408 S Virginia Ave - BR18-002845 - ReRoof9 s
11 •: 4' t5:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I tp . Cn
Documented Construction Value: S / g a,
Job Address: - IS Vl /J/A-44.Historic District: Yes No [
Parcel ID: o0oo • OfL6 d Residential D_ Commercial
Type of Work: New El Addition Alteration Repair Demo Change of Use Move
Description of Work: 1gE7Z66 f'
Plan Review Contact Person: ` ' Title:
Phone: 0.32-2 4S S/ Fax: y •. 3LZ' ej 5RL Email:ar, f+n c: Ils;,4>, -'
Property Owner Information
Name Phone: 'Al 7 • 3 V
Street: Vb t' • c C / 2 / / Resident of property? VCS
City, State Zip: .3177f
Contractor Information
qName .LY • ( Phone: L4 co ' 3 -;L1 - I 1
Street: ( f1 CL- 4-C Fax: LIlj :.3-`
City, State Zip: 1`1 ->!L 3 J:-) % State License No.: C- L ZZ S vi
Architect/Engineer Information
Name: lei /t Phone: /J h
Street:
City, St, Zip:
Fax:
E-mail:
Bonding Company: Mortgage Lender: !\( ,4
Address: address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT.
Application is hereby made to obtain a permit to do the %ork and installations as indicated. I certil'v that no Nork or installation hascommencedpriortotheissuanceofapermitandthatailworkxvillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 1 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
l G
NOTICE: In addition to the requirements of this permit. there ma% be additional restrictions applicable to this property that ma% befoundinthepublicrecordsofthiscount%. and there ma% be additional permits required from other governmental entities such as water
manacement districts. state agencies. or federal agencies.
Acceptance of permit is %eritication that I %sill notiN the owner of the property of the requirements of Florida Lien Law, FS 713.
The Cite of Sanford requires pa%ment of a plan review fee at the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandsillbeconsideredtheestimatedconstructionValueofthejobatthetimeofsubmittal. The actual construction --alue 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 permit fees when the permit is issued.
ar
ONVNER'S AFFMAy'IT: I certif}• that all of the foregoing information is accurate and that all work will
be done in compliance with 411 applicable laws regulating construction and zoning.
eft
Signature ert Date Si_gnature•fContractor' t Date
0
uner.:i
1
1•rF n • DONALD RASH
5= Notary Public - State of Florida
t Commission It FF 221706
oF M Comm piresApr16, 2019Owner. A nf'r$••• Pe sonal v ' « or
Produced
A" !n e e t..; An cj; cJc-
P:irt ntractorlAten' '$ \'arne
Si re o of Flo it a Date
DONALO RASH
1 •M'J
NotaryPublicState of Florida
1Com"ss op FF 221706
My Corn ::. Ex:;'esApr 16, 2019
Contracto Me or
Produced D vpe of I
BELOW IS 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 - r of .amps
Flood Zone:
s of Stories:
Plumbing - it of Fixtures
Fire Sprinkler Permit: Yes No = of Heads Fire Alarm Permit: Yes No[]
APPROVALS: ZO\f\G: UTILITIES: WASTE WATER:
EN' GINEERI\G:
COMMENTS:
FIRE: BUILDING:
Re%ised June 30. ]015 Permit Application
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 330-9333 (Fax)
adcockroofingl @bellsouth.net
www.adcockroofing
ST ATE CERTIFICATION CCCO22501
May 18, 2018
Name: Jay Jurie
Address: 408 S. Virginia Ave.
City: Sanford, FL 32771
ESTIMATE
Email: fogsmokefl@aol.com
Phone: (407) 323-5247
Cell: (407)
Fax: (407)
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT HOUSE & GARAGE; SHINGLES ONLY
1. Remove old existing roof on complete house and garage; shingles only.
2. Re -nail decking.
3. Dry in with new layer of Palisade Synthetic'"
4. Install new 30-year architectural shingles.
S. 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: $12,950.00
Extra — Bad wood & flashings: Time & Materials - $70.00 per sheet plywood; 2 x 4 and fascia - $4.50 ft.
