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HomeMy WebLinkAbout319 Willowbay Ridge StCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Lo -,D Documented Construction Value: S 10,850.51 ,v Iob Address. 319 WILLOWBAY RIDGE ST Historic District: Yes 0 No El Parcel ID: 22-19-30-503-0000-2100 Residential Fill Commercial D Type ofWork: New[] AdditionEl Alteration FRI RepairD DetnoEl Change ofUse n Moven Description of Work: Residential Re -roof III -an Review Contact Person: Stephen Barnett `Title: President Phone: (407),647-9420 Fax: (407) 629-5720 Email: permits(cbcarrollbradf6rd.com Property Owner Information Name JIMMY & JACQUELINE GREENE Phone: 321-377-5472 Street: 5008 HAWKS HAMMOCK WAY Resident of property.? City, State Zip. SANFORD, FL 32771 Contractor Information Name Carroll Bradford 'Inc . . ...... Phone: (407) 647-9420 4776"New Broad 8t, Suite 201 Fait (407) 629-6720 City, state Zip: Orlando, FL 32814 State License No.: CCC1 330656 Architect/Engineer Information Name: Street: City, St, Zip: go.nding Company: Address: Phone: Fax: E-mail: Mortgage Lender. Address: - WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 017 CONIMI'NCEMENTiMAY RESULT IN YOUR PAYING TWICE FOR IMPROVEINIENTS TO YOUR PROiERTY. A NOTICE' OF COMIMENCEMENT INIUST BE RECORDED AND POSTED ON TFIEJOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND -1-0 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE, OF CONIMENCEMI,'INT. Application is hereby made to obtain 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 a ' It 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 I05.3.stiall be inscribed with the date al'application and the. code ,in effect as ofthat date: 5 Edition (2014) Florida Building Code, Revise& June 30,2015 Permit A{>{alicufion TICE: in addition to the requirements of this permit, there may, be additional restrictions applicable to this property thatmay 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, rS 713. Tim City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy ofthe 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. S-1 b signature of C atract /Agetu Date Jonathan D. Menke Print Contractor/Agent's Name 5a�c 14.1 h Iu`�,,, 5.14• t 6 SignaturcofNo-statoo(F�4 +.KELLDNEBB SignauueofN°�ary-Statoor lorida Dato -State of Florida -Notary Public. R Comtnissior. $1 GG 152442 My Commission Expire: Octobe+ 17, Y021 Owner/Agent is Personally Known to Me or Contractor/Agent is _a Personally Known to lv Produced ID _ Type of oaul _ Produced 1l)Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑ Construction' Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps, Plumbing - # of Fixtures ++nnN 003�m 0a#A Tg-j o3o3. �oQzm' om.o m Nx G.. v w< m �o ACC .aCY Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: Juno 30, 2615 Pcrmit Application Property-Rq-gq d q rci ► ! Parcel _-% 1n 30 :503 0000 2100 d u<r rxuccx�nv,rusrt.a� Property Address. 