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HomeMy WebLinkAbout10-11084 CITY OF ZEPHYRHILLS 5335 - 8Th STREET - (813)780 -0020 11084 =BUILDING PERMIT Yom+ ,' " d. «,,... . E s t z . �.` i , A uto' 6«s. -“; $ € : I I Permit'Number: 11084 Address: 3 ALISSA DR BLDG 15 UNIT C Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 -ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ORANGE BLOSSOM RANCH Est. Value: Parcel Number: 15-26-21-0170-01500-0000 Im rov. Cost: p 2,191.00 : . r k - _u ° � Aj :w r.. „ � ;�Y Date Issued: 10 /28/2010 Name: D EVLIN, JA Total Fees: 75.00 Address: 37736 ALISSA DR BLDG 15 UNIT C Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/28/2010 Phone: (813)788 -5852 Work Desc: REPLACE 3 WINDOW SIZE/SIZE -ray ' „ a A ,r , ,; . a r , � .:,: �• • . • . s V _ I 75.0 ( Il k il 11 a ..; ar `i ° ?}3 ' � i ay � § x g{» si -'t%''ir — ' f ra :, .� Y' ,� >.�� � �'. .:._ �,r�.6a��x ' �,� r..�. � '4 � .:,:,.. � �„ i .am. .:. R-, F °, � L�� � '�°., . � va.6�' �f3�'t^� . �.� FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE -SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. 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, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvem . your p ' . - -- If you intend to obtain financing, consult with your lender or an attorney befo � 7 in g y our otice of • ' mencement.” . , a. 444. CONT !( a i AT : Fes- " PERMIT OFFI F • EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . .. .......,.�__ . =j — ,.. mac City of.Zephyrliills BUILDING. PLAN REVIEW COMMENTS Contractor/Homeowner: 77//) /) /' 7 5 e S ( - Date Received: /0 7-2 Site: 3 -7-) 3,' 4 1/ 554 cD4 Permit Type: X fi9/aCe & 4,v 4,t9S S/ 2e/S ) 2 Approved w /no comments: ❑ Approved w /the below comments:" Denied w /the below comments: ❑ This comm sh t be ke. .the permit and/or plans. I 7\ ------) / 2 7 � K. ' Switz — '' ans Examiner Date Contractor and/o Home. , 1 er (Required w h e n ' . i i - , . ar p resent) ■ru'L , . N. HOME L SERVICES • To Whom It May Concern: This letter will authorize the following person(s) to act as agent(s) on behalf of THD At-Horne Services, INC, D /B /A The Home Depot At -Home Services, 2690 Cumerland Pkwy SE, Suite 300, Atlanta, GA 30339 to pull for permits and inspections with respect to the installation, maintenance and repair of windows, siding, and fencing under Florida State Residential Contractor license number CGC1507093. Authorized person(s): John Christianson Erick DeDios Kelly Julian Brian Kirby Don Kirby Jason Kirby James Kirby Tim O'Malley Elizabeth Grote Aaron Graulau Charles O'Neil Qualifier — Ed Guillory THD At-Horne Services, INC The Honie Depot At-Horne Services STATE OF FLORIDA COUNTY OF HILLSBOROUGH The foregoing instrument was acknowledged before me this 26th day of January, 2010 by Ed Guillory. g `1 • 44, otary Public — State of Florida SAMANTHA KAAA Pre rx;?' ` " , • ! • -Y PUBLIC . i ,,t i STATE OF FLORIDA , - Comm# DD0608785 My Co'�: i'°° sign Exp ' gyres 10/25/2010 Personally known _x_ or Produced Identification THD At -Home Services, Inc. 207 Kelsey Lane, Suite K ••Tampa, FL 33619 813- 402 -3700 • Fax 813 - 630 -4112 ••Toll Free 866- 653 -8438 509 I (420 813 -780 -0020 City of Zephyrhills Permit Application Fax - 813 -7 §0 -0021 ^f Building Department /� Date Received r / I Phone Contact for Permitting � ( - 1 . -�r 1.E:..� i ... - ' € €�i � 'f- %!'flal...i� .�.1eF11v {i a. Owner's Name ( „ (;n 1 Owner Phone Number �(,� - leis-UN :e= Owner's Address 2 i Sq Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address y�, JOB ADDRESS 8 r •1 i &3 ,, a �� 1Y , LOT # SUBDIVISION �f Qr 31 PARCEL ID# IS dlio - at- olio- Dii ' c:, (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ✓ ADD /ALT I I SIGN I I MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I I OTHER I TYPE OF CONSTRUCTION I I / BLOCK I I FRAME 1 STEEL I I OTHER I DESCRIPTION OF WORK 'Qoe 3 winda.as size Gize BUILDING SIZE SO FOOTAGE HEIGHT ......: a BUILDING $ , ^ I I C VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W. R. E.C. PLUMBING $ I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I GAS 1 1 ROOFING I I SPECIALTY 1 I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 )YES 1 'NO - .::. ... ,, ..,. - !.. a: a!,.)