205 Marc St; 17-2306; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: , a
Documented Construction Value: S 10,440
Job Address: 205 MARC ST SANFORD, FL 32771 Historic District: Yes No
Parcel ID: 10-20-30-501-0000-0510 Residential N Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Ytove
Description of Work: REROOF CERTAINTEED ASPHALT SHINGLES & MODIFIED BITUMEN
Plan Review Contact Person: ANDREA BELL Title: OFFICE MANAGER
Phone: 407-671-2666 Fax: 407-671-5626 Email: ANDREA@VINTERPARKROOFING.NET
Property Owner Information
Name JOHN SWANSON Phone: 505 681 0809
Street: 205 MARC ST. Resident of property? :
City, State Zip: SANFORD, FL 32771
Contractor Information
Name WINTER PARK ROOFING, INC Phone: 407-671-2666
Street: 3500 ALOMA AVE STE F17 Fax:
City, State Zip: WINTER PARK, FL 32792 State License No.: CCC1328879
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
WARNING TQ,,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
RECORDER :AND,POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, ,C,ONSULT 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 c.ertit that no work or installation has
commenced prior to the issuance of permit and that all work will he 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.
1=BC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: >"' Edition (2014) Florida Building Cade
Revise& June _10, 2015
Pcnni! Application '
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0—T1 1,: In addition to the requiremetrts,of-this permit, there may be additional, restrictions, appticab]e to thin Property that may beftaund;in the public records of this county:, and there maybe additional permits required -from tether Poverttrnentgl entities°.suchzas water
management districts,, state agencies, or federal agencies.
Acceptance of permit is verification that I will noTify the owner of the property of ilia rcgtrirertent5 of Florida Licit Lady, FS 711
The City of Sanl`ord requires payment ofa plan revietk, tee.at the time of permit submittal. A copy of`the, executed contract is required
in order to calculate aplan review charge and will he considered (he estimated construction value of the job at the time of subttittal,
The actual construction value will be figured based on the current I C: Valuatimi fable in etTcct.at the time the permit is issue jll
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
be thine iu comlrlia'nee with all npPlie rble laxx,s re n'tating
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tpR Deborah Charette
t n NOTARY PUBLIC
STATE OF FLORIDA
gI omm# G0007428
CcatltractorlA t I afRl("AW?W 4 to Me,, or
Produced lid _.____...... Type Of 10
is accurate anti that all cork, will
Permits Required: Building[] Ele,ctrictllE[ klechanicdI[] Pklhibirig[] Gas[], RotfE]
Cons#ruetion Type: Orcupan;ey Use: Blood Zone:
Total Sq Ft of Bldg: Min. t ccupuney Load: _ ._ of Stories:
t e w Constructitrnt Electric - ft of Amps Plumbing - # of Fixturea
Firew;Sprinkler Permit: Yes No Q 4 of Heads fire Alarm Permit: Yes 0 No C]
APP'ROVA;I,S:ZONING: UTIl. ITI F,
ENGINEERING: EERING=:
C:OMleiIENT
Iic`Visrt' June +ti,.2015
HE
WAS'IT; WATER:
BUILDING:
tennis Application
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SCPA Parcel View: 10-20-30-501-0000-0510 Page 1 of 2
Property Record Card
eario Jarmsan`Cfp Parcel: 10-20-30-501-0000-0510
PnPR { Owner: SWANSON JOHN
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Property Address: 205 MARC ST SANFORD, FL 32771
Parcel Information
Parcel 10 20 30 501 0000 0510
Owner SWANSON JOHN
Property Address 205 MARC ST SANFORD, FL 32771
Mailing 1717 VALDEZ DR NE ALBUQUERQUE, NM 87112-
Subdivision Name GROVEVIEW VILLAGE
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
0 0
0 Q
l 0 O
DO 85 51Q
I
OSeminole ounty GIS
Value Summary
207 Working
Values
2016Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 114 545 1071212
Depreciated EXFT Value
Land Value (Market) 25,000 25,000
Land Value Ag
Just/Market Value'* i $139,545 132,212
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj r $10,997 15,350
