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Home My WebLink About100 Wilkins CirCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: GJ-1)_1 Documented Construction Value: $ 0 Job Address: E 114 C i Historic District: Yes No G Parcel ID: Residential Q Commercial Type of Work: New ff Addition Alteration Repair Demo Change of Use Move Description of Work: ape 906 P lF1G-t Plan Review Contact Person: "A` J Phoneme1-q 373 Wye Fax: vie U e Title: Email: i Property Owner Information _ Name DU()LVV— Phone: q,) f 3 73 TD 5 Street: LO U Resident of property? City, State Zip: Sxn Lid 9 2,7 7 1 Contractor Information Name Phone: Street: Fax: City, State Zip: / State License No.: Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: 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: 511 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application o5 A NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe 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 ,aotify the owner of the property of the requirements of Florida Lien Law, FS 713. T. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will bDeddone in complianc with all applicable laws regulating construction and zoning. CD - 2016 Signature of Owner/Agent Date Signature of Contractor/Agent Date yn p Print-Owner/Agent's Name Signature of Notary -State of Florida _ _ _ _Pak ANNETTE SCOTT Notary Publk - State of Florida My Comm. Expires Jan 16, 2018 Commis11a1 f FF 071760 Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Ag ""'- """'""" ; Contractor/Agent is Personally Known to Me or Produced ID Type of ID L Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg; Occupancy Use: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads I Fire Alarm Permit: Yes No APPROVALS: ZONING: ENGINEERING: C-ONEVVIEN —8- UTILITIES: WASTEWATER: BUILDING: 5F 10-1I -!4e, Revised: June 30, 2015 Permit Application I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850-487-1395 or at. www.myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint..Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the status of the.. contractor's, workers' compensation coverage. Property Address: `'vC/ 6 ` I t 2-7 1 I, d/ o do hereby state that I am qualified and capable forming t quested construction involved with the permit application filed and agree to the condition pecifi d abov io Cayzd Signature of Owner -Builder Date Form of Identification Must be Photo ID) A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person" performing work -that requires licensufe under the permit issued. Rev. 9.14.2009 OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a 09 license. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within in 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom 1 employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform -the work being done.- Any -person working -on -my -building who Is notlicensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 SCPA Parcel View: 35-19-30-520-0000-0010 Page 1 of 2 I&SWIPMA Parcel: Owner: Property Address: Parcel Information Property Record Card 35-19-30-520-OC 00-0010 PETERSON JAIME B & BRODIE JAMES H III 100 WILKINS CIR SANFORD, FL 32771-4123 II Value Summary Parcel 35-19-30-520-0 C 00-0010 Owner PETERSON JAIME B & BRODIE JAMES H III Property Address 100 WILKINS CIR SANFORD, FL 32771-4123 Mailing 100 WILKINS CIR SANFORD, FL 32771 Subdivision Name COUNTRY CLUB MANOR UNIT 1 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2013) 2016 Working 2015 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 58,160 54,936 Depreciated EXFT Value i $600 600 Land Value (Market) 10,500 12,000 Land Value Ag Just/Market Value $69,260 67,536 Portability Adj Save Our Homes Adj mm' 13,448 1 $12,112 Amendment 1 Adj P&G Adj 0 0 Assessed Value 55,812 55,424 Tax Amount without SOH: $646.44 2015 Tax Bill Amount $551.37 Tax Estimator Save Our Homes Savings: $95.07 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 1 BLK C COUNTRY CLUB MANOR UNIT 1 PB 11 PG 35 Taxes._._. Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 55,812 $30,812 25,000 Schools 55 812 $25,000 30,812 City Sanford 55,812; $30,8-1-2--- 25,000 SJWM(Saint Johns Water Management) 55,812 i $30,812 25,000 County Bonds 55,812 $30.812 25,000 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 5/1/2010 107388 1 1207 38,000 No Improved CERTIFICATE OF TITLE 12/14/2009 07304 100 N- o12582 Improved WARRANTY DEED 12/1/2004 1 05550 10233 130,000 Yes 1 Improved WARRANTY DEED 1/1/1975 01040 1804 17,500 I Yes 1 Improved t Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT 0.00 0.00 1 $10,500.00 $10,500 Building Information Year Built Description Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Ad/ Value Repl Value Appendages Actual/Effective _ 1 1958 1 81 4 2.5 720 2,267 2,1837 — $58,160 $96,933 Description Area http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=3519305200C000010 10/10/2016 OMB No. 2502-0265 T` iaiii Tt°` A. Settlement Statement (HUD- l ) I B. Type of Loan 1. OFHA 2. CPHS 3. C3Conv Unins 4. OVA 5. OConv Ins. 6. O4eller Fin 7. Dash Sale. 6. File Number 16-1724 7. Loan Number 8.'Mortgage Ins Case Number C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked o.c. " were paid outside the closin • they are shown here for informational purposcs and are not !included in the totals. D. Name & Address of Borrower Duane Deboer 2978 Mystic Cobe Orlando, FL 3AS12 E. Name & Address of Seller Jaime B. Peterson and James 2468 Albury Ave Deltona, FL 32738 H. Brodie III F. Name & Address of Lender CASH CLOSING G. Property Location 100 Wilkins Ciro le, Sanford, FL 32771, Lot 1, Block C, SeminLe County 100 Wilkins Circle Sanford, FL 32771 H. Settlement Agent Name Network Closing Services, Inc. 7651A Ashley Park Ct., Ste. 401 Orlando, FL 32835 866-294-4100 Underwritten By: Chicago Title Insurance Company 1. Settletr ent Date 10/5/201 Fund: 10 5/7016 Place of Settlement Network. Closing Services, Inc. 1651-A Ashley Park Court 9401 Orlando, FL 32835 K.Summary 400. 401. 402. 403. 404. 405. Adjustments 406. 407. 408. 400. 41U. 411. 412. 413. 414. 415. 416. 500. of Seller's TransactionJ. Summary of Borrower's Transaction 100. Gross Amount Due from Borrower Gross Amount Due to Seller 101. Contract sakes price 50,000.00 Contract sales price 50,000.00 102. Personal property Personal property 103. Settlement charges to borrower 1,826.53 104. Assignment Fee to Community Legacy Developers, 15,000.00 105. Adjustments for items paid by seller in advance for items paid by seller in advance 106. City property taxes City property taxes 107, County property taxes County property taxes 108. Assessment Taxes Assessment Taxes 109. School property taxes School property taxes 110. HOA Dues HOA Dues 111. Flood Insurance Flood Insurance 112. 113. 114. 115. 116. 120. Gross Amount Due From Borrower 66 826.53 420. Gross Amount Due to Seller 50,000.00 200. Amounts Paid By Or in Behalf Of Borrower Reductions in Amount Due to Seller 201. Deposit or earnest money 2,000.00 501. Excess deposit (see instructions) 202. Principal amount of new loan(s) 502. Settlement charges to seller (line '1400) 203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to 204. 504. Payoff of first mortgage loan 205. 505. Payoffofsecond mortgage loan 206. 506. 207. 507. (EMD $2,000 Disbursed as Proceeds) 208. 508. 209. 509. Adjustments for items unpaid by seller Adjustments for items unpaid by seller 210. City property taxes 510. City property taxes 211. County property taxes 511. County property dazes 212. Assessment Taxes 512. Assessment'Taxes 213. School property taxes 513. School property taxes 214. HOA Dues 514. HOA Dues 215. Flood Insurance 515. Flood Insurance 216. 516. 217. 517. 218. 518. 219. 