HomeMy WebLinkAbout120 Oak View Pl (2)NCITY OF SANFORD
BUILDING` & FIRE PREVENTION
PERMIT APPLICATION
y Application No:
—J
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Documented Construction Value:
J06 Address:
Z Historic District: Yes.0 No p:
Parcel ID: 10 " : 0 1-3`) 1(- f) C 0_r {� Residential ff Commercial
Type of Work: New ❑ � Addition ❑ Alteration ® repair �Q Deno 0 Change of Use ❑ Above 0
scrlptton ofV5'ork: nl � . f
Plaza Review Contact Verson: 0) v ' VI Titl
G . J
Phone: a Fax
Emaai. 1t
Property Owner Information
�r
Name Phone:� ? '
Street: 1 q } } Opll
Resident of property?
City, State Zyp: - t 'J t '' 71
Contractor Information
Drama RUBS NOYES ROOFING INC Phone: Est "
1 Q85 Nursery Fio
Street: Ndinter Fax:
City, State Zip:
407-388-7700
State License No.:
Architect/EnIgineer Information
Name: Phone:
Street: Fay:
City, St, zips a F-
Bonding Company: Mortgage Leader:
AddrEss� Address:
S
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMYROVEMENT5 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
NO—TICE: 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 an work will
be done in compliance with all applicable laws regulating construction and zoning.
7/
Signature of Ow�rw&/Alk,At Date
r1bihnitC)wner/Agent's Name
BONNIE BURKETT
MY COMMISSION #FF182593
EXPIRES December 10, 2018
(407) M-01 53
' . Florid&NataryService.com
Owner/Agent 'is _v,' Personally KniTw—n'to Me o:
Produced ID
Type of ID
Signature of ntracto Late
Pf �, ";S 'i 1, - ,p z
P;i;:&,nt=,/A cnt', —Name
:ItFrau 04 WOR" Rate
BONNIE BURKETT
MY COMMISSION #FF182593
EXPIRES December 10, 2018'
(407)3o8-0153 FtondallotaryService.curp
Cobtractor/Agent,is Z, Personally; Known to Me or
Produced 113 _ Type of ID
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 Fixturek
Fire Sprinkler Permit: Yes ❑ No Q # of Heads Fire Alarm Permit: - Yes No
APPROVALS: ZONING:
UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMARNTS:
Rcvised: June 30,2015 Permit Application
T 64 9 'r U— W
Bob Zurschmeide
120 Oak View Place
Sanford FL 32773
Wednesday, January 10, 2018
We propose to supply all labor, materials, permitting, supervision and eguipmeat necessary to complete the Roroof project for the
aforementioned address.
All roofing systetpts designed and installed by our certified installers will exceed the Florida Residential Building Codes and meet
the standards of our exclusive Rhino RoofingInsWlation System. These systems are in place to ensure you're receiving the highest
standard for installation practices in the industry.
• Remove existing roof system and haul away all debris.
• Inspect all wood decking and fascia board for defects,
• New wood. decking and fascia board to be replaced due to existing damage is an extra charge of $65.00 per sheet for roof
docking, $6.00 per foot prMoMecking hoards, $9.00 per foot for fascia and bracing, $ 95.00 per sheet for Hiding, and $9.00per
foot on siding trim. (fgitial }
• Renal entire roof deck with 2 31V 8-IJ ring shank,nails to current wind mitigation building codes,
• Install extra leak barrier along all valleys and penetrations.
• Install new Asphalt Saturated 30# Felt underlayment over the entire roof deck.
• Install new ptepainted 2 ls" face eave drip
• Install new 1'6" metal flashing in all roof valley transitions.
• Install all now pipe boot fleshings and fan vents.
• Install .2 off ridge vents and 12fV of ridge venting for proper attic ventilation.
• Install new Architectural shingles with all necessary cap shingles and starter shingles install to the 130mph warranty
requirements.
a This roofing system comes with a Limited Lifetime workmanship and leak warranty.
