HomeMy WebLinkAbout115 Garrison Dr7JUN
CITY OF SANFORD
06 2016 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
° Application No•� b -I 5 90
Documented Construction Value: $ ,
Job Address: 115 (J-fOJOn f-Dt- J1ktfJ 3X)OListoric District: Yes ElNo ElParcel ID: 3 S -1 q , 3D- 5,;r) - O DUD - ODIC) Residentia14 Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: 'WI -00 1-7 1& �� mUlb 1l? (_d J+ 1+LA-LCC
Plan Review Contact Person: L - V5
Phone: '400 33'a b3q_6 Fax:
Title:OFFIa
J�
T
Email: obn Va 161" Siz
Property Owner Information (�
Name ICl 1'l lC�ln A e woad 4 Phone: g l7 r)
Street: 13 Resident of property?
City, State Zip: a q0
Contractor InformationPh
Phone: �Cfe✓ pp�JFUl
oq 303 0.336P
Street: a310 6`13 Fax: O") 331-02- �-3
City, State Zip: UPA& T( 3d 12o3 State License No.: CC C I) 5?3D
(
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company: A) I/1
Address:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51D 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 ]CC 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 aU of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
-�c
Signature of Owner/Agent Date
AA1W4 Av iT E O Ar 09R D 7—
Print Owner/Agent's Name
;-I
,.aoa
oi►"� °i,4, JAMES THOMSON
j: Notary Public - State of Florida
:N .? My Comm. Expires Dec 2. 2017
%',;fo,�.•� Commission M FF 74164
Owner/Agent is Per
Produced ID v"- Type of ID �lor�tir, Dci�a��►ter+S�_
bl kif
Signayfe of ontractor/Agent Date * -
_n kellC✓ gg
Print Contractor/Agent's Name / a,►
i ure of Notary -State of Florida Dat m
Contractor/Agent isPersonally Known to Me or
Produced ID ype of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg:
Min. Occupancy Load:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
A Fully Licensed State Certified Proud Mcmber Phone: 407-332-0345
Roofing Company O . ♦ Fax: 407-332-0243
Lic.#CC-C058308 johnkeller5@cfl.rrcom
ggg_ www.johnkellerroofing.com
CLIENT J 7/ `- PH. q 911
DATE
/
ADDRESS \ ` DAYTIME #
FAX #
PROPERTY ADDRESSr
REMOVE EXISTING ROOF/INSPECT FOR WOOD ROT — INSTALL NEW ARCH ITECTURA U3 TAB SHINGLES
INSTALL NEW UNDERLAYMENT
— ( 1b) ASPHALT COATED FELT
( Ib) DOUBLE LAYER OF FELT FOR LOW SLOPE
2(43-Ib}WER•f-ELT
NAIL BASE FOR MODIFIED BIT. S/A
SYNTHETIC S/A FOR METALS ROOFS
/_
Z✓ INSIALLNEW PIPE FLASHINGS & EXHAUST VENTS
V PIPE FLASHINGS & EXHAUST VENTS TO BE PAINTED
FLASHINGS AND VENTS SUPPLIED BY OTHERS
_ INSTALL NEW ANGLE FLASHING WHERE EAVE MEETS
ROOF DECK. (BEHIND FASCIA BOARD/ALUMINUM)
/ � SHINGLE COLOR:
✓ ACS
INSTALL NEW EAVE METAL: SIZE:I2� COLOR:
_ INSTALL NEW — INSTALL NEW METAL PANEL ROOF
ICE_& WATER SHIELD SHIELD -VALLEYS ARE CLOSED — ULTRA RIB PANEL
CUT _ V- CRIMP
INSTALL DIVERTER/CRICKETT BEHIND CHIMNEY%— STANDING SEAM
_
INSTALL GRANULATED MODIFIED
— INSTALL NEW FLASHING/AND COUNTER FLASHING ✓
_
SEAL W/ POLYURETHANE BITUMEN LOW SLOPE SYSTEM
/COLD PROCESS MOP DOWN
INSTALL( ) NEW SKYLIGHT(S) SIZE: _/
— SBS SELF ADHERING
_ GLASS TOP ONLY _ PLASTIC DOME ONLY
_ FLUSH MOUNTED PLASTIC DOMEODIFIED COLOR %J /T�
— FACTORY SEALED CURB & PLASTIC DOME_ - ✓ ROTTEN WOOD REPLACED AT A SEPARATE
— FACTORY SEALEDCURB&GLASSTOP(DOUBLEPANE) RATE OF 55.50 PER LINEAL FT. OF BOARD
REUSE EXISTING SKYLIGHTS/NO WARRANTY
— AND/OR $60.00 PER SHEET OF PLYWOOD.
