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HomeMy WebLinkAbout126 Sterling Pine StS. A� i BAN 1g 2018 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / � / 0 Documented Construction Value: $ 9,898.00 Job Address: 126 Sterling Pine St. Sanford, FL 32773 Historic District: Yes ❑ No . 10-20-30-511-0000-0730 Parcel ID. Residential 0 Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration 0 Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Tear off existing roof and install new asphalt shingles. Plan Review Contact Person: Title: Phone: Name Jose Demoya Street: 126 Sterling Pine St. Fax: Email: Property Owner Information City, State Zip: Sanford, FL 32773 Name Covenant Roofing Street: 1410 Emerson St. City, State Zip: Leesburg, FL 34748 Name: Street: City, St, Zip: Bonding Company: Address: Phone: 407-302-7226 Resident of property? : Contractor Information Phone: 352-314-3625 Fax: 352-240-3439 Yes State License No.: CCC1329936 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. 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: June 30, 2015 Pennit 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. ULAL- I I. t Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Permits Required Construction Type: Total Sq Ft of Bldg: rint Contractor/Agent's Name i ignature of o ary-State of Florida Date UND5AY DUCKHAiL +;_/ 'c`:: Commission # FF 172210 Ny Cow.miss!or, Expires t bcr 28, 2018 Co — wn to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas ❑ Roof ❑ Occupancy Use: Flood Zone: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: # of Heads UTILITIES: FIRE: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application I 1 /5/2018 SCPA Parcel View: 10-20-30-511-0000-0730 Property Record Card ' Parcel: 10-20-30-511-0000-0730 fP( ��Owner: DEMOY,4 JOSE & ROCIO `� f I Property Address: 126 STERLING PINE ST SANFORD, FL 32773 Parcel Information Parcel 10-20-30511-0000-0730 Owner DEMOYA JOSE & ROCIO Property Address 126 STERLING PINE ST SANFORD, FL 32773 Mailing j 126 STERLING PINE ST SANFORD, FL 32773 Subdivision Name STERLING WOODS Tax District i S1SANFORD DOR Use Code 0130SINGLE FAMILY WATERFRONT Exemptions 00-HOMESTEAD(2002) Legal Description LOT 73 STERLING WOODS PB 54 PGS 93 THRU 95 Taxes Value Summary (__....................._.___._____.........................................._...._...................9 ! _........... 2018 Workin _.............................. _....... _ 2017 Certified Values Values Valuation Method Cost/Market Cost/Market E Number of Buildings 1 1 ' Depreciated Bldg Value $163,833 $154,422 Depreciated EXFT Value Land Value (Market) $30,000 $30,000 I Land Value Ag Just/Market Value "` $193,833 $184,422 Portability Adj Save Our Homes Adj $45,735 $39,370 i Amendment 1 Adj $0 I P&G Adj $0 $0 Assessed Value $148,098 $145,052 Tax Amount without SOH: $2,480.07 2017 Tax Bill Amount $1,730.40 Tax Estimator Save Our Homes Savings: $749.67 ` Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $148,098 $100,000 $48,098 Schools I $148,098 I $25,000 $123,098 City Sanford ._ - ------------- _..._ $148,098 $50,000 $98,098 SJWM(Saint Johns Water Management) $148,098 $50,000 $98,098 County Bonds i $148,098 $50,000 $98,098 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 2/1/2005 05615 1 0409 $53,000 No Improved SPECIAL WARRANTY DEED 5/1/2001 04099 1 0393$131,100 Yet s Improved WARRANTY DEED i 2/1/2001 104005 ( 1818 $136,300 No Vacant Building Information # Description Year Built Fixtures j Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actuat/Effective 1 SINGLE ( 2001 9 4 2.5 ' 1,120 2,583 2,142 CB/STUCCO $163,833 I $173,368 http://parceldetail.scpafl.org/ParcelDetailinfo.aspx?PID=10203051100000730 1/2 1/5/2018 SCPA Parcel View: 10-20-30-511-0000-0730 I I I FAMILY I I i I I FINISH 11 Description Area GARAGE 420.00 FINISHED OPEN PORCH 21.00 - FINISHED UPPER STORY 1 1022.00 FINISHED Permits Permit # Description Agency Amount CO Date Permit Date 01957 i 6' WOOD FENCE SANFORD $1,695 j 6/1/2001 ----__---- _---------- _-- ------ 01038 i NEW - RESIDENTIAL SANFORD $95,000 ! 5/16/2001 2/1/2001 Extra Features Description Year Built ; Units Value New Cost No Extra Features http://parceldetaii.scpafl.org/ParceiDetaiIlnf0.aspx?PID=10203051100000730 2/2 City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address 126 Sterling Pine St. Sanford 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.org. 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 Florida Approval # (include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll Up Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category/ Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Certainteed Landmark 5444-R12 Underlayments FT Synthetics 20853-R2 Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other 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 \(,y UM 4011�p� (Please Print) June 2014 r 1410 Emerson Street, Leesburg, FL 34748 Phone: 352-314-3625 • Toll Free: 855-314-3625 • Fax: 352-240-3439 • www.covenantrnc.com State Roofing License: CCC1329936 • License: CGC037504 SALES CONTRACT Covenant Roofing & Construction, Inc. agrees to furnish all materials and labor necessary todothe modernization work at the following address: Name -_ J-oSe Poegoya Phone V%07300? /�Phone (w) Address l�6 5, ;44 e'l?e Date City 31 State Zip 72 % %_T Email In accordance with specifications given below: REROOF: A. SHINGLE ROOF 1. REMOVE OLD ROOF TO WORKABLE SURFACE. I ' 2. RENAIL ROOF DECK WITH RING SHANK NAILS. 