HomeMy WebLinkAbout1916 Hibiscus Ct (2)rJECEI
J CITY OF SANFORD
JAN 2 6 2016 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
ZApplicationNo:
Documented Construction Value: $ 3dl'- C7O
Job Address:/ /Lnd!',u 15Gf i:z5 42v,2% S,gNI'r R,Q C cU%/ ,Historic District: Yes No 0'_
Parcel ID: - •`"3'j - —0//'q Residential Q-Commercial
Type of Work: New ddition Alteration Repair Demo !Change of Use Move
Description of Work: 2 44 Mricll-ri sb Plan
Review Contact Person: Phone:
g09 %70 I Property
Owner Information NameltXL1-
I400 /2461 070 2R 4`/ Phone: _a Ly0 Street: / 9`l1P -
1*Ji 5CU5 900' T Resident of property? City, State Zip:
13AjNFoQZ , JR 9'I / z Contractor Information
Name (? ` ,
r ,/1(
Phone: `% r 38Y Street: ' %
5 /% , hlIz7 / % '
90 (57 /O 9 Fax: L1!% 3&c? City, State Zip:
4 ONOL4J (:9, IZ-5( State LicenseNo.: t s /j 6Sz, e22 n Architect/Engineer Information Name: %
y /
Street: City, St,
Zip: Bonding
Company: {
Address: Phone: Fax:
E-mail:
Mortgage
Lender: %
Address:
WARNING TO
OWNER: YOUR
FAILURE
TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO
YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST' BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made
to
obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance
of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand
that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc. FBC 105.3 Shall be
inscribed with the date of application and the code in effect as of that date:.5`h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit
Application `. 71 0\
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found, in the public records 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, iime 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 I Date
n ?I r I '_L t -
Signature of Contractor/Ag t Date
C_
l votary Public - State of Florida ti^ Notary Public - State of FloridaA ,
tit ^. M l G ^.^.i. Expires Se 2, 2017vr. Expires Sep 2, 2017' • _ Y P P
cmc,si,n FF 50456 Commission & FF 50456
J N,aia,at Nc;ary Assn. '' Bondad National Notary Assn.
Owner/Agent is V Personally Known to Me or Contractor/Agent is E 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:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
R iAi1 i f lAllwlA w[
T• City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address / 9 56Us Uvueji
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 in 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 Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen Ce2 wrfc iniLAs
Single Ply Roof
Systems
EI
Roofing slate
Cements/
Adhesives /
Coating VV) &I K _ I PbWeL, G rxoclGWe 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
i
Applicant's Signature
Applicant's Name
Please Print)
June 2014
who has p
THIS INSTRUMENT PREPARED,BY:
Name: LINDA MCCANDLESS
Address: 495 N HWY 17-92, STE#109
LONGWOOD, FL 32750
NOTICE OF COMMENCEMENT
i:t`' 4i :1.•if L•• ,t.:I_i7,i is { ,iii`Pi?,..C:.i-.
CLERK'S v 201.6008536
Permit Number:
Parcel ID Number: 31-19-31-511-000-0110
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
6 HIB
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 MORGAN 1916 HIBICUS COURT SANFORD FL 32771
Interest in property: FEE SIMPLE
Fee Simple Title Holder (if other than owner listed above) Name: N/A
4. 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 Section713.13(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 f Owner or Lessee. or Owner' Lessee's (Pdn bme and Provide Signat Title ce)
Au zed O(HcerlD:rector/Partner/ pager) ((//
1
State of 1 Z N County of tf''
The foregoing Instrument was acknowled led before me this _ r1r ( day of_ IN l.l. ` , 20 /
by ij V G Z GL{>\ Who is personally known to me'
Name of person making statement
roduced Identification type of identific on produced:
L INDA MCCANDLESS _
Notary Public State of Florida \_
MV t „nl expires Sup 2, 2017 _ Notary Si aturgc'y.
FF 5U456 _ CO MARY : SE
R •.1 ° I', Nfi:41 krilary Assn. CLERK OF E CIRCUIT" J ANO
COM?TR : LLE
20 16SEMINOLUNTY, I A.
3.Y " "— DEPUTY -CLERK
f lorlda Building Code Online Page l of 2
RECORD COPY
BCIS Home Log In User Registration
Busines (,`
OUSER: Professi nai product Approval
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xegilatior
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Product Anoroval Menu > Application Detail
SANFORD BUILDING DIVISION
FL # FL2533-Ri5
Application Type A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
Revisioc9CENSE TO PROCEED WITH THE WORK AND NOTAS
Code Version 2014 AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
Application StatuNS
REVIEWED FOR CODE COMPLIANCE
OF THE TECHNICALApprEDESNOSHALLSIDEANYOFTHEOUAINICOEOFAPERMITPREVENTGAF
THE BUILDING OFFICIAL FROM THEREAFTER Comments
PLANS EXAMINER REQUIRING A CORRECTION OF ERRORS IN PLANS, Archived
Z - \ - % (' CONSTRUCTION
OR VIOLATIONS OF THIS CODE 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) 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. 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 A Professional
Engineer Evaluation
Report - Hardcopy Received BUILD
Robert
Nieminen SANFORD
PE-
59166 UL
LLC ARInI4 07/
03/2017 # 1 John
W. Knezevich, PE 3 4 Validation
Checklist - Hardcopy Received FL2533
R15 COI 2015 01 COI Nieminen.oc Standard
ASTM
D6162 http://
floridabuilding.org/pr/pi _app_dtl.aspx?param=wGEVXQw... 1 /28/2016
Florida Building Code Online
y
Page 2 o;E2
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 Products
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.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 iERI
one specific system. Refer to the ER Appendix for all iR5.odf
systems and max design pressures. Created by Independent Third Party: Yes
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Contact Us :: 1940 North Monroe Street, Tallahassee FL 32399 Phone: 850-487-18a
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
electronic mail to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, plez
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 emaiis 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:
95 M V1LD NC
O
OARW,
16-349
http://floridabui[ding.org/pr/Pr—app_dtl.aspx?param=wGEVXQw... 1 /28/2016
a i l ri 1
t-J TRINITY, ERD
APPtiiii IK ARAI:HMFNI'RECiAi ENfs FOR WIND t1PUlT REi15TAfei.-
Table Deck Application Type Description Page
TA Wood NeworReroof(Tear-Ofll A-2 Mech. Attached Anchor Sheet Bonded Insulation, Bonded Roof Cover 5.6
10 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 Mach. Attached Insulation Bonded Roof Cover v-o
1D Wood New, Retoof(Tear-0ff) or Recover D
1E-1 Wood New, Reroof(Tear-0ff) E
1E-2 Wood New, Reroof (Tear-Ofn or Recover E
1F
2A
Wood
Steel or Cone.
New or Reroof(Tear-Off) F
New, Reroof (Tear-Ofn or Recover B
2B Steel or Cone. New, Reroof (Tear-Off)orRecover C
2C Steel or Cone. New, Rerool(Tear-OfnorRecover D
3A
38
Concrete
Concrete
Nev., or Reroof (TeanOtf) A
NewerRerooflTeanOfO A.
d Insulation, Mech, Attached Base Sheet, Bonded Roof Cover
Mech. Attached Base Sheet Bonded Roof Cover
Base
16
17.19
20.24
25-27
28-35
36
x. soncrew New or Rerool to ear-unl F Non -Insulated, Bonded Roof Cover '36
4A LWIC NaWMReroof(Tear•Off) A•1 Bonded insulation, Bonded Roof Cover 37-38
48 LWIC New or Reroof(Tear-Off) A-Z Mech. Attached Anchor Sheet Bonded insulation, Bonded Roof Cover 39
4C LWIC New, Reroof (Tedr•Off) E Non -Insulated. Mech. Attached Base Sheet Bonded Roof Cover 40.44
SA CWF Newor Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 45
5B CWF New orRoroof(Tear-Off) A-2 Mech. Attached Anchor5heetBonded Insulation, Bonded Roof Cover 46 5C
CWF New, Reroof (Tear -ON) 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 48.49 6B
Gypsum Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet Bonded Insulation, Bonded Roof Cover s0 BC
Gypsum Reroof (Tear -Off) C Mech. Attached Insulation, Bonded Roof Cover s0 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 78
Various Recover F Non -Insulated, Bonded Roof Cover SS 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 AH). 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: Y
Wood Deck: OMG 914 Roofgrip with Flat Bottom Plate (Accutracl, OMG HD with OMG 3 in. Gahralume Steel Plate, Dekfast 414 with Hex Plate or 3' Round Insulation Plate, Trufast HD with Trufast 3' Motel
Insulation Plates or FIIntFast 014 Fastener with FIIntFast r Insulation Plates, Minimum 0,75•inch plywood penetration or minimum 1-Inch wood plank embedment. Steel
Deck: OMG 912 or 914 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG 412 Standard or HD with CMG 3 in. Galvalume Steel Plate, Dekfast 412 or 414 with Hex Plate or 3' Round Insulation
Plate, Trufast DP or HD with Trufast 3" Metal Insulation Plates or FlintFast #12 or 414 Fastener with FlintFast 3' Insulation Plates. Minimum 0.75-Inch steel penetration and engage
the top flute of the steel deck. Concrete
Deck: OMG a14 RoofgOp with Recessad or Flat Bottom Plate (Accutrac), OMG HD or CD -AO with CMG 3 in. Gatvalume Steel Plate, Dekfast #14 or DekSpike with Hex Plato or 3" Round Insulation
Plate, Trufast HO or CF with Trufast 3" Metal Insulation Plates or FlintFast 014 Fastener with FlintFast 3' Institution Plates. Minimum 1-Inch embedment, Fasteners installed with
a peot hole In accordance with the fastener manufacturer's published installation instructions, Exterior
Research and Design, I.I.C. d/b/a TrinllylERD Evaluation Report 3520.03.04-1116 for FUS33•RIS Certificate
of Autltaritation N9503 Revision 16:10/14/2015 Prepared
by: Robert Nleminon, FE-59166 do 1 Page 1 of 58 I
I
Insulation, Bonded Roof Cover d
Insulation, Mech. Attached Base Sheet, Bonded ion,
Bonded Roof Cover toof/
vapor Barrier, Bonded Insulation,• Bonded Ro SANFOR"
f p
pA.
3.1
1
6 - 349 t
RINITY HERDT
TABLE lE-2: WOOD DECKS —NEW CONSTRUCTION, REROOF (TEAR -OFF) On RECOVER
SYSTEMTYPEE: NON -INSULATED, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER
System Deck Basesheat Roof Cover MDP
ease Fasteners Attach Ply cap
No. See Note 1) PsB
W&i
Min. 23y2 Inch exterior
grade plywood at max.24• Poly SMS Base; Ultra Poly Sae Noto 2 12•Mch o,c, al l•inch lap and 3&Inch o.c intwo, BP -AA, SOY
SOS -AA, SOS -
Inch spans SMS Base equaeyspaced, staggered center rows 565•
TA or•45A TA
orAPP•TA APP-TA Glasbase;
Flexlglas; Fllntlastk Fllntfast 3 In. insulation Plates with Optional)BP- W-
81 Min.15/32-nsch plywood at Base 20, Poly SM5 Base; Ultra FlintFast #12 or#14; Trulasl MP3 with OP 6•inds o,c, at 4-Inch lap and 6•indi o.c. In three, AA, SBS•AA, SRS-AA, SBS- 97
5 max24-Inch spans Poly
SM58ase; Yosemite or HD; OMG 31n. Round Metal Plates with equally spaced, staggered center rows SBS-TA or TA a ADP•TA OMG
a14 HO APP-TA W
82 Min. )5/32•Inch plywood at PYndasOc APP Rase T OMG 31n, Round Metal Plates with OMG 6-Inch o.c at 4-Inch lap and 6-k" o.c, In three, max
