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HomeMy WebLinkAbout102 Lake Side Cirr CITY Of it .001r-% .MAR p 1 Building & .Fire Prevention Division PERMIT APPLICATION FIRE DEPARTMENT Application No: Documented Construction Value: $��© Job Address: / E}E} ' , 1;' �' (l`G� �( ,,1} (' L Historic District: Yes ❑NoIn Parcel ID: - - pc-0 P - QV&Q Residential® Commercial Type of Work: Ne AdditionEl Alteration Repair® Demo Change of Use Move Description of Work: tLELL DEC 2,D< SL AIG SIL• 61i 4.V D a L f j NCLi)Ql?'D Isal j?dac` Plan Review Contact Person: �o9. 5i+, Al14�5 A)43 5d,Wr,CC 6?d -'t I V1 Phone: �,oz,-53,�'-aka Fax: Email: Property Owner Information Name 5UL) L'AZ & A J1 Street: l t)l I A, Kc S i'11N t1 City, State Zip: 5A. foiZA id '3JT/7 3 Phone: J X UY J C 2jJkLt et;, c I-F t t '�.yc•st, �} fleefCAPte $itls��,f} dc. Resident of property?: Contractor Information Name 'i A ALL Phone: �^-5 _�5 '�© Sq Street: 6L L`RN __ TWA t P 9 .D Fax: _3'5r_7 � �'� % � - O ,17 q City, State Zip: ('_L(:blot 61 3 0y y State License No.: Ce-C v Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: 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 constriction 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: 6"' Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application I l , / q A l l 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 pen -nits 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 all applicable laws regulating co tion d zoning. Signatur f ow Date Sign c of Contractor/Agent Date Print Owner/Agent's Name Print ontractor./Agent's Name 10-0 Zf�w�ra Signature of Notary -State of Florida Date i \113 0 Owner/Agent is Personally Known to Me or ty" Produced ID Type of ID 'DL * S Z-S'Lo 4 t Sb0 3-5-0 Signature of Notary -State of Florida Date OLIVIA L COLANDRO y. 'e MY COMMISSION # GG046989 EXPIRES November 14, 2020 Contr to Me or Produced ID ✓ Type of ID f5t—Q1- BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: _ Min. Occupancy Load: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: Fire Alarm Permit: Yes [3 No ❑ WASTE WATER: FIRE: BUILDING: Revised: January I, 2018 Permit Application 2/1712018 SCPA Parcel View: 11-20-30-5KB-0000-0460 Property -Record. Card «- Parcel: 11-20-30-5KB-0000-0460 Property Address: 102 LAKESIDE CIR SANFORD, FL 32771 aa 9- Seminole County GIS Legal Description LOT 46 HIDDEN LAKE PH 3 UNIT 7 PB 38 PGS 79 & 80 Taxes Taxing Authority - — - Assessment Value Exempt Values Taxable Value -- County General Fund $124,718 $0 ' $124,718 Schools $130,830 -�� $0 -� � $130,830 � Cit Sanford y � $124,718 $0 $124,718 0 SJWM(Saint Johns Water Management) $124,718 $124,718 County Bonds $124,718 ; $0 $124,718 Sales Description Date Book Page Amount Qualified Vac/Imp QUITCLAIM DEED-- - ^- — - 5/1/2017 08920 1120 - $100 No -- Improved SPECIAL WARRANTY DEED 3/1/2014-v 08244 1736 $87,500 � No - ._-�- Improved CERTIFICATE OF TITLE 9/1/2013 081 20 1830 $100 T NoT-� Improved WARRANTY DEED �- - - _ 2/1/2006 06156 073 - ---$193,000 Yes Improved CORRECTIVE DEED 2/1/2002 04329 w 1998 $100 No -- Improved CLAIM DEED - - QUIT CLAIM DEED 10/1/1994 5/1/1993 02838 02643 19$QUIT 0109 $35,900 + $100 No No Improved Improved WARRANTY DEED -- 12/1/1988 -- 02030 0427 $69,900 Yes Improved WARRANTY DEED 4/1/1988 01953 0348 I $148,000 No Vacant Elrod ConVaraW Satma Land http://parceldetail.scpafl.org/ParcelDetai[Info.aspx?PID=l 120305KB00000460 1 /2 CITY OF Ski!4FORDBuilding &Fire Prevention Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DEPARTMENT 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) SIGNATUR15. DATE: 3 O% CITY OF SiN Aff'ORD DEPARTMENTFIRE PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS' I 1p -a LAKV � i',' �i � j� W6 Q /, 1,12121 STRUCTURE TYPE: A SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING RF OO DECK TYPE (PLEASE SPECIFY): '`i/ ll ujoo� **PLEASE NOTE: ONL Y 1OD sQuAREITEET D THE EXLSTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION:,,9V OFF -RIDGE ORIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES ANo 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 APPROVAL SHINGLE LL C f i !T F L # O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# TILE FL# �` OTHER: = jI II �,i Liy al -' FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE" ROOF SLOPE: IN LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# 0INSULATED FL# OTILE FL# OTHER: � i [ E ' ( . I �� j FL# / / THIS INSTRUMENT PREPARED BY: I )39G (,V?