HomeMy WebLinkAboutBLDG PERMIT #17-0869 (A/C) #303 05/09/2017 14:19 3217849690
KABRAN AIR PAGE 01104
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Date:5CITY OF CAPE CANAVERAL Tracking#
v BUILDING PERMIT APPLICATION Permit# -(
RECEIVED
t4/4%, A n 1n11 (321)5684222 Canaveral,FL 32920
City of Cape Canaveral Building Department -7c 10 N.
Atlantic Ave.ay x to:Cape(321)868-1247. All applications must include the
You may download this application: trecanaye }�
tete.
backside of this form. Important: Please complete the checklist
h at on packages willof no�be is accepted unless eompd provide r documentation as indicated on
the checklist. A copy of contract may be regwre pp required)
APPLICANT WILL BE CALLED'WHEN PERMIT IS READY
(Contractor/Owner-Builder is required to sign for the building permit,unless indicated otherwise by affidavit. I.D.may be
Zone:
0 •I wm►J ; A* 3 Zoning classification:
Address of Job Site: i BLK: L07�PW PG:
Legal description of props/,: RNG; SEC; , S D: -- Phone;
Property Owner Name: a • s . VW ! io GG •
Simple
Address: A1� Address:
Fee Tiflcholder's Name Of other that tartt'); Address:
Bonding Company: Address:
Mortgage Lender: -
Q Type of Permit Brief description of work:
II Building
II Electrical
1111 Plumbin•
/ � -, ...rt• . • •o AV 11 NO
N Other
FPL lines City Sewer #of #of N of #of *of Valuation of work
Type of Square Coast poccu-aucywater MCii of R/Q"lnal
currently available Concrete/ stories drvei- bed-os closets teary
d
BL111ds - Fret Type Pm Available to to serve Asphalt ling
(plicae order
roof VB Hoo nca serve this this Parking units
applice ss ate (HAI,R3 Prop? Ptopem7 Spaces
applicable) ) etc. Yes/No Vea/I�to _���
ommercial ���� ���� $
� r�ownhouse � r11111
II partment 11111 MEM Mai s
' •
�',�Candomini .. 1.1.1111.1111. 111111111 ����
�•ther r, ���
Architect/Engineer Name:
Name of Company:
Address: /
(celllpager): Fez:�..—
State License No.: Phone(office): ,
Primary Contractor Name:pa �''
"" Knnennl .
Name of Company:
Address: :. a. 1. • •a : I • , yoA A197 Pbone(cell/pager.): Fax:32.11219.0.99_
State License No.: Phone(office):32,�
Name of Company:
Electrical Contractor Name: Fax:�,
Address: Phone(office): phone(cell/pager.):
State License No.:
Name of Company:
Plumbing Contractor Name: Fax:
Address: Phone(office): Phone(cell/pager.):
State License No.:
Name of Company=
Mechanical Contractor Name: Fax:�—
Address: Phone(cell/pager.):
State License No.:
Phone(office):
Specialty/Other Contactor Name:
Name of Company:
Address' Phone(office): Phone(cell/pager.): Fix:
State License No.;
(, 13lcitPti't.Hrnls\FStivldih;.'l'rrivit Aprthcation Re:,`.".ay I0,,'.,rl
a •
05/09/2017 14:19 3217849690
KABRAN AIR PAGE 02/04
III Notes tievbedl
tion ChecklistIIII c, iti alae 2010 cr
1
. >t- ,Permit �• cheek
with Bios..Dept fi�R Nivea
1111 •pa , '•.•'. it �'Vw....• iwYi tl h�•�•�..�'
ill
r C' rd pivII�/BuildCt Affidavit. 1111 MIY be defied tta C.O.Un1en job is modeling
■ rloari� �� , . _— � May be deferred�i C.O.
IIICowl
r�e/..�, marl/ .O
N �•11•l�' �ee,�•'•' �
I 'tea : •:•.lion Fee recei• 11111
� ~ "'W.• Deed/Proof of Owncrshi- Over�Isoo M °
out
t over 52 500 , l chi Huai
a
of Recorded Notice of Coaaxker's •i / - an Record n�be kept er wq
1111
• PoliwaKic visible Public current i Of-. Board
• t,nen B Fos all Come a.,,'•_Board Site Plan ... •val
III
a " • Foam11111ffg
si
s
racbOT's State License Rk aria be na ' `
• • Authorizations:1111 Notify 9vriain$Der
■ gl,�tar'B
State Licxi>•se PltuabmB Contractor
111
■ Plumbing
Co Contractor 0111 Electrical Contractor r
a Electricalechanical Contractor a Mechanical Contractor
• Contractor
r Roo z‘. Com - sovi,:nmin Pool Contractor -
IIII
■ o Pool Contractor actor 11111 �Contractor IIIII
aS• •-, Contractor r • - ty Contractor. 11111 PerF.S.C.104
si On DrawingE Pea F.H.C. 04 be needed at Ocie dim.
