HomeMy WebLinkAbout126 Rockhill Dr (3)MAR 2018 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
77
Application No • p
Documented Construction Value: $ 600
Job Address: i9(QClr•.r, F'a�Q 32i7) Historic District: Yes ❑ No
Parcel ID: lZ"10 Residential tS Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ® Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person: _Alen ( 'c�rl or- Title:
Phone: 921-31?—(a "d Fax: Email: cdlen• C"ro nex v .n (-eS'6 t�nr. cow
Property Owner Information
Name Y�1dL,-' MACej Phone:
Street: k 7-G T-=>nC-)4A A css- Resident of property? : e S _
City, State. Zip: =," rA �� 32"7i i
Contractor Information
Name /Jev+ (2enete ton ,(�es`�arc �ctirrs, roc- Phone: 321-30.-65-5-y
Street: t(a�yn,✓Nr cr ,8/L�%J Fax:
City, State Zip:—),—W6caf State License No.: CCC /3313Z3
Architect/Engineer 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: 5" 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.
Owner/Agent
Printbwner/Agent's Name J
S- re of
BRITNI BAILEY
;� `H; State of Florida -Notary Public
Commission # GG 104162
%qan�?; My Commission Expires
f�nrm! May 14, 2021
Owner/AgM is Pewrsona y Y>qown to Me or
Produced ID Type of ID Lk.vt,6 (°aw-5e-
'51)S
itractor gent & Date
C
t r
Agent's Name
5— S I
��ate Florida
= GG ' 7C9C0
C!rc5!ac io.2022
.''„ -_ - •; , - - . a No:a;y Assn.
e t ersonally Known to Me
Produced ID Type of I_D
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical. ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
2/8/2018
SCPA Parcel View: 33-19-30-516-0000-1270
oo�lorolmaon,cra Property Record Card
Parcel: 33-19-30-516-0000-1270
St-KAWOLCctx.+arY, Fe R Property Address: 126 ROCKHILL DR SANFORD, FL 32771
Parcel Information
f
_Parcel
33-19-30-516-0000-1270
Owner
GAGLIARDI, MICHAEL
GAGLIARDI, YELITZA
Property Address
126 ROCKHILL DR SANFORD, FL 32771
Mailing
126 ROCKHILL DR SANFORD, FL 32771
Sub division Name
COUNTRY CLUB PARK PH 2
Tax District
S1-SANFORD
��I---
f DOR Use Code
01-SINGLE FAMILY
Exemptions
T —
00-HOMESTEAD(2018)
+
68.69
L
46,23
50.03
6 A
Legal Description
LOT 127
COUNTRY CLUB PARK PH 2
PB 54 PGS 22 THRU 24
Taxes
50 50
12 8� 129
t.;
50 50
Seminole County GIS
Value Summary
c � ,
2018 Working
2017 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
$173,532
$163,547
Depreciated EXFT Value
$325
$338
Land Value (Market)
$38,000
$38,000
Land Value Ag
Just/Market Value "
$211,857
$201,885
Portability Adj
Save Our Homes Adj
$0
$0
Amendment 1 Adj
T $0
$6,064
P&G Adj
$0
$0
Assessed Value
$211,857
$195,821
Tax Amount without SOH: $3,768.00
2017 Tax Bill Amount $3,768.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$211,857
$50,000
$161,857
Schools
$211,857
$25,000
$186,857
City Sanford
$211,857 r.
$50,000 "
$161,857
SJWM(Saint Johns Water Management)
County Bonds
$211,857
$211,857
$50,000
$50,000 {
$161,857
$161,857�
ales
Description
Date
Book
Page
Amount I Qualified
Vac/Imp
WARRANTY DEED —� —
3/1/2017
08885
0354
$233,500 i Yes
-- Improved
WARRANTY DEED
5/1/2012
07789
1384
$145,000 ' Yes
Improved
SPECIAL WARRANTY DEED
7/1/2000
03891
1910
$132,400 1 Yes
Improved
WARRANTY DEED
3/1/2000
03828
1632
$23,500 Yes
Vacant
Etnd Cora�pts�a�Ca Sates
Land
Method
Frontage
Depth Units =Units Price
Land Value
LOT
---------? ----- 1------- $38,000.00� $38,000
Building Information
Is Bed/Bath count incorrect? Click Here.
