HomeMy WebLinkAbout1310 Pine Ave; 18-3988; ROOFBUILDINGi
job Addre:
Parcel ID:
Documented Construction
Type of Work: New Additiion Alteration 0
Description of Work: N -PAP I_AA4
Plan Review Contact Person: I V \W k
Phone: I' Fax:
PERMIT APPLICATION
Application No: aPP
Value: $ WV -f
Historic District: Yes Nopf
Residential V Commercial
Repair Demo Change of Use Move
n /A , 1/1 C". „; „ n /--s _
kk Title: Ili nw1n
Email: (k t lh'( )
l
Property Owner Information [
Name Rmck& (7 iV Phone: `'I 0o — qfl, 3Y4
Street: 1) l t) I ri0 Resident of property?: (
City, State Zip: 3c))')
Contractor Information / / ('
Name" Phone: "" '' /
Street: I Fax:
City, State Zip: J Ann L 21 fl State License No.:
Architect/Engineer Information
Name: Uy I Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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
NOTJCE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe 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 Owner/Agent
Print Owner/Agent's N:une
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me
Produced ID Type of ID
I q 11q l '
Signature ContractorlAg it Date
TOhn Lie- no
Ainl Jntractor/A nt's Nam e'
00 Pcy Notary lic re o onr eStat f F on a ate
Stephanie Batey
y ; My commission GG 172886
Expires02127/2022
ontractor Agent is K—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:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
9114V18 SCPA Parcel View: 31-19-31-506-01300-0120
Legal Description
LOT 12 & E 112 OF VACD ALLEY ADJ ON W BLK B
CELERY AVE ADD
PB 1 PG 125
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund — 68,406 V 0 i 68,406
Schools 68,406 = 0 € 68,406
City Sanford 68,406 0 68,406
SJWM(Saint Johns Water Management) 66 406 0 68 406
County Bonds 68,406 0 68 406 1
Sales
Description Date Book Page Amount Qualified Vac/Imp
JJJ
WARRANTY DEED 10/1/2017 09007 0160 100 ' No Improved
ADMINISTRATIVE DEED 10/1/2017 09006 1062 100 No Improved
WARRANTY DEED ' 10/1/1981 01364 _ 096 43,500 Yes Improved
WARRANTY DEED 12/1/1980 01310 0_40 42,200 Yes Improved
W Q"t F 4"2 x
Land
Method Frontage Depth ;Units Units Price Land Value
FRONT FOOT & DEPTH 40.00 135.00 0 # $190.00 $7,372
Building Information
Is Bedr6ath.._,.,.._ — ... _ _ .... ....,.., cunt Incorrect? Click Here.
j Description I Year Built Fixtures Bed Bath Base Area Total SF Living SF 1 Ext Wall Adj Value Repl Value ;Appendages
http://parceddeta il.scpafl.org/Parcel Detail I nfo. aspx?PI D=3119315060B000120 1 /2
Job: 1310 Pine Ave. Re -roof
Date: 9/15/18
Attn:
Email:
Attn:
The attached is your re -roof proposal.
Sincerely John Lepak
Florida Certified General Contractor CGC 151.0796
Florida Certified Roofing Contractor CCC1330440
South Carolina Unlimited Building Contractor GI 14128
North Carolina Building Contractor # 75126
1902 Alden Road • Orlando FL. 32803 • www.TrinityRandC.com • (407)-930-9266
General Scope:
Line 1: New Roof
1. Certainteed Landmark Architectural Shingles
2. Certainteed Flyntastic Roll roof for flat roof area (3 ply)
3. Synthetic Rhino Underlayment
4. Ice/ Water Shield at Valley
5. Includes Pipe vents and Accessories
6. Remove and Replace Approximately 1-7
7. Includes 12% waste factor
8. Includes Permit Fees
9. Includes Dumpster Fees
10. Includes Replacing 1 Sheets of Decking (additional shall be billed at $48 per)
Basic Warranty(included)
Material Warranty as per Certainteed (Limited, prorated)
Labor Warranty — 5 Year
Excludes Tear off and dump / disposal fees
Upgrade Warranty
Material, Labor, Tear off, Disposal 20 years
Backed by the Manufacture
Non prorated
Bid Summary:
Line 1: $ .00
Optional Upgraded Warranty $ 918.00
Appendix:
Appendix 1: Terms and Conditions
We propose to furnish material and labor- complete in accordance with above
specifications for the sum of: Elected Line Items
Payment as follows: 50% Mobilization, Remaining Due upon Final Inspection.