_ INSTALL NEW ATTIC VENTILATION SYSTEM A HIGHER RATE WILL APPLY FOR CEDAR
— INSTALL( )OFF -RIDGE ATTIC VENTS)/BOARDS AND NON-STANDARD PLYWOOD.
— INSTALL( )TURBINE VENTS FOR LOW SLOPE 1/1
pROPERTYOWNER(S)ARERESPONSIBLEFOR
INSTALL SHINGLE OVER ATTIC RIDGE VENTS ON —
_
ENTIRE RIDGE ( ) FT./50YR-I IOMPH TESTED REMOVAL OF SOLAR PANELS. SATELLITE
— INSTALL METAL ATTIC RIDGE VENTS( ) FT. DISHES, AND GUTTERING.
ALL REROOFS INCLUDE A TOTAL CLEAN UP AND MAGNETIC SWEEP
ALL LABOR WARRANTED AGAINST LEAKS FOR A PERIOD OF/
/' / ti/Lf
WE PROPOSE TO FURNISH PERMITS, LABOR, AND MATERIALS IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR
THEE AMOUNT OF DOLLARS (S S-�v %-(, )
✓ NO DEPOSIT REQUIRED. PAYMENT IS DUE IN FULL UPON COMPLETION. S-/y�- 6,0
)d?-, 4s#
_40% DEPOSIT FOR CUSTOM ORDER MATERIALS. BALANCE DUE IN FULL UPON COMPLETION. /
ACCESS TO AND FROM STRUCTURE IS REQUIRED FOR MATERIAL DELIVERY AND DISPOSAL CONTRACTOR AND CONTRACTORS AGENT ARE NOT RESPONSIBLE FOR DAMAGE TO
DRIVEWAYS. SIDEWALKS. OR CEILINGS. ALL LEFTOVER MATERIALS ARE PROPERTY OF JOHN Kr;LLL•R ROOFING INC. PROPERTY OWNC•R(S) TO CARRY FIRE. TORNADO, AND OTHER
NECESSARY INSURANCE;. SIGNED CONTRACTS NOT FULFILLED BY PROPERTY OWNFR(S)ARE SUBJECT TOA FEE EQUAL TO 10% OF CONTRACT VALUE. ALL INVOICES SUBJECT TO
EXPENSES INCURRED IN COLLECTION TO INCLUDE. BUT NOT LIMITED TO ATTORNEYS FEES. PAYMENTS NOT RENDERED IN ACCORDANCE WITH CONTRACT AGREEMENT ARE
ACCEPTANCEOFPROPOSAL-THEABOVEPRICE.SPECIFICATIONSANDCONDITIONSARESATISFACTORYANDAREHEREBYACCEPTED.
YOU ARE AUTHORIZED TO DO jT�HfE�WORK AND PAYMENT WILL BE MADE AS OUTLINED ABOVE.
SIGNATURES+/L✓•'✓%^�'.c�i �Cf ''&,4.6- �' G DATE /U 16
THIS INSTRUMENT PREPARED BY:
Name: LISA KELLER
Address: 2312 CLARK ST. B-13
APOPKA, FL. 32703
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number: 35-19-30-520-OD00-0010
• ; �: •. rlf•`sl' r �;t_19 t Irll�l.l: i:1111iJ I Y
l•.. t Ia Ill
til'•. '
RECORDED LIV061*2015
RECORDING FEES g10-00
RECORDED BY tsmith
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) -Q- n, "'.141,
115 GARRI
2. GENERAL DESCRIPTION OF IMPROVEMENT:
'�
REROOF
:� Uy-'
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
o
Name and address: FRANKLIN GEBHARDT 115 GARRISON DR. SANFORD FL. 32771
t"
Interest in property: OWNER
5 z
ca
Fee Simple Title Holder (if other than owner listed above) Name: N/A
K
N
Address: -------
93 o
CD
4. CONTRACTOR: Name: JOHN KELLER ROOFING, INC Phone Number: 407-332-0345
i LL
0
Address: 2312 CLARK ST. B-13 APOPKA FL. 32703
v
Z
S. SURETY (If applicable, a copy of the payment bond Is attached): Name: N/A
Address: -------- Amount of Bond: -----¢-9 tZ-
6. LENDER: Name: N/A Phone Number: --------
w rcalo
Address: ----------
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(l)(a)7., Florida Statutes.
Name: N/A Phone Number. -------
Address: --------
8. In addition. Owner designates ----- of -------
to receive a copy of the Lienors 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 1, 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.
