HomeMy WebLinkAbout217 Clydesdale CirCITY OF
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: k
Documented Construction Value: $
Job Address: 217 Clydesdale Cir. Historic District: Yes❑NoFv—(]
Parcel ID: 18-20-31-506-0000-058 Residential Commercial❑
Type of Work: New[] Addition[] Alteration❑ Repair Demo[] Change of Use❑ Move❑
Description of Work: re -roof with asphalt shingles
/0/0
Plan Review Contact Person: Jan Tukker
Phone: 407-767-6912
Fax: 407-767-7165
Title: Pres/
Email: Ig@jtiroofing.com
Property Owner Information
Name William & Sashya Phone: 407-416-7445
Street: 217 Clydesdale Cir.
City, State Zip: Sanford, FI. 32771
Name Jan Tukker, Inc.
Street: 406 Hermitage Drive
Resident of property? : yes
Contractor Information
City, State Zip: Altamonte Springs, FI. 32701
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: 407-7967-6912
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. 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: 6th 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 inform
be done in compliance with all applicable laws regulating construe
'5f 0 is
Signature of Owner/Agent Date Sign re of Co
4yymzz�
Print Owner/Aizeni's Name
accurate and that all work will
and zoning.
Agent
Name
DS�D q hzo)
e I_4 iAAlttiE GAEiA
= m i Notary Public -nt Florida
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hOi;Ar1iP1E GAETA
(� Notary Public
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��kk - State of Florida
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Owner/Agent is Personally Known to'M or'
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Co�r7Agetfls y-Personally� K
Produced ID Type of ID L �
Produced ID ' Type of ID
BELOW IS FOR OFFICE USE ONLY
to Me or
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 ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
Qivo R®®FING
• � s
JTI 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 — CGC03609
Jan Tukker, Contractor Customer Name: rG 6�Y1 C
Address: {
Home Phone: e
Email:
Project Address:
Insurance Co.
Adjuster: _
Claim #:
Phone:
h a 7� Yr-a Date: ZI /a �7
5 �C .�G 'n t WState/ZIP: �TZ `t 3
Work Phone:
SPECIFICATIONS/PRICE BREAKDOWN
ITEM
TYPE
QTY
AMOUNT
TOTAL
Tear -off shingle
Replace shingle
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
p
Skylights
Solar Panels
Notes:
✓ Remove Trash from Roof, Gutters and Yard
✓ Roll Yard with Magnetic Roller
✓ Protect Landscaping Where Applicable
✓ Delivery/Special Instructions:
ITEM TYPE QTY AMOUNT TOTAL
Ridge Vent
Off -Ridge Vents
Decking
Lead Boots a
Debris Removal
Wood
Shingles -Manufacture: �` Style:
Type r ' Color:
Warranty
Labor
15—
Roof
"—/: t �4, t
Insurance Co.
Initial/Estimated
Date:
$
Amount
Insurance Co. Agreed
Amount
Date:
$
Upgrades
rance Supplement
TAL I
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 1'UKKER, PRESIDENT
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 AGREEMEN HEREBY SERVES � "AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY
TIME PRIOR TO MIDNIQHT 0 TEF TV AUSI&,SS"A-Y/*YVXR\THE DATE OF THIS AGREEMENT.
Contractor • .. • D.
i/ "
THIS INSTRUMENT PREPARED BY:
Name: 4orraine Gaeta
Address: 406 Hermitage Drive
Altamonte Springs, Florida 32701
NOTICE OF COMMENCEMENT
Permit Number:
GRAI%I{ t- ''iLIJ`r r SEt`IIhdOLE COUI'aTT
CLERK OF C:):RCLl11COURI' & CONI.TROLLER
E',K 91�31-`s 228 (1F'ss i
C:LERK'S T 201305504.9
1't>_ NDED Il i/15/;_111v
RECORDING FEES $11),ilil
RECORDED B"'
Parcel ID Number: 18-20-31-506-0000-0580
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 PROPERTY: (Legal description of the property and street address if available)
Lot 58 Bakers Crossing Phase 2 Pb 62 Pas 97-99
217 Clydesdale Cir. Sanford FI. 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
re -roof with asphalt shingles
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Willia & Shaha Thomas 217 Clydesdale Cir. Sanford FI. 32771
Interest in property: Fee Simple
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: Jan Tukker, Inc.
Address: 406 Hermitage Drive Altamonte Springs, FI. 32701
5. SURETY (If applicable, a copy of the payment bond is attached): Nam
Phone Number: 407-767-6912
Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
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.
Phone Number:
Address:
8. In addition, Owner designates
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.
1n14"An
ature of Ownet o ssee, br Owners orlessee's (Print Name an P id Signatorys Title/Office)
Authorized Officer/Director/Partner/Manager)
State of County •
The foregoing instrument was ackno dged before me this day of �:�2 's ->•
by Who is pe onally known to me ❑ OR *\ `rr Z3
Name of perso makin s ement �J l� / � � 0-
who has produced identification ❑ type of identification produced: Li '� Y — a Q
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Notary Signature a w C,c 0
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x� e} Building Prevention
Product Approval Specification Form
Permit #
Project Location Add
6-�
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category/ Subcategory
Manufacturer
Product
Description
Florida Approval #
(include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
(including decimal)
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
% ei
Underla ments
v o
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
(include decimal)
5. Shutters
Accordion
Bahama
Colonial
Roll up
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signati
Applicant's Name
(Please Print)
June 2014
CITY OF
Building &Fire Prevention Division
SkNFORD RESIDENTL4L RE ROOF POLICY & PROCEDURES
NRE 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 THESE SPECIFIC GUIDI
PROFESSIONAL (ARCHITECT OR ENGINEER),
CONTRACTOR(OR
RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
DATE: L U
�f CITY 4
I ♦ D
FIRE DEPARIWIENT
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE ROOF SCOPE OF WORK
STRUCTURE TYPE: SINGLE 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): p I w I, &
**PLEASE NOTE: ONLY 100 SQUARE F ET OF V EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATIONIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES Off} NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 12 OR GREATER
O TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL# D -�
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
O INSULATED
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#
OINSULATED
FL#
O TILE
FL#
0 OTHER:
FL#