19 WIL t;OWCAY RIDGE'ST SANFOP.t), F"L ;i27 r1 Parcel Information t Value Summary Parcel 122 19 30-503 0000-2100 GREENS, JIMMY 0 j'.GREENE, JACOUELINE Property_ Address 1,310 WILLOWBAY RIDGE ST SANFORD FL 32771 Marling 5048 HAWKS HAMMOCK WAY SANFORQ FL 32771 Tax District ` S1-SANFORD t Use Code i 01-SINGLE FAMILY a Logal Description LOT 210 PRESERVE AT LAKE MONROE UNIT PB 66 PGS 10 & 11. 2018 Working 1 2017 Certified Values j Values Valuation Method Cost/Market Cost/Market Number of Buildings. i 1 Depreciated Bldg Value S180,894 5153 150 t,$ Depreciated EXFT Value a _ _ K v. Land Value (Market) $40,000 $34;000 Land Value Ag �utahlnr. »t Va[rrn ` S224 890 S187.150 6 Portability Ad} Save Our Homes Adj so $o Amendment Atsf.. i S15,025 so P&G Adj$0 s0 Assessed Value '$205,8165 $187,150 Tax Amount %vilhout SOH: $3,56161 " Ir7tnt 53,563.61 °st 11-I Save.Dur Homes Sev ngs:' $0.00, Does NOT INCLUDE Non Ad Valorem Assessments Taxes n P Taxing Authority Assessment Value F Exempt Value Taxable Valua a .. _ -... $205 865 ; $0 . $205,865� County General Fund Schools S220,890 3 .. � $0 $220,890 �... $205,865 SO $205.865 City Sanford 5205.865 - _ . SO $205,865 SJWM(Saint Johns Water Management) _ $4 $245 a65 rWa County Bonds $205 865 �s- - sales _ Qualified Vac/imp Dosenption Date Book Page �. Amount _. . ( WARRANTY DEED ,_- 411l2014 . , Oi23 �5189,900 yes Improve WARRANTY DEED . 1211/2005 0 7 3 081 improved $262 400 Yes p Land Depth Units 1 Units Price Land Vatue. 0.00 0.00 1 $40 000 00 Building Information grna iw N Descriptionr Year Built i Fixtures Bed Bath t Base Area Total SF Living SF I Ext Wail Adj Value 1 Rept Value i Appendages Ac1uaUEiicctive L 1.447 3,157 ' 2.721 CBISTUCCO f s180,890 .eP � ; [ _ ti a _ �._.__ _ �1 1 SINGLE 2005 9 4 2- 5189.414 Description `Area ; I FAMILY FINISH i , CARROLL BRADFORD, INC. CBC1260310 - CCC1330656 AGREEMENT SUBJECT TO INSURANCE: COMPANY APPROVAL. Customer: J I 6I2�EtJL";_�'L) — — Property Location: 3l� t,JIC.L°lr) F10&E ST Date --1 ___J I / Day Phone:_ 321 - 3.17- S 4 ?2- _ UM Chi City/State: 5'A`+_'F0Ay r-f' ___ Zip:_32'? 1 Evening Phone: E-Mail: IFC 2Ct N� 3�Z L t IUtrrAl(• C�7�^ HOA Approval Needed: Yes ❑No ROOF SPECIFICATIONS - Brand: GA Construction Type: UNew Construction gReniove & Replace Tear -Off Layers: 11 ❑2 ❑Peel & Stick Lead Pipes: 01.5" _ 02" a U3" _ ❑4" Ventilation- Type Qj:�iCiDGE Qty. Color Kitchen/Bath Vents: h" a 10" Color Replace Flat Roof. ❑Yes #No Color Solar: Description 01A Warranty: ❑Standard ❑System: GUTTER SPECIFICATIONS: Sire C&LJ?&1J PLE•ITC SIDING SPECIFICATIONS: Lap Size (Exposure): Special Instructions: MAOi<'t'TlwG Color ❑M ❑H Style: 1lMtji'rtt_ltJE HID Color: Story: 01 *2 Pitch: Valley: ❑OPen Closed Underlayment: MSyntlietic OFelt F6-LTB0S-fC_yL Drip Edge: UColor Skylights: Size 01A Type Lumber: Sire R '3_ 'type DcCie I'ye Misc. E�'cti 'AVel'ttourcL {PICCE is fSo•co Delivery Notes: Lineal Feet Downspouts QtY• Qty-2 (lizfr') Trim Size: Finish: C7Smooth ❑Woodgmin 9 6UM 9s : $ 500 TERMS 1. By signing this Agreement, you authorize Carroll Bradford, Inc. to be present during the tnsurance adjustment and negotiate the settlement with your insurance company. 