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HomeMy WebLinkAbout150 Hidden Lake DrE + .e ECEIVE i NOV 3 0 20S ' CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Ao-32,4Q1 Documented Construction Value: $ ( k2_00 Job Address: 5 "&— ' Parcel ID: Type of Work: New Description of Work: Addition ❑ Alteration Historic District: Yes ❑ No ❑ Residential commercial ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Plan Review Contact Person: �1/�(y„�t �,P,v�z Title:,tl/1 ►�► Phone C b�- 2�S' 77W Fax: 400 -,-?,3 2-3361Email: Te,PW1 i4- gkkg2P_t,►r -_ . GQ�s7 ��' Property Owner Information Name e704VC.XV1 moU. e • J c lu•W-'YI C-6SCt..r Phone: Street: )Sd kO-eN Lc.�.he Dr. Resident of property? City, State Zip: 2w&n:,J t EL 3243 -S51S Contractor Information Nam C--(- Phone: Street: D G • GOIOr'ra l Dr. Fax: 8co-&n - 5�36 I City, State Zip:(1I kkrC to yl- MS04 State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 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. Signature of Owner/Agent Date Signature of Contra or/Agent Date i0 . ,n-- Print Owner/Agent's Name Pri Contractor/Agent's Name r Signature of Notary -State of Flonda Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Si atule of Notary -State of Florida ` -�DA ` + ;.ow UJAMITi+1A MURRAY 3MY COMMISSIONtYFF9"3n EXPIRES Dt t8. T019 /�5ibo•�,1 i Contractor/Agent is ersona an*Me or Produced 1D 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: Flood Zone: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: . UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 Permit Application Permit Number: 1119111111111119111111111111111111111111 1`14RYANNE 11ORSEP SE11INOLE• COUNTY CLERK OF CIRCUIT COURT h COMPTROLLER BY, 8813 F'3 1315 (1P9s) CLERK'S Y 2016123617 RECORDED 11/30/2016 12014'::32 P11 RECORDING FEES $10.00 RECORDED BY hdevove NOTICE OF COMMENCEMENT State of Florida, County of Orange 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) Loi 131 less SfA s 9 i i} 1%41 A I'91 SC( w 1 C6 FT Of- MIA- �Iu Coir 16AY1 s 4 L D 2. Gener I descri ion of improvementl'} SCC W tt5. 5 13 M W 14?. '3 3 F1 N 30,007 3. or Lessee Lvci. n the improvement 41A rv% I A y I; min F'1 S Sec. Interest in Propertywy) u - Name and address of fee simple titleholder (if different from Owner listed above) Name Address 4. Contractor Name 3W QCf QQVIYaUp! S Telephone Number 5. Surety (if applicable, a copy of the payment bond is attached) Name Telephone Number Address Amount of Bond $ - 6. Lender Name Telephone Number'; Address 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may - be served as provided by §713.13(1)(a)7, Florida Statutes. ia Name Telephone Number Address z P 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienoes $ Notice as provided in §713.13(1)(b) Florida Statutes. Name Telephone Number Address° 9. Expiration date of notice of commencement (the unless a different date is specified) date will be 1 year from the date of recordi WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT i 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. X/� �lrav � •��i—,y Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this 3o day of N (! by 6A b� W I Vii, Y) 1 A ' . / mon ear name of person as ►' V Z v for Type of authority, e. . officer, trustee, attom a Name of party on behalf of whom instrument was executed Si7nown f Notary Public — State of Florida Print, type, or stamp commissioned name of Notaryublic Personal! OR Produced ID ;y r" SgpgqptTNA tltURRAY Type of ID Produced ;.. MY COMMISSION 0 FF944322 EXPIRES December 16, 2019 Form content revised: 01/23/14 3(pN 50 W K LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: 103011(p 1 hereby name and appoint: MARI PEREZ- ARIAS an went of: JASPER CONTRACTORS 1 Namc rrf 0mirw y ) 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): u All permits and applications submitted by this contractor. u The specific permit and application for work located at: 150 Atcwe,r, lakt ►� r (Street Address) Expiration Date For This Limited Power Of Attorney: License I lolder Name: MICHAEL STEPHEN State License Number. CCC1329651 Signature of License Holder: STATE OF FLORIDA COUNTY OF (WTA The foregoing instrument was acknowledged before me this 56 day of A) V 201(Dby "VW(jk t. S be Y1 who is personally known to me/ or who has produced pL as identification and who did/did not take t h. Signal re Cavv�4�y�►c� `My`Yv-c�.