HomeMy WebLinkAbout1331 Forest Dr 16-588C ICITY OF SANFORD BUILDING &
FIRE PREVENTION FEB
2 3 2016 PERMIT APPLICATION BY'
Application No: Documented
Construction Value: $ n d . Job
Address: 3 F0(1. C-5TD (L- Historic District: Yes No Parcel
ID: _ rb j (3 l— 52%f 0 (D 00 — 00 [D Residential Commercial Type
of Work: New Addition Alteration Repair Demo N Change of Use Move Description
of Work: VZ.--- ft-cg0 C 20 15m —( i qn Q Plan
Review Contact Person: U / Phone:-
7-4/555560 Fax: Title: Email:
Property
Owner
Information Name 0 (
3O/J uC. i 1 , 41 /\1 0ILAb LLC -To- street: 34G
i=:f=(LM {=ont-S+ TLUA-k City, State
Zip: d V 1 -f--4 b r-A 3ZZ Le 5— Phone: Resident
of
property? : Contractor Information
Name CtEN(
Phone: 407- (-e z - 0 7 Le5` Street: C-
eq 3 S -3_6 hr, is kk "#o-q Fax: 40-2 City, State
Zip: 0 Cl Ai,,,C(O ( 32:9 l`a State License No.: CCC- l'32a I caq Name: Street:
City,
Si
Bondin Addres
Architect/
Engineer
Information Phone: Fax:
E-
mail:
Mortgage Lens
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: 51 Edition (2014) Florida Building Code Revised: June
30, 2015 Pennit 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 Owner/Agent Date Signature of Contractor/Agent Date
K/'N G) t /,
Print Omer/Agent's Name J
Signature
Name
Date
CESAR
MUNOJ
ar D BRA A N08L.83NotaryPublic -State o•- MY COMMISSION a FF920610MyComm. Expires Jul 4y `°e
Commission # EE 2,q! EXPIRES September 22. 2019
OF 0-0%%, l Ul)$98-07G7 F .
001IIBondedThroughNationalNo
Owner/Age Contractor/Agent is Person y own to Me or
Produced ID L-,- Type of ID L 3L Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: 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: 1
Revised: June 30, 2015 Permit Application
Detail by Entity Name Page 1 of 2
Detail by Entity Name
Florida Limited Liability Company
UBON, LLC
Filing Information
Document Number
FEI/EIN Number
Date Filed
Effective Date
State
Status
Last Event
Event Date Filed
Event Effective Date
Principal Address
7625 GEORGEANN STREET
WINTER PARK, FL 32792
Changed: 02/16/2016
Mailing Address
7625 GEORGEANN STREET
WINTER PARK, FL 32792
Changed: 02/16/2016
L09000001016
26-3968598
01 /06/2009
01 /01 /2009
FL
ACTIVE
LC AMENDMENT
03/20/2009
NONE
Registered Agent Name & Address
BARKER, WANVIMOL P
7625 GEORGEANN STREET
WINTER PARK, FL 32792
Address Changed: 02/16/2016
Authorized Person(s) Detail
Name & Address
Title MGRM
BARKER, WANVIMOL P
7625 GEORGEANN STREET
WINTER PARK, FL 32792
http://search. sunbiz.orglInquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 2/23/2016
J ; Detail by Entity Name Page 2 of 2
Title MGRM
BARKER, ERNEST LSR.
7625 GEORGEANN STREET
WINTER PARK, FL 32792
Annual Reports
Report Year Filed Date
2014 03/23/2014
2015 03/20/2015
2016 02/16/2016
Document Images
02/16/2016 -- ANNUAL REPORT View image in PDF for
03/20/2015 -- ANNUAL REPORT View image in PDF for
03/23/2014 -- ANNUAL REPORT View image in PDF for
03/21/2013 -- ANNUAL REPORT View image in PDF format
03/13/2012 -- ANNUAL REPORT View image in PDF for
03/11/2011 --ANNUAL REPORT View image in PDF for
03/19/2010 -- ANNUAL REPORT View image in PDF for
03/20/2009 -- LC Amendment View image in PDF format
01/06/2009 -- Florida Limited Liability View image in PDF format
Copyright ® and Privacv Policies
State of Florida, Department of Stal
http://search. sunbiz.orglInquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 2/23/2016
y
THIS INST UMENT PREPARED Br. —
Name
Addreas:
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: Parcel ID Number:
NARYANNE NORSEr SEMINOLE COUNTY
CLERK. OF CIRCUIT COURT & COMPTROLLER
Eli 863E Pq 245 (Pgs)
CLERK'S 4v 2016019502
RECORDED 02/23/21116 02:36*30 P11
REC:11IRDING FEES $10-00
RECORDED BY hdevore
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if.available)
GENERAL DESCRIPTION OF IMPROVEMENT:
r ZOO r
OWNER INFORMATION:
Name: G b U10
Address: ( 3oS f G 'TOO ( n1EEi 1jNd Fee
Simple Title Holder (if other than owner) Name: Address:
CONTRACTOR:
Address:
W `t 1CVL"V " 119 k l.4 U111 ` -16 4-1 Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as
provided by Section 713.13(1)(b), Florida Statutes. Name:
Z L In
addition to himself, O er Designates of receive
a copy of the Lienor's Notic as Provided in Section
713.13(1)(b), Florida Statutes. Expiration
Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different
date is specified) WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA
STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under
penalties of perjur 1 declare that I have read the foregoing and that the facts stated in it are true to
tt> ledge-af d be lief. sT
ignature ----- -
Owner's Printed Name Florida
Statute 713.13(1)(g):'The owner must sign the notice of commencement and no one else may be permitted to Sign in his or her stead." w
Cp s
o N
a
ao
M r
u o r
W CV u /
ts] O
cu J r LL K
J WLLat
G iuuUN
Co State
of i v- ' County of J C. jin i fi 1,Cf I The
foregoing instrument was acknowledged before me this 2-3 day of P- 19r Q M , 20 111 by
17-1 IV i-&+ L ) A R•- i- 0- Who is personally known to me Name
of person making statement OR
who has produced identification, M-I rrpe of identification produced: L - CESAR
MUNOZ L
7iF% Notary Public - State of FloridaMy Comm. Expires Jul 17, 2016 Notary Signature Commission #
EE 217260°f
4`, Bonded Through Nallonal Nolary Assn,
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 2 3 1 k
I hereby name and appoint: q L !.I'' r S
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):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: CU
State License Number:
Signature of License Holder:
STATE OF FLPRIDA
COUNTY OF
The foregoing . Arument w s acknow edged before me this day of
200'1 L/ by who is personally known
to me or who as prod ' ed '— as
identification and who did (did ot) take an oath.
ignature
Notary Seal) It-4 V WLS)
rint or type name
Notary Public -State ofDEBRAANOBLESCommissionNo. Le 60MYCOMMISSION # FF920610
EXPIRES September 22.2019 My Commission Expires•
k407 19bOtfi.79& FWUNOW m1
Rev. 08.12)
SCPA Parcel View: 31-19-31-524-0600-0040
10--Id Jqhngzon, QF;0X Property Record Card
PR[jj3 Parcel: 31-19-31-524-0600-0040
Owner: UBON LLC TR & NORAB LLC TRaIrr .0 Property Address: 1331 FOREST DR SANFORD, FL 32771
I Parcel: 31-19-31-524-0600-0040 1
Property Address: 1331 FOREST DR
Owner. UBON LLC TR & NORAB LLC TR
Mailing: 1305 FERN FOREST RUN
OVIEDO, FL 32765
Subdivision Name: WYNNEWOOD
Tax District- Si-SANFORD
Exemptions:
DOR Use Code: 01-SINGLE FAMILY
z
M
LU
Value Summary
2016 Working 2015 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings I
Depreciated Bldg Value i $53,926 52,977
Depreciated EXFT Value 1,384 1,13-8-4,
4-
Land Value (Market) $18,278 18,278
Land Value Ag
Just/Market Value
73,588 i $72,639
Portability Adj
Save Our Homes Adj $0 3,005
Amendment 1 Adj 0
Assessed Value 73,588 69,634
Tax Amount without SOH: $686.49
2015 Tax Bill Amount $662.90
Tax Estimator
Save Our Homes Savings: $23.59
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOTS 4 + 5 BLK 6
WYNNEWOOD
PB 4 PG 92
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund j 73,588 o 73,588
Schools 73,588 0 73,588
City Sanford 73,588 0 73,588
SJWM(Saint Johns Water Management) 73,588 0 73,588
County Bonds 73,588 0 73,588
Sales
Description Date Book Page Amount Qualified TVac/Imp
CERTIFICATE OF TITLE 10/1/2015 08560 1846 41,900 No Improved
QUIT CLAIM DEED 9/1/2015 i 08563 0389 100 No Improved
WARRANTY DEED 10/1/2003 05062 1302 100 No Improved
WARRANTY DEED 3/1/1994 02751 0021 57,000 Yes i Improved
Find Comparable Sales within this Subdivision
Land
Page I of 2
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 104 4 130 0 $185.00 $18,278
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=31193152406000040 2/22/2016
CONTRACT AGREEMENT
This agreement is made on this c'S day of 20 1,b between
C liyJ of(-d i( / Name
Address City Contractor)
State
Zip Phone and
r Dc Name
Address City Client)
State
Zip hone The
above contractor will perform the following work as described in this agreement for $ qS in
compensation from the client. Job
Description: YUe<
aj %, 4-6F— .6 f
7-
6 pf,0,}— J& d F—,- c
Z
Worktocommenceon - and is estimated to be completed on -4 Date
Date Contractor: - '{
Date:3 Signature
Print
c
r Client:
7 .'Date: 2-6 T Signature
Print
RECORD COPY
Page 1 of 2
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Approval Menu > Product or Application Search > Application List > Application Detail FL #
FL2533-R15 Application
Type Code
Version Application
Status 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) Equivalence
of Product Standards Certified
By Revision
2014
REVIEWED POR CODE COMPLIANCE Approved _
PLA
EXAMINER DATE
CertainTeed
Corporation -Roofing 18
Moores Road Malvern,
PA 19355 610)
651-5847 mark.
d.harner@saint-gobain.com Mark
Harner mark.
d.harner@saint-gobain.com Mark
D. Harrier 18
Moores Road SANFORD BUILDING DIVISION Malvern, -
47
A PERMIT ISSUED SHALL BE CONSTRUED TO BE A Mark. .
Hare 47
ENSE
TO PROCEED WITH THE WORK AND NOT A Mark.D.Harner@saint-gobain.cciri AUTHORITY
TO VIOLATE, CANCEL, ALTER OR SET ASIDE
ANY OF THE PROVISIONS OF THE TECHNICAL CODES,
NOR SHALL ISSUANCE OF A PERMIT PREVE THE
BUILDING OFFICIAL FROM THEREAFTER REQUIRING
A CORRECTION OF ERRORS IN PLANS, Roofing
CONSTRUCTION OR VIOLATIONS OF THIS CODE Modified
Bitumen Roof System Evaluation
Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer Evaluation
Report - Hardcopy Received Robert
Nieminen PE-
59166 DING'
ULLLCQj%t
07/
03/2017 John
W. Knezevich, PE SANFORD 2
Validation Checklist - Hardcopy Received OFpAR.
FL2533
R15 COI 2015 01 COI Nieminen Ddf 16-
5 ASTM
D6162 2000 ASTM
D6163 2000 ASTM
D6164 2005 ASTM
D6222 2008 ASTM
D6509 2009 FM
4470 1992 FM
4474 2004 2/
29/2016
Page 2 of 2
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 10/19/2015
Date Validated 10/28/2015
Date Pending FBC Approval 10/28/2015
Date Approved 12/15/2015
Date Revised 02/04/2016
Summary of Products
I-
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 FL2533 R15 II 2015 10 FINAL Al ER CERTAINTEED MODBIT FL2533-
R15.odfApprovedforuseoutsideHVHZ: Yes
Impact Resistant: N/A Verified By: Robert Nieminen, PE PE-59166
Design Pressure: +N/A/-630 Created by Independent Third Party: Yes
Other: 1.) Refer to ER Section 5 for Limits of Evaluation Reports
Use. 2.) The design pressure noted in this FL2533 R15 AE 2015 10 FINAL ER CERTAINTEED MODBIT FL2533-
R15.odfapplicationrelatestoonespecificsystem.
