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HomeMy WebLinkAbout1119 Park Aveyi—=;,, CITY OF SANFORD BUILDING & FIRE PREVENTION NOV 0 7 2016 PERMIT APPLICATION µc p, Application No: Documented Construction Value: S 2,450.00 Job Address: 1119 PARK AVE SANFORD Historic District: Yes D No Parcel ID: 25-19-30-5AG1303-0100 Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: REROOF FRONT PORCH ONLY lv Plan Review Contact Person: Title: -- Phone:'(4 22 l ax: Email: Property caner Information Name JOHN ATKINSON Phone: Street: 204 SUNLAND DR Resident of property? o i YIH City, State Zip: SANFQR,,P;F; L, 32773 rsContractor Information Name STEVE BARENS OFING''INC— Phone: 407-324-1419 Street: P.O. BOX 749 Fax: N/A City, State Zip: OAK HILL FL 32749 Name: Street: City, St, Zip: Bonding Company: Address: NO State License No.: CCC039833 Architect/Engineer Information 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: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there Imay be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will'be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Fiorida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type BELOW IS FOR OFFICE USE ONLY 0-1 to Me or Permits Required: Building Electrical Mechanical Plumbing[]Gas[]Roof d Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING /) - q' VO UTILITIES: ENGINEERING: COMMENTS: FIRE: of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes No WASTE WATER: BUILDING: - Revised- .lune 30. 2015 Permit Application LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: an agent of: Name of Company) to be my lawful attorney -in -fact to act for me. to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): The specific ermit and application for work located at: 1 1 1l r- \C- P 11 C._r 1" Street Address) Expiration Date for This Limited Power of Attorney: 1 d o License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA II COUNTY OF ply S S 3 The foregoing instrument was acknowledged before me this day of 204 , by ` f, ON ,r r who is picgerson lly knownto me or who has produced identification and who did (did noq take an opi. CINDY AMMERMAN r" : ; Notary Public State of Florida My Comm. Expires Jul 17, 2018 Commission # FF 142774 Rev. 08.12) ture W - 1(\ Print or type n9me Notary Public - State of 14 Commission No. My Commission Expires:Z as Application Does Not Void Limited Asphalt Shingle Warranty Against Manufacturing Defects To Whom It May Concern: r eIFgw y Technical Information Sheet # 107A CertainTeed's Limited Asphalt Shingle Warranty affords protection against manufacturing defects in the shingles' quality and composition. Proper installation is the sole responsibility of the roofing contractor and/or builder. CertainTeed's recommended application instructions are provided on each shingle wrapper and are available through CertainTeed's website www.certainteed.com . Deviations from the recommended application instructions of the product will not void CertainTeed's warranty against manufacturing defects. However, the roofing contractor and/or builder, not CertainTeed, will be solely responsible for damage to the appearance, performance or durability of the shingles resulting from any such deviation from CertainTeed's instructions Sincerely, Technical Services Department Roofing Products Group Revised 03/17/14 - PK CFA Parcel Information Property Record Card Parcel: 25-19-30-5AG-1303-0100 Owner. AT ZNSC.N JOHN N Property Address: 1119 PARK AVE SANFORD. PL. 32771 Parcel 25-19-30-5AG-1303-0100 Owner ATKINSON JOHN N Property Address 1119 PARK AVE SANFORD, FL 32771 Mailing 304 S SUNLAND DR SANFORD FL 32773-6306 Subdivision Name SANPORD i OY J C Tax District S1-SANFORD DOR Use Code 0803-MULTI 'FAMILY UNITS Exemptions 1 0 Sales Assessment Value i Value Summary 2016 Working 2015 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $72,704 69,459 Depreciated