FRANKLIN GEBHARDT/OWNER
(Signature of Owner or Lessee, of Owner's or Lessee's (Pent Name and Provide Signatory's Title/Omcs)
Authorized
-Officer/Drector/PaMer/Manager)
tats of �10 f V County of Oro.
The foregoing instrument was acknowledged before me this IV,� day of 1 r ►'^ `� 120 1 IQ
by reYT uy,y �, n L. C7��j Ylq(�� Who is personally known tome O OR
name or person mamng statement
who has produced Identification Blype of identification produced: �r
r,.nrrrr,
.`:►p Pis' JAMES THOMSON
�i+
'. Notary Public - State of Florida
My Comm. Expires Dec 2.2017 No ry Signature
Commisslon M FF 74164
'l
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 611L
T
I hereby name and appoint: L I SO. Ke l cl
an agent of: f or l n Kifllff &t)ar1
(Name of Company)
to be my lawful attomey-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):
,l The specific permit and application for work located ate 3.1Z093I ) G; m rrant-, 1) r �1? n �r;
/ I
Expiration Date for This Limited Power of Attorney: �/3/ 11
License Holder Name: � bhn kd 1ri
State License Number:
Signature of License Holder:
STATE OF FLORI A
COUNTY OF
The foregoing instruinent was acknowledged before me this `may of ,
200Ito , by who i pe nally nown
"0
to me oroprodu ed as
identification and who did (di�ot) take an oath.
(Notary Seal)
MY COMMISSION / FF 9MI
r EXPIRES: October 19, 2019
(Rev. 08.12)
n re
'f 6_4141
Print or type name
Notary Public -State of 0'e/z&"(-
Commission
'e/z&'(Commission No. � — .? /
My Commission Expires:
Property Record Card
CIA
Parcel: 35-19-30-520-OD00-0010
Owner: GEBHARDT FRANKLIN L
Property Address: 115 GARRISON DR SANFORD, FL 32771
Parcel Information
Parcel
35-19-30-520-OD00-0010
Owner
GEBHARDT FRANKLIN L
Property Address
115 GARRISON DR SANFORD, FL 32771
Mailing
279 W CONSTANCE RD DEBARY, FL 32713-3954
Subdivision Name
COUNTRY CLUB MANOR UNIT 1
Tax District
S1-SANFORD
DOR Use Code
01 -SINGLE FAMILY
Exemptions
i I
+'Pp�P
N
4`�'
44.��e La
2 690
t�
23 `�8
1 t7 Cry
Se ino un I
Legal Description
LOT 1 BLK D
COUNTRY CLUB MANOR UNIT 1
PB 11 PG 35
Value Summary
Valuation Method
Number of Buildings
Depreciated Bldg Vali
Depreciated EXFT Va
Land Value (Market)
Land Value Ag
Just/Market Value "
Portability Adj
Save Our Homes Adj
Amendment 1 Adj
P&G Adj
Assessed Value
Tax Amou
2015
Save Our I
Does NOT INCLUDE
Taxes
Taxing Authority
Assessment Value
Exempt Value
County General Fund
$36,722
Schools
$36,722
City Sanford
$36,722
SJWM(Saint Johns Water Management)
$36,722
County Bonds
$36,722
Sales
I
Ow N
Nil
m
Florida Departments ae>.5 Home ! lag m ! User Reglstratbn Mot Toga ! submit surcharge : stats a Facts , Publications I RCStaff I SCIS site MOP ! Unks ! search I
Busines��)) Product Approval
Professi nal OUSER: PubUc User
Regulation
Product Aooroval Menu > Produ[t or AooMHlon Search > Application List > APplkation Detall
FL #
FL2533-R16
Application Type
Revision
Code Version
2014
Application Status
Approved
Comments
Archived
Product Manufacturer CertainTeed Corporation -Roofing
Address/Phone/Email 18 Moores Road
Malvern, PA 19355
(610)651-5847
mark.d.harner@saint-gobaln.com
Authorized Signature Mark Harper
mark.d.harner®saint-gobain.com
Technical Representative Mark D. Harner
Address/Phone/Email 18 Moores Road
Malvern, PA 19355
(610) 651-5847
Mark.D.Harner@saint-gobaln.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Registered Architect or a Ucensed
Florida Professional Engineer
0 Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nleminen
the Evaluation Report
Florida Ucense PE -59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 07/03/2017
Validated By John W. Knezevlch, PE
Validation Checklist - Hardcopy Received
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
FL2533 R16 COI 2016 01 COI Nieminen.odf
ASTM D6162
2000
ASTM D6163
2000
ASTM D6164
2005
ASTM 06222
2008
ASTM 06509
2009
FM 4470
1992
FM 4474
2004
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted
02/04/2016
Date Validated
02/15/2016
Date Pending FBC Approval
02/16/2016
Date Approved
04/12/2016
Summary of Products
FL # Model, Number or Name
Description
2533.1 Fllntlasdc Modified Bitumen
Modified Bitumen Roof Systems
Roof Systems
Limits of Use
Installation Instructions
Approved for use in HVHZ: No
FL2533 R16 11 2016 02 FINAL Al ER CERTAINTEED MODBIT FL2533-
Approved for use outside HVHZ: Yes
R16.Ddf
Impact Resistant: N/A
Verified By: Robert Nleminen, PE PE -59166
Design Pressure: +N/A/ -630
Created by Independent Third Party: Yes
Other: 1.) Refer to ER Section 5 for Umits of
Evaluation Reports
Use. 2.) The design pressure noted In this
FL2533 R16 AE 2016 02 FINAL ER CERTAINTEED MODBIT FL2533-
application relates to one specific system. Refer
R16.odf
to the ER Appendix for all systems and max
Created by Independent Third Party: Yes
design pressures.
