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109 Gleason Cv - BR18-003630 - REROOFCITY OF* FIRE' OE8l1RT 1 i T AUG 2 12018 Building & Fire Prevention Division PERMIT APPLICA TION 02 Application No: I 5cP30 Documented Construction Value: $ 13 .2-03 -'S Job Address: 109 Gleason Cv Sanford FI 32773 Historic District: Yes No Parcel ID: 02-20-30-523-0000-1390 Residential 0 Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: REMOVE EXISTING ROOF DOWN TO DECK. INSTALL NEW UNDERLAYMENT AND SHINGLES TO LOCAL CODE. Plan Review Contact Person: Phone: 407-284-1738 Name Cabrera Freddy Street: 109 Gleason Cv Cheryl Joshua Fax: Title: Office assistant Email: ocorpermitting@roofally.com Property Owner Information City, State Zip: SANFORD, FL 32773 Name OAK CREST CONTRACTING Phone: 407-4318974 Resident of property? : Contractor Information Street: 115 TIMBERLACHEN CIR, STE 1013 City, State Zip: LAKE MARY, FL 32746 Name: Street: City, St, Zip: Bonding Company: Address: Phone: 407-284-1738 Fax: YES -OWNER State License No.: CCC1330407 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 ANTI POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU LNTEND 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 cotmnenced 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: 6" Edition (2017) Florida Building Code Revised: January I. 201 R Pcmiit 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 inanagerncnt districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner ofthe 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 per nit 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 Ume 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 AFFTDAVTT: I certify that all of the foreguing information is accurate and that all work will be done in ompliance with all applicable laws regulating construction and zoning. v /7_ 319l/0-) b Signature of er/Agent Date Si re of Conuac /Agent Date Signature PrirAContraclor/Agent's Name Nolary Public . State of Florida Commission S GG 003479 My Comm. Expires Jun 28. 2020 Owner/Agent is Personally Known to Me or Produced ID — Type of ID F-PLC.+ Signaturc of Note - AshleyAshle Geis COMMISSION IGM378 EXPIRES: June 19, 2022 BonM bN Aaron Nob1 Y Contractor/Agent is ,if- Personally Known to Me or Produced 1D Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Ycs No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: RLvised: Janttary I, 2018 Permit Application OAK CREST CONTRACTING, INC. 115 Timberlachen Cir #1013 Lake Mary, FL 32746 oakcrest.com Contractor Registration: CCC1330407 PHONE: 407-284-1738 FAX:866-646-8193 No Risk' Guarantee! REP: -- -lr_ LreCSGI.E---— ---- SOLICITOR'S LIC: ---------- L--------------------------- PHONE:___ _ _! __J___Lkylo—-------- OWNERf DATE EMAIL ADDRESS DY)1/ v `f- C-S STREET CELL PHONE WORK PHONE PO I CITY STATE ZIP HOME PHONE W,9 hereby submit scope of work for: FLORIDA CONSTRUCTION LIEN. ACCORDING TO FLORIDA S CONSTRUCTION Tear off Ian l l F T2L-. —T -e ::5 I d K LIEN LAW (SECTIONS 713.001-71337. FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID -IN -FULL Of squares off g , i HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR U }recover roof with NZ Iil-G+4 PROPERTY. 'PHIS CLAIM IS KNOWN AS A CONSIRUMON LIEN. IF YOUR 4 of squares on CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAYSUBCONTRACTORS, SUB- hin Ie/COIOr pCp.- UBCONTRACTORS OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE OTHER gdr,SProtect LEGALLY REQUIRED PAYMENTS. THE PEOPLE WHO ARE OWED THE MONEY property as needed daily MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID ffDeCking O O56 O CDX O other 3 pF -•• JrFJ1C>ITOUR CONTRACTOR IN FULL. IF YOU FAILTO PAY YOUR CONTRACTOR. YOUR WA)nderlayment O 15 lb. &0 lb. O Other 5y llll7 i CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A Metal ( LIEN IS FILED, YOUR PROPERTY COULD BESOLD AGAINST' YOUR WILL TO PAY a coeel org ! M Valley : ufJ O closed O open FOR LABOR MATERIALS OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU VHip and Ridge U,,4 standard O enhanced SHOULD STIPULATE IN'THIS CONTRACT THAT BEFORE ANY PAYMENT IS CVNails 1 J (q 6 Ikiub O open a yes MADE. YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN Pipe flashing (.Cl D 3/ lea RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO NOTICEeVentilationOboxOridgeOotherYOUA TO OWNER" FLORIDA S CONSTRUCTION LIEN LAW IS THAT YOU CONSULT AN ATTORNY. ErSeal around all vents, pipes and flashings COMPLEX. AND IT IS RECOMMENDED FLORIDA HOMEOWNERS CONSTRUCTION RECOVERY FUND. PAYMENTMAY jlr Ice and water shield to local code BE AVAILABLE FROM THE FLORIDA HOMEOWNERS CONwRUCnON Y Furnish all materials, labor and