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HomeMy WebLinkAbout230 Clydesdale Cir (2)CITY OF MAR Q i 2018J, Building & Fire Prevention Division PERMIT APPLICATION FIRE OEPARTMENT �,Y Application No: { O 2 po Documented Construction Value: $ M 2,60 Job Address: 230 Clydesdale Circel Historic District: Yes❑NoR Parcel ID: 18-20-31-506-0000-0690 Residential Commercial❑ Type of Work: New❑ Addition❑ Alteration❑ Repair Demo[] Change of Use❑ Move❑ Description of Work: re -roof with asphalt shingles Plan Review Contact Person: Lorraine Gaeta Phone:407-767-6912 Fax:407-767-7165 Name Kimberly Bingham Davis Street: 230 Clydesdale Circle City, State Zip: Sanford 32771 Name Jan Tukker, Inc. Street: 406 Hermitage Drive Title: Admin Asst. Email: Ig@jtiroofing.com Property Owner Information Phone: 407-221-7271 Resident of property? : yes Contractor Information City, State Zip: Altamonte Springs 32701 Name: Street: City, St, Zip: Bonding Company: Address: Phone: 407-767-6912 Fax: 407-767-7165 State License No.: CCC1325756 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. 1 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: 6"' Edition (2017) Florida Building Code Revised: January 1, 2018 Permit 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 constructi an g. Si ature of Owner/ gen Date 2 Sig ure of Cont ctor/Age Zte Print Ow / gent's N me tint ctor/ gent's Name 3 . ZT/� g rot�sy-State o tv4AINE GAETA Si ature f Notac�s.�I to o Florida Date �s ;F� Pe'� LORRAINE GAETA m Notary Public - State of Florida _-'_;#l*,°'s ,Notary Public - State of Florida 'dc My Comm. Expires Jan 25, 2019 N p My Comm. Expires Jan 25, 2019 Commission # FF 165086 Commission # FF 165086 Owner/Agent is P rsonally Know o Me or Contractor/Agent is ✓ Personally Known to Me or Produced ID �pe of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑ Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps. Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January 1, 2018 Permit Application LIMITED POWER OF ATTORNEY Date: I hereby name and appoi S)�MA-j an agent of:1-1d l (�t./�-1 �vc - to be my 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 contract _The specific permit and application for work located at: Expiration Date for This Limiteg Power of Attorney: �L License Holder Name: State License Number: Signature of License Holder: STATE of FLORIDA COUNT 9­� I] The foregoing instrument was acknowledged before me this day of A—___�� 20 b ` �-��t who is personally known to me or _ who has produced as identification and who did (did not) take an oath. "Y prr9 LORRAINE GAETA Notary Public State of Florida ' My Comm, Expires Jan 25, 2019 Ccrnmission # FF 1650$6 lS (Notary Seal) d) "&Wz Signature Print or type name Notary Public -State of Commission NO. n �� �9My Commission Expires: �S THIS INSTRUMENT PREPARED BY: � t�h{'ll)'; I-1i)L OY r SEI'ITNOLE C OLl1•f'1-'i Name: 1 2 11. n laa CLER.}:. 9F C jRCjjjT C()IJF:1' @. CO1(1*R.CILL..ER Address: e I'K. 1' Ij 1 1='i� i ?1 1 (iP'_� , ) Tt `�r�mb�— C , !� GLERY4lJ 2tJ1���?1.,�2 RECORDED 02/26/'12018 I-I�.�;"n.°,r'' F'ti RECORDI14G FEES $10-00 NOTICE OF COMMENCEMENT RE-CORD10 BY jec1.erin Permit Number: Q Parcel ID Number: l �V . — 0 / 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 (9 PROPERTY: (Lggal description of the property avid street '2— 2. 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LE SEE CONTRACTED FOR K0 Name and address: -rL tso-,L:A IA) kL ice"► o� Interest in property: 1 -e - Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: L%� — C— Phone Number: Address: it ,,n 5. SURETY If applicable, a ( pp copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Address: Phone Number: 7. 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)(a)7., Florida Statutes. Name: Phone Number: 8. In addition, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. co Z ' �' ��it � Signature of er or Less , or owner's or Lessee's (Print Nate and Provide Si na ry's Title/Office) co Author z cer/D r r/Partner/Manager) & State of County of (('' �1-0 The foregoing instrument was acknowledged before me this day of i-c Lv I- , 2 by Gd Who is personally known to me ❑ OR N me of personmaki statement �j \ / Q a yd q who has produced identificationiytnm/ype of identification produced: / Y, `��-- 0 a: r\ z~ "S-EAL r l` ) - �,�t i rol'c - State of Flori s �Iy C x?r: I.0110S .Ian 25, 2C I C,ornrna.3ion a. FF 1550;76 aIm 7 Florida Building Code Online Page 1 of 2 w�A ki ��at'•`i1 y6 an `�..� u�� # '€JYC }i � � a �,� ix ,3, e� x $�a ; u-� ��• �.h, y dam � #, A i !-�'i � I � � S' € .c3 ��p7 �* � �- ^�'C� e.,a,�:, s rs � �¢ s t-' r� �f �?:,y nBCIS Home Log In i User Registration 1 Hot Topics ; Submit Surcharge 1 Stats & Facts I Publications i FBC Staff i BCIS Site Map i Links i Search �I'd [.av) Product Approval e ,! USER: Public User Product Approval Menu > Product or Aoolicatlon Search > Aoolicabon List > Application Detail r' � FL# FL15216-R3 �' M `� Application Type Revision Code Version 2017 Application Status Approved Comments Archived ❑ Product Manufacturer InterWrap, Inc. Address/Phone/Email 32923 Mission Way Mission, NON -US 00000 (551) 574-2939 mtupas@interwrap.com Authorized Signature Eduardo Lozano elozano@interwrap.com Technical Representative Eduardo Lozano Address/Phone/Email 32923 Mission Way Mission, NON -US 00000 (778)945-2891 elozano@interwrap.com Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer ❑ Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report Florida License PE-59166 Quality Assurance Entity Intertek Testing Services NA, Inc. - QA Entity Quality Assurance Contract Expiration Date 09/30/2019 Validated By John W. Knezevich, PE ❑.r Validation Checklist - Hardcopy Received Certificate of Independence FL15216 R3 COI 2017 01 CO I Nieminen.odf Referenced Standard and Year (of Standard) Standard Year ASTM D1970 (tear) 2015 ASTM D226 (physicals) 2009 Equivalence of Product Standards Certified By Sections from the Code https;//www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgv3yVVKJZ 1 Q... 1 /26/2018 Florida Building Code Online Page 2 of 2 Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Products II Method 1 Option D 10/10/2017 10/11/2017 10/15/2017 12/12/2017 FL # Model, Number or Name Description 15216.1 RhinoRoof Underlayments Synthetic roof underlayments Limits of Use Installation Instructions Approved for use In HVHZ: No FL15216 R3 II 2017 10 FINAL ER INTERWRAP RHINOROOF FL15216- R3Todf Approved for use outside HVHZ: Yes Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: N/A Created by Independent Third Party: Yes Other: See ER Section 5 for Limits of Use. Evaluation Reports FL15216 R3 AE 2017 10 FINAL ER INTERWRAP RHINOROOF FL15216- R3Todf Created by Independent Third Party: Yes Back Next Contact Us :: 2601 Blair Stone Road, Tallahassee Fl- 32399 Phone: 850-487-1824 The State of Florida Is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your a -mall address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine If you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: SC(1lrl$tLTICIcS'++� https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgv3yVVKJZI Q... 1 /26/2018 JTRINITY EVALUATION REPORT EXTERIOR RESEARCH & DESIGN, I.I.C. Certificate of Authorization #9503 353 CHRISTIAN STREET, UNIT #13 ER® OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 Interwrap, Inc. 32923 Mission Way Mission, BC V2V-6E4 Canada (551) 574-2939 Evaluation Report 140510.02.12-113 FL15216-R3 Date of Issuance:02/17/2012 Revision 3: 10/10/2017 SCOPE: This Evaluation Report is issued under Rule 61G20-3 and the applicable rules and regulations governing the use of construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The products described herein have been evaluated for compliance with the 6th Edition (2017) Florida Building Code sections noted herein. DESCRIPTION: RhinoRoof Underlayments LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named'product(s) changes, the referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality Assurance documentation changes. Trinity) ERD requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words "Trinity IERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety. INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This Evaluation Report consists of pages 1 through 3. Prepared by: Robert J.M. Nieminen, P.E. Florida Registration No. 59166, Florida DCAANE1983 �4,J+Q4a<�r.