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Home My WebLink About601 Grovewood Avev Lt F. D BY: I i CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ 2,400.00 Job Address: 601- Grovewood Avenue Historic District: Yes No Parcel ID: 10-20-30-505-0000-0340 Zoning: Description of Work: 1 Plumbing — Repipe Plan Review Contact Pierson: Title: Phone: i Fax: E-mail: Property Owner Information Name Gary Ketcham 407-435-3154 Phone: Street: 601 Grovewood Avenue Resident of property? : I City, State Zip: Sanford, FL 32773 Contractor Information W it's Pl°mbin IncNameaug' Phone: 4077834-5424 Street: 125 N Cypress Way 407-332-0771Fax City State Zi j Casselberry, FL 32707 P State License No.: I Architect/Engineer Information i Name: Phone: i Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: I Electrical New Service - No. of Ali Mechanical 1:1(Duct iayo'' Mortgage Lender: Address: PERMIT INFORMATION yes CFC 057280 Construction Type: No. of Stories: Flood Zone: Plumbing X S: New Construction - No. of Fixtures: required for new systems) Fire Sprinkler/Alarm No. of heads: 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 theplanreviewfeebased `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 I I Print O,.imer/Agent's Name i i Signature of Notary -State of Florida I Date Owner/Agent is Personally Known to Me or Produced ID Type of ID i APPROVALS: ZONING: COMMENTS: Rev 11.08 ENGINEERING: s dM June 29, 2011 Signature of Contractor/Agent Date Walt Stevenson rint Contractor/Agent's Name U ayNvjw"_June 29, 2011 Signature of Notary -State of Florida Date UTILITIES: FIRE: ROMA M. SFfFPFiERD MY COMMISSIOU EE 015974 ca- EXPIRES:October5,2014 Mided TM Notary Public Underwriters Contractor/Agent is Personally Known t e or Produced ID Type of ID WASTE WATER: BUILDING: Tueactoy 6/28/11 bety;een 8 .- 9 WALT'S PLUMBING, INC. 125 N. Cypress Way Casselberry, FL 32707 REPAIR SERVICE • REMODELING • NEW CJNSTRUCTION REPIPE ESTIMATE/PROPOSAL Map Page Submitted to: Name Gary Ketcham Address 601 Grovewood Avenue City k;anford State FL Zip Code Telephone Home 407-435-3154 Work Fax Cell Date to start: We hereby propose to repipe all the fixtures listed below.. L Tub(s) _ Roman tub(s) Tub/shower(s) Z single -handle'— 2 -handle _ 3 -handle Shower(s) only single -handle _ 2 -handle Water closet(s) Lavatory(s) Kitchen _ main sink _ vegetable sink Bar sink Summer kitchen Ice maker _ box _ line Washing machine _ Laundry sink I Water heater(s) Main line shut off House Style L block _ frame Fireblocking _ yes —no Labor includes: (Circle One) 32773 Map Page _ Job Address: 407) 834-5424 FAX (407) 332-0771 City State Zip Code Telephone Home Work Cell PERMIT-CITY/COUNTY OF Legal Description: Repipe entire house/unit with PE CPV tubing Insulate hot and cold water lines in attic (if applicable) New stops and shut offs to lavatory(s), water closet(s) Install exterior hose bibbs with vacuum breakers Optional .. Additional labor or material in addition to repipe cost: New Tub/shower valve with remodel plate Yes No // New water service from meter to house Yes Noy New water heater gallon Yes Noy, WARRANTY******* 25 Year Transferable Manufacturer's Warranty on 10 Year Manufacturer's Warranty on PEX 2 Year Parts and Labor by Walt's Plumbing, Inc/ TOTAL MATERIAL/R $2,400.0 0 To be paid in full upon com lotion of repipe. Drywall repairs not include . ESTIMATED JOB TIMET Number of day(s) Number of technicians Misc. Notes: Sanford Signed dod-adepted this / aay of ig lure o o eown r/ epr a native Representative, Walt's Plumbing, Inc. IMPOR ANT ....... PLEASE NOTE ........ Prior to start of repipe all cabinets and spaces between sinks are to be cleared out and free of any articles Plumber cannot be responsible for breakage of valuables, I.e. pictures, vases, etc. that may fall or break from vibration of work being done. ADDITIONAL COMMENTS: ON THE DAY OF INSPECTION SOMEONE MUST BE HOME TO GIVE THE INSPECTOR ACCESS. "NOTE": THE INSPECTOR WILL NOT GIVE US A SPECIFIC TIME OF INSPECTION. INITIAL m OP ID: DO s 1 DATE (MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 01/06/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothetermsandconditionsofthepolicy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). coNr. Be Hollis PRODUCER 407-869-0962 NAME: SMILE INSURANCE GROUP, INC. 407-774-0936 PHO N, Ext:407-389-3509 FAX No: 407-389-8409 P. O. BOX 160398 E-MAILADDRESS: ALTAMONTE SPRINGS, FL 32716 PRODUCER WALTS-1 Kenneth G. Sihle CUS OMERIDt- INSURER(S) AFFORDING COVERAGE NAIC f INSURED Walt's Plumbing, Inc. INSURERA: Northpointe Insurance 27740 125 North Cypress Way INSURERS: Bridgef)eld Employers Ins. Co. 10701 Casselberry, FL 32707 INSURER C: INSURER D: INSURER E : r%Mnel^K1 rd1IM0C0- COVERAGES taK I IrK.H I C NUIVICCR. — — THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATEMAYBEISSUEDORMAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS4AADE FRI OCCUR' POLICY NUMBER 2094114106 POLICY EFF MMIDD/YYYY 09/01110 POLICY EXP MMIDDIYYW 09/01111 LIMITS EACH OCCURRENCE $ 1,000,00 PREMISES Ee occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL &ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 P.O. BOX 1788 Sanford, FL 32772-1788 PRODUCTS-COMPIOPAGG $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PROJECT F7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident) BODILY INJURY (Per person) $ ANY AUTO ALL OWNEDAUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE $ Perecadent) 8 NON -OWNED AUTOS UMBRELLA LIAR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB HOCCUR CLAIMS -MADE DEDUCTIBLE TATUX. WCSLlMrr ERTORYLBCID ER RETENTION $ WORKERS COMPENSATION E L EACH ACCIDENT $ 1 OO,OO B AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YaOFFICER/MEMBER EXCLUDED? Mandatory In NH) NIA 0830-43520 01101!11 01101!12 E.L DISEASE - EA EMPLOYEE $ 100,000 E.L DISEASE - POLICYLIMR $ 500,00s,des TION OF OPERMATIONS below crlbeunder DESCRIP T L DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) V IJVV-LV ,--,vv --- .....v...—... .--- ..J. --- --------- ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD SANFORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Sanford ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTHORIZED REPRESENTATIVEP.O. BOX 1788 Sanford, FL 32772-1788 V IJVV-LV ,--,vv --- .....v...—... .--- ..J. --- --------- ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD