HomeMy WebLinkAbout232 Justin Way (2)(0
MAY 2 9 2018 Building & Fire Prevention Division
PERMIT APPLICATION
Application No: I X-2-42-4
Documented Construction Value: $ 1 2 q --I-
Job Address: 232 Justin Way 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
Plan Review Contact Person: Jan Tukker Title: Pres/
Phone: 407-767-6912 Fax: 407-767-7165 Email:lg@jtiroofing.com
Name William & Sashya
Street: 217 Clydesdale Cir.
City, State Zip: Sanford, FI. 32771
Name Jan Tukker, Inc.
Street: 406 Hermitage Drive
Property Owner Information
Phone: 407-416-7445
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 willwbe applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is a urate and that all work will
be done in compliance with all applicable laws regulating construction an zoning.
Signature of Owner/Agent Date S nature of ntractor/A nt Da e
O er/A ent's Name ' P*ohtrent's Name
Si ature ofNotary-State ofFlorida L0kRAI1Da 0AETA SState of Florida Date,
j Notary Public State Of Florida b
�' MY Cor n. Expires Jan 25, 9019
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Q j J Notary Public - State of Florida
Camrtission# FF1550 6
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C tirnrriissio F 165086 pp
Owner/Agent is ersonally Kn w to Me or Contractor/Agenvis _-.-ers-onally&Knowen to Me or
Produced ID Type 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: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
THIS INSTRUMENT PREPARED BY:
Name: Lorraine Gaeta
Address: 406 Hermitage Drive
Altamonte Springs, Florida 32707
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 10-20-30-501-0000-0780
GRANT MALOYr SEMINOLE "OUNTY,
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 9141 Ps 54• (1Pss)
CLERK'S T 2018060336
RECORDED 05/29/21318 10:01J.'12 MI
RECORDING FEES $10.00
RECORDED BY hdevore
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 78 Grovenview Villaae
232 Justin Way 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: Sasha Thomas 217 Clydesdale Drive Sanford FI. 32771
Interest in property: Fee Sim
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: Jan Tukker, Inc. Phone Number: 407-767-6912
Address: 406 Hermitage Drive Altamonte Springs FI. 32701
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address:
6. LENDER: Name: Phone Number:
Address:
Amount of Bond:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Phone Number:
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.
(Signature of Owner or Lessee, or Owners or Lessee's
Authorized Officer/Director/Partner/Manager)
State of NCounty of
The
by
person
(Print Name and Provide Signatory's Title/Office)
led before me this day of , 20
�-wCL.0 Who is personally known to me— OR
statement 'I , � 1 U
who has produced identification ❑ type of identification produced:
SEMI
,rvr, l'ULI
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c Of !-lciiu� .)
nrr iscior ,. i-f 1"
L N J�U
v,;
CITY OF
SA��ORD F)RE DEPARTMENT
JOB ADDRESS: 7 12) 2,
PERMIT#
Building & Fire Prevention Division
RESIDENTIAL RE ROOF SCOPE OF WORK
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: EPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): Q
*PLEASE NOTE: ONLY 100 SQUARE FEET OF HE EXISTING DECK IS PERMITTED TO BE REPLACED**
ROOF VENTILATION: WO
00OFFF--RIDGE RIDGE QSOFFIT QPOWERED VENT
SKYLIGHTS: O YES WO 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
QTURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL#
Q METAL
FL#
OMODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
0INSULATED
FL#
0 TILE
FL#
Q OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
Q METAL
FL#
0MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
Q INSULATED
FL#
Q TILE
FL#
O OTHER:
FL#
CITY OF
Building & Fire Prevention Division
SkNFORD RESIDENTIAL RE ROOF POLICY & PROCEDURES
w,
�IR� O£I�iIIihI�N�
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 SPECIFICELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGI ER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR O ER/BUII D ) SIGNA E: DATE: a L" - CJ
� � �Aof • 474 2
ROOFING / o
JTI Roofing Contract
Address: 406 Hermitage Drive
Instirance Co.
Altamonte Springs, FL 32701
Adjuster:
Phone/Email: (407) 767-6912/ljones@jtiroofing.com
Claim #:
State -Certified Roofing Contractor - CCC1325756
Phone:
State -Certified General Contractor— CGC 36067
Jan Tukker, Contractor
Customer Name: �'l ��
Date:
Address: /
CI tate/ZIP: �-
Home Phone: �/0 7— l �L T �811:
Work Phone:
Email:
Project Address:
SPECIFICATIONS/PRICE BREAKDOWN
ITEM
TYPE
Y
AMOUNT
TOTAL
Tear -off shingle
Replace shingle
Replace underlayment
Hurricane Retrofit
Steep
2nd Story Charge
Valley Material
Drip. Edge
Vents I"
Vents 2"
Vents 3"
Goosenecks 4"
Goosenecks 10"
Flat Roof .
Interior/Exterior
Skylights
Solar Panels
Notes:
r"
Cl-
✓ 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
Debris Removal
Wood
Shingles -Manufacture: %� Style: ArG
Solor:
Warranty
Labor'
Roof
Insurance Co.
Initial/Estimated
Date:
$
Amount
Insurance Co. Agreed
Date:
$
Amount
Upgrades
$
Insurance Supplement
$
OTAL
Date: Ir
$
PAYMENT SCHEDULE
50% DOWN PAYMENT PRIOR TO ORDERING MATERIALS
PAYMENT IN FULL UPON COMPLETION
EARNESTDEPOSIT: ❑ $500.00 ❑ $1000.00 ❑ $
DOWNPAYMENT $ FINAL PAYMENT $
JAN TUKKER, PRESIDENI
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 NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY
TIME PRIOR TO MIDNI F T B F^ HE DATE OFT MENT.
Homeowner Approval: Date:
Contractor Approval: Date: �o
CITY Of
SkNFORD
fIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTLAL RE -ROOF AFFIDA VIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: l' C ADDRESS: 2,32.^
I LCA , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
R FING CON -TRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
ORMATION 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. CHANTER $53.81
LICENSE #: ( ` (" -0 I -✓
COMPANY / CONTRACTOR'.
CONTRACTOR SIGNATURE: _
(MUST BE SIGNED BY LICENSE
DATE: '/' )"ql t-./ // - 7 � P�l4
THIS SIGNED AND NOTARIZ FIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOT RAPHS 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 OF ,-- ,
Swor to and Subscribed before me this day of 20by:
Who iN sonally Known to me or has ❑ Produced (type of
is 10) as identification.
12n a of Notary Public
State of Florida ,, '(SEAL')=
h(�f A4 s v £/ Public State of Florida
�¢ df4
Print/Type/Stamp Name j ?,1� C:
of Notary Public %rr <s;; Commission # FF