HomeMy WebLinkAbout150 Venetian Bay Cirq7�r�7 -;.N
L JAN 04 2011 _ 14
CITY OF SANFORD
— ---- BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:71
Docuti]C04A COIiStrtiction Value:-& $ 13 729.01
61),Address 150 VENETIAN BAY CIR Historic District: Yes ❑ No ❑
Parcel ID: 23-19-30-502-0000-0480 Residential, Fill Commercial ❑
`i'ype of NNlork New ❑ Addition ❑ Alterotion ❑ Repair ❑✓ Demo ❑ Chnnge of Use❑ INIove ❑
;Description of Work: RESIDENTIAL RE -ROOF
11'han 'Review Contact Person: Stephen Barnett
p1jone: 407-647-9420 Fax: 407-629-5720
"I'itle: President
Email: permits@carrollbradford.com
Property Owner Information
Name TIFFANY & KEVIS BROWNS Phone: 407-242-5019
;Street,: 150 VENETIAN BAY CIR Resilient of property?
City, State:Z:ip: SANFORD, FL 32771
Contractor Information
Name Carroll Bradford, Inc Plronc 407-647-9420
Sticet: 4776 New Broad Street, Suite 201 1!ax: 407-629-5720
City,Sta"te Zip: Orlando, FL 32814 State License No.:
Architect/Engineer Information
Name:
Street:
City, St, lip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
CCC 1330656
NVARNING TOOWNER: YOUR FAILURETO 111+.CORD A NOTICE OF COMMENCEMENT MAY RESULT-lN YOUR
PAYING TWICE FOR IMPRONIEMI,;NTS TO YOUR I'ROPER'rY. A NOTICh OF COMMENCEMENT MUST RE*
RECORDED AND POSTED ON THE -1011 SITE BEFORE THE FIRST INSPECTION. IF YOU INTENDTO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR1NrY ill?,FORE RECORDING YOUR NOTICE' OF
CON1N11'NCEMF,NT.
Application is hereby nude to obtain a permit to do the work and installations as indicated, I certify that:no work, or installation ha.s
commenced prior to the issuance of a permit and that till work will be performed to meet standards of all Iaws regulati ng construction
in this jurisdiction. I. understand that a separate permit must be secured for electrical Nvork, plumbing, signs, wells, pools,
furnaces, boilers, hea'tcrs, tanks, and air conditioners, etc.
FBC 10.3 Shalt be inscribed with the date of application and the coda in effect as of thm date: 51" Edition (2014) Florida Building Code
Revised: hmc 30, 2015 Ilennit Application
M
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 jab 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.
6:� - I ? +-?--i I I
signa to of ntractoddAgcnt late
d on a1-han
Print ConttnctorlAgent's Name
� QQ. .►.z. 12 I a-11 1-1
Slgnatura of No -State of Florida hate
KELLY WEBBER11
:` :=State
of Florida. Public
'-v�;
Commission N GG 152442
�r�;.�
My Commission Expires
October 17. 2021
Owne a or Contractor/Agent is Petsa2nalil Known to Me
Produced ID �� Type of ID hL 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:
__ _w_. _. 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
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30. 2015 Permit Application
`uuon, CFA
Parcel Information
Property Record Card
Parcel: 23-*19-30-502-0000.0�lw
Owner: 8ROt/VNEKEVIS&TIFFANY
Property Address: 150 VENETIAN BAY CIR SANFORD, FL 32771
Value Summary
F-a ir c e--- � :23 19-30-502-0000-0480
Owner i BROWNE KEVIS & TIFFANY
Property Address 1 150 VENETIAN BAY CIR SANFORD, FL 32771
Mailing 1150 VENETIAN BAY CIR SANFORD, FL 32771
Subdivision Name VENETIAN BAY
Tax District Sl-SANFORD
DOR Use Code I 011-SINGLE FAMILY
Exemptions 1 00-HOMESTEAD(2015)
2018 Working
2V�017 Eertified
Values
t1o,
Value
V, S
Valuation Method
. . ........ ... ............. .. ... . I
Cost[Market
_----- -
Cost/Markot
Number of Buildings
Depreciated Bldg Value
S165.585
S156,079
Depreciated EXFT Value
Land Value (Markel)
$37,000
S37.000
Land Value Ag
S202,585
$193,079
Portability Adj
Save.Our Homes Adj
$31,926
$25,930
Amendment 1 Adi
so
P&G Adj
so
so
Assessed Value
$1 70 65 9
S167.149
Tax Amount Without
SOH: S2,888.65
201 Tax Bill Amount $2,394,92
Tax Estimator
Savd',Our Homes Savings:� $493.73
Does NOT INCLUDE Non Ad Valorem Assessments
S170.659
. ..........
