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Home My WebLink About106 Sycamore CtC E O V`- d r CITY OF SANFORD SUN Z 2016 BUILDING & FIRE PREVENTION PERMIT APPLICATION BY'— D Application No: b, / 7a Documented Construction Value: $ 31S -0a Job Address: � ND SVCfn r,r C—+, Historic District: Yes ❑ No ❑ Parcel ID: 0 '2--'Z-O- 3 0 - 'S -L O - y O O0 - 0 S-70 Residential R Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair "Demo ❑ Change of Use ❑ Move❑ 0 Description of Work: C OY�(J�-2 PC �C- S�,IS�C IOVa� OVA V1) -'{6r 1 ' Plan Review Contact Person: '(,p�� ,m0-5� Title: 4g-+ Z2l4w_(}WY1P1' Phone: t Fax: Email: Vi CAS( O++5 &V, Low Property Owner Information Name CD Sv Ca�o r,t Chur - I_LC• Phone: Street: Resident -of property.'. . 1 ' 7U'_.i.:7� •.w a - City, State Zips: ,n.'[�rtY�;'�'•.3� 7 i?C.tl q� ;;r�+ lt� J t•t s; •:iii 1 c•. i.CLr •,1 or• '1r�1: l... •.s•.1 •°,. �. etc.,, E`' it"0'4 ?':3 a .Contractor Information Name A N Ct>n ` 1h Phone: '-t, Street: 11?XAti �.o.�,,Joa c,�,v� m��d I �`1u00 Fax: City, State Zip:L tvf0 [7c 3Z� Sam State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF 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: 511 Edition (2014) Florida Building Code Revised June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is.verification that 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 i ormat' n is accurate and that all work will be done in compliance with all applicable laws regulating i tructi and zoning. Signature bf Owner/Agent Date k% -ca te_ Print Owner/Agent's Name ck\U3 CQ 1210 ( D Signature of Notary -State of Florida Date CARRIE WROZ Comntitsion # FF 113985— Expires April 17, 2018 '4.00 w�a.e,i.�r�,v.huw..nnaooarao,o , Owner Agent is Personally Known to Me or Produced ID 7— Type of ID Q L Signature c o r rn 01 sT Print Contractor/Agent's Name %Ul Signature of Notary -State of Florida ` —Date VICTORIA LYNN FLIENZALIOA. MY COMMISSION 0 FF2052& March rch 03.2019 Contra ' o Me or Produced ID Type of ID (wia , BELOW IS FOR OFFICETSE 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 Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 02-20-30-510-0000-0550 KAI'tI( f1p ro.0 ooirm.. waa Parcel Information http://parceidetai i.scpafl.org/ParceiDetai lln fo.aspx?PID=02203051... Property Record Card Parcel: 02-20.30-510.0000-0550 Owner: 106 SYCAMORE COURT LLC Property Address: 106 SYCAMORE CT SANFORD, FL 32773 Legal Description LOT 55 HIDDEN LAKE VILLAS PH 2 �PB27PGS I&2 Value Summary 2016 Working 2015 Certified Values Values Valuation Method Cost/Market Cost/Market • • •t III I Number of Buildings 1 1 t - Depreciated Bldg Value $62,714 $54,533 Depreciated EXFT Value $600 $600 - Land Value (Market) $14,400 $10,800 Land Value Ag I , JusUMarketValue" $77,714 $65.933 Portability Adj Save Our Homes Ad/ s0 $0 Amendment 1 Adj $10,695 $5,007 i P&G Adj $0 $0 — Assessed Value $67,019 $60,926 Tax Amount without SOH. $1,279.23 2015 Tax Tax Bill Amount $1,279.23 Estimator Save Our Homes Savings $0.00 ' Does NOT INCLUDE Non Ad Valorem Assessments Taxes Taxing Authority i Assessment Value Exempt Values I Taxable Value i County General Fund _ - - $67,019 - s0 -- - $67,019 Schools $77,714 s0� $77,714 { City Sanford $67,019 $0 $67,019 SJWM(Saint Johns Water Management) $67,019 $0 $67,019 County Bonds $67,019 $0 $67,019 Sales - - •- - -- -- - Description Date Book I Page Amount Oualified Vac/imp . I WARRANTY DEED 3/1/2007 06659 ]],�¢ ` $100 No I Improved Y { WARRANTY DEED 12/1/1990 02249 0141 $49,500 Yes Improved WARRANTY DEED 7/1/1984 01563 _ ME$54,000 Yes Improved WARRANTY DEED 12/1/1983 01510 0605 $42,400 No Improved - Find Comparable Sales Land �J Method - - - -Frontage - - Depth Unds I Units Vs Price j Land -•- -...__ .. _.. ..__ ..........._.. _ ...... _ _ . and Val_ LOT 000 000 1 $16.00000 $14,4001 Building Information _ Is Bed/Bath count incorrect? Click Here Year Built { ! p Description I I Fixtures j Bed Bath Base Area Total SF I Living SF Ext Wall Adj Value Repl Value I Appendages i I Actual/Effective ,I 1 of 2 6/16/2016 6:28 PM SCPA Parcel View: 02-20-30-510-0000-0550 http://parceidetaii.scpafl.org/ParceiDetailinfo.aspx?PID=02203051... 1 SINGLE 1983 61 2I 20 1,020 1,5301 1,020 CB/STUCCO $62,714 $73,565 Description Area FAMILY I 1 FINISH GARAGE 1 ` FINISHED 494 OPEN I a PORCH 16 DO t I FINISHED P ennA # Description Agency Amount CO Date PermA Date 00 769 — I UNDER PENNING BUILDING yADDITION SANFORD 58,500 � � 1/31/2012 00 163 -RESIDENTIAL SANFORD $127,550 1,10/19/2010 P ennA # Description Agency Amount CO Date PermA Date 00 769 — I UNDER PENNING BUILDING yADDITION SANFORD 58,500 � � 1/31/2012 00 163 -RESIDENTIAL SANFORD $127,550 1,10/19/2010 a Features Descrnpbon Year Built UnAs Value New Cost SCREEN PATIO 1 10/1/1983 I 1 $600 $1,500 2 of 2 6/16/2016 6:28 PM HEATING &AIR CONDMONING L407*221*8007 ScothrA ncom Z licensed d Imvred CAC18t6941 when itSs nor, call SWW CLIENT NAME: ADDRESS: IID1p CITY, STATE, ZIP: ��G^.�1�Y� �el= PHONE:S— Z�ZI EMAIL: MODEL # SERIAL # MODEL # SERIAL # MODEL # SERIAL # MODEL # SERIAL # Invoice �ad wasswrs,rr SaUt;factlon SnaraMsedl Sonly Zrs+i,,l1 2- 'Pr-, STT �i c�nI PARTS AND MATERIAL NEEDED FOR REPAIRS: TYPE OF PAYMENT ❑ CASH []CHECK ❑VISA [:]MASTERCARD ❑AMEX []DISCOVER CHECK # DL # The undersigned has authority to order the above labor and materials on behalf of the above named purchaser. The labor and materials described above have been completely and satisfactorily performed and furnished The above described materials shad remain properly and the title to same shall be retained by Scott's Heating b Air Conditioning until payment is made by purchaser in full. Scotts Heating d Air Conditioning is not liable for any defects in labor or materials unless the purchaser gives written notice of such defects within ten days from the date of this contract Payment in full is due upon receipt of this invoice and payable upon completion of work Purchaser agrees to pay all costs of collection including a reasonable attorney's fee, in the event this contract is not paid in full when due and same is placed in the hands of an attorney for collection, foreclosure, or repossession, whether suit be brought or not. All delinquent payments shall bear a service change of 1.5% per month until paid. Purchaser waives demand and all requirements necessary to hold it liable. Purchaser agrees that the said materials above described will not be moved from the above address without the prior written consent of Scotts Heating 6 Conditioning. Selling price of all parts and equipment are on an exchange basis with purchaser's old parts and equipment. Warranty on all parts per manufacturees warranty policies. gD Day Labor Guarantee: only on that portion previously serviced. If my payment is by check and my check is returned for any reason, I authorize the merchant to electronically debit my account for the amount of this item plus any fees allowed by law. X N2 03418 DATE: (P1 2--n/1 TIME IN: TIME OUT: TECH: START UP DATE: FILTER SIZE: SERVICE PROBLEM: INSIDE: AMPS EVAP COIL HEAT _ FAN CLEANED MOTOR TEMP SPLIT IN OUT DRAIN LINE: PAN CLEANED Y / N DRAIN LINE CLEANED Y/N DIAGNOSTIC FEE: TOTAL TASK AMT: OTHER: Total Due. P.O. Box 521796 a Longwood, FL 32752 a Info@ScottsAir.com OUTSIDE: AMPS LOW PRES COMP. FAN HIGH PRES MOTOR SUPERHEAT SUBCOOLING COIL CLEANED TEMP SPLIT IN OUT INSIDE: AMPS EVAP COIL HEAT _ FAN CLEANED MOTOR TEMP SPLIT IN OUT DRAIN LINE: PAN CLEANED Y / N DRAIN LINE CLEANED Y/N DIAGNOSTIC FEE: TOTAL TASK AMT: OTHER: Total Due. P.O. Box 521796 a Longwood, FL 32752 a Info@ScottsAir.com JUN -20-2016 02:42 From: To:14076885152 Pa9e:7/11 ATRIUM MANAGEMENT COMPANY P. O. Box 950965 Lake Mary, FL 32795-0965 Phone 407/585-2721 Fax 407/333-7342. PROPERTY MANAGEMENT AGREEMENT 1. THIS AGREEMENT made and entered into this 25th day of, January 2010, between 106 Sycamore Court LLC hereinafter referred to as "LANDLORD", and ATRIUM MANAGEMENT COMPANY, a Florida corporation, hereinafter referred to as `BROKER," WITNESSETH: for and in consideration of the mutual covenants contained herein, the parties hereto agree as follows: 2. EXCLUSIVE AGENCY The LANDLORD hereby employs the BROKER exclusively to rent and manage the Property described as 106 S c e u n d , Florida 32773 (the "Property") Bedrooms, Batbis, FumWkWUnfurnished, 2 Car Garage. It is Mutually agreed by and between the parties that this Agreement shall be binding upon the parties successors, estate and assigns and shall remain in full force and effect until termination pursuant to the terms of this paragraph. The term will be in effect for one year or, once rented, through the end of the Lease/Lease Addendum term and will automatically renew for successive year periods at the Lease/Lease Addendum termination date so long as there has not been at least a thirty (30) day written notice prior to next term given by either party to terminate. BROKER reserves the right to terminate this agreement immediately with written or verbal notice if in the opinion of BROKERS legal counsel, LANDLORDS actions or inactions are illegal, improper, or jeopardize the safety or welfare of any tenants or other persons. All monies owed to BROKER prior to cancellation will be held from disbursement or billed to LANDLORD for prompt payment. Termination by LANDLORD is effective when actually physically received by BROKER. In the event this agreement is terminated by LANDLORD, the BROKER shall continue to receive the fees identified in Item 8 below as long as the tenant(s) placed on the property by BROKER shall remain in the unit. In the event this agreement is terminated by LANDLORD, the BROKER's rights provided for in paragraph 1 THROUGH I1 shall survive such termination. The LANDLORD hereby employs the BROKER as the sole and exclusive BROKER and representative to seek a tenant for the above described Property at the following rent and terms, or any other rent and terms acceptable to LANDLORD. LANDLORD hereby makes, contributes and appoints the BROKER as the LANDLORD's true and lawful BROKER and attorney in fact, with power of appointment, to do and perform any and all lawful things necessary for the accomplishment of the purposes of this Agreement, including the signing of leases on behalf of the LANDLORD. 3. MANAGEMENT AUTHORITY AND RESPONSIBILIITIiES; The LANDLORD expressly grants to the BROKER herein the following authority: A. To use diligence in the management of the Property for the period and upon the terms herein provided, and agrees to furnish the services of ATRIUM MANAGEMENT COMPANY, for the renting, leasing, operating and managing of the herein described Property. However, BROKER does not guarantee the payment of rental by the tenant, but will make every effort to collect same when and as they become due. B. Full management and control of said Property with the authority to collect all rents and other monies and securities from tenants in Property, and issue rent receipts therefore. Disbursements of security deposits are at sole discretion of the BROKER. C. To prepare and negotiate new rental Agreements and renewals of existing Agreements in accordance with the terms agreed upon for rental by the LANDLORD and BROKER jointly; which new rental Agreements and renewals shall be executed by LANDLORD except that the BROKER is authorized, for and in behalf of LANDLORD, to execute rental Agreements for one (1) year. Less than one year with LANDLORD approval. Page I of 5 JUN -20-2016 02:42 From: To:14076885152 Pa9e:8/11 D. To have minor repairs made, to purchase necessary supplies and to pay bi,_,; and charge same to LANDLORD on repairs less than $200.00 in cost (except emergency repairs), all other charges over $200.00 in cost with LANDLORD approval. E. To serve vacate notices upon tenants and to prosecute in the name of the LANDLORD (with written consent), and the LANDLORD's expense, legal action to evict tenants and recover rents, employing for these purposes a reputable attorney or such attorney as LANDLORD may designate, when circumstances permit. F. To hire and discharge on behalf of the LANDLORD and pay from the LANDLORD's funds any independent contractors necessary to the maintenance of the Property. G. BROKER is clothed with such other general authority and power as may be necessary or expedient to carry out the spirit and intent of this Agreement with respect to leasing, management and operation of the Property hereinafter described. H. LANDLORD shall be responsible and assume the expenses in connection herewith. BROKER may offset any expenses paid by BROKER on LANDLORD's behalf from any rent collected by BROKER on behalf of LANDLORD I. Market the Property for lease with the LANDLORD paying all advertisement costs of the Orlando Sentinel up to 4 lines each advertisement. J. To collect for the benefit of the BROKER late fees, non-negotiable check charges and where applicable, sublease fees. K. To deposit all receipts collected for LANDLORD (less sums properly deducted or per se provided for) in a Trust account separate from BROKERS corporate account. BROKER shall not be liable for bad checks or monies collected. Security deposits will be held in a non-interest bearing account at WACHOVIA BANK, N.A., Orlando, FL. L. BROKER shall verify information on rental application and perform credit checks. BROKER is given exclusive right to screen and approve or disapprove prospective tenants. A Criminal History can be requested at a fee of approximately $45.00 per person. M. LANDLORD shall receive the benefits of all savings, discounts or rebates obtainable from contracts or supplies. N. To collect for LANDLORD, (less any sums properly deducted or otherwise provided herein), and deposit in LANDLORD's bank account or mail directly to LANDLORD, all rents received with computerized statement. 0. To represent LANDLORD at all times by performing BROKER's duties in a timely fashion and looking after the best interest of the LANDLORD. P. BROKER is not liable for, not in any way responsible for, the conduct of any Tenant or other person residing at LANDLORD's residence, nor is BROKER responsible for damages of any nature or kind caused by any Tenant to LANDLORD's Property, or to any persons or their Property on the LANDLORD's Property. Q. BROKER shall send the LANDLORD the proceeds collected from the rental of the property minus the rental commission. It is understood that no funds will be released until such time as monies have cleared the BROKERS bank (usually 5-7 business days). In the event a prospective Tenant places a good faith or holding deposit with BROKER and fails to take possession, said deposit, if retained, shall be disbursed 50% to BROKER and 50% to LANDLORD. BROKER retains the right to refund this deposit to prospective Tenant in full or part upon the advice of legal counsel. 4. Rent: BROKER will use his best efforts to lease with the following terms: $ to $ Monthly rent Pro -rated rent, first months rent, and security deposit will be collected before occupancy. All parties must agree upon any deviation from these terms in writing. 5. Terms: 7 to 12 Months 6. LANDLORD'S AUTHORITY AND RESPONSIBILITIES: A. LANDLORD will refer to BROKER all rental inquiries received from interested parties. Except for willful misconduct or fraud, LANDLORD agrees to indemnify BROKER against all costs, expenses, attorneys' fees, liabilities and damages from or connected with the leasing of the Property or the performance or exercise of any of the duties, obligations or powers herein or hereafter granted to BROKER. B. If in a condominium unit, LANDLORD will provide copies of all current rules and regulations. If none are Page 2 of 5 JUN -20-2016 02:43 From: To:14076885152 Paee:9111 provided BROKER will assume that they do not exist. BROKER is in no way liable for the payment of any fees, fines, or assessments. C. LANDLORD agrees to maintain liability insurance coverage on property at all times in an amount not less than $100,000 per person and $300,000 per occurrence and shall furnish BROKER with proof of insurance and a copy of declaration page. D. LANDLORD will provide 3 full sets of keys and if applicable 2 sets of mailbox keys or bear the expenses of having the required number of keys made, and two garage door remote controls. E. LANDLORD will provide a copy of furnishings inventory and all applicable warranties or Service Contracts. If no Warranties, Service Contracts, or personal inventory lists are received at the time this Agreement is executed, BROKER will assume there is none. F. In the event that the tenant pays rent with a non -sufficient funds check and the tenant does not replace the NSF check within 30 days, the LANDLORD will promptly reimburse the BROKER the funds that were dispersed to the LANDLORD based on the original NSF receipt. G. If pets have been on the property prior to the initial lease LANDLORD will bear the cost of having the property sprayed for fleas and deodorized. H. If the property includes a pool, LANDLORD will provide regular pool maintenance through a licensed/bonded pool service company. I. To approve any repair that exceeds $200.00 in cost (except emergency repairs), and to decide jointly with BROKER who will provide such repair. J. To delegate the responsibility of executing all leases to the BROKER. K. LANDLORD agrees to provide home in "Lease Condition'. Specifically, carpets are to be professionally cleaned, walls are free of nail holes and painted if needed, all trash or personal items removed and home wiped down clean and ready for occupancy. LANDLORD may provide service vendors to prepare home for show and move -in condition. L. LANDLORD has read and approved the use of the BROKERS residential lease and all addendums. 7. IMPORTANT NOTICE: IN COMPLIANCE WITH THE FEDERAI. FAIR HOUSING ACT, please do not ask or expect us to place any restrictions on your property based on prospective tenants racial, religious, handicap, sex, nationally origin or familial status. FEDERAL AND STATE LAWS prohibit us from placing any such restrictions on the properties we handle for rent. 8. RENTAL/MANAGEMENT FEES: The LANDLORD hereby agrees to pay to AT RIU COMPANY, for the above-mentioned services: Leasing Fee: Equal to or>rfaH-mvrrt month term of the initial agreed upon lease period. Prorated for periods less than 12 full months. M Ari'-' FIC -C c f' I -S40 Management Fee: Equal to o , for each month of the lease and any extensions. Management fee is a mandatory fee which may cover a wide variety of services such as, fully computerized system, arranging for and supervising repairs, inspections, preparation of Federal Form #1099, etc. Renewal Fee: Equal to Seven Percentvf the Gross Rent for the Renewal Period. 9. SHORT TERM: Please note that with terms less than seven (7) months you are required to pay a resort tax which can be included in the rental price or paid by tenant. A tax identification number will be assigned at LANDLORD'S expense for tax disbursement. 10. RIGHT OF SALE/LEASE PURCHASE: If the LANDLORD approves marketing of the property and/or if Atrium Management Company or its assignee secures a buyer for the property, either as an out -right sale, a lease/purchase/option or a tenant purchase, LANDLORD agrees to pay Atrium Management Company or its assignee, a six percent commission based on the sales price at time of closing. 11. HOLD HARMLESS: LANDLORD further agrees to hold BROKER harmless for all damage suits in connection with the management of the herein described Property, and from all tax liability or liability for injuries suffered or sustained by any employee, Page 3 of 5 JUN -20-2016 02:43 From: To:14076885152 Pa9e:10,111 independent contractor, Tenant, invitee, or any other persons whosoever. BROKER will in no way guarantee, nor will it be in any way responsible for, the Tenant's performance under any lease entered into with either BROKER or LANDLORD. In the event that BROKER is required to obtain legal counsel to enforce any of the provisions of this Property Management Agreement, then LANDLORD shall be responsible for any and all reasonable attorney's fees and costs incurred by BROKER in connection with the enforcement of any provision of this Property Management Agreement. 12. RE -LEASE ]FEE/GUARANTEE: If the tenant vacates the Property early during a twelve (12) month lease the BROKER will credit an equivalent number of months leasing fee equal to the number of months in which rent was not collected. This credit is applied to the subsequent Leasing Fee due the BROKER, and is not a refundable amount to the LANDLORD. As an example: A. Tenant signs a 12 -Month Lease but vacates after nine months. BROKER credits 3/12 of the Leasing Fee equivalent against the new Leasing Fee. Should the LANDLORD recover this lost rent, then BROKER will recover the Leasing Fee credit. 13. NOTICES: For the purpose of this Agreement, all notices required herein shall be deemed to have been served upon the other party when mailed at the following name and addresses or at such other addresses as shall be changed in writing, properly notifying the other party: LANDLORD 1Q6 SycaMore CguLt LLC 219 Spanish Oak Trail Longwood. FL 32779 Phone: 407444-5946 cell: 407-222-1602 Email: Joetta58@aol.com (Jgetta Ne=an) BROKER Atrium Hagattement C_ ompan P.O. Box 950965 Lake Marv, FL 32725-Q965 (4Q7) 5$5-2721 qfc: (4Q7).133-7342 fax 14. FACSIMILE SIGNATURES: The parties agree that this agreement may be executed by facsimile and such facsimiles shall be binding as if originals. INXITNESS WI.EREOF-j the parties hereto affixed their hands and seals on the date written. 1LORD =,C- I�, !:1 - ATRIUM MANAGEMENT CO ANY Page 4 of 5 1 L"?5 /1 C) DATE DATE / L�Lllo DATE JUN -20-2016 02:44 From: To:14076885152 Pa9e:11/11 LANDLORD INFORMAMN: Property Information: 1) Electric Company: - 2) Water and Sewer Company: 3) Telephone Company: 4) Gas Utility Company: Type of Heat: 5) Cable Company: 6) Pool and Lawn care Company: 7) Oil Utility Company: 8) Trash Pick Up Company: 9) Insurance Company: 10) Pest Control Company: 11) Well and Septic Tank Company: 12) Contact in case of Emergency: Relation: Lease Terms: 13) Initial Rent Amount Requested: Special Term of Lease: 14) Repairmen to Use: Phone: 15) Length of Lease: Date to Reoccupy: 16) Pet Okay? Rent with Option: Personal Property: (i.e. Appliances. drapes. furniture, fans. etc.) 17) List and Describe All Personal Property: 18) List Warranties on Personal Property: 19) Referred by: To Be Completed By Atrium Management Company Agent LANDLORD Property Manager Forwarding Address and Phone Number: Page 5 of 5 Social Security Number LANDLORD Social Security Number