165 Sand Pine Cir - BR17-002839 - ROOFJob Address: 1 (0, 5 P/ h e 6 1261-e t OV_a J Historic District: Yes No [- Parcel
ID: Residential a' Commercial Type
of Work: New Fk-IAddition Alteration Repair Demo Change of Use Move Description
of Work: lC 0l'1-, )n i Plan
Review Contact Person: }a",o x/ Ay c -, Cd` Title: Phone:
407 '3.)- ' I S S Fax: Y 07 -e.21 • Email: Property
Owner Information Name '
1'I U CA% GZA--J e Street: /&
S P/.n e <//L Cl EeCity,
State Zip: y0 7Co Contractor
Information Name
c v `' " i 6 Phone: Street: -
BOO c1: 2 C' •, G t City,
State Zip: C,,PA O n/J• L ,17 -7 Phone: '
5/0 7' ..2 ZA O Z' L/2 Resident
of property? : ems!' d ? • _? _
2 - S'S.f-' Fax: ?/
D'? . - -1 .1 • is State
License No.: Cl e 6 a.2 Architect/
Engineer Information Name: %
V /4 Phone: / ' Street:
Fax: City,
St, Zip: Bonding
Company: /U p" Address:
E-
mail: Mortgage
Lender: Address:
A -
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. 1 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: 51" Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
NQi WE: In ajit on t;r the requirenicnts of this permit. there mail Lie avditirmal restrictions apphcaible to this proper.•, that ma% be
lolira: to 1lie ecord's o this count_t. _,rd .jler:: nial% he add:t ion-1 1iervnits requo)ired #rom oi. her _ernrental entities such as aicr tranagm,
ent districts, state i'dn6es. Qr federal-lgenclles. cccl-
lance iil pe-n-,i. is i -i iicai ionthat I liiiI riot i#t the o\!rlcr ill ihC rrojlertt, 11; the requit.('lZ1ert` o C Florida Llen Lui.%. FS r 11 The
Cit,, of Sal„ilrc rcouirc pa;, rent o .a .plan ret icv< fee at the tune or permit subm'ttal. A copy of a heexecuted corlu°zct is required i[
i order to .alct:iate a plan rct ie« ch3r N an 1 .,ili he Considered the estimated ct>nstruetion t tlue ot'the 7nb at the time of submittal. The .
ritual CoT11;s=-1,:r:,on ,,l&uc %rill be, ii *:.red bnsed on the current It_C Valuation Table in e*4ect at the time the permit is iystlecf. ',n accordance :
ith !ccal ordimmee. Should, calculated Chari,es figured off the executed ctntirac! exceed the actual construction %alue. ere
it call tx applied to %our perrnit fees e,,hen the permit is issued. 0XV%'
ER'S AFFIDAVIT: I certifiv 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. 4t
store t ,ar;z;- _ax i a,. ig-a ;:ri of t4ringzn: Dwi Ql,
nhhAc^er:fs' sma t
r'P"4M NTARJORIE MARIE AOCOCK Notary
Public - State of Florlaa e
Commission # GG 013492 F ,
My Comm. Expires Jul 29, 2020 O, OF F r„ Bonded through National Notary Assn. Produced
ill _ Trpe of ID Part
CoutraclocAsear 5 Name G<
e --,ure ctar,,-sate of 1-km < t.7areoi•
R`' P DONALD RASH Notary
Public - State of Florida Commission#
FF221706 FQFr
My Comm. Expires Apr 16,2019 Coil
1 .C-'0.;,' 'ir n id t le Or l'
roeuce ype of lD BELOW
IS FOR OFFICE USE ONLY Permits
Required: E3uilding Electrical Mechanical Plumbinc Gas Root'u Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - ?i of Amps Fire
Sprinkler Permit: Yes0 N o of Heads APPROVALS:
ZO'I\G-. NG1
EER)N,(;: COMMENTS:
L
TILIV1ES: I=
IR : Flood
Zone: tr-
of Stories: Plumbing - #
of Futures Fire
alarm Permit: Yes C ti01 WASTE %
VATER:
I i 1i11 il 111I111111 Lilll Ilill llli llti
tSM.'IN T 1'Ifal_0'a' 7 aEt INOLE COUNTY
CLERK OF C:IRi U11 COURT & COP --TROLLER
THIS INSTRUMENT PREPARED BY: BK21,9CLERK'
S P ?6J17C1( IP3s
Name:
ADCOCK ROOFING _ RE CORDEi1_1l '7•`::12i" I'? 12 v -T S s FT1Address: 800
S. FRENCH AVE. RECORDING FEES $10.0 I SANFORD, FL32771RECORDEDBYhrlevc,i NOTICE OF
COMMENCEMENT Permit Number.