519: 220. Total Paid By/For Borrower 2 000.00 520. Total Reduction k mount Due Seller 0.00 300. Cash At Settlement From/To Borrower 600. Cash At Settlement To/From Seller 301. Gross Amount due from borrower (line 120) 66,826.53 661. Gross Amount dug to seller (line 420) 50,000.00 302. Less amounts paid by/for borrower (line 220) 2,000.00 602. Less reductions inj amt. due seller (line 520) 0.00 303. Cash From Borrower 64,826.53 603. Cash To Seller j1 50,000.00 The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data. This agency may not collect this information, and you are not required to complete this form, unless it (displays a currently valid OMB control number. No confidentiality is assured: this disclosure is mandatory. This is designed to provide the parties to a RF..SPA covered transaction with information during the settlement process. POC (B) - Paid Outside of Closing by Borrower. POC (S) - Paid Outside of Closing by Seller. POC (L) - Paid Outside of Closing by Lender. Previous editi ns are obsolete Page 1 of 5! HUD-1Q File No. 16.1724 DATE:10/04/2016 File No. 16-1724 I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge'and belief, it is a true and accurate statement of all receipts and disbursements madgory my account or in this transaction. I further certify that I have !received a completed copy of pages 1, 2 and 3 of this HUD-1 Settlement Statement, Duane De oe v ` Jaime B. Peterson SETTLEMENT AGENT CERTIFICATION The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this t I have caused the funds to be disbursed in .cr. accordance wit ent, c James iodie III Settl n ntnt Date Warning: It is. a crime to•k owtngly ke false statements to the United States on this or any other simil f allies upon conviction can include a fine and imprisonment. For Tetit Title 18 U.S. Code Section 1001 and Section 1010. Previous editions are obsolete Page 4 of 5 HUD-1 File No. 16-1724 DATE:10/04/2016 Quote Date 0/10/2016 LE 15 RO B. RO 15 PC 1 EA Sunnfl6d Sanford 1735 Si. Rd. 419 Longwood, FL 32750 Office: (407) 322-2421 Fax: (407) 324-4421 W Email: SanfordR, unnilandCc WOM SANFORD CASH SALES Sale bA FORD 523213 523220 543806 99998 401 05-755 Contact NumberSHIP:. 10/10/2016 15 8 15 1 86.00 1,290.00 93.00 744.00 7.15 107.25 35.00 35.00 Sub Total Tax Grand Total 2,176.25 $149.89 $2,326.14 deliver and roof load the materials. If roof load is tooeveryattemptwillbemadetodel. cote is valid for ,p.A*S-::Ydehvery is included in price quote, eve All deliveriesdifficultortoodangerous, materials will be delivered curbside. If more than one deliver apply. y is required, additional charges may are made at the customers risk including, but not limited to, damages to sidewalks, driveways, buildings, trees, shrubbery, lawns, and septic ranks. 11 items are sold as is and without express or implied warranty by Sunniland, ('including but not limited to warranties for fitness or merchantability. i Returns must be approved by sunniland and are subject to a 20% Restocking fee. In the event of dispute, venue shall be in Seminole County, FL J Page 1 of 2 RECORD COPY q bIVA BCIS Home Log In User Registration Hot Topics Submit Surcharge ',, Stats & Facts Publications ( FBC Staff I BCIS Site Map Links Search FIOnda I Product Approvalp6 .USER: Public User Product Approval Menu > Product or Apolication Search > Application List > Application Detail SANFORD BUILDING DIVISION FL # FL2533-R16 A PERMIT ISSUED SHALL BE CONSTRUED TO BE AApplicationTypeRevision 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 CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT 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 Mark Harper mark.d.harner@saint-gobain.com REVIEWED FOR C E COMPLIANCE Technical Representative Mark D. Harner Address/Phone/Email 18 Moores Road PLA S XAMINER Malvern, PA 19355 tQ it t t I _ 610) 651-5847 DMark.D.Harner@saint-gobain.