HomeMy WebLinkAbout138 Wornall Dr„ ,{J Job_Addrf
1/ Parcel'ID:
Type of NN
CITY OF SANFORD
_ BUILDING' & FIRE PREVENTION
FE8 PERMIT APPLICATION
A lication No: 0
Alt
irk: New U AAdddition 0_ AI
iof Work: :,
Documented Construction Value; $( Oq (12
Historic District:. Yes No
Residential. Commercial 0
Repair [],Demo.[] Change. of Use ❑ Move ❑
Plan Review Contact Person. '
Title:
Phoned~% Fax:
Property Owner Information
Name, `` C S ,i A :lC Phone:
Street: j ” )R (A G aCLk_� Icier Resident of property?
,.
City,. State' Zip:'R
Name` CJl\
Street:-,
City,. Statei Zip,:
Name
i
Street:
City, St, Zip.
Bonding Company:
Address i
�Cjo�ntra"ctor Information
Phone:
GG1Q , Fax:
State License No Cffa30362
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
Application is herebymade to obtain.,a permit to-do the work and installations as; indicated. l 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.
F13C 105.3 Shall be inscribed with the date of application and the code in effect.as of that dater Sil Edition (2014)TIorida Building Code
i
Revised: June 30 2015 Pcnnit Application'
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
Application is herebymade to obtain.,a permit to-do the work and installations as; indicated. l 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.
F13C 105.3 Shall be inscribed with the date of application and the code in effect.as of that dater Sil Edition (2014)TIorida Building Code
i
Revised: June 30 2015 Pcnnit 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.
t ]CC Valuation Table in effect at the time the permit is issued, in
The actual construction value will be figured basedon the curren
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 1
be done in compliance with all applicable laws regulating eoi
C
Signature of Owner/Agent rate
A.
Privernwer/Agent's Name Print
n
curate and that all work will
zoning.
it /I "' Date '
agent's Name
V\O /-
w�'a Sr>aturc ofNotary-Blatt of Clorida ,.ul»r.,,
Cigna of Notary -State o Uin i _ -- r e`*` =` KRIS71N LATHAM
JOSNUA L. JESSIE
.r.
0 5 State MY COMMISSION # FF 9219M
_« •�` Notary Ptu (Expires Jun 5. 2018 .....
EXPIRES. Octo6er26,2019
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Cemmissian + 30058 ,
t •'�ci5�o `
` Contractor/A ent s Personally wn to Me or
Owner/Agent is iPersonally Known to Me or produced ID Type of ID t
Produced II) K_ TYPe of ID Dl�
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
ti T e•
Occupancy Use: Flood Zone:
Construe : on yp .
]Ft f Bld Min. Occupancy goad:
# of Stories:
Total Sq o g-
Plumbing - # of Fixtures
New Construction- Electric - # of Amps
----
# of Heads Fire Alarm Permit: Yes ❑ No ❑
Fire Sprit kkler Permit: Yes ❑ No ❑ —
APPROVALS: ZONING:
UTILITIES: WASTE WATER:
ENGINEERING:
FIRE: BUILDING:
COMMENTS:
Pemrit Application
Revised: Junc 30, 2015
Sameer Asmar
7608 Dunbridge Dr., Odessa, Florida 33556
C/ 813-843-5119 0/813-920-9065 F/813-920-9064
sasmarO�rhgbuilders.com sasmar@gmail.com
March 31, 2017
Elkin A. Castillo
138 Wornall Dr, Sanford, FL 32771-7758
Phone: 407.687.6474 Email: elkinucf(o.aol.com
We propose to furnish All Labor, Materials and Permits as needed for the New Roof. Total 23 Squares excluding the lanai.
