1101 Grove Manor Dr; 18-4142; ROOFrroRi
cS #
BUILDING DIVISION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 10 190()
o Address: I Q Ci ra yF— M A -a o r— r r Historic District: Yes NOK
Parcel ID: 3 " 1 — ?J — S 3 — U — 2 Residentia)!Commercialmil
Type of Work: New Additions Alteration Repair Demo Change of Use Move
Description of Work: r o- r6 o -F ok 1(C h P C-ty rQ s 1/l 1 1Gf
Plan Review Contact Person: `, F' S S ll F7 u I k) /- i 6 Title: y e-1F S i y E, iN[
Phone: 4-0 — Z 5 2— °I U il Fax: Email: c r fa-t i v e f o Of- l no` 5 ec. a 1 i st.5@
0 mat 1 - com
Property Owner Information
Name LI, 1, C) ? F,Z Phone:
Street: I 10 1 6 K bV i".., M RN Q V— Resident of property?: t5
City, State Zip: S hr\1 F 6 C-b t E 1 3 2-11
Contractor Information
Name V E V. 0 0 F- ,MAone: '3 i R S-12 2J Street:
211 n a uc-I LA5 f11 V _. S U l f t 17 Fax: _ City,
State Zip: AL hL S f '9A us, f 14 521 ItState License No.: t 3 Z (p Architect/
Engineer Information Name: /
Phone: Street:
Fax`, City,
St, Zip: Bonding
Company: IV I Address:
E-
mail: Y
Mortgage
Lender a Address:
4
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 RECORDER: 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 NOTLCE,OF COMMENCEMENT } Application
is hereby made to obtain a permit to do the work and installations as indicated. I,certi(yjfhat 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 la AN regulating construction in this jurisdiction. 1-understand that
a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners o-` etc.
K
tdp
y y, jTPa' ,
milli 105-1 shall he Ill icrihed witil ilrc date of appliaa iun anal the 4:OJV in affeel At;of ihut Jute: 6" Edition (2017) Florida Building C:txlr
LNlO " All ,ichlilWti itilhe requirctniniti ttl°lilta liernlil. therc may hi acichtiosial tetlrictons applicable to ihls property dial nnq he found to the puillic
rrclsrda ,If tltlx cutulty, ;Ind tltrrc tnay IV J4101llrtn,rl I'milil5 rexinired frith othcr governnicniai cnwicn such ,i% wealir niaanigetnoit dWrios, +Litr
r8cttc icy., or federal agcilctec.
Acc4lilmite dpo-alit is vvOt1cathin that I csiill nstlity IIIV uWtier Cottle pIop rty oftte nNuFraatcnLs of 11orl is Licit a iw, i S 713. The
City ttf sanfurtl rcclullt^+ payment of it plio rcvIcw feet at tile tutic till' 1wrtoit sultloW ils A copy of (lie cxccutcJ conirfifil v icyultril In trrcirr tat rtCLit "
tie aplall rcvicwc)l"trlc uncwill he eurllltiercil thertt i neatiti l`nn4111101,4 ti rAltic ofti1c job.11thC. i l File rlfs obtnitt"d, 1114:.:3ou41 Comm I Uctioo V'ljo Will ter Ogutvd
Kis"'A on IIw 4°llYreili ICC, i AicltiiIll t,Ahic ill 010cl at the it Ill the ihrnliiI I5 itlllvd' III Acco djocc with It"Ca) nr61#llaiki c. shatlid C ak tilalcd chaige , llgursl off
the vx"ttted iilntrlct t;cceed Iht• ;latmI co"54turlilm valuc, err.lit will lie arplic'i to ymor petnlit figs wticII the IV. ("I 6 6sucal. 03M pR'S
AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be clone in compliance
with all applicable laws regulating constrotiun anal zoning. _ n till;na lr
ta4lllrnrrlxt`rnt ti,llc 0////. P im
Ci Ailed
Agent.
