2610 S Laurel Ave - BR18-003065 - ReRoofv
GG 1 Zp11so.
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /9.301'
Documented Construction Value: S t% o (U . 0i
Job Address: .2 l( j 0 . /.> uN e L Historic District: Yes No
Parcel ID: O - j (3 (7. Q000 .2a.b Residential Commercial Type
of Work: New Addition Alteration Repair Demo ChanQe of Use MnvP n Description
of Work: Plan
Review Contact Person: Q
Title:
Phone:
32z 9-ItL1 t Fax: 7' 3LZ' 15 Email: t1id _'- "'0 f'n 4 4 r - Property
Owner Information Name /
1Y1- Phone: L" - Street: _
Resident of property? : + City,
State Zip: XA,..) 'A0 R-D , , c_ 3 -)L 77.3 Contractor
Information q
NameszC4 r C (T- Phone: L4— Street: (
t1 S %L- L .., Fax: I Li --` CI c'Z City,
State Zip: I'Up -( 3 d-7 % State License No.: Architect/
Engineer Information Name:
Phone: rJ Street:
Fax: City,
St, Zip: Bonding
Company: j A Address:
E-
mail: lortgage
Lender: " X:N, Add
ress: WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. 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 %%ork and installations as indicated. I certify that no work or installation has commencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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: 5" Edition (2014) Florida Building Code Revised
June 30, 2015 Permit
Application
n'rick: In addition to the requirements or this permit. there ma% be additional restrictions applicable to this prvpcm that ma% be
found in the public records ofthis county. and there may be additional permits required from other governmental entities such as water
manaeement districts. state 3Lencies. or federal agencies.
Acceptance of permit is %erificatiun thut I wiII noti0y the owner of the pmprm of the requirements of Floridu Lien Lair. PS 713
The City of Sanford requires pa%nlent of a plan review fie at the time of permit submittal. A cnp of the executed contract is required
in order to calculate a plan reN iew :httrae and %gill be considered the estimated construction value of the job at the time ol'subminal.
The actual construction value will he figured based on the current ICC Valuation 'ruble in cticct st the time the permit is issued. in
accordance mith local ordinance. Should calculated charges figured off the executed contract exceed the actual construction %alur.
credit -will be applied to your permit fees when the permit is issued.
ONN"NER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all .cork will
be done in compliance with all applicable laws regulating construction and zoning.
Stgn re of C)n ' _ Date Signature of Contractor! Date
s &au
Pr it Q%ii . bca's 1'nn onv torlAernt's tome
Of 1-1110NALD RASH
Notary Public - State of Florida
Commission I FF 221706
My Comm. Expires Apr 14 2019
Darr
DONALO RASH
Notary Public - State of Florida
Commission I FF 221706
My Comm. ExpiresApr 16, 2019
Owner/Agent is Personally Known to Nle or ContracronAge ,ale orProducedIDTypeofIDProducedID _ Tvpe of ID
r
BELOW 1S FOR OFFICE USE ONLY
Permits Required: Building Electrical ylechanical Plumbing[) Gas[] Roof[)
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of :imps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No = of [leads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: F IItF.:
COM -9 ENTS:
BUILDING:
Rcvrtr4 Jun. 30.201_ I'crnlitA h:abon
CITY OF
Building &Fire Prevention DivisionSk40RDiRESIDENTIALRE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS -NO PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE LAND 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 ALI, ROOF
COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT.
i
A PERMIT WILL NOT 13E ISSUED WITHOUT TI•IESL" DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SI"TL:.
