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HomeMy WebLinkAbout2015 Caronado ConcourseNov.22. 2016 2:28PM SENEZ ROOFING No.6524 P. 2 BUILOW G.- FIRE. . IRE., P -AN RE TkQN PPOWITAPP410AMN A.P070166 Job Address: r Pftrce[ID".RdidoiltiafO. commer6a) 0. ........... Type-of.'Worlc: New jlmditionEl $tapair 11 u0m,0: 0Ceo. 44n 91Vse 11 Move[] Description .of-VOile; a Plitt, Rt*VICW C. ofitset Persba.. e. Title! Bonding Company: gortppLend'er: Address-, Address: WARMN0. TO OWNER; YOUR .FA ILURBY0 REC010 *-NOTIMOV -COMMS. NCEM1914TMOMULT IrTyOun PAY i T -FO4 N.T.9 *TQ -.Op.R­p-:R0r%y '.NOTICFj 01r COMMENCEMENT MUST BE ..INV ".TWIST HF jMPROn Y1 i4 y k-ECORDEV AND POSTED!ON THE JOR-SITE i9EVORE:THZ..FIRS-T INSTEC-770N.. IF YOU INTEYOUR. NOTICE''OT TO OBTAINFINANC FINANCING. CONSULT W" YOUR YOUR LENDr..R OR AN ATTORNEY MORE! RECORDING YOUR. ApOlidafioh -is lieteby made to obtiM4 pershit to do tht -wotk ifid.licattd*. I conify ihat.na work: or instaboon,has M - at all work -mill be performed to Oat. stfilidg*4 of All. ijws,rqpleti sponstruc.tio ' n feq11rli;tj-.'iVork, pjq0s0ing,.sjgft, wellt, pools, 'in this Jurisdiction., S�Ctioft.. I %knotntond An t.2 stp rn to permit. m'"S, 1. liq -'sewed -tot fUTn8C6Si boilers, heaters, lunks, acid air c6vidi6o%kits,*q-. FRC.103 Mall be In gibcd With tbe.d4t& of -applip 3 jjqn-ap4.!4o qpdo ip-cffcct as, ofdhat date: S!'%.Edilion (2014) Florida Building.Codc jkVV)390`1 )4nc 30; 2015 Fax: Omar PToperty Qwnqfr'lnfarm#f1on: Name. YA G kOM 103 (Al Phone. '3u_2 Street:>o Is- Resident-oiproperty?:-. IV,4 city; Sto6-110'r. c6litradiot Information Name E I P�j AC, V Jt6 City, State 7Ap-, Statei-Licensegoa Street. cit, f st, zip., Bonding Company: gortppLend'er: Address-, Address: WARMN0. TO OWNER; YOUR .FA ILURBY0 REC010 *-NOTIMOV -COMMS. NCEM1914TMOMULT IrTyOun PAY i T -FO4 N.T.9 *TQ -.Op.R­p-:R0r%y '.NOTICFj 01r COMMENCEMENT MUST BE ..INV ".TWIST HF jMPROn Y1 i4 y k-ECORDEV AND POSTED!ON THE JOR-SITE i9EVORE:THZ..FIRS-T INSTEC-770N.. IF YOU INTEYOUR. NOTICE''OT TO OBTAINFINANC FINANCING. CONSULT W" YOUR YOUR LENDr..R OR AN ATTORNEY MORE! RECORDING YOUR. ApOlidafioh -is lieteby made to obtiM4 pershit to do tht -wotk ifid.licattd*. I conify ihat.na work: or instaboon,has M - at all work -mill be performed to Oat. stfilidg*4 of All. ijws,rqpleti sponstruc.tio ' n feq11rli;tj-.'iVork, pjq0s0ing,.sjgft, wellt, pools, 'in this Jurisdiction., S�Ctioft.. I %knotntond An t.2 stp rn to permit. m'"S, 1. liq -'sewed -tot fUTn8C6Si boilers, heaters, lunks, acid air c6vidi6o%kits,*q-. FRC.103 Mall be In gibcd With tbe.d4t& of -applip 3 jjqn-ap4.!4o qpdo ip-cffcct as, ofdhat date: S!'%.Edilion (2014) Florida Building.Codc jkVV)390`1 )4nc 30; 2015 Nov -22. 2016 2:28PM SENEZ ROOFING No. 6524 P. 3 NOTItvE: do addition t0'60 1equitern-611ft of this palmi!, tliete Maybe;hdoitionaf.*t j'otior applica4JZ to !Itis properly iliac mey be found' in the publio records of•this .county. and.ihere may be•addltlo41.petmifs required from other governmental entitle8 such as water ' management districts,. state igenclts, orlederaf agenoies. Acceptance of pgrpit to verifrcefi0n.1barI` jiA booty the 9wnBr. oftheprpper►y of:t6e cegglrempnts'of Florida.I:ienLaw, FS 7l3. The City, of SAnford-requires paymenf•of a.pldn.revltw foe at1he time et`perffli't svbmtnAl. Atopy of the -executed Wntract.is required in order to.calolate a plan review charger and''will-bo. consideret the esfimeted eonstruGtion•volue ofthei job at the -time of sti'bmittM. The, actual constfuction. value will begg' used based on the: current ISG Valuation Table in effects!; the'.tiint:.tha permit is issued, in at co'rdarice: *lth locel orditivoce. Should 1Ctijatpd: c je► es l_gored off'the wcuto contract exceed the actgal constmrtlon value, credit VII I be:applied io'yd5ur perhift fees. when the permit is. issypd, . .OWNER'S A MIDAVyIT: Ii3elfify tAat all otthe foregoing inforttnttlon°is''a>rcurate:and.tliat'all work will be dolt's iii •contpli9-rlco With till appllciib1d..bk 9'rqu1'ating construetion.Ikia zoning. $ienAture Of l)WaeHAgpnt. Didg. Print 0mcitAlitaft Nape sianaturc otr1quRystate of Morlde Dim. Owper/Agent is PorsonAlly Khdwn id Me or Produced ID 'type oP ID /l ��7Nre.b[CobU'pctor/ll6bii6 . bate. M - AxMy 'OMIVIKI�;;c t:xalr,F.S Octob:n 2'L..; !3 to- Me or B_WWOR OFFICRU ONLY Permits Required: -Building❑ Zlectrlcal0 -Mechanical [] . �?ltitnbirt50 ('rad❑ Rooi[� ConstructionType: User Flood Zone; ')total Sq Pt: of -Bldg: 'Mite. Occupancy, Load:.... #°.oi:Stories: New Constructions '1Glec.irie:- ik orf Amps Tl.'umbing ;#-"9&1iWr0 hire:Sprit lclet Permit: Yt;s ❑ )4.o.[]' It afHeads Yffe:Alsinn:permit: Yds EJ No ❑ APPROVALS.; ZONING! 'UTILITIES: WASTE. WATER. NGINEI RINGS' ME! COMMENTS:. "81ALDiNG:: Atvis`edlune30;1At? • °P.trmitApplicetion Nov.22. 2016 2:28PM SENEZ ROOFING • ,aa PaPPRA15�R eers+oeorrM+cnn+w Parcel Information i-- Fropeft Lad Card Parcel. 35.19.30-536.0000•DO30 Owner. THOMPSON WILMA E Property Addraas', 2015 CORONADO CONCOURSE SANFORD. FL 32771 Value Summary I Parcel!, 30.19.30.536.0000.0030 Owner; THOMPSON_WILMA E Properly Address 12015 CORONADO CONCOURSE SANFORD. FL 32771 Mailing ;'2015_CORONADO CONCOURSE SANFORD. FL 32771 - ^ Subdivision Nome 1. MICIdLAND VM tREPLAT OF LOT A ~— -- - • — Tax District 1 St-SANFORO DOR Use Code 01 -SINGLE FAMILY i Exempllons 1 00•140MESTEAD(2003) No. 6524 P. 4 2018 Waking-»' 2015 Cenifled- Values.._... Values -_ MethodCosumarket Co"orket _ValualW Number o1 Buildings _ - - 1� -- -� '_...._ .. _ _ ........_ Depreciated Bldg value 1 $76,161 ; $69,735 7.....,...,_.... .........__._.--..,..........__.. Depreciated EXFT Value $800 $800 Land Value (Market) I $16 ets - -- S16,9918 Land Value All -- I- - - -- JUP-W-Axet VWt :$93,879 ; $87,453 Portability Adj PARK Save Our Homes Adj $10,173 $4,329 Amendment 1 Add i Assessed Value 111153.706 1$83.124 __••. Tax Amount without SOH: $958.44 2945 jar Ain Anlejrg $870.34 Lex9ma!at Save Our Home$ Savings. $88.10 TRIM Neliee 81W • Does NOT INCLUDE Non Ad Valorem Assessments Legal Description _.__.__.._ . .._._.--._........__._...__ LOT 3 REPLAT OF LOT A HIGHLAND PARK PS 13 PG 61 Taxes 1 Taxing Authority Assessment value Exempt Values —. Ta>table Value Couray General Fyntl $83_706 , $60,000 € $33.706 _ Schools $83,708'. 325,000 ; $58,706 --- CRY Sanford M - --�-- - 383,706 $50.000: $33.106 -- - fi- MSJVUM(Seiwt loons water Management)M -- _ $33,706 Coumy Boras $83,700 ; ' sso»000 ! `- s33,70e Sales ._.._..- - - _- -- -- -Book -- V -Page_- - - -`_.__ _ Description Date -Ti- Amevnt Ouelllled Vaclimp I CORRECTIVE bEEO 91112OD7 :0M QPit t $too ; No Improved I WARRANTY DEED ; 611/2006 ; 06290 Q - _ - S100 1 No Improved 1 WARRANTY DEED 411!2006 q@Z23 12042 $100; No Improved WARRANTY DEED ;5/1/2002 ; aim 03A ; $92,000 1 Yes 1 Improved _ PROBATE RECORDS 1 lnrlo02 • 1 2=77— — 1 1697 7 $100 1 No Improved PROBATE RECORDS-�'-»•• • 8/112001 04191 •- Rjg9��$too No M1� _—.