Loading...
HomeMy WebLinkAbout156 London Fog WayC !'_;J� `T r_�; DEC 2 0 RECD CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION � D - Application No: 1 LD - 33 `J (p Documented Construction Value: $ 2; 6 o - yo Job Address: (sP kZnAM PQ G W U 0. Historic District: Yes ❑ No ❑ Parcel ID:33 - je��Jyy- 30 - .5-I 3- 0 06 0- I o'y Residential ❑ Commercial ❑ Type of Work: New U AAd__dition ❑ Alterc\ation ❑ Repair ❑ Demo ❑ Change of 1Use ❑ 1 MRove ❑ Description of Work: "Mout. O.t� �2h �G f J?- Y00 � w i�� Skf t'► UU Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name '; ahh(x3 s amsl Phone: 30)11 _ -8C> Street: qq0&Y-PResident of property? City, State Zip: 0 yytl-_61 -�>-\ Contractor Information Name I j I TY) t✓ Phone: (4 } ' �`�( o), - S-17 o3 Street: % a QAcL Fax: 140+- 5`q z - � 9 d City, State Zip: Q U MA O State License No.: 66C 13 L( 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: 511 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. �c;��ra�- �P •K•�'ii 2 -i q-l�p Signature of Owner/Agent Date Signature of Contractor/Agent e SHA,bI AJ A Z SNA M S1 61w -'r 00.moo'� )a//9/i, ,111111/, PAY P OZIEL HERNANDEZ Notary Public - State of Florida ?'�i •`per: Commission # FF 990343 OF fid?. My Comm. Expires May 9. 2020 e e t e soNalTy Known to Me or Produced ID �-Type of ID 14' -ell &— Print COnl�dctoVAeenCs Name ha XaPKAO'Notary-3tate of Florida V to °�e"'., OZIEL HERNANDEZ ?ot►a : YS-, Notary Public - State of Florida Commission # FF 990343 o,r,,d My Comm. Expires May 9. 2020 ION I Contractor/Agent is 7 Personally Known to Me or Produced I D Type of I D BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas F] Roof ❑ Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: June 30, 2015 Permit Application PRO-. i I DONE RIGHT I RAIN TIGHT, GUARANTEED I PROPERTY ADDRESS I SHAHNAZ SHAMSI 156 LONDON FOG WAY SANFORD, FL 32771 County: SEMINOLE ROOF TEAR -OFF: 1 Layer Shingles Single Ply Flat Roof Felt Underlayment 2 Layer Shingles Gravel Roof Other "F'tic PROPOSAL LL . L LLL L FL. ROOFING CONTRACTOR I #CCC1328416 Z ,y -��:' go VISA o�J SF- 16 P► ....• 888-817-6787 10752 Deerwood Park Blvd., #100 Jacksonville, FL. 32256 www.cfproroofing.com P 904-394-2959 F. 904-394-8383 WOOD REPAIR: Customer Approval: �L S. Inspect Roof Deck for Damaged Sheathing Re -Nail Entire Roof Deck Up -To Code Plywood sheathing replaced at $55.00 per sheet. ❑ Truss, fascia and wood boards will be replaced at 5.00 per linear foot. Other: FLAT ROOF SYSTEM: ❑ Torch Down Single Ply ❑ 75 lbs Fiberglass Underlayment COLD SYSTEM:❑ Self Adhered Modified Bitumen Roofing System ❑ Peel & Stick Underlayment ❑ Fiberglass Reinforced Felt TAPERED SYSTEM: 8 ISO Cold Polyisocyanu rate Roof Insulation ISO Plus Composite Polyisocyanurate/Perlite Roof Insulation NEW ROOF FLASHINGS: 16" Flashing on: ❑ Roof Valley(s) ❑ Flat Roof Pitch Change Plumbing Vent Boots: 1.5" — 2" 4 3" 4 4"_ ❑ Boot Guards Color: Gooseneck Vents 4"— 6" 4 10" _Color: NEW GALVANIZED DRIP EDGE: ❑ 2 1/2 inch Face installed around entire p r et oof ❑ Other: Color: ALUMINUM SEAMLESS GUTTERS: ❑ Aluminum Seamless Gutters ❑ Gutters Included In Price Gutter Price Quote: Gutter Feet: Down Spouts: I PROPOSAL NUM: PRO -771481579851 I Date: `1-2- 1% 3 l I �-t Phone: (321) 527-6047 Cell: Email: SHAMSIENT@YAHOO.COM ALUMINUM SOFFITS & FASCIA: ❑ Aluminum Fascia 8Aluminum Soffit ❑ Fascia Incluced In Price Soffit Included in Price ❑ Entire Roof Perimeter Soffit &Fascia Color: Fascia Installed Only On: Soffit Installed Only On: Price : ROOF VENTILATION: ❑ Aluminum Ridge Ven ft. Color: ❑ Baffled Shingle over Ridge Vent 18 ft. Off -Ridge Vent(s): B 4 ft. Qty: Color: POWER VENT: 6 ft. Qty Color: 8 Electric Exhaust Fan:" Qty: Price: Solar Powered Exhaust Fan: Qty: Price: *(Electrical work not included.) CHIMNEY AREA: ❑ New flashing ❑ Replace existing flashing if needed. ❑ Build Chimney Cricket Price: ❑ Remove Chimney Price: SKYLIGHTS: ❑ New Skylight ❑ Reuse existing Skylight 2 x 2: _ Price: 1 4 x 2: 4 Price: Other: Price: T9E OF SKYLIGHT Self Flashing 8 Curb Mounted Insulated Glass Polycarbonate Dome New skylight installations include interior work; wood frame, dry wall, paint and labor. Labor charge: ea. SOLAR TUNNEL: ❑ 10" Price: ❑ ❑ 14" Price: 22" Price: Additional Gutters will be: per linear foot. I BUILDING JURISDICTION: 21 County ❑ City Additional Downspout will be: each. HOME OWNERS ASSOCIATION REQUIREMENTS: PROPOSAL NOTES: ❑ YES ❑ NO Contact: CUST WILL ADVISE This proposal is for a Limited Lifetime Architectural shingle, rated at 130 MPH. We propose to tear -off your old roof to the wood deck and replace all vents, lead i boots,flashing and damaged wood, wood repair prices listed above. A 5 layer protection system is used around periphials penetrating your roof decking including a "Peel & Stick" secondary water barrier on all places checked below. All taxes and permiting fees are included. 