HomeMy WebLinkAbout107 Country PlCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No
Documented Construction Value: $
& —3 c�--J
Job Address: �v� Wn l�J*W 0i 3V11 Historic District: Yes ❑ No ❑
Parcel ID: 3 3 -101- 3c) - cJ w `" n000 - n -10 Residentiall' Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration
Repair ❑ Demo ❑ Chanize of Use ❑ Move ❑
Description of Work:
V\EProperty Owner Information
Name Phone:
Street: 1() 1 Wv"v 'V\ 1 vA V1. ' -%— Reside
City, State Zip: ki %81 Y v
Name
Street:
City, S
Name:
(010/
b (991
nt of property?
Irmation
Phone: Asi4O
Fax:
State License No.:
Architect/Engineer Information
Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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. 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
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.
ignature of Owner/Agent Date Signat f Contractor/Agent Date
MVP F- J-64 /I xyi: — W I A , —
Print Owner/Agent's Name Pn r/ 1's Nai
-
ature of Notary-StatOEVb"1/3012017
'BRANDAN A igna f t o or Date
NOTARY PUBLIC NO PU IC
STATE OF FLORIDA STATE OF FLORIDA
CornffW EE870181 Corrti * FF901799
/21/2019
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID rC QL-- 511)0 0 Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
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:
FIRE:
BUILDING:
Revised: June 30, 2015 Permit Application
v
I
esr+ona oasrrx iacrtion
if ftfi'm ^ q 6
Parcel Information
SCPA Parcel View: 3319-30-506-0000.0070
Property Record Card
Parcel: 33.19-30-506-0000-0070
Owner: SCHILKE SHIRLEY P TRUSTEE FBO SHIRLEY P SCHILKE
Property Address: 107 COUNTRY PL SANFORD, FL 32771-6502
11 Value Summary
Parcel
33-19-30-506-0000-0070
Owner
SCHILKE SHIRLEY P TRUSTEE FBO SHIRLEY P SCHILKE
Property Address
107 COUNTRY PL SANFORD, FL 32771-6502
Mailing
107 COUNTRY PL SANFORD, FL 32771-6502
Subdivision Name
COUNTRY PLACE THE
Tax District
S7-SANFORD
DOR Use Code
01 -SINGLE FAMILY
Exemptions
00-HOMESTEAD(1994)
Seminole County GIS
Legal Description
LOT 7
COUNTRY PLACE THE
PB 26 PG 30
Taxes
Tax Amount without SOH: $3,101.23
2016 Tax Bill Amount $2,229.55
Tax Estimator
Save Our Homes Savings: $871.68
:Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
2017 Working
Values
2016 Certified
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
$166,672
$160,284
Depreciated EXFT Value
$1,000
$1,000
Land Value (Market)
$34,000
$34,000
Land Value Ag
$102,862
County General Fund
Just/Market Value "
$201,672
$195,284
Portability Adj
I 2,641
SIDING
Save Our Homes Adj
$48,810
$43,485
Amendment 1 Adj
P&G Adj
$0
$0
Assessed Value
$152,862
$151,799771
Tax Amount without SOH: $3,101.23
2016 Tax Bill Amount $2,229.55
Tax Estimator
Save Our Homes Savings: $871.68
:Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority
Assessment Value Exempt Values
Taxable Value
Page
Schools
$152,862
$25,000
$127,862
City Sanford
$152,862
$50,000
$102,862
SJWM(Saint Johns Water Management)
$152,862
$50,000
$102;862
County Bonds
$152,862
$50,000
$102,862
County General Fund
$152,862
$50,000
$102,862
Sales
Description
Date
Book
Page
Amount Qualified
Vac/Imp
WARRANTY DEED
11/1/2011
07669
1 1586
$100 1 No
Improved
WARRANTY DEED
1/1/1985
01606
0815
$132,500 1 Yes
Improved
Find Comparable Sales
Land
Method
Frontage
Depth Units
Units Price Land Value
LOT
000
1 0.00 1
$34,00000 1 $34,000
Building Information
I-, Rart/Rath count inrnrrprt? Mirk HprP
# Description Year Built Fixtures
Bed
Bath
Base Area
Total SF
Living SF
EM Wall
Adj Value
Repl Value
Appendages
Actual/Effective
1 SINGLE 1984 I 7
I, g
I $0
1,975
I 3,190
I 2,641
SIDING
$166,672
$195,510
Description Area
http://parceldetaii.scpafl.org/PareelDetailinfo.aspx?PID=: 12
REVOCABLE
LIVING TRUST AGREEMENT
I, SHIRLEY P. SCHILKE, as "Grantor", enter into this Trust Agreement this 7" day of
November, 2011, with SHIRLEY P. SCHILKE, as "Trustee".
