152 Long Leaf Pine Cir; 18-4101; RE-ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: `, c
Documented Construction Value: $
Job Address: Historic District: Yes No
Parcel ID: - 0QW- Residential,, Commercial
Type of Work: New Addition Alteration RepairX Demo Chanoe of Use Move
M
vroperty owner information
Name alto Z_nI Phone: % -93 K - 503
Street: /30 P—ol-A-j pk(A Resident of property? :
City, State Zip: - rlk V ( 42- U LA , IUl O
Contractor Information
Name Cov(nan + ?)Co VICA
Street: IL41 D Eim eySu 1 f
City, State Zip: Lf_e(; '(M
Name
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: Mi - 310 - EL2 S
Fax: 5a - a(40 -3S39
State License No.: WC 1;9 13
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 INIPROVEtNIENTS TO YOUR PROPERTY. A NOTICE OF CONIILNIENCENIENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINzVNCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMNIENCEMENT.
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: 51h 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 [ 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 [CC 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 actuual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: f 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.
5 a b/l
signature of Owner/.Agent Date on4r.uZre`ofContract0r/A_ent Date
l\
Print Owner; Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to N[e or
Produced M Type of [D
Vtrr'__ W'y Contractor/
Agent's Name Sildamre
of NoOrAState d ,
I Date
LINDSAY
DUCKHAM garP19iPi
Commission #i FF 172210 c
My Commission Expires October
28, 2018 Contractor/
Agent isA Personally Known to Me or Produced
ID e of [D 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. 20t5 Permit Application
1410 Emerson Street, Leesburg, FL 34748 • State Roofing License: CCC1329936 • License: CGC037504
Phone: 352-314-3625 • Toll Free: 855-314-3625 • Fax: 352-240-3439 • www.covenantrnc.com
SALES CONTRACT
Covenant Roofing h Construction, Inc. agrees to furnish all materials and laborGGn,ecessary to do the nwdenJzaUon work at the following address:
Name Zee±Aw M.,,.s+(.( PhonPhone(w) A
AddressISZTten{ ,r,F. /'b,a Gr' Date City
sw i.t vv
Smte
AC 32—W—T, Email
tCe,a — l toTLMI 4i j• co.h In
accordance with specifications given below REROOF.
A.
SHINGLE ROOF 1.
REMOVE OLD HOOF TO WORKABLE SURFACE. 2.
DECK ROOFKWITH RING SHANK NAILS } 3.
REPLACE ANY RO WfTH SHEATHINGG$ PERFOOTAND$U PER SHEETOFPLYWOOD, ffAtA" nMaQ 4. INSULLL .
0 UNDERLAYMENT OVER ENTIRE ROOF. 5. INSTALL
FHANA EAVES DRIB COLOR 8. INSTAL.
NEW VALLEY MM AND FtASHINGS AS NECESSARY. 7. INSTALL
N BOOTS OVER VENT PIPES AND RESEAL VENTS. nA ( v 8. INSTALL
YFAA FlBERGLASS SHINGLES. COLOR So 9. INSTALL
Pi.COLOR -&K3r ' 10. CLEAN-
UP JOB SITE OFALL WORK DEBRIS AND HAUL AWAY ALL RELATED DEBRIS AND LEAVE JOB SITE CLEAN. 11. CONTRACTOR
WILL coomwTE FmmAL AND REINSi JMON OF ROOF RELATED PERIPHERALS SUCH AS (BUT NOT LIMITED 70) SOLAR UNITS, SKYLIGHTS CIA ANDAIRCONDITIONERS, ETC. REMOVE AND REINSTALL EXISTING SOFFIT AND FA0 $425 PER IN` RION TO CONTRACT PRICE, IF REQUIRED. THE SUCH WORK WILL
BE IN ADDTTIONTO CONTRACT PRICE AND HEREIN APPROVED BY HOMEOWNER 12. ALL WORK
OOVEAED,BYA 5 YEAR WORKNJWSHIP WARRANTY. w c' Contract
Price s - _
70 _--- 1. Conlrmt Documents,
This cadradcrosis s oT Ut doaanerd. edmwmkArood aIdFrorkath n, 8 any, and K paymerds Permit $ In d d
lA
edby
p mteee
a6mcN domments. No Promises
other nd entMesa tlere y
so is=
bIkred — 2. It is understood aid
mead ft th's earned Od rot became bkrd tponCava erd Raotag d Canslnrcfbn Inc. l9dt 8 h dory Total $ __[_7i appmred.acce ed,sgnedandwlbrras by anOkaorot5casofareSeBer.
