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Home My WebLink About137 Spanish Bay DrMay.24. 2016, 3:10PM Oviedo Roofing Ent. 15° No. 9174 P. 2 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: % i May.24. 2016, 3:10PM Oviedo Roofing Ent. No. 9174 P. 3 OTICE In addition to the requirements- of this permit. there may be additional restrictions applicable to- this property that maybe found*in the public•rccords of this county, and there may be additional• permits required from other governmental. entities such as water manggement districts, state agencies, or Moral agencies. Acceptance of petmlt Is verification that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanfordrequires-payment of a plan review fee at the time of permit submittal. A copy of the ereeutod 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 iatle 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 valuer; credit will be applied -to your. permit fees when the permit is issued. :. OWNER'S A-FI17DAVIT: I certify that all of the foregoing infortitatjon is accurate and that all woe .toll4 K be -done in eotnpliance with all applicable laves -regulating construction and zoning. i 173 ' 01 Branae o A We Si®utureofConuaaor/Agent Data I"! J, .` ic. L7 to flintOwner/AgenVAName printComm or/AQmt'sName % J :.. signau ot3ry�.srataafFJarka Rate lrNa re tdt MY COMMISSION a FF924614 •, EXPIRES October 05, 2014 Ue)m]i8-0my� : ilokoNau oMte.Wm i:: �'� � .: - / Owner/Agent is Personally Known Me Contractor/Agent is V Personally Known to Me :.b to or or Produced ID _vo' Type -of IDo��C Produced ID Type of ID BELOW WOR OFFICE USE ONLY Permits Required: Building D Electrical ❑ Mechanical.[] PlumbingE] Gas[] hoof [] Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - i# of Amps Plumbing : kof Fixtures Fire -Sprinkler Permit: Yes[] No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: WASTE WATER: FIRE: BUILDING: ReW$td.,rune 3q 2ots Permit Application May -24. Q j 6 , -11 PM I 1 lOv Oviedo Roofing n g �n r, _ CVN) Uk., evI i I v 114 P` 4 Y) , N pc�Y� n(�l.4 Wrl eft To: R.thO Stott d Terry Wynn February 9. 2016 137 Spanish say Or. Sanford, H. r Job Address; 137 Spanish gay Or. Sanford, Fl. Oviedo Roofing Enterprises. Inc. 569 Lagoon Dr.I NO DEPOSIT and NO PAYMENTS are required until work has been completed. $;$$Ph: Oviedo, Floflda 32765 407 -365 -ROOF (7663) •'Indudod•• All Employees are fully Insured amour worlonares compensation policy, and have been background checked. Fax: 352-241-0854 License 8 CCC1326813 i NMI •1. ReMoVe and replace one layer of tool. Oviedorooflng.com I. leinove wool down to decking end to -nag cracking Van center per building code. To: R.thO Stott d Terry Wynn February 9. 2016 137 Spanish say Or. Sanford, H. r Job Address; 137 Spanish gay Or. Sanford, Fl. Description Amount NO DEPOSIT and NO PAYMENTS are required until work has been completed. Flve•yaar written workmesuhlpmvarranty on ehtngiaroot. The workmanship warranty Is transferable. •'Indudod•• All Employees are fully Insured amour worlonares compensation policy, and have been background checked. ••Induded" Scope of work to be Performed: '^ •1. ReMoVe and replace one layer of tool. I. leinove wool down to decking end to -nag cracking Van center per building code. S. Inspect all decbing for rotten, damaged or deterlorated wood. All deteriorated wood will be replaced Stan additional charge of $55.00 per sheet of plywood Installed, and $5.75 per linear root of dock boards, slding boards, rafters, raker calls, joists, fasela end sub [aide board Installed. Ao mato) L - Flashing and mitol counter fleshing will be Installed at on additional charge of $10.75 per linear foot. 4. Furiilth and Install new lead boats and goose neck vena to replace ewlsting. All ventswill be 26• gouge faitory,Pelnted metal, color. 5. Fumlth''nd Initill il'oN Adie vents to replace pitting metal ON Woo Vents to establish proper veritualloit. 