HomeMy WebLinkAbout116 Reel Courtj..
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I S -- a.
Documented Construction Value: $ 8770
Job Address: 116 Reel Ct Historic District: Yes ❑ No ❑
Parcel ID: 07-20-31-507-0000-0080 Residential ® Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Reroof 23 squares of shingle using Interwrap rhino roof underlayment, carilsle on valleys
and GAF shingles q I I a o,4-&6
Plan Review Contact Person: Joanne Meehan Title: Permit processor
Phone: 772-621-0508
Name SRP-SUB LLC
Fax: 954-208-5900 Email:. jmeehan712@outlook.com
Property Owner Information
Streets 8665E Hartford Drive, Unit Ste 200,
Phone:
Resident of property? : no
City, State Zip: Scottsdale AZ 85255
Contractor Information
Name Bentley Roofing Phone
Street: 1777 Banks Rd
Fax:
954-979-2233
City, State Zip: Margate, FL 33063 State License No.:
Arch itectlEngineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
CCC1328148
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`h 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
f this county, and there may be additional permits required from Other governmental entitiessucli as water
management districts, state agencies; or federal agencies.
Acceptance o£permit isveriftcation fhat.'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 beconsidered 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 pemiit 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.
QwnedAgent j Date
Print 0MAI r/Agcaat s Mime
! P
f
Signature o Notary -State of Narida'Date ,
-mac
JNOTARY
OFFICIAL SEAL
TESS WOOD
PUBLIC, STATE OF ILLINOIS
Owner/AgenCo i�>5 1�t
20Produced IDype of CT)
g�? � MISTY LYNN DAUER
4AY COMMISSION # G0004222
EXPIRES.June 21, 2020
(407)39"153 FloridallotarvSamicn:mm
Contractor/Agent is Personally Known to Me or
Produced iD Type of ID
BELOW IS FOR, OFFICE USE OVLY
Permits Required: Building,[] Electrical ❑ Mechanical ❑
Construction Type: Occupancy Use: —
PIutnbing❑ Gas❑ Roof❑
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:
ENGINEERING:
C0M:M1 ENTS:
UTILITTES:
FIRE:
WASTE WATER:
BUILDING:
Revised: )unc.30, 2015
Pcrmit Application
Bentley Roofing LLC
1777 Banks Road
Margate, FL 33063
Phone: 954.979.2233 Fax: 954.208.5900
CCC1328148
December 4, 2017
Submitted to: SMS
B16140.35
RE: 116 Reel Ct, Sanford, FL, 32773
We hereby submit the following scope of work for residential re -roof.
Shingles — Remove 23.8 squares; replace with 27.4 squares of HD shingles (approved
by HOA), Includes new boots, ridge caps, drip edge, removal and disposal of all related
materials, and re -nailing plywood to code.
Material:
Shingles
30# Felt
- 1 1/4 'Nails
Plywood
- 4"membrane
- Boxes tin tags
- Drip edge (10' per piece)'
- Pipe boots
Total job cost $8,770 (includes first 3 sheets of plywood)
Shingles - $8,220 (27.4 squares @$300 per square)
Permit/ Dump fee - $500
PEW $50
**********Any additional wood will be billed at -
Plywood - $50 per sheet
Fascia - $3.5 per lineal foot, plus cost of wood (all 1'x 2', 1' x 4........ to 1' x 10')
Truss woodwork $ 2.0 per lineal foot plus cost of woo.d on all..
Does not include - A/C, skylights, solar panel, gutters- work unless mentioned in the
scope of work
10 yr. labor warranty included
Authorized Signer: Michael Devaney
Pro "e�M'Record Card l
tr�riff,�tmsan.CN4
rr� Parcel: 07-20-:31 ;07-0000-0060
Owner: SRP SUB LLC
I u^.Zh+.Wpt.4=(ii7Cfid`iY.f2ilFT1tA
Property Address: 116 REEL CT SANFORD, FL 32773
Parcel Information Value Summary
Parcel 07 20_„
31 507 0000 0080 ? ` 2018 Working 3 2017 Certified : I
-- -.._.
