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Home My WebLink About909 S Sanford AveFIVE JAN 1 1 xo�s BY: Job Address: 909 S Sanford, FL 32771 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ?j J Documented Construction Value: $ ' � 1 A , W 00. 00 Historic District: Yes ❑ No El Parcel ID• 25-19-30-5AG-110A-0070 Residential ❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ® Demo ❑ Change of Use ❑ Move ❑ Description of Work: RE -Roof due to Hurricane & Drywall Repair from water leaks Plan Review Contact Person: J.M. Hillery Sr. Phone: 407-330-7104 Title: VP Fax: 407-328-8055 Email: jmhillery@rlhmanagement.com Name Barbara Kelly 909 S. Sanford Ave. Street: City, State Zip. Sanford, FL 32771 Name RLH Construction Street: P.O. Box 625 City, State Zip: Name: Street: City, St, Zip: _ Sanford, FL 32772 Bonding Company: Address: Property Owner Information Phone: 407-255-4173 Resident of property? : Yes Contractor Information Phone: 407-402-2269 407-328-8055 Fax: State License No.: CBC12511684/ CCC1328743 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: 5ch 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 Signay re of Contractor/Agent 15ate ((� II% Sr Print Contractor/Agent's Name Signature DEBBIE BLAr;TON �• ' E. ,- MY COMMISS!Oly #t i`F 17?or1R , EXPIRES: February 25, 2019 Bonded Thru Notary Public Underwriters Contractor/Agent is Personally Known to Me or Produced ID Type of ID 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 Heads UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application SCPA Paicel View: 25-19-30-5AG- I I OA-0070 http://parceldetaii.scpafl.org/ParceiDetaillnfo.aspx?PID=2519305A... Property Record Card DMd Join=, CFA Parcel: 25-19-30-5AG-110A-0070 P ; Owner: KELLY LESTER & BARBARA J Property Address: 909 SANFORD AVE SANFORD, FL 32732 Parcel Information - ---- -- --- Parcel 1 25-19-30-5AG-11OA-0070 Owner KELLY LESTER & BARBARA J r Property Address 909 SANFORD AVE SANFORD, FL 32732 Mailing 909 S SANFORD AVE SANFORD, FL 32771-2677 Subdivision Name SANFORD TOWN OF Tax District Sl-SANFORD DORUse Code 0112-RESD STRUCTURE W/COMM LAND j Exemptions 00-HOMESTEAD(1995) Seminole County Value Summary 2018 Working 2017 Certified Values values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $77,206 $72,713 it Depreciated EXFT Value Land Value (Market) $25,280 $25,280 Land Value Ag Just/Market Value $102,486 $97,993 Portability Adj Save Our Homes Adj $7,117 $4,586 Amendment 1 Adj $0 P&G Adj $0 $0 Assessed Value $95,369 $93,407 Tax Amount without SOH: $1,078.08 2017 Tax Bill Amount $990.76 Tax Estimator Save Our Homes Savings: $87.32 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOTS7&8BLK11TRA&E11FT OF VACID ST ADJ ON W (LESS N 35 FT OF LOT 7 & E 11 FT OF VACD.ST ADJ ON W) TOWN OF SANFORD PB 1 PG 56 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $95,369 $50,000 $45,369 1 Schools $95,369 $25,000 $70,369 $45,369 City Sanford $95,369 $50,000 SJWM(Saint Johns Water Management) $95,369 $50,000 $45,369 County Bonds $95,369 $50,000, $45,369 Sales Date Book Page -T- Amount L Qualified 1 Vac/Imp [Description ARRANTY DEED WARRANTY 10/14/1994 02837 0374 $78,000 Yes Improved SPECIAL WARRANTY DEED 3/11/1994 02752 0571 $30,000 No Improved : CERTIFICATE OF TITLE 4/1/1987 01842 0588 $52,000 No Improved Find Comparable SA109 Land �tUl d Frontage Depth Units Units Price ---F--------- - L andvalue SQ UARE FEET SQ 10112 $2.50 $25,280 Building Information Is Bed/Bath count incorrect? Click Here. Value Appendages - F-- Year Built TILiving SF I Ext Wall Adj Value RepI Val Bat[ Base Area Total SF [;-i— Description i Fixtures Bed I of 2 1/8/2018, 11:23 AM Billing Department P.O. Box 625 BUILDING -ROOFING CONTRACT Sanford, FL 32772-0625 11 MyGCQRLHManagement.com CONSTRUCTION COMPANY CBC1251684/CGC1512297/ CCC1328743 Page 1 of 3 Phone 407-330-7104 Reliable Luxury Habitations Fax 407-328-8055 Work Write UpLJOR SCOPE AND PRICING Date: January 11, 2018 Client: Barbara Kelly Job Number: Report No: N/A Address: 909 S. Sanford Ave. 180111-01 City/State/Zip: Sanford, FL32771 Job Property Address: Fax Phone: N/A Work Phone: 407-255-4173 909 S, Sanford Ave, Sanford, FL 32771 Parcel: Cell Ph. N/A Email: N/A Claim or Policy No. N/A Insurance amount: N/A After review of the above referenced' property, including specifications, supplied by the owner; RLH Construction Company shall furnish all labor and materials for a lump sum shown here for stated work listed in the job scope below: Job Description of Proposed Work Removal of the old roof systems, repair and scrape drywall, texture and paint ceilings damaged by water leaks. (Kitchen, Living/ Dining, foyer, Master bedroom, bedroom 2) Inspection of the roof deck. The prices includes 2 sheets or the wood necessary to replace any damage roof deck. Any additional will be at $2.75 per square foot and invoice at the final invoice. Any additional needs to be approved by the customer and will be charge at final invoice; excludes any aluminum fascia cover and/or soffit. Any additional work; fascia repair; will be charge at a rate of $3.75 per linear feet plus a 2 story up charge of $2.75 per foot; not included in the price. Removal