2412 S Holly Ave - BR18-002679 - ReRoofCITY OF
ANFOA D
FIRE DEPARTMENT
G.k3.10
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: 18- a (P - - I
Documented Construction Value: $ 7543.25
Job Address: 2412 South Holly Avenue Historic District: Yes NoPl'
Parcel ID: 36-19-30-524-1100-0170 Residential Commercial
Type of Work: New Addition Alteration[] Repair Demo Change of Use Move
Description of Work: REROOF CERTAINTEED ASPHALT SHINGLES & CERTAINTEED MOTIFIED BITUMEN
Plan Review Contact Person: LUCKY PRIEST Title:
Phone. 352-538-3024 Fax: Email: PERMITTING@JTOCONTRACTING.COM
Property Owner Information
Name FREDA PIERCY Phone: (407) 322-2534
Street: 2412 HOLLY AVE Resident of property? : YES
City, State Zip: SANFORD, FL 32771
Contractor Information
Name JEFF HOOD Phone: 407-732-7500
Street: 106 COMMERCE STREET STE #103 Fax: N/A
City, State Zip: LAKE MARY, FL 32746 State License No.: CCC1330825
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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: 611 Edition (2017) Florida Building Code
Revised: January 1,2018 PP
19 9,(8
Permit Application
NOTICE.' Ih 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 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 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 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: 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 Owner/Agcnt Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID 4ype 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:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
NOTICE OF COMMENCEMENT AFFIDAVIT
Attached is a copy of the Notice of Commencement recorded with Seminole
County, Florida for re -roof construction per permit number
issued to JTO Contracting, LLC under my license number CCC1330825.
Job Address: 2412 South Holly Avenue
Parcel Number: 36-19-30-524-1100-0170
9 4,4,,Q
Manl Jefferson Hood
Licensed Contractor
State of Florida
County of Seminole
Sworn to and subscribed before me this c=l day of 20 _,
by Manley Jefferson who is personally known to me.
0; Notary Public State of Florida
Ltiaetia H Pftst
p•
qpt1'
My Commission GG 012659
Expires 09/26 MO
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
Application Number . . . . . 18-00002679 Date 6/13/18
Application pin number . . . 296492
Property Address . . . . . . 2412 HOLLY AVE
Parcel Number . . . . . . . . 36.19.30,524-1100-0170
Application type description ROOFING APPLICATION
Subdivision Name . . . . . . DREAMWOLD 3RD SECTION
Property Zoning . . . . . . . SINGLE FAMILY
Application valuation . . . . 7543
Application desc
reroof/shingles n
Owner Contractor
PIERCY D H & FREDA C JTO CONTRACTING LLC
2412 HOLLY AVE 106 COMMERCE ST STE 103
SANFORD FL 32771 LAKE MARY FL 32746
407) 456-4996
Structure Information 000 000 ----------------------
Roof Type . . . . . . . . . ASPHALT SHINGLE
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1057504
Permit pin number 1057504
Permit Fee . . . . 96.00
Issue Date . . . . 6/13/18 Valuation . . . . 7543
Expiration Date . . 12/10/18
Oty Unit Charge Per Extension
BASE FEE 40.00
8.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10 56.00
Special Notes and Comments
All projects within the City shall use
WastePro for debris removal. Please
contact WastePro at 407.774.0800.
Normal hours for inspections are from
7:30 through 4:30 Monday through
Thursday. Please be aware you must
contact the Building Official to
schedule a Friday or after hours
inspection. This is required since not
every inspector is licensed to do every
type inspection. Communication is the
key, so please contact the Building
Official if you have any questions at
407.688.5058 or at
dave.aldrichosanfordfl.gov
Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING 25.00
01-BLDG PLAN REVIEW 24.00
01-BLDG DCA SURCHARGE 2.00
01-BLDG DBPR SURCHARGE 2.18
Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 .00 .00 96.00
Other Fee Total 53.18 .00 .00 53.18
Grand Total 149.18 .00 .00 149.18
I
FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.
NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED.
NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED.
