HomeMy WebLinkAbout339 Lusitano Way; 17-2374; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No • M - a s iy Documented
Construction Value: $ 1,I (o'7 i 3 -] Job
Address: 33a L U61 j RIJO W A-cf Historic District: Yes No Parcel
ID: h$-20-3 l-SU6-dpo0 -132o Residential ® Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: Rejr N,JU V S r tf tr S It L N(a DES fi- kREP(_ftC, w I IV1F::7W Plan
Review Contact Person: (Et 43-b G-DEfA"fZ-ry S Title: FIE -Lb S t PEAytS 2 Phone: 3
2' l W-il Fax: _jsz-9,q0- 3Ll 3q Email: I j Say cyuety,(nrt rn C_ , C0n'1 Property Owner
Information t j-1 ^ Name (Y
LAC->T-M--R Phone: W to — bq 3 Street: 'J3
a "5 k-TR-tV O W f" Resident of property? City, State
Zip: S'yN fo M f` C 3 -L '-1 i 3 Contractor Information
Name J05EPf4
MNL /CE 0-J"_rftCF106-t (C)NS'*UUIO Phone: 3 2--12-i{1 R Street: N
Ib Fimt'fZSO N S Fax: 3 SZ -- 2 `- 0-3 L/ i City, State
Zip: l- g y1 State License No.: CC.C_-132el q 3 6 Architect/Engineer
Information Name: Phone:
Street: City,
St,
Zip: Bonding Company:
Address: 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 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.
f117
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
y/, 7
JULIA C. CASE
MY COMMISSION # GG033905
EXPIRES September 27, 2020
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
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:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
8/3/?-1' SCPA Parcel View: 18-20-31-506-0000-1320
10 Parcel: 18-20-31 D06 0000-1320
Owner: SOONASRA MUSTAFA & KURSHIDA
Property Address: 339 LUSIT,ANO WAY SANFORD, FL 32773-6887 Parcel Information Parcel
3 18-
20-31-506-0000-1320 Owner SOONASRA MUSTAFA &
KURSHIDA _ Property Address 339
LUSITANO WAY SANFORD, FL 32773-6887 Mailing 339 LUSITANO
WAY SANFORD, FL 32773- Subdivision Name' BAKERS
CROSSING PHASE 2 Tax District S1-
SANFORD DOR Use Code
01-SINGLE FAMILY Exemptions 00-HOMESTEAD(
2016) Value Summary 2017
Working 2016
Certified Values Values Valuation
Method Cost/
Market Cost/Market Number of Buildings
1 1 Depreciated Bldg Value
139,085 131,778 Depreciated EXFT Value
2,617 2,713 Land Value (Market)
34,000' 32,000 Land Value Ag
jus,Iilt.rkel.
Value 175,702 166,491 Portability Adj i
Save Our
Homes Adj 5,715 0 Amendment 1 Adj
P&G Adj
0 0 Assessed Value j. $
169,987 166,491 Tax Amount without
SOH: $2,524.00 2,01r Tax
Bill Amount $2,524.00 ax Estimator Save
Our Homes
Savings: $0.00 Does NOT INCLUDE
Non Ad Valorem Assessments Legal Description LOT
132 BAKERS
CROSSING PHASE
2 PB 62 PGS
97 - 99 Taxes Taxing Authority
Assessment
Value Exempt Values Taxable Value SJWM(Saint Johns
Water Management) 169,987 50,000 119,987 Schools 169,987
25,000 144 987 I County General Fund
169,987 50,000 119 987 County Bonds 169,
987 50,000 119 987 City Sanford 169,
987 50,000 119 987 Sales Description Date
Book
Page Amount Qualified Vac/Imp WARRANTY DEED 8/
1/2014 08325 1 51 160,000 No Improved QUIT CLAIM DEED
10/1/2005 0615' 0263 100 No Improved FINAL JUDGEMENT 9/
1/2005 O o,6 83 100 ! No Improved m_ . _ ----------------------------- WARRANTY DEED
1/
1/2004 05206 1771 173,100 • Yes Improved WARRANTY DEED 9/
1/2003 05039 0919 227,000 € No Vacant Fir+d Comparable
Sales Land i Method
Frontage Depth
Units Units Price Land Value LOT 1 34,
000.00 34,000 Building Information Is
Bed!Bath
count incorrect? Click Here. http://pa rceldetail.
scpafLorg/ParceIDetai I Info. aspx?PID=18203150600001320 1 /2
8/3/2017
i Description Year Built
i Actual/Effective
1 SINGLE 2004
FAMILY
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=l 8203150600001320 2/2
1410 Emerson Street, Leesburg, FL 34748 9 State Roofing License: CM 329936 • License: CGC037504
Phone: 352-314-3625 • Toll Free: 855-314-3625 e Fax: 352-240-3439 e www.covenantrnc.com
SALES CONTRACT
Covenant "RRo'ofing & Cons(truction, Inc. agrees to furnish all materials and labor necessary to do the modernization work at the following address:
Name V, Lk s'-4--c- I a % 420il A -' Sri Phone '7 - H h, - to -f (nf Phone (w)
r p
Address fte V\ v Date
City--Ctv n- ` State .7
Zip 73
Email
In accordance with specifications given below:
REROOF:
