1701 E 8 St; 18-4158; ROOFCITY OF
SkNFORD PERMIT APPLICATION
BUILDING DIVISION
Application No: 0
Documented Construction Value: $ N
Job Address: Jf Sa^ Historic District: Yes No[]
Parcel ID: 9 2, -7 U 0 UU - D Residential Commercial
Type of Work: New E Addition Alteration Repair Demo Change of Use Move
Description of Work: YL _7 - - c A ifS 1
A" oy1,e V
Plan Review Contact Person: At i o y Title: pl.JN1511—
Phone* 3!-L' 9 SS Y Fax: '4oT 362_-0L0(o Email:
n
Property Owner Information
Name PA'1— Phone: G - .5 `i (61
Street: /-L> I = • !2 4— St Resident of property?: U
City, State Zip: 9-6 . - 3 X7 I
Contractor Information
Name An Cz cj,--. Ec>o 4--,-j Phone: LEO- ' 3 a)_ S ,?
Street: Fax: C4 y • .36 Z_ - & 2-2
City, State Zip: i ( State License No.: C C b 2Z5y i Architect/
Engineer Information Name:
Q r- Phone: 1J A Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Mortgage Lender: 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 alllaws 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 ofthat date: 6`h Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature ofNotary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent 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: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes []No
WASTE WATER:
BUILDING:
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 don compliance all applicable laws regulating construction and zoning.
SigrULULe of Owner/Agent Date Signature of C for/Ag Date
P-aft I Ma rt i n
if FloriH ""' L' ""'11 Date
Notary Public - State of Florida
Commission a FF 221706
My c:omm, Expires Apr 16, 2019
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: January I, 2018 Permit Application
September 10, 2018 ESTIMATE
Name: Patti Martin Phone: (678) 414-5419
Address: 1701 E. 8th St. Cell: (407)
City: Sanford, FL 32771 Fax:
Email: pajaka3@yahoo.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove old roof on complete house.
2. Repair any bad wood, if necessary.
3. Install new synthetic underlayment.
4. Install new 30-year architectural shingles.
5. Install new Modified Bitumen on flat portion of roof.
6. Install new drip edge; 26 gauge, painted galvanized.
7. Install new kitchen and bathroom vents to match existing.
8. Install new lead flashings on plumbing pipes to match existing.
9. Install new ventilation to match existing.
10. Secure all permits.
11. Clean up & haul away debris.
12. Inspections included.
Labor & Materials: $14,090.00
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
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018111470 Book:9220 Page:1330; (1 PAGES) RCA: 9/28/2018 12:52:15 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name• ADCOCK ROOFING -ANDY ADCOCK
Address UUU,5. FKtNUHAVh.
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number: 30-19-31-527-0000-0010
CERTIFIED COPY GRANT MALOY
CLERK OF THE CIRCUIT COURT
AND COMPTROLLER ry €
SEPhlid OUNiY, FLORIDA
DEPUTY CLERK
Date.._ .. 7771TLU die 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) LOTS
1 + 2 2.
GENERAL DESCRIPTION OF IMPROVEMENT: Re -
Roof 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: MARTIN PATTI S; 4905 SHADBURN RD CUMMING GA 30041-3909 Interest
in property: Owner Fee
Simple Title Holder (if other than owner listed above) 4.
CONTRACTOR: Name: Adcock Roofing Phone Number. 407-322-9558 Address:
800 S. French Ave. Sanford FL 32771 ` S.
SURETY (If applicable, a copy of the payment bond Is attached): 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: 8.
In addition, Owner designates 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 qATrITNTWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE BSiTyBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY IIIEFORP!
COMMENCING WORK ORPEWEWING YOUR NOTICE OF COMMENCL"WNT. Signature
of Owneror Less Authorized
Officer/Direc 1
State
of (jj,W4QQ County of _2j4A f het, _4r_V. G The
foregoing instrument was acknowledged before me this Z day of 20 a by
h i ( m o daLI r3 Who is personally known to me OR Name
of person making statement who
has produced Identification type of Identification produced: DDNALD
RASH e .
Notary fuhRc' State ofFlorida CommissiontFF221706MY
Comm. ExpHe5 Apr 16, 2019 Notary signature
CITY OF
Building & Fire Prevention Division
RESIDENTIAL RE -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 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 OWNER/BUILDER) SIGNATURE: DATE:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 1 -7 D L (i • ' " 4_ . A(-(-- 3 )`-7 1
STRUCTURE TYPE: GSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: i/REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLE((DLA."
EXISTING
ROOF) DECK
TYPE (PLEASE SPECIFY): 1 12-1 1 0I/`I wooy PLEASE
NOTE: ONLY 100 SQUARE FEET OF THE EXIS ING CK IS PERMITTED TO BE REPLACED * * ROOF
VENTILATION: OOFF-RIDGE BRIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
OYES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 d4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL HINGLE
m V_C) FL# 13 55 O
METAL FL# MODIFIED
BITUMEN Cen_-cSI n.I7T- FL# 3 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# O
TORCH DOWN FL# O
INSULATED FL# O
TILE FL# 0
OTHER: FL#
Building & Fire Prevention DivisionSS,
SIT
RESIDENTIAL RE-R0OF A FFIDA VIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1j —kA\S?) ADDRESS: )'70t 6, 5'_" S4- I
A -op ft jpp LA-36'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 #:
6C ( D -)_Z J V COMPANY /
CONTRACTOR: CONTRACTOR
SIGNATURE: MUST
BE SIGNED BY LICENSE LDER C /
Ada"' LDER)
A
FINAL ROOF INSPECTION IS REQUIRED: DATE:
THIS
SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG
WITI4 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 aw" L4 Sworn
to and Subscribed before me this 2 4 day of pF 20 j by: Who
is Personally Known to me o has Produced (type of entification)
as identi ca ion. Signa
ure of Notar Public ta®. State
of Florida "FY c DONALD RASH Notary
Public -State of Florida Q
PS Commission e FF 221766 Print/
Type/Stamp Name LMy cf=cc. Comm. Expires Apr16,2019 of
Notary Public