HomeMy WebLinkAbout700 N Driftwood Lnti1N .1!',1879
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: k 919
Documented Construction Value: S S &Od •°
0
Job Address: :L-OD Za Historic District: Yes No
Parcel ID: 1 i p 3 d 5 tt >V OOOp 6 aSC- ResidentialEr Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: 3 SGS _
b Id
h , -
aJ; eCf
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name T 9 r r n Phone: 3 -2
Street: _20 () Yv L,.10 o C( r•p Resident of property? :
City, State Zip: 5 elti F>Y-cl , FL 3)L7 -?3
Contractor Information
rNameRo6Qi , ,-, Phone: 402"123--75_7_D
Street: 22 3 F - 5'. r Fax:
City, State Zip: (S r p.y-(4_r.) ,, j—L 3 y State License No.: CGc 13--s'-C n
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 YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. 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 OFCOMMENCEMENT.
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 constructioninthisjurisdiction. 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
1.
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.
ip 10
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
accoraance 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.
6
Signa a of Notary -State of Florida Date
Signature of Contractor/Agent Date
PrinttCCon tractor/Agent's Name
Date
NOTARY PUBLIC
CYNTHIA B. WATERS W110": STATE OF FLORIDA
NOTARY PUBLIC Comm# FF040339
STATE OF FLORIDA Expires 8/3/2017Comm# FFIS3194
Owner/Agen 4@kWy2yW1hvn to Me or Contractor/Agent is 1< Personally Known to Me orProducedIDTypeofIDProducedIDTypeofID
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 # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015
Permit Application
e o eeee a ,•
Parcel r.
11-20-30-5AWOMO-025C °
200 DRIFTWOOD LN t
j
r
BOLLINGER JIM
1115-QUINTUPLET DR CASSELBERRY, FL 32707 - 3510^
DOR: 0802-MULTI FAMILY 2 UNITS ' ,
Legal: BEG 808.54 FT S 11 DEG E + 33.13 FT S 73
DEG 54 MIN 49 SEC W OF NE COR LOT 25 RUN S Y,
73 DEG 55 MIN W 104.36 FT S 11 DEG E104.36FT
x ''
N 73 DEG 55 MIN E 104.36 FT N 11 DEG W104.36
FT TO BEG LAKE MINNIE ESTATES PB 6 PG 92
Year Built: 1962 _ M
Tax District: S1-SANFORD
Subdivision: LAKE MINNIE ESTATESx
Facility:
Last Sale: C&k00 $67,000 WARRANTY DEED Book/Page: 03824/1208
Qualified: Yes(03) >
Sales for 11-20-30-5AN-0000-025C
Click to View More 'r
Total Just Value: $62,329.00
Value Summary >
Click for Details
Tax Bill Amount: $1,184
Tax Summary >
SOH Savings: $0 ,
vYear Built: 1962
Residential Building Summary > `
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Category / Subcategory Manufacturer Product
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Florida Approval #
includingdecimal
3. Panel Walls ,
Siding
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E.P.S Composite
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4. Roofing Products
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CQrkr,,- nee
Tot,,^ v
c, 4 -12
L ,
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Wood Shakes and
Shingles
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e r : e F 1 r• asti C F L- 5 3 3- R 1
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adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Permit #
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Project Location Address tOy N . Or:.P+,)o c cA 1..m
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.floridabuildin-.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product Florida Approval #
1. Exterior Doors
Description include decimal
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
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Fixed
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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
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Wall
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8. New Exterior
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June 2014
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Code Version 2014 FL# ALL
Application Type ALL Product Manufacturer Southeastern Metals Mfg. Co.
Category ALL Subcategory ALL
Application Status ALL Compliance Method ALL
Quality Assurance Entity ALL Quality Assurance Entity Contract Expired ALL
Product Model, Number or Name ALL Product Description ALL
Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
Impact Resistant ALL Design Pressure ALL
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FL16994-
Cn h Dnaulrc _ e.,.,rr..•r......
Southeastern Metals Mfg. Co. BowdenLocke Approved
FL# ' Tvoe Manufacturer o' Validated By
I
Status
FL11175- Revision Southeastern Metals Mfg. Co. Locke Bowden ApprovedR2Category: Roofing 13341 300-1800
History Subcategory: Metal Roofing
FL15961- Revision Southeastern Metals Mfg. Co. Zachary R. Priest, ApprovedfuCategory: Roofing P E
History Subcategory: Products Introduced as a Result of New Technology 1813) 480-3421
FL16994- Revision Southeastern Metals Mfg. Co. BowdenLocke ApprovedMCategory: Roofing 334) 00
History Subcategory: Roofing Accessories that are an Integral Part of the
Roofing System
FL17818 New Southeastern Metals Mfg. Co. Locke Bowden Approved
Category: Roofing 13341 300-1800
Subcategory: Roofing Accessories that are an Integral Part of the
Roofing System
FL17955 New Southeastern Metals Mfg. Co. Locke Bowden Approved
Category: Roofing 334) 300-1800
Subcategory: Metal Roofing
tADnrnveA by nRPa e,.nr,,,.i
Contact IJq :: 1940 North Monroe qt=t. Tallahassee FI 12399 Phone: 85n-487-1824
The State of Florida Is an AA/EEO employer. Soovrlaht 2007-2013 State of Florida :: Prlvacv Statement :: Accesslbllity 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
mall to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850.487.1395. -Pursuant to Section
455.275(1), Florida Statutes, effective October 1, 2012, licensees Ilcensed under Chapter 455, F.S. must provide the Department with an email address If they haveone. The emalls provided may be used for official communication with the licensee. However emall addresses are public record. If you do not wish to supply a personal
address, please provide the Department with an emall 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:
Chea] RM
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http://www.floridabuilding.org/pr/pr_app_Ist.aspx
3/23/16, 9:40 PM
Page 1 of 1
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Weather Ve--nt
MMSEMETALS.COM 800-874-0335
EASY TO INS1TALL
PATENTED TRIPLE BAFFLE
Cut Opening see chart detail
PATENT 7,044,852
FL15961.2
SbhM
RESULTS
The Weather Vent'"" should always be installed in combi-
nation with a balanced soffit vent system.Vent should be
installed on one side of the ridge of an open attic. Note: If
adding vent to existing roof, remove tiles in that area that
the vent is to be located.
With a circular saw cut opening in the roof sheathing.
Locate the top of the opening minimum of 6" off the roof
edge.
For shingle vent applications install vent at the center of
the roof length. Multiple vents should be evenly spaced
along the roof length.
