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HomeMy WebLinkAbout164 Pinefield DrType of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move 0 Description of Work: Plan Review Contact Person: Phone: Fax: Email: Title: /� %, ( --�, / Property Owner Information Name (�"'1,�1C{.QJa J A CPhone: Street: / 16 4 i V w :L Resident of property? City, State Zip: Contractor Information Name w tt. trt- L}((} Phone: 1 Street: D U � Fax: Lw ) :zq 3 City, State Zip:4d&0M_(� State License No.: r . e!�cam. Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Phone: Fax: E-mail: Mortgage Lender: Address: 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: 5u' Edition (2014) Florida Building Code Revised: June 30, 2015 0 ` 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. O'WNER'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 cops�rgction and zoning. Signature of Owner/Agent Date Print Owner/Agent's Naive Signature of Notary -State of Florida Date TL:----5// Z Si `'afore of Contractor/Agent qte kr)skANV-o Pri t Contra or/Agent's Name ` t� Signature otary-State of FI ri a t) to a�*Rr Pue� KRISTINA. MORLEY * * Commission # GG 161894 a� Expires NOYembet20, 2021 ''Mav, v�.d4� a-W TIVu ttuxm Wary Sa,=s Owner/Agent is Personalty Known to Me or Contractor/Agent is X Personally Known to Me or Produced ID Type of ID 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, Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: COMMENTS: UTILITIES: ENGINEERING: FIRE: WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application P . N.- E S C40 pq CONN'ra Uc,rto M. AMC. 305 North Drive Ste. C Melbourne, FL 32934 5ff l A���-1 — �?T#'l `Q��% f i,�0 Tel: 321-259-6789 Fax: 866-602-7933 CCC1330785/CGC1506914 l hereby authorize Wescon Construction, Inc. to perform repairs on my property located at: 1q ,p1A1FFiFua D,p S6A162ga FL 3.2771 per the scope of repairs provided to my Insurance company for claim # MIA to RBOl 1 further authorize my insurance Company to release payment direct to Wescon Construction, Inc. for the services that are performed in conjunction with the above insurance claim. Should the Insurance Company require direct payment to me, I hereby request that the name, Wescon Construction, Inc. be added to the draft that will be sent to me in payment of said claim This contract and any written agreement made pursuant thereto between Wescon Construction, Inc. (hereinafter 'Co' or "Company) and the customers named herein on the reverses side. This contract and any written agreement will be subject to all appropriate laws, regulations and ordinances of the State of Florida and all parties agree that in any legal action arising out of the Contract and any written agreement the proper jurisdiction and venue shall be Brevard County, Florida courts. All parties hereby waive any jurisdiction or venue defense or arguments, which may be raised. In the event the Customer fails to, pay Company any payment when due: interest on said amount at the rate of 2% per month or the highest rate permitted by law, whichever is lesser; and the Company's reasonable attorneys fees, expert witness fees, disposition, transcript fees and all costs associated with legal filling fees. The re-roof/repairs performed by Wescon Construction, Inc. are based on Wescon Construction Inc.'s visual inspection of the area of the reported problem. We cannot guarantee that no additional problems and damaged areas will be discovered once repairs begin. Customer acknowledges and understands that; after Wescon Construction Inc. commences its work, new or additionalproblems may be discovered and that the price and time of completion may be increased. Customer also acknowledges and agrees that Wescon Construction Inc. is not responsible for damages or leaks due to existing conditions or existing sources of leakage simply because work was started or performed We understand that Contractor has no connection with our Insurance Company or its adjusters and that we alone have the authority to authorize Contractor to make repairs. _ Due to nature of work, no completion date is specified. No verbal agreements are binding. � � 3546erS of PUOMO REa.Ae MepJr1A1CWWb, Resr R04MO-A& Per final approved scope of work: <raIA1ru OA-- x / f;i O 41,i3M.0c'Ao K cX:t")VO4 111616 . � Melq.Z"? DL* The undersigned.heteby assigns any and all insurance rights, benefits, proceeds and any causes of action under any applicable insurance policies to Wescon Construction, Inc, forservices rendered orto be rendered by Wescon Construction, Inc. In this regard, the undersigned waives his/hers privacy rights. The undersigned makes this assignment in consideration of Wescon Construction, Inc. agreementto perform services and supply materials and otherwise perform its obligations under this contract; including, but not limited to, not requiring full payment atthe time of service. The undersigned also hereby directs his�herinsurance carrier(s)to release any and all information requested by Wescon Construction,Inc, its representatives, and/or its attorneys forthe direct purpose of obtaining actual benefits to be pail by hisArers insurance carrier(s) forser&es rendered or to be