► )� r� r !; �,U•S 1'A Li. Name: 1 � ` " Address: G= 1ft) r uIhMY i .Ii Ir A, / ✓ill! NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: 11111111111111111111111111111111 loll loll ill % HOLIE M1UN {_,`. )fil;. i >FJiiF1 i _. is 11F' 1 LL i'•'1�E R.. Parcel ID Number: // Do- .31) "L2'Oryn -Dti/E0 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. GENERAL DESCRIPTION OF IMPROVEMENT: OWNER INFOWMATION: Address: Fee Simple Title Holder (if other than owner) Name:, Address: 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)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date 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. Under penalties of perjury, 1 declare that I have read the foregoing and that the facts stated in it are true to the best of my led a and belief. J Owner's rinted Name JC (i Florida Statute 713.13( �Ther must sign the notice of commencement and no one else may be permitted to sign in his or her stead." ."Ifi State of F l p r t J R County of The foregoing instrument was acknowledged before me this oZ y,h day of �Q , by Wf} S) 9JPn Z ✓') Who is personally known to me ❑ Name of person making statement OR who has produced identification E� type of identification produced: xm-j,--�l gyMonique ReneeJoachin c�NOTARY PUBLIC aSTATE OF FLORIDA 0Comm# GG057365 • Expires 12/21/2020 City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address 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 U Automatic Other 2. Windows Single Hung Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 1 Category / Subcategory Manufacturer Product Description Florida Approval # (including 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 p �' S Underla ments kt o .21 Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Giyt/E;�Sfc J , s :.--&LOAR •-R Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents t Other June 2014 2 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal) 5. Shutters Accordion Bahama Colonial Roll up 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 Signatur r Applicant's Name\r�42 (Please Print) June 2014 CE3UCK Engineerinq CBUCK, Inc.Certificate of Authorization #8064 Sp�IaIt LJ StY ucturesi &ngineaEPrinc� Evaluation Report "M MI-2B" Off Ridge Vent with Detachable Baffle Ridge Vent Assembly Manufacturer: Millennium (Metals, Inc: 10200 Eastport Road Jacksonville, FL 32218 (817) 358-7663 for Florida Product Approval # FL 16568.2 R1 Florida Building Code Sth Edition (2014) Per Rule 61G20-3 Method: 2 - B Category: Roofing Sub - Category: Roofing Accessories that are an Integral Part of the Roof System Product: "MMI-2B" Off Ridge Vent with Detachable Baffle Material: Steel or Aluminum Support: Wood Deck !`yytai�ittrdir Prepared by: r James L. Buckner, P.E., SECS ���� EN James Florida Professional Engineer # 31242 No3t242 Florida Evaluation ANE ID: 1916 Project Manager: Youry Demosthenes ~Q<% 4TATEOr ' �w Report No. 15-104-MM1-2B-ORV-ER_14 ;r�fi��' �t°`°�''�\�`, Date: 2 / 26 / 15 f NALW 0' 1110 Contents: Evaluation Report Pages 1— 7 04""""`""'$'r CBUCK, Inc. 2015.03.02 10:57:51-05'00' 1399 N. Killian Drive, suite 4, West Palm Beach, Florida 33403 Phone: (561)491-99V Fax: (561)491-9928 Website: www.cbuckinc.net CBUCK, Inc.Certificate of Authorization #8064 SpEPClaifit. j StTuctural Eng1nevr1nQ Manufacturer: Millennium Metals, Inc. Product Name: "MMI-28" Off Ridge Vent with Detachable Baffle Product Category: Roofing Product Sub -Category Roofing Accessories that are an Integral part of the Roofing System Compliance Method: State Product Approval Rule 61G20-3.005 (2) (b) Product/System "MMI-2B" Off Ridge Vent with Detachable Baffle Description: Steel or Aluminum off ridge vent for shingle roofs mechanically attached to Plywood Deck. Product Assembly as Refer to Page 4 of this report for product assembly components/materials & Evaluated: standards: 1. Off Ridge Vent 2. Fasteners 3. Roof Cement Support: Type: Wood Deck (Design of support and its attachment to support framing is outside the scope of this evaluation.) Description: 6 15/32 (min.) or greater plywood, ® or Wood plank (min. specific gravity of 0.42) Slope: 2 : 12 or Greater FL #: FL 16568.1 R1 Date: 2 / 26 / 15 Report NO.: 15-104-fVIM-2B-ORV-ER_14 Page 3 of 7 i�� StTuchira�l &nQ1n�rtng CBUCK, Inc. Certificate of Authorization #8064 Performance Standards: The following test protocols were performed to demonstrate compliance with the intent of the code as this product is not addressed specifically in the code. o TAS-100(A)-95 - Wind and Wind Driven Rain Resistance and/or Increased Windspeed Resistance of Soffit Ventilation Strip and Continuous or Intermittent Ventilation System Installed at the Ridge Area. Code Compliance: The product described herein has demonstrated compliance with Florida Building Code 5th Edition (2014), Section 1709.2. Evaluation Report This product evaluation is limited to compliance with the structural requirements of Scope: the Florida Building Code, as related to the scope section to Florida Product Approval Rule 61G20-3.001. Limitations and Conditions of Use: Quality Assurance: a Scope of "Limitations and Conditions of Use" for this evaluation: This evaluation report for "Optional Statewide Approval" contains technical documentation, specifications and installation method(s) which include "Limitations and Conditions of Use" throughout the report in accordance with Rule 61G20-3.005. Per Rule 61G20-3.004, the Florida Building Commission is the authority to approve products under "Optional Statewide Approval". a Option for application outside "Limitations and Conditions of Use" Rule 61G20-3.005(1)(e) allows engineering analysis for "project specific approval by the local authorities having jurisdiction in accordance with the alternate methods and materials authorized in the Code". Any modification of the product as evaluated in this report and approved by the Florida Building Commission is outside the scope of this evaluation and will be the responsibility of others. o This product has been evaluated to a maximum height of 33 feet. ® This product shall not be installed on roof slopes less than 2 : 12. o Refer to applicable building code for ventilation requirements. o Design of support system is outside the scope of this report. m` Fire Classification is outside the scope of Rule 61G20-3, and is therefore not included in this evaluation. ® This evaluation report does not evaluate the use of this product for use in the High Velocity Hurricane Zone code section. (Dade & Broward Counties) The manufacturer has demonstrated compliance of roof panel products in accordance with the Florida Building Code and Rule 61G20-3.005 (3) for manufacturing under a quality assurance program audited by an approved quality assurance entity through Keystone Certifications, Inc. (FBC Organization #: QUA 1824). FL #: fL 16568.1 R1 Date: 2 / 26 / 15 CBUCK Engineering Report NO.: 15-104-MM-2B-ORV-ER_14 Page 4 of 7 llcsiw Structural ErtgirvEmprlruq CBUCK, inc. Certificate of Authorization #8064 Components/Materials Ridge Vent: "MMI-2B" Off Ridge Vent with Detachable Baffle (by Manufacturer): Material Type Steel Thickness:` 26gauge (min.) Yield Strength: 40 ksi min. Corrosion Resistance: In compliance with FBC Section 1507.4.3: O ASTM A792 coated, or ® ASTM A653 G90 galvanized steel .Material Type 2: Aluminum Thickness: 0.025" (min.) Alloy Type: 3105-1-114 Corrosion Resistance: In compliance with FBC Section 1507,4.3: o ASTM B209 Nominal Dimensions: Width: 24" Height: 4-1/2" Lengths: 2' , 4', 6', 8' and 10' Fastener(s): Base Fastener: Purpose: Attaches Ridge Vent Base Flange to Deck Type: Annular Ring Shank Roofing Nails Size : 11 gauge x 1-1/2" Corrosion Resistance: Per FBC Section 1506.5 Standard: Per ASTM F 1667 Alternate Fastener: Purpose: Attaches Ridge Vent Base Flange to Deck Type: Hex -Head Wood Screw Size : #10 x 1-1/2" (min.) Corrosion Resistance: Per FBC Section 1506.6 and 1507.4.4 Standard: Per ANSI/ASME B18.6.4 Roof Cement: Type: Asbestos -free asphalt based roof cement w/ SBS rubber Application Size : 1/4" thick minimum Standard: Per ASTM D 3019 Type III