Back Noxt
Contact Us :: 1240 North Monroe Street. Tallahassee Fl. 32399 Phone: 850-487-1824
The State of Florida Is an AMEEO employer. Covvriaht 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under norlds low, email addresses are public records. If you do not want your a -man address released In response to a public -records request, do not send electronic
mail to this entity. Instead, contact the office by phone or by traditional man. If you have any questions, please coma 850.487.1395. -Pursuant to Section 455.275
(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 4SS, F.S. must provide the Department with an email address If they have one. The
emans provided may be used for offklal 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 N you are a licensee under Chapter 455, F.S., please
dice bbl.
Proo�duct Ap�pjroval Accepts:
!mow I0®
'tVUritvau-11t1r
-\Q
\I TRINITY J ERD
TABLE 1E-1: WOOD DECKS— NEW CONSTRUCTION on REROOF (TEAR -OFF)
SYSTEM TYPE E: NON -INSULATED, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER
System
Deck
I Bate Sheet Roof Cover
No.
(See Note 2)
MDP (ptn
Base Fasteners Attach Pry Cap
StlFAintmNo Svstttts:
Min.15/32anch plywood at max
Min.1-bhch lery,12 p.
&Inch o.c. at min. 2 -Inch tap and 64nch o.e.
(Optional) SBS.
W-48
spansFlbrttastk
$A NaDBsss
Slmpbx Metal 6p Nags
In four, equally spaced, staggered anter
rovi
SA
SBS -SA
-525
Min.19/32-Inch plywood at max.
32 go, 1 -5/8 -Inch db. tin
11 -inch o c. at min. 24nch by and 84nch *.L
SOS -
W -49
244nch spans
Fllntbstk SA NaBBase
caps with 11 p. annular
M three, equally spaced, staggered center
Anal)
SBS.SA
-52S
ring thank nags
rows
Min.19/32-In ch plywood at max.
32 p.1 -S/8 -Inch die. tin
8 -Inch o.c. at min. 2 -Inch by and 84nch o c.
(Optional) SBS
W-50
I4 Inch spam
Fllntbstk SA NaBBase
caps with 11 p. annular
spaced, staggered center
In three, equally gga
SA
SB5-SA
-W.0
ring shank nags
rows
Min.19spansdh Phwood at max
32 p,1 -S/8 -Inch db. Un
64nch o c. at min. 2 -Inch lap and 64nch o c.
(Optional) SBS -
W -51 W-51
FlIntbstk SA NallBase
caps with 11 p. annular
In Tour, equally spaced, staggereda
center
SA
SBS -SA
•7-7S.0
ring thank nags
nowt
Min. 19/324nch plywood at max
32 p,1 -S/8 -Inch db. tin
4 -Inch o.c. at min. 2 -Inch lap and 44nch Oz.
(Optional) SBS.
W -S2
244nchspans
FIIMlastk SA NaDBase
caps with 11 p. annular
In Tour, equally spaced, staggered anter
SA
SBS.SA
-10SA
rhg shank nags
rows
HreleoStstssa:
Gbsbase; Flexlglas; Fllntbstk
32 P. l -S/8 Inch die. tin
W-53
Min. 19/32 -lac h exterior grade
Base 20; A8 Weather / Empire
caps wP. annular
94nch ac. at 4 -Inch by and 12anc h o c In
SBS -SA -H
SBS -AA, SBS•TA
A
phvmod at max. 244nch spans
Base; Poly SMS Base; Ultra Poly
ring shank ra
n gs
two, equally spaced, staggered center rows
or APP -TA
SMS Base
Gbsbase; Fledgbs; Fllntbstk
W-gg
Min. IS/32-Inch plywood at max
Base 20; AD Weather / Empire
Min. 1 -Inch long, 12 p.
