HomeMy WebLinkAbout138 Circle Hill Rd 17-2752 RoofCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value:
Job Address: 138 Circle Hill Rd. Historic District: Yes No R
Parcel ID: 04-20-30-514-0000-0200 Residential Q Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Re -Roof CertainTeed Landmark Architectural Shingles 29sq.
Plan Review Contact Person: Saundra Bracken
Phone: 407-878-3750 Fax: 407-960-2612
Title: Office Manager
Email: BrianSikesRoofing@cfl.rr.com
Property Owner Information
Name Colin Bryant & Amber Laradi Phone: 321-262-1724
Street: 138 Circle Hill Rd. Resident of property? : Yes
City, State Zip: Sanford, FL 3277.3
Name Brian Sikes
Street: 1550 S HWY 1792
Contractor Information
Phone: 407-878-3750
Fax: 407-960-2612
City, State Zip: Longwood, FL 32750 State License No.: CCC1325977
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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 pernut to do the work: and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a pennit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate pernut nmst be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5`h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1. 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 'fable 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 pennit 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.
4 11d- A,, Z1Z-17
signature of'0%Vner gent Datc
LauN (S2y.
Print 0"iie ut.'s Name
Signature arp-State of Florida Date
W..ersoniallvy
V'JV1 1,
W ate of FloridaellFF
990959end 20Owner
AgenisallyKnowntoMeorProduced
ID Type of ID 911z
11-7 Signature
of Contractor/Agent Date A
13 S:11e. s Print
ContraclopAgeot's Ni ame7
Date
d "
4 Notary PuM State of Florida p "'
Steven Campbell r.
My Commission FF 990959 OfExpires
0511012020 Contrac
or ge i is sonal y iown to M or Produced
ID Tvne BELOW
IS FOR OFFICE USE ONLY Permits.
Required: Building Electrical Mechanical Plumbing Gas Roof Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Flood Zone: Min.
Occupancy .Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No # of .Heads APPROVALS:
ZONING: UTILITIES: ENGINEERING:
FIRE: COMMENTS:
of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Pennit Applioation
9/1212017 SCPA Parcel View: 04-20-30-514-0000-0200
fDevi
property Record Card
Qkts,CFA I Parcel. 04-20-30-5"4-0000-0200
Owner: BRYANT COLIN & LARADI AM13LR A
q4 °M'd+iCRf. GUi #it V (n.tNWA,.
Property Address: 138 CIRCLE HILL RD SANFORD, FL'32773
N
f rr SemrnaleCounty GiSS _
Legal Description
I LOT 20
MAYFAIR CLUB PH 2
PB54PGS84&85
Value Summary
2017 Workingig 2 016 Certified ; P
Values Values I
Valuation Method Cost/Market Cost/Market
l
BuildingsNumberof
j j Deprecated Bldg Value 179,222 153,960
Depreciated EXFT Value 9,700 10 220
Land Value (Market) 35,000 25 000
Land Value AgttiValue "" 223,922 189 180 [
1' Portability Adj
Save Our Homes Adj 41,419 25,499
Amendment 1 Adj 13,696 5,258
j P&G Adj, 0 0
Assessed Value 168,80,7 158,423
Tax Amount without SOH: $2,913.00
Z016 Inx Bill Amount $2,402.00
Tax Estimator
Save Our Homes Savings: $511.00
TRIM Noti7e_ Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 168,807 i 45,542 123.265
Schools 182,503 : 25,000 157,503,
City Sanford 168,807 45.542 123,265
SJWM(Saint Johns Water Management) 168,807 45,542 123,265
F
County Bonds 168,807 , 45,542 123,265
Sales
Description I Date Book Page 1 Amount I Qualified 1 Vac/Imp
SPECIAL WARRANTY DEED 3/1/2010 07370 18 4. 170,000 No Improved
CERTIFICATE OF TITLE 11/1/2009 07294- 0836 100 No I Improved
WARRANTY DEED 8/1/2005 05 9Q. QUa 335,000 i Yes Unproved
WARRANTY DEED 8/1/2003 0177Z M, L) 215,000 Yes Improved
I SPECIAL WARRANTY DEED 8/1/1999 150,900 E Yes Improved
1550 S. Hwy 17 92 Ph: (407) 960-2611
Longwood, FL 32750 .Fax: (407) 960-2612
Colin Bryant
138 Circle Hill Rd
Sanford, FL 32773
321-262-1921
321-262-1724
Oil it
DATE Ni:PROPOS.,
Contractor submits this proposal for work on the property herein described.
