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Home My WebLink About217 Hays Dr. RECEIVED MAIC 2 a. 2016 CITY OF SANFORD BUILDING & FIRE PREVENTION rs $Y: (�_ C.B� PERMIT APPLICATION 505 { Application No: — Documented Construction Value: S '7000. 0 0 Job Address: 0?/ 7 14^X a %DQ • Jan/o,20 Historic District: Yes ❑ No [❑ ? trcel ID: J5 • / 9 .30 5aat • ODUO • 0090 Residential [a Commercial ❑ I'./ pe of Work: New ❑ Addition ❑ Alteration D Repair ❑ Demo ❑ Change of Use ElMove ❑ D.scription of Work: kc olC 00 7r • an Review Contact Person: A'40V 4Ocr"itc- Title: tone: V07.3dt� `/S$-� Fax: �i07 �.t�' 95�� Email:CrlwdlC/�Oo�i��S12 4t&&,)>�,- e6 Property Owner Information dame_ J4 6 QUd a.'do Phone: 1107a itreet: t?/7 /yGLySTt • Resident of property? t3, State Zip: t: ar •/�Oic,o ' �L 3 77 Contractor Information V_tme QtJGo c./L k0g .6,4 ff Phone: YV I I `i reet: 8 oc) I Gam ,,./ Fax: L/07 • ,3dU• State Zip: ado & State License No.: 61(_022- SV I Architect/Engineer Information T .ime: A JA Phone: A)A So-eet: Fax: C•f "St, Zip: 8,►nding Company: k, dress: E-mail: Mortgage Lender: Address: M 4RNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR '. kYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST III: 12:;(:'ORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN ?. NANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C')MMENCEMENT. \ )nlication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has cc mrnenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction 'n this jurisdiction. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, Yu maces, boilers, heaters, tanks, and air conditioners, etc. rI C 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51" Edition (2014) Florida Building Code ised- June 30, 2015 Permit Application J : 1 ICF:: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be 6 tnd in the public records of this county, and there may be additional permits required from other governmental entities such as water r . iagcment districts, state agencies, or federal agencies. ceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. f1 c --it), of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required i urJer to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. i v actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in t. -m-dance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value; -r %lit will be applied to your permit fees when the permit is issued. 01VIVER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all %ork will done in compliance 11th a plicable laws regulating construction an oning. I * iture of0%kn4MWt Aiate 5i9rd lureofCo for/Agent nate � n 'i v1)Aner/Age<s Name 512-`-f L ' cN Notary Public - State o1 Florida .••� p MARJORIE MARIE ADCOCK ' Notary Public - St:►e of Florida V ' Commlar Ion # FF 221706 •? My Comm. Expires Jul 29, 2016 %'��F•a;,°o?o' My Comm. Expires Apr 16, 2019 Commission # EE 220257 Bonded through National Notary Assn. �'•'� id'°, Bonded Or h National Notar Assn. J °•ner/Ag Contractor/Agent is Personally Known to Me or ' educed ID Type of ID Produced ID Type of ID _ BELOW IS FOR OFFICE USE ONLY P--rmits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑ -nstruction Type: F, tal Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: Flood Zone: # of Stories: N ,-w Construction: Electric - # of Amps Plumbing - # of Fixtures. J' re Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ A'ROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: C 034MENTS: FIRE: BUILDING: 5C S• 7.5• ►(o :.: 'ised• June 30, 