HomeMy WebLinkAbout1116 Pine Oak Trl�3
b CITY OF SANFORD
. BUILDING & FIRE PREVENTION
F PERMIT APPLICATION
Application No: g (r719
Documented Construction Value: $ `21 WT). -
Job Address: �,f�P. 004,7rCtw1 'i Historic District: Yes ❑ No
Parcel ID: �g - Zo - 3\ • 50`1 • �n k��13 Residential V Commercial ❑
Type of Work: New" Addition ❑ Alteration;.❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person: Title: UECR
PhoneFax:
Entail: iC t m V- '(IQ
Property Owner Information U Serotces- neJ,
Name
Street:
City, s
Name
Street:
City, S
Name:
Street:
City,. St, Zip:
Bonding Company:
Address:
..�. Phone: —11 ls0
Resident of property'?':tVU
►rmation
Phone:
Fax
State License No.:
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 mid 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, beaters, 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 Corte
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit,
found in the public records of this county, and there tnay 1
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the c
i
i
ere may be additional restrictions applicable to this property that may be
additional permits required from other governmental entities such as water
ner of the property of the requirements of Florida Lien Law, FS 7.13,
The City of Sanford requires payment of a plan review feeat thetime of pen -nit 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 com iance with all applicable lawsi'regulating construction a oning.
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Signature w Agent Date Sign Contract gent Date
- C KX �n 1 P,tQ
Print caner/ geut's Name Prmt Contractor/Agent's Namc
CLW ROTW-,*,
MY COMMISSION 0 FM32
EXITS Mamb 24,209.
Owner/Agent is rsonally Known to or
Produced ID Type of ID
WM1% COMMISSION tl FFI1Ur
K. EXPIRES March 24,;@it3'ft=4o.s3 F
can
gent is -ersonally Known to Me or
Produced ID, . Type o
R OFFICE USE ONLY
Permits Required: Building 0 Electficaln.Mechanical Plumbing Gas[] Roof F]
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg:
Min. Occupancy .Load:
New Construction: Electric -.# of Amps.
Fire Sprinkler Permit: Yes ❑ No ❑ #
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
FIRE:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: YesF1 No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
THIS i TRUM IFJEPARED BY: ' (�
'✓
Address:
Ste e o Florida
NOTICE OF COMMENCEME14T
Permit Number Parcel ID Number (P ) ,t ` .l.IJ ' 31 ' 561. � . - 1410
The undersigned hereby gives notice that improvement will be made to certain real property..•, and in accordance with Chapter 713,
Florida Statutes, the k9owing information is provided in Utk Notice of Commencement
DF SiC P OF PROPERTY (Legal descrip f the pro iI d street d vaifable)
GENERAL DESCRUMON OF IMPROVEMENT �Q,�w
Rik
CONTRACTOR
klarne and address:
Persons within the State of Florida Designated by Owner upon whom
om notice or otim do 6 men;v may be served as provided
by Station 713.13(1)(bb Florida Statutes.
Name and address:
In addition to himself; Owner Oesignatas �. _ of
To receive a capyof gin Llenors Notice as Provided in
Section 713.13(f)(b), Flodda Statutes.,
Expiration Date of Notice of Cominencemenl_
The expiration date Is 1 year from date of recording unless a ditfererd datUIs spectfled.
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 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICE FOR impRi*mENTS TO YOUR PROPERTY. A.
NOTICE OF COMMENCIr14iENTC(1BI<"RECQRDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
IN3PEC7IOM 1F YOU 1N7 aOBTAIN FINANCING, I CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE CONi14lENCING W OR RECORDING YOUR NOTICE OF COMMENCE'MENti'_
STAT/%FfA�,IiSA /i COUNTY OF SEhIphtOLE
"(NO' M: per Florida Statute 713.13(1) (g), owner must sign...... and no one else may be permdted to sign in his or her shad."
�
The foregoing instrument was acknowJed
oad before me this M day of Mar 6_1 20
by W)e�l40Slt Ct-3 Who is personally known to me
Name of e!%9a, w0dng gaterrmn!
ORwh spr t e " n tky e�I_
'� Q [ l.'\i _ type of identification produced
RI CATION PURSUANT TO SECTION 92.t M FLORIDA STAT I UTES,
PENALTIES OF P I DECLARETHAT I HAVE READ THE FOREGOING ANI:f THAT THE FACTS STATED.tN l7
RUE TO THE FtlllCN/>lIIrLEDCyEAND BELIEF* CUNT ROTH
re"I SSGNATURE OF NATURAL PERSON SIGNING ABOVE � } MAY COMMISSION M FF?t$?iia
EXPIP.FS March 24, 201a
t,ttlr•:f !!11:,3 Fi0m M01n'7S-h—W. , ._
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL I
CLERK'S # 2018035397 BK 9102 Pg 0112-1 (1pg) E-RECORDED 04103/201k8 11:43:00 AM
10.00 .
CITY OF
Building &Fire Prevention Division
FORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMFNT
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.
i
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE.
