HomeMy WebLinkAbout416 Case Marina PlCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 1L600, 0 J
Job Address: 'y��p a,5'ef 6.l n Vl pj sS�'t Historic District: Yes ❑ No ❑
Parcel ID: c9_0( -(q -'/. i -501 -Wk Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ RepairV Demo ❑ Change of Use ❑ Move ❑
Description of Work: ( T, C. "/- - t Y-\(A �- 2p non r "o
Plan Review
-Contact Person: �-'S- e -y� Title:
Phone• 3� �%�-� Fax: 3s D(4 5��1 Email: _tnan+ ac-4o m
Property Owner Information
Name Aoha1ffl Gt l )uuhiN1. In Phone: —1/ �(_ (Dg- ss?�
Street: m-lo��l� Rd 11 Resident of property?
City, State Zip: - 1rncA Es:f 4+e S r, Kit/ 111(3a
Contractor Information CC
Name0_Phone: 3Jo -C�I� <AOD-s
Street: 4Fax: 35a-aq0 -� 3 G
City, State Zip: State License No.: OT I
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
hitect/Engineer Information
Phone:
Fax:
E-mail: _
Mortgage Lender:
Address:
`YARNING 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
FINAiNCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a pen -nit 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: 51h Edition (2014) Florida Building Code
Revised: Rune 30, 2015
Permit Application
n
r
11
r
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 [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: 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 coning.
Signantre of Owner,/Agent
Print Owner'Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Nte or
Produced M Type of M
Signature of Contractor/AQent Date
�nu�Wt-.
t Contractor/A;ent's Name
IIl
ofN t ry-State of Florida e
LINDSAY DUCKIIAM
4' I O �ftY r4�z��Y
Commission # FF 1 / 2 210
My Commission F_xpires
October 28, 2018
Contractor/Agenti t" l� (e or
Produced [D Type of [D
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 ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
2/19/2018 SCPA Parcel View: 29-19-31-501-0000-0110
j
r Property Record Card
I Parcel: 29-19-31-501-0000-0110
Property Address: 416 CASA MARINA PL SANFORD, FL 32171
Parcel Information
II Parcel 29-19-31-501-0000-0110
RAHMAN, MOHAMMAD M & BILLAH, MUHAMMAD M & SYED,
Owner ; AMAIN ET
i ZAMAN, MOHAMMAD N & MOTIN, ABDUL
Property Address j 416 CASA MARINA PL SANFORD, FL 32771
Mailing 183-10 DALNY RD JAMAICA ESTATES, NY 11432
Subdivision Name 'CELERY KEY
Tax District S1-SANFORD
DOR Use Code 1 01SINGLE FAMILY
Y
0 •
•
il
minole Count
Value Summary
, l
2018 Working 2017 Certified
Values j Values
Valuation Method Cost/Market Cost/Market
Number of Buildings _ 1 1
Depreciated EXFT Value
} Land Value (Market) $32,000 _ $32,000
I Land Value Ag �
I JustiMarket Value $162,753 $155,243
Portability Adj
j Save Our Homes Adj $0 $0
j Amendment 1 Adj $8,713 1 $15,207
so
P&G Adj
Assessed Value $154,040 $140,036
Tax Amount without SOH: $2,766.39
2017 Tax Bill Amount $2,766.39
Tax Estimator
Save Our Homes Savings: $0.00
" Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 11
CELERY KEY
PB 64 PGS 85 - 96
Taxes
Taxing Authority
Assessment Value
Exempt Values
1 Taxable Value
County General Fund
$154,040
'.
$0
$154,040
Schools
$162,753
$0
;.._
$162,753 '•:
City Sanford
$154,040
$0
l
$154,040
SJWM(Saint Johns Water Management)
$154,040
'
$0
$154,040
County Bonds
$154,040
$0
$154,040
Sales
Description Date
j Book Page
Amount
Qualified
Vac/Imp
WARRANTY DEED 6/1/2010
07406 0920
$108,000 No
Improved
WARRANTY DEED 8/1/2004
05444 1115
$200,000 i Yes
Improved
Find comrArableSales
i
Land
Method i Frontage
Depth Units
i Units Price
Land Value
LOT
1
$32,000.00
$32,000
Building Information
! ! Year Built ! I I t
# !Description Fixtures Bed .Bath i Base Area Total SF ;Living SF Ext Wall I Adj Value Repl Value Appendages
ActuaVEffective i
1 i SINGLE 2004 10 : 4 3.0 e 1,361 : 2,906 2,321 I CB/STUCCO $130,753 $137,274 ',
( FAMILY FINISH DescnArea ption ;
http://parceldetai l.scpafl.org/ParcelDetai I info.aspx?PI D=29193150100000110 1 /2
2/19/2018
SPA Parcel View: 29-19-31-501-0000-0110
Permits
Permit # Description
01743 NEW - RESIDENTIAL
Extra Features
Description Year Built
SANFORD
Amount ; CO Date
$167,100 ' 8/31/2004
'• Units Value
i
No Extra Features
OPEN
128.00
PORCH
FINISHED
j OPEN
PORCH
33.00
FINISHED
€ GARAGE
FINISHED
424.00
i UPPER
STORY
960.00
FINISHED
Permit Date
4/19/2004
New Cost
t
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=29193150100000110 2/2
Permit Number: l�
Folio/Parcel ID #: -0 000 -
Prepared by:
Return to: Covenant Roofing & Construction Inc.
