HomeMy WebLinkAbout103 Crown Colony Way; 18-3983; RE-ROOFBuilding & Fire Prevention Division
PERMIT APPLICATION
Application No: 1 Y ?8'_3
Documented Construction Value: $ 10,260.00
Job Address: 103 Crown Colony Way; Sanford, FL 32771 Historic District: Yes NoFv—/]
Parcel ID: 33-19-30-5QS-0000-0630 Residential Commercial
Type of Work: New Addition[] Alteration Repair Demo Change of Use[] Move
Description of Work: Re -Roof; 30 Year Arch Shingles
Plan Review Contact Person: Andy Adcock
Phone:407-322-9558 Fax:407-322-9592
Title: Owner
Email: adcockroofing1 @bellsouth.net
Property Owner Information
Name Donna Cardinale Phone: 407-782-0607
Street: 103 Crown Colony Way
City, State Zip: Sanford, FL 32771
Name Adcock Roofing
Street: 800 S. French Ave.,
City, State Zip: Sanford, FL 32771
Name: NA
Street: NA
City, St, Zip: NA
Bonding Company: NA
Address: NA
Resident of property? :
Contractor Information
Phone: 407-322-9558
Fax: 407-322-9592
Yes
State License No.: CCCO22501
Architect/Engineer Information
Phone: NA
Fax: NA
E-mail: NA
Mortgage Lender: NA
Address: NA
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: 6't' Edition (2017) Florida Building Code
Revised: January 1, 2018 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 frrarri Wier • governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I %Nill notify the owner of the property- of the requirements of Florida Lien Law. FS 713. The
City of',Sardwd requires paymi Grit 0-. a plead revivw fee ax Yzfc'.—rs df pemm" S-*ibS"e ui J' r3 c"C p j, 07' f5 C cle iFY i s'7a3srSi"ac"i 1i r'oTd1T d 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 tCC Valuation Table in effect at the time the permit is issued, in accordl-
urce 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 infarmation is accurate and that all work will be
done in compliance with all applicable laws regulating, construction and zoning. n
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Name s
DONALD RASH Notary
Public-StateofFlorida Commission #
FF 221706 S
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yComm. Apr16,2019 Fain
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RASN dt$
q oUblie - State of Florida yHifilllllan #
FF 221706 yl"
M.,t1plres Apr 16, 2019 0,
Amer/A ent is Personally Known try Me or Corer' _ `. a Personally Known to Me or Produced
ID Type of III Produced II)Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical 0 Mechanical []' Plumbin,,Q Gas[] Roof Construction
Type: Total
Sq Ft of.Bldg: Occupancy
Use: Min.
Occupancy Load: l#
l1_irill of ,
stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No D ,!--of Heads Fire Alarm Permit: Yes Q No 0 APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
WIN
BUILDING. - Ites'
ised: ',anus, 1. 201h Pennit Apphea ioaa
September 10, 2018 ESTIMATE
Name: Donna Cardinale
Address: 103 Crown Colony
Phone: (407) 951-2472
Cell: (407)
City: Sanford, FL 321771 Fax:
Email: donna9397@gmail.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove old roof on complete house.
2. Repair bad wood.
3. Install new 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 to match existing.
7. Install new lead flashings on plumbing pipes to match existing.
8. Install new ventilation to match existing.
9. Secure all permits.
10. Clean up & haul away debris.
11. Inspections included.
Labor & Materials: $10,260.00
Extra — Bad wood: Time & Materials - $70.00 per sheet plywood; 2 x 4 and fascia - $4.50 ft.
Warranty: 12 Years on Materials from Manufacture
5 Years on Workmanship
Andy Adcock, Owner
Andy Adcock
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018107791 Book:9215 Page:176; (1 PAGES) RCD: 9/19/2018 1:05:54 PM
REC FEE $10.00
CERUR i1F1EDCUoyE
Cli11 COURT F
THIS
INSTRUMENT PREPARED BY: CLERK
O -mo .L R ANDCUM' Name: ADCOCK ROOFING - ANDY ADCOCK 5EM CLERK Address:
800 S. FRENCH AVE. DEPUTY SANFORD,
FL 32771 NOTICE
OF COMM EiVCEME NT Permit
Number: Parcel
ID Number: 33-19-30-5QS-0000-0630 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 CommencemenL 1.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) LOT
63 CROWN
COLONY SUBDIVISION PB
61 PGS 76 - 78 2.
GENERAL DESCRIPTION OF IMPROVEMENT: Re -
Roof 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: CARDINALS DONNA' 103 CROWN COLONY WAY SANFORD FL 32771 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 S.
SURETY (If applicable, a copy of the payment bond is attached): Name: Amount
of Bond: Address:
6.
LENDER: Name: Phone Number: Address:
T.
Persons withlh the State.of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.
13(1)(9)7., Florida Statutes. Name:
Phone Number. Address:
8
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 1 year from date of'recording unless a different dale 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 1, SECTION 713,13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ouij
Signature
d Ormer or Lessee, er e a ar Lessee s Auftdzed
0MwriDimc1er/ParbwJ&bmager) OAA
A C_WLDIIJ1?rL.LI Print
Nairn and Provide Siyneiory's Titta,Orfica) State
of CiA 6A County of ` m i" " 0
The
foregoing Instrument was acknowtbdged before me this day of C 20 ' a by
h(n L 1' &L%AA.e Who is personally known e G OR Nrarre
W person nmawng statement who
has produced identification O type of identification produced: C'
tipaYPV;^: DONALD RASH Notary
Public -State of Florida y .
Commission f FF 221706 9?
CFRt:, My Comm. Expires Apr 16,2019 l
Nr"
eigraturc
CITY OF
Building & Fire Prevention DivisionSkNFORDRESIDENTL4LRE-ROOFPOLICY& PROCEDURES
FIRE DEPART,NIENT
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
Sk 4F "t-
7
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: / O3 ( Dkol j (i A-cq ic rlo-
STRUCTURE TYPE: QISIINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (D<EPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): `/.)-
11 ) L L/ w/w 4
PLEASE NOTE. ONL Y 100 SQUARE FEET OF THE EXISTING ECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: eOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 (:!12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL# O j
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#
CITY OF
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
f'IR£ DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ,- ) ADDRESS: 1 b 3 (i2OW AJ "t /)
4y Lo 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/—L10 271'sV 1 i
r.! b /1e A- 7DATE:
4.
o COMPANY /CONTRACTOR: (i4L CONTRACTOR
SIGNATURE: MUST
BE SIGNED BY LICENSE HOLDER O W ER/BUILDER) A
FINAL ROOF INSPECTION IS REQUIRED: THIS
SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIM OF THE FINAL ROOF INSPECT! , ALONG
WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL AL COMPONENTS (DECKIN , UNDERLAYMENT,
FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRE, CLEARLY M D ON THE DECK FOR
EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CO RM 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 61A.Ih.,Q Ce" Sworn
to and Subscribed before me this I— day of 20 14 by: At_)
0ke4_.f 4vo LO 0(-Who is El Pea ly Known to me r has Produced (type of d on)
as iden I Ica Ion. I ure
of Not ry Public State of
Florida POs,`; DONALDRASH
2` POY1h •
Notary Public -State of Florida e: Commission #
FF 221706 Print/Type/
Stamp Name '°'.',o. ``e My Comm. Expires Apr16,2019 of Notary
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