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Home My WebLink About128 Aldean Dr - BR19-000198 - FRONT DOORt'rt oR CITY OF k tr Sk 40RD BUILDING o DIVISION FEB 4t PERMIT APPLICATION Application No: Documented Construction Value: $ Job Address: 12 a At_tEtA W J) 0- Historic District: Yes [I No [I Parcel ID: Residential Commercial Type of Work: New Addition Alteration ®`Repair Demo Change of Use Move Description of Work: N __C S,'Oct,";it.S Plan Review Contact Person: -7S -A'N E. I 6A'j L1;zy 0 Title: Phone:.R?, I- Z &- _- 999 Fax: Email: c.? c -zc>'yx laQ),\ Property Owner Information Name _ Phone:. i2 L 2 (o2- S'l 9 9 Street: ' 2 '; k i--b >c.. A t4 JjR . Resident of property?: City, State Zip: -'SA N F c, D _ V Contractor Information Name V Phone: Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Fax: State License No.: 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 ofa 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: 6"' Edition (2017) Florida Building Code f 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. 201 Signatu fOwner/Agent Date Signature of Contractor/Agent Date A. Pner/Agent's Name j Print Contractor/Agent's Name r'2n O m1..F. 2011 Signature of 1o(a y Mate of t loridpNNETTE BLAND Date Signature of Notary -State of Florida Date fi' Notary PuGiiC State of Florida Commission # GG 060623 My Comm. Expires Jan 16, 2018 Owne g rtl 5' or Contractor/Agent is Personally Known to Me or Produced D Type of ID 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: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: i S UTILITIES: Fire Alarm Permit: Yes No WASTE WATER: FIRE: BUILDING: ' Af 2- 6 -'9 A r- OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of h the property listed, may act as my own contractor with certain restrictions even though I do not have a license. I understand that building permits are not required to be signed by a property owner unless he or she is f responsible for the construction and is not hiring a licensed contractor to assume responsibility. l understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. l understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within in I year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. 1, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My r, homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on my building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation u for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9. l 4.2009 I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. I understand that 1 may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address: I,N 111 I do hereby state that I am qualified and capable of performing the requested construction involved with the permit application tiled and agree to the conditions specified above. Signature`Af Owner -Builder Date Form of Identification Must be Photo ID) A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding I year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 Receipt Lookup Pq"L' 1 o I' V N More saving. More doing,sm 4600 W. LAKE MARY BLVD 407-333-9650 LAKE MARY FLORIDA 32746 0264 00005 25055 01/29/19 09:20 AM CASHIER LESLIE 012381185825 CHAMBGDO <A> 128.00 CHAMB C205 1/2HP CHAIN 03172485,1559 501 HOSE <A> 16.47 5/8"X51,' APEX MEDIUM DUTY HOSE ORDER ID: H01264-111712 