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Home My WebLink About124 Walnut Crest Run; 17-2195; ROOF6, s,- JUL 1 g 2017 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: /'% Documented Construction Value: $ _ %y 730 Job Address: 124 WALNUT CREST RUN SANFORD, FL 32771 Historic District: Yes No Parcel ID: 22-19-30-502-0000-0960 Residential Q Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Roof Replacement - CYi"6' aTcea L-oma,,., i A_s,96 I F 1sh / uC1. C 7G Plan Review Contact Person: grn,` 0 VA Title: Roof Replacement Manager Phone: 321-441-2300 Fax: 321-441-2313 Email: swilliams@collisroofing.com r Property Owner Information Name T` ra V\-C ! s CQ D ( i , _ Phone: 40 Street: 124 WALNUT CREST RUN Resident of property?: )OW rpr City, State Zip: SANFORD, FL 32771 Contractor Information Name Collis Roofing, Inc. Phone: 321- 441-2300 Street: P.O. Box 520668 Fax: 321-441-2313 City, State Zip: Longwood, FL. 32752 State License No..• CCC058022 Architect/ Engineer Information Name: n/a Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: n/ a Mortgage Lender: n/a 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: 51" 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. 00 Signature of Owner/Agent ate Signature/of Contra 6r/Agent Date i2l,L s'C1ZR, /1Z f Print Owner/Agent's Name of J. Douglas Lanier Print Contractor/Agent's Name Signature of WENDY STARTS " ""` dY Pis•, ,•,,, LWENDYRTSNotaryPublic -State of Ftorlda p` 4 Notate of FloridaCommission # FF 937709 3 (** ' CoF 987709 V My Comm. Expires Mar 16. 2020 '. y am,oar My CMar 16, 2020° F;.,, B t Nallonal Notary Assn. F r q o 'M day Assa Owner/Agent is, o o Contractor/ -A Me or Produced ID Type of ID L Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 Permit Application 7/18/2017 SCPA Parcel View: 22-19-30-502-0000-0960 Property Record Card Oeda Johnson, CfA Parcel: 22-19-30-502-0000-0960 R Owner: ORTIZ FRANCISCO R & TERESITA V tiMII.IpLE [:f7l,f4YfY, FlpRIDA Property Address: 124 WALNUT CREST RUN SANFORD, FL 32771 Parcel Information Value Summary Parcel 22-19-30-502-0000-0960 Owner ORTIZ FRANCISCO R & TERESITA V Property Address 124 WALNUT CREST RUN SANFORD, FL 32771 Mailing 124 WALNUT CREST RUN SANFORD, FL 32771 Subdivision Name PRESERVE AT LAKE MONROE Tax District S3-SANFORD-WATERFRONT REDVDST DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2006) 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings ---- --— --- 1 Depreciated 1 t ------ - Bldg Value 1 $200,695 1 $191,917 Depreciated EXFT Value i Land Value (Market) 341000 34,000 Land Value Ag Just/Market Value " 234,695 225,917 j------- Portability Adj Save Our Homes Adj 63,673 - $58,413 Amendment 1 Adj j I P&G Ad1 0 0 Assessed Value 171,022 I $167 504 Tax Amount without SOH: $3,471.53 2016 Tax Bill Amount $2,300.61 Tax Estimator Save Our Homes Savings: $1,170.92 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 96 PRESERVE AT LAKE MONROE PB62PGS12-15 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County Bonds 171,022 50,000 j $121,022 County General Fund 171,022 I 100,000 I $71,022 Schools 171,022 25 000 j $146,022 City Sanford i 171,022 50,000 `` $121,022 SJWM(Saint Johns Water Management) 171,022 50,000 $121,022 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED j 1/1/2005 05585 12516 v $ 232,000 Yes-- Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT i 1 $34,000.00 $34,000 Building Information Is Bed/Bath count incorrect? Click Here. Descriptionp Year Built FixturesTBedTEath Base Area Tota=SFLvng F Ext Wall Adj Value Repl Value Appendages Actual/Effective 1 SINGLE FAMILY 2005 13 I 4 I 3.0 j 1,532 ; 4,537 1 G 3,479 1 CB/STUCCO $200,695 } FINISH 210,152 I Description Area 3 OPEN I 143.00IiPORCH r FINISHED I http://parceldetai1.scpafi.org/Parcel Detail I nfo.aspx?P I D=22193050200000960 1 /2 7/18/2017 SCPA Parcel View: 22-19-30-502-0000-0960 GARAGE FINISHED 459.00 UPPER ..__.._ j I STORY 1947.00 FINISHED OPEN ------ PORCH 456.00 UNFINISHED Description Year Built Units Value New Cost No Extra Features hftp://parceIdetai I.scpafl.org/Parcel Detail Info.aspx?P I D=22193050200000960 2/2 Florida's Largest Residential Roofing Specialist! Longwood 321-441-2300 Melbourne 321-751-8850 p r Q?censed Q;Fac oryracnedBOLLBB. Q;?Insured ,'l Factory Certafied a St. Au stine 904-810-9657 Lakeland 863-682-5700 fO@`ott oof ng c°m • www c°tt: ° Ong c°ra rro ida ware Certified Ro j7ne eon —tor FCCC0/sso22 ROOFING CONSULTANT/ESTIMATOR ROOFING ESTIMATOR'S CELL PHONE # / o$ V 31 PROPOSAL PREPARED FOR PHO _ r5fj J,7 DATFj Y /7LL ( ooNAMESG WORK PHONE CELL PHONE STRE/Efi , /' p,f / iL,%,e E / Cz / 6& Ne-. C1,5;^' STATE ./ d JOB LOCATION CITY STATE ZIP EXISTING ROOF CONDITION COLLIS ROOFING SOLUTION #1 COMPLETE ROOF PREPARATION — SERVICES PROVIDED TO HELP YOU AVOID HASSLES AND TO PROTECT YOUR HOME Qj P