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HomeMy WebLinkAbout124 Gleason Cve CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION - Application No: Documented Construction Value: ;Tub Address: 124 GLEASON CV Historic District: Yes ❑ No ❑ Parcel ID: 02-20-30523-0000-1160 Residential Commercial ❑ Type of Worlt: New ❑ Addition ❑ Alteration Repair ❑ Demo ❑ Change of Use Move ❑ Description of Work: Residential Re -roof Plan Review Contact Person: Stephen Barnett. Title: President Phone: 407-647-9420 Fax: 407-629-5720 Email: permits a@carrolibradford.com Property Owner Information Name Jesse & Sarah Kline phone: 407-473-5690 Street: 124 GLEASON CV Resident of property? City, State Zip: SANFORD, :FL 32773 Contractor Information Name Carroll. Bradford, Inc. Phone: 407-647-9420 Street: 4776 New Broad St, Suite 201 Fax: 407-629-5720 City, State Zip: Orlando FL 32814 State License No.: CM 330656 Architect/Engneer 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 COi<MFNCENIENT MAY RESUI:I' IN YOUR PAYING 'IVICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF C;OiMMENCENIFNI' MUST BE RECORDED AND POSTED ONTHE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR FENDER 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 Nvark will be performed to meet standards of all la%vs regulating construction in this jurisdiction. I understand that it separate permit must be secured for electrical work, plumbing, signs, wells. Pools, furnaces, boilers, heaters. tanks, and air conditioners, etc. F11C 1.05.3 Shell he inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Rcvitiod; June 30. 2015 I'erniiC Appl�eifti�m 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. a//,�1/� tg Signature of Owner/Agent Date Slgn re of Con torfAgrnt Date �� mh F �, ne Jong an D. Menke _ Print owner/Agent's Name Print Contractor/Agent's Name 0 W �o" 4 ? a :1 J�3om Signature of o tateoTFlorida Z tee Iig;� Signature of o 4taeofFlorida Dae ,A,w P� <ELLY Wr' M--StateofFlorida•r,.;tarypvtp, vo�y �m�i ' Commissiontri;Gt524� , �c;;: My Commission Expi• -7 N;t;,<m N-v31 Owner/Agent is PersonallyptWtd(k4Lgrt 'n' Contractor/Agent is 7C Personalty Known to a glrn T I �J Produced ID_ Type of ID _ i,� .._ '' ' Produced ID Type of ID N A J 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 , Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: COMMENTS: BUILDING: Revised:luae 30, 2015 Permit Application Permit # Project Location Address 124 GLEASON CV As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can: be obtained at www.floridabuildinci.org. The following information must be available on the jobs'ite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category l Subcategory Manufacturer Product Florida Approval # Description include decimal 1. Exterior Doors swinging Sliding Sectional Rall U Automatic Other 2. Windows S'in le Hun Horizontal Slider Casement DoubleHun Fixed, Awning Pass Through Projected Mullions Wind Breaker Dual Action Other- Category/Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles GAF TIMBERLINE HD 10124.1 Underla ments GAF FELTBUSTER 18686 Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems --- Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents GAF COBRA RIDGE VENT FL6267.1 R9 Other June 2014 Category/Subcategory Manufacturer Product Description Florida Approval # include decimal S. Shutters Accordion Bahama Colonial Roll u Equipment Other S. S li hts Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicants Name Jonathan D. Menke (Please Print) June 2014 Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 2/12/2018 1 hereby name and appoint: Shadan McKinney _ an agent of. Carroll Bradford Inc. (Name of Company) 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 O The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: 2019 License Holder Name: Jonathan Q. Menke State License Number Signature of License } STATE OF FLORID/ COUNTY OF Orange The foregoing instrument was acknowledged before me this day of , 201 , by Jonathan D. Menke who is n personally known to me or o who has produced as identification and who did (did not) take an oath. Signature (Notary Seal) Kelly Webber ,; ;A� <ELLY �N� � qER V, state of Ftotida ivy Pur Print or type name a •= Commission It ,j6 152n4 2 7� MVCjmm!ssionExpnes 17 1091 1. Notary Public - State of Florida.�..�•- Commission No. GG152442 My Commission Expires:10-17-2021 (Rev. 8/06113) 417 Y_R (Ir0.-Cpr Parcel 02-20.30-523.0000-1160 Property Address: 124 GLEASON CV SANFORD, FL 32773 Value Suminary 2018 Working ..r.m 2017.Certified Values i Values _. ........... Valuation Method CasVMarket CosVMarket Number of Buildings 1 1 Depreciated Bldg Value $116,285 $103,118 Depreciated EXFT Value Land Value (Market) $28,000 $25,000 ' Land Value Ag t i Jurillylarkot Vitt j - $144,285 $128 118 Portability Adj i Savo Our Homes Adj $69,823 S55,188 Amendment 1 Adj So' PSG Adj SO so 1 Assessed Value $74,462 $72 930 i Tax Amount wilhoul SOH: $1,651.00 2017 T�x Eiill ARtqutN $626.00 Tax EgLm-ator Save Our Homes Savings'. $1,025.00 Does NOT INCLUDE Non Ad Valorem Assessments Lagal Description LOT 116 ^„ PLACID WOODS PH 2 PB'58 PGS 4-6 Sates Descri Pion p- `jj� Date Book Page r Amount QualifiedVacltmp w WARRANTY DE D 711/2007 . _ 0 $197500 Y SPECIAL WARRANTY DEED 6I1/2001 0413t t $92,200 }Yes ;Improved a t tttd Gdtrtt orel Sam Land Method Frontage 9 ; Depth Units Units Pace . Land Value i LOT .. _... . ..........— _........ ........... ....... 1 . .......... .. . .._. _ . S28,000.00 $28 000 - Building information t t B r i rr % ---g _ .. fan,, I p Yoar_Buft lt���� Fixtures Actual/Effective I Bad Bath Bate Total Living 5F ExtWall i Adj Value Repl Value Appendages 1 SINGLE 2001 6 w 70 1,292 1,680 ` 1,292 . CO/STUCCO $116,285 i $1,23,053 FAMILY Permits FINISH Description ( Area GARAGE 380.00 FINISHED OPEN ----- PORCH 8.00 FINISHED Permit # Description Agency Amount CO Date Permit Date ��] 00955 PAD PER PERMIT 124 GLEASON COVE SANFORD I $60,000 5J22t2001 11W001 Extra Features Description Year Built Units Value New Cost No Extra Features P fs CARROLL BRADFORD, INC. CBC1260310 - CCC1330656 ` 41 AGREEMENiT SUBJECT TO INSURANCE COMPANY APPROVAL Customer. Jt=SS t Ake, Date:- Property Location:_12Y G/��.joo Day Phone; �i%4/77 - c 4 91, : Ctry/State•cSL?