HomeMy WebLinkAbout406 Ventura Dr 17-2013 AC CHANGEOUTACORO CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
04/06/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Caple Howden Insurance Agency, Inc.
10222 E. Colonial Dr.
ORLANDO, FL 32817
License #: A124292
CONTNAMEACT Patti Weightman
PHONE (ao7)s57-8808 we No: (407)657-1710
AODaesS: pweightman@howdeninsurance.com
INSURERS AFFORDING COVERAGE NAIC #
INSURERA: Nationwide Insurance Company 42587
INSURED
GLOBAL COOLING LLC
2799 EAGLE LAKE DR
CLERMONT, FL 34711-6263
INSURER B
INSURERC:
INSURERD:
INSURER E:
INSURER F :
r COTrCrl nTC KIHlUl r-92w n0025894-253437 REVISION NUMBER: 40 l.VVCRHUCJ va..... ,vr.. ............. _____. ___._.
THIS IS TO CERTIFY
THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED
OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF
SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF
INSURANCEADDL Ng SUBR POLICY
NUMBER
POLICY
EFF
MMIDDIYYYY POLICY
EXP MMIDDIYYYYLIMITS A GENERALLIABILITY X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE [i] OCCUR
ACPGLD05946045990 04/09/2017
04/0912018 EACH OCCURRENCE 1,000,000 DAMAGE TORENTED PREMISES Ea
occurrence 100,
000 MED EXP (Any one
person) 8 5 000 PERSONAL & ADV INJURY 1000006
GENERAL AGGREGATE 2,000,
000 GEN'L AGGREGATE LIMIT
APPLIES PER: PRODUCTS - COMP/OP AGG
2 OOO OOO COMBINED SINGLE LIMIT X
POLICYL CT PRO- LOC AUTOMOBILE LIABILITYEa accident
BODILY INJURY (Per person)
ANY AUTO BODILY INJURY (
Per accident)
ALL OWNED SCHEDULED AUTOSHIRDSAUTOSAUTOS
ON -
OWNED PROPERTY DAMAGEPeraccident
UMBRELLA LIAB
OCCUR EACH
OCCURRENCE AGGREGATE EXCESS
LIAB HCLAIMS-
MADEDEDRETENTION$ WORKERS COMPENSATION
WC STATU-
OTH- TORY
LIMITS ER E.
L. EACH ACCIDENT
AND EMPLOYERS' LIABILITY Y
I N ANY PROPRIETORIPARTNERIEXECUTIVE E.L.
DISEASE - EA
EMPLOYE OFFICER/MEMBER EXCLUDED? MandatoryinNH) N
I A E.
L. DISEASE - POLICY
LIMIT If es, describe underDESCRIPTIONOFOPERATIONSbelow
DESCRIPTION OF OPERATIONS I
LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) GPJ111"A City of
Sanford 200
N Park Ave
SANFORD, FL 32771 SHOULD
ANY OF THE
ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
PROVISIONS. 1988-2010 ACORD CORPORATION.
All rights reserved. ACORD 25 (2010105) The
ACORD name and logo are registerea marKs OT At UMLJ Printed by PAW on
April 06, 2017 at 10:14AM
ACOR®® CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
06/30/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. TIAIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NAME:
Automatic Data Processing Insurance Agency, Inc.
1 Adp Boulevard
PHONE FAX
A/C No Ext : A/C, No :
E-MAILADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC # Roseland, NJ 07068
INSURER A: NorGUARD Insurance Company - 31470
INSURED INSURER B :
GLOBAL COOLING, LLC
2799 EAGLE LAKE DR
INSURER C :
Clermont, FL 34711 INSURER D
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 702725 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRLTR TYPE OF INSURANCEADDLSUBRINSDWVD POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
CLAIMS -MADE DOCCUR DAMAGE TO RETED
PREMISES(Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE
PRODUCTS - COMP/OPAGGPRO
LOCPOLICYJECT
OTHER:
AAUTOMOBILE LIABILITYaccident)
COMBINED SINGLE LIMIT
Ea accident
BODILY INJURY (Per person)
ANY AUTO
BODILY INJURY (Per accident) ALL OWNED SCHEDULED
AUTOS AUTOSNON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Per accident
UMBRELLA LIAB HCLAIMS-MADE
OCCUR EACH OCCURRENCE
AGGREGATEEXCESSLAB
DIED I I RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
Mandatory In NH)
N/A N GLWC725508 09/11/2016 09/11/2017
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT 100,000
E.L. DISEASE - EA EMPLOYE 100,000
E.L. DISEASE - POLICY LIMIT 1 $ 500,000Ifyes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
rr17-10TIPIRATF uni nFR CANCELLATION
City of Sanford
Attn: Permitting Dept.
