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HomeMy WebLinkAbout2652 Park AveApplication No: j — -` ID 9 4w. CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ !z1 OC9O, 00 Job Address: cg /o 5a PA R t5 a y/ / Historic District: Yes NoA Parcel ID: ell -,)6 -30 - oexno -3q PC Zoning: Description of Work: /it,-I,-ZIAni4G oc.)r- Nogc,--woRK Plan Review Contact Person: ET LC cO Title: nE12 m TTt n G Phone: X07 - &q N -/"o,( Fax: oVo7- G y$ -/G S8 E-mail: .61-,4ga a C?,evAi,5 e ,cv•s Property Owner Information Name a t nS orz6k 6_-AGc R Phone: /,07 -teak - 9 0y2 Street: N33 -g AzX I-riNv Resident of property? : A)Q City, State Zip: CAJ Arst>6 --. 3a8i,a Contractor Information Name GRums n J,_-rm arc CoA-)7-Ao4. • Phone: -;/07-Gly Leo! Street: cl,_q'65 S, 'M4W-wuu=1- rac1G Fax: hlD7-L mss'-lG 5' City, State Zip: 5Ak) Z-^Rp ` 4773 State License No.: Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical New Service — No. of AMPS: Phone: Fax: E-mail: _ Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Plumbing No. of Stories: New Construction - No. of Fixtures: Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: 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 Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: 7-4)J-11 Signature of Contractor/Agent 1 Date 3(Z7Ak) LJ4005 1 ntt Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent isy Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Seminole County Property Appraiser Get Information by Parcel Number Page I of I I I http://www.scpafl.orp-/web/re web.seminole county--title?PARCEL=01203050600003480... 7/22/2011 341 342 Zai DAVIDJOHNSGH, CFA,A5A 344— W U) P,ft013,ERTV APPOAPSER 339 3M 2M 50A1N0LEd0UMTY,,F1_ X--"' / Icm351 2,72 110FE.Rh9iST sAuFaab, FL32771-1468 402 W M 3M 407-665-7506 404 355 Ore M71 3M VALUE SUMMARY VALUES 2011 2010 Working Certified GENERAL Value Method CosttMarket Cost/Market Parcel Id: 01-20-30-506-0000-3480 Number of Buildings 1 1 Owner: OTZELBERGER E ANN Depreciated Bldg Value $75,252 91,680Own/Addr: Depreciated EXFT Value $0 0MailingAddress: 4332 WOOFLYNE LN Land Value (Market) $14,382 14,382City,State,ZipCode: ORLANDO FL 32812 Land Value Ag $0 0PropertyAddress: 2652 PARK AVE SANFORD 32771 Just/Market Value $89,634 106,062. Subdivision Name: WOODRUFFS SUBD FRANK L Portablity AdJ $0 0TaxDistrict: Sl-SANFORD Save Our Homes Ad] $0 0Exemptions: Dor: 01 -SINGLE FAMILY Amendment 1 Adj $0 0 Assessed Value (SOH) $89,634 106,062 FTax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 89,634 $0 89,634 Amendment I adjustment Is not applicable to school assessment) Schools 89,634 $0 89,634 City Sanford 89,634 $0 89,634 SJWM(Saint Johns Water Management) 89,634 $0 89,634 County _Bonds 89,6341 $01 85,6341 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES 2010 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified 2010 Tax Bill Amount: 2,130 SPECIAL WARRANTY DEED 06/2011 07595 1874 $60,000 Improved No 2010 Certified Taxable Value and Taxes CERTIFICATE OF TITLE 06/2010 07406 0961 $100 Improved No DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find Comparable Sales within this Subdivision LEGAL DESCRIPTION LAND PLATS: Pick... 13LandAssessMethodFrontageDepthLandUnitsUnitPriceLandValue FRONT FOOT & DEPTH 90 127 .000 200.00 $14,382 S 20 FT OF LOT 348 & ALL OF LOT 350 & N 20 FT OF LOT 352 FRANK L WOODRUFFS SUBD PB 3 PG 44 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. CostNew Building I SINGLE FAMILY 2008 8 1,543 2,013 1,543 CONC BLOCK $75,252 76,398 Sketch Appendage / Sqft GARAGE FINISHED/ 440 Appendage I Scift OPEN PORCH FINISHED/ 30 NOTE: Appendage Codes included In Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch FinishedBase Semi Finshed Permits INOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. 1*** If you recently purchased a homesteaded property your next year's property tax will be based on Just/Market value. http://www.scpafl.orp-/web/re web.seminole county--title?PARCEL=01203050600003480... 