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Home My WebLink About343 Cabana View Wayrillce- EB 1 20�6 CITY OF SANFORD BUILDING & FIRE PREVENTION '.: BY: ____ PERMIT APPLICATION F Application No: Documented Construction Value: $ Cn�,q,%9 Job Addre Parcel ID: ss:CatamV 11 Historic District: Yes ❑ No 1-Residential K Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration K Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Plan Review Contact Person: Title: Phone: � �Fax: (�21��- �� Email: j�J�j Property Owner Information / Name I�1 �. "� X )�5�� Phone: Street: �Resident of property? City, State Zip: �,n{Q'( , �(� ELM Contractor Information Name Phone: Street: Fax: ( _12yT q q 1- 2 3 G City, State Zip: hitt/EState License No.: �,._�, �.�� ^ A Arcecngineer Information Name:I ) A Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: >� Mortgage Lender: Q, 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 caiirdkoners, 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. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID A Signature o Contract Agent Print Contractor/Agent's imp &gnaiure of Notary-S01e of Florida Date ;:01V TRISSA S KELLY MY COMMISSION # GG135698 ` a•F': EXPIRES August 17, 2021 Cont rersonalty KnoTvn to Me or Produced 1D Type of 1D 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: COMMENTS: ENGINEERING: UTILITIES: FIRE: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 L . Permit Application COLLIS ROOFING, INC. P.O. Box 520668 Longwood, FL 32752-0668 CCC�� NSUR' Ph. (321) 441-2300 ` Fax (321) 441-2313 A Lic. # CCC058022 Date: 2/3/2018 Phone: 407-416-5377 Attention: Melissa Bolden I Email: I melissabolden cfl.rr.com Job Address: 343 Cabana View Way,Sanford FL 32771 Collis Roofing, Inc. proposes to supply the labor and materials necessary to apply your roofing as follows: A) Remove old shingles and underlayment and dispose of properly. If existing ice and water barrier is encountered during removal an additional layer of synthetic underlayment will be applied over existing without removal to bare deck. B) Inspect existing decking for water damage and re -nail according to code with 8d ring shank nails. C) We will remove and replace rotten or deteriorated wood as indicated on page 2 of this contract. (Note: Wood replacement is not included in the total below). D) Collis Roofing, Inc. will provide all applicable permits. 1. Supply and install code approved Rhino Premium Synthetic underlayment to deck using simplex nails. 2. Supply and install code approved 2 %" galvanized painted eave dri and secure to the roof deck with nails around all eaves and rakes (Pl�e_a�se�sp�e�cr�,�:edg�rtrBI ack�' 3. Secure the eave metal with mastic and then apply TAMKO StarfK shingles at all eaves with the seal strip at the edge of the roof. 4. Supply and install all synthetic flashings for plumbing penetrations. (Please specify color Black ! �i 5. Supply and install color matched kitchen and bath exhaust vents. (Pli.15 specify color r" Black 6. Supply and install TAMKO Hip and Ridge shingles as required by manufacturers warranty. 7. Supply and install code approved shingle over ridge vents as required. 8. Supply and install code approved Midstates seif-adhered underlayment and preformed 26ga galvanized metai along all valleys per manufacturer specifications. 9. Supply and install code approved Midstates self -adhered underlayment to all roof penetrations. 10 Supply and install TAMKO Heritage shingles per manufacturer's specifications and all applicable building codes (Pieasespeerfy")'shmgle;col'or 11. Collis Roofing Inc, will supply a full coverage warranty upon completion. A manufacturer's warranty shall be fiunished if called for above. The above work shall be performed in a substantial workmanlike manner for the sum of. (re Tamko Heritage 130NWH - $11,629.72 x� tti P 3rr.d e5 o i 461 Cancellati,Qn of roof replacement contracts will be subject to a $500.00 fee for administrative expenses. Initial A6 Deductible amount for AS! rlai-## 496883 - $500_00 Unless additional work or upgrades are requested, the Contractor agrees project will be completed WITH NO COST TO THE CUSTOMER, EXCEPT THE INSURANCE DEDUCTIBLE. With payment to be made as follows: loInsurance check and deductible by commencement: Balance upon completion. Respectfriul y su miffed: Eddie Coad Date: r!'