171 Lakeside Cir - BR18-004482 - REROOFRevised: January 1, 2018 Permit Application
ITT OF
NAN NOV 0 rJ 2018 Building & Fire Prevention Division
s PERMIT APPLICATION
Application No:
Documented Construction Value: $ 8550.00
Job Address: 171 Lakeside Circle, Sanford, FL 32771 Historic District: Yes NoFv—/]
Parcel ID: 11-20-30-5KB-0000-0130 Residential Commercial
Type of Work: New[] Addition[] Alteration[] Repair[] Demo Change of Use Move
Description of Work: Re -Roof; 30 Year Arch Shingles
Plan Review Contact Person: Andy Adcock
Phone:407-322-9558 Fax:407-322-9592
Title: Owner
Email: adcockroofing1 @bellsouth.net
Property Owner Information
Name Kevin Brown ' A( Phone: 407-383-9728
Street: 171 Lakeside Circle
City, State Zip: Sanford, FL 32771
Name Adcock Roofing
Street: 800 S. French Ave.,
City, State Zip: Sanford, FL 32771
Name: NA
Street: NA
City, St, Zip: NA
Bonding Company: NA
Address: NA
Resident of property? :
Contractor Information
Phone: 407-322-9558
Fax: 407-322-9592
Yes
State License No.: CCCO22501
Architect/Engineer Information
Phone: NA
Fax: NA
E-mail: NA
Mortgage Lender: NA
Address: NA
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: 61' Edition (2017) Florida Building Code
V
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 perrnit 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 oft` the executed contract exceed the actual constnuction 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 ot' Owner/Agent Date Smnature of'Cctor/Anent Date CIO
Pr
rat _ urn 'S Name i'nn[ ' 7ntractorlA zem's N Si-
naturc ot'iti . ry-State o rich ate Signat . air' tic of trlorid gNALR RA:F190
ate
Notary
Pub4c State of Florida ;°*a Penny
DGarner = + Nos ryPutllig=sat a
c My Commie <ion FF 958188 + x &fl1in1;6i9t1 it OF oexpirest0310&
2= ? try tiitiiYl: ftoitay A4 lw ierfAgent
is Person Knownor Contractor/Agent is Personally Known to Me or t?-oduca
fD Type o Produced ID Type of (D 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 I beads Fire Alarm Permit: Yes No APPROVALS: ZONING:
UTILITIES: V AsrE WA,rER: ENGINEERING: FIRE:
BUILDING: COMMENTS: Revised,_
January
1, 2018 Permit Application
July 31, 2018
1. ROOFING
800 Sanford,
1322-9558 ',j330-9333 (Fax)
adcockroofing1@bellsouth.net
www.adcockroofing@bellsouth.net
ESTIMATE
Name: Kevin Brown Phone: (407) 383-9728
Address: 171 Lakeside Circle Cell: (407)
City: Sanford, FL 32773 Fax:
Email: kab625@yahoo.com
SCOPE OF WORK: COMPLETE ROOF REPLACEMENT
1. Remove old roof on complete building.
2. Re -nail decking as per new building code.
3. Dry in with new layer of 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 (2) new glass skylights.
7. Install new kitchen and bathroom vents.
8. Install new lead flashings on plumbing pipes.
9. Install new ventilation to match existing.
10. Secure all permits.
11. Clean up & haul away debris.
12. Inspections included.
Labor & Materials: $8550.00
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, Owner
ANDY ADCOCK
CITY OF
Building & Fire Prevention DivisionORDRESIDENTIALRE -ROOF POLICY & PROCEDURES
11,f, Df PART ENT
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 &c 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:
itCITY
O
Sk 4FO PERMIT #
Building & Fire Prevention Division
I r, P [: O 3I T' ` 147 RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 1 / L a & Cl 6'e
STRUCTURE TYPE: SINGLE 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 ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
f /. I' 0 L\'/ L`j O OV
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK,#S PERMITTED TO BE REPLACED * *
ROOF VENTILATION: OOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES
MAIN ROOF AREA
GKO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (D-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#
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#
0MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
OTILE FL#
0 OTHER: FL#
CITY OF
yi 5. 4S FORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY &
09--9
PROCEDURES
r
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' 3/- Izz/ U
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #2018124459 Book:9241 Page:230; (1 PAGES) RCD: 10/30/2018 1:09:59 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: ADCOCK ROOFING - ANDY ADCOCK
Address: 800 S. FRENCH AVE.
SANFORD, FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 11.20-30-51<6-0000-0130
The urdetsigned hares; ;gas notice tnat improvem-nt',vill be madeto c4:nain real property. and ,n accordance with Chapter 713.
F)crida Statutes. the following intormatio•n is provided in this Nc:ice of Commencement1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) KEVIN BROWN - 171 LAKESIDE CIRCLE• SANFORD. FL 32773
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and -address: KEVIN BROWN - 171 LAKESIDE CIRCLE: SANFORD. FL 32773
Interest in propeny. Owner
Fee Simple Title Holder cif other than rl::ner listed above, N%:ne:
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): game:
Address: Amount of Bond:
6. LENDER: `tame:
Address:
7. Persons within the State of Florida Designated by Owner upon
provided by Section 713.13(1)(a)% Florida Statutes.