Parcel ID
Number. 02-20-30-510-0000-0650 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 65
HIDDEN LAKE
VILLAS PH 2 PS27PGSI&2
2. GENERAL
DESCRIPTION OF IMPROVEMENT: Re Roof
3. OWNER
INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and
address. CRANE MONICA A' 165 SAND PINE CIR SANFORD FL 32773 Interest in
property. OWNER Fee Simple
Title Holder (if other than owner listed above) Name: d. CONTRACTOR:
Name: Adcock Roofing Phone Number. 407-322-9558 Address: 800
S. French Ave., Sanford, FL 32771 5. SURETY (
If applicable, acopy of the payment bond is attached): Name: Address: — - Amount
of Bond: 6. LENDER:
Name: 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)(a)7« Fonda Statutes. 8. In
addition, owner designates Phone Number.
of to
recewe
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. rf t
Y,/!
4i1 elf , "L''—''. / i I i L f /"" .1! Svnrauc of
Orew or L...see, v 0~4 (r Ltm%, '* (PrintName and Provkb 9gnaWr 71WOMce) lAartixilrw' GfFcerfrkrectorlPartrYarMSenager)
State of
045ax 119% County of The foregoing
Instrument was acknowledged before me this day of _ , 20 by _ 0
YLj,-A- .4 . > A ¢ o Is perso known tome n OR Nturu or
t+rsx++ rresv,y ciBnx:rrrni - 4,, who
hasproducedidentificationC. type of identification produced: R9,, MARJORIE
MARIE ADCOCK PCpt CNotary
Public
State of Florida Commission # GG
013492wwy xg"mQro f My
Comm. Expires Jul 29, 2020 k r,rua`
Bonded through National Notary Assn. r w
ADCOCK ROOFING
880 French Ave. Sanford, FL 32771
7) 322- 558 * 407) 33 - 333 (Fax)
adcockroofingl@bellsouth.net
www.adcockroofing.com
STATE CERTIFICATION CCCO22501
June 1, 2016 ESTIMATE
Name: Monica Crane Phone: (407) 221-0343
Address: 165 Sandpine Circle Offices: (407)
City: Sanford, FL 32773 Fax: ,•
QEmail: strubelsecret@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 a new layer 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: $5760.00
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
4
CITY OF
PERMIT # Sk 40RD
Building & Fire Prevention Division
FIRE PAR , 1 wN T RESIDENTIAL RE -ROOF SCOPE OF WORK JOB
ADDRESS: I m o, STRUCTURE
TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): 1 )2, 4 PLEASE
NOTE: ONL Y IOo SQUARE FEET OF THE EXISTING DECKIS PERMITTED TO BE REPLACED** ROOF
VENTILATION: OOFF-RIDGE O RIDGE 0SOFFIT OPOWERED VENT SKYLIGHTS:
O YES (211NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 &4- 12 OR GREATER OTURBINES \%
v1-C_ r<-
t10<F TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL QSHINGLE
TY-Cl7 FL# O
METAL FL# O
MODIFIED BITUMEN FL# OTORCH
DOWN FL# O
INSULATED FL# OTILE
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# O
MODIFIED BITUMEN FL# OTORCH
DOWN FL# O
INSULATED FL# O
TILE FL# O
OTHER: FL#
CITE' OF .
Building & Fire Prevention DivisionSFORDRESIDENTIALRE -ROOF POLICY & PROCEDURES
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 1S 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 OWNER/BUILDER) SIGNATURE: G DATE:
CITY OF
TFORD Building & Fire Prevention Division
RESIDENTIAL RE-R0OFA FFIDA VIT
fIR£ DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: Tr- ADDRESS: I ( s Y>1'1 e "I e
A--i L-_-> C— . AS AIN) 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 #: (iu- c 172Sz l
COMPANY/ CONTRACTOR: 2.--)/`"oC-Z>cjL
CONTRACTOR SIGNATURE: DATE: a_'
1
MUST BE SIGNED BY LICENSE HOLDER WNER/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
Sworn to and Subscribed before me this 1;7day
of 20 1-1 by:
Who is L4-1'Frsonally Known to me or has 0 Produced (type of
cration) as identification. i
Signature of Notary Public
State of Florida ;osYP#, 00NALDRASH
e Public - State ofFloridaNotaryCommissionIFF221706P' W C'' eu ' My Comm. Expires Apr 16, 2019
Print/Type/Stamp Name oFF'";
of Notary Public