RECALL'AMOUNT 1757.07 off SIO Doors & Windows ------- CUSTOMER AGREEMEeNT # H0264-111712 RECALL AMOUNT -173.49 MUST RETURN ALL ITEMS FOR A FULL REFUND 082474934050 EXT PAINT5G <A> BEHR PPE 9340 SATIN DEEP 4.53GL 2@139.00 278.00 MAX REFUND VALUE $222.40/2 082474905050 EXT.PAINT 5G <A> 139.00 BEHR PPE 9050 SATIN UPW 5GL MAX REFUND VALUE $111.20 PRO XTRA PAINT REWARDS --------- 417.00 Gold -83.40 MUST RETURN ALL ITEMS FOR A FULL REFUND SUBTOTAL 2,061.65 SALES TAX 33.46 TOTAL $2,095.11 XXXXXXXXXXXXI607 HOME DEPOT USD$ 2,095.11 AUTH CODE 029740/4055182 TA AID A0000000049999D8400303 THD PLCC CO PRO XTRA MEMBER STATEMENT Nv-7, --c-eqs e-11,LY C. https://webapps.homedepot.com/RLUWebApp/ 1/ 2 W I) Receipt Lookup P'RO XTRA ###-###-7950 SUMMARY THIS RECEIPT PO/JOB NAME: DOUBLE ENTRY DO OR IN Credit Services - Receipt LookUp Receipt Image PRONXTIA frWictTN ide`MA : [0264'O P W619, 5, 2505 ICLUDES: ProXtra Paint Savings $83.40 2019 PRO XTRA SPEND 01/28: $1,490.98 INCLUDES: Pro Xtra Paint 2019 Savings $234.34 This purchase qualifies for FUEL DISCOUNTS and 60 DAYS TO PAY on The Home Depot Commercial Credit Card. Ask an Associate to learn more or uo to homedepot.com/ financeoptions. 0264 05 2505115 01/29/2019 2185 RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXPIRES ON A 11 365 01/29/2020 DID WE NAIL IT? Take a short survey for a chance TO WIN A $5, 000 HOME DEPOT GIFT CARD Opine en espafiol www.homedepot. com/survey User ID: 6L,70 50663 50404 PASSWORD: 1. 9079 50399 Entries must be completed within 14 days of purchase. Entrants must be 18 or older to enter. See complete rules on website. No purchase necessary. https:Hwebapps. homedepot.com/RLIJWebApp/ 1 /29,, 2 019 Date Printed: 1/28/2019 3:3 SPECIAL SERVICES CUSTOMER INVOICE Store 0264 LAKE MARY Phone: (407) 333-9650 4600 W LAKE MARY BLVD Salesperson: EMG5669 LAKE MARY, FL 32746 Reviewer: EMG5669 This is only a QUOTE for the merchandise and services printed below. This becomes an Agreement upon payment and an endorsement by a Horne Depot reoister validation. Name Phone t DAVIDSON JANE 321) 262-3999 address 128 ALDEAN DR Phone z i Company Name cdy SANFORD Job6escnption Double entry door installation State FL Zip 32771 County SEMINOLE TO BE Page 1 of 5 No. H0264-111712 VALIDATION AREA OUOTE is valid for this date:01/29/2019 MERCHANDISE AND SERVICE SUMMARYWe the rsoldreservestomershttolimitthe R06 1 0000-449-047 1.00 EA DAPTEX PLUS FOAM WHITE 12 OZ / N1 7.38 7.38 R07 1001-753-972 3.00 EA 1X8-8FT PT GC WEATHERSHIELD / N 7.98 23.94 R08 0000-927-643 7.00 LF 7/16 X11/16 OAK WM127 SHOE / A N 0.57 3.99 R12 0000-344-530 24.00 LF 5/8 X3-1/4 PFJ WG1682 CASING / 3 at 8ft A N 1.29 30.96 R15 0000-249-026 1001 EA 1-1A X2X8 PVC 2448 BRICK MLD WHITE / A I N 11.401 34.20 S/O - MDSE TO BE DELIVERED: REF # S14 ESTIMATED ARRIVAL DATE: 02/19/2019 FCCf U OT TAX"'[,: PC EittStf S1414 0000-806-449 1.00 EA NA / NA S/O F-RIVER COM 81.625STANDARD ENT RIES / DOUBLE ENTRY DOOR62 X A 1 N 1,156.60 1,156.60 o $1 257.07 DELIVERY INFORMATION: DELIVERY DATE: INSTAMAWkYSCHEDULE INSTALLER WILL DELIVER MDSE TO: SITE QF2,INZCA-TION #101 AT TIME OF INSTALLATION. NOTE: UPON RECEIPT OF ALL S/O ME F' E - INSTALLER WILL CALL CUSTOMER TO SCHEDULE INSTALL DATE. Check your current order status online at www. homedepot.com/orderstatus Page 1 of 5 No. H0264-111712 Customer