Loading...
HomeMy WebLinkAbout318 Appaloosa Ct; 17-1983; ROOF426544 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No:. ) 11 / qO 3 Documented Construction Value: FAJobAddress: 318 APPALOOSA CT SANFORD, FL 32771 Historic District: _Yes No LJ _ Parcel ID: 18-20-31-506-0000-1240Residential 0 Commercial Type of Work: New Addition Alteration D Repair Demo Change of Use Move Description of Work re -roof owens corning Fl 10674 techwrap fl 17194 28SQs 7/12pitch Supreme Driftwood 25yr Warranty Plan Review Contact Person: Rachel Holcomb Title: Manager Phone: 407-278-7788 Fax: 800-337-3361 Email: permit@jasperinc.com Name Carrie D. Beckton Street: 318 Appaloosa Ct. City, State Zip: Sanford, FL 32771 Name Donald Bouchard Street: 3203 S Conway Rd Ste 201. City, State Zip.. Orlando, FL 32812 Name: Street: City, St, Zip: Bonding Company: _ Address: Property Owner Information Phone: Resident of property? : yes Contractor Information Phone: 407-278-7788 Fax 800-337-3361 State License No.: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: CCC 1331153 - 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 1053 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 Pennit 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 [CC 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. tV-ft ftb1 gel a j i Signature of Owner/Agent Date Signature of Contractor%Agent Date Karla Almodovar Print Owner/Agent's Name Print Contractor/Agent'Rae CA agSignature ofNolary-State of Florida Date Signature otary-State of Florida Date SIMAR B AM11,'RAUT . 4 3 i/- GOnlr111S$ IQn 4 FF 127890 , Niy Cornmission Expires 1 June 01 2018 Owner/ Agent is Personally Known to Me or Known to Me or Produced ID Type of ID Produced ID Type of ID 1 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 # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: FIRE: 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 ` i q 1 800) 337-3361 Fax ` t " 1 Minfo0aiasMrinc. ore VISA Insurantt rorr.92 s iCfrlr CL-_4 CQMRQ i Ccrt•.- Assignment of Insurance Benefits for the Full Roof Replacement Only: i z T, = =rcC=:L- M. any applicable insurance policies to Jasper Cortntors Lac- f`Jaspc k ;: <r%;c c: -Anzzns— x -. s and authorization in consideration of Jaspc's =ccxs to.pc{crm sc.>-,c< si, r including not requiring full pa.mcra at t`,c time of scarce l z<<o..X rcpr sentativc(s). for the direct pLypos: of ot—-aai_*,g a`^iu l bcrc8 to s - 7_517== r -'vzz rights If payment is made dimtly to the G rc Rgrncln_nsCls z i ':e o-.= r-= worm deductibles bcttatn=t or a <itiorsi uerk requmed by `.. nL= :t z •+e . _.. -= s = . - :3 installation. Deductible: It is yhe Oanc's re-sYorsibilir. to az: it _ _ _ _ — Q» = amount, as stated on 'insurer's loss sheet (the '-Loss SF.. -t . UNLESS -- - - _- C_ i'.^"':iS'=.... ...f`i ` _ '. .._...: ram.? t:.",- optional upgrades. Jasper LAIN OT pay, waive, rebztr, or promise to pay. wore or reb23e anti- or all of tic iax=ratr.-c insurance claim for payment of work' In vets cnt of a t`e ' ' =e z .= -c+ en =e amount disclosed. Deductible: 5 l boo MUST BE PAID Lam. FULL- PLyy ff/ SALES TAX MORTGAGE ALHORMATION: L u T atr ycn ;x GL ` ttL azlie- a-. Jasper on chatters including but not Hmitd to. the claim and d.-ax s_es C V') (initul) 17ti(M\T SCHFDC1 _- • t pay Jasper based on the following schedule () Dc-positf the am- o= of S L,= :-•x s _ =-= _c C p7i= less the Deposit and any applicable dtpreciarer rera d c Qw2'c ? C. work being performed; and, (iii) the retr&,iag Contact Price (equa.) ,o a~?: a1yL,: r der za ,_L= T -s: zL completion of work performed In,, the-Cr9m f n ding iitexticG, r.-o tic th= 4 c: C,-r } =c Optional. LFGRADE fiT-M:.... C/Lt C.cr'9 qTt: _ C . .D..-d_: S Replacement Work and Price: Upon irt_azer's appro-vzl z:-.d subiect, to tsc ic= art? Cmz:rvs h _ J cp= M =. s` El ='• pro. ide the labor necessamy to perform the foil roof rcp!zua=t uhf-ys sh-'. : pjac o :o _ 's = c_<:= 's a::= pci - within 30 da.s, conditions permitting Owner's Declaration of Intent: a-.:r-.. T = '_ = c =\ x, Zpa-c.