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HomeMy WebLinkAbout717 Briarcliffe StCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ,;7 Construction Value: $ L4 Job Address: i 1-7 1 1 q r-t Ce , S a f 4 4 5 L'77 Historic District: Yes No [- Parcel ID: C l^ L,V--3V _ I •3Vv `CY0 V Residential,© Commercial Type of Work: New Addition ( Alteration Repair Demo Change of Use Move Description of Work: ,S A i q \ t> f-f Va C=,e.-_nA C n Plan Review Contact Person: Phone: -727 r-i I' L41('0 Fax:72-7-5 7 I - `i 1 I )- Email: Property Owner Information Name A M 1 1 ` Phone: Street: Lr ' Resident of property? : S City, State Zip: Gl h L' Z Contractor Information Name PG 0 vR C 4' J+r _ Phone: 7 Z _7' rY7I 11 1 A U a y1a t i (-e ( d_d;5 t I L Fax: 12`7 ) 2- Street: 1 S' City, State Zip: (: 211 lr 4N 4-4C' * 1' State License No.: Z -7 Architect/Engineer Information Name: \ Phone: Street: City, St, Zip: Bonding Company: e\ Address: Fax: E-mail: Mortgage Lender: n I q 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. 1 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: 51 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 1\0 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current 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. kSighature of Owner/Agent Date C- try,y t-,y A-VAeA/ s (2 Print Owner/Agent's Name l ' (• I.b Date STATE OF FLORIDA Comm# FF903095 Expires 7/23/2019 1 ature of Co ctor/Agent Date IY Print Contractor/Agent's Name NOTARY PUBLIC STATE OF FLORIDA Comm# FF903095 Expires 7/23/2019 Date Owner/Agent isContractor/Agent is >C- Personally Known to Me or Produced ID _ Type of ID V p L A 5 9 w - 5f'-155-U P am-- BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: am BUILDING: Revised: June 30, 2015 Permit Application SEMINOLE COUNTY MULTI 1URISDICTIONAL IRINI Ill 9 =1911061TIVI• ' • Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint an agent of: 2 a r' 6 iR- i L- a r A0 C-0'-'a h c? h c g:,-S Nara of Company) Cc d1N1 I 2 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): All permits and applications submitted by this contractor. Or The specific permit and application for work located at: Sf- S Ci a,\ (c 1-A fir- Z- -7 - Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: l 'f \ State License Number: Signature of License H( STATE OF FLORIDA COUNTY OF C— olI The foregoing instrument was acknowledged before me this day of 20 1 by \ V n 0-2- 1 1 Gt_ -- who is personally known to me or as '-tdentiff ati and who d< id no ke an oath. SignatIt f Notary Print or type Notary name SSA Y'49 Lynne Marie Donner NOTARY PUBLIC oz STATE ©F__FILU,ZIDA w f'` Comm# FF903005 Sig cEA ' Expires 7/23/2019 Notary Public - State of _ Commission No. My Commission Expires: City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address k ri G CJ c C 1' S S h T 2 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(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category Subcategory Manufacturer Product 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 Applicant's Signatun Applicant's Name'r Please Print) June 2014 iV THIS INSTRUMENT PREPARED BY: Name: Pariament Roofing & Construction Address: 12880 Automobile Blvd Suite L Clearwater FL 33762 NOTICE OF COMMENCEMENT i 191111111 111111 13ettn 1t®fl alaat riaar it., ,aa, I"Ii1RYFihlhal_ I''Ii RuEr 51' I`I:Cili]L.E CHITTY CLERK OF CIRCUIT COL}RT COMPTROLLER LK U77T I's •`_r9 (1F'3s) CLERK'S 4 2016102411 RECORDED o9/-;ii/21i'16 08--!54' 1-8 RE.CORD114G FEES $1.0.00 hECORDED BY tsra i th Permit Number. Parcel ID Number: 101 - W _ 3p ` rf y _ OL1 V ^ p Y by 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. 2. GENERAL DESCRIPTION OF IMPROVEMENT: O 0r 3. OWNER INFORMATION 0 LESSEE INFORR RATION/ `tIF/ THE LESSEE CONTRACTED FOR THE IM ROVEM1ENT: Name and address: n ke t-Se ) , F t 1 m b T " 1 , V I% 0- & t l - - S' I i S cf 'h( 4 11)2- 7 7 3 Interest in property: Fee Simple Title Holder (if other than owner listed above) 4. CONTRACTOR: Name: Parlament Roofing & Construction _Phone Number. (727) 571-4110 Address: 12880 Automobile Blvd Suite L Clearwater, FL 33762 5. SURETY ( If applicable, a copy of the payment bond is attached): Name: Amount of Bond: 6. LENDER: CA Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13( 1)(a)7., F IoridaStatutes. r A Phone Number. Address: S. In addition, Owner designates 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 IMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner or Lessee, or Owners or Lessee's Authorized Officer/ Director/Partner/Manager) State of Florida tea-4 ,, A S h lIn ) Print Name and Provide Signal s riMAnce) County of SEMINOLE l The foregoing Instrument was acknowledged before me thl day S ` by iryw A- ii Ayl ff S-2 I-) me ameof person making statement 1 A r) -b1 ,•— (V — L5 8 'Y55 ••D Who has produced Identification Type of identification produced: 1 ( S1,RY.4S Lynne Marie Danner NOTARY PUBLIC P•! (.1 I1';? 