214 Odham Dr 17-1529; ROOFCITY OF SANFORDKNI) BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application. No:
Documented Construction Value: $ 1 I, !2n. DU
Job Address: .2 1 `1 (MW DR Historic District: Yes [INo
Parcel ID: 0-+ - a0 51 -- 505 " ONO - N_,//'' 0 Residential , Commercial
Type of Work: New Addition RQI"Ge __. Repair Demo Change of Use Move
Description of Work:-FCAp, oCe comblelP1v 4o 1he deck ARL RecoyeK Koch'
wA 0C 1auRAC-ione 30
Plan Review Contact Person:
Phone: Fax:
Title:
Property Owner Information CC) /i'l
Name _RAT KkC K V O ACLIT Phone: W k , _W , l
Street: 21!G Ob 4AM AX Resident of property?
City, State Zip: 5PAfiD I) 'iL... 3214_>
Contractor Information
Name t h 12. Rc5012A- I&w Street:
I O aR MI nIE'w IGh DPI City,
State Zip: 0KLAN00jTL•3a9. Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone.
1 n - a-41 " 96 3 Fax:
State
License No.: CCC1 29 1' A 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
1.05.3 Shall be inscribed with the date of application and the code in effect as of that date: 5"' 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.1 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 ]CC 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.
ignature of Owncr/.Agcnt Date S re ofCon[ractor/Agent Date
Print Owner/Agent's Name Prin rac r/Agcn 's Name
61.0Z/V/8 se - Skc : 3avr
r
a,- I&L setts
Sigmature of Notary -State of Florida Date *S igneNpA p pf{ 303 Wk a 0NOTARY PUBLICZ)I18(1d AZid10`s`STATE
OF-6ft "qnH 111a1ireQ UV ,Comm#
FF237733 CE
19Expires 6/412019 Owner/Agent
is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID
Type of ID Produced ID Type of ID BELOW IS
FOR OFFICE USE ONLY Permits Required:
Building Electrical Mechanical Plumbing Gas[] Roof Construction Type:
Occupancy Use: Flood Zone: Total Sq
Ft of Bldg: Min. Occupancy Load: # 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:
BUILDING: COMMENTS: Revised:
June
30, 2015 Permit Apptication
r
japlyxql
0_4r, jt RESTOR/Ariox
FL LLIICR CC{C1329471
OWNER 151.i Y)e,
r1 ./rOWOU•
STREET -21 (
jjj•
1
OI{ +Mrn I CITY
c
We
hereby submit scope of work for: Tear
Off 6A- tf
of Squares 0''' Recover
roof lis R
of Squares O Shingle/
Color. Protect
Propel Decking
Type_ Underlayment
Metal
Edge Cc Hip
and Pipe
40 -
27 R YN CI 4 yq 7,
4 9 b 3 REP: .
fir J s PHONE:
CATt .&
6 qW! /r
D+-
n RVD iss S %1CClf%1iY V y *1 I • CGt! Cr.
Pt+ONF iiomrp.
ow 0
CLEAN ALL GUTTER DEBRIS O
HAUL OFF CONSTRUCTION DEBRIS mu4at,
ROLL 12
r o MAGNETS
THROUGH YARD LIEN
WAIVERS PROVIDED UPON FINAL PAYMENT I'/
MISC
55-
W Code -
Terms:
The undersigned (Customer) herby agrees to the proposed scope
of work and the contract price- The company agrees to J
furnish all materials, labor and necessary permits upon. receiving the
deposit which is equal to AIM of tire contract price and the balance
due upon completion of roof- insurance Claims: Rhyne Rest
ation to be on all Insurance checks. Root
Replacement Roof
Repair S - Sea[
around all vents, flashings and pipes Furnish
all materials, lab and rAcessary permits Total 5 i ia/' 50 Delivery Instructions
2 Year
Roofing Workmanship Warranty Accep d by C>vvrle Dater 21
FLORIDA
CONSTRUCTION LIEN- ACCORDING' TO FLORIDA's CONSTRUCTION LIEN LAW (SECTION 713.001-71337,FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPS OR PROVIDE MATERIALS AND ARE NOT PAID—tN-FULL HAVE A
RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM 15 KNOWN AS A CONTRACTOR LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTORFAILSTOPAYSUBCONTRACTORS, SUB•SUBCONTRACTORS, ORMATERIAL SUPPLIERS OR NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS, THE PEOPLE WHO ARE OWED THE MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULLIFYOUFAR. TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR, MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN.15 FILED, YOUR PROPERTY COULDBESOLOAGAINSTYOURWILLTOPAYFORLABOR, MATERIALS OF OTHER SERVICES THAT YOUR CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILEDTOPAY- To PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT.IS MADE. YOUR CONTRACTOR B REQUIRED TOPROVIDEYOUWITHAWRITTENRELEASEOFLIENFROMANYPERSONORCOMPANYTHATHASPROVIDEDTO,YOU A -NOTICE TO OWNER.' FLORIDA% CONSTRUCTION
LIEN LAW 15 COMPLEX AND IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY. 2)FLORIDAHOMEOWNERS' CONSTRUCTION RECOVERY FUND. PAYMENT MAY BE AVAILABLE FROM THE FLORIDAHOMEOWNERT CONSTRUCTION RECOVERY FUND IfYOULOSEMONEYONAPROJECTPERFORMEDUNDERCONTRACT, WHERE T14E LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLOROA LAW BY.A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCITON INDUSTRY LICENSING BOARD ATTHEFOLLOWINGTELEPHONENUMBERANDADDRESS: OLB, 194D NORTH MONROE ST., 042, TALIAHASSEE, FL 32399. 3) ANYCLAIMSFORCONSTRUCTION. DEFERS ARE SUBJECT TD THE NOTICE AND CURE PROVISIONS OF aiAP.TER $58, FLORIDA STATUTES. d) BUYERSRIGHTTOCANCEL. This is a home solicitation sale, and if you do not want goods or services, you may cancel this Agreement by providing written
notice to the seller in person, by leicgram, or by mall. This notice must indicate that you do not want the goods or services andmustbedeliveredorpostmarkedbeforemidnightonthethirdbusinessdayafteryousignthisAgreementIfyou an el lhis Agreement, thesellermaynotkeepallorpartofanycashdownpayment. By signing this Agreement you agree that you have also been provided notice
of this right to cancel orally in addition to the writing contained herein,
Permit Number:
jD • .• j 50_5 1.• g • •
V NNI tijtrin
Return • • zi. •.
