HomeMy WebLinkAbout107 Cedar Heights Ctt, RECEIVED
t CITY OF SANFORD
MAR 16 2016 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 5y
tDocumented-CUnstruction Value: $ /D // J'_ .
fJ U—Xddress: 1617 Cedm- r"hfs ct {Histeric'.Distric't1Yes Noa
Parcel ID: +Residential10 Commercial
Type_of Works New Addition Alteration gp i Demo Change of Use Move
f,Descriptionoof W6r'k--) C-,? lq r l
Plan Review Contact Person: Stephen Barnett
Phone: 407-647-9420 Fax: 407-629-5720
Title: President
Email: permits@carrollbradford.com
Property Owner Information
PPhon'F
Street: 0Wf_ kiqlnb CA tRes_ident_of property?') City,
State Zip'1 d nv,LA, mil_ 3 i'Z I Contractor
Information f,
NameCarroll Bradford, Inc 1P 407-6477-9420 Streets
4776 New Broad Street, Suite 201 =Fax. 407-629-5720 iCit5FZState
Zip) Orlando, FL 32814 (StatF License Ne :l CCC1330656 Architect/
Engineer Information Name:
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. 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
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature-of OWner/Agent iDate, Sign ureo Contractor/Agent Dater
i( ,Prmt'Owner/Agent's_Nam iPrmt Contractor/Agent'smeNa)
Signature of N6 londa Date
JA OM 10W MIL1 Ot1
ft"ft*•ta o01"W*
0omrtr. Eom im & sett
COilatRo N # ff 12M
Owner/Agent is Re
TFoduced'IDI . Typeoof ID;
0 `IZ5-62`/-y,* -y-q-,0
n.IF 913
e Sep 9, 2019
Natlonal Notary Assn.
Contractor/Agent is \/ Personally Known to Me or
FProduced ID1 TTypeof ID1
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:
Revised June 30, 2015 Permit Application
CARROLL BRADFORD, INC.
AGREEMENT SUBJECT TO INSURANCE COMPANY APPROVAL
Customer: U , ST eds;l o Date:
Property Location: 9 U qr Day:
City: ?'in Zip: ?'? Evening:
E-Mail:
ROOF SPECIFICATIONS -Brand: 0-_2f T Style: Afi%I, C_r Color:
Ridge Materia : R / R Valley: Open / Closed Tear-/ 2 Vent oBox / Shingle Over / Aluminum Fel • R / R
Ice & Water Shiel Per Cod Pitch: Sto : 1 / / 3 Walkout: Yes No
Roof Accessories to be replaced new and/or painted to match single color.
Drop Instructions:
SIDING SPECIFICATIONS-- Brand:
Style: Straight W1 Dutch Lap Exposure: 4" 4.5" 5" other:
sided (looking at
Drop Instructions:
GUTTER SPECLKCATIONS - Color:
SpecialXstructions:
TERMS
Style:
from street): Front Left Back Right
Homeowner Initials:
Color:
1. By signing this Agreement, you authorize Carroll Bradford, Inc. to be present during the insurance adjustment and negotlate the settlement with your insurance company.
2. Unless otherwise agreed In writing, your out-of-pocket costs will be limited to your Insurance deductible amount. however, you must promptly pay Carroll Bradford, Inc. all
amounts you receive from your insurance company. If you desire material upgrades or other work done on your property, you will incur additional out-of-pocket expenses.
3. This Agreement is not valid or binding on any party unless and until it is signed by both you and Carroll Bradford, Inc. Once signed by you and Carroll Bradford, Inc., Carroll
Bradford, Inc. will be awarded with the job described above and the scope and price of the work will be set forth in the Insurance adjuster's summary.
4. Your signature below provides your agreement to all the terms and conditions set forth on the front and back of this Agreement. Please carefully read the entire front and back of
this Agreement.
C:Z;9 First Check: S __'
nature (Customer) Date Check/l
2 Balance Due: S
Check#
Merroll Bradford Rep) Date cO
Agreed Price: $ Al,
Plus additional supplements & ermit fees paid by insurance company
Zew Ovf C-ck briSt-S
0
MARYANNE MORSE? SENINOLE C:OUNI-Y
THIS INSTRUMENT PREPAR Y; CLERK OF CIRCUIT COURT & C:OMF'TROL.LEN
Name: C C v prrf BK 864.5 Ps 1869 (1F'3s )
Address: j\ CLERK'S * 2016024542
L ; RECORDED 03/Ci3/2l_i16 0 -" 2:_11° 26 P11
RECORDING FEES $10.00
RECORDED BY hdFr/orra
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: ?;I - /Cl r3 CJ So 2 - 000G - ozz$y
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 of the property and street address if available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
V - 4- - ?W k 10 5 cQ 9rc i r rc f u r s I
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: LU o S i L
Interest in property: Q w A b'-
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name:"CA\ VU I 1 ) 1]
r
Phone Number.
Address: - 1 `V SU \ 7. C `_ La )\\Q , 1 1 `
5. SURETY (If applicable, a copy of the payment bond Is attached): Name:
Amount of Bond:
6. LENDER: Name: Phone Number:
Address
2
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name-
8. In addition, Owner designates
Phone Number.
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)
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.
Signature of Owner or Lessee. or Owner's or Lessee's
Authonzed Officer/Director/Partner/Manager)
State of (. County of (7 ,
The foregoing instrument
w7—cly
cknowledged before me
t
byY L/c'
Name of person making statement
Pnnt Narne and rowde Sig ory's Tdie/OMce)
day of
Who is personally known to me 0 OR
who has produced identification l type of identificatithproduced: %23 `
NMMy Pvft - Mitt of i wIft
Gem. 1"M ive S. nio :>
Npl
J_,,
i`"•
t1t
Coi1twW otl i FF 1211 3 ref• hfi n, 4'db
ilJ '^ s
Ip _LERKOFTr.'C, '
MR O8 20 COMP'rROLLEk i, 4
SEMINOLE CO
ate, of Cl CQ'L
SCPA Parcel View: 22-19-30-502-0000-0280 Page 1 of 2
David Johnson. CFA Property Record Card
7iINCILEOPERTY Parcel: 22-19-30-502-0000-0280
PPRAISER Owner: SANTIAGO MARGARITA TRUSTEE FBO LUIS & MARGARITA SANTIAGO
COUNTY. FLORIDA Property Address: 107 CEDAR HEIGHTS CT SANFORD, FL 32771
Parcel: 22-19-30-502-0000-0280
Property Address: 107 CEDAR HEIGHTS CT
Owner: SANTIAGO MARGARITA TRUSTEE FBO LUIS &
MARGARITA SANTIAGO
Mailing: 107 CEDAR HEIGHTS CT
SANFORD, FL 32771
Subdivision Name: PRESERVE AT LAKE MONROE
Tax District: S3-SANFORD-WATERFRONT REDVDST
Exemptions: 00-HOMESTEAD (2004)
DOR Use Code: 01-SINGLE FAMILY
Legal Description
LOT 28
PRESERVE AT LAKE MONROE
PB 62 PISS 12 - 15
Taxes
Value Summary
2016 Working
Values 1 2015 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 120,225 108,176
Depreciated EXFT Value 3,024 3,125
Land Value (Market) 34,000 30,400
Land Value Ag
st/Market Value
157,249 141,701
Portability AdI
Save Our Homes AdI 32,666 17,984
Amendment 1 AdI
Assessed Value 124,583 123,717
I ! Tax Amount without SOH: $2,062.47
2015 Tax Bill Amount $1,696.47
1 Tax Estimator
Save Our Homes Savings: $366.00It * Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 124,583 50,000 74,583
Schools 124,583 25,000 99,583
City Sanford $124,583 50,000 74,583
SJWM(Saint Johns Water Management) 124,583 50,000 74,583
County Bonds 124,583 50,000 74,583
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 12/1/2007 06882 1368 100 No Improved
WARRANTY DEED 10/1/2003 05074 0562 176,600 Yes Improved
Land
Method Frontage Depth Units Units Price Land Value
LOT 1 I $34,000.00 I $34,000
Building Information
Description
Year Built
Actual/Effective Fixtures Base Area Total SF Living SF Ext Wall AdI Value Repl Value Appendages
1 SINGLE
FAMILY
2003 6 1 1,934 2,379 1,934 CB/STUCCO $120,225
FINISH
126,220
Description Area
GARAGE
420
FINISHED
http://www. scpafl. org/ParcelDetailInfo.aspx?PID=22193 05 0200000280 2/29/2016
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Protess,onal Enameer
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By )0nr W. Knezev:cn. PE Validdbo-. Chockl st - -
lardcopv Recervee Cer-:Cate or
inde0eneet if Kererencec Standdnl one
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Approved for use In HVHZ: INC
Approved for uw outside HVHZ: Yss
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Vestgn Pressure: 414
Other. Refer rc FR S+:-r.n ; 5 tar Limbs 7•
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TRINITY ERD
EVALUATION REPORT 1
GAF - - ----
1 Campus Drive
Parsippany, NJ 07054
EXTERIOR RESEARCH & DESIGN, LLC.
Certificate of Authorization :.9503
353 CHRISTIAN STREET, UNIT #13
t OXFORD, CT 06478
PHONE: (203) 262-9245
FAX. (203) 262-9243
Evaluation Report 01506.03.12-115
FL15487-R5
Date of Issuance: 04/23/2012
Revision 5: 04/02/2015
SCOPE:
This Evaluation Report is issued under Rule 61G20-3 and the applicable rules and regulations governing the use of
construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen,
P.E. for use of the product under the Florida Building'Code and Florida Building Code, Residential Volume. The
products described herein have been evaluated for compliance with the 5`n Edition (2014) Florida Building Code
sections noted herein.
DESCRIPTION: GAF Synthetic Roof Underlayments
LABELING: Labeling shall be in accordance with the- requirements the Accredited Quality Assurance Agency noted
herein.
CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the referenced
Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of
this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product
changes or,the referenced Quality Assurance documentation changes. Trinity) ERD requires a complete review of this
Evaluation Report relative to updated Code requirements with each Code Cycle.
ADVERTISEMENT: The Evaluation Report number preceded by the words "Trinity I ERD Evaluated" may be displayed in
advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety.
INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or
its distributors and shall be available for inspection at the job site at the request of the Building Official.
1 his Evaluation Report consists of pages 1 through 5.
Prepared by:
Robert J.M. Nieminen, P.E.
Florida Registration No 59166, Florida DCA ANE1983
iEII•II„
The sell apoeanry was au:ron:ee Ov Rob— Viem.ncn
P E. on 0u0212015 This does not se•oe as an eiearonic llv s,gnco
S.' — -L_ `• zoc nirnt $r ed. sraled hardeobies have betn Irandln•itted :0 the
PreGu^, ?oMnval Admin ,[ra[w and to'he named CLen[
CERTIFICATION OF INDEPENDENCE:
1. TrinitylERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufac-uring or
distributing products it evaluates.
2. Trinity ERD is not owned, operated or controlled :)y any company manufacturing or distributing products it evaluates.
Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for
which the evaluation reports are being issued.
4 Robert Nieminen, P.E. does not have, nor will acquire, a financial .interest in any other entity involved in the approval process of the
product.
