HomeMy WebLinkAbout292 Clydesdale Cir 18-1628; ROOF426483. J u 6 Zvi%
b , i CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
l( Application No;: —
Documented Construction Value: $ 11,700
Job Address 292 CLYDES'DALE CIR SANFORD, FL 32771 Historic District: Yes No F1
Parcel ID: 18-20-31-506-0000-0130 Residential 0 Commercial
Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move
Description of Work: RE -ROOF OWENS CORNING FL10674 TECHWRAP FL17194 31 SQ'S 7/12 PITCH
SUPREME DRIFTWOOD 25 YEAR WARRANTY
Plan Review Contact Person: RACHEL HOLCOMB Title: MANAGER
Phone: 407-278-7788 Fax: 800-337-3361 Email: PERMIT@JASPERINC.COM
Property Owner Information
Name SCOTT BAKER
Street:
292 CLYDESDALE CIR
City, State Zip: SANFORD, FL 32771-
Name DONALD BOUCHARD
Street: 3203 S CONWAY ROAD SUITE 201
Phone:
Resident of property? YES
Contractor Information
Phone: 407-278-7788
Fax: 800-337-3361
City, State Zip: ORLANDO, FL 32812 State License No.: CCC1331153
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: 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. Feertify 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. 1 understand that a separate permit must be secured forr 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: 511' Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application a
1q 0' 1-55
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 l will notify the owner of the property of the requirements of Florida Lien Law, FS713. 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 OwnerlAgent Date Signature of Contractor/Agent Date Print
Owner/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is Personally Known to Me or Produced
ID Type of 1D Signature
SKYIAR
B AMKRAUT Commission
N FF 127890 My
Commission Expires 1 '-•?
o°;A' June 01, 2018 . 0
12 i 11 Date
e—
YemTs — — , rsonally Known to Me or Produced
ID Type of ID L, 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: Flood
Zone: of
Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: UTILITIES: ENGINEERING:
FIRE: COMMENTS:
Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
5380 E. Colonial Dr.
Orlando, FL 32807
3203 Conway Rd., Ste. 201
Orlando, FL 32812
407) 278-7788
800) 337-3361 Fax
info(djasfierinc.oru
Mg VISA
JASPE
tool"Coin
FL Contractor's License: ba-Ir
CCC 1329651 & CCC 1331153 Cple
ROOF RRPI.AVF.MFNT(-nNTR A (-T
Account Manager:
Contact 7
Company:
Policy #:
Claim #:
Corn ,p;my:
Loan Number:
Owner(sl: Phone:
Address:
CYC 0 /4Z /I-
Alt'Phone:
Tity: tat Zip Cod 7nz7 T I
Shingle Color: A
Roof RCV Amount/ Contract Price:
11,700 1 Drip Edge Colo
If Owner's Insurance Comnany doe of agree to nay for mull roof replacement. this contract shall be voidable.
Assignment of Insurance Benefits for the Full Roof Replacement Only- I hereby assign any and, all insurance rights, benefits and proceeds under
any applicable insurance policies to Jasper Contractors, Inc. ('`Jasper''), the scope of which shall be limited to a Full Roof Replacement. I make this assignment
and authorization in consideration of Jasper's agreement to perform services, supply materials and otherwise Perform its obligations under this Contract.
including not requiring full payment at the time of service. I also hereby direct my insurers) to release ,arty ,and all information requested by Jasper, or its
representative(s), for the direct purpose of obtaining actual benefits to be, paid by my insurers) for services rendered In this regard, I waive mypfivacy
rights. ifpaymentis made directly t I
o
the Qwncr/Agc I
ni/
Insured(s), it shall be endorsed over to Jasper !Miticdiately,upon receipt. I agree that any portion of work,
deductibles, betterment or, additional work requested by the undersigned, not covered by insurance, must be paid by the undersigned on the day of installation.