and ASTM D 3409 FL #: FL 16568.1 R1 Date: 2 / 26 / 15 �� Report No.: 15-104-MM-2B-ORV-ER_14 CSUCK Page 5 of 7 Spe"claftj 5tTL =turc91 Engines incg CBUCK, Inc. Certificate of Authorization #8064 Installation: Installation Method: (Refer to drawings on Pages 6-7 of this report.) ■ Prepare deck opening by trimming any shingles & nails that may interfere with ridge vent installation. ■ Apply roof cement to the underside, back and side flanges of the ridge vent. Cement should be a 1/4" thick and extend 2" onto roof underlayment. (Install cement in compliance with manufacturer's installation guidelines.) ■ Position vent flange beneath loosened shingles and align with deck opening. ■ Slide baffle onto lower roof vent flange and secure with nails or screws spaced 4" o.c. ■ Attach vent top and side flanges to deck with nails or screws spaced 4" o.c. and 1-1/2" from each end. ■ Minimum fastener penetration thru bottom of support, 3/16". Install the "MMI-2B Off Ridge Vent with Detachable Baffle" assembly in compliance with the installation method listed in this report and applicable code sections of FBC 5th Edition (2014). The installation method described herein is in accordance with the scope of this evaluation report. Refer to manufacturer's installation instructions as a supplemental guide for attachment. Referenced Data: 1. TAS 100(A)-95 Test Architectural Testing, Inc.(FBC Organization #TST ID: 1527) Report #: D0249.01-450-18, Report Date: 8 / 29 / 13 2. Quality Assurance By Keystone Certifications, Inc. (QUA ID: 1824) Millennium Metals Licensee # 423 3. Certification of Independence By James L. Buckner, P.E. @ CBUCK Engineering (FBC Organization # ANE 1916) FL #: FL 16568.1 R1 Date: 2 / 26 / 15 Report No.: 15-104-MM-2B-ORV-ER_14 Page 6 of 7 1c:91tLj Strut urc9l 6:nQlt,*=t=rlri q CBUCK, Inc. Certificate of Authorization #8064 Installation Method Millennium Metals, Inc. " MM1-2B" Off Ridge Vent with Detachable Baffle Attached to Wood Deck Profile Drawings 5-1/2" 4 1/2" �3 -1/8.1 18-1/4 I— 3" -I Side View (Not To Scale) Typical Fastener(s) 11 Gauge Ring Shank Roofing Nail OR - #10 min. Wood Screws MMI-2" Steel Off Ridge Vent Higher Slope (Back) Typical Fastener(s) • 11 Gauge Ring Shank Roofing Nail OR - #10 min. Wood Screws + Detachable Baffle - Two piece system that slides plywood Deck into lower flange of vent and secured with fasteners spaced 4" o.c. Lower Slope (Front) Typical Side View (Not To Scale) FL #: FL 16568.1 R1 Date: 2 / 26 / 15 p R � � Report NO.: 15-104-MM-2B-ORV-ER_14 {CK NPage 7 of 7 Spo--leilki Stir uctural Enq ne�Pring CBUCK, Inc. Certificate of Authorization #18064 Installation Method Millennium Metals, Inc. "MMl-213" Off Ridge Vent with Detachable Baffle Attached to Wood Deck 1 1/2" o.c. Nominal Lengths 4 Ft. 6 Ft. 8 Ft. 10 Ft. 1 1/2" 4" o.c. 4" o.c. Typical, Maximum Typical Fastener(s) -11 Gauge Ring Shank Roofing Nail OR - #10 min. Wood Screws Top Plan View (Not To Scale) (Typical Fastening Pattern) Base Flange Typical Fastener(s) -11 Gauge Ring Shank Roofing Nail OR - #10 min. Wood Screws Typical Ridge Vent Assembly Isometric View (Not To Scale) Detachable Baffle Two piece system that slides into lower flange of vent and secured with fasteners spaced 4" o.c. CITY OF ORD Building & Fire Prevention Division RESIDENTIAL RE -ROOF AFFIDA VIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #:M—P30 ADDRESS: _%2r 11 I 1k)' r 0M_L 9 C0* j , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION IS TRUEAND 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 FLOP-IDA 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 ##: COMPANY/CONTRACTOR: CONTRACTOR SIGNATURE: DATE: (MUST BE SIGNED BY LICENSE O OWNER/BU[LDER) A FINAL ROOF INSPECTION IS REQUIRED: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE T1ME 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 jcS� Sworn to and Subscribed before me this WA day of 201 S by: 00t4' -2 t;- VtaYV-z,A40, k . Who is -1 Personally Known to me or has ❑ Produced (type of identification) cl- O-'' Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public as identification. ;rY • OLIVIA L COLANDRO `c MY COMMISSION '# GG046989 '•,�;,,td:�� EXPIRES November 14, 2020