The name of this trust shall be "THE SHIRLEY P. SCHILKE REVOCABLE TRUST
DATED NOVEMBER 7, 2011 ".
WITNESSETH:
ARTICLE 1 - IDENTIFICATION - CHILDREN
1.1 Child. Grantor is married to CARL R. SCHILKE. Grantor has three (3) children,
RICHARD F. SCHILKE, WENDY L. SCHILKE BRADLEY, and KRISTIE L. SCHILKE
BRUMBAUGH. All references in this Trust to "child or children" are to said named Children.
ARTICLE 2 - TRUST PROPERTY
2.1 Assets. I have transferred, or shall forthwith transfer, those assets listed on Schedule "A ". With
respect to such assets, the Trustee shall invest, reinvest and administer such assets in accordance with
the terms of this Trust Agreement. I or any other person may, with the consent of the Trustee,
transfer or assign, from time to time, additional property to the Trustee.
2.2 Administration of Trust During Grantor's lifetime. The Trustee shall pay the income and
principal (even to the extent of completely exhausting the principal) from time to time to me, or to
such person or persons and in such proportions, all as I the Grantor may from time to time direct.
During any period that in the opinion of the Trustee, I am unable to so direct, the Trustee is
authorized during my life to distribute such amounts of net income and of the principal (even to the
point of completely exhausting the principal) to, or apply the same for the benefit of, one or more
or all of a class consisting of my husbalid, my children and me, as the Trustee in its sole and absolute
discretion deems advisable to provide adequately and properly for the comfortable support,
maintenance, welfare, education, medical care and comfort of one or more or all of said class. In
exercising such discretion, the Trustee shall consider my personal needs and resources and my
relationship to such persons. The Trustee shall accumulate any undistributed income, and annually
add the same to principal.
2.3 Homestead. The Trust Property may contain my personal residence and I retain the right to
reside in, possess and control the residence during my lifetime. I also retain the privilege that entitles
me, and/or the Trustee to claim said residence as homestead property for real estate tax assessment
and other purposes in compliance with the pertinent Attorney General Opinion Letter. The intent
of this provision is to grant me requisite beneficial interest and possessory right in and to such real
property to comply with Sections 196.031 and 196.041 of the Florida Statutes or any successor statute
of similar import, such that said beneficial interest and possessory right constitute in all respects
equitable title to real estate as that term is used in Section 6, Article VII, of the Constitution of the
State of Florida. Notwithstanding anything contained in this Agreement to the contrary, my interest
in any real property upon which I reside pursuant to the provisions of this Agreement shall be
deemed to be an interest in real property and not personalty.
Page l of 1 I
IN WITNESS WHEREOF, I, as Grantor and as Trustee, have executed this trust agreement
on the 7" day of November, 2011.
SHIRLEY P. SCHILKE, Grantor and
Trustee
SIGNED, SEALED, PUBLISHED and DECLARED by SHIRLEY P. SCHILKE, the
Grantor, as a Revocable Trust dated November 7, 2011, and SIGNED and SEALED by SHIRLEY
P. SCHILKE, the Trustee, in the presence of us and each of us, who, at the Trustee's request, in the
Trustee's presence and in the presence of each other, have hereunto subscribed our names as
witnesses on the date first above written.
r•
Signature of W e
Sigrrture of Witness
STATE OF FLORIDA )
COUNTY OF SEMINOLE )
of 1001 Heathrow Park Lane, Suite 4001
Lake Mary, Florida 32746
of 1001 Heathrow Park Lane, Suite 4001
Lake Mary, Florida 32746
We, the undersigned, being the Grantor and the witnesses, respectively, whose names are
signed to the foregoing instrument, and having been sworn, do hereby declare to the undersigned
officer that the Grantor, in the presence of the witnesses, signed the instrument as the Revocable
Trust of said Grantor, that the Grantor signed willingly; and that each of the witnesses, in the
presence of the Grantor and in the presence of each other, signed the Revocable Trust as a witness.
