518 Selva Lakes Cir - Destructive Roofing-In-Progress Application i
City of Jacksonville PERMIT NO.
Planning and Development
Building Inspection Division I
OFFICE USE ONLY
Application for: Approved by:
Destructive Roofing-In-Progress Inspection Date Approved:
ROOFING-IN-PROGRESS INSPECTIONS
A Roofing-In-Progress Inspection is a required inspection per the Florida Building Code—Existing Building (FBC-EB(.
The purpose of the inspection is to confirm any required deck nailing has been completed and proper installation of a
secondary water barrier as required by Rule 9B-0475. This required inspection was not requested by the contractor
prior to completing the shingle installation for the above referenced permit, and now a Destructive Roofing-In-
Progress inspection must be performed by removing certain portions of shingles and/or underlayment to insure
compliance with state law. Not complying with this requirement could affect your insurance coverage for storm
damage.
Owner Affirmation
I understand that the contractor, for the reason listed below, was unable to acquire a Passed Roofing-in-Progress
Inspection. I also understand the Destructive Roof in Progress Inspection will require the Contractor to remove and
replace shingles and/or underlayment as required by the City of Jacksonville Building Inspection Division to verify
work is in comp)"ance with all state and local codes.
Before me this/ day of � in the 14d.4-7
State of Flantla,
has personally appeared herein by
himself/herself and affirms a4 ateme Is and decl ti Shemin are true and
Sign aauate.
Property Owner Notary Public at targe,state o our g(M• ff�
Personally known Prod a 'll'%OfARY PUBLIC
ID Type: IM_g'aSTATEUF FLOrtIDA
\ \ Contractor Affirmation Lt Expires 3/1512027
Company: I-t��'
Address of Project: U�J mac' v� 3
Requested By:
Reason
for Request A/µ111
, understand City of Jacksonville Building Inspection Division procedures
ss out�Bulletin G-04-08. I also understand the Destructive Roofing-in-Progress inspection is not part of those
procedures and is an exception to the procedure. In addition,I understand that any non-code compliant work Identified during
this inspection may result in the assessment of additional re-inspection fees.
Signed: Date:
An Approved Copy of this Application Must be On-Site at Time of Destructive Roofing-In-Progress Inspection