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Home My WebLink About102 Centennial DrN MAR 1 j CU I6 � k BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ! — /,5--c??- Documented Construction Value: $ 10; DM . 00 I Cemn)nlal �✓ 5mfljF (j �3 kn"'3 Job Address: Historic District: Yes D No [] Parcel ID: Type of Work: New ❑ Addition ❑ Alteration ❑ Description of Work: R UOUF 13D �1", Residential 4 Commercial ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Plan Review Contact Person: �CS� 1 ` ,� Title:�r PhoneA 13-JA Fax: � 3� OcN 3 Email: id ) �� yf5g �,r— L, f• Property Owner Information 1 , n� Name 0), t '1 of 1� Q I- Phone: "E� CO 1 �o Street: OA e %i �� Resident of property? City, State Zip: Contractor Information /� /-� I / Name �c� LUI� by-,M-gyp c Phone:(JM ,33OW5 Street: 0231 2 C ad L ± & _/j> Fax: q 0 1) ,3D3 � 0,/)- V3 p City, State Zip: O-n /� o W F I 3- -00 State License No.: Arch itectlEng1neer Information Name: Iy Street: City, St, Zip: Bonding Company: N I/-'T Address: Phone: Fax: E-mail: Mortgage Lender: A /,A - Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 511 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with 11 applicable laws regulating construction and zoning. ignature of Owner/A ent ) Date Signatur of ontractor/Agent O / Date Print Owner Agent's &ame Print Contractor/Agent's ame oo Signat re of Notary-S Signa a otary-State of Florida 6ate S0%0 PVe Hisham Kureshi O K, S 111 P�/ ':llota polite State of Fonda : My commission Expires a � ]� , �¢ * * c J.(4 Ye BipinP Limas kJ P'-Fil u� o` March 16, 2021. ;;w Comm rss;cn FF 9-9's50 8emtolftl0h NO: 94 84819 ''�'a;'.t�'' Expires UiI312020 Owner/Agent is ersona y nown to Me or Contractor/Agent is Personally Known to Me or Produced ID _ Type of ID. F L D L Produced ID _4 Type of ID 'F: L D L-- BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application THIS INSTRUMENT PREPARED BY: Name: LISA KELLER ' Address: 2312 CLARK ST. B-13 APOPKA, FL. 32703 Permit Number. Parcel ID Number: 10-20-30-5FS-0000-1300 1111111 folio 1111111111111111111111111111 GRANT MALO'I'r SEMINOLE COUNTY CLt:RK OF CIRCUIT COURT & COMPTROLLER BK 9100 P5 11VJ (jpss) CLERK'S T 2018iJ34441 RECORDED 0.3/29/2018 11:22:04 All RECORDING FEES $10.00 RECORDED BY hdevore The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 102 CENTENNIAL DR. SANFORD, FL. 32773 K31111-PA•7 2. GENERAL DESCRIPTION OF IMPROVEMENT: REROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: WILLIAM OR SHARON BARRETT 102 CENTENNIAL DR. SANFORD. FL. 32773 Interest in property: OWNER Fee Simple Title Holder (if other than owner listed above) Name: N/A Address: ------- 4. CONTRACTOR: Name: JOHN KELLER ROOFING,INC Phone Number: 407-332-0345 Address: 2312 CLARK ST. B-13 APOPKA, FL. 32703 5. SURETY (If applicable, a copy of the payment bond is attached): Name: N/A Address: -------- Amount of Bond: ------- 6. LENDER: Name: N/A Phone Number. -------- Address: --- ---- 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: N/A Phone Number: ---------- 8. In addition, Owner designates ------- to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. (Signature of 0 r or Lessegelor Owner's or Les e' (Print Name and Provide Signatory's Title/Office) Authorized Officer/Dire(46r/Partner/Manager) State of 0 c C) b. County of ) !✓ ON f\ o l 1 r- T !� The foregoing instrument was acknowledged before me this fl�U } day of V �w tcc y 20 w by W \`�Q r� �GA -e.� Z Who is personally known to me ❑ OR Name of person making statement ` q� who has produced identification IV type of identification produced: F J�- �*pY pVe Hisham Kureshi a-;'IO ` My Commission Expires March 16, 2021 Commission No. GG 84310 Ct:rirIFEDC.0 v p Notary Nota r Signature Ll t 'I( Cif THE 'IACU! T LUUaTAN- COMIP � 'Al .A, .,��, leafs Property Record Card CFA Parcel: 10-20-30-5FS-0000-1300 Owner: BARRETT WILLIAM H & SHARON M I, Property Address: 102 CENTENNIAL DR SANFORD, FL 32773-5556 Parcel Information j Value Summary Parcel 10-20-30-5FS-0000-1300 Owner BARRETT WILLIAM H & SHARON M Property Address 102 CENTENNIAL DR SANFORD, FL 32773-5556 Mailing 102 CENTENNIAL DR SANFORD, FL 32773-5556 Subdivision Name HIDDEN LAKE PH 2 _UNIT Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(1994) 0 O 0) CD a 4 DO T v 101.36 110 Seminole ounty GIS Legal Description LOT 130 HIDDEN LAKE PH 2 UNIT 3 PB 25 PGS 64 & 65 Taxes_�— ' 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 1 Depreciated Bldg Value $107,615 :_.�___.___.____ $101,447 Depreciated EXFT Value $760 $760 Land Value (Market) ; $25,000 $25,000 Land Value Ag Just/Market Value " $133,375 $127,207 Portability Adj Save Our Homes Adj i $49,251 $s $ 3� Amendment 1 Ad' $0 P&G Adj $0 1 $0 Assessed Value 1 $84,124 $82,394 Tax Amount without SOH: $1,390.61 2017 Tax Bill Amount $623.13 Tax Estimator Save Our Homes Savings: $767.48 Does NOT INCLUDE Non Ad Valorem Assessments i Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund i $84 124 , $84,124 $0 Schools $84 124 _ $25,000 _... $59,124 City Sanford $84 124 1 $50,0001 $34,124 SJWM(W age Saint Johns Water Management) (.._age $84 124 $50 000 i $34,124 County Bonds $84,124 ; $50,000 I $34,124 Sales Description Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 3/1/2003 04785 0433 $100 i No !Improved WARRANTY DEED 10/1/1982 01419 0442 $47,300 f Yes _.-... Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT 0.00 1 0.00 1 $25,000.001 $25,000 Building Information ------ is Bed/Bath count incorrect? Click Here. # Description Year Built AFixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages ctuaUEffective 1 ;SINGLE 1982 6 3 2.0 1 1,154 i 1,973 y 1,4731 CB/STUCCO ; $107,615 $128,496 FAMILY p Descri lion Area FINISH i I BASE SEMI FINISHED 319.00 I — Altamonte Springs, Casselberry, bake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 3 -cU ✓ R I hereby name and appoint: an agent of: V h Kel I ►� P.� �Ft 1 (Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): ❑■ The Expiration Date for This Limited Power of Attorney: Id -31- 18 License Holder Name: State License Number: c c 06 Bap Signature of License Holder: (9-7�-- STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this �F day of // 20f L, by who is ersonally known to me or ❑ has produced s identificatio' and who did (did not take A oath. .r.ey MANDO t i *? � � jx�, # FF 922891 =*; EXPIRES: Qctober 18, 2019 Bonded Thti Notary Public Underwriters (Rev. 08.12) Lure Print or type name Notary Public - State of Commission No.�� My Commission Expifes: y f,y b F D City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address _l_DI�2 Lt c4e n11 VI I JV SQ�* J As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # (include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll Up Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description(including Florida Approval # decimal) 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Im Lqq , Underla ments U of e fi G M I J Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # (include decimal) 5. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name (Please Print) June 2014 Florida Building Code Online Page 1 of 2 i. d r q♦ 9..A + ft BCIS Home Log In User Registration Hot Topic € Submit Surcharge ; Stats & Facts Publications FBC Staff ( BCIS Site Map Links 'Search F1 dda MANI Product Approval USER: Public User oy merrtl�y�.0 2. i`a�ssX'.ti.FgA:m Product Approval Menu > Product or Aoolication Search > Application List > Application Detail ? FL # FL17194-R1 Application Type Revision Code Version 2014 Application Status Approved Comments Archived ❑ Product Manufacturer RobetexInc Address/Phone/Email 215 Antioch Cut Off Dalton, GA 30740 (706) 618-6264 kerry.talbot@robetexinc.com Authorized Signature Kerry Talbot kerry.talbot@robetexinc.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer W Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Zachary R. Priest the Evaluation Report Florida License PE-74021 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 12/31/2020 Validated By Locke Bowden W Validation Checklist - Hardcopy Received Certificate of Independence FL17194 R1 COI RBX14001.1 2014 FBC Evaluation Report.odf Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code 1507.2.3 1507.2.8 1507.4.5.1 1507.4.5.2 1507.5.3 1507.5.3.2 1507.7.3 1507.7.3.2 1507.8.3 https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvCo3EapiIIBTCn E... 11/14/2017 Florida Building Code Online Page 2 of 2 Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Date Revised Summary of Products r 1 1507.9.3 1507.9.3.2 1507.9.5 Method 2 Option B 02/22/2015 02/23/2015 03/01/2015 04/15/2015 09/27/2017 FL # Model, Number or Name Description 17194.1 Tech Wrap Underlayments Synthetic underlayments for use in steep slope roofing Limits of Use Installation Instructions Approved for use in HVHZ: No FL17194 RS II RBX14001.1 2014 FBC Evaluation Reoort.oddf Approved for use outside HVHZ: Yes Impact Resistant: N/A Verified By: Zachary R. Priest 74021 Design Pressure: N/A Created by Independent Third Party: Yes Other: See evaluation report for limits of use. Evaluation Reports FL17194 R1 AE RBX34001.1 2014 FBC Evaluation Reoort.Ddf Created by Independent Third Party: Yes Back Next Contact Us :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Cooyriaht 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mall to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: eChu Im Credit Card Safe https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvCo3EapiIlBTCmE... 11 / 14/2017 Certificate of Authorization No. 29824 17520 Edinburgh Dr Tampa, FL 33647 (813)480-3421 EVALUATION REPORT 2014 FLORIDA BUILDING CODE Manufacturer: ROBETEX INC. Issued February 22, 2015 215 Antioch Cut Off Road Dalton, GA 30720 (706) 618-6264 http://www.robetexinc.com Manufacturing Plants: Nashik, India Quality Assurance: UL LLC (QUA9625) SCOPE Category: Roofing Subcategory: Underlayments Code Sections: 1507.2.3, 1507.2.8, 1507.4.5.1, 1507.4.5.2, 1507.5.3, 1507.5.3.2, 1507.7.3, 1507.7.3.2, 1507.8.3, 1507.9.3, 1507.9.3.2, 1507.9.5 Properties: Physical properties REFERENCES ED& Report No. Standard Year PRI Construction Materials Technologies (TST6049) RTX-001-02-01 ASTM D 226 20 5050 PRI Construction Materials Technologies (TST6049) RTX-001-02-02 ASTM D 226 2005' PRI Construction Materials Technologies (TST6049) RTX-002-02-01 ICC-ES AC 188 2012 PRI Construction Materials Technologies (TST6049) RTX-003-02-01 ICC-ES AC 188 2012 'Standard test methods has been found equivalent to ASTM D 226 (2006) referenced by the 2014 FBC. PRODUCT DESCRIPTION Tech Wrap 160 Tech Wrap 150 is a mechanically attached woven polypropylene underlayment for use in steep slope roofing as an alternate to ASTM D 226, Type I and Type II roofing underlayments. Tech Wrap 300 Tech Wrap 300 is a mechanically attached woven polypropylene underlayment for use in steep slope roofing as an alternate to ASTM D 226, Type I and Type II roofing underlayments. Tech Wrap Ultimate Tech Wrap Ultimate is a mechanically attached woven polypropylene underlayment for use in steep slope roofing as an alternate to ASTM D 226, Type I and Type II roofing underlayments. Tech Wrap Supreme Tech Wrap Supreme is a mechanically attached woven polypropylene underlayment for use in steep slope roofing as an alternate to ASTM D 226, Type I and Type II roofing underlayments. RBX14001.1 FL17194-R1 Page 1 of 3 This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid. This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not specifically addressed herein. ROBETEX INC. CREEK TECH WRAP UNDERLAYMENTS TECHNICAL SERVICES, LLC APPLICATION INSTRUCTIONS Deck Type: The roof deck shall be constructed of closely fitted sheathing for new or existing construction. Sheathing shall be installed in accordance with FBC requirements. Roof decks shall have no more than'/8" gap at abutting joints. Min. slope: 2:12. For slopes less than 4:12, the underlayment must be half -lapped a full 24" over the underlying course. Attachment method: Underlayment shall be attached in accordance with the FBC. At minimum, mechanically fastened with minimum V diameter plastic cap naps with min. 1" shank placed 12" o.c. at the side laps and 2" from the from edge of the sheet and 24" o.c along the along the center lines printed on the sheet. The side laps shall be a minimum 4" wide and minimum 12" wide at the end laps. End laps shall be fastened 12" o.c. along the lap and 2" from the end of the top layer. The underlayment is installed starting at the eave, with the length of the roll parallel to the eave with the printed side facing up. All side laps shall be installed to shed water from the deck. Allowable roof coverings: Asphalt shingles, wood shakes and shingles, slate shingles, metal roof panels and shingles Code Approved Drip Edge At Rake Deck Tech Wrap Applied Over Synthetic Underlayment?,a r Underlayment 2" From Edge 5, Drip Edge At Eaves Applied Directly 14 To Deck 50- }a}.b" '�"�`i.r41'�' 4"Top Lap`�+'1. Recommended 12' End Lap Recommended Figure 1. Installation Detail for Tech Wrap Undedayments RBX14001.1 FL17194-R1 Page 2 of 3 This evaluation report is provided for State of Florida product approval under Rule 61 G20-3. The manufacturer shall notify CREEK Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid. This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not specifically addressed herein. EA REEK ROBETEX INC. C TECH WRAP UNDERLAYMENTS TECHNICAL SERVICES, LLC LIMITATIONS 1) This evaluation report is not use in the HVHZ. 2) Fire Classification is not within the scope of this evaluation. 