Place Vent
Apply a bead of roofing cement around entire perimeter
where flange will fall. Position the vent over the opening in
the roof sheathing. Make sure the vent covers the
opening completely without interferring with airflow and is
lined up with the last course of shingles.
Seal
Attach the vent with #9 x min. 1.5 -inch HWH screws with
0.5 -inch sealing washers or min. 12 ga. x 1 -1/4 -inch ring
shake nails with min. 3/8 -inch diameter heads having suffi
cient lenfth to penetrate through the sheathing a minimum
of 3/8 -inch. The fasteners shall be located 1 -inch from the
edge of the flange and 5.5 -inches o.c. along all four sides
of the vent. When nails are used to attach the vent, all
penetrations through the vent flange shall be sealed using
ASTM D 4586 or ASTM D 3409, Type 1 roofing cement.
sEMecy A GIBRALTAR INDLSMES COMPANY /12%, svurHusreiry gyrus
SIZE Cut Net Free
Opening Area
2' 18'X2112 45 Sq. In.
4' 42"X2112 105 Sq. In.
6' 66"X21/2 165 So. In
8' 19052112 225 So. In
M IMI®DiADE MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
11805 SW 26 Street, Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.Qov/economv
Southeastern Metals Manufacturing Company, Inc
11801 Industry Drive
Jacksonville, FL 32218
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County RER -Product Control Section to be
used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section
In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this
product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted
manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or
suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,
if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the
requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code
including the High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Weather Vent
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following
statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change
in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,
for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section
of this NOA shall be cause for termination and removal of NOA. '
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done
in its entirety.
INSPECTION: A copy of this entire NOA 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.
This NOA renews and revises NOA No. 08-0423.01 consists of pages 1 through 3.
The submitted documentation was reviewed by Juan E. Collao, R.A.
MIAMI•DADE COUNTY NOA No.: 13-0814.08
Expiration Date: 04/15/19
Approval Date: 01/23/14
Page 1 of 3
ROOFING ASSEMBLY APPROVAL
Category: ' . Roofing
Sub -Category: Ventilation
Material: Steel
Minimum Slope: 2:12
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
Manufactured by
Applicant
Weather Vent
Dimensions
Vent: 4-'/2" x 19" x 46"
Deck Flange: 24" x 52"
Thickness: 0.0217 inch.
MANUFACTURING LOCATION
1. Jacksonville, FL
EVIDENCE SUBMITTED
Test Aaencv
PRI Asphalt Technologies, Inc.
APPROVED APPLICATIONS:
Deck Type: Wood
Test Identifier
TAS 100
ICC -ES AC 132
Test Product
Specifications Description
TAS 100 Galvanized metal roof vent
Deck Description: 15/
32" or greater plywood or wood plank
System Type A: Mechanical attachment of vent for shingle roofs
Test Name/Report
SEM -002-02-01
SEM -027-02-01
Date
08/14/03
01/07/14
Cutout: Mark a 3'/2" x 46" opening centered between layout lines and aligned minimum 6 inches from
the ridge. Set blade to thickness of sheathing and cut opening. Brush away sawdust and debris.
Installation: Vents should be evenly spaced on the rear slope of the roof.
Center vent in opening and set it in a 1/8" thick of an approved ASTM D 4586 asphalt roofing
cement. Secure vent to the roof deck with 1-'/," galvanized ring shank roofing nails spaced
approx. 8" o.c. and 1" from the outside edge of the flange. Use a minimum of 18 nails per vent.
Seal all nails and vent flange with an approved ASTM D 4586 roofing cement. (See drawings
herein).
Net Free Area: 99 square inches.
NOA No.: 13-0814.08
Expiration Date: 04/15/19
Approval Date: 01/23/14
Page 2 of 3
LIMITATIONS:
1. Refer to applicable building code for required ventilation.
2. Weather Vent shall comply with the manufacturer's current published application instructions and the
requirements set forth in the applicable building code.
3. This acceptance is for installations over asphaltic shingle roofs only.
4. Weather Vent shall not be installed on roof mean heights greater than 33 feet.
5. All products listed herein shall have a quality assurance audit in accordance with the Florida Building
Code and Rule 9N-3 of the Florida Administrative Code.
6. All approved products listed herein shall be labeled and shall bear the imprint or identifiable marking of
the manufacturer's name or logo, city, state, and following statement: "Miami -Dade County Product
Control Approved" or the Miami -Dade County Product Control Seal as shown below:
CMIAMIMADEMCOMUN
DRAWINGS
ROOF FLANGE NAIL PLACEMENT
END OF THIS ACCEPTANCE
CMILAAM QMDECUNTY NOA No.: 13-0814.08
Expiration Date: 04/15/19
Approval Date: 01/23/14
Page 3 of 3
GREEK
EVALUATION REPORT
Certificate of Authorization No. 29824
17520 Edinburgh Dr
Tampa, FL 33647
813) 480-3421
2010 FLORIDA BUILDING CODE
Manufacturer: Southeastern Metals Manufacturing Co., Inc. (SEMCO)
11801 Industry Drive
Jacksonville, FL 32218
800) 874-0335
hftp://www.semetals.com
Manufacturing Plant: Jacksonville, FL
Quality Assurance: Underwriters Laboratories Inc. (QUA1743)
SCOPE
Category: Roofing
Subcategory: Roofing Accessories that are an Integral Part of the Roofing SystemCodeSections: 1714.2
Properties: Roof Ventilation
REFERENCES
922Y Report No. Standard
PRI Construction Materials Technologies (TST5878) SEM -038-02-01 ASTM E 330
PRODUCT DESCRIPTION AND APPLICATION
Issued May 2, 2014
Year
2002
NON HVHZ Off Ridge
Vent: Minimum 26 ga. ASTM A792 or ASTM A653 steel; Fy = min. 50 ksi; maximum
dimensions of the vent are 24 -inch wide x 78 -inch long x 4.25 -inch high. Vent is
available in nominal 4 -ft and 6 -ft sizes.
Deck Type: Minimum 7/16 -inch APA span rated OSB sheathing or 15/32 -inch APA span rated
plywood sheathing for new and existing roof deck (Deck shall be designed by others in
accordance with FBC requirements).
Roof slope: Minimum 4:12
Mean Roof Height: Maximum 33 -ft
Roof Cut -Out: 2.5 -inch wide x 42 -inch opening for the nominal 4 -ft vent
2.5 -inch wide x 66 -inch opening for the nominal 6 -ft vent
Attachment Method: Cut-out opening as prescribed above into the sheathing located a minimum 6 -inch off
the ridge. For a single vent, install the vent as close to the center of the roof length as
possible. Multiple vents should be evenly spaced along the roof length.
