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HomeMy WebLinkAbout131 Gleason Cove+lp CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: S 7,900 Job Address: 131 GLEASON CV SANFORD, FL 32773 Historic District: Yes ❑ No 0 Parcel ID: 02-20-30-523-0000-1500 Residential ❑x Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration El Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Re Roof Owens Corning FL10674-R12 Rhino 15216-R2 21 SQ 7/12 Pitch Desert Tan Oakridge Lifetime Plan Review Contact Person: Skylar Amkraut Phone: 407-278-7788 Fax: 800-337-3361 Name Janice Zaidi Title: Admin Email: Permit@Jasperinc.com Property Owner Information Phone: Street: 131 GLEASON CV Resident of property? : Yes City, State Zip: SANFORD, FL 32773 Contractor Information Name Jasper Contractors Phone: 407-278-7788 Street: 4185 S Orlando Dr Fax: 800-337-3361 City, State Zip: Sanford, FL 32773 State License No.: CCC1331153 Arch itectlEnginee r Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: 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'h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of 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 thati 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 Aapplicable_laws regulating construction and, ezoning.___ __ ------ Signature of Owner/Agent Print Owner/Agent's'Name Date Signature of Notary -State of Florida Date - 01.02.18 Signatnr of Contractor/Age t Date Rudith Goico Name SKYLAR B AMKRAUT Commission q FF 127890 _ 'My Commission Expires a_ June 01 , 2018 Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID ype 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: Jime30, 20'15 Permit Application 5380 E. Colonial Dr. Orlando, FL 32807 3203 Conway Rd., Ste. 201 Orlando, FL 32812 (407) 278-7788 (800) 337-3361 Fax int�itn'.inni:rinc.nrc VISA JASPER Je�pernocf.com FL Contractor's License: CCC1329651 & CCC1331153 ROOF REPLACEMENT CONTRACT Account Manager: Contact N; t,& Y 615 insttranee l Omnanv iiniormagon Company: I z u Policy #:QI . 3 Claim 4: .D Z ?°> ge Cop)Ijany Information Company: 7.f 7 cfpp N Loan Number: / J�YZ--7 Owner's): -7 Phone: 0 7 -- 7 S-2 56 '? Address- n Alt Phone. City: S Zp C Shingle Color:�a�' a-7 . Email: 1 E Qr j 1QAI(. ; J' Roof RCVO Amount/ Contract Price: O Drip Edge Color: «/tr -7,r� 11_ywneRs Jtrsurance t'mmijanv i'Iot"ot agree to nay for full roof replacement this contract shall be voidable Assignment of insurance Benefits for the Full Roof Replacement Only: 1 hereby assign any and all insurance rights, benefits and proceeds under any applicable insurance policies to Jasper Contractors, Inc. ("Jasper"), the scope of which shall be limited to a Full Roof Replacement. J make this assignment and authorization in consideration of Jasper's agreement to perform services; supply materials and otherwise perform its obligations under this Contract, including not requiring full payment at the time of service, 1 also hereby direct my insurer(s)to release any and all information requested by Jasper, or its rcpresentative(s),, for the direct purpose of obtaining actual benefits to be paid by my insurer(s) for services rendered In this regard, i waive my privacy rights. if payment is made directly to the Owner/Agent/insured(s), it shall be endorsed over to. Jasper immediately upon receipt. i agree that any portion of work, deductibles, betterment or additional wvrk requested 'by the undersigned, not covered by insurance, must'be paid by the undersigned on the day of installation. Deductible: it is the Owner's responsibility to uav all insurance deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on insurer's loss sheet (the "Loss Sheet'j, UNLESS. replacement/repair of deteriorated decking is required, by code and/or Owner requests optional upgrades Jasper CANNOT pay, waive, rebate, or promise to pay, waive or .rebate any or all of the insurance deductible applicable to the insurance claim for payment of work. In the event of a discrepancy, the deductible amount stated on the insurer's Loss Sheet sh'all.overrule deductible amount disclosed Deductible: S_ 02.7o D C> MUST BE PAID iN FU PLUS APPLICABLE SALES TAX K, Z (initial) MORTGAGE AUTHORIZATION: 1, Owper/Mortgagor, grant authorization. for ! COL"i7 N. A1 Mortgage Co. to speak with Jasper on matters including but not limited to, the'claim and draw status., (initial) PAYMENT SCHEDULE: Owner agrees to pay Jasper based on the following schedule: (i) Deposit in the amount of S: due upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's