HomeMy WebLinkAbout126 Placid Woods Ct1
JAN 3 0 20��
y
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 O 6c-� 4
Documented Construction Value: $ 5,700
Job Address: 126 lo-ci-i W o0Q5 Q�- Historic District: Yes ❑ No ❑
Parcel ID: 02- 2030 `J 2Z -- 0 000 — 01(b Residential R1 Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: 'rear cf!� ,a -a Jtc- V.� W. _Zzzw- - n
to roQ iS w2 i
Plan Review Contact Person: Title:
Phone:
Fax:
Email:
Property Owner Information
Name w0.Z Ar9`t.t' K 0 Phone:
t �
Street: i2t`O �lac�C� S C''' Resident of property.
City, State Zip: !3D-rCmrt
- - Contractor Information
Name feCC Y �- Phone
Street: %OO ,Atornc, A ,& Sn,+C it.50 Fax:
iS-"17 5�7 t3
City, State Zip: \kn-kvr Ft- 39-1gZ State License No.: C1CC (33105•q
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
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. 1 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.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Nam
Signature of Notary -State of Florida Date Signature Date
,.. ,,. ANNETTE M BLAND
Notary Public- State of Florida
z . �•CornrnGG 170900
My Comm. Expires Jan 16, 2022
•�.°jF �� =:�.°• BccceC arc.:Sr. NaScca Ne:a ! Assn.
Owner/Agent is Personally Known to Me or Contractor gent 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 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
• HOUSTON • ORLANDO •
• PALM COAST • MIAMI •
Date: 11/ 2/ 2017
G&A hereby proposes to perform and furnish the labor, materials, insurance,
supervision, equipment, and warranty in accordance with the specifications
described below for:
Client: Michael Santiago
Address: 126 Placid Woods Ct. Sanford, FL 32773
Project Name: Home Roof Repair
Telephone: (321) 262-3066 Email: Michael-santiago@live.com
Lic#CCC1331059
Roofing Proposal/Contract
G&A Certified roofing is pleased to submit this proposal to Michael and we thank
you for the opportunity to bid on your upcoming project. G&A Certified Roofing is
a licensed and insured roofing contractor in the state of Florida and is uniquely
positioned to handle a Turnkey Project of this magnitude. Upon signing a contract,
G&A will provide all supervision, labor, material, equipment and tools to meet your
specification. The Site Supervisor will have authority to make decisions on behalf
of G&A Certified Roofing as it relates to the above referenced project.
G&A Certified Roofing has the proper combination of resources, skills and
experience required to successfully integrate, procure the materials required for
installation and technically supervise the installation of the specified roofing
material in a clean and professional manner. We base this on a long history of
successful projects. G&A Certified Roofing Inc. pulls all permits and files a Notice
of Commencement.
The roof is 19 squares with 10% waste, a 6/12 pitch and for attic ventilation there
are 50 feet of ridge type vents. Upon Inspection due to wind damages, we noticed
missing shingles, as well as rotted wood. The wind had some impact to the ridge
vents, as we will need to install proper vents for attic ventilation. In the valleys we
will install a premium peel and stick underlayment and galvanized valley metal
that will be nailed at the edges 6" OC and the nails and edges will then be covered
with roofing cement to protect them.
i:90-OL6
ROOMAW
Corporate Office • 3500 Aloma Ave suite G-50 • Winter park, FL 32792 • Phone (321) 663-7447 • Fax (407) 678-4242
Houston Office. 13131 Fallsview Lane # 1029. Houston, TX 77077. Phone (713) 540-3369
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AERIAL VIEW OF ROOF
SIDE VIEW OF ROOF
4.3
i
RIDGE TYPE VENT ON ROOF
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ROOF/NG
Corporate Office • 3500 Aloma Ave suite G-50 Winter park, FL 32792 • Phone (321) 663-7447 • Fax (407) 678-4242
Houston Office - 13131 Fallsview Lane # 1029. Houston, TX 77077. Phone (713) 540-3369
NEW ROOF INSTALLATION
G&A hereby proposes to perform labor and materials for the new Shingle roof.