Work Scope
1. Permits
1. Pull and provide all Permits necessary and provide homeowner with inspection results.
II. Roof Approximately 23 Squares.
1. Remove current shingle roof and underlayment layers —Currently 1 Layers of Shingles.
2. Remove the old vent stacks, goose neck and a -drip edge.
3. Install 2 3/8" ring shank nails around the perimeter and the decking of the roof at 6" intervals.
4. Remove and Replace any rotten plywood on the roof. Include up to 5 full sheets of plywood.
5. Replace the rotten fascia along the home — Will replace all the rotten fascia boards found up to 30 LF.
6. Install GAF Weather Watch Leak Barrier
7. Install GAF Tiger Paw Underlayment with the Life time Roofing System.
8. Install New Vent Stacks and New Goose Neck Stack.
9. Install New 26 Gauge galvanized metal Valley flashing in all valleys and new metal flashing around the chimney.
10. Install New E-Drip around the entire edge of the home color as per owner selection.
11. Install GAF Pro Start Starter with Life time Roofing System.
12. Install GAF Timberline HD Architectural Dimensional shingles as per owner selection of color.
13. Install GAF Cobra 3 Ridge Vents with Life time Roofing System.
14. Install GAF Pro Ridge cap with Life time Roofing System.
15. For the Flat roof Modified Bitumen Base sheet and a Granulated Modified Bitumen Torch Down Cap Sheet.
III. Insurance and Wind Mitigation
1. Provide and fill out the necessary Wind Mitigation form(s) and provide pictures for the insurance wind mitigation.
2. Provide a Roof Certification that can be provided to the Insurance Company.
iV. Dispose of Debris
1. Cleanup of job site, removal of all demolition debris as well as removal of all construction debris. Keep the area
broom swept clean.
V. Warranty
1. A 25 year warranty for all labor performed as part of the replacement process provided by GAF.
2. A GAF/50 year lifetime — Golden Pledge Lifetime Warranty will be provided based on the GAF Lifetime Roofing
System.
MATERIAL SCHEDULE
GAF Tigerpaw / 2 3/8" Ring Shank Nails for re nailing the deck as per Florida Code. GAF Timberline HD Architectural
Dimensional Shingle.
GAF/50-LifeTime Warranty are 130 Mile Per Hour Dimensional Shingle as Per New Code. As per FBC.
Our price for performing this work is $6,900.00 with the GAF Golden Pledge Warranty which is Upgraded Materials to the
GAF Lifetime Warranty Roofing System. All of our roofing, new construction and home additions come with a warranty for
quality and performance.
PAYMENT SCHEDULE
Total Contract Price $6,900.00
Deposit at Signing ($500.00)
Balance to be paid at project completion ($6,400.00)
Conditions:
1. GAF WILL PROVIDE A 25 YEAR WORKMANSHIP WARRANTY FROM THE COMPLETION DATE FOR THE
COMPLETE RE -ROOF. GAF PROVIDED GOLDEN PLEDGE LIFETIME WARRANTY — 50 YEAR NON PRORATED
WARRANTY ON ALL THE MATERIALS.
2. MATERIALS HAVE A GAF GOLDEN PLEDGE LIFETIME 50/LIFETIME YEAR WARRANTY AS PER THE
GOLDEN PLEDGE LIFETIME ROOFING SYSTEM. As required by GAF, the contractor, Rainer Builders LLC/RHG
Builders LLC, will register and pay for the GAF Golden Pledge Ltd. Warranty within 45 days after installation. If the
contractor fails to register and pay for the warranty within the 45 days and GAF refuses to issue said warranty, the
contractor will reimburse the homeowner for the associated cost of the GAF Golden Pledge Ltd. Warranty as determined
by GAF.
3. At the completion of this project, Contractor shall execute an instrument to Owner warranting the project for (25
Years Labor and 50 Years Material for the GAF Timberline HD Dimensional Shingles the warranty is held and
honored by the GAF Company) against defects in workmanship or materials utilized. No legal action of any kind
relating to the project, project performance or this contract shall be initiated by either party against the other party after the
warranty has been registered and beyond the completion of the project or cessation of the Work.
4. This warranty is in lieu of any other warranty, express or implied. Any implied warranties, including but not limited
to, the implied warranty of merchantability, fitness for a particular purpose, habitability, and any UCC warranties are
waived.
