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HomeMy WebLinkAbout119 Orion Way (2)CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: .3063 Documented Construction Value: $ 7S' � � Job Address: Q4w-n Iti Historic District: Yes ❑ No Parcel ID: Z 20— -✓d —Std' 00 O OJ (3 Residentialiff"Commercial ❑ Type of Work: New ❑ Addition❑ Iteration Repair Demo 11Change of Use ❑ Move ❑ Description of Work: _— O a 1-) 1-e4 Plan Review Contact Person: Phone: Fax: Email: Title: �,,���4o Property Owner Information r� Name -t- L e Phone: / 2u Street: a' Resident of property? City, State Zip: 5 Contractor Information Name Street: City, s Name: Street: City, St, Zip: Bonding Company: Address: Phone: LPa) —26 Z Fax: i -i' 62 — 767 State License No.: 11 c e 3 Z S 1 s7 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 most 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: 51 Edition (2014) Florida Building Code Revised: June 30, 2015 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 Li6LLBw, 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 req ' d in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of su 'ttal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit i 'ssued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual cons etion value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing be done in compliance with all applicable laws regulating o of Owner/AAgggeent -E /" / gent's Name Date Owner/Agent is _L Personally KnM or Produced ID V Type of ID —�E Name W4-2ma-- MY COMMISSION Y FF 178648 EXPIRES: Fabruay 25, 2019 6ond:d 1Mu IJotar, Pubk Unde-Zen: Contractor/Agent is Y Personally Known to Me or Produced ID Type of ID _ e,y-r . L// / -7 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: # 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: COMMENTS: FIRE: BUILDING: Revised: June 30, 201 S Permit Application JT, ROOFING JTI Roofing Contract Address: 406 Hermitage Drive Altamonte Springs, FL 32701 Phone/Email: (407) 767-6912/ljonesgjtiroofing.com State -Certified Roofing Contractor - CCC1325756 State -Certified General Contractor — CGC036067 Jan Tukker, Contracto{ Customer Name: 10Sq, 1 7qi L,,,2 2 Address: 0 i Home Phone: =� j 7 //3 Cell: Email: Project Address: J I% " 1-7 % V';,�� 4067 Insurance Co. Adjuster: Claim fit: Phone: Datte'.: /l City/State/ZIP: J/A,���-r�y Work Phone: SPECIFICATIONS/PRICE BREAKDOWN ITEM TYPE QTY AMOUNT TOTAL Tear -off shingle 30 S Replace shingle ,30 Replace underlayment Hurricane Retrofit Date: $ Steep M. f 2nd Story Charge $ Valley Material Date: $ Drip Edge Vents 1" Vents 2" Vents 3" Goosenecks 4" Goosenecks 10" Flat Roof Interi Exterior Skylights_ Solar Panels ✓ Remove Trash from Roof, Gutters and Yard ✓ Roll Yard with Magnetic Roller ✓ Protect Landscaping Where Applicable ✓ Delivery/Special Instructions: Shingles -Manufacture Style: Type: _• Colo Warranty Labor S ' Ws Roof 30 S nouns Insurance Co. Agreed Amount Date: $ Upgrades M. $ Insurance Supplement $ TOTAL Date: $ Shingles -Manufacture Style: Type: _• Colo Warranty Labor S ' Ws Roof 30 S U In ra a Co. Ini ' timated Date: $ nouns Insurance Co. Agreed Amount Date: $ Upgrades $ Insurance Supplement $ TOTAL Date: $ PAYMENT SCHEDULE - 1596 RIOR TO ORDERING MATERIALS PAYMENT IN FULL UPON COMPLETION EARNEST DEPOSIT: O $500.00 O $1000.00 O $� DOWNPAYMENT $ FINAL PAYMENT $ JAN TUKKER, PRESIDENT TERMS: TIES 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. l/We have read and understand the terms and conditions located on the back of this document/agmement. 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 AGREE T HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIG OF THE THI �S DAY AFTER THE DATE OF THIS AGREENENT Homeowner Approval: ✓/-�� Date: Contractor Approval: �'� Date: THIS INSTRUMENT PREPARED BY: Name: Lorraine Gaeta Address: 406 Herm tape Drive Altamonte Springs, Florida 32701 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number. 02-20-30-520-0000-0540 11ARMAHE 110fiSEr SE11I1,I0LE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER C'LERK'S T 2016117100 REC:ORDEI, 11/09/20161 10:04-:49 AN RECORD" -HG FEES !°•'10.00 RECORDED BY hdeyoi-e 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 54 Placid Woods PH 1 Pb 51 Pgs 23 - 29 119 Orion Way Sanford Fl. 32773 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: Jose & Lydia Vazques & Jame Anderson 119 Orion Way Sanford 32773 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, Fl. 32701 5. SURETY (If applicable, a copy of the payment bond Is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number. Address: 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. Name: Phone Number. Address: 8. In addition, Owner designates to receive a copy of the Llenors 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. (Slgnobxo of Ormor or Laaee,p o or Loaaaa's (Pdnl Name and Provide Slgnelorya TI eka) Nrthodzed OIAeeND recto /AAanagar) State of County of The fore oing Instrument was /acknowledged before me this by yV"Who s personally known to me l7 OR mo Neo porion To lonmi who has produced Identiflcatlon type of identlficatlon produced: 1— A 'i rC?rv!.W^.rflx:..`.•"e,.�tiS2.,�='sc:i:c'�m.i::ml'a,�'_'c_.?. t' c ,,.•. LORRAINE GAETA � Notary PuIMNLStale of Florida ,- 14 hty Comm. Expires Jan 25, 2019 iF -%;Pcrf Commission I: FF 165086 r 'W City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address As required by Florida Statute 553.842 and Florida Administrative Cbde 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Florida Approval # Description include decimal 1. Exterior Doors Swinging Slidin Sectional Roll U Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underla mentsLJA Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofinq slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Florida Approval # Description include decimal S. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Applicant't'Name (Please Print) June 2014 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: /l —zoo_3 I, J Qe„ hereby acknowledge that I personally inspected [(Roof deck nailing and/or XSecondary water barrier work at Y 1 (Job Site Address) was done according to the Hurricane Mitigation and have determined that the work Manual. (based on 553.844 F.S.) I certify that my std herein are true and accurate to the best of my belief and that I fully understand that makin y false statements in writing with the intent to mislead a public servant in the performance of his o er official duty shall constitute a misdemeanor of the second degree pursuant to '00""7 Z 2 ;rntractor ate ",:P13 � v Name of 0ontrictor License # License Type: 0 General 0 Building 0 Residential Roofing Contractor 0 or any individual certified in accordance with FVV468 4.68 to make such an inspection. STATE OF FLORIDA COUNT //-- Sw n to (or affir ed and subscribed efor me this day o , 20 �i�, by OA Who is ersona y Known to me or has D Produced (type of isLentiU adon) _ /7 A as identification. Print/Type/Stamp Name of Notary Public LORRAINE GAETA =_°• •. Notary Public . Stale of Florida Aly Comm. Expires Jan 25. 2019 Commission # FF 165086 O�'f �niH```• 3 O P- y - I AI PX -0 6 X-&T"C , 14 d' ?v S 1>