S50.000
S170.659
S25,000
S170,659
$50,000
S170,659
S50,000
S170,659
S50.000
1 Description
Date
Book
Peage
WARRANTY DEED
7/112014
0 8a2m
07,98
WARRANTY DEED
511/2012
i 07781
WARRANTY DEED
7 _(_).6 —a -9 _3
69 -4 4
WARRANTY DEED
1 511/2004
1
WARRANTY DEED
j 11/1/2003
nog 1
0407
. . .. . .....
Find Comparable sates
- ------------
Land
.. ....... . .
i Method Frontage Depth
LOT
Amount
OUalified
$192,500
Yes
S126.100
No
S100
No
---------
S179.100
-
Yes
$3,476.000
No
Units Units Price
S120 659
S145.659
S120.659
S120.659
$120,659
ac mp
Improved
Improved
Improved
Improved
Vacant
Land Value
$37,000.00 S37,000
Building Information
Permit Number: ' U
Follo/ParcellD#: 23-19-30-502 0000-0480
Prepared by. Bryan_ Bitler
Retum to: Carroll eradford-inc
4776 Now Broad Street, Suite 201
Orlando, FL 32814
NOTICE OF COMMENCEMENT
GRANT MALO'ts SEMINOLE' (:OUNT
CLERK OF 'CIRCUIT COURT & COhF-TROLLER
B}, 9069 Es 5Y7 C Pgs)
CLERK'S t 201713131E
RECORDED 12t2?/2017 021;375 AN
RECORDING BEES d ifl.00
RECORDED QY hdevare
State of Florida
The undersigned hamDy gives notice that Improvement will be made to certain real property, and in accordance
With Chapter 713, Florida Statutes, the following information Is provided in this Notice'of Commencement
1. Description of property (legal description of the property, and street address if available)
LOT 48 VaIETIAN BAY PB 63 PGS 84 - 88
2. General description of improvement
3. Owner Information or Leanne Information If the Lessee contracted for the Improvement
Address..150 VENETIAN- BAY C!R.,- SANrnP.D -EL 32771
Interest In,Pmperty Owner
Name and address of fee simple titleholder (if different from Owner listed above)
Address
A. Contractor
Name Carroll Bradford. Inc Telephone Number 407-647-0420
AddreSS.4776 Now Broad 'Siroet: Suau 20L04ando. FL 328U
5. "Surety (if applicable.'a-copyof the payment bond is atta-Chad)
Name Telephone Number
Address Amount of Bond '$
8. Londer
Name Telephone Number
Address
7. Per'sona within the State of Florida designated by owner -upon whom notices or other documents may
be served as provided by'§7113A3(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 Lienor's
Notice as provided In §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 the date of recording
unless a different date Is specified)
WARNING TO OWNER: ANY PAYMENTS MADE 13Y 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
.__ RSSULT_IN YOUR,PAyING,TWIMEOR_tMPRO"V.Et!ENTS TO 1!OUR P�OPFaT'_'. A NOTICE OF COMMENCEMENT MVSt BE
RECORDED.AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF You INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR l.ENOER OR AN ATTORNEY BEFORA COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
r 0IjI 7-PY
of Owner, 1, soo'� Authurtzeo OtriceriDirec-tc:ipunnerrtdanager Slgnatorys TltlelOtfica
The foregoing Instrument was acknowledged before me this 2a day of 17,111 by i j jf (a b,N Psi^ o w ll t
mont ` ear' name of person
as for 11 ` t hl.Y'1 i
Type of authority, e.g., officer, trustee, attorney in fact Name or party on ehel of whom instrument was executed
[tA '
S no u of Notary Public — Slate of Florida
Personally Known - OR Produced 10
Type of ID Produced OL
1- /
I Tt I El a Fo content revised 01/23/14,, ` 1
t�;l ty
Print, type, or stamp commissioned name of Notary Public
KELLY WEBBER
r` , Styr of Florida -Notary Pubiir.