Copy SPECIAL SERVICES CUSTOMER INVOICE - Continued Name: DAVIDSON REF # 101 ESTIMATED INSTALL BEGIN DATE: 01/30/2019 Page 2 of 5 NO. H0264-111712 ESTIMATED INSTALL END DATE: 02/24/2019 MERCHANDISE TO BE INSTALLED: tj" STY Eft! t fESI RtP€fOt R06 0000-449-047 1.00 EA DAPTEX PLUS FOAM WHITE 12 OZ R07 1001-753-972 3.00 EA 1X8-8FT PT GC WEATHERSHIELD R08 0000-927-643 7.00 LF 7/16 X11/16 OAK WM127 SHOE R12 0000-344-530 24.00 LF 5/8 X3-1/4 PFJ WG1682 CASING R15 0000-249-026 3.00 EA 1-1/4 X2X8 PVC 2448 BRICK MLD WHITE S1414 0000-806-449 1.00 EA S/O F-RIVER COMMODITY SERIES BASIC INSTALLATION LABOR: 3E tP ft TY Uhl'ITA'Xl PF6CE EACH EXTENSIOW 0000-5tf-672 TERIOR DOOR FL-NAT/PRE-HUNG DOOR UP TO 72X96 1.00 EAJ N 465.00 465.00 CUSTOM LABOR SELECTED INCLUDES: C PTf =' DE RtPT QT4 UI I T; PAIMEAdk 2 PAD OPENING 061 PA N 45.00 45.00 3 CUT OUT FRAME AND SILL 1.001 PA N 40.00 40.00 lWTLlA' IDAVIDSON,JANE INSTALL LABOR CHARGE: 550.00 ADDRESS: 128 ALDEAN DR I TRIP CHARGE: $0.00 CITY: SANFORD STATE: FL ZIP: 32771 CREDIT FOR DEPOSIT/MEASURE: $50.00 COUNTY: SEMINOLE SALES TAX RATE: 7.000 TAX: Merchandise - N LABOR - N • $500.00 PHONE: ( 321) 2623999 ALTERNATE PHONE: (321) 2623999 BASIC INSTALLATION LABOR INCLUDES: PRE - INSTALLATION JOBSITE INSPECTION AND EXTERIOR TRIM/BRICKMOLD OF THE NEW DOOR WHEN THE DELIVERY WITHIN 30 MILE RADIUS OF STORE CASING/TRIM IS THE SAME SIZE OR WIDER REMOVAL OF EXISTING DOOR UNIT ` INCLUDE NON -COLORED STUCCO PATCH TO REPAIR MINOR CHIPS INSTALL NEW SLAB OR PRE -HUNG EXTERIOR DOOR UNIT AND CRACKS RESULTING FROM REMOVAL OF DOOR (FOR LARGER INSTALLER TO PROVIDE NECESSARY FASTENERS, SHIMS AND STUCCO REPAIR, SEE OPTIONS) CAULKING . PRE -HUNG DOOR UP TO 72X96 INCLUDES DOUBLE DOORS AND DOORS INSTALL EXISTING OR NEW CUSTOMER PROVIDED DEADBOLT, WITH SIDELIGHTS Page 2 of 5 No. H0264-111712 Customer Copy SPECIAL SERVICES CUSTOMER INVOICE - Continued Name: DAVIDSON Page 3 of 5 No. H0264-111712 1TM REF #101 LOCKSET AND KICK PLATE ( IF APPLICABLE) ON NEW DOOR FINAL CLEAN UP OF ALL DEBRIS RELATED TO INSTALLATION ADJUST DOOR TO ENSURE PROPER OPERATION FINAL INSPECTION WITH CUSTOMER INCLUDING INSTRUCTIONS ON DRILL HOLE IN JAMB FOR ALARM WIRING IN SAME LOCATION AS CARE OF PRODUCT TO ENSURE PROPER OPERATION EXISTING DOOR INSTALL NEW CUSTOMER PROVIDED SINGLE LAYER INTERIOR CASING UNLESS STATED ABOVE THIS INSTALLATION DOES NOT INCLUDE: INSTALL DOORS OVER 72X96 INSTALL FIXED RECTANGULAR TRANSOM LITES NOT PART OF PRE-HUNGDOOR UNIT INSTALL FIXED ARCH TRANSOM LITE IN EXISTING OPENING INSTALL MORTISE LOCKS ON WOOD DOORS (CUSTOMER PROVIDES) REPAIR CARPENTRY TO EXISTING OPENING DISCONNECT AND RECONNECT OF SECURITY SYSTEMS/WIRING PLASTER, DRYWALL OR SIDING WORK STRUCTURAL MODIFICATIONS MUST BE APPROVED BY REGIONAL SERVICES MANAGER OR INSTALL MERCHANT STUCCO PATCH GREATER THAN 4, PAINT AND STAINING ELECTRICAL WORK INSTALL ALL AMERICAN DOORS SPECIAL NOTES: IT MAY BE NOISY DURING YOUR INSTALLATION THE INSTALLER WILL BROOM CLEAN THE IMMEDIATE WORK AREA BEFORE COMPLETING THE INSTALLATION. AIRBORNE DUST IN OTHER PARTS OF THE HOME IS A NATURAL OCCURRENCE AND IS THE RESPONSIBILITY OF THE CUSTOMER. AN ADULT OVER 18 YEARS OF AGE WITH THE AUTHORITY TO MAKE DECISIONS ABOUT YOUR INSTALLATION MUST BE PRESENT DURING THE INSPECTION (WHEN APPLICABLE), DELIVERY AND INSTALLATION NO OW, ALL Page3 of 