5. This warranty shall be null and void and Contractor shall not be liable for any damages or expenses, If Owner
does not first grant Contractor access to the premises and the opportunity of Contractor to inspect, correct, or replace
alleged defective items before Owner incurs expenses or has work done by a replacement contractor.
6. Contractor hereby assigns (to the extent they are assignable) and conveys to Owner all manufacturers' and
suppliers' warranties, together with operating instructions if available , on all goods, material, equipment and appliances
provided to Contractor. Owner's sole remedy for defective products is against such third party vendors and their
warranties, if any.
7. Any claims for defects in construction, material, or workmanship are subject to the notice and cure
provisions of Chapter 558, Florida Statutes. Such claims must first be presented in writing to Contractor (and not
Contractor's insurance provider) to allow opportunity for Contractor to inspect and repair.
8. IF THERE IS MORE THAN ONE LAYER OF SHINGLES THEN A $10.00 PER SQUARE ADDITION WILL BE
ADDED TO THE BALANCE.
9. SHOULD YOU HAVE ANY QUESTIONS OR COMMENTS, PLEASE CALL US.
10. PLYWOOD REPLACEMENT AT AN ADDITIONAL CHARGE OF $50.00 PER SHEET.(4X8) (if needed
beyond the 7 sheets in the agreement.) ALL NAILS AND NAIL PATTERNS TO MEET CODES. PLYWOOD
CLIPS SHALL BE USED AS PER CODES. REPLACEMENT OF DAMAGED OR ROTTEN 3"FASCIA WILL BE AT A
RATE OF $3.95 PER LF.6"FASCIA $3.40 PER LF. (Excluding the 50 If included in the agreement.) SUB FASCIA AND
RAFTERS ARE AN ADDITIONAL $5.25 PER LF.
ESTIMATED TIME OF COMPLETION WILL BE DETERMINED UPON RECEIPT OF PERMIT, EXCLUDING
SUNDAY AND WEATHER DAYS.
A 3.5% CREDIT CARD PROCESSING FEE WILL BE CHARGED ON ALL CREDIT CARD TRANSACTIONS.
This agreement is subject to revision or withdrawal by RAINIER BUILDERS LLC / RHG BUILDERS LLC until signed and
accepted by Client and executed by an Officer of RHG BUILDERS LLC. This is the complete agreement between the two
parties. No prior of contemporaneous oral agreements, and no other written agreements, except as listed above, shall be
binding. The undersigned hereby accepts this Agreement and agrees to be legally bound by all the terms and conditions
set forth on the terms and conditions page. This Agreement shall be governed in accordance with the laws of the state of
Florida. Any action arising under this Agreement shall be brought in the County where RAINIER BUILDERS LLC / RHG
BUILDERS LLC's principle office is located.
Client Signature
Elkin A. Castillo
Date
CURRENT ROOF STATE
138 Wornall Dr, Sanford, FL 32771-7758
GEOMETRY AND PITCH OF THE HOME 6/12 — LANAI IS NOT INCLUDED
THIS
NOTICE OF COMMENCEMENT.
State of Florida
County of Seminole
nit Number Parcel ID Number:2 " 19
Url
Aar 713, Florida"Odhereby gives notice that improvement w81 be made to cart: n real property, and In accordance with
>ter 713, FloStatutes, the following Information is Provided In ft. Notice of Commencement
CRIPTION OF PROPERTY: (Legal deoalption of the property and sheet address If eva8eb e)
DESCRIPTION OF
Sbnple.Tple Holder(d other than Owner)
ream wmn the stab of Florida P Mdeddbd by Section 713.13(tgb) Flmtd� by Owner upon whom notice or other doeumgMs may be served t>tetrdas
addttbn to himself. Owner Designates
713.13(1)(b), Florida Statutes.
