124 Monroe View Tr - BR18-002568 - REROOFCITY OF
Ski4FORD
FIRE DEPARTMENT
Job Address:
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: 1 0 a
Documented Construction Value: S 19,468.32
124 Monroe View Trail Sanford, FL 32771 Historic District: Yes Noz
Parcel ID: 23-19-30-502-0000-0600 Residential[] Commercial
Type of Work: New[:] Addition Alteration Repair Demo Change of Use Move
Description of Work: Tear off and reroof single family dwelling using architectural asphalt shingles.
Plan Review Contact Person: Alron Construction, LLC/ Mae Wright Title: Office Assistant
Phone: 321-639-0911 Fax: 866-596-2189 Email: alronconstruction@gmail.com
Property Owner Information
Name Jolynn Rodriguez Phone: 415-786-5552
Street: 111 Red Hawk Court Resident of property?: yes
City, State zip: Brisbane, CA 94005-1234
Contractor Information
Name Alron Construction, LLC Phone: 321-639-0911
Street: 467 Forrest Avenue, Suite #115 Fax: 866-596-2189
City, State Zip: Cocoa, Florida 32922 State License No.: CCC1328819
Architect/Engineer Information
Name: N.A Phone: N.A
Street: N.A Fax: N.A
City, St, Zip: N.A E-mail: N.A
Bonding Company: N.A
Address: N.A
N.A
Mortgage Lender: N.A
Address: N.A
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 ofa permit and that all work will be performed to meet standards of all laws 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, etc.
FBC 1053 Shall be inscribed with the date ofapplication and the code in effect as ofthat date: 61° Edition (2017) Florida Building Code
Revised: January 1. 2018 Permit Application
NOTICE: In addition to the requirements ofthis 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 water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I 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 ofthe 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 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 AFFIDAVIT: 1 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.
Si a of O /A 1 Date
Print Owner/Agent's Name
Signature of No - tateoffleride Date
mil; Voc
is Personally Known to Me or
eM-naaeor- -, CAmr;,fex-. Ga.-- 'e,
Comm111110 l 0 2078933
Notary Public . Cal"ornls
San Mateo County .
Comm. Expires Aug 21, 20101ELOW
6 - 011115
SignatureofContractor/Agent Date
D.
BE SLEY-'
MY COMMISSlGWO GG148618
EXPIRES October 04. 2021
Contractor/Agent is .& Personally Known to Me or
Produced ID Type of 11)
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 # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30.2015 Permit Application
16ILRONSTORMDATE: Construction, LLC. -
DAMAGETYPE: General CGC1515789 :BBB•
467 Fnrr.cr ems. c,.:,. r t c r.,....., er z•sne f.Rf
Ne. a Ph fie
rah SOa Ya-LIiSY"1d1`I
Date
Street
yL C J Cell Field R
l5TCityte. Zip Code Cu otter Email
C ` P
V—i6v rrwvrvcv ra.r Rco IVKr- TVUK MVIVIL WILL MEET OR EXCEED FLORIDA BUILDMG CODE
ROOF Pitch layers _Stories Type
GENERAL CONDITIONS
eEr Inspection from a professlonal project manager
yPhotograph existing roof and any related storm damage
5 Map & measure diagram or eagle view for roof dimensionCurCreateestimate/ exactimate to determine pdce and scoped' Obtain & post local permits & NOC atjob site
Ar Provide supervism/ superinienderd for project
ROOF REMOVAL/ TEAR -OFF
Z- Protect home exterior, shrubs and landscaping with tarps
Remove existing roof & flashings doto bare decking Y wn
Haul
away all debris to approved facility t'
Magnetically sweep jobsite for roils ROOF
DECK Replace
any roiled or deterioratedroof decking tTReplaceanyrottedordeterioratedplankdeckingRe -
nail entire roof deck per code 8d ring shank nails on V pattern UNDERLAYMENT
ts
Dry4n, with #30 or syntheticfell throughout roof trDry -In with double layer of015felt far low slope Dry -
In with peel n stick secondary water barrier t SHINGLES:
Brand Color,JJ Replace
roof with new 34ab 25yr shingle Replace
roof with new architectural shingles D
Replace roof with new high graddheavy shingle O
Install new starter strip shingles D
Replace hip & ddge cis shingles
METALROOF `' f%
D
Remove 8 repWca m fig TILE
ROOF D
Remove & replace tile roaring FLAT
ROOF/ DEAD VA D
Remove flat roaring O
Install modified bitumen to low slopes & lmv valleys FLASHINGS -
8—
Replace ddp edge: Color= 10 j
Replace galvaNzed kitchentbath vents t--
install modified bitumen in all valleys per code Replace
valley metal A
Imstall new plumbing leads _1.5 2- 3' jar'
Replace roof to wall flashing 9--
Apply mastic to all !lashings per code Paint
roof penebations & vents to match roof ATTIC
VENTILLATION 8'-
Remove & replace ridge vents D'
Remove & replace off -ridge vents PJ'