2015 Permit Application CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION 300 N. PARK AVENUE SANFORD,, FLORIDA 32772 PHONE: 407.688.5150 FAx: 407.688.5152 PLAN REVIEW COMMENTS Application Number: 16-1505 Date: May 24, 2016 Contact Person: Contact Fax Number: Contact E-mail Address: adcockroofinglQbellsouth.net Project Description: Re -roof modified bitumen Job Address: 217 Hays Dr The following is a list of the areas of the submitted plans that contained violations of the codes adopted by the City of Sanford and enforced by the Building Division. The violations noted must be addressed before the plans can be approved. Changes to plans shall be submitted on the same size format as the original submittal. Changes to construction documents that require an Architect or Engineer's seal must be submitted with the appropriate seal. Provide two copies of affected plan sheets and/or supplemental information as requested. Provide two conies of affected Plan sheets and/or supplemental information as reauested. Permit submittals will not be accepted without two copies. COMMENTS: The specifications submitted is not Florida Product Approval — and only 1 copy was submitted. Two copies of Florida Product Approval are required Two copies of Installation Instructions (located within the Florida Product Approval) are required, with the applicable tables/system that will be used highlighted. Any error or omission in this plan review shall not be construed to grant approval of any violation of any of the adopted codes or municipal ordinances of this jurisdiction. Please direct any questions you may have to Steve Fiorey at 407-688-5065 or by E-mail at steve.fiorey(@sanfordfl.gov . Of rce meetings with the plans examiner will require an appointment, arranged by phone or email prior to arrival. Respectfully, Steve Fiorey Residential Plans Examiner 23 THIS INSTRUMENT PREPARED BY: Name: Adcock Roofing Address: 800 S. French Ave .Sanford. FL 32771 NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: MARYANNE MORSEr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 8693 Pq 1892 (iPgs) CLERK'S : 2016053833 RECORDED 05/24/2016 12:21:(!4 PI1 RECORDING FEES $10-00 RECORDED BY hdf•� pure Parcel ID Number: 35-19-30-522-OD00-0090 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: (Legal description of the property and street address if available) ��c J MANOR UNIT 3 PB 12 PG 76 GENERAL DESCRIPTION OF IMPROVEMENT: Re -Roof OWNER INFORMATION: Name. BUSSARD EDWARD L & JACQUELINE Address: 217 HAYS DR SAN D. FL 32771 Foo Simple Title Holder (if other than owner) CONTRACTOR: Name' Adcock Address. 800 S. French Ave., Sanford, FL 32771 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 dato 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 713.1:3, 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 WO RDI YOUR NOTICE OF COMMENCEMENT. Under penal ' eclare t have read the foregoing and that the facts stated in it are true to the le _ e and be ' /Owrers Siff re �_ Owner's Printed Name Flonda Slalule`11r`130)(g):' The ownerilmmi sign the notice of commencement and no one else may be permitted to sign in In; or her stend:' State of=%LG�2l,(Jy1 County ot�jll I The foregoing instrument was acknowledged before me this day'of _ 20 6 byWho Is personally known to me cl`i Name of person making statement OR who has produced IIdentification IJ type of identification produced: _ MARJORIE MARIE ADCOCK ;-'o , os Notary Public -Sure of Florida • My Comm. Expires Jul 29, 2016071% LA s.