�l r � (.� Zip77- -- �M DH ' Evening Phone: NOA A E-Mail:.r—ICtrY1 h We:� 1 A ' . CJi�7 OM ON Approval Needed: ONo ROOF SPECIFICATIONS. Brand: a rl F Construction Type: ONew Construction []Remove & Replace Tear -Off Layers: Aft 02 OPeei & Stick Lead Pipes: A1.5" _I___ P2-_ L__ �3" � O4" Ventilation: Type �ra Qty, L _ Color Kitchen/Rath Vents: 4" Z- 10" _-___ Color Replace Flat Roof. Oyes ONo Color Solar: Description Warranty: OStandard OSystem: Story: 01 ❑2 Valley-- OOpen OClosed Color.. Pitch: �. Underlayment: ASynthetic OFelt ll Drip EdgeXColor /OG Skylights: Size Type Qty, Lumber: Size _!�k&.. Typ rrtW d W. l Mist Delivery Notes: GUTTER SPECIFICATIONS: Size Color. Lineal Feet Downspouts ' SIDING SPECIFICATIONS. Lap Size (Exposure): Trim Size: Finish: OSmooth OWoodgraln Special Instructions: FTERMS y signing this Agreement, you suthodsa CUMU Bradford. I= to be present durtngthe tamrsnce adlustmeatand negotiate the settlement with your insurance company. nless otherwise agreed in writing, your out•of•podoot costs will be limited to your insurance deductible amount Rawcva4 you must promptly pay Carroll 8ndtoed lncall amounts you arely (minyouriasurainmcompanyt Ifyoudosimmaterialupgradesofotherworkdon*anyourPtoPentountyou" u've AYoumustout•oftirpa CarrollBhk Agreement is not valid or blading on any piny unless and until It is signed by both you and Carroll Bradford, Ire nrae signed al you and Carroll en sm trrc, Csno118radford Inc. will be awarded with the lob described abovo and tho scope and price orthe work will beset ronh to the Insurance adjuster's ssummary. 1. YburslgnaturobahwPmwldnQyauragrsamMttosiltbetcr=wWcva(dttjtontsttkMonthetmntandbacker"Agreement. PleasecarelWyread thaemft fteaand back ofthisAgitemmp g I S.! S_ /g/ 1 First Check: $ on Sfpnotaro uttomerl Data � Cb *# 2 ! ! Balance Due: $ _ ! Sfgnawn (Como rodjard Rep) Dote Checka, Agreed Price: $ , /� W. 7, 02 Pius additional supplements & pernufr fees paid by lnwrunce company ORtANDO: 4776 New Broad Street, Suite 201, Orlando, Florida 32814. OMce: 407.647.9420 • Fax. 407-629-5720 JACKSONVILLE: 4400 Marsh Landing Boulevard, Suite 1 0 Jacksonville. FL 32250.Office; 907-296-7604 � 1��111 ��11111�11 �1'6� 11111'�111111 f qq .,t A e .,; ;S,}j;:, .4,;.7Y i � ti�itiIt' T I16 i,Li CLEfil`.'S - 2018024?,8 NOTICE OF COMMENCEMENT State of Florida The underaignea;neraby gives notice'that improvement will be marls to certain reai.propeny, and to accordance with Chapter,'713, Florida Statutes, the following information Is; provided in this Notice of.Cornmencement: 1. Description otproperty (legai 'desa ption of the property, and,street'address if available. ) LOT 116 PLACID W60DS PH;2 PB.58 PGS 4-6 2. General, description of improvement 3;. 4, 5. rya Ad 8. Lai No Ad 7. Pet be No Add 8: In t No Nai Add s; U 'WARNING AREr'toN310 RESULTKY nEcosatso' WIT" YOUR >ttnl TIC I !te of 6.6 simple tltlehoider (if different from Owner ]I Telephone Number 407-647-9420 e Telephone Number ass Amount of Bondi $ _ IiEr e: Telephone Number es`s one within the State 1florlds designated by Owner upon whom notices or other documents may awed as provided by §713.13(1)(6)7, Florida Statutes. e Telephone Number ess Idltio'n to himself or herself, Owner designates the,following to receive a copy of'the L.lenoes :e as provided In §71313(1)(b), Florida Statutes. e Telephone Number T Signaturo of Owrigt' of lessee, or ownees or Lessee's Authorized Officer/DtredorlpartneNManager Big ofy's Theo os The foregoing -Instrument was, acknowledged before me this oday of I by (1-,i h L V1 e mo ar name of person as at ,4 2 in p i-- for S /2>;' 12 1,1 /' ri -0 ype of authority, e.g:, officer, trustee, attorney In fact Name.of party on behalf of whom Instrument was executed Slgnatura6rN ary Pubild — State of Ftbrtda Print, type, or stamp.oDmmissioned name of Notary Pubitc PersoneUy:Known OR Produced,ID iG TYPO of fu rroouceo y 5 c) t - �' rsStBt_B)t f 1ptitl, C 6 �t I E tF U P4 ' PsTi # � '• 1 } ': Ct>f11n1iS510r1 It :�Ci 15 2�%7 Ilbt(al,st$i�}�t t 9s! ?ti\+� ii111Y1�$SIUIi �Xjit( ^i j Form content rmfted;;01/23tf4 _.. e"l CITY A NANFORD FIRE DEPARTMENT PERMIT NO. 1 If "w 1 CONTRACTOR: too, JOB ADDRESS: TYPE OF WORK: Building chic Fire Prevention Division Re -Roof Permit Card ISSUE DATE: 3.15.1 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 I I I 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 CITY OF Building Tire Prevention Divivion SANFORD RE. IDENTIAL RE-ROOF'ROLICYA PROCEDURES FIRE DEPARTMENT PERt111"11NG R>r QUIRE MIEN S -No PLAN Rh,4'#t:w Ri-:Ql`CRED T!#TS DOCUMENT,'(SIGNE I)) ALONG wt"FH AN ACCURATI, AND COMPLETED R#?Sti)ENTIAL RE-RO(JI•' Scot,F oP WORK ARE REQUIRED To BE SUB-011"11"E) AS PART OF YOUR PE:RNII'C APPLICATION. THE SCOPE OF WORK MUST INCLUDEALL APPLICABLE FLORIDA PRODUCT A 1111ROVAL NtlmBERS FOR ALL ROOF C OMPONEXI'S TFIA'T" WILL IIE, INSTALLED ON TI IF, PROJECT. A PERMITWILLNOT }3E ISSUED WIT°HOUC THESE: DOCUMENTS. COVIE.S WILL, BF. Mi DE TO POSTON THE' JOU SITE:. *''PRE),#E('CS LOCATI D IN THE SANFORD Him-oRIC' DIST'RwI' WILL REQ14RE PLAN REVIEtV A`D APPROVAL BY THE SANF011 I"i#STOR#C" PRE'+E:RVA`rION BOARD INSPEX-11ON I101.,I Y & PROC'Es-DI!RES A FINAL, ROOF''.TNSPtiCCION IS TI Its ONLY INSPECTION REQUIRED FOR RESsiDEN HAL (SINGLE FAMILY, TOWNI JO tSE, MOBILE HOMEi APARTMENTAND/OR CONDOMINIUM) RI:-Rooi= P[atMLES. "Fitt; FOLLOWING 1S RIJAM0,J)TO BE PROVI DE ON THE JOB SITE: *PERMITCARD<'POST°ED IN A CONSPICUOUS AND WEA`I"HERPItOOI° L(')CA'1ION • COMPLETED REzSIDFN ETAL RE,Roor S( oll". C)F WORK * COMPLETED AM) NOTARIZE I) INSPECTION A1,11DAVIT • ALL FLORIDA PRODtJCT" Ai,11R 7VAL AND CORRESPONDING INS`CALLA"C1tlN INSTRUCTIONS (PRODIJCTAPPROVAL SHALI. MATCH NVI,EAT IS ON TTIf: SCOPE OF WORK) • D#G#TAI. PI'io'I"OC,i#tA['I`IS (MUST INC'LI),1)L. 'LI IF;111;lt\"IE`E" NtJNtt3E:R OR AI)1)12l-SS IN EaAC'Li PtC'"L(iRE" ) o EACH 'PLANE .OF THE: ROOF, SHOWiNG THIv IJNDERLAYMENT" INSTALLED o' ROOF DFC"K NAILING PAIT RN & SPACING (INCLUDING A MEASURING DEVICE OR RULER:) o, Rooiz DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RUL.L R SI [OWING SIZE, OF NAILS) . o UNDRRLAYMEN"C PAITERN & SPACING (MLUDING A MEASURING DEVICE OR RULER) o DRIP Emit,'VAI,.LLrY AT"EAC.IIMENT(INCLUDING A MEASURING DEVICE OR RULER) o SHINC,I.1:S IL ,`IAt.i rD, NAIT. PAT IT.RN AND LOCATION OFNAILS • SKYLI Iff (11; APPLICABLE) o DEGETAL 1114010(iRAPCIIS SIIOWIN(i ALL INSTALLATION OMPONEM`i, PLR T'l. PRCI#)tjc'i APPROVAL o DIGITAL PHOTOGRAPHS SI,IOWINCs ALL REQUIRED FLASHING, PER Fl, PRoDUCT APPROVAL 1'�AMURIE "� F LLOW T HLSIE 8111-(`EFI(' GUIDFLINE.S WILL REtiULT IN A! AFFIDAVIT PROVII)E I) BY A FLORIDA DESIGN PRE)FFSS#C)NAL (ARCIIIPEC'T`OR ENGINEER), CERTIE''1'ING FBC CODE COMPLIANCE BY PERSONAL INtiPEC"I"#C)N. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE CITY OF Building &t Fire Prevention Division FIRE DEPARTMENT RESIDE, NTIAL REwROOF SCOPE OF WORK JOB ADDRESS: 124 Gl EASON CV i'1tt:C"r1:Rv TS'3'E:: *`�a1Noit l ,� �i11..1' Ttt_Sir)FN41., t't,)\t Nltt�tlsi { 1>1t1f3rE.l. l itl�lr< 0 APAR t iti+ IUM RE-RooFTYPF: (* RE.m.AC r,`MFNl' (TrAR OFF F:NISTING ROOF ANTI RI LACE WITII NEW CC)MPONE=N`IS) 0 Rlr-CoonR (Num ROOF INSTALLED OVER F;;XISTINO ROOF) MCEi I`Yr'N (PLEASE SPECIFY): _ lk_ 0 0 of * *PLEA,SE NUTE. on 100SQUARE1WE T Of THE EXISTING DECK IS 11EIMUTTED TO BE REPI ACL. D ry FRooi.,VVN'1'11.ATION- 001,1-RFDGE 1DGEs Osol.-I"1'1' 01)oWI:RIir3VI?N'1' 0TURBINES SKYLI(;EPtS: O YF.S (�) N£t ............ .._ NlAtx ROOF UFA RoOvSwm: 0 LESS TI IAN 2:12 0 2 12 - 4:12 4:12 OR GREATFIR `TS'PE-CIF ilC)C)I?_ 'ibi;1NUFr1t"FIsRER E'Lt)RIDAi'Ett1DlIC"t' A [*NEiC?S'At: )SIIINGLE GAF FI-4 10124 R19 0 NI I. ( MODIFIEDBi-n)mi--,N FLti o TC?KCF r i%OWN FLN 01NISULA111) FLH 0 `ru,r- FL#t 0011IFR: FLF# RGUF EX`t"ENSIONS(PORC'IMS, P=VfIOS ETC.) **IF'jpm.IG4131.E* ROOF SMIL: Q Lr:ss ll IAN 2,12 ram} 2:12 - 4:12 49 4 12 Oft GREATER ,rvi,E OF ROOF MANUFA4 I IRE.R I. r,ORIDA IlROI) C r APPROVAL SHINGLE FL;#t -0 Q METAr. FLs# Q MODIFIED 13'MJMFN FL.#` ' 0TOR0I DOWN 0INSUIXIED FL## Q TEI,t C) o'I'E r3R: FI #1 1 Lt# CITY OF''NANVORD Building & Fire Prevention Division RESIDENTIAL RE-ROOFAFFIDAVIT IRE DEPARTMENT` RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 1 8 - 1361 ADDRESS: 124 GLEASON CV I Jonathan D. Menke , 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 #: CCC 1330656 COMPANY / CONTRACTOR: Carr adford Inc. CONTRACTOR SIGNATURE: DATE: (MUST BE SIGNED BY LICENSE HOL R OR WNER/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 Orange 4-1 Sworn to and Subscribed before me this" '— day of 20 J by: Jonathan D. Menke identification) �.o0 Sh � Signature of ary Public State of Florida Who is �✓ Personally Known to me or has ❑ Produced (type of �l UA r x) p b, b-en- Print/Type/Stp ame- of Notary Public as identification. VVESPER #Ate of Florida -Notary Public Commission # GG 152442 r CFF4 MY Commission Expires �� October l?, 2021