1111111 11111 IN11 1111 I'M
GRrINT I'IALOYf, ',E;MINOLE COUNT'-i'
CLERK Or" CIRCUIT COURT is C:01`EIPTFWLLE:IR
CLERK'S Y 2017051325
RECORDED 0'5/2 f; ^i117 09V2:925-8 AN
RECO RDIt•K; f"EES 41-1.00
RECORDED BY t;aet i th
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
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. Descri tion of property (legal description of the property, and street address if available)
LOT2 6LK tA 5ANoKA URIT-5 1-+ a Ve-PIAT' F6 l-+F(5l it -dtI 1 00E4AM f)K- SAReoRb,_FL 321-4
2. General description of improvement
4.
5.
91
Q
0
Owner information or Lessee information if the Lessee
Name Bkr tC.K Fi.. i
Address,( ODKAM DR- - 4—A000,TL 3XV1
Interest in Property- OWN
for the improvement
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address -
Contractor
Surety (if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address Amount of Bond $
Lender
Name Telephone Number
Address
Persons within the StateofFlorida designated by Owner upon whomnotices or other documenS be served
as provided by §713.13(1)(a)7, Florida Statutes. s " Name Telephone
Number`s:y Address yc
x+
In addition
to himself or herself, Owner designates the following to receive a copy of the Lienolss,' c Notice as
provided in §713.13(1)(b), Florida Statutes. z o c
Name Telephone
Number Address Expiration
date
of notice of commencement (the expiration date will be 1 year from the date of receding unless a
different date is specified) 8, W C>
WARNING TO
OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMEhT 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 v v •r RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER -0B-AlJ /TTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. i. n
a S na
o wner or Lessee, or Owner's or Lessee'sAuthorized `Officer/Director/PannerlManager Signatory's TitlelOffice The foregoing
instrument was acknowledged before me this a day of `Ct. by vjyL month yea
name of person as for
Type of
authority, e.g., officer, trustee, attorney in fact Si ure
of Nota ic- State of Florida Personally Known
OR Produced ID Type of
ID Produce Name of
party on behalf of whom instrument was executed g,_ C/-
Print, type,
or stamp commissioned name of Notary Public 70= ERtC
CHINblic-
State ofFloridaission # FF 237135. Expires Aug
13. 2019ough National NotaryAssn. C............Ln..
i ...........1• ,14 M714 A
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. *7"'o ISA 9 ISSUE DATE: OsT. o
CONTRACTOR: Ph vn e Ae
JOB ADDRESS:I V_
I
o6Lh_&M
TYPE OF WORK: 9-
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: 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 0requested during the message
The type of inspection requested"must be scheduled under the appropriate permit type
Follow the prompts
s
PLEASE NOTE: Inspections schedulted 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
s 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 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: % V` t'- DATE: 05 1 I }
S
JOB ADDRESS: J- HOb IMAM
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE:AA
Vy SINGLE FAMILY RESIDENCF,/TOWNHOUSF, O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NFw PROOF
INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): pl `1 of oo!)
PLEASE NOTE: ONLY 100 SQUARE FEAT OF THE EXISTING DECK IS PERMITTED TORE REPLACED"
ROOF VENTILATION: 0OI''F-RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES J NO IF YES,, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MALN ROOF AREA
ROOF SLOPE: Q LESS THAN 2:12 O 2:12 - 4:12 W4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE oweRs- ( FL#
O META FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
0 OTHER: U N YTF j9 I IV 0 FL# a
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 0 2:12 - 4:12 O 4:12 OR GREXI'LR
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
0 SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DO WN FL#
OINSULATED 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 . . . . 17-00001529 Date 5/25/17
Property Address . . . . . 214 ODHAM DR
Parcel Number . . . . . . . 07.20.31.505-ODOO-0240
Application description . . ROOFING APPLICATION
Subdivision Name . . . . .
Property Zoning . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 986141
Permit pin number 986141
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 EL03 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 #: I 1 5 I ADDRESS: a H M f AM bR
SAM_-oRD1 FL_3a2 )
I TIO nl) iz wAe, , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, LNGINEER, 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 #: CCC.l 3'I zi-+I
COMPANY / CONTRA
CONTRACTOR SIGNA
MUST BE SIGNED BY
CTOR: r 1 TWoe-
C G
LURE: DATE: O J I a -III I
LICENS HOD OR OWNER/ U L
A FINAL ROOF INSPECTION IS REQUIRED:
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 Ojp
Sworn to and Subscribed before me this ?,q day of 2CnC14 20 11 by:
11_,T B ' W . Who is P/ Personally Known to me or has Produced (type of
as identification.
otary Public
State of loriidda.
Print/Type/Stamp Name.
of Notary Public
y Mada Daniela Hubner deAbreu
NOTARY PUBLIC
c - STATE OF, FLORIDA
W = Coma# FF237733
sNCE 19 0 Expires 6/4/2019