Remove interfering shingle nails around the perimeter of the opening and any debris
SEM14001 FL16994 Page 1 of 3
This evaluation report is provided for State of Florida product approval under Rule 9N-3. The manufacturer shall notify CREEKTechnicalServices, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
GREEK
TIECHI`4ICAL SERVICES, LLC
COMPLIANCE STATEMENT
Southeastern Metals Manufacturing Co., Inc.
NON HVHZ Off Ridge Vent
The products evaluated herein have demonstrated compliance with the 2010 Florida Building Code as evidenced in
the referenced documents submitted by the named manufacturer.
GAP• • Ri
No 74021
yt
STATE OF
n A"
R 1,0• C-> Zachary R. Priest, P.E.
Floridss/0NA1 tS?%%' Organization No. IA E96
1on
No. 021
CERTIFICATION OF INDEPENDENCE
CREEK Technical Services, LLC does not have, nor will it acquire, a financial interest in any company manufacturing or distributingproductsunderthisevaluation.
CREEK Technical Services, LLC is not owned, operated, or controlled by any company manufacturing or distributing products under
this evaluation.
Zachary R. Priest, P.E. does not have, nor will acquire, a financial interest in any company manufacturing or distributing productsunderthisevaluation
Zachary R. Priest, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the
product.
END OF REPORT
SEM14001 FL16994 Page 3 of 3
This evaluation report is provided for State of Florida product approval under Rule 61 G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
C
Southeastern Metals Manufacturing Co., Inc.
CREEK NON HVH2 OH Ridge Vent
1
UCW41CAL SERVICES, LLC
1.00 in
prior to placing vent. Apply ASTM D 4586 or ASTM D 3409, Type I roofing
cement/mastic to the underside of the perimeter flange to continuously surround and
seal the flange. Position the vent over the opening in the roof sheathing. Slide the top
and side flanges of the vent underneath the shingles and allow the bottom flange to lie
on top of the shingles. Attach the vent with #9 x min. 1.5 -inch HWH screws with 0.5 -
inch sealing washers having sufficient length to penetrate through the sheathing a
minimum of %-inch. The screws shall be located 1 -inch from the edge of the flange and
5.5 -inches o.c. along all four sides of the vent. All loosened shingles shall be adhered
down with roof cement/mastic.
n
n-, n nlnl. I.J In it wit ,s'cre'ws with 0.5 in scaling washer --
Allowable Roof Coverings: Asphalt shingles
Maximum Design
Pressure' (psf) -22.5
Pressures calculated using 2:1 margin of safety per 1504 9.
LIMITATIONS
d X.
0 in
1) Fire Classification is outside the scope of this evaluation.
2) This report is not for use in the HVHZ.
3) The roof deck and deck attachment shall be designed by others in accordance with the 2010 FBC.
4) SEMCO vents shall be installed in strict compliance with this evaluation report and the manufacturer's
published installation instructions. In the event of conflict, the more restrictive installation shall be enforced.
5) Deck substrates shall be clean, dry, and free from any irregularities and debris. All fasteners in the deck
shall be checked for protrusion prior to installation.
6) Installation of the roof assembly is outside the scope of this evaluation.
7) SEMCO vents are intended to provide passive ventilation for an enclosed attic in residential construction
applications
8) All products listed in this report shall be manufactured under a quality assurance program in compliance with
Rule 61 G20-3.
SEM14001 FL16994 Page 2 of 3
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
Mali/i%'
1.00
inM
n-, n nlnl. I.J In it wit ,s'cre'ws with 0.5 in scaling washer --
Allowable Roof Coverings: Asphalt shingles
Maximum Design
Pressure' (psf) -22.5
Pressures calculated using 2:1 margin of safety per 1504 9.
LIMITATIONS
d X.
0 in
1) Fire Classification is outside the scope of this evaluation.
2) This report is not for use in the HVHZ.
3) The roof deck and deck attachment shall be designed by others in accordance with the 2010 FBC.
4) SEMCO vents shall be installed in strict compliance with this evaluation report and the manufacturer's
published installation instructions. In the event of conflict, the more restrictive installation shall be enforced.
5) Deck substrates shall be clean, dry, and free from any irregularities and debris. All fasteners in the deck
shall be checked for protrusion prior to installation.
6) Installation of the roof assembly is outside the scope of this evaluation.
7) SEMCO vents are intended to provide passive ventilation for an enclosed attic in residential construction
applications
8) All products listed in this report shall be manufactured under a quality assurance program in compliance with
Rule 61 G20-3.
SEM14001 FL16994 Page 2 of 3
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
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K=.
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Product Approval Menu > Prod t or Apph anonSearch > Application List > Application Detail
FL # FL12328-R5
Application Type Revision
Code Version 2014
Application Status Approved
Comments
Archived p
Product Manufacturer TAMKO Building Products, Inc.