S. This is a building code evaluation. Neither Trinity lERD nor Robert Nieminen, P E. are, in any way, the Designer of Record for any
project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or design guidance unless retained
specifically for that purpose-
i TRINITY ° ERD
ROOFING COMPONENT EVALUATION:
1. SCOPE:
Product Category: Rooting
Sub -Category: Underlayment
Compliance Statement: GAF Synthetic Roof Underlayments, as produced by GAF, have demonstrated compliance wittl the
intent of the following sections of the Florida Building Code through testing in accorcance with the applicable sections of the
following Standards. Compliance is subject to the Installat,on Requirements and Limitations / Conditions of Use set forth herein.
2. STANDARDS:
Section Propi r Standard Year
1507.2 3, :507 5 3,1507 7 3, T1507 8, Unro:l-ng, Breaking Streng:n, Pliability, 4STM D226 2006
S07 8 3, 1S07 9 3, 1507 9.5 Loss or Heating
1:07 2.3. tS07 5 3,1507 7 3, ' S07 9 3, Unrolling, Tea. Strpnbth, Pliahi!ity, _oss AS.M D4R69 2005
1507 9 3 on Heaulg, LICUIC Water Transmission,
Breaking Strength, Dimensional Stability
iSQi a nstallatwnPrac,,ce RSA/TR+Aprn2012(04-121 2011
5 ilJ Acccieratec weathennb A5TM D4798 2004
3. REFERFNCES:
Entity Examination Reference Date
ERD (TS- 60491 Physicai Properties R3360.02.0 r 2-111. 03/13/2007
FRD;TS' 6049) nysicalProperties G12110.12.08 12/02/2008
PRI (TST 58781 Pnysical properties BRY-003-02 01' 03/19/2002
PRI (Ts.5578) iysical oroperves GAF-224-07-01 07/27/2009
PRI (TST 5&i81 Physical aropentes GAF-349-02-07. 07/03/2012
17S.T51 1509) Physical :;rope -ties 300258583COQOtOA
Miami Doee iCFR _592) HVti7 compliance 13-1104 11 33/06/2014
MiamiDade(CER 1502) F-VHZ compliance 14-1022.26 02/05/2015 iCC
ES (EVL2396) IBC/IRC comp'iance ESR-2053 L14/01/2014 ICC-
ES (EVL2396) 18C/IRC compliance ESR-2808 07/01 /7013 ICC-
ES (EVI2396) 19C/IRC compliance ESR-3Z83 06/01/2013 ICC-
ES (EVL2396) iBC/IRC compLance ESR-3286 02/01/2015 UL,
LLC (QUA 96251 Quality Control R 10689, Charleston, SC 02/11/201 S UL.
LLC (QUA 962SI Qualitv Control R10689: North Bay, ON 10/22/201e UL.
LLC (QUA 9625) Quality Control R10689: Hickory, NC 10/28/2014 UL.
LLC (QUA 9625: Quaiity Control R10689; Stockton, CA 11/12/2014 UL.
LLC (QUA 9625, Quality Control R10689; McGregor. TX 02/03/2015 UL.
LLC (QUA 9625 Quality Control R10689; Pryor, OK 02/05/2015 UL.
LLC (QUA 9625' Quality Control R10689, Mission, BC 11/05/2014 4.
PRODUCT DESCRIPTION: 4
1 Deck -Armor" Premium Breathable Roof Deck Protection is a non -woven, spun -bonded polypropylene laminated polyethylene
scrim sheet roof underlayment. 12
RoofPro— SBS-Modified All -Purpose Underlayment is a fiberglass -reinforced, SBS modified bitumen roof under•
ayment. 4.
3 Shingle -Mate" Roof Deck Protection is a fiberglass reinforced, asphaltic roof underlayment. 44
StormSafe" Anchor Sheet is a polypropylene woven fabric which serves as an anchor sheet in two-ply roof underlayment
systems 45
Tiger Paw— Roof Deck Protection is a non -woven, polypropylene reinforced, polymer coated roof underlayment. 4.
6 VersaShieldO Fire -Resistant Roof Deck Protection is a non -asphaltic, fiberglass -based roof underlayment and/or fire barrie,.
5.
LIMITATIONS: 5.
1 This is a building code evaluation Neither Trinity IERD nor Robert Nieminen, P.E. are, in any way. the Designer of Record
for any project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or design
guidance unless retained specifically for that purpose. 5.
2 This Evaluation Report is not for use in the HVHZ. Exterior
Research and Design, LLC. Evaluation Report 01506.03.12.-RS Cerrrfirore
oJAuthoritorron 09503 FUS487-RS Revision
5: 04/02/2015 Page
2 of 5
TRINFrY ERD
5.3 Fire Classification is not part of this Evaluation Report, refer to current Approved Roofing Materials Directory or testrepotfromaccrPd,ted testing agency for fire ratings of this product.
GAF Synthetic Roof Underlayments may be used with any prepared roof cover where the product is specificallyreferencedwithinFBCapprovaldocuments. If not listed, a request may be made to the AHJ for approval based on this
evaluation combined with supporting data for the prepared roof covering
55 Allowable roof covers applied atop GAF Synthetic Roof Underlayments are follows.
Asphalt j I Slate orUnderlaymentNail -On Tile Foam -On Tile Metal wood Shakes
Shingles (
i & Shingles Simulated
Dock -Armor"' Premium----
tBreathableRoofDeaYes "Jo No Contact MfgP-otecLon Contact Mill; Contact MfgIi
i
RoofP-o'" SBS-Mo diec i —T T-
All Pumose Underlayment Yes ' No No No Yes ! Yes lI
Shingle -Mate`- Roo` Deck
protection Ye' NO No I No No
leer Paw' Roof Oeck i
Protect -on Yes No I no Contact Mrg. Contact Mtg Contact Mts
dersaShield" Fire -—
Resistant Root D•rcK yes No I No Yes YesioteRon _— f
Yes
5.6 Exposure Limitations.
56 1 Deck -Armor" Premium Breathable Roof Deck Protection; RowPro"" SBS-Modified All -Purpose Underlayment, Sningle-
Mate" Roof Deck Protection; Storm -Safe— Anchor Sheet: Tiger Paw'- Roof Deck Protection shall not be left exposed for
longer than 30-days after installation.
