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126 Royalty Cir 17-1211; ROOFvl ) 5- d- ip CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / _, /e)' /I Documented Construction Value: $ 1' O V O Job Address: 2 Q ` /;` 1 r C ,'kE'A Ke Historic District: Yes No Parcel ID: )' - l M - -5& ' (( d / Residential 1 Commercial Type of Work: New Addition Alteration Repair q Demo Change of Use Move Description of Work:. Plan Review Contact Person: erson: Title: Phone: `1 V I ra77STFax: O 337 3y f_ I Email: 061^/% - f l , Property Owner Information MO . I Named Phone: Street: Resident of property? City, State Zip: Contractor Information } Name , J N *o Phone: U t- , ' I b Street: 1 ` Zvi ,1/y le%i 11 _Tl_10t_ Fax: 75W_ J_ nU l City, State Zip: 0 A L_ State License No.: Arch itect/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 priorto 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: 5rh Edition (2014), Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, 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 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. Signature of Owner/Agent Print Owner/Agents Name Date Signature of Notary -State of Florida Date Owner/Agent. is Personally Known to Me or Produced ID Type of ID tea tbl p Signature of Contractor/Agent— Date Kl 6n 6 i a d ova r SKYLAR B AMKRAUT Commission N.FF 127890 My Commission: Expires June 01, 2018 Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical MechanicaIR Plumbing[] GasR Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Flood Zone: of Stories: Plumbing - # of Fixtures: Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS-: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30; 2015 Permit Application Jasper Contractors, file,. 5380 E. Colonial hr. Orlando, FL 32807 407) 278-1788 800) 337-3361 Fax lasprrRoof.com infooa,jasperinc. com V SA r Owner(s);.--. Jos e Address: _ , n City: L, EmaiLr— Contractor's License # CCCM9651 ROOF REPLACEMENT CONTRACT ci r Zip code15 '7-7 J Roof RCV amount: 10,800 Account Manager Contact # insurance Com anv Information Company 3 /f'I'"•a Policy # / G ' S s /v- yc' Claim # I S 3a 1 `t G (- Mort a e Companv Information Company AA} — Loan Number G a 07' y 3 3& Phone: `57 13GCf Alt Phone. Shi le. Color: c,., l / Drip Edge Color: It Uwner's Insurance Company does not agree to pay for a full roof replacement" Inis conrrac luau •••• •• — Assignment of Insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insurance rights, benefits and proceedst under any applicable insurance policies to Jasper Contractors, Inc. ("Jasper"), the scope of which shall be limited to a Full Roof Replacement. I make this assignment and authorization in consideration of Jasper's agreement to perform services, supply materials and otherwise perform its obligations under this contract, including not requiring full payment at the time of service. I also. hereby direct my insurer(s) to release any andallinformationrequestedbyJasper; its "representative; or its attorney" for the direct purpose of obtaining actual benefits to be paid by myinsurer(s)'for services rendered In this regard, I waive my privacy rights. If paymentis made directly to the Owner/Agent/Insured(s), it shall be endorsed over to Jasper immediately upon receipt. I agree that any portion of work, deductibles, betterment or additional work requested bythe undersigned, not covered by insurance, must be paid by undersigned on the day of installation. Deductible: It is the Owner's responsibility to pay all Insurance Deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on insurer's loss, sheet, UNLESS replacement/repair of deteriorated decking is required and/or Owner requests optional upgrades. Jasper CANNOT pay, waive,; rebate, or promise to pay, waive or rebate all or, any part of the insurance deductible applicable to the insurance claim for payment of work In the event of a discrepancy,' the deductible amount stated on the insurer's Loss Sheet shall overrule Deductible listed above. Deductible: $ /GOG , Ciy MUST BE PAID IN FULL, PLUS APPLICABLE SALES TAX v (initial) MORTGAGE AUTHORIZATION: I, Owner/Mortgagor, grant authorization for Mortgage Co. to speak with Jasper on matters including, but not limited to, the claim and draw status. (initial). PAYMENT SCHEDULE: Owner agrees to pay Jasper