FOR THE SUM OF $ IM17.00 Z ( initial )
a A NONREFUNDABLE DEPOSIT OF 15% ($ --,,r 1 OF THE INITIAL CONTRACT AMOUNT SHALL
BE DUE UPON EXECUTION OF THIS AGREEMENT, WORT{ SHALL NOT COMMENCE UNTIL DEPOSIT
RECEIVED,
ALL OTHER PAYMENT'S ARE DUE WITHIN 48HBS. OF SUBSTANTIAL COMPLETION OF EACH ITEM OF
WORK. �f (itt141a1)
• ALL PRICES ARE BASED OFF OF CASH OR CHECK PAYMENTS. ALL CREDIT CARD PAYMENTS WILL
BE SUBJECT TO A 3% PROCEESSING FEC AND ALL NIONTHLY' PAYMENTS INt.LUDE. APPLICABLE
BAtiKFEES: Total Fees S � ✓ a (initial)
47
Thank You for oonsidm* us
<—
Russ Noyes
HAAG Cert. Inspector
State Cert. Contractor
THIS INSTRUMENT PREPARED BY;
Name; CHF31STINA NOYES
Address: 1t)95 NURSERY RQ WINTER SPRINGS FL 32708'�
Peewit Number
OLE CO
)
2UNTY
B K 91OF CIRCUIT CURT COMPTROLLER
529 (1p9s)
RECORDED klii'17J2131>; 04:132:07 PN
RECORDING FEES $10.00
RECORDED BY hjeyor,
Parcel ID Number. 10_90.Qn_5-i 4 0000 mo
Theundersigned here gives notice that improvement vVill be made to certain real property, and in accordance with Chapter 713. Florida statutes, the
f,lld g i,%rmatin PpWided in this Notice of Commencement.
11. DESCRIPTION OF PROPrpTv. n
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVENIiiW.
Name and address: ROBERT A MAQQWA -71
Interest in Property: FEE SIMPLE
Fee SI-PIO Title Holder (if other than Owner fisted abova)' Name: /A
Address-
4. CONTRACTOR:
Address: 10,9E
Amount of Bond: _
Address: Phone Number:
7. Persons within the State Of Florida Designated by Owner upon Whom notice or
713.13(1)(a)7., Florida Statutes. other documents may be served as provided by Section
Nama:_N!IA
AAA—_ Phone NumhP,
Phone Number.
5- SURETY (IF applicable, a COPY Of the Payment bond is attached): Name. N/A
Address:
6. LENDER:
8. In addition. Owner
OT
to receive a copy Of the Lienoes Notice as provided in Seiction'7113.13(1)(b), Florida Statutes. Phone number.
9. Expiration Date of Notice Of Commencement (The expiration is I year from date of recording unless a different date is specified) N/A
9 WAR
'��-�NMTO LOW ER• ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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.
l5Sgnatumorfhvneuwa
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State of—fliYe"dn —_ County 91
The foregoing Instrument was acknowledged before me this
71 by
day of
who has produced Noma persort making statement Who is Personally knowyn to Me �DOR
Identification 0 typo Of Identification produced:
BONNIE
am!p
BURKETT
My COMMISSION #FF182593
(407) 398-0153
EXPIRES December 10, 2018
-
ice.com
C'p
Permit #
Project Location Address 0
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.ora.
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
Flo rida,Approvai
(include decimal)
1. Exterior Doors
Swinging_
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014 1
June 2014
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
(include decimal
5. Shutters)
Accordion
Bahama
Colonial
Roll up
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 201.4
CITY OF
SjkNFORD Building & Fire Prevention Division.