.°L +. C01)IT11i5s101) CU 152442
t4i5r \s` fvly commission Lrl,rrps
Ue'tober 17, 2021
sCY s
CARROLL BRADFORD, INC.
CBC1260310 - CCC1330656
AGREEMEN"I• SHRIECT TO INSURANCE. COMPANY M PnoVAL
Customer:_ lFFAti`f 13goWO _ Date:__ I� i3_ >' 17
Property Location: 15a VE NtT tArl $ y C 1 >r -- Bay Phone: `E°I- 2`u? - 5� l ❑M U11
City/State: �NFCn.b FL Zip. 3? 711 1 Evening Phone: OM 011
E-Mail: IIOA Approval Needed: C1Yes ONo
ROOF SPECIFICATIONS - Brand- G A F
Construction Type: ONew Construction lRemove R Replace
Tear -Off Layers: 41 02 ❑Peel & Stick
Lead Pipes: UI.S" 02" 03" C74"_
Ventilation: Type 0hYriyn-c Qty. 9 Color
Kitchen/Bath Vents: 4" 1 10" Color
Replace Flat Roof: ❑Yw es ONO Color N/
Solar: Description Nf/(i
Warranty: OStandard OSysteln: 5YMrn6 PLUS
Style:
TlM0Frt.,LtNC t{)D Color: I JEATHQ1-[p WooO
_
Story: Al 02 Pitch:
Valley: ❑Open Closed
Underlayment: 0Synthetic ❑Felt
DripEdge:OColor LJli1TC-
Skylights: Size N/A — 'hype Qty. --
Lumber: Size �Xg Type Qty--
Misc.- —
Delivery Notes:
GUTTER SPECIFICATIONS: Sire _ Color Lineal Feet Downspouts
SIDING SPECIFICATIONS: Lap Size (Exposure): Trim Size: Finish: ❑Smooth C11'Voodgrain
Special Instructions:_ 2 PIECE$ OF -DEektt'G YtYZ- r� C AC" Am fiGer' is �50.00,�
'PERMS
1. By signing thfs Agreement, you authorize Carroll Bradford. Inc. I he present during the insurance adjustment and negotiate the settlement with your insurance company.
2. Unless otherwise agreed in writing, your out-of-pocket costs tvill he limited to your insurance deductible unucunt. tlowLvec you must promptly pay Carroll Bradford. Inc. all amounts y'e
rrceive from your Irtturance company. If you dceire material upgrades or other work done on your property. you will incur additional out-of-pocket eapensrs.
:t. Thi- Agrcernent is nit valid or hinclinl; on any party unless And until it is signed by hoth you and Carroll Bradfonl, Inc. Once signi-d by you and Carroll Bradford, Inc.. Carroll Bradford, I:
will be awarded with thr job described above and the scope and price ofthe work will be el furth fit llte in!'Urnice adjuster's suuunary.