4 ------- 3. Wxk on thejeb d ergvdh0ew6oomenDewiepprmcYnete!, and be completed on appudmately The recIted dates
are approatmations and an stib to adedr9ng dMiiwltiesorSeWbborsdrmnat Wdrtages, acts olGodarid olhaewadsriottoreseenbySeler.Seawraanes
thedgtdme,gbyvvwb-mdraL krtlecmpKmd tewotkdiisadedhmecotMddua 1/3Deposit
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yttees%calbed ir*toothePer WAn fRIrd serswNit[Snnedu* on xs mplbelumsaceBailsarIntthe hadsman Subtotal $_/ 7Si eltorrteY Tor7b# of the t------- 8.Partlesage8rereon d
n the Stato of FlaNa
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DUE $
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3above S worlelseanpaeatimend Public leWbarerm =oartiedby
the Sohrand0eyweapokableiothe workmbe
UPON COMPLETION eyprcawasreremovevarares7o7-dm5 acsxHon"d" merepaposeae>tgrgtmsalesmrrtrect 10. Conbadaw®cooirhhraterengvelardlsSahAaLiandradr oauteatssrhatmatnotTmBadmisdarunitsskr
and 13 Chapter 558, Fladda Statutes
contains hnpodmd requkemetds you
rtalst
to0ow tretOre yuU mey t rtnp lacy legal action fa an alleged corvinatiotr defect In your hang. Sbdy
days betas you brhg er7 legal ectbn, you roust . dekverro Ce otler paryrA tlis oaibact a wdDen no0oe refenkrg
ro SSB d, aNged oorsbuc5on da'eds end ro cofiskier meldnj an offer m repatr «pay Ta
1ne aCagad axntrrc5on delecti:. Yeu ass not obfx)eted m acdept erry o0er vrtde may t>e made.Ttrere are strict
daad6tras ardathrs Florida taw wMdr must be met end maoyved ro Prot ywrtderests. Executed in triplicate, one copy of which was
delivered to,
and receipt is hereby acknowledged by Buyer, this !_ day of Mj 2o. Approved and Accepted: a. Do
not sign this home Improvement
b. You are
entitled to a copy of the cord
BY NOTICE TO OWNER rtTd blank. time you sign. Keep
it
top tect your
ri hts.
Seal) P ' (Seal) y chaste Sig Hen3) Seal) Purchaser Sign
Here FORD PRESS,
INC. 85b7874M A
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018112012 Book:9221 Page:817; (1 PAGES) RCD: 10/1/2018 3:01:32 PM
REC FEE $10.00
After recording, return to.
Covenant Rooft - Joseph 1p-c,,41
1410 Emerson St. 1-046sbueo, FL 34748 .
Permit No.:
Tak Foll lo No.: 6D-2 0
Notice of Commencement
State of Florida I '
The undersigned hereby gives notice that Upprovement YA . 11 be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the
following Information is provided in this Notice of CommenremenL''
I. -Description of the Property: Pagal description or P".9Iperly and street edcte,33 it ftble)
Loaf Description:. L6 _ 1)_i .20 PITS to 70 6
street Awiess•. —I 5,t Loln1 Te-a 1,9he, 9"4-04. FL_
2. General bescdptlon of Improvement
3. Owners Information or Lessee Informatlod if the lessee contracted for the Improvement
Name:
Address: fcv Y 10EF 3
Interest in Property- Ow ri a.-
Name & Address offeesimole Heholder-pfdnrentitwn' -owner):
4. Contractor Ifitbrmatlon
Name: Covenant Robfshb&Construction, Inc. - Phone No.: 362-314-3625
Address: .1410 Emwton St. Leesburg, FL 34748
5. Surety (Itappli6able, a COPY of the paymel# bohd must be allachad):
Name: Phone No.:
Address. Amount of bond:
6. Lender Information:
Name: Phone No,;
Address:
7. Persons within theiState of Florida designated by Owner upon whom notices or ot r documents may be served as provided by Section713.13(1)(a)7., Florida Slatutds:
Name: Phone No::
Address-
8; In addition to himself.or herself, Owner designate's Of
to receive a copy cri1he following Lienor's Notice as provided in Section 713.13(1Xb), Florida Statutes: Phone No.:
9. Expirationdateof notice ofcommencement (the expiation ° ate t4be 1 year from the date afrecording unless a d9l&"I dote Is specified). WARNING
TO OWNER' ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMM#NC NT ARE CONSIDERED IMPROPER PAYMENTSUNDERCHAPTER713, PART 1, SECTION Zj&jj FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TEMCIE 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 YOUR. LENDER OR AN ATTORNEY BEFORE COMMENCING WORKOR RECORDING YOUR NOTICE OF COMMENCEMENT. The
foregoing In merit was a5knowls 0ged beforey me.thlsdayof !aiO as J_ - ;by. 0_11 ..
for * / (V\ who Type ofauthonly (/
A vfteG rstee rfn rod Are— of,Pwwon b&h8ff0rWh0M14S&Ufffflr# was "Gaged is personally
known or Pd astvDaofidentificatIODI-17I 610 Mo.
994ws%*,
Not" Public.
Swe of NorY" 40&1~
in 9
10/1/2018
Detail by Entity Name
Detail by Entity Name
Florida Limited Liability Company
DZMA, LLC
Filing Information
Document Number L18000115068
FEI/EIN Number NONE
Date Filed 05/08/2018
State FL
Status ACTIVE
Principal Address
130 PONDFIELD ROAD
BRONXVILLE, NY 10708
Mailing Address
130 PONDFIELD ROAD
BRONXVILLE, NY 10708
Registered Agent Name & Address
CIPPARONE & CIPPARONE, P.A.
