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Home My WebLink About434 S Scott Ave (3)CITY OF SA4FORD �+ BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: LP Documented Construction Value: $ 1 "l L `C •� "1 Y Job Address: 434 S. Scott Ave Sanford, FL 32771 Historic District: Yes ❑ No ❑ Parcel ID: 30-19-31-524-0000-0190 Residential❑X Commeroial❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Re -Roof Existing SFR Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name William and Shannan Negron Phone: 321-439-1791 Street: 434 S. Scott Ave. Resident of property? City, State Zip: Sanford, FL 32771 Contractor Information Name Kieth McWilliams Phone: 407-951-5288 Street: 395 Orange Lane Fax: 407-951-8054 City, State Zip: Casselberry, FL 32707 State License No.: CCC1330819 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: _ E-mail: Bonding Company: Address: 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: 5111 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 ofthis 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 :s required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time ofsubmittal. The actual construction value will be figured based on the current 1CC 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 4alys regulating of truction a d zoning. -/ o l� Si •nature of Ovnier/Agent Date Signature of Contractor/Agent Date Vx/1LLb9M 1 GI;ZoJ IZl2n�/-7 IlVldJ1(lgt/�1 6? Print Owner/Agent's Nt me Print Contactor/AgenP Namc ��W'� Notary Public State of Fladde Stefanny Rivera r.. • My Commission GG 150868 � Expires ID/11/2021 4- . D/ /2//S. of Florida ate jJ"' NNotary Public State of Florida Stefanny Rivera r My Commission GG 150868 or nod Expires 1011112021 Owner/Agent is j3 Personally Known to Me or Contractor/Agentis —' 11'erT3-1il7"hown to Me or Produced ID Type of ID Produced ID _\� Type of ID yrj •"SHe SS A41l'd 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: _ # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: Fire Alarm Permit: Yes ❑ No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Florida State Certified: General Contractor CGC 1523654 Roofing Contractor CCC 1330819 Building Code Inspector BN 5503 Mold Remediator MRSR 838 Mold Assessor MRSA 1372 Home Inspector HI 1802 WORK AUTHORIZATION FORM 395 Orange Lane Casselberry, FL 32707 Ph: 407.951.5288 Fax: 407.951.8054 www.allprof Lcom office@allr)rofl.com Date:Zz 1�'.) 4 Homeowner: Phone: C c Address:'y City: State: -- Zip Code: 7 T'a\ Both All Pro Contracting Services (All Pro) and the above homeowner agree to the following terms: • I, 1111 , H / %."-'- 1 give All Pro permission to meet with my insurance adjuster at the above address to show them the storm damage. • All Pro will submit an estimate to the insurance adjuster, which will include the scope of work with Xac i pricing for the damages that are found from our inspection with your insurance company • The homeowner and All Pro agree that if the insurance company approves the claim, the homeowner will contract All Pro to perform the work listed in the Xactimate estimate for the approved RCV dollar amount of the estimate. • The homeowner agrees to pay t e e ctible and any upgrades or hidden damage that are not paid by the insurance company • Direction of Payment: The homeowner authorizes and directs their insurance company to include All Pro as a payee on the check along with the homeowner. • Buyers Right to Cancel: You have the right to rescind this agreement within 3 business days after the date you sign it by notifying the contractor in writing that you are rescinding this agreement. • If the claim is approved by the insurance company and this agreement is cancelled by the homeowner later than (3) business days from execution, the homeowner agrees to pay All Pro twenty percent (20%) of the approved RCV estimate amount on the insurance claim as liquidated damages not as a penalty, and All Pro agrees to accept, such as reasonable and just compensation for said cancellation. • Both All Pro and homeowner agree that if the insurance company denies the claim, that the homeowner has no obligation to use All Pro to perform the work and this agreement will be canceled with no cost to the homeowner. 