4. Votirsignature below provides your agreement to all the tenns:uul conditions set forth tin the tMit and track of ills Agreement. Please carefully read the cnUre (runt and back of this Agreemen
First Checic: S
Si�nnt r Cost rn r) Auto Check#
__ Il 13 17 Ba►ance Due: $ 61g13.00 f
Aim te(Corral(1hadfordhe•p) Ants• Check#
Agreed Price: $ 1�1- 01
Plus additional supplenients & perntit fees paid by insur•rmce company
ORLANDO:.4776 New Broad Street, Suite 201, Orlando, Florida 32814 • Office: 407-647-9420 • Fax: 407-629-5720
JACKSONV1LlS.: e1400 Marsh Landing Boulevard, Suitt; 1 • Jacksonville. FL 32250 • Office:907-296-7604
CITY OF
vt I SkNFORD
FIRE DEPARTMENT
PERMIT NO. I n
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK: nr__Q' r"Woor
•
Building & Fire Prevention Division
Re -Roof Permit Card
ISSUE DATE: 1 s 014,
PROTECT FROM WEATHER
• 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
-CITY�OF
ORD
FIRE 1)EPAkT,1AEN,,T
JOB ADDRESS: 150 Venetian Bay Cir
Building &, Ffte Prevention Division
RESIDEN TIA L RE -R OOF SCOPE OF WORK
S7I'It(JC-l'URI--.TVFF: *-SINC,1.1rAMII.YRr-sii)i-NcrJI'OWNIIOIJSII 0 Molillu-1 HOME 0 APAR-MIENT/CONI)OMINIUM
,RE-ROOFTYPE;' '*REPI-Aci-.-mrN-r(TEAR Of-*FtXIS'i'INCiROOT ANI)IE'PLACEIilitlINEW COMI'ONl'--'N`i'j4)
0 RE-COVER (Ncw ROOF INSTALLED OV1711 EXISTING ROOF
Plywood
Q
s ,'*Pi..&-AsENoTE.-,o,vL),100uiRL,- FEET OF THE EV/.V7'1,'VG DECK IS PERMITTED TO BE REPLACED
I ,
R6orVENTILA'l*l6N: 001--I-,-RlDcr- 0 RIDGE OSor-rrr ollo�vi--Riii) Vum* 0TURBINris
SKYI,IGII'I"S:0YES (@),NOIF YES; Pi.r;ASr--'IiR'OVII)L,.Fi,6RIDA PRODkT AIIPROVAI. 11:
------------------------- --------------- -------------------------- w ------------------ 7.� --------------------------------------- -------------------------
MAIN ,ROOF ARFA
ROOVSL6PF': 0,LEmTHAN 2:12 0 2: 12 - 4:12 4:12- OR,GRLA-'I*L- It
Tym; ol: ROOF
MANUFAC-l'URFli:
FibiubAPitokd, APP10VAL
SI-IlkLE
'GAF
FUr' 10 IN R 19
'0 METAL
FU't
MODIFIED BITUMEN
-0
ToRci I DowN,
-0
0 1 N.qJ LAIT- D
FL,#
OTILE
11 L
00*mER:
ITI)
ROOF rx*r.ENSIONS (PORCIIES, PATIOS, **IFAPPLirABI.E**
Ro.oFSLOPE: OLESS TIIAN2J2 0 2:12 - 4; 12 0 4:1.2 OR.aul-INTER
Tyvi," OFROOF
MANUFACHAIER
F'WRIlm PRODUCI'APPROVAI,
OSI,TINGLE'
FL1414
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FUI
0 MODIFIED BMAIII-N
FL#
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Fill/
-,0'l'ORd-I
INSULATED
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OTILE
CITY OF
Buildhi-Al Fire Preverrathm DiIiision
FORD RESIDENTIAL RE -ROOF POLICY R PROCEDURES
FIRE.6)EPARTMr X�
PE104I 'TING RLQ,1.111trV11:N'1',S-NU I'l„ANRENIILNv REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLL'rED RESIDENTIAL RL-ROOF SCOPE -COI' WORK ARE
RL•CIULRIED TO 13i: SuI1Mfl ! I D"AS PART OF YOUR PERMITAPPLICATION.
ION.
T'19E SCOPE OF" WORK MUST INCLUDE ALL, APPLICABLE FLORIDA PRO'DUCI' APPROVAL NUMBERS,FOR ALL ROOF
COMPONENTS THAT WILL BE INSTALLED ON THGPROIECT.
