HomeMy WebLinkAbout819 Catalina Dr; 18-4069; ROOFo
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aa`BUILDING DIVISION
SEP 2018 PERMIT APPLICATION
Application No:
Documented Construction Value: $ 11200
Job Address: 819 Catalina Dr, Sanford, FL 32771 Historic District: Yes No
Parcel ID: 31-19-31-512-0000-0720 Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: re -roof 40 squares of shingles on house and detached building in rear
Plan Review Contact Person: Jared Conte
Phone: 407-453-2222 Fax: 321-296-7571
Name US BANK TRUST
Title: Roofing Contractor
Email: jared@roofingpioneers.com
Property Owner Information
Phone: 718-781-1325
Street: 16745 W BERNARDO DR SAN DIEGO, CA 92127
City, State Zip:
Resident of property?:
Contractor Information
Name Roofing Pioneers, LLC Phone: 407-453-2222
Street: 1809 E Broadway St, Suite 353, Oviedo, FL 32765 Fax: 321-296-7571
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
State License No.: CCC1329030
Architect/Engineer Information
Phone:
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.
I
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6" Edition (2017) Florida Building Code
NOT10 : 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 govcrmnental 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, PS 713.
The (;ity 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 [lie estimated construction value of the job at the time of submittal. The actual construction value
Will be figured based on the current IC:C 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 incompliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
z6o k:: 9/27/ 18
Sign' ure J Contractor/Agent Dale
Jared Conte
Print Contractor/Agents Name ?OPj9YP'F WALTER D. RUF
a
y r MY COMMISSION 0 Ff 9=
9/27/ 18
N> .
o
EXPIRES: March 13. 2020
F pF i`oa 8aded Tlru &dpat Mary Savb
Signature of Notary -State of Florida Date
Contractor/Agent is X 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: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes []No
WASTE WATER:
ENGINEERING: FIRE: BUILDING:
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: September 27, 2018
I hereby name and appoint: Jose Cordonero
an agent of: Roofing Pioneers, LLC
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):
The specific permit and application for work located at:
819 Catalina Dr, Sanford, FL 32771
Street Address)
Expiration Date for This Limited Power of Attorney: September 27, 2018
License Holder Name: Jared Conte
State License Number: CCC1329030
Signature of License Holder:'rA A.L---
STATE OF FLORIDA
COUNTY OF SEMINOLE
The foregoing instrument was acknowledged before me this 27 day of Sept ,
20018 , by Jared Conte who is X personally known
to me or o who has produced as
identification and who did (did not) take an oath.
Notary Seal)
Y pUB! WALTER D. RUP
w t MY COMMISSION 0 FF 970M
EXPIRES: Mardi 13, 20200
Po c op 8aidoe TMi Budpe! Notary Salvoes
Rev. 08.12)
a_
Signature
Print or type name
Notary Public - State of _
Commission No.
My Commission Expires:
vlzlnt Maly , I IiG %.ucun %Ovult a .vnl uvGl OctIII VU11ty, rL-
Inst #2018 10470 Book:9219 Page:355; (1 PAGES)
WIC V
ES) RCD: 9/26/2018 2:38:14 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED SY:
Name: Jared Conte
Addrew 1945 *Unty Road 419_ Suite 1141-_16
flviedo_ FL 327M - -
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number. Parcel ID Number. 31-19-31-512-0000-0720
The undersigned hereby gives notice that Improvement will be made to certain teal property. and in accordance with
Chapter 713, Florida Statutes. the %o wing iMom>etion is provided in this Notice of Commencement
DESCRIPTION OF PROPERTY: (Legal description of the property and street address If available)
LOTS 72 + 73 MAGNOLIA HEIGHT PB 5 PG 76
819 Catalina Or, Sanford, FL 32771
GENERAL DESCRIPTION OF IMPROVEMENT -
re -roof
OWNER INFORMATION:
Name: US BANK TRUST
Address: 16745 W BERNARDO DR STE 300 SAN DIEGO. CA 92127
Fee Simple Title Holder (if other them owner) Name:
CONTRACTOR:
Nam: Roofing Pioneers, LLC
Address: 1945 West County Road 419, Suite 1141-216, Oviedo, FL 32766
Persona within the State of Fiorkla Desll; aced by Owner upon whom notice or other documents may be served
as provided by Section 713.13(10), Florida Statutes.