necessary permits RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER Delivery instructions O left Bright O other CONTRACT. WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF LAW CONTRACTOR FOR INFORMATION ABOUT THE ff debris FLORIDA BY A LICENSED RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA HauloffconstructionId2 year limited warranty CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: CIL.B,1940 North Monroe SL, UZ Tallahassee. magnet through yard FL3?399, VcallCif"Lien waivers provide upon final payment ANY CLAIMS FOR CONSTRUCTIONDEFECTS ARE SUBJECT TOTI I ENOTICE AND CURE PROVISIONS OF CHAPTER 558. FLORIDA STATUTES. BUYER' S RIGHT TO CANCEL: This is a home solicitation sale. and if you do not want the goods or services, you may cancel this Agreement by providing written notice to the seller in person. by telegram. or by mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight on the third business day after you sign this Agreement if you cancel this Agreement. the seller may not keep all or part of any cash down payment. By signing this Agreement. you agree that you have also been provided notice of this right to cancel orally in addition to the writing contained herein. Customers signature belowsignifies acceptance of alltrees and conditions of thisAgreement. including all terms on the reverse side hereof. Terms: This Agreement is contingent upon insurance company price and approval. This Agreement does not obligate the Customer or Company in any way unless it is approv" ny u mer s ens parry. mpany proposes to furnish all permits, labor and materials to complete the above replacement or repair for the estimated stun of total cost below or the price otherwise agreed upon with Customer's insurance company (the 'Agreed Price"). Customer authorizes Company to obtain labor and materials in aocordance with the Agreed Price and the specifications set forth herein to accomplish the above replacement or repair. Customer understands that Company does not work for Customer's insurance company and/or the insurer for the property, and that Customer alone has the authority to authorize Company to perfom the above replacement or repair. Customer's signature on this Agreement also signifies acceptance of all terms and conditions of this Agreement, including all temps on the reverse side hereof. In situations where supplements for additional work are necessary outside of the original scope of work (ex. additional layers or measurements). Company will seek approval from Insurance company. Customer's out of pocket expense not to exceed deductible plus upgrades for nonansurance related claim items. payment Method: Payment Upon Completion of Each Trade. Check or money order made payable to Oak Crest. Cash will not be an acceptable form of payment. Emergency Tarps Insurance Proceeds Cash/ Financing Total cost (tax included) Acceptance by Owner of property By: Representative Signature By: Estimated Project Start Date: Date of Completion: Date: z9 — — i Date: L 1 j FL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 8/22/2018 I hereby name and appoint: Cheryl Jo::hua an agent of: Oak Crest Contracting Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): S( The specific permit and application for work located at: 109 Gleason Cove Sanford, FL 32773 Suect Address) Expiration Date for This Limited Power of Attorney:, License Holder Name: Dustin Doll State License Number: Signature of License H STATE OF FLORIDA COUNTY OF SLMi 1101Z The foregoing instrument was acknowledged before me this 22 day of 200_ Lfa, by QShn N I I who is )Kpersonallly known to me or o who has produced identification and who did (did not) take an oath. S a-' Signature Ashley Geis a ISSION I W"59 w e (t t _ EXPIRES: June 19, 2022 Print or ty a name Bonded lhru Aron Notary Notary Public - State of Fl Commission No. (A(-g22`)-]S1 My Commission Expires: June- 19, 27- Rev. 08.12) M CITY OF W S, FBuilding & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO QS ISSUE DATE: S- L+ CONTRACTOR: Oat L; ILL JOB ADDRESS: t ©at akcm TYPE OF WORK: 0% Sks aq les 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 I I F FAILURE TO FOLLOW TIIE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULTIN 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 COMMENCE, MENT. NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT. THERE MAYBE ADDITIONAL RESTRICTIONS APPLICABLE 70 7MS PROPERTY TWIT MAYBE FOUND IN THEPUBLICRECORDSOFTHISCOUNTY. AND THEREMAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH ASWATER MANAGEMENT DISTRICTS. STATE AGENCIES. OR FEDERAL AGENGES. FBC 105.3.3EVISED: 4-17 Inspection Line 407.792.6069 