The URL can be used to link to this page

Home My WebLink About220 McKay BlvdT FEB 2 6 2018 Y'-Building & Fire Prevention Division PERMIT APPLICA TION Application No: I &-1 O y C) Documented Construction Value: $ 6,600 Job Address: 220 McKay Blvd, Sanford FL 32771 Historic District: Yes❑No❑ Parcel ID: 31-19-31-527-0000-0790 Residential Commercial❑ Type of Work: New❑ Addition[] Alteration ❑ Repair ❑ Demo ❑ Change of Use❑ Move ❑ Description of Work: Re Roof 23 Sq Shingles Plan Review Contact Person: Edinson Perez Phone: 407-756-7444 Name Miguel Gonzalez Street: 220 McKay Blvd City, State Zip: Title: Supervisor Fax: Email: roofingpioneersllc@gmail.com Sanford FL 32771 Name Roofing Pioneers LLC Street: P.O Box 180972 City, State Zip: Name: Street: City, St, Zip: _ Property Owner Information Phone: 321-444-1230 Resident of property? : Contractor Information Casselberry FL 32718 Bonding Company: Address: Phone: 407-756-7444 Fax: Yes State License No.: CCC1329030 Arch itect/Eng1neer 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 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61 Edition (2017) Florida Building Code Revised: January 1, 2018 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. rlC1n2C11C-L Signature 2C/i8 Owner/Agent is Personally Known to Me or Produced ID _tl— Type of ID G52y -541-4i9-M-0 Contractor/Agent 30r'nj ciu)l e— Print CVntractor/Agent's Name Signature ofN y C/1 Date 212Cli 8 AE"BA l PEREZ MY COMMISSION # GG071486 EXPIRES February 09, 2021 Contractor/Agent is ✓ Personally Known to Me or 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: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January 1, 2018 Permit Application LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: `2 17- C h b I hereby name and appoint: jorr?ey—cZ an agent of: 100 p o ri q "'-pl oneer.s L.L-G (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): 2 The specific permit and application for work located at: 220 NcKay 'alvd, Scir)PorC] FL 32-17 Address) Expiration Date for This Limited Power of Attorney: License Holder Name: J oy-eA Ctr7f1'� State License Number: C CC 1325030 Signature of License Holder: STATE OF FLORIDA COUNTY OF Scar» m o l e- The foregoing instrument was acknowledged before me this 2G day of'Fcbrva , 200 18 , by Surerd Con [e- who is personally known to me or ❑ who has produced as identification and who did (did not) take an oath. (Notary Seal) WA'"YALBA L PEREZMY COMMI GG0714SSION # gg EXPIRES February 09. 2021 (Rev. 08.12) Signature A1baeL- Print or type name Notary Public - State of _ Commission No. My Commission Expires: SCPA Parcel View: 31-19-31-527-0000-0790 Page 1 of 2 A&m. Property Record Card CFA IIE � - Parcel: 31-19-31-527-0000-0790 Ie�wv+ettttootsrrv,�sxaCsi� Property Address: 220 MCKAY BLVD SANFORD, FL 32771-1502 Parcel Information Value Summary Parcel 31-1� 9-31-527-0000-0790 Owner GONZALEZ, MIGUEL y GONZALEZ,SANDRA Property Address 220 MCKAY BLVD SANFORD, FL 32771-1502 Mailing 220 MCKAY BLVD SANFORD, FL 32771-1502 Subdivision Name CEDAR HILL REPLAT Tax District St-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2006) 2018 Working Values 2017 Certified Values Valuation Method CosttMarket Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $143,683 $135,389 Depreciated EXFT Value Land Value (Market) $325 $30,000 $338 $30,000 Land Value Ag JustlMarket Value *' $174,008 $165,727 Portability Adj Save Our Homes Adj $64,329 $58,304 Amendment 1 Adj $0 P&G Adj $0 $0 Assessed Value $109,679 $107,423 9 Tax Amount without SOH: $2,124.09 2017 Tax Bill Amount $1,1113.89 Tax Estimator Save Our Homes Savings: $1,110.20 * Does NOT INCLUDE Non Ad Valorem Assessments Legal Description _.... .. ,..,_ WARRANTY DEED 2/1/2005 05648 1553 $198,000 ;'_. Yes Improved SPECIAL WARRANTY DEED 11/1/2004 05535 1359 $151,600 Yes Improved — — WARRANTY DEED _ 6/1/2004 05352 1236 $373,500'; No Vacant Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT 1 ^; $30,000.00 $30,000 j 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 I Repl Value Appendages Actual/Effective 1 2004 11 4 . 30 ; 1,234 - 3,216 2,810 $143,683 # $150,848; Description Area http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=31193152700000790 2/12/2018 ��ocidar�{cps RSQhoofing Pioneers, LLC P.O Box 180972 Casselberry FL 32718 hl�MgE4 Florida Certified Roofing Contractor License #CCC1329030 Office: (407) 756-7444 Email: roofingpioneerslic@gmail.com ACCREDITED Customer Name: I Date: Job Address: �a0 — kGy �,v� i ,�,C� 3Z 7.7 1 Phone ! 