HomeMy WebLinkAbout132 Gleason Cove; 18-3914; RE-ROOFCITY OF SAP i 4 2018
Building & Fire Prevention DivisionSANFORDPERMITAPPLICATION
iRE DEPARItM*4T 3ApplicationNo: --
Documented Construction Value: $ 6,300.00
Job Address: 132 GLEASON COVE Historic District: Yes No
Parcel ID: 02-20-30-523-0000-1120 Residential Commercial
Type of Work: New[] Addition Alteration Repair Demo Change of Use Move
Description of Work: REMOVE AND REPLACE ROOF SHINGLES
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name ANTHONY QUINONES Phone: 407-765-5072
Street: 132 GLEASON COVE
City, State Zip: SANFORD FL 32772
Resident of property? :
Contractor Information
Name PRO ROOFING AND ASSOCIATES Phone: 4075425903
Street: 2895 S ORLANDO DR
City, State Zip: SANFORD, FL 32773
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax: 4078077102
YES
State License No.: CCC 1328416
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.
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
Revised: January 1, 2018 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. r-- - o001
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that !dip
be done in compliance with all applicable laws regulating construction and zoning.
gnat e olTrwner Agent Date Signature of Contractor/Agent Date —
c Z
CWGi-
Prin Owner/A nn's Name (Print Contractor/Agent's Name r 0
Si nature of Nojary-State of Florida Date I
C
o aim4m.hXPUSIlu
y 4 = COMMISSION # C^G 1797517-4,, YARITCIA BROWN`=
MY COMMISSION # FF 207529
r: tX 'Rt" J are L
qUF F J ' 8a d 1i1N 1 a u" r ' ' ters
EXPIRES: March 9, 2019
pf' 4".•' Bonded Thru Notary Pubrro Undermiters
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Flood Zone:
of Stories:
Plumbing - # of Fixtures,
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE: BUILDING:
Revised: January 1, 2018 Permit Application
DONE RIGHT I RAIN TIGHT, GUARANTEED
6a9s 11eT MIURDtanraaos
2M South Ortando Or
SaMord. FL 32773
r; ewser•sem r: em.aofotos
I PROPERTY ADDRESS
STACIE QUINONES
132 GLEASON COVE
SANFORD, FL 32772
County: SEMINOLE
ROOF TEAR -OFF:
1 Layer Shingles
Single Ply Flat Roof
Feh Underlayment
2 layer Shingles
Gravel Roof
Other
D
PROPOSAL/CONTRACT
Z
RESIDENTIAL/COMMERCIAL
Z L Z FL. ROOFING CONTRACTOR I #CCC1326416
VISA
88"17-6787 1617 Ridgewood Ave Ste D
www.cfproroofing.com
Daytona Beach. FL 32117
PROPOSAL NUM: PRO-77362263008
Date: 8/13/2018
Phone: (407) 765-5072
Cell:
Email: STACIE.QUINONES@GMAIL.COM
WOOD REPAIR: 'NOT INCLUDED IN TOTAL PRICE
Inspect Roof Deck for Damaged Sheathing
Re -Nall Entire Roof Deck Up -To Code
Plywood sheathing replaced at S5o oo per sheet.
Fascia and wood boarbs will be replaced at
S5.00 per linear foot. • Cedar $9.00 per linear foot
Other._,.-__
FLAT ROOF SYSTEM:- --- — -- .. -- -
Torch Down 2 Ply 75 Ibs Fiberglass Underlayment
COLD SYSTEM: Self Adhered Modred Bitumen Roofing System
Peel & Stick Underlayment
TAPERED SYSTEM:
Flat Roof Pitch Change
D ISO Cold Polyisocyanurate Roof Insulation
NEW ROOF FLASHINGS:
16' Flashing on: Roof Valley(s)
Plumbing Vent Soots: 1.5"_ 2" 4 3" 1
D Boot Guards Color:
Gooseneck Vents: 4"
y,3 ., 6" 10" Color:
NE1N GALVANIZED DRIP EDGE:
21/2 inch Face installed around entire perimeter of roof
D Other:-.-_._.__....—._.-_.._..._ Color: --- ----------
ALUMINUM SEAMLESS GUTTWS:
Aluminum Seamless Gutters IUJ Gutters Included In Price
Gutter Price Quote:
Gutter Feet:_ Down Spouts: _
Additional Gutters w111 be: per linear foot.
Additional Downspout will be: each.
PROPOSAL NOTES:
This proposal Is for a Limited Lifetime Architectural shingle, rated at 230 MPH. We propo
flashing and damaged wood, wood repairs price Is listed above. A 5aayer protection systi
felt on all places checked below. A fiberglass reinforced felt,'Peel & Stick will be used wt
subject to change on Different / Special Wood orders if needed
Standard Pitch Roof
Asphalt Architectural Shingles
CertainTeed
Landmark
Limited Lifetime
Synthethic Underlayment
3 YEARS
ALUMINUM SOFFITS & FASCIA:
Aluminum Fascia 8 Aluminum Soffit
D Fascia Induced In Price Soffit Included in Price
Entire Roof Perimeter Soffit &Fascia Color:
Fascia Installed Only On:
Soffit Installed Only On:
Price : _.---
ROOF VENTILATION:
Aluminum Ridge Vent . ft. Color:___
Baffled Shingle over Ridge Vent S2__ ft
Off -Ridge Vent(s): 8 4 ft. City: - _ Color
PrQWER VENT: 6 ft. qty .--- Color.