based on the following pay schedule: (i) Deposit in the amount of $ due upon signing this contract; (ii) the Contract Price, less the Deposit :and any applicable depreciation retained by Owner's i surer(s), plus Upgrade Costs, due and payable to Jasper upon completion of work being performed; and, (iii) the remaining Contract Price (equal to any applicable depreciation and/or change orders) due and payable to Jasper upon completion of work performed. In the event of a pending inspection, no more than 2% of Contract Price may be withheld until inspection has passed. Optional: UPGRADE ITEM: QTY:• PRICE: $ TOTAL: S Replacement Work and Price: Upon insurer's approval and subject to the terms and conditions herein, ,Jasper agrees to furnish all materials and provide the labor necessary to perform the full roof replacement which shall take place following. Owner's insurance company's approval, approximately within 30 days, conditions permitting. tOwner' s Declaration of Intent: Owneracknowledges and.agrees that, upon approval byinsurance company for a full roof replacement, Jasper Aall perform the roof replacement upon receipt of funds from' Owner's insurance company. CANCELLATION: If Ownerelectstoterminatethe ,services of Jasper, Owner may do so before" midnight on the third business day after Contract is executed. Owner shall receive a f ulhrefund of alldeposits. Owner may also rescind Contract before midnight on the ttiird business dayafterthecontract_is'executed after notification from insurer(s) that the claim -for payment on roof contract has been denied, in wholeorinpart. All written notices of cancellation, regardless of reason, shall be postmarked or delivered to; Jasper's corporate office: 1690 Roberts Blvd Suit 112 "Kennesaw, GA 30144. CANCELLATION EXCEPTIONS: The three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence. I;Owner, have read and understand all statements, terms and conditions of the "Roof Replacement Contract` and agree that all details are acceptable and satisfactory.,I further understand that this contract constitutes the entire agreement between the parties and Ip _ Ithat iany furtherchanges or alterations, to this contract must be made in writing and agreedupon by both parties. Each party, represents and warrants totheotherthatithasthefullpowerandauthoritytoentintothecontractandthatitisbindinganden-,o eabl r ccordanc its terms. / Au r' hJ"s erRc ive Da a Owne Date. TERMS CO ITION3: Acceptance of Terms: I, Owner; hereby agree to retain Jasper for a full roof replacement on the terms and conditions stated herein.. I1irther agree to provide"Jasper with the Scope of Loss Report generated by my insurer and authorize and grant full access to the property for: the purpose of staging and completing all agreed upon work Supplemental Claims: Jasper reserves the right to file a pplemcnial claim. with Owner' s insurance in the event that the estimate is incorrect and/or additional damage is discovered after a • 1 Scanned by CamScanner I I lli II11 I1f•11 1f! !!!! f1 !( GRANT MALOYr SEMINOLE COUNTY CLERY OF CIRCUIT COURT 1, COMPTROLLER TV-•'S INSTPILIMENT PREPARED BY: BK 8900 P9 1423 (11`9s) Name: Jasper Contractors CLERK'S T 2017040681 Address: onway oa utte RECORDED Q4/25/2017 01:36:57 P11 o oa RECORDING FEES 110-00 RECORDED BY Ja_i_kenro NOTICE of COMMENCEMENT Permit.Number: 2 rr11h ParcelloNumber:':70 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) GU1 i i/'0WKI i 0. w1-7d ayl 1 S - 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE'CONTRACTED FOR THE IMPROVEMENT: / _ Name. and address: )>> 1/P l /1 //J.1// 12U 26(1a 1*/1 (' 1 hr'lr- 0rc)l' 251-7-1 Interest in property: nwnpr Fee Simple.Trtle Holder (if other than owner listed above) Name: 4. CONTRACTOR: N Address: 3203 FL Phone Number. S. SURETY (if applicable, a copy of the payment bond is attached): Name: Address: AmountorBond: 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 718.13(1)(a)7., Florida Statutes. Name:. Phone Number. Address: 8. In addition, Owner designates of to receive a, copy of the Lienoes 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) WARNING TO OWNER: ANY PAYMENTS MADE, BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENTARE 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. SlgnatureofOwnerofLosseo, orOwner'sorLesseo's ( dnlNamoandProvidosignalory'sTigefOffice) Authorized OfricerlbirectorlP$Anerffviawgcr) v t e x 1 1 (1` \/ t V' I J s G p p itiN 4.."f LU StateofiCountyof /} — - 20 ( a The foregoing instrument was acknowledged before me this _ % day of ) ca by , o () iP i \ I V IJL4 Who is personally known to me O OR Noma orpason mating statement who has produced identification type of identification produced: p p SI( YLAR B WKRAUT "u L a+ uB _ n I w Q p 0commission # FF127890j'\/) Q L teA, yrCommigsion Expires cc: w z, z June 01 , 2018 _ Notary Signature t..r v •Q. +n +cD, Altamonte Springs', Casselberry, Lake Mary, Longsvood, Sanford, Seminole County, Winter Springs Date: 4/26/17 I hereby name and appoint: Skylar Amkraut, Karla Almodovar, Rachel Holcomb and Ana Chavez an agent of. Jasper`Contractors Namc 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 permitand application for work located at; 126 Royalty Circle Sanford, FL 32771 Strcqt,Ad&ess) Expiration Date for This Limited Power of Attorney- 1/1/2018 License Holder Name: Michael,Stephen State License Number: CCC1329651 Signature of License Holder - STATE OF FLORIDA COUNTY OF Seminole The foregoing instrument was acknowledged before me this 26 dayofApril 20017 by Michael Stephen who is o personally known to me or al who has produced. DL identification and who did (did not) Dtan Akoath Notary Seal) SKYLAR B AIVIKRAUT COMMISsi, on II FF 1278,90 f, MY Commission Expires June 01, 2'018 Rev. 08.12) U Skylar AMI(raul Print or type, name Notary Public - State of Commission No. My Commission Expires; t City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. v "07~ / I i I ISSUE DATE: a Li, 0 81 . / _7 CONTRACTOR: JOB ADDRESS: TYPE OF WORK: ®' PROTECT FROM WEATHER Post this Permit and all required documents in a conspicuous place outside Digital Photographs are required - please follow re -roof policy and procedures guide All trash, debris and dumpsters must be removed from job site at final inspection Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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: February 2017 Inspection Line 855.541.2112 TO SCHEDULE AN INSPECTION: Dial855.541.2112 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. Final Roof Inspection Code I I I 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 REVISED: March 2017 Inspection Line: 855.541.2112 City of Sanford BuildingDivision Residential Re -Roof Inspection Policy & Procedures PERMITTING REQUIREMENTS — No PLAN REVIEW ;REQUIRED This document (signed) along withan 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 0 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 Florida Design Professional.(Architect or engineer), certifying FBC c e compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE; DATE: 4.28.201 % PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS' 126 Royalty Circle Sanford, FL 32771 STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE O 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: wood sheathing PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: OOFF-RIDGE ® RIDGE 0SOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES © NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 —4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL QSHINGLE Owens Corning FL# 10674 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 © 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# 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 . . . . . 17-00001211 Date 4/28/17 Property Address . . . . . . 126 ROYALTY CIR Parcel Number . . . . . . . . 33.19.30.5QS-0000-0180 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 982181 Permit pin number 982181 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF _/_/_ City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: J 1h ADDRESS: I-L\4 lA l (\ L2- 1 I , 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 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 #: CCT2G c 9 \ COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: DATE: 50/ 11 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 OF`- Sworn to and Subscribed before me this LI day of MAAA20 \1 by: Who is Personally Known to me or has Oroduced (type of as identification. Signat e f Notary Public State of Fl rida 7kylarAmkmut Print/ Type/Stamp Name of Notary Public