Name:
Address:
Phone Number:
whom notice or other documents may be served as
Phone Number:
a. u, addition. Owner designates of to receive a copy of the Lienof's Notice as
Grpvided m Sect>?n 713.13iU(bi. FIOnd-a Statutes. Phone number:
9. Exp'raiion Onre of Notice or Commencement (The exD;ralion is t year from data of recordinc unless a different date is specified)
IA,ARNIfJG Tp OWNER. ANY PAYMENTS MADE BY THE OWNF-R AFTER THE EXPIRATION OF THE NOTICE OFCOMMENCEtaENTARECONSIDEREDIMPROPERPAYNIEENTSUNDERCHAPTER, 713. PART 1. SECTION 713.13. FLORIDASTATUTE, AND CAN RESULT IN YOUR PAYING WJ'ICE FOR IMPROVE MEl'i TS TO YOUR PROPERT'(. A NOTICE OF COMWENCENISENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETFEFIRSTINSPECTIOi•i. IF YOU GVTENOTOOBTAI14FINANCING. CONSULT' :'ITH `'OUR LENDER OR AN ATTORNcY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTiCE OF CIOM IENCEN.ENT. V
2:1t1: ^ /lam. V CL r,• - S
S i:c e nit^. _.. .-__
r •.., e, :a: .,'Ly: iyi State
of t` %p t`; County of The
foregoing instrument was acknowledged before me this day of 1GflL, 20 By <-?
y_ Who is personally known to me I-, OR ar .-';?:
ur -aa ,; stere_r --. tom;; `,-•. who
has produced ident.'fication (.. type of identification produced: ' tixrr
acb c stare x Fbrtda .. Penny
D Garner B
My Commotion FF 2581i,d Ito, M1d" 9xD:es 03/0612020
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst#2018124459 Book:9241 Page:230; (1 PAGES) RCD: 10/30/2018 1:09:59 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY.
Name: ADCOCK ROOFING - ANDY ADCOCK
Address: 804 S. FRENCH AVE.
SANFORD FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
Parcel iD Number: 11.20-30-5KB-0000-0130
The unde,signed t.ere5y ;.,es notice :hat improvement .vill he made to ::nain real property. and :n accordance ti'nlh Chapter 713.
Fi; ride StBtuteS. the fni!o'wing informOtic.n ;s pro .0ed in this Nc'icc of Commencement1. DESCRIPTION OF PROPERTY: ti.pgal descrpLon of the properly and street address ava,ietlelKEVINBROWN - 171 LAKESIDE CIRCLE SANFORD. FL 32773 —
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and -address: KEVIN BROWN . 171 LAKESIDE CIRCLE: SANFORD, FL 32773
weres-ri grope ,y: Owner
Fee Sin•:ple Title Holder (if other than c::nar listed 2hovc"' arna:
Address:
4. CONTRACTOR: Name: Adcock Roofing Pt -one +`:umber: 407-322-9558
Aderess: 800 S French Ave.. Sanford, FL 32771
5. SURETY (if applicable, a copy of the payment bond is attached): Na4eount of Bond:
A;drsss:
6. LENDER: `:aine:
Address:
Phone Number:
7. Persons within the State of Florida Designated by Owner upon whom
provided by Section 713.13(1)(a)7., Florida Statutes.
Name:
Address:
notice or other documents may be served as
Phone ,.lumber.
8- tft 3dd,tien: Owner d 5,C-,n;lte5 Of to receive a cooy of the benof's Notice as
Grovtded in Sect:On 7157 1 1ib . Fa Statutes. Phony number: 5.
Exp'.ration nn:e _f Notce o` C.n1mence nC-nr (The exD ra ion a 1ear from date pf re ordinc ° ntess a c t erect date i5 sp3C %I Cj 6.,
ARNlNG T7 O<VNER: ANY P,4YPLEN TSMADE BY THE CVVN; R AFTER THE EXPIRATION OF THE NOTICE OF C0NIM5NCEt;IENT ARE CONSIDERED IMPROPER PAYNIENTS UNDER CHAPTER 713. PART I. SECTION 713,13, FLORIDA. STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR !MPROVEIMENTS TO YOUR PROPERTYe- A NOTICE OF COMWENCEMI.ENT NdUST BE RECORDED AND POSTED ON TH= JOB SITE B=FORE THE FIRST INSPECTION. IF YOU JTENDTOOBTAINFINANC!WG, COt45LlLT''.'ITH YOUR LENDER OR .AN ATTORNEY BEFORE COr 00ENC!NG WORK OR RECORDfF:
G YOUR NOTICE OF CO%-INIE_NCEMENT. h State
of t- lC Iz.; County of t R=i K The
foregoing instrument was acknowledged before me this 20 By
may_ t? r _r,LL t, Who is personally known to me OR who
has produced identifcat'son type of identification produced t
P
ennyGamer2<
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