HomeMy WebLinkAbout127 Alder Ct - BR18-004516 - REROOFJob Address: 127 Alder Court Sanford, FL 32773
Parcel ID: 11-20-30-512-0000-1450
Type of Work: New Addition Alteration Repair Demo
Description of Work: Reroof with IKO Cambridge AR shingles
Plan Review Contact Person: Robert Shoemaker
Historic District: Yes [INo0
ResidentialEl Commercial Change
of Use Move Title:
Contractor Phone:
407 830 8554 Fax: 407 682 8554 Email: mfroofs@yahoo.com Property
Owner Information Name
John & Lucy Paskoski Phone: Street:
290 Evansdale Rd. City,
State Zip: Laka Mary, FL 32746 Resident
of property?: No Contractor
Information Name
Mid Florida Roofing / Robert H Shoemaker Street:
PO Box 522610 Phone:
407 830 8554 Fax:
407 682 8554 City,
State Zip: Longwood, FL 32752 State License No.: CCC 057834 Name:
Street:
City,
St, Zip: Bonding
Company: Address: .
Architect/
Engineer Information 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 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`s Edition (2017) Florida Building Code
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 ofthe 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.
S' atur/e O eofr/Agent Date
a J r C4 i'-=a f lL 1
Print Owner/Agent's Name
k-
gn of ! ` ohbTOAY Pumv Date
S STATE OF FLORIDA
Comm# GG206169
Exlpires 4/11/2022
Owner/Agent is Personally Known to Me or
Produced ID L-"' Type of ID 1 4(—
l_
11 /09/18
Signature of Contractor/Agent Date
Robert H. Shoemaker
Print Contractor/Agent's Name M 0 Z -
A G rn
M
11 /09/1 E r C) >
ature of Ng-Statepb&riAANCOCK Date -n C 0
NOTARY PUBLIC 010 X 0STATEOFFLORIDA4 ® A
o s Cornr>t FF224497 D
Contractot l gent P&es 412R tSy 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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps _ Plumbing - # of Fixtures.
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
SCPA Parcel View: 1 1-20-30-512-0000-1450 http://parceldetail.scpafl.org/ParceiDetailinfo.aspx?PID=l 120305
Property Record Card
Parcel: 11-20-30-512-0000-1450
Property Address: 127 ALDER CT SANFORD, FL 32773
Parcel. 11-20-30-512-0000-1450
Owner(s) PASKOSKI, LUCY A - Trustee
PASKOSKI, JOHN J - Trustee
Property Address 127 ALDER CT SANFORD FL 32773
Mailing 290 EVANSDALE RD LAKE MARY, FL 32746
Subdivision Namei_...._ _....... HIDDEN LAKE PH 3 UNIT 5
j Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2014)
A
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
Value Summary
2019 Working 2018 G
Values Values
Valuation Method Cost/Market Cost/M,
Number of Buildings 1 1
Depreciated Bldg Value 102,118 97,52.
Depreciated EXFT Value 2,087 2,043
Land Value (Market) 30,000 30,00(
Land Value Ag
Just/Market Value'" 134,205 1295,
Portability Adj
Save Our Homes Adj 67,385 64,12,
Amendment 1 Adj 0 0
P&G Adj 0 0
Assessed Value 66,820 65,44E
Tax Amount without SOH: $1,651.30
2018 Tax Bill Amount $566.76
Tax Estimator
Save Our Homes Savings: $1,084.54
Does NOT INCLUDE Non Ad Valorem Assessments
66, 820
66,820
66, 820
41, 820
41.820
41,820
Date Book Page 1 Amount Qualified Vac/Imp
8/1/2013 08105 1511 75,000'; No Improved
12/1/1996 03178 0884 70,000 Yes Improved
8/1/1991 02328 0520 65,900 Yes Improved
6/1/1991 02307 1358 62,000 Yes Improved
12/1/1989 02134 0117 65,000 Yes Improved
6/1/1985 01650 0021 61,900 Yes Improved
Method Frontage
LOT
Building Information
Depth Units
000000
Units Price
30,000 00
Land Value
Product Approval Specification Form
Permit #
Project Location Address 127 Alder Court Sanford, FL 32773
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:
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
Category / Subcategory Manufacturer Product
Description(including
Florida Approval #
decimal)
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles IKO Cambridge AR FL 7006-R10
Underla ments Tech Wrap T-150 FL 17194-R2
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents Thompson Metals 4' Off Ridge vent FL 16918-R2
Other
June 2014
Category'/ Subcategory Manufacturer Product
Description
Florida Approval #
include decimal)
5. Shutters
Accordion
Bahama
Colonial
Roll up
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 Robert H. Shoemaker
Please Print)
June 2014
1111 11111 1 Z]:Z a
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 11 /09/2018
I hereby name and appoint: Robert Skura
an agent of: Mid Florida Roofing
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 located at:
127 Alder Court Sanford, FL 32773
Street Address)
Expiration Date for This Limited Power of Attorney: 2/10/20 jq
License Holder Name: Robert H. Shoemaker
State License Number: CCC 057834
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Seminole
The foregoing instrument was acknowledged before me this 9th day of November
20018 , by Robert H. Shoemaker who is e personallo_wn
to me or who has produced as
identification and who did (did not) take an oath.
