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237 McKay Blvd - BR18-004636 - REROOFi •,...r..a d' ° tin; Job Address: ) 3 Documented vl // IN ParcelID: PERMIT APPLICATION Application NO: ff (3, mruction Valuer $ , 'J C) 0 - 4 ; J'-i Historic District: Yes No14 ResidentialD< ommercial In Type of Work: New Addition Alte tion Repair Demo Change of Use Move Description of Work: )e4e Plan Review Contact Person: ) C-S S lC—_ Zu WIN-68 Title: p 9- E S O E N T Email: C h SMIIV k& A AA L - CO cM Phone: S21-112 — 517, 3 Fax: Property Owner Information Name w I LIr e S Phone: Street: wI tA City, State Zip: Resident of property?: Contractor Information Name C;'Q'F'P1'CIy'- V- JC_l Sy C—CIA(A-CSPhone: 52\— Ct12 —5123 Street: 2 1 OUG- tfS My E -#FYI 1, 01 Fax: City, State Zip: A!1AYVIDWF_ STY,10ONS, F1 ' State License No.: Architect/ Engineer Information Name: NI 'C __ Phone: Street: City, St, Zip: Fax E- mail: Bonding Company: l`' Mortgage Lender: i 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 WITHYOURLENDERORANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENTApplication is hereby made to obtain a permit to do the work and insttillations as indicated. I certify that no work or installation has commenced prior totheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand thataseparatepermitmustbesecuredforelectricalwork, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 01' Edition (2017) Florida Building Code NOTICE; In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe 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 711 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 tocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction valuewillbefiguredbasedonthecurrentICCValuationTableineffectatthetimethepermitisissued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credirvNill 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/Agent Date W llll A Print Owner/Agents Name O e / I t Z-7 j 1 a4iatureofAgent' Date 3E 5S tE ZUI.UP,C o4k Print Contractor/Agents Name Signature of Notary ' e+nM^M N ry Public State of Florida Y°` JEANNET ST . CLAIR ' o Commission GG 215712 tl COt NSSIC)N =' PF99R744 °'to My Comm. Expires May S, 2t)22 rxt 1R s: June Oc, 2oZ0 Bonded through National Notary Assn. OF Owner/Agent is . ersona y n n t Me or on ractor Agent is Person; Produced ID Type of ID (-- Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY 11 /2,-7 ! 1 r Date Known to Me or Permits Required: Building Electrical Mechanical Plumbing 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: LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: S I hereby name and appoint: , S (,(,l/) Gt V r Y a an agent of: 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 application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: ' 2 20 f S License Holder Name: J E S S I E Z V I-1-/6:C A State License Number: Signature of License H STATE OF FLORIDA COUNTY OF Se14! h! 0 (, E The foregoing instrument was acknowledged before me this 2 6day of N 0 V 200J_Y, by r ) f-SS 11_Z. L1 LO 8:Gn6 who is4ersonally known to me or who has produced identification and who did (did not) take an oath, Notary Seal) ppv"a a.,, NATHALIE JARAMILLO 1--= Notary Public - State of Florida Commission GG 215712 9jFoF? My Comm. Expires May 8, 2022 Bonded through National Notary Assn. qwlq Rev. 09.12) U&-T t4 l F JA-`2flWU Print or type name Notary Public - State of VL Commission No. b (A21 S 1 1 2 My Commission Expires: AA K4 f A Gr, nt Maloyy, Clerk Of The Circuit Court & Comptroller Seminole County, FL Ins #2018133003 Book:9253 Page:1353-1354; (2 PAGES) RCD: 11/26/2018 3:45:32 PM REC FEE $18.50 THIS INSTRUME T PREPA EDY: Name: ( Y Address NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number. CLRq IFIED (-cl,pyAND0"; i F BY Oat 017FU1" , CIEHK Parcel ID Number. :3J `0-7 %U 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. DESCRIPTION GENERAL DESCRIPTION OF IMPROVEMENT: the W OWNER INFO+10 // M a Cr Wa, U Address: /// e % j L v iqY 2 2-7 l ' Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTOR: _ Name: Q l c- Address: Q 71 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)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienot's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date 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. Under penalties of perjury, 1 declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Owner' s Signature Owner's Printed Name Florida Statute 713.13(1)(g): 'The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." Book 9253 Page 1354 Instrument# 2018133003 State of County of County of Q The foregoing instrument was acknowledged before me this day of 0 , 20 1 Y by tLf11l'¢ A. P"tJ• . Who is perso ally known to me OR who has produced identification D,(pe of identification al/AL IF JEAN -NET STCLAIR zo2f-002v— Notary Public OrAdJolimm.CFA Propgrly Record Card P E Parcel: 31-19-31-527-0000-0710 senauoiaux.mi,F araow Property Address: 237 MCKAY BLVD SANFORD, FL 32771 Parcel information 31-19-31-527-0000-0710 i BROOKS WILLIE A