6 Remove exhilmg volley motel than furnish and Insall to gauge se• new rectory Finished valley motet and peel n silt%vnderlayment. Furnlsh and Install flashing at the bottom of each valley, seal valleys with flashing grade cement. 7, clean and Inspect wall nashlog. Homeowner will be notified of any wall flashing deficiencies and eddltlonal cost and wcope of work to repair. g. Furnish end Install 30 lb bsphait reltundert"mont over entire root and nail all dry.ln to meet state -and county high wind code. $6,646.00 9.Furnlsh end Initell Cemfnteod>ihtngls hitters. 10. Fumisll and instill Certarnteed pre-cut Hip and Ridge cap. 11. Furnish and Install 261auge I It Inch factory palnied metal drip edge. Color: 12. Seel all eves end rakes with flashing grade cement per code. 13. Furnish and install Certalateed Landmark Ulellme, to year non -prorated materials, and labor worranty, 330 MPH Archltcctural7ihingles en shinglod.eroa e[buficring• Color to be chosen by customer. Sinnott all shla jfei,por state high wind code. All shingles will be fungus guard. Colors 14. All work will be peAomtod root menufactwe/i speilnntlons and total building codes. Oviedo Roofing Is not responsible for env stucco work ne1,dod.— obiiesure Removal'of ell solar panels and relaling piping will be the responsibility of the owner or agent, Disclosure All reef colors must be selected by owner and or owner's agent and agreed to at time of contract signing. ••Included • Ovlede Roofing will remove tatelllte dish If needed, however customer is responsible for reinstalling and •'Induded•• rallbraling atelllte dish throyh setelllte tom en . _ Gean.up and haul away etl.debrb. Sweep ground with Magnet for nails as roof Ii replaced. Trim bushes and trees "Included" biaiiches cc's needed. _ 'Manufactlne/s Limited Ufetlme Warranty onShingles ••Included•• All stayed dumas "lots and roofing materlah will remain on the Job site until the project Is completed Disclosure Property owner at agent will provide Oviedo Roofing and any vendor with octets to fob slte to lacllltale trucia and equipment. This prhe Is based an our trucks or having dlrect access to the building. We on not rasponsible Disclosure for any credit or damage lotho driveway or sidewalks. Oviedo Roofing Is not responsible for any damages to Owner's any vehicles left dose Now work aria. In addition we are not responsible for damage caused by falling debris. 1 edo poofing will not be rpiponslble for drain 1100s, yard Irdsk onsPlumbin landscape or se do owliterms. Roof'fistimate_ 'Poae 1 oft May.24. 2016, 3:11PM Oviedo Roofing Ent. No. 9114 P. 5 Oviedo Roofing will not be responsible for env Interior damage or environmental Issues discovered during or as part of tool replacement. Any damages sustained due to At" of God (such as micro -bunts, wind events, or raln) dwlnLthe g2 eat ate the res enslbllky, of the homeowner and their homey, Martimurance. Dlsclo:tire Ownees Initials Price Isased'on one lever of roofing. If additional layen.em found each layer will be removed el 05.00 per Disclosure hundred square'het. _ . ter•-..�..�• .Oviedo oofina will obtain all.pennits and post at the Job site. permits must remain postad until final Inspection Disclosure Is completed. Flnallted pIrmits will rerhaln with homeowner fo►thelrrecordr.. _ :Rnsnte eharsek of 15% per month will accrue on accounts not aid vrlthln 10 s of lnyolce. Olsolosure, _ _ Contractor's work will be warranted by Contracto►ln acrardante with lis standard warranty, contractor.80 not bi liable for spectal,.punitive. Incidental, consequential damages e►subrogetlon. The occeptance it this proposal by.the customer signifies their agreement that this warranty shall be end Is the exclusive remedy, otalnst.contractorpertaining tefeat root installation. cultomeracknowladgesthat Nowasrao*will he -provided If payment In full Is not made In etcordante with the terms of this Contract. Disclosure All additional expenses