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BLDG PERMIT #9660 (A/C) Unit #4-1
City of Cape Canaveral, Florida MECHANICAL PERMIT 9660 PHONE: 321 - 868 -1222 INSPECTIONS & FAX: 868 -1247 PERMIT INFORMATION LOCATION INFORMATION •_ _ _ __ ___ _ Permit #:9660 Issued: 4/23/2013 Address: 7605 RIDGEWOOD AV #4 Permit Type: MECHANICAL CAPE CANAVERAL, FL Class of Work: 434- Add /Alt/Roof Residential Township: Range: Proposed Use: See specific use - residential Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,700.00 Total Fees: 116.50 Subdivision: Amount Paid: Date Paid: Parcel Number: 24 3723CG 39 704 Name: DURON SMITH A/C & REFRIGERATION, It Name: SICURO, JAMES B & MARY LOU Addr: 1401 N. COCOA BLVD Address: 7605 RIDGEWOOD AV #4 COCOA, FL 32922 CAPE CANAVERAL, FL 32920 Phone: (321)452 -3553 Lic: CAC057357 Phone: Work Desc: HVAC CHANGE -OUT APPLICATION FEES MEC ANI AL - REP /ALT UN E 75.00 PLAN REVIEW UNDER 2K 37.50 BUILDING PERMIT SURCHARGE 4.00 - - Inspections Required Final Mechanical APPLICATION ACCEPTED BY: c PLANS CHECKED BY: APPROVED BY: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCE ITHIN 6 MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 MONTHS AT ANY TIME AFTER WORK IS STARTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR I OCAI I AW RFG 1111 ATING CONSTRI ICTION OR THF PFRFnRMANCE OF CONSTRI ICTION WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT- La ISSUED BY /DATE AUTHO D SIC�A TU,RE /DATE PRINTED NAME: UUR Q AJ OrVVL (-1/j Fror.:Duron Smith A/C 321 504 0266 04/11/2013 10:53 #457 P.001/003 RECEIVED � Date: REC �_ D CITY OF CAPE CANAVERAL Tracking #- BUILDING PERMIT APPLICATION Permit # r 0 (321)868 -1222 City of Cape Canaveral Building Department .7510N. Atlantic Ave. • Cape Canaveral, FL 32920 You may download this application: 3 � itvofcapecanaveral.org. You may fax to: (321)868 -1247, All applications must include the backside of this form. Important: Please complete the checklist on the back of this form and provide other documentation as indicated on the checklist. A copy of contract may be required. Application packages will not be accepted unless complete. 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 required) Address of Job Site: `7 S ', d �,"c -,Ci �,to 11`4 �y ,Zoning classification: Flood Zone: Legal description of propepty: 7 wN � RNG: 3-7 SEC; -i SIJBD: � $I x: �� t oT: 7yL/ PB: Property Owner Na e- -, � � u.� Phone: Address:. COb � �f , ),cf, rl pNt Lt Pee Simple Titleholder's Nam (,f other than owner): Address: Bonding Company: Address: Mortgage Lender: Address: Type of Square Const, Occu- 4P lines City sewer q of q of # of # Building Feel Type pancy currently available Concrete/ stories dwel- of bed- # of (please under (IA, Classifiica available to to serve Asphalt ling rooms water indicate as roof VB, -tion serve this this Panting units closets applicable) etc) (B.BI,R3 property? property? Spaces ctc.) Yes/No Ye"o ownhouse Valustion of work (COPY Of COMM( Requimi) a s 3 S a From:Duron Smith A/C 321 504 0266 04/11/2013 10:53 #457 P.002/003 N1 )Building Permit Application Checklist _ Completed Permit A plication Notes M J Current code edition: FL Bldg. Code 2(110 (as re�iscd) Current survey showing all proposed construction and landscaping Check with Bldg. Dept. for setbacks Notarized signature — Owner/Builder Affidavit i ]f owner is acting as contractor Sewer Impact Fee receipt May be deferred until C.O. Unless job is remodeling County Impact Fee receipt May be deferred until C.O. Capital Expansion Impact Fee receipt Maybe deferred until C.O. Sidewalk Impact Fee receipt If sidewalk exists on lot Recorded Warranty Deed / Proof of Ownership Copy of Recorded Notice of Commencement (over $2,500 ) Over $7,500 for Mechanical change out Current Cert. Of Liability Ins. /Worker's Comp. Policy / Exemption Record will be kept on file after initial submittal Community Appearance Board Approval For all work visible from Public Right -Of -way Plaming and Zoning Board Site Plan Approval For all new construction of four units or more Concurrency Forms For all new construction not part