314 Krider Rd - BR18-003005 - REROOFCITY Of
Building & Fire Prevention DivisionSkNFORDJULd92018PERMITAPPLICATION
FIRE DEPARTMENT ,dry
Application No:—
Documented Construction Value: $ Di
Job Address: 314 Krider Rd. Historic District: Yes NoFpel
Parcel ID: 07-20-31-505-0000-0230 Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: re -roof with asphalt shingles
Plan Review Contact Person: Lorraine Gaeta Title: Admin
Phone:407-407-767-6912 Fax:407-767-7165 Email:lg@jtiroofing.com
Property Owner Information
Name Jessica Lillo Phone: 407-407-6583
Street: 314 Krider Rd. Resident of property? : Yes
City, State Zip: Sanford FI. 32773
Contractor Information
Name Jan Tukker, Inc. Phone: 407-767-6912
Street: 406 Hermitage Drive Fax: 407-767-7165
City, State Zip: Altamonte Springs, FI. 32701 State License No.: CCC1325756
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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. 1 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: 61" Edition (2017) Florida Building Code
Revised: January I, 2018 ( ` 76 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 informatio is ac a and that all work will
be done in compliance with all applicable laws regulating construction and ping.
M
Si lure ofOwner/Agent Date
n t_31110
P,rint.Ow r/
1
gentzs-Name
rgn e o o ary- late of rda Date ,
Owner/Agent 1is
Produced I D iw
LORRAINE GAETA
Notary Public - Slate of FloridaMyCorr -A. Expires Jan 25, 2019FF165086
L/
of
Name
J
r
I/ %; AV PU! j,,% LORRAME GAETA
tJotary Public State of Florida
z Hly Cort;ni. Expires Jan 25, 2019
Commission # FF 165086
AWMW
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: January I, 2019 Permit Application
1111111111111111111111111111111111111111THISINSTRUMENTPREPAREDBY:
Name: Lorraine Gaeta
Address: 406 Hermitage Drive
Altamonte Springs, Florida 32701
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number: 07-20-31-505-0000-0230
GRANT MALOYr SEMINOLE COUNTY '
CLERK, OF CIRCUIT COURT % COMPTROLLER
BK 9167 Ps 1871 (iPss)
CLERK'S a 201807792E
RECORDED 07/06/2018 03:55=`3 PM
RECORDING FEES $10.00
RECORDED BY hdevore
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 23 Blk C Sanora Units 1 & 2 ReDlat Pb 17 Pa 12
314 Krider Rd. Sanford FI. 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: Jessica Lillo 314 Krider Rd. Sanford FI. 32773
Interest in property: Fee Simple
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
CONTRACTOR: Name: Jan Tukker, Inc. Phone Number: 407-767-6912
Address: 406 Hermitage Drive Altamonte Springs, Florida 32701
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
T13.13(1)(a)T., Florida Statutes.
Name: Phone Number:
Address:
8. In addition, Owner designates of
to receive a copy of the Lienors 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 Owned Lessee. or Ownees or Lessee's _(Print Name and ProvideSignatory's Tide/OKce) AtitlrbrfM OgIW/UreetodPeMer/Manager) =.. .
State of County of sz
The foregoing
by
who has produced
before me this day of t k'y'—k
IVJI'nf4 i'Mic - JILtt: vi r.'
ry}, %EALi. Ezpi:::s Jan 25,
4997'
JT1ROOFINGJMTUKI
JTI Roofing Contract
Address: 406 Hermitage Drive Insurance Co.
Altamonte Springs, FL 32701 Adjuster:
Phone/Email: (407) 767-6912/ljones@jtiroofing.com Claim #:
State -Certified Roofing Contractor - CCC1325756 Phone:
State -Certified General Contractor— CGC036067
Jan Tukker, Contract r
Customer Name: pc I Date:- 1
Address: 131y V_Xf C'14 s:: kcl_ City/State/ZIP:,3iS,-91rrL -"L 3;2-7 1!3
Home Phone: Cell: Am— Work Phone:
Email: f
Project Address: '"_
SPECTI ICATIONS/PRICE BREAKDOWN
ITEM TYPE 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
Notes
Remove Trash from Roof, Gutters and Yard
Roll Yard with Magnetic Roller
Protect Landscaping Where Applicable
Delivery/SpecialInstructions:
Shingles -Manufacture: Style: tkcl
TYP Q,!W,_1C : 5
Warranty Labor S
Roof 7'.4-L 4iv^t r
Insurance Co.
Initial/Estimated
Amount
Date:
Insurance Co. Agreed
Amount
Date:
Upgrades
Insurance Supplement
TOTAL I Date:
PAYMENT SCHEDULE
50% DOWN PAYMENT PRIOR TO ORDERING MATERIALS
PAYMENT IN FULL UPON COMPLETION
EARNEST DEPOSIT: 0 $500.00 0 $1000.00 0 $
DOWNPAYMENT $ FINAL PAYMENT $
JAN TUKKER, PRESIDEN
TERMS: THIS AGREEMENT IS "SUBS ECT 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 conditionslocatedonthebackofthisdocument/agreement. JTI Roofing i,, authorized to do the work as specified and in accordance with the terms, conditions and stipulationsofthisagreement. Homeowner hereby authorizes Insurance Company and/or Mortgage Company to make payment for completed repairs directly to Contractor andmailinsuranceproceedstoContractor. Homeowner hereby r.signs to Contractor their rights to any insurance proceeds from Insurance Company for goods and
services as described in the specifications.