Address/Phone/Email PO Box 1404
Joplin, MO 64802
417) 624-6644 Ext 2305
kern_eden@tamko.com
Authorized Signature Kerri Eden
kerri_eden@tamko.com
Technical Representative Kerri Eden
Address/Phone/Email PO Box 1404
Joplin, MO 64802
417) 624-6644 Ext 2305
kerri_eden@tamko.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Underlayments
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Ill Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Zachary R. Priest
the Evaluation Report
Florida License PE -74021
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 02/26/2016
Validated By Locke Bowden
01 Validation Checklist - Hardcopy Received
Certificate of Independence FL12328 R5 COI TBP14001 2010 FPA TAMKO
Underlavments FINAL.odf
Referenced Standard and Year (of Standard) Standard Year
ASTM D1970 2009
ASTM D226 2006
ASTM D4869 2005
ASTM D6380 2003
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL12328 R5 AE TBP14001 1 2014 FPA TAMKO
Underlavments.odf
Created by Independent Third Party: Yes
12328.6 No. 15 UL Asphalt saturated organic felt
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL12328 R5 II TSP14001 1 2014 FPA TAMKO
Approved for use outside HVHZ: Yes Underlavments.odf
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL12328 R5 AE TBP14001 1 2014 FPA TAMKO
Underlavments.odf
Created by Independent Third Party: Yes
12328.7 No. 30 ASTM Asphalt saturated organic felt
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL12328 R5 II TBP14001 1 2014 FPA TAMKO
Approved for use outside HVHZ: Yes Underlavments.odf
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL12328 R5 AE TBP14001 1 2014 FPA TAMKO
Underlavments.odf
Created by Independent Third Party: Yes
12328.8 No. 30 UL Asphalt saturated organic felt
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL12328 R5 II TBP14001 1 2014 FPA TAMKO
Approved for use outside HVHZ: Yes Underlavments.Ddf
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL12328 R5 AE TBP14001 1 2014 FPA TAMKO
Underlavments.odf
Created by Independent Third Party: Yes
12328.9 TW Metal and Tile Underlayment self -adhering modified bitumen underlayment
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL12328 R5 II TBP14001 1 2014 FPA TAMKO
Approved for use outside HVHZ: Yes Underlavments odf
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL12328 R5 AE TBP14001 1 2014 FPA TAMKO
Underlavments.odf
Created by Independent Third Party: Yes
12328.10 TW Underlayment self -adhering modified bitumen underlayment
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL12328 R5 II TBP14001 1 2014 FPA TAMKO
Approved for use outside HVHZ: Yes Underlavments odf
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL12328 R5 AE TBP14001 1 2014 FPA TAMKO
Underlavments.odf
Created by Independent Third Party: Yes
Ea& Next
Contact Us •: 1940 North Monroe street- Tallahassee Fl 12JU phone. 850-487-1874
The State of Florida Is an AA/EEO employer. Copyright 2007-2013 State of Florida :: privacy Statement :: AccreslhllRv 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 publlc-records request, do not send electronic
mail to this entity. Instead, contact the office by phone or by traditional mall. If you have any questlons, please contact 850.487.1395. *Pursuant to Section
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Drndurtc
r.....__--__..,._.-- ___ ,.--c r-•r--^rr--_'.^..r__. r.^___ ..--'--mac...— .-
Method i Option D
04/13/2015
04/15/2015
04/22/2015
06/22/2015
FL Model, Number or Name Description
12328.1 ASTM Slate Surfaced Roll Roofing Roll roofing surfaced with mineral granules
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL12328 R5 II TBP14001 1 2014 FPA TAMKO
Approved for use outside HVHZ: Yes Underlavments.odf
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL12328 R5 AE TBP14001 1 2014 FPA TAMKO
Underlavments.odf
Created by Independent Third Party: Yes
12328.2 ASTM Tile Underlayment Coated organic underlayment
Limits of Use Installation Instructions
Approved for use in HVHZ: No F i 3 8 R5 II TBP14001 014 FPA TAMKO
Approved for use outside HVHZ: Yes Underlavments.odf
Impact Resistant: N/A
Design Pressure: N/A
Other: See evaluation report for limits of use.
Verified By: Zachary R. Priest 74021
Created by Independent Third Party: Yes
Evaluation Reports
FL12328 R5 AE TBP14001 1 2014 FPA TAMKO
Underlayments odf
Created by Independent Third Party: Yes
12328.3 Master Smooth Asphalt saturated organic underlayment.
Limits of Use Installation Instructions
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
FL12328 R5 II TBP14001 1 2014 FPA TAMKO
Underlavments.odf
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: N/A
Other: See evaluation report for limits of use.
Created by Independent Third Party: Yes
Evaluation Reports
FL12328 R5 AE TBP14001 1 2014 FPA TAMKO
Underlavments.odf
Created by Independent Third Party: Yes
12328.4 Moisture Guard Plus A self -adhering modified bitumen underlayment.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL12328 R5 II TBP14001 1 2014 FPA TAMKO
Approved for use outside HVHZ: Yes Underlavments.odf
Impact Resistant: N/A
Design Pressure: N/A
Other: See evaluation report for limits of use.
Verified By: Zachary R. Priest 74021
Created by Independent Third Party: Yes
Evaluation Reports
FL12328 R5 AE TBP14001 1 2014 FPA TAMKO
Underlavments.odf
Created by Independent Third Party: Yes
12328.5 No. 15 ASTM Asphalt saturated organic felt
Llmits of Use Installation Instructions
Approved for use in HVHZ: No FL12328 R5 II TBP14001 1 2014 FPA TAMKO
Approved for use outside HVHZ: Yes Underlayments.odf
TAMKO` N0.30 ASTM —PRODUCT DATA
Asphalt Saturated Organic Felt ,1IIIIIIIII,IES1„1ft
A
I
Manufactured in Phillipsburg, KS
TAMKO® NO. 30 ASTM SATURATED FELT features a
tough TAMKO organic felt (non -perforated) that is saturated
with asphalt.
USES
Accepted for use as an underlayment felt to be applied
over the deck prior to the installation of TAMKO asphalt
shingles.
PRODUCT DATA*
ASTM D 226, Type II
110.30
ASTM
Roll Dimensions 72'X 36" '
Coverage per roll 2 Squares
Laying Lines 2", 4", 17"
All values stated as nominal
THIS PRODUCT IS SOLD "AS IS" WITHOUT WARRANTIES, EXPRESSED OR
IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE.
ITAMKOI
0
BUMBING PROBVC"
TAMKO Logo, Roofer Logo and TAMKO'
are registered trademarks of
TAMKO' Building Products, Inc
Visit our Web Site at tamko.com
CAUTION: This product contains wood dust. Wood dust has been classified as a "known" human carcinogen by the Intematlonal
Agency for Research on Cancer and the National Toxicology Program. This product contains asphalt. The National Institute for
Occupational Safety and Health has concluded that the fumes of heated roofing asphalt are a potential occupational carcinogen.
The physical nature of this product may help limit any Inhalation or dermal hazard during application and/or removal. However,
physical forces such as sawing, grinding or drilling during demolition work and heating or burning may Increase the Inhalation or
dermal exposure hazard of this product. Take precautions to prevent breathing and contact with akin.
Central District 220 West 4th St. Joplin, MO 64801 800-641-4691
Northeast District 4500 Tamko Dr. Frederick, MD 21701 800-368-2055
Southeast District 2300 35th St. Tuscaloosa, AL 35401 800-228-2656
Southwest District 7910 S. Central Exp. Dallas, TX 75216 800-443-1834
Western District 5300 East 43rd Ave. Denver, CO 80216 800-530-8868
Information Included In this product data sheet was current at time of printing. To obtain a copy of the
most current version of this product data sheet, visit us online at tamko.com or call us at 800-641-4691.
Rev. 05/2012
THIS INSTRE TPR ARE BY:
Name: r3.
