702 Hickory Ave - BR18-004544 - REROOFJU d 15 am
tiov 15 20% C t,
PERMIT APPLICATION
Application No: 1 L45 `t Documented
Construction Value: $ $ 0 O 0 Job
Address: O 2 H CK 0 1-1 hV 1v • Historic District: Yes No% Parcel
ID: 2S-10[- 30 - 5 A C-1 - 0q 0 C - 002 0 Residential Commercial Type
of Work: New Addition alteration Repair Demo Change of Use Move Description
of Work: R'f la00 Plan
Review Contact Person: SE SS Iy LV A C Title: P R E S 1 D E N-t Phone: Fax:
Email: C12ERT1 VE ROOFIN61SpEG1-ALlS1CS(2P e1MA L' -
cone I e /'
1
Property Owner
Information JG T
Ph> 0L% NP° one - Street: Z
u "R ` r' '% ly SOWS L nD or bpE J property?:
City, State
Zip: SA M F 0 2,; . 52-1-1 Contractor Information
NameC(2-
EtlIV'E P_WFIN& S.IM(AAffS Phone: 'JZt ` 2- %-I Z 3 Street: 1
OL =61 Li S PfV tC I10 1 Fax: City, State
Zip: MIA W NflF $PYL103C1S1 f t State License No.: CCC 132"1(v Architect/Engineer
Information, Name: N
Phone: T Street:
Fax:
City, St,
Zip: E-mail: Bonding Company:
N itC Mortgage Lender: Address: Address:
WARNING TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON
THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Application is
hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a
separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. a
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 6" Edition (2017) Florida Building Code
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 of permit submittal. A copy of the executed contract is required in order to
calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value
will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be
done in compliance with all applicable laws regulating construction and zoning.
r
XS-8nature Owner/Agent Date. Si atureof trac /Agent Date
L yr,:c4 q tl n 664,- u4 Es I E 2U UV -PAC-,l
n Agent's e Print Contractor/Agent's Name
Signatur - t to of Florida Date S ature of Notary -St of Florida Date
f; Vne / •e tt is- Personally Kn wn to Me orZNpa ; b g. Type of ID
My becgQ60 rL-
ac
C Contractor/
Agent is Personally Known to Produced
ID Type of ID sT••••
P•''F•' BELOW IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas Roof Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: Min. Occupancy Load: Flood
Zone: of
Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
101,
119Fire
Alarm Permit: Yes []No WASTE
WATER: BUILDING:
N
O
I GC q w
c CL xm1$
aEEton z
o 0 0 a
v
W Im
S
rin cra Prouty Record Card
1 Parcel: 25-19-30-5AG-090C-0020
stKCNOU3COUh "Y.R.O raw — Property Address: 702 HICKORY AVE SANFORD, FL 32771
Parcel Information
Parcel 25-19-30-5AG-090C-0020
Owner(s) YOUNGBLOOD, VIVIAN M - Tenants in Common :33.33
YOUNGBLOOD, VIVIAN M - Tenants in Common :33.33 Trustee
MCGEE, COBBIN A- Tenants in Common :33.34
Property Address 702 HICKORY AVE SANFORD, FL 32771
Mailing 2139 HE THOMAS JR PKWY SANFORD, FL 32771
Subdivision Name SANFORD TOWN OF
Tax District S1-SANFORD`
DOR Use Code 0802-MULTI FAMILY UNITS
Exemptions
p 1944 a
Legal Description
LOT 2 BLK 9 TR C
TOWN OF SANFORD
PB 1 PG 56
Taxes
ie Summary
2.019 Working 2018 Certified
Values Values
Valuation Method CosUMarket Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 7,734 6,764
Depreciated EXFT Value
Land Value (Market) 8,835 8,835
Land Value Ag
JusttMarket Value " 16,569 15,599
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
Adj .. 0
fP&
G
Assessed Value 16,569 15,599
Tax Amount without SOH: $292.79
2018 Tax Bill Amount $292.79
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value i Exempt Values I Taxable Value