SHIRLEY P. SCHILKE, Grantor
6A4,—, d &6��
Witness
fitness
Page 9 of 11
. I .
ubscribed answorn to before me by SHIRLEY P. SCHX t or, who provided
�X as identification and b
andr--, the witnesses, who are
personally known to me, on this 7" day ofNovember, 2011, all of whom personally appeared before
me. I
(Affix Notarial Seal) L)CI M L� Q -
Notary Public; State of
Uj iELLERAMERDE
41y COA;AIVSVON # DO 874533
26.13
ftev BoldtdT iu
Thiu WXE
.,my POk 2oTyped)Trinted Name
STATE OF FLORIDA
COUNTY OF SEMINOLE
The foregoing instrument was acknowledged beforethis 7" day of November, 2011.. by
SHIRLEY P. SCHILKE, the Trustee, who provided -4LM*ijerd as
identification.
(Affix Notarial Seal) Pik
Notary Public; tate of Florida
Typed/Printed Name
Page 10 of I I
umveCSal
i lid Roof & Contracting
Page 6 of 8
INVESTMENT:
Universal Roofing Group, Inc. proposes to fumish and install labor and material in accordance with the
above specifications, and subject to conditions found on both sides of this agreement, for the sum of:
���• Owens Corning Duration or Designer Shingles
$ 29,162.22
n ! l'.mli Perform Wind Mitigation Inspection ADD $ 0.00
.D Discounted inspection that when submitted to your Insurance company,
can save you hundreds of dollars a year on your homeowners insurance premiums
Jared Mellick Approved Discount $ 8,616.11
New Total: $20,546.11
TERMS:
Standard industry cash terms: one-third with the order, one-third due upon delivery of materials, balance due upon
completion. Building Permit is included. Job related debris to be removed from job site.
The final payment of each item should be paid at the end of that item. (i.e. the final payment of the
roof is paid when the roof is completed, gutters, screen, interior etc.)
$ 20,546.11 Total Order
6,850.00 Contract Signing
6,850.00 Due on Start Date
6.84611 Due Upon Completion of Roof
Print Name:/f i . V T �<
Date:
By:
ersal Roof & Con tng
By:
Print Name:
Date:
Owner
UnrversaC (0A1%.
N a m e: 1113 Mat, wi al- -i �, i " ve Mki,
irzt�rir�rnn
k; 7NAMZCIilNi�� r�
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: Ss -M - 30- bu - 000-Y-5 - W,O
MARYANNE MORSEP SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
8K 8812 Ps 842 (1P9s)
CLERK'S : 20/6122885
RECORDED 11/29/2016 10:3733 All
RECORDING FEES $10.00
RECORDED BY hdnvove
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 descrigtiAo of the Drooerw and,street addressZ available)
2. GENERAL DESCRIPTION OF IMPROVEMErd: {� (�cd-
�(X-� tLlJl� "
3. OWNER
Name an
Interest 4
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOk Na t l& V1 I A 1 U • 11 Phone Number: Sal 3 I (. IJ /412l
Address: C�� rA M/11
5. SURETY (If applicable, a copy of the payment bond is attached): Name.
Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7. Personewithin 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:
Address:
8. 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 1, 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.
Ac �--71-1�
(Slgnaturepf Owner or Lessee _or Ownels'o(L'essee_s
Authorized Officer/Director/Partner/Manager)
State of f ay t L A County of 4)e M i nO> I e
)2� c14 �p )` Sc -14 c X-K-
(Print'Nam" and Provide Signatory's Tlge/0111")
The foregoing instrument was acknowledged before me this � � � day of J� � ye 1De r 20 b
by R 1 cl i f A � iKe
L h ► I - Who is personally known tome 0 OR
Name of person making statement
who has produced identification type of identification produced: S 41 Z 7 1/& SJ ` 3v
BRANDAN MOLTHAN
NOTARY'Pl1BLIC
STATE OF FLORIQj`1, IIiI£o Ct)rr MARYANNE Mt
• Comma EE870181CLER. F THE CI IT COURT AN
"Y I&/30/201'rOb1PTR 'LER
�J SEMINOLE ' U , F
aw
00141 Fri{ F. iwlL
7/152015 Florida Buildrg Code Online
Business & Professional • 1
Raida pparpentd aCIS Home I Log In I user Registration I Hot Topa I submit surcharge I stats a Facts I Publications I FOC Start I Bas Site Map I Links I search I
Busines
Professig�i *product Approval
USER: Public User
Regulation
Product Approval Menu > Produet or Appliatlon Search > Aoollatlon List > Application detail
• FL # FL5444-R8
Application Type Revision
Code Version 2014
Application Status Approved
Comments
Archived
