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HomeMy WebLinkAbout125 Golfside Cir - BR18-002583 - REROOFCITY OF n .JUN 1 1 2018 Building & Fire Prevention DivisionANFODir-% PERMITAPPLICATION FIRE DEPARTMENT . Application No: .1 8- =,4503 Documented Construction Value: $ 0 Job Address: \7-5 A61"&42 L la Historic District: Yes[]No[3 Parcel ID: ('5u Z© 30 513 CC -Cc o ggso Residential[] Commercial Type of Work: New[] AdditionD Alteration RepairaDemo D Change of Use Move Description of Work: Plan Review Contact Person: CS 11 Phone: 4 Q1 GS J 4Q S ( Fax: Title:. nn Email:Qlaar t;-X Name M, '0 101 Pro a Owner Information ywlProperty PhoneAa'ej — 0 AA Street: Resident of property.?: City, State Zip: Contractor Information Name Pbone:tQ !{ _lD O I Street: COQ'kFax:. City, State Zip: J w &, State License No.: ArchitectiEngineer Information Name: 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 OBTAINFINANCING, 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, beaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date ofapplication and the code in effect as of that date: 61° Edition (20I7) Florida Building Code Revised: January 1, 2018 Permit Application N fI E: 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 othergovernmental 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 ofFlorida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time ofpermit 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. ignature ofOwner/AgentDate Signature of Contractor/Agent D Print Sipe o otary-stat ritla Joseph L. ftesaP8ft NOTARY PUBLIC STATE OF FLORIDA Cona. FF236076 e' xpires 6/1/2019 Owner/Agent is Personally Known to Me or Produced ID Type of ID DL.# girt Contractor/Agent's Name sie utFlorida Date PJoseph L Allmon NOTARY PUBLIC STATE OF FLORIDA Comnrl 61 6076 Contractor/Agent is ersonaalnown 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: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps, Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Permit Application Revised: lamuuv 1. 2019 D City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address Z5 Go\'-s kl J %r 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.om. The following information must be available on the jobsite for inspections: 1. 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 SOUTHEAST WATERPROOFING 3140 E. Osceola Rd. AN D COATI N G S Geneva, FL 32732 pit: 407.529.8727 • seastwp@gmail,com CCC1328659 Sales Rep: OJAQKk>e — Emaill NO. _.-__a .! CONTRACUPROPOSAL WE (CONTRACTOR) HEREBY PROPOSE TO FURNISH LABOR AND MATERIALS IN COMPLETE ACCORDANCE WITH THE SPECIFICATIONS BELOW: 95 DESCRIPTION OF WORK The Specifications for the Project are outlined below: emove roof to Existing deck Re -nail existing deck to meet uplift codes S nthetic felt tnstall metal dri ed Apply Self Adhered underlayment nstall new lead boots and vents P lg' pply METAL/ S I GLE / ILE/ HAKES/ FLAT/ OATING Install Modified Bit men to Flat or: Pitch. Z Manufacturer of system: Repair A v- - I I ....- V - WARRANTY- Contractor unconditionally warrants all materials and workmanship for a period of (wears. Any defects in the materials or workmanship will be repaired or replaced, at the discretion of Contractor, at no cost to Client. CANCELLN ION/POSTPONEMENT In the event of cancellation or postponement of this Agreement fee and/or costs for the treeimespentinpreparatioilureto ns, purchases of pecialtypayment to ritems, Contractor reserves the right a deny refund of any i travel, and other expenses directly related to the Project nd e Authorized Signature (CON t KAk- I v A A CE OF PROPOSAL The above prices, specifications and conditions, and Servcer e authorized tisfactory sgnature warrantare hereby s that he/she is the equ table ted. You are authorized to o the work as specified. Payment will be made as outlinedabove. Owner of the presand/or resents thlOwne with viable documentation. (.-.( r T l I I Signature (Client): ' - PAYMENT ACT. B. FINAL A ITI INAL PAYMENT INTHE AMOUNT OF 509'01S DUE MAYBN ACCEPTANCE D AWN BY USFSIGNING _NOT ACCEPTED WITHIN ( 30) DAYS MENT IS DUE UPON COMPLETION OF PROJECT. NOTE: THIS PROPOSAL MA CONSTRUCTION LIEN LAW WARNING OR ARE NOT PAID 1N FULL HAVE A RIGHT To ENFORCE O> FAILLSSI' OP FOR SUBCONTRACTORS, SUB.SUCON- PROPERTY' ACCORDING TOFLORIDA' S CONSTRUCTION LIEN LAW (SECT IONS 713.001-713.37, FLORID AATHEIR HOSE WHO WORK ON YOUR PROPERTY PROVIDE MATERIALS AND SERVICES A THIS CLAIM 1S KNOWNASACONSTRUCTIONLIEN. IFYOUR CONTRACTOR OR A SUBCONTRACTOR VE FULL. IF YOU FAILTO PAY YOUR CONTRACTOR. YOUR CONTRA PAY FOR LABOR, MATERIALSOROTHER TRACTORS, OR MATERIAL SUPPLIERS, SE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT. EVEN 1F YOU HA ALREADY PAID YOUR CONTRACTOR IN PROPIRTY. THIS MEANS IFALIENISFILEDYOURPROPERTYCOULDBE SOLD FAILED TY IS MADE, CONTACTOR IS REQUIRED TO PROVIDE UCTION LIEN LAW ISCOMPLEX. AND IT IS RECOM AN` SERVICES ?HAT YOUR CONTRACTOR OR A SUBCONTRACTOR FOR MAY HAVE FAILED TO PAY. VI PROTECT TI-I A WRITTEN SHOULD STIPULATE IN T rONTRAC.TTHAT BEFORE ANY PAYMENT 1.1-zKSON ORCOMPANY'HIM' HAS PROVIDED TOYOU A •NOTICE TO OWNER. FLORIDA'S CON MI: 1)IiUTHATYOUCONSULTANATTORNEY.OWNERSACKNOWLEDGERECEIPTOFTHEFLORIDA thiscontractand hereby acknowledge receipt oWe the undersigned, ha v read, nderstand and agree to each of the provisions o cop ortbi. 