A. SHINGLE ROOF
1. REMOVE OLD ROOF TO WORKABLE SURFACE.
2. RENAIL ROOF DECK WITH RING SHANK NAILS. '1
3. REPLACE ANY R07 W OD WITH STANDARD SHEATHING Q $ PER FOOT AND $ PER SHEET OF PLYWOOD, IF A (Initial)
4. INSTALL UNDERLAYMENT OVER ENTIRE ROOF.
5. INSTALL FHA/1.. EAVES DRIP COLOR
6. INSTALL NEW VALLEY METAL AND FLASHINGS AS NECESSARY.
7. INSTALL NEW LEAD BOOTS OVER VENT PIPES AND RESEAL VENT" j
8. INSTALL _ YEAR FIBERGLASS SHINGLES. COLOR• lS2 j + ` ` ` ` (
9. INSTALL FEET OF RIDGE VENT AT4&.ee-f`ER-FOOT.COLOR
10. CLEAN-UP JOB SITE OF ALL WORK DEBRIS AND HAUL AWAY ALL RELATED DEBRIS AND LEAVE JOB SITE CLEAN.
11. CONTRACTOR WILL COORDINATE REMOVAL AND REINSTALLATION OF ROOF RELATED PERIPHERALS SUCH AS (BUT NOT LIMITED TO) SOLAR UNITS, SKYLIGHTS, . DI
AND AIR CONDITIONERS, ETC. REMOVE AND REINSTALL EXISTING SOFFIT AND FACIA C $4.25 PER 0 IN I QN TO CONTRACT PRICE, IF REQUIRED. THE C T FOR
SUCH WORK WILL BE IN ADDITION TO CONTRACT PRICE AND HEREIN APPROVED BY HOMEOWNER. (Initial)
12. ALL WORK COVERED BY A 5 YEAR WORKMANSHIP WARRANTY
1. Contract Documents. This contract consists of this document, extra work/wood authorizations, if any, and if payments
hereunder are to be financed, all financing documents. No promises other than those specifically set forth in the contract
documents shall be recognized by either party. The entire understanding and agreement of the parties is contained in the
contract documents.
2. It is understood and agreed that this contract shall not become binding upon Covenant Roofing & Construction, Inc. until it is duly
approved, accepted, signed and witnessed by an officer or officers of the Seller.
3. Work on the job described in the corltr t cuments will commence on approximately AGA P and be
completed on approximately O The recited dates are approximations and are subject to scheduling
difficulties of Seller, labor and/or material shortages, acts of God and other events not foreseen by Seller. Seller reserves
the right to employ any sub -contractor for the completion of the work described in the contract documents.
4. Covenant Roofing & Construction, Inc. reserves the right to substitute materials of equal or greater value and kind. Any required
materials such as fire retardant plywood, tongue and groove board, etc. will be billed on a time and material basis. All other
changes required by New Jurisdictional Code Enforcement Laws may result in additional charges.
5. Interest at the rate of eighteen (18%) per cent per annum will be charged on all balances not paid as per the terms specified
above. Reasonable attorney's fees will be charged to the Purchaser if it is necessary to place this contract in the hands of an
attorney for collection, and this charge becomes a part of the contract and obligation of the Purchaser to pay.
6. Parties agree that this agreement shall be construed according to the laws of the State of Florida and any action brought
thereon may be brought in the State of Florida. Venue is hereby agreed to be in Lake County Florida.
7. BUYERS RIGHT TO CANCEL (SOLICITED SALES ONLY) If you do not want the goods or services, you may cancel
this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must Indicate that you
do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you
sign this agreement.
8. Both worker's compensation and public liability insurance are carried by the Seller and they are applicable to the work to be
performed.
9. It is understood and agreed that the buyer hold harmless, Covenant Roofing & Construction, Inc., for any damages that may
occur to the buyer's driveway(s) during delivery of materials and/or removal of the work related debris that may be required
to perform this home improvement contract. Furthermore, the buyer herein gives permission for typical delivery vehicles and
typical waste removal vehicles to enter said driveway(s) for the purpose of expediting this sales contract.
10. Contractor will coordinate removal and reinstallation of roof related peripherals such as (but not limited to) solar units, skylights,
T.V. dishes and air conditioners, etc. The cost for such work will be in addition to contract price and approved by homeowner.
11. Covenant Roofing & Construction, Inc. shall not be held responsible for damage to electrical lines, water lines, refrigerant lines
or other mechanical components that have been improperly installed near roof decking and may be damaged while performing
installation of roofing materials. Villages Roofing & Construction, Inc. shall not be responsible for any additional costs due to
roof decking that may have old materials adhered in such a way that requires redecking of structure.
12. Construction Industries Recovery Fund payment may be available from the CIRF if you lose money on a project performed
under contract, where the loss results from specified violations of Florida law by a state -licensed contractor. For
information about the recovery fund and filing a claim, contact the Florida Construction Industry Licensing Board at the
following telephone number and address: 7960 Arlington Expressway, Suite 300, Jacksonville, FL 32211-7467 or call (904)
727-6530.
