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HomeMy WebLinkAbout108 Gleason Cove (2)A CITY OF SANFORD F-- — BUILDING & FIRE PREVENTION D JAN ��1 PERMIT APPLICATION i �g- (2 Application No: 3 DfL BY: Documented Construction Value: $ 7,245.20 Job Address: 108 Gleason Cv. Sanford, FL 32773 Historic District: Yes ❑ No ❑ Parcel ID: 02-20-30-523-000-1240 Residential ❑x Commercial ❑ Type ❑ ❑ of ❑ p ❑ Demo ❑ Change of Use ❑ Move ❑ T e of Work: New Addition AlterReroation Re air Description of Work: Shingle Reroof - GAF Timberline HD 22 Sqs. 5/12 slope. Plan Review Contact Person: F)PhhiP Plyhon Title: Phone: 407.696.7663 Fax: 407,695,7664 Email: staff rnnftnpcPrvir.Pc rom Property Owner Information Name Christopher & Jessica Robinson Phone: "M-`90 Street:' 108 Gleason Cv.. Resident of property? • Yes City,State Zip:,:- Sanford;-FL--32773 �� A Contractor Information y Name Roof Top Services of Central FI., Inc. Phone: 407.696.7663 Street: 1150 Belle Ave., Suite #1060 Fax: 407.695.7664 City, State Zip: Winter Springs, FL 32708 State License No.: CCC1326679 .,. ... Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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: 5th Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application A 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. ,i _ 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. C 2 Si tureofOwner/Agent Date L1 1 ZZ 1� Prin er/Agent's Name ignature of Notary -State of Florida Date Jp*CA•W,q���ii����: RiC011Q ••• �m • wperr/,kgent Personally Known to Me or * Proms ID Type of ID • ��6' tended ' �''+". 10 Signature of Contractor/Agent UDate Kristal A. Wingate Print Contractor/Agent's Name Signature of Notary -State of ""bEBORAH PLYBON MY COMMISSION # GG 102302 EXPIRES: September 4, 2021 Bonded Thru Notary Public Underwriters Contractor/Agent is x Personally Known to Me or 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: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application _ -T� r LIMITED POW ♦ ER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 12-28-17 I hereby name and appoint: Ryan Plybon an agent of: Roof Top Services of Central Florida, Inc. (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): ❑ All permits and applications submitted by this contractor. or Xl The specific permit and application for work located at: 108 Gleason Cove, Sanford, FL 32773 (street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Kristal A. Wingate State License Number: CCC1326679 Signature of License Holder: STATE OF FLORIDA COUNTY OF Seminole The foregoing instrument was aclai.owledged before me this 2017 , by Kristal A. Wingate to me or ❑ who has produced identification and who did (did-no_t_) take an oath. (Notary Sea]) =1N H PLYBON ION # GG 102302ptember 4, 2021 BondedThruPtit:.ir,Undenvriters Signature Deborah Plybon Print or type name 28th day of Dec , who is X personally known Notary Public - State of Florida Commission No. GG102302 My Commission Expires: og-04-2021 as (Rev. 8/06/13) GRANT MALOYy SEMINOLE COUNTY THIS INSTRUMENT PREPARED BY: CLERK OF' CIRCUIT COURT & COPIPTROLLER Name: Kristal A. Wingate Address: 1150 Belle Ave., Suite #1060 L'K `�I,I�.v F'e 1199 (1F'es ) CLERK'S AT 2017130887 Winter Springs, FL 32708-2962 RECORDED 12/28/2011 10.19>° 43 All RECORDING FEES $10.00 NOTICE OF COMMENCEMENT RECORDED BY hdevai-e Permit Number: Parcel ID Number: 02-20-30-523-0000-1240 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 PROPERTY: (Legal description of the property and street address if available) LOT 124 PLACID WOODS PH 2 PB 58 PGS 4-6 108 GLEASON CV SANFORD, FL 32773 2. GENERAL DESCRIPTION OF IMPROVEMENT: Roof Replacement 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Christopher & Jessica Robinson 108 GLEASON CV SANFORD