121 Sterling Pine St - BR17-002937 - ROOFOCCT 0It 2017
M
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: !— (D9 MI7
Documented Construction Value: $ R, J'j (). O 0
Job Address: t o'l'tLft t x 1 Ca1w C '. KPO'(? _.,Historic District: Yes No o
T
Parcel ID: LD - a 0- 30 - S 1 i - t7l700 , QG a Q Residential Commercial
Type of Work: New Addition Alteration Repair P? Demo Change of Use Move
Description of Work: (ZE S t b L-!zA I.14V
Plan Review Contact Person: r -W C is C.1 . W1yppA Title: Z?W `yljlft Wlt`t 6-
Phone'0 1 Fax: %Ain-g'7F-'4%2'3 lzxg4a Zgmn• to"
Property Owner Information
Name QAe-rA$4L LL) Phone:4D'I' ('IV1-b401,
Street: \a "C'6 1.1,nCr t Wt` —s-r Resident of property?
City, State Zip: -a N-t2. tr -'J 21 T'S
Contractor Information
NarneC 6u C'(Z l l -n LLC Phone: q D"1-'13oZ-
Street: Q2k 1`- t QVltA-LQ Jet r.1 "5LV0 _ Fax: U01
City, State Zip: l_o-y4 ( w 07)4 f=- L T,a_ISO State License No.:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
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. 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 ail 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: S" Edition (2014) Florida Building Code
Revised: June 30, 2015 Pn it 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 ofthe requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time ofpermit 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.
Signaw fowneriAgent Date
RIA*sC S
Print Owner!Agent's N sme
Lair--• 101
Signature of Notary -State of Florida Date
i6. '•t.:
MARIA T. BUTCHER
MY COMMISSION # GG101540 iEXP
SeKn2 21 drF entwntoa or Pr/xi
Sigmtur fCuntractor/
Agent 6stc 0 Print
Contractm/
Agent•s Name r—e>
W, Signature of
N s: MARIA
T. BUTCHER MY COMMISSIONAt
GG101540 EXPIRES May 04.
2021 Ytt,. C Meor
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: Flood
Zone: Min. Occupancy Load: #
of Stories: New Construction: Electric - #
of Amps Fire Sprinkler Permit:
Yes No # of Heads APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE: COMMENTS:
Plumbing - # of
Fixtures
Fire Alarm Permit:
Yes No WASTE WATER: BUILDING:
Revised: June
30,
2015 Permit Applicatim
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address 0 1 '-`n--(' 1E S^ "'"tom
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.floridabuilding.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
Category/Subcategory Manufacturer Product
Description
Florida Approval #
includin decimal
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 w V-L, 5c A y,4 _ 12,t
Underla ments H0 vs, Vyr%c-rf C. C- IS 10L_ >
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
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 I
Anchors
Truss Plates
Engineered 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 -X:) 44— --.
01
Applicant's Name 2 A-t—A .L t S <--7
Please Print)
tune 2014
1182 N_ Ronald Reagan lid. Longwood, FL
Customer .Info: Josue. Caraballo
Job.Address: 1:21 Sterling Pine St.. Sanford, FL
office:407.732.7262 centralhomesofficeCgmaitcom .
Date:' 9Y2711`17
A. Tear off and haul away the existing shingle ropf system (one layer).. An additional $35/sq. for removal of each
unforeseen additional roof layer will be added.
B. Inspect the roof sheathing fastening -system and supplement _(re -nail):
C. Inspect the roof decking and repair as necessary.on a per lineal orper piece basis as described below.
D. Supply and install one Jayer ofRhino Synthefi6felt underlayment E.
Supply and install new Shingle'Over Ridge.Vents and/or 4' Of'fRidge Vents for proper ventRation. F.
Supply and install. new.2 W eave drip. G.
Supply and install Bullet Rubber boot flashing3. for plumbing stacks. H.
Supply=andinstall a selfadheried peel & stfc Vmodfflfed undedgyritent in all valleys. L
Supply and install Certain teed'Landmark ' chrteclercat SWrgles.l febirie Warranty. J.
We will obtain and pay for a permit and obtai all required inspections. K.
Upowcomplet ion, all roofing debris will be picf .ed up and•taken away. L.
Includes 3 shkof plywa6,(( h M. Shinale
Color-. e 54, J hAJ_4_ DripEdge Color_ Vt4nt r'_nlnr• Z.-h xy . PRICE: $9,
570.00 Payment Terms: Balance due upon com: letibn of 'ob. A surcharge
of 3.5% will be ad ed 6 above price if paying with a credit card. j Optionl -
Supply &.
install Solar Attic Fan (extracts not air from attic wl 26 yr.. motorwarranty). Add $M.00 Initial here i i
Any.,
unforeseen
clecking:repalm and/or wood -rot andior $6.
