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Home My WebLink About115 Rabun Ct (2)CITY OFECEIV Building & Fire Prevention Division MAC 19 2018 PERMIT APPLICATION FIRE DEPARTMENT gY; Application No: Documented Construction Value: $ 8900 Job Address: 115 Rabun Ct. Historic District: Yes❑No❑ Parcel ID: 07-20-31-507-0000-0310 Residential Commercial❑ Type of Work: New❑ Addition❑ Alteration ❑ Repair Demo ❑ Change of Use❑ Move ❑ Description of Work: Re -roof — S��S " Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name Lucinda Brown Phone: Street: 115 Rabun Ct. Resident of property? : Yes City, State Zip: Sanford FI 32773 Contractor Information Name Crewpro,lnc. Phone:407-692-0765 Street: 6439 John Alden Way Fax: 407-442-0756 City, State Zip: Orlando FI 32818 State License No.: CCC-1327169 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: 6" Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application I I 1 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. re o Owner/Agent Date STATE OF FLORIDA C4txn#.00y02=5 E)VreS 8!M20 3I V (?. Signature of Contractor/Agent Date Name MELODY D. LEE Notary Public - State of Florida Commission # FF 902089 My Comm. Expires,lul 21, 2019 Owner/Agent is rsonally Known to Me or I Known to Me or Produced ID Type of ID FC. �CI-82. Produced ID Type of ID I%Lt,L-' "Vq- o 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. Flood Zone: # of Stories: Plumbing - # of Fixtures, Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: January 1, 2018 Permit Application 10/10/2017 SCPA Parcel View: 07-20-31-507-0000-0310 Property Record Card nid tam on,CFA 6 Parcel: 07-20-31-507-0000-0310 ` Owner: BROWN LUCINDA r !� Property Address: 115 RABUN CT SANFORD, FL 32773 Parcel Information I Parcel Owner O 07-2i 0-31-507-0000-0310 BROWN LUCINDABR�OW-N- LLUUCINDA I Property Address ' 115 RABUN CT SANFORD, FL 32773 ! Mailing 115 RABUN CT SANFORD, FL 32773- ; Subdivision Name SANORA SOUTH UNIT 1 Tax District S1-SANFORD_- DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2011) t- RE Legal Description LOT 31 SANORA SOUTH UNIT 1 PB19PGS76&77 Taxes Seminole County GiS Value Summary 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 E Depreciated Bldg Value i $70,120 ____- $60,407 Depreciated EXFT Value Land Value $19,500 $19,000 (Market) Land Value Ag Just/Market Value " $79,407 ; $89,620 Portability Adj i Save Our Homes Adj $28,213 Amendment 1 Adj $19,263 P&G Adj � $0 $0 -_ Assessed Value `i $61,407 $60,144 Tax Amount without SOH: $778.40 2016 Tax Bill Amount $577.80 Tax Estimator Save Our Homes Savings: $200.60 TRIM Notice Helo * Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value--�Exem-pt Values Taxable Value i County General Fund u� $61,407 $36,407 $25,000 Schools $61,407 �� $25,000 $36,407 ! City Sanford v j $611407 SJWM(Samt Johns Water Management) $61,407 - - ' $36,407 _____- $36,407 y $25,000 $25,000 County Bonds j- $61,407 $36,407 $25,000 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED SPECIAL WARRANTY DEED ___ 12/1/2010 3/1/2010 07497 1532 $81,000 $55,2661 Ye --- No Improved !Improved i CERTIFICATE OF TITLE 12/14/2009 j 07304 0517 $1000 No Improved WARRANTY DEED 2/1/2005 05633 1017 $125,000 ' Yes Y� Improved WARRANTYDEED 5/1/2003 ; 24858 0�6657 $92,500 Y Yes Improved WARRANTY DEED WARRANTY DEED 7/1/1996 ! 4/1/1992 03104 02421 1349 $65,500 1658 $50,000 Yes iii Yes I Improved Improved WARRANTY DEEDT� N�9/1/1984-�� p 01586 _ i i 1126 $52,500 I Yes v Improved WARRANTY DEED 3/1/1980 ! 01271 1430 $34,500 i Yes Improved proved vQUIT CLAIM DEED 5/1/1979 01229 1700 E $100 No i Improved _ Find Comparable Sales hftp://parceldetaii.scpafl.org/ParceiDetailinfo.aspx?PID=07203150700000310 112 Permit Number: Folio/Parcel ID #: 07-20-31-507-0000-03 t C Prepared by: JOSEPH FEEDER 501 N. ORL 6 AVE SUITE 313-368 WINTER PARK FL. 3ZTS9 Return to: 401 N ORLANDO AVE SUITE 313-368 WINTER PARK FL. 32789 iF-',) l'r 11AL0' = S-EMINOL E iL EFK.113E P,11T r r. f' � �:: .L ,_ 01URT :. COVIFTROL! ER it �'3 CLERK. S g 2618023995 RE IRDED i-:'r' ,iecl. _r rc NOTICE OF COMMENCEMENT State of Florida, County of Orange 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 31 SANORA SOUTH UNIT 1 PB 19 PGS 76 & 77 115 RABUN COURT SANFORD FL. 32773 2. General description of improvement REMOVE AND REPLACE SHINGLE ROOF REPAIR SCREEN, REPLACE DRYWALL AND PAINT 3. Owner information or Lessee information if the Lessee contracted for the improvement Name LUCINDA BROWN Interest in Property FEE SIMPLE Name and addre of fee simple titleholder (if different from Owner listed above) Name__ / Address 4. Contractor Name U. S. VETERAN CONTRACTORS LLC. ✓eIV�V •. %IC. Telephone Number 407-620-4657 Address401 N ORLANDO AVE SUITE 313- 368 WIN ER PARK FL 32789 5. Surety (if appli ble, a Copy of the payment bond is attached) Name_/� Telephone Number Address Amount of Bond $ 6. Lender Name�� Address ' Telephone Number 7. Persons within the State of Florida designated by Owrier- upon"whom notices or -other documents may be served as proyided by §713.13(1)(a)7, Florida Statutes. Name �r,�} Address ' Telephone Number 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provide §713.13(1)(b), Florida Statutes. Name_ J 14 Telephone Number Address 9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording unless a different date is specked) 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 ►NI7FJ.Y9dR LENDER OR A N BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The as Owner or Lessee, or Owner's or Lessee's Authorized {gnatory's Till Office was acknowledged before me this � ay of b (4P, �j ' Y !"�� r'r mo ye 17a a of person for l a-- i er, trustee, attomey'n f ct Name of party on behalf of whom instrument was executed 4 ti- :7 /p0 H :� r� blic — State of lorida Pri t t n , ype, or stamp commissioned name of Notary Public !:LACs o 0 "�ev2 Personally Known OF Produced ID "` o a Type of ID Produced 44uj /�v ��V� _��i _ p,,_vGrace M. Febus uu _b%^ NOTARY PUBLIC ° 'STATE OF FLORIDA Comm# GG107789 �..« _•--• -- '— yNCE 19�� Expires 51230n9l SEMINOLE COUNTY MULTI JURISDICTIONAL Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 311q I hereby name and appoint: d C, an agent of: (16 (Name of to be my 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): ❑ All permits and applications submitted by this contractor. Or The specific permit and application for work located at: n ^i_ n_ .L C'_ (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: !31 /r -1 t U Cl Signature of License Holder: STATE OF FLORIDA COUNTY OF �.. The foregoing instrument was acknowledged before me this -U—day of J4 2:020 / , by U who is ❑ personally known to me or o has produced �.R�� as identification and who did (did not) take an oath. Signature of Notary 2`,,pa *e� ,,/, ,;.; MEL:ionFF E * . e Notary Publf Florida ?;9 +a: Commiss02089?MyCOrn�m`E21, 2019 a Mt�OlY i�) Cff 7 Print or type Notary name Notary Public - State of Commission No. My Commission Expires: 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: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY: W 0aD__—C1{� > * `PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED'` ROOF VENTILATION: OOFF-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 2:12-4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE �j �i FL# 10 1?-41 R 2j9 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **1FAPPLICABLE** 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 TILE FL# 0 OTHER: FL# I CITY OF r Building & Fire Prevention Division RESIDENTL4L RE-ROOFPOLICY &PROCEDURES FORDf IRE 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. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 3 U.S. Veteran Contractors LLC. 501 N Orlando Ave Suite 313-368 Orlando, FL 32789 Office: (407) 335-8717 Cell: (407) 620-4657 USVCAC@YAHOO.COM ROOF REPLACEMENT CONTRACT Account Manager: Joseph Felder License # CGC1525613 Insurance Company Information Company Click here to enter text. Policy # 9001280470 Claim # 3300225336 Mortgage Company Information Company Click here to enter text. Loan Number Click here to enter text. INSURED: LUCINDA BROWN Phone: 407-756-4170 Project Address: 115 RABUN COURT Alt Phone: Click here to enter text. City: SANFORD FL 32773 Shingle Color: Click here to enter text. Email: LUCYLUANDZORA@YAHOO.COM Roof RCV amount: Drip Edge Color: Click here to enter text. IF OWNER'S INSURANCE COMPANY DOES NOT AGREE TO PAY FOR A FULL ROOF REPLACEMENT, THIS CONTRACT SHALL BE NULL AND VOID. REPLACEMENT WORK AND PRICE: Subject to the terms and conditions below, U.S. Veteran Contractors LLC, ("U.S. Veteran Contractors LLC) jointly or Separately with Licensed Roofing Contractor Crewpro Inc. agrees to furnish all materials listed herein and labor necessary to perform the above listed roof replacement for the Replacement Cost Value ("RCV") of Owner's roof, as determined by Owner's insurance company ("Contract Price"), up to a maximum contract price of $49, 999.00. The roof replacement work shall take place following Owners' insurance company's approval, approximately within 30 days, conditions permitting. MORTGAGE AUTHORIZATION: I, Owner and Mortgage holder, grant authorization for V1V to speak with U.S. Veteran Contractors LLC on matters concerning the claim and release of payments. INSURANCE AUTHORIZATION: I, Owner and Insured, grant authorization for American Integrity Insurance Co. to speak with U.S. Veteran Contractors LLC and/or Joseph Felder on matters concerning the claim and release of payments. PAYMENT SCHEDULE: Owner agrees to pay U.S. Veteran Contractors LLC based on the following pay schedule: (i) Deposit in the amount of $3100.00 due upon signing this contract; and addition payment of the (Insurance Net Cash Value Payment that would be sent out by the Insurance Company) is due before work starts (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's insurance company, plus Upgrade Costs, due and payable to U.S. Veteran Contractors LLC upon completion of work being performed; and (iii) the remaining Contract Price (equal to any applicable depreciation) due and payable to U.S. Veteran Contractors and Consultants LLC upon completion of work performed. In the event of a pending city or County inspection, Owner shall not withhold more than 2% of Contract Price until inspection has passed. Deductible: $ 3100.00 (initial) Optional: UPGRADE ITEM: Architectural Shingles QTY: Total based on Insurance Company PRICE: $ 1.00 TOTAL: $ TERMS AND CONDITIONS: I, THE UNDERSIGNED, HAVE READ AND UNDERSTAND ALL STATEMENTS AND CONDITIONS OF THE ROOF REPLACEMENT CONTRACT AND AGREE THAT ALL DETAILS ARE ACCEPTABLE AND SATISFACTORY. I FURTHER UNDERSTAND THAT THIS CONTRACT CONSTITUREES THE ENTIRE AGREEMENT BETWEEN THE PARTIES AND THAT ANY FURTHER CHANGES OR ALTERATIONS TO THIS CONTRACT MUST BE MADE IN WRITING AND AGREED TO BY BOTH PARTIES. EACH PARTY REPRESENTS AND WARRANTS TO THE OTHER THAT IT HAS THE FULL POWER AND AUTHORITYTO ENTER IN TO THE CONTRACT AND THAT IT IS BINDING AND ENFORCEABLE IN ACCORDANCE WITH ITS TERMS. 1 1. DEDUCTIBLE: It is the Owner's responsibility to pay all Insurance Deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on insurance company's loss sheet, UNLESS replacement or repair of deteriorated decking is required and/or Owner requests optional upgrades. U. S. Veteran Contractors LLC CANNOT pay, waive, rebate, or promise to pay, waive or rebate all or any part of the insurance deductible applicable to the insurance claim for payment for roofing work. In the event of a discrepancy, the uctible amount stated on the Insurance Loss Sheet shall overrule Deductible listed above. (initial) 2.OWNER'S DECLARATION OF INTENT: Owner acknowledges and agrees that upon approval by insurance company for a full roof replacement, U.S. Veteran Contractors LLC jointly or Separately with Crewpro Inc. shall perform the roof replacement. Owner agrees to commence roof replacement upon receipt of funds from Owner's insurance company. 