HomeMy WebLinkAbout372 Conch Key Way; 18-3923; ROOFy1F,ORp
ANFORD
BUILDINGs
ST 181
c
SEP 17 2018
PERMIT APPLICATION
Application No: 18-3ga3
Documented Construction Value: $ l d SGri
Job Address: 3 7- Historic District: Yes No
Parcel ID: 3 J 5"0 Oy U Residential [ Commercial
Type of Work: New Addition Alteration / Repair Demo
Description of Work: X C e-c' 0 fit Y'?/ -P (. 'i1
Change of Use Move
oole5
Plan Review Contact Person:1(% USQ ( Title:
Phone: 3 F6 ;O 29" C/ Fax: Email: JW, r(?a"0_6
Name L` %/iu ,7 P Aar)
Property Owner Information
Phone:
Street: 3 7-2- y re Resident of property?:
City, State ZIp
4 (
V 3D-77 l
Contract/or Infor[mation
Name l C>., c1.,0P. i'I` CCi/'L Gf ghone: 3 y `Jy 7
Street: 11Ji0 I S' l LvY y Fax:
City, State Zip: Vv C//n 1 3 3 / V 3 State License No.: C. c l 13 7
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: 6`h Edition (2017) Florida Building Code
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 zo1 g.
Signature of Owner/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
s it
Si urea crkConttXtor/Agent Date
1
Prin
ontractor/
Agenfs Name
R, t 7. to
Signature of o t
rlty NO;N tr.+ttN r^.:
cAlict,ii uefm. x3wuJMYpUdllOitYlSoilnd ,eloNContractrIAg®q N I I ,vdi erson to Me or Produce
e o I 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 APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
9/6/2018 SCPA Parcel View: 29-19-31-501-0000-11 l0
PoRrty Record CardfpiParcel: 29-19-31-501-0000-1110
Y , Property Address: 372 CONCH KEY WAY SANFORD, FL 32771
i
Parcel Information Value Summary
Parcel 129 19 31 501 0000-1110 __ 2018 Working Values1
20ertified
Valu i
Owners
PHAN, LILLIANY Y„F____._ _.,_.._ __..____.-_..... __-__.._ { Valuation Method Cost/Market Cost/Market t ---7
I I
Property Address 1372 CONCH KEY WAY SANFORD, FL 32771 { Number of
Buildings 1 1 Mailing 372
CONCH KEY WAY SANFORD, FL 32771 I Depreciated Bldg Value $161,749 $132,940 i Subdivision
Name 1 CELERY KEY I Depreciated
EXFT Value i Tax
District i S1-SANFORD I Land
Value (Market) $36,500 $31,500 I DOR
Use Code01-SINGLE FAMILY f ( { Land Value Ag
Exemptions - - I Just/
Market Value " $198,249 $164,440 Portability Adj O
I i
Save Our Homes Adj $0 $0 i Amendment 1
Adj $18,205 $764 P&G Adj $
0 $0 Ire"T, 77.
7, 7 777 Assessed Value $180,044 $163,676 LO N LID
x
Tax
Amountwithout
SOH: $3,121.00 2017 Tax Bill
Amount $3,121.00 Tax Estimator Save
Our Homes
Savings: $0.00 TRIM Notice Help
Does NOT INCLUDE
Non Ad Valorem Assessments Legal Description LOT
111 CELERY
KEY j
PB 64
PGS 85 - 96 1 Taxes I Taxing
Authority
Assessment Value Ir Exempt Values I Taxable Value County General Fund
180,044 0 180,044 I Schools 198,
249 0 198,249 { 1 ! City Sanford
180,044 0 180,044 !!! SJWM(Saint Johns
Water Management) 180,044 0 180,044 I County Bonds
180,
044 0 180,044 { Sales TAmount I
Qualified
Vac/Im Description i DateBook ;Page p WARRANTY DEED 6/
l/2005 05838 1712 $250,000 Yes Improved C Land Method !Frontage
Depth
Units ! Units Price Land Value j L LOT
1 $36,500 00 $36,500 = , Building Information i
Is Bed/
Bath count incorrect? Click Here y Year Built
I ' I I I Description Actual/EffectiveFixtures
Bed I
Bath Base Area Total SF Living SF , Ext Wall Adj Value I Repl Value Appendages f 1 FAMILY lFIN
SINGLE
200513
4 3 55 1,6903,410 2,844CB/STUCCO ST$161,749 $
169,
371 Description-1 Area I I GARAGE 420.
00 I j I FINISHED
i http://parceidetaii.scpafl.