Refer to the ER Appendix for all systems and Created by Independent Third Party: Yes
max design pressures.
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Contact Us :: 1940 North Monroe Street. Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send
electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. -Pursuant to
Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if
they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to
supply a personal address, please provide the Department with an email address which can be made available to the public. To determine If you are a licensee under
Chapter 455, F.S., please click here .
Product Approval Accepts:
mac—
Credit Card
L, SAFE
2/29/2016
QOTRINITYIERD
APPENDIX 1: ATTACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE
Table Deck Application Type Description Page
IA Wood New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 5-6
1B Wood New, Reroof (Tear -Off) or Recover B Mech. Attached Base Insulation, Bonded Top Insulation, Bonded Roof Cover 7
1C Wood New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 8-9
ID Wood New, Reroof (Tear -Off) or Recover D Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 10-11
3E-1 Wood New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 12-14
1E-2 Wood New, Reroof (Tear -Off) or Recover E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 15-16
1F Wood New or Reroof (Tear -Off) F Non -Insulated, Bonded Roof Cover 16
2A Steel or Conc. New, Reroof (Tear -Off) or Recover B Mech. Attached Base Insulation, Bonded Top Insulation, Bonded Roof Cover 17-19
2B Steel or Conc. New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 20-24
2C Steel or Conc. New, Reroof (Tear -Off) or Recover D Prelim. Attached Insulation, Mech: Attached Base Sheet, Bonded Roof Cover 25-27
3A Concrete New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 28-35
3B Concrete New or Reroof (Tear -Off) A-3 Bonded Temp Roof/Vapor Barrier, Bonded Insulation, Bonded Roof Cover 36
3C Concrete New or Reroof (Tear -Off) F Non -Insulated, Bonded Roof Cover 36
4A LWIC New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 37-38
4B LWIC New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 39
4C LWIC New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 40-44
5A CWF New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 45
5B CWF New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 46
5C CWF New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 46
5D CWF New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 47
6A Gypsum Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 48-49
613 Gypsum Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 50
6C Gypsum Reroof (Tear -Off C Mech. Attached Insulation, Bonded Roof Cover 50
6D Gypsum Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 51
7A Various Recover A-1 Bonded Insulation, Bonded Roof Cover 52-58
7B Various Recover F Non -Insulated, Bonded Roof Cover 58
The following notes apply to the systems outlined herein:
The roof system evaluation herein pertains to above -deck roof components. Roof decks shall be in accordance with FBC requirements to the satisfaction of the AHJ. Load resistance of the
roof deck shall be documented through proper codified and/or FBC Approval documentation.
Unless otherwise noted, fasteners and stress plates for insulation attachment shall be as follows. Fasteners shall be of sufficient length for the following engagements:
Wood Deck: OMG #14 Roofgrip with Flat Bottom Plate (Accutrac), OMG HD with OMG 3 in. Galvalume Steel Plate, Dekfast #14 with Hex Plate or 3" Round Insulation Plate, Trufast HD with Trufast 3"
Metal Insulation Plates or FlintFast #14 Fastener with FlintFast 3" Insulation Plates. Minimum 0.75-inch plywood penetration or minimum 1-inch wood plank embedment.
Steel Deck: OMG #12 or #14 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG #12 Standard or HD with OMG 3 in. Galvalume Steel Plate, Dekfast #12 or #14 with Hex Plate or 3" Round
Insulation Plate, Trufast DP or HD with Trufast 3" Metal Insulation Plates or FlintFast #12 or #14 Fastener with FlintFast 3" Insulation Plates. Minimum 0.75-inch steel penetration and
engage the top flute of the steel deck.
Concrete Deck: OMG #14 Roofgrp with Recessed or Flat Bottom Plate (Accutrac), OMG HD or CD-10 with OMG 3 in. Galvalume Steel Plate, Dekfast #14 or DekSpike with Hex Plate or 3" Round
Insulation Plate, Trufast HD or CF with Trufast 3" Metal Insulation Plates or FlintFast #14 Fastener with FlintFast 3" Insulation Plates. Minimum 1-inch embedment. Fasteners installed
with a pilot hole in accordance with the fastener manufacturer's published installation instructions.
