HomeMy WebLinkAbout203 Justin Way - BR18-002720 - REROOFCITY OF '
A FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: t ? ` d -7 A ,:p
Documented Construction Value: $
Job Address: 203 JUSTIN WAY SANFORD , FL 32773 Historic District: Yes No7
Parcel ID: 10-20-30-501-0000-0320 Residential Commercial
Type of Work: New—] Addition[] Alteration[] Repair[] Demo Change of Use Move
Description of Work: RE -ROOF TEAR OFF OLD SHINGLES REPLACE WITH NEW
ATLAS PINNACLE SHINGLES FL 16305-R6
Plan Review Contact Person: HENRY SANDOVAL Title: ROOFING
Phone: 0g4g '5' i' Fax: Email: TRUTEKWATERPROOFING@GMAIL.COM
Property Owner Information
Name SHF CONSTRUCTION LLC Phone: 407-881-5308
Street: 203 JUSTIN WAY Resident of property?
City, State Zip: SANFORD FL 32773
Contractor Information
Name TRU-TEK WATERPROOFING INC
Street: 11621 GRANDE BAY BLVD
City, State Zip: CLERMONT , FL 34711
Phone: 407-885-3805
Fax:
YES
State License No.: CCC 1331331
Architect/Engineer Information
Name: Phone:
Street: Fax: _
City, St, Zip: E-mail:
Bonding Company:
Address:
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. 1 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: 611 Edition (2017) Florida Building Code
Revised- January I, 2018 Permit Application
NOTICI$: 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 ofpermit 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 ofthe 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 informatio is accurate and that all work will
be done in compliance with all applicable laws regulating const Tpn an zoning.
Signature of Owner/Agent Date Signature
Print Owner/Agent's Name
i
S. lire of Not -State of Flond Date
J),v °rLNotary blic State of Flonda
erasission FF 952974
ia,e1/2112020
Owner/ a or
ProducedI D Type of I D l Date
Print
Contractor/Agent Name lure
of Notary -State of Flori a Date 0 °
iy Notary Public Stale of Florida N
Julio C Veras My
Commission FF 952974 jW
w Expires 01/21/2020 now
o e or Produced
ID l/ 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:
COMMENTS:
FIRE:
BUILDING: Revised:
January I, 2018 Permit Application
SCPA Parcel View: 10-20-30-501-0000-0320 Page 1 of 2
Property Record Card
Parcel: 10.20.30-501-0000.0320lawaaoounvPropertyAddress: 203 JUSTIN WAY SANFORD, FL 32773
Parcel Information Value Summary - -
Parcel 10-20-30-501.0000-0320
Owner(s) SHF CONSTRUCTION LLC
Property Address 203 JUSTIN WAY SANFORD, FL 32773
Mailing 3812 TOWNSHIP SQUARE BLVD 0413 ORLANDO. FL 32837-5380
Subdivision Name I GROVEVIEW VILLAGE
Tax District S7-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
0 C-) 0
0
0 CC) 00
T jiN
1 110.00
Legal Description
LOT 32 -
GROVEVIEW VILLAGE
PS 19 PGS 4 TO 6
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings—` - 1 -- -
Depreciated Bldg Value $110,908 $99,065
Depreciated EXFT Value
Land Value (Market) $30.000 525,000
Land Value Ag
Just/Market Value " 5740,908 (s124,065
Portability Adj -- - - - - - -
Save Our Homes Adj so _j s0
