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Home My WebLink About1009 Gemstone Cv 17-3392 (bathroom remodel)Pi I CITY OF SANFORD UG 7 2017 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 0-1- Documented Construction Value: $ Ci 10 3a Job Address: i oO Ok CrmS nne, CV S01n p Historic District: Yes No Parcel ID: 3 3 - G - 3 -Sal -CGS -- 1 uk"1'D Residential 10 Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: &A+- Y00M (&MC CW — ChCA Y) 0,,1 !Z SV1CUwe.X F +V 6 Plan Review Contact Person: f rGl C7s eei(1 Title: Phone: 3ZJ " 37_7 " S"q801 Fax: 31;_?fo -757SSOS3 Email: %ry A t ll vyll t SewIC S - Property Owner Information Name HGYI0 d- Rly-OM C0nzCk1 eZ Phone: Street: Ic Gem SVUne. Cv Resident of property? : —yes City, State Zip: SOY&fa P1 Contractor Information Name ' sear-s 1--brAe 1 m(2r0veMEnA Phone: Street: 10 aU !P 10, i 601 CC.,Y1 bra0 R L- Fax: 3 8 6 -7 S 3 SO SS City, State Zip: L OCA F1 3)._) S0 State License No.: C CSC O1 a S 38 Architect/ Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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, 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: 5t° Edition (2014) Florida Building Code .J Revised: June 30, 2015 Penn it Application ig T NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other goventmental entities such as watermanagementdistricts, state agencies. or federal agencies. Acceptance of permit is verification that I will notifi- the owner of tlic property of the requirements of Florida Lien Law, FS 713 The Cite of Sanford requires payment of a plan re icw 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, inaccordancewithlocalordinance. 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 willbedoneincompliancewithallapplicablelawsregulatingconstructionandzoning. mguattre or VunerlAgent rron tnvner/Agent's Name Date Signature of Notary -State of t"lorida Date Owmer/Agent is Personally Known to Me or Produced ID Type of ID A1I,;10k-7 Signature of CotrtfactodAgent Nate M ahcu//` I a 1-vl sr I,,o e ss Print Contractor/A yt's Nanrc Signature of Notary-State&I-lorida Date NOW ?Y/ Richard O'Neill Commission 1 GG021115 Expires: August 14, 2020 Horded thru Aaron Notary Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Construction Type: Total Sq Ft of Bldg: Occupancy Use: N En. Occupancy Load: Gas Roof Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COM?4ENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER. - BUILDING: 9F ' /`/- (, Revised: June 30.2015 Pemut Application SCPA Parcel View: 33-19-30-521-0000-1440 Page 1 of 2 CIA scur o e aov+rv, rtona Parcel Information Property Record Card Parcel: 33-19-30-521-0000-1440 Owner: GONZALEZ HIRAM & MARIA L Property Address: 1009 GEMSTONE CV SANFORD, FL 32771 11 Value Summary Parcel 33-19-30-521-0000-1440 Owner GONZALEZ HIRAM & MARIA L Property Address 1009 GEMSTONE CV SANFORD, FL 32771 Mailing 1009 GEMSTONE CV SANFORD, FL 32771 Subdivision Name GREYSTONE PHASE 2 Tax District S1-SANFORD DOR Use Code 0103-TOWNHOME Exemptions 00-HOMESTEAD(2013) Legal Description LOT 144 GREYSTONE PHASE 2 PB 68 PGS 81 - 87 Taxes 2017 Working Values 2016 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 104,268 103,173 Depreciated EXFT Value Land Value (Market) 33,000 30,000 Land Value Ag Just/Market Value" 137,268 133,173 Portability Adj Save Our Homes Adj 28,839 26,974 Amendment 1 Adj P&G Adj 0 0 Assessed Value 108,429 106,199 Tax Amount without SOH: $1,856.00 2016 Tax Bill Amount $1,315.00 Tax Estimator Save Our Homes Savings: $541.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund Schools ----- - ----- -- . -- -- _------ ---- City Sanford SJWM(Saint Johns Water Management) County Bonds 108,429 108,429 108,429 108,429 108,429 50,000 25,000 50,000 50,000 50,000 58,429 83,429 58,429 58,429 58,429 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED SPECIAL WARRANTY DEED 6/1/2012 07795 - I{ 10/1/2006 }06464 1746- 0232 118,000 244,000 No Yes - Improved Improved - WARRANTY DEED -- - F. 6/1/2006 06295 0519 1,576,400 No - Vacant Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT 1 I $33,000.00 i $33,000 Building Information s Bed/Bath count incorrect? Click Here. Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 1 l SINGLE 12006 9, 3 ' 2.0 1,386 I 1,800 1,386 1 CB/STUCCO $104,268 $108,896 FAMILY FINISH Description Area I i 391.00 http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=33193052100001440 7/28/2017 Job:22509932 Page 1 of 5 1111111111111111 Office Location: ORLANDO Proposal Date 07/26/2017 Job Number 22509932 59eaarrs Sears Home Improvement Products, Inc. Customer Name P.0 BOX 522290 HIRAM GONZALEZ Home Improvement Productsp 1024 FLORIDA CENTRAL PARKWAY LONGWOOD, FL 327%7579Customer's Home Phone Customer's Work Phone 407) 694-1447 PHONE (800)469.4663 Street Address Contractor Ucense/Registration Number 1009 GEMSTONE CV ESTIMATE AND PROPOSAL FL (CGC012538) State ip Code NFORD FL IZ32771 Is installation within city limits? Yes/NO : YESr—In—st—arat—ionAddress Count SEMINOLE ng Address (if different from above) City State Zip Code Project Consultant Name & License No. (if applicable) DANIEL TALENT Description of the Project and Description of the Significant Materials to be Used and Equipment to be installed Interior Products / Exterior Products Home Warranty Vinyl Siding []Roofing [:]1VAC Kitchen Remodeling Countertop Whole House Coating 1Nindows Attic Insulation Cabinet Refacing Flooring System Painting []Doors [:]Garage Doors Bathroom Appliance SPECIAL INSTRUCTIONS: MOLD REMEDIATION: This Estimate and Proposal assumes that no mold remediation will be needed during installation work. If, upon inspection by the contractor or others, it is learned that mold remediation is necessary then Customer must arrange and pay for such remediation by a qualified person prior to the start or continuation of work. If Customer fails to arrange for necessary mold remediation within thirty (30) days, Sears may cancel this contract upon written notice to Customer. ASBESTOS ABATEMENT: This Estimate and Proposal assumes that there are no asbestos containing materials ("ACMs") that would be disturbed in the performance of the installation work. If upon further inspection by the contractor or others it is learned that ACMs have to be disturbed to perform work, then Customer must arrange and pay for abatement of asbestos by a qualified person prior to the start or continuation of work. If Customer fails to arrange for necessary asbestos abatement within thirty (30) days, Sears may cancel this contract upon written notice to Customer. The TOTAL PRICE including all labor, material, taxes and any applicable discount is $ 6, 910.32 Contract Price $ 6, 910.32 Initial Payment (not to exceed 30% of Total Price unless Special Order) $ 2 , 073.10 State Sales Tax $ 0.00 Final Payment (balance payable upon completion of job) $ 4, 837.22 Local Sales Tax $ 0.00 The Initial Payment is due prior to Sears ordering products. I Total Amount Due 6, 910.32 Financing: The form and method by which the Customer(s) will pay is described in a separate Cash/Credit Card Payment Addendum made a part of and incorporated into this contract by reference. All of the above check boxes (and associated Product Addendum(s)), "Work NOT to be done:", "Additional work to be done:", "Special Instructions:", Mold Remediation", "Asbestos Abatement," and "Financing:" sections have been reviewed by and explained to me. Product Addendum(s) is/are made a part of and incorporated into this contract by reference. Customer(s) initials NOTICE TO BUYER: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD(3) BUSINESS DAY, FIVE (5) BUSINESS DAYS IN MARYLAND, (FIVE (5) BUSINESS DAYS IN ALASKA, SEVEN (7) BUSINESS DAYS IN MARYLAND, FIFTEEN(15) BUSINESS