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HomeMy WebLinkAboutMECH1404-0037-ApplicationContact Person: Eric Bonde Company Name Business Address 590 Goolsby Blvd City State Zip Deerfield Beach, FL 33442 Property Owner's Name Marhea Rios Owner's Street Address 6670 NW 76 Court City State Zip Parkland, FL 33067 Job Site Address Same as Above Work Description: A/C Change out City of Parkland Building Permit Application www.citvofoarkland.ore Phone #: (954) 428-8919 ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135 Sansone Air Conditioning Master Permit Number 144oy- — 0037 E-mail:125 IAA sot . ebonde@sansone-ac.com Phone # Phone # (954) 428-8919 (954) 547-5125 Lot Block Date Construction Value Engineer's Name Engineer's License # Phone # Architect's Name Architect's License # Phone # $4,501.00 Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of permit and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Contractor Notification E-mail:ebonde@san one-ac.com Print Name of Qualifier/Builder: Scott Sansone License number: CMC 1249260 Signature of Qualifier: Property Owner Notification E-mail: Print Name of Property Owner: Marhea Rios Owner's Address: 6670 NW 76 Court, Parkland, FL 33067 Signature of P iertr ner: eki On this day of ' 0 ,/1, before me, the undersigned On this day of Notary P blit 9f the S a of Florida, personally appeared Notary • ublicJcf the Sta e of / and whose name is subscribed to and within i/ no - the i . ru � d he/she ac ges that he/she executed it. _ins;;;, , and he/she a NOTAR PRINTED NAME OF N ATE OF FL FPSA ARY PUBLIC , Wersonally known to me ❑ Produced identification ❑ Oath taken Ailasiath not taken :; ASHLEY A. DZIEWIT NOTARY PUBLIC SEAL OF iai i ''= MY COMMISSION # EE167107 OFFICE: *. EXPIRES February 07, 2016 1407)998.0155 ' PlaideNoWyBervice.com Application Approved By: b Permit Officer 20 /7 before me, the undersigned Florida, personally appeared and whose name is subscribed to and within the t he/she executed it. TATE OF FLORIDA ,O2:ea ; 74 PRINTED NAME OF NOT1Y PUBLIC ❑ Personally known to meRroduced identification Oath taken ❑ Oath not taken NOTARY PUBLIC SE OF OFFICE: Date: 398.0165 ASHLEY A. DZIEWIT MY COMMISSION # EE167107 EXPIRES February 07, 2016 A - Business Acs License #: *)PEstimated Construction Value: Phone #: Notification E-mail: Qualifier Signature: Print Name: The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person who is personally known to me or who produced as identification who did/did not take an oath Notary Public: My Commission Expires: Plumbing Contractor: Business Address: License #: Estimated Construction Value: Phone #: Notification E-mail: Qualifier Signature: Print Name: The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person who is personally known to me or who produced as identification who did/did not take an oath Notary Public: My Commission Expires: Mechanical Contractor: Sansone Air Conditioning Business Address: 590 Goolsby Blvd, Deerfield Beach, FL 33442 License #: CMC1249260 Estimated Construction Value: $4,501.00 Phone #: (954) 428-8919 Notification E-mail: ebonde@sansone-ac.com Qualifier Signature: Print Name: Scott Sansone The foregoing instrument was acknowledged before me thusday of ,20 ,by the above named person who is personally known to me or who produced as identification who did/did not take an oath Notary Public: My Commission Expires: Landscaping Contractor: Business Address: License #: Phone #: Qualifier Signature: Estimated Construction Value: Notification E-mail: Print Name: The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person who is personally known to me or who produced as identification who did/did not take an oath Notary Public: My Commission Expires: Other Contractor: Business Address: License #: Estimated Construction Value: Phone #: Notification E-mail: Qualifier Signature: Print Name: The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person who is personally known to me or who produced as identification who did/did not take an oath Notary Public: My Commission Expires: City of Parkland Building Division 6600 University Drive Parkland, FL 33067 Phone 954-753-5447 Fax 954-753-8838 A/C & Mechanical Replacement Information This form and ARI Listing must accompany each permit application for the replacement of Air Conditioning or Mechanical Equipment. Please supply a separated atasheet for each Unit being replaced. Contractor AJ So N A- t 2 1/70YOttv6 Permit Number Job Address 7L9% Subdivision /gi C 4 Met--4-- Lot Block OLD UNIT Tim cc. Tr—✓\_:JL la (pO YES NO YES NO YES NO YES NO YES NO ********************** ********************** Package Unit / / Contractor Signature • State License / Registration Broward County Certificate of Competency DATA Manufacturer C.U. Model # A.H.U. Model # Package Unit Model # EER / SEER ARI Reference Number KW Heat Nominal Tons Max Fuse / Breaker Thermostat Smoke Detector Heat Recovery Modify Ducts Stand / Curb / Slab Change Disconnect Need Ladder For Inspection Miscellaneous Electric �A ( o)- S CQC Application Approved by: Rev. 1/09 NEW UNIT wTT-27o A? -7-40/.23 -- 0 �E . -7 ID �-1 C� C� YES I./NO YES NO YES NO YES NO YES NO YES NO �f YES NO ✓ Package Unit / / Date i..1 CERTIFIED° www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 5996229 Date: 3/31/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR7048A1 Indoor Unit Model Number: *AM7A0C42H31 Manufacturer: TRANE Trade/Brand name: XR17 Series name: Manufacturer responsible for the rating of this system combination is TRANE 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 (Btuh): 48500 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 17.00 IEER Rating (Cooling): * 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.ahridlrectory.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 users individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link 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. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: ,.. lop am am AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE we make Lite bettef 130407395040922183 March Z;qi., 2012 RE. '2010 Fioricia Eittiidiug. Code r ompilance or Tram B./:,...YECTv.I.T02:, anti b_4.'±.7..C.1'./ITOn4 Ivieuriting Cii and Unitiousir-i Certification for Wind Loading. Engineering iixpress haii reviewed the: design requiter -hems pei the- 2010 'Florida Building Code, 347 installationof a "1.-ratic: outgoot condensing tun', onto ar, existing host structure using: mou-riting Litt. re.fereneed above, along with drawing number I G-IS1-0(.i02 signed and suaied by this office. The unii arici mounting. git been designed 'for wind resistance, as ,sotici0er3 in the aforementioned drawing fo 'various wind pressures as required hY the govtirning etide and calculateid by others. Our analysis requires that a permanent ai..-gra.dt atita,c.inniint is provided w L concretes.. metal., or wood imst structure as certifiediverified tiv others. Acitiitiotiaily, the unit shall noi he instance: in a luearion susce4tible 'to is'hanneling effects from up-virind obstacles, tt shall nn the installer's rusheligibility to ensum the mounting method meet '. eikteet...'ds thc requirernt.mts of the local and is approved by the appropriate lot7;a1 authority before installation. Directions for use (reference drawing 10-1S.P.,-00021; • • , ? 4',34kr, t 10.../StI•JU C-EXIS 7 E114:1Er " , . • s • CONNECTIDN TYPE. FaL AliOWObiP Cqh7p1 Co7F7iguranon.,.. trejiire.fice dr.ciwaiT th 1. Select desired unit size. 2. Select desired housing. "Standard" housing is the-itpical housing a.; shipped by manufa.cturer, dhpoecy housing is the -typical housing with the addition of' baelt.up clips as shown, and "reinforced" .housing is thi: pica) housing with the addition of bacimp clips as well as (2) serf - UNC. coarse thread screws into (3. comers of the ba.wpan as shown in the drawing. Select desired clip configuration. A. B. or C config.uration. Either of the (2) base clip options may bg usod with this document. 4. Select. host structure under consideration as verified t,y ahcrm. 5. Match unit size. housing. anti clip conf4turation with the intended host Structure dcsserniine triad allowable- wing pre... -Sure Ulf system. Ste -specific redid:red wind pressures pe: separate certification or o'v Others. Al other installation work shall follow the minimum requirements of the 20 Florida 'Building Code. Except express)y provided _herein, Citi additional affirmations or certifications are intended. Thani: you ibr you;" attention to :thiGniatter. tt; f;..,ttb Fra,n1:;1, ENGINEERNG .APEOf..14-654‹,) 155-05 -w 111,,,nniunt: kat, FliGrAagersoll 1-41no ii..-',RNOit-,';10431--i-00112 1.1,114.1G Unit Calliocaunas,03 Update 10( 26141 FEG.1'10-1-SR-11:A3,1-6,314 G1,1114;16 loll 411 ( 0.74 . • - , I- ; » 6) '14 ri .11 0 t 1{." ° '- . I_ ,. -1G 4 ,1•:-i-,I, --4, s,,oc _ 0 1p4 9 4 :r19 0 i 1- -4 ( 1:300" 097 100 2.3 Cr . , c1-4 c• b ,( 6 ,7- 0 3 1-4 3-) 433 -, .., - 11 ., r - .. 4- ill -, Ii e , -) n,- 1 ) .,, 2rn,e4_341 -_ ft)J--h 41 ;1; 4.1 n9 51 0 14 i 3° co - • , )1:)' -11 -21 - 7'1 2- . - ret, er-„ e-; r 1 -4 c'e j ,r'• .rJ 1-;-! 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