1209 S Oak Ave 17-1070; roofCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 112'10? o
Documented Construction Value: $ (o-7 W
Job Address: fa o 9y ric A,-e- ' O2fJ Historic District: Yes K No Parcel
ID: a 9 o • SF-1 6 VD 41 U U Residential Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: le S Plan
Review Contact Person: 'q7 W c. Title: Phone:
aD-7 9 0.3. Fax: 110 ° .3A -9S `. Email: CZd c lC.fW'((- -be- nt fi Property
Owner Information y
Namey e Ae— 0 L 00 Phone: Street:
0,q_sC Resident of property? City,
State Zip: r
Contractor
Information Name
Phone: Street:
City,
State Zip: Fax:
State
License No.: Architect/
Engineer Information Name:
A/ Phone: I
Street:
City,
St, Zip: Bonding
Company: Address:
Fax:
E-
mail: Mortgage
Lender: 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: ,
Tune 30, 2015 Permit Application
NO 11CF: In addition to the requirements of this permit, there nla<° 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 1rom other governmental entities such as water
manalaement districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the oyvner o1'the property of the {-tquirements Of F'lol-ida Lien Laxv I' S 711
The City of` Sanford requires payment oi' a plan rep=ievw tee at the time of permit submittal. A copy of the executed contrail is requiredinordertocalculateaplanreviewchargeandxvillbeconsideredtheEstimatedconstructionvalueofthe- job at the: time ()f submittal.
The actual construction value will he li"ured based oil the current WC \ aluation 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 consu uGtion value:
credit will be applied to your permit fees when thr 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.
I g Lo 17
Signature of'Onerf gent Date nuturc. of C rac or(Agent Date
r ( r ,znt's Name Cnnirncu>rl.\_eni`; e
PrintcliLi
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ORIEWIAIt E ApCI);ntt
iSitt
e'intan'-State:oi[1( f}jap RASH
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of Florida
Commission # Ff 221706o
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t n s eraonally Knoxvn to Me or ContractorlAgent is __._ Personall}rhriown to or
ID :' , Type of ID Produced 1D Type of IDP
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BELOW IS FOR OFFICE USE ONLY
Required: Building Electrical Mechanical Plumbing
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Gas Roof [
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTI 1-ITIES: WASTE WATER
FIRE,: BUII. DING:
Revised: June 0, 201 i
Pennit :1{aPlication
THIS INSTRUMENT PREPARED 134. Name: ADCOCK ROOFING iJ12 '\kb I-Cdt- GRANT 1°IAI-0` :
Address: 800 S. FRENCH AVE. C:L.I=.:W i)F C:I:f*%'(`U l' C:OLNR`i
SANFORD, FL 32771 c;f- s:>89,:: 1*-',_ :.
CI-ERK' 8 u 2C 17037 35
i?L {_(]f?C)i'Li I_I+/a:;i:'I.+a_ i'ii`
NOTICE OF COMMENCEMENT«;,h(ai,+iL-1.ara',j..01;
Permit Number:
Parcel ID Number: 25-19-30-5AG-1404-0080
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)
LOT 8 BLK 14 TR 4
TOWN OF SANFORD J
PB 1 PG 60
2. GENERAL DESCRIPTION OF IMPROVEMENT:?r'--
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: G N
Name and address: COLON YVETTE TRUSTEE FBO; 1209 S OAK AVE SANFORD FL 32771 Q CC
Interest in property: OWNER
t
Fee Simple Title Holder (if other than owner listed above) Name:
tq0
0 4, Address:
y w cc
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:
it
z
VVcyN
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 may be served as provided by Section
713.13(1)(a)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 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.
Signature of Owner or L\pssele, s or Lessee's rint Name and Provide Signatory's Title/Office)
Authorized Officer/Di ctor/Partner/Manager)
State of 4-1 c, f! 1 67 County of (—1 V1 l t-1 d C
The foregoing instrument was acknowledged before me this (' day of _ 20 1-7
by , (P (i l ALUh Who is perso Ilyknown to me OR
Name of person making statement
who has produced identification type of identification produced:
MARJORIE MARIE ADCOCK
Notary Public • State of Florida
Commission # GG 013492
iNj = My Comm. Expires Jul 29. 2020
Bonded throuphNational Notary Assn vio '
L Notary
Signature
d
April 7, 2014 ESTIMATE
Name: Evette Colon Phone: (407) 451-6899
Address: 1209 S. Oak Ave. Offices: (407)
City: Sanford, FL 32771 Fax:
Email: s.oakl209@gmail.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove existing roof on complete house.
