HomeMy WebLinkAbout319 Fairfield Dr (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
F PERMIT APPLICATION
Application No: '
Documented Construction Value:
Job Address: Historic District: Yes ❑ No [�
Parcel ID: ae2-( Q- 3 F ,S-/ & -68C6- !>Iy Q Residential YJ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ® Demo ❑ Change of Use❑ Move ❑
Description of Work:
Plan Review Contact Person: 11�% eJ4, Title: &K + e- a f
Phone: 4V 7 966 S M- Fax:
yvn - - 5 ?yl
Email:19 o rr ;45'be_ Spu-T (&. Yte_--�
Property Owner Information
Name Phone: 3.Z) 2=,f s l o /3
Street: _Lg,�� Resident of property? : T
City, State Zip:
Contractor Information
Name I RTC= try Phone: _467 3q�
Street: 4L -6 — / 9-L b SaycftDQ Q Lyi Fax:
City, State Zip: 6ry1 ° VCt -� 2 -7- Z State License No.: CsG�r3�4l �
ArchitecVEngineer 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 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
w.
V "flat % t
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
and
found in the public records of this county, 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 I applicable laws regulating construction and zoning.
Print OtineriAaent's Name
cX,lo S Oclw� 23,20
B ,n Th, 6 N; Z:liry S n
Owner/Agent is
Produced ID
*��1t61SSIflN t FF 243769
EXPIRES. octobairy, 019
6�d n.6ubg°
Personal Is, K no�ti n to Me or
Type of I D
Slenaturc o ntr ct r/Agent Qat
XPriontract Agent' Name
ignaure
A CAPIOLE PROODIAN
�! M"' COMMISSION #FF169830
o:
EXPIRES October 20, 2018
+sur�.39801:,3 F10ndaNntaryServ+ce.c0m
Contractor/Agent is _ ersonally Known to Me or
Produced ID Ts-pe of ID r "C
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
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of lieads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
CLic.0 1330106
NAME Marc Percy
D R and G, Inc.
1260 Saratoga Ln.
Geneva, Florida 32732
JOB NAME
STREET 319 Fairfield Dr STREET
CITY_ Sanford32771 CITY
PHONE PHONE
D R and G, INC 9
Phone 407-841-5831
407-322-8221
DATE 9 1 15 117
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW
(SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO
WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND
ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR
CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM
IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR
OR SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS
SUB -SUB CONTRACTORS, OR MATERIAL SUPPLIERS OR
NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS,
THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR
PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR
CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR
CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN
ON YOUR PROPERTY. THIS MEANS IF ALIEN IS FILED YOUR.
PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR
LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR
CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO
PAY. FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEXAND
IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM
ARISES YOU CONSULT AN ATTORNEY.
Customer Initials Date
Page 1 of 2
I
G-A.F.
TAMKO�
OWENS CORNING
CERTAINTEED
MAGNET SWEEP YARD
6 NAILS PER SHINGLE
PALISADE DRYIN
HAULAWAYTRASH
RENAIL LOOSE DECKING
IN REROOFING A HOT TAR ROOF, IF
THE OLD ROOF IS STUCK TO THE
DECK, THE HOMEOWNER AGREES
25 YEAR 1 30 YEAR 1 40 YEAR I Color
D R and G, Inc. hereby proposes to furnish all material and. labor, to complete
all work in a professional manner. This price includes removing one layer of
roofing only, unless otherwise stated. This contract maybe subject to material
price increases.
Workmanship
2 YR. 5 YR. 0 YR.
)'Eve Drip 2.5
Lead Stacks 4° ° 2° 1 1120
/alley Metal 0
❑ Roof Vents
❑ Ridge Vent
❑ Gravel Stop
❑ Kitchen Vent
XlBathroom Vene
112 x 4 Skylight
112 x 2 Skylight
Rotten Wood
112" CDX Plywood
- $4, per sq. ft. Boards $9 5S er running ft.
