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HomeMy WebLinkAbout401 W 19 St; 17-1804; ROOFCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ too 0 0 Job Address: 9 [ i Historic District: Yes No Parcel ID: _)7-3 O 6-_b% b 0 O 0 — / 0 a Residential Commercial Type of Work: New Addition Alteration Repair [N Demo Change of Use Move Description of Wor W 43 1 o aA 1.0 T Title: Al m yy, C CU Y\ Property Owner Information Name A-rL_Le-d d r)-0- S Phone: "`t 7 713,9 Street: 901 Q . I t , Resident of property? : 4 City, State Zip: 5a,, P64 n 71 Contractor Information Name ! QM l.L1[uA Z*) C. Phone: Street: fo le 1' b'l'l1 '-C . Fax: % d % 716 ;j City, State Zip: J Z)dAtate License No.: Arc itect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: 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: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 Pennit 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 Js acc and that all work will be done in compliance with all applicable laws regulating construction and zo g. C, Signature of Owner/Agent ate Sign re of Conti for/A t Date rl enV V . Amulrer 1 5 Name r G Ir(-rll PµY 29 LORRAINE GAETA Notary Public - State of Florida PAY Comm. Expires Jan 25, 2019 OFy Commission # FF 165066 Name N " tl-,oft ,yj4apublic - State f3areorida i My Comm. Expires Jan 25, 2019 Commission # FF 165056 Owner/A.gerit is Personally T{tt" ow o Me or Contractor/Agent is Personally Kn wn to Me or Produced ID _ Type of ID lt. Produced ID iZ—Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Construction Type: Total Sq Ft of Bldg: Electrical Mechanical Occupancy Use: _ Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: COMMENTS: UTILITIES: ENGINEERING: FIRE: Plumbing Gas[] Roof Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Pennit Application SCPA Parcel View: 36-19-30-506-0000-1100 Page 1 of 2 Property Record Card CFA Parcel: 36-19-30-506-0000-1100 Owner: JONES CARLENE S ry nMACK Property Address: 401 W 19TH ST SANFORD, FL 32771 Parcel Information Value Summary Parcel 36-19-30-506-0000-1100 Owner JONES CARLENE S Property Address 401 W 19TH ST SANFORD, FL 32771 Mailing 401 19TH ST W SANFORD, FL 32771 Subdivision Name SANFORD HEIGHTS Tax District S1-SANFORD DOR Use Code 0803-MULTI FAMILY 3 UNITS Exemptions 2017 Working Values 2016 Certified Values Valuation Method Cost/Market 2 1 $111.196 1,906 I Cost/Market j 2 101,401 Number of Buildings Depreciated Bldg Value Depreciated EXFT Value Land Value (Market) 1,906 24,87529,741 Land Value Ag JusUMarket Value "' 142.843 128,182 Portability Adj 0 26,566SaveOurHomesAdj Amendment 1 Adj 0 0 - 1$142.843 P&G Adj ---- 0 101.616AssessedValue Tax Amount without SOH: $1,756.00 2016 Tax Bill Amount $1,224.00 Tax Estimator Save Our Homes Savings: $532.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description ----- - - LOTS 110 + 111 _ SANFORD HEIGHTS PB2PG63 Taxes -- - — Sales Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH j 106.001 154.00 : 0 $275.00 $29,741 Building Information is ocuioaur count incorrect( DICK riere Description Year Buffectiveilt Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE 1959 1 6 3 2.0 1,017 2,677 1.945 CONC $80,216 $133,694 FAMILY BLOCK i I I I 2 MULTI 1969 6 2 2.0 920 960 920 CONC $30,980 $51,634 FAMILY < 10 BLOCK UNITS I Description Area BASE SEMI 299.00FINISHED BASE SEMI 165.00FINISHED SCREEN PORCH 232.00 FINISHED OPEN PORCH 24 DOFINISHED 110 00UTILITY UNFINISHED Description Area OPEN PORCH 30.00UNFINISHED Permits -- -- -- — - -- -- - — - - - - -- — httn-//narceldetFiiLgcn.qfl.nror ParcelT)etailTnfn acnx9PTT)=lA1 Q'AM A00011100 A/t d/')nl 4282 JTI Roofing Contract Address: 406 Hermitage Drive Insurance Co. Altamonte Springs, FL 32701 Adjuster: Phone/Email: (407) 7.67-6912/ljones@jtiroofing.com Claim #: State -Certified Roofing Contractor - CCC1325756 Phone: State -Certified General Contractor - CGC036067 Jan Tukker, Contractor tt Customer Name: rV Date:: ' iA( pom ss: V l City/State/ZIP: n . f TJd o 7ii II Cell: 7—g7Work P2o Email: _ 0_Q'' t eyi e ... l % 1 E, - c) n S 1 a( ' 1'"1 Project Address: SPECIFICATIONS/PRICE BREAKDOWN ITEM TYP 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 Skylights Solar Panels Roll Yard with Magnetic Roller Protect Landscaping Where Applicable Del ivery/ SpeciatInstructions: ITEM TYPE QTY AMOUNT TOTAL Ridge Vent Off -Ridge Vents