HomeMy WebLinkAbout119 Orion Way (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: .3063
Documented Construction Value: $ 7S'
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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
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