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HomeMy WebLinkAbout125 Jinkins Cir; 17-3277; ROOFtI NOV -20 7 i CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ..3 d 7 7 Documented Construction Value: $ u .0 C) Job Address: C( r Historic District: Yes No Parcel ID: 12.-@U-80 1SC4 -C` wo C)I oo Residential Commercial Type of `York: New Addition Alteration Repair,14 Demo Change of Use Move Description of Work: `''e(; Plan Review Contact lPerson: Title: Phone: ,`)a c3I 1 Od Fax: gm A-) ro Vr_ V-\CC VAC. Property Owner fnformat ion °im Name 0d .e U T V l kiln ' Phone: q0_7 _' -7 70- Street: aS ell i nu S C r c Resident of property? City, State Zip: En\koca Contractor Information Name Phone: T Street: c` Ya '+ Fax: City, State Zip: State License No.: 5b 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`h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOV -20 7 i CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ..3 d 7 7 Documented Construction Value: $ u .0 C) Job Address: C( r Historic District: Yes No Parcel ID: 12.-@U-80 1SC4 -C` wo C)I oo Residential Commercial Type of `York: New Addition Alteration Repair,14 Demo Change of Use Move Description of Work: `''e(; Plan Review Contact lPerson: Title: Phone: ,`)a c3I 1 Od Fax: gm A-) ro Vr_ V-\CC VAC. Property Owner fnformat ion °im Name 0d .e U T V l kiln ' Phone: q0_7 _' -7 70- Street: aS elli nu S C r c Resident of property? City, State Zip: En\koca Contractor Information Name Phone: T Street: c` Ya '+ Fax: City, State Zip: State License No.: 5b 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`h 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. Signature of Ovvner'Agent Print Owner/ Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 7A'L_ I I I& G_ signature of Contractor/Agent Date CR-T JContractor/ Agent's Name h re of Nota -St to of Florida Date L1NDSAY DUCKHAM Commission # FF 1722 10 My Con)nnission Expires pcV. of 28, 2018 Con wn to Me or Produced [D 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 # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 20l 5 Permit Application 10/31 /2017 SCPA Parcel View: 12-20-30-504-0000-0160 Property Record Card t>" CrA Parcel: 12-20-30-504-0000-0160 Owner: THEADFORD ODELL B JRi Property Address: 125 E JINKINS CIR SANFORD, FL 32773 Parcel Information Parcel ' 12-20-30-504-0000-0160 Owner THEADFORD ODELL B JR Property Address 125 E JINKINS CIR SANFORD, FL 32773 Mailing 125 E JINKINS CIR SANFORD, FL 32773 Subdivision Name SOUTH PINECREST 4T H ADD Tax District = SISANFORD DOR Use Code F 01SINGLE FAMILY Exemptions 00-HOMESTEAD(2016) Legal Description LOT 16 SOUTH PINECREST 4TH ADD PB 12 PG 43 Taxes Value Summary 2018 Working 2017 Certified Values Values Valuation Method I Cost/Market Cost/Market Number of Buildings 1 1 j I Depreciated Bldg Value 96,618 91,113 I Depreciated EXFT Value 8,879 9,229 Land Value (Market) 15,000 15,000 Land Value Ag j Just/Market Value *' 120,497 115,342 1 ._ _............_ _ Portability Adj Save Our Homes Adj 14,343 11,371 Amendment 1 Adj _ 0 P&G Adj $0 $0 Assessed Value $106,154 $103,971 i i Tax Amount without SOH: $1,408.44 2017 Tax Bill Amount $1,191.91 i Tax Estimator Save Our Homes Savings: $216.53 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values i Taxable Value County General Fund 106,154 50,000 _ 56,154 Schools 106,154 25,000 81,154 City Sanford 1 106,154 50,000 56,154 SJWM(Saint Johns Water Management) 106,154 50,000 56,154 County Bonds 106,154 50,000 56,154 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 6/1/2014 ; 08286 11741 i $139,900 Yes Improved SPECIAL WARRANTY DEED 4/1/2014 w 08244 0776 $65,000 No Improved CORRECTIVE DEED CERTIFICATE OF TITLE 8/1/2013 08136 5/1/2013 1 08047 1717 $100 0012 1 $100 i No No Improved Improved QUIT CLAIM DEED 10/1/2007 1 06885 0630 $100 No Improved QUIT CLAIM DEED 10/1/2004 05540 1234 $100 No Improved WARRANTY DEED 10/1/2000 1 03947 1174 $86,000 I Yes Improved QUIT CLAIM DEED y4- r 10/1/2000 1173 $100 No Improved WARRANTY