HomeMy WebLinkAbout1100 S Holly Ave (2)MAY 0 g 2018
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I � - a- 18 J
Documented Construction
Value: $
Job Address: l D AcAv slk 0y I [ 1 J 2, % Historic District: Yes ❑ No ❑
Parcel ID: Residential [Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Ve,F
Plan Review Contact Person: Title:
Phone:
Fax:
Email:
Property Owner Information
Name AoofY4
1 Phone: a l a] :I A oa!)S
Street: UA 1101 �V
City, State Zip: &M(w®j"A'.T'C- -I I
Resident of property? :
Contractor Information
Name CLF1EmfaN!�)4t N Phone: Cla_7 57 1 `1610
Street: =� l', Au-h)rAdEV_FJVAS1C�
L— Fax: h a-7) 5 71 Ji t la
City, State Zip: 0 eg0A)Q&— , �I 3 3 � � - State License No.: �t (3a^l 351
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail
Mortgage Lender:
Address:
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.
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 effect as of that date: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 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 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 zoning.
Si ' re of Owner/Agent Date ((/X' Signature of Contractor/Agent Dat
1'�Ioa�) �slddle-
Prit r/Agent's N Print Contractor/Agent's Name
Signature of No ry-State of Florida Date �Signatre of NotaryS-tat' D�ate pS%og jzdl8
BRIAN S. BIDDLE MATTHEW WM. RAMMIG
Notary Public, State of Florida Notary Public, State of Florida
My Comm. Expires Apr. 30, 2022 My Comm. Expires Dec. 20, 2021
No. GG 212956 No. GG 169954 /
Owner/Agent is Personally Known to Me o // Contractor/Agent is V Personally Known to Me or
Produced ID � Type of ID f'I�o �83 �$"lo�'� Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑
Construction Type: Occupancy Use: 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 WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
17T-(U) tiJ (ckL«.
THIS INSTRUMENT PREPMED AY:
Nains: Parlament Rooflno & Construction
Addrdss: 12880 AutoMpbiie Blvd, Suite L
Clea ater. FL 33762
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number:
1'1dglll 10,111111111111111111111111119{ fail fill
tr;
....
Efi};2018050978
}
The undersigned hereby gives notice that Improvement will be made to certain real property, and In accordance with Chapter 713, Flodda Statutes, the
following information Is provided In this Notice of Commencement,
1. QFSCZIPTDON gF,Pt�gPF,t�7Y: f -egal descripflon cf he prgp%V,and street�gddrass if available)
2. t"ERAL DE*"IPTION OF IMPROVEMENT:
3. OWNER INFORMATI NOR LESSEE I O yATIONiI THE
Name and address: t ►. l a f
interest in property:
Fee Simple Title Holder (if other than owner listed above) Name: `
4. CONTRACTOR: Name: PaAament Roofinq & Constnlotlon Phone Number: (727) 571-4110
Address: 12880 AutomQbite Blvd, Suite L, Clearwater, FL 33762
S. SURETY (If applicable, a copy of the payment bond Is attached)! Name:
Address Amount of Bond:
6, LENDER. Name: Phone Number.
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other.docurnants-maybe served as -provided Ly Section
- --
_. _---- -.-
Name: Phone Number.
S. In addition, Owner designates of
to receive a copy of the Llenor's Notice as provided in Section 713,13(1)(b), Florida Statutes. Phone number:
9. Expiration Data of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING Ta 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
doe SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
13EFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
(3ignedlre at Owner or Le88Be, a< ONflera of leftoes
Authorised OlReedDlmttorlPaAne'iMenagv)
State of Florida
—eountq of5
(f I I()W-yle' r
(Print Name end Provide sigrAtfe TttledCMce)
c— t
The foregoing instrument was acltnowledfled b®fore me this .7 ,_,•.day of a1 Y 2
by w1 �1 S�r't IM . Uwr 'CCU Who is personally known to me_ OR
Noma of person makingstatanignt �,/ // Q q '( ^► / G
Who has produced identification _'hype of identification produced: � C -1 b Z- -,
01
NOTARY STAMP OR SEAL
MAT THEW WM. RAIMMICa ' CfRTi fit CRY, RAFVT M:ALC�Y e
t:LFR flF 7' if Ci' l� T C'�t1 tT
Notary Public, State of Florida
AN 40,��
My Comm. Expires Dec. 20, 2021
No.00109954 S>: F RI A 'R= r►y
Gate
SEMINOLE COUNTY MULTI%URISDICTIONAL
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: tcA
an agent of: Parlament Roofing & Construction
(Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this
appointment for (check only one option):
❑ All permits and applications submitted by this contractor.
