236 McKay Blvd - BR18-002617 - WINDOWSitCITY
OF
SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMI TAPPLI CA TIIO7N
Application No: 0G J
Documented Construction Value: S 2762.00
Job Address: 236 McKay Blvd Historic District: Yes No
Parcel ID: 31-19-31-527-0000-0830 Residential Commercial
Type of Work: New Addition Alteration Repair Demo[] Change of Use Move
Description of Work: Replace 3 windows size for size
Plan Review Contact Person: Tim O'Malley Title:
Phone: 727-637-8400 Fax: Email: tim.omalley@expeditepermit.com
Property Owner Information
Name Kathleen Brooks
Street: 236 McKay Blvd
City, State Zip: Sanford, FL 32771
Name The Home Depot
Street: 9208 Florida Palm Drive
City, State Zip:
Name:
Street:
City, St, Zip: _
Tampa, FL 33619
Bonding Company:
Address:
Phone: 407-415-3297
Resident of property? :
Contractor Information
Phone: 727-637-8400
Fax:
State License No.: CRC046858
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. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FRC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6i° Edition (2017) Florida Building Code
Revised January I, 2018 Permit Application
tV, 00
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 ofthe 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 tithe 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.
2 L,- 6/f
Signature of Owner/Agent Date Signature of Contractor/A& — Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
C G `.
CHRISTINE R. O'MALLEY
W COMMISSION N GG 163512
EXPIRES: January 29, 2022
Fes •? ` Bonded 1Dru Notary Public Undem ters
6/y/i d
Owner/Agent is Personally Known to Me or Contractor/Agent is ,IN Personally Known to Me or
Produced 1 D Type of 1 D Produced ID Type of I D
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: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: Sr C. • q• 4
Revised: January I, 2018 Permit Application
REQUIRED INSPECTION SEQUENCE
Rpm. i4 _'7 i'- i --T
Min MaL. IIn3 ection IIDescri Lion
Footer / Setback
Stemwail
Foundation / Form Board. Survey
Sfab /Mono Slab Pre our
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing— Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final. Pool Screen Enclosure
Mobile Home Building Final
Pre -Demo
Final Demo
Final Single Family Residence
Final Building Other
Address:
Etxcrmcm.MQ Kt-r
min max IIn3 ection Description
Electric Underground
looter / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
1 Jlr Ck'AWCA :P.6
balm max IIns ection Description
Mechanical Rough
Mechanical Final
s
1 9[in 1 9faA rnn ectnonn.IIDescri tion
Gas Underground
Gas Rough
Gas Final
REVISED: June 2014
Q)nt'kv;-v,4- O V%U-INCY
This Instrument Prepared By:
The Home Depot
9208 Florida Palm Dr.
Tampa, FL 33619
Permit No.
State of Florida \\ ,A
County of v-+C -
GRANT MALOY, SEMINOLE COUNTY
CLERK OF CIRCUIT COURT G COMPTROLLER
BK 9148 Ps 1797 (1F'ss)
CLERK'S : 2018065315
NOTICE OF COMMENCEMENT RECORDED 06/08/2018 11:27:13 All
q R C IN %810.00
Tax Folio No.3 ' l ` 5 + ' Sd! • 'J1D , Nevore THE
UNDERSIGNED'hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713,.Florida Statutes,
the following information is provided in this.Notice of Commencement: General
description of improvement:_.& 3.
Owner information a)
Name and address: b)
Interest in property: Qkja c)
Name and address of fee simple of
property, and street ad*ess if available) a3 C'LV- titleholder (
if other than 4.
Contractor ' a)
Name and address: The Home Depot, 9203 Florida Palm Drive, Tampa, Fl. 33619 b)
Phone number: 813-626-7548 5.
Surety a)-
Name.and address: N/A b)
Amount of bond c)
Phone -number: 6.
Lender a)
Name and address: N/A b)
Phone number: 7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.
13(1)(n)7., Florida Statutes: a)
Name and address: N/A b)
Phone number: 8.
In -addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b). Florida
Statutes: a)
Name and address: N/A b)
Phone number: 9.
