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1916 Hibiscus Ct
EVEI A CITY OF SANFORD JAN 16 2016 BUILDING & FIRE PREVENTION PERMIT APPLICATION F D Application No: Documented Construction Value: $ , Fey- CEO Job Address:%Q%LgI4,',t3i5Ct zs 6u e , ,S,4T1Q'o .Historic District: Yes No © Parcel ID: -3/ // Residential -- ommercial Type of Work: New Pr, 7Z_ Z,Or) dition Alteration Repair Demo Change of Use Move Description of Work: /._5-36- MCZ4'1& f ) j UVV1 &Jy Plan Review Contact Person: W Phone:`/ 09 Fax: `op-3,'c?- 970/ Email: Title: VI9 Property Owner Information Name1AXa1AW) 0 't /2A-Ci /iq• oJ2Ralq Phone: `/O Street: / 9`/& 67ov,e- Resident of property? City, State Zip: SA,-t Fo2aD L L3od 9 9 / Contractor Information Name u e,5 0 Piv _'77/1 L Phone: `7/0 % L39Y 2/n O Street: y %' /Y , 41,01 / % -9a cSi6 0 /O 9 Fax: L% % c36 ,? City, State Zip: —. .50 State License No.: n Architect/ Engineer Information Name: % y / / J Phone: Street: Fax: City, St, Zip: Bonding Company: Address: 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. l FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 20.15 Permit Application ` A 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 atthe 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 04 er/Agent Date n ? 1, I )- k 11 Q Signature of Contractor/Age t Date s Votary Public - State of Florida Notary Public - State of Florida d 7v 4••^'m. Expires Sep 2. 2017 `\. ; My (AimM. Expires Sep 2, 2017 ma „sign # FF 50456y. `' Commission # FF 50456 t r :net,at ;,r.Ltry Assn. Bondiee "' a,gh National Notary Assn. Owner/Agent is /Pers'ona4ily Known to Me or Contractor/Agent is ersonally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application i111'1 l,: 5r wl v City of Sanford Building and FirePrevention Product Approval Specification Form Permit # Project Location Address / 9 0/56vs uuuei aU V 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 Underla ments Roofing Fasteners ., Nonstructural Metal Room Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen 2 it P - El ,h-iLn Single Ply Roof Systems Roofing slate Cements/ Adhesives Coating v161 K _ jRbvt C~ GaAcIG 2 aZ4 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 B. New Exterior Envelope Products Applicant's Signature Applicant's Name Please Print) June 2014 i'4 vSS /k,401 -e-j III Il111911li illil MII!I IIIIIlIII I!±I THIS INSTRUMENT PREPARED.BY: Name: LINDA MCCANDLESS Address: 495 N HWY 17-92, STE#109 LONGWOOD, FL 32750 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 31-19-31-511-000-0110 t` s s. rI:' ,t•: i.t .c {. '.)i ?Pt.t-:. . 1. I't ill:• i-' ` 4, LERK'S v 201.6008'536 X: t l t•..'i_L, tt tj,. ,f a`.i+:1 i3 ';:54`I• "t hN, 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. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) LOTS 11 + 13 ROSE COURT PB 3-PG 3 1916 HIBISCUS COURT 2. GENERAL DESCRIPTION OF IMPROVEMENT: REROOF 15SQ MODIFIED BITUMEN 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: WILLIAM G JR & TRACY M M_ ORGAN, 1916 HIBICUS COURT SANFORD FL 32771 Interest in property: FEE SIMPLE Fee Simple Title Holder (if other than owner listed above) Name: N/A 04. CONTRACTOR: Name: RUSS NOYES ROOFING INC Phone Number: 407-388-7700 Address: 495 N HWY 17-92, STE#109, LONGWOOD, FL 32750 5. SURETY (If applicable, a copy of the payment bond is attached): Name: N/A Address: Amount of Bond: LENDER: Name: N/A Phone Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: N/A Phone Number: 8. In addition, Owner designates N/A 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) N/A 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. Signatu t Owner or Lessea, or Owner• or Lessee's (PdnVame and Provide Signat ' T"Ue ce) Au zed Officeg0irector/partner/ nager) (V/ 1 State of _ + ZV N County of (PA L` The foregoing Instrument w a(s acknowled ed before me this ( day of ti IN V , 20 ( by A Y Who is personally known to me' Name of person making statement who has produced identification type of identific on produced: f t IWDa I'dCCAPiOLESS r43tary Public - State of Florida 1 »,,,-.• -,• i F = My t a-rgi Fypires Sep 2, 2017 F _ Notary Si atur s' 0 1 FF 50455 _ CO Z11I'" N,41t:rol kelary Assn. CLERK OF' ECISEMINOLOUN1titar DEPUTY"CLERK i NFlorida Building Code Online Page 1 of 2 RECORD COPY I BCIS Home Log In User Registration Busines Professional Reghtior product Approval USER: Public User Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff Product Approval Plenu > Application Detail 7 SANFORD BUILDING DIVISION FL # FL2533-R15 Application Type Revisi A PERMIT ISSUED SHALL BE CONSTRUED TO BE AoLniCENSETOPROCEEDWITHTHEWORKANDNOTAS Code Version 2014 AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET Application StatuF THE TECHNICAL REVIEWED FOR CODE COMPLIANCE Appr CDDES NO SHALL SUANDEANYOFTHEICCEOFONSOAPERMITPREVENT G THE BUILDING OFFICIAL FROM THEREAFTER ? Comments PLANS EXAMINER REQUIRING A CORRECTION OF ERRORS IN PLANS, Archived Z - k - %ce CONSTRUCTION OR VIOLATIONS OF THIS CODE DATE I 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 Maek Harner 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 Modified Bitumen Roof System Evaluation Report from a Florida Registered A Professional Engineer Evaluation Report - Hardcopy Received vILD/NC Robert Nieminen SANFORD PE-59166 ., UL LLC c pgRl•4 07/03/2017 # 16 _ z / John W. Knezevich, PE v "+ Validation Checklist - Hardcopy Received FL2533 R15 COI 2015 01 COI Nieminen oc Standard ASTM D6162 http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQw... 1 /28/2016 Florida Building Code Qnline Page 2 of 2 ASTM D6163 ASTM D6164 ASTM D6222 ASTM D6509 FM 4470 FM 4474 Equivalence of Product Standards Certified By 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 of FL # I Model, Plumber or Name Description 2533.1 i Flintlastic Modified Bitumen Roof I Modified Bitumen Roof Systems Limits of Use Installation Instructions Approved for use in HVHZ: No FL2533 R15 II 2015 10 FINAL Al ER CI Approved for use outside HVHZ: Yes R15.pdf Impact Resistant: N/A Verified By: Robert Nleminen, PE PE-59166 Design Pressure: +N/A/-630 Created by Independent Third Party: Yes Other: 1.) Refer to ER Section 5 for Limits of Use. 2.) Evaluation Reports The design pressure noted in this application relates to FL2533 R15 AE 2015 10 FINAL ER CER1 one specific system. Refer to the ER Appendix for all iR5.odf systems and max design pressures. Created by Independent Third Party: Yes Back Next Contact Us :: 1940 North Monroe Street, Tallahassee FL 32399 Phone: 850-487-18; The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibil- Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to z electronic mail to this entity, Instead, contact the office by phone or by traditional mall. If you have any questions, pleE to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S, must pr address if they have one. The -emails provided may be used for official communication with the licensee. However ema do not wish to supply a personal address, please provide the Department with an email address which can be made av you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: JDI 11"Atnt.w.,.A. SANFORD KR I"m# 1 6 - 3 4 9 http:// floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQw... 1 /2 8/2016 TRINITY ERD ATTfJxWlf 2: fiR11FHMtst1'REQIIIRfftIfHI3 fDR WIND tkii RESlSTgii ' - t-' . Table Deck Application Type Do>cription Page 7,A Wood New or Reroof (Tear -Off) A-2_ Mech. Attached Anchor Sheet, Bonded Insulation Bonded Roof Cover 5.6 16 Wood New, Retool (Tear -Off) or Recover B Mech. Attached Base Insulation, Bonded 7op Insulation, Bonded Roof Cover 7 1C Wood New, Reroof (Tear-011) or Recover C Mech. Attached Insulation, Bonded Roof Cover B-9 1D Wbod New, Reroof (Tear -Off) or Recover D Prelim, Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 10.11 1E-1 Wood New, Reroof ITear-Off) E Non -Insulated, Mech. Attached Base Sheet, Banded Roof Cover 12-14 1E-2 Wood New, Reroof (Tear-OfO or Recover E Non -Insulated, Mach; Attached Base Sheet, Bonded Roof Cover 15-16 1F Wood New or Reroof(Tear-OfO F Non.Insulated,Bonded Roof Cover 16 2A Steel or Cone, New, Reroof (Tear-0411 or Recover B Mach, Attached Base Insulation, Bonded Top Insulation, Bonded Roof Cover 17.19 28 Steel or Cone, New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 20.24 2C Steel or Cont. New, Reroof (Tear -Off) or Recover D Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 25-27 3A Concrete New or Reroof (Tearoff) A.1 Bonded insulation, Bonded Roof Cover 28.35 38 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 Non4risulated, Bonded Roof Cover '36 4A LWIC Now or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Covet 37-38, 48 LWIC New or Reroof (Tear -Off) A-2 Mach, Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 39 4C LWIC New, Reroof (Tear -Off) E Non -Insulated, Mach. Attached Base Sheet, Bonded Roof Cover 40.44 SA CWF New orRetool (Tear -Off) A-1 Bonded Insulation, Bonded RoofCover 4S 5B CWF Now or Raroof(Tear-Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 46 5C CWF New, Retool (Tear -OR) or Recover C Mech, Attached Insulation, Banded Roof Cover 46 5D CWF New, Reroof (Tear -ON) 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 68 Gypsum Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet Bonded Insulation, Bonded Roof Cover 50 6C Gypsum Reroof (Tear-Dff) C Mach. Attached insulation, Bonded Roof Cover s0 6D Gypsum Reroof (Tear -OH) E Non-Imulated, Mech. Attached Base Sheet, Bonded Roof Cover SI 7A Various Recover A-1 Bonded Insulation, Bonded Roof Cover 52.58 78 Various Recover F Non -Insulated, Bonded Real Cover 58 The following notes apply to the systems outlined herein: 1. 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. 2. Unless otherwise noted, fasteners and stress plates for Insulation attachment shall be as follows. Fasteners shall be of sufficient length for the following engagements: r Wood Deck: OMG 914 Roofgrlp with Flat Bottom Plate (Accutrac), OMG HO with OMG 3 in. Galvalume Steel Plate, Dekfast 414 with Hex Plate or 3• Round Insulation Plate, Trufast HD with Trufast 3' Metes Insulation Plates or FlintFast N14 Fastener with FlintFost r Insulation Plates, Minimum 0,75-Inch plywood penetration or minimum 1-Inch wood plankembedment. Steel Deck: OMG 012 or 1114 Rootgrip with Recessed or Flat Bottom Plate (Accutrac), OMG 412 Standard of HD with OMG 31n. Galvalume Steel Plate, Dekfast 412 or N14 with Hex Plate or 3' Round Insulation Plate. Trufast DP or HD with Trufast 3" Metal Insulation Plates or FlintFast R12 or #14 Fastener with FlintFast 3' Insulation Plates. Minimum 0.75-Inch steel penetration and engage the top flute of the steel deck. ConcruteDeck: OMG N14 Roofgrip with Recessed or Flat Bottom Plate (Accutracl, OMG HD or CD-10 with OMG 3 in. Golvalume Steel Plate, Dekfast N14 or'DekSpike with Hex Plata or 3" Round Insulation Plate, Trufast HO at CF with Trufast 3" Metal Insulation Plates or FlintFast 014 Fastener with Flina ast 3' Insulation Plates. Minimum 1-Inch embedment, Fasteners installed with a pilot hole In accordance with the fastener manufacturers published fnttallation Instructions, Exterior Research and Design, U.C. d/b/a Trinity)ERD Evaluation Report 3S20.03.04-Ri6 for FL2533.R3S Certificate of Autlteritation N9503 Rg&on 16: 10/14/2015 Prepared by. Robert Nleminen, PE-59166 dix 1, Page 1 of 58 F( 0R, SAa 1 6 - 3 4 9 t t URNW11111111(MIM TRINITY tERD TABLE lE-2: WOOD DECKS —NEW CONSTRUCTION, REROOF (TEAR•OFF) oR RECOVER SYSTEMTYPEE: NON -INSULATED, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER System Deck Base Shoat Roof Cover MDP date Fasteners Attach Ply Cap No. See Note 1) Psn W-80 Min.2313kinGt exterior grade plywood at max, 24• PDIYSMS Base; Ultra P01V See Note 2 12-inch q,e. at winch lap and 36•Inch o.c. In two, BP -AA, SBS- SBS.TA orSBS•AA, SITS- Inch spans SMS Bate equally spaced, staggered center rows APP TA TAor APP-TA Glasbase, Flexlglas; Fllntlastic Flintfast 3 in. Insulation Plates with Optional) BP• W81 MIn.15nch uh plywood at Base 20; Poly SMS Base; Ultra FiintFast 912 or#14; Trurast MP3 with OP 6-inch o,c, at 4-Inch lap end 6•indi o.c, in three, AA, SSS•AA, SOS -AA, Sm. 97 5max2d•Inch spans Poly SMS Base; Yosemite or HD; OMG 3In. Round Metal Plates with equally spaced, staggered center rows SBS-TA or TA or APP-TA OMG 914 HO APP-TA yy 63 Min. 1S/32•Irich plywood at Fgndastic APP Base T OMG 3In. Round Metal Plates with OMG Inch o.c. at 4-inch lap and 6•ir" o.c. In three, APP-TA APpQA 97.5max24•Inch spats 014 HO equally spaced, staggered center rows, W 83 Min. plywood at Glasbaso; Flexlglas; FiintlasticBase20; Poly SMS Base; Ultra See Note 2 7-inch o.c. at 3-inch lap and 7dnch o.c. in three, BP -AA, SBS- AA, SBS-TA or SOS -AA, SBS- 105.0tncspansmax24-Inch P41ySMSBase: Yosemite equally spaced, staggered center rows APP TA TA or ADP -TA W6t Min.19 32-Inch i wood at pvFlintlasticAPP Base T OMG 3In. Round Metal Plates with OMG 914 HD or Dekfast Hex Plate with Dekfast 74nch o.c. at 3•lach lap and 7-Inch o.c, in three, APP•tA APP TA 105.0 max24•Ineh spans a14 equally spaced, staggered center rows Glasbase; flexlglas; Fltntlastic Filntfasz3 in. Insulation Plateswlth Optional( BP• W. g5 Min. 15/32•inch plywood at Base 20; Poly SMS sale; Ultra FIIntFast a12 or k14, Trufast MP3 with DP 6-inch o.c. at 4•(nch lap and 6-inch o.c. in four, AA, SBS-AA, SOS -AA, SBS• 127 S max24•Inch spans PdySMS Base; Yosemite or HD; 0MG 3 in. Round Metal Plates with equally spaced, staggered center rows SBS-TA or TA of APP-TA OMG 014 HD I I APP-TA W 96 Min. IS/32-Inch plywood at Flintla stic APP Base T OMG 3In. Round Metal Plates with OMG 6-Inch o.c. at 4-Inch lap and 6-Itch o.c. in four, APP-TA ADP -TA 1275 ma424•Inch spans R34 HD equally spaced, staggered center rows. TABLE 1F; WOOD DECKS —NEW CONSTRUCTION oil REROOF (TEARIOFF) SYSTEM TYPE F: NON -INSULATED, BONDED ROOF COVER Deck Roof Cover - r, No. See Rote 1) .. Primer MOP s lDfl ease ' - ' ly - W- 87 Min. 19/32dnchplywood 3L ma. 24•inchspans FlintPrimeSA, SBS•SA -. OpConal)SOS•SA -., „x:.:._ • 585.5A. •- -_.. ,,,,, 1275 , Exterior Research and Oesign, U.C. d/b/a TdfutylERO Certificate of Authorization #9503 Prepared by: Robert Nleminen, PE•59166 Evaluation Report 3520.03,04•R16 for FL2533-R15 Revision 16: 10/14/201S Appendix 1, Page 16 of 58 Lo/N0 SANT" VRD 16-349 1 t t I PERMIT NO. —4 CONTRACTOR: JOB ADDRESS: _ 3k City of Sanford Building & Fire Prevention Division Re - Roof Permit Card ISSUE wor T 0 TYPE OF WORK: iRc • lO O"6 , Post this Permit in a conspicuous place outside PROTECT FROM WEATHER Approved plans must be posted with permit for inspection Leave all work uncovered until inspected Permit expires six (6) months from date of issue or last approved inspection A ROOF DR Y-IN INSPECTION IS RE UIRED * * * For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The Mitigation Affidavit will not suffice as an alternative to receiving a dry -in inspection. ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR MISCELLANEOUS INSPECTION TYPE APPROVED REJECTED INSPECTOR ROOF DRY -IN MITIGATION AFFIDAVIT FINAL ROOF 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: October 2014 Inspection Line 855.541.2212 1W tea =11aM TO SCHEDULE AN INSPECTION: Dial855.541.2112 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 3:30 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 ROOF Roof Dry In 116 Mitigation Affadavit 129 Final Roof III Miscellaneous Notes: Miscellaneous Sheathing - Roof 106 Insulation - Roof 119 REVISED: OCTOBER 2014 Inspection Line: 855.541.2112 11 I I I I I ' IN is FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . Property Address . . . . . . Parcel Number Application description . Subdivision Name . . . . . . Property Zoning . . . . . . . 16-00000349 1916 HIBISCUS CT 31.19.31.511-0000-0110 ROOFING APPLICATION ROSE COURT SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Date 2/01/16 1 Additional desc . . Phone Access Code 927392 Permit pin number 927392 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10-1000 129 BL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN 1000 111 BL03 FINAL ROOF _/_/_ Florida Building Code Online SITE COPY Page 1 of 2 c °r- -.t r, rp BCIS Home Log, In User Registration Businesgc 0119 Product ApprovalProfessi , pal USER: Public User REgoiation Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff Product Aporovai Menu > Application Detail FL # Application Type Code Version Application StatubEVIEWED FOR CODE COMPLIANCE Comments PLANS EXAMINER Archived Z - k - 14 DATE 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) SANFORD BUILDING DIVISION FL2533-R15 Revisf A PERMIT ISSUED SHALL BE CONSTRUED TO BE A LnCENSE TO PROCEED WITH THE WORK AND NOT AS 2014 AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ApproDE ANY OF THE PROVISIONS OF THE TECHNICAL ES, NOR SHALL ISSUANCE OF A PERMIT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING A CORRECTION OF ERRORS IN PLANS, CONSTRUCTION OR VIOLATIONS OF THIS CODE CertainTeed Corporation -Roofing 18 Moores Road Malvern, PA 19355 610) 651-5847 mark.d.harner@saint-gobain.com Mask Harper 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 Modified Bitumen Roof System Evaluation Report from a Florida Registered A Professional Engineer Evaluation Report - Hardcopy Received VILD Robert Nieminen SANFORD PE-59166 UL LLC O OARTN 07/03/2017 #6 _ J * 4 . John W. Knezevich, PE Validation Checklist - Hardcopy Received FL2533 R15 COI 2015 01 COI Nieminen.oc, Standard ASTM D6162 http://floridabuilding. org/pr/pr_app_dtl.aspx?param=wGEVXQw... 1 /28/2016 Florida Building Code Online Page 2 of 2 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved ASTM D6163 ASTM D6164 ASTM D6222 ASTM D6509 FM 4470 FM 4474 Method 1 Option D 10/19/2015 10/28/2015 10/28/2015 12/15/2015 FL # Model, Number or Name Description 2533.1 Flintlastic Modified Bitumen Roof Modified Bitumen Roof Systems Systems Limits of Use Installation Instructions Approved for use in HVHZ: No FL2533 R15 II 2015 10 FINAL Al ER Cl Approved for use outside HVHZ: Yes R15.pd 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 Use. 2.) Evaluation Reports The design pressure noted in this application relates to FL2533 R15 AE 2015 10 FINAL ER CERI one specific system. Refer to the ER Appendix for all R15.odf systems and max design pressures. Created by Independent Third Party: Yes Back Next Contact Us :: 1940 North Monroe