HomeMy WebLinkAbout108 Wheatfield CirBtsildtng* l'l
Application No:
Documented Construction Value: S
Job Address: 108 WHEATFIELD CIR. SANFORD, FL 32771 Historic
Parcel ID: 32-19-31-515-0000-0660 Residen
Type of Work: New[] Addition❑ Alteration ❑ Repair Q Demo ❑ Chan
Description of Work: REMOVE EXISTING ROOF DOWN TO DECK. INSTALL
UNDERLAYMENT AND SHINGLES TO LOCAL CODE.
Plan Review Contact Person: Cherq I �Osboa Title:
Phone: 1407 - IN - 1-7 �C8 Fax: Email:
Property Owner Information
Name HOGU, YVES & HOGU, MARGUERITE Phone: 678-643-91
Street: 108 WHEATFIELD CIR
City, State Zip: SANFORD, FL 32771
Resident of
Contractor Information
Name OAK CREST CONTRACTING
Street: 115 TIMBERLACHEN CIR, STE 1013
City, State Zip: LAKE MARY, FL 32746
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: 407-284-1
Fax:
4v'lyn'�t�ionvislon
'APPLICATION
Co ; (v
strict: Yesa No
rJ Commercials
of Use❑ Move
State License No.: CCC1330407
ArchitectlEngineer Information
Phone:
Fax:
E-mail: _
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M, AY 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 cffect as of that date: 0 Edition (2017) (Florida Building Code
Revised, January I, 2018 Permit
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable lo 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 l ob 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 tffe 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.
UA-8 4�?qAj� , -� I 4
gnatureof 'bper/Agent D e Sia re ofContrac /Agent Date
'Print nt'sNamc Print Contractor/Agent'sName �d�miSS"O'• •,%
Number 2
G0116571 �.
o
EXPIRES
o State fFionda Efato Si lureo o to ofElorida ate s r tD AAxjW22.2m
'•,� h�u Aar°
LARRY L. RENOVALES '•,s �U • •p�
» lic date ,�..
a FJatary Public - State of Florida ,u►itnun�a•►
1 = Commission. 4" FF 191870
"f,jR My Comm. Expire, Jan 21, 2019 .
Owner/Ag nt ra tee, sartff l - Contractor/Agent is Personally Known to Me or
Produced ID ✓ Type of ID i'!r' Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof
Construction Type: Occupancy Use: I Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WA TER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: January t, 2018 Permit
THIS INSTRUMENT PREPARED BY:
Name: Ashley Geis
Address: 1157"imberlachen Cir, Ste 1013
Lake Mary,FL 32746
NOTICE OF COMMENCEMENT
Permit Number. I
Parcel ID Number: 32-19-31-515-0000-0660
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 66 CELERY LAKES PHASE 1 PB 62 PGS 75 & 76
108 WHEATFIELD CIR I
2. GENERAL DESCRIPTION OF IMPROVEMENT:
UNDERLAYMENT AND ROOF TO
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT -
Name and address: YVES HOGU & MARGUERITE HOGU 108 WHEATFIELD CIR SANFORD F
Interest in property: OWNER
Fee Simple Title Holder (if other than owner fisted above) Name:
4. CONTRACTOR: Name: OAK CREST CONTRACTING
Address: 115 TIMBERLACHEN CIR, STE 1013 LAKE N
S. SURETY (if applicable, a copy of the payment bond is attached):
Phone Number. 407
Address: Amount of
6. LENDER: Name: Phone Number.
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be
713.13(f)(a)7., Florida Statutes.
Name: Phone Number -
as provided by Section
8. In addition, Owner designates of
to receive a copy of the laenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number
S. Expiration Date of Notice of Commencement (rhe expiration is 1 year from date of recording unless a different date is specified)
I
WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTERTHEEXPIRATION O 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.
tx.a 40G a A-s 4) G U
(Sign of cor Len a2 or lessee's (Pint Name and Provi signal s riidewsce)
A( a OdZ edpi artnar/Mana20 State of �ldrr �� County of 5e tYlt) , ` -
The foregoing instrument was acknowledged before me this �� day of �PV ►r 20 �c3
by{> k OC, Who is personally known tome 0OR
Na
me or rsm making statemerd Ur^�
who has produced identification ype of Identification produced:
Notary Public - State of Florida
Commissia�,.r--G,0003479
My COMRn ,Expites,J,un i 8, 2020
tea`
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018049361 BK 9123 Pg 0789" (1pg) E-RECORDED 05/07/2018 08:13:22
10.00
OAK CREST CONTRACTING, INC.
AGREEMENT
'No Risk' (Guarantee!
