Loading...
1010 Myrtle Ave 12-2404 (reroof)SEP102022 BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Ia — d `f 0 1 Documented Construction Value: $ 4 (oc) Job Address: )O 1 m UY P. i`"lA �14 �� ;�PTjHistoric District: Yes ❑ No; ' Parcel ID: — 19 — N_--!SAG — I,40Cp 003 () Zoning: Description of Work: Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name 0_q-,- e.' Phone: Street: 4 b U i R Resident of property? City, State Zip: p �� Contractor Information Name Q Street: Vi 1 City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: (� Phone: CQ. /_b(O " JnLc� Jtc,­`( c oy Fax: r)e;c State License No.: CC C 13; Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical ❑ New Service — No. of AMPS: Mechanical ❑ (Duct layout required for new systems) t r�% No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: 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. 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. 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. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the exec a contract is required in order to calculate a plan review charge. If the executed contract is not submitted, w r erve e right to calculate the plan review fee based on past permit activity levels. Should calculate c arge d the documented construction value when the executed contract is submitted, credit will be, p ied ou permit fees when the permit is released. @_Sign ure ent DaterA "Signature ot actor/Agent Date ON Prmt Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: 111.70 Signature ofNotani -St e FI i P p�• DEBBIE BLANTON Notary Public State of Florida * My Comm. Expires Feb 25, 2015 9, p; Commission # EE 60182 °;,;,`,°` Bonded Through National Notary Assn. Contrac or gent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 Permit No. Tax Folio N NOTICE OF COMMENCEMENT State of Florida County of Seminole 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,of property: (regal descriptiontofthe property, and General description of improvement: Owner information: Name: -, OLjln Address: 1 bbLA 'cS M1.1 fit' 14E MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 07851 Pg 01921 (Ipg) CLERK'S # 2012107071 RECORDED 09/10/2012 12:0403 PM RECORDING FEES 10.00 RECORDED BY T Smith ddress if avail 101616 pl r k � + k ID -Tk tn_rA(,L)V) (-' v b. Interest in property: I' `>\ in l! Y c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: V !- t C Phon number:' a 9 z q c. Address: 5. Surety Name CE ---RSE Address: �tl►pRYANN COURT b. Amount of bond: $ OLE0 OF OIRN FLORIDA 6. Lender: Name: Address: b. Lender's phone number: EP CLERK Ta. Persons within the State of Florida designated by Owner �upon whom n •ces or other doct ents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: Name: _ 00 'n < 0 C Address: `k16' I `j 1-1u�\A _ /r) q— a_ (, - ) 0-i F1 8.a. In addition to himself or herself, Owner designates LNy 1 ofC'j2,-,a to receive a cow the Lienor's Notice as provided in Section 713.13(l)(b), Florida Sta utes._ b. Phone number of person or entity designated by owner: 30-`)55--13-3" 9. Expiration date of notice of commencement (the expiration date is I 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 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 L D R R A TORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF . CO � ENT, F Sign • er o Owner thorized Officer/Director/i'artner/Manager Signatory's Title/Office The fore mstru ent was knowledged before me this day of (year) , by (name of person) as (type of authority, ... e.g. o Titer, trust e, rney in fact) for (name of party on behalf of whom instrument was executed) . (SEAL) Signature of Notary Public 1 G , 1 Personally Known OR Produced identification l� Type of Identification Produced 0__ > ��� � `47 Verific do suant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the fact ta1in it arerue to the best of my knowledge and belief. ••""r''o""• BARBARA K. PARONTO Signat al P son ignf1�V tllivlti'i PRIri'AEG Till ; ,ro •�" Notary Public -State of Florida « ; • E My Comm. Expires Dec 13, 2012 Rev. date j j2C w°`' Commission # DD 842896 GpAME. OF F Bonded Through National Notary Assn. L., SCPA Parcel View: 25-19-30-5AG-1206-0030 Page 1 of 2 04mcll Parcel:25-19-30-5AG-1206-0030 Owner: VAUGHAN JAME5 3 3111 T ` Property Address: 1O10 MYRTLE AVE SANFORD, FL 32771 < Back I < Previous Parcel I Next Parcel > Save Layout I Reset Layout New Search Parcel: 25-19-30-5AG-1206-0030 Property Address: 1010 MYRTLE AVE Owner: VAUGHAN JAMES J JR Mailing: 1008 S MYRTLE AVE SANFORD, FL. 32771 Subdivision Name: SANFORD TOWN OF Tax District: St-SANFORD Exemptions: DOR Use Code: 0102-SINGLE FAMILY - SANFORD HISTORICAL DISTRICT Map Aerial Both Footprint + Extents Center Larger Map I Dual Map View - External Legal Description LEG LOT 3 & S 112 OF ALLEY ON N BI_K 12 TR 6 TOWN OF SANFORD PB 1 PG 59 Tax Details Value Summary 2012 Working 2011 Certified Values Values Valuation Method Cost/Market Cost/Market Number of 1 1 Buildings Depreciated Bldg $11,900 $12,765 Value Depreciated EXF1 $1,154 $1,179 Value Land Value $15:390 $17,100 (Market) Land Value Ag Just/Market Value $28.444 $31,044 Portability Adj Save Our Homes $0 $0 Adj Amendment 1 Adj $0 $0 Assessed Value $28.444 $31,044 Tax Amount without SOH: $619 2011 Tax Bill Amount $619 Tax Estimator TRIM Notice Save Our Homes Savings: $0 'Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $28,444 $0 $28,444 Schools $28,444 $0 $28,444 City Sanford $28,444 $0 $28,444 SJWM(Saint,)ohnsWater Management) $28,444 $0 $28,444 County Bonds $28,444 $0 $28,444 Sales Deed I Date I Book I Page Amount vac/imp Qualified WARRANTY DEEDI 12120031 051601 1876 $125,000 1mprovetl Yes WARRANTY DEEDI 0311981 213281 0688 $100 improvedl No Find Comparable Sales within this Subdivision Land Method :ag I Depth I Units Unit Price Land Value ---..._..- - ._.._..-- --- --..__.....------- - - - e ____ FRONT FOOT & DEPTH 57 117 000 270,00 $15,390 Building Information # Description Year Built Fixtures Base Area Total SF Living SF Ext Wall Adj Value Rep! Value Appendages 1 SINGLE FAMILY 1915 3 1,266.00 1,764.00 1,266.00 SIDING AVG $11.900 $21.636 ` Description Area ...210. , h http://www.scpafl.org/ParcelDetails.aspx?PID=25-19-30-5AG-1206-0030 9/5/2012 Centuty Roofing Specialists LLC CENTURY Debary, Flo6da 32713 rm License # CCC 1326909 Name / Address Kynaston, Neil 4426 Cleary Way Orlando, FL 32828 321,231.9513 Description Date Estimate # 8/20/2012 S1723 Job Address: 1010 Myrtle Ave_ Sanford, FL 32771 Remove existing shingles, underlayment and drip edge I layer Inspect Roof Deck for moisture damage and deck separation ,Replace damaged decking (plywood) or boards where needed and prepare surface for reinstall and re -nail 6" on center per local building codes - two (2) sheets included any additional will be charged at S50 per sheet and any boards will be charged at a rate of $4,20 a linear foot - installed Install new undcriayment, 30-lb felt Install new drip edge around the perimeter of the roof Install new flashing if necessary Install new square vents and pipe flashing Install peel & stick in valleys to prevent leaks Install new Shingle Starter and Lifetime Shingles Install Ridge Vents for heat escape Install Ridge Caps Remove all trash and debris from site File for all roof permits and inspections as required by local building codes Roofing Repair & Installation as listed above Acceptance of color choice,. COLOR X Signature: Warranty: Century Roofing Specialists LLC 5-'Year Labor warranty and Manufacturer Lifetime product warranty. All Manufacturer warranties can be found on the Manufacturer's'website. Comments: 1) This proposal is good for 5 days. 2) Any additional damage found throughout the repair beyond the work listed above will be discussed with the client immediately and a proposal for the necessary work will be provided at that time. 3) This proposal includes all labor, materials'and tares as listed in the scope above. Thank you for the opportunity to bid on this project Phone # 386-753-9284 Fax # 386-753-9285 Tdtal Email Web Site Total Iinfo@centuryroofingilc.com I-vv%v.ccnturyroofiogllc.com I 7,460.00 $7,460.00 Proud Member of the Better Business Bureau Approved Date TO 39ad 58ZGCSL98E eti:ZT ZTOZ/ai/60 < ' € 3 xbt { :x "�k, �. i R ,�3 , ^r �� Y f .y- ? ti 'P l-"N'��','"-'- ti . F SF P p •.. d 1 + S, J F .; -Y"' Y ., 3 4 " P. �r "h .+(� 1 3 6 rY.' r.. c, G'i-p.S..:. ,k �13 1 C�,1 +M' £ ^dt3.z.,sn toy " "� ` {.. ( 7 `t" $q.�` tda ':'�' n „x? ., m r F :.4 � A�.i �. iS r�F roF �d'+ vw ,t' W y.:' L �: ^v.e -,t' h ,,.... .€ ! K h J `. #, i fby yn L,' 4 m`+ +Y .F ] h :(� t +Y , -� zt Y --i°> i3` yu. 4' T y >„� , b "`S 'Ss `T �'T .w.• ' 7fi `' , 7 Y a ' - x '" v a c :' G - 17 `a .; S � •i bw T ,& 4 �i t , b"i, Y ,�' ®� .� y� 3.#' i t^ +2 S •+t1 _ Y" - ,J' t S'r, f - t=rA Iication' For aCertefecate off roproa'teness j - �, �. d'L , E' -xF n k n :�.: -.,.,- � a F ti... 5 rite g r� & z� e M - k ys r ,� a tea,-: 7 rc w.-5-��'_+. �"a„+w u of K eJ i R� { 32 4 1$ Y Y j2 Y Y>" 4 f' x Crty;of�Sanford Hrstorrc Preservation Board 5y' =ram 4 Y �' .�:r N ,187�mV.k- ''T,, .. r .. z.,. banfdCd F,londa 14 1788 `'+�., Y.+ .Y• 4 5, h'3 F ' '- dot . �'_ ' . r�'� �.'--, r J �,. ;«� ` , '.,� . �, b ,..".,��` ,�_ a ,+ r - - "'"".,T l""' �`'" * r� - - '� Phone 407 688 5146 Fax 407 688 '` -... s-,-*x. sz� :. -.0 6141 Email www sanfordfl gov s - -' .-- r r a, y i , X { -`r r' _ z . r S `. .. ' S-e �} s� /. i, a r 3- k "YT,ta, `'� S, "`" 5 t- rc R+ 3. S.; e.h?- :� 4{ y '"Y - xTj- `dA 3�''F*.:: < £. ? .+ v'+ ` ''^ S �' T• . sd y [''�II yy' N 4Mv 4 ai sly S �,„' �,ei.-»';.i t-J .a4 4 Y .+�. :-n ..."�.'Si# A, rY. ;" :k -�.. zm w fi .•, "y,;r ;y, s y .; ; ,�, ,' ' v" +AwAr}t�{ at"i�'0i?`a ...Y4 5,...:hVt_L'e91k,FYd,r. uTn"b `Slx..fi�''wWa ,:$y 'a4c4 e'-.3,i-SQllxiN---V*."y ffi.. q: + £ `+"F�.-<;e:+.C' V- F.,A, kSry :X>:i,+fd'k,.. �2, «vMwiS.r-'r Ueu m#Y,S+,S'dF.dyw rA„apGL }..��:R .3:is'+�b snxrxS ;a. '?if'^r..Y t�av�'F,S'�.'.eM.«t1 f6l " °Answer -all the';; uestronsGon this -'form a'dP' bmrt i.': _.. G3 . ,, . ,,sr urredLattachFnents incom lete a lrcatrons=Ewrll,not be reviewed P . 9 .._h p ��pp 1 a t If�r ou have "u`estions about'apphcationfi regwcements contact-�the Hrstorrc Preservation Officer at 407"688 5145 to ,ensure _, ;;'' :i. our,a hcatron=rs=coin lete A:Y'burldrn ermrt ma §Y P p„ _ W P - 9.R P »--, -u y be re urred for the activi ,detailetl below Please contact the Building q , e. " ' 1, .: ,. ; . m r s Department at 407 688 5150 for more information Failure _� _ , „_ .. .,..� .., ,rye . .... _ .. b : . .�?� , � .. -1- .k - .; r to obtain a burldrn ermrt ma •result�rn fines and/or tlouble P ermrt 9 p Y. t J S, ",� "" 7 ` r - 3 y . ... -u "w L ?. '' S c r,`-� ".- S. z ` _ ``2 '� { :F .,�, 3' 7 >' .< .: ". t: --� Ki' F., t� h F y 3 ,k - ¢ems-„b:f q. Kr R.ir'? 3.1 ,:� .3T R, - Sh .3 .^a yy C ..-Y� Yr .3.F ':-.: 'x y '4 nftj .."u"'tS^' S„ .xis ,_-.�'1 ,�'i4"F"` .y W :Nr xn Y''"M :f*"�.` M 1Generalt Informatrony iN� Y-'��Y�( '""". .u�, J i r+ * k M'Xf rm. Yk 5a ;x",- iva-� yq {{{���^i.. ' "n<, F-�y�`*FjN, 3 M,.Y° „'.' d +w�i "?+' K X$ iw� Y� w n R ae3 i MWA F 2 - i'x 'j"'S".'tf�°£fa yr-,yam"`-;'if At '. `�.: *,`+ate 3"PMi`,� : s x Y - ,r � h Downtown Commercial Hfstonc Distnet � Residential k � 4 r� � No ; � '; Hrstorrc Dfstrrct G :Is thts aTr'etroactfve£request Yes ?, "_• rt�rc s� .ate..,-1 l-t;; r -::` ".. y- e:s�-:: ?u :.;: 'r .7F ` Isrthis a lication7fi'Ied in res onse, t a Notice of U cn .. ,>> r ..� ,a-.z�` 's� ,i' .-'r- y a..�:" 1'' �x,_ , �.-�: i -; '- -,,. ,s�•x.?� 'c,n 's o'lation from the Code?Enforcement'De, artment? ❑Yes C� No.. � > z, - `h t , 1010 S Myrtle Ave Ys� , Property Addresss `* ._ i- tiv v;-fit- �r �i ,� "1i 4 f-n ",� �""ic*f 4Y5F.M 9 Y '" 4'_i&�+t. .F >S: �s,,' .xwe. ,..iYyt'Pa3�': �nr tfY,- ✓�xr /� Property Owner;lnformatront <u 3" _ i.}fi'��5.4- t>.:w 4 T 'v 3r �a7 xS. $. L' �.s� f �. - w'gt' 'dr 1. y .h".'trf}.,,. , tF r ' z��� , t. t 9 # j �' x James Vaughan, e - 5 x t U k Print Name _ m€ x Y ' ' '�' 1008 S M rtle Ave Sanford' FLG32771 _ w �e° x 's „� dMailmg 4cidress T_, k Y k �r fx= R F a c u r s 4079236194 ris I „�_� -;_' -� 3 ~r Y ; vau han `cfl rr corri '" g 1 9 @ ," `t° Phone Fax ' t � - s �F Email � x K ; ,^ '- r'i z< - -- S. - - f �,?- ss - - .J-a.:..4.Y t 5 sz,. -. y _ -, " ti . p., t )t , �fr Z �r1 4 f gA" ai',€' t dR�ignatUr�eTM ''A " '.l'R.i-w-� - k'-1 �.w�',1"e.,a Y. t, - F xH ,�a „';£` ¢ .Nt dfii J'u``w �' Ri'xi vy v.. M ...i4`w '. `3 �.„ ,i. s". -F .. sa t'i . �t </ -- £ h y�` '„}v' �k'. 1 �+. Z 1. ^4,� d 1 4- -.k Yf y !- s=.. p FrF z F y ': S TA : 5 )`-i; p 4gz, L .,�, „6,4M t a'# to T F t�}F W k.:Ta`:dl : €S" "'C WL uu � T kn -$ b +v : �a}'k }'. x tit« ,},. .n y 1" S._ fie✓ A .0licain' ' ent_Informatwn : r� s ` ,i, 'f" 4 �, �e� � s; f z 4> Same as above' Ate° Print Name s r r� Ik z , r " "' t, . 4 a � ' a.4- t av, F j Mailing Address t :, :, 4, t F 0 , r � < - - '�+- s. v,7T r r.K '"r3. t 'en. `'f 3 „r' *� c �. :. y. �. c 3r F .� - xPhone xkt Fax r ,, 'E` x rEmafl s u: r F� r "' ;" � "' s.' z=x, *, , ` '�.;: "',•; �:'*1 r-k , - ,, rk Y �' f it "- s. n -i x ds. s t t,+` a+ �,, t3,�, � . ate` .' d t � , .:�. ?" .,,,,,r s ' -.. " y v Signature ,, a't t ':` := iv �'. R t +; ° "�a..0 ,:€f ra t- r>� '."a t' 3 -t�° a s '- r `'' .t - '. � ..,.., .:.. ,�. .. .; >, i o �. "'° a..r. ,P 5 5 '� 'r' ,� 5 .f .- t' f l- _: a a ,y �• x - y '�.:,:.. r �` y +r ,'' +< ,. , 1 ..,..t }a f .: of fi _;f, '�' .' qry +< .... 6k vY- f "Yv .ss k h 5.-> .. 1, a I=certify that all mfonnatont�contamed a �, f fon,rsKtr,`ue and accurate to the}best of,,m, knowled e z t g 4 Nt§ ',yi 9� v'. ' , '` 4:v«j'' x "'kl' Y ( :� £ 'Y.. k iu'' xy d K ?ei 1 'S. f:4:7` .i'.. W 4 R h 'Y +tl Y`. .:; IH, lA4 �; T 7 i» z" 3rx` 'zit I ., by"' x a M^ Le sst r ip a'^`' a i a t 3x, k(. Apphcant/Owner;Sgnatuie3 �, `��. " " - - a a x s ,`s. ' ..... «zj 3. _ .