HomeMy WebLinkAbout1912 S Summerlin AvenueCITY OF SANFORD
7 2018 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: - 4
Documented Construction Value: $ 6700.00
Job Address: 1912 S Summerlin Avenue, Sanford, FL 32771 Historic District: Yes ❑ No
Parcel ID: 31-19-31-504-0500-0240 ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration N Repair ❑ Demo ❑ Change of Use Move ❑
Description of Work: complete roof tear off & replacement
Plan Review Cgptact Person: Rebecca Smith Title: Owner
Phone: 321,7,�3871 XOS Fax: Email: infoamlr8rooftng.com
Property Owner Information
Name Jerry Hoffman Phone: 407-761-0523
Street: 1912 S Summerlin Avenue Resident of property?: yes
City, State Zip: Sanford FL 32771
Name XLR8 Roofing
Street: 485 Specialty Pt.
City, State Zip: Sanford, FL 32771
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Contractor Information
Phone: 321-363-3871
Fax:
State License No.: CCC1331278
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 105-1 Shall be inscribed with the date of application and the code in effect as of that date: 5i1 Edition (2014) Florida Building Code
Revised: June 30, 2015
Permit Application
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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 aplan 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
he 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
Signature of Contractor/Agent ec
Da I ; d 2_ R-71-.,.,
REBECCASMITH
MY COMMISSION # FF 969994
o EXPIRES: March 10, 2020
aondsd Thry NotaryPudNc Undeiwr
//W
Owner/Agent is Personally Known to Me or Contractor/Agent isy Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
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:
COMMENTS:
UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
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2/26/2018 SCPA Parcel View: 31-19-31-504-0500-0240
oawio 7onn:on.cFa Proper y Record Card
ARP Parcel: 31-19-31-504-0500-0240
sraxi_coixrv.a,oFaon Property Address: 1912 S SUMMERLIN AVE SANFORD, FL 32771-3969
Parcel Information ? 1 Value Summary
Parcel
31-19-31-504-0500-0240
Owner
HOFFMAN, JERRY A
HOFFMAN, MARLYS A
Property Address
Mailing
1912 S SUMMERLIN AVE SANFORD, FL 32771-3969
1912 S SUMMERLIN AVE SANFORD, FL 32771-3969
Subdivision Name
BEL-AIR SANFORD
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
00-HOMESTEAD(1994)
Seminole County GIS
a
2018 Working
2017 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
$73 555
$69 279
Depreciated EXFT Value
$1 139
$1 218
_.- ...........
Land Value (Market)
...
$8,663
$8,663
Land Value Ag
Just/Market Value *'
$83,357
$79,160
Portability Adj
Save Our Homes Adj
$4,135
$1,567
Amendment 1 Adj
$0
P&G Adj
$0
$0
Assessed Value
$79,222
$77,593
Tax Amount without SOH: $719.48
2017 Tax Bill Amount $689.64
Tax Estimator
Save Our Homes Savings: $29.84
* Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 24 (LESS W 7 FT FOR
ALLEY) BLK 5
BEL-AIR
PB 3 PG 79 & 79A
Taxes
Taxing Authority
Assessment Value
-- ---
Exempt Values Taxable Value
--....- ....-- - ...
County General Fund
$79,222
$50,000 i $29,222
Schools
$79,222
$25,000$54,222
City Sanford
$79,222
$50,000 $29,222
. SJWM(Saint Johns Water Management)
$79,222
$50,000 $29,222
County Bonds
$79,222
$50,000 . $29,222
Sales
Description Date
Book Page Amount
Qualified Vac/Imp
WARRANTY DEED ( 2/1/1978
% 01156 1862
$100 i No Improved
WARRANTY DEED ��- 1/1/1974
010J4 ` 1438
$10,700 Yes Improved
FiAd COirlparabCe SetaS
Land
_
—
Method [
Frontage Depth ( Units
Units Price Land Value
FRONT FOOT & DEPTH
. --- ___
55.00 118 00
- - - - -
--
0_1
$175.00
$8,663
Building Information
Is Bed/Bath count incorrect? Click Here.
