HomeMy WebLinkAbout102 Rose Hill Trl (3)a��
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / y 5-1 11
.,��A�29201
fyh
Documented Construction Value: $ a/D,6X77°�
Job Address: 102-, P&O h�u, of l.. %feRp FL 3L741 Historic District: Yes ❑ No [9
Parcel ID: ►A- Zp- 3 - S03 -- l?.� Residential 19 Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair A Demo ❑ Change of Use ❑ Move ❑
Description of Work: A - ay c
Plan Review Contact Person: 3P-IAN5a1El tQMAt.- Title: &h at'01i !,t(
Phone: " 9'%y -3R3I Fax: Email:f(� MNDoOHIuG�SFt✓t�S, I
Property Owner Information
J f4 Name til)f AoPf'I. Phone:
Street: 07- if(oa, 1Au. 7 -0. 1, Resident of property?
City, State Zip:
Contractor Information
Name Irl owa �ama Loc- Phone: #07-960-3631
Street: ig70 A QPola0?F S2 . JV !;V/7-C-' Fax: M-Az2-0�0Z
City, State Zip: Zv4.I aayb FL 37,:tS0 State License No.:
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
E-mail:
Mortgage Lender:
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 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: 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.
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.
ra4�8'
Signature of caner/Agent Date
Print
ne--� I k9l,
SignaNq of Agent D to
frcrll4 40&+t6e
Print C ctor/ nt' e
7�7/
�`n�Y•nC��aCLINT ROTH
C`,
j� A4Y COMMISSION # FF2932t3 hlY COh1,MISSION # FF2132E�9
EXPIRES March 24. "A
2019
EXPIRES March 24, 2019
-s��: p"� FloriaafJoia.Service. a>m
(•1G 7)R£'t:"S3 FiorinBNotaSe,vica.c+lm t4G!)_ .
Owner/Agent is Personally Known to Me or Contractor/Agent is /Versonally Known to Me or
Produced ID Type of ID afolvetfl 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: June 30, 2015 Permit Application
CUSTOMER AGREEMENT / CONTRACT PROPOSAL
J&M, Restoration Services Inc.
Central Florida Office
1970 Corporate Sq. Suite D
Longwood; FL 32750
Yhone 407-960-393 t rax Jd 1-866-
FL License# CGC1525663
Sales Rep Lou
U M eTo
Customer Nam
Address
j 02 pro e, P � 1 i(A
Insurance Company
Siak2 Farm
Date Re orte Date of to
e ►
City State Zip
Sa YJ FL ' 03
Claim #
59-Uc�R�-49N
In cc Com7 Number
fi- r3o
.isle honc?$f - t(oo- 3 1 to _
t0
Policy# laO - ,. Io--1-1t.J-t - t i
lV "1
�dtusterPhine# _ (E�r_ ��.-Ify�
C 1
Cell
L4o� -11(o- 1152
Mortgage Company
UdellS Fin o
Mortgage Company #
Email
..�r.Cl -i C •ht','
Loan #
�3to22�a2jUa
e of Loss
WInd ❑Had
Scope of Work
Driveway Cracks ❑ Oil Stains
Removal and disposal of existing Restoration system down to
drip edge,
Ceilings ❑ Stains ❑ Mold
the wood deck. Includes: shingles, underlayment, .
pipe boots, ridge/off ridge vents, valley metal
Dumpster
Re -nail wood deck with 8d ring shank nails,. per city code
14Driveway
cl
Shingle a` F I
ent d ll I
Install new unerlaym.
(Brand) ( Color)
' Install new drip edge, roof vents, and replace pipe flashing
rEC
t
Upgrade Cost
Protect landscaping driveway, and other household
components not associated with project
Drip LLh��L
Remove/Install existing satellite dishes "(Note: These may
(Color)
need to :be recalibrated by satellite provider.)"
A solar contractor will remove and reinstall solar panels and
solar wster/heating systems as needed to perform tear off/reroof
Notes
0 E O ' Ct 2 1 t
C.
Additional Wood work: 2'sheets will be replaced for free and
$70 per sheet after that. $5 per Linear foot of lumber
X
Total Investment Summary '
jt Z�O� F Z It is agreed upon the amount of the contract shall be based on the amount equal full
Deductible ` replacement cost value as stated on insurance `scope of loss" including deductible and all
In the event of a discrepancy, the deductible upgrades, supplements, extra charges unless otherwise noted
amount stated on the insurer's Scope of Loss x n
shall overrule Deductible listed. pw1.
Bid Price
Due to the unique nature of repairs related to insurance claims, this contract does not include an explicit price because the final scope has not been agreed upon with the insurer.
Reaching agreement. on the fill scope of repairs involves considerable time on Company'spart; we will not proceed with this phase unless you agree to allow us to do the work
once the scope is agreed. upon. By signing this agreement, you authorize J& M Restoration Services, Inc to reach agreement on the price and scope of repairs on your behalf. IBM
Restoration Services, Inc. agrees to bid the workusing the primary insurance industry pricing database. (Xactimate) based on the scope of work agreed upon with your insurer.
including general contractor markup at customary insurance industry rates (20% markup on Xactimate line items).. Any substantial additions or deductions to the scope of work
will be handled by written construction change orders. No verbal contracts agreed to AB items agreed upon must be in writing. If YOUR INSURANCE COMPANY DENIES
YOUR CLAIM, T itS AGREEMENT/CONTRACTSHALL BECOME NULL AND VOID.
NOTICETO INSURANCE COMPANY • ASSIGNMENT OF CLAIM • COVENANT OF PAYMENT.
Owner hereby assigns any and all insurance rights, benefits, proceeds and any causes *faction under Dray applicable insurance policies which cover the damage to the property
that Company is to repair pursuant to this contract. Owner further assigns and authorizes Company to seek reimbursement from Owner's insurance carrier for payment owed
to Company for services rendered or to be rendered by Company via the initiation of a civil action in a court of competent jurisdiction or other means of recovery. In this
regard, Owner waives privacy rights. Owner makes this assignment in consideration of Company's agreement to perform services and supply materials and otherwise perform
its obligations under this contract, including not requiring full payment at the time of service. Owner also hereby directs owner's insurance carrie(s) to release any and all
information requested by Company: it's representative. and/or irs Attorney for the direct purpose of obtaining actual benefits to be paid by Owners insurance carrier(s) for
services tendered or to be rendered
Acceptartce ofTerms'ihe above specifications, scope of work and conditioru are satisfactoryand am hereby accepted. It is agreed upon that the amount of contract shall be based
on the amount equal to full replacement cost value, (RCV) as.elated on the insurance "Scope of loss including deductible and all upgrades, supplements, cut-Wchanges, unless
otherwise noted. J&M Restoration Services. Inc. is hereby authorized to do the work as specified above,,: along with. Xactimate"estimate, scope of work, and missing items from
insurance loss report. Owner acknowledges reading, understanding and accepts the additional terms and conditions on the back of this Corm. Buyer's Right n Peeto red - If the buyer
wishes to no longer receive the goods or services presented, buyer may cancel this agreement by providing written notice to IBM Restoration Services, Inc. ra Pelson, a Telegraph
or by Mail.. This notice must indicate that the buyer does not want the goods or services and must be delivered or post marked before midnight of the ird(3"q 6usine day slat
the agreement is signed
r er Approval
J&o Pro)�e `Manager Additional Owner Approval
,hi, cons roc[, you agree to act terms oe front and bark of this ao n[
t THIS INSTRUMENT PREPARI�(,� 5�4wo �ED BY: J AND M ROOFING SERVICES INC
Name: UARE UNIT D
Address: 32750
Permit Number.
Parcel ID Number. /Lof-ad J/ -.Sa3 _ i/m/iC)
� li�lll 11�� �III� �llllt Illll dill Ifll li�l
GRANT MALOYf SEMINOLE COUNTY
CLERK OF CIRCUIT COURT t, CONPTRCILL_ER
BN, 9041D Ps 1792 (1Ps;) r•
CLERK'S T 2017126340
RECORDED 121/14/2017 12:49'40 PI1
RECORDING FEES $10.00
RECORDED BY tsmith
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 PROP al description of the property and street address If available)
AM /i/ frQ a
2. GENERAL DESCRIPTION OF IMPROVEMENT.
3. OWNER INFORMATION ORTESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: 1.
Interest in property. (U
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR• Name -j ii . ( Phone Number.