County General Fund
y $
16,569 0 16,569
Schools 16,569 0 16,569
City Sanford 16,569 0 16,569
SJWM(Saint Johns Water Management) 16,569 0 16,569
County Bonds 16,569 0 16,569
Sales
Description Date I Book Page Amount j Qualified f Vac/Imp
QUITCLAIM DEED 12/112017 09043 1495 100 ` No Improved
QUITCLAIM DEED 11/1/2004 05544 1408 100 No Improved
ADMINISTRATIVE DEED 10/1/2003 05063 1159 100 No Improved
PROBATE RECORDS 11/1/1999 03751 1240 100 No Improved
Firaci Camrpamisi---- Snte
Land
Method
FRONT FOOT & DEPTH
Frontage Depth Units Units Price Land Value
50,00 ; 124.00 0 ; $190.00 ' $8,835
CREATIVE ROOFING SPECIALISTS
CCC1327601
279 Douglas Ave. Suite 1101 Altamonte Springs, F132714
Cell407-252-9641 Email: Fax: 321-445-4176
creativeroo ingspecialists(@-gmail,com
11/13/18
Vivian Youngblood & Cobbin Mcgee
702 Hickory Ave.
Sanford, FL 32771
Proposal
Work To Be Done At Your Premises:
1. Pull permit with City of Sanford
2. Order dumpster
3. Remove existing shingles and underlying materials, including nails, down to the deck.
4. Nail all decking with 8D spiral ring shank nails, installed according to the code.
5. Install Synthetic underlayment.
6. Remove and install all new boots
7. Remove and install all new goose necks
8. Remove and install all new ridge vents
9. Remove existing drip edge and install all new galvanized, factory painted drip edge 2 %" (color
determined by customer), nailed according to code.
10. Install 30 year (limited manufacturers guarantee) Type of shingle: Architectural, color
determined by customer.
Page 1 of 2
Clean work cites thoroughly and sweep magnetically for loose nails.
All debris as a result of construction will be removed by Creative Roofing Specialists.
Please Read and Initial below.
Will replace rotted/damaged decking up to two sheets at No Charge. Any additional will
be replaced at $50.00 per sheet or fascia boards at $3.00 per lineal foot.
Any additional damage underneath the plywood will result in additional charge.
AGrand Total............................................................................................. $ 8,000.00
DownPayment.........................................................................................$ 3,200.00
Balance after job completed.................................................................... $ 4,800.00
Proposal VALID 30 DAYS FROM PROPOSAL DATE.
PAYMENTS TO BE MADE AS FOLLOWS:
40% required upfront for down payment prior to start of construction.
Additional amount due will be collected upon completion of job.
If paying with credit card, a 2.5% transaction fee is added to the total at
time of payment.
Acceptance of the Proposal- The above prices, specifications and conditions are
satisfactory and are hereby accepted. You are authorized to do the work as
specified. Payment will be made as shown above.
Contractor Signature
Customer Signature
License CCC1327601 Page 2 of 2
Prepared by and Return to:
Tris R. Filliez, an employee of
Leading Edge Title of Central Florida Ltd
243 West ParkAvenue, Suite 102
Winter Park, FL 32789
File Number: PA18-2120
Warranty Deed
Space Above This Line for Recording Data
This Warranty Deed, made on this the 1st day November, 2018 A.D. by and between Vivian
McGee Youngblood, an unmarried woman, individually and as Trustee for Esther A. McGee
and Cobbin A. McGee, a married man, whose post office address is 2139 H E Thomas Jr Parkway,
Sanford, FL 32771, hereinafter called the "grantor", to Areesa Casa, LLC, a Florida limited
liability company, whose post office address is, 412 Kays Landing, Sanford, FL 32771, hereinafter
called the "grantee":
Whenever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal
representatives and assigns ofindividuals, and the successors and assigns of corporations).
Witnesseth, that the grantor, for and in consideration of the sum of Thirty Five Thousand
Dollars and No Cents, ($35,000.00) and other valuable considerations, receipt whereof is hereby
acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto
the grantee, all that certain land situate in Seminole County, Florida, to -wit:
Lot 2, Block 9, Tier C, Florida Land and Colonization Company Limited E.R. Traffords
Map of the Town of Sanford, according to the map or plat thereof, as recorded in Plat Book 1,
Page(s) 56 through 64, inclusive, of the Public Records of Seminole County, Florida.