Street, Tallahassee FL 32399 Phone: 850-487-18 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibil Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to z electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, plea to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must pr address if they have one. The emails provided may be used for official communication with the licensee. However ema do not wish to supply a personal address, please provide the Department with an email address which can be made av you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: VILD NC0 ®' nuri SANFORD O OARTN' 1 1 6 - 3 4 9 http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQw... 1 /28/2016 TRINITMERD Table Deck Application Type Description Page IA Wood New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Banded Insulation, Bonded Roof Cover 5.6 iB 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 10 Wood New, Reroof (Tear -Off) or Recover D Prelim, Attached Insulation, Mech. Attached Base Shee4 Bonded Roof Cover 10.11 E-1 Wood New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base'Shee4 Banded 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 IF 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 28 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 i 33 Concrete New or Reroof (iear-0ff) A-3 Bonded Temp Roof/Vapor Barrier. Bonded Insulation, Bonded RoofCover 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 372g 48 LWIC New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulat(on; Bonded Roof Cover 39 4C LWIC New, Reroof (Tear -Off) E Non -Insulated, Mech, Attached Base Sheet, Bonded Roof Cover 40.44 SA CWF New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 45 SB CWF New orReroof(Tear-Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Banded Roof Cover 46 SC CWF New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 46 SD CWF New, Reroof (Tear -Off) E Non -Insulated, Meth. Attached Base Sheet, Bonded Roof Cover 47 6A Gypsum Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 411-49 68 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 So 61) Gypsum Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 51 t 7A Various Recover A-1 Bonded Insulation, Bonded Roof Cover 52.58 78 Various Recover F Non -Insulated, Bonded Roof Cover 58 The following notes apply to the systems outlined herein: 1. i 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 F8C Approval documentation. 2. Unless otherwise noted, fasteners and stress plates for insulation attachment shall be as follows. Fasteners shall be of sufficient length for the following engagements: Y Wood Deck: OMG #14 Roofgrip with Flat Bottom Plate (Accutrac), OMG HD with OMG 3 in. Galvalume Steel Plate, Dekfast 914 with Hex Plate or 3' Round Insulation Plate, Trufast HD with Trufast 3' Metal Insulation Plates or FlintFast 014 Fastener with FflntFast 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 orHD with OMG 31n. 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 014 Fastener with FlintFast 3' Insulation Plates: Minimum 0.75-inch steel penetration and engage the top flute of the steel deck. Concrete Deck: OMG N14 Roofgrip 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, TrufastHO,oeCF with Trufast 3" Metal Insulation Plates or FlintFast #14 Fastener with FlintFast 3' Insulation Plates. Minimum 1-Inch embedment. Fasteners Installed, with a pilothole in accordance with the fastener manufacturers published installation Instructions. Exterior Research and Design, U.C. d/b/a TrinitylERD Evaluation Report 3520.03.04-R36 for FL2533-R15 Certificate of Authodration 49503 Revision 16:10/14/2015 Prepared by: Robert Nieminen, PE-59166 