Deductible: It is the Owner's responsibility to pay all insurance deductibles. Owner's out-of-pockct expense will not exceed the deductible amount,
as stated. on insurer's loss sheet (the "Loss Sheet''), UNLESS replacement/repair of deteriorated decking is required by'code,and/or Owner requests optional
upgrades; Jasper CANNOT pay, waive, rebate, or promise to pay, - waive or rebate any or"all of the insurance `deductible applicable to the insurance
claim for payment of work. . In the event of a discrepancy, the deductible amount stated on the insurer's Loss Sheppa ,shalloverrule deductible amountsdisclosed.,
Deductible: S MUST BE PAID IN FULL, US APPLIGABLE, SALES STAX (initial) MORTGAGE
AUTHORIZATION: 1, Owner/Mortgagor, grant a : uthoriz'07' fi 'r 40ez-f 146rtgage Co. to, speak with Jasper
on matters including but not limited to, the claim im ' and draw status. 5t, —(Initial) PAYMENT SCHEDULE: Owner agrees to pay
Jasper based on the following schedule: (i)',Deposn in the amount of S due upon signing, this contract; (it) the Contract, Price, less
the Deposit and any applicable depreciation retained byOwner's insiwer(s), plus upgrade costs, due and payable to Jasper upon completion of work
being performed; and, (iii) the remaining Coiftract Price (equal to any applicable depreciation and/or change orders) due and payable to Jasper upon completion
of work performed. In the ev of ip . inspection, no more than j1/6 Contract ofConact, Price may be: withheld until inspection has passed. 7trigOptional:
UPGRADE ITEM: 7eL- QTY: _ PRICE: TOTAL: Replacement Work
and Price: Upon insurer's approval and subject to the Terms and Conditions herein, Jasper agrees to lurnish all materials and provide the
labor necessary to perform the full roof replacement which shall take place following Owner's. insurance company's approval, approximatelywithin 30 days, conditions permitting. Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof
replacement, Jasper shall perform the iWfTeplacenlent upon receipt of funds from Owner's insurance company. FLORIDA, HOMEOWNERS'
CONSTUCTION RECOVERY FUND PAYMENT, UP
TO A L I IMITED
AMOUNT,
MAY BE AVAILABLE FROM THE'FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY
FUND, IF YOU LOSE, MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERETH I
ELOSS
RESULTSFROM SPECIFIED VIOLATIONS OF FLORIDA LAW,BY A LICENSED CONTRACTOR. FOR INFORMATION
ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION N
INDUSTRYLICENSING BOARD AT THE.FOLLOWING TELEPHONE NUMBER AND ADDRESS: Construction Industry
Licensing Board: 2601 Blairstone Road, Tallahassee, FL 32399-110391'(956) 4871-1395 CANCELLATION: If
Owner elects s toterminate the services of Jasper, Owner may do so before midnight on the 'third business day after
Contract is executed. Owner shall ' receive a full refund of all deposits. Owner may also rescind Contract, before midnight on the third
business day after the contract is executed after notification from insurer(s) that the claim for payment on 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:
1690 690 RobertsBoulevard, Suite, 112, Kennesaw, CA, 30144. CANCELLATION EXCEPTIONS: The three (3) day right of
cancellation DOES NOT APPLY to contracts for emergency home repairs as'ti me is of the essence. 1, 'Owner, have
read and understand rstand all statements, Terms and Conditions of the "Roof Replacement Contract" and agree that, all details
are acceptable and satisfactory, I further understand that this Contract constitutes the entire agreement between the, parties and that
any further changes or alterations to this Contract must be made in writing and agreed upon by both parties. Each party represents
and warrants ts tothe otherthat it has the full power and authority to enter into the contract and that it is binding and enforceable in,
accordance with its terms. TuWorized Jasperlepresentative Date Owner
Date Scanned by CamScanner
I ii1111i1i1 Ilil flail lilil dill lE ilil
GRANT NALOYr SENINOLE COUNTY
L G
f LEft"I: OF
s 122IT COURT COMPTROLLER
THIS Ii1S rRUMENT PREPARED BY: • ,lY ,/ BK, 892 r Fs 1?2u (lf•'s5?
Name:, JosJager Contracfors Y _ GLERt;'S 4 20171154878
Address: 3119 S ConwayROad 5uHe -01 . RECORDED 06/02%21i17 Of 30:1` All
Orlando 'FL 32812 RECORDING -FEES $10.00
rr , 16I ,I cam. RECORDED 'BY ,ieckenro
NOTICE OF GOM ENCEMENT`
Permit Number:. I""
r,
Parcel ID Number:, I ' 7 ' ' " `0 1 d,V
The undersigned hereby,gives notice that improvement will be made'to certain real property, and In accordance'with Chapter 713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement:
1`. DESCRIPTION OF PROPERTY: (Legal description of the property and streeteddress if available)
3. OWNER INFORMATION OK etbPt= rr+rvtonrtinv,..• _ • • -- ---• --- •- --
SC 1y-rI r- , C(t - r- N,
ame and address. 3Z Interest
in property: owner Fee
Simple Title Holder (if other than owner listed above) Names 4.
CONTRACTOR: Phone
Number. 407 278-7788 Address:.