1 h b 7 ///-7 Homeowner - Signature Date to --2-1 7 II ro -Signature Date THIS INSTRUMENT PREPARED BY: Name: FAdkR i ggyiq��LLC Address: a L NOTICE OF COMMENCEMENT GRANT MALOY, SEMINOLE COUNTY CLERK OF. CIRCUIT COURT & CONPTROLIER SK 7058 Pa 1953 (1P9s) CLERK'S ' 2016135637 RECORDED 01/17/2013 12:13:27 PM RECORDIN,, FEES $10.ruj RECORDED BY tsefith Permit Number: Parcel ID Number: 30-19-31-524-0000-0190 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 19 & N 27 FT OF LOT 20 2ND SEC FORT MELLON PB 4 PG 48 434 Scott Ave Sanford. FL 32771 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: William and Shannan Negron 434 Scott Ave Sanford, FL 32771 Interest in property: Owner Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: All Pro Contracting Services LLC Phone Number: 407-951-5288 Address: 395 Orange Lane Casseiberry, FL 32707 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 713.13(1)(a)7., Florida Statutes. Phone Number: 8. In addition, Owner designates 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 Owner or Le�0- (Print Name and Provido Signatory's Title/Office) 1Authorlmd Of6cerANrector/Partner/Manager) ,� ^ State of — e VG y vial County of �;emi,ft�L The foregoing Instrument was acknowledged before me this �( day of _ 120 I by ` Y4n Who Is personally known o meg-OR Name of person makl g statement , who has produced Identification ❑ type of identification produced: M^15 t)Y i ,Jsr N, I.t.ZPubli, State of Florida n\ . r t , +4 4 Stefanny.Rivera� t +�c My commission GG 150868 q ary Signetu Expires 10/11/2021 qF Rate . j 1% CITY OII y( " SkNFORDV ��01 ilding & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. / 4? • 6_0 ct ISSUE DATE: /•; S' -le CONTRACTOR: U.041t JOB ADDRESS: TYPE OF WORK: t* 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 • 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 next business day. If you experience difficulty, 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 CIiY or Building & Fire Prevention Division NFOFM RESIDENTIAL RE -ROOF POLICY & PROCEDURES f'Ra. DFs)AII'ta= EN1 PERMITTING REQUIREMENTS —NO PLAN REVIEW REQUIRED THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RL-'-ROOF SCOPE OF WCRK ARE REQUIRED TO BE SUBMIT -FED AS PART OF YOUR PERMIT APPLICATION. THE, SCOPE OF WORK MIDST INCLUDE ALL APPLICABL,F, FLORIDA PRODUC.'F APPROVAL NUMBERS FOR ALI, ROOF COMPONENTS TIIAT WILL BE INSTALLED ON'FHE PROJECT. A PERMITWILI. NOT BE ISSUED W FFI IOUF' THESE DOCUMENTS. COI'IIiS W[I.I, BF.; MADE'FO POS'I' ON'1'111: 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, TGWNHOLSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RI -ROOF PERMITS. THE FOLLOWING IS REQUIRED TO BE PROVIDE O'N THE JOB SITE: • PERMIT CARD, POSTED IN A CONSPICUOUS AND WFATI IFRPROOF LOCATION • COMPLETED RESIDEN'FIAL RE -ROOF SCOPE OF WORK • COMPLE"FED AND NOTARIZED INSPECTION AFFIDAVIT • ALL FLORIDA PRODUCT' APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS (PRODUCT APPROVAL. SHALL MATCH WIIAT IS ON THE. SCOPE OF WORK) • DIGITAL PHOTOGRAPHS (MIDST INCLUDE THE PERMITNUMBER OR ADDRESS IN EACH PICTURE) O EACH PLANE OF T'1-IEi ROOF, SHOWING THE IJNDERLAYMENT INSTALLED o ROOF DECKNAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZF, OF NAILS o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RIJLGR) o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER) o SHINGLES INSI'ALLF,D, NAIL PATTERN AND LOCATION OF NAILS • SKYLIGI ITS (IF APPLICABLE,) o DIGITAL PHO"TOGRAPHS SHOWING AI.L INSTALLATION COMPONENTS, PER FL PRODUCT'APPROVAL o DIGITAL PHO'1'OGRAPE-IS SHOWING ALL. REQUIRED PI..ASI-ZING, PER FL PRODUCT APPROVAL FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECTOR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: _ DATE':I GVIbl $SXNFORD Y OF Flit DFFARThIMT PERMIT Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMFNT/CON )OMINIUM RE ROOF TYPE: *RF.PI.ACI-'MEN'I' (TI-.AR OFF EXISTING ROOF AND REPLACE: WITH NEW COMPONF.N'1'S) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): N /LL`{ A--�-�� **PLEASE NOTE. ONLY 100 SQUARE H6'ET�OFFTf�/E EXISTING DECK IS PFRM TTF.D TO RE REPLACED** ROOF VENTILATION: (&OFF -RIDGE RIDGE OSOFFIT OPOWERCD V1,NT OTURBINCS SKYLIGITTS: O YES 0 NO IF YES, PLEASE PROVIDE, FLORIDA PRODUCT APPROVAL, #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 