1108 Park Ave; 17-2941; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT 7APPLICATION
Application No:
r '- 9 4/
Documented Construction Value: $
Y +
3c/b
Job Address: - ( ?Historic District: Yes No K]
Parcel ID ' 1 -30-5 V.. ! ;XA -0- Residential Commercial
Type of Work: New Addition Alteratiou'O Repair Demo Change of Use Move
Description of Work:'{
Plan Review Contact Person: Eau Muck —Title: dWW
Phone: gJJ-1 Email•Una 4,1 d ' i i C:C` m
Property Owner Information
Name ' Phone: l0 t_I i
Street: Resident of property? : _ Vb-f --
City, State Zip: ,
Contractor Information
Name Phone:
Street: 1 lr Fax:
City, State Zip: r 3 a' State License No.: Q
I
Arrhi+nr_tlFnninunr Infnrmatinn
WARNING TO OWNER: YOUR FAILURE TO RECORDA 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 wilt 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:,5th Edition (2014) Florida Building Code Revised:
June 30, 2015 1-
7 -oop P-Q—A C--O- Permit
Application
1405 S. Riverside Dr.
Edgewater, FL 32132
407) 416-8405
rav(@ravadcockroofino.com
To:
Bette Skates
1108 N. Park Ave.
Sanford, FL
Email:
isredfish(@vahoo.com
Phone:
407) 314-7746
Date 1012/17
J QB DESCRIPTION '..
Removal of all existing shingles to the deck surface.
Replacement of any damaged or deteriorated decking,, trusses, facial, etc. and flashings at additional cost.
Renail decking with 8 penny ring shank nails as per code.
Install new Rhino Roof U20 synthetic undedayment fastened with plastic cap simplex.
Install new Tamko Heritage Series 30 yr. Architectural Laminated Asphalt Shingles fastened with 6 nails per shingle.
Install new 26 gauge painted drip edge.
Install modified bitumen in dead valley.
Install new Ice and Water shield in all valleys.
Replace all plumbing stacks with new lead boots.
Replace all ridge vents, kitchen and bath vents and ventilation vents.
Install new rectra flange for electric pole.
Clean up all grounds and haul away all debris.
ITEM12ED'ESFiMATE-'IAgORitANUMATERIALS-, AMOUNT'
re -roof $ 11,340.00
Total $ 11,340,00
EXT",,COST '
Bad Wood: $70.00 per sheet plywood
5.50 per ft. 1 X, 2X, facial, sub -facial, scab trusses, etc.
Bad Ftashin s: $8.00 per foot 4X5 L-ilashin
PAYMENT SCHEDULE
Payment due upon completion.
If paying by credit card there is a processing fee of 2.36%
WARRANT
5 yrs. on workmanship
30 yrs_ on shingle materials.
r
amea k er Name
p -31 17 cmeersignatureDateI
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 1 a I I-)
I hereby nai
an agent of:
to be my, lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
1 The s c' 1 it d M.apt,SQ or o located at:
street Address)
Expiration Date for This Limited Power of Attorney:
I I
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF. FLORIDA
COUNTY OF b ` J fl;
The foregoing itAttrument was acknowledged before me this a day of (Xkbw
2196 011 by who is o personally known
to me or o who has 04uced
identification and who did (did not) a an oath.
Slgnature
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Print or name
NotaryPublic -State of '1 u J k Commission
No. I_ My
Commission Expires:-7-' -'j Leigh
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0146539 EXPIRES:
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MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'
S # 2017101968 BK 9004 Pg 0334-1 (1 pg) E-RECORDED 10/11/2017 10:26:39 AM 10.
00
Dalton, Christine
From:
Sent:
To:
Subject:
Attachments:
Margie,
Dalton, Christine
Tuesday, October 10, 2017 6:21 PM
CofA Needed - 1108 Park Avenue
HPB CofA.pdf
Please submit the attached as soon as you can
Thanks,
Christine Dalton, AICP
Historic Preservation Officer
Community Planner
City of Sanford
300 N. Park Avenue
Sanford, FL 32771
Phone: 407.688.5145
Fax: 407.688.5141
christine.dalton ansanfordfl.gov
www.sanfordfl.gov
c
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 ® www.sanfordfl.gov/HP
THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO: DATE ISSUED:
Ray Adcock Roofing November 2, 2017
for
1108 S. Park Avenue DATE EXPIRES:
Sanford, FL 32771 May 3, 2018
BP#18-87
Approved to remove and install new Tamko Heritage Series 30 yr. Architectural
Laminated Asphalt Shingles. Repair/replacement of wood underlayment allowed; a
separate CofA is required for any repair/replacement of visible features such as (but
not limited to), eaves, soffits, fascia, rafter tails, brackets, etc.
Christine Dalton, AICP
Historic Preservation Officer/Community Planner
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 to 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 development.
IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? *ES NO
Building Department Representative
PERMIT NO.
CONTRACTOR:
JOB ADDRESS:
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
TYPE OF WORK: ]FN=- i TrLJI
ISSUE DATE
PROTECT FROM WEATHER
Post this Permit and all required documents in a conspicuous place outside
Digital Photographs are required - please follow re -roof policy and procedures guide
All trash, debris and dumpsters must be removed from job site at final inspection
Permit expires six (6) months from date of issue
N
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
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.
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. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
PERMIT # ( -1 '
Building & Fire Prevention Division
RESIDENTIAL RE ROOF SCOPE OF WORK
STRUCTURE TYPE: Q SINGLE FAMILY RESIDENCEITOWNHOUSF O MOBILE HOME O APARTMFNT/CONDOMINIUM
RE-RooFTYPF: 0 REPLACEMENT(TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING 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 0 2:12 -4:12 0 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHIIIGLE FL#
O MErAL FL#
O MODIFIED BITUMEN FL#
0TORCH DOWN FL#
OINSULATED FL#
OBILE FL#
OTHER: i / -
FL# 1 5 ) to
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.): *W APPLICABLE**
ROOF SLOPE: 0 LESS THAN 2:12 0 2:12 -4:12 0 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL,#
OMETAL FL#
0 MODIFIED BITUMEN FL#
0 TORCH DOWN FL#
OINSULATED FL#
OTILE FL#
0 OTHER: FL#
I—)—qL4
CITY OF,
Building & .Fire Prevention Division
ANF, RESIDENTIAL RE -ROOF POLICY & PROCEDURES
IiI QPAIB'MEN i` ;,
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
o SKYLIGHTS (IF APPLICABLE)
DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
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'COMPLLkNCEBY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNA b DATE:
a
CITY OF
S.A ORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTLAL RE -ROOF AFFIDA VIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ? --.2 9 q t• ADDRESS: l '
ParL
I s AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CO CTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING it, 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 #:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
J
DATE: ) i `7
MUST BE SIGNED BY LICENSE HOLDER OR O E DER)
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 1N 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.
1
STATE OF FLORIDA COUNTY OF 5•eVh I /\ O le -
Sworn to and Subscribned IUbbeforemethis1 p day of oy. 20 by:
1 CO ' \ W i d Person lly Known to me or has C1 Produced (type of
iden
tknn
as identification.
WVR_+
Signa of Not ry PubHe 1,
State of Florida
t
30 208iI 1 r •• •r'-; pMNI1SSIQN # FF146539
Print/Type/Sthmp Name ?= EXPIRES: July
of Notary Public '','•• '' c` WWW,pARONNOTARY.COM