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Home My WebLink About927 W 11 StWOO-W-.7-6 FEB 13 2018 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ q V � • Job Address: 7d 7 tA/ c/Th Z�W >.G4� Historic District: Yes ❑ No ❑ Parcel ID: 42,�E-a gQ ��'�—cbgo Residential ❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alterations Repair ❑ Demo ❑ Change of Use ❑ Move ❑ . Description of Work: Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name i2 Phone: Street: _ %1't / Resident of property? City, State Zip: .3 Contractor Information Name r7 Phone: V67 TY? Street: _ i.Z Fax: City, State Zip: 7 : State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property thai 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 requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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 Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads . APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Gas ❑ ` Roof ❑ Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application I 1/232018 SCPA Parcel Yew: 25-19.30-511-OOOD-0220 Property Record Card Parcel: 25-19-30-511-0000-0220 Property Address: 927 W 11TH STSANFORD, FL 32771 Parcel Information Panel 25-19-30-511-0000-0220� �FOwner RUTLEDGE, SHIRLEYJ Property Address 927 W 11TH ST SANFORD, FL 32771 Mailing i 92711TH ST W SANFORD, FL 32771 _ Subdivision Name STENDIFORDS ADD I TaxDistrict S1-SANFORD_. I DOR Use Code 01-SINGLE FAMILY ji Exemptions 00-HOMESTEAD(2009) Value Summary { 2018 Worlang Values 2017 Certified Values Valuation Method t CosVWrket 'A Cost%brket Number of Buildings 1 1 Depreciated Bldg Value $39 475 $37 252 Depreciated EXFT Value __. Land Value (Market) $7 743 $7 743 Land Value Ag ) Jus Irket Value ' $47,218 $44 995 PortabilityAdl Sere Our Homes Ad1 $6 056 $4 680 Amendment 1 Adl $0 P&G Adl $0 $0 Assessed Value ^` $41 162 N 4 ` $40 315 - Tax Amount without SOH: $380.74 2017 Tax Bill Amount $291.61 Tax ESlimatn Save Our Homes Savings: $89.13 Does NOT INCLUDE Non Ad Valorem Assessments 1/23(2018 SCPA Parcel View: 25-19-30.511-0000-0220 jYear Built i # j Description f Actual/Effective Endures Bed Bath Base Area Total SF Living SF E)d Wall Adj Value Repl Value Appendages Il 1 s SINGLE ' ' 1998 3 F 1 1.0 804 868 ._ 804 SIDING $39.4751 $42 446 % I Description Area 1 FAMILY GRADE M1 " p ' SCREEN (f PORCH 64.00 j ( j FINISHED Permits Permit# _. f DescriptionO _ Agency _ _. _. Amount CDatePennitDate _------ _,----- _ 01996 POSTED WffHOUT PERMIT � SANFORD $0 . 928/1998 i 9/1/1998 01996 856 SQ FT (HOME REPLACEMENT) COUNTY $37 024 , 6/1/1998 _. _..._. 00854 _ .. _ ...... _........ _., _..._ HOUSE REPLACEMENT, 864 SQ FT n._..._ _ _. _...... SANFORD _,..,... _.. __.__. �- $35,814 ' 1/1/1998 __... Extra Features Description D Year Units_.___. _Value ----___.__v New Cost No E&a Features httpJ/parceidetail.scpatI.orglParcelDetaillnfo.asp OPID=25193051100000220 2/2 INSTALLATION SERVICES CUSTOMER CONTRACT - PLUMB - WATER HEATER ONLY LOWE'S OF SANFORD, FL, STORE # 1657 STORE PHONE: (407) 430-4060 a 3780 S ORLANDO DR SALESPERSON: ANDRES RODRIGUEZ SANFORD, FL 32773-6614 SALESPERSON ID: 617832 Document Print Date: 01/12/2018 M o� %o 140 A A 1 0 0 M ti 0 �n r• L. a 0 0 Ln M O 00 0 N STORE COPY i nis is only a quote for the merchandise and services printed below. This becomes an agreement upon payment and issuance of a Lowe's receipt, upon which the entire agree- ment, Including the specifically completed pages of this .document, the Terms and Conditions Included with this document, the applicable portion(s) of Lowe's receipt, and any other addenda or attachments hereto, shall be referred to herein as this 'Contract.' Lowe's Registration or Contractor License Number / Lowe's Contractor Name Florida Contractor License Number CGC1508417 Customer Name Home Phone S SHIRLEY RUTLEDGE 407-322-0919 o Customer Address Other Phone 927 W 11TH ST L City State / Province Zip / Postal Code D SANFORD FL 32771 Installation Address T 927 W 11TH ST O Installation City Installation State/Provinoe installation Zip/Postal Code SANFORD FL 32771 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 816151 : E6.30L45DVB : STK : AO SMITH 28-GAL 6YR ELEC LOWBOY: AO SMITH 28-GAL 6YR ELEC LOWBOY : AMERICAN WATER HEATER - CITY 1 Materiels Price 1 $ 306.1 INSTALLATION DESCRIPTION Installation Type: Residential Number of Water Heaters to replace: 1 Water Heater Type : Electric Water Heater Size : Less than 75 Gallons �s Store 1657 Project No. 529723936 for SHIRLEY RUTLEDGE Page 1 of 7 a ni rill A A a •o 0 -41 M ti 0 0 Ln M 0 c6 0 N Emergency Installation : No New Water Heater Stand Installation: No Earthquake Strap Installation : No / No detail completed Drain Pan / Line Installation Estimate : No / No detail completed Permit Required: Yes Who Will Obtain Permit: Independent Contractor Additional Miles Traveled Over 20 : 0 Other Work Charge: Yes STORE COPY Hard Access Installation: No Expansion Tank Installation: No Piping Modification Estimate: No / No detail completed Customer Understands Scope of the Heater Project : Yes State Specific Permit: No Permit Fee: Yes Describe other work needed : new valve, cut back pipe to wall, relocated water heater Comments: No Comment Additional Specifications: Notation: Lowe's will not make structural modifications or change power sources. Lowes's will not Install a water Heater in any location where it would be un- safe or a violation of building code, this also Includes any location subject to flooding or installing a gas water heater in living spaces (bedroom, bathroom, etc.). Federal and State regulations require water heaters to be set at 120 degrees Fahrenheit. Additional Specifications: Federal law requires Lowe's to provide you with the pamphlet Renovate Right: Important Lead Hazard Information for Familes, Child Care Providers and Schools. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees and irdependent contractors the right to take photograghs of the Premises where in- stallation Services will be performed and all work performed at the Premises related to this Contract, and irrevocably grants to Lowe's all right, title, interest in and to the photographs for use In all markets and media, worldwide, In perpetuity. Customer authorizes Lowe's to copyright, use and publish the photographs in print and/or electronically, and agrees that Lowe's may use such photographs for any lawful purpose, including, but not limited to, marketing, advertising, publi- city, illustration, training and Web content. By initialing here, Customer agrees to the foregoing. [Customer to initial to the left]. NOTICE TO CUSTOMER - PRICE CALCULATIONS: In order to properly perform the Installation of certain Goods, the Contract Price may Include more Goods than actually will be installed based on the measured square footage of the Project Area. As a result, the parties agree that the lump -sum Price stated in this Contract Is calculated upon both the value of the estimated Goods required to fulfill the Contract (including waste), which may exceed the actual square footage of the Project Area, and the labor which may be estimated based on the amount of Goods required to fulfill the contract (including waste). By signing this Contract below, Customer acknowledges receipt of this notice and agrees and understands that the Price Includes these costs which may not be refunded once the Installation Services are performed.. NOTICE OF ARBITRATION AGREEMENT This Contract provides that all claims by Customer or Lowe's will be resolved by BINDING ARBITRATION. Customer and Lowe's GIVE UP THE RIGHT TO GO TO COURT to enforce this Contract (EXCEPT for matters that may be taken to SMALL CLAIMS COURT). Lowe's and Customer's rights will be determined by a NEUTRAL ARBITRATOR and NOT a judge or jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration procedures are SIMPLER AND MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY LIMITED RE- VIEW BY A COURT. FOR MORE DETAILS: Review the section titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS AC- TION ADJUDICATION found in the Terms and Conditions of this Contract. Store 1657 Project No. 529723936 for SHIRLEY RUTLEDGE Page 2 of 7 M ON 0 r- 011 0 Nt 0 0 Nt +� a 0 N Ln M 0 a_ r- 0 N TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES STORE COPY applicable SUB -TOTAL $ 950.1 960.1 1 BALANCE DUE I I Work is to commence upon reasonable availablity of Conttrlactto(rr which is anticipated to be �A N Jill in duel. Estimated completion date is %U :>4 dn, t� milacl irr'datej. NOTICE TO CUSTOMER All items listed in this contract and specfication sheet(s) are to be Installed under conditions agreed upon at time of purchase and at the price appearing on this contract form. This assumes sound existing substructures, superstructure and points of attachments. Extra labor or material Incident to Installation necessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to custom- er. DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS OF THIS CONTRACT, BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE. NOTICE TO OWNER: -ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001- 713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCON- TRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERI- ALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COM- PANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. WITNESS OUR HAND(S) AND SEALS; BELOW THIS__- DAY OF -:201 Lowe's Home Centers, LLC Store 1657 Project No. 529723936 for SHIFLEY RUTLEDGE Page 3 of 7 q, . Nt By: (Seal) a Print Name: wnP Ls.R�. 3 q-b X.�- Address CRY State / Province Zip / Postal Code O 9 n A , customer acKnowieages receipt of a true copy which was completely filled in CD at any time prior to midnight on the third business day after the date of CD this right. M ti O -41 i-+ L s7. O N N Ln M O co Store 1857 Project No. 529723936 for SHIRLEY RUTLEDGE 0 N STORE COPY OwnerR, A!*Kk4y- R� Print Name '�'J Co -Owner or Witness (Seal) Print Name r to Customer's execution hereof, You the customer may cancel this transactooi transaction. See the attached Notice of Right to Cancel for an explanation of Page 4 of 7