2635 S Laurel Ave - BR17-003233 - ROOFl
t i CITY OF SANFORD
IN 0 2 2017 BUILDING & FIRE PREVENTION
l PERMIT APPLICATION
BY:
Application No: 3—`
Documented Construction Value: S S % V 0 .
Job Address: 14tj-e Historic District: Yes No [ -
Parcel ID: ,2,0 _,_Q _- 00yQ . 0 / 9 0 Residential Ercommercial Type
of Work: New ` Addiittion Alteration Repair Demo Change of Use Move Description
of Work: /C 4E 200 f : AQU.AelC_:;rq -a f7?//yl e:p) Plan
Review Contact Person: 14V Jb if i4—(e?Gc> Title: 0 C--, J&-Yz- Phone:
Lt6 7.3.1) • Fax: L/0-7.2J k 79'- -Email: Gc c.Sc rovF 2 0 he llSu A he_'L Property
Owner Information 1
Name ,./
l /rJ c.1 d c/ S ( Phone: a al-/ , %' (;y - !n Street:
o j ,'ter' S. U /,f L ,AResident of property? : '-S' City, State
Zip: ZD't, - rC L Contractor Information
Name SAL[_
1')c../COy/" 4 Street: 200-
City, State
Zip: -7% Name: AJA_
Street: City,
St,
Zip: Bonding Company:
AIA Address: Phone:
L167
3.0 L. F s- 9- Fax: 40? • J)
J- - 95 S-)- State License No.:
Architect/Engineer Information
Phone: AZA Fax:
E-mail:
Mortgage
Lender: A
f,4- Address: WARNINGTO
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: 5" Edition (2014) Florida Building Code Revised: June 30,
2015 Pennit Application
J Ow,al rc",u j- -he i
II ), such _1^, `AJO.- S. 001:!'I, ant lh(,r: m,, hk. pt7mli", fcq m-cj inim )?hCr . . LjOk vr, -:r,V, t"II J."010c".
o , cdvrul c,s. A'.11
mq, ', 1 1; - Id'i 'i"", J! C-
1,
WJ. 1':,I',i. s. 1 1"'! C, 11 t,WtXd OWNER'S
AFFIDAVIT: I CertifN that all ofthe foregoing information is ncetmite and thit ,ill work )Hill be done
in compli.inee with Al ,tpplic,.ihIe Li\vs rc(_%uhiting construction and zotling. 7C 1,
DONALD 11S1
Affi Notary
Public -State ox St
a
at, ofFlorida Commission # FF
221706 My Comm.
Expires Apr 16,2019 Iit?' n
I- PCrinits RequiredCo
list rucTiorl
Jyjw I DONALD RASH
Notary
Public - =State
of Florida io F 1
omniission # F 22, 706 p FF %' 1706
22
T.aclwt- y '
s A
BEj.,0W IS
FOR OFFICE VSE ONLY I 3 U
II dill U I I I IF F1 t: ICEj _] ['111111hll2 iI1 Ga sEj Roo!'[] 0CCtjjmnCN U:se:
Flood Zone., Totid Sq Ft
of Bldg: Mill, Occupancy Lila& T; of Stories: NCN Construction: I'
llectric - ot'Aml)s Plumbino - 1 of Fixtures F i ri 11
kle r Permit: YCi APPROVALS: /0NIX(.): I , N
C I
1N I :, :.KID( J: N11M I N'T
S i FI R I f ,
Fire Alarm Permit:
Y-cs 7. \:J_-! V,V Tl: W
A I FR, I (.; i L I)
I 1\ G : I
SCPA Parcel View: 01-20-30-505-0000-0190 Page-1 of 2
WR
SEMW JL.1_ (AINTY, F-ICMtI11
I Parcel Information
Property Record Card
Parcel: 01-20-30-505-0000-0190
Owner: LYNN-ROUSE AURA L
Property Address: 2635 S LAUREL AVE SANFORD, FL 32773
Parcel 01-20-30-505-0000-0190
Owner LYNN-ROUSE AURA L
Property Address 2635 S LAUREL AVE SANFORD, FL 32773
Mailing 2635 S LAUREL AVE SANFORD, FL 32773-
Subdivision Name PINE CREST HEIGHTS REPLAT
Tax District
DOR Use Code
S1-SANFORD
01-SINGLE FAMILY —
Exemptions
IN
128
Legal Description
LOT 19 _
PINE CREST HEIGHTS REPLAT
PB9PG77
Taxes
Seminole COUntt GIS
Value Summary
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 67,711 63,846
