202 Justin Way; 17-2843; ROOFCITY OF SANFORD
y EP 2 2017 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No • — Cam_
Documented Construction Value: $ `%CX
Job Address: J- to (, C y SG I Historic District: Yes No
Parcel ID: Its ZQ `3 ()-5bJ 7COLO JQ (_Q ResidentialW Commercial
Type of Work: New Addition Alteration Repair DempEl Change of Use Move
Description of Work: Q-LS6&
Plan Review Contact Person: _F_KJ tt l) Title:
Fax: L4 C5 - 33DZ,30mail• t
S
d Y,V Property
Owner Information Name
Ok Phone: jr. Qcif. 27)3 `7 Street:
ZZ5( ) n U) L IU _rPJ Resident of property? City,
State Zip: Eta— -L Contractor
Information Name )<
Street:
Z d Fax: City,
State Zip: C State License No.: C_ Q-=S55 a 2q Architect/
Engineer Information y ; Name:
Phone: C> Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Mortgage Lender: Address:
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: 5th 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 befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, state agencies, or federal agencies.
Acceptance of permit is verification that I will noiify 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinance. 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.
IT: I certify that all of the foregoing information is accurate and that all work will
with all applicable laws regulating comtruct)n and zoning.
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Comm# FF184433
Endres 12118/2018
Contractor/Agent is
Produced ID
Z3 l,-3
Date
Personally Known to Me or
Type of ID [1(
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical IPlumbing[]
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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
BUILDING:
Revised: June 30, 2015
Permit Application
fQ
THIS INS uMENT REPARED BY:
11111111111111 1111111111111111111111111i 1111
Name: 6R-MT MLOY:= E-HIHOLE C_01.111TY
Address: i4_.(_{"K QFF CIRCUIT COURT iJIPTROLLER
LER)K}'5j Or 2017096313
NOTICE OF COMMENCEMENT L:.[
EES '{
RECORDED ai IrL li It.:_.. M1
iE;:GQRf)ZhdG t EF' .1i,itUu
State of Florida REGORDE'i. BY
County of Seminole
Permit Number: Parcel ID Number:
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.
DESCRIPTION
GENERAL DESCRIPTION OF IMPROVEMEN
R,
Fee Simple Title Holder (if other than owner) Name:
Pf1\ITS Af TA.
V
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)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates of
To receive a copy of the Lienol's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date 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 1, SECTION 713.13,
FLORIDA STA TES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF O MENCEMENT UST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEN O OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE CO ME CING WOR R RECORDING YOUR NOTICE OF COMMENCEMENT. `*
Under penal ies perjury, Clare that I have read the foregoing and that the facts stated in it are true q'
to the best m ow IGd e d belief. / ^ ^ V j'` }:\
Printed Name
Florida Statute 7137t3(1)(g): 'The otter must sign the notice of commencement and no one else maybe permitted to sign in
State of rio— County of 614n The
foregoing ' strumen was acknowledged before me his day of by
Name
of pe on making statement OR
who has produced identification type of identification produced: _ Mnrtenne
P. CW Of" NOTARY
PUBLIC iu
r
STATE OF FLORIDA Sj
Comm#
FF184433 CE~
ti 3 E,xplf.@S:. i2Jisriai8 Who
is personally known to me > /
T'
SEMINOLE COUNTY MULTI jURl50/CTIONAL
LIMITED P®VVER OF ATTORNEY
Casselberry, Lake Mary, Longwood, Sanford,
Altamonte Springs, Winter SpringsSeminoleCounty,
Date: rC `
I hereby name and appoint`
an agent of: N ' — (Name or i,0111P.-Y1 to this
in -fact to act
for and do all things necessary
to be my lawful attorney-
t for me to apply for, receipt for, s
appointment for (check only one option):
Nb All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at: El
street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: 1P)L I a--;f lac State
License Number Signature
of License Holder: STATE
OF FLO COUNTY
OF l n The
foregoing instrument was acknowledged before me this 2 day of 20.
by "l t fG' 1 I who is personally known to me or who
has produced and
who did (did not) take an oath. f
St natur of Notary MY.
COWSSION # GG031977 EXPIRES
September 20, 2020 as
identification 1
V pP
nt or type No aryname Notary Public-
State of Commission No.