Equipment and Dumpsters provided by company.
SHINGLE ROOF INSTALLATION SCOPE
1. Tear of existing roof to deck.
2. Replace any rotted plywood (price includes 2 boards).
3. Renail deck to code(section 201.2 of HMRM code)
4. Install nailable rhino roof synthetic Base sheet underlayment
5. All flashing to be minimum 26 gauge or .032 aluminum. Replace
all off ridge vents, valley metals, drip edge and reset flashing.
6. Replace all gooseneck vents and pipe jack to be supplied by G&A.
7. We will install new 30 yr. Dimensional (ARCH) Shingles to
manufacturers wind chart specifications, beginning with starter
shingles at eaves to ridge caps at all hips and ridges.
8. Premium Peel and Stick leak barrier will be used in all valleys.
9. Exhaustive clean-up of jobsite using magnets and overlap teams.
Payment Terms: 40% at signing of the contract,
60% upon completion of the project.
Contract Sum Base Offer, Main bld .: $5 700.00 Five Thousand Seven Hundred Dollars
Conditions.
1. PUNCH OUT 48 HOURS AFTER JOB COMPLETION., DAMAGE AFTER PUNCH OUT IS NOT
UNDER WARRANTY.
2. G&A WILL PROVIDE A 2-YEAR WORKMANSHIP WARRANTY FROM THE COMPLETION DATE
FOR THE COMPLETE RE -ROOF. MATERIALS HAVE A 25 YEAR WARRANTY
3. SHOULD YOU HAVE ANY QUESTIONS OR COMMENTS, PLEASE CALL US.
4. PLYWOOD REPLACEMENT (PRICE INCLUDES 2 SHEETS) AT AN ADDITIONAL CHARGE OF
$65.00 'PER SHEET (4X8). ALL NAILS AND NAIL PATTERNS TO MEET CODES. PLYWOOD
CLIPS SHALL BE USED AS PER CODES.
5. REPLACEMENT OF DAMAGED OR ROTTEN 6"FASCIA $3.40 PER LF. SUB FASCIA AND
RAFTERS ARE AN ADDITIONAL $5.25 PER LF.
6. ESTIMATED TIME OF COMPLETION WILL BE 14 DAYS UPON RECEIPT OF PERMIT,
EXCLUDING SUNDAY AND WEATHER DAYS.
fi Ow"I'.
aocurlow
Corporate Office • 3500 Aloma Ave suite G-50 • Winter park, FL 32792 s Phone (321) 663-7447 s Fax (407) 678-4242
Houston Office. 13131 Fallsview Lane # 1029. Houston, TX 77077. Phone (713) 540-3369
Summary: A review of our overall bid and experience will demonstrate the overall value of working
with G&A Certified Roofing on your project. G&A possesses extensive experience in roofing options
which enables us to recommend the most appropriate application for your specific project to help
achieve your end goal.
G&A Certified roofing appreciates the opportunity to continue working with you. If you have any
questions regarding the information presented here please feel free to call us at the contact
number below.
This agreement is subject to revision or withdrawal by G&A until signed and accepted by Client and executed by an Officer of
G&A Certified Roofing Inc. This is the complete agreement between the two parties. No prior of contemporaneous oral
agreements, and no other written agreements, except as listed above, shall be binding.
The undersigned hereby accepts this Agreement and agrees to be legally bound by all the terms and conditions set forth on the
to ns page. This Agreement shall be governed in accordance with the laws of the state of Florida. Any action
si r this reemegiihall be brought in the County where G&A's principle office is located.
V 11 /2/2017
Date
I 2 2g 1�'1
Presid 'g re Dat
Deerfield Office Palm Coast Office
ROOF/NG
Corporate Office e 3500 Aloma Ave suite G-50 • Winter park, FL 32792 o Phone (321) 663-7447 • Fax (407) 678-4242
Houston Office. 13131 Fallsview Lane # 1029. Houston, TX 77077. Phone (713) 540-3369
�Li►�'A CER TPF�B�'O
PROJECT PROVISIONS
I. PROJECT PROVISIONS
a. Guideline: The project will be constructed in strict conformance to the plans and specifications, which have been examined
by the Owner.
b. Compliance: The project will be completed in strict compliance with all laws, ordinances, rules, and regulations of the
applicable government authorities.
