HomeMy WebLinkAbout159 Circle Hill Rd 17-1627; ROOFJUN 0.0 2017.I
w CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: \' 1 (0 D 7
Documented Construction Value: $
7,800
Job Address:
159 CIRCLE HILL RD SANFORD, FL 32773 Historic District: Yes No Q
Parcel ID: 04-20-30-514-0000-0310 Residential Q Commercial
Type of Work: New Addition Alteration Repair FX1 Demo Change of Use Move `
Description of Work: RE -ROOF OWENS CORNING FL10674 TECHWRAP FL17194 21 SO'S 7/12 PITCH
SUPREME DRIFTWOOD 25 YEAR WARRANTY
Plan Review Contact Person:
Phone: 407-278-7788
RACHEL HOLCOMB Title: MANAGER
Fax: 800-337-3361 Email: PERMIT@JASPERINC.COM
Property Owner Information
Name CHRIS M. KRALL Phone:
Street: 159 CIRCLE HILL RD Resident of property? : YES
City, State Zip., SANFORD, FL 32746
Contractor Information
Name DONALD BOUCHARD Phone: 407-278-7788
Street
3203S CONWAY RD STE 201 Fax: 800-337-3361 City,
State Zip: ORLANDO, FL 32812 State License No.: CCC1331153 Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: Bonding
Company: Address:
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: 5`t' Edition (2014) Florida Building Code j
Revised:
June 30, 2015 Permit Application (q _1 3 —s
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 construction and zoning.
Signature of Owner/Agent Date
Print Owner/Agent's
KAA( L91--_ 6/2117 Signature
of Contractor/Agent Date I
Signature
of Notry-State of Florida Date Signature of l crt ry-State of SKYLAR B
AMKRAUT Commission k
FF 127890 My Commission
Expires June 01 ,
2018 R Owner/Agent
is Personally Known to Me or Czlntra ' own to Me or Produced ID
Type of ID Produced ID X Type of ID DL BELOW IS
FOR OFFICE USE ONLY Permits Required:
Building Electrical Mechanical Plumbing Gas Roof Construction Typ
Total Sq
Ft of Bldg: Occupancy Use:
Min. Occupancy
Load: New Construction:
Electric - # of Amps. Fire Sprinkler
Permit: Yes No # of Heads APPROVALS: ZONING:
ENGINEERING: COMMENTS:
UTILITIES:
FIRE:
Flood
Zone:
of Stories:
Plumbing - # of
Fixtures. Fire Alarm
Permit: Yes No WASTE WATER:
BUILDING: Revised:
June
30, 2015 Pei init Application
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 6/2/017
hereby name and appoint:, Rachel, Holcomb, Skylar Amkraut, Karla Almodovar Ana Chavez
an agent of_- Jasper Contractors
of Company)
to be my lawful anomey-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.application for work'located at:.
1'59 Circle Hill Road Sanford, FL 32773
Sma Addras)
E-xpirationDatefor This Limited Power of Attorney: 1-1-2019 License
Holder Name: Donald Bouchard State
License Number c ccta3"53 Signature
of License Holder. - STATE
OF FLORIDA COUNTY
OF S-m t
The
foregoing inso ument was acknowledged before me this 2 day of June 200
17 , by I" ea,d,ara who is o personally known tome
or is whohas produc identification
and who did Notary
Seal) sI
AR B AMI<RAUT Commission
0 FF 127890 1" k -
My Commission Exnir'es JuneDl;
2018 3 Rev.