FL 32773 Interest in property: Property Owner Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: ROOF Top Services Of Central Florida, Inc. Phone Number: (407) 696-7663 Address: 1150 Belle Avenue, Suite #1060, Winter Springs FL 32708-2962 5. SURETY (If applicable, a copy of the payment bond is attached): 6. LENDER: Address: Phone Number: Amount of Bond: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: Phone Number: 8. In addition, Owner designates of to receive a copy of the Lienor's 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 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. (Signature of Owner or Lessee, or Owners or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized Officer/Director/Partner/Manager) State of t ( - County of 6l"`► N - The foregoing instrument was acknowledged before me this 2 Z day of Ct -� C.� E(� 20 i by ' ESE I C k ��7INS8 Who Is personally known to rrl Name of person making statement who has produced ictQifl�tjp�i%rb�� of Identification produced: �,issiwvvr40 "1Z�� 500 Z FF9A0401 i 0• 0 6 •: qr el °need 'Ole : "�/+/[1111111111N 12/6/2017 SCPA Parcel View: 02-20-30-523-0000-1240 Property Record Card d' CFA Parcel: 02-20-30-523-0000-1240 Owner: ROBINSON CHRISTOPHER & JESSICA ��E courary tYdm+i Property Address: 108 GLEASON CV SANFORD, FL 32773 Parcel Information Parcel 02-20-30-523-0000-1240 Owner ROBINSON CHRISTOPHER & JESSICA Property Address 108 GLEASON CV SANFORD, FL 32773 Mailing 108 GLEASON CV SANFORD, FL 32773- Subdivision Name PLACID WOODS PH 2 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2012) Legal Description — LOT 124 PLACID WOODS PH 2 PB 58 PGS 4-6 Taxes — Value Summary 2018 Working Values 2017 Certified Values Valuation Method I Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value _Depreciated $152,020 $143,305 EXFT Value — — Land Value (Market) $25,000 $25,000 Land Value Ag — JusUMarket Value ** $177,020-- $168,305-- Portability Adj Save Our Homes Adj -------------- Amendment 1 Adj -- — $78,772 $0_..._____._—__ $72,078 P&G Adj $0 $0 Assessed Value $98,248 $96,227 Tax Amount without SOH: $2,416.93 2017 Tax Bill Amount $1,044.45 Tax Estimator Save Our Homes Savings: $1,372.48 * Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 4 $98,248 $50,000 I $48,248 Schools City Sanford $98,248 $98,248 $25,000 $50,000 $73,248 i $48,248 SJWM(Saint Johns Water Management) $98,248 $50,000 $48,248 —`_ --- County Bonds $98,248 $50,000 } $48,248 Sales — Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED ( 12/1/2011 107717 0056 $100,000 1 No Improved -------------------------------------------- CERTIFICATE OF TITLE - 4/1/2011 07562 1205 $100 No Improved WARRANTY DEED SPECIAL WARRANTY DEED 4/1/2004 11/1/2001 L05374 04227 �0001 -- ( 0441 $145,000 $104,9001 Yes Yes — _ Improved Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT 1 I $25,000.00 $25,000 Building Information # Description I Year Built I Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=02203052300001240 1/2 C�RSR ROOF TOP SERVICES PETS OF CENTRAL FLORIDA, INC. BBEI. 1150 Belle Avenue, Suite #1060, Winter Springs, FL 32708 www.rooftopservices.com - 407.696. ROOF (7663) - Fax: 407,695.7664 - state cart. # CCC1 326679 ROOFING CONSULTANT: CONSULTANT'S CELL: iio 8426 S w # Clearl-Vue Skylight, s PROPOSAL PREPARED FOR: INSPECTION DATE: P 7 ADDRESS: HOME PH- CELL PH: CT CITY, STATE, ZIP: -7 3 WORK PH: E-MAIL: ,4 JOB LOCATION (if different from address above): AFTER A VISUAL INSPECTION OF THE JOBSITE, WE HEREBY RESPECTFULLY SUBMIT THE FOLLOWING ESTIMATE: PREPARATION O OPTION #i- Initiali [0 Obtain necessary insurances, permits and inspections in accordance with the current Florida Building Code. Oinspect property and take necessary precautions to protect structure's exterior and