3.ACCEPTANCE OF TERMS: I, Owner, hereby agree to retain U. S. Veteran Contractors LLC's services for a full roof replacement on the terms and conditions stated herein. I further agree to provide U.S. Veteran Contractors LLC with the Scope of Loss Report generated by my insurance company and authorize and grant full access to the property for the purpose of staging and completing all agreed upon work. 4.SUPPLEMENTAL CLAIMS: U.S. Veteran Contractors LLC reserves the right to file a supplemental claim with the Owner's insurance in the event that the insurance company's estimate is incorrect and/or additional damage is discovered after commencement. The supplemental claim amounts, in addition to any depreciated amounts held back by the insurance company, are immediately due to U.S. Veteran Contractors LLC upon receipt. S. COMMENCEMENT OF WORK: Work shall commence at U.S. Veteran Contractors LLC's discretion. U.S. Veteran Contractors LLC and or CrewPro Inc. shall not be liable for delay in, or failure to perform due to: labor controversies, strikes, fire, weather, acts of God, war, governmental actions, inability to obtain materials from usual sources, delays caused by, and/or as a direct result of, Owner's insurance company or other circumstances not listed which are beyond the control of U.S. Veteran Contractors LLC. And or CrewPro Inc. 6. NOISE POLLUTION AND VIBRATIONS: Prior to installation, it is the sole responsibility of Owner to remove any an all breakable or valuable items which are not permanent fixtures to walls, including but not limited to items on mantles, shelves or other areas susceptible to vibrations; these may fall. U.S. Veteran Contractors LLC and or CrewPro Inc. shall not be liable for noise or vibrations to premises due to U.S. Veteran Contractors LLC's and or CrewPro's Inc. performance of work contracted herein, or damage resulting to persons or property. 7. CONSTRUCTION DEBRIS: Upon completion of work, U.S. Veteran Contractors and Consultants LLC will make a reasonable effort to remove debris from the property, including but not limited to, a general clean-up of construction -related debris and a magnetic sweep of the eve line and walkways surrounding project area. U.S. Veteran Contractors LLC and or CrewPro Inc. cannot guarantee the removal of all nails and/or debris. U.S. Veteran Contractors LLC and or CrewPro Inc. shall not be liable for any resulting damages. 8. LANDSCAPING: While U. S. Veteran Contractors LLC and or CrewPro Inc. shall make reasonable efforts to safeguard the lawn and/or shrubbery, it is not the sole responsibility of Owner to remove any and all lawn ornaments, exterior furniture and/or valuables. U.S. Veteran Contractors LLC and or CrewPro Inc. cannot guarantee the safekeeping of these items nor shall U.S. Veteran Contractors LLC and or CrewPro Inc. assume liability for damages. 9. Owner shall to responsible for all fallen object inside of home that could result from Walking, Hammering and Nailing the Roof Shingle, or Roof Decking. Owner Owner Date Date 2 Building & Fire Prevention Division RESIDENTL4L RE-ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: I I —T l I ADDRESS: : =f z� �3 I i S2f ' ' CA—) I Ul' c-v I I AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRA OR, 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 #: r r I, l `� ( co I COMPANY / CONTRACTOR: r nQ -i-• - v CONTRACTOR SIGNATURE: DATE: 3 I_3D1 Z.ow (MUST BE SIGNED BY LICENSE HOLDER 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 V1r>^}Jl.�► Sworn to and Subscribed before me this �� ( ay of jll ar-c�_ 20 L,02 by: Who is Q'Personall Known to me or has ❑ Produced (type of Y (Y' ide nation) as identification. Si atu etotary Public Sta of a Print/Type/Stamp Name of Notary Public MELODY D. LEE • ;; Notary Public - State of Florida ;, *a Commission # FF 902089 "I �°`�•� My Comm. Expires Jul 21 2019