• '7zCommission # EE 220257 -- '— Notary Signature Bonded Through National Notary Assn. c CA2 S N L MAY 2 & 20% City of Sanford • aL�E- Roof Permit Application Checklist D BY: All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of a contract, signed by the contractor and the property owner, indicating the documented ,construction value of the project. Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). GtjA site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the pen -nit application as the contractor. O W/F, le Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). AJ A Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). For Re -Roof Permits other th asphalt shingle shake or wood shingle, please provide two (2) copies of Florida Product Appro d-INla u acturer Installation Instructions for the roof covering product and the underlayment. QContact person information entered in Naviline? Application forms stamped received and initialed? These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. Revised.• February 2015 D City of Sanford Roof Permit Application Checklist AN permit application packages must be complete prior to -acceptance. You must check each box to the efl• or indicate n/a on this submittal. A complete application package shall include the following: jBuilding Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. :I✓ Copy of applicable contractor's license issued by the State of,Florida (if the contractor is the applicant). .;/ A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. `.,� Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of / Florida (must be submitted with each application if contractor is the applicant). Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). l;wse guidelines ►vere compiled to assist the applicant in preparing a roof permit application and may not he c0liplele. The applicant is required to meet all City of Sanford, state, and federal code requirements. `;;::PA Parcel View: 35-19-30-522-OD00-0090 Oav1d Jdro•raa+. CFA Property Record Card 4 11hanutoFRTY Parcel: 35-19-30-S22-OD00-0090 `.4APPRA15M Owner: BUSSARD EDWARD L & JACQUELINE >�wOLeCOUNTV RJOM A Property Address: 217 HAYS DR SANFORD, FL 32771-4116 %:n cel: 35-19-30-522-OD00-0090 Property Address: 217 HAYS DR Owner: BUSSARD EDWARD L & JACQUELINE Mailing: 217 HAYS DR SANFORD, FL 32771 Subdivision Name. COUNTRY CLUB MANOR UNIT 3 Tax District: Sl-SANFORD Exemptions. 00 -HOMESTEAD (2009) DOR Use Code: 01 -SINGLE FAMILY Value Summary Tax Amount without SOH: $513.90 2015 Tax Bill Amount $299.96 Tax Estimator Save Our Homes Savings: $213.94 Does NOT INCLUDE Non Ad Valorem Assessments Lpal Description 2016 Working 2015 Certified Values Values Valuation Method Cost/Market Cost/Market 1 ��}--1--- Number of Buildings Depreciated Bldg Value $38,644 38,450 - Depreciated EXFT Value — i $200 $12,000 - - I $200 $12,000 Land Value (Market) Land Value Ag Just/Market Value s� $50,844 --- - ;50,650 — - — -- Portability Adj -- Save Our Homes Adj $10,827 ( $10,911 -- --- Amendment 1 Adj Assessed Value ;40,017 — ;39,739 Tax Amount without SOH: $513.90 2015 Tax Bill Amount $299.96 Tax Estimator Save Our Homes Savings: $213.94 Does NOT INCLUDE Non Ad Valorem Assessments Lpal Description 'r 9 BLK D i CLUB MANOR UNIT 3 12 PG 12 PG 76 axes —� axing Authority Assessment Value Exempt Values Taxable Value bunty General Fund clpols Ay Sanford �---------------- — ------•-�--- 540,017 $40,017 s40,017 i $25,000 $25,000 $25,000 $15,017 $15,017 $15,017 ,1lVM(Samt Johns Water Management) ;40,017 ;251000 1 ;15,017 bunty Bonds 540,017 ;25,000 $15,017 