DAYS IN NORTH DAKOTA IF YOU ARE 65 OR OLDER) AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. SK1- (Dig.) Rev 08/01/16 Job:22509932 Page 2of5 Lead Number: 22509932 Date: 07/26/2017 Sales Rep: DANIEL TALENT Customer Name: HIRAM GONZALEZ Phone: 9076941447 Address: 1009 GEMSTONE CV City: SANFORD State: FL Zipcode: 32771 Showerfrub (Inc. surrounds) CLASSIC FRONT TUB ALMOND, ALMOND WHITE MARBLE WALLS SMOOTH, EVA TRIM V Shower Doors SLIDER CHROME RAIN GLASS Cabinets/Vanities NONE Countertops NONE Flooring NONE Mirrors/Lighting NONE APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE: The work will start approximately 6 TO a WEEK (Approximate Start Date) It will be substantially completed by approximately 1 To 3 WEEKS (Approximate Completion Date) These dates are subject to change at the time the contract is accepted by Sears Home Improvement Products, Inc. ("Sears") or at any other time by mutual written agreement. Customer understands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to schedule the actual start date. The TOTAL PRICE including all labor, material, taxes and any discount is $ 6,910.32 Contract Price $ 6,910.32 Initial Payment (not to exceed 30% of Total 2,073.10 Price unless Special Order) $State Sales Tax ( o • 00 %) $ 0.00 Final Payment (balance payable upon completion of job) $ 4 , a 3 7.2 2 Local Sales Tax ( 0.0 0 %) $ 0.00 The Initial Payment is due prior to Sears ordering products. Total Amount Due 6,910.32 Additional work to be done: SHOWER AREA Work NOT to be done: Removal or moving or any walls; flooring, painting, wallpaper work; repairs of water or termite damage to sub -floors or walls; electrical or plumbing worts outside of this kitchen or bath project. VANITY AREA, FLOOR, TOILET, WALLS OUTSIDE THE SHOWER Job:22509932 Page 3 of 5 SEARS' LIMITED WARRANTY ON INSTALLATION In addition to any manufacturer warranty extended to you on the product(s) used (which warranty becomes effective the date the merchandise is installed), if the workmanship (or application) of any Sears' arranged installation proves faulty within one year after the completion of installation, then, upon notice from you Sears will cause such faults to be corrected by repair at no additional cost to you. If Sears determines that repair is not commercially practicable or cannot be timely made, then, at Sears' sole discretion, Sears may elect to provide replacement or refund. Service under this Limited Warranty is available by calling Sears Home Improvement Products at 1-800-222-5030, Option 4. This warranty gives you specific legal rights, and you may also have other rights that vary from State to State. w. Code: ti , , ;.::. . Description Unit of Measure Units BCIP-Slider Shower Door. Shower - Sliding Each 1.00 Adders: Shower Door Height 57 3/4" Shower Door Width: 58" - 60" Shower Door Finish: Polished Chrome Shower Door Glass; Rain Classic Front Am Acrylic Bath Sys. Classic Front Tub Each 1.00 Adders: Tub Length: 60 Tub Depth: 15 Tub Width: 30 Tub Drain: Right Tub Finish: Almond Drains Drains. Drains Each 1.00 Adders: rr Drain Finish: Chrome , MT-2133 Tub / Shower. Moen - MT-2133 - Eva Tub/Shower - TrimNalve Each 1.00 Adders: Faucet Finish: Chrome Over Flow Over Flow. Over Flow Each 1.00 Adders: Over Flow Finish: Chrome Smooth Panel Wall Surrounds. Smooth Panel Wall System Each 1.00 T:1 Adders: all Surround Finish: Almond White 0:4 Extra Labor. Install Drywall Sq Ft 80.00 Job:22509932 Page 4 of 5 ADDITIONAL PROVISIONS Proposal and Approval. Sears offers to furnish the materials and arrange for their delivery and installation as specified on the first page and/or the attached sketches and specif cation sheets for the TOTAL PRICE shown. This offer must be approved by the Installation Department. If this is a credit sale or a payment on completion sale, it must be approved by the Credit Sales Department. If