5.6.2 versaShield" Fire -Resistant Roof Deck Protection shall not be left exposed for longer than 180-days after installation.
6. INSTALLATION:
6.i GAF Synthetic Roof Underlayments shall be installed in accordance with GAF published installation instructions subject
to the Limitations set forth in Section 5 herein and the specifics noted below.
62 Re fasten any loose decking panels, and check for protruding nail heads. Sweep the substrate thoroughly to removeanydustanddebrispriortoapplication.
6.3 Deck.Armor— Premium Breathable Roof Deck Protection:
6.3.i Install Deck -Armor'" Premium Breathable Roof Deck Protection in compliance with manufacturer's published
installation instructions and the requirements for A_STM D226, Type I and If underlayments in FBC Sections 1507 forthetypeofpreparedroofcoveringtobeinstalled.
6 3-2 Fasteners shall be 1-inch diameter plastic -capped corrosion resistant nails or 1-inch diameter plastic -capped, corrosionesistar.t staples.
6 3.3 Optional, or if required by the Authority Having Jurisdiction. Install a leak barrier of Liberty— SBS Self -AdheringBase/Ply Sheet; StormGuar& Film Surfaced Leak Barrier; UnderRoof- 2 Polyester -Surfaced Leak Barrier, UnderRoof-
HT High Temperature Leak Barrier; WeatherWatcha Mineral Surfaced Leak Barrier or WeatherWatchm XT Mat
Surfaced Leak Barrier at vulnerable leak areas, including but not limited to eaves, valleys, rakes, skylights and dormers.
At eaves, and valleys, install the leak barrier prior to installation of the underlayment. Along the rake, install the
underlayment, leaving 6 to 8-inch of the deck exposed, and then install the leak barrier over the underlayment and
exposed decking. At other areas, install the leak barrier over the underlayment.
6.3 1 For non -tile roof installations:
6.3.4-1 Standard Installation with Single Layer; roof slope > 4:12
Starting dt the eave, fasten the eave edge and 6-inch wide end -laps 6-inch o.c. Fasten in the field of the roll 12-inch
O.C. in two. equally Spaced, staggered center rows.
Exterior Research and Design, LLC.
Evaluation Report 01506.03.12-RSCertificateofAuthorization #9503
FL154S7-R5
Revision 5: 04/02/2015
PaEe 3 of 5
TRIN11Y ERD
Continue upslope in a similar manner, maintaining minimum 3-inch side -laps and minimum 6-inch end -laps. Fasten 6
inch o.c in the laps and 12-inch o.c. in two, equally spaced, staggered center rows in the field. Ensure all end laps are
staggered at ledst 3-feet apart.
6 3.4.2. Standard Installation with Double Layer; 2:12 < roof slope < 4:12
Starting at the eave. fasten the cave Pdge and 6-inch wide end -laps 6-inch o.c Fasten in the field of the roll 12-inch
o.c. in two, equally spaced, staggered center rows.
Continue upslope in a similar manner, with minimum 28.5 inch side -laps and minimum 6-inch end -laps Fasten 6-incn
o.c. along the low edge and end Paps and 12-inch o c. in two. equally spaced, staggered center rows in the field.
Ensure all end laps are staggered at least 3-feet apart.
6.4 Ti egrPaw'" Roof Deck Protection:
64 1 Install Titer Paw" Roof Deck Protection in compliance with manufacturer's published installation instructions and ,.Ie
requirements for AS-M D226, Type I and 11 underlayments in FBC Sections 1507 for the type of prepared ruof covering
to be mstaHea.
r
b -1 2 Fasteners shall be 1-inch diameter plastic -capped corrosion resistant nails or 1-inch diameter plastic -capped, corrosion
esistant staples.
6.43 Optional, or if required by the Authority Having Jurisdiction. Install a leak barrier of Liberty" SBS Self -Adhering
Base/Ply Sheet: StormGuard' Fitm Surfaced Leak Barrier-; UnderRoof`" 2 Polyester -Su rfacea Leak Barrier; UnderRoof"
HT High Temperature Leak Barrier; WeatherWatch` Mineral Surfaced Leak Barrier or WeatherWatch° XT Mat
Surfaced Leak Barrie, at vulnerable leak areas, including but not limited to eaves, valleys, rakes, skylights and dormers.
At raves and vallevs. install the leak barrier prioi to installation of the unaertayment. Along the rake. install the
underlayment. leaving 6 to 8-inch of the deck exposed, and then install the leak barrier over the underlayment and
exposer decking. At other areas, install the leak barrier over the underlayment.
64.4 For non -tile roof installations.
6.4.4 1 Standard Installation with Single Layer; roof slope > 4:12
Starting at the eave. fasten the eave edge and 6-inch wide end -laps 6-inch o c.. Fasten in the field of the roll 12-inch
o.c. in two, equally spaced, staggered center rows.
Continue upslope in a similar manner, maintaining minimum 3-inch side -laps and minimum 6-inch end -laps Fasten f-
inch o.c, in the laps and 12-inch o.c. in two, equally spaced, staggered center rows in the field. Fnsure all end laps are
staggered at least 3-feet apart.