C. Control: The agreement, plans, and specifications are intended to supplement each other. In case of conflict, the plans will
control the specifications and the agreement provisions will control both.
d. Change Orders: As directed by Owner, construction lender, public body or Inspector, any alteration or deviation from the
specifications that involves extra cost (subcontract, labor, and materials) will be executed only upon the parties entering
into a written change order. The owner will pay for expense occurred because of unusual or unanticipated conditions.
e. Allowances: If the agreement price allowances, and the cost of performing the work is greater or less than this allowance,
then the agreement price will be adjusted accordingly.
II. FINANCIAL RIGHTS AND RESPONSIBILITIES
a. Labor and Material: Contractor will provide and pay for all labor and material necessary to complete the Project.
Contractor is released from this obligation for expenses incurred when the Owner is in arrears in making progress
payments.
b. Permits: Contractor will obtain and pay for all required permits and licenses.
c. Taxes, Assessments, and Charges: Owner will pay taxes, special assessments of all descriptions and charges required by
public bodies and utilities.
d. Bankruptcy: If either party becomes bankrupt, the other party has the right to cancel this agreement.
I1I. OWNERS RIGHTS AND RESPONSIBILITIES
a. Cancellation: Owner has the unconditional right to cancel the agreement, without penalty or obligation, until midnight of
the third business day after the agreement was signed. Cancellation must be done in writing. Upon cancellation, any
property traded in, any payments made under this agreement, and the contractor will return any negotiable instrument
executed 10 business days following the receipt of cancellation.
b. Property Lines: Owner shall locate and point out any property lines to the contractor. Contractor may, at his opinion,
require the owner to provide a licensed land surveyor's map of the property.
c. Liens: Failure to pay persons supplying materials or services according to the terms of this agreement may result in the
filing of mechanic' liens on the affected property. Owner has the right to ask the contractor for lien waivers from all
persons supplying these materials or services. In the event any mechanics is filled through no fault of the owner, then the
contractor agrees to take all steps necessary for the release and discharge of such lien.
d. Insurance: Owner will maintain property damage insurance at least equal to the Agreement price.
e. Damage to Project: Contractor will not be responsible for any damage caused by the owner, or other cases beyond the
control of the contractor. Owner will pay for any restoration work.
IV. CONTRACTORS RIGHTS AND RESPONSIBILITIES
a. Delay: Contractor will be excused for any delay beyond his reasonable control. These delays may include but are not
limited to act of god, labor disputes, inclement weather, acts of public authority, acts of the owner, or other unforeseen
contingencies.
b. Right to Stop Work: If any payment under this Agreement is not made when due, the contractor may suspend work until
such time as all payments due have been made. Any failure to make payments is subject to a claim enforced against the
property in accordance with the applicable lien laws.
c. Substitution of Materials: Contractor may substitute materials without notice to the owner in order to allow work to
proceed, provided that the substituted materials are no lesser quality than those listed in the specifications.
d. Salvage: All salvage resulting from work under this Agreement is to be retained by the contractor unless other Agreements
are contained in the written specifications.
e. Insurance: Contractor will maintain workers' disability compensation insurance for his employees and comprehensive
public liability insurance policies.
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ROOF/N6
Corporate Office • 3500 Aloma Ave suite G-50 e Winter park, FL 32792 • Phone (321) 663-7447 • Fax (407) 678-4242
Houston Office. 13131 Fallsview Lane # 1029. Houston, TX 77077. Phone (713) 540-3369
V. COMPLETION OF PROJECTS
a. Notice: Owner agrees to sign a Notice of Completion within 5 days of completion of the project. If the project passes final
inspection and the owner does not sign the Notice, the contractor may act as the Owner's agent and sign the Notice.
b. Clean-up: Contractor is responsible for removing debris and surplus material from the property and leaving the property in
a neat and orderly condition.