Amendment 1 Adj $0 : s0
P&G Adj s0 s0
Assessed Value 5140,908 -1 5124,065
Tax Amount without SOH: $2,362.39
2017 Tax Bill Amount $2,362.39
Tax Estimator
Save Our Homes Savings, s0.00
Does NOT INCLUDE Non Ad Valorem Assessments
I Taxes - -- - - - - - - -
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 140,908 140,908
Schools 140,908
1
s0 140,908
City Sanford 140,908 I s0 5140,908
SJWM(Saint Johns Water Management) 140,906 1 so, 140,908
County Bonds 140,908 F SOF 140,908
I
Sales
Description
SPECIAL WARRANTY DEED
QUIT CLAIM DEED
CERTIFICATE OF TITLE
WARRANTY DEED
WARRANTY DEED - -
WARRANTY DEED
Find Comparable Sales
Land
Date I Book I Page
1 5/1/2018 109134 , 0573
3/1/2018 - O9086 - -0952 _
12/1/2017 09D39 - 1041
6/1/1990 02189 1312
12/1/1980 ; 0131D ; 0321
3/1/1880 01269 0090
Amount Qualified Vadlmp
125,600 : No Improved
100 yI NoImproved
5136,000 I' No Improved----
58,300 1 No 1 Improved
46,600 1 Yes Improved
1,410.500i No - I Vacant
Method Frontage Depth Units Units Price Land Value
rLOT I 0 00 1 0.00 1 $30,000.00 $30,000
Building Information
Is Bed/Bath count incorrect? Click Here. -- -. - -----.—. -- - -- - - -- - - - -- - - - - - - - -- - - - •- - - -- -• - - •-- -
iY 1 Description Fixtures Bed I Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value I Appendages
http://parceldetaii.scpafl.org/ParceiDetailInfo.aspx?PID=10203050100000320 6/14/2018
Detail by Entity Name Page 2 of 2
Detail by Entity Name
Florida Limited Liability Company
SHF CONSTRUCTION LLC
Filing Information
Document Number L16000228952
FEI/EIN Number 38-4022281
Date Filed 12/19/2016
Effective Date 12/19/2016
State FL
Status ACTIVE
Principal Address
1802 ALAFAYA TRAIL
ORLANDO, FL 32826
Mailing Address
3812 TOWNSHIP SQUARE BLVD
413
ORLANDO, FL 32837
Realstered Anent Name & Address
PACHECO, SILVIA H
3812 TOWNSHIP SQUARE BLVD
413
ORLANDO, FL 32837
Authorized Person(s) Detail
Name & Address
Title MGR
PACHECO, SILVIA H
3812 TOWNSHIP SQUARE BLVD #413
ORLANDO, FL 32837
Annual Reports
Report Year Filed Date
2017 04/19/2017
2018 01/17/2018
Document Images
01/17/2018 —ANNUAL REPORT View image in PDF format
04/19/2017 -- ANNUAL REPORT View image in PDF format
12/19/2016 •- Florida Limited Liability Vlew image in PDF format
Homo Deoa—tnt of State, Dlvls n e CormIJtloN
http://search.sunbiz.org/Inquiry/CorporationSearchISearchResultDetai I?inquirytype=Entity... 6/14/20l 8
an
Tru Tek Waterproofing Inc.
11621 Grand Bay Blvd. - Clermont, FL • 34711
S CQAJGS RUCjf0h2 LC
Name J i (USG, Pi OI G ? le- T F+C,e
Address o?03 SuSkt h kJt,..A
City/State/ZiP I C n 4ecdl , PL 3 11-4 3
407-885-3805 - TruTeWVaterproofing@gmail.com
Phone_ u0 -t Q ( S-30 g
Licensed & Insured • *CCC1331331
We hereby submit the follovrin9 ProPosel: RE4t00F SPECIFICATIONS
TO 3-TAB SHINGLE
Tear ofexisting_
Remove existing slope roof to a clean workable surface. Replace all rotten sheathing and fascia. Re -nail existing roof deck SFBC 3401.8 (h) Tin tag 300 base sheet.
