HomeMy WebLinkAbout100 W 30 StBuilding & Fire Nevemion Division
PERMIT APPLICA 110N
Appllication No: _ /9--a-344
Documented ConstrudiouV-*Ilue-.S 111110q 0.0
Job Address: 100 W 30th St lilsioric District. YusMNvF]
Parrcl ID: 01-2,0-30-518-0000-0200 ResidentialF ellciat: Comm
Type of Work: NeQ Addition[] Alterationo ltqfdro llernoM Change of Use[] MOVCH
V-1 ar + e-roof R (0 5" C4_p
Description of NVork: q i d C, ap
Plan Rryievy Contact rvrsun: Jennifer Baker I Title:
E-unal. adroofinqinc@gMaitcom
Phone: (352)720-3463_ Fax: 1jenbaker
Property Owner Information
Name Larry & Mary Dodson Phone: (573)291-9282
S ') . Yes Street: 100 W 30th St Resident of property".
City .,State Zip- Sanford, FL 32773
Contractor Information
Narne Architectural Creations, Inc Phone- (352)720-3463
Sheet: 3561 Lakesbore Or Fax;
City, stale ZIP: Mt Dora, FL 32757 -State License No.: CCCO57357
Arch1tectirEngineer Information
Narne: N/A Phone -
Street:
Fax:
City, St, Zip: E-mail:
Bonding Company-. N/A
Address:
Morigage Under: N/A
Address:
8VARNINIG TO ONVNER: YOUR FNILURE TORECORD A NO'rtCE Of SItJLT IN YOUR
PAVAN 11VICE FOR 01TROVEM)YINTS TO YOUR A NO',VWE OF CONINNIENCEMENT MUST BE
'RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST WSPECTION. IF VOU INTSISW TO OBTAIN
FINANCING, CONSULT NVITH YOUR LENDER OR AN AI ORNEY BEFORE RECORDING YOUR NOTICE 0V
(_-(YNV)1 ENCEM EN'r.
AppliCultion is ll=by Ilka& to 01YUCID 0 permit to du The wark and iustallutiuns as indicated. I crrtiry tbal no work- or iTrnatlation has.
commenced Poor to the issuanrx of PM)it and that all work will be perfmnod to meelstandards of ail tm regulating Construction
in this jurisdiaion. J understand that a separate permit must be secured for electrical work, plowbing, ftns, wells, pols,
furnaces, builers, licaters, tanks, and uj*r ronditioncr%, etc.
ITC 105-3 Shag be instribedA41h the date ornplylicatlao arwd dte code latfrect as of that date: fill, Edition (2017) nortda Roildiap, 0xie
NOTICE In addition to the rcq-U1TCuWtiL9 Of (hLi pmuit, tbvm itay beaddititooW m-surictions APOMJAC to this property that my be
found to the P i its rr ' f es such as At-
tLblic rmords o f this county, and them may be additional p= Aluired Groan other 90YCETIMCntal Cntiti w -r
nianagenoent district,-, state MZencicll, fit fa*=1A9cnck5.
Ac-ccptancc of permit is verification that I will notifv t1w own" of the mpem of t1w-, requirements of Florido Lien_Law, FS 713.
