HomeMy WebLinkAbout315 Placid Lake({@
., JAN292018 IJ
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ' ?-zoo 7
Documented Construction Value: $ k 9V
Job Address: J/.- 6' 'o L 44ez.
Inn tj z Historic District: Yes ❑ No 0
Parcel ID: 0_� - oZd• , D_ s-zo • e)001) - Residential a Commercial ❑
Type of Work: New Q Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
IN
Plan Review Contact Person: 4,J 0 r A�n' Ln Ci►,-- Title: (3 U 4iE7Z.
Phone: ,9, S SFax: -7 ��,�a 1 LEmail: Co 4z ��b �i�n� � (a'el PC. +�-
_ Property Owner Information
Name �, /��-I12 i ce Phone: -//� 7
Street: Resident of property?
City, State Zip: `OrL J47 -7/
Contractor Information
Name _ .� Phone: 7` Lei - .
Street: 10a �, �.iL>oi� �"�- Fax:
City, State Zip: �� c. -�- .�.�� 7� State License No.: CD 1l%�
Arch itectlEngineer Information
Name: AI A Phone:
Street:
City, St, Zip:
Fax:
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. 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
fl
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 Lair•, 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 fieured 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.
si re of Owner gent Date 3 signature of Co or/Agent Date
Print O\+nertAgent's Nam �C Print Contractor/Agent's Name
a>>
Signam o \o rv;St a ri to t � Si t N •-S to
,9
FY�Pu''' DONACD RASF{; ' •. a •_.=oiv�� "��^; 170NAL0 RASH
e* • ° ' ° Notary Public'= State of Florida' ; Notary Public- State of Florida
* Commission # FF 221706 * Commission # FF 221706
p , Comm.Expires A r 16 2019 :, adlr M Comm. Exores A 16,20
2019
••'Focc+.;, MYP p atw;e Y P' Apr
Owne e er ona .y nown to Nte or Co trac rr gen is ersona ly nown to Me or
Produced ID Type of ID Produced ID Type of ID
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_
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ,ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
—WASTE WATER:
BUILDING:
Revised: June 30.2015 Permit Application
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
'? ti
Documented Construction Value: S .Z, 9V .
Job Address: PLarliv i Historic District: Yes ❑ No
Parcel ID: ,Sri o • 'Oyo b • /106S U Residential a Commercial ❑
Type of Work: New Q Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use R Move ❑
Description of Work:
a
1n
Plan Review Contact Person: �1_ a_o_ l /44,')Ln a4 Title: 6c 44 �TZ
Phone: —d '.�� 9.S ts'Fax: � � _Umail: � r«5 trnc /s+s'i l ,7 +
_ Property Owner Information
Name � ,L4 "L } �} Phone: 446 -7 fl F- 2
Street: Resident -of property?
City, State Zip: .2 �v �-- d77� '�37 osPar✓ %Ar�u+«-c_
1
Contractor Information
Name _ ��.�:.e:�6.y J Phone:
Street: e—.1 C'_IL ALC�_ Fax:
City, State Zip: State License No.: Cc' 60
Architect/Engineer Information
Name: %U A Phone:
Street:
City, St, Zip:
Bonding Company: h}
Add ress:
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, 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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
ADCOCK ROOFING
:ii French Ave. Sanford, FL 32771
i ' . . 1330-9333 (Fax)
adcockroofing1@bellsouth.net
www.adcockroofing@bellsouth.net
November 29, 2017 ESTIMATE
Name: William David Phone: (407) 918-9111
Address: 315 Placid Lake Dr. Cell: (407)
City: Sanford, FL 32773 Fax:
Email: wdavid2@cfl.rr.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove old existing roof on complete house.
2. Re -nail decking as per 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: $8280.00
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
5 Years on Workmanship
Andy Adcock, Owner
Andy Adcock
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING *'A"j t)
Address: 800 S. FRENCH AVE.
SANFORD, FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 02-20-30-520-0000-0080
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 6 available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: DAVID JENNIFER E• 237 OSPREY HAMMOCK TRL SANFORD FL
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: Adcock Roofing Phone Number 407-322-9558
Address: 800 S. French Ave. Sanford, FL 32771
5. SURETY (If applicable, a copy of the payment bond Is attached): Name:
Address:
6. LENDER:
Address:
Phone Number:
Amount of Bond:
T. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe 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 Lienor's 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)
Wff&! Q 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-T -F
aturc of « Lessee or Owners « Lessee's f Pnnt Name and Provide Siprat«Ys TMOORice t
Aull�oriied OmGedO,rwOr/P.artwNou agw;
r
State of County of
The foregoing instrument was Wknowkedged before me this
by
Name of pereon �aku+y statement
( B- ; -r
who has produced identification 0 type of identification produced:
CtiRISFOPMEt` ADON47322
Notary PupNc •Sta
- Caartbkbn +� f
• ttlr t.oalai, IxW" ImM tilimp NM
Who is personally known to ink
N«sry Signelure .
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018005826 BK 9059 Pg 0344; (1pg) E-RECORDED 01/17/2018 03:15:45 PM
10.00
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: V ��'1� rJ �1$ S1"✓L
an agent of: 4nD L�L. �c� "C AJ �- i
p v S 6L-en L� � 7 t
(Name of Company)
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):
❑ The s ecific permit and application for work located at
(Street Address)
(/ Z I •Z� rJ ..
Expiration Date for This Limited Power of Attorney: S /
License Holder Name: CzC_J'L
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF f-LO) r&l CV \
The foregoing instrument was acknowledged before me this day of TA+J ,
200Je6', by &1,q P A-V who is ❑ personally known
to me or ❑ who has produced
identification and who did (did not e an oath.
��,av cab •,• DONALD RASH
is - State of Florida
• ■_ ry o mission # FF 221706
41
My Comm. Expires Apr 16, 2019
(Rev. 08.12)
Signature
1/OA+1Ic
Print or type name
Notary Public -State of V- —
Commission No.-�+�'2� - 0 k-0
My Commission Expires: 1I11-yl
as
CITY OF
S F
FIREDEPARTMEN
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 315 P Li'=' C-10 1jLe- W- Lc>_� k,'° FL- 3 .L1-73
STRUCTURE TYPE: (DISINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): /2- tl Y nn Lk, L-i 00 0
* *PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTIA DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: DOFF -RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: OYES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (24:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
�HINGLE
o, z)
+ AK-
FL# 1 �3 S S
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
O INSULATED
FL#
OTILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
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#
O INSULATED
FL#
OTILE
FL#
0 OTHER:
FL#
CITY O
Building & Fire Prevention Division
S FORD 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,
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: �' a
CITY OF
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DIPARTiMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
V'E _RINGS
PERMIT #: I O �`� ADDRESS: 3 1,s Y ��—(to �"'�r� e 0
3.)-7'73
bJ_ek'j An &,> (-JL , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, 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).
LICENSE #: L [ n 1
COMPANY / CONTRACTOR: /ANC `��'��� f �` � � � A*
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE HOLDER OWNER/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 -Cey"I r"0
Sworn to and Subscribed before me this _I day of J 20 1 I' by:
h,,-�Olzj 40 C,. c,. 4 . Who is ❑ Personally Kno to me or has ❑ Produced (type of
identification)
r
a ure of otary Public
State of Florida
i i� In I ,-_ (n S 1►
Print/Type/Stamp Name
of Notary Public
as identification.
RAM
Notary Public - 61919 ®f fi®fidi
CommissionNR�2I#9@H
� aF P My Comm, 1509§Aff 10, f#