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HomeMy WebLinkAbout139 Crown Colony WayI/L .D CITY OF SANFORD' BUILDING & FIREPREVENTION PERMIT APPLICATION Application No: % d ' q-7 L Daocumented Const><uc_tioi ,V, lue,,;$, $ 10,082.69 Addrec�i 139 CROWN COLONY WAY Litstortc D1sWrtct; Yes ❑ No,O . �. _. I?4 0,10: 3,3- i - ,W- 5 0 S - 0000- b4 9 O Resid"entWJ1M1 Commercial ❑ T�thc 'nf 1'VOrk New ❑ Addition ❑ Alteration ❑ I2epa rA Deno ❑ Change of Use ❑ Move ❑ pDeset it tto___ I't- Residential Re -roof: Asphalt Shingles Plan .Review Contact Person: Stephen Barnett Title: President Phone: 407-647-9420 pax: 407-629-5720 Email: permits@ca.rrollbradford.com Property Owner Information tN me, Chase & Erin Curran Pliant: '407-404-00,85 ,Sh eet E 139 CROWN COLONY WAY Resident°af prapci ty? :_r City,;State�Zi ;? SANFORD, FL 82771 Contractor information kWifffif6 Carroll Bradford,, Inc flfone:; 407-647-942Q St, e4t 4776 New Broad .Street, Suite 201 City, State Zips;; Orlando, FL 32814 Natne: Street: Cih', St, Zip: Bonding Company: Address: „riix:, 407-629-5720 wStite4License N;� CCC1330656 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNIN( TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RI SULT IN YOUR PAYING. TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE 01" COMME-NCEiIMENl' MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LE-NDER OR AN ATTORNEY 13E17ORE RLICORDING YOUR NOTICE, OF Coi'tl �'rtNChi►t 1+NT. Application is hereby made to' obtain a permit to do the work and installations as indicated. 1 certifv that no work or installation has commenced prior to the issuance of a permit and that al work wiII be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit trust be secured fttr, electrical Work, plumbing, sighs, trells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 1t15.3 Shall be inscribed with the (late or supplication and the code in effect as of that date: 5" Edition (2014) Florida 1luilding Code Revised: Junc 30, 2015 Permit Application a � I 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 govemmental 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. 64�t�1�18CI I1111s Slg AhM bf owrox/Agent Ir bat, Signal of Co�Agent hate ' V\BSc Cx1 fad lflnA.4-PlI..A-An Print Owner/Agent's Name Print Contractor/Agent's Name (-1 IJA 1l)1118 Signature of NotarMtotc of Florida We ;;A""'�•; KELLY WEBBER a State of Florida-Notery Public '' •= Commission # GG 152442 MVcommission Expires Octob r 17, 2021 t Owner/Agent is is _ ' Contractor/Agent is Personally Known to Mc Produced ID Type of ID �� Produced ID Type 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 - Al of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June30.2013 Permit Application *,A. � ffl� Parcel Information Property Record Card Parcel: 33-19-30-50S-0000-0490 Owner: CURRAN, CHASE E & ERIN Ni Property Address; 139 CROWN COLONY WAY SANFORD, FL 32771 --77 - Value Summary Owner,CHASE E& ERINM Property Address 139 CROWN COLONY WAY SANFORD, FL 32771 Mailing 139 CROWN COLONY WAY SANFORD, FL 32771-7724 Subdivision Name ROWN COL0NY,5U IV1Sr0N Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 001- HOMESTEAD (2013) 0) Q0 116 0 r3-0 Seminole County GI - S 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings Depreciated Bldg Value $178,325 $168,053 Depreciated EXFT Value $313 Land Value (Market) $40,000 $4 0.000 Land Value Ag lalv�NlArk t W�jtjc $218,638 $208.378 Portability Adj Save Our Homes Adj $89,610 $82,004 Amendment 1 Adj so P&G. Adj so $O $129 Assessed Value .028 $126,374 Tax Amount without SOH: 53,179.00' 2017 Tax Bill Amount $1,618,D0. Tax