2. Re -nail decking as per building code.
3. Dry in with a new layer 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 vents to match existing.
9. Secure all permits.
10. Clean up & haul away debris.
11. Inspections included.
Labor & Material: $6700.00
Extra — Bad wood: Time & Materials - $70.00 per sheet plywood; 2 x 4 and fascia - $4.00 ft.
Warranty: 30 Year Warranty on Materials from Manufacture
7 Years on Workmanship
Andy Adcock
F'D City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
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: ` ` -7
PERMIT # / _ 10 7v
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 1,91) D (7 CJ .
STRUCTURE TYPE: (Ks 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):
I d- 10 L/ l/3 6 U P
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTIA DECK A PERMITTED TO BE REPLACED * *
ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES GA
SKYLIGHTS: O YES dNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 12-4:12 l 2 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL# 3
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
QTILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPL/CABLE**
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#
QTILE FL#
0 OTHER: FL#
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 • wvww.sanfordfl.goy/HP
THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO:
Adcock Roofing
for
1209 S. Oak Avenue
Sanford, FL 32771
BP#17-1067
DATE ISSUED:
April 18, 2017
DATE EXPIRES:
October 19, 2017
Approved to remove and replace 30 year architectural shingles, color: Natural
Timber.
Russ Gibson, Director of Planning and Development
Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from
the-approved COA that arise and obtain approval prior-ta commencing the changes: -This- Certificate —of -
Appropriateness does not constitute final development approval. The applicant is responsible for obtaining
all necessary permits and approvals from applicable departments before initiating de opment.
IS A BUILDING PERMIT REQUIRED F R THE ACTIVITY LISTED ABOVE. YES NO
i
0 Building De artment Representative
APPLICATION #__! _) CI
FOR A CERTIFICATE OF APPROPRIATENESS
Answer all the questions on this form and submit all required attachments. Incomplete applications will not bereviewed. If you have questions about application requirements contact the Historic Preservation Officer at
407.688.5145 to ensure your application is complete.
Genera! Information _ — i
or ntcvm Ccmmerc+at h stone Ursu+ct+; Kesrdent+aI tstc,:c Distncti-r !s this a retroactive request? Yes _ No
s this application filed in response to a Notice of v+oiat+on from the Code Enforcement Departments YesLJ jNo"
aroposeo !mproverrents mall affect the fetlowino elevations Nonh South East Vvest lJ
Property Address
Property Owner Information
Print Nary :. ' 14
Matting Address / : u r
Phone 'Email
Applicant/Agent Information
j
Signature
Print Name CIC /LU f rN L .i J f, 4 L c CJ -
Mailing Aadress. G G ^ C t-
Phone Le Emailreez'L..Li r._r`„ r, 1 ` j_Is":rt, Signature t•
t t' BY
SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE
OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE
IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT
IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW,
YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE
AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. Signature:
S _
Daie
E]
Would you like to receive emails regarding Historic Preservation and Commun,ty Planning vnthin your community? Description
of proposed work Completely
describe the entire scope of work, including changes In material and color, and methods that v.ill be used to accomplish
the proposed work For large projects an itemized list is required Use the reverse side if necessary t%
l k r !.' fl 'C'U !i %c-`_ - t l; < f?, c: _ (" •J C • 1 %, 1t' f Ltd
l Q JIG-1211 L T I t3 c_.=YZ HISTORIC
PRESERVATION BOARD • 300 S' Park Avenue • Sanford. Florida 32771 •407 6K 5145 • vrrnv sanfordfl goviHP
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 7— I 7 D ADDRESS: w2c d
i . oC_/ c fI `.0 '
L
I A h j o fbw Ab (-J , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
FIROONG CONTRACTOR, NGINEER, 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 4: C )
COMPANY / CONTRACTOR: 6 ;CJC
CONTRACTOR SIGNATURE: "_ DATE: '7"' l0 ` V /-7
MUST BE SIGNED BY LICENSE HOLDER OR
4?pER/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 OF °l G_ /Y) 1 h O L C
Sworn to and Subscribed before me this / 4) _ day of / (-. 20 jj by:
a j 4fAmLw_ ] Pers?ff'51 ly wn to me or has Produced (type of
identification)
C
Signature of Notary Public
State of Florida
0V') h 1 } e, I &s6
Print/Type/Stamp Name
of Notary Public
as identification.
OONALO,RASH
OSr{tYP e;, Notary Public State of Florida
Commission # FF 221706
9T Pc My Comm. Expires Apr 16, 2019BondedthroughNationalNotaryAssn.