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HomeMy WebLinkAbout108 Ventura Dr4 Permit # : 0-7 " ( 4 (A Job Address: 10P VCY)-krC. CITY OF SANFORD PERMIT APPLICATION Date: ) G t 20lcu 3 :2 Z--) 3 Description of Work: C hC r�; e Q(. /_ 3 4-ein 4-110 CCnc'1 Pn s ,-,-- �- A J N _tUC b o oL6 JC`l-(�_ Historic District: Zoning: Value of Work: S- -j i O vz,_ Permit Type: Building Electrical Mechanical `� Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration .,"� Change of Service Temporary Pole Mechanical: Residential wZ Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: /G -96-30 - 5-GC/�n/Cf C G Cc 3G _ _CZ Owners Name& Address: kl5h G-9SGI/,, /�e-ti Pe V. (Attach Proof of Ownership & Legal Description) /cWr UC1n*tJr4 71y, Contractor Name & Ads s: e t7J1 % C A.) / /I (✓ vz,_ Phone & Fax: qG� •� C�Cl. iPC� Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: I l (Y -,C, 4- •t? ;i--)7 Person: Phone: -� ! C,%' C L( F� -G �Zo C!`q"o G� /✓GGci /�9G-2 tate License Number: C4C G79 ?& b 9' G� Phone: ` c,) -COLI LI J LpCf 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 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. 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 require is of Florida Lien Law, FS 713. Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Owner/Agent is _ Personally Known to Me or _ Produced ID APPLICATION APPROVED BY: Bldg: (Initial & Date) Special Conditions: Date /Signature of Notary -State of Florida Contractor/Agent is _A_ Personally _ Produced ID 1O 70,CONNOR..........� 1 P& Comma OD0424343 Expires 611/2009 yVn�cca`�'' Bonded thtu (800)432-4254' :l�;,tvie or Florida Notary Asan., Inc : ....................................: Zoning: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) DS -2,:0U Crums Climate Control Inc. ....Since 1941 4 Air Conditioning, Heating & Fireplaces 980 Railroad Ave. Winter Park, FL 32789 (407) 644-6601 Proposal Submitted To: r�Date Phone W / H I C S Street ( Job Location) City State Zip Code Street ( Billing Address) City State Zip Code We hereby propose: To furnish, install and service underwarranty ( 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. 0 A/C Condense[ IVP Condenser : k h l y-�y? •K_V SEER i -� KW PKG SPLIT Coil ® Air Handler AA'1� Horz R Horz L Down — Vert Oil Furnace Gas Furnace Other ® Liquid Line ✓ vC? / I r� Suction Line Aj Condensate Purainline Lineset Protective Cover Zoning _ Zones Supply Duct ReturnDuct Direct Ceiling SW Insulate Platform New Platform Air Purifier Air Filter Type& Size+/����� ����►� Duct Sanitize U p\\® ` `e Duct Clean : Accept Decline— Duct ecline Duct Seal: Accept Decline New Service Upgrade ® New FIrlMri" to Condenser I�issew�ec> New Electrical to A} lU Disconnect Heat Recovery Unit NOTES p &A/C Pad and Size l jrF w 0 Thermostat : Mercury Digital Programmable 0 Balance Air System QFirestat ® All work done in accordance with existing codes. Removal of existing equipment from the premises 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 -Lc- Years. Condenser & air handler only Warranty on Labor—LYears. Condenser & air handler only Warranty on Zoning Electrical Warranty on Dampers Warranty on Compressor Warranty on Duct Work Warranty on Other Total Price (tax included) $ J `� 17 co IVt''Lt{ iY��t%�\y"vilC: i'�'�•iTEfir\ dollars Terms: /tel n 'All Fmm, ins R &T 70', Signature (company) Signature (customer) X t i �/ /Z,/._ ; '/ Lv X—C— Date: - C Date: G ' (.,'X Proposal valid until: Options: � JM/CA's /VC E�IY C Requested Install Date T c Finance paperwork must be signed before the start of work 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 ofthis transaction. See reverse side for terms and conditions. Ifyou sign today to take advantage q a discount, your have two weeks to cancel before installation. Crums Climate Control, Inc. Air Conditioning, Heating, & Duct Cleaning June 13, 2006 To Whom It May Concern: I he eby name and appoint (Printed Name of Appointee) 0 rc.►ns 0 It vn of � e Ccr► �- rcl (Company Name of Appointee) To be my lawful attorney-in-fact to act for me in applying to City of SCG r 44 0 Government Commercial/Residential Permitting for a permit enabling work to be performed at the location below -describe and to sign my name and do all things necessary to this appointment. /U Section G Township 30 Range 56S Subdivision O€100 Block O U 3 Lot /Gk k eh �&,rc� 7)y-'� Project Address ?ctyl CY, 9e( -CL W Owner of Property �C tl e A -r4 I)✓ Owner Address Signed: �r (Brian Wrong, Certified Contra or) License No: CAC0042669 Date: //h s �c& Sworn to an subscribed before.me this K day of A&ffbbev , 20c(, by 1?00h Ghityy who is pers a y known to me o has produced (identification) FIONA O'CONNOR NIIIIII.�� Comm# DD0424343 Expires 5/1/2008 - ®a' Bonded thru (800)4324254: ....0 m�`..... .Florida Notary Assn. Inc - ..... ............ ...........' 980 Railroad Ave. Winter Park Florida 32789 Notary Public Phone: 407-644-6601 Fax: 407-645-1698