Upon acceptance, Contractor agrees to furnish labor and materials necessary
to improve the above premises in a good, workmanlike and substantial
manner according to the terms, specifications, prices and plans (if any).
Start and Completion: T'he approximate start date of acid
approximate completion date of are subject to pennissible-
delays as per provision (5) on the reverse side.
Submitted by X
Remove existing shingle roof and underlayment to expose decking.
All damaged plywood decking if any will be detennined at completion of tear otT and will be replaced at a
rate of $50.00 per 4x8 sheet. (Price includes labor and materials.)
Additional damaged wood if any will be determined at completion of tear off and will be replaced at a rate
of $55.00 per hour and the cost of materials.
Install 2 1/2in. 8D Rink Shank coil nails along all trusses every six inches to properly secure decking.
Install one layer of Synthetic underlayment over entire roof.
Install 2 1/2in, galvanized cave -drip around entire perimeter of roof: (Dave drip will have a baked enamel
finish) /3) v c le
Install peal n seal and valley metal in all valleys.
Install two 4ft. off -ridge vents. rJl (fie l C_
Install two 4in. exhaust vents.
Install three 2in. lead boots.
Install one 3in. lead boot.
Properly fasten and seal flashing along all walls, eaves, valleys, vents, and boots.
Install limited lifetime CertainTeed Swiflstart starter shingles with a wind resistance of up to 130 MPH.
Install limited lifetime CertainTeed Landmark architectural shingles with a wind resistance of up to 130
MPH. Shingles installed with six nails per shingle.0newcon t E 01c l-
Install limited lifetime CertainTeed Shadowridge hi( and ridge shingles with a wind resistance of up to 130
MPH.
Ground will be swept with a magnet at the end of each working clay.
Clean entire work area and haul away all debris.
7 YEAR LEAK WARRANTY (LABOR AND MATERIALS)
Price includes labor, materials, Mixes and all pennitting fees.
Contractor sliall provide all releases of lien from contractor, subcontractors, and material suppliers.
cl IZ l
Date
291 65.001 1
29 10.00 290.00
29 45.00 1,305.00
250.00 250.00
100.00 100.00
40.00 80.00
20.00 40.00
15.00 45.00
20.00 20.00
0.661 175.001 115.50
26 200.00 5,200.00
2.341 225.001 526.50
TOTAL $9,857.00
ACCEPTANCE OF PROPOSAL
This Proposal is approved and accepted. There are no oral agreements. The written terms, /
Z'1 9 2/?r
specifications, provisions, prices and plans (if any) are the entire agreement. Changes will be
made by written clianae order only. Credit cards may be subiect to a 3% convenience charge. )proved aiieAcccceepte-d(Owner) Date
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of
this transaction. See Owner's Right to Cancel on the reverse side for details.
THIS INSTRUMENT PREPARED BY:
Name: Saundra Bracken
Address: 1550 S Hwy 17 92
Longwood, FI 3275U
NOTICE OF COMMENCEMENT
Permit Number..
Parcel ID Number: 04-20-30-514-0000-0200
dill l ICI I11P1 I l C I Ili ll1
GRANT I'IALOYf SECINOLE {OU14-FY
CI I RK 0F C) RC:UIT couRT & CONPI'F OLLEIZ
CLERIC'S 0 201709371&
RECORDED 09/ 18/2017
filf_C:(1R(}.ING FEES 1•i,C.oci
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement.
1. DESCRIPTION OF
138CIRCLE F LOT
20 MAYF 2.
GENERAL DESCRIPTION OF IMPROVEMENT: of
the property and street address if available) 3. '
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: BRYANT COLIN & LARADI AMBER A = 138 CIRCLE HILL. RD SANFORD FL Interest
in property: Owner Fee
Simple Title Holder (if other than owner listed above);Name: 4.