115 Timberlochen Cir #1013
Lake Mory, FL 32746 oakcrest.com REP:
Contractor Registration: CCC1330407 SOLICITOR'S LIG -------
PHONE: 407-284-1738 FAX:866-648-8193 PHONE:
OWNER l�i �
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DAT(Ei
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EMAIL A[
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DRESS
e
STREET +
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GELEPHONE _
WdfRKPHONE
CITY
STATE
I
ZIP
/
HOME
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PHONE
We hereby submit scope of work for:
FLORIDA CONSI'RUC_I'ION LIEN. ACCOI
Or +i I�G+V2f 5 I O I�� c 1�
LIEN LAW (SECTIONS 7I3.001-71337; FLO
,Tear off
ON YOUR PROPERTY OR PROVIDE IVIA"
l:! # of squares off le W
HANT A RIGHT TO ENFORCE THEIR C
Recover roof with I '-9tr-r,me. Ar,
PROPERTY. THIS CLALM IS KNOWN A
i
C # of squares on Per�1� a�f Ptt•sa sre
CONTRACTOR OR A SUBCONTRACTOR I
L3 Shingle/color 6ho14 e 196 Lantb,i4e /i/stT+fit i 13JueALUBCOLY REQURES OR PAYMNIATEENTS, THE P
—� GAILY REQUIRED PAYMEAri'S, THE P
'> Protect property as needed daily f 6f ���re • LAY LOOK TO YOUR PROPERTY FOR
Decking LB OSB ❑ CDX ❑ other�`�� Pgr' 5bee� ``YouRCOvrRAcroIrINFI,zI iFYouF�
_
P'Underlayment ❑ 15lb. ❑ 30lb. ❑ Other 014a S CONTRACTORivIAYALSO HAVE ALIEN I
LIEN IS FILED, YOUR PROPERTY COULD
C Metal edge tOIOr irlinc f'
g
FOR LABOR, MALS ATERIOR OTHER SER
_
a Valley r v VVI--.'T": K- U closed u open
SUBCONTRACTOR MAY HAVE FAILED 1
i (Hip and Ridge iV< W U standard d enhanced
SHOULD STIPULATE IN THIS CONTRA
it -Nails t 11q da.,(tvaneZcd ❑ open eaves
ME,YOUR CONTTRACI'ORISREQUIRF
D
I e flaShln /V 9rt% ❑ 3�� lead
p g
RELEASE OF LIEN FROM ANY PERSON O
"NOTICE TO FLOF
r Ventilation ❑ box U ridge ❑ other Rt4ge men':`
YOU A OWNER.'
COMPLEX,ANDITISRECOMMENDEDTI
U(Seal around all vents, pipes and flashings
FLORIDA Homr-owvERs' cONsrRUCTI,
❑"Ice and water shield to local code
BE AVAILABLE FROM THE FLORII
, Furnish all materials, labor and necessary permits
RECOVERY FUND IF YOU LOSE MO
RESULCONTRACT,tVI-IEItE THE LOSS RESUL
6 Delivery instructions U left ❑ right ❑ other
FLORIDA LAW BY A LICENSED CONTRA
f�r Haul off construction debris
RECOVERY FUND AND FILING A
!erl 2 year limited warranty
CONSTRUCTION INDUSTRY LICENSE
TELEPHONE NUMBER AND ADDRESS: C
T& Roll magnet through yard
FL32399.
U Lien waivers provide upon final payment
ANY CLAIMS FOR CONSTRUCTION DEFF
CURE PROVISIONS OF CHAPTER 555, FLC
PING TO FLORIDA'S GUNSI RIJ VIOLA'
DA STATUTES), THOSE WHO WORK
RIAi.S AND ARE NOT PAID -IN -FULL
dM FOR PAYMENT AGAINST YOUR
A CONSTRUCTION LIEN. IF YOUR
iL5 TO PAY SUBCONTRACTORS, SUB-
£RS OR NEGLECTS TO MAKE OTHER
)PLE WIiO ARE OWED THE MONEY
WMENT, EVEN IF YOU HAVE PAID
. TO PAY YOUR CONTRACTOR, YOUR
i YOUR PROPERTY. THIS MEANS IF A
3 SOLD AGAINST YOUR WILL TO PAY
CES THAT YOUR CONTRACTOR OR A
� PAY. TO PROTECT YOURSELF, YOU
T THAT BEFORE ANY PAYMENT IS
TO PROVIDE YOU WITH A WRITTEN
COMPANY THAT HAS PROVIDED TO
WS CONSTRUCTION LIEAT LAW IS
tTYOU CONSULT AN ATTORNY.
RECOVERY FUND. PAYMENT MAY
HOB EOWNEn CONSTRUC11CIN
ON A PROJECT PERFORMED UNDER
i FROM SPECIFIED VIOLATIONS OF
FOR FOR INFORMATION ABOUT THE
CLAIM, CONTACT THE FLORIDA
1 BOARD AT THE FOLLOWING;
B. 1940 North Monroe Sc, #42, Tallahassee,
ARE SUBJECT TO THE NOTICE AND
A STATUTES.