64nch o c. at 3 -Inch lap and 64nch o.c. In
SBS-F1
SBS -AA, SBS -TA
•525
244nch spans
Base; Poly SMS Base; Ultra Poly
Slmpbx Motel Cap Nabs
four, equally spaced, staggered anter rows
or APP -TA
SMS Base
Min.19/32anch PNwood at max
Gbsbase; Flexigbs; FlInthstk
32 p, l -SPI -Inch db. tin�^�
o c. at 4 Inhcr by and 8 -Inch os. In
SBS -AA. SBS -TA
24 -Inch spans
Base 20; poly SMS Base; Ultra
caps with 11 ga. 'mm"
throe, equally spaced, staggered center rows
three,
SBS -SA -H
or APP -TA
-52S
Poly SMS Base
ring shank rolls
MIn.19 h plywood et max
Gbsbase; Flexlgbs; Flintbstic
32 p,1•S/8dnch die. Un
cent.
finchequ oc. at /-Inch by and 8 -ed
SBS -TA
W -S6
24 lrrh spans
spans
Base 20; Poly SMS Be., Ultra
ape wDh 11 p. annular
r
three, agwny spaced, staggered abler rows
c
S��*
or APP-
or APP -TA
-WA
Poly SMS Base
ring shank nags
MIn.19/32anch plywood at max
Gbsbace; Flexlglar FlIntbstic
32 p, l -5/8 -Inch db. tin
6 Inch o c. at 4 -Inch by and 6 Inch o c In
SOS -AA. SBS TA
W -S7
244nch sports
Bate 20; Poly SMS Base; Ultra
caps with p. annular
bur, equally spaced, staggered anter rows
SBS -H
'S
Poly SMS Bare
n
ring clank nails
Exterior Research and Design, U.C. d/b/a Trinityl ERD Evaluation Report 3520.03.04-R17 for FU533-1116
Certgkate of Authorlbtion 19503 Revision 17:02/04/2016
Prepared by. Robert Nbmlran, PE -59166 Appendh 1. Page 13 of 58
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product Florida Approval #
Description include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description(including
Florida Approval #
decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
Underla ments
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
n
5
L
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory Manufacturer Product Florida Approval #
Description include decimal
S. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name J 4n Kul I�
(Please Print)
June 2014
INSPECTION SEQUENCE
BP# 16-1590
ADDRESS: 115 Garrison Drive
BUILDING PERMIT
Min Max
Inspection Description
Footer / Setback
Stemwall
Slab / Mono Slab
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
10
Roof Dry In — In progress
Frame
Insulation Rough
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof (Com'l)
Building Ceiling Grid
1000
Final Roof
Final Stucco / Siding
Final Insulation
Final Firewall
Final Door
Final Window
Final Utility Building
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial —
Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
REVISED: June 2014
ELECTRICAL PERMIT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
Electric Rough
Pre -Power Final
Temporary Pole
Electric Final
Min Max Inspection Description
Rough Plumb
Plumbing Underground
Plumbing 2"d Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
Plumbing Final
MECHANICAL PERMIT
Min Max Inspection Description
Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Light / Water Test Ck Welds
Mechanical Grease Duct Wrap
Mechanical Final
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: l& — 15`96)
I, �1[-►itllfi7Z hereby acknowledge that I personally inspected
0/Roof deck nailing and/or ff Secondary water barrier work
at //S— (6+4��a60AJ 1k, 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.
� 3d l6
Signa a Contractor Date
Slo & et-COS7-30 8'
Printed game of Contractor / License #
l�J
License Type: 0 General 0 Building 0 Residential Roofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Swo affl)qmeand subscribed before me this 2E ay of 20/�, by
71 who is Personally Known to or has 0 Produced (type of 1
id cation) as identification.
(SEAL)
$l ature of Notary Public
Vii✓ i4 aC
AOCOMANDO
Print/Type/Stamp Name !'�'`"' ". JOHNSSIONtFF9
,.. .: MY COMMISSION I FF 822891
of Notary Public n EXPIRES: October 18. 2019
° tlMW Thou Nftq Pubic Undernnim
3