HomeMy WebLinkAbout112 Grovewood Ave (3)CITY OF SANFORD
BUILDING & FIRE PREVENTION
A PERMIT APPLICATION
pJ Application No
Documented Construction Value: $ �_ A1 ,,V _
Job Address: lip, C1 r odd &AMAL Historic District: Yes ❑ No F-/
Parcel ID: ' 30- l 01' 6d 0 Residential Wf Commercial ❑
Type of Work: New ❑ A+ddition ❑ Alteration Repair ❑ Demo, ❑ Change of Use ❑ Move❑
Description of Work: i n -AH a � � � - o 1 1 ' of � 91 high PC Wit two
Plan Review Contact Person: J l� 11 It G Title:wM P I a u iaa -' (]'
Phone: 407-382-5000 Fax: 407-384-2299 Email: InfoRose@RoseFenceCompany.com
Property Owner Information
Name ; 0L R)( Q,L Phone:
Street: 1 f Q Ci id k W►UQa Resident of property? : WS
City, State Zip: S� ��(� , r✓ �. 3a"1�13
Contractor Information
Name Rose Fence Company, Inc. Phone: 407-382-5000
Street: 7310 Old Cheney Hwy
City, State Zip:
Name:
Street:
City, St, Zip: _
Fax: 407-384-2299
Orlando, FL 32807 State License No.: CGC060180
Bonding Company:
Address:
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. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Sball be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code
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 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 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 Table 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.
tgnatu of Owner/Agent Date
r Jane_ (-B - Fo rin5f
Print,Owner/Aeentls Name
Signature of ContractorlAgent Date
Ken Rose
Name
Si a re of Not -State of Florida ture of No ry-State of Florida ate
JENNIE EARNER
YPn., JENNIE LARNER
91 F14rlda-Notary Public ,. a ,,
4 ^State of Florida -Notary Public
2 4M� C�mmisslon Explres =. Cnmmisait�n # FF 216g64
a; %,hoj4,d;,, My Commission Fxplres
h Sir lr{�rch 3U 2d19 Mareh� 30, 2010
Owner/Agent is _ Persona FIG_
own to Me or Contractor/Agent is
Produced ID Type of ID r LD I Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
6P \,&'2UTILITIES:3a10Va
APPROVALS: ZONING:
ENGINEERING:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures.
COMMENTS- Ok to install approx. 2111inear feet of f foot high
privacy fence and 2. gate(s) as shown on plan. Fence
shall be constructed with finished side facing outward.
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: Historic District: Yes ❑ No ❑
Parcel ID: Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person: Title:
Phone:407-382-5000 Fax:407-384-2299 Email:lnfoRose@RoseFenceCompany.com
Property Owner Information
Name Phone:
Street:_ Resident of property?
City, State Zip:
Contractor Information
Name `Rose Fence Company, Inc. Phone: 407-382-5000
Street: 7310 Old Cheney Hwy Fax: 407-384-2299
City, State Zip: Orlando, FL 32807 State License No.: CGC060180
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, -St, Zip:
Bonding Company:
Address:
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. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5"' Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
BUNDARY SURVEY FOR: NoRsEcT YV, Eovc(SFoos RNI>
JADE 5. COZES7-
DESCRIPTION: LOT 46. REPLAT OF GROVEVIEW VILLAGE FIRST ADDITION, ACCORDING TO THE PLAT
THEREOF AS RECORDED IN PLAT BOOK 26, PACES -1-6 OF THE PUBLIC RECORDS OF
SEMINOLE COUNTY, FLORIDA.
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1. THIS PROPERTY LIES IN FLOOD ZONE "X", PER
F.E.M.A. FLOOD INSURANCE RATE MAP, COMMUNITY -PANEL
NUMBER 120416 0045 E, DATED APRIL 17, 1995.
2. TITLE DATA HAS NOT BEEN FURNISHED TO THE SURVEYOR.
3. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED.
4. NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL.
5, THIS PROPERTY LIES IN SECTION 10, TOWNSHIP 20 SOUTH,
RANGE 30 EAST, SEMINOLE COUNTY, FLORIDA.
S19AGGE.RTY LAND
SURVEYING, INC..
LICENSED BUSINESS NO.4906
7450 KASTNER PLACE. SUITE 100
P.O. BOX 2384
SANFORD. FLORIDA 32772-2384
(407)322-4630 FAX (407)322-8611
ABBREVIATIONS:
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SCALE:1"=30'
DATE OF:
BOUNDARY: 11-21-86
FOUND: 11-21-86
s FINAL: 11-27-86
tio,j ! -� o�. RESURVEY: 4-10-03
Ok to install approx. 2ll__ linear feet of 6 foot high
privacy fence and 2 gate(s) as shown on plan. Fence
shall be constructed with finished side facing outward.
!- HN_OVLD _PLANS
EING. DEPT.
REC. DENOTES
RECOVERED
I.P.
IRON PIPE
I.R.
IRON ROD
C.