Name: _
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1xb), Florida Statutes.
Expirdlon Daft of Notice of Commenewrient (The expiration date Is 1 year from data of recording unless a
different date is specified)
WARM IR TO OIMWR ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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.
Under penalties of perjury, ! are that i have read the foregoing and that the facts stated In it are true
to the best of my know, jg a ti ief. e
I'llfriaa steep 713731fJ Thft am r most sip the no&* a tMImalmn>eet w d no arm rose mi y be D IN, a tial m his or her stead.•
Stateof Qp ntyofOvbV>
o
The fo<egoir g Instrument oat acknowledges before me this day of H
by Who is personally known to '®
Parson maan0 atatenlaa 0 4 1, s
OR who has prod bin tltifit:atlon type of identification produced:
q
0 i tee_ o e
dW
956 eLIG of `Q'
i'I/
IeGVve`
Propel Record Card
094 Parcel: 31-19-31-512-0000-0720
IeCKW,araowrY,a,n,mA Property Address: 819 CATALINA DR SANFORD, FL 32771
t Parcel Information i Value Summary
Parcel 31-19-31-5124)000-0720
Owner(S) US BANK TRUST
Property Address 819 CATALINA DR SANFORD, FL 32771
Mailing 16745 W BERNARDO DR STE 300 SAN DIEGO, CA 92127-
Subdivision Name MAGNOLIA HEIGHTS
Tax District St-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
50 50 50 50
7 7 1l,
EIke 012
Legal Description
LOTS 72 + 73
MAGNOLIA HEIGHTS
PB5PG76
i Taxes
2018 Working 2017 Certilied
Values Values
Valuation Method 1 CosUMarket Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 67,945 1 $60,873
Depreciated EXFT Value 1 $9,200
f
1 $6,
rt...—
400
Land Value (Market) -^ 24,750 ._ . 19,800 ®
Land Value Ag
Just/Market Value " I $101,895 4 $87,073
Portability Adj I
Save Our Homes Adj 0 I $0
Amendment 1 Adj 6,115
j
1 _
w„_.__..r_
P&G Adj
w _
Assessed Value .,_..__ 1 $95,780 — 1 $87,073
Tax Amount without SOH: $1,658.00
2017 Tax Bill Amount $1,658.00
Tax Estimator
Save Our Homes Savings: $0.00
TRIM Notice }Lg12
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 4 $95,780 0 1 95,780
Schools i $101,895I
u-v
01 101,895',
City Sanford 95 780 0 j 95,780
SJWM(Samt Johns Water Management) i $95,780 _ — 0 { 95,780
County Bonds 95,780 0 1 95,780
j Sales
Description Date Book Page Amount Qualified VaGlmp
CERTIFICATE OF TITLE 1 3/1/2018 d 09088 1051_ 100 1 No Improved
CERTIFICATE OF TITLE i 7/1/2015 08504 QQ$ i 42 100 No Improved
WARRANTY DEED 8/1/1995 02960 j§§ i $78 000 i Yes Improved
QUIT CLAIM DEED 3/1/1989 02054 1279 I $100 No I Improved
WARRANTY DEED 1 3/1/1987 01829 67,900 Yes j Improved ,.
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT &DEPTH I 100.00 i 140.00 i 01 $250.00 I $24,750
BuildingInformation _.._-......._,.,,._..__....._.._..,....._,..®.
aw.....,.,....M.,....._._._.,..a,,,.......,..,...,....
Is Bed/Bath count incorrect? Click Here
Description Year Built
Actual/Effective I Fixtures I Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
1 1 SINGLE 1951 6 3 i 2.01 1,4321 2,4951 1,5881 CONC $67,9451 $135,8901 Description Area
FAMILY BLOCK
DETACHED I
GARAGE 576.1
FINISHED
ENCLOSED
PORCH 156.1
FINISHED
GARAGE 286J
FINISHED
OPEN PORCH i 45.1FINISHED
Permits
Peffnit # Description Agency Amount CO Date Permit Date
02324 GARAGE; 24X24 iSANFORD $1,700 17/l/1997
P—RdOlmdoes-t -gl -up..