Peel & Stick
Replace ag lead As and metal ven
Install Class A' lung resistant file ss shingles in dtoice of Dolor. Color of Shingles to
Shingles to have a mini year manuletrirrers,wananty. Slope roof to have a 5 year warranty against Teaksdue tov roAcmanship. t•r •., i Q
TO CEMENT TILE
Tear off existing;
Remove existing ^00 roof to a dean workable'skirfaCe. '"" f
Replace all
eck
roue s6 thing. Re -nail existing fdper SJVBC 3401.8 (h) Teltag300besheet. A Peel
6 Stick Replace
all es drip me with new galvanized eave drip metal. Replaceanleadtodmetalvents. tlnstall
TU Plus U ayment Install
flat or double roll cement tits in cjoice of Color. Color
and manufacturer of the to be: Category !1 TiletobeinstalledwithscrewsSlope
roof to have a 10 year warranty* gjji jtleaks"due`Zo workmansh:p. Repair
Specs We include uD to 3'shei1; of 0IVuvMri a rt W& LET=
Clean
up and remove roofing"mate rialSupon Completion of work K/
K%N-c, W 4 p co(g t 1 TO,OIYENSgNAL SHINGLE e(C-ek A-ccG SSOct *JA Dear
of existing_ r/, t'
Remove existing slope roof to a Clean workable surface. ZReplaceallrottensheathingandfascia. Re -
nail existing roof deck per SFBC 3401.8 (h) 17Trn
tag synthetic YBeelaStick - V
Replace an lead stacks and metal vents. Install
Class 'A' fungus kesist Rbe,gtass shingles in krioicce of r stir. ColorofShinglestobeOtotShingles
to have a minlrnum40 year manufacturers warraW VSloperVoaitphma5 )ea We"anty against leaks due to w 1unanship. FLAT
TjroifZ%S •i T.
t
Aein'oveeexispnyrsl^Rotpeoof to a dean workable surface. VReplece
811 rotteCC beathing and fascia. J(Re-nail existing 1Ebase'"rokif;dedkper SFBC3401.8 (h) Jintag75sheet` peel
3 Slick AL rReplacealleaveew: dripmetalwithngelvanizedsave drip metal. stacksandmReplaceallleadmetalvents.' " RePlacc
gashing to slope roof as necessary. Peel6SockBasePeel
Stick Membrane Flat
roof to have a 5 year warranty against leaks due to workmanship. 1OvulationSecure
all permits as necessary for the above 5
Year Warranty on Labor on all Re -Roofs Vila
propose hereby to furnish material and labor- Complete in accordancee with above specifications, for the sum of. dollars(
s) C900 PAYMENTS
TO BE MADE AS FOLLOWS: % DOWN AND Y, UPON COMPLETION
0V . —1
Permit Number.
FollorParcel io t IV. Z 0 -3b -COI-LUM -o37t U
Prepared by: TRU-TEK WATERPROOFING INC
Return to: 11621 GRAND SAY SLVD
CLERMONT FL 34711
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BY, 9153 P9 1994 (1P9s)
CLERK'S T 2018068734
RECORDED 06/18/2018 08:03:03 AM
RECOI:DING FEES $10.00
RECORDED BY hdevore
NOTICE OF COMMENCEMENT
State or Florida, County of
The undersigned hereby gives notice that improvement will be made to ceirtatn real property, and In accordance
with Chapter 713. Florida Statutes, the following information Is provided in this Notice of Commencement
1. DOSCrlptlon ofproperty Qegal description ofAq property, andjV" address If available)
2. General description ofGene
rho
3. OwnerinforM on orI
Interest In Property T
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Name TRU-TEK WATERPROOFING INC Telephone Number 407-886.3805
Address 11621 GRAND SAY BLVD CL15RMONT FL 34711
S. Surety (ifapplicable, a copy of the payment bond is attached)
Name Telephone Number
Address Amount of Bond S
S. Lender
Name _ -_._,,,._-_ Telephone Number
Address
7. Persons Within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, FloridA Stxt dob.
Name - Telephone Number
6. In addition to himself or herself, Owner deslgrhatas aw following to recelve a copy of the Usrhor's
Notice as provided In §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address_
9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording
unless a different date is specified)
CL
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COAT&& M M,
ARE CONSIDERED MPROPER PAYIIENTS UNDER CHAPTER 715, PART 1. SECTION 71&13. FLONDA STATUTES, AND CAN
RESULT INYOUR FAYWO TWICE FOR W PROVEMENTS TO YOUR PROPERTY. A NOTICE OF COI1B1ENCEYENT MUST Be
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OSTAW FlWxctu% CONSULT
WiTN YOUR LENDER AN ATTORNEY BEFORE COMMENCDIO WORK ORRECORDING YOUR NOTICE OF COWENCtM1EW.
