HomeMy WebLinkAbout2446 S Oak AveIVECITY OF SANFORD
BUILDING & FIRE PREVENTION
JAN 13 2016 PERMIT APPLICATION
Application No: (D
Documented Construction Value: $ 100o
Job Address:
e2j2-4( -S • DAV.— AVL ._ sAgic y'D
Parcel ID • -
Type of Work: New Addition Alteration
Description of Work:
Historic District: Y s No
Residential 3 Commercial
Repair Demo Change of Use . Move
Plan Review Contact Person: M N -S SO t) p K F S 1-(A N Title:
Phone: 40-7- -7t6 -3-6 b 0 Fax: Email: P4KESKAW1 IJf 6i? A906• COYh
Property Owner Information
Name Jnn',S,(3U_b K rz S N A4\3 k Phone: ( 40 7) _7 1 6 — - 6 4 0
Street: (,24LF6 S. a A K AVE Resident of property?
City, State Zip: SAN f=0 P, a !
Contractor Information
Name -0 Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING,*- ONSULT 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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
47
NOTICE: In addition to the requirements of this permit, there may be addiitiodahrestrictions 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 requirementsof 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 01 Owner/Agent Date
Pri t Owner/Agent's Name
Signature of Notary -State -of Florida—M-, .-.Dat
6; .•F;,','N,•. ANNE T': SCOTT
Notary Public •Slate of Florida
My Comm. Expires Jan 16. 2018
Commission N FF 071760
of F `'
Bonded Through National Notary Assn.
Owner/Agent is Personally nown o Weor
Produced ID Type of ID 'FL D t:
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
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:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:/_/
41,1&
Revised: June 30, 2015 Permit Application
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs ;
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
Rev. 9.14.2009
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
must be for my own use or occupancy. It may not be built or substantially improved for sale orVV(
residence
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially`improved it
for sale or lease, which violates this exemption.
Wk,, I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
u he Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
Ell
n
I
Property Address: a Lf Ib S, Q i, K_ N
do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
S
Signatur of
Form of Identification
Must be Photo ID)
11(3 1-
Date
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
k_ I am of aware of construction practices and I have access to the Florida Building Codes.
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
information that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property Address: a Lf Ib S, Q i, K_ N
do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
S
Signatur of
Form of Identification
Must be Photo ID)
11(3 1-
Date
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
I 1 II I I rl I
SCPA Parcel View: 36-19-30-539-0000-0940 Pagel of 2
D. -Md Johnson. CFA
PROPERTY
APPRAISER
se.11NOW COWM,, FLOA10A
Parcel: 36-19-30-539-0000-0940
Property Record Card
Parcel: 36-19-30-539-0000-0940
Owner: KESHANI MASSOUD M
Property Address: 2446 S OAK AVE SANFORD, FL 32771
Property Address: 2446 S OAK AVE
Owner: KESHANI MASSOUD M
Mailing: 1429 FOXTAIL CT
LAKE MARY, FL 32746
Subdivision Name: FRANKLIN TERRACE
Tax District: Sl-SANFORD
Exemptions:
DOR Use Code: 01 -SINGLE FAMILY
rw
970 1 94
71 95 ;
72 n_ a
Legal Description
Value Summary
Tax Amount without SOH: $1,
2015 Tax Bill Amount $1,
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem Assessments
LOTS 94 95 + 96
FRANKLIN TERRACE
PB 3 PG 78
2016 Working
Values
2015 Certil
Values
Valuation Method Cost/Market Cost/Marke
Number of Buildings 1 1
Depreciated Bldg Value 52,263 51,950
Depreciated EXFT Value 800 820
Land Value (Market) 32,430 32,430
Land Value Ag
Just/Market Value
85,493 85,200
Portability Adj
Taxable Value
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
Assessed Value 85,493 85,200
Tax Amount without SOH: $1,
2015 Tax Bill Amount $1,
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem Assessments
LOTS 94 95 + 96
FRANKLIN TERRACE
PB 3 PG 78
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 85,493 0
Schools 85,493 0
City Sanford 85,493 0
SJWM(Saint Johns Water Management) 85,493 0
County Bonds 85,493 0
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 6/1/2012 07800 0163 72,500 Yes Improved
SPECIAL WARRANTY DEED
CERTIFICATE OF TITLE
10/1/2011
11/1/2010
07654
07472
1496
0428
40,100
100
No
No
Improved
Improved
GUARDIAN DEED 6/1/2004 05362 1017 104,100 Yes Improved
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=36193053900000940 1/13/2016
SCPA Parcel View: 36-19-30-539-0000-0940 Page 2 of 2
WARRANTY DEED ( 4/1/1986 101725 0402 I 100 I No I Improved
Find Comparable Sales within this Subdivision
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 150 128 0 230.00
Building Information
Descriptionp
Year Built
Actual/Effective
Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
1 SINGLE
