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HomeMy WebLinkAbout115 Grove Hollow CtCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ` (0 3-7 Documented Construction Value: Job Address: 5 O Historic District: Yes No Parcel ID: D a' 0 " b`t d Zoning: Description of Work: Plan Review Contact Person: Title: Phone: Fax: E-mail: Prope ly Owner Information Name `(\ J`AGt Phone: SResident of property?: Street: 15 C O\ City, State Zip: S o-,(& raFL 3D311rl Contractor Information Name 'F ' 1 Phone:(SU U) o 1 q - © Street: r ctxhc VA Fax: City, State Zip: L o State License No.: C L 14 2S9 1 _17 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Building Permit Square Footage: C< No. of Dwelling Units: I Electrical New Service — No. of AMPS: Mechanical 0 ( Duct layout required for new Mortgage Lender: Address: PERMIT INFORMATION Zone: Type: i' lA bf No. of Stories: Plumbing New Construction - No. of Fixtures: Fire Sprinkler/ Alarm No. of heads: y 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. 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: COMMENTS: ENGINEERING: I I ' 11 S a ontractor/Agent Date Print Contractor/Agent's Name 9 dkf lI_- II Signature of Notary -State of Vloida Date MICHELLE J. STONE MY COMMISSION # DD 789968 a: EXPIRES: August 16, 2012 o Qr Bonded Thru Notary Public underwriters n ractar- Age Pfi Produced ID Type of ID UTILITIES: FIRE: WASTE WATER: BUILDING: Rev 11.08 Service Information kevin jackson — 115 grove hollow ct Sanford fl 32773 Contact: kevin jackson Phone: (407) 312-8332 Fax; Alt Contact ten Alt Phone (504) 655-6877 E-Mail: terrijstewart@yahoo.com Job Name — Q Call Ahead Confirrned 40082 „ Ijob H meDepot:SFNI_—._.._._ .....---_•--- I Po V 64465821 Florida Delta Mechanical Inc. CFC1425917 2716 Broadway Center Blvd Brandon FL 33510 Phone: (813) 425-0020 Fax: (813) 425-0027 0rida0deltamecha ncial, com Invoice 64466821 Information Home Depot - 264 4600 W. Lake Mary Blvd 407-333-9650 Lake Mary FL 32746 wwwjelfamechanjal,com Marketing Campaign Sales Rep Te1m5 Type Route Scheduled start Class Home Dq End HDO03 - S FB,I Permit Sanford SFNh WH Basic Install - WH Basic Install 1 90.0000 90.00 We Also Install:W/H:Expansion Device - Expansion Device 1 247.0000 247.00 Up to Code Fee - Up to Code Fee 1 90.0000 90,00 WH: EL:487-834 HD - 50 Elec T GE6 (487-834)HD + tax 1 S47.0000 47.00 We Also Install:W/H:Drip Pan - Drip Pan plastic only 1 330.6300 330.63 We Also Install,W/H;Drip Pan Alarm - Drip Pan Alarm 1 30,0000 30.00 1 75.0000 75,00 Job Subtotal, 909-63 0. 00 Total Due: $909.63 Quantity Additional Itant(s) — Rate — Amount Scheduled Job Subtotal: Additional Items: Additional Tax: Total Due: Job Notes and In — struciions --