5NO. H0264-111712 Customer Copy SPECIAL SERVICES CUSTOMER INVOICE - Continued Name: DAVIDSON 4 Page 4 of 5 NO. H0264-111712 TOTAL CHARGES OF ALL MERCHANDISE & SERVICES Policy Id (Pl): • • • $1 757.07 A: 90 DAYS DEFAULT POLICY; SALES TAX $0.00 TOTAL $1757.07 BALANCE DUE $1 757A7 The Home Depot reserves the right to limit / deny returns. Please seethe return policy sign in stores for details.' Page 4 of 5 NO. H0264-111712 Customer Copy Page 5 of 5 No. H0264-111712 The Home Depot Special Services Will Call/Direct Ship/Delivery Returns: Except where prohibited by law, all returned Special Order Merchandise is subject to a fifteen percent (15%) restocking fee. Custom made goods are not returnable. Will Call: The Home Depot Store will call the number provided on the invoice when your order is available. A Will Call held at the store for over thirty (30) days shall be subject to the abandoned property laws in your state. Direct Ship: Direct Ship merchandise will be sent by the vendor and/or manufacturer to the address on the invoice. Delivery: The Home Depot shall arrange for its delivery agent to deliver the merchandise to the address identified on the invoice pursuant to the following terms and conditions: Roads Notice: The delivery address must be accessible by vehicle over roads and bridges rated to handle up to and including (40) forty ton loads. If any portion of delivery agent's route must traverse a section of road that is not rated to handle a forty ton load or heavier, Customer will be responsible for seeking a waiver, at Customer's expense, from the appropriate governmental authority. If Customer is unable to obtain a waiver, delivery service will not be available to the delivery address. Unattended Drop: If Customer will not be present to accept the delivery, and the delivery can be left unattended, please initial below: By initialing here, I authorize The Home Depot and its delivery agent to leave the merchandise unattended following delivery, and I accept full responsibility for any resulting loss of, or damage to, the merchandise. Outside Deliveries Only: If you are purchasing merchandise designated by The Home Depot for outside delivery only, your purchase does not include delivery of the merchandise beyond curbside; however, additional services may be available to deliver the merchandise to a location that you designate. In that event, you will be presented with the following waiver at the time of delivery, which you must sign as a condition of receiving any additional delivery services: In consideration of the delivery of the merchandise that I purchased from The Home Depot Merchandise") to a location designated by me at my request, 1, , on behalf of myself and my agents, successors, and assigns, hereby RELEASE AND FOREVER DISCHARGE, WITHOUT CONDITIONS, Home Depot U.S.A., Inc. and its affiliates, employees, officers, directors, managers, agents, contractors and any other person working through or under it (hereinafter collectively "The Home Depot"), from any and all claims, causes of action, demands, liabilities, damages, costs and expenses, of every kind and nature, whether known or unknown, suspected or unsuspected, which exist now or in the future (hereinafter "Claims"), relating and/or arising out of the delivery of the Merchandise. I FURTHER EXPRESSLY, FULLY, AND