HomeMy WebLinkAbout301 Appaloosa Ct - M18-004731 - HVACaTT0F SAIWORD
i&U'& FIRE PREVER'(0:111*1
V PERMIT APPLICATIOLI
Application No:
Documented Construction Value: S. 6,000.00
Job Address: 301 APPALOOSA CT - SAN ' FORD, FL 32773 --- ---- Historic District: YesEl No R Parcel
ID: 18-20-31-505-0000-0520 Residential 0 commercial El T)
PC of M orl'. Nev, El Addition[] Altci Aioill Repair [A DcmoE1 Chan-cofUse ll Move Description of \
ork. Sizc for SizHVA,,,, Out with Ne,,v Ton 15 SEER d/P split
system vvithti3 kw Plan Review CoMact
Person: Andy Maldonado - ---- — ---- Title. Permit Tech Phonc: 407-299-
0068 b'ax. 407-299-01320 j,'11jaij. Permits0riandoQars.com Property Owner Information
Name Pholle: (3211403_-
8090 Street, 301 APPALOOSA
CT Resident of property? : Yes City, State Zip:,
SANFORD, FL 32773 Contractor Information Name
ARS Orlando -
Dennis Zacek Pitons: 407-299-0068 Street: 3012 Mercv
Dr Pax; 407-299-0320 City State Zip:
Orlando, FL 32808 State License No - CMC1249753 Name, Street: City,
st,
Zip:
Bonding Company: Address:
FITM . luilgMT14MMOM=
Phone -
Fax: E-
mail:
Mortgage
Leader: WARNING
TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO POUR I-ROPLRTI'. A NOTICE OF COMMENCEI%iENT MUST BE RECORDED AND ivosTED
ONTitc.ioo si'rp. BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONS( LT
NVITII MlzR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONIMENCEAENT. Application is
hereby
made to obtain a permit to do the work and installations as indicated. I certify that no nark 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 ju+
4wlion, I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters,
tanks, and air conditioners, etc. FB(' 105.3
Shall be inscribed «ith the date of application and the code In effect as of that date: 511, Edition (2014) Florida Building Code X':'F cvcd
Jon'-' 10, 201 permit Application 61
NOTICE: In addition to the requirements oftitis permit, there may he additional restrictions applicahic to this property Owl ruay he
found in the public records of this county, and there may be additional permits required front other governmental entities such as water
management districts, state agencies, or rederal agencies.
Acceptance of permit is verification that I will notify tile owner orthe property ofthe rccluiTements of Florida Lien Law, FS 711
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 revict charge and will be considered tile estimated construction value or the job at the time of submittal.
The actual construction value will he figured 1rased on the current ICC Valuation *I'al)ic 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,
CtLClil will he applied to your permit 1'ecs when the permit is issued.
I eer6f) 11.1t all of the foregoing information is accurate and t1w? 01 voi It m ill
Ede done In compliance %iitli rill applicable laws regulating construction and zoning.
Signature oful cr/Agcat Date Signature of ConlrrcmrfAgc
Dennis Zacek
Nont 0mier/Agent's Maroc
Signature of Notary-Staw of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID -- Type of ID , --- ,
Print Contraclor/Ageal's N
4-5c o Date
00,..N EKY It RMWU
E1111111080d*W25.2022
Contractor/Agent is Personally Known to Me or
Produced ID —V `fYPe of ID . "— L
BELOW IS FOR OFFICE USE ONLY
Permits Required: ButildingE] ElectricalE] Mechanical f71'1 Plumbing;® GasE] RoofE]
Construction Type: ,,---._.Occupancy Use: Flood Zone:
Total Scl Ft of Bldg: ..... . ..... . ........ . ...... Mill. Occupancy Load: of Stories:-----,
New Construction: Electric - #of Amps__'__ _---- _ - Pitt mbing - #of Futures
Fire Sprinkler Permit: YesEj No t1ofHeads
APPROVALS- ZONING: UTILITIES:
ENGINEERING: FIRE,
Fire Alarm Permit: Yes DNo [4
WASTE WATER:
BUILDING:
Reviscd: June 30, 'T15 11crutit Application
Home Improvement Agreement: Page I
Home Depot License #'s - For the most current listing visit www.Home(
JECW01440 CGO151013 CRC046558 r-AC1513767, CFC14M21 CFCt427642, UW, CAC MIMI, CCC1331113 CCC1331130
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.
ANDE-RSOIN ROB & CANDICL-, 0264 1-23528581',k37
11-11 1
Customer Last [aii,)cCustomer First W-ime Store # Branch Name. Customer Lead/ PO# 301
APPALOOSA CT 'SANFORD JFL 32773 Customer
Addr ar City State Zip rls-
n 1--
1-1--] 1--- ".--,--",--,
1 3
141-946-3763 1 3 8@GM A ILCOM Home
Phone# Work Phone# Cell Phone# Customer Email Address NOTICE
OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION
BY DEIL`('VbRjW-d WRITTEN NOTICE TO HOME DEPOT AT: Address
State Zip Or
Email: - ----- 5ervice---
Pr-6v'vde--r Email Address 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 -Qf-,hYQ4RRIGHT TO CANCEL. Acknowledged
by: 12.1 18 Ciustwrnee—
sUt'gnature Date Contract
ct '- Price and Payment Schedule: Payment of the Contract Price is due upon signing unless a different
payment schedule is required by law, specified below or in a payment addendum. Contract
Price: $ 6000 Includes all applicable taxes. Excludes finance charges.* Sales
Tax: $ included (if applicable) 417axittuir,
ini ONL in 400, 11,7A, ME (33Xa),(99'," Dep.
0 Ala Deposit Amount $ 0 Remaining Balance $ 0 The
Home Depot - 2455 Paces Ferry Road, N.W. Bldg, B-3, Atlanta, Georgia 30339 - Customer Care: 1-800466-.3337 520
HVAC' (07 Auq 17) (G) . &C 0