� Print or Type Name (Notary Seal) Notary Public — State of 1 SAMAN*rHA MUPPAY Commission Number QLikl&a'a MY CbMMISS10N # Pr!sds;to� EXPIRES Detemb�r 16. ?019 My Commission Expires: IZ" ,10: o:3°f'» FMxMar+eterySeNlaeum Jatlxr (•ontractors, Inti Account Manager /�e,/Lv/,tA 53 -SO E Colonial Dr. ('untarl /r YG7-2L5 �1/� Orlando. P1. 3280'; Imurrnre 011111)""I. Information a();;:�x.� JASPER Company r• .'v _ % au1 ;:-.3; •1 Fav ► 4 �% Y Z )asperliool' Cool -► � + `-7 GYF}c, into.,i ia.peime :om ,.....a..► �e.. ('I;um N 5.56 .l - --/ . t:ontraror'c t.ueme C CCC 1)2uht1 Mort en ee Comlialtv Informallon Company L' � -- __ VISA © Loan Numhcr _/ %6C js _ Rl)!)P IIIiTLA('E111�.NT CON'F1tAf'f Owner(s): / - 0 ---4--- � --� - — Phone: — %G 27� re 4. - ?I Address: / / Alt P one: Gtr: t� S�1r Zip code: Shingly Co or, I—C I — . Z,7 i -- S�F- e Email: ✓ j Roof RCV .itnour . g Drip f e ICOW: if o', nee'. lnturnnce a 0ti1T8 tl deet not nerre to i m% for n full roof replacement. fill,. contract shall lie null and Vold. A%%ignment of In%uranee Birneftt% for the hull hoof Replacement Only: I herchy m ign any and all inuututcc rights, benefits and protxeds under an-, appli: aM. n ,%mkiwe 1tidl: lc. it, Pontiac tato, Inc (" latp(r"), the %cope of which shall be (►mitel to a Full Roof Replacement. i make this.i\\iL'. mwn: mut mith.i;t. alion In o%ntitlei,llwn 111 t;ItpCr't ,Ili;rl'CmCnt to perform cervices, supply material, and r themmi: perform its obhralmn, un.i -.hi, conn::;. im-11 lm►• ma nwuo nIF hull 1mv►nent no Clic lime of wrvirc I al%o herchv direct my insurer($) to release any and all int -O. -M-3110-1 7,J. ht !a -;ter. Ito reprra7rtatnc. lit Ito anomcv for the direct purpose of (Phtaming actual ir-nefits to be paid by my tn�un�rt.1 for .r�rc :;n.t-r1 )r chi• re) ant, I %t,ol%c my pn%ae ng;htt If paymcni i% made directly in the r)xner'Agent/in%ured(s), it shall be cndor�e�i : %t. t: !a �: rr:mc.'.►alcl% upon rcccrpt I agree th:u any pornum oil %tort., deductrhics, betterment or additional work requested by the undcrctL;�ci, r,�: cr. ;-:� M mtivancr, matt Ir paid h� the undtrtlpncd on ihr: day ��f Inttallauom Deductible 1::, otic 0%%-c:'> lm. III all Ineuranre I)c%Iucuhlct ()wner'% out -cif -pocket expense will not exceed the deductible amount :s lo.• sheet, l -\I i SS replaccinent'repau of dctrrloratal decking is required and'or O•xner requests optional upgrad 3a%per C 1\\OT pa -s. wai%c, rebate, or promi%c to pa%. %%sive lir rebate all or any part of the insurance deductible applicable to the .aslr:.-;r ;la:m.:o pat -dent of work. In the event of a di%acpancy, the deductible amount stated on the insurer's Loss Sheet shall Deductible: 5 MUST BE PAID 1N FUI.1„ Pi,IiS APPI_iCABI.F SALES TAX X. 1:.y'linitial) MORTG %GF 4lTHURI7_ATIO\ 1, 0,%Ticr'Mongagor, grmt authormition for C Mortgage Co. to speak with Jasrnzr on,::::e ::,:!u ilei. hu; non limited to, the claim and draw statue iniaw) PAYNTE\T SCHEDULE Ouncr agrees to pay )riper hated on die lidluw•tng pay schedule: (i) Deposit in the amount of Sdue up %, -.1 s:=a ,t air con-mct tot I the Contract frees, less the Deposit and any applicable depreciation retained by Owner's insurer!$), plus Lrpgrad: C. -:s. duc and p rabic to Jacper upon completion of work hang perforated: and, (iti) the remaining Contract Price (equal to any app)3ca.b!r dc,.:c:::,to:) and or change orders) due and payable to Jasper upon completion of work performed. in the event of a pending in•pecticn, ne :mire ULm 2`v of Contract frees may be withheld until inspection has passed. Optional: ITGR-•%DE ITEM QTY: PRICE: S 0' TOTAL: S Replacement Work and Price. Upon insurer's approval and subject to the terms and condAtoas herein, Jasper agrees toR terials and provide the labor necessary to perform the full roof replacement which shall take place following Owner's insurance company's approval. approximicly :%•;thin 30 days. conditions perinitnng. Ow ner's Declaration of intent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof replacement, Jasper shall Ixrform the roof replacement upon receipt of funds from Owner's insurance company. CANCELLATION: if O%ner elects to terminate the services of Jasper, Owner may do so before midnight on the third business day after Contract is executed. Owncr shall receive a full refund of all cleposils. Owner may also rescind Contract before midnight on the third business da% after the contract i% executed after notification from in%urer(%) that the claim for payment on roof contract has been denied, in whole or in part. All nritlen notice% of cancellation, regardIc%% of reason, shall lie postmarked or delivered to Jasper's corporate office: 1690 Roberts Blvd Suit 112 Kennesaw, GA 30144. CANCELLATiON EXCEPTiONS: The three (3) day right of cancellation DOES NOT APPLY to contracts for emergency hone repairs as time is of the essence. 