!,[ mmastmf!s wa:! ys!!,: t!! rn! s. sP in,!€!, 9, u:: Stg<.!ra;?. a;;! q+ rran!! f= nlr,!,;;;, ne!,! ISh;!! r,! I@ n{: rc; r,!m)!a;T?;,::a!!,r ::,,,,3..,, BUILDER COMPANY SIGNATURE REGISTERED 1 Y N I FEE CURRENT I Y / N I Address License # ELECTRICIAN _ COMPANY SIGNATURE REGISTERED ' 1 Y/ N 1 FEE CURRENT I Y/N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURRENT 1 Y / N 1 Address License # MECHANICAL COMPANY SIGNATURE - REGISTERED I Y/ N I FEE CURRENT I Y / N 1 Address © License # . / f t" COMPANY SIGNATURE ( � l11 /� REGISTERED Y/ N I FEE CURRENT 1 Y/ N I Address ..; 1 4itetie � ' IWTpc, 343E49 AA {_.. �..� !.� ©! J CV" ' .:n::�re! L. RESIDENTIAL Attach (2) Plot Plans; ( 2 ) sets of ( 1) set of Energy o Energy Fo ri gy For m atoia.,..,,, tar ...,,.,,...;< iu: ;Fi•Wi:iiars;::,....,...,.,.. "., ism . „ .............e;i;,....Eii ".. ,,,,,...;::a;'.,., (2) Building Plans; ( Ims ':. �, :. ...,,,,,. ~•:: a' = [n: 'a: Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities 8 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities 8 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. "PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner 8 Contractor sign back of application, notarized 1 over $2500, a Notice of Commencement is required. (A /C upgrades over S5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter f on public roadways.. needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division— Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner' prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection- Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WaterNVastewater Treatment. Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency- Asbestos abatement. Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required, If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall .be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT E 0 COMM NCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR iLr / Subscribed and sworn to (or affirmed) before me this S--��bscribed and swor r • aff' meQ before me this by tp'I • tome Who is/are personally known to me or has /have produced Si scribed is/are are p' Ito me or ha have produced as identification as identification. Notary Public Notary Public Commission No. Commission No SAMANTHA KAAA 7 NOTARY PUBLIC - Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped ■ • LORIDA • 041 "'-'s" . Cornm# EE017867 Expires 10/25/2014 ORANGE BLOSSOM RANCH ASSOCIATION, INC. 4615 Blossom Boulevard Zephyrhills, FL 33542 June 29, 2010 HAND DELIVERED To whom it may concern: I have approved the installation of windows at the unit owned by Janet Devlin, located at 37736 Alissa Drive. Sincerely, I d CHARLES D. A' E, President CDY:bk , 1 1 i , .... 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O L c n p - - c O U 0 v Q < ° _o. ° I o _ . v a 0 0 d{ v - ✓ 0 i.7) c n z < 3 m v p 1 O • h ° 0 0 0 0 < D U < D LL O O U O D U D < O r v J C O 2".. 0 U v < re CO t` N O 3o L 3 3 w E I v v v 0 in o v u a (n Q '3 XIx H 0-- 01 ac L m N I �--- < Z_ U Z O 0 z n Z z oo 1- O . < , Z 0 I I c� > 0 z D 0 o 0 . 0 d Z < CC � N m a 1H0131-1 311Vii3 11Vel3A0 'MN .42 O w Plan Review Windows & Doors 1) Need manufacturing installation specifications. 2) Must meet sections R308 and R612 of the 2007 F.B.C. 3) If windows are to be installed inside the historical district, they will need to be approved by the historical committee. 4) No other work shall be permitted (framing, plumbing, and mechanical) unless otherwise specified. 