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 Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received P\_DIA/o Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report SANFORD Florida License PE-59166 FPA,R(NGQualityAssuranceEntityULLLC Quality Assurance Contract Expiration Date 07/03/2017 Validated By John W. Knezevich, PE r o0ValidationChecklist - Hardcopy Received Certificate of Independence FL2533 R16 COI 2016 01 COI Nieminen.Ddf Referenced Standard and Year (of Standard) Standard Year ASTM D6162 2000 ASTM D6163 2000 ASTM D6164 2005 ASTM D6222 2008 ASTM D6509 2009 FM 4470 1992 FM 4474 2004 Equivalence of Product Standards Certified By 10/11/2016 Page 2 of 2 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 Flintlastic Modified Bitumen Modified Bitumen Roof Systems Roof Systems Limits of Use Installation Instructions Approved for use in HVHZ: No FL2533 R16 II 2016 02 FINAL Al ER CERTAINTEED MODBIT FL2533- R16.DdfApprovedforuseoutsideHVHZ: 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- R16.1)dfapplicationrelatestoonespecificsystem. Refer to the ER Appendix for all systems and Created by Independent Third Party: Yes max design pressures. Back Next Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. -Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: Credit Card Safe 10/11/2016 QOTRINITYIERD AP,PENDIXS,ATTACHMENTREQUIREMENTS'FOR WINDUPLIFT 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 D Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 10-12 1E- 1 Wood New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 13-15 1E- 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 D 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 3B 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 4B 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 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 6D Gypsum Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 51 7A Various Recover A-1 Bonded Insulation, Bonded Roof Cover 52-58 7B Various Recover F Non -Insulated, Bonded Roof Cover 58 The following notes apply to the systems outlined herein: 1. The roof system evaluation herein pertains to above -deck roof components. Roof decks shall be in accordance with FBC requirements to the satisfaction of the AH1. Load resistance of the roof deck shall be documented through proper codified and/or FBC Approval documentation. 2. Unless otherwise noted, fasteners and stress plates for insulation attachment shall be as follows. Fasteners shall be of sufficient length for the following engagements: Wood Deck: CMG #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: OMG #12 or #14 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG #12 Standard or HD with CMG 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-R17 for FL2533-R16 Certificate of Authorization #9503 Revision 17: 02/04/2016 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 1 of 58 4 TRINITY I ERA 3. Unless otherwise noted, insulation may be any one layer or combination of polyisocyanurate, polystyrene, wood fiberboard, perlite, GlasRoc Roof Board or gypsum -based roof board that meets the CIA requirements of F.A.C. Rule 61G20-3 and is documented as meeting FBC 1505.1 and, for foam plastic, FBC 2603.4.1 or 2603.8, when installed with the roof cover. 4. Minimum 200 psi, minimum 2-inch lightweight insulating concrete may be substituted for rigid insulation board for System Type D (mechanically attached base sheet, bonded roof cover), whereby the base sheet fasteners are installed through the LWIC to engage the structural steel or concrete deck. The structural deck shall be of equal or greater configuration to the steel and concrete deck listings. 5. Unless otherwise noted, insulation adhesive application rates are as follows. Ribbon or bead width is at the time of application; the ribbons/beads shall expand as noted in the manufacturer's published instructions. Hot asphalt (HA): Full coverage at 25-30 Ibs/square Ashland Pliodeck (A-PD): Continuous 0.75 inch wide ribbons, 12-inch o.c. Ribbons of subsequent layers shall be perpendicular to those in the layer below. Dow Insta-Stik (D-IS): Continuous 0.75 to 1 inch wide ribbons, 12-inch o.c. Dow Spray-N-Grip (D-SG): Full coverage Millennium One Step Foamable Adhesive (M-OSFA): Continuous 0.25 to 0.5-inch wide ribbons, 12-inch o.c. Millennium PG-1 Pump Grade Adhesive (M-PG1): Continuous 0.5 to 0.75-inch wide ribbons, 12-inch o.c. OMG OlyBond 500 or OlyBond Green (OB500): Continuous 0.75-inch wide ribbons, 12-inch o.c. (PaceCart or SpotShot) 3M CR-20: Continuous 2.5 to 3-inch wide ribbons, 12-inch o.c. (Note: TITESET may be used where CR-20 is referenced). Note: When multiple layers(s) of insulation and/or coverboard are installed in ribbon -applied adhesive, adhesive ribbons shall be staggered from layer -to -layer a distance of one-half the ribbon spacing. Note: The maximum edge distance from the adhesive ribbon to the edge of the insulation board shall be not less than one-half the specified ribbons spacing. 6. Unless otherwise noted, all insulations are flat stock or taper board of the minimum thickness noted. Tapered polyisocya nu rate at the following thickness limitations may be substituted with the following Maximum Design Pressure (MDP) limitations. In no case shall these values be used to 'increase' the MDP listings in the tables; rather if MDP listing below meets or exceeds that listed for a particular system in the tables, then the thinner board listed below may be used as a drop -in for the equivalent thicker material listed in the table: Ashland Pliodeck (A-PD) @ 12-inch o.c. MDP -105.0 psf (Min. 1.0-inch) Ashland Pliodeck (A-PD) @ 6-inch o.c. MDP -277.5 psf (Min. 1.0-inch) Dow Insta-Stik (D-IS): MDP -120.0 psf (Min. 1.0-inch) Millennium One Step Foamable Adhesive (M-OSFA): MDP 157.5 psf Min. 1.0-inch) Millennium PG-1 Pump Grade Adhesive (M-PG1): MDP 157.5 psf Min. 1.0-inch) OMG OlyBond 500 (013500): MDP 45.0 psf Min. 0.5-inch Multi -Max FA3) OMG OlyBond 500 (OB500): MDP 187.5 psf Min. 0.5-inch ISO 95+GL) OMG OlyBond 500 (013500): MDP 315.0 psf Min. 0.5-inch ENRGY 3) OMG OlyBond 500 (013500): MDP 487.5 psf Min. 0.5-inch ACFoam II) 3M CR-20: MDP 117.5 psf Min. 1.0-inch) 7. Bonded polyisocya n u rate insulation boards shall be maximum 4 x 4 ft. 8. For mechanically attached components or partially bonded insulation, the maximum design pressure for the selected assembly shall meet or exceed the Zone 1 design pressure determined in accordance with FBC Chapter 16, and Zones 2 and 3 shall employ an attachment density designed by a qualified design professional to resist the elevated pressure criteria. Commonly used methods are RAS 117 and FM LPDS 1-29. Assemblies marked with an asterisk* carry the limitations set forth in Section 2.2.1.5.1(a) of FM LPDS 1-29 for Zone 2/3 enhancements. 9. For fully bonded assemblies, the maximum design pressure for the selected assembly shall meet or exceed critical design pressure determined in accordance with FBC Chapter 16, and no rational analysis is permitted. 10. For mechanically attached components over existing decks, fasteners shall be tested in the existing deck for withdrawal resistance. A qualified design professional shall review the data for comparison to the minimum requirements for the system. Testing and analysis shall be in accordance with TAS 105 or ANSI/SPRI FX-1. Exterior Research and Design, LLC. d/b/a Trinity) 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 2 of 58 QOTRINITYIER'D 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. CERTAIN_TEED FLINTSTIC® MODIFIED BITUMEN COMPONENTS H APPUCATION'METHODS = "" a }i Reference Layer Material Application BP -AA Base Glasbase; All Weather/Empire Base; Flexiglas Base; Flintlastic Base 20 Base and Ply sheets, Asphalt- Hot asphalt at 20-40 Ibs/square Applied) Ply Flintglas Ply Sheet Type IV; Flintglas Premium Ply Sheet Type VI BP AA2 Hot asphalt in 24-inch diameter spots in 30- Base, Spot -Asphalt -Applied) Base Yosemite Venting Base inch grid pattern BP AA3 Hot asphalt in 9-inch diameter spots in grid Base, Spot -Asphalt -Applied) Base Yosemite Venting Base pattern noted herein. BP-AA4 Hot asphalt in 9-inch wide ribbons spaced Base, Strip -Asphalt -Applied) Base Yosemite Venting Base as noted herein. BP-CA2 Base/Ply Glasbase; All Weather/Empire Base; Flexiglas Base; Flintlastic Base 20 Henry #903 Adhesive at 1.5 gal/square Millennium Hurricane Force Membrane BP-CA3 Base/Ply Glasbase; All Weather/Empire Base; Plexiglas Base; Flintlastic Base 20 Adhesive, beads spaced 6-inch o.c. Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS BaseSBS-AA SBS, Asphalt -Applied) Hot asphalt at 20-40 Ibs/squareFlintlasticCap30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual Cap Cap; Flintlastic FR-P; Flintlastic FR-P CoolStar; Flintlastic Premium FR-P; Flintlastic Premium FR-P CoolStar; Flintlastic GMS; Flintlastic GMS CoolStar; Flintlastic Premium GMS; Flintlastic Premium GMS CoolStar Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base SBS-CA1 FlintBond Brush or Karnak No. 81 Cold Note: Base ply cures overnight prior to application of the cap ply. Process Modified Bitumen Adhesive Brush Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual Cap; Flintlastic FR-P; Flintlastic FR-P CoolStar; SBS, Cold -Applied) Grade at 1 gal/squareCapFlintlasticPremiumFR-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 Base SBS-CA2 SBS, Cold -Applied) Henry #903 Adhesive at 1.5 gal/square. Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual Cap Cap; Flintlastic FR-P; Flintlastic FR-P CoolStar; Flintlastic Premium FR-P; Flintlastic Premium FR-P CoolStar; Flintlastic GMS; Flintlastic GMS CoolStar; Flintlastic Premium GMS; Flintlastic Premium GMS CoolStar Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base SBS-CA3 Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base Millennium Hurricane Force Membrane Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR DualSBS, Cold -Applied) Adhesive, beads spaced 6-inch o.c. Cap Cap; Flintlastic FR-P; Flintlastic FR-P CoolStar; Flintlastic Premium FR-P; Flintlastic Premium FR-P CoolStar; Flintlastic GMS; Flintlastic GMS CoolStar; Flintlastic Premium GMS; Flintlastic Premium GMS CoolStar Exterior Research and Design, LLC. d/b/a Trinity I ERD Evaluation Report 3520.03.04-1317 for FL2533-R16 Certificate of Authorization #9503 Revision 17: 02/04/2016 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 3 of 58 TTRINITYIER'D a '. BITUMEN.COMPONENTS&APPLICATION',METHODS`(CONTINUED)I-,`., 7ks- _ ,* CERAiNTEEDfLINTLASTIC,MODIFIED 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 Cap Flintlastic FR Cap 30 T; Flintlastic FR Cap 30 T CoolStar; Flintlastic GTS; Flintlastic GTS CoolStar; Flintlastic GTS-FR; Flintlastic GTS-FR CoolStar; FlintClad Base Flintlastic APP Base T; Flintlastic STA; Flintlastic STA Plus APP-TA Cap Flintlastic STA; Flintlastic STA Plus; Flintlastic GTA; Flintlastic GTA CoolStar; Flintlastic GTA-FR; Flintlastic GTA-FRAPP, Torch -Applied) Torch -Applied CoolStar SBS-SA-H SBS, Self -Adhering, Hybrid Base/Ply Black Diamond Base Sheet; Flintlastic Ultra Glass SA Self -Adhering Systems) Base Flintlastic SA PlyBase; Flintlastic SA Mid Ply SBS-SA Self -AdheringPlyFlintlasticSAPlyBase; Flintlastic SA Mid Ply SBS, Self -Adhering) 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. Exterior Research and Design, LLC. d/b/a Trinity) 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 4 of 58 TABLE 1E-1: WOOD DECKS —NEW CONSTRUCTION OR REROOF (TEAR -OFF) SYSTEM TYPE E: NON -INSULATED, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER System Deck I Base Sheet I Roof Cover No. See Note 1) MIDP (psf) Base Fasteners Attach Ply Cap ELF, -ADHERING STEM j': 4, I ysnX Min. 15/32-inch plywood at max Min. 1-inch long, 12 ga. 6- inch o.c. at min. 2-inch lap and 6-inch o.c. Optional) SBS- W- 48 24- inch spans Flintlastic SA NailBase Simplex Metal Cap Nails in four, equally spaced, staggered center SA SBS- SA 52.5 rows Min. 19/32-inch plywood at max. 32 ga., 1-5/8-inch dia. tin 8-inch o.c. at min. 2-inch lap and 8-inch