6.4.4.2 Standard Installation with Double Layer; 2:12 < roof slope < 4:12
Starting at the eave. fasten the eave edge and 6-inch wide end -laps 6-inch o.c. Fasten in the field of the roll 12-inch
o.c. in two, equally spaced, staggered center rows.
Continue upslope in a similar manner, with minimum 22.5-inch side -laps and minimum 6-inch end -laps. Fasten 6-inch
o.c. along the low edge and end laps and 12-inch o.c. in two, equally spaced, staggered center rows in the field.
Ensure all end laps are staggered at least 3-feet apart.
6.5 StormSafe— Anchor Sheet:
6.5 1 StormSafe— Anchor Sheet is limiter to use as a mechanically attached base layer in 2-ply underlayment systems.
6.5.2 Fasteners shall be 1-inch diameter plastic- or steel -capped corrosion resistant nails; corrosion -resistant nails & 1-5/8-
inch tin -caps; or Drill-Tec screws and plates.
t,.5.3 For tale roof installations.
Installation is governed by the FRSA/TRI April 2012 104-12) Installation Manual, 5th Edition (Revised). Use ;s limited to
the mechanically attached base sheet in the two-ply system beneath UnderRoof'" 2 Polyester -Surfaced Leak Barrier.
The attachment requirements for StormSafe`" Anchor Sheet shall be adjusted from those in Appendix A. Table 1 of
FRSA/TRI April 2012 (04-12), S'° Edition (Revised) to be proportionate to the width of the StormSafe-" Anchor Sheet
product
6.5.4 For non -tile roof installations:
Starting at the eave, fasten the eave edge and 6-inch wide end -laps 6-inch o.c. Fasten in the field of the roll 12-inch
o.c. in -,we, equally spaced, staggered center rows.
Exterior Research and Design, LLC. Evaluation Report 01S06.03.12-R5
certificate of Authorization p4503
FL15487-RS
Revision 5: 04/0Z/2015
Page 4 of 5
J TRINITY ERD
Continue upslope in a similar manner, maintaining minimum 3-inch side -laps and minimum 6-inch end -laps. Fasten 6-
inch o.c in the laps and 12-Inch o.c. in two, equally spaced, staggered center rows in the field. Ensure all end laps are
staggered at least 3-feet apart
One the same day, install Liberty-" SBS Self -Adhering Base/Ply; StormGuard" Film Surfaced Leak Barrier: UnoerRoof'" 2
Polyester -Surfaced Leak Barrier: UnderRoof— HT High Temperature Leak Barrier; WeatherWatch'' Mineral Surfaced
Leak Barrier or WeatherWatch" KI ,Mat Surfaced Leak Barrier over the StormSafe"i Anchor Sheet.
6.6 RoofPro— SBS-Modified All -Purpose Underlayment and Shingle -Mate' Roof Deck Protection:
6.6.1 Install RoofPro" and Shingle -Mate' in compliance with manufacturer's published Installation Instrucnens and the
requirements for ASTM D226, Type 1 and II underlayments in FBC Sections 1507 for the type of prepared roof covering
to be installed. A double layer is required for 2:12 < roof slope < 4:12. No hammer tacks or staples are permitted.
6.62 Jptiona:, or if required by the Authority Having Jurisdiction: Install a leak barner of Liberty'" SBS Self -Adhering
Rase/Ply Sheet: StormGuar& Film Surfaced Leak Barrier; UnderRoof'" 2 Polyester -Surfaced Leak Barrier; JnderRoof'-
HT High Temperature Leak Barrier; WeatherWatch'' Mineral Surfaced Leak Barrier or WeatherWatch" XT Mat
surfaced I eak Barrier at vulnerable ,eak areas, including but not limited to eaves, valleys, rakes, skylights and dormers.
At Naves and valleys, install the leak barrier prior to installation of the underlayment. Along the rake, install the
underlayment. leaving 6 to 8-inch of the deck exposed, and then install the leak barrier over the underlayment and
exposed decking. At other areas, install the leak barrier over the inderlayment
6.7 VersaShield' Fire -Resistant Roof Deck Protection:
6.7.1 Install VersaShield" '-ire Resistant Roof Deck Protection in compliance with manufacturer's published installation
instructions and the requirements for ASTM D226. Type I and II or ASTM D4869 underlayments in FBC Sections 1507
I or the type of prepared roof covering to be installed. A double layer is required for 2:12 < roof slope < 4:12 No
hammer tacks or staples are permitted
6 7 2 Optional, or if required by the Authority Having Jurisdiction. Install a leak barrier of Liberty"' SBS Self -Adhering
Base/Ply Sheet, Storrr.Guard' Film Surfaced Leak Barrier; UnderRoof" 2 Polyester -Surfaced Leak Barrier; UnderRoof—
HT High lemperature Leak Barrier; WeatherWatch" Mineral Surfaced Leak Barrier or WeatherWatch9 XT Mat
Surfaced Leak Barrier at vulnerable leak areas, including but not limited to eaves, valleys, rakes, skylights and dormers.
At eaves and valleys, install the leak barrier prior to installation of the underlayment. Along the rake, install the
underlayment, leaving 6 to 8-inch of the deck exposed, and then install the leak barrier over the underlayment and
exposed decking. At other areas, install the leak barrier over the underlayment.
7. BUILDING PERMR REQUIREMENTS:
As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product.
8. MANUFACTURING PLANTS:
Contact the manufacturer or the named QA entity for information on plants covered under Rule 61G20-3 QA requirements.
