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HomeMy WebLinkAbout110 Woodfield Ct (2)CITY OF SANFORD v` BUILDING & FIRE PREVENTION rr PERMIT APPLICATION Application No: Documented Construction Value: S, 8,684.00 t�Job Address: 110 WO.ODFIELD CT Historic District: Yes ❑ ❑ No � Parcel ID: 10-20-30-505-0000-0720 (homeowner is a cop) Residential Fffil Commercial ❑ Tyl)c of Work: New ❑ Addition ❑ Alteration g Repair ❑ Derno ❑ Change of Use ❑ Move ❑ Description of Work: Residential Re -roof - 19 SQS Plan Review Contact Person: Stephen Barnett Title:: President Phone: (407) 647-9420 Fax: (407) 629-5720 Email: permits(cr�.carrollbradford.com Property Owner Information Name HAYDEN BONAS Phone: 407-562-7626 `Street:,110 WOODFIELD CT Resident of property?: City, State Zip: SANFORD FL 32773 Contractor Information Name Carroll Bradford Inc Phone: (407) 647-9420 Street: 4176 New Broad St Suite 201 Fax: (407) 629-5720 City, State Zip: Orlando FL 32814 State License No.: CCC1330656 Architect/Engineer Information Name: Street: Cite, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: — Mortgage Lender: Add ress: WARNING TO OWNER: YOUR FAILURI"'TO RECORD A NOTICE O1, COMNIL, NCFM4 N'I' MA)' RE;SUI,'(' IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COtMiNIENCEMENT MUST RE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI.1.1-1 YOUR LENDER OR AN A"I-I'ORNEY 13EI-ORE 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 nuet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, licate.rs, tanks, au"cl air conditioners, etc. F13C IOU Shall he inscribed is, ith the date of application and the code in effect as of that date: 5'h Fdition (2014) Florida Building Code ReviseRevise& June 30, 201 S Permit Application NOTIM In ad I dition to the requirements of this perillit.1here may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be=additional pernlits,required from other gpvernImemal entities such as water nianagenient districts, state agencies, or federal agencies: Acceptance ofperthit is verification that I will notify the ,©caner ofthe property of the: requirenichts ofl7lorida Lien Law, PS 713. The City of Sanford requires payment of a plan review fee at the little ofinrinit submittal. A copy of the executedcontract is required in order it cakulate,a plin preview Charge and will be considered the estimate&construction value of the job at the time of submittal. The actual construction value will be figured based oil the current ICC Valuation ']*able in effect M the time the Hermit is, issued, ill accordance with local ordinance. Shoulld:calculated charges figured off tile executed contract excel &Ihe;acival construction value, credit will, be applied to your permit fees when the permit is issued. OWNEWSAFFIDAVIT: I certifv that all of the foregoing hiformation is accurate and that all work will be done in compliance with all applicable laws repilatincr construction and zoning. Sion.d.,uurtilgcnt Dalk! 647 . 3. ;018, or, Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building R Electrical El MechdnicalE] C6nsIruetioiCVyl)e: Occupancy Use: — I Total S(I in of Bldg:. Min. Oeeupaiicy Load: New Cmis,tructi6ti: 'Electric - # ofAnips Plumbitign GasF] RoofF] Flood Zone: 4 of Stories: l"ItIlubhig - ff of Fixtures k' Fire Sprinkler Permit: Yes F] No F] 4 of Heads "Fire.Alarni Permit: Yes n NoD APPROVALS: ZONING': UTIIJTIES: W A S* IT� W AT' E R: ENGINEE'RING: 1-1-RE: BQ11,DING: COMMENTS: ,or Ruvised: J1111C 30, 2015 Permit Apjfliemjori C( t ^ CARROLL BRADFORD, INC. �� ✓ 5 ) Le_� ' 'u jzL clu ,j ZAGS CBC1260310 - CCC1330656 / 0 t/ iC PROPOSAL ((( Custumt•r•_ � n --_�_ Date: f,t.t, _ perty Location. % % E� % / / �l_l .