Loading...
1205 Elm Ave - BR18-004269 - REROOFCITY OF SkNFORD FIRE f)FPARr11.6ENT Building & Fire Prevention Division PERMIT APPLICATION Application No: / k - 9 ), 40 1 Documented Construction Value: $ 11,198.00 Job Address: 1205 ELM AVE SANFORD, FL 32771 Historic District: Yes[V(]No Parcel ID: 25-19-30-5AG-1406-0070 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 Name ANGELA P TONEY Title: Owner Email: adcockroofing1 @bellsouth.net Property Owner Information Street: 1205 ELM AVE 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 Phone: (321) 578-0962 Resident of property? : Contractor Information Yes Phone: 407-322-9558 Fax: 407-322-9592 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 Revised: January 1, 2018 Permit Application 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 ofthe property ofthe 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 er/Agen Date Signatu Contrac / ent Date U tV CJC- PrinP er/Aae 's Na PrinirContractor/Agent's Name DON.ALDRASH Mo. Notary Public- State ofFlorida P Commission R FF 221706 My Comm. Expires Apr16,2019 DONALD RASHSpvcusp... a°. NotaryPubilc-StateofFlorida Commission w FF 211702Apr16,019MyComm. Expires Owner/Agent is Personally Known to Me or Contrac ersonally 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: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: -h C0 13-16 UTILITIES: ENGINEERING: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures. Fire Alarm Permit: Yes No WASTE WATER: BUILDING: COM _ Approved to reroof house with Tamko Heritage Thunderstorm Gray (architectural shingles only) and underlayment as needed. Any wood replacement other than underlayment may require a separate Certificate of Appropriateness and possible site visit for approval. All pitched roof surfaces (including porches and additions) must match in design, dimension, profile, texture, materials, and other visual qualities. The roof _ surface over the porch in the rear of the structure adjacent to the alley, does not meet the pitch requirement pursuant the Florida Building code and therefore is permitted to have the alternative ofModified Bitumen roofing in a comparable color. Revised: January 1, 2018 Permit Application SCPA Parcel View: 25-19-30-5AG-1406-0070 Page 1 of 2 Pro e Recard Card Parcel: 25-1 30-5- 1406 00-^ Property Address: .._^5 ,EL.P0 AVE ::r^.tJF )RD _ 327' . Parcel Information Value Summary 2017 Certified€ Parcel 25-19-30 5AG 1406-0070 2018 Working Values Values Owner(s) OONEYµANGELA P ) - i Valuation Method Cost/Market Cost/Market Property Address 1205 ELM AVE SANFORD, FL 32771 -- -• - ---__ F y __ ..__.... _ Number of Buildings 1 1 Mailing 1118 HILLCREST CT EUSTIS FL 32726 Depreciated Bldg Value $83,354 $75,783 Subdivision Name SANFORD NN C; Depreciated EXFT Value $1 837 $1,837 Tax District S1-SANFORD Land Value (Market) $41,040 $38,760 DOR Use Code 0102 SINGLE FAMILY SANFORD HISTORICAL DISTRICT F i Land ValueAg Exemptions St ?•: ar',et Value °'1 $126,231 $116,380 Portability Adj 117 Save Our Homes Adj $0 $0 117El 1 Amendment 1 Adj $0 $0 1I © ¥ f in P&G Adj $0 $0 Assessed Value $126,231 $116 380 117 Tax Amount without SOH $2,216.04 ax Bill •n r° $2,216.04 Tax _ trn :o Save Our Homes Savings. $0.00 M-.Neil e leip Does NOT INCLUDE Non Ad Valorem Assessmentsi3 E.......... _..._... _.................... ........1_ ._._..................... __._...........__m........""'___......