org/ParcelDetaillnfo.aspx?PID=29193150100001110 1/2
9/6/2018 SCPA Parcel View: 29-19-31-501-0000-1110
OPEN
PORCH 128.00
I
FINISHED
OPEN
PORCH 18.00
FINISHED
UPPER
STORY 1154.00
FINISHED
Permits
Permit # j Description i Agency Amount CO Date Permit Date
0777 — NEW - RESIDENTIALw ^
i
SANFORD 200,880 6/20/2005 3/1/2005
Permit data does not originate from the Seminole County Property Appraiser's office. For details or questions concerning a permit, please contact the building department of the tax district in which the property is located.
Extra Features
I Description Year Bullt Umts Vafue f New Cost
No Extra Features
http://parceldetaiI.scpafl.org/ParcelDetailInfo.aspx?PID=29193150100001110 2/2
Epic Development & Construction Corp
Roofing & Construction is our Business #CCC1331387 #CGC1522038
Roofing' Driveway' Concrete' Sidewalk ` Siding' Gutters' Insulation' License & Insured
Website: wanv.epicdcc.com Emal: cab a fa lepicdcc rnm Office Phone: 1-386507-9269 Cell: 1-
INVOICE # 2817-00336 DATE: August 10, 2018
Customer: Lillian Phan
Property ADDRESS: 372 Conch Key Way, Sanford, FL 32771-5217
Customer PHONE: 1-800-411-0013
Customer EMAIL:
Sco a of work -to be performed
Roof Pftch. 41 " Coto" r.i `"'ff7erlayment: Synthefrc
Drip Edge: lo Uenw-A). L— Customerint _
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
1. Tear off existing roof and haul all debris off site. Clean job site thoroughly, and Magnet ground for nails.
2. Replace any rotted wood decking, Plywood, Truss and facla wood work may be extra Aluminum work not included
3. Replace ( ) On ridge Vann- ( ) Off ridge vents
4.( ) Install new felt paper dry4n. ( ) Instal peel and stick. (_) Re -fasten decking. ( XX ) Synthetic underaymenl -
5. Replace drip edge with all new painted drip edge. Cement in all eaves ad rakes with quality roof cement.
Install valley 0nlng in all valleys- cement in shingles over fining. California Closed Cut Valley.
7. Replace lead boots and goose necks on all existing vents and pipes. Paint to match venting or drip edge.
a Replace(-NIA—j existing sWight(s)with new NJA skylight (s). (_N/A )Rash Chimney! (—WA ) Cricket Chimney
9. Instal new asphaftArchftectshingles AR (algaelfungi resistant Iftine Manufacturers warranty
10. Each shingle will have 6 nails per shingle using 11J4 roofing nails.
11. Low Pilch Roof Instal Peel- ,Sldk dry4n and single -ply Modified -Roll -Rubber -Membrane -12 year Manufachmi s warranty.
Replace drip edge with all new painted galvanized drip edge.
12- Al materials used and work installed is propedy applied in accordance with current Manufactures, State, and County Codes and
Specifications. Epic gets the roofing permit and schedules appropriate roof inspections. Al specified work completed is fully guaranteed
for (5) years. Roof Materials carries standard manufacturer's warranty.
