HomeMy WebLinkAbout2514 Laurel Avez
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1c) 3C(q
Documented Construction Value: $ ✓ (� O d a
Job Address:/ / - `' ���r�J V Historic District: Yes [�`No ❑
Parcel ID: of %o - 3 0 _ Sd `/ RAO 0 -0()4?0 Residential ❑ Commercial ❑
Type of Work: New ❑ AdditionEl Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: A f- 00"
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information �j -)3 3— UO
Name G �i F / sha Ile r Phone: / U I— 0� �_
Street: ��f� ,i�SI�/ atly"el X11 Resident of property?
City, State Zip:;w;:;Sn, 32 11t
ZG"tl'I `"'Contractor Information (/ !�
Name oyN� e8j� Phone: L%�� 3 j
Street: C/e ,�r/, Fax:
City, State Zip: 0�it%'I" 4 �Aj:�% State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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 30B 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
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.
OA��
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
//r+,;1:)";"1z/ (,6�
ctor/Agent's Name
t23utary-State of -Florida Date �
P0s�,� ..
tJotary public State of Florida
Commission # GG 060623
' Comm. Expires Jan 16, 20 t
F�dP: My
Contra _ el is - Personally Known to Me or
Produced ID Type of ID %—L n I
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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
/� THIS INSTRUMENT PREPAREQ BY:
`1 Name: 0 h y\ Q bl �_t��2 I^ e z p
Address: �e� S ho tD ren r kf L
Z!ti
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
� ����« r�t�! Ilttl 1111! lull !lllf Ifll Iff l
G AIgT PIAL.OYr SEMINOLE COUNTY
GL.ERft IJF CIRCUIT COURT t. COMPTROLLER'
BK 9039 Ps 192 (IF-ss)
CLERK'S g 2017125249
RECORDED 12i121"2017 02:44:378 Ph
RECORDING FEES $10.00
RECORDED BY I dj , J{71•,
Permit Number: _ t �- J 1 Parcel ID Number: Q/ O 0 - 6 - L!!�o y 36 0 0 -cv S?f
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.
Fee Simple Title Holder (if other than owner) Name:
7s/
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates of
To receive a copy of the Lienot's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date 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.
Under naIt' s of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the e i of my knowle 99 a d belief.
Owner s Signature Owner's Printed Name
orida Statute 713.13(1)(g): 'The owner must sign the notice of commencement and no one else may be permitted to sign In his or her stead."
State of Countyof 1 Pc�r��•�o�e _
The foregoing Instrument was acknowledged before me this day.of 20 )-A
by S 0.-\1 ee . Who is personally known to me El
Name of person ma ng state ent S' \.t 0 -' \\ 5 - u D -� �O --O
OR who has produced identification type of identification produced: _'S10-y3cL - 43 - y 30 -'Q
KAREN;:ADAM
MY COMMISSION # WI 13490 Notary SiASigna�turr
�•daFad EXPIRES:1une 11, 2021
CITY OF
Building & Fire Prevention Division
S'kj4FORD 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:
SkCITY OF PERMIT # 18- 3c
NFORD FIRE DEPARTMENT Building &Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:
STRUCTURE TYPE: TISIGLE 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)
DECK TYPE (PLEASE SPECIFY): ' I e4Vbo
**PLEASE NOTE: ONL Y 100 SQUARE FEET E EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: DOFF -RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES D NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (E� K412 OR GREATER
TYPE F ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
%%'%
i
FL# �7 _3
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
OOTHER:
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#
0INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
CITY OF
SANFBuilding & Fire Prevention Division
lJ 1'� RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS:
I , 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 #:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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
Sworn to and Subscribed before me this day of
identification)
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
20 by:
Who is ❑ Personally Known to me or has ❑ Produced (type of
as identification.
401
' r . a
_
Roof with the BEST - Ron West!
