HomeMy WebLinkAbout103 Grovewood Avey
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I ( t a & OL g
Documented Construction Value: $ 10.00
Job Address: 103 Grovewood Ave. Historic District: Yes No Q
Parcel ID: 10-20-30-505-0000-0350 Residential x Commercial
Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move
Description of Work: Final out a re -roof permit 99-2369 rS'yjillcrrG S`
Plan Review Contact Person:
Phone: 407-947-3708 Fax:
Name William & Mica Petree
Street:
City, State Zip:
103 Grovewood Ave.
Bob Bailey Title: Contractor
407-349-9933 Email: Baileycci@yahoo.com
Property Owner Information
Phone: 407-539-4054
Resident of property? : Yes
Sanford, FI. 32773-5952
Contractor Information
Name Bailey Construction Co., Inc. Phone:
Street: 4132 N. CR. 426 Fax: 407-349-9933
City, State Zip: Geneva, FI. 32732 State License No.:
Architect/Engineer Information
Name: T.S. Chehal Phone:
Street: 531 S. S.R. 434 Fax: 407-521-5434
City, St, Zip: Altamonte Springs, FI. 32714 E-mail:
Bonding Company:
Address:
N/A Mortgage Lender:
Address:
407-947-3708
CCC057004
407-521-8829
N/A
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 Pemiit 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.
Wamkf vzo I
Signature of Owner/Agent ate
W) % Lwm L- .
Print Owner/Agent's Name
i /,A A (L-1
S e of otary-State of Florida Date
o05tY ?ue,,c
JESSICA HARDY
MY COMMISSION # FF 9M7
EXPIRES: A0 24, W20
BOF F:C;' Bonded Thru Budget NOfmy Services
Sigrnature of Contfactor/Agent Date
Robert P. Bailey
Print Contractor/Agent's Name
Aq17%\J
Signature f NotarX Mate of Florida Date
o....r JESSIC HARDY
MY COMMI ION # FF 91 097
N
o EXPIRES: APN 24, 2020
OF Flo Bonded Thru Budget Notary Services
Fal
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Ft. 'DIL Produced ID Type of ID
P3-u 939. sS 3too
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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
1 1
Revised: June 30, 2015 Permit Application