Loading...
HomeMy WebLinkAbout103 Kelly CirJob Address: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: � - b g Documented Construction Value: $ s jvo Historic District: Yes ❑ No Parcel ID: 1 ,:IL' 020 —30 S / /-©QOo "©� SO Residentiatg—commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: RE -ROOF � )4e­9-2 OLD' D,(-CP 5ti.Wj6(,e-S l2e Pt#tee GvijLtt K."e-w '-s 2 wwA c l-e � _ti �-Aj&I-es �1 1630�� JZ� Plan Review Contact Person: HUGO AGUILERA Title: ROOFER SUPERV Phone: 407 403 1596 Fax: Email: TRUTEKWATERPROOFING@GMAIL.COM Property Owner Information Name ANDREA RUDIN Phone: 407 687 4204 Street: 103 KELLY CIR, SANFORD FL 32773 Resident of property? : City, State Zip: SANFORD FL 32773 Contractor Information Name TRU-TEK WATERPROOFING INC Phone: Street: 11621 GRAND BAY BLVD, CLERMONT FL 34711 Fax: 407 885 3805 City, State Zip: t✓�e42A"" 4- F1 3C/Z I State License No.: Architect/Engineer Information Name: N/A Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: N/A Address: Mortgage Lender: Address: Me CCC 1331331 N/A 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:.lune 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 constru nd zoning. N 7-1 Sig cure ofOwner/Agent Date``Signatof Contractor/Agent Date F � Ire ✓-} JZy t� �`YU �-ev 3 Oa2-f-r �l O Print owner/Agents Name Print Contractor/Agents Name �r (- (7-1 � C� Sign, re of Notary -State of Florida Date S atUrc of ZEE c State of Florida .s►r Notary Public State of Florida as Julio C Veras s,ort FF952974 My Commission FF 952974112020 -I I Expires 01/21/2020 Owner/Agent is Personally Known to e or Contractor/Agent is Personally 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 Total Sq Ft of Bld Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: # of Stories: Plumbing - # of Fixtures # of Heads Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: FIRE: WASTE WATER: BUILDING: Revised: .]Line 30, 2015 Permit Application cr# Property Record Card Parcel: 12-20-30-511-0000-0650 Property Address: 103 KELLY CIR SANFORD, FL 32773-7338 Parcel 12-20-30-511-0000-0650 Owner RUDIN, ANDREA A RUDIN, DANIEL A Property Address 103 KELLY CIR SANFORD, FL 32773-7338 Mailing 629 WASHINGTON OAKS CT LAKE MARY, FL 32746-3554 Subdivision Name MONROE MEADOWS Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 2018 Working Values 2017 Certified Values Valuation Method Cost/Market 0 CosttMarket Number of Buildings 1 1 Depreciated Bldg Value $85,495 $80,683 Depreciated EXFT Value Land Value (Market) $20,000 $20,000 Land Value Ag Just/Market Value " $105,495 $100,683 Portability Adj Save Our Homes Adj $0 $0 Amendment 1 Adj $5,589 $9,859 P&G Adj $0 $0 Assessed Value 1 $99,906 $90,824 2017 Tax Bill Amount Tax Estimator Save Our Homes Savings: Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $99,906 $0 $99,906 Schools $105,495 $0 $105,495 City Sanford $99,906 $0 $99,906 SJWM(Saint Johns Water Management) $99,906 $0 $99.906 County Bonds $99,906 $0 $99,906 Description Date Book Page Amount Qualified Vactimp WARRANTY DEED 4/1/2013 08022 1851 $64,000 No Improved WARRANTY DEED 1/1/2006 06087 1752 $146,500 Yes Improved WARRANTY DEED 11/1/2003 05134 0537 $103,000 Yes Improved WARRANTY DEED 9/1/1995 02975 1180 $73,400 Yes Improved Method Frontage Depth Units Units Price Land Value LOT 0.00 1 0.00 1 1 $20,000.00 1 $20,000 is bea/batn count Incorrect? DICK Here. # Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 1 I 1995 6' 2 2.0 966 1,596 1,076 $85,4951 $93,437 Description I Area r" I - Name Address j D3 t-C*,-t1C-i Cj lZ- Tru Tek Waterproofing Inc. City/State/Zip Si9Wvf02j 11621 Grand Bay Blvd. • Clermont, FL • 34711 Phone 07 tiaOC/ 407-885-3805 • TruTekWaterproofing@gmail.com Licensed & Insured • #CCC1331331 RE -ROOF SPECIFICATIONS We hereby submit the following proposal: TO 3-TAB SHINGLE TO DIMENSIONAL SHINGLE �2 _ Tear of existing _ Tear of existing _ Remove existing slope roof to a workable surface. Remove existing slope roof to a clean woy able surface. Replace all rotten sheathiqgAMd fascia. Replace all rotten sheathing and fascia. _ Re -nail existing roof dprper SFBC 3401.8 (h) Re -nail existing roof deck per SFBC 3401.8 (h) _ Tin tag 30# bases et. ASTM Tin tag 30# base sheet. ASTM _ Peel & Stik Peel & Stick ReplacA�ain, stacks and metal vents. Replace all lead stacks and metal vents. Install fungus resistant fiberglass shingles in choice of color. Install Class "A" fungus resista t fibergs shingles in choice of color. Color s to be Color of Shingles to be�XqJ�,fAli�4 _ Shingles to have a minimum 25 year man ufacturers_warranty. Shingles_to.-have-a_minimum 40 year rfianufacturers war anty. _ Slope roof to have a 5 year warranty against leaks due to: workmanship. _ Slope roof to have a 5 year warranty against leaks due to workmanship. TO CEMENT TILE _ Tear off existing Remove existing slope roof to a clean work surface.