FAMILY
1951 6 1,242 2,115 1,767 CONC
BLOCK
52,263 101,976
Description I
UTILITY
UNFINISHED
ENCLOSED
PORCH
FINISHED
CARPORT
UNFINISHED
BASE
OPEN PORCH
FINISHED
Permits
Permit # Type Agency Amount CO Date Permit Date
No data to display
Extra Features
Description Year Built Units Value New Cost
SHED 11/1/2011 1 400
COVERED PATIO 1 11/1/1980 1 400
http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=36193053900000940 1/13/2016
a Page 1 of 2
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Product Approval Menu > Product or Application Search > Application List > Application History > Application Detail
FL # FL2533-R15
Application Type Revision REVIEWED POR 90—M COMPLMCE
Code Version 2014
Application Status Approved
Comments
Archived
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Florida Engineer or Architect Name who developed
the Evaluation Report
Florida License
Quality Assurance Entity
Quality Assurance Contract Expiration Date
Validated By
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
PLANS EXAMINER
DATE
L
CertainTeed Corporation -Roofing
18 Moores Road
Malvern, PA 19355
610) 651-5847
mark.d.harner@saint-gobain.com
Mark Harrier
mark.d.harner@saint-gobain.com
Mark D. Harner
SANFORD BUILDING DIVISION
18 Moores Road A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
Malvern, PA 19355 LICENSE TO PROCEED WITH THE WORK AND NOT AS
610) 651-5847 AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
Mark. D.Harner@saint-gobain.cMIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENI
THE BUILDING OFFICIAL FROM THEREAFTER
REQUIRING A CORRECTION OF ERRORS IN PLANS,
CONSTRUCTION OR VIOLATIONS OF THIS CODE
Roofing
Modified Bitumen Roof System
Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
ASTM D6162
Evaluation Report - Hardcopy Received
ASTM D6163
Robert Nieminen
ASTM D6164 2005
gl)ILD,L
PE -59166 C
UL LLC S'4NFpRD07/03/2017
FM 4474
John W. Knezevich, PE
A;q,RValidationChecklistHardcopyReceived 1E
FL2533 R15 COI 2015 01 COI Nieminen.pdf #
1 6 _ 2 5 5
Standard Year
ASTM D6162 2000
ASTM D6163 2000
ASTM D6164 2005
ASTM D6222 2008
ASTM D6509 2009
FM 4470 1992
FM 4474 2004
1/14/2016
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
Summary of Products
I 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-
RIS.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:
Cre S AFE
1/14/2016
QO
TRINITY I ERD
APPENDIX 1: ATTACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE )
Table Deck Application Type Description Page
1A 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
1D Wood New, Reroof (Tear -Off) or Recover D Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 10-11
1E-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 15-1,6
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
SC CWF New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 46
51) 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
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
7B 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 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:
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 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, 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, 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 1 of 58
QOTRINITYIERD
3. Unless otherwise noted, insulation may be any one layer or combination of polyisocya nu rate, polystyrene, wood fiberboard, perlite, GlasRoc Roof Board or gypsum -based roof board that
meets the CIA 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 lbs/square
Ashland Pliodeck (A -PD): Continuous 0.75 inch wide ribbons, 12 -inch o.c. Ribbons of subsequent 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-PG1): Continuous 0.5 to 0.75 -inch wide ribbons, 12 -inch o.c.
OMG OlyBond 500 or OlyBond Green (06500): 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 polyisocyanu rate 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-PG1): MDP 157.5 psf Min. 1.0 -inch)
OMG OlyBond 500 (013500): MDP 45.0 psf Min. 0.5 -inch Multi -Max FA3)
OMG OlyBond 500 (013500): MDP 187.5 psf Min. 0.5 -inch ISO 95+ GL)
OMG OlyBond 500 (013500): MDP 315.0 psf Min. 0.5 -inch ENRGY 3)
OMG OlyBond 500 (06500): 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, I.I.C. d/b/a Trinity I ERD Evaluation Report 3520.03.04-1116 for FL2533-1115
Certificate of Authorization #9503 Revision 16: 10/14/2015
Prepared by: Robert Nieminen, PE -59166 Appendix 1, Page 2 of 58
QOTRINITY I ERD
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 BRUMEN 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 lbs/square
Applied) Ply Flintglas Ply Sheet Type IV; Flintglas Premium Ply Sheet Type VI
BP-AA2 Hot asphalt in 24 -inch diameter spots in 30 -
Base, Spot -Asphalt -Applied)
Base Yosemite Venting Base grid . pinchd attern
BP-AA3 Hot asphalt in 9 -inch diameter spots in grid
Base, Spot -Asphalt -Applied)
Base Yosemite Venting Base pattern noted herein.