00 per. #instal foot offaseta. WARRANTY: Central
Homes LLC, 7-year This proposal
Is'null and void IT not accepted within l0 c as . ait-
related :products. I have
read and accept the Additional Terms and Conditions printed are satisfactory
and are hereby accepted and Central Homes LLC it proposal. _ 11
ACCEPTED: ACCEPTED:
Homes
itwill
be,
done at a cost of. $66.00 per shaet;of plywood, warranty. of
the
date referenced in this proposal due to price volatility in back of
this page. The prices, specifications and conditions of this proposal ized to
do the work as specified. Payments will be made as outlined in this . DATE+ A7
Central HomesRaoftng .
tate.of.:FlorEda. Uconse.CCC1.3MO!S 001/_
1182 N:Ronald Reagan Rd. Longwood, FL 32 50 office: 407.732.7262
OatO. 9/2172017
Customer l,nfo.: Josue Caraballo
Job:Address: 121 Sterling Pine St., Sanford, FL
PRnPh_-.01 'i-^m-rl*At'%T
I'M Ft— L11,0W11W AT TIM ABQ'liM,1-,W, A?_
A. Tear off and haul away the existing Shingle roof system one layer).. An additional $351sq, for removal of each
unforeseen additional roof layer will be added
B. Inspect the roof sheathing fastening -system and supplement#e-nail).
C. Inspect the roof de&ing and repair as necessary on, a per lineal orperpiecebasis as described below. D.
Supply and install one layer of Rhino Syntheft'd1felt underlay e rnnt. E.
Supply and install new Shingle Over Ridge Vents andlor4-'Off Ridge Vents for proper venWation. 3
F. Supply and install. new.2 Y2' eave drip. G.
Supply and install Bullet Rubber boot flashing for plumbing stacks. H.
Supplyand install a self -adhered -adhered peel& s, modifted uhderlayoent in all valleys. L Supply,
and install Certainteed. Landmark A hit, Octuraf thingles. Lifetime Warranty. J. We
will obtain and pay for a permit and obtai all required inspections. K. Upowcompletion,
all roofing debris will be pjc ed up. and,takensway. L. Includes
3sheett of plywood M. Shinate
Color. ke. --;a, SAAIL nrin Fdnp. rrdnr- Von+ Pe%l^r- zttL-%fYA_ PRICE: $9,
570.00 Payment Terms: BalAnce due upon oom.oletibri: of iob. A surcharge
of 3,5016 will be ad#ed to above price ff paying with a credit card Optioni - Supply &.
Install Solar Attie Fan (extracts hot air from attic w/ 26 yr. motor warranty). Add $986.00 Initial here Any, unforeseen
dookingjapairs and/orwood rot wuUor $6.
00 per Kneal foot offtsota. WARRANTY: Central
Homes LLC, 7-year This proposal
Is null and void N not accepted within'16 asphalt-relateci:
products. I have
read and accept the Additional Terms and Conditions printe are satisfactory
and are hereby accepted and Central Homes LLC proposal. ACCEPTED:
CEPTED:
ACCEPTED: it
will
bel.,done at a o9st of $66.00 per shW of plywood, warranty. of
the
date reliarenced in this proposal due to price volatility in back of
this page. The prices, speeffications and oonictiiions of this proposal iied to
do the work as specified. Payments will be made as outlined in this nATI-- M.
2.7/-" 7 Central lipmerwRopfing
taite,of. Flon", License. COC11,33N.45
f 1111111111111111111111111111111111111111
I GRANT NALOYr SEMINOLF COUNTY
OF CIRCUIT COOT & i ONPTROLLER
THIS INSTRUMENT PREPARED BY:
Name: Kaajal Pate)
Addreu:- rTT-
NOTICE OF COMMENCEMENT
PennttNumber.l0--a0-3o-sl\-0000-OSRO
Parcel ID Number. t^
CLERK'S Y 2017099189
RECORDED 10/03/2017 02:23.33 F-f-IRECiW)ING FEES $10, lfi
RECORDED 6Y hdetuva
I --T '3
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)
L6-T- sa sreFF-t_1Nc- w r 'Pe3s PGs ia -Scow 9S-
1 S-CE Lt NG i 1W sr
2. GENERAL DESCRIPTION OF IMPROVEMENT:
RESIDENTIAL RE -ROOF
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOE IMPROVEMENT:
Name and address: 7n SO Gr JS+Ra l r4 t—Ln — Ian StEVL A kN g Vt Wc S'T 'S44W'1LE 3 0Z 'j '3
Interest in property: n W b.t(s-
Fee Simple Title Holder (If other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: CENTRAL HOMES, LLC Phone Number. 407-732-7262
Address: 1225 BENNETT DR. #;'•111, LONGWOOD, FL 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(1xa)T., Florida Statutes,
Phone Number:
8. In addition, Owner designates
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 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.
