110 Oaks Ct; 17-3295; RE-ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 9
Documented Construction Value: S 101 (O i'(:)
Job Address: a. o&l6 e,c) -Pl, 3277% Historic District: Yes No a
Parcel ID: S2.1 9 • ,5D3 • D coo D 0 Residential a Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: i le Q &,f- 402ttGfU
Plan Review Contact Person: Gam.. Title:
Phone: /07 • r3aa 5 f1 Fax: J7 3 d ' S ia Email: ede-oc1 oyFin z Sou-tL, .net`
Pnroperty Owner Information
Name AJ/ L(.I KYm AJ01a l JLL ji.J Phone: 4;07
Street: l l 0 0k)LS C4- • Resident of property? : 1 / E,S
City, State Zip: 3.47 7/
5
Contractor Information
Name ,AVLDOZ L&IL.-Phone: 7 0 7 -
Street: ,ClL en y^ A-L,[_ - Fax: L/ D 7
City, State Zip: `' L 3,-7 7/ State License No.:
Architect/Engineer Information
Name: /VA Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
E-mail:
Mortgage Lender: AM
Add ress:
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. 1 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: 51' Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit 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.
ikeeeptance of permit is verification that I wi I I notiN, the owner of the property oft tie requirements of Florida Lien LaN,!, FS 713.
The City of Sanford requires payment of 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 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 pen -nit fees when the permit is issued.
OWNER'S AF
bed ne in go.m
Sig nature of O\kner/A-t
IT: I certify that all of the foregoing information is accurate and that all work wille5In
with all applicable laws regulating construction and zoning.
16 1 Z6 176 (-T 0 / -7
S i =nature;f ctor/,47'e'nt Date
0'e ez'-f An C C-/G-- Pfnl
lay
fV-
17; =tate OTTilor-lia- Date SiNwautri5"of Notary t GEORGEANNE
BLEDSOE MY
COMMISSION # FF948685 EXPIRES:
January 07, 2020 Notary
Public- 5M of Florida Commission #
FF 221706 My
Comm. Expires Apr 16,2019 Owner/
Agent is /Personally Known to Me or Contracton/Aaent is Personally Known to Me or Produced
ID Type of ID Produced ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Buildingn Electricaln Mechanical F1 Plumbing[] GasFJ Roof F] Construction
Type: Occupancy Use: Flood Zone: Total
Sq Ft of Bldg: Min. Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yesn No n 4 of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes[] Non WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 322-9592 (Fax)
adcockroofingl@bellsouth.net
www.adcockroofing.com
STATE CERTIFICATION CCCO22SO1
October 17, 2017 ESTIMATE
Name: Bruce & Linda McKibbin Phone: (407) 322-0331
Address: 110 Oaks Ct. Cell: (407)
City: Sanford, FL 32771 Fax: (407)
Email:
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
Z 'I
1. Remove old roof on complete house.
2. Re -nail decking as per new building code.
3. Dry in with new layer of 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: $10,640.00
Extra — Bad wood: Time & Materials - $70.00 per sheet plywood; 2 x 4 and fascia - $4.50 ft.
Actual estimate based on 26 sq. with 4 sq. waste. Eagle View had total 28 sq.; 24 sq. without waste;
2) small areas of roof not picked up on Eagle View; (1) over front door — (1-sq.) and (1 sq.) on northside
of house. Roof is more labor intensive as they have to transfer debris by wheel barrow to trailer because
of the locations of (3) sections of the roof.
Warranty: 30 Years on Materials from Manufacture
5 Years on Workmanship
Andy Adcock, Owner
Andy Adcock
THIS INSTRUMENT PREPARED BY: i Eii°tldT t1i41_0'T r ;E_rI11'!_i _.t=: C:iJf.!!'d'!"
Name: ADCOCK ROOFING i= .E[a'K. oaf' C: If;t. L.):t T %:fj!_!f;.T ;_> CC)!°!f` i f;:Of_L..E::'rt
Address: 800 S. FRENCH AVE. {:{. FRS 1 g u ?i i ].711 ;4 4SANFORD, FL 32771
FEES il`.00
FiEa:i ICrI!s :i:!.l!it„'?ia1' IJ1 5 tl;.? !-'tl
NOTICE OF COMMENCEMENT iu*'CORDIECl LF'Y i;:Ie`or
Permit Number:
Parcel ID Number: 33-19-30-503-0000-0180
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LOT 18 & S 12 FT OF LOT 17
OAKS OF SANFORD
PB 19 PGS 55 + 56
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: MC KIBBIN WILLIAM B & LINDA W'110 OAKS CT SANFORD FL 32771
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above)
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:
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 maybe served as provided by Section713.13(1)(a)7., Florida Statutes.
Name:
Address:
8. In addition, Owner designates
Phone Number:
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 THEJOBSITEBEFORETHEFIRTJINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFOREMMENCIGWKRRE ' CORDING YOUR NOTICE OF COMMENCEMENT,
v/
WILL akk P VUO
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 \c V, bczs County of 4fyN; tJe:
Thi
by
wh
CITY OF
k f
r.-
9•
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: J Q t5- C)L
STRUCTURE TYPE: Q SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 10 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
16, 1 /
r
L L'iyc)40 PLEASE
NOTE: ONL Y 100 SQUARE FEET OF THE EXISTI G DECK IS PERMITTED TO BE REPLACED * * ROOF
VENTILATION: (DOFF -RIDGE ORIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
OYES (aNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA 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# / (J O
METAL FL# 0MODIFIED
BITUMEN FL# OTORCH
DOWN FL# O
INSULATED FL# O
TILE 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# O
TORCH DOWN FL# O
INSULATED FL# OTILE
FL# 0
OTHER: FL#
CITY Of
Building & Fire Prevention DivisionSORDRESIDENTIALRE -ROOF POLICY & PROCEDURES
FIRE DERARTMENT
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: I0 d-<.) / 7
CITY OF
S______F0RD Building & Fire Prevention Division
RESIDENTIAL RE-R 0 OF A FFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATTHIING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: / 7 a 73 ADDRESS: 11 U 0 c,.do( c
9,'L10
Lei') 4-0"dk' , 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 #: LC CU .-2- /
COMPANY / CONTRACTOR: 4A.)v &eGJ c-k- /) ,
t
CONTRACTOR SIGNATURE: DATE: - .2 V - 4: 1 f -)
MUST BE SIGNED BY LICENSE HOLDER OR ER/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 elh/ n p L e,
Sworn to and Subscribed before me this day of OC / 20 77 by:
A,j%Q" ,j /,-F0LZ6)C.Who is-B-Personally Known to me or has Produced (type of
U
ntation) as identification.
e of Notary Public
State of Florida -.
Print/Type/Stamp Name
of Notary Public