1' Sio ? P, `-,,=S"TATE OF FLORIDA z Comm., FF903095 Expires 7/ 23/2019 ARSE ' lr?,;"tG?,• EQ tl( pR PAN jtAdQ +/',y.,'',: • s 4tE0 CCp RG cOkjR tdrllziis0' V CCC1329729 CRC1329809 Ck , 060 ORLANDO y;Siii Mary FL,3274,6 Clean A IIAII 2; A0WHEDA inT 1. AEM"N.E-EI'YJ'I ST-4jNGROOF T"jqV, _Y, ; gqACE_n my,A kil2RENAPLROOF DECKWPHR1y !#KN3REOLACEANYR0rrENVSODVW1T ARDSA&MR 4. IAS62C'ATOIL ,% SANSTXL'KVALLEYMETALLN. VAi.LEYSANE a", WU,QA, V—U Ml 6. NsTAi1NEWLED STACKS AND7. INSTALL 6- FHA/ VA EAVESDRIP, AidUND,TIAW 9. INSTALL SOF —SUZIA15F RA91,0 FOR 10. CLEAN7UPAND HAUL AWAY RELATED-DEBRISAND LEAVE JOI 11. CONTRACTOR WILL COORDINATE THE REMOVAL AND REINST 1. REMOVEEXISTING10OF TO WK 2. RENAIL ROOF DECK WITH RINGS 3. REPLACE ANY ROTTEN WOOD WITH DARD SHEATHING @7.00 PER LINEAR FOOT OF, BOARDI .AND$,90; 00PE&SHEETOF, PLYWOOD IF ANY 4. INSTALL SWR PNS UNDERLAYMENT T TIRE ROOF. D9W-VRFACE. 5.- INSTALL, NEW ' - BOOTS r 1 OVER 1 , SOILSTACKS"D OSEVE'' 6. INSTALL — INCH DOUBLE SIDED FOILINS 11 Roof). 7. INSTALL 6" FHA/ VA EAVES DRIP AROUND THE PERI OF THE ROOF. COLOR. 8.INSTALL —YEAR OLOR: ULA I WAY RE1iATj>0fH-RIS AND LEAVE JOB BAN. A ROOF - VOIDS NUMBER 2 AND 4 IN SECTION INATE THE REMOVAL AND REINSTALLATION 6 F RELATED PERIPHERALS SUCH AS:( BUT NOT LIMITEDX0) CONTRACT PRICE 4ITS, T.V. DISHES, AND/ OR AIR CONDITIONERS,ETC SUCH COSDITIONALTOZONT :REMOVALAND VINYL AND/OR METAL SOFFIT AND FASCIA WILL BE ADDITIONAL A• Ijg]EAR FOOT.- m 9. CLEAN-UP AND RA 10JNSTALLATION OF 11. ESURFACE Circle One Circle 1. . . airl"ne, NAILS. C: Terms and Conditions 1. Contract Documents, Thls cortnad conalats of ft d=mwt, e) ft workMoodtSkylight authorizations, I arri. No ponvises those $PC** eat forth in ft contract documents qlherthmn Contract Price ments; shell be recognized by either party. The entire understartolingand agreirneRtotall partles, is contained in to mftet docurnents. 2 Itis understood and ajeW that this 60nfiaCt Shall not•becorrobindIng Lpm PARLAMENT ROOFING j CONSTRU ONCSWImW Permit S CTI It Is duly al)P(6 k 60'e"Wed,- signed and wItnessedbyanalkerorollicersofftSeller 3. Work on I *,Job subtawzj commi'd 72 on " Idl The recited dates, are ap— pro= u= 0 difficaties of S labor dmall ellsi" labor andfdrr4aiiiiial shortages, act of.God endothernot foreseenbySeller. Seller reserves the nd to' arty su bc'M' #a' C' I or to r the 1/3,001 completion of thedescribedIn the contract documents, 4. Senor reserves the right jo substitifte mitertala dawal or greater Value and lord In order to satisfy the reprarroft specified byNew junsdiclimialt6de LaM.which n result In additional charges. BALANCE $ / I%f BA q 5:1aherastat rate of ethtaen percent (18%)- par,annum willbe.charged on all balarm Trot paid asper thatemepeAlWabove. Reasonable--adomey's tees arrd costs win tie charged to ttio (Plus Total. hbm M BI, rchasarifftl1sneoassaryto pace this contract jnthehafid'ofn adoff"or_. L f... A. obligationolthiI Purchasertopiy. ay, UPON COMPLETION Price hfcludes aiidlsCauntS;atM in'mnellasCourrty Fb[W&- kir orlwNakYouln" canceirmagre-ardbyp, A. tgWdItennWcawthe day of this contract PARLAmEmrwu vWlTK;WINO , AffT1diT6worktohey(a) duringm wwones of materals am for the mmw" W NO Funtheffas, " buyer herein glyeapermldetyocalw_e I vehicles to enter said d q(s) lor.. the puMoWdm)pMng11h1ssaAas, Additional lenre on'WejajLjkijr TY 40C du Iftba, -8 -Noqf whIqh 11111" delivered to, and receipt Is. hemby acknbvAeqpd.by,',P4ar,4hI8 day Of 20 1 1- N0t10E-',T-60WNER Do; na!iiiff tIi'lioi"jmPmy"nt, qontrmct In blank. 6. Youi COPY ofcoo time you sign. Keep It to protect your rights. ApprovIed en&Acc q'. iilyi lesaian 77777777 7 Officer's Signattire Purchaser Sign Here` Property Record Card Parcel: 01-20-30-504-1300-0400 Owner: ANDERSON TIMOTHY &TERI Property Address: 717 BRIARCLIFFE ST SANFORD, FL 32773 Parcel Information Parcel 01-20-30-504-1300-0400 Owner 1 ANDERSON TIMOTHY & TERI Property Address717 BRIARCLIFFE ST SANFORD, FL 32773 Mailing ' 717 BRIARCLIFFE ST SANFORD, FL 32773- Subdivision Name DREAMWOLD 1 _._...._ _........