Said property is not now and has never been the homestead of Vivian McGee Youngblood, Cobbin
McGee or Erogies Grigley under the laws and constitution of the State of Florida in that none of these
parties nor any minor children or spouses of said parties nor any members of the household of said parties
has resided thereon.
Parcel Identification Number: 25-19-30-5AG-090C-0020
Subject to covenants, conditions, restrictions and easements of record.
Together with all the tenements, hereditaments and appurtenances thereto belonging or in
anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of
said land in fee simple; that the grantor has good right and lawful authority to sell and convey said
land; that the grantor hereby fully warrants the title to said land and will defend the same against
the lawful claims ofall persons whomsoever; and that said land is free of all encumbrances except
taxes accruing subsequent to December 31, 2018.
Warranty Deed - Individual
In Witness Whereof, the said grantor has signed and sealed these presents the day and year first
above written.
Signed, sealed and delivered in the
presenc oft 'tnesses:
Wi ess Signature
Print Name: `Y't:5 t= i fit, C
fitness Signature
6
Print Name: 6&3yi )e&& ,
Cobbin A. McGee
STATE OF
COUNTY OF /LF I
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED before me on this __!_day of November,
2018, by Vivian M. Youngblood Sr. and Cobbin A. McGee, who is personally known to me or who
has produced, driver's license as identification.
NOTARY PUBLIC ,\\,SjItIRIF i/
i
Notary Print Name
My Commission Expires:
vPGVS771?o0.
va v 6 G 127816
Under. •' 0 \\\
Warranty Deed - Individual
6
Grant Malo , Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #20181Y29827 Book:9249 Page:600; (1 PAGES) RCD: 11/15/2018 11:24:40 AM
REC 5EE $10.00
THIS INSTRUMENT PREPARED BYName:
Address: OUCtI.
1TAMON12E 121N el I Ft 371
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 25 — La — 30— 5 A Ch - 0010 L — 0 0 10
CERT r FED COi Y GRANT 11AIOyCLEKGFTI ^ 11T C0 UFAT
FLC ABY
Date—-- DEPUTY CLERK
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 avallable)
I.nt 2 PiLK tCL C tOWto oV Sgr4r to PB 1 PGA Stn
1 OT H1r.V-0Q-'I' ME-. SALNVOiZY), rL_ 'I
2. GENERAL DUQBIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:
Interest in property:
Fee Simple Title Holder (if other than owner listed above)
Address:
4. CONTRACTOR: NameGjZ!EPrTl VIE 9.00f'INGt_SPFCIAUSl< Phone Number: '6Z — OtI Z - % mil Z3
Address: 2111 Qo( cnLAS PVE IT-1101 AITAMIDNEF SPQ(NLIS
5. SURETY (If applicable, a copy of the payment bond Is attached): Name
ly: Address: t }it" Amount of Bond:
S. LENDER: Name: N J* Phone Number:
Address:'
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Phone Number:
Address:
S. In addition, Owner designates
to receive a copy of the Lienoes 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 specked)
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.
L1,
Gam(",1'.
slurs of er or Lessee, a e r Lessee's (Pint Nvkmednd ProNde Signatary's T19nlOtlire) -C--rNrtlfodZndOMcer/DireRor/P erlManager)
State of County of TO&
The foregoing Instrument as acknowledg afore me this day ofA10 20
hhftobyVoIreonallknowntome OR
Name of p aidng statement ,r n
who has c d Identificatio type of identification produced: /l
AARir
s
J as
M1 m. N gnatureC0mAl, i L
tt ON
t
GG 39 t 0,
OF
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ) i
I hereby name and appoint: TOryz,
an agent of: C eWNCI S j7f:(At STS
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:
in7 LA\rVr\0r:V A-kIG
Street Address)
Expiration Date for This Limited Power of Attorney h I l
License Holder Name: S- ESS I E Z u LU A-ceU , State
License Number: Signature
of License H STATE
OF FLORIDA COUNTY
OF 5 The
foregoing instrument was acknowledged before me this 5 day of N D y , 200 (
by ;MESS I E 7-U (,U t Cat who is personally known to
me or who has produced as identification
and who did (did not) take an-- oath. ignature
Notary
Seal) F7=
HALIE
JARAMILLOublic - StateofFloridaission # GG215712. Expires
May 8, 2022gh NationalNotaryAssn. Rev.