Depreciated EXFT Value 8,150
12,000
500Fs$$81 2,000LandValue (Market)
Land Value Ag— —
Just/Market Value " 87,861 84,346
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
P&G Adj
J- -
0--
Assessed Value 87,861 84,346
Tax Amount without SOH: $1,606.08
2017 Tax Bill Amount $1,606.08
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $87,861 0 87,861
Schools $87,861 0 87,861
City Sanford $87,861
SJWM(Saint Johns Water Management) $87 861
0
0
1-1
87,861
87,861
County Bonds $87,861 0 87,861
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 4/1/2017 08904 0297 167,900 Yes Improved
WARRANTY DEED 11/1/2016 — 08801 0019 90,000 Yes Improved
WARRANTY DEED 3/1/1999 03628
01043
0418—
0327
75,100 Yes Improved
m
WARRANTY DEED 1/1/1975 29,500 No Improved
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT 0.00 1 0.00 1 1 $12,000
Building Information
Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value AppendagesActual/Effective
1 1955/1975 i 6 1 4 1 2_0 E 1,381 1,731 1,551 $67,711 i $86,809 i Description Area
http://parccldetail.sepafl.org/ParcelDetaillnfo.aspx?PID=01203050500000190 11/2/2017
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 322-9592 (Fax)
adcockroofingl@bellsouth.net
www.adcockroofing.com
STATE CERTIFICATION CCCO22501
October 16, 2017 ESTIMATE
Name: Aura Lynn Rouse
Address: 2635 S. Laurel Ave.
City: Sanford, FL 32773
Email: auralynn22@gmail.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove old existing roof on complete house.
2. Re -nail decking as per building code.
3. Install new Modified Bitumen Roofing System.
4. Install new drip edge; 26 gauge, painted galvanized.
5. Install new kitchen and bathroom vents.
6. Install new lead flashings on plumbing pipes.
7. Install new ventilation to match existing.
8. Secure all permits.
9. Clean up & haul away debris.
10. Inspections included.
Phone: (321) 696-9850
Cell: (407)
Fax: (407)
Labor & Materials: $8740.00
Extra — Bad wood: Time & Materials - $70.00 per sheet plywood; 2 x 4 and fascia - $4.50 ft.
Warranty: 12 Years on Materials from Manufacture
5 Years on Workmanship
Andy Adcock, Owner
Andy Adcock
THIS INSTRUMENT PREPARED BY:
Name:—ADCOCK ROOFING Dqn j L
Address_800 S. FRENCH AVE.
SANFORD, FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 01-20-30-505-0000-0190
GRANT f1ALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT COMPTROLLER
BK 9016 P3 1486 (1Ps s )
CLERK'S 4 2017110449
RECORDED 11/01i'2017 01=55:40 PM
RECORDING FEES $1+.00
RECORDED BY hdevore
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) f1
LOT 19
PINE CREST HEIGHTS REPLAT
PB 9 PG 77
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: LYNN-ROUSE AURA L: 2635 S LAUREL AVE SANFORD, FL 32773
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR: Name' Adcock ROofin
Address: 800 S. French Ave., Sanford, FL 32771
5. SURETY (If applicable, a copy of the payment bond is attached): Name
Address:
IWILQ 14A
Phone Number. 407-322-9558
Phone Number:
Amount of Bond:
Address: ?'