__ ............ _,_ .._._.._,.._. Tax District S1-SANFORD DOR Use Code € 01-SINGLE FAMILY Exemptions I 00-HOMESTEAD(2013) Value Summary 2016 Working 2015 Certified Values Values Valuation Method CosUMarket Cost/Market j Number of Buildings 1 1 i Depreciated Bldg Value""""""".._.g.._$ 58, 91.2... 56,142 I DepreciatedEXFTValue $1,197 213 Land Value (Market) $15,000 I 15, 000 1 p...........................................................................................:,..............................................................................................................,............. I Land Value Ag Just/ Market Value ** $75,109 71,355 I I Portability Adj Save Our Homes Adj $11,280 7,970 Amendment 1 Adj I P& G Adj $0 0 Assessed Value $63,829 63,385 Tax Amount without SOH: $676.00 2015 Tax Bill Amount $614.00 Tax Estimator Save Our Homes Savings: $62.00 TRIM Notice Heir) Does NOT INCLUDE Non Ad Valorem Assessments j Method Frontage I Depth ;Units 1 Units Price Land Value i LOT 0.00 0.00 1 15,000.00 15,000 Building Information Is Bed/Bath count incorrect? Click Here. Year Built Description Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value 1 Appendages j Actual/Effective 1 SINGLE 1992 6 3 2.0 1,036 1,408 1,256 CONCi — — 58,912 $65,096 Description Area FAMILY BLOCK BASE SEMI 220.00 FINISHED r EN i i POPORCH 20.00 i FINISHED j € ! UTILITY 132.00 I FINISHED Permits E_.._..._..........................................................-._................................. .....-___._................... ........... ......_..._......... ........................................................._.._......_............... ..... ....................... .................... ..... ......_.................. _.......................................... r Permit# Description i Agency Amount CO Date i Permit Date No Permits ii E Extra Features Description Year Built Units Value New Cost I' SHED 5/1/2005 1 ' $280 $500 i PATIO 1 5/1/1992 1 $200 € $500 WOOD UTILITY BLDG 1 5/1/1980 f 224 $717 $1,792 f Parcel: 0 1 -20-30-504-1300-0400 Building No.: 1 Page No: 1 Usines/'' ' Product ApprovalProfessitnalPuNicUser bn mom ProCCuct Ap,1Myat Menu > ProdUCt or APNl Mtion Search > Anokicaaon iisl > AppticatiOA Detail FL I FL5259-R24 Application Type Revision Code Version 2014 Application Status Approved Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived Product Manufacturer POLYGLASS USA Address/Phone/Email 150 Lyon Drive Fernley, NV 89408 570) 384-1230 Ext 242 lakins@p,olyglass.com Authorized Signature James Akins jakins@polyglas.s.com Technical Representative Steve Wadding Address/Phone/Email 150 Lyon Drive Fernley, NV 98408 602) 363-7139 stevew@poiyglass.com Quality Assurance Representative tames Akins Address/Phone/Email 555 Oakridge Road Humboldt Industrial Pkwy Hazleton, PA 18201 800) 894-4563 jakir,s@potyglass.com Category Roofing S ubcategory U nderlay ments Compliance Method Evaluation Report from a -Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Nar e who developed Robert Nieminen the Evaluation Report Florida Ucense PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 07/01/2017 Validated Sy John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence L5259 R24 CO! 2015 01 COI Nieminen.odf Referenced Standard and Year (of Standard) StafWard ASTM D1970 ASTM D226 ASTM 06164 ASTM D6222 Year 2009 2006 2005 2008 Equivalence of Product Standards Certified By Sections from! the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved ASTM G154 2006 ASTM G155 2005 FMI 4474 2004 FRSA/TRI April 2012 2012 TAS 103 1995 Method i Option D 07 22/2015 08/07/2015 08/15/2015 10/16/2015 jFL 'Modell, Number or Name Description i j 5259.1 Polyglass Roof i Roofing underiayments Underlayments j Limits of Use Installation Instructions : Approved for use in HVHZ: No j FL5259 P 24 H 2015 07 FINAL ER POLYGLASS UNDERLAYMENTS F1-5 s4 Approved for use outside HVHZ: Yes j R 4. 1 Impact Resistant N/A i verified By: Robert Nieminen PE-59166 I Design Pressure: +N/A/-622.5 i Created by independent Third Party: Yes i Other: 1.) The design pressure in this Evaluation Reports j application relates to one particular F 5259 R24 AE 2015 07 FINAL €R POL,YGLASS i1NMLAYMENTS FL5259 1 underiayment system (over concrete deck) for R24.odf i use under foam -on tile systems (where the Created by Independent Third Party: Yes underlayment forms part of the load -path). Refer to ER Section 5.6.4 for other systems, i other deck types and associated maximum i i design pressures. 