UNCONDITIONALLY ASSUME ANY AND ALL RISKS AND FULL LIABILITY FOR ANY RESULTING PERSONAL INJURY, DAMAGE TO PROPERTY OR DAMAGE TO MERCHANDISE WHICH MAY GIVE RISE TO CLAIMS AGAINST ME AND/OR THE HOME DEPOT. I HAVE FULLY INFORMED MYSELF OF THE NATURE OF THE RISKS INHERENT IN THE DELIVERY OF THE MERCHANDISE AND VOLUNTARILY AGREE TO ALLOW DELIVERY OF THE MERCHANDISE ONTO MY PREMISES. I HAVE CAREFULLY READ AND COMPLETELY UNDERSTAND THIS RELEASE AND ASSUMPTION OF RISK FORM BEFORE SIGNING IT. This agreement shall become effective upon my signature and shall be governed by the laws of the State of Georgia. If you choose not to utilize additional delivery services beyond curbside delivery, you will not be required to sign the above waiver. Accepted by: X 01/29/2019 Customer's Signature Date Page 5 of 5 No. H0264-111712 Customer Copy Lead Test Results This form should not be used by HDE or in states where THD has an assume -lead policy (i.e., RI, KS, CA, CT) IDWDSON 1JANE E30035 Customer Last Name Customer First Name Store/Branch # Lead/Customer Order # LSA F R AFL IT31771 Address city State Zip Before doing any work in a home built before 1978, an RRP-certified service provider must test the work area(s) for lead paint. If you believe that your work in a pre-1 978 home is not subject to the RRP rules, please complete form HS-1 18 to document the exception(s). 0ft't21 IPAUL SUSZCZEWICZ R-R-73270 15 - 00211 IDECKER DOORS INC I FAT 20036 1 Lead Safe Renovator Name Lead Safe Renovator EPA Cert. No. Company Name Company Cert. No. 13M LEAD CHECK BOTTOM RIGHT FRONT Test Kit Mir. Test Kit Lot Test Date Test Site TestKitMfr. Test Kit Lot Test Date Test Sits Test Results: Is Lead Present? Yes No -, Purchase/Assume Lead Paint Test Results., Is Lead Present? Yes No Purchase/AssumeLead Paint Test Kit Mir. Test Kit Lot Test Date Test Site TestKitMfr. Test Kit Lot Test Date Test Site Test Results: Is Lead Present? Yes No Purchase/Assume Lead Paint Test Results: Is Lead Present?- Yes No Purchase/Assume Lead Paint Test Kit Mfr. Test Kit Lot Test Date Test Site TestKitMir. Test Kit Lot Test Date Test Site Test Results: is Lead Present? Yes No Purchase/Assume Lead Paint Test Results: Is Lead Present? Yes No Purchase/Assume Lead Paint Test Kit AM. Test Kit Lot Test Date Test Site TestKitMfr. Test Kit Lot Test Date Test Site Test Results: Is Lead Present? Yes No Purchase/Assume Lead Paint Test Results: Is Lead Present? Yes No Purchase/Assume Lead Paint 119 Lead test Resufts (C E H 10 S) (06 Apr, 18) V 1.0.0 IV More saving,, More doing. 4600 W. LAKE MARY BLVD 407-333-9650 LAKE MARY FLORIDA 32746 0264 00097 75784 01/17/19 12:05 PM ORDER ID: H0264-111713 RECALL AMOUNT 50.00 SUBTOTAL 50.00 SALES TAX 0.00 TOTAL $50.00 XXXXXXXXXXXX1607 HOME DEPOT USD$ 50.00 AUTH CODE 017156/6972504 TA AID A0000000049999ID8400303 THD PLCC CON II I I II I 11111111111 II I I 111111111111 III 0264 97 75784 01/17/2019 5451 DID WE NAIL IT? Take a short survey for a chance TO WIN A $5,000 HOME DEPOT GIFT CARD Opine en espabol www.homedepot.com/survey User ID: GVMG 152121 151954 PASSWORD: 19067 151857 Entries must be completed within 14 days of purchase. Entrants must be 18 or older to enter. See complete rules on website. No purchase necessary. Page 1 of 1 SPECIAL SERVICES CUSTOMER INVOICE Store 0264 LAKE MARY Phone: (407) 