HomeMy WebLinkAbout120 Grovewood Avet,
CITY OF SANFORD
ik BUILDING & FIRE PREVENTION
PERMIT APPLICATION
JAN 2 5 2016 Application No: p ---
ocumented Construction Value: $
Job Address: ( C'7Y lIP AV Historic District: Yes No 2
Parcel ID: 1 b - 20- _-3D -50(p - 0 MD - 056ZQ / Residential ommercial
Type of Work: New El Addition El Alteration El Repair LV Demo Change of Use Move
Description of Work: 3 12 5h 'no4 G, caaeQw en+ - re, rWV
Plan Review Contact Person: m j 6(e_T 1n Title: GecrAvqw
Phone: qM -4 LP `]f% L O Fax: qDq c J Email:
i
Property Owner Information
Name A-0-1can Phone: 9 1- 1:2
Street: `11fOl`C'I1 ^ _&Z Resident of property? : 11 e
City, State zip:
QQn `(,'
d, EL "),q)/ % 3` 5g5-I Contractor
Information r '
Name
Apt ! tk) a,l,. j-!_If1r', Phone: `- 62-299-1 o95 Street:
M__' L3 --Gi l` Fax: _ 40-1 - 290 - LIxg s City, State Zip
nIA0..V A-0 , F - ?)a'199(P StateLicense No.: U"SK21-(`—j Name: Street: City,
St,
Zip:
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
Shall 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
i 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.
Signature of weer/Agerent ,
I
Date
baVt ld V • 112( 11
Print Owner/Agent's NanX
EEN GRETHER
MY COMMISSION
P •
N 9 FF i 016nHFFt
a= E. xrIRES: March 25, k018
Bonded Thru Notary Public Unde write s
Owner/Agent is 1---Personally Known to Me or
Produced ID Type of ID
I -,e 'Q) (—Zi- ItQ
Signature of Contractor/Agent Date
P fint Contractor/Agent's NR- qdL-
Signature of Notary -State of Florida Date
11ti' rpu,- MAUREEN P. GRETHER
MY COMMISSIONS FF 1OW16
a EXPIRES: March 25, 2018
pF' R' Bonded Thru Notary Public Underwriters
Contractor/Agent is Personally Known to Me or
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:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
IIIIIII IIIIIIIIIIIIIII Illil IIlIIIIIIIIII
THIS INST U ENT REPARED Y:
Name
Address
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
11r1F; ; f'.I NE HORSE N-AI OLE. COUNTY
tL£.RIIR:.J.1 10UNT & 1:ONFTRC)LLER FIP
CLERK
S s 2016068215 FEES
Jt-ifi.oci BY
hdi2vo-re: Parcel
ID Number: _i(_l'a0 `3n - 506 _ ) " t` sao 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. DESCRIPTION
OF PROPERTY; (Legal description of the property and street address if available) GENERAL
DESCRIPTION OF I PROVEMENT: 12P-
IC Cdu
Address:
I cLD (-)i('nVe—WF-- , MIN Fee
Simple Title Holder (if other than owner) Name: 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:
In
addition to himself, Owner Designates IV\1I UNIC " 1p(.2ryll&y- of To
receive a copy of the Lienor's Notice as Provided in Section
713.13(1)(b), Florida Statutes. Expiration
Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different
date is specified) 1- 1 1 LQ 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 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 All ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under
penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to
the'- st of my owledge and belief. 1
jC.
QV112, J • l'i1,1 Owner'
s Signature Owners Printed Name Florida
Statute 713.13(1)(g): 'The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead! State
of f /I1 County of tC[ g
r
Y
v la ThefeoinInstrumentwasacknowledgedbeforemethis day of L u ( 20 110 y
aU `1;Imll ` p y —T—
b
i.V .Who is personally known to me Name
of person making statement OR
who has produced identification type of identification produced: MAUREEN
P. GRETHER MY
COMMISSION # FF 106016 ' EXPIRES:
March 25, 2018 la ,,n' ff `
r Bonded Thru Notary Public Underwriters Notary Signature O
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MPB Builders, Inc.
Contract
January 15, 2016
Orlando, FL 32826
Phone: 4.07-282-1255
Fax: 407-282-4895
Proposal submitted to: Work to be performed at:.
Dan Horan Owner: Dan Horan
120 Grovewood Av
Sanford, FL 32773
We hereby propose to furnish the materials and perform the labor necessary for the
completion of. Re -roof of entire structure
Remove entire roof covering
Repair or replace any rotted or deteriorated wood or decking
Install one layer #15 felt
Install new eve drip
Replace roof covering with architectural shingles (owners choice of color)
Install 4' off ridge vents
Replace any new stack boots as needed
Re -nail entire plywood deck complete to new current code
includes permit with local municipality""
Removal of all debris resulting from work.
All material is guaranteed to be as specified, and the above Work to be performed in
accordance with the drawings and sp6cifications submitted for above work, and. completed in a
workmanlike manner for the sum of: Ten thousand 'nine hundred thirty -five --Dollars
16,935.00)
With payments to be made as follows: $5,935.00 upon tear off and delivery of material
S,doo.db upon completion
MPB Builders, Inc.
Owner: MPB ers, Inc
License Ws
State CertifiedGeneral Contractor CGC062352 State
Certified Roofing Contractor CCC058215 SA.
m k
1
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: OaVIY16
an agent of: T
of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
RIB The specific permit and application for
Expiration Date for This Limited Power of Attorney: p
License Holder Name:
State License Number:
Signature of License Holder:,
STATE OF FLORIDA
COUNTY OF - _ _
The foregoinggMentt was ackno ledged before me this `I day of CL6l CICtI'
20VfQ , by4 P ,re.who is personally known
to me or who has produced `--- as
identification and who did (did not) take an oath.
R d '-V7(6
Signature
N i al) MAUREEN P. GRMER daureetn6 re_4 .Q r
MY COMMISSION t FF 106016
a EXPIRES: March 25, 2018 Print or type name
Bonded'fttru NoWy Public Undenvr&ers
Notary Public -State of 1
Commission No. F DInD LP
My Commission Expires:
Rev.08.12)
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:,2 &00000330z
I, M(0_ 1 J hereby acknowledge that I personally inspected
Roof deck nailing and/or 2-9econdary water barrier work
at l 2 n P, re) )n& I -AV &jnIAC FL and have determined that the work
Job Site Address) '
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 F.S.
1;Lj f g
Signature of Contractor Date
H& P_--BL r 0 U-0
Printed Name of Contractor License #
License Type: General Building 0 Residential V 400fing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF Q
Sworn to (or affirmed) and subscribed before his =!— day of r , 20 , by
who is Personally Known to me or has Produced (type of
tification) as identification.
SEAL)
Signature of Notary Public : MAUREENP,GRETHER
State of Florida =.; ._ My COMMISSION s FF 1IM16
EXPIRES: March 25, 2018
Bonded Thru Notary Public Undewiters
Print/Type/Stamp Name
of Notary Public
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