�L Cr // / <1 �. /- Day Phone: City/Stale:. C', �.- , � �) M :]li r _ Zi r: E-htail:/L� _� /J - l __ livenn llig Phoe: _- ❑M Lill l n •1j,;:�) rt.;1Tf 4„t7j� '—` 110A Approval Needed: L7Yes_ lqo ROOF SIWECIFICATIONS - IIr•and: r Style: _ // ,-y ✓"/ F' Color Construction Type: UNew Construction ,L�Xemove & Replace Story: 01 1�iT Pitch: Tear -Off I.ayers: k ❑z clpeel &-Stick Valley: 00 sell I �+y'To::ed Lead Pipes: ❑i S" L U2 L� p3.. 04" Underlayment:i` Synthetic ❑Felt Ventilation: T}-pc ^L `� (sty. `f:olt'1 Drip Edge: LlColor ltitrhen/l3aUt Tents: -1"- r 10" _C C0101-M 6 t� Skylights: Size Type Qty. Replace Flat Roof. Cll'es ❑ya C0101— Lumber: Sire Type Qty. ,( Solal•: I)escriptiort__.__-- -- __.-- _ f� Misc.—_� Warranty: ❑Stattdarti ❑Sy tem: -- is-"'� � U/ &Iivetyl�otes: (A -I ' YER SPECIFICATIONS: Size_- Color � Lincil Feet Downspouts SIDING SPECIFICATIONS: Lap Size (ENposure): Trim Size: Finish: ❑Smooth ❑Woodgrain Special instructions I GL z,/' T17RMS I ['y sib .mf: tlnti ,:grecmcnt, ynu .tuthoriz e cairoil llr.idGud. Inc. to perform the st•otk er specified abort• and grce to this payment m hodulc as lifted on this Agreement 2. Am aRr f,:.hon s>r de. tatmns frnm this A£rce meat trdl nut be rxetuted unlysl othenvut tt rued t:pnn in wr dilly; by both p.trtit•'. 3.1:nr:signa:utthtEuttipn)vdesyrottra_aemi-nttoallthetertnsandcondition;setforth()itth I;imi and back oftlusAgmement.Nensecarefully mtdtile ennrcfmntandKick ufttisAgmnnenr .. 7ris rims t._ 1 inay b- ttiithdr, .•. n by C.tr„:I firndinrd- fn . dnut accepted within 3J AcTreL d Pyice: c _ To br, paid as folios^: S: _ F Date • � Uue ;tt time of A; rtentent (Check 9 / U l ) EJalan e:/, tt at tltc tithe ref Con(Check # Date tpictiurl - -- � jnrttt�Kr(f, rrt+I jrucfjordPep) Date tla' • �,'t,iJca,kirciadSireet,Suite O1,Ot'lando 1'Irtrjtla32a11 offito:407h17�13"LU•Far.1t17.62�-57"?tl Jr:Lr :'.,;�;1, ILI F " �p0t���rsh Lsandill�i3oultsvilrtl,Suitc'1 • (acl:�.itr7vl11e.I1,a'L7,S(l • office-Z9G-7604 Permit Number: "Folio/ParcelID #; Prepared by; ' "'' Return to: Carr:;: Bradford Inc. 4776 New Broad St Suite 201 Orlando FL 32814 II!l�lf !lltlllt[! II1l� Il�lJ f191111 1: GRANT IIALOY, sENINGLE COUNTY CL,i'12it OF CIRCUIT CO1iRT 11 C:OhIPTROLLER Bl( 9114 Ps 51ti C1Ps,i CLERY,'S r '018043213 RECOROEO Q4-%19/201S t12e49:49 F'I,i Rf r:itGI"G FEES $1i .00 RECORDED 8y Ildevare NOTICE OF COMMENCEMENT State of Florida, County of Orange The undersigned hereby gives notice that improvement will be made to certain real DronPrfv nn,4 rn with Chapter 713, Florida Statutes, the fol'� -- ' • - 1. Description of ropprt legaldcr;, rib � r�� 2. General description of improvement 3. Owner informatipn or v if the Lessee contracted the improvement � t`Y� Interest in Property,__pwner JName and address of fee simple titleholder (if different from Owner listed above) Name Address, 4. Contractor rvame uarrou tiraofora, inc. Telephone Numb& (407) 647-9420' Address, 4776 New BroadSt Suite 201 Orlando FL 32814 5. Surety (if`applicable, a copy of the payment bond is attached) Name Telephone Number Address Amount of Bond, $ Z. 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 B. 