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121 Sand Pine Cir; 17-1870; ROOFt .SUN 2 0 2012 1 1 BV: li Application No: / b Documented Construction Value: . et) +J" Job Address: 1: q*, ;rr 7 Historic District: Yes `o [ Parcel ED: ( . Via• ,30'r U q, 6o0C3- & - ©C} Residential [" Commercial Type of `Fork: New Addition Alteration Repair Demo Change of Use move Description of Work: t p c lr?e--; 1te-1 Plan Review Contact Person: } i gay 4- j) e cd< Title:_ a Phone: L) l S Fax: a 7 j, l= /`7 i :Email: c dca+JC r 2 ' %e 1 s i. re f Property Owner Information Name il64 42Lr Phone: 94_7 i 7 • "7 .7 Street: 'L 1 aJ try _(' t jQ Resident ofproperty'? : _ e_ Cite. State Zip: 4 an-L 2 o_1 Contractor Information Name t nj o "tit,, 4vo t..Q t.:;=— Phone:ye 7 6 5 Street: U GC, rax: /`) 7 "?S -A City. State dip: &12,- State License No.: si Architect/Engineer Information Name: _ _ Phone:? Street: City. St, Zip: Fax: E-mail: Bonding Company:% Mort aue Lender: ,._ +' } Address: _ _address: WARNING TO OWNER: YOt. R FAILUREURE TO RECORD.A NOTICE OF COININIENC ENIEN'r MAY RESIiLT IN YOUR PAYING, TWICE FOR 04PROVE IENTS TO YOUR PROPERTY. A NOTICE OF CO I11E'.NCE EN"Imusr BE: RECORDED AND POSTED ON THE JOB SITE_ BEFORE THE. FIRST INSPECTION. IF' YOU INTEND TO OBTAIN FINANCINC:, CONSULT WITH YOUR LENDER OR AN ATTORNEA RLPORE RECORDING YOUR NOTICE, OF CON'UNIENCENIENT. Application iS hereby, madeto obtain a permit to do the xork and installations as .nJc itcd. I bcertif. title no tvor-k or inslail°at, in has eommncns. ed pl-j )f -€4: the iSSUince of t i?eniiii and that 311 ,,voCk, %vill be , ell rritti i't tt"!e_'( Jttitld:?fdS i f tid (!1ti5 I'C<til<'tt1 n? i ?IlS(E «lt«lirt ill thice lui"ijdictivri. I understand that -a separate permit niust be secured for electrical 4f'ork. plumbing, signs, yells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. F RC 105.3 Shalt he inscribed xvith the date of application and the cede in effect as (if that date: ;±" Edition (2014) l"llirida Buildini! Cade O*T'ICI : 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 thiscouivNl. and there may be additional permits required frorn other governmental entitles'such ais k' nianac, cnicrit di-stri"is, state ag enciesor federal agencies, ZAcceptance of, permit is \ crification that I will notir'Y the ovvner of the propert%l of the requirements of Florida Lien I aw. -S f 13 lie Cl ;t% oi'Saril"I",rd reClUirCS j)aynient ot'a plat) revicw fcC,tIt the 61TIC 01",Iellnil SLJhMi1Wl, A cc,,p5 of the executed contract is. re'Uif`e.dU, 01'dcr to calculate a plan review charge and vdil be considered the estimated conS1rL1Cti00, a[UC oil' the job at dic tirne or's h I lie actual construction value will be figured based (in the Current ICY' Valuation Table in efiect at the tinie the permit is issued. in accordance % pifli local ordinance, Slic',uld calculated char : ges figured of executed Contract exceed the aCtLMI COIISIMC[ion VL1111e. Credit z01 be applied to wur permit fees when the permit is issued. OWNER' S AFFIDAVIT: I certi6, 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. DO te Daw Ao e-z 4AjRjt , &/ 13) 1 -1 MARJORIE MARIE ADCOCK Notary Public - State of Florida Commission # GG 013492 My Comm. Expires Jul 29, 2020 Bonded through National Notary Assn. NAIOW- ff7oMC, or Produced ID Type of 10 0 ONALD-11ASHPI A' 1-7 No! it—y7F—,ubIic -State 7otFjQjldariCommission # FF 221706 My Comm. Expires Apr 16, 2019 1 BondedthroughNationalNotary Assn. onrr, icto,-'Ao-e!!t is lie rs, o n,,,! I K r, (;k v o N1 e () r f-' rod uced I D Type of I[) BELOW IS FOR. OFFICE11SE ONLY Permits Required: BufldingF E lectrica I F] Mechanical [] PlUnibingF Gas Roof F Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Nev yConstruction- Electric - # of Amps fin. Occupancy .[.:read: Fire Sprinkler Permit: Yesr] Non # of I leads APPROVALS: ZONING: FNIGINEERING: COMMENTS: UTILITIES: EM Plumbing - 4 of Fixtu of Stories: Fire Alarm Permit: Yes D No F1 WASTE WAFER: BURDING: 210 15 I'OrMl A.Pphcn6on ADCOCK ROOFING 800 French Ave. Sanford, FL 32771 407) 322-9558 * (407) 330-9333 (Fax) adcockroofingl@bellsouth.net www.adcockroofing.co STATE CERTIFICATION CCCO22501 June 8, 2016 ESTIMATE Name: Angela Paust Phone: (407) 257-4767 Address: 121 Sand Pine Circle Offices: (407) City: Sanford, FL 32773 Fax: Email: mom2kris2@aol.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 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: $5580.00 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 IIPII I31119111f 6191 Allli I3111 tlill Idll THIS INSTRUMENT PREPARED BY: Name: ADCOCK ROOFING Address: 800 S. FRENCH AVE. SANFORD, FL 32771 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 02-20-30-509-0000-0300 i::. Co J`11 ''i• w r: i t' t.:.t. t,,_.., 1 ,.,_1,_1t`. 1 ' l: LiI'I '` i ':!_]i_. i..:...: . CLEWS' u: 2017062500 ` ji- 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 30 HIDDEN LAKE VILLAS PH 1 PB 26 PGS 99 TO 101 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -Roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: PAUST ANGELA C & HOWARD E JR; 121 SAND PINE CIR SANFORD, FL 32773-5621 Interest in property: OWNER Fee Simple Title Holder (if other than owner listed above) Name: 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: 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 ff80qysjpVpr 713.13(1)(a)7., Florida Statutes. CLERK OF THE Name: Phone Number: n run r nNAPTRO LER CIRCUIT COURT CLERK 0-17 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)-. - -- — - 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: 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 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. J" C P.1 Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager) State of ClonA n County of b eNtI n Q LC The foregoing instrument was acknowledged before me this by 18hWJ & lam- Piil.u.<il Name of person making statement who has produced identification O type of identification produced: 4 MARJORIE MARIE,AOCOCK Notary Pulli k - State of Florida Commission N GG 013492 My Comm. Expires Jul 29, 2020 Bonded through National Notary Assn pr naelA C-Pc.4,8-- Prin Name and Provide Signatory's Title/Office) day of 1U,i/1.201 Who is personally known to me FOR I M t M " & Notary Signature. 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 co a compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: F D JOB ADDRESS: e ri V(Ac' PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work STRUCTURE TYPE: (2(sINGLE 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): ) ` Z I t 1 LV u,)00 PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EbSTIAIG DECK IS PERMITTED TO BE REPLACED** ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 62:12-4:12 12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE ' Tiam V-L-) FL# O METAL FL# O MODIFIED BITUMEN FL# OTORCH DOWN FL# O INSULATED FL# OTILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **1FAPPLICABLE** 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#