129 Cedar Ridge Ln - BR18-004345 - REROOFJob Address: ) Z9 CEdoir N L 1 _ Historic District: Yes NoY
Parcel ID: 91' l 9 - 31- 5 a7 - 0000 03 40 Residential Commercial
Type of Work: New Addition -,
P
Allteration Repair ` DemoEl Change of Use ElMove Description
of Work: RzRoo I CLE 0& 0 1 j AD w CU (k. em[o 1/V Plan
Review Contact Person: _ l I the P Iz4rV-0 Title:- Nm' — Phone:
L D-1 -540 -1401 Fax: Email: i l e n Q_ N gNO of. C..cm n j
Property Owner
Information Name Mf
f[ mc aSKill Phone. Street: 1
2-q Cedar P-[d a M _ City, State
Zip: Sao+Drd-1 F
1 3Z77 1 Resident of
property?: yM Contractor Information
Phone: LA
0—t - 5 9 0 -1 q o I 1ame neare 1 T Ul Lii _ Street: 1
IQ 5 I 1 nter na-h tA/1 Cf ( iJ C 3d li d 2 y Fax: City, State
Zip: OKIaMc)t -7 1 328-2A State License No.: Cee [ 33101o3 Name: Street:
City,
St,
Zip: Bonding Company:
Address: Architect/
Engineer
Information Phone: 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, CONSUI:I' 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 codein effect as of that date:6" Edition (2017) Florida Building Code
NOTICE,: In addition to the requirements of -this permit, there may be additionat restrictions applicable to this property that maybe. fopid ira the.put)lic
records of this county, and there may he additional permits required from other i;overnmental entities such as ate.r management districts, state
agencies, or federal agencies.
Acceptance of permit is verification that I will nolity the owner of the property of the requirements of Florida Lien Law; FS 1-13.
The City of Sanford requires payment of a plan review fee al 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 jot) 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 he applied to yrnn• 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.
t nn1
5igna ureofOwnerlAgem D, r
n!:t,*AccoiiII
Pi -in( Owner/Agent's Naine
h ol 1o[(a'8
Signature i) oL r}'-State of •lu01i Date
4oi (G- -n r(S/
Signature of Contractors, ent I3atc
Ate— tU
Print Contractor/Agent's Name
tol2J( fr Signature
of Notary -state o ur a Date 2Q4P
YII//( Jl<
7 f Ids PIZAfB ry YUt3fT1b r Knoy
ntcc'Ie or Contractor/A tnn t is Perso.all, I.nawn to 1VIe or b @jrjr)]iissio
Gcte f I Produced [D E o°; My
Commi Sion Tres "- `.o ee ° YNA--1;-"AEO.NG State of Florida -
Notary Pub! June 04, 2021Commission # GG 21987(1 My Commission Expires
BELOW IS FOR
OFFICE USE O ' " Juiy 2s, 2022 p Permits Required:
Building
Electrical Mechanical Plurnbing Gas Roof Construction Type: Occupancy
Use: Total Sq Ft
of Bldg: 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:
Inst II.1U1 t5I ZZJf f tf00K:yL3/ vage:15t5U; (l I`ACUtS) KUU: "I U/L4/ZUI t$ tS: iL:15 AM
REC FEE $10.00
Permit Number:
Folio/Parcel ID #: 31-19-31527-0000-03
Prepared by: ANDREW AFONG
11951 INTERNATIONAL DR SUITE 2C4
ORLANDO FL 32821
Return to: ANDREW AFONG
ANDREWia)ADRYROOF.COM
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
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 34 CEDAR HILL REPLATPB 63 PGS 96 97 & 98 129 CEDAR RIDGE
2. General description of improvement
REROOF
3. Owner information or Lessee information if the Lessee contracted for the improvement
NameNIKITA MCCASKILL
Interest in Property OWNER
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Name G&A CERTIFIED SOUTH Telephone Number 4075401401
Address11951 INTERNATIONAL DR SUITE 2C4 ORLANDO FL 32821
5. Surety (if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address Amount of Bond $
6. Lender
Name Telephone Number
Address
7. 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
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided In §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 COMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CANRESULTINYOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED qI'{g POSTED ON THE J SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
Arms vni in f1.YtrilFmnR o8L ATTORNEYtBEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
y (0 W ner
Sig of Own or L ssee. or Owner's orlessee's Authorized OfricerlDirector/PartnedManagar j
jSignnatojry's Tit le/ O ice instrument
was acknowledged before me this day of V l 0l 0by ! vtUa The
foregoing mam htyaarname of person r., r m.. as
Iel.g.aflficer, for RO
Type
f such zit trustee, attorney in fact Name of party an behalf of whom instrument was executed ILENE
PIZAfi P
is -State of Rodda P ry Public 5lgnalure
Notary - - " Expires lvlyCommissionJune04, 2021 Personally
Known "---'rO>G Pro aced ID Type
of ID Produced. _. S :
ppY94
Product Approval Specification Form
Permit #
Project Location Address
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_ora.