Extra — Any additional layers of roof to remove.
Warranty: 30 Years on Materials from Manufacture
5 Years on Workmanship
Andy Adcock, Owner
Andy Adcock
THIS INSTRUMENT PREPARED BY:
Njme: ADCOCK ROOFING - ANDY ADCOCK
Address: SW S. FRENCH AVE.
SANFORD. FL 32771
NOTICE OF COMMENCEMENT
PerrNt Number:
Parcel ID Number: 30-19-31-524-0000 0460
The undersigned hereby gives notice that improvement will be made to certain real property, and in an rp anoe with Chapter 713, Florida Statutes, the
following information is provided in this Noboe of Commencement
1. DESCRIPTION OF PROPERTY: (Legal deoc iption of the property and street address of available)
Z OENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address. JURIE, JAY D JURIE. CYNTHIA C: 408 VIRGINIA AVE SANFORD,-3277a- l 21 71
Interest in property' Owner
Fee Simple Title Holder (if other than owner bated above) Name.
Address:
4. CONTRACTOR: Name- Adcock Roofing Plane Number 407-322-9558
Address. 800 S. French Ave.. Sanford. FL 32771
S. SURETY (11 applicable. a copy of the payment bond Is attached: Name:
Address: Amount of bond-
S. LENDER: Name: Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section713.13(1)(a)?.. FWM* Statutes
Name: Phone Number -
Address.
In addition. Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.130)(b). Fonda Stables. Phone number.
E*irabon Date of Notioe of Commencement (The expiration is 1 year from date of recording unless a different date Is specified)
WARMYG TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713. PART I, SECTION 713.13, FLORIDA STATUTES. AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTYANOTICEOFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
c"' r ra
151p.erue d or I.axe a Owws a LsssgY fafnt fYine !M prOMO Sga>oryt TeHOlroslANlgnORtr/Pr dNPartrw/MlnpCn ((
D I _ _ Safe of S; _1i A County of `rLVVI I rtiolrti
The foregoing inatrunlertt Was acknowledged before ins this 1 5
by r Who is own to me D OR
who has prod O typiq)ilt'!'
Noiarp Sprrlxt
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018070463 BK 9156 Pg 0561: (1pg) E-RECORDED 06/20/2018 10:14:31 AM
CITY OF
J
Building &Fire Prevention DivisionSO RESIDENTIAL RE -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 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:
CITY OF
SkI4FORD
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 7D f - . V /1 i /r,/ % /+ Aj e u a A A 7Lo 3J 7 73
STRUCTURE TYPE: Q'§INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: Q-REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): l/.L 11 O L l W 6o b
PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: OYES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 (D"2'12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE JCEO FL#
OMETAL FL#
OMODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
OTILE FL#
OOTHER: 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#
OINSULATED FL#
QTILE FL#
O OTHER: FL#
CITY OF
JIS Building & Fire Prevention Division
RESIDENTIAL RE-ROOF A FFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ,ROOOF COVERINGS
PERMIT#: I - y ADDRESS:yoe r V / Cj/•-// /`71.Q
AhJ'a0 ,010 . 'L 3)-7 72
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 #: 6C ,( d -2-2-5
t` COMPANY / CONTRACTOR: 41, Y
CONTRACTOR SIGNATURE: /
MUST BE SIGNED BY LICENSE HOLDER ILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
7/3 P9:as
I). 'd,04
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 di(i 1,ri Ol. i:
Sworn to and Subscribed before me this tea` day of ?22 20 by:
17
jfJret..) .40 Coyt . Who is 011-ersonally Known to me or has 0 Produced (type of
identification) as identification.
i nature o ota Public DONALDRASH
1; ry Notary Public - State of Florida
State of Florida • Commission IFF121706
My Comm. Expires Apr16,I019
Printrrype/Stamp Name
of Notary Public