___ .... ' Improved I WARRANTY DEED 61111990 -^- �Oa 81~ I $69,00D Yes ro- �' Improved — —� 1WARRANTY DEED : 6►v19e6 $60,000 1 Yes t Improved 1 WARRANTY DEED 2/1/1964' Q 'lyj$ I Q 8Q-1 155.000 i Yes +^ tmprovetl (-Flpd Comobrobte Sates_j Land McOwd Frontage begin Units Units Price Land Value FRONT FOOT d DEPTH 142.OD : 64.00 ` 0 i $230.00 •' 116,916 No k.22. 2016 2:29PNI�� SENEZ ROOFING 5 Eft. 1973 SENEZ ROOFING, LLC Painting' & Insulation TRUST - VALUE - INTEGRITY Toll Free: 1.866-350.4050 Office: (366) 774-4950 -Fax (386) 775-3338 1060 E. INDUSTRIAL DR. --Suite K ORANGE CITY, FLORIDA.32763 FULLY LICENSED & INSURED STATE CERTIFIED #fCCC1327898 www.senekroofing.com fJ �vNo. 6524,oP. 6 , 1.7 — PROPOSAL / INVOICE SUBMITTED TO: DATE: ld• y• /6 NAME: �' �� •taN STREET 2 v'S_,6,00006 C,aJd�1 e CITY. SA UR 0 pt� 3 -j -"?-2/ rl'r— PHONE:3g2- .?b5 / EMAIL: ' 4l/12 COLORS: Shingles 1L.1A ck1w). Rubber "3Qti/ Cust. Int. Drip Edge -- Vents__ 'WE. HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR: 1. Tear off existing roof and haul all debris off site. Clean job site thoroughly, and Magnet ground for nails. 2. Replace any rotted wood decking. Truss and fascia wood work may be extra. Aluminum work not included. 3. Install new felt paper dry -in. LYLI_ Install peel and stick. )SW -5 Re -fasten decking. Replace drip edge with all new painted drip edge. Cement in all eaves and rakes with quality roof cement. S. Install galley#fining in'all valleys -Cement in sh9n leS t3rli0a 6. Replace lead boots and goose necks on all existing•veni and pipes. Paint to match venting or drip edge. 7. Replace (-•) existing skylight(s) with new skylights(s). I~) Flash Chimney. r ) Cricket Chimney. 8. Install new asphalt Architect -shingles - AR (algae/fungi resistant) - lifetime manufacturer's warranty. 9. Each shingle Is nailed with six 11/6" roofing nails. 10. Replace (` ) lengths of ridge vent. Replace ( ) off -ridge vents. 11. Low Pitch Roof: Install Peel -n -Stick dry -in, and Single -Ply Modified -Roll -Rubber -Membrane -12 Year Manufacturer's warranty. Replace drip edge with all new painted galvanized drip edge. -12. All materials used and work installed is properly applied In accordance with current Manufactures, -State, and County Codes and Specifications. Senez gets the roofing permit and schedules appropriate roof inspections. All specified work completed Is fully guaranteed for five (5) years. Roof material carries standard manufacturer's warranty. . ALL MONEY IS DUE' UPON COMPLETION OF WORK: Please make check payable to: SENEZ ROOFING Tatal Cost of all Work: $ qO - ``' Deposit $ ga . (all taxes and fees are included) (price reflects cash or check payment) �- �vv N A 4% convenience toe wII1 apply. to all Creu i 01ou nor MIC, ne. � � �% COW (. WE HEREBY PROPOSE TO FURNISH LABOR AND MATERIALS -COMPLETE IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS, FOR THE SUM OF S 4 ANY EXTRA WORK, MATERIALS, OR SPECIFICATIONS THAT ARE HAND WRITTEN ON ' THIS CONTRACT ARE INV UNLESS INITIALED BY CUSTOMER AND BY THE OWNER/PRESIDENT OF SENEZ ROOFING, LLC. 1) Please remove vehicles from. drIVeway and garage/carport by 12 noon the•day before the job. Remove any items on walls and furniture and check that all fixtures to house or porches ars secure thin mayfatf or bounce off due -to banginroofing.. g vibralion.wh[le 