'Any wood repairs are not included in the total package price' ' Price subject to change on Different / Special Wood orders if needed. Gold (Packet SECTION 1 Standard Pitch Roof Asphalt Architectural Shingles CertainTeed ROS Weatherproof with "Peel & Stick" in the following areas: Eves Chimney Area h d Skylights 696 1 .a a cer'� PRIFIRRED ® t0111wok 3024 Kananwood Ct., #1008 Oviedo FL. 32765 P.407 -542-590r3 F.407-542-8790 I PROPERTY ADDRESS I SHAHNAZ SHAMSI 156 LONDON FOG WAY SANFORD, FL 32771 County: SEMINOLE ROOF TEAR -OFF: 1 Layer Shingles Single Ply Flat Roof Felt Underlayment 2 Layer Shingles Gravel Roof Other "F'tic PROPOSAL LL . L LLL L FL. ROOFING CONTRACTOR I #CCC1328416 Z ,y -��:' go VISA o�J SF- 16 P► ....• 888-817-6787 10752 Deerwood Park Blvd., #100 Jacksonville, FL. 32256 www.cfproroofing.com P 904-394-2959 F. 904-394-8383 WOOD REPAIR: Customer Approval: �L S. Inspect Roof Deck for Damaged Sheathing Re -Nail Entire Roof Deck Up -To Code Plywood sheathing replaced at $55.00 per sheet. ❑ Truss, fascia and wood boards will be replaced at 5.00 per linear foot. Other: FLAT ROOF SYSTEM: ❑ Torch Down Single Ply ❑ 75 lbs Fiberglass Underlayment COLD SYSTEM:❑ Self Adhered Modified Bitumen Roofing System ❑ Peel & Stick Underlayment ❑ Fiberglass Reinforced Felt TAPERED SYSTEM: 8 ISO Cold Polyisocyanu rate Roof Insulation ISO Plus Composite Polyisocyanurate/Perlite Roof Insulation NEW ROOF FLASHINGS: 16" Flashing on: ❑ Roof Valley(s) ❑ Flat Roof Pitch Change Plumbing Vent Boots: 1.5" — 2" 4 3" 4 4"_ ❑ Boot Guards Color: Gooseneck Vents 4"— 6" 4 10" _Color: NEW GALVANIZED DRIP EDGE: ❑ 2 1/2 inch Face installed around entire p r et oof ❑ Other: Color: ALUMINUM SEAMLESS GUTTERS: ❑ Aluminum Seamless Gutters ❑ Gutters Included In Price Gutter Price Quote: Gutter Feet: Down Spouts: I PROPOSAL NUM: PRO -771481579851 I Date: `1-2- 1% 3 l I �-t Phone: (321) 527-6047 Cell: Email: SHAMSIENT@YAHOO.COM ALUMINUM SOFFITS & FASCIA: ❑ Aluminum Fascia 8Aluminum Soffit ❑ Fascia Incluced In Price Soffit Included in Price ❑ Entire Roof Perimeter Soffit &Fascia Color: Fascia Installed Only On: Soffit Installed Only On: Price : ROOF VENTILATION: ❑ Aluminum Ridge Ven ft. Color: ❑ Baffled Shingle over Ridge Vent 18 ft. Off -Ridge Vent(s): B 4 ft. Qty: Color: POWER VENT: 6 ft. Qty Color: 8 Electric Exhaust Fan:" Qty: Price: Solar Powered Exhaust Fan: Qty: Price: *(Electrical work not included.) CHIMNEY AREA: ❑ New flashing ❑ Replace existing flashing if needed. ❑ Build Chimney Cricket Price: ❑ Remove Chimney Price: SKYLIGHTS: ❑ New Skylight ❑ Reuse existing Skylight 2 x 2: _ Price: 1 4 x 2: 4 Price: Other: Price: T9E OF SKYLIGHT Self Flashing 8 Curb Mounted Insulated Glass Polycarbonate Dome New skylight installations include interior work; wood frame, dry wall, paint and labor. Labor charge: ea. SOLAR TUNNEL: ❑ 10" Price: ❑ ❑ 14" Price: 22" Price: Additional Gutters will be: per linear foot. I BUILDING JURISDICTION: 21 County ❑ City Additional Downspout will be: each. HOME OWNERS ASSOCIATION REQUIREMENTS: PROPOSAL NOTES: ❑ YES ❑ NO Contact: CUST WILL ADVISE This proposal is for a Limited Lifetime Architectural shingle, rated at 130 MPH. We propose to tear -off your old roof to the wood deck and replace all vents, lead i boots,flashing and damaged wood, wood repair prices listed above. A 5 layer protection system is used around periphials penetrating your roof decking including a "Peel & Stick" secondary water barrier on all places checked below. All taxes and permiting fees are included. 'Any wood repairs are not included in the total package price' ' Price subject to change on Different / Special Wood orders if needed. Gold (Packet SECTION 1 Standard Pitch Roof Asphalt Architectural Shingles CertainTeed ROS Weatherproof with "Peel & Stick" in the following areas: Eves Chimney Area Roof Valleys Skylights Vent Pipes Low Slopes Kitchen & Bath Vents Wall Flashing ❑ Other: 2) ENTIRE ROOF DECK RENAMED ATLAS Gorilla Guard Packet Total: Workmanship3 years _ Gold Package Total: -$7;150:00 I x'11 �uN'f Pro Roofing & Associates, Inc. will clean roof debris from gutters in addition to magnetically sweep entire perimeter of job site. All rooflflg debris wil/be hauled away and Is included as part of our service. All materials are guaranteed as specified. We will obtain all city or county permits necessary for the completion of the job. All work will be completed according to standard roofing practices and current building codes. Any alteration or deviation from above specifications involving extra costs will be executed only upon written order and will become an extra charge item over and above this agreement. Any leaks occurring during the warranty period will be repaired per our written warranty. This proposal may be withdrawn by us if not accepted within 10 days. ACCEPTANCE OF PROPOSAL The above specifications, prices and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined herein. If payment is not received within 5 business days after completion of job there will be a 3% late fee