24•Inth spate 110 HO equally spaced, staggered center rows. APP-TA AP? -TA WBi
Min.19/32-inch plywood at, Glasbase;Flexlgias;Flintlastic Base20; PolvSMS Base; Ultra See Note 2 7-incho,pat3dnchlapand7-rngho.c.Inthree, BP-AA,SOS- SRS-
At,SBS- max
24•Inch spans PONSMS
Base; Yosemite equally spaced, staggered center rows AA, SOS -TA or APP-
TA TA
wAPP TA 105.0 W-
51FBntlasticAPP atMin. 19-I 32-Inch plywood max
24•Ineh spans Base T OMG
3 In. Round Metal Plates with OMG 914
HD or Dekfast Hex Plate with Dekrast 74nch o.c. at 3-loch lap and 7-Inch o.c, in three, APP-
TA APP-TA 10S,0 e14
equally spaced, staggered center rows W85
plywood at Glasbase; Flexlglas-, Flintlastic Base20; Poly 5MS Base; Ultra Fllntfast3
in Insulation Plateswlth FIIntFast #
12 or R14; Trufast MP3 with OP 6-inch o.c. at 4-Inch lap and 6-Inch o.c. in four, Optional)
BP- AA,
SBS•AA, SSS•AA, SBS- maxMin4-Inc spanch max 24•lnch spate Poly5M5 Base;
Yosemite or HD; OMG 31n. Round Metal Plates with equally spaced, staggered center rows SBSTA or TA or APP-TA 12T.5 OMG 014
HD APP-TA W 86
Min.15/32•Inch plywood at Flintlastic APP Base T OMG 31n. Round Metal Plates with OMG 6-Inch o.c. at 4•inch lap and 6-Inch o.c. in four, APP-TA
mar! 24•Inch spans I 414
HO
equally q yspaced, staggered center rows. ADP -TA 1275 TABLE IF;
WOOD DECKS —NEW CONSTRUCTION oil REROOF (TFAR•OFF) SYSTEM TYPE
F: NON. -INSULATED, -BONDED ROOF COVER fysiem r
No.
Deck Sec
Note
1) - Prlmcr Roof
Cover
MOP (psQ
Base ' '— _ PNCapW-87
Min. 19/32-inch plywood at max 24-inch spans FlintPrime SA. 585-SA - Optonal) SBS-SA BS:SA •. 1275 r Exterior Research
and Oesfgn, I.I.C. deb/a TriNtylERO Certificate of
Authorkstion 09503 Prepared by:
Robert NiemInen, PE-59166 Evaluation Report
3520.03,04•R16 for FL2533.R15 Revision 16:
1011412015 Appendix 1,
Page 16 of S8 31LD/Nc
SAN,Fopm
r 6
16-349
City of Sanford
F Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. ISSUE DA O. D /• /
CONTRACTOR: A W•
JOB ADDRESS: 1771(' C eot
TYPE OF WORK: Alrow ,boo 44 MOOL 4*f
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 MitigationAffidavit will not sufce 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 855.541.2112
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 111
Miscellaneous Notes:
Miscellaneous
Sheathing - Roof 106
Insulation - Roof 119
REVISED: OCTOBER 2014 Inspection Line: 855.541.2112
11 I dLI91
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
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 _/_/_
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SANFORD BUILDING DIVISION
FL2533 A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
RevisicbICENSE TO PROCEED WITH THE WORK AND NOT AS
2Q 14 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
Mark 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 A,
UL LLC OARTN
07/03/2017 # , 6 _ J
7 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
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
FL # I 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 R1_5 II 2015 10 FINAL Al ER CI
Approved for use outside HVHZ: Yes R15.pdf
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.pdf
systems and max design pressures. Created by Independent Third Party: Yes
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16 -349
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TRINITY }ERA
1A Wood NeworReroof(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
1D 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'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 1516
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
28 Steel or Conc. New, Remof(Tear-OfO 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 2S-27
3A Concrete Newor Reroof (Tear -Off) A-1 Bonded Insulation, Banded Roof Cover 28-35
3B Concrete Newor 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 Newor Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 37-38.