EXFT Value Land Value (Market) $13,500 13,500 Land Value Ag st. War ct Jal: e "' $86,204 82 959 Portability Adj Save Our Homes Adj $0 0 Amendment 1 Adj $0 I$0 P& G Adj - $0 0 Assessed Value $86,204 82,959 Tax Amount without SOH: $1,688.33 2015 Tax i30l Amount $1,688.33 1' aX i=sti€nator Save Our Homes Savings: $0.00 R M Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Description Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 9/1/1987 0 887 065 $5,000 No Improved WARRANTY DEED 8/1/1978 0,183 041.8 $25,000 Yes Improved Find Comparable Sales , Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 50.00 ; 117.00 0 270.00 i 13,500 Building Information is Bed/Bath ccun° incorrect% Click Here. Description ActualYear /uilt I Effective Fixtures Bed ; Bath Base Area Total SIF t Living SF Ext Wall Adj Value Rep] Value Appendages 1 MULTI 1929/1960 9 3 A 0 1,102 2,385 < 2,153 WD/STUCCO $72,704 116,327 Description Area E FAMILY < FINISH 10 UNITS 192.00 E s STEVE BARNES ROOFING, INC P.O. Box 749 Oak Hill, Fl 32759 407-324-1419 stevebarnesrooiing(k.yahoo.com CCC 039833 G Proposed for: P_R0Z4G REALTY 10/19/2.015 PROPERTY ADDRESS: 1119 PARK AVE, SANFORD FLAT ROOF ONLY Remove existing I layer of roofing on flat (unless otherwise stated) and haul away debris. Inspect decking for rotten or deteriorated wood. Deteriorated existing decking, and fascia renla(,ad at a r;)ct tc)oLtS 1 1 v ar man l nttr nl_tc materi?ic a13 lSc .tl er y'ice specified. r - per - r Re -nail and Secure decking if required and clean roof to provide smooth nailing surface. Install all new lead pipe flashing, all new galvanized kitchen / bath vents if applies Magnetically sweep job site & haul away all roofing debris. INSTALL A CERTAINTEED FLINTASTIC PEEL & STICK INSTALL A 30 YEAR ARCHITECTURAL SHINGLE TO MATCH EXISTING ROOFING TO COMPLY WITH HISTORIC BOARD. SHINGLES TO BE INSTALL ON PEEL & STICK WILL BE INSTALLED WITH AN ADHESIVE FOR ASTHETICS ONLY Contractor is not liable for any interior damages, or affected interior contents. Signatures on this contract represent understanding and acceptance of these policies. SBR is not responsible for dama--es caused by delivery from material supplier. Modern readily obtainable limber shall be used to replace any decayed wood. SBR is NOT responsible for damage or damage caused by improperly installed plumbing or electrical, A/C that does not meet building code. Provide a 2 year labor warranty and a manufacturer's material warranty We must have reasonable access to roof. We will not be responsible for driveway damage. We propose hereby to furnish material and labor -complete in accordance with the above specifications. for the stud of: S2,450.00 PAID UPON COMPLETION Estimate good for 30 days All material is guaranteed to be as specified and Completed in a workmanlike manner according to standard Practices. Any alterations or deviation from above specs will Become extra charge above estimate. All agreements contingent upon Strikes, accidents, or delays beyond our control. This proposal may be withdrawn by us. Acceptance of Proposal -The above prices, specs and conditions are satisfactory and are herby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Authorized lion i urV SJFVF A t3.ARNES _ SIGNATURC ,._ _ _ 1 f ',,pi- DA 11 OP ACCEPFANCE: >?S ' M11877-11 APPLICATION # )'W' FOR A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.6145 to ensure your application is complete. General Information Downtown Commercial Historic District[]Residential Historic District© Is this a retroactive request? Yes[] Non Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes NoW Proposed improvements will ffect the following elevations: North South East 1-1West Property Address: IL 1 } FA (` K A -if S Fy-) d _ 39 7 7 ( Property Owner Information Print Name: `mac \ n Mailing Address: 41 Phone: Ema Applicant/Agent Information Print Name: L Mailing Address: 