HomeMy WebLinkAboutProject Information F —
RECEIVED
PO# Q S & PERMIT CHECK LIST
JUN 28 L'S9
NAME ,5T. W910 county, ftrmlttino
ADDRESS — a%05
PHONE # l ) 0 _ 2—
Owner of property (if different fro customer) as listed on the County Property Appraiser website
�, e
Installation Site Address 5e_ /
Customer has hurricane shutters or plywood? Yes No
Permit applied for: <"
Door(s) Window(s) Both
If door(s), check all that apply:
SINGLE ENTRY Inswi�9 Outswing Side lite
DOUBLE ENTRY Inswing Outswing Side lite
SLIDING GLASS DOORI; Aluminum Frame Vinyl Frame
Brand or manufacturer:
Jeld Wen Masonite ; Pella Thermatru .ESP
Reliabilt Better Bilt 1Other
Will door have any glass in it? Yes No _ If Yes >
Will glass be impact resistant? Yes No
Florida Product Approval# (for door)
If window(s), check all that apply:
i
Aluminum Vinyl Other
Single Hung Double Hung Side by Side
Insulated Glass Impact Glass
Brand or manufacturer:
Better Bilt Jeld Wen Modern Pella West Palm
EAS Other
Florida Product Approval# C-L- Co Sb 6 1 (for window)
Miami Dade NOA#
Submit sketch of house showing loAtion of windows, rooms and sizes ea
Total amount of contract(labor &materials) $
Copy of Quote with signature has been sent with package Yes No
I
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I
r CONTRACT# 0116936
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FLORIDA SERVICES SOLUTIONS INSTACLEb SALES CONTRACT
LOWE'S AUTHORIZED•REPRESENTATIVE NUMBER: - OMER (�
Dig
G—�Oh-CX C10NO
STORE NO. STREET ADDRE �\ - STREET ADDRESS 1
Gt�41 3bt7
rry\ STATE ZIP _-`STATE ZIP
TELEPHONEdab
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DATE LOWE'S CONTRACTOR LICENSE NUMBER CASH BANK LCC REG
27 / CGC150B617 �. CHARGE
This is my a geote.for the merdiandise and services'printed Mlaw This becomes ori agrcement uQn;ri.paymenL-Upon payment,itie etre agreement,mdudirig�iha speeigra0y completed'pages of this u 7•S-L„ Ez VE
document,the Terms and Conditions iriduded--with this and any other addenda and attachmerits hereto shall be referred, harem as this'Contrail.-
PLEASE READ ALL TERMS AND CONDITIONS ON THE REVERSE SIDE OF TMs PAGE AND FOLLOWING PAGES BEFORE SIGNIryG �� (�y(]
O
n �NSTALLATION Ei�DRESSvQ el�rL..� . STATE ZIP
J]1`11 2 8 ?o1J
t—rte;• �- v e, \.��� s�c��� �� ��,,• � �D `1AVRfrlr_ie CcLrntY, Permitting '
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NOTICE TO USTOMER—PRICE CALCULATI :In order to properly perform the installation of Certain Goods,the Contract Price ma'include more J
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 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 TO CUSTOMER: Federal law requires Lowe's to provide you with the
pamphlet Renovate Right.By signing this Contract,Customer acknowledges Contract Total LIG�'
having received a copy of this pamphlet before work began informing Customer { l , I `G
of the potential risk of the lead hazard exposure from renovation activity to be "applicable taxes included
performed in Customer's dwelling unit p}y�Y
NOTE:If rotted wood is discovered during installation additional charges w I Rlp}yE Y will be given a quote and a change order
must be completed and sined by the customer for any additional charges i�]k'Y1�Customer must initial.
'Any work or material not specifiedis not included in this contract.Any changes or additions will;41%additional charge for the material and labor.
NOTICE TO OWNER: - ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (_SECTIONS 713.001-713.37, FLORIDA
STATUTES),THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN
FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY.THIS CLAIM IS KNOWN AS A
CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A- SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS,
SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS,THOSE PEOPLE WHO ARE OWED•MONEY MAY LOOK TO YOUR
PROPERTY FOR PAYMENT,EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL.IF YOU FAIL TO PAY YOUR
CONTRACTOR,YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY.THIS MEANS.IF A LIEN IS FILED YOUR
PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR,MATERIALS,OR OTHER SERVICES THAT YOUR
CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY.TO PROTECT YOURSELF,YOU SHOULD STIPULATE _
IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE,YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A
WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A"NOTICE TO OWNER."
FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX,AND IT IS RECOMMENDED THATYOU CONSULT AN ATTORNEY.
PHOTO RELEASE:Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photographs of the Premises where
Installation Services will be performed and all work performed at the Premises related to this Contract,and irrevocably grants to Lowe's ht,titre and
interest in and to the photographs for use in all markets and media,worldwide,in perpetuity.Customer authorizes Lowe's to copyng se and publish the
photographs in print and/or electronically,and agrees that Lowe's may use such photographs for any lawful purpo c 'ng, not limited to,marketing,
advertising,publicity,illustration,training and Web content.By initialing here,Customer agrees to the foregoing Customer to initial to the left].
