HomeMy WebLinkAbout204 Friesian Way - BR18-002901 - REROOFIf
CITY OF' JUN 2 8 2018S,FORD:.
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: 16- aCID I Documented
Construction Value: S I goo 00 Job
Address: XL4 'Fri Way Historic District: YesE]NoF—1Parcel
ID: Residential Commercial Type
of Work: New[] Addition[] Alteration Repair Demo Change of Use[] Move Description
of Work: R ic" Roo f Plan
Review Contact Person: I I ffD2M U LLb n Tide: D E 01-n &n Phone:,
Sig 312 Fax: Email: i 1 f UI @ t—C it da 1 PrtY ,
erg .
Property
Owner Information co " Name
E Qr I ' n LS Street:
2.U4 PH C Mr) WA City,
State Zip: Soa) f ord 3 211 Phone:
o ag 3 sc, L41 Resident of
property? : Contractor Information
Name C
M t l a I - L Phone: 321 -31,' br71 Street %wrall
Fax: City, State
Zip: s 3271-1 1 State License No.: CC C i ,3 @ b22 Architect/Engineer
Information Name: Phone:
Street: City,
St,
Zip: Bonding Company:
Address: 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 most 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 of application and the code in effect as of that date: 61 Edition (2017) Florida Building Code o Revised:
January
1, 2018 Permit Application 1 C ,U
t; '
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 pen -nit 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 ]CC 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 win
be done in compliance with an applicable laws regulating construction and zoning.
4/13 Le Z.0 2.01 g
Signature of Owncr/Agent Date Signature of Contractor/Agent D tc
Hh Y1 CS
TIFFANY DUNN
Commission N GG 045111
My Comm. Expires Nov 6.2020
Print Name
Wlary Public - State of FloAda
Commission N GG 045111
My Comm. Expires Nov 6.2020
Owner/Agent is Jrsonally own to Me or Contractor/Agent is Personally to Me or
Produced ID ype o D 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: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: Du 121 12.01T-0x a- I
hereby name and appoint: ITca-2-1' V V `t c V an
agent of: TC. M cta ( Ro o l n e 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): Th
eand application for work jocatgd at: Expiration
Date for This Limited Power of Attorney: License
Holder Name: State
License Number: CCC 1 33 107.2. Signature
of License Holder: STATE
OF FLORIDA COUNTY
OF i tVIL. The
foregoing ins ment was acknowledged before me this -' I day of`, 20
by I C who isk personally known to
me or o who has produc as identification
and who did (did not) ;takMath. Sipa&
riU TIFFANY
DUNN Notary
Seal) •• state of Fiofiaa a
GG 045111 u
yes Nov 6. 2020 Nota&
y,&9YfDn 9faWCQj Aja T
Jff70Ln\l bt.(,Y-) Print
or type name Notary
Public - State of Commission
No. I My
Commission Expires: V.
11181111811111111111116111111111111111911THISIN.^
jUMENT
PREPARED BY: Name:
Dunn „ Address
GRANT MALOYr SEMINOLE COUNTY CLERK
OF CIRCUIT COURT & COMPTROLLER BIC
9163 Ps 601 (!Pqs) NOTICE
OF COMMENCEMENT RECORDEDTU6%2°%201°811 :39:50 AN RECORDING
FEES $10.00 StateofFloridaRECORDEDBYtsmithCounty
of Seminole % 9 Permit
Number: — v Parcel ID Number. 18-20-31-505-0000-0700 The
undersigned hereby gives notice that Improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following Information Is provided in this Notice of Commencement 9
I 1 1sq Q1PJ i f@i)illf 4#Vgn of the property and street address A available) 204
Friaaan Nft Sanfard FI 22774 Friesian
GENERAL
DESCRIPTION OF IMPROVEMENT: re -
roof OWNER
INFORMATION: Name:
Earl Hines Address:
204 FriesanWay Sanford, FL 32773 Fee
Simple Tlt a Holder (ft other than owner) Name: Address:
CONTRACTOR:
Name.
TC Metal Roofing- Chiung Tien Address:
651 Progress Way Sanford, FL 32771 Persons
within the State of FloridaDesignated by Owner upon whom notice or other documents may be served asprovidedbySection713.13(1)(b), Florida Statutes. Name:
WA Address:
In
addition to himself, Owner Designates of To
receive a copy of the Uenor'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 differentdateIsspecified) 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, I declare that I have read the foregoing and that the facts stated In It are true to
the of my knowledgga d belief. Earl
Hines owners
Slonswre Owners Printed Name Florida
Statute 713.13(t)(gr - The owner must sign the notice of commencementand no one etse may be permitted to sign In his or her stead' State
of o r i d a County of S e rn I' i o l f. The
foregoing Instrument was acknowledged before me this t( day of Tu rx2010 by
Gar 1 W h WWho Is personally known to me Name
of person making ststanent r , OR
who has produced Identification type of Identification produced: r•
k:,'•., T.IFFANYDUNN Notary
Public - State of Florida y
Commission d 66 045111 7ture
alu+ /,.: 3a ,.•
ro My Comm. Expires Nov 6.2020 gaEe
CITY OF .
