HomeMy WebLinkAbout328 Lusitano WayBuilding & Fire Prevention Division
PERMIT APPLICATION
Application No: ff-c�33-7
Documented Construction Value: $ F 7 �J
Job Address: 328 Lusitano Way Historic District: Yes❑NoFv—(]
Parcel ID: 18-20-31-506-0000-0910 Residential❑ Commercial❑
Type of Work: New[] Addition❑ Alteration ❑ Repair❑✓ Demo ❑ Change of Use❑ Move ❑
Description of Work: re -roof with asphalt shingles
2-1
Plan Review Contact Person: Jan Tukker
Phone: 407-767-6912
Title: Pres.
Fax: 407-767-7165 Email: l9@jtiroofing.com
Property Owner Information
Name Haiderali & Latifah Shabanali
Street: 328 Shabanali
City, State Zip: Sanford FI. 32771
Name Jan Tukker, Inc.
Street: 406 Hermitage Drive
Phone: 407-320-7306
Resident of property? : yes
Contractor Information
City, State Zip: Altamonte Springs FI 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. 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 10.5.3 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 a rate and that all work will
be done in compliance with all applicable laws regulating construction zoning.
.,E�V OJJ cam, A -RA
Signature of Owner/Agent Daft Sign re of Contr or/Agent Date
Print O e Agent's Name p Print ctor/Agent's Name
rgn e of Notary -State of Florida Date gnature of Notary -State of Florida
GMz k.�
E i 4 ETA
i O'RRAINE GAETA
Slate of Florida
Notary pubft State of Fiot'rda ° N` p es Jan 25, 2019
'-;
�z- pgtC��n?m. Expires Jan 25, ^c0'19 �iut # FF t65086
« h 04
Rr ; f mission # FF 155086
t �4l - I +-a�.,�?- z". .,y „�•, 2�
Owner/Agent is �� esonallyno m t e Contractor/Agent is PersoriallyKrio Me or
Produced ID�lape afD Produced ID , �tpeof ID L()l;RAitlE GAETA `
Notary ftblic - State of Florida
N111 Comm. Expires Jan 25, 2019
Comrnissio.n # FF 16508E
BELOW IS FOR OFFICE USE ON `
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: January 1, 2018 Permit Application
THIS INSTRUMENT PREPARED BY: GIANT NALOYr SE11INOLE COUNTY
Name: Lorraine Gaeta
CLERK Of' C:IRCUI1- COURT & CONPTROLLER
Address: 406 Hermitage Drive BK 9136 F's 512 (1P3s )CLERK'S T 201SI_IS7173
Altamonte Springs, Florida 32701 RECORDED 05/21/2018 11:31:571 AN
RECORDING FEES �•lrj,rlil
NOTICE OF COMMENCEMENT RECORDED BY hdevore
Permit Number:
Parcel ID Number: 18-20-31-506-0000-0910
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 91 Bakers Crossina Phase 2 Pb 62 Pas 97-96
328 Lusitano Wav 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: Haiderali & Latifa Shabanali 328 Lusitano Way Sanford FI. 32771
Interest in property: Fee Simple
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
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: 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.
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.
(Signature of Owner or LessVMr Owners or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of f L6 Countyol�f&146-1 14)"p .
The foregoing instrument was acknowledged before me this �� day of , 20 �v
by oh (, �(�i 1 �/ � /ir) Gam-Z • Who is personally kn wn to me ❑ OR
1T"T� Name of MFson rftRinb st rrnt
who has produced identification)etype of identification produced:
i )Oinf}r'Utlii i ltC d
r •�CigiT, � 3"vPSJal
Notary Signature
rrtmiss!on f` i-P 1ow..,,.
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Ey
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ULPUi'f:.t+
CITY W
Building & Fire Prevention Division
RESIDENTIAL RE ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
V 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 GUIDELINES WILL RES T IN AN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC C
.VIT PROVIDED BY A FLORIDA DESIGN
NCE.BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: a hs
>-0CITY Of
>.S�
�hFIRE DE PARTMENIT
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE ROOFSCOPE OF WORK
STRUCTURE TYPE: MSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE' -COVER (NEW ROOFINSTALLEDOVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY) W O a J
**PLEASE NOTE: ONLY 100 SQUARA FEET10F THE EXISTING DECK IS PERMITTED TO BE REPLACED**
ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
------------------------------------------------------------------------------------------------------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 4:12 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
0INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
ROOF SLOPE: 0 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#
0TORCH DOWN
FL#
OINSULATED
FL#
O TILE.
FL#
0 OTHER:
FL#
�\ r r
4738
� JTI ROOFING
JTI Roofing Contract
Address: 406 Hermitage Drive G Insurance Co.
Altamonte Springs, FL 32701 ��S Adjuster:
Phone/Email: (407) 767-6912/ljones@jtiroofing.comVC)
�� /��� v Claim #:
State -Certified Roofing Contractor - CCC1325756 7l CJ ` Phone:
State -Certified General Co�ractor — C 0 6067 � � ` / Q /, % �Llq
Jan Tukker, Contractor, Z-7/1
[ L
Customer .Name: �(ly/7 _ Date:
Address-3 2- LUS'
Home Phone:%`', �� / Cell:
Email
Project Address:
ITEM
TYPE
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
✓ Delivery/Special Instructions:
ity/State/ZIP:
Work Phone:
ITEM TYPE QTY AMOUNT TOTAL
Ridge Vent
Off -Ridge Vents
Decking
Lead Boots
Debris Removal 1
Shingles -Manufacture Style:
Typs- l Color:
Warranty
Labor
Roof
Z4��
Zr' gy �ee OX
Insurance Co.
Initial/Estimated
Date:
$
Amount
Insurance Co. Agreed
Amount
Date:
Upgrades
surance 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 A MENT HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY
TIME PRIOR TO MID GHT SHE OHIP XNfbS DAY AFTER THE DA 1/OF THISt GRET.
Homeowner Approva_. Dater(
Contractor Approval: Date: 3a