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HomeMy WebLinkAbout100 Kelly Cir; 17-2329; electric water heaterP Afr I -- 0 ftCITY OF SANFORD31' ILIDING & FIRE PREVENTION PERMIT APPLICATION Application No: __..I I - 9-5 al Documented Construction Value: S I 1?)l ff I Job Address: JIK UliI CIR, Historic District: Yes D No n Parcel 1.1): -3M-5-4I WO 0 - 0 4 00 Residential I' ' AA . 4 Commercial Type of Work: NeNvF] Addition 11 Alteration, Repair 0 DenioEl Change of Use El move 0 Description of Work: Plan Review Contact Person: Phone: Fax: Entail: Property Owner Information Title: Name HYYI Phone: Street: Resident of property? City, State Zip: Contractor Information Narne' a(Ark ,14o A&Ma121;'-a-J Phone: 9 to Lo- 6 1q- 01F916 Street: D IC_eFax 4q /q- L / 910City, State Zip: )ki -Irt 331,51 1 jo StateLicense No.: cf:c— 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 CONINtENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 117 YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Applicationis 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. LBC 10- 5.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'1' Edition (2014) Florida Building Code Revised: June 30, 2015 Pern-ut 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 l will notify the owner of the property of the requirements of Florida Lien Law, FPS 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 "Cable 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 foregoingnormation is accurate and that all work will be done in compliance with all applicable laws regulating., construction and zoning. Signature ofl)wner/Agent Date Print ONweriAgent's Name Si; mature of Not zry-St<ae of Florida Date Owner/ Agent is Personally Known to Me or Produced ID Type of ID nature tiof Contra or/Agent D, e 1ML Contractor,' Agent's Nam- o 331gnruure of (gt I•'SYte of. Fla to lo4' NYpUA.-. Diter--- ASHLNIGENGEIShY GCjtwCM1SSION #FFt2di1 i M.{` EXPIFIES May 7, 2016 3 rt( allotaryS2Ntce r0M Meor NflooContractor/AgeProducedID -------- Type of ff.5 BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Construction Type: Occupancy Use: Total Sol Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: 111116113 Gas Roof Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application fil I f 0ON111I EKI I165IWIII10IIII4II IV Illllllfl!II11W1I08iIIII3664tla111I 10III9PVI3l1647191113150084171'11I J IV Home Improvement Agreement: Page 1 Home Depot License Number(s): e C0001440. CGC1514813, CAC1813767, CFC1420021, 22640, CAC1818831. Please visit http,'A wYW.homedepoc.Com'c'SV_HS Contractor_Lrrense_NumWrs is the iefest license mformaaon. Salesperson Name: ( I 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: AMBERT FRANCHESKA 264 — 1 [1-10893736647 Last Name First Name Store # Lead # 1Q0 KELLY CIRCLE SANFORD ! FL 32773 Customer Address City State Zip 4073350085 F I AMBERTF2@HOTMAIL.COM 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 FLORIDA DELTA MECHANICAL (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 NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: re 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: Includes all applicable discounts and rebates. Excludes finance charges." Sales Tax: u (If applicable) Total Sale Amount: 1,131.sa Includes taxes Minimum deposit ONLY applicable in MD, MA, ME (33°%), NJ (90%), IOW/ ('99%) Min. % Deposit Amount u Final Payment Amt. (Due Upon Completion) Customer Care: 1-877-467-2581 or 1-800-466-3337 HS-268 WH HIA (Feb. 24, 2017) v?.0 The Home Depot - 2455 Paces Ferry Road, N.W, Bldg. B-3, Atlanta, Georgia 30339 r- nniioIoi iuiI 1i6511026i41i ioa 1211-108ii7u11 10i893 w3i6m4716112 31oa08J7111 uii i e 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: Approximate Finish Date: 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 rights. XELTA MECHANICAL Cus o er' SigLture Date Service Provider Name X _ Co -Signer (if applicable) at Service Provider Address X Be Signature On half of Home Depot Date City State Zip Service Provider Phone Number Service Provider License Number Customer Care: 1-877467-2581 or 1-800466-3337 HS-2&3 4VH HIA (Feb, 24, 2017) vFA The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 i PERMIT NO. CONTRACTC JOB ADDRESS: TYPE OF WORK: City of Sanford Building & Fire Prevention Division Residential Permit Card Post this permit in a conspicuous to tion 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 INSPECTON TYPE• APPROVED REJECTED INSPECTOR ELECTRICAL INSPECTION TYPE APPROVED REJECTED INSPECTOR TOOTER 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 INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALUSHEETROCK PLUMBING INSPECTION TYPE APPROVED REJECTED INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIRE WALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTORROOF INSPEC7ION 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 FBC105.3.3 REVISED: 4-17 Inspection Line: 407.792.6069 or 855.541.2112 r.. F 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`407.562.2786XX PLEASE NOTE: Inspections scheduled by 3-34 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 ELECTRICAL FOOTER 104 ELECTRIC UNDERGROUND 211 STEMWALL 102 FOOTER / SLAB STEEL BOND 221 FORMBOARD SURVEY 147 T.U.G. 216 SLAB / MONO -SLAB 103 PRE POWER FINAL 218 LINTEL / TIE BEAM 105 ELECTRIC ROUGH 212 SHEATHING - ROOF 106 ELECTRIC FINAL 213 SHEATHING - WALLS 115 MECHANICAL FRAME 109 MECHANICAL ROUGH 409 INSULATION ROUGH -IN 110 MECHANICAL FINAL 410 DRYWALL / SHEETROCK 131 PLUMBING LATH INSPECTION 132 UNDERGROUND ROUGH 322 FINAL STUCCO / SIDING 130 TUB SET 312 FIREWALL SCREW 120 SEWER 311 FIREWALL FINAL 143 PLUMBING FINAL 313 INSULATION FINAL 113 GAS FINAL SFR 138 GAS PIPING UNDERGROUND GAS ROUGH -IN 328 314ROOF ROOF DRY -IN 116 GAS FINAL 315 FINAL ROOF III MISCELLANEOUS / FINAL INSPECTIONS PRE -DEMO 144 FINAL DOOR 136 FINAL DEMO 126 FINAL WINDOW 137 FINAL SOLAR PANELS 134 IRRIGATION FINAL 321 FINAL POOL SCREEN 139 FINAL SCREEN STRUCTURE 127 FINAL UTILITY BUILDING 124 FINAL BUILDING - OTHER 112 MOBILE HOME TIE -DOWN 145 MOBILE HOME BUILDING FINAL 146 Miscellaneous Notes: REVISED: OCTOBER 2014 Inspection Line: 855.541.2112