Address:
o
NOTICE OF COMMENCEMENT
4
1 -
State of Florida
County of Seminole
Permit Number:
i (ilii i iil hill Ill l III IIT ILII 1
l.tf f`. il( t:]F:C:iIIT/+.:EiilF'; . CihIF'Tf'tC1l..LEk
CLERV` 2016031cl
failU:( ORS TsICi FE:E:E 11i,ilii
Parcel ID Number: ) I a V 3 0 Jr /}-nJ OOjO O 0 _:z. S I_
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY: (L alal description of the property andstreetaddress if available
OC> t0, r.waOtl 5Gtt.,1fC.1
1 c -Ki "IrF1ni•e S
DESCRIPTION OF IMPROVEMENT: 1 JZ355SXuSS=—" =4 rtelcc,r 44 cl
OWNER INFORMATION:
NM
Address: P_
Fee Simple Title Holder (If other than owner) Name-
Address -
4
CONTRACTOR _+ L rName:
in Address: a l0. v,_A,G 3
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713 13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
nets Signature Owner' anted Name
onda Statute 71 3(1)(g) " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead "
State of County of
The foregoing instrument was acknowledged before me this-19—day of / " /Li I- CA , 20_/6
by OAMAL. Who is personally known to me -k, -
Name of person making statement .
OR who has produced identification type of identification produced:
CYNTHIA B. WATERS
NOTARY PUBLIC
STATE OF FLORIDA t w A i '' f ?„E C6III
Cartrtlff FF1831ff4 RTiFPt i)S A YANN ORSE Q:
sr
Expires 1/27/2019 CLERK OF , HE CIRCU O T P r .,
COMPTR LLER i'•, b 4S
EMINOL COU , L iD
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 2 $ - l
I hereby name and appoint:
an agent of - I -, kl,
Name of Company)
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all thingsnecessarytothisappointmentfor (check only one option):
J' The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: R.", r+- Ie-
State License Number: Ccc-
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this -28 day of /1 rcl ,
204, by )C. + who is'Kpersonally known
to me or who has produced
identification and who did (did not) take an oath
k1hRy KRISTIN ANNE LACHAPELLE
NOTARY PUBLIC 4iatureSTATEOFFLORIDA
Comm# FF040339
EXPO 8/3/2017
Notary Sea
Print or type name
LW/e/9 sGxdx3
sm000dd #wuOD' Notary Public - State of
V0180-1:1:10 31dIS Commission No.
ON
3TGdvH3Y13NNv wls My Commission Expires:
Rev. 08.12)
SCPA Parcel View: 11-20-30-5AN-0000-025C Pagel of 2
0rw4dJohn3on,Cr-,k Property Record Card
P OPERTY Parcel: 11-20-30-5AN-0000-025C
APPRAISER Owner: BOLLINGER JIM
SR7JfWfJWCOUNTY PLC-RIDA
Property Address: 200 DRIFTWOOD LN SANFORD, FL 32771
I Parcel: 11-20-30-5AN-0000-025C I
Property Address: 200 DRIFTWOOD LN
Owner: BOLLINGER JIM
Mailing: 1115 QUINTUPLET DR
CASSELBERRY,FL 32707-3510
Subdivision Name: LAKE MINNIE ESTATES
Tax District: Sl-SANFORD
Exemptions:
DOR Use Code: 0802 -MULTI FAMILY 2 UNITS
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
Legal Description
2016 Working
Values
2015 Certil
Values
Valuation Method Cost/Market Cost/Mark(
Number of Buildings 1 1
Depreciated Bldg Value 42,329 38,201
Depreciated EXFT Value
Land Value (Market) 20,000 20,000
Land Value Ag
Exempt Values
Just/Market Value
62,329 58,201
Portability Adj
0
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
Assessed Value 62,329 58,201
Tax Amount without SOH: $1,
2015 Tax Bill Amount $1,
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
BEG 808.54 FT S 11 DEG E +
33.13 FT S 73 DEG 54 MIN
49 SEC W OF NE COR LOT 25
RUN S 73 DEG 55 MIN W
104.36 FTS 11 DEG E
104.36 FT N 73 DEG 55 MIN
E 104.36 FT N 11 DEG W
104.36 FT TO BEG
LAKE MINNIE ESTATES
PB 6 PG 92
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 62,329 0 f
Schools 62,329
City Sanford 62,329 0 f
SJWM(Saint Johns Water Management) 62,329 0 f
County Bonds 62,329 0 f
Sales
Description Date Book Page Amount Qualified Vac/Imp
http://www.scpafl.org/ParcelDetailInfo.aspx?PID=l 120305AN0000025C 3/28/2016
RECORD COPY
Page 1 of 2
Eli -0Mum'] E:
FM NO DI?Pj1 Xntpf SCIS Home Log In I User Registration Hot Topics I Submit Surcharge Stats 6 Facts Publications I FBC Staff I BCIS Site Map Links Search j
Busines
Professi I iaProduct Approval
USER: Public User
Regulation
Producto IMoorova enu > Product or Application Search Application List > Application Detail
SANFORD BUILDING DIVISION
FL # FL2533-R15 A PERMIT 196UED SHALL BE CONSTRUED TO BE A
Application Type Revision LICENSE TO PROCEED WITH THE WORK AND NOT AS
Code Version 2014 AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
Application Status Approved ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
2005
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
2009
THE BUILDING OFFICIAL FROM THEREAFTER
Comments REQUIRING A CORRECTION OF ERRORS IN PLANS,
Archived CONSTRUCTION OR VIOLATIONS OF THIS CODE
Product Manufacturer CertainTeed Corporation Roofing
Address/Phone/Email 18 Moores Road
Malvern, PA 19355
610) 651-5847
mark.d.harner@saint-gobain.com
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
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
REVIEWED FOR CODE COMPLIANCE
PLANS EXAMINER
Z& - I(e
DATE
Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Robert Nieminen
PE -59166
UL LLC
07/03/2017
John W. Knezevich, PE
Z Validation Checklist - Hardcopy Received
FL2533 R15 COI 2015 01 COI Nleminen odf
Standard
ASTM D6162
ASTM D6163
ASTM D6164
ASTM D6222
ASTM D6509
FM 4470
FM 4474
16-919
3/28/2016
w DINC
SANFORD
2
OFPAR.
Year
2000
2000
2005
2008
2009
1992
2004
3/28/2016
Page 2 of 2
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 10/19/2015
Date Validated 10/28/2015
Date Pending FBC Approval 10/28/2015
Date Approved 12/15/2015
Date Revised 02/04/2016
Summary of Products
rmm 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
Approved for use outside HVHZ: Yes
FL2533 R15 II 2015 10 FINAL Al ER CERTAINTEED MODBIT FL2533-
R15.Ddf
Impact Resistant: N/A
Design Pressure: +N/A/ -630
Other: 1.) Refer to ER Section 5 for Limits of
Verified By: Robert Nieminen, PE PE -59166
Created by Independent Third Party: Yes
Evaluation Reports
Use. 2.) The design pressure noted in this
application relates to one specific system.