``" J�dn,.�nna The facsimile seal appearing was authorized by Robert tom'- Nieminen, P.E. on 10/10/2017. This does not serve as an electronically signed document. CERTIFICATION OF INDEPENDENCE: 1. Trinity) ERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. Trinity I ERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the evaluation reports are being issued. 4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. 5. This is a building code evaluation. Neither Trinityl ERD nor Robert Nieminen, P.E. are, in any way, the Designer of Record for any project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or design guidance unless retained specifically for that purpose. ROOFING COMPONENT EVALUATION: 1. SCOPE: Product Category: Roofing Sub -Category: Underlayment Compliance Statement: RhinoRoof Underlayments, as produced by Interwrap, Inc., has demonstrated compliance with the following sections of the 6th Edition (2017) Florida Building Code through testing in accordance with applicable sections of the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Section 1507.1.1, T1507.1.1 1507.1.1 3. REFERENCES: Entity ITS (TST1509) ITS (TST1509) ITS (T5T1509) PRI (TST5878) ITS (QUA1673) 4. PRODUCT DESCRIPTION: Properties Standard Unrolling, Breaking Strength, Pliability ASTM D226 Tear Strength I A5TM D1970 Examination Reference Physical Properties 100539395COQ-006 Physical Properties 100539395COQ-002 Physical Properties 100539395COQ-006 ASTM D1970; Tear strength OCF-330-02-02 Quality Control Service Confirmation Year 2009 2015 Date 10/27/2011 10/27/2011 03/14/2014 10/03/2017 09/30/2017 4.1 RhinoRoof U20 is a multilayered polymer woven coated synthetic roof underlayment available in 42-inch wide rolls, and can be produced in various other sizes; meets FBC 1507.1.1 (Exception). S. LIMITATIONS: 5.1 This is a building code evaluation. Neither Trinity1ERD nor Robert Nieminen, P.E. are, in any way, the Designer of Record for any project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or design guidance unless retained specifically for that purpose. 5.2 This Evaluation Report is not for use in FBC HVHZ jurisdictions. 5.3 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory or test report from accredited testing agency for fire ratings of this product. 5.4 RhinoRoof Underlayments may be used with any prepared roof cover where the product is specifically referenced within FBC approval documents. If not listed, a request may be made to the Authority Having Jurisdiction for approval based on this evaluation combined with supporting data for the prepared roof covering. 5.5 Allowable Roof Covers: -�4Sd".'F�^'^ �w ' f C"�—.'"`h#FyE£dX.y fl -'A-. '$ h F. �'. SN "v "Ka �i'-`-"4 cl "'yE'�.gg x ' �TABLEI ROOF COVER OPTIONS, t WRM®R Asphalt Wood Shakes Slate or Underlayment Shingles Nail -On Tile Foam -On Tile Metal & Shingles Simulated Slate RhinoRoof U20��Yes� 5.6 Exposure Limitations: RhinoRoof U20 shall not be left exposed for longer than 30-days after installation. Exterior Research and Design, LLC. Evaluation Report 140510.02.12-R3 Certificate of Authorization #9503 6T" EDITION (2017) FBC NON-HVHZ EVALUATION FL15216-133 RhinoRoof Underlayments Revision 3:10/10/2017 Page 2 of 3 JTRINITYIERD 6. INSTALLATION: 6.1 RhinoRoof Underlayments shall be installed in accordance with Interwrap, Inc. published installation instructions subject to the Limitations set forth in Section 5 herein and the specifics noted below, 6.2 Re -fasten any loose decking panels, and check for protruding nail heads. Sweep the substrate thoroughly to remove any dust and debris prior to application. 