3421 Whippoorwill Ct - BR18-004709 - REROOFSCITY
OF
ORD
FtRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
ivApplicationNo: 1
Documented Construction Value: $ 14,350.00
3 )1 ob Address: 3421 Whippoorwill Ct. Sanford, FL 32773 Historic District: Yes NoF]
Parcel ID: 07-20-31-512-0000-0210 Residential Commercial
Type of Work: NewEl Addition[] Alteration Repair Demo Change of Use Move
Description of Work: Re -Roof; 30 Year Arch Shingles
Plan Review Contact Person: Andy Adcock
Phone:407-322-9558 Fax:407-322-9592
Name Cris Gollman
Title: Owner
Email: adcockroofing1 @bellsouth.net
Property Owner Information
Street: 3421 Whippoorwill Ct.
City, State Zip: Sanford, FL 32773
Name Adcock Roofing
Street: 800 S. French Ave.,
City, State Zip:
Name: NA
Street: NA
Sanford, FL 32771
City, St, Zip: NA
Bonding Company:
Address. NA
zz
Phone: 407-529-4810
Resident of property? : Yes
Contractor Information
Phone: 407-322-9558
Fax: 407-322-9592
State License No.: CCCO22501
Architect/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 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 date of application and the code in effect as of that date: 6" Edition (2017) Florida Building Code
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.
gnatwe o(owner/Agent Date
rant owner/Agent's Name
x., QONAILRASH
Notary Puh Sta e of 'nr da
maaCam see"' r 2G'l0o My
Conte Ex tesA0F16,2019 r Owner/
Agent is Personally Known to Me or Produced
ID Type of ID SignatureofCuttetn
Agent Date Pri -/
Agent's Name C
S
ignat alitAh OONALD
RASH Notary
PuDk - State of Florida e
Eo "amiss on PP 221706 41
MyComm_cx iresAp,, 1&2014 Contractor
gent is Personally Known to Me 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:
of
Heads U
ruxrIES: FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised
lanuan 1. 2018 Permit Application
800 French Ave. Sanford, FL 32771
STATE CERTIFICATION [CCQ22GOl
November 30'2U18 CONTRACT
Name: [risGoUman Phone: (4U7)S29'4O10
Address: 3421Whippoorwill Ct. Cell: (407) City:
Sanford, FL 32773 Fax: (4K07) Email:
lmaderight@gmail.com SCOPE
OFWORK: COMPLETE ROOF REPLACEMENT I.
Remove old roof on complete house. 2.
Re -nail decking asper new building code. 3. Dry
in with new layer of synthetic underlayment as per new building code (July 2015). 4. Install
new 30-yeararchitectura| shingles. 5. Install
new drip edge; 26gauge, painted galvanized. 6. Install new
kitchen and bathroom vents. 7. Install new
lead 8ashinAson plumbing pipes. 8. Install new
ventilation. 9. Secure all
permits. lU.Clean up8'
haul away debris. 11. Inspections included.
Labor 8kMaterials: $14,
350'00 Extra —Bad wood:
Time & Materials '$70.00 per sheet 2 x 4and fascia '$4.50 ft. Warranty: 30 Years
mnMaterials from Manufacture 5 Years on
Workmanship Andy Adcock, Owner
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018136997 Book:9260 Page:438; (1 PAGES) RCD: 12/6/2018 10:20:12 AM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING - ANDY AZ)"CC-K
Address: 800 S FRENCfJAV_ ffSANFORD
FL 32771 NOTICE
OF COMMENCEMENT Permit
Number: Parcel
ID Number: 07-20-31-512-0000-02 10 The
unceisignec hereby gives notice that improvement wilt be mace to czria,n real property. and in accordance with C: trapter 713, Florida Statutes. the following
inforration s provider in tnis Notice of Cornmercemer.t 1.
DESCRIPTION OF PROPERTY: (Legal apscr pi on of the progeny and street address it avallaole! LOT
21 WHIPPOORW-
ILL— PB
40 PG 6C 2.
GENERAL DESCRIPTION OF IMPROVEMENT: Re -
Roof 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address _GCL-MAN CRIS L 3421 WHIPPOORNPA-L CT SANFORD. =L 32773 Interest
mproperty:yvvl'Jcr', Fee
Simple Title Holder (if other than owner Istea atiove) Name Address:
4.
CONTRACTOR: Name Adco-,k Roofing Phone Number -4-07---32'2-95-58 Address
800 S. French Ave., Sanford, FL 32771 S.
SURETY (If applicable, a copy of the payment bond is attached), are Address
Am,-,jlt of Bond 6.
LENDER: Name Phone Number Address
7,
Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 71
3.13(l)(a)7., Florida Statutes. Name
Phone Number Address
8.
