112 Maplewood Dr; 17-3086; ROOFOct. 19. 2017 11:01AM SENEZ ROOFING No. 0448 P. 2
PITY bFUNPOkb
Olt, pp 41*0. 040' &.,. FIRE K*VtNTION
APPLICATION
A -pp 31'r,,afldn:N6,
Job Addrqss: 11 M 3:2
Historic District, 'Yqs El 'NoEl PflrCe1JDv:
33-i9-3b -'SCrn ' .-c)WO - Pkosiftntial &MM6ed"alEl. Type
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Company:
r4artgnie-Lend-er: Address; n
Adlimss, WARNING, TP.
OVMFR-, YOUR FAURE -To A9010 AVOTICE; OF q.()MML qjC9M ,&NTMAy *ft&SUI,T IN YOUR PO.-Ty
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ME]NTSO M MPP90PXAT A, $0TICD .01? . COMMENCEMENT MUST HE RECORDED ANANDSTE DONTHEJOB-.*S1TP,)WOR9 THX FIRsT IN S.PECT,.I.ON.-IFYOUINnNDT0013TA-lr4 FINANCING~ CONSVLT WITH
YOUIR LENDER OR AN ATT . ORKEY. BE-FORXRECORDING , YOUR No!rxc.rt, or- COMMENCME NT. 1: ceit-ify1hat;
nV work or installation leas rominenced pribt to
tboigs'.uonco Of a.perinit And"thatall work W'il'I be. psrforxod to.oicet,steddards of.Ajjj' in this Prfodicoon., I.
undeMtarid tMttt'.a'. QparQtg pe rpit must ,lZ securo8 For e1i•ctiieitl; wo.rlil plaitttsing, signs, wells, pools, furnaces, bQjlersi heaters, taqksiiand. aiir FUCIOM S.hpll be
inseflbed 009.9 .00n effoet ae oLthatilatc: 5 lk:Edltlon (2014) Florida Building Code Rpisod; 19 me 303W.
4i himit A0plibation,
Oct,19. 2017 11:01AM SENEZ ROOFING No. 0448 P. 3
NOTT Q: "In addition to tbe .:reqUjfeMpfljg:6f 'this pgjt, theka;M'- g:8dd t1b to ibis pmpdiy'lhat rnay*bp found' in thopiklic records of this county, a` nd,t here-may`bead6itiOngI.ptrtni'ts'req.uiri!d from othei $dverrim"dwal entities 5u6fi as water manggm,ent d?striefs, statwagentlos, or'f4dcrsFagcnei*rs. Actqpjaride:
Qf pbtlnit IS Verjfjd 0 1 Will Wf the Oft;r of the prqporty ofAr,feqv.jremeDts,of FlorlM81ionLavj, 713 The
City,of S9nf6fd requirts payment of a:pTAn revlew'fee at.16timeof perm - it 0vniitti1f.,A, 'wgy qf,.thd:0Uet1ted 0wract, js teqaj'rcd irlorderio.081PUlMe a PJAR review charge. and will ba..00ftsid.ere4th 6"estimflttd.tdnstiu011dn,valug'of 66jab at thelim,6 of'stibm"itbl. ThPactualCQP*4010j]. Yalliq wiltbe figured hs.e4 -Qnjihexurrent.j'C,. Vbiluaflton:7,4blo, jrtieffeetat.the )imi<jh4 prmif is fssiied,'in 00.44P: witlijocal'odihilu.0. $bog)d jggiqpntrpg-exc ed 11 -act creditwillbtappiledlo-ydur p-drrh`t:fga4.wh0n Wq- . I
the
ual co.rlstrjl tjon value,, thepernit, OWNER'
S AFFIDAM' I CA-t*-thit all dfh6foregoing .informn (ion, 'is:a-eturate;and.-that ull.work will be doit6
Ifi,POMP111fice With 'ill $ipP`11c9bkJA*-k0gUlkl' n.g.'eonsteueffon and. zbni g. Data. PriniOwnei/
Agent!
s berme Signatu' OrPOPY-
StalldofFlorlda 4 - 0
If 9117 LISA A
JAY My COMMISSION
0 F:F§30314 p. p ,
EXPIRES OcIOIW22,20.19 Qw,w/
Agent. _.N.rs.b.pefly ftWn 16 Mei or io e,
or
Produced DTYP6ofIDTgent
Pers own to, M Type nf'
ID BELOW IS
VOR. OFFICE USEQNLY Permits Rtqui'
red: '13bildinig gle6trfcal: D Mecharfleal IJ - Plu*(49EI OaC R()Pf 0 Construction Typo:.
oouplinq Usa Total S.
q'F'f bt-Bld.gr Mill, Oceupanq-Luad; Yew Cqmt,
rqqtion,; "Tilectrk- ffiof AMPS APPROVALS, ZON
J.N(i., T UTI'LITIES: ENGINE SPUNQ,>
FIRE, COKKENTS.- Flood
zone:
ffof'Stories:.