04. 3. REPLACE ANY ROTTED WOOD N11TH STA AR SHEATHING Q $ PER FOOT AND $ PER SHEET OF PLYWOOD, IF ANY. (Initial) 4. INSTALL 3' UNDERLAY NT 0 R ENTIRE ROOF. 5. INSTALL FHANA EAVES DRIP. OLOR Y METAL AND 7. INSTALL . INSTALL NEW LEPDEBOQTS OVER VENT PIIPES AND RESEANGS AS L VENTS. 8. INSTALL 4' FIBERGLASS SHINGLES. COLOR 9. INSTALL _� FEET OF RIDGE VENT AT $6.00 PER FOOT. COLOR 10. CLEAN-UP JOB SITE OF ALL WORK DEBRIS AND HAUL AWAY ALL RELATED DEBRIS A D LEAVE JOB SITE CLEAN. 'jC0 TOR L OORDINYEMO (AL D EINSTAL OF R00 TED PERIP €RCS SUCHAS BU LIMITED TO UNITS, SK S,AND R CONDIT NERS, ETCOVE AND INSTALL EX G SOFFITR�FACIA $4.2H(� FOOT IN ADDI N TO CONTRA) RI E, IF REQU�HEFOR SU ORK W L E IN ADDIO CONT C PRICE A H REIN APP V BY HOMED NER. nitial) 12. ALL WORK COVERED BY A 5 YEAR WORKMANSHIP WARRA TY. Contract Price $ __ - 1. Contract Documents. This contract consists of this document, extra work/wood authorizations, if any, and if payments hereunder are to be financed, all financing documents. No promises other than those specifically set forth in the contract documents shall be recognized by either party. The entire understanding and agreement of the parties is contained in the contract documents. 2. It is understood and agreed that this contract shall not become binding upon Covenant Roofing & Construction, Inc. until it is duly approved, accepted, signed and witnessed by an officer or officers of the Seller. 3. Work on the job described in the con a ents will commence on approximately and be completed on approximately . The recited dates are approximations grid are subject to scheduling difficulties of Seller, labor and/or material shortages, acts of God and other events not foreseen by Seller. Seller reserves the right to employ any sub -contractor for the completion of the work described in the contract documents. 4. Covenant Roofing & Construction, Inc. reserves the right to substitute materials of equal or greater value and kind. Any required materials such as fire retardant plywood, tongue and groove board, etc. will be billed on a time and material basis. All other changes required by New Jurisdictional Code Enforcement Laws may result in additional charges. 5. Interest ata the rate eighteen per cent per will charged on all balances not paid as per the terms specified M a fees above. Reasonable attorneys fees will be charged to the Purchaser if it is necessary to place this contract in the hands of an to the h attorney for collection, and this charge becomes a part of the contract and obligation of the Purchaser to pay. ®� 6. Parties agree that this agreement shall be construed according to the laws of the State of Florida and any action brought thereon may be brought in the State of Florida. Venue is hereby agreed to be in Lake County Florida. 7. BUYERS RIGHT TO CANCEL (SOLICITED SALES ONLY) If you do not want the goods or services, you may cancel this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must Indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you eowner Portion 11 sign this agreement. 8. Both worker's compensation and public liability insurance are carried by the Seller and they are applicable to the work to be lus Total from Item No. 3 above performed. UPON COMPLETION 9. It is understood and agreed that the buyer hold harmless, Covenant Roofing & Construction, Inc., for any damages that may occur to the buyer's driveway(s) during delivery of materials and/or removal of the work related debris that may be required to home improvement perform this contract. Furthermore, the buyer herein gives permission for typical delivery vehicles and�� typical waste removal vehicles to enter said driveways) for the purpose of expediting this sales contract. l [� 0• I eO —���%��/{fi/C 10. Contractor will coordinate removal and reinstallation -of roof related peripherals such as (but not limited to) solar units, skylights, T.V. dishes and air conditioners, etc. The cost for such work will be in addition to contract price and approved by homeowner. 11. Covenant Roofing & Construction, Inc. shall not be held responsible for damage to electrical lines, water lines, refrigerant lines or other mechanical components that have been improperly installed near roof decking and may be damaged while performing installation of roofing materials. Villages Roofing & Construction, Inc. shall not be responsible for any additional costs due to roof decking that may have old materials adhered in such a way that requires redecking of structure. 12. Construction Industries Recovery Fund payment may be available from the CIRF if you lose money on a project performed under contract, where the loss results from specified violations of Florida law by a state -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: 7960 Arlington Expressway, Suite 300, Jacksonville, FL 32211-7467 or call (904) 727-6530. 