# I Description Year Built Bed Bath Base Area Total SF I L nivi g SF Ext Wall Adj Value Repl Value Appendages
Fixtures i
http://pareeldetail.scpafl.org/ParceiDetaillnfo.aspx?PID=33193051600001270 1/2
n C-4 m
� m
} o- a -
W�'�xr
_I��WN
QZCD CON
Co . 0 ';j
Z o
U.
m O EUm
mEr
tom
to
THIS INSTRUMENT PREPARED Y: 1
Name: jC�avi Gr ,�;�'ric�w�fr+iOriS'• )AC'
Address: i C-)
K "2 7 ?- I Pf (C, ✓ 7L
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
l:i�:I-u,, i �i...ir t C.l�l.11i_L,_ ,_ i�i�l•1 i P
; ;. Oi- U' HC UIT COURT ONI"TROLLER
(':LERK'S YJ201S074.029
REC:O; pED-
$j.ti�l_Sil
REC.'OR, ED- G'r' lideviare
Parcel ID Number:.�5� -12- 30 - S-1 (y - 6CV0 - 12.70
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)
Lc,-r I Z? t 2(.
L e."Tfu (0-A Ark PA Z a of 'A, 32?21
GENERAL DESCRrTION OF IMPROVEMENT:
-1206
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
e.
Address: ?657 U�i+.t: S, � Qlur� %CJn iY'i- . �z .72-7
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
of
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
to*t.tut,
knowledge and belief. ,
r
wners Signature Owner's Printed
3(1)(g): " The owner must sign the notice of commencement a o one else may be permitted to sign in his or her stead
State of County of �CL-' 1�p
The foregoing instrument was acknowledged before me this 4' day of
Name of pe6bn making statern t
OR who has produced identification L� type of identification produced:
J, tl'i"".",T�ll,��,.�,,�j,�4--i2-)��"I.I
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 31Z I\4f
I hereby name and appoint:
an agent of: ee-A Bey ef-ex"Vor, P%eSgore. _) I V-n s k4n 4L_
(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):
11 The specific permit and application for work
(Street Address)
Expiration Date for This Limited Power of Attorney: y I d ne
License Holder Name: A4rt '
State License Number:
Signature of License E
STATE OF FLORIDA
COUNTY OF /mac
The foregoing instrument was acknowledged before me this ?A4 day of Acx,
200�, by Ill i-, C,4-R,.-- who is r(personally known
to me or o who has produced as
identification and who did (did not) take an oath.
ature
(Notary Seal)
SPPY PUS/� BRITNI GAILEY...
State of Florida -Notary Pub1 -
*o ` Commission # GG 10411 52
My Commission Expires ;
?$� May 14, 2021
(Rev. 08.12)
r��'" I' ktX1
Print or type name
Notary Public - State of F-L
Commission No. GC, 1 a4(S'2
My Commission Expires: jU „ t1Y )
Next Generation Restorations, Inc.
6965 University Blvd.
Winter Park, FL 32792
Lic # CCC1331323
r
.■ k, i ■ri
PH: 321-317-6594
Fax : 407-209-3533
wvvw.nextoenrestorations com
Name: Yelitza Gagliardi
Phone.
Date: 12/4/2017
Address: 126 Rockhill Dr.
City: Sanford
Zip: 32771
Salesman: Allen Jr
Contact ph: 321-317-6594
Job #
Material: Certianteed Landmark
Color: Tbd
Pitch: 5/12
1. Pull city _x_ county_ Permit Sq. Renail Wood
2. Tear off 31.5 sq old shingle Sq old tile
3. Dry in synthetic underlayment x one layer two layer _ peel stick
4. Install Galv. valley metal LF _x self adhering valley
5. Install Alum drip edge _x_ Steel drip edge Pan Flashing _ L. Flashing
6. Install all accessories to match
7. Replace 1.5 2.0 3.0 Lead boots 4" GRV 10" GRV riser
8. Starter Roll x Starter strips
9. Install 31.5Sq shingle x cap 3-tab / Perf / Hip & Ridge / Metal
10. Install sm dead valley Ig dead valley modified Liberty
11. Install TPO Layer of insulation TBAR / Seam Tape
12. Install / Replace 2x2 2x4 4x4 Skylights acrylic domes / sfa cm / fixed
13. Haul off debris and run magnet thru work areas
14. All wood work is extra per attached wood schedule - 2 sheets plywood included others $45.00 per
15. Next Generation Restorations Has my permission to contract with an engineer of its choice for any
and all inspections required under local or state law.
