HomeMy WebLinkAbout115 Club Rd - BR18-004485 - REROOFAdMlhk CITY OF
1FS,kNnr0
FIRE
Building & Fire Prevention Division
PERMIT (APPLICATION [
Application No: - LK495
Documented Construction Value: $ 9200.00
Job Address: 115 CLUB RD SANFORD, FL 32771 Historic District: Yes NoP/1
Parcel ID: 35-19-30-522-01-100-0030 Residential Commercial
Type of Work: New Addition Alteration[] Repair Demo[] Change of Use[] Move
Description of Work: Re -Roof; Modified Bitumen
Plan Review Contact Person: Andy Adcock
Phone: 407-322-9558 Fax: 407-322-9592
Name BELINDA GONZALEZ
Title: Owner
Email: adcockroofing1@bellsouth.net
Property Owner Information
Street: 115 CLUB RD
City, State Zip: SANFORD, FL 32771
Name Adcock Roofing
Street: 800 S. French Ave.,
Phone: (407) 322-8678
Resident of property?
Contractor Information
Phone: 407-322-9558
Fax: 407-322=9592.; .
Yes
City, State Zip: Sanford, FL 32771 State License No.: CCCO22501
Name: NA
Street: NA
City,.St, Zip: NA
Bonding Company:
Address: NA
NA
Arch itectlEngineer 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: 61° Edition (2017) Florida Building Code
Revised: January 1, 2018 Pemtit 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 ofthe property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time ofpermit submittal. A copy ofthe 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.
J 4vn° 1 bn i 0 dS J--D 1 K
Sign weer/Agent Da eUr
E NbA Qr' z-,P4 ,
PrCO edAge '
Si of otu[S- tate of Florida t
Notecy 1'd u ' i i !fie
t [d tBiF
X . = --
I
SignatureofC ctor/A Date
Name
Owner/Ag .ti' ei fl 91`r e or Coirtractor[A entis ®Persona own to Me or
Produced , ®F "" 59 2 S 2 S 7 Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building [] Electrical Mechanical 'Plumbing[]. Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use: Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
r ' +
October 18, 2018 ESTIMATE
Name: Porzig Phone: (407) 322-8678
Address: 115 Club Rd. Cell: (407)
City: Sanford, FL 32771 Fax: (407)
Email: porzig@bellsouth.net
OPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove old existing roof on complete house.
2. Re -nail decking as per building code.
3. Install new Modified Bitumen Roofing System
4. Install new drip edge; 26 gauge, painted galvanized.
5. Install new lead flashings on plumbing pipes.
6. Secure all permits.
7. Clean up & haul away debris.
8. Inspections included.
Labor & Materials: $9200.00
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
Gran X Maloy, Clerk Of The Circuit Court & Comptroller Seminole Counttyy`, FL
Inst 2018126576 Book:9244 Page:539; (1 PAGES) RCD: 11/6/2018 10:35:10 AM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING -ANDY ADCOCK
Address: 800 S. FRENCH.AV .
SANFORD, FL 3277.1
NOTICE OF COMMENCEMENT
Pormit Number. _
Parcel ID Number: 35-19-30-522-01-100-0030
The undersigned hereby gives notice that improvement will be made to certain real property, "In accordance with Chapter 713, Flodda.Stalutes, the
following Information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description ofthe property and street address ifavagable)
LOT 3 BLK H
COUNTRY CLUB MANOR UNIT 3
PB 12 PG 76
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:' GONZALEZ, BELINDA; Property Address 115 CLUB RD SANFORD, FL 32771
Interest in property: Owner
9- Fee Simple Title Holder (ii other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Adcock Roofing Phone Number. 407-322-9558
Address: 80D S. French Ave. Sanford FL 32771 '
5. SURETY (If.appllcable, a copy of the payment bond Is attached): Name.
Address: t Amount of Bond,.
8. LENDER: Name: Phone Number.
Address:
T. Persona 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)T.. Florida Statutes.
Name: Phone Number.
r
Address:-
S. In addition, Owner designates
J
to receive a copy ofthe Llencre 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)
WARNING TO OWNER: ANY PAYMENTS'MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF'COMMEI, CEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWI0E,F_OR.IMP9QVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
i
wofOwner or sa , or b l pnraNameand Provide signatmysTiearofaoe)
oMeer re APeAnar ' ..