-al ;X a full roof replacement, Jasper shall perform the roofre^, t: t L-pix. ram' e3f-s FLORIDA HOMEOWNERS' CONSTUMON RECOVERY FUND PAYMENT, UP TO A LI`IITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HO'MFOW.\ERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE .MONTY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LANN' BY A LICENSED CONMALTOR FOR INFORMATION ABOUT THE RECOVERY FUND ADD FILING A CLAIM, CON -TACT THE FLORIDA CONSTRUCTION INDUSTRYLICENSING BOARD AT THE FOLLOWING TELEPHO\-E NI MBER A D ADDRESS: Construction Industry Licensing. Board: 2601 Blairstone Road. Tallaba_csee, FL 3 +9'5LIQ3•9. (Sc014, -1395 CANCELLATION: if Owner elects to terminate the services of Jasper: Owner may do so before midnL-bt on the third bus;Jism day after Contract is executed. Ow-nershaD recene a full refund of all deposits_ Owner may sLco rescind Coatrsct before midu'tght on the third business day after the contract is executed after notification from insurer(-_) that the claim for paymemt on rcvf contract has been denied, in whole or in part. All written notices of cancellation. regardless of rea_son, shall be pastinariced or delivered to Jaspers corporate office: 1690 Roberts Boulevard, Suite 112._ Kennesaw. G>\ M14-1 CANCELLATION EXCEPTIONS: The three (3) day right of cancellation DOES NOT APPLY to tontrwu for emergency home repairs as time iss of the essence. 1, Owner, have read and understand ai! statements. Terms and Conditions of the -=Roof Replacement Conuaax" and ague that all details are acceptable and satisfactory. 1 further understand that this Contract comstiitutes the entire agrrrment between the. parties and that any farther changes or alterations to this Contract most be made in writing and agreed upon by both, parties- Each pare represents and warrants to the other that it has the full power and authority tD enter into the contract and that ' ding _ enforceable in accordance xith its terms. s rued 7 Representaiivt Daft Date Scanned by CamScanner i\ THIS INSTRUMENT'PR"PARED BY: / Name: Jas er Contractors'1t . . Q — /V11G l Gi Address: _3203 SConway Road Suite 01 Orlando, FL 32812 NOTICE OF COMMENCEMENT Permit Number: } Parcel ID Number: 1 L( Q) GRANT VIALO`21i SEl I MOLL COUNI ; `f, CLERK OF CIRCUT7 COIJS`I ' CON I OL.LER BK 8'014; is -135 (Pq-s) LM' S T ill7i 91,w k CORDING FEE" $1 i.00 RECORDED BY cstith 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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 2. GENERAL DESCRIPTION OF IMPROVEMENT: re - roof 3. OWNER INFORMATION OR LESSEE NFORMATION (F,THE LESSEE CONTRACTED FOR THE IMPROVEMENT - Name and address: ( ,afr1 ., - T,C_ i (i C7q Interest in property: uwner Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: Jasper Contractors Phone Numbers 407-278-7788 Address: 3203 S Conway Road Suite 201 Orlando, FL 32812 5. SURETY (If applicable, a copy of the payment bond Is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number: 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. Name: Phone Number: 8, to addition, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement ([he 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 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 POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. StgnalureofOwner orLessee,orOwner's orLessee's (PnntNameandProvideSlgnatorys ,Ne/Office) Authorized: Officer/Oireclor/ Partner/Manager) State of - 1. The foregoing' instrument was ckno' v by C Name ar persorin, County of \ 11` r `r s 4; led ed before me this (Jt ( day of - V\okV , 20,-- 0 C Who is personally known to me 0 OR < Q y Afro statement ' S ZD who has produced identification d type of identification produced: ale,ANA CHAVEZ P 4,-Statg ollt=lorida-Notery'Public Commission# GG 112152 e+ My Commission Expires June 06, 2021 426544 Altamonte Casselberr ,, Lake Mary, Longwood, Sanford, Date: I hereby name and appoint: Rachel Holcomb, Skylar Amkraut, Karla Almodovar Ana Chavez an anent of .)asperContraaors ameorcompmy) to be my laviU 