2.) Refer to ER Section 5 for other limits of use. CcntaCt :: 1940 N M ttcnme Street. Tallahassee r, 32399 Phone: 850-487-IS24 TSe State of Florida is an AAIEEO employer. Coovrioht 2007-2013 State of Florida.:: Dnvacv Statement :: Ability Statemer ;: kefund Statement under Florida law, email addresses are public records. ?f you ao not want you, e-mail address released in response to a public -records request, do not send electronic mail to this entity. Listead, contact tale office by prlone or py traditonal mail. 1f you have. arty questions, please corxact SW'4W.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective Octooer 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Departnxnt antler an email address It they have one. The emails provided may x used for of c al communication with Ire licensee. However email addresses are pvbtic record. Ft you do rat w sh to . Pply a Personal address, Please provide the Department w tn air. email acoress whtcn can oe ra ava;labie to the public- To determine it you are a homsee under Chapter 455, F.S., please dick _r , . Product Approvaal Accepts; go ;;ja JIM t=-o IN Cred7rarilk- SAFE Equivalence of Product Standards Certified By Sec -ions from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved ASTM G154 2046 ASTM G155 2005 FMI 4474 2004 FRSA/TRI April 2012 2012 TAS 103 1995 Method 1 Option D 07;22/2015 08/07/2015 08/15/2015 10/16/2015 j FL # i Model, Plumber or Name Description — — 1 5259.1 ; Polyglass Roof I Roofing underiayments Underiayments i I Limits of Use Installation Irmtsuctions ---- Approved for use in HVHZ: No FL5259 R24 tl 2015 07 FINAL ER POLYGLASS UNDERLAYM NTS FL5259 Approved for use outside HVHZ: Yes R24. r i Impact Resistant: N/A verified By: Robert Niemirnen PE-59166 { Design Pressure: +N/A/-622.5 Created by Independent Third Party: Yes i Other: 1.) The design pressure in this Evaluation Reports application relates to one particular cr 5259 R24 AE 2015 07 FINAL ER POtYGLASS UNDER YMENTS 15,525 junderiaymentsystem (over concrete deck) for R24.odf i use under foam -on the systems (where tne 1 Created by Independent Third Party: Yes urderlayment forms part of the load -path). f Refer to ER Section 5.6.4 for other systems, other deck types and associated maximum i design pressures. 2.) Refer to ER Sec -ion 5 for other limits of use. I i_"j cniacf Us :: 1940 rb,:ti'h Monroe Street, Taitahassee FL 32399 Phone: 8SO-487-1824 The State. of Florida is an AWEEO employer. Cooyncht 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statcrnertt ;: Refund Statement Order Florida law, email addresses are public reca-ds. ?f you 00 not want, you: e-mail address released in response to a pubCic_records request, do not Send etect7^,nic n"aii to this entity. Instead, contact the office by phone or Dy traG4Cora7 mail. if you have any questions, please contra S0.487.y395. •Pursuant to Section 455.275(1), Florida Statutes, effective October 1: 20iZ licensees licensed under Chapter 455, F.S. must provide the Departnxrtt with an email address if they haveone. The emails Provided may be used for official communication with the licensee. However emall addresses are public record. It you 40 trot wish to suppty aPersonaladdress, please provide the Department w;tn an email address which can be made available to the public. To determine ff you am a hoensee under Chapter 455, F.S., please tlick nere . Product Approval Accepts: Cr2tiit'ra r+1.= SASE TRINITYI ERD Reference is made to the current edition of the NRCA Steep -slope Roofing Manual and ARMA recommendations for installing shingle underlayments and flashings Elastobase, Elastobase P or Mule -Hide Nail Base may be covered with a layer of Polystick, Polyflex SAP or SAP FR, Mule - Hide SA-APP Cap Sheet or SA-APP Cap Sheet (FR), Dual Pro or Tile Pro, self -adhered, Elastoflex S6 G or S6 G FR in hot asphalt or Polyflex G or G FR, torch applied. 6.3.3 Tile Applications: Reference is made to FRSA/TRI April 2012 (04-12) Installation Manual and Table 1 herein, using the instructions noted above as a guideline. 6_4 Polystick MTS, MTS PLUS, IR-Xe TU P. TU Plus TU Max Polyflex SAP or SAP FR—Mule-Hide SA APP Cap Sheet or SA APP Cap Sheet (FRI. Dual Pro or Tile Pro- 6.4.1 Shall be installed in compliance with the codified requirements for ASTM D1970 underlayment in FBC Sections 1507 for the type of prepared roof covering to be installed. 