118 Orion Way - BR 18-003632 - REROOFCITY Of AUG 2 / 2018 Building & Fire Prevention DivisionSX4FORDPERMITAPPLICATION
riffDEPAR'fWN67 Application No: J — r'
Documented Construction Value: S
Job Address: 118 Orion Way Sanford FI. 32771 Historic District: VesDNoQ
Parcel ID: Residential Commercial
Type of Work: Newo Addition Alteration Repair E Dcmo 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: Cheryl Joshua Title: office Assistant
Phone: 407-284-1738 Fax: Email: ocorpermitting@roofally.eom
Property Owner Information
Name Dwight Freeman
Street: 118 Orion Way
City, State Zip: SANFORD, FL 32771
Name
Street:
Phone: 407-520-6315
Resident of property? : Resident -Owner
Contractor Information
OAK CREST CONTRACTING
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:
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 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. 1 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. 1 understand that n separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, ctc.
FBC 105.3 Shall be Inscribed with the date or application and the code in effect as or that date: 611' Edition (2017) Florida Building Code
Rcviscd: January 1. 2018 Pennii 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 verificution that 1 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 fec at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan rcvicw 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 thu 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.
Owner/Agent is Personally Known to Me or
Produced 1D X Type of ID -DL 'POa0-- 1(ot
w-L4)
q I -
si iv orContrac /Agent Date
Igo S16 rn no 1
Print Contractor/Agent's Name
Ct,' 25-Z3-15
Signatu Syt FIoiQy Ge sc
00 VON0MM759
EXPIRES: June 19, 2022
Contractor/Agent is . crsonallyta nown to Me or
Produced ID Type of I.D
Pedro Leon
COMMISSIONIGG2428WELOW IS FOR OFFICE USE ONLYEXPIRES: July 29,20,22
ermitJV91%P %NRJ11Yg 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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUTLDTNG:
Rc%iscd: January 1. 2018 hermit Application
AGREEMENT
OAK CREST CONTRACTING, INC.
115 Timberlochen Cir #1013
t.oke Mory, FL 32746 oakerest.com
Contractor Registration: CCC1330407
911IIft119 PHONE: A07-284-1738 FAX:86"48.8193
j'
No RJsk' C ianteeI
REP: .9 —V-'— " P___-l.C'------------
SOLICITOR'S LIC: -------------- — ---- _
PHONE:---/--/-__!-------------
OWNER DATE EMAIL ADDRESS
F ko-e 1 4 - / / -- Z D/
STREET CELL PHONE WORK PHONE
1`0 ylG L(- C>zo 63 /S`
CITY STATE ZIP HOME PHONE
F(- 32 7763
We hereby submit Scope of work for. FLORIDA CONSTRUC:rION LIEN. ACCORDING'TO FLORIDAN (:OVSI'RUCTION
C Tear off LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK
ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID-IN-FUU, 116 of squares off
CiRecover roof with
HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR
PROPERTY. THIS CLAIM tS 10;OWN AS A CONSTRUCTION UILN. IF YOUR
CV# of squares on ) ty --I- C4"'621cm C,oN r ACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB-
SS In Ie%olor C iz--% - g
SUBCONTRACTORS OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE. OTHER
Protect property as needed daily V F
LEGALLY REQUIRED PAYME14-M THE PEOPLE IVHO ARE. OWED THE MONEY
MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVtA' IF YOU HAVE PAID
CPecking O OSB U CDX ] her YOUR CONTRACTOR IN FULL IF YOU FAD. TO PAY YOUR CONTRACTOR. YOUR
CONTRACTOR MAY AISO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A0UnderlaymentO15lb. 30 lb. O Other . yN-M
Metal M U' i t LIEN IS FILED. YOUR PROPER'IT COULD BE SOLD AGAINST YOUR WILL TO PAYedgecolr
CrValley 1 C-0- 4 w S441ElDO closed O open
FOR LABOR MATERIALS OR OTHER SERVICES IUAT YOUR CONTRACTOR OR A
TO TO YOURSELF, YOU
L'"ip and edge 1 LW standard O enhanced SUBCONTRACTOR
MAY HAVE FAILED PAY. PROTECT SHOULD
STIPUTATF. IN THIS CONTRACT THAT BEFORE. ANY PAYMENT IS EY'
Nails 11" GA t_vkrti1-ecP O open ea %MADE YOURCOMRAC'TOR IS REQUIRM TO PROVIDE YOU WITH A WRITTEN drPipe flashingE