added to the balance due. Any payment recieved by a credit card is subject to a convienence fee. —)G Payment Schedule Upon Completion Start Date:oo' 1<3Kom tion e: CHA Authorized Signature Date Pro Roofing & Associates Date LIMITED POWER QF ATTORNEY SEMINOLE COUNTY and/or CITY OF SANFORD DATE: 12/20/2016 I hereby name and appoint: -o5�q �"1�IR/ �} �x�o . - --k an agent of: PRO ROOFING & ASSOCIATES, INC. (Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): O All permits and applications submitted by this contractor. /The specific permit and application for work located at: 156 LONDON FOG WAY, SAN_ FORD, FL 32771 (Job Site Address) Expiration Date for This Limited Power of Attorney: DECEMBER 31; 2016 License Holder: ELMER A. CAMPOS State License #: CCC1328416 Signature of License Holder: State of Florida County of SEMINOLE The foregoing instrument was acknowledged before me this fz>90 day of b £C 20 L by ELMER A. CAMPOS who i ersonall known to a and did not take an oath. WITNESS y hand and official seal this 00 day of �' Fe . —'20 1>6 , NOTARY SEAL Rev.12/13 A (Printed Name.) Commission No. Flt % yPo 3 y3 State of FL. County of SEMINOLE My Commission expires: 5191070 o�►a �e��., OZIEL HERNANDEZ '.V -s Notary Public - State of Florida Commission # FF 990343 My Comm. Expires May 9, 2020 NOTARY SEAL Rev.12/13 A (Printed Name.) Commission No. Flt % yPo 3 y3 State of FL. County of SEMINOLE My Commission expires: 5191070 U 11�91�1 li��f III�I I1�1� IID�i Iln�� I!!I II�1 MARYAN1,1E MORSE, SE111HOLE COUNTY •CLERK OF C1RCU11 COURT & COMPTROLLER I- _ 33'1 BK 882 7 F'9 1356 QP9s ) Permit Number: CLERK'S : 2016131213 Folio/Parcel Identification Number: 33-19-30-513-0000-1040 'RECORDED 12/19/2016 12:38:::,S PM Pre red by: EDER OTERO RECORDING FEES $11j,i1►j Repaturn to: PRO ROOFING & ASSOCIATES INC. RECORDED BY hdnvor:2 3024 KANANWOOD COURT, SUITE 1008, OVIEDO FL 32765 NOTICE OF COMMENCEMENT State of Florida, County of SEMINOLE The undersigned hereby gives notice that improvement(s) 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) PB_5_0_P_G_S38 THRU 41, 15_6_L_O-ND—O VL__FOG_W--AY, S N_ 0RD,_EL-32M 2. General description of improvement(s) REMOVE AND REPLACE NEW ROOF WITH SHINGLES 3. Owner information Name: SHA8NAZ WA—WS_I Interest in Property -0-KK- O_WNAddress Address4905 LAKE SHARP DR, ORLANDO, FL 32817 4. Fee Simple Title Holder (if other than owner shown above) Name: N/A Telephone Number: Address S. Contractor o 0 Name: PRO ROOFING & ASSOCIATES. INC. Telephone Number: 407-542-5903 2 d Address 3024 KANANWOOD COURT, SUITE 1008, OVIEDO FL 32765 6. Surety (if any) $ Name: N/A Telephone Number: Alcc Address Amount of bond $ a P. 7. Lender (if any) W Name: Telephone Number: Address N/A o ;= is 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be provided by §713.13(1)(a)7, Florida Statutes. Name: N/A Telephone Number: Address 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienot's Notice as provided in §713.13(1)(b), Florida Statutes. Name: _N/A Telephone Number: Address 10. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a iifferent date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 10B 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. M v m Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. 11. Signature of Owner V Signatory's Printed Name/Tstle/Office (or Owner's Authorized Officer/Director/Partner/Manager §713.13[i)(d)) c , This document was acknowledged before me this /5 day of , 2016 by who is personally known or produced �C C— as identification. oi�"Y "�e��., OZIEL HERNANDEZ Sign a of Notary Public—State of Florida :�_ Notary Public •Slate of Florida , Commission # FF 990343 '••�Eo, �, My Comm. Expires May 9. 2020 Florida Building Code Online 9/15/15,10:02 AM r Florida Departments BCIS Home I Log In I User Registration I Hot Topics I Submit Surcharge I Stats & Facts I Publications I FBC Staff SCIS Site Map I Unks I Search Busines Professi al I* UProdut SER: PubbliAPserOVBI Regulation Product AQDroval Menu > Product or Aopliwtlon Search > ADolicatlon List > Application Detail FL # FL5444-R8 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Cl Product Manufacturer CertainTeed Corporation -Roofing Address/Phone/Email 18 Moores Road Malvern, PA 19355 (610)651-5847 mark.d.harner@saint-gobain.com Authorized Signature Mark Harrier mark.d.harner@saint-gobain.com Technical Representative Mark D. Harrier Address/Phone/Email 18 Moores Road Malvern, PA 19355 (610)651-5847 Mark. D.Harner@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 Nieminen the Evaluation Report Florida License PE -59166 Quality Assurance Entity LIL LLC Quality Assurance Contract Expiration Date 07/03/2017 Validated By John W. Knezevich, PE io Validation Checklist - Hardcopy Received Certificate of Independence FL5444_RB_M_2015_Q1_r—OJ_Nieminen.W Referenced Standard and Year (of Standard) Standard Year ASTM D3161, Class F 2009 ASTM D3462 2009 https://www.floridabuilding.org/pr/pr