1410 Emerson St.
Leesburg, FL 34748
61`0'HT I`VIL-0YY SEI`M-10LE: COUNTY
CLERK OF CIRCUIT COURT & C:OVIPTROLI-ER
Br. 9079 F's :5 (IPos)
CLERK'S g 2018020036
RECORDED 02/211201=a 01,:71PN
RE"CORDII-IG FEE $10.00
RF-CO+RDED B) hdevor a
NOTICE OF C61VIMENCEMENT
State of Florida, County of
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 9f pro)lerrly (legal description oAthe V111property, at� street address if available)
2. General descri
Re -Roof
3. Owner information or Lessee information if the Lessee contracted for the improvement
Name Mohammad Rahman
Address 416 Casa Marina PI., Sanford FL 32771
Interest in Property
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Name Covenant Roofing &Construction, Inc. Telephone Number 352-728-8818
Address 1410 Emerson St Leesburg, FL 34748
5. Surety (if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address Amount of Bond $
6. Lender
Name Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 BEFO)R# COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
X 1�
Signature of Owner or
or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
o q 1-" N
Signatory's Title/Office
The foregoing instrument was acknowledged before me this `J' day of FeLQ018 by H O hICt'iYl{ 10 H R¢h O
mont ear name of person
as OLL) n p-r— for
Type of authority, e.g., officer, trustee, attorney in fact Name of party on behalf of whom instrument was executed
Signaturg of Notary Publ' Late of Florida Print, type, or Mamp commissioned name of Notary Public
Personally Known OR Produced ID
JOCELYN IZZARD
Notary Public, State of New York
CER
iEDTtY(Peeof 11DNIProdt`ced
No. 01 IZ508201 9
CLER OF THE CIP !!ITC. ��
CJ`' \
Qualified in Queens County
Commission Expires July 14, 20z Q
AND
SEMI
OMRTR "
; Pi. RI 4 }
By
or nt vlsed: 011 34, 4r
— DEP 'Tr CI.ERK
Date_
100HNG
_CC70VI
t
1410 Emerson Street, Leesburg, FL 34748 a State Roofing License: CCC1329936 • License: C00037504
Phone: 352-314-3625 • Toll Free: 855-314-3625 a Fax: 352-240-3439 a www.covenantrnc.com
SALES CONTRACT
Covenant Roofing & Construction, Inc. agrees to furnish all materials and labor necessary to do the modernization work at the following address:
Name Mohammad Rahman
Address 416 Casa Marina PI
City Sanford
Phone 718-864-8882 Phone(w)
2/1/18
Date
State FL ZIP 32771
Email
In accordance with specifications given below:
REROOF:
A. SHINGLE ROOF
1. REMOVE OLD ROOF TO WORKABLE SURFACE.
2. RENAIL ROOF DECK WITH RING SHANK NAILS.
3. REPLACE ANY ROTTED WOOD WITH STANDARD SHEATHING ®$ 7 PER FOOT AND $ 90 PER SHEET OF PLYWOOD, IF ANY. (Initial)
4. INSTALL UNDERLAYMENT OVER ENTIRE ROOF.
5. NSTALL FHA/VA EAVES DRIP. COLOR
6. INSTALL NEW VALLEY METAL AND FLASHINGS AS NEGMTATFY,
7, INSTALL NEW LEAD BOOTS OVER VENT PIPES AND RESEAL VENTS.
