee, or owners or Lessee's (Print Name and ProNde Signatorys TittelOfRce) AuthorizedOfficerlDiredorlPartnerlManagenState
of T Ol hi A County of rThe
foregoing instrument was acknowledged before me this _riLq day of _ NOVb 20 by
Ski A- V L • sg LwxAM/f QNameofpersonmakingstatementWho is personally known to me D OR who
has produced identification O type of Identification produced: %o It CAROLINA
KENNEDY MY
COMMISSION # FF907271- oa,
pe EXPIRES August 05, 2019` —"—'—' Notary signature K-
e IA07)
396-0r53Frorrdallotaryservice.cnm N
Grant Maloy Clerk of the Circuit Court & Comptroller Seminole County
P.O. Box 8099
Sanford FL 32772
Phone:407-665-4338 Fax:
Customer:
PRO TECH
Tran: 1730117 - 23152002
Receipt # 1729185
Receipt Date 11/29/2018
Account No: 855254 Account Balance: 0.00
1 NOTICE COMM w
Inst# 2018134633 BK/PG 9256/359 NOTICE COMM 16.00
6.00CERTIFIEDCOPY
COUNTY RECORDING FEE 10.00
2 NOTICE COMM
Inst# 2018134634 BK/PG 9256/360 NOTICE COMM 13.00
CERTIFIED COPY 3.00
COUNTY RECORDING FEE 10.00
Receipt Total: 29.00
Paid By:
CREDIT CARD - NCOURT 29.00
Total Tendered 29.00
HAVE A NICE DAY
Recording Hours 8:OOAM - 4:30PM
Passport Hours 8:30AM - 3:OOPM
Printed: 11/29/2018 2:49 pm Rec By: hdevore
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 10093501 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) : 4TWV006OA1
Indoor Unit Model Number (Evaporator and/or Air Handier) : TAM9AOC6OV51
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 : 54500
SEER: 19.00
EER (A2),- Single or High Stage (95F) : 12.70
J
Heating Capacity (H1.2)-- Sing le
or High_Stlage (4ZF)51500__
HSPF (Region IV)`: 10.00
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 involuntarv_re-rate new ublished 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 of the 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.ahrldlrectory.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 ,ve 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.: 31877181652411688