Owner 3 SRP SUB LLC ( Values Values j
i Property Address 116 REEL CT SANFORD, FL 32773 Valuation Method Cost/Market Cost/Market
- --- _ w_ _ __ .__.__. _ _- _.__.__ _._.. _ _. ; ( Number of Building's
Mailing 8665 E HARTFORD DR STE 200 SCOTTSDALE, AZ 85255 - --- -
___._.,-_--- u,_.__ ____: ._..__ __ _. ..____ Depreciated Bldg Value $82,498 $77,816
Subdivision Name , SANORA SOUTH UN.T'1 _
�— -- Depreciated EXFT Value $200 $200
_._.
Tax District j S1 SANFORD- — - -
- Land Value (Market) $19,500 $19,500
j DOR Use Code 01 SINGLE FAMILY
3 Land Value Ag
Exemptions I
Just/Market Value_- $102,198 $97,5t6
Portability Ad1 _ .. -
q �lS' # �,� a } Save Our Homes AdJ $Q... $0
11 _. __.
=` Amendmen11 t 1 Ad $0 $8,248 f
P&G Ad1 $0 $0
i t Assessed Value $102,198 $89 268_� _ €
4iu Tax Amount without SOH` $11753.98
r C.)y 2017 Tax Bill`Amount $1,753.98
Tax Estimator
A. Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
100 125
Seminole County S
Legal Description
i LOT'8
SANORA SOUTH UNIT 1
PB 19 PGS'76 & 77
Taxes
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County GeneralFund$102,198
i
$0
$102,198
'. Schools
, $102198
- _-
$0 _.
�
$..:,__...
102,198
City Sanford
$102,198
$0 :
$102,198
SJWM(SaintJohns Water Management)
$102.198
$0 ,
$102,198
County Bonds
$102,198
;
$0 l
$102,198
Sales
..
Description
Date
Book
j Page
Amount Qualified
...... -...
Vac/Imp
WARRANTY DEED
5/1/2017
08942
1433
$100_ No
Improved
I SPECIAL WARRANTY DEED
1/1/2014
08212
1201
$100 , No
Improved
WARRANTY DEED
_ .
10(112013
08159
0772
$143 No
Improved
TRUSTEE DEED
1011/2013
08174
1742
.m _._ .
$85,000 ' Yes
_.
............ .. .....
Improved
WARRANTY DEED
10/1/1998
03528
r
.64 1J
_
$66,500 'Yes
a Improved
i QUIT CLAIM DEED
10/1/1998
03521
0563
$100 No
Improved
QUIT CLAIM DEED
10/1/1990
02239
139$
$100 : No
improved
SPECIAL WARRANTY DEED
3/111988
01945
1201
$53,400 ' No
Improved
SPECIAL WARRANTY DEED
12/1/1987
01916
1315
$51,100 No
Improved
CERTIFICATE OF TITLE
1211/1987
01914
08_03
$63,100 No
Improved
Page 1 of 2 (16 items) 111 2
Starwoo
9 HOMES
LETTER OF AUTHORIZATION
The following SMS Assist employees are fully authorized to act on behalf Adalwin LLC; Beauly
LLC; CAH 2O14-1 Borrower LLC; CAH 2O14-2 Borrower LLC; CAH2O15-1 Borrower LLC; ColFin AH-
Florida S LLC; ColFin AH-Texas 3 LLC; Cal Fin AI -AZ 1 LLC; ColFin A( -CA 4 LLC; ColFin AI -CA 5 LLC;
ColFin AI -DE 1 LLC; ColFin AI -FL 2 LLC; ColFin AI -FL 4 LLC; ColFin AI -GA 1 LLC; ColFin AI -GA 21LC;
ColFin AI -NV 2 LLC; ColFin AI -PA 1 LLC; ColFin AI -TX 1 LLC; CSH 2O16-1 Borrower LLC; CSH 2O16-2
Borrower LLC; CSH Property One LLC; CSHP One LP; Dallin LLC Dunley LLC; Fetlar LLC; Inverclyde
LLC; Louden LLC; MoRen LLC; SFR 2012-1 US West LLC, SRP Sub LLC a Delaware LLC; SRP TRS
Sub LLC; SRPS LP; Starwood Waypoint TRS LLC; SWAY 2014-1 Borrower LLC; Tarbert LLC and
Tirell LLC (together the "Entities") solely for the purpose of signing Permits, Affidavits, and
_.. Notice of.Commencements for..the provision.of homes owned by the Entities until this Letter -of
Authorization is changed or withdrawn by written notification.