Estimator Savo Our Homes Savings: $1,5611.00 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description - -COLONY -lSUBDIVISION ['C--R—bW--N1 LOT 49 PB 61 PGS 76 - 78 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund S129,028 $50,000 S79,�28 Schools $129,028 $25,000 $104.028 City Sanford J $129,028 i S50,000 $79,028 SJWM(Saint Johns Water Management) S129,028 j S50.000 $79028 County Ponds $129,028 1 S50.000 S79.028 Sales Description Date Book Page Amount Qualified Vaclimp WARRANTY DEED 18/1/2017 $255,000 Yes Improved WARRANTY DEED 7/112012 $140,000 No 4 Improved TRUSTEE DEED 1011/2011 j 07711 5100 No Improved WARRANTY DEED 4/1,12009 $100 No Improved SPECIAL WARRANTY DEED 12/1/2003 1 05156 S159.400 I Yes Improved WARRiNT'Y'DEED T/2003 -9-5 1 —IG 0 $680,000 No Vacant Plad Ceti Land Method Frontage 1 Depth Units Units Price I Land Value LOT 1 j S40,000.00 $40.000 _ Customer: Date: Property Location: t_ Day Phone: OM OH City/State: Zip: Evening Phone: UM OH E-Mail: C v HOA Approval Neieide'd: Wes : ROOF SPECIFICATIONS' -Bread Style: Color. T?M V102Mi Construction Type: C3New Construction PItemove & Replace Story. 01 02 Pitch: Tear-Oflf4yers: 01 02 ElPeel & Stick Valley: qppen E3C]osgd,, Lead Pipes: E31.5" E12" 1 03" J 04" Underiayment: ElSynthetic LIFelt Ventilation: Type _'AL_QtY. i Color I .-Drip Edge; Kitchen/Bath Vents: 4"—,'— I04— Color Skyllghts:Slze j't-1 Type Replace Flat Roof: LlYes EgNo Color Lumber: Size Type P/4..; 9ty. Solam'Description Misc. Warranty: UStandard OSystem: Delivery Notes: 7. ­======Uneal-Fee11 Downspett SFDIIqGSPOMq=GNS:-Up-Sizg,� o�surc)L---,----TTkn-Stzei------------ --FMhT—USffgdff MWodgrain Special Instructions: 1� TERMS i. By signing this "ment, you authorize camll Bradford. Inc to perform the work as spedfied above and agme to the payment schedule as listed on this Agreement 2. Any alterations ordeviations from this Agreement will not be atecuted unless otherwise agreed upon in writing by both parties 3. Your signature below provides your agreement to all the ouTp and conditionsset rorth an the front and back of this Agreement Please can" read theerilre fiontand back ofthIsAgreemeft 4. This proposal may be withdrawn by Carroll Bradford Inc. Ifootaccepted within 30days. Agreed Price: $ 10., 0111. k,:\ To be paid as follows: $ 'D'.)" Date Deposit: Due at time of Agreement (Check # Balance: I Uq (Check Date Due at the time of Completion stnaeure (Customer) Date Signature [Carrffl Bradford Rep) Date; M 0 .4 C .. .t n.•inntin Finricin'42Rl4eCiffid.:jo7-647'-9420'o'Fax:407-629-5720 -7604 IACKSON.ViLLE: 4400 Marsh Landing Boulevard,, Suite 1 * Jacksonville. FL32250 e Office; 907-296 Permit Number Folio/Parcel ID #: 33-19-30-5QS-0000-0490 Prepared by: Cody Jackson — 1.11➢111111111111111111111111111111111111`1-l? (]R.1lff IMIOYr SEMINOLE t:OUHTY UEM' OF CIRC T C01JU ?, (.Vil'TROLLER U90 " 1`.3 t.19 fPtis) CLE K I S t 2018005019 (iECORDED 01/1.6/20it" 09:51--.6 All ECORD111.41 FEESY>Is_I.iOtt RE("OFiDED BY r1 '.rt7i' Return to Carroll Bradford Inc 4776 New Broad Slreol, Suite 201 Orlando. FL 32914 NOTICE OF'COMMENCEMENT State of Florida The undersigned nereny 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 description of the property, and street address if available) LOT 99 CROWN COLONY SUBDIVISION PS 61 PGS 76 - 78 2. General description of Improvement Residential Re -roof 3.. Owner Information or Lessee information If the Lessee contracted for the Improvement Name Chase & Erin Curran Address119 CROWN COLONY WAY SANFORD FL 32771 Interest In Property Owner, Name and address of fee simple titleholder (if different from Owner listed above) Name Address a. Contractor Name Carroll oradrord: Inc_ Telephone Number 407-647.9420 Address 4776 Now Broad Strs*t. Sude 201 Odando. FL 72814 5. Surety (if applicable; a copy of the payment bond is attached) Name Telephone Number Address Amount of Bond $ 6. Lender Name Telephone' Number Address 7. Pemon&wlthin the Stata of Florida deatgnated by Owner upon whom notices or other documents may be served as provided by§713.13(1)(a)7, Florida Statutes. Name Telephone Number Address 8. In addition to himself or herself. Owner designates the following to receive a copy of the Llenor's Notice as provided to §713.13(1)(b), Florida Statutes. Name Telephone Number Address 9. Expiration date of notice of commencement (the expiration date will be 1 ,year from tho 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 1, 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 WITtt OUR jl !,I pER OR AN A_ ORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Slyntiture of owner or Ltlssee, or Owner's or Lessee's Authorized Ofllcer/Director/PdnnerlMenager The foregoing Instrument was ackno'vledged before me this 1 day off' by as for a.g., oa7icer, I Signature Personally Known ,_OR Produced ID Type of ID Produced neon year ()lid Signotorya TiOWOMee �I2Ct''SE'. C:t�-I'1�C3�tr1 name of parson Name of party on behalf of whom instrument was wmcuted CERTIFIEDCC1Pr 0 ANT N y CLERK iHt ra'JTj Form,00ntant revised:01/23/14 N A 8 2-4: 00 Q ,a A CFOA-, MW\C1A A. Fps //i�i QQ ' e ? CITY - • QI' SkNFORD DEPARTMENTFIRE Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. )too 4077% ISSUE DATE: 01's 4; 40 /4? CONTRACTOR: JOB ADDRESS: TYPE OF WORK: III PROTECT FROM WEATHER I • 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 must be removed from job site at final inspection • Permit expires six (6) months 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 855.541.2112 TO SCHEDULE AN INSPECTION: • Dial 407.792.6069 or 855.541.2112 • Provide the items requested during the message • The type of inspection requested must be scheduled under the appropriate permit type • Follow the prompts PLEASE NOTV: Inspectio19s scheduled by 5:00 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code 111 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 REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 CITY OF SkNFORD Building & Fiie Preventhm Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DFPAWMIENT PL•'ItiMITPING REQUIIZ[ i1,i-:N'I'S—NO PL:1N Ri-,MrW RF:QUIRF:I) THIS DOCUMENT(SIGNED)ALONG WITH AN ACCURATE AND COMPLETED RLS[DENTIAL. RI -ROOF SCOPE OF WORK ARE REQUI RED TO BE' SUBMITTED AS PART OF YOUR E'I�RMI'I' AI'I'LICATION. DIE E SCOPE OF WORK 41USTINCLUDE AH, APPLICAI3LI's ('L.ORIDA PRODUCT APPROVAL. NLM7BEIM FOR ALL ROOF COMI'ONI N'LS `LEIA"I' W1Ll.. BE INSTALLED ON THE PROJECT. A PERMIT WILL NOT 13E`ISSUED \VITEIOU'f TLIESE DOCUMLNTS. C01111?S WILL BL" A=fAl51i TO POST ON THE 1013 S►TE':. **PRO.[txlS LOCATED .IN THE SANFORD NIS`LORLC DIS'I'RIC.:F WILL RrQUIRF: PLAN REVIEW ANI)APPROVAL BY'1'ILIr," SAiNFORD HISTORIC PRESERVATION` BOAlZb INSPECHON POIACV & PROCEDURE'S A FINAL: ROOD INSPIiCTION IS'I HL ONLY INSI'EC'1'1(]N INQUIRED I''OR RESI171>NTIAL (SIN(111.1FAMILY, 'I"OWN)-IOUSE1 MOBILE Homcf, APARTtb1ENTAND/0111,CONDO,NIINIUM) RI -RooF PERM[,'$. THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SIT EI: • PIaRMIT CART), POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCI -PION • COMPLETED RESIDENTIAL RE, ROOF SCOPE OF WORK • COnI%i;i'1"ID ANI) NOT'ARil1�1) INSI'hC110N AF1'll)AVPr' • ALIs FL.OIZ[DA PRODLIC"f