HomeMy WebLinkAbout216 Pinefield DrJob Addre
Parcel ID:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
MAR 14 2u;3 i Application No: $ J 3
Documented Construction Value: $ l"li 7. 6
Historic District: Yes ❑ No ❑
Residential X_ Commercial ❑
Type of Work: New ❑ Addition(`❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Re r0��
Plan Review Contact Person:
Phone:
Fax:
Email:
Title:
Pr perty Owner Information / -7 q
Name t I �► U U (flfr Phone: "T O I' 92 , 1— 2—I l 2
Street: I �' e 1 ✓ 1 Resident of property? .
City, State Zip:U r Uy-d I FL �0_171
Contractor Information
Name int r imS P\wflyr,Qn/ it LLCi Phone: 32I — 3119 r
Street: 16 Nfogau r I I Fax: 5 2I — 3 0 b_ 4775
City, State Zip: I U�7� co N wog �l� R_�50 State License No.: 1, CCi 13 3 O ' I
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
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 105.3 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.
-�5d
� � (3111(
Signa�tu of Owner/Agen
ntt t { Date
gn
IWA I'
Print weer/Agent's Name
Signature of Notarv-St fe on a Date
TAMARA J. SUMNER
My COMMISSION lI GG 073562
EXPIRES: June 15,2021
Bottled ihtu
or
Produced ID Type of ID
Y
Signature of
ate
}Cj)o((nttractor/Agent/ y a
�V(iGfSiA x c J(��VY-
�j�✓
Print Contractor/Agent's Name
Stgna a of Notary- of Florida
Date
TINARUSSELL
?� MY COMMISSION 11 GG 0%632
EXPIRES: August 2
%•P'':° o Bonded Thru N Ilc Us I9
Contractor/Ag t i Personally Known to Me o
Produced ID
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
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES: WASTE WATER:
11 o RA
BUILDING:
Revised: June 30, 2015 Pen -nit Application
Darla CIA
PMURR
SSuy.Ip�E COVtrv,
Parcel Information
Propel' y Record Card
Parcel: 32-19-31- 515-0000-0460
Owner: RIMMER SUMMER L & NATHAN
Property'Address: 216 PINEFIELD DR SANFORD, FL 32771
Parcel
32-19-31-515-0000-0460
Owner
RIMMER SUMMER L & NATHAN
Property Address
216 PINEFIELD DR SANFORD, FL 32771
Mailing
216 PINEFIELD OR SANFORD, FL 32771
Subdivision Name
CELERY LAKES PHASE 1
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
00-HOMESTEAD(2006)
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
$105,837
$99,820
Depreciated EXFT Value
$325
$338
Land Value (Market)
$30,000
$30,000
Land Value Ag
Just/MarketValue"
$136,162
$130,158
Portability Adj
Save Our Homes Adj
$56,353
$51,991
Amendment 1 Adj
$0
P&G Adj
$0 -----
$0
Assessed Value
$79,809
$78,167
Tax Amount without SOH: $1,690.56
2017 Tax Bill Amount $700.56
Tax Estimator
Save Our Homes Savings: $990.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$79,809,
$50,000
$29,809
Schools
$79,809
$25,000
J
$54,809
A
City Sanford A ~
T�$79,809
$50,000
$29,809
SJWM(Saint Johns Water Management)
$79,809
$50,000
$29,809
County Bonds
$79,809
$50,000
$29,809
Description
Date
Book
Page
Amount
Qualified
Vac/Imp
WARRANTY DEED
3/1/2005
05642
0621
$164,000
Yes
Improved
SPECIAL WARRANTY DEED
10/1/2004
05489
11rq
$142,500
Yes
Improved
Method
Frontage
Depth
Units
Units Price
Land Value
LOT
1
1 $30,000.00
$30,000
Is Cea/tiara
count incorreci,
cncK mere.