12, 0) 6 Phone: 41r7.3 ZZ a % Email: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF'YOUR KNOWLEDGE. l r// Signature: l l r Date: 49 Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP APPLICATION # FOR A CERTIFICATE OF APPOPRIATENESS Supplemental Information - Please use the space below to provide additional details regarding proposed work. Description of proposed work (continued from previous page): ONLY WORK SPECIFICALLY INDICATED ABOVE IS PERMITTED. ANY CHANGES TO THE BUILDING NOT LISTED ABOVE ARE NOT PERMITTED AND REQUIRE AN ADDITIONAL CERTIFICATE OF APPROPRIATENESS. Site Details Please use the space below to illustrate site details. HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP Page 1 of 1 RECORD COPY I i i 7 I li," Il I°'ln r Pld til aje han"l I! BCIS Home Log In ( User Registration Hot Topics Submit Surcharge ',, S[ats &Facts Publications ( FBC Staff I BCIS Site Map Links Search Florida Product Approval USER: Public User Product Approval Menu > Product or Aoolication Search > Application List Search Criteria Code Version 2014 Application Type ALL Category ALL Application Status ALL Quality Assurance Entity ALL Product Model, Number or Name ALL Approved for use in HVHZ ALL Impact Resistant ALL Other ALL ce ti ce.r r _ er,r,rr•rc r, Refine Search FL# 2533 Product Manufacturer ALL Subcategory ALL Compliance Method ALL Quality Assurance Entity Contract Expired ALL Product Description ALL Approved for use outside HVHZ ALL Design Pressure ALL FL# Type Manufacturer Validated By Status FL2533-R16 Revision CertainTeed Corporation -Roofing Category: Roofing Subcategory: Modified Bitumen Roof System John W. Knezevich, PE 954) 772-6224 Approved History Approvea Dy uurK. Approvais Dy upvK snap De rewewea ana raunea Dy me r ana/or me --ion n necessary. Contact Us :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Coovriaht 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: W 0 HISTORIC PERMIT All work must be done in strict accordance with the Credit Card Approved Certificate of Appropriateness Safe Building does not approve any work outside this scope ' I Permit Applicant is soley responsible for compliance REVIEWED FOR CODEOD COMPLIANCE PLAN EXAMINER DATE SANFORD BUILDING DIVISION A PERMIT ISSUED SHALL BE CONSTRUED TO BE A LICENSE TO PROCEED WITH THE WORK AND NOT AS AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING A CORRECTION OF ERRORS IN PLANS, CONSTRUCTION OR VIOLATIONS OF THIS CODE 6UI/7yc S'4NFORD o AgRTME 16-2979 11/10/2016 CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: John Atkinson for 1119 S. Park Avenue Sanford, FL 32771 DATE ISSUED: November 2, 2016 DATE EXPIRES: May 2, 2017 IIISTOW PERMIT All work must be done in strict accordance with the Approved Certificate of Appropriateness BP#16-2949 Building does not approve any work outside this scope Permit Applicant is soley responsible for compliance Approved to re -roof west facing porch roof. Re -roof will include the placement of roll roofing with an overlayment of architectural shingles to match the main roof in material, color, profile, dimension, and other visual qualities. SANFORD Christine Dalton, AICP AqR Historic Preservation Officer/Community Planner 1 6-299 Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? BYES NO 5z2 7_ Building Departmen Representative City of Sanford Building and Fire Prevention Product Approval 16-2979 Permit # Project Location Add c ication Form SAN FO RD HISTORIC PERMIT All work must be done in strict accordance with the p Approved Certificate of Appropriateness FAA Tti Building does not approve any work outside this scope Permit Applicant is soley responsible for compliance 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 Description Florida Approval # include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll Up 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 Florida Approval # including 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 c_ Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen nk61 eel re cr. L Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems All work must be done i Approved Certificate strict accordance with the Roof Tile adhesive Building does not approve Permit Applicant is soley any work outside this scope responsible for compliance v niNG Spray Applied Polyurethane Roofing SANFORD E.P.S. Roof Panels 2 9 7 9 Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal) 5. Shutters Accordion Bahama Colonial Roll up 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 All HISTORIC PERAHT work must be done in strict accordance w Approved Certificate of Approoriatenes th the Buil in does not approve any work outside th s scope Permit Applicant is coley responsible for compliance p G Applicant's Signature Applicant's Name Please Print) June 2014 FUR OFpAR 1 6 - 2 9 7 9 Q116-2979 HISTORIC,PERMIT All work mast be done in strict accordance withthe Approved Certificate of Appropriateness Building does not approve any workoutsidethisscope Permit Applicam is soley responsible for compliance 0 TR 1 1ERD APPENDIX 1: 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 1B Wood New, Reroof (Tear -Off) or Recover B Mech. Attached Base Insulation, Bonded Top Insulation, Bonded Roof Cover 7 1C Wood New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 8-9 1D Wood New, Reroof (Tear -Off) or Recover D Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 10-12 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 AHJ. 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 OMG 3 in. Galvalume Steel Plate, Dekfast #14 with Hex Plate or 3" Round Insulation Plate, Trufast HD with Trufast 3" Metal Insulation Plates or FlintFast #14 Fastener with FlintFast 3" Insulation Plates. Minimum 0.75-inch plywood penetration or minimum 1-inch wood plank embedment. Steel Deck: CMG #12 or #14 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG #12 Standard or HD with OMG 3 in. Galvalume Steel Plate, Dekfast #12 or #14 with Hex Plate or 3" Round Insulation Plate, Trufast DP or HD with Trufast 3" Metal Insulation Plates or FlintFast #12 or #14 Fastener with FlintFast 3" Insulation Plates. Minimum 0.75-inch steel penetration and engage the top flute of the steel deck. Concrete Deck: CMG #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, I.I.C. d/b/a Trinity) ERD Evaluation Report 3520.03.04-1117 for FL2533-R16 Certificate of Authorization #9503 Revision 17: 02/04/2016 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 1 of 58 S HISTORIC PERMIT RD All work must be done in strict accordance with the Approved Certificate of Appropriateness 1 C &uilding does not approve any work outside this scope6 - , `" ermit Applicant is coley responsible for compliance '' E 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 (013500): 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 polyisocyanurate at the following thickness limitations may be substituted with the following Maximum Design Pressure (MDP) limitations. In no case shall these values be used to 'increase' the MDP listings in the tables; rather if MDP listing below meets or exceeds that listed for a particular system in the tables, then the thinner board listed below may be used as a drop -in for the equivalent thicker material listed in the table: Ashland Pliodeck (A-PD) @ 12-inch o.c. MDP 105.0 psf Min. 1.0-inch) Ashland Pliodeck (A-PD) @ 6-inch o.c. MDP 277.5 psf Min. 1.0-inch) Dow Insta-Stik (D-IS): I 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 (06500): MDP 45.0 psf Min. 0.5-inch Multi -Max FA3) OMG OlyBond 500 (013500): MDP 187.5 psf Min. 0.5-inch ISO 95+ GL) OMG OlyBond 500 (OB500): MDP 315.0 psf Min. 0.5-inch ENRGY 3) OMG OlyBond 500 (06500): MDP 487.5 psf Min. 0.5-inch ACFoam II) 3M CR-20: MDP 117.5 psf Min. 1.0-inch) 7. Bonded polyisocyanurate