1525 INTERNATIONAL PARKWAY
SUITE 1071
LAKE MARY, FL 32746
Authorized Persons) Detail
Name & Address
Title AMBR
MARSHALL, DAVID
108 SPRAIN VALLEY ROAD
SCARSDALE, NY 10853
Title AMBR
MARSHALL,ZEENA
108 SPRAIN VALLEY ROAD
SCARSDALE, NY 10853
Annual Reports
No Annual Reports Filed
Document Images
05/08/2018 -- Florida Limited Liability. View image in PDF format
Florida Department of State, Division M Corporations
http://search.sunbiz.org/Inquiry/CorporationSearch/Search ResultDetaiI?inquirytype=EntityName&directionType=Initial&searchNameOrder=DZMA%20... 2/2
y
D City of Sanford
S}rs r 4eY7n' Building and Prevention
Product Approval Specification Form
Permit #
Project Location Address
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hung
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
including decimal)
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles 41
Underlayments c W
Roofing Fasteners 114
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory Manufacturer Product Florida Approval #
Description (include decimal)
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signatu
Applicant's Name
Please Print)
June 2014 3
Limited Power of Attorney
Date l i
I hereby name and appoint Laura Westman of Covenant oofin and Construction, Inc. to be my
lawful attorney in fact to act for me and apply to c
fora permit for work to be performed at a location described as:
Address of job: a4 1), X1 0 . C
Joseph E. Rayl, Contractor License #CCC 1329936
Sworn to and subscribed bef re me this -L day ofnaL , 20-0
By Jose -ph E. Ra 1 who is personally known to me or _ produced
No*y Public,
My Commission expires:
LINDSAY DUCKHAM
Commission # FF 172210
o`? My Commission Expires1 ;;
oar October 28, 2018
X.
as
CITY OF
Building & Fire Prevention DivisionSkNFORDRESIDENTL4LRE-ROOFPOLICY & PROCEDURES
FIRE DEPARTtvIENT
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 OWNERIBUILDER) SIGNATU DATE: V
F 'D
JOB ADDRESS:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE: ® SINGLE FA_NIILY RESIDENCE/TOWNFIOUSE O MOBILE HOME O APARTMENT/CONDO,INIU.I
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
f 2 /'/I Ck c, (t) OV4
PLEASESE (VOTE: ONL Y 100 SOC-1 RE FEET OF THE EY]STl. 'G D K IS PERMITTED TO BE REPL: I CED
ROOF VENTILATION: D OFF -RIDGE 0 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: l2 O 2: l 2 — 4: t 2 0 4: l2 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHNGLE FL# C_5t1qq
O METAL FL#
O MODIFIED B ITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS. ETC.) **IFAPPLIC-IBLE**
ROOF SLOPE: O LESS THAN 2: 12 O 2: l2 — 4: 12 O 4: l 2 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
OSHNGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DowN FL#
O INSULATED FL#
OTILE FL#
O OTHER: F L#
F D City of Sanford
Buildinc, and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, :_ND ALL FINAL ROOF COVERINGS
PERMIT {#: I l ADDRESS: ( 5 (
3Mfoc8 F
AS A(N) GENERAL, BUILD[N-G, RESIDENTI"AL, OR
ROOFING COMTR_ C R, ENGINEER, ARC [TECT, OF F.S. CHAPTER 463 BUILDING INSPECTOR, I HEREBY' AFFIRM, THAT ALL OF THE
FOREGOING INFORTIATION IS TRUE .AND AM, P_A ['E AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED .ADDRESS HAVE BEEN INSTALLED INACCORDANCE WITH THEIR PRODUCT ,APPROVALS AND .ALL APPLICABLE CODE REQUIREMENTS -
SPECIFICALLY FLORIDA BU[LD[NrG CODE. EXISTING BUILDING. LN ADD[T[ON I CERT[F`r THE INSTALLATION MEETS .ALL REQU[
RENIENTS FOR SECONDARY WATER. BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT Y(.
EVUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.84-1), LICENSE
401 C_ 13A 3 c CONIPA:NY /
CONTRACTOR: Y CONTRACTOR SIGNAT[
RE: DATE: I MUST BE
SIGNED BY LICENSE _R ER, BU[LDE t A
FINAL
ROOF INSPECTION IS REQUIRED: THIS SIGNED
A.ND NOTArif-IZED 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, UNDERLAYNIENT, FLASHING,
DRIP EDGE ATTACHMEN'F) WITH CHE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH
INSPECTION. THE PHOTOGR.-\PHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING .AND OVERLAPS, INCLUDING
DRJP EDGE .AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY .AND INSPECTION PROCEDURE PAPERWORK FOR
FURTHER EXPLANATION OF .ALL REQUIREMENTS. FAILURETO FOLLOb ,
ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS b ELL 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 thi s day of 20 Pq by: ho is Personally
Known to me or has _ Produced (type of ide titigation) as
identification. 1 Sig ature
orNota
y ublic Stet f Fl
da a e oortLINDSAYDUCKHAMCommission #
FF 772270
Print/Type/Sta
p Name S I"a MY Commission
Expires OF F of
Notary Pub
is October 28, 2018