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HomeMy WebLinkAbout115 Andrews RdM VAR 14 �01� CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: i6�- i-5�'j Documented Construction Value: $ (y Job Address: 1IS A-nd retis Pd cSClYtb&d Historic District: Yes ❑ No ❑ Parcel ID: % �i•.2D — �3 • COOO [)(0 l Q Residential ❑ Commercial ❑ Type of `York: New ❑ Addition ❑ Alteratio�>O Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of `York: Plan Review Contact Person: Phone: 55,q 2i0 -CRU3 Fax: Email Property Owner Information WNA Name A y)d(e0 Phone: Lam? -- Street: (i* < PA n 69VJ3 9-01 Resident of property? City, State Zip: JAn:67AC a 3;-T) 3 Contractor Information Name Love( ant hcck� YICA Phone: 6LO — '_I — J�(e_2�L Street: Iwo b Eme�c�i � Fax: Asa City, State Zip: State License No.: Name Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEIIIENT NIAY 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, 20l 5 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 [CC 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 Date Signature of Contractor/Agent ate Print OwnerAgent's Name Signature of Notary -State of FloridaDate Owner/A-ent is Personally Known to Me or Produced ID Type of [D pF`1,°jL-�i2r1N Pri t Contractor/Agent's Name 4Sialrure"ofNot State of Florida Date DUCI UNDSAY .0r11m1eion # FF 172210 I f_ My �onmi„io Expires aY4an C,ctober 28, 2018 C 1r6ri nt'ts Personally Known to Me or Produced ID Type of [D BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbinb❑ 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: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: Jute 30, 1-0t5 Permit Application 7 SCPA Parcel View: 18-20-31-503-0000-0610 Property Record Card Parcel: 18-20-31-503-0000-0610 Property Address: 115 ANDREWS RD SANFORD, FL 32773 Parcel Information Parcel 18-20-31-503-0000-0610 Owner WALCH, ANDREW m_.. Property Address 115 ANDREWS RD SANFORD, FL 32773 Mailing 115 ANDREWS RD SANFORD, FL 32773 � ✓._______ ®vA^ �� Subdivision Name i ROSE HILL Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD (2015) Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings .1_..____.. 1 Depreciated Bldg Value $114,107 $107,686 Depreciated EXFT Value Land Value (Market) $30,000 $30,000 Land Value Ag JusiP..arker ji�alue $137,686 Portability Adj � Save Our Homes Adj $16,681 $12,881 Amendment 1 Adj $0 P&G Adj $0 i $0 Assessed Value $127,426 $124,805 Tax Amount without SOH: $1,833.90 201 ? Tax Bill Amount $1,588.63 Tax ESi.maior Save Our Homes Savings: $245.27 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 61mY� ROSE HILL PB54PGS41 &42 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $127,426 $50,000 1 $77,426 Schools $127,426 $25 000 $102,426 City Sanford $127,426 : $50,000 $77,426 j SJWM(Saint Johns Water Management) $127,426 $50,000 $77,426 County Bonds $127,426 $50,000 $77,426 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 12/1/2014 838-# 1254 $142,000 Yes ;Improved ____ WARRANTY DEED 3/1/2013 0 990 196o $95,000 i Yes Improved SPECIAL WARRANTY DEED 7/1/2010 0 <1- 1781 $105 000 No Improved CERTIFICATE OF TITLE 5/1/2010 07386 0375 $100 No Improved WARRANTY DEED 12/1/2006 06530 0, 81 $220,000 : Yes Improved WARRANTY DEED 1/1/2002 04321 06_9 $124,800 ; Yes improved SPECIAL WARRANTY DEED 9/1/1998 03496 17'9 $1,456 500 : No Vacant Find Comparable Sales Land Method Frontage Depth Units t Units Price Land Value LOT 1 $30,000.00 : $30,000 http://parceldetail.scpafl.org/ParcelDetaiIlnfo.aspx?PID=18203150300000610 1 /2 3/9/2018 SCPA Parcel View: 18-20-31-503-0000-0610 Building Information � V. _ _Y_ s BedrBam 'i+?c rreci? licy t•?ere. M____✓..�___,V ��,_ _ �....� � Year Built # Description Fixtures Bed Bath Base Area . Total SF Living SF Actual/Effective ; Ext Wall Adj Value Repl Value Appendages 1 ; SINGLE 2002 8 4 2.0 1,393 ; 1,911 1,393 CB/STUCCO $114,107 : $120,430 ;Description .. Area FAMILY FINISH _ GARAGE 420.00H FINISHED OPEN PORCH 78.00 s FINISHED OPEN PORCH 2O.00 FINISHED Permits Permit I Description Agency Amount CO Date Permit Date 00050 PAD PER PERMIT 115 ANDREWS RD; PERMIT #02-50 PER PERMIT SANFORD $63,851 1/30/2002 10/1/2001 01966 ALUMINUM & SCREEN ENCLOSURE; PAD PER PERMIT 115 ANDREWS RD m ' SANFORD $2,900 ' 6/1/2001 Extra Features Description Year Built Units Value New Cost No Extra Features e http://parceldetail.scpafl.org/ParcelDetailinfo.aspx?PID=18203150300000610 2/2 e 1410 Emerson Street, Leesburg, FL 34748 • State Roofing License: CM 329936 • License: CGC037504 Phone: 352-314-3625 o Toll Free: 855-314-3625 • Fax: 352-240-3439 e www.covenantrnc.com SALES CONTRACT Covenant Roofing & Construction, Inc. agrees to furnish all materials and labor necessary to do the modernization work at the following address: Name G� _L��> �p� C phone Y�-7 19© AFLP Phone (w) Address Date City ,4 s6t State zip Email _ In accordance with specifications given below: REROOF: A. SHINGLE ROOF 1. REMOVE OLD ROOF TO WORKABLE SURFACE. 2. RENAL ROOF DECK WITH RING SHANK NAILS. b 3. REPLACE ANY ROTTED WOOD WITH STANDA D S EATHING @ $ _� PER FOOT AND $ _9QPER SHEET OF PLYWOOD, IF ANY. (Initial) y/P� 4. INSTALL S' UNDERLAYMENT OVER ENTIRE ROOF. -j 5. INSTALL FHANA EAVES DRIP. COeOR 6. INSTALL NEW VALLEY METAL AND FLASHINGS AS NECESSARY. Q�a W J �4x 7. INSTALL NSW LE BOOIS OVER VENT PIPES AND RESEAL VENTS— ` `�4 �.q s� �cf 8. INSTALL ( IBERGLASS SHINGLES. COLOR / 9. INSTALL FEET OF RIDGE VENT tV$%0VEWOD+T. COLOR me, 4 10. CLEAN-UP JOB SITE OF ALL WORK DEBRIS AND HAUL AWAY ALL RELATED DEBRIS AND LEAVE JOB SITE CLEAN. CONTRACTO\VAL INSTALLATIONVFAOF AS (BUT NqT SAND UCH AIR ONDWIONE RS, ETXAT MO pAND ONTR�R CLE AND HER N AFPROVDD BYD @ $4 WNER FOOTIIN ADD T 0 LI E RACTS RIC SKY GH .DISH C �d EQUIR I COST FOR ( itial) 12. ALL WORK COVERED BY A 5 YEAR WORKMANSHIP WARRANTY. 1. Contract Documents. This contract consists of this document, extra work/wood authorizations, if any, and if payments hereunder are to be financed, all financing documents. No promises other than those specifically set forth in the contract documents shall be recognized by either party. The entire understanding and agreement of the parties is contained in the contract documents. 2. It is understood and agreed that this contract shall not become binding upon Covenant Roofing & Construction, Inc. until it is dul) approved, accepted, signed and witnessed by an officer or officers of the Seller. 1610 3. Work on the job described in the contra t d c ments will commence on approximately Z and be completed on approximately The recited dates are approximations and are subject to scheduling difficulties of Seller, labor and/or ma erial shortages, acts of God and other events not foreseen by Seller. Seller reserves the right to employ any sub -contractor for the completion of the work described in the contract documents. 4. Covenant Roofing & Construction, Inc. reserves the right to substitute materials of equal or greater value and kind. Any required materials such as fire retardant plywood, tongue and groove board, etc. will be billed on a time and material basis. All other changes required by New Jurisdictional Code Enforcement Laws may result in additional charges. 5. Interest at the rate of eighteen (18%) per cent per annum will be charged on all balances not paid as per the terms specified above. Reasonable attorney's fees will be charged to the Purchaser if it is necessary to place this contract in the hands of an attorney for collection, and this charge becomes a part of the contract and obligation of the Purchaser to pay. 6. Parties agree that this agreement shall be construed according to the laws of the State of Florida and any action brought thereon may be brought in the State of Florida. Venue is hereby agreed to be in Lake County Florida. 7. BUYERS RIGHT TO CANCEL (SOLICITED SALES ONLY) If you do not want the goods or services, you may cancel this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must Indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. 8. Both worker's compensation and public liability insurance are carried by the Seller and they are applicable to the work to be performed. 