1 My Commission
Expires: G
Property Record Card
CrA Parcel: 10-20-30-501-0000-0630
Owner: CJK 14 LLC & GARCIA, CAROLS
soourw
Property Address: 202 JUSTIN WAY SANFORD, FL 32771
cel Information
Parcel 10-2 D-30-501-0000-0630
Owner CJK 14 LLC & GARCIA, CAROLS
Property Address 202 JUSTIN WAY SANFORD, FL 32771
Mailing 202 JUSTIN WAY SANFORD, FL 32773-5905
Subdivision Name GROVEVIEW VILLAGE
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(1995)
O
CO C
NOO
O #;
110.00
U. UU 93.00 Seminole jounty GIS
Legal Description
LOT 63
GROVEVIEW VILLAGE
PB 19 PGS 4 TO 6
Taxes ..- ------ - --- -
Value Summary
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 85,260 79,891
Depreciated EXFT Value 1,400 1,400
Land Value (Market) 25,000 25,000
Land Value Ag
Just/Market Value " 111,660 106,291
Portability Adj
Save Our Homes Adj 1,568- 31.730
Amendment 1 Adj 0
P&G Adj 0 0
Assessed Value 110,092 74,561
Tax Amount without SOH: $1,307.00
2016 Tax Bill Amount $676.00
Tax Estimator
Save Our Homes Savings: $631.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 110,092 29,762 ; 80,330
Schools 110,092 25,500 , 84,592
City Sanford 110,092 29,762 ~ 80,330
SJWM(Saint Johns Water Management) 110,092 29,762 • 80,330
County Bonds 110,092 29,762 80,330
Sales
Description Date Book Page Amount Qualified Vac/Imp
QUIT CLAIM DEED 7/1/2017 08960 1401 100 No Improved
QUIT CLAIM DEED 7/1/2005 05933 0482 45,000 No Improved
WARRANTY DEED 3/1/1993 02568 0904 66,200 : Yes Improved
WARRANTY DEED 6/1/1980 01283 1445 43,000 Yes Improved
WARRANTY DEED 12/1/1978 01200 1834 652,000 No Vacant
Find Comparable Sales
Land
Method Frontage Depth Units Units Price Land Value
LOT 0.00 0.00 1 $25,000.00 $25,000
Building Information
5 Bed/Bath count incorrect? Click Here. _
Description
Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective
CITY OF
Building &Fire Prevention DivisionSkNFORDRESIDENTIALRE -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.
CONTRACTOR (OR OWNER/BUILDER) SIGNAT DATE: .
41ki5 .jCITY OF
Skl4FORD
FIRE DEPARTMENT
JOB ADDRESS
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
Ual'q SaCNII__d
STRUCTURE TYPE:
iii
SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE:
ePLACEMENT (
TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF DECK
TYPE (PLEASE SPECIFY: PLEASE
NOTE: ONLY 100 SQUARE FEET OF THEE STING DECK IS PERMITTED TO BE REPLACED" ROOF
VENTILATION: O OFF -RIDGE ® RIDGE O SOFFIT OPOWERED VENT SKYLIGHTS:
O YES (a 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 SHINGLE
0D FL# I CDj c4 O
METAL FL# O
MODIFIED BITUMEN FL# O
TORCH DOWN FL# 0INSULATED
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#
SkNFORD
CITY OF
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: l j j i
I Cu 1 LL/ , 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#: -.e ) 5 5 a
COMPANY/CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICE
1 S
DATE: 1
NSE HOLDER O O DER
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 0 va riot
Sworn to and Subscribed before me this day of 201 by:
AlAmay. Who is WPersonally Known to me or has Produced (type of
identification) A as identification.
g I tI/ Ell eaajdX3
Slgn. re of Notary !T btlo!,Jq #wwop
State of Florida V-0i'Cloid 40 31tN.S
71nd MV-LONVAaV) np, A litf)VIA)°j -'
J 'd auueuen
Print/Type/Stamp Nanie
of Notary Public
r
i
M
9/18/2017
MECCA
B U I L D E R S/ L L C
Scope of Work for property located at Contractor shall provide supervision,
02 J-cas k
project plan & management, material, supplies, tools, equipment, skilled and unskilled
labor, permits (if applicable) and inspections, transportation, waste removal, and all
other services needed to complete the Work List, shown below
Insurance, Warranty, Indemnification, Damages Representation
Contractor shall maintain required insurances including liability and workers
compensation or workers compensation exemption certificate. Contractor shall
ensure that 3rd party subcontractors have valid liability and workers compensation
or workers compensation exemption certificate
Contractor shall provide 12 months warranty for workmanship. Warranty of
material suppliers shall apply for defects in materials
Contractor shall indemnify Customer and hold -harmless against any and all liability
claims arising from this project
Contractor shall repair, at Contractor's sole expense, any damage caused by the
Contractor to Customer's property in the course of completing this project
Clean !I
Contractor shall ensure daily cleanup and remove all waste from customer site. To
avoid doubt, contractor shall not rely on Customer's municipal waste pick up at site
for removal of any waste refuse material.
250 Old Lake Mary Rd. Lake Mary, FL 32746
Ph 407.330.2360 Fx 407.330.2362 Cell 407.509.2734 Email info@meccabuilders.com
www.meccabuilders.com
CBC# 1255582 State Licensed and Insured
M ECCA
6 U I L D C R S/ L L C
We propose to furnish All Labor, Materials and Permits as needed for the New Roof. Total
24 Squares total
Work Scone
I. Permits
1. Pull and provide all Permits necessary and provide homeowner with inspection
results.