Financing Months same as Cash, % APR utaC 2f Warranty Year Full Workmanship Warranty PR RATION ff Inspection with our factory trained Project Managers. r, l emove/ R place Enhanced Mfr's C=i Warranty Col Style D care taken to protect home exterior, shrubs and landscaping. LtYObtain and post local permits in accordance with local laws. veexistinoof system to expose decking. FenGust7'W ol decking for rotten and/or deteriorated wood and replace as needed per pricing schedule below. mer nl lals 115 Solution #1 Subtotal $/7a G f COLLIS ROOFING SOLUTION, #2 `a l roof deck per current codes WOODRE AC,tyIENT COSTS: Custo r Initials Plywood $ per shgt^decking $ per linear foot. Fascia ( pine/spruce) $ (cedar) $ . per linear foot. Manufacturer Warranty Year Full Workmanship Warranty UNDERLAYMENT 0jjYY- In with undedayment. install rubberized leak barrier waterproof membrane in the following areas. Remove/ Replace Enhanced Mfr' s Warranty Eaves Skylights i 10alleys Vent Pipes Chimney Crickets P-1fow, Slope El Other Color Style Install modified bitumen in dead valleys and low slope areas. Customer Initials Solution # 2 Subtotal $ FLA$ HINGS Inst all color ` inch galvanized or aluminum metal drip edge at eaves & rake edges. - Customer's Initials LfiW SLOF'E.SYSTEMI stall all new lead pipe boot flashings. FLATYear Manufacturer Warranty I tall all new 26 gauge galvanized, pre -formed valley metal. Install all new galvanized kitchen and/or bath fan vents. Replace skylight. Year Full Workmanship Warranty VENTILATION Color Style 1 stall ridge vents # CD Shingle Over Aluminum VIRStall off ridge vents # Install other venting # Customer Initials Color Customers Initials RIDGE Flat / Low. Slope Subtotal $ ilr, x Solar ElPV [I Hot Water 1 all premium high definition ridge (required by manufacturer for enhanced wind coverage) Install standard ridge CL AN -UP magnetically sweep job site Clean out gutters liia'Flau/ i away al[ ebris to approved facility al inspection performed by factory trained Project Manager Insulation ease of lien and written warranty provided at time of payment. Windows The contractor agrees to commence work hereunder within thirty (30) days after the last to occur of the following: (1) the Contractor has received a notice to proceed from the Owner, and (2) the materials required are available to Contractor. Contractor agrees to prosecute work thereafter to completion and to complete the work within a reasonable time, subject to such delays as is permissible under this contract. All material is guaranteed as specified. All work will be completed according to standard roofing practices. Any alteration or deviation from the above specifications involving extra costs o : a will be executed only upon written order and will become an extra charge item -over and Solution Number $ d Flat / Low Slope $3cv Other 14a above this agreement. Although we exercise all due caution, we cannot be responsible for cracked driveways, damages from rain, hail, or any act of God. Any leaks due to workmanship and materials occurring during the Guarantee period will be repaired per our written Guarantee. This agreement constitutes the entire contract by and between Contractor and Owner and the parties are not bound by oral expression or representation by any party or agent of either party. The above pricing, specifications and conditions are hereby accepted. You are authorized to do the work as specified. 50 % DRAW DUE AT TIME OF DRY IN INSPECTION FOR JOBS OVER $15,000 AND TOTAL INVESTMENT THE BALANCE OF EACH PHASE DUE AT TIME OF COMPLETION. In case of late payment or default, a charge of 1.5% per month will apply on all balances over 30 days Customer Initials old. I agree that if Collis Roofing, Inc. is required to take any action to enforce this contract I shall pay Collis Roofing Inc.'s attorney fees and costs, whether or not a suit is filed. The price quoted for this proposal shall be good for thirty days or for such longer period' at the sole option of the Contractor. TE GUST EF SIGNATURE COIltFBCt # ®3 6 532 r THIS INSTRUMENT PREPARED BY: Name: Stephanie Williams Address: Collis Roofing; Inc. P.O. Box 520668, Longwood. FL. 32752 CI...E:'RK OF -IRCUIT ..LE'.R, NOTICE OF COMMENCEMENT State of Florida County of Seminole c:LERK'8 x 2017072841 a:i;l,'k..i_:., ']7r'19/—}-i:l :Lily:jE;.