6.3.1 Shall be installed in compliance with the requirements for ASTM D226, Type I or II underlayment in FBC Table 1507.1.1 for the type of prepared roof covering to be installed, taking into account the wider sheet - width for double -layer applications. 6.3.1 Fasteners: For exposure < 24 hours, corrosion resistant fasteners may be 1-inch roofing nails with a 3/8-inch diameter head, or those noted in 6.4.2. The use of staples is prohibited. For exposure > 24 hours up to maximum 30 days, corrosion resistant fasteners shall be minimum 1-inch diameter plastic or metal cap nails or FBC HVHZ nails & 1-5/8" diameter tin caps (with the rough edge facing up). The use of staples is prohibited. 6.3.2 Single Laver; Roof Slope > 4:12: End (vertical) laps shall be minimum 6-inches and side (horizontal) laps shall be minimum 4-inches. Refer to Interwrap, Inc. recommendations for alternate lap configurations and/or the use of sealant under certain conditions. For exposure < 24 hours, use of every -other fastening location printed on the surface is acceptable. For exposure > 24 hours up to maximum 30-days, use of every fastening location printed on the surface is required. When batten systems are to be installed atop the underlayment, the underlayment need only be preliminarily attached pending attachment of the battens on the same day. Battens shall not be positioned over cap nails. If this occurs, remove the cap nail and patch the hole in accordance with Interwrap published instructions. 6.4.3 Double Laver; 2:12 < Roof Slope < 4:12: End (vertical) laps shall be minimum 12-inches and side (horizontal) laps shall be minimum half -sheet -width plus 1-inch. Double layer application; begin by fastening a half -width plus 1-inch starter strip along the eaves. Place a full -width sheet over the starter, completely overlapping the starter course. Continue as noted in 6.5, but maintaining minimum half -width plus 1-inch side (horizontal) laps, resulting in a double -layer application. 7. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. 8. MANUFACTURING PLANTS: Qingdao, China 9. QUALITY ASSURANCE ENTITY: Intertek Testing Services NA Inc. — QUA1673; (608) 836-4400 - END OF EVALUATION REPORT - Exterior Research and Design, LLC. Evaluation Report 140510.02.12-R3 Certificate of Authorization #9503 6Tr EDITION (2017) FBC NON-HVHZ EVALUATION FL15216-113 RhinoRoof Underlayments Revision 3: 10/10/2017 Page 3 of 3 CITY Of Building & Fire Prevention Division SkNFORD RESIDENTL4L RE -ROOF POLICY & PROCEDURES FIRE DEPARTMENT PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION. THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE. "PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE SANFORD HISTORIC PRESERVATION BOARD INSPECTION POLICY & PROCEDURES A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS. THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE: • PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION • COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK • COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT • ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS (PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK) • DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) O EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED O ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) O ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) O UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) O DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER) o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS • SKYLIGHTS (IF APPLICABLE) O DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL O DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL FAILURE TO