HomeMy WebLinkAbout2536 El Portal Ave (3)t
CITY OF
Building & Fire Prevention Division
Sk�4uRDMAi�� ; ' PERMITAPPLICATION
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Documented Construction Value: $ 4404.00
Job Address: 2536 El Portal Ave Historic District: Yes❑No❑
Parcel ID: 01-20-30-504-2500-0080 Residential Commercial❑
Type of Work: New[] Addition[] Alteration Repair[] Demo[] Change of Use❑ Move❑
Description of Work: Replace 5 windows size for size
Plan Review Contact Person: Tim O'Malley
Phone:727-637-8400 Fax:
Name Steven Anca
Street: 2536 El Portal Ave
Title:
Email: tim.omalley@expeditepermit.com
Property Owner Information
City, State Zip: Sanford, FL 32773
Name The Home Depot
Street: 9208 Florida Palm Drive
City, State Zip:
Name:
Street:
City, St, Zip:
Tampa, FL 33619
Bonding Company:
Address:
Phone: 305-922-6489
Resident of property? :
Contractor Information
Phone: 727-637-8400
Fax:
State License No.: CRC046858
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
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 0
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: 61h Edition (2017) Florida Building Code
Revised: January 1, 2018
Permit Application
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 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
Print Owner/Agent's Name
Date
Signature of Contractor/Agent D to
Print Contractor/Agent's Nai e
\ ` I
Signature of Notary -State of Florida Date Signature of �—
CHRISTINE R. 0'
* MY COMMISSION # GG 163512
*: EOIRES: January 29, 2022
°= AIc Underwriters
. Boded N Not3ty
Owner/Agent is Personally Known to Me or Contractor/Agent is X Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
13UILDING:5F57•2'5-(?S
Revised: Januar), 1,2018 Permit Application
REQUIRED INSPECTIONSEQUENCE
i3pff 19- Address-:
ma a
Footer / Setback
'Remwall
Foundation / Form Board -Survey
Slab /* Mono Slab. Pre p our
i Ln tel / Tie Beam / Fill Down- Cell
Sheathing— W-aHs-
Sheathing— Roof. -
Roof Dry In
Frame
Insulation Rough In-
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Roof
Final Stucco./ Siding
Insulation Final
Final Utility Building -
Final Door
Final. Window -
Final Screen.Room
Final, Pool Screen Enclosure.
Mobile Home Building Final.
Pre -Demo
Final Demo,
Final Single Fg=.*Ty- Residence
Final. Building. (Other)
MIlm
Max
Ims2ection Description
Electric. Underground
Footer /' Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
r-Rft.W-., 1
w
0,30, :Ml: , ,,
sm m R715
Ir tM :R-m ! , , IT. R �671 P R,
Mnm
Max.
- - I
Inspection Description
Plumbing Underground
Plumbing Sewer
Plumbing Tub. Set
Plumbing Final
.............. .... ... ... ........
M e ch a n ical Rough
Mechanical Final
. . . . . . ................. ....
Gas Rough
REWSED: Yane 2014
A� GRANT NAL.OY, SEMINOLE COUNTY
This Instrument Prepared BY CLERK OF CIRCUIT COURT & COMPTROLLER
The. Home Depot BK 9132 Ps 1935 (IPgs )
9208 Florida Palm Dr. CLERK'S 4 2018054948
Tampa. FL 33619 RECORDED 0/1c/2018 10:27:27", AN
RECORDING FEES $1.0 CIO
NOTICE OF COMMENCEMENTRECORDED BY hdevore'
s
Permit No. Tax Folio No. 0 I AO 3 J -So y -aSoy
State of Florida
County of &Q�y .Le
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordancewith Chapter 713, Florida
Statutes, the following information is provided in this Notice of Commencement:
1. Description of property: (legal descriptionof propen and street address if available)
3 2 3 uI 41/1
2. General description of improvement: w
3. Owner information
(a) Name and address: STe✓pn AnGO. 25�6 Jam ( TtSr Jb � A-Vt �n�ar � Gl 3a �%3
(b) Interest in property:_ Qt4/0Pl
(c) Name and address of fee simple titleholder (if other than owner):
4. Contractor
®r��
(a) Name and address: The Home Depot, 9203 Florida Palm Drive. Tampa, FL 31619
(b) Phone number: 8I3-626-7548
5. Surety
(a) Name and address: N/A
(b) Amount of bond.
(c) Phone number:.
6. Lender
(a) Name and address: N/A
(b) Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes:
(a) Name and.address: N/A
(b) Phone number:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section7'13.13(1)(b),
Florida Statutes:
(a) Name and address: NIA
(b) Phone number:
Expiration date of notice of commencement (the expiration date is I.year from the date of record i ng, tin less a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I; SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE'FOR IMPROVEMENTS TO YOURTROPERTY. A NOTICE OF COMMENCEMENT MUST BE.