insurer(s), plus upgrade costs; due and payable to Jasper upon completion of work being performed; and, (iii) the remaining ;Contract Price (equal to any applicable depreciation and/or change orders) due and payable to Jasper upon completion of work performed In the event of a pending inspection, no more than 2% of Contract Price may be withheld until inspection has passed. Optional: UPGRADE ITEM: QTY: PRICE: TOTAL: S Replacement Work and Price: Upon insurer's approval and subject to the Terms and Conditions herein, Jasper agrees to furnish all materials and Provide the labor necessary to perform the full roof replacement which shall take place following Owner's insurance company's approval, approximately within 30 days, conditions permitting, Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof replacement, Jasper shall perform the roof replacement upon receipt of funds from Owner's insurance company. FLORIDA HOMEOWNERS' CONSTUCTION RECOVERY FUND PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWINGTELEPHONE NUMBER AND ADDRESS: Construction Industry Licensing Board: 2601 Blairstone Road, Tallahassee, FL 32399-1039i (950) 487-1395 CANCELLATION: If Owner elects to terminate the services of Jasper; Owner may do so before midnight on the third business day after Contract Is executed. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnfghton the third business day after the contract is executed after notification from Insurer(s) that the claim forpayment on roof contract has been denied, In whole or in part. All written notices of cancellation, regardless of reason, shall be postmarked or delivered to Jasper's corporate office: 16" Roberts Boulevard, Suite 112, Kennesaw, GA 30144. CANCELLATION EXCEPTIONS: The three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence. 1, Owner, have read and understand all statements, Terms and Conditions of the "Roof Replacement Contract" and agree that all details are acceptable and satisfactory. I further understand that this Contract constitutes the entire agreement between the parties and that any further changes or alterations to this Contract must be made in writing and agreed upon by both parties. Each party represents and warrants to the other that it has the full power and authority to enter Into the contract and that it is binding and enforceable in accordance with its terms. Authorized Jasper -Representative Date / (� It=,% - .- LA / Owner D' e Scanned by CamScanner THIS INSTRUMENT PREPARED BY: GRANT MALOY, SEMINOLE COUNTY Name: JASPER CONTRACTORS CLERK OF CIRCUIT COURT 1, COit TRO Address: 3203 S CONWAY ROAD SUIT$ 201 BK 9051 Ps 1322 (1Pss ) ORLAM0 FL 32812 CLERK'S Y 2018000959 RECORDED 01/117 '01g 01:5559 PH RECORDING FEES 10.00 NOTICE OF COMMENCEMENT RECORDED BY .1F,_kenro Permit Number Parcel ID Number: a� (000— 1500 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, following information is provided in this Notice of commencement. the f 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) Lv. {'SO 2. GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT. Name and address: _ n Z ZiCV- , 13 l F,jpit�Qn CQ Interest In property: OWNER f Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407-278-7788 Address: 3203 S CONWAY ROAD SUITE 201 ORLANDO FL 328I2 5. SURETY (If applicable, a copy of the payment bond Is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number. , Address: I 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7„ Florida Statutes. Name: Phone Number. Address: 8. In addition, Owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes, Phone number: j 9. Expiration Date of Notice of Commencement (rhe expiration is 1 year from date of recording unless a different date is specified) I WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, ARE AND CAN RESULT IN Y PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR UR THE LENDER OR AN ATTO BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. __q ure or Owner of Less e, o Owneys or lessee s (Print Name and Provide Signatorys TitlelOffice) Aul.4 dzed OlfieedDimc rIP rtnedManager) — U State of U e .. County of � The foregoing instrument was acknowledged before me this / day of D ece j')/) W,(- by—..