2. ulless otherwise agreed in writing, your out -or-Pocket costs will be limited to your insurance deduct ihir.rntotint. However, you must promptly pay Carroll Bradford. Inc. all amounts you recetve from your insurance company. Ifyou rlcsire material upgrades or other work dnue on your pruprr ty. you will lucur additional out-of-pocket expenses. 3. This Agnerntent is not valid or binding on any party unless and until it is signet) by both you and Carroll Ih adlurd, Inc. Once signed by you and Carroll Ilradfutd. Inc., Carroll Bradronl, Inc. will be awarded with die job described alxrae and the scope and price of the work will he. set forth in the insurance adjusters sunnnary. 4. Your signature Iw proiides your agreernent to all tite tvrnvs and conditlona set forth on the front and hack of this Agiveinent. Please arnrfully read the entire front anti hack of this Agreement. First Check: $ T, 12 .0J Hart Check# _(P_vM _ / — Balance Due: S / Figin .0 - (Corrulllfrad(ord Rep) Vate Checkrf Agreed Price: $ 10, `dSO- 51 trtr G P Plus urlditional supplernr•n(s & ltei nrit fees paid by insurunce rompany ORLANI)O: 4776 New Ilroad Street, Suite 201, Orlando, Florida 32814`• Office: 407-647-9420 • Nix: 407-629-5720 iACKSONVI1,IX:4400 "•1 li'sh Landing pottievard, Suite 1 • Jacksonville. 1:1.32250 • Office: 907-296-7604 Permit Number; Folio/ParcelID#: 22-19 3"0:-.503-00:00-21"00����Il+�� Prepared by:,, r an . Bitler GFANT 11A1.OY, 'SEIIZhfOt E COUNTY 81, 9133 Ps UP .. B_. ra_rlyl, r�� CrR<.�zT ,Cf1UT, cr�rlPTfioLL Er; 45 a .. CLERKS 2018054963 tuc t?wc�� RECORDED 0.l�15I2018 0,43:57 fill56 RUORDING FEE sjo.n1 RECORDED BY hdevere. NOTiCE'OF COMMENCEMENT State of Florida, County of Orange 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) LOT 210 -PRESERVE AT LAKE, 146NROIE UNIT 2 PB '66 PGS 10 &: 11 319 WILLOWBAY; 'RIDGE ST` 2. General description of improvement Residentia]. Re —zoo 3. Owner information or Lessee information if the Lessee contracted_ for the improvement NameJimmy & Jacqueline Greene Address 5008 `Hawks "Hammock Way, Sanford, FL 32771 Interest`in Property Owner Name and address of fee simple titleholder (if different from Owner listed above) Name Address 4. Contractor Name Telephone Number Address 5. Surety (if applicable, a copy Of the payment bond is attached) Name Telephone Number Address _ Amount of Bond $ 6. L.ender Name Telephone Number Address 7. ,P.ersons with State _of'Florida;designated by,Owner upon whom notices or other,documents may be,.served as or by §713.13(1)(a)7, Florida Statutes. Name Telephone Number Address' 8. 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 yea"r, from the date of recording unless a different date is specified) RNING 10 OWNER: ANY PAYMENTS: MADE BY THE OWNER AFTER,THE.EXPIRATION OF THE NOTICE OF.COMMENCEMENT E CONSIDERED tMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713:13, FLORIDA STATUTES, AND CAN SOLT,IN YOUR PAYING.TWICE.FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE :ORDEO'AND POSTED"ONTHE�JOH SI7EBEFORE;THE, FIRST INSPECTION. IF YPO