incurred during the proloct she the sole ►esponslblRay, of the property owner or their .agent. This may Inslude costs to repalrilefects discovered after removal of exlsting roof that were unable to be detected during visual eveminelion, and/Oremts for oddluonal materials needed to correct deficiency or to bdngdakientdiscovered Items t�rrentbulldIng code raitulredbylocil(urhdictlons. _ Disclosure Oviedo Roofing reserves'the right to withdraw this pro sal.11wstomer does not accept it within 10 days. Disclosure Nodes t0 Nomeownen Florida Reoldspotlal Building code requires the roof deck to be re-nalled every six Inches Disclosure ~ on tenter dufing loll re .00t projects. II a house or elrutture hes been re -.piped and the pipes are not Installed per Florida Buliding/Ptumblat We, there li a postlbllity of domege ,to Ilia piping during re•nailing process. It Is Owner's 'the sole responsibility of the homeowner. to Insure plumbing and HVAC fines are Installed properly before Inflials commencement of re -roof prgleet. Rooting contractor Is not responsible lot any damages to piping or Interior Out to Impropoily Installed piping:_ _ _ _ 120_ This estimate price Is based on a cath or chetk.payment'Visa, MesterCetd, end Discover cards are accepted for W, els a merit also. All bank merchant fees (convey lente fee) will los addict to all credltuh ayments. 'I have completely reed and un entond theterms' of f thts contract In full; end have agreed to all terms stated in TOW Piles -this contrthct. Owner/Agent Pies st n,Print -and a ere. _ 0 "j aeu C 04S r Print'Nemt x -Signaturek Aicordin/ loflo►Ida's Wnstrue"on Iitaw 0011en 13.001.71937, Fbtlde Statutes(, these who work on your.property or provfda materials and services and ere not paid In full hevo a right to erifotce ihelr etalm for Disclosure _payment against your property. Thli claim Is known as a construction lien. If your contractor or a subcontractor falls to pay subcontractors, sub.subcontrectors, or malerfel'tuppllers, lhOse people who are awed money may Florida .look to your property lot payment, even If you have already paid your cant►aclo►ln full, If you fa0 to payyour Construction Uses contractor, your contractor may also have s hen on your property. fila mesnt If a lien is Ned yeur.paperty, .taw could be sold against your. well to.pay for tabor,'snstetiats, or other seMcef thii your contactor or a Please reed subcontractor may have filled to pay. To protect yourself, you should stipulate In this contract that before any payment.ls made, your contatror Is regol►fd to prorilde you with a written release of 'LiIlon'from any person or tompany that'has provided to you a "notice to ewnar "Flodde's Construction Uen taw Is complea bad It Is L ►ecom`endedthai.yowconsultsnattorney^_ Roof iislimalc - Page 2 of 2 May. 24. 2016. 3:11PM Oviedo Roofing Ent. No. 9114 P. 6 08/2012014 13:53 City of Sanford - BD (TA*4078885152 P.0031010 D City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project location As required by Florida Statute 663.842 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 muw.florldabulldlno.oro. The following information must be available on the )obsite 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 Florida Approval # Description 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 May. 24. 2016, 3:12PM Oviedo Roofing Ent. No. 9174 P. 7 08120/2014 13:53 City of Sanford - Bq (TWO76885152 P.0041010 Category/ Subcategory Manufacturer Product Descri tion(including Florida Approval # decimal 3. Panel Walls Sidin Soffits Storefronts Curtain Walla Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofina Products Asphalt Shingles Underlayments Rooflng Fasteners ko Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof S stems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofln E.P.S. Roof Panels Roof Vents Other June 2014 May.24. 2016. 