Extra Features
Description Year Buitt Units Value New Cost
POOL 1 12/l/1979 1 j $8,400 $14,000
COVERED PATIO 2 12/1/1979 j 1 i $800 iiaT000
R E S 10 E NTIAL SE R VICES
SUBCONTRACTOR
WORK AUTHORIZATION FORM
Project Name and Address:
819 Catalina Dr Sanford F132771
Project Manager:
Phillip Hicks
Project Owner:
LSF8 Master Participation Trust
Contractor Name and Address:
Ameritrust Residential Services, LLC
3630 Peachtree Road NE, Suite 1500
Atlanta, GA 30326
Subcontractor Name and Address:
Roofing Pioneers LLC
This Work Authorization Form supplements and amends the Master Subcontract Agreement ("Agreement")
between Ameritrast Residential Services, LLC ("Contractor's and
Roofing Pioneers LLC ("Subcontractor"), dated September 5, 2018 with respect to
the Project identified above.
This Work Authorization Form between Contractor and Subcontractor modified and supplements the
provisions contained in the Agreement and all other Contract Documents incorporated therein by reference
with respect to the Project identified above. Terms that are not defined in this Work Authorization Form shall
have the same meaning as in the Agreement. In the event of any conflict, inconsistency, or ambiguity between
the terms and provisions of this Work Authorization Form and any other Contract Documents, this Work
Authorization Form shall control
ARTICLE I
PAYMENT SCHEDULE
1.1. Contract Payment. In consideration for the performance of the Work (defined below), Contractor
shall pay Subcontractor, in current funds, the following Contract Payment, subject to additions or deletions by
Change Order, as provided in the Agreement. Total Price for the Work
described in this Work Authorization Form is $11,200.00 , which shall be paid in accordance
with the provisions of the Agreement.
1.2. Final Payment. A final payment of $11,200.00 shall be made by Contractor upon
Subcontractor's one hundred percent (100%) completion of all Work and other requirements under the
Agreement and the Contractor's acceptance of that work. Once the above conditions are satisfied, Final
Payment shall be made to the Subcontractor within twenty (20) days after the Contractor's receipt of an
invoice and a full release of all Subcontractor claims from the Subcontractor.
13. Invoices. The Subcontractor shall submit an invoice to Contractor referencing the Project and obtain
the Contractors approval on invoice for Final Payment to: Ameritrust Residential Services, LLC, 3630
Peachtree Rd NE, Ste 1500, Atlanta, GA 30326.
ARTICLE H
CONSTRUCTION SCHEDULE
2.1. Schedule. All construction activities will be completed within 7 days starting on
9/5/2018
ARTICLE III
SCOPE OF WORK
3.1. Scope of Work. Subcontractor shall perform the following work (")York") in connection with the
Project: See Exhibit A attached.
3.2. Requirements. Subcontractor shall furnish all labor, equipment, material, and services incidental to,
related to, or necessary to complete the above Work, for the above Work to be functional, or where typically
provided under industry custom and practice, even if the Work described in the above scope is discussed in
other provisions of the Contract Documents or is not specifically called out in any Plans or Specifications
referred to herein. All Work shall strictly comply with the Contract Documents for the Project, and with all
applicable, codes, regulations, laws and ordinances.
ARTICLE IV
CONTRACT DOCUMENTS
Ameritrust Master Subcontract Agreement
Exhibit A — Scope of Work
Exhibit B — Waiver and Release Upon Final Payment
Exhibit C — Contractor's Final Payment Affidavit
IN WITNESS WHEREOF, this Agreement has been signed and delivered as of the date first written
above.