Electric Exhaust Fan: City:..-----.- Price: ----_--------
Solar Powered Exhaust Fan: City: _ -_, Price:
Electrical work not included.)
CHIMNEY AREA:
New flashing Replace existing flashing If needed.
Build Chimney Cricket Price:
Remove Chimney Price:
SKYLIGHTS:
New Skylight D Reuse existing Skylight
2 x 2: __ Price: --- --- 14 x 2: -- Price: -- - - - -
Other: Price:
TYPE OF SKYLIGHT
D Self Flashing Curb Mounted
Insulated Glass Polycarbonate Dome
SOLAR TUNNEL:
10" Price:
22" Price:El 14" Price: - --- ---.-...—.—_
BUILDING JURISDICTION: County ® City
t QME OWNERS ASSOCIATION REQUIREMENTS:
uu YES LJ NO Contact:
e to tear -off your old roof to the wood deck and replace all vents, lead boots,
m Is used around Peripherals PenetratMg your roof deck including a "Peel & Stick'
Ich Is stronger than a 301b felt. AD taxes and permitting fees are Included. • Price
Weatherproof with "Peel & Stick" In the
following areas:
Eves Chimney Area
Roof Valleys Skylights
Vent Pipes Low Slopes
Kitchen & Bath Vents Wall Flashing
Other:
ENTIRE ROOF DECK RENAILED
Packet Total:
Gold Package Total: $6,300.00
Pro Roofing & Associates, Inc. will clean roof debris from gutters In addition to magnetically sweep entire perimeter of job site. All roofing debris will be hauled away and IsIncludedaspanofourservice. All materials are guaranteed as specified. We will obtain all city or county permits necessary for the completion of the job, All work will becompletedaccordingtostandardroofingpracticesandcurrentbuildingcodes. Any alteration or deviation from above specifications involving extra costs will be executed
only upon written order and will become an extra charge Item over and above this yreement. Any leaks occurring during the warranty period will be repaired per ourwrittenwarranty. This proposal may be withdrawn by us If not accepted within I days.
ACCEPTANCE OF PROPOSAL:
The above specifications rites a ondltions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will bemadetlinedhereifpratnotreceivedwithin5businessdaysaftercompletionofjobtherewillbea3% late fee added to the balance due. Anment e red a d2caris sub)ect to a convlenence fee.
S he ule pm letlon______ start Crate completion Date: _
Elmer 811312018
n to
Date Pro Roofing & Associates Date
9/10/2018
JAAMM,
rpaw-
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Parcel Information
SCPA Parcel View: 02-20-30-523-0000-1120
Property Record Card
Parcel: 02-20-30-523-0000-1120
Property Address: 132 GLEASON CV SANFORD, FL 32773
Value Summary -
Parcel 02-20-30-523-0000-1120
Owner(s) QUINONES, ANTHONY S
QUINONES, STACIE R
Property Address 132 GLEASON CV SANFORD, FL 32773
Mailing 1609 POLK WAY SANFORD, FL 32773
Subdivision Name PLACID WOODS PH 2
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
Legal Description
LOT 112
PLACID WOODS PH 2
PB 58 PGS 4-6
Taxes
6fi 44 48.
A
3782 40
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 116,285 103,118
Depreciated EXFT Value
28,000
2818300
Land Value (Market) 25,000
Land Value Ag
Just/Market Value ** 144,573 128,418
v
Portability Adj
Save Our Homes Adj' 0 19,937 _
Amendment 1 Adj 0
P&G Adj ----- 0 ---- 0----
Assessed Value - 144,573 108,481
T
Tax Amount without SOH: $1,657.00
tp \ 2017 Tax Bill Amount $1,277.00
J 1 c Tax Estimator
Iry
t' Save Our Homes Savings: $380.00
11 alb- 40 TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
0
ain co
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 144,573 0 144,573
Schools - ------ ------ 144,573 i—_--_-_.-- $0 144,573
v----
City Sanford - 144,573
A-- $
0 144,573
SJWM(Saint Johns Water Management) - 144,573 0 144,573
County Bonds —' - --- — 144,573 0 144,573
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 4/1/2015 08460 1936 i $125,000
12-2,000
100,000
91,000
Yes
1 Yes
Yes
Yes
Improved
Improved
Improved
Improved
WARRANTY DEED -- 8/1/2013 -
3/1/2010
3/1/2001
08107
07352
04042
0738
1052
1495
WARRANTY DEED
SPECIAL WARRANTY DEED
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT I 1 $28,000.00 28,000
Building Information
Is Bed/Bath count incorrect? Click Here.
hftp://parceidetaii.sepafl.org/ParceiDetailinfo.aspx?PID=02203052300001120 1/2
SEMINOLE COUNTY and/or CITY OF SANFORD
DATE: 9/10/2018
hereby name and appoint: --__ _ =' s+ M_ os; tvP
an agent of: PRO ROOFING & ASSOCIATES, INC.