RECORDED AND POSTED ON THE JOB SITE BEFORE. TITF, FIRST INSPECTION. IF YOU INTEND TO OBT.AIN,FINANCINO, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RE ORDfNGYOUR NOTICE OF COMMENCEMENT.
10. �k aD
Si a ure of Owner or Owner's Authorized Officer/Director
Parincr/Managcr
(� y Signatory'sTitle/Office
The foregoing instrument was acknowledged before me this b day of MT, �t7 by STe oen Ajtt
(name of person) as d✓ t V (type of authority, e.g. offim, (rustee, attorney in.fact) for
2 i-l= (name of Party on behalf of whom instrument was executed).
--AND--
Verification Pursuant to Section 92.525, I''lorida
Under penalties of perjury, I declare I have read, the foregoing.and that the facts stated in it are.uue
Revised 2115/17
JOHN LUND
NOTARY PUBLIC
STATE OF FLORIDA
Cmvn# GG050373
i EWM 12/3/2020
lcD-�%10 n
Signature of, t ie - State of Iorida
Personally kp n _ or Produced Identification A
LIMITED POWER OF ATTORNEY
1, Boysie Ramdial (Name of Home Depot Qualifier), license # CRC046858, hereinafter referred to as the
"License Holder," the qualifying agent of The Home Depot, hereby appoint the following persons as Attorney -in -Fact
of the License Holder/The Home Depot, who shall act as my agent with respect to only the following matters (a)
signing and submitting building permit applications, (b) obtaining building permits, and (c) obtaining the certificate of
occupancy from Sc�r.-� (pertinent city/county/state) on behalf of the License Holder/The Home Depot:
Brian Kirby
Aaron Hallich
LICENSE HOLDER:
Sign: +,,, OCL�
Print Name: Boysie Ramdial
Date: ��t `{I I Y
Title: _Regional Compliance Mana eg_r
Company Name: _ Home Depot USA
Mailing Address: 1216 Isben Ave
Orlando F132809
Telephone No.: 404-593-4879
Fax No.:
State of. Florida
County of: Orange
Tim O'Malley Erick DeDios
David Weed Christine O'Malley
` T,Vp
WSJ 6 E 1
5CA,4,zx-�,_ 3
WITNESSES (Two signatures required:
Sign:
Print Name:
Date:
Sign:
Print Name: ;tNW be4- a ►'1
Date: 3// `1h s—
This Limited Power of Attorney is non -durable, meaning it ceases effectiveness if the principal becomes incapacitated.
If I have designated more than one agent, the agents are permitted to act separately.
( ) This power of attorney and authorization shall expire on
(X) This power of attorney and authorization shall continue in full force and effect until I deliver to you a letter
revoking the power or a new Limited Power of Attorney form replacing any previous authorization.
The foregoing instrument was acknowledged before me this )'I 4A,\ day of �, 20 t�by
Boysie Ramdial, the Qualifier of The Home Depot , a
corporation.
Notary Public
Commission Expires:
corporation, on behalf of the
—HRISTINE R. O'MALLE`t
MY COMMISSION # GG; 3512
EXPIRES: January P ic undetw0 tars
2022
sonaea mN Nore�y
Updated 31912017
SGR/15641978.1
Home Depot Contractor License Numbers:
FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831,
CCC1331113, CCC1331130
Salesperson Name and Registration Number:
John Lund : R-1-128533-13-00252
Home Improvement Agreement
Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
Customer Information:
STEVEN ANCA Tampa 1-5ZSGMD3
First Name Last Name Branch Name Lead #
2536 El Portal Ave, , Sanford FL 32773
Customer Address City State Zip
(305) 922-6489
Home Phone# Work Phone# Cell Phone#
evenanca@gmail.com
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
9208 Florida Palm Drive Tampa FL 33619
Address City State Zip
or Email customercancellationsouth@homedepot.com
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR PROFESSIONAL, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME
CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU.
OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT
HOME DEPOT'S EXPENSE.
THE LAW REQUIRES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL
AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL.
Acknowledged by:
X
05/08/2018
Date
FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831,
CCC1331113, CCC1331130
License numbers are subject to change in accordance with local or state government processes. For the most
current listing of license numbers held by or on behalf of the Home Depot, please visit www.homedepot.com/
lice nsenumbers.
Scope of Work
lob #: (internal Reference) Products: Spec Sheet(s) #: Project Amount
Roofing Siding ✓ Windows Insulation
1-5ZSGMD3
Gutters / Covers Entry Doors
1-5ZSGMD3
$4404.60
Roofing Siding Windows Insulation
Gutters / Covers Entry Doors
$
Roofing Siding Windows Insulation
$
Gutters / Covers Entry Doors
Roofing Siding Windows Insulation
$
Gutters / Covers Entry Doors
SubTotal
$4404.60
Sales Tax
$0.00
Total Contract
$4404.60
Amount
Warranty:
The warranty on the work identified above is listed in the General Terms and Conditions, or if applicable, specified in
the following documents:
Warranty
Name(s):
ntagePointe 6500-6100-6060 Warranty
3