HomeMy WebLinkAbout2005 Glenway DrtITY OF 0"!
PREVENTIONBUILDING & FIRE
PERMIT ... •
Application No:
Documented Construction Value: S 1Z 000
Job Address: b i, ■ YType of Work: New 0 Addition 11 Alteration Z Repair Demo 0 Change, of Use 1-1 Move
Plan Review Contact Person:
Phone- Fax:1. i
Name JennifievoLiCemen Cathrink Phone:
Street: ZC C l hl C� C1 t o 1' Resident of property? : e
City, State Zip: E-OnfOy. fit- 327
Contractor Information
Name 1-0t'C l HCame 42()Cl'f i110 Phone: S7 1- 8�7"l� 1G 11
Street: RPS tFax:
City, State Zip: lA in t tar 'L Q State License No.: �" CC 133C ! 29
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
EM
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 RE
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. 1 certify that no wort: 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. l understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and stir conditioners, etc.
l BC 105.3 Shall be mscrihed'svith the date of application and the code in effect as of that date: 5111 Edition (2014) Florida Building Code. 1
Revised; June 30, 101d 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 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: 1, certify that all of the foregoing information is accurst that all work will
be done in compliance with all applicable laws regulating construction and ing.
N
of
do Date
Signat I Date Sig Ida
JILLIAN S HAR JILLIAN S HARRts
RIS
My CO?OMISSION GG I 122K Co'UM;SSION !4 GGI 122
4-
F
EXPIRES June 06, 2021
EXPIRF -S do" 06-2021
Owner/Agent is Personally Known to Me or Contractor/Agent is, erso'na y Date in to Me or
Produced ID 47;e�Tyve of ID L— Produced ID' Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: BuildingR ElectricaIF] MechanicalE] Plumbing0 GasF1 Roof [?r
Construction Type:
, _ tiQ1 Occupancy Use:
Flood Zone:
Total Sq Ft of Bldg: 3 u Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of fixtures
Fire Sprinkler Permit: Yes F1 No F1 4 of Heads Fire Alarm Permit: Yes [] No FT
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
Revised: June 30,2015 Perin it Application
t
4L
BREVARD COUNTY OFFICE
321-452-9223
ORANGE & SEMINOLE COUNTY OFFICE
��� g \1i%�
407-960-3810
VOLUSIA COUNTY OFFICE
386-233-3244
NAME: ('" ; ; --( f'; •
DATE
STREET: /'; i 7,.;
CM330489
CITY/STATE/ZIP:
HOME PHONE:
CELL PHONE;
EMAIL:
Fy NNIA
ROOF Due Care taken to protect home exterior, shrubs and landscaping.
I nciudes labor to remove existing roof and ha ut off.
Includes Dumpster. Roil off dumpster for paver driveways.
Includes Inspecting deck for damage and renailing to code with ED ring shank nails.
Includes saving gutters, soffit, fascia on existing home (some damage may occur in construction).
includes replacing ridge vents. -
Includes replacing existing drip edge in choice of color. DRIP EDGE COLOR INT �:.%...r.......
,
Includes 11/4" roofing collated nails. tLj;"�r,�(}t.,
Includes installing new shingles in choice of color. SHINGLE COLOR
includes replacing all lead boots and goose vents (does not include gas related vents).
f) I r
Includes new galvanized metal In all valleys.
Includes Starter Shingle and Ridge Cap per Code.
Includes obtaining and posting permit with local jurisdiction.
Includes magnetically sweeping job site, cleaning out gutters and hauling away debris.
MATERIAL ARCHITECTURAL ASPHALT LIFETIME SHINGLES i30MPH
UNDERLAYMEN7 PEEL&STICK ,i 301-- 15L-B-FELT-•�a:` f;r-'U.J: - .'-• "r%`"�- -f °:-%•
. �f :i•'.
MISC .. gftiY'^"' - 1 S eoAv/'
I
INCLUDES LABOR AND DUMPSTER TO REMOVE LAYER(Sj OF SHINGLES.
ADDITIONAL LAYERS WILL COST $ r9 :`i !ter PER LAYER ADDITIONAL LAYERS INT
Deteriorated existing decking replaced at $fir;-"` per sheet of plywood -- .9 ;
_
Deteriorated existing decking replaced at $, tr_ _.:>I per linearft. WOOD ACKNOWLEDGMENT INT
*Does not Include painting to match
• Does not include any stucco repairs where deteriorated flashing had to be replaced.
WARRANTIES Worry -Free Gold 7yr non -prorated WORKMANSHIP-iNCEUVEbr
. .... _ ...._.._. _............. .....__..__................ ._.._.....,.- c
Worry.Free Platinum 15..r all inclusive
.