' 225 Swoope Ave. Suite 106 - Mlaitland,AFL 32751
ronaldwestroofing@yahoo.c�m otmwe�taoofia�y.00M-!,, a
r + State Certified'` Lic. # CCC 057776;l Llc. # RC 0065002^ Since 1991
844 N®WEST (766-9378) t
CONTRA = . SAS
° Customer: .f? i y. ii- Date:
Property Location. C - 4/ U ;l
y p`J% � �2Q.�--��-_. Day Phone:
.
I �1 ,
City/,State: t 7_ t_�r-P.i . Zip:'9 E�en'ng Phone _ D tN ❑ H
1 e•r �,
Email: f �,l/'1 " Y "�`�(�'G°i! fY1C1 t, ` �`f�i`n HOA Approval` N d d: ��Yes. r e�N'o
-------------------------
- ----------------- .'- ----
j
ROOF SPECIFICATIONS - Brand:r/Y>r1 �-' Style f t ��olor:��
Construction Type: ❑. New moons#ruction LRemove &Replace* # tStory Ll�,y1❑2 ' I i Pitch`.
b k y
1 ^u�r�ry
Tear -Off La ers �_
y ❑ 2 p. Peel & Stick` Valley # ❑Opens dosed
#d « i7 -mow•"o o
11 11 11 11 - i' S 4 ,1 tf - T�r� �t
Lead Pipes: ❑ 1 5 1,, M 2 a 0�� ❑ 4 Underlayment ❑�Syrthetic
i ,,:. s 't" 3 .wa'
- 4-i
Ventilation: Type :� �Qty'� 1" ,ColorD'r'ip Edge:` ®Color u1
Kitchen/Bath Vents: 411 10 °' Co«lor - i§ 11 S y ights ``Size ype l aty.
� 91 ,.r 3 ... - � r f 7"� � �•s e�"' _ _.
Replace Flat Roof: ❑Yes o p' Color : t 1 Lumber ` Size 4Type Qty.
f i
Solar: DescriptionfVliscz .
t i .
Warren ❑ "Standard 5 e�
''Warranty ❑ System Delivery Notes
.GUTTER�SPEGIFICATIONS: S4ize ... "Color L neal Feet; Dow spouts
SIDING SPECIFICATIONS: Lap Size (Exposufe) t Tnm Slze ° Finish; 0 Smooth.Cl Woodgrain
•, ,:. . , " ,, � � f ��.I��..., "��.� -Ei 1 3
SPECIAL INSTRUCTION �; / _a Lim �` G<-'`'f-.._
i!V
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TERMS q �� s
d'
0Om sw"Air, `k. "'t9�t"+s
1; 'By signing this Ag y
reement,� you Authocie Ronald W9st Roofing aLLC to be p�reaent durmgithe-^insurance adluatmeM and negotiate�theysettlement wpth your�msulranc�e,company. `
2. Unless other agreed m wrttmg your.out-of pocket costa will beslimitee your�msura ice deductible amount `Howe�u�r you must promptly pay Ronald West Roof rig3 LLC.all,en aunts you receive from
yourineurance,00mpanylf you deevematerial upgrades or'other work done4onmyotir property„ you willncur!adddionaluout of"pocket expenseas.
3. " This Agreeinent,ie net 'valid; ai`bindmg"on any otherparty unless„andruii'til"it is signeii.,by both you; Ronald;W st Roofing;yLLC.,Once it is'signed by you'anii RonatdWsa�Roof g; LL'C, Ronald West'`' .-
Roofing',,LLC will be'awar`ded,with-the job d'escribed�above and the�ecope`anil"piice of the�work twill be set'ifoith in�'theminsura ee adjusters, rL"
.,' - ,
4. Youf`aignature below provides your agreemen to all, the to"rme and',conditions aet,:foth onthe froni,a d tiak'of this A'g eement Please read carefully theentirefrt,�andb ck of this agreement.