Exterior Research and Design, LLC. d/b/a Trinity IERD
Certificate of Authorization #9503
Prepared by: Robert Nieminen, PE-59166
Evaluation Report 3520.03.04-1116 for FL2533-R15
Revisio n'16:10/14/2015
Appendix 1, Page 1 of 58
QOTRINI-rYIERD
3. Unless otherwise noted, insulation may be any one layer or combination of polyisocyanurate, polystyrene, wood fiberboard, perlite, GlasRoc Roof Board or gypsum -based roof board that
meets the QA requirements of F.A.C. Rule 61G20-3 and is documented as meeting FBC 1505.1 and, for foam plastic, FBC 2603.4.1 or 2603.8, when installed with the roof cover.
4. Minimum 200 psi, minimum 2-inch lightweight insulating concrete may be substituted for rigid insulation board for' System Type D (mechanically attached base sheet, bonded roof cover),
whereby the base sheet fasteners are installed through the LWIC to engage the structural steel or concrete deck. The structural deck shall be of equal or greater configuration to the steel .and
concrete deck listings.
5. Unless otherwise noted, insulation adhesive application rates are as follows. Ribbon or bead width is at the time of application; the ribbons/beads shall expand as noted in the manufacturer's
published instructions.
Hot asphalt (HA): Full coverage at 25-30 Ibs/square
Ashland Pliodeck (A-PD): Continuous 0.75 inch wide ribbons, 12-inch o.c. Ribbons ofsubsequent layers shall be perpendicular to those in the layer below.
Dow Insta-Stik (D-IS): Continuous 0.75 to 1 inch wide ribbons,12-inch o.c.
Dow Spray-N-Grip (D-SG): Full coverage
Millennium One Step Foamable Adhesive (M-OSFA): Continuous 0.25 to 0.5-inch wide ribbons, 12-inch o.c.
Millennium PG-1 Pump Grade Adhesive (M-PGI): Continuous 0.5 to 0.75-inch wide ribbons, 12-inch o.c.
OMG OlyBond 500 or OlyBond Green (OB500): Continuous 0.75-inch wide ribbons, 12-inch o.c. (PaceCart or SpotShot)
3M CR-20: Continuous 2.5 to 3-inch wide ribbons,12-inch o.c. (Note: TITESET may be used where CR-20 is referenced).
Note: When multiple layers(s) of insulation and/or coverboard are installed in ribbon -applied adhesive, adhesive ribbons shall be staggered from layer -to -layer a distance of one-half the ribbon spacing.
Note: The maximum edge distance from the adhesive ribbon to the edge of the insulation board shall be not less than one-half the specified ribbons spacing.
6. Unless otherwise noted, all insulations are flat stock or taper board of the minimum thickness noted. Tapered polyisocyanurate at the following thickness limitations may be substituted with
the following Maximum Design Pressure (MDP) limitations. In no case shall these values be used to 'increase' the MDP listings in the tables; rather if MDP listing below meets or exceeds that
listed for a particular system in the tables, then the thinner board listed below may be used as a drop -in for the equivalent thicker material listed in the table:
Ashland Pliodeck (A-PD) @ 12-inch o.c. MDP -105.0 psf (Min. 1.0-inch)
Ashland Pliodeck (A-PD) @ 6-inch o.c. MDP -277.5 psf (Min. 1.0-inch)
Dow Insta-Stik (D-IS): MDP -120.0 psf (Min.1.0-inch)
Millennium One Step Foamable Adhesive (M-OSFA): MDP -157.5 psf (Min. 1.0-inch)
Millennium PG-1 Pump Grade Adhesive (M-PG3): MDP -157.5 psf (Min.1.0-inch)
OMG OlyBond 500 (OB500): MDP -45.0 psf (Min. 0.5-inch Multi -Max FA3)
OMG OlyBond 500 (OB500): MDP -187.5 psf (Min. 0.5-inch ISO 95+GL)
OMG OlyBond 500 (OB500): MDP -315.0 psf (Min. 0.5-inch ENRGY 3)
OMG OlyBond 500 (08500): MDP -487.5 psf (Min. 0.5-inch ACFoam II)
3M CR-20: MDP -117.5 psf (Min. 1.0-inch)
7. Bonded polyisocyanurate insulation boards shall be maximum 4 x 4 ft.
8. For mechanically attached components or partially bonded insulation, the maximum design pressure for the selected assembly shall meet or exceed the Zone 1 design pressure determined in
accordance with FBC Chapter 16, and Zones 2 and 3 shall employ an attachment density designed by a qualified design professional to resist the elevated pressure criteria. Commonly used
methods are RAS 117 and FM LPDS 1-29. Assemblies marked with an asterisk* carry the limitations set forth in Section 2.2.1.5.1(a) of FM LPDS 1-29 for Zone 2/3 enhancements.