-
'Flat roofs carry a 7 year workmanship warranty - %k
**CUSTOMER WAIVES INrEli DAMAGE PREANSPECrION- Customer initials %:'1
-'♦r Li
(Any interior damage which occurs during constructionwillnot be covered i " �' =r / 4 57
o; }�yr�.F�'��J: �;iA iA IAA:
'.�..jj 1�Ih1i1Y 1 SputgCthp[a•,tf2.r 1 '>?✓l �'j JNO 411
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h OWesDECLARATION INTENT: acknowledges
a
Insurance Recovery Program and on
ywihcipainthe
approval of roof replacement b owners insurance provider Total Home
PP p Y P
'] 2... Ofi�fifiL11t� f%ER7n,; *fi r�• �.Trt° . e..;?
Roofing shall perform the roofreplacement work and both parties will be
bound by the terms of this agreement.
*Through weirs Fargoaank with approvedcredrt-
*Finandng must be coma prior to start OfProirct.
2. Both parties agree that if the roof is not approved by homeowners`
insurance provider that both parties will be released from the terms of this
contract unless otherwise agreed in writing.'
J `
Total Home Roofing Date:
3. After full completion of the IRP initial consultation owner will receive a
" r
credit/discountof$ offofthis contract regardless of
Insurance approval or denial for enrolling in the program.
tl -f y7; �vl
j."
Customer Si nature \l Date:
I HAVE READ AND UNDERSTAND THIS PROPOSAL, THE TERMS AND CONDIiTIONS, AND AhL DOCUMENTS REFERENCED THEREIN AND AGREE TO BE BOUND BY
THEIR TERMS.
ACCEPTANCE OF PROPOSAL:The Above prices, their specifications and conditions are satisfactory and are hearty accepted. Contractor Is authorized to do the
work as specified. Bysigning Customer acknowledges that Customer Is owner of the property where work is to be performed.
ALL PAYMENTS ARE DUE UPON COMPLETION OFTHE PROJECT.
Any delay in payments may result in 1.5%interest per 30 days.
Wind Mitigations are not considered part ofthe project but offered as service to our customers through a third party certified licensed Inspection company
and shall not be used as reason for any delay effinal payment.
This agreement constitutes the entire contract by and between contractor and owner and parties are not bound by oral expressions or representation by any
party or agentof either party.
G\
49
THIS Name- TOTAL HOME PREPARED BY;
`, Rim,
1111111111111111111111111111111111111111
Address: 165 W ST RD 434 Winter Springs, FL 32708 GRANT MALDY Y SEMINOLE COUNTY
CLERK OF CIRCUIT GO,URT & COMPTROLLER
NOTICE OF COMMENCEMENT CLERK'S �K'S �'g 018 c1Pss)
CLERK'S r 2►�1EtJ2t)t)69
RECORDED 02/21/2018 12:58:05 PM
State of Florida RECORDING FEES $10.00
County of Seminole
RECORDED BY Jeckenro
Permit Number. Parcel ID Number: y i ' 19' D1' 5 1u r 0000 - 0 10
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 It provided in this Notice of Commencement.
N OF PROPERTY: (Legal description
C
GENERAL DESCRIPTION OF IMPROVEMENT:
re -roof ONLY
Fee Simple Title Holder (if other than owner) Name:
Address:
ress if
CONTRACTOR:
Name: Total Home Properties DBA Total Home Roofing
Address: 165 WST RD 434 WinterSprings, FL 32708
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:
Address:
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 1, 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,) declare that I have read the foregoing and that the facts stated in it are true
to the best of l
knowl dg and'bielief.
ers S ur Owner's ted Name
Florida fatute 713.13(1)(g):' The owner must sign the notice of commencement and no one else may be perm tted to sign In his or her stead' p
N
State of
FLORIDA
County of SEMINOLE
The foregoing Instrument was acknowleddgend before me this �day of �i 1. ctY 4
by `If"�—= �t1 �+ . Who
Name or person making startt�eemtent
OR who has produced identification,i type of identification produced: _
E"r
I1 MAN S HARRIS
OMMISSION a: GG11228b
XPIRES June 06. 202t
Is personally known to me ❑
n
POWER OF ATTORNEY
Date: Ca I ! a
1 hereby name and appoint J I I I I
of TOTAL HOME ROOFING to be my lawful attorney.
In fact to act for me and apply to the do n Yd Building Department for a
RE -ROOF permit.
