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HomeMy WebLinkAbout266 Hanson Pkwy�c cs CITY OF SANFORD t ,P r, BUILDING & FIRE PREVENTION 1 2�t9, PERMIT APPLICATION F _ `7 Application No: 7 Documented Construction Value: $ 4,700.00 Job Address: 266 Hansom Pkwy, Sanford, FL 32773 Historic District: Ycs ❑ No.❑X Parcel ID: 12-20-30-300-0130-0000 Residential ® Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ® Demo ❑ Change of Use ❑ Move ❑ Description of Work: Size for Size HVAC Change -Out with New Rheem 2.5 Ton 14 SEER Heat Pump package unit with 5 kw. Plan Review Contact Person: Andy Maldonado Title: Permit Tech Phone: 407-299-0068 Fax: 407-299-0320 Email: amaidonado@ars.com Property Owner Information Name Carole Vroman Street: 266 Hansom Parkway City, State Zip: SANFORD, FL 32773 Name Street: 3012 Mercy Dr City, State Zip: Orlando, FL 32808 Name: Street: City, St, Zip: Bonding Company: Address: Phone: (734) 231-1025 Resident of prop"? Yes Contractor Information ARS Orlando - Dennis Zacek Phone: 407-299-0068 Fax: 407-299-0320 State License No.: CMC1249753 Arch itectlEngineer 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 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 (lie date of application and the code in effect as of that date: 511 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 that may be found irr-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. ON'VNER'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 OHner/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 Contractor/Agedi,_. Daict t Dennis Zacek Print tractor/Agent's N Sign u o Notary-Stat of nda Da e Contractor/Agent is Personally Known to 1N Produced ID Type of ID v f BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical[A Plumbing❑ Gas❑ Roof ❑ Construction Tyne: Occupancy Use: Flood Zone: . Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ® # of Heads APPROVALS: ZONING: COMMENTS: UTILITIES: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No WASTE WATER: ENGINEERING: FIRE: BUILDING: Revised: June 30, 2015 Permit Application 7 ............ Home Improvement Agreement: Page I Home Depot License Number(s): Home Depot license numbers are listed on page 3, and at ptL _AKW.homedQp comALic_ensenum4o� Salesperson Name: Registration No. (if applicable): UAAff Is 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. C u�! ver Informa!ijn: Last Name First Name -NOT,- Customer Email Address NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT HOME DEPOT USA INC., R I 2455 PACES FERRY OAR, BLDG. B-3, ATLANTA, GEORGIA 30339 or r-,.1464,e 4V (Email) BY MIDNIGHT ON T HIRD BUSINESS 0AY AFTER, SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PE I R IOD. THE I STATE 1 SUPPLEMENT MENT 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 SERVICE, PROVIDER, 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 HE HOME DEPOT 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: ;7,,4 CusOmer %_Sj§`nature Date Contract Price and Pavment Schedule : Payment of the Contract Price is due upon signing unless a different payment schedule is specilfipd below or in the State Supplement. Contract Price: I a'/WKncludes all applicable discounts and rebates.. Excludes finance charges.* Sales Tax: �(If appliao*le) , Total Sale Amount: .14!76 dudes taxes *Minimum deposit ONLY applicable in MD, MA, ME (33%), NJ (901%), Wl (9996) Min. F % Deposit Amount Final Payment Amt. (Due Upon Completion) Customer Care: 1-877-467-2581 or 1-800-466-3337 The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 HS-320 HVAC HIA (Feb- 24,2017) v1.2 Home Improvement Agreement: Page 1 Home Depot License Number(s): Home Depot license numbers are listed n page 3, and at_www.homeder)ot.com/licensenumbers Salesperson Name: [ egistration No. (if applicable): [— Home Depot U.S.A., Inca ("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: fW-F1-C-bg C-: I i)inLL/ Last Name First Na e Customer Address f --1 5 Home Phone# Work Phone # Cel Phone# Store # Lead # City , State Zip stomer Email Address NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT HOME DEPOT USA INC., 2455 PACES FERRY ROAD, BLDG. B-3, ATLANTA, GEORGIA 30339 or (Email) 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 SERVICE PROVIDER, 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 HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTIC OF YOUR RIGHT TO CANCEL. Acknowledged by: ,_ / Customer's SI atu a to Contract Price and_.Pay_ment Schedule : Payment of the Contract Price is due upon signing unless a different payment schedule is specified below or in the State Supplement. Contract Price: Includes all applicable discounts and rebates. Excludes finance charges.