�7 IApprovedlly: ► u r/ `/' G�✓�`�y 4 v" `' Collis Roofing, Inc. 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. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY 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 A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER" FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. Page 1 of 4 Initial M LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date:ap-�20E I hereby name and appoint: Ray Henderson anagent of: Collis Roofing, !nc. (Name of Company) to be imy lawful attorney -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): t The s ion for (Street Address) at: Expiration Date for This Limited Power of Attorney: Z, 0 n License Holder Name: J. Douglas Lanier State License Number: CCC058022 Signature of License Holder: DQl^ �(� STATE OF FLORIDA COUNTY OF Sern!^o!e The foregoing instrument was acknowledged before me this 200'X , by J. Douglas Lanier to me or ❑ who has produced identification and who did (did not) take an oath. (Notary Seal) TRISSA S KELLY MY COMMISSION # GG135698 EXPIRES August 17, 2021 (Rev. 08.12) , 000, j PVjvg!) mll��' signature Print or type name Notary Public - State of _ Commission No. My Commission Expires: day of, who is IN personally own .-1 THIS INSTRUMENT PREPARED BY: Name: Stephanie Williams Address: Collis Roofing, Inc. P.O. Box 520668. Longwood, FL. 32752 "E'l°r.'HO_I... C(UhjI ,r G+'a'1FT :D'i'if`i;sai_i-E'r NOTICE OF COMMENCEMENT (:uric s State of Florida County of Seminole Permit Number. a Parcel ID Number. 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. PROPERTY: (Legal description of the property and street address if available) GENERAL DESCRIPTION OF IMPROVEMENT: Roof Replacement Fee Simple Title Holder (if other than owner) Name: n/a CONTRACTOR: Name: Collis Roofing, Inc. Address: P.O. Box 520668, Longwood, FL. 32752 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: n/a In addition to himself, Owner Designates Section 713.13(1)(b), Florida Statutes. of To receive a copy of the Lienor's Notice as Provided in 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 penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to a best of my know dge nd belief. ` t � APAI, &Vzn Owner's Signature Owner's Printed Name Florida 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 'alit_ County of The foregoing instrument was acknowledged before me this 1:� day of 20 b I " 1: 117��1J� tom" Who is personally known to me ❑ (Yi:ZA31 Name of person making stet ent OR who has produced identification, type of id, :0:�a.�a4 ; TRISSA S KELLY� MY COMMISSION # GG135698 '•'+iof�?A' EXPIRES August 17, 2021 2/12/2018 SCPA Parcel View: 29-19-31-501-0000-2670 Davld JoMson, CFA f(P o0unrrr. � �a Legal Description LOT 267 CELERY KEY PB 64 PGS 85 - 96 Taxes Property Record Card Parcel: 29-19-31-501-0000-2670 Property Address: 343 CABANA VIEW LN SANFORD, FL 32771 Value Summary 2018 Working Values 2017 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $118,156 $111,352 Depreciated EXFT Value Land Value (Market) $31,500 $31,500 Land Value Ag Just/Market Value ** $149,656 $142,852 Portability Adj Save Our Homes Adj Amendment 1 Adj $57,953 $0 $53,035 P&G Adj $0 $0 Assessed Value $91,703 $89,817 Tax Amount without SOH: $1,932.26 2017 Tax Bill Amount $922.40 Tax Estimator Save Our Homes Savings: $1,009.86 * Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $91,703 $50,000 $41,703 Schools $91,703 $25,000 $66,703 City Sanford $91,703 $50,000 $41,703 SJWM(Saint Johns Water Management) $91,703 $50,000 $41,703 County Bonds $91,703 $50,000 $41,703 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED ! 