13. Chapter 558, Florida Statutes contains important requirements you must follow before you may bring any legal
action for an alleged construction defect in your home. Sixty days before you bring any legal action, you must
deliver to the other party to this contract a written notice referring to chapter 558 of any alleged construction defects
and to consider making an offer to repair or pay for the alleged construction defects. You are not obligated to accept
any offer which may be made. There are strict deadlines under this Florida Law which must be met and followed to
protect your interests.
i 31 ~% Contract Price $ —
s___Z_
Homeowner Portion $ AX0 -
Plus Total from Item No. 3 above)
UPON COMPLETION
Executed in triplicate, one copy of which was delivered to, and receipt is hereby acknowledged by Buyer,
this day of A • r W1L , 20 r .
Approved and Accepted: NOTICE TO OWNER
a.
b.
Do not sign this home improvement contract in blank.
You are entitled to a copy of the contract at the time you si In. eep i to pr tect your rights.
Seal) ( (Seal)
Dealer -Seller) (Purchaser Sign Here)
BY (X)
r— (Title)
r
9,ALESMAN
Seal)
Purchaser Sign Here)
FORD PRESS, INC. 352-787-4650 (mike)
Permit Number:
Folio/Parcel ID #: I $ -Q0 - 001Y - / 1D a
Prepared by:
WWL
Return to: Covenant Roofing & Construction Inc. r{';,.... ;
1410 Emerson St.
Leesburg, FL 34748
NOTICE OF COMMENCEMENT
State of Florida, County of
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.
1. Descr'ption of property(legal description of the property, and street addres if available)
P 0/17-.9y
2. General descri tion of improvement 3 3 L.ct5i anb WG-y 30 i 7 3
e r^n
3. Owner infQ rmation r Lessee information if the Lessee contracted for the improvement
Name /Vtv •4 ,nx Llr
Address 3
Interest in Property
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Name Covenant Roofing & Construction, Inc. Telephone Number 352-728-8818
Address 1410 Emerson St., Leesburg, FL 34748
5. Surety (if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address Amount of Bond $
6. Lender
Name Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 NOTICE OF COMMENCEMENT MUST BE
RECORDED AND PO TED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YgyjNLENDW OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
or Lessee, or wner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office
The foregoing instrument was acknowledged before me this Z day of by %(i WZ.-W-Aj., 16, r
mon h year name of person
as 0 va rwi for
Type of authority, e.g., officer, trustee, attorney in fact
of Notary Pu is — State of Florida
Personally Known OR Produced ID J
Type of ID Produced S= Z& -
Ya ?- - ---
Name of party on behalf of whom instrument was executed
Print, type, or stamp commissioned name of Notary Public
E T}.H CIRCUIT, CCURY
Form content revised: 01/23/14
E 1 0 t N I
JONATHAN L HOLIDAY
MY COMMISSION # FF228443
EXPIRES May 16, 2019
f 0r>.'1A8.0'b9 F10raaNVfl,ysavic. car
Limited Power of Attorney
Date O I
I hereby name and appoint Robert Home of Covenant Roofing and Construction, Inc. to be my
lawful attorney in fact to act for me and apply to
fora k8;69permit for work to be performed at a location described as: Address
of job: 3 L Owner
and Address: [le °f rx I LI CA r" Q..S `e` 3C1 11 Sz` ` Lt Ir GCl Sworn
to and subscribed before me this day of (/-9 , 20 l By
Joseph E. Rayl who is My
Commission expires: personally
known to me or _ produced P •''
LINDSAY DUCKHAM ZV
P
B Commission
k FF 172210 My
Commission Expires October
28. 2018 re
F D
City of Sanford Building Division
z Residential Re -Roof Inspection Policy & Procedures
ar .
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 inAn affidavit provided by a Florida Design Professional (
architect or engineer), certifyinXde compliance by personal inspection. CONTRACTOR (
OR OWNER/BUILDER) SIGNATURE: DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 0/ /—y 5 % 17WO tidy M1j -6M iC J Z- 7 - 3
STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 8 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 2-
1)
Ll L L . 4 If G
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXI TING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: DOFF -RIDGE Q RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (OFNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: 0 LESS THAN 2:12 O 2:12 — 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE AZ-il`rkPi Teo:) IA Aje q_' FL# 5_(444-1'Z) b
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#
v
D City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: L l ADDRESS: ]q L0 S 1 7%9'AjQ
ej FDYFo L
j , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRA TOR, ENGINEER, A HITECT, 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 NSTALLED 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$ ..--
LICENSE #: cc 13 z 9 ct
COMPANY / CONTRACTOR:
ll
CONTRACTOR SIGNATURE: DATE: i
MUST BE SIGNED BY LICENSE 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 PERNIIT 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 L.A,)4 4_
Sworn to and Subscribed before me this C _ day of 20 y:
Who ersonally Known to me or has Produced (type of
identification) as identification.
i re of Notary Public :w J.ULIA C. CASE
e of Florida `c MY COMMISSION # GG033905
EXPIRES September 27, 2020
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