3:12PM Oviedo Roofing Ent. 08/20/2014 13:53 City of Sanford - BD No. 9174 P. 8 fAX)4076065152 P.0051010 Category/Subcatepory Manufacturer Product Florida Approval # Descri tlon include decimal S. Shutters Accordion Bahama Colonial Roil u Equipment Other G. Skylights Sk II hts Other T. Structural Components Wood Connectors / Anchors Truss Plates En Ineered Lumber Railin Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Well Prefab Sheds Other B. New Exterior Envolo a Products Appllcent's Signature Applicant's Name (Please Print) June 2014 May.24. 2016. 3:12PM Oviedo Roofing Ent. THIS INSTRUMENT PREPARED BY, NUrine: JIM ST R%ALKO Address; B02 S. HWY 27 MINNEOLA. FL. 34715 NOTICE OF COMMENCEMENT No. 9114 P. 9 112111111161vital 11811 e1188 lfreb fur fact i1;1RYAWE 11OR1.11:t !.01IN01.5 COUNTY i:LESY• %IF CiRCOVI GQU�tI' it (1fi11PTIW1-t-ER 1 "U i.I°;; 1.�1'r.':I<<, ter r•,;5t?M ?kG01iUh:0 �Y ht1=aver Permit Number. Parcel ID Number: 33-19-30.519-0000-0710 The underslgned ho►eby gives notice that improvement will be made to certain real property, and In accordance wilr) Chapter 713. Florlds Slattrles, the following information Is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY: (Legal dowipllon of the properly and street address if available) LOT 71 MONTEREY OAKS PH 2 REPLAT PB 58 PGS 22-23 2. GENERAL DESCRIPTION OF IMPROVEMENT - SHINGLE RE-ROOF MPROVEMENT:SHINGLERE-ROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF IME LESSEE CONTRACTED FOR THE IMPROVEMENT: �"V Name and address: #7VA1_D 1CCOTfAGES W TWOOD LN GUILDFFORD SURREY ENGLAND GU32JB 01 Interest In property: OWNER G�' _ �(� 44 a Foe simple Title Holder (If other then owner listed above) Name_ �� w 4. CONTRACTOR: Name: OVIEDO ROOFING ENT INC _ Phono Number. Address: 802 S. HWY 27 MINNEOLA, FL. 34715 S. SURETY (If applicable, a copy of the payment bond Is attached): Name Address: Amount of Bond: 6. LENDER: Name: Phone Number., Address: - - T. Persons withbt•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 recotve a copy of the Lienors Nollco as provided In Section 713.13(1)(b), Florida Stetutea. Phone number: g. Expiration Data of Notice of Commencement (The expiration is 1 year from date of recording unless a different del* is specified) 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 713.19, 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. r >C �T � WYN(j . Q m E Sino A n a L . ot+na'e w l.one" (Pdn1 Nemo and Piovtde al9nelaye Tidc101 to) IAprlbtre is 0AIR naper) tntebt L'w G.�.Iv County or S "ti'Lr1' The forogoing inetniment woo acknowlodged before me this 2 q day of by I C'0 K W, tU �j Who is personally known to me O OR Name or pallon maeine ttatemat who has produced Identification type of identl0catlon produced: wtt `a�X • t •'�' i?• �• erySlproeaa • .. 4� , ., ... :7•'... `:.,IAC r 4 '' May. 24. 2016. 3:12PM CfA P/iPP ea.mereaw Parcel Information Oviedo Roofing Ent. Property Record Card Parcel: 33-18-30.510.0000-0710 Owner: STOTT RACHEL d WYNN TERRY Properly Address: 137 SPANISH BAY DR SANFORD. FL 32771 iValue Summary Parcel 33.18.30.518.0000-0710 2015 CertlAed Owner STOTT RACHEL a WYNN TERRY Values Properly Address 137 SPANISH SAY OR SANFORD. FL 32771 I Coel/Market Marling 07 WALDEN COTTAGES WESTWOOD LN GUILDFORD SURREY ENGLAND GU32JB Subdivision Name MONTEREY OAKS PH 2 REPLAT ; $150,436 Tax District SISANFORO $701 DOR Use Code 01 -SINGLE FAMILY IS33.000 Exemptions + 1 .4 6 51:42 a �O. t0 91,24 102.14 60 Seminole County GIS li 1. No. 9174 P. 10 Tax AmounlwiftutSOH: $3,072.31 201STax8illAmount $3,072.31 Tar Fstimato $ave Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad ValoremAssessmenls hhp!/parceldetail.scpafl.orgfftcelDeWllnfo.espx?PID=33193051900000710 112 2018 Working 2015 CertlAed Values Values Valuation Method Co3VMarkel I Coel/Market Number of Buildings 1 :1 . Depreciated Bldg Value ; $150,436 i $138.100 Depredated EXFT Value $701 $751 Lend Value (Market) IS33.000 I $20.000 Lend Value All I JuslfMarkalValus— i 5184,137 1$166,8.51 Portability Ad) ` t I Save Our Homes Adl 50 $0 Amendment 1 Ad) _ $29.049 ._ ...... $26.882 —_... . PBG Ad) $c $o Assessed Value $155,088 $140,909 Tax AmounlwiftutSOH: $3,072.31 201STax8illAmount $3,072.31 Tar Fstimato $ave Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad ValoremAssessmenls hhp!