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HomeMy WebLinkAbout161 Cedar Ridge LnZ 5—Is CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / 9' �4-3 Documented Construction Value: $ 17100 Job Address: 161 CEDAR RIDGE LN SANFORD, FL 32771 Historic District: Yes ❑ No x❑ Parcel ID: 31-19-31-527-0000-0420 Residential ❑x Commercial ❑ Type of Work: New ❑ Addition ❑ AlterationEl Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Re Roof Owens Corning FL 10674-R13 Rhino 15216-R3 30 SQ 7/12 Pitch Desert Tan Oakridge Lifetime Plan Review Contact Person: Skylar Amkraut Phone: 407-278-7788 Fax: 800-337-3361 Title: Admin Email: Permit@Jasperinc.com CARABALLO, CRUZ ENRIQUE Property Owner Information Name TORRES, SANTO MARIDEL Phone: Street: 161 Cedar Ridge Ln Resident of property? rh' City, State Zip: Sanford, FL 32771 Name Jasper Contractors Street: 4185 S Orlando Dr City, State Zip: Sanford, FL 32773 Name: Street: City, St, Zip: Bonding Company: Address: Contractor Information Phone: 407-278-7788 Fax: 800-337-3361 State License No.: CCC1331153 Arch itectlEngineer 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 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: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 951.1b 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 governntental 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 711 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 I 'sys regulating construction and_z_oning.__. Signature of Owner/Agent Date, Print Owner/Agent's Name Signature of Notary -State of Florida Date 02/02/2018 Signamr of Contractor/Age t Date Rudith Goico Name SKYLAR 8 AMKRAUT Commission ii FF 127890 My`Commission Expires June 01 , 2018 Owner/Agent is Personally Known to Me or Contractor/Agent is. tJ 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: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric -,# of Amps. Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ `No APPROVALS: ZONING: ENGINEERING: COMMENTS`. UTILITIES: um WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 5380 E. Colonial Dr. Orlando, FL 32807 - 3203 Conway Rd., Ste. 201 Orlando, FL 32812 (407)278-7788 (800) 337-3361 Fax inlw i'illtiperinc.ory a a JASPER r ..�.....,:...� Je►oe�Roor.com FL Contractor's License: CCC1329651 & CCC1331153 ROOD RI PLACENTENT CONTRACT `-- ♦ ___..—, ■ A........., .- 14' t� Contact #: ticF > l lnsura c�nanv inlnrmati0n Company: ' Policy Ir. ��... Claim it: Mnrir-,are Comnnin' Information Company: .tit T-1; Loan Number: (' G r► 0C3T0 Owner(s): i c,�MP /1 )rlri 5 Phonc: —J a 1 Addrqss: l r It t. Alt Phonc: City:, State /_iap, Code: Shi _ )e Cotoc / Email: i I ii, �c�a. RoofRCV Amount/ Contract ['rice: 00 x Drip Edge Color: Cv r�:� �J7 G j o G ci ✓h.'l r If Owner's Insurance Conlnany does not iorec to pay forit full roof replacement this contract shall be voidable, Assignment of insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insurance nlJiis, benefits and proceeds undo any applicable insurance policies to Jasper Contractors, tile. ("Jasper"), the scope of which sliall be lnmacd to a Pull Roof Replacement. i make this assigiment 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. I also hereby direct my insurer(s) to release any and all information requested by Jasper, or its representative(s), for the direct purpose of obtaining actual benefits to be paid by my insurers) for services rcndeTe:d. in this regard. i waive my privacy rights. if payment is made directly to the Owner/Agaut/insured(s), it shall be endorsed over to Jasper immediately upon receipt. i agree that any portion of work, deductibles, betterment or additional work 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 resnonsibility to pay 