ales Wxription Date Book Page Amount Qualified VarJlmp VARRANTY DEED ,ROBATE RECORDS 0BATE RECORDS 4/1/2008 06983 1799 $108,000 Yes Improved 06787 0936 1 $100 No i Improved 06645 i 1794 $100 No Improved 8/1/2007 3/1/2007 id Comparable Sales within this Subdivision and i Nhod Frontage Depth Units Units Price Land Value Or 0 0 I 1 I $12,000.00 ;12,000 ulllding Information Description Year Built Actual/Effective Fixtures Base Area Total SF Living SF Ext Wall Ad) Value Repl Value Appendages FSINGLE AMILY 1 1960 j 5 972 ; 1,626 i 1,188 i CBONC LOCK i $38,644 I $61,830 I Description Area Pave I oi'2 li-.tr)://www.scpafl.org/ParcelDetaillnfo.aspx?PID=3519305220D000090 1 /27/2016 Florida Building Code Online RECORD COPY Page I of 2 Florida Dep rbyWd SCIS Home I Log In 1 user Registration I Mot Topics I Subm t Surcharge I stats & Fans I Publications I FBc Stan I SCIS Site Map I Links ; search I Busines(� Professi real ®Product Approval usea: Public user Regulation Product Approval Menu > Product or Applkatwn Search > Application List > Application Datall FL # Application Type Code Version Application Status Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By FL2533-R16 Revision 2014 Approved REVIEWED FOR CODE COMPLIANCE 4W PLANS EXAMINER p .Z.s.%V -- DATE CertainTeed Corporation -Roofing 18 Moores Road Malvern, PA 19355 (610) 651-5847 mark.d.harner@saint-gobain.com Mark Harrier mark.d.harner@saint-gobain.com Mark D. Harrier 18 Moores Road Malvern, PA 19355 (610) 651-5847 Mark.D.Harner@saint-gobain.com Roofing Modified Bitumen Roof System �00LDbyc SANFORD � #16-1505 Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Q Evaluation Report - Hardcopy Received Robert Nieminen SANFORD BUILDING DIVISION PE -59166 A PERMIT 156UED SHALL BE CONSTRUED TO BE A UL LLC LICENSE TO PROCEED WITH THE WORK AND NOT AS 07/03/2017 AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL John W. Knezevich, PE CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT Pi Validation Checklist - HardcopyTR§I:143MDING OFFICIAL FROM THEREAFTER REEO�UIRING A CORRECTION OF ERRORS IN PLANS. FL2533 R16 COI 2016 01 COICPN lnen CTION OR VIOLATIONS OF THIS CODE Standard Year ASTM D6162 2000 ASTM D6163 2000 ASTM D6164 2005 ASTM D6222 2008 ASTM D6509 2009 FM 4470 1992 FM 4474 2004 https://www.floridabui]ding.org/pr/pr app_dti.aspx?param=wGEVXQwtDgvwelwRFXRv... 5/24/2016 Florida Building Code Online Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FOC Approval Date Approved Summary of Products r Method 1 Option D 02/04/2016 02/15/2016 02/16/2016 04/12/2016 Page 2 of 2 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 NVNZ: No FL2533 R16 If 2016 02 FINAL Al ER CERTAINTEED MODBIT FL2533- R16.Ddf Approved for use outside NVNZ: Yes Impact Resistant: N/A Verified By: Robert Nieminen, PE PE -59166 Design Pressure: ;N/A/ -630 Created by Independent Third Party: Yes Other: 1.) Refer to ER Section 5 for Limits of Evaluation Reports Use. 2.) The design pressure noted in this FL2533 R16 AE 2016 02 FINAL ER CERTAINTEED MODBIT FL2533- application relates to one specific system. R16.Ddf Refer to the ER Appendix for all systems and Created by Independent Third Party: Yes max design pressures. Back Netil Contact Us :' 1940 North Monroe Street. Tallahassee FL 32399 Phone: 850.487.1824 The State of Florida is an WEED employer. Cooyrloht 2007.2013 State of Florida.:: Privacy Statement :' Accessibility Statement :: Refund Statement Under Flonda 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 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 4SS, F.S., please click bete . Product Approval Accepts: = W—W & -0 secur11 \'111 Tkll'Y https://www.floridabuilding.org/pr/pr app_dti.aspx?param=wGEVXQwtDgvweIwRFXRv... 