601 Grovewood Ave; 17-2897; ROOFt 4cti'0 ezg
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / J " LI1 j 3cso
6
1/Documented
Construction Value: $ c
e' Job
Address:Historic District: Yes No fO Parcel
ID: Residential Commercial Type
of Work: New Lp Addition Alteration Repair Demo Change of Use Move Description
of Work: I fc, r o 0-0F a'd 5 -0ry C.' 4 Plan
Review Contact Person: l
r2lk
Le_'-s Title: Phone:
Lt.o-i t- Fax: 407- 6,03 '7301- Email: Property,
Owner Information Name
Phone: Street:
CO 1 G-rnvewood Ater Resident of property? : \-T-es City,
State Zip: Sa•46rd1 " _ 3a77 Contractor
Information Name
r> 11 C-C w S Ce ,.,, s `,n Phone: t-07 - 91 Street:
S I d J k r Sv., t t 1 d23 Fax: 4C77 C _3- _7 a City,
State Zip: ALyc_mon r-c Spr:vlsS State License No.: CCC 133 1 Q71 Name:
N14- Street:
City,
St, Zip: Bonding
Company: Address:
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.
Signature of Owner/Agent Date Latcontractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Prin ntractor/Agent's Name .
ignature of No gglEtt":T:) Dat "J
PCB` •'' MY GGi 4M;lo5,
pphi.c .
Contractor/Agent is Personally K own to Me or
Produced ID Type of 1D
2-
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
Project Name:
Customer Name: Gary Ketchum
Address: 601 Grovewood Ave Lake Mary FL 32746
Email: Garyk@cfl.rr.com
Date: 9/18/2017
510 Douglas Ave Suite 1023
Phone # - 407-915-1643
Contact - Darrell Lewis
Email - lewisroofingfl@yahoo.com
N 10-c
Name: GAF Timberline HD Shingles (Color:csha)
wb f,o0ssb`"ll ec.1
0 Starter
Shingles:
Install GAF Pro -Start Starter Shingles on all eaves Low-ec, (2ovA- , Install up
to 3 Sheets 1/2" CDX (4'x8' Sheet) Each Addl $60 Install GAF
Pro -Start Starter Shingles on all eaves - Rhino Synthetic
underlayment o r 4et"",5icr' 1" Plastic
Cap Nails for Underlayment Install New
2.5" Standard Drip Edge in the color of your choice Po Install New
Lead Pipe Boot 2" FlatkQ, Install New
Lead Pipe Boot 3" Flat 10" Goose
Neck Vent Install GAF
Seal -A -Ridge on all Ridges and Hips Building Permit
Dumpster (12
yard) Delivery Fee
Apply Flashing
Cement around eaves and all penetrations Spray Paint
NP-1
Sealant OC a Co (V,P1etC GAF Timberline
HD Shingles (Color: Shakewood) 2-Story
Roof Charge / O / 3 / o% C 17 Remove & Dispose
Architectural Shingles Contract Cost: $
3,248.84
F Lewis Roofing is a Florida State Licensedand:1nsured Roofing Contractor. License #CCC1331279` Estimate
includes removal and disposal of existing roofing system. For single roofs this includes removal of one layer of
shingles and one layer of underlayment. Additional/unseen layers will be at an additional charge unless specifically noted
in contract. Following
removal of existing roofing system decking will be inspected for existing damage (water, termite etc.). Lewis
Roofing includes three sheets of plywood and workmanship. Excessive damage beyond one sheet of plywood will
be replaced above contract price, unless specifically noted. General pricing for wood replacement: CDX plywood 60
per sheet, T&G and linear wood $5 per linear foot. Please
Note: Due to the use of heavy equipment & dumpsters on the project Lewis Roofing can not be held accountable
for damages that the equipme:7;
s.
Lewis Roofing will take all necessary precautions to try and minimize
issues. Customer
Initials Salesman Initials: Payments
are made in three stages. First payment (10%) is due upon signed contract. Second payment (40%) is due
upon delivery of materials. Final payment (50%) is due upon substantial completion. Substantial Completion is defined
as final permit issued. Punch out items, repairs, and warranty work will not prevent final payment. Payments not
made at substantial completion will be assesed a 3% late fee. Lewis Roofing Guarantees all workmanship for 10 years.
Customer
represents that he/she owns the property at which the work is to be performed. Customer will identify boundary
lines and be responsible for obtaining any necessary zoning variations before commencement of work. Company
shall comply with all local requirements for building permits, inspections and zoning. All surplus material remains
Company's property. While the work is being performed, Company may use the Customer's utilities at no cost.