08.12) a "& [.
fit l ffJA1?l 1 Print
or type name Notary
Public - State of G Commission
No. C-1(A Z l S I l 2 My
Commission Expires: fq 619 ZOLZ
Detail by Entity Name Page 2 of 2
Detail by Entity Name
Florida Limited Liability Company
AREESA CASA, LLC
Filing Information
Document Number L17000169879
FEI/EIN Number 82-2615015
Date Filed 08/09/2017
Effective Date 08/16/2017
State FL
Status ACTIVE
Principal Address
412 KAYS LANDING DR
SANFORD, FL 32771
Mailing Address
412 KAYS LANDING DR
SANFORD, FL 32771
Reaistered Agent Name & Address
HOSSAIN, MOHAMED S
412 KAYS LANDING DR
SANFORD, FL 32771
Authorized Person(s) Detail
Name & Address
Title AR
HOSSAIN, MOHAMED S
412 KAYS LANDING DR
SANFORD, FL 32771
Annual Reports
Report Year Filed Date
2018 04/10/2018
Document Images
04/10/2018 --ANNUAL REPORT I View image in PDF format
08/09/2017 -- Florida Limited Liability View image in PDF format
Plo da Department or State, Diml-, of Corp., aU s
http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entit... 11 / 15/2018
CITY OF
s SkNFORD
FIRE DEPARTMENT
PERMIT # ' ` `1 1
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 10 2 " I c kc O elp I A V E.
STRUCTURE TYPE: .SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: )6REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
ORE -COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY: ?" 1 Y V d o Q
m 'PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: OOF_F-RIDGE RIDGE OSOFFIT OPOWERED VENT
j, SKYLIGHTS: O YES ( 0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 :12 OR GREATER
OTURBINES
TYPE OF ROOF MANUFACTURER FLORIDA APPROVAL
SHINGLE CA A PRODUCTFL#
OMETAL FL#
0MODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
OTILE FL#
OOTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) * *IFAPPLICABLE* x IV 1 %
oa,
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 METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
OINSULATED FL#
OTUE FL#
O OTHER: FL#
CITY OF
kNFORD Building & Fire Prevention Division
RESIDEN77AI_ RE ROOFPOLICY & 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 (ARCHrrECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: i 1 " S _
F D City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
MAILING, S jHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1 ' ADDRESS:(
1H -7y2- \ C k-o Z' ]))y STSI-
Vy__O1_V r F(-- I
ASS ` .y \ / —)Pr AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING
CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING
INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE
REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS —
SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS
FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL
REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #:
C(C— t -32-1 Li/0I COMPANY/
CONTRA CONTRACTOR
SIGNA MUST
BE SIGNED BY J ,
LICEN<
E/IOLDEROR • i 1 • , A
FINAL ROOF INSPECTION IS REOUIRED: DATE: .
1 -;U9.) // THIS
SIGNED AND NOTARIZED AF'F'IDAVIT 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 ATTACMMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR
EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS,
INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK
FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. FAILURE
TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL
AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION,
THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE
OF FLORIDA COUNTY OF S,- V v t I ry U L Sworn
to and Subscribed before me this j2 day of -2 V 20 L9 by: IES;
S) E 7.ULUU P& zt Who is Versonaily Known to me or has Produced (type of identification)
as identification. S
nature of No r Public NATHALIEJARAMILLO State
of Florida Public - State of Florida R
Commission
fi GG , 2 )`
1. (O `'•'.'ovF.` My Comm. Expires May 022 Print/
Type/Stamp Name Bonded through National Notary Assn. of
Notary Public