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Home My WebLink About1704 Sanford Ave (2)CITY OF SANFORD PERMIT APPLICATION Permit # : 0-7 `L?l' Job Address:/7 GL/ —5—on /147-0 AC -4P— Description of Work:C. he rl� e 00- 3 Historic District: Zoning: Date: Value of Work: Sr� d� JZl • Cr Q /t 9 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential t/ofNon-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: 7 #of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel# iCP'/ 5-0 -5-CIF 5-tr/4C T ^f110t%0 /� /� (Attach Proof otOwnership &Legal Description) Owners Name & Address: v CvII. I i 2c,/J$d//1 �% o'1 SGnA?rC1 P /— 3 2-2 Phone: Vc 7 - 6/ / 7.7 / -?,P Contractor Name & Add:ercms�/ /YI.C• �$ �' � y� ! t 1� n t� �'✓G ✓� �''— a"7 c�i� State License Number: C !i C �C ! 2[p &9Phone & Fax: �-1C`!-GLIC/ - 0Gl71 /G (4 j '/(,9 F- Contact Person: ��' ffG Phone: qC 7'CoVC1-eJ(,c1 Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Phone: Address: 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 requ r t s of Florida Lien Law, FS 713. Signature of Owner/Agent Date Signature of Contractor/Agent Date 161 to n cu i Print Owner/Agent's Name Print Contractor/Agent's Name D 7 07 Signature of Notary -State of Florida Date Signature ofNotary-State of Florida ate Owner/Agent is_ Personally Known to Me or _ Produced ID APPLICATION APPROVED BY: Bldg: Zoning: (Initial & Date) Special Conditions: Contractor/Agent is _ Personally Known to Me or _ Produced ID (Initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) dun.u+..................................•.� FIONA O'CONNOR CtiMM10OD0424343 . Expims 11 inm • tg Bonded Uuu (800)492-4254 n"a Fluids Nofety Assn. Inc aw•. •.oun• .......................... June 13, 2006 To Whom It May Concern: I hereby name and appoint (Printed Name of Appointee) (Company Name of Appointee) Crums Climate Control, Inc. Air Conditioning, Heating, & Duct Cleaning To be my lawful attorney-in-fact to act for me in applying to City of -rte' r-'% Government Commercial/Residential Permitting fora permit enabling work to be performed at the location below -describe and to sign my name and do all things necessary to this appointment. Section Township 30 Range !L4L9 Subdivision 014C 3 Block GgGG Lot FIlea h Q,G� Project Address l Y SG nlcrg ,A, -Q_ Owner of Property PGl( lleae Owner Address Signed: Vvw (Brian Wrong, Certified Contra or) License No: CAC0042669 Date: r J % Sworn to and subscribed before me this –7 day of 262 by who is pe_rsonVFy_Kfi`6wnA9,Me or who has produced (identification) 0C ............................................, Notary.Public FIONA O'CONNOR V orpr ° a s CoMRI/ D00424343 . s F)Oras 5/1/2008 s'Focg Bonded thN (800)492.4254: 980 Railroad Ave. _............................................. Notary Assn, Inc: Phone: 407-644-6601 Floridaida Notaryss.Inc Winter Park Florida 32789 *. Fax: 407-645-1698 4 a Crums Climate Control Inc.....Since 1941 Air Conditioning;.Heating'&-Fireplaces 980 Railroad Ave: Winter Park; FL 32,789 (407) 6446601 GOV General Manager: Greg;White Email: area@crnmsaccom l ; yo7 yr 7 7 17 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 specifications set forth in this proposal. O A/C Condenser A/C Pad and Size �� TOn �2 13 see r- %�r�-� atQ r� H/P con 3emer L 'FThcrmostat : Mercury igital rgamLable SEEKW PKG SPLIT All work done in accordance with existing codes: - Q Coil • Removal of existing equipment from the premises Air Handlei nC _ : %O ►'� [�t�r t^ lit . All work to be performed in a neat and professional 0 `_Hort R 'Hon L Down = Vert.