• Three Beds of sealeda tion. acdori drawings so Co w sad shop drawings
Plana nom indicate P� - •.. i•le rbr calculations
111 Electrical
, .•, anddalculon: 111. AU new service_be located
IN Elatticsl I.osd Calculations ~ Plata meet indult prawn bltmd design
■ EleeRlcal Aiset - Ply mast indicate pew' p�tble flor&reign
III plumb4.00.0.111111.1.11.1.111.11111.1111111scr � PUS itfdioa�a peesam�p�ie fbr calcniaiWes
111
■ •Two of•, + Calculations Requires Fitt Delft a 'm issuance°f palmic
El ' •`= Alarm:.ociflcatie ns priorwithouttis ubarrier
■ •1 1• •_ is Pool permit.will not be ironed
Your Bab pfFiro •. ",F�• -
� Pool Barrier ' -• �.,-.� �=' ��� i certify that no work c
made to obtain a permit to do the work and installationsto meetthe standards kof c
a
Application is hereby prior to the issuance of a permit and that all work ill be the time performed
this application the ��
awsreg installation has commencedjurisdiction. The aiding Code in effect of
that it is the is the
laws regulating Dilikkagsgriga- Uliou in andhis d that all require int when ready for peatons inspection(s).indicated
This permit application itresponsibility s
r s
mthe h from holdert to notify the building aappplicant affirms that all above is true and correct
Pdate of submission_ By signing, for this permit
months dagentand has the authoritS'
to apply
authorized of the Contractor/Owner PRIOR TO COMMENCEMENT*
*ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED
Gm's Signature: dtIst- eZrpaltiv._
Date:
Name: �2 -� �, ,
—� Site Address: . '
Date:
ofBrevard
For Notary use only: State of Florid+ ouaty20l��by �, � �,� Jae
Printednano of APPlioeat
Sworn and subscribed before me this day of
or
--^
who ideittificati0n.
personally .• 1 :Vt' JEANNIE CONYERS 4re
f' 1, /1L a.��
�T` i n ••L MY COMMISSION a FF214107 ��NOM,
7 1z
• "-r* EXPIRES s Si 10.2019
Seal: •1 ioe+daNny. Sir**oar SWUM- This form may be duplicated.
,aoriae•n•u•�s
KABRAN AIR PAGE 03104
wt
05/09/2017 14:19 3217849690 1`L �'� �� �,�,b,ri.� .�,,., -.••--
D 51101
O1er G.L
7,.. . EXCEEDING YOUR EXPECTATIONS 62 So! iE'
Alantic t.Tl �Q+r ri.�tCocoa '�` '
,,,,,i'i, AIR-CONDITIONING & HEATING INC. .
Office:
.vitri
- 10; Iltvillt req.! i itr trr', ' i Fax; 321-784-9690
\-— Gut-eZ , Li 'N'`e-- c-C2041 L kabranair@kabran.com 0
"4713�(,��
PROPOSAL 2. 0m
CUSTOMER INFORMATION r
rI►l Mme �J / 1A yT I 53`�]-9 1
CustomorNa ,� A 11 h,l 1 k •
f �GJtGtp b ,v� t
St 6
t % o L �� ,s . aspatch
Co `vim J.- ovation � Date
i .Stere.Zip A - { 4'
BEST
r 'RICIN
+' C 1 SCJ ,.. 1 CI"PiY e . - `'` C
BRAND: CA-e-r
/k-a— SEER 14 CAPACITY 4'C+~i' STYLE C.OTYPE S+12-m0 Ct=4-1
EQUIPMENT: r !J►
f1 Year warranty on equipment parts
______-Year warranty on equipment labor Year warranty on other parts&labor
BETTER
PRICING S9 $ 0 cap.sm2_ c
t TYPE �3i'�� C.°'c- S
BRAND: SEERL ___ CAPACITY '. 7\STYLE
EQUIPMENT:t
1'- 03'41 , A m,9Z1
l(Year warranty on equipment parts 1 Year warranty on equipment labor Year warranty on other parts&labor
GOOD
PRICING_
BRAND:
SEER CAPACITY STYLE TYPE
EQUIPMENT:
Year warranty on equipment parts
Year warranty on equipment labor Year warranty on other parts&labor
SYSTEM ENHANCEMENTS 1 OPTIONS
air handler stand i platformplatform top deck
COOL CLUB MEMBER NC support pad new refrigerant lines _new Condensate drain line
drain flush out fitting safety overflow switchrefrigerant line set cover
rubberized undercoatingprotection
p condenser Support risersfilter back R/A grille ut existing refrigerant lines duct schroud: GALV, ALU
sea coast coil protectioncorroslon grenade mechanical air cleaner -air purifier
_UV Light ,surge protector inside _outside
programmable thermostat _nen-programmable thermostat electric disconnect box/electric whip--•-_•-9
WI FI thermostat -anchor outdoor unit _upgrade high&low voltage circuits per equipment specification&local codes
and satign pump, ,240 volt , 120\oft crane rental
removal&disposal of old equipment& Jobslte clean-up tr1 L �^ I V e. C - — +
Other l �LI �rA fy''N a►
4. WO . q � [ DAYS
• PRICE VALID FOR:
PRICES INCLUDE: TAX,LABOR,MATERIALS,P WIT,DISCOUNTS,REBATES,FEES
All omaboae Ispecifications involy ngspecified.
costs w ll be xecuted o ly pone itten ordeork i, be completed in a e and will bee a emanner accord ng nextrastandard
cha ge practices.
over and above the estimate. All
agm a
agreements contingent upon strikes,accidents or del:ys beyond our con). Ow�.r 'carry fire,to /do and other necessary insurance. Our workers
are
fully covered by Workman's Compensation Insurance, �� r �/ i
, Date
KABRAN Authorized Signature �.