Decking Lead Boots Debris Removal Wood rurTaR_ 3li7O' j v a Warranty Labor Roof Q qe Insurance Co. Initial/Estimated Date: Amount Insurance Co. Agreed Amount Date: Upgrades Insurance Supplement TOTAL Date: PAYMENT SCHEDULE 50% DOWN PAYMENT PRIOR TO ORDERING MATERIALS PAYMENT IN FULL UPON COMPLETION EARNEST DEPOSIT: $ 50 .00 $1000.00 $ DOWNPAYMENT INAL 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 AGREEMENT HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIGH OFT THI U S DAY AFTFA THE DATE OF THIS A $ Homeowner ApprovalD e: Contractor Approval: Date: I THIS INSTRUMENT PREPARED BY: Name: Lorraine Gaeta Address: 406 Hermitage Drive Altamonte Springs, Florida 32701 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 36-19-30-506-0000-1100 U+ P ti_lL_L_ 1 i C[1t.1t:T + Ct:)iiF` { Rlat_l_Ef't CLERK S 21'3170610128 I.c'Cr;.ia; ..:..;':u.;..::.:•:L; +:;._Cit,.,:. 'i`i 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) Lots 110 and 111 Sanford Heights Pb 2 Pa 63 401 W 19th Street Sanford FI. 32771 2. GENERAL DESCRIPTION OF IMPROVEMENT: re -roof low slope with modified bitumen 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Carlene Jones 401 W 19th Street Sanford FI. 32771 Interest in property: Fee Simple Fee Simple Title Holder (if other than owner listed above) 4. CONTRACTOR: Name: Jan Tukker, Inc. Phone Number: 407-767-6912 Address: 406 Hermitage Drive Altmaonte Springs FI. 32701 5. SURETY (If applicable, a copy of the payment bond is attached): 6. LENDER: Address: Phone Number: Amount of Bond: Persons within the State of Florida Designated by Owner upon whom notice or other documentsrcn"ay use eyia`s"proviile84 713.13(1)(a)7., Florida Statutes. CLERK OF i HE CIRCUIT COURT Name: _ Phone NumberND COMPTROLLER 8. In addition, Owner designates of 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 speci i •) 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. 4` - deg e, J....S kqI' Per-- J&WS 6`lorLessee' '`' (Print Name and Provide S;anatory s Titte/Officel Authorized State of 1"Le!© rL' d4 ., County of L• The foregoing instrument was person making before me this _ y day of I1 tx"j, 20 JA who has produced identificat! on'L!iype of identification produced: tiH{ iY PVC LORRAINE GAETA Notary Public State of Florida "5 F N;t zz My Corn pires Jan 5, 2019 o Commission+' FF 165086 4 a L,. .,. ../ ». _ .. ... e .. is personally known to me OR L PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: -f 0 t 0 . t- STRUCTURE TYPE: 10 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): PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO RE REPLACED** ROOF VENTILATION: D OFF -RIDGE O RIDGE O SOI-FIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: & 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# MODIFIED BITUMEN ate,- FL# [J /` 2 OTORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE** ROOF SLOPE: LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0 SHINGLE FL# Q METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures PERMITTING REQUIREMENTS — NO PLAN REv[Ew 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 Ins epctionistheonlyinspectionrequiredforResidential (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 ashiugr r FL Product Approval Failure to follow these specific guidelines will result ' an affidavit provided by a .Florida Design Professional (architect or engineer), certifying FX code compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SI ATURE: DATE: (0 4 City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 1-7— I U v ADDRESS: AIDI I1—k J"_( xk , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, TI4AT ALL OF THE FOREGOING INFORMATION 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 #: l- P- 0_ 1 :, J COMPANY / CONTRACTOII``. n j, iAYA -eA_I. FW C_ CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICENSE HOLDER OR DATE: `2 7 THIS SIGNED AND NOTARIZED AFFIT MUE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAP S OF EAA 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 S orn to and Subscribed before me thi day of e. L V 20 by: Who is ersonally own to a or has Produced (type of It 10 as identification. LORRAINE GAETA 3 ti gn ure of Notary Public Notary' Public - 5iale of Florida State of * ) My Comm. Expires Jan 25, 2019 Florida. OFQ; c Commission # FF 165086 Print/Type/ Stamp Name of Notary Public L _/