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Home My WebLink About1500 Celery Ave - BC17-002674 - ROOF CONCESSION STANDCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: S 5430.00 Job Address: 1500 Celery St. Historic District: Yes X No Parcel ID: 30-19-31-526-0000-0220 Residential Commercial X Type of Work: New Addition Alteration ® Repair Demo Change of Use Move Description of Work: Re -roof of Concession Stand Plan Review Contact Person: Kristen Marion Title: Phone: 4073657663 Fax: Email: info@oviedoroofing.com Property Owner Information Name City of Sanford Phone: 4073657663 Street: 300 N. Park Ave. Resident of property? City, State Zip: Sanford 32771 Contractor Information Name Oviedo Roofing Ent., Inc. Phone: 4073657663 Street: 802 S Hwy 27 Fax: City, State Zip: Minneola FI 34715 State License No.: CCC1326813 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 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. PBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5`h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application \ NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records ofthis 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 Owner/Agent Print Oxwier/Agent's Name Date Signature of Notary -State ofTlorida Date Owner/Agent is Personally Known to Me or Produced ID Type of I:D ignature ofContractor/Agent Da[e tC 'merintContrackttdAgent' 1me 0113 4 F'KOFSTEN M V,tRREK MY COMMISSION a# FF9246i 4 EXPIRES October 05, 2019 sa Contractor/ Agent is V Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas n Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of beads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm. Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 8/31/2017 SCPA Parcel View: 30-19-31-526-0000-0220 Property Record Card a d ' sn CIA Parcek 30-19-31-526-0000-0220 Owner: TIITFiUNIVOF FLORIDA AGRICULTURAL EXPERIMENT STAT Property Address: 1500 CELERY AVE SANFORD, FL32771 Parcel Information Value Summary i Parcel 30-19-31-526-0000-0220 Owner T1ITF/UNIV OF FLORIDA AGRICULTURAL EXPERIMENT STAT Property Address 1500 CELERY AVE SANFORD, FL 32771 Mailing C/O DEP 3900 COMMONWEALTH BLVD TALLAHASSEE, FL 32399 Subdivision Name PACEACRES Tax District S1-SANFORD DOR Use Code 182-FOREST/PARKS/REC AREAS Exemptions 91 -STATE TIITF(2007) 23 r 22 Seminole County Legal Description w Valuation Method 2017 Working 2016 Certified Values Values Cost/Market Cost/Market Number of Buildings i 1 Depreciated Bldg Value 90,404 1$91,541 Depreciated EXFT Value 91,312 91,312 Land Value (Market) 142,340 142,340 Land Value Ag Just,'Market Value Portability Adj 324,056 325,193 Save Our Homes AdjAmendment 1 Adj 0 so P& G Adj 0 Assessed Value 324,056 325,193 1 Tax Amount without SOH: $0.00 2016 Tax Bill Amount $0.00 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments S 628 FT OF LOT 22 + E 114 FT OF S 628 FT OF LOT 23 PACE ACRES PB3PG21 Taxes Taxing Authority County Assessment Value Exempt Values Taxable Value I General Fund' F$324,056 324,056 t 0 Schools City Sanford SJWM( Saint Johns Water Management) 4 --------- 324, 056 324, 056 324, 056 I 324, 056 056 0 0 0 County Bonds 324,056 j 0 Sales Description Date Book PageAmount Qualified VactImp No Sales Find Comparable Land Method Frontage 11ACREAGE 0.00 Depth units 0. 001 Units Price Land Value 6. 