Loading...
HomeMy WebLinkAbout500 Fox Quarry Ln 16-2039; RE-ROOFCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: (o C) Documented Construction Value: Job Address: L C) historic District: Yes El No El Parcel lD: 2 — LL 0 1 L,,; 7> ) Residential Commercial El Type of Work: New Addition Alteration Repair S Demo Change of Use Move Description of Work: t Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name(_V-vA&,f-,Jrr) Phone: 2 Street: , Resident of property? City, State Zip: .., rL 3e-_T,,LA Contractor Information Name = C Phone: , Street: i`j LjQ1 d~' l '. Fax: ti M i ` (4 - c ` . F T _ City, State Zip: > . --, r, > _.. _ _. State License No.: Architect/ Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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 construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, 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: 5`r' Edition (2014) Florida Building Code 1\ r Revised: June 30, 2015 Permit Application 1:74 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 frorn other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance ot'perruit is verification that I will notify the owner of the property of the requirements of lorida Lien Law, FS 713. The City of Sanford requires payment of a plan review Ice at the time of'perinit 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, construction and zoning. Signature ofOwner" Agent Date Print Owner/Agent's Name Signature ot'Notary-State of Florida Date Owner/ Agent is Personally Known to Me or Produced ID Type of ID lure Contrac((,?e,,t Contractor/ Agent's Name Signature ( Aotary-State of Florida Contractor/ Agent is "/ Person2 Produced ID __ Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building[] Electrical[] Mechanical Plumbing[] Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes n NoF] # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Date j S P*. is GasFJ Roof [] Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes [] No [] WASTE WATER: BUILDING: Revised: Juric 30, 2015 Permit Application City of Sanford Building and Fire PreXuvention Permit # Project Location Address E(-44 C 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 Florida Approval # Description (include decimal) 1. Exterior Doors Sliding Sectional Roll Up Automatic Other 2. Windows mM Sin Ie Hung Horizontal Slider Casement DoubleHung Fixed Aw-n-I Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory 3. Panel Walls Sidin Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles - Underlayments Roofing Fasteners Nonstructural Metal Roofing_ _ Wood Shakes and ShingIes Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofinq slate Cements/ Adhesives / Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roafinc E.P.S. Roof Panels Roof Vents Other Manufacturer Product Florida Approval 4 lincludina decimal) June 2014 2 Category / Subcategory 5. Shutters Accordion Bahama Colonial Roll up Eauir)men Other 6. Skvliqhts Skylights Other 7. Structural Components Wood Connectors Anchors Truss Plates ineffed_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) Manufacturer Product Florida Approval # Description (include decimal) June 2014 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry,.Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: --:j 1z 6o'-' -- I hereby name and appoint: an agent \(-10 [ ( , 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): M The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 'K-"'day of 20, by IVL who is N(Personally knownC\\,i to me or i--i who has produced as identification and who did (did not)w an oath. Signature4DV Notary Seal) M A E,7 1/* Print or te name 41 Q) fill Notary Public - State of Commission No. My Commission Expires: qjjQJL-j_ Rev. 08.12) fA--a 2016 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: q___ Documented Construction Value $' Job Address: Historic District: Yes D No Parcel ID:Yt X, Residential Commercial Type of Work: New Addition Alteration Repair El Demo Change of Use Move El Description of Work: " )\ Plan Review Contact Person: 'Title: Phone: Fax: Email: Property Owner Information Nance\`t ss_{s Phone:Z-m 1_l Street: - i_. _ Resident of property? : City, State Zip: vc c Y 4 -_l _ Contractor Information Name _ Phone: A6_..i l__— Street:Fax • City, State Zip: s" State License No.: Architect/Engineer Information Name: Street: City, St, lip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAII.,URE TO RECORD A NOTICE OF COMMENCEMENTMAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPFIRTY. A NOTICE; OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORETHE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR MENDER 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 cornmenced 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 most be secured for electrical work, plumbing, signs, welts, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105. 3 Shall be inscribed with the date of application and (lie code in effect as of drat date: 5"` Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application r NOI'I(,'I--,: In addition to the requirements of this permit, there tuay 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. Z Acceptance ofperinit 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 plan review fee at the time ot'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 C011SO-LIC0011 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 YOLV permit tces 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 construction and zoning. Signature of OwiieCAgent Date Print Owner/Agent's Name Signature of Notaiy-State of Florida Date Owner/Agent is — personally Known to Me or Produced ID Type of ID Sig I lakreAr('o tit ract ot /A61A Date rint (, oiitl-iictot-/Agetit'sattic I 7 signature (/ Notary - State of Florida Contractor/Agent is Persona Produced lD_______ TypeofID BELOW IS FOR OFFICE USE ONLY Permits Required: Building[] Electrical I _] MechanicaIE] PlumbingE] Gas[] RoofE] Construction Type: Occupancy Use: Flood Zone: - Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: YesE] NoFj # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: YesE] NoE] WASTE WATER: BUILDING: Revised: Alne 30, 2015 Permit Application 4 1 Building and Fire Prevention r i i ' s$ i . i 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 l Subcategory Manufacturer Product - Florida Approval # QescrOtion -- (include decimal) 1. Exterior Doors Swinging- Slidin __ Sectional Roll Up Automatic Other 2. Windows Single Hung Horizontal Slider Casement Double Hun Fixed Awn i n Pass Through Pro'ected Mullions Wind Breaker- Dual -Action Other Tune 2014 Category / Subcategory 3. Panel Walls Sidin Soffits Storefronts Curtain Walls Wall Louver Glass block_ Membrane_ Greenhouse _ -- E.P.S Composite Panels Other 4. Roofing Products Asphalt Shinn les Underla rments __ LL4Roofinq Fasteners' Nonstructural Metal Roofing -- Wood Shakes and Shingles T Roofing tiles_ Roofing Insulation _ Waterproofing Built up roofing ystem _ Modified Bitumen Single Ply Roof S stems Roofing slate Cements/ — Adhesives / Coatin Liquid Applied Roofinq Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents OtherW Manufacturer Product Florida Approval # includina decimal] June 2014 2 Category / Subcategory 5. Shutters Accordion Bahama-- W Colonial Roll up E uiprnen Other 6. Sk/iiclhts Other -- --- _ 7. Structural Components Wood Connectors / Anch_ors_.____________ .. Truss Plates Engineered Lymber Railing Coolers/Freezers _ Concrete miAdxtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelooe Products Applicant's Signature Manufacturer Applicant's Namei Please Print) Product Descriotic Florida Approval # include decimal) June 2014 3 CM LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby narne and appoint: an agent of. Name of ompany) 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): Ed The specific permit and application for work located at: 13 Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name:- ' C State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this At day of 2415,,, by who is w"'personal y known to me or ri who has pr6duced identification and who did (did notke an oath. Signature igInnatu7Notary Seal Print or tpe name Notary Public - State of Commission No. f F 0) My Commission Expires:_-c J as Rev. 08. 12) CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: -1 Job Address: 21 Historic District: Yes 0 Na Parcel 11): Residential 0 Cominercial Type of Work: New 11 Addition 11 AlterationEl Repair 02 Demo 1:1 Change of UseEl Move 0 Description of Work: a 'fe, Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name > Phone: Street: Resident of property?: City, State Zip: tkl-L Contractor Information Name Pbone: Street: Fax: JL StateLicense No,: City, StateZip: LQLL-fx Arch itect/ Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E- mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAX 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 INTENDTO 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. [ 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 tills Jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed wi(h the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application a95 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 firorn 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 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 ol'submittal. The actual construction value will be figured based on the current 1("(' Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured Off the CXCCUted contract exceed the actual COnStrUCti011 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 construction and zoning. Signature ofOwner/Agent Date Print Owner'Agent's Name Signature of Notaty-State of Florida Date Owner/Agent is Personally Known to Me or Produced ID — Type of 11) Signature `ofota'y-State of- Date Contractor/Agent is Produced 11) Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building M ElectricalE] Mechanical R Plumbing[] Gas[:] Roof [] Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes[:] NoF1 APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES:. FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes [] No[] WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address L-1 16 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 Florida Approval 1. Exterior Doors Swinging Sliding Sectional Roll Up Automatic Other 2. Windows Single Hunq Horizontal —Slid4r Casement Double Hung—. Fixed Awning — Pass Through Projected Mullions Wind Breaker Dual Action Other June 20 t 4 Category / Subcategory 3. Panel Walls Sidinn - Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other - - 4. Roofing Products Asphalt Shinqles-- Underla ments Roofincq Fasteners Nonstructural Metal Roofing_ Wood ^Shakes and Shies Roofinfilles Roofing Insulation Waterproofinq Built up roofing Modified Bitumen Single Ply Roof Systems Roofin slatelate Cements/ Adhesives / Caa_tinmq Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofin E.P.S. Roof Panels Roof Vents Other Manufacturer Product Descriatic Florida Approval # liocludina decimal) June 2014 2 Category / Subcategory Manufacturer Product Florida Approval # I Descrintion (include decimal) 5. Shutters Accordion Bahama Roll up Equipment Other Other 7. Structural Components Wood Connectors Anchors Truss Plates J Q_qiqeered Lumber JRailing 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 ->(A'AA Please Print) N June 2014 3 6 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: A I z 6111, I hereby name and appoint: an agent of: 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): Id The specific permit and application for work located at: z CK'J'-2 Street Address) Expiration Date for This Limited Power of Attorney:______ — License Holder Name: I A\, State License Number: Signature of License H STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 'Z,t day of who is : personal y known to me or o who has pr6duced identification and who did (did not) take an oath. ure Notary Seal) Print or type name lori, 20, % I ZA' 00 Notary Public - State of Commission No. _ C,) L-____ Commission Comission Expires: 1 22 qL - as Rev. 08.12) CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I Documented Construction Value: Job Address: 11 IJistorie Distriet: Yes 0 No M Parcel ID:Residential Commercial Type of Work: New Addition Alt:eration Repair Q Demo Change of Use Move Description of Work: Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name _ Phone: J A 1 Street: 2.oc) iL Resident of property? -- City, State Zip:,,( Contractor Information Phone:.0 i;` a1Name Street: Fax: t-kol := 5t-: _ - City,State Zip: cp _ .... .. M State License No.: c c- LLY Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: _ E-mail: Bonding Company: _ Mortgage Lender: Address: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCI+',MENT MAY RESULTIN YOUR PAYING TWICE FOR IMPROVEMENTS `TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TILE JOB SITE BEFOR ? TTIF, 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 wit[ be performed to mect 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 (fiat date: 5"' Edition (2014) Florida Building Code Revised: Rine 30, 2015 Pcrmit 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 froth 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 tirne 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 construction and zoning. Sigiiaftll-Q ofOwner/Agent Datc Print Owner Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Agent's Name Signature of'NoKy-State of Florida Contractor/Agent is Personally Produced Produced 11) _ Type of ID — BELOW IS FOR OFFICE USE ONLY Date I- I N' ,,I Mnc Ra. fIf S1 0 N 6 20 Yi- Permits Required: Building[] Electrical[] Mechanical PILImbingE] Gas[] RoofE] Construction Type: Occupancy Use: Flood Zone: - Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: YcsF] NoF] # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes [] No [] WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application v fit p City of '. 1111PI, 5 1 i II IvIllyl i Permit # Project Location Address 1; - ; - V-( F-) L-7 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 Florida Approval # 1. Exterior Doors Slidin Sectional Roll Up_ Automatic Other 2. Windows Simile Huna Horizontal Slider Casement Double Hung Fixed Awning Pass Through Projected-- Mullions Wind _Breaker Dual Action Other June 20t4 Category / Subcategory 3. Panel Walls Siding Soffits-----______.._ Storefronts Curtain Walls Wall Louver Glass block___ _ Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products As ahalt,Shin les _____ Underlayments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofincq tiles Roofing Insulation _ Water roofin Built up roofing System_ __ __ Modified Bitumen Single Ply Roof Systems Roofingslate _ Cements/ Adhesives / Co_atin _ Liquid Applied Roofing Systems_ Roof Tile adhesive__ Spray Applied -- Polyurethane Roofing E.P.S. Roof Panels Roof Vents --_ Other Manufacturer Product Descriatic Florida Approval # including decimal) June 2014 2 Category / Subcategory 5. Shutters Accordion Bahama Colonial Roll up Equipment_ Other 6. Skylights VVM—S— Other 7. Structural Components Wood Connectors Anchors Truss Plates E ineerqd_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 Manufacturer Applicant's Name V) C Please Print) Product Florida Approval # June 2014 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: --j I z 6 o., I hereby name and appoint: an agent 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): Gd The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: -- License Holder Name: State License Nurnber: Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this Z" 20V who is 761LA,_, by C,f--n 1 CV I ersonally known to me or n who Droduced -n I In as identification and who did (did not) take an oath. Notary Seal) Notary Public - State of __V L- Commission No. My Commission Expires:_q_[2?,)JL-L_ Rev. 08.12) tCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION 4 3 1 ff fff Application No: Documented Construction Value: $ '?-, Job Address: 4 Wo iHistoric District: Yes No l`1 t Parcel ID: , - - Residential 11 Commercial [] Type of Work: New Addition Alteration Repair El Demo Change of Use El Move Description of Work:= Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name f , s 2 i4_ c _ Phone: Alt1 Street: - Resident of property? City, State Zip: WA2L, 1 Contractor Information Names, %, t*fCY'`Y1t Phone:f Street: 1 C >c i m 1 c x s:> ',c_ . Fax: t-W-1- 6 5L1 _.'A 1 City, State Zip: _%5 State License No. t i , Name: Street: City, St, Zip: Bonding Company: Address: Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Mender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTIC''E OF COMMENCEMENT MUsi, BE RECORDED AND POSTED ON TIII JOB SITE B[ FORE TIIE FIRST INSPECTION. IF YOU INTENT) 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 itr this jurisdiction. I understand that a separate permit most be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. F BC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5"' k:didon (2014) Florida Saildin j Cade 5 Revised: June 30, 2015 Permit Application L"0 ' 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 ot'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 ot'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 consti-Liction value will be figured based on the current WC 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 Ices 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 constructio"nd zoning. Signature of Owner/Agent Date Print Owner/Agent's Name Sigllaftll-C of Notary -State of Florida Date Owner/Agent is --- Personally Known to Me or Produced ID ---- Type of ID S4,naufre ot'C&Atractor/ Print Contraktor/Agcnt's Name 7 signature of Z, y-State of Florida Contractor/Agent is Personal Produced 11) __ Type of ID BELOW IS FOR OFFICE USE ONLY Date Permits Required: Buildingn Electricaln Mechanical Plumbing[] GasEJ RoofE] Construction Type: Occupancy Use: Flood Zone: - Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: YesEl NoF] # of Heads APPROVALS. ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: YcsE] No [] WASTE WATER: BUILDING. Revised: Rloe 30, 2015 Permit Application City of Sanford Building and Fire Prevention r! i i i r • i i Permit # Project Location Address C-1 vL l 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 - - -- - - Florida Approval # 1. Exterior Doors Swinging -- Sfidin - Sectional Roll Up Automatic Other-, 2. Windows Single Hunq Horizontal Slider Casement Double Hung Fixed Awning Pass Through Protected Mullions _ Wind _ Breaker Dual Action Other Tune 2014 Category! Subcategory 3. Panel Walls Siding Soffits_____ -- Storefronts W- Curtain _Walls Wall Louver Glass black Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shies____ Underlavments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing ti-les Roofing _ Insulation _ W_aterproofing Built up roofing System _ Modified Bitumen Single Ply Roof Systems Roofingslate__—_ Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile_--- - adhesive Spray Applied_______. Polyurethane Ro_ofin E.P.S. Roof Panels Roof Vents Other _ Manufacturer Product j Florida Approval 4 Description I (including decimal) June 2014 2 Category / Subcategory 5. Shutters Accordion Bahama Colonial Roll UD Other 6. Skylights_ li hts Other 7. Structural Components Wood Connectors Anchors Truss Plates Engineered Lumber Rail 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) Manufacturer Product DescriL)tic Florida Approval # Rine 2014 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: an agent of-._ 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): Bd The specific permit and application for work located at: I— 1:--- AStreetAddress) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this,Zdayf 00 bywho is 20, idpersonallyknown to me or l j who has produced identification and who did (did not) take an oath. Signature Notary Seal) E Print or type name P Notary Public - State of Commission No. fj— My Commission Expires: C Its Rev. 08,12) i t--- Application No: I LJOL'l — Documented Construction Value:$ ',)Z Job Address: -')Oo(,) -Vr,pc t -c)k r\c- -c-j n r<'A LL--ZLL113 Historic District: VcsE1 No Parcetff): NL1LX Residential El Commercial 1 TypeofWork: NewE] AdditionEl AlterationEl Repair El DemoEl Change of UseEl Move 0 Description of Work: Plan Review Contact Person: Phone: Fax: Email: Title: Property Owner Information Name Phone: Street: Resident of property? City, State Zip: Contractor Information Name A__ C -Co fys Phone: Street: 2h k\ C Fax: A()] City, State Zip: State License No.: Arch itect/Eng i neer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E- mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE Oil COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST lit" RECORDED AND POSTED ON THE JOB SITE BEFORETIIE 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 [lie 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: 5"' Edition (2014) Florida Building Code Revised: Ririe 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 properly of the requirements of Florida Lien Law, FS 711 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 he done in compliance with all applicahle laws regulating construction and zoning. Signature ol'OwnerAgent Date Print Owner Agent's Name Signature ot'Notary-State of Honda Date Owner/Agent is Personally Known to Me or Produced ID Type of ID -_ Sign Date 11t;0 Coiitractor/Agcnt's Name 4Signatureol`N ary-StaleofFlorida Date N A E Z 14 A' \\9, 20, o C. 4k Contractor/Agent is )Personallf-KaffWn twMe or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: BuIldingF] Electrical [] Mechanical E] Plumbing[] Gas[-] Roof [:] Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes Non APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes [] No UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application City of Sanford Building and Fire Prevention 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.orq. 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 Florida Approval # Description (include decimal) 1. Exterior Doors Swinging SIidi Sectional Roll -_ Automatic Other 2. Windows Single Hung _ Horizontal Slider Casement Double Hung Fixed Awninrg Pass Through Pro'ected Mullions_ _ Wind Breaker Dual Action Other June 2014 ategory / Subcategory Manufacturer Product Florida Approval # QescriDtion (includina decimal) 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass black Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles___ -_. UnderlaVments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofinq tiles Roofing Insulation Waterproofing Built up roofing ~ System_________ Modified Bitumen Single Ply Roof Systems Roofinq slate Cements/ Adhesives / Coatin Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofin E.P.S. Roof Panels Roof Vents Other — _-_ June 2014 2 ategory / Subcategory Manufacturer Product Florida Approval # Description (include decimal) 5. Shutters Accordion Bahama Roll up EaUiDment Other Sk rqhts qkyj q,hts 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 Y) Please Print) I June 2014 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: A I z --- I hereby nartic and appoint: an agent of.-___-_, 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): Ed The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA ICOUNTYOFC N The foregoing instrument was acknowledged bet -ore me this '7 k`:'-day of 2001,, , by who is y knowne.sonal , to me or n who h isA pro'ducc(j n f L as identification and who did (did not) take an oath. gnature Notary Seat) M, A E,7 ebb v-" 011 40 Print or type name Notary Public - State of Commission No. My Commission Expires: Rev. 08.12) CITY OF SANFORD t' BUILDING & FIRE PREVENTION 2 W PERMIT APPLICATION Application No: Documented Construction Value: $ ,3 . Job Address: - C" Historic District: Yes No l J Parcel 11): - , , g -- t ., Residential 11 Commercial Type of Work: New Addition Alteration Repair El Demo El Change of Use 11 Move Description of Work: Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name 'x ,. two _ Phone: Street: c>r, 1 Resident of property? City, State Zip: ILLlk 17W"`tS i Contractor Information Name ° LtL -\ ' - S__...._ _ Prone: Street: t '' . t_Fc Fax: City, State 'Lip: 1 i ,-0_ _ .:_ , - t ______ State License No,: Architect/ Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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 IMPROVEMF,NTS TO YOUR PROPERTY. A NOTICE; OF COMMENCEMENT MUST BE RECORDED DAND POSTED ON THE. JOB SITE: BEFORE; TIIE? FIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNF,Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby inade to obtain a permit to do the work and installations as indicated. I certify (flat no work or installation has commenced prior to the issuance of a permit and that all work will be performed to mect standards of all laws regulating construction in (his jurisdiction, I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, 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: 5°1 Edition (2014) Florida Building Code Revised: lucre 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 all applicable laws regulating construction and zoning. Signature of OwneriAgent Date Print Owner'Agent's Name. Signature of Notary -State of Florida Date Owner/Agent is ____ Personally Known to Me or Produced ID Type of ID 7`";-, I ` t 1Ca Signature of Lary -State of Florida Date 1111t1441itltttl' MAF O ''A PO try"•" Contractor/Agent isy Personal KiiNZn to Me =_ Produced ID _ Type of ID SrndEAtinc .,, y,y el, A""""; •t"""• "( ifs \y\ 1fjt.!c, SCALE wxyBELOW IS FOR OFFICE USE ONLY lrrt,l'tttt;ll 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application City of Sanford Building Prevention r i illl lip 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.floridabuildin .or . 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 ManufacfiurerProduct LL Florida Approval # 1. Exterior Doors Swinging Sliding _ - Sectional Roll Up 4Automatic Other--, 2. Windows Single Hunq Horizontal Slider Casement bauble Hum___ Fixed Awning Pass Through Projected Mullions Wind Breaker Dual ActionM__ Other --_-- June 20 t 4 s Category f Subcategory 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_-_--- Underlayments _---__. Roofinq Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles _ Roofing tiles Roofing Insulation _ Waterproofing --,,-- Built up roofing S stem e_ -_. _ Modified Bitumen Single Ply Roof Svstems Roofing slate Cements/ Adhesives / Coatin Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofin E.P.S. Roof Panels Roof Vents Other Manufacturer Product Florida Approval 4 includina decimal) June 2014 2 Category / Subcategory 5. Shutters Accordion Bahama Colonial Roll up _---- Equipment _ Other_ _ SkYliqhts Other_ 7. Structural -------____._ Components Wood Connectors / Anchors Truss Plates_ Enineered LumberA Ra__ ilin --- Coolers/ Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other__ 8. New Exterior Envelope Products Applicant' s Signature Manufacturer Applicant' s Namei, Please Print) Product Florida Approval # include decimal) June 2014 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: -j I 6 Ucl I hereby name and appoint: an agent of, 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): Id The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF -U C C- The foregoing instrument was acknowledged before aje tliis.Zj''day Of 200 e6v\ 'Y-) L, by , --' who is personal y known to me or F-i who has pr6dnced identification and who did (did not) take an oath Notary Seal) 0. 20, 04P Si Print or type name Notary Public - State of __IEL__ Commission No. 1 -.7- My Commission Expires: --qhAA1J— as Rev. 08.12) A V NAll Application No: Documented Construction Value:$ 2-Ci, ]k 7 Job Address: Historic District: Yes [I No Parcel ID: ResidentialD Commercial Type of Work: New 11 Addition 11 AlterationEl Repair 0 DemoEl Change of UscEl Move El Description of Work: Plan Review Contact Person: Phone: Fax: Email: Title: Property Owner Information Name Phone: Street: Zlco L_Resident of property? City, State Zip: Contractor Information Name Phone: _- Street: Fax: I L City, StateZip: 'N State License No.: Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: 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 cornmenced 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 sectired for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air conditioners, etc. FBC 105. 3 Shall be inscribed with the date of application and the code io effect as of that date: 5"' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application i 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. I Acceptance ol'pertuit 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 ol'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 construction and zoning. Signature ot'Owner"Agent Date Print Ownet 'Agent's Name L -.. 7 -41 -1 J. Signature ot'Notaty-State of Florida Date Signature ofM ry -State of Florida Date Rol, 40 Owner/Agent is Personally Known to Me or Contractor/Agent is _1/ PersonallyT-;M wn t,l * or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building[] Electricaln MechanicalF] PlunibingE] Gas n Roof n Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures' Fire Sprinkler Permit: YesF] NoEl # of eads Fire Alarm Permit: YesE] No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 Permit Application s City of Sanford Building and Fire Prevention 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.orq. 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 l Florida Approval # T---_—_____ Description I (include decimal) 1. Exterior Doors Swing i Sliding Sectional Roll -- Automatic Other--_--______-----_. 2. Windows Simile Hung Horizontal Slider Casement Double Hung -- Fixed Awning Pass Through Pro'ected Mullions__ Wind Breaker Dual Action__ Other June 2014 r "s. Category / Subcategory 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 -_ UnderlaVments Roofing Fasteners Nonstructural - Metal Roofing Wood Shakes and W Shingles Roofing tiles - Roofing Insulation _ Waterproofinq m Built up roofing S stem Modified Bitumen Single Ply Roof Systems Roofinn slate Dements/ Adhesives / Coatin Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied--- __ Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other Manufacturer Product Florida Approval # escrication (includina decimal) June 2014 2 irk Category / Subcategory 5. Shutters Accordion Bahama Colonial Roll up Equipment Other ---,-,,-,- 6. Sk Skyliq is Other 7. Structural Components Wood Connectors Anchors Truss Plates JE _ineeredLumber 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) Manufacturer Product Florida Approval # escrit)tion (include decimal) June 2014 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: an agent of: dame 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): id The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name:--.Y State License Number: Signature of License STATE OF FLORIDA I ('T\ COUNTY r J The foregoing instrument was acknowledged before me this day of 20 by who is R(personal y kn`owli to me or o who has pr6duced ____fjjb_ identification and who did (did not) take an oath. Notary Seal) 4 Signature C AL A Print or type name Notary Public - State of Commission No. c> I -i— My Commission Expires:, as Rev, 08.12) R i l; CITY OF SANFORD j ... 2 h '16 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ Z? A,-147 Job Address:` ... Historic District: Yes No Pareel Ill: Residential C.ommercial Q Type of Work: New Addition AlterationEl Repair El Demo Change of Use El Move El Description of Work: Tj Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name l. x -"'} :._ Phone: Street:, L,,t iL Resident of property? City, State Zip:m,i _ Contractor Information Name _ i Phone: .. Street: 1 t 1 ' t .,_ Fax: City, State Zip: State License No.: Architect/ Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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; construction iri 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: 5" Ediiion (2014) Florida Building Code Revised: hine 30, 2015 Pecunit 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 t*edcral agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 711 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 'Fable in eflIcet 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 Lae done in compliance with all applicable laws regulating construction and zoning. Signature ofOwnet!Agent Date Print OwnerAgent's Name Signature of Notary, -State of Florida Date Owner/Agent is __ Personally Known to Me or Produced 11) ___ Type of ID Contractor/Agent is Personal Produced ID -- Type of ID BELOW IS FOR OFFICE USE ONLY DateSignatureoftai)/-State of Florida11oftay J\%i111111JJj NAEZ "Allk, 4 P0 K2ibwn 4o *1e or I. mv? Permits Required: BuildingE] Electrical n Mechanical n PlumbingE] Gas[] Roof [] Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: YesFJ Non #of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes [] NoE] WASTE WATER: BUILDING: 13 Revised: Rine 30, 2015 Permit Application City of Sanford Building and. Fire Prevention Permit # Project Location AddressZ- 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.floridabuildin .or . 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. Manufacturer Product Florida Approval # Category /Subcategory Qescription (include decimal) 1. Exterior Doors Swinging Slidinq _ Sectional Roll Up - -- Automatic Other 2. Windows Single Hung Horizontal Slider Casement Double Hunk --_-------_-__ _ __ --- _ Fixed Awn* n ---- Y— Pass Through Pro ected Mullions_ Wind Breaker Dual Action Other June 2014 Category / Subcategory 3. Panel Walls Siding Soffits _ Storefronts Curtain _Walls Y— - -- Wall Louver Glass block--___-- Me_mbrane _ Greenhouse Composite Panels Other 4. Roofing Products Asphalt Shinqles____. Underlayments Roofin Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofingtiles Roofing Insulation Water roofiN__ Built up roofing S stem Modified Bitumen Single Ply Roof Systems Roofincq slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive---,--------,,,--,-, Spray Spray Applied Polyurethane Roofin E.P.S. Roof Panels Roof Vents Other Manufacturer Product Florida Approval # including decimal) June 2014 2 4" 4*4 Category / Subcategory 5. Shutters Accordion Bahama Colonial Roll u JEquipment_ Other 6. Slky4_hts_ Other 7. —Structural- Components Wood Connectors Anchors Truss Plates Engineered Lumber Raili 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) Manufacturer Product Florida Approval # Description (include decimal) June 2014 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 7 I hereby name and appoint: ' - 1w C x1V- an agent 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): N The specific permit and application for work located at: street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF Qi- C who is known The foregoing instrument was acknowledged before me this Z 1,-day of b "" .76200 ie'is-ual yJA' y --- to me or i-j who has produced t j as identification and who did (did not) take in oath. Signature7— Notary Seal) XO%%%11110111111, MAE,, Print or t_ pe name Notary Public - State of Commission No. i -' c> My Commission Expires: ----I-Lx--LL- Rev. 08.12) CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION2501 Application No: jjy-,30 A Documented Construction Value:$ Job Address: (% v-j-__aLLjj3 Historic District: Yes 0 No [N Parcel ID: ('i -7 Xr Residential El Commercial Type of Work: New Addition 1:1 Alteration 11 Repair El DenioEl Change of UseE] Move El Description of Work: Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name Lccu Phone: Street: Resident of property? City, State Zip:yl Contractor Information Name c.Phone: Street: )`3:jc LA Fax: City, State Zip: State 1,icense No.: Architect/Engineer Information Name: Street: City, St, Zip:, Bonding Company: Address: 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 TIIEJOB SITE BEFORE THE FIRST INSPEC I'ION. IF YOU IN` END 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 COFIARIC60110 in this Jurisdiction. I understand that a separate permit most he secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air conditioners, etc. IBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5"' Edition (2014) Florida Building Code Revised: Rine 30, 20 t 5 Permit Application 1% 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 frorn 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 construction and zoning. Signature of Ownel- Agent Date Print Owner Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of lD Signatur,ofat;y-State of Florida Date 4Ntik{itll6dRttt,/ GPpy M4'e ifs, r Contractor/Agent is _ Personally Produced ID Type of lD 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: FIRE: BUILDING: Revised. June 30, 2015 Permit Application City of Sanford 4 f Yt)Building and Fire Prevention i •' ' • i iIRMi' i • Permit # Project Location Address CA. L L __.l _I 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 Florida Approval # Descriotion (include decimal) 1. Exterior Doors Swinging Slidin_ Sectional Roll Up _--_ Automatic Other 2. Windows Sin Ike Hung Horizontal Slider Casement Double Hunk Fixed Awnin Pass Through Projected Mullions Wind Breaker Dual Action Other Jute 2014 Category / Subcategory 3. Panel Walls Siding Storefronts ----- Curtain _Walls _ Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underlayments_ Roofing Fasteners Nonstructural Metal Roofing _ Wood Shakes and Shingles _ Roofingtiles Roofing Insulation Waterproafirc Built up roofing System Modified Bitumen Single Ply Roof Systems _ Roofing slate Cements/ Adhesives / Coatin Liquid Applied Roofing Systems Roof Tile------ adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other Manufacturer Product Florida Approval # Descrintion (including decimal) June 2014 2 Irm b Category / Subcategory 5. Shutters Accordion Bahama Colonial Roll up E_qyjRTent Other 6. Skvli-qhts Sk liqhts Other 7. Structural Components Wood Connectors Anchors Truss Plates ine ereq 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) Manufacturer Product Florida Approval # include decimal) June 2014 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: ---11 7 A I hereby name and appoint: ZCffIlAVC an agent of -__-- 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 specific permit and application for work located at: Street Address) Expiration Date for This Limited Power olAttorney: License Holder Name: - State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF tl TheforegoinginstrLimeritwasacknowledgedbeforemethis 'Z `day o 200A_,,_, by wtio is ir personally known to me or n who has pr6duced _ -n I h -- -- - - - as identification and who did (did not) take an oath. Signature ignatu7Notary Seat) Print or t pe name Notary Public - State of Commission No. FF-C,>j`oj My Commission Expires:_ _'qjLKAL-L_ Rev. 08,12) PERMIT APPLICATION Application No: Documented Construction Value:$ Job Address: t,)nc)<,-) Historic District: Yes 0 No Pa reel ID: j e -- LResidential [] Commercial Type of Work: NewEl Addition 1-1 Alteration 0 Repair El Demo 11 Change of UseEl Move El Description of Work: Plan Review Contact Person: Phone: Fax: Email: Title: Property Owner Information Name Phone: Street: Z-cso_ t-, Resident of property? City, State Zip: Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E- mail: Mortgage 1-,endet-: Address: WARNING TO OWNER: YOUR FAILURE: TO RECORD A NOTICE OF COMMENCEMENT MAY RESULTIN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT M(jST III`, ' RECORDED AND POSTED ON TIIE JOB SITE BEFORE THE; FIRST INSPECTION. IF YOU INTENDTO OBTAIN FINANCING, CONSULT WITn 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: 51" Edition (2014) Florida Building Code Revised: June 30, 2015 Perini( Application 4 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 ofsubmittal. 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 construction and zoning. Signature of Owner'Agent Date Print OwuerlAgent°s Name C, 1 Signature of Notary -State of F lorida Date Owner/ Agent is _— Personally Known to Me or Produced ID _ Type of ID BELOW IS FOR OFFICE USE ONLY Signature of tary-State of Florida Date yl tiNiA 4tMttttdE/ Contractor/ Agent is PetsonallAwn Ge•P9[e or Produced [ D Type of ID';.,_-__.3p12 P: i*", 5a; nth estf11134i41 t t\ 0 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application City of Sanford M ME Permit # Project Location Address 1 F-, .. ,c - _i 7'2 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 l Florida Approval # Description I (include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll U_ Automatic Other 2. Windows Sin IqeHung THorizontal Slider Casement Double Hung____. Fixed Awning Pass Throuqh Projected mullions Wind_ Breaker Dual Action _ Other June 2014 s 4 Category f Subcategory 3. Panel Walls Siding Soffits Storefronts Curtain Walls - __.__. Wall Lauver____ -, block.-___ ------ Membrane Greenhouse ----- E.P.S Composite Panels Other 4. Roofing Products Asphalt Shine les UnderlaVments _ Roofing Fasteners Nonstructural Metal Roofing------- __ Wood Shakes and Shin les Roofing tiles Roofing Insulation Waterproofing T4V Built up roofing S stem 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 Manufacturer Product Florida Approval # escriation (including decimal) June 2014 2 4T Category / Subcategory 5. Shutters Accordion Bahama Colonial - Roll up__ E uipment _ Other hts--_ Other 7. Structural Components Wood Connectors / Anchors Truss Plates _ Engineered LuTber Railing_Y 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) Manufacturer Product Florida Approval # include decimal) June 2014 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: ---11 7 1 \ % I hereby name and appoint: an agent of: (\C;V%-Ay,1,(-1V-\r n. I 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 (cheek only one option): 1i The specific permit and application for work located at: icx xl.2'N fc!L "2 7.. Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF 0fcA-A(\C 1j The foregoing instrument was acknowledged before me this day of 20VA by I who is personal y known to me or o who has prbduced identification and who did (did not) take an oath. Signaturenatur Notary Seal) LaE\A unc-7, -- Print or t pe name Notary Public - State of V L_ Commission No. cLtz My Commission Expircs:_u[IK as Rev. 08.12) CITY OF SANFORD it BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: " Documented Construction Value: `fi ?) . Job Address: - Historic District: Ves No Parcel ID: Residential Commercial] Type of Work: New Addition AlterationEl RepairEl Detno Change of Use Move Description of Work: Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Named"i1 t... . ,. ... Phone: Street: L oc ,C°,r€ ' ". _ Resident of property? City, State Zip:._, 2_ Contractor information Cam. Phone: Name - - Street: r iM P> a , ',r Fax: -AL) 5LJ— qj City, State Zip:_ _ . ._StateLicense No.: Architect/Engineer Information Name: Street: City, St, Zip: -- Bonding Company: Address: Phone: Fax: E- mail: Mortgage Lender: Address: WARNING 'ro OWNER: YOUR FAILURETO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAVING, TWICE FOR. IMPROVEMENT' S '110 YOUR PROPERTY. A NO'I'IC'E OF COMMENCEMENT MUST BE RECORDED AND POSTEla ON THE JOB SITE BEFORE TLIE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT'TORNF.V BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby madc to obtain a hermit 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 mcet 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, fiu•naces, boilers, beaters, 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: 5'11 Edition (2014) Florida Building Code Revised: June 30, 20t5 Permit Application AW 14M 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 1CC 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, 4n 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 construction and zoning. 1-12 Signature ofOwner./Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is - Personally Known to Me or Produced ID Type ofID Signature Agent's Nan e Date Signature of i Ktary-State of Florida Date Contractor/Agent is =Personal Produced 1D__ Type ofID BELOW IS FOR OFFICE USE ONLY Permits Required: BuildingE] Electrical [:] Mechanical PlUmbingE] Gas E] Roof [] Construction Type: Occupancy Use: Flood Zone: - Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: YesF1 NoF] # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes [] NoE] WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application r City of Sanford Building and Fire Prevention Permit # Project Location AddressC Z 1 . 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.floridabuildinci.orci. 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. Manufacturer Product Florida Approval # Category /Subcategory Description I (include decimal) 1_. Exterior Doors Swinging Slidiqq Sectional Roll Up Automatic Other 2. Windows Single Hung_„ Horizontal Slider Casement Double Huncg Fixed Awn i n Pass Through Projected Mullions Wind Breaker Dual Action Other J«ne 2014 a Category / Subcategory 3. Panel Walls - Siding Soffits Storefronts Curtain Walls W Wall Louver Glass block -- Membrane_ Greenhouse E.P.S Composite _ Panels Other 4. Roofing_ Products Asphalt Shingles Underlaments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System ___ Modified Bitumen Single Ply Roof Systems Roofi q slate Cements/ Adhesives / Coatin Liquid Applied Roofing Systems Roof Tile adhesive _ Spray Applied Polyurethane Roofin E.P.S. Roof Panels Roof Vents Other Manufacturer Product Florida Approval # including decimal) Juice 2014 2 P V. Category / Subcategory 5. Shutters Accordion Bahama Colonial Roll E uiPMEmt_ htsS__ kyygh Other 7. Structural Components Wood Connectors Anchors Truss Plates Ep_qineered Lumber Raili Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other8. New Exterior Envelope Products Applicant's Signature Applicant's Name Please Print) Manufacturer Product Florida Approval # include decimal) June 2014 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: - I z 0 I hereby name and appoint: C):'\C' C '6 an agent Name of Company) to be my lawful attorney -in -fact to act for i-ne to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): kd The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 'day of 200 L_U by C)fs who is personal iki'lown to me or o who has pr6dticed .......... .. identification and who did (did not)t,,e an oath, SignatIt Notary Seal) Print or t pe name P.* 0 Ron Nt Ic1411till , ilt%W Notary Public - State of Commission No. F F 0 t -3, 0 L--_? My Commission Expires: - Rev, 08.12) CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: & - Documented Construction Value: $ 1-1--iQk7— . Job Address: j - c Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration Repair El Demo Change of Use 11 Move Description of Work: Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information NamePhone: Street: Zc &\ic LIV c _ Resident of property? City, State Zip: Contractor Information Name Ae Q(y _ _ Phone: `-LA- . Street: 1:`lE L ' ., ,- X"Fax: City, State Zip: State License Na.: Architect/ Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E- mail: Mortgage Lender: Address: WARNINGTO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT'S TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MIDST BEE RECORDED AND POSTED ON THE JOB SITE, BEFORE TILE FIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITIi 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: 5"' Edition (2014) Florida Building Code Revised: Jane 30, 20t5 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 all applicable laws regulating constructior,and zoning. Signature of Owner Agent [?ate Print Owner/Agent's Name signature of Notaty-state of Florida Date Owner/Agent is Personally [mown to Me of - Produced ID `Type of ID signature of Date PiinP'Contt-actor/Agent's Name signature of t< iy-State of Florida Date DVlP9tttf Contractor/Agent is Personally Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY 0a n to ',,e ; * HrQcU Permits Required: Building Electrical Mechanical PlumbingF] Gas Roof[] Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No Q APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application iCityof Building and Fire Preventionr.:. Permit # Project Location Address_ `c— ; ' T 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 Florida Approval # I------ -- -^-_ Descriation I (include decimal) 1. Exterior Doors Swin in Sectional _ Roll Up - Automatic Other 2. Windows Single -Hung Horizontal Slider Casement Double Hung Fixed Awning Pass Through_--__- Pro,ectd___-- Mullions Wind Breaker Dual Action Other June 20H owA Category / Subcategory 3. Panel Walls Siding Soffits -- Storefronts Curtain Walls WallLouver Glass block Membrane Greenhouse E. P.S Composite Panels Other 4. Roofing Products Asphalt Shincdles_--- UnderlaVments Roofing Fasteners Nonstructural Metal Roofing _ Wood Shakes and Shin ( c es Roofing tiles Roofing Insulation _ Waterproofing -- Built up roofing Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coatin Liquid Applied Roofing Systems Roof Tile _ adhesive Spray Applied Polyurethane Roofin E. P.S. Roof Panels Roof Vents Other Manufacturer Product Florida Approval 4 escriotion ( including decimal) June 2014 2 Category / Subcategory 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 Signature Manufacturer Applicant's Name s '?) cn-xA, t Please Print) Product Florida Approval # escrintion (include decimal) June 2014 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: _c k I,------- ai i agent of 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): Fd The specific permit and application for work located at: 1-IL-- L-21) street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged bet -ore me this `Z tiday of 200il-, by Cc-,e who is , ) I (V I --- I--------- N6ersonally known to me or t-.j who has pr6duced identification and who did (did not)_Like an oath. Signaturelignat / Notary Seal) It of 11Wk Print art e name Notary Public - State of Commission No. f F c) i & My Commission Expires:_c- as Rev. 08.12) Subcontract # 160123 W&M 1100, 1 - Ut. MAU-14 .. Owner: Charleston Club Partners, Ltd. 2605 Maitland Center Parkway Maitland, FL 32751 Architect: N/A Project: Charleston Club Apartments Sanford, Seminole County, FL Contractor: JAKS Construction, L.L.C. 200 East Canton Avenue, Suite 102 Winter Park, FL 32789 Subcontractor: Talco Construction, LLC 17304 Phil C Peters Road Winter Garden, FL 34787 Telephone 407-654-4426 Facsimile 407-654-4307 Subcontract Price: 400,950.00 Four Hundred Thousand Nine Hundred Fifty Dollars) Progress Application 23"a of the month Date: Progress Payment 15"4 of the following month Date: Performance and Payment Boud No Required: Retabaage Percentage: 10% The aforesaid terms are Incorporated into and more fully explainer in the provisions that follow. THIS AGREEMENT is made as of the a day of, WL 2Q16 by and between (hereinafter, called Contractor), and II[M Congruction. L-.I. C.. (bminaftrm, called Subcontractor). The Subcontractor and Contractor agree as follows l . DESCRIPTION OF WORK. Subcontractor shall perform and Ibmish all the work, labor, supervision, services, phant, equipment, tools, scaffolds, appliances, materials and all other things necessary for the incorpo ation into the Project of the work described in Attachment "A" hereto (hereinaller called The Work). The Work shall be perforated in accordance with this Agreement, the documents identified in Attachment 11", and the Additional Provisions, if any, annexed hereto and made a part hereof, collectively the "Contract Documents." 2. CONTRACT DOCUMENTS. Subcontractor represents and agrees Gnat it has carefully examined and understands this Agreement and the Contract Documents, has investigated the nature, ImIlty and site of the Work and the conditions and difficulties under which it is to be performed, that it enters into this agreement on the basis of its otvn examination, investigation and evaluation of alI such matters and not in reliance upon any opinions or representations of the Contractor, or orowne r or Architect/Engineer or of any of their respective officers, agents, servants, or employees, If any provision of this Agreement conflicts with any provisions of the General Conditions of the Contract Documents, the provision in this Agreement stall control. Contractor does not warrant and disclaims all express and implied warranties as to the sufficiency of the plans and specifications. If any iatjuty is caused to Subcontractor es s result of defective plans and specifications, Subcontractoragrees to litigate any such claims against the party which actually prepared the plans and specifications, and not the Contractor. Subcontractor; by commencing its Work, waives any recourse or cause of action it my have against Contractor for defects, errors or omissions in the plans and specifications. Subcontractor acknowledges and accepts that it is in the hest position to identify and that it shall Identify, before commencing its Work, all defects, cotflictt, errors and omissions in the design plans and specifications (collectively "Defects") pertaining to its scope of Work. Subcontractor, upon MVie+ving the plans and specifuauiors and before commencing its Wont, shall immediately inform the Contractor in writing of all such Defects. Subcontractor's commencement of Work shall constitute a warranty to the Contractor of the sufficlency of thq plans and SUBCONTRACT AGREEMENT Paged of 17 CONTRACTOR'S MITIALS SUBCONTRACTOR' S INITIALS Subcontract # 160123 24. ATTORNEYS' FEES. Should Contractor enforce this Subcontract Agreement, either in court or by arbitration, or should Contractor be required to defend under the terms of this Subcontract, the prevailing party shall be entitled to Its reasonable attorneys' fees and all expenses, without limitation, Including on appeal, 25. JURISDIMONMENUE, This Agreement is entered into in Orange County, Florida, the business location of Contractor. This Agreement shall be governed by the tows or the State of Florida and exclusive venue for any action hrought on this Agreement is Orange County, Florida. The said parties, for themselves, their heirs, executors, adutinistrators, successors and assigns, do hereby agree to the full performance of all the terms and provisions herein contained. Agreed By: ATTEST: CONTRACT By: Title: W. Scott Culp, Date: — ATTEST, - 2 SUBCONTRACTOR: Talco Construction, LLC Date: AnA!QHMENa. ATTACHMENT "A" —THE WORK ATTACHMENT "B" - CONTRACT DOCUMENTS ATTACHMENT "C" - INSURANCE REQUIREMENTS ATTACHMENT "D" — SCHEDULE ATTACHMENT"E" --REQUEST FOR CLARIFICATIONINOTICE OF ERROR ATTACHMENT 'T" — SCHEDULE OF VALUES ATTACHMENT "G" — PHOTOGRAPHIC DOCUMENTATION PROCEEDURE SUBCONTRACT AGREEMENT Page 6 of 17 CONTRACTOR'S INITIALS SUBCONTRACTOR'S INITIALS V' 4# 11 Prepared By and Return To: JAKS Construction, LLC Atten: Finance/Tina Smith 200 East Canton Avenue, Suite 102 Winter Park, FL 32789 Permit No, Tax Identification Numbers: NOTICE OE CgMLAEL4gEMENT STATE OF FLORIDA COUNTY OF ORANGE MARYANNE MORSEY SEMINOLE COUNTY Q-1'101; OF CIRCUIT COURT & COMPTROLLER BK 8693 P9,5 1115-1118 Wqs) CLERK'S x 2016053635 RECORDED 05/24/2016 10:21:00 AM RECORDING FEES $35.50 RECORDED BY htleyore THE UNDERSIGNED hereby gives notice that improvements 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. Dg§gj3lEjl!2NQEPBQegRjY See Exhibit -K attached hereto and made apart hereof. 2. GENgR& J2EaQRIFJION QE IME&Qff MF.Nj Roofing and corrective repairs to refurbish exterior finishes Including new roof system, claddings, door replacements, painting, drywells , etc. 3. OWNER INFORMATION: Name: Charleston Club Partners, Ltd,, a Florida limited partnership Address: 200 East Canton Avenue, Suite 102 Winter Park, Florida 32789 Interest in Property; FEE SIMPLE 4. CONTRAgIgfi. Name: JAKS Construction, LLC Attention: Address: 200 East Canton Avenue, Suite 102 Winter Rack, Florida 32789 Telephone: 407) 741-8521 5. sugga NONE Chariesion Club Padrws, Ltd. —Notice of Commencement 1 6. LENDERS: Name: None Attention; Address: Telephone: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: NONE 8. In addition to itself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: LENDER: Scott D. Clark Clark, Alibaugh & Rentz 700 West Morse Blvd., Suite 101 Winter Park, FL 32789 407) 647-7600 9. Expiration date of notice of commencement (the expiration date is 6 months from the 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 PAGE TO FOLLOW] Charleston Club Partners, Ltd. —Notice of Commencement SIGNATURE PAGE FOR NOTICE OF COMMENCEMENT] Charleston Club Partners, Ltd., a Florida limited partnership By: CED Capital Holdings 2000 X, L.L.C,, a Florida limited liability company, its general partner e— I By: Print Name: Brian Spear Title: Manager STATE OF FLORIDA COUNTY OF ORANGE The foregoing Instrument was acknowledged before me this 1day of May, 2016, by _ Brian Spear , as Manager of CED Capital Holdings 2000 X, L.L.C., a Florida limited liability company, its general partner of Charleston Club Partners, Ltd.., a Florida limited partnership, on behalf of KAMER DUM Notary Po - $we of Fww I" St ublic - State of Florida MYCOMM, ExPires FO 252.018 0 COMMISSIon0 FF 09500 Pn'nt, Type, or Stamp Commissioned Name of Notary Public Personally Known OR Produced Identification Type of Identification Produced VERIFICATI!2bl EURSUAgU 92,52§, FLORIDA UATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in It are true to the best of my knowledge and belief, Print Name: Brian Spear Charleston Cub Partners, Ltd. —Notice of Commencement EXHIBIT A Legal Description) A PORTION OF THE- SOUTHWEST QUARTER OF SECTION 12, TOWNSHIP 20 SOUTH, RANGE 30 EAST, SEMINOLE COUNTY, FLORIDA BEING A PORTION OF GOVERNMENT LOT 2 AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS; COMMENCING AT THE NORTHEAST CORNER OF THE SOUTHWEST QUARTER OF SAID SECTION 12, THENCE RUN S00054' 12"W ALONG THE EAST LINE OF SAID QUARTER -SECTION, A DISTANCE OF 287.24 FEET FOR A POINT OF BEGINNING; THENCE CONTINUING ALONG SAID EAST LINE RUN S00°54' 12"W A DISTANCE OF 984.85 FEET TO THE NORTHERLY RIGHT-OF-WAY LINE OF LAKE MARY BOULEVARD; THENCE DEPARTING EAST LINE OF THE SOUTHWEST QUARTER, RUN N89013'39"W ALONG SAID NORTHERLY RIGHT-OF-WAY LINE, A DISTANCE OF 75.00 FEET; THENCE - DEPARTING SAID NORTHERLY RIGHT-OF-WAY LINE, RUN N00054' 12"E A DISTANCE OF 280.60 FEET; THENCE RUN N88047'00"W, A DISTANCE OF 280.00 FEET; THENCE RUN S01 ° 13'26"W, A DISTANCE OF 282.95 FEET TO THE AFORESAID NORTHERLY RIGIiT-OF-WAY LINE OF LAKE MARY BOULEVARD; THENCE RUN N89013'39"W ALONG SAID NORTHERLY RIGHT-OF-WAY LINE, A DISTANCE OF 243.67 FEET TO A POINT OF CURVATURE OF A CURVE CONCAVE SOUTHEASTERLY, HAVING A RADIUS OF 590.00 FEET, A CHORD BEARING OF S74024'04"W AND A CHORD DISTANCE OF 332.60 FEET; THENCE RUN SOUTHEASTERLY ALONG SAID CURVE AND ALONG SAID NORTHERLY RIGHT-OF-WAY LINE A DISTANCE OF 337.17 FEET TO A POINT OF REVERSE CURVATURE OF A CURVE CONCAVE NORTHERLY, HAVING A RADIUS OF 39.04 FEET, A CHORD BEARING OF N76.33.51 "W AND A CHORD DISTANCE OF 55.60 FEET BEING THE EASTERLY RIGHT-OF-WAY OF ROLLING HILLS BOULEVARD AS RECORDED IN OFFICIAL RECORDS BOOK 3731, PAGE 1104; THENCE RUN WESTERLY AND NORTHWESTERLY ALONG SAID CURVE A DISTANCE OF 61.88 FEET TO A POINT OF TANGENCY; THENCE RUN N31009'27"W ALONG SAID EASTERLY RIGHT-OF-WAY LINE A DISTANCE OF 378.70 FEET TO A POINT OF CURVATURE OF A CURVE CONCAVE NORTHEASTERLY WITH A RADIUS OF 875.54 FEET, A CHORD BEARING OF N24015'5T'W AND A CHORD DISTANCE OF 210.12 FEET; THENCE RUN NORTHWESTERLY ALONG SAID CURVE AND ALONG SAID EASTERLY RIGHT-OF-WAY LINE, A DISTANCE OF 210.63 FEET TO A POINT ON SAID CURVE; THENCE DEPARTING SAID EASTERLY RIGHT- OF-WAY LINE RUN S84'57'54"E, A DISTANCE OF 6.42 FEET; THENCE RUN N80°18'30"E, A DISTANCE OF 52.03 FEET; 'THENCE RUN N82°14'13"E, A DISTANCE OF 84.60 FEET; THENCE RUN N68" 49'17"E, A DISTANCE OF 41.43 FEET; THENCE RUN N81°02'07"E, A DISTANCE OF 57.67 FEET; THENCE RUN N70001'05"E, A DISTANCE OF 71.43 FEET; THENCE RUN N80°40'38"E, A DISTANCE OF 41. 78 FEET; THENCE RUN N66°42'49"E, A DISTANCE OF 57.46 FEET; THENCE RUN S89°15'47"E, A DISTANCE OF 39.34 FEET; THENCE RUN N69°46'42' E, A DISTANCE OF 102.66 FEET; THENCE RUN N87° 08'54"E, A DISTANCE OF 74.29 FEET; THENCE RUN N66°58'27'E, A DISTANCE OF 68.18 FEET; THENCE RUN N48" 17'07"E, A DISTANCE OF 83.03 FEET; 'THENCE RUN N31 °49'58"E, A DISTANCE OF 47. 88 FEET; THENCE RUN N31°36'55"E, A DISTANCE OF 68.85 FEET; THENCE RUN N38°52'13"E, A DISTANCE OF 59.32 FEET; THENCE RUN N77°25'49"E, A DISTANCE OF 50.45 FEET; THENCE RUN N88017' 12"E, A DISTANCE OF 49.60 FEET; 'RIENCE RUN N25°16'13"E, A DISTANCE OF 41.14 FEET; THRICE RUN N45058'26"E, A DISTANCE OF 88.46 FEET; THENCE RUN N47°11'58"E, A DISTANCE OF 49. 98 FEET; THENCE RUN S89"08'08"E, A DISTANCE OF 49.12 FEET; THENCE RUN N82012'05"E, A DISTANCE OF 48.09 FEET; THENCE RUN N85'10'15"E, A DISTANCE. OF 67.13 FEET; THENCE RUN v09° 22'59"E, A DISTANCE OF 17.83 FEET; THENCE RUN N90°00'00"E, A DISTANCE: OF 57.78 FEET TO THE POINT OF BEGINNING. LESS AND EXCEPT THAT PART CONVEYED TO SEMINOLE COUNTY IN OFFICIAL RECORDS BOOK 4098, PAGE 1411, FOR ADDITIONAL ROAD RIGHT-OF-WAY. Charleston Club Partners, Ltd. -Notice of Commencement Revision City of Sanford Response to Comments 0 (e j- Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Permit # " "''4"i, , L Submittal Date Project Address: Contact: -A -Lie Ph: G 113'o Email: Trades encompassed inrevision: d Building El Plumbing El Electrical 11 Mechanical El Life Safety 11 Waste Water Department El utilities IJ Waste Water n Planning El Engineering El Fire Prevention Q-"Building General description of revision: ROUTING INFORMATION Approvals City of Sanford Building and Fire Prevention ME! IL'AIIIIIII 11211 111!111111 MIM Permit# k1-1 I 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.ot-g. 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. Florida Approval 4Category / Subcategory Manufacturer ProductIDescription I (include decimal) 1. Exterior Doors Swinaina Slid Sectional Roll Up Automatic Other 2. Windows Single Hun Horizontal Slider Casement E 6661- e- - -H---u* --- n—g--- Fixed nin _,, ... . ......... Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 e Category / Subcategory Manufacturer Product Florida Approval ; Desertion including decirna, 3. Panel Walls Sidin Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. RoofinqProducts Asphalt Shingles _OWUh r r t1 r1 Underlayments W rc_ - . li e t 11 1tZ. Roofing Fasteners __._____ R / ` X .2_I t___4 __._ _____._ 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 stems. Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 2 Category Subcategory Manufacturer 5. Shutters Accordion Bahama Colonial Roll up Equipment Other 6. Sk lights Skvliqhts Other 7. Structural Components WoodConnectors Anchors Truss Plates Enqinoered Lumber Railing Coolers/ Freezers Concrete Admixtures Precast Lintels insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other New Exterior Envelope Products Applicant' s Signature Applicant' s Name Please Print) June 2014 3 Product Descrintic Florida Approval i DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA Interwrap, Inc. 32923 Mission Way Mission, BC, Canada V2V-6E4 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786) 3 1525-99 www.iiiiaiiii(lade.gov/ecottoiiiy SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ), This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes, If this product or material fails to perforrn in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' ILIDL-50, UDL TT, UDL TF, UDL - TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA 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 NOA renews and revises NOA No. 13-06 10.01, and consists of pages I through 5. The submitted documentation was reviewed by Alex Tigera. 0 - NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date. 06/11/15 Page I of 5 ROOFING COMPONENT APPROVAL Category: Rooting Sub -Category: Underlayment Material: Polypropylene SCOPE: This acceptance is for'Fitaulurn" UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL - TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20,11tanium UDL25, and RhinoRoof RSA Synthetic Underlayinents as described in this Notice of Acceptance, for use with approved prepared roof assemblies where ASTM D226 Type underlayment is specified and installed with prescribed approved fasteners and fastener densities. Designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code PRODUCT DESCRIPTION: Test Product Product Dimensions Specification Description Titaniume UDL-25 PLUS 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one C11111facturing Type I & 11 side coated with UV protected and slip resistant Location #1 & #3 polymer stabilized polypropylene on both sides. TltanluruO UDL-30 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Mail 11facturing Type I & 11 sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides, Tltaniurn@ UDL-50 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. UDL TT 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Mam(facturing Type I & 11 side coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TF 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides, UDL TTMC-300 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #2 polymer stabilized polypropylene on both sides, RhinoRoof U10 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manlljactllring Type I & 11 sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 2 of 5 RhinoRool'U15 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Mamrfaclur•ing Type I and 11 sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. RhinoRoof U20 42" x 286' rolls ASTM D226 Woven synthetic polymer underlay ment with two Mant(fitentring Location #3 Type I and 11 sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. Titanium UDL25 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two ManqfacluringLocation #3 Type I and 11 sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. RhinoRoof RSA 36" x 67' rolls ASTMD1970 Unreinforced polymer modified bitumen material Manufacturing Location #4 adhered to the underside of a polymer -coated, synthetic woven sheet. The underside is backed with a release film. I MANUFACTURING LOCATIONS: 1. MLI 2. ML2 3. ML3 4, ML4 EVIDENCE SUBMITTED: Test Auency Test Identifier Test Nanie/Report Date Inter(ek Testing Services 3031783 TAS 104 02/19/03 3119607COQ-003B ICC-ES AC48 02/20/08 3124826-01 ASTM h 108 02/19/08 3124826MID-007 ASTM E 108 02/25/08 311801000Q-003 ASTM D226 02/20/08 3130639COQ-002A ASTM D226 02/20/08 3146738COQ-003A ASTM D226 06/20/11 3146738COQ-003B ASTM D 1876/ TAS 117 03/28/08 101465036COQ-001 ASTM D 1970 06/27/14 100539395COQ-006 ASTM D226 06/02/14 101863861COQ-001A ASTM D226 10/28/14 101823107COQ-01 I ASTM D226 12/09/14 Trinity ERD 1.15010.05,10 ASTM D4798 / D226 05/14/10 138010,08.11 ASTM D226 08/11/11 135520,08.11 ASTM D2523 / D 1781 08/17/11 NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 3 of 5 INSTALLATION SPECIFICATIONS: Titaniumo UDL-25 PLUS, Titaititint' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof UIO, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments 1. Titanium" UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDLTTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium TJDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed in strict compliance with applicable Building Code. 2. Titanium' UDL-25 PLUS, Titanium ' UDL-30, TitaniurnO UDL-50, UDLTTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shalt be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDLTTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, and Titanium UDL25 Synthetic Underlayments shall be fastened with Miami -Dade approved corrosion resistant tin -caps and 12 gauge 1 1/4" annular ring -shank nails, spaced 6" ox. at all laps and three staggered rows fastened 12" o.c. in the field of the roll. 4. Titaniurne UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDLTTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RliinoR.00f U20jitanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with Asphaltic shingles, Wood shakes and shingles, Non-structural metal roofing, and quarry slate. TitaniumO UDL-30, Titanium' UDL-50, UDLTTMC-300, UDL TT, UDL TF, R.IiinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25 and RhinoRoof RSA Synthetic Underlayments shall not be used as roof the underlayments. 5. For Roof Tile applications; Titanium" UDL-25 PLUS may be used as an anchor sheet in roof the applications when used in combination with a top membrane layer, consisting of a Miami -Dade approved TAS 103 self - adhering undertayment. (See current NOA listing of approved TAS t03 self -adhering underlayment for installation guidelines and limitations of use). 6. For fire classification of specific roof assemblies using Titaniumo UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayiiients--refer to a current Approved Roofing Materials Directory for fire ratings of this product, BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: L This Notice of Acceptance, 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 4 of 5 LimITATIONS'. 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. Titanium' UDL.-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof UJO, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be applied to a smooth, clean and dry surface with deck free of it -regularities. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 4. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be hot mopped, refer to manufacturer's published literature for product compatibility, 5. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be applied over an existing roof membrane as a recover system. 6. Titanium' UDL-25 PLUS, TitaniumO UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayinctits sliall not be left exposed as a temporary roof for longer than 30 days of application. 7. UDL,-TTMC-300 Synthetic Underlayment shall not be left exposed as a temporary roof for longer than 180 days of application. 8. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are components used in roof system assemblies. Roof system assemblies are approved under a specific Notice of Acceptance. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 9. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with any approved roof covering Notice of Acceptance listing Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as a component part of an assembly in the Notice of Acceptance. If Titanium' UDL-25 PLUS, Titanium' UDL- 30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miarm-Dade County Product Control Seal as shown below, 11. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE COUNTY= NOA No.: 14-0603.18 MIRMhDADE Mja, MW Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 5 of 5 Revision ET Response to Comments 0 City of Sanford 20 Cal- Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Permit # 2, Submittal Date Project Address: --Oul( ,ar-- r-( tF-5Z-1:13-- Contact: Ph: A -- C-10 Fax: - Email: (,.n co,)`\--V- 1)(VC)Y,), c. off Trades encompassed in revision: E Building El Plumbing El Electrical El Mechanical El Life Safety 11 Waste Water Department 11 Utilities 11 Waste Water 1:1 Planning El Engineering El Fire Prevention Building General description of revision: 0(da44aeYlt ( J y tp, L±e 1 ROUTING INFORMATION Approvals I City of Sanford ionBuildingandFirePreventi Product Approval Specification Form Permit # L 11" 1 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.oLq. 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. Manufacturer Product Florida - Approval 4Category / Subc OY _ (' DescriDtion (include decimal) 1. Exterior Doors Swinging Slidinq Sectional Roll U Automatic Other 2. Windows Single Hung____._ Horizontal Slider, Casement Double Hun Fixed Awning Pass Throuqh Mullions Wind B-r—e a —ke r Dual Action Other --- June 2014 1 0 Category / Subcategory ( Manufacturer 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 44.Roofing _Products Asphalt Shin Ies Underlayments Roofin Fasteners -- Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing Modified_ Bitumen Single Ply Roof S stems Roofin s_. Cements/ Adhesives / Coatir_jq- Liquid Applied Roofina Svstems Roof Tile adhesive Spray Applied Polyurethane Roofing_ F.P.S. Roof Panels Roof Vents Other Product I Florida Approval; Ascription (including decirna, June 2014 2 ManufacturerCategory / Subcategory (_ 5. Shutters Accor—di on - Bahama Colonial Roll up____ Equipment Other 6. Skvliahts Other 7. Structural Components Wood Connectors l Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures__ r- 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 3 Product Florida Approval 3 ascription I (include decimal) or IM)W DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Interwrap, Inc. 32923 Mission Way Mission, BC, Canada V2V-6E4 P F R M I T # MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786) 31525-99 www.iiiiaiiiidade.gov/econoiiiy SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Mian-d Dade County) and/or the AHJ (in areas other than Mianu Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may inimediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Titanium' UDL-25 PLUS, TitaniurnO UDL-30, Titaniume UDL-50, UDL TT, UDL TF, UDL - TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments LABELING*. Each unit shall bear a permanent label with the manufacturer's narne or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA, ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA 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 NOA renews and revises NOA No. 13-06 10.01 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. APPROVED NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 1 of 5 ROOFING COMPONENT APPROVAL Category: Roofing Sub-Catep,ory: Underlayment Material: Polypropylene SCOPE: This acceptance is for Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL TTMC-300, RhiaoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as described in this Notice of Acceptance, for use with approved prepared roof assemblies where ASTM D226 Type underlayment is specified and installed with prescribed approved fasteners and fastener densities. Designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code PRODUCT DESCRIPTION: Test Product Product Dimensions Specification Description Titanium' UDL-25 PLUS 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I &. H side coated with UV protected and slip resistant Location #1 & #3 polymer stabilized polypropylene on both sides. Titanium® UDL-30 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & H sides coated with UV protected and slip resistant Locution #1& #3 polymer stabilized polypropylene on both sides. Titanium' UDL-50 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. UDL TT 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & II side coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TF 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TTMC-300 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #2 polymer stabilized polypropylene on both sides. RhinoRoof U10 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 2 of 5 RhinoRoof U15 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I and 11 sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. RhinoRoof U20 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and H sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. Titanium UDL25 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and U sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. RhinoRoof RSA 36" x 67' rolls ASTM D1970 Unreinforced polymer modified bitumen material Manufacturing Location #4 adhered to the underside of a polymer -coated, synthetic woven sheet. The underside is backed with a release film. MANUFACTURING LOCATIONS: 1. ML I 2. ML2 3. ML3 4. ML4 EVIDENCE SUBMITTED: Test Ajjenc Test Identifier• Test Name/Report Date Intertek Testing Services 3031783 TAS 104 02/19/03 3119607COQ-003B ICC-ES AC48 02/20/08 3124826-01 ASTM E108 02/19/08 3124826MID-007 ASTM E108 02/25/08 311801000Q-003 ASTM D226 02/20/08 3130639COQ-002A ASTM D226 02/20/08 3146738COQ-003A ASTM D226 06/20/11 3146738COQ-003B ASTM D 1876/ TAS 117 03/28/08 101465036COQ-001 ASTM D1970 06/27/14 100539395COQ-006 ASTM D226 06/02/14 101863861COQ-00IA ASTM D226 10/28/14 101823107COQ-0I I ASTM D226 12/09/14 Trinity ( ERD I15010.05.10 ASTM D4798 / D226 05/14/10 138010.08.11 1 ASTM D226 08/11/11 135520.08.11 ASTM D2523 / D 1781 08/17/11 NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 3 of 5 INSTALLATION SPECIFICATIONS: TitaniumO UDL-25 PLUS, Titanium4l UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RliinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments 1. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titaniuni l UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed in strict compliance with applicable Building Code. 2. TitaniurnO UDL-25 PLUS, Titanium' UDL-30, Titaniud'UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. Titanium4D UDL-25 PLUS, Titanium' UDL-30, Titanitne UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, and Titanium UDL25 Synthetic Underlayments shall be fastened with Miami -Dade approved corrosion resistant tin -caps and 12 gauge 1 1/4" annular ring-sbank nails, spaced 6" o.c. at all laps and three staggered rows fastened 12" o.c. in the field of the roll. 4. Titanium' UDL-25 PLUS, Titaniurn4l UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhiuoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with Asphaltic shingles, Wood shakes and shingles, Non-structural metal roofing, and quarry slate. Titanium' UDL-30, Titaniuin4l UDL-50, UDLTTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25 and RhinoRoof RSA Synthetic Underlayments shall not be used as roof tile underlayments. 5. For Roof Tile applications; Titanium' UDL-25 PLUS may be used as an anchor sheet in roof tile applications when used in combination with a top membrane layer, consisting of a Miami -Dade approved TAS 103 self - adhering underlayment. (See current NOA listing of approved TAS 103 self -adhering underlayment for installation guidelines and limitations of use). 6. For fire classification of specific roof assemblies using TitaniumO UDL-25 PLUS, TitaniumO UDL-30, Titaniun& UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlaymentsreferto a current Approved Roofing Materials Directory for fire ratings of this product. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material. NOA No.: 14-0603.18 sMIAMIQADECO nr Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 4 of 5 DMZTATIONS: L Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. Titanium' UDL-25 PLUS, Titanium10 UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be applied to a smooth, clean and dry surface with deck free of irregularities. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 4. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RbinoRoof RSA Synthetic Underlayments shall not be hot mopped, refer to manufacturer's published literature for product compatibility. 5. Titanitue UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be applied over an existing roof membrane as a recover system. 6. Titanium® UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RliinoRoof RSA Synthetic Underlayments shall not be left exposed as a temporary roof for longer than 30 days of application. 7. UDL-TTMC-300 Synthetic Underlayment shall not be left exposed as a temporary roof for longer than 180 days of application. 8. Titanitue UDL-25 PLUS, Titanium' UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RliinoRoof U10, RhinoRoof U15, RliinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are components used in roof system assemblies. Roof system assemblies are approved under a specific Notice of Acceptance. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 9. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RbinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with any approved roof covering Notice of Acceptance listing Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as a component part of an assembly in the Notice of Acceptance. If Titanium' UDL-25 PLUS, Titanitie UDL- 30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL '1'F, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and tyre following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. 11. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NQA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 5 of 5 w V Revision El I City of Sanfordef Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Submittal Date /c Proj ect Address: zY41-1--aLLa- Contact: Ph: Fax: Trades encompassed in revision: E Building El Plumbing Electrical Mechanical El Life Safety El Waste Water Department El utilities 11 Waste Water El Planning Engineering Fire Prevention E"nilding General description of revision: ROUTING INFORMATION Approvals W 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.—g. 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 -- SubcategoryManufacturer Product —P r-o- d - u -c-t o —rida Approval Description mm( include decimal) 1. Exterior Doors Swina!p Slidinq Sectional Automatic Other 2. Windows Single Hung Horizontal Slider Casement Double Hung Fixed A)!yn in Pass Through Mullions Wind Breaker Dual Action Other June 2014 e Category / Subcategory 3. Panel Walls Siding S_0f_fits______ Storefronts_ Curtain Walls Wall__Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shinqles Underlayments Roofinq Fasteners Nonstructural Metal Roofing 1Vq_0od -Shakes and Shingles Roofinq tiles Roofing Insulation Waterproofing Built up roofing Modified Bitumen Single Ply Roof Rqqfing_slate Cements/ Adhesives Coatin Liquid Applied Roof Tile adhesive Spray Applied Polyurethane Roofing--.. E.P.S. Roof Panels Roof Vents Other s Manufacturer Product Florida Approval -, I Descrintion (including decima. IL}" June 2014 N Category / Subcategory 5. Shutters A-6—cordion Bahama Roll up Equipment Other 6. SkvIiqhts Other 7. Structural ComTo nents Wood Connectors I Anchors Truss Plates En.qineered Lumber Railinq Coolers/Freezers Concrete Admixtures Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Manufacturer Product Florida ---Approval 31DescriptionI (include decimal) Applicant's Name Please Print) June 2014 3 F ew; DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Interwrap, Inc. 32923 Mission Way Mission, BC, Canada V2V-6E4 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786) 31525-99 www.ittiaiiiidade.gov/econoiny SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miarni-Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miarni-Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Mianu Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may inunediately revolve, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revolve this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Titanium® UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", Curless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA 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 NOA renews and revises NOA No. 13-0610.01 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. f APPROVED Jy NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 1 of 5 ROOFING COMPONENT APPROVAL Cates Roofing Sub -Category: Underlayrnent Material: Polypropylene SCOPE: This acceptance is for Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL -TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as described in this Notice of Acceptance, for use with approved prepared roof assemblies where ASTM D226 Type underlayment is specified and installed with prescribed approved fasteners and fastener densities. Designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code PRODUCT DESCRIPTION: Test Product Product Dimensions Specification Description Titanium' UDL-25 PLUS 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & 11 side coated with UV protected and slip resistant Location #1 & #3 polymer stabilized polypropylene on both sides. Titanium' UDL-30 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & IT sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. Titanium® UDL-50 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location? #1& #3 polymer stabilized polypropylene on both sides. UDL TT 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & H side coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TF 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TTMC-300 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #2 polymer stabilized polypropylene on both sides. RhinoRoof U10 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 2 of 5 RhinoRoof U15 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I and 11 sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. RhinoRoof U20 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and 11 sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. Titanium UDL25 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and H sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. RhinoRoof RSA 36" x 67' rolls ASTM D 1970 Unreinforced polymer modified bitumen material Manufacturing Location #4 adhered to the underside of a polymer -coated, synthetic woven sheet. The underside is backed with a release film. MANUFACTURING LOCATIONS: 1. MLI 2. ML2 3. ML3 4. ML4 EVIDENCE SUBMITTED: Test Agency Test Identifies• Test Name/Re ort Date Intertek Testing Services 3031783 TAS 104 02/19/03 3119607COQ-003B ICC-ES AC48 02/20/08 3124826-01 ASTM E108 02/19/08 3124826MID-007 ASTM E108 02/25/08 311801000Q-003 ASTM D226 02/20/08 3130639COQ-002A ASTM D226 02/20/08 3146738COQ-003A ASTM D226 06/20/11 3146738COQ-003B ASTM D 1876/ TAS 117 03/28/08 101465036COQ-001 ASTM D 1970 06/27/14 100539395COQ-006 ASTM D226 06/02/14 101863861COQ-001A ASTM D226 10/28/14 10 1 823107COQ-0 11 ASTM D226 12/09/14 Trinity I ERD 115010.05.10 ASTM D4798 / D226 05/14/10 138010.08,11 ASTM D226 08/11/11 135520.08.11 ASTM D2523 / D 1781 08/17/11 NOA No.. 14-0603.18 OUNTY10 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 3 of 5 INSTALLATION SPECIFICATIONS: Titanium UDL-25 PLUS, Titanium® UDL-30, Titanium UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments 1. Titanium' UDL-25 PLUS, Titanium® UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed in strict compliance with applicable Building Code. 2. TitaniurnO UDL-25 PLUS, Titanium' UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoofU20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. Titaniurne UDL-25 PLUS, Titanium® UDL-30, Titaniurr& UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, and Titanium UDL25 Synthetic Underlayments shall be fastened with Mianu-Dade approved corrosion resistant tin -caps and 12 gauge 1 '/a" annular ring -shank nails, spaced 6" o.c. at all laps and three staggered rows fastened 12" o.c. in the field of the roll. 4. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U 10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with Asphaltic shingles, Wood shakes and shingles, Non-structural metal roofing, and quarry slate. Titaniurn' UDL-30, Titaniuue UDL-50, UDLTTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25 and RhinoRoof RSA Synthetic Underlayments shall not be used as roof the underlayments. 5. For Roof Tile applications; Titanium' UDL-25 PLUS may be used as an anchor sheet in roof tile applications when used in combination with a top membrane layer, consisting of a Miami -Dade approved TAS 103 self - adhering underlayment. (See current NOA listing of approved TAS 103 self -adhering underlayment for installation guidelines and limitations of use). 6. For fire classification of specific roof assemblies using Titanium' UDL-25 PLUS, Titanium' UDL-30, TitaniumO UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments refer to a current Approved Roofing Materials Directory for fire ratings of this product. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 4 of 5 LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titaniuni.0 UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RliinoRoof RSA Synthetic Underlayments shall be applied to a smooth, clean and dry surface with deck free of irregularities. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 4. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be hot mopped, refer to manufacturer's published literature for product compatibility. 5. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RliinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be applied over an existing roof membrane as a recover system. 6. Titanium' UDL-25 PLUS, Titanium® UDL-30, TitaniumO UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be left exposed as a temporary roof for longer than 30 days of application. 7. UDL-TTMC-300 Synthetic Underlayment shall not be left exposed as a temporary roof for longer than 180 days of application. 8. Titanium® UDL-25 PLUS, Titaniumo UDL-30, TitaiiiumO UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are components used in roof system assemblies. Roof system assemblies are approved under a specific Notice of Acceptance. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 9. Titanium' UDL-25 PLUS, Titanium® UDL-30, Titaniva& UDL-50, UDL TTMC-300, UDL TT, UDL TF, RbinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RbiaoRoof RSA Synthetic Underlayments may be used with any approved roof covering Notice of Acceptance listing Titanium' UDL-25 PLUS, TitaniumO UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RliinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as a component part of an assembly in the Notice of Acceptance. If Titanium' UDL-25 PLUS, Titanium UDL- 30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RliinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RliinoRoof RSA Synthetic Underlayments are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. 11. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE MIAMI-DADE C! NOA No.: 14-0603.18 I F,1199=31 MEOW Expiration Date: 08/08118 Approval Date: 06/11/15 Page 5 of 5 Revision e) le City of Sanford Response to Comments 0 Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Permit ft Submittal Date Project Address: -- ----- Contact: LT--L Fax: Email: Trades encompassed in revision: Building Plumbing Electrical El Mechanical 11 Life Safety El Waste Water Department Utilities El Waste Water Planning Engineering Fire Prevention EY"B'ttilding General description of revision: ROUTING INFORMATION Approvals J c-,AA-ckdV)a 7Y 6 City of Sanford Building and Fire Prevention Project Location Address As required by Florida Statute 553,842and Florida Administrative Code 8K-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 building ponni(. 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 uvvana that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Codo, Section 1714.5. More information about Statewide Product Approval can beobtained at . The following information must be available on the 'obsite for inspections: 1.l[ his entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Descriation (include decimal) Mullions Wind Breaker Dual Action Other June 2014 Category! Subcategory Manufacturer Product Florida Approval -, I I Description (includina docima. 3. Panel Walls Siding Soffits Storefronts Curtain Walls VV411—Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shinn lies Underlavments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shin des Roofing tiles Roofing Insulation Waterproofing b-u--711—tu p roofing System Modified Bitumen Single Ply Roof Roofinq slate Adhesives Liquid Applied Roof Tile adhesive Spray Applied Polyurethane Roofin E.P.S. Roof Panels Roof Vents Other June 2014 2 Category Subcategory Manufacturer Product Florida Approval i 5. Shutters Description include decimal) Accordion Bahama Colonial Roll up Equipment 6. Skylights Sky Other 7. Structural Components Wood Connectors Anchors Truss Plates Engineered- Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof- Wall ShedsPrefab Other r - -- ------- 8. NewExterior Envelope Products Applicant's Signature Applicant's Name Please Print) June 2014 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA Interwrap, .Inc. 32923 Mission Way Mission, BC, Canada V2V-6E4 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786) 31525-99 www.itiiaiiiidade.gov/econotity SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (A-HJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (hi Mianu Dade County) and/or the AHJ (in areas other than Mianu Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL TTMC-300, RhinoRoof U10, RhinoRoof UI5, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's naive or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall autornatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA 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 NOA renews and revises NOA No. 13-0610.01 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. M i;QAQE COUNTYIE REMNIVENTOIEW NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page I of 5 ROOFING COMPONENT APPROVAL Category: Roofing Sub -Cates Underlayment Material: Polypropylene SCOPE: This acceptance is for Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL - TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as described in this Notice of Acceptance, for use with approved prepared roof assemblies where ASTM D226 Type underlayment is specified and installed with prescribed approved fasteners and fastener densities. Designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code PRODUCT DESCRIPTION: Test Product Product Dimensions Specification Description Titanium' UDL-25 PLUS 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & H side coated with UV protected and slip resistant Location #1 & #3 polymer stabilized polypropylene on both sides. Titanium' UDL-30 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. Titanium' UDL-50 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & H sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. UDL TT 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & H side coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TF 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & H sides coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TTMC-300 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #2 polymer stabilized polypropylene on both sides. RhinoRoof U10 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 2 of 5 RhinoRoof UIS 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I andIl sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. RhinoRoof U20 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and II sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. Titanium UDL25 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and J1 sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. RhinoRoof RSA 36" x 67' rolls ASTM D1970 Unreinforced polymer modified bitumen material Manufacturing Location #4 adhered to the underside of a polymer -coated, synthetic woven sheet. The underside is backed, with a release film. MANUFACTURING LOCATIONS'. 