1.4ve are not responsible. Please hoyard mowed prior to lot; Start to help with magnet P of nails. - 2) Customer is responsible for: removal of anything around the house that is breakable (i.e.: ornaments, bird baths, hanging plants, elc.),'reinovasl`of iutytTirng et(bclli tlia'thg of king inside the attic and outside prior to job start and reinstallation or adluStmentf after job completion (.e.: solar, satellites. air conditioning components:' -alarms, pipes. etc.), covering furniture or flooring below skylight openings• and re.lnstallation of anything that must be removed to properly repair any rotted wood areas p.e.' fascia, soffit, siding, gutters, etc.) AUTHORIZED AGENT (PRINT & SIGN):. W' IV OI,L /n -'Al ' DATE: NOTE: THIS PROPOSAL MAY BE WITHO BY US IN THIRTY (30) DAYS. ACCEPTANCE OF PROPOSAL: THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED, YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. I HAVE READ, UNDERSTAND, AND AGREE TO THE TERMS AND CONDITIONS.SECTION ON THE REVERSE SIDE OF. THIS FORM. COMPLETION OF FINAL INSPECTION BY THE MUNICIPALITY FROM WHERE THE PERMIT IS ISSUED IS NOT CAUSE.TO DELAY PAYMENT TO SENEZ ROOFING. PAYMENT IN FULL IS DUE IMMEDIATELY UPON COMPLETION OF SPECIFIED WORK. THESE PRICES ARE SUBJECT TO CHANGE IN THE EVENT OF ADDITIONAL ROOFING IS FOUND BENEATH FIRST LAYER OR IF OTHER DAMAGE IS ENCOUNTERED THAT WAS NOT EVIDENT OR DISCLOSED BY HOMEOWNER AT THE TIME THIS ESTIMATE WAS PRODUCED. • +. r.4 , ACCEPTED: PRINT �, SIGNATURE - .(t�) 1 t.fl, t'ti� af'L 1r�7Ys� 1iZJ'i r : r �Cn !DATE. IL - I r 'ice r7 -y e v T 7 -r�jvr j�, PRINT E SIGNATURE _ _ b _DATE: DRIVERS LICENSE.# 386.734.1877 - Nov -22. 2016 2:29PM S E N E Z ROOFING 11512 late, 11i a1e,i �►►► rr► t1ARYANNE 1'IOISSk►T'1 COUNT1 COURYI L CUMpTIZ•OLLER THIS'INS30MENT PREPLA�t,EO BY: 'Name: ro T Y+R Address: r0 0 1 r u3 t�r+cl Orem" r I -k4 , FV— 3�-7 <Tk NOTI•CE .OF COMMENCEMENT CLERK OC CYhCUI P'K :°011)7 F's 54 (1F9s) CLEkY', S : 2o16119346 �, tl 19 FEGOFnED 11/16!2016 f.11 *3 kEGUFGING FEES o1 -00 RECORDED By iia,:I,cnro Permit Number. Parcel lD Number. 3(0— The• undersigned -hereby gives notice that Improvement wilt be made to -certain real property, and In aeeordance with Chapter 713, Florida Statutes, the following Information Is;provlded In this Notlee of Commencement. 1. 2. GENERAL DESCj11,IPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR1LESS SE INFOR AMON IF•THE LESSEE Name end address:, W `YMM oY11,0 San Interest th property; i�-�-�Q ►r Fee'Slmple'(tle Holder (If other than owner listed above) Name, 4. CONTRACTOR: Name, r=f Phone Address: r I V to u Jr �Y�a l.W -M 1 011 U /r . / I 5. SURETY -(Il appllceble, a eopy'of the payment bond Is attached); 8: LENDER: Phone. Number: Amount of Bond: Address: 7. Persons within the State of Florida Designated by Ownerupon whom notice or blher docutnents maybe served as provided by Section. 713,13(%a)7., FloridaStatules. Phone Number: 8. In addltlop, Owner designates : of to receive a copy of the Llenor's Notice es'provlded In Section 713,13(1)(b), Florida Statutes. Phone number. 9. Expiration Dale of Notice. of Commencement (rhe expiration Is 1 your from date'of recording unless a dlllerenl date Is specified) WARNING TO OWNER:. ANY PAYMENTS -MADE 'BY'THE'OWNER AFT£R'THE EXPIRATION'OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART (,.SECTION 713.13, FLORIDA 9TATUTEg. AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR 'PROPERTY. A NOTICE -OF COMMENCEMENT MUST BE RECORDED ANO POSTED ON THE JOB SITE BEFORE THE FIRST' INSPECTIQN.'