469 $22,000.00 Building Information Year Built DescriptionActual/Effective iveStories Total SF E xt Wall Repi Value Appendages http:// parceldetaii.scpafl.org/Parcel Detail Info.aspx?PID=30193152600000220 1/2 DATE: 08/15/17 PURCHASE ORDER CITY OF SANFORD PO NUMBER 03.5524 P.O. BOX 1788 PURCHASING OFFICE: 407,688.5030 (300 NORTH PARK AVENUE) ACCOUNTS PAYABLE: 407.688.5020 SANFORD, FLORIDA 32772 SUBMIT INVOICES TO: ACCOUNTS PAYABLE FINANCE DEPT. FACSIMILE: 407.688.5021 FLORIDA TAX EXEMPT NO.: 858012621681C-8 P.O. BOX 1788 VENDOR NO.: 12341 SANFORD, FL 32772 TO: SHIP TO: OVIEDO ROOFING ENTERPRISES INC CITY OF SANFORD404ESR434300N. PARK AVENUEWINTERSPRINGS, FL 32708 RECREATION DEPARTMENT SANFORD, FL 32771 DELIVER BY TERMS F.O.B. DESTINATION BID OR QUOTATION NO. REQUISITION NO. UNLESS OTHERWISE INDICATED ., 09/30/17- NET 66013ACCOUNTNO.; 0 01- 5 5 0 2- 5 7 5. 4 6- 0 0 PROJECT No.: FEMA16 NO DEVIATION FROM THIS PURCHASE ORDER WILL BE ALLOWED UNLESS AUTHORIZED BY THE PURCHASING MANAGER - CITY OF SANFORD ITEM NO. DESCRIPTION QUANTITY UNIT OF UNIT COSTISSUE EXTENDED COST 1 REROOF/REPAIR 5430.00 EA 1.00 5430.00 SUB TOTAL 5430.00 TOTAL 5430.00 APPROVED BY: APPROVED BY: PORCHASh a AGENT CITY MANAGER All packages and oices applicable to this P.O. must bear this P.O. Number. The Vendor shall comply with all specified and referenced herein before and after. Any attempts to insert language to change these terms and conditions arehereby,rejected andwillberesolvedinfavoroftheCityofSanford. Standard terms and conditions hereby incorporated into this purchase order may be found at http://www.sanfordfl.gov/index.aspx?page=879 Terms and conditions applicable to P.O.'s and at Additional Terms and conditions http://www.sanfordfl.gov/index.aspx?page=883 I - LU1; r!4.VU 4ui000J141 I r ur z"IiruRL jl T11111111111111111141Ttlllf IN111 HIS INSTRUMENT PREPARED BY; Jame.. ClefmOnt Roofinq tnc. Address; 802 S Hwy 27 Minneola 34715 NOTICE OF COMMENCEMENT Pormlt Number: Parcel ID Number. 30-19-31-526-0000-0220 GRArJ T NALU f SE!`{INOLE COMFY l-t,:K OF CIRCUIT COURT Cr C:ONPTROLLEk 15K 8,98 CLERK'S : 2017090861 Iz.l, (_ONE- ,I ,FItU,'1ii1 r' •tu•1.7 P11 tRW I)IN(a SEES $10.00 RECORDED BY hdev,;f•::! The undersigned hereby gives notice that Improvement will be made to certain real property, and in Accordance with Chapter 713, Florida Statutes, thefollo,Mng Information Is provided In this Notice of Commencement. 1, DESCRIPTION OF PROPERTY: (Legal description of the property and street addreca if available) S 628 FT OF LOT 22 + E 114 PACE ACRES PB 3 PG 21 1500 CELERY AVE SANFORD FL 32771 GENERAL DESCRIPTION OF IMPROVEMENT: Re -Root of Concession Babe Ruth 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name end address: TIITFIUNIV OF FLORIDA AGRICULTURAL EXPERIMENT STATE Interns, in property Owner Fee Simple Title Holder (if other than owner listed above) Name: I. CONTRACTOR: Name: Oviedo Roofing Ent. Inc. Phone dumber. 4073657663Address: 802 S Hwy 27 Minneols 34715 SURETY (If applicable, a copy of the payment bond is attached): Name: Addrers E. LENDER: Neme. Amount of Bond, Address: Phone Number 7. Persons Within the State of ROrlda Designated by Owner upon whom notice or other documents maybe served as Provided b713,13(1)(a)7,, Florida Statutes PName_ Y Section Addross, Phone Number. a. in addvtion. Omer desgn»tes to a copy of the Lienor s Notix es ro of P w«k`d in Section 713.13(1)(b), Florida Statures. Phone number. Expiration Date of Noticf 01 Canrmencernent (The expiration is 1 eer from date ofy recording unley-s a dlHereM date Is sP0cMed) COr13rDERE—D HAPROR PNMEN7S UptR CHAPTER 7O13 1ER AFTER THE 713.1 A