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all
things necessary to this appointment for (check only one option):
El All permits and applications submitted by this contractor.
The specific permit and application for work located at:
132 GLEASON COVE, SANFORD, FL 32772
Job Site Address)
Expiration Date for This Limited Power of Attorney: DECEMBER 31.2018
License Holder: ELMER A. CAMPOS
State License #: CCC1328416
Signature of License Holder:
State of Florida
County of SEMINOLE
The foregoing instrument was acknowledged before me this day of s q T 20 1 '(
by ELMER A. CAMPOS who is personally known to me and did not take an oath.
WITNESS my hand and official seal this day of S 9 p4 . , 20 ,
Sig lure of of ry 61ric—State of
Nhorida
021EL HERNANDEZ
rt rt Notary Public - State of Florida
CoaemIt$ # FF 900343
ilAl Caaua: Exoree:Aoay 9. 2020,,
NOTARY SEAL
Rev.12/13
Printed Name.)
Commission No. Fr '? i O 3 3
State of FL. County of SEMINOLE
My Commission expires: 5 9 o?O ao
Grant Malo , Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #20181y05418 Book:9210 Page:1690; (1 PAGES) RCD: 9/14/2018 9:53:43 AM
REC FEE $10.00
v
Permit Number:
Folio/Parcel Identification Number: 02-20-30-523-0000-1120
Prepared by: EDRIEL RODRIGUEZ
Return to; PRO ROOFING & ASSOCIATES, INC.
2895 S ORLANDO DR SANFORD FL 32773
NOTICE OF COMMENCEMENT
State of Florida, County of SEMINOLE
The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the followinginformation is provided in this Notice of Commencement.
1. Description of property legal description of the property, and street address if available)
LOT PI nrlD WUt:1Qc PN 7 e6 SA PG5 4-6, 137 f,'1 FA O CQ(E,R Z
2. General description of improvement(s)
REMOVE AND REPLACE ROOF SHINGLE
3.Owner information
Name: BNIiiON1LQUlLV01NE5 Interest in Property .SZWINER
Address 132 GLEASON COVE, SANFORD, 32772
4. Fee Simple Title Holder (if other than owner shown above)
Name: N/A Telephone Number:
Address
S. Contractor
Name: PRO ROOFING & ASSOCIATES, INC. Telephone Number: 407-542-5903
Address 2895 S ORLANDO DR SANFORD FL 32773 _
6. Surety (if any)
Name: N/A Telephone Number:
Address Amount of bond $
7. Lender (if any)
Name: Telephone Number:
Address N/A
8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by §713.13(i)(a)7, Florida Statutes.
Name: N/A Telephone Number:
Address
9. In addition to himself or herself, Owner designates the following to receive a copy of the Liencies Notice as
provided in §713.13(1)(b), Florida Statutes.
Name: N/A Telephone Number:
Address
10. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a
iifferent 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 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.
Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the facts stated
in it are tru the b t y knowledge and belief. /
14
11. Signatu .e of Owner Signatory's Print Name" a/Office
or Owner's Authorized Officer/Director/Partner/Manager §713.13[I][d])
This document was acknowledged before me this 8 day oLC De ! 2018 by Via (I nQiltQ
who is pe so Iyt%or produced
J
ature of Not Public —State of Florida
as identification.
ly YARIMIABROWR
MY cOMMISSION 0 FF 207529
EXPIRES: Match 9, 2019
71r,t4a' R"MwThruNotmPumuedermb's
It
City of Sanford Building Division
r >
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 compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
11
tom^ • ':Z
F D PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: \7 Co cnr, cC`j\ r,
STRUCTURE TYPE: GLE FAMILY 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): IN `
PLEASE NOTE: ONLY IOO SQUARE FEET 4 THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: O OFF RIDGE BRIDGE O SOFFIT OPOWERED VENT O TURBINES
SKYLIGHTS: O YES ( CIO 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 PRODUCT APPROVAL
HINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL# <
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O Tu-E FL#
O OTHER: FL#
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: S . 3q I H ADDRESS: 132 G Ie030n Cove
I L I 1 I cr \_umI uz. , 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 #: eCe- 1?22`41 kJ COMPANY/
CONTRA CONTRA( CONTRACTOR
SIGNA MUST
BE SIGNED BY Prokaolinqj
TURF:
aw / DATE: 0 I, LICENSE
HOLDER OR O E ILDER) 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 cS&F7)%iaO/& Sworn
to and Subscribed before me this -7 day of atber 20 Iq by: El"
K Who is Personally Known to me or has Produced (type of identification
as identification. ``,`11I1111111/
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StateofFez' Florid178567
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