5) This is for replacement (glass for glass) only. If you wish to change from screen or vinyl windows to glass, then additional information is required. Pasco County Parcel: 15- 26 -21- 0170 - 01500 -0000 001 Page 1 of 1 I Data Current as Of: Weekly Archive - Wednesday, October 13, 2010 Parcel ID 15- 26 -21- 0170- 01500 -OOCO (Card: 001 of 001) Classification 04 - Condominium I Mailing Address Property Value DEVLIN JANET Ag Land $0 37736 ALISSA DR Land $4,734 ZEPHYRHILLS FL 33542 -5600 Building $53,345 Physical Address Extra Features $0 37736 ALISSA DR ZEPHYRHILLS FL 33542 -5600 Market Value $58,079 Assessed (Save Our Homes) $47,925 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 ORANGE BLOSSOM RANCH Non - School Additional Homestead Exemption - $0 A CONDOMINIUM OR 1200 PG 654 BLDG 15 UNIT C Taxable Value $22,425 & COMMON ELEMENTS Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. I Land Detail (Card: 001 of 001) 7 I Line II Use IlDescriptionll Zoning 11 Units 11 Type Il Price II Condition II Value I 1 Q 0400 0 CONDO II 00R4 II 1.00 0 UT I) $4,734.00 II 1.00 II $4,734 I Additional Land Information I Acres II 0.00 II Tax Area II 30 II FEMA Code 1 X 'Residential CodelI 4OBR L Building Information - Use 04 - Condominium (Card: 001 of 001) Year Built 1989 Stories 1.0 Exterior Wall 1 Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line Description Sq. Feet I Rep!. Cost New 1 BAS 864 $0 2 J fa 36 $0 3 I r 108 $0 I Extra Features (Card: 001 of 001) I Line Description Year Units Value 1 CONDO 1989 1 $50,370 2 FST 1989 36 $607 I 3 II UEA II 1989 II 108 II $1,820 I I 4 CARPORT 1989 1 I $548 I I Sales History I Previous Owner I DEVLIN JANET H & Year Month Book /Page Type Amount 1999 08 4228 / 0956 WD $0 1991 12 2075 / 1829 WD $42,000 1985 07 1430/0153 WD $0 http: / /appraiser.pascogov. com/search/parcel.aspx ?sec= 15 &twn= 26 &rng=21 &sbb= 0170 &... 10/26/2010 / „,... , STATE OF FLORIDA • , ,, � DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION • 7e S :.- ' CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 Y 1940 NORTH MONROE STREET "� `ta'� TALLAHASSEE FL 32399 -0783 GUILLORY, EDWARD LYNN THE HOME DEPOT AT -HOME SERVICES 2690 CUMBERLAND PARKWAY - SUITE 300 ATLANTA GA 30339 • • • 4f " �i t3(e TA_'E O F� OR!6A ^r c i • ' i k' . 3 . Congratulations! With this license you become one of the nearly one million r t '`� ' s �' r ` `"� "� Floridians licensed by the Department of Business and Professional Regulation. ” },- gg ' T P VS fd43 ANapl Our professionals and businesses range from architects to yacht brokers, from F .:4..,.., l - y> E NA Tt�:E ' AI-T;1�`"i P 9 Y . -` x xd Q t , ,c • boxers to barbeque restaurants, and they keep Florida's economy strong, �M � t� t e - .t ` 1 61 , , 1 ['ire . f N Every day we work to improve the way we do business in order t serve you better ,� �, -�,,, Mk l, �,, � �, � � ▪ � �� r�-- !? f �,�-� For information about our services, please log onto www.myfloridalicense.com. -"° '� -4 F D '' f :''� There you can find more information about our divisions and the regulations that x gfIIx ,LQ t v., �YN ` � impact you, subscribe to department newsletters and learn more about the "`j -T , EI bMg Tar p H ME rzet "" Department's initiatives. - +, t r" : ^ur' � Y,. , -7 , ' eI �F4^ r. .-. 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AUG .3 t 2012 , ' sr�*v , ->f { e F F d w tL � pt ` r . - :: r ) ra ?t y nL - t zk.. *i- 1 ; } , !..t.7:, *1%•= *' [ , , i,;; '' ; v r iiV . 1 i. tip - ,: r y '7' x 1 C� - ' ,r c < c } i ' i t t - t `f, " �t r • f '.. J 5 `i< > .F /': - . ,L 'V,:vr,. • i -s r ; y" 44?) , , Si t_, ! i ' ' t ` r G D W A RD `,` L' X, N ` i- '.,.1k,-1.:.:...!. �„ 1 , -. "6, kt a'. $` �.. �r ;r r THE HOME DEPOT ATiOME LL SE TI•CES` _� }t' - t't S � gr �'€ 3.735 `LAKE' E.REZZE ROAD i y IKTC a-7.- E: t ' p ' i , yr . ._ . b.. LAKE CHARLES ti r LA 70605 } a k, # t "4 r '� ; T t' .> , 1 s v -, r. 4 /• 4 r t 4 � • .r., ,�M a t -[� .74''e ar[ .lty. ^[ A,t y 9, , [ xF.l t - ;t ti T _ »a L s t� - xa i ; Lt ▪ a w a F , . " w 4itii'° ,i5,`.,. .+ '. i y. `4 t. t yr ( r-'4i 1 s;`∎ •}, 'r� • , "„f + `s°',_,', §t : -I , , . : - ` 1 0. - - p - z - . F r y : r 0. i 1. ..x t .r x _Z:;: RLIE: -: CRI=ST f it 'a it ?4': f:4:.' t :sir �y6 i"°"° `_ ,� "` ;K, s y+, x i.cs. 