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, TOWNE•IOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE: FOLLOWING IS REQUIRED TO BE PROVIDE ON i i-it, JOB SITE:
PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
COMPLE I-ED RESIDENTIAL, RGROOF SCOPE OF WORK
COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
I
ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
PRODUCT APPROVAL SHALL MATCI•I 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 THEiUNDERLAYMENT 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 ALI_ INS II ALLA"PION 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.
i
i
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: i DATE:
CITY OF
SkNFORD i
FIRE DEPARTMENT
JOB ADDRESS:
PERMIT # /a — 3D(0, -
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
I
STRUCTURE TYPE: 0<1NGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 0-REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OV& EXISTING ROOF)
DECK TYPE (PLEASE: SPECIFY): ,I pL
PLEASE NOTE. ONLY JOO SQUARE FEET OF THE EXIS 1NG DECK 1S PERMITTED TO BEREPLACED**
ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
I
SKYLIGHTS: O YES (D 0 IF YES, PLEASE PROVIDE FIIORIDA PRODUCT APPROVAL #:
I
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 v 4' 12 OR GREATER
OTURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O'SHINGLE AI" V-0 FL# 3 S5~
O M ETAL
i
i FL#
O MODIFIED BITUMEN I FL#
OTORCH DOWN FL#
O 1NSULATED I FL#
O TILE 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 MANUFACIURER FLORIDA PRODUCT APPROVAL
OSHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TI LE FL#
OOTHER: FL#
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 322-9592 (Fax)
adcockroofingl @bellsouth.net
www.adcockroofing
STATE CERTIFICATION CCCO22501
June 19, 2018 ESTIMATE
Name: Brian Goulet Phone: (407) 883-9499
Address: 2610 S. Laurel Ave. Cell: (407)
City: Sanford, FL 32773 Fax: (407)
Email: brianJ_goulet@yahoo.com
SCOPE OF WORK: COMPLETE SHINGLE ROOF REPLACEMENT
1. Remove old roofs 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. J L
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: $4300.00
Extra — Bad wood: 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: ADCOCK ROOFING - ANDY ADCOCK
Address: 800 S. FRENCH AVE.
SANFORD, FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 01-20-30-506-0000-5220
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LOT 522
FRANK L WOODRUFFS SUBD
PB3PG44
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: GOULET, BRIAN; 806 ESCAMBIA DR, SANFORD, FL 32771
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
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:
Address: Amount of Bond:
6. LENDER: Name:
Address:
Phone Number:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: Phone Number:
Address:
8. In addition, Owner designates
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 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.
Iq 1 J C'%pV tom. (Gyh atI'
ure of bee, or Owners or Lessee's (Print Name and Provide Signatory'sWe/011lce)
AuUrod car/Dlrector/Panner/Manager)
State of f L612.149111' County of n! r—
The foregoing Instrument was acknowledged before me this . day of
by O OR
person making statoment
who has produced identification O type of identification produced:
DONALD RASH
Notary Putilk - State ofFloridayP lommission#FF22t p6 NotarySignaturo
1'r-S' ' My Comm. 6ONSApr16,2019
20 / P
Prepared By and Returned To:
Kristy J McNell
Watspn Title Services, Inc.
1435 West S.R. 434, Suite 109,
Longwood, FL 32750
407)645-1310
File Number: 4180753B
Incident to the Issuance of a title Insurance contract.
THIS WARRANTY DEED
Made this 9th day of May, 2018 by
Harold R. Sundvall and Alice G. Sundvall, Husband
And Wife
hereinafter called the grantor, to
Brian Goulet, A Single Man
whose post office address is:
806 Escambia Dr
Sanford, FL 32771-3518
hereinafter called the grantee,
Whenever used herein the term grr"®nd "grantee"include all the parties to this instrument and the heirs, legal representatives
and assigns of individuals, and the s rs and assigns of corporations)
Witnesseth, that the grantor, for aconsideration of the sum of $10.00 and other valuable considerations,
receipt whereof is hereby acknowledged, re - grants, bargains, sells, aliens, remises, releases, conveys and
confirms unto the grantee, all that certain Ian to in Seminole County, Florida, viz:
Lot 522, Frank L. Woodruff s Subdivision o L ds, South Sanford, Florida, according to the plat
thereof as recorded in Plat Book 3, Page 44, ofe &
A
blic Records of Seminole County, Florida.
SubJect to covenants, restrictions, easements of record and fay pr the current year.