19tmIetmit, Yos
NQ'El WASTEV-7AT-
PIR: Revised; :jUnv
30,2011, -Permit Application
ct, 19, 2017112:15PM=SENEZ
C./
00
Est.
1973
SENEZ ROOFING, LLC
Painting & (nswation
TRUST -VALUE • INTEGRITY
ROOF I NG laali6ezA 2 -)—VJ Z )`.;'.:?kk 0450L"P. 2" "y
Toll Free: 1-866-350-4050
Office: (386) 774-4950 -Fax (386) 775-3338
1060 E. INDUSTRIAL DR. - Sulte K
ORANGE CITY, FLORIDA 32763
FULLY LICENSED & INSURED
STATE CERTIFIED #CCC1327898
www.senezroofing.com
PROPOSAL / INVOICE SUBMITTED TO: DATE:
NAME:
STREET: i (i ly ) c _L r
CITY: _D-7'7 /
EMAIL: . cD
12 COLORS: Shingles bber
Cust. IntAfrJ Drip Edge Vents
7-
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. Up to 3 sheets of decking Included. Extra Dicking is per. shot: Fascia and Truss wood - -- per foot.
3. x --- Install new felt paper dry-i.n x Install peel and stick Re -fasten decking.
4. Replace drip edge with all new painted drip edge. Cement in all eaves and rakes with quality roof cement.
5. Install valley lining in all valleys - Cement in shingles over lining. - California Closed Cut Valley.
6. Replace lead boots and goose necks on all existing vents and pipes. Paint to match venting or drip edge.
7. Replace (-.—) existing skylight(s) with new — skylight(s). Flash Chimney. (—) Cricket Chimney.
B. Install new asphalt Architect shingles - AR (algae/fungi resistant)-11fel[M manufacturer's warranty:
9. Each shingle is nailed with six 1 1/4" roofing nails.
10, Replace (-7 ) 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..tit'spec'ified-••,,
work completed is fully guaranteed for five (5) years. Roof material carries standard manufac to s warranty.
ALL MONEY IS DUE UPON COMPLETION OF WORK:
Please make check payable to: SENEZ ROOFING
Total Cast of all Work: $ 9 SS 60 Deposit $
all taxes and fees are included)
price reflects cash or check payment)
A 4% convenience fee will apply to all Credit Card transactions.
WE HEREBY PROPOSE TO FURNISH LABOR AND MATERIALS -COMPLETE IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS, FOR THE
SUM OF $ , ANY EXTRA WORK, MATERIALS, OR SPECIFICATIONS THAT ARE HAND WRITTEN ON
THIS CONTRACT ARE INVALID UNLESS INITIALED BY CUSTOMER AND BY THE OWNER/PRESIDENT OF SENEZ ROOFING, LLC.
1) Please remove vehicles from driveway.and garage/earpom by 12 noon the Cray before the job. Remove any items on walls and furniture and check that all fixtures in house
or porches are Secure that may fall or bounce offdue to banging vibration while rooting, we are not responsible. Please have yard mowed prior to job start to help with magnet
pickup of nails.
2) Customer Is responsible for: removal of anything &round the house that is breakable (i.e.: ornaments, bird baths, hanging plants, etc.), removal of anything attached to the
roof/decking inside the altle and outside prior to job start and reinstallation or adjustments after job completion (i.e.: solar, satellites, air conditioning components, alarms, pipes,
etc.), covering furniture or flooring below skylight openings and re -installation of anything that must be removed to property repair any rotted wood areas (i.e.: fascia, soffit,
siding, gutters, etc.)
Q
AUTHORIZED 'AGENT (PRINT &, SIGN): "''
Y^` ^ ^ i Cdf' DATE: d 2 7
NOTE: THIS PROPOSAL MAY BE WITHDRAWN BY US IN THIRTY (30) DAYS.