_...._.._....._............. Legal Description LOTS 7+8BLK14TR6 TOWN OF SANFORD PB 1 PG 60 Taxes Taxing Authority C Assessment Value Exempt Values Taxable Value County General Fund $126,231 $0 $126,231 Schools $126,231 $0 $126,231 126,231CitySanford $0 126,231 SJWM(Saint Johns Water Management) $126,231 $0 $126,231 , County Bonds $126,231 $0 $126,231 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 10/l/2001 04199 9=9 110,000 Yes Improved WARRANTY DEED 11/1/1999 03h 3 80,000 Yes Improved WARRANTY DEED 5/l/1999 03647 60,000 Yes Improved WARRANTY DEED 12/1/1992 025 28 09 63,500 Yes Improved I ..__ _. ,.,. .. ...... , .... _. QUIT CLAIM DEED 12/1/1991 02„73 21 100 No Improved WARRANTY DEED 12/1/1989 012 19 21 9 54,500 Yes Improved WARRANTY DEED 10/1/1984 0:F=87 291 1 47,000 Yes Improved ADMINISTRATIVE DEED 1/1/1982 0: s-,1, 09W 28,000 Yes Improved ADMINISTRATIVE DEED 1/1/1977 0' 144 0711 100 No Improved Find Comparable Sales Land_ Method FRONT FOOT & DEPTH Frontage Depth Units Units Price 114.00 11Z00 0 Land Value 360.00 $41,040 http://pareeldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AG14060070 9/23/2018 June 19, 2018 ADCOCK ROOFING 800 French Ave. Sanford, FL 32771 407) 322- 58 * (4 322-9592 (Fax) adcockroofingl@bellsouth.net www.adcockroofing.com STATE CERTIFICATION CCCO22501 ESTIMATE Name: Angela Toney Address: 1205 Elm Ave. Phone: (321) 578-0962 Cell: (407) City: Sanford, FL 32771 Fax: (407) Email: atoney54@yahoo.com SCOPE OF WORK: COMPLETE SHINGLE ROOF REPLACEMENT 1. Remove old roof on complete building — 24 sq. @ $140.00 - $3360.000 2. Re -nail decking as per new building code — 24 sq. @ $12.00 - $288.00 3. Dry in with new layer of synthetic underlayment — 26 sq. - @ $40.00 - $1040.00 4. Install new Modified Bitumen roofing system on low slopped portion of roof — 35 sq. @ $300.00 900.00 5. Install new 30-year architectural shingles — 26 sq. @ 190.00 - $4940.00 6. Install new drip edge; 26 gauge, painted galvanized (25') @ $10.00 - $250.00 7. Install new kitchen and bathroom vents — (1) @ $80.00 - $80.00 8. Install new lead flashings on plumbing pipes — (2) @ $70.00 - $140.00 9. Re -flash chimney - $200.00 10. Secure all permits. 11. Clean up & haul away debris. 12. Inspections included. Labor & Materials: $11,198.00 (Removal of additional layer of shingles) 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 V I 00French Ave. Sanford, adcockroofingl@bellsouth.net www.adcockroofing.com STATE CERTIFICATION CCCO2501 June 19, 2018 ESTIMATE Name: Angela Toney Phone: (321) 578-0962 Address: 1205 Elm Ave. Cell: (407) City: Sanford, FL 32771 Fax: (407) Email: atoney54@yahoo.com SCOPE OF WORK: COMPLETE SHINGLE ROOF REPLACEMENT 1. Remove old roof on complete building. 2. Re -nail decking as per new building code. a d sE 1 o 3. Dry in with new layer of synthetic underlayment as per new building code (July 2015). a C 'r_ C V D °C) , I D sip, c, 4. Install new Modified Bitumen roofing system on low slopped portion of roof. S ' 7 0 1, o d _ y40 00 5. Install new 30-year architectural shingles. d 2 C S'v 9. b ) g0,fal- 6. Install new drip edge; 26 gauge, painted galvanized. 7. Install new kitchen and bathroom vents. c D G 8. Install new lead flashings on plumbing pipes. 9. install-new ventilation -to At KI ASSA0 CA I m Y zoo 00 10. Secure all permits. 11. Clean up & haul away debris. 12. Inspections included. 13. L } P 446 Labor & Material( Removal of single layer of shingles) ADC CK ROOFING 800 French Ave. Sanford, FL 32771 407) 322-9558 * (407) 322-9592 (Fax) adcockroofingl@bellsouth.net www.adcockroofing.com STATE CERTIFICATION CCCO22501 June 19, 2018 ESTIMATE Name: Angela Toney Phone: (32) 578-0962 Address: 1205 Elm Ave. Cell: (407) City: Sanford, FL 32771 Fax: (407) Email: atoney54@yahoo.com SCOPE OF WORK: COMPLETE SHINGLE 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 Modified Bitumen roofing system on low slopped portion of roof. 5. Install new 30-year architectural shingles. 