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—
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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: