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WINDOW AND DOOR REPLACEMENT (City of Groveland)

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FLORIDA
City
with
Natural
Charm
·
WINDOW AND DOOR REPLACEMENT
1. Complete a Building Permit application. Under Project Information check other and
then note in Scope of Work, either replace exterior door(s) or replace windows.
2. Provide a floor plan showing where the door(s)/windows to be replaced are located.
3. Note on the floor plan if the door(s) or windows you are replacing are the same size as
the existing door(s) or windows. If the replacements are of a different size then note
the new size on the floor plan. A different size may require engineering.
4. Complete a Product Approval form for the new door(s) and/or windows and print out
and attach the installation specifications for each.
5. All Contractors must be registered with the City of Groveland, if not, have the
Contractor complete a Contractor Registration Form and submit with permit application.
6. If the cost of the project is over $2,500 then complete and file a Notice of
Commencement (NOC) and submit a certified copy of the NOC with the permit
application.
7. Please email your completed application to permitting@groveland-fl.gov
8. Once your permit is approved you will be notified of how to pay for the permit. Once the
permit fees have been paid, your permit package will be emailed back to you.
9. Your permit card and accompanying paperwork, including NOC and installation
specifications, must be posted on site the day of the inspection. The permit card has the
email address to schedule your inspections.
10. If you have questions please contact the Permitting Department by email:
permitting@groveland-fl.gov or by phone at 352-429-2141
~
~
Groveland
FLORIDA
City
with
Natural
Charm
·
CITY OF GROVELAND
BUILDING PERMIT APPLICATION
Date Received:
Permit #
PROPERTY INFORMATION
Site Address # Street City Zip
Subdivision Phase Lot #
Model Elevation Lot Area sq.ft. Impervious area sq.ft.
Legal Description
Alternate Key #
PROJECT INFORMATION Single Family Residence Duplex Townhome Commercial _
Demolition
New Al
teration Addition Repair
Windos/Doors/Garage Door
Scope of work to be performed
Pr
oject Cost $ Project cost of $2,500 or over requires the recording of a notice of commencement
Bonding Company
Address
Architect’s Name License # Phone #
Engineer’s Name License # Phone #
WARNING TO 0WNER: “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 BEFOE RECORDING YOUR NOTICE OF COMMENCEMENT”.
Detached Garage Yes No Garage Value $ Sewer Septic Sprinkler Yes No
Required work: Plumbing Electrical Mechanical Gas Roofing
SUBCONTRACTORS Company Name
Fla. License # Reg/Cert
License Holders Name
Elect
Mech
Plumb
Gas
Fire
Roof
Size for Size?
City
Email
City
Email
First License #
Address # Street
Phone # Email
OWNER’S INFORMATION
Name(s)
Address
# Street
State Zip Phone #
Fee Simple Titleholder’s Name (if other than owner)
Address # Street
State Zip Phone #
CONTRACTOR’S INFORMATION
Q
ualifier Name: Last
Company
Name
City State Zip
1. All Building Permit submittals for new home or new commercial building must be in digital format.
2. Submit digital permit applications to PERMITTING@GROVELAND-FL.GOV
3. Re-inspection fees must be paid prior to scheduling a re-inspection.
4. Incomplete permit applications will not be processed until complete.
5. To schedule an inspection email request to: inspectionrequest@alpha-inspections.net
City of Groveland, Building Services Department, 156 S. Lake
Avenue, Groveland, FL 34736
E-
mail: permitting@groveland-fl.gov
Phone (352) 429-2141 Fax (352) 429-3852 (revised 3/12/20)
CONTRACTOR’S SIGNATURE
STATE OF FLORIDA
COUNTY OF LAKE
I DO HEREBY S SWEAR THAT THE INFORMATATION CONTAINED HEREIN AND THE ATTTACHMENTS
HERETO ARE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND THAT NO WORK OR
INSTALLATION HAS COMMENCED PRIOR TO ISSUANCE OF A PERMIT.
OWNER’S SIGNATURE
STATE OF FLORIDA
COUNTY OF LAKE
Sworn to (or affirmed) and subscribed before me this ____ day of _____ by _________________
(owner)
(Seal) ________________________________
Signature of Notary Public
Personally Known:______
OR Produced Identification:_____
Type of Identification Produced:____________
Sworn to (or affirmed) and subscribed before me this ____ day of _____ by _________________
(Seal)
(contractor)
________________________________
Signature of Notary Public
Personally Known:______
OR Produced Identification:_____
Type of Identification Produced:____________
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___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
_________________________________
___________________
PRODUCT APPROVAL SPECIFICATION SHEET
As required by Florida Statute 553.842 and Florida Administrative Code 9B-72, please provide the information and approval
numbers on the building components listed below if they will be utilized on the construction project for which you are applying
for a building permit. We recommend you contact your local product supplier should you not know the product approval
number for any of the applicable listed products. Statewide approved products are listed online @ www.floridabuilding.org
Category/Subcategory Manufacturer Product Description Approval Number(s)
1. EXTERIOR DOORS
A. SWINGING
B. SLIDING
C. SECTIONAL/ROLL UP
D. OTHER
2. WINDOWS
A. SINGLE/DOUBLE HUNG
B. HORIZONTAL SLIDER
C. CASEMENT
D. FIXED
E. MULLION
F. SKYLIGHTS
G. OTHER
A. SIDING
B. SOFFITS
C. STOREFRONTS
D. GLASS BLOCK
E. OTHER
4. ROOFING PRODUCTS
A. ASPHALT SHINGLES
B. NON-STRUCT METAL
C. ROOFING TILES
D. SINGLE PLY ROOF
E. OTHER
5. STRUCT COMPONENTS
A. WOOD CONNECTORS
B. WOOD ANCHORS
C. TRUSS PLATES
D. INSULATION FORMS
E. LINTELS
F. OTHERS
6. NEW EXTERIOR
ENVELOPE PRODUCTS
A.
The products listed below did not demonstrate product approval at plan review. I understand that at the time of inspection of these
products, the following information must be available to the inspector on the jobsite; 1) copy of the product approval, 2) performance
characteristics which the product was tested and certified to comply with, 3) copy of the applicable manufacturers installation
requirements. Further, I understand these products may have to be removed if approval cannot be demonstrated during inspection.
APPLICANT SIGNATURE DATE
R-1305 01-04
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(Rev. 3/27/07)
LIMITED POWER OF ATTORNEY
Date: ____________________
I hereby name and appoint: _____________________________________________
an agent of:___________________________________________________________
(Name 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):
□ All permits and applications submitted by this contractor.
□ The specific permit and application for work located at:
________________________________________________________________
(Street Address)
Expiration Date for This Limited Power of Attorney:____________________________
License Holder Name:____________________________________________________
State License Number:____________________________________________________
Signature of License Holder:_______________________________________________
STATE OF FLORIDA
COUNTY OF _________
The foregoing instrument was acknowledged before me this ____day of _________,
20____, by ______________________________________ who is □ personally known
to me or □ who has produced _______________________________________________as
identification and who did (did not) take an oath.
_____________________________
Signature
(Notary Seal) ______________________________
Print or type name
Notary Public - State of ___________
Commission No. _________________
My Commission Expires:___________
Office of Building Services
Notice of Commencement – BF29 (Updated September 29, 2017
Notice of Commencement Requirements
Please review the items listed below before completing
the Notice of Commencement
1. Legal Description - You can put the alternate key number here instead of filling out the complete legal description.
Street Address: Please enter the job site street address
2. General Description of Improvement - Need the job description of the work being performed. Do not put new
structure, we need to know what type of structure, example single family residence, mobile home, garage, screen room,
etc.
3. Owner’s Information or Lessee Information - Owner’s names need to match the warranty deed or property record
card. If the deed is in more than one name then all names must be listed as owner. (Only one person will need to sign the
notice of commencement).
If Lessee information is entered please make sure the name matches the lease agreement.
4. Contractor Information---Enter the name and address of the contractor, if the homeowner is performing the work
then enter Owner.
Signature Section
Signature of Owner or Lessee, or Owner’s or Lessee’s authorized Officer/Director/Partner/Manager--
Please have an authorized person sign----If in an individual name, anyone listed in section 3 as owner can sign.
If in a company name, the person signing must be authorized to sign the Notice of Commencement.
Signatory’s Title/Office--- If the person signing is the owner of the property write owner.
If the property is in a company name have the authorized signer enter their title… President, Officer, Partner, Manager,
etc. (Cannot be left blank)
Please make sure the Notary acknowledgement section is fully completed.
Date - the date the document is notarized
By - The name of the person signing the Notice of Commencement
Type of authority - Signers title… owner, president, manager, etc.
For - Name of the company or the owner’s name.
Type of identification - cannot be blank, must show type of identification presented or circle personally known.
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Office of Building Services Notice of Commencement – BF29
Updated September 29, 2017 Astatula, Clermont, Eustis, Fruitland Park, Howey in the Hills, Groveland, Lady Lake,
Lake County, Leesburg, Mascotte, Minneola, Montverde, Mount Dora, Tavares, Umatilla
After recording, return to:
Permit No.:
Tax Folio No.:
Notice of Commencement
State of Florida | County of Lake
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.
1. Description of the Property: (legal description of the property and street address if available)
Legal Description:
Street Address:
2. General Description of Improvement
3. Owner’s Information or Lessee information if the lessee contracted for the improvement:
Name:
Address:
Interest in Property:
Name & Address of fee simple titleholder (if different than owner):
4. Contractor Information
Name:
Phone No.:
Address:
5. Surety (if applicable, a copy of the payment bond must be attached):
Name:
Phone No.:
Address:
Amount of Bond: $
6. Lender Information:
Name:
Phone No.:
Address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes:
Name:
Phone No.:
Address:
8. In addition to himself or herself, Owner designates
of
to receive a copy of the following Lienor’s Notice as provided in Section 713.13(1)(b), Florida Statutes:
Phone No.:
9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
The foregoing instrument was acknowledged before me this
day of
20
, by
,
as
for
who
Type of authority (i.e. officer, trustee, attorney in fact)
Name of party on behalf of whom instrument was executed
is personally known or produced
as type of identification.
Signature of Notary Public – State of Florida (print, type or stamp commissioned name of Notary Public)
Signature of Owner or Lessee, or Owner’s or Lessee’s Authorized Officer/Director/Partner/Manager
Signatory’s Title/Office
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OWNER BUILDER DISCLOSURE STATEMENT PER FL STATUTE 489.103
1. I understand that state law requires construction to be done by a licensed contractor and have applied for an
owner-builder permit under an exemption from the law. The exemption specifies that I, as owner of the
property listed, may act as my own contractor with certain restrictions even though I do not have a license.
2. I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
3. I understand that, as an owner-builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his
or her name instead of my own. I also understand that a contractor is required by law to be licensed in Florida
and to list his or her license numbers on permits and contracts.
4. I understand that I may build or improve a one-family or two family residence or a farm outbuilding. I may also
build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for
my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or
residence that I have built or substantially improved myself is sold or leased within 1 year after the construction
is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the
exemption.
5. I understand that, as owner-builder, I must provide direct, onsite supervision of the construction.
6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working
on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses
required by law and by county or municipal ordinance.
7. I understand that it is a frequent practice of unlicensed persons to have a property owner obtain an owner-
builder permit that erroneously implies that the property owner is providing his or her own labor and materials.
I, as an owner-builder, may be held liable and subjected to serious financial risk for any injuries sustained by an
unlicensed person or his or her employees while working on my property. My homeowner’s insurance may not
provide coverage for those injuries to workers on my property.
8. I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on my building who is not licensed must work
under my direct supervision and must be employed by me, which means that I must comply with laws requiring
the withholding of federal income tax and social security contributions under the Federal Insurance
Contributions Act (FICA) and must provide workers’ compensation for the employee. I understand that my
failure to follow these laws may subject me to serious financial risk.
9. I agree that, as the party legally and finically responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern owner-builders as well as employers. I also understand that the
construction must comply with all applicable laws, ordinances, building codes and zoning regulations.
10. I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services,
and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry
Licensing Board at 850-487-1395 or www.myfloridalicense.com/construction-industry/
for more information
about licensed contractors.
11. I am aware of, and consent to, an owner-builder building permit applied for in my name and understand that I
am the party legally and financially responsible for the proposed construction activity at the following address:
__________________________________________________________________________________________.
12. I agree to notify City of Groveland Building Department immediately of any additions, deletions, or changes to
any of the information that I have provided on this disclosure.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not
have a license, the Construction Industry Licensing Board and the Department of Business and Professional Regulation
may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against
an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed
contractor or employee of an individual or firm is injured while working on your property, you may be held liable for
damages. If you obtain an owner-builder permit and wish to hire a licensed contractor, you will be responsible for
verifying whether the contractor is properly licensed and the status of the contractor’s workers’ compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner
and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner’s driver
license, notarized signature of the property owner, or other type of verification acceptable to the local permitting
agency is required when the permit is issued.
Signature:________________________________________ Date:__________________________
STATE OF ____________________COUNTY OF ________________________
Sworn to and subscribed and acknowledged before me this___________ day of _____________20_____
by ________________________________, who is personally known to me or who has produced
_______________________________as identification and who did ___ or did not ___ take an oath.
___________________________________(signature of NOTARY PUBLIC)
___________________________________(Printed name of NOTARY PUBLIC)
State of _____________________ at Large My commission expires:________________________
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WINDOW AND DOOR REPLACEMENT (City of Groveland)

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Completed 18 January 2021

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