HomeMy WebLinkAbout249 McKay Blvd (3)MAR 12 2018
.,CITY OF
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
18- %A 9-5
nrnmented Cnngtrnrtinn
IL
Application No:
Job Address: 24q he-m'sl SIVd SadcM (l 32711 Historic District: Yes❑No❑
Parcel ID: 3 I J q--� l 5 2-70000- 0 6 M Residential Commercia
Type of Work: Nen Additior Alteration Repair Demo❑ Change of UseEl Move
Description of Work: �.FEf.06V W j 114 0 i EA 2_ 5" 1'NGLF
Plan Review Contact Person: QuA Title: l OV) VI(rIr_ VI) f,
Phone: 3 Z I ' fl - S 44g4 Fax: Email: r I Y)Q &W000. cc�1'')
Property Owner Information `
Name 'Elt-o h Cl Q YCA NOi d t li Q_ S Phone:
Street:.,' 4-ci tAo(c i3rvd Resident of property? : eS
City, State Zip: _%)arlKd ► F1 32-111
r,,a' I } Contractor Information
Name. 1fl1 f i. V 2C d Phone: 3 Z 1-3-7-1- S 4& q
Street: _ _ 44k a VeS t Day- CV Fax:
City, State Zip: LQV-e, 'naY\l I F (� ?j2'] 4 State License No.: CCC 3IS-10
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
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: 6th Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
NQ'I'ICL;: 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 ott 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 informations ccu to and that all work will
be done in compliance with all applicable laws regulating constructs zon
1 // ti
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
!W Jw— � /N-/ L
Signature ofrrContractor/Agent 11ate
4Q
mx's Na'
V
1
ANNETTE M BLAND
Notary Public — state of Florida
Commission # GG 170900
My Comm. Expires Jan 16.2022
,, nona No:ary Assn
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑
Construction Type:
Total Sq Ft of Bldg:
Electrical ❑ Mechanical ❑ Plumbing[:] Gas Roof ❑
Occupancy Use: Hood Lone: _
Min. Occupancy Load:
New Construction: Electric - # of Amps.
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: GUN1NCi:
ENGINEERING:
COMMENTS:
U'1'1LlTIES:
FIRE:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WA"1'EK:
BUILDING:
Revised: January 1, 2018
Permit Application
WFR Development Solution Inc.
Roofing
448 Harvest Oak Ct Lake Mary, Florida 32746
License # ccc1325701/ Insured
Phone # 321-377-5484 / email: reedsroofing@yahoo.com
Contract: 679
Submitted to: Nadine Blanchard December 29, 2017
Address: 249 Mckay Blvd. Sanford, FL 32771
Scope of Work: Re -Roof
• Remove 1 of the existing roof membrane.
• First (2) roofing sheathing decking is part of cost.
Repair all wood damage on roof deck @ $1.35 sq. ft.
• Re -nail entire roof desk 6'oc with shank nails. To meet FL codes.
• Dry in with Rhino underlayment.
• Install New valley flashing
• 30-Year. Tamko -� �' �' �Q 11C'� Architectural Shingles.
• New Lead boots on all plumbing Pipes.
• Install New Eaves Drip
• Jnstall new Ridge Vents.
• Remove all debris from premise.
• Five Year Limited Labor Warranty.
Investment for above Scope Of Work: $ 6,900.00
All material is guaranteed to be as specified. All work to be
practices. Any alteration or deviation from above specificat
orders and will become an extra charge over and above the
delays beyond our control. We will not be responsible or
up to building. The proposal subject to accepta ce thin 3
WFR Development Solutions, Inc. is not respon ibl for nai
Agreement the prevailing party shall be entitle to ecove
mediation or action in the State Courts, includ g al a� ea
Authorized signature
• The above prices, specifications nd con ions are
will be made outlined above.
ACCEPTED:
Date: ,—L,' Z. al ` Cl
:o ed in a workmanlike manner according to standard
o s invo ving extra cost will be executed only upon written
timate. 11 agreements contingent upon strikes, accidents or
iveway c acks. Price is based ofpur trucks being able to back
days a d is void thereafter t e option of the undersigned.
damag . In the event of dis I# or litigation arising out of this
ill atto ney's fees and con c sts, in conjunction with
accepted. ou are autyorized to do the work as specified. Payment
According to Florida's Construction LIEN Law (Sections 713,001-713.37, Florida Statutes), Those who work on your
property or provide materials and are not paid in full have a right to enforce their claim for payment against your
property. If your contractor or a subcontractor fails to pay subcontractors, sub -contractors, or material suppliers, the
people who are owned 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 a subcontractor may have failed to pay. To protect yourself, you should stipulate in the 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 LIEN LAW COMPLEX, AND
IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY".