insulation boards shall be maximum 4 x 4 ft. 8. For 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 I ERD Evaluation Report 3520.03.04-1117 for FL2533-1116 Certificate of Authorization #9503 Revision 17: 02/04/2016 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 2 of 58 HISTORIC PERMIT All work must be done in strict accordance with the Approved Certificate of Appropriateness Building does not approve any work outside this sco711.IEN # 6 _ 2 n 7 9 Pern tt Applicant is soley responsible for complian ee TRINITY I ERD 7 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 AH1, as documented through field uplift testing in accordance with ASTM E907, FM LPDS 1-52, ANSI/SPRI IA-1 or TAS 124. 12. For Recover Applications using System Type D, the insulation is optional; however, the existing roof system shall be suitable for a recover application. 13. Unless otherwise noted, refer to the following references for bonded base, ply or cap sheet applications. CERTAINTEED FLINTIASTIC®MODIFIED BITUMEN COMPONENTS $i AP PI.166'ONMETHODS, 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 I 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 BP- CA3 Base/Ply Glasbase; All Weather/Empire Base; Flexiglas Base; Flintlastic Base 20 Millennium Hurricane Force Membrane 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 Base SBS- AA SBS, Asphalt -Applied) Hot asphalt at 20-40 Ibs/square FlintlasticCap30; 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- CAI Process Brush or Karnak No. 81 Cold Process Modified Bitumen Adhesive Brush Note: Base ply cures overnight prior to application of the cap ply. 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/square CapFlintlasticPremiumFR-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. FlintlasticCap30; 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 Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base SBS- CA3 Millennium Hurricane Force Membrane Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual SBS, 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-R17 for FL2S33-R16 Certificate of Authorization #9503 Revision 17: 02/04/2016 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 3 of 58 HISTORIC PERMIT All work must be done in strict accordance with the Approved Certificate of Appropriateness Building does not approve any work outside this scope Permit Applicant is soley responsible for compliance CERTAINTE_ED FLINTLASTIC® MODIFIED BITUMEN COMPQNENTs,& APPLICATION METHODS(CONTINUED)- Reference Layer Material Application Base Flintlastic Ultra Poly SMS Base; Flintlastic Base 20 T Ply Flintlastic Ultra Poly SMS Base; Flintlastic Base 20 TSBS-TA Torch -Applied Flintlastic FR Cap 30 T; Flintlastic FR Cap 30 T CoolStar; Flintlastic GTS; Flintlastic GTS CoolStar; Flintlastic GTS-FR; SBS, Torch -Applied) Cap Flintlastic GTS-FR CoolStar; FlintClad Base Flintlastic APP Base T; Flintlastic STA; Flintlastic STA Plus APP-TA APP, Torch -Applied) Torch -Applied Cap Flintlastic STA; Flintlastic STA Plus; Flintlastic GTA; Flintlastic GTA CoolStar; Flintlastic GTA-FR; Flintlastic GTA-FR 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. N LO J LO 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 F1_2533-1116 Revision 17: 02/04/2016 Appendix 1, Page 4 of 58 HISTORIC PERMIT All work must be done in strict accordance with the Approved Certificate of Appropriateness Building does not approve any work outside this scope Permit A.mlicant is solev resuoasibk for compliance TABLE 1E-2: WOOD DECKS- NEW CONSTRUCTION, REROOF (TEAR -OFF) OR RECOVER SYSTEM TYPE E: NON -INSULATED, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER System Deck Base Sheet Roof Cover MDP No. See Note 1) Base Fasteners Attach Ply Cap Psf) Min. 23/32-inch exterior Poly SMS Base; Ultra Poly 12-inch o.c. at 4-inch lap and inch in two, BP -AA, SBS- SBS-AA, SBS- grade plywood at max. 24- SMS Base See Note 