1. Owner, have read and understand all statements, terms and conditions of the "Roof Replacement Contract" and agree that all details are acceptable and satisfactory. l further understand that this contract constitute% the entire agreement between the parties and that any further changes or allcrations to this contract must lie made In writing, and agreed upon by both parties. Each party represents and warrants to the other that it has the full power and authority to enter into The contract and that it is binding sail enforceable in accordance with its terms. ��3ol�G k /x-1 , 'e" �; , Authorize Jasper ltcpresentalive Date Owner Date TERMS AND CONDITIONS: Acceptance of Terms: 1, Owner, hereby agree to retain Jasper for a full roof leplacenhcnt tm the turns and conditions strted bercuh. I further agree to provide Jasper with the Scope of Loss Report gcnemterl by illy Insurer wed uulhew JJc and grant full acays to the property for the purpose of staging and completing all agreed upon work. Supplemental Clahm Jasper teservcs live right to file a supplemental claim with Owner's insurance in the event dint die Timate is incorrect and/or addimmi dantag,v is discovered atter Scanned by CamScanner PBS str+,K%rcot rn,nono., Parcel Information Property Record Card Soo c �, Parcel: 10-20-30-5CT-0J00-0130 �C•� Owner: GALVAN ALBA E & GALVAN CESAR rti Property Address: 150 HIDDEN LAKE DR SANFORD, FL 32773-5515 a8coV - --- - -- ---- — -- — ----� (Value Summary ---- - - -- - .... aI -- Parcel 10-20-30-5CT-0J00-0130 Owner GALVAN ALBA E & GALVAN CESAR Property Address 150 HIDDEN LAKE DR SANFORD, FL 32773-5515 Mailing 150 HIDDEN LAKE DR SANFORD, FL 32773-5515 Subdivision Name HIDDEN LAKE UNIT 1-C Tax District S1-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions 00-HOMESTEAD(1997) °o 0 Legal Description _OT 13 (LESS BEG S 41 DEG 17 MIN 17 SEC W 105 FT OF VIOST ELY COR RUN S 41 DEG 17 MIN 17 SEC W 115.543 FT N 142.723 FT N 30.007 FT E ►3.967 FT N 40 DEG 4 MIN 49 5EC E 137.014 FT S 49 DEG 16 MIN 32 SEC E 74.364 FT 170 BEG) BLK J RIDDEN LAKE UNIT 1-C DIB 17 PG 56 Taxes Seminole County GIS Tax Amount without SOH- $848.75 2016 Tax Bill Amount $518.09 Tax Estimator Save Our Homes Savings: $330.66 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2017 Working 2016 Certified Exempt Values Values Values Valuation Method Cost/Market Cost/Wrket Number of Buildings 1 1 Depreciated Bldg Value $74,599 $71,894 Depreciated E*T Value $600 $600 Land Value (Market) $21,000 $21,000 Land Value Ag 0648 County General Fund Just/Market Value " $96,199 $93,494 PortabilityAdj $68,849 $25,000 Save Our Homes Adj $27,350 $25,124 Amendment 1 Ad)' 1563 $45,500 , Yes P&G Adl $0 $0 Assessed Value $68,849 $68,370 Tax Amount without SOH- $848.75 2016 Tax Bill Amount $518.09 Tax Estimator Save Our Homes Savings: $330.66 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Date Assessment Value Exempt Values •Amount Taxable Value Vadlmp CitySanford $68,849 $43,849 $25,000 SJWM(SaintJohns Water Management) $68,849 $43,849 $25.000 County Bonds $68,849 $43,849 $25,000 QUIT CLAIM DEED _ _ 02492 i 0648 County General Fund $68,849 $68,849 $0 Schools $68,849 $25,000 $43,849 Sales • Description Date I Book Page •Amount Qualified Vadlmp WARRANTYDEED - 7/1/1996 03100 2007 $69,400 Yes Improved CORRECTIVE DEED 7/1/1996 03105 !0677 $100 No Improved QUIT CLAIM DEED - 10/1/1992 02492 i 0648 $25,400 I No Improved WARRANTYDEED .9/1/1980 01298 1563 $45,500 , Yes Improved QUITCLAIM DEED 3/1/1979 01216 0738 $100 i No Vacant Fnd Comparable Salos Land Method Frontage Depth Units Units Price Land Value LOT 0.00 0.00 1 1 $21,000.00 I $21,000 Building Information Is Bed/Bath count incorrect? Click Here. Agency #- Description Year Built Fooires Actual/Effective Bed Bath Base Area Total SF Living SF 6d Wall Adj Value Repl Malue Appendages 1 SINGLE 1979 6 . 