5/24/2016 QOTRINITYIERD APPENDIX l: ATTACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE Table Deck Application Type Description Page 1A Wood New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 5-6 18 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 0 Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 10-12 IE -1 Wood New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 13-15 IE -2 Wood New, Reroof (Tear -Off) or Recover E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 16-17 1F Wood New or Reroof (Tear -Off) F Non -Insulated, Bonded Roof Cover 17 2A Steel or Conc. New, Reroof (Tear -Off) or Recover B Mech. Attached Base Insulation, Bonded Top Insulation, Bonded Roof Cover 18-20 2B Steel or Conc. New, Reroof (Tear -Off) or Recover C Mech Attached Insulation, Bonded Roof Cover 21-25 2C Steel or Conc. New, Reroof (Tear -Off) or Recover 0 Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 26.28 3A Concrete New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 29-36 36 Concrete New or Reroof (Tear -Off) A-3 Bonded Temp Roof/Vapor Barrier, Bonded Insulation, Bonded Roof Cover 37 3C Concrete New or Reroof (Tear -Off) F Non -Insulated, Bonded Roof Cover 37 4A LWIC New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 38-39 48 LWIC New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 40 4C LWIC New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 41-44 5A CWF New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 45 58 CWF New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 46 SC CWF New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 46 SO 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 66 Gypsum Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 50 6C Gypsum Reroof (Tear -Off) C Mech. Attached Insulation, Bonded Roof Cover 50 6D Gypsum Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 51 7A Various Recover A-1 Bonded Insulation, Bonded Roof Cover 52-58 78 Various Recover F Non -Insulated, Bonded Roof Cover 58 The following notes apply to the systems outlined herein: The roof system evaluation herein pertains to above -deck roof components. Roof decks shall be in accordance with FBC requirements to the satisfaction of the AHJ. Load resistance of the roof deck shall be documented through proper codified and/or FBC Approval documentation. Unless otherwise noted, fasteners and stress plates for insulation attachment shall be as follows. Fasteners shall be of sufficient length for the following engagements: i Wood Deck: OMG 014 Roofgrip with Flat Bottom Plate (Accutrac), OMG HO with OMG 3 in. Galvalume Steel Plate, Dekfast 1114 with Hex Plate or 3' Round Insulation Plate, Trufast HO with Trufast 3" Metal Insulation Plates or FlintFast 014 Fastener with FlintFast 3" Insulation Plates. Minimum 0.75 -inch plywood penetration or minimum 1 -inch wood plank embedment. 