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Home My WebLink About100 Bent Oak CtCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value:$ �,Coc.cc) Job Address: Historic District: YesEl NoFt� Parcel ID:,// -,AC - e�Q 0 - Residential I? Commercial El Ty e of Work: New E] Addition ❑ Alteration 2"Repair 0 Demo El Change of Use El Move El 3 p Description of Work: , HIA r r I'C C(n f, Mr rn & _10A mcLie r QPr- 111 Re - 2 oo Plan Review Contact Person: RicllanrrA R1 L., Title.-_ n I Property Owner Information Name �_�F Phone: 140-1-Aal-c43S' Street: loo -PgaL ��, -0 Resident of property? City, State Zip: SqnA2ra, PL Contractor Information Name Adkvt slb'q C6ns4-1-U,.C_-h*Qh Ezper� s Phone: Street: yp'll SE �nC:k,_pLrq br- Fax: City, State Zip*. 406f_ sf->u.KJ I r',t- — 3,94 5 5 State License No.: CC C I I 0L9 S*S I 0= Street: City, St, Zip: Bonding Company: Address: t Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORDA NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 'PAYING T%AqCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST HE RECORDED AND POSTED ON THE joR SITE BEFORE TRF FIRST INSPECTION. IF YOIJ1 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 walk 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, beaters, 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: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 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. kocepta , nee 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 tirric of pert -nit subrnittal. 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 tune of submittal. The actual construction value will be figured based on the Current IC C Valuation Table tit effect at the time the pernin, 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. Signattliv of ContmeterlAge'at "i Date Signature of Notary -State of Florida A.)ate SHERRY A COLLINS Notary Public - State of Florida COMMISSion # FF 989101 MY COMM. Expires May 4, 202C Print Cootractorlkqent's Name r, SignAure I of'Notary-State of Florida L MARK ELAINA DUARTE "E G 7 ISSION # .4 y COMMISSION # GG0145749 S nj 9 EXPIRES October 21. 2019 Person JIV lCnoJ Contractor/Agent, is — Personally Known to Me or Produced ID _ Type of J-D Permits Required: Butlding[] ElectricalF1 Mechanical [] Plurribingn GasF1 Roof n Z`11 Construction Type: Total Sq Ft of Bldg: Occupancy Use: UMMIGMEM=1 Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: YesF] NoEl # of Heads ___ Fire Alarm Permit: Yes No'" APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: Rate 30, 2015 Permit Application & j Property RqS;qLd C�Ud f Parcel: 11 -20-3G-505-0000-01 90 i Owner, MOORE BRIDGET R & PEREZ-MICHELI RAFAEL A Property Address: 100 BENT OAK CT SANFO RD, FL 32773 Parcel Information Value Summary T. ...... _" . .. .. Parcel j 11-20-30-505-0000-0190 2018 Working i 2017 Certified fi Values Values Owner I MOORE BRIDGET R & PEREZ-MICHELI RAFAEL A Property Address 100 BENT OAK CT SANFORD, FL 32773 Valuation Method Cost/Market Cost/Market Number of Buildings 1 Marling j100 BENT OAK CT SANFORD, FL 32773 Depreciated Bldg Value $79,173 $74,734 Subdivision Name U112QEN LA_KE Ed 3 UNIT I Depreciated EXFT Value $800 $800 Tax District! SI-SANFORD DORUse Code 01-SINGLE FAMILY Land nd Value (Market) Land Value Ag $25,000 $25.000 Exemptions @ 00-HOMESTEAD(2008) Just/Market Value $104,973 $100,534 Portability Adj Save Our Homes Adj $39,245 $36,158 Amendment I Adj $0 P&G Adj $0 $0 Assessed Value $65,728 $64,376 Tax Amount without SOH: $1,126.47 291-7 Tax BillAmount$570.48 ImEstirrafor Save Our Homes Savings: $555.99 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 19 iI HIDDEN LAKE PH 3 UNIT 1 PB 27 PGS 44 TO 47 —7 c ---------- Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $65,728 $40,728 .7 Schools $65,728 $25,000 $40,728 City Sanford $65,728 $40328 $25,000 SJWM(Saint Johns Water Management) $66,728 $40,728 $25.000 LCounty � ?nds $65,728 $40,728 $25,000 . ... . ...... - — - --------- Sales Description Book Page Qualifiel /ac/Imp __LDale , WARRANTY DEED 611/2007 06I2& 0 $190,000 Yes Improved WARRANTY DEED 7/1/2000 MD'a 94E $89, 0 00 Yes $47,400 Yes Improved Improved WARRANTY DEED 9/1/1983 Q1_4L1 q4.J2 Find Comparable Sules Land Methodd--- Frontage Depth Units i Units Price Land Value LOT 0.00 0�00 $25=0.00 $25,000 . ........ . . — Building Information i&Sg_�Bcount incor7rec e, 1- - --- ----- r B_ 0 t I # Description Fixtures Bath Base Area Total SF rig SF Wall 11 Adj Value Rapt Value Appendages I I ActuallEffective 1 1 i I ICI„ Guaranteed fts MAI—fff "UWA, AI MORMUON TO PROCETMW" REPAIR DATE: 16 Itc ! / ? CLAIM #: QS,6 l X 70 J)ATE OF Loss: q l 1-U 117 IN NAME: ADDRESS: Liberty Mutual. Insurance has made available the home improvement contracting services -of CQ-' ' 2'* ("Contractor") m repair my/our property. I/We agreed tohire Contractor to perform the work on the project described below. We understand the use ofthis Couuww is voluntary as We may choose any independent — ,contractor or contractors to perform the repair work on the claim. IIVVE understand that Liberty Mutual Insurance will pay for the repair of damage covered by its policy subject to the deductible and the policy's terms and conditions.. VWE understand that any deductible balance, if not already satisfied, is MY/OUR responsibility, along with any non -recoverable depreciation (if applicable) and the cost of any upgrades and additional services not covered under the policy. IIWE will timely sign a Certificate of satisfaction when repairs are satisfactorily completed so that payment can be made directt}Lto the Contractor performing the covered repairs under this Agreement. VWE understand that the cost of any upgrades and additional services not covered under the policy are identified m the attached estimate and are MY/0UR responsibility. 0 - (Must be checked) I/WE have been presented with a copy ofthe Liberty Muhl Warranty. DATE: *l _.._.._.__.-__-._.__...,_._.,.....�,,...._........�...r�rravv.�rt..r.�rdN.iJX.7Drl►: TH19111SRUhiENT PAEP�RED BY: Namn: butteT Hlt4 ny pCOrpr Sp ion [x s lI_ 5 _ GRANT 17ALOY r SEM INOLE rQUNTY Address: r•LERK OF CIRCUIT COURT & COMPTROLLER SK 91161) F'9 1509 (iP`ss) CLERK'S 4 2Ctj8QO67E9 NOTICE OF COMMENCEMENT RECORDED 01r19l2118 11:20:.58 AM RECORDING FEES $10- W State of Florida D,ECO.,OED Sy jeckenr o County of Seminole . Parcel III Number: y l -2Q"3'D-rJOrJ-0DQD-()1 9D PormitNumber: The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the Ifoollllowingriinnfoprrimaatiiio{n�tto provided In this Notice of Commoncsmerk p GCyiPTF�jIl C?F T?P g ( tlini� lno G F Grp%Yr.A%Veetaddressifavailable) L T '1 �JeR c,(la an of J Mrrncan°e�lrma dam ge R`�ear f/ Re Roof OWNER INFORMATION:: Address:. 100 Bent Oak Ct., Sanford FL 32773 Fee Simple Title Holder of other than owner) Name: CONTRACTOR: Name: AdvisingConstruction ExPerts LLC Atldrecs: 8211 SE Sanctuary Dr, Hoge Sound, FL 33455 Persons within the State of Fiorldq. Doclgnatod by Owner upon whom notice or other documonto may be served as provided by Section 713.13(t)(b), Florida Statutoa.. Name: In a,Jd;Wn to himself, Owner IIeslgnates -To receive a copy or the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. (The expiration date is 1 year from date of recording unless a Expiration Date of Notice of Commencement diff,,ent data is specified) Tn 2yjNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION O' THE SECTION ICE OF CHAPTER 713. �rp�-"NC COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER EJVOB ENSITOB YOUR STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR THE FIRST iON FLORIDA THE NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY INSPECTION_ IF COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. BEFORE of Pe ` ry, t dectare that I have read the foregoing and that the facts stated In it are true Under elites to the f kn edge nd belief. v J Owrwr s Pnntod O ens rp to a F ,W 9tatuto �13A 1)( ."The owner must sign the notice of eammencoment and no end else may Do. parrn'.tsad to Sign In Ma or twr stead." w t• 1� 0t"1f�k �r p11 r1 State of Countyof da of The foregoing instrumentivpaa acknowledged before me this Y Is known to me ❑ r.; # FSC. Who personally by tt ) Namo of poaon making S.,—ont F• I O f' i t2 f 4li i "< 1) GC f)S`.c, rx cif'°_` G: OR who has produced Identiticotion U typo of identification produced: t)E80RAN P. ttUD1_ Public - StatCommission .allotary F� h" �` G '"' rMy M FF l-%�� ¢ v mBonded Comm. Expires S tModrh Nationa hk+CITY OF S,;�NFO FIRE DEPARTMEN Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. 18#*S13 ISSUE DATE: 01,J391 CONTRACTOR: Ad vi S in A on, e I l a A JOB ADDRESS: /O TYPE OF WORK:' G PROTECT FROM WEATHER • Post this Permit and all required documents in a conspicuous place outside • Digital Photographs are required - please follow re -roof policy and procedures guide • All trash, debris and dumpsters must be removed from job site at final inspection • Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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. FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: • Dial 407.792.6069 or 855.541.2112 • Provide the items requested during the message • The type of inspection requested must be scheduled under the appropriate permit type • Follow the prompts PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code III 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 REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 18-00000513 Date 1/23/18 Property Address . . . . . . 