2416 Myrtle Ave - BR18-002731 - ReRoofz
JUN1g1018 CITY OF SANFORD
BUILDING & FJRE PREVENTION
PERMIT APPLICATION
Application No: is • a-13l
Documented Construction Value: S '2000
Job Address: 0? (41 (P _ Historic District: 'e_.1 -NoD
Parcel ED: /q -Al_
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8; Residential CommercialrU-
11TyN'peofork: Nita• 1:1 * addition alteration Ll Repair [ Demo Change of Use I Move Description
of Work: .pC7 >{ h i /)L; / Plan
Re%-ieu' Contact Person: Title:i{
Phone:
32Z • CI S/ Faz: f 3 Z' G S7qZ Email:fj 4 ,&Xtri3 + nc I N'bekyo r-e +- s'
ropertY Owner Information fienne •f!-h ( NamePhone: •3 7-i• to ki 6 Street:
Resident
of ro S ppert}'. l,/G City.
State Zip: i,, 1 7 t3 yLr7 ' C 3 .L7 7, Contractor
Information: q
Name .a(r Phone: _.y.Q? 320, • 1 !.j _ Street: o n Fax.: City.
State Zip: t i'l-ti' 4:11 3 21 ! State License 10.:. _ L-• Z.Z,'Syi ArchitecVEngineer Information Name: __
N /k
Street: Gin•. St.
Zip:
Bonding Company: Address:
Phone: IJ
lt,
Fax: E-mail:
Mortgage
Lender ! ;Ch,
address: WARNING TO
OWNER:
YOUR FAILURE TO RECORD.;, NOTICE OF COtItiIENCEMENT.MAN, RESCLT IN YOUR PAYING TWICE FORI1iPROVEN•IENTS -to YoR PROPERTY. A NOTICE OF COMMENCEMENT MLST BE RECORDED AND POSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOI; ,INTEND TO OBTAIN FINANCING. CONSULT WITH1OURLENDERORANATTORNEYBEFORERECORDINGVOL-R..NOTICE OF COMMENCEMENT. aYj 1il'3GJC
i5 hcreb) rnade to eosin .'. 7C;RIl:A an t j;'.fa at;ln5 ?s ti.C.•iCaiC'v. %PwJtm.,e icedthatnok'ottc or irstaliationhis i`, t; tt3i
iG i55J1r,CC O! d 61CfiYll: dlC.'i121 i:il ilU*I: -.1i11 hC J:ivT.iR PA inCCt5ianda.'d C,.' all !3-5 regui Ling COhSttuC70t1 in i,^ juristictior.. I understand that a separate permit must be secured for electrical work. -plumbing. -.signs, wells.. pools, furnaces• boilers, beaters• tanks, and air conditioners. etc. FBC 105,3
Shall be inscribed with the date of application and the code in of eo as of that date: St'.Edition (2014) Florida Building Code Re,. •sal ,..re
S:..'.'. t S
k
NOTICE: E: In addition io the rcquireairnis vi thii permi:; there ma% be addioonal. restrictions applicable to this propem that m:. b
round in the public. -words oI Chis coun:N. and thcrc rnaN be additional pernlits required from other governmental entities -such as +'utrr
management districts, state agen, ics, or `Wcrul a envies.
Acceptance ol'permit is t•erifuatk-n that, I rill nolih tie o.•n-a of the propegy ofthe requirements ofFiorida Lien La v. FS 713.
ihe C it) of SanibrJ requires puvment ui4 plan rc\ iitc iic at tlii limc of p`rrnit st; minal.:k cop) of tl=c executed contract is required
in Eider to caiculve a plan re, ievv chsrge and :cili he considered the estimated construction value of the joh at the time of submittal.
The actual construction value %vill be li_ured based ot,. the current ICC Valumion, Table iri Ccicct at the iir t the permit is issued. in
acrurdam;e -,tith local ordinance. Shout.: calculateu charges figured o f the executed cuntruel e.\crxJ the actual construction %clue.
credi; %vill be applied io your permit fees tehen the permit it, isbucd.
Ow1ER'S AFFIDAVIT: 1 certifi, that all of the foregoing information is accurate and that all work will
be done in compliance Kith all applicable laws regulating construction and zoning.
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r pus '•. DONALD RASH
26/."
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Notary Public -stale of Florida ,; DONALDRASH
Nota PComm:ssicn e fF 221706 rY ublic - State of FloridaroMyComm. Ex?'res Apr 16, 2019 Commission 0 FF221706
C)n•nzri,a t ,s.......,. MYC a .Ex r rRrContractrxn ? @, n Me orYruducei1ypeofIDProducedIDypeof
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building, Electrical Mechanical Plumbing Gas Root
Construction Type:
Total Sy Ft of Bldg:
Occupancy Use: Flood. "Lone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - u of amps Plumbing - #•OfFi%tures
Fire Sprinkler Permit: Yes[] No,[]
APPROVALS: ZONING:
of Heads — _ Fire alarm Permit: Yes NoFjj
UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUiLDII'G:
COWN ENTS: _
Rck1:. i lum it,.:i)19 Per ir. Appli.atrcur
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING - ANDY ADCOCK
Address: 800 S. FRENCH AVE.
SANFORD. FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
Pa: -e110 Number: 36-19-30-539-0000-0320
fir ;.-%ders,.Gned nereCy gives noiice Thai improvernen: nrI: be made to --ertain real p-oFe:ty. and in acco:oance imL1 C'lopter /-3. Flonca Statutes. the
rtyl!ow9r rntormatior is arovicec in th•S No! Ce o' COr . encerreni.