S k140RDW,
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: UW Fvf d l.I I w
STRUCTURE TYPE: GLE FAMILY RESIDENCE/TOWNHOUSE Q 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): LA) 0 OL/-
PLEASE NOTE: ONLY ;100 SQIJA ET OF THEEXISTING DECK IS PERMITTED TOBEREPLACED**
ROOF VENTR.ATION:;OFF-
MDWE Q RIDGE QSOFFIT QPOWERED VENT QTURBINE.S
SKYLIGHT'S: O YES IF YES, PLEASE PROVIDE, FLORIDA PRODUCE APPROVAL#:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 Q 2:12 -4:12 Q<12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
Q METAL FL#
Q MODIFIED BITUMEN FL#
QTORCH DOWN FL#
QINSULATED FL#
O TILE FL#
Q OTHER: FL#
ROOF EXTENSIONS (PORCHES. PATIOS. ETC.) **IFAPPLICABLE**
ROOF SLOPE: p LESS THAN 2:12 Q 2:12 - 4:12 p 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
Q SHINGLE FL#
QMETAL FL#
0MoDIFIED BmIMEN FL#
Q TORCH DOWN FL#
QINSULATED FL#
QTILE FL#
Q OTHER: FL#
CITY OF
SkNF0RD Building &Fire Prevention Division
D RESIDENTM REROOF 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 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 CONDOMMUM) 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 NABS
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 GUMELUM 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: v. 6 I U
r
A
4
n
1q
TC
METAL
ROOFING
CW331022
CGC1524548
CONTRACT AND AGREEMENT
DATE: (R — 7 - g
Contract Total $ 11, 90C>,
DownPayment $ Delivery
Payment $ • Final
Due $ Customer
Home Phone: Cell Phone: 7014-6143 - 51W Work Phone: This
is a contract between TC Metal Roofing LLC. andFexr N )AiyseS customer) who
resides at ' U4 S; a 17 (I , city San f Zip3d 77 3 As used
in this contract, the words seller, we, us and our, refer to TC Metal Roofing The words you, your, and the owner/buyer refer to you the customer. We agree
to furnish all labor and material necessary to install the following: Please X
all items that pertain to this contract and NA if non applicable. Remove existing
material from existing roof and dry in Remove existing
eave drip from perimeter of home and replace rotten wood where deemed necessary by contractor. Remove and
replace existing skylights size: and size total replaced Remove existing
off ridge vents and turbine vents from roof surface and sheet holes Install SW
egjlp-S, roof system on sloped surface of roof including plumbing boots, flashings, eaves drip,
squire vents and ridge caps if ap li able. , Areas not
incl 1is contract 5 o I` Jr ^}--+- Ct COLOR O
SHINGLES, ETAL, TILE: t i-a 0 J ADDAta plot- ; ^a NOTE: COL1rTAL,
SHINGLES, OR TILE MAY NOT BE EXAM', and cannot be r t Install single
ply membrane roof system on flat surface roof, Approximately sq ft, color Obtain all
necessary building permits Remove construction
debris from job site Furnish etrr
arranty and 3 0 year limited manufacturer's material Down Payment $
received / / Delivery Payment $ Due when Balance will
be paid $ Upon Completion of Installation. once ordered.
warranties material
arrives,
OWNER IS
RESPONSIBLE FOR ANY SOLAR PANEL, OR SATILITE DISH KOVE AND RELOCATION ACCORDING TO
FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR
PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY.