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"), UNLESS replaceinent/repanr 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 sha)1 Ic deductible amount disclosed. Deductible. S MUST BE PAID IN FULL, PLUS APPLICABLE SALES TAX `-1 t / (initial) MORTGAGE AUTiIORIZATION: I, Owner/Mortgagor, grant authonzation for Mortgage Co. to speak with Jasper on matters including but not limited to, the claim and draw status. ,71 (initial) PAYMENT -SCHEDULE: Owner agrees to a Jasper based on floe following schedule: n Deposit in the amount ofS �/ �.1^ 7 'duetupon Si i in this contract: (it) the Contract Price, pay Pc g () po / v, *gt g less the Deposit and any applicable depreciation retained by Owner's instrrcr(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.1the event of a pending inspection, no more than 2°P,of Contract Price may be withheld until inspection has passed Optional: UPGRADE ITEM: / C" h QTY: u! l PRICE: TOTAL: S r . c l--r / C P 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 A310UNT, N]AY BE AVAILABLE FROM THE FLORIDA HOMEO'liITERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFOR,NIED 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 FOLLOWING TELEPHONE NUMBEi2 AND ADDRESS: Construction Industry Licensing Board: 2601 Blairstone Road, Tallahassee, FL 32399-1039, (850) 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 midnight on the third business day after the contract is executed after notification from insurer(s) that the claim for payment on roof contract has been denied, in whole or in part. All written notices of cancellation, regardless of reason, shall he postmarked or delivered to Jasper's corporate office: 1690 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. � -,� 31 S- Authorized Jasper Representative Date Owner Date Scanned by CamScanner LBUTED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 02/02/2018 Karla Almodovar, Rudith Goico, Skylar Amkraut, Rachel Holcomb I hereby name and appoint: 1�� �%P L rr�lY25'�QV11 11 0145ff LMW> Gina McDonald & Rachel Holcomb ana2entof- Jasperconraaas _ (U+nc 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): XThe specific permit and application for work located at: 161 CEDAR RIDGE LN SANFORD, FL 32771 (Sprat Address) Expiration Date for This Limited Power of Attorney: 1 /1 /2019 License Holder Name: Donald Bouchard State License Njttmber. CCC133"3 Signature of License Holder_ 77 STATE OF FLORIDA COUNTY OF setrrarde The foregoing instrument was acknowledged before me this 02 day of February 200 18 , by °ate Bwa, who is ❑ personally known to me or ® who has produced a as identification and who did (did not) hake an oath. Signa'Zylar (Nosy Ste) Amkraut o" SKYLAR B AMKRAUT �+ c Commission N FF 127890 1 a My Commission Expires ;;;q„�,y''•' June 01, 2018 1 [: nw•f.�l!+'-soSCiv+Qlw�fA•.rJ�..OA�aL'+a�+.aID�*oc-a[.`t�.tlii (Rev. 08.12) Print or type name Notary Public- State of FL Commission No. 127890 My Commission Expires: 6/1/2018 Srannp.d by C;amSrannPr N 111111112811111113t11 [fill iflll spill till lilt THIS INSTRUMENT PREPARED BY: GRIAN F MALOY } SENIHOLE 'GUN i Y 'Name: JASPER CONIRACTORS CLERK OF CIRCUIT COUPO' & COMPTROLLER Address: 3203 S CONWAY ROAD SUITE 20I t K 90681 109 85 a (2s s ) Y 2L�iS►]i2bQ5 ORLANDO CLERK'S FL RECORDED 02/02i2013 09:03:03 AM RECORDING FEES $fl�.00 NOTICE OF -COMMENCEMENT RECORDED BY hdevore Pennit Number: O I 13 Parcel ID Number: q 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 R PERTY: `Le al descriptia of t e pro arty d treat address if a " 1,nT 2 �a1^ rP(-ts Wlable) 6 4--I- �l _ _2.__GENERAL DESCRIP_TIOONt OF_IMP-ROV.EMENT! RE -ROOF -- 3. OWNER INFORMATION OR Name and address: I Interest in property. 