II. Roof Approximately 24Squares
1. Remove current shingle roof and underlayment layers -Currently 1 Layers of Shingle.
2. Remove the old vent stacks, goose neck and a -drip edge.
3. Install 2 3/8" ring shank nails around the perimeter and the decking of the roof at 6"
intervals.
4. Remove and Replace any rotten plywood on the roof. Include up to 5 full sheets of
plywood.
5. Replace the rotten fascia along the home - Will replace all the rotten fascia boards
found up to 30 LF.
6. Install Rhino Synthetic Underlayment.
7. Install New Vent Stacks and New Goose Neck Stack.
8. Install New 26 Gauge galvanized metal Valley flashing in all valleys and metal
flashing around the chimney.
9. Install New E-Drip around the entire edge of the home color as per owner selection
10. Install TAMKO Architectural Dimensional shingles as per owner selection of color.
11. Install StartStarter.
12. Install GAF Cobra 3 Ridge Vents.
13. Install Ridgecap.
Ill. Insurance and Wind Mitigation
1. Provide and fill out the necessary Wind Mitigation form(s) and provide pictures for the
insurance wind mitigation.
2. Provide a Roof Certification that can be provided to the Insurance Company.
IV. Dispose of Debris
1. Cleanup of job site, removal of all demolition debris as well as removal of all
construction debris. Keep the area broom swept clean.
V. Warranty
1. A Five year warranty for all labor performed as part of the replacement process
provided by RHG Builders.
2. A TAMKO 30 -yearlifetime - Warranty will be provided by the Manufacture TAMKO.
MATERIAL SCHEDULE
Rhino Synthetic Underlayment / 2 3/8" Ring Shank Nails for re nailing thedeck as per
Florida Code. TAM KO Architectural Dimensional Shingle.
TAMKO 30 Year Warranty Shingles are 130 Mile Per Hour Dimensional Shingle as
Per New Code. As per FBC.
250 Old Lake Mary Rd. Lake Mary, FL 32746
Ph 407.330.2360 Fx 407.330.2362 Cell 407.509.2734 Email info@meccabuilders.com
www.meccabuilders.com
CBC# 1255582 State Licensed and Insured
k P i
FF.,.
M ECCA
B U I L D L R S/ L L C
TOTAL PROJECT INVESTMENT*****...................................................$3000.00
This agreement is subject to revision or withdrawal by MECCA BUILDERS LLC until
signed and accepted by Client and executed by an Officer of MECCA BUILDERS
LLC. This is the complete agreement between the two parties. No prior of
contemporaneous oral agreements, and no other written agreements, except as
listed above, shall be binding.
The undersigned hereby accepts this Agreement and agrees to be legally bound by
all the terms and conditions set forth on the terms and conditions page. This
Agreement shall be governed in accordance with the laws of the state of Florida.
Any action arising under this Agreement shall be brought in the County where
MECCA BUILDERS LLC's principle office is located.
7J/- 7
DATE
UVSMAR (Managing Members of Mecca Builders LLC) DATE
250 Old Lake Mary Rd. Lake Mary, FL 32746
Ph 407.330.2360 Fx 407.330.2362 Cell 407.509.2734 Email info@meccabuilders.com
www.meccabuilders.com
CBC# 1255582 State licensed and Insured
DRAW SCHEDULE:
M E C C A
B U ILO E R S/ E E C
20% Contract signed
40% Walls built
30% Compound, sand, and texture
10% Final Inspection
250 Old Lake Mary Rd. Lake Mary, FL 32746
Ph 407.330.2360 Fx 407.330.2362 Cell 407.509.2734 Email info@meccabuilders.com
www.meccabuilders.com
CBC# 1255582 State Licensed and Insured
Building & Fire Prevention Division
RESIDENTIAL RER0OFAFFIDAVIT
FIRE DEPARTNIENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: Z ADDRESS: ba )x Q CN l
5ao-C, q-4, -3,
I U psI f /\ ` 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 TILE 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 #: _
Q 1 CL 5 S Ka j
COMPANY /
CONTRACTOR: I S dQAT1
A CONTRACTORSIGNATURE: DATE: MUST
BE SIGNED BY LICENSE HOLDER 04 O DER) _q W 1 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-0 V 61G61t Sworn to
and Subscribed before me this '2-'> day of 20 a_ by: Ai_AmaA, .
Who is,l Personally Known to me or has Produced (type of identification) as
identification. I ht/
l LML ssJjdxq Sign reofNotaryPlie ;;,;gyg dd #
WWOC) State ofFloridabritlldd031V15t .2nd
Al IblON J o" `
J 'd
auueueyy Print/Type/
Stamp Na e of Notary
Public