�— manner by a trained technician. Sweeping, dusting and vacuuming will be accomplished at the conclusion of aGas Furnace each day of work and all debris removed from the premises. 77_ Other Sf�� G r' l ( �7Q " Warranty on Parts jenears. Condenser & air handler only Liquid Lin Warranty on LaboriLYears. Condenser & air handler only Suction Line TC 0. Warranty on Zoning Electrical nCondensate Pump / Drainline Warranty on Dampers Lineset Protective Cover Warranty on Compressor 0 Zonis _ Zones 17, r Q Warranty on Duct Work upply Duce F/�X G �s/goc�' d- d r t Warranty on Other- Return.Duct Direct Ceiling, SW 0 Insulate PlatfoTM^ T Price (tax ine dad) $ New Platform �- ollars Q Air Purifier Terms.: . Air Filter Type &Size -All Financing erne ding Cr.W 1 Signature (company Duct Sanitize Duct Clean: Accept - Decline . Signature (customer.) `7 Date: ( 0 Duct Seal: Accept Decline / ca- Proposal valid until: JJ 7 0 New ServiQei Upgrade Optionse-11 New Electrical to Condenser Disconnect New Electrical to AHU . Disconnect .�7 y Requested Install Date aL - 3 - o Finance paperwork must be signed before the start of work NOTES BUYERS RIGHT TO CANCEL : You, the buyer, may cancel this transaction without penalty any time prior to midnight of the third business day afterthe date of this transaction. See reverse side for terms and conditions. Ifyou sign today to take advantage ofa discount, you have two weeks to cancel before installation. Floqr Plan! Area Manager Name: ^ Floor Plan Please Show AEU Location �G 11 FlrzG �� _ (please print) Rev 2/02/05 5 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR BC DATE(MM/Db/YYYY) . CRUMS-l' 09/20/06 PRooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE KuykendallGardner HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1560 Orange Avenue, Suite 750 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Winter Park FL 32789-5552 Phone:407-894-5431 Fax:407-629-6378 INSURERS AF FORDING COVERAGE NAIC# INSURED INSURER A: The Ohio Casualty Insurance 24074 _ INSURER B: Zenith Insurance Co 13269 Crum's Climate Control Inc. - Brian Wrong INSURER C: 980 Railroad Avenue INSURER D: Winter Park FL 32789 —. INSURER E: COVERAGES 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 13E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY OCYIFFECTWPDATE MM/DDA/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A -X COMMERCIAL GENERAL LIABILITY BKO0652973321 09/30/06 09/30/07 AMAUE IU REN PREMISES(Ea occurence) $ 100,000 MED EXP (Any one person) $ 10,000 CLAIMS MADE . 7 OCCUR X Employee Benefits BKO0652973321 09/30/06 09/30/07 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 A X OCCUR EICLAIMSMADE US052973321 09/30/06 09/30/07 AGGREGATE _ $ DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X TORY LIMITS ER B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 2048938604 09/30/06 09/30/07 E.L. EACH ACCIDENT _ $ 500,000 OFFICERIMEMBER EXCLUDED? E.L. DISEASE - FA EMPLOYEE _ $ 500,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 5 0 0 , 0 0 0 SPECIAL PROVISIONS below OTHER A Property - BKO0652973321 09/30/06 09/30/07 Contents $110,250 S ec/RCV $500 Ded ____.... .�.... .,. ... -�.., ....,..., �......,,..,..,. ." I -I cna WQjWi,.0 or C11VUM0C1Y1G111 l / OMUTAL rKUV1b1UN5 City of Sanford is named as additional insured with regards to general liability. CERTIFICATE HOLDER CANCELLATION CIOFSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED g9EFORE TN6 6XPIRATI01 DATO THEREOF, THE ISSUING IN§UAEA WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 3 City of Sanford IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 300 North Park Ave Sanford FL :32771 REPRESENTATIVES. ACORD 25 (2001/08) 9 ACORD CORPORATION 1981