2107 S Oak Ave - P18-004714 - WATER HEATERCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Q
Application No: a"
Documented Construction Valtic: $ 1214.00
Job Address: 2107 S OAK AVE Historic District: Yes No E2
Parcel ID: 36-19-30-5310-0000-0040 Residential ® Commercial
Type of Work: Ncw Addition El Alteration RepairEl Demo Change of Use Move Description
of Work: REMOVE AND REPLACE 30 GAL ELECTRIC WATER HEATER Plan
Review Contact Person: NIKKI BARTHOLOMEW Title: Phone:
386-775-0909 Fax: 386-775-0918 Email: NBARTHOLOMEWa@FQPLUMBING.COM Name
CHARLES RAMOS Property
Owner Information Phone:
407-416-7966 Street:
2107 S OAK AVE Resident of property? City,
State Zip: SANDFORD FL 32771 Contractor
Information Name
FIRST QUALITY PLUMBING Phone: 386-775-0909 Street:
746 N VOLUSIA AVE Fax: City,
State Zip: ORANGE CITY, FL 32763 State License No.: Architect/
Engineer Information Name:
Phone: Street:
City,
St, Zip: Bonding
Company: Address:
Fax:
E-
mail: Mortgage
Lender: Address:
386-
775-0918 CFC050566
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. RIC
105.3 Shalt be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code q 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 ofthe requirements of Florida Lien Law, FS 713.
The City ofSanford 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 'cable 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 Date
Print Owner/Agent's
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/A ent
GARY WAYNE EVERS
Print Contractor/Agent's Name
Signature of Notts ar- Skate
ter'• N. • Nl(;lJO .E (JA.RT . .OMEW
MYCOM 41SSI(yg0FF2369/1
o. EXPIRES' June 3, 2019Y; Jonded nuajwtnly Publa: Undenv14e's
Contractor/Agent is X 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:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
12/3/2018 SCPA Parcel View: 36-19-30-531-0000-0040
I , ' OsvldJo wn,efa Pro-Wy Record Card
Parcel: 36.19-30-531-0000.0040
t'
c> xrty r xar Property Address: 2107 S OAK AVE SANFORD, FL 32771
Parcel Information Value Summary
Parcel 36 19 30 531 0000 0040 2019 Working 2018 Gertifted
Owner(s)) RAMOS, CHARLES N
Values Values
Valuation Method Cost/Market Cost/Market
Property Address 2107 S OAK AVE SANFORD FL 32771
Number of Buildings I 1 1
Marling 2107 S OAK AVE SANFORD FL 32771-
Subdivision Name- tENAUD P(LRK
Depreciated Bldg Value $70,432 $68,102
Tax District S1 SANFORD
Depreciated EXFT Value $1,272 $1,200
Land Value (Market) $29,400 $29,400
DOR Use Code 01 SINGLE FAMILY Land Value Ag
II Exemptions f 00-HOMESTEAD(2012) 1 Jusl/Market Value ! $101 104 $98,702
Portability Adj i
Save Our Homes Adj 21,492 20.727
Amendment 1 Adj 0 0
P4G Adf .t `a i0 ; ' 0
Assessed Value 79 612 77 975
Tax Amount without SOH: $1,062.54
2018 Tax Bill Amount $673.50
Tax Estimator
Save Our Homes Savings: $389.04
Does NOT INCLUDE Non Ad Valorem Assessments
INSTALLER COPY
INSTALLATION SERVICES CUSTOMER CONTRACT - PLUMB - WATER HEATER ONLY
LOWE'S OF SANFORD, FL, STORE 4 1657 STORE PHONE: (407) 430-4060
780 S ORLANQd DR SALESPERSON: MICHAEL MCKINLEY
SANFORD, FL 32773-5614 SALESPERSON ID: 2362627
Document Print Date : 11/30/2018
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 anyotheraddendaorattachmentshereto, shall be referred to herein as this "Contract.'
PLEASE READ THIS ENTIRE DOCUMENT INCLU€?1NG THE "TERMS AND CONDITIONS BEFORE SIGNING.