100 BENT OAK CT Parcel Number . . . . . . . . 11.20.30.505-0000-0190 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1026780 Permit pin number 1026780 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF / / CITY F Building & Fire Prevention Division NANTORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIDE, DEPARTMENT PERMITTING REQUIREMENTS - No PLAN REVIEW REQUIRED IS 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. /'11113 SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF {/ COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT. <P.ERMIT 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 OWNE"UILDER) SIGNATURE: ® DATE: I- S 1- 1� fY CITY OF PERMIT # S ORD Building & Fire Prevention Division FIRE DEPARTM, ENT RESIDENTIALRE-ROOF SCOPE OF WORK JOB ADDRESS:/ 00 (!:k. San-Pord, iQ3,27 3 1 STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WIT11 NEW COMPONENTS) 0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): 9 Vk 1.� � * *PLEASE None: ONL Y 100 SQUARE FEAT 0A'T11E1 TING DECK IS PERMITTED TO BE REPLA CED ROOF VENTILATION: OOFF-RIDGF ORIDGE OSOFFrr OPOWERED VENT AN TURBES SKYLIGHTS: 0 YES * No IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL. #: MAIN ROOF AREA ROOF SLOPE: 0 LESS THAN 2:12 02:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODucr APPROVAL *SHINGLE DLJ.9nS Corningi FL# OMETAL FL# 0MODIFIED BITUMEN FL# 0 TORCH DOWN FL# OINSULATED FL# OTILE FL# Q OTHER: MAU FL# M09-1 ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPI IC4BLE** ROOF SLOPE: 0 LESS THAN 2:12 02:12-4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL OSIENGLE FL# OMETAL FL# OMODIFIED BITUMEN FL# 0 TORCH DOWN FL# 0 INSULATED FL# OTILE FL# 00THER: FL# CITY OF Building & Fire Prevention Division SANFORD RESIDENTIAL RE -ROOF AFFIDAVIT FIRE DEPARVMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ADDRESS: . .... . j oo &r,4_- 0(a I a San Rcwd. EL 32U3 I_ra AS AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCWTECT, 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 #: CCC, 13 A U 3 1 COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICD A FINAL ROOF INSPECTION IS REQUIRED: DATE: /. /5-, THis SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE, FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OFEACH 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, TITE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF Sworn to and Subscribed before me this %, day 20 A'R_ by: Who is Q'6rsonally Known to me or has E, Produced (type of identification) "*J� , " za� - Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public as identification. MARIE ELAINA DUARTE My COMMISSION # GG045749 EXPIRES October 21,2019 Building & Fire .Prevention Division RESIDENTIAL RE -ROOF A FFIDA VI T RESIDENTIAL. RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT ri: �� S—1 — ADDRESS: l nt 0� SC n I r _• AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARC Ir(LC1, OF F.S. CIIAPI FR 468 BUILDING INSPECTOR, I IIL•RLIIY AFFIRM, TIIAr A1.L OF Till, FOREGOING INFORMATION IS TRUE AND AC'CURAT'E ASiD THAT ALL ROOFING COMPONEN"I'S LISTED ON T HE SC'OPL- OF WORK AT T Ilr ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE t nil THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIRI:MII:NTS—SP'F.CIFICAI I Y I'I,ORIDA BUILDING CODE, 1 XISTING $UILI)ING. IN ADDITION I CERTIFY TI11: INSTALLATION MEETS ALI. REQUIREMENTS FOR SECONDARY tl ATER BARRIER AND NAILING OF TIIE ROOF DECK, Iv AC(-.ORDANCF WrrH THE I{URRICANE RETROFIT M .kNUAL REQUIREMENTS-WASED ON F.S. CHAPTER 553.844). LICENSE: 4: _ rr r , 1 _`, .Z (2 3 31 COMPANY /CONTRACTOR: S j[ -��C CO\TRACTOR SIGNAT URE: DATE: ( `9UST BF SIGNED BY LICENSE HOLDER OR OlVNIi4RUI,DER) A FINAL ROOF INSPEC`T1O\ IS RFQiIIRFD- THIS SIGNED AND NOTARTZF.D AFFIDAVIT JIL'S'r BE PROVIDED AT THE JOB SITE AT THE: TIME OF THE FINAL, ROOF INSPE:CI'ION, ALONG WITH DIGITAL. P11070GRAPHS OF EACH PLANE OF THE ROOF SHONN ING IN DETAIL. ALI_ COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERIMIT NUMBER OR ADDRESS CLEARLI' MIARKED ON THE DECK FOR EACH ISSPEC110N. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRNI ALL NAIL SPACING AND OVERLAPS, iti('1.UDING DRIP EDGE AND VALLEY FL ASIIING. PLEASE REFER 1'0 T'HE: RE -ROOF' POLICY AN INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. **FAILURE TO FOLLONV 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, TFIE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OFr Sworn to and Subscribed before me this .)_ day of 20 by; Who is ifersonally Known to me or has " Produced (type of identification) Signature of Notary Public State of Florida Print/Ty pe/Stamp Name of Notary Public as identification. +' MARIE ELAINA DUARTE ,11 MY COMMISSION A GG045749 ",;,;, EXPIRES October 21, 2019