14 — Personally Ktio n to Ma or Contractor/Agent is )— Persoiially Ktiovvi. to Me or Produced 10 - Type
of 11.> t -P raS e- 11rodticed 14.) ._ .. Type raly 11) ii9xP e NATHALIE
JARAMILLO Notary Public State
of Florida Commission #GG215712 B
I,OW IS FQR OFFICE USE ONLY My Comm. Expires
May 8, 2022 Bonded through National
Notary Assn. Ire rr11<tts
etlu re : Ruil ing lilectrical lMet:11111ical ItiuMI)iug Gas Retell` Construction Type:------ w_ __.
Occupancy Use:
Flood Zone: Min. Occupancy I,
cram: -._. ,...w,w .,_,.,, # of Stories: New
Construction: Electric - #
taf.Amps_ __.._ . .. Plumbing • # of Fixtures-------, Fire Sprinkler Permit:
Yes No of Heads _. Hire Alarm Permit: Yes No 11 PPROVAUS- 7ONiNG: UTILITIES:
S: WAS T1-" WATE 12: ENGINE'U'RiNG.- FIRE::
1iEJILDINQ COMMENT
Return to:
North American Title Company
851 Trafalgar Court, Suite 132E
Maitland, FL 32751
This Instrument Prepared
under the supervision of:
Mark J. Loterstein, Esq.
North American Title Company
851 Trafalgar Court, Suite 132E
Maitland, FL 32751
Property Appraisers Parcel Identification (Folio) No.:
31-19-31-513-0000-0290
Our File No.: 11603-18-05171 WARRANTY DEED This Warranty Deed made this
21st day
of September, 2018 by James L Quinlan, Timothy J. Quinlan, and Scott C. Quinlan, whose mailing address(es) are
15979 NW 165th Street, Williston, FL 32696, 1592 Lawndale Circle, Winter Park FL 32792 and 534 Harmony
Road, Brighton, PA 15066, respectively hereinafter called the grantor(s), to Jill Loran Lopez, whose post office
address is 1101 Grove Manor Drive, Sanford, FL 32771, hereinafter called the grantee: Wherever used herein the terms "
grantor" and "
grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals,
and the successors and assigns of corporations) WITNESSETH: That the grantor(s), for and
in consideration of the sum of $10.00 ((en) and other valuable considerations, receipt whereof is hereby acknowledged, hereby
grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee all
that certain land situate in Seminole County, State of Florida, viz: Lot 29, Grove Manors, according to the
map or plat thereof, as recorded in Plat Book 10, Page(s) 31 and 32, of the Public Records of Seminole County,
Florida. Said property is not the homestead of
the Grantor (s) under the Laws and Constitution of the State of Florida in that neither the Grantor nor any
member of their family reside thereon SUBJECT TO: covenants, conditions, restrictions, reservations, limitations,
easements and agreements of record, if any; taxes and assessments for the
year 2018 and subsequent years; and to all applicable zoning ordinances and/or restrictions and prohibitions imposed by
goverprnental luthorities, if any, TOGETHER, with all the tenements, hereditaments and
appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the
same
in Fee Simple forever. AND the grantor hereby covenants with said
grantee that the g(antor is lawfully seized of said land in fee simple; that the grantor has good right and
lawful authority to sell and cohvey said land, and hereby warrants the title to said land and will defend the same
against the lawful claims of all persons. IN WITNESS WHEREOF, the said grantor has
signed and seated these presents the day and year first above written. Deed (Warranty - Individual) 11603-18-05171
Signed, sealed and deliVereyt.ln the presence of
t ne s itu fames L iQuinlan
Alexa4der.MarElia
0MUllu vvnness algnature
I \n P U ryt L-ecl c>
Printed Signature
State of Florida
County of
The foregoing instrument was acknowledged before me thisof September, 2018 by James L. Quinlan, who
has produced VALIDIDENTIFICAMN i as Identification or is per ,411y k o to me to be the persons therein.
tib' ,
S e of Florida My
commission expires Seal %
Al x der MuElia ALEXANDER
MARELIA Notary
Public - State of FWda CIXnm181tion
8 GG 051779 a,•
a• My comm. Expires Dec 18, 2om Bonded
through Nalionai Notary Assn. W
Deed (
Warranty - IndlAdual) 11603-18-05171
Signed, sealed and deliver i the presence of:
t Witne s Signature
DAd1D R- EA2r_r
Printed Signature
c
Second Witness Signature
FATRICIA MATARAllC
Printed Signature
State of Florida
County of 19X--a-•v1
timothy J. ui an
The foregoing instrument was acknowledged before me this 1-0 day of September, 2018 by Timothy J.