The following information must be, available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the iman,ufacturer'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(including
Florida Approval #
decimal
I Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse gh ".
E.P.S Composite
Panels
i a 7 i , .; I
Other
4. Roofing Products
Asphalt Shingles LCII/1 ar L-54LA4-0
Underla meets hw1
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 /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
6. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name
Please Print)
V
June 2014
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 10 - fit' 1 aJ
I hereby name and appoint: oyd ho r d
an agent of: G 0 C r-h fi e d "-,UA
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):
The specific permit and a lication for work located at:
1 R l'_eclay 2 l&A
Street Address)
Expiration Date for This Limited Power of Attorney: 10 • `-iv _ f !ir
License Holder Name: AnJreu.) Afwei
State License Number: cc C I 10
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this 2-4 day of
2()0 , by OPJXPh ) rAO" who is prersonally known
to me or who has produced as
identification and who did (did not) t e a th.
Signature /
l
Notary Sea])
Print or type name
ILENE PIZARRO
State of Florida -Notary Public
Commission # GG 111344
My Commission Expires
June 04, 2021
Notary Public - State of
Commission No.
My Commission. Expires:
Rev. 08.12)
CITY O
Building & Fire Prevention DivisionPORD, NAN.-. . . RESIDENTIAL RE -ROOF POLICY & PROCEDURES
F11RE DEPARTMENT
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RF,-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 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 PLOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
O DIGITAL PI-IOTOGRAPHS SHOWING ALL REQUIRED FLASI-IING, 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: DATE: C)
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 1 A
STRUCTURE TYPE: VSINGLE FAMILY RESIDENCE/TOWNHOUSE O .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): W006
PLEASE NOTE: ONLY I00 SQUARE FEET OF THE EXISTING DECKIS PERMITTED TO BE REPLACED **
ROOF VENTILATION: tNo GE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES 1F YES, PLEASE PROVIDE. FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 12 OR GRL-ATLR
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE PX (-PQ FL# 5(f4
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O TNSULATE;D FL#
O TILE FL#
O OTHER: 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#
O MODIFIED BITUMFN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#
Certified South
Servicing All Florida
October 17, 2018
G&A hereby proposes to perform and furnish the labor, materials, insurance, supervision,
equipment, and warranty in accordance with the specifications described below for:
Client: NIKITA MC CASKILL
Address: 129 CEDAR RIDGE LN SANFORD, FL 32771
Telephone: 407-733-4331
Email: NIKITAMCCASKILL@GMAIL.COM
Lic#CCC1331063 Roofing Proposal and Contract
G&A Certified is pleased to submit this proposal to NIKITA MC CASKILL, we thank you for the
opportunity to bid on your upcoming project. G&A Certified is a licensed and insured roofing
contractor in the state of Florida and is uniquely positioned to handle a Turnkey Project of this
magnitude. Upon signing a contract, G&A will provide all supervision, labor, material, equipment
and tools to meet your specification. The Site Supervisor will have authority to make decisions
on behalf of G&A Certified as it relates to the above referenced project.
G&A Certified has the proper combination of resources, skills and experience required to
successfully integrate, procure the materials required for installation and technically supervise
the installation of the specified roofing material in a clean and professional manner. We base
this on a long history of successful projects. G&A Certified pulls all permits and files a Notice of
Commencement.
APPROVED SHINGLE COLOR:
Corporate Office s 11951 International Dr. Suite We Orlando, FL 32821 o phone (407) 687-9535
SHINGLE ROOF INSTALLATION
G&A hereby proposes to perform labor and materials for the new Shingle roof.