6. Install new drip edge; 26 gauge, painted galvanized. 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: $10,230 (Removal of single layer of shingles) Labor & Materials: 11,220.00 (Removal of additional layer of shingles) 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 WORKSHEET ESTIMATE NZ(Aj- DATE: r MATERIALS STOMER NAME: L t a 10- To Irl e 1 L'o A•UDRESS: l CITY:4- ZIP: l_ HOME PHONE: WORK PHONE: CELL PHONE: 6 - FAX: EMAIL ADDRESS rlb h C S{ e NJ aJGCIL ID CAct 25 YEAR SHINGLE 30 YEAR SHINGLE SQ: 2 z1 --5 PITCH: MODIFIED (FLAT) SQ: PITCH: 2,11 CHIMNEY - YES NO S- DRIP EDGE - YES NO NOTES: r ' 9 SKYLIGHT (S) - YES NO l d TOTAL s 162,3a 0 i r • 1 L X:5, 2-0 / C 17 v Grarti Maloyy, Clerk Of The Circuit Court & Comptroller Seminole Coun FL Inst #2018i19015 Book:9232 Page:1350; (1 PAGES) RCD: 10/162018 i2:42:48 PM REC FEE $M00 . THIS INSTRUMENT PREPARED BY: Name. ADCOCK ROOFING-ANDY ADCOCK Address: 800S_.FRENCH AVE* SANFORD,, FL 32T71 NOTICE OF COMMENCEMENT Permit Number Parcel ID Number. 25-19-30-5AG-1406-0070 The; underslg a rweby gives notice that improvement will be made to certain real Property, and in accordance with Chapter 713, Florida Statutes, the. following information to provided to this Notice ofCommencement_ 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) LOTS 7 + 8 BLK 14 TR 6 TOWN OF SANFORD PB 1 PG 60 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -Roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE NPROVENIENT: Name and address. interest In property: Foe Simple Title Holder (H other than Owner listed above) Nam: 1, CONTRACTOR Name: Adcock Roofin4 Phone Number. 4U7-S[1-y5Dt5 Address: 800 S. French Ave. Sanford FL 32771 6. SURETY (If applicable, acopy of th) payment band is attached): Name: Address: - Are mt ofBond: 6. LENDER: Name: Phone Number: Address: — 7. Parsons within the State of Ftcrida Dastgrmtsd by Owner upon whom notice of other documents may be served as,proyided by Section 713.13(1xa)T„ Florida Statutes. Name: Phone Number. Address: a. In addition, Owner designates to receive a copy of the Lianors Notice as provided in Section 713.13(iXD), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The:exptration Is 1 year from date of reoordirrg uniesa adifferent date is specified) j(yARNING TO OMB& ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMWNCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. Sycvtued :.: «Lereea ,.«L.aseo'. (Pro. rr mw4 a74boryl flgsOfFn) AuC+o i«t raaorra ovww r) stab) of County of 'Se 0A 1 Al ! The foregoing ins"ment was acknowledged before me this Z day of 20 f by in LYE Cnn it/1 Vvh ersonal tnet7 OR HaftV ondp«VVAVX"N who has produced Idonttfice0on Q type+ of identification Produced: t2paAJO- FAT1 r, rtatary uak-scrsott I. - SSa 1 ' Corrsrushn 1 r r2.2706 7 aF+/' ati;,,.. A:y%m.EzpresAprtQ20lA i CITY OF r. ',T Building & Fire Prevention Division l FORD RESIDENTIAL RE -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 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--DIGI-T-AL--P-HOTOGRAPHS-SHOWING-ALL-REQUIRED-FLASHING-PERF-L--P-RODUGT-AP-PROVAL---- 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: [ - 2-Vl CITY OF s SkNFORD FIRE DEPAIlTMENT PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: -, won f -f71.