app_dti.aspx?param=wGEVXOwtDgtahlgO7CSsoycOri28CcpClJxNzsPPRyA%3d Page 1 of 2 >rida Building Code Online ASTM D7158, Class H Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 03/16/2015 Date Validated 03/23/2015 Date Pending FBC Approval 03/26/2015 Date Approved 06/23/2015 Summary of Products 9/15/15,10:02 AM 2008 FL # Model, Number or Name Description 5444.1 CertainTeed Asphalt Roofing Shingles 3 -tab, 4 -tab, strip (no -cut-outs), laminated and architectural asphalt roof shingles Limits of Use Installation Instructions Approved for use in HVHZ: No FL544 R$ 12015 Q]_FINAL FR CERTAINTEED_As hg�ll Approved for use outside HVHZ: Yes Shingle FL5444-Wp. f Impact Resistant: N/A Verified By: Robert Nieminen, PE PE -59166 Design Pressure: N/A Created by Independent Third Party: Yes Other: Refer to ER Section 5 for Limits of Use Evaluation Reports FL5444 R8 AE 2015 03_FINAL ER CERTAINTEED Asphalt ShingJQ_FL5444J- 1 W Created by Independent Third Party: Yes Back Next Contact Us :: 1940 North Monroe Street. Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida Is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy, Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released In response to a public -records request, do not send electronic mall to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850.487.1395. 'Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address If they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine If you are a licensee under Chapter 455, F.S., please click bele_. Product Approval Accepts: ® ® 0�'� securilyM li rN Ice ps://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwiDgtahl 907CSsoycOrl28CcpCIJxNzsPPRyA%3d Page 2 of 2 QOTRINITYIERD EVALUATION REPORT CertainTeed Corporation 18 Moores Road Malvern, PA 19355 EXTERIOR RESEARCH & DESIGN, I.I.C. Certificate of Authorization 119503 353 CHRISTIAN STREET, UNIT #13 OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 Evaluation Report 3532.09.05-119 FL5444-R8 Date of Issuance: 09/22/2005 Revision 9: 03/06/2015 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 5th Edition (2014) Florida Building Code sections noted herein. DESCRIPTION: CertainTeed Asphalt Roofing Shingles. LABELING: Labeling shall be in accordance with the requirements of the Accredited Quality Assurance Agency noted herein and FBC 1507.2.7.1. CONTINUED COMPLIANCE: 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. TrinityJERD 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 "TrinitylERD 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 9. Prepared by: Robert J.M. Nieminen, P.E. Florida Registration No. 59166, Florida DCA ANE1983 The facsimile seal appearing was authorized by Robert Nieminen, P.E. on 03/06/2015. This does not serve as an electronically signed document Signed, sealed hardcoples have been transmitted to the Product Approval Administrator and to the named client CERTIFICATION OF INDEPENDENCE: 1. TrinitylERD 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 l ERD is not owned, operated or controlled by any company manufacturing or distributing products it 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. 5. This is a building code evaluation. Neither Trinity I ERD 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. V TRINITY I ERD ROOFING SYSTEMS EVALUATION: 1. SCOPE: Product Category: Roofing Sub -Category: Asphalt Shingles Compliance Statement: CertainTeed Asphalt Roofing Shingles, as produced by CertainTeed Corporation, have demonstrated compliance with the following sections of the Florida Building Code and Florida Building Code, Residential Volume through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Section Property Standard Year 1507.2.5, R905.2.4 Physical Properties ASTM D3462 2009 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D3161, Class F 2009 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D7158, Class H 2008 3. REFERENCES: Kniitf Examination Reference Date UL (TST 1740) ASTM D3161 94NK9632 05/15/1998 UL (TST 1740) ASTM D3161 99NK26506 11/23/1999 UL (TST 1740) ASTM D3161 03CA12702 05/27/2003 UL (TST 1740) ASTM D3161 03CA12702 06/16/2003 UL (TST 1740) ASTM D3161 03NK29847 10/03/2003 UL (TST 1740) ASTM D3161 04CA11329 05/24/2004 UL (TST 1740) ASTM D3161 04CA32986 12/03/2004 UL (TST 1740) ASTM D3161 OSNK07049 04/15/2005 UL (TST 1740) ASTM D3161 OSNK16778 05/12/2005 UL (TST 1740) ASTM D3161 OSCA16778 05/12/2005 UL (TST 1740) ASTM D3161 OSNK14836 05/22/2005 UL (TST 1740) ASTM D3162 OSNK22800 06/22/2005 UL (TST 1740) ASTM D3462 R684 09/21/2005 UL (TST 1740) ASTM D7158 OSNK08037 06/28/2006 UL (TST 1740) ASTM D3161 & D3462 09CA28873 07/23/2009 UL (TST 1740) ASTM D3462 IOCA41303 10/07/2010 UL (TST 1740) ASTM D3161 10CA41303 10/08/2010 UL (TST 1740) ASTM D7158 10CA41303 10/27/2010 UL (TST 1740) ASTM D3161 & D3462 10CA44960 11/11/2010 UL LLC (TST 9628) ASTM D3161, D3462 & D7158 13CA32897 11/21/2013 UL LLC (TST 9628) ASTM D3161, D3462 TFWZ.R684 04/22/2014 UL LLC (TST 9628) ASTM D7158 TGAH.R684 04/22/2014 UL LLC (QUA 9625) Quality Control Service Confirmation Exp. 07/03/2017 4. PRODUCT DESCRIPTION: 4.1 CT20'", XT'" 25, XT'" 30 and XT'" 30 IR are fiberglass reinforced, 3 -tab asphalt roof shingles. 