9. It is understood and agreed that the buyer hold harmless, Covenant Roofing & Construction; Inc., for any damages that may occur to the buyer's driveway(s) during delivery of materials and/or removal of the work related debris that may be required to perform this home improvement contract. Furthermore, the buyer herein gives permission for typical delivery vehicles and typical waste removal vehicles to enter said driveway(s) for the purpose of expediting this sales contract. 10. Contractor will coordinate removal and reinstallation of roof related peripherals such as (but not limited to) solar units, skylights, T.V. dishes and air conditioners, etc. The cost for such work will be in addition to contract price and approved by homeowner. 11. Covenant Roofing & Construction, Inc. shall not be held responsible for damage to electrical lines, water lines, refrigerant lines or other mechanical components that have been improperly installed near roof decking and may be damaged while performing installation of roofing materials. Covenant Roofing & Construction, Inc. shall not be responsible for any additional costs due to roof decking that may have old materials adhered in such a way that requires redecking of structure. 12. Construction Industries Recovery Fund payment may be available from the CIRF if you lose money on a project performed under contract, where the loss results from specified violations of Florida law by a state -licensed contractor. For information about the recovery fund and filing a claim, contact the Florida Construction Industry Licensing Board at the following telephone number and address: 7960 Arlington Expressway, Suite 300, Jacksonville, FL 32211-7467 or call (904) 727-6530. 13. Chapter 558, Florida Statutes contains important requirements you must follow before you may bring any legal action for an alleged construction defect in your home. Sixty days before you bring any legal action, you must deliver to the other party to this contract a written notice referring to chapter 558 of any alleged construction defects and to consider making an offer to repair or pay for the alleged construction defects. You are not obligated to accept any offer which may be made. There are strict deadlines under this Florida Law which must be met and followed to protect your interests. Contract Price $ 0 4-�/, 6 k 4W //_� -/,4 4- Homeowner Portion $ —090T. B d (Plus Total from Item No. 3 above UPON COMPLETION Executed in triplicate, one copy of which was delivered to, and receipt is hereby acknowledged by Buyer, this day ofI-AAA+-�, 20_/�. Approved and Accepted: NOTICE TO OWNER a. Do not sign this home improvement contract in blank. b. You are entitled to a copy of the contract at the time you sign. Kee e t our rights. roSeal (Seal) (X) (Seal) (Dealer -Seller) (Purchaser Sign Here) BY _ (X) (T le) AL MAN (Seal) (Purchaser Sign Here) FORD PRESS, INC. 352-787-4650 (mike) GRANT NALOYp SEPIINOLE COUNTY GLERII OF CI'R{:l)IT COURT �s COhfF'TRO(.LEfi BK 9t,1g1 P., c6 (1Fs ) CLERK'S T 21118riZ"S i�lt��5 �v A� RECORDED L16/14/2+i1v 3 After recording, return to: hE{;i)l:.) ; 11 ^ Itli„ :!1 f"111 [ )RG FEEDc 1;1Ci.rilj Covenant Roofing RECORDED 0,Y tsta 1410 Emerson St. Leesburg, FL 34748 Permit No.: Notice of Commencement Tax Folio No.: - 1D State of Florida 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 the Property: (legal description of the property and street address if available) `/ ' / Legal Description: L p� (al P.n S P gill P 9 .5 y 10& 5411 1 7 a Street Address: i t S 5 G, L/ 2. General Description of Improvement r�-C"o(7f 3. Owner's Information or Lessee information if the lessee contracted for the improvement Name: A Address: ) I S rt wr s Kd 5anCar,71 R ' 3-2 Interest in Property: Ot x2nZ l Name & Address of fee simple titleholder (if different than owner): 4. Contractor Information' Name: Covenant Roofinq & Construction, Inc. Phone No.: 352-314-3625 Address: 1410 Emerson St. Leesburg, FL 34748 5. Surety (if applicable, a copy of the payment bond must be attached):. ►� cc JCG Name: Phone No.: `cr- Address: Amount of Bond: $ 6. Lender Information: v a 0 — G Name: Phone No.: CD C Address:, c 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Sectionv 713.13(1)(a)7., Florida Statutes: Name: Phone No.: Address: 8. In addition to himself or herself, Owner designates of to receive a copy of the following Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: Phone No.: 9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 ;ITEIBEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WQRK OR WCORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager 6)U0W,r Signatory's Title/Orrice The foregoing instrument was acknowledged before me this day of be r-20A-1by�A&AMI J ael&bAldas for who Type of authority (i.e. outer, trustee, attorney in fact) /�Name of party on behalf of whom instrument was executed is personally known or produced _ )r-Z9) r L( IW 0 011 77 1TQ D as type of identification. 