All rights, remedies and privileges of Company here under inure to the benefit of and are enforceable by an assignee
of the Proposal. Customer agrees to execute all other documents that Company may require in order to carry
out the terms of this Proposal or to comply with all applicable laws. Company may make minor variations in work
or substitute material of equal or better quality without consent of Customer. Lewis
Roofing shall not be responsible for loss, damage or delay caused by circumstances beyond its reasonable control,
including but not limited to acts of God, weather, accidents , fire, vandalism, regulation, strikes, failure or delay
of transportation , shortage of or inability to obtain materials, acts of owner or agents of owner. If
gutters and/or downspouts are to be removed to facilitate a re roof , contractor shall not be held responsible for any damage
caused by removal and/or re -installation of gutters and/or downspouts Customer
Initial Verified Shingle Color Customer
Initial Verified Drip Edge Color - Circle one WHITE BLACK BR BEIGE GREY Customer
Initial Payment Type - Circle one CASH CHECK CREDIT (Agree to 3% processing fee for CREDIT)
Customer
Information: E-
Mail Address Phone
Number Mailing
Address Bid
Estimate Good for 30 days. Work will be Customer
return
of signed contract. Date `
0 +
THIS INSTRUMENT PREPARED BY:
Name: Darrell Lewis
Address:
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number. 10 3d -Sot 3 d
f 111111 II1 Itlt rtln !!!f! ilffi Ifii ini
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 8997 Ps 172L (1P9s)
CLERK'S 4 2017098380
RECORDED 10/02/217117 12.96:50 I='M
RECORDING FEES $10.00
RECORDED BY tsmith
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 ofthe p—roperty an street DDaddress av
aible)_ _ I
d 3 Ci Cj r e J/%t1 I t ld U? u o E y%J '7 0
U
C!'I) LA'WOU _ vp 4nh 7 7 2.
GENERAL CRIPTION OF IMPROVEMENT: Tear
off and Reroof the Second Storx 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: Gary Ketcham 601 grovewood Ave Sanford FL 32773 Interest
in property: Owner Fee
Simple Title Holder (if other than owner listed above) Name: NA 4.
CONTRACTOR: Name: Darrell Lewis Lewis roofing Phone Number. 407-915-1643 Address:
510 Douglas Ave suite 1023 Altamonte Springs FL 32714 5.
SURETY (If applicable, a copy of the payment bond is attached): Name: NIA Address-
Amount of Bond: 6.
LENDER: Name: NIA Phone Number. Address:
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 gJtAAatutes. Name: !
tT Phone Number. 8.
In addition, Owner designates 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). 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 ZRECORDG
YOUR
NOTICE OF COMMENCEMENT. Si
f O+rtner or Lessee, a ovm , or Lessee'st (Print Neme and Provide Slgnatoq(s T1t1e 0 floe) I
011icedi
rectortParb"r Manager) state
of r- ID r i d a County of cJ em i n D "( j
The
foregoing instrument was acknowledged before me this 2 -4 day of < 1 -eM 6er 0 U
by _ Gary k eiCk Who is personally known to me OR Narne of
person making statement who has
produced identiffcadonV type of ideritiftca6on produced: _ Ar I Vtr ! l uwsla— 11* a,
r JOSNUA L. JES51E Notary Public -
State of Florida try Comm.
Expires Jun 5, 2018 Commission # FF
130058 y un
e 0A
ry
Sigma
CITY OF
FORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. s01 8 17 ISSUE DATE: ® o • I •
CONTRACTOR: s ® A
JOB ADDRESS: ® r® ae, t000 a
TYPE OF WOR . 46 F
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 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
CITY OF
C 1 Tr f Building &Fire Prevention Division
Lj l j O J RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
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.
DATE: 7CONTRACTOR (OR OWNER/BUILDER) SIGNATUR bE:
CITY OF
Sk 40RD
JOB ADDRESS: G O k A U < -
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (S) REPLACEMENT TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): N\4 W o'
PLEASE NOTE: ONL Y IOO SQUARE FEET OF THE EXISTING DECK 1S PERMITTED TO BE REPLACED
ROOF VENTILATION: OOFF-RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES ONO 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 M/
nA
NIU FAACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE i f , +njc FL#
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#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O 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 . . . . . 17-00002897 Date 10/02/17
Property Address . . . . . . 601 GROVEWOOD AVE
Parcel Number . . 10.20.30.505-0000-0340
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . GROVEVIEW 1ST ADDITION REPLAT
Property Zoning . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1004944
Permit pin number 1004944
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 Ill BL03 FINAL ROOF / /
Y OF
iSJ NFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING,
nSHEATHING9
DRY-INq FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1-7- Sf`17 ADDRESS: (0 d 1 C=ro fe kj o CFj A0 i
clG 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 #: C-C C I ,-, - 1
COMPANY / CONTRACTOR: l.' W 0 0 t o 5
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: I '-' l d r QO' 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 PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF Sem IA&' -
Sworn to and Subscribed before me this /a "' day of a /v im 20 // by:
Qarrel/ L,ew,s Who is 71 Personally Known to me or has ?%Produced (type of
identification) FL Dr/il-erJ as identification.
Signature of Notary Public
State of Florida
anle/ /JYJar-'--
Print/Type/Stamp Name
of Notary Public
I 11111 t'
MY Comm. *asS N :
NO. archM
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qu
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