4.2 Carriage House Shangle°, Centennial Slate'", Grand Manor Shangle•, Landmark", Landmark'" IR, Landmark'" Pro, Landmark'" Premium, Landmark'" TL, Landmark'" Solaris and Landmark'" Solaris IR are fiberglass reinforced, laminated asphalt roof shingles. 4.3 Presidential Shake'", Presidential Shake'" IR and Presidential Shake TL` are fiberglass reinforced, architectural asphalt roof shingles. 4.4 Hatteras'", Highland Slate" and Highland Slate" IR are fiberglass reinforced, 4 -tab asphalt roof shingles. 4.5 Patriot'" is a fiberglass reinforced asphalt roof strip -shingle (with no cut-outs) providing a laminated appearance through an intermittent shadow line with contrasting blend drops for color definition. 4.6 Presidential Accessory, Accessory for Hatteras, Shangle Ridge'", Shadow Ridge", Cedar Crest'" and Cedar Crest'" IR are fiberglass reinforced accessory shingles for hip and ridge installation. 4.7 Any of the above listed shingles may be produced in AR (algae resistant) versions. Exterior Research and Design, I.I.C. Evaluation Report 3532.09.05-R9 Certificate of Authorization A9SO3 FL5444-R8 Revision 9: 03/06/2015 Page 2 of 9 S. UwATIONS: 6. QOTaINITYIERD 5.1 This is a building code evaluation. Neither Trinity IERD 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 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory for fire ratings of this product. 5.4 Wind Classification: 5.4.1 All shingles noted herein are Classified in accordance with FBC Tables 1507.2.7.1 and R905.2.6.1 to ASTM D3161, Class F and/or ASTM D7158, Class H, indicating the shingles are acceptable for us in all wind zones up to V,,d = 150 mph (V,,,, = 194 mph). Refer to Section 6 for installation requirements to meet this wind rating. 5.4.2 Presidential Accessory, Accessory for Hatteras, Shangle Ridge, Shadow Ridge and Cedar Crest hip & ridge shingles have been evaluated in accordance with ASTM D3161, Class F when BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant, applied as specified in manufacturer's application instructions, indicating the shingles are acceptable for us in all wind zones up to V,,d = 150 mph (V,,,t = 194 mph). 5.4.3 Classification by ASTM D7158 applies to exposure category B or C and a building height of 60 feet or less. Calculations by a qualified design professional are required for conditions outside these limitations. Contact the shingle manufacturer for data specific to each shingle. 5.4.3.1 Analysis in accordance with ASTM D7158 indicates the measured uplift resistance (RT) for the CertainTeed asphalt roofing shingles listed in Section 4.1 through 4.5 exceeds the calculated uplift force (FT) at a maximum design wind speed of V,,d = 150 mph (V,,,, = 194 mph) for residential buildings located in Exposure D conditions with no topographical variations (flat terrain) having a mean roof height less than or equal to 60 feet. The shingles are permissible under Code for installation in these conditions using the installation procedures detailed in this Evaluation Report and CertainTeed minimum requirements, subject to minimum codified fastening requirements established within any local jurisdiction, which shall take precedence. 5.5 All products in the roof assembly shall have quality assurance audits in accordance with the Florida Building Code and F.A.C. Rule 61G20-3. INSTALLATION: 6.1 Roof deck, slope, underlayment and fasteners shall comply with FBC 1507.2 / R905.2 and the shingle manufacturer's minimum requirements. 6.1.1 Underlayment shall be acceptable to CertainTeed Corporation and shall hold current Florida Statewide Product Approval, or be Locally Approved per Rule 61G20-3, per FBC Sections 1507.2.3, 1507.2.4 or R905.2.3. 6.2 Installation of asphalt shingles shall comply with the manufacturer's current published instructions, using minimum four (4) nails per shingle in accordance with FBC 1507.2.7 or Section R905.2.6 and the minimum requirements herein. 6.2.1 Fasteners shall be in accordance with manufacturer's published requirements, but not less than FBC 1507.2.6 or R905.2.5. Staples are not permitted. 6.2.2 Where the roof slope exceeds 21 units vertical in 12 units horizontal, use the "Steep Slope" directions. 