HomeMy WebLinkAboutpermittig authorization formLSCI, Inc. d.b.a. SunTec
4625 East Bay Dr., Ste. 305
Clearwater, FL 33764
DI
SUN -TEC
SOLAR,ENERGY
OF ATTORNEY
AUTHORIZATION FORM
Solar. License #CVC056656
Electrical License # EC13001300
AC License#CAC009274
owne l of the property located at �Jd �`(� Wn ��
do hereby authorize the permitting department of LSCI, Inc.
(listed below) to sign and apply for a building tation
rmit on my behalf. This authorization is valid ONLY for the purpose
of obtaining a permit to perform the solar inst work contracted for. The ONLY permit(s) which may be
applied for under the terms of this letter are those which the authority having jurisdiction (City or County) deem(s)
necessary under the current Florida Building Code, given the scope of work contracted for. Contractor(LSCI, Inc.)
will be responsible for any and all fees associated with this permit application. This authorization will remain valid
until said permit is issued by the respective Bui ding Department, or until thirty (30) calendar days from the date
listed below have transpired, whichever is less.
omeowner Si ure
Notary as to OwnerZs
E-�foj
Notary Public State of Florida
POLLY ALVAREZ HEOANDEZ
PAy Commission fib 125150
Expires 07/1712021
�,�L(-- C- F���0 / �
Printed Name Date
Notary Seal/Stamp
LA
Sworn and subscribed before me this day
of 20 and [ ] is personally
known or[ ] produced OL_ , as identification
and Mead — CVC License Holder
las Danker— EC License Holder
3r Hernandez — Permit Tech
icketa Clarke — Permit Tech
n Vanderplate— Permit Runner
4625 EAST BAY DR. STE. 305
CLEARWATER, FL33764 -'
727-571-4141
INC. DBASUN-TEC 7231 HAVERHILL PKWY #201
RIVIERA BEACH, FL 33407
Agreement 877-834-7868
Certified Solar Lic. #CVC056656
Certified Electrical Lic. #EC13001300
Purchaser's Names:
Marie Fenton
Date
4/7/2018
DOB's
10/17/1952
SSN's
092686668
Address
5305 Southwi nd Tr
Phone
Main: 5616541791 Alt:
City
Fort Pierce
Zip
34951
County
saint Lucie
Email 's
efenton1952@gmail.com
This agreement and the worksheet agreement(s) attacl}ed hereto (the "Agreement"), by and between LSCI, Inc., a Florida corporation doing
business as Sun-Tec ("LSCI"), and the purchaser listed above (the "Purchaser"), specify the terms for the materials to be provided and services
to be performed by LSCI in the residence located at the address listed above (the "Property"). LSCI shall furnish, deliver and arrange for
installation (the "Services") of all materials necessary to improve the Property (the "Products") according to the following specifications,
including all worksheets and forms attached hereto:
ih Solar Hot Water ❑ Photovoltaic:
I❑ Financed ❑ COD Deposit $ 0 P
Check No. CC Type
LSCI and Purchaser agree as follows:
(1) Services. LSCI shall perform all Services and install all Product
changes, alterations, or additional demands by Purchaser shall b
charges, which if in excess of $100, shall be paid by Parchas,
specifically ordered by LSCI may require an up charge, such chi
(2) Wanan.All Products are warranted asper the individual Prodw
with all manufacturer requirements associated with those warrar
be made to the Products' manufacturer(s).
(3) Payment. Purchaser shall pay LSCI for the Products and Service
a late fee equal to five percent (5%) of any installment due under
due immediately. If any payments due require the use of collect
Products will remain with LSCI until all sums due have been pa
Additionally, LSCI can stop work if payment as set for herein is
(4) Risk of Loss for Products. Once Products have been delivered ti
to Products once such Products have been delivered to the Prope
(5) Liquidated Damages. Purchaser acknowledges and agrees that a�
accordingly, Purchaser agrees to pay to LSCI ten percent (10%)
before commencement of Services. Once LSCI furnishes Service
this Agreement. Purchaser shall not have to pay liquidated dama
(6) No Liability for Damages. In performing the Services, LSCI bea.
unless such damage is the direct result of the gross negligence o
from the operation or failure of Products, or for work done on k
any damage to the Property, provided however, that Purchaser sl
Services are being performed. Purchaser agrees that while LSCI
of personal injury.
(7) Authorization of Credit Check. The Purchaser authorizes LSCI
from any inadvertent omissions or errors in obtaining such credi
(8) Permits. By executing this Agreement, Purchaser authorizes LS,
relevant to Services performed pursuant to this Agreement.
(9) Purchaser's Right to Cancel. If this Agreement is a home solicit
person, by telegram or by mail. The notice must indicate that Pi
third business day after execution of this Agreement. If Purcha
made by Purchaser.
(10) Entire Agreement: Except for loan documents executed by the p
understanding of the parties with respect to the subject matter hr
writing, dated subsequent to the dale hereof and duly approved a
(11) Assignability. Neither this Agreement nor any right or interest k
(12) Enforceability: If any term or condition of this Agreement shall
term or condition except to such extent or in such application, sh:
to the fullest extent and in the broadest application permitted by
(13) Binding Effect: This Agreement is not binding on LSCI unless a
herein contained shall be binding upon and inure to the benefit
hereto.
(14) Legal Fees and Costs: If a legal action is initiated by any party I
any right or obligation established hereunder, or any dispute cor
its legal counsel in investigating, preparing for, prosecuting, defe
shall be paid or reimbursed by the unsuccessful party.
(15) Governing Law: Venue. This Agreement shall be governed in
jurisdiction and venue of the state and Federal cowls located in I
KI Solar Fan: 6014 W ❑ Solar Pool ❑ Other:
.t $ 0 Balance $ 12000 Total $12000
No. DOE SC No.
Mp
in a professional and workmanlike manner, and comply with existing government codes and regulfati�. All
accomplished pursuant to a change order signed by both parties. Additional Services may require ailgional
at the time of such change. Products or alterations requested by Purchaser subsequent to Products being
ge due upon the change.
manufacturer guidelines for replacement, repair, and manufacturing defects, provided that Purchaser complies
ies. LSCI solely wan -ants those Services performed by LSCI in installing Products, and all other claims must
in accordance with the payment schedule attached to this Agreement. Purchaser shall pay LSCI, on demand,
his Agreement that is more than 10 days delinquent, and retuned checks shall carry an additional fee of S100,
an services, Purchaser will be liable for costs of collection, including reasonable attorneys' fees. Title to the
'., and LSCI reserves the right to pick up any Products if payments as set forth herein are not made when due.
of made when due. Except as otherwise stated herein, any deposits are non-refundable.
the Property, it is Purchaser's responsibility to care for them. LSCI bears no responsibly for theft or damage
ual damages for breach of this Agreement before commencement of work may be difficult to determine, and
f the price stated in this Agreement as liquidated damages for a breach of Agreement by Purchaser occurring
; or Products under this Agreement, LSCI will be entitled to actual damages, plus 20%, if Purchaser breaches
es if this Agreement is voided by LSCI management or if financing approval is not obtained.
no responsibility for any water damage, paint damage, framing damage, or any other damage to the Property
willful misconduct of LSCI. LSCi will not be held liable for loss or damage, consequential or direct, arising
fisting air conditioning units or components thereof. LSCI shall use reasonable precaution to protect against
ill be responsible for protecting any valuable object or items, or removing such items from the area in which
performing Services, Purchaser shall keep the working area free and clear of third parties to avoid any kind
a verify and review Purchaser's credit score with an independent credit reporting agency, and releases LSCI
scores.
'.I to apply for and sign for permits on Purchaser's behalf. This authorization is only valid for permits obtained
a sale, and Purchaser does not want LSCI's Services or Products, Purchaser may cancel the Agreement in
laser does not want the Products or Services and must be delivered or postmarked before midnight of the
cancels this Agreement in accordance with the terms of this paragraph 9, LSCI shall return any deposits
ics in conjunction with this Agreement, the Agreement and the exhibits attached hereto constitute the entire
af, and no amendment, modification or alteration of the terms hereof shall be binding unless the same be in
executed by each of the parties.
.under shall be assignable by the Purchaser without LSCI's prior written consent.
invalid or unenforceable to any extent or in any application, then the remainder of this Agreement, and such
not be affected thereby and each and every term and condition of this Agreement shall be valid and enforced
I and accepted by an officer of LSCI. Upon acceptance by LSCI, each of the provisions and agreements
personal representatives, devisees, heirs, successors, transferees and assigns of the respective parties
this Agreement against another, arising out of or relating to the alleged performance or non-performance of
:ming the same, any and all fees, costs and expenses reasonably incurred by each successful party or his or
ing against, or providing evidence, producing documents or taking any other action in respect of, such action
with Florida law. The parties to this Agreement irrevocably and unconditionally consent to the
County, Florida in connection with any action related to this Agreement.
To perform properly, all Products must be installed pursuant o applicable code, manufacturer's instructions, and within limitations of the building structure.
Under NO circumstances will Product engineering, site sp cific specifications, warranty requirements, Building Department requirements, installation
requirements, manufacturer tests and recommendations of app ication/installation be altered. Purchaser shall not have the authority to alter, change, or release
liability from the above requirements for any reason. Should an third party other than LSCI's technicians alter, change, relocate, or damage Products, or portions
of LSCI installed Products, all warranties shall be null and void, and Purchaser bears all responsibility and liability and releases all vendors, suppliers,
manufacturers, engineers, test facilities and LSCI from such liabilities. Verbal understandings and agreements with LSCI representatives are not binding on
LSCI. Any understanding not set forth in this Agreement is notlbinding on LSCI.
Rep (print)
Derek Taylor
LSCI Officer
Ai0it, FL1Af6V1 Date 4/7/2018
Date