2433 Willow Ave - BR17-003012 - ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S 11,395.00
Job Address: 2433 Willow Ave. Sanford, FL 32771 Historic District: Yes No Q
Parcel ID: 31-19-31-520-0000-1060 Residential 0 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Re -Roof CertainTeed Flintlastic SA Modified Bitumen 22sq.
Plan Review Contact Person
Phone: 407-878-3750
Name Daisy Herman
Street: 2433 Willow Ave.
Saundra Bracken Title: Office Manager
Fax: 407-960-2612 Email: BrianSikesRoofing@cfl.rr.com
Property Owner Information
City, State Zip: Sanford, FL 32771
Name Brian Sikes
Street: 1550 S HWY 1792
Phone: 407-304-0010
Resident of property? : Yes
Contractor Information
Phone: 407-878-3750
Fax: 407-960-2612
City, State Zip: Longwood, FL 32750 State License No.: CCC1325977
Architect/Engineer Information
Name:
Street:
City, St, Zip
Bonding Company:
Phone:
Fax:
E-mail:
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
connnenced prior to the issuance of a pen -nit 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 he 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: 51" Edition (2014) Florida Building Code
Revised: June 30, 2015 Pen -nit 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 verification that I will notify the owner of the property of the requirements ofFlorida 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 perrnil 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.
i atwe of ( Agent. Date Signature of Contractor/Agent Date
Name
Of Date
Print Contractor/Agent's Name
Notary Public State of Florida r NDtary'
Steven Campbell Steven Campbell
r`'.,c My Cornmisslon FF 990959 My Commission FF 980959
d' E,plres 05no/2020 j a8 Exltms 0 1
w
Own / PC Personally Known to Me or Contractor/Agent is ersonally Known to Me or
Produced ID Type of ID -J_ Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 pennit Application
9/19/2017 SCPA Parcel View: 31-19-31-520-000071060
Property Roe
04 dJ0 Son,CFA
RffR
Parcel: 31-'19-31-520-0000-1060
Owner: HERMAN DAISY M
i nawrJcccc?(raavtl,gFtCxn Property Address: 2433 WILLOW AVE SANFORI7, Fl-3'2771
Parcel Information
Parcel 31 19-31 520-0000 1060
T
Owner HERMAN DAISY M
Property Address 2433 WILLOW AVE SANFORD FL 32771-4566
Mailing 2433 WILLOW AVE SANFORD FL 32771 4566
Subdivision Name SANFO PARK
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY I
Exemptions 00-HOMESTEAD(1994)
Seminole County CIS
Legal Description
S 32.67 FT OF LOT 106 + N
40 FT OF LOT 108
SANFO PARK
PB5PG62
ord Card
4566 i
i
Value Summary
2017 Working 2016 Certified
Values Values
Valuation Method CostJMarket Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value ; $37 753 34,709
Depreciated EXFT Value
Land Value (Market) ; $19,800 18,315
Land Value Ag
JusMarkt! et Value.- $57,553 53 024
Portability Adj
Save Our Homes Adj $5 262 1 809
Amendment 1 Adj
Adj$0 0
I.
Assessed Value k $52,291Ass 51,215
Tax Amount without SOH: $394.53
2016 Tax Bill Amount $380.86
Tax Estimator
Save Our Homes Savings: $13.67
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxes
Taxing Authority Assessment Value -- Exempt Values Taxable Value
County General Fund 52,291 52,291 0
Schools 52,291 25,500 : 26,791
City Sanford 52,291 27,791 24,500
SJWM(Saint Johns Water Management) 52 291 27 791 24 500
County Bonds 52,291 , 27,791 24,500
Sales
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 100.00 140.00 $200 00 $19 800i....... ... ..... .—_- _--—.__—_—__. _.. _- _.:.. ___._.