0ract. C. `K.'1 Permit % LZekGRANT MALOYr SEMINOLE COUNTYCLERKOFCIRCUITCOURThCOMPTROLLER BY 9146 P9 402 QPSS) Tax Parcel Number -05 CLERK'S : 2018063580 U14 W -3O - St 7 - C' NOTICE OF COMMENCEMENT RECORDED 0FEES/$10- 12:37:I)Il PM RECUkDING FEES 10.00 RECORDED BY ,iec_ki2miro State of Florida CourMy of Volusia The UNDERSIGNED hereby gives notice that improvement will be made to certain Mal property, and Inaccordance with Chapter 713, Florida Statutes, the following Information ` 9L 5 ' G Q,. p, Ct Is provided In this Notice of Commencement 0.m 1. DescriptionotpropeAy: ae meac uonaumvrovao'.e"°i i1ide""nmroeW 'P 39'7-73 Pk 2 Gene eot n 11proviment j ir00 3. Owner IMorwtion or Lessee information It theLessee contracted for the improvement a. Name and address 91 Cq 4R,.,L V e e,,A 4, 56f ro n6 105 Cno(AsjaAe Ct r gal QoroL . 32. b. Interest in property ©m;) v`. ep e. Name and address of tee simple titleholder (it otherthan owner) 4. a. Contractor Name and address n 3iL{ o 1.r+C Ca (zz-.`(' cm 3Z7' sZ ntractors phone number L Surety (d applicable, a copy ofthepayment bond Is attached): a. Name and address b. Phone number o. Amount of bond II •m L a. Lender. Name and address b. Lenders prone numoeF 7. Persons within the SWe of Florida designated by Owner upon whom notices or other documents may be servedasprovidedbySection713.13(1)(a)7., Florida Statutes: IL Name and address b. Phone numbers of designated persons of to receive a copy 6. a. in addition to himself, Owner designatesoftheLienor's Notice as provided in Section 713.13(1)(b), Florida Statutes b. Phone number 9. Expiration date of Notice ofCommencement (the expiration date is 1 year from the date o1 recording unless a differentdata Is specified) TH NOTICE OF IMPROPETO OWNER: ANY R PAYMENTS UNDERCHAPTERPAYMENTS MAD , L SECTION AFTER TE 3TmEEDAmST IONOF AND CAN RESULT W YOUR PAYING TWICE FOR RFA IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OFCONMENthtENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE FIRST WSpE ON. YOU I D TO OBTAIN FINANCWG. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOREOOMMEWCING WORK OR RE00 r y`' mt q' WTIF MM EM NT. 61gn mne of Owner aLessee, or Owner's orLessee's AulhoAzed O(6eegDiroelorlParnsamanager (Seaton Tta1311)14D W Signatory' s TtdelOtilce rX c State of T county of % -+ The forgoing hWumem 1 was seb owledged befom me this ZL day of IiA elnra UQ.I- Joseph L. AllmOn n W Cc 0 off 'aD1" Rrei NOTARY PLIBUC c e FLOFJUAE! 000 Prod. Tslpnatuuaeo be v rn Cog FF23W6a W O OR Produced ID Type o11D Produced tiesv d I 00 t- M 4:> tot. ol.r Volusia County Pail Center Pat3m.573/ CITY OF Ski4FORD Building & Fire Prevention Division b FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. I XJV ISSUE DATE: C• ( L CONTRACTOR: S • JOB ADDRESS: Jk,,g die" C_; I-% TYPE OF WORK: 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 OOF six (6) months from date of issue 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 REOUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TOTHIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REOUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATEAGENCIES, 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 8,55.541.2112. Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts' t ' PLEASE NOTE: Inspections scheduled by 3:30 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 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code 111 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 thejob 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 ofwork) Digital Photographs (must include the permit number or address in each picture) o Each plane ofthe 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 ofnails 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 z V:D CITY OF SANFORD I FIRE DEPARTMENT y PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JoB ADDREss: k Z 5 STRUCTURE TYPE: WINGLE FAMILY RESIDENCEITOWNHOUSE O MOBILE HOME O APARTMENrICONDoMMIUM 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): (:bU X- PLEASE NOTE. 01YZY1100 SQUARE FEET OFTHE EXISTINGDECK IS PERMITTED TO BE REPLACED** ROOF VENTILATION: } OFF -RIDGE RIDGE SOFFIT QPOWERED VENT QT U"RgES SKYLIGHTS: O YES IRP IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA .. ROOF SLOPE: 0 LESS THAN 2:12 Q 2:12 - 4:12 . 