Said property is not the homestead of the Grantor(s) under the laMig1whonstitution of the state of Florida in
that neither Grantor(s) nor any member of the household of Grantor( esj ie thereon.
Parcel Identification Number: 01-20-30-506-0000-5220 o
TOGETHER with all the tenements, hereditaments and appurtenances thereto beiong tor in anywise appertaining.
TO HAVE AND TO HOLD, the same in fee simple forever.
AND the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; thatthegrantorhasgoodrightandlawfulauthoritytosellandconveysaidland; that the grantor hereby fully warrants thetitletosaidlandandwilldefendthesameagainstthelawfulclaimsofallpersonswhomsoever; and that said land is
free of all encumbrances except taxes accruing subsequent to December 31, 2017.
WARRANTYDEED
Rev. 11/14/2014
r^OAAIT AAAI ^V r`1 COW ^C r`10r`1 11T r`r\110T CC11AIK1^1 C r`r111A1TV CI
IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day and year first above
written.
Signed, sealed and delivered in our presence:
Witness #1:
Print NamK'
Witness #2:
Print Name:
14PI
State of Florida •
County of Seminole 411,
a
Harold R. Sundvall
119 Rabun Ct
Sanford, FL 32773-5820
Alice G. Sundvall
119 Rabun Ct
Sanford, FL 32773-5820
The foregoing instrument was acknowle d before me this f day of May, 2018, by
Harold R. Sundvall and Alice G. Sundv I, is/are personally known to me or who has/have produced
vy//Y' "/ i as identification.
NOTARY PUBLIC (signature)
Print Name:
My Commission Expires: J-AVY7-?V-z
Stamp/Seal:
LOUIS V. BUTTICE
vZ MY COMMISSION 0 GG 044613
EXPIRES: March 2, 2021
r._»:: I il vtl Thru Nft y Public Underwftm
Oy
WARRANTYDEED
Rev. 11 /14/2014
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 322-9592 (Fax)
adcockroofingl@)bellsouth.net
www.adcockroofing.com
STATE CERTIFICATION CCCO22501
June 19, 2018 ESTIMATE
Name: Brian Goulet Phone: (407) 883-9499
Address: 2610 S. Laurel Ave. Cell: (407)
City: Sanford, FL 32773 Fax: (407)
Email: brianJ_goulet@yahoo.com
SCOPE OF WORK: COMPLETE SHINGLE ROOF REPLACEMENT
1. Remove old roofs 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: $4300.00
Extra — Bad wood: 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
Z CC+ `f
I51Gt-7f
WORKSHEET ESTIMATE NeL
MATERIALS
DATE: /
I
CUSTOMER NAME:
TPczvooES'I
ADDRESS: A S L, V4e
CITY: or
ZIP: 3 - 3
HOME PHONE:
WORK PHONE:
CELL PHONE: 3 . q q
FAX:
EMAIL ADDRESS ` _ _
25 YEAR SHINGLE
30 YEAR SHINGLE d
SQ: Z
PITCH:
2 n D
MODIFIED (FLAT)
SQ:
PITCH:
CHIMNEY -YES NO
DPj,P EDGE - YES NO NOTES:
SOLIGHT (S) - YES NO TOTAL
y,3or-2
J /Orl
r' t 2Z /o
D Al
S k O Building & Fire Prevention Division
1 / RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILJINNG, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: 'z 4 / 0 J' fez e
r:elr,.f 4-oc_o CJL , 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#: Cc-c. V ZZSV)
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HbLDER 2 NER/BUILDER)
A FINAL ROOF INSPECT N IS RE UIRED:
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 ALI. REQUIREMENTS.
DATE:
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
Sworn to and Subscribed before me this day of k 4 20 1 fr by:
AN n { eA,,1 A%1QL---NC t4---Who is 0 Personally Known tome or has D Produced (type of
ide tificati ) as identification.
Signature of Notary Public' t DONALDRASH
State of Florida s Notary Public - StateofFlorida
Commission i FF 221706
o My Comm. Expires Apr16,2019
Print/Type/Stamp Name
of Notary Public