HomeMy WebLinkAbout136 Rockhill Dr{
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'2/ Job Address: I3(o Poe-glILL bC
Parcel ID: Al - la 30 -
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: a - SV
Documented Construction Value: $ 1 �2-, l;Z', "'
Historic District: Yes ❑ No W
Residential N Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair 5 Demo ❑ Change of Use ❑ Move ❑
Description of Work: r
Plan Review Contact Person: &1ati �S,�j'U�il/�i Title:EftmW.-i &C
Phone: !!�]-qW --SR3l Fax: 13Z1-LjZ2-&&p2 Email:,f6c1pWJ'g0br4RoW5
Property Owner Information
Name Aoxv6tlolvt/
Phone:
Street: ('o koatola, cw_ Resident of property? : l�
City, State Zip: 501ireab �- bZTTI
Contractor Information �y
Name < n Ak 1�DF_ j P4 •SWII CC++ -4 l/�L Phone: 7�/ a% ?W
Street: O 15v Fax: S211- M-000711-
City, State Zip: C°'wwjJ State License No.: Cw 13225Y3
Architect/Engineer Information
Name: .Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
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 t05.3 Shall be inscribed with the date of application and the code in effect as of that date: 51" 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.
i
Si r gent Date Signature of Con gent D e
.01
Print
CLINT RG
MY COMMISSION # f-fi2132.E,3
T�
"r� � EXPIRES WXch 24, 2019
�'A?f f��'♦
IKO,eum
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
CUSTOMER AGREEMENT ! CONTRACT PROPOSAL
T&1VI Restoration Services Inc.
Central Florida Office
1970 Corporate Sq. State D
Longwood, FL 32750
Phone 407-960-3931 Fax 321-422-0002.
FLLicense#,CGC1525663 Sales Rep Loy Ke-r
g GustonierNamen pL—
i-hGl InsvranceCompany Date R portd Date o Loss
Address y_ iCmn C1 kk11 0i tt�
t3t� k1�t41 Insurance Company Number
Claim k
City State Zip Z�
L 2 t C �0
Policy # � _ Adjuster Phone.#
Home Phone '3Ztp--°�125`t., 7AIR 1
Mortgage Company mortgage Company-#
Cell Phone, i3 { - 3CG . 'IbLit,i `{- CA
9� 1 i Loan
Email r1L`Tme Loan �35�Q ltiind(]Hail.
UnC�t2tr. � S 5l ""»tt
cep
ScopeofWork Driveway A C;(Bra�nd)
❑ OilStains.
Removal and disposal of existing Restoration system down to ,,fold
the wood deck Includes: shingles, underlayment, drip edge, Ceilings ❑ Stain's❑
pipe boots, ridgeloff ridge vents, valley, metal
Ducnpster f
Re-nail wood deck with $d ring shank nails, per city code / r El -
Al Shingle
Install new.underlayment (Color)_Install new dripedge, roof.venu, and ieplace pfpeflashing(7pgrade.Cost,
Protect landscaping, driveway, and,,other household
nt
compones n'associated with project Drip El
(Color)
Remove/Install existing satellite'dishes. *(Note: These may
need to be recalibrated by satellite provider.)*
Notes
A solar contractor will remove and reinstall solar"panels and e iriU lz Sc 't,: 2
solar water/heating systems as needed` o perform tear offlieroof
A Additional Wood work: 2 sheets will be'replaced for free
and
$70:per sheet after that. $5;per Line r foot of lumber
Total Investment Summary
It isa I eed upon the amount of the contract shall be based on the amount egnat to frill
( o t replacement cost value as stated on'insurance "scope of loss' including deductible and all
i)eduetible'' r F
upgrades, supplements, extr ch rges unless otherwise noted,
In the event of a discrepancy, th�tuctlblq
arrihimt stated on the insurer's'oss X
shall overrule Deductible listedOwner
Bid Price
Due to the unique nature of repairs rdated to truursnce claims, this contract does not include. an explicit price because the final scope has not been agreIt.
ith the insurer'..
Rwchingagmemeni on he full scope Of repairs irn'oivu considr:able time on Company's part; we wilt notproceed with this phase unless you agree tto do dtc wroth
once the scope is agreed upon. By`signing this agreement, you authorize J& M Restoration Services, Inc: to reach agreement on the price and scope of reut behalf I&M
Restoration Services, Inc. agrees to bid the work using the primary uuuance industry pricing database(XaQimate) hazed, on the scope of work agreeth your insurer,
including general contactor markup'at customary, insurance industry rates (20%markup on Xacnmate tine items). Any substantial additions or deduce scope of wort:
will be handled by written construction, change orders: No verbal contracts agreed to. Alt items agreed upon must be in wraing..tF YOUR INSURANCEPANY DENIFS
,(,OUR :CLAIM, THIS AGREEMENTiCONTRACT SHALT. BECOME NULL AND VOID: '
NOTICE To tNsuRANCE COMPANY.AsSIGN'ME3IT OF CLAIM. COVENANT OF PAYMENT: bcable insurance policies which cover t-ipthe pfoperty
Owner hereby assigns any and all inaurance rights,. benefits, proceeds and any causes of action under o sea r "
that Company is to repair pursuant m this contract. Owner Curthe assigns and authorizes Company to seek reimbursement from Owncr3 msunnce'carrierfor payment owed
to Company for services rendered or to be rendered by Company via the initiation of a civil action m a court of competent jurisdiction or other means of recovery. [n this
se perform
regard, Owner waives privary csrgact indudimmakes this �gt requiring full assignment
atthetime of service. parOwner almion of C inthereby directs owner's cr's insuto perform services and rance Carrie"r(s) to ply materials and rrteaso-any and all
it's obligations underthts cont g
in
requested by Company, it's representative, and/or it's Attorney for the direct purpose of obtaining: actual Bents to be paid by Owner's insurancecarner(s) for
services rendered or to be rendcred that
Acceptance of'renris the above specifications,;cope of workand conditions satisfactory of l are hereby accepted. It is agreed Upongrades,
the amount of contract shaft be based
On,the amount equal" to full repiacemom cast value (RCV) as stated on the insurance "scope of toss" inducting deducnbk.and an upgrades, supplements, cxtnd mi m miming
ices, s frain
cilied
e.