Or
0 The specific permit and applicatigii for work located at:
.1013 keubdA)&�<Inal
(Street Address) J
Expiration Date for This Limited Power of Attorney: l
License Holder Name: Peter E. Wozniak
State License Number:
Signature of License H(
STATE OF FLORIDA
COUNTYOF Sf-9M;d61L
fa
The foregoing instrument was ackno(wlledged before me this day of M G1 1
Ild
20, by r! A h S • 1.7 ! 4' c- who is ❑ personally known to me or
❑ who has produced
and who did (did not) take an oath.
as identification
MCI 44 taLW &..; 3
Print or type Notary name
Notary Public -State of
Commission No. �• RAMMlG
(Notary Seal) My Commission Expires: MYComrn,ExpiresDec,2p 2p�q
04
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
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), certi f
BC code li n by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: u✓ (/
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 2Q a
"PLEASE NOTE: ONLY 100 SQUARE FEE O;RIDGE
EE TING DECK IS PERMITTED TO BE REPLACED""
ROOF VENTILATION: O OFF -RIDGE O'SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES �401
IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12
4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
el'SHINGLE
��-
FL# 7c5oty — v
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
OOTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE"
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#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
r"-
Product Approval Specification Form
Permit #
Project Location Address
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 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.floridabuilding.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.
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category/ Subcategory
Manufacturer
Product
Description
Florida Approval #
including 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
1
F -704��— l
Underla ments
r
1
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
Other
June 2014
W�,
Category Subcategory
Manufacturer
Product
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. 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
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name
(Please Print)
June 2014
CCC1329729 CCC1327351
CRC1329809 CRC016377
PARLAMENT
Roofing & Construction
ORLANDO CLEARWATER JACKSONVILLE
300 International Parkway, Suite 104 12880 Automobile Blvd., Suite L 4651 Salisbury Road, Suite 275
Lake Mary, FL 32746 Clearwater, FL 33762 Jacksonville, FL 32256
Office: (407) 949-9196 Office: (727) 571-4110 • Fax: (727) 571-4112 Office: (904) 999-6612
SALES CONTRACT
Parliament Roofing & Construct, o grees to furnish all materials and labor necessary to perform the wqrk at the ollowing address:
Name: Vv^r -h Sa _ . __C l,� r'. Phone: .--- C,ellk
Address: 1 S �0 V Q. Date: O S S2C)IS
City: &s: ►n� CT�`r� State: Zip: 2
Coun �b" tRni
Email: t3'�
In accordance with the specifications given below:
A: PITCHED ROOF PRODUCT: SHINGLE / METAL / TILE
1. REMOVE EXISTING ROOF TO WORKABLE SURFACE. Circle One
2. RENAIL ROOF DECK WITH RING SHANK NAILS.
3. REPLACE A Y ROTTEN WOOD WITH STANDA D SHEATHING @ $7.00 PER LINEAR FOOT OF BOARD AND $90.00 PER SHEET OF PLYWOOD, IF ANY.
4. INSTALL O+0 d`M'L S k i J UNDERLAYMENT TO ENTIRE ROOF DECK SURFACE.
S. INSTALL NEW VALLEY METAL IN VALLEYS AND REPLACE FLASHING AS NECESSARY.
6. INSTALL NEW LEAD BOOTS OVER SOIL STACKS AND REPLACE ALL PURPOSE VENTS.
7. INSTALL 6" FHA/ VA EAVES QRITP AROUND THE PERIMETER OF THE ROOF. COLOR:
8. INSTALL�YEAR COLOR: 1.)UaI Cv'CrY
9. INSTALL PIECES OF FOR ATTIC VENTILATION AT AN ADDITIONAL COST OF $55.00 EACH. COLOR:
10. CLEAN-UP AND HAUL AWAY RELATED DEBRIS AND LEAVE JOB SITE CLEAN.
11. CONTRACTOR WILL COORDINATE THE REMOVAL AND REINSTALLATION OF ROOF RELATED PERIPHERALS SUCH AS (BUT NOT LIMITED TO)
SKYLIGHTS, SOLAR UNITS, T.V. DISHES, AND / OR AIR CONDITIONERS, ETC.SUCH COST IS ADDITIONAL TO CONTRACT PRICE. REMOVAL AND
REINSTALLATION OF VINYL AND/OR METAL SOFFIT AND FASCIA WILLDITIONAL $4.25 A LINEAR FOOT.
