140 Mayfair Ct; 17-1869; ROOF (2)F
JUN Z 0 2017 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 7
Documented Construction Value: S
Job Address: 0) GI J j'k- J674, /rO &0 Historic, District: Yes 0 No 9--
Parcel ID: 34. S - 0(DQ(::) - 1210 ResidentialF] Commercial R
Type of Work: New Addition R Alteration Repair R Demo R Change of Use F1 Move R
Description of Work:
Plan Review Contact Person: /'1O-vl Aoc_z CA Title:
Phone: 90-1 _2 Fax:-4-7 -2)_1- qSj Email:
Property Owner Information
Name LLkOl, S Phone: H 0-7, )
Street: SL+0 rya\l 4-"k Y/ L+ - Resident of property?
City, State Zip: (2 h (LO L
I Contractor Information
Name 41 4 R it-) &- Phone: 4 o -) - 3 3L 9 Ss-i
Street: Blc) ;. i;Ee'h do Fax: k4 u-i - 3 T
City, State Zip: () aj:3 ab. r L_ 3 L:7-i State License No.: Cc
Name: f",J P
Street:
City, St, Zip:
Bonding Company: IA
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEIVIENT 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 %vork or installation has
commenced prior to the issuance of permit and that all work will be pert6rmed 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 1h Edition (2014) Florida Building Code
Revised: June 30. 2015 Permit Application
4 i`OTiCE: 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 of the property 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 fipurcd 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.
k
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all wort: will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Omer/Agent gate /('
Print O)ne ;agent's Hamm
MARJORIE MAPIE AOCOCK
Notary Public - State of Florida
Commission # GG 013492
My Comm. Expire:, Jul 2 ; :'U20
Rnnded throunh National Notary Assn.
Owrnerl:
Produced lD Type of iD
Print Contractor/Agent ' s Bane
Signature OT Nota
Contractor/A
Produced ID
C.oplrnissk)it ;: FF r121106
My Comm. Expires Apr 16, 2G19'
UondeJ ttrcugli National %',xy AS8,7
a t Me or
Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas n 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
APPROVALS: ZONING: UTILITIES:
COMMENTS:
ENGINEERING: FIRE:
Fire Alarm Permit: Yes No F
WASTE WATER:
BUILDING:
0
Revised June 30. 2015 Permit Application
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * 407) 330-9333 (Fax)
adcockroofingl@bellsouth.net
www.adcockroofing.com
STATE CERTIFICATION CCCO22501
June 2, 2016 ESTIMATE
Name: Ann Echols Phone: (407) 322-4125
Address: 140 Mayfair Ct. Offices: (407)
City: Sanford, FL 327731 Fax:
Email: flundquist@cfl.rr.com
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 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 to match existing.
9. Secure all permits.
10. Clean up & haul away debris.
11. Inspections included.
Labor & Materials: $9000.00
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
5 Years on Workmanship
Andy Adcock
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING
Address: 800 S. FRENCH AVE.
SANFORD. FL 32771
Permit Number:
Parcel ID Number: 33-19-30-505-0000-0210
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T OF " a:i_j1T C:i-10' t i:.'•i'i1: , i':G ..4._f::: ;'
CLERK'S V...' 21-317 62 lilt .
G. {.F`i4 t i:._:.`, ':1j,itu
t: i- •"'j Cif i:: ,-. :-. ,:
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 21
MAYFAIR VILLAS
PB22PGS9&10
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: ECHOLS ANNEVERETTE; 140 MAYFAIR CT SANFORD, FL 32771-3677
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above)
ryl 4. CONTRACTOR: Name: Adcock Roofing Phone Number: 407-322-9558
Address: 800 S. French Ave., Sanford, FL 32771 r•t_oTtcl,,n cOPY - GRANT MAOY
5. SURETY (If applicable, a copy of the payment bond is attached): OF THE
6. LENDER: Name: Phone Number:
nK
Address: BY
017
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: 3 F '
i
1
y
EcJ 01-s /
r r
Phone Number: 40• 32z , 4125
Aririracs l40 • 1I .Y'7r-1 r, ( ni 14 "v /1 M,! j l-i*27'-%3
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.
1i/YL,,, &4
Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of PL OV2,l wPC County of d Q-5y I P, b ,c
j'
The foregoing instrumept was acknowledged before me this -
2. 0
day of tJ (AA, 20
by
person making statement
who has produced identification type of identification produced:
Who is personally known to me OR
ar PVC MARJORIE MARIE ADCOCKKNotaryPublic -State of Floripa l :
Commission ,r GG 013492 Ndtary Signature
My Cumm. Expires Jul 29. 2020
i'
Bonded through National Notary Assn.
JOB ADDRESS:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (D'FFEPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER `EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): II/Z' I P 4-` W 000
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EbSTIN& DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: DOFF -RIDGE 6AtGEE/ OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (34 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: 0 LESS THAN 2:12 C)Z.12-4:12 e:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
as"HINGLE OYLT i 6, TIm k o FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH 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#
O TILE FL#
0 OTHER: FL#
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 FB code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: "10 - ZO
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: 112, / ADDRESS: I q0 MrCV p,i G+
FL :3 -)7-] l
l&r\//0rx-Lz 'W L.7c'w , 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 4: ` L (_ D ZZ
COMPANY/CONTRACTOR: - N N LW 4rDL'0 LL-
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HOLDER OR 00 PUBUILDER)
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 TIME 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 OFL4-
Sworn to and Subscribed before me this ! C day of ( _ 20 17 by:
Who is rsonally Known to me or has Produced (type of
id on) as identification.
S natu of Notary Public
Sta of Florida DONALD RASH
Notary Public State of
a •= Commission # FF 221706
Print/Type/Stamp Name 'r;FOFF oP My Comm. Expires Apr 16, 2019
ondedofNotaryPublic through Natin rll PY.tary Assn.
Florida]"