BUYER'S RiGHT TO CANCEL: 11iis is a home solicitation sale, and 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 mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight on the third business day after
you sign this Agreement. If you cancel this Agreement, the seller may not keep all or part of any cash down payment. By signing this Agreement, you agree that you have also been
provided notice of this right to cancel orally in addition to the writing contained herein.
Customer's signature below signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof.
Terms: This Agreement is contingent upon insurance company pricy and approval. This Agreement does no b!igate the Cus
approved by Customer's insurance company and accepted by Company. Company proposes to furnish all permits, lab(
replacement or repair for the estimated sum of total cost below or the price otherwise agreed upon with Customer's insurance
authorizes Company to obtain labor and materials in accordance with the Agreed Price and the Specifications set forth herein
repair. Customer understands that Company does not work for Customer's insurance company and/or the insurer for the pr
authority to authorize Company to perform the above replacement or repair. Customer's signature on this Agreement al
conditions of this Agreement, including all terms on the reverse side hereof. In situations where supplements for additional %,
scope of work (ex. additional layers or measurements), Company will seek approval from insurance company. Customer
deductible plus upgrades for non -insurance related claim items.
Payment Method: Payment Upon Completion of Each Trade. Check or money order made payable to Oak Crest. Cash will i
Emergency Tarps
Insurance Proceeds STr sec Estimated Project
Cash/ Financing
` mAs
Total cost (tax included) S10454.
' sttmated Date of
Acceptance by Owner of property By:
Representative Signature By:
mer or Company in any way unless it is
and materials to complete the above
Impany (the "Agreed Price"). Customer
r accomplish the above replacement or
erty, and that Customer alone has the
signifies acceptance of all terms and
k are necessary outside of the original
out of pocket expense not to exceed
Date:
on:
payment -
FL
CITY O
&. FORD Building & Fire Prevention Division
FIIIE DEPARTMENT ENT Re -Roof Permit Card
PERMIT NO. `' $ 8,10 ISSUE DATE: 06. 040
CONTRACTOR: Oat. Ice.-Adf- i'll!" 11
s �
JOB ADDRESS: log &J
l
TYPE OF WORK:
PROTECT FROM EATHER
• 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 y
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 I I I
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
�OP
SANFle 4
Flat "U, T
Building &
RESIDENTL4L RE -ROOF PC
PERMITTING REQUIREMENTS -No PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITI-I AN ACCURATE AND COMPLETED RESIDENTIAL RE -Roc
REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION.
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBER
COMPONENTS THAT WILL BE INSTALLED ON' THE PROJECT.
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST
**PROJECTS LOCATED IN TRESANFORD HisToRic DISTRICT WILL REQUIRE PLAN REVIEW
SANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS TIM ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE F
MOBILE HOME, APAWI'MENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE:
• PERMIT CARD, POSTED IN CONSPICUOUS AND; WEATHERPROOF LOCATION
• COMPLETED RESIDENTIAL RE-RooF SCOPE OF WORK
• COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
0 ALI. FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
DIGITAL PHOTOGRAPHS (MUST INCLUDE- THE PERMITNUMBER OR ADDRESS IN EACH PICT
o EACH PLANE OF THE ROOF; SHOWING THE UNDERLAYMENT INSTALLED
re Prevention Division
C Y & PROCEDURES
SCOPE OF WORK ARE
ALL ROOF
THE JOB SITE.
APPROVAL BY TIDE
,Y, TOWNHOUSE,
i
• ROOF DECK NAILING PATTERN& SPACING (INCLUDING A MEASURING DEVICE (.,h UT RULER)
• ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWINGSIZEOF NAILS)
• UNDERLAYmENTPAT-ITRN &SPACING (INCLUDING A MEASURING DEVICE OR RU
• DRIP EDGE& VALLEY ATTACHMENT(INCLUDINGA MEASURING DEVICE OR RUL
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
0 SKYLIGHTS (IF APPLICABLE)
• DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
• DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT' APPROVAL
FAILURE TO FOLLOW TIMSE SPECIFIC GUIDELINES WILL RESULT IN AN AFFEDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCIIFMCf OR ENGINEER), CFRTIF'VING FBC CODE COAIPLIANCE BY PERSONAL nNYIECTION.