3 2_0 1,274 1,573 I 1,274 CONC — I FAMILY BLOCK $74,599 $91,533 I Description Area No Appendages Permits Permit # Description Agency Amount CO Date Permit Date No Permits Extra Features Description Year Built Units Value New Cost SCREEN PATIO 1 12/1/1985 1 i $600 $1,500 T, Professional Regulation, _ Florida Department! BCIS Home I Log In I User Registration I Hot Topics I Submit Surcharge Stats b Facts I Publications FOC Staff I SCIS Site Map I Links Search I Busines UsovalProfessi �a,l Product Publicer Regulation Product Approval Menu > Product or Application Search > Application List > Application Detail FL 4 FL17873 Application Type New 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 System Components Corporation Address/Phone/Email PO Box 2432 Issaquah, WA 98027 (425) 392-5150 cshepherd@systemcomponents.net Authorized Signature Christopher Shepherd cshepherd@systemcomponents.net Technical Representative Chris Shepherd Address/Phone/Email PO Box 2432 Issaquah, WA 98027 (425) 392-5150 cshepherd@systemcomponents.net Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Product Evaluation Entity Evaluation Entity ICC Evaluation Service, LLC Quality Assurance Entity Quality Auditing -Institute Ltd. Quality Assurance Contract Expiration Date 01/31/2018 Validated By Chris Bowness, P.E. G6 Validation Checklist - Hardcopy Received Certificate of Independence FL77873 RO COI ICC -ES Certificate of Independence.odf Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code 1507.2.3 1507.3.3 1507.5.3 1507.7.3 1507.8.3 1507.9.3 1507.9.5 1518.2.1 1518.4 Product Approval Method Method 2 Option A Date Submitted 07/03/2015 Date Validated 07/03/2015 Date Pending FBC Approval Date Approved 07/15/2015 Summary of Products FL # Model, Number or Name Description 17873.1 Coverpro 3000 Synthetic Roofing Performance Felt Replacement Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL17873 RO II coveroro3000 Installation.Ddf Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other: FL17873 RO AE ESR 1293 - Coov.Ddf 17873.2 Coverpro Synthetic Roofing Performance Felt Replacement Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL17873 RO 11 coveroro Installation.odf Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other: FL17873 RO AE ESR 1293 - Coov.Ddf 17873.3 Feltex SA300 Synthetic Self -Adhered Roof Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL17873 RO II feltexsa300 installation.Ddf Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other: FL17873 RO AE ESR 1293 - Coov.Ddf 17873.4 Feltex Style RX1 High Performance Synthetic Roof Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL17873 RO II feltex installation.Ddf Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other: FL17873 RO AE ESR 1293 - Coov.Ddf 17873.5 Feltex Style RX2 High Performance Synthetic Roof Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL17873 RO II feltex installation. Ddf Approved for use outside HVHZ: Yes Verified By. ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other: FL17873 RO AE ESR 1293 - Coov.odf 17873.6 Protex Contractor Grade Synthetic Roof Underlayment Limits of Use Installation Instructions Approved for use In HVHZ: Yes FL17873 RO II ProTex Installation.Ddf Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A I Evaluation Reports Other. FL17873 RO AE ESR 1293 - Cooy.odf Sack Next Contact -1940 North Monroe Street, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 20074013 State of Flodda.:: Privacy Statement :: Accessibility Statement:: Refund Statement Under Florida law, email addresses are public records. If you do not went your e-mail address released In response to a public-fecords 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, 201$ licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The smalls provided may be used for official communication with the licensee. However email addresses are public record. It you do not wish to supply a personal addrest. please provide the Department with an email address which can be made available to the public. To determine it you are a licensee under Chapter 455, F.S. please click here . Product Approval Accepts: ® � eclat Credit f'arri SAFE DIVISION: 07 00 00—THERMAL AND MOISTURE PROTECTION SECTION: 07 30 05—ROOFING FELT AND UNDERLAYMENT REPORT HOLDER: SYSTEM COMPONENTS CORPORATION POST OFFICE BOX 2432 ISSAQUAH, WASHINGTON 98027 EVALUATION SUBJECT: FELTEX@ (STYLE RXl) HIGH PERFORMANCE, FELTEX@ (STYLE RX2) HIGH PERFORMANCE, FELTEX SA3000 SELF -ADHERING, PROTEX° CONTRACTOR GRADE, COVERPRO AND COVERPRO 3000 ROOFING UNDERLAYMENTS ICC ICC ICC cc PMG LISTED Look for the trusted marks of Conformityl "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPQ Award in Excellence" A Subsidiary of ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributesnot °C� specifically addressed, nor are they to be construed as an endorsement of the subject of the report. or a 1 recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as to any finding or other matter in this report, or as to any product covered by the report. Copyright © 2015 ICC -ES Evaluation Report ESR -1293* www.icc-es.orct 1 (800) 423-6587 1 (562) 699-0543 DIVISION: 07 00 00 -THERMAL AND MOISTURE PROTECTION Section: 07 30 05 -Roofing Felt and Underlayment REPORT HOLDER: SYSTEM COMPONENTS CORPORATION POST OFFICE BOX 2432 ISSAQUAH, WASHINGTON 98027 (425) 395-5150 www.systemcomuonents.net EVALUATION SUBJECT: FELTEX® (STYLE RX1) HIGH PERFORMANCE, FELTEX® (STYLE RX2) HIGH PERFORMANCE, FELTEX SA300e SELF -ADHERING, PROTEX® CONTRACTOR GRADE, COVERPRO AND COVERPRO 3000 ROOFING UNDERLAYMENTS 1.0 EVALUATION SCOPE Compliance with the following codes: ■ 2012, 2009 and 2006 Intemationa/ Building Code® (IBC) ■ 2012, 2009 and 2006 International Residential Code® (IRC) Properties evaluated: ■ Physical properties ■ Ice barrier ■ Fire classification 2.0 USES FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance and ProTex® Contractor Grade, CoverPro and CoverPro 3000 roofing underlayments are used as alternatives to the ASTM D226, Type I and Type II, roofing underlayments specified in Chapter 15 of the IBC and Chapter 9 of the IRC. The underlayments may be used as components of classified assemblies when installed in accordance with Section 4.3. FelTex SA3000 Self -adhering Roofing Underlayment complies with ASTM D1970 and is used as an alternate to the ASTM D226, Type I and II, roofing underlayments specified in IBC Chapter 15 and IRC Chapter 9. The undedayment may also be used where an ice barrier is required by IBC Chapter 15 or IRC Chapter 9. 3.0 DESCRIPTION 3.1 FelTex® (Style RX1) High Performance Roofing Underlayment and FelTex® (Style RX2) High Performance Roofing Underlayment: Reissued February 2015 This report is subject to renewal February 2016. A Subsidiary of the International Code Council® FelTex® (Style RX1) High Performance and FelTex® (Style RX2) High Performance roofing underlayments are cross - woven polypropylene roofing underlayments with a two-ply proprietary coating on one side. Total weight of the FelTex® (Style RX1) High Performance undedayment is 3.2 pounds per 100 square feet [4.6 oz./yd2 (154 g/m2)]. Total weight of the FelTex® (Style RX2) High Performance underlayment is 2.9 pounds per 100 square feet [4.1 oz./yd2 (1 40 g/m2)]. Standard size for the underlayment rolls is 4 feet wide by 250 feet long (1.2 m by 76.2 m). Other roll sizes are available. FelTex® (Style RX1) High Performance Underlayment and FelTex® (Style RX2) High Performance Underlayment may also feature full-color custom -printing artwork as specified by the end user. 3.2 ProTex® Contractor Grade Roofing Underlayment: ProTex® Contractor Grade roofing underlayment is a cross -woven polypropylene roofing underlayment with proprietary coatings on both sides. Total weight of the underlayment is 2.6 pounds per 100 square feet [3.7 oz/yd2 (128 g/m2)]. Standard size for the underlayment rolls is 4 feet wide by 250 feet long �1.2 m by 76.2 m). Other roll sizes are available. ProTex Contractor Grade roofing underlayment may also feature full-color custom printing artwork as specified by the end user. 3.3 FelTex SA30e Self -adhering Roofing Underlayment: FelTex SA30e Self -adhering Roofing Underlayment is a cross -woven polypropylene synthetic roofing underlayment with a proprietary, thermally stable, adhesive membrane backed with a release film. Total weight of the undedayment is 9.4Zpounds per 100 square feet [13.7 oz/yd2 (459 g/m )]. Standard size for the underlayment rolls is 4 feet wide by 53.3 feet long (1.2 m by 16.2 m). Other roll sizes are available. 3.4 CoverPro and CoverPro 3000 Roofing Underlayment: CoverPro and CoverPro 3000 Roofing Underlayment are woven polypropylene fabrics coated on one side and laminated to polypropylene spun bond fabric. Total weight of the CoverPro underlayment is 1.9 pounds per 100 square feet 12.8 oz/yd2 (94 g/m2)]. Total weight of the CoverPro 3000 underlayment is 2.2 pounds per 100 square feet [3.2 oz/yd2 (108 g/m2)]. The standard size for the underlayment rolls is 40 inches wide by 300 feet long (1.0 m by 91.4 m). Other roll sizes are available. 