6.4.2 Direct -to -Deck with Mechanically Fastened Roof Covers: Ali self -adhering materials, with the exception of Polystick TU Plus, Polyflex SAP or SAP FR and Mule -Hide SA-APP Cap Sheet or SA-APP Cap Sheet (FR) should be back -nailed in selvage edge seam in accordance with Polyglass / Mule -Hide Back Nailing Guide. Nails shall be corrosion resistant, 11 gauge ring -shank type with a minimum 1-inch diameter metal disk or Simplex -type metal cap nail, at a minimum rate of 12" o.c. Polystick TU Plus should be back -nailed using the above noted fasteners and spacing, in area marked "nail area, area para clavar" on the face of membrane. The head lap membrane is to cover the area being back -nailed All seal -lap seams (selvage laps) must be firmly rolled with a minimum 28 lb. hand roller to ensure full contact and adhesion. For Dual Pro and Tile Pro, align the edge of the top sheet to the end of the glue pattern (the sheet will overlap the fabric). View of Ovetap Seam of Dual Pro and Tile Pro All over -fabric and over -granule end -laps shall have a 6-inch wide, uniform layer of Polyplus 50 Premium Modified Wet/Dry Cement or Polyglass PG500 Modified Cement applied in between the application of the lap. Polystick TU Plus, Dual Pro and Tile Pro may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details Repair of Polystick membranes is to be accomplished by applying Polyplus 50 Premium Modified Wet/Dry Cement or Polyglass PG500 Modified Cement to the area in need of repair, followed by a minimum 6 x 6 inch patch of the Polystick material of like kind, set and hand rolled in place over the repair area. Patch laps, if needed, shall be installed in a water shedding manner. All Polystick membranes shall be installed to ensure full contact with approved substrates. Polyglass requires a minimum of 40-lb weighted -roller or, on steep slopes, use of a stiff broom with approximately 40-lbs of load applied for the field membrane. Hand rollers are acceptable for rolling of patches, laps (min. 28 lb roller) or small areas of the roof that are not accessible to a large roller or broom. 6.4.3 Tile Applications (not allowed for Polystick IR-Xe)• Reference is made to FRSA/TRI April 2012 (04-12) Installation Manual and Table 1 herein, using the instructions noted above as a guideline. For mechanically fastened tile roofing over 2-ply system, consisting of base sheet and self -adhering top sheet(s), base sheet fastening shall be not less than FRSA/TRI April 2012 (04-12), Table 1. For adhesive -set the applications, refer to Section 5.6.4 herein. For nail -on the systems over Polystick MTS, battens are required for loading / staging of the tile. Exterior Research and Design, LLC. certrT—te of Authorization #ssa3 Evaluation Report P12060.02.09-R19 FL5259-R23 Revision 19: 05/01/2015 Page 9 of 10 roes S,--s-,K S4?Ct*r9e szaz 4 F3= ;' I -azl.- AVOkW6'M 2014 code version Ap;"Vec Application Sta:-v-ls AWH be reviewed and ovedbyDSPR ApPrOV315 by E)BpR s", by me POC ar4tor a* COMmiss'On if recessary. CO- 11MI-era$ Archivec Product. M,4,wfacture, Ad,; jre4s/ Pt,,oneIErna i 1 Authorized Si4fIztu--e Te6, njcaj Represenwtive EmaO Quality Assurance RePresent`" Category Subcate- gcfy Compliance " thOO CerttfiCation AgerIcY validated By 9efere, le-d SMndard and Peat (o4 st2noarc'j quivalence of PrOd Standards cer- rife-e-IBy LKO Trudustr*s, Ud 4o mansen Road squth Sramp% ol ,,. NOR -US L6W 3H4, 70S) 49-6-28DD eKt 200 rmetzOOj@tampabay- rr-cOM Robert Metz- 456 Avila Circle NE S. atr ,r petemburg, F: 33703 7271 776-5261. rrr, etzOOIQ)tam,pab3Y,rr.cOM Don Shaw Ku tgxtussies -iTD 120 Hay Rd. wilmington, DIE 19W8 717' , 579-6756 don. ShaW@*O-COM Roofing As, phait Shingles Certification Mark of USOng FM Approvals - CER Locke 6ow0en Valdaljor O*Ckfis, HardCOW Received h ASTME>31-61 modified to 110 MP4 AsTm D3462 A$ TM 0-73- 58 Class H AST M E Ws l,,tem,od 1 oninion A p,oI APPMV31 %Metr" Data--.SkZmitted Date Validated Date Perdirg ffiC APPrI 07/W2015 Date AWOved Suraaza *t- Products j pescrftitionMOW, mwnber Of Name i tFL# i fiberglass alpha shirgleLarnilmede Carl CRC ry, bridge, Car HD'3na Wco s Kafftakee, IL; Hawkesbu 70M I mamdattured a- F_ij-mve AR Syjzca%MaAL and TVQMt GM PlantsIwilmirigton, 04E; tjmits of use ApPr011etit fQ1 Its& in tMia. Yes ApP—W.d'fQr use outside 4vHz, Yes jppact ResiMAV N[A