Hollywood

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Roof to Wall Connection Affidavit (Residential)

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Permit No *

Job Address *

Owner’s Name *

Lot *

Block *

Phone *

Subdivision *

Company Name *

Company Address *

City *

State *

Zip Code *

Name of Qualifier *

License Number *

Contact Number *

Owner's name *

, do hereby affirm

That I have personally inspected the roof to wall connections as required by the Florida Existing Building Code section 101.2 for the roofing permit referenced above and further state that the connections comply with one or more of the following prescriptive methods. Initial one or all that apply:

Roof complies, no alterations needed

Connections by engineered design, sealed copy attached

201.3.3 Prescriptive method for gable roofs on a wood frame wall

201.3.4 Prescriptive method for gable roofs on a masonry wall

201.3.5 Prescriptive method for hip roofs on a wood frame wall

201.3.6 Prescriptive method for hip roofs on a masonry wall

101.2 When a roof covering is replaced on a building that is located in the wind borne region as defined in s.1609.2 of the Florida Building code, and that has an insured value of $300,000 or more or, if the building is uninsured or for which documentation of insured value is not present, has a just valuation for the structure for purpose of ad valorem taxation of $300,000 or more:

Roof to wall connections shall be improved as required by 201.3.

Mandated retrofits of roof-to-wall connection shall not be required beyond 15% increase in the cost of the reroofing; may need to provide a sub-application from a General Contractor; FBC 706.8.b

Inspection for this purpose shall only be done by a licensed General, Residential, or Building Contractor, or may be done by a registered Architect or Engineer, or persons certified under FS 468.

Created by AIPSS

Hollywood

Roof to Wall Connection Affidavit (Residential)

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