` " _ Replace all rotten sheathings Re -nail existing roof deck per SFB 401.8 _ Tin tag 30# base sheet. _ Peel & Stick _ Replace all eave dri N, etal with new galvanized eave drip metal. _ Replace all lea acks'and metal vents. _ Hot mop 90# mineral surface roll roofing over base sheet. _ Install flat or double roll cement tile in choice of color. _ Color and manufacturer of tile -to be: Category #1_ _ Tile to be installed with Poly -Foam AH-160`roof tile adhesiyer''1 _ Slope roof to have a 10 year warranty against.leaks due'to workmanship: Repair FLAT DECK, Remove existing slope roof to a clean workable su R lace all rotten sheathing and fascia. Re- .. existing roof deck per SFBC 3401.8 (h) Tin tag 7 ase sheet.! Peel & Stick Replace all eave dr el Replace all lead stacks a Replace flashing to slope ,Peel &-Stick Base Peel& Stick Membrane Flat roofto have a 5 year Insulation ". eave drip metal. warranty against leaks due to workmanship. J Other _✓✓Clean up and remove..roofing'-materials upon completion of work. _ Secure all permits as necessary ifor-tFie=aboye.,- 10 Year Warranty on Labor on all Re -Roofs We propose hereby t_dk-,5A4-f4V411J1�i nish material and labor - complete in /accordance with above specifications, for the sum of: O O 4" dollars($) 5' 00 S PAYMENTS TO BE MADE AS FOLLOWS: % DOWN Finance charge per month on unpaid invoices after 30 days after completion of mob. Uffl c '/2 UPON COMPLETION All work will be completed in a workmanlike manner according to standard practices. Any alterations or divisions additional cost and will be performed only in event of a written order executed by the authorized parties. The per under the terms of this agreement is contingent upon any strikes, accidents, or death beyond our control, includ Owner to carry fire, tornado, liability and any necessary insurance. Authorized Note: This proposal may be withdrawn by us if not accepted within 15 days Signature Acceptance of proposal - The above prices, specifications and conditions are satisfactory and are hereby specified. Pay nt will be made as outlined above. Signature Signature Date of Acceptance specifications shall be at -Tek Waterproofing, Inc. to do the work as Tru Tek Waterproofing Inc. STANDARD TERMS AND CONDITIONS OF THIS CONTRACT 1. Tru-Tek Waterproofing, Inc. guarantees that all materials furnished will be of standard quality, type and condition and will be installed, built or applied where applicable in a good and workmanlike manner, said labor and material guaranteed against material defects for a period of years) from date of installation, the liability of Tru-Tek Waterproofing, Inc. for defective material, work or installation under this guarantee is limited to the replacement or correction of said defect. 2. Due to the nature of the work and use of hot asphalt, owners must assume responsibility for removing vehicles, closing windows, closing or removing awnings and any other objects that tar may fall on or drip or and cause damage to. If tar falls or drips on the paint or stucco, Tru-Tek Waterproofing, Inc. will do its best to remove the tar but the owner will be responsible for any touch-up (re)painting. 3. The buyer agrees to afford. Tru-Tek Waterproofing, Inc. with water and electricity. 4. We cannot assume responsibility for any damages done to the roof by plumbers, electricians, air conditioning repairmen or any other tradesmen. 5. The prevailing party shall be entitled to recover all costs including reasonable attorney's fees in the event that any dispute arises under this contract, this shall apply whether suit be instituted or not. All delinquent accounts shall bear interest at a rate of 18% per annum. 6. WE DO NOT GUARANTEE our roofing against leakage due to fire, hail or tempest, nor to punctures made by fastening or wire fixtures, nor the erection of any hatchway, penthouse, flagpole, pipe or other structure, support or brace subsequent to the completion of our work. 7. WE DO NOT GUARANTEE AGAINST LEAKS CAUSED BY TERMITE INFESTATION 8. In the event that a lien is filed for non-payment, the homeowner will be invoiced an additional $50.00 and $25.00 for removal of same at the final payment of this contract. 9. WE DO NOT GUARANTEE AGAINST IMPROPER BUILDING OR FLOOR DECK CONSTRUCTION. 10. WE DO NOT GUARANTEE against any acts of nature or winds above 30 miles per hour. 11. Customer must be aware that in the event that their roof goes through a hurricane all Warranty & Guarantee are voided. N THIS INSTRUMENT PREPARED BY: Name: TRU-TEK WATERPROOFING INC Address: 11621 GRAND BAY BLVD, CLERMONT FL NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: Parcel ID Number: t E_PIR-d0i._E CQ{Jha'-y I- )NIPTROLLER CLERK'S ?ri a 2655 %I )+L'41.