Of
To reeelve a espy of the Uerxes Notice as Provided in
n Data Of Notice of Commencement (The expiration date Is spedfled) date Is 1 year from data of reeordlrrunlessuoae e
nnuvu +v UWNLCR- ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
MMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,. SECTION 713.13,
)RIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. q
nCE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
PECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
-ORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
der penalties of perjury, I declare that I have read the foregoing end that the fads stated in it are true
77myh
Knowledge and be(iet.
v
D+r>ars 5lpnahrs GPfk / a
Ovnfefs Prtrded Nana
Rodda StAUte 713.13f1)(O'The ewer=I% sign the naCl2 ciomw x,a antroana dsa may be pen Vw tx dM In INn alnr areas:
State of Florida County of J
The foregoing Inatrumem was acknowledged before me this S0_ day of NQX l ( 20Iff
Cy 1- 1 I V) eas � r' I 0 Who to personally known to ma ❑
rJameapraon mekttp
OR who has produced Idemblicatio 1�1 type of klentlflcatlon produced: di'1 vGi 1 f �1Sz
JOSHUA L. JESSIE
Notary Public - State of Florida
z My Comm. Expires Jun 5, 2018 Na�ry5l�tas
:R'P' Commission 8 FF 130058
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018012893 BK 9068 Pg 1951: (1pg) E-RECORDED 02/02/2018 02:01:43 PM
10.00
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= SF.Ad/NOLF CotINT"Y MULTI%UJZ/SD/CTIONAL
ij
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LIMITED POWER OF ATTORNEY
.i
tamonte Springs., Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs, wAz, \L,
Date:
I hereby name and appoint:5�� or
,g
I agent:of:
(Name of Company) _
to be my Iawfuitattorney=in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this
appointment fort(check only one option):
LEI All permits and applications submitted by this contractor.
Or
'Q The specific permit and application for work located at'.
(Street Address)
Expiration Gate for This Limited Power of Attorney: Cl tit1
.License Holde 61v
N;ame:
State License Number;
i,
_Signature of License Holder'`
-,STATE OF FLO_; A
COUNTY OF
The foregoing instrument was /ackknowle/�ge'dnb^efoore me this - l day of
A20
20 '.1 # by V �1Vr ` '�'�� who isersonally known to me or
tl 'i r ^ Was identification
❑ who has produced `--�� ut �rNs�
an who `lid id not) take an oath.
ig'iat re of Notary Print or type Notary`nariie
Ii
�L
� Notary Public -State of
i l Commission No.
My Commission Expires: CA ej
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CITY OF
SkNFORD
Building & Fire Prevention Division
RESIDENTIAL RE ROOF POLICY & PROCEDURES
FIRE DEPARTA/1E\T
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�- CODECOMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:
DATE: i //r-
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JoB ADDRESS: 1 / i �•,v'•J� I -vim ��
STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCENOWNHOUSE 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:
* *PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED""
ROOF VENTILATION: O OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES ® 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
O TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
(a SHINGLE
.. n
C O
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
® OTHER:
� s
`� O C (�
FL# 1
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#
OINSULATED
FL#
O TILE
O OTHER:
FL#
FL#
CITY OF
FORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFLOA VIT
r4P'I li EPA F,. -.%lFN
RESIDENTIAL RE ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: �� Q 0 ADDRESS: " ) {h (A) o \ 1 !C /L
�o�n�l f o 1,
f
I cw—Y �Q--( A-sy )%�' .-/ , AS AN 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( 55_.3.W).
LICENSE #:
COMPANY/CONTRA
CONTRACTOR SIGNA
CTOR:
A FINAL ROOF INSPECTION IS REQUIRED:
TFIIS SIGNED AND NOTARUZD AFFKDAVrr 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 CON -FIRM ALL NAEL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE ANT VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECITON PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL. REQL112EMENTS.
'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 ,�rU
Sworn to and Subscribed before me this day of Ja,\ 201d b :
Who is 0 Personally Known to or hasProduced (type of
identification) as Identification.
Print or Type Notary name
Notary Public - State of FL
COMMission Nlo-
My Commission. Expires:-
`a 1WSTIN LATItrl1M
MY COMAl1MON # FF 921939
EMRES:0ctobsr26.2019