-r STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: O'kEPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): / I, L LAJ00 0 PLEASE NOTE: ONLY 100 SQUARE FEET OF THEE ISTI G DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: OOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES Lj SKYLIGHTS: OYES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 (D2:12 -4:12 12f4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL oHINGLE 1 FL# 0 METAL FL# OMODIFIEDBITUMEN jI,^ - FL# 0 f G J 0TORCH 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# QMODIFIED BI_T-UMEN FL# OTORCH DOWN FL# O INSULATED FL# OTILE FL# 0 OTHER: FL# CITY OF Sk 4FORDli.. FLORIDA CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: DATE ISSUED: Adcock Roofing October 23, 2018 for 1205 Elm Avenue DATE EXPIRES: Sanford, FL 32771 April 23, 2019 BP#19-72 Approved to reroof house with Tamko Heritage Thunderstorm Gray (architectural shingles only) and underlayment as needed. Any wood replacement other than underlayment may require a separate Certificate of Appropriateness and possible site visit for approval. All pitched roof surfaces (including porches and additions) must match in design, dimension, profile, texture, materials, and other visual qualities. The roof surface over the porch in the rear of the structure adjacent to the alley, does not meet the pitch requirement pursuant the Florida Building code and therefore is permitted to have the alternative of Modified Bit men ro f' ' in a comparable color. Eilee Hinson, AICP -Development Services Manager Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not -constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PE MIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? x YES NO Building Department Representative CIT40Y OF NFO FLORIDA APPLICATION # 19 — 2, FOR A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complete. General Information Downtown Commercial Historic District Residential Historic District Is this a retroactive request? Yes Noz Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes Noz Proposed improvements will affect the following elevations: North South East West Property Address: 1205 ELM AVE SANFORD, FL 32771 Property Owner Information Print Name: ANGELA P. TONEY Mailing Address: 1118 HILLCREST CT EUSTIS, FL 32726 Phone: (321) 578-0962 Email: atoney54@yahoo.com Signature: Applicant/Agent Information Print Name: ADCOCK ROOFING Mailing Address: 800 S. FRENCH AVE., SANFORD, FL 32771 Phone: 407-322-9558 Email: adcockroofing1@bellsouth.net Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER,\ DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. Signature: Date: u _ Would you like to r e em i regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. RE -ROOF; INSTALL 30 YEAR ARCHITECTURAL SHINGLES ON PITCHED ROOF AND CERTAINTEED FLINTLASTIC ON LOW SLOPPED PORTION OF ROOF HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP APPLICATION # FOR A CERTIFICATE OF APPROPRIATENESS Supplemental Information - Please use the space below to provide additional details regarding proposed work. Description of proposed work (continued from previous page): ONLY WORK SPECIFICALLY INDICATED ABOVE IS PERMITTED. ANY CHANGES TO THE BUILDING NOT LISTED ABOVE ARE NOT PERMITTED AND REQUIRE AN ADDITIONAL CERTIFICATE OF APPROPRIATENESS. Site Details Please use the space below to illustrate site details. HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP rage i or i https://www2. citizenserve. com/Admin/WorkOrderpocuments?Action=ViewDocument&... 10/ 16/2018