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Home My WebLink About342 Springview DrJob Address: Parcel iD: Type of ED i FEB 2 3 2016 CITY OF SANFORD BY: BUILDING &. FIRE PREVENTION PERMIT APPLICATION Application No: 51 j Documented Construction Value: $ 250.00 Historic District: 'Yes D No 10-20-30-507-0000-0340 Residential [9 Commercial New Addition 11 Alteration 0 Repair Demo 0 Change of Use Move Description of Work: Water Plan Re: ilm" Vontsct De: son: Phone: NameRAIYMOND, D Street: Title Fax: Email: 017—VA 1 MCA; • CGV" Property Owner Information Phone: 407-322-0990 Resident of property? :YeG City, State Z : SANEOR FL 32773 Contractor Information a 7, W M49k`y 1 Name M Street: —51 City, State Name: Street: City, St, z r Zadov Phone: SR1 X05 74RR h moi c n Blvd _ _ Fax: 561 -8 2-5890 - FL, 33496 State License No.: C '1426042 Architect/Engineer Information Phone: Bonding Company: Address: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER. YOUR ITAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TW iCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED ND 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 COMMENCE LENT_ Application is iereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced pr or to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdi ion. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, Furnaces, boilers, heaters, tanks, and air conditioners. etc. BC ]45.3 Shabt inscribed with the date of Application and the code in effect as of that date: 51" Edition (2014) Florida Building Code Revised: Juno 30, 015 Permit Application IT = Job Address: Parcel iD: Type of ED i FEB 2 3 2016 CITY OF SANFORD BY: BUILDING &. FIRE PREVENTION PERMIT APPLICATION Application No: 51 j Documented Construction Value: $ 250.00 Historic District: 'Yes D No 10-20-30-507-0000-0340 Residential [9 Commercial New Addition 11 Alteration 0 Repair Demo 0 Change of Use Move Description of Work: Water Plan Re: ilm" Vontsct De: son: Phone: NameRAIYMOND, D Street: Title Fax: Email: 017—VA 1 MCA; • CGV" Property Owner Information Phone: 407-322-0990 Resident of property? :YeG City, State Z : SANEOR FL 32773 Contractor Information a 7, W M49k`y 1 Name M Street: —51 City, State Name: Street: City, St, z r Zadov Phone: SR1 X05 74RR h moi c n Blvd _ _ Fax: 561 -8 2-5890 - FL, 33496 State License No.: C '1426042 Architect/Engineer Information Phone: Bonding Company: Address: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER. YOUR ITAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TW iCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED ND 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 COMMENCE LENT_ Application is iereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced pr or to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdi ion. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, Furnaces, boilers, heaters, tanks, and air conditioners. etc. BC ]45.3 Shabt inscribed with the date of Application and the code in effect as of that date: 51" Edition (2014) Florida Building Code Revised: Juno 30, 015 Permit Application t , NOTICE: In ad ition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the pub 'e records of this county, and there may be additional permits required from other governmental entities such as water management disl ricts, state agencies, or federal agencies. Acceptance of p rmit is verification that 1 will notify the owner of the property of the requirements ofFlorida Lien Law, FS 713_ The City of San rd requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to tale ate 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 ap lied to your permit fees when the permit is issued. OWNER'S )(DAVIT: Y certify that all of the foregoing information is accurate and that all work will be done in cc mpliance with all applicable laws regulating construction and zoning. gnature`StOwnerl kgent Date Signature o' o odAgent hate Print Own9l t ame Print op ctor/A e Signature of D Signature of No o pt ate gn 1 SIMON I -El of • ° °,- SIMON LUGOLDRua y, public -State of Fto2016 a ,, Notary Public -State of Flarlda Comm. Expires Jun 21, My Comm. Expires Jun 21, 2016nMp # EE 210177 oFf GommlSsi n +-%;;eoF Gommi6slon # EE 210177 m,u+ Owner/Agent ersonally Known to a or Contractor/Agent is Personally Kn9wnMe or Produced ID Type of ID Produced ID Type of 1D D of BELOW IS FOR OFFICE USE ONLY Permits Req fired: Building Electrical Mechanical Plumbing[] Gas Roof Constructio Type: Occupancy Use: Flood Zone: Total Sq Ft 4f ]Bldg- Min. Occupancy Toad: of Stories: New Constrtl[ction: Electric - # of Amps Plumbing _ # of Fixtures, Fire Sprinldk Permit: Yes No # of Meads APPROVA]j,S: ZONING: UTILITIES; ENGINEERING: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, io 15 Permit Application M SERVICE LOCATION Residential RAYMOND, DEAN 342 SPRINGVIEW DR SANFORD, FL 32773 PRIMARY: 407-322-0990 ALTERNATE: 407-322-0990 SERVICE EVENT DATE Feb. 18, 2016 - Feb. 18, 2016 9:00 AM - 1:00 PM Arrival Time: AM/PM Departure Time: AM/PM SERVICE PROVIDER Christopher Monetti (TECH ID# 152219) FIRM ID# 13687 INo phat4 availeb]e j BUYER CUSTOM REFERENCE SALES CHECK NUM 1: 015551222537 SALES CHECK DATE 1: 2016-02-10 SALES CHECK TIME 1: 10:50:33 SELLING ASSOC: 002931 ORDER NUMBER: 04108733 SERVICE REQUESTED: INSTALLATION ORDER PRODUCT INFORMATION DIVISION:042 ITEM NUMBER:58651 DESCRIPTIONXENMORE Service Order #551-2006-6886-15 Customer Copy SERVICE ORDER DESCRIPTION Service Category: General Plumbing & Bathrooms Title: General Plumbing & Bathroom Installation -42339 -MI WH ELE Task 1: 42339 -MI WH ELE Pick up product at designated Sears Holdings Location Travel to installation site Unpack and prepare merchandise for installation Inspect product for any damage or defects Inspect Installation site and provide quote for any additional work required Disconnect old product and place inaccessible location per customer's request Connect new unit to existing, code approved utilities per manufacturers instructions Level and secure product and install any manufacturer supplied safety hardware Test product for proper performance Instruct Customer on product operation Cleanup any job related debris Dispose of packaging and other installation material. NOTICE TO CUSTOMER: A city permit may be required for the installation of a water heater or other installed appliance within your city limits. If a permit is required, you will be billed separately for the cost of the permit. The Sears Authorized contractor who performs the installation will requestthe permit from your city. Please contact your municipality following installation for inspection requirements. Task 2: Deliver Merchandise Pick up merchandise at designated facility (reference the parts section of the service order for pick up location and description of the merchandise). Deliver merchandise to customer. Task 3:42464 -Al WHPAN M&L Install contractor supplied drain pan per local codes and requirements and run up to 25 feet of drain line. Task 4:42467 -Al WHETNKM&L Install contractor supplied expansion tank per local codes and requirements. Task 5:99888 -BLDG PERMITS PERMIT PRICE PRE -PAID BY CUSTOMER $ 67.0 Complete Permit Application(s) Obtain Permit(s) from all applicable municipalities Complete / attend inspection as required by the municipality. ADDITIONAL WORK PERFORMED / SERVICE PROVIDER NOTES: D Service Order #551-2006-6886-15 Page 1 of 10 Service Order #551-2006-6886-15 Customer Copy WAIVER OF LIEN (SIGNED BY THE SERVICE PROVIDER) I, the undersigned Service Provider, having performed the above referenced work, do hereby certify that the work referred to has been completed to the customer's satisfaction. I hereby certify that I have not filed any liens on the premises and I hereby waive and relinquish all liens and all rights and claims of liens which I, the undersigned, now have or may hereafter have for labor or material furnished. I, the undersigned, certify that all the work performed and materials furnished, if any, by any other party or parties upon the order ofthe undersigned, has been fully paid for. Further, I the undersigned, agree to cause the prompt release of any mechanic's lien which may be filed against the premises by anysubcontractor, laborer, mechanic, or material supplier claiming the right to file such a lien through work related to above referenced work. I further agree to hold harmless and indemnify the above referenced customer or the buying organization, from and against all costs and expenses arising from or by reason of such lien or the release or discharge of such liens. Christopher Monett! Service Pro Name (Print) Service Pro Signature 02/18/2016 Date SATISFACTORY COMPLETION— I have reviewed the work performed and I acknowledge the satisfactory completion of all above referenced work. DAMAGE POLICY NOTIFICATION— I have the right to refuse damaged items and must report any visible damage within 72 hours of my home delivery/installation to be eligible for a refund or exchange. DEAN RAYMOND P le Customer Name (Print) Customer Signature 02/18/2016 Date THANK YOU FOR ALLOWING US TO SERVE YOU. WE TRULY APPRECIATE YOUR BUSINESS! Questions or concerns? Please refer to your receipt for the contact phone number to call about any concerns you may have regarding your delivery/installation or damage to your product. Service Order #551-2006-6886-15 Page 2 of 10 S; Service Order #551-2006-6886-15 Customer Copy Additional Char es for Parts Materials & Services: Qty SKU Description Scope of Work Price 42347 WATER HEATER - GAS OR ELE - Install contractor supplied earthquake straps per local codes and requirements 69.99 ADD-ON - EARTHQUAKE STRAP MATL & LABOR 42460 WATER HEATER - GAS OR ELE - Install unit with over 55- and under 95 -gallon capacity. 59.99 ADD-ON - 57 TO 95 GALLONS 42461 WATER HEATER - GAS OR ELE - Install customer supplied platform per local codes and requirements 59.99 ADD-ON - PLATFORM (LABOR ONLY 42462 WATER HEATER - GAS OR ELE - Install contractor supplied platform per local codes and requirements 100.00 ADD-ON - PLATFORM (MATL & LABOR 42463 WATER HEATER - GAS OR ELE - Install customer supplied drain pan per local codes and requirements and run 59.99 ADD-ON - DRAIN PAN (LABOR up to 25 feet of drain line ONLY 42464 WATER HEATER - GAS OR ELE - Install contractor supplied drain pan per local codes and requirements and run 79.99 ADD-ON - DRAIN PAN (MATL & up to 25 feet of drain line LABOR 42465 WATER HEATER - GAS OR ELE - Install customer supplied expansion tank per local codes and requirements 89.99 ADD-ON - EXP TANK LABOR ONLY 42467 WATER HEATER - GAS OR ELE - Install contractor supplied expansion tank per local codes and requirements 129.99 ADD-ON - EXP TANK (MATL & LABOR 42469 WATER HEATER - GAS OR ELE - Remove old product from customer's home Return product to designated 20.00 ADD-ON - HAUL AWAY Sears facility as required by Sears policy or dispose of old product according to all local codes and regulations 42470 WATER HEATER - GAS OR ELE - Install product in attic 49.99 ADD-ON - ATTIC INSTALL 42471 WATER HEATER - GAS OR ELE - Bring Materials and product to install location other than main floor 69.99 ADD-ON - 2ND FLOOR OR ABOVE INSTALL 42472 WATER HEATER - GAS OR ELE - Install product via crawl space 49.99 ADD-ON - CRAWL SPACE INSTALL 42473 WATER HEATER - GAS OR ELE - Install water heater same day on product purchased after Noon and prior to 89.99 ADD-ON - PURCHASED AFTER 3:OOpm. NOON AND PRIOR TO 3:OOPM SAME DAY INSTALLATION 42477 WATER HEATER - GAS OR ELE - Install product in mobile home 79.99 ADD-ON - MOBILE HOME INSTALL 42480 WATER HEATER - ELE - ADD-ON - Install Electric per local codes and requirements 179.99 ELECTRIC UPGRADE 42490 WATER HEATER - GAS OR ELE - Access to residence requires reservations or is hindered by restricted parking. 44.99 ADD-ON - RESTRICTED ACCESS Work with property manager or condo association, or find legal urban -area FEE parking, to install product in restricted parking area. 42632 JTBD TBD 59,99 42633 TBD TBD 29,99 65042 D/42 - CHANGE OF SPECS Amount charged to customer by Provider. 99888 PERMIT Complete Permit Application(s) Obtain Permit(s) from all applicable municipalities Complete / attend inspection as required by the municipality 99890 OUTLET STORE DELIVERY Pick up product at designated Sears Holdings Outlet store location. Deliver 69.99 product to customers home. Place brown box in appropriate room per customer request. Credit Authorization: I agree that the credit purchase is subject to my Agreement with the credit card issuer identified hereon. Credit Card Type Pre -Authorization Customer Signature Number Exp Date: Total: $ All prices include tax. Service Order #551-2006-6886-15 Page 3 of 10 So Service Order #551-2006-6886-15 Customer Copy Credit Card Amount $ Change of Specification Affirmation Check Amount $ Make checks payable to Sears This is to confirm that the provider assigned to my job has notified me of additional work that is required to complete the service order. I agree to the changes in the amount specified for "Additional Charges for Parts/Material & Services" above. I acknowledge receipt of merchandise and/or services in the total amount shown hereon. Customer Signature Date Service Order #551-2006-6886-15 Page 4 of 10 SERVICE LOCATION Residential RAYMOND, DEAN 342 SPRINGVIEW DR SANFORD, FL 32773 PRIMARY: 407-322-0990 ALTERNATE: 407-322-0990 SERVICE EVENT DATE Feb. 18, 2016 - Feb. 18, 2016 9:00 AM -1:00 PM Arrival Time: AM/PM Departure Time: AM/PM SERVICE PROVIDER Christopher Monetti (TECH ID# 152219) FIRM ID# 13687 Call IVR upon arrival and at departure. 1.Call 1-800-376-6960 2.EnterTech ID# 152219 3.Enter SO ID# 551-2006-6886-15 4.Select "Arrival" or "Departure" BUYER CUSTOM REFERENCE SALES CHECK NUM 1: 015551222537 SALES CHECK DATE 1: 2016-02-10 SALES CHECK TIME 1: 10:50:33 SELLING ASSOC: 002931 ORDER NUMBER: 04108733 SERVICE REQUESTED: INSTALLATION ORDER PICKUP LOCATION CODE: 0008825 Merchandise Availability Date: 2016-02-18 PRODUCT INFORMATION DIVISION:042 ITEM NUMBER:58651 DESCRIPTION:KENMORE Service Order #551-2006-6886-15 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIAIIIIIII Provider Copy 551-2006-6886-15 SERVICE ORDER DESCRIPTION Service Category: General Plumbing & Bathrooms Title: General Plumbing & Bathroom Installation -42339 -MI WH ELE Task 1: 42339 -MI WH ELE Pick up product at designated Sears Holdings Location Travel to installation site Unpack and prepare merchandise for installation Inspect product for any damage or defects Inspect Installation site and provide quote for any additional work required Disconnect old product and place in accessible location per customer's request Connect new unit to existing, code approved utilities per manufacturers instructions Level and secure product and install any manufacturer supplied safety hardware Test product for proper performance Instruct Customer on product operation Clean up any job related debris Dispose of packaging and other installation material. NOTICE TO CUSTOMER: A city permit may be required for the installation of a water heater or other installed appliance within your city limits. If a permit is required, you will be billed separately for the cost of the permit. The Sears Authorized contractor who performs the installation will requestthe permit from your city. Please contact your municipality following installation for inspection requirements. Task 2: Deliver Merchandise Pick up merchandise at designated facility (reference the parts section of the service order for pick up location and description of the merchandise). Deliver merchandise to customer. Task 3:42464 -Al WHPAN M&L Install contractor supplied drain pan per local codes and requirements and run up to 25 feet of drain line. Task 4:42467 -Al WHETNKM&L Install contractor supplied expansion tank per local codes and requirements. Task 5:99888 -BLDG PERMITS PERMIT PRICE PRE -PAID BY CUSTOMER $ 67.0 Complete Permit Application(s) Obtain Permit(s) from all applicable municipalities Complete / attend inspection as required by the municipality. PARTS AND MATERIALS: KENMORE, 153586510,WATER HEATER,BTW 300-500 WAREHOUSE:8825 LAST MAINTENANCE DATE:2016-02- 10 DELIVERY STATUS:O DELIVERY DESCRIPTION:OPENED HOLD CODE: HOLD DESCRIPTION: PEND CODE: PEND DESCRIPTION: SHIPMENT METHOD CODE:Y PICKUP LOCATION CODE:0008825 SHIPMENT METHOD DESCRIPTION:INSTALLER PICKUP DELIVERY TIME CODE: DELIVERY TIME DESCRIPTION:,Quantity:1 ADDITIONAL WORK PERFORMED / SERVICE PROVIDER NOTES: D Service Order #551-2006-6886-15 Page 5 of 10 i "Or Service Order #551-2006-6886-15 Provider Copy WAIVER OF LIEN (SIGNED BY THE SERVICE PROVIDER) I, the undersigned Service Provider, having performed the above referenced work, do hereby certify that the work referred to has been completed to the customer's satisfaction. I hereby certify that I have not filed any liens on the premises and I hereby waive and relinquish all liens and all rights and claims of liens which I, the undersigned, now have or may hereafter have for labor or material furnished. I, the undersigned, certify that all the work performed and materials furnished, if any, by any other party or parties upon the order ofthe undersigned, has been fully paid for. Further, I the undersigned, agree to cause the prompt release of any mechanic's lien which may be filed against the premises by anysubcontractor, laborer, mechanic, or material supplier claiming the right to file such a lien through work related to above referenced work. I further agree to hold harmless and indemnify the above referenced customer or the buying organization, from and against all costs and expenses arising from or by reason of such lien or the release or discharge of such liens. I Christopher Monetti Service Pro Name (Print) Service Pro Signature 02/18/2016 Date SATISFACTORY COMPLETION— I have reviewed the work performed and I acknowledge the satisfactory completion of all above referenced work. DAMAGE POLICY NOTIFICATION— I have the right to refuse damaged items and must report any visible damage within 72 hours of my home delivery/installation to be eligible for a refund or exchange. V4 Customer Name (Print) Customer Signature 02/18/2016 Date THANK YOU FOR ALLOWING US TO SERVE YOU. WE TRULY APPRECIATE YOUR BUSINESS! Service Order #551-2006-6886-15 Page 6 of 10 Service Order #551-2006-6886-15 Provider Copy Additional Char es for Parts Materials & Services: Qty SKU Description Scope of Work Price 42347 WATER HEATER - GAS OR ELE - Install contractor supplied earthquake straps per local codes and requirements 69.99 ADD-ON - EARTHQUAKE STRAP MATL & LABOR 42460 WATER HEATER - GAS OR ELE - Install unit with over 55- and under 95 -gallon capacity. 59.99 ADD-ON - 57 TO 95 GALLONS 42461 WATER HEATER - GAS OR ELE - Install customer supplied platform per local codes and requirements 59.99 ADD-ON - PLATFORM (LABOR ONLY 42462 WATER HEATER - GAS OR ELE - Install contractor supplied platform per local codes and requirements 100.00 ADD-ON - PLATFORM (MATL & LABOR 42463 WATER HEATER - GAS OR ELE - Install customer supplied drain pan per local codes and requirements and run 59.99 ADD-ON - DRAIN PAN (LABOR up to 25 feet of drain line ONLY 42464 WATER HEATER - GAS OR ELE - Install contractor supplied drain pan per local codes and requirements and run 79.99 ADD-ON - DRAIN PAN (MATL & up to 25 feet of drain line LABOR 42465 WATER HEATER - GAS OR ELE - Install customer supplied expansion tank per local codes and requirements 89.99 ADD-ON - EXP TANK LABOR ONLY 42467 WATER HEATER - GAS OR ELE - Install contractor supplied expansion tank per local codes and requirements 129.99 ADD-ON - EXP TANK (MATL & LABOR 42469 WATER HEATER - GAS OR ELE - Remove old product from customers home Return product to designated 20.00 ADD-ON - HAUL AWAY Sears facility as required by Sears policy or dispose of old product according to all local codes and regulations 42470 WATER HEATER - GAS OR ELE - Install product in attic 49.99 ADD-ON - ATTIC INSTALL 42471 WATER HEATER - GAS OR ELE - Bring Materials and product to install location other than main floor 69.99 ADD-ON - 2ND FLOOR OR ABOVE INSTALL 42472 WATER HEATER - GAS OR ELE - Install product via crawl space 49.99 ADD-ON - CRAWL SPACE INSTALL 42473 WATER HEATER - GAS OR ELE - Install water heater same day on product purchased after Noon and prior to 89.99 ADD-ON - PURCHASED AFTER 3:OOpm. NOON AND PRIOR TO 3:OOPM SAME DAY INSTALLATION 42477 WATER HEATER - GAS OR ELE - Install product in mobile home 79.99 ADD-ON - MOBILE HOME INSTALL 42480 WATER HEATER - ELE - ADD-ON - Install Electric per local codes and requirements 179.99 ELECTRIC UPGRADE 42490 WATER HEATER - GAS OR ELE - Access to residence requires reservations or is hindered by restricted parking. 44.99 ADD-ON - RESTRICTED ACCESS Work with property manager or condo association, or find legal urban -area FEE arkin , to install product in restricted parking area. 42632 TBD TBD 59.99 42633 TBD TBD 29.99 65042 D/42 - CHANGE OF SPECS Amount charged to customer by Provider. 99888 PERMIT Complete Permit Applications) Obtain Permit(s) from all applicable municipalities Com tete / attend inspection as required by the municipality 99890 OUTLET STORE DELIVERY Pick up product at designated Sears Holdings Outlet store location. Deliver 69.99 product to customers home. Place brown box in appropriate room per customer request. Credit Authorization: I agree that the credit purchase is subject to my Agreement with the credit card issuer identified hereon. Credit Card Type Number Pre -Authorization Customer Signature Date: Service Order #551-2006-6886-15 Exp Total: $ All prices include tax. Page 7 of 10 0Z Service Order #551-2006-6886-15 Provider Copy Credit Card Amount $ Change of Specification Affirmation Check Amount $ R Make checks payable to Sears This is to confirm that the provider assigned to my job has notified me of additional work that is required to complete the service order. I agree to the changes in the amount specified for "Additional Charges for Parts/Material & Services" above. I acknowledge receipt of merchandise and/or services in the total amount shown hereon. Customer Signature Date Service Order #551-2006-6886-15 Page 8 of 10 SERVICE EVENT DATE: Feb. 18, 2016 - Feb. 18, 2016 Service Window: 9:00 AM -1:00 PM Please confirm the service time with the service location contact. Service Order #551-2006-6886-15 PICK UP/MERCHANDISE LOCATION: 3825 FORSYTH RD WINTER PARK,FL 32792 IMPORTANT --UPON ARRIVAL AND DEPARTURE: Arrival Instructions: 1.Call 1-800-376-6960 2.EnterTech ID# 152219 3.Enter SO ID# 551-2006-6886-15 4.Select "Arrival" 551-2006-6886-15 SERVICE LOCATION: RAYMOND, DEAN 342 SPRINGVIEW DR, SANFORD,FL 32773 PRIMARY: 407-322-0990 ALTERNATE: 407-322-0990 Provider Copy CONTACT INFORMATION: Buyer: Sears Holdings #1000 Contractor Services (ID# 14) 3825 Forsyth Rd, Attn: Contractor Services Grou Winter Park, FL 32792 888-850-2336 SLRIMAIL@kmart.com Departure Instructions: 1.Call 1-800-376-6960 2.EnterTech ID# 152219 3.Enter SO ID# 551-2006-6886-15 4.Select "Departure - no issues" or "Departure with issues" If you chose departure with issues, select the appropriate issue option Special Instructions for the Provider: INSTALL ALSO SOLDSales Check Information Number: 015551222537 Date: 2016-02-10 Division: 042 Item Number: 58651 Description: KENMORE 6 Quantity: 1 Gift Flag: Gift Date: 1111-11-11 Division: 070 Item Number: 42606 Description: 6Y HOMERPA Quantity: 1 Gift Flag: Gift Date: 1111-11-11 Division: 010 Item Number: 42339 Description: MI WH ELE Quantity: 1 Gift Flag: Gift Date: 1111-11-11 Service Location Notes: SERVICELIVE ORDER - QUESTIONS CALL 800-497-4402.1n PARTS AND MATERIALS: Part 1 Manufacturer: KENMORE Model: 153586510 Description: WATER HEATER,BTW 300-500 WAREHOUSE:8825 LAST MAINTENANCE DATE:2016-02-10 DELIVERY STATUS:O DELIVERY DESCRIPTION:OPENED HOLD CODE: HOLD DESCRIPTION: PEND CODE: PEND DESCRIPTION: SHIPMENT METHOD CODE:Y PICKUP LOCATION CODE:0008825 SHIPMENT METHOD DESCRIPTION: INSTALLER PICKUP DELIVERY TIME CODE: DELIVERY TIME DESCRIPTION: Quantity: 1 ATTACHMENTS: Blank Service Order Form.pdf AddOnServices_ Handling MemberPayments_rev6.pdf Estimate Process—Provider Instructions.pdf Sears Select Network Service Order Checklist rev 3.pdf ISS—Installation Estimate Form_rev-1.pdf CUSTOM REFERENCE: Serial Number: 1606a006702 Model Number: 153586510 FINAL PERMIT PRICE: $ Buyer's Terms & Conditions: This Service Order is subject to, and incorporates by reference, that certain Authorized Servicer Agreement or other agreement (the "Agreement" , bePider Firm and Sears prsrovidedthatonlythecharges set forth in this Service Order (end not those In the Agreement) shall appy to this Service Order (and Provider Firm agrees that by accepling this Service Order, Provider is agmeing to such c tweeange).nrovService Previder understands and agrees that Seamay not have purchased ServiceLlve Bucks prior to the posting of this Service Order. This Service Onter?s closing total is subject to the 10% Service Order Fee charged by ServiceLNe, Inc. Service Order #551-2006-6886-15 Page 9 of 10 Service Order #551-2006-6886-15 Provider Copy SERVICE ORDER SUPPORT CONTACT: 888-850-2336 Service Order #551-2006-6886-15 Page 10 of 10 mm SME PERMIT NO. AP ISSUE DA CONTRACTOR; JOB ADDRESS: City of Sanford Building & Fire Prevention Division Residential Permit Card TYPE OF WORK: CLO 14f2 &Ayl Post this permit in a conspicuous location 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 RVSPEC77ON TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE ELECTRICAL APPROVED REJECTED INSPECTOR FOOTER 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 INSPECTION TYPE MECHANICAL APPROVED REJECTED INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK INSPECTION TYPE PLUMBING APPROVED REJECTED INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR RVSPEC77ON TYPE GAS INSPECTIONS APPROVED REJECTED INSPECTORROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS / FINAL INSPECTIONS RVSPEC77ON TYPE APPROVED REJECTED INSPECTOR INSPEC77ON 7YPE 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 FBC 105.3.3 REVISED: OCTOBER 2014 Inspection Line: 855.541.2112 TO SCHEDULE AN INSPECTION: Dial 855.541.2112 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 407.562.2786 *** PLEASE NOTE: Inspections scheduled by 3:30 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 111 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: REInspectionLine: 855.541.2112