The City rkr53uulord [eqvires paymcal Ora plan roview fee al, Ole t'1IT , the executed contract iF. requirM
, c, of, permit submiftal. A copy of
in ordM LO C01-AMAD U'P1011 PON44V 011 rgo and will he- comsidcrod the cslitnate'd cansmction v ahic of the job at the thte of submittaL
The actual coligmetion vajue will be figured based on tbq current [CC Vatuad0a Table in cfTect at tho time the Nmp tt is issued, in:
accordance with local wdinan= Should catculated chargm figurod off dw C=cvtod CK"Itravi c)(CWd No actual au"Struui(n) valuu,
nA
it wilt be applied to ynur permit feel When the permit is issued-
WNER'S AF IDA 11! 1 certify that All Of the foregoing WfOrmAtion is Ilecu"te and that all wot,k brill
be done in compliance --vith all applicable law-S
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Ito
MY COMMissicict rGM1
EXPIRES January 11, 2021
Owftcr)A,gcntis V Petsonally,Known toWcar
Produved ID Type of[D
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TINA Boy()
MYC-OMMILSSION Af C'G0031''
EX_PIRE$j2r'WTY 17. 2021
Cantractoz/Agentis, V PersonullyKnotNrnlu_Fffor
Flmduced ID Type ofID
,BEL0W_1S.FOR 0F_F10E USE ONLY
Permits Required: RuildinqE] Electrizal[:] Mechariical.[] Plumbing[] Gag[:] Roof[:]
Construction Type: occupancy Use- Flood zonen
Total Silk of Bldg: — Min. Occupancy Load: — 4 of Stories:
New Construction. Elcetric - ft of Amps Plumbing - # of Fixtures
Fire -Sprinkler Permit: Yesn No D 4 of Heads Fire Alarm Permit, Yes -roLl
APPROVAILS', ZONINQ UTILITIES: I WASTEWATFR:
ENGWEERING; ME: BIALDING:
COMMENTS,
K�Vi�' k i1111kmm t' Z01311 N m�t AfRUC1103
SCPA Parcel View: 01-20-30-518-0000-0200
Page 1 of 2
0a0dja aLCIA
Property Record Card
PP
Parcel: 01-20-30-518-0000-0200
R
Property Address: 100 W 30TH ST SANFORD, FL 32773-2827
Parcel Information
Parcel
01-20-30-518-0000-0200
Owner(s)
PODSON, LARRY A
DODSON, MARY S
Property Address
100 W 30TH ST SANFORD, FL 32773-2827
Mailing
100 W 30TH ST SANFORD, FL 32773-2827
Subdivision Name
SOUTH PINECREST 1ST ADD
Tax District
St-SANFORD
_
DOR Use Code
01-SINGLE FAMILY
Exemptions
00-HOMESTEAD(2017)
O O t
� � s
k
80 rb
Seminole C unty GIS
+
72
C7
�
�t
72
ti
ti
Legal Description
LOT 20
SOUTH PINECREST 1ST ADD
PB 10 PG 43
Taxes
Value Summary I
2018 Working
2017 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
Depreciated Bldg Value
$51,627
$46,185
Depreciated EXFT Value
$336
$336
Land Value (Market)
$22,000
^�
$15,000
Land Value Agm
Just/Market Value *'
$73,963
$61,521
Portability Adj
Save Our Homes Adj
$11,150
$0 —_
Amendment 1 Adj
$0
-
P&G Adj
$0
$0
Assessed Value
$62,813
$61,521
Tax Amount without SOH: $551.00
2017 Tax Bill Amount $551.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $62,813 $37,813 1 $25,000
Schools $62,813 $25,000 ( $37,813
City Sanford $62,813 $37,813 $25,000
SJWM(Saint Johns Water Management) $62,813 $37,813 $25,000
County Bonds $62,813 $37,813 1 $25,000
Sales
Description
Date
Book Page
Amount
Qualified Vac/Imp
QUIT CLAIM DEED
7/1/2016
08724 1543
$100
No Improved
QUIT CLAIM DEED
5/1/2016
1 08694 1136
$100
No Improved
QUIT CLAIM DEED
4/1/2001
04062 1268
$100
No Improved
QUIT CLAIM DEED _
—
11/1/1994
— 02844 — 0602
$100
No . Improved
Ftnct Compat✓able Sales
Land—
Method Frontage
Depth
Units
Units Price
Land Value
LOT
0.00
0.00
1
$22,000.00 j $22,000
Building Information
Is Bed/Bath count incorrect? Click Here.
#
Year Built
Description
Fixtures
Bed
Bath
Base Area Total SF
Living SF
Ext Wall
Adj Value Repl Value Appendages
Actual/Effective
http://parceldetail.sepafl.org/ParcelDetailInfo.aspx?PID=01203051800000200 5/23/2018
SCPA Parcel View: 01-20-30-518-0000-0200r Page 2 of 2
1 SINGLE 1956 3 3; 1.0 ( 1,0881,623 1,408 CONC $51,627 $91,781 Description Area
FAMILY BLOCK
( UTILITY
UNFINISHED 215.00
ENCLOSED
PORCH 320.00
i FINISHED
Permits
Permit #
Description Agency Amount
CO Date
Permit Date
02856
REMOVE 8 REPLACE DOOR SANFORD $591
8/10/2004
02313
REROOF OVER CARPORT SANFORD $1,935
8/1/2001
Permit tlata does not originate from the Seminole county Property Appraisers omce. •, .........
