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HomeMy WebLinkAbout123 Academy Aver CITY OF Building & Fire Prevention Division k�4FORD PERMIT APPLICATION FIRE ©EPARTMENT J� Application No: D Documented Construction Value: S 6,550.00 Job Address: 123 ACADEMY AVE Historic District: Yes❑No❑ Parcel ID: Type of Work: Residential❑ Commercial❑ New❑ Addition❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use❑ Move ❑ Description of Work: REMOVE AND REPLACE ROOF WITH SHINGLES Plan Review Contact Person: Phone: Name GAYLE LAWSON Street: 123 ACADEMY AVE Fax: Email: Property Owner Information City, State Zip: SANFORD FL 32771 Title: Phone: (321) 377-1240 Resident of property? : Contractor Information Name PRO ROOFING & ASSOCIATES Street: 3024 KANANWOOD CT SUITE 1008 City, State Zip: Name: Street: City, St, Zip: _ OVIEDO FL 32765 Bonding Company: Address: Phone: 407-542-5903 Fax: 40.7-542-8790 YES State License No.: CCC1328416 Arch itectlEngineer 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: 611 Edition (2017) Florida Building Code Revised: January I, 2018 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 const uction and zoning. Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Mihr/Agent's Name Signature Si nt Contractor/Agent's Name Date MY cotu�4 U10N # GG 179751 "` :. s ...... W COMMISSION # GG 179751 EXPIRES: January 28, 2022 = �: •: Bonded Notary Public thtde *00$ > o`,= EXPIRES: January 28, 2022 oP e�,.• Thm r e` Bonded Thm Notary Public t.IWwwrfters ,•'•�UF P1.0 •• Owner/Agent is Personally Known to Me or Contractor/Agent is ersonally Known to Me or Produced ID E/ Type of ID Z() ii Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: # of Heads UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January t, 2018 Permit Application xiMA A Property Record Card ARR Parcel: 35-19-30-515-0000-0350 600t.W •. PLOPMA Property Address: 123 ACADEMY AVE SANFORD, FL 32771-3014 ,;el Information Parcel 35-19-30-515-0000-0350 Owner GREEN, MAE F & LAWSON, GAYLE FRISON, TAMARA Property Address 123 ACADEMY AVE SANFORD, FL 32771-3014 Mailing 123 ACADEMY AVE SANFORD, FL 32771-3014 Subdivision Name ACADEMY MANOR UNIT 01 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions + 63 60 63 N N � p O 63 60 63 Seminole County GI Legal Description LOT 35 ACADEMY MANOR UNIT 1 PB 13 PG 93 Taxes oil Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $35,346 $33,291 Depreciated EXFT Value Land Value (Market) $11,000 _ $11,000 Land Value Ag Just/Market Value " $46,346 $44,291 Portability Adj���� I - Save Our Homes Adj 1 $0 $0 Amendment 1 Adj $0 $0 P&G Adj $0 $0 Assessed Value $46,346 $44,291 Tax Amount without SOH: $843.36 2017 Tax Bill Amount $843.36 Tax Estimator Save Our Homes Savings: $0.00 * Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund Schools � � $46,346 i $46,346� $0 $0 $46,346 $46,346 City Sanford SJWM(Saint Johns Water Management) $46,346 $46,346 , $0 $0 , $46,346 $46,346 County Bonds $46,346 $0 $46,346 Sales Description Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 1/1/2018 09057 1642 $17,000 No Improved QUIT CLAIM DEED 6/1/2001 08857 1017 $6,700 No Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value '.OT 0.00 0.00 i 1 I $11,000.00 I $11,000 +ing Information pion Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 1961 3 2 1.0 851 I 1,403 1,403 CONC $35,346 ( $56,553 Description Area FAMILY i I {'{ i i I I BLOCK !E I ENCLOSED! PORCH 18� FINISHED 4 BASE SEMI FINISHED 170,40 BASE SEMI FINISHED 200.00 l PermitsW.....__..._ ��..._....�.........__...,,. Permit # Description Agency Amount CO Date Permit Date 00989 00226 REROOF REROOF SHINGLES SANFORD I SANFORD $1,000 $1,600 2/1/2009 110/28/2003 Extra Features Description Year Built Units Value New Cost No Extra Features i se`\; ea�6 7 c�� 03105/201 S 14:20 XAX} P.0031003 r' �q:�3. : � :1`C 2 r h F x DONE RIGHT I RAIN TIGHT, GUARANTEED 4 �a c 3024 Kar,anwcaod Ce. Ni08$ Oviedo FL. 327r65 P.407-54Z-5903 F.407-542-8790 I PROPERTYADDRESS I GAYLE LAWSON 123 ACADEMY AVE SANFORD, R 32771 County: SEMINOLE ROOF TEAR -OFF: 2 Layer Shingles 9 l Layer.shingltss Gravel Roof Single Ply Flat Roof Other Felt L nderlayment LL L� LL L www.cfprorooffnS_con WOOD REPAIR: Customer Approval: Inspect Roof Deck