Signature ofOwnerorLwm". or Owrw'sor Los*Ws 1 Name' Provide Signetwy's Til*Vfies) Authorized Oaicerare mdPolnerlkwagen
State of *f- S- CA40 2--- County of -.5i-c-- I t W.O L G7
The foregoing Instrument was acknowledged before me this a, day of
by -SASyE Cpq'A'5(-LL-(7 r Who
is personally known to i OR Nam
or pemw rrvking jwvs nt , who
has produced Identtflcation'§ktype of identification produced: L#y' 'V.20 `1,1 — —0 MARIA
T. BUTCHER MY
COMMISSION #1GG101540 Ml-
EXPIRES May 04.2021
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. '
10 3 1ISSUE DATE: ' _ !
W 1 1
CONTRACTOR:
JOB ADDRESS: ntp.,r 1114T_ 1 N
TYPE OF WORK: ®r
PROTECT FROM WEATHE
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
CITY OF
ORS
FIRE DEPARTMENT
c -7 :act "Y-1
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
PERMITTING RFQUHREMENTS —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 NIIMBF,RS FOR ALL ROOF
COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT.
A PERMIT WILL NOT AF ISSUED WITHOUT THESE DOCUMENTS. COPIES WILLBE 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 CONDOMINILIM) 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
PHOTOGRAPIIS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACII PICTURE) o
EACH PLANE OF THE ROOF, SHOWING THE UNDF.RLAYMENT INSTALLED o
ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) a
ROOF DECKNAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE 01: 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 FAILURF.
TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORDJA DESIGN PROFESSIONAL (
ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR
OR OWNER/BUILDER) SIGNATURE: w DATE:
S ORD
FIRE DEPARTMENT
JOB ADDRESS:
PERMIT t#
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
s -r. 3a,i
STRUCTURE TYPE: *SINGLE FAMILY RESIDENC TOWNIIOUSF, O MORTIT HOME, O APARTMENTiCONDOMLVIUM
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFT' EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE: -COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): _ L. t" 1n a
PLEASE OTE: OA'LY I DO SQUAREF ETOF THE EXISTING DFCK !S PEizviTTED TO BE REPLACED**
ROOF VENTILATION: * OFF-RIDGF, O RTDGE OSOFFIT OPOWERED VENT OTURHINES
SKYLIGH'CS: O YES ONO 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 GR RATER
TYPE OF ROOF MANIJFALTURER FLORIDA PRODUCT A
SHINGLE Tpr Y.1 1
PROVALP
ZFL#qC - "% k Q OMETAL
FL# OMODIFIED
BITUMEN FL# OTORCH
DOWN FL# OINSULAT£
O FL# O
TILE FL# O
DTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS. ETC.) **IFAPPLIC'ABLE" ROOF
SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER TYPE
OF ROOF MANUFAc-rURER FLORIDA PRODUCT APPROVAL O
SHINGLE FL# O
METAL FL# O
MODIFiEt) BITUMF.NFL# O
TORCHDOWN FL# OINSULATED
FL# O
TiLE FL# O
OTHER: FL#
City of Sanfo rd
Building and Fire Prevention
i
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: a t S T&LL-j V-& C. r 1 L-,\\ 17- 'S I—
S
S 14 LA F--0 1A-p -it> 'ZL -1 -175
AS A(N) GENERAL BUILDING, RESIDENTIAL, OR
KOOFING CONTRACTOR, ENGINEER, ARc=cT, OF F.S. CHAPTER 46813UILDING INSPECTOR,
I I I
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 HAVEr - .1. BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTINGG 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 RETROFITMANUALREQUIREMENTS (BASED ON F.S', CHAPTER 553.844).
LICENSE 4: C- Ct- 0 6 0 9
COMPANY / CONTRACTOR: TvLtAL VK L*-z f--Ces, kcAv op &A-1m 0.
CONTRACTOR SIGNATURE:=; -- 7 DATE: 0 1-7MUSTBESIGNEDBYLICENSEAOLDEj-qR OWNER/BUILDER) --v-
A FINAL ROOF INSPECTION IS REOUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT
F
MUST BE PROVIDED AT THE JOB SITE ATTHE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OEACH PLANE 0 UNDERL .
AYNEENT F THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,FLASEING1
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'
TOIFOLLOW 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 INSTALLATIONOF ALL ROOFING COMPONENTS. STATE
OF FLORIDA COUNTY OF Clcyrl Sworn
to, and Subscribed before me this. ( , day of f) r—,x— 20 (1 by: Who
is l I Personally'Known to me or has 11 Produced (type of identification)
as identif cation. Signature
of Notary —Public State
of Florida tffyp
e/Stamp Name of
Notary Public BUTCHER
MARIAT. BUTCHER My
COMMISSION# GG101540 SOEXPIRESMay04, 2021