cYwycor^
S ature
Notary Seal)
e9 a!^ JOEL HANCOCK
NOTARY PUBLIC
Ei S- ATE OF FLORIDAi+= '
CGMM## FF224497
Expires 4/27/2019
Joel Hancock
Print or type name
Notary Public - State of Florida
Commission No.
My Commission Expires:
Rev. 08.12)
Grant Malo , Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #20181Y28895 Book:9247 Page:1757; (1 PAGES) RCD: 11/13/2018 2:21:39 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: Robert Shoemaker
Address: PO Box 522610
Longwood, FL 32752
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 11-20-30-512-0000-1450
Ct'RTiFIED CO^y GRANT MALOYEROiT7FeiRCUITCOURTANDrr . , i f tC,,ifr '7i ! akSENiIi,ii k uv
rAGate`
Dt U .F CLERK 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. 1.
DESCRIPTION OF PROPERTY: -(Legal description of the property and street address if available) 127
Alder Court Sanford. FL 32773 2.
GENERAL DESCRIPTION OF IMPROVEMENT: 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: John & Lucv Paskoski 290 Evansdale Rd. Lake Marv, FL 32746 Interest
in property: Fee
Simple Title Holder (if other than owner listed above) Name: Address:
4.
CONTRACTOR: Name: Mid Florida Roofing Phone Number: 407 830 8554 Address:
PO Box 522610 Longwood, FL 32752 5.
SURETY (If applicable, a copy of the payment bond is attached): Name: Address:
Amount of Bond: 6.
LENDER: Name: Phone Number: 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. Name:
Phone Number. Address:
8.
In addition, Owner designates of to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9.
Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) 2/10/19 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. owner
Signal
a oforLessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized
Officer/Director/Partner/Manager) State
of F%Or o, County of Se-, 1n nO le. The
foregoing I tr a as k wledged before me this / day of 7)
by me
Who
is personally known to me OR Name
of rso making statement " J L_ whohasroduceidentiffcationytypeofidentificationproduced: Jonas
Wonder NOTARY,
PUBLIC _v STATE
OF FLORIDA V21 Notary Signature a
Comm# GG206169(. ,.. Expires
4111/2022
CITY OF
S OPt Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPAf(TMtNT :.
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: 11 /09/1 8
FIRECJTY
OF
JOB ADDRESS: 127 Alder Court Sanford, FL 32773
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 4' x 8'1 /2" plywood decking
PLEASE NOTE. ONL Y IOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: (*OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: OYES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
7---------------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 (* 2:12 -4:12 O 4:12 OR GREATER
OTURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE IKO Cambridge AR FL#7006-R10
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
OOTHER: Tech Wrap T-150 Underlay FL# 17194-R2
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#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#
WE
7 f. ) ,¢ ' d/1 1.1 i
n$
7 i i • .i j - ;{ i i - '7 {•7 It: ,i f
768 Ferne Drive
Longwood, FL 32779
Tel: (407) 830-8554
Fax: (407) 682-8554
Date of Estimate:
Customer Name: d
Job Address:
City, State, Zip: c'
STATE LICENSE: CCCO57834
c=. . , - / K Sales Rep Name:_
6 sk, J P, c,3 - Sales Rep Phone #:
2 L G - c Cust. Day Phone #:
51L L-i - 3 Cust. Eve. Phone #: 9
By signing below, Customer and Mid Florida Roofing, Inc. hereby agree to the terms and conditions described in this contract:
Remove existing roof from above address. Total number of squares:
C1 txq
Z S- C d
2.14-1L9-,3
Two or more layers on roof to be removed at $45 per square. $45/sq. X squares = $ (included in total price below)
emove and replace the following items with like or equivalent materials:
G. Valley Metal d total linear feet
H. Plumbing vent pip oots: 1 % inch: 2 inch: 3 inch: 4 inch: 5 inch:
I. 'Kitchen & Bathroom vents• ose: 6" goose: 10" goose: Color:
J. Off -set ridge vents (4ft): Color:
K. Ridge Vents (10ft): 1 Color:
L. Replace eave-drip (except behind gutters) with: Ls pieces. Color:
Replace all rotten sheeti (if any) a an additional charge of $60 per sheet including installation. Charge is not included in total contract price below..