JIRE 50°% DOWN PAYMENT, 50% UPON COMPLETION OF WORK AND PASSED ALLROOF INSPECTIONS does
not include removing and ImUling existing gutters. 1X6
FASCIA $7.00 LF ,1X12 DECKING $9.50 LF, 2x4x10' $2.50 LF , 2)(6 $7.00 LF, 1X2 TRIM $3.00 LF, 112
PLYWOOD $75.00 PER SHEET, 314 PLYWOOD $75.00 PER SHEET, WOOD WORK IS ADDITIONAL, RE -NAILING OF DECKING
2.213" DECKING NAILS INCLUDED IN PRICE Any
additional wood work that is not included In price will be extra. Total
Cost of all Work: $ 10,500.00 Deposit: E % -AnnCheck# Check# Balance: $ ^0 antmosand ragsashwhd9d)(
prKorsflaclswshordadnpaymanf)A4%comaftwofeowin applytoaIcedntcurd frar rhs. WE HEREBY PROPOSE TO FURNISH
LABOR AND MATERIALS COMPLETE IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS, FOR THE SUM OF $ 10.500.00
ANY EXTRA WORK, MATERIALS, OR SPECIFICATIONS THATARE HAND WRITTEN ON THIS CONTRACTARE INVALID UNLESS INITIALED BY CUSTOMER AND
BY THE OWNERJPRESIDENT OF EPIC DEVELOPMENTAND CONSTRUCTIONS CORP. 1)PleaseMmMvdf dmGamdveWZWgaegelmpmkby12noonthedaybdoeftjob.Ramvearyilenaonvraffsandf ftnaddm
kUWalfadmesinlwrusorponI areseaaetrainmay tatabotmr>eoff duetobmW9vbaton%MWofeg,vsareriotresponsible.Flueham yard o=jd pnartoiobstettohdpvAhmagnetpndapofnais 2)CtntonwismsponsberocremovalofanytmngWoundthehousetrotnshe3b fi.a.:0nMMents,bidbalks,hwWVplants&-).MVMafa"&
qatarhedInirewolideddrghrsdetreafficand MiWdepdatojobstartand c riahora*sIntodaflujobow#ztonfie:solarsalefitMairozam v CMTWMKalarms.pipes,etc),mvmmbmo7trreortooagbe6owskyaghlapennogsad reirot bflon of agftV 00 aunt be raraved;2
AUTHORIZED AGENT (PRINT & SIGX}/Cy( DATE - NOTE: THIS
PROPOSALMAYBEWITHDRAWNBY US IN
THIRTY (30) DAYS. ACCEPTANCE OF PROPOSAL THE ABOVEPRiCES.SPECIpCATIONSANDCO ARREa4irmA ARE EBYACACCEPTTE.
Y O TO
WORKASWEgFlf.IHAVEREEAD. UNDERSTAND, ANDAGREE ToTHETERMSAND CONDITIONS SECTIN ON THE REVERSE SIDE
OFTHS FORM. COMPLETION OF FINAL INSPECTION BY THE MUMCpAuTY FROM WFE2ETHE PE}OAfT IS ISSUED IS NOT CAUSE TO DELAY
PAYMENTTO EPIC DEVELOPMENT PAYMENT IN FULL IS DUE IMAE01ATELY UPON COMPLETION OF SPECIRED WORK THESE PRICE5ARE SU& ECTTO CHANGE IN THE EVENT OFADDITIONAL RO"GISFOUNDBENEATHFIRSTLAYERORIF.OTHER DAMAGE IS ENCOUNTERED THAT WAS NOTEVIDENt OR DISCLOSED BY HOMEOWNERATTHE TD&THIS ESTAVITEWAS PRLy, Accepted: PRINT & SIGNATURE Accepted:
PRINT & SIGNATURE 1 I r '[ . DATE: 2Z _
LIE DRIVER LICENSE # (.
w—- 6619 S. Diode Hwy #142 Miami, Florida 33143
2578 Enterprise
Road,
Ste 902 Orange City, Fl 32763 0 Yh 1 C cite;
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FIL
Inst #2018106324 Book:9212 Page:1496; (1 PAGES) RCD: 9/17/2018 8:59:06 AM
REC `FEE $10.00 '
THIS INSTRUMENT PR PIED 8Y:
Name: AWWO t9l I
Address: (gr 1 • b(xlP.-)UN t#( 7i
Mt4w'ii r I33r f NOTICE
OF COMMENCEMENT Permit
Number. Parcel
ID Number: V
a (
1 CERTIFIED
COPY 0ANT MALOY CLF_
RK OF THE (-IRC ITCOtJRT AND
0F,,Y1P-rR L' rt f `i. SEPII
vOLE /` BY
EI't;1Y CLERK Date
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 P OPERTY: (Legal description o fh p arty and t ad,. if avattabie) ^ L [)
f L' J P' 1,, rt V v. l i D r'1 !^ Ll A U!. •. .' 7 i / i l'' 1* t/ Iw '/% f I f•
3.
OWNER INFORMATION OR LESSEE INFOR ATION IF THE LESSEE NTRAC D F R THE Name
and address: Z.l rt U 7 P%Ca r) J7.2 r o fy_ lCe V Interest
in property: Fee
Simple Title Holder ('if other than owner listed above) Name: 0 /+0 Address:
i0(1214a AVIC nwu -Y XN2. - WHOM f-/- 3JIq-.4 5
SURETY (If agpileable, a copy of the payment bond Is attached): Name: 6.
