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1426 Mara Ct 17-1544; ROOFCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / Documented Construction Value: $ 8,100 Job Address: 1426 MARA CT SANFORD, FL 32771 Historic District: Yes NoEl Parcel ID: 31-19-31-505-0000-1460 Residential Q Commercial Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move Description of Work: Re -roof Owens Corning FL10674 Techwrap FL17194 22 sq's 7/12 pitch Supreme Estate Gray 25 year warranty Plan Review Contact Person: Rachel Holcomb Phone: 407-278-7788 Fax: 800-337-3361 Name Michael Roberts Street: 1426 MARA CT City, State Zip: SANFORD, FL 32771 Name Michael Stephen Street: 3203 S Conway Road Suite 201 City, State Zip: Orlando, FL 32812 Name: Street: City, St, Zip: Bonding Company: Address: Title: Manager Email: Permit@jasperinc.com Property Owner Information Phone: Resident of property? : yes Contractor Information Phone: 407-278-7788 Fax: 800-337-3361 State License No.: CCC1329651 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: 51' 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 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 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. Ct Lc'fcLc o 17 Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's, Name Signature; of Notary -State of Florida Date 5/26/2017 ature of Nota -State of F]or d R g AMKRAUT h , iumo FF mission #< -01(esCommissionEXPresMYComp g gc- Owner/Agent is Personally Known to Me or Con gc f s Personally Known to Me or Produced ID Type of ID Produced ID x Type of ID DL BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Construction Type Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Gas Roof Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes! No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: COMMENTS': BUILDING: Revised: June 30', 2015 PennitApplication Jasper Contractors, Inc. 5380 E. Colonial Dr. Orlando, FL 32807 407) 278-7788 800) 337-3361 Fax JasperRoof.com info@jasperinc.com JASPE Ja garROaLeom Contractor's License # CCC1329651 ROOF REPLACEMENT CONTRACT Company Policy# Claim #t i Mortgage Company Information Company`' Loan Number Owner(s): C Phone,,.o L10 Address: lw- C ( Alt Phone: City: / State: Zip code: Shingle Color- G Email: y^ l t 1 C Roof RCV amount: 8,100 TDripEdge Color r D A Assignment of Insurance Benefits for the Full Roof Replacement Only; I hereby assign any and all insurance rights, benefits and proceeds under any applicable insurance policiesto 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 and all information requested by Jasper, its representative, or its attorney for the direct purpose of obtaining actual, benefits to be paid by my insurer(s) for services rendered. In this regard; I waive my privacy rights. If payment is 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 by the undersigned, not covered byinsurance, must be paid by the 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. I Deductible: $ G MUST BE PAID IN FULL, PLUS APPLICABLE SALES X (initial) MORTGAGE AUTHORIZATION: I, Owner/Mortgagor, grant authorization for ;—T45t"J ` de715E"eqlortg ;;t.o ss eak with Jasper on matters including, but not limited to, the claim and draw status. ' ' (initial) PAYNTENT -SCHEDULE: Owner agrees to pay Jasper based on the following pay schedule: (i) Deposit in the amount of $_ due upon signing this contract; (ii)m , the Contract Price, less the Deposit and any applicable depreciation retained by Owner's surer(s), plus Upgrade Costs, due and payable to Jasper upon completion of work being performed; and, (iii) the remaining Contract Price (equal to any applicable depreciation and/or change orders) due and payable to ;Jasper upon completion of work performed In the., event of a pending inspection, no more than 21/c of C o tralct Price may be withheld.until inspection has passed. Optional; UPGRADE ITEM: QTY: PRICE:'$ TOTAL: $' Replacement Work'and Price: Upon insurer's approval and subject to the tertns and condiifiions herein, Jasper agrees to, furnish all materials and provide the labor necessary to perform the full roof replacement which shall take place following Owner'sinsurance company's approval; approximately within 30 days, conditions permitting. Owner' s Declarationof Intent: Owner acknowledges and agrees that, upon approval by insurance company for a'full roof replacement, Jasper shall perform, the roof replacement upon receipt offends from Owner's, insurance company. CANCELLATION: If Owner elects to terminate the services of Jasper, Owner may do so before midnight on the third business" day after Contract is executed. Owner shall receive afull refund of all deposits. Owner, may also rescind Contract before midnight on the third business day after the contract is executed after notification from insurer(s) that theclaim for payment on roof contract has been denied,, in whole or in part. 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 that any further changes or alterations to this ;contract must be made in writing and agreed upon by .both parties. Each party represents nd warrants to the other that it has the full power and authority to enter into t e contract and that it i binding and enfor a in a ordance ith i s terms., A ' edjaipqlr Representatt Date Owne Date TERMS AND CONDITIONS: Acceptance of Terms: I, Owner, hereby agree to retain Jasper for a full roof replacement on the terms and conditions stated herein. I further 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 supplemental claim with Owner's insurance in the event that the estimate is incorrect and/or additional damage is discovered ,after Scanned by CarnScanner 11 111111i1fIN'l lll1THISINSTRUMENTPREPAREDBY: GRAFT 17ALaYNaiveJasperContractorsL'LEF1Y r SEh1INOLE BOUNTYQF CZ fiAddress,IF. t CONPTROLLERonwayOarate1i2k.l; LS9 f'3 729 (1F"ss) nrlanrin FI 9R12 GLEfii('S T ?i yy fiECORCi O !t4%1' 036125 7 U Sp o a , FiECOfiDIh(G FEES 1 f jj j4: t ij" its Aft NOTICE OF COMMENCEMENT RE .DLD BY ,ieCkenro Permit Number: .L ParcelIDNumbers i•- \ tjOh . /' The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the. followinginformationisprovidedinthisNoticeofCommencement. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 2: GENEifAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFOR A" IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Nameandaddress: ( -zM a 12 4! iG !L h/ ! Interestinproperty: / Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR;Name: Jasper Contractors Address: 32( Phone Number: 5. SURETY (If applicable, a copy of the payment bond is,attached): Name: Address: 6. ' LENDER: Name: Amount of Bond: Address: Phone Number. 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7„ Florida Statutes. Name:. Address- Phone :Number. 8. In addition,, Owner designates -_ . ___ _ of to receive a copy of the Lienors 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) WARWNG TO OWNER-* ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICE, FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF, COMMENCEMENT MUST BE RECORDED, AND POSTED ON THE JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. naturp nOvmer oss Own' 3 or esseo's - - Aatfrarized OFficedDireelor/PadnedMSnager) (Print Name andprovido Signatory s Tidel0frice) State of in 1 1 !>r<j County of Q//-"d IL QQ The foregoing instrument was acknowledged before me this t c nday of y(/Iii At-t `it t by ( iLCi'! / y , 20 - L2 Name of poison making statement Who is personally known to me OR CL whohasproducedidentificationypeofidentificationproduced: SKYLAI B AMICRAUT A\ ICI Commission tJ FF 12T$90 My Commission Expires June 01 . 2018 C3 C'^ a Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date:- 5/M/2017 I hereby name and appoint: Karla Almodovar, Rachel Holcomb, Skylar Amkraut, Ana Chavez an agent of Jasper Contractors 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: 1426 Mara Court Sanford, FL 32771 street Address) Expiration Date for This Limited Power of Attorney: 11112018 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 day of May 20017 , by Michael Stephen who is o personally known to me or o who has produced DL identification and who did (did not) t--- akg an oatr--) .. Signature Notary Sea]) S al'Amlaaut Print or type name Notary Public - State ofiry 5KYLAR B AMKRAUt Commission No. t1,'t 6 Cp.ffl(T11S51011 ff F`12.789() t My Comla)lsSion ExP ft My Commission Expires: U l 5 q, in r June 01 2018 Rcv.. 08.12) CONTRACTOR: "k-IS r JOB ADDRESS: / 4 X 4P ar4L LX 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 F 7 1 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: 4-17 Inspection Line 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 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 Final Roof Inspection Code III 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: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 1426 Mara Court Sanford, FL 32771 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): PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: O OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT SKYLIGHTS: O YES O 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 O TURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE 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 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# O OTHER: FL# City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures 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 Underpayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed, nail patter 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: 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 . . . . . 17-00001544 Date 5/30/17 Property Address . . . . . . 1426 MARA CT Parcel Number . . . . . . . . 31.19.31.505-0000-1460 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . SAN LANTA 3RD SECTION Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 986471 Permit pin number 986471 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 #: n - ' \ J L A ADDRESS: LA 2u Ivy" k CJ VVN f& C L11 I I ' C/ V , 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 #: Cc C I ?S 2q U l COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICEN A FINAL ROOF INSPECTION IS REQUIRED: DATE: I 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 I day of `V n, I , 20 n_ by: 0 `) . Who is Personally Known to me or hasloroduced (type of as identification. Signature Notary Public State of klorida Skyldr Amkraut Print/Type/Stamp Name of Notary Public SKYLAR B AMKRAUT I ,= Commission k FF 127890 MY Commission Expires June 01, 2018 PERMIT # ( City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS' 1426 Mara Court Sanford, FL 32771 STRUCTURE TYPE: Q SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: Q REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: OOFF-RIDGE Q RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES QNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 Q 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE Owens Corning FL# 10674 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED 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 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# OTORCH DOWN FL# OINSULATED FL# O TILE FL# 0 OTHER: FL#