HomeMy WebLinkAbout100 Kelly Cir; 17-2329; electric water heaterP
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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