Loading...
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..,,. yi Ey (� 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