3) Wind uplift resistance is not within scope of this evaluation. 4) Installation of the evaluated product shall comply with this report, the FBC, and the manufacturer's published application instructions. Where discrepancies exist between these sources, the more restrictive and FBC compliant installation detail shall prevail. 5) Deck substrates shall be clean, dry, and free from any irregularities and debris. All fasteners in the deck shall be checked for protrusion and corrected prior to underlayment application. 6) All underlayments shall be installed with the roll length parallel to the eave, starting at the eave, and lapped in success courses installed up the deck in a manner that effectively sheds water from the deck. End laps shall be staggered between courses in accordance with the manufacturer's application instructions. 7) The underlayment may be used as described in other current FBC product approval documents. 8) Roof coverings shall not be adhered directly to the underlayment. Roof coverings shall be mechanically fastened through the underlayment to the roof deck. 9) Tech Wraps underlayments may be exposed on the roof deck for a maximum duration of 30 days. 10) All products listed in this report shall be manufactured under a quality assurance program in compliance with Rule 61 G20-3. COMPLIANCE STATEMENT The products evaluated by Zachary R. Priest, P.E. have demonstrated compliance with the 2014 Florida Building Code as evidenced in the referenced documents submitted by the named manufacturer. ,ttRYI IRA �r.'��i .�'�c,� .. RAF''• No 74021 =-0 ir= 53 STATE OF 14/� . • ,4 N A E�.1``' L 11111 CERTIFICATION OF INDEPENDENCE 2015.02.22 10:11:47 -05'00' Zachary R. Priest, P.E. Florida Registration No. 74021 Organization No. ANE9641 CREEK Technical Services, LLC does not have, nor will it acquire, a financial interest in any company manufacturing or distributing products under this evaluation. CREEK Technical Services, LLC is not owned, operated, or controlled by any company manufacturing or distributing products under this evaluation. Zachary R. Priest, P.E. does not have, nor will acquire, a financial interest in any company manufacturing or distributing products under this evaluation. Zachary R. Priest, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. END OF REPORT RBX14001.1 FL17194-R1 Page 3 of 3 This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid. This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not specifically addressed herein. Florida Building Code Online Page 1 of 2 Fl lida r L�y�r. fam isr a R He seria:r ,ate BCIS Home Log In f User Registration Hot Topics { Submit Surcharge Stats B Facts j Publications 7 FBC Staff BCIS Site Map Links I Search ( L Product Approval USER: Public User 0-111A r Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL10124-R19 Application Type Revision Code Version 2014 Application Status Approved Comments Archived C7 Product Manufacturer GAF Address/Phone/Email 1 Campus Drive Parisppany, NJ 07054 (800) 766-3411 mstieh@gaf.com Authorized Signature Robert Nieminen lindareith@trinityerd.com Technical Representative Beth McSorley (current) Address/Phone/Email 1 Campus Drive Parsippany, NJ 07054 (973) 872-4421 bmcsorley@gaf.com Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Asphalt Shingles Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer ❑ Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 03/03/2018 Validated By John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL10124 R19 COI 2016 01 COI Nieminen.pdf Referenced Standard and Year (of Standard) Standard Year ASTM D1970 2009 ASTM D3161 2009 ASTM D3462 2009 ASTM D7158 2008 TAS 107 1995 Equivalence of Product Standards Certified By Sections from the Code https:Hfloridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeV CbdMQN... 11 / 14/2017 Florida Building Code Online Page 2 of 2 Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Date Revised Summary of Products Method i Option D 08/26/2016 08/26/2016 08/30/2016 10/13/2016 09/20/2017 FL # Model, Number or Name Description 10124.1 GAF Asphalt Roof Shingles Fiberglass reinforced 3-tab, laminated, 5-tab and hip/ridge asphalt shingles Limits of Use Installation Instructions Approved for use in HVHZ: No FL10124 R19 II 2016 08 FINAL ER GAF Asphalt Shingles FL10124-R19.pdf Approved for use outside HVHZ: Yes Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: N/A Created by Independent Third Party: Yes Other: Refer to ER, Section 5. Evaluation Reports FL10124 R19 AE 2016 08 FINAL ER GAF Asphalt Shinales FL10124-R19.Ddf Created by Independent Third Party: Yes Back Next Contact Us :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emalls provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: n M F99 `the`WWLMQ - Credit Card Safe https:Hfloridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquraeBeV CbdMQN... 11 / 14/2017 EVALUATION REPORT GAF 1 Campus Drive Parsippany, NJ 07054 EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization #9503 353 CHRISTIAN STREET, UNIT #13 OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 Evaluation Report 01506.01.08-1121 FL10124-1119 Date of Issuance: 01/03/2008 Revision 21: 08/26/2016 SCOPE:. This Evaluation Report is issued under Rule 611320-3 and the applicable rules and regulations governing the use of construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The products described herein have been evaluated for compliance with the 5rh Edition (2014) Florida Building Code sections noted herein. DESCRIPTION: GAF Asphalt Roof Shingles LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product changes or the referencedQuality Assurance documentation changes. Trinity I ERD requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words "TrinitylERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety. INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This Evaluation Report consists of pages 1 through 6. Prepared by: Robert J.M. Nieminen, P.E. Florida -Registration No. 59166, Florida DCAANE1983 The facsimile seal appearing was authorized by Robert Nieminen, P.E. on08/26/2016. This does not serve as an electronically signed document. Signed, sealed hardcopies have been transmitted to the Product Approval Administrator and to the named client CERTIFICATION OF INDEPENDENCE: 1. Trinity{ERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. Trinity I ERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for Which the evaluation reports are being issued. 4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. 5. This is a building code evaluation. Neither Trinity IERD nor Robert Nieminen, P.E. are, in any way, the Designer of Record for any project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or design guidance unless retained specifically for that purpose. ROOFING SYSTEMS EVALUATION: 1. SCOPE: Product Category: Roofing Sub -Category: Asphalt Shingles Compliance Statement: GAF Asphalt Roof Shingles, as produced by GAF, have demonstrated compliance with the following, sections of the Florida Building Code and Florida Building Code, Residential Volume through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Section Property Standard Year 1507.2.4, R905.2.3 Physical Properties ASTM D1970 2009 1507.2.5, R905.2.4 Physical Properties ASTM D3462 2009 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D3161 2009 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D7158 2008 1507.2.7.1, R905.2.6.1 Wind Resistance TAS 107 1995 3. REFERENCES: Entity Examination Reference Date GAF (PDM 1915) Letter of Equivalency Seal -A -Ridge Impact Resistant IR 01/13/2012 PRI (TST 5878) Physical Properties GAF-025-02-01 03/27/2002 PRI (TST 5878) ASTM D3462 GAF-059-02-01 09/02/2004 PRI (TST 5878) ASTM D3462 GAF-080-02-01 05/25/2005 PRI (TST 5878) Physical Properties GAF-324-02-01 12/01/2011 PRI (TST 5878) Wind Driven Rain GAF-407-02-01 01/21/2013 UL (TST 1740) ASTM D3462 93NK6295 11/29/1993 UL (TST 1740) ASTM D3462 99NK43835 01/12/2000 UL (TST 1740) TAS107 94NK9632 03/29/2000 UL (TST 1740) ASTM D3462 01NK06632 02/02/2001 UL (TST 1740) ASTM D3161, TAS 107 01NK9226 05/21/2001 UL (TST 1740) ASTM D3161 01NK37122 12/18/2001 UL (TST 1740) ASTM D3462 01NK37122 12/19/2001 UL (TST 1740) ASTM D3161, TAS 107 02NK12980 04/10/2002 UL (TST 1740) ASTM D3161, TAS 107 02NK30871 09/09/2002 UL (TST 1740) ASTM D3161 03CAS367 03/11/2003 