FL2533 R15 AE 2015 10 FINAL ER CERTAINTEED MODBIT FL2533-
R1 df
Refer to the ER Appendix for all systems and
max design pressures.
Created by Independent Third Party: Yes
Back Next
Contact Us :: 1940 North Monroe Street Tallahassee FL 32300 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 marl 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:
tlrck
CreclitSCar',
3/28/2016
QINITY IERD
APPENDIX 1: ATTACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE
Table Deck Application Type Description Page
SA 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
IE -2 Wood New, Reroof (Tear -Off) or Recover E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 15-16
1F Wood New or Reroof (Tear -Off) F Non -Insulated, Bonded Roof Cover 16
2A Steel or Conc. New, Reroof (Tear -Off) or Recover B Mech. Attached Base Insulation, Bonded Top Insulation, Bonded Roof Cover 17-19
2B Steel or Conc. New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 20-24
2C Steel or Conc. New, Reroof (Tear -Off) or Recover D Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 25-27
3A Concrete New or Reroof (Tear -Off)' A-1 Bonded Insulation, Bonded Roof Cover 28-35
3B Concrete New or Reroof (Tear -Off) A-3 Bonded Temp Roof/Vapor Barrier, Bonded Insulation, Bonded Roof Cover 36
3C Concrete New or Reroof (Tear -Off) F Non -Insulated, Bonded Roof Cover 36
4A LWIC New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 37-38
4B, LWIC New orReroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 39
4C LWIC New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 40-44
5A CWF New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 45
5B CWF New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 46
5C CWF New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 46
5D CWF New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 47
6A Gypsum Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 48-49
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
61) 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. resistance of the
roof deck shall be documented through proper codified and/or FBC Approval documentation.
Load
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 CMG 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: CMG #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), CMG HD or CD -10 with CMG 3 in. Galvalume Steel Plate, Dekfast #14 or DekSpike with Hex Plate or 3" Round
Insulation Plate, Trufast HD or CF with Trufast 3" Metal Insulation Plates or FlintFast #14 Fastener with FlintFast 3" Insulation Plates. Minimum 1 -inch embedment. Fasteners installed
with a pilot hole in accordance with the fastener manufacturer's published installation instructions.
Exterior Research and Design, LLC. d/b/a Trinity 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
TOR INITY,I ERD
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 61G2G-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.
A. 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 -PGI): Continuous 0.5 to 0.75 -inch wide ribbons, 12 -inch o.c.
OMG OlyBond 500 or OlyBond Green (013500): Continuous 0.75 -inch wide ribbons, 12 -inch o.c. (PaceCar[ 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 loyers(s) of insulation and/or coverboard are installed in ribbon -applied adhesive, adhesive ribbons shall be staggered from layer -to -layer a distance of one-half the ribbon spacing.
Note: The maximum edge distance from the adhesive ribbon to the edge of the insulation board shall be not less than one-half the specified ribbons spacing.
6. Unless otherwise noted, all insulations are,flat stock or taper board of the minimum thickness noted. Tapered polyisocyanurate at the following thickness limitations may be substituted with
the following Maximum Design Pressure (MDP) limitations. In no case shall these values be used to 'increase' the MDP listings in the tables; rather if MDP listing below meets or exceeds that
listed for a particular system in the tables, then the thinner board listed below may be used as a drop-in for the equivalent thicker material listed in the table:
Ashland Pliodeck (A -PD) @ 12 -inch o.c. MDP -105.0 psf (Min. 1.0 -inch)
Ashland Pliodeck (A -PD) @ 6 -inch o.c. MDP -277.5 psf (Min. 1.0 -inch)
Dow Insta-Stik (D -IS): MDP -120.0 psf (Min. 1.0 -inch)
Millennium One Step Foamable Adhesive (M-OSFA): MDP -157.5 psf (Min. 1.0 -inch)
Millennium PG -1 Pump Grade Adhesive (M-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 blyBond 500 (013500): MDP -187.5 psf (Min. 0.5 -inch ISO 95+ GQ
OMG OlyBond 500 (013500): MDP -315.0 psf (Min. 0.5 -inch ENRGY 3)
OMG OlyBond 500 (013500): 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 mechan.cally attached components or partially bonded insulation, the maximum design pressurefor the selected assembly shall meet or exceed the Zone 1 design pressure determined in
accordance.with FBC Chapter 16, and Zones 2 and 3 shall employ an attachment density designed by a qualified design professional to resist the elevated pressure criteria. Commonly used
methods are RAS 117 and FM LPDS 1-29. Assemblies marked with an asterisk* carry the limitations set forth in Section 2.2.1.5.1(a) of FM LPDS 1-29 for Zone 2/3 enhancements.
9. For fully bonded assemblies, the maximum design pressure for the selected assembly shall meet or exceed critical design pressure determined in accordance with FBC Chapter 16, and no
rational analysis is permitted.
10. For mechanically attached components over existing decks, fasteners shall be tested in the existing deck for withdrawal resistance. A qualified design,professional shall review the data for
comparison to the minimum requirements for the system. Testing and analysis shall be in accordance with TAS 105 or ANSI/SPRI FX -1.
Exterior Research and Design, LLC. d/b/a Trinity] ERD Evaluation Report 3520.03.04-1116 for FL2533-R15
Certificate of Authorization 119503 Revision 16: 10/14/2015
Prepared by: Robert Nieminen, PE -59166
Appendix 1, Page 2 of 58
Q0TRINITYIERD
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 FLINTLASTICO MODIFIED BITUMEN COMPONENTS & APPUCATION METHODS
Reference Layer Material Application
BP -AA Base Glasbase; All Weather/Empire Base; Flexiglas Base; Flintlastic Base 20
Base and Ply sheets, Asphalt-
Applied)
Hot asphalt at 20-40 lbs/squarePlyFlintglasPlySheetTypeIV; Flintglas Premium Ply Sheet Type VI
BP-AA2
Base, Spot -Asphalt -Applied)
Base Yosemite Venting Base Hot asphalt in 24 -inch diameter spots in 30-
inch grid pattern
BP-AA3
Base, Spot -Asphalt -Applied) Base Yosemite Venting Base Hot asphalt in 9 -inch diametersspots in rid
pattern noted herein.
p g
BP-AA
Base, Strip -Asphalt -Applied)
Base Yosemite Venting Base Hot asphalt in 9 -inch wide ribbons spaced
as noted herein.