landscaping. Remove(%layer(s) of existing roofing in its entirety & properly dispose of all related trash and debris. Manufacturer Warranty: DECKING & WOOD REPLACEMENT Workmanship Warranty: ---t.Y/ Z�nspect the existing roof deck, soffit and fascia hoard for any rotten/damaged wood and replace as needed per the following pricing Schedule: Shingle Series: Plywood - $ GO - Q I,) PerSheet IX - $—i;'. So /linearfoot 2X - _15� () /linear foot Color: i Fascia (Pine/Spruce) '7,) linearfoot Fascia (Cedar) $ n 00 linearfoot ®`Provide & install additional decking fasteners as needed to ensure compliance with the current Florida #1 Sub-Totai: 7_2 'rz e. Building Code. UNDERLAYMENTS 0 'OPTION #2:-, Initial: 121 Provide & install a Synthetic Roof Underlayment to the prepared roof deck; fastened to ensure compliance with the current Florida Building Code Nail Pattern. El Provide & install a double layer of 15LB. UL Felt Paper Unclerlayment to prepared deck of low slope roof; fastened to ensure compliance with the current Florida Building Code Nail Pattern. El Provide & install a self -adhering Waterproof Leak Barrier to prepared roof deck. Manufacturer Warranty: VENTILATION Workmanship Warranty: Ea Provide & install 10-ft. Aluminum Pre -Finished Ridge Vent IJ Provide & install 4-ft. Galvanized Metal Pre -Finished Off Ridge Vent Shingle Series: 11 Provide & install LF of Shingle -Over Vent El Provide & install 4-in. Finished Galvanized Metal Gooseneck Bath Vent Color: El Provide & install 10-in. Finished Galvanized Metal Gooseneck Kitchen Vent El Provide & install Other Venting #2 Sub -Total: Color Selection: *Standard factory point6h;fiV^jskSs_av(Lt1ob1e for metdl'ventilotion are Brown, Black, White or Mill Finish. El OPTION #3: Initial: FLASHINGS & MISCELLANEOUS El Provide & install 1%' pipe boot collar(s) El Provide & install 3" pipe boot collars(s) 0 Provide & install 2" pipe boot collar(s) 0 Provide & install rf 4" pipe boot collars(s) Manufacturer Warranty: 0 inspect flashings and replace as needed at a replacement cost of $ linearfoot El I Provide & install LF of Self Adhering Waterproof Leak Barrier & 26-Gauge Galvanized Valley Metal Workmanship Warranty: to all valley(s). Shingle Series: El Provide & install 34� 0 LF of new standard pre -finished, 2Y�-in. 26-Gauge Galvanized Metal Drip Edge to perimeter of roof. Color: Color Selection: Standard factory painted finishes available for metal drip edge are Brown, Black, White, Beige,.Grey or Mill Finish.- #3 Sub -Total: SKYLIGHTS & SUN TUNNELS • Acrylic / 0 Glass Quantity: Size: Model # 'ISLOPE.:ROOF: • Acrylic / 0 Glass' Quantity: Size: Model # COW ';I'-'n�ib�a"1:' • SUN TUNNEL Quantity: Size: Model # HIP & RIDGE Manufacturer Warranty: 19'Kovicle & install Standard Ridge. El Provide & install High Definition Ridge. Tapered Package/Insulation: ADDITIONAL WORK TO BE INCLUDED CONTRACT 4­1 P..J.,! Workmanship Warranty: Material Type: Color: CLEAN-UP [D Clean gutters free of all debris/waste generated by this construction. Low Slope Sub -Total: (Perform Perform a daily magnetic sweep of entire jobsite. 021ean up and properly dispose of all work related traslh'ind debris generated by this construction daily. Roof Top Services of Central Florida, Inc. hereby proposes to furnish material and labor complete and in accordance with above description and specifications, for the total sum of $7 5 � 0 PAYMENT IS DUE IN FULL IMMEDIATELY UPON COMPLETION OF WORK ACCEPTANCE OF PROPOSAL: By signing this contract, Ilarn authorizing ROOF TOP SERVICES OF CENTRAL FLORIDA, INC. to do the work as described above. The above specifications, conditions and prices are satisfactory and hereby accepted. You are authorized to do the work as specified. I understand and agree that payment will be made in full immediately upon