APPROV,\L ANI) COIZRI?SPO DING INS'I'ALI,.ATTON I;JS"IIZUCT"IONS (PRODUCTAPPROVAL SHALL Mn'I'CF1 WI TATIS ON THE SCOPE OF WORK) • DIGI'I'AI. Pi-10'1'O(',IZAI'I-IS (MUST INCI::IJI)i.. "I"I-Il" PERMIT NUMBER OR ADI7R1'SS IN EACH PIC'I'URL"•) O EACI-I PI.ANE;OF'CI-IE'ItOOI:, SleIOWING'l'FIE 11NDERLAYMENTINS'I'A[;l:;i:?L7 O ROOF BECK NAILING I'ATTF---RN & SPACING (INCLUDING A MI:'iASURING I)F:VICI OR, RULI' R) o RoOF DICK NAILS USED (INC LUDIN(; A A-IEASURING DEVICE Olt RLIC.I:R SI°TOWING SIZE C)F NAILS) O UNDERLAYMENT PA'Cl'C RN,& SPACING (INCLUDING A MEASURING DEVICE OR RULER), O DRIP EDCili & VALLEY A`1`1'ACF1A-11 N'I- (INCLUDING A .MrA.SURING DEVICE'; OR RULER) O S1-1INC, LES INSTALL[:la, NA11. PA'l-11'RN AND LOCATION OF NAILS • SKYLIGHTS (IP APPLICABLE) 'O DIGITAL 111-I6T'OGItAPHS SI IOW ING TALI,. INSTALLATION C01MPON1:NTS. PLEA 11. 11,RODUci, APPROVAL o DiGI'I'AI, PHOTOGIZAI'LIS SFIOWING AI.L REQUIRED FLASI IING, P1;Et l' L PROI)UC'I' AI'1'IZOVAL FAILURE TO FOLLOW TIILSE SPECIFIC (,UIDEL.INi:S WILL I2l,SIJL I' IN AN AFF IDAVIT PROVIDED 11), A FI.OltIDA llL:SLC.N 1'ROI I;SSI()N;1[; (AIiCiTI"1 E:C1' OR E.NGLNEERJ, C.I RTIFYINC 'FBC CODE CONIPLIANCE, BY PERSONAL INSPEC 10N. ,GOB IIt.rCIOK,(©Et ;Otiv al iifBul�[ F>z),SiGNtA Lu(ii NFORD FIRE DEPARVAENT fq_q7p,A,6 liEgS".1 139 CROWN COLONY WAY PERMIT N Building &, Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF I VORK -ioN,117 SINGLC ["'AMII.V 0 molill.r I 01tr-CovE.R (NEW ROOF INS*I'Au.Ei)OVER UNISTUNG ROOF) pi: ikly-` A" Svi,,cm0 i;v -' PI ood !, vw .PLE.,isE NOTE: 0,VL I'MOSQUARE FEET or THE EXISTING DECK IS PERMITTED To HE REPLACED (@)0I-'r.RII)C- 0 RIDGE OSOFFIT 01:'0\VL'RED VENT 0'rulmIN-rs Slcl jpfrr9*No *.l. 0 YES It YES, PLEASE PROVIDE FLORIDA PPODUC*I* APPROVAL 9: ----------------------------------------------------------------------------------------------------------------------------- ------------------------------------ ;R'd6F;,skj 0 LESS TI IAN 2:12 02:12-4:12 4:12 OR GREATER GAF FIJI 10124 R19 0 FL# 0 IMODIFILD BfIUMEN, 171,11 0TORCul Do mot FL# OINSULATFI) FLt 0TILr I U, lVAPpLlcAijLpvl* ROOF SLOPE: OUSIVIIIAN2:12 0 2: 1' .1 - 41:12 0 4:12 OR GREATER Tl,*I,I,.", Or Roof" MANUFACHMER Ftmimm IROMWTAPPROVAL 0SOINGLE F1,14z 0 IME . I'Al, FIA 0 MODIFIEI) BITUMEN FL t"t 0 TORC I I DOWN F L F"; 0 1 NSULATED -0-nul, FUl . 00-1-IIER: I`L4 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 _ --------------------------------------------------------------------------- Page 2 Application Number . . . . . 18-00000472 Date 1/18/18 Property Address . . . . . . 139 CROWN COLONY WAY Parcel Number . . . . . . . . 33.19.30.5QS-0000-0490 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1025873 Permit pin number 1025873 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF / / City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 18-472 ADDRESS: 139 Crown Colony Way I Jonathan D. Menke , 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 #: CCC 1330656 COMPANY/CONTRACTOR: Carr dford, Inc CONTRACTOR SIGNATURE: DATE: _ (MUST BE SIGNED BY LICENSE HOLDE CER/BUILDER) 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, U.NDERLAYMENT, 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 Orange Sworn to and Subscribed before me this I day of Pe, kj 20 by: Jonathan D. Menke identification) Who isW^ ersonally Known to me or has ❑ Produced (type of r.�Q , Signature of Nkhry Public T- State of Florida PriAt/Type/Stan'tb Name of Notary Public as identification. "Mill" KELLY WEBBER � ,StateofFlorida-Notary Public ' *' Commission # GG 152442 J�`OFi40��� My Commission Expires ��October 17, 2021