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Home My WebLink About150 Wildwood Dr 04-225 HVACPermit 0 : oLl — Job Address: /50 Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION Date: ll Z n 3Iing: Value of Work: $ Permit Type: Building_ Electrical Mechanical 4-" Plumbing _ Fire Sprinkler/Alarm Pool Electrical: N.ew Service - # of AMPS Add ition/A Iteration _ Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement —New (Duct Layout & Energy Ca1c. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines of Gas Lines Plumbing/New Residential: # of Wat Insets Plumbing Repair - Residential or Commercial Commercial Industrial Total Square Footage: Occupancy Type: Residential 2 Construction Type: # of Stories: # of Dwelling Units: Flood Zone (FEMA form required for other than X.) Parcel 9 Owners Name & Address tractor Nime & Address: Phone & Fax.)O-k Bonding Company: Address: Mortgage Lender: Address Architect/Engineer Address: Crintact Person Pr f fO ship & Legal Description) 7 X Phom: YO nse Number: b( 5 247117 —Phone: Phone Fax: 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 ofa permit and that all work will be performed to meet standards ofall laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT I certify that all ofthe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IM13ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE. In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies Acceptance of permit is verification that I will notify the owner ofthe property of the requirements of Flort P Lien Law, FS 713. Signature of Owner/Agent Date 'Signature of Contracti.<r/Agent Date Print Owner/Agent's Name Print Contracto /A t' N m Signature ofNotary-State ofFlorida Date Signature of Notary State of QteJudfthAnn 71 MY COMm=lon DD20ewa E0re$ Ap-ril 29, 2007Owner/Agent is _ Personally Known to Me or Contractor/Agent is -t-- 'Personally Known to Me or Produced I D Produced APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions Zoning: Initial & Date) Utilities: FD Initial & Date) (Initial & Date) 10?20103 11:54 AH EST (386)767-5075 via VSI-FAX Page 1 of 1 #6149 0, ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 10428 PRODUCER Town & Country Ins. Agy 735 Dunlawton Ave P. 0. Box 290065 Port Orange, FL 32129 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED All American Air Conditioning 611-A Commercial Drive Holly Hill, FL 32117-3440 I INSURERA: ZURICH INSURERS: SUMMIT INSURER C: INSURER D: I INSURER E: r#T*1Tj:1*7AT1Ifl:k; 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR TYPE 0 FINSURANCE POLICY NUMBER POUCY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENF RAL LIABILITY SCP36076538 02-01-03 02-01-04 EACH OCCURRENCE 4 1,000, OOC FIRE DAMAGE (Anyone fire) 4 300, OOCXCOMMERCIALGENERALLIABILITY CLAIMS MADE- I—X-1 OCCUR MED EXP (Any one person) 4 10, 00C PERSONAL & ADV INJURY s 1 , 000, OOC GENERAL AGGREGATE If 2, 000, 00 GEN*L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s 2, 000, 00 PRO LOC17POLICYLI ,C F AUTOMOBILE X UABILITY ANY AUTO SCP36076538 02-01-03 02-01/04 COMBINED SINGLE LIMIT jEa accident) 1,000,00C BODILY INJURY Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY Per accidentl if X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident) I GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 4 OTHER THAN FA ACC 4ANYAUTO 4AUTOONLY: AGG EXCESS LIABILITY EACH OCCURRENCE 4 OCCUR CLAIMS MADE AGGREGATE DEDUCTIBLE 4RETENTION WORKERS COMPENSATION AND 83017127 04-01-03 04-01-04 v I WC ST T TH- Z, I TORY 1711111Y I I OER E.L. CACH ACCIDENT 6 100, 00CEMPLOYERS' LIABIUTY E.L. DISEASE - EA EMPLOYEE 0 500,000 E.L. DISEASE - POLICY LIMIT 100,00 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 30 DAYS NOTICE FOR WORKERS COMPENSATION ONLY ULK I II-I(;A 11: HULDEK I I ADDITIONAL INSURED; INSURER LETTER: UAIMULLILA I 1UM CITY OF SANFORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 300 N PARK AVENUE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN SANFORD,FL 32771 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 60 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REP1116INTA. TVt S. iD 1EPRESENTATIVE ACORD 25-S 17/97) is AGOHL) GOHPOHA I ION 19UU N 0 in Ln 0 0 Ln Ln N LO co rf) u z z u J N 0 m 0 1 co N 4 u 0 ACi STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION SEQ#L0207010CONSTRUCTIONINDUSTRYLICENSINGBOARD 0207 The CLASS B AIR CONDITIONING CONTRACTOR NaLmed below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2004 SOCRA, KENNETH GEORGE ALL AMERICAN AIR INC 1541 SHADOW PINES DR NEW SMYRNA BEACH FL 32168 JEB BUSH GOVERNOR KIM BINKLEY-SEYER E)!SPtAY AS REQUIRED BY LAIA' SECRETARY THIS LICthSE IS FJPPASH" -N "W4WE oFC,),jkr, 0qC;NMr-E 79-51 FL0kuA LAW 1REQ%jiAES TANGIBI-t PERSONAL PROPERTY TAX RETURN PRIOP !0 APRIL IST EACH YEAR STATE OF FLORIDA VOLUSIA COUNTY OCCUPATIONAL UCENSE L-ocArON CUE SEP7 ist. I-' ZJMM'-R(;,CiL Oct J-14I.LIL 14 This license represents a busin-ess ta*, only It is not a cr-m- Q 4; y " ELL potency card and is not meant to be a cc-Aicatien of the hol:jeis abil- CA ity lo perlorm the service in which he i!: I censec R L L L 'A. P 13 0 C' 7 The individual or firm named below is hereby licensed to SECTICINI CF LAW engage in the business, prolession or occupation at address stated for period beginning an the first day of October, 10 2t,' J LA -4 1A C i J!4 V and ending on the 30th day of September, 4 x T.4L The issuance of this occupational license does not constitute aL J'A !J ir permit to act in violation of any county codes, regulations, or Izx ordinances. TO. Yc w j CAN 'r (CC 0 wi z V A L A-LiliCAN Ai R i4c I,JLLv Hill-L FL 01Z -g; tv T: 0 N 03 N M M H n z z n W Ln Ln