this proposal is not approved or the installation cannot be made in accordance with the law, this offer will be withdrawn and any payments you have made will be refunded to you. Any materials left over after the installation has been completed are Sears property and will be removed by Sears. Installation. I understand that Sears will not install the materials but will arrange for the installation. Sears is not responsible for materials or installation NOT furnished or arranged by Sears. Sears' installation contractor(s) will obtain all building permits required by local law. For homes located in historic or landmark zoning districts, Customer will be responsible for obtaining required approvals and related permits prior to the commencement of work on this contract. Authorization. I authorize Sears to: (1) arrange for a contractor (licensed where required by law) to make the installation of materials; (2) issue a work order for this installation to a contractor; (3) inspect the installation; and (4) pay the contractor when the installation is complete if I have signed a certificate that the installation has been completed to my satisfaction. Delays in Installation. I agree that Sears is not responsible for delays in delivery or installation due to weather, fire, strikes, war, government regulations or any causes beyond Sears' control. Oral Agreements and Changes in Contract. I understand that there are no oral agreements between Sears and me. Everything I expect Sears to do has been included in writing in this contract. Nothing can be changed in this contract unless it is in writing on a separate form accepted by me and Sears. Responsibility of Buyer. I agree that any information or measurements that I give to Sears are correct and complete. I am responsible for any special work described in this contract. Electrical & Plumbing Service. I will provide adequate electrical and/or plumbing service(s) to run any newly installed appliances or other furnishings. If the electrical and/or plumbing service(s) do not meet the standards of the utility company or electrical and/or plumbing codes, I will make the necessary changes at my expense unless Sears has agreed in this contract to make the changes. Payment. I will pay Sears the cash price that covers the price of material and installation as shown on the first page. Warranty Information. Appropriate product warranty documents will be given to me by Sears. Sears' Warranty on Installation is: Dig.) Rev 06/07/17 Job:22509932 Page 5of5 FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: CONSTRUCTION INDUSTRIES RECOVERY FUND, 1940 NORTH MONROE STREET, TALLAHASSEE, FL 32399; TELEPHONE: (850) 921-6593. ACCORDING TO FLORIDAS 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 SUBCONTRACTORS, 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, MATERIALS, 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 COMPANY THAT HAS PROVIDED TO YOU A NOTICE TO OWNER." FLORIDAS CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. NOTICE TO BUYER 1. DO NOT SIGN THE AGREEMENT IF ANY OF THE SPACES INTENDED FOR THE AGREED TERMS TO THE EXTENT OF THE AVAILABLE INFORMATION ARE LEFT BLANK. 2. YOU ARE ENTITLED TO A COPY OF THIS AGREEMENT AT THE TIME YOU SIGN IT. KEEP IT TO PROTECT YOUR LEGAL RIGHTS. 3. YOU MAY PAY OFF THE FULL UNPAID BALANCE DUE UNDER THE AGREEMENT AT ANY TIME, AND IN SO DOING YOU SHALL BE ENTITLED TO A FULL REBATE OF THE UNEARNED FINANCE AND INSURANCE CHARGES. 4. YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY PENALTY OR OBLIGATION, WITHIN THREE (3) BUSINESS DAYS, (FIVE(5) BUSINESS DAYS IN MARYLAND, FIVE (5) BUSINESS DAYS IN ALASKA, SEVEN 7) BUSINESS DAYS IN MARYLAND, FIFTEEN(15) BUSINESS DAYS IN NORTH DAKOTA IF YOU ARE 65 OR OLDER) FROM THE ABOVE DATE. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. FAILURE TO EXERCISE THIS OPTION, HOWEVER, WILL NOT INTERFERE WITH ANY OTHER REMEDIES AGAINST THE RETAIL SELLER YOU MAY POSSESS. IF YOU WISH, YOU MAY USE THIS PAGE AS NOTIFICATION BY WRITING "I HEREBY RESCIND" AND ADDING YOUR NAME AND ADDRESS. A DUPLICATE OF THIS RECEIPT IS PROVIDED BY THE SELLER FOR YOUR RECORDS. 5. IT SHALL NOT BE LEGAL FOR THE SELLER TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO REPOSSESS GOODS PURCHASED UNDER THIS AGREEMENT. Customer Signature 07/26/2017 Date 07/26/2017 Customer Signature Date Accepted by Sears Home Improvement Products, Inc. ("Sears") on 07/26/2017 by Date Management Representative v i - ®mot •, - a 4, €off v%a te ` ': x Consultattonklnfo s, Lead Number: Daniel Talent 11• Gemstone Cv Code -'Description-.:, Units Price Total BCIP-Slider Shower Door. Shower -Sliding 1.0 $$1,110.00 $1,110.00 Adders: Shower Door Height 57 3/4" - Shower Door:Width: 58" - 60" Shower Door Finish: Polished Chrome Shower Door Glass: Rain BR999 Admin Fee. Admin Fee (Comm. Paid) 1.00 255.00 255.00 Classic Front Am Acrylic Bath Sys. Classic Front Tub 1.00 2,180.00 2,180.00 Adders: Tub Length: 60 Tub Depth: 15 Tub Width: 30 Tub Drain: Right Tub Finish: Almond., Drains Drains. Drains 1.00 16.30 16.30 Adders: Drain finish: Chrome MEA01-BR Bathroom - Measure Fee. Job Measure Fee 1.00 92.00 92.00 MT-2133 Tub / Shower. Moen - MT-2133 - Eva Tub/Shower - TrimNalve 1.00 920.00 920.00 Adders: Faucet,Finish: Chrome Over Flow Over Flow. Over Flow 1.00 57.00 57.00 Adders: Over Flow Finish: Chrome Smooth Panel Wall Surrounds. Smooth Panel Wall System 1.00 2,701.61 2,701.61 Adders: all Surround Finish: Almond White T104 Extra Labor. Install Drywall 80.00 4.20 336.00 Quantity calculated by RapidSketch ** Quantity calculated by RapidSketch & manually changed by consultant tsCiOUntS g ® F8 g8• . !.. s a Bathroom Remodel RETAIL ITEMS HOME WARRANTY Retail = 7,667.91 0.00 Volume Savings = 0.00 Employee Discount = 0.00 Offer Savings = 0.00 Marketing Offer = 757.59 Additional Discount = 0.00 Tax = 0.00 TOTAL = 6,910.32 0.00 CONTRACT TOTAL = 6,910.32 NeIrtSeNST Uh9T EPAQRED1lr1f1t(Jt!q 2'(Ylt2 4- Address: 1CQQ I iCW;a W- W Long yAox5 a Et 317 Sv NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 33 - ICI- 30 - Sri - 0000 - t LALAO liilll illll Bill #lilt #illl it#ll i### #lit GRANT I'IALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLERBK8964P3468 (IP9s) CLERK'S T 2017077956 RECORDED l 8/02/2017 10 ° 4,, l)!5 AI'1RECORDINGFEES10,CII_I RECORDED BY tsmith The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) L 01 I Q(4 IOO A Grrnsfonp, C. v „•,, 2. GENERAL DESCRIPTION OF IMPROVEMENT: t a;::••;;;° 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: 4 r Name and address 4 i lit{ W1 I M OV A 60fr I Z Ct 1 GZ t— Interest in property: s. = Fee Simple Title Holder (if other than owner listed above) Name: c Address: 0 ; t 1 4. CONTRACTOR: Name: YSMAX L/Y 117i Jt mq(li' Phone Number: 1— 3 % — 8U 8 Address: l uag tr --tof d Gt &1N CC) Pk VVy Lne g; w,->oz1 PI 3a•% Vo 5. SURETY (If applicable, a copy of the payment bond is attache ): Name: ziir't Address: Amount of Bond: 6. LENDER: Name: Phone Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713. 13(1)(a)7., Florida Statutes. Name: I 1APhone Number: Address: 8. In addition, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. t 7y/ 2 /4 m (5;7O/,(2to- C,(J Z Signature of Owner or Lessee, or ers o ssee's (Print Name and Provide Signatory's Title/Office) Authorized Officer/ Director/Partner/Manager) State of County ofWi_ The foregoing instrument was acknowledged before me this o 6 day of 20 / by 1 Fa Yy1 \ 70h2.AI1..4-, Who is personally known to me OR Name of person making siateme who has produced identificationtype of identification produced: Daniel dent Commission I GGC$37? m Expires: December 8, 2020 V'P' b 7QFW Bonded thru Aaron Not nnta, _ NotarySignature Daniel Talent Commission # GG053722 Expires: December 8, 2020 Bonded thru Aaron Notary City of Sanford Residential Alteration / Addition / Renovation F D Permit Application Guidelines 1 r All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS Building Permit Application completed, signed and notarized. N f,P. Floodplain development application completed and signed if any portion of the property is in a flood hazard area as identified on the most current flood insurance rate map. Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value V Application must include correct address and complete parcel I.D. number. Vl Contractor information is required to be included on the permit application (if contractor is applicant). Applicant must include the name of the designated plan review contact person, their phone number and either a fax number or email address on the Building Permit Application form. Copy of the contractor's license issued by the State of Florida (if contractor is applicant). A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. Y\+—\., Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). VNI Completed and signed Owner Builder Statement / Affidavit (if owner is applicant). Two (2) copies of all applicable plans and related documentation. v An accurate, signed and sealed, property survey which shows all improvements on the subject property and within 10 feet on adjacent parcels. Plot plan showing location of proposed improvement(s) and setbacks to property line(s). May need to include infill lot requirements. Contact Person information entered in Naviline? Application forms stamped received and initialed Hand -drawn submittals must be submitted on plain white paper and include accurate dimensions, all details that apply to the project, and must be legible. Revised: February 2016 Page I of 5 Residential Alter/Add Permit Application Checklist 1-1 c i.r r .c..ka e - 4r-- ve la i v i t. x oe N nn MW Mu nn n nn n mu e nnos NN n Nn EnnS Enn Su umE En nW nNN uiiiunMiMii mnEmE u u m mMOMm n u EEu S MEn MM Em En WE n E Miniinu u nn n ui mnSEE nn m E EE mmnin u N N MUMWn WnE W Wn E EE nn SESn u rim® n n S n nn W n N MMM MEM E E O u SEEM 0 a Mo om WSW W SEES N ME u u E SEEMS MEMO= i SOiiiii u N n E E SEES M M mm ONE lei/,u S/a7,(GiII N:/7 uu9 Nn m 1 I/ m M1IW7-cii/:f4W144r1 IL.I IN m NmmmW Emm mO IN ni n n n n M L J'i11iiN'iei Jlrsi'r Wu Su MEEuu m u nN mmmmu. E MEME 9 E EA M irriiil ri"r i iir N N NR I.ri? 1 n n 4, s F SSn n MENn W Nn E MENEN EME mE5 Mn uEE Mu MEN aniiiriiiiiiuniiiCiioiMiiM M im i EMISSION EE E MNn n W n E E NW NE W m mu u m uKENN W W:u n u L3LL 1L3J i6i j 1.I iaM nE rn!„tea nn m.m m MINI 414,111i:1n11fal i eDMT1 r r.n EVYrII'ii ilY1WI'ril w i1`aC 1 NnW(,V W n t\ L uII?f WE II7 BEEN rrT0 3'3T1 C TMEMEEMEMpWCnt.l? n I E u E M E MOM EirQ 1L f n33T.71.1107:4i TH7R MAZT.n INNS W m E n N N GI m Cr T1 i1!.T.RoT l3'T1:t' IM1ELI NW n iiA nmE 3 m r rrim;R:n arr rr. The following licenses are held by or on behalf of Sears Home Improvement Products, Inc.: AL (Res. Bldr. 91062; HVAC #8186); AR (HVACR #1004181-8; Gen. Bldg. Conti. #203740612-B); AZ (Res. Remodeler #ROC117628 B-03; HVAC #ROC206649 C-39R; Dual Res. & Small Comm. NROC260459 KB-02); CA (Gen. Bldg. Comb. #721379-13, Insulation & Acoustical 9721379-C2, Cabinet. Millwork & Finish Carpentry #721379-C6, Elecbical721379- C70, Flooring #721379-C75, Glazing #721379-C17, HVAC #721379-C20, Painting 8 Decorating 721379-C-33; Roofing #721379-C39, Ceramic & Mosaic Tile Cont. #721379-054; Weathedzalbn 8 Energy Conservation 721379-D65) CT (HTG, Piping & Cooling Un-Ltd. Cont. #HTG.040013357; HIC #0607669); FL (Gen. Conb. #CGC012538; HVAC 9CMC1249510, Certified Roofing Cont. #CCC1329316); GA (HVAC #CR709873,); ID (HVAC HVC-C-6134, Contracting Bus. #RCE-25219); IL (City of Chicago Home Repair #1248977, Ltd Roofing Cont. 104.015516); IN (Evansville Res. Remodeling Cont. #RRC0185); IA (Master HVAC #677); KY (Master HVAC HM04667); LA (Res. Bldr. #84194; HVAC#45862); MD (HIC #87854; Contractor/Salesman 946542; HVACR #75581); MA (HIC #148607, All plumbing and electrical services performed by licensed subcontractors); MI (Res. Bldr. #2102131369; HVAC #7100915); MN (Res. Remodeler #20090017); MS (Res. Bldr. #RO5222); NV (Carpentry #43242.C3; Gen. Conb. #60609-8; Plumb. & Hill. Conb. #60610-Cl; Refdg. & AC Conb #60608-C21; Gen. Sears Serviceman #S1469; HVAC #A0072; Roofing & Siding #43240-C15); NY (NYC HIC #1225166, Nassau County HIC #H180917000 , Rockland County HIC #9990-A6-00-00, Suffolk County #41506-H; Westchester County WC #18371-H06, Putnam County #3159-A, City of Yonkers 94213); NM (Gen. Bldg. Contc#GB 98 58598; HVAC #MM98 58598; Elec.# EE-98 58598, MHD HVAC #MM98 C58598, MHD Elec. #EE98 C-58598); NC (Bldg. Home Improvement Products Limited. #47330; HVAC #15343 H-2, H-3-I; HVAC #30249 H-3-II); OH (HVAC #44752); OK (HVAC #106841; Roofing Cont. 80000449); OR (Gen. Contr. #113202); PA( HI Contractor #PA005499); RI (Res. Contr. 927281, HVAC #6260); SC (Gen. Contr. #105836-1305; HVAC Res. #RBH.919; Mechanical Contractor #M110634); TN (HIC #2319; HVAC-Unlimited Conti. #54995; Res. 8 Small Comm-Untmited BC -A #54995); TX (HVAC Dallas TACLB00020401E, San Antonio #TACL800029020, Lubbock #TACLB00027780E; Houston #TACL800028404E); UT (Gen. Bldg. Conb. #B-100 318604-5501; HVAC #S350 318604-5501); VA (Class A Conb. #270584717; HVAC #2710046587); WA (Gen. Comb. #SEARSH1011LA); Washington, DC (HIC #18075-50006423); WV (Res. Bldr,. #WV025882, HVAC WV025882); WI (Dwelling Core. Carl. #15151; Dwelling Contr. Oualifer 9982570; HVAC Contractor #15151). Some services performed by Sears' associates. Other services and installation performed by Sears -Authorized licensed contractors; additional Sears license information available upon request. S11-E Rev 10/11 SEMINOLE COUNTY MUL-TJ%UR15DICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Dater April 1.7, 2017 L_hereby name and appoint: Tina All Permit Services 100cu 10 an agent af: Sears Home Improvement Products, Inc. Name of Company) me 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: StreetAddress) Expiration Date for This Limited Power of Attorney: License Holder;Name: Alfred W. Nyman, Jr,,, Sears Home Improvement Producta state License`Nurribec CG.0012 _phV C1249510, CCC.1329i Sigbatu e of Li STATE OF FLORIDA COUNTY . OF SE/I11/JALf-- The foregoing instrument Was ,acknowledged before me this day of L 70 l`7 by J who is personally known to me of 0 who has produced -- as. identification and who € hld did bot)'take an' oath. Wit!' Signature of Notary. pEBOFAti P. PHIWPS My C0kjmi 10N R FF 2t9W EXPIRES', August 13, 2019 Bonded Thru tiow" y 065CLwem t — r' y1L L'l I.SPrint or type Notary name Notary - Public.-.State of Commission No.,.Fj- My Commission :Expires; REQUIRED INSPECTION SEQUENCE BP# BUILDING PERMIT Min Max Inspection Descri tion Footer / Setback Stemwall Foundation / Form Board Survey Slab / Mono Slab Prepour Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In Frame Insulation Rough In Firewall Screw Pattern Ila Drywall / Sheetrock Lath Inspection Final Solar Final Firewall Final Roof Final Stucco / Siding Insulation Final Final Utility Building Final Door Final Window Final Screen Room Final Pool Screen Enclosure Final Single Family Residence Final Building (Other) Address: Nv 7 EIA IELECTRICA L .P.ERM[IT Min Max InsiDectionn Description Electric Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final Electric Final Ct e w.,aM .1u+.3 Mm_' ]`L'i'. ua <1 .w•:An .,`1" .+..a.'• `ii»"`a:e. Min Max Ins ection Descri tion Plumbing Underground Plumbing Sewer Plumbing Tub Set Plumbing Final MECHANICAL 'PtAMI-T Min Max Ins ection Descri tion Mechanical Rough Mechanical Final Minn Max Ims ection Descry tion Gas Underground Gas Rough Gas Final REVISED: June 2014