# Description Year Built Fixtures Bed
Bath Base Area Total SF Living SF Ext Wall
Adj Value Repl Value Appendages
Actual/Effective
http://parceldetail. scpafl.org/ParceiDetai[Info.aspx?PI D=31193150405000240 1 /2
-T, art �' cur fci
Permit o
Tax Parcel Number
-�I-1 - 1~�bq-0500-DLHO
S1ara.Of Ronda,
NOTICE -OF COMMENCEMENT
The UNDERSIGNED hereby gives notice that Improvement wil be made to certain real
Property, and in accordance with Chapter713, Florida Statutes, the following Information
is IN QV to eft notice of Comirmnoememt
GRANT NALOYr SE111NOL.E COUNTY
CLVRK OF CIRCUIT COURT h CONF'TROLLER
SK 9082 Pq 1827 (IF'35 )
CLERK'S 2018022521
RECORDED 02/28/2018 10:54:30 ,)M
RI t:ORDING FEES $10- iii
RECORDED BY hdevore
Rs
1. Description of Property: (Legal description of the property, and street address If applicable.)
Ut 7� (07- v 7(Tit OttrNj)�L� 6C� Ube ) PG7`1 1�►��
2. amrai description of atprorernertt
RE -ROOF
I Owner Information (or Lessee infonmatlon If the Lessee contractedforthe Improvement):
a. Name: -,I 2�Af.4elg5 /'�"if-;4
Address: 11r'L S uirr M e_p L: - 4"
b. Interest In property:
c. Name and address of fee simple titleholder Of other than owner):
4. Contractor Intormatim
a. Name: XIM Rho ft
Address: 485 Sped* PoK Salford, FL 32771
b. Conrector's phone number 321-363-3871
5. Surety Of applicable, a copy of the, payment bond is attached):
a Name:
Address:
b. Prone number:
c. Amamt ofbocd S .tY1
.6. LWXlertr "matron:
e. Name:
P'M CLERK'S OFFICE USE ONLY
b. Lenders phone number:
7. Parsons within the State of Florida designated by Owner upon whom notices or other documents maybe
served as provided by Section 713.13(1Xa)7., Florida Statutes:
IL Name:
Addmss:
b.Phone, rwfts of desqnaled persona
8. Inaddlh'an to hihseK OwrterQesk fes
a Name: of
of the Uenoes Notice as provided in Section 713.13(1 Xb), Florida Statutes.
b. Phone number
9. Expft t date of Notice of Commehoenent (tire e)pYaem den Is 1 yearhtom thedo of rmorditg ui'hleas s tlMfsrontdabe is hhpedeed)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF`THE NOTICE OF COMMI
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND; CAN RESULT IN Y
AAPRQI/6MF. M TO YOUR PROPERTY. A NOTICE OF C=MENCB1 ENT WST 6E RFrl QED AND POS T,ED ON Th
.MSP5CT10N. IF y4oU'1MTEND.TO.OBTAiNFitiANCA16,•fONSULT W17iH YOUR DEAR OR AN ATTOMEY BEFORE C
YOUR NOTICE OF COMMENCEMENT.
Sig re of her (dr Lessee, or Owner's or Lessee's QboyadOni mctalParfl
Signsmrys TIdefOfflee
Stateof r/o"JA.- Counlyof
ThetmoihAktsytrrhett baforehpethisZ
(Type or aut hortty ,..e.g.