13. Chapter 558, Florida Statutes contains important requirements you must follow before you may bring any legal action for an alleged construction defect in your home. 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 alleged construction defects and to consider making an offer to repair or pay for the alleged construction defects. You are not obligated to accept any offer which may be made. There are strict deadlines under this Florida Law which must be met and followed to protect your interests. Executed in triplicate, one copy of which was delivered to, and receipt is hereby acknowledged by Buyer, 17-1 this 44 c& day of _ie-r, 20� . Approved and Accepted: NOTICE TO OWNER a. Do not sign this home improvement contract in blank. b. You are entitled to a copy of the contract at the time you sign. Keep it to protect your rights. (Seal) (X) G L77 (Seal) (Dealer -Seller) (Purchaser S14n Here) BY (X) (Seal) (Title (Purchaser Sign Here) SALESMAN FORD PRESS, INC. 352-787-4650 (mike) After recording, return to: wPj b-; I1 OoCt 4-nro Covenant Roofinq 1410 Emerson St. Leesburg, FL 34748 GIRPiltT I' ALOY r SEMI1401-E COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER Gt,. 91 57 Ps 1218 (1F`9, ) CLERK'S v 2018004734 RECORDED 01f'=12/2 11 ' 1.2-12.32 PM RECORDING FEES $10.00 RECORDED BY hdevore Permit No.: I Notice of Commencement Tax Folio No.: -on _ State of Florida 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 the Property: ( legal description of the property and street address if available) Legal Description: Lial 5— Street Address: ' �h�t C �L 3 �`� ^7 3 2. General Description of Improvement E-c r-&; - Owner's Information or Lessee information if the lessee contracted for the improvement: Name: Address: Interest i Name at P,oaress or Tee simple titienoioer (it different than owner): 4. Contractor Information Name: Covenant Roofinq & Construction, Inc. Phone No.: 352-314-3625 Address: 1410 Emerson St. Leesburq, FL 34748 5. Surety (if applicable, a copy of the payment bond must be attached): Name Address: 6. Lender Information: Name: Address: Phone No.: CERTIFIED Copv GRAi i ,;AL Amount of BM _ r o HE CIRCUIT COURT SEMINO CQUNTY, Phone No.: . / .~ I 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may 713.13(1)(a)7., Florida Statutes: Name: Address: Phone No.: In addition to himself or herself, Owner designates of to receive a copy of the following Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: Phone No.: 9. Expiration date of notice of commencement (the expiration date will be 1 year from the date ofrecording 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner Lessee,, or Owner's or ssee's Authorized Officer ectoNPartner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this ZZday of 20, by DSC P2/hB yy as for who Type of authority (i.e. othcer, trustee, attorney in fact) nn Name of party on behalf of whom instrument was executed is personally known or produced .yl lzi7 wQ m::�rA lo as type of identification. MICHAEL H. REAMES a MY COMMISSION # GG129505 ' . EXPIRES: July 30, 2021 Signature of No ary ublic - fate of Florida ( int, type or stamp commissioned name of Notary Public) Notice of Commencement - BF29 (Updated 8.19.16) Astatula, Clermont, Eustis, Fruitland Park, Howey in the Hills, Groveland, Lady Lake, Lake County, Leesburg, Mascotte, Minneola, Montverde, Mount Dora, Tavares, Umatilla Residential Re -Roof Inspection Policy & Procedures 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), certifyin code compliance by personal inspection. OWNER/BUILDER) (OR OWNERUILDER) SIGNATURE: DATE: I PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 126 Sterling Pine St. Sanford STRUCTURE TYPE: * SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: * REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): 1 /2" Plywood **PLEASE NOTE: ONL Y IOO SQUARE FEET OF THE EXISTING DECK IS PERIYI/TTED TO BE REPLACED ROOF VENTILATION: * OFF -RIDGE p RIDGE *SOFFIT *POWERED VENT OTURBINES SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 * 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL *SHINGLE Certainteed FL45444-R12 Q METAL FL# Q MODIFIED BITUMEN FL# Q TORCH DOWN FL# O INSULATED FL# Q TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE** ROOF SLOPE: 0 LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE FL# Q METAL FL# O MODIFIED BITUMEN FL# Q TORCH DOWN FL# O INSULATED FL# Q TILE FL# 0 OTHER: FL# City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: I a — ( ) I ADDRESS: 126 Sterling Pine St. Sanford, FL 32773 I Joseph Rayl 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#: CCC1329936 COMPANY / CONTRACTOR: Covenant CONTRACTOR SIGNATURE: _ (MUST BE SIGNED BY LICENSE ER) 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 Lake Sworn to and Subscribed before me this day of 20 8 by: Joseph Rayl Lindsay Duckham Print/Type/Stamp Name of Notary Public wh,, Impersonally Known to me or has ❑ Produced (type of as identification. I:Y DU 1i7D6C HAN, m j g g t p r, 0 F= 2210 pAy Corrmissiun Expirec October 28, 2018