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O p 0 oo 0 HOME IMPROVEMENT CONTRACT PLEASE READ THIS - Sold, Furnished and Installed by: • Date: � ' . /�- THD At -Home Services, Inc. Branch Name: Tampa d/b /a The Home Depot At -Home Services 207 Kelsey Lane Suite K, Tampa, FL 33619 Branch Number: 49 Toll Free (866) 653 -8438; (813) 402 -3700; Fax (813) 630 -4112 Fein # 75-2698460 CCRC004858 CCC1 0 325540, CRC1327 31 1 - 4.(�_ D( fl .4 tJ/f 7 - 3" SyZ Installation Address: City Stath Zip purchaser(s): .. Work Phone: Home Phone: Cell Phone: J19t,t 1 lEt L 1 l%.1 11 1 [ 131 42g-5:g5 a 1 1 I [ 1 [ 1 Home Address: (If different from Installation Address) City State Zip E -mail Address (to receive project communications and Home Depot updates): ❑ I DO NOT wish to receive any marketing emails from The Home Depot Proiect Information: Undersigned ( "Customer "), the owners of the property to locate ed at th ey bove in the instal agrees to bu and THD At -Home Services, Inc. ( "The Home Depot ") agrees ( "Installation ") of all materials described on the below and on the referenced Spec Sheet(s), all of which are incorporated into this Contract by this reference, along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders (collectively, "Contract "): . Job #: pm...., xata,m«l P r : Spec Sheet(s) #: Project Amount [Mooting ❑S indows ❑ Insulation n e� 3 $ 1 G S fl U l b et- ❑Gutters /covers ['Entry Doors ❑ �d / l / [Mooting ❑Siding ❑ Windows ❑ Insulation $ ['Gutters / Covers ❑Entry Doors ❑ ❑Roofing ❑Siding ❑ Windows ❑ Insulation $ ['Gutters / Covers ['Entry Doors ❑ ❑Roofing ❑Siding ❑ Windows ❑ Insulation $ ❑Gutters / Covers ❑Entry Doors ❑ 10% of Contract Amount Total Contract Amount $ due upon execution of this contract 2, / 7 Customer agrees that, immediately upon completion of the work for each Product, Customer will execute a Completion Certificate (one for each Product as defined by an individual Spec Sheet) and pay any balance due. As applicable, each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s) included herein, at its discretion, if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the home, environmental hazards such as mold, asbestos or lead paint, other safety concerns, pricing errors or because work required to complete the job was not included in the Contract. Payment Summary: The Payment Summary # LAPJ , included as part of this Contract, sets forth the total Contract amount and payments required for the deposits and fin payments by Product (as applicable). NOTICE TO CUSTOMER You are entitled to a completely filled -in copy of the Contract at the time you sign. Do not sign a Completion Certificate (note: there is one Completion Certificate for each listed Product as defined by individual Spec Sheets) before work on that Product is complete. In the event of termination of this Contract, Customer agrees to pay The Home Depot the costs of materials, labor, expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination, plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE, WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acceptance and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and Installation services and supersedes all prior discussions and agreements, either oral or written, relating to said Products and Installation. This Agreement cannot be assigned or amended except by a writing signed by Customer and The Home Depot. Customer acknowledges and agrees that Customer has read, understands, voluntarily accepts the terms of and has received a copy of this Agreement. Accepted by: Submitted by: X\ ' " I ll \ i.r X 'A � . ust er's Signature Date Sales ons tant s Signature Date X Telephone No. �/3 ' 33 - 4 / s" � Customer's Signature Date Sales Consultant License No. CANCELLATION: CUSTOMER MAY CANCEL THIS (as �cattg1 AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON 'THE THIRD BUSINESS DAY '; T2 ; AFTER SIGNING THIS AGREEMENT. 'THE STATE ' :: r ' r �� 3+ SUPPLEMENT ATTACHED HERETO CONTAINS A i FORM To USE IF ONE IS SPECIFICALLY PRESCRIBED I S E P 2 8 2010 BY LAW IN CUSTOMER'S STATE. NOTICE: ADDITIONAL TERMS AND CONDITIONS ARE ST t, ON_THE REVERSE SIDE AND ARE PART OF THIS CONTRACT Page 1 of 2 4 - 27 - 10 . C - SC White - Branch File Yellow - Customer