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 RESULTJJN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORgEDJ ANb POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y Ux LENDER:OrR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. G of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Pariner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this lday of by / /* gam-^ 11 s _ rno�ityear name person as for f c, f Type of authority, e.g., officer; mey in fact Name o pa n behalf of whom instrument was executed -Rinnu} - of Nn u is -State of Florida Print, type, or stamp commissioned name of Notary Public aon,Aro n �R Produced ID uced JA6C1iy Et)OAR MILTAN + :Y} Ifotary#gii ie -.state 61 Florida CFPT(f.cfi copy RRI11I rrl ,L `! ,`aAy Comrt. Egjret: Jue.3.2018 G'tt'I Cif ­Hc C, ,,.11' i ,: i.� . tg �� ��n„n ��` .' C flan � FF 126683 „-. Form content revised: 0 /3/ 4` R 21 City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address 110 WOODFIELD CT As required by Florida Statute 553.842 and 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 doorsmust be tested in accordance with the Florida Building Code, Section 1,714.5. More information about Statewide Product Approval can be obtained at www.floridabuildino.or_q. The, folloWing information must be available on the jo4site for inspections: 1. This entire product approval form 2.,A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Prodbc-t Description Florida Approval # (include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll Up Automatic Other 2. Windows Single Hung Horizontal Slider Casement Double Hung Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category/Subcategory Manufacturer Product Description(including Florida Approval # decimal 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 GAF TIMBERLINE HD 10124.1 Underla ments GAF FELTBUSTER 18686 Roofing Fasteners 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 / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents GAF COBRA RIDGE VENT FL6267.1 R9 Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll u Equipment Other S. Skylights Skylights 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 B. New Exterior Envelope Products Applicant's Signature Applicant's Name Jonathan D. Menke (Please Print) June 2014 CITY OF 4 S.,.FORD Building & Fire Prevention Division FIRE DEPARTMENTRe-Roof Permit Card PERMIT NO. / 4? o C�* / i or ISSUE DATE: 05.0� • I CONTRACTOR: Carro /I 1.5 ct4e oL JOB ADDRESS: Ila &,)ooy( e IaL C4— TYPE OF WORK: ke itoop 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 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 CITY OF i�e Prev ittion Diiision Building ct, r e V, SANFORD RESIDENTIAL RE -ROOF f'OLICY& 1'1WEDURES Plo',101 ITTINGREQ UI it EIN I EXI'S —No 111t.AN RF.virNv,RFQuIRED THIS DO(I AN ACCURATE AM) CONwl.,F'rFI) RESIDrNTIM, Ri,,-Roor ScoPi, or W01m ARr. REQUIRED TO BESUBMI]TED AS PAR` OF YOUR D It' SCOPE OF WORK ,\,ILJS'I'INCI.tJI)L-Al.1, APPLICABLEFLOR]DA Pitmucr APPROVAL NUNIBERS FOR ALL Root-* CM I PON EINTSTFIATNVI I J, BE INSTAULA) ON THE PROJECT. A lll,-IR,\,11'1'\V11-.