9 Steel Deck: OMG 1112 or 014 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG 012 Standard or HD with OMG 3 in. Galvalume Steel Plate, Dekfast 012 or #14 with Hex Plate or 3" Round Insulation Plate, Trufast OP or HO with Trufast 3" Metal Insulation Plates or FlintFast 012 or 014 Fastener with FlintFast 3" Insulation Plates. Minimum 0.75 -inch steel penetration and engage the top Flute of the steel deck. i Concrete Deck: OMG 014 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG HO or CO -10 with OMG 3 in. Galvalume Steel Plate, Dekfast 014 or DekSpike with Hex Plate or 3" Round Insulation Plate, Trufast HO or CF with Trufast 3" Metal Insulation Plates or Flintfast 014 Fastener with FlintFast 3" Insulation Plates. Minimum 1 -inch embedment. Fasteners installed with a pilot hole in accordance with the fastener manufacturers published installation instructions. Exterior Research and Design, LLC. d/b/a Trinity IERD Evaluation Report 3520.03.04-R17 for FL2S33-R16 Certificate of Authorization 09503 Revision 17:02/04/2016 Prepared by: Robert Nieminen, PE -59166 Appendix 1, Page 1 of 58 a, ��TRINITYJERD TABLE 10: WOOD DECKS— NEW CONSTRUCTION, REROOF (TEAR -OFF) OR RECOVER SYSTEM TYPE 0: PRELIMINARILY ATTACHED INSULATION, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER System Deck Insulation Layer(s) Base or Anchor Sheet Roof Cover MOP No. (See Note 1) (Psf) Type Attach Base Fasteners Attach Ply Cap SELF -ADHERING SYSTEMS: 8 -inch o.c. at min. 3 -inch lap and 8 - Min. 19/32 -inch Min. 1.5 -inch, One Prelim. inch o.c. in two, equally spaced, (Optional) W-32 plywood at max 24• or more layers, Attach Flintlastic SA NailBase See Note 2 staggered center rows; Stress plates 585•SA SBS -SA -82.5' inch spans any combination shall be primed with FlintPrime (ASTM D41) primer or FlintPrime SA Flintfast 3 in. Insulation Plates 6 -inch o.c. at min. 2 -inch lap and 6- Min. 15/32 -inch Min. 1.5 -inch, One with FlintFast #12 or #14; inch o.c. in three, equally spaced, W-33 plywood at max 24- or more layers, Prelim. Flintlastic SA NailBase Trufast 3" Metal Insulation staggered center rows; Stress plates (Optional) 585 -SA -97.5' inch spans any combination Attach Plates with DP or HD; OMG 3 shall be primed with FlintPrime SBS -SA in. Round Metal Plates with (ASTM D41) primer or FlintPrime SA. OMG #14 HO Flintfast 3 in. Insulation Plates 6 -inch o.c. at min. 2 -inch lap and 6- Min. 15/32 -inch Min. 1.5 -inch, One with FlintFast #12 or #14; inch o.c. in four, equally spaced, W-34 plywood at max 24- or more layers, Prelim. Flintlastic SA NailBase Trufast 3' Metal Insulation staggered center rows; Stress plates (Optional) 585 -SA •127.5' inch spans any combination Attach Plates with OP or HO.OMG 3 shall be primed with FlintPrime S8S-SA in. Round Metal Plates with (ASTM 041) primer or FlintPrime SA. OMG #14 HO HYBRID SYSTEMS: Flintfast 3 in. Insulation Plates 6 -inch D.C. at 4 -inch lap and 6 -inch Min. 15/32 -inch Min. 1.5 -inch, One Glasbase; Flexiglas; with FlintFast #12 or #14; o.c. in three, equally spaced, W-35 plywood at max 24- or more layers, Prelim. Flintlastic Base 20; Poly SMS Trufast 3" Metal Insulation staggered center rows; Stress plates SBS -SA -H SBS -AA, SBS- -97.5 inch spans any combination Attach Base; Ultra Poly SMS Base Plates with OP or HD; OMG 3 shall be primed with FlintPrime TA or APP -TA in. Round Metal Plates with (ASTM 041) primer or FlintPrime $A. OMG #14 HD Min. 19/32 -inch Min. 1.5 -inch, One Prelim. Glasbase; Flexiglas; 7 -inch o.c. at 3 -inch lap and 7 -inch S85 -AA, SSS - W-36 W -36 at max 24- or more layers, Attach Flintlastic Base 20; Poly SMS See Note 2 o.c. in three, equally spaced, SBS-SA•H TA or APP -TA -105.0 inch spans any combination Base; Ultra Poly SMS Base staggered center rows Flintfast 3 in. Insulation Plates 6 -inch o.c. at 4 -inch lap and 6 -inch Min. 15/32 -inch Min. 1.5 -inch, One Glasbase; Flexiglas; with FlintFast #12 or #14• o.c. in four, equally spaced, Prelim. Trufast 3" Metal Insulation SBS -AA, SBS - W-37 plywood at max 24- or more