08.12) Print
or type name Notary
Public - State of FL Commission
No. 127890 My
Commission. Expires; 6%1/2018 Scanned
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Assignment of lns111111111111 Co
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1LI uH " - rooff-eplacenient. this contract shall be voidable. ur ante 1lenclats for the
bull Roof Replacement Only• I hereb MIN, applicable insurance. ,oltc - Yassignanyandall uuur.vice• neat , hertetit and pro. d_ ind r i es to Ja_,per
Cantrxtui .Inca (,,jasper,,),the scope of which .Shall be limited to a Full Root' Replacement: f make tilts a wvfl)mt incl ding t req inconsulerauon (If Japer's agreement to perform services, supply nnaterials and otherwise perform its nttllgatnurs undo: this Contract. represent not requiring frill Payltientatthetitheofservice. I also hereby direct my insurer(s) to release any and all information requested by Jasper. o; r,• representatis e(s). for thedirectPOTPOseof
obtaining actual benefits to he paid by my insurerls) for services rendered. In this regard I t<atvt mv,pnrscy rights. If payment is madedirectlytothe (lwner'Agcantrinsurecl(s), it shall be endorsed over to Jasper iruncdiatcl; upon r ceipt I agree that an) poruca) of work, deductibles, betterment or additionaltin,rk requested bythe undcrsica)ed. nut covered by insurance, must be paid by the undersigned on the day of installation Deductible: it is tale Qwncr's resnonsibility tg ray all ins ri gu<;c deductible,. 0,7-er's out-of-pocket expense call not exceed the deductible arnoont as stated on insurer'slosssheet (lire "Loss Shect" UNLESS replacement.repair of de:ernraterl decking ns required by rode and or Chaser rtqucsL, optional upgrades. Jasper CANNOT pat waive, rebate, or promise to pay, rsaiNe or rebate any or all of the insurance deductible applicable to du inituance clain) for payment of work —
In rite event o1' a discrepancy, the deductible a nuunl started on tile It, I,- Sheer PLemrle dcduWtHc 5 aniclunt disclosed. Deductible: C' titl'STBEPAIDIN ITIA_ PLUS APPLICABLE SALES \ 7 Aitial) MORTGAGE AurttORIlATION: i; Ossa edh4ort,•aeor, grantauthorization -for i .roe Co tar sr ak wilt Jasper on matters i ncludirtl but notIndeedto, the claum and draw status. _ (initial) PAYMENT SCHEDULE. Qxner ace. eea to pay Jasper hosed on the following schedule` (
i) Deposit in tire al due upon signing :this contract; (n) the Contract Pace. less 'the Deposit ,and any applicaNc deliecianonretainedby0wRier's nniuya rer(s). plus upgrade costs, due and payabletoJasper ° upon completion of kork being performed; and, (fit) the rcurzuamg ('ontraet
Price (equal to any applicable depreciation and'or change orders) due and payable to Jasrwr upon ' completion of work' performed. In tfre er:nt
of a pending inspection. no more than 7% oruoutract price mac he withheld wail inspecticin ha-s pas<cd Optional: (PCIRADEI-M.M: t!11': - PRICE: IOFAL5_ Replacement Work and Price. Upon insurer's approval :
aid subject to tile Terms and Condition; herein, Jasper r_rrees to tU Wn h all rmatcrial, and provide the labor rne'asaary to perform the
full roof replacenept which shall tune place following Qwner's incurrutce con;p;u }-s approval, apprcrxurnateiv within 30 days, conditions permitting. Ovr'ner's
Declaration of Intent: Owner acknowledges and agrees that. upon appru•„al b,, n);nrance ca,rpalls f.17 a fi)[1 nH?t replacement, Jasper sImll Perform
the roofreplaceinent upon receipt offunds from 0%ner'sinsurance company. FLORIDA 140NIF:OWNERS' CONS'BUCTION RECOVERY FUND PAYMENT,
UP TO A LIMITED A 14OUYI, MAY
BL' AVAILABLE FROM TNF: 1'I.ORII)ak HOyiEO\1-NI,,I - ONS I'RUC,F1O1' RECOVERY FUND IF YOU
LOST; r1tONEY ON A PROJF:C`I' PERFORNIED UNDER CON"1 RAC1 , XVIIERE'I III V LOSS RESULTS FROM SPECIFIED
VIOLATIONS OF FLORIDA LAW BY a LICENSED CONTRACTOR. FOR INFORMATION ABOU I' THE RECOVERY FUND AND
FILM; A CLAM, CONT.k('T "CITE FI.ORIDA ONSFRUC7 ION INDUSTRY I K"ENSING BOARD AT
lIL FOLLO"'I'VTELEPHONE NUNIBF.R AND ADDRESS: Construction Industry Licensing hoard: 2601 Blairstoue Road, 'I allahassce, FL
32399-1039, (850) 487-1395 CANC IA,LA FJON: If Onvner elects to terminate the
services of Jasper, On'ner may do so before midnight on the third business tiny .after Contract is executed. Owner shall receive a lerll
refund of all deposits. Owner nuay also rescind Contract before midnight on the third business day sifter the contract is executed after
notification from insurer(s) that the elain for M'menton roof contract has been denied, in whole or in part, All written notices
of cancellation, regardless of reason, shall be postmarked or delivered to Jasper's corporate office: 169() Roberts Boulevard, Suite. 112, Kcnnes,av, GA
30144 C 1N(:1 LLATiON EXCI?PTIONS:` The three (3) day right of cancellation l)OyS NOrl' AI PLY to contracts
for emergency horse repairs as time is of the essence. 1, Owner, have read and understand all statements, Ternrs and
Conditions of, the "Roof Replacement Contract" and agree hat all details are acceptable and satisfactory, ( further understand that
this Contract constituters the entire agreement between the arties and that, any further changes or alterations to this
Contract must be made in writing and agreed upon h) both parties. Eacit party represents and warrants to the other that it
has the full power :and authorit)to cutter into the contract and that it is finding and enforceable in accordance with its ter-rrts. AuthorizedJasper
Representative Date Os+'nei DafC Scanned by CamScanner
THIS INSTRUMENT PREPARED BY:
Name: Jasper Contractors "
Address: 3203 S Conwa Road Suite 201
Orlando FL 32812
NOTICE OF COMMENCEMENTCEIViE%IT
Permit Number-
r7 — /
GRANT rIALOYa SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 1424 Fs 1230 t1f'ss)
CLERK'S T 20/7054880
RECORDED :IOL/02i 2n17 09 3f_f 1. 1 AM
RECORDING FEES $10. 0'
RECORDED' 'BY ,ieckenro
Parcel ID Number. U l ' 2-k-/
The undersigned hereby gives notice that improvement will be made to certain reaLproperiy, 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 bF YMPROVEMENT:
re -roof3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT.