All rotten wood is extra at price quoted above.
HOT TAR ROOFS
SINGLE PLY ROOFS
TO PAY D R AND G, INC - FOR ANY ❑ 75# Fiberglass Base Felt ❑ 75# Fiberglass Base Felt
ADDITIONAL LABOR FOR REMOVING ❑ 439 Base Felt ❑ Smooth Surface
OLD ROOFING. ❑ Ply IV Fiberglass Felt 0 Granulated Surface
❑ 10 yr rkma!�2
❑ 5 yr Workmanship
Zknailsto-
If needed_the roof deck will be renailed with 8 D.ringhe Florida Building Code at 200 per sq. foot.
PAYMENT DUE ON COMPLETION7q DSO , v 0
i Accept This Contract Date
Contractor shall pay all valid bills and charges for material and labor arising out of the contract and will hold Owner of the property free
and harmless against all liens and claims of lien for labor and material filed against the property.
The Contractor shall not be responsible for damage to existing walks, curbs, driveways, structures, cesspools,. septic tanks, sewer lines,
water or gas lines, arches, shrubs, lawn, trees, clotheslines, telephone and electric lines, overhead plumbing, etc., by the
Contractor or supplier incurred in the performance of work or in the delivery of materials for the job. Owner hereby warrants and
respresents that he shall be solely responsible for conditions of the building site over which the Contractor has no control and
subsequently results in damage to the building or injury to persons or property.
Unless otherwise noted in this agreement, the price quoted does not include removing or replacing fascia, trim, sheathing, rafters,
structural members, siding, masonry, vents, caulking, or flashing of any type. If during the course of work, it should become apparent
that any such portion of the structure should be repaired or replaced. Owner may authorize Contractor to do such additional work, and
charge Owner for the additional labor and materials required plus a reasonable profit.
Where colors are to be matched, Contractor shall make every reasonable effort to do so using standard colors and materials, but does
not guarantee a perfect match.
Any controversy or claim arising out of or relating to this contract shall be settled by arbitration in accordance with the Rules of the
American Arbitration Association and judgment upon the award rendered by the Arbitrator(s) may be entered in any Court having
jurisdiction. Should either party hereto bring suit in Court to enforce the terms of this agreement, any judgment awarded shall include
court cost and reasonable attorney' s fees to the prevailing party plus interest at legal rate.
Page 2 of 2
THIS INSTR MENT PREPARED BY: ��� fill fill
Name: - � ltil
Address: 4 GRANT MALOYr SEMINOLE COUNTY
%iC-t:l.< ,)•Ca t 7:� (1 RK OF CIRCUIT COURT & COMPTROLLER
BK 9CIC19 F`s 8"1 QPgs)
CLERK'S 4 2017105511
NOTICE OF COMMENCEMENT RECORDED 1FE !2Ij17 12:¢?:r_I; )-;i
f'tEc:r�RC,E)'�INING FEES �1iI,CICI
Permit Number: RECORDED BY lidevore
Parcel ID Number: cal- S - t�n) OU
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.
DESCRIPTION OF PROPPTY: (Legal description of the property and street address if available)
2. GENERAL DESCRIUION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and addressj�A-fto- ���/
Interest in property
Fee Simple Title Holder (if other than owner listed above)
r'uut C55.
CONTRACTOR: Name:!� r(� ± ti� Phone Number: yO 7 ,{ `i I?, e.4.
/ Address:
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
LENDER: Name
Address
Phone Number:
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.
8. In addition, Owner designates
Phone Number.
of
to receive a copy of the Lienors %-z' ce as provwed to Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Cc,Tmencement (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.
Under penalties of perjury, I
belief.