layers, Attach Flintlastic Base 20; Poly SMS Plates with OP or HD; OMG 3 staggered center rows; Stress plates 585 -SA -H TA or APP -TA -127.5 inch spans any combination Base; Ultra Poly SMS Base in. Round Metal Plates with shall be primed with FlintPrime (ASTM 041) primer or FlintPrime SA. OMG #14 HO CONVENTIONAL SYSTEMS: Exterior Research and Design, I.I.C. d/b/a Trinity IERD Evaluation Report 3520.03.04-R37 for F1.2533.1116 Certificate of Authorization #9503 Revision 17:02/04/2016 Prepared by: Robert Nieminen, PE -59166 Appendix 1, Page 10 of 58 QOTP..INITYIERD TABLE 1D: WOOD DECKS— NEW CONSTRUCTION, REROOF (TEAR -OFF) OR RECOVER SYSTEM TYPE 0: PRELIMINARILY ATTACHED INSULATION, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER System Deck Insulation Layer(s) Base or Anchor Sheet Roof Cover MOP Type Attach Base Fasteners Attach Ply Cap No. (See Note 1) (Psfl Min. 23/32 -inch Min. 1.5 -inch, One Glasbase; All 12 -inch stat at 4 -inch lap and 36 -inch BP -AA, SBS - W -38 exterior grade or more layers, Prelim. Weather/Empire Base; See Note 2 stag in two, equally spaced, AA, SBS -TA or SBS -AA, SBS - 30.0' plywood at max. 24- any combination Attach Flexiglas Base; Flintlastic staggered center rows APP -TA TA or APP -TA inch spans Base 20• Yosemite Min. 23/32 -inch Min. 1.5 -inch, One Glasbase; All 12 -inch o c, at 4 -inch lap and 24 -inch BP -AA, SBS - W 39 exterior grade or more layers, Prelim. weather/Empire Base; See Note 2 stat in two, equally spaced, AA, SBS -TA or SBS -AA, SBS - 45.0 plywood at max. 24- any combination Attach Flexiglas Base; Flintlastic staggered center rows APP -TA TA or APP -TA inch spans Base 20• Yosemite Min. 23/32 -inch Min. 1.5 -inch, One 12 -inch o c. at 4 -inch lap and 36 -inch BP -AA, SBS - w•40 exterior grade or more layers, Prelim. Poly SMS Base; Ultra Poly See Note 2 stat m two, equally spaced, AA, SBS -TA or SBS -AA, SBS - -45.0 plywood at max. 24- Attach SMS Base TA or APP -TA inch spans any combination staggered center rows APP -TA Flintfast 3 in. Insulation Plates Min. 15/32 -inch Min. 1.5 -inch, One Glasbase; Flexiglas; with Flintfast #12 or #14; 6 -inch stat at 4 -inch lap and 6 -inch (Optional) BP - W-41 plywood at max 24- or more layers, Prelim. Flintlastic Base 20; Poly SMS Trufast 3" Metal Insulation stat in three, equally spaced, AA, SBS -AA, SBS -AA, SBS - 97.5 Attach Base; Ultra Poly SMS Base; Plates with OP or H0; OMG 3 SBS -TA or TA or APP -TA inch spans any combination Yosemite in. Round Metal Plates with staggered center rows. APP -TA OMG #14 HD Min. 15/32 -inch Min. 1.S -inch, One 6 -inch o.c. at 4 -inch lap and 6 -inch W-42 plywood at max 24- or more layers, Prelim Flintlastic APP Base T OMG 3 in. Round Metal Plates o.c. in three, equally spaced, APP -TA APP -TA -97.S inch spans any combination Attach with OMG #14 HD staggered center rows. One or more Glasbase; Flexiglas; Flintfast 3 in. Insulation Plates Min. 15/32 -inch layers, any layers, Prelim. Base 20; All with FlintFast #14; Trufast 3" 8 -inch o.c. at 4 -inch lap and 8 -inch (Optional) BP - 585 -AA or W-43 plywood at max 24- Weather / Empire Base, O.C. at three (3) equally spaced, AA, SBS -AA or -97.5 inch spans thickness or Attach Poly SMS Base; Ultra Poly Metal Insulation Plates with staggered center rows S8S-TA SSS -TA combination Trufast HD SMS Base; Yosemite Mm19/32 -inch Min. 1.5 -inch, One Glasbase; Flexiglas;. 