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 at I have read the foregoing and that the.faets stated In It are true to the best ofmy knowledge and belief. en re of owns er l eu a or Owneh LIS a / (PAnI Him and Provide 31gnaoye IYolOaee) AUft"Zod0111001180orlPeAne/lMa peq Slale'of�U V 1e county of �f✓nA I n • ► The foregoing nstrurhent was ackn wledged before me this to day of 0& oklor , Zo+.J p . \ --� i3 A by ' e YYl G 1 �YVI 1 . Who is personally known tome O OR 2 X Naln6 or Arlon matdno ch m►et who has producetl Iden{Itleallori• type of Identlllcatlon plodubedt s""►'.� LISA A JAY &ftfkQMMISSION fi FF93d314 EXPIRE$ October 22.2019 dRr11�911-0�;i3 CIorWlNewry9evUA.IWm CS7 r::> cwt C_� r-1 Nov.22. 2016■ 2:28PMrSENEZ R00H o. 6524P. 1 ,� j Stene - @ �h Senez Roofifig 1060 E: Industrial Dr. Orange .City, F1.32763 .www.senezroofin- com E-mail: info ,senezroofing: colas Office: (386) 774-4950 ;Fax: (386) 775-3338 Fax Cover Sheet Atte ntion:l�-rrr-%*�—%rFrom: Company to: Sorg- z- -.� Date: Fax number: 4 o--) -b k$—s z S a Pages: COMMENTS: NOTICE: This is privileged and confidential and intended only for the person namcd above. If you are not that person, then any use, dissemination, distribution or copying of this is strictly prohibited, and you are required to notify me immediately by calling or faxing me (collect if need be) at the numbers above. 0,. City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. CONTRACTC JOB ADDRES: TYPE OF WORK: • Post this Permit in a conspicuous place outside PROTECT FROM WEATHER • 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 approved inspection * * * 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 INSPECTIONTYPF. APPROVED RFJF,CTFD INSPECTOR MISCELLANEOUS INSPF.CTIONTYPE APPROVED RFJF.CTF,D 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 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 ---------------------------------------------------------------------------- Page 2 Application Number •. . . . . 16-00003147 Date 11/22/16 Property Address . . . . . . 2015 CORONADO CONCOURSE Parcel Number . . . . . . . . 36.19.30.536-0000-0030 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . HIGHLAND PARK REPLAT LOT A Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 963231 Permit pin number 963231 ---------------------------------------------------------------------------- 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 1 City of Sanford BUILDING DIVISION RE: Permit # y� Inspection Affidavit I 11 SQCC �� ,licened as a(n) Contractor* B ineer/Architect, (please print name and circle Lic. Type) uilding Inspector* License #; Cc-_ 132 2 -7 aQ g On or about I % �p 9'� ��, I did personally inspect the roo (Date & time) deck nailingd/or secondary�aterbarrie�w� at (circle one) (Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) /I 49�� Signature STATE OF FLORIDA COUNTY OF Sworn to a d subscribed before me th U day of Cite I�YlY.3�ir 200 ALJ By lel Notary Public, State of Florida Personally known Produced Identific Type of identificai LISA A JAY MY COMMISSION # FF930314 EXPIRES October 22. 2019 r FlondalloteryServw;e Com or produced. USA A, (Print, type or stamp name) Commission No.: P po) General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the deck for each inspection.