IF YOUR CONTRACTOR OR A SUB -CONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS,
THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID
YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR
PROPERTY. THIS MEANS 1F A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR
OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU
SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE
YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER". FLORIDA'
s CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THATYOU CONSULT AN ATTORNEY. FLORIDA HOMEOWNERS'
CONSTRUCTION RECOVERY FUND PAYMENT MAY
BE AVAILABLE FROM THE FLORIDA HOME: OWNERS CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY
ON A PROJECT PERFORMED UNDER THIS CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF
FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING
A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD: C/O 1940 Notch Monroe Street,
Tallahassee, FL 32399-1039, Phone: 850-487-2252 CHAPTER 558
NOTICE OF CLAIM CHAPTER 558,
FLORIDA STATUTES, CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY BRING ANY LEGAL ACTION FOR
AN ALLEGED CONSTRUCTION DEFECT. SIXTY (60) DAYS BEFORE YOU BRING ANY LEGAL ACTION, YOU MUST DELIVER TO THE
OTHER PARTY TO THIS CONTRACT A WRITTEN NOTICE, REFERRING TO CHAPTER 558, OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE
ARE DEFECTIVE AND PROVIDE SUCH PERSON THE OPPORTUNITY TO INSPECT THE ALLEGED CONSTRUCTION DEFECTS AND TO
CONSIDER MAKING AN OFFER TO REPAIR OR PAY FOR THE ALLEGED CONSTRUCTION DEFECTS. YOU ARE NOT OBLIGATED TO ACCEPT
ANY OFFER WHICH MAY BE MADE. THERE ARE STRICT DEADLINES AND PROCEDURES UNDER THIS FLORIDA LAW WHICH MUST BE
MET AND FOLLOWED TO PROTECT YOUR !NTERESTS. A Do
not sign this Home Improvement Contract if blank. BYou
are entitled to a copy of this contract at the time you sign. Keep it to protect your legal lights. C This
home improvement contract may contain a mortgage or otherwise create a lien on your property that could be foreclosed on if you fail to pay. Be sure you understand all
provisions of the contract before you sign. D "PROVISIONS
OF THE AGREEMENT', as listed on Page 2, are part of this Contractand Agreement. E This
contract is subject to review and approval by management of, TC Metal Roofing LLC, Inc. and is not valid until approved. APPROX START
DATE 5_ •TO WEEKS AFTER BUILDING PERMIT IS ISSUED, APPROX FINISH
DATE: 3 ell" A T gtal
j3 presentative: O ! Date: (
D - 7- / Owner/Buyer I Mail Address
a y (L4-e.1 YooC-49 , Lew• Co -Owner/ Buyer ti % K S Fe,r t 40 / o t -a; 1, co w% page I W Metal
RmfJW ZW A9 Mr 8=6 MY7CUG! MCF 1Z .St? 26 bI==a2?
METAL 1
ROOFING
CCC2331022
CGC1524548
PROVISIONS OF THE, AGREEMENT
A. Cancellation: IfOwner / Buyer(s) cancels after three business days, all deposits are non-refundable. Owner/Buyer(s) shall pay liquidated damages equal to
ten percent (10%) of total cash price. Contractor reserves the right to cancel this order if Contractors engineers determine that the job, as sold, will not
afford proper installation. REPRESENTATIVE OF CONTRACTOR IS NOT AUTHORIZED TO MAKE ANY PROMISES NOT CONTAINED IN
WRITING IN THIS AGREEMENT.
B. Pre -Job Conference: Owner/Buyer(s), or their assigned Agent/Representative, shall attend a Pre -Job Conference during NORMAL
WORKING HOURS with the Contractor or an assigned Company Representative.
C. Home Owner Association Approval: Owner/Buyer(s) will be responsible for all and any approvals by said association.
D. Damage to Project: Contractor will not be responsible for any damage caused by the Owner/Buyer(s), or other causes beyond the control of the Contractor.
Owner/Buyer(s) will pay for any restoration work.
L Damage: Contractor shall not be responsible for damage to lawn, lawn or irrigation fixtures due to construction activities.
F. Delay: Contractor will be excused for any delay beyond his reasonable control. These delays may include, but are not limited to, Acts of God, Labor
disputes, inclement weather, acts ofpublic authority, acts of the Owner/Buyer(s), or other unforeseen contingencies.
G. Right to Stop Work: If any payment under this Agreement is not made when due, the Contractor may suspend work on the job until such time as all
payments due have been made. Any failure to make payment is subject to a claim enforced against the property in accordance with the applicable lien laws.
H. Substitution of Material: Contractor may substitute materials with written notice to the Owner/Buyer(s) in order to allow the work to proceed provided
that the substituted materials are of no lesser quality than those listed in the specifications.
1. Woodwork: Contractor is not responsible for painting or finishing any woodwork that is newly installed or existing wood exposed by the installation ofthisproduct.
J. Notice: Any notice required or permitted under this Agreement may be given by certified or registered mail at the address contained in this Agreement.
K. Prohibition ofAssignment: Owner/Buyer(s) may not assign this Agreement or payment due under this Agreement without the written consent of the
Contractor.
L. Entire Agreement: This document constitutes the entire agreement by the parties. No other documents exist. This Agreement can be modified only by
written agreement signed by both parties.
M. Choice of Law: This Agreement shall be construed in accordance with, and governed by, the laws ofthe state or Florida.
N. Attorney's Fees: Owner/Buyer(s) shall pay Contractors attorney s fees and costs for collection ofany sums due hereunder. whether or not suit is filed.