7/22/2011 Visit tis -At Crutt,tbac.com 4-11 Crums Climate Control Inc . .... Since 1941 Cruors ClimateOntrol Air Conditioning, Heating &Fireplaces 2955 S Mellonville Ave., Sanford, FL 32773 (407) 644-6601 Brian Wrong email: Ownet-@crumsac.comcrumsac.com JA -,r zroposalSubmittedTo D 6 5 ,- et ( Job Location ) J City L 3 D")() Street ( Billing Address) City State Zip Code We hereby propose : To furnish, install and service under warranty ( stated below ) products and service or relatedequipmentforyourhomeorbusinessinaccordancewiththeconditionsandspecificationssetforthinthisproposal. 0 A/C Condenser H/P Condenser 7 D 7/l YI 1 YI/ yf} 0—§EER y 3 KW 1 D PKG C Spit 1T 0 Coil tr I landler 3 Tt5 tu, A Vv\ • YV A 0 I Torr. R F-lorz L _Down _.Vert 0 Gas Furnace El --Flood Switch Liquid Line_ AIC Suction Line / -e G1/ DTondensate Pu 'tin , i."P"V L P n, 0 Lineset Protective Cover 0 Zoning Zones 0 Supply Duct 0 Return Duct Direct Ceiling SW 0 Insulate Platform 0 New Platform 0 Air Purifier 0 Air Filter Type & Size uct Sanitize 0 Duct Clean : Accept Decline ODuct Seal : Accept Decline 0 New Service Upgrade aNew Electrical to Condenser Disconnect 0 New Electrical to AHU Disconnect 0 Other NOTES A/C Pad and Size Nf GG/ Iternostat : Mercuryigital Programmable All work done in accordance with existing codes with permitting Removal of existing equipment from the premises id-All work to be performed in a neat and professional manner by a trained technician. Sweeping, dusting and vacuuming will be accomplished at the conclusion of each day of work and all debris removed from the premises. Warranty on Parts/ Years. Condenser & air handler only Warranty on LaborJ—Years. Condenser & air handler only Warranty on Zoning Electrical QWarranty on Dampers 0 -'Warranty, on Compressor f h cT li S' 0 Warranty on Duct Work 0 Warranty on Other Total Price (tax included) Le f°} n (' dollars Terms AllF—.d.S&rg-a--7,ndtC tap pm,. Signature (company)61( 3 Signature (customer) Date: Options: Proposal valid until: Requested Install Date G 'L— 4 ! Finance paperwork must be signed before the start of work Rt 1'f -RS RIGI II lou. the buyer, may cancel this transaction %%ithout penalty amdae time Prior to midnight of the third businessat:ef '% d37e n1 [htc irar.:xtxKt pec :ei cr r ttdC inr a•rm< pmt.-...,.+:,...... 7 ® A 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 9/23/2010 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(les) 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 Kuykendall Gardner 1560 Orange Ave Ste 750 Winter Park FL 32789 C NTACT NAME: Carol Ressa PHONE, , (407)894-5431 A/No:(407)629-6376NolAlf., cressa@kgbroker.com PRODUCER CUSTOMER to PRODQ0001641 INSURERS AFFORDING COVERAGE NAIC# INSURED Crum r s Climate Control Inc. 2751 Flightline Avenue Building #262 Sanford FL 32773 INSURER Westfield Insurance CO 24112 INSURERB:Zenith Insurance CO 13269 INSURER C : INSURERD: INSURER E: INSURER F. LII I1IICG'O. UU V CKAUCA v"IA 1 11 Iv— 1 — Lv,...+.-...-- -- THE POLICY PERIODTHISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORREQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISINDICATED. NOTWITHSTANDING ANYMAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENT PREMISE Ea occurrence $ 300,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one arson $ —10,000 FX CWP5409976 9/30/2010 30/2011 1,000,000ACLAIMS -MADE OCCUR PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC COMBINED SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITYA Ea accident) BODILY INJURY (Per person) $ X ANY AUTO A ALL OWNED AUTOS CWP5409976 9/30/2010 30/2011 BODILY INJURY (Per accident) S PROPERTY DAMAGE $ SCHEDULEDAUTOS X Per accident) Business Auto $ HIRED AUTOS X NON -OWNED AUTOS UMBRELLA LIAB_OCCUR EACH OCCURRENCE $ 1,000,000 X AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DEDUCTIBLE CWP5409976 9/30/2010 9/30/2011 g A RETENTION S WORKERS COMPENSATION WC STATU- OTH- B AND EMPLOYERS' LIABILITY Y / N' E.L. EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNERlEXECUTIVE OFFICER(MEMBEREXCLUDED7 FN/A 2048938609 9/30/2010 9/30/2011 E.L. DISEASE - EA EMPLOYEE $ 500,000 E L. DISEASE - POLICY LIMIT $ 500,000MandatoryInNH) If yes, desuibe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Sanford is named as additional insured with regards to general liability. City of Sanford 300 North Park Ave. Sanford, FL 32771 ACORD 25 (2009/09) INS025 (2oo9os) 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 J Kuykendall, CIC, CR 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SEMINOLE COUNTY BUSINESS TAX RECEIPT RAY VALDES, SEMINOLE COUNTY TAX COLLECTOR PO Box 630 Sanford, FI, 32772-0630 Telephone: 407-665-1000 www.seminoletax.org CRUM'S CLIMATE CONTROL INC 2955 S MELLONVILLE AVE SANFORD, FL 32773 BRIAN WRONG (OFFICER) 10272011031605756 VALID THROUGH 09/30/11 Account #:167654 REGULATED State Lie.