Lowe's Registration or Contractor License Number / Lowe's Contractor Name
Florida Contractor License Number CGC1508417
Customer Name
S CHARLES RAMOS Home Phone
407-416-7966
a Customer Address
Other Phone
2107 OAK AVE
L City State / Province Zip / Postal CodeDSANFORDFL32771
Installation Address
T 2107 OAK AVE
O Installation City Installation State/Province Installation Zip/Postal CodeSANFORDFL32771
MERCHANDISE AND INSTALLATION SUMMARY
MERCHANDISE SUMMARY
543481 : 20814.0 : STK : 26-IN ALUMINUM WTR HTR DRAIN PAN: 26-IN ALUMINUM WTR HTR DRAIN PAN: CAMCO MANUFACTURING INCORP. - CITY1
816161 : E6-50R45DV : STK : AO SMITH 50-GAL 6YR ELECTRIC REG : AO SMITH 50-GAL 6YR ELECTRIC REG : AMERICAN WATER HEATER CO INC - QTY 1
Materials Price S 438.2
INSTALLATION DESCRIPTION
Store 1657 Project No. 563710258 for CHARLES RAMOS Page 1 of 4
INSTALLER COPY
Installation type : Residential
Water heater type : Electric
Emergency installation : No
New water heater stand installation: No
Earthquake strap installation : No / No detail completed
Drain pan / line installation estimate : No / No detail completed
State specific permit : No
Permit fee: Yes
Number of water heaters to replace : 1
Water heater size: Less Than 70 Gallons
Hard access installation : No
Expansion tank installation : No
Piping modification estimate : No I No detail completed
Customer understands scope of the heater project : Yes
Permit : Independent Contractor
Additional miles traveled over 20 : 0
Describe other work needed : install new drain pan and line new gate valve and Other work charge: Yes
expansion valve
Comments : customer needs detail on water heater install in carport converted
into a room
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 informingCustomerofthepotentialriskoftheleadhazardexposurefromrenovationactivitytobeperformedinCustomersdwellingunit.
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 inandtothephotographsforuseinallmarketsandmedia, 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 moreGoodsthanactuallywillbeinstalledbasedonthemeasuredsquarefootageoftheProjectArea. 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 signingthisContractbelow, 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 byaNEUTRAL_ ARBITRATOR and NOT a judge or jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration procedures are SIMPLER AND
Store 1657 Project No. 563710258 for CHARLES RAMOS Page 2 of 4
INSTALLER COPY
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.
TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES e applicable
SUB -TOTAL
TAX
DELIVERY
ORDER TOTAL
BALANCE DUE
1214
0
0
1214
Store 1657 Project No. 563710258 for CHARLES RAMOS Page 3 of 4
INSTALLER COPY
WAIVER OF LIEN and ONE YEAR WARRANTY(TO BE SIGNED BY CONTRACTOR)
I, the undersigned Installer/Independent 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 hasbeencompletedinaworkmanlikemannerandtotheCustomer'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 1, the undersigned, now have or may hereafter have for labor or materials furnished, and Further certify that allworkperformedandmaterialsfurnished, 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 releaseofanymechanic'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 toCustomer'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 detects either in material or workmanship. If any defects in material or workmanship shall be discovered in the work furnished or material used during the courseoftheworkorwithinoneyearfromthedateoftheCertificateofCompletion, the undersigned agrees to replace or correct such deffective 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 Customers premises. If applicable to the performance of the work required for this project, f, the undersigned installer/Independent 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 compliancewithallinformationdistribution, notice requirements and work practice standards in performing the work required for this project. I 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 theLRRPPRuleorapplicablestateprogram.
Signed and delivered this day
Seal)
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
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 propertyofLowe's.
2. Buyer's initials (Buyer INITIAL ONE only)
There were no such surplus materials.
I accepted all surplus materials I wanted.
I declined to receive any surplus materials.
Date:
Owner's Signature Owner's Printed Name
Store 1657 Project No. 563710258 for CHARLES RAMOS Page 4 of 4
STORE COPY
WITNESS OUR HAND(S) AND SEAL(S) BELOW THIS, DAY OF
Lowe's Home Centers. LLC
YB. —A I/ U (Seal)
Print Name:
Address
City State / Province Zip / Postal Code
Lj-qt(-:imPr ;4r-knAkAJl0rfnM0 —1 i f f : I -- -- --
Ownk, (Seal)
Print Name
Co -Owner or Witness (Seal) I
Print Name
rly , ---Q V1.tVUtt;y 4nEVU111pilUf LU tutitorners execution nereot. YOU the customer may cancel this transactionatanytimepriortomidnightonthethirdbusinessdayafterthedateofthistransaction. See the attached Notice of Right to Cancel for an explanation ofthisright.
Store 1657 Project No. 563710258 for CHARLES RAMOS Page 4 of 7