PERMIT DOCUMENTS 4
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City of Boynton Beach ch
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r. Building Division
LICENSED ROOFING CONTRACTOR
AFFIDAVIT
ROOF METAL & ROOF SHEATHING INSTALLATION
(EXISTING DETACHED ONE & TWO FAMILY DWELLINGS ONLY)
The City of Boynton Beach offers progressive inspections— call 742-6355
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To: City of Boynton Beach, Florida
Department of Development- Building Division
Field Inspection Section
100 East Boynton Beach Blvd., PO Box 310
Boynton Beach, FL 33425-0310
Re: Permit No. 17-635
From: A.A.M. Industries, Inc. (Contractor)
225 S.E. 5th Avenue, Boynton Beach, FL 33435 (Contractor's Address)
Rene Lecours (Owner/s Name)
135 NW 10th Court (Property Address)
CERTIFICATION SELECTION: (Please check all that apply)
cpj;Certification of roof metal installation, flashing, underlayment.
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.jCertification of re-nailing roof sheathing, and removal and replacement of damaged or rotted wood.
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Other Certification of hot mopping and tile installation.
I, Mark D. Moreno , am certified as a roofing contractor (License No.
CCC1325938 ) and do hereby certify that all roof work (as indicated above) has been performed
at the above address in accordance with Chapter 15 of the Florida Building Code, Existing Building, as
amended, and Manufacturer's Specifications. I understand that the City of Boynton Beach offers progressive
re-rInsp ti have no ' the owner of the property of this affidavit.
U 3/15/17
Signature of Qualifier Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me this 3/15/17 (date) by Mark D. Moretto , who
is personally known to me or who has produced Personally Known (type of identification)as identification
and who did (did not)take an oath. --� . (SEAL)
Signature of person taking acknowledgement
Name of officer taking acknowledgement—typed, printe stamped —
♦ ,� JENNIFER S.MITE
Title or rank Serial number I ' ; Notary PublIc•Slate ol,Fionda
•° Commission•FF 959339
-.�..4" My Comm.Expires Apr 9,2020
I 7,,;;; Bonded mtoun National Notary Ann.
100 East Boynton Beach Blvd,PO Box 310, Boynton Beach FL 33425-0310 Phone: (561)742-6350 Fax:(561)742-6357 •
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CSI•V City of Boynton Beach
&I, Building Division
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ROOF METAL & ROOF SHEATHING INSTALLATION CERTIFICATION
(EXISTING DETACHED ONE & TWO FAMILY DWELLINGS ONLY)
FOR LICENSED ROOFING CONTRACTORS ONLY
I. PURPOSE
The purpose of this Policy is to provide a method for certifying installation of roof metal, roof
underlayment and re-nailing of roof sheathing on occupied or finished one and two family
dwellings. This policy applies only to licensed roofing contractors.
II. AUTHORIZATION
Section 104.6 of the Boynton Beach Amendments to the Florida Building Code, Existing
Building, as adopted by the City of Boynton Beach, provides that requirements necessary for
the public safety, health and general welfare not specifically covered by the standard or the
Building Official shall determine other technical codes or policies.
III. APPLICATION
Qualified applicants may certify the roof metal installation and re-nailing of roof sheathing by
preparing an affidavit certifying that the installation of the roof metal and re-nailing of roof
sheathing complies with all codes, ordinances, rules and regulations; that the qualifier or
designee personally inspected the specific job; and that the roof was installed according to the
Florida Building Code, and Existing Building Code, as amended, and the manufacturer's
installation instructions.
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This affidavit must be presented to the inspector at the next scheduled inspection on-site.
When the roof metal and roof sheathing are not inspected at either a Sheathing, Tin Tag/Roof
Metal, or Final Inspection, the Structural Building Inspector will either fail the inspection until
certified by the applicant or pass the inspection if the signed affidavit is present at the job site.
Pictures of the re-nailed and repaired roof sheathing and roof metal are optional.
When a Final is the only scheduled inspection and an affidavit is supplied, the Inspector shall
add the comment, "CERTIFIED," and pass the inspection.
Prouressive.re-roof itis.pections may still be requested by calling the inspection clerk 24
r"" ours.'.prior to re-roof it (561) 742-6355.
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100 East Boynton Beach Blvd,PO Box 310,Boynton Beach FL 33425-0310 Phone:(561)742-6350 Fax:(561)742-6357
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