Fillable RESIDENTIAL RE-ROOF AFFIDAVIT (City of Clermont)

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RESIDENTIAL RE-ROOF AFFIDAVIT (City of Clermont)

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MARK A. GRENIER MCP, CBO
Development Services
BUILDING OFFICIAL
352-241-7311
mgrenier@clermontfl.org
RESIDENTIAL RE-ROOF AFFIDAVIT
Permit #: ____________________
Date: ______________________
Job Address: _____________________________________________________________________________________
Structure Type: _____ One or Two- Family Residence
_____ Mobile Home
Re-Roof Type: ____ Replacement (Tear off existing & replace) ____ Recover (New over Existing)
Job Description/ Special Notes:_______________________________________________________________________
____________________________________________________________________________________________________
Slope of Roof: ___Less than 2:12*
___2:12-4:12 ___4:12 or Greater
*No shingle application allowed
A FINAL ROOFING INSEPCTION IS REQUIRED
This signed and notarized affidavit must be provided at the jobsite at the time of the final roofing inspection along with
photographs of all components of the roof installation including but not limited to ridge and off ridge ventilation, roof
sheathing, underlayment, drip edge, skylights, and shingles. These photos must include the permit number or address
clearly displayed in each photograph. The photographs must include visual verification that the work was performed at
the above listed address. Please include a measuring device as a reference to confirm all installation requirements per
the Florida product approval and applicable building codes.
I _______________________________, Licensed as a(n) __ Contractor, __ Engineer, __ Architect, __FS 468 Building
Inspector, License # _____________________________ or __ Owner Builder hereby affirm that all of the foregoing
information is true and accurate and that the sheathing, nailing, dry-in, flashings at the above referenced address will be
installed in accordance the applicable codes, Florida product approval installation instructions and standards set forth in
the 2017 Florida Building Code- Residential and the 2017 Florida Building Code- Existing Building
Signature: ________________________________________
STATE OF FLORIDA; COUNTY OF LAKE:
Sworn to and subscribed before me, by means of
☐
physical presence or
☐
online notarization, this ______ day of
___________, _________(year), by _____________________________ who is personally known to me or who has
produced __________________ as identification.
____________________________________
Signature of Notary Public – State of Florida
My commission expires:
____________________________________
(Print, type, or stamp commissioned name of Notary Public)
2-06-
2020 v2
685 W. Montrose Street • Clermont, FL 34711 • www.ClermontFL.gov
RESIDENTIAL RE-ROOF
FINAL ROOFING INSPECTION REQUIREMENTS
This signed and notarized affidavit must be provided at the jobsite at the time of the final roofing
inspection along with photographs of all components of the roof installation including but not limited to
ridge and off ridge ventilation, all other vents, roof sheathing, underlayment, drip edge, skylights,
penetrations, starter shingles and shingles. These photos must include the permit number or address
clearly displayed in each photograph. The photographs must include visual verification that the work
was performed at the above listed address. Please include a measuring device as a reference to
confirm all installation requirements per the Florida product approval and applicable building codes.
REQUIRED PHOTOS
1) Roof sheathing must have the required fastening.
2) Underlayment fastening must meet FBC code requirements or manufacturers installation
directions. Underlayment vertical lap must have fasteners installed as per the manufacturer’s
installation instructions or Chapter 9 Roof Assemblies, Florida Building Code, Residential.
3) Drip Edge must show proper fastening and show asphalt roof cement application.
4) Show valley installation and fastening if required (closed or open valley).
5) Show starter strip with appropriate fastening.
6) Asphalt shingles must show appropriate fastening per manufacturer’s installation instructions.
7) Off ridge vents, boots, or any other vents installed on roof must show the fastening and the
application of asphalt roof cement.
8) Ridge vents must show appropriate fastening.
9) Show vertical sidewall flashing along with the fastening (step-flashing or continuous “L” type).
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RESIDENTIAL RE-ROOF AFFIDAVIT (City of Clermont)

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Completed 23 September 2020

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