�;�.... � �I' %:.sJ 'N � _' 1 h -.. ,; v , .h -, <'_ j '.: � Li '� ., Y... ": S 4 � , t' 2 :: Would you like to reeeiue emails regain as nc Preservation and Community P]annmg within your commun,>ty" .< '�- s- - -z„ad� ',' r , 5aa w. ` 1 :rr w .4 a # , . cr �-: sdr�z 'w,' fry+ .r r•':. a � , +�" -' `.;'. t' x J i+tt - t V lb ,+ -,- Y4 3B" '� #>w rt s Y r ' t )"`... N ,r a _.ae C't '°"yam- x r" 3K .q,,,c i �w". 4. P ,fM d :. of J x �' w3, d h\ ,` -Win"$fi'.,.. .,{s sl ".�ri` yam., .., s*i N:y r. r 7 P- ti, Y Y t .!•' T r ` {. - W: W7 �+'w A� {J d d 7' �€-.}i e�,1t- �. .-.+- ,3'.2 F f +'{ { +3. i't-� 1 3,. 7� y- " f t, ;.? # @"'?,..r.r" �' .- 3 S'R3s rya s- S't ,2 Applrcatron�Category.(check all that apply) R r f et = �` J'} v i : ",`',:i4 ,rai.` i ,. yl s.'� h?`u�q` i '::. �<n£, 5 -'y4 - :. YS fi awi i5., A YiR ^}F � 3k'Sv;�, 0t�i r'-'k#0+'x, ova q # i 9Cr� ai`k t4 '�Y .lhi T". k H,.a 'Y' s5 >'. i } .-,-. a3' x.. j ,--"R _ Pro osed rm rovernents,vvrlliaffect'the;followrn ""' :" = : ' ' ",.. s. > _} µ p p g elevations 0 North LJ -,South East ❑' Wester , 3' ❑Site Im"'rovements/Drvewa %V1/alkwa"* ❑.IStora e"Sledt�Ref'lacemen Sidrn /Floor/Roreh _ p Y yt ",r t g i" mow,, ( ,;-�g< : £ : w -,.p, ,.:, � 3 ❑ F2eplacement Windows or Doors ❑ Underskrrtrn r + _ ❑ Signs/Auvnmgs K ' } s z g _ New Construction/Atlditions ; Rt❑ 0 r Parcit Fences/Gates/Pergolas �Sr i' q av'^. I+ .r .-' "t ...}' . ;r 7-+ i, " .t zt` - ..i �i .�:. A x + h. - ' _ x tit. ;pia f y, may, , z .n I •# 7F2oofs/Gutters/Downs outs:.,��>_ Y~ti �•' ❑� AC/Mechanical L Other �..: m �` - " :r, �_ ,, ,.,j '`. '5 SY' i f „ I ,t� �^+}y.� .k- k .. ,M� s7 .MN°f S� S p1 i ' }'d.. N, t{�g �XG t ,�'.'. LYE '.. �Z 'I+r . F j !" '9'Re i 1t- S f C Ft T •',, ryy 4 F"d ,k 'A.}:. '�i" . -4 S _ .f :' n� 'S' ""V - ) 'v 4 N l !-. '8#k'R.' 4 x,A� ✓ ,yam, Y T •t)rZb x `4 K ' 3 _Y £ if Descri f K £ 3 ption'of ``proposed work x , $ a � F x k 4, 3 > f Com 'letel`` de§crib _ _ram ;� :.- sx.,._;. �£r p yk e the*entire seo e of€work, includin color andmethods'that,wlll;be usetl�to- " ' £ .chart esrm.matenal>and , ari a.:.,.... ,rr€ ,, , ,. .. .:, 4� x ; :.:= P r a r1".1- r ._-.g� , ,., � �; ,r_ � � �>F� .Y..�, ,�h , � t � ,�__ � � s �� � , aceomplrsh,the.proposed.work For,lar ro `Use ` �.. e ects an ttemizedaist rs re urred _thehreversehsrde;tf necessa . wf" " r x a 9 P 1 x �- -. q rY 'y:x, gy' r� 4 Remove/replace roof coverrna wrthrOwens Corning Oakndge Shingles'{architectural) w'Color rs Desert Tan { t rG : f :.�' .'^.c':' q':' £r K% -9.. XfS ..5"' P pC 3` `'+'.iFSt$ #�6 "~ "i. i7' *..3 'ai°f" y - s''. '.::�F' YS Y: �+` '} 3p rye,, :. dr G fia +d �- 7 t'YF d ^tt. Y ps �" d`Ftpx i u . f Ra. .w'1 3 -t..� -.�X .. ,f,.i'P T" �w." f� I - Y 4i , X r: fir. , +��y>. f -_T ` ° }.r .>`R"�s~}"v,„-i. S �F '+.'-` "^ar .: �'f ¢ ., I F"; pis .vC '�_S dS f E 1't `G' 1s�. �! S'S,y :'h '2 C lY' 4'>i 7 "4a' E i C yf i 5 2 '� 1 m'�- •i^ 4 4 : Y FXMx.