HomeMy WebLinkAbout106 Drew Ave 17-1468; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S 7,963
Job Address; 106 DREW AVENUE, SANFORD, FL 32771
Parcel ID • 31-19-31-504-0100-0010
Type of Work: New Addition Alteration 0 Repair
Description of Work: residential reroof
Plan Review Contact Person: Laura L.
Phone: 407-650-0013 Fax: 321-972-8839
Historic District: Yes No Z
Residential Q Commercial
o Change of Use Move
Title: Office Manager
Email: Ihodges@hodgesbrothers.net
Property Owner Information
Name Lillian H. Morris Phone': 407-430-9974
Street: 106 DREW AVENUE, SANFORD, FL 32771 Resident of property? : yes
City, State Zip:
Contractor Information
Name Hodges Brothers Inc. Carl Curtis Hodges Phone: 407-650-0013
Street: 501 Hames Avenue, Orlando, FL 32805 Fax. 321-972-8839
City, State Zip: State License No.: CCC 042845
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Phone:
Fax:
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. 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" Edition (2014) Florida Building Code
Revised: June 30, 2015 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.
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.
t
Signature of Ow ner/Agent Date gnature of Contract /o gent Date. g
j
r
Print Owner/Agent's Name Print Contractor/Agent's Name
t Gi GG i )i
gioatlare of Notary -State of Florida Date Sign Lure of Notarystate of Florida Date 0!;
f` " U1URA L HODGES My
COMMISSION @ FF SW20 z
y
EXPIRES:
May 3, 2020+ Bonded
Thru Note Public underwrtter y H" Rf;„•'` ry Owner/
Age or Cont Produced
IDy Type of ID rL <N Produced ID BELOW
IS FOR OFFICE US Permits
Required: Building Electrical Mechanical P Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: Min. Occupancy Load: LAURAL
SODGES MY
COMMISSION 0 FF 953420 EXPIRES:
May 3, 2020 ended
Thru Notary Puhlic underwriters ersonally
Known to Me or Type
of ID NLY
ibing
Gas[] Roof Flood
Zone: of
Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS:
ZONING: UTILITIES: WASTE WATER: ENGINEERING:
FIRE: BUILDING:_ COMMENTS:
Revised:
June 30, 2015 Permit Application
5/8/2017 , SC PA Parcel View: 31-19-31-525-0000-0110
j Property Record Card
Pf1LI<'T
c Parcel: 31-19-31-525-0000-0110
Owner: MORRIS LILLIAN H
SiECtlWv1v F7.pn e,
Property Address: 106 DREWAVE SAN FORD, FL 32771-3934
Parcel Information
Parcel 31-19-31-525-OC 00-0110
Owner MORRIS LILLIAN H
Property Address
Mailing
106 DREWAVE SANFORD, FL 32771-3934
106 DREWAVE SANFORD, FL 32771-3934
Subdivision Name WASHINGTON OAKS SEC 2
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(1994)
I
a
Legal Description
LOT 11 BLK C
WASHINGTON OAKS SEC 2
PB 16 PG 87
Taxes
Seminole County GIS
Value Summary
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 56,889 52,567 I
Depreciated EXFT Value
Land Value (Market) 15,000 13,500
Land Value Ag
Just/Market Value " 71,889 66,067 j
Portability Adj
Save Our Homes Adj 12,077 7,485
Amendment 1 Adj
P&G Adj
t$
0 0
Assessed Value 59,812 58,582
Tax Amount without SOH: $623.00
2016 Tax Bill Amount $566.00
Tax Estimator
Save Our Homes Savings: $57.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values . Taxable Value
County General Fund 59,812 34,812 i 25,000
Schools 59,812 25,000 34,812