48 LWIC Newor 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
SA CWF New or Reroof (Tear -Off) A-1 Bonded lnsulatich,Bonded Roof Cover 45
Ss CWF New or Reroof (Tear -Off) A-2Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 46 Sc
CWF New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 46 SD
CWF Now, 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 48d9 6B
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 78
Various Recover F Non -Insulated, Bonded Roof 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 AH). 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: Wood
Deck: OMG N14 Roofgrip with Flat Bottom Plate (Accutrac), OMG HD with OMG 3 In. Galvalume Steel Plate, Dekfast N14 with Hex Plate or 3' Round Insulation Plate, Trufast HD with Trufast 3" Metal
Insulation Plates or FlintFast N14 Fastener with FOntFast 3' Insulation Plates. Minimum 0.75-Inch plywood penetration or minimum 14rich wood plankembedment D
Steel Deck: OMG #12 or N14 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG N12 Standard or HD with OMG 31n. Galvalume Steel Plate, Dekfast N32 or N34 with Hex Plate or 3" Round Insulation
Plate, Trufast DP or HD with Trufast 3" Metal Insulation Plates or FlintFast N12 or N14 Fastener with FlintFasi 3" Insulatfon Plates: Minimum 0.75-Inch steel penetration and engage
the top flute of the steel deck. Concrete
Deck: OMG H14 Roofgdp with Recessed or Flat Bottom Mate (Accutrac), OMG HD or CD-10 with OMG 3'in. Gahmiume Steel Plate, Dekfast N14 or DekSpike with Hex Plate or 3" Round Insulation
Plate, Trufast HD dfCF with Trufast 3" Metal Insulation Mates or FIInd ast N34 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, U.C. d/b/a Tnnityl ERD Certificate
of_Authoritation N9503 Prepared
by: Robert Nleminen, PE-59166 Evaluation
Report 3520.03.04-1136 for FL2533-RIS Re'
vislan 16: 10/14/2015 4 ],
Page 1 of 58 SANF(?
r--<r'1 16-
349
TRINITYIEkD
TABLEIE-2: WOOD DECKS —NEW CONSTRUCTION, REROOF (TuR-OFF) oR RECOVER
SYSTEMTYPEE: NON -INSULATED, MECHANICALLY ATTACHED BASESHEET,BONDED-ROOF COVER
System Dock Base Sheet Roof Cover MOP
No. See Note 1) Base Fasteners Attach, Ply Cap psfl
Wt3D
Min. 23/32-inch exterior
race plywood at max. 24•
Pol 5M5 ease; Ultra PoV N See Note 2 12-inch o.c at 4-Mch lap and 36-inch o.c in two, BP -AA, SBS•
SBS-AA,585-
Iinch spans SMS Base all s staggeredequallyPaced,s eredcenterrows AA, SBS•TA or TA or APP-TA 45.01
APP-TA
Glasbase; Flexiglas; Flintlastic Flintfast 3In. lnsulation Plates with Optional) BP- W$
1 plywood at MaxBase 20; Poly SMS Base; Ultra FIIntFast #12 or#14; Trufast MP3 with OP 6-Inch o.c. at 4-Inch lap and 6-Inch o.c. in three, AA, SBS-AA, SBS-AA, SBS- 24-
Inch spa max24-Inch spans PoIySMSBase;
Yosemfte or HD; OMG 3 in. Round Metal Plates with equally spaced, staggered center rows SBS-TA or TA or APP-TA 975