Extra Features
�
Description
Year Built Units
Value
New Cost
WOOD UTILITY BLDG
SHED - NO VALUE
4/1/1984 140
4/111984� 1
$336
$0�
$840
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=O1203051800000200 5/23/2018
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'IT 1, 0011PTRULLER
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NOTICE OF COMMENCEMENT CLUK'S M8052'7S�
State of Florida R-0 RC, I'lil F E F` `41 kJ - 5!'Jl
county of sernimola Sy
Parrall Humbert parcel ID dumber.
The undersigned Mrob-y gates rlotics that k1provoment will be made to certain real property, and In accordance W-th
Chapter 713. Florida Statutes, the fallovAng Infannalivi ii-providad In this NOUCO of Commencomoni.
0q8WW 'IW9' eta 0-ri's
,8FErtRg1r;,j10rY4,L Z
an 0 J2?�Y2 to 4&W�rrn cres 718?�8 10 PC. 43
(j,iIQleEOO� DESCRIPTION OF IMPROVEMENT:
r
OVNERMFORMATION:
Narri*7���[)'Odrl�02- L R 6% r-q3 c-6 "mac
Addras$: 100 IN 30th St, Sanford, FL 32773
Foo Simple Title, Wdur (a other than owner) Namur:
Addressr
CONTRACTO,
Name, Architectural Creatil Inc
mdr*=, 3561 LakeshoreDr, M Dora, ft. 32767
Persons within thaftac of FlorklaDosi_gnated by Owner upon whom n0tiVe Or other 0QrU1TRntA`maY be served,
as providad by Sacidon 7i3.i3ji)ob), Florida Statula&
N,amw. WA
Addrgs
In odallilon to himself. OyAlar 06519nOtds
To receive a copy of the'Llanars Nofte as Pfo%4dad In
Sactim 71,3.13(1)(b) FlorWa Slatu*M..
Expiration Date of Notico at Cornmencomam ftha mgplralirm date is I year from Oate of recording unease a
different date Is specified)
WA.R,Nj74G To QWaR., ANY PAYMENTS MADE BY THE OWNER AFTER THE EWRATION Of THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHARTER 713, PART 1, SECTION mi:i,
FLORIDA STATUTES, AND CAN RESULT 04 YOUR PAYING TWICE FOR IMPROVE VENTS TO YOUR PROPERTY, A
NOTICE OF 00MMeNCEMENT MUST,SE ASCORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION, IF YOU INTEND TO ODTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RE -CORDING YOUR NOTICE OF COMMENCEMENT:
Under penalties 91 perjury, 1 davlare that I bayt read tho IbMgolng and that the facft stated In It 4rp-jrue
n,ml�edgeandellml.
to the best oil m r! edge and helfal. I
01 *31110K'g1jr,3�1Trh1;,0, 1o-w,muct,.Isn.Uw —fl.. d cm,-Wrcpm9f* qy� ,d mv om ol j# mxj a4 p6mh° i*o 1,5 60n IFS -Ns cr PW And.'