for Damaged Sheathing Re -Nail Entire Roof Deck Up To Code Plywood 5heathing repl3Ced at $60.00 - per sheet. © Truss, fascia and wood boards will be replaced at 6.00 per linear foot. Other: FLAT ROOF SYSTEM: © Torch down single Ply 75Ib3 Fiberglass Underlayment COLD SYSTEM: ❑ Self Adhered Modified Bitumen Roofing System ❑ Peal & stick undarlaymmt ❑ Fiberglass Reinforced Felt TAPERED SYSTEM: eISO Cold Polyisocyanurate Roof Insulation ISO Plus Composite Polyisocyanurate/Perlite Roof Insulation NEW ROOF FLASHINGS: 16" Fleshing on: ❑ Rcof Valleys) 0 Flat Roaf Pitch change Plumbing Vent Foots:1,S"_ 2" 1 3" 1 4"_ ❑ 9oot Guards Color: _ Gooseneck Vents: 4 611.^� loll —Color; NW GALVANIZED DRIP EDGE: LVJ 21/2 inch Face installed around entire perlmeter of roof ❑ Other: Color; ALI MINUM SEAMLESS GUTTERS: LLJJ Aluminum Searnless evttcrr ' ❑ Gutters Included In Price Gutter price Quote; Gutter feet: Down Spouts: Additidnal Gutters will bC: Atr lihoarfopt. Additional Downspout will be: each. z1, andard Pitch Roof Flat Roof FL. ROOFING Cc7NTP-AcrcYk I ;#CCCs328dTa i! P. I1100 I PROPOSALNUM:-PRO.771364972538 I I Date: 2/23/2018 Phone: (321) 377-1240 Cell: Email: GAYLELAWSON ALUMINUM SOFFITS & FASCIA• Ll Aluminum Fascia ® mi Alunl ❑ Fascia Incluced In Price Sofrit Ir ❑ Entire Roof Perimeter Soffit &Fascia Cc Fascia Installed Only On: Soffit Installed Only On: Price: 1 OF VENTILATION: E Aluminum Ridge Vent_ft. Gg1pr:_ ❑ Baffled Shingle over Ridge Vent ft, Off-RidgeVtnt(S); 4ft. Qty: Color. P�WERVENT: 6ft. Qty Color: Electric Exhaust Fan: * Qty! F Solar Powered Exhaust Fan: Qty: F •(Eleotrleal work, not included.) CHIMNEY AREA: ❑ New flashing W Replace existing. flashing ❑ Build Chimney Cricket Price: ❑ Remove Chimney Price: SKYLIGHTS: ❑ New Skylight ❑ Reuse existing Skylight 2 x 2: — Price: 14 X 2: — F Other: Price: TEE OF SKYLIGHT: LJSelf Flashing B Curb Mounted LJ Insulated Glass Polycarbonate Domx' New skylight installations include interior work dry wall, paint and labor. Laborcharge: SOLAR TUNNEL: ❑ 20" Price: ❑ 22" Price: El14" Price: BUILDING JURISDICTION. O County C F[QME OWNERS ASSOCIATION REQUIRI LJ YES ❑ NO Contact: _ ' Price needed. wood frame, City ;plycli'0;9 w.fll bel'ns£alled:w/tdreh':' replice:all veri>r;:leyd,booti, `�•: ' for�2tkiiid diFl¢;a'�"Peel&�tiik"! ritiYgM'88&e I-Iaetl:,, .Landmark I I Landmark Limited Lifetime +12 earsiSO.,�NTIRE�ROQF:SEE&�RENAILEO,:.=:;,:;;:;:;�:: Tee l &stick SWB 75Ibs.GlassbaseTorch Felt ..Packet';;Tafa! s''.: ;?::_.':=:';r•." E.. ?'r'.k''r:`; 3 YEARS 3 YEARS Gold Parka a Total:. Pro Rooting &Associates, Inc. will clean rdof debeisfmm Eutters in addition to magnetically weep entim pedmetcr af)ob site All raofing dgljr1swill bg hauled away and it meludadaspart ofour ierviee, All materials ere guaranteed at specified. We will obtain all city or county permit necessary for the cpmplatipnofthej44,Allworkwinoe completed aeea riling taFtandaru ro4Rrlg kamices and cwrem building dedes. Mytittration or deviation from above speclflcatlons Involving-tra cc. will bg axgcutad only upon written ardor and will become an extra charge :rem over 8M above ibis e¢reemem, Any leaks occurring during the warranty period will be mpalred per our written warranty. This proposal may be withdrawn by us If not aempto within 15 days. ACCEPTANCE OF PROPOSAL: The above specifications, prices and conditions aresatisfaetoey and are hereby accepted. You arc nuthorizod to Bathe work as specified. Payment will be made as outlined herein. If payment is not received within 6 businG;s day; pftcr completion of job there will be a 3% late fee added tc the balance due. Any payment rcCicvCd b a egad f card is subject to a wnvienence fee. Pbym nt Schedule Won Completion Start Date: Comp14tion Data; N... FRED ar look WAutre Slg,ature Date Pro Roofing&Aaspciatcs Datel 111111111111 ill1111111 P11i1_1I.I:I.I..i16:i 1.111. 6RAWF i'INLOYr SEMINOLE COUNfi `F CIRCUIT COURT & C011PTROLLER BK 9102 Ps +=r7 (11"3s) CLERK'S Y 2018035561 Permit Number: RC::(::0R.C,EO 1i=�,%i-i3/2111u 0: -24.