B: LOW SLOPED OR FLAT ROOF PRODUCT: T 0 / TORCH AU
1. REMOVE EXISTING ROOF TO WORKABLE SURFACE. Circle One
2. RENAIL ROOF DECK WITH RING SHANK NAILS.
3. REPLACE ANY ROTTEN WOOD WITH STANDARD SHEA HI $7.00 PER LINEAR FOOT OF
4. INSTALL SWR / PNS UNDERLAYMENT TO ENTIRE ROOF DEC U
S. INSTALL NEW BOOTS OVER SOIL STACKS AND REPLACE ALL PU
6. INSTALL INCH DOUBLE SIDED FOIL INSULATION (Only
7. INSTALL 6" FHA/ VA EAVES DRIP AROUND THE PERIMETER OF T;
8. INSTALL YEAR
9. CLEAN-UP AND HAUL AWAY RELA;En DEBRIS AND LEAVE 10B SI
10. INSTALLATION OF A ROOF -OVER VOIDS NUMBER 2 AND 4 IN S
11. CONTRACTOR WILL COORDINATE THE REMOVAL AND RE TAl
'ACE.
SE VENTS.
r TPO Roof).
B:
SKYLIGHTS, SOLAR UNITS, T.V. DISHES, AND / OR AIR 0 TIONERS, ETC.
REINSTALLATION OF VINYL AND/OR METAL SOFFIT D FASCIA WILL BE
MAIN
Circle One
AND $90.00 PER SHEET OF PLYWOOD, IF
ROOF RELATED PERIPHERAB SUCH AS (BUT NOT LIMITED TO)
COST IS ADDITIONAL TO CONTRACT PRICE. REMOVAL AND
TIONAL $4.25 A LINEAR FOOT.
C: Terms and Conditions_
1. Contract Documents. This contract consists of this document, extra work/wood/skylight authorizations, if any. romises other than
those specifically set forth in the contract documents shall be recognized by either party. The entire understanding and agreement of all
parties is contained in the contract documents.
2. It is understood and agreed that this contract shall not become binding upon PARLAMENT ROOFING & CONSTRUCTION ("Seller") until
it is duly approved, accepted, signed and witnessed by an officer or officers of the Seller.
3. Work on the job desirilped In th contract documents will commence on approximately and be completed
on approximately The recited dates are. approximations and are subject to scheduling difficulties of Seller, labor
and/or material shortages, acts of bod and other events not foreseen by Seller. Seller reserves the right to employ any subcontractor for the
completion of the work described in the contract documents.
4. Seller reserves the right to substitute materials of equal or greater value and kind in order to satisfy the requirements specified by New
Jurisdictional Code Laws which may result in additional charges.
5. Interest at rate of eighteen per cent (18%) per annum will be charged on all balances not paid as per the terms specified above.
Reasonable attorney's fees and costs 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 this contract and obligation of the Purchaser to pay.
6. Parties agree that this agreement shall be constructed 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 Pinellas County, Florida.
7.BUYERS RIGHT TO CANCEL- If you don't want the goods or services, you may cancel this agreement by providing written notice to the
seller in person, or certified mail by midnight of the third business day of signing this contract.
8. Both worker's compensation and public liability insurance are carded by the Seller and they are applicable to the work to be performed.
9. It is understood and agreed that the buyer hold harmless, Seller for any damages that might occur to buyer's driveway(s) during the
deliveries of materials and /or the removal of work related debris that might be required to perform this home Improvement contract.
Furthermore, the buyer herein gives permission for typical delivery vehicle and typical waste removal vehicles to enter said driveway(s) for
the purpose of expediting this sales contract.
Additional terms on reverse side
Contract Price $ ®I 1
Permit 3 250.00
� oU
Subtotal $ MM
1/3 Deposit $y r C)
BALANCE DUE $
(Plus Total from A3, B3,
All, B11 from above)
UPON COMPLETION - Price includes all discounts and
promotions.
PARLAMENT WILL ASSIST WITH WIND MITIGATION
INSPECTION (See C 10)
YES _NO
(Customer initial one)
Executed in duplicate, one copy o hich was delivered to, and receipt is hereby acknowledged by Buyer, this
y S
Q,20 .
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 protect your rights.
Approved and Accepted By:
a
+ L-
_ day of
0 ( /�4
Purchaser Sign Here
Officer's Signature
PR1 (Rev. 1/17)
Purchaser Sign Here
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF CO RINGS
PERMIT #: /L1 �o v l a ADDRESS: ✓ , `1
'50 IV, 77)
I 1 ez'u k- VI-V& N ICI N - , 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 #: 7,351 11
COMPANY / CONTRACTOR: ) `I ►C.�J V •
CONTRACTOR SIGNATURE: DATE
T/ /
(MUST BE SIGNED BY LICENSE HOL ER OR OWNER/BUILP R)
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.
r
STATE OF FLORIDA COUNTY OF fi7/ l �V
Sworn to and Subscribed before me this ! y of 20 Aby:
'
r 0741Who is ersonally Known to me or has ❑ Produced (type of
ide I tion) �- as identification.
ignature of Notary Public
State of Florida (SEAL) BRIAN S. BIDDLE
lid^( Notary Public, State of Florldtl
f My Comm. Expires Apr. 30, 2022
Print/Type/Stamp Name No. GG 212956
of Notary Public