6.3 CertainTeed asphalt shingles are acceptable for use in reroof (tear -off) or recover applications, subject to the limitations set forth in FBC Section 1510 and CertainTeed published installation instructions. Exterior Research and Design, I.I.C. Evaluation Report 3532.09.05-R9 Certificate of Authorization #9503 FL5444-RS Revision 9: 03/06/2015 Page 3 of 9 6.3.1 6.3.1.1 6.3.2 CT20"", XT'" 25, XTr" 30, XTTM 30 IR: LOW AND STANDARD SLOPE ENGLISH 12" 12" 12" (305 mm) (305 nm) -(305 mm) i 1" (25 mm) _ Se Ian/ 1" (25 mm-� 5 s/8" (145 mm) 5 r� Pq mwd METRIC 131/8" 131/8" 131/8" 1"(25 mm) — Sealant lant 1"(25mm) 81�.. Figure 11-3: Uwfournallsforet;Mfrdlsbin& Hip & Ridge: Cut Shingles 1" -11 1- 1 t--2"(50mn) �Remove� (25 mn)�FT 17 j t1 -T 12'. ap Cap 305Imm) ngle Shingle 1 Figure 11-24. Cut lobs, Iden trbrr bock to make cap sbin#W (A'ngilsb dimensions sbotm). Q0TR1N1T'YjER'D' STEEP SLOPE Use four nails and six spots of asphalt rooting cement for every full shingle (Figure 11-4). Asphalt roofing cement meeting ASTM D4586 Type 11 Is suggested. I Rooting Cement Apply 1" (25 mm) spots of asphalt tooling cement under each lab corner. Figura 114: Usafour nails and sir spots ofaspball center;I on steep slopes 'CAUTION: Excessive use of roofing cement can cause shingles to blister. 51' 2" (305 mm}— "' { "000' (125 mm) �\ SSI � Shy � �ll5�l� o� N°nypOc V��� Figure 11.23. Installation Q/atps along the bips and ridges. Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PL* Polyurethane Roof & Flashing Sealant, in accordance with manufacturer's instructions. Carrialte House Shanale°, Centennial Slate' and Grand Manor Shangle*: LOW AND STANDARD SLOPE Use Ove nails for every foil Shangle. F'-(25mm) I;(25—) 518 0„ (16mm) mm) 17gure 17-4.• UseJire nails for etyry frill Grand Alartor Sbangle, Carriage /louse Sbongle, or Centennial Slate. STEEP SLOPE Ilse seven nails and three spots of asphalt roofing cement for every full Grand Manor Shangle. Use five nails and three spots of asphalt roofing cement for even• full Carriage (louse Shangle and Centennial Slate. Apply asphalt roofing cement 1' (25 mm) from tdge of shingle (Figure 17.5). Asphalt roofing cement mcming ASPM D4586 Type 11 is suggested. kCP ado 1- �rJ® F(gure 17-5: When installing Grand Alnnor Sbangk s on steep stapes, ase seven nails and ibrm spots ofaspbalt roofing rement. Exterior Research and Design, LLC. Evaluation Report 3532.09.05-R9 Certificate of Authorization #9503 FL5444-R8 Revision 9: 03/06/2015 Page 4 of 9 6.3.2.1 Hip & Ridge: Shangle® Ridge Figure 17-18: Sbangle• Ridge. QOTRINITYIERD -- 18' Exposure Remove tape from the right side 8-,j and fasten � SECOND Fasten the left side 85/e RIGHT FIRST l LEFT Figure 17-19' Installation ofSballgle® Ridge sbingles on baps and ridges. Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant in accordance with manufacturer's instructions. 6.3.3 Landmark'", Landmark'" IR, Landmark'" Pro (formerly Landmark'" Plus), Landmark'" Premium, Landmark'" TL, Landmark'" Solaris, landmark"' Solaris IR: LOW AND STANDARD SLOPE LANDMARK TL METRIC DIMENSIONS 12' 143/4' 12" 1—(305 mm)—I—(375 mm)—(305 mm) -H IL-1" (25 mm) Releaste Tape I" (25 mm)- i 1rh" Nailable F " Area STEEP SLOPE Use six nails and four spots of asphalt roofing cement for ewry full laminated shingle. sec below. Asphalt roofing cement should meet Ab -I'M D4586 Type 11. Apply I- spots of asphalt roofing cement undo each corner and -.it about 12" to 13" in from each edge. METRIC DIMENSIONS 12"— (305 mm) saarr�,cw.a I Nail Area 1 For SteePTI (25 mm) ---- -143/4" 12"— (315 mm) 1305 mm) Release Tape 1 1"(25 mm)--' Cement (25 mm; Figure 134. lrseforer ua/lsfor"'frrUabirg/e- LANDMARK n (25 mm) Figaro 13-3� Uso sis nalh andfour syots of aspbdl roofing aan 1 on shay slopes — I" f15 mm) Exterior Research and Design, I.I.C. Evaluation Report 3532.09.05-R9 Certificate of Authorization #9503 FL5444-R8 Revision 9: 03/06/2015 Page 5 of 9 6.3.3.1 6.3.3.2 Hip & Ridge, Option 1: Shadow Ridge'" Figure 13-16.• Sbadota Ridge accessory sbingles detach easily f vm lbree-pfeae units 10 mate 72 individual cap pieces. QOTRINIT*YIER'D 9718' (250mm) 415/16 415/16' (125mm) I (125mm) Notch for Centering 131 1 (337"(337 Notches for Alipnmenito 7 the Top Edge of the Pmious 75/9' (160Imm) L —t Cyplor55/B'(141mm)Exposure (196mn —L Metric Dimension Laying Notch I I I 5. (125rnm) I figure 13.20: Use laying nokbes to center sbhrgles on bips and ridges, and to locato the correct exposure Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant in accordance with manufacturer's instructions. Hip & Ridge, Option 2: Cedar Crest'", Cedar Crest'" IR Use two fasteners per shingle. For the starter shingle, place fastener 1 -inch from each side edge and about 2 -inch up from the starter shingle's exposed butt edge. For each full Cedar Crest shingle, place fasteners 8 -5/8 -inch up from its exposed butt edge and 1 -inch from each side edge. Pi Exterior Research and Design, LLC. Evaluation Report 3532.09.05-R9 Certificate oJAuthoriration #9503 FL5444-Rg Revision 9: 03/06/2015 Page 6 of 9 12' (305mm) (150mm) (1506mm) Notch for Centering (3 m) Nolche5 for Atignnv to Ne Top Edge of the Previous Cap for 5' (125mm) Exposure English Dimension QOTRINIT*YIER'D 9718' (250mm) 415/16 415/16' (125mm) I (125mm) Notch for Centering 131 1 (337"(337 Notches for Alipnmenito 7 the Top Edge of the Pmious 75/9' (160Imm) L —t Cyplor55/B'(141mm)Exposure (196mn —L Metric Dimension Laying Notch I I I 5. (125rnm) I figure 13.20: Use laying nokbes to center sbhrgles