BP-AA4 Hot asphalt in 9 -inch wide ribbons spaced
Base, Strip -Asphalt -Applied)
Base Yosemite Venting Base 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
Millennium Hurricane Force Membrane
BP-CA3 Base/Ply Glasbase; All Weather/Empire Base; Plexiglas Base; Flintlastic Base 20 Adhesive, beads spaced 6 -inch o.c.
Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS BaseSBS -AA
Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR DualSBS, Asphalt -Applied)
Hot asphalt at 20-40 lbs/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
FlintBond Brush or Karnak No. 81 Cold
Note: Base ply cures overnight prior to application of the cap ply. SBS -CAI
Process Modified Bitumen Adhesive Brush
Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual Cap; Flintlastic FR -P; Flintlastic FR -P CoolStar; SBS, Cold -Applied) Grade at 1 gal/square
Cap Flintlastic Premium FR -P; Flintlastic Premium FR -P CoolStar
Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS BaseSBS-CA2
SBS, Cold -Applied)
Henry #903 Adhesive at 1.5 gal/square. Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual
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
Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS BaseSBS-CA3 Millennium Hurricane Force Membrane
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, I.I.C. d/b/a Trinity I ERD Evaluation Report 3520.03.04-1116 for FL2533-1115
Certificate of Authorization #9503 Revision 16: 10/14/2015
Prepared by: Robert Nieminen, PE -59166 Appendix 1, Page 3 of 58
11irA
tr
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) Psf)
SBS -SA
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- See Note 2 AA, SBS -TA or 45.0
inch spans
SMS Base equally spaced, staggered center rows APP -TA
TA or APP -TA
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 three, AA, SBS -AA, SBS -AA, SBS
W -81
max 24 -inch spans Base 20; 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
97.5
Poly SMS Base; Yosemite OMG #14 HD APP -TA
Min. 15/32 -inch plywood at OMG 3 in. Round Metal Plates with OMG 6 -inch o.c. at 4 -inch lap and 6 -inch o.c. in three, W-82
max 24 -inch spans
Flintlastic APP Base T
14 HD equally spaced, staggered center rows.
APP -TA APP -TA 97.5
Min. 19/32 -inch plywood at
Glasbase; Flexiglas; Flintlastic
7 -inch o.c. at 3 -inch lap and 7 -inch o.c. in three,
BP -AA, SBS
SBS -AA, SBS -
W -83
max 24 -inch spans Base 20; Poly SMS Base; Ultra See Note 2
equally spaced, staggered center rows
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 Flintlastic APP Base T 14 HD or Dekfast Hex Plate with Dekfast APP -TA APP -TA 105.0
max 24 -inch spans equally spaced, staggered center rows14
Glasbase; Flexiglas; Flintlastic
Flintfast 3 in. Insulation Plates with Optional) BP -
W -85
Min. 15/32 -inch plywood at
Base 20; 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 four, AA, SBS -AA, SBS -AA, SBS-
127.5
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-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.
Exterior Research and Design, I.I.C. d/b/a Trinity) ERD
Certificate of Authorization #9503
Prepared by: Robert Nieminen, PE -59166
Evaluation Report 3520.03.04-1116 for FL2533-R15
Revision 16:10/14/2015
Appendix 1, Page 16 of 58
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. 19/32 -inch plywood at max 24 -inch spans FlintPrime SA SBS -SA Optional) SBS -SA SBS -SA 127.5
Exterior Research and Design, I.I.C. d/b/a Trinity) ERD
Certificate of Authorization #9503
Prepared by: Robert Nieminen, PE -59166
Evaluation Report 3520.03.04-1116 for FL2533-R15
Revision 16:10/14/2015
Appendix 1, Page 16 of 58
11' 14'1"
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 ),L-L L S . C 1\\/% 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
Signatur f ontractor
1V(,)2 Nn . Y,ESRA \i I
Printed Name of Contractor
a/ 2-
D ateDate
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 5C% '
Sworn to r affirmed) and subscribed before me this day of20 1 i7 , by
who is Personally Known to me or has roduced (type of
identification) as identification.
SEAL)
Signature of Notary Public
State of Flo
a _ ._ I MARK BERUNSK!
Print/Type/f lS ni W FF ISM
of Notary PbNl1 lr tfil:@If tidetiee7 P9t8
3