16. Other specifications Solar to be removed and replaced by others
Total Contract Amount
$9,000.00
$3,450.00
All Pricing good for 30 Days Deposit
$5,550.00
Balance due upon completion
Access : Customer agrees to allow access /o the property and realizes that heavy equipment is being used. Contractor shall not be liable for, without limitation, damage to driveways, sidewalks, lawns, sprinkler
systems, gardens, septic systems, and any other structures thereof, as a resuft of rooftop or job deliveries.
Damage Etc.: Customer shall be responsible for removal, reinstallation and calibration of satellite dishes. Should customer become aware of damage to property by Contractor, his agents, or employees during the
course of installation of the roof, said damage shall be brought to the attention of the Contractor prior to the time of payment for the roof in question. if Customer fails to notify Contractor of said damage, within 5
working days of occurrence, then shall waive all rights against Contractor concerning said damage. Next Generation Restorations, Inc. is not responsible for roofing nails penetrating A/C or water lines in the attic.
Customer agrees to secure and protect their assets including shelves, ceiling fans, tools , cars and other valuables to avoid damage from vibration, breakage and/or detachment of parts etc.
Delays, Etc.: Hereby acknowledges that Contractor may be subject to delays occasioned by inclement weather, labor disputes, and material supply shortages or other causes which are beyond the control of the
Contractor and hereby accepts delays occasioned by one or all of these circumstances in the installation of the roof.
Payment of Contract : Customer hereby agrees that all amounts due for this work shall be paid upon completion of Installation. Any amounts unpaid will bear Interest at a rate of 1 1/2N per month. Contractor shall
be entitled to all costs of collection including any and all Attorneys' fees.
Right to Cancel : N this is a Home Solicitation sale, and 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 service and must be delivered or postmarked within 48 hours of you sigthis agreement If you cancel this agreement, the seller may not keep all or part of any
down payment. IF THIS IS NOT A HOME SOLICITATION CONTRACT: Once the contract is signed, you are hound to h by thening laws of the State of Florida. If in the event you breach or attempt to cancel this contract,
the Contractor shall be entitled to any and all lost monies from the contract
Acceptance of Propose[: The above prices, specifications and terms and conditions of this contract are hereby accepted.
All contracts are subject to Next Generation Restorations, Inc. approval. Customer agrees to allow Next Generation Restorations, Inc. to use photos, letters of recommendation, etc. to be used for advertising
purposes. In case any one or more of the provisions contained herein shall be invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions and other application
thereof shall not in anyway be aft4Ai paired.
Y'Customer
Si nat re Salesman Signature
jl.
Date at
Management Approva
Date %
Construction Industries Recovery Fund: Payment may be available from the construction industries recovery fund 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 CILB at the following telephone number and address: 1-850-
487-1395. Florida Construction Industry Licensing Board, 1940 N. Monroe St. Tallahassee, FL 32399.
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address i�2U ' cacV$Jk --<,"rb 32.?-71
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.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
(include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
(including 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
Underla ments
m j_9"S
"ez
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
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
(include decimal)
5. Shutters
Accordion
Bahama
Colonial
Roll up
Equipment
Other
6. Skylights
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
Applicant's Name
(Please Print)
June 2014
CITY OF
&kNFORD
FIRE DEPARTMENT
PERMIT # /&1171.3
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
'�RJOB ADDRESS: )0'� (p o C.' C h 1 I )
STRUCTURE TYPE: XSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RXE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): Vk 1 h 00,�-
* *PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: DOFF -RIDGE V \ RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES �0 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 D2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
� .Q
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETCA2:12
.))**IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
ASHINGLE
C-P, ' i it
FL# 5 O "1
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
CITY OF
SkNFORD Building & Fire Prevention Division
RESIDENTLIL RE ROOFPOLICY& 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)
0 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: -5 - 1