HomeMy WebLinkAbout600 Celery AveCITY OF
.�NFt�
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION �?
Application No: � . // a A
Documented Construction. Value:
3500.00
Job Address: 600 CELERY Historic District: Yes❑No�
Parcel ID: 30-19-31-522-0000-025A ResidentialR Commercial
Type of Work: New❑ Addition❑ Alteration Repair❑ Demo❑ Change of Use❑ Move
Description of Work: REROOF,
Plan Review Contact Person:
ANDREW AFONG Title: CONTRACTOR
784'$ ' ANDREW ADRYR00F.COM
Phone: Fax: Email; .
. U7) ' II qo I Property Owner Information
Name TANISHA SCHELECHTRIEM Phone:
Street:
13103 PISCATAWAY DR Resident of property? : NO
City, State Zip:
FT WASH IN,GTON, MD 20744.
Contractor Information
Name
ANDREW AFONG ' _ Phone: 40786436178
_
Street:
11 Q9 ATLANTA;AFONG Fax:
City, State Zip:
ORL FL 32806 State License No.; CCC1331063
Arch itectlEngineer,Information
Name:
Street:
City, St, Zip:
Bonding Company,
Address:
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 th,,t 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, tanksi and air conditioners, etc.
BC 105.3 Shall be inscribed with the date of application and the code In effect as of that date: 6t° Edition (2017) Florida Building Code
:vised: January I, 2018
Permit Application
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2
NO requirements of this permit, there may be additional restrictions applicable to this property that may be
C : In addition to the e may be additional permits required from other govemmental entities such as water
found in the public records of this county, and ther
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. r
I / _ Date
�Stanaturc of Owner/Agent Date Signature of Go IraetodAgent
ISho, -p-Lecir—fem
Print Owner/ cis Name Print Contractor gem 's er
ature'of No ry-St c of F rida Date
sigta of otary-sta Florida Date
1LENE FIZARRO ILENE PIZARRO
in„ Public : ;►"r o0
=�*"V'Pue State of Florida-Nota111344 ;2� �o State of Florida -Notary F
Commission # GG h Commission # GG 111
My Commission Expires ;M a�� c My Commission Exph
04, 2021 tractor/Agent is i{nowndt7rPdmar2021
Owner/Agent is Pe ott9t ow, `
..Produced ID` T
Produced ID Type o
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 Per Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: January I, 2018 Permit Application
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4
IE
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint:
an agent of: G
C Wt Rz , _
_ Ga'j�--6
(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):
❑ The specific permit and applicatilpn for work located at:
(street caress)
Expiration Date for This Limited Power of Attorney: 13 "— 40 Z.'
A r A r
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF FI RIDA
COUNTY O - � �Yomr
C C C 1331
The foregoing instrument was acknowledged before me this _day of
200 ____ who isliz personally known
to me or cVv(ho has produced
identification and who did (did not) take oath.
J) t
Signature
1�RY PUS IRYNA S. AFONG Print 4 type name
O q�C-S Notary Public - Stata of Florida
s i x' r� nm scion �' FF 905792
.
Fn�;tes Jul 26, 201J
(Rev. 08.12)
Notary Public - State of
Commission No,?JD I=
My Commission Expires
City of Sanford
Building and Fire Prevention
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 17114.5..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_man.ufacturer',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 Hung
Horizontal Slider
Casement
Double Hung
—Fixed
Awning
Through
--Pass
—Projected
Mullions
Wind Breaker
Dual Action
� Other
June 2014
MI
Category / Subcategory
-------- -----
Manufacturer
----�_------._i_
Product
Description _
Florida Approval #
includinq 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
tt'*C'-�.
LAY J(_Mkre._
Underla me.nts
Roofing fasteners
Nonstructural
Metal Roofing
Wood Shake's and
—Shingles
—Roofing tile
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
L
Category / 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)
June 2014
3
69
CERTIFIED SOUTH
SERVING ALL, FLORIDA
Lic# CCC13:31063
Date:4/10/2018
G&A hereby proposes to perform and furnish the labor, materials, insurance,.
supervision, equipment, and warranty in accordance with the specifications
described below for:
Client: Tanisha Schelechtriem'
Address: 600 Celery Dr. Sanford; FL-.32771
Telephone: 407-219-8863
Lic#CCC1331063 Roofing proposal and /Contract
G&A hereby proposes to perform labor and materials for the new Shingle roof.