2See equally spaced, staggered center rowss AA SBS-TA or. TA orr APP-TA 45.0* inch spans APP TA Flintfast 3 in. Insulation Plates with Optional) BP- Min. 15/32-inch plywood at Glasbase; Flexiglas; Flintlastic FlintFast #12 or #14; Trufast 3" Metal 6-inch o.c. at 4-inch lap and 6-inch o.c. in three, AA, SBS-AA, SBS-AA, SBS- W 83 max 24-inch spans Base 20; Poly SMS Base; Ultra Insulation Plates with DP or HD; OMG 3 equally spaced, staggered center rows SBS-TA or TA or APP-TA 97.5 Poly SMS Base; Yosemite in. Round Metal Plates with OMG #14 HD APP-TA W 84 Min. 15/32-inch plywood at Flintlastic APP Base T OMG 3 in. Round Metal Plates with OMG 6-inch o.c. at 4-inch lap and 6-inch o.c. in three, APP-TA APP-TA 97.5 max 24-inch spans 14 HD equally spaced, staggered center rows. Glasbase; Flexiglas; Flintlastic Min. 15/32-inch plywood at Base 20; All Weather / Flintfast 3 in. Insulation Plates with 8-inch o.c. at 4-inch lap and 8-inch o.c. at three Optional) BP - SBS-AA or W-85 max 24-inch spans Empire Base; Poly SMS Base; FlintFast #14; Trufast 3" Metal Insulation 3) equally spaced, staggered center rows AA, SBS-AA or SBS-TA 97.5 Ultra Poly SMS Base; Plates with Trufast HD SBS-TA Yosemite Min. 19/32-inch plywood at Glasbase; Flexiglas; Flintlastic 7-inch o.c. at 3-inch lap and 7-inch o.c. in three, BP -AA, SBS- SBS-AA, SBS- W 86 max 24-inch spans Base 20; Poly SMS Base; Ultra See Note 2 equally spaced, staggered center rows AA SBS-TA or TA or APP-TA 105.0 Poly SMS Base; Yosemite APP TA Min. 19/32-i plywood at OMG 3 in. Round Metal Plates with OMG o.c. at 3-inch lap and o in three, W 87 spanchmax24-inch spans Flintlastic APP Base T 14 HD or Dekfast Hex Plate with Dekfast enter r sequallyspaced, staggered center rowsequally APP-TA APP-TA 105.0 14 Flintfast 3 in. Insulation Plates with Optional) BP- Min. 15/32-inch plywood at Glasbase; Flexiglas; Flintlastic FlintFast #12 or #14; Trufast 3" Metal 6-inch o.c. at 4-inch lap and 6-inch o.c. in four, AA, SBS-AA, SBS-AA, SBS- W 88 max 24-inch spans Base 20; Poly SMS Base; Ultra Insulation Plates with DP or HD; OMG 3 equally spaced, staggered center rows SBS-TA or TA or APP-TA 127.5 Poly SMS Base; Yosemite in. Round Metal Plates with OMG #14 HD APP-TA W 89 Min. 15/32-inch plywood at Flintlastic APP Base T OMG 3 in. Round Metal Plates with OMG 6-inch o.c. at 4-inch lap and 6-inch o.c. in four, APP-TA APP-TA 127.5 max 24-inch spans 14 HD equally spaced, staggered center rows. TABLE 1F: WOOD DECKS- NEW CONSTRUCTION OR REROOF (TEAR -OFF) SYSTEM TYPE F: NON -INSULATED, BONDED ROOF COVER System Deck Primer Roof Cover M D P (psf) Base Ply CapNo. See Note 1) W-90 Min. 19/32-inch plywood at max 24-inch spans FlintPrime or SBS-SA Optional) SBS-SA SBS-SA 127.5 FlintPrime SA Exterior Research and Design, LLC. d/b/a Trinity I ERD a D BG Certificate of Authorization #9503 Zi 6Preparedby: Robert Nieminen, PE-59166 Q LID v Evaluation Report 3520.03.04-1117 for FL2533-R16 Revision 17: 02/04/2016 Appendix 1, Page 17 of 58 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: / (D — 7 hereby acknowledge that I personally inspected oof deck nailing and/or econdary water barrier work at I l \ 91 `1(— U ,i t" 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 83,7.06 F.SS A• r ~ G Signature of Contractor Date Printed Name of Contractor License # License Type: General Building Residential Roofing Contractor or any individual certified in accordance with F. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF jeM; gn1e_ Sworn to (or affirmed) and subscribed before me this ?j day of (jo) JeM (— , 20 4 a_, by who is f ersonally Known to me or has Produced (type of identificatio) n (as`i en i Ica ion. Signature of N a Public ;: CINDY AMMERMAN Ote of Flo id - Notary Public - State of Florida l " 1 Vt l V t—m '-, d? My Comm. Expires Jul 17, 2018 n /r^i' ;f os vrq;:'` CommisCinn B CC te977A Print/Type/Staihp Name of Notary Public