DEED 12/1/1998 1 03578 0367 j $79,500 Improved WARRANTY DEED 10/1/1995 02976 1944 1 $77,000 Yes Improved Page 1 of 2 (12 items) [1] 2 http://parceldetail.scpafl.org/ParcelDetailinfo.aspx?PID=12203050400000160 1/2 10/31/2017 SCPA Parcel View: 12-20-30-504-0000-0160 Find Comparable Sales Land I,_. Method Frontage Depth Units i Units Price Land Value LOT 0.00 j 0.00 1 $15,000.00 1 $15,000 Building Information Is BedBath count incorrect? Click Here. Description i Year Built Fixtures Bed Bath Base Are=11T.tal SFLiwng SF Ext Wall Adj Value Repl Value ;Appendages Actua[/ Effective 1 SINGLE 1959/2000 6 ? 3 20 1,308 1,772 I 1,308 CONC $96,618 i $102,785 Description Area FAMILY BLOCK T E OPEN I PORCH 124.00 i ( FINISHED UTILITY FINISHED 80. 00 GARAGE 260. 00 FINISHED— i Permits r --- -- Permit # Description Agency Amount CO Date I Permit Date 00481 j RE-ROOF/SHINGLE SANFORD $10,656 12/9/2014 00474 COVER PORCH; PERMIT #01-474 Y SANFORD $ 500 11/16/2000 Extra Features Description Year Built Units Value New Cost ALUM GLASS PORCH _ 7/1/1985 273 s $1,529 '. $3,822 POOL 1 7/1/1979 1 ' $7,350 $14,000 http:// parceldetail.scpafl.org/ParcelDetailinfo.aspx?PID=12203050400000160 2/2 1410 Emerson Street, Leesburg, FL 34748 e State Roofing License: CM 329936 • License: CGC037504 Phone: 352-314-3625 • Toll Free: 855-314-3625 • Fax: 352-240-3439 • www.covenantrnc.com SALES CONTRACT Covenant Roofing & Conssttruction, Inc. agrees to f rnish all materials and labor necessary to do the modernization work at the following address: Name / , Phone Vd_% 7V4 70 7l Phone (w) Address 6 rr ' r—; Ir Date City 4 -te r State _zip 7-;V ?7.7 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. t3. REPLACE ANY ROTTED WOOD WITH N 0D SHEATHING @ $ PER FOOT AND $ '?a PER SHEET OF PLYWOOD, IF ANY. ` AC 4. INSTALL ° " _ UNDERLAYMENT OVER ENTIRE ROOF 5. INSTALL FHANA EAVES DRIP. COLOR w6d"t h 6. INSTALL NEW VALLEY METAL AND FLASHINGS AS NECESSARY. 7. INSTALL N W LE BO_gTS OVER VENT PIPES AND RESEAL VENTS. 8. INSTALL= Lrt Y WIBERGLASS SHINGLES. COLOR +12 9. INSTALL FEET OF RIDGE VENT k$ VOREVWT. COLOR . 10. CLEAN-UP JOB SITE OF ALL WORK DEBRIS AND ALL AWAY ALL RELATED DEBRIS AND LEAVE JOB SITE CLEAN. CON AC R WILL CO TATE REMOVAL REINSTALLAT N F ROOF RELATEDYR4,HERALS SUCH A BU OT LIMITED TO) S UNITS, SKYLIGHT DISH AND AI OND1Z0NERS TC. REMOVE AND INSTALL EXISTI SOFFIT AND FACIA25 PER FOOT IN AD ION TO CONTRACT CE, IF REQUIRED. T COST FOR SUCH K WILL BE A ITION TO CONT AC PRICE AND H APPROVED BY WNER. (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 contract documents will commence on approximately,! and be completed on approximately The recited dates are approximations and are subject to scheduling difficulties of Seller, labor and/or ma erial Wortages, 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. Contract Price $ Homeowner Portion $ a 00 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 2Y day of r, 20. Approved and Accepted: NOTICE TO OWNER a. Do not sign this home improvement contract in blank. b. You are entitled to a copy of the contract at the time you sign. it protect your rights Seal) (Seal) Dealer -Seller) (Purchaser Sign Here) BY M Z A E MAN Seal) Purchaser Sign Here) FORD PRESS, INC. 352-787-4650 (mike) v After recording, return to: Covenant Roofing and Construction. Ina 1410 rnerson 5t. Leesburg, FL 34748 Permit No.: Tax Folio No.: yo( tlf i;hli IIAL.OYY SE-:h1INOLf_: COUNTY is 1'it`,, tit: r JRCIJT i (:f-j if;: j `: (:[)i1Y' (:f L.LCf\ 6" t IP-1-s `I CLERK'S 20171128004 _ _ Fm Notice of Commencement State of Florida 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 the Property: ii ( legal description of the property and street address if available) /' , mot l l / Legal Description: h' (—s t' 44 4L ? V" ores 7 T Ll ll P to Street Address: -)5 E. Ni n k . Co-, Cir "Zt .n -p 313 2. General Description of Improvement Raroof 3. Owner's Information or Lessee Information if the less e contracted for the improvement: Name: Address: S ,tir,nzx r Interest in Property: Name 1£ Address of fee simple titleholder (ifdiHerent than owner): 4. Contractor Information Name: Covenant Roofing and Construction, Inc. Phone No,: 352.314.3625 Address: 1410 Emerson SL Leesburg, FL 34748 5. Surety (if applicable, a copy of the payment bond must be attached): Name: Phone No.: Address: Amount of Bond: $ 6. Lender Information: Name: Phone No.: Address: _ 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713. 