2012 Cedar Ave - BR11-002071 - ROOFN
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
1=
Application No: I a_O ' Documented Construction Value: $ j7000 9
09
Job Address: 0 0 / 2 CeGZaQ. 14 V-e L 2Qh fOIZO _ Historic District: Yes No Parcel
ID• 06 ' 19' &A 'b:F 10 ' 0 000 - /a9 a "- 3A'- Zoning:
Description
of Work: P.L eoD 'J , fh I r)a I-e-SPlan
Review Contact Person: A;4 09- W T. Title: Phone:
qP7 • qX / • 02.22 Fax: N1 7. 330 •9333 E-mail: RG Lot lloo/i 1 bel,o rr; Gc16
h/
Property
Owner Information Name _ /
D zo 1,2 c e Phone: 4/0 7 7 8 a SSO Street: .
20/A (feda. k- Resident of property?:. yt S City,
State Zip: or P AoR /o Pt— JJQ -7 / Contractor
Information / Name
AD c llL k C71Q F i C Phone: 40 7 3 X..)- 9S79 Street:
9)0 L 1CALslcls ,Qyk • Fax: Y07 • 62 0 q PSS 3 City,
State Zip: Jtx h ,/-o&n -Pc c3x-77 / State License No.: CLG O 2-2,S—O / Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Building
Permit Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
PERMIT
INFORMATION Square
Footage: 0'0 !6 Construction Type: RekooOC No. of Stories: No.
of Dwelling Units: Flood Zone: Electrical
New
Service - No. of AMPS: Mechanical (
Duct layout required for new systems) Plumbing
New
Construction - No. of Fixtures: Fire
Sprinkler/Alarm No. of heads:
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.
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.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
xR, Signature of weer/ADate gentPrint
Owner/agent's Name pin,
ROBERT
RAY ADCOCK Notary
Public -State of Florida My
Comm. Expires Jun 18. 2013 Commission
is DD 900428 Produced
ID _ Type of ID —4 APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
to,
e
or UTILITIES:
FIRE:
Signature
of ntractor/Agent Date AmDe
e&jy • AO.0 t (_ Print Contractor/
Agent's Name DEBBIE BLANTON -_
Notary Public .
State of Florida My Comm.
Expires Feb 25.2015 Commission N
EE 60182 Bonded Through
National Notary Assn. Contractor/Agent
is Personally Known to Me or Produced 1D
Type of ID WASTE WATER:
BUILDING: Rev
11.
08
1" N1NIN MMNINIMMNIIN N I NNlIlU1
IIfaRYAME =Mv CLERK W CIRCUIT CdINRT
51ENIN E CDUNWPermitNo.
Tax Folio No. 3(o'/9 30 .V20 p000 dBK 07613 Rg 06L'7; Ilpg) /.90CLERKS0201j()e3991 NOTICE
OF COMMENCEMENT RECORDED 0W09/2011 MOM AN REIINDIN6
FEES 10.00 Countyy
of Seminole State
Florida RECORDED BY T Smith 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. I .
Description of property: (legal description of theproperty, and street address if available) t 66 of
Lo,6 /if, Pmehuesf- PS 3 Py 7l 2.
General description of improvement: Re Roof ; ol/) in!, I.eS3.
Owner information: Name: !)G C.-fur Pu.e-Ke R- Address:
20 / A C.,e-d.a..re & u e ,S r, /o/Lo ; G L -L-7 7 b.
Interest in property: c.
Name and address of fee simple titleholder (if other than Owner): Name: Address:
4.
Contractor Name: A.AJ 0j2Gw L7, Phone number: YO 7 c.
Address: 6;00 d". fk-0:1+0, atA Q6 GL GOPI 5.
Surety Name C movgE Address:
Y CODS b.
Amount of bond: $ CLERK 0 NTy, F OR1D 6.
Lender: Name: Address:
b.
Lender's phone number: Ta.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be j G provided
by Section 713.13(1)(a)7., Florida Statutes: Name: to tdt 0
Address: 8.
a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor'
s Notice as provided in Section 713.13(1)(b), Florida Statutes. 1
b. Phone number of person or entity designated by owner: ry9.
Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date
is specified) t
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, n
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 INSP C 'ION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY EF RE COMMENCING WORK OR RECORDING YOUR NOTICE OF N
COMM -M Signature
o caner or Owwner horized OffiI rcctor/Par(ner/Manager Signatory's "title/Office The
foregoing instrut i was ackno[e,
0101411gt)
e
ore me this day of g (year) , by (name of person) as (type of authority, . .
e.g. officer, trustee, attwhom instrument was executed). ROBERT
RAY ADCOCK 0,
Z:01e , _ Notar'cP ubll!c -State of Ftorlda Y
Jun 18.2013Signatt aofNotaryPublic ;Q:' Commissl # DO 900428 L PersonallyKnownORPdentificationProducedVerification
pursuant to Section 92.525, F rida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the
facts led in it ar true t the best of knowledge and belief. Signs -
ire of atural Perso S' ning Above Rev.
date 3/2008
i
ADCOCK ROOFING
800 French Ave. Sanford, FL 32771
407) 322-9558 * (407) 330-9333 (Fax)
adcockroofingl@bellsouth.net
www.adcockroofinggbellsouth.net
August 4, 2011 ESTIMATE
Name: Delton Parker Phone: (407) 878-2550
Address: 2012 Cedar Ave. Mobil: (407)
City: Sanford, FL 32771 Fax:
email:
SCOPE OF REPAIR: COMPLETE REROOF ESTIMATE
1. Removed old roof on complete house.
2. Re -nailed decking as per code.
3. Install new 25 year 3-tab fiberglass shingles over new 15# felt.
4. Install new drip edge.
5. Replace all vents & stacks.
6. Clean up & haul away debris.
7. Secure all permits from City of Sanford.
Labor & Material: $5,000.00
Extra: Bad wood - Time & Materials
Warranty: 25 Years on Materials from Manufacture
5 Years on Workmanship
Andy Adcock, Owner
to %
u.