l)<
Replace
g11 replaced wood (includ g sheath' g, fascia, siding, trusses, tails, etc.) will be documented and billed separately. _
underlayment with the following: 151b Felt 301b Felt Titanium PolyGlass TU Plus 7 G
4nstall`new roof using: Uf c4rchitectural Shingles 3 Tab Shingles '' Concrete Tile El Clay Tile 5V Crimp Standing Seam DECRA
Manufacturer/Style: < / 4 /51J d e I1s Color: k
Install new 4ft off -set ridge vents ($80 each) Total $ Install new 10ft ridge vents ($50 each) Total $
Replace 2' x 2' skylight: Qty: Replace 2' x 4' skylight: City: Total $ (included in price below)
Iaples,
pon completion, Mid Florida Roofing will remove all job -related debris, garbage and excess materials from job site and will use magnet for nails,
simplex, etc.
Customer requests that Mid Florida Roofing remove and discard existing solar heating panels prior to commencement of installation. If this option is
not checked, customer is responsible for removal of solar heating panels prior to commencement of installation. Customer is also responsible for
re -installation of solar heating panels when roof work has been completed, if this option is not checked.
SPECIAL INSTRUCTIONS:
C 9
If payment is not made under the terms of this contract, Mid Florida Roofing, Inc. reserves the right to place a lien on the above mentioned property and
a finance charge of 5% per month will be added to the unpaid accounts 30 days from date of agreed payment of this contract. Should collection action
be necessary, the person on this contract shall pay all court costs, attorney fees and appeal costs (if any). This contract is valid for one month from the
date of acceptance and approval by Mid Florida Roofing, Inc. Mid Florida Roofing, Inc. reserves the right to cancel all or part of this contract at any time.
The State of Florida has a construction recovery fund.
WARRANTY: Includes manufacturer's material warranties and five year workmanship warranty unless otherwise specified in special instructions above.
PAYMENT TERMS: Full payment is due upon completion of the work described on this contract, unless otherwise agreed upon in writing between
customer and Mid Florida Roofing, Inc.
4Accepted:PfLJJ'14Date:T ,
Custom r Si nature L
Approval: Date: TOTAL PRICE _ $ " VV i
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE400FAFFIDA 1/17''
RESIDENTIAL RE-RoOFINSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
6"^ ADDRESS' 127 Alder Court
Sanford, FL 32773
Robert H. Shoemaker , AS A(N) GENFRAL, BUILDINci, RESIDENTIAL, OR
ROOFING; CONTRACTOR, EN('iINLEtt,ARcii]Tf-.'.(*'I',OFV-.S,(,'IIAP'I*Ef468Btjii...i)iNcj INSPECTOR, I lit.-.'.Itl:13YAFI-'IRM,T-IIATAI.I,OFI'I-IF
FOREGOING INFORMATION ISTRUEAND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK Al THE
ABOVE REFERENCED ADDRESS HAVE BEEN INS1A] LED IN ACCORDANCE W ]711 "I'l11131R. PRODUCT APPROVALS AND ALL APPI, ICAB.I_Fi CODE
REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING, CODE, EXISTING RIALDIN(.3. IN ADDrribr 1 CERTIFY THE INSTALLATION MI ETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF 1-1-IB ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIRE.'MENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE fi: CCC 057834
COMPANY/ CONTRACTOR: Mid Florida Roofing / Robert H. Shoemaker
CONTRACTOR SIGNATURE: DATE: ZOZ
MUSTBE SIGNED BY LICENSE HOLDER OR OWNI'P/BuILDER)
A FINAL ROOF INSPECTION IS REQUIRED;
THIS SIGNED AND NOTARIZED AFFIDAVIT` MUST BE PROVIDED ATTIIE JOB SITEA'r THE TIME OFTIIIE FINAL ROOF INSPEC-I'ION,
ALONG WITH DIGITAL PIIOTOGRAPIISOF EACH PILANE OF THE ROOF SHOWING; IN DETAIL ALA. COMPONENTS (DECKING,
UNDERLAYMENT, HASHING, DRIP EDGE All'ACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE Piio,r(.)(.RAPIIS MIISTINCLUDE A RULER OR MEASURING DEVICE TO CONFIRM.ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP LOGE AND VALLEY FL-,' SH ING. PLEASE; REFER TOTHE RE-RooF POLICY AND INSPEc-rION PROCEDURE
PAPERWORK FOR FUWIAER EXPLANATION OF ALL REQUIREMENTS.
FA.ILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A REANSPIECTION 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 _&t day of November 20 18 by:
Robert H. Shoemaker . Who is "P monally Known to me or tins 0 Produced (type of
ident cation) as identification.
Sig, at re of Notary PublicSti'"f Florida JOEL I-IANQOC.K,
NOTARY PUBLIC
Joel Hancock STATE OF FLORIDA
Print/Type/Stamp Name
Omm# FFZ:-1449-1
Expires 4/27/201
ofNotary Public