107 Long Leaf Pine Cir - BR18-004708 - REROOF1FCITY
OF
S.ki4F0RD
E PA RT M, E N I
Building & Fire Prevention Division
PERMIT A PPLICA TION
Application No: I a 14 1 () k
Documented Construction Value: $ 7800.00
Job Address: 107 LONG LEAF PINE CIR SANFORD, FL 32773 Historic District: YesF-]NoFv-1
Parcel ID: 11 -20-30-509-0000-0870 Residential[V-1 Commercial
Type of Work: New Additiono Alteration R1 RepairE] Demo E]Change of UseF]Move H
Description of Work: Re -Roof; 30 Year Arch Shingles
Plan Review Contact Person: Andy Adcock Title: Owner
Phone: 407-322-9558 — Fax: 407-322-9592 Email: adcockroofing I @bellsouth.net
Property Owner Information
Name ELIZABETH A CRIBB & CHARLES A CRIBB Phone: 407-257-4767
Street: 107 Long Leaf Pine
City, State Zip: Sanford, FL 32771
Name Adcock Roofing
Street: 800 S. French Ave.,
City, State Zip: Sanford, FL 32771
Name: NA
Street: NA
City, St, Zip: NA
Bonding Company: NA
Address. NA
Resident of property? -. Yes
Contractor Information
Phone: 407-322-9558
Fax: 407-322-9592
State License No.: CCCO22501
Arch itect/Engineer Information
Phone: NA
Fax: NA
E-mail: NA
Mortgage Lender: NA
Address- NA
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 constructioninthisjurisdiction. 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: 6" Edition (2017) Florida Building Code
Revised: January I, 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 ofFlorida 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 sq owner/Agent Date
Stag of Florida Date
h 3 y rJ ; a rya
S M
Owner/Agent is Personally Known to Me or
Produced ID Type of m
Signature of C for/Agent Date
lw—pr:57 Contr
i nfNotat to
D tin ,ii
ttottaryPubS,c SateofFlor''a
Conm„so ar-22',106
e.a .. My "Orrin .Expires Apr'6,2Qi9
Contractor/Agent is ersonal y no a or
Produced ID Type of ID
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 - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES:
am
WASTE WATER:
BUILDING:
Reviscd: January I, 2018 Permit Application
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 330-9333 (Fax)
adcockroofliigl@bellsoutli.net
www.adcockroofing@bellsouth.net
November 11, 2018 ESTIMATE
Name: Angela Birch Phone: (407) 257-4767
Address: 107 Long Leaf Pine Circle Cell: (407)
City: Sanford, FL 32773 Fax:
Email: mom2kris2@aol.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove old existing roof on complete house.
2. Re -nail decking as per 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: $7800.00
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
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018136548 Book:9259 Page:629; (1 PAGES) RCD: 1215/2018 1:50:38 PM
RECFEE $10.00 . THIS
INSTRUMENT PREPARED 13Y: Name:
ADCOCK ROCFING - ANDY ADCOCK Address:
BOO S FRENCH AVE. SANFORD,
FL 32771 NOTICE
OF COMMENCEMENT Permit
Number; Parcel
to Number, 11 -20-30-509-0000-0870 The
undersigned hereby gives notice that improvement will to made to certain real property. aru in accordance wqh Chapter 713. Flond3 Statutes, the followingirforrva6onisprovidedinthisNoticeofCommencement. I.
DESCRIPTION OF PROPERTY: {Legal descripton of the property and street address if available) LOT
87 HIDDEN
LAKE VILLAS —PH 4 2.
GENERAL DESCRIPTION OF IMPROVEMENT: Re -
Roof 3,
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: - CRIBS. ELIZABETH A CRIBB, CHARLES A,' 1.07 LONG LEAF PINE, SANFORD, FL 32773 Interest
it properly: Owner Fee
Simple Title Holder ;if other than owrer tistto above) Nana - Address.
4.
