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Home My WebLink About103 Yorktown Pl 17-1597; water heaterCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I T / I Documented Construction Value: $ sq /q. 0 0 Job Address: invol-Lkwn l ,z Historic District: Yes No$2 Parcel ID: 'C=U-d 10 Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work:1adidan'i:'4 pt,CAt'114ni Q 1 JC, Q e Ui-'!4 .t—, Plan Review Contact Person: G n Ub b Title: ?I (2f Phone: _ 0?' , -OgC45- Fax: LiO?'Zcl Email: GA ij,Y 11.t0 Property Owner Information U- XY) Name Phone: Street: Resident of property?: , Ve/.J City, State Zip:7 Contractor Information q Name _ - M',5 (L ' 1 Phone: Street: ' 2%61 d IV WLI 1"7. t- Fax: ue 7-Z9_d3a d City, State Zip: Orr( !)Q t0b __ State License No.: (2MCJ. Y J % S_Fl Name: Street: City, St, Zip: Bonding Company: Address: 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 in this jurisdiction. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 1053 Shall he inscribed with the date of application and the code in effect as of that date: 96 Edition (2014) Florida Building Code Rcviscd: tune 30. 2015 Permit Application 1 S1 D 4`.. 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. 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 ofONmerlAgent Date Signature of ContractorM461 data 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 Print Contractor/Agent's Name Signat otary-State of Florida Date ct YO r+ FRANCESCAWIISON-CENTENO MY COMMISSION 0 GG 05W43 EXPIRES: December 29, 2020 Fatrt 4Pt3orWedTtvu t Secvk es Contractor/Agent is ersonally 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: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps, Flood Zone: of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads i Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: WASTE WATER: BUILDING: Revisal: June 30, 2015 Permit Application 3s'3z= Home Improvement Agreement: Page 1 Home Depot Contractor License Numbers: Home Depot license numbers are listed on page 3, and at www homedepot com/licensenumbers Salesperson Name: I ZM51. Registration No. (if applicable): 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: _ Last Name First Name Store # Lead # o f k- o r . 2 Customer Address City tat' Zip 1 /391 Home Phone# Work Phone# Cell Phone# 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., 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 NOTICf OF YOUR RIGHT TO CANCEL. Acknowledged by: arc ci Anti trp Date Contract Price and Payment 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: rS&7q I Includes all applicable discounts and rebates. Excludes finance charges.* Sales Tax: ® (If applicable) Total Sale Amount: Includes taxes Minimum deposit ONL Y-applicable in MD, MA, ME (33%), NJ (90%), OH (10%), Wf (99%) Min. [--] % Deposit Amount I Final Payment Amt. (Due Upon Completion) Customer Care: 1.877-467.2581 The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30338 HS-320 Agreement (Feb. 20. 2W) 1 *1 1 9PERMITNO. ISSUE CONTRACTOR: AOR JOB ADDRESS: TYPE OF WORK: City of Sanford 1 Building & Fire Prevention Division Residential Permit Card 0 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 INSPEC77ON 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 INSPEC77ON TYPE APPROVED REJECTED INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING INSPEC77ON TYPE APPROVED REJECTED INSPECTORLATHINSPECTION 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 - INSPEC77ON TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF PAGAS FINAL MISCELLANEOUS / FINAL INSPECTIONS INSPEC77ON TYPE APPROVED REJECTED INSPECTOR INSPEC77ON 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 FBC105.3.3 REVISED: 4-17 Inspection Line: 407.792.6069 or 855311.2112 i