300 N. Park Ave.
Sanford, FL 32771
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
4 ACORD reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
ACCTW NO 119056
20 1y6 20,1r7 RECEIPT NO 8760033 k02
LAKE COUNTY TAX COLLECTOR LAKE COUN T$AWSINESS„T11X RECEIPT
S TATE OR, FLORID ' EXPI EPTE 30,;-2017
EMPLOYEES. 1 u
yRESrSMBER
TYPE OF ,°CONTRACTING` .•
BUSINESS ORtIGINAL TAY 30.09n
v
BUSINESS` GLOBALCOOLING LLC O:dO2799rEAGLELAKERPENALTY`
TRM17SFER FEE
r
AMo U,NT PAID
GLIOBAL=COOLING LLC
2799 EAGLE LAKE DeR q. TO TAL DUE Or;00
R
GLERMONT; FL '347z11,;:
Receipt#•2016"0042618 `
Paid 08/19%2016 `30 00 "
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a
HEATING & A/C — ST,:CERT
279 9 EAGLE LAKE DR
0
CLEF c N
GLOBAL COOLING ° LLC
CtieiceofGhampions°
2799 EAGLE; LAKE DR
CLERMONT, FL 34711
i9/1CT:1KI A, 1" 10 01,,A'I'C JK1-rUC:'bl A!^'.xf1G R1Ii."IRIC.`C
Ths tax recctpt duet net permit the hu!dcr to,
uPe.ra26,'ip :iulaton o'. acy''(>ity law..:ordmanco :ut
regulation Any ehlnstc.rn tccation or,uwner h.p must=bq
apprcrvett by the Cary', ut:jcct tci.' tming rctr,ot.ona. Thw.
taz rec^.ipt does not conctitutc an rnriorsurrenl, apts(u *kt
ca .d sspprotin! at lhr„hglr 1..,...>kilf nr cumpetence,.°
CITY OF CLERMONT
P O EOX,120219,
CLER VIONT, F34712-0219 352-
394-4081
HEATING AND A7R CONDrnOMNG SERVICE
YOUR C0MF0RTC0NTR0LSFECLlLW-
0.E31D1I9T1/\4`apW,t CNi.'SAI S SFAYiC£'US7 LL 110N
GLOBAL COOLING LLC
TO FURM,SK =TALL AND
State Ucmc # CA.C1817080
STATED BELOW) PRODUCTS
EQUIPMENT FOR YOUR HOME OR BUSN jW IN ACCORDANCE WITH TIE CONDITIONS AND SPECIFICATIONS SET FORTH IN 71M FIROPOSAL.