City Sanford 59,812 34,812 25,000
SJWM(Saint Johns Water Management) 59,812 34,812 25,000
County Bonds 59,812 34,812 25,000
Sales
Description Date Book Page Amount Qualified Vac/Imp
QUITCLAIM DEED 6/1/2001 0484E 1022 100 No Improved
WARRANTY DEED
SPECIAL WARRANTY DEED
1/1/1975
1/1/1974
01071 3 0673
01033 1944
100 No
100 No _ —
Improved
Improved - —
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT 1 15,000.00 $15,000
Building Information
Built
j # Description Year Fixtures Bed Bath :Base Area ;Total SF Living SF j Ext Wall Adj Value Repl Value ;Appendages
Actual/Effective
http://parceidetaii.scpafl.org/ParcelDetaillnfo.aspx?PID=3119315250C000110 V2
ORDER NUMBER: 40229iTAXEXEMPTIONNUMBERS
M nninn ens CC or en,evnen,.. e
Board of County Commissions
Caminnlcf rAlInhi 91AM-0
1.000 EA 1 FB-602172-151ROOF L. MORRIS
Order in accordance with pricing, terms, and conditions
of IFB-602172-15/GCM Term Contract for Roofing Repair
and Replacement for Residential Properties expiring April
5, 2018. CONTRACTOR MUST CONTACT LUIS
ALBELO 407-665-2385 PRIOR TO COMMENCEMENT
OF WORK. A NOTICE UPROCEED WILL BE ISSUED
BY THE COUNTY"'
06691617.580833.0001,1' n_
106 DREW AVE.; SANIi6613" i .. ° .
g1
6
cCPual INS''
EPTIDI06691617
BALDUS, CYNTHIA O
V THIS
ORDER IS SUBJECT TO THE TERMS & CONDITIONS ON THE REVERSE SIDE OF THIS ORDER. SUBMIT
ALL INVOICES IN DUPLICATE TO: CLERK -
B.C.C. FINANCE DIVISION POST
OFFICE BOX 8080 0.
0000 1 7,963.00 7,
963.00 PURCHASING
AND CONTRACTS DIVISION - AUTHORIZED SIGNATURE SANFORD,
FL 32772-0869 Accts.
Payable Inquiries -Phone (407) 885.7881 for:
SEMINOLE COUNTY BOARD OF COUNTY COMMISSIONERS
i
THIS INSTRUMENT PREPARED BY: Name: Hodges Brothers Inc Laura Hodges
Address: 501. Hames Avenue Orlando.'FL 32805
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: Parcel ID Number: 31-1
I ISStII Ualsll tiiill SEiitp ss,ees gssn saaa suH
ANT iMAI-13 r 13EI'Ii'HO L COUNTY`
FRK OF cjRCt)jT CI_lt.)RT & COMPTROLLP
Fe 1'1. r1.1='9a)
ERK' S g 2017050257
C'OR lED 05 r .19""1 017 j'.IS-17.2112,fill
C;IAF1ING FEE-6 $10-1710
1)OIED BY rdt ,, iltr
The undersigned hereby gives notice that improvement will be made to certain real property; and in accordance with
Chapter 71.3, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
PB 16 PG 87 106 DREW AVE SANFORD, FL
GENERAL DESCRIPTION OF IMPROVEMENT:
OWNER INFORMATION:
Address: 106 DREW AVE SANFORD,
Fee Simple Title Holder (if other than owner)
Address:_
CONTRACTOR:
Address: ORLANDO, FL 32805.
Persons within the State of Florida Designated
as provided by Section 713.13(1)(b), Florida St,
Names_ --_--
in, addition to himself, Owner Designates
Owner upon whom notice or
I
documents may be served
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year
different date is specified)
WARNING' TO OWNER: ANY PAYMENTS" MADE BY THE OWNER AFTER THE
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPI
FLORIDA STATUTES; AND CAN RESULT IN YOUR PAYING TWICE FOR IMPRO'
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TF
INSPECTION. IF YOU INTEND TO OBTAIN' FINANCING, CONSULT WITH Yt
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENC
Under penalties of perjury, I declare that I have read the foregoing and t
to the best of my knowledge and belief.
