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HomeMy WebLinkAbout117 Shannor Drit CITY OF SANFORD BUILDING & FIRE PREVENTION OCT 3 12016 PERMIT APPLICATION Application No: [.n "d 00 Documented Construction Value: $ 0 61dd Job Address:Vdo,4?ZX 0,17 Historic Dis;;= ercial ct: No Parcel ID: a 3 G`' S l 7 c_l o 6& a c/ 5-G Residential Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Az"J Plan Review Contact Person: Title: r Phone: Email: Property Owner Information Name • Phone - Street: M411149 IIAA083ti esidperty? 1 u • at1du4 g1sloY City, State Zip:A' i VA n imrno-) 9W490836 y P ia3 a;:xi t{!e^in! ;:s Y,f4 i ,. 3 14 •^„tt4t i itF1iA a, sa g r ,. d`' +tens 7v 4 noig FIMm0, } Contractor, 1nfQruaali>>,s >> • 1P,9. r=t3 •mmn:l to s Name Phone: „ i' rCler Street: 7 Q• -V' Fax: City, State Zip: r 3a? • State License Kos Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: MortgageLender: 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: 5th Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application I OD! i_E NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. i 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 compDane. 1 applicable laws regulating construction and zoning. re Owner/Agent Da e Signature of Contractor ent Date PrintOwner/Agent's Name - Print Contractor/ ent's Name t\ Signature of Notary -State of Florida re of Nota-State,of,l~lorida ANNETVE?atSCOTT OENOtiAN P, NUMENAI , Notary PUMIC • State of Florida Notary Public State of Florida DEOMH P. HUMENAI Commission # FF 993821 • : My Comm. Expires Jan 16, 2018 Notary PuNiC State of Flon . My Comm, Expires Sep 10, 202B • pP Commission # FF 071760 f.. Commission # FF 9933^ + BafdedtAroo t guy Aor i Bonded Through National Notary Assn. ; t41n' a A . nown7n_ _ _-P; or C@3t actor/Agent is Personally Known to Me or 0131 ( o r1 cL ) r tuv-rs L111IS Produced ID Type of ID Notary + u, +: urida Commissio, 21 My Comm f „ ,• "" BondedthrouZ ELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof d Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: /I 1 UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: 'SIF l I j— L COMMENTS: Revised: June 30, 2015 Permit Application State Certified Roofing Contractor Lic. #CCC1326590 Phone Email: OF araIL NDY ° o` N • SR c u.t Keeepirtg You covered For Over 25 Years Office 407-321-1054 Cell Phone 407-314-0160 Andyland874@msn.com co Specifications: y l l o Estimated Workompletionlpate /, /„ within , day(s) from inceptio (weaker permitting) In co id'eratio Oof Pesaid work and services to be done by the co a lor, the homeown grees to pay the contractor the sum of on completion of said work. W% Terms: as a deposit; and on completion of said work w r at the have read and understand this agreement, that the terms and conditions and the meaning there have been explained to him and that theyTheh8meoerherebycertifiesthatyg fully understand them, that there is no understanding between parties verbal or otherwise than that contained in this agreement, and that the owner shall maintain no action on any new substituted contract except the same be in writing, and that no statements, promises, commitments or representations not contained in this agreement have been made by the contractor, or any of his agents to 0 the same be reduced to writing and be signed by the contractor. It is further agreed that if the homeowner cancels this contract at any time before commencement of the work, through no fault of the contractor, then the liquidated damages arising from costs and expenses necessarily incident to the business of the contractor in connection with this contract amount to the sum of 25% of the total contract which said sum the homeowner undertakes and agrees to pay forthwith. It is also said that the contractor shall not be held liable for re -adjustment of satellite dishes. It is also said that the contractor shall not be liable for delays caused by strikes, weather conditions, and delay in obtaining materials or causes beyond the contractor's control. The contractor hereby assumes no liability for any resultant damage to premises or materials located on premises from work herein contracted. It is also said that the contractor shall not be liable for material delivery vehicles on homeowner's premises. In witness whereof, the homeowner has hereunto signed his name this V r day of 1..1:Job 20I Andrew S. ,ones, Pres. /201,> Accepted