13(1)(a)7., Florida Statutes: Name: Phone No.: Address: 8. In addition to himself or herself, Owner designates of to receive a copy of the following Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: Phone No.: 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). r a n I eoen IMOor pc WARNINGTOOWNER: ANY PAYME t TS MADE-31rTHFOWNER AF?ERTNE'JCYiFtAi'IViV-GP=Fi•tc,tiO-T-IC-cv^F-oOiNtrrcYC'c-;hE..,-ASt-,.^" 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Sig ureofOwnerorLessee, orOwner'sorLessee'sAuthorizedOfficer/DirecfovPariner/Manager Oam e Signatory's Title/Office Theforegoing instrument was acknowledged before me this a%day of fe _ 20_/2 , by0,&.N as for _ who Type of authority ( l e. officer, trustee, eflorney i) fact) Name of,oarly on behaff of whom instrument was executed is personally known or produced F1 Pl— 7J%4 0-T 75z/Q _ as type of identification. ,,-,,,` Notice of Commencement — BF29 (Updated 05/13/2013) Signature of Nplwy Pubri MICHAEL H. REAMES MY COMMISSION # GG 129505 d,Y EXPIRES: July 30, 2021 Slate of Florida (, print, type or stamp Of CITY OF SkNFORD Building &Fire Prevention Division RESIDENTM RE -ROOF POLICY & PROCEDURES FIRE DEPARTiMENT 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.PHOTQGRAPHS_SHOWING_ALL_INSTALLATION..COMP_ONENTS,PERFL_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), CERT ING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE://b b PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS:121:S e. , rf v-, = i y1 S cir. Sc o far A E STRUCTURE TYPE: 40 SINGLE FA?,IILY 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): PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: ©OFF -RIDGE 0RIDGE OSOFFIT OPOWERED VENT SKYLIGHTS: O YES *No IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 02:12-4:12 O 4:12 OR GREATER O TURB INES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# O METAL FL# O MODIFIED B ITUNIEN FL# OTORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES. PATIOS, ETC.) **IFAPPLIC.4BLE** ROOF SLOPE: O LESS THAN 2:12 _ - _ O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O-METAL.. O MODIFIED BITUMEN FL# OTORCH DOw-u FL# O INSULATED FL# OTILE FL# 0 OTHER: FL# t s F D City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, -ND ALL FINAL ROOF COVERINGS PERiNIIT #: I ADDRESS: I I , .AS A(N) GEN-ERBUILDING, RES[DENTLAL, OR ROOFING CONTRACT R, ENGINEER, ARC ECT, OF F.S. CHAPTER 463 BUILDING INSPECTOR, I HEREBY" AFFIRM, THAT ALL OF THE FOREGOING rNFORMATION 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 REQU[ RENIENTS FOR SECONDARY WATER BARRIER .AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT NLANU. AL REQUIRENIENTS (BASED ON F.S. CHAPTER 553,844). LICENSE .#: Ccc I CONIP. A:NY / COiNTR_-ACTOR: CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICENSE HOLDER VN'ER;'B A FINAL ROOF I.NSPECTIO,N' IS REQUIRED: DATE: THIS SIGNEDAND NOTARIZED AF AVIT mLS-r BE PROVIDED AT THE JOB SITE .AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTO APHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL .ALL COMPONENTS (DECKING, UNDERLAY:.NIE. NT, FLASHI. ,DRIP EDGE .ATT.ACHNIENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY NIARKED ONTHE DECK FOR EACH INSPECTION. HE PHOTOGRAPHS NIUST 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.A.ND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. FAILURE TO FOLLONk 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 before me this day of 20- 6y: Who is yPersonally Known to me or has - Produced (type of Print/Type/Stamp Name of Notary Public