1A{orkjs to-C mance upon reasonable availability of Contractor andfor any special r f_-; d de Good(s)which is anticipated to be
y t''SS Y [fill in date].Estimated completion date is ^� [fill in date].
Said est mated substantial completion date is not of the essence.A statement of"any contingen ies that would materially change said estimated substantial
completion date is as follows:
(if applicable,insert a statement of such contingencies).
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 REVIEW BY A COURT.FOR MORE DETAILS:Review the section titled ARBITRATION AGREEMENT,WAIVER OF JURY
TRIAL AND WAIVER OF CLASS ACTION ADJUDICATION found in-the Terms and Conditions of this Contract
DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON ALL
PAGES OF THIS CONTRACT.BY SIGNING BELOW,YOU ARE ACKNOWLEDGING THAT YOU HAVE READ,UNDERSTAND
AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON ALL PAGES OF THIS CONTRACT.YOU ARE ENTITLED TO A
COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE.
WITNESS OUR HAND(S)AND SEAL(S)BELOW THISA2i DAY OF
Lowe's Home Centers, LLC
wrier
Lowe's Authorized Representative \ Co-owner or witness
Customer acknowledges receipt of a true copy of this contract which was completely filled in prior to Customer's execution hereof.You,the buyer,may
cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.See the attached notice of cancellation
form for an explanation of this right.
able design
55106 REV. 12/13 FILE COPY ®2are 4regLowe's
istered trade marks o.LF Coryo 6bn .
Date: 6/21/19 FAX:
Bahama & Colonial Order Form Customer: Rob Crosson IMMM
Eastem Moral SuPillY Vendor# 84974 Bahama SOS# 473912 Store#: 240 Sales: Mike Spell $' 331 00 $ 6 75;1
Colonial SOS# 494119
e. e.
1 1130 paw,
1 Impact Bahama(HVHZ) 94.000 63.000 Y W Vented Single Sky White 94.000 63.000 42 $ 1,619.94 $ $ 283.50
.........................._......_........................_...........__................................................................-................_..........................................._.........._.._...................._............_._............................._.__........---.................................._................._... .._..........._................._............._................._.................................................................................................................................._..........._......._........._..................................._.........................._....................._.....................
__..;
'..2....Impact Bahama(HVHZ) ---_ 50.500 _ 54_000 Y -- W........ Vented Single - ---Sky White _.__.._....___50.500 54.000 19— $ - - 732.83 $ - -- -$ 128.25
_— .. .........._. ...........--- _._.......—.:
3 Impact Bahama(HVHZ) 50.500 54.000 Y W Vented Single Sky White 50.500 54.000 19 $ 732.83 $ - $ 128.25 '
-...._..........__._._....................._...... ......_.........-..-.._...............-.._.-..._........_....._.......__....-.._..........-.._.........._......_..__....._..........-....._.......-.._....__....................._......_-....---_---...._---..-._.._......__.... ....._...._.._.--...._.........-........_........._.._...-..-._._.........._..._-.........-..............-----......-......._._....................._.............._........................-_.-....._.....-.--....._......_....._...................__.._..._....... .._....-....._.
4 Impact Bahama(HVHZ) 50.500 54.000 Y W Vented Single Sky White 50.500 54.000 19 $ 732.83 $ - $ 128.25
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245500°;225;000 245:500 225.000 99 $ 3.818.43 $ $ 668.25:.;
Shutter and Installation $ 4,486.68
THIS QUOTE IS AN ESTIMATED-PRICE BASED ON THE DIMENSIONS Premium Color $
......_—..._..._-__.._ __.__—-------_—.____.._.___—.— — 'AND INFORMATION YOU PROVIDED.FINISHED DIMENSIONS WILL BE
THE FINISHED SIZE OF THE UNIT(S):PLEASE CONFIRM DIMENSIONS' Hardware $
WILL WORK FOR YOUR CUSTOMER PRIOR TO ORDERING.. Permit $ 331.00
—...... -- ...__.....--- ------- — ----...___..._..__._
---- -------.- 'STANDARD AND SPECIALTY INSTALLATION HARDWARE SOLD ---'—_----"----_='-=_--=-----_--�- -
_ _ SEPARATELY.SOS ITEM ARE NON-REFUNDABLE.ALL INFORMATION_ .fob Total $ 4,817.68
-'-"' - -- - — MUST BE CONFIRMED AT THE TIME OF ORDERING.TO PLACE AN:
.... ......................................................_.............._................_.._........_ ...-.._.__.._....-..........._........._...__.............._....._........................._.._ ORDER THIS FORM MUST BE COMPLETED.SIGNED,AND FAX OR
_._..._...—__.._.....____.-_...._..._......................._____--____....._._....--...._................__..............------—._ EMAILED WITH A PURCHASE ORDER TO AVOID ANY DELAYS.
FAX#561-841.4592 OR EMAIL
BERTHAORDERS@EASTERNMETAL.COM.PLEASE CONTACT US AT LOWES REP SIGNATURE:
......... ............ .. .... ......._....................... ................ ................................................_ .. 866 242-25 HAVE ANY QUESTIONS
79 IF YOU
DAT V
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�` •'�� ; � :'-�: Hardware Total, $ -� °
Form pdated: 1/18/2019
[PR-,ECEIVED
UN 2
Cie County, Permitting]