('J Autth�orzed tc
State of R—
The foregoing instrument v{
by (i
Clare that I hav Mead the foregoing and that the facts stated in it are true to the best of my knowledge and
or OMF s or Lessee's (Print Name and Provide Si ratory's Titldofricc)
rctorlPartnerlManager)
County of l7�1�.� J�
acknowledged before me this 44 ,--day of 20 1-7
Name of person
statement
who has produced identification 0 type of identification produced:
Who is personally known to me t OR
KAREN GUILFOYLE
MY COMMISSION t FF 243769
EXPIRES: October 23, 2019
Bonded Thru Budget Notary $ekes
CITY OF
� SjkNFu Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. IS A' ISSUE DATE: O Is
CONTRACTOR: A
Am
JOB ADDRESS: �� / 9 4q. /a. D'0004
TYPE OF WORK:
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
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
s
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the
A
next business day. If you experience difficult`, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code III
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
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112
City of Sanford Building Division
Residential Re -Roof inspection Policy & Procedures
PERMITTING REQUIREMENTS —NO PLAN REVIEW REQUIRED
ent (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required
( g
tted as part of your permit application.
lorida Product Approval numbers for all roof components that
of Work must include all applicable F
ailed on the project.
,ill not be issued without these documents. Copies will be made to post on the job site.
located in the Sanford Historic District will require plan review and approval by the Sanford
reservation Board
INSPECTION POLICY & PROCEDURES
)of Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile
artment and/or Condominium) Re -Roof Permits.
,ving is required to be provide on the job site:
unit Card, posted in a conspicuous and weatherproof location
►mpleted Residential Re -Roof Scope of Work
)mpleted and Notarized Inspection Affidavit
.l Florida Product Approval and Corresponding Installation Instructions
roduct Approval shall match what is on the scope of work)
,gital Photographs (must include the permit number or address in each picture)
Each plane of the roof, showing the underlayment installed
Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
Roof Deck Nails used (including a measuring device or ruler showing size of nails)
Underlayment Pattern & Spacing (including a measuring device or ruler)
Drip Edge & Valley Attachment (including a measuring device or ruler)
Shingles installed, nail pattern and location of nails
Skylights (if applicable)
Digital photographs showing all installation components, per FL Product Approval
Digital photographs showing all required flashing, per FL Product Approval
o follow these specific guidelines will result in an affidavit provided by a Florida Design
,nal (architect or engineer), certifying FBC code compliance by personal inspection.
,a'lZ'Al' ,--.-)
CITY OF
FIR£ t3�RA.�I'�#Et�T
JOB ADDRESS:
PERMIT #
Building,& Fire Prevention Division
RESIDENTIAL RE-ROOFSCOPE OF WORK
STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNHOUSE
O MOeII.E HOME 0 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):
**PLEASE NOTE: ONLYI00 SQU RE FEET OF THE EXISTING DECKI3 PERMITTED TO BE REPLACED**
ROOF VENTILATION: & OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
O TURBIN$S
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 ® 4:12 OR GREATER
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#
O Ta.E
FL#
O OAR:
FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
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Page 2
Application Number . . . . . 18-00000518 Date 1/23/18
Property Address . . . . . . 319 FAIRFIELD DR
Parcel Number . . 32.19.31.516-0000-0100
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1026822
Permit pin number 1026822
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF _/_/
` CITY OF'
U,S��FORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE- DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: , — ADDRESS: j . c .io k:, ('
> , 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 #: 4-1 :� 0 (J (p
COMPANY/CONTRACTOR: VCR
CONTRACTOR SIGNATURE: �/ /!// �J�i'%� " DATE: Dj - v u yam';//
(MUST BE SIGNED BY LICENSE HOLDER OR OWNLfVBUILDER)
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 G no ! t%
n to n ubscribed before me this _ day of 1,4u.46L20 / rby:
. Who is [YI'ersonally Known to me or has ❑Produced (type of
cati as identification.
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
CAROLE PROODIANMY
F
COMMISSION#FF169830p:oF.,;
EXPIRES October 20, 2018
398-0753
Florida Not" ervice.com