BP-CA2 Base/Ply Glasbase; All Weather/Empire Base; Flexiglas Base; Flintlastic Base 20 Henry #903 Adhesive at 1.5 gal/square
BP-CA3MillenniumBase/Ply Glasbase; All Weather/Empire Base; Plexiglas Base; Flintlastic Base 20 Hurricane Force Membrane
Adhesive, beads spaced 6 -inch o.c.
Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
SBS -AA Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR DualSBS, Asphalt -Applied) Hot asphalt at 20-40 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
SBS-CAlFlintBond Brush or Karnak No. 81 ColdNote: Base ply cures overnight prior to application of the cap ply.
SBS, Cold -Applied) Process Modified Bitumen Adhesive Brush
Grade at 1 gal/squareCapFlintlasticFRCap30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual Cap; Flintlastic FR -P; Flintlastic FR -P CoolStar;
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
Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR DualSBS, Cold -Applied) Henry #903 Adhesive at 1.5 gal/square.
Cap Cap; Flintlastic FR -P; Flintlastic FR -P CoolStar; Flintlastic Premium FR -P; Flintlastic Premium FR -P CoolStar;
Flintlastic GMS; Flintlastic GMS CoolStar; Flintlastic Premium GMS; Flintlastic Premium GMS CoolStar
Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base
Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS BaseSBS-CA3
SBS, Cold -Applied)
Millennium Hurricane Force Membrane
Adhesive, beads spaced 6 -inch o.c.
Cap
Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual
Cap; Flintlastic FR -P; Flintlastic FR -P CoolStar; Flintlastic Premium FR -P; Flintlastic Premium FR -P CoolStar;
Flintlastic GMS; Flintlastic GMS CoolStar; Flintlastic Premium GMS; Flintlastic Premium GMS CoolStar
Exterior Research and Design, LLC. d/b/a Trinity l ERD Evaluation Report 3520.03.04-R16 for F1.2533-1135
Certificate of Authorization #9503
Revision 16: 10/14/2015
Prepared by: Robert Nieminen, PE -59166 Appendix 1, Page 3 of 58
QOTRINITYIERD
CERTAINTEED FUNTLASTIC* MODIFIED BITUMEN COMPONENTS & APPLICATION METHODS (CONTINUED)
Reference Layer Material Application
Base Flintlastic Ultra Poly SMS Base; Flintlastic Base 20 T
SBS -TA Ply Flintlastic Ultra Poly SMS Base; Flintlastic Base 20 T
SBS, Torch-Applied)Torch-Applied
p Flintlastic FR Cap 30 T; Flintlastic FR Cap 30 T CoolStar; Flintlastic GTS; Flintlastic GTS CoolStar; Flintlastic GTS -FR;
Flintlastic GTS -FR CoolStar; FlintClad
APP -TA
Base Flintlastic APP Base T; Flintlastic STA; Flintlastic STA Plus
CapCa Flintlastic STA; Flintlastic STA Plus; Flintlastic GTA; Flintlastic GTA CoolStar; Flintlastic GTA -FR; Flintlastic GTA -FR
CoolStar
APP, Torch -Applied) Torch -Applied
SBS -SA -H
SBS, Self -Adhering, Hybrid
Systems)
Base/Ply Black Diamond Base Sheet; Flintlastic Ultra Glass SA Self -Adhering
SBS -SA
SBS, Self -Adhering)
Base Flintlastic SA PlyBase; Flintlastic SA Mid Ply
Self -AdheringPlyFlintlasticSAPlyBase; Flintlastic SA Mid Ply
Cap Flintlastic SA Cap; Flintlastic SA Cap CoolStar; Flintlastic SA Cap FR; Flintlastic SA Cap FR CoolStar
14. Insulation is optional for Recover or Concrete Deck Applications using System Type D (Mechanically Attached Base Sheet, Bonded Roof Cover).
15. "MDP" = Maximum Design Pressure is the result of testing for wind load resistance based on allowable wind loads. Refer to FBC 1609 for determination of design wind loads.
4
Exterior Research and Design, I.I.C. d/b/a TrinityI ERD Evaluation Report 3520.03.04-1116 for FL2533-R35
Certificate of Authorization #9503
Revision 16: 10/14/2015
Prepared by: Robert Nieminen, PE -59166 Appendix 1, Page 4 of 58
QOTRINITYIERD
TABLE 1E-2: WOOD DECKS—NEW CONSTRUCTION, REROOF (TEAR -OFF) OR RECOVER
SYSTEM TYPE E: NON-INSULATED,1MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER
System Deck Base Sheet Roof Cover MDP
No. See Note 1) Psf) Base Fastener Attach Ply Cap
SELF -ADHERING SYSTEMS:
8 -inch o.c. at min. 3 -inch lap and 8 -inch o.c. in
W-72 Min. 19/32 -inch plywood at
Flintlastic SA NailBase See Note 2 two, equally spaced, staggered center rows. Optional)
SBS -SAmax24 -inch spans Stress plates shall be primed with FlintPrime SBS -SA
82.5•
ASTM D41) primer or FlintPrime SA
Flintfast 3 in. Insulation Plates with 6 -inch o.c. at min. 2 -inch lap and 6 -inch o.c. in
W-73
Min. 15/32 -inch plywood at
Flintlastic SA NailBase FlintFast #12 or #14; Trufast MP3 with DP three, equally spaced, staggered center rows. Optional)
max 24 -inch spans or HD; OMG 3 in. Round Metal Plates with Stress plates shall be primed with FlintPrime SBS -SA
SBS -SA 97.5'
OMG #14 HD ASTM D41),primer or FlintPrime SA.
Flintfast 3 in. Insulation Plates with 6 -inch o.c, at min. 2 -inch lap and 6 -inch o.c. in
W-74
Min. 15/32 -inch plywood at
Flintlastic SA NailBase FlintFast #12 or #14; Trufast MP3 with DP four, equally spaced, staggered center rows. - Optional)
max 24 -inch spans or HD; OMG 3 in. Round Metal Plates with Stress plates shall be primed with FlintPrime SBS -SA
SBS -SA 127.5'
OMG #14 HD ASTM D41) primer or FlintPrime SA.
HYBRID SYSTEMS:
Glasbase; Flexiglas; Flintlastic Flintfast 3 in. Insulation Plates with 6 -inch o.c. at 4 -inch lap and 6 -inch o.c. in three,
W-75
Min. 15/32 -inch plywood at
Base 20; Poly SMS Base; Ultra
FlintFast #12 or #14; Trufast MP3 with DP center rows. equally spaced, staggered centStress SBS -AA, SBS -
max 24 -inch spans
Poly SMS Base or HD; OMG 3 in. Round Metal Plates with plates shall be primed with FlintPrime (ASTM
SBS -SA -H
TA or APP -TA
97.5
OMG #14 HD D41) primer or FlintPrime SA.