Signed, sealed and delivered in the
presence of -
Witness
Signed, sealed and delivered in the
presence of:
Witness
GENERAL CONTRACTOR: Ameritrast
Residential Services, LLC
1
Pffi li' g4ois)
CONTRACTOR:
Roofing Pioneers LLC
5 i k-
Project Manager
Authorized Signer
A s
AM E ZITRUST
RES!DENTIAL SERVICES
Property Address:
Subcontractor:
Job Total:
Contract Start Date:
Days in Contract:
Ameritrust PM
County
Ownei
Exhibit A — Scope of Work
819 Catalina Dr Sanford fl 32771
Roofing Pioneers LLC
11,200.00
9/5/2018
T.
Phillip Hicks
Seminole County
Hudson LSF8
Re -roof includes complete tearing off shingles and then replaced with new material.
2
New material includes felt paper, all vents, goose necks, lead boots, drip edge,
and peei&stick flashing for the valley.
3
Cost of permit and hauling off trash is included.
4'
All work includes a 5 year warranty for workmanship.
5
Additional cost to replace each sheet of plywood is $65 and $6.50 per linear foot of 1" plank board decking.
6
Deteriorated fascia and truss will be replaced at an additional cost of $6.50 per linear foot.
7
If needed, additional cost to remove extra layer of shingles is $25 per square.
8
The new roof installation will bring the decking/nail pattern and the roof up to the current
Florida Building Code and the current Wind Mitigation form OIR-B1-1802.
Roofing Pioneers, LLC
Jared Conte (407) 453-2222 jared@roofingpioneers.com
Florida Certified Roofing License #CCC1329030
Visit Us at www.roofingpioneers.com
718-781-1325
Phillip Hicks
phicks@ameritrustresidential.com
Amentrust Residential
819 Catalina Dr, Sanford, FL 32771
III
EXIDBIT "B"
WAIVER AND RELEASE OF LIEN
UPON FINAL PAYMENT
The undersigned lienor, in consideration of the sum of the final payment in the amount of
hereby waives and releases
its lien and right to claim a lien for labor, services, or materials furnished to
o Ameritrust Residential Services, LLC » on the job of LSF8 Master Participation Trust
to the following described property:
INSERT LEGAL DESCRIPTION OF PROPERTY,
819 Catalina Dr Sanford Fl 32771
DATED on
Roofing Pioneers LLC
F,I IT "C"
CONTRACTOR'S FINAL PAYMENT AFFIDAVIT
STATE OF FLORIDA
COUNTY OF Seminole County
Before me, the undersigned authority duly authorized in the State and County aforesaid to take
acknowledgments, personally appeared Roofing Pioneers LLC (the "Affiant"), who, after first
being duly sworn, deposed and stated the following:
1. He or she is the Owner/President, of Roofing Pioneers LLC , which does business in the
State of Florida, hereinafter referred to as the "Contractor."
2. Contractor, pursuant to a contract with ( LSF8 Master Participation Trust ) , hereinafter referred to as
the "Owner," has furnished or caused to be furnished labor, materials, and services for the construction of certain
improvements to real property as more particularly set forth in said contract.
3. This affidavit is executed by the Contractor in accordance with section 713.06 of the Florida Statutes for the
purposes of obtaining final payment from the Owner in the amount of $
4. All work to be performed under the contract has been fully completed, and all lienors under the direct contract
have been paid in full, except the following listed lienors:
NAME OF LIENOR AMOUNT DUE
819 Catalina Dr Sanford FI 32771
Signed, sealed and delivered this day of 20
SWORN TO and subscribed before me this day of 120
by , who [ ] is personally known to me, or [ ] produced a Florida driver's license as
identification.