STATUTES. PkYING T VICE FOR t14PR0 THE EXPIRATIONFLORIDAID THE NOTICE OF COMMENCEMENT AREJoeSrrF- BEFORE THE FIRST INSPE TI YOUR PROPERTY. A NOTICE OF COMMENCEMENTBcfOP.E RST INSPECTION, IF YOU INTEND TO MUST B AND CAN RESULT IN YOURCOMMENCItJGWIO?KOq RECORDING YOUR NOTICE OF ONIM ICEMEN CONSULT RECORDED AND POSTEDWtTt-I YOUR LENDER OR AN A TORNEY ge,4 r '" Or.G7r17uyaafl dadaa I. RYWI.4RM ar+m'r l state Co dr lll'I: Ullty Of 7ho foregoing instrument was acknowledged baforo me this byi who has producod identification C typo of identification Produced: Nt7t fy PUMc Score of Florida Rebe= Sofa VXVMy COMM111)on FF 974499E*rea 03f2312020 Rece i ved Time Aug, 31, 2017 4; 24PM No. 0368 stay of _ _ Who la pomonafty known to me aE Rf ii.,3a r Product Approval Specification Form Permit # Project Location Address 1500 Celery St. As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 1. Exterior Doors Swinging Sliding Sectional Roll U Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Certainteed Landmark FI 5444-R10 Underla ments Certainteed Roofer's Select Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Certainteed Flmtlastic FL2533 Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products r Applicant's Signature Applicant's Na Please Print) June 2014 8/8/2017 Florida Building Code Online s r BCIS Home { log in user Registration I Hot Topics Submit Surcharge Stats a Facts ; Publications FBC Staff ' BCiS Site Map j Links SearchProductApprovald',bpr USER: Public User Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL2533-R17 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email 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) CertainTeed Corporation -Roofing 18 Moores Road Malvern, PA 19355 610) 893-5400 mark.d.harner@saint-gobain.com Mark Harrier mark.d.harner@saint-gobain.com Mark 0. Harrier 18 Moores Road Malvern, PA 19355 610) 651-5847 Mark.D.Harner@saint-gobain.com Roofing Modified Bitumen Roof System Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer U Evaluation Report - Hardcopy Received Robert Nieminen PE-59166 UL LLC 03/09/2020 John W. Knezevich, PE f, Validation Checklist - Hardcopy Received FL2533 R17 COI 2017 01 COI Nieminen.pdf Standard Year ASTM D6162 2000 ASTM D6163 2000 ASTM D6164 2005 ASTM D6222 2008 ASTM D6509 2009 FM 4470 1992 FM 4474 2004 Equivalence of Product Standards https://wwv.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQvADgvwelwRFXRvHOHSbaIV%o2f8EtfCKNtt8hhPLbH66yy%2bci9g%3d%3d 1/2 8/8/2017 Certified By Florida Building Code Online Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Date Revised Summary of Products Method 1 Option D 02/16/2017 02/16/2017 02/21/2017 04/04/2017 06/06/2017 FL # Model, Number or Name Description 2533.1 Flintlastic Modified Bitumen Modified Bitumen Roof Systems Roof Systems Limits of Use Installation Instructions Approved for use in HVHZ: No Approved for use outside HVHZ: Yes FL2533 R17 11 2017 02 FINAL Al ER CERTAINTEED MODBIT FL2533 R17.odf Impact Resistant: N/A Verified By: Robert Nieminen, PE PE-59166 Design Pressure: +N/A/-630 Other: 1.) Refer to ER Section 5 for Limits of Use. Created by Independent Third Party: Yes Evaluation Reports 2.) The design pressure noted in this application relates to one specific system. Refer to the ER FL2533 R17 AE 2017 02 FINAL ER CERTAINTEED MODBIT FL2533- R17.Ddf Appendix for all systems and max design Created by Independent Third Party: Yes pressures. Back No-t Contact Us :: 2601 Stair Stone Road. Tallahassee FL 32399 Phone: 850-487.1824 The State of Florida is an AA/EEO employer. Copyright 2007.2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public. records. If you do not want your e-mail address released in response to a public -records request, do not send electronicmalltothisentity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact $50.487.1395.. `Pursuant to Section 455. 