i.tJ O 3/1 ea RELIWE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO C,t
Ventilation
0
box O ridge other ll OU A '
NOTICE. TO OWNER.' FLORIDAN awsTitucnoV LIEN LAW IS 67 Seal
around all vents, pipes and flashings MPLEK, AND
ITISRE^COMMENDkDTHAT YOU C ONSUITANATTORNY. FLORIDA HO.MEOW\
FPS CONSTRUCTION RECOVERY FIND. PAYAIF:NT MAY Cf ce and
water shield to local code BE AVAILABLE FROM THE. FLORIDA HOMEOWNERS CONSTRUCTION Eff Furnish all
materials, labor and necessary permits RECOVERY FUND IF YOU LOSE. MONEY ON A PROJECT PERFORMED LN. DER C pelive Instructions
J left O right O other rY ] FW=ALAW B HERE THE MCLOSS
RESULTS FROM SPECIFIED VIOLATIONS OF flORIDA LAW BY
A LICENSED (ON'TRACTOR FOR INFORMATION ABOUT THEHaul off construction
debris RECOVERY FUND AND FILING A CALM. CONTACT THE FLORIDA y year limited
warranty CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOSVING oll magnet through
yard ONE NUMBER A\
D ADDRESS: :C1LB, 1940 North Monnx Sl- 042, TdIahassee. TELEPH99 Lien waiversprovide
upon final payment ANY (3AIMSFOR C.ONSIRUCTIU\DEFECISARE SUBJECT l'O7'HENOTICE AND CURE PROVISIONS OF CHAPTER 5S8. FLORIDA
STATUTES, BUYERS RIGHT TO CANCEL- This is
a home solicitation mk, and if you do nor want the goods or tervica. you may cancel this Agreement by providing written notice to the seller in persou by telegram. m by mail. '
this notice most indicate that you do not want the guods or services and must be delivered or postmarked before midnight on the third bunslness day after you sign this Agreement ,If you
camel this Agreement. the seller may not keep all or part of any cash down payment. By signing this Agmm"t, you agree that you have aaso been prodded notict of Nis right to
cancel orally inaddition to the writing contained herein Customers sigmture below signifies acceptance ofall
terms and conditions of thin Agreement including all terms on the mvme side hereof. Terms: This Agreement is cortlingent upon
insurance company price and approval. This Agreement does not obligate the Customer or Company in any way urdess it is approved by Customers Insurance company and
accepted by Compiany. Company proposes to tumish all permits. labor and materials to complete the above replacement or repair for the estimated
sum of total cost below or the price othentnse agreed upon with Customer's insurance company (the 'Agreed Pdoe'). Customer authorizes Company to obtain labor and
materials in arcordanoo with the Agreed Price and the specifications set font herein to accomplish the above replacement or repair. Customer understands that Company does
not work for Customers Insurance company andror the Insurer for the property, and that Customer alone has the auCtority to outhtuize Company to perform
the above replacement or repair. Customers signature on this Agreement also signifies acceptance of all terms and aondifions of this Agreement, Including all
terms on the reverse side hereof. In srWa*m where supplements lot addttonal work are necessary outside of the original soope 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 nortwirmuance related
claim items. Payment Method: Payment Upon Cormpletton 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: S Project Start
Date. Date of
Completion:
Date: S.L —
I I — i
Date: FL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 8/23/2018
I hereby name and appoint: Cheryl Joshua
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):
0 The specific permit and application for work located at:
118 Orion Way Sanford, FL 32771
Street Address)
Expiration Date for This Limited Power of Attorney:,
License Holder Name: Dustin Doll
State License Number
Signature of License F
STATE OF FLORiDA
COUNTY OF
The foregoing instrument was acknowledged before me this day of &4v)5 i- ,
200 (L, by l },n [col l who is)iiperson Ily known
to me or o who has produced as
identification and who did (did not) take an oath.