completion of work. Signature: Acceptance Date, R 00.VrTbWSERVIICES IS NOT RESPONSIBLE FOR LOW SLOPESIOR PONDING WA *Wkk 0� Dk Lek he smshloe, A STATUTORY WARNINGS LIEN LAW ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001 -- 713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY/ OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. CHAPTER 558 NOTICE OF CLAIM CHAPTER 558, FLORIDA STATUTES CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY BRING ANY LEGAL ACTION FOR AN ALLEGED CONSTRUCTION DEFECT. SIXTY DAYS BEFORE YOU BRING ANY LEGAL ACTION, YOU MUST DELIVER TO THE OTHER PARTY TO THIS CONTRACT A WRITTEN NOTICE REFERRING TO CHAPTER 558 OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE AND PROVIDE SUCH PERSON THE OPPORTUNITY TO INSPECT THE ALLEGED CONSTRUCTION DEFECTS AND TO CONSIDER MAKING AN OFFER TO REPAIR OR PAY FOR THE ALLEGED CONSTRUCTION DEFFECTS. YOU ARE NOT OBLIGATED TO ACCEPT ANY OFFER WHICH MAY BE MADE. THERE ARE STRICT DEADLINES AND PROCEDURES UNDER THIS FLORIDA LAW WHICH MUST BE MET AND FOLLOWED TO PROTECT YOUR INTERESTS. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: (850) 487-1395,1940 N. Monroe St., Tallahassee, FL 32399-2202. Roof Top Services of Central Florida, Inc. cannot be held liable for damaged lawns, walkways, driveways or ceilings since access to and from the structure is essential for materials to be delivered and for work to be completed. We strive to avoid any damage at all, and will seek to access the structure with the least impact. Roof Top Services of Central Florida, Inc. is not responsible for any damages due to piping that may be attached to the underside of the roof deck. Roof Top Services of Central Florida, Inc. cannot be held liable for direct, incidental, coincidental, interior or exterior water damage, property damage, consequential damage, mold or mildew damage or personal injury related to the repairing or reroofing of the structure while job is in progress or after completion. Owner is to carry all necessary insurance (fire, tornado, flood, etc.) and any other necessary insurance. Disputes arising out of terms and I or conditions of this contract are subject to Mediation and Binding Arbitration by both parties. As a member in good standing, Roof Top Services of Central Florida, Inc. requires that all Mediation and Binding Arbitration be administered by the Better Business Bureau Care Program. Customer is responsible for any and all attorney fees related to their dispute. Should Contractor employ an attorney to institute litigation or arbitration to enforce any of the provisions hereof, to protect its interest in any matter arising out of or related to this Agreement, Contractor shall be entitled to recover from the Customer all of its attorney's fees, costs and expenses incurred therein, including attorney's fees, costs, and expenses incurred at mediation, administrative, appellate or bankruptcy proceedings. Any alterations or deviation from the agreed specifications involving extra cost of material or labor will only be executed u Pon written orders for same and will become an extra charge over the sum mentioned in this contract. All agreements must be made in writing. Roof Top Services of Central Florida, Inc. cannot be held liable for direct, incidental, coincidental, interior or exterior water damage, property damage, mold or mildew damage or personal injury related to the repairing or reroofing of the structure while job is in progress or after completion. Owner is to carry all necessary insurance (fire, tornado, flood, etc.) and any other necessary insurance. Roof Top Services of Central Florida, Inc. retains title to any equipment or material furnished until full and final payment is made. Contractor's Workmanship Warranty will become