DeS40,pre—u— N/A other 7006.2 :,jjp ama Ridge 12 CaP fibe rYiass shingles Lin%ju Of Use Apprwmd or use in ttvjjZ-- Yes Appr*'Md W use 0I "V"Z: Yes T'Dmxja,.gesistantz N/A D,I pressure: N/A Gthem 1 Cefdfication A Ccvdficft" Ac dCer- 120 p C R4 CoDa verified $If -Dumcc T'Mguyen-65034 ent i CeateO Dy lrlld-ndeflt Ttnrd Third Party: Created. W Ind.epew This is a Ir is 1r fiberglass aspI stt"te usedto cove, the " and/or ridge -of an asplialt ItOnMe Oce system ctuned in T=rMO, Ont- ar4 "ra'-TPt". ot"Tic C,, orwabon Agencif Cartdkmt* Perm r 11171— ILA—& QWWASSWWnca Cocttr8a Eq*atilc" 'Date 12/ 31/202D x DnS D Verifited By, Our 65034 Third Party: I CreatedbyIndelMideI EvaI Reports I r4ellt Third Party: Created. by Lwepe 7We qpeo iala i:., eading Edge Plus AsPhalt Sl-llr-ite -i 0-- Pie" fiberglass 4ssy0st'eamIt Sm iw=a edJn 7006- 3 k tie battarn of a fW i Starter Str'. c I ti aw kesbu", Onwie rA3 UMAS of Use in KVjjZ. Yes ApVIVIAdfor9APMVW* d for use outside HVHZ.' Yes 1 d Resistant_ N/A Designpressare, N/A ottm- Marathon 25 AR, CRC: Su errt'aSS QL Assumme C4ntra`Ct-Ex*aI Daft TK 0- V, 8,v:'D-jc T NWYen PE 65034 i, Created by Irtdapen- Third PaxtY: NO R. ppoffft Crpated by independeM Third Party: 3 tab fibI asphalt s,'I rr;a'&act1mvd at IiI M25AIR Bramptw, Ontario, Kawlr- or t- Toronto, Offt. Syjacatjp, AL and Kartakakee. TIL *ftts L4nits, at use Aprrawed w Lrse in KVKZ: 'es for Use o HVIC' Yes stwrW NA N/A other. 31 4-1 coatravt-ExPhw*m Pat* 2/2Qt= InstmOrd*0 IllstructiOm IK 33-,'' verifed Esv: Duc T N(XtWw 65034 Created by jroepennt,Ttard PaM* NO evaumtkm Reports Created tq Indepe-deM Third Party: El = CC Ftona sS aS AAdZ-10 t-l—,;'"yL'- famom MCA PUN4- Y-"L dl'" wamy",f MAP-M6. *91. 0 SCM- cc o' 4 r. -ate, t 3ro+a :rue Geu r +ice aR :. aaGsest wl tcs car. ix rasa6e. a+ateabke. to rise Pu# To Q ! scua v T` -r March 30, 2015 IKO InciListies, Ltd 120 Hay Rd. v,fgmftton, DE 198D9 Re, FBC FL 7-OW Sk(s) I PRI Construction Materials Technologies has competed a technical review and attached sealed shingle instructions: in compfiance the 2014 Florida Buitding Code. Ttts review was completed based on the receipt of following evidence from IKO kxiustries, Lid: 1) KO Shingle Appburtion Instructons — 3-Tab SKmgles EN-3Tab_Appm 8AGXEFS-2012-1 1 —reftfmatbed 201302-revO7113-Florida) 2) IKO -Laminated Shingles Application Instructions EN4- w.nkiated—Appins-8TTEFS-2012-04—reformatted 2013-02-revG7113-Florida) 3) KO Hip and Ridge 12 Application Instructions EN- KIpandRidgeI2 3MRTri-2013-08_reformatted 2013-081 4) IKO Leading Edge OTLM Shingle APPficat'on ("SMxfions EN- 3L E-P-Tri-2012-06—reforTnatted 201 a-0a) 5) AST. M D3161 Test Report (FM Approval$ Project No. 3040947) The attached instructions should be used in conjunction with the published rnamgachirefs application instructionsandapplicable, code. in the event the insMxtons confUCL Mese-instructions shaft govem. Statement ofIiM.!t.M ertpe: PRI Construtbon materials Technologies and/or Due T. Nguyen, FL P.E.do not have nor pjan to, acquitre a financial interest in any company mantffack"V or distrAxAlng products for which the test reports, are issued. Signed: Signed: Brad Gfrfbq'OSJQ tic 7 RiorM12 mums" okeaw P. F- Mur . OW. 19AM Date: April 30, 2015 Date: April 30. 2015 Attachrrierns: A) IKO Shingle Application Instructions - 3-Tab cti . B) tKO Laminated Shingies Application Instluors C) IKO Hip and Ridge 12 Application wtstructions D) IKO Leading Edge Phis Application Instructions ca' Mfti& Tw -'C. 6412aMCWi)rM Tamp&R-33610 Tet$13-622t-5M FxLS13-621,SMO F3CJ trfsia r e`ro for f $ of C Gaof Instructions - 3,—Tab -S ASTM D3161, Gass F - IKC MMaNm 2S AR and. CRC s ss E INSTRUCTIONS TH s ED IN NAPpUCATtON NC THE EVENT THE MSMICTION GE} NfL.fCT, THESE : INSTRUCTIONS Wf L GOVEFtt+i. ROOF DECK: Solidly sheatt_,ed and fastened deck conforming to 2014 FBC. NpSkL. AY'MENT: App,*ed in accordance mth buOM code mgmernen#s- Fas areas wherethe roof she is i ss than 4~ per foot dawn to 2" per foot, use 2 layers of tsrider yrttent c0nfaM*Q 10 . ode require€nents, the fast sheet over}agpmg tle eave prot tart by 19*, followed by firii W + Ove 9 each pie" cm-se by 19- or outer APProved undertayments in accordairtce wtit't the quaf red appkabon iitstrucftons. For areas vA*m the roof slope is 4" Per foot or greaW, Cow tM dea wM One ply of under art taid paraW to the eaves, with 2" horj?