216 Sanora Blvd - BR18-002534 - REROOFCITY OF SANFORD
BUILDING &t FIRE PREVENTION
D PERMIT APPLICATION
L/ Application No: 1s a_l
Documented Construction Value: S yFeo0 .
Job Address: to y p r 91d / cSGK,j R 0 Historic District: Yes El 0 Parcel
1D: 07.a DS-D.S • oeoo • 3 ,g-V Residentiala Commercial Type of
Work: Nemv Addition Alteration Repair Demo Change of Use Move Description of
Work: mt t;>.,K' %-1A 111,q/Pf Plan Review
Contact Person: r7 Title: L, Cj tQ e Phone t
Z 7 31C1. SS/ Fax: `i 47- ILZ-' 15 Z Email. -ft 44Qe_II.sz `t•1,.re+ 1_ slat-i n c t :. y- Property
Owner Information Name zwit/
Phone: 4/07 3 tJ.• /.., Street: _ a / (
o o OY,o ,ct al,141 Resident of property? Cite, State
Zip:.. t n-0 - lg L ,3 7 V Contractor Information
Name t'
l_'C,IL Phone: U•i Street: P
Fax: I l I ' .3-1-' C11 City, State "
Lip: State License No.: Architect/Engineer
Information Name: Street:
City,
St,
Zip: Bonding Company:
Address: Phone:
rj
n Fax: E-
mail:
Mortgage Lender:
I\j Address: WARNING
TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO IMENCEIN9ENT NMAY RESULT IN YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMNIENCEMENT MUST BE RECORDED ANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING. CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CON•IMENCEIENT. Application is
hereb\ made to obtain a permit to do the \pork and installations as indicated. I certih that no N\ork or installation has commenced prior
to the issuance of a permit and that all work x\ ill be performed to meet standards of all laws reaulati ns construction is thisjurisdictionIunderstandthataseparatepermitmustbeAjecuredforelectrical .work. plumbing, signs*wells, pools, furnaces. boilers. heaters. tanks. and air conditioners. etc. FBC I
OS.3 Shall be inscribed with the date of application and the code in effect as of that date: S'^ Edition (2014) Florida Building Code Re%ised
June 3,0.'015 Permit Application
NOTICE: In addition to the requirements of this permit; there may be additional restrictions applicable to this propem that may be
found in the public records of this count•, 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 1 \vill notify the owner of the property of the requirements of Florida Lien La\v, FS 713.
The City of Sanford requires payment of a plan revie\s fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan re,,•ie\t' charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be fieured based on the current 1CC Valuation Table in effect at the time the permit is issued, in
accordance %with local ordinance. Should calculated charges fieured off the executed contract exceed the actual construction value.
credit %,.ill be applied to your permit fees,,Then the permit is issued.
OWNER'S AFFIDAVIT: 1 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.
1014 / _Z Zj .75 W, 4t /.; 0, eb,
i nature of veer/Agent Date
To f(-1 4-, L EN KC
Print 0%kner/Agent' e
Signature of .Nota --Smote of Florida Date
Signature Date
Prin: Contractor/Agent's Name
azure of •' fFlorida Date
M-10
DONALD RASH
Notary Public -Stateof Florida ":.sfP4 DONALD:RA
Commission M FF 221706 ';• .`. Notary Public - loridaO«T1e A eta% MyCtm.Ex rgApr]61019 #Commission06
erso all hIIOH'n Me or Contract r; ;•RRrmagi*qwv to Me or
Produ a vpe o Produce
BELOW 1S FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps.
Fire Sprinkler Permit: Yes No r of Heads
APPROVALS: ZON NG:
ENGfNIEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Re%ised June 30. 2015 Permit Application
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING - A.NDY ADCOCK
Address: 500 S. FRENCH AV—
SANFORIO. FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 07-20-31-505-OE00-0350
the undersigned hereby gives no!u:e .hat :npiovement rill be made Ic rana.n real property, a .d In accordance vain Chapter 713. Florida Stdlutes. Inefollow.n9 information Is provroed In this Notice or Commencement.!
1. DESCRIPTION OF PROPERTY: ;Legal description of Irr, property and ,tree: address of available)
PB 17 PG 12
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT.
Name and address: LENKO. JOHN J : 216 SANORA BLVD SANFORD. FL 32773-5833
nlemsl In property OWNER
Fee Simple Title Holder {.f other Iran avrne• I•s:ed a5ove) Name
Add•ess
a. CONTRACTOR: Name Adcock Root: Tp Phone Number. 407-322-9558
Address 800 S French Ave , Sanford. FL 32771 _
S. SURETY (If applicable. a copy of the payment bond is attached): Naine
ACtl'ess•
6 LENDER: Name
AodteS:
Phone Number
Amount of Bond
7 Persons within tho $tate of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section713.13(1)(8)7., Florida Statutes,
8.