Ir ac!Crlon Owner des,griates cf to leceive
a copy of the Lenors Notice as provided in Sectro-, 73 13,1)(t), Florida Statutes Phone nurnoer. 9. Fxpira: on
Date of Notice of Commencement (The exptrauciri is 1 yea, from late of roCold(ng finless a d-ifferent date is specified; VAPN'iNG -,'., 0vV7yFR
ANYPAYMFNT.S MAD= BY THE Ov'^ER AFTER THE EX"IRAT,ON OF THE NOTICE OF COMMENCEMENT ARE CONSIri"RE'D
IMPROPER PAYMENTS UNDER C AFTER 713 -ART 1 SECTION 713 13 CLORiCA STATUTES AND CAN RESULT =N YOUR PAYING TWICE '-3R
IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND PCS-EC ON -14E 406 SITE BEFORE
THE FIRST INSPECTION IF YOU iNTEND -C OBTAiN FINANCING. CONSULT 041-if YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORD NG YOUR NOT CE 0-- COMMENCENIENT State of A,-
t 'i`,, /,,),A County of j &I" / "w L The foregoing instrument
was acknowledged before me this of yi 20 by 4C-" ?.4f
C 4-11 day Wh _ s
personally
own to me OR who has produced
identification i type of identification produced:
CITY OF
Building & Fire Prevention DivisionSk40RDRESIDENTIALRE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
PGRIIFFTINE REQI'IRENILN"TS—NO PLAN RF1,71EW REQUIRED
TLI1S DOCUMENT (SIGNED) ALONG WITTI AN ACCURATE: AND COMPLETED RESIDENTIAL RL:- 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 NUMBH.RS FOR ALL ROOF
COMPONENTS THAT WILE. BE INSTALLED ON THI: PROJECT.
A PERMIT WILL NOT BE ISSUED WLTHOU L THESE: DOCIIMLNTS. COPIES WILL BE MADE. TO POST ON THE JOB SITE.
PR0JFCTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL RV TFIE
SANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCFDURFS
A FINAL ROOF INSPECTION IS'TTIE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
TFIE FOLLOWING IS RF:QUIRFD TO 13E PROVIDE ON '111F JOB SITE:
PERMIT CARD, POSTED IN A CONSPICUOUS AND WEA'1'LIEItPROOF LOCATION
COMPLI3'1'E;D RI SIDE NT'IAL RE -ROOF SCOPE Ol= WORK
COMPLETED AND NO`TARII_ED INSPECTION AI:FIDAVI`I'
ALL FLORIDA PRODUCT APPROVAL. AND CORRESPONDING INSTALLATION INSTRUCTIONS
PRODUCT APPROVAL SLEAL,L. MA'T('TI WHAT IS ON'I'IIE SC'OPF:OF WORK)
DIGITAL. PHOTOGRAPHS (MUST INCLUDE'TIt: PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
o EACFI PLANE: OF *I'HL: ROOF, SHOWING "1'HE UNI)ERLAYMEN'I'INS'I'Al_,LED
o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DF,VICE OR RULER)
o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RUITR SHOWING SIZE OF NAILS)
o UNDERLAYMINT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o DRIP FDGE & VALLEY A"I'I'ACIIMI?N'T (INCLUDIN(i A MEASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL, PATTERN AND LOCATION 01NAILS
SKYLIGHTS (IF APPLICABLE)
o DEGITAL PLIOTOGRAPLIS SHOWING AI_,I, INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
o DIGITAL PHOTOGRAPHS SIIOWING ALL REQUIRED FLASHING, PER FL PRODUCT' APPROVAL.
F wAIRE -1-0 FOLLOW T11ESF SPECIFIC GUIDEHNES WILL. RLSULT IN AN AFFIDAVIT PROVIDED 13V A FLORIDA DESIGN
PROFESSIONAL. ( ARCHITECT OR EN(INEER), CERTIFYING FBC CODE COMPLIANCE BY PFRSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNA'I URE: DATE:
SCITY
OF ,,
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
Jolt ADDRESS:
STRC'CTURETYPE: (D--SINGLEFAMILYRI:SIDENC[3/1'OWNIIOUSE OMOBIL/:1low, OAPAR'CMEN'I/CONDOMINIUM
RE-ROOFTYPE: O-REPI.A('[:MEN'T (TEAR O[=F EXISI'ING ROOF AND REPLACE WI"1'I I N[ W ('OMPONENTS)
ORE: -('OVER (NIiW ROOF INS"TALL,ED OVER EXISTING ROOF)
DECK TYPE, (PLEASE SPECIFY): "i vIFjV__
PLEASE NOTE: ONLY 1PO SQUARE FEET OF THE E. /STIN . DECK IS PERMITTED TO HE REPLACED"
ROOF VENTILATION: DOFF-RIDGI Q RIDGE QSOITH QPOWERED VENT OTURBINES
SKYLIGHTS: O YE:S (DNO II YES. PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 Q 2:12 -4:12 Q 4: 12 OR GREATER
TYPE OF ROOF MANUFACTURER Ft,omDA PRODUCT APPROVAL
Q SHINGLE FL#
QMETAL FL#
Q MODIFIED BITUMEN FL,#
QTORCH DOWN FL#
Q INSULA'TLD FL#
Q'T'H_E FL#
00'I'11ER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICAIILE**
ROOF SLOPE: 0 LESS'1'HAN 2:12 Q 2:12-4: 12 Q 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APIROVAL
Q SHINGLE:
Q METAL
FL#
FL#
Q MODIFIED BITUMEN FL#
Q TORCH DOWN FL#
Q INSULATED FL#
QT[LE
QUTHER:
FL#
FL#