9. QUALITY ASSURANCE ENTITY:
UL. LLC.-QUA9625, (847) 664-3281
END OF EVALUATION REPORT -
Exterior Research and Design, LLC. Evaluation Report 01506.03.12-RS
Certificate of Authorization M9503 FL15487-PS
Revision 5: 04/02/2015
Page S of S
TRINITY : ERD
EVALUATION REPORT
GAF
1 Campus Drive
Parsippany, N1 07054
SCOPE:
This Evaluation Report is issued
EXTERIOR RESEARCH & DESIGN, L LC
Ceruflcate of Authonzcdon #9503
353 CFIRISTIAN STREET, UNFT ##13
OXFORD, CT 06478
PHONE: (203) 262-9245
FAX- (203)262-9243
Evaluation Report 01506.01.08-1118
FL10124-11116
Date of tssuance: 01/03/2008
Revision 18: 08/24/2015
under Rule 61G20-3 and the applicabie rules and regulations governing the use of
construction materiais in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen,
P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Voiume. The
products described herein have been evaluated for compliance with the 5t' Edition (2014) Florida Building Code
sections noted herein.
DESCRIPTION: GAF Asphalt Roof Shingles
LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted
herein. is valid until such time as the named product(s) changes, the referencedCONTINUEDCOMPLIANCE: This Evaluation ReportQualityAssurancedocumentationchanges, or provisions of the Code that relate to the product change. Acceptance ofthisEvaluationReportbythenamedclientconstitutesagreementtonotifyRobertNierrrnen, P.E. if the productchangesorthereferencedQualityAssurancedocumentationchanges. Trinity) ERD requires a complete review of this
Fvaluation Report relative to updated Code requirements with each Code Cycle.
ADyQITMUAf3YT: The Evaluation Report number preceded by the words 'Trinity j ERD Evaluated" may be displayed inadvertisingliterature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety.
INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer oritsdistributorsandshallbeavailableforinspectionatthejobsiteattherequestoftheBuildingOfficial.
This Evaluation Report consists of pages 1 through 6.
rPreb • red
tiplG!!by '
S s:
n,c i arnae sd :va wV s aAfwkee w aaeurt nMrrw+.n.
Robert J.M. Nieminen, P.E.
F•.
PF ,,,aasrpu„nc easo:RdryNpnm
rlorida Registration No 59166, Florida DCA ANE1993
r:••
Proems aaorwA Adn**gmawr and W the ,,,rbed d«R
CEAnFICATloN OF INDEPENDENLE: o acquire or will it acquire, a financial irrerest in any company manufacturing or
1 TrinitylERD does not have, nor does it intend t
distributing products it evaluates.
Trinityl ERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates.
3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing of drstnbubng products for
which the evaluation reports are being issued. uire, a financial interest in any other entity involved in the approval process of theRobertNieminen, P.E. does not have, nor will acq
product. the Designer of Record for any
3. This is a building code evaluation. Neither Trinity ERD nor Robert Nieminen, P.E. are, in any way,
guidance unless retainedprotectonwhichthisEvaluationReport, or previous versions thereof, is/was used for permitting or design
specifically for that purpose.
ROOFING SYsTEelts EVALUATION:
1.
2.
TREATY ERD
SCOPE:
Product Category: Roofing
Sub -Category: Asphalt Shingles
Compliance Statement: GAF Asphalt Roof Shingles, as produced oy GAF, have demonstrated compliance with the
following sections of the Florida Building Code and Florida Building Code, Residential Volume through testing In
accordance with the following Standards. Compliance is subject to the installation Requirements and Limitations /
Conditions of Use set forth herein.
STANDARDS:
Section I
1507.2.5. R905.2.4
1507.2.7.1, R905.2.6.1
1507.2.7.1. R905.2.6 1
1507.2.7.11 R905.2.6.1
3. REFERENCES:
Entr t
GAF(PDM 1915)
PR1,`T5T 5878)
PRI;T5T 5878)
PRI(T5T 5878)
UL (TST 1740)
UL(TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL RST 1740)
UL (TST 1740)
UL (175T 1740)
UL W 1740)
IJL (TSr 1740)
UL (TST 1740)
UL (TST 17d0)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL(T5T 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (TST 1740)
UL (T5T 1740)
UL (TST 1740)
UL (TST 1740)
Pro
Physical Properties
Wind Resistance
Wind Resistance
Wind Resistance
Exterior Research and Design, LLC.
Cerofcate ofAuthorization #9503 Examination
Letter
of Equivalency ASTM
D3462 ASTM
D3462 Wind
Driven Rain ASTM
D3462 ASTM
03462 AS
107 ASTM
D3462 ASTM
D3161, TAS 107 ASTM
D3161 ASTM
D3462 ASTM
D3161, TAS 107 ASTM
D3161, TAS 107 ASTM
D3161 ASTM
03462 ASTM
D3462 ASTM
D3161 ASTM
D3161 ASTM
D3462 ASTM
D3161 A5TM
D3462 ASTM
D3161 ASTM
D3161, D3462 ASTM
D3161, D3462 ASTM
D3161, D3462 ASTM
D3462 ASTM
D3161, D3462 ASTM
D3161 ASTM
D3161 ASTM
D3161 ASTM
D3161, D3462 ASTM
D3161, D7158, D3462 ASTM
D3161, D3462 ASTM
D3161. D3462 ASTM
D3161, D3462 ASTM
D3161, D71S8, D3462 Standard
ASTM
D3462 ASTM
D3161 ASTM
D7158 TAS
107 Reference
seat -
A -Ridge Impact Resistant IR GAF-
059-02-01 GAF-
080-02-01 GAF-
407-02-01 93NK6295
99NK43835
94NK9632
01NIK06632
OINK9226
O1Nt37122
0JNK37172
OZNK12980
02NK30871
03CA5367
03NK26444
04NK13850
34NK13850
04N{
30546 04NK22009
04NK22009
05NK27924
OSNK27924
06CA18077
06CAIS074
06CA3S2S1
06CA31603
06CA41095
07NK05228
06CA31611
06CA61148
07CA31742
08CA06100
07CA55908
09CA10592
09GA06856
09NK06647
Year
2009
2009
2008
1995
Date
O1/
13/2012 09/
02/2004 05/
25/2005 01/
21/2013 11/
29/1993 01/
12/2000 03,
129/2000 02/
02/2001 OS/
21/2001 12/
18/2001 12/
19/2001 04/
10/2002 09/
09/2002 03/
11/2003 10/
17/2003 06/
07/2004 06/
23/2004 03/
10/2005 05/
06/2005 05/
09/2005 02/
10/2006 02/
11/2006 06/
05/2006 06/
16/2006 10/
18/2006 12/
01/2006 12/
27/2006 03/
13/2007 04/
04/2007 04/
09/2007 11/
08/2007 03/
13/2008 04/
01/2008 03/
26/2009 05/
15/2009 08/
01/2009 Evaluation
Report 01506.0148-R18 FL10124-
R16 Revision
18: 08/24/2015 Page
2 of6
4.
