HomeMy WebLinkAbout316 Fairfield DrCITY OF SANFORD
JAN 16 2018 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
r
Application No: I O - 33 d
Documente,d'Construction Value:$ 12-1 5CA-D-o
Job Address: 3,xu 'rairfle-'IA Sa&or-ASL 32q-71 Historic District: Yes ❑ No
ak- 0000 - OB90 F1
Residential N Commercial
Type of Work: New M Addition El AlterationEl Repair 0 DemoEl Change of Use Move El
Description of Work: CCAQ'%X-Ae'e>C-- 1L r)nxre-
Plan Review Contact Person: Title/
n c"X
10A- E,5-1-7 Email: PI One: —M- WCD - ZVIA�Sj Fax; Aol�
Property Owner Information
Name , �Lkr - %OL (3C.CNICU X Phone: Ably ADS
Street: r�Vp V'ci&ckA fir. Resident of property'?: �!", i
City; State Zip: f'L ! 3111
Contractor Information
Name niA �CLOW Phone, 32A- 20( o e?�%
Street: Fax: nbl - �0-A 2.5-72
City, State Zip: Cv\ckn&' �F(- K-S C) U State License No.: CDCC-'12)2AD�,Le
I
Name:
Street:
City, St, Zip:
Bonding Company:,
Address:
Architect/Engineer Information
Phone:
E-mail:
Mortgage Lender-
Address -
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR,
PAVING TWICE FORIMPROVEMENTS TO YOUR PROPERTY. A. NOTICE. OF COMMENCEMENT MUST BE
RECORDED AND POST I ED ON THE JOB SITE BEFORE THE I ,FIRST I-NSPECTIO N. 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. .1 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, plumbingj signs, wells, pools,
furnaces, boilersj heatersi (auks, and, Air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as or that date: 5111 Edition (2014) Florida Building Code
Rcviscd: June 30. 2015 Permit Application
q
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 1 will notify the owner of the property"of the requirements of Florida Liens 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 ValuationTable 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.
Signuture:of Owner/Agent Date
Print Own&t/Agent's :Name
Signature of Notary -state of 1'torida Datc
Signature, of Contractor/Agent Date
J;Unt Contractor/Agent's Name
4' -
S gniture o. Notary -State of Florida f Date ((
aytr vv Notary Public State of F'totida
g" Kanmmha"Grant.
My Cor .mission GG 1061146
Expires 06121/2021
Owner7A.gettt:is Personally Known to Me or C n own, to Me or
Produced,ID Type of 1D Produced ID Type of.lD
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ RoofFJ
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg; Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing- # of Fixtures
Fire Sprinkler Permit:. Yes ❑ No Q # of Heads Fire Alarm Permit: Yes ❑ No
APPROVALS: ZONING: UTILITIES: WASTE WATER.:
ENGINEERING: FIRE: ;BUILDING
COMMENTS:
Revised: June 30, 2015 Permit. Application
Building & Fire .Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
mc O'T RE, 0 EPA
PERM ITTtNG'.REiQVl REMENTS - No'PLAN REVIEW REQUIRED
TH is, DOCUMENT(SIGNED) ALONG WITH ANACCURATE AND COMPLETED RESIDENTIALRE-ROOr 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.ISSUEDWITHOUTTHESE DOCUMENTS. COPIES WfLL.BE MADE,TO POST ON'THE JOB SITE.
"PROJECTS LOCATED IN THE- SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY TI-IF,
SANFORD HISTORIC PRESERVATION BOARD
INSPECTIONTOLICY I& PROCEDURES
A FINAL ROOF INSPECTIONIS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE140ME, APARTMENT AND/OR CONPO.MTN,lU[M) RE -ROOF PERMITS.
THE- FOLLOWING IS REQUIRED TO BE PROVIDE ,ONTHcJOB SITE
-
PERMIT CARD, POSTED INA CONSPICUOUS AND WEATHERPROOF LOCATION
• CQM PLETED RES I OENT] AL,RE,-ROor, 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)
0 DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
o EACH PLANE OF THE ROOF,, SHOWING TFIE'UNDERLAYMENT INSTALLED
'o ROOF DECK NAILING PATTERN& SPACING (INCLUDINGA MEASURING DEVICE OR RULER)
o> ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
0 UNDERLAYMENT PATTERN & SPACING- (INCLUDING A MEASURING DEVICE,OR.RULER)
.o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A -MEASURING DEVICE OR, RULER)
b SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
0 SKYLIGHTS (IF APPLICABLE)
• DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
• DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE To FOLLOW THESE SPECIFIC. GUIDELINES WILL RESULT IN ANAri.,I.DAViT'PROVibr,,D.BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFVIN'G'FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
.C���TOR (OR OWN EitMuILDER)'SIGNATURE: DATE: 12-1 2_01 1-1
PERMIT#— (p-5-S5
Ruilding & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: ?)\-D.