Address: 1 1
5. SURETY (If applicable, a copy of the p4ment 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(l)(a)7., Florida Statutes.
Name: Phone Number.
Address:
8. In addition, Owner designates
of
to receive a copy of the Llenoes 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 specrfied)
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
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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
;;(8lgrmWie'ur.Owne'o►L' .,or, . orlemeea ...: '. Pf...` .,.�..,.;t'-
Aufhortmd 0ffiew1Dk9ftrlParinedMmager)
State of FLl')2 i D A County of
r : (Prinws: t fferomce) ,
The foregoing instrument was acknowledged before me this ( D day of 1 Z . 20
by � K)1� C— 1`i F= l . . Who is personally known to me ❑ OR
Name o►person maidng statement
who has produced identification &type of Identification produced: j` C DI
R•'•:• , CLINT ROTH
?' MY COMMISSION # FF213
,.,r �rir r�?SRj't
d EXPIRES March 24, 201S f rF,jl" b ii C
trf117,µ C,S� FlortdallozvyService.Cort
E5(
nat2
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
S?-;771
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description(including
Florida Approval #
decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
Ne
Ll 2 - Ato
Underla ments
Roofing Fasteners
P R i�
► . Ate✓ AD&F AVIV 41401MAeC-1
-
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
fF• ✓E YI'
l.-aoswr (L
Other
June 2014
Category/ Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name
(Please Print)
June 2014
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: V—Ae�
an agent of:
(Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific P rmit and application for work located at:
tv FL -
Address)
Expiration Date for This Limited Power of
License Holder Name:
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF
The for oing ins ent was ac owledged before me this.day of UI -J ,
200by (i ft _&fx who is,40ersonally known
to me or o who has produced
identification and who did (did not) take,#n oa�o
LINT ROTN
- ": MY COMMISSION # F F21'2E9
^ ,a�$ S W? ch 24, 2019
a.�
44rhAbC')3 FlorictoNo:yService.com
(Rev. 08.12)
Print or type name
Notary Public - State of
Commission No. FFZ
My Commission Expires:
as
CITY OF
Building & Fire Prevention Division
RESIDENTIAL RE ROOF POLICY &:PROCEDURES
FIRE,DE'PARTM1ENT
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 INSPECTIONJS 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)
s 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:
P
CITY OF
PERMIT
Building & Fire Prevention Division
FIRE DEPARTMENT RESIDENTIAL RE ROOF SCOPE OF WORK
JOB ADDRESS: to &.ScgALA' IA-L 3 'I
STRUCTURE TYPE: (A 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: 11,1% C,hy PLy o"D
**PLEASE NOTE: ONLYI00 SQUARE FEET OF THE EXISTING DECKIS PERMITTED TO BE REPLACED**
ROOF VENTILATION: 0 OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
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
(36 4:12 OR GREATER
O TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
*
T ��
FL# O�G .►R
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TI[,E
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#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
CITY OF
Sk�40RD
Building & Fire Prevention Division
RESIDENTIAL RE ROOF AFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: I�r ADDRESS: PZ_ Pose 4w,�L,
Lel'-- , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTO NGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOR TION 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 #:
COMPANY / CONTRACTOR: J -'5fAV(CC5
CONTRACTOR SIGNATURE: ! DATE:
(MUST BE SIGNED BY LICENSE HOLDER OR O ILDE
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH 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
Sworn to and Subscribed before me this
S day of F" 20 4 by:
jfflCPAII�- Who is ❑yersonally Known to me or has ❑ Produced (type of
identificatiaM A as identification.
Signature of Nota ublic
H r '
CT-U T ROTtl
State of Florida
a- kj cov�4,�v ors �Gz:S"
EXF'1R S P!,j ah ew CI9
Print/Type/Stamp Name
of Notary Public