SCPA Parcel View: 31-19-31-527-0000-0680
pl ATEcat "I
opnr
cf Property Record"Cartl-
Sa
Parcel: 31-19 39-527-OflOfl 068fl
fow',X;
if�.--
oraon I Property Address: 249 MCKAY BLVD S�jf�P�ORE);' ,6 32771
I iIr r I let Baok
Parcel, formation- _ Value s
j OR Par celI
�h 1i9-31 527!0b00-0680
_ tdtvt5r,7n1.i'K
� Owner
r' ? i'WW^.eT —
-BE�ANCHARD, NADINE S
I Property Address_
299.MCKAY BLVD SANFORD, FL 32771
Mailing
249 MCKAY BLVD SANFORD, FL 32771-
Subdivision Name
CEDAR HILL REPLAT
Tax District
S1-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
00-HOMESTEAD(2017)
Legal Description
LOTI68
CEDAR HILL REPLAT
PB 63 PGS 96 97 & 98
Taxes
Page 1 of 2
2018 Working
2017 Certified
i
Values
Values
Valuation Method
Cost/Market
Cost/Market
._Number of Buddudd 9
1
—
Depreciated Bldg Value
_ ,1_�_ ..—_._
j $93,357
$88,053
Depreciated EXFT Value
$325
$338
Land Value (Market)
$32,000
$30,000
Land ValueAg
Just/Market Value'"
$125,682
' $118,391
Portability Adj
f
--_-__—
$29,872
Save Our Homes Adj
i $35,304
Amendment 1 Adj
$0
P&G Adj
; $0
$0
Assessed Value
$-90,378
$88,519
0 Tax Amount without SOH: $1,466.00
2017 Tax Bill Amount $897.00
Tax Estimator
Save Our Homes Savings: $569.00
Does NOT INCLUDE Non Ad Valorem Assessments
Seminole County GIS
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$90,378
$50,000
$40,378
.s- _.-- �_ _
Schools
_ _ _ __ ....
$90,378
_.-.
$25,000
$65,378
City Sanford
$90,378
$50,000 :
$40,378
___ _.� _.--...-._ ._._._._
SJWM(Saint Johns Water Management)
....... ......_ ......____ _� _.. .._.__..
$90,378
$50,0��00.��i
$40,378
_
County Bonds
$90,378
$50,000)
$40,378
Sales
Description
Date
Book
Page
Amount
Qualified
VaGlmp
WARRANTY DEED
1 8/1/2016
08762
0034
$124,000
Yes
Improved
WARRANTY DEED
1 5/1/2012
07780
0535
$75,000
Yes
Improved
SPECIAL WARRANTY DEED
3/112011—
07549
1248
$59,000
No
Improved
CERTIFICATE OF TITLE
6/1/2010
07396
1886
$100
No
Improved
WARRANTY DEED
111/1/2006
06516
0440
$204,000
Yes
Improved —
SPECIAL WARRANTY DEED
CORRECTIVE DEED
8/1/2004
7/1/2004
05447
05395
0164
1084
$120,000
$100
Yes
No
Improved
Vacant
WARRANTY DEED —�
m 4/1/2004
1 05266
1258 ma
$461,300
NoW --
-------- _
- Vacant
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT 1 $32,000.00 $32,000
Building Information
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=31193152700000680 3/12/2018
fsjNFORD
•�
DEPARTMENTFIRE
PERMIT #
.Building & Fire Prevention Division
RESIDENTML RE -ROOF SCOPE OF WORK
JOB ADDRESS: 2 4 q Mckn j & vd,SQn.p()rd . FL 3 7 ] 7 )
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 40 REPLACEMENT (T.AA III FXTCTIll PIIP ANTI RFPT A(P NXIM4 T.IFIA ! (1TRPllNFT TCi
k _ —, —..... ... .... . .. ,.. _..... . am _ LL.. �....,._ ... _ 1
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY):
* *PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: DOFF -RIDGE 0 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 O 2:12 - 4:12
4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
(
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL# -
O TILE
FL�i#
U OTHER:
I
I FU1A,
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
,FLOR DA PRODUCT APPROVAL
n SHINGLE
d'
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O T ILE
r L#
O OTHER:
FL#.`
CITY OF
a S-k�ORD
Building &Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & 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 1N 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 (INCEMING, 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 AFF(ANC)
PROVIDED BY A FLORIDA DESIGN
Oi P .