Notary Public
Signature: 'rtei"#ri 12estdenhaG
Ameritrust Residential (Sep 5, 2018)
Email: florida@ameritrustresidential.com
x
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Product Approval Menu > Product or Application Search > Application Lis[ > Application Detail
Dffi FL#
Application Type
Code Version
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Comments
Archived
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Florida Engineer or Architect Name who developed
the Evaluation Report
Florida License
Quality Assurance Entity
Quality Assurance Contract Expiration Date
Validated By
Certificate of Independence
FL16305-R6
Revision
2017
Approved
W
Atlas Roofing Corporation
2000 RiverEdge Parkway
Suite 800
Atlanta, GA 30328
770)946-4571
mcollins@atlasroofing.com
Meldrin Collins
mcollins@atiasroofing.com
Roofing
Asphalt Shingles
Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Zachary R. Priest
PE-74021
UL LLC
12/31/2020
Locke Bowden
0 Validation Checklist - Hardcopy Received
FL16305 R6 COI ATL13002 6 2017 FBC Eval Report Shingles final pdf
Referenced Standard and Year (of Standard) Standard
ASTM D 3161
ASTM D 3462
ASTM D 7158
TAS 100
TAS 107
Equivalence of Product Standards
Certified By
Sections from the Code
Year
2016
2010
2011
1995
1995
Product Approval Method Method 1 Option D
Date Submitted 09/30/2017
Date Validated 10/03/2017
Date Pending FBC Approval 10/04/2017
Date Approved 12/12/2017
Summary of Products
FL # Model, Number or Name Description
16305.1 Atlas Shingles Fiberglass reinforced laminated asphalt shingles
Limits of Use Installation Instructions
Approved for use in HVHZ• Yes FI 16305 R6 II AT[ 13002.E 2.017 FBC Eval Report Shingles
final.Ddf
Verified By: Zachary R. Priest 74021
Created by Independent Third Party: Yes
Evaluation Reports
FI 16305 R6 AE ATL13002 6 2017 FBC Eva[ Report
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: See evaluation report for limits of use
Shingles final.odf
Created by Independent Third Party: Yes
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Contact Us :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records reques4 do not send electronic
mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275
1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The
emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address,
please provide the Department with an email address which can be made available to the public. To determine If you are a licensee under Chapter 455, F.S., please
click horn.
Product Approval Accepts:
PW eCMk
Credit. Card
Safe
Certificate of Authorization No. 29824
L;RhEK 17520 Edinburgh Dr
Tampa, FL 33647
TECHNICAL SERVICES, LLC (813) 480-3421
EVALUATION REPORT FLORIDA BUILDING CODE 6T" EDITION (2017)
Manufacturer: ATLAS ROOFING CORPORATION Issued September30, 2017
2000 Riveredge Parkway, Suite 800
Atlanta, GA 30328
770) 612-6267
Manufacturing Plants: Hampton, GA
Meridian, MS
Dangerfield, TX
Ardmore, OK
Franklin, OH
Quality Assurance: UL LLC (QUA9625)
SCOPE
Category: Roofing
Subcategory: Asphalt Shingles
Code Sections: 1504.1.1, 1507.2.5, 1507.2.7.1, 1523.6.5.1
Properties: Physical properties, Wind Resistance, Wind Driven Rain
PRODUCT DESCRIPTION
Legend (Ardmore) ASTM D 3161, Class F fiberglass reinforced, 3-tab asphalt shingle with a dashed,
thermally -activated, self-sealing sealant stripe that complies with ASTM D 3462.
GlassMasterO30 ASTM D 3161, Class F fiberglass reinforced, 3-tab asphalt shingle with a dashed,
Ardmore & Hampton) thermally -activated, self-sealing sealant stripe that complies with ASTM D 3462.
Tough -Master® 20 ASTM D 3161, Class F fiberglass reinforced, 3-tab asphalt shingle with a dashed,
Ardmore & Hampton) thermally -activated, self-sealing sealant stripe that complies with ASTM D 3462.
Pro-CutID Hip & Ridge ASTM D 3161, Class F fiberglass reinforced, hip and ridge asphalt shingle with a
Ardmore & Hampton) dashed, thermally -activated, self-sealing sealant stripe that complies with ASTM D
3462.
Pro -Cuter Starter Strip ASTM D 3161, Class F fiberglass reinforced, starter asphalt shingle with a dashed,
Hampton) thermally -activated, self-sealing sealant stripe that complies with ASTM D 3462.
ProLAMTm Architectural ASTM D 3161, Class F & ASTM D 7158, Class H fiberglass reinforced, laminated
Hampton, Franklin & architectural asphalt shingle with a dashed, thermally -activated, self-sealing sealant
Meridian) stripe that complies with ASTM D 3462.
Pinnacle® Pristine, ASTM D 3161, Class F & ASTM D 7158, Class H fiberglass reinforced, laminated
Pinnacle® Pristine architectural asphalt shingle with two, dashed, thermally -activated, self-sealing sealant
Lifetime wtScotchgard stripes that complies with ASTM D 3462.
Dangerfield, Hampton,
Franklin & Meridian)
StonnMaster® Shake ASTM D 3161, Class F & ASTM D 7158, Class H fiberglass reinforced, laminated
Dangerfield) architectural modified asphalt shingle with two, dashed, thermally -activated, self-sealing
sealant stripe that complies with ASTM D 3462.
ATL13002.6 FL 16305-R6 Page 1 of 11
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
ATLAS ROOFING CORPORATION
CREEKEAAsphaltShingles
TECHNICAL SERVICES, LLC
StormMaster® Slate ASTM D 3161, Class F & ASTM D 7158, Class H fiberglass reinforced, laminated
Ardmore) architectural modified asphalt shingle with two, dashed, thermally -activated, self-sealing
sealant stripe that complies with ASTM D 3462.
REFERENCES
Entity Report No. Standard Year
PRI Construction Materials Technologies (TST5878) ATL-079-02-01 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-083-02-01 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-086-02-01 Rev 1 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-104-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-106-02-01 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATLA06-02-01 Rev 1 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-107-02-01 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-107-02-01.1 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-109-02-01 ASTM D 7158 2011
PRI Construction Materials Technologies (TST5878) ATLA 16-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATLA 18-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATLA 19-02-01 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-123-02-01 ASTM D 7158 2011
PRI Construction Materials Technologies (TST5878) ATL-125-02-01 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-127-02-01 Rev 1 ASTM D 7158 2011
PRI Construction Materials Technologies (TST5878) ATL-132-02-01 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATLA 33-02-01 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-135-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-136-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-137-02-01 Rev 1 ASTM D 7158 2011
PRI Construction Materials Technologies (TST5878) ATL-138-02-01 Rev 1 ASTM D 7158 2011
PRI Construction Materials Technologies (TST5878) ATL-143-02-01 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-144-02-01 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-151-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-162-02-01 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-167-02-01 ASTM D 3161 2016
PRI Construction Materials Technologies (TST5878) ATL-168-02-01 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-169-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-170-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-171-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATLA 72-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-174-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATLA79-02-01 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-184-02-01 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-185-02-01 ASTM D 7158 2011
PRI Construction Materials Technologies (TST5878) ATL-186-02-01 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-187-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-220-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-220-02-02 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-220-02-03 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-220-02-04 ASTM D 7158 2011
PRI Construction Materials Technologies (TST5878) ATL-221-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-221-02-02 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-221-02-03 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-221-02-04 ASTM D 7158 2011
PRI Construction Materials Technologies (TST5878) ATL-222-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-222-02-02 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-222-02-03 ASTM D 3161 2016
ATL13002.6 FL 16305-R6 Page 2 of 11
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
CREEK
TECHNICAL SERVICES, LLC
ATLAS ROOFING CORPORATION
Asphalt Shingles
Entity Report No. Standard Year
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-222-02-04 ASTM D 7158 2011
PRI Construction Materials Technologies (TST5878) ATL-223-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-223-02-02 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-223-02-03 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-223-02-04 ASTM D 7158 2011
PRI Construction Materials Technologies (TST5878) ATL-224-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-225-02-01 ASTM D 3462 2010A
PRI Construction Materials Technologies (TST5878) ATL-225-02-02 TAS 100 1995
PRI Construction Materials Technologies (TST5878) ATL-225-02-03 ASTM D 3161 2016
TAS 107 1995
PRI Construction Materials Technologies (TST5878) ATL-225-02-04 ASTM D 7158 2011
ATL13002.6 FL 16305-R6 Page 3 of 11
This evaluation report is provided for State of Florida product approval under Rule 61 G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
CREEK
TECHNICAL SERVICES, LLC
Pinnacle® Pristine & Basic Wind Speed (V,At):
StormMaster® Shake Basic Wind Speed (Vasd):
Deck (HVHZ):
Deck (Non-HVHZ):
Underlayment:
Min. slope:
Installation (HVHZ):
Installation (Non-HVHZ):
ATLAS ROOFING CORPORATION
Asphalt Shingles
Max. 194 mph
Max. 150 mph
In accordance with FBC requirements;
Solidly sheathed min. 19/32 in. plywood or wood plank for
new construction; Min. 15/32 in. plywood existing
construction.