CONTRACTOR: Name: Brian Sikes Phone Number: 407-878-3750 ' Address:.
1550 S Hwy 17 92 Longwood FI 32750- S.
SURETY (If applicable, a copy of the payment bond is attached): Name: Address:
Amount
of Bond: S.
LENDER: Name: Phone
Number:? t' Address:'. +
7.
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. 8.
In addition, Owner designates Phone
Number: of
to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone numbe(-. 9.
Expiration Date of Notice of Commencement (The expiration is 1 yearfrom.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 CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO' OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. Sign
roof Owner or Lessee, or OwnePs or Lessee's Authorized
Officer/Director/Partner/Manager) State
of County of i 01147/aG.1f Print.
Name and Provide Signatory's Title/Office) The
foregoing instrument was acknowledged before me this !Z TN dayof 367PTEM/36*Z .20 17 by /"
a L/n/ 6 4CA17 Who is personally known to me O OR Nameofpersonmakingstatementwho
has produced identification'f type of identification produced: F DG4sr
Steven
Campbell Notary
Public State of Florida Notary
Signature 6b.,`
My Commission FF 990959 a
VL Expires 05/10/2020
CITY OF'
Ski4FORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. I7• ISSUE DATE: ® o / t 77 060ACONTRACTOR:
JOB
ADDRESS: / 3 r C I • IOAOL TYPE
OF WORK: R Row I .
PROTECT FROM WEATHER Post
this Permit and all required documents in a conspicuous place outside Digital
Photographs are required - please follow re -roof policy and procedures guide All
trash, debris and dumpsters must be removed from job site at final inspection Permit
expires six (6) months from date of issue ROOF
INSPECTION
TYPE APPROVED REJECTED INSPECTOR FINAL
ROOF FAILURE
TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE
AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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. 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. FBC 105.3.3 REVISED:
4-17 Inspection Line 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
Dial 407.792.6069 or 855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pin for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code III
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
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112
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 13E 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- /3-/ %
PERMIT
City of Sanford Building Division
Residential Re -Roof Scope of Work
JoB ADDRESS: 138 Circle Hill Rd, Sanford, FL 32773
STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCENOWNHOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM
RE -ROOF TYPE: ® REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): Plywood
PLEASENOTE: ONLYI00 SQUAREFEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED*"
ROOF VENTILATION: 0 OFF -RIDGE 0 RIDGE QSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: 0 YES (X) NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: 0 LESS THAN 2:12 0 2:12 — 4:12 0 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
Z)SHINGLE CertainTeed Landmark FL# FL5444-R11
Q METAL FL#
0MODIFIED BITUMEN FL#
Q TORCH DOWN FL#
QINSULATED FL#
QTILE FL#
0 OTHER: FL#
ROOF EXTENSIONS (PORCHES. PATIOS ETC.) "IFAPPLICABLE"
ROOF SLOPE: 0 LESS THAN 2:12 0 2:12 —4:12 0 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
Q SHINGLE FL#
OMETAL FL#
0MODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
QTILE FL.#
0 OTHER: FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 17-00002752 Date 9/19/17
Property Address . . . . . . 138 CIRCLE HILL RD
Parcel Number . . . . . . . . 04.20.30.514-0000-0200
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1002609
Permit pin number 1002609
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF _/_/_
R
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 17-2752 ADDRESS: 138 Circle Hill Rd.
Sanford, FL 32773
I Brian Silo AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRA GINEER,ARCHffECT, OR F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGO RMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
OVE 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#: CCC1325977
COMPANY/CONTRACTOR: Brian Slices Roofing
CONTRACTOR SIGNATURE: DATE: 1O— 2-0- 1
MUST BE SIGNED BY LICENSE HOLDER OR OWNERBUILDER)
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 Seminole
Sworn to and Subscribed before me this 2--e) day of O4>24tiSGh__2O 17 by:
Brian Sikes Who Personally Known to me or has Produced (type of
identi . n) \ as identification.
Signature o o a e---__..___.
State of Florida (. I.;
h Notary PCa State of Fbrlda
Steven Campbell
My Commission FF 990959
a nd Expires 05/70l2020
Steven Campbell
Print/Type/Stamp Name
of Notary Public