AlexCotio
Director of Operations
Claire Caldwell
associate Director of Residential Services
Neil Harrington
Associate Director of Residential Operations
G,ary Ecu•a;,,ds
Associate, Directorof Residential Operations
Aaron Messner
Associate Director of Residential Operations
Lynn A. Robbins
Director of Construction
Address for Correspondence:
Colony S ar'.-f&od. comes
8665 2s ,1—'ZrVord Drive, Suite 200
S-ott_:daie.S5255
r =f
f
Signot�� o``vr_nyrG czr Date
Printdd..Name of Company D{{icer .
Title
(312)878-6159
(312)690-7501
(312)267-0589
(312) 548=6573
(312) 273-6537
(312)267-1646
Colony Siarvrood Homes - 8655 ost NOritord Drive, Su to 200 • Scottsdale. AZ 85255 - T: 4,80.800.3300
PZ
CotonyStarwood
R' HOMES
STATE OFAY—'(V III tA
)ss.
COUNTY OF
On this 7 day of Av u, u 4-, 2017, before me personally appeared
to me known to be the person described in and who
executed the foregoidi instrument, and acknowledged that he/she executed the same as their
free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day
and year last above written.
My commission expires:
('D 0 tjwl I
r4q6 r , P -b'Y,
t A 60 0 1
Pr I inted Na6
NANCY REHORST
N a - Arizona
ot ry Public
=,Z]'MaricoDa County
My Commission Expires,
October 6-2019
Colony Star,%(ood Homes - 8555 East Hariford Dnve, S0-= 200 - Scottsdale, AZ 85255 - T: 480.800.3300
J� 4 n h e ✓Y�p �.h.tjn
PC OUT NUNium.
\(YIIC:F 01" C-QMNIENCEA7E NT
The --di igned heiehy gives jai ice tint iiryrovtu ent will be made to certain real propuly and in accordance with Gh:t}tter 713,
Fluridn Srntu(cs: the fodotving m ror n131100is pro"Rhd in this Notice of Commencement
L DFSCRIPTtON Os P0.pPERIY (I.agal drscri�>li,n of dlc IMr'V,atr a;sinCt addicts, irnvailgDlC) TAk i'O1J0 TQ• 07-20.31-W-OOMODW
SUBDIMICIN MOM SOLO Unit 1 Pb 19 Pas 76d77 BLOCK,_ —__ --
116 Reel Ct Sanford, EL 32773
z: cenFNwLosxxirrionunrHrRo��rnre�•r: ----_—
,'TRACT Lp1'8 _BLDC. (iyi7
5. s)%t'NER IKr0RN7ATf4'r OR LESSEE lNF0Rh1AT1rIYtr THE LESSEECONTRACITI,F(IRJ rJE rnIPROYLVENr:
Nd. .ad,ddrth: ±12 Sub LLC 8685E Hanford Dr Ste 200 Scottsdale, AZ 85255-7807
n. IdImm � arre,Y owner —... _.
c NMI. JIM redmrtor ret simpic,GdchMdrr (if dim . -I nd m UtPoar listed a6aveC
i, a• CON7kACTO1t56,t,lttE� Bentley Roofing—__—..—_--- —�
Canrcacta,•,.adrts3: 1777 [tanks Road. M r ate, FL 33063 954-979-2233
3. SUSt"yC'r.PPlicddc, 4 twp¢of lnC paymen bond is bathed): ------ —^.
a Name uq,ddren
7. Persons mthin the Stole ar Florida &,me-iatcd by ()caber upon Boom, notice or other dixum.r it r ,ay Ix served as provided b;• ,Sec -Lion 713,13(I)(a)7:•i'LcxidaSUtulcs:
;;T:aine and,ddi can _
hf°: ra aniDtt,:rr ticlig,mtr_(r rttut•: .... _.•.-
. a. Jr, dddilict, 10 himselfor hers-J1. 0% acr desi2mlen of
Uf teccrre a ay))• of the L•cr or's it,mite e; pio•.iJtq In Seotiou 11;.' ; (1 } 'r. I°lcxida i.dt..
