HomeMy WebLinkAbout128 S Sandpine Cir•u�sa. •L.er` ,
i
tt APR 10
BY: �D�-- -
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / d / � J
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Documented Construction Value: $ 7-2O-0
Job Address: IvZ d JQ ,D /Z. r/.X4_#A_0&_-b Historic District: Yes ❑ No
Parcel ID: Da - ,?-a • 30 . 70- 000n • b -7 q i] Residential El' Commercial ❑
Type of Work: New ❑Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: cyt. p "j- jam{ f'
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Plan Review Contact Person:
Title:--6 LtiJ Z12
Phone: 407 322 - 95S S Fax:
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Email:
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Property Owner Information
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Name M / L
Phone: yQ
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Street: _ /oZ�,� ,� fin/ P
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Resident of property?
City, State Zip: A
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Contractor Information
Name &Dt 'r:C k�=
f.7--r
Phone: y
Street: P o (�) 's • �{�-t'Cam-
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Fax• L10
City, State Zip: I'll
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State License
No.: is- ui
Name:
Street:
City, St, Zip:
Bonding Company: jam( A
Address:
Architect/Engineer Information
Phone: Jai 't�'
Fax:
E-mail:
Mortgage Lender: !\J gk
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
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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. v
Acceptance of permit is verification that I will notify the owner of the propem 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 fieured 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: 1 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 ning.
3 -6-2a Y
5 a[ ofO+rner/Agent Date Signature ofContrac2 gent Date
�Ic z�ti 4l—S � nrp� �4ro�r,r
mt O++n s Name Print Contractor/AeenLs w++,
LIN-tCaloY
DONALDRASH av
No
Public - State ofFloridaommission t FF 221706 ires A r 16, 2019 Cmm.f P
ersonally Known to Me or Con r
uced ID Type of ID Produced ID
Date
ly Known to Me or
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 Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING:
COMMENTS:
Revised: June 30. 2015
ENGINEERING:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Permit Application
March 2, 2018
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
(407) 322-9558 * (407) 330-9333 (Fax)
adcockroofingl@bellsoth.net
www.adcockroofing@bellsouth.net
ESTIMATE
Name: Jerry Miles
Phone: (407) 529-7267
Address: 128 Sand Pine Circle Cell: (407)
City: Sanford, FL 32771
Email: jerrymiles@cfl.rr.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
Fax: (407)
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 gutter
7. Install new kitchen and bathroom vents.
8. Install new lead flashings on plumbing pipes.
9. Install new ventilation to match existing.
10. Secure all permits.
11. Clean up & haul away debris.
12. Inspections included.
Labor & Materials: $7250.00
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
A n& Adcoca,
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING o 4,,3 o �ytp (/-, Uc
Address: 800 S. FRENCH AVE.
SANFORD. FL 32771
NOTICE OF COMMENCEMENT
Permit Number
Parcel ID Number. 02-20-30-510-0000-0790
The undersigned hereby gives notice that improvement will be made to certain real properly, and in accordance with Chapter 713, Ronda Statutes, the
following information is provided in this Notice of Commercement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address it available)
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2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: MILES. JERRY A. 128 SAND PINE CIR SANFORD, FL 32773-4506
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above)
a. CONTRACTOR: Name: Adcock Roofing Phone Nurnber: 407-322-9558
Address: 800 S. French Ave., Sanford, FL 32771
S SURETY Of 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 served as maybe
713.13(1)(a)7., Florida Statutes. y provided by Section
Name: Phone Number.
Address:
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:
9. Expiration Date of Notice of Commencement (The expiration is t year from date of recording unless a different date is specified)
1y�aRNrNc T 0ANER. 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.
Z'— z 4,4— �7( DKC Of OI I.Gf - Or QMwir M 't
Au7iOr�i000 40"rect "f71wtftnager)
� I (Print Name aed Prcnde S" ys T oofte',
State of �Gn)".jG)4% County of SefY!rttt;L t
The foregoing instrument was acknowledged before me this day -of %�y%�' /.
by Who is personal) >pwffto me ❑ OR
Name Ot WOOM M king =VfT ent
who has produced identification O type of identification produced:
i
.'i+*" '••; DONA; 0 RASH Notary sgrrature
kz;tary ? Alit - State of Florida
Commiswp' P 22U06
MyComm. &piresAor16,2019
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018033415 BK 9098 Pg 1772: (1pg) E-RECORDED 03127/2018 10:29:54 AM
10.00
CITY OF
Building & Fire Prevention Division
S ORD RESIDENTL4L RE -ROOF POLICY & PROCEDURES
FIDE. DEPA€ MEFNT
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 BV 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:4 DATE: _} ' '), ).' _L0 )
CITY OF
I S,At�4FORD
FIRE DEPARTMENT
JOB ADDRESS: /a O
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
3 2 7'7/
STRUCTURE TYPE: &-� INGLE 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: � LE
I � (YLV &yp
* *PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTIN DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES 0 "O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (qrl�-12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O'<HINGLE
/'`
S W1 10
FL# / 10y
O METAL
FL#
0MODIFIED 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 APPROVA"
O SHINGLE
FL#
OMETAL
FU'
O MODIFIED BITUMEN
i' L#
OTORCH DOWN
FL#
O INSULATED
FL#
OTILE
FL#
0 OTHER:
FL#
CZIL)AAITY O
Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
CJ PERMIT #: ADDRESS: �4�0 ,/0 / -) •e C / rc l e'
I /" Ih.I 0 li--&i� 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 #: C (— ( 0 )-- i
COMPANY / CONTRACTOR: I)"'V) t` --->
K-1
a
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE HOLDER WNER/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 OFyC M 1010 L-`�—
Sworn to and Subscribed before me this day of /i Pi -- 20 I k by:
AjjDe.eA,j A2 C.o CJ Who is ❑ Per nally Known to a or has ❑ Produced (type of
identification)
ature df Notary Public
State of Florida
Vohr►t�
Print/Type/Stamp Name
of Notary Public
as identification.
W72
�YDONALDD
Notary Public-Sg Commission �o�My Comm. Expir