THR I:E DAY RIGHT OF RESCISSION
THIS WRITTEN AGREEMENT HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY
TIME PRIOR TO MIDNIG V OF THE THIR 13USHES DAY AFTER THE DATE OF THIS AGREEMENT.
Homeowner Approval: +_ Date:
7
Contractor Approval: r lam. 'LL/ Date: 06-
LIMITED POWER OF ATTORNEY
Date: 10l
I hereby name and appoint
an agent of: \_ a_A, 'i . ;31k .
to be my attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
AII permits and applications submitted by this contract
The specific permit and application for work located at:
Expiration Date for This Limited Power of Attorney: / .2 % Q I I
License Holder Name:
State License Number:
Signature of License Holder:
STATE of FLORIDA
fl,,
COUNTY 0 2=r y
The foregoing instrument was ac
20 [ti
vfedged before me this day ofjtt',r_
Iv- (who is ,personally known to me or _ who
has produced as identification d who did (did not) take an oath.
ImAhm-
d pY Ppy LGRRAINE GAE Signature
PV'! Notary Public State of Floridat1yComm. Expires Jan 25, 2019
Commission FF 165086 //n/[1 (JC.ri
Print or type name
Notary Public -State of
Commission NO. 1p 2S W
My Commission Expires: 9
LIMITED POWER OF ATTORNEY
Date: l g
I hereby name and appoint
an agent of:
to be my attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for.(check only one option):
AII permits and applications submitted by this contract
The specific permit and application for work located at:
Expiration Date for This Limited Power of Attorney: I '7 %'2 1 ) 1
P it
License Holder Name:
State License Number:
Signature of License Holder:
STATE of FLORIDA
QCOUNTYa6.. -
The foregoing instrument was ack
20 t-
J
d(edged before me this day ofjkt
f— (who is personally known to me or _ who
has produced as identification d who did (did not) take an oath.
LORAIPIE GAETA Signature
PIo1zry Public • S1210 of FIoida2019fP.y C xpi•es Jan 25.
Nota ;Seal) `
n E :
FF 16.08GCcctMission WO) 0370W''
Print or type name
Notary Public -State of '
Commission NO. s gCo
My Commission Expires: 9
CITY OF
SkNF0RD
FIRE DEPARTMENT
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE ROOF SCOPE OF WORK
STRUCTURE TYPE: 3KSINGLEFAmILy RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: rPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): e I U (.) cb6 1 PLEASE
NOTE. ONLY 100 SQUARE FEET OF HE EXISTING DECK IS PERMITTED TO BE REPLACED** ROOF
VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
O YES R<O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 O 2:12 —4:12 —)2)r4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE
FL# -le- O O
METAL FL# O
MODIFIED BITUMEN FL# OTORCH
DOWN FL# 0INSULATED
FL# O
TI LEFL# O
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) **/FAPPLICABLE** ROOF
SLOPE: O 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# O
TORCH DOWN FL# OINSULATED
FL# O
TI LE FL# O
OTHER: FL#
CITY OF
SXNFORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFPOLICY & PROCED URES
FIRE 15EPART44ENT
PERMITTING REQUIREMENTS —NO PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK AREREQUIREDTOBESUBMITTEDASPARTOFYOURPERMITAPPLICATION.
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOFCOMPONENTSTHATWILLBEINSTALLEDONTHEPROJECT.
A PERMIT WILL NOTBE 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 THESANFORDHISTORICP - RVATION 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.
THEFOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE:
PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
COMPLETED RESIDENT7gJ; Ri&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 ORRULER)
0 ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OFNAILS)
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)
DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOWTHESE SPECIFIC GUIDELINES WILL RESULT INAN AFFIDAVIT PROVIDED BY A FLORIDA DESIGNPROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNERBUILDER) SIGNATURE: DATE: _ % - 1 - <(g
CITY OF
Building &Fire Prevention DivisionS,k 4FORD RESIDENTL4L REROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS,
PERMIT #: ADDRESS: 3 I " , r l (] P - Q--
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
HOOFING CONTRACT9t, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT 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). A
LICENSE #:
COMPANY/CONTRACTOR
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER
R
DATE: 0AX102-e3)
THIS SIGNED AND NOTARIZED AFFIDA IT UST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHSbf EACH 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 OF apt:: yM [,-vu,Lf
Sworn to and Subscribed before me this day of 20 k by:
i LA_ 1--5 Who is ersonally Known to me or has 0 Produced (type of
nti at' n) as identification.
vstgall re of otary Pub is ...,
umq
S ) e of Florida ; ;" " .f EAL LORRAINE GAETAr: :°
Notary Public • State of Florida
n1y Comm. Expiras Jan 25. 2019
Pry yp /Stamp Name 0",o;:' Commission # FF 165086 I'
of Notary Public