In accordance with FBC requirements;
Solidly sheathed min. 15/32 in. plywood or wood plank for
new construction; Min. 7/16 in. OSB existing construction.
In accordance with FBC requirements.
2:12 and in accordance with FBC requirements. Contact
the Atlas Roofing Corporation when installing at slope
greater than 21:12.
Installed with 6 in. exposure in accordance with RAS 115
and manufacturer's published installation instructions.
Shingles shall be attached using "6 Nail Pattern" detailed
below.
Installed with 6 in. exposure in accordance with FBC
requirements and manufacturer's published installation
instructions. Shingles shall be attached using either "4 Nail
Pattem" or "6 Nail Pattern" detailed below.
42"------.^-.».---
BOTTOM: 1" LENGTH ON: 1" OFF
13113, /
12.. TYP
1. ..--------
t4'
Aft EA
721" fiB- 1
1 1 6-
Figure 7. Pinnacle® Pristine and StormMaster® Shake 4 Nail Pattern (Non-HVHZ only)
42"
BOTTOM: 1" LENGTH ON: 1" OFF
14
B' Typ
T 1 1 i t j. NApJNG AREA
6"
Figure 8. Pinnacle® Pristine and StormMaster® Shake 6 Nail Pattern
ATL13002.6 FL 16305-116 Page 7 of 11
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
CREEK
TECHNICAL SERVICES, LLC
Pro -Cut® Starter Strip Basic Wind Speed (V,dt):
Basic Wind Speed (Vwd):
Deck (HVHZ):
Deck (Non-HVHZ):
Underlayment:
Min. slope:
Installation (HVHZ):
Installation (Non-HVHZ):
ATLAS ROOFING CORPORATION
Asphalt Shingles
Max. 194 mph
Max. 150 mph
In accordance with FBC requirements;
Solidly sheathed min. 19/32 in. plywood or wood plank for
new construction; Min. 15/32 in. plywood existing
construction.
In accordance with FBC requirements;
Solidly sheathed min. 15/32 in. plywood or wood plank for
new construction; Min. 7/16 in. OSB existing construction.
In accordance with FBC requirements.
2:12 and in accordance with FBC requirements. Contact
the Atlas Roofing Corporation when installing at slope
greater than 21:12.
Installed in accordance with RAS 115 and manufacturer's
published installation instructions. Shingles shall be
attached as shown below.
Installed in accordance with FBC requirements and
manufacturer's published installation instructions. Shingles
shall be attached as shown below.
12'
He pta
4.nail
7[1"I' / 1•
0 0 o d1
Figure 11. Pro -Cut® Starter Strip
ATL13002.6 FL 16305-R6 Page 9 of 11
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
CREEK
TECHNICAL SERVICES, LLC
Pro -Cut® Hip & Ridge Basic Wind Speed (V,dt): Max. 194 mph
ATLAS ROOFING CORPORATION
Asphalt Shingles
Basic Wind Speed (V,,!,d): Max. 150 mph
Deck (HVHZ): In accordance with FBC requirements;
Solidly sheathed min. 19/32 in. plywood or wood plank for
new construction; Min. 15/32 in. plywood existing
construction.
Deck (Non-HVHZ): In accordance with FBC requirements;
Solidly sheathed min. 15/32 in. plywood or wood plank for
new construction; Min. 7/16 in. 0S13 existing construction.
