801 Begonia St RES19-0304 Destructive Roof-In-Progress 11:1 City of Jacksonville PERMIT NO.
Planning and Development IBES ( t - G3O'4-
:. Building Inspection Division
OFFICE USE ONLY
/454/c3o gn)!(/c/P Approved by:
Application for:
/11
Destructive Roofing-In-Progress Insp tion Date Approved: t9' 3- cC)
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 compliance with all state and local codes.
1 Before m this day of J in the County of Duval,State of Florida,
has perso II ppeared QJs:':1 herein by
him If/h If and affir JI��. ent .n'declarations herein are true and
Signed: I I � � . -
Property Owner Notary Public at Large,State of r ( ,County of i'-‘)01/0..
..- 0 L_0 L\f1 e r- I/' /► �r Personally.Jr<nown ,or Produced Identification
�/ QN \ ID Type. (---) , L.
Contractor Affirmation
Company: Rthirff^ Hrov_, (&)i G.DES U-C -
.,.,,,:,.•••:.?1,..�. *NI GINDLESPERGER
Address of Project: Q G ,njic} 02 •: `.. :*---i MY COMMISSION#GG 353178
n °F,P`O'` Raided TTuu NotaryPublic Underwriters
Requested By: ^ CortwE►z -----
Reason for Request: edv U(1a.P,rfi {/he-tlt 4 tlpi4S
615e9 CO 11114-r , understand City of Jacksonville Building Inspection Division procedures
as outlined in Btilletin G-04-08. I also understand the Destructive Roofing-in-Progress inspection is not part of those
procedures and is an exceptiot.
the procedure. In addition, I understand that any non-code compliant work identified during
this inspection a?\result in the sessment of additional re-inspection fees.
Signed: w r Date: 2(312.02-0
An Apdroved City bf this Application Must be On-Site at Time of Destructive Roofing-In-Progress Inspection