o.c. Optional) SBS- W- 49 24- inch spans Flintlastic SA NailBase caps with 11 ga. annular in three, equally spaced, staggered center SA SBS- SA 52.5 ring shank nails rows Min. 19/32-inch plywood at max. 32 ga., 1-5/8-inch dia. tin 8-inch o.c. at min. 2-inch lap and 8-inch o.c. Optional) SBS- W- 50 Flintlastic SA NailBase caps with 11 ga. annular in three, equally spaced, staggered center SBS-SA 60.0 24- inch spans ring shank nails rows SA Min. 19/32-inch plywood at max 32 ga., 1-5/8-inch dia. tin 6-inch o.c. at min. 2-inch lap and 6-inch o.c. Optional) SBS- W- 51 Flintlastic SA NailBase caps with 11 ga. annular in four, equally spaced, staggered center SBS-SA 75.0 24- inch spans ring shank nails rows SA Min. 19/32-inch plywood at max 32 ga., 1-5/8-inch dia. tin 4-inch o.c. at min. 2-inch lap and 4-inch o.c. Optional) SBS- W- 52 24- inch spans Flintlastic SA NailBase caps with 11 ga. annular in four, equally spaced, staggered center SA SBS- SA 105.0 ring shank nails rows HYBRID SYSTEMS: Glasbase; Flexiglas; Flintlastic 32 ga., 1-5/8-inch dia. tin W- 53 Min. 19/32-inch exterior grade Base 20; All Weather/ Empire caps with 11 ga. annular 9- inch o.c. at 4-inch lap and 12-inch o.c. in SBS- SA-H SBS- AA, SBS-TA 45. 0* plywood at max. 24-inch spans Base; Poly SMS Base; Ultra Poly ring shank nails two, equally spaced, staggered center rows or APP-TA SMS Base Glasbase; Flexiglas; Flintlastic Min. 15/32-inch plywood at max Base 20; All Weather / Empire Min. 1-inch long, 12 ga. 6-inch o.c. at 3-inch lap and 6-inch o.c. in SBS-AA, SBS-TA W- 54 24- inch spans Base; Poly SMS Base; Ultra Poly Simplex Metal Cap Nails four, equally spaced, staggered center rows SBS- SA-H or APP-TA 52. 5 SMS Base Min. 19/32-inch plywood at max Glasbase; Flexiglas; Flintlastic 32 ga., 1-5/8-inch dia. tin 8- inch o.c. at 4-inch lap and 8-inch o.c. in SBS-AA, SBS-TA W- 55 24- inch spans Base 20; Poly SMS Base; Ultra caps with 11 ga. annular three, equally spaced, staggered center rows SBS- SA-H or APP-TA 52. 5 Poly SMS Base ring shank nails Min. 19/32-inch plywood at max Glasbase; Flexiglas; Flintlastic 32 ga., 1-5/8-inch dia. tin 8- inch o.c. at 4-inch lap and 8-inch o.c. in SBS-AA, SBS-TA W- 56 24- inch spans Base 20; Poly SMS Base; Ultra caps with 11 ga. annular three, equally spaced, staggered center rows SBS- SA-H or APP-TA 60. 0 Poly SMS Base ring shank nails Min. 19/32-inch plywood at max Glasbase; Flexiglas; Flintlastic 32 ga., 1-5/8-inch dia. tin 6- inch o.c. at 4-inch lap and 6-inch o.c. in SBS-AA, SBS-TA W- 57 24- nch spans Base 20; Poly SMS Base; Ultra caps with 11 ga. annular four, equally spaced, staggered center rows SBS- SA-H or APP-TA 82. 5 Poly SMS Base ring shank nails Exterior Research and Design, LLC. d/b/a Trinity I ERD Certificate of Authorization #9503 Prepared by: Robert Nieminen, PE-59166 Evaluation Report 3520.03.04-1117 for FL2533-R16 Revision 17: 02/04/2016 Appendix 1, Page 13 of 58 CL , CITY OF SANFGRD-BUILDING SERVICES residential Re -Roof Hurricane Mitigat)on nspect-ion affidavit Permit I, :i j6\ hereby acknowledge that I personally inspected Roof deck nailing and/or Secondary water barrier work r at 700 w jlC: n s C r 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,that,7 fully understand that making anv false statements in writing with the intent to mislead a public servant n the performance of his or her of ial duty shall constitute a misdemeanor of the second degree pursuant to SectiopIM7.06 F.S. j5=,dl6, Si tore of Contractor Date Printea'Name of Contractor License 4 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 S orn to (or aff: med) and subscribed before me this T day of , 20 , by t C, IQ who is Personally Known to me or has roduced (type of ntificatio) _ as identification. SEAL) Signature of Notary Public State o lor' a ' c 178548 in pe/Stamp Name _: *: MY coMMlssloN a FF EXPIRES: February 25,.2019 of Notary 'Public =.;, e Public Under raters e of F a, Bonded Thru Notary r 3 let-, x5 -