K OWNER
SNn&Wm of Owner or Leases, or Ow Ws or Lessee's Autlated OreQADiiedalPabwimanaper Slpnstmy's TWORMIM
The foregoing instrument was acknowledged before me this L day of (Q I / by Si I Vl'W F. PA& e e, 0
m ea name of person
as rl% W V\• -. for
Type . e.a., oflloer yustes. aCmney in fact a of party on behalf of whom Instrument was 01moiAed
i P-111PersonallyKnownOR , roduc@&IDGTypeofIDProduced
Form ix hm rerised: W23M4
CEF.TIFI,'T CGPGRA i 11 ALOY Ci
E9'1C:F I 'E ('i" "UI'i COURT BY"
r4CdR4 1n 03:a .......- i O JUDO
C VERAS PhM,
type. or stamp =mnWitined name of Notary Public Pubfictate
of FlOntlan FF952974020
Tru Tek Waterproofing Inc.
POWER OF ATTORNEY
Date: 6/18/18
I hereby name and appoint JUAN RAMON RIVERA SANTIAGO
of TRU-TEK WATERPROOFING INC to be my lawful attorney -in -fact to
act for me, and apply to the Division of Building Safety for a
for work to be performed at a location described as:
ROOFING permit
Parcel ID #: Section Township Range Subdivision Block Lot
15 Digit Parcel Number)
Subdivision Name: LOT 32 GROVEVIEW VILLAGE PB 19 PGS 4 LOT 6
Owner of Property: SHF CONSTRUCTION LLC , SILVIA F . PACHECO
Project Address:
City:
203 JUSTIN WAY
SANFORD FL Zip Code: 32773
and to sign my name and do all things necessary to this appointment.
JACO PORTILLO
Contractor Na e) ( pe or Print)
Contractor Sig ture)
CCC#1331331
Contractor's License Number)
The foregoing instrument was acknowledged before me this _
of 20 18 , by JACOB O PORTILLO
who is personally known to me or who produced FL DL
as identification and who did not take an oath.
JULIO C. VERAS
Notary P h (Print name)
No P t g ture)
18 day of JUNE
Seal
4lo" gN Notary Public Sfate of FloridaJulioCVeras
j My Commis!uon FF 952974Expires01I/ 1
020
Tru-Tek Waterproofing, Inc.
11621 Grand Bay Blvd Clermont, FL 34711 1(407) 885-3805 1 Trutekwaterproofing@gmaii.com
09-)--
7
CITY OF
S O Building &Fire Prevention Division
RESIDENTL4L RE -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 BV 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 BV A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYJW"C CODE COMPLIANCE BV PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:
i
DATE: l
CITY OF '
S ORD
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 203 JUSTIN WAY SANFORD , FL 32773
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: VIREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): WOOD
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: iefOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 412 OR GREATER
TYPE OOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE ATLAS PINNACLE FL# 16305-R6
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
OTILE FL#
OTHER: RHINO SYNTHETIC FL# 15216-R3
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#
OTORCH DOWN FL#
O INSULATED FL#
OTILE FL#
O OTHER: FL#
CITY OF .
SSAN FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTLAL RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL,R.OCcOF COVERINGS
eliPERMIT#: / tJ— o ADDRESS. 3
A a iroit d -FC 3z-?
5p M 0-- Po— py4z' &D , 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 1 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 / CONTRACTOR: Pr
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE DER OR OWNERIBUILDER)
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,
UNDERLAVMENT, 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 14 rq
Sworn to and Subscribed before me this day ofJ_20 _Mby:
Who is D Personally Known to me or has tf Produced (type of
identifi t' n)(/ / / V as identification.
S' ature of Notary Public
State of Florida JULIO C VERq
p j .'•
9"Y;•' :
Atv COMMISSION q FF
V l EXPIRES Je2974007)3eo-0•S3 ^ Y2t•2020
Print/Type/Stamp Name :onaallo,, sorvkq,„
of Notary Public