HomeMy WebLinkAbout119 LONG LEAF PINE CIR 18-4249CITY OF
SANFORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDA VII
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS /�
FERMI -C#: IS-"�9-AC1 ADDRESS: )I Q LOr\q' Leaf pine, Circle
t1 i
4 R,nN 0661Tc)& . AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR. GINEER, 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 INSfAL.LA PION 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#: CCC )331DS"4
COMPANY / CONTRACTOR: .tr-i t r ed ko o6q Nprt%
CONTRACTOR SIGNATURE: DATE:(� IT Ib
(MUST BE SIGNED BY LICENSE 11 R %k'NI R/BUILDC'R)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUSI BE PROVIDED AT THE JOB SI'Z'E A'1' T'HE I [Nit, OFTHE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERL.AYMENT, 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, IN'C'LUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OIALL REQUIREMENI'S.
**FAILURETO FOLLOW ALL REQUIREMEN'T'S WILL RESULT IN A FAILED INSPECTION, A REINSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHI1'EC'1 OR ENGINEER) TO CEKFIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE. OF FLORIDA COUNTY OF Sgmirn 12.
Sworn to and Subscribed before me this � day of GC��( 20 by:
t t�,l(i{lf (a'`P . Who is I' Personally Known to me or has Produced (type of
identification)
UCIAQ
Signature ufrotary Public
State of F!"a
a
F rrl ILa E . be Mc) Ili
Print/Type Stunlp Name
of Notary Public
as identification.
R
Notary Public State of Florida
Emily S Delvalle My Commission GG D65275
Expires 01124/2021