of approved site plan Primary Contractor's State License Record will be kept on file after initial submittal Subcontractor's State License Authorizations: Record will be kept on file after initial submittal Notify Building Department of contractor changes Plumbing Contractor Plumbing Contractor Electrical Contractor Electrical Contractor Mechanical Contractor Mechanical Contractor Roofing Contractor Roofing Contractor Swinuning Pool Contractor Swimming Pool Contractor Gas Contractor Gas Contractor Specialty /Other Contractor Specialty /Other Contractor Construction Drawings: Per F.B.C. 104 Three sets of seated construction drawings Per F.B.C. 104 Truss layout and reaction summary Cut sheets and shop drawings will be needed at time of insp. Electrical Load Calculations Plans must indicate person responsible for calculations Electrical Riser All new service must be located underground Plumbing Riser Plans must indicate person responsible for design A/C layout Plans must indicate person responsible for design Two sets of Energy Calculations Plans must indicate person responsible for calculations Lot Drainage SunT Four sets of Fire Suppression/Sprinkler/Alarm specifications Requires Fire Dept, approval prior to issuance of permit Pool Barrier Requirement Form (signed) Pool permits will not be issued without barrier 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 the standards of all laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the Florida Building Code 2010 Edition. I understand that all permits require inspections as indicated and that it is the responsibility of the permit holder to notify the building department when ready for inspection(s). This permit application is valid for six months from date of submission. By signing, applicant affirms that all above is true and correct and that he /she is an authorized agent of the Contractor /Owner and has the authority to apply for this permit. *ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED PRIOR TO ENT* Applicant's Name: �/-1 kZn Applicant's Signature: Date: / 3 Site Address: For Notary use only: State of Florida, County of Brevard Sworn and subscribed before me this __U_ day of Y 1 , 20 3, by Lt C) Printed name of Aunlicant who produced identification: is pers ally known tome. JEANNIE CONYERS Seal: r' MY COMMISSION # EE082207 11; EXPIRES April 10, 2015 407i30 -t1t59 Ftorltlallotary9erwee.com U, W3 O:Itt F•.,:r:r _w c m: ,r�u!1 71p .; •.i;! w. Rk \ w - I i., or Signature - Notary Public At Large This form may be duplicated. Address: BUILDING PERMIT FEES: = ..:.. ......... 96 G 0 Building Permit per square footage: .:.................... ...................... Total Sq. Ft. (Living Area): , Total Sq. Ft. (Enclosed Area): Building Permit based on valuation,: ............................... Total Sq. Ft. (Living Area): Total Sq. Ft. (Enclosed Area): Building Permit miscellaneous:... ................................... ............................... Total Sq. Ft. (Living Area): Total Sq. Ft. (Enclosed Area): Electrical....... . .................................... . ................................................. :............... . Plumbing.............................................................................. ............................... Mechanical ............... ........ ......... ..................:............ .......................... M........ Building Permit Plan Check Fee ....................................... ............................... FireDept. Plan Check Fee .......:......................................... ............................... A76-� Radon Trust Fund: sq. footage ............................... � 4L.- LJO Concurrence Management Fee .......................................... .................:............. Capital Expansion Fee ..................:...................................... ............................... Total Building Permit Fees:...... < < SEWER PERMIT FEES: SewerImpact Fee ...................................................... ............................... SewerTap Fee ....................................... ........................................ .:............ Total Sewer Permit Fees ............. B Date: zZ-0 t y= From:Duron Smith A/C 321 504 0266 Ac DURON SMITH AIC & HEAT, INC. OF www.duronsmithac.com 1401 N. Cocoa Blvd. Cocoa, FL 32922 (321) 452 -3553 or (321) 638 -2374 �F`ax (321) 504 -0266 J To: gryryQ S r C_L.,To -- 04/11/2013 10:54 #457 P.003/003 Proposal , �, 1 We hereby submit specifications and estimates for: 6r" CZ-, �JGf4 3 Air Handier /Furnace Model # System Type: Heat Pump ❑ Condenser Evaporator Coil /Heat Strip r Model # o2 -7kr�— tr0X-(A1C_ Model # Straight Cool a- Gas Furnace ❑ S.E.E.R. /3 ARI # Copper Tubing ❑ Suction Insulate and Sea[ Platform ❑ Permit Municipality Liquid Float & Safety ❑ 3/4 Sch40 Drain ❑ Redeck and Support Platform ❑ Flush Freon Lines ❑ Drain Pan ❑ New 18 gauge T -STAT Wire to Condenser ❑ Size to A/H ❑ Size Thermostat: Model # Programmable ❑ Non- Programmable ❑ A/H Stand ❑ Concrete Pad Required ❑ Size Line Cover Required ❑ Size Flue Pipe Required ❑ New Drip Leg ❑ New Regulator ❑ New Disconnect: A/H ❑ Condenser ❑ Correct Size Breaker in Panel ❑ Required Type and Size Breaker: A/H Condenser Removal of Old Equipment & Debris 2__' Maintenance Agreement ❑ Manufacturer Parts Warranty 5 5 yr Extended Labor ❑ 10 yr Extended Labor ❑ Duron Smith A/C 1 yr Labor All material is guaranteed to be as specifies. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. *Rebates* ❑ FPL ❑ Factory ❑ Other 101- Quote $ f ?6,6 Less Rebates $ _ Total Investment $ a 170 d= We propose hereb to furnish material and labor - complete in accordance 1 wit ove specific Lions, for the sum of: State License Number r1 Z) U �p CA- CO57357 dollars [$ Payments to be made as foil ws: You, the buyer, may cancel this transaction at any t)n t.0 (�'►- 0� e time prior to midnight of the third business day after the date of this transaction. Cancellation - ), ,I g fJ, ,�/ Note: This proposal may be withdrawn must be done in writing. Authorized signature by us if not accepted within '30 days. ACcepta0e of Proposal: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outline above. Signature: I — ef Y — i pate Signature: pate From:Duron Smith A/C 321 504 0266 04/18/2013 08:44 #471 P.001 /002 DU OH SMITH AIC & HEAT, INC. 1401 N. COCOA BLVD., COCOA, FL 32922 (321) 452 -3553 OR (321) 638 -2374 FAX (321) 504 -0266 i Attention: Pages: 1 of Fax: z3o � l G� (- 1 -7 Date: q11 INIT.L"T.-. Re: a ". Comments: Thank you, Duron Smith AIC & Heat, Inc. From:Duron Smith A/C 321 504 0266 04/18/2013 08:44 #471 P.002 /002 Certificate of Product Ratings AHRI Certified Reference Number: 5265712 Date: 4/18/2013 Product: Split System: Air - Cooled Condensing Unit, Coil Alone Outdoor Unit Model Number: PA13NR024 *** *(J,K) Indoor Unit Model Number: CAP * *3014A * * +TDR +R22 -TXV Manufacturer: CARRIER AIR CONDITIONING Trade /Brand name: 13 SEER R -22 AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240 -2008 for Unitary Air- Conditioning and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI - sponsored, independent, third party testing: Cooling Capacity (13tuh): 23000 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 Federal law prohibits the sale and installation in United States of new R -22 systems. R -22 condensing units may, however, be sold uncharged and may be installed as replacement products. City of Cape Canaveral PERMITTER FOR COTv4Mj W t '. PERN11TN%_.,, OFFICE REVIEWED t10L lCW o r !!itS A U5 ❑�_ ViOiattOri of arty In:1l, siate or 1 rderal co&,,., L'" :iianceq w- stawtr-, ' Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which Indicates an involuntary rerate 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,ahTidirectory.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, CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified atwww.ahridirectory,org, _ Air- Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on e - which the certificate was issued, which Is listed above, and the Certificate No., which is listed below. `' f and Refrl2rCtllOfl Institute ©2013 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130107624010715574