Underlayment: In accordance with FBC requirements.
Min. slope: 2:12 and in accordance with FBC requirements.
Installation (HVHZ and Installed with 5-5/8 inch exposure in accordance with RAS
non-HVHZ): 115 (HVHZ only) and manufacturer's published installation
instructions. The direction of the exposed end shall be
away from the prevailing wind.
12" _)
i
12 ga. 1-1/2" ring
I shank nail
6"
Ll
Figure 12. Pro -Cut® Hip & Ridge
ATL13002.6 FL 16305-116 Page 10 of 11
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
CREEK
TECHNICAL SERVICES, LLC
LIMITATIONS
ATLAS ROOFING CORPORATION
Asphalt Shingles
1) Fire Classification is not within the scope of this evaluation.
2) The roof deck and the roof deck attachment shall be designed by others to meet the minimum design loads
established for components and cladding and in accordance with FBC requirements.
3) The mean roof height shall be restricted to a maximum 33 ft in the HVHZ.
4) Classification to ASTM D 7158 applies to exposure B & C with a building mean roof height of 33-ft or less.
5) Deck substrates shall be clean, dry, and free from any irregularities and debris. All fasteners in the deck
shall be checked for protrusion and corrected prior to underlayment application.
6) Shingles shall be installed starting at the eave in horizontal layers such that the laps shed water from the
deck.
7) Installation of the evaluated products shall comply with this report, the FBC, and the manufacturer's
published application instructions. Where discrepancies exist between these sources, the more restrictive
and code compliant detail shall prevail.
8) All products listed in this report shall be manufactured under a quality assurance program in compliance with
Rule 61 G20-3.
COMPLIANCE STATEMENT
The products evaluated herein by Zachary R. Priest, P.E. have demonstrated compliance with the Florida Building
Code, 6"' Edition (2017) as evidenced in the referenced documents submitted by the named manufacturer.
J111 r1iiii1iR. pR/i,
PG',C•E NSF•
No 74021
3 STATE OF :4U
4-0
CERTIFICATION OF INDEPENDENCE
2017.09.3
0 12:3 7:24
04'00'
Zachary R. Priest, P.E.
Florida Registration No. 74021
Organization No. ANE9641
CREEK Technical Services, LLC does not have, nor will it acquire, a financial interest in any company manufacturing or distributing
products under this evaluation.
CREEK Technical Services, LLC is not owned, operated, or controlled by any company manufacturing or distributing products under
this evaluation.
Zachary R. Priest, P.E. does not have, nor will acquire, a financial interest in any company manufacturing or distributing products
under this evaluation.
Zachary R. Priest, P.E. does not have, nor will acquire, a financialinterest in any other entity involved in the approval process of the product.
END
OF REPORT ATL13002.
6 FL 16305-R6 Page 11 of 11 This
evaluation report is provided for State of Florida product approval under Rule 61 G20-3. The manufacturer shall notify CREEK Technical
Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid. This
evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not specifically
addressed herein.
PERMIT # 16 + `Ob I
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: GLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: & EPLACEMENT (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: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT QTURBINES
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA
SHINGLE c QS ru J 1 (If
APPROVALPRODUCT
FL# 30 1
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED 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#
0 OTHER: FL#
CITY OF
Building & Fire Prevention DivisionSFORDRESIDENTIALRE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
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 COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: q -,28 r 18
1 CITY OF
A T F Building & Fire Prevention Division
ti 1'1 RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-4069 ADDRESS: 819 Catalina Dr, Sanford, FL 32771
I Jared Conte , 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 #: CCC1329030
COMPANY / CONTRACTOR: Roofing Pioneers, LLC
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: 9/28/18
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WTTH 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 me this 28 day of September 20 18 by:
Jared Conte Who is XPersonally Known to me or has Produced (type of
identification) as identification.
Signature of otary ublic .may PU' WALTER D. RUF
State of Florida MY COMMISSION 6 FF 970696
N EXPIRES: Match 13, 202D
00F feA ea+deo Ttru 8*d NOWY scrvim
Print/Type/Stamp Name
of Notary Public