For work to be performed at a 3location described as:JJ�� �r
Parcel ID:. [ ,q - , , 1(. ' MOO-Uult)
Q
Subdivision:
Owner of property and address:
And to sign my name and do all things necessary to this appointment.
ROBERT DONO,VAN CCC1330489
(Type or print name of certified contractor 'license nu )
(Signature of certified contactor)
The foregoing instrument was acknowledged before me this 4day of 1 of 20
by Robert Donovan, who is personally known to me.
State of Florida
County of Seminole
(Notary signature)
JAMES ANDERSON
tv#Y COMMISSION # FF95,402
EXPIRES February 10, 2020
„�'`%•G'S1 Pxxiaatvuuistfrvicr+.cewr
fi' rCITY OF
S
ORD
!; � FIRE DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. 1 B- I/ 7 9 ISSUE DATE: 6 3• O�r l' P
CONTRACTOR: / Or4
JOB ADDRESS:
TYPE OF WORK: dX*®
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 855.541.2k12
• 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 III
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
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:
STRUCTURE TY PE: Q.SfNGLE FAMILY RESIDEINCE/TOWNIIOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM
RE -ROOF TYPE: �REPLACEMENTT (TEAR OFF EXISTING ROOF AND REPLACE WITFI NEW COMPONENTS)
0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
4 17 t% r -C\
DECK TYPE (PLEASE SPECir%,): - W
"*PLEASE NOTE: ONLY100 SQUARE FEET OF THE -EXISTING DECK ISPERMITTED IO BE REPLACED"
RoOFWNTILATION: &0FF-RIDGE ORIDGE OSOFFIT OPOWERED VENT 0TUPURNES
SKVLICHTS: 0 YES tjJNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: _
'MAIN ROOF AREA
4
ROOF SLOPE: 0 LESS THAN 2:12 02:12-4:12 QYA 4:12 OR GREATER
A
TYPE OF ROOF
MANUFACTURER
FLDRibA PRODUCT APPROVAL
64SHINGLE
601
FL4 P�l 3
0 METAL
FL#
OMODIFIED BITUMEN
FL4
0 TORCH DOWN
FL#
0 INSULATED
FL9
OTILC
FL9
00THER:
FL9
ROOF ]EXTENSIONS (PORCIIES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: 0 LESS THAN 2:12 0,2:12-4:12 0 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORtDA PRODUCT APPROVAL
OSHINGLE
FL#
0 METAL
FL#
0 MODIFIED BITUMEN
FL#
0 TORCFI DOWN
FL#
0 INSULATED
FL#
OTILE
FL#
00THER:
FL#
CITY Of
Building &Fire PIrevention:Divivion
RD RESIDENTL4L RE-R 0 OF POL TC Y & PR 0 CED UKES
7
-IRE pvj�nT
PERMaTTINc 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 rOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONMOMINIum) 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-Roor'ScoptoF-WORK
A COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
* ALL FLORIDA PRODUCT APPP OVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
0 DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAY VENT INSTALLED
o ROOF DECK NAILENG PATTERN &SPACING (INCLUDING A MEASURING DEVICE OR RULER)
• ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
• UNDERLAYMENT PATTERN &SPACING (INCLUDING A MEASURING DEVICE OR RULER)
• DRIP EDGE& VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
0 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 AIN_M?�V�I_DA T PROVIDED BY FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYcom
CERTIFYING FBC c NCE BY PERSONAL F NSPECTION.
'Qat' '
f "10
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: Z/DATE:?) vo
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
• BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
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Page 2
Application Number . . . . . 18-00001178 Date 3/05/18
Property Address . . . . . . 2005 GLENWAY DR
Parcel Number . . . . . . . . 31.19.31.514-0000-0010
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . COTTAGE HILL
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1035849
Permit pin number 1035849
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF / /
CITY OF
S��FORD Building & Fire Prevention Division
r RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE) PASTt1 NT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY-INq FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #:ADDRESS:1 Ln�-
I 2, 1 � bnoi, Mn 6-ya n , 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 #: 0 P 1 � � � ] 4-69
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: _
(MUST BE SIGNED BY LICENSE
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: / // / g n
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
mM!
r-1611
—
Sworn to and Subscribed before me this
/
day of /6, p A_ i 1 20 �
� by:
Q��)e Who is [personally Known to me or has ❑ Produced (type of
identi icati n)
Sig 6a re of Notary Public
Sta f Florida
Print/Type/Stamp Name
of Notary Public
as identification.
JILLIAN 8"'HA' F<IS
MY COMMISSION # GG1122%
�,F�, EXPIRES June 06. 2021