VI. CONFLICT RESOLUTION
a. Arbitration: Any controversy or claim arising out of this Agreement that cannot be resolved is subject to arbitration, with
an arbitrator of mutual agreement, and all parties (including Owner, Contractor, Architect, and Sub -contractors) are bound
to this arbitration. If any party does not appear at arbitration proceedings, the arbitrator is empowered to decide the
controversy in accordance with whatever evidence is presented by the party (ies) that do not participate.
b. Attorney Fees: If either party becomes involved in litigation arising out of this Agreement, the court shall award
costs/expenses including attorney fees to the prevailing party.
C. Limitations: No action related to this Project may be made by either party against the other more than 2 years after
completion of work.
VIL GENERAL PROVISIONS
a. Notice: Any notice required or permitted under this Agreement may be given by certified or registered mail at the
addresses contained in the Agreement.
b. Prohibition of Assignment: Neither party may assign this Agreement or payment due under this Agreement without the
written consent of the other party.
c. Qualifications: This document constitutes the entire Agreement of the parties. No other Agreements exist. This Agreement
can be modified only by written Agreement signed by both parties.
d. Governance: This Agreement shall be construed in accordance with and governed by the laws of the state in which the
project is located.
We will use caution during installation and will not be responsible for damages to interior or interior contents, landscaping,
pool, patios, driveways, sidewalks, underground lines, except for proven negligence.
It is recommended that accessible items around the exterior be placed inside furnishings in rooms with "open seam" ceilings
be covered, items which might be damaged from vibration be removed or secured.
Items such as screen/patio enclosure, solar system, air conditioning system, guttering which may require removal and
reinstallation are not included in this contract unless specified therein.
price is based upon the belief that the structure is sound and built in accordance with the local
)st!5correct any of these situations will be customer's responsibility.
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Rnovimc
Corporate Office e 3500 Aloma Ave suite G-50 • Winter park, FL 32792 o Phone (321) 663-7447 s Fax (407) 678-4242
Houston Office. 13131 Fallsview Lane # 1029. Houstan, TX 77077: Phdtte (713) 5,40=3369
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 1 2G (eC
I hereby name and appoint:,���(t_QIX� cQ I'Y�2
an agent of:
tO
oe comp-y)
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 1 Termit and lication for ork located at:
to � o aA k Or) 0
(Street Address)
Expiration Date for This Limited Power of Attorney: I( CI
License Holder Name:
State License Number: C 'i 3 ( h
Signature of License Holder:
STATE OF FL RIDA
COUNTY OF
The foregoing ins rument was acknowled ed before me thisZ,4l day of ,
200�, by &L who = per nally known
to me or ❑ who as prod ed
identification and who did (did not) take an oath. 1
v
Signature
as
(Notary Seal)
Print or type namel
Notary Public - State of o`` j 4� =Statee of FbridaCommission No. < G 065275p 1
My Commission Expires:LI
(Rev. 08.12)
24
IIY OF
` S,,�NFORD RESIDENTIAL RE -ROOF
& Fire Prevention Division
-ROOF POLICY & PROCEDURES
€MITE 0tPAIT1h4E °;.I
PERMITTING REQUIREMENTS - No PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL, RE -ROOF SCOPE OF WORK ARE
REQUIRFD TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION.
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMI3IRS FOR ALL ROOF
COMPONENI'S THAT WILL BE INSTALLED ON THE PROJECT'.
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES `<VILL. BE MADE TO POST ON THE JOB SITE.
"PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE
SANF'ORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLI' INSPECTION REQUIRED FOR RESIDENTIAL, (SINGL,F. 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 LOCAT"ION
• COMPL.ETF,D RESIDEN'I'IAI., RE -ROOF SCOPE OF WORK
• COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
• ALL FLORI:DA.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 Tf IF UNDE-RLAYMENT 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 UNDERLAYM.E."NT 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 PHOTOGRAPI IS 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 FI.;ORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINLE.R), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNA"I'URE: DA'l-E
CITY OF
,SkNFORD PERMl't' #
Building & Fire Prevention Division
PlAr DUI RTMU,, ' RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: , 2 �o P- 4�A 8. W�oa % l
STRUCTURE'TYPE: SINGLE F.M91LY RESIDENCE/1b\�NHOUSE O MOBILE HOMEAPAR'i MENF/C.ONDOMWIUM
RE -ROOF TYPE: REPLACE.MEN'F (TEAR OFF EXISTING ROOF AND REPLACE WITH NE\\' COMPONEINIS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
**PLEAsL., No -a'. O:NL Y 100 SQUARE Il• ET OFTHE EXLSTIAGI)EC,'K IS M RMn"a,s:t) 7'o BE R n.Acu) **
ROOF VENTILATION: DOFF-R.IDGF DGF OSOFTIT OPOWI ICED VENT OTURBINES
SKYLIGHTS: O YES (:) IF)'ES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL_ tf:
MAIN ROOT' AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 G<12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
1IINGLE
of nk r �e_RA
FL# � 4 1
O METAL
FLIT
0M.OD[F[F.:D BITUMEN
FI:,#i
Q ToRCH DOWN
FL4'
OINSULATED
I,L#
O TILE
F LIl
OOTH R:
FLti
ROOF EXTENSIONS (PORCHES, PATIOS, El C.) **IF, APPLICABLE**
ROOF SLOPE: O LESS THAN 2: 12 O 2:12 - 4:12 4: 12 oR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT' APPROVAL
O SHING.LE.:
FL#
O METAL
FL4
OMODIFWD BITUMEN
FL+i
0TORCLI DOWN
FI.,#
OINSULAI'ED
FL#
OTILE
FL4
O O"IHER:
FB
r�
�NFORD
Y OF
„ Building �(� Fire Prevention Division
�y
RESIDENTIAL RE -ROOF AFFIDA HT
N P
RESIDENTIAL R.E-RoOF:INSPEc-CI.ON AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: c, ADDRESS: �(J� P La- Cii A tubo c(i
ct-
AS A(N) Cil`_Nl RAI., BUILDING, RESIDENTIAL, OR
ROOFING CONTRACT OR, E i 1NEER, ARCHI'LEC'T; F.S. CHAPTER 468 BUILDING INSPECTOR, I I IFREBY 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 IIAVE BEEN INSTALLED IN ACCORDANCE WITII THEIR PRODUCT APPROVAI S AND AL L APPI:..ICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDABUILDING CODE, EXTS"I'IN<;.BUILDINC�. IN ADDI"l'ION I (CI:%RTI1 Y Tll.E: INSTALLATION MFETS.ALL,
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITI 1 Tl-IE I1UR.R.ICANE RETROFIT
MANUAL, REQUIREMENTS (BASED ON F.S. CI-IAPTER 553.844).
LICENSE
�
COMPANY/CONTRACTOR: 4
�i �'
CONTRACTOR SIGNATURE':
(MUST BE. SIGNED BY LICENSE HOLD ' 2. R (1 NER/ I IILDER)
A FINAL ROOFINSPECTION IS:REOUIRED:
"THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AI" 1'HE JOB SITE AT 1'HE TINIE OF THE FINAL. ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL, ALL COMPONL:N"1'S (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) W1TIl 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 OLD ALL REQUIREMENTS.
*FAILURE TO FOLLOW ALL REQUFREMENTS WILL RESULT 1N A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECTOR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF
r
Sworn to and Subscribed before me this day of'�h/LS�� 20 � by:
Who is J_P-ersnnally Known to me or has ❑ Produced (type of
identification) / as identification.
Signature of Not ry Public
State of Florida YEE
State of Florida
alte
_ on 21 065275
"'�� i � /2021
Print/Type/Sta p Name
of Notary Public