101 Krider Rd - BR17-003071 - REROOFi3 2017
J
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: — 1]
UJ
Documented Construction Value: S 2 2 6 .
Job Address: J'q / <t /bew, keC , ud*- )(42)/2i7 Historic District: Yes No [-
Parcel ID: 07 • W •.3/. SD S • 0 QQ6. 06 i o Residential [Commercial
Type of Work: New - Addition Alteration Repair Demo Change of Use Move
Description of Work: In
Plan Review Contact Person: Z0 V_/ Title: d4J.4J C--
Phone:*_7'0 1 Fax: d " 3 2 `%SS-2-Email: cac t.cic p a 'e</SU 1-i z .n
Property Owner Information
7
Name _ V-pe, M/ Ll, Phone: 7 0 7- L// 7• 3(o S S
Street: / D / /C, z_j'&e E Z6 - Resident of property? : 1_ 1
City, State Zip: '-' iCl-- 3 —7 .
Name
Street
Contractor Information
lG c
g v U . 2 eh
Phone: L/ 0 -7 ` 9 SS-Y
Fax: 7 6,3 ` 9 S 52- City,
State Zip: d-_Z &rj ` r L- J )--7 -7J State License No.: Architect/
Engineer Information Name: /)
Street:
City,
St, Zip: Phone:
Aj',A Fax:
E-
mail: Bonding
Company: /Jh Mortgage Lender: /"q Address:
Address: 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: 5th Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application K.
0
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 ofthis 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 ofthe 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.
SignItilre of Owner/Agent Date
Print Owner/Agent's Name
f or' a Date
MARJORIE MARIE ADCOCK4APVP '•
Notary Public - State of FloridaCommission # GG 013492
My Comm. Expires Jul 29, 2020
Uwnd-r/ ' e or
Produced ID Type of ID
Signature of Con c Agent Date
n Contractor ent's Name
Sig o Notary -State of Florida Date
otrt DONALD RASH
Notary Public - State at Florida
Commission IFF 221706
MyComm, Expires Apr 16, 2019
Contracto o 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:
COMMENTS:
ENGINEERING:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: JO - / G - ,)- 0 / 7 ,
I hereby name and appoint: VA L AJ
an agent of J 6 O s. _,G2 eo Cl-' 4L.,-e
Name of Company) J4-/-s0rLV`
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things .47 7/
necessary to this appointment for (check only one option):
The specific permit and application or work loc ed at:
Street Address)
Expiration Date for This Limited Power of Attorney: / - / &7' ' aL61 1F License
Holder Name: AN' O /LeP 1- State
License Number: Signature
of License Holder: STATE
OF FLORIDA COUNTY
OFyyi The
foregoing instrument was acknowledged before me this /(day of Oct' , 200
1-2, by )Oi-3 lJ y ee, W1401s rsonal ly known to
me or who has produced as identification
and who did (did qjp) l e tZoath._ Seal)
DONALD RASH Notary
Public -State of Florida Pe
Commission a FF 221706 My
Comm. Expires Apr 16, 2019 Rev.
08.12) Signature
Print
or type name Notary
Public - State of L- Commission
No. 7at. My
Commission Expires:
111111111111111111111111111111111 1111 1221
THIS INSTRUMENT PREPARED BY taR.iNT MANY SCI1INOLE COUNTY
ADCOCK ROOFING elf j Of7 CIf'tC:Ul. f G01_)[;1e< i:[1CiFTF.II_EF,.
Name: ?;
Address: 800 S. FRENCH AVE. BK 9CO P
CLERK 1S v 20171CI51913SANFORD, FL 32771 RECORDED 1 i.fi,'?i 17
RECORDING FEES 1:1-0,00
NOTICE OF COMMENCEMENT RECORDED By hdevore
Permit Number:
Parcel ID Number. 07-20-31-505-OD00-0010
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 ifavailable)
LOT 1 BLK D
SANORA UNITS 1 + 2 REPLAT
PB17PG11
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: MILLS JOE B & FRANCES H; 101 KRIDER RD SANFORD, FL 32773
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: 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., Florida Statutes.
Name: Phone Number:
Address:
8. In addition, Owner designates of
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.
Signature ofOwner or Lessee, or Owners or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of -'ECUr'LPjQ A=— County of The
foregoing instrument was acknowledged before me this ( day of ct- 20 1 by
o is personal) own to me OR Name
of person making statement ` who
has produced identification type of identification produced: 1'
o
Ayip ;S,, MARJORIE MARIE ADCOCK NotPublic - State of Florida rr" Commission # GG 013492 My
Comm. Expires Jul 29, 2020 11t1"' Bonded Through National Notary Assn.
CITY OF
Building & Fire Prevention DivisionSORDRESIDENTL4LRE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
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 UNDERLAYM ENT 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: DATE: ! 0 • 7
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: /A J
STRUCTURE TYPE: CKIZGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME
r& ?a 0
O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: QREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): \
PLEASE NOTE. ONL Y 100 SQUARE FEET OF THE EXISTI G DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: 0-OFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES L
SKYLIGHTS: O YES Qr O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 2 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
0SHINGLE t%vl ,`a pFL# Q 3 J
O METAL FL#
O MODIFIED BITUMEN FL#
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#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#
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 10, 2017 ESTIMATE
Name: Joe Mills
Address: 101 Krider Rd.
City: Sanford, FL 32773
Email:
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.
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.
Phone: (407) 417-3658
Cell: (407)
Fax: (407)
DLD e 0 G, ( ' <,:' 14
P G" k:-
Labor & Materials: $11,220.00
Extra — Bad wood & flashings: Time & Materials - $70.00 per sheet plywood; 2 x 4 and fascia - $4.50 ft.
Warranty: 30 Years on Materials from Manufacture
10 Years on Workmanship
Andy Adcock, Owner
Andy Adcock
WORKSHEET ESTI MATE DATE:
MATERIALS
CUSTOMER'NAME:
ADDRESS: G 4 f
CITY- say 6
ZIP:
HOME'PHONE:
WORK PHONE:
CELL PHONE: O%- -
FAX:
EMAIL ADDRESS
25 YEAR SHINGLE
3Q YEAR SHINGLE
SQ: 39
PITCH:
MODIFIED (FLAT)
SQ:
PITCH:
CHIMNEY -YES NO.
DRIP EDGE -YES NO NOTES:
SKYLIGHT (S) - YES NO
TOTAL
i
I
12- 2
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if