#
Description
Year Built
Fixtures
Bed
Bath
Base Area
Total SF
Living SF
Ext Wall
Adj Value
Repl Value
Appendages
Actual/Effective
1
SINGLE
2004
7
3
2.0
1,465
1,881
1,465
CB/STUCCO
I $105,837
$111,115
Description
Area
FAMILY
FINISH
i
GARAGE
395.00
j{
FINISHED
INTER_SPRINGS
Cellular (407) 832-3330
Phone (321) 316-4774
and Repair, LLC Fax (321) 316-4775
E-Mail: billtheroofer13@bac,l.corn
State Cert.' CCC1330777 • Leak Repair and Damage Specialist • Since 1983
2100 N. Ronald Reagan Blvd., Ste 1072 • Longwood, FL 32750 • www.winterspringsroofingandrepair.coin
Name
Street
City State Zip
Date
4
Phone #1
Proposal ontrac�" ,
BBB
Invoice # 14102
Phone #2
Material
Trash
Existing Roof
Condition: Good Fair oor
Tile Update
Service Repair
New Roof
Reroo
Hie Skylights Inspection Valley _
Metal Chimney Wood Damage Flashing
Flat Roof Venting Underlayment Coating.
❑ Service Call Fee $175.00 F-1 Roof Inspection FPe �171; nn
❑ Guaranteed Work Standard 1 Yeargrade ❑ Improvement Only
25 Yr Shingles
30 Yr Shingles 1�
50 Yr Shingles
Price
job Description %l tGer1_71,1_ jin'' /(' ,,ate jj �+� f? it 5
-4 L-ML-3�
Price
Comments
Total 1 do ___--
PLEASE READ THE FOLLOWING AND INITIAL: Homeowner is responsible for allowing access to property
P w g p p m' along with
exterior power source. Homeowner understands that there is an inherent risk involved when having an invasive service as a roof replacement
Deposit Due at
although all proper precautions and care will be provided. There is always a small chance of inconsequential damages to occur for which
we cannot be held liable. We recommend that customer do not park near the work areas or dumpsters. We cannot be held liable
Acceptence
for accidental
damage resulting from parking issues or nails in tires, as well as damaged driveways since access to and from the structure is essential for re-
roofing. Roof work often necessitates that we have
$
to work around TV dish and gutters. While we do our best to detatch and refasten it will
sometimes be necessary for the owvner to call these services for follow up. Customer is responsible for notifying WSRR of re -piping
Check # � 3
or
disclosure of any pre-existing problem concerning the attic or roof.
Acceptance of Proposal: the above prices and specifications and conditions are satisfactory and are hereby accepted. WSRR is authorized to do the work
as stated. Cancelation by homeowner is subject to 25% default fee for Liquidation damages as allowed by law. Disputes
Balance Due on
arising out of terms or conditions
of this contract are subject to Mediation and Binding Arbirtration by both parties and administered by the Better Business Bureau Care Program. Custom-
ers are responsible by their attorney fees. Payments not rendered in accordance with contract agreement shall be subject to finance
Completion
charges of 18%.
y
$
Customer Inital
ta-17
Signa A tance
Check #
Date
Please feel free to leave a review of the services you received today via google, website, or facebook.
add 3% to credit card payments
Florida Homeowners' Construction Recovery Fund According to Florida's construction lien law (Section 713.001-713.37, Florida Statutes), those who work on the
Payment may be available from the Florida Homeowners' Construction property or provide materials and are not paid in full have a right. to enforce their claim for payment against your
Recovery Fund if you lose money on a project performed under contract,
where the loss results from specified violations of the Florida law by a property. If your contractor Or subcontractor falls t0 pay SUbCOnlfaCtOfS, sub -subcontractors, Of material
licensed contractor. For information about the recovery fund and filing a suppliers, the people who are owed money may look to your property for payment, even if you have already paid
claim, contact the Florida Construction industry licensing board at the your contractor in full. If you fail to pay your contractor, your contractor may also have a lien on your property.
following telephone number and address' This means if a lien is filed your property could be sold against your will to pay for labor, materials, or other
Construction Industry Licensing Board services that your contractor or subcontractor may have failed to
1940 North Monroe Street Y pay. To protect yourself, you should
stipulate in this contract that before any payment is made, your contractor is required to provide you with a written
Tallahassee, FL 32399-1395 release of lien from any person or company that has provided to you a "Notice to Owner." Florida's construction
850A87-1395 lien law is complex and it is recommended that you consult an attorney.
