HomeMy WebLinkAbout2600 S Elm Ave (2)a
CITY OF SANFORD
BUILDING & FIRE PREVENTION
. PERMIT APPLICATION
Application No:
Documented Construction Value: $ 3500
Job Address: 2600 S ELM AVE SANFORD, FL 32773-5131 Historic District: Yes ❑ No ❑
Parcel ID: 0 1 -20-30-506-0000-4620 Residential RE Commercial
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Re -Roof, Replacement (Tear off existing roof and replace with new components.
Plan Review Contact Person: T
Phone:
Fax:
Email:
Property Owner Information
Name LOPEZ, MANUEL D & NAJERA, MARTA O Phone:
Street: 2600 S ELM AVE
SANFORD, F1 32773,-51Bt$ 3 ,
City, State Zip:
" Coitr ctor.lr�folt
> � =„x� r, tit
AUGUSTO A MARTINI
Name
Street: 7708 PURITAN RD
City, State Zip:
Name:
Street:
City, St, Zip: _
ORLANDO, FL 32807
Bonding Company:
Address:
ident of property? : yes
Pine: 4079526929
Fax: 4076502731
State License No.: CCC1331057
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
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: 5' 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.
1SiU�
Signature of
Date
Vint Owner/ ent' ame �rint Contractor/Agent's Name
Sign at of Notary- to of Florida
ate ignature of otary-State of Florida Date
,r/ JENNIFE� IOPEi
v Motuy.Pub11C • $tate of Florida
Commission # F.F.,946431
My Comm. Eltpires Dec 8, 2019 personally OW to Me or
Owner/Agent is Personally Known to o •„ eondedthl�p}��t 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:
New Construction: Electric - # of Amps
# of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
0
Revised: June 30, 2015 Permit Application
f
Best Pro Roofing LLC
LIM CCC1331057
7708 Puritan RD
Orlando, FL 32807
(407) 301-3794 Office
(407) 650-2731 Fax
www.oriandoflroofincicontractor.com
BestProRoofingLLC@icloud.com
ROOF TEAR -OFF:
[zl1' Layer Shingles ., ti_ Layers Shingles
I] Felt Underayment ❑ Single Ply Flat Roof
'❑ ,Gravel Roof ❑'other
FLAT ROOF SYSTEM.
❑ Torch Down Single Ply
❑ 75_Ibs.:Fiberglass Underlayment
❑ Cold System: Self Adhered Modified Bitumen
Roofing System
❑ Fiberglass' Reinforced Felt
0 Other
NEW' ROOF FLASHING:
16" Flashing on 0 Roof Valleys
Qty. Plumbing Boots Replaced:
❑+ Gooseneck Vents: 4"_6" 10"_Color:
❑ Boots Guards-,__ Color
CHMNEY AREA:
❑ New flashing ❑ Replace exiting flashing if needed
❑ Build Chimney Cricket - $
❑ Remove Chimney $
WOOD REPAIR:
0 Inspect.RooflDesk:for.Damage Wood
El Re -Nail Entire Roof Desk Up- To Code
❑ Plywood sheathing replaced at $
a Trust fascia and any other wood boards) will be replaced at
$ per linear foot.
❑ Other Customer Inftials�_
NEW GALVANIZED DRIP EDGE:
0 2.5 Face installed. around entire perimeter roof.
0 Other Color
SEAMLESS ALUMINUM GUTTERS:
❑ Included $ p/liner ft.$ ea Downspout.
❑ ft. of gutters to be installed Downspouts:
ROOF VENTILATION:
Aluminum Ridge Vent ft. Color:
Q Baffled Shingle over. Ridge Vent ft'.
0 Off -Ridge Vent(s) 4 ft Qty: Color
❑ Off -Ridge Vent(s) 6 ft City: Color
SKYLIGHTS:
❑ New ❑ Reuse Existing
❑ 2x2 $ 2x4_$
❑ Other $
ROOF SYSTEM 1 ROOF SYSTEM 2
❑ Re -Nail Roof Deck Up -To Code I] Re -Nail Roof Deck Up -To Code ❑ 30 lbs. UL Felt Paper
❑ Torch Down Single Ply ❑ Fiberglass Reinforced Felt 0 Fiberglass Reinforced Felt — "Gorilla Guard" I] Synthetic
❑ 75 lbs. Fiberglass Underlayment WEATHERPROOF IN THE FOLLOWING AREA:
Cold System: ❑ Self Adhered Modified Bitumen ❑ Eves 0 Valleys 0 Vent Pipes 0 Kitchen & Bath Vents
Roofing System ❑ Peel & Stick Underlayment ❑ Chimney ❑ Skylights ❑ Low Slope ❑ Wall Flashing
Manufacturer:
Yrs Workmanship Yrs Manufacturer Warranty
Style: Color:
ADDITIONALNOTES:
. 'i
Manufacturer: GAF
2 Yrs Workmanship 30 Yrs Manufacturer Warranty
Style: TIMBEL41N HD Color:
PERMITS: Contractor shall apply for and obtain such permits and regulatory approvals as maybe required by the local municipal/county
government, the cost thereof shall be included as part of the Project price. INSURANCE: Contractor shall maintain general liability, and workers
compensation insurance. CHANGES TO SCOPE OF WORK: Owner may make changes to the scope of the work, including changes to the
drawings and specifications, from time to time during the construction of the Project. However, any such change or modification shall only be
made by written "Change Order" signed by both parties. Such Change Orders shall become part of this Contract. Owner agrees to pay any
increase in the cost of the Project as a result of a Change Order. In the event the cost of a Change Order is not known at the time a Change
Order is executed, the Contractor shall estimate the cost thereof and Owner shall pay the actual cost whether or not it is in excess of the
estimated cost. LATE PAYMENT/DEFAULT: A failure to make payment for a period in excess of ten (10)days from the due date shall be deemed
a material breach of this Contract. If payment is not made when due, Contractor may suspend work on the job until such time as all payments
due have been made without breach of the Contract pending payment or resolution of any dispute. Owner agrees to pay a late charge of 1% of
all payments that are more than ten (10) days late plus interest at the rate of 1% per month. DESTRUCTION AND DAMAGE: If the Project is
destroyed or damaged for any reason, except where such destruction or damage was caused by the sole negligence of the Contractor or its
subcontractors, Owner shall pay Contractor for any additional work done by Contractor in rebuilding or restoring the Project to its condition
prior to such destruction or damage. If the estimated cost of replacing work already accomplished by Contractor exceeds 20 percent of the
Contract price, either the Contractor or Owner may terminate this Contract. Upon termination by either party, Contractor shall be excused
from further performance under this Contract and Owner shall pay Contractor a percentage of the Contract price in proportion to the amount
of work accomplished prior to the destruction or damage. ASSIGNMENT: Neither parry may assign this Contract, or payments due under the
Contract, without the other party's written consent. Any such assignment shall be void and of no effect. INTERPRETATION: (a) Interpretation
of Documents. The Contract, drawings, and specifications are intended to supplement one another. In the event of a conflict, the specifications
shall control the drawings, and the Contract shall control both. If work is displayed on the drawings but not called for in the specifications, or if
the work is called for in the specifications but not displayed on the drawings, Contractor shall be required to perform the work as though it
were called for and displayed In both documents. (b) Entire Agreement. This Contract constitutes the entire agreement of the parties. No other
agreements, oral or written, pertaining to the work to be performed under this Contract exists between the parties. This Contract may only be
modified only by a written agreement signed by both parties. (c) Governing Law. This Contract shall be interpreted and governed in accordance
with the laws of the State of Florida. ATTORNEYS' FEES AND COSTS: If any party to this Contract brings a cause of action against the other party
arising from or relating to this Contract, the prevailing party in such proceeding shall be entitled to recover reasonable attorney fees and court
costs. PERFORMANCE: (a) Contractor may, at its discretion, engage licensed subcontractors to perform work pursuant this Contract provided
Contractor shall remain fully responsible for the proper completion of the Project. (b) All work shall be completed in a workman -like manner
and in compliance with all building codes and applicable laws. To the extent required by law, all work shall be performed by individuals duly
licensed and authorized by law to perform said work. (c) Contractor agrees to remove all debris and leave the premises in broom clean
condition. WARRANTY: Shingles guaranteed under manufacturer's warranty for a period of 30 year(s). Contractor's warranty shall be limited to
defects in workmanship within the scope of work performed by Contractor and which arise and become known within 2 year(s) from the date
hereof. Contractor agrees to repair any roofing leaks under normally anticipated weather conditions. Ice damming is not a normally anticipated
condition. Damage done to the roof system through no fault of the Contractor are not warranted by Contractor. All said defects arising after 2
year(s) and defects in material are not warranted by Contractor. Contractor hereby assigns to Owner all warranties on materials as provided by
the manufacturer of such materials.