and installation of new gutters, downspouts, and elbows; ( Not) included in the price. Only on existing areas. Re -nailing of the roof deck. Installation of the synthetic underlayment, at seam 6" oc and 2 rows at 10" oc. (FLORIDABUILDING CODE STATES THAT IF THE PITCH IS 4/12 OR LESS, IT REQUIRES DOUBLE UNDERLAYMENT.) Installation of the drip edge at 4" oc and a minimum of 4" overlap and attach with a 1 %" roofing nails. Installation of the valley flashing, as per manufacturer specification. Installation of all the roof accessories, off ridge vent, lead flashing, etc... Installation of the starter course; attach with roofing cement and 1 '/4" roofing nail. Installation of the new shingle and attach with 6 roofing nails at 1 1/4" at 6" o.c. apart. As per Florida Building Code and manufacturer specs. Installation of the continuous ridge vent and the end caps, attach with screws. Ridge caps and accessories with a 1 %" roofing nails at 4" oc and seal with roofing cement. As per Florida Building Code. Ordinance or Law Coverage Coverage for Loss to the Undamaged Portion of the Building Pays for the loss of value of an undamaged portion of the existing building, which must be demolished and/or removed to conform to municipal ordinance, code, etc. Page 2of3 Demolition Cost Pays for the cost of demolition of the undamaged portions of the building necessitated by the enforcement of building, zoning or land use ordinance or law. Increased Cost of Construction Pays for any increased expenses incurred to replace the building with one conforming to building laws or ordinances, or to repair the damaged building so that it meets the specifications of current building laws or ordinances. Offer: The amount your insurance adjuster proposes to pay you for your loss. Note: The purpose amount only includes the labor and the material, permit fees, and dump fees. It excludes wood blocking, roof sheathing, cricket framing, and structural options, soffit and fascia, supplying and installation of the gutters and downspouts ,landscape damage if the landscaping is preventing access to roof. All exterior stucco, siding, and/or etc. Removal, replacement, and supplying of Solar Tubes, Skylights, and/or etc. Removal and replacement of any low slope areas. Supplying, installing, removal, replacing, and realigning of roof satellites dishes, solar panels, A/C units, exhaust fans, and/or etc. Cracking of interior drywall walls due to roof replacement. CLARIFICATIONS AND ADDENDUM TO CONTRACT 1. Client agrees and will not hold liable for any damage caused by delivery of materials or placing and pick up of dumpster, which are provided by other companies that are not affiliated with RLH Construction. 2. Client agrees to allow the contractor; the use of water and electricity on the property as needed. 3. Client agrees to allow the contractor; the use of water and electricity on the property as needed. 4. Client has thoroughly read and understands that the contract price is strictly for the listed items in the contract. 5. Contractor will not remove any drip edge that gutters are fasten too. 6. Client agrees this contract price is calculated by the scope of work estimated/mentioned to complete the work. There is always the possibility of an error. If additional work that is not visible comes up it will be an additional costs above and beyond contracted price. 7. Client agrees to pay any and all cost incurred by RLH Construction. in pursuit of monies owed including, but not limited to clerical, legal fees, arbitration, and court costs. 8. Client will be responsible for any price increase on the materials; the job needs to be completed. (The price is set for the entire project, only.) 9. Client and contractor agree all claims or disputes between the contractor and the client arising out of anything relating to the contract documents, or the breach thereof, shall be decided by arbitration in accordance with the construction industry arbitration rules of the American arbitration association; currently in affect unless the parties mutually agree otherwise. 10. All material guaranteed to be specified all work will be completed in a substantial workmanlike manner according to specifications submitted per standard industry practices. Any alteration or deviation from above specifications involving extra costs required to complete job are agreed by client, so contractor can complete job without delays or written change orders, and will become an extra charge over and above the original estimate. All agreements contingent upon adverse weather, strikes, accidents, or delays beyond and RLH Construction. control. RLH Construction., and it's suppliers have no means by which we may determine driveway conditions and cannot guarantee that cracking will not occur, therefore, we will not accept liability for possible damage. GUARANTEE: RLH Construction, guarantees against leaks due to faulty workmanship for a period of 5 full years from date of completion. RLH Construction, also certifies that they are fully insured and license and will acquire the appropriate permits. Note: The purpose amount includes the labor and the material, permit fees, and dump