Expiration date of notice of commencement (the expiration date is 1 year from the dnte of recording unless a different date is specified) WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART L SECTION 713.13. FLORIDA STATUTES, AND CAN 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 TEND TO OBTAIN FIN#NCDJG, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR REC R G YOUR NOTICE OF MAMMETENT. 10. '
Signature
of -Owneror Owner's Au orized Officer/Director Partner/
Manager C_\ Signatory'
s Title/Office -A '&A4 % The
foregoing instrument was acknowledged before one this Ada), of N\g4T— by - tame
of person) as r1W *-A— (tytx of nuthorit . e.g. offkcr, trustee. attorney in fact) for name of
party on behalf of whom instrument was executed). Thomas Basciano—
t'tNOTARYPUBLICSignatureof Notary Public -State of Florida STATE OF
FLORIDA Personally known _ or Produced Identification Comm# GG208972
verification Pursuant to SecaD 92.53, Ilorida Statutes o Expires
4/18/2022 Under penalties
of perjury. I declare that I have read the foregoing and that the facts stated in it arc we to the best of m kn ledge and belief. x Si
ture
of Natural Person Signing (in Line11)0) Above Revised 2/
15117 CERTIFIED COPY
GRANT URT CLE OFTHECIRCUITCOURTANCOMPTR01'
SEMI I :
LORIDA ` BY Gate,____,_
Home Improvement Agreement: Page 1
Home Depot License Number(s): Visit www.homedepot.com/c/SV_HS_Contractor_License_Numbers for latest license info
FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831,
CCC1331113, CCC1331130
Salesperson Name: IThomas Basciano Registration No. (if applicable):
Home Depot U.S.A., Inc. ("Home Depot") or service provider named below ("Service Provider") will
furnish, install or service the equipment listed below at the price, terms and conditions as outlined on
this form.
BROOKS KATHY Fampa -61V011P
Customer Last Name Customer First Name Store # / Branch Name Lead/Customer Order #
236 McKay Blvd Sanford 132771
Customer Address City State Zip
407) 415-3297
Home Phone# Work Phone# Cell Phone# Customer Email Address
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT HOME DEPOT USA INC.,
2455 PACES FERRY ROAD, BLDG. B-3, ATLANTA, GEORGIA 30339 or EMAIL
The Home Depot @ customercancellationsouth@homedepot.com
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 PAYMENTS 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 HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO
CANCEL. PLEASE SIGN BELO TO ACKNOWLEDGE THAT Y U HAVE BEEN GIVEN ORAL AND
WRITTEN NOTICE OF YOUR RI HT NCEL.
Acknowledged by: 05/19/2018
Customer's Signature 161Date
Contract 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: 12762.0o Includes all applicable taxes. Excludes finance charges.*
Sales Tax: 10.00 (If applicable)
Maximum deposit ONLY applicable in MD, MA, ME (335yo), NJ, Wl (99%)
Dep. 125.0 % Deposit Amount 1690.50 j Remaining Contract Balance 12071.50
The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 - Customer Care: 1-800-466-3337
Customer Agreement (C.E.1)(31 Jan. 1B) v 50.12
LIMITED POWER OF ATTORNEY
I, Boysie Ramdial (Name of Home Depot Qualifier), license # CRC046858. hereinafter referred to as the
License Holder," the qualifying agent of The Home Depot, hereby appoint the following persons as Attorney -in -Fact
of the License Holder/The Home Depot, who shall act as my agent with respect to only the following matters (a)
signing and submitting building permit applications, (b) obtaining building permits, and (c) obtaining the certificate of
occupancy from Sgy tea- (pertinent city/county/state) on behalf of the License Holder/The Home Depot:
Brian Kirby
Aaron Hallich
LICENSE HOLDER:
Tim O'Malley Erick DeDios
Sign: YP- --j-q-UL
Print Name: Boysie Ramdial
Date: r,1 T h 17
Title: Regional Compliance Mana eg_ r
Company Name: Home Depot USA
Mailing Address: 1216 Isben Ave
Orlando, F132809
Telephone No.: 404-593-4879
Fax No.:
State of: Florida
County of: Orange
David Weed Christine O'Malley
sq r F L 3 T 1 1
WITNESSES (Two signatures requires!):
Sign: 2/f--
Print Nam d—','/^
Date: CK7 // Y Sign:
Ay ~ Print
Name: 1CJn k Date:
Cc Z I J-- This
Limited Power of Attorney is non -durable, meaning it ceases effectiveness if the principal becomes incapacitated. If
I have designated more than one agent, the agents are permitted to act separately. This
power of attorney and authorization shall expire on X)
This power of attorney and authorization shall continue in full force and effect until I deliver to you a letter revoking
the power or a new Limited Power of Attorney form replacing any previous authorization. The
foregoing instrument was acknowledged before me this '1 **4' day
of 20 d'6y Boysie
Ramdial, the Qualifier of The Home Depot , a corporation.
Notary
Public Commission
Expires: corporation,
on behalf of the CHRISTINE
R. O'MALLEY MY
COMMISSION # GG 163512 EXPIRES:
January 29. 2022 Bonded
Thru Notary Pubrk Undennrllem Updated
31912017 SGR/
15641978.1