HomeMy WebLinkAbout126 Sterling Pine StS.
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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