850 Grove Manor Dr - BR18-002846 - ReRoofCITY OF
SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICA TION
Application No: / — 01 c 7
Documented Construction Value: S 25,940.00
Job Address: 850 Grove Manor Drive Historic District: Yes NoWl
Parcel ID: 31-19-31-514-0000-0420 ResidentialD Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Reroof: House, Shed, Playhouse
Plan Review Contact Person: Andy Adcock Title: Owner
Phone: 407-322-9558 Fax: 407-302-0226 Email: adcockroofing1 @bellsouth.net
Property Owner Information
Name Kathy Stamm -Shoemaker Phone: 407-468-3222
Street: 850 Grove Manor Drive Resident of property? : Yes
Sanford FL 32771City, State Zip: i iC t tlt t. I'v+
i t) 'Jl 1. : •f;'l ;1.i i'r Y..!tia , •.y:
Name Adcock Roofing
Street: 800 S. French Ave.
City, State Zip:
Name: N/A
Street:
City, St, Zip: _
Contractor Informatlorl : , •
1
P one:
k-4p- 4 - - 6 0,..•
Fax•
Sanford, FL 32771 State License No.: CCCO22501
Architect/Engineer Information
Phone:
Fax:
E-mail:
Bonding Company:
Address:
N/A Mortgage Lender:
Address:
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. I 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 dale of application and the code in effect as of that date: 6'" Edition (2017) Florida Building Code
Turn Over
Revised: January 1, 2018 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.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a 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 permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I 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.
Signature %vner/Agent Date Signature of ctor/Agent Date
Kathy Stamm -Shoemaker Andrew Adcock
Print Owner/Agent's Name,11717 Print r_„ LR -•--AAAQpt's Name
or«
of N tar rState of
V/y
Date
KYLE J. NICHOLS
L Notary Public - State of Florida
Commission # FF 952711
JNy Comm. Expires Feb 3, 2020 IorOwner/AgeHi`i""" t/111"O4t6wIll i MRbIfi1
Produced ID vpe of Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone: -
Total Sq Ft of Bldg: Min. Occupancy Load: of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures,
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
or
Revised January I.2018 Permit Application
Turn Over
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 330-9333 (Fax)
adcockroofingl@bellsouth.net
www.adcockroofing.com
STATE CERTIFICATION CCCO22501
April 3, 2018 ESTIMATE
Name: Mrs. Stamm -Shoemaker Phone: (407) 468-3222
Address: 850 Grove Manor Dr. Cell: (407)
City: Sanford, FL 32771 Fax:( )
Email: dean@shoemakerconstruction.net; tokatsend@gmail.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT — HOUSE, FLAT ROOF, SHED & PLAYHOUSE
1. Remove old existing roof on complete house, flat roof, shed and playhouse.
2. Re -nail decking.
3. Dry in with new layer of with new layer of Palisade Synthetic'"
4. Install new 30-year architectural shingles — 49 Sq.
S. Install new tapered system on low slopped area of roof to allow water to flow properly — 8 sq.
6. Install new Modified Bitumen roofing system on low slopped portion of roof — 8 sq.
7. Install new 5V Metal on playhouse roof.
8. Install new kitchen and bathroom vents.
9. Install new lead flashings on plumbing pipes.
10. Install new ventilation to match existing.
11. Secure all permits.
12. Clean up & haul away debris.
13. Inspections included.
Labor & Materials: $17,640.00 (House)
Labor & Materials: $6100.00 (Flat Roof)
Labor & Materials: $800.00 (Shed)
Labor & Materials: $1400.00 (Playhouse)
TOTAL - $25,940.00
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
THIS INSTRUMENT PREPARED BY:
Name: Alan Dean Shoemaker
Address: PO Box 1885
Sanford, FL 32772-1885
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number. 31-19-31-514-0000-0420
ai I1111 illll Ilttl lllll IIII ISII
GRANT MALOY, SEMINOLE COUNTYCLI-.RK OF C:IR.C:UIT COURT & COMPTROLLERBK91E1P91112 (IF-9s) CLERK'S : 2018073231
RECORDED 1_i6/26/21118 0 -52.44 Alftl'.CORDING FEES $10.00RECORDEDBYhdevore
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance
following information is provided in this Notice ofCommencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)yl\' /
LOTS 42 TO 45 + ELY 20 FT
OF GLENWAY + 1/2 OF VACD
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof: House, Shed, Playhouse
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Kathy A. Stamm -Shoemaker, 850 Grove Manor Drive Sanford FL 32771
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
a. CONTRACTOR: Name:_ Adcock Roofing 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): Name: N/A
Address: Amount of Bond:
6. LENDER: Name: N/A Phone Number:
Address:
T. 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)7., Florida Statutes.
Name: Alan Dean Shoemaker Phone Number: 407-468-3222
Address: PO Box 1885, Sanford, FL 32772-1885
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.
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 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.
Signewre of Owner or Lessee, or Owner s or Lessee's
Authorized Olrieer0ieetor/Partner/Manageh
State of C a2" County of SGY` tit
The foregoing Instrument was acknowledged before me this 4Lr
by
person making statement
A
who has produced Identification 0 type of identification produced:
Kathy A. Stamm -Shoemaker
Pnra Name and Provide Signatory's TftKMce)
day of J V X_l .20112)
Who Is personally known to me OR
N".Y. PVbIIe • Ihts of Flo M& i .
COrIr111ftloe 0 FF 952711 Notary Signature
NX COMM'. El 0411t FN 3.2020n..;t`,: ' 9c110 OtllroilOA N tlo11ilNotrtryAlas.
CITY OF
if S BuildingFORD
Fire Prevention Division
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 PRODUC"T 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: 4,777 DATE:
CITY OF
S.ki!40RD PERMIT #
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: d CJ tuV e AA D tz D a- • - D 7 1
S"I'RUCTURE TvPE: GrSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: QREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): ldL 1 1-. w 0.0 !D
PLEASE NOTE. ONL Y 100 SQUARE FEET OF THE EXISTIA DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKVI.IGII'1'S: O YES QNO IF YES, PLEASE PROVIDE FLORIDA PRODUCTAPPROVAL #: 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
SHINGLET-J6511v%FL# 5 OMETAL
FL# O
MODIFIED BITUMEN FL# OTORCH
DOWN FL# O
INSULATED FL# O
TILE FL# OOTHER:
FL# ROOF
EXTENSIONS (PORCIIES, 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# 04ODIFIEDBITUMEN
C T il FL# OTORCH
DOWN FL# O
INSULATED FL# O
TILE FL# O
OTHER: FL#
CITY OF
SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF A FFIDA VIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: Q ADDRESS:
nSIrO- / "l h*-jok- DV-
3 z_7 71
I /J Z /vio 4 -C, v jG_ , 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#: e'--C L O ZZgm 4
COMPANY / CONTRACTOR: G..O / 0 , 1'j (7
CONTRACTOR SIGNATURE:: DATE: 7 Fi
MUST BE SIGNED BY LICENSE. HOLDER Otl NER/BUILDER) 3'. 1 S frn
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE'HE TIME OF THE F IVSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAVMENT, 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 ALI. 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 r.) e., I M A L-
Sworn to and Subscribed before me this /ZS day of I -1Q 20 a by:
W c.1 Who i 0 Personally own tome or has 0 Produced (type of
C:
tion
Signature of Notary Public
State of Florida
Dom. n .e 1-6-stn
Pr nit/Type/Stamp Name
of Notary Public
as identification.
DONALD RASH
Notary Public -State of Florida
Commission M FF 221706
ocn My Comm. ExpiresApr 16,2019