FOLLOW TH E ECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITE OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRA OR (OR E UILDER) SIGNATURE: DATE: ©Z 2 l� PERMIT # V? — t l '� Z Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK STRUCTURE TYPE: ;8KINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): DoI")0aOL **PLEASE NOTE: ONLY 100 SQUARE PUT 19F THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION. FF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES / ' IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 9 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHIN PGLE FL# 0la —;p O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# NUVA YaTCel view: i2S-Gv-J1-Jvo-umul-vow rage f of L Property Record Card Parcel: 18-20-31-506-0000-0690 Property Address: 230 CLYDESDALE CIR SANFORD, FL 32771 Sorry, I%V heaa no wagary her. Value Summary 2017 Tax Bill Amount $1,459.72 Tax Estimator Save Our Homes Savings: $1,092.72 " Does NOT INCLUDE Non Ad Valorem Assessments 2018 Working Values 2017 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1. 1 Depreciated Bldg Value $145,613 $137,130 - Depreciated EXFT Value $4,144 $4 292 TT Land Value (Market) $34,000 $34,000 Land Value Ag Just/Market Value " $183,757 $175,422 Portability Adj Save Our Homes Adj $63,242 $57,386 Amendment 1 Adj $0 P&G Adj $0 $0 Assessed Value $120,515 $118,036 2/23/2018 ROO FI N G ':,)D d JT1 Roofing Contract Address: 406 Hermitage Drive Altamonte Springs, FL 32701 Phone/Email: (407) 767-6912/ljones@jtiroofing.com State -Certified Roofing Contractor - CCC1325756 State -Certified General Contractor - CGC036067 Jan Tukker, Contractor , Customer Name: I� . ,.✓� Address: Z Home Phone: VO 6" Z 2( 7 a 7 Cell: Email: Project Address: Insurance Co. Adjuster: Claim #: }� Phone: ,S // Date: City/State/ZIP: Work Phone: + SPECIFICATIONS/PRICE BREAKDOWN ITEM TYPE QTY AMOUNT TOTAL Tear -off shingle Replace shingle 4 Replace underlayment Hurricane Retrofit Steep 2nd Story Charge Valley Material Drip Edge Vents 1" Vents 2" Vents 3" Goosenecks 4" Goosenecks 10" Flat Roof Interior/Exterior Skylights Solar Panels 1W ma i Remove Trash from Roof, Gutters and Yard Roll Yard with Magnetic Roller Protect Landscaping Where Applicable Delivery/Special Instructions: • 4571 ITEM TYPE QTY AMOUNT TOTAL Ridge Vent Off -Ridge Vents Decking �r Lead Boots Debris Removal i _ --!v e- Manufacture: Type: a ,-,- / Color: Warranty Labor Roof / - ` _ W, Insurance Co. Initial/Estimated Date: $ Amount Insurance Co. Agreed Amount Date: $ Upgrades Insurance Supplement TOTAL Date: PAYMENT SCHEDULE 50% DOWN PAYMENT PRIOR TO ORDERING MATERIALS PAYMENT IN FULL UPON COMPLETION EARNEST DEPOSIT: ❑ $500.00 ❑ $1000.00 ❑ $. DOWNPAYMENT $ FINAL PAYMENT $ JAN TUKKEK, FKEOMN I TERMS: THIS AGREEMENT IS "SUBJECT TO" INSURANCE COMPANY APPROVAL. JTI ROOFING IS AUTHORIZED TO PERFORM WORK AND RECEIVE FULL AMOUNT OF INSURANCE PROCEEDS, INCLUDING OVERHEAD AND PROFIT, ONLY UPON APPROVAL BY INSURANCE COMPANY. ACCEPTANCE OF AGREEMENT The above prices, specifications and conditions of this agreement are satisfactory and are hereby accepted. I/We have read and understand the terms and conditions located on the back of this document/agreement. JTI Roofing is authorized to do the work as specified and in accordance with the terms, conditions and stipulations of this agreement. Homeowner hereby authorizes Insurance Company and/or 'Mortgage Company to make payment for completed repairs directly to Contractor and mail insurance proceeds to Contractor. Homeowner hereby assigns to Contractor their rights to any insurance proceeds from Insurance Company for goods and services as described in the specifications. THREE DAY RIGHT OF RESCISSION THIS WRITTEN AGREEMENT HEREBY SERVES AS NOTI THAT I MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDN OF THE THI USIN SS DAY=Date: THE DATE OF TI}IS EMENT. Homeowner Approval: Contractor Approval: Date: LZZ I t d BE