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Home My WebLink About159 London Fog Way (2)/� / CITY OF SANFORD PERMIT APPLICATION Permit #: (� � Mos o s Date: O Z J o q Qq Job Address: _i J ScClcn rC,/ I�� y Description of Work: Chong -r oc,"1 - 4cy) UP C�;1C�(�Y1s8✓ 44111 A/c, —blJcL C�,-Jcf� Historic District: Zoning: Value of Work: $ Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration -""' Change of Service Temporary Pole Mechanical: Residential Z 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 0:. 3 3-' -1 —5cl -5"13 ` W V r, " o Gs a(Attach Proof of Ownership & Legal Description) & Owners Name Address: Urarrpl, T ->-e ib orc� / ` �- -r-> t^n V 1 d Contractor Name & Phone & Fax: i Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: To•!5� (A-) y SGn(-c Cl K� `S `9-7-2khone: c4 cl � 32 -5 3 7 C r'c tins C1lma4-e oc,,4rct 9,50 X01'1/'Qo:r! ,k<-, A/. 5aDEC, GLI 2 LD (.D � tate Number: A C BOG ,ULf S' Loc contact Person: E -b 1tt; Phone: 4C,)-(OLj(4-(Ab G) 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 dorte 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 1 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 Contract Jr/A nt's Na, me Signature of Notary -State of Florida Date nature of Nota State of Flori FIONAPF3�ONNOR � Oy vt�'"•. CommtlDD0424343 p �( Expires 5/1/2008 Bo Owner/Agent is_ Personally Known to Me or Contractor/Agent is/ ` Personally iS Me Krisnded t No a Notary Assn., Inc ' Fob ^da Notary Assn., Inc . _Produced ID Produced ID s••••.••••••••••••••••• ••.•.•.•............i APPLICATION APPROVED BY: Bldg: Special Conditions: Zoning: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) k,!2�13•0b Crums Climate Control Inc. ....Since'1941 Air Conditioning, Heating & fireplaces , 980 Railroad Ave. Winter Park, FL 32789 (407) 644-6601 J. CW . Street (Billing Address) City State Zip Code 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 speciileations set forth in this proposal. a A/C Condenser to H/P Condenser SEERKW (9' PKG PL 0 Coil Air Handler 44A Ca�s� cl ^ vctn Horz R Horz L Down— Vert 0 Oil Furnace 0 Gas Furnace, Otherij�iywl,T✓J/'Arrr►�a`� cl' Liquid LinedP�` Suction Line (Ada" 30 1 Q Ceademmte+mlp/Drainline LJ4on agar 0 Lineset Protective Cover 0 Zoning Zones 0 Supply Duct 0 Return Duct Direct Ceiling SW Q 1�eeeaSeFid4forniI-0G SLt�iG'�i� 0 New Platform 0 Air Purifier . Air Filter Type & Size Duct Sanitize �RL�11L6 e 0 Duct Clean: Accept ' Decline Duct Seal t Accept Decline 0 New Service Upgrade 0.New Electrical -to Condenser Disconnect O New Electrical to AHU Disconnect 0 Heat Recovery Unit A/C Pad and Size _ _Ivo /.O Thermostat: Mercury Digital Programmable QBalance Air Systern aFirestat 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 accomplishedat the..conclusion of each day of work and all debris removed from the premises. Warranty on Parts -L Years. Condenser & air handler only Warranty on Labor--LYears. Condenser & air handler only Warranty on Zoning Electrical 0 Warranty on Dampers Warranty on Compressor /a Kiri' 0 Warranty on Duct Work 0 Warranty on Other Total Price (tax included) $J�io✓ `F;,,e Tgdndi dollars .A Terms: �_ :Ja a ..S�m.�Sg S/1� Y�vJ4`al T All. Finmcing R..T ere Pending Credit A Signature (company). /�� / /M"/C/'IL/L Signature (customer) Date:Proposal valid until: _ Options: Requested Install Date Finance paperwork must be signed before the start of -work NOTES BUYERS RIGHT TO CANCEL rYou, the buyer, may cancel this transaction without penalty anytime prior to midnight of the third business day after the date of this transaction. See reverse side for terms and conditions. Ifyou sign today to take advantage of a discount, you have two weeks to cancel before installation. "It's my "Thc V"it t-roblem. My company, Crums a, t,10- hour workweek. Our b., o customers each week calling before), and that is where highly paid craftsmen, and a :--)r cost and reduces profit -D,-- not being paid for. Pt Air Handling unit with 5KW I size. r.,-1 size. �g all welding and install of X1976 plus, depending �:a 11 ed with a 100% money .7. price guarantee and a five Ih approved credit. �,-'allation when a customer who i -;, you ( ,vever r unit will be --ach v,/eek, we will lower our 7- o - * ll cl I Home Owners have i �anta ()e of this offer 5 home depot gift card. @BDW06 "Service since 1941" n —n c 407-644-6601 fax 407-645-1698 s, �Cruors CHmate Control, Inc® 3 Air Conditioning, Heating, & Duct Cleaning June 13, 2006 To Whom It May Concern: I hereby name and appoint (Printed Name of Appointee) C runs cit m c e (Company Name of Appointee) To be my lawful attorney-in-fact to act for me in applying to City of 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. 3-3 Section S Township `3 Range /3 Subdivision 0 aC G Block GC- S G Lot /5-5 4,11010 kC Luh V Project Address krC,!'h Q1, L�qbc_I-Cb Dc; ye c/ Owner of Property l - kC11r1et2 Owner Address Signed: W kl (Brian Wrong, Certified Contra or) License No: CAC0042669 Date: / Z. //-? /C& Sworn to and subscribed before.me this l2 day of ;5ft frn,6! , 20Q6 by who is personaftTknown to or who has produced (identification) ............................................� Notary Public L FIONA O'CONNOR �,lrY P6 hys CExxpmrm 6/1/2009 §�M3 Q�Q Bonded thru (800)432.4254 Florida Notary Assn., enc Phone: 407-644-6601 980 Railroad Ave. ........................................... Winter Park Florida 32789` Fax: 407-645-1698