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HomeMy WebLinkAbout101 E 7 Street; 17-2126; roofCITY OF. SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION JUL 06 2017 Application No: BY Documented Construction Value: $ t1A Job Address: C 2 r r 5arJ v2 Fi_ 3Z 1 Historic District: Yes ON. Parcel ID: Z 5' - 1'A - 3 - S A G - OcA 03 - v v 6 A Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: ?c - Qco,F s' Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name &ACO<3 Phone: t-ka-4 - 32-`3 - Street: \C) k 1_ . Resident of property?: c rtc F City, State Zip: SF-JFc) FL Contractor Information Name 0J P2 k?Cx> I Ll C Phone: Ze, 3 - 11-4\ 5- Street: S6 3 C 0Q .? 1-1 S L LLpS '6-IJ4) SukdT '= Z Ck6 Fax: Z" 3- LA 4 Z 2 City, State Zip: MG _tsa oo , FL- 3Z$1o\ State License No.: CCc- 13 z' 3 S$ Name: Street: City, St, Zip: Bonding Company: Address: Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating 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: 5t1 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinance. 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 w% h art applicable laws regulating construction and zoning. r1 77 Si ature of wm r/Agents JJ Da a Signatu o tractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Date go+ Notary Public State of Florida Helen M vv Niams My Commission GG 008278 a rd Expires 08/1612020 _ Owner/Agent is Personally K own to Me or Produced ID Type of ID — L S= l Signature ofNotary-State of Florida Date Xacorl4. Notary PrPersonafllly 10 Helen M My Comm Expires0 Congent is Known to Me or Produced ID Type of ID Permits Required: Building Electrical Mechanical Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Plumbing Gas Roof Flood Zone: of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes 0 No # of Heads Fire Alarm Permit: Yes n No APPROVALS: ZONING: Wll• II UTILITIES: I WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: June 30, 2015 Permit Application THIS INSTRUMENT PREPARED BY: Over The Top Roofers, LLCName: __ V)ALE r OV C I- Address: =Thillips Blvd. 6 ON tan o, L 32819 Permit Number: Parcel ID Number: SA C, _ Q cA y C, O (n R GRANT MALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER SK 894.6 Ps 1411 (1Pss ) CLERIC'S T 2017067781 RECORDED 07/05/2017 12:09u 4 PM RECORDING FEES $10.00 RECORDED BY ,ieckenro The undersigned hereby gives notice that improvement will be made to certain realfollowinginformationisprovidedinthisNoticeofCommencement. property, and in accordance with Chapter 713, Florida Statutes, the 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) S- T- CjF r.) 9y PT- Corr i,aTS is 3L_K ti rt R 3TOtivNc, F e-A,. i Z- r-2 i1 2. GENERAL DESCRIPTION OF IMPROVEMENT: IZE - Rcx7 - As 1>HIN L-T Si 1Z LE 3t1 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: JACc 3 I-t EA 2 (, 1 u l e . 'j S'i2'EZ'I- SAnjE--6,2k-, Fa_ 3`2- Interest in property: CiW,-j t — y -1- - 3 2 3 — t 3 2- Fee Simple Title Holder (if other than owner listed above) Name: Address: Y 4. CONTRACTOR: Name: 0 V 1; a- _ C } V t t2cx t= 5 ((r - Phone Number. j o `+ - Z Ct 3 - "-- 17- w Address: <S U 3 6 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section713.13(1)(a)7., Florida Statutes. Name: Address: Phone Number. S. In addition, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) V 2 3t WARNING TO OWNER• ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEf - JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. "- r Q Si elute of weer or Less or er s or Lessee's i, Autho ' ed Officer/Dir for/Partner/Manager) (Print Name and Provide Signatory's Title/office) y <<s•` i, c,. Ua CZ State of V'- Q County of C) cr The foregoing instrument was acknowledged before me this / r day of v_ Ly 5 20 d aby Who is personally known to me OR ' W o 0Nameofpersonmak,ng statement O = 0 who has produced identification type of Identification produced: o 0 0 - 0 Uj —j + 00 Notary Public $tote of Florida Helen M Williame My Commission GG 008278 Notary Signature q p Expires OE/18/2020 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood,; Sanford, Seminole County, Winter Springs Date: `7 - (, 1-7 I hereby name and appoint: » r C= PXrvl C 6t an agent of. Ov , hl C- -1 o n 0-00 F c;S 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: L 32 '4 Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: LL 30v 1 C til State License Number: Signature of License Holder: o\c'-'L- STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day ojf--\- (C , 20q -Ir, by 6 g ,!- QO\J= L- who is Vpersonally knowntomeorawhohasproduced identification and who did (did not) take an oath. as Notary Seal) R Notary pubec State of FloridaHelen n i iij n GmsAyCommissionGG O0E27sfExpiresos11612020 Signature Print or type name Notary Public -State of 6L3-70 }) Commission No. 6 6 My Commission Expires: - Rev. 08.12) s., 4/27/2017 SCPA Parcel View: 25-19-30-5AG-0903-006A fp*Sf son,CFA ssncP,o c caurvrv, Fcnrtnn Parcel Information Property Record Card Parcel: 25-19-30-5AG-0903-006A Owner: HEARD J FOREMAN & ROBERTA K Property Address: 101 E 7TH ST SANFORD, FL 32771-2601 Parcel 25-19-30-5AG-0903-OO6A Owner HEARD J FOREMAN & ROBERTA K Property Address 101 E 7TH ST SANFORD, FL 32771-2601 Mailing 101 E 7TH ST SANFORD, FL 32771-2601 Subdivision Name SANFORD TOWN OF Tax District S1-SANFORD DOR Use Code 0102-SINGLE FAMILY -SANFORD HISTORICAL DISTRICT Exemptions 00-HOMESTEAD(1994) r, L=jt s a o, Seminole County GIS Legal Description W 65 FT OF N 99 FT OF LOTS 6+7BLK9TR3 TOWN OF SANFORD PB 1 PG 59 Taxes Value Summary 2017 Working Values 2016 Certified Values Valuation Method Cost/Market CostfMarket Number of Buildings 1 1 Depreciated Bldg Value 143,779 138,986 Depreciated EXFT Value 925 938 — Land Value (Market) Land Value Ag Just/Market Value " 20,553 165,257 I $16,322 -- i 156,246 Portability Adj Save Our Homes Adj Amendment 1 Adj 74,188 j 67,050 P&G Adj --- 0 ---- 0 ------ - Assessed Value 91,069 i 89,196 Tax Amount without SOH: $2,319.00 2016 Tax Bill Amount $975.00 Tax Estimator Save Our Homes Savings: $1,344.00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund — i $91,069 $50,000 j $41,069 Schools ( $91,069 j $25,000 $66,069 City Sanford $91,069 ( $50,000 $41,069 SJWM(Saint Johns Water Management) - $91,069- 06 $50,000 $41,9 County Bonds Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 10/1/2003 05108 1266 100 No Improved QUITCLAIM DEED 3/1/1979 01261 0660 100 No j Improved WARRANTY DEED 1/1/1974- 01020 1634— 24,000 Yes Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH I 65.00 i 99.00 ! 0 I $340.00 20,553 Building Information -- - Is Bed/Bath count incorrect? Click Here. Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AG0903006A 1/2 4/27/2017 SCPA Parcel Vew:25-19-30-5AG-0903-006A Permits Permit # Description Agency Amount CO Date Permit Date 00110 ADDITION - RESIDENTIAL 02303 ADDITION - RESIDENTIAL I SANFORD i $722 SANFORD { $480 10/1/1997 6/1/1996 Extra Features Description Year Built Units Value New Cost PATIO FIREPLACE 1 17/1/2003 1 1 $325 7/1/1900 1 $600 500 1,500 http://pareeldetail.scpafl.org/ParcelDetailinfo.aspx?PID=2519305AG0903006A 2/2 OVER THE TOP ROOFERS, LLC ri ' o v t K 7- H a Tor 5036 Dr. Phillips Blvd. R11C O F E RS Suite 296 CCC 1328358 Orlando, FL 32819 Phone: 407-293-4715 FaX 407-293-4722 www.overthetoproofers.com Bill To: Jacob Heard 101 E. 7th Street Sanford, FL 32771 407-323-9132 Cell 407-670-2421 Work of a7.C,7o-1 y 41heardherd@bellsouth.net We hereby submit specifications and/or estimates for: l Job: t -i k IUTCZ- J Contract Date Estimate # 4/6/2017 12090 P.O. No. Project Heard 101 Item roo Description Qt Rate Total FULL ROOF We will tarp all planters, walkways and driveways. 11,037.00 11,037.00 Tear off and remove existing shingle roof system. Inspect roof decking and re -nail entire deck every 6 in. (w/8D ring shank nails) per Fl. Code. Furnish & install TIGER PAW in place of 30# felt underlayment. Remove & replace all existing drip edge (color to be picked), vent pipes, roof vents and dryer vents. (Paint exposed PVC). With all intrusions on roof we will install GAF Stonn Guard secondary water barrier including in the valleys. We will install new shingles with 6 ea. nails per shingle per Fl. Code. We will use a GAF starter shingle at all eaves of roof. Furnish and install a GAF Timberline HD Life Time (130 mph) Architectural Shingle. All gutters , if any, will be cleaned out at completion of job. Clean & dispose of all roofing debris from property & use a magnet around the house. First 2 sheets of damaged decking will be replaced at no charge. Anything there after will be $86.00 a sheet installed =1st 4 leaks free] Any fascia or planked roof decking replaced will be an additional $3.75 ft. (Cedar $4.75 ft) If any siding needs replaced $3.75 ft. If any flashing is needed. Additional $5.25 ft. If there is a Direct TV antenna on roof we will remove but are not responsible for re -installing Contractor will provide all necessary permits. We will provide you with references upon request. Ten year workmanship guarantee backed by GAF. Silver Pledge 50 year manufacturers warranty backed by GAF: This warranty is backed by GAF for the ENTIRE roof. If shingle defects before the first 50 yrs. GAF will replace the entire roof, not just the shingle like all other 30 yr, manufacturers warranties. (Transferable) Entire project will take approximately 3 or 4 days, start to finish. Includes both buildings. Includes: Apply a CertainTeed 2-ply torch down system on flat roof. 1) Base will be self adhered Black Diamond Base 2) Cap Torch on 1:12 elevations (This system has a 12 yr. manufacturers warranty). In dead valley we will apply 2 ply GAF self adhesive Liberty under the shingles To install squirrelproof covers on all lead boots `';Additions $32.00 each, To perform a wind mitr'gation. Additional $120.00 '` C", If your interested in the above just initial on line(s) and we will add it to total on invoice. After final payment is made and have cleared the bank we will issue a final lien release. Please do not mail payment. Re- f 100 0/ d D oueAY OF COMPLETION. Repair -due upon commencement. 100yo of the total will be assessed after 30 days. Any collections fees will be the customers Total $11,037.00 responsibility. If using a credit card a convenience fee of 3.0 % is added. Not responsible for any damages to concrete from delivery vehicles. We do not cover pooling water. If existing fascia or soffit metal all durip the job it snot our pons1" nor are gutters. r' / / Signature:_.__.. :.___.__ t T- Date: r s •° D PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: I) I 1 + 1= C _r S AtI FO(Z d) F& 32 —4q ) STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: 'QREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): P L--/ woo 0 PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: QOFF-RIDGE RIDGE QSOFFIT OPOWERED VENT l JTilRR1NFC SKYLIGHTS: O YES Jodo IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 /4:12 OR GREATER ROOF EXTENSIONS (PORCHES PATIOS ETC) **IFAPPLICABLE" ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 Q 4:12 OR GREATER D `D City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures1 PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required to be submitted as part of your permit application. The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that will be installed on the project. A permit will not be issued without these documents. Copies will be made to post on the job site. Projects located in the Sanford Historic District will require plan review and approval by the Sanford Historic Preservation Board INSPECTION POLICY & PROCEDURES A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: Permit Card, posted in a conspicuous and weatherproof location Completed Residential Re -Roof Scope of Work Completed and Notarized Inspection Affidavit All Florida Product Approval and Corresponding Installation Instructions Product Approval shall match what is on the scope of work) Digital Photographs (must include the permit number or address in each picture) o Each plane of the roof, showing the underlayment installed o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o Roof Deck Nails used (including a measuring device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed, nail pattern and location of nails Skylights (if applicable) o Digital photographs showing all installation components, per FL Product Approval o Digital photographs showing all required flashing, per FL Product Approval Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design Professional (architect or engineer), certifying FBC code compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: C•-, -e_k__L II DATE: I P 1 U 1877- CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: Over the Top Roofers for 101 E. 7th Street Sanford, FL 32771 BP#17-2029 DATE ISSUED: July 6, 2017 DATE EXPIRES: January 7, 2018 Approved to re -roof asphalt shingles in color "Birchwood" (manufacturer: HD Timberline) as shown in figure 1, with white dripedge. Christine Dalton, AICP Historic Preservation Officer/Community Planner Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? 0 YES NO Building Departme-n!t Representative Florida Building Code Online Page 1 of 2 r 5 !g ;1 : iu. BOS Home Login j user Registration Hot Topics j Submit Surcharge Stats & Facts Publications FBC Staff 1! BOs site Map i Links Search ; P ProductApprovalh- USER: Public User 1.> Product Approval Menu > product or Application search > Application List > Application Detail LNt FL # FL10124-R19 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer GAF Address/ Phone/Email 1 Campus Drive Parisppany, NJ 07054 800) 766-3411 mstieh@gaf. com Authorized Signature Robert Nieminen lindareith@trinityerd. com Technical Representative Beth McSorley (current) Address/ Phone/Email 1 Campus Drive Parsippany, NJ 07054 973) 872-4421 bmcsorley@gaf. com Quality Assurance Representative Address/ Phone/Email Category Roofing Subcategory Asphalt Shingles Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 03/03/2018 Validated By John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code 1` 1-10124 R19 COI 2016 01 COI Nieminen.Ddf Standard Year ASTM D1970 2009 ASTM D3161 2009 ASTM D3462 2009 ASTM D7158 2008 TAS 107 1995 hq:// www.floridabuilding.org/pr/pi_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdM... 1 /19/2017 Florida Building Code Online Page 2 of 2 Product Approval Method Method 1 Option D Date Submitted 08/26/2016 Date Validated 08/26/2016 Date Pending FBC Approval 08/30/2016 Date Approved 10/13/2016 Summary of Products FL # Model, Number or Name Description 10124.1 GAF Asphalt Roof Shingles Fiberglass reinforced 3-tab, laminated, 5-tab and hip/ridge asphalt shingles Limits of Use Installation Instructions Approved for use in HVHZ: No FL10124 R19 II 2016 08 FINAL ER GAF Asphalt Shingles FL10124-1119.0ApprovedforuseoutsideHVHZ: Yes Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: N/A Created by Independent Third Party: Yes Other: Refer to ER, Section 5. Evaluation Reports FL10124 R19 AE 2016 08 FINAL ER GAF Asphalt Shingles FL10124-R19.pdf Created by Independent Third Party: Yes Back Next Contact Us :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: 850-487-1624 The State of Florida Is an AA(EEO employer. Coovriaht 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mall to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850.487.1395. -pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emalls provided may be used for official communication with the licensee. However email addresses are public record.. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: om W E;1 a Credit Card Safe http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdM... 1 /19/2017 Jul lud DUllumr, Vuuu VllliliG 1.0 r'= e w. J,(,,w k. , yr tr"w. lir>tYi.-Z-3a 4nr`.'-'•....'':2=. ^.. - ... .. _ rtx..c-rt,_..tW.:..-.:.i f•'Ss i',l..:a ii •w.:.+afr.."e?l f'')rli .i1:•'r,-. rl" -"li r; BCIS Home Log In User Registration Hot Toplrs Submt Surcharge Stats & Fads Publications FBC Staff SCIS Site Map Links Search Busines sr Product r FrQcW5;LAPJh YAl i•tenu > Product or Aoolicat[gn Search > APP.kM1On §A > Application Detaa u"" FL # FL10124-R11 Application Type Revision Code version 2010 Application Status Approved Comments Archived Product Manufacturer GAF Address/Phone/Email 1361 Alps Road Wayne, NJ 07470 973)872-4421 lindarelth@binityerd.com Authorized Signature Beth McSorley lindarelth@trinityerd.com Technical Representative Beth McSoriey Address/Phone/Email 1361 Alps Road - Bldg 11-1 Wayne, NJ 07470 973) 872-4421 BMcSorley@gaf.com Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code Roofing Asphalt Shingles Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Robert Nieminen PE-59166 UL LLC 05/03/2015 John W. Knezevich, PE Validation Checklist - Hardcopy Received FL1012g_R11 COI Trinity ERD CI - Nieminen - 2013,pdf Standard ASTM D3161 (Class F) ASTM D3462 ASTM D7158 (Class H) TAS 107 Year 2006 2007 2007 1995 l of 2 3/26/2014 8:49 AM 1V11441JullVllls VVuV Vlllltll, Fv 1 .. 11 1...rv..u. —...-u.b.... y r-' r-_ rY—......--r... r---- .. -- ' - ---- Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Method 1 Option D 08/29/2013 08/29/2013 09/08/2013 10/18/2013 LFl_# ! Model, Number or Name i Description 10124.1 ; GAF Asphalt Roof Shingles j Fiberglass reinforced 3-tab, laminated, 5-tab and hip/ridge asphalt shingles _— j Limits of Use i Installation Instructions Approved for use In HVHZ: No i F,LL01:4 Rll [I er0829 3.F1NALS•AF Asphalt Shingles FL101 I Approved for use outside HVHZ: Yes 311_,pSif Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 i Design Pressure: N/A j Created by independent Third Party: Yes Other. Refer to ER, Section S. Evaluation Reports i F110124 R11 AF ef08.2913FINAL GAE-Asphaft Shin .s-fL1012.4 B.U,p-df Created by Independent Third Party: Yes Back Next Contact Us :: 1940 North Monroe SJ(>Fgt.SiLOahassee FL 32399 Phone, 850-487-1824 The State of Florida B an AA/EEO employer. C_ooyrlpht 2007-2013 State of Florida.:: Privacy Statement :: Ac;esjb rt.. StQt a, nt :: Refund Statement Under Florida law, email addresses are pubes records. If you do not want your a -map address released In response to a public -records request, do not send electronic map to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address If they have one. The emalls provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please dick li=. Product Approval Accepts: of 2 3/26/2014 9:49 AM City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 11 2 I Z(- ADDRESS: 10 l E S+ I , AS A(N) GENERAL., BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE' REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: C C C 1 ") Z 8 COMPANY / CONTRACTOR: ©vb-^ ' 1- ( /1,] -0 C-00 F G— S CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICENSE HOLD R OWNER/BUILDER) A FINAL ROOF INSPECTION IS REOUIRED: DATE: % - C- - 1 % THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF I— IS _ Sworn to and Subscribed before me this (X day of 775 0 L'-R 20 _]L L by: C yCAW ho iN Personally Known to me or has 0 Produced (type of identification) as identification. Signature of Notary Public State of Florida state of Fk"Ma Print/Type/Stamp Name of Notary Public w Notary Pu a4 HelenMyyllliamsmyCommissionGG 008278 i OF Expires 0s/18/2020