OMG #
14HD APP-TA W
82 Min.15/32-Inch plywood at Flintlastic APP Base OMG 3 in. Round Metal Plates with OMG 64nch o.c. at 4-inch lap and 6-Inch o.c. in three, max
244nch spans 14 HD equally spaced, staggered center rows. APP-TA APP-TA 975 W-
83 Min.19 32-inch plywood at Glasbase; Flexi las, Flintlastic 8Base
20; Poly SMS Base; Ultra See Note 2 7-inch o.a at34nch lap and 7-inch o.c. in three, BP-AA,SBS- AA,
SOS -TA or SBS-Aq, SBS- 105.0 max24•inch s ans pPoly SMS Base; Yosemite equally spaced, staggered center rows APP-
TA TA
or APP TA W-
84 Min. 19/32-Inch plywood oodat Flintlastic APP Base OMG
3 in. Round Metal Plates with OMG 914
HD or Dekfast Hex Plate with Dekfast 7-Inch o.c at 3-Inch lap and 7-Inch o.c. In three, APP-
TA APP-TA 405.0 max24-Inch spans q14
equally spaced, staggered center rows Glasbase;
Flexiglas; Flintlastic Fllntfast 3 in. Insulation Plates with Optional) BP• W85
Min. 15/32-inch plywood at Base 20; Poly SMS Base; Ultra FllntFast #12 or#14; Trufast MP3 with OP 6-inch o.c. at 4-Inch la and 6-Inch o.c. in four, PAA, SBS-AA, SBS•AA, SfSS• max
24-inch spans Poly
SMS Base; Yosemite or HD; OMG3 in. Round Metal Plates with equally spaced, staggered center rows 5854A or TA orAPP-TA 127
5 GMG
0114 HD APP-TA W
Min. 15/32-fncch 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, max
24-inch spans 14 HD equally spaced, staggered center rows. APP
TA APP-TA 1275 TABLEIN
WOOD DECKS —NEW CONSTRUCTION on REROOF (TeAR-OFF) SYSTEM TYPE
F: NDN-INSULATED, BONDED ROOF COVER System No. --
Deck
µ - : (
See
Note I) Primer - Roof
Cover
MDP (psf)
Base _ plyCapW-87
Min.19/32-Inch plywood at max 24-inch spans FlintPrime SA SBS-SA Optional) SBS-SA _ -. 585:5A 127.5 r Exterior Research
and Design, I.I.C. d/b/a Trinity)ERD Certificate of
Authorization #9503 Prepared bTr
Robert Nleminen, PE-59166 Evaluation Report
3520.03.04•R16 for FL2533-RLS Revision 16:
10114/2015 Appendix 1,
Page 16 of 58 PLD/Nc
SANFORD 1
6 -
3 4 9
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit
I, hereby acknowledge that I personally inspected
Roof deck nailing and/or Secondary water barrier work
at / 9 /lv /- /`SC US LET. \&NthPb I 1. c _? 7Wand 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 837F"S. Signature
of Contractor Date vas
o S 0 / / C'jo_" 6 Printed
Name of Contrac or License # License
Type: 0-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 K5Q,0A t Ao Swar
to (or affirmed) and subscribed before mejhis S day of 2C - , 20 /, by ji1SS
O S , who is CkPersonally Known to me or has Produced (type of id '
f ation) as identification. SEAL)
n
ture of Notary Public tate
of Florida LINDA MCCANDLESS n . Pn' A4'' Notary
Public - State of Florida a
g lC o n
i' . - My C-umm. Expires Sep 2, 2017 Print/
Type/Stamp Name '=" r Commission # FF 50456 of
Notary Public Bonded 7hraigh National Notary Assn. 3