Loading...
HomeMy WebLinkAbout103 Maplewood Dr (4),IsOly OF Building & Fire Prevention Division ANFORD PEPWIT APPLICATION Tob Address, 103 Maplewood Parcel ID: 33-19-30-5EM-0D -1ype of Work: Nei-Z] :'addition I)escripfiun of %Vork: Re -roof d Application No. Documented Construction Value: S Historic District. YeSONoll )020 ResidentiacV11 carnniercial Alleratioun Repair[] Demon Change of Use ASttse to storm damagefromHurricane Irma Ilan ltevieit Contact I'vnion: Richard Hyman Owner Phone, 407-392-0218 Fox n 1:1 i 1: Property Owner Information N..., Daniel and Leanne Arrio,s Phone. Yes Street: 103 Maplewood Dr Resident )rprfjljt!rt)!: CityStatelip: Sanford, FL 32771 Contractor Information Name Richard Hyman 407-392-0,21,8—, Street. 1606 E Central Blvd 1 Fax-- Citv, State Zip, Orlando, FL 32863 state License NO.: CCC 1330319 Architect/Engineer Information Street, Fox E-nIAP. 4, zip: cit5, S, Bonding Company Mortgage Lender: Address; Address . ... ....... -- . ..... C K imswr ils YOUR WARNU.N'G 10 OWNIEW Y INIR ['All , URL 1-0 RECORD A NOTICE Ol'CONUNIEN -INIFNI'MAY �R(W , OF U TWICf, FOR UND VA I I,, NT�� T() %,Ojtj p1l,01,1: -w, iFNcENt ,EN -r itUST R F RECURDED AND,POSI-lKL) OS WE JOIt Sri F WA--OR1-., TIES: HEIST IN'SPFCFIONL IF YOU INTEND TO OBTAIN FINANCING. CONSULT' iUrll YOUR lXNDER OR, AN A-11-61INVY ItEEORF. RECORDING YOUR NOTICE OF Appi"aL1011 I% nude Pr,W!o Ja tk'l i�nll.twill a-, work, ol' alstallatton his ofall ij%v; regulating cunitniction to th's junsd.c6eu. t understand that a 5v(,:ir.,m permit ",us, he secured for 4:1ectrical wvtk, ploathing, signs, *CIL% pools, formices, Itailvirs, healct t, tank~, :and air mit IU FIIC 1053 Shuli be Inscribed iilh Ific, date dapplicalium and Me code to cITCcl a, t)j that dojr,, 0 EdWon (10171 nurlds Hollding Code P=zt App)katmn atft!l. or. 10 the milimculln I, or On, Pi-l"T A th,:,,v ti,?y tit aildiwm.tl rcsl I lcfivns aiii); ill opert111JI y mv tic fi'I'Ind ni, J.0 iq&JI, t-1:ortis n Ill; cutirtv. will Vlcfc iFjj;Tii.,n;ll J)�, fill Its N,JINcvc fion, I oubct 13mcm Fri ,11.4 C�Ijfnjci 511, h as wall:[ Am of Ie ,t 11; on Ai,it t t,rU neStiFY tht n,n:r;,fproncm of Oic rcqavi:n,,,n is Iq J:I ,I jLj; _ I F, 3 The tin icqutrv. I 1,� of a Plan F,;: le.:v fee at rile l,fp--nnil A con, m'nj,: .:%VcuICtj n"Ir.tut I in rcyjv, vj$;Ugc %t j, l.t: nns,,,�! L, - , - - , wito'-d . V, estimated un'sulmion value of ozv 101) .:1 Ific time of 511bultal The aciwil ct-FlUILCutill Uiuc ,4 111 be r'Pr"n UaSO (he CdfTe3i fCC Vailliflon 'TWC in !Ifecs at [be Imn[tic P.Crinif is i%wQd, In .1rQJ-d:mCC 1601 lo,.31 or . Should ulkulawd L%jgi., fig wd riff Ou" :��Cnfed L:fnfnwl 0,: aulim! consinwti,qj credit will iw jm,!;I-j Il, Your permit [�•C, '.01C.3 15C lint ONVNFR'S AHJDAVTF: I ce.rfify thm Fill ol'the foregoing informotim, is -'evurute Find that all tiorl, v011 lie done in complia1icc v.?i1j, all applic. regulaling cutistrimion ind timing. Axil, ,-PAW, 4RC4 jv' I',oc! � � I Agcn! I!, Prod uccd if) Typc of, I, D by 0 Y2!r83 7c)e-) e.7 ( onuaclurtAgrnt (s Persomill,; Knowl, ji,j \ie or Produced [1) �.Ypv of 11 ) BELOW IS FOR OFFICE. USE ONLY Permits Requirm: Builtlingn Uccirical[] Metbunical[] PhtnihinuD Collstruclion *Type: ()Ccup,-111C)- I j5e: TOM Sq Ft of Bldg: G,iSO Itk1w EJ f lijud Zone: INNO. Occupanc!. Load: 4 of Stories: Ness Cunsfruction: Electric - p I'luni6ing - jV of Fixtures Fire Sprinkler llt?rmit: NoFl I- ire Alarm Permit: YcsEl -Nu APPRONALS: XONING: CONINIEN'l-S. Ii., 1-j. x", I I , "C?i �, Adss 1 QtylstZip �L! Insumix Agent r, 1606 E Central Blvd Orlando FL 32803 ' CCC1330319 / CGC1521712 ROOR IN�,� _ ,���n �' 407 392 0218 & REMODELING �u„ , �� D r`/ / V I b# cite i o HM# 1 � I ,7 91 V Policy# r P// 5���5�/� U ^02 b Ste. ''//�� i --TV :ALT# Cat' I ►y1v r Xb Xo 411' (PMClaim # �P 1y73 f�l� b0 ;, 77 / Ins. Co. L -t' r w Deductible S�`%� % oU Agent's Phone Number Deposit - ROOFING —�' 1�v`�Cv� -,V- �. TYPE OF EXISTING ROOF: j � f(`t,� ROOF PITCH:1``.12 NUMBER OF STORIES! LAYERS: RIDGE VENTS (LF):� 48" OFF -RIDGE VENTS: OTHER VENTILATION: qq ELECTRICAL BOOTS BOOT JACKS _ 1.5" �� 2" % 3" _ 4" GOOSENECKS: 4" 6'_8"_10 DRIPEDGE: CHIMNEY FLASHING (LF): ZO DEAD VALLEYS- SKYLIGHTS ( YES or16d Y SATELLITE DISH ( YES � STEP FLASHING (LF): GUTTER $ 6 -OR i %SO R PANELS: PANEL SIZE: WATER or ELECTRIC ACCESS FOR DUMPSTEI2S or NO ) INTER109 'DAMAGE E rN0) (it yes see additional) ,. . • :;•�. � OTHER: ;t - CONTINGENCY AGREEMENT Custanar agrees to conbcf the insurance company and make a claim for repair or replacement of damage to the property: Customer agrees to notify City Rooting & Remodeling of t?,e claim number, and the phone number of the claim adjuster assigned to the claim. The customer agrees to allow City Roofing & Remodeling to meet with the insurance aayster at an agreed upon time to discuss damages and scope of the claim, and negotiate a price for repair or replacement that is agreeable to the insurance company. if the agreed upon price ('contract amount') is reached, the Customer exclusively authorizes City Roofing d Remodeling to complete all work as agreed upon. City Roofing & kmodalmg vill be authorized to obtain labor and materials for the replacement or repair in exchange for payment from the insurance. company of the contract amount. The ceritract amount means to Replacement Cost Value ('RCV') listed by the insurance company, plus the overhead and profit allowed and paid for by the insurance company, p!us trr deductible and depreciation, d any. Customer We hereby propose to furnish material and labor- complete In accordance with above specifications for the sum of. S Per Insurance Scope of Loss for full replacement cost value on Insurance Scope of Loss Sheet including Contractoes.overhead and Profit plus'deductible; am; upgrades, insurance supplements and decking or fascia replacement as needed. Proposal written by: -16t 21.cw Date: r =1 Cell#: >-PLEASE MAKE ANY PAYMENT 0 SUPPLEMENT PAYMENT TO: CITY ROOFI G & REMODELING AGREE TO PAY THE FULL MONETARY VALUE PAID TOME BY THE INS CO TO: CITY ROOFING.AND REMODELING �isA Customer DATE: I 1 Scanned by CamScanner �4 THIS INSTRUMENT PREPARED BY: Name: Richard Hyman Address: i7fia'�r'6Sft32t303--'----. NOTICE OF COMMENCEMENT State of Florida County of Seminole GRANT MALOYf SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 913; Fs 1937 UPgsi CLERK'S r 2018056268 RECORDED 05/17/21118 02:48-`36 PM RE(;iiit.I.NG FE£S. $1C.A0 RECORDED B'i,hdevore Permit Number. parcel to Number: 33- j 9-30-5EM-0800-00 The u❑dersi, FloridanedhSlat iteS, nrtice flat iroprovemerm will ce made to Certain real property and m ac oy Cjhapterp71,t3QF�lojJa S(atufasrthe following information is prrOvIdd�e..yd in this �NoticeddOf CO�mfmyeancement, OL.��ILTDLK �(����W�LUCtV�rLpC.1t_.titl,,��t1VK S�l.c�t�tS�'�sr'li4itable) Q�`�;`a• // KeE oo °Cline to SPNrOFtf7at ROag V' irofTTl Hurricane Irma_-V__-- �— OWNER INFORMATION: Name: Daniel and Leanne An1OS _ Address: 103 MAple wood Dr Sanford, FL 32771 -- -- —� For Simple Title Holder (if other than owner) Name CONTRACTOR: oam Richard Hyman Address; 1606 E Central Blvd Orlando, FL_32803---------- -- 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: In addition to himself. Owner Designates cf To receive a copy of ;he Lienor s Notice as Provided in SacGon 713.13(1)(c), Florida Statutes. " Expiration Date of Notice of Commencement (The expiration date Is t year from da?e of recording unless a different date is specified) -1-11rvrvco Iv UW11t:H ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY- A NOTICE OF COMMENCEMENT MUST 13E 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 penal s f perjury, I declare that I e ad tho foregoing and that the IT toted in'it are true I. he be f y knowledge be I f �►�� �5 'ieti�a $Ia IUl9 ] 1 j, I S(7)(,I) 'The p"+mer ntUS( Sjl IhC neli„e C) rk'A*mGnfemCn! a"'J nC C(:U rise may rc pe—ate" to SMln in his W `tet st-O.' State o\ Cmmty of t l The foregoing instrument was acknow ed before me this 1j�,iay of by _, 20 �-�t 11 1l, C-1 Na—Who is personally known to me of y =ter