Remove & replace twWow-pro vents i-
Remove & replace turbines Remove &
replace powredsolar attic vents CHIMNEY
l /) DRe -flash chimney 10 f"' 7
Build & install cricket p&bu code SATTELITED
Detach & reset satellitn re -align to calibrate signal SKYLIGHTS
O
Re -flash existing undaylights O
Remove & replace damaged skylights EMERGENCY
REPAIRS 9lProvide
water mitigatioW dry out services apply
tarps! roofing to stop or preven le I GUTTERS:
Sae Color O
Detach & reset undamaged non -spiked gutters D
Replace damagedlipiked gulter with new seamless gutter SOLAR
PANELS V ODetach & reset undaA1--9 solar panels O
Remove & replace damaged solar panels HVA/
C- Work must be performed by licensed professional move &
replace gas exhaust vents Comb &
straighten damaged a/c condenser unit fins Replace
damaged A/C condenser SOFFITTI
FASCIA ld'
Remove & replace damaged fascia s'-'
Remove & replace damaged soffit O—
Remove It replace sub fascia EXTERIOR
WALL y;
ZPaimove & rer stuccoReDlace
damaged siding DRYWALL
2^
Remove & reset furniture/ appliances T
Covedprolect floors and furniture Remove &
replace drywall Pzcsei
t SCREEN
ENCLOSURE Remove &
replace damaged enclosure screens WINDOWS
Remove &
replace damaged windows/ glass 3-
Remove & replace damaged window Uim El
Remove & replace damaged window =teens SHED
D
Replace damaged shedrl D
Remove & replace damaged shed roof Other
Project Details: 15yr
Tamko tabor & material + 2yr Alron workmarhship warranty THIS
IS AN ASSIGNMENT OF BENEFITS CONTRACT FOR
VALUABLE CONSIDERATION 1 HEREBY ASSIGN A.VDTRANSFER AVY AND ALL RIGHTS, BENEFITS AND CAUSE C OF ACTIO; I TO ALRONConstruction. LLC fhereinafler "assignee') relative to theclaim for damage(s) that Assignee has performedor promises toperform. In the eventmyinsurancecompanyisobligatedtomakepaymenttomeormyassigneefordamagescoveredundertheapplicablepolicyofinsuranceandthecompanyfailsorrefusestomaketimely, complete payment. I authorize Assignee to prosecute said causeof actioneither in flyname orAssign'sname and further IauthorizeAssigrectoCompromise, settle or otherwise resolve said muse of action as they see fit. DIRECTION'
OF PAYl1ENT I bcrcby authorize and dived you, my insurance company, to issue payment SOLELY and directly to Atron Construction, LLC ("Assignee) and any applicablemortgage comixiny(4 sucb sums as maybe dueandowing for alldamages pa)oble under the subjectcontract or in- suranceforthiscbim, with the exceptionof damagespayableunder the Contents and Additional Living Expenses applicable lines of insurance. Additional
Terms: Separate and distinct from theabove, this agreement does not obligate the Customer to AltonConsWetiom LLC (liminafter "Contrac- Tor'), in anyway unless the insurance provider approves the claim or a court of competent jurisdiction orders the insurance carrier to provide coverage and paymentforthedamage(s) suffered by customer. Unless additional work or upgrades are requested, the Contractor agrees project will be completed WITH NOCOSTTOTHECUSTOMER, EXCEPT THE INSURANCE DEDUCTIBLE- By my signature• 1 also attest and swear that I have the authority to makethisassignmentanddirectiontopayonbehalfofallnamedinsured(s) in addition to myself. r
INSURANCE
PROVIDE n WMB POVCY„ Acceptance
of Proposal: itie above specification and lonclitioris are
satisfactory and herby accepted. Abort Construction LLC'= Signature Xr, _Dale-c
auUarired
to beginthe wok as specified above after receipt of full and
find payment from my Insurance company inducing ovetfmad Sj9cature X Date. & profitIauthorizeAhonConstructionLLCtoundertakethispro - loco
through to eompteticn and 1 agreeto pay my instaattce do- ducWe
after eft ware is complete. I admudedge that t have read S grahnaX lhis
agreement vAddt iocomposed of dospage endthe bacmgde. A Coni; ion Reprcitniativc Uat
THIS INSTRUMENT PREPARED BY:
Name: Alron Construction, LLC / Alvin D. Cortez
Address: 467 Forrest Avenue Suite #115
Cocoa, FL 32920
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number. 23-19-30-502-0000-0600
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
SK 9105 Ps 230 (1P9s)
CLERK'S T 2018037244
RECORDED 04/05/2018 04:10:41 PM
RECORDING FEES $10.00
RECORDED BY ttdevore
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Jolynn Rodriquez, 111 Red Hawk Court, Brisbane, CA 94005-1234
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONIRACTOR: Name: Alvin D. Cortez / Alron Construction LLC Phone Number. 321-639-0911
Address: 467 Forrest Avenue Suite #115, Cocoa FL 32922
S. SURETY (Ifapplicable, a copy of the payment bond is attached): Name. N/A
Address: _ Amount of Bond:
S. LENDER: Name:__)J f (4' Phone Number.
Address:
Persons within the Statue 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.
Name: N/A Phone Number.
Address:
In addition, Owner designates N/A of
to receive a copy of the Lienors 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 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.
44,471 j Owner
aOwner44:etw or lesses•s (PAN Namo end Provide Sipnasvys Ti10 Mee)
AuU,arixsdOMderNi roger)
State of CAL iCO r ri \ Ck- County of SO -A T C Ae- ( 3 ^
0tJ'C'l. The foregoing instrument was acknowledged before me this day of SC Q >;Z0r!:A . 20ig
by Y1Ct P_ LZ iV&i CQ , J v gt rC{ Z, j I t; Who is personally known to me O OR
Name or person mold staMrreN
who has produced identificatio 'n-type of identification produced:yal i a C0-1150r yN%r' Q f t J-eX 5 L 1 C en 5•e— ANGEL190RA
Comriiliilon
0 2076933 Nowy
Public • Californli Z
aSinMateo County mtm sTgnitum MY
Conan. Ea Ires Au 21, 2018
CITY OF
SANFORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
r &' 1- PERMIT NO. / a ISSUE DATE: D
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF
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 REOUIREMENTS 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 REOUIRED FROM OTHER GOVERNMENTAL ENTITIES'SUCH AS WATER MANAGEMENT DISTRICTS. STATE
AGENCIES, OR FEDERAL AGENCIES. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
Dial 407.792.6069 or 855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
PLEASE NOTE: Inspections scheduled by 5:00 p:m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code 111
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
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112
D
City of Sanford Building Division
3. Residential Re -Roof Inspection Policy & Procedures
PERMITTING REQUIREMENTS -No PLAN REVIEW REQUIRED
This document (signed) along with an accurate and completed Residential Re -Roof Scope ofWork 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 thejob 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) SIGNATURE: / " 6 DATE: o bi bb
PERNDT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 1 A NA,nrm— UI eLJ - fro'! l SmoLrl FL 3 a +:A
STRUCTURE TYPE: P SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: JDREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): woy 8 PLEASE
NOTE. ONLY JOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED** ROOF
VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
O YF,S1W4 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 C MANUFATURERFLORIDA PRODUCT APPROVAL O
SHINGLE QWI fN U ' Ian: G FL# 15355 - i2y O
METAL FL# O
MODIFIED BITUMEN FL# OTORCH
DOWN FL# O
INSULATED FL# OTILE
FL# O
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) **/FAPPL/CABLE** ROOF
SLOPE: O LESS THAN 2:1'2 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# OTORCH
DOWN FL# O
INSULATED FL# O
TILEFL# 0
OTHER: FL#
i
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 18-00002568 Date 6/06/18
Property Address . . . . . . 124 MONROE VIEW TRL
Parcel Number . . 23.19.30.502-0000-0600
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1055623
Permit pin number 1055623
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 Ill BL03 FINAL ROOF _/_/_
CITY OF
S.ORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF A FFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASFMG, AND ALL FINAL ROOF COVERINGS
PERMIT#: 16 — 25106 ADDRESS: IZy P%OKroC. U-Cw 1AU1
5,z cp-j FL 32 I-Tk
I A" / V% )b • l.o?,l: Z , 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 ANDACCURATE 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 #: etc 13 2 8811
COMPANY / CONTRACTOR: A rOVI CD j,,4OyI 1- L C
CONTRACTOR SIGNATURE: C1 DATE: !2—/
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REOUIRED:
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 r VQ.r A
Sworn to and Subscribed before me this I gL day of 20 W by:
1kkV%V% b coy AGZ . Wbo isx Personally Known to me or has 0 Produced (type of
as identification.
DAY.¢I CHRISTENE BEASLEY
MY COMMISSION # GG148818
EXPIRES October 04. 2o21
Print/Type/Stamp Name
of Notary Public