on bips and ridges, and to locato the correct exposure Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant in accordance with manufacturer's instructions. Hip & Ridge, Option 2: Cedar Crest'", Cedar Crest'" IR Use two fasteners per shingle. For the starter shingle, place fastener 1 -inch from each side edge and about 2 -inch up from the starter shingle's exposed butt edge. For each full Cedar Crest shingle, place fasteners 8 -5/8 -inch up from its exposed butt edge and 1 -inch from each side edge. Pi Exterior Research and Design, LLC. Evaluation Report 3532.09.05-R9 Certificate oJAuthoriration #9503 FL5444-Rg Revision 9: 03/06/2015 Page 6 of 9 QOTaINITYIERD Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant to hand -seal Cedar Crest shingles. Apply NP 1 or PL adhesive from the middle of the shingle's raised overlay on the top piece and extending approximately 4 -inch along the sides of the headlap along a line is to 1 -inch from each side of the shingle's headlap. Immediately align and apply the overlying shingle, gently pressing tab sides into the adhesive, and install nails. To secure the other side, apply a 1 -inch diameter spot of NP 1 or PL adhesive between the shingle layers. 1landsoasnp e�esrve 1a• �' (d rmd T,102mml r _ (2S mml a 1beraphb3 I can betreen 1• I lkwe 14— (2S mm) 6.3.4 Presidential Shake'". Presidential Shake'" IR, Presidential Shake TL'": LOW AND STANDARD SLOPE: STEEP SLOPE: For low and standard slopes, use Ove nails for each full Presidential For steep slopes, use nine nalls for each full Presidential shingle and shingle as shown below. apply I' diameter spots of asphalt rooting cement under each shingle tab. After applying 5 nabs In between the nAng guide Wes, apply 4 nails I Naling 40' above lab cutouts making certain labs of overlying shingle cover nabs. Guide ones (1016 mm) 51"' -� (133 mm) . . • . . 14 1/4' 11Q"3a mm) (362 mm) NOTE: Apply nails on painted guideline. Figura 16.6.• Fastening Frestden#a1 and 13estdsesturl TL Slake sbtngtes on low and stendWskpas 6.3.4.1 Hip & Ridge, Option 1: Presidential Accessory PRESIDENTIAL ACCESSORY 1' diametea asphalt cooling cement Figure 16.7.• Fastenhig Presldenttd and fiasldentid M $bake sbbwtm on shaep *P- Presidential accessory shingles can be used for covering hips and ridges. Apply shingles up to the ridge (expose no more than 7' from the bottom edge of the "tooth." Fasten each accessory with two fas- teners. The fasteners must be 13/4' long or longer, so they penetrate either 3/4' Into the deck or completely through the deck. Presidential accessory comes in two different sizes: Accessory produced In Birmingham, AL is 12' x 12% Portland, OR produces 97/8' x 131/4* accessory. Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant in accordance with manufacturer's instructions. 6.3.4.2 Hip & Ridge, Option 2: Refer to instructions herein for Cedar Crest'", Cedar Crest'" IR hip and ridge shingles. Exterior Research and Design, I.I.C. Evaluation Report 3532.09.05-R9 Certificate of Authorization #9503 FL5444-R8 Revision 9: 03/06/2015 Page 7 of 9 6.3.5 6.3.5.1 6.3.5.2 Hatteras'": LOW STANDARD AND STEEP SLOPE: F1811re I3•3• Rrslralag llal/ems sbla8des oa [ole• and standard slopes For lot, and standard slopes, use five nails for each rug Ilauems shing a as shown above. 8 - nm) Hip & Ridge, Option 1: Accessory for Hatteras �I TRINITY I E R D' r4um I.S. i. Awevi g Rafters Sb/Wo ou.ver Aprs For sleep slolw,, ux five nails and eight spas of asphalt mormg cement for each f dl Il.aleius shingle as sboan above. Apply I' (25ma) diameter spas of roofing cement WMI D 4586 ape II suggested) under each tab comer. Press shingle Into place•, do no mpose Cement. CAImON: 7bo mucb roofing cement cut muse shingles to blister. Figure 15-19: 18lbrcee piece units separate to make 54 Hatteras Awassory sbin&4 Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant in accordance with manufacturer's instructions. Hip & Ridge, Option 2: Cut Hatteras Shingles 91, 230 mm) I I I I I I I -- ------ -- 460 mm) Cap Cap Cap Cap Shingle Shingle Shingle Shingle f'j F-0061 g" 18 (460 rnm)god (203 mm)%A `. VM) Figure /5-20.• Cul Hatteras sbingles to rake cover cap. Figure 15-21. lratallatlon of caps along bips and ridges. Note: For ASTM D3161 - Class F, use BASF Sonolastic NP 1 adhesive or Henkel PLO Polyurethane Roof & Flashing Sealant in accordance with manufacturer's instructions. Exterior Research and Design, LLC. Evaluation Report 3532.09.05-R9 Certificate o1 Author)rotion #9503 FL5444-RS Revision 9:03/06/2015 Page 8 of 9 6.3.6 6.3.6.1 6.3.7 Q0 TRINITY I ERD Highland Slate—, Highland Slate'" IR: LOW AND STANDARD SLOPE: STEEP SLOPE: Use FIVE nails and EIGHT spots of asphalt roofing cement* for each r r r — r 0°'� QJOid "'Din> jDOit full Highland Slate shingle. For Miaml-Dade, SIX nails are required. Apply 1' diameter spots of asphalt roofing cement under each lab comer. Asphalt roofing cement meeting ASW D4586I)pe n B suggested. movi•oads FWWN