8. NSTALL IT YEAR FIBERGLASS SHINGLES. COLOR Driftwood or Weatherwoo _ 2v �q h
9. INSTALL 40 1f FEET OF RIDGE VENT AT-$6.00-P6A-904 ,COLOR
10. CLEAN-UP JOB SITE OF ALL WORK DEBRIS AND HAUL AWAY ALL RELATEDMIRIS AND LEAVE JOB SITE CLEAN.
11. CONTRACTOR WILL COORDINATE REMOVAL AND REINSTALLATION OF ROOF RELATED PERIPHERALS SUCH AS (BUT NOT LIMITED TO) SOLAR UNITS, SKYLIGHTS, TV DISH
AND AIR CONDITIONERS, ETC. REMOVE AND REINSTALL EXISTING SOFFIT AND FACIA 0 $4.25 PER FOOT I ADDITION TO CONTRACT PRICE, IF REQUIRED. THE COST FOR
SUCH WORK WILL BE IN ADDITION TO CONTRACT PRICE AND HEREIN APPROVED BY HOMEOWNER.X —(Initial)
12. ALL WORK COVERED BY A 5 YEAR WORKMANSHIP WARRANTY.
1. Contract Documents. This contract consists of this document, extra work1wood authorizations, if any, and if payments
hereunder are to be financed, all financing documents. No promises other than those specifically set forth in the contract
documents shall be recognized by either parry. The entire understanding and agreement of the parties is contained in the
contract documents.
2. It is understood and agreed that this contract shall not become binding upon Covenant Roofing & Construction, Inc. until it is duly
approved, accepted, signed and witnessed by an officer or officers of the Seller. ASAP
3. Work on the job described in the contract documents will commence on approximately and be
completed on approximately ASAP The recited dates are approximations and are subject to scheduling
difficulties of Seller, labor and/or material shortages, acts of God and other events not foreseen by Seller. Seller reserves
the right to employ any sub -contractor for the completion of the work described in the contract documents.
4. Covenant Roofing & Construction, Inc. reserves the right to substitute materials of equal or greater value and kind. Any required
materials such as fire retardant plywood, longue and groove board, etc, will be billed on a time and material basis. All other
changes required by New Jurisdictional Code Enforcement Laws may result in additional charges.
5. Interest at the rate of eighteen It 8%) per cent per annum will be charged on all balances not paid as per the terms specified
above. Reasonable attorney's fees will be charged to the Purchaser if it is necessary to place this contract in the hands of an
attorney for collection, and this charge becomes a part of the contract and obligation of the Purchaser to pay.
6. Parties agree that this agreement shall be construed according to the laws of the State of Florida and any action brought
thereon may be brought in the State of Florida. Venue is hereby agreed to be in Lake County Florida
7. BUYERS RIGHT TO CANCEL (SOLICITED SALES ONLY) If you do not want the goods or services, you may cancel
this agreement by providing written notice to the seller in person, by telegram, or by mad. This notice must Indicate that you
do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you
sign this agreement.
8. Both workers compensation and public liability insurance are carried by the Seller and they are applicable to the work to be
performed.
9. It is understood and agreed that the buyer fold harmless, Covenant Roofing & Construction, Inc., for any damages that may
occur to the buyers driveway(s) during delivery of materials and/or removal of the work related debris that maybe required
to perform this home improvement contract Furthermore, the buyer herein gives permission for typical delivery vehicles and
typical waste removal vehicles to enter said driveway(s) for the purpose of expediting this sates contract.
10. Contractor will coordinate removal and reinstallation of roof related Peripherals such as (but not limited to) solar units, skylights,
T.V. dishes and air conditioners, etc. The cost for such work will be in addition to contract price and approved by homeowner.
11. Covenant Roofing & Construction, Inc. shall not be hod responsible for damage to electrical lines, water lines, refrigerant lines
or other mechanical components that have been Improperly installed near root decking and may be damaged while performing
installation of roofing materials. Villages Roofing & Construction, Inc. shall not be responsible for any additional costs due to
roof decking that may have old materials adhered in such a way that requires redecong of structure.
12. Construction Industries Recovery Fund payment may be available from the CIRF if you lose money on a project performed
under contract, where the loss results from specified violations of Flonda law by a state -licensed contractor. For
information about the recovery fund and filing a claim, contact the Florida Construction Industry Licensing Board at the
following telephone number and address: 7960 Arlington Expressway, Suite 300, Jacksonville, FL32211-7467 or call (904)
727-6530.
13. Chapter 558, Florida Statutes contains important requirements you must follow before you may bring any legal
action for an alleged construction defect in your home. Sixty days before you bring any legal action, you must
deliver to the other party to this contract a written notice referring to chapter 558 of any alleged construction defects
and to consider making an offer to repair or pay for the alleged construction defects. You are not obligated to accept
any offer which may be made. There are strict deadlines under this Florida Law which must be met and followed to
protect your interests.