INTEND TO OBTAIN FINANCING,CONSULT rH YOUR —LENDER OR �N ORI, BOFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. n reroi"Owner o or O „ is or Lessee s Auklioriied;OfficeribirectodPaitnar/Manager Signatory's Title/Office The foregoing instrument was'acknowledged before me this day of Sj ) � by KM I'Vi�J � I,' e e t mont ly`e`ar` name of persoh as 1 Y�. ji for ,� 1 VIA I/ItIQ (-�-v--e_LV1k Type of authority, e.g., officer. trustee, attorney in fact Name of party on b half of whom instrument was executed Signature of f4tary Public — State of Florida Print, type, or, stamp commissioned name of Notary Public Personally Known OR Produced ID KELLY Type of ID Produced JD it 6 *ESa i" k ;��� "bg�;State of Ft WEBBER r9 Q e* i orida•Notary Public �3is# Commission #1 GG 152442 .P MvCommissidn s Expires C�`'},.T! " `"`t)T`t t"t,tstl %i�. • October 17, 2021 CITY O SkNFORD FIRE DEPARTMENT PERMIT NO. /pop CONTRACTOR: Oarrol JOB ADDRESS: J ( a- IAJ I TYPE OF WORK: I Building & Fire Prevention Division Re -hoof Permit Card ISSUE DATE: 0s, /(P. 14F� �•, /WL�-040 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 CITY OF ME RD 1; AINF ................... . .............. FIRE DEPARIMENT Building & Fire Prevention Division RESIDENTIAL RE -ROOF POLICY& PROCEDURES PEmiwrm(; RrWIRI;',TENTS—NO PIAN IIVVIKIV REWARED TITS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RE-RoOl"SCOIT, OF WORK ARF', REQUIRE;)-1-0 BF, SUBMI'l-ITA) AS PART Ol"YOUR PERN11TAPPLICATION, THE SCOPE OF NVORK MUST'INCLUDE ALL APPIJCABLE FqpjJbA PRODUCT APPROVAL. NIUMBIRS FOR ALLUOOr COMPONENTS THAT WILL FIE INSTAi..LED ON THE, J'Rojr�ci-. A PERMIT WILLNOT BE ISSUED VMTHOUT THESE DOCUMENTS. COMIN WILL BE MADE TO POST ON THE JOB SnE. ioc,k,l,l..i) IN THE SANFORD 1iIs*I'Oi'1IC DISTRIC'T I"LL REWIRE PLAN RI.,.ViL1A'AN`D APPROVAL BY THE, SANroRn 111S1`OIA P12UERVX60N BOARD INSPECTION pol�jcy & PRocEDi,;Rf:S A FINAL ROOF INSPECTION ISTHE ONLY REQUIRED FOR RESIDI'-.N'I'IAI, TOWNHOUSE, Momix. HOME, APARTMENT ANWOR CONDOMINIUM) IZE-ROOF PERMITS. 16EVOiJOWING 11; ltj..QUIRED TO BE PROVIDE ON THL JOB SITE: • PERM iT CA Rb, POSTED IN A CONS 1�'] CUOP' a AND \\'LArrH ERPROOl', LOCATION' • CO�4VLrI*EDRESIDCNTIAi.,Ri-;-ROOi:Sic6pr;6F,\YOI;K o ALL FLORIDA PRODUCT APPROVAL AND CO'RRESPONDIN6, INSTALLATION INSTRUCTIONS (PRODUCT APPROVAL SHALL MATCH WHAT IS ON Ti iv, SCOPE ol, WORK) 0 DiC;I*I*Ai.1'1,10'['OCIZAI'I-IS(MUST IiN(:I,IJI)17.,I'I'11'111'-.itt\,11'1'NtJMIIl,-*It,01'tAi:)L)Ri.'-i$SINI,,,ACI-il'IC'I'URI'-,) o. EACH PLANE OF THE ROOF, SHOWINGTHE UNDFR.I.,AY\itl,\,!'I, INSTALLED O ROOF DECK NAILING PAVI-ERN & SPACING (INCLUDING ANIF.ASURING DEVICE OR RULER) ROOF DECK NAILS USED (INcl..UDiNc, A MEASURING DEVI(j:. Olt RULER SHOWING SIZE OF NAILS) o UN DER LAY M ENTPA'l-l'ERN & SPACING; NG (1NCLU DING A MEASURING DEVICEE OR RULER) .o Ditii,EDGE I:VALLPYAIIACIIMUNTONQOUPINGAN41-A$I,JRINGI)I,",VICIL,C)RItt)1,1-.Ii) o SHINGLES INSTALLED, NAIL PA'IT"rE:RN AND LOCATION OFNAILS SKY1,10TIS OF APPLICAM A".) o DIGITAL 1,110TOGiRAPIAS SHOWING ALL INSTALLATION