.....,....... .. rorw.....r nn..rn only Ines
1 r11J INN 1"RGIVIEN I 1'11NCPARCU D T:
Name: Tammy SumnerMSRR
Address: 2100 N. Ronald Reagan Blvd #1072
Longwood, FL 32750
State of Florida
County of Seminole
Permit Number:
11 1: iai- 11
j—
GRANT 11ALOYr SENINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 9091 Ps 443 (1P9s)
CLERK'S A 2018028109
RECORDED 03/14/2018 10.14.08 All
RECOi,:'')ING FEES $10.00
RECORDED BY tsmith
Parcel ID Number: 32-19-31-515-0000-0460
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)
216 Pinefield Drive, Sanford, FL 32771, Lot 46: Celery Lakes Phase 1
PB 62; PGS 75 & 76
GENERAL DESCRIPTION OF IMPROVEMENT:
Reroof
OWNER INFORMATION:
Name: Summer & Nathan Rimmer
Address: 216 Pinefield Drive, Sanford, FL 32771
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name: Winter Springs Roofing and Repair, LLC
Address: 2100 N. Ronald Reagan Blvd #1072 Longwood, FL 32750
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: Winter Springs Roofing and Repair, LLC
Address: 2100 N. Ronald Reagan Blvd #1072 Longwood, FL 32750
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
of
To receive a copy of the Lienor's Notice as Provided in
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 the best of my knowledge and belief.CS�/ L 1-1� i 1�
— &M.", M VA/\ P l
Ow is Signall1m.Owner's Printed Name
Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
State of
County of SC —/mot i nloC C
The foregoing instrument Le
ack—n�owwledged before me this / � day of Mlic(2e� Y0 t S
by .� U ivV � `fy� t e S t Z \ M rv\, C,-Y— Who Is personally known to me)R
Name of person making statement
who has produced identification ❑ type of Identification produced:
TAMARA J. SUMNER
i MY COMMISSION 0 GG 073562
;r , eg? EXPIRES, June 15, 2021
• ,..... ..1.�,,.' BMW Notary Public UIX10 1114
Notary Slgnaten QF�pC��OP �c k
0�� • AMP " N�oFq�
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 3-11-1f
I hereby name and appoint: Tarn rfl ym at r
an agent o£
(Name of
K CC C
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):
Address)
Expiration Date for This Limited Power of Attorney: 9 -15 —19
License Holder Name: I 0 I 1161C f l j 1• S U 0' I I n L r-
State Licens
Signature of
STATE OF
COUNTYC
The foregoin i strument was c owl ed before me this 1c3+day of Mt� ,
200[, by 11 11 am d , � U e r who is*ersonally known
to me or ❑ who has produced as
identification and who did (did not) e n oath.
a
LICA R. AVIIA
aM1l �=ION # GG 154391
EXPIRES: October 24, 2021
��rFoc �o�• Bonded TIVU Notary Public t111d8 *A"
(Rev. 08.12)
NIAYU M N' l
Print or type name
Notary Public - State f
Commission No.
My Commission Expires: '
CITY OF
SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
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:'-lU
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 21 o
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIIJM
RE -ROOF TYPE: IKREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): 117 I' flobwd
* *PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"*
ROOF VENTILATION: (%OFF -RIDGE -9 RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES �*O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-----------------------------------------------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 �4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
HINGLE
I �y. � ,�
C bM J Kd�Ac �
FL# S � 4 ` - ''ti z
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
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#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
K
CITY OF
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 ##: 3& q ADDRESS: A b i Ifl V\ i O d D tkL
urn i����1 11
I W I I I I a m R•" U of n 1, V 1 . AS AM 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 #:
COMPANY/
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICE?
A FINAL ROOF INSPECTION IS REQUIRED:
c/willi(IM K - Umffr
DATE:
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 S''1,I I I U ( V
Sworn to and
Own( -Who
before me this day of ��� 20 � by:
Willi a1fl 1\ 11 1► - Who is -Personally Known to me or has ❑ Produced (type of
identi£ on) as identification.
Hato otary li
State of Florida
ftIVOC61 Nda
Print/Type/Stamp Name
of Notary Public
,...+..
• ANJELICAR.AVILA�391
-i°• t::� + ' - DAY COMMISSION I r
' tXFIREB: October 24, 2021
� Tnru Na[ary I -bk uoderw*ers
-