Loading...
HomeMy WebLinkAbout457 Elliott AveCITY OF SANFORD PERMIT APPLICATION Permit # : o (.0— �d 3 Date: bpc \ 1 J SE , V ( Job Address: � G-� C �'t o F c &-a-1 Description of Work: feQy - - eX ltamna Pa Jc- Cuc-t wp{jc, Historic District: Zoning: Value of Work: S 67-70 - 00 Permit Type: Building Electrical Mechanical X Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service – # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential X 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 X Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: g� - I LJ -- '`�`�y'�f'-) �,L `J�)C[-, -- (Attach Proof of Ownership & Legal Description) Owners Naam/e& Address: L� �jC �Phon�ey�ZZ 1 ii Contractor Name &Address: C,�\f�(i L e C D`l `I in (}.-,t,.I � �T' C( �.{ �/ n VV r _ State License Number: ( AC �L4 Z(is(6 "f1 I �y Phone & Fax: q 5 ` 1 u � OU �11U� Contact Person:C'�m Wh 1 _Phone: gminQ t' �f7�(1� 1 Bonding Company: T— 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 ofthe foregoing i`nfofination.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�10 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 restr this county, and'fhere may be additional permits required from other governmental er Acceptance of permit is verification that I will notify the owner of the property of the Signature of Owner/Agent Date r Print Owner/Agent's Name Signature of Notary -State of Florida Date fi \` Owner/Agent is _ Personally Known to Me or 1r _ Produced ID APPLICATION APPROVED BY: Bldg:Zonmg: (Initial & Special Conditions: s applicable to this property that may be found in the public records of such as water management districts, state agencies, or federal agencies. lire is of Florida Lien Law, FS 713. � o� Signature of Contractor/Agent ate Jl Print Contractor/Agent's Name Signature of Notary -State of Florida I Date Contractor/Agent is Personally Known to a or Produced ID (Initial & Date) Utilities: (Initial & Date) CITY OF SANFORD 1 2006 v PLANNING AND DEVELOPMENT �pV I Is Crums Climate Control Inc. ....Since 1941 q,(,/ S -MY Air Conditioning, Heating & Fireplaces �--� 980 Railroad Ave. Winter Park, FL 32789 (407) 644-6601 Proposal Submitted To: ff 1 Date Phone W / f % State ling 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. R'A/C Condenser ' 's- H/P Condens�er SEERS/`KW «l PKG SPLI Coil P Air Handler -4eAl F� WHorz R Horz L Down — Vert aOil Furnace Gas Furnace y y Other ICA SG✓ I °�C f' Liquid Line Ay /Suction Line l/KCe_at3 mp(Drainli Lineset Protective Cover 0 Zoning — Zones Supply Duct;' F71I Yt't� —I I Return Duct Direct Ceiling SW, r) � Insulate Platform 9 Platform _G� - �T Air Purifier O Air Filter Type &Size O(Duct Sanitize L hC �/i SDuct Clean :Accept Decline Duct Seal : Accept Decline New Service Upgrade New Electrical to Condenser Disconnect a New Electrical to AHU Disconnect Q) a Heat Recovery nit N cvYy CC.rc�� 6,Jt �F NOTE °C C' r A of �D LV �I s 1A/C Pad and Size 116-4-0t Thermostat : Mercury Digital Programmable Balance Air System Firestat _ X.All work done in accordance with existing codes. Removal of existing equipment from the premises /5All 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 1*arranty on Labor_) —Years. 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) $ 5-7-10 dollars Terms: 99 ( I % •All Financing & Terms are Pending Credit Approval. Signature (company) t • i F+ LJ ��Signature (customer) 24 1, Date: j LProposal valid until: Options: i' .� rYYI'-i r f le 9 `i P Requested Install Date / Finance paperwork must be signed before the start of work • v % 22. z 'od-f BUYERS RIGHT TO CANCEL : You, the buyer, may cancel this transaction without penalty any time prior to midnight day after the date of this transaction. See reverse side for terms and conditions. If you sign today to take advantage of a discount, you have two weeks to cancel before installation. SANFORD thirlbusinAPR 2 1 2006 PLANNING AND DEVELOPMENTI — - --. .