ACCEPTANCE OK PROPOSAL:
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED, YOU ARE AUTHORIZED TO 00 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,
ACCEPTED: PRINT & SIGNATURE: A'r-wr A, _ S&ed4LJIE_
T
TRY ,CY . ?-- DATE: I- %
PRINT & SIGNATURE: DATE;
DRIVERS LICENSE #:
EP.3e6-734-1877 - ROLLED SHINGLE 11116
Oct.19, 2017 11:02AM SENEZ ROOFING 1111111Jill I Ilk 04481111 P. 611111411 THIt31N6
A Tfl pgpgR 9Yf . Agdreae•
r.
c NOTICE
0 'CO WENCEMENT State
of Floride County
of Seminole." Permit
Number, Parcel
ID Number: _ 3 GRANT
MALOY r SEMINOLE COUNTY CLERK, '
OF CTRCUI:T COURT & COi PTROLLEI; BK
9009 P3 414 (1P!j9) CLERK'
S r 2017105335 RE(
ORDrD 10/10' 2017 12>1G1,22 1-111 kEGDRI)
I%- FEES .IC1. ClQ RECORDED
I,Y tsm?'t.h*., The
undersigned hereby gives notice that improvement win be made to aertaln 1061 property, and Chaptor'7i3,.Florlds Statute$, the following Information to provided In this NOV00 of Commencemen4 DESCRIPTIONOFPROPERTY: lLeenl d..,,.t: a ....,, _ ___ _ _ . I
1 ,
00
OWNER
IrRMALIONI Fro
8lmpte Title HOId9(lf other then owner) Name-, } Address:
CONTRACTOR:
Name:
Senez Roonno Address;
10eO E. Induairlel Dr. S•K Oran a Cil , EI. 32763 Persona
Within the State of Florida 0eetynated by owneruponwhonl notloe or other do eeprovidedbySection713.13(1)ib), Florida statutes. aum.nte may be served Noma; ,,.,
I in
Addition to hfmseif, Owner Deelgnoies or
Seaport
713.13(1)(b), Florida Statutes. To receive A copy of the honor's Notice as Provided,lrl tIon
8ifferentdpets
of s otica or Commencement (The eXPIMtorl.dats Is 1 year from date of recording unieae a differentdateleapeollled) XYBBOLNo
ro e1A109y6- ANY PAYMENTS MAD? BY THE OWNER AFTER TiiB EKPIRATiON OF THE NOTiCII OF COMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713. PART I, SECTION 713-.13, FLORIDASTATUTES. AND CAN RESULT -IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICEOFCOMMENCEMENTMUSTBERECORDEDANOPOSTEDONTHEJOg817EBEFORETHEFIRSTBEFORE
COMMENCING WORK OR RECORDIND YOUR NO iNSPEMON. IF YOU INTEND -TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY TICEOFCOMMENCEMENT. Under
penalties of perjury, I declare that) have reed the foregoing and that the facts etatgd to It are true theboatofmyknowledgeridbelief. owns
a al As ur Ftodda8ln1u1e713,
171 OwT1erAP nleaNeme t(of7hew+tter0luueiQntlfenoVwateommenoemenlsadnoonee4emeybraemllsedtoelpntnhisorhersteed. state
of C4Covnty.,ot"; 1 That
rggoing Inetrumentwes acknowledged before me this dry of CC 1 by
Wtto
is Personally known to me NameoTpenonmeltbpnefement , OR
who has produaed IdentlBoatlon type of Ids 111081lon produced: NEIOY
S SANTJAGO U'' o,
F '' (u
brd176eolaryPublic-StateOfPACommisslpnAGGllA
My
Comm,Comm,E%pires1un12,2021 ;..bt. rsofe
anti
r
Oct,19. 2017 11:OOAM®SENEZ ROOFIN
a
No, 0448 P, 1
0
Senez R00%ng
1,060 E. Industrial Dr.
Orange .City, F1.32763
www.senezroofing.com
E-mail: info(a senezroofing.com
Office: (386) 774-4950
Fax: (386) 775-3338
Fax Cover Sheet
Attenton:`r r+Mr From:
Company to: Date:
Fax number: --p o-)--co —SI S.--- Pages:
COMMENTS:
NOTICE- This is privileged and confidential and intended only for the person named 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.