FIDE DEPARTMENT Re -Roof Permit Card
PERMIT NO. 7z/7 ISSUE DATE: a _�
•
CONTRACTOR:
•
JOB ADDRESS:
TYPE OF WORK: Re. 100 1P
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
Y OF
Building & Fire Prevention Division
SXNFORD » RESIDENTIAL RE -ROOF POLICY & PROCEDURES
F11 E DEPARTN4,04T
PERMITTING REQuIREMEINTS - 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.APPLIGABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF
COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT.
A PERMIT WILL NOT BE ISSLTED 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'FHE
SANFOIRD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INTSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIA[, (SINGLE FA=SLY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RF-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 TN EACH PICTURE)
o EACH PLANTE OF THE ROOF, SHOWING THE IWDERLAYMENT 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 UNDERLAYMENI' PATTERN & SPACING (INCLUDING A MEASURING, DEVICE OR RULER)
o DRIP EDGE & VALLEY ATTACHMENT (INTCLUDING 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.
i i t
(OR QWATERrBUII DER) SIGNATURE. __..- _ _.._---..� DATE: -----
CONTRACTOR _-__---
---.._..
RFOR��PERMIT #'
I HU �IrfsPMiI Zvi`
Building & Fire Prevention .Division
RESLOENTIAL RE -ROOF SCOPE OF WORK
JoR ADDRESS:
STRUCTURE TYPE: 6 SrNGI..F FAMILY RESIDENTCF/TOWNHOUSE Q MOBILE HOME 0 APARTMENT/C ONDOMINSUIvi
RE-RoOF TYPE: 6 REPLACEMENT (TEAR, OFF EXISTING ROOF ANT) REPLACE WITH: NEW COMPONF.,]VTS)
Q RE-C OVFR (NEW ROOF INSTALLED OVER EXISTING ROOF)
HECK TYPE (PEASE SPECIES'): ___ 14 �`�)
**PLE,4SF. NOTE: ONLY I00 SQUARE FEET OF THE EXISTING DUCK ISPERAHTTF,D TO BF. RFP.LACED *
ROOFVFNTII,ATION: QOFF-RIDGE �RIDGE QSOFFIT QPOt'VERED VENT QTLtRf3L?IES
SKYLIGHTS: O YES 4iNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL
------------------------
MAIN ROOF AREA
ROOF SLOPE: Q LESS MAN 2:1P2 Q 2:12' - 4:12
d4:12 OR GREATER
TYPF, OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
! JiYt UN
FL#
Q METAL
FL#
Q MODIFIED'BITUMEN
FL#
Q TORCH DOWN
FL#
QINSULATED
FL#
QTILE
FL#
QOTHER:
FL#
ROOF EXTENSIONS (PORCHES PATIOS ETC) "IFAPPLICAALE"
ROOF SLOPE: Q LESS THAN 2:12 0 2:12 -- 4:12 Q 4:12 OR GREATER
TYPE of, ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
Q $H NNGLE
FL#
Q METAL
FL#
()MODIFIED BITUMEN
FL#
QTORCft DowN
FL#
QINSULATF.,D
F'I;#
Q TILE
FL#
Q OTHE[t:
F.L#
CITY OF
SkNFORDBuilding & Fire Prevention Division
RESIDENTLAL RE -ROOF AFFIDAVIT
FIRE OEPARTM`ENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
r�
PERMIT #: P? ADDRESS:
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 THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F. S. CHAPTER 553.844).
LICENSE #:
COMPANY / CONTRACTOR: y —;. i `�" 1 L• f- r- ; I` P lit, ( J L
CONTRACTOR SIGNATURE: �� 1/ DATE:
(MUST BE SIGNED BY LICENSE HOLDER OR OWNERil3UILDER)
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 5e,m ; h v le.
Sworn to and Subscribed before me this day of F {Oruura 20 _lf!r _ by:
LASS Mo eWho is-M Personally Known to me or has ❑ Produced (type of
identification) as identification.
_ �Zu
ignature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
PC,
BONNIE BURKETT
MY COMMISSION #FF182593
EXPIRES December 10, 2018
(407) 398-0153 FloridallotarySeryice.com