`�; } tv R �? ^C�"k .4 G4 £-° i.- fi .,.1 G y -,y,, "i �tf✓ .I -(:: j'^ f.!€Y i S {. �� if '�-, "- 1 y9 S T .V d ei' ^ L - ?. 1 1k?' yY 9 n C 5 h7 7,..:T� {4/ l `R„` 'eZ� Z 4"."`$ 'd$ '1 2'",s 't a' *tf .�y`t * ofi 2pj5 -y.ty dt-J` 'a•H 1. h P�C.`",' ,zYv'L.4S�+"V,f yn>k;+'u' t,'-- } .tz t LS YwY is v"+Ye f 1 T-3 '>A' S l 5.i ^i rt _ _ f ..j ' ' ;Official Use Only - ''4 H3�tvrfc Presen,a.w. 8aard Meeting Date' , [(�� � ;� !"1 PPravetl -:: enleC�-(('.zAnifti .ls'hOtEd_Qe�DWI - X c g� f 4- .. .:, - ^-._ _ SEP 2012 R -: 8f -Ly § - .. 5egnatiite g,� 3� ' Date rr II �#I� 114 Mrr ' � fl P ENS r�t s ( ppronaf rs ualfd 'six" c m.onths unless of fer>�dfs natedj s "� l �^ '.. ycP.v "" 2,,; n.�..; `"'G#i�-, ,�'..+r .'."t�� t i�' , m . "v l a,d'; 'Y,_,X cwj'+F, W �,..^ = x . ; ' , r,.- do � a ... j.� • , 'a't ,, i�rr n - 5 + **** Thrs certificate must be prominently displayed on the site when work rs'rn **** 4 t' y }_ progress ""y. ..`� y ,� L' d r ..e'er', b i } tC a -,s: FY f Y,� t'+ f k R" 3 K" if 4 s ' 2 -h .,;t S� },. '; }, £ � SY$�l, K ,c�. s€ d 1 `1P- h `' }- y ,y� ,�q� F Y ;'. 1 :: y6"4' �!`"}4 '.f fi .i.�. S«.� L 'S -4SC v.�T(T':1 a ,r°' ;x , M ,'{;�;5 X C,.:; ......,•,S".,i•' �' 35, f' XR+> }. �';. *a�- Y Y t 4'A' k J '�''h �Y,- i 2 " i i_" h "Y` " jf[r1' i -"i �\4 act Rid 4^'�j.l- f F �" ly 1' r)',f` y+',p.11 S �'w _ .j';N, § y W'SF.. R.'A, I -,f {,3 ..?' t s F ay t� r, P K z� c £ y` +S "S > } t-y.�..- •,+.. i... �' X -Xt r- A3., t...a.. t" s: '-t `Gr1. f L S ,y z. a ,. '�," hr y +, } -�.� ..r .� z ,i.a T "t:2ti= '4 - f fy. .�.C' ix i i - R d Si ✓ Ft ( 4 # S ,,..a,.n rt .. £i 6 ; `>Y' Ru' t 4„*r... '&a §„ V £� %3 -.. <, CR ^�w _. Zr: LL ...... > - ,. ,p.., _-- .. RE: Permit 0 Inspection Affidavit licensed as a(n) Contractor* /Engineer/Architect, (please print naindand circle Lic. Type) FS 468 Building Inspector* License #,CCC'_ t3a-(Oq 09 On or about e I did personalty inspect the roof (Date & titnel) deck- nailing andlor secondary water barrier work at 160 ply r-ge— (circle one) (Job Site Address) Based upon that examination I have (e. d 7th, installation was done according to the d Hurricane Mitigation Retrof4t MW 11 o 53.844 F.S. STATE OF FLORIDA COUNTY OF Sworn to and subscribed before me this By _ 5-kf 0lt4 6&1 6 V_ BARBARA K. PARONTO 146 Notary Public State of Florida My Comm. Expires Dec 13, 2012 -4 Commission # DD 842696 Bonded Through National Notary Assn. Personally known k-' or Produced Identification Type of identification produced. day of 5*L- - 2MA- d / ;)- Notary Public, State of Floricj,� bAm �-�� (Print, type or stamp name) Commission No.: DD erq * General, Building, Residential. or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with the pennit # or address "" clearly shown marked on the deck for each inspection.