P&G Adj 0 j $0
Assessed Value 128,548 116,862
Tax Amount without SOH: $2,459.00
2016 Tax Bill Amount $2,459.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
I Legal Description
LOT51
GROVEVIEW VILLAGE
PB 19 PGS 4 TO 6
Taxes
1 Taxing Authority _ Assessment Value_ Exempt Values Taxable Value
County General Fund $128,548 E $0 $128,548
Schools $139 545 9 $0 $139 545
City Sanford $128,548 , $0 , $128,548
SJWM(Saint Johns Water Management) $128,548 1 $0 $128,548
County Bonds $128,548 j $0 $128,548
Sales
Description Date
s
Book Page Amount Qualified Vac/Imp
SPECIAL WARRANTY DEED (5l1/2010 07389 1240 $75,000 ( No ( Improved
CERTIFICATE OF TITLE 1 2/1/2010 07334 l 0215 $100 No Improved
WARRANTY DEED 9/1/2001 104206 1268 $105 000 Yes Improved
WARRANTY DEED 9/1/1995 102965 1187 $75,000 No Improved
WARRANTY DEED j 8/1/1990 02211 1698 i $66 900 Yes Improved0 e _ m
WARRANTY DEED 4/1/1986 01728 0673 $56 000 No Improved
WARRANTY DEED 5/1/1982 01391 0254 $55 000 i Yes Improved
CERTIFICATE OF TITLE 18/1/1981 01350 1 691 $100 ( No Vacant
WARRANTY DEED 1/1/1980 01260 1065 $70,000 No Vacant
FInd Comparable Sals
Land
ffMethod Frontage Depth Units Units Price -Land Value
0.00 i 0.00 1 : $25,000.00 ; $25,000
http://parceldetail. scpafl.org/ParcelDetailInfo.aspx?PID=10203 05 01000005 10 7/31 /2017
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THIS INSTRUMENT PREPARED BY:
Name: WINTER PARK ROOFING- DEIDRE BELL
Address: 3500 ALOMA AVE STE F17
WINTER PARK, FL 32792
NOTICE OF COMMENCEMENT
Permit Number i
r-7' X.V
Parcel ID Number: 10-20-30-501-0000-0510
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CLFRK. OF C IRWIT COURT t, t 0MF'TFtOL1"ER
0
CLERK'S 'L 2017071637
RLC()RDED H-7/ 4/ 21117 1.--331,9 1..'11
r.i:;i1RDIi3ta FEES $10-00
RECORDED BY 1-idevore
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement
1. DESCRIPTION OF PROPERTY: (Legai,description of the property and street address if available)
LOT 51
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2. GENERAL DESCRIPTION OF IMPROVEMENT:
REROOF ASPHALT SHINGLES & MODIFIED BITUMEN
3. OWNER INFORMATION OR LESS.EE,INFORMATION:IF THE LESSEE:CONTRACTED FOR THE IMPROVEMENT -
Name and address: JOHN SWANSON. 205 MARC ST SANFORD, FL 32771
Interest in property: OWNER
Fee Simple Title Holder of other than owner listed above) Name:
4, CONTRACTOR; Name: WINTER PARK ROOFING- JAMES BELL Phone Number: 407-671-2666
Address: 3500 ALOMA AVE STE F17 WINTER PARK, FL 32792
S. SURETY (if applicable, a copy of the payment bond Is attached): Name:
N Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
r 7. Persons within 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.
o-.J A-/1 O 2 x
Name: -D -1 vJe Phone Number.,,
Address: :?P n EV4 M -1—iNl
8. In addition, Owner, designates of
to receive a copy of the Lienor' s 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) V7
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 713.13, 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.
signottjjo of Ovm,.er or Lelseer Owners or Lessee's (Print Narm and Provide Signatory s Titlrlotftce) A..
uhcrized OtBcorforedcrmanneamanager) State
of 1ecl County of ,,m t/P - The
foregoing In umentwas acknowledged before me this day of .U'T 20 1 by )
G V."t ti ViC,V 1-10 V Who is personallyknown to me 0 OR Nar" of person
maxing statement who has produced
identification I7 type of Identification produced:1 S f—ti a VANESSA BADE
HAYNES NOTARY PUBLIC 7593381
COMMONWEALTH OFVIRGINIA MY
COMMISS)ON
E VM JULY 31.2018 Notary *ynarure r
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Winter Park Roofing, Inc
State Certified Roofing and Residential Contractor
CCC1328879/CRC1329680
Roof Proposal
407-671-2666 Fax:407-671-5626
Customer flame.. _ t C 1111 5 Vt' 0 11 -S' 0 1/1
Address 2015 MARC STREET. SANFORD, FL 32773
Phone 407-927-3788 Email K,'ARBUTINE@GMAIL.COM
Roof pitch 3/1,2
Nemoval X Standard_dard Oescribe: I LAYER, REMOVAL AND DISPOSAL
We will use tarps togrotectground coverihg'and customer's grope rty.
