HomeMy WebLinkAbout101 E Jinkins Cir 17-1796; WATER HEATERr ,
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BY: CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
a
Application No:
Documented Construction Value: $ 825
Job Address: 101 E. Jinkins Circle Historic District: Yes No D
Parcel ID: 12-20-30-5040000-0400 Residential ® 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 Claude & Cynthia Evans phone: 407-322-3729.
Street: 101 E. Jinkins Circle Resident of property?
City, State Zip: Sanford, FL 32773
Contractor Information
Name First Quality Plumbing
Street: 746 N. Volusia Avenue
Phone: 386-775-0909
Fax: 386-774-0048
City, State Zip: Orange City, FL 32763 State License No.:
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
CFC050566
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: 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 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 Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Age—ni
Gary W. Evers
Print Contractor/Agent's Name
Signat- fAfQXaW',$"Quior'i e
sRU;y SANDRA M. LAUSIER
Niy COMMISSION B FF 090402
9Uts ttlr EXPIRES: July 2, 201B
F1endAd TBiu holary Public Undemrflers
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: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Date:
SEMINOLE COUNTY IMULT!%URISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
6/15/17
I hereby name and appoint: Pat Espy
an agent of: First Quality Plumbing
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this
appointment for (check only one option):
All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:
101 E. Jinkins Circle
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: Gary W. Evers
State License Number: CFCO5O566
Signature of License Holder:
STATE OF FLORI A
COUNTY OF _ U 1U. ! g p
The foregoing instrument was acknowled ed before me this / ' day of
20 I by Qfu/ [I-) - 1/.A I'S who is L -p rsonally known to me or
who has produced as identification
and who did (did not) take an oath.
n
Signature of Notary
Tui
SANDRAM. LAUSIER
t t.; AdY COMMISSION 0 FF 099402
XPIRCS; July 2, 2018
OMI Ihru 13olary Public Underwrders
Print or type Notary name
Notary Public - State of< —
Commission No. E-E rJ 919 L/ 6
My Commission Expires: o
Property Record Card
A., /' Okdj. IM SN CFA Parcel: 12-20-30-504-0000-0400
Owner; EVANS CYNTHIA W& CLAUDE E JR
p
Property Address: 101 E JINKINS CIR SANFORD, FL 32773-7302
Parcel Information Value Summary
Parcel j 12-20-30-504-0000-0400
Owner i EVANS CYNTHIA W & CLAUDE E JR
Property Address 101 EJINKINSCIR SANFORD, FL32773-7302
Mailing 101 EANKINSCIR SANFORD, FL32773-7302
SubdivisionNameSOUTH PINECREST4THADD Tax
District S1 -SANFORD ti
DOR
Use Code oll-SINGLE FAMILY Exemptions
00-HOMESTEAD(1997) 0
5 ^....,25.02 ... ... IN
69.
97 0.
20117
Working Values
2016
Certified Values
Valuation
Method Cost/Market j Cost/Market Number
of Buildings I Depreciated
Bldg Value i $42,668;_$37,249 Depreciated
EXFT Value Land
Value (Market) 15,000 14,000 Land
Value Ag AistiMnrket
Value 57,668 51,249 Portability
Adj Save
Our Homes Adj 8,337 2,933 Amendment
1 Adj P&
G Ad] 0 Assessed
Value 49,331 Tax
Amount without SOH: $410.00 2016
Toy Bill Amount 11:367 00 Tax
Estimator 0L
Save
Our Homes Savings: $43.00 120
Does NOT INCLUDE Non Ad Valorem Assessments Seminole
County GIS Legal
Description LOT
40 SOUTH
PINECREST.4TH ADD PB
12 PG 43 Taxes
Taxing
Authority 1 Assessment Value Exempt ValuesTaxable Value County
General Fund 49,331 F 30,000 1: 19,331 1 Schools
49,331 30,000 City
Sanford 49,331 30,000 1 19,331 SJWM(
Saint Johns Water Management) 49.331 30,000 19331 County
Bonds 49,331 30,000 1 ria-
les i
Description Date Book Page I Amount I Qualified 1 VVac/Imp WARRANTY
DEED 12/1/1996 j 03178 1307 100 No Improved WARRANTY
DEED 1111/11/1996 03168 1 1460 28,000 No Improved WARRANTY
DEED i 3/1/1996 j03046 L1226 100 No Improved Sales
Land
Method
Frontage _FDepth Units Units Price Land Value H T
0.00 $16,000.00 $15,000 Building
Information ---------- Is
Bed/Bath count incorrect? Click Here, Fixtures
Bed a B Total Living I-Descripti-on—_ !-Yea - r Built " illBath
Arei. 9 SF Adj ValuejRepl Value Appendages Actual/Effective -tw-
11 I ] B E ---------- L
STORE COPY
o INSTALLATION SERVICES CUSTOMER CONTRACT -PLUMB -WATER HEATER ONLY
LOWE'S OF SANFORD. FL, STORE # 1657 STORE PHONE: (407) 4-30-4000