4.0 INSTALLATION 4.1 FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor *Revised March 2015 ICC -ES Evaluation Reports are not to be conrtrtued as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as air endorsement of the snbfect of the report or a recommendation for Its tae. Frere is no marromy by ICC Evahtaton Service. LLC. express or implied. as to any finding or other matter in this report, or as to any product covered by the report Copyright m 2015 Page 1 of 3 ESR -1293 I Most Widely Accepted and Trusted Page 2 of 3 Grade, CoverPro and CoverPro 3000 Roofing Underlayments: Minimum roof slope is 2:12 (17% slope). For roof slopes from 2:12 (17%) up to but not including 4:12 (33%), where the roof is covered with asphalt shingles, two layers of underlayment must be applied in accordance with Section 1507.2.8 of the IBC or Section R905.2.7 of the IRC. For roof slopes from 21/2:12 (21%) up to but not including 4:12 (33%), where the roof is covered with clay or concrete tiles, two layers of underlayment must be applied in accordance with Section 1507.3.3.1 of the IBC or Section R905.3.3.1 of the IRC. For slopes of 4:12 (33%) or greater, underlayment must be a minimum of one layer applied shingle fashion. The deck surface must be dry and free of dust, dirt, loose nails and other protrusions. Damaged sheathing must be replaced. The underlayment is laid horizontally (parallel to the eave) with the print side up, and with 3 -inch (76 mm) horizontal and 6 -inch (152 mm) vertical laps. Overlaps must run with the flow of water in a shingling fashion. The underlayment must be attached to the roof deck with a minimum of No. 12 gage [0.109 inch shank diameter (2.77 mm corrosion -resistant steel roofing nails having minimum /8 -inch -diameter (9.5 mm) heads; or minimum 1 -inch -diameter (25.4 mm) plastic caps; or No. 16 gage [0.065 inch leg diameter (1.65 mm)] corrosion -resistant staples having minimum 7/16 -inch crowns (11.1 mm). The underlayment must be fastened in accordance with the underlayment application and high wind attachment requirements specified in IBC Section 1507 or IRC Section R905, as applicable. For roofs required to have an ice barrier, two layers of FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro or CoverPro 3000 roofing underlayment cemented together with a roofing cement complying with ASTM D4586; or one layer of self -adhering polymer modified bitumen sheet complying with ASTM D1970, such as FelTex SA300® self -adhering roofing underlayment; or one layer of an ice barrier complying with the ICC -ES Acceptance Criteria for Self -adhered Roof Underlayments for Use as Ice Barriers (AC48), must be applied. The underlayment must be applied over the solid substrate in sufficient courses that the underlayment extends from the eave's edge to a point at least 24 inches (610 mm) inside the exterior wall line of the building. The underlayment applied in the field of the roof must overlap the ice barrier. Installation of the roof covering can proceed immediately following the underlayment application. The underlayment is not intended to be left indefinitely exposed and must be covered by a roof covering in accordance with the report holder's published installation instructions. For reroofing applications, after removal of the old roof covering and roofing felts to expose the roof deck, the same procedures apply as for new construction. 4.2 FelTex SA300® Self -adhering Roofing Underlayment: Prior to application of the underlayment, the deck surface must be free of frost, dust and dirt, loose fasteners, and other protrusions. Damaged sheathing must be replaced. The underlayment must be applied to plywood or oriented strand board (OSB) substrates only when the ambient air and substrate temperatures are above freezing. Starting with a full roll of the membrane, a portion of the membrane approximately 3 to 6 feet long (0.9 to 1.83 m) is unrolled with the release liner left in place. While unrolling, the upper release liner is removed and the roll is aligned parallel to the eave of the roof and placed firmly in place with heavy hand pressure. The subsequent courses of membrane are applied parallel to the eave from the lower edge of the roof upward in a shingle -lap manner. Side (horizontal) laps must be a minimum of 3 inches (76 mm) and end (vertical) seams must be overlapped a minimum of 6 inches (152 mm). In areas of the roof required to have an ice barrier under Chapter 15 of the IBC or Chapter 9 of the IRC, starting at the lower edge of the roof eave, the