CONTRACTOR: Na,. Adcock Roofing Phone Nurnow: _407-322-95513 Address
800 & French Ave., Sanford FL 32771 5.
SURETY (if applicable, a copy of the payment bond is attached): Name Address
Amount of Bond. 6.
LENDER: Namo_-,' 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 Section 713.13(1)(al7., Florida Statutes, Name
Phone Number: Address-_.
6.
In additicn, Owner designates of to
receive a copy of the Lienors Notice as provided in Section 713.130)(b), Flonda Statutes. Phone number 8.
Expiration Date of Notice of Commencement (The expiration is I year from daze of retarding unless a different date is specified, WARNING
TQ OWNE-R. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, 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 IN END TO OBTAIN FiNANC:Ni3. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Lasses
S'ginmary r rice, State
of 1"` C olit4 0 A — county Of ft'7,W1 t rl 01 '4 , The
foregoing Instrument was acknowlefted before me this 10 '0V 20 Who
is personally known me OR Name01wrwl-g 4tAtemw.jj who
has produced IdentIlloation,,i type ofidentificallon produced: Notary
FAgnAft
IsCITYY OFSk140RD
LIRE DERARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
Jot; ADDRESS: % 6 7 ei— ee-.F '-- te r) e. ef ! /_ C' /_,
STRUCTURE TYPE: Q SINGLE FAMILY RESIDENCE/TOWNHOUSE O momI.I I IOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (DREI'I.A('EMENT ('I'I-AR OFF EXISTING ROOF AND REPI.ACF. WIl-H NI W COMPONENTS}
Q RIBCOVER (NEW ROOF INSTALLED OVER EXIS I ING ROOF)
DECK TYPE (PLEASE SPEC IFY): -
I / 4- 1( '\[
o u
PLEASE NOTE: ONL Y 100 SQUARt; P EET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOFVENTILATION: OovtI-RIDGE Q4IDGE OSOFFIT QPOWEREDMINT QTURBINFS
SKYLIGHTS: Q YES O NO I I YI S. PITASI_ PROVIDE 1"I.ORIDA PRODUCT APPROVAL It:
MAIN ROOF AREA
ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 -4:12 (a4: 12 OR GREATER
TYPE OF ROOF MANUFAC"TURER 1'LORIDA PRODUCT APPROVAL
0 SHINGLE
Q METAL
4:\V-%N FI.,#
FL#
O MODIFIED BITUMEN FL#
0TORCII DOWN FL,#
Q INSULATED F`L#
QTILF. L#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLIC.ABLE**
ROOF Simi,.: O LI'SS THAN 2:12 0 2:12 -4:12 0 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL.
0 SHINGLE
QMEFAI,
FL#
O MODIFIED BITUMEN FL#
QTORCH DOWN FL#
Q INSULATED F[,#
QTILE
Q OTHER:
FL#
F(.#
FO RD Building &Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
1"ER4IFYI-INc REQI'IREMEN'rS-NO PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITI1 AN ACCURA'FF AND COMPLF FED RESIDF:N'I-IAL RE-RQOF SCOPE, OF WORK ARE
REQUIRED "TO BE SUBMITTE:D AS PART OF YOUR PERMFT APPLICA"LION.
T[ IF SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF
COMPONENTS THAT WILL BE INSTALLED ON T"HE PROJECT.
A PERMIT WILL NOT BE ISSUED WITFIOU T'Fl IESF DOCUMF,N'T"S. COPIES WILL BE MAD[: TO POS"T ON TI11 JOB SITE:.
PROJECTS LOCH"FED IN THE SANFORD HISTORIC DIS"rRIC1- WILL REQt:IRE PLAN REVIEW AND APPROVAL BY'FHE
SANFORD HIS"FORIC PRESERVA"FION BOARD
INSPEC"ITON POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMIMUM) R1 ROOF PERMFTS.