`t
"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:
e PERMITCARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
•- COMPLETED RESIDENTIAL.RE-ROOF SCOPE'OF WORK r
•. COMPLETED AND NOTARIzEDI.NSPECTION AFFIDAVIT
o ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
o 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)
DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
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.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
r CITY OF
� r
Sjk�40RD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. T'1� L —! ISSUE DATE: t t
CONTRACTOR: J �'
41
JOB ADDRESS:
TYPE OF WORKJ>Nr-00C/5k i P-A 9 t 005
PROTECT FROM WEA ER
• 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
JOB ADDRESS:
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM
RE -ROOF TYPE bEPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH"NEW COMPONENTS)
0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
/t
DECK TYPE (PLEASE SPECIFY):
*PLEASE No ONLY 100 seu.4RE FEET OF THE XISTING 'DECK IS PERMITTED TO BE REPLACED *�
ROOF VENTILATION: FF-RIDGE O RIDGE OSOFFFr POWERED VENT QTURBINES
SKYLIGHTS: 0 YES �Q � O IF YES. PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
--------- ------ -------- ----- ---------------- ----------------------------- - ------------------- --.---------------
MAIN ROOF AREA
ROOF SLOPE: OIESS THAN 2:12 0 2:12 - 4:12 V4:1 112 OR GREATER
TYPE OFROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
Q SHINGLE
FL#
QMETAL
FI.#
0 MODIFIED BITUMEN
FL#
Q TORCH DOWN
FL#
QINSULATED
FL#
Q tILE
FL#
Q OTHER:
FL#
CITY OF
SkNFORD
FIRE DEPARTMENT
PERMITTING
Building & Fire Prevention Division
RESIDENTL4L RE -ROOF POLICY & PROCEDURES
— NO PLAN REvjEW 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 ISREQUIRED TO BE PROVIDE ON THE JOB. SITE:
e PERMIT CARD, POSTED IN,A CONSPICUOUS AND WEATHERPROOF LOCATION
e COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
• COMPLETED AND NOTARIZED INSPECTION.AFFIDAVIT
e 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
e 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
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTI
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:
IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
WE O IANCE BY PERSONAL INSPECTION.
V
DATE: l
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
-----------------------------------------------------------------------------
Application Number . . . . . 18-00001719 Date 4/11/18
Application pin number . . . 647432
Property Address . . . . . . 1116 PINE OAK TRL
Parcel Number . . 18.20.31.507-0000-1470
Application type description ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Application valuation . . . . 12400
----------------------------------------------------------------------------
Application desc
reroof/
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
1116 pine oak trl holdings,llc J & M ROOFING SERVICES INC
4290 church St 1970 CORPORATE SQUARE
SANFORD FL 32771 SUITE D
(407) 667-7779 LONGWOOD FL 32750
(407) 960-3931
----------- Structure Information 000 000 ----------------------
Roof Type . . . . . . . . . FIBERGLASS SHINGLES
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1043173
Permit pin number 1043173
Permit Fee . . . . 131.00
Issue Date . . . . 4/11/18 Valuation . . . . 124C_
Expiration Date 10/08/18
Qty Unit Charge Per Extensic
BASE FEE 40.0
13.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10 91.0
--------------------------------------------------------------------------
Special Notes and Comments
All projects within the City shall use
WastePro for debris removal. Please
contact WastePro at 407.774.0800.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday. Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrich@sanfordfl.gov
--------------------------------------------------------------------------
Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING 25.00
01-BLDG PLAN REVIEW 39.00
01-BLDG DCA SURCHARGE 2.00
---------------------------------------BLDG DBSURCHARGE2.93
-- ---------
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 131.00 .00 .00 131.00
Other Fee Total 68.93 .00 .00 68.93
Grand Total 199.93 .00 .00 199.93
CITY OF SANFORD
# CUSTOMER RECEIPT +�*
Oper: BLANDA Type: OC Drawer: 1
Date: 4111/18 01 Receipt no: 105048
Year Number Amount
2018 1719
1116 PINE OAK TRL
SANFORD, FL 32773
BP BUILDING PERMIT RECEIPTS.93
2018 1750
225 JUSTIN WAY
SANFORD, FL 32773
BP BUILDING PERMIT RECEIPTS
$179.63
2018 1751
229 JUSTIN WAY
SANFORD, FL 32773
BP BUILDING PERMIT RECEIPTS
$149.18
2018 1752
227 JUSTIN WAY
SANFORD, FL 32773
BP BUILDING PERMIT RECEIPTS
$149.18
AC 016724
Tender detail
CC CREDIT CARD $677.92
Total tendered $677.92
Total payment $677.92
-------------------------------------------------------------------------- Trans date: 4/11/18 Time: 12:48:26
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. i
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
S__________0RD
CITY OF Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1 ^ ` \ ADDRESS: _ W n 7?
I \ I W l 1(,IE A !N �J`,`EAC_ I 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 #:
COMPANY/
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER R OWN DER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: /�
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 ��,,
Sworn to and Subscribed before me this —7 day of AV 20 4by:
�rsonally Known to me or has ❑ Produced (type of
State of Florida
VVn� t_AA_.
Print/Type/Stamp Name
of Notary Public
as identification.
�:t. F
;;off,.."w'% 4 13269
MY COMM,�
March 24, 201�
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EXPtF2ES
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