roofing underlayment is applied over the solid substrate so that the underlayment extends up from the eave's edge to a point at least 24 inches (610 mm) inside the exterior wall line of the building. Following placement along the lower edge, the membrane may be installed either vertically or horizontally. If the membrane becomes misaligned, the roll must be cut and restarted. Damage and fishmouths must be slit, pressed flat and covered with a round patch of membrane that extends beyond the damaged area by a minimum of 6 inches (152 mm) in all directions. Flashing around protrusions is installed over the membrane to prevent water backup. Other flashing must be installed in accordance with the applicable code. Installation of the final roof covering can proceed immediately after installation of the underlayment is completed. The underlayment is not intended to be left indefinitely exposed and must be covered by the final roof covering as soon as possible in accordance with the report holder's published installation instructions. 4.3 Classified Roofs: Under the 2012 and 2009 IBC and IRC, the FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000 roofing underlayments may be used as components of classified roof assemblies consisting of Class A glass fiber mat asphalt shingles or Class C organic felt asphalt shingles complying with the applicable code, when installed in accordance with this report over a minimum 3/8 -inch -thick (9.5 mm) plywood deck for FelTex® (Style RX1) High Performance and minimum 15/32 -inch - thick (11.9 mm) plywood deck for FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000. Under the 2006 IBC, the FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000 underlayments may be used in Class A or Class B roof assemblies that utilize the roof coverings specked in the exception to Sections 1505.2 and 1505.3. Under the 2006 IRC, the FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000 underlayments may be used with roof coverings of brick, masonry, slate, clay or concrete roof tile, concrete roof deck, ferrous or copper shingles or sheets, and metal sheets and shingles where such roof coverings are permitted to be used in lieu of a Class A assembly under Section R902.1. 5.0 CONDITIONS OF USE The FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro, CoverPro 3000 Roofing Underlayments and FelTex SA300® Self -adhering Roofing Underlayment described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: ESR -1293 I Most Widely Accepted and Trusted Page 3 of 3 5.1 Installation must comply with this report, the report holders published installation instructions and the applicable code. A copy of the report holder's published installation instructions must be available to the code official at the jobsite. In the event of conflict between this report and the report holder's installation instructions, this report governs. 5.2 Installation is limited to use with approved roof coverings that are mechanically fastened through the underlayment to the sheathing or rafters, or to use with approved roof coverings that are mechanically fastened to battens or counterbattens that are mechanically fastened through the underlayment to the sheathing or rafters. 5.3 Installation is limited to roofing systems that do not involve hot asphalt or coal -tar pitch. 5.4 Installation is limited to roofs with a slope of 2:12 (17%) or greater. 5.5 Installation is limited to roofs with ventilated attic spaces. 5.6 FelTex SA300® Self -adhering Roofing Underlayment is limited to structures located in areas where nonclassified roof coverings are permitted. 5.7 FelTex SA300® Self -adhering Roofing Underlayment must not be installed when frost is present on the roof deck. 5.8 FelTex SAW Self -adhering Roofing Underlayment installation is limited to plywood and oriented strand board (OSB) substrates. 5.9 FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, FelTex SA300P Self - adhering, ProTex® Contractor Grade, CoverPro and CoverPro 3000 roofing underlayments are manufactured under a quality control program with inspections by ICC Evaluation Service, LLC. 6.0 EVIDENCE SUBMITTED 6.1 Data in accordance with the ICC -ES Acceptance Criteria for Roof Underlayments (AC188), dated Februarf 2012, (editorially revised February 2014), for ProTex Contractor Grade, FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, CoverPro and CoverPro 3000 Roofing Underlayments and FelTex SA300P Self -adhering roofing underlayment. 