BROOKS,LASHAWNDA 237 MCKAY BLVD SANFORD, FL 32771 237 MCKAY BLVD SANFORD, FL 32771 CEDAR HILL REPLAT S1-SANFORD 01vINGLE FAMILY i 1 00-HOMESTEAD(2005) 29.3 ss134-36 s ins I Legal Description LOT 71 CEDAR HILL REPLAT PB 63 PGS 96 97 & 98 Value Summary 2019 Working 2018 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings -1_ 1 Depreciated Bldg Value 102,581 97,321 Depreciated EXFT Value 313 325 Land Value (Market) 32,000 32,000 Land Value Ag JusttMarket Value " 134 894 129 646 Portability Adj i Save Our Homes Adj 60,936 57,209 Amendment 1 Adj 0 0 P&G Adj 0 0 Assessed Value 73,958 72,437 Tax Amount without SOH: $1,652.73 2018 Tax Bill Amount $610.89 Tax Estimator Save Our Homes Savings: $1,041.84 Does NOT INCLUDE Non Ad Valorem Assessments Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 73,958 48,958 25,000 Schools 73,958 25,000 ; 48,958 City Sanford 73,958 48,958 25,000 SJWM(Saint Johns Water Management) 73,958 ;. 48,958 County Bonds 73,958 48,958 ; 25,000 Sales._ Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED i 10/1/2004 05498 1320 112,700 Yes Improved CORRECTIVE DEED 7/1/2004 05395 1084 100 No j Vacant WARRANTY DEED 4/1/2004 05266 1258 461.300 No Vacant Land Method Frontage Depth Units i Units Price Land Value rLOT 1 $32,000.00 $32.000 l Building information 210 N. Kirkman Road, Orlando, FL 32811 Telephone: (407)902-7154 Licensek CGC 1512863 THIS AGREEMENT made day of it 20 by and between DAVE B. HOWELL, LLC, hereinafter called the (Contractor) and hereinafter called the (Owner.) Witnesseth, that the Contractor and the Owner for the consideration names as follows: Article 1. Scope of the Work The Contractor shall perform all of the work shown on the Drawings and/or described in the Specifications entitled E ibit A, as a nexed he e o as it pe pins tt worl to ar,rfoured o property located at '37 C -f /c( SAca\c( 9d 9,7 ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORT{ ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. IF YOUR CONTRACTOR OR A SUB- CONTRACTOR FAILS TO PAY SUB -CONTRACTORS, OR MATERIAL SUPPLIERS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID 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 HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. Initials Page 1 of 6 Article 2. Limitations and General Conditions Non -Structural Matters: Contractor shall not be responsible or liable for stress or settlement cracks in any material supplied by contractor where same does not threaten structural integrity. Tangible Personal Property: Contractor shall have no responsibility or liability for damage or loss to owner's tangible property on the premises, except for Contractor's intentional negligent acts. Patching and Matching: The color, texture and planes between existing and new materials may not match exactly, but contractor will use diligence to obtain such matching as close as reasonably possible. Owner acknowledges that patching maybe detectable. Article 3. Plans and Specifications: The plans and specification have been provided by Owner, and any loss, cost, damage of expense incurred by the other party as the result of any defects in such plans and specification shall be borne by the party providing the plans and specifications. In the event of a conflict between the plans and specification, the specifications shall control. Article 4. Definitions: the term "cost" means all costs and amounts paid or incurred to third persons by Contractor or by the Owner for labor, services, material, licenses, permits and impact fees directly related to this Contract. This terral, except as it relates to "time and materials", shall also include 100% of the gross payments to all employees of Contractor for preparation of the plans and specification referred herein, (including the incomes taxes and F.I.C.A. taxes withheld thereon). The terms "days" means calendar days, including weekends and holidays, unless otherwise noted; business Nays means week days Monday through Fridays which are not state holidays. "Substantial completion" occurs when the Certificate of Occupancy or its equivalent has been issued or has been delayed solely by act or omission of the Owner, when the owner occupies any part of the remodeled property, or when the Building Authority releases the building permit based upon completion of final inspections. Consequential damages" consists off costs or expenses which may arise from the special circumstances of either party hereto, including, but not limited to, such things as increases in living expenses, additional storage or interest costs, adverse or aggravated medical conditions or longer travel times and distances, which may be incurred or suffered as a result of, or arising from, a delay in any performances hereunder by either party. "Time" shall be a flat rate per hour change, or prorated amount thereof, for the actual time spent in the performance of this agreement, whether for the Contractor's employees, agents or subcontractors. Article 6. The Contract Price The Owner shall pay Jhe CogContractthesumof9_M Dollars ($ , subje order. for the Material and labor to be performed under the to additions and deductions pursuant to authorized change Article 6. Progress Payments P yyments of the Contract Price shall be paid in the manner following: U bob on contract date (Non-refundable Deposit) after days of contract date upon completion of job sQ initial e Page 2 0( 6 Article 7. Time of Completion The work to be performed under this Contract shall be commenced with_J days (30 if left blank) of the issuance of all building permits, recordation of Notice of Commencement, and written verification from the Owner that all funds necessary for payment of the Contract Price are available, whichever shall last occur. The Contractor shall diligently pursue and substantially complete all work to be performed under this contract within a reasonable period of time, taking into consideration delays that beyond the control of the contractor, including but not limited to, weather conditions, delays in selection or delivery of materials, change order requests by Owner and delays in obtaining all necessary permits, licensing or certificate of occupancy. Use of Contractor's Employees, Agents, Sub -Contractors or Material Suppliers. Owner and Owner's family members or agents shall not in any manner utilize, unreasonably interfere, communicate, or contact with Contractor's employees, subcontractors, subcontractor's employees or agents, or material suppliers, nor perform or permit any work on the subject property, without the prior written approval of the Contractor, which approval may be withheld in the Contractors unrestricted discretion; provided, however, that if such consent is given, then the owner shall be solely responsible for the payment, shipment, delivery, insurance, installation, and damages for delay. Article 8. Right to Cure: CHAPTER 558 NOTICE: OF CLAIM. CHAPTER 558, FLORIDA STATUTES CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU CAN BRING ANY LEGAL ACTION FOR AN ALLEDGED DEFECTIVE CONSTRUCTION IN YOUR HOME. SIXTY DAYS BEFORE YOU BRING ANY LEGAL ACTION, YOU MUST DELIVER TO THE OTHER PARTY TO THIS CONTRACT A WRITTEN NOTICE REFERRING TO CHAPTER 558 PF ANY CONSTRUCTION CONDITIONS YOU ALLEDGE ARE DEFECTIVE AND PROVIDE SUCH PERSON THE OPPORTUNITY TO INSPECT THE ALLEGED CONSTRUCTION DEFECTS AND TO CONSIDER MAKING AN OFFER TO REPAIR OR PAY FOR THE ALLEGED CONSTRUCTION DEFECTS. YOU ARE NOT OBLIGATED TO ACCEPT ANY OFFER WHICH MAY BE MADE. THERE ARE STRICT DEADLINES AND PROCEDURES UNDER THIS FLORIDA LAW WHICH MUST BE MET AND FOLLOWED TO PROTECT YOUR INTEREST. Article 9. Default/ Notice of Default. Other than for claims of defective construction, which are governed solely by the "right to cure" law disclosed in article 8, Contractor shall be in default under this contract if contractor abandons work on the structure or otherwise refuses to carry out contractor's obligations under this contract (unless such abandonment or refusal is based upon prior default by Owner which Owner has failed to cure after written notice thereof). Contractor shall deemed to have abandoned work if contractor shall fail to perform or cause any work to be performed on the subject property for twenty-one (2 1 ) consecutive days, unless such failure is the result of any event beyond the control of the contractor. Owner shall be in default under this contract if owner refused to permit contractor to complete performance, fails to pay any amounts when due, or otherwise refuses to carry out the obligations of owner under this contract (unless such refusal or nonpayment is based upon a prior default by the contractor which contractor failed to cure after written notice thereof). In the event of default, the defaulting party shall be entitled to receive written notice, by certified mail return receipt or by hand delivery to the address shown below, which specifies the event(s) of default. Initials Page 3 of 6 Article 10. ARBITRATION. Except for claimsby the Owner of defective construction, which are governed solely by the "right to cure" law, the parties agree that any other action to enforce this Contract shall be exclusively by arbitration proceedings as described herein, to be held in the county in which the real property described herein is located, and both parties agree to be bound by the decision rendered in such proceedings. Within thirty (30) days of a written request for arbitration, each party shall select an arbitrator. If either party fails to select an arbitrator within this timeframe, the first arbitrator selected may select the second arbitrator. Within ten 10) days thereafter the two arbitrators shall select a third arbitrator. All arbitrators shall be persons with experience or knowledge in the construction industry. The arbitration shall be conducted in accordance with the Florida Arbitration Code (Chapter 682, Florida Statutes); provided, however, the final hearing shall be held not more than ninety (90) days after the receipt of the request for arbitration and the final decision shall be rendered