* Sales Tax: (If applicable) Al- Total Sale Amount: Includes taxes y "Minimum deposit ONL Y applicable in MD, MA, ME (33%), NJ (90%) , WI (99%) Min. °o Deposit Amount 'Final Payment Amt. (Due Upon Completion) E= Customer Care: 1-877-467-2581 or 1-800-466-3337 ' The Home Depot- 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 HS-320 HVAC HIA(Feb.24,2017)v72 i Home Improvement Agreement: Page 2 Finance Charges: "Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which The Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payment(s) made payable to The Home Depot. Insurance proceeds will ❑ will not ❑ be used to pay some or all of the total amount of sale. Description of Work to be Performed: A detailed description of the work to be performed is included in the section entitled Scope of Work or Specification which appears on page 4 of this Agreement. Anticipated Delivery Date / Installation Schedule: Approximate Start Date: i 7 (9 Approximate Finish Date: i7 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. Electronic Records Authorization_ You are entitled to a paper copy of this Agreement if You choose. If You consent to an e-mailed copy, Your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting Your Service Provider, You may update Your email address, withdraw Your consent, or obtain a paper copy of the Agreement or related documents at no charge. By providing Your consent and verifying Your email address above, You confirm that You have access to a computer that can receive and open emails and PDF documents. By initialing this paragraph, I consent to receive only electronic records related to this transaction. Initial Acceptance and Authorization: By signing below, You authorize Home Depot to (a) arrange for Service Provider to perform Installation and/or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.) By signing, You acknowledge that You have read, understand, and accept this Agreement in its entirety, including the General Terms and Conditions and State Supplement, if any. You further acknowledge receiving a complete copy of this Agreement. Keep it to protect Your legal righ X Anatu 6 ��Custome 's i ate Service Provider Name XI Co-S' ner (if appl x < gnature On Beh Service`Provider i HS-320 HVAC HIA (Feb. 24, 2017) v1.2 , e) Date Ser ice Provider Address xlmlle I r 7 F �- of Home Depot Me City State Zip © 4 Ine Number Service Provider Lice se Number Customer Care: 1-877-467-2581 or 1-800-466-3337 The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 Y OF SXNFORD FIRE DEPARTMENT PERMIT NO. I 1100107 00107 ISSUE DA CONTRACTOR: JOB ADDRESS: TVPR OF WORK: R\IX Building & Fire Prevention Division Residential Permit Card c", to U0 0 &W ") O:z 0 Vz +,b a I Lk scen • Post this permit in a conspicuous location outside • Approved plans must be posted with permit for inspection Leave all work uncovered until inspected and approved Permit expires 6 months from date of issue or last approved inspection PROTECT FROM WEATHER BUILDING INSPECTION TYPE APPROVED REJECTED INSPECTOR ELECTRICAL INSPECTION TYPE APPROVED REJECTED INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEMWALL FOOTER/SLAB STEEL BOND FORMBOARD SURVEY T.U.G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF MECHANICAL INSPECTION TYPE APPROVED REJECTED INSPECTOR SHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING INSPECTIONTYPE APPROVED REJECTED INSPECTOR LATH INSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTOR ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS / FINAL INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL DEMO FINAL DOOR FINAL SOLAR PANELS FINAL WINDOW FINAL POOL SCREEN FINAL SCREEN ROOM FINAL UTILITY BUILDING FINAL BUILDING (OTHER) MOBILE HOME TIE -DOWN MOBILE HOME FINAL 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. 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 FBC105.3.3 REVISED: 4•17 Inspection Line: 407.792.6069 or 855S41.2112