STRUCTURE TYPE: I* SINGLE FAM ILY RES I DENCE/ToWN HOUSE OMOBILE HOME
0 APARTMENT/CoNDOMINIUM
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENI,, . S)
0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING R:001--)
DECK TYPE (PLEASE SPECIFY): �b- (10 u nch�o, 4 kno-e-r-
**PLEASE NOTE: OAT[ Y 100 S()I;ARE FEET OF THE EXISTING DECK IS PERMITTED
TO BE REP EACED **
ROOF VENTILATION: 00FF-R-LIjGE 0 RIDGE, OSOFFIT OPOWERED VENT 0TuR-BENES
SKYLIGHTS: 0 YES (*.NO IF YrS-PI-WE PROVfDI. FLORIDA PRODUCT APPROVAL 4;
------ ------------- -------- -- - ------------- --------------------- --------- ------ ------ -- - -------------------------------------
(MAIN Ro4jFkilEA
ROOF SLOPE: 0LESS TliAN.2A-2 0 2:12 - 4:12. 4:42 WOPLEATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODU-0 APPROVAL,
- wSIIINGLE
cz.-6Q,
FL#
FL#
OMODIFIED BITUMEN
F I L# I
0 TORCH DOWN
FL#
()INSULATED
FL#
OTILE
FL#
(3rOTHER:
IFL# 1523(p
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **lFA.PPLlc4BLE-!*
ROOF S.I,OPE: 0 LESS THAN'2:12 0 2:12-4:12 0 4:12 OR GREATER
TYPE OF ROOF
I MANUFACTURER,
FLORIDA 'PRODUCT APPROVAL
0SHINGLE,
FL#
OMETAL
FL#
OMODIFIED BITUMEN
FL#
0 TORCH DOWN
FL#
OINSULATED
FL#
OT, [LE
FL#
00THER:
FL#
�901'T'LTAAI
STATE of Parcel t: Aft
,CoL TY OF PARCEL tO R: A • CDCx�o ` (_ O
YK WMEASIGNED hereby gives notice that Improvements will be made to curtain r6i property, and in
Accoroance with Chapter 713, Florida Statutes, the foliovring Information Is provided In this Notice of Commmuwnerrt..
M
Address; ,- -
7 Pertons within the Statti of Florida designated I
pq"ONded biYSctifor1733.i33(1)(a)Pior a' Statutes. h
Address:
8 in addition to himself or herself, Owner design;
as provided in Section71313(1)(b) Florida Statutes:
Address:
Exptradon Date of Notice of Commencement:
(the expiration date Is 1 year from date of recording unless a different date is spetidlCd)
WARNING TO OWNER: ANYPAYMENTS MADE BY THE OWNER AFTER THE VPIRATiON OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, SECTION 72313 FLORIDA
STATUES. AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. AtlDT10E t1P
COMMENCEMENT MUST BE RECORDED AND POSiEb 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 RECiORDING
YOUR NOTICE OF COMMENCEMENT.
Vertficalign Section 22,525. Flodda SfihAes
Under sMa of perjury l stare that I have read the foregoing and that the facets stated In it are true to cf+e,best of my
knovvt andbetlef
siolturt
or Owrxr or nets Authortz SNynatnry's Title/OfficeOfW/Wrector/Pa /Manager / --�
Ilk oregoir►5 atstrunmt"was aftowi before me thls�day of NW21 .; liy
� —,— Dly -j
(name of person) +s (type of authority, -e.g officer; trvstre UNTle J in fact} for
name rtyo a fwh `was,txecute4
(SEAL)
SlgTwturt N . Pub , 01 Flo
-Ov Notary puDac Sty of FWWS
4F JESSICA RODRIGUEZ
My CortMnholor►GG 115103 PdkTYpe or Stem ," ftdssloned Narne'allotory,
Expir" WiW2431 Personally Known Y or Productd Id en .RuaCO
Vlt/,
NT MALOY
t—tCfi .0VRT
ISY .....�. i K 0 1 t
GRANT MALOY, CLERK OF CIRCUIT_.COURT SEMINOLE COUNTY FL
CLERK'S #2017122139 BK 90341P9 0238; (1P9) E-RECORDED 12/04/2017 03:12:19 PM
10, 00
'�(IVAnced Home Solutions
EIN#46-1=132997
6 ... +.