CENTERLINE
R/W
RIGHT-OF-WAY
P.C.
POINT OF CURVATURE
C.B.
CONCRETE BLOCK
RES.
RESIDENCE
CONC.
CONCRETE
A.C.
AIR CONDITIONER
UTIL.
UTILITY
DRAIN.
DRAINAGE
L.S.
LICENSED SURVEYOR
L.B.
LICENSED BUSINESS
CERTIFIED CORRECT T0:
NORBERT W. BOURGEOIS & JANE B. FOREST
BANK OF AMERICA. N.A.
KAMPF TITLE & GUARANTY CORPORATION
CHICAGO TITLE INSURANCE COMPANY
1 HEREBY CIFRTIFY THAT THE SURVEY SHOWN
HEREON W.S MADE IN ACCORDANCE TO THE
'MINIMUM 'TECHNICAL STANDARDS' FOR LAND
SURVEYING IN THE STATE OF FLORIDA CH.
472.027 ANVCH. 611317-6.
�LCtI.e,, A DATE:4-14-03
REGISTERED LAND SLMNEfOR NO. 3764
Building & Fire Prevention Division
FIRE DEPARTMENT
RESIDENTIAL FENCE AFFIDAVIT
(6 FEET OR LESS IN HEIGHT
PERMIT #: / G' - (P9 7
b4i i a� 1401245
ADDRESS:
HEREBY AFFIRM THAT ALL OF THE FOREGOING
INFORMATION IS TRUE AND ACCURATE. THE FENCE WILL BE INSTALLED IN THE APPROVED LOCATION AS SHOWN ON THE APPROVED SITE
PLAN. THE FENCE WILL BE NO HIGHER THAN 6 FEET, MEASURED FROM GRADE. THE FINISHED SIDE OF THE FENCE IS REQUIRED TO FACE
OUT. IT IS THE HOMEOWNER'S RESPONSIBILITY TO VERIFY THE FENCE IS PLACED WITHIN THE PROPERTY LINES AND ANY DISPUTES
BETWEEN ADJACENT HOMEOWNERS WILL BE A CIVIL MATTER. I UNDERSTAND THAT FAILURE TO PROPERLY FOLLOW THESE GUIDELINES
AND ADHERE TO ALL CITY CODES (SANFORD LAND DEVELOPMENT REGULATIONS, SCHEDULE F) COULD RESULT IN THE FENCE HAVING
TO BE REPLACED, RELOCATED OR REMOVED AT THE OWNER'S EXPENSE.
FENCE CONTRACTOR
BY SIGNING THIS AFFIDAVIT, YOU ARE ACKNOWLEDGING YOU HAVE MADE THE HOMEOWNER AWARE OF THE FENCE AFFIDAVIT
STIPULATIONS AS STATED ON THIS DOCUMENT.
o
COMPANY / CONTRACTOR: pos(- I' L Ce
CONTRACTOR SIGNATURE: DATE: ' 3� Q.
El HOMEOWNER (OWNER/BUILDER)
OWNER/BUILDER NAME:
OWNER / BUILDER SIGNATURE:
"PLEASE NOTE"
DATE:
THE BUILDING DEPARTMENT WILL NOT CONDUCT ANY INSPECTIONS ON RESIDENTIAL FENCES. THIS
AFFIDAVIT MUST BE PROVIDED, SIGNED AND NOTARIZED, AT THE TIME OF PERMIT SUBMITTAL AND WILL
SUFFICE AS THE FINAL INSPECTION APPROVAL FOR THE FENCE.
STATE OF FLORIDA COUNTY OF aa
Sworn to and Subscribed before me this �J� day of 20' �by:
Who iW] Personally Known to me or has ❑ Produced (type of
4ie tification)zy�
ljn�
ature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
as identification.
DEBBIEBLANTON
MY COMMISSION # FF 178648
EXPIRES: February 25, 2019
p „ Bonded Thru Notary Public underwriters
Effective: August 1, 2017
4Vce Company Qk)
Date: )
�kqse
7310 Old Cheney Highway Orlando, FL 32807 Job #:
PHONE: (407) 382-5000 FAX: (407) 384-2299
Email: InfoRose@RoseFenceCompany.com
Salesperson: Lee -
WE AGREE TO SELL TOBUYER(SS):
Name/Company: 14n e
B/ore S`T
Email:
Billing Address: itz
d
A � City: AFprJ State: it
Zip: R723
Phone: W:
C:
l 0-7 30 L q R% 2— H: F:
Job Address: `jC!`M�
City: State:
Zip:
Cross Street:
Subdivision: Permit: �� i'44
AND BUYER(S) AGREE(S) TO
BUY MATERIALS
AND LABOR NECESSARY FOR THE COMPLETION OF:
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SKETCH
The above sketch is only approximation and rough estimate of the location of the fence and
components. In the event of a conflict between the sketch, locations and dimensions depicted
therein and the written specifications noted in this contract, the written and printed
specifications of this contract prevail. Buyer(s) should not rely upon the accuracy of this
sketch.
Approximate Start Date
Gate swing: In (hardware on inside) BUYER INITIAL Fence to be level: Level with: High Rack
6/ Out (hardware on outside) Fence to follow grade: Low Step
Property pins ARE exposed and visible Property pins are NOT exposed and visible, TO BE LOCATED BY OTHERS
Rose Fence to assist in locating property pins (Rose Fence will assist the customer, upon request, in determining where the fence is to be erected, but under
no circumstances does Kose rence assume any responsibility concerning property it
PAYMENT TERMS: (Balance Due Upon Completion) (Company Policy: We do not accept cash.)
All pricing is based on payment made by check or money order. Other forms of payment are
subject to an additional 5% processing and handling charge of the cash price shown. This price
is subject to terms and conditions on page 2 and immediate acceptance. If payment is not
received within specified terms of contract, interest charges will apply. Monthly progress
payments will be billed for stored materials and percentage of job completion. FINANCE
CHARGE OF 1.5% WILL BE ADDED TO ANY INVOICES OVER 10 DAYS.
nes or in any way guarantee their accuracy.)
Price Subtotal: A 5 a 3 6, S
Permit:
TOTAL:
50% Deposit:
�j BALANCE DUE:
OWNER'S / BUYER'S SIGNATURE: x/. DATE: / — ? /8
PRINTED NAME: J�q R /yJ /eui
****** See page 2 for General Provisions, Terms and Condition of Contract, sign and date where indicated. Page 1 of 2
THIS IN T VMEIJT PREPARED BY:
Name: ( 1
Address.: l 14 ts;ii.l i I .. ,-
•' I' `' I + � ii � SE1l41NOLE COUNTY
State of Florida
FLORmAS NATURAL CHOICE
NOTICE OF COMMENCEMENT
Pen»ttNumber Parcel IDNumber(PID) 1'•1 _;.ilk :!(i 4Ji'J l� Jib ��
The undersigned hereby gives notice that improvement 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
OF PRROPERTY (Lg al dRs ption of the property a�d street address if available)
+ r-ilfsn; t�I t_f7rt r9j;•} n I 4)I' �, , O .0 .: I-. I.
GENERAL DESCRIPTION OF IMPROVEMENT
I i-a1�i�lir;t,�
OWNER INFORMATION _ !! t r _
Name and address: �41..1 1 Q r z%Ti l ;� �1 i' :16' � 'l ! '^I �I l q i Xk-. U;l tj ( f 1, 3 � � 3
CONTRACTOR
y
Name and address: �� 31 \ i i 4t. C A -11 i:Vi A 1f� li � l) iJ k`.� l i g i l(,ti.r'
�'I ii
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(1)(b), Florida Statutes.
Name and address:
In addition to himself, Owner Designates of
To receive a copy of gee Lienor's Notice as Provided in
Section 713.13(1)(bL Florida Statutes.
Expiration Date of Notice of Commencement:
The expiration date Is 1 year from date 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 I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FlIZIRIDA %% COUNTY OF SEMINOLE
Veut C Z8• 65-rwtS !
OWNP S SIGH ATURE OWNERS PRINTED NAME
"(NOTEPef Florida Statute 71&13(1) (g), owner must sign...... and no one Ilse may be p^e� rmitted to sign in his or her stead."
�..: � I. i 1 r
The foregoing Instrument was acknowledged before me IN. J day of �I L i I ,: i uL f . 20
by i i (N i 1 k Who is personally known to me
n person mal" slat~
OR who has produced identification "i , �)l type of identification produced
VERIFICATION PURSUANT TO SECTION 92.625, FLORIDA STATUTES.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED W IT
ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF.
SIGNATURE OF NATURAL PERSON SIGNING ABOVE
+{I
orTo.w�r !I
J E N N I E LRR l
rz=State of Florida- otary Public
Commission y FF 216554 Signature
..�a� My Commission Expires Notary
+�+++++° March 30, 2019
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018008288 BK 9062 Pg 1949; (1pg) E-RECORDED 01/23/2018 02:46:59 PM
10.00
POWER OF ATTORNEY
Date: 11Q(_QV
I
Of
In fact to act for me and apply to the
0' r( k
to be my lawful attorney
Building Department for a I l Y l l permit
For work to be performed at a location described as:
Section Township
Subdivision
Range Lot Block
) la I rdyy jd A VU U I_�
(Owner of Property and Address)
and to sign my name to do all things necessary to this appointment.
e
Type or Print Name of Register or Certified)(yntractor a," Contractor's License Number
Signature of Register or Certified Contractor
The foregoing instrument was acknowledged before me this day of of 2018
By
Who is personally known to me/who produced,
As identification and who did not take oath.
State of Florida
County of Orange
Notary Pu ic, Ora e County, Florida
yP"a.� JENNIE EARNER
_r `a State of Florida -Notary Public
Q- Commission # FF 215554
;FOFF1 fly Commission Expires
March 30, 2019