6.2 Data in accordance with the ICC -ES Acceptance Criteria for Self -adhered Roof Underlayments for Use as Ice Barriers (AC48), dated February 2012 (editorially revised May 2014), for FelTex SAW Self -adhering roofing underlayment; including liquid water transmission testing in accordance with ASTM D4869, Section 8.3.5. 6.3 Reports of testing in accordance with ASTM E108 for FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000 roofing underlayments. 7.0 IDENTIFICATION The FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000 Roofing Underlayments and FelTex SA300® Self -adhering Roofing Underlayment are marked at 48 -inch (1.22 m) intervals with the product name. Each roll of the product must be labeled with the System Components Corporation name, the product name, the manufacturing date code, and the evaluation report number (ESR -1293). ICC -ES Evaluation Report ESR -1293 Supplement* Reissued February 2015 This report is subject to renewal February 2016. www.icc-es.ora 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the Intemational Code Council® DIVISION: 07 00 00—THERMAL AND MOISTURE PROTECTION Section: 07 30 05—Roofing Felt and Underlayment REPORT HOLDER: SYSTEM COMPONENTS CORPORATION POST OFFICE BOX 2432 ISSAQUAH, WASHINGTON 98027 (425) 395-5150 www.systemcomaonents.net EVALUATION SUBJECT: FELTEX* (STYLE RX1) HIGH PERFORMANCE, FELTEX* (STYLE RX2) HIGH PERFORMANCE, FELTEX SA3060 SELF - ADHERING, COVERPRO, COVERPRO 3000 AND PROTEX® CONTRACTOR GRADE ROOFING UNDERLAYMENTS 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, FelTex SA300 Self -Adhering, CoverPro, CoverPro3000 and ProTexo Contractor Grade Roofing Underlayments, recognized in ICC -ES master report ESR -1293, have also been evaluated for compliance with the codes noted below. Applicable code editions: ■ 2014 Florida Building Code—Building ■ 2010 Florida Building Code—Building ■ 2014 Florida Building Code—Residential ■ 2010 Florida Building Code—Residential 2.0 CONCLUSIONS The roofing underlayments, described in Sections 2.0 through 7.0 of the master evaluation report ESR -1293, comply with the 2014 and 2010 Florida Building Code—Building and the 2014 and 2010 Florida Building Code—Residential, provided the design and installation are in accordance with the International Building Code® provisions noted in the master report and Section 1507 of the Florida Building Code - Building. Use of the roofing underlayments has also been found to be in compliance with the High -Velocity Hurricane Zone provisions of the 2014 and 2010 Florida Building Code—Building and the 2014 and 2010 Florida Building Code—Residential under the condition that the underlayment is installed to the master report, the manufacturer's installation instructions and the minimum requirements of Section 1518 of the Florida Building Code—Building. For products falling under Florida Rule 9N-3, verification that the report holder's quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by the Commission). This supplement expires concurrently with the master report, reissued February 2015, revised March 2015. *Revised March 2015 ICC -£S Evaluation Reports are not to be consented as representing aesthetics or any other attributes not specifically addressed. nor are they to be construed as an endorsement of the subject of the report or a recommendation for its tae. There is no warranty by ICC Evaluation Service. LLC express or implied, as to any finding or other matter in this report, or as to any product covered by the report ;ram Copyright m 2015 Page 1 of 1 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit 3201 I, fA ��f���'ii� hereby acknowledge that I personally inspected NRoof deck nailing and/or ('Secondary water barrier work at 165Z t�ldd-m Iand 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 offici uty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 _,wtgnaturiCof ContractdrDate W a -g 1 Printed Name of Contractor License # License Type: 0 General 0 Building gVesidential �oofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF () U2 U4, Sworn to (or affirmed) and subscribed before me thi �� day of J , 20 _(10, by S�.ad�Yl��✓fir/ , who is 0 Personally Known to me or has 0 Produced (type of iden (SEAL) Signage of Notary Public St Wof Florida CQVW1,V M(A uNNVI ra j Print/Type/Stamp Name of Notary Public Revised: February 2015 as identification. p14TW MURRAY SAMFF9"322 Einns DOOMW i X�y�„�,,�,►�„_.