/�' ,,��, ' 4�� Date
Customer Acceptance Sig _�.�/X. / -/, •
05/09/2017 14:19 3217849690 KABRAN AIR PAGE 04/04
•
u..it CERTIFIED
wrn+:.all rirlirr;:lury.n,o
Certificate of Product Ratins
AHRI Certified Reference Number: 9172065 Date: 5/9/2017
Product:Spilt System:Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit Model Number:24ACA424C*030"
Indoor Unit Model Number: FB4CNFO24L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER AIR CONDITIONING
Region: Southeast and North (AL,AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC,OK,SC,TN, TX,VA
AKNY,OH,OR, PA,
RI,SD, UT,KS, MA,
WV,WI, MO,U.S.Territories) NJ,
Region Note:Central air conditioners manufactured prior to January 1,2015,are eligible to be
installed In all regions until June 30,2016. Beginning July1,
2016,
centralnien requirement.
ers
can only be installed in re ion S for which they meet the e r
'Iona
re' uirem ,..
Series'. ' ' •1, 7• 4 W r • 1"1 W ^ , l ,
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(E1=R-Rating(i✓boling):
•Ratings followed Ay en nstnA2k(")indicato a voluntary rerate of previously published data,unln5 occomponied with a WAS,which Indicates an Involuntary rr Idte
DISCLAIMER
AMR!does not endorse the produtt(s)listed on this Certificate and makes no representations,warranties nr guarantees as to,and assumes he responsibility for.
unauthort ed)alisted ont eras ontohis Certifiate.AHRI expressly f data liated on this Certificate.'saims Certified rll atingstty for ore validlionly for odels end configurations listed In thees of any kd arising out of the use or ormance of the produci(al,or the
directory at www.ahrldireotory.org.
TERMS AND CONDITIONS
This Certificate and he contents ere proprintary prnduct of AHRI.This Certificate shell only be used for Individual,personal and
t,In whole or
entered Info reference computer database;or otherwise ses.The contents fthis utl ized!Inlanyeform or manner or by n part,be any eanscexcept for,the user's(individual, ;
Personal and ConflAIR-+:oNOfrIONINO.HEATING,
tlCntial reference. A REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATIONwr make 1,lc tette
The Information for the model cited on this Certificate can be verified at www.ahrtdiroctory.org click on Verify Certificate'link
and enter the AMR'Certified Reference Number end the date on which the certificate was Issued , ,,,.
which Is listed above.and the Certlfleate No..which Is listed at bottom right• F, ri,1 gyp*I�`It+,a+''t lit I�+', A � r r n it
)2014 Air-Conditioning, Heating.and Refrigeration Institute • .., , ts',cl I 1 it,h io,
04/28/2017 10:05 3217849690
KABRAN AIR PAGE 01/01
City of Cape Canaveral
ANNUAL AUTHORI7ATlON FORM
City of Cape Canaveral Building Department/ 110 Polk Ave, Cape Canaveral, FL 32920
Office:(321)868-1222/Fax:(321)868-1247
DATE:24/221.112---.
(You may download this authorization form:www apQcanaveral.or�l €
CONTRACTORS&SUB-CONTRACTORS—PLEASE HAVE YOUR SIGNATURE NOTARIZED
Company Name: I C 1
1, .I.!`. - I :r 0J) hereby authorize the person(s) below to obtain a permit
on my behalf under my state license(s)as issued by the Department of Business and Professional
Regulation,Construction Industry Licensing Board (state License Number)
This Authorization will be good for one calendar year and it will be the sole responsibility of the
Contractor to inform the City of Cape Canaveral Building DepThe City of Cape Canaveral will not be held
artment of any changes. It will be the sole
responsibility of the Contractor to renew this form annually.
responsible for any permits leaving this office by any and all persons listed below while this document is
in effect.The City of Cape Canaveral will not be held responsible for renewal of this document.
1. . n �-L iDn( 4. rL, 11/4r
2. al , ( S-S 5. gi • '6-bral)
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3. �� V101tj ,,.. L l 6. al
LD.IS MANDATORY a RELEAS PERMITS
SIGNATURE OF LICENSE HOLDER: - .et
PRINTED NAME OF LICENSE HOLDER: 0!
For Notary Use Only: State of Florida County of Brevard
Sworn and subscribed before me this.day of 200.,by
Who produced identification: or Is Personally known to me
Seal: •
• ature- Notary Public At La :e: .& '._.L JEANNIE CONVERR V
.. : MY COMMISSION$FF214107
.. EXPIRES AO 10,2019
n ave•o•br
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