ACCEPTANCE OF PROPOSAL:
The above specifications, prices, and conditions are satisfactory and hereby accepted. You
are authorized to do the work as specifie . Pay
T/D
11be made as outlined above.
Signature. ate:
Signatu f Date: a
Terms and Conditions
1. The Proposal is only valid for 30 days unless accepted in writing by the Buyer to include (Owner, Prime Contractor, etc.).
2. The price does not include building permits unless specified. If Applicable the buyer is responsible for paying all permits costs
plus Trinity Roofing and Construction Inc. AKA (TRC Inc.) processing fees.
3. All changes to the contract documents shall be through write correspondence which shall include acknowledged email.
4. Contractor does not accept responsibility for errors to plans or unforeseeable site conditions. If such errors or conditions affect
the contractors ability to perform its work the contract shall be amended with respect to both schedule and cost.
5. With -in 5 days of start date Buyer shall provide contractor all necessary information for Notice to Owner.
6. It is agreed that the contractor shall be permitted to perform his work without interruptions or delays or any acts of neglect caused
by the Buyer or the Buyer's representatives.
7. The Buyer agrees that all equipment and materials placed on his/her property for use in construction will remain the personal
property of the Contractor until the sums due to the Contractor under his Contract have been paid in full.
8. Cost Plus
a. Cost Plus contract shall be cost plus TRC INC. fees as per attached budget.
b. Costs shall include all hard costs and management fees as per attached budget.
c. Unless agreed upon in writing Cost Plus shall.not have"not to exceed" clause.
d. Buyer reserves rights to audit Costs at sole discretion at Buyers costs.
e. Additional Conditions as per Terms and Conditions Apply.
9. Fixed Bid
a. Fixed Bid shall be fixed as defined per attached proposal.
b. Allowances shall be treated on a debit / credit basis as defined on proposal.
c. Additional Conditions as per Terms and Conditions Apply.
10. Change Order
a. Change Orders shall be in writing or email.
b. Unless otherwise noted CO shall be determined by Buyer and Contractor.
C. Contractor shall not proceed with additional Change of Work until approval.
d. If Change of Order impacts schedule any applicable management fees will be applied to the CO amount as well as
amendments to liquidated damages clauses for completion date penalties.
11. Dispute
a. In the event of a dispute Buyer or Buyer's representatives shall furnish in writing any and all issues related to
workmanship or errors made by the contractor.
b. Contractor shall have 10 days to respond to or begin making corrections to said issues.
c. Any dissatisfaction with regards to quality of workmanship, completeness of job and any incidental punch out work
that may need to be done must be submitted in writing within 7 days of invoicing the job or Trinity Roofing and
Construction Inc. will regard the job as 100% complete.
d. The Buyer agrees in the event there becomes a dispute over completeness of work and if contractor is substantially
complete, the Buyer will be obligated to make payment in the amount of 95% of the amount due within 5 days or will
be in default of contract.
12. Default
a. Buyer shall be in default if
i. Any payment called for under this contract is not made promptly when due.
ii. Any agreement made by the Buyer is not promptly performed.
iii. Any conditions warranted by the Buyer prove to be untrue.
b. In the event of default by Buyer, Contractor may do any or all of the following.
i. Suspend the work and remove its Materials from the premises.