2/1/2006 06176 ( 0841 $258,000 I Yes I Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT I ( 1 I $31,500.00 ( $31,500 Building Information is tsea/tsatn count incorrecv t ICK Here. # Description Year Built Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages 1 SINGLE FAMILY 2006 7 3 2_0 I 1,751 2,307 1,751 j CB/STUCCO FINISH $118,156 $123,401 Description Area GARAGE 439.00 http://parceldetaii.scpafl.org/Parcel Detail I nfo.aspx?PID=29193150100002670 1 /2 2/12/2018 SCPA Parcel View: 29-19-31-501-0000-2670 i FINISHED OPEN PORCH 90.00 FINISHED OPEN PORCH 27.00 FINISHED Permits Permit # Description Agency Amount CO Date Permit Date 00204 NEW - RESIDENTIAL SANFORD I $138,180 12/20/2006 ( 9/7/2005 Extra Features Description Year Built Units Value New Cost No Extra Features http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=29193150100002670 2/2 }� 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 1S 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 ANC I OTARIZED 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 PERMMIT N MBER OR ADDRESS IN EACH. PICTiIPW) o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A•MEASURING DEVICE OR RULER) a 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 (1F 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. 1 CONTRACTOR (OR OWNER/BWLDER) SIGNATURE: 0a, D, DATE: V1S i• PERMIT # ' - City of Sanford Building Division Residential Re -Roof Scope of Work JoB ADDRESS: 3, 1� ca)MMW--w STRUCTURE TYPE: OSINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOEILE HOME 0 APARTMENT/CONDOMINIUM RE-Ro of TYPE:. OREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) 0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): , �*PLEA SENom ONLY100SQUAREFEET O THE EkJ817NGDECKISPERMITTEDTOBEREPLACED�X ROOF VENTILATION: 0 OFF -RIDGE (:6R]DGE QSOFFIT OPOWERED VENT SKYLIGHTS: O YES O No IF YES, PLEASE MOV IDE FLORIDA PRODUC'i' APPROVAL iF: OTURBINES ------- , -- --------------------------------- --- MAIN ROOF AREA --------------------------------------------------------- ROOF SLOPE: 0 LESS THAN 2:12 0 2:12-4:12 04:12 OR GRE :TER TYPE OFROOF MANUFACTURER FLORIDA PRODUCT APPROVAL HMGLE FL# 0 METAL FL# 0 MODIFIED BITUMEN FL# 0 TORCH DOWN FL# 01NSULATED FL# 0 T1LE �L 0 OTHER: FL# ROOF EXTENSIONS (PORCHES PATIOS, ETC.) "IFAPPLICABLE" RbOF SLOPE: 0 LESS THAN 2:12 0 2:12 -4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0 SHINGLE FL# 0 METAL FL# 0 MODIFIED BITUMEN FL# OTORCH (DOWN FL# QINSULATED FL# TILE FL# 0 OTHER: FL# D. City of Sanford. Building and Fire Prevention PERMIT #: RESIDENTIAL RE-ROOOF INSPECTION AFFD?AviT NAILING, SHEATHING, DRY -INS FLASIIING, AND ALL FINAL ROOF COVERINGS 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 1S 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 A. COMPA11Y / CO::TAACTOR: CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: DATE: THIS SIGNED AND NOTARIZED AFFIDAVIT MTJST BE PROVIDED AT THE JOB SITE AT T:lE TIME OF THE FINAL ROOT 1NSPECTIO;i, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOT 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 RTC -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 by: Who is 0 Personally Known to me or has 0 Produced (type of Identification) as identification. Signature of Notary Public State of Florida Print/Type/Stamp Name of.Notary Public 1 �ff City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS ADDRESS:Fu (U�TL Uieu) C AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR _ROOFING CONTRACTOR ENGINEER RCMTECT, 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 LISPED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCTAPPROVAdAAND ALL APPLICABLE CODE REQUIREMENTS -SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SEVONDARY 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 / CONT,".ACTOR: CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICENSE HOLDER A FINALROOF INSPECTION 19 REOUIRED DATE: THIS SIGNED AND NOTARIZED AFFIDAVIT MrisT BE PROVIDED AT THE 1913 SITE AT THE TIME OF THE FINALROJn INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE R0011 SHOWING 1N DETAILALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADIMESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THEPHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALLNAILSPACING 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 m1�% Sworn to and Subscribed before me this . day of 20_ by: . Who is*ersonaity Known to me or has 0 Produced (type of I en ifica#ion) as identification. Signature of l�l0 a gr Public State of Florida PrintlType/Stamp Name of Notary Public :*?`�" TRISSA S ItEII.Y MY COMMISSION y�pAC �. @ii , j •• ;°. k GG135698 EXPIR2 S August 17,202,1