F,
state of I-ui&cQunIyoI L-ealce . this —LO day e! vlf
The to rag olng Instrument was acknovelwiloci bcrvrt moth
b, L t,- n c!z t,48- s c i Who'6 pamanally known to me, [f)"
Nana cl c imm maMnp =amemd
OR wI10 tM$ Proftcea tuenuncation 0 tp. Ir Identification prc#,.UC*d:
TkNA IsOYD
-313
fN.A=
m
EXPIRES January jT, 021
�,§R �011
AMM41, 8-1rel'aa
Altamonte Spring$, Casselberryj Lake :mar y, L'ong"od, Santord,
Seminole Fount),, Winter -Springs
Datc,,: 0411411$
U--T
I hereby came and appoint: J� W-I!Alre& F2a)-4&
I E,
an agent of —A 'RCi-v..'.f-tCftA K 0-- C (Z Z aA 10 W5-10
(NMW Of C'1MWMj
to be my lawful attQvncy-tn-fiict to act for inc to apply for, rcecipt for, sign for and do all thinp
.0T (cheek only one option).,
,�essary to this appointment fo
The specific permuand. applicaii-in for work 1,ocated al:
I` Npiration Date for This, Limited Power of Attorney:
License Holder Name.— P 0.ttj U6liD
State License Number: CC, '57
Sign jiltire of License Holder:
STATE OF FLORIDA
COUNTY OF G.�
The fbTegoing insuiAnent was acknowledged be -fore, me this 9-day of
2
V '— — 00t by Qel" - who Is ��emn 'yALwn
to 1310 (ir ul who haw po-aduced
identification and who did. (did not) take an oatti.
S i griatu're
(Notary Seal) tN c-,
Pri-rit or type nanic
TINA BOYD Notary Public - State or T'
Mmi, C C. jo S �27L-
C X",
•MY COMMISNON is OC300,3121
my Commission Expires: '�-k
EXPIRES JonvOly 1?, 2021
E��
CITY OF
,�NFORD
FIRE DEPARTMENT
PERMIT NO.
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
Building & Fire Prevention Division
Re -Roof Permit Card
ISSUE DATE: 5 - b 4 0
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 855.541.2112
• 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
Buil,ding. A F ire Prerentiort Division
E.!V ,R,eSj,o.TfA,t RE.ROOFMI. ICY & PROCEDURES
Is [� -
f: i RE 0 EPA V r M UNT
p M-q-Iolyf,4 G RfQUjRENI FNTS - N 0 PLAN ATAntW R RQUTRYD
TTIIS DiOCUNIENT(SIGNED) ALONG \',qrH AN ACCURATE AND COMPL ED RMTDWnAL RE -ROOF SCOPE Of WOO.& AKE
Rj;QU[jLEI> TO aE SUBq,(,MD AS: PART OF YOUR PERAUTNI'PLICATION,
THE ��-'OPB OF VVORK MUST INCLUDE All APPLICABLE FLoRiDA PItODUCT APPItOVALNUMOM F'OkALLL ROOF
CONWONLN"I'STRAT WILL BE I'NSTALIAS) ON T14F PPCUFCT.
APE%t-M]T%Nri,LL't4OTBrliS,.Wr.r)wrriiouTTtiESFDOCUM.F�l M. C-OPIES WILL F# ?4ADS TO POST ONME JO'B S ITE.
SX4FORD fj.jSTiDRjC PRESERVATION BOARD
j$pECT Ito',N'POjjCY & PROCEDURKS
A. FINAL LkOOF IS T"F, ONLY INSPECTION RrQUIRED ro'R. RESTI)EIN'"Al, (SIW,,LF FAMILY, Tow-vilouse',
k4oniu. 14omr, APAlkniE\11T�NDIOR COMDO�hmum) RE--RooF Pkm,nS.