CUSTOMER INFORMATION
NAME 1 i K AR'
ADDRESS
CITY STATE
Ft_ ZIP CODE
PHONE #off-- • - 31 t1
EMAIL
NEW EQUIPMENT INFORMATION:
BRAND OF EQUIPMENT_
SIZE IN TONS SEER RATING ` TYPE OF EQUIPIYIEUT JfiiGtf C'"(•
REFRIGERANT TYPE
uron 41 -a HEATER SIZE
arts MODFJL
C/U MODEL
OTHER
pEW EQUIPMENT WMRANTY INFORMATION: 10 ears1yearPARTSWARIU09f10yearsCOMPRESSORWARRANTYyLABORWARRANTYOTHER
N>,
N neCOMMENDED OPTIO CCISSORIES : (d IF YES. X IF NO) ( CLEAN
AND FLUSH DRAIN LINE :.1_ Um DIGITAL
THERMOSTAT _.L` w"—
DI[
3IDISPOSAL OF OLD EQUIPMENT . NEW COPPER LINES tn SUPPLY PNEW
NEWFLOAT'- HtNEWRETURNPLENUMRRICANECONDENSERSTRAPSPERMIT
FOR INSPECTION ` NEW LO"OLTAGE WIRES _ f
COPPERLINESNEW
PLATFORM LINER LINERWI'iH NEW TOP t-Kj CLEAN AND FLUSH CUSTOMER
WILL PAY 6-=t
sr T,cTOTAL
COSTS 3I!. ETDUNnCV,
yroog -Wei—r ' ' "" ' . coMrANYREPI sEn ra ^'' S
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Application Number . . . . . 17-00002013 Date 7/06/17
Application pin number . . . 255207
Property Address . . . . . . 406 VENTURA DR
Parcel Number . . . . . . . . 10.20.30.503-0500-0950
Application type description MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Application valuation . . . . 4182
Application desc
a/c c/o 2.5
Owner Contractor
KAREEM, KARLEEN OWNER
SANFORD FL 32773
407) 435-3961
Permit . . . . . . MECHANICAL PERMIT -RESIDENTIAL
Additional desc . .
Phone Access Code 992206
Permit pin number 992206
Permit Fee . . . . 70.00
Issue Date . . . . 7/06/17 Valuation . . . 4182
Expiration Date . . 1/02/18
Qty Unit Charge Per Extension
BASE FEE 70.00
Special Notes and Comments
Rejected inspections require payment of
a re -inspection fee prior to scheduling
another inspection.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday. Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrich@sanfordfl.gov
Other Fees . . . . . . . . . 01-APPLCTN FEE -MECHANIC 25.00
O1-BLDG PLAN REVIEW 15.00
O1-BLDG DCA SURCHARGE 2.00
O1-BLDG DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 70.00 .00 .00 70.00
Other Fee Total 44.00 .00 .00 44.00
Grand Total 114.00 .00 .00 114.00
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
2013 ISSUE DATE:
1 1 A ' 1
JOB ADDRESS: e 0
TYPE OF WORK: Al
Post this permit in a conspicuous location outside
Approved plans must be posted with permit for inspection Leave all work uncovered until inspected and approved
Permit ex Tres 6 months from date of issue or last ap roved inspection
PROTECT FROM WEATHER
BUILDING ELECTRICAL
ASPECTIO.VTIP£ APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROYED REJECTED 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
SHEATHING - WALLS
ASPECHONTIPE APPROVED REJECTED INSPECTOR
FRAME
MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALUSHEETROCK
PLUMBING
LATH INSPECTION
WFECTION ME APPROVED REJECTED INSPECTOR
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW
TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL
PLUMBING FINAL
FINAL SIR
GAS INSPECTIONS
ROOF ASPEC770N TYPE APPROVED REJECTED. ASPEYTOR
GAS UNDERGROUND PIPE
ASPECTIONT}PE APPROVED REJECTED INSPECTOR
ROOF DRY -IN
GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
I SPEC77ONTIPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED ASPECTOR
PRE -DEMO FINAL DOOR
FINAL DEMO. ----- ----
WINDOWFINAL"
FINAL SOLAR PANELS
IRRIGATION FINAL
FINAL POOL SCREEN FINAL SCREEN ROOM
FINAL UTILITY BUILDING FINAL BUILDING OTHER
MOBILE HOME TIE -DOWN MOBILE HOME FINAL
v.rinlN>YN%ff IV V VVINEK: YUUK NAILURE 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 REQUIRegENTS OF THIS PERNUT, THERE hjAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDSOFTHISCOUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGE1,Mq T DISTRICTS, STATE AGENCIES OR FEDERALAGENCIESFBC105,3,3
REVISED: OCIOBER 2014
Inspatlon Ltne: 8553412112