or 855.542.2212 CITY OF t SkNFORD PERMIT # Q l0 tJ 1. FIRE DEPARTMENTBuilding & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: 109 Gleason Cv. Sanford, FL 32773 STRUCTURE TYPE: (3) SINGLE FAMILY RESIDENCEfrOWNHOUSE Q MOBILE HOME Q APARTMENT/CONDOMINIUM RE -ROOF TYPE: ® REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) Q RE-COVER (NFW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISrimDECK /S PEW TTED TO BE REPLACED** ROOF VENTILATION: Q OFF -RIDGE 0 RIDGE QSOFFIT QPOWERED VENT- QTURBINES SKYLIGHTS: Q YES ®NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 a 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE IKO FL# FL7006.1 Q METAL FL# Q MODIFIED BITUMEN FL# QTORCH DOWN FL# Q INSULATED FL# QTILE FL# 001-HEK: FL# ROOF EXTENSIONS (PORCHES. PATIOS. ETC.) **IFAPPLICABLE** ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 - 4:12 Q 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE FL# Q METAL FL# Q MODIFIED BITUMEN FL# QTORCH DOWN FL# QINSULATED FL# Q TILE FL# 0 OTHER: FL# CITY OF e rl.' S Building &Fire Prevention Divisioni,NFORD RESIDENTM 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 WILT, 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) DIGIT'AL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) o EACH PLANE OF'I`HE 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 APPLICABLC) 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) SIGNATURE: bw DATE: 8/22/201 H Grant Maloyy. Clerk Of The Circuit Court & Comptroller Seminole CountyFL Inst # 2018095233 Book:9194 Page:1140; (1 PAGES) ROD: 08/18/2018 01:42:31 PM REC FEE $10.00 THIS INSTRUMENT PREPARED BY: Name: Ashlex Gels Address: 115 Timberlachen Cir, Ste 1013 Lake Mary, FL 32746 NOTICE OF COMMENCEMENT Permit Number. Parcel ID Number. 02 20-30-523-0000-1390 The undersigned hereby gives notice that Improvement will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, the following iMormatlon Is provided In this Notice of Commencement. 1. DESCRIPTION OF PROPERTY: (Legal description of the propertyand street address if available) LOT139 PLACID WOODS PH 2 PB 58 PGS 4-6 109 GLEASON CV SANFORD, FL 32773 2. GENERAL DESCRIPTION OF IMPROVEMENT: REMOVE EXISTING ROOF TO DECK INSTALL NEW UNDERLAYMENT AND ROOF TO CODE. 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: _CABRERA, FREDDY A. 109 GLEASON CV SANFORD,, FL 32773 interest in property OWNER Fee SimpleTitle Holder (d other than owner listed above) Name: Address, 4. CONTRACTOR: Name: OAK CREST CONTRACTING Phone Number. 407-284-1738 Address: _ 115 TIMBERLACHEN CIR, STE 1013 LAKE MARY, FL 32746 S. SURETY Of applicable, a copy of the payment bond Is attached): Name: Address' Amount of Bond: S. LENDER: Name: Phone Number Address: 7. Parsons w[Nn the Stale of Florida Designated by Owner upon whom notice or other documents maybe served as pmvkled by Section 713.13(1xa)7., Florida Statutes. Nave: Phone Number. Address,- S In addition, Owner designates Of to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number 9. E)#ration Date of Notice of Commenoement (The expiration Is 1 year from date of recording unless a d'dferentdate 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 RECORDING YOUR NOTICE OF COMMENCEMENT. r7W Q Somim a ownera er OmWs a lessees ON NMW oM RoKeo Sipeateeye Tift0fim) nuennaeo // St'% of r (c:> rt Lte County of iG C" 141 d (1 The foregoing Instrument was acknowledged fore me this 3a inn day of c.i c-1 001 abyIn? Git:l G1 . 'P Who is personally known to me D OR who has produced identificallonipe of identification produced: EDWARDO' OTERO Notary Public - Stale of Florida CERT': IED ' PY GRAM MALOY =' • Commission a GG 003479 CLE' X OF Th E C' t '' ^HURT Comm. Expires Jun 28. 2020 AN) COMPT tC .l SEh' INOLE FLC BY DEPIffY CLERK R18 CITY OF 10 S.ORD Building & Fire Prevention Division RESIDENTIAL RE -ROOF A FFIDA VIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -DV, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 1 g — 300 ADDRESS: 109 Gleason Cv. Sanford, FL 32773 1 Dustin Doll . 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 1S 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#: CCC1330407 COMPANY / CONTRACTOR: Dusten Doll CONTRACTOR SIGNATURE: DATE: 8/23/2018 MUST BE SIGNED BY LICENSE H R OR O R/BUILDER) 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 SQNI If\.O Ie. Sworrn _to and Subscribed before me this day of u 20 _& by: J 7S n (lit Who i4f Personally Known to me or has 0 Produced (type of idenlvfication) as identification. Signature of ry Public `.1 I/ y Ashley GeisStateofFloriaa .*ZCOMMI ONiOMMI RWeq cv, S `EXPIRES: June 19, 2022 Printfl'ype/ tamp Name I I Thin IM Nfty of Notary Public