tendered. Insured is responsible for any amount not covered by insurance company. Company limited warran Re -Roof 5 Years C limited warranty Repair Owner's Name: a t 6 Signatu Date: PI i Wescon Representative: ��� jW 1t� i A1_4enl, Signature- Date: z 1 Wescon Officer: Signature: Date:, THIS INSTRUMENT PREPARED BY: Flame: Kevin, Wilkinson(Wescon Construction)' Address: 305 North rive Sulte C�'-- Meibourne, Florida 32934 i t fli:: i �illli ii II II I I lil i I GRANT MALDY, SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER SK 9094 P9 687 (iP9s) CLERK'S 4 2018030246 RECORDED 03/20/2018 12:12:35 PM RECORDING FEES $10.00 RECORDED BY ,ieckenro Permit Number. Parcel ID Number.' i -3 t -15—L`�Cl d3ao 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) 2. GENERAL DESCRIPTION OF IMPROVEMENT., 3. OWNERINFORMA71ON OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and, address: CNARLe`5 p !v`J a,7.?J Interest in property. Jnl k Fee Simple Title Holder (N other than owner listed above) Name: N/A 4. CONTRACTOR: Name: Wescon Construction Inc Phone Number 321-259-6789 Address: 305 North Drive Suite C Melbourne Florida 32934 5. SURETY (it applicable, a copy of the payment bond Is attached): Name: N/A Address: N/A Amount of Bond: 8. LENDER: Name: N/A Phone Number. Address: N/A - 7. Persons within. the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1 }(a)7:, Florida Statutes; Name: N/A Phone Number, Address: N/A 8. In addition, Owner designates N/A of N/A to receive a copy of the Lienoes Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number. N/A 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date Is specified) 2/22/20 WARNIMG-TO QWNER: 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 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 CQMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. i State of County of a 1 1 MM r Tha forMiv\ instrument was acknowledged before methis by- �U� srjlr� NM or Parson MWne statement who has produced Idenifficationtype of identification produced: KMMNOVO w * ISYCt7b9INON #FF i73M EXPIRES Nowmber3,Po18 Tra,n Bad+ r"&dp..1Notry+tlurlat 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 floridabuildinp.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 ROWUP 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 --L Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System n ModifiedBitumen 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 Category l Subcategory Manufacturer Product Description Florida Approval # (include decimal) 5. Shutters Accordion Bahama Colonial Roll up 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) 2 June 2014 3 CITY OF Ski!4FORD Building & Fire Prevention Division FIRF DEPARTMI Re -Roof Permit Card ft PERMIT NO. `� ° 02 10ISSUE DATE: 65 a ap CONTRACTOR: WeAe. 4V: C&L- -A 91 V* JOB ADDRESS: �•• TYPE OF WORK: S• VO 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 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 l l 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 CrTY of Building & Fire Prevention Division SAIS®R ORD RESIDENTIAL RE ROOF POLICY & PROCEDURES FIREOEPARTMOT \�-'2�lC) 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 TIME 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 o 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 a 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. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: J cs PERMIT # koo City of Sanford Building Division Residential Re -Roof Scope of Work JoB Amms: (ram +, FL 3 a STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME 0 APARTMENT/CONDOMINIUM RE -ROOF TYPE: PRREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O �RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): ' b * *PLEASE NOTE: ONLY 100 SQUAREA FE OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: �QFF-RIDGE 0 RIDGE OSOFPIT QPOWERE-D VENT QTURBINES SKYLIGHTS: O YES MNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 Q 2:12-4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE aLK= Vf FL# -' Q METAL FL# Q MODIFIED BITUMEN FL# Q TORCH DOWN FL# O INSULATED FL# Q TILE FL# OTHER.: I't FL# I ROOF EXTENSIONS (PORCH . PATIOS. ETC.) **IFAPPLICABLE** ROOF SLOPE: p LESS THAN 2:12 Q 2:12 —4:12 © 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE FL# Q METAL FL# Q MODIFIED BITUMEN FL# 0 TORCH DOWN FL# Q INSULATED FL# O TILE FL# O OT HER: FL# City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: (5 ( � [ o ADDRESS: 6 Q Cy)-' vlcr.(-j I 5�e VA , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR OFING CONTRACT NGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE TION 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 #: G� 6 �2 COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICE DATE: NSE FffEKOR O UILDER) 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 OF &W—A(4 Sworn to and Subscribed before me this day of 20Z by: Who is ersonally Known to me or has ❑ Produced (type of identifi tion) as identification. ,0 ovP& KRISTINA. MORLEY .•... ;4rc+ * * Commission # GG 161894 Sign re o Notary Pub o: Expires November 20, 2021 State Florida (Sf:WdedTteveudwtNdarysavices Print/Type/Stamp Name of Notary Pu �Tilc r