W-76
Min. 19/32 -inch plywood at
Glasbase; Flexiglas; Flintlastic
Base 20; Pol SMS BaseUltray ; See Note 2 7 -inch o.c. at 3 -inch lap and 7 -inch o.c. in three, SBS -AA, SBS -
max 24 -inch s P ars
Poly SMS Base equally spaced, staggered center rows
SBS -SA -H
TA or APP -TA
105.0
Glasbase; Flexiglas; Flintlastic
Flintfast 3 in. Insulation Plates with 6 -inch o.c. at 4 -inch lap and 6 -inch o.c. in four,
W-77
Min. 15/32 -inch plywood at
Base 20; Poly 5M5 Base; Ultra:
FlintFast #12 or #14; Trufast MP3 with DP equally spaced, staggered center rows. Stress SBS -AA, SBS -
max 24 -inch spans
Poly SMS Base
or HD; OMG 3 in. Round Metal Plates with plates shall be primed with FlintPrime (ASTM
SBS -SA -H
TA or APP -TA
127.5
OMG #14 HD D41) primer or FlintPrime SA.
CONVENTIONAL SYSTEMS:
W-78
Min: 23/32 -inch exterior
grade plywood at max. 24-
Glasbase; All
Weather/Empire Base;
See Note 2 12 -inch o.c. 4 -inch lap and in two,
BP -AA, SBS-
SBS -AA, A, SBS-
inch spans Plexiglas Base; Flintlastic Base a ter
row
sequallyspaced, staggered center rowsstaggered
AA SBS -TA or
TA or APP -TA
30.0•
W 20; Yosemite APP TA
W -79
Min. 23/32 -inch exterior
grade plywood at max. 24-
Glasbase; All
Weather/Em Ire Base; P
See Note 2 12 -inch o.c. at 4 -inch lap and 24 -inch o.c. in two,
BP -AA, SBS -
SBS -AA, SBS-
inch spans Flexiglas Base; Flintlastic Base equally spaced, staggered center rows
AA, SBS -TA or
TA or APP -TA
45.0'
20; Yosemite APP -TA
Exterior Research and Design, LLC. d/b/a Trinity l ERD
Certificate of Authorization #9503
Prepared by: Robert Nieminen, PE -59166
Evaluation Report 3520.03.04-1116 for F1.2533-1115
Revision 16: 10/14/2015
Appendix 1, Page 15 of 58
QOTRINITYIERD
r
TABLE 3E-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 MDPNo. See'Note 1)
Psf) Base Fasteners Attach Ply Cap
W -80W -80
Min. 23/32 -inch exterior
rade Iplywood at max. 24- Poly SMS Base; Ultra Poly
See Note 2 12 -inch o.c. at 4 -inch lap and 36 -inch o.c. in two,
BP -AA, SBS -
SBS -AA, -SBS -
inch spans
SMS Base equally spaced, staggered center rows
AA, SBS -TA or
TA or APP -TA
4S.0'
APP -TA
Glasbase; Flexiglas; Flintlastic Flintfast 3 in. Insulation Plates with Optional) BP -
81 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 la and 6 -inch o.c. in three, P AA, SBS -AA, SBS -AA, SBS -
max max 24 -inch spansP
Poly SMS Base; Yosemite or HD; OMG 3 in. Round Metal Plates with equally spaced, staggered center rows SBS -TA or TA or APP -TA
97.5
OMG #14 HD APP -TA
W-82
Min. 15/32 -inch plywood at
Flintlastic APP Base T OMG 3 in. Round Metal Plates with OMG 6 -inch o.c. at 4 -inch la and 6 -inch o.c. in three,
max 24 -inch spans 14 HD equally spaced, staggered center rows.
APP -TA APP -TA 97.5
Min. 19/32 -inch plywood at Glasbase; Flexiglas; Flintlastic
Base 20; Poly SMS Base; Ultra See Note 2 7 -inch o.c. at o.c. in three, lap and 7 -ter
BP -AA SBS -
SBS -AA, SBS -
max max 24 -inch spans
Poly SMS Base; Yosemite d,
inch
equally spaced, staggered center rowsr AAP SBS -TA or
TA or APP -TA
105.0
W 84 Min. 19/32 -inch plywood at
Flintlastic APP Base T
OMG 3 in.'Round Metal Plates with OMG
14 HD or Dekfast Hex Plate with Dekfast o.c. in three, o.c. at 3 -inch lap and 7 -termax24inchspans
rnch
equally equally spaced, staggered center rows
APP -TA APP -TA 105.0
14
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 -
max 24 -inch sspansP
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
127.5
OMG #14, HD APP -TA
W-86 Min. 15/32 -inch plywood at
Flintlastic APP Base T OMOMG 3 in. Round Metal Plates with OMG 6 -inch o.c. at 4 -inch la and 6 -inch o.c. in four, P
max 24 -inch spans HD equally spaced, staggered center rows.
APP -TA APP -TA 127.5
TABLE 1F: WOOD DECKS— NEW CONSTRUCTION OR REROOF (TEAR -OFF)
SYSTEM TYPE F: NON -INSULATED, BONDED ROOF COVER
System Deck Roof Cover
No.
ft (See Note 1)
Primer
Base Ply Cap
MDP (psf)
W-87 Miny19/32-inch plywood at max 24 -inch spans FlintPrime SA SBS -SA (Optional) SBS -SA SBS -SA -127.5
Etterior Reseaech and Design, I.I.C. d/b/a Trinity I ERD Evaluation Report 3520.03.04-1136 for FI -2533-1315
Certificate of Authorization #9503
Revision 16: 10/14/2015
Prepared by: Robert Nieminen, PE -59166 Appendix 1, Page 16 of 58
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: I b - q (R1
I, _ICo- 1" . t,.`/- hereby acknowledge that I personally inspected
yRoof deck nailing and/or Secondary water barrier work
at c p Q,r , -wo % r --P 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.
g_4 -JzI -
Signafure of Contractor
Printed Name of Contractor
Date
ydC_C / 3-)_5
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 f--, -
Sworn to (or affirmed) and subscribed before me this dayAof , 20 , by
who is personally Known to me r has Produced (type of
identifc tion) as identification.
SEAL)
Sig A lure of Notary ubl c
State of Florida
l<Jfin 1 u l.A i &C_
Print/Type/Stamp Name
of Notary Public
y KRISTIN ANNE LACHAPELLE
o NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF040339
c SI Expires 8/3/2017