State of . i in a County of
The foregoing Instrument was acknowledged before me this t day It 20
by QG0-) 7A (Dnrvne.L-eZ Whn s parsoneltyknownt 0 OR
Norm orpmaonmaxingstafemard R - S• ,t` ",;. i;'
who has produced identification e of identification produced*V I 6 25
Pro type
cvP'•' DONALD RASM X
t NotaryPubllc- State'nfFlorida
Corttmisoons FF 221106 Nata,y s9;_-w
MyComm. ExpiresApr16,2019
c,
CITY OF
S FORD
FIRE DEPARTIAUNT
PERMIT # (2 ` q SS
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: QA1 PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): L). &lA2 u W Gd O
PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTITVGDECIIIS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES ' 4b VP-17 '_s
SKYLIGHTS: O YES O NO IF YES. PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: 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#
0 MODIFIED BITUMEN C Cr'4_1 Tc_Z 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#
OTORCH DOWN FL#
O INSULATED FL#
OTILE FL#
0 OTHER: FL#
CITY OF
Building & Fire Prevention DivisionSkORDRESIDENTIALRE -ROOF POLICY & PROCEDURESO,C('EDURES
FIRE DEPARTMENT K or
01-7
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:
Grant Maloyy, Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #2018126576 Book:9244 Page:539; (1 PAGES) RCD: 1'1/6/2018 10:35:10 AMRECFEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING -ANDY ADCOCK
Address: 800 S. FRENCH.AV .
SANFORD, FL 32771
Permit Number.
Parcel ID Number. 35-19-30-522-0H00-0030
The underalgned hereby gives notice that Improvement will be made to certaln real property, and In accordance with Chapter 713, Flodds.Statules, thefollowingInformationIsprovidedInthisNoticeofCommencement.
11. DESCRIPTION OF PROPERTY: (Legal description of the property and street address If available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof I k
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: •
Name and address: GONZALEZ, BELINDA; Property Address 115 CLUB RD SANFORD FL 32771
Interest in property: Owner •
i Fee Simple Title Holder (If other than owner listed above) Name-
r
Address• ^
4. CONTRACTOR: Name: Adcock Roofing Phone Number. 407-322-9558
Address: 80D S. French Ave., Sanford, FL 32771 f
5. SURETY (ItApplicable, a copy of the payment bond is attached): Name,
Address: t Amount of Bond:
8. 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 bySection
713.13(1)(a)7.. Florida Statutes.
Name: Phone Number.
Address:
8, In addition, Owner designates 61
to receive a'copy'of the Lienou's Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number,
9. Expiration Date ofNotice of Commencement (The expiration Is 1 year from date ofrecording unless a different date Is specified)
WARNING TO OWNER: ANY PAYKIENTS'MAOE 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
PAYING TWICE•F_OR,IMPQQI(EMENT-S 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.
JJ 9C-b bA Gon'zAL Z1G
aWrsof0tnerot7rasor cos 1(FAnlNameOPmvidsSigretoysritWOMooI
deed Officerrtner ' a r1
State of X County of
The foregoing Instrument was acknowledged before me this 1 day of "" 20
by QWJoA C Dvyr7d.PZ holspersonally known l OR a 'r:?''c=',3• Name
ofpemnmakingststemadj'' p who has
produced identification type of Identification produced V ` 6 2 S 2S 4,Fra"•••
DONAII)RASH C i:t
h' 'Nomry4ublic-Sta;enfFloAda , Commission; FF
221706 MyComm.ExpiresAPf16,
2019
CITY OF
ki4FORD
J
FIRE DEPARTMENT
PERMIT # 2 — qq S5
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: GGcvlj Aoi cS4^/'
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O-R'rP-LACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
L /
0,_
11
62L/ LAS Gd 0
PLEASE NOTE. ONL Y 100 SQUARE FEET OF THE EXISTING DEC9 IS PERMITTED TO BE REPLACED" w
ROOF VENTILATION: Q OFF -RIDGE Q RIDGE QSOFFIT OPOWERED VENT QTURBINES Nd ff 4 ¢s
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOFS LOPE: 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#
Q MODIFIED BITUMEN C JI(% FL# q%
0TORCH DOWN FL#
Q INSULATED FL#
QTILE 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
Q SHINGLE FL#
Q METAL FL#
p MODIFIED BITUMEN FL#
0TORCH DOWN FL#
O INSULATED FL#
QTILE FL#
0 OTHER: FL#
CITY 01E
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND/ALL FINAL ROOF COVERINGS
PERMIT #: l ' ADDRESS: ( 5- CGf k
r
I A'j p e ,A-DC,0 d — . 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 #: 66( Q'u 5—M l
COMPANY / CONTRACTOR:
Z7CONTRACTORSIGNATURE: DATE:(
MUST BE SIGNED BY LICENSE H LDER OR ER/BU (J
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
t 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 I1 In,641 e
Sworn to and Subscribed before me this r day of ps 16,1 20 _fby:
A:tj0i2,(,j j6v0 L-Q Ci-- Who is 0 ersonally Know me or has Produced (type of
nti ion) as identification.
Signature of Notary Public
State of Florida aaYp' • pONALDAASH
WWT Notary Public - Stateof Florid
Commission s FF 221706
Print/ ype/Stamp Name , My Comm. Expires Apr16,20i9
of Notary Public