fees. RIULL r CONSTRUCTION COMPANY Reliable Luxury Habitations Billing Department P.O. Box 625 BUILDING -ROOFING CONTRACT Sanford, FL 32772-0625 MyGQd,)RLHMana2ement.com CBCI251684/CGC1512297/ CCC1328743 Page 3 of 3 Phone 407-330-7104 Fax 407-328-8055 All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications including extra costs will be executed only upon written orders, and will become an extra charge over and above the proposal. All agreements contingent upon strikes, accidents, or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. In the event of default on the part of the customer resulting in litigation successful to RLH Construction, the customer will pay the cost of litigation plus attorney's fees. Payments not rendered in accordance with contract agreement shall be subject to finance charge of 18%. Terms for payment as follows: Job Cost: $21,305.37 (Quote is based on visible findings.) With payment to be made as follows: 50% Upon Start 50% upon Completion and Final Inspection. RLH Construction Company proposes to furnish the material and labor for a lump sum of $21,305.37* for stated work listed in this job scope. A manufacturer's warranty shall be furnished if called for above. Thank you for the opportunity to quote this project. By signing below you are agreeing to pay the Total Cost of Job according to the terms of this contract for the Work desired as identified in the Job Scope. CONTRACTOR: Prepared and Presented by: OWN ER(S): Reviewed and Accepted by: Joseph Hillery, Sr., VPIGeneral Contractor Owner or Agent Date: January,112018 Date: ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FL 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. THIS INSTRUMENT PREPARED BY: Name: J.M. Hillery Sr. Address: P.O. Box 625 Sanford,FL 32771 State of Florida County of Seminole Permit Number: `i) f•iiii...3i ffir, IN01-1. Cf1UN' i Y _ .C_ ()i.il: i i' ' Lei. ...;:• 1.�:'.i.�.� CLERKv'201till0417c }r'!'a1i'{a'i_:L? ial:?'iC; I-%:Eti�:>:i.ii R D Parcel ID Number: 25-19-30-5AG-110A-0070 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 PROPERTY: (Legal description of the property and street address if available) k SFR 909 S. Sanford Ave. Sanford, FL 32771 GENERAL DESCRIPTION OF IMPROVEMENT: ` ReRoof due to Huricane and also drywall repair from water leaks OWNER INFORMATION: Name: BARBARA J Kt Address: 909 S. Sanford Ave. Sanford, FL 32771 Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTOR: Name: RLH Construction J.M. Hillery Sr. Address: P.O. Box 625 Sanford, FL 32772 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: In addition to himself, Owner Designates To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. 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 tot best of my knowl dg a d belief. %. All Owners Signa a Owners Printed Name Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to gn in his or her stead State of F 1 UV A (' County of t V—A r- The foregoing instrument was acknowledged before me this 1� day of Jg nu cyr --/ , 20 t d by VI Who is personally known to me Name of person making atement OR who has produced identification ❑ type of identification produced: 4 1C ' MY COMMISSION569 h ` EXPIRFS: plot, •rwewer 16, 2018 , yPu6Ncunder*nt r, to `re O�� If CITY OF Sk�4FORD Building & Fire Prevention Division RESIDENTIAL RE -ROOF 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: • 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. CITY OF DEPARTMENTS��FORD FIRE JOB ADDRESS: 909 S. Sanford Ave, Sanford, FL 32771 PERMIT # Building & Fire Prevention Division RESIDENTIAL. RE -ROOF SCOPE OF WORK STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): Plywood / Planks ' *PLEASE NOTE. ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: (Z) OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: ----------------------------------------------------------------------------------------------------------------------------- MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (F) 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL I& SHINGLE Tamko FL# 18355.1 O METAL FL# O MODIFIED BITUMEN FL# ®TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE" ROOF SLOPE: ® 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# ®TORCH DOWN BITEC FL# 16270.1 O INSULATED FL# O TILE FL# 0 OTHER: FL# CITY OF Building & Fire Prevention Division Ski4FRESIDENTIAL RE -ROOF AFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: { 1 ADDRESS: 909 S. Sanford Ave, Sanford, FL 32771 AS A(N) GENERAL, BUILDING RESIDENTIAL, OR ROOFING MkRACTOii, ENG ER, 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 FC.�S. CHAPTER 553.844). LICENSE #: C `�� ?, 0 -1 "�1j s 1 COMPANY / CONTRACTOR: 1 " L. ► 1},/7/C' CONTRACTOR SIGNATURE: 41; J DATE: W3/1 (MUST BE SIGNED BY LICENSE HOLVtR OR O"AR/VIILDER) 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 tern t no I<. Sworn to and Subscribed before me this day of A 20 by: Who iswersonally Known to me or has ❑ Produced (type of identificationY'1 as identification. Signature of�_N f PNlic State of Florida att• £CEUA My COMMISSION �a Print/Type/Stamp Name •., , : EXPIRES; N �568 of Notary Public ' '' BondedTIWU RW 142018 miters