HomeMy WebLinkAbout143 Andrews Rd; 16-3417; REPLACE WATER HEATERr
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: A10 3 V/ '740
Documented Construction Value: $ 793.00
Job Address: 143 Andrews Rd., Sanford, FL 32773 Historic District: Yes No
Parcel ID: 18-20-31-503-0000-0470 Residential X Commercial
Type of Work: New Addition Alteration Repair El Demo Change of Use Move
Description of Work: Remove and replace electric water heater
Plan Review Contact Person: Pat Espy Title:
Phone: 386-775-0909 Fax: 386-774-0048 Email: pespy@fgplumbing.com
Property Owner Information
Name Sara Klein Phone: 407-324-6495
Street: 143 Andrews Rd. Resident of property?
City, State Zip: Sanford, FL 32773
Contractor Information
Name First Quality Plumbing . Phone: 386-775-0909
Street: 746 N. Volusia Avenue Fax: 386-774-0048
Yes
City, State Zip: Orange City, FL 32763 State License No.: CFC050566
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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, beaters, 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: 5t' 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 in the public records of this county, and there may be additional permits required from othergovernmental 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. See
attached contract Signature
of Owner/Agent _ Date J
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 12/
22/16 Signathue
of Contractor/Agent Date Gary
W. Evers Print
Contractor/Agent's Name gignatureofNotar5,
SlateofFlorida Date SANDRA
M. LAUSIER MY
COMMISSION # FF 09b9402 EXPIRES:
JNIy 2, 2018 Bonded
Thru Notary Public Undenvrders Contractor/
Agent is X Personally Known to Me or Produced
ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing[], Gas Roof Construction.
Type: 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: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes F No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
Blanton, Deborah
From: James, Mark
Sent: Thursday, December 22, 2016 3:32 PM
To: Blanton, Deborah; Bland, Annette
Subject: permit work
I have completed underground hydros and flush for the following permits
16-2141, 2142, 2143, 2140, 2139, 2138, 2137, 2194, 2193, 2192, 2191, 2209, 2210, 2211, 2212, 2213, 2214
Terry "Mark James
Fire Inspector
Sanford Fire Department
300 N. Park Ave.
Sanford, FI. 32771
407.562.2786
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STORE COPYCD
INSTALLATION SERVICES CUSTOMER CONTRACT - PLUMB - WATER HEATER ONLY N
LOWE'S OF SANFORD, FL, STORE 1657 STORE PHONE: (407) 430-4060.. N
3780 S ORLANDO DR SALESPERSON: MAKSIM SAKO _
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SANFORD, ,.FL 32773-5614 SALESPERSON ID: 1529348_ w
Document Print Date: 12/22/2016 ww
This 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."
PLEASE READ THIS ENTIRE DOCUMENT INCLUDING THE "TERMS'AND CONDITIONS," BEFORE SIGNING
Lowe's Registration or Contractor License Number / Lowe's Contractor Name
Florida Contractor License Number CGC1508417
Customer Name Home Phone
S SARA KLEIN 407-324-6495
O Customer Address Other Phone
143 ANDREWS RD
L City State / Province Zip / Postal.Code
p SANFORD FL 32773
Installation Address
T 143 ANDREWS RD
Installation City Installation State/Province Installation Zip/Postal Code
O SANFORD FL 32773
MERCHANDISE AND INSTALLATION SUMMARY
MERCHANDISE SUMMARY
543491 : 11363.0 : STK : 24-IN PLASTIC WTR HTR DRAIN PAN: 24-1N PLASTIC WTR HTR DRAIN PAN: CAMCO MANUFACTURING INCORP. -QTY 1
805956 : E501-16-45110 : STK : 50-GAL 6YR ELEC TALL WH (-592518).: 50-GALLON 6-YEAR TALL ELECTRIC WATER HEATER: AMERICAN WATER
HEATER - QTY 1
Materials Price
INSTALLATION DESCRIPTION
Store 1657 Project No. 494585434 for SARA KLEI N
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Installation Type : Residential
Water Heater Type: Electric
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
Number of Water Heaters to replace : 1
Water Heater Size: Less than 75 Gallons
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 : presure valve
Comments: No Comment
Additional Specifications:
STORE COPY
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 informingCustomerofthepotentialriskoftheleadhazardexposurefromrenovationactivitytobeperformedinCustomer's dwelling unit.
PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees and independent 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 moreGoodsthanactuallywillbeinstalledbasedonthemeasuredsquarefootageoftheProjectArea. 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 refundedoncetheInstallationServicesareperformed..
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 byaNEUTRALARBITRATORandNOTajudgeorjury. Lowe's and Customer are entitled to a FAIR BEARING_ 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-
Store 1657 Project No. 494585434 for SARA KLEIN Page 2 of 7
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TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES where applicable
SUB -TOTAL
TAX
DELIVERY
ORDER TOTAL
BALANCE DUE
Work is to commence upon reasonable availablity of Contractor which is anticipated to be (fill in date].
Estimated completion date is rfill in date].
NOTICE, TO CUSTOMER
All items listed in this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearingonthiscontractform. 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 ONTHISCONTRACT. 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 71.3.001- 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 SEAL(S) BELOW THIS DAY OF =% -P--
Store 1657 Project No. 494585434, for SARA KLEIN
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Lowe's Home Centers, LLC
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City State/Province Zip Postal Code
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Customer acknowledges receipt of a true copy which was completely filled in prior to Customer's execution hereof. You the customer may cancel this transaction
at any time prior to midnight on the third business day after the date of this transaction. See the attached Notice of Right to Cancel for an explanation of Vthisright. r
Store 1657 Project No. 494565434 for SARA KLEIN Page 4 of 7
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City of Sanford
Building & Fire Prevention Division
Residential Permit Card
TYPE OF WORI
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 a roved 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
DRYWALUSHEETROCK PLUMBING
INSPECTION TYPE 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 INSPECTORROOF
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
PRE -DEMO FINAL DOOR
FINAL DEMO FINAL WINDOW
FINAL SOLAR PANELS IRRIGATION FINAL
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 FBC 105.3.3
REVISED: OCTOBER 2014 Inspection Line: 855.541.2112
TO SCHEDULE AN INSPECTION:
Dial855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow, the prompts
To Schedule Fire Inspections: Please call 407.562.2786 ***
PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business
day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am -
5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
BUILDING
FOOTER
STEMWALL
FORMBOARDSURVEY
SLAB / MONO -SLAB
LINTEL / TIE BEAM
SHEATHING - ROOF
SHEATHING - WALLS
FRAME
INSULATION ROUGH -IN
DRYWALL / SHEETROCK
LATH INSPECTION
FINAL STUCCO / SIDING
FIRE WALL. SCREW
FIREWALL FINAL
INSULATION FINAL
FINAL SFR
ROOF DRY -IN
FINAL ROOF
PRE -DEMO
FINAL DEMO
FINAL SOLAR PANELS
FINAL POOL SCREEN
FINAL UTILITY BUILDING
MOBILE HOME TIE -DOWN
Miscellaneous Notes:
ELECTRICAL
104 ELECTRIC UNDERGROUND 211
102 FOOTER / SLAB STEEL BOND 221
147 T.U.G. 216
03 PRE POWER FINAL 218
105 ELECTRIC ROUGH 212
106 ELECTRIC FINAL 213
MECHANICAL115
109 MECHANICAL ROUGH 409
110 MECHANICAL FINAL 410
PLUMBING131
132 UNDERGROUND ROUGH 322
130 TUB SET 312
120 SEWER 311
143 PLUMBING FINAL 313
113 GAS
138 GAS PIPING UNDERGROUND
GAS ROUGH -IN
328
314
116 GAS FINAL 315
III
MISCELLANEOUS / FINAL INSPECTIONS
144 FINAL DOOR 136
126 FINAL WINDOW 137
134 IRRIGATION FINAL 321
139 FINAL SCREEN STRUCTURE 127.
124 FINAL BUILDING.- OTHER 112
145 MOBILE HOME BUILDING FINAL 146
REVISED: OCTOBER 2014 Inspection Line: 855.541.2112
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FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . , 16-00003417 Date 12/22/16
Property Address . . . 143 ANDREWS RD
Parcel Number . . . . . 18.20.31.503-0000-0470
Application description . . . PLUMBING PERMIT
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . PLUMBING PERMIT-ALTER/ADD/FIX
Additional desc .
Phone Access.Code 967000
Permit pin number 967000
Required Inspections
Phone .Insp
Seq Insp# Code .Description Initials Date
1000 313. PL0.5 PLUMBING FINAL / /