LENDER: Address:
Phone
Number. Amount
of Bond: 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:
AI)14 Phone Number. In
addition, Owner designates to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. Expiration
Date of Notice of Commencement (The 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. Signature
of Owner a Lessee, or Owners or Lessee's Authorized
Of cer/Diactor/Panner/Manager) U `
1 Pint
Name and Provide Signatorys Ti9e/OfBoo) State
of -Ft—or-1 D A County of —K 'E tA L 4(3 Ltf: The
foregoing Instrument was acknowledged before me this day of S. = pT,t7= ti-1 la Lg kz- 20 6 by
L-1 —Lt PI l r't Who Is personally known to me OR Name
of person molding statement who
has produced Identification O type of Identification produced: f
E Notary PUI State of Florida MicheleMStarrMy
a
f ExWNres 00/26/2022 254566 Notary
6ignature
Y OF _
PERMIT # XNFORD
Building & Fire Prevention Division
FIRE DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: / /r-17-71
STRUCTURE TYPE: b SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (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: VOFF-RIDGE Q RIDGE Q SOFFIT QPOWERED VENT O TURBINES
SKYLIGHTS: O YES QK , IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: Q LESS THAN 2:12 O 2:12 - 4:12 4"J 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
eSHINGLE Ge . ..,, ,y.- 1; FL# 0
METAL FL# O
MODIFIED BITUMEN FL# Q
TORCH DOWN FL# QINSULATED
FL# Q
TILE FL# O
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE" ROOF
SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 O 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL p
SHINGLE FL# Q
METAL FL# Q
MODIFIED BITUMEN FL# Q
TORCH DOWN FL# QINSULATED
FL# Q
TILE. FL# Q
OTHER: FL#
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required
to be submitted as part of your permit application.
The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that
will be installed on the project.
A permit will not be issued without these documents. Copies will be made to post on the job site.
Projects located in the Sanford Historic District will require plan review and approval by the Sanford
Historic Preservation Board
INSPECTION POLICY & PROCEDURES
A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile
Home, Apartment and/or Condominium) Re -Roof Permits.
The Following is required to be provide on the job site:
Permit Card, posted in a conspicuous and weatherproof location
Completed Residential Re -Roof Scope of Work
Completed and Notarized Inspection Affidavit
All Florida Product Approval and Corresponding Installation Instructions
Product Approval shall match what is on the scope of work)
Digital Photographs (must include the permit number or address in each picture)
o Each plane of the roof, showing the underlayment installed
o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
o Roof Deck Nails used (including a measuring device or ruler showing size of nails)
o Underlayment Pattern & Spacing (including a measuring device or ruler)
o Drip Edge & Valley Attachment (including a measuring device or ruler)
o Shingles installed, nail pattern and location of nails
Skylights (if applicable)
o Digital photographs showing all installation components, per FL Product Approval
o Digital photographs showing all required flashing, per FL
Failure to follow.these specific guidelines will result
Professional (architect or engineer), certifying FP,,
CONTRACTOR (OR OWNER/BUILDER) SIGNA'
roduct Approval
provided by a Florida Design
e by personal inspection. /
DATE:
CITY OF
SkNFORDBuilding & Fire Prevention Division
RESIDENTLAL RE-R 0 OF A FFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL R,
J
ROOF COVERINGS
PERMIT #: a 3% 9 3 ADDRESS: 37 Z C U r C 1 c y way
04 r-UYY_.I /t/ • 3 2--7;7 1
I A IVv / o )--), `I U1 da- , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: ( CC 13 3/ 3 1 COMPANY /
CONTRACTOR: CONTRACTOR
SIGNATURE: MUST
BE SIGNED BY LICEN A
FINAL ROOF INSPECTION IS REQUIRED: DATE:
0- 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 Sworn
to and Subscribed before me this _)q, day of +_e-06_C20 j by: Al
Qv Q 4'USG C Who is Personally Known to me or has--P(,Produced (type of identification.
S
to of Florida Print/
Type/Stamp Name of
Notary Public JANAE
BURDINE NOTARY
PUBLIC STATE
OF FLORIDA Comm#
G0009071 Expires
7/6/2020