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