making sfa'.c'm,ent OR who has produced identification O type of identif yc ?a �,d� Notary Public State of Florida Vanessa D Fonseca My Commission GG 2.11149 Expires 04/25/2022 City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address As required by Florida Statute 553.842and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier:should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuildinq org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # (includingdecimal 3. Panel Walls Siding Soffits _ Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles ff t i L Underla ments L. 21 'r-- �2 { RoofingFasteners Nonstructural Metal Roofing — Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen -Single Ply Roof Systems Roofing slate Cements/ Adhesives I Coating ---- Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category/ Subcategory __....._ — Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll u — --- E ui ment Other 6. Skylights _ Sk li hts Other 7. Structural Components Wood Connectors / Anchors _ Truss Plates Engineered Lumber Railing----- -- Coolers/Freezers Concrete Admixtures _ Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name *AC.1)a (Please Print) Tune 2014 w. tTY OF- V 0�" 'SABuilding chi Fire Prevention Division FIRS. OEPARTMENT, Re—R®®f Permit Card PERMIT NO./ g . 4 1/ la dr- ISSUE DATE: m lob CONTRACTOR: mejtq JOB ADDRESS:. 10.3 TYPE OF WORK: 9 PROTECT 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 ZOOF VSPECTION TYPE APPROVED REJECTED INSPECTOR INAL 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 dd I 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 a - 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 SS,��ORD Building &Fire Prevention Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DCPARTkctN T 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 1S 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 o 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 RESUL'C IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER); CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: T DATE: tJ aCITY OF SkNFORD JOB ADDRESS: PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK STRUCTURE TYPE: ©SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: 0 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: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED** ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL # --------------------------------------------------------------------------------------------------------------- MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 212 - 4: 12 1�(4: 12 OR GREATER TYPE OF ROOF ' MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# O METAL F L# O MODIFIED BITUMEN FL# OTORCH DOWN FL# O INSULATED FL# O TILE F L# OTHER: FL# ' IJ ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) *'WAPPLICABLE** 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# 0 INSULATED FL# O TILE F L# O OTHER: FL# _ __� r FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 , SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 18-00002435 Date 5/29/18 Property Address . . . . . . 103 MAPLEWOOD DR Parcel Number . . . . . . . . 33.19.30.5EM-OB00-0020 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . IDYLLWILDE OF LOCH ARBOR SEC 6 Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1053727 Permit pin number 1053727 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF PERMIT##: 1%, 2, ADDRESS: a� I , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGIN R, 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: CONTRACTOR SIGNATURE: _ (MUST BE SIGNED BY LICENSE A FINAL ROOF INSPECTION IS REQUIRED: DATE: O Q� 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 �tr 1�1Q Sworn to and Subscribed before me this day of 20 _A by: Who is personally Known to me or has ❑ Produced (type of idengfi4ation) as identification. of Notary Public of of Notary Public NiICHAEL JAMES LAVIGNA 1 M`( COMMISSION #FF162615 EXPIRES September 23, 2018 R Iao) 3gg_o g3 FloridallotaryService.com