I. DESCRIPTION OF PROPERTY: rLegal desrrrtion of Ire Drolleny and stree! adcress I: availaole!
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and ado-ess' RAY KENNETH RAY. CYNTHIA M: 2416 S MYRTLE AVE SANFORD. 32771
rnteresi in F'ocerty Owner
Fee Simple Title Holder ,A other than owner lis:ee above) %arne.
Address.
I. CONTRACTOR: Nane Adcock Roofing Phone Nurrber. 407-322-9558
Address: 800 S. French Ave. Sanford. FL 32771
5. SURETY (if applicable, a copy of the payment bond is attached): Nane.
Address: Arroun: 0! bond:
6. LENDER: Name Phone Number.
Address'
7. Persons within the State of Florida Designated by Owner upon whom notice or other dominants may be served as provided by Section
T13,13(1)(a)% Florida Statutes.
Narne'_
A:fdress
Phone Number
8. In aodkion Owne• casrgna:es of
to -ecelve a Corr ofthe Lien" s NC'rce as Provided or Sec:ion 713.13('?1b!. Flor•da S:atule5. Phone iurnoer: 9.
ExPrration Date of Notice or Commencerre'11 ;T he anp :anon is 1 /'ear trorr, dale of reoOrC:ng unless a ditterert date is fiDO-.iGeo; WARNING
TO OWNER- ANY PAYMENTS 164ADE BY rHE 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 1\ YOUR PAYING
TWICE FOR IMPROVEME\TS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE jOB
SITE BEFORE THE FIRST INSPECTION. IF YOU 'NTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORD)%G YOUR NOTICE OF COMMENCEMENT. titiz`
I,.:..X..; .I-- _ G:'i G'71 1..x f'•Cc!r!L'i' Srgro¢.re a: LKS".:' Jx+rr . aiserr .: rn; \arne art Pr»p0 Syrw-„n i, 1tk.OR4s; ffW.
tt.-
xoc ::":•sr/Dti^ •'moo .-a vav:r. State
of County of 1ylr•LC=t I, The
foregoing instrument was acknowledged before me this ` 7) d8Y of r
by (
Lt I111 a `-1{`) Who is personally known tollte = OR NeTt,
Y o rsor yny slabrC-' _ who
has produced Identification' . type of Identification produced: t
Kavf P.A. K - Sutt of Fl:rr:d Con
nrttrrl Fr S!: )l b voury 3gra: r, MOO* NyCCr^rt :t9telAi:r it.10;9 GRANT
MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'
S # 2018068768 BK 9154 Fig 0081: (1pg) E-RECORDED 06/18/2018 08:39,28 AM
I
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 330-9333 (Fax)
adcockrooflng1C@belIsouth.net
www.adcockroofing co_m
ST ATE CERTIFICATION CCCO22501
May 21, 2018 ESTIMATE
Name: Ken Ray Phone: (321) 377-6880
Address: 2416 S. Myrtle Ave. Cell: (407)
City: Sanford, FL 32771
Email: viperred04@yahoo.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 Palisade Synthetic'".
4. Install new 30-year architectural shingles.
5. Install new Modified Bitumen in low slopped area of the roof.
6. Install new drip edge; 26 gauge, painted galvanized.
7. Install new kitchen and bathroom vents.
8. Install new lead flashings on plumbing pipes.
9. Install new ventilation to match existing.
10. Secure all permits.
11. Clean up & haul away debris.
12. Inspections included.
Fax: (407)
Labor & Materials: $7550.00
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
CITY OF
if Ski!40RD
FIRE DEPARTMENT
PERMIT # lg - 9--731
Building & Fire Prevention Division
RESIDENTL4L RE -ROOF SCOPE OF WORK
JOB ADDRESS: T-LEf Ae - "'J o STRUCTURE
TYPE: O rLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: Q-I EPLACEMEN'f (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): 14k t' /" LV W 60 PLEASE
NOTE. ONL Y 100 SQUARE FEET OF THE EXISTING DE K IS PERMITTED TO BE REPLACED" ROOF
VENTILATION: DOFF -RIDGE QTIDGE OSOFFIT OPOWERED VENT OTURBINES SKVLIGIITS:
OYES ONO 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 V
SHINGLE 7Am Y_Q FL# O
METAL FL# O
MODIFIED BITUMEN%4 FL# p 3 OTORCH
DOWN FL# O
INSULATED FL# OTILE
FL# OOTHER:
FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) **1FAPPLICABLE** 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# O
INSULATED FL# O
TI LE FL# O
OTHER: FL#
CITY OF'
Sikl4FORD Building &Fire Prevention Division
r RESIDENTL4L RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT 19 -Z-73 l
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 A17ACFIMENT (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: ' 6 '
ItCITY OFSkJ4lORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTL4L RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINALROOFCOVERINGS PERMIT #:
2 7 ADDRESS: t V 1 d - /*' y t (•J"< f
j /tn . YCL 2,X '7 / 0
YL e W A-0C,o ch , 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 #: 6_/_'
C 0 a --J 0 COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: _
MUST BE
SIGNED BY LICENSE ER/BUILDER) j DATE:
THIS
SIGNED
AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OFT 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 REQUIREMENT'S. 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 L, F //LU L Sworn to
and Subscribed before me this day of 20 f by: A23 VkLZ_
y A-D c.p 044 wis ersonally Know to me or has D Produced (type of on) as
identification. Signature of
Notary Public ;:GYP DONALD RASH State of
Florida € .• Notary Public -Stale of Florida I^ Commission
a FF 221I06 My Comm.
Expires Apr 16, 2019 1/ cr^ 1S%.ln .e_ PrintType/Stamp
Nameof Notary Public