ctimate estimate. scope of work, a
otherwiseionote,
repj&Mor[OwTer acknowledgesRestwa,treadsng.0 derinh SAccs, Inc. is hereby standing and accepts the uthorized to do the dis
tonal erms and conditionsoth ntke back of this form. Buyer Right to Cancel -If the buyer
wishes to no longer receive the goads or services presented, buyer may caret this agreement by providing written notice to,1&M Restoration Services, Inc in Person, byTelegraph
or by Mad. This notice must indicate that the buyer does not want the goods or services and. must be delivered or post marked before midnight of the ihi (3"`) business'day after
the. agreement is signed_.
',. caner: ApprQ
a-t - Ay Additional Owner Approval
), Project Manager
By signing.. this eoatract, you agfee to atiterms bn front unit buck o/ this eon trnet.
Cj
THIS INSTRUMENT PREPARED BY: J AND M ROOFING SERVICES INC
Name- ,�rJW : � 1970 CORPORATE SQUARE UNIT D
Address: ? OOD. FL 32750
Gltr"�ha f PMLM301THOU'l" t::t)IJH TY
CL_EM OF C1:F,:GLl1:T COLJRT & C011"FUOL..I...11
BK 9051. Ps 1100 (IF,9i )
CLERK'S 4 2018000869
RE:GORDED 01.: 03/20/23 11
6'('OR1)MG FEES $1.0.00
IECORDED BY cs-:r;l th
Permit Number. Parcel ID Number. 3,3-1 /4
-30 S Ito - czW -1626
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 PROPERTY: (Legal oescription gf the propen and street address if available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER 11
Name and
Interest in property, 161(i AAle4-4— J
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name QnU 1 "\
Address: � no
S. SURETY (If applicable, a copy of the payment bond is
Name:
Phone Number.
Address: Amount of Bond:
6. LENDER: Name: Phone Number.
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe 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 Llenoes Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording 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 WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
tS� orCrunei"6or"tmaeeaF ry .(Print Nartmd;odeSi9 Boe).Cz;aredPwtnedMenager) f
State of r— (✓ County of 5;WUU-tct,0-
The foregoing
by
was acknowledged before me this .2,7 day of Af-r-- . 2U
who has produced identificatio5$3.type of identification produced:
1 13,-.R (-:.)v' A.
SanfordD City of
r�
Building
'1 1 Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address,
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 U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
.Category/Subcategory
Manufacturer
Product
Description
Florida Approval #
including 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
�`—
\ kp 2. • p
Underla ments
Roofing Fasteners
P IF
&V AAF M
A&I L if, 110,o
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
OF- A Mac kwi-
- 1
Other
June 2014
.Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
(include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name
(Please Print)
June 2014
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:1?-4
I hereby name and appoint: —&)°t`r/y
an agent of:
(Name
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):
10 The specific permit and application for work located/apt:
1 (Street Address)
Expiration Date for This Limited Power of Attorney:
A _ -/ . /
License Holder Name: M( 0"94 [V p1
State License Number: 1 rC
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF $w(,-
The for going instrument was acknowledged before me this ztday of �� ,
200 ', by "(C [. Agift �-- who is?iersonally known
to me or ❑ who has produced
identification and who did (did not) take an
rk..9� sa'q)0 Signature
my cov'm;S�1
xgry1��s �rC
(Rev. 08.12)
6-,6LN-i ntt
Print or type name
Notary Public - State of F L
Commission No. & Zia_
My Commission Expires:
as
CITY OF
Buil_din _& Fire Prevention Division__
._- /® 4F0 __ - RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
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: rL d
f
CITY OF
a 0,
i4•: t ,:4
DEPARTMENTFIRE
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOBADDRESS: vag auLy�6a\\ �;�. Zc�(_
STRUCTURE TYPE: (0INGLE 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)
i/ 11 A... nJ.l _.--&
DECK TYPE (PLEASE SPECIFY): _
**PLEASE NOTE: ONLY 100 SQUARE
OF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: O OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES �R NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: _
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 14:12 OR GREATER
O TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL# I'DJ 2, - VU-0
OMETAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
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 i -4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
CITY OF
�
Building &Fire Prevention Division
S________0RD'
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: 3(r% r'./Nli
(�- an 6 -A
I I / t t "(!M61 1 ii(t n I fy/ , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, bF 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 #: Q� \B 2 Sg2)
COMPANY/CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICEN
A FINAL ROOF INSPECTION IS REQUIRED:
MA
DATE: /1
7)tZ-
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, e*I kvr,e
Sworn to and Subscribed before me this i day of ro 20 jby:
,&fft, K4&ft4E,9- . Who is ❑personally Known to me or has ❑ Produced (type of
identifica ' n) as identification.
Signature of Nota Public `
State of Florida r K"
C,; 79TK
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of Notary Public
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