COMPONE',NTS, PER FL PRODUCT APPROVAL o DIGITAL PI.IO'I*OGjRAPI-IS SHOVING ALL REQUIRED FLAS M NG, PI FL PRODUCT APPROVAL FOLLOW THESE SPEC WIC GI3DEIANES \"LL RESULT IN AN AFFIDAVIT PROVIDED BY A FLoRIDA Di.,,.si(;N PROFESSIONAL (ARCHITEcr OR ENGINEER), CE',RTIFYINc FBC CODITCONH'LL&CE BY PERSONAL INSPIAXI(m. R OWNEWBUMDE10 SIGNMUN': DATE: CONTRACTOR (0 —7— CITY OF SkNFORD FIRE DEPARTMENT JOB ADDREss: 319 WILLOWBAY RIDGE ST Building & Fire Prevention Division RESIDENHAL RE -ROOF SCOPE OF WORK "t'1ttICfUItt:Tl'PF:: SiNGLI: i',�n11Lv IZFSinF,�C(1 I'04Vhli_ous,li �1C,)ISll.fi 1' oml.- A1'Atti l aY�{�ti'17C1�iiVtU t RF.-RooF TN4,F,: Q RFPI:ACFML--iN'1- (TEAR OI'"1:G-,\ISTING`ROOI' AND RI:HLACI: Wl'I'll NEW COMPONENTS) Q RF-Co\FFR (Ni-,W ROOF INSTALLED °6 I:R la\ISTING ROOT) D(-:cl1C TVik: (P1:1;Asi, Sr>l cal v): plywood NOTE. OAT Y 100 SQUARE P IFE7' O%' THE EAIS77NG DECK IS m10117TED 7'0 BE REPLACED * ` Iit)<'>I VI;N'1'11.A'I'1(l1: QOhr•-RIDE r= 0 Rnx31: Qti(,)FFI'1' QPOWl"RED VI;N"i 0TURBINES. Skvl,IGtl'fS: Q YES (�j) NO iC' YES, 1'1.13ASF PROVIDE Fi..OitiDA IIIZODLIC'I' APPROVAL 11: ------------------------------------------------------------------------------------------------------------------------------------ MAIN HOOF AREA ROOF SI;QPEt Q LESS THAN 2:1.2 Q 2:12 —4:1'2 ©4:12 OR GREATER 'I'YPi:: Ole' ROpF MANU ACi'UREit TLomm 11 Ito I)UCI'APPROVAL Q s1I1NGl r , GAF FL# 10124 R20 Q METAL r-Le Q MODIFIED BI 1'UNIEN Fl,r Q TORCII DOWN FL' Q INSULATED F1, Q'fIL1 FLU Q O I'i11 R: 171,11 ROt)I%1��If-�tiIC)NS(i'Olt(:I1Pa,PA'P[ti5 F.Tf'.)**/FriPPLK;iltil.l:** 1200E S1.01'E: Q LESS THAN 2:12 Q 2:12 — 4:12 Q 4:1 2 OR GREATER TYPE OF 1200E IMANUFACI'URF.R FLORIDA PROmi(A' APPROVAL Q SIiINGLL' F L4 Q MF- l'AL I�l,1J Q MODIFIED BITUMLN 1"1;tF 0ToRCF'I DOWN F1, Q INSULATED I L Q TILT- FLi Q 0-1,1IEit: FL-4 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 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 18-00002273 Date 5/16/18 Property Address . . . . . 319 WILLOWBAY RIDGE ST Parcel Number . . 22.19.30.503-0000-2100 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1051333 Permit pin number 1051333 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 BL03 FINAL ROOF _/_/_ CITY OF S��FORD Building do Fire Prevention Division RESIDENTIAL RE-ROOFAFFIDAVIT FIRE DEPARTMENT' RESIDENTIAL RE-RoOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: 18-2273 ADDRESS: 319 WILLOWBAY RIDGE ST 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 #: CM 330656 COMPANY / CONTRACTOR: rroll B dford Inc. CONTRACTOR SIGNATURE: DATE: (MUST BE SIGNED BY LICENSE HO ER O NER/BUILDER) 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 Orange Sworn to and Subscribed before me this J(_12— day of J ( (A kl Q 201 by: Jonathan D. Menke Who is�✓ Personally Known to me or has ❑ Produced (type of identification) as identification. '�2 x 0 gn All Signature o o ry Public State of Florida KELLY WE7Expires u°�HsState of Flo rida•N (1� _ V v Commissio? G Print/Type/St p Name '�oF„01 My CommissioOctobe It 7 of Notary Public - -- —