O. Venue: Venue ofany proceedings relating to the contract shall be in Orange County, Florida,
P. Survival: If any provision of this Contract should be deemed void or unenforceable, the remaining provisions shall survive and remain enforceable.
Q. Final Payment: Final payment is due upon completion of the installation of the described work. Failure of Owner/Buyer(s) to pay all amounts due
shall constitute a material breach ofthis Agreement by Owner/Buyer(s) and Contractor may avail itself ofall remedies afforded by this ContractunderFloridalaw,
R. Interest: All amounts due to Contractor shall bear interest at 1.5% per month (18% per annum.)
S. Additional Labor and/or Materials: Additional labor and/or materials to bring existing work to applicable code are not included and will be at an
additional cost unless otherwise noted on the contract. IfOwner/Buyer(s) elects to perform needed work, it must be completed in atimely manner, which is
defined as no longer than five (5) days after receiving written notice by Contractor. IfOwner/Buyer(s) elects to have Contractor perform work, it will be
executed only upon the parties entering into a written change order.
T. Right to Advertise: Owner/Buyer(s) authorizes the Contractor to use photographs of the subject property for advertising purposes and leave a job sign
displayed on the premises.
We the Owner/Buyer(s) accept and acknowledge that the prices, specifications, provisions, and conditions listed on Page I and Page 2 ofthis
CONTRACT AND AGREEMENT are satisfactory, and are hereby accepted by the Owner/Buyer(s). Contractor is authorized to perform the work asspecified. Payment will be made as outlined on Page 1 and Page 2 ofthis document. TContractorRep.I)LA zz Date (- — 7—AfOwner Buyer: ' `t Date
Co -Owner/ Buyer: Date
NOTICE OF RIGHT TO CANCEL CONTRACT
You, the Owner/Buyer/s}, may cancel this transaction at any time prior to midnight ofthe third business day after the dale of this transaction. See "Notice ofCancellation" for an explanation of this right.
Buyer acknowledges receipt of this contract immediately upon the execution hereof,
Florida Certified Roofing Contractor #CCC1331022
No verbal agreements will be honored. Items ordered must be on contract,
This is a legally binding contract. Ifnot fully understood, seek competent advice.
NOTICE OF CANCELLATION
Date
You may CANCEL this transaction, without any Penalty or Obligation, within THREE BUSINESS DAYS front the above date.
Ifyou cancel, any property traded in, any payments made by you under the contract or sale, any negotiable instrument executed by you will be returned
within TEN BUSINESS DAYS following receipt by the Contractor ofyour cancellation notice, and any security interest arising out ofthe transaction will he canceled.
Ifyou cancel, you must make available tothe Contractor at your residence, in substantially as good condition as when received, any goods delivered to you
under this contract or sale, or if you wish, you may comply with the instructions of the Contractor regarding the return shipment or the goods at the Coinractor'sexpenseandrisk
Ifyou do make the goods available to the Contractor and the Contractor does not pick them up within 20 days of the date ofyour Notice ofCancellation,
you may retain or dispose of the goods without any further obligation, if you fail to make the goods available to the Contractor, or if you agree to return the goods totheContractorandfailtodoso, then you remain liable for performance of all obligations under the contract.
To cancel this transaction, mail or deliver a signed and dated copy of this Cancellation Notice or any other written notice to
TC METAL ROOFING LLC, Inc. PO BOX 265066 DAYTONA BEACH FL 32126, NO LATER THAN MIDNIGHT OF k/lQ/_LR
1 HEREBY CANCEL THIS TRANSACTION.
Date:
Owner/Buyers Signature: Page 2
W Neta1 JAa IV ZW A9 BOX .? WS a!J'f W B IX Pb 8.W LRZW txCl=n?
CITY OF
if SA ORD Building & Fire Prevention Division
RESIDENTLAL REROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALLFINAL ROOF O COVERINGSPERMIT #:
18 — 01 ADDRESS: 20 ' `-II I "
Viado 1W Q San -Ford, FL
Sn'-71 I Ch i
u-n 9 I u-n AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, rAGINEER,
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 #: Ccc 13310
22 COMPANY / CONTRACTOR: I
LeI O it II(hi Lt SO T CONTRACTOR SIGNATURE: DATE: MUST
BE SIGNED BY
LICENSE HOLDER OR OWNER/BUILDER) 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
OFy CM I n O I 0 Sworn to and Subscribed before
me this ( day of 20 by: Nan i UU ' . Who A
Personally Known to me or has 0 Produced (type of Iden lion) as identification. V
Si a o Nary
Public State o a j,4'%
TIFFANY DUNN t.'„` /
j /In "•• Notary Public
Slate of Florida 11 PrinV e/Sta n
Name •,,,
Commission Co m . xn i
es
Nov46,
2020 YP P My Comm. EpofNotaryPublic "'°