2424 Lake Ave - BR18-004775 - REROOFCITY OF
k 40RD PERMIT AFPLICATIQN
BUILDING DIVISION
Application No.
i Documented Construction Value: $'
job Address:
p
4I —c- Historic District: YesEl NOR Parcel
IDA L %s' s+ Residential'Commercial Type
of Work: New Addition [] Altteration$Repair [IDemo Change of Use Move Description
of Work. I i - U LOLZ ':5 / , Plan
Review Contact Perso jlnu,., Titte: r es 1 ,e Phone:
2-Fax. tr=
Property
Owner Informationi lattteCj ,'—'" @.f VQGPhone: Street:,? 1
0 1 k. Resident of property?: /V is City, State
Zip: G..1?'KIC 1` Y ` G ; -90 1 Contractor Information
Name JPhone:
Q" 2 --- StreetMegFax: yQ
City, State
Zip: 2?(}tate License No.: Architect/Engineer
Information Name: Street:
City,
St,
Zip: Bonding Company:
Address: 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, beaters, 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: 611 Edition (2017) Florida Building Code
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 ofFlorida 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 ofthe job at the time ofsubmittal. 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 offthe 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 accurate and that all work will be
done in compliance with all applicable laws regulating construction ant
11i2lolffla, n/A tott.Nantc
LORRAINE GAETA
Notary Public - State of Florida
Commission A GG 2 b28
3iyComm. Expires J 5LS02trlAgentis
BELOW IS FOR OFFICE USE ONLY
Date
Date
Known to Me or
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
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
JT1 ROOFING
JWTUK1MkVr.
JT1 Roofing Contract
Address: 406 Hermitage Drive
Altamonte Springs, FL 32701
Phone/Email: (407) 767-6912/lg(?Pjtiroofing.com
State -Certified Roofing Contractor - CCC1325756
State -Certified General Contractor- CGC036067
Jan Tukker, Contractor
Customer Name: ((_ (?r V
Jv%, 'n 5157
Insurance Co.
Adjuster:
Claim #:
Phone:
Date:
Address: City/State/ZIUV(Nft_. .
Rome Phone: Cell: Work Phone:
Email:
Project Address: LA
SPECIFICATIONS/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 I
Vents 2"
Vents 3"
osenecks 4" Goosenecks 4"
c , " Goosenecks 10" Goosenecks '10oose '
RoofFlat "Roof-i
Interior/Exteri
Skylights
Panels 0_0
FA
V/ Remove Trash from Roof, Gutters and Yard
Roll Yard with Magnetic Roller
Protect Landscaping Where Applicable
iDecking
Lead Boots
iWood
Shingles -Manufacture: Style:
Type: Z62(_ Color: j
arranty Labor
Roof A0
Insurance Co.
initial[Estimated
Amount
Date:
Insurance Co. Agreed
Amount
Date:
Upgrades
Insurance Supplement
TOTAL
PAYMENT SCHEDULE
n7o-OrrW7t"rYMENT PRIOR TO ORDERING MATERIALS
PAYMENT IN FULL UPON
TERM THIS AGREEMENTENT IS SUBJECT To"ININSURANCE COMPANY APPRVA L T IROOFINGIS AUTHORIZED TO
WORK AND FULLMOUNT0FINSURANCE PROCEEDS,XCLUDING OVERHEAD XIPROFIT,
ONLUPON APPROVAL ByINSURANCECO COMPANY. ACCEPTANCE OFAGREEMENT
The above prices,
specifications and conditions of this agreement aresatisfactory and are hereby accepted. I/We have read and understand the terms and conditions located on thebackofthisdocument/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 proceedstoContractor. Homeowner hereby assigns to Contractor their rights to any insurance proceeds from Insurance Company for goods and set -vices as
described in the specifications. THREE DAY RIGHT
OF RESCISSION y RIGHT ASNOTICEO
THIS WRITTENAGRfENJT SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY T SS WENT.
TIME PRIOR TOMIDNTUSINESSDAYAFTERTHEDATEOFTHISAJRE, Z' Homeowner Approval: Date:
214r Contractor Approval: Date:
x Z
Grant Mato , Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #20181Y41911 Book:9268 Page:10/6; (1 PAGES) RCD: 12/18/2018 11:49:23 AM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: Lorraine Gaeta
Address: 406 ermitaga
Altamonte Springs, Florida 32701
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 36-19-30-524-
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 ofCommencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
Lot 13 Blk 8 3RD Sea Dreamworid Pb 4 Pa 70
2424 lake Ave. Sanford FI. 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
re -roof low slope
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Nameandaddress:-Gerle & RobertVog! 761 Rantoul-Ln.-Lake Mary FI. 32746 ----. Interest
In property: Free Simple Foe
Simple Title Holder (If other than owner listed above) Name: 4.
CONTRACTOR: Name: Jan Tukker, Inc. Phone Number. 407-767-6912 Address:
406 Hermitage Drive Altamonte Springs Florida 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 of to
receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number: 8.
Expiration Date of Notice of Commencement (Tire expiration is t 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
COMMENeMNYORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. r
Gene-
e- Vogt n
orOwnera 0.erOwnafsalessae"a (PdntNvnowOPraAde 1 tW*'n1*K)flWs) Aulhpized
alficar r/ParinedliAanaaerlState
of ounty of VLF ! a l She
for ing Instrument was ac o CCI
dgedbefore me this day of 20 t C by who
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address 2.-
As required by Florida Statute 553.842 and Florida Administrative Code 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
Arnroval can he ohtnined nt
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
Description
Florida Approval #
include decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hung
Horizontal Slider
Casement
Double Hung
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
Description_
Florida Approval #
including 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
Underlayments
Roofing Fasteners
Non-ftm-ttiml
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen 011e k'14 A-Af4a2-- 2:T: -J55 :--XLO
Single Ply Roof
Systems
Roofing 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
Description
Florida Approval #
include decimal)
5. Shutters
Accordion
Bahama
Colonial
Roll up
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors
Anchors
Truss Plates
Engineered Lumber
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signat
Applicant's Name
Please Print)
Rine 2014
CIT Y OF
SXNFORD Building &Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS —NO PLAN REVIEW 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 INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
41ULit L. L: f Ioi lL, c f ri{Z { i il i I r1i LI, JI l_.V\L1iJt4l la\Il.i f I\C— \1 UY Gl i il f J.
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 WIL ESU N AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FB ODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
CITY OF
Sk4FORD FIRE
0EPARTMEMT JOB
ADDRESS: PERMIT #
Building &
Fire Prevention Division RESIDENTIAL
RE ROOF SCOPE OF WORK STRUCTURE
TYPE: 0SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE:: EPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O.
01
RE-
COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): PLEASE
NOTE: ONL Y 100 SQUARE FEET OF TILE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF
VENTILATION: 0OFF-RIDGE Q RIDGE QSOFFIT QPOWERED VENT SKYLIGHTS:
O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: LESSTIIAN2:12 U2:12-4:12 C) 4:12 OR GREATER QTURBINES
TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q
SHINGLE FL# Q
METAL FL# MODIFIED
BITUMENe FL ^-72,2f .i 0TORCH
DOWN FL# 0
INSULATED FL# Q
TILE FL# Q
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE** ROOF
SLOPE: Q LESS THAN 2:12 Q 2:12 — 4:12 Q 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0
SHINGLE FL# 0
METAL FL# 0
MODIFIED BITUMEN FL# 0TORCH
DOWN FL# 0
INSULATED FL# 0
TILE FL# 0
OTHER: FL#