3a 1 11 Z l Email: Fax: Roofing Pioneers, LLC agrees to supply labor and material necessary to install your roof system as detailed below: 1) Roofing Pioneers, LLC will provide all required permits and dispose of existing roof in a proper manner. 2) Protect building, shrubs, and yard with appropriate protection where needed. 3) Remove 1 layer of existing roof and underlayment. (If required, add $25 per square for each additional layer removed) 4) Clean and inspect existing decking and fascia for rotten wood. Additional cost to replace wood is: $60 per 4'x8' sheet of plywood and $6 per linear foot of 1" plank board and pressure treated fascia. Additional cost to repair truss is $6 per linear foot. (Does not include painting wood and stucco repairs where wall flashing had to be repaired) 5) Re -nail entire wood decking as needed to meet the current Florida Building Code requirements with 8d ring shank nails @ 6" oc. 6) Supply and install ice/water shield peel&stick underlayment in all valleys and around all penetrations. 7) Supply and install underlayment to entire deck according to manufacturer's specifications. 8) Supply and install 26-gauge galvanized metal drip edge along entire perimeter of roof (color) 9) Supply and install attic vents (type/color:✓1 ) according to manufacturer's specifications. 10) Supply and install painted plumbing boots and galvanized exhaust vents to match shingle color. (Gas and powered.vents not included) 11) Supply and install shingles per manufacturer's specifications using 6 EA of IX in. galvanized roofing nails per shingle (type/color) I _ I A__i_ ., r ._n iA— 1 __.— _ 12) Supply and install - - hip and ridge shingles .and starter shingles at eaves, sealing the eaves and all flashing with roofing cement. 13) Customer is responsible for reinstallation of solar, satellite dishes, lightning rods, gutters, and all other items not part of the roof system. 14) Upon completion, magnetically sweep the jobsite for loose nails and clean up all roofing debris. 15) All work Includes (5) year workmanship warranty. Comments: The above work shall be performed Ina professional manner submitted by a n na YV S f p,(e Z for the sum of $ due upon completion of job plus the cost of any additional work as stated in line items #3 and #4 above. ADDITIONAL TERMS AND CONDITIONS L SHOULD DEFAULT BE MADE IN PAYMENT OF THE CONTRACT, CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF TWO (2%) PERCENT PER MONTH AND IF PLACED IN THE HAND OF AN ATTORNEY FOR COLLECTION ALL ATTORNEYS FEES AND LEGAL AND FILING FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT. 2. ROOFING PIONEERS, LLC SHALL NOT BE LIABLE FOR LOSS, DAMAGE, OR DELAY CAUSED BY CIRCUMSTANCES BEYOND ITS REASONABLE CONTROL, INCLUDING BUT NOT LIMITED TO ACTS OF GOD, FIRE, VANDALISM, LABOR STRIKES, RIOTS, OTHER PUBLIC DISTURBANCES, AND SHORTAGE OR INABILITY TO OBTAIN MATERIALS. ALSO, ROOFING PIONEERS, LLC SHALL NOT BE LIABLE FOR ANY DAMAGES THAT MAY OCCUR TO CUSTOMER'S DRIVEWAY AND SIDEWALK DURING THE DELIVERY OF MATERIALS AND/OR REMOVAL OF WORK RELATED DEBRIS DUE TO THE REQUIREMENT TO HAVE ACCESS TO THE ROOF IN ORDER TO PERFORM THE AGREED WORK. 3. ROOFING PIONEERS IS FULLY INSURED AND IS COVERED BY COMMERCIAL GENERAL, AUTOMOBILE, WORKERS COMPENSATION AND EMPLOYERS' LIABILITY INSURANCES. 4. IF ASBESTOS IS ENCOUNTERED, ROOFING PIONEERS, LLC SHALL IMMEDIATELY STOP WORK AND ALLOW CUSTOMER TO OBTAIN A DULY QUALIFIED ASBESTOS OR HAZARDOUS MATERIAL CONTRACTOR. S. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND: PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD ATTHE FOLLOWING TELEPHONE NUMBER AND ADDRESS: (8S0) 487-1395,1940 N. MONROE ST., TALLAHASSEE, FL 32399-0783, W W W.MYFLORIDAUCENSE.COM. 6. STATUTORY WARNINGS LIEN LAW: ACCORDING TO FLORIDWS CONSTRUCTION LIEN LAW (SECTIONS 713.001— 713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO 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 RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A'NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. 