0 2:12 -4:12 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL to SHINGLE `r 1�� FL# S O METAL FL# 0MODIFIED BITUMEN FL# O TORCI I DOWN FL# O INSULATED FL# QTILE F L# OOTHFR: FL# ROOF EXTENSIONS (POR(HES. PATIOS, ETC.) **IFAPPL/CABLE** 01A ROOF SLOPE: O LESS 1'IIAN 2:12 0 2:12 -4:12 4:12 0R GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0 SHINGLE FL# 0 M CTA I. FI.,# O MODIFIED BITUMEN FL# OTORCI-I DOWN FL# O INSUI_A-rFD FL# QTILE FL# 00'rHE,R: F'L# 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 ---------------------------------------------------------------------------- Application Number . . . . . 18-00000504 Date 1/25/18 Application pin number . . . 609216 Property Address . . . . . . 434 SCOTT AVE Parcel Number . . . . . . . . 30.19.31.524-0000-0190 Application type description ROOFING APPLICATION Subdivision Name . . . . . . FORT MELLON 2ND ADDITION Property Zoning . . . . . . . SINGLE FAMILY Application valuation . . . . 19355 ---------------------------------------------------------------------------- Application desc NOC ON FILE ---------------------------------------------------------------------------- Owner Contractor NEGRON, WILLIAM OWNER NEGRON, SHANNAN 434 SCOTT AVE SANFORD FL 32771 --------------------- Structure Information 000 000 ---------------------- Roof Type . . . . . . . . . ASPHALT SHINGLE ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1026491 Permit pin number 1026491 Permit Fee . . . . 180.00 Issue Date . . . . 1/25/18 Valuation . . . . 19355 Expiration Date . . 7/24/18 Qty Unit Charge Per Extension BASE FEE 40.00 20.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10 140.00 ---------------------------------------------------------------------------- Special Notes and Comments All projects within the City shall use WastePro for debris removal. Please contact WastePro at 407.774.0800. Normal hours for inspections are from 7:30 through 4:30 Monday through Thursday. Please be aware you must contact the Building Official to schedule a Friday or after hours inspection. This is required since not every inspector is licensed to do every type inspection. Communication is the key, so please contact the Building Official if you have any questions at 407.688.5058 or at dave.aldrich@sanfordfl.gov ---------------------------------------------------------------------------- Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING 25.00 01-BLDG PLAN REVIEW 60.00 01-BLDG DCA SURCHARGE 2.65 01-BLDG DBPR SURCHARGE 2.98 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 180.00 .00 .00 180.00 Other Fee Total 90.63 .00 .00 90.63 Grand Total 270.63 .00 .00 270.63 Oper: ANTONINIL Type: OC Drawer: 1 Date: 1/25/18 01 Receipt no: 61649 2018 504 434 SCOTT AVE SANFORD, FL 32771 BP BUILDING PERMIT RECEIPTS CC CREDIT CARD f270.63 _ Total tendered $270.63 FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE Total payment PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. Trans date: 1/25/18 Time: 11:36:00 NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED. NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED. 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 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 18-00000504 Date 1/25/18 Property Address . . . . . . 434 SCOTT AVE Parcel Number . . . . . . . . 30.19.31.524-0000-0190 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . FORT MELLON 2ND ADDITION Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1026491 Permit pin number 1026491 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF / / CITY OF S.k�40RD Building & Fire Prevention Division RESIDENTIAL RE-ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT: 10— CjQ+ ADDRESS:4N ,106c\ 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 #: O—C C `�i.) o a l G COMPANY/CONTRACTOR: LL CONTRACTOR SIGNATURE: MYL DATE: (MUST BE SIGNED BY LICENS OLDER 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 �C I Ili & Sworn to and Subscribed before me this day of :11y, 20 i� by: Who is�6ersonally Known to me or has ❑ Produced (type of entification) �' �-Q,� �\ as identification. nat of try Public State of Flori qAURN Print/Type/Stamo Name of Notary Public E Pub1iC State of Floridany Riverammission GG 1508WWs IoilIt2021