SIX reb (Rvo nits indN4d"tYdY o,bul a dwn). Figure 11-3: Use FIVE nailsforemiy Nigbland Stale sbingle WAmMab regwss SIXndpooneb iNbbd over wftr oAoN a doer► Figure 11.34- Use FIVE nods and eigbi spots of aspball roofing cmamI under eacb lab comer -CAUTION: Excessive use of roofing cement can cause shingles to blister. Hip & Ridge, Option 1: Refer to instructions herein for Cedar Crest", Cedar Crest'" IR or Shangle Ridge'" hip and ridge shingles. Patriot": LOW AND STANDARD SLOPE Use FOUR nails for every full shingle located :ts shown below. Sealant i' (2S mny—: 6.113, (tSE mm) eii '- 'i'- (Ma fl'ffm11 STEEP SLOPE Use FOUlt nails and four spots of asphalt roofing cement for every full shingle as sboen belom ,Asph:di roofing conem incelinr ASMI D4586 I1Tc II is suggesied. Apph• 1'(25 min) %pots of asph-A roofing cement as shoau. CAUTION: liscessice use of roofing ccinew can anise shingles to blister --w— ------ ;¢sir= 6115' I lubem) I • � a •: Roolle° Cement I- to") MWZ) # Omni oD —1 Hip & Ridge: Refer to instructions herein for Cedar Crest'", Cedar Crest" IR, Shadow Ridge'" or Shangle Ridge— hip and ridge shingles. 7. LABELING: 7.1 Each unit shall bear a permanent label with the manufacturer's name, logo, city, state and logo of the Accredited Quality Assurance Agency noted herein. 7.2 Asphalt shingle wrappers shall indicate compliance with one of the required classifications detailed in FBC Table 1507.2.7.1 / R905.2.6.1. S. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. 9. MANUFACTURING PLANTS: Contact the named QA entity for information on which plants produce products covered by Florida Rule 61G20-3 QA requirements. 10. QUALITY ASSURANCE ENTITY: UL LLC —QUA9625; (414) 248-6409; karen.buchmann@us.ul.com - END OF EVALUATION REPORT - Exterior Research and Design, I.I.C. Evaluation Report 3532.09.05-R9 Certificate of Authorization #9503 FL5444-RS Revision 9: 03/06/2015 Page 9 of 9 SCPA Parcel View: 33-19-30-513-0000-1040 Property Record Card , P�� Parcel: 33-19-30.513-0000-1040 KK�AAj��Lt6 Owner: SHAMSI SHAHNAZ tt�ouou`oournv noA� Property Address: 156 LONDON FOG WAY SANFORD, FL 32771 Parcel Information Value Summary Parcel 33-19-30.513.00001040 Owner SHAMSI SHAHNAZ Property Address 156 LONDON FOG WAY SANFORD, FL 32771 Mailing 4905 LAKE SHARP DR ORLANDO, FL 32817 - Subdivision Name MAYFAIR OAKS 331930513 Tax District S1-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions O 0) Legal Description LOT 104 MAYFAIR OAKS PB 50 PGS 38 THRU 41 Taxes Seminole County GIS Page 1 of 2 Tax Amount without SOH: $2,972.33 2016 Tax Bill Amount $2,972.33 Tax Estimator Save Our Homes Savings: $0.00 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 $105,717 $101,502 Depredated EXFT Value $14,110 $14,776 Land Value (Market) $32,000 $32,000 Land Value Ag $151,827 County General Fund Just/Market Value " $151,827 $148,278 Portability Adj $100 No Save Our Homes Adj s0 s0 Amendment 1 Adj s0 $0 P&G Adj $0 $0 Assessed Value $151,827 $148,278 Tax Amount without SOH: $2,972.33 2016 Tax Bill Amount $2,972.33 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value Page Schools $151,827 $0 $151,827 City Sanford $151,827 s0 $151,827 SJWM(Saint Johns Water Management) $151,827 $0 $151,827 County Bonds $151,827 $0 $151,827 County General Fund $151,827 50 $151,827 Sales Description Date Book Page Amount Qualified Var/Imp SPECIAL WARRANTY DEED 9/1/2012 07855 1602 $118,000 No Improved CERTIFICATE OF TITLE 11/1/2011 07664 1614 $100 No Improved QUIT CLAIM DEED 10/1/2006 06456 1242 $100 No Improved WARRANTY DEED 6/1/2004 05381 0717 $180,300 Yes Improved WARRANTY DEED 11/1/1996 03167 1626 $102,400 Yes Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT 1 $32,000.00 $32,000 Building Information 11 tY I Description I Year Built tiective I Fixtures I Bed I Bath Base Area I Total SF I Living SF I Ext Wall I Adj Value I Rept Value I Appendages http://parceldetail.scpafl.org/Parce]Detaillnfo.aspx?PID=33193051300001040 12/20/2016 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: d (a—c� �J� 10 hereby acknowledge that I personally inspected Roof deck nailing and/or 0 Secondary water barrier work =W Tva w and have determined that the work (Job Site Address) �./ J 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 performs his or her official duty sh constitu a misdemeanor of the second degree pursuant to Section F.S. Signature of Contractor Date 0,4g,-n,20G CCC,13 oQ,�541 Printed Name of Contractor License # License Type: 0 General 0 Building 0 Residential 0 Roofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF --SE M'I r,301 9 -- Sworn t (or affir d)and subscribed before me this � day of n , 201-1 , by Vwl who is Xpersonally Known to me or has M Produced (type of identif as identification. (SEAL) Sinature o Notary Public State of Flo id i Z� N �C( �'• OZIEL HERNANDEZ Notary Public • State of Florida rint/Type/Stamp Name "4.�� '�Commission a FF 990343 of Notary Public ,;0 .... My Comm. Expires May 9. 2020