_ iaps and 4" eTd Yes- A1*tY rrretai dit edges on -top. of any underlay along raise edges and directty to the deck atortg eaves in accordance "th bu4"M code requirements. NAILING: Use gaivanized { zinc coated} roofing nails. 11 or 12 gauge, vAth at least 318" dWneterheads, or 314" iMobeards. Use 4 nails pet "gle.P 6-1fi abo'" eft enough to pertetra* e €hropgtt PIY so tlta: matt tread is fie, approx. randITfromeachendand1I'2 above each txrtor t. Orhm nab siraigtt, flush with, but not aAft tnto shingle suriace- pWUNG7 ON STEEP SLOPES: For steep siopes of 21" per foot (60*) or more. use 6 nailsSe cart as shovvn below. Ensure that no nail is within 2" of a joinVoutout of the wxletlytn9 shingle- sa*rgle attimeofmotionwiththree1" diameter (approx- size and ftdmessof a quarter) spots of asphalt ply cermnt placedurntheshingle2" above the bottom edge and equally spaced a Apply plastic semeninmoderationsinceexcessiveamountsmaycauseblistering- CALMONR :Stems should seat totheur=der•tping course when the factory appiied asphalt sealant is srft:tentlyy warnrted by the heat of direct s~t- jD pOWF€E: lnstailed shims shah have a maximum average exposure of 5,-W. sr sus Ur s-AX SW IF s 00 aar " L PM OR AaWE T WE SEALM SW 2" DPW TWP& F nsta VSM;=rs for acts K0 Hip and Ridge 12 APPI.icatiOn s"Ct-1 ASTIR D3161, Class F -- IKO Hip wd RRIP 42) NOTFr TE,SE INSTRUCTIONS SHALL BE USED IN CONJLMTIc1N lAfiTH_ IfCQ'S Pi S,cM- N AppLICAT iS'FRt3CTIC> S AND THE APPE CODE. IN THE EVENT THE: {S'1'Rt 4N CONFL CT, THESE IN .L GOVERN - Cut IPS into thirds; using the rforation manes as a cutting guide. These shingles am di ap and ridge sI ure. For a new appr artCe, the top of each side of each m has desk for a 5 1 jr f € 30 mm) expas it aver fire htp of ridge, aril .nail s be_ ot factory trmTried on a r " (25 mm) taper (see dravAM), rig and rats e t" 25 mm) :n from each ewe. exposing, each P ( Apply NP rriec shove me bait edge ( turd the cam- On t , appty ridge h: p Pieces starting at the Ictwer end. of the hip, w up pteces star"i at each encl meeting in Vte. rnictdle, On gam roofs. apply ridge pieces, starting at 9 en owe to wind direction and Corot a to the o#ter end, Note: To t tjs by: 2 effed, is recas ded, but not requirec,, apply ttip and rime shingles _ paeces. on top of one another, the Iovver p ece extereding abcxst 3kt" €ice heads o€ t€ be diagram). The sttou td be s in cerrtew and rite srs to a heated area vW air for coveredwithcement. Prior to appiicatiort in rald weather, staring the shirx Ies easier bending. NOTE: SHINGLES MUST BE APPLIED PROPERLY, THEY ARE DESIGNED FOR USE AS HIP AND RIDGE SHINGLES ONLY, AND SHOULD ERECTS RESULTING SED R FROr++' i FOUR APFLICAMN OR Y OTHER APPLICATION& WE F TO SSU RES_ p0NskB.IL.ITY FOR LEAKS OR PROPERLYPREPARETHESURFACETO BE ROOFED OVER, OR FAILURE TO PRO\RDE PROPER VENTILATIONINACCORDANCEWITHMINIMUMPROPERTYYSTANDARDS.REQUIREMENTS,:REVIE Y1 ALL ApKICABLE BUILDING CODES, MINIMUM PROPERTY STANDARDS, AND REQUORE .PRIOR TO APPLYING THESE SHINGLES USING THESE APPLICATION INSTRUCTIONS. tistire iy 2 ` 53cte ?et SS o21- = 31 r&24 ' f ematxC A Ko f3S$ ii'ti or.: 'iri 'S3`I!L'jons for rP*3.C45 IKO Laminated Shingles Application InStMCO.Ons ASTu o3461t CWs F — Cambfidget C;urtbridge figs and CRC 51tw NOTE: THESE INSTRUCTIONS SHALL BE USED tN CONJUC77t3N W TH IKO!S PUSLM AppLICAMN MSTRUCTIONS AND THE APPLICABLE CODE. IN THE .EVENT TW € OTRUCTI€ N CQNFUcT, THESE I STRUCTIONS WILL GOVERN_ Roof DECK: Solidly sheathed and fastened deck conforming to 2014 FBC. UKj)ERt .AyMENT.: Applied in accordance with building code requ r urients. For, areas Wiere Me MO sloe is less than 4" per fbot down to 2" per foot, use 2 layers of undefty rw t. conforming to bLfiftfing clue regwernerrts, the first sheet overlapping the eave protection by 19, fogwied by full 36" wig: overlapping each preceding curse by 19"' or other Aporoved undertaymnts in accordance mft the quaffied appftatiOn iitstru€ Lions- For areas where the roof slope is 4" per foot or greater, cover the deck m tfi ors * of underlayment laid parallel to the eaves, with 2" horizontal laps and 4" end taus. Apply metal dOp edges on top of any underlay along rake edges and directPy to the dectc atoms ears in a=rdance with -building Co&— requirerrtents- NAtUNG: Use, galvanized (zinc coated) roofing -nails, 11 or 12 gauge, vAth at least 3180 diameter hearts, enough to penetrate through pywood or 314" info hoards. Use 4 nalls per stele piaced.in the nail fills 7-3W below the tap edge, approx. 