�)':iu` I'' ii'.`(•(. 2Dll; 1f';7"•ai..:.)7 'r3i'� �'ttN i�b50-�5th 1'IIi 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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) LOT 65 MONROE MEADOWS PB 46 PGS 16 & 17 103 KELLY CIR, SANFORD FL 32773 GENERAL DESCRIPTION OF IMPROVEMENT RE ROOF Z >I�-!L ©ICE 3-%1 ,�-Kj& fL.�S rd *JWU)fel-e- SA ou& ,e •Sc— OWNER INFORMATION: Name. ANDREA RUDIN Address: 103 KELLY CIR, SANFORD FL 32773 Fee Simple Title Holder (if other than owner) Name: N/A Address: CONTRACTOR: Name: TRU-TEK WATERPROOFING INC Address: 11621 GRAND BAY BLVD, CLERMONT FL 34711 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: N/A In addition to himself, Owner Designates Section 713.13(1)(b),,Florida Statutes. of To receive a copy of the Lienor's Notice as Provided in Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different date is specified) 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. Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in it are true to the best of m knowledge an el'ef. Owner's Signature Owners Printed Name Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead:' 123!S-0_(-�,d\_ 60 ~g�,(f-C�> State of iloodl+ County of Lg i!G e S� y� �•` The foregoing y g g instrument was acknowledged before me this day of 1 i^/,i'►JL 20 �� `Y`• �; ,ir by rJ �'✓r�� 1 `� Uv Who is personally known to me ❑ Name of person making statement OR who has produced identification ❑ type of identification produced: Notary Public State of Florida Julio C Veras M - My Commission FF 952974 Expires 01/21/2020 Notary Signature Tru -Te k Wate rp roofi n g Inc. POWER OF ATTORNEY Date: Z / Ae I hereby name and appoint 50 4*0 Z4 40A-) 12/'U-{ rd4 Sewn D l� ofLIUJUCW Qal2b�fi` �'�C to be my lawful attorney -in -fact to act for me, and apply to the Division of Building Safety for a / /C/- permit for work to be performed at a location described as: Parcel ID #: Section Township Range Subdivision Block Lot (15 Digit Parcel Number) Subdivision Name: "0A1A>-0 C M LICA—DflcOS IPb V (p his Owner of of Property: A N b12,eq /9 U D/A2 Project Address: /03 1f&�,Y City: S 9CC 1?P A4e Zip Code: 0 27;�3 and to sign my name and do all things necessary to this appointment. J O ORTILLO CCC#1331331 (Contracto e) e or Print) (Contractor's License Number) (Contrac gnature) The foregoing instrument was a owle ed before me this / day of���jYlwrlje of 20 `5, by 40 017XZZ0 who is personally known to me or who produced XG L as identification and who did not take an oath. JULIO C. VERAS Seal Notary Public (Print name)) /'� .r Notary Public State of Florida 1/ :° Julio C Veras • My Commiss�o� FF 952974 ry Public (Signature) Expires0112112020 Tru-Tek Waterproofing, Inc. 11621 Grand Bay Blvd Clermont, FL 34711 1 (407) 885-3805 1 Trutekwaterproofing@gmail.com CITY OF SAl Building & Fire Prevention Division " .�+ORD 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 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. r � CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:Lf-� el" DATE: Ti b �� CITY OF C /� NFOj,jd71 PERMIT # vj•�jr ,i,J Building & Fire Prevention Division FIRE E n" �`t NT RESIDENTL4L RE -ROOF SCOPE OF WORK JOB ADDRESS:_ STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: �LACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): f Aj 00 a **PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES I SKYLIGHTS: O YES Cd0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 :12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE �.14s wa>>4 G !� FL# O META- FL# O MODIFIED BITUMEN FL# 0TORCH DOWN FL# OINSULATED FL# O TILE FL# n OTHER: r r w� I •C R �}" 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# 0INSULATED FL# O TILE FL# O OTHER: FL# l.ki}y.•CITY OF Building & Fire Prevention Division RESIDENTLAL RE-ROOFAFFIDAVIT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: I TJ ' � 9 ADDRESS: 493 ? 6& C/�Z I ,,I pL. o (5 V f t' " -1 ` -0 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGIN ER, 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 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 #: /_ 1z11jy 13,3133 COMPANY/CONTRACTOR: CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICENSE HOLDER A FINAL ROOF INSPECTION IS REQUIRED: DATE: (` 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 1 p lee, Sworn to and Sub ibed before me this _�� day of ? (%'6 ` ` 20 / Oby: t OWho is ❑ Personally Known to me or has ❑ Produced (type of identifica,pon) �� as identification. Yrint/Type/Stamp Name of Notary Public JULIO C VERAS MY COMMISSION If FF952974 '4 EXPIRES January 21. 2020 o. i40r11A4-051 Fbrwl.�tn'YSorviu:.�r