dix ] Page 10(58 o r, Nc SANFOR ) 0 PA 16-349 t TRIN1TY i ERD TABLEIE-2: WOOD DECKS—NEWCONSTRUCTION, REROOF (Tw-OFF) OR RECOVER SYSTEM TYPEE: NON -INSULATED, MECHANICALLY ATTACHED BASE SHEET, BONDED -ROOF COVER System Deck ease Sheet Roof Cover MDP No. See Note 1) Psf) Base Fasteners Attach Ply Cap W 8D Min.23/32-tnch exterior grade plywood at max 24- PolySMS Base; Ultra Poly See Note 2 12•inch o.c at 4-Inch U and 364nch o.c M two, BP.pp, SOS- SBS-AA, 585- Inch spans SMS Base equally spaced, staggered center rows SBS-7A ur TAor APP-TA 45:0• APP-TA Giasbase; Flexiglas; Flintlastic Flintfast 31n.Insuiation Plateswith Optional) BP- W$1 Min. IS/32•inrh plywood at Base Poly SMS Base; Ultra FllntFast N12 or 014, Trufast MP3 with OP cIncho.at 4-Inch lap and &inch o.c. in three, AA, SBS-AA, SBS-AA, SBS- 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 97.5 OMG R34 HD APP-TA W 82 Min.15/32•inch plywood at FgnUastic APP Base T GMG 3 in. Round Metal Plates with OMG 6-Inch o.c 6-ktat4-inch lap and ch o.c. In three, max 24-Inch spans 914 HD equally spaced, staggered center rows. APP-TA APP TA 975 W-83 Min.19/32-inch plywood at Giasbase; Flexiglas; FlintlastkBase20; Poly SMS Base; Ultra See Note 2 7-inch o.e at 34nch lap and 7-Inch o.c. M three, BP -AA, SBS- SOS -AA, SBS• max 24-Inch spans Poly SMS Base; Yosemite equally spaced, staggered center rows AA, SM-TA or TAorAPPTA 105.0 APP-TA W-84 Min. 19/32•inch plywood at fRntlastic APP Baser OMG 31n. Round Metal Plates with OMG HD Hex Plate with Dekfast 7-inch o.c at 3•tnth lap and 7-inch o.c, in three, APP-TA APP-TA 105.0max24-Inch spans q14 equally spaced, staggered center rows Glasbase; Flexiglas; Flintlastic Fllntfast3 in. Insulation Plates with Optional) BP- W B5 Min.15/32-Inch plywood at Base 20; Poty5M5Base; Ultra FlintFast #12 or R14; 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- max 24-Inch spans Poly SMS Base; Yosemite or HD; OMG 3 in. Round Metal Plates with equally spaced, staggered center rows 5BS-TA or TA or APP-TA 127. 5 OMG a14 HD APP-TA W Min. 15/32•inch plywood at Flindastic APP Base T OMG 3In. Round Metal Plates with OMG 6-Inch o.c- at 4-Inch lap and 6-Inch o.c. in four, max 24-Inch spans 414 HD I equally spaced, staggered center rows. APP- TA APP-TA 1275 TABLE IF: WOOD DECKS —NEW CONSTRUCTION OR REROOF (TeAR-OFF) SYSTEMTYPEF:_ NON-INSULATED, BONDED ROOF COVER System No. Dedc See Note 1) Primer Roof Cover MOP ( psf) BasetyPCapW- 87 Min.19/32-Inch plywood at max Z44nchspans FlintPrime SA SBS-SA Optional)SBS-SA _,,;r,,_,,,,- 58S;SA _ 127.5 y Exterior Research and Design, LLC. d/b/a Trinity)ERD Certificate of Authorization #9503 Prepared by:, Robert Nieminen, PE-59166 Evaluation Report 3520.03.04-R16 for FL2533-RLS Revision 16:10/14/201S Appendix 1, Page 16 of 58 3 LD/Nc SANFORD 1 6 - 3 4 9 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: /6 _?L 9 N fly N" hereby acknowledge that I personally inspected Roof deck nailing and/or Secondary water barrier work at / 9 /b % j /`SC VS 90OLT , 1 P I 1. t_3 2%'%hand 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 837A" / 12, X— -3 Signature of Contractor Date ups o S 0, l "-,/" 6 Printed Name of Contrac or License # License Type: -General Building Residential -Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF S p A t j E, Swan to (or affirmed) and subscribed before meejhis _ day of &U fi I- , 20 /(p , by iISS O S , who is G-Personally Known to me or has Produced (type of id 'f ation) as identification. it (SEAL) n ture of Notary Public tate of Florida LINDA MCCANDLESS Notary Public - State of Florida IN L - - . • My iw^'.^i. Expires Sep 2, 2017 Print/Type/Stamp Name Commission # FF 50456 of Notary Public