[-N('I'Ill- ISSUED Wl*[-I-101J)"I'lil','Sl,'I)()CIJN,11;N'I'S,. COPIES WILL, BE, MAID" TO POSTONTI-111:1013 SVIT'­ 'PROJECTS LOCATLI) INTHE SANr6m) HjS,roiucl Dis,rkICI*%VIIJ. RP,01,111V PLAN rt EAA EWAN 1) APPROVAL SANFORij HISTORIC PRILSEIRVATION BOARD INSPECTION POLICY & PROCEDURES A FINAL ROOF INSIlf:CTION M11 IF,ONLY INSPECTION RI-iQUIREA) FOR RI"SIDI'-'N,rIAL (SINOLE 1:A4III,Y, roWNI,IbUSE, MOBILE 1-10NIE, APARTNIENTANIVOR C I 0NDO,\',IINIUNI) Ri,.,-Root, ftimmrrs. THE FOLLOWING IS REIQUIREDTO BUi. PROVIDE ONTI IF* 1,00 SITE: • PERMITCARD, P6STI,ill) IN A CONSPI(IJ61)SAND • COMPLA'.111) Rr: , SIDENTIAL RE-Roor &coil --or Wom • COMPLETED AND ­N0-rARIZI'D INSPECTION,AFFIDAVIT ALL FLORIDA PRODUCT APPROVAL AND COltltF;SliONDIN(j-IN' 'r1\1.,I-A'1-10N INS31-RUCTIONS `(PIt,0Duc'rAPPROVAL, SHALL MATCHWHAITIS OwITIE SCOPE OF WORK) • Dil(,,i'l',ALPI-[()'rO,Glt,AI)I!S(Nli,,JS'I'IN(II.,tjl)l-'�'I'l,ll;l'r,,,R,NIl'l'NUi\,Il3l',"ItOR,t\l')I)!ti..SS"INFiA-Cill'IC'11-tJitl-') NI EN'r INSTALLED • ROOF MICK NAa,jw; PATI'ERN & SPACINIC, (INC-LUMIN(i AIMEASURING DEVICE 014 RULE) ) • IZ(,)Oi,, DECK NAILS US I"I.) (INCLUDING A MEASURINC, I,)vVICF1 OR RULER SHOWING SIZIi OFNAILS) • tJNDI:R1.,AYN,11:iN-I'I)A'I"1'1--RN & SPACING (INCLUI I )ING A MEASURIN(j, DEVICE Olt Imu:1z) • Dim, EDGES', VALLFYA I-I'ACI AAlEASURING DFAIK"FOR RULER) 0 SHINCILES INSTALLED, NAIL PA'17EIRNAND LOCATION OF NAILS 0 SKYLI G ITI-S (IF APP LICA B Lf") 0 o DwITALpIIO'I'OC I RAPI-IS SHOWING ALI, 111_-�QUIREIIJ FLASHING. PER FL PtzOI)UCI'APPROV,,\L R\ it, u itcTO FOLI X)\VTI-I ESI,�, SPE .0 FIC` GIJ I DELIN ES \V1 1.1, HE.Sl ILT I N:\N AL' FIDAVIT PROVIDED BY A i'tolt I Im DESIGN PROFESSIONAL (ARC H ITECTOR M; IN EER), CE 101 FYI Nc F B - C conF: CONIIIIIIANCE BY PEIISOCNAL. INSPEXTION. Dxi-L: C,ON'TRACTOR (OR OWNETMUILDLIZ) SIG JNA'rLJRL: s I CITY ,OF ORD S,� NF FIRE DEPARTMENT Jo,i1ADnlress: 110 WOODFIELD CT PERMIT # Building & Fire Prevention Division RESIDENTIAL. RE -ROOF SCOPE OF WORK S77t1lC1"1�1tFi Tl`I"F:: Q SINGIJ FA�111.1' IZIiSIDENGI%C0IVNFIC>USI Q MOBILE HOME Q APAltTMi:N`I'/C('JNI)OMIN1t1M 11L-1zO0F TyPF.: Q REPLACI ti7F.N-1` (TEAR OFF EXISTING ROOF AND RrPLACE WITtI. NEW COMPONENTS) Q RE-COVEk (MM ROOF INSTALLED OVER EXISTING RO(F) OF:cI: TYPI: (PL:F.AsI; sPF:rn-Y):plywood "PLEAS!: NoTE: 01VLY 100 SQUARE 1'E ET or THE EMSTING DECK IS PERAUTTED TO BE REPLACED 4 Root/VENTILATION: Q 01`I':-Rn)C I; Q RIDGE QSOf'F1"I" 011owl RIiI) VENT OTURI:IINES' SKYlACIE'I;S: Q YI S ONO I(: YES, PLEASI3 PROVIDE FLOEtIDA PRObt1C"r APPROVAL. #: M1%1N Rooi; AREA ROOF SLOPS.: Q LESS'FF[AN 2:12 Q 2:12 — 4:12 4:12 OR GREATER TvPF, pF ROOF MANIJI AC-FUR1 It V LOJIUD A 1'ii0 Im1'G I' Am itoVAF. `O_SIIINGI-L GAF FU 10124 R20 Q mE-rAL FL# Q MODIFIED B):ruMI--N FIJI QTORCI-I DOWN Fhi1 Q INSULATED ! L!1 Q'1'ELI FL11 Q OndER: FLU ROOF E X F.NSIONS (PORCHES PATIOS FTC.) °f1l'APP1.ICABLE** ROOFSLOPF.: Q LESS THAN 2:12 O 2:12-4:12 Q 4:12 Olt GRFA-I-F:It 7'YP1: OF ROOF MANUFACrU1tF.1t FLORIDA l'ItOl)t3CT AI'11It0VAL Q SHINGLE F1,11 Q MODIFIED BITUMEN FL11 QTORCII DOWN F1..11 Q INSULATI"1) Q TILE FLU Q O'ftEtiR: I'L11 3"g x CITY OF DEPARTMENTFIRE Sk�40RD Building & Fire Prevention Division RESIDENTIAL RE-ROOFAFFIDAVIT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: 2 fff ADDRESS: 110 WOODFIELD CT I Jonathan D. Menke , 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 #: CCC1330656 COMPANY / CONTRACTOR: Carroll Bra d Inc. CONTRACTOR SIGNATURE: DATE: ^ (F (MUST BE SIGNED BY LICENSE HOLD/I OR O BU D R) A FINAL ROOF INSPECTION IS REQUIRED: THIS SIGNED AND NOTARIZED AFFICAVIT 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 O Sworn to and Subscribed before me this 1 day of / "1-4 20 IZ6E_ by: Jonathan D. Menke Who is ZPersonally Know o me or has ❑ Produced (type of identification) as identification. Sig e c e orida,1I.,} Du�a,n•y JASON EOtiAR MILPrint/Type/Stamp Name ? . Notary Pd t • Step oof Notary Public jyly . S FF t