BEST PRO ROOFING LLC will clean roof debris from gutters in addition to magnetically sweep entire perimeter of job site. All roofing debris will
be hauled away and is included as part of our service. All materials are guaranteed as specified. We will obtain all city or county permits
necessary for the completion of the job. All work will be completed according to standard roofing practices and current building codes. Any
alteration or deviation from above specifications involving extra cost will be executed only upon written order and will become an extra charge
item over and above this agreement. Any leaks occurring during the warranty period will be repaired per our written warranty. This proposal
may be withdrawn by us if not accept within 45 days.
ACCEPTENCE OF PROPASAL: The above specifications, prices and conditions are satisfactory and are hereby accepted. You are authorized to do
work as specified. Payment will be made as outlined herein. If payment Is made with a credit card there will be a 2% increment added to the
total sum of the balance due.
ADDITIONAL
Paymi
Start
Autho
BedPProhaS
r:
THIS INSTRUMENT PREPARED BY:
Name: AUGUSTO A MARTINEZ
Address: 7708 PURITAN RD
r ORLANDO, FL 32807
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 01-20-30-506-0000-4620
i Iiilll iilil Iliii lilll Illii IINI ilil fill
GRANT IIALOY, SEMINOLE COUNTY
CLERK, OF CIRCUIT COURT & COMPTROLLER
BK 9069 F's 1325 (1Pss)
CLERK'S T 2018013434
RECORDED 02/05/2018 01:44y51 PM
RECORDING FEES $10.00
RECORDED BY .ieckenro
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 PROPERTY: (Legal description of the property and street address if available)
LOT 462 FRANK L WOODRUFFS SUBD PB 3 PG 44
2600 S ELM AVE
2. GENERAL DESCRIPTION OF IMPROVEMENT:
RE -ROOF 2000 SQFT OF ASPHALT SHINGLES.
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: LOPEZ, MANUEL D & NAJERA, MARTA O 2600 S ELM AVE SANFORD, FL 32773-5131
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: AUGUSTO A MARTINEZ Phone Number: 407-952-6929
Address: 7708 PURITAN RD, ORLANDO, FL 32807
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7. 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)(a)7., Florida Statutes.
Name: Phone Number:
Address:
S. 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)
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.
(Signature of er or Lessee, or Own essee's (Pant Name and Provide Signatory's Title/Office)
Authorized1dfficer/Diredor/Partner/ a er)
State of �R�� County of
The forego�tg instrument was acknowledged before me this
by
who has produced identification
day of Y0
Who is personally known to me ❑ OR
ig statement o r
of identification produced:
ANYIER , OPE1
Nwxy •-,nr., State of Florida
4 946431
4 28 2011
Notary. Public • State of Florida
Comrttiaslon,O f,946431 -
��; 2
tary Assr
aRTIFIED COPY GRANT MALOY
CLERK OF THE CIRCUIT COURT �v
AND COMPTROLLER
SEMINOLE COUNTY, FLORIDAYa
DEPUTY CL05
CITY OF
Building & Fire Prevention Division
NFORu D' RESIDENTIAL .RF ROO.F 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:
A PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
® COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
u COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
u ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
O 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
O 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: 2' G CJ
f
CITY
NFORD
DEPARTMENTFIRE
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 2600 S ELM AVE SANFORD, FL 32773-5131
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): 1/2 OSB SHEATHING 4' x 8'
**,['LEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: OOFF-RIDGE IDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-----------------------------------------------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER W
FLORIDA PRODUCT APPROVAL
OQ SHINGLE
GAF TIMBERLAIN HD
FL4FL10124-R19
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#
O INSULATED
FL#
OTILE
FL#
0 OTHER:
F L#
CITY OF
'SANFORD,
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF, A FFIDA V71
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: m- ;;dW ADDRESS: 2600 S ELM AVE
SANFORD, FL 32773-5131
I AUGUSTO A MARTINEZ
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#: CCC1331057
COMPANY/CONTRACTOR: BEST PRO ROOFING, LLC
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSEY6LDER OR
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: `9480—
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
S orn to and Subsc ' ed before me this day of w 20 lFby:
®�G Who is ❑ Personally Known to me or has L7Produced (type of
identification)
0ta
nature ^otary Publicte of Florida
rint ype Stamp Name
of Notary Public
as identification.
Motuy Public . State of 0101103
• Commission At FF 946431
as �
b 1
v FA(;es Dec 28, 2019
�ivao`o donaea!nroUgnNational NetaryAsn.-