132 Kelly Cir - BR18-002766 - REROOFCITY OF
S,kNFORDJ'UN 2 0 2018
FIRE DEPARTMENT:
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: a
Documented Construction Value: $ - . t 01*kR V
Job Address: 132 KELLY CIR SANFORD, FL 32773 Historic District: Yes No
Parcel ID: 12-20-30-511-0000-WO Residentialz Commercial
zscpe of Vork: New Addition Alteration Repair Demo Change of Use Move
ccriptioofWork: Roof Replacement - C La L S '
Plan Review Contact Person: Stephanie Williams Title: Office Manager
Phone:386-456-6500 Fag: Email: stephanie@nolandsroofing.com
Property Owner Information ``
LL p J
Name Nancy Ramirez Phone: 7D 7- 7 z5 -6 7r L% S-
Street: 132 KELLY CIR SANFORD, FL 32773 Resident of property? :
City, State Zip:
Contractor Information
Name Noland's Roofing, Inc.
Street: 1512 S. Volusia Ave.
City, State Zip: Orange City, FL. 32763
Phone: 386-456-6500
Fag:
State License No.: CCC057611
Architect/Engineer Information
Name: n/a Phone:
Street:
City, St, Zip:
Bonding Company: n/a
Address:
Fag:
E-mail:
Mortgage Lender: n/a
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. 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: 6t1 Edition (2017) Florida Building Code
Revised: January 1, 2019 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 ofthis county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencics.
Acceptance of permit is verification that I will notify the owner of the property ofthe 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 ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordnance. 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: 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.
Signature of OK-ner/Agent ignatue o tur/AgrnDate Nancy
Ramire int
Gtvner/Agrnt's 1 Signature
of Notary -State of Florida Dal. DEBRA
SCHREIBER MY
COMMISSION 0 GG209394 , EXPIRES:
April 19, 2022 Owner/
Agent is Personally Kn wn to Me or Produced
ID Type of ID L 6
1 agi Print
Contr/Agrnt's Signature
of Notary-Statc of Florida Date lll/ 4Aggen
ais EIBER G0209394
IV
9, 2022 Contractoersonally
Known to Me or Produced
ID 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 Futures Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
January 1, 2018 Permit Application
o rr as EmRe Record Card
Pi Parcel: 12-20-30-511-0000-0440
a,,.,a, Property Address: 132 KELLY CIR SANFORD, FL 32773
i Parcel Information
Parcel 12-20-30-011-0000-0440
Owner(s) RAMIREZ, NANCY I
Property Address 132 KELLY CIR SANFORD, FL 32773
Melling 132 KELLY CIR SANFORD, FL 32773-7357
Subdivision Name MONROE MEADOWS
Tax District S1-SANFORD
DOR Use Code 01SINGLE FAMILY
Exemptions 00-HOMESTEAD(2017)
Value Summary
2018 Working 2017 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1 -
Depreciated Bldg Value 100.060 83,745
Depreciated EXFT Value
Land Value (Market) 25,000 S20,000
Land Value Ag
Just/MarketValue'• 125,060 103,745
Portability Adj -
Save Our Homes Adj 19,136 0
Amendment 1 Adj SO _
P&G Adj - SO 0
Assessed Value 105,924 103.746
Tax Amount without SOH: $1,187.00
2017 Tax Bill Amount $1,187.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
1
Legal Description
LOT 44
MONROE MEADOWS
PB 46 PGS 16 8 17
Taxing Authority Assessment Value Exempt Values I Taxable Value
County General Fund 105,924 50,000 ; 55.924
Schools 105,924 ; S25,000 80,924
City Sanford S105,924 50,000 55,924
SJWM(Seint Johns Water Management) 105,924 50,000 55,924
County Bonds - 105,924 i 50,000 i 55,924
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 6/1/2016 08727 Q$3¢ 109,000 No Improved
WARRANTY DEED 3/1/1994 02747 68,500 Yea Improved
Find Carapa ble ;
Land -
Method Frontage I Depth Units Units Price Land Value
LOT 0.00 0,00 1 $25,000.00: $25.000I
i Building Information ,
Is Bed/Bath count Incorrect 7 C ick Her
p Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Rapt Value AppendagesActual/Effective
1 ' SINGLE 1994 6 2 $,Q ' 1,047 1.639 1,047 ; CSISTUCCO $100.060 . $109,956 Description Area
FAMILY i I : FINISH
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address 132 Kelly Circle, Sanford, FL. 32773
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.floridabuildinQ.orci.