1. Remove shingles down to the deck, re -nail per code
2. Replace any rotten wood (2 sheets included in price)
3. Apply one layer of Rhino U20 Synthetic Underlayment as dry in
application.
4. Install drip edge around perimeter of roof. Install all flashing and metals
26 gauge. (Mill Finish)
5. All Vents and Boots to be supplied by G&A
6. Install 30 yr. Architectural Shingles.
All work to be done in a workmanlike manner with complete job cleanupof roofing
debris placed in on site container provided by contractor. Payment
Terms: 40% AT DELIVERY OF MATERIALS 60%
UPON COMPLETION OF PROJECT Contract
Sum Architectural Shingle Roof Work: $8,990 (Eight Thousand
Nine Hundred Ninety Dollars). Conditions:
1.
PUNCH OUT 48 HOURS AFTER JOB COMPLETION. DAMAGE AFTER PUNCH OUT IS NOT UNDER WARRANTY. 2.
G&A WILL PROVIDE A 6-MONTHS WORKMANSHIP WARRANTY FROM THE COMPLETION DATE 3.
SHOULD YOU HAVE ANY QUESTIONS OR COMMENTS, PLEASE CALL US. 4.
PLYWOOD REPLACEMENT (PRICE INCLUDES 2 SHEETS) AT AN ADDITIONAL CHARGE OF $60.00 PER SHEET (4X8). ALL
NAILS AND NAIL PATTERNS TO MEET CODES. PLYWOOD CLIPS SHALL BE USED AS PER CODES. 5.
REPLACEMENT OF DAMAGED OR ROTTEN 6" FASCIA $4.25 PER LF. SUB FASCIA AND RAFTERS ARE AN ADDITIONAL $
5.25 PER LF. 6.
ESTIMATED TIME OF COMPLETION WILL BE 14 DAYS UPON RECEIPT OF PERMIT, EXCLUDING SUNDAY AND WEATHER
DAYS. 7.
HOMEOWNER IS RESPONSIBLE FOR HIRING A SEPARATE CONTRACTOR TO REMOVE AND REINSTALL THE SOLAR PANELS
AND DISH CABLE (IF ANY) Corporate
Office a 11951 International Dr. Suite 2Ce Orlando, FL 32821 a Phone (407) 687-9535 e
Summary: A review of our overall bid'and experience wil[demonstrate!'the overall:valueOf working with. G&A-CerfifledRooflngl on
yourproject. .G&A possestes extensive. eXDerfenqe,(n :roofihg, optionsMhI6 enables Us't6, recommend the most, appropriate. applitationfdr
you r specific:' project to help" achieve your end go.bli' G&
A Certified roofing appreciates -the opportunityla continpoyorkin. w. ...iffi, you. if-yo' 'have, any questions re_garding,l,e information,
presented here pleatO,'fe4l ffee td:call 'us at the contact number below. This
agreement Csbbjectfo -revision Or- withdrawal! by G&A until signed and acce te y.executed bClient..,Ondby,ahOffiter of. G&A
Certified. d., isI"the'co-Moletd:.agreement,betweenthe'two :p6rti.es.. No priorof'contemporaneous oral iagreements, ,an no otherwritten ag, mel
ts;,, except:as,ll§ted The u. AIA
ertigm ereryaccepts, this Agreement and 6gjbeetitobe legally bound : by all the terms and' conditions set forth on the terms n n -
o -p e. This Agree all be=vernedliwaccordance with the' laws of the state of Any action sin rid r'
A ent.thall r tit qthee. County. Wh6rdP&Al prihcioffi ce is located. 72, Cliehl 5406t I [Date Pre-
President,
sicinature Pate PROJECt PROVISIONS, 1.,
PROJECT PROVISIONS a.