00, REM AMESG 129505oe 0, 2021 Signature f Notary Public a e of P rida print, ype tamp commissioned name of Notary Public) Notice of Commencement — BF29 (Updated 8.19.16) Astatula, Clermont, Eustis, Fruitland Park, Howey in the Hills, Groveland, Lady Lake, Lake County, Leesburg, Mascotte, Minneola, Montverde, Mount Dora, Tavares, Umatilla m r- E Limited Power of Attorney Date 3 1 t r I hereby name and appoint Robert Horne of Covenant Roofing and Construction, Inc. to be my lawful attorney in fact to act for me and apply to S s4tjt-evzf for a Q (0(2k permit for the address below: l E AMeWS Joseph E. Rayl, Contractor License #CCC1329936 Acknowledged: Sworn to and subscribed before me this �\Aday of A4*2-6 % 120 Vs� By Joseph E. Rayl who is ✓personally known to me or _ produced identification. WFA UWA �• • - •. My Commission expires: P41,'' LAURA WESTMAN Commission # GG 100690 Commission Expires a May 02, 9 n 9 1 as is fie,,CITY OF Building & Fire Prevention Division RESIDENTIAL RE -ROOF 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 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. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: I ?' PERMIT # '� City of Sanford Building Division 4 Residential Re -Roof Scope of Work JOB :ADDRESS: STRUCTURE TYPE: f INC'r G G,+, <<< " o ccA inn CE/TowNFIOUSE O MOBILE FIONIE O APARTMENT/CONDO:MINIUM RE -ROOF TYPE: CeaEPLACENIENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW CONIPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): "PLEASE NOTE: OtVL Y 100 SOU4RE FEET OF THE EXISTING DECK IS PER;VATTED TO BE REPLACED" x ROOF VENTILATION: OFF -RIDGE A RIDGE OSOFFIT OPOWERED VENT SKYLIGHTS: O YES ZNO 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 OTURB[iNES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# y 2 O iV[ETAL FL# OIVIODIF[ED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICIBLE** 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# OTORCH DOWN FL# O INSULATED FL# O TILE FL# 0OTHER: FL# Bch_ City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATM.NG, DRY -IN, FLASHING, :AND ALL FINAL ROOF COVERINGS PERMIT It: ` �(Q ADDRESS: (Sindrews R & ng� �__( '31;MID) I I AS AM GENERAL, BCILDCNG, RESIDENTIAL, OR ROOFING CONTRAC' R, ENGINEER, ARC ITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY" :\FFIRM, 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 N' ACCORD.-\\CE WITH THEIR PRODUCT .APPROV.ALS AND . -ALL APPLIC.-\BLE CODE REQUIREMENTS — SPECIFICALLYFLORIDA 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 NIA.NUAL REQUIREMENTS ( BASED ON F.S. CHAPTER 553.8-44). LICENSE #: COMPANY" r CONTRACTOR: CONTRACTOR SIGNA R_ RE: (MUST BE SIGNED BY LICENSE HOLDE ER;'BU A FINAL ROOF INSPECTION IS REOUIRED: D.A rE: THIS SIGNED AND YOT:kRIZED IDAVIT MUST BE PROb IDED AT THE JOB SITE AT THE TIYIE OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOT GRAPHS OF EACH PLANE OF THE ROOF SNOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTAC:H�IENT) WITH -THE PERMIT NUMBER OR ADDRESS CLEARLY NLARKED 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 REQUIRE),IENTS. "FAILURE TO FOLLO�N ALL REQUIREMENTS WILL RESULT IN _\ 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 ( S,Jll Sworn to, and Su tion) Sid aiuire-of tNotar S to of Florida - A � n Print/tTvpeiSta_ 'p Nu of Notary Pub is bed before me this day of 20 by: . Who isXPersonally Known to me or has = Produced (type or as identification. ublic :"��°"'•• LINOSAV DUCKMAM Commission 0 FF 172210 My Commission Expires 6 ? •.;, ;�,� October 28, 2018 ne