1" and 13" in from each end. 04ive nails siaatrt so that nad head is flash Wth., Pitt# not adfin;g injo shingle surface NAR NGON STEP SLOPES: For steep slopes of 21" per foot (600) or more. use 6 Wallis per shin& ptaced as sho . below Ensure that no nag is within 2" of a ioinvcutout of the Ong sitilt . Seal dam each shingte, at time f a ication volth three 1" diameter (approx. size and thickness of a quarter) spots of aspW plastic cement placed under the shingle 2' above the bottom edge arid. s aceed :ateleg. tie ;sty oe. apply piastic cement in ma eration since excessive amounts may cause tniisterir g CAUTION: - Stftles should seal to the ur dedy ing course when the factory applied asphalt seater# is su#i}cier* warmed by the heat of direct sunlight. EXPOSURE: Installed shingies shall have a maximum average exposure of 5-718". NAB - S EEP SLOM APFMAT ION use= fats ash a JL LOC PROPER APPUCATO R R:EQiMES T"T THE NAtiS PEMEMTE SMH THE OYEMAY mWtaeaiLkY PMTWM OMM SHOME P . uAextA4e is S iC. Si-12 e i a = 3ao? Ta b,3 2i- Fez zl?'.aft sstaWe hf'V4'*atRFts atom rs cri;c, rs €ar page 51 f5 WO Leading Edge plus Applicgion Irtstructions. ASTM o3161, ClasS F -- Inca Leading Edge Pam) K,OTE. THESE INSTRUCT ItONS SHALL BE USED IN CONJUCTION W"H 'KVS :PISLWEQ AFPt.tC lTi tt+iST AND THE APPLICABLE CODF . tN THE E T THE STRt GTF( MWIFLICT, THESE INSTRUCTtMS VOLL GOVERN. I :-,pW any underlayrnent, eave protection., vaiiey fiashings. or drW efteS.to- rvof deck as iequtted 2. Eaeh 3:g e x 131t4' (1WO mm x 336 min) lKO Leading Edge Plus striP is perEFxataed ler>gt efOr separation into tym (2) shingles. Take one lK4 Leading. Edge MUS stop- and fOld "at at Perfbf on to 3. Take one of the separated s"ies 39 3l3 x 6 5 8" (1 mmx 168 warn) arid: remove apprr xirrbateN 20n(500 snm)-. 4fl tttfs shingle On the ion isi c:or•Fter of ro granuie side W. # factory installed. sealant ad)acent to the eaves. The shisag ttae rake edgeand eaves by a, nc taal tf4" (6 MM) minimum. Fasten the s tea the roof deck with naos 3" to 4" (75 mm to 1€ 0 warn) fro the eave edge and V (25 mm) in from each end. 4. Take.the €eftover 2€l" (500 min) pie shingle_ Rotate the piece and a gn it vedv--a4 fire rake edge with the factory installed sealant ad)acent to the outer edge of the raaf T?ae s#t le sold .A vodiang the rake edge by a normal 1I4" (6 mm) minimum. Fasten t le s114 #o ttae roof deck w4ttvtasterws located 3" to 4" (75 mm to 1 OO mm) from #e rake edge and 1' (25 rMn in#rom each end. 5. Repeat Steps 3 - 4 for the right baler corner of the roof deck. NAILING: Use galvanized (zinc coated) roofing nails, 11 to 12 gauge, with at #eastA 3, F8" (9 min) tfaariteter nears, long ejough to penetrate tat 3i4 (2f3 MM) into boards. Use 4 nails per shingfe Plate 3• t4 4` (75 mm to 100 MM) fromtheeaveedgeandapproximately1oand13" (25 MM and 33() mm) in from each end. n. apply fulWer*th IKQ Leading Edge Plus shies to the remak eave ems of #* root *OL irk the st *L-s granule We up with the factory appl{ed sealant ad}ace to the eaves. The*s shOtdd a an9 # -e rake edge and eaves by a nominal 114" (6 form) nw*Tium.'Fasten#test&Os totheroofdeckvAhnaiilslocated3- to 4" (75 MM to 100 FnM) fit m ft eave edge, 4 naft W W*Vle- 7. App!Y roof Stauagkes as per the instructions printed on each prudu's p<xkOg e- Make certaln the first course of field staingle lees fgash w h the edges of the fasWled 1K4- Leading -Et Pems. Irt.trals ui, the sealant on the €KO Leading Edge Plus shingles wM adhere to the Est -gorse Wd slt b WW help keep auNn from Rldbng in high winds. a oaadgwf T 33i51u T$1813-621-6,- 7 F= 893-c't 5W eta = ` ti 4m i. y kNI-Q)E 0NJ T TCItYOFSANFORDBUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 16 2,-7 5Y V s 02J 1 I kj_ hereby acknowledge that I personally inspected Roof deck nailing and/or Secondary water barrier work at 71 Z% and have determined that the work Job Site Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S. Signature of Contrac r Printed Name of Contractor Date C-7.3 1 License # License Type. L. General = Building it Residential _VRoofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNT" OFrn Sworn to (or affirmed) and subscribed before me this /_ day of C, , 20 %6 , by P_e_ke v\) i h'/ - , who is A'Personally Known to me o in. SEAL) Signat e of Notary Public Lynne Marie Donner StateofFloridaPrint/ Type/Stamp Name of Notary Public NOTARY PUBLIC o STATE OF FLORIDA e _ ` , ? Comm# FF903095 cv AW_ Expires 7/23/2019