CON'rRACI'OR(OR OWNER/BuiLDFP)SICTNATURF:_ DATE: 5/7/2018
L/ i
V i
CITY of
ft DMARV ENT
JoB Awwms:
Building &I Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: (2) SINGLE FAMILY RLSIDFNCErFOWNHOUSE 0 MOBILE HOME 0
RE -ROOF TYPE; &REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NL,'W COMPONENTS)
0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
*"PLEASE NOTE., ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMH TTED TO BE REPLACED
ROOF VENTILATION: (D OFF-R1DGF (D RIDGE OSOFFIT OPOWERFD VENT
SKYLIGHTS' 0 YES & No 11; YES, PLEASE movioE FLORIDA PRODUCT APPROVAL 9:
MAIN ROOF AREA
ROOF SLOPE: 0 LESS MAN 2:12 02:12-4:12 (g 4:12 OR GREATER
TURBINES
TYPE OF ROOF
MAN"UFAC717URER
I
FLORIDA PROD&77 APPROVAL
(S) SHINGLE
1K10 Industries
FL# FL7006.1
-0 Mr'._rAL
-0 MODIFIED BITUMEN
FL9
-0 TORCH Dolw,,
FL#
_01NSULATED
FL9
0 -nLE,
FL# I
JNDERLAYMEW
InterwTap
I
FL# FI_15216-R,
ROOF EXTENSIONS (PORCIIESiPATIOS, E-rC.) *WAPPLICABLE"
ROOF SLOPE: 0 LESS THAN 2.12 02:12-4:12 0 4:12 OR GREATER
-TYPE OF ROOF
MANUFACTURER
FLORIDA PRODL(cr APPROVAL
0 SHINGLE
FL4
_0METAL
FL#
-0 MODIFIED BITUME-.N
FL#
_OTORCH DOWN
FL#
0 INSULATED
FL#
OTiLF
FLA
00THER'
FL#
Ct.TX Or
NANIPORD
,'..
fIRE DEI?,AAIT,'. ENT
Building &
RESIDENTIAL
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF
PERMIT #: ADDRESS:
I Dustin Doll , AS A(N) GENERAL, BUILT
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFF
FOREGOING INFORMATION 1S TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE S
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS F
REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY TI
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE#: CCC1330407
COMPANY / CONTRA(
CONTRACTOR SIGNA
(MUST BE SIGNED BY
A FINAL ROOF INSPECTION IS REOIiIRF,D:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE I
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPC
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLE
FOR EACH INSPECTION. THE PHOTOGRAPHS ?MUST INCLUDE A RULER OR MEASURING DEVICE TO COP
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE ROOF POLICY
PAPERWORK. FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
``FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A F
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY,
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF ("W
Sworn to and Subscribed before me this __ day of/ 20 . by:
Who is 0 Pcr�sonally Known to me or has ❑ Produced
identification)
as identification.
€re_.oil�tota
Publi�ig�n
ate of Florida
AT
t
Vt ,r Lk
rsa
Print/Type/Sta
Name
of Notary Public
Prevention Division
ROOFAFFIDAUT
RINGS
VG, RESIDENTIAL, OR
M, THAT ALL OF THE
WE OF WORK AT THE
D ALL APPLICABLE CODE
INSTALLATION MEETS ALL
iE HURRICANE RETROFIT
DATE: 5/7/2018
L ROOF INSPECTION,
ITS (DECKING,
Y NIARKED ON THE DECK
M ALL NAIL SPACING AND
r INSPECTION PROCEDURE
INSPECTION FEE AS
SED ON PERSONAL
of
ARITHONY VE. EZ
I MY COMM'SStON # FF9012ss
EXFlRES July 19, 2019
FbrinaNc:aryServica ccvp
C:;Tk OF
ORD Building & .
RESIDENTIAL
FURS- DEPARTMEN f
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF
PERMIT #: r 2-3 8� ADDRESS: _ 108 Wheatfield Circle
I Dustin Doll , AS A(N) GENER.AL, Bufu
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFF
FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE 9
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS A
REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE EXISTING BUILDING. IN ADDITION I CERTIFY TI
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH
MANUAL RFQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE#: CCC1330407
COMPANY / CONTRACTOR: DUS
tin Doll
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE H OR O UILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
Prevention Division
ROOFAFFIDAVIT
iG, RESIDENTIAL, OR
61, THAT ALL OF THE
PE OF WORK AT THE
) ALL APPLICABLE CODE
INSTALLATION MEETS ALL
fE HURRICANE RETROFIT
DATE: 5/7/2018
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 ATTACHMEN-r) 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 I;
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY,
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF r 5
Sworn to and Subscribed before me this --7_ day of ( 20 �;� by:
. Who is C Ve nall K�
. � rs� y ra t� we or has 0 Traduced
identification)
Ign , to Public'
State of Florida
Print/I'ype/Stam� Name
of Notary Public
as identification.
of
:. ANTnoNY bE
LEZ
MY COMA9ISSlON x FF90";1259
EXPIRES July 19. 2011
F�+CiMa t
'�`VSnvico can �
ECTION FEE AS
ON PERSONAL