7 -inch stat at 3 -inch lap and 7 -inch BP -AA, SBS - W -44 plywood at max 24- or more layers, Prelim. Flintlastic Base 20; Poly SMS See Note 2 o.c. in three, equally spaced, AA, 585 -TA or SBS -AA, SBS- -105.0 inch spans any combination Attach Base; Ultra Poly SMS Base; staggered center rows APP -TA TA or APP -TA Yosemite Min. 19/32 -inch Min. 1.5 -inch, One Prelim. OMG 3 in. Round Metal Plates 7 -inch o.c. at 3 -inch lap and 7 -inch W-45 plywood at max 24- or more layers, Flintlastic APP Base T with OMG #14 HD or Oekfast stat in three, equally spaced, APP -TA APP -TA -105.0 inch spans any combination Attach Hex Plate with Dekfast #14 staggered center rows Exterior Research and Design, I.I.C. d/b/a Trinity I ERD Evaluation Report 3520.03.04•R17 for FL2533-R16 Certificate of Authorization #9503 Revision 17:02/04/2016 Prepared by: Robert Nieminen, PE -59166 Appendix 1, Page 11 of 58 IN,NTINITYIERD TABLE 10: WOOD DECKS—NEW CONSTRUCTION, REROOF (TF.AR-OFF) OR RECOVER SYSTEM TYPE D: PRELIMINARILY ATTACHED INSULATION, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER System Deck Insulation La er(s) Y Base or Anchor Sheet Roof Cover MDP No. (See Note 11 Type Attach Base Fasteners Attach Ply Cap (Psf) Flintfast 3 in. Insulation Plates Min. 15/32 -inch Mm. 1.5 -inch, One Glasbase; Flexiglas; with FlontFast 1112 or #14; 6 -inch o.c. at 4 -inch lap and 6 -inch (Optional) BP - W-46 plywood at max 24- or more layers, Prelim. Flintlastic Base 20; Poly SMS Trufast 3" Metal Insulation O.C. in four, equally spaced, AA, SBS -AA, SBS -AA, 585- -127.5 Attach Base; Ultra Poly SMS Base; Plates with DP or HD; OMG 3 SBS -TA or TA or APP -TA inch spans any combination Yosemite in. Round Metal Plates with staggered center rows. APP -TA OMG #14 HD Min. 15/32 -inch Min. 1.5 -inch, One 6 -inch o.c. at 4 -inch lap and 6 -inch B,WA470" �, • s.plywood at max 24- or more layers, Prelim. Flintlastic APP Base T OMG 3 in. Round Metal Plates o•c. in four, equally spaced, APP -TA APP -TA -127.5 inch spans any combination Attach with OMG 1114 HD staggered center rows. Exterior Research and Design, I.I.C. d/b/a Trinity I ERD Evaluation Report 3520 03.04-1117 for F12 5 3 3-1116 Certificate of Authorization 0503 Revision 17: 02/04/2016 Prepared by: Robert Nieminen, PE -59166 Appendix 1, Page 12 of 58 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit ''• mit#: 1 b" ISO S , ._AAJ 0r6teJ &dnt,->C�P"L hereby acknowledge that I personally inspected Roof deck nailing and/or 0 Secondary water barrier work -.11 !9-/I k�a vJ- be. d a1.v In2n _ 4'L �A77 /and have determined that the work (Job Site Address) / .4,.ts clone according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) vertify that my statements herein are true and accurate to the best of my belief and that 1 fully .t ,derstand that making any false statements in writing with the intent to mislead a public servant in tate ;D rlormance of ' or he official duty shall constitute a misdemeanor of the second degree pursuant to > :tion 837. S. Imatyttlo-f Contractor A— i' inted Name of Contractor Date Ctcuzzsdl License # cense Type: U General U Building C_] Residential L7 Roofing Contractor :>,• any individual certified in accordance with F.S. 468 to make such an inspection. 'ATE OF FLORIDA COUNTY OF C"&ip/+ tit-orn to (or affirmed) and subscribed before me this v? 7— day of [Tc ,f , 20 by who is f�rsonally Known to me or has Produced (typeof cation) as identification. (SEAL) .,5 nat a of N ry Public a e of Florida C�(mv►t� �L�S DONALD RASH -� . gar o �� P -int/Type/StampName �'" `•' :� `t•% Notary Public •State of Florida of Notary Public = c Commission f FF 221706 M y Comm. Expires Apr 16.2019 Banded bough National Notary Asan. 91