by CONTRACTOR Date Date Notice* CONSTRUCTION INDUSTRY RECOVERY FUND. Payment may available from a construction industries recovery fund if you lose money on a project performed under contract, where the loss results from specs teT dviolations of Florida law by a State -Licensed Contractor. For information about the recovery:fund and filing a claim, contact the Florida Construction Industry Licensing Board at the following telephone number and address: 1940 N. Monroe St. Tallahassee, FL. 32399 850.487.1395 e N" DEBORAH P. HUMENAI servic magic NoUry Public - State of Florida COpgpi tii0rl N FF 993321 14 Ppptlp. EgOM Sep 10, 2020 r NOW" Notary Assn 874 East 20th Street, Sanford, Florida 32771 AndvJonesRoofino. com THIS INSTR NT REPA BY NARYra-HHE L'1ORSEY SECOUNTY D Of C I:RGU]:1 & COMPTROLLER COURTName: BV.. ;7 37 I•• s Address: CLERK'S v y 5 01LI079 t V cu REC01WED IV18/ 1.11.b 0 2 ".17 I'll R, E(.:U;'til:NG FEES $10.00 NOTICE OF COMMENCEMENT RECORDED BY Llclr7vore Permit Number: r U - .- S'"1 7 .-. (— E; - .- s C, Parcel ID Number The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 2. GENERA CRIPTION F IMP V NIENT,r7 3. OWNERrINFORMATION O R)_ ESSS E-E' INFORMATION IF TH LESSEE CONTRACTED FOR THE IMPROVEMENT: 7 Name and address: Interest in property - Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: Phone Number: Address: 5. SURETY (If applicable, a copy of the payment bond is attached): Name: 6. LENDER: Address: Phone Number: Amount of Bond: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713. 13(1)(a)7., Florida Statutes. Name: Phone Number: In addition, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. r Lessee, -or Owner's or Lessee's 4Print N me and rovi a Signatory's Tie trice) Authorized Officer/ Director/Partner/Manager) State of Florida, County of The foregoing instrument was acknowledged before me this day of 20 // by M te-a el u S ' e 1-ma, i1 Who is personally known to me OR Name of person making statement rn who has produced identification A type of identification produced: (.G1a f r DE HUMENAI i Notary Poole- State of Florida Commission # FF 993321 Zy aa• My Comm. Expires Sep 10 202, t• ; Bonded through National Not'i . urn an 0 ED CO — AN MORSE f ., G4ER6 Fi' Hr 1 I CO fP,PGp 67 OCT 18 ZO10t„ 5Etv11tdOLE T,F A rtthi I:::: ev nror r ry ri cart RECORD COPY Page 1 of 1 19 BCIS Home Log In I User Registration Hot Topics Submit Surcharge Stats & Facts j Publications ( FBC Staff f BCIS Site Map ' Links 3Search dLFlorida a Product Approval USER: Public User P f`k`g.uu Product Approval Menu > Product or Application 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 Search Results - Annlicatinnc 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# TM 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 y morn mi ue reweweg ang ragneg oy me Y ano/or me commission a necessary. 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: W tLheck Credit Card Safe 4EVIEWED FOR CODE COMPLIANCE PLANS EXAMINER DATE SANFORD BUILDING DIVISION A PERMIT ISSUED SHALL BE CONSTRUED TO BE A LICENSE AUTHORITY TO VIOLATE, CANCEL, ALTER OREED WITH THE WORK AND OS SET ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL CODES, NORSHALLISSUANCEOFAPERMITPREVENTTHEBUILDINGOFFICIALFROMTHEREAFTERRSIN PLANS, CONISTRUCTION OR VIOLATIONS OFRING A CORRECTIONOFTHISCODE. 16-2900 11/8/ 2016 V TRINITY I ERD APPENDIX 1: ATTACHMENT:RECiUIREMENTS;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 56 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 SD 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 S2-58 76 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: OMG #14 Roofgrip with Flat Bottom Plate (Accutrac), CMG 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: OMG 412 or 414 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG #12 Standard or HD with OMG 3 in. Galvalume Steel Plate, Dekfast #12 or #14 with Hex Plate or 3" Round Insulation Plate, Trufast DP or HD with Trufast 3" Metal Insulation Plates or FlintFast #12 or #14 Fastener with FlintFast 3" Insulation Plates. Minimum 0.75-inch steel penetration and engage the top flute of the steel deck. Concrete Deck: OMG #14 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG HD or CD-10 with OMG 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 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 QA 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 loyers(s) of insulation and/or coverboard are installed in ribbon -applied adhesive, adhesive ribbons shall be staggered from layer -to -layer a distance of one-half the ribbon spacing. Note: The maximum edge distance from the adhesive ribbon to the edge of the insulation board shall be not less than one-half the specified ribbons spacing. 