4:• 12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL FL# 5 3 SIRNGLE OMETAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# QTILE FL# Ci nTI R: _ FL# ROOF EXTENSIONS (PORCHES. PA17O& ETC.) **IFAPPLICABLE** ROOF SLOPE: p LESS THAN 2:12 Q 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF SHINGLE METAL MODIFIED BnVMEN TORCH DOWN INSULATED TILE OTHER: MANUFACTURER FLORwA PRODUCT APPROVAL FL# FL# FL# FL# FL# FL# CITY OF # D ANF ORD Building & Fire Prevention Division RESIDENTL4L RE -ROOFPOLICY&c PROCEDURES FIRE DEPARTMENT PERMITTING REQUIREMENTS —NO PLAN REVIEW REQUIRED THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK AREREQUIREDTOBESUBMITTEDASPARTOFYOURPERMITAPPLICATION. THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOFCOMPONENTSTHATWILLBEINSTALLEDONTHEPROJECT. 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 THESANFORDHISTORICPRESERVATIONBOARD 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. TEE 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 ANDNOTARIZED 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 UNDERLAYMENf 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 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 ENGL --- - --- --- - - - - - - - - - - CONTRACTOR (OR OWNER/BUILDER) SIGNA 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 Application Number . . . . . 18-00002583 Date 6/12/18 Application pin number . . . 097126 Property Address . . . . . . 125 GOLFSIDE CIR Parcel Number . . . . . . . . 04.20.30.513-0000-0250 Application type description ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Application valuation . . . . 9180 Application desc reroof/shingles noc on file Owner Contractor MICHAEL VELEN SOUTHEAST WATERPROOFING AND CO 3140 E OSCEOLA RD SANFORD FL 32773 GENEVA FL 32732 407) 314-8872 (407) 589-8727 Structure Information 000 000 REROOF/SHINGLES Roof Type . . . . . . . . . FIBERGLASS SHINGLES Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1055912 Permit pin number 1055912 Permit Fee . . . . 110.00 Issue Date . . . . 6/06/18 Valuation . . . . 9180 Expiration Date . . 12/03/18 Oty Unit Charge Per Extension BASE FEE 40.00 10.007.0000THOU BLDG PERMIT -CC APPRVD 9.27.10 70.00 Special Notes and Comments All projects within the City shall use WastePro for debris removal. Please contact WastePro at 407.774.0800. Normal hours for inspections are from 7: 30 through 4:30 Monday through Thursday. Please be aware you must contact the Building Official to schedule a Friday or after hours inspection. This is required since not every inspector is licensed to do every type inspection. Communication is the key, so please contact the Building Official if you have any questions at 407. 688.5058 or at dave. aldrichosanfordfl.gov LMOM 06.06.18 Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING 25.00 01- BLDG PLAN REVIEW 30.00 01- BLDG DCA SURCHARGE 2.00 01- BLDG DBPR SURCHARGE 2.48 Fee summary Charged Paid Credited Due r... Permit Fee Total 110.00 .00 .00 110.00 Other Fee Total 59.48 .00 .00 59.48 Grand Total 169.48 .00 .00 169.48 FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED. NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED. CITY OF SANFORD CUSTOMER RECEIPT aaa Oper: BLANDA Type: OC Drawer: 1 Date: 16/12/18 01 Receipt no: 140238 Y ar Number Amount 2018 2583 125 GOaSIDL CIR SANFORD, FL 32773 Bp I BUILDING PERMIT RECEIPTS$1698 AC 86t73 Tender detail CC CREDIT CARD 169.48 f169.48 Totaltendered169.48 TotalaaymentTrans date: 6/12/18 Time: 13:04:08 CITY OF S TFORD Building & Fire Prevention Division 11 1 RESIDENTIAL RE-ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMT #: 1,?-95:33 ADDRESS: Cd I LY A «j tl'/ L VI&A C2M , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING ONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION 1S 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 #: COMPANY/ CONTRACT4 MUST BE S A FINAL ROOF INSPECTION IS REOUIRED: 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 `-7P)IAw i 1AB e Sworn to and Subscribed before me this 1-7 day of Su,v, 20 _jyby: Who is Personally Known to me or has C Produced (type of identi ation) as identification. Sign fir yf-Notary Pum — State of Florida p;"..• GINGER R KM r C0u 93310n 8 W U6264 Print/Type/Sta!ijV s M_ ber 9, 2020 of Notary Public0"BidO""°"'