UL (TST 1740) ASTM D3462 03NK26444 10/17/2003 UL (TST 1740) ASTM D3462 04NK13850 06/07/2004 UL (TST 1740) ASTM D3161 04NK13850 06/23/2004 UL (TST 1740) ASTM D3161 04NK30546 03/10/2005 UL (TST 1740) ASTM D3462 04NK22009 05/06/2005 UL (TST 1740) ASTM D3161 04NK22009 05/09/2005 UL (TST 1740) ASTM D3462 05NK27924 02/10/2006 UL (TST 1740) ASTM D3161 05NK27924 02/11/2006 UL (TST 1740) ASTM D3161,D3462 06CA18077 06/05/2006 UL (TST 1740) ASTM D3161,D3462 06CA18074 06/16/2006 UL (TST 1740) ASTM D3161,D3462 06CA35251 10/18/2006 UL (TST 1740) ASTM D3462 06CA31603 12/01/2006 UL (TST 1740) ASTM D3161,D3462 06CA41095 12/27/2006 UL (TST 1740) ASTM D3161 07NK05228 03/13/2007 UL (TST 1740) ASTM D3161 06CA31611 04/04/2007 UL (TST 1740) ASTM D3161 06CA61148 04/09/2007 UL (TST 1740) ASTM D3161,D3462 07CA31742 11/08/2007 UL (TST 1740) ASTM D3161,D7158,D3462 08CA06100 03/13/2008 UL (TST 1740) ASTM D3161,D3462 07CA55908 04/01/2008 Exterior Research and Design, LLC. Evaluation Report 01506.01.08-1121 Certificate of Authorization #9503 FL10124=R19 Revision 21: 08/26/2016 Page 2 of 6 KOMY Examination Reference Date UL (TST 1740) ASTM D3161,D3462 09CA10592 03/26/2009 UL (TST 1740) ASTM D3161, D3462 09CA06856 05/15/2009 UL (TST 1740) ASTM D3161,D7158,D3462 09NK06647 08/01/2009 UL (TST 1740) ASTM D3161, D7158, D3462 09CA27281 08/27/2009 UL (TST 1740) ASTM D3161,D7158,D3462 IOCA35554 03/05/2010 UL (TST 1740) ASTM D3161,D7158,D3462 IOCA13686 05/15/2010 UL (TST 1740) ASTM D3462 10CA07264 05/27/2010 UL (TST 1740) ASTM D3462 10CA11953 10/29/2010 UL (TST 1740) ASTM D3161,D7158,D3462 IONK11951 10/30/2010 UL (TST 1740) ASTM D3161,D7158,D3462 1ONK12070 11/04/2010 UL (TST 1740) ASTM D3161,D7158,D3462 08CA06100 01/30/2010 UL (TST 1740) ASTM D3161, D7158, D3462 IOCA53934 03/31/2011 UL (TST 1740) ASTM D3161,D7158,D3462 11CA48924 10/22/2011 UL (TST 1740) ASTM D3161,D7158,D3462 11CA47919 12/03/2011 UL (TST 1740) ASTM D3161,D7158,D3462 11CA48408 12/08/2011 UL (TST 1740) ASTM D3161,D7158,D3462 11CA48725 12/09/2011 0L, LLC. (TST 9628) ASTM D3462 12CA34891 10/12/2012 UL, LLC. (TST 9628) ASTM D3161,D7158,D3462 12CA58151 02/15/2013 UL, I.I.C. (TST 9628) ASTM D3161 12CA38083 02/26/2013 UL, I.I.C. (TST 9628) ASTM D3161 13CA32332 06/18/2013 UL, LLC. (TST 9628) ASTM D3161 13CA37934 08/02/2013 UL, LLC. (TST 9628) ASTM D3161,D7158,D3462 4786875675 07/17/2015' UL, LLC. (TST 9628) ASTM D3161,D7158,D3462 4787434542 05/17/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Mobile, AL 12/28/2015 UL, LLC. (QUA 9625) Quality Control Inspection Report,, R21, Myerstown, PA 02/23/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Tuscaloosa, AL 02/26/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Michigan Cty, IN 03/02/2016 UL, I.I.C. (QUA 9625) Quality Control Inspection Report, R21, Shaffer, CA 02/18/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Savannah; GA 02/24/2016 UL, I.I.C. (QUA 9625) Quality Control Inspection Report, R21, Minneapolis, MN 02/09/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Mt, Vernon, IN 02/09/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Baltimore, MD 03/01/2016 UL, I.I.C. (QUA 9625) Quality Control Inspection Report, R21, Tampa, FL 02/29/2016 UL, I.I.C. (QUA 9625) Quality Control Inspection Report, R21, Dallas, TX 02/17/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Ennis, TX 02/03/2016 UL, I.I.C. (QUA 9625) Quality Control Inspection Report, R21, Fontana, CA 03/03/2016 4. PRODUCT DESCRIPTION: 4.1 Asphalt Shingles: 4.1.1 Marquis® WeatherMax®, Royal Sovereign® and Sentinel® are a fiberglass reinforced 3-tab asphalt roof shingles. 4.1.2 Camelotm, Camelot® II, Fortitudelm, Glenwood'"", Grand Canyon®, Grand Sequoia*, Grand Sequoia® IR, Grand Sequoia® ArmorShield', Monaco®, Sienna®, Timberline® American Harvest®, Timberline® ArmorShieldM II, Timberline® Natural Shadow®, Timberline HD®, Timberline® Cool Series®, Timberline Ultra HD® and Woodland® are fiberglass reinforced, laminated asphalt roof shingles. 4.1.3 Slateline® is a fiberglass reinforced 5-tab asphalt roof shingle. 4.2 Hip & Ridge Shingles: 4.2.1 Seal -A -Ridge® Ridge Cap Shingles, Seal -A -Ridge® IR Impact -Resistant Ridge Cap Shingles, Seal -A -Ridge® ArmorShieldT1 Ridge Cap Shingles and Timbertex® Premium Ridge Cap Shingles are fiberglass reinforced, hip and ridge asphalt roof shingles. Exterior Research and Design, LI.C. Evaluation Report 01506.01.08-R21 Certificate of Authorization #9503 FL10124-R19 Revision 21: 08/26/2016 Page 3 of 6 4.3 Accessory Starter Strips: 4.3.1 Pro -Start® Eave/Rake Starter Strip Shingles and WeatherBlocker'" Premium Eave/Rake Starter Strip Shingles are starter strips for asphalt roof shingles. 