275(l), 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 emaiis 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, ES., please dick here . Product Approval Accepts: 0 ® E..12 Credit Sa secant} + IZ I iR cshttps: lhvww.floridabuilding.org/pr/pr_app dtl.aspx?param=wGEVXQMDgvwelwRFXRvHOHSbaN%2f8EtfCKNtt8hhPLbH66yy°/g2bcj9g%3dd/`3d 2/2 8/16/2017 Florida Building Code Online BCIS Home i Cog In User Registration ; Hot Topics Submit Surcharge 'j Stats R Facts I Publications FBC Staff BCIS Site Map } Links Search ; tts 'Product Approval USER: Public User uaaq a Product Approval Menu > Product or Application S2arcn > Application List > Application Detail r FL # FL5444-R11X6 '- Application Type Revision Code Version 2014 Application Status Approved Comments Archived E3 Product Manufacturer CertainTeed Corporation -Roofing Address/Phone/Email 18 Moores Road Malvern, PA 19355 610)893-5400 mark,d,harner@saint-gobain,com Authorized Signature Mark Harrier mark.d,harner@saint-gobain.com Technical Representative Mark D. Harrier Address/Phone/Email 18 Moores Road Malvern, PA 19355 610) 651-5847 Mark.D.Harner@saint-gobain.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 03/09/2020 Validated By John W. Knezevich, PE I Validation Checklist - Hardcopy Received Certificate of Independence FL5444 R11 COI 2017 01 C0I Nieminen,ocif Referenced Standard and Year (of Standard) Standard Year ASTM D3161, Class F 2009 ASTM D3462 2009 ASTM D7158, Class H 2O08 Equivalence of Product Standards Certified By Sections from the Code https://wvwv.floridabuilding.org/pr/pr_app dti.aspx7param=wGEVXQwtDgtahlg07CSsoycOrl28CcpCilzggWhOOJbj3Ay4MU1brQ%3d%3d 1/2 8/16/2017 Florida Building Code Online Product Approval Method Method 1 Option D Date Submitted 06/06/2017 Date Validated 06/08/2017 Date Pending FBC Approval 06/09/2017 Date Approved 08/08/2017 Summary of Productsr i FL # Model, Number or Name Description 5444.1 CertainTeed Asphalt Roofing Shingles 3-tab, 4-tab, strip (no -cut-outs), laminated and architectural asphalt roof shingles Limits of Use Installation Instructions Approved for use in HVHZ: No Approved for use outside HVHZ: Yes FL5444 R11 11 2017 06 FINAL ER CEMINTFFD Asohalt Shingle FL5444-R1i_odf Impact Resistant: N/A Verified By: Robert Nieminen, PE PE-59166 Design Pressure: N/A Other: Refer to ER Section 5 for Limits of Use Created by Independent Third Party: Yes Evaluation Reports FL5444 R11 AE 2017 06 FINAL ER CERTAINTEED Asphalt Shingle FL5444-R11.Ddf Created by Independent Third Party: Yes Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013. State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. if youdo not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. "Pursuant to Section 455. 