a _ RE -ROOF WORK'
4 2 Pmecastic Blvd. # A State. License' CRC 058297
Orlando, Florida'31869
'Roll Free) 844-3s7-910.1 AGREEMENT EPA IICRCcd 10776 for ;
IiCRC:11210Z76
(Fax) 407-.764-2577
Advanced Home Solutions (the,Tontractor")'agrees to furnish all aterials and subcontract its: labor for the below im
provements atthe following address:, 3t (a F1044?-Pt /d 4r
City Sa . �1 FL. 3 a 7
for the Owner(s) A ^Tik w AkA & VA L CIUA ?"
Homeowners Phone 4eZ--Yo2- 34St . Owners Email o ' ��t.- tivw �t¢r .i - tz"
tnsurance Company ��,,jjzJ T F'''�� Claim # d f / IQ
IitAccordanee wit itspeeiftcations-rINen.below to'sit bconIract,,('Re-Roof) Ieeendt'RAt"Nenmse,•l2-Replace\ewor•P-netach•R$-Rose)
I; Remove I layer,, of; '3 Taub & and rla}'meat: lfaddirinrialrm+finglnpen urejnrmrtdddiririrmfcasrN•itt applj.
1-Nurnber of stories, 2. &.predominanupitch_(' _112.Over'?112Pilch 'Wep`rha"rgesapptjti
. provide peni its, fees. Notice of Commencement, filing, dumpster fees and all applicable taxes. Do Not Remove Posted Permifs!
4. Provide OSidA rquired salety-,,'supervision.
i, Protect the surrounding structure, fe r-ofl'"fi remove,old roofto workable surface & re -nail roof deck With eight penny ring
shanknaihsLan.t Ordinance nocmrrrdhrirrsnrancetsthe resnonsiNlin•ofdie homemener.
7. Owner required in pay all rotten plywood at S 60.00/Sheet, 1 x6 at S 6.00/L.F., Ix8 or T&G at $8.00/L.F.: PoiadnR NIA ho!� initial
a If rotten f.i as is replaced & t.xistinc� soliit is to be re -installed additional cost ofS8.00/L.F will apply
Remove ,cya,u� derlavint: /,5 Le 1 d i cave ta11 p '30LB
9 Remove S & mstallnew t/ 1-112 ordri Color: '•Ct PaianaR,vA �� initial
10. Rxt S R Chin Flashing, Counter.Plashing,& Caulk h,F.
1 1, RR4 & R Valley Metal or lee & Water Shield Product as required by Florida Buildin&Code.`install L.F.
1' R4f.0 R pipe fitcke C resr_al 11/2 e 12' x &. 3 r L& 4 r
13 Install yr / i yr 1 50 yr Limited Life Tyynne year fiber lass shingle 'upgradero �/30AIPff B`?hdCode:.
Colorkrh'C t ��lanufacturer.: /d...r, Brand �wi�1.Tr e 6 I,nifal
!4. Ryi& R ncU gal -edge ventilation z'�_ or`RM &,R.ridge ventilation' L.F. Install.
1 ?.-C lean joh site:of al I work debris. Please be'awure usYcuufinn'Mdien nn jnh site and afd6ys cat1881=357-9I41 for any additional clean-up needed.
16. t) C R cxtstne nailed .✓or screwed _gutters _". Total L.F., with . D.S. gutters Will not be guaranteed,
against lcakuw ordamage: The customer requests,install ofnew drip edge over existing gutters? Yes •, or No
Custtniter request install Of drip edge. at pool- uper'gutters requiring D & Wof screen enclosure? Yes,— or No
17, R,M & R all dead Nallevs with: Granulated peel &stick.
iR.R41>SRSlighting rods ^-- L.F. Aseparate esrinsatewill NepmyideoL
19. RM & R of all kitchen ve&-nts goose necks -with. 8" 3- ,or, 10 -_
20. All;existing static exhaust fans will be'cleaned & resealed. Solar Electric- Gas, 'Fire Other:
21. Rbi'& R solar panels, pool panels _ water` Beater, elcctric`p""noels
21 Skylights r,� _ or 2' x 4 _ Caps. poly_ glass = Mounts: curb — flush- ,Skylight Package -,cap only= cap & curb,"
3. L-Flashmg will be reused.unless`it is required to be ieplacement. Additionalcost nrAapplj%
2j. The Contractor,will coordinate by subcontracting the removal and:reinstallation of roof related peripherals.