7. CHAPTER 558 NOTICE OF CLAIM: ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES ACCEPTANCE OF CONTRACT: THE ABOVE SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND HEREBY ACCEPTED. ROOFING PIONEERS, LLC IS AUTHORIZED TO BEGIN THE WORK AS SPECIFIED ABOVE BUYER'S RIGHT TO CANCEL, YOU HAVE THE RIGHT TO RESCIND THIS CONTRACT WITHIN 3 BUSINESS DAYS AFTER THE DATE YOU SIGN IT BY NOTIFYING ROOFING PIONEERS, LLC IN WRITING T14ATYOU ARE RESCINDING THE CONTRACT. THE NOTICE MUST BE DELIVERED OR POST MARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER YOU SIGN 70 CONTRACT, OTHEBWSE A,.jA% CANACLATION FEE IS DUE TO RESCIND THE CONTRACT AFTER 3 BUSINESS DAYS. Signature of Customer: Date of Contract Acceptance: CITY OF k, FIRE DEPARTMENT PERMIT # ! 8— /0 4-4 0 Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: Z 2C) MCKOy W \Jd , San Fpr Cj PL 3 2771 STRUCTURE TYPE: ZNGLE 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): **PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED * * ROOF"VENTICA'&ION: OFF -RIDGE RIDGE OSOFFIT OPOWERED VENT LSKYLIGHTS:.to YES (30FIO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA RWFE�SEOPIAn O LESS THAN 2:12 O 2:12 - 4:12 4:12 OR GREATER O TURBINES TYP F ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE er� G11Yl CC� FL# rjL) i3a O METAL FL# O MODIFIED BITUMEN FL# OTORCH DOWN FL# OINSULATED 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# OTORCH DOWN FL# 0INSULATED FL# O TILE FL# O OTHER: FL# CITY OF .� RESIDENTIAL RE -ROOF &Fire Prevention Division 1V -ROOF POLICY & PROCED URES 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) 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: 7I zc / THIS INSTR PR ARED BY- THIS n5on �t��eZ id.µ` FFR _ n 1 Addt'ess:1- 1 Q 005-5 FL- 32-7I d L1�! I��1lI �II(�i ll�l �� IIII� IIII fill t he �hll f1i°il_I_l'r : SE11 1,110f_E: i':OUIII f:, L.ERh OF ii'j r:Cii�l; i .. '': t'lF`'iROIL L.Fli I 9-81 �ia..: � !-'<a RE=C:I)RDED 1)2/2 /2`i11;3 > ° i i . ° �1i) I'll REc 0RD1N(-'- FEE"" !i'ECORDE].j B 'G5M i ch Permit Number. Parcel ID Number: 3 - Q w31 - 52-7 - 0003 '" 079 0 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following informationisprovided In this Notice of Commencement 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 1Q7 73 GEDAR. NIL 12E'PLAT -Pb G3 'GCS 36 37 & 98 22Ct P�Ckay `eg 2. GENERAL DESCRIPTION OF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED F R THE, IMPROVEMENT: Name and address: (71I4iii Qtee ZZO WXC t 'e*t :Str'tEC;C4 1✓L 32-7-7i 1( Interest in property: bz n e Fee Simple Title Holder (f other than owner listed above) Name: Address: 4. CONTRACTOR: Name: ,n ' C-e1S LLC Phone Number.. Li .'T'15c ,i I� Address: T•d BOX 1802 CC7`se_1h1__rrq FL 32718 5. SURETY Of applicable, a copy of the payment bond Is attached): Name:. Address: Amount of Bond: 6. LENDER: Name: Phone Number. Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided. by Section 713,13(1)(a)7., Florida Statutes. Name: Phone Number. Address: a. in addition, Owner designates of to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless .a different date is specified) WARNING TO OtMVER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1. SECTION 713113, 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. i ud lbonzalc-'2 (Signet of Owner Owner s or L •s Name and Provide Stgnetoys Togdof lice) Au"e O�iceilDiieel adn6dManap State of F OY'1 G County of Sern Ir) of The Foregoing instrument was acknowledged before me this 2"3 by 1 fat) Gonzcilez 'flame d perso king atatemen! who has produced. Identification, type of identification produced: 5 2)J— El- EXPIRESALBA L PREZCOMMISSION #GG0714r r, February 09, 2021 day of Feb 1'CJCI' , 2018 Who is personally known tome ❑ OR -48-132- t*'� e•- `i(s�\'': 'n� WIC ,� �,•-::,ems �---.,rt C� � A CITY OF Building & Fire Prevention Division RESIDENTIAL RE ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ' — �� (� ADDRESS: 2.2.0 WIKOV 2)I \id SclnrotJ r--c_ 3Z771 I J a r-C8 (2,04C 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 ##: CGC 1323030 COMPANY / CONTRACTOR: T00 11'1 '_?I0` tcfS LLC CONTRACTOR SIGNATURE: 4&DATE: 0 2 (MUST BE SIGNED BY LICENSE HOLDER R 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 �k--rn1rr0� G Sworn to and Subscribed before me this Z6j day of �r'2 rrC1C 20 9@i by: J �1' n Who is � Personally Known to me or has ❑ Produced (type of identification) l-e Signature of Notary Public State of Florida Atba '_Re:reZ Print/Type/Stamp Name of Notary Public as identification. ALBA L PEREZ MY COMMISSION # GG071486 ''+&►id EXPIRES February 09, 2021