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Home My WebLink About318 Borada Rd - M11-002099 - HVAC (2)01/28/2010 THU 9:49 FAX WJUUIIUU[ RECEIVED AUG 1 b ZA11 CITY OF SANFORD BUI LDING & FIRE PREVENTION PERMIT APPLICATION Application No: _/ l- (9 o9 / Documented Construction Value: $ Onz - n Job Address: 31 g & r 'r O_ Rm"k Historic District: Yes No Parcel ID: /b -Zoe- S-FQ,-000O --1 15"0 Zoning: Description of Work: 14V AC irhG jyj MA:t L. rfn g4 ) .?Tan Ams nct_Qi',Sf j C3 Plan Review Contact Person: wQ,UjG1 ffi'{l Title: dwnLr— Phone: Name i . / moan iSiktreet.-Iffr. Fax: E-mail: Property Owner Information Phone: Resident of property? : IT) Contractor Information Name ceai--7&,-1 a I a juk cmi=Phone: 9?to-%7577 60gL3 Street: 096 _ S. _ A,/ 1af'_ 7F A(Ar' i EPLU i3 i Fax: I Sa -(0;'S (a C1 CQ4 11 City, State Zip: LAM rN EL 3a113 State License No.: 89is/InhZ1Z Architect/ Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: Building Permit O Fax: E- mail: Mortgage Lender: Address: PERMIT INFORMATION Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical 13 New Service - No. of AMPS: Mechanical ( Duct layout required for new systems) Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/Alarm O No. of heads: 01/26/2010 THU 9:49 PAX @002/002 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 standards of all 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 of the 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 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 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 of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Signature of Convuter/Agent Date ka,4,112 iL Print Contractor/Agent's Name I &,Lha A"/t gnature ofNotary -State ofFlorida Date Contractor/Agent is Produced ID Personally Known to Me or Type of ID WASTE WATER: BUILDING: m r n O rn ; v_ D n N ZZ Z ? D A q _ s y Rev 11..08 PERMIT AUTHORIZATION I, David Hill hereby authorize LA YUU License Holder) (Authorized Person) To obtain a permit in my behalf under my license # CAC1816634 To the Sanford Building department for the Job described below: PERMIT TYPE DESCRIPTION HVAC Ownerz,Limn rOnp Site Address ( ,n c (ci (— Tax Parcel #1V 1&2 —3Q— SF9 ::0000 rI 1 7'"(D License Holder Signature) Date i%/ State of Florida County Of VO lvs I & - Affirmed and subscribed before me on this day of rD14 —, 20 /1 by David Hill who is personally known to me. nature of Notary Public, State of Florida Notary Seal JODI ANN DA SILVA MY COMMISSION # DD961398 EXPIRES February 14, 2014 007 998-0159 PIp10eHpls •ppm Z& an 12nljv 1, l 1&_ Print, Type or Stamp Name of Notary Date: 6/22/2011 Time: 2:49 PM To: 0 13866756964 w i+10%rnr% Page: 024-045 CERTIFICATE OF LIABILITY INSURANCE DATE(MW0DrYYYY) 06/22/2011 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 WANED, 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 Blackadar Insurance Agency 1436 N . Ronald Reagan Blvd. Longwood, FL 32750 Anne Sheridan CONTACTNAME: Anne Sheridan aHlcDnlo 407.831.3832 FA7(1. e.407.830.4681 nooRESS: PRODUCER CUSTOMER INSURERS AFFORDING COVERAGE HAICa INSURED Certified Climate Control, LLC 3053 Lagoon Avenue Deltona, FL 32738 INSURER A. United Fire & Casualty Conpany INSURER8: Southern Insurance Company INSURERC: INSURERD: INSURER E' INSURER F : COVERAGES CERTIFICATE NUMBER: 11/12 All REVISION NUMBER: THIS I$ 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 TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UBR POLICYEFF POLICY EXP LIMITSLTRINSRWVDPOLICYNUMBERMMR)DIYYY MMIDDIYYYY GENERAL LIABILITY 60383315 05/2012011 05/20/2012 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO $ ZOO 00PREMISESS (Ea occurrence) r CLAIMS -MADE U OCCUR MED EXP (Any oneperson) $ 5,000 A PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 20,ft AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP10P AGG S 2,000,000 POLICY j LOC AUTOMOBILE LIABILITY 60383315 05/20/2011 05/20/2012 COMBINED SINGLE LIMIT Ea accident 300,000XAMAUTOBODILYINJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ A SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS Per accident) NON -OWNED AUTOS S S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE RETENTION S S WORKERS COMPENSATION SIC001174102 06/23/2011 06/23/2012 X WU AT - OTH AND EMPLOYERS' LIABILITY Y IN B ANYOFFICER/MEMBERPROP XCLUDEwD ECUTIVE D NIA E.L. EACH ACCIDENT S 100,00 Mandatory In NH) E L DISEASE - EA EMPLOYEE $ 100,000 s, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) l7 V173 Llll lit SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Sanford I AUTHORIZED REPRESENTATIVE 300 N Park Ave Sanford, FL 32771 ajI-IIbZrIII-L•Td•I:iaZd•I:aL7:T_r1L•],11/_nrGlrl ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD i CERTIFIED CLIMATE CDNTRDL 111!FL J lll Lill Certified Climate Control, LLC Air Conditioning & Heating 1725 S. Nova Road, Suite D-6 South Daytona, FL 32119 Telephone: 386-67S-6963 email: owner@certifiedclimate.com License #: CAC056656 Contract#: Na 002681 31 g 90 rao(A- fy111 1141d FY . 32-/ 3 Street Uob location) Gty State lip y 10 Street ( Billing Address) Gty State Zip We hereby propose. To furnish, install and service under warranty (stated below) products and service or related equipment for your home or business in accordance with the conditions and specifications set forth in this proposal. A/ C Condenser H/ PCondenser 4 To.. Arun r1 sl_ A SEER 13 KW PKG PUT O Coil I Air Handler3To,. I7n". D;df Horz R Horz l Down Vert )4_ O Gas Furnace Flood Switch %^ h-'d, liquid line Alc j Ej Suction line A/C Qom/ Drainline 41C., O Lineset Protective Cover O Zoning Zones Supply Duct O Return Duct Direct Ceiling SW Insulate Platform I nC Ir-daid New Platform Teo O Air Purifier Air Filter Type & Size 0 Duct Sanitize i /` C D Duct Clean: Accept Decline Duct Seal: Accept Decline New Service Upgrade till New Electrical to Condenser jt6 Disconnect New Electrical to AHU Other 3- /e.. i S.,ee l.. oi e 3 Disconnect A/C Pad and Size o '/ a QDigi0a'-l-"OThermostat: MercuryProgrammable Allworkdone in accordance with existing codes with permitting Removal of existing equipment from the premises 19 All work to be performed in a neat and professional manner by a trained technician. Sweeping, dusting and vacuuming will be accomplished and all debris removed from the premises. Customer may be responsible for registering equipment with manufacturer to receive warranties listed below. Warranty on Parts / 40 Years. Condenser & air handler only Warranty on Labor_ 2 Years. Condenser & air handler only Warranty on Zoning Electrical Warranty on Dampers 69 Warranty on Compressor 10 Warranty on Duct Work WaFRFAYOR91her 431 Z soo Total Price (tax included) $ 3- dollars Terms: All hnan& j & Tam amftdingCmdaAppmot Signa Signa Date: Optioi pgoo— / 000 Requested Install Date 8'6 "// %`••- t Finonorpoperwoa mwt be signed beforeMestintofwink. NOTES1kTSs4alc, da s reel sc.`.L4 4,- Grek44 or BUYERS RIGHT TO CANCEL: You, the buyer, may cancel this transaction without penalty any time prior to midnight of the third business day after the date of this transaction. See reverseside for terms and conditions. Ifyou sign today totakeadvantage of a discount you havetwo weekstocancel before installation.