„„ Permit Number: Parcel ID Number: 22-19-30-502-0000-0960 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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) LOT 96 PRESERVE AT LAKE MONROE ED 62 PISS 12 - 15 124 WALNUT CREST RUN SANFORD, FL 32771 GENERAL DESCRIPTION OF IMPROVEMENT: Roof Replacement OWNER UFORMATION: t /1 4Name: + ra n G I S ( 1Z - V (- t Address: 124 WALNUT CREST RUN SANFORD, FL 32771 Fee Simple Title Holder (if other than owner) Name: n/a Address: CONTRACTOR: Name: Collis Roofing, Inc. Address: P.O. Box 520668, Longwood, FL. 32752 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)(b), Florida Statutes. Name: n/a Address: In addition to himself, Owner Designates of 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 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 ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A O= 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 Q BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. AA W C.t` 3 c) iVi -'-'1 7— Owners Signature Owner's Printed Name Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." State of C & P l'QA- Countyof eS CIn ! 6 The foregoing instrument before this Q day 20 wasacknowledgedmeofv r- by Who is personally known to me C) O a f Name of person making statemen /^ y " OR has identification peof ® -w `C U "c7CS Y U W : CA who produced identification produced: ko WENDY STAAT8 Notary Public - State o1 Florida - Commission # FF 937709 Por My Comm. Expires Mar 16. 2020 yF0, i O tary Signature nnnr" BOl dthrotioNatlonalNotary ASsn Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 7/19/2017 I hereby name and appoint: an agent of: Ray Henderson Collis Roofing, Inc. 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): j The specific permit and application for work located at: 124 Walnut Crest Run, Sanford, FL. 32771 Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: J. Douglas Lanier State License Number: CCC058022 Signature of License Holder: STATE OF FLORIDA COUNTY OF Seminole The foregoing instrument was acknowledged before me this lq day of C) I (I ( —, 200 y, by J. Douglas Lanier who is i personally known to me or who has produced identification and who did (did not) take an oath. WENDY STARTS u 8' ` ••w PµV P II Notary Public -State of Florida gnature W. Commission # FF 937709 My Comm Fxpires Mar 16 <' f _ p Notarye . 1 x SA y 6! r ° nna! nta Print or type name Notary Public - State of 7 C) 0 t C/o Commission No. My Commission Expires. Rev. 08.12) as Or'• r v PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work X3 ADDRESS: 124 Walnut Crest Run, Sanford, FL., 32771 STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCYrOWNHOUSE O M0111LE HOME O APARTMENT/CONDOMINIUM RE-Ro OF TYPE:. (9) 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 SQUAREFEET OF THFEXISTINCDECKIS PERMITTED TO BEREPLACED** ROOF VENTILATION: (DOFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT OTUR13INES SKYLIGHTS: OYES QNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 —4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE CeratinTeed FL# FL5444-R10 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# INSULATED FL# OTILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS ETC) **IPAPPLICABLE** 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# OTORCH DOWN FL# OINSULATED FL# QTILE FL# OOTHER: FL# PERMIT #: City of Sanford Building and Fire Prevention RESIDENTIAL RE-RooF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY --IN, FLASHING, AND ALL FINAL ROOF COVERINGS ADDRESS: 124 Walnut Crest Run, Sanford, FL, 32771 I J. Douglas Lanier 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). LICENSEM CCC058022 COMPANY/CONTRACTOR: Collis Roofing, Inc. / J. Douglas Lanier CONTRACTOR SIGNATURE: DATE: 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 ROOT 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 Seminole Sworn to and Subscribed before me this day of 20 by: J. Douglas Lanier . Who is 0 Personally Known to me or has 0 Produced (type of identification) Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public as identification. City of Sanford Building Division j'=` - 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) DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL 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: V 10 DATE: .- 1119, City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 17-2195 ADDRESS: 124 Walnut Crest Drive, Sanford FI jl. —J-Do igla anier AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENG EER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FF'bn6@ F.IN1-ipA Axi,9N-i RUE 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 #: CCC058022 COMPANY/CONTRACTOR: Collis Roof& Inc. / J. Do CONTRACTOR SIGNATURE: _ MUST BE SIGNED BY LICENSE Lanier A FINAL ROOF INSPECTION IS RE UIRED: DATE: _ zi ,1—! I" 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 Seminole Sworn to and Subscribed before Ime this Z day of J A 20 17 by; J. Douglas Lanier Who is 3 ersonally Known to me or has O Produced (type of identification) V Signature of Notary 6blic State of Florida Print/Type/Stamp Na e of Notary Public as WD OY STAATS c, Notary Public - State of Florida Commission #t FF 237709 N` o i Comm. Expires Mar 166. 2020 4lF OF f `O r tjgougtl Nat[on Notary Assn.wk 41"