333-9650 4600 W LAKE MARY BLVD Salesperson: EMG5669 LAKE MARY, FL 32746 Reviewer: This is only a QUOTE for the merchandise and services printed below. This becomes an Agreement upon payment and an endorsement by a Home Depot register validation. Name Phone t DAVIDSON JANE 321) 262-3999 Address 128 ALDEAN DR Phone Company Name city JobJobDescDescription FOR H0264-111712 State FL Zip 32771 Cont, SEMINOLE Page 1 of 1 NO. H0264-111713 QUOTE is valid for this date: 01/17/2019 MERCHANDISE AND SERVICE SUMMARY odreservetoenyhitDiimitthe REF # M01FROM INSTALLATION # H0264-111712-101 — f/ f M01 1 0000-523-672 1 1.001 EA EXTERIOR DOOR FL-NAT N $50.001 $50.00 MEASUREMENT SITE: CUSTOMER NAME: DAVIDSON JANE ADDRESS: 128 ALDEAN DR CITY: SANFORD TRIP CHARGE: $0.00 STATE: FL ZIP: 32771 COUNTY: SEMINOLE SALES TAX RATE: • • • On $50.00 PHONE: 321 262-3999 MEASURE SPECIAL INSTRUCTIONS: o END OF MEASUREMENT TOTAL CHARGES OF ALL MERCHANDISE ICES The Home Depot reserves the right to limit / deny returns. a the return policy sign in stores for details.' 7BALANCE 1 - $ 50.00 SALES TAX $0.00 TOTAL $ 50.00 DUE $ 50.00 v Check your current order status online at www. homedepot.com/orderstatus 9801) 0100627494 Page 1 of 1 No. H0264-111713 Customer Copy The Home Depot Special Order Quote Customer Agreement #: H0264-111710 Printed Date:1/17/2019 Customer: JANE DAVIDSON Address: 128 ALDEAN DR SANFORD, FL 32771 Phone 1: 321-262-3999 Phone 2: 321-262-3999 Email: 1DAVIDSON1946@GMAIL. COM Store: 0264 Associate: ERIC Address: 4600 W LAKE MARY BLVD LAKE MARY, FL 32746 Phone: 407-333-9650 Pre -Savings Total: 1,331.68 Total Savings: 0.00) Pre -Tax Price: 1,331.68 All prices are subject to change. Customer is responsible for verifying product selections. The Home Depot will not accept returns for the below products. Nominal Width = 30" Nominal Height = 80" Width = 62 Height = 81.625 Catalog Ve ""'x 66 Line Number item Summary Was Price Now Price Quantity Total Savings Total PH rr • Entry r..rs r.uble Entry r.• r rr Unit 100 Total: $1331.68 1331.e;8 " i 1 Standard Entry Doors Double Entry Door 62 x 81.625 Nominal Width = 30" Nominal Height = 80" Width = 62 Height = 81.625 Door Type = Smooth Door Swing/Handing = Right Hand Inswing Sill Type = Composite Adjustable Slab Type = With Glass Slab Style = Fanlite Door Finish Type = Pre -Paint Rookwood Shutter Green Glass Styles = Clear Glass with Grille Glass Collections = 5-Lite Decorative Glass Caming = No Caming Page 1 of 1 Begin Line 100 Description Line 200-1---- Grille Style = White Internal Grille(5/8" Flat - LowE) Glass Direction = No Direction Frame Options = White PVC Unfinished Jamb Standard) PVC Info = Standard Frame Size = 4-9/16" Hardware -Sill Finish = Zinc Hardware -Bore = Double Bore Active, No Bore Inactive Hardware-Backset = 2-3/8" Hardwa re -Dead bolt Bore Diameter = 2-1/8" Hardware-Peepsite Prep = No Hardware-Mailslot Prep = No Reorder/Replacement = No Room Location = Custom Custom Room Location = Height Code = 80 Width Code = 30-30 Glass Code = IGF Configuration = 2Q Style = 26 Sidelite Code = 9E Model Number = IGF 2Q 2B 9E Region = Coastal -FL SKU = 1001674120 Vendor Number = 60065428 Customer Service = 800-375-8120 Warrantylnfo = FR-Exterior-Warranty.png Catalog Version Date = 10/28/2018 Wrapping-Brickmold = None Date Printed: 1/17/2019 12:00 PM