Name and address: C[A Y-t y V ` Vex \ 1
2_ . t
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Jasp2r COI1traCtOTS Phone Number. 40%-27H-7788
Address: "3203 S Conwa Road Stiite 201 Of(ando, FL 32812
S. SURETY (if applicable, a copy of the payment bond is attached)* Name: Amount of Bond:
Address:
Phone Number.
6. LENDER: Name:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Phone Number.
Address,
8. Inaddilion, Owner designates
of
to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
S. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDERED —IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT 1N YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
PdntNanie and Provide SlgnalorysTillet0ffice) cJ
zer,Officer/nlreclorlParNerlM_. anagel)
State of ` County ofjjn
1 k1 s w
da of . 00114 20 \ rl . ,r W
The foregoing instrument was acknowled" ed before me this,_,., Y
Who is personally known tome 0 ORbyCIA
o
o 0NameofpersonmakingstatementZC i
who has, produced identification type of identification produced: LD
0 lJ [[ {0
SI<YLAR B AMKRAUT 00pnu, 0 0.
NolarysignatureCommissionNfF127890 0
My Commission Expires °; Z
June O1 , 2018
vvavi
jCity of Sanfort
lBuilding & Fire Prevention1
i r ra Re -Roof
PERMIT NO. I !Is I (Dn'1 ISSUE DATE: to ---5-- 1 07
CONTRACTOR: •%
JOB ADDRESS: t ! Q C. r
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
I - I U96ri
D Cityof Sanford Building Division
N µ', Residential Re -Roof Inspection Policy & Procedures
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 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.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: .-6/2/2017
JOB ADDRESS: 159 CIRCLE HILL RD SANFORD, FL 32773
STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME
PERMIT # 1 I al
City of Sanford Building Division
Residential Re -Roof Scope of Work
O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: ® REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECKIS PERMITTED TO BE REPLACED **
ROOF VENTILATION: ® OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 4:12 OR GREATER
O TURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE OWENS CORNING FL#10674
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED 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 tu C U.
LIIViITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
1 hereby name and appoint: Scott Meixsell, James Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett
an anent of: JaswcO"tracto'S
t:arne or company)
to be my laafiil attomey-in-fact to act for me to apply for, receipt for, sign for and do all thing's
necessary to this appointment for (check only one option):
C The specific permit and application for work
1ST t' CrAP P"
aDd
Expiration Date for This Limited Power of Attorney:
at:
License Holder Name: t r\a;(]l r2 a\
State License Number- ccc1331153
Signature of License Holder.
STATE OF FLORIDA --
COUNTY OF ser,.,oie
The foregoing instrument was acknowledged before me this aday of
200!a, by D-w eouxt"d who is o personally known
to me or ® who has produced DL as
identification and who did (did not) take an oa
Signature
taut
Notary Sea])
SKYLAR B AMKRAUT
hpPY n p , commission N FF 127ISesMyCommissionExp
r dune 01 , 2018
Rev. 08.12)
Print or type name
Notary Public - State of
Commission No.
My Commission Expires: (_0 • 1 '
Scanned by CamScanner
r
F ;D City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
IPERMIT #: ` ADDRESS: ' ' 6C 1
I t t2_m yj\ i W ) 1 _ j 1 Cz 1 \ ) , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONYRACTOR, 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). I
LICENSE #: (' ! r ( 7 _-'> .
COMPANY/CONTRACTOR:
CONTRACTOR SIGNATURE
MUST BE SIGNED BY LICENSE
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: UY , `
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 PERNHT 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 ubscri ed before me this day of 20 _ by:
t yo Who is Personally Known to me or hasroduced (type of
identifica "on) as identification.
Signature o tary Public „
State of Flori "
Y
p-
SKYLAR S AMiCRAUT
O
Commission A FF 127890
4 q My Commission Expires
ylarkraut '' W.
of ,,°'•' June 01, 2018S ,,, ,,
Print/Type/Stamp Name
of Notary Public