n4r., Fol-iowNvi is RpmmmTo Ile TRo,%rrDE 0,14 THE JOB SIRE':
• PERMIT CAP. D, POSTED III CIGNSPtCUOUS AND Wl"XI'l il-wit0ol-, LOCATION
• COMPLE-rF ltf.SIr)I-1T4TIAL Kr,-ROOr SCOPE OrWORK
• ct)4,iptL-rEDAN'DNOTA,P-tZWIW]6,M'C)NAi:,FiDAVtT
o, ALL FLoRtDAFvLODuCT APFrKOVAL AND CO",E-SPO9DI`NG11NSTALLAT10N DMRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS, ON THE SCOPE Of WORK-)
0 DIGITAL P110TOGRAP11S (MUSTLNCLUDETHE PERMITNUMBER Olt ADDKESSIN-EACH'PIMPE)
F-Acm PLANE OF'mL ROOF, SIIO%vjK0 1111' UN')l311tL,-%Y'MmsM INSTALLED
ROOF DFXK NAJLrN0 PATTI--.RN& SPACING (INCwUIKGA M.IiASWUNG DEVICE 0?'RIJLER)
o R,04-W DECK NAILS USED (fNCLUDING A ',,.Iri�ASURTING DEVICE OR RIJIFR 51144:1W[ING SIZE OFN'AllC)
PATTERN& SPACINIC3 CiNCLUDING, AMEASMN(IDEVICUOR RVIA-R)
to DRIP EDCE & VALLEY A'rmcumENT (MCLUDING A MEASURING DEVICE OR RULER)
SJUNG'LES: INSTAA.Lf.D. NAIL AND LOCATION (IF NAILS
v SKYLIGHTS (IF APPLICABLE)
o Dion*Al- PHOMOOKAPHS SHOWINO ALL INSTALLATION COMPONENTS, PER FL PRODLICT APPROVAL
0 DI0'fTf:\L PHOTOO RAP HS SHOWING 'SLL REQUIRO) FLASRTNQ, PER, FL 11 RoorucT A.11PROVA1
FMLLIRE TO FOLLOW THESE SPOMf I.0 CUI.DELINES WILL FIX5-ULT IN AN AiFFIDAVIT PRO VIDY.0 BV A FLOWDA DEASICN
ii-"CC VPTiLNAT sk cn ON.
COXI-PAMIR (OR OWNI'AfBIJILD11k) DA11.'
PERMIT # �Iq,244
BaUditkq A F-ite Provention Dikirlon
RESIDEATIAl R&ROO.F SCOPE OF J I"ORK,
Ion ADDRESS.* 100 W 3044$ 15 1. - G 4LJ FQ rl A,, Fl— 3 a-7 -73
esTt4llLE- FAMILY 0 MOBILk HUNIE 0
0 Re -COVER (NEW ROOF LNSTALLEPOWTI, EXJVINO R.00F)
ROOFVENTILATtom 00FF-p,"E- 0 PMCF OSOFFrr C)I-OwFRm vOa 0-'"-RPNr-s
SJCYIJGIIT$.0yr-s 0-1510 IF YES, PLbV5V PROVID13 fI.ORU)A PRODUCT APPROVAL 4:
MAlN R2QV XREA
RoOr SLOPEZ eLUS PJAN 212 ()2-.)--,-4:12 0 4:12 OR GREATFF
MANIPFACT(WER
PLOWDA Pk0DtX-,l'ik?-PR0VAL
0SKINGLE
0 METAL
FLO
FL#
momprF-DEIrrumEN
OToRcitDOUIN,
0LWWLATW
t h,Te tCFu
3.
FL-4
FUl
OTILE
FL4
0anim
P A WA
fIVSION& (-POP CKV-S, PATILMI, ETCA, IF,? ( , 1,
p,00F SLOPEt 53 WAN 2,12 (:)2A2,-4A2 C) 4.12 oR (RE2vrEtt
TV F roil ROOF
MA NUFACIVRKH FLORI 0A PRO DU'�- r A F PIZO%,AL
0
F L41
OTORCII DOWN
0 INSULATED
OTILF
0 -OJ44frP:
RIO'
-I_
(� fITY OF
Vp
a j� N O Building & Fire Prevention Division
V.C7.�t RESIDENTIAL RE -ROOF AFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF
`� COVERINGS
PERMIT #: B ' a3 �� i ADDRESS: 00 W •30", 6t
5 awF013, GL� 3�._7-73
I 1 o-u I U "y) O , 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 #: C Cf.-O 573 5-1
COMPANY / CONTRACTOR: r 1 1 l S .,�N L jpaui!% Yl o
CONTRACTOR SIGNATURE: DATE: ( I
(MUST BE SIGNED BY LICENSE HOLDER OR 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
I6L�-Q_
Sworn to and Subscribed before me this v ay of 20 17 by:
t'a 1J I US" k O Who is L4ersonally Known to me or has ❑ Produced (type of
identification) as identification.
Signature of NoAry Public .,
State of Florida TINA BOYD
MY COMMISSION # GG063122
EXPIRES January 17, 2021
Print/Type/Stamp Nsaie
of Notary Public