Product Manufacturer CertalnTeed Corporation -Roofing
Address/Phone/Email 18 Moores Road
Malvern, PA 19355
(610) 651-5847
mark.d.harner@saint-gobain.com
Authorized Signature Mark Harrier
ma rk. d. ha rner@sa i nt-goba i n. co m
Technical Representative Mark D. Harrier
Address/Phone/Emall 18 Moores Road
Malvern, PA 19355
(610) 651-5847
Mark.D.Hamer@saint-gobain.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nleminen
the Evaluation Report
Florida License PE -59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 07/03/2017
Validated By John W. Knezevlch, PE
Validation Checklist - Hardcopy Received
Certificate of Independence FL5444 R8 COI 2015 01 COI Nieminen.ndf
Referenced Standard and Year (of Standard) Year
ASTM D3161, Class F 2009
ASTM D3462 2009
ASTM D7158, Class H 2008
Equivalence of Product Standards
Certified By
Sections from the Code
https9MoridabUldng.orgfpr/pr app O.aspx?param=wGEVXQwlDgla?t1gO7CSsoycOrl28CcpCIJxN=sPPRyA%3d 1/2
W
riorida tluidirrg Code Online
ProfessionalBusiness & Regulation
INA
nullda DepaftMjd BW Nome I Log In I Vur "IMation I Mot Tows I submit SurcMripe ( sae: a Facts I Publionons I FBC San I Bas Site Mop ( Llr&j ( search I
Busines (> produdApproval
Professional �: Public Uftr
Regulation
Product Approval Menu > Product or Aooliation Semch > Anniiation Ust > Application Detail
FL i FL15216-R2
Application Type Revision
Code Version 2014
Application Status Approved
Comments
Archived
Product Manufacturer InterWrap, Inc.
Address/Phone/Email 32923 Mission Way
Mission, NON -US 00000
(551) 574-2939
mtupas@lnterwrap.com
Authorized Signature Eduardo Lozano
elozano@interwrap.com
Technical Representative Eduardo Lozano
Address/Phone/Emall 32923 Mission Way
Mission, NON -US 00000
(778) 945-2891
elozano@interwrap.com
Quality Assurance Representative
Address/Phone/Email
category Roofing
Subcategory Underlayments
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE -59166
Quality Assurance Entity Intertek Testing Services NA Inc. - ETL/Warnock Hersey
Quality Assurance Contract Expiration Date 11/17/2015
Validated By John W. Knezevlch, PE
-f Validation Checklist - Hardcopy Received
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Sections from the Code
FL15216 R2 COI 2015 01 COI Nieminen.odf
1507.2.3
1507.5.3
1507.8.3
1507.9.3
1507.9.5
httpsJMoridaWIdirg.orgrprtpr app o.aspx?wam=wGEVXQwtDgvNVVKJZ1QRAdWMAQGQyQaHhVeiOpVSVXwSdCoQ%3d%3d
112
QOTIUNITYIERD
EVALUATION REPORT
EXTERIOR RESEARCH & DESIGN, LLC.
Certificate of Authorization #9503
353 CHRISTIAN STREET, UNIT #13
OXFORD, CT 06478
PHONE: (203) 262-9245
FAX: (203) 262-9243
Interwrap, Inc. Evaluation Report 140510.02.12-R2
32923 Mission Way FL15216-R2
Misslon, BC V2V-6E4 Date of Issuance: 02/17/2012
Canada Revision 2: 04/27/2015
SCOPE:
This Evaluation Report is issued under Rule 61G20-3 and the applicable rules and regulations governing the use of
construction materials In the State of Florida. The documentation submitted has been reviewed by Robert Nieminen,
P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The
products described herein have been evaluated for compliance with the 5u' Edition (2014) Florida Building Code
sections noted herein.
DESCRIPTION: RhinoRoof Underlayments
LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted
herein.
CONTINUED CompuAmci: This Evaluation Report is valid until such time as the named product(s) changes, the referenced
Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of
this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product
changes or the referenced Quality Assurance documentation changes. Trinity) ERD requires a complete review of this
Evaluation Report relative to updated Code requirements with each Code Cycle.
ADVERTISEMENT: The Evaluation Report number preceded by the words "Trinity IERD Evaluated" may be displayed in
advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety.
INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or
its distributors and shall be available for inspection at the job site at the request of the Building Official.
This Evaluation Report consists of pages 1 through 3.
Prepared by:
Robert J.M. Nieminen, P.E.