7 fii rV
�. t
FIRST CHECK: $`•' / " 3
Signature Customer �� 65ate Check # <- '
BALANCE DUE: $
��.4;�1,cr�e.-� Check/#�/,q -
/ gn'azure-Rona Id West Roofing, LLC Representative Date AGREED PRICE:
Plus additional surA�uplllements and permitfee paiidr by insurance ccompany
'Florida Statute: 2004 Chapter 489.1425 - Duty of Contractor to: notlfy residential property owner of recovery fund. - Payment may be made available from the
construction Industries `recovery fund If you lose money on Aprolec p rformed under contract, where the loss results from specific 4lolations of Florida Law by a
state -licensed contractor, for Information about the'recovery funcjaaa ,d'flling a cialm`, contact the Florida Construction Llcenslrig Board.
I ACCORDING TO FLORIDA'S CONSTRUCTION LIEN SECTIONS 713,001�1i3,31, FIORIDA STRTUTES ,THOSE WHO WORK
ON' YOUR'PROPfRTY 0R PROVIDE'MATERIALS AND A E NOT PAID IN FULL HAVE A RIGHT TO ENFOR E THEIR CLAIM FOR
I PAYMENT AGAINST YOUR PROPERTY, THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN, IF YOUR CONTRACTOR OR A SUB-
CONTRACTOR FAILS TO PAY SUBCONTRACTORS OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE PAYMENTS, THE PEOPLE
WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PRYMENT EVEN IFiYOU HAVE,,PAID YOeUR CONTRACTOR IN
FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR YOUR CONTRACTOR,M�Y ALSO HAVE A LIEN ON YOUR, PROPERTY; THIS
MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BExSOLD AGAINST -YOUR WILL TO PAY FOR LABOR, MATERIALS OR OTH-
ER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVEFAILED TO -PAY. FLORIDA'S CONSTRUCTION LIEN E
l
LAW IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER;A SPECIFIC PROBLEM ARISES, YOU CONSULTAkATTORyNEY,
GENERAL
rNrRAiTERMS
EAAri'CO I T * N
s7
The terns and conditions found on this page are an express part of theAgreeinent
between you and' Ronald: West Roofing,;LLC.,Please read,this page carefully.
1. All work to be dome by Ronald West Roofing; LLC is o.utl#ned?with specificity on the front of this -Agreement
("Work") and mcId' e La ,labor," matey;ials'equip'ment, apparatus, tools,"transportation and se vices necessary for,
and incidental to, the proper installation and completion of the Work.
2. All Work will be completed m comp hanee with applicable municipal and state codes 'Ronald West Roofing, LLC
will obtain all necessary permit`s for'tfie' Work.-'
3. Ronald West Roofing, LLC will perform all Work in a workmanlike manner according to standard practices. All
trash will be removed -from -the yard; gutters, and' roof:` Magnets -will -be used -to comb the yard-for--nails,-staples
_xi,d other metallic devices.
6 '3 — — —
4. HGras�ss shrubs, plants, pools, yard fixtures etc. will be,covered by plywood and: tarps as needed. Notwithstanding
the foregoing, you acknovvledge-that given the nature of roof and siding replacement, damage to grass shrubs,
plants, pools; yard fixtures etc.,often;occurs ,You. agree that Ronald West Roofing, LLC is not responsible for any
ny11
grass, shrubs, plants, pools, yard
loss or damage to afixtures or other -property in the yard.
- - 5;---In-thecourse-of-completing the Work, Ronald West -Roofing,-LLC.may-discover-pre-exist-ing conditions,-mol'd; - - -
underlying damage, or other defects or damage 5to the property. You agree that finding any such issues is ou�tsaide ,,f a A iCii
-- -' the scope of V�Vork.-Ronald West -Roofing, LLC wilt - identifyany such- situations it encounters and upon your
request, provi�c.eyaun estimate to fix such issues.,,. l ,,
5. You agree to pay the Agreed; Price . set -forth on the front of this Agreement;for: the.Wor:k performed by, Ronald
West Roofing, LLC. You will pay the first deposit upon execution of this Agreement and promptly pay Ronald
West Roofing<-,LLC any,and;all;monies•you rece,ivefrom your insurance company relating to the work, including 1 au.1
amounts paid as overhead or profit and/or cost increases. The balance will be due promptly upon -completion of
- -_
the Work. be responsible • for all costs:rof;icollection,_including reasonable attorney.' :?fees, andcourtcosts r;i,51ifnaV
Overdue payments will incur interest at 1 5% per month.