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018108498 Book:9216 Page:509; (1 PAGES) RCD: 9/20/2018 2:06:21 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED 8 ' pJName: Trinity Rooting _ 'jG n ,- I rjAddresaY11S'df3e'`
NOTICE OF COMMENCEMENT
A p o ;
State of Florida Cr ,;
County of Seminole L.ap
P N
Permit Number: Parcel ID Number. 31-19-508800 1 .6
The undersigned hereby gives notice that Improvement will be made to certain real property, and e.ccordance with .l
1 pChhapter 713, Florida Statutes, the following Information Is provided in this Notice of Commencement.
v
Ker0'PR U F'RnB TT Brltorc`%°ric a gL 1 / jrty and street address ff available)
GENERAL DESCRIPTION OF IMPROVEMENT:
KKerooi
OWNER INFORMATION:
Name• Ronald Sutton
Address: 1310 Pine Ave Sanford FI
4 Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name: Trinity Roofing
Address: 1121 Solana Ave Winter Park FI 32789
Persons within the State of Florida: besignated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(i)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates of
To receive a copy of the Llenor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date 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.
Under penalties of perjury, 1 declare that I have read the foregoing and that the fact'; stated in it are true
to the best of nowled e a ell! _
Owneea Signature Owner's Printed Name
Florida Statute 713.13(1)(g):' The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead'
State of Countyof The
foregoing Instrumer)t was acknowledged before me this day of by
r 1- ) Name
of person mal m9 sl OR
who has produced Identification a1
Notary Public State of Florida Stephanie
Betsy 1a
My ComrfiRilon GG 174888— O,
nd Expires 02/27/2022 Who
is oetseWaffilv known to me 20
U
Product Approval Specification Form
Permit #
Project Location AddressL
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
I. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category/Subcategory Manufacturer Product
Description(including
Florida Approval #
decimal
I Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
Underla ments
Roofing Fasteners LI
Nonstructural
Metal Roofing
Wood Shakes and
Shin les
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coatin
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category/Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name n
Please Print)
June 2014
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: L9' I
em e
r` n
I hereby name and appoint:
an agent of:
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 kcated at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: " J o h o U
State License Number: UC 133,
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF G
The foregoing instrument was acknowledge
201z' by
to me or who has pro=
idnidentificationandwho) take an
Notary Seal)
R Notary Public State of Florida
Stephanie
State
My Commission 0a 172889
Expires 02/27/2022
Rev. 08.12)
before me this 11 day of
who is person ly known
type name
Notary Public - State of
Commission No.
My Commission Expires:
CITY OF
Building & Fire Prevention DivisionbAMORDRESIDENTIALRE -ROOF POLICY & PROCEDURES
FIB% DEPARTMENTENT
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 1
p:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:
STRUCTURE TYPE: *SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: A- <EE`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 FEE FOE TA EXISTING DECK IS PERBfITTED TO BE REPLACED r
ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: OYES r)ek0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 4:12 OR GREATER
OTURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE Cx(/. FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
OTHER:OmdiA(awm JvjFL# I /
I U
ROOF EXTENSIONS (PORCHHES, 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#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#
PERMIT #: ' - 99v ADDRESS: I 0 iy l n e &) e
F 2W 7
I 7S d r I—'12_ P QL Y`'1 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACT 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 RETROFTT
MANUAL REQUIREMENTS (BASED ON F.S. CtHAFTER 553.844).
LICENSE A— . - L
COMPANY / CONTRACTOR:
4
CONTRACTOR SIGNATURE: /ice r7 DAT1E: MUST
BE SIGNED BY LICENSE HOLDER OR OWN-ER/BUILDER) A
FINAL ROOF INSPECTION IS REQUIRED: THIS
SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG
WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT,
FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR
EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS,
INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK
FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. FAILURE
TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL
AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION,
THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE
OF FLORIDA COUNTY OF - m; n d I to
and Subscribed before me this I day of 52 P% 20W by: J
Personally Known to me or has L Produced (type of n)
f - / as identification. Tef
otary
Pul ri
a Aey
Notary Public State of Florida Stephanie
Batey My
Commission GG 172888 4. Print/
Ty /Stamp Name 'aofo Expires 02/27/2022 of
Notary Public