Wew4hLte?r,#f( ;?, At &*X,#,se 0 211 1
existiAZ
r*,#fing material &wn t# the barele We
remove.and replace all rotted roof decking at no additional charge, We
will re -nail entire deck as per Fl, code using 8d ring shank nails, We
will replace all metal including drip edge (color optional), lead pipes, and vent pipes. We
will install, Owens Corning, Weath erlock G peel 8( stick underlaVment. We
will install Owens Corning, CertainTeed, or GAF shingles,(6 nail per code) color and manufacturer T8D
by customer. Install
starter shingles on all eaves and rakes, All
gutters will be cleaned at job conclusion, We
will magnet and provide daily clean up and keep property cleat of roofing debris removing dumpster at
job conclusion, We
will add proper arripont,of roof ventilation at no.p.cliditiqn4l cost. Contractor
will provide all necessary permitting paperwork. Any
special notationsi WE WILL REPLACE 1-2X2 KENNEDY GLASS SKYLIGHT, WE WILL INSTALL I\
AUUtt-ItUBITUMENWI;IHPOCY-itiC)lAljt--R DiNSULATIONINLOVTSLOPE AREA.
Customer
to provide solar company to remove and re -install solar system if present. 3-
MH3HMM8M= 35GG
Alorna Ave F17 Winter Park F1 32792 wwv4
winter pl,kroofin g, net 111
Z City of Sanford
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Building & Fire Prevention Division
F
Re -Roof Permit
I '=
I
PERMITrdDATE:
CONTRACTOR: j N K
06m*kbo-P#*m q
JOB ADDRESS:
TYPE OF WORK.JC•'rel S I tAQ 'el& turnen
I PROTP. I 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
PERMIT #I I- rG 0 G
City of Sanford Buildin ' - "' Division
Residential Re -Roof Scope of Work
4 l r s t s o n r-o dJOBADDRESS: Z c
STRFCTURE TYPE: '0 SINGLE FAMILY Rf-.SIDI-,,NCf-./TOW\Flot=St-- 0,vlol i I u, 1 10ml-,- 0 APAR I M FNT/('0ND(A%l INIUM
Rig Rooi.-TypF;:
0 Ru,-Covu (NFw Rof*- INS VA1.1,17D 0 VER I: IS'( ROOF)
DECK TYPE (PLEASP, SPECIFY).
PLEASF_ NOTE: ONLY 100SQUARE FEETOP- THE LVIS77N(: DECK LV P/7k.l`//l"/'1.-.-[))ro BEREPLACED *'t Roo u,
VENTI LATION: DOFF-Rlwir 0 Rlmr OSorf:ri, 011owj:iaj) Vj:\!,j, -S I IOTuRBINII, SKYLIGHTS: (4
YFS ON'o IF Yl,-.S, PLIH.ASE PROVIDE FLORIDA PRODUc-i, APPROVAL 4: 1559Z MAIN ROOF
AREA ROOF SLOPE: (
D LFSS THAN, 112 (;4 2:12-4:12 0 4: 12 OR (,,RfeA I'FR TYn., OF
Roor MAN tj FACTURl,,',k H,omim PROMui, APPROVAL SIJINGH_E
i 9 i 1 t d- FL# 0 METAL
MODIFIED BI'
l UM LN to FL:` 2 5 OTm0l DOWN
0INSULATE-1)
FLA FLA'
OTILE
0
OTHFR:
ROOF EXTUNSIONS(
PORCHES, PATIOS, ET(.) -,l*lF11PPLlC.ABLE**"' Rom SLOPE:
0 Ll-:,SS 1-14AN 2:12 0 2:12-4:12 04: 1 22OR (IREATFR TYPE OF
ROOF MANUFACTURER FLORIDA PROmICT APPROVAL 0SHINGLE FLU
0 METAL
FL: 0 BrrumEN
oTolzu-1
DoWN FL4 0 INS
U LATFD FL? OT11,1-
1 RI 0 0'
1'11 F R: FL#
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS:
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 #:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNERIBUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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 day of
identification)
Signature of Notary Public
State of Florida
20 by:
Who is Personally Known to me or has Produced (type of
as identification.