CITY OF SANFORD
CUSTOMER RECEIPT ess
Oper: BLANDA Type: OC Draper: 1
Date: 6/13/18 01 Receipt no: 140895
Year Number Amount
2018 2679
2412 HOLLY AYL
SANFORD, FL 32771
BP BUILDING PERMIT RECEIPTS
149.18
AC @Q56G
Tender detail
CC CREDIT CARD $149.18
Total tendered $149.18
Total payment $149.18
Trans date: 6/13/18 Time: 11:48:10
CITY OF
D S.ANFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
Residential Permit Card
PERMIT NO. 19 _ Q(01 9 ISSUE DATE: Lo '. 12 1 G
CONTRACTOR:
JOB ADDRESS:
i ApWNWIM&L dPA U AV—Md - — -
Post this permit in a conspicuous location outside Leave 11 work uncovered until inspected and approved
Approved plans must be posted with permit for inspection Permit expires 6 months from date of issue or last approved inspection
PROTECT FROM WEATHER
BUILDING ELECTRICAL
INSPECTION TYPE APPROVED REJECTED INSPECTOR MSPECTIONTYPE APPROVED REJECTED INSPECTOR
ELECTRIC UNDERGROUNDFOOTERINSPECTION
FOOTER/SLAB STEEL BONDSTEMWALL
FORMBOARD SURVEY T.U.G. / PRE POWER
SLAB / MONO -SLAB ELECTRIC ROUGH
LINTEL / TIE BEAM ELECTRIC FINAL
MECHANICAL
SHEATHING - ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
SHEATHING - WALLS
MECHANICAL ROUGHFRAME
INSULATION ROUGH IN MECHANICAL FINAL
PLUMBING
DRYWALLISHEETROCK
INSPECTIONTYPE APPROVED AVECTED INSPECTOR
LATH INSPECTION
FINAL STUCCO/SIDING UNDERGROUND ROUGH
FIREWALL SCREW TUB SET
FIREWALL FINAL SEWER
INSULATION FINAL PLUMBING FINAL
GAS INSPECTIONS
FINAL SFR
INSPECTION TYPE APPROVED REJECTED INSPECTOR
ROOF
GAS UNDERGROUND PIPEINSPECTIONTYPEAPPROVEDREJECTEDINSPECTOR
ROOF DRY -IN GAS ROUGH -IN
FINAL ROOF GAS FINAL
MISCELLANEOUS / FINAL INSPECTIONS
INSPECTION TYPE APPROVED REJECTED INSPECTOR INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL DEMO FINAL DOOR
FINAL SOLAR PANELS FINAL WINDOW
FINAL POOL SCREEN FINAL SCREEN ROOM
FINAL UTILITY BUILDING FINAL BUILDING OTHER
MOBILE HOME TIE -DOWN MOBILE HOME FINAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMME NULIYie.ly l IVIA x ne,0vL1. al. a vv•...
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 PUBLIC RECORDSOFTHISCOUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES OR FEDERAL
AGENCIES FBC105.).)
Inspalion Line: 407.792AM9 or ISS311.211 T
REVISED* 4.17
City of Sanford Building Division
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 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 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 ofWork
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 spark 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' DATE:
PERMIT # l O " a W.% 67
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 2412 South Holly Avenue
STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 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): 1 /2" p1pood (not to be replaced)
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: DOFF -RIDGE 0RIDGE OSOFFIT DOWERED VENT OTURBINES xx GABLE
SKYLIGHTS:®YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 02:12-4:12 04:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
MN SHINGLE CERTAINTEED FL# 5444-R13
O METAL FL#
0 MODIFIED BITUMEN FL#
0 TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: @LESS THAN 2:12 0 2:12 - 4:12 04:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL#
ETA- ELITE ALUMINUM FL# 7621-R4
MoDIFmDBmrMEN CERTAINTEED FL# 2533-R19
O TORCH DOWN FL#
OINSULATED FL#
OTILE FL#
OTHER: FL#
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address 2412 South Holly Avenue
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.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 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
RRppJo MlImn CFA-
yyPAPPA115Eit
strr o nooirnr, raoruo
Legal Description
LOTS 17 & 18 BLK 11
3RD SEC DREAMW"OLD
PB 4 PG 70
Taxes
PL2eL4y Record Card
Parcel: 36-19-30-524-1100-0170
Property Address: 2412 HOLLY AVE SANFORD, FL 32771
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 43,280 39,095
Depreciated EXFT Value 1,488 1,488
Land Value (Market)
Land Value Ag
27,947 25,407
Just/Market Value " 72,715 65,990
Portability Adj
Save Our Homes Adj 18,273 12,668
Amendment 1 Adj 0
P&G Adj 0 0
Assessed Value 54,442 53,322
Tax Amount without SOH: $571.55
2017 Tax Bill Amount $488.33
Tax Estimator
Save Our Homes Savings: $83.22
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 54,442 29,942 $24,500
Schools 54,442 25,500 $28,942
City Sanford 54,442 29,942 $24,500
SJWM(Saint Johns Water Management) 54,442 29,942 $24,500
County Bonds 54.442 29,942 $24,500
Sales
Description Date Book Page Amount Qualified Vac/Imp
No Sales
Find Compmbk Salsa
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 122.001 136.00 1 0 275,00 27,947
Building Information
f Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Rapt Value Appendages
Actual/Effective
1 I SINGLE 1956 3 1 3 1 1g 1 768 1 1.347 1,263 CB/STUCCO 1 $43,280 $76.942 11 Description I Area
SEMINOLE COUNTY MULT/%URISDICTIONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: I/ I 1 1 8
I hereby name and appoint: L U C fe-i t Q
an agent of: JTO Contracting, LLC
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):
21 All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:
street Address)
Expiration Date for This Limited Power of Attorney.