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
Slidin
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
includingdecimal
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 CertainTeed Landmark FL 5444-R13
Underla ments CertainTeed Roof Runner FL 21841-R2
Roofinq Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shin les
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coatin
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
Description
Florida Approval #
include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
En ineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name Greg Noland
Please Print)
June 2014
N Y
TMO (NOTRUMENT PREPARED DT: *641
Name: Stephanie Williams
Add 000: Nele.d RooN..e. ,ne.
1512 S. Volusia Ave., Orange City, FL. 32763
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number. 12-20-30-511-0000-0440
GR()HT NALOY? SEMINOLE COUNTY
l•L_:. JF 't!r,,IT T .1OLIF:1 h r r,,r -- r (. t C'DFir I KU1_ith
Sl, 9i56 Ps 167 (1Pss)
GLERr%'S v 20150703g7
RECORDED 06/20/2018 09.16.27 (.0
FEES $10.00
RECORDED SY lidevorn
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)
LOT 44 MONROE MEADOWS PB 46 PIGS 16& 17
132 Kelly Circle, Sanford, FL. 32773
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Roof Replacement
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Nancy Ramirez -132 Kelly Circle, Sanford, FL. 32773
Interest In property: Owner
Fee Simple Title Holder (if other than owner fisted above) Name: n/a
Address:
4. CONTRACTOR: Name: Nolands Roofing, Inc. Phone Number. 386-456-6500
Address: 1512 S. Volusia Ave., Orange City, FL. 32763
S. SURETY (If applicable, a copy of the payment bond is attached): Name: n/a
Address: Amount of Bond:
LENDER: Name: n/a 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.
Name: n/a Phone Number.
Address:
8. In addition, Owner designates of
to receive a copy of the Lienors Notice as provided In Section 713.13(1)(b). Florida Statutes. Phone number.
8. 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.
Signekee of Owneror Lease, or s or Leaee s
ALOorized Oflloer0rectorlPertner"nager)
State of —00 P ( da County of V d /us /
t Cf
Nancy Ramirez
Print Name and Provide SignstorysTrdelOMw)
The foregoing Instrument wasJJacknowledged beforemethisdayofVAr- .20 by
04 h tr L1. 9 k pn 1 r I:-7 Who is personally known to me O OR ame
of personmewosatemerd /7 who
has produced identification 0-type of Identification produced: .1=-y .r1 - It_ s ei .Lj — 6Q ` -7 S-6 c DEBRA
SCHREIBER (
MY COMMISSION
N GG2M94 < EXPIRES: April
19, 2022 Date, --
Noland's Roofing Inc.
0
NOLANDS
ROOFING INC.
Customer. Ramirez, Nancy
Date. 615120f8
Policy Number: P0000f8365
Phone: (4071923.0445
Email. a.ramlrez®c%cfi.or8
Address: 132 Kelly Mr. Sanford^ 32773
Sales Persons Name: Mike Steffenson
Job Description. Reroof
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA
STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES
AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT
AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIE, N. IF YOUR
CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB-
SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY
LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR
CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY
ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY
COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES
THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY RAVE FAILED TO PAY. TO PROTECT
YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS
MADE, YOUR CONTRACTOR IS RE, QUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF
LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWN] R"
FLORIDA'S CONSTRUCTION LIIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU
CONSULT AN ATTORNEY.
Homeowner Slqnature: Date 6 11-Y
1295 W Highway 50 Clermont, FL. 34711
Phone: 352-242-4322 / Fax 352-242-4333 License No. CCC057611
Noland's Roofing Inc.
Page:1
Noland's Roofing Inc. proposes to supply the labor and materials necessary to apply your roofing as follows:
A) Remove old shingles and a ndcrinymem tobare deck and dispose of properly.
B) Inspect existing decking for water damagemidre•nnilaccording to coda Wewill removeand replaceat arate of $65.00 X:_N
per shell of plynvW or $5.00 per linear board fool. Cedar Fascia S8.00 per linear foot. X: O R—
C) Noland's Roofing, Irm %till provide all applicable permits.
NOTE: Woodworli is not included in the price below and It is solely the responsibility of file customer to pay.
1. Supply and install code approved CcrtainTecd Premium Synthetic undedaymcd todock using sunplex nails.
2. Supply and install code approved 2 72" galvanized pointed cave drip mud sccmc to the roofdeck with nails around all
coves and mkes (Please specify drip edge color: LA*— Customer initinls :X yj(?
3. Secure the cave metal with mastic and then apply CerininTeed Starter shingles atoll coves %%ith the seal strip al the edge of the roof.
4. Supply and install all new anshings for plumbing pcnGmtions.
5.Supply mW butnll color matched kitchen and bath exhaust vents.