4.3.2 QuickStart® Peel & Stick Starter Roll is a is a mineral -surfaced, fiberglass -reinforced, self -adhering SBS modified bitumen starter strip, nominal 9-inch x 33 ft roll, for use with asphalt shingles with exposure of 6- inch or less. 4.3.3 StarterMatch'" Sharter Strip Shingles are color -coordinated starter strips for use with Grand Canyon® and Grand Sequoia® series asphalt shingles. StarterMatch" are installed as the second starter for Grand Canyon® and Grand Sequoia® series installations. S. LIMITATIONS: 5.1 This is a building code evaluation. Neither Trinity I ERD nor Robert Nieminen, P.E. are, in any way, the Designer of Record for any project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or design guidance unless retained specifically for that purpose. 5.2 This Evaluation Report is not for use in the HVHZ. 5.3 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory for fire ratings of this product. 5.4 Wind Classification: 5.4.1 The GAF asphalt shingles noted in Section 4.1 are Classified in accordance with FBC Tables 1507.2.7.1 and R905.2.6.1 to ASTM D3161, Class F and/or ASTM D7158, Class H, indicating the shingles are acceptable for use in all wind zones up to Vasd = 150 mph (V,,,t = 194 mph). Refer to Section 6 for installation requirements to meet this wind rating. 5.4.2 The GAF hip & ridge shingles noted in Section 4.2 are Classified in accordance with FBC Tables 1507.2.7.1 and R905.2.6,1 to ASTM D3161, Class F, indicating the shingles are acceptable for use in all wind zones up to Vasd =150 mph (V 1t =194 mph). Refer to Section 6 for installation requirements to meet this wind rating. 5.4.3 Classification by ASTM D7158 applies only to exposure category B or C, as defined in FBC 1609.4.3, and a mean roof height of 60 feet or less. Calculations by a qualified design professional are required for conditions outside these limitations. Contact the shingle manufacturer for data specific to each shingle. 5.5 All products in the roof assembly shall have quality assurance audit in accordance with the Florida Building Code and F.A.C. Rule 61G20-3. 6. INSTALLATION: 6.1 Underlayment 6.1.1 Underlayment shall be acceptable to GAF and shall hold current Florida Statewide Product Approval, or be Locally Approved per Rule 61G20-3, per FBC Sections 1507.2.3, 1507.2.4 or R905.2.3. 6.2 Starter Shingles or Starter Strip: 6.2.1 Installation of Pro -Start Eave/Rake Starter Strip Shingles, WeatherBlocker'Premium Eave/Rake Starter Strip Shingles and QuickStart Peel & Stick Starter Roll shall comply with the GAF current published instructions. 6.3 Asphalt Shingles: 6.3.1 Installation of asphalt shingles shall comply with the manufacturer's current published instructions, using minimum four (4) nails per shingle in accordance with FBC Sections 1507.2 or R905.2, with the following exceptions: ➢ Camelot, Camelot Il, Grand Canyon, Grand Sequoia, Grand Sequoia IR, Grand Sequoia ArmorShield, and Woodland require minimum five (5) nails per shingle. ➢ Slateline requires minimum six (6) nails per shingle. Exterior Research and Design, LLC. Evaluation Report 01506.01.08-1121 Cerdficote of Authorization #9503 FL10124-R39 Revision 21: 08/26/2016 Page 4 of 6 -f j�INIIY J ERD 6.3.2 Fasteners shall be in accordance with manufacturer's published requirements, but not less than FBC 1507.2.6 or R905.2.5. Staples are not permitted. 6.3.3 Where the roof slope exceeds 21 units vertical in 12 units horizontal, special methods of fastening are required. Contact the shingle manufacturer for details. 6.4 Hip & Ridge Shingles: 6.4.1 Installation of Seal -A -Ridge Ridge Cap Shingles, Seal -A -Ridge IR Impact -Resistant Ridge Cap Shingles and Seal - A -Ridge ArmorShield Ridge Cap Shingles shall comply with the manufacturer's current published instructions with a minimum two (2) nails, minimum 3/8-inch head` diameter, per shingle and nominal 0.25-inch diameter beads of Henkel "Loctite PL S30 Roof & Flashing Sealant". 