096k4d
a Ashley Geis Signature
MISSIONIGGMIMES: June 18. 022 S1 Cie S
Bon&dft Print or type harne
Notary Public - State of FL
Commission No. (-jC,,ZZoi-7S")
My Commission Expires: Cn -I°I -ZZ
Rev. 08.12)
THIS INSTRUMENT PREPARED BY:
Name: Pedro peon S, Ste imsAddress: 2748
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number. 02-20-30-520-0000-0460
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedInthisNoticeofCommencement.
1- DL%j$WQ%gVFCM?%MffgRabMStiPRru Zy property and street address If available)
I l i 17ri orl W r.y
bar\6r _ GL ?217 I
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: Dwight Freeman 118 Orion Way Sanford FI.32771
Interest in propeiV.. Owner
Fee Simple Title Holder (if other than owner fisted 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 (Ifapplicable, a copy of the payment bond is attached): Name
Address: Amount of Bond:
S. LENDER: Name Prone Number:
Address:
T. Persons within the State ofFlorida Designated by Owner upon whom notice or other documents may be served as provided by Section713.13(1)(e)7., Florida Statutes.
Name: Phone Number:
Address:
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. Expiration Date of Notice of Commencement (The e)q*ation 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
signs or 00W sass. or 0~5or Lessee's
AuAdWd0M=dft=gW
t tug 9 %+* rY.ler,>vra vt
IP 4Nano and ProvideSianaWs Tdlooffical
State of rleR J o,# County of
The foregoing Instrument was acknowledged before me this V day
by 7- r
wane of person Ming stawnam
who has produced identification type of identification produced:
o Pedro Leon
COlVUVIISSYON: cc2 aa
EXPIRES: July 29.2022
MUM In Ann Notary
CERTIFIED COPY 0ANT "
CLERK 07 i (' nl.,'I r LV.'R7 a
ANDCON' f" !'' ;'
LCRIDA C
Date
T
known to me O OR
2049—
CITY OF
V-D SAI-TFORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. ` a*310 3 Z ISSUE DATE: S to 7ASDI S ROOF INSPECTION
TYPE
APPROVED REJECTED INSPECTOR FINAL ROOF
I I F 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 PUBLICRECORDSOFTHISCOUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATERMANAGEMENT DISTRICTS. STATE AGENCIES.
OR FEDERAL AGENGES. FBC 105.3.3EVISED: 4-
17 Inspection line 407.792.6069 or 855.541.2112
CITY OF
SXKFORD Building & Fire Prevention Division
i RESMENTL4L 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 (ARCIIITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: 1 DATE: 8/23/201 s
CITY OF
SjkNFORD PERNIIT #
Building &Fire Prevention Division
FIRE DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 118 Orion Way Sanford, FL 32771
STRUCTURE TYPE: (8) SINGLE FAMILY RESIDENCErrOWNHOUSE 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):
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED**
ROOF VENrILAT1ON: OOFF-RIDGE (8) RIDGE OSOFFIT OPOWERL•D VENT OTURBINES
SKYLIGHTS: O YES ®NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 0 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE IKO FL# FL7006.1
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS. ETC.) **1FAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE, OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
Q SHINGLC FL#
O METAL FL#
O MODIFIED B ITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
Is.
CITY OF
9 S.ORD Building & Fire Prevention Division
RESIDEATM RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: M - 30 Z ADDRESS: 118 Orion Way
Sanford. FL 32771
I 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 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 PRODUCTAPPROVALS 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:
CONTRACTOR SIGNATURE: DATE: 8/27/2018
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 SQ 1`Il 10 C,
Sworn to and Subscribed before me this 21 day of Ava VSi - 20 _IB by:
Vin b Who is KiPersonally Known to me or has D Produced (type of
identification)
i
Signature of No Pu lic
State of Florida
Ash1e_u Ge(s
Printfrype/Sthmp Name
of Notary Public
as identification.
Ashley Gels
oc:s i 0MMISS
iEXPIRES: June 19, 2OZZrs8011WTWAMN0WYql