null and void if contract is not paid in full. Payments not rendered in accordance with contract agreement shall be subject to finance charges of 1.5% per month. There is a $35.00 N.S.F. Fee for all returned checks. In the event of collection, debtor is to pay all attorney's fees, costs and expenses incurred therein regardless of whether Final Judgment is rendered. These terms and conditions will be enforced. Hydraulic Dump Trailers will remain on site until all work is complete. If homeowner requires the Dump Trailer to be relocated or removed before the completion of the work there will be an additional charge of $195.00 per move added to the contract price. All paperwork [Permit, Notice of Commencement, Photographs and all affidavits] posted at job site must remain outside and accessible to the building inspector to allow for signoff of all inspections. If paperwork is removed before all inspections have been completed there will be a $100.00 re -inspection fee assessed to the property owner. Pricing is based on 1-layer of roofing. If additional layers are found, there will be an additional charge per layer. Roof Top Services of Central Florida, Inc. reserves the right to withdraw this proposal if not accepted within (30) days. Any approval(s) required by the Homeowner's Association is the sole responsibility of the property owner. Owner and/or Owner's agent agrees to allow Roof Top Services of Central Florida, Inc. use of water and power on site for the duration of the project. Should Roof Top Services of Central Florida, Inc, employ an attorney to institute litigation or arbitration to enforce any of the provisions hereof, to protect its interest in any matter arising out of or related to this agreement, Roof Top Services of Central Florida, Inc. shall be entitled to recover from the Customer whether or not a suit is filed all of its attorney's fees, costs and expenses incurred therein, including attorney's fees, costs, and expenses incurred at mediation, administrative, appellate or bankruptcy proceedings. Customer's Name (Printed) : 1 ,11�1 [�Q��SI� Customer's Signature: r Date:MW7 Customer's Name (Printed) : Customer's Signature: Date: i City of Sanford ' Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: O —2 �� ADDRESS: ©o ' C'-- �8 3 -2 -2 3 Kr (S fQ� A , W I x 4 ``' tE' , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCI IIir�T, 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 1 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#: C C t.3 Roo,` oS uL c Ce_� r4 FL COMPANY /CONTRACTOR: e,S � CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: DATE: .5 k3 _ /O 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 C'_IM L 1--0 le - Sworn to and Subscribed before me this �3 day of �e-,� 20 1 by: Wt R9Zh-5. Who is Personally Known to me or has ❑ Produced (type of identification) Signature of Notary Pub�i State of Florida i>_60r" Piy Gbo �) Print/Type/Stamp Name of Notary Public as identification. •�pAY?Ug��; DEBORAH PLYBON MY OO9MAY4 # GG 102302 'a EXPIRES: September 4, 2021 Bonded Thru Notary Pubiic Underwriters Ell City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: ADDRESS: //8 7,f, Vd 2)y. 3Z r7 9/ I 4- au Yf /-7y j , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRA TOR, ENGINEER, ARCHAECT, 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 #: C e C / 3 3 0 1 il COMPANY / CONTRACTOR: / • 0 CONTRACTOR SIGNATURE: DATE: (MUST BE SIGNED BY LICENSE LDER OR OWN ILDER) 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 _ day of 20 /9 by: Who is Personally Known to me or has ❑ Produced (type of identification) Signa ure of Notary Public State of Florida _ Print/Type/Stamp Name of Notary Public as identification. SILVIA RAMIREZ ': MY COMMISSION #,GG063106 EXPIRES January 17, 2021