11.5 Sealant 292 mm Sellante (25 mm) (25 mm) Enduit d dtancheite a1 (30 Nail5 mm) Clavo 6 518" - 7"I" Clouer (168.19 mm) 12" (305 mm) 6.4.2 Installation of Timbertex Premium Ridge Cap Shingles shall comply with the manufacturer's current published instructions with a minimum two (2) nails, minimum 3/8-inch head diameter, per shingle and beads of Sonneborn NP1 Gun Grade Polyurethane Sealant or Henkel PL Roofing and Flashing Sealant. sea►et�t t. �4thrtlg t%(262 rrn) 2a rat") {25 rntai' Gnduit ci'3tanchtW N�qOD.,, 'iatOfU �� lSC1g �Tst Maw r (220 mmn 305 twM) 6.4.3 Fasteners shall be in accordance with the manufacturer's published requirements, but not less than FBC 1507.2.6 or R905.2.5. Staples are not permitted. Exterior Research and Design, LLC. Evaluation Report 01506.01.08-1121 Certificate of Authorization N9503 FL10124-1119 Revision 21: 08/26/2016 Page 5 of 6 7. 8. 9 10. \I TRINITY I ERD LABELING: 7.1 Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted herein. 7.2 Asphalt shingle wrappers shall indicate compliance with one of the required classifications detailed in FBC Table 1507.2.7.1 / R905.2.6.1. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. MANUFACTURING PLANTS: Contact the named QA entity for information on which plants produce products covered by Florida Rule 61G20-3 QA requirements. QUALITY ASSURANCE ENTITY: UL LLC—QUA9625; (847) 664-3281 - END OF EVALUATION REPORT - Exterior Research and Design, I.I.C. Evaluation Report 01506.01.08-1121 Certificate of Authorization #9503 FL10124-1119 Revision 21: 08/26/2016 Page 6 of 6 CITY OF p SkNFORD PERMIT# FIRE DEPARTMENT Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: i n ,�, br STRUCTURE TYPE: Is SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: @0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY: **PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT SHINGLE SIR r APPROVAL Ll FL# oC C O METAL FL# 0MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 44:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures PERMITTING REQUIREMENTS — No PLAN REVIEw REQUIRED This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required to be submitted as part of your permit application. The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that will be installed on the project. A permit will not be issued without these documents. Copies will be made to post on the job site. "Projects located in the Sanford Historic District will require plan review and approval by the Sanford Historic Preservation Board INSPECTION POLICY & PROCEDURES A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: • Permit Card, posted in a conspicuous and weatherproof location • Completed Residential Re -Roof Scope of Work • Completed and Notarized Inspection Affidavit • All Florida Product Approval and Corresponding Installation Instructions • (Product Approval shall match what is on the scope of work) • Digital Photographs (must include the permit number or address in each picture) o Each plane of the roof, showing the underlayment installed o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o Roof Deck Nails used (including a measuring device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed, nail pattern and location of nails Skylights (if applicable) o Digital photographs showing all installation components, per -FL Product Approval o Digital photographs showing all required flashing, per FL Product Approval Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design Professional (architect or engineer), certifying FBC code compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: �\` DATE: (1 CITYIOF SkNFORDBuilding & Fire Prevention Division RESIDENTL4L RE-ROOFAFFIDA PIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ADDRESS: jo rl, Cent ens c A,( 11, o t) V—c—i I C__�/ AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR OOFING CONT� TOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: CC COMPANY / CONTRACTOR: �C-� K 6 I (� CONTRACTOR SIGNATURE: DATE: �� l (MUST BE SIGNED BY LICENSE H D OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. "FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF S C- , l r -0 LC — TN Sworn to and Subscribed before me this r day of ► --% 20 i ? by: Who is ❑ Personally Known to me or has XProduced (type of identificatio t- L— I �- as identification. S of N6tafy Public State of Florida` �Y A oiw us, Notary Public State. of Ronda Bipinkuinar :j rates b� P�� (�✓v�g�— �^ �R�1 - l y=_..a I'4y comn-li>sion FF 0.,2 t}: .� : Expires Print/Type/Stamp NameTs,;, of Notary Public