Print/Type/Stamp Name
of Notary Public
City nfSanford Building Division Residential
Re -Roof Inspection Poicy& Procedures PERMr[
T|MC0G8|ilI0NIENTS-NOPLAN Rm2wR[V0|RED This
dOCUrnent (signed) along with all accurate and completed Residential Re-Rool-'Scope of Work are required to
be Submitted as port oFyour permit application. The
Scope ofWork mUSt include all applicable Florida Product Approval numbers fior all roofcomponents that will
be installed on the project. A
ponnk will not he issued without ihcoc documents. Copies will be nnudc to post oil 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 KonidcrVia] (Sinu|t Family, Townhouse, K4ohi|c Humn,
Apartment and/or Condominium) Re -Roof Permits. The
Following inrequired tuhcprovide oil 'hojohsite: Permit Card, posted
iooConspicuous and weatherproof location w Completed Residential Re -
Roof Scope ofWork Completed and Notarized Inspection
Affidavit All Florida Product Approval
and Corrcspondin, [nuLa||odon inutruotiOils Prpduct Approval ahu|| match
what is on the scope of work) Digital Photographs (must include
the permit number oi- address in each Picture) o Each plane oFUleroof.
showing the undux|aymontinstalled o Roof Deck Nailing Pattern &
Spacing (including a measuring device or ruler) o Roof Deck Nails used (
including a measuring device or rUlershowillo size of nails) o Undc/\uyrncn1yancnn 8L Spacing (
including o muuourin&,device or ruler) o Drip Edge dL Valley
Attachment (inu}udinoo measuring device orruler) o Shingles insto|lcd, nail
pattern and location of nails Skylights (if applicable) o Digital
photographs showing all
installation components, per FL Product Approval o Digital photographs showino all
required flashing, per 17L Product Approval Failure to follow these specific
guidelines will result iounaffidavit provided byuFlorida Design Professional (architect or engincer), certifying.FBC
code compliance by pursunal inspection. CONTRACTOR (OR 0wmcm/13uuoex}S/nwA,
n/nc: DATE: /
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
Fhereby name and appoint: Deidre Bell
an agent of: Winter Park Roofing . (
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):
All permits and applications submitted by this contractor.
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney: 9119!20'4 7
Licen.,
State I
Signal
STAI
COUI
to me or o who has produced
identification and who did (did not) take an oath.
ISignature
Notary Seat)
Print or type name
BE THANY E. DUNN
St t 0NotaryPublic - State of Florida
it 18MyComm, Expires Jun 5, 2018
1 0] Commission FF 130057
V qP qP W 0,
Rev. 3/27/07)
Notary Public - State of
Commission No.
My CommissionExpires: -,)t;rle_
1,,-e,r
own
as
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 17-2306 ADDRESS: 205 Marc St.
Sanford 32773
I James Bell , 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#: CCC1328879
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICE?
TER PARK ROOFING, INC - James Bell
UILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: 8/2/17
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGPI'AL 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 r3l day of Pvt in U 20 a by:
0.> \ . Who i&)Personally Known to me or has Produced (type of
identification)
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
as identification.
DeborahCharette o
taRY4%
NOTARY
PUBLIC STATE
OF FLORIDA Comm#
GG057428 iNCE
1 5% Expires 12/22/2020
a"
Permit #:
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
17-2306
I James Bell hereby acknowledge that I personally inspected
VRoof deck nailing and/or `'Secondary water barrier work
at 205 Marc St. Sanford 32773 and have determined that the work
Job Site Address)
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
pernce of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Ainn
R__*77_(1G-F_C_ roll
Bell
Printed
Name of Contractor 8/
2/17 Date
CCC1328879
License #
License
Type: General Building it<esidential If Xoofing Contractor or
any individual certified in accordance with F.S. 468 to make such an inspection. STATE
OF FLORIDA COUNTY OF Sworn
to (or affirmed and subscribed before e t _ day of , 20 , by who
isPersonally Known to me o s Produced (type of i
tification) as identification. SEAL)
Signature
of Notary Public f
Florida I' Q Print/
Type/Stamp Name of
Notary Public 01tY
Deborah
Charette NOTARY
pUBLIC STATE
OF FLORIDA Comm#
GG057428 s/
HC0 \b Expires 12/22/2020 3