Owners Signature' OV
Florida Statute 713.13(1)(g):' The owner must sign the notice of commencement:and no one else ml
date of recording unless a
PIRATION OF THE NOTICE OF
2 713, PART 1, SECTION 71313,
MENTS TO YOUR PROPERTY. A
JOB SITE BEFORE THE FIRST
R LENDER OR AN ATTORNEY
TENT:
t the facts stated in it are true
permitted to sign in his or her stead.
State of r'l rrCl County ofrV1 Y Y's LQ '
tt nn
The foregoing ,instrument was acknowledged before: me this 4? day of 20 ta
by '1 n4) ii OY r1:5 Who is personally known to me
Name of person making statement y
OR who has produced identifieaftonE type of identification produced:
LAURA L HODGES L
s 61Y COMMISSION 0 FF 95M20
EXPIRES: May % 2620
Rttr. Bonded ThmNotaryPublic Undarwr8srs documents
may be served To
receive a copy of the Lienor's Notice as Provided in Section
713.13(1)(b), Florida Statutes. Expiration
Date of Notice of Commencement (The expiration date is 1 year different
date is specified) WARNING'
TO OWNER: ANY PAYMENTS" MADE BY THE OWNER AFTER THE COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPI FLORIDA
STATUTES; AND CAN RESULT IN YOUR PAYING TWICE FOR IMPRO' NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TF INSPECTION.
IF YOU INTEND TO OBTAIN' FINANCING, CONSULT WITH Yt BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENC Under
penalties of perjury, I declare that I have read the foregoing and t to
the best of my knowledge and belief. Owners
Signature' OV Florida
Statute 713.13(1)(g):' The owner must sign the notice of commencement:and no one else ml date
of recording unless a PIRATION
OF THE NOTICE OF 2
713, PART 1, SECTION 71313, MENTS
TO YOUR PROPERTY. A JOB
SITE BEFORE THE FIRST R
LENDER OR AN ATTORNEY TENT:
t
the facts stated in it are true permitted
to sign in his or her stead. State
of r'l rrCl County ofrV1 Y Y's LQ ' tt
nn The
foregoing ,instrument was acknowledged before: me this 4? day of 20 ta by '
1 n4) ii OY r1:5 Who is personally known to me Name
of person making statement y OR
who has produced identifieaftonE type of identification produced: LAURA
L HODGES L s
61Y COMMISSION 0 FF 95M20 EXPIRES:
May % 2620 Rttr.
Bonded ThmNotaryPublic Undarwr8srs
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF F T I
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 3:30 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 111
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
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 106 DREW AVENUE, SANFORD, FL 32771
STRUCTURE TYPE: Q SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME 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): 1 /2" plywnod
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: O OFF -RIDGE O RIDGE &SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES QNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 —4:12 ('_]V4':12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
QSHINGLE CertainTeed Landmark Series FL# 5444-R10
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
OOTHER: Underla ment Atlas Summit 60 FL# FL16226.3
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#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
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 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 FFBBC code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: l___ e 't:5 DATE: 5/1 9/ZOO 7
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 . . . . . 17-00001468 Date 5/19/17
Property Address . . . . . . 106 DREW AVE
Parcel Number . . . . . . . . 31.19.31.525-0000-0110
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . WASHINGTON OAKS SECTION 2
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 985671
Permit pin number 985671
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF / /
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY-INq FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 17-1468 ADDRESS: 106 DREW AVENUE, SANFORD, FL 32771
I Carl Curtis Hodges , 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 #: CCC 042845
COMPANY / CONTRACTOR: Hodges Brothers Inc. Carl C. Hodges
CONTRACTOR SIGNATURE:
e '5 DATE: 131
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/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 Y l I C—x-
Sworn to and Subscribed before me this day of 20 a by:
4 (I - _ . Whb-is.B Personally Known to me or has Produced (type of
identification)
Signs ure of Notary Public
State of Florida )) '
w\ \
Print/Type/Stamp Name
of Notary Public
as identification.
LAURAL HODG, '
ISSION
EX IFES: Ma..
Rf„t4 Bonded Thru Notary P.
PFFGESMYC:%k•95342(!
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