CITY OF
kNFORD
DEPARTMENTFIRE
Qfv, /o'p
jl . OP
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. ' 7 OR 3® 8 Iv ISSUE DATE: 10-2-0-17
CONTRACTOR: en c Z. A
JOB ADDRESS: , ' I M 44 few ® 0 0t. "e—
TYPE OF WORKwr49w
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 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 5:00 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 111
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
Oct. 19. 2017 11:02AM SENEZ ROOFING, No.0448 P. 5
PERMIT #
City of Sanford Building Division
Residential Re-RdA Scope of Work
JOBA,,
IDRESS:_%
J_
STRUCTURE TYPE' U SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: I REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECKTYPE (PLEASE 4iSPECIFY): 6EF PLEASENOTE: ONLY 100 SQUA F THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF
VENTILAT1OJ I () OFF -RIDGE RIDGE () SOFFIT ()POWERED VENT ()TURBINES SKYLIGHTS:
Q YE'! NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: ! L- --- ..... ...... ---------
MAIN
ROOF AREA ROOF
SLOPE: 0 L SS THAN 2:12 0 2:12 - 4:12 4:12 OR GREATER I
TYPE
OF ROOF I MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE
FL# O
METAL ; FL# MODIFIED
SITU EN FL# ll
QTORCH
DOWN FL# OINSULATED
FL# OTiLE
1 FL# OTHER:
I FL# ROOF
EXTENSIONS PORCHES PATIOS ETC. "IFAPPLICABLE"" THAN
2:12 Q 2:12 - 4:12 O 4:12 OR GREATER ROOFSLOPE: O +S TYPE
OF ROOF I MANUFACTURER FLORIDA PRODUCT APPROVAL O
SHINGLE FL# METAL
I FL#' MODIFIED
j jN FL# OToRCHDOWN ;
FL# Q
INSULATED FL# n
T« E FLA OTHER:
Oct, 19. 2017 11:01AM SENEZ ROOFING No. 0448 P. 4
4rl : c
b:
l; ! City of Sanford) uilding Division
Residential Re -Roof Inspection Poqy & Procedures i
PERMITTING REQUIREMENTS —No PLAN REVIEW REQUIRED This
document .(h' ied) along with an accurate and completed Residential Re -Roof Scope of W to
be submitted as''part of your permit application. !! The
Scope of Wd1-the. must
include all applicable Florida Product Approval numbers for all roof cn will
be installed o. project. f' It
r 1 ?
1 YI A
permit will not,.?be issued without these documents. Copies will be made to post on the job si'e Projects
locate in the Sanford Historic District will require plan review and approval Historic
Pr Lon Board INSPECTION
POLICY & PROCEDURES j A
Final Roof Ins ection is the only inspection required for Residential (Single Family, Townho Home,
Apartment and/or Condominium) Re -Roof Permits, The
Following is,required to be provide on the job site; Permit
Caj1, posted in a conspicuous and weatherproof location '. Complete,
Residential Re -Roof Scope of Work Complete ;
and Notarized Inspection Affidavit I
All
Florida Product Approval and Corresponding Installation Instructions r Product
Approval shall match what is on the scope of work) Digital
Photographs (must include the permit number or address in each picture) I o
Each plane of.the roof, showing the underlayment installed o
Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o
Roof D o
Underla o
Drip Lc p,
o
Shingle Skylig
o
Digital, o
DiRitall. Failure
to follow Professional (
arc CONTRACTOR (
OR 0* E
k
Nails used (including a measuring device or ruler showing size of nails) .!: ment
Pattern & Spacing (including a measuring device or ruler) e &
Valley Attachment (including a measuring device or ruler) I
ar installed,
nail pattern and. location of nails are
required that
the
Sanford Mobile
4'
Aif
applicable) otographs
showing all installation components, per FL Product Approval otographs
showing all required flashing, per. FL Product Approval !. se
specific guidelines will result in an affidavit provided by a Florida Design ect
or engineer), certifying FBC code compliance by personal inspection. SIGNATURE:
DATE: I
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 . . . 17-00003086 Date 10/19/17
Property Address . . . . 112 MAPLEWOOD DR
Parcel Number 33.19.30.SEM-OCOO-0070
Application description . ROOFING APPLICATION
Subdivision Name . . . . IDYLLWILDE OF LOCH ARBOR SEC 6
Property Zoning . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1008085
Permit pin number 1008085
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 #: l ' 3t)(o ADDRESS: ) I d-) t 1 a o is w a yj Dr,
1 C , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
OOFING CONTRACT ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING ION 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 #: o` l 3a - !l " I S
COMPANY / CONTRACTOR: r_ hsno Doc SbQez__
CONTRACTOR SIGNATURE:_ DATE:
MUST BE SIGNED BY LICENSE HOLDER-OR-OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
I-a___7
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 PROFESSI.ONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF V 0) l %jj CK-)
Sworn to and Subscribed before me this day of I by" by:
s 1L.P RN (f Z . Who is Personally Known to me or has Produced (type of
4tification)
as identification.
f Notary Public =;' 4`?z SA A JAY
State of Florida MY COMWSIOtj # FF930314Aliil". EXPIRE5 October 22, 2019
4C7}369-0.53 FloridaW ta SeryY ce.com
Print/Type/Stamp Name
of Notary Public