9. For fully bonded assemblies, the maximum design pressure for the selected assembly shall meet or exceed critical design pressure determined in accordance with FBC Chapter 16, and no
rational analysis is permitted.
10. For mechanically attached components over existing decks, fasteners shall be tested in the existing deck for withdrawal resistance. A qualified design professional shall review the data for
comparison to the minimum requirements for the system. Testing and analysis shall be in accordance with TAS 105 or ANSI/SPRI FX-1.
Exterior Research and Design, LLC. d/b/a Trinity I ERD Evaluation Report 3520.03.04-R16 for FL2533-1115
Certificate of Authorization #9503. Revision 16: 10/14/2015
Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 2 of 58
11. For existing substrates in a bonded recover or re -roof installation, the existing roof surface or existing roof deck shall be examined for compatibility and bond performance with the selected
adhesive, and the existing, roof system (for recover) shall be capable, of resisting project design pressures on its own merit to the satisfaction of the AHJ, as documented through field uplift
testing in accordance with ASTM E907, FM LPDS 1-52, ANSI/SPRI IA-1 or TAS 124.
12. For Recover Applications using System Type D, the insulation is optional; however, the existing roof system shall be suitable for a recover application.
13. Unless otherwise noted, refer to the following references for bonded base, ply or cap sheet applications.
CERTAINTEED FLINTLASTIC® MODIFIED BITUMEN COMPONENTS & APPLICATION METHODS
Reference Layer Material Application
BP -AA Base Glasbase; All Weather/Empire Base; Flexiglas Base; Flintlastic Base 20
Base and Ply sheets, Asphalt- Hot asphalt at 20-40 Ibs/square
Applied) Ply Flintglas Ply Sheet Type IV, Flintglas Premium Ply Sheet Type VI
BP-AA2
Base Yosemite Venting Base
Hot asphalt in 24-inch diameter spots in 30-
Base, Spot -Asphalt -Applied) inch grid pattern
BP-AA3
Base Yosemite Venting Base Hot asphalt in 9-inch diameter spots in grid
Base, Spot -Asphalt -Applied) pattern noted herein.
BP-AA4
Base Yosemite Venting Base
Hot asphalt in 9-inch wide ribbons spaced
Base, Strip -Asphalt -Applied) as noted herein.
BP-CA2 Base/Ply Glasbase; All Weather/Empire Base; Flexiglas Base; Flintlastic Base 20 Henry #903 Adhesive at 1.5 gal/square
BP-CA3 Base/Ply Glasbase; All Weather/Empire Base; Flexiglas Base; Flintlastic Base 20
Millennium Hurricane Force Membrane
Adhesive, beads spaced 6-inch o.c.
Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
SBS-AA Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR DualSBS, Asphalt -Applied)
Hot asphalt at 20-40lbs/square
Cap Cap; Flintlastic FR-P; Flintlastic FR-P CoolStar; Flintlastic Premium FR-P; Flintlastic Premium FR-P CoolStar;
Flintlastic GMS; Flintlastic GMS CoolStar; Flintlastic Premium GMS; Flintlastic Premium GMS CoolStar
Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
SBS-CA1
FlintBond Brush or Karnak No. 81 Cold
Note: Base ply cures overnight prior to application of the cap ply.
SBS, Cold -Applied)
Process Modified Bitumen Adhesive Brush
Grade at 1 gal/squareFlintlasticFRCap30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual Cap; Flintlastic FR-P; Flintlastic FR-P CoolStar;
Ca p Flintlastic Premium FR-P; Flintlastic Premium FR-P CoolStar
Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
SBS-CA2 Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR DualSBS, Cold -Applied) Henry 11903 Adhesive at 1.5 gal/square.