TRNTY;ERQ
Entice
Examination Reference Date
08/27/2009
UL (TST 1740} 4STM D3161, D7158, D3462 09CA27281
03/05;2010
UL;TST 1740) 45TM D3161, D7158, D3462 iOCA35554
05/15/2010
UL iTST 1740) ASTM D3161, 7158, D346J_ 1 00072 05/27/2010
ULITST 1740) ASTM D346Z 10CA4 lOCA11953
195310/
29/2010 UL;
TST 1740} ASTM D3462 ASTM
D3161, 07158. D3462 lONIC11951 10/30/2010 UL
ITST 1740) UL (
TST 1740) ASTM D3161, D7158. D3462 ONK12070 11/04/2010 UL(
TST 1740) ASTM D3161.D7158,D3462 08CA06100 JOCA53934
03/30/
010 31/
Z011 UL (
TST 1740) AzTM D3161, D7158, D34662 10/22/2011 UL (
TST 1740) ASTM D3161, D7158, D3462 11CA48924 12/
03/2011 UL(
TST 1740) ASTM D3161, C7158, D3462 11CA47919 12/
08/Z011 UL (
TST 1740) ASTM D3161, D7158, D3462 11CA48408 2/
091 201 UL (TST
1740) 4STM D3161, D7158, D3462 11CA48725 id/1/
201 UL. LLC. (
TST 9628) ASTM D3462 1ZtA34891 02/15/
2013 UL, LLC. (
TST 9628) ASTM D3161, D7158, D3462 IZCA58151 32/26/
2013 UL. LLC.
l T ST9628) ASTM D3161 12CA38083 061 18/
201313CA37934 L!LLLC. ITSi 9628) ASTIVI D3161 13CA32332 08/02/
2013 UL LLC. (
TST 9628) ASTM D3161 3786875o7S 07/
17/
2015 UL, LLC. ;
TST 9628) ASTM D3161, D7158, D3462 Inspecticn Report,
R21, Mobile, AL 06/19/2015 UL, LLC. (
QUA 9625) Quality Control Quality Control
Inspection Report R21. Myerstown, PA 07/21/2015 UL. LLC. (
QUA 9625) Quality Control
Inspection Report, R21, Tuscaloosa, AL 06/26/2015 UL, LLC. (QUA
9625) duality Control IN
Inspection Report,
R21, Michigan CMInspection 05/14/2015
UL. LLC. (QUA
9625) Quality Control Report,
R21, Shafter, CA 07/16J2015 UL LLC. (QUA
9625) Inspection Report, R21, Savannah, GA 06J24/2015 UL, LLC- (QUA
9625) Quality Control Inspection Report, R21, Minneapolis, MN 07/14/2015 UL LLC (QUA
9625) Quality Control Inspection Report. R21, Mt Vernon, IN 07/10/2015 UL, LLC. (QUA
9625) Quality Control Inspection Report, R21, Baltimore, MD 07/21/2015 UL LLC (QUA
9625) Quality Control Inspection Report, R21,
Tampa, FL 06/26/2015 UL, LLC. (QUA
962S) Quality Control Inspection Report. R21, Dallas, TX 07/Z5/2015 UL I.I.
C.(QUA 9625) Quality Control Inspection Report, R21, Ennis, TX 07/09/2015 UL LLC (QUA
9625) Quality Control Inspection Report, R21, Fontana, CA 07/16/2OL5 UL LLC. (QUA
9625) Quality Control PRODUCT DESCRIPTION: 4.
1 Asphalt
Shingles: WeatherMax', Royal Sovereign'
and SentineVi are a fiberglass reinforced 3-tab asphalt roof 4.1.1
Marquis" shingles. 4.:.2
Camelot"',
Camelot° I1, Country Mansion6 II, Glenwood"', Grand CanyonO, Grand Sequoia"', Grand Sequoia,, T-imberlinem Natural
Timberline American Harvest",
Timberline"' ArmorShield' II, IR, Monaco', Sienna
Shadow', Timberline HD*,
Timberline° Cool Series, Timberline Ultra HD' and Woodlands are fiberglass reinforced, laminated asphalt
roof shingles- 4. 1. 3
SlatelineiO is a fiberglass reinforced 5-tab asphalt roof shingle. 4.2 Hip &
Ridge Shingles: Seal-A-Ridge°
i IR Impact -Resistant Ridge Cap Shingles and Timbertex" 4.2.1Seal -A -Ridge,, Ridge Cap Shingles, hip and ridge
asphalt roof shingles. Premium Ridge CapShinglesarefiberglassreinforced, 4.3 Starter
r Strips: ShinglesandWeatherBlocker'
Premium Eave/Rake Starter Strip are starter strips 4.3.1
Pro -Start" Starter Strip for asphalt roof
shingles. E)aerior Research
and Design, LLC. CtrOfreffe of Aritlwraotran
99503 Evaluation Report 01_%&
0L0S-R18 FL10124-R16 Revision
1S:08/
241201S Page 3 of
6
Gmail - [FWD: Int'1 Roofing Expo: Expo Registration Confirmation] Page 2 of 2
r
DIT REGIISTRA11ON
e(
i
qmake dajlls 0 urSrhA str-a6on record, use one of the following options.