Personally Known OR Y_ Produced ID
to receive a dopy
tE CONSIDERED
TWICE FOR
ERIK ANE9
No" Plblic •State of Flo WA
Commission l FF"920409
My Comm. Expites Sep 21. 2011
Type o1 ID Produced _- L D L—
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Bland, Annette
From: rick hyman <cityroofingandremodeling@gmail.com>
Sent: Monday, March 05, 2018 2:05 PM
To:. Building
Subject: Re -roof Application for 103 Maplewood Dr
Attachments: 103 Maplewood Dr - CC Autho.tif, 103 Maplewood Dr - Scope of Work.tif; 103
Maplewood Dr - NOC.tif, 103 Maplewood Dr - Product Approval Form.tif; 103
Maplewood Dr - Policy.tif, 103 Maplewood Dr - p.2.tif, 103 Maplewood Dr - P. Ltif
Hello,
Attached please find a re -roof application for 103 Maplewood Dr. Attached you will also find a CC
Authorization for payment once the permit is completed.
Thank you,
Rick Hyman
Owner / President
407 392 0218
Certified General Contractor - CGC1521712
Certified Roofing Contractor - CCC1330319
HAAG Certified Inspector - HCI 201606119
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 2/26/ 18
I hereby name and appoint: Paula Rodriguez
an agent of: XLR8 Roofing & Construction
(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):
5 The specific permit and application for work located at:
1912 S Summerlin Ave Sanford, FL 32771
IStnet:Address)
Expiration Date for This Limited Power of Attorney: 12/31/18
License Holder Name: David Hamblev
State License Number: CCC 1331 278
Signature of License Holder: -
STATE OF FLORIDA
COUNTY OFSFM11JpL
The foregoing instrument was acknowled ed before me th'istWlay of E� BlZLtf�1r2`�
20¢ _, by p FW I p who is o-fersonal Iy known
to me or o who has produced as
identification and who did (did not) take an oath.
Signature 1,/
Si
(Notary Seal) BOCCA 5d r7-4+
�..�., Print or type name
REB� SM0
FAY �QMMISSION #FV 969944 Notary Public -State of FL 2020
ExPIRES:M v bU''Undt>r�� Commission No. �tpj�}
'';•,o;,,, rf3onaedlhNNoun My Commission Expires: _-I c10
(Rey'. 08.12)
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XLR8 Roofing & Construction, LLC
485 Specialty 'Pt
Sanford, FL 32771
Contract
DateInvoice #
31612GIS 227
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CITY OF
'ORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. ISSUE DATE:
CONTRACTOR: xLye, r-na.%r L LC
JOB ADDRESS:19 12 AWMI;,A Ave
Skaqle
TYPE OF WORK: rolu
PROTECT FROM WEA ER
• 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
SXKFORD PERMIT #
Building A Fire Prevention Division
v i R D C PA R t 1,A C rN T RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 1912 S Summerlin Ave, Sanford, FL 32771
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): Plywood
* *PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: DOFF -RIDGE (:3) 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
O SHINGLE
FL#
® METAL
Tri County Metals
FL# 4595.12
0MODIFIED BITUMEN
FL#
O TORCH DOWN
QINSULATED
O TILE
O OTHER:
FL#
FL#
FL#
FL#
_ROOF EXTENSIONS (PORCHES PATIOS ETC-) **IFAPPLICABLE**
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#
O OTHER:
FL#
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Y Of
Building &Fire Prevention Division
g;SXNFORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE 00'ART%'ENI
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:
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CITY OF
S,�NFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1 % -+' ADDRESS: 1912 S Summerlin Avenue
Sanford, FL 32771
I David Hambley , 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#: CCC1331278
COMPANY / CONTRACTOR: XLR8 Roofing & Construction, LLC/David Hambleyda
tQ
CONTRACTOR SIGNATURE: DATE: �IS
(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 n FM I N O L
Sworn to and Subscribed before me this O2f" day of M �Y 201& by:
DAy I F) � l A-�-'d (�j(r i Who is personally Known to me or has ❑ Produced (type of
identification) as identification.
.-
Signature of Not REgECCAS�ITN
State ofFlorida= t,A `' MYcommissl%0FF969994
2020
EXPI: March 1
RES.'
�� ja �,ni MA::
dad Thn+NotaryPu6NcUndenvritws
Print/Type/Stamp Name
of Notary Public