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: 318 Appaloosa Ct. Sanford, FL 32771 Saw Addn=) Expiration Date for This Limited Power of Attorney: 1 License Holder Name: DonaldBouchard State License Number. CCC1331153 Signature of License Holder. STATE OF FLORIDA J COUNTY OF The foregoing instrument was acknowledged before me this day of 200_ a, by Dma'd Bmicfmd who is o personally known to me or m who has produced a- as identification and who did (did not) take an oath. Notary Sea]) SI< YLAR B AMI<RAU7 } commission N FF 127890 ti my commission Expires June 01 , 2018 ? Rev. 08.12) LF14 Signature ' Skylar Amkraut Print or type name Notary Public - State of FL Commission No. 127890 My Commission Expires: 6/112018 Snannpd by CamSranner City of Sanford Building & Fire Prevention Division AW0,11 Re -Roof Permit Card PERMIT NO. 1. Igg I ISSUE DATE: 0(0. A190 1 7 CONTRACTOR: JOB ADDRESS: 1 u.,l ® S ®, a, Ot TYPE OF WORK:iRG4oc7P_ 0 PROTECT 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 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 LA City of"Sanford. Building Division a 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 epAIAJ), tnpliance by personal inspection. IDCONTRACTOR (OROWNER/BUlLDGR) SIGNATURE:\. 1 DATE: O ` 426544 F . z JOB ADD.RESS:. 318 Appaloosa Ct. Sanford, FL 32771 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work STRUCTURE TYPE: ()SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME O RE -ROOF TYPE: 0 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: W OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES 0 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: 0 LESS THAN 2:12 0 2:12 —4:12 © 4:12 OR GREATER APARTMENT/CONDOMINIUM TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE Owens Corning FL# 10674 METAL FL# 0 0 MODIFIED BITUMEN FL# 0TORCH DOWN FL# QINSULATED FL# O TILE FL# 100THER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE" ROOF SLOPE: O LESS Tl{AN 2:12 O 2t 12 — 4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# 0 METAL FL# 0 0 MODIFIED BITUMEN FL# QTORCH DOWN FL# Q INSULATED FL# QTILE FL# Q OTHER: FL# 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 . . . . . 17-00001983 Date 6/29/17 Property Address . . . . . . 318 APPALOOSA CT Parcel Number . . . . . . . . 18.20.31.506-0000-1240 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 991752 Permit pin number 991752 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF / / Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: -AI 1 , n I hereby name and appoint: Scott Meixsell, James Allen, Michael Watts, Jacob Horst, Ricardo Prito, Paul Padgett an agent of jasper LAXMac ors game of Comp=y) to be my lawful attomey-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 sfic pemu1P Ir, n work I 1 (SMW Address) ` Expiration Date for This Limited Power of Attorney: License Holder Name: I J m (NI d State License Number. CCC1331153 Signature of License Holder. STATE OF FLORIDA COUNTY OF S---k' The foregoing instrument was acknowledged before me this 200__\ I_, by oonwd so„dwd to me or is who has produce' identification and who did Notary Sea]) U S g PMkR Ag90COmmA S n SI00 xp ros My Omn,s 1 Zp 1 g dun? Rev. 08.12) Print or type name day ofAmnaUy whois peown Notary Public - State of r L— Commission No. , i 1 47 ("j My Commission Expires: (D - l ¢/-9— Scanned by CamScanner e City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 0_l UADDRESS: , W FL I , /n i G J tt'/["-tt , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOF G 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 OWN F.S. CHAPTER 553.844). LICENSE #: COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: "1 /t/l/ G1 DATE: O 11 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 am mt Sworn to and Subscribed before me this day of 20 _Dby: 611 /V ho is Personally Known to me or has`&Produced (type of J identific ion) as identification. Signature tary Public Mt(C2A912 90 State of F on a - ,{t`(xA¢3. r FF 78 Tres Skyla Anikraut U R: Commis Syon Expoo`, ' COne 1aNw20 v Prin t ' 01' of Notary Public -'`