0 IF T�E LESSF4 CONTRACT- FTI Og Fee Simple Title Holder (if other than owner listed above) 4. CONTRACTOR: Name: JASPER CONTRACTORS Phone Number. 407-278-7788 Address: 3203 S CONWAY ROAD SUITE 20I ORLANDO FL 32812 5. SURETY (if applicable, a copy of the payment bond is attached): Name: Address: Amount of 8ond- S. 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. 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: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNJNG 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. .,• \ + y . (signature'or owner or lessee, or Owners or Lessee's Authorized Otricer/DiredorpartnedManaged C� �'�C �? �1 %-0 (Pdni Name and Provide signatory's TiOejoifxe) State of���1{ _ County of��p� The foregoing instrument was acknowledged before me this day of _C�Ii(ll 'Y� T .20 by Name of Who is personally known to me O OR an making statement 1 who has produced identificatioty.iype of identification produced: 1 KARLA M A�LMODOVAR 41a State of Florida -Notary Public—rToaarysignaune Commission # GG 111 T .ED C01'Y GRANT MALCY My Commission Exp'VMF F THE CU T C01VP,T ., June 04, 2021 h I aTR rR z� 4w NY �. OLE COMN, FLOROA V"Ai It 9Y 2/5/?018 SCPA Parcel View: 31-19-31-527-0000-0420 npppavia on,cfd Property Record Card fp Parcel: 31-19-31-527-0000-0420 erY too,- Property Address: 161 CEDAR RIDGE LN SANFORD, FL 32771 ( -Parcel Information Parcel Owner 31-19-31-527-0000-0420 CARABALLO, CRUZ ENRIQUE TORRES, SANTO MARIDEL Property Address 161 CEDAR RIDGE LN SANFORD, FL 32771 Mailing 161 CEDAR RIDGE LN SANFORD, FL 32771 Subdivision Name CEDAR HILL REPLAT Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2006) 10 0 Seminole Countv GIS Legal Description LOT 42 CEDAR HILL REPLAT PB 63 PGS 96 97 & 98 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund _ $84,723 $50,000 $34,723 Schools $84,723 $25 000 $59,723 City Sanford $84,723 $50,000 $34,723 SJWM(Saint Johns Water Management) _... $84,723 $50 000 $34,723 County Bonds $84,723 $50,000 $34,723 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED WARRANTY DEED 12/1/2004 7/1/2004 05570 25390 11105 0975 $127,100 Yes $567,300 1 No Improved Vacant Building Information # DescriptionYearuilt Actua Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE 2004 i 6 i 3 2,0 : 1,617 i 2,053 1,617 CB/STUCCO $114,421 $120,127 FAMILY FINISH Description Area http://pareeldetaii.scpafl.org/ParcelDetailInfo.aspx?PlD=31193152700000420 1 /2 CITY OF A, SkNFORD FIRE DEPARTMENT Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. IS-113 ISSUE DATE: CONTRACTOR: ,.. • JOB ADDRESS: TYPE OF WORK: lk I 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 19- 1/3 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: 4 DATE: 02/02/20 18 PERMIT # 1 - — �7 13 City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 161 CEDAR RIDGE LN SANFORD, FL 32771 STRUCTURE TYPE: O 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 PERMI TTED TO BE REPLACED'" * ROOF VENTILATION: (DOFF -RIDGE ORIDGE OSOFFIT OPOWERED VENT SKYLIGHTS: O YES O 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 (D 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# OINSULATED FL# O TILE FL# 0 OTHER: FL# City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 1 ADDRESS: vC,t I �� M;ts �yS'E-1I / , 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#: CCC1331153 COMPANY / CONTRACTOR: JASPER CONTRACTORS CONTRACTOR SIGNATURE: DATE: (MUST BE SIGNED BY L� SE HOLD <OWNER/BUI R) 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 SEMINOLE Sworn to and Subscribed before me this ay of R20 #/ % W . Who is ❑ Personally Known to me or has X Produced (type of identificAti4) --DL Z5Igtia�trre ry runic - State of orid �vV `..�--- MK7RA:U g A R B A 0Commission II FFPrint/Type/S mp Name '° My Commission s' ; " a June 01 , 2 of Notary Pub c „i of „q;.,