HomeMy WebLinkAbout160 Bob Thomas CirI'l
JAN 2 9 2018 CITY OF SANFORD
gy;� BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: -
Documented Construction Value: $ �5'4 • ��
Job Address: f'�/�n�' Historic District: Yes [I No
Parcel ID: J10 • J 1 •• Q 0 D 0 if5_z) Residential ❑ Commercial ❑
Type of Work: New ❑ A,pddition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: 70�' /n c, /eS
Plan Review Contact Person: Aes 10 V /q) (A> CSC Title: e_0,��
Phone: Vol .3-2) • 575 cl' Fax: V6 7 • I.Z,2 9,5 i 3 Email: ,,L c-oJC4o .t c- 6e/li-o d4 .n eo,
Property Owner Information
Name kelyak'c, ka'4 C -SA e- /f'� M Phone: 4167 -3.2 V SZ3 y'
Street: /& ® 9 ff -/-)-) .6mr,s Ci rc . Resident of property?
City, State Zip: caZ,� &-,o • " L 3 d 7 7/
Contractor Information
Name d4b &D rAC 4U o Phone: 7Y' 1 '2.�� �SS�
Street: & 3 v J" //C f ri C 4.AL.-t Fax: �%(� 7 ' 3.2
City, State Zip: ','L- J.-7 71 State License No.:ly Cry C 2S�J
Architect/Engineer Information
Name: A) A -
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: AJ A -
Fax:
E-mail:
Mortgage Lender: Al A
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: 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 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 is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
ig o w—neC/Agenf Date Signature of Contra Agent Date
—LP,11 421 �� �ML i A"i ca c1 L
Print Owner/Agent's Name Print Contractor/Agent's Name
Sign StatebfFlorida Date Sign`aTMrM'5—otary-St—at—e`iW Florida Date
1pµv"a�'••., DONALDRASH ;=o1r�Y Pt%c; DONALDRASH
_°. • ` -_ Notary Public - State of Florida • ± `� Notary Public - State of Florida
,• Commission # FF 221706 Commission # FF 221706
Comm. Expires Apr 16, 2019
10oF My 'a�`ocF_;•° My Comm. Expires Apr16,2019
O o n to Me or Cont wn to Me or
Produced ID Type of ID Produced ID Type of ID
Permits Required
Construction Type:
Total Sq Ft of Bldg:
BELOW IS FOR OFFICE USE ONLY
Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
UA
ADCOCK ROOFING
800 French Ave. Sanford,
j a r' , 1
adcockroofinglC@bellsouth.net
www.adcockroofing@bellsouth.net
October 21, 2017 ESTIMATE
Name: Lenard Dixon Phone: (407) 324-4509
Address: 160 Bob Thomas Circle Cell: (407)
City: Sanford, FL 32771 Fax: (407)
Email:
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove old roof on complete house.
2. Re -nail decking as per new building code.
3. Dry in with new layer of synthetic underlayment as per new building code (July 2015).
4. Install new 30-year architectural shingles.
5. Install new drip edge; 26 gauge, painted galvanized.
6. Install new kitchen and bathroom vents.
7. Install new lead flashings on plumbing pipes.
8. Install new ventilation to match existing.
9. Secure all permits.
10. Clean up & haul away debris.
11. Inspections included.
Labor & Materials: $8900.00
Extra — Bad wood: Time & Materials - $70.00 per sheet plywood; 2 x 4 and fascia - $4.50 ft.
Warranty: 30 Years on Materials from Manufacture
10 Years on Workmanship
Andy Adcock, Owner
Andy Adcock
PERMIT #:
ADDRESS: 2.
S�A� 3�2-77/
If
I 1N'j()gQeAJ\j C'nF t( , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CO TRACTOR, ENGI EER, 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).
LICENSE #: CSC 6 '-k ")_S-Z /
COMPANY / CONTRACTOR: I Q'2P cz , 1paz' C`_ ';'j
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE HOGER ER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF 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 ( C:?L 1 -'-'z.L,._. ---
Sworn to and Subscribed before me this Z')L_— day of 20 by:
AIJOrI-0-� 4,jQ&A 0/— . Who ispersonally Known to me or has ❑ Produced (type of
identification) as identification.
I ature of Notary Public
State of FloFida
1�d? Ili
Print/Type/Stamp Name
of Notary Public
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ,/oZ fir' IS
I hereby name and appoint:
an agent of
(Name o C
O')'� - ?Z e'oL,
to be my lawful 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):
L The specific permit and application for work located at:
3�-7 71
(Street Address) `
Expiration Date for This Limited Power of Attorney:
License Holder Name: )y ,�z_P J A_o c_z, tJ—
State License Number:
Signature of License Holder:
STATE OF FLORIDA t•
COUNTY OF rEb&tA Llr�
a
The foregoing instrument was acknowledgedbeforeme this P&day of C7,, ✓ ,
200 ! E5, by 24j,s Vy"gJ Z4-p � cJ, who is ❑ personally known
to me or ❑ who has produced
identification and who did (did no take an oath.
Signature
Seal) DONALD RASH
•`�•� �; Notary Public - State of Florida
Commission # FF 221706
My Comm. Expires Apr 16, 2019
(Rev. 08.12)
17nt � wS�
Print or type name
Notary Public - State of C t_
Commission No. Fj'-_ Za-cZ 0 b
My Commission Expires: (�t 5,
as
AT
•
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: 0'5INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: GREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOFINSTALLEDOVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): �l �'p �' V j") o c
" *PLEASE NOTE. ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS AERMITTED TO BE REPLACED
ROOF VENTILATION: Q16FF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES QNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (J 4 12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL# l 95
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: Q'CESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O M//ETAL
FL#
Q1V1ODIFIED BITUMEN
FL# pt 3
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
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,
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 FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
�' J/