- at a. (c' e a �'"� Who is personally known to me b�' OR Name of person making statement who has produced identification El type of identification produced: _.. °''tic - State of Fitt- ":s ;ion#FF9236st rI';o r:; E! ire roan• P i Oct 1, 2C ELIZABETTH HOROUIST Nay P(111Hc - State of Florida COMMI981011 # FF 923694 My COMM- Expires Oct 1, 2019 LLER LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 01-02-18 Karla Almodovar, Rudith Goico, Skylar Amkraut Rachel Holcomb I hereby name and appoint: M't WWjW, Gina Mc5onald & Rachel Holcomb an agent of: Jasw Conraaom Nzinc or company) to be my lawful attomey-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 permit and application for work located at: 131 GLEASON CV SANFORD, FL 32773 (Sum Addrm) Expiration Date for This Limited Power of Attorney: 1 /1 /2019 License Holder Name: Ronald Bouchard State License Number. CCCt33t153 Signature of License Holder STATE OF FLORIDA �1 COUNTY OF The foregoing instrument was acknowledged before me this 02 day of January 20918 , by °oruid d who is o personally known to me or ® who has produced of as identification and who did (did not)takean oath. Signature (Notary Sea]) S'kylar Amlaaut wF SKYLAR 8 AWRAUT It Commission N FF 127890 �d - f- My Commission Expires June 01, 2018 (Rev. 08.12) Print or type name Notary Public - State of FL Commission No. 127890 My Commission Expires: 6/1/2018 Scanned by CamScannPr 1 /2/2018 *Mm, CFA Parcel Information SCPA Parcel View: 02-20-30-523-0000-1500 Property Record Card Parcel: 02-20- 30-523-0000-1500 Owner: ZAIDI JANICE P LIFE EST (JOHNSON ALYSIA S) Property Address: 131 GLEASON CV SANFORD, FL 32773 Parcel 02-20-30 523-0000-1500 Owner ZAIDI JANICE P LIFE EST (JOHNSON ALYSIA S) Property Address 131 GLEASON CV SANFORD, FL 32773 Mailing 131 GLEASON CV SANFORD, FL 32773 Subdivision Name PLACID WOODS PH 2 Tax District DOR Use Code S1-SANFORD 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2002) Legal Description LOT 150 PLACID WOODS PH 2 PB 58 PGS 4-6 Taxes Value Summary 1 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 III Depreciated Bldg Value � $98,651 $93,092 Depreciated EXFT Value Land Value (Market) $25,000 $25,000 Land Value Ag --- Just/Market Value " $123,651 $118,092 Portability Adj Save Our Homes Adj $55,075 $50,926 Amendment 1 Adj P&G Adj $0 $0 $0 Assessed Value $68,576 $67,166 Tax Amount without SOH: $1,460.80 2017 Tax Bill Amount $588.81 Tax Estimator Save Our Homes Savings: $871.99 ' Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $68,576 $43,576 $25,000 Schools $68,576 _ ... — - $25,000 $43,576 City Sanford $68,576 1 $43,576 , $25,000 SJWM(Saint Johns Water Management) $43 576 $25,000 ........ ......... County Bonds j $68,576 $43,576 $25,000 Sales Description 1 Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED SPECIAL WARRANTY DEED 6/1/2015 8/1/2001 08493 04154 1 0464 0112 $100 $86,700 No Yes Improved Improved -- Find Compara bile Sam Land Method Frontage Depth Units Units Price Land Value LOT 1 $25 000.00 $25,000 Building Information Year Built # Description ,Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE 2001 6 3 2.0 1,204 1,466 1,204 CB/STUCCO $98,651 $104,393 i Description ;Area FAMILY FINISH http://parceldetaii.scpafl.org/PareelDetailinfo.aspx?PID=02203052300001500 1/2 CITY OF SkNFORD Building & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. &w �.� ISSUE DATE: CONTRACTOR: Zms,ye.r CPatr=i&rs, Is JOB ADDRESS:I—q G a► TYPE OF WORK: • rocx CL PROTECT FROM WEA HER • 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 mW. be removed from job site at final inspection • Permit expires six (6) month. 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 8SS.541.2112 ,1 City of Sanford Building Division 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), certifying FBC code compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 01.03.2018 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 356 FAIRFIELD DR SANFORD, FL 32771 STRUCTURE TYPE: Q SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): * *PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: DOFF -RIDGE ORIDGE 0SOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES ONO 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 O SHINGLE Owens Corning FL# 10674-R12 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# 0 OTHER: FL# 4.City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHE�A"THING, DRY -IN, FLASHING, AND ALL FINAL( ROOF COVERINGS PERMIT #: 1 (�/y 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: nViNaS CONTRACTOR SIGNATURE: DATE: \ ✓ , { . (MUST BE SIGNED BY LICENSE HOLDER OR O _ ER/ U DER 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 � �L Sworn to and Subscribed before me this day of 20 __Ub : Who is ❑ Personally Known to me or has roduced (type of as identification. Co"'* EXP es Con�m�ss�on � n FF My Coln'JS on June