64UO J k. EJI "El r\Vau vuuc w • .+,, ..... , — _ 5.
SURETY (if applicable, a copy of the payment bond is attached): Name: Amount
of Bond: Address:
6.
LENDER: Name: Phone
Number. Address:
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. Phone
Number r. Address:
In
addition, Owner designates of
to
receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9.
Expiration Date of Notice of Commencement (The expiration is 1 yearfrom:dale 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 ARE CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713,, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICE" FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Jt/
V St
naty tovmcr6rtessee,orOxnersorLessee's' PentNameand Provrd01.gnatoVsTVe/Office) a A
odzed0(
ficetloirectarlPartnedManager) . 3tafe of
County of < ` the foregoing
instrum ntw,a ackno Iedged before me this LN day of w\ +2. ---2 SCO ,
Who
is personally known to me OR 4 0 0
ay Name
of
personmakrngslatemenl 0 n C, vho has
produced identification? y P - t typeofidentificationproduced: (-; J A lit
tit . •• O SI<
YLAR
B AMKRAUT L A 000c
c
Z' 1Gommission NFF127890 "— _ My Commission
Expires NotaryStgnature CC: ui H June 01 .
2018 m: 1.:
3VQ.vs
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: Rachel, Holcomb, Skylar Amkraut, Karla Almodovar Ana. Chavez
an agent of JasperContaaars
Name of Campwy)
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 application for work located at:
Saw Address)
Expiration Date for This Limited Power of Attorney
License Holder Name: Donald Bouchard
State'License Number. CCCU311s3
Signature of License Holder.
STATE OF FLORIDA — s
COUNTY OF sew
The foregoing instrument was acknowledged.before me this day of ,
200 , by o—aa tla,t,ard who is o personally known
to me or m who has produced oi_
identification and who did (did not) take an oath,` l `\
Notary Sea])
rin . 717. SKYLAR B AMKRAUT 1t
s Commission #t FF 127890 s
My Commission Expires
orr.o June 01 ; 2018 ?
Res. 08. (2)
S 71ar Amkraut
Print or type name
Notary Public - State of FL
Commission No.. 127890
My Commission Expires: 6/1/2018
Scannpd by CamScannnr
ramCity 1' Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT • [ r,ISSUE DATE: 7
CONTRACTOR: .
JOB ADDRESS: 4
TYPE OF WORK:
I PROTECT FROM WEATHER I
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
Roos'
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 407.79L6069 or 855.541.2112
PERMIT # (. q i b
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 292 CLYDESDALE CIRCLE SANFORD, FL 32771
STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O 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 DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: ® OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES E) 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#
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#
Z%6
F D City of Sanford Building Division
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 pen -nit 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: .-6/2/201 %
i A, Q0 2 8
LIMITED POWER OF ATTORNEY
Ramonte Springs, Casseiberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: U I 1
I hereby name and appoint: Scott Meixsell, James Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett
an agent of Jaspw cons --actors
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):
f The specific permit and application for work located at:
Q,kv, ' lord k IF- L 31
Expiration Date for This Limited Power of Attorney: I " ' - I
License Holder Name: UDY(\Q,\(A 16w&Iayd
State License Number. OCC1331153
Signature of License Holder.
STATE OF FLORIDA
COUNTY OF serr Ae
The foregoing instrument was acknowledged before me this day of U Y
200_a, by Donald Bouchard who is o personally known
to me or is who has produced DL
as
identification and who did (did not tak an oath.
Signature
Notary Seal) S ar aut
g KRAUT SKYLAR 1 27890Con)missian u FE
M Commission ExpiresY
June 01 , 2018
Rev. 08.12)
Print or type name
Notary Public - State of t..,
Commission No. 7 9
My Commission Expires: U "I
Scanned by CarnScanner
l\Qr",LSI[+,7n
City of Sanford
Building and Fire Prevention
11
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
1X NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: qn)— C\W ` &de, CA,
I /" I I c 'LVI V" a+b , 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 #:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICE
unN f
DATE: V[ I
NSE HOLDER OR OWNER/BUI ER)
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 <fMM\ei
Sworn to and Subscribed before me this kl—_ day of 20 by:
Who is Personally Known to me or hastoroduced (type of
identifica ion) as identification.
VM
gnature otary Pu ><c
State of F or a a SKYLAR: 8 AWRAUTy ':
Cammis ion a FF 127890
SkylarAmkraut = My Commission Expires
p, °
4•' June 01, 2018
Print/Type/Stamp Name
of Notary Public