License Holder Name: Manley Jefferson Hood
State License Number. CCC1330825
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF SE M)Q0t:_F_
The foregoing instrument was acknowledged before me this Lhl-) day of
20 116 , by MAAL.EV/ who is P6 personally known to me or
O who has produced
and Vrho did (did not) take an oath.
Sig re of Notary
se_ ' 6 L. M. GIESENAAGENMY6O1'; ;0N B FF244146
Fd1p1RES: Jucc 24, 2019
as identification
Print or type Notary name
Notary Public - State of Fii...OA3 bA,
Commission No. FF2A454&
My Commission Expires: 06•-24ZG) `)
Permit Number:
folio/Parcel ID #: 36-19-30-524-1100-0170
Pre red b BY LUCKY PRIEST
Return to: JTO CONTRACTING LLC
1n6 CnMMFRrF ST #1n., I AKF MARYFI 3274S NOTICE
OF COMMENCEMENT State
of Florida, County of SEMINOLE 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) LOTS
17 & 18 BLK I 1 3RD
SEC DREAMWOLD PB4PG70
2412
HOLLY AVE SANFORD, FL 32771 2.
General description of improvement RE -ROOF 3.
Owner information Qr Lessee Information If the Lessee contracted for the Improvement Interest
In Property CWMFR 4.
Name and address of fee simple titleholder (if different from Owner listed above) Name
5.
Contractor Telephone No. 407-732-7500 6.
Surety (if applicable, a copy of the payment bond is attached) Name
Telephone No. Address
Amount of Bond $ 7.
Lender Name Telephone Number Address
8.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by §713.13(1)(a)7, Florida Statutes. Name
Telephone Number Address
9.
In addition to himself or herself, Owner designates the following to receive a copy of the Llenor's Notice as provided
In §713.13(1)(b), Florida Statutes. Name
Telephone Number Address
10.
Expliation date of notice of commencement (the expiration date will be 1 year from the date of recording different
date is specified) unless
a 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 1, 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. The
foregoing instrument was acknowledged before me this Z9 day of 5 118 byo marasSELF
for Type of
authority, e.9 , trustee, attorney in fact n lure
of Notary u Ic - State of Florida Personally Known
nOR Produced ID F, Type of
ID Produced FL D7 ferLicerse OWNER Signatorys
Titwoffice
FREDA PIERCY
name of
person OWNER Name
of
party onbehalf of whom instrument was executed aV pt.
Notary Publk State Of Fbrlda i LucretiaHPriest4t
NExpires0 l254020012659 GRANT
MALOY,
CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S #
2018063561 BK 9146 Pg 0329; (1pg) &RECORDED 06/05/2018 12:00:54 PM
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18 - ZG-19 ADDRESS: 2412 South Holly Avenue
SANFORD, FL 32771
JEFF HOOD , 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 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#: CCC1330825
COMPANY / CONTRACTOR: JTO LLC / JEFF HOOD
CONTRACTOR SIGNA DATE: C
MUST BE SIGNED BY LI NSE O PEROROWNER/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 SEMINOLE
Sworn to and Subscribed before me thisq day of 20 jV by:
JEFF HOOD . Who is N Personally Known to me or has 0 Produced (type of
identific tion) as identification.
I ature of No&t u lic Notary Pubuc State of Fbrlde
State of Florida ; .LWsUa.H PriestIhCommissionGG 012659
LUCRETIA H PRIEST °'"Exo eao9nsno2o
Print/Type/Stamp Name
of Notary Public