o ' 3780 S ORLANDO DR SALESPERSON: BRANDY FRYE
SANFORD, FL 32773-5614 SALESPERSON ID: 1529350
Document Print Date; 06/15/2017
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This is oniy 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 Humber/ Lowe's Contractor Name
Florida Contractor License Number CGC1508417
Customer Name Home Phone
S CLAUDE EVANS 407-322-3729
O
Customer Address Other Phone
101 E JINKINS C1R
L city State / Province Zip / Postal Code
D SANFORD FL 32773
Installation Address
T 101 E JINKINS CIR
O
Installation City Installation State/Province Installation Zip/Postal Code
SANFORD FIL 32773
MERCHANDISE AND INSTALLATION SUMMARY
MERCHANDISE SUMMARY
543478, 20804.0 : STK : 20-IN ALUMINUM WTR HTR DRAIN PAN: 20-IN ALUMINUM WTR HTR DRAIN PAN: CAMOO MANUFACTURING INCORP. - OTY 1
697986 ;
STK : 5YR EPP WATER HEATER: 5YR EPP WATER HEATER - CITY 1 816154 :
E6-4OH45DV : STK : AO SMITH 40-GAL 6YR ELECTRIC TALL: AO SMITH 40-GAL 6YR ELECTRIC TALL : AMERICAN WATER HEATER - OTY 1 Materials
Price 1 $ 445.95 I
INSTALLATION DESCRIPTION - Store
1657 Project No. 510484529 for CLAUDE EVANS Page 1 of 7
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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
Comments : needs Install right away please
Nuriiber 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 : None / No Detail Completed
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 inprintand/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. f- [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 inthisContractiscalculateduponboththevalueoftheestimatedGoodsrequiredtofulfilltheContract (including waste), which may exceed the actual squarefootageoftheProjectArea, and the labor which may be estimated based on the amount of Goods required to fulfill the contract (including waste). By signingthisContractbelow, 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 HEARING. But the arbitration procedures are SIMPLER ANDMORELIMITEDTHANRULESAPPLICABLEINCOURT. 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. 510484529 for CLAUDE EVANS Page 2 of 7
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STORE COPY
TION ADJUDICATION found in the Terms and Conditions of this Contract:
TOTAL CHARGES OF ALL MERCHANDISE AND 'SERVICES
where applicable
SUB -TOTAL .$ 924.9
TAX $ 0.0
DELIVERY $ 0.0
ORDER TOTAL $ 924.9
BALANCE DUE
Work is to commence upon reasonable availablity of Contractor which is anticipated to be c Jn [fill in date],
Estimated completion date is 1 [fill 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 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 SEAL(S) BELOW THIS /r DAY OF S WyE
Store 1657 Project No. 510484529 for CLAUDE EVANS Page 3 of 7
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Seal)
Print Nam'e: Ems: n to J-e d Ir,, 4
3 8 CD r10l dr, -P12
Address
SQ4 En fd I _ {' 3 ? 3-T19/ I
City State / Province Zip / Postal Code
STORE COPY
Seal)
Owner
Print Name
Co -Owner or Witness (
Seal) I
Print Name
v.nui c. uv wvv ca yua i ci Ipt vi cf. ifuc L:upy vvi nG11 was uvniNteteiy nuea in prior to t,ustorners execution nereot. 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 ofthisright.
Store 1657 Project No. 510484529 for CLAUDE EVANS Page 4 of 7
City of Sanford
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. 171 a* 171910 ISSUE DATE: (461500
CONTRACTOR:
JOB ADDRESS:
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
Pem2it expires 6 months from date of issue or last a roved inspection
PROTECT FROM WEATHER
BUILDING
INSPEC77ONTJPE APPROVED REJECTED INSPECTOR
ELECTRICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FOOTER INSPECTION ELECTRIC UNDERGROUND
STEM WALL 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 TIPS APPROVED REJECTED INSPECTORSHEATHING - WALLS
FRAME MECHANICAL ROUGH
INSULATION ROUGH IN MECHANICAL FINAL
DRYWALIISHEETROCK PLUMBING
INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
FINAL SFR GAS INSPECTIONS
INSPECTIONTIPE APPROVED REJECTED INSPECTORROOF
INSPECTION TIPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TIPS APPROVED REJECTED INSPECTOR INSPECTIONTIPE 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
t
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 MANAGENIENT DISTRICTS, STATE AGENCIES OR FEDERAL
AGENCIES FBC1053.3
REVISED: OCTOBER 2014 Iost,K lou Lute: 855.541.2112