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided py Saction
713.13(1)(a)7., Florida Statutes.
Address: --_
8. In addition, Owner designates
Phone Number.
m
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 dale of recording unless a different date is specified)
WARNING 7-0 OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED Ih4PROPER 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 1'0 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
S gralure of Ownor o L ssae. or Owner'sor Letsee's (PfiniTsum.e and Provice Signatory's Tltlei0!Sce) ^-
Authorized Of6cori0irectorrPariner/Manager) 1-
State of _.'L!T___._._____.._ County of -- 1 4.L --'-'---_._...----
The foregoing instrument was acknowledged before me this L day of _,_20
by V c W K J90 _412— Who is personally known to me J OR' {'P
Name or person making statement`s",k'<<:i;
who has produced identification C type of identification produced:
r`'"`'
w Notaorida Nor B aJ a4 1? Stateof
f C706'
MyC,2019
S
0
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: / / • 4 ' a?,o 1
I hereby name and appoint: Vfa- Lj W i i 4zit fro
an agent of b)o (-0 01 X DZ)A r,)
Name of
dv v c1-
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
J
License Holder Name: "' " b e—J A-0 CJ &.t—
State License Number: ( 6 (_ 6
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this 1--day of IVd ,
2001, by ,(%L, who is personally known to
me or who has produced identification
and who did (did no an oath. Signature
Notary
Seal) 40y,Q kAS1. 1PgrP""•..
DONALD RASH Print or type name Notary
Public - State of Florida r
Commission aFF221706 Notary Public - State of L. ' My
Comm. Expires Apr 16,2014 y Commission
No, Gf Z-2 0 My
Commission Expires: L l Rev.
08.12) as
CITY OF
S -------ORD
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: (D.Z 5 C U/ L 2LLt / [J C! rL 77 STRUCTURE
TYPE: (>(NGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOFINSTALLED INSTALLED OVEREXISTING ROOF) DECK TYPE (
PLEASE SPECIFY): /d I , ] 7 LAJC-)
U'b PLEASE NOTE:
ONLY 100 SQUARE FEET OF THE EXI TING ECK IS PERMITTED TO BE REPLACED * * ROOF VENTILATION:
DOFF -RIDGE ORIDGE OSOFFIT OPOWEREDVENT Q_KU RBINES SKYLIGHTS: OYES
ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF
AREA ROOF SLOPE:
OKESS 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# MODIFIED BITUMEN
hf -/ FL# o? 5_3 OTORCH DOWN
FL# O INSULATED
FL# O TILE
FL# O OTHER:
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 MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE
FL# O METAL
FL# 0MODIFIED BITUMEN
FL# OTORCH DOWN
FL# O INSULATED
FL# O TILE
FL# 0 OTHER:
FL#
CITY OF
Building & Fire Prevention DivisionSORDRESIDENTIALRE -ROOF POLICY & PROCEDURES
FjRE DEPAATMtNT
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 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 OWNERJBUILDER) SIGNATURE: DATE: 10- 1 % ' d 7
CITY OF
Building & Fire Prevention DivisionORDRESIDENTL4LRE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL /ROOF COVERINGS
PERMIT #: / ,1 3 3 ADDRESS: (`U^ .V l > / Q L
L
I 4 -L -) /' Y?e—,J ,4•_-y L-o C l , 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
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: DATE: PL / %
MUST BE SIGNED BY LICENSE HOL ER OR On /BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
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 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 d—= ,emu L C
Sworn to and Subscribed before me this /, day of Q6 o 20 17 by:
r, ,_,g,, .1 /+aL.> (,L4, Who is Personally Known tie me or has Produced (type of
idetttrfic1 on) as identification.
Signature of Notary Public ,.•..; Y.P.... DONALDRASH
State of Florida 'j°• NoUYPublic_ tatedf loddan•'
706CommissionRD221
My Comm. Expires Apr 16, 2019
Print/Type/Stamp Name
of Notary Public