HomeMy WebLinkAbout219 Clydesdale Cir (2)CITY OF az ' '
Building & Fire Prevention Division
pot PERMIT APPLICATION jk�4FuRD.,'
FIRE DEPARTMEN'T
Application No:
13•
Documented Construction Value: S
I
Job Address: 219 Clydesdale Cir. Historic District: Yes❑Noa
Parcel ID: 18-20-31-506-0000-0590 Residential Commercial❑
Type of Work: New❑ Addition❑ Alteration❑ Repair Demo ❑ Change of Use❑ Move ❑
Description of Work: re -roof with asphalt shingles
P,lawReview Contact Person: Lorraine Gaeta Title: Admin.
Phone:407-767-6912 Fax:407-767-7165 Email:lg@jtiroofing.com
Property Owner Information
Name Andrew Campione & Mildred Diappa Phone: 407-496-1677
Street:9 Clydesdale Cir. t� Resident of property? : yes
City, State Zip: Sanford FI 32773
Contractor Information
Name Jan Tukker, Inc. Phone: 407-767-6912
Street: 406 Hermitage Drive Fax: 407-767-7165
City, State Zip: Altamonte Springs FI. 32701 State License No.: CCC1325756
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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: 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
be done in compliance with all applicable laws regulating construction and
Sign �treoi`C)Nvner/Agent Date .
.—PrOwn gent's Name -- II
11
- J _ *1 - L.4
EJKda ate-
� LORRAiN iaFlt:TA
Notary Public - State of Florida
;= My Comm. Expires Jan 25, 2019
. °';`'+ Commission # FF 165086
Owner/Agent is Personally Kto e or
Produced ID Type of ID n n
of
Name
and that all work will
qllt?
Date
I-
101ar-Staff-.ofFlorkra Date �
r; LORRAINE GAETA
*'~ o Notary Public -State of Florida
Commission # FF 165086
Contractor/Agent is Z X, Personally Known to Me or
Produced ID —1 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: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
daJT1 ROOFING
4383
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 Contr for — CGC036067 .=
Jan Tukker, Contractor Customer. Name:
zl Cl r
Address:
Home Phone: 70/..- '/ %f, --
Email:
Project Address:
Insurance Co.
Adjuster:
Claim #:
Phone: /
Date: ``
Work Phone:
SPECIFICATIONS/PRICE BREAKDOWN
ITEM
TYPE
TY
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
Skylights
Solar Panels
Roll Yard with Magnetic Roller
Protect Landscaping Where Applicable
Del ivery/Special Instructions:
ITEM TYPE QTY AMOUNT TOTAL
Ridge Vent
Off -Ridge Vents
Decking r
Lead Boots
Debris Removal
Wood
Shingles -Manufacture: � Styl
Type: Color:
Warranty
Labor fit'
Roof
Y
Insurance Co.
Initial/Estimated
Date:
$
Amount
Insurance Co. Agreed
Date:
$
Amount
pgrades
rance 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 TUKKER, 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 AGRIVT HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY
TIME PRIOR TO MIDNWnT OF/`F)HF, THIRp BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT.
r
Homeowner Approvals \ t, i ,Vgff (tpwAftkA9NV Date:
Contractor Approval fl--�� ��-� Date:
11�1 IIIII lll!I ��111 ii�l Il��� 111! I��
THIS INSTRUMENT PREPARED BY:
Name: Lorraine Gaeta
Address: 406 Hermitage Drive
Altamonte Springs, Florida 32701
NOTICE OF COMMENCEMENT
Permit Number:
flq
-.,. 0,-- ' - '11'I
r,..tlr 20130171)25?; ,
Parcel ID Number: 18-20-31-506-0000-0590
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 59 Bakers Crossing Phase 2 PB 62 Po 97-99
219 Clydesdale Cir Sanford FI. 32773
GENERAL DESCRIPTION OF IMPROVEMENT:
re -roof with asphalt shingles
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Andrew Campione & Mildred Diappa 219 Clydesdale Cir. Sanford FI 32773
Interest in property: Fee Simple
Fee Simple Title Holder (if other than owner listed above)
CONTRACTOR: Name: Jan Tukker, Inc. Phone Number: 407-767-6912
Address: 406 Hermitage Drive Altamonte Springs FI. 32701
SURETY (If applicable, a copy of the payment bond is attached):
6. LENDER:
Address:
Phone Number:
Amount of Bond:
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:
S. 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.
r
r-� 4-`3
(Signature of Owner or Lessee, or Owner's or Lessee's
Authorized Officer/Director/Partner/Manager)
(Print Name and Provide Signatory sTitle/Office)
State of County of Se- YY� _a i.) Lei — /� (I
The foregoing`` instrument was acknowledged before me this / day of &RYA
by. k r e twj P �rr IcTg3rtatB "
Name of erso men
who has produced identification type of identification produced: F
f
SEAL.;ar;"..blic Sake ^,, t,o2t���.
C c"
i;��mmi�•:,inn -rr jriEG ;
Who is personally known to me ❑ OR
CITY OF
Sjk ORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
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 UNDERLAYM ENT 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 (1F 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 GUIDELINES WILL RESULT IN I- FFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER, CERTIFYING COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
CITY OF
Sk�4FORD
FIRE DEPARTMENT
JOB ADDRESS: 2
PERNHT #
Building & Fire Prevention Division
RESIDENTIAL RE ROOF SCOPE OF WORK
STRUCTURE TYPE: 0 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 k W O O
**PLEASE NOTE: ONLY 100 SQUARE FEET OF TIRE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: $OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (�(NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12
O 2:12-4:12
�K4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
/
FL# U 2-0
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH 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#
OTORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
c
CITY O
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDAVIT
MC 0 PARTt00%T
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1 ��1 ADDRESS: /
, AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
FOO ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
ATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER
DATE:
THIS SIGNED AND NOTARIZED AF ID IT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
"FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY 01F
Swo n to and Subscribed before me this day of 20 by:
Who is ersonally Known to me or has ❑ Produced (type of
jSig
ific io as identification.
S :�•_„ ` aalrsF cif ra
� � �`"``` °� 4dotary �;+btic - Stata of F1olida
ture of Notary Public ) q,r Un«� Ex Tres Jan 25, 2J19
State of Florida - ' ti1,� Comm. B
'r ` 4omm;ssion # FF 1G50&G
Prmt/ ype/Stamp IN
of Notary Public