6.Supply mud install CertainTeed Hip and Ridge shingles as required by mnnufacturcrs warranty.
7.Remove mid deck over existing 4a o8'ridgc veNs.(ifapplicable)
8.Supply and hisiall codeapproved CertainTeed shingle overridge vents (ifthosen by customer) Customer initials :X
9. Supply and install code approved CertoinTeed winter guard self -adhered underla went tool[ roof penetrations.
10. Supply end bwoll code approved CerlainTeerl winter guard self -adhered membrane in nU valleys.
11. Supply and install CerlabiTeed Landmark shingles per manufeatirc 's specificaLio`lu; all applicable building codes
Please specify shingle color; \Pi V Customer initials :X N
Install 91 LF of 6 inch seamless gutter. Accept Reject
Install 941T of Down Spout. Accept Reject
Noland's Roofutg Inc. will supply a full coverage warranty upon completion.
A metmfacturees warranty shall be fumished ifcalled for above. The above work shall be performed in a substantial workmanlike
manner for the base price and the sum of: $ 18,808.83
Undisputed amount for claim number-120768 Amount S 9,128.78
Customer's deductible for policy number: P000018305 Amount $ 2,506.00
00 NOT REZNST41.1- Gu+4ers *
5-STAR WARRANTY
CertainTeed Landmark Pro's "130 mph wind warranty" LIFETIME non -prorated labor and materi
warranty*• LiFETTME workmanship warranty- S 791.55 Accept Reject
Other Trades:
Customer out of pocket expense limited to deductible, woodwork and upgrades.
With payment to be made as follows: 1st Insurance check and deductible upon contract signing.
Balance upon completion per trade.
Page:2Vf4
1295 W Highway 50 Clermont, FL. 34711
Phone: 352-242-4322 / Fax 352-242-4333 License No. CCC057611
CITY OF
SANFORD Building &Fire Prevention Division
RESIDENTM RE-ROOFPOLICY & 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 ALI, 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 DIS"TRIC'T WILL REQUIRE PLAN REVIEW AND APPROVAL BV TIIE
SANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTML"NT 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 RL'-ROOF SCOPE OF WORK
COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
PRODUCT APPROVAL SHALL MATCH WHAT IS ONTHE SCOPE OF WORK) DIGITAL
PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) o
EACH PLANT: OF'THE ROOT, SI•IOWING TI•Ili 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 PA'17ERN AND LOCATION OF NAILS SKYLIGHTS (
IF APPLICABLE) o
DIGITAL PHOTOGRAPHS S140WING ALI, INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL O
DIGITAL PHOTOGRAPHS SHOWING ALI, REQUIRED FLASHING, PER FL PRODUCTAPPROVAL 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. CONI'RACTOR (
OR OWNER/BUILDER) SIGNATURE: DATE:
CITY OF
SORD PERMIT #
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:
STRUCTURE TYPE: t9) SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE-ROOFTYPE: & REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): 1/2" OSB PLEASE
NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO HE REPLACED" ROOF
VENI'ILATION: DOFF -RIDGE O RIDGE OSOFrIT OPOWERED VENT OTURBINES SKYLIGHTS:
OYES ID NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 ® 4:12 OR GREATER TYPE
OF ROOF MANUFACIURER FLORIDA PRODUCT APPROVAL SHINGLE
CertainTeed FIA FL 5444-R13 O
METAL FL# O
MODIFIED BITUMEN FL# OTORCH
DOWN FL# O
INSULATED FL# OBILE
FIA O
OTHER: FL# ROOF
EXTENSIONS (PORCIIES, PATIOS, ETC.) "IFAPPLICARLE" ROOF
SLOPE: O 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 FIA O
MODIFIED BITUMEN FL# OTORCH
DOWN FL# O
INSULATED FL# TILE
FL# 0
OTHER: FL#
SLO BXRuilding & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-2766 ADDRESS: 132 Kelly Circle
Sanford, FL.
I Greg Noland , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, 1 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 #: CCC057611
COMPANY / CONTRACTOR: Noland's Roofing, Inc. / Greg Noland
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: 7 " I 1 - /B
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,
UNDERLAYMENI', 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 Volusia
Sworn to and Subscribed before me this 01fday of 20 18 by:
Greg Noland Who is XPersonally Known to me or has D Produced (type of
identification) as identification.
humo'D) i__
Signature of Notaryublic State
of Florida Print/
Type/Stamp Name LEXPIRES A
SCHREIBER of
Notary Public MMISSIONq 9
09394
April
19, 2022