Florida Registration No. 59166, Florida DCAANE2983
The raaimge seal appeatln{ was arnhoriced try Robart Nieminen,
P.E on 007/2015. This does not sane as an electronically sltned
doanmem. signed, seated hardmpin have been transmitted to the
Produn Approval Administrator and to the named client
CERTIFICATION OF INDEPENDU CE:
1. Trinity IERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or
distributing products it evaluates.
2. Trinity I ERD is not owned, operated or controlled by any company manufacturing or distributing products R evaluates.
3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for
which the evaluation reports are being Issued.
4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the
product.
S. This is a building code evaluation. Neither TrinityIERD nor Robert Nieminen, P.E. are, in any way, the Designer of Record for any
project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or design guidance unless retained
specifically for that purpose.
TRINITY ERD
ROOFING COMPONENT EVAWATION:
1. SCOPE:
Product Category: Roofing
Sub4ategorr Underlayment
Compliance Statement: RhinoRoof Underlayments, as produced by Interwrap, Inc., has demonstrated compliance with the
intent of following sections of the Florida Building Code through testing in accordance with applicable sections of the following
Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein.
2. STANDARDS:
Section
Properties
Standard
Year
1507.2.3, 150753, T2507.8,
Unrolling, Breaking Strength, Pliability, lass
ASTM D226
2006
1507.8.3, L%7.9.3,2507-95
on Heating
Yes
No
1507.2.3,1507.5.3,1507.8.3,
Unrolling, Tear Strength, Pliability, loss on
ASTM D4869
2005
1507.9.3
Heating, liquid Water Transmission,
Breaking Strength, Dimensional Stability
3. REFERENCES:
Uffft
Examination
Reference
Date
ITS (T5T1509)
Physical Properties
300539395COQ-006
10/27/2011
ITS (7571509)
Physical Properties
100539395COQ-002
10/27/2011
ITS(TST1509)
Physical Properties
10OS39395COQ-006
03/24/2014
ITS (QUA7673)
Quality Control
Inspection Report
11/17/2014
4. PRODUCT DEscwPnoN:
4.1 Rhinoltoof 1.120 is a multilayered polymer woven coated synthetic roof underlayment intended as an alternate to ASTM
D226, Type 1 or Type li felt or D4869 Type II felt. RhinoRoof Underlaymeni is available in 42 -inch wide rolls, and can be
produced in various other sizes.
S. LIMITATIONS:
5.1 This is a building code evaluation. Neither TrinityJERD nor Robert Nieminen, P.E. are, in any way, the Designer of
Record for any project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or
design guidance unless retained specifically for that purpose.
5.2 This Evaluation Report is not for use in the HVHZ.
5.3 Fre Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory or test
report from accredited testing agency for fire ratings of this product.
5.4 RhinoRoof Underlayments may be used with any prepared roof cover where the product is specifically referenced
within FBC approval documents. If not listed, a request may be made to the AHI for approval based on this evaluation
combined with supporting data for the prepared roof covering.
5.5 Allowable roof covers applied atop RhincRoof Underlayments are follows:
5.6 Exposure limitations:
5.6.1 RhinoRoof Underlayment shall not be left exposed for longer than 30 -days after installation.
6. INSTALLATION:
6.1 RhinoRoof Underlayments shall be installed in accordance with Interwrap, Inc. published installation Instructions
subject to the Limitations set forth in Section 5 herein and the specifics noted below.
6.2 Install RhinoRoof Underlayments in compliance with manufacturer's published installation instructions and the
requirements for ASTM D226, Type I or II or D4869, Type II underlayments in FBC Sections 1507 for the type of
prepared roof covering to be installed.
Exterior Research and Oetlgn, LLC.
Certificate of Authorization #9503
Evaluation Report 140510.02.12.82
FUS216-R2
Revision 2: 04/27/2015
Page 2 of 3
-Tiiel�ET tRoor"Covet OPtto�is'
Undedayment
Asphalt
Shingles
Nall -On Tile
I
Foam -On role
I
Metal
I
Wood Shakes
I & Shingles
Slate or
Simulated Slate
RhlnoRoof U20
Yes
No
No
Yes
Yes
No
5.6 Exposure limitations:
5.6.1 RhinoRoof Underlayment shall not be left exposed for longer than 30 -days after installation.
6. INSTALLATION:
6.1 RhinoRoof Underlayments shall be installed in accordance with Interwrap, Inc. published installation Instructions
subject to the Limitations set forth in Section 5 herein and the specifics noted below.
6.2 Install RhinoRoof Underlayments in compliance with manufacturer's published installation instructions and the
requirements for ASTM D226, Type I or II or D4869, Type II underlayments in FBC Sections 1507 for the type of
prepared roof covering to be installed.