6. Unless otherwise noted, all insulations are flat stock or taper board of the minimum thickness noted. Tapered polyisocya n u 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 (OB500): 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 (OB500): 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 i 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 FLINTLASTIC®.MODIFIED BITUMEN COMPONENTS & APPLICATION METHODS { 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 I 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/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-R17 for FL2533-R16 Certificate of Authorization #9503 Revision 17: 02/04/2016 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 3 of 58 J TRINITY I ERD RTAINTEEDvFLIN'IIASTIC BITUME'IVCOMPONENTS Hi' APPLICATION METHOD$ (CONITINUED) k g- tMODIFIED _ W, .s 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 Torch -AppliedFlintlasticSTA; Flintlastic STA Plus; Flintlastic GTA; Flintlastic GTA CoolStar; Flintlastic GTA-FR; Flintlastic GTA-FR APP, Torch -Applied) Cap 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 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 4 of 58 QOTRINITYIERD' 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 Base Sheet Roof Cover MDP sfP ) Base Fasteners Attach Ply CapNo. See Note 1) ELF -ADHERING SYSTEMS: r Min. 15/32-inch plywood at max Min. 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. O SBS- W 49 Flintlastic SA NailBase caps with 11 ga. annular in three, equally spaced, staggered center StionalAp SBS-SA 52.5 24-inch spans 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 ASBS-SAS 60.0 24-inch spans ring shank nails rows 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. O SBS- Ptional ) W-51 Flintlastic SA NailBase caps with it ga. annular in four, equally spaced, staggered center SA SBS-SA 75.0 24-inch spans ring shank nails rows 32 ga., 1-5/8-inch dia. tin 4-inch o.c. at min. 2-inch lap and 4-inch o.c. 0P ) tional SBS- W 52 Min. 19/32-inch plywood at max Flintlastic SA NailBase caps with 11 ga. annular in four, equally spaced, staggered center S SBS-SA 105.0 24-inch spans ring shank nails rows A 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 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 nringshanknails 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-SA-H SBS-AA, SBS-TA 52.5W-54 24-inch spans Base; Poly SMS Base; Ultra Poly Simplex Metal Cap Nails four, equally spaced, staggered center rows or APP-TA 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 la and 8-inch o.c. inP 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 la and 8-inch o.c. inP 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 rowsqyP , gg SBS-SA-H or APP-TA 60.0 Poly SMS Base ring shank nails Min. 19/32-inch plywood at max Glasbase; Flexiglas; Flintlastic Base 20; Poly SMS Base; Ultra 32 ga., 1-5/8-inch dia. tin caps with 11 ga. annular 6-inch o.c. at 4-inch la and 6-inch o.c. inP SBS-SA-H SBS-AA, SBS-TA 82.5W57 24-inch spans four, equally spaced, staggered center rows or APP-TA Poly SMS Base ring shank nails Exterior Research and Design, LLC. d/b/a Trinity IERD 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 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #. / j bm I, (® hereby acknowledge that I personally inspected lQRoof deck nailing and/or kSecondary water barrier work at and have determined that the work Job SiteAddr'ess)' 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 Sectin 837.06 F.S. -. 11 Signature of Cont ctq'r/ Date ' PL l VV U c Printed Name 50ritractor License #^ — License Type: General Building Residential / Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF> ore 7nCjrCA&A orn to (or a firmed) and subscribe e this day of , 20 I L by who is Personally Known to me or has roduced (type of identification) J= dvi~ 1ccAn s4Z, as identification. SEAL) Si a otary Public State of F r" CaMPhi Nguyen c NOTARY PUBLIC Prin a/Stamp Name STATE '' PL ORIDA of Notary Public Comm# EE866800 Expires 1/21/2017