275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record, If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if youare a licensee under Chapter: 455, F.S., please click bg_rp_. Product Approval Accepts: M 0 Credit, i Safe zSecurlty, 4t>urrfcK kj https:// www.floddabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtah 1 gO7CSsoycOrl28CcpCjlzggWhOOJbj3AyaMU 1 brQ%3d%3d 2/2 4/26/2017 Florida Building Code Online BCIS Home Log in i user Registration 1 Hot Topic ( Submit Surcharge Stats & Facts ? Publications € FBC Staff BCIS.Site Map Links Search r t- Product Approval USER. Public User sue; rx Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL11288-R15 a Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email 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) CertainTeed Corporation -Roofing 18 Moores Road Malvern, PA 19355 610) 651-5847 mark.d.harner@saint-gobain.com Mark Harrier mark.d.harner@saint-gobain.com Mark D. Harner 18 Moores Road Malvern, PA 19355 610) 651-5847 Mark.D.Harner@saint-gobain.com Roofing Underlayments Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer L. Evaluation Report - Hardcopy Received Robert Nieminen PE-59166 U L LLC 03/09/2020 John W. Knezevich, PE J Validation Checklist - Hardcopy Received FL11288 R15 COI 2016 01 COINieminen.odf Standard year ASTM D1970 2009 ASTM D226 2006 ASTM D4601 2004 ASTM D4869 2005 ASTM D6163 2000 ASTM D6164 2005 ASTM D6222 2008 ASTM D6757 2007 FM 4474 2004 https:/ hvww.floridabuilding.org/pr/pr app o.aspx?param=wGEVXOwtDgs6WGOndiUHYonUmKSG5yyaJM4c4BcWaVTRkRVeshObtg%3d%3d 1/2 4/26(2017 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Productsr --- Florida Building Code Online FRSA/TRI April 2012 (04-12) TAS 103 TAS 110 Method 1 Option D 02/14/2016 02/16/2016 02/17/2016 04/12/2016 2012 1995 2000 FL # Model, Number or Description Name 11288.1 Certainreed Roof Underlayments Roof underiayments for use below Approved prepared roof coverings. Limits of Use Installation Instructions Approved for use in HVHZ: No Approved for use outside HVHZ: Yes FL11288 R15 Il 2016 02 FINAL ER CERTAINTEFD UNDERLAYMENTS FL11288 RIS,odf Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: +N/A/-555.0 Created by Independent Third Party: Yes Other: 1.) The DP in this application Evaluation Reports pertains to a particular application for use in adhesive -set tile applications. DP is N/A FL11288 R15 AE 2016 02 FINAL ER CERTAINTEFD UNDERLAYMENTS FL11288- R7 .odf for undedayments installed beneath Created by Independent Third Party: Yes mechanically attached prepared roof covers. 2.) Refer to ER Section 5 for other Limits of Use. Buclr Ncxf Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824 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 mail to this entity. Instead, contact the office by phone or by traditional mail. if you have any questions, please contact 850.487.1395, *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are pubic record. If you. do not wish to supply apersonaladdress, please provide the Department with an email address which can be made available tothe public. To determine if you are a licensee underChapter 455, F.S., please dick here . Product Approval Accepts: Credit Card Safe 4 https:ltwwwftoridabuilding.org/pr/pr_app O.aspx?param=wGEVXQwtDgs6WGOndlUHYonUmKSG5yyaJM4c4BcWaVrRkRVeshObtg%3d%o3d 212 ACC? CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1118/2017 THIS CERTIFICATE IS ISSUED AS A, MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS -UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND .OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW., THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may, require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER -.. CONTACT Griselid s Acosta. NAME: y PHONE--. m...m. - ... ._... Frank H. Furman, Inc. lAIG.No-Ext) (95,4) 943-5050 E : (s54)s42-6310 1314 East Atlantic Blvd. E-MAILADDRESS:gris@furmannsurance.com P. O. Box 1927 - a .. EINSURRS AFFORDING GE NAIC # COVERAGEi _ RA Pompano Beach FL 33061 INSURER AEvans ton Insurance Company 135378 INSURED INsuRER B Bridgefield Employers Ins Co ti 10701 Oviedo Roofing Enterprises, Inc. INSURERC: Clermont Roofing, Inc. INSURERD: 802 South highway 27 INSURERE. Minneola FL 34715 INSURER F : rovFRAr.F'S rr-PTIFirATF IdtiMRCR-1 7-1 A MA:RTRR Cr.RT Dcvlelnki knleeDCD. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT' TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN; MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR .- FAO L:SUBRR_. ..-.,_..:. TYPEOFINSURANCE - 4 : LTR '. ( POLICY NUMBER. i _.._... POLICYEFFPOLICY_EXP I MMIDDIYYYYMDDIYY,YY ' LIMITS X ` COMMERCIAL GENERAL LIABILITY - I,_.. _.,. _. _ EACH Is 1,000,000 A 4-1 CLAIMS -MADE. X OCCUR. 3CO7196 TO RE=2ENCE DAMAGE 7O REN ('El PREMISES Ea'occutrgnce S 110/ 20/2016( 10/20/2017_D P(Anyone ersonj S 100, 000.'. 5, 000 PERSONAL & ADVINJURY I S 1,0,00,00,0GEN L AGGREGATE LIMIT APPLIES PER: I I GENERAL AG;GR_EGATE S 2 r 2,000,000 POLICY JEGT E I LOG PRODUCTS-COMPtQPAGfis 5 2,000,000 t OTHER: AUTOMOBILE LIABILITY ` ICOMBINED SINGLE LIMIT ANY AUTO ' ' I BODILY INJURY (Per person) $ ALL OWNED r SCHEDULED ; AUTOS AUTOS p I BODILY INJURY (Per accident) S I i NON -OWNED PROPERTY tHIREDAUTOS_ AUTOS DAMAGE S j UMBRELLA LIAB i OCCUR EACH OCCURRENCE i $ a EXCESSLIABCLAIMS-MADE' AGGREGATE IS .__ DED RETENTION$. I WORKERS COMPENSATION' (. 1 I., PER I L OTH- .. ANDEMPLOYERS' LIABILITY YIN ' ANY PROPRIETORtPARTNERIEXECUTIVE y` y _' STATUTE tER_, t I EOFFIOER3PA£ MBER EXCLUDED? Y ; N ! A L B (Mandatory in NH) 83054266 E. L. EACH ACCIDENT _ $ 1/ 23/2017 1/23/2018 E.L. DISEASE EA EMPLOYE 1 000 000 1 040s S000n Iifyes. describe under DESCRIPTIONOFOPERATIONSbelow E.L. DISEASE-- POLICY LIMIT $ 1,000,000 , DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (ACORD 101,.Additional Remark$ Schedule, maybe attached If morespace is required) Patrick Scott License Number CCC1326813 and License Number CCC1330052. CFRTIFICATF Hf l nFR CA?JrFl I ATInN 14073283859@efaxsend. eom SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Sanford THE EXPIRATION .DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 North -Park Ave. ACCORDANCE WITH -THE -POLICY PROVISIONS, Sanford, FL 32771 AUTHORIZED REPRESENTATIVE - Dirk DeJona/'GA 019882014. ACORD CORPORATION. All rights, reserved. ACORD 25-(2014/01) The ACORD name and logo are registered marks of ACORD INS025 r nlan l} CITY OF SkNFORD FIRE DEPARTMENT Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. / % + 9te-74 ISSUE DATE: 09. 06 * 1-7 CONTRACTOR: U U 1 e Ro 0-1; 4 JOB ADDRESS: l z-o ® Ce, I e-I LA IF S f- 0'" TYPE OF WORK: On C eiS sfg!1v` PROTECT FROM WEATHER Post this Permit and all required documents in a conspicuous place outside Digital Photographs are required - please follow re -roof policy and procedures guide All trash, debris and dumpsters must be removed from job site at final inspection Permit expires six (6) months from date of issue ROOF NSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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. 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. FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code 111 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 ofnails) 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 REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112