THL FOLLOWING IS REQUIRED TO BE PROVIDE, ON THE.106 SITE:
PI:?RMIT CARD, POSTTD IN A CONSPICUOEJS AND WEA'T'HERPROOI' LOCATION
COMPLF."I'ED RESIDENTIAL RE ROOF SCOPE OF WORK
COMPLIFFED AND NOTARII,ED INSPECTION AFFIDAVFT
ALL FL0121DA PRODUCT" APPROVAL. AND CORRI:SPOND[NG INS'T'ALL.ATION INS"FRUCTIONS
PRODUCT' APPROVAL SHALL MATCH WHAT IS ON TEIF SCOPE: OF WORK)
DIGITAL PHOTOGRAPHS (MUST- INCLUDE THEE. PE:RMFT NIJMBF.R OR ADDRESS IN FACII PICTURE)
o EACH P[.ANL:Ol'rHE ROOF, SHOWING']'EIF. UNI)l?RLAYMEN"F INST'ALLED
o ROOF DECK NAILING PA FTERN & SPACING (INCLUDING A MEASURING DEVICE OR R( ILER)
o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE: OR RULER SHOWING SIZE OF NAILS)
o UNDERLAYMENT PA"I`I'FRN & SPACING (INCLUDING A MEASURING DEVICE OR RUI -':R)
a DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVI('E:OR RULER)
o SHINGLES INS`I'ALLF.D, NAIL PATTERN AND LOCATION OF NAILS
SKYLIGHTS (IF APPLICABLE)
o DI(;ITAI. 1)1l0'TOGRAPFTS SI[OWING ALL INS`FALI_A'TION COMPONENTS, PER FL PRODUCT' APPROVAL.
o D1Gl'TAL PEIOT'OCiRAPIIS SITOWING AEI. REQUIRID 1'LASHINCi, PER FL PRODCJCT APPROVAL
FAILURE TO FOLL.OW'TIII~SE SPECIFIC GUIDELINES WILL RESUBY A FLORIDA DESIGN PROFESSIONAL (
AR(JIH'E(A' OR ENGINEER), CERTIFYING FBC CODI? COMPLIANCE BY PERSONAL INSP@;C"rION. CONTRACTOR
OR OWN F.R/B(jII.I)H SIGNATURF: _ _ _ _ DATE: /-4J 1 ,
CITY OF `
S 1'ORD Building & Fire Prevention DivisionIfRESIDENTIALRE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: A f1' Ii ADDRESS:1
7 -% ?
7
40 AS A(N) GENERAL, BUILDING, RESIDEN`FIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTERER 468 BUILDING INSPECTOR, 111FREBY AFFIRM, THAT ALL 017'IHE
FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONLNTS LISTED ON THE SCOPE OF WORK Al THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH TIMER PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS —SPECIFICALLY FI.,ORIDA BUILDING CODE. EXISTING BUILDING. IN ADDITION I CERTIF:Y THE INSTALLATION MEE"TS AI,U
REQUIRFMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITFI THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. Cl1APTER 553.844).
1,ICF:NSE #: --- Lc I'll/ /-/ 1
COMPANY/CONTRACTOR: 01_:x...k_. :-- /1%
C ),K-" 1 a /
C-ONTRACI'ORSIGNATURE: _I'-;u
MUST BE SIGNED BY I ICENSE HOLDER UILDER)
A FINAL ROOF INSPECTION IS REQtnRF.D:
DA IF:
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 T'HE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPEC`IION. THE PIIOTOGRAPIIS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FC.ASIIING. PI -,EASE 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
Sworn to and Subscribed before me this _ day of 20 Ik by:
Ail ALx,. _(, c Who is Per nallyK—nawn fo r has Produced (type of
t' as identification.
DONAL D RASHZUteNotaryPublic * r vayPua`:c-SaeolFluda
State of Florida cCgmm9,:cn 9 12 1v6
Nyllomm.:xvesApr'& 2Q04
Prmt/Type/Stamp Name
of Notary Public