HomeMy WebLinkAbout3575 Marquette AveCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: , — ( Li
Documented Construction Value: S & �60 0.1
Job Address: 4A qq "Ltj�t,,V,<_ Historic District: Yes ❑ No
Parcel ID: 0 0000- C?_2 Residential �T Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: !q y n/ 6 (,,, &'
Plan Review Contact Person: Title: 0 W MA.�:2
y f �'lls �e +
Phone: ��' 3lZ • 9�� � Fax: q �� 3L�. � 5R� Email: ;r��r,�ls'D� �nG c•L'-'r�, -
/� Property Owner Information
Name CJ _ 7'FI a O Phone: �t�%�_�_9- 7- .S
Street: S - Resident of property?
City, State Zip:Ls= In
(<
Contractor Information
Name "" Phone: H co . 3
Street: %_S rY�� fk- "�ty'� Fax: �i �-�= 0 �Z
City, State Zip: �a LD iI_0 .. 4r_t1 2 j-n7 % State License No.: L ;�� � Chi
Architect/Engineer Information
Name: ]�
Street:
City, St, Zip:
Bonding Company: K A
Address:
Phone: r
Fax:
E-mail:
Mortgage Lender:
Address:
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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: 511 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
4",
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 rnav be additional I)eMlitS I-CqUired tifOln Other eClVerornerltal entities Such ',15 Water
managerneirt districts, state agencies. or federal agencies,
Acceptance of permit is verification that I will notifthe owner ofthe property of the requirements of Florida.I Jen La\,i, FS 71
The City ofSanford ,requires payment of plan review fee at the time of permit submittal. Al copy of the executed contract is required
in order'to calcjitate a,plan review char : gc and will be consideredf the estimated construction value of the job at the time of submittal.
The actual construction value will be lit!'Ured based on the CUrrent ICC Valuation Table 'in effect at the time the permit is issued. in
accordance with local ordinance. Should calculated charc;e,& figured off the executed contract exceed tile actual construction value.
credit Niill'becapplied to your permit fees when the permit is issued.
ONVNERS-AfFfDAVIT: I certify drat all of the foregoing information is accurate, and that all w>ork will
be done in compliance with.all applicable laws regulating, construction and zoning.
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MYCOMMISSION #GG11312]7
EXPIRES: OCT 02,2091
� WW110000 Bonded through 1st State Insurance
Omter/A,grent is 1, �ersonally Known to Me or
,Produced'I D _ Type of ID
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DONALD,RASH
Notary Pubric - State of Florida
Commission N FF 221706
My Cc M M. Expires Apr 16, 20 19
Contractor./Agent is Personally -77own to Me or
ProdLICCdIDTypeoflD--
BELOW ISFOR OFFICE USE ONLY
Permits Required: BuildingF Electrical[] I%IechanicalF Plumbin-F Gas[ Rca F
Construction 'Types Occupancy Use: Flood Zone:
Total Sq Ft, of Bldg: Min.. Occupancy Load: # of Stories:
New Construction: Electric - 4 of Amps Plumbing- # of Fixtures
Fire SpriInklerPermit,-i. Yes[] No ❑ 4 of Headsl,--- Fire Alarm Permit: Yes No
APPROVALS-. ZONING: Ul"ll-I HES; WAST' E WATER:
ENGINEERI-ING: FIRE: BUILDING:
COMMENTS:
Rev ised: I u, je 30, 2015 Ptmnit Aplplia:iiion
CITY OF
Building & Fire Prevention Division
S FORD RESIDENTL4L RE -ROOF POLICY& PROCEDURES
r1RE 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:
CITY OF
FIRE DEPARTMENT
JOB ADDRESS: 3 ✓ %-5
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
M,
3,a"r73
STRUCTURE TYPE: &INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: Q REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
pl
DECK TYPE (PLEASE SPECIFY):y
* *PLEASE NOTE: ONLY 100 SQUARE FEET OF THE ELSTIN DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: FF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES `J' •O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
�HINGLE
)J
, %�'W
FL#
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: 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#
OTORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
(407) 322-9558 * (407) 322-9592 (Fax)
adcockroofinglC@bellsouth.net
www.adcockroofingl.com
STATE CERTIFICATION CCCO22501
January 19, 2018 ESTIMATE
Name: Sanford Airport Authority Phone: (459-7251
Address: 3575 Marquette Ave. Cell: (407)
City: Sanford, FL 32773 Fax: (407)
Email: jmurray@osaa.net
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: $6800.00
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
7 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 ID Number: 03-20-31-5AY-0000-0340
The undersigned hereby gives notice that improvemert vill be made to certain real propeny, and in accordance %vith 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)
E 1 /4 OF LOT 34 _
PIGS
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: SANFORD ARPRT AUTH/CITY SANFORD 1 RED CLEVELAND BLVD #1200 SANFORD. FL 32773
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
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:
6. LENDER:
Address:
Phone Number:
Amount of Bond:
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: Diane Crews, Sanford Airport Authority Phone Number: 407-5854002
Address: 1200 Red Cleveland Blvd. Sanford,FL 32773
8. in addition. Owner designates Brett Renton of Shutts & Bowen LLP
to receive a copy of the Lienors Notice as provided in Section 713.130)(b) Florida Statutes Phone number: 407-423-3200
9. Expiration Date of Notice of Commencement (.The expiration is 1 year from date of recording unless a different date is specified) 7/ 1 i2018
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 COh1MENCEMENT.
.Jefltlt � �Qy �J�, %n�Yt�t �' ►�piAttnrT�r"R'�'z+r
1 azure of . «ro! a ties Of O+ner s a Lt$5* S �Prin: Narni as ?rm iila gna%v s nue V!'ce i
/ ZIM.0ZCfi Officer 'D;r r,PWlnerhsnagef;
State of r0 County of �j t) i ri olq
The foregoing instrument w cknowledged before me this day of 20 -
by n r Cl 0 )/ Who is personally knowqjQ=e OR
Ndma C1 pals" ma<'n3 staler It
who has prod d 'identification 7 type of identification produced:
rJ0larr Signal re
PHYLLIS I. GIBSON
W COMWS10N #GG113127
EXPIRES: OCT D2, 2021
Bonded through let State Insurance
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018016792 BK 9074 Fig 1115; (1pg) E-RECORDED 02113/2018 10:16:58 AM
%00
CITY O
SAiNFORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
�ME DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: > ADDRESS: 3� /7y,
.y /°'A eg UeAe
Pf,J D 7 � 0�- 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- 6 ( b..)-is-
COMPANY/CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER OR
,�irJ y � b f -e Ab Ci�,
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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
Sworn to and Subscribed before me this LS _daye 20 ),tF by:
/4jJs3j,rZ,,J LMot,ougl--Who'is ❑ Personally Known - a or has ❑ Produced (type of
lent fi ation) as identification.
nature o tary Public 2°;°GYP DONA�RAS'H
State of Florida '_ NdtaryAublic=rld
,;* OF;.= M Commission A FF 121106 a
Y m. Expires Apr 16, 20I9
Print/Type/tamp Name
of Notary Public