I:� I'nnno c:�mlrs.n:.rssv.nrr+n„d.:>.•rm.d ub (iwnc. .._
!i 1.. pir:lt,rn d,nc ornai.l -c J cut':m C!ICiR1C,tl (IhC l"!(QI, JII(/11 UdCC will IV L yiar li'om the data Of rl'rwillK LL111 G.d i7:dItILYent date IY
�'" nalu a nt caner pr I:.cssee, .r• (►�i c, Yar (:ossCr'x tTr,� IVf, a aad I'rucidr 'iguatoty�s ]'jttelp�ticd) Aulborized Q1Rcer/Aireclur/(trrhlcr/Flalia:ctt
State of L
County 0 f"4 � i(�
1'hc foregoing itlsltumcillt was uL9tnowledgM before Inc diis_l O day of50.V'1 20—�`_
,yar �Cw�s �'C3s
as i
fn nic of tcrsr ij (type .01'o(ahn itr,... c.g. u41iaY, trustee. atteniey nr fact) for
(naili0irrpan)'(011ir'llalfOr%4'O rIusirHmtnlwascxecu' CL )
Personally1Qiown•.)Lor Prodixed Idernificatlon Type O17dentification Produced
CARLY REHBOCK
Officlol Seat
Notary PUNC - State o1 lflinois
My ColDe ii'limbpkes Dec 7, 2019
x:45P,.
(Ste auu'c of Notan1'ublitJ
(flint; Type, or S tamp Commissioned NAme ,d"N wily i'ubl ic)
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018005603 BK 9058 Pg 1738-1 (1pg) E-RECORDED 01/17/2018 11:17:16 AM
10.00
CITY OF
SkNFORD Building & Fire Prevention Division
n RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FME- DEPARTMENT
PERIMITTINC REQUIREMENTS —NO PLAN REVIEW RE,QU[RED
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:
T14E 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 POS T ON THE JOB SITE.
` PROJCCTS'LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL. BY TIIE
SANFORu HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDITRES
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:
• PERMITCARll, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
• COMPLETED RESIDENTIAL RE-ROOF'SCOPE OF WORK
e COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
a 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 (INC`.LUDINGA 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 PRODUCTAPPROVAL
o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW TI1ESE 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: IJ DATE:
CITY OF
SkNFORD
FIRE DEPARTMENT
JOB ADDRESS: 116 Reel Ct
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCErrOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -.ROOF TYPE: (9 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): WOO
**PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES 0 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
'ROOF SLOPE: O .LESS'THAN 212 O 2:12 - 4:12. 4:1.2 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PROD cF APPROVAL
SHINGLE
GAF
FL# 10124-R19
O'METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
OTHER:
Interwrap & Carlise Rhino roof &
FL# 15216-R2 & FL6785-R6
vvvv ui vancya
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 M ETAL
FL#
0MODIFIED BITUMEN
FL#
0TORCFI DOWN
FL#
O INSULATED
FL#
O TILF.
FL#
0 OTHER:
FL#
I CITY OF
&kNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. I P)" Pl*, ISSUE DATE: I ®' 61.
f5
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK: n r C_ccpk- i A 1p Q
PROTECT FROM W ATHER
• 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
CITY OF
" 1 Sk�4FORD
Building & Fire Prevention Division
RESIDENTIAL PIE -ROOF A FFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-2 ADDRESS: 116 Reel Ct
Sandford, FL 32773
I Michael Devaney AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, 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 TILE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE#: CCC1328148
COMPANY / CONTRACTOR: Bentley Roofing LLC
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER OR ER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: a /Z b y O a
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 Seminole
Sworn to and Subscribed before me this day of 20 by:
Michael Devaney Who is VPersonally Known to me or has ❑ Produced (type of
identification) as identification.
igna re of Notary Public
Stat of Florida
Joanne Meehan
Print/Type/Stamp Name
of Notary Public
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