not more than thirty 30) days after the conclusion of the final hearing. Article 11. General Provisions Any alteration or deviation from the above specifications, including but not limited to any such alterations of deviation involving additional material and/or labor costs, will be executed only upon written order for same, signed by Owner and Contractor, and if there is any charge for such alteration or deviation, the additional charge will be added to the contract price of this contract. If payment is not made when due, Contractor may suspend work on the job until such timM as all payments due have been made. A failure to make payments for a period in excess of daysfromtheduedateofthepaymentshallbedeemedamaterialbreachofthiscontract. In addition, the following general provisions apply: 1. All work shall be completed in a workniar-like manner and in compliance with all building codes and other applicable laws. 2. The contractor shall furnish a plan and scale drawing showing the shape, size dimensions, and construction and equipment specifications for home improvements, a description of the work to be done and description of materials to be used and the equipment to be used or installed, and the agreed consideration for the work. 3. To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. 4. Contractor may at its discretion engage sub -contractors to perform work hereunder, provided Contractor shall fully pay said sub -contractor and in all instances remain responsible for the proper completion of this Contract. 5. Contractor shall furnish Owner appropriate releases or waivers of lien for all work performed or materials provided at the time the next periodic payment shall be due. 6. All change orders shall be in writing and signed both by Owner and Contractor, and shall be incorporated in, and become part of the contract. 7. Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees or sub- contractors. 8. Contractor shall at its own expense obtain all permits necessary for the work to be performed. 9. Contractor agrees to remove all debris and leave the premises in broom clean condition. 10. In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. 11. Contractor shall not be liable for any delay due to circumstances beyond its control Inftla f Page 4 of B including strikes, casualty or general unavailabi 'ty of materials. 12. Contractor warrants all work for a period of months following completion. Article 12. GOVERNING LAW, ASSIGNMENT AND RECORDING. This contract shall be construed and enforced in accordance with the laws of the State of Florida, and may not be assigned or recorded except with the prior approval ofboth parties, which approval may be withheld for any reason whatsoever. Article 13. INTEGRATION CLAUSE. This contract and the additional contract documents attached hereto constitute the complete agreement between the parties and may not be modified except in writing signed by all parties hereto. Article 14. CONSTRUCTION RECOVERY FUND. PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY STATE -LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: Construction Industry Licensing Board 1940 'N . lvlonroe Street Tailahassb.e, FL 32:399-0784 Telephone: 850-487-1395 Article 15. Breach of Contract. If either Owner or Contractor is in breach of this contract the breaching party shall pay as liquidating damages ten percent (10%) of the total contract price plus court costs and fees of the damaged party. Name and Registration No f any Salesperson who solicited or negotiated this contract: Signed this day of 12018. Signed in the presence of: S a-V -f Witness AfM 2V LVA6A- . Witnacc T11 3 In Name of Contractor: By (Signature): Street Address: City/State/Zip: Telephone No.: Contractor's Licenser No DAVE B HOWELL LLC 210 N KIRKMAN ROAD ORLANDO, FL 32811 407-902-7154 CGC1512863 Crrhibit A" Initials L&w page 6 of 6 CITY OF SkNFORD Building & Fire Prevention Division a RESIDENTIAL REROOFPOLICY & 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 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 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. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:: DATE: I /lot ` O C I T jY0 F SA;NFORD FIRE DEPARTIAENT JOB ADDRESS: 23"1 ,y `C, `c R y 5\I U PERMIT # ( '7 1 l 3 b Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK STRUCTURE TYPE: .SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: 6-REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEWROOF INSTALLED OVER EXISTING ROOF) yN DECK TYPE (PLEASE SPECIFY): 1 1 ` " O () 0 PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: ($QFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES ?11_1_pIF 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 MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE n S1IJG l FL# O METAL FL# 0MODIFIED BITUMEN FL# O TORCH DO WNFL# OINSULATED FL# OTILE 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 P CT APPROVAL O SHINGLE O METALFL# O MODIFIEDBITUMEN FL# OTORCH DOWN FL# OINSULATED FL# U IiLI;I i'L# O OTHER: I FL#