-.— --- - -. - I POWER OF ATTORNEY Date: y - I $ I hereby name and appoint 1hry�!)tlnQ &et�e \cr s of Cc-xnt 0lcc (� j t to be my lawful attorney in fact to act for me and apply to the CxhA Building Department for a Mcch permit for work to be performed at a location described as: Section Township Range Lot Block Subdivision G(---+eba-)i Lt � (1 tot-- Piy�e-C-- (Address of Job) auroro- yMcaz�n (Owner of Property and Address) and to sign my name to do all things necessary to this appointment. Type of Print Name of C -io Contractpr and Contractor's License Number Signature of Certified The foregoing instrument was acknowledged before me this ► B day ofCL0rjj 20_C�a by who ' personally known to� produced as identification and who did not take oath. State of Florida County of N ary Public, Orange County, Florida _a..........P.lCNA .......NR.8446....!OOO - CITY OF SANFORD Seal APA 2 1 2006 PLANNING AND DEVELOPMENT COMM# 000424343 Expifea 61112009 .n Bonded thrU (800)4324254: i Florida Notary Assn., Inc .......... . ................................. - CITY OF SANFORD Seal APA 2 1 2006 PLANNING AND DEVELOPMENT Pcr it<iu7bec FoCcci id&nV,.,,e3,,jCf1 Number usq (D C-1 ce C J Return to: C-Atnlu� Ccxl)��C)l 90 N01 ICE. _F C():TvjAj,=NGEA.4mqT Stage "of 7., _Oullty.of . Lie M I oz2lc Mau, MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 06213 Pg 0666; (Ipg) CLERK'S # 2006064472 RECORDED 04/21/2006 01:47:52 Pill RECORDING FEES 10.00 RECORDED BY H Bailey CERTIFIED CO. MARYANNE MORSE CLERK 01`�Cl �`1.01'1 /FL IDA ,�c undarslgne:d'h.e.reby: gives notice .hat* iMPrOVement(s) will be made to Certain real pr Opety, and lriaCccraance,1th Chap�r7 a Fior tatQte�, ths101lowing Information is provided In this Notice Of t-Ornm -encement. De.scriptio.n of rOPe:rty (leg I al description. of the property, and street address if -available) 0 r—C � G;enQraf-des-crlptlon:of IMP rove m e nt(s) Owner I.nfo,rmation Nam.e y11vj, \bo�) AddressTelephone Number Fax Number Interest in Property: N.a m Fee SlmPle 0 HO(dei .r (f other than owner shown bove) Address Telephone Number Fax Number C on-.tra 6tor Addres..S! Ct Co t1C cl j C ( S.u.reyl y 111 any I Wyj Name Address' Lcr.d.e.rw'(if.-8ny) Name Ad.d re ss - Telephone Number, Fax Number Telephone N.umber, Fax Number Amount of bond TelephonO Number Fax Number Of Florida designated by Owner upon whom not se-rved az,,, . ro.vjded. ices or Other documents may be 1,\] a rn a .,....p -by 713A3(1)(a)7,,;F[orJda. Statutes, Address Telephone Number Fax Number In addition to himself or herself,.Ow ner designates the following to receive provid�.d::Ih;.,§713,,13(,I-).(b), Florida Statutes, a copy of the Llerior's Notic.e. as Name. Address Telephone Number Fax Number Explra'tI.6.n::ddtO of MOtIce of Commencement (the e . XPIFation date Is one year from �tha date unless a.dffferer it date ls-spe6lfled).: . of reco.rdfng I '.Jgn.e_d Signal Lure of.oy.;her, per §71.3.1( .... )(g), "owner Must sign ,.and..no one else ' may be Ifted to sIgn In his or her stead." to and.s:ubs,cribed trefore Me -this .day UJ by p US z-n-z'117--knu W­ff_.t07m e,OR produced. ,iCIC2tiO ignature: of Notary (notarial seal to appear, iced:. 12100.f6r 19 to 20 --- E—ITY OF SANFORD APR 2 1 2006 PLANNING AND DEVELOPMENT - �O MARYANNE MORSE CLERK OF COURT, SEMINOLE COUNTY 301 NORTH PARK AVE SANFORD, FL 3771 407-665-4411 DATE:04/21/2006 TIME:01:447:52 PM RECEIPT:385357 CRUMS CLIMATE CONTROL ITEM -01 NC 01:47:52 PM FILE:2006064472 BK/PG:O 6213/0666 RECORDING FEE 10.00 COPIES 1.00 CERTIFICATION 1.50 Sub. Total 12.50 ------------------------ AMOUNT DUE: $12.50 PAID CHECK: $12.50 Check 4:103 $12.50 TOTAL PAID: $12.50 REC BY:HBAILEY DEPUTY CLERK Have a Nice Day,�d