Contract Price $ __ /yc,00
Deductible - $4.480
Homeowner Portion $ 4,480
(Plus Total from Item No. 3 above)
UPON COMPLETION
Executed in triplicate, one copy of which was delivered to, and receipt is hereby acknowledged by Buyer,
this 1 day of Feb 2018
Approved and Accepted: NOTICE TO OWNER
a. Do not sign this home improvement contract in blank.
b. You are entitled to a copy of the contract at the time you sign. Keep it to�lpr ltec/t your riots.
(Seal) " (Seal)
(Dealer -Seller) (Purchaser Sign Here)
BY [X)
(Title)
SALES N
(Seal)
(Purchaser Sign Here)
FORD PRESS, INC. 352.787.46M (mike)
CITY OF
Building &Fire Prevention Division
SkNFORD
RESIDENTIAL RE-ROOFPOLICY& PROCEDURES
FIRE DEPART4IENT
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 BC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: b
JOB ADDRESS: //W
9
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
AMMO
STRUCTURE TYPE: *SINGLE FAMILY RESIDENCE/TOWNHOUSE O N'IOBILE HOISIE O APARTMENT/CONDO:MINIUM
RE -ROOF TYPE: lff�REPLACEiNIENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COt'v[PONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
"PLEASE !VOTE: OrVL Y 100 SOLI RE FEET OF THE EMSTI.VG DECKIS PERiWTTED TO BE REPLACED * *
Roor VENTILATION: DOFF -RIDGE "RIDGE OSOFFIT OPOWERED VENT OTURBE ES
SKYLIGHTS: O YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-------------------------------------------------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2: 12 O 2:12 -4:12 ARM 4:12 OR GREATER
TYPE OF ROOF
INIANUFACTURER
FLORIDAPRODUCT APPROVAL
®-SHINGLE
C,e
FL# `[ I '
O METAL
FL#
O MODIFIED B ITUNIEN
FL#
OTORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
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 NIODIFIED BITUMEN
FL#
QToRCH DOWN
FL#
O INSULATED
FL#
O TFLE
FL#
0 OTHER:
FL#
Limited Power of Attorney
Date le
I hereby name and appoint Robert Horne of Covenant Roofing and Construc�n . to be my
lawful attorney in fact to act for me and apply to
for a permit for the address below:
a PL
Joseph E. Rayl, Contractor Licen gJ4CCC1329936
Acknowledged:
Sworn to and subscribed before me this " 1 daY of� 20
By Joseph E. Rayl who is —Xpersonally known to me or _ produced as
identification.
Aotarvyublic, State of Florida
My Commission expires:
10.1,i- LAURA WESTMAN
C�
Commission # GG 100690
MY Commission Expires
''" ° May 02, 2021
F .A D City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT 9:1 E _�n
I josen" Rflu
ROOFING CONTRACTOR, E: WEER, ARC [ ECT, 0
FOREGOING INFORMATION IS TRUE A_ND ACCURATE
1 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIR.\I, THAT ALL OF THE
D THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF \\ ORK AT THE
\BONE REFERENCED ADDRESS HAVE BEEN INSTALLED EN ACCORDANCE WITH THEIR PRODUCT APPROV'A V:VD ALL APPL[C.\BLE 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 ACCORD:\NCE WITH THE FILRRICANE RETROFIT
NtANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: CCC
COV[P.A_:NY / CONTRACTOR:
CONTRACTOR StGNATLRE: _
( MUST BE SIGNED BY LICENSE
3
0 \vN&; ,'B
A FINAL ROOF INSPECTION" IS REOUIRED:
DATE: a
THIS SIGNED AND.NOT D AFFID-\NIT MUST BE PROVIDED AT THE JOB SITE AT THE TIYIE OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGIT. PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOVING IN DETAIL .ALL CON[PONENTS (DECKING,
UNDERL.AYNIENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERN[IT NU;�IBER 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 VALLEYFLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
P.APER�VORK FOR FURTHER EXPLANATION OF .ALL REQUIRENIENTS.
**FAILURE TO FOLLO'A ALL REQUIREMENTS WILL RESULT IN _\ 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
Sworn to and Subscribed before me this �y daof 20 by:
_4001
. Who isy,Personally Known e or has - Produced (type of
ation)
Sign Ure of iNotaryoPubfic
e of Florida
h nQtq ,
Print/Type/ t mp Name
of Notary Public
as identification.
•'""'"'
LINDSAY DUCKHAM
Sf t�
Commission # FF 172210
-
My Commission Expires
a,,,,,,,,,,•
October 28. ?. G t 8