/parceldetail.scpafl.orgfftcelDeWllnfo.espx?PID=33193051900000710 112 May. 24. 2016, 3:10PM Oviedo Roofing Ent. No. 9114 P. 1 REM mom VIEDO ROOFING li=NTr=PP 1ramns, II c. Office: 407.849 -ROOF (7663) / Fax: 407.438-6951 Email. custorner..service@oviedoroofingent.com FAx TRAISIE�MITTAL To:b �6' q C�pf)l From: 1 CompanyDate: Z a Fax: 151 Pages: Including Cover Sheet Phone: Re: O -V n( I Og=,- - -PrT)a 40Pk 1M I O Urgent \WFor Review O Please Comment 0 Pima Reply O Please Recycle o Comments: LEGAL DISCLAIMER The information transmitted is intended solely for the individual or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking action in reil'ance upon this information by persons or entities other than the Intended recipient is prohibited. If you have recelved this transmittal in error, please contact the sender and delete the material. El IR 6 LVd a Ln VH; bh i!,-: fir.. JRS3 e TO., %C7. IS 412 a�70f Fur,: ars{. 7.jO-.1S.!4FiSI v.'I:i F;+ ..n; J.:Y' ;:� : t i' •.. PERMIT NO. CONTRACTOR: JOB ADDRESS: TYPE OF WORK: City of Sanford Building & Fire Prevention Division Re -Roof Permit Card � J � 19 i �'0 • Post this Permit in a conspicuous place • Approved plans must be posted with permit for inspection • Leave all work uncovered until inspected • Permit expires six (6) months from date of issue or last apr inspection PROTECT FROM WEATHER * * * A ROOF DR Y -IN INSPECTION IS REQUIRED * * * For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The Mitigation Affidavit will not suffice as an alternative to receiving a dry -in inspection. ROOF INSPECTION TYPF. APPROVED RFJFCT F!) INSPECTOR MISCELLANEOUS INSPECT/ON TYPE APPROVE!) R&IECTIM INSPECTOR ROOF DRY -IN MITIGATION AFFIDAVIT FINAL ROOF 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: October 2014 Inspection Line 855.541.2112 TO SCHEDULE AN INSPECTION: • Dial 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 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 ROOF Roof Dry In 116 Mitigation Affadavit 129 Final Roof 111 Miscellaneous Notes: Miscellaneous Sheathing - Roof 106 Insulation - Roof 119 REVISED: OCTOBER 2014 Inspection Line: 855.541.2112 FIRE INSPECTIONS CITY OF SANFORD 407.562.2766 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 16-00001508 Date 5/24/16 Property Address . . . . . . 137 SPANISH BAY DR Parcel Number . . . . . . . . 33.19.30.519-0000-0710 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 940718 Permit pin number 940718 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 10-1000 129 BL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN 1000 111 BL03 FINAL ROOF / / 0812012014 13:54 City of Sanford - BD (FAX)7076885152 P.0101010 CITY OF SANFORD BUILDING SERVICES Residential. Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 1 lQ 1 I, hereby acknowledge that I personally inspected ooftde^ck� a'i�l�ing"''r' Secondarywater barrier work at and have determined that the work (Job Site Address) — t ` was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the Intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Secti n 837.06 F.S. Z ��ZSd 6 Signa re of Contractor Date D , ri Ck� 0QC, )�a Ul3 Printed Name of Contractor License I License Type: D General 0 Building 0 Residential Wf oofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF 0 or affirm an su s ribed before m�/thIs 3/Al'day of M , 20 /��, by who is gTersonally Known to me or as D Produced (type of i entific n) as identification. (SEAL) Signature of o ublic State of Florida Print/ ype/Sta KRISTEN AA VANE=K of Notary Public MY COMMISSION 9 FF924614 •,,,y� EXPIRES October 05.2019 1�071395-015� Fbr1WNWry5orvjeo cam 3