-21 F'H Folio/Parcel Identification Number: 35-19-30-515-0000-0350 R°rEC:ORD' ING LEES $1.171U0_1 Prepared by: EDRIEL RODRIGUEZ REC:OC;IsF:C 13Y tnde- i?r:= Return to: PRO ROOFING & ASSOCIATES, INC. 3024 KANANWOOD COURT, SUITE 1008, OVIEDO FL 32765 NOTICE OF COMMENCEMENT State of Florida, County of SEMINOLE The undersigned hereby gives notice that improvement(s) 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 35 ACADEMY MANOR UNIT 1 PB 13 PG 9 12Y AVE, SANFORD, FL 32771 2. General description of improvement(s) REMOVE AND REPLACE ROOF SHINGLES AND TORCH 3. Owner information Name: GAYLE LAWSON Interest in Property OWNER Address 123 ACADEMY AVE, SANFORD, FL 32771 _ 4. Fee Simple Title Holder (if other than owner shown above) Name: N/A Telephone Number: Address 5. Contractor Name: PRO ROOFING & ASSOCIATES, INC. Telephone Number: 407-542-5903 Address 3024 KANANWOOD COURT, SUITE 1008, OVIEDO FL 32765 6. Surety (if any) Name: N/A Telephone Number: Address Amount of bond $ 7. Lender (if any) Name: Telephone Number: Address N/A 8. 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: N/A Telephone Number: Address 9. 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: N/A Telephone Number: Address 10. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a iifferent 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 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. Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are t o the best of my knowled and bell 11. gn ture Owner SignatoEy's Printed Name/Title/Office (or Owner's Authorized Officer/Director/Partner/Manager §713.13[1][d]) This document was acknowledged before me thisg9-today of All t-C , 2018 by (:w:�h�ispersonally known or pro ed as identification. Signature of Nota Public —State of Florida yte.- LcLL`�s� *fl"w Maryanne Darlin NOTARY PUBLIC IESSTATE OF FLORIDA Comm# GG142069 Expires 1 /2/2022 t _- t < += Q9 U CUD V—m qj� 10 My 111-N-0,111 1111 �1, � ��, I SEMINOLE COUNTY and/or CITY OF SANFORD DATE: 4/6/2018 I hereby name and appoint: "��5� _ �, sc' °s; �0 pp an agent of: PRO ROOFING & ASSOCIATES, INC. (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. /The specific permit and application for work located at: 123 ACADEMY AVE, SANFORD, FL 32771 (Job Site Address) Expiration Date for This Limited Power of Attorney: DECEMBER 31, 2018 License Holder: ELMER A. CAMPOS State License #: CCC1328416 I�A Signature of License Holder: State of Florida County of SEMINOLE The foregoing instrument was acknowledged before me this day of ( C 1 20 by ELMER A. CAMPOS who is personally known to me and did not take an oath. WITNESS my hand and official seal this day of 2i 120 l , of Notary Public — State of Florida MEE, EL HERNANDEZhlic -State of florielaission # FF 990343. Expires May 9. 2020 NOTARY SEAL (Printed Name.) Commission No. 'FFC(910- �3 State of FL. County of SEMINOLE My Commission expires: 5" 9 �� Rev.12/13 CITY OF N&kNFORD Building & Fire Prevention Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DEPARTMENT 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 UNDERLAYM ENT 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 COMP ANCE ERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: CITY OF SkNFORD FIRE DEPARTMENT 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: &CPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): * *PLEASE NOTE: ONL Y 100 SQUARE FEET O HE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES IO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL ®'SHINGLE FL# OMETAL FL# &V ODIFIED BITUMEN (� t FL# O TORCH DOWN FL# 0INSULATED FL# O TILE FL# O OTHER: 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# O OTHER: FL# ►l City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: �,_ �--1 ADDRESS: I L-- I d I /1V_ i / , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR OFING CONT ENGINR, 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 CONTRACT (MUST BE S / CONTRACTOR: g;,q OR SIGNATURE: DATE: IGNED BY LICEN E HOLDER OR OWNE ILDE A FINAL ROOF INSPECTION IS REQUIRED: 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 OFy���o e Sworn to and Subscribed before me this day of M 20 IS by: E-1d117er (-44,O-S . Who is dCPersonally Known to me or has ❑ Produced (type of identificat' as Signature of No ary Public State of Floridal _ % Print/Type/Stamp Name of Notary Public \\\���,tiTTE pRr ��//i 2 : y MGG 178567 O�A •• �iy $1 to `w!" QQ %9Py?A�bGceU