1. MLI 2, ML2 3. ML3 4, ML4 EVIDENCE SUBMITTED. - Test Agency Test Identifier Test Name/Report Date Intertek Testing Services 3031783 TAS 104 02/19/03 3119607COQ-003B ICC-ES AC48 02/20/08 3124826-01 ASTM E108 02/19/08 3124826MID-007 ASTM E108 02/25/08 311801000Q-003 ASTM D226 02/20/08 3130639COQ-002A ASTM D226 02/20/08 3146738COQ-003A ASTM D226 06/20/11 3146738COQ-003B ASTM D 1876/ TAS 117 03/28/08 101465036COQ-001 ASTM D 1970 06/27/14 100539395COQ-006 ASTM D226 06/02/14 101863861COQ-OOIA ASTM D226 10/28/14 10 1 823107COQ-0 11 ASTM D226 12/09/14 Trinity ERD 115010.05.10 ASTM D4798 / D226 05/14/10 138010.08.11 ASTM D226 08/11/11 135520,08.11 ASTM D2523 / D 1781 08/17/11 NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 3 of 5 INSTALLATION SPECIFICATIONS: Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments 1. Titanium' UDL-25 PLUS, Titaniuml UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U IS, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed in strict compliance with applicable Building Code. 2. TitaniumO UDL-25 PLUS, Titanium' UDL-30, Titaniuie UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. Titaniuni" UDL-25 PLUS, Titaniurn' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, and Titanium UDL25 Synthetic Underlayments shall be fastened with Miami -Dade approved corrosion resistant tin -caps and 12 gauge 1 1/4" annular ring -shank nails, spaced 6" o.c. at all laps and three staggered rows fastened 12" o.c. in the field of the roll. 4. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with Asphaltic shingles, Wood shakes and shingles, Non-structural metal roofing, and quarry slate. Titanium' UDL-30, Titanium' UDL-50, UDLTTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof UIS, RhinoRoof U20, Titanium UDL25 and RhinoRoof RSA Synthetic Underlayments shall not be used as roof tile underlayments. 5. For Roof Tile applications; Titanium D UDL-25 PLUS may be used as an anchor sheet in roof tile applications when used in combination with a top membrane layer, consisting of a Miami -Dade approved TAS 103 self - adhering underlayment. (See current NOA listing of approved TAS 103 self -adhering underlayment for installation guidelines and limitations of use). 6. For fire classification of specific roof assemblies using Titanium' UDL-25 PLUS, TitaniuiT& UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U 10, RhinoRoof U 15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlaymentsreferto a current Approved Roofing Materials Directory for fire ratings of this product. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 4 of 5 LiMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. TitaniutnO UDL-25 PLUS, Titanium® UDL-30, Titaniurno UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be applied to a smooth, clean and dry surface with deck free of irregularities. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 4. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be hot mopped, refer to manufacturer's published literature for product compatibility. 5. Titanium' UDL-25 PLUS, Titanitun' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be applied over an existing roof membrane as a recover system, 6. Titaniuin,0 UDL-25 PLUS, TitaniumO UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RliinoRoof U10, RhinoRoof U15, RliinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be left exposed as a temporary roof for- longer than 30 days of application. 7. UDL-TTMC-300 Synthetic Underlayment shall not be left exposed as a temporary roof for longer than 180 days of application. 8. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RliinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are components used in roof system assemblies. Roof system assemblies are approved under a specific Notice of Acceptance. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 9. Titanium' UDL-25 PLUS, Titanium® UDL-30, Titanium" UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with any approved roof covering Notice of Acceptance listing Titanitie UDL-25 PLUS, Titaniute UDL-30, Titanium" UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as a component part of an assembly in the Notice of Acceptance. If TitaniumO UDL-25 PLUS, Titanium UDL- 30, Titanium' UDL-50, UDL TTMC-300, UDL TT, 'UDL ,rF, RliinoRoof U10, RliinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are not listed, a request may be made to the Authority Having Jurisdiction (A_HJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. 11. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 14-0603.18 MIAMI-DADECQt1NTY Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 5 of 5 Revision City of Sanford Response to Comments 0 Building & Fire Prevention Division 2D Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Permit fi. Submittal Date t-, Pro cot Address: It Contact: Ph: -eOUC) Fax: Email: Trades encompassed in revision: Building Plumbing El Electrical Mechanical Life Safety Waste Water Department El Utilities El Waste Water El Planning El Engineering El Fire Prevention 0-- Bnitding General description of revision: ROUTING INFORMATION Approvals ccVh -, T So City o Sanford Building and Fire Prevention Product Approval Specification Form Permit# 0, , Project Location Address Asrequired 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 wwwjloridabuildincj.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 _ Product - -------- Florida Approval 4 Description (include decimal) 1. Exterior Doors Swinaina sliding Sectional RolU Automatic Other 2. Windows Horizontal Slider Casement Double Hung Fixed Awning____ Fuss Through Projected Mullions Wind Breaker Dual Action — Other June 2014 Category / Subcategory Manufacturer Product Florida Approval ; Description including decima: 3. Panel Walls S id in Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse— E.P.S Composite Panels Other 4. Roofing_Praducts Asphalt Shin lesq_ Underlayments} Roofinq Fasteners i '/'-I " Nonstructural Metal Roof*9 Wood Shakes and Shin les._.. Roofinq tiles Roofing Insulation Water roofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coatin 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 Florida Approval Descrintion I (include decimal) 5. Shutters Accordion Bahama Colonial Roll up E ui menfi Other Tights Skyli hts Other 7. Structural go" onents Wood Connectors / Anchors Truss Plates Engineered Lumber Bailin 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 3 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Interwrap, Inc. 32923 Mission Way Mission, BC, Canada V2V-6E4 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miaiui, Florida 33175-2474 T (786)315-2590 F (786) 31525-99 www.iiiiai)iid:tde.gov/econoiiiy SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miarni-Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for duality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revolve, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revolve this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: TitaniumO UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", Curless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA 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 NOA renews and revises NOA No. 13-0610.01 and consists of pages I through 5. The submitted documentation was reviewed by Alex Tigera. APPiiOVED NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 1 of 5 ROOFING COMPONENT APPROVAL Cates Roofing Sub -Category: Underlayment Material: Polypropylene SCOPE: This acceptance is for Titauiumo UDL-25 PLUS, Titanium' UDL-30, Titanium® UAL-50, UDL TT, UDL TF, UDL TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as described in this Notice of Acceptance, for use with approved prepared roof assemblies where ASTM D226 Type underlayment is specified and installed with prescribed approved fasteners and fastener densities. Designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code PRODUCT DESCRIPTION: Test Product Product Dimensions Specification Description Titanium' UDL-25 PLUS 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & 11 side coated with UV protected and slip resistant Location #1 & #3 polymer stabilized polypropylene on both sides. Titanium' UDL-30 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 1I sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. Titanium' UDL-50 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & I1 sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. UDL TT 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & II side coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TF 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Locations #1 polymer stabilized polypropylene on both sides. UAL TTMC-300 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & Il sides coated with UV protected and slip resistant Location #2 polymer stabilized polypropylene on both sides. RhinoRoof U10 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 2 of 5 RhihoRoof U15 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I and H sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. RhinoRoof U20 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and 11 sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. Titanium UDL25 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and H sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. RhinoRoof RSA 36" x 67' rolls ASTM D 1970 Unreinforced polymer modified bitumen material Manufacturing Location #4 adhered to the underside of a polymer -coated, synthetic woven sheet. The underside is backed with a release film. MANUFACTURING LOCATIONS: 1. MLI 2. ML2 3. ML3 4. ML4 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Re ort Date Intertek Testing Services 3031783 TAS 104 02/19/03 3119607COQ-003B ICC-ES AC48 02/20/08 3124826-01 ASTM E108 02/19/08 3124826MID-007 ASTM E108 02/25/08 311801000Q-003 ASTM D226 02/20/08 3130639COQ-002A ASTM D226 02/20/08 3146738COQ-003A ASTM D226 06/20/11 3146738COQ-003B ASTM D 1876/ TAS 117 03/28/08 101465036COQ-001 ASTM D 1970 06/27/14 100539395COQ-006 ASTM D226 06/02/14 101863861COQ-OOIA ASTM D226 10/28/14 101823107COQ-01 I ASTM D226 12/09/14 Trinity I ERD 115010.05.10 ASTM D4798 / D226 05/14/10 138010,08.11 1 ASTM D226 08/11/11 135520.08.11 ASTM D2523 / D 1781 08/17/11 NOA No.: 14-0603.18 MIAMhDA OUNTY10 Expiration Date: 08/08/18 CMUMENEW Approval Date: 06/11/15 Page 3 of 5 INSTALLATION SPECIFICATIONS: Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments 1. Titanium' UDL-25 PLUS, Titanium0 UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RliinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed in strict compliance with applicable Building Code. 2. TitanitunO UDL-25 PLUS, Titanium' UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhirroRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. Titaniunil UDL-25 PLUS, Titanium' UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, and Titanium UDL25 Synthetic Underlayments shall be fastened with Miami -Dade approved corrosion resistant tin -caps and 12 gauge 1 1 4" annular ring -shank nails, spaced 6" o.c. at all laps and three staggered rows fastened 12" o.c. in the field of the roll. 4. Titanium' UDL-25 PLUS, Titanizun UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof UI5, RllinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with Asphaltic shingles, Wood shakes and shingles, Non-structural metal roofing, and quarry slate. Titanium' UDL-30, Titanium' UDL-50, UDLTTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25 and RhinoRoof RSA Synthetic Underlayments shall not be used as roof tile underlayments. 5. For Roof Tile applications; Titanium® UDL-25 PLUS may be used as an anchor sheet in roof the applications when used in combination with a top membrane layer, consisting of a Miami -Dade approved TAS 103 self - adhering underlayment. (See current NOA listing of approved TAS 103 self -adhering underlayment for installation guidelines and limitations of use). 6. For fire classification of specific roof assemblies using Titanium' UDL-25 PLUS, Titanium4l UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments refer to a current Approved Roofing Materials Directory for fire ratings of this product. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 4 of 5 LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be applied to a smooth, clean and dry surface with deck free of irregularities. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 4. Titanium & UDL-25 PLUS, Titanium' UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be hot mopped, refer to manufacturer's published literature for product compatibility. 5. Titanium® UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titaniurn UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be applied over an existing roof membrane as a recover system. 6. TitaniumO UDL-25 PLUS, Titanium® UDL-30, TitaniuniUDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RliinoRoof RSA Synthetic Underlayments shalt not be left exposed as a temporary roof for longer than 30 days of application. 7. UDL-TTMC-300 Synthetic Underlayment shall not be left exposed as a temporary roof for longer than 180 days of application. 8. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are components used in roof system assemblies. Roof system assemblies are approved under a specific Notice of Acceptance. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 9. TitaniumO UDL-25 PLUS, Titanium' UDL-30, TitaniumO UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with any approved roof covering Notice of Acceptance listing TitaniumO UDL-25 PLUS, TitaniumO UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as a component part of an assembly in the Notice of Acceptance. If Titanium' UDL-25 PLUS, Titanium UDL- 30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL 'I'F, RliinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RliinoRoof RSA Synthetic Underlayments are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. 11. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 5 of 5 if it Revision ,h 1 Response to Comments 0 M Permit City of Sanford li Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Submittal Date - e aL,- A) Project Address: d Contact: Ph: Fax: Ismail: wlk-'ALZ-).Q L Trades encompassed in revision: Building Plumbing Electrical Mechanical Life Safety Waste Water Department El Utilities El Waste Water El Planning El Engineering El Fire Prevention e--guilding General description of revision: ROUTING INFORMATION Approvals lty*Y) CO hr"I ryl C 4]y 7 ro C anal C C 7 fo t City of Sanford Building and, Fire Prevention Product Approval Specification Form Permit # i (, 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.floi-idabuilding.or,(I. 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 1 -Product --------------Florida —Approval -4 Descriotion I include decimal) 1. Exterior Doors Swinciina Slidinq Sectional Roll Up Automatic Other 2. Windows Sin Ike Hung___ qL ri u Horizontal Slider Casement Double Hung - Fixed Awning . Pass Through1 gh Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory 3. Panel Walls Sidin Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Prod ' ucts Asphalt Shingles Underlavments Roofinq Fasteners Nonstructural Metal Roofing Wood Shakes and Shinqles Roofing- tiles Roofing Insulation Waterproofing Built up roofing System Modified_ Bitumen Siln-9 1-01Y-Roof ____ Svstems Roofinq slate Cements/ Adhesives Coating® Liquid Applied S Roof Tile adhesive Spy Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other Manufacturer Product Florida Approval iIDescrinfloo (including decima, 11-4 June 2014 2 Category / Subcategory 5. Shutters Bahama Colonial Roll Equipment Other Sk lights Sk li Other 7. Structural Components Wood Connectors Anchors Truss Plates Engineered Lumber Railinq Coolers/Freezers---- i Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other New Exterior Envelope Products Applicant's Signature Applicant's Name Please Print) Manufacturer Product Florida Approval iIDescriptionI (include decimal) June 2014 I if R 0 F F I C MIAMI-DADE COUNTY MIAMi PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 31525-99 NOTICE OF ACCEPTANCE (NOA Interwrap, Inc. 32923 Mission Way Mission, BC, Canada V2V-6E4 www.iiiiaiitidade.gov/econoiiiv SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miarni-Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Mianii Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may inirnediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL -TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's naane or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA 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 NOA renews and revises NOA No. 13-0610.01 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. y „ , APPROVED I NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 1 of 5 ROOFING COMPONENT APPROVAL Category: Roofing Sub -Category: Underlayment Material: Polypropylene SCOPE: This acceptance is for Titanium' UDL-25 PLUS, Titanium® UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL TTMC-300, RhinoRoof U10, RhirroRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as described in this Notice of Acceptance, for use with approved prepared roof assemblies where ASTM D226 Type underlayment is specified and installed with prescribed approved fasteners and fastener densities. Designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code PRODUCT DESCRIPTION: Test Product Product Dimensions Specification Description Titanium' UDL-25 PLUS 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & II side coated with UV protected and slip resistant Location #1 & #3 polymer stabilized polypropylene on both sides. Titanium' UDL-30 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & H sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. Titanium' UDL-50 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. UDL TT 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & R side coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TF 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TTMC-300 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #2 polymer stabilized polypropylene on both sides. RhinoRoof U10 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. M AYHt•t)A[)E cousv r NOA No.: 14-0603.18 Expiration Date: 08/08118 Approval Date: 06/11/15 Page 2 of 5 RhinoRoof UIS 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I and 11 sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides, RhinoRoof U20 42" x 286' rolls ASTM D226 Woven synthetic polyrner underlayment with two Manufacturing Location #3 Type I and 11 sides coated with LTV protected and slip resistant polymer stabilized polypropylene on both sides. Titanium UDL25 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two ManufactitringLocation #3 Type I and H sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. RhinoRoof RSA 36" x 67' rolls ASTM D1970 Unreinforced polymer modified bitumen material Manufacturing Location #4 adhered to the underside of a polymer -coated, synthetic woven sheet. The underside is backed with a release film. MANUFACTURING LOCATIONS: 1. MLI 2. ML2 3. ML3 4, ML4 EVIDENCE SUBMITTED: Test Agenev Test Identifier Test Name/R.e ort Date Intertek Testing Services 3031783 TAS 104 02/19/03 3119607COQ-003B ICC-ES AC48 02/20/08 3124826-01 ASTM E 108 02/19/08 3124826MID-007 ASTM E108 02/25/08 311801000Q-003 ASTM D226 02/20/08 3130639COQ-002A ASTM D226 02/20/08 3146738COQ-003A ASTM D226 06/20/11 3146738COQ-003B ASTM D 1876/ TAS 117 03/28/08 101465036COQ-001 ASTM D1970 06/27/14 100539395COQ-006 ASTM D226 06/02/14 101863861COQ-00IA ASTM D226 10/28/14 101823107COQ-01 I ASTM D226 12/09/14 Trinity I ERD 115010.05.10 ASTM D4798 / D226 05/14/10 138010.08.11 ASTM D226 08/11/11 135520.08.11 ASTM D2523 / D 1781 08/17/11 NOA No.: 14-0603-18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 3 of 5 INSTALLATION SPECIFICATIONS: TitanitiniO UDL-25 PLUS, Titanium4l UDL-30, TitaffluinO UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments 1. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titaniurn UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayrnents shall be installed in strict compliance with applicable Building Code. 2. TitaniumO UDL-25 PLUS, TitaniurnO UDL-30, Titanium'' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RbinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. TitaniurhO UDL-25 PLUS, TitaniurnO UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, and Titanium UDL25 Synthetic Underlayments shall be fastened with Miami -Dade approved corrosion resistant tin -caps and 12 gauge 1 1/4" annular ring-sbawk nails, spaced 6" o.c. at all laps and three staggered rows fastened 12" o.c. in the field of the rot[. 4. Titanium' UDL-25 PLUS, Titaniuni UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RliinoRoof U15, RliinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with Asphaltic shingles, Wood shakes and shingles, Non-structural metal roofing, and quarry slate, TitaniumO UDL-30, Titanium' UDL-50, UDLTTMC-300, UDL TT, UDL TF, RliinoRoof U 10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25 and RhinoRoof RSA Synthetic Underlayments shall not be used as roof tile underlayments. 5. For Roof Tile applications; TitaniunP UDL-25 PLUS may be used as an anchor sheet in roof the applications when used in combination with a top membrane layer, consisting of a Miami -Dade approved TAS 103 self - adhering underlayment. (See current NOA listing of approved TAS 103 self -adhering underlayment for installation guidelines and limitations of use). 6. For fire classification of specific roof assemblies using Titanium' UDL-25 PLUS, Titanium® UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments-refer to a current Approved Roofing Materials Directory for fire ratings of this product. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material, NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 4 of 5 LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium4' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RliinoRoof RSA Synthetic Underlayments shall be applied to a smooth, clean and dry surface with deck free of irregularities. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 4. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof UIO, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be hot mopped, refer to manufacturer's published literature for product compatibility. 5. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be applied over an existing roof membrane as a recover system. 6. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RliinoRoof RSA Synthetic Underlayments shall not be left exposed as a temporary roof for longer than 30 days of application. 7. UDL_TTMC-300 Synthetic Underlayment shall not be left exposed as a temporary roof for longer than 180 days of application. 8. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RliinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are components used in roof system assemblies. Roof system assemblies are approved under a specific Notice of Acceptance. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 9. Titanium`s UDL-25 PLUS, Titanium`s UDL-30, Titaruuml UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with any approved roof covering Notice of Acceptance listing Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as a component part of an assembly in the Notice of Acceptance. If Titanium' UDL-25 PLUS, Titanium UDL- 30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. MlAMFDADE CC1UN'ry iW 11. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 5 of 5 Revision 0 City of Sanford Response to Comments 0 Building & Fire Prevention Division Ph; 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Permit # i ! ., - i Submittal Date ;11Y / / Project Address: Contact: Ph: Email: bOLAco( Trades encompassed in revision: E Building El Plumbing Electrical Mechanical El Life Safety El Waste Water Department El Utilities Waste Water Planning Engineering Fire Prevention Er " I Building General description of revision: ROUTING INFORMATION Approvals 6 Clity of Sanford Building and Fire Prevention Product Approval Specification Form 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 noR8LnV(tion project for which you are applying for building permit. We recommend that you contact Your local product Supplier should you not know the product approval number for any ofthe applicable ||ot*d products. Be aware that windows, aky|ightn, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can beobtained a( . The following information must beavailable on the'obsite for inspections: 1. Tbis entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory F___V u_f_acturerProduct 1. Exterior Doors Swinaina SlidiRa Mullions June 2014 Category / Subcategory Manufacturer Product Florida Approval iIIDescription (including decima, 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products A alt Shingles -- Underlayments Ro r-s-11- Nonstructural Metal Roofing Wood Shakes and Shin, Ides_ Roofinq tiles Roofing — ----- Insulation Waterproof!pg_ Built up roofing Modified Bitumen Single Ply Roof Systems Cements/ Adhesives Coating _ Liquid Applied Roofing Svstems Roof Tile adhesive Spray Applied Polyurethane E22fji nq,.____ E.P.S. Roof Panels Roof Vents Other it"', June 2014 2 Category / Subcategory I Manufacturer 5. Shutters Accordion Bahama Colonial Roll up Equipment Other 6. Skylights— kylWhts__ Other 7. Structural Components Wood Connectors Anchors Truss Plates Engineered - 11- Lumber Railing ----,---- Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Dock / Roof Wall —-- Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name Please Print) June 2014 3 Product Florida Approval? 9scription I (include decimal) F F %1 I t nx: m Ii''I, MIAMI- DADE COUNTY 1 PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 31525-99 NOTICE OF ACCEPTANCE (NOA) w ww.tiiiaiiiidadL. ovg /econo uy Interwrap, Inc. 32923MissionWay Mission, BC, Canada V2V-6E4 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Mianu Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may inunediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revolve this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION*. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL -TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RE NEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA 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 NOA renews and revises NOA No. 13-0610.01 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. S APPROVED NOA No.: 14- 0603. 18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 1 of 5 ROOFING COMPONENT APPROVAL Category: Roofing Sub -Category: Underlayment Material: Polypropylene SCOPE: This acceptance is for Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL , TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as described in this Notice of Acceptance, for use with approved prepared roof assemblies where ASTM D226 Type underlayment is specified and installed with prescribed approved fasteners and fastener densities. Designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code PRODUCT DESCRIPTION: Test Product Dimensions Specification Titanium' UDL-25 PLUS 48" x 250' rolls Manufacturing Location #1 & #3 Titanium' UDL-30 Manufacturing Location #1& #3 Titanium® UDL-50 Manufacturing Location #1& #3 UDL TT Manufacturing Location #1 UDL TF Manufacturing Location #1 UDL TTMC-300 ManufacturingILocation #2 RhinoRoof U10 Manufacturing Location #3 Product Description ASTM D226 Woven synthetic polymer underlayment with one Type I & R side coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Type I & H sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Type I & 11 sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Type I & H side coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Type I & H sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Type I & II sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Type I & 11 sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. NOA No.: 14-0603.18 MIAMIDARECQUNTY Expiratioit Date: 08/08/18 Approval Date: 06/11/15 Page 2 of 5 RhinoRoof U15 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I and 11 sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. RhinoRoof U20 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and II sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. Titanium UDL25 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and 11 sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. RhinoRoof RSA 36" x 67' rolls ASTM D 1970 Unreinforced polymer modified bitumen material Manufacturing Location #4 adhered to the underside of a polymer -coated, synthetic woven sheet. The underside is backed with a release film. MANUFACTURING LOCATIONS: 1, MLl 2. ML2 3. ML3 4. ML4 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Re ort Date Intertek Testing Services 3031783 TAS 104 02/19/03 3119607COQ-003B ICC-ES AC48 02/20/08 3124826-01 ASTM E108 02/19/08 3124826MID-007 ASTM E108 02/25/08 311801000Q-003 ASTM D226 02/20/08 3130639COQ-002A ASTM D226 02/20/08 3146738COQ-003A ASTM D226 06/20/11 3146738COQ-003B ASTM D 1876/ TAS 117 03/28/08 101465036COQ-001 ASTM D 1970 06/27/14 100539395COQ-006 ASTM D226 06/02/14 101863861COQ-OOIA ASTM D226 10/28/14 101823107COQ-011 ASTM D226 12/09/14 Trinity ( ERD 115010.05.10 ASTM D4798 / D226 05/14/10 I38010.08.11 1 ASTM D226 08/11/11 135520.08.11 ASTM D2523 / D1781 08/17/11 NOA No.: 14-0603.18 MIAMI+DADECQVNTY Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 3 of 5 INSTALLATION SPECIFICATIONS: Titaniurno UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments 1. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RbinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed in strict compliance with applicable Building Code. 2. TitaniumO UDL-25 PLUS, Titanitue UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. TitanituriO UDL-25 PLUS, Titanium' UDL-30, Titanium's UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, and Titanium UDL25 Synthetic Underlayments shall be fastened with Miami -Dade approved corrosion resistant tin -caps and 12 gauge 1 1/4" annular ring -shank nails, spaced 6" o.c. at all laps and three staggered rows fastened 12" o.c. in the field of the roll. 4. Titanium' UDL-25 PLUS, TitaniumUDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with Asphaltic shingles, Wood shakes and shingles, Non-structural metal roofing, and quarry slate. Titanium' UDL-30, Titanium' UDL-50, UDLTTMC-300, UDL TT, UDL TF, RhinoRoof U10, RliinoRoof U 15, RhinoRoof U20, Titanium UDL25 and RhinoRoof RSA Synthetic Underlayments shall not be used as roof tile underlayments. 5. For Roof Tile applications; TitaniuniO UDL-25 PLUS may be used as an anchor sheet in roof tile applications when used in combination with a top membrane layer, consisting of a Miami -Dade approved TAS 103 self - adhering underlayment. (See current NOA listing of approved TAS 103 self -adhering underlayment for installation guidelines and limitations of use). 6. For fire classification of specific roof assemblies using Titanium' UDL-25 PLUS, TitaniurnO UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlaymentsreferto a current Approved Roofing Materials Directory for fire ratings of this product. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 4 of 5 LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product, 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titaniuie UDL-50, UDL TTMC-300, UDL TT, UDL TF, RlihioRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be applied to a smooth, clean and dry surface with deck free of irregularities. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 4. Titanium' UDL-25 PLUS, Titanium'o UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titaniurn UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be hot mopped, refer to manufacturer's published literature for product compatibility. 5. Titanime UDL-25 PLUS, Titanium' UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be applied over an existing roof membrane as a recover system. 6. TitaniurnO UDL-25 PLUS, Titanium* UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be left exposed as a temporary roof for longer than 30 days of application. 7. UDL-TTMC-300 Synthetic Underlayment shall not be left exposed as a temporary roof for longer than 180 days of application, 8. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are components used in roof system assemblies. Roof system assemblies are approved under a specific Notice of Acceptance. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 9. Titanium® UDL-25 PLUS, Titanium® UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RbinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with any approved roof covering Notice of Acceptance listing Titanium' UDL-25 PLUS, Titanium UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RliinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as a component part of an assembly in the Notice of Acceptance. If Titanium' UDL-25 PLUS, Titanium® UDL- 30, Titanium" UDL-50, UDL TTMC-300, UDL TT, UDL 'rF, RhinoRoof U10, RliinoRoof U15, RliinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miarni-Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miat-ni-Dade County Product Control Seal as shown below. MIAMhQADE COUNTY 11. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11115 Page 5 of 5 Revision City of Sanford Response to Comments 0 JO c6p Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Permit t-I - Submittal Date Project Address: Contact: PIA: Fax: Email: Trades encompassed in revision: LJ Building El Plumbing Electrical Mechanical El Life Safety 11 Waste Water Department Utilities El Waste Water 11 Planning El Engineering El Fire Prevention wilding General description of revision: ROUTING INFORMATION Approvals Ec 11, I, Y. 111 City o Tf Sanford T11111 Building and Fire Preventioff Product Approval Specification Form Permit # Project Location Address A 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.or g, 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. Ap_ 6v_a_IP Category / Subcategory Manufacturer Florida 1---Description (include decimal) 1. Exterior Doors SwingjN___ Sliding Sectional__ Roll Up Automatic Other 2. Windows Sin 9 Hun_q __ Horizontal Slider Casement Double Hun Fixed Awning Pass Through_,__ Mullions Mullions WindBreaker- ------ Dual Action Other Jurie 2014 1 Category / Subcategory Manufacturer Product Florida__,approval iTDescriptionincludinctdecima, 3. Panel Walls Siding Soffits------ Storefronts-,----- Curtain Walls wall Lauver Glassblock Membrane Greenhouse E. P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underlavme- n-ts---- Roofing , Fasteners Nonstructural Metal Roofing Wood Shakes and Shinciles Roofing tiles Roofing Insulation Waterproofing____ 1364Ht up roofing System Modified Bitumen Single Ply Roof Systems Roofinq slate Cements/ Adhesives Coati nq,- Liquid Applied Roofing Svstems MOOT i iie adhesive Spray Applied Polyurethane Roofin E. P.S. Roof Panels Roof Vents Other June 2014 2 Category / Subcategory Manufacturer Product Florida Approval a 5. Shutters Description include decimal Accordion Bahama Colonial Roll u Equi men Other 6. Sk li_qhts Skvlights Other 7. Structural Components Wood Connectors / Anchors Truss Plates En ineered Lumber Cool ers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name Please Print) June 2014 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE CDT ACCEPTANCE (NOA Interwrap, Inc. 32923 Mission Way Mission, BC, Canada V2V-6E4 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786) 31525-99 www.iiiiaiiiidade.gov/econoiiiy SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Mianu Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revolve, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revolve this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium® UDL-50, UDL TT, UDL TF, UDL -TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's naive or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA 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 NOA renews and revises NOA No. 13-0610.01 and consists of pages I through 5. The submitted documentation was reviewed by Alex Tigera. Y APPROVED NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 1 of 5 ROOFING COMPONENT APPROVAL Cates Roofing Sub-Catelzory: Underlayment Material: Polypropylene SCOPE: This acceptance is for Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium® UAL-50, UDL TT, UDL TF, UDL -TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as described in this Notice of Acceptance, for use with approved prepared roof assemblies where ASTM D226 Type underlayment is specified and installed with prescribed approved fasteners and fastener densities. Designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code PRODUCT DESCRIPTION: Test Product Product Dimensions Specificationecification Description Titanium® UDL-25 PLUS 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & H side coated with UV protected and slip resistant Location #1 & #3 polymer stabilized polypropylene on both sides. Titanium' UDL-30 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. Titanium' UAL-50 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. UDL TT 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & 11 side coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TF 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TTMC-300 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #2 polymer stabilized polypropylene on both sides. RhinoRoof U10 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & 11 sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. NOA No.: 14-0603.18 INEMIAMI-DADECO Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 2 of 5 RhinoRoof U15 42" x 286' rolls ASTM D226 Woven synthetic polymer underlaynient with two Manufacturing Type I and JJ sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. RhinoRoof U20 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and 11 sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. Titanium UDL25 48" x 250'rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and J1 sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. RhinoRoof RSA 36" x 67' rolls ASTM D1970 Unreinforced polymer modified bitumen material ManufacturingLocation #4 adhered to the underside of a polymer -coated, synthetic woven sheet. The underside is backed with a release fitra. MANUFACTURING LOCATIONS: I. MLI 2. ML2 3. ML3 4. ML4 EVIDENCE SUBMITTED: Test A___,geney Test Identifier Test Name/Report Date Intertek Testing Services 3031783 TAS 104 02/19/03 3119607COQ- 003B ICC-ES AC48 02/20/08 3124826- 01 ASTM E108 02/19/08 3124826MID- 007 ASTM E108 02/25/08 311801000Q- 003 ASTM D226 02/20/08 3130639COQ- 002A ASTM D226 02/20/08 3146738COQ- 003A ASTM D226 06/20/11 3146738COQ- 003B ASTM D 1876/ TAS 117 03/28/08 101465036COQ- 001 ASTM D 1970 06/27/14 100539395COQ- 006 ASTM D226 06/02/14 101863861COQ- OOIA ASTM D226 10/28/14 10 1 823107COQ-0 I I ASTM D226 12/09/14 Trinity I ERD 115010.05.10 ASTM D4798 / D226 05/14/10 138010. 