Cap Cap; Flintlastic FR=P; Flintlastic FR-P CoolStar, Flintlastic Premium FR-P; Flintlastic Premium FR-P CoolStar;
Flintlastic GMS; Flintlastic GMS CoolStar; Flintlastic Premium GMS; Flintlastic Premium GMS CoolStar
Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
SBS-CA3 Millennium Hurricane Force Membrane
Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR DualSBS, Cold -Applied) Adhesive, beads spaced 6-inch o.c.
Cap Cap; Flintlastic FR-P; Flintlastic FR-P CoolStar; Flintlastic Premium FR-P; Flintlastic Premium FR-P CoolStar,
Flintlastic GMS; Flintlastic GMS CoolStar, Flintlastic Premium GMS; Flintlastic Premium GMS CoolStar
Exterior Research and Design, LLC. d/b/a Trinity I ERD Evaluation Report 3520.03.04-1116 for FL2533-R15
Certificate of Authorization #9503 Revision 16:10/14/2015
Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 3 of 58
QOTRINITYIERD
CERTAINTEED FLINTLASTIC® MODIFIED BITUMEN COMPONENTS & APPLICATION METHODS (CONTINUED)
Reference Layer Material Application
Base Flintlastic Ultra Poly SMS Base; Flintlastic Base 20 T
SBS TA Ply Flintlastic Ultra Poly SMS Base; Flintlastic Base 20 T
SBS, Torch -Applied) Torch -Applied
Flintlastic FR Cap 30 T, Flintlastic FR Cap 30 T CoolStar; Flintlastic GTS; Flintlastic GTS CoolStar; Flintlastic GTS-FR;
Cap Flintlastic GTS-FR CoolStar; FlintClad
APP-TA
Base Flintlastic APP Base T; Flintlastic STA; Flintlastic STA Plus
Ca p
Flintlastic STA; Flintlastic STA Plus; Flintlastic GTA; Flintlastic GTA CoolStar; Flintlastic GTA-FR; Flintlastic GTA-FRAPP, Torch -Applied) Torch -Applied
CoolStar
SBS-SA-H
SBS, Self -Adhering, Hybrid Base/Ply Black Diamond Base Sheet; Flintlastic Ultra Glass SA Self -Adhering
Systems)
Base Flintlastic SA PlyBase; Flintlastic SA Mid Ply
SBS-SA
SBS, Self -Adhering) Self -AdheringPlyFlintlasticSAPlyBase; Flintlastic SA Mid Ply
Cap Flintlastic SA Cap; Flintlastic SA Cap CoolStar; Flintlastic SA Cap FR; Flintlastic SA Cap FR CoolStar
14. Insulation is optional for Recover or Concrete Deck Applications using System Type D (Mechanically Attached Base Sheet, Bonded Roof Cover).
15. "MDP" = Maximum Design Pressure is the result of testing for wind load resistance based on allowable wind loads. Refer to FBC 1609 for determination of design wind loads.
Exterior Research and Design, I.I.C. d/b/a Trinity I ERD Evaluation Report 3520.03.04-1116 for FL2533-R15
Certificate of Authorization #9503 Revision 16:10/14/2015
Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 4 of 58
QOTRINITYIERD
TABLE 1E-2: WOOD DECKS —NEW CONSTRUCTION, REROOF (TEAR -OFF) OR RECOVER
SYSTEM TYPE E: NON-INSULATED,'MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER
System Deck Base Sheet Roof Cover MDP
Base Fasteners Attach Ply CapNo. See Note 1) pso
Min. 23/32-inch exterior
Poly SMS Base; Ultra Poly 12-inch o.c. at 4-inch lap and 36-inch o.c. in two,
BP -AA, SBS
SBS-AA, SBS-
W-80 grade plywood at max. 24- SMS Base
See Note 2
equally spaced, staggered center rows
AA, SBS-TA or
TA or APP-TA
45.0 ,
inch spans APP-TA
Glasbase; Flexiglas; Flintlastic
Flintfast 3 in. Insulation Plates with Optional) BP -
W-81 Min. 15/32-inch plywood at Base Poly SMS Base; Ultra
FlintFast #12 or #14; Trufast MP3 with DP 6-inch o.c. at 4-inch lap and 6-inch o.c. in three, AA, SBS-AA, SBS-AA, SBS-
97.5
max 24-inch spans
Poly SMS Base; Yosemite
or HD; OMG 3 in. Round Metal Plates with equally spaced, staggered center rows SBS-TA or TA or APP-TA
OMG #14 HD APP-TA
W-82 Min. 15/32-inch plywood at Flintlastic APP Base T
OMG 3 in. Round Metal Plates with OMG 6-inch o.c. at 4-inch lap and 6-inch o.c. in three, APP-TA APP-TA 97.5
max 24-inch spans 14 HD equally spaced, staggered center rows.