Quinlan, who has produced as Identification or is personally known to me to be the
persons therein.
C/
Notary Public, State of Florida
My commission expires:
Seal
EM
RA O
938960r 24, ;19
w
Deed (Warranty - Individual) 11603-18-05171
in the presence of:
First W' ess $igriature
kris o1
Pdnted,Sijhature
Se"nd Witness Signature
Printed Signature
Scott C. Quinlan
State of Pennsylvania
County of i S"T IVI OE
Cat tl
The foregoing instrument was acknowledged before me this r day of September, 2018 by Scott C. Quinlan,
who has produced 17 \i! [ L(Cca',-, as Identification or is personalty known to me to be the persons
therein.
Notary Public, State of Pennsylvania
My commission expires: NO',. Al 'JCl
Seal
I UORWEALTH OF PENN YLVA A -
NOTARIAL SEAL
Terri L Gmum Notary Public
HuffPV100 Boro, Westmoreland County
MY Canmksion Extfires Nov. 23. Z0/8
a nsrr<v nl ssotun iy o aru s
Dead (Warranty - Individual) 11603-1"5171
CREATIVE ROOFING SPECIALISTS
CCC1327601
279 Douglas Ave Altamonte Springs, Florida
Office: 321-972-E723 Fax: 321-445-4176 Email:
creativeroo- in__aspecialists clrrxail.com
9/4/18
1101 Grove Manor Dr
Sanford, FL 32771
FgToTsTsT R.
Work To Be Done On Your Premises:
1. Pull permit with City of Sanford and Record Notice of commencement.
2. Order dumpster
3. Remove existing shingle/flat and underlying materials, including nails, down to the deck.
4. Nail all decking with 8D spiral ring shank nails, installed according to code.
S. Install Synthetic underlayment.
6. Remove and install all existing ridge vents with new
7. Remove and install all existing boots with new (4)
8. Remove and install gooseneck vents (1)
9. Remove existing drip edge and install all new galvanized, factory painted drip edge 2 W (color
determined by customer), nailed according to code.
10. Install (limited manufacturers guarantee) Type of Flat Roof: color determined by customer.
Clean work cites thoroughly and sweep magnetically for loose nails.
All debris as a result of construction will be removed by Creative Roofing Specialists.
Creative Roofing Sign will remain on property approximately two weeks after job completion.
Will replace rotted/damaged decking up to two sheets at No Charge. Any additional will be
replaced at $50.00 per sheet or fascia boards at $3.00 per lineal foot.
Any additional damage underneath the plywood will result in additional charge.
AGrand Total..........................................................................................$ 10,400.00
DownPayment......................................................................................$ 4,160.00
Balance after job completed.................................................................$ 6,240.00
Proposal VALID 30 DAYS FROM PROPOSAL DATE.
PAYMENTS TO BE MADE AS FOLLOWED:
Total amount due will be collected upon completion of job.
If paying with credit card, a 2.5% transaction fee is added to the total at
time of payment.
Acceptance of the Proposal- The above prices, specifications and conditions are
satisfactory and are hereby accepted. You are authorized to do the work as
specified. Payment will be made as shown above.
Contractor Signature
Customer Signature
License CCC1327601
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018112641 Book:9222 Page:439; (1 PAGES) RCD: 10/2/2018 4:04:43 PM
REC FEE $10.00
CERTIFIED COP GRANT MALOY
CLERK OF E CI CUIT OURT .V
THIS INSTRUMENT PREPARED BY: AND C , PTROLL = ;,
Name: E 1. SEMI LE COU FLO I A
Address: ID
4=4BY PU
p
Date
NOTICE OF COIV MENCEMENT
Permit Number:
Parcel ID Number 1-1 Q "'3 h ems/ 3^ 0 00 0- o 2 T 0
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 of the property and street address if available)
2.9 rogov6 Mi4 jvoj2 s pL3 10 pd
v DAC, SAME49jeDgEL
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Or
IC
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: \LL LUPIE-7- IJAI C>I?-OVE Nli%NOIZ Q9-. 3Ar-r\Y1FO -Q.I=1 ISZ-1-7
Interest in property:
Fee Simple Title Holder (if other than owner listed above)
Address:
4. CONTRACTOR: Name: IV 12(D 1"i ICI ' Sir, V&IS ne Number: 321 — 01.12— 8" 1 Z-3
Address: Z-t9 OOUC-t(_AS -rVt. Suit•e 1\0 I A rav en SPri t=t z11
5. SURETY (If applicable, a copy of the payment bond Is attached): Name:
Address: N ( Amount of Bond:
8. LENDER: Name: (V f i°r Phone Number:
Address:
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.
Phone Number:
Address:
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 specked)
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.
Sobture of Owner or Lesse or ers or Lessee's
AuCrorized Offlcer0red onager)
t LQP ez—
Print Name and Provide rAgnatorys TiflerOlsce)
F=4 ot21 Dtq
State of cJ€7P177r1Cl"t County of _ S E/Y% /N 0{ E
O
The foregoing Instrument was acknowledged before me this ! day of O G% B E / 20 IS
by 1 L L L 0PE2— Who Is personally known tome O OR
Name of person maldng statement
who has produced identification type of identification produced:
N
va•.5
NATNALIE J:
IAay
LO
Notary Public - Florida
i '•.ry `r Commission #712
c 'Eor n? My Comm. Expir8, 2022
ed through Natiory Assn.
LL1
CITY OF
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCED URES
FIRF DEP RThi aNT
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) SIGNA DATE.
CITY OF
SkNFORD
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 1 1 O 1 cay ? Kam lam0'r- STRUCTURE
TYPE: 4 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: )REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): I - PLEASE
NOTE: ONLY 100 SQUARE OF THE EXISTING DECK LS PERMITTED TO BE REPLACED' . ROOF
VENTILATION: DOFF -RIDGE ORIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
O YES ( 0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE:A 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# BITUMEN
r 1 he ed FL# 2 _ Q 1 12(MODIFIEDOfORCHDOWN
FL# OINSULATED FL#
OTILE FL#
O OTHER:
FL# ROOF EXTENSIONS (
PORCHES, PATIOS, ETC.) * *IFAPPLICABLE ROOF SLOPE:
C) LESS THAN 2:12 O 2:12 -4:12 O 4:12 OR GREATER TYPE OF
ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL#
O METAL
FL# O MODIFIED
BITUMEN FL# O TORCH
DOWN FL# OINSULATED FL#
O TILE
F L# O OTHER:
FL#
CITY OF
kNFORD Building & Fire Prevention Division
RESIDENTIAL REROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMT#: 19 '11 `{a- ADDRESS: 1101 Grove, Mona Dr.
Stn-> oc F( 32-1-1 ) I -
e S E) e Z_ U I I a i , a , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING
CONTRACTOR, ENGINEER, A HITECT, 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, 1 52 ( C2 0 l _ COMPANY /
CONTRA CONTRACTOR
SGGNA MUST
BE SIGNED BY a[
s CTOR: =HOLDER
S
TURE:
DATE: LICEN
UIL ) 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 ,1
c/ Sworn
to and Subscribed before me this tL day of 0 0 20 b by: Y
Ss l e LU Who is 4ersonally Known to me or has Produced (type of ideiAfication)
identification. ttre
of Notary ublic r', DNotaryAssn.
soff,NATHALIE JAFlorida Notary
Public - StaP`: Commission # G;-f-1:
4GC E T RRm 14.a My Comm. Expires Print/Type/
Stamp Name Bonded through
Nationa of Notary
Public