6.44 Installation of Seall-
eAs-RRida a Ridge Cap Shingles and Seat -A -Ridge IR Impact -Resistant Ridge Cap Shingles shall
2. MakQ c h5 %11s fbtiili€544 4 ItlfbcurTen epiibt&Wed"in ttngcfadKsst bi a minimum two (2) nails, minimum 3/8
inch head diameter, per shingle and nominal 0.25-inch diameter beads of Henkel "Loctite PL S30 Roof &
NOTE: If a0liVffffflgt @dec1 and complete, no further action is required.
125 nmml (25 rr'nI-n3u—defar c Ei' As a reminder, badges ge`s maybe pr%, %d up at the Attendee Already Registered
counter in the Registratio = a entin Center. You
MUST check in first t tF '
II
be allowed in the classroom. Each
attendee will receive nt badges will incur a $45 fee; photo ID is required. There is no charge
for address i;" ` entials are returned at the time of change. 12'
6
CIO— i3o,
Tti 1 h:
2V. l'.
IaYG With
the incredible Fuzz grounding the 2016 IRE, hotel roo s Ire going fast; book your hotel now by For
help with reservations or if you have gWstions about our hotel program, contact us at or (
305 rgsn) er
s current EL
I PUDlisnedshingle
and Cancellatid
dR SsPf M1F.iR Q3h c sti7i Fk l Y fi€ i Q l (c IP4t%is U WAaig"9gs.Nng Sealant. administration
fee. No refunds will be is§ygd after February 3; this includes all conference passes, NRCA events, Keynote and
the Welcome Party. Vxpo n y aftkeieh Is non re ablgl Settu*
re i25
Substitutions
may be registrant.
HOW
POLICIES Cell
phone, still for vic seminars.
II Solicitation
of busine matter
veN;W6t(51y right
to receive ny rc OBILE
APP RMtograpny
on me snow noor Is Cam:
by
anyone who is not an official sl Id
any individual who violates this nd
of fees. owever
the request must be in writing by the original No
cell phones or pagers may be used during s{
3
is rr=F exhibitor
is strictly prohibited. Show Management takes this willlbe
asked to leave the show venue immediately without the Download
the free IRE mobile app NOW Available for iPhone, iPad, Android and BlackBerry. Search IRE for exclusive access
to the show. (3C6 Imm published
requirements, but not less than FBC UESTI
If
any of the information printed above is incorrect, please contact Customer Service at - or Stay
connected to the IRE: Exterior
Research and Design, LLG Cerbikute
of Authoraa0orr #9503 Evaluation
Report 015D6A1.08-RIS FL1D124-
R16 Revision
IS: 08/24/2015 Page
5 of 6 https://
mail.google.com/mail/u/0/?ui=2&ik=fl3ddbfl 75&view=pt&search=... 2/17/2016
tir TRh\jTY; ERD
7. LABELING:
7.1 Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted
herein.
7.2 Asphalt sningle wrappers shall indicate compiiance with one of the required classifications detailed in cBC
Table 1507.2.7.1 / R905.2.6.1.
8. BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or Authority Having lurisdi~ion in order to properly evaluate the installation of
this product
9. MANUFACTURING PLANTS:
Contact the named QA entity for information on which plants produce products covered by Flonda Rule 61G20-3 QA
requirements.
10. QUALITY AssuRANCE ENTITY:
UL LLC — QUA9625; (847) 664-3281
END OF EVALUATION REPORT -
Exterior Research and Design, !1C- Evaluation Report 01506AL08-R18
Ceroficote of Aadwraetron #9503 FL10124-1116
Revision 18: 09/24/2015
Page 6of6
X SEMINOLE COUNTY MULTI -JURISDICTIONAL
I LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 11 /02/2015
I hereby name and appoint:
Cooper Perdue
an agent of: Carroll Bradford, Inc.
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this
appointment for (check only one option):
All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney: 1 1 /02/2016
License Holder Name:
Jonathan D Menke
State License Number:
CCC133N56_ 4
Signature of License Holder: 7
STATE OF FLORIDA
COUNTY OF Sj
The foregoing instrument was acknowledged before me this day of Q M'
20_, by whowho is X personally known to me or
who has produced as identification
Print or type Notary name
Notary Public- State ofI R D
Commission No.-
My Commission Expires: C9
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: Ae 854
I, r o hereby acknowledge that I personally inspected
VRoof deck nailing and/or Secondary water barrier work
r
at Ceo4v- 4p p, h +5 5aVW0q1 1L and have determined that the work
Job Site Addressy
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
performa of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section S'37.06 F.S I
Printed Name of Contractor
Date
CC(-' 13f)0 (p 3-(0
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 C Vl = --
Sworn to (or affirmed) and subscribed bef me this day of t<WPCH , 20 , by
o is 1CPersonally Known to me or has Produced (type of
identificatioii) as identification.
rCof No
Florida
Print/Type/Stamp Name
of Notary Public "
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