Guideliner-rhe
project will be
constructed 'In !sM,*L-tit6rif6tftijO'te.-,to,the, Oldhsandspecifications, whidh:'have been ' examined bythe Owner: b. Compliance:
The project willbe completed?
in strict cortiplianee with, all lawsi orditantes,,rul6s :ancfegUlatiots oflhe,apphcbb I e government authorities. ci `
Control: The agreement, plans, and'specifications
are ilintendedlo supplemeni, each -other. In cat of: conflict;. the plans will ,co-htrof (he-,s "
ificai ls -d theagreemen,.provisions :,will :cdhtfol,both,. oed , tio,ri I an -.11. 1 , d. Chbinge,,Orders: As directed by Owner,,
construction lender; public body valteration or, y. or Inspector, an,, deviations c romthespeqificabons'that cost, (supcontract;
labor,
and materials) `will be executed onlyupon the parties ttmthangp Order. The, owner
will :pay- for expense occurred because of unusual or.unanticipated'-corTditions. e. Allowancet:Jftbe agreement
oric6,,zillowaintet;Qtt , an&
fhe ci- f performing the worklis gredterorlessthan o Pe 6 tt s alko'w ance, then the e
agreement prlce=wiWbe; I adjusted accordingly. III. FINANCIAL RIGHTS AND RESPONSIBILITIES,'
a.
Labor. and
Material: Contractor will proyideand pay'
fbrilllabor and. material necessary to -complete the Project: Contractor is released .from. this obligation' for expenses
incurred when the Owner is in arrears,10 making progress payments. b. Permits: Contractor will and pay
for all required,
permits. and, licenses'. c., Taxesi.Assessmen4,.and,Charg'Owner will p special
assessments:of a11 desdr btiions and liBls,. charges required by, public bodies and! utilities.. d. Bankruptcy:
If either party becomes, bankrupt, the: other
party. has1he right to. cancel, this agree mqpt III. D.WMERS, RIGHTS AND RESPONSIBILITIES a., Cancellatldh'-, CiWne-
f htit,the unconditional: right,11:
6, cancePtheagreement, without penalty, or obllgatlon,1;untll midnight,ofthe-third business daymentwps signed., Cancellation mustafter
bgdoneinWri,ting—Upoh; cancellation, any, prop'orty't1n,.anypaymen,6- ,
ma.,e,under . JJ d this, agreement; and thecontractorwill returnanynegotiable instrument executed,'10 busiriess:daysfollowing .the receipt
of cancellation. b. Property, Lines: Owner shall locate and po ntoutanyproperty lines
to the contractor 'Cbntractor may; at his opinion, require the owner to Provide a licensed, land surveyor'
s map of property. 4. Liens: 'Failure to pay persons, supplying, ma services. according
to,ffie'torms pf."Wis agreement materials greemen, may result in -the fling f mechanic' lienson,the 0
property.- Owner has. the right toaskthe 'contractorf6r.lien ung:Wmec anic 0, r"M Corporate Offfee. o 11 95finteenationalDr. State -2Co;
Orlando; FL 32821
o:P - Phone, (4 07) 687-9535o
We will use caution during Installation and will not be responsible for damages to interior or interior contents,
landscaping, poor, Oatios, driveways, sidewalks, underground lines, except for proven negligence.
It is recommended that accessible items around the exterior be placed inside furnishings in rooms with "open
seam" ceilings be covered, items which might be damaged from vibration be removed or secured.
Items such as screen/patio enclosure, solar system, air conditioning system, guttering which may require
removal and reinstallation are not included in this contract unless specified therein.
It is agreed that the Contra rice is based upon the belief that the structure is sound and built in accordance with
the local build' g codes. Ad i onal costs to correct any of these situations will be customer's responsibility.
Customer
Date /0/'2
Corporate Office c 11951 International Dr. Suite 2Co Orlando, FL 32821 ® Phone (407) 687-9535
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY-.I.N, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I q q5 ADDRESS: I L 1 0e6a,r 1`I d m bA .
I A (l rew fflm, `MI , AS AM GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CON"I-RACTOR, ENGINEER, ARCHI'I'EC"F, 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 CFRTIFY 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 #: ec C I n 10 (P v
CONIPANY / CONTRACTOR: G + A t;e 1 -R
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDFR)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: I ( . Z - (J-_
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 PIfOTOGRAPH:S 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 ALI, REQUIREMENTS.
FAIL•URE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RF,-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 Q,ra o&
Sworn to and Subscribed before me this Z day of N.nm bQf 20 4 by:
W'vc,0 Who isXPersonally Known to me or has L Produced (type of
Print/Type/Stamp Name
of Notary Public
as identification.
1LENE PIZARRO
Sfate`60Florida-Notary Public
Commission # GG 111344
FOm"`o°My Commission ExpiresOFPJune04, 2021