Min.19/32-inch Ipplywood at
Glasbase; Flexiglas; Flintlastic
7-inch o.c. at 3-inch lap and 7-inch o.c. in three,
BP-AASBS- SBS-
AA, SBS- W-
83 max
24-inch spans Base 20; Poly SMS Base; Ultra See Note 2 equally
spaced, staggered center rows AA,
SBS-TA or TA
or APP-TA 105.
0 Poly
SMS Base; Yosemite APP-TA Min.
19/32-inch plywood at OMG
3 in. Round Metal Plates with OMG 7-
inch o.c. at 3-inch lap and 7-inch o.c. in three, W-84 max
24-inch spans Flintlastic
APP Base T HD or Dekfast Hex Plate with Dekfast equally
spaced, staggered center rows APP-
TA APP-TA 105.0 14
Flintfast
3 in. Insulation Plates with Optional) BP - Min.
15/32-inch plywood at Glasbase;
Flexiglas; Flintlastic FlintFast #
12 or #14; Trufast MP3 with DP 6-inch o.c. at 4-inch lap and 6-inch o.c. in four, AA, SBS-AA, SBS-AA, SBS- W-
85 max
24-inch spans Base
Poly SMS Base; Ultra or HD; OMG 3 in. Round Metal Plates with equally spaced, staggered center rows SBS-TA or TA or APP-TA 127.
5 Poly
SMS Base; Yosemite OMG #14 HD APP-TA tW-
86 Min. 15/32-inch plywood at Flintlastic APP Base T OMG
3 in. Round Metal Plates with OMG 6-inch o.c. at 4-inch lap and 6-inch o.c. in four, APP-TA APP-TA 127.5 max
24-inch spans 14 HD equally spaced, staggered center rows. TABLE
1F: WOOD DECKS —NEW CONSTRUCTION OR REROOF (TEAR -OFF) SYSTEM
TYPE F: NON -INSULATED, BONDED ROOF COVER System
No.
Deck
See
Note 1) Primer
Roof
Cover MDP (
psf) Base
Ply Cap W-
87 Min. 29/32-inch plywood at max 24-inch spans FlintPrime SA SBS-SA I (Optional) SBS-SA SBS-SA 127.5 Exterior
Research and Design, I.I.C. d/b/a Trinity I ERD Certificate
of Authorization #9503 Prepared
by: Robert Nieminen, PE-59166 Evaluation
Report 3520.03.04-1116 for F12533-1115 Revision
16:10/14/2015 Appendix
1, Page 16 of 58
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:
I, for rN. rw, (,, aoW flo= 1 hereby acknowledge that I personally inspected
Roof deck nailing and/or klecondary water barrier work
at / 3 3 / —O 4475 4- %) f, and have determined that the work
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual. (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 her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 F.S.
Signatu a of Contractor Date
7D—yy(.(L- 0_c) lb n 0_0_01 -c32D ( co
Printed Name of Contractor License #
License Type: 0 General Building ResidentialD(Roofmg Contractor
Elor any individual certified in accordance with F.S__. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF LQ Cl-n
worn to or f irmed) and subscribed before ' efliis day of , 20 . , by
1` C I , who is Plersonally Known to me or has Produced (type of
i&entificati n) t as identification.
Signature of Notary Public
tate if Florida,( „
I IF +PEBRA A NOBLES
rint/Type/Stamp Name j v; ,n 7'COMMIS$T,FF9206f0
of Notary Public '?F'.1t nXPIRESSeplbp22. 2019 r .
1p.7. "FwrWerwu ,00m 3