A n.mmIT WILL. NOT BL ISSUI D 11 ITHOUT''llWISE DOCUMENTS. COPIES WILL. BE MADI TO POs,r ON TIIL7ot! SITE.
**PROJECTS'LOCAT ED IN THI "SANV,ORD HISTORIC DISTRIC`I'WILI, REQviiiE PLAN kf VIFW"AND AI'I.,kOVAI, RV THE
SANFORD RISTORICPRESERVATION'BOAI ID
INSPECTION.P.OLICY & PROCEDURES
A•F1NA1., ROOF INS11',crm ISTHE ONLY INS11LCTION-RE.Ql1IRIiD`FOItRESII)cNT(AL (SINGLE FAMILY, T6WNI-IOUSE,
MOBILE HOME, APART MLNI"ANID/OR CONDOMINIUM) RE-RUOP'PERMITS,
THE FOLLO1AN(; IS REQUIRED`TO TiE PROVIDE"ON Tl-1G JOB SITE".
Pl ltml!r.,CAR,D.."POSTED 1N. A CONSPICUOUS A%ID,WIiATFIEltl'ltObr LOCATION;
• COMPLETED RESIDENTIAL RE -ROOF,-: SCOPE:OF WORK
• COMP[. IET rD AND NO'I'ARIZA'D-INSPECTION AFFIDAVIT
• ALL FLORIDA PRODucT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCTAPPROVAL SLIALI, MATCH WHAT IS'ON THE SCOPE OF WORK)
• DIGITAL 11140TOGRAI'HS (MUST INCLUDE T I-IE, PE- ItM6T NUMBER OR ADDRL;SS IN EACIT I'ICrIJRE)
o EACH 'LANE Oi- THE ROOF. SHOWING THE UNDERLAYMENT INSTAI I;ED
o ROOFDIECK"NAILING PATTI m & SPACING (INCLUDING A MEASURING DI V[CI. OR RUL FR)
o ROoF DECK NAILS USED (IN.CL.UDING A MEASURING DEVICE Olt RULER SHOWING SILE'OFNAILS)
o UNDLERLAYIMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE, Olt RULER)
o DRIP EDOL & VALLIiY A'I"rACIiMI N`I''(INCL,UI)ING A MEASURING DEVICE OR RULE t)
o SHINGLES INST'ALLL"•D; NAIL PATTERN AND LOCATION OHNAILS
• SKYLIGHTS (IF APPLICABLE)
aDiGI'I'AL 14,R)TOGRAPHS'S110WING ALL INST'A1,LAT'ION COMI'ONENT'S, 14-1It, 1`I. 1)RODUCT AI'll ROVAL.
o DIC,IT'AI: PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FIB, PRODUCT,APPROVAI,
FAIL.URF1'-TO T,OLLON1' `i HESE SPE0171C GUIDE LINES WILL, ItESUL.TIN AN i.FFIDAVIT PROVIDED I3Y A FLORIDA E-SICN
PROI+'I SSIONAL, (ARCIiII E-CT" OIl ENGINEER), C E,111'LPYING FBC COD[,-, C0IN11'LIANCE BV PERSONAL INSPEC-TION.
CONTIZACFOIL (OR OWN mdB,UILDE.R)=SIGNATURE: DA'1'I - �� u
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-280
ADDRESS: 150 VENETIAN BAY CIR
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: Car ford, Inc GG
CONTRACTOR SIGNATURE:'1_4LI DATE: U
(MUST BE SIGNED BY LICENSE HOLD OR OW E UILDER)
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 Orange
Sworn to and Subscribed before me this _�� day of j aW 20 L & by:
Jonathan D. Menke. Who is YPersonally Known to me or has ❑ Produced (type of
identification)
Signature ofOota Public
State of Florida
1z'C' 1,1.~JI (L)6101Q�
Print/Type/�p Name
of Notary Public
as identification.
KELLY WEBER
of Florida-l4jtaryPublic
=* *= Commission # GG 152442
My Commission Expires
FInP��
�/���1m`� October 17, 2021