08.11 1 ASTM D226 08/11/11 135520. 08.11 ASTM D2523 / D 1781 08/17/11 NOA No.: 14-0603.18 R= UNTY Expiration Date: 08/08/18 MHUMMENOW Approval Date: 06/11/15 Page 3 of 5 INSTALLATION SPECIFICATIONS: Titanium' UDL-25 PLUS, TitaniurnO UDL-30, Titaniurno UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments 1. Titanium' UDL-25 PLUS, TitaniurnO UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RliinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed in strict compliance with applicable Building Code. 2. TitaniurnO UDL-25 PLUS, Titanitun® UDL-30, TitaniuinQ UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U 15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, and Titanium UDL25 Synthetic Underlayments shall be fastened with Miami -Dade approved corrosion resistant tin -caps and 12 gauge 1 1/4" annular ring -shank nails, spaced 6" ox, at all laps and three staggered rows fastened 12" o.c, in the field of the roll. 4. Titanitite UDL-25 PLUS, TitaniumO UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RliinoRoof U10, RhinoRoof U15, RliinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with Asphaltic shingles, Wood shakes and shingles, Non-structural metal roofing, and quarry slate. Titaniurn' UDL-30, TitaniurnO UDL-50, UDLTTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25 and RhinoRoof RSA Synthetic Underlayments shall not be used as roof tile underlayments. 5. For Roof Tile applications; Titanium' UDL-25 PLUS may be used as an anchor sheet in roof tile applications when used in combination with a top membrane layer, consisting of a Miami -Dade approved TAS 103 self - adhering underlayment. (See current NOA listing of approved TAS 103 self -adhering underlayment for installation guidelines and limitations of use). 6. For fire classification of specific roof assemblies using Titanium' UDL-25 PLUS, TitaniurnO UDL-30, Titaniun& UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlaymentsreferto a current Approved Roofing Materials Directory for fire ratings of this product. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material. kk NOA No.: 14-0603.18 MAMMADE COUNTY Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 4 of 5 IMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. Titanium® UDL-25 PLUS, Titanium' UDL-30, Titaniurn' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RlninoRoof RSA Synthetic Underlayments shall be applied to a smooth, clean and dry surface with deck free of irregularities. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 4. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be hot mopped, refer to manufacturer's published literature for product compatibility. 5. Titanium' UDL-25 PLUS, Titanium® UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be applied over an existing roof membrane as a recover system. 6. Titanium" UDL-25 PLUS, Titanium' UDL-30, Titaniume UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RliinoRoof RSA Synthetic Underlayments shall not be left exposed as a temporary roof for longer than 30 days of application. 7. UDL TTMC-300 Synthetic Underlayment shall not be left exposed as a temporary roof for longer than 180 days of application. 8. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are components used in roof system assemblies. Roof system assemblies are approved tinder a specific Notice of Acceptance. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 9. Titaniunn& UDL-25 PLUS, Titanium® UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with any approved roof covering Notice of Acceptance listing Titanium UDL-25 PLUS, Titanium® UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as a component part of an assembly in the Notice of Acceptance. If Titanitue UDL-25 PLUS, Titanium® UDL- 30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL 'rF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. 11. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 5 of 5 00" w Revi ion City of SanfordJr Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: buiIding@sanfordfl.gov Permit # f ,, , Submittal Date /c PrQject Address: L, , s,,,O Contact: Email: co('Y-1 14- ---- I .... . ... ... ID Trades encompassed in revision: LYJ Building Plumbing El Electrical Mechanical Life Safety El Waste Water Department Utilities Waste Water El Planning El Engineering El Fire Prevention 0""'BLlilding General description of revision: ROUTING INFORMATION Approvals 0- 50 City of Sanford Building and Fire Prevention Product Approval Specification Form L_ - kPermit # ; ;,-- - 1 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 wwwjloridabuildinq.or g. 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 Florida Approval 4 IDescriptionI (include decimal) 1. Exterior Doors Swinaina Sliding Sectional Roll Up Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hung_ Fixed Awning Pass Through__ Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory 3. Panel Walls Sidinq Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underlavments Roofing Fasteners Nonstructural Metal Roofing_ Wood Shakes and Shingles Roofing tile Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives Coating Liquid Applied Roofina Svstems Roof Tile adhesive Spray Applied Polyurethane Roofing _ E.P.S. Roof Panels Roof Vents Other Manufacturer Product escrintion Florida Approval; including decirna. June 2014 2 00" Category / Subcategory I Manufacturer I Product I Florida Approval i 5. Shutters Accordion Bahama Colonial Roll up Eauir)ment Other 6. Skvlicihts Skylights — - ----- Other 7. Structural Com-ponen.ts Wood Connectors Anchors Truss Plates Enqineered 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 3 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Interwrap, Inc. 32923 Mission Way Mission, BC, Canada V2V-6E4 MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786) 31525-99 www.itilaittidftde.gov/econoitiy SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miarni Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below, The Miami -Dade County Product Control Section (In Mianii Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Titanium® UDL-25 PLUS, Titanium' UDL-30, Titanium® UDL-50, UDL TT, UDL TF, UDL TTMC-300, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety, INSPECTION: A copy of this entire NOA 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 NOA renews and revises NOA No. 13-0610.01 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. APPROVED NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 1 of 5 ROOFING COMPONENT APPROVAL Category: Roofing Sub -Category: Underlayment Material: Polypropylene SCOPE: This acceptance is for Titanium' UDL-25 PLUS, Titanium® UDL-30, Titanium' UDL-50, UDL TT, UDL TF, UDL_TTMC-300, RhinoRoof U10, RhinoRoof U15, RhiiioRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as described in this Notice of Acceptance, for use with approved prepared roof assemblies where ASTM D226 Type underlayment is specified and installed with prescribed approved fasteners and fastener densities. Designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code PRODUCT DESCRIPTION: Test Product Product Dimensions Specification Desch Titanium® UDL-25 PLUS 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & II side coated with UV protected and slip resistant Location #1 & #3 polymer stabilized polypropylene on both sides. Titanium 'UDL-30 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. Titanium' UDL-50 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #1& #3 polymer stabilized polypropylene on both sides. UDL TT 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with one Manufacturing Type I & Il side coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TF 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #1 polymer stabilized polypropylene on both sides. UDL TTMC-300 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #2 polymer stabilized polypropylene on both sides. RhinoRoof U10 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I & II sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 2 of 5 RhinoRoof U15 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Type I and 11 sides coated with UV protected and slip resistant Location #3 polymer stabilized polypropylene on both sides. RhinoRoof U20 42" x 286' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and II sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. Titanium UDL25 48" x 250' rolls ASTM D226 Woven synthetic polymer underlayment with two Manufacturing Location #3 Type I and II sides coated with UV protected and slip resistant polymer stabilized polypropylene on both sides. RhinoRoof RSA 36" x 67' rolls ASTM D1970 Unreinforced polymer modified bitumen material Manufacturing Location #4 adhered to the underside of a polymer -coated, synthetic woven sheet. The underside is backed with a release film. MANUFACTURING LOCATIONS: 1. ML1 2. ML2 3. ML3 4. MIA EVIDENCE SUBMITTED: Test A eenncy Test Identifier Test Naine/Report Date Intertek Testing Services 3031783 TAS 104 02/19/03 3119607COQ-003B ICC-ES AC48 02/20/08 3124826-01 ASTM E108 02/19/08 3124826MID-007 ASTM E108 02/25/08 311801000Q-003 ASTM D226 02/20/08 3130639COQ-002A ASTM D226 02/20/08 3146738COQ-003A ASTM D226 06/20/11 3146738COQ-003B ASTM D 1876/ TAS 117 03/28/08 101465036COQ-001 ASTM D 1970 06/27/14 100539395COQ-006 ASTM D226 06/02/14 101863861COQ-00IA ASTM D226 10/28/14 10 1 823107COQ-0 I I ASTM D226 12/09/14 Trinity ( ERD I15010.05.10 ASTM D4798 / D226 05/14/10 138010.08.11 ASTM D226 08/11/11 I35520.08.11 ASTM D2523 / D1781 08/17/11 NOA No.: 14-0603.18 MIAMIta I EcoUt Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 3 of 5 INSTALLATION SPECIFICATIONS: Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments 1. Titanium UDL-25 PLUS, Titanium' UDL-30, Titaniuni UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RliinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shalt be installed in strict compliance with applicable Building Code. 2. Titanium' UDL-25 PLUS, TitaniurnO UDL-30, TitaniumO UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RbinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. Titanium' UDL-25 PLUS, Titanium' UDL-30, Titanium UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, and Titanium UDL25 Synthetic Underlayments shall be fastened with Miami -Dade approved corrosion resistant tin -caps and 12 gauge 1 1/4" annular ring -shank nails, spaced 6" o.c. at all laps and three staggered rows fastened 12" o.c. in the field of the roll. 4. Titanium' UDL-25 PLUS, TitaniuniUDL-30, Titaniuni UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with Asphaltic shingles, Wood shalces and shingles, Non-structural metal roofing, and quarry slate. Titanium' UDL-30, Titanium® UDL-50, UDLTTMC-300, UDL TT, UDL TF, RhiuoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25 and RhinoRoof RSA Synthetic Underlayments shall not be used as roof tile underlayments. S. For Roof Tile applications; Titanium' UDL-25 PLUS may be used as an anchor sheet in roof tile applications when used in combination with a top membrane layer, consisting of a Miami -Dade approved TAS 103 self - adhering underlayment. (See current NOA listing of approved TAS 103 self -adhering underlayment for installation guidelines and limitations of use). 6. For fire classification of specific roof assemblies using TitaniumO UDL-25 PLUS, TitaniurnO UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U 10, RhinoRoof U 15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlaymentsreferto a current Approved Roofing Materials Directory for fire ratings of this product. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material. NOA No.: 14-0603.18 KLMAMI-DADECOUN- Expiration Date: 08/08/18 LOR1169131 NOW Approval Date: 06/11/15 Page 4 of 5 LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. Titanium' UDL-25 PLUS, Titanium® UDL-30, Titaniune UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RliinoRoof RSA Synthetic Underlayments shall be applied to a smooth, clean and dry surface with deck free of irregularities. All nails in the deck shall be carefully checked for protruding heads. Re -fasten any loose decking panels. Sweep the deck thoroughly to remove any dust and debris prior to application. 4. Titanium" UDL-25 PLUS, Titanium' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be hot mopped, refer to manufacturer's published literature for product compatibility. 5. Titanium' UDL-25 PLUS, Titaniurno UDL-30, Titanium®' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments shall not be applied over an existing roof membrane as a recover system. 6. Titanium' UDL-25 PLUS, Titaniwn' UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RbinoRoof U15, RhinoRoof U20, Titanium UDL25, and RliinoRoof RSA Synthetic Underlayments shall not be left exposed as a temporary roof for longer than 30 days of application. 7. UDL-TTMC-300 Synthetic Underlayment shall not be left exposed as a temporary roof for longer than 180 days of application. 8. Titanium® UDL-25 PLUS, Titanitite UDL-30, Titanium' UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are components used in roof system assemblies. Roof system assemblies are approved under a specific Notice of Acceptance. Refer to Prepared Roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. 9. Titanium' UDL-25 PLUS, Titanium® UDL-30, TitaiiiumO UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments may be used with any approved roof covering Notice of Acceptance listing Titanium' UDL-25 PLUS, Titanium® UDL-30, Titanium® UDL-50, UDL TTMC-300, UDL TT, UDL TF, RhinoRoof U10, RhinoRoof U15, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments as a component part of an assembly in the Notice of Acceptance. If Titanime UDL-25 PLUS, Titanium' UDL- 30, Titanium® UDL-50, UDL TTMC-300, UDL TT, 'UDL 'I'F, RhinoRoof U10, RhinoRoof UIS, RhinoRoof U20, Titanium UDL25, and RhinoRoof RSA Synthetic Underlayments are not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miaini-Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 10. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and the following statement: ""Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. ff 'MIAMI-DADS COUNTYM 14 1224:14 4!JEIW 11. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 14-0603.18 Expiration Date: 08/08/18 Approval Date: 06/11/15 Page 5 of 5 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: hereby acknowledge that J personally inspected Roof deck nailing and/or Vecondary water barrier work at and have determined that the work Job Site Address) was (lone according to the Hurricane Mitigation Retrofit Marina], (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or. r official duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S.,/"-- — --------- - - ----- Signature of Printed Name of Contractor Date License License Type: 1,1 General U l311i1ding Residential 1-yRoofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF C)f this daySwornto (or affirmed) and subscribed before tWl y of f ___20 by who is 71personally Known to me or has i > Produced (type of as identification. SEAL) Signature of54otary Public State of Florida V M A k Print Type/Stamp Name of Notary Public FF 013012 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: hereby acknowledge that I personally inspected Roof deck nailing and/or V/Secondary water barrier work at 00 /_\ 5(1 n and have determined that the workL 4 Job Site Address) was done according to the Hurricane Mitigation Retrofit Mauna]. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that t fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or It official ufft i I duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S. 7 Signature of Printed Naive of Contractor D to CC License # License Type: I I General E Building E Residential 1-4Roofing Contractor I certifiedoranyindividualcetied in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before __qtbis_day of__ 20 by ir, tIPersonallyKnown to me or -as f 1 Produced (type of ir tot -cation) 1C, as identification. SEAL) Signature- ootary Public State of Fli(rida ok kMillsill, Print/ Type/Stamp Name .. ....... of Notary Public h00. w So # FF 013012 0, A3