*.The orortenls'-nor ro cgFnrpt to contract or too"rdinareN•id+anp;rheaubconrracrorro do workrelared ro thiaconriact.,
25. wners responsibility to contact,their cable or satellite provider tore -install equipment. i orknoilihip Itarrativ s-oldedifinsteilledon roof.
2 i. L- Year Workmanship Warranty is in effect upon, completion. Afarerial uarrann•prosrded b�•,Mlana/orlunr
28. Enhanced Manufactured Warranty: CertainTeed 3-Star ( 20yrs) •! $20/s.q. 4-Star (•50yrs )" $25/s.q.'(steWarruggf)
29. Ovtner will be contacted several days prior to the dumpster delivery. Loc iT7ov Gsnr r .� T
30. All Non-Insurance:Emer2enci' Work requires advance payment prior to start.
Emergency tarping or board -up. Number,_ Size Cost After Rours _ ,
31. All Upgrades & Other Work t6be requested must be in %yriting and request,oNLY through your Account Manager.
32. pre Constroction Inspection completed one//3 20 Lj / /Oinitial
Addendum Exhibit:,"_" or also see Xactimate for Scope: _Demo; _Drywall; _insulation, _Painting, _ Carpentry; _ Elect.,
l VAC, , Plumb, Restoration, _1EP, =Remediation, _Tree Work, _Flooring; „_Doors; _Windoaps: _ Screens;
tiDTES:
A.)AHS Wake (Provided at Adjustment)
• losur nx RCV-10.111,O&L
B.) Imaraac. Deductible �2_Zli.O
Iasurestequired deductible, to be said wsi -hated YES V.I.
e'.) Ist Imuraoce Check `
Paul by Immer Mlected'YES ✓.
D.) Inmraore Depreciathm
Paid bv. Ins, roll-cccted YES ✓
I-)tasurgnceSupplements, -
Paid by Insurer collected YES
3 F.)Ordinance,& Law'h Paid when Incurred IPWI) S
• tm=d mquited to pay if not in covered. Collected YES
S-2/2 �.� • 0o G.) Total Balance.Due`frpm RCV 1 B,,G D,,E. 0) S
S 1JN0P-INSURANCE°RE-R60F ESTIMATE(EstimiteNulid Ice 30 days)
S 6 50% E eposit S, canceled YES _.
z.) o'& G c.o,Rotten Wood &'Addiflonat Work $
Pa id; ByClimttorinvved.S aad'eolleetedYES
_
5 3).Credits aocustomer S A'
a
Paid by panYCom Yes_
NOTICE'TO 0111NFR: ADDITIONAL TERA RE ON THE BACK. You are entitled to a copy of the'contract at the time you sign. Keep it to protect your
righrs. Executed in' t ' irate, one opy waS delivered to; and ec t.,s her , "acknowledge by Ot17(ter(s),on _7_RO_ ,
(x) (x) L
wrier Si nature OwnerSi ature
I' nntrartorc .ni Ctanntiire 'rnmeneti)m Aaenf it ._
Scanned by CamScanner
CITY OF
N SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. lilw330 ISSUE DATE: 1-'110-18
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
In
to Fa;e 1 U-17L r
07% 4S I
PROTECT FROM WEATH R
• 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
I
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
PERMIT #: � b ^ 'B 3 D
ADDRESS:-31 (-Q Ic! —'b1e kk 'e
I I -�M l 0-'-" 1 -�- , 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).
LICENSI #:MC \ -�3 2( ci 4
COMPANY / CONTRACTOR: Ql-Q /1 -i -
CONTRACTOR SIGNATURE: DATE: 0a /Icy
(MUST BE SIGNED BY LICENSE HOLDER OR OWNER/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, .
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 20 J� by:
�Q C.0 / Who is,�< Personally Known to me or has ❑ Produced (type of
Aifiidecation)
gnaure of No ry Public
State of Florida
Print/Type/SCamp Name
of Notary Public
as identification.
LESLEY MARIE BARTOE
Notary Public State of Florida
Commission # GG 021453
My Comm. Expires Aug 15. 2020
Bonded through National Notary Assn.