1, Tear off roof to the deck and re nail per code damaged area
2 Apply Synthetic un.derlayment over decking according to,Code R`equiren'ient"s.
3 We will 'install a new Lead boot, after repairing damaged area We will replace the
skylight as well (IF APPLICABLE).
4 Tear off damaged areas on both valleys and replace wood and put valley
underlayment.
5 We will install 30 Yr Arch Shingles after leaks have been found and repaired
6 All work to be done in a workmanlike manner with complete job cleanup of
roofing debris placed in on -site container provided by contractor.
Payment Terms: 40% at delivery of material
60% upon completion of the project.
Contract Sum Shingle Roof Work:. $3„500.00 (Three Thousand
Five Hundred ).
G&A Certified South 1109 Altlanta Ave Orlando FL 32806
Tel 407 540 1401
www.adryroof.com
CERTIFIEDSOUTH
SERVING ALL FLORIDA
L10 CCC133'1063
This agreement is subject to revision or withdrawal by G&A until signed and accepted byClient and executed by an.
Officer of.G&A Certified ;This is the complete agreement between the two parties. No prior of contemporaneous oral.
agreements, and no other written agreements, except as listed above,shall be binding.
The undersigned hereby accepts this Agreement and agrees to be legally bound by all the terms and conditions set
forth on the terms and, conditions page. ThisAgreement shall be governed in accordance with the laws of the state
of Florida. Any action arising under this Agreement shall be brought in,the County where G&A'sprinciple office is
located.
Client Signature
Contractor Signature
H 1 p_ I v
Date
Date
G&A Certified South 1109 Altlanta. Ave Orlando FL 32806
Tel: 4.07 540.1401
www.adryroof.com
THIS IN ANDft T MPTED By'
Name "*1'109
NOTICE OF COMMENCEMENT
I
Statq.of Florida
county OZertilnole parcel ID Norntier: 3()-19.31 =522-000MNA
:Permit Number: and in ecoordence With
The undersigned hereby olyes notice that Improvement wIl" be made to certain real, praperly,
Chapter113, Florida Statutes, the fallowing)hformatiol) Is provided In "a NOQc,Q of Commencement
0 1. art d stree dr avet96o0 Celery -
a C 11 a q?d P P9
CA SCRIPtlON, OF IMPROVEMENT:
Fee simple title Holder (it other than ownsr),
Address:
Ptrtohcyilthlh tho"State at rign am"Iyll.tQ y Ownerponrythlirn rie'lil'Co or other cocurnol—m .-Y
a , s provided by'$Qctldn 1. 7t3',13(1)(b),Florlda Statutes,
Name:
of
�to pirnseff, O"ef Deslgnate5.�.
In addition ad'In
-
To recelve'acOPY of, the Lien(Ya Notice as,PrOvId
Sectlon,713.13(1)(D). F lodds, Statutes.
Iffnerlt (the a pirstion date is i year from date of recording unless 8
Expiration Date of Notice of commenc
different date Isispecifled) ir)N f)F,,THE NOTICE,01
PAYMENTS MADE BY THE rNtm 11"
PAYMENTS —VU rr' I SECTION 71313,
ANY - i IN111; CHAPTER 713, PART, - - �
NOTICE- OF COMMENUbmi'r4l CONSULT
INSPECTION, IF YOU INTEND TO OBTAIN F
BEFORE COMMENCING'WORK RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury, I dieclarethat , l have read,tha foregoing and -that the facts Stated In It are true
to the best of my kn6vvledge and belief.
Flo teamuss sign Ift " an- at commencw.,A aro no ena *too may be P"Itod 1. jii;n in his or her stead
_SlatL40 713.13(i)(g): The owner m
state of 'County of
d e mQ day Of
The foregolrig instrument was a0kbowI 9 1 this V
ad befor
Who is prsOhdIjy:known to me
by„t(-
(Cini
—W L L
OR�vvhcj.has pro6ced,,ldentificatl'on C3 ol"Idertifici%lon produ -d'
................
ate of Florida -Notary tlu'"'
ivy
ti �ommissibn � GG I'l 134S4
M� corr6iss
tune 04
Scanned by CamScannelr
GRANT MALOY, CLERKOF CIRCUIT COURT SEMINOLE,COUNTY,FL
CLERKS # 2018042958 BK 9113 P9 1858-1 (1 pg) E-RECORDED 04/1912018 10:30:41 AM
10.00
CITY OF
Building & Fire Prevention Division
' S `OR
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
3g'. i i�tk I-T E
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 SANFO.RD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE
SANFORD HINT„ORIC'PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE'ON. LY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HbME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF -PERMITS.
THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE:
a PERMIT CARD; POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
o COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
a COMPLFTED AND NOTARIZED INSPECTION AFFIDAVIT
o ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHAI,I, MATCH WHAT IS ON THE SCOPE OF WORK)
e DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
0 EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
0 ROOF DECK NAILING PATTERN & SPACING (INCLUDING A'MEAS:URING DEVICE OR RULER)
Q ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
0 UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR.RULER)
o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
O SHINGLES INSTALLED, NAILPATTERN AND LOCATION OF NAILS
O SKYLI.:GHTS ('IF APPLICABLE)
O. DIGITAL'PHOTOGRAPHS SLOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
0 DI,GITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WELL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
'PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC-CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR ON/NER/BUILDER) SIGNATURE:
DATE:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:
'8TRUC'I'URE TYPE: VsINGLE PAM ILY RES IDENCE/ToWNHOUSE 0 MOBILLl[OME '0 APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (D/REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
0 RE-COVER NEWW ROOF INSTALLED OVER EXISTING ROOF)
0 ''A
DECK TYPE (Pi,EASE SPECIFY):
*PLEASE NOTE: ONL Y 1100 S 0 UA RE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILAI �/OFF-RIDGE 0 RIDGE 'OSOFFIT OPOWERED VENT OTURBNE&
SKYLIGHTS: 0 YES (D_<O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL#:
---------- ----------- -------------
--------------------------------------------------------------
NUIN ROOF AREA
ROOF SLOPE:" 0,1.,Ess--I-HAN2:12, 02:12-4-12 0 4/12 09 GREATER,
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
0 A.
FL# 5q4q
OMETAL
FL#
0 moDimr-D BITUMEN
0TORCiI DOWN
FL#
0 INSULATED
FL#
OTILE
'FL#
- 0 OTHERS
FLk
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: 0 LESS THAN' 2: 1'2 02:12-4:12 0 4:12 OR GREATER
TYPE OF,RoOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
0 SHINGLE
FL#
0 METAL
FL#
0 MODIFIED BITUMEN
FL#
OTORCHDOWN
FL#
0 INSULATED
FL#
OTILE
FL#
OOTITER:
FL#
Building &. Fire Prevendoti Division
-
RESIDENTIAL RE -ROOF A 1,F IDA VIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #:
AI)DkESS:
I t' ! 121 '(-w T I I u xA AS,A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARNITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL .OFTHE
FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THESCOPE OF WORKAT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS - SPECIFICALLY ,FLORR)A.'BUfLEi[NG,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 FIURRICANE k4TR OF_iT
MANUAL REQUIREMENTS (BASEDON F.S. CHAPTER 553.844).
_f
LICENSE#: ea,,I 4.t., IaP3
COMPANY/ CONTRACTOR:
CONTRACTOk SIGNATURE: , , -
(MUST BE SIGNED BY LIQENSE, AoLbFk OR
A FINAL ROOKINSPECTION IS REQUIRED'
DATE;,
THIS SIGNED AND NOTARIZED AFFIDAVIT -MUST BE PROVIDED AT THE JOB SITE AT THE'TIME OF THE FINAL Ro6FIKsPlEcrtoN,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENY, 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 AN, D
OVE I RLAPS, 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 REQUIREMENTSVILI—RES.ULT IN ATAILED INSPECTION,.A RE -INSPECTION FEE AS
WELL AS REQUIRING XDESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFI N.G- COMPONENTS.
STATE OF FLORIDA COUNTY OF
Sworn to and Subscribed before me this _ day of
iden'tificatibn)
Signature of Notary'Public
State -of Florida
Print/Type/Stamp Name
of Notary Public
10 — by:
Who is 0 Personally known to me or has, 0 Produced (type of
as identification.
V,Li
1
CITY OF
&kNFORD
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'\ — I I f- �- ADDRESS: UQ 7 wjzlr-1 Dr.
I Ao- e pft� , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, AR ITECT, 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. CHHHAPTER 553.844).
LICENSE #: � ,, `� I `� ` p
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
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 !N 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 Q I
Sworn to and Subscribed before me this day of r- 20 A by:
. Who is 94ersonally Known to me or has ❑ Produced (type of
identification) as identification.
4
a.®m�
g tary u is ILENE PIZA-RR•0
1PPY PL''�ii
Sta e o Florida .o e,,
;_ :State of Florida -Notary Public
Commission #i GG 111344
P' My Commission Expires
Print/Type/Stamp Name .June 04, 2021
of Notary Public