# - CAC042669 Qualifier- BRIAN DAVID WRONG SANFORD CITY LICENSE REQUIRED ** Amount Paid: $ 3.00 Date Paid: 03/16/2011 BUSINESS OWNER, PLEASE NOTE THE FOLLOWING: o DISPLAY THE ABOVE RECEIPT PROMINENTLY: This Business Tax Receipt shall be displayed conspicuously at the place of business in such a manner that it can be open to the view of the public and subject to inspection by all duly authorized officers of the County. Upon failure to do so. the business shall be subject to the payment of another business tax for the same business or profession. o RENEW THIS TAX BEFORE IT EXPIRES: Pursuant to Florida Statutes. all Business Tax Receipts shall be issued by the Tax Collector beginning August I" of each year, and it shall expire on September 30`h of the succeeding year. Those Business Tax Receipts issued as renewal accounts beginning October I" shall be delinquent and subject to a delinquency penalty of 10% for the month of October, plus an additional 5% penalty for each month of delinquency thereafter until paid; provided that the total penalty shall not exceed 25% of the business tax for the delinquent establishment (Florida Statute FS] 205.053[1]). A 25% penalty shall be imposed an any individual engaged in any new business or profession without first obtaining a Seminole County Business Tax receipt. (FS 205.053 [2]) This Business Tax Receipt is only a receipt for business taxes paid. it does not pernut the taxpayer to violate any existing regulatory or zoning laws of the state, county, or municipality, nor does it exempt the taxpayer from any other required licenses, registrations, certifications. or permits. Business Tax requirements are subject to legislative change. o REPORT ALL CHANGES: The holder of this Business Tax Receipt is required to report a change in the following: Ownership, Buainess Location. Mailing Address, or any other information that would alter the status of the current year's taxes. This includes, but is not limited to, the loss of or a change in a State License which was used to qualify for the business activity and/or occupation identified on the current County Business Tax Receipt. If you have any changes to report, contact the Business Tax Department at 407-665-7636. CRUM'S CLIMATE CONTROL INC 2955 S MELLONVILLE AVE SANFORD, FL 32773 Countv Services Building Wilshire Plaza Oak Groves Shopper Shel]Mar Prof 1 Building Commons at Primera 1101 E First Street 384 Wilshire Blvd 99:1 N SR 434 Suite 505 1490 Swanson Dr #100 8.15 Primera Blvd Sanford. FL 327 TI Ctisselberrv. Fl. .127 Y 1ltamnntr• Cnrinvc FT '071.1 r)vi..dr PT 497R;; PT Z7^.eR STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 WRONG, BRIAN DAVID CRUM'S CLIMATE CONTROL INC 4551 THORNLEA RD ORLANDO FL 32817 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE Pf„`q" • tib !t`•'a'!...t -. ,,..ar-_ - _ i LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 11 I hereby name and appoint: E l e Z2 rr ers an agent of: Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder STATE OF FL RIDA COUNTY OF tel e cAco a( i mow+ The foregoing ins rument was ack-ngwledged before me this ay of 20(_U_, by GJA k_ rolq who is personally known nae or who has produced 3 as identification and who did (did not) take an oath. @$... a...........4.4......... S ESTHER D. CAMPBELL Comm# DD0757502 Signature Expires 2/11/2012 Se8oda Notary Assn., Inc Rev. 3/27/07) E"2.r-b C.ampbc l 1 Print or type name Notary Public -State of qf)n CI Commission No770 el 5r1502_ My Commission Expires: