205 S Somerset Ct; 18-4190; ELECTRIC WATER HEATERgFOk j
oaf 'o:
Job Address:
Parcel ID:
CITY OF
S.k 40RD
Application No:
G
DocuAnented Construction Value: $
POMCHistoric District: Yes M No Residential
Commercial BUILDING
DIVISION C-
f' cc,
o925 V.
m PERMIT APPLICATION Type
of Work: New Addition Alteration epairEl Demo [I Change of U/se Move Description
of Work: .r 9.f. C7— ?-;7737 ze
Plan
Review Contact Person: Phone:
Fax: Email: Property
Owner Information Name
CJ/`L Phone: Street:
City,
State Zip: 7 Title:
Resident
of property?: Con
ractor Information q
Name
Phone: 5 7 ff7 Street:
d f i ` ' Fax: 4: 11 City,
State Zip: No.: StateLicenseArchitect/
Engineer Information Name:
Phone: Street:
City,
St, Zip: Bonding
Company: Address:
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: 6t6 Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe 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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of
Print Contractor/Aaenis Name
Date
A (Jiit1,4;'a
v 0 4 Ik.
Signature of Not ;; Y f Florida DEBBIE BLANTIORte
MY COMMISSION H FF 178648
EXPIRES: February 25, 2019
E?onded Thru Notary Public Underwriters
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 Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # 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: FIRE:
COMMENTS:
BUILDING:
in
0
Property Record Card
Parcel: 07-20-31-506-0000-0820
Property Address: 205 S SOMERSET CT SANFORD, FL 32773-7319
I Iv
2018 Working 2017 Certifed "
Values'. Values.
Valuation Method Cost/Marlcet Cost/Market
Number of Buildings 1
Depreciated Bldg Value 88,136 74,883
Depreciated EXFT Value 1,497 1,572
w
Land Value (Market) $25,000 I $20,000
Land Value Ag I
Just/Market Value "" 114,633 96 455
Portability Adj
Save Our Homes Adj j $46,215 1 $29,444
Amendment 1 Adj 0 j
P&G Adj$0 0
Assessed Value 1 $68,418 1 $67,011
Tax Amount without SOH: $1,048.00
2017 Tax Bill Amount $587.00
Tax Estimator
Save Our Homes Savings: $461.00
TRIM Notice !:Le-lR
Does NOT INCLUDE Non Ad Valorem Assessments
LOT 82
BRYNHAVEN 1ST REPLAT
PB39PGS20&21
k """,... ax.—'aK y. `f'` ^cy" .'^ 'i' <£_:'0' *. ^^s u^"'ft"c • ^ .C'T. ".,..." "y."'"*' '^7^`^' '3
w
Taxing Authority Assessment Value Exempt Values Taxable Valu®
County General Fund $68,418 i $43,918 . $24 500
Schools ' $68,418 $25,500 $42,918
City Sanford i $68,418 j $43,918 i $24 500
SJWM(Saint Johns Water Management) i $68,418 $43,918 < $24,500
County Bonds $68,418 , $43,918 $24,500
3 . `°d F S F k ."r .tiia
u { • !
y k '1' y - - A 4
Description Date p Book Page Amount Q fied Vac/lmp
WARRANTY DEED ! 3/1/1990 02158 1857 $68 Yes i Improved
Method Frontage Depth Urnts" Urnts'Pnce Lah&Value
LOT 0.00 0.00 1 a $25 000.00 i $25,000
t Building Information*' w r ! a
inb.C..,....-,.:.....,E -,......:,''.y._m,_'_u..................:..:.'....,-sr.4'.....,:...-.a:;s..,Y.."ik.,.,a k.,:..,,s.#«, .•,.w,.w:.;w,•`:a.:x:.ws..,.._.c...a:..xey,;'.".a.fs.::.;.r.+.
a.'.
w'...,a.•5..`,.w..,...,a*..:.'.u;aa...s._...»...,,.•.:......,.::..:.
Is Bed/Bath count incorrect? Click Here.
1--Year. Built Descnptiori gctual/Effective- Fixtures Bed Bath Base Area' TotaIJSF Lmng SF E;d Wall Adl Value Repl Value Appendages
1 i SINGLE 1990 6 2 Z Q! 1,027 ! 1,4891 1,027 i SIDING 1 $88,136 I $99,029 r
http://parceidetaii.scpafl.org/ParcelDetailinfo.aspx?PID=07203150600000820 10/7/18, 7:45 PM
Page 1 of 2
ANS I ALLhH CUPY
INSTALLATION SERVICES CUSTOMER CONTRACT - PLUMB WATER HEATER ONLY
LOWE'S OF SANFORD, FL, STORE # 1657 STORE PHONE`. (407) 430-4060
3780 S ORLANDO DR SALESPERSON: MICHAEL MCKINLEY "
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SANFORD, FL 32773-5614 SALESPERSON ID: 2362627
Document Print Date: 08/31/2018
This is only a Quote for the merchandise and services printed below. This becomes an agreement upon payment and issuance of a Lowe's receipt, upon which the entire agree-
ment, including the specifically completed pages of this document, the Terms and Conditions included with this document, the applicable portion(s) of Lowe's receipt, and any
other addenda or attachments hereto, shall be referred to herein as this "Contract."
Lowe's Registration or Contractor License Number / Lowe's Contractor Name
Florida Contractor License Number CGC1508417
Customer Name Home Phone
S SALLY JIUNTO 407-321-1840
O Customer Address Other Phone
205 S SOMERSET CT
L City State / Province Zip / Postal Code
p SANFORD FL 32773
Installation Address
T 205 S SOMERSET CT
O Installation City Installation State/Province Installation Zip/Postal Code
SANFORD FL 32773
MERCHANDISE AND INSTALLATION SUMMARY
MERCHANDISE SUMMARY
Materials Price $ 0.0
INSTALLATION DESCRIPTION
Installation Type : Residential Number of Water Heaters to replace : 1
Water Heater Type : Electric Water Heater Size : Less Than 70 Gallons
Emergency Installation : No Hard Access Installation : No
Store 1657 Project No. 554981456 for SALLY JIUNTO Page 1 of 4
INSTALLER COPY
New Water Heater Stand Installation : No
Earthquake Strap Installation : No / No detail completed
Drain Pan / Line Installation Estimate: No / No detail completed
Permit Required : Yes
Who Will Obtain Permit: Independent Contractor
Additional Miles Traveled Over 20 : 0
Other Work Charge: Yes
Expansion Tank Installation : No
Piping Modification Estimate: No / No detail completed
Customer Understands Scope of the Heater Project : Yes
State Specific Permit : No
Permit Fee: Yes
Describe other work needed : install expansion valve provided by plumber
Comments : hw heater located in garage... installer went to do detail. regular
price install
Additional Specifications:
Notation: Lowe's will not make structural modifications or change power sources. Lowes's will not install a water Heater in any location where it would be un-
safe or a violation of building code, this also includes any location subject to flooding or installing a gas water heater in living spaces (bedroom, bathroom, etc.).
Federal and State regulations require water heaters to be set at 120 degrees Fahrenheit.
Additional Specifications: Federal law requires Lowe's to provide you with the pamphlet Renovate Right: Important Lead Hazard Information for Familes,
Child Care Providers and Schools. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing
Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit.
PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photograghs of the Premises where In-
stallation Services will be performed and all work performed at the Premises related to this Contract, and irrevocably grants to Lowe's all right, title, interest in
and to the photographs for use in all markets and media, worldwide, in perpetuity. Customer authorizes Lowe's to copyright, use and publish the photographs in
print and/or electronically, and agrees that Lowe's may use such photographs for any lawful purpose, including, but not limited to, marketing, advertising, publi-
city, illustration, training and Web content. By initialing here, Customer agrees to the foregoing. [Customer to initial to the left].
NOTICE TO CUSTOMER - PRICE CALCULATIONS: In order to properly perform the installation of certain Goods, the Contract Price may include more
Goods than actually will be installed based on the measured square footage of the Project Area. As a result, the parties agree that the lump -sum Price stated in
this Contract is calculated upon both the value of the estimated Goods required to fulfill the Contract (including waste), which may exceed the actual square
footage of the Project Area, and the labor which may be estimated based on the amount of Goods required to fulfill the contract (including waste). By signing
this Contract below, Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not be refunded
once the Installation Services are performed..
NOTICE OF ARBITRATION AGREEMENT
This Contract provides that all claims by Customer or Lowe's will be resolved by BINDING ARBITRATION. Customer and Lowe's GIVE UP THE RIGHT TO GO
TO COURT to enforce this Contract (EXCEPT for matters that may be taken to SMALL CLAIMS COURT). Lowe's and Customer's rights will be determined by
a NEUTRAL ARBITRATOR and NOT a judge or jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration procedures are SIMPLER AND
MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY LIMITED RE-
VIEW BY A COURT. FOR MORE DETAILS: Review the section titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS AC-
TION ADJUDICATION found in the Terms and Conditions of this Contract.
Store 1657 Project No. 554981456 for SALLY JIUNTO Page 2 of 4
INSTALLER COPY
TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES ,.,.s.e
SUB -TOTAL
TAX
DELIVERY
ORDER TOTAL
BALANCE DUE
Store 1657 Project No. 554981456 for SALLY JIUNTO Page 3 of 4
STORE COPY
Seal)
7 / . Dr/a,XC16 C/eta. fName:
Address
City State / Province Zip / Postal Code
Seal)
Owner
Print Name
Customer acknowledges receipt of a true copy which was completely filled in prior to Customer's execution hereof. You the customer may cancel this transaction
at any time prior to midnight on the third business day after the date of this transaction. See the attached Notice of Right to Cancel for an explanation of
this right.
Store 1657 Project No. 554981456 for SALLY JUNTO Page 4 of 7
N 10/07/2018 4:03:46 PM LOWE'S COMPANIES PAGE 6 OF 6
SSZR135A LOWE'S HOME CENTERS, LLC SAF 1657
Pages:1 DATE: 10/07/18 3780 S ORLANDO DR
SANFORD,FL
407)430-4060
ORDER FOR LUTINSKI, MARY
ADDRESS 1105 N LAKE DR PHONE: (540)657-7293
SANFORD , FL - 32773
VENDOR NAME ANTHONY SQUITIERI PLUMBING CONTACT:
ADDRESS SERVICE PHONE: (407)302-1559
SANFORD , FL - 32773 FAX: (866)611-4913
PROJECT 558457829 CC SALES LUTINSKI
LOWES PO 81083244 ASSOCIATE: TERESA CULVER
LOWES INVOICE 74814 AR NUMBER: 0
EST DELIVERY 10/08/2018
I
QTY ITEM ITEM DESCRIPTION BIN VEND COST EXT COST
PART#
1 105429 BASIC LABOR DISHWASHER 120.00 120.00
FREIGHT 0.00
TOTAL 120.00
Page 1 of 1
PRODUCT SPECIFICATION AND ADDITIONAL MERCHANDISE
ADD'L MATERIALS TO BE SOLD TO CUSTOMER (AS NEEDED) INDICATE QUANTITIES BELOW.
LO -Vanity Top:
Faucet:
Medicine Cabinet/ Mirror/ Over the John Cabinet:
Light Bar:
Light Bulbs:
a, -
Towel and/or Toilet Paper holder:
Vanity Hardware (if not included with vanity):
w CONTACT CUSTOMER WITHIN 2 BUSINESS DAYS OF RECEIPT / RETURN THIS SHEET TO STORE WITHIN 1 BUSINESS DAY OF DETAIL APPT.
a ALL ESTIMATED WORK IS TO BE QUOTED AT RETAIL PRICE.
a
rnRAURKiT
Store 1140 Project No. 558418387 for ARCHIE LEE Page 3 of 3
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INSTALLER COPY
WAIVER OF LIEN and ONE YEAR WARRANTY(TO BE SIGNED BY CONTRACTOR)
I, the undersigned InstallerAndependent Contractor, having been employed by the Customer who signed the Certificate of Completion below do hereby certify that the work for this project will be or has
been completed in a workman like manner and to the Customer's satisfaction. In consideration of the receipt of one dollar and other good and valuable consideration, and to the extent permitted by ap-
plicable law, 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 materials furnished, and Further certify that all
work performed and materials furnished, if any, by any other party or parties upon the order of the undersigned, have been fully paid for. Further, I the undersigned, agree to cause the prompt release
of any mechanic's lien(s) which may be filed against the Customer's premises by any subcontractor, laborer, mechanic or material supplier claiming the right to file such a lien through work related to
Customer's Contract with Lowe's. In addition to any warranties provided by law or specified elsewhere, including the Customer's Contract with Lowe's, the undersigned further warrants that all work fur-
nished for this project shall be free from defects either in material or workmanship. If any defects in material or workmanship shall be discovered in the work furnished or material used during the course
of the work or within one year from the date of the Certificate of Completion, the undersigned agrees to replace or correct such deflective work or material, free from all expense to Lowe"s and the Cus-
tomer in a manner satisfactory to the Customer.
I further represent that I have given Customer the option of retaining some or all of the surplus materials or having some or all of such surplus materials removed from the Customer's premises.
If applicable to the performance of the work required for this project, 1, the undersigned installeNfndependent Contractor, do hereby certify that I have complied with all requirements of the Lead Renov-
ation, Repair, and Painting Program Rule ("LRRPP RULE"), 40 C.F.R.sec 745.80et seq., or any applicable state laws or program regulating lead -based paint safe work practices, including compliance
with all information distribution, notice requirements and work practice standards in performing the work required for this project. 1 certify that I have provided the Customer with all documentation re-
quired to be supplied under the LRRPP Rule or state program, shall retain all records required by law, and have attached to this document copies of all the records required to be retained by the
LRRPP Rule or applicable state program.
Signed and delivered this day of
SubContractor
Print Name
CERTIFICATE OF COMPLETION
1. I, the Customer, certify that the Installers/Independent Contractors or their sub -contractors, have furnished all Goods and/or services, that installation, repairs and
i alterations or improvements ("the installation services") have been completed as set forth in my/our contract with Lowe's, and that I have been offered the oppor-
tunity to request that Lowe's allow me to retain some or all of any unused, receipted surplus materials rather than have such surplus materials remain the property
of Lowe's.
2. Buyer's initials (Buyer INITIAL ONE only)
Date
There were no such surplus materials.
I accepted all surplus materials I wanted.
I declined to receive any surplus materials.
Owner's Signature
Store 1657 Project No. 558457829 for MARY LUTINSKI
Owner's Printed Name
Page 4 of 4
09
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Number of Linen Cabinets to install u None
r
Total Number of Towel or Tissue Holders u None
Total Number of Shut Off Valves u None
Customer Understands Scope of the Project u No u Yes
Permit Required u Yes u No
Who Will Obtain Permit u Independent Contract-_u_Customer -- __ u Lowe's u Third Party
or
Permit Fee
Additional Miles Traveled over 20 S',0
Y 1
Bring Up To Code Description u None Jt
Bring Up To Code Charge`
Describe Other Work Needed u None
Other Work Charge
Lead Safe Practices 1 u No u Yes
Comments u No Comment s "also need a price on installing a utility sink
00
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Store 1140 Project No. 558418387 for ARCHIE LEE
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Page 2 of 3
d
ArrChonySg111, l -- P.O. Box 953221
Fax: 407-260-9627
Bus: 407.302.1569
rf, rt'YPU"nbr.,u@; We Fait!»
www.SquitieriPlumbing.com
DATE: Thursday, October 11, 2018 INVOICE 6573244
JOB: 1105 N Lake Dr P.O 81083244
NAME: Mary Lutinski
Install Dishwasher
Thank you for your business, $120.00
Anthony A Squitieri