-- 7 In certain circumstances, the insurancecompany's estimate may be revised after Ronald West Roofing LLC
estimatesthe Work. In such circumstances, ou`ma$ receive additional a meats from' odr`'in'suran'ce com''a`n ' `' "s)Blgr�y-f
Y Y p Y Y p y .:,: :,
for the increased estimate. These are referred to as "Supplements," You agree to pay Ronald West Roofing
--- - --LLC-all-Supplements-you-receive. for the Work and/or trades done by Ronald West Roofingi LLC -under this"'
agreement. i
8. Ronald West Roofing, LLC will not be liable for any delays due to weather, strikes, material availability or any,
other reason'beyond its control. This Agreement: (a) is governed by Florida Law; (b) embodies the whole and
„ complete agreement of the parties; and (c) supersedes all discussions, representations, oral agreements and
negotiations between the parties. Any modifications, amendments, change orders, alterations or'supplements to
this Agreement must be made in writing and signed be by authorized representatives of each party.
.9. Driveway damage may occur as a result of heavy equipment and dumpsters being utilized on your project. You
agree that you will hold Ronald West Roofing, LLC and all material suppliers, harmless in the event of such
..damage.
10. THERE ARE NO WARRANTIES THAT EXTEND BEYOND THOSE SET FORTH IN THIS AGREEMENT.
EXCEPT AS PROHIBITED BY LAW, RONALD WEST ROOFING; LLC DISCLAIMS ALL EXPRESS AND
IMPLIED WARRANTIES, INCLUDING AN WARRANTY OF MERCHANTABILITY AND ANY WARRANTY OF
FITNESS FOR A PARTICULAR PURPOSE. RONALD WEST ROOFING, LLC AGGREGATE LIABILITY FOR
ANYAND ALL CLAIMS OR DAMAGES UNDER THIS AGREEMENT IS LIMITED TO THAT AMOUNT PAID
UNDER THIS AGREEMENT. NOTWITHSTANDING THE FOREGOING, RONALD WEST ROOFING, LLC
WILL NOT, IN ANY EVENT, BE LIABLE TO YOU FOR ANY SPECIAL, INDIRECT, CONSEQUENTIAL OR
INCIDENTAL DAMAGES IN CONNECTION WITH OR OTHERWISE ARISING OUT OF THIS AGREEMENT.
11. YOU MAY CANCEL THIS CONTRACT AT ANY TIME BEFORE MIDNIGHT OF THE THIRD BUSINESS CAY
AFTER RECEIVING A COPY OF THIS CONTRACT. IF YOU WISH TO CANCEL THIS CONTRACT YOU MUST
EITHER:
1. SEND A'SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION BY REGISTERED OR
MAIL,.RETURN RECEIPT REQUESTED: OR
PERSONALLY DEL IVER A SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION TO: "
" `'s_J aai#NIH to R'O'N'ALD WEST ROOFING, LLC'
225 SWOOPE AVENUE, SUITE 106
u iKMAITL'AND'FLORI.DA 32751
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CITY OF
Sk�ORD Building cPi Fire Prevention Division
RESIDENTL4L REROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT: / ADDRESS:�<
I r) CA, 1 rA �,Z� - < X , 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 #: C \ e� T
COMPANY / CONTRACTOR: Aa \A_ I n
CONTRACTOR SIGNATURE:�hi DATE:
(MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST 13E 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, RASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF r
Sworn to and Subscribede me this �— day of Fe- 2U by:
OhL"4_Q,,sT. Who is Versonally Known to me or has 0 Produced (type of
0entii aye tion) as identification.
Signature of Notary Public
State of Flor'da v Notary Public StagaF,40
Lisa Ann Matthews
My Commission GG 143102
Expires 0911412021
Of M1
Print/Type/Stamp Name
of Notary Public