Exterior Research and Oetlgn, LLC.
Certificate of Authorization #9503
Evaluation Report 140510.02.12.82
FUS216-R2
Revision 2: 04/27/2015
Page 2 of 3
7.
B.
VT_KINITYJERD
6.3 Re -fasten any loose decking panels, and check for protruding nail heads. Sweep the substrate thoroughly to remove
any dust and debris prior to application.
6.4 RhlnoRoof U20:
6.4.1 Fasteners:
For exposure < 24 hours, corrosion resistant fasteners may be 1 -inch roofing nails with a 3/8 -inch diameter head, or
those noted in 6.4.2. The use of staples is prohibited.
For exposure > 24 hours up to maximum 30 days, corrosion resistant fasteners shall be minimum 14nch diameter
plastic or metal cap nails or FBC HVHZ nails & 1-5/8" diameter tin caps (with the rough edge facing up). The use of
staples Is prohibited.
6.4.2 Single Laver: Root Slope > 4:12:
End (vertical) laps shall be minimum 6 -inches and side (horizontal) laps shall be minimum 4 -Inches. Refer to Interwrap,
Inc. recommendations for alternate lap configurations and/or the use of sealant under certain conditions.
For exposure < 24 hours, use of every -other fastening location printed on the surface is acceptable. For exposure > 24
hours up to maximum 30 -days, use of every fastening location printed on the surface is required.
When batten systems are to be installed atop the underlayment, the underlayment need only be preliminarily attached
pending attachment of the battens on the same day. Battens shall not be positioned over cap nails. If this occurs,
remove the cap nail and patch the hole In accordance with Interwrap published instructions.
6.4.3 Double laver: 2:12 < Roof Slope < 4:12:
End (vertical) laps shall be minimum 12 -inches and side (horizontal) laps shall be minimum halt -sheet -width plus 1 -inch.
Double layer application; begin by fastening a half -width plus 1 -inch starter strip along the eaves. Place a full -width
sheet over the starter, completely overlapping the starter course. Continue as noted In 6.5, but maintaining minimum
half -width plus 1 -inch side (horizontal) laps, resulting in a double -layer application.
BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or Authority Having Jurisdiction In order to properly evaluate the installation of this product.
MANUFACTURING PLANTS:
Contact the manufacturer or the named QA entity for information on plants covered under Rule 61G20-3 QA requirements.
9. QUALITY ASSURANCE ENTRY:
Intertek Testing Services NA Inc.-ETL/Warnock Hersey — QUA3673; (604) 520-3321
- END OF EVALUATION REPORT -
Exterior Research and Design, LLC.
Certificate of Authorization #9503
Evaluation Report 140510.02.12at2
FL1S216d12
Revision 2: 04/27/2015
Page 3 of 3
POWER OF ATTORNEY '
I hereby name and appoint Joan Mellick
Of Universal Roofing Group, Inc. too be my lawful attorney in fact
To act for me and apply to the
Building Department for a Re -Roof permit for work to
Be performed at a location described as:
Section:33 Township: / '� Range: 'ZF4 Lot: 50,6 Block: cAN9-W 574D
Subdivision:
11
(Address of job
Sh)` r/.� !P, Sch ; zA
of property and address)
And to sign my name and do all things necessary to this appointment.
(Signature of Certified Contractor)
The foregoing instrument was acknowledged before me this // — 7
By Ken Mellick
Who is personally know to me and who did not take an oath.
State of Florida
County of Orange
ota
My Commission expires:
Commission#:
N
Thalia Coral Acevedo
NOTARY PUBLIC
-+STATE OF FLORIDA
: Comm# FF901799
• iN E 1
90 Expires 7/21/2019
w
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: Ilk -Z)240
1, Yom & Lkl l/-- hereby acknowledge that I personally inspected
�N6of deck nailing and/or 0 Secondary water barrier work
at V � MO LA, V1 U Ce--- 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
perfoWfhisr official duty shall constitute a misdemeanor of the second degree pursuant to
SectiSi Date
Printed Name of Contractor License #
License Type: 0 General 0 Building 0 Residential P�Roofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
r
COUNTY OF l�
and subscribed be or a this ') day of , 20 �, by
who isF.Personally Known to me or has n Produced (type of
as identification.
of Notary Public
Revised: February 2015
7
Ttda card AawWo
NOTARY PUWC
STATE OF FLAMCA
CMVWFFWM
Exgk" 712irmt