HomeMy WebLinkAbout1203 W 20 StCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: �j
Documented Construction Value: S 0
Job Address: Id-0 2 LJ 020 Th 67, Historic District: Yes ❑ No []-
Parcel ID: J L • / q - S d(). p✓Sd . U Residential ❑ Commercial ❑
Type of Work: New [a Addition ❑ Alteration ❑ Re air
P ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: "�A'6v °CA m/ "/,,r
Plan Review Contact Person: Title:
Phone: 7 32-2
Fax: T Email: p 13cZam-1, rIF
+
Property Owner Information
Name U14oc- .4 1 tL ( f Phone: UP -j • P 71
Street: % (J 3 ". .?jtj-rk �� Resident of property? : 1 2c S
City, State Zip: /� �'Lt7 )
Contractor Information q
Name - IZ•1� Phone:
Street: (h [� t'X� '�-- ; 9 �' Lf
---�---- Fax:
City, State Zip: rUp ,}17 % State License No.:
Architect/Engineer Information
Name: Phone: rJ l`
Street:
City, St, Zip:
Bonding Company: jam[
Address:
Fax:
E-mail:
Mortgage Lender: P"
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: 5"' 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.
Signature of Owner/Agent Date
IJ A41 C Ai 11,1 l t
Print Owner/A ent's Name
Sig ture of Nota tate o rida Date
Sign e of Con or/Agent Date
Ai oQ � LJ A o c� -
Print C ent's
Signatu ry-State o Florida Date
tPav"a�G DONALD RASH
c
Owner/A �t ta� Pub4' S teofFlorida
Produced } Ilp to e or di
T 6 rEi CE Wes Apr 16, 2019
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building 0 Electrical ❑
Construction Type:
Total Sq Ft of Bldg:
Y =DONALDNoaContractorPe toa or
ProducedID�,''�'y�'9
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
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
(407) 322-9558 * (407) 322-9592 (Fax)
adcockroofingl@bellsouth.net
www.adcocroofing.com
STATE CERTIFICATION CCCO22501
January 30, 2018 ESTIMATE
Name: Wade Millis
Phone: (407) 649-8753
Address: 1203 W. 20th St. Cell: (407)
City: Sanford, FL 32771 Fax: (407)
Email: elda730@gmail.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove old (2) layers of existing roof on complete house.
2. Re -nail decking as per building code.
3. Dry in with new layer of synthetic underlayment.
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: $6800.00
Extra — Bad wood & flashings: 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
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING - ANDY ADCOCK
Address: 800 S. FRENCH AVE.
SANFORD, FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
Parcel 10 Number 36-19-30-300-0550-0000
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)
SEC 36 TWP 19S RGE 30E
W 80 FT OF E 146 FT OF NW 114
OF NW 1/4 OF SW 1/4 N ALE OF DITCH LESS RD
2- GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: MILLIS. WADE F MILLIS LYNN W: 1203 W 20TH ST SANFORD FL 32771
Interest in property. OWNER
Fee Simple Title Holder (if other than owner listed above) Name
o. 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: 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 maybe Served as provided by Section
713.13(1)(a)7., Florida Statutes.
Phone Number.
S. 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 Commen ,ement (The 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
r
Oadx t AJ L't, C-S,
i. 0 Rare Of Dmer pr Lessee ar QKro r o•- OT
G-e s not Name arc: Pro"de 5:9natwys T,ge/cei
—N,-zee :er;GreaonPartnerrManager
State of ,4Z1 County of _.. Iceyl i 1vC�ll�
The foregoing instrument was acknowledged before me this —I day of 2
b 0t� /
Y W � eOLar�h m` n9 Who Is personally know to me OR
- Sta;ercea�
who has produced identification U type of identification produced:
( � EE]
CO^.�;�'�1�xn.o.:::B rrD' e
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018016188 BK 9073 Fig 1560: (1 pg) E-RECORDED 02/12/2018 10:00:06 AM
10.00
CITY O
&kNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
rifle I)EPA T E T
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.
Z---�
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE. /� �7
CITY OF
SANFORD
FIRE DEPARTMENT
JOB ADDRESS: I " 03 w - a'V th�
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: SINGLE 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): �' Id- p L y wouw
**PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DE K IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES �✓�
SKYLIGHTS: O YES (2)"NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (D44:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
FLORIDA
O SHINGLE
,..��
/ K-V
FL# 1
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
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#
O TILE
FL#
0 OTHER:
FL#
I 1� 11i 6 ire A-. (� [� , 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 ROOFsDECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE 4:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENS HOLDER
ER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: sJ d cJ V " Vf
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 o' IyvO i. G
Sworn to and Subscribed before me this_ 20 T by:
Who is" ❑ Personal) n to me or has ❑ Produced (type of
ificatio) as identification.
Si nature of Notar Public
g Y
State of Florida
DONALD-RASH
Notary Public= State of Florida
Print/Type/StampName
=;��
FoFP�
Commission # FF 221706
My Comm. Expires Apr 16, 2019
of Notary Public