Nam6. Phone Numbet•
Address. _
In 3101.,on, J:mer designates of
10 receive a copy of the Liener s NGlice as provided in Seclivi 713.13{tut: Florida Slatufes. Phone number.
9. Ezolration Dave of Nebce of Commencement (The expua:Icr, is 1 year from da:e of rewcirg unless a o:heient dale :s specified)
WAf)M:NG 711 OWAUER' ANY PAY.AEf1TS +RAGE BY THE tYWNE4 AFTER THE FXPIRATION OF THF. NCITICE OF COMMENCENtENT ARECCNSIDFPCDIMPROPERPAYMENTSUNDERCHAPTER. 7.3 PART I SECTION 71313 FLORIDA £'!AIVTES. AND CAN RESULT iN YOURPAYINGT1IVICEFORIMPROVEMENTS70YOLRPROPFRTtANOTICEOi• COMrJENCEMENT l4VS- BE RECORDED AND POSTED ON THEJOBSITEBEFORI_ THE FIRST INSPCCT:ON iF YOU INTEND TO DETAIN FINANCING. CONSULT WITH YOUR LENIOFR OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT
fl
Lr• 0' 1\T<':l ;nice :' .1-e'.11 \..let2L -• ,Vr• tlirn r•1 =•.\ l.Ira•:e°J"ro:•r_rr.; 9:.r•a.sgns3r.
state of &Q L• r;. 11A County or .1 {'4:,1
The foregoing Instrument was acknowledged before me this 2,3 day o1 7it L 20
by Who Is personally kno to me r OR
who has produced Identif,cation " typo of identification produced-
4 DO 2Ac:,
At+•: \:::-:°Jir:-Steams':'.r
41f ,IK JkX 16
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018048750 BK 9122 Pg 0626, (1pg) E-RECORDED 05/04/2018 10:01,12 AM
1000
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 322-9592 (Fax)
adcockroofingl@bellsouth.net
www.adcockroofing.com
STATE CERTIFICATION CCCO22501
April 13, 2018 ESTIMATE
Name: John Lenko Phone: (407) 322-4226
Address: 816 Sanora Blvd. Office: (321) 727-4272
City: Sanford, FL 32773 Fax: (407)
Email: jlenko@harris.COm
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove old existing roof on complete house.
2. Re -nail decking.
3. Dry in with new layer of with new layer of Palisade Synthetic'"' underlayment.
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: $9800.00
Extra — Bad wood & flashings: 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, Owner
Andy Adcock wo:)•2u1joaj:)o:)pe•MMM
9SS6-ZZ£ (LOV)
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v r1\ 11 1/'1lllJI`d13VI 133HS CIN vNI=100
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CITY Of
Building &Fire Prevention DivisionSki4FORDRESIDENTMRE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
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 1S 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: !
CITY OF
is SkiI40RD PERMIT#
Building & Fire Prevention Division
FIRE DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: JJ (/YwVet ' 3.177 3 STRUCTURE
TYPE: &5INGLE FAMILY RESIDENCE/TOWNHOUSE 0 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): `O( PLEASE
NOTE: ONL Y 100 SQUARE FEET OF THE DECK IS PERHITTED TO BE REPLACED" ROOF
VENTILATION: J OFF -RIDGE Q RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
OYES .6NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 0 2:12 - 4:12 (24:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O
SHINGLE r 1 'L/-V FL# I g3 S O
METAL FL# O
MODIFIED BITUMEN FL# 0TORCH
DOWN FL# O
INSULATED FL# OTILE
FL# O
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF
SLOPE: O LESS THAN 2:12 0 2:12 - 4:12 0 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# 0
TILE FL# O
OTHER: FL#
CITY Of
SkNF0F,b Building &Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: ' L of s ADDRESS:
Z/10 _/ v
A-s.3 0,,'-e-_ J A-D 6,nrk . 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 T14E
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 MI:I:TS 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 #: C. L.- L C)
COMPANY / CONTRACTOR: A. r---y r"a
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE 1101-DER 0 WNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: % .0 AM
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 A17ACH,NIENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST I\CLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASIIING. PLEASE REFER ToTHE 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 aM I A'yLt - Sworn
to and Subscribed before me this 4 4 da 20 I b by: k
sn"'L.j c.'C. . o is 0 Personally Known to me r has 0 Produced (type of i0ep4Wwa_
ion) / J`T?drrtftTfFtion. Signature
of NotaPublic ;'`" 4 DONALD RASH Notary Public
State StateofFloridaFloridaCommission
M
FF 221706 d. My
Comm. Expires Apr 16, 2019 h h
I -C aw' P nt/
Type/Stamp Name of Notary
Public