Building Information
Year BuiltDescription Fixtures Bed Bath (base Area 'Total SF Living SF E Ext Wall (Adj Value Repl Value !AppendagesActual/Effective
1 !SINGLE 1956 3 1 1_0 875 1,307 875 ' CONC $37,753 I $67,116
3 FAMILY BLOCK Description Area
I-- —
http://parceldetail.scpafl.org/ParceiDetaillnfo.aspx?PID=31193152000001060 1/2
1550 S. Hwy 17 92 Ph: (407) 960-2611
Longwood, FL 32750 Fax: (407) 960-2612
PROPOSAL
9/19/2017 8477
Contractor submits this proposal for work on the property herein described.
Upon acceptance, Contractor agrees to furnish labor and materials necessar
to improve the above premises in a good, workmanlike and substantial
manner according to the terms, specifications, prices and plans (if any).
Start and Completion: The approximate start date of / / 170II and
approximate completion date of ) 17, z, /(-) are subject to permissible
delays as per provision (5) on the reverse side.
Submitted by X
Remove existing single -ply roof and underlayment to expose decking.
All damaged plywood decking if any will be determined at completion oftear off and will be replaced at a
rate of $60.00 per 4x8 sheet. (Price includes labor and materials.)
Additional damaged wood if any will be determined at completion of tear off and will be replaced at a rate
of $55,00 per hour and the cost of materials.
Install 2 1/2in. 8D Rink Shank coil nails along all trusses every six inches to properly secure decking.
Install 1/4in. sloped tapered ISO board insulation over flat portion of roof on right side of house.
Install one layer of CertainTeed Flintiastic SA base sheet over low sloped portions of roof.
Install 2 1/2in. galvanized eave-drip around entire perimeter of roof. (Eave drip will have a baked enamel
finish) 6ro ",) rl
Install one Retrofit boot around electric pole.
Install one 2in. lead boot.
Install one 3in. lead boot.
Properly fasten and seal flashing along all walls, eaves, valleys, vents, and boots.
hnstall 1.701b. CertainTeed Flintlastic SA modified rubber roofing over base sheet. Rubber will be frilly
adhered to base sheet using cold process application t :a iN i `C
Ground will be swept with a magnet at the end of each working day.
Clean entire work area and haul away all debris.
7 YEAR LEAK WARRANTY (LABOR AND MATERIALS)
Price includes labor, materials, taxes and all permitting fees.
Contractor shall provide all releases of lien from contractor, subcontractors, and material suppliers.
S(h,i%7
mtractor) Date
7 RATE s
221 75.00 F1,650.00
22 10.00 220.00
5 200.00 1,000.00
22 75.00 1,650.00
200.00 200.00
1 40.00 40.00
1 15.00 15.00
1 20.00 20.00
221 300.00 16,600.00
TOTAL$11,395.00
ACCEPTANCE OF PROPOSAL
This Proposal is approved and accepted. There are no oral agreements. The written terms,
specifications, provisions, prices and plans (if any) are the entire agreement. Changes will be .
made by written change order only. Credit cards may be subject to a 3% convenience char e. Appro and Accepted(Owner) Date
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of
this transaction. See Owner's Right to Cancel on the reverse side for details.
1
I II1111 Illlt 1111111111 IIIN lllll Ilil I111
THIS INSTRUMENT PREPARED BY: GRANT NALOY SEMINOLE COUNTYName: Saundra Bracken CL..L::I' K Of CIRCUIT COURT h COMPTROLLERAddress: 1550 S Hwy 17 92 BK 8998 Pq 280 (1Pss )
Longwood,FI32750 CLERK'S 4 2017098602
RECORDED 10/02/2017 03:22::39 PN
RECU;,';= _; . FEES $10.01) NOTICE OF COMMENCEMENT RECORDED UY hdevore
Permit Number:
Parcel ID Number: 31-19-31-520-0000-1060
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 ofthe property and street address if available)
2433 WILLOW AVE SANFORD, FL 32771-4566 - S 32.67 FT OF LOT'106 + N
40 FT OF LOT 108
SANFO PARK PB 5 PG 62
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof CertainTeed Flintlastic SA Modified Bitumen 22sq.