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC COBY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: �� �j DATE: 031 oil I'K
1111111 Hill 111111111111111 Infr ronii
GRANT MALOYr SEMINOLE COUNTY
CLERY. OF CIRCUIT COURT & COMPTROLLER
THIS INSTRUMENT PREPARED BY: BK 9089 Ps 1335 (1P95)
Name: Willie Reed CLERK'S t 2018027107
Address: RECORDED 03/12/2ii18 11:39:11 All
-A 8 ry I aka Ma . FL 39746 RECORDINGBFEES $ h•00 .
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 31-19-31-527-0000-0680
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.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
-24.9 wrottAi�-��V enrrnDn, Cfy02774
2. RerO0 wits 0 YearNTam�Co �S�iingleNT'
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: BLANCHARD NADINE S 249 MCKAY BLVD SANFORD, FL 32771
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
WFR Development
4. CONTRACTOR: Name -Development SolutionsPhone Number: 321-377-5484
Address: 448 Harvest Oak Ct, Lake Mary 32746
5. SURETY (If applicable, a copy of the payment bond Is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: Phone Number.
Address:
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)(a)7., Florida Statutes.
Name: Willie Reed Phone Number: 321-377-5484
Address: 448 Harvest Oak Ct, Lake Mary FL 32746
8. In addition, Owner designates
to receive a copy of the Lienor's 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 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
PAYIN6TWICE 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.
(Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's'nde/Office)
Authorized Officer/Director/Partner/Manager) (�
State of 1' KJ County of mth0 �L
The f*ore�going
, Instrument was acknowledged before me this �� day of 20 i ^)
by \V!Ci`0�1r� �\�YIC�'1G Who Is personally known to me ❑ OR
Name of person making statement ?� /
who has produced Identification Ppe of Identification produced: C UrtVG( V1C en S�-
011V PooLo Damads Mojlca
Myt3ommisslon Expires
March 20, 2021
Coffiml®®lon No. QQ 049se
C0N\5 '
F, o���� aL`Ee�01
ok
f).
THIS INSTRUMENT PREPARED BY:
Name: Barry Safiey
Address: _1724 W. Broadway St. --
Oviedo, FL 32765
Permit Number:
Parcel ID Number. 31-19-31-527-0000-0680
1181111 Hill 1111011111111111111111111111
CRANT 11ALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT G COMPTROLLER
EK 9070 Ps 413 (1p9s)
CLERK'S A 2018013792
RECORDED 02/06/2018 10:39!30 AM
RECORDING FEES 010.00
RECORDED BY hdavare
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
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address If available)
LOT 68 CEDAR HILL REPLATPB 63 PGS 96 97 & 98
a. V1041
:KAL DESCRIPTION OF IMPROVEMENT:
Fence Improvement
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: NADINE BLANCHARD 249 MCKAY BLVD. SANFORD FL 32771
Interest In property: Owner
Fee Simple Title Holder (If other than owner listed above) Name: —
Address:
4. CONTRACTOR: Name: Fenoe Outlet Phone Number. 407-359-8092
Address: 1724 W. Broadway St. Oviedo, FL 32765
9. SURETY (it applicable, a copy of the payment bond Is attached): Name: N/A
Address: Amount of Bond:
0. LENDER: Name: N/A Phone Number.
Address:
7. Persona within the State of Florida Designated by Owner upon whom notice or other documento may be served as provided by Section
713.13(1xa)7., Florida Statutes,
Name: N/A Phone Number
Address:
11. In addition, Owner designates N/A of
to receive a copy of the Llenor's Notice as provided In Section 713.13(1)(b), Florida Statutes
Phone number.
0. Expiration Date of Notes of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
tHnlrroG 70 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.
(Blpasluro of Owner or Leaaw, or owrkWa or Lowao'o
Auft "'dOfft6rOlmtor1PwM&-Ahnagw1
State ofyu D 4 „ county of 69 WOL8
(Prh No= end PrwWo 81gr&ory'o Tift loo)
The foregoing Inotrument woo acknowledged beforo mo thlc M7 Tk day Of
by
wh
SxY OF
NFORD Building & Fire Prevention Division
RESIDENTLAL RE-R OOF A FFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I D - 1 Ms ADDRESS: 2 4q M c wi _Ryrl �adoyrd R 31171
I W 11 I 11. Recd , 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 #:
COMPANY/
CONTRACT,
(MUST BE S
A FINAL ROOF INSPECTION 1S REQUIRED:
DATE: 12"
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 DRH' EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUHEMENTS.
"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 _2L</0)\f JC-
� ' 1
Sworn V and S.Pbscribed �efore me this day of j� 20 b� by:
Who is ❑Personally Known to me or has ❑Produced (type of
20r HY PG,B,(4�'. TANYA L DILLARD
Notary Public - State of Florida
_= Commission # FF 954402
My Comm. Expires Jan 26, 2020
Print/Type/Staibp Name
of Notary Public