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: HERMAN DAISY M - 2433 WILLOW AVE SANFORD, FL 32771-4566
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: Brian Sikes Phone Number: 407-878-3750
Address: 1550 S Hwy 17 92 Longwood, FI 32750
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section713.13(1)(a)7., Florida Statutes.
Name:
Address:
8. in addition, Owner designates
Phone Number:
of
to receive a copy of the Llenor's 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.
c
Si atu of Onner or Lessee, or nets or Lessee's (Print Name and Provide namry's (tle/Office) orized Officer/Director/Partner/Manager)
State of County ofu6 o
The foregoing instrument was acknowledged before me this _ (its day of 965FTLi; < P6r-- 20 (7
by 32AL If MC- &i-ON09?--
Name of person making statement:
who has produced identification^type of identification produ
a llotary Public State of Florida
Steven Campbell
My Commission FF 990959
Expires 05/10/2020
CITY OF
k &kiI4FO Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. 30/ 7 ISSUE DATE: /D* 7
CONTRACTOR: • 'S• e
JOB ADDRESS: a 3 3 to; I I O w 42&*Jt.
TYPE OF WORK: C (moot, L, / 4
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
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 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. 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 I I I
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
iJ City of Sanford Building Divisionate_
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 THE JOB SITE.
PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY TIIE
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 AMEASURING 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 FLPRODUCT 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: YY DATE: 9- /,r
D PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: 2433 Willow Ave. Sanford, FL 32771
STRUCTURE TYPE: Q SINGLE FAMILY RESIDENCEITOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (Z) REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITHNEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): Plywood
PLEASENOTE. ONLY 100 SQUARE FEET OF THEEXISTING DECKIS PERMITTED TO BEREPLACED**
ROOF VENTILATION: O OFF -RIDGE O RIDGE SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: Q YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: (Z) LESS THAN 2:12 O 2:12 —4:12 0 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
OMETAL FL#
Z) MODIFIED BITUMEN CertainTeed Flintlastic SA FL# 2533-R18
OTORCH DOWN FL#
OINSULATED FL#
O TILE FL#
OOTHER: FL#
ROOF ExTENsioNS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
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, FL#
0MODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSOLATED FL#
OTILE FL#
0 OTHER: FL#
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 . . . . 17-00003012 Date 10/12/17
Property Address . . . . . 2433 WILLOW AVE
Parcel Number . 31.19.31.520-0000-1060
Application description . . ROOFING APPLICATION
Subdivision Name . . . . . SANFO PARK
Property Zoning . . . . . . RES MULT OFFICE IND
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1006873
Permit pin number 1006873
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF / /
D; City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, )DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT M 17-3012 ADDRESS: 2433 Willow Ave.
Sanford, FL 32771
I Brian Sikes
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR1QOFINQCONTRA'TO NGINEER, ARCHITECT', OE F.S. CHAPTER 4G8 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OFTHE
N IS TRUE AND ACCURATE ANU THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED Ild ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDINQ. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OFTHE ROOF DECK, IN ACCORDANCE. WITH THE HURRICANE RETROFITMANUALREQUIREMENTSDONF.S. CHAPTER 553.844).
LICENSEM CCC1325977
COMPANY/CONTRACTOR: Brian Sikes Roofing
CONTRACTOR SIGNATURE: ® DATE: _ t 7Y -1--11MUSTBESIGNEDBYLICENSEHOLDEROROWNER/F3U1L ER)
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 PERMITNUMBER OR ADDRESS CLEARLY MARKEDONTHE 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 PROCEDUREPAPERWORKFORFURTHEREXPLANATIONOFALLREQUIREMENTS.
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 this _ _./ _ day of DEC 20 17 by:
Brian Sikes Who is personally Known to me or has D Produced (type of
identific , as identification.
Ign tore Public
State iorida +I'
Steven Campbell +eAN Se Cloreampbeliof Florida
Print/Type/Stamp Name j My Commisslon FF 990959Expires05110=20
of Notary Public
W
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