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HomeMy WebLinkAbout366 Placid Lake DrHili CITY OF SANFORD BUILDING & FIRE PREVENTION NO IS 2016 ` PERMIT APPLICATION Application No: Documented Construction Value: $ 2, ctoo O� Job Address: S66 1."e !7►^ Historic District: Yes ❑ No ❑ Parcel ID: OZ-- 20 -J0-.5Z O -0000 -035C) Residential ®. Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: �� [ �' Ower, S Corin 1r1C1 FL 10 (0q (4 TzfGG, Plan Review Contact Person: )gtA'-V '_V Title: ADI -l; Phone -/Co - 2 '� <6--_�78N- Fax: &22-,3,3 � -3_36) Emailr-) C. c4 -P? Property Owner Information tt�� NameC r Ulm Phone: Street: o c t Resident of property?: S City, State Zip: SCL4 EO rd' Y: L_ &qq Contractor Information Name4 (I- /I-itti✓v-� y Phone: Street: 53f60 G. CO 10h'i(X_( -Dk- Fax: �O -.33 - 3361 City, State Zip: t) r l(k nc(o VL 3`z $ 07 State License No.:C(-6 (3 2-"I 651 Name: Architect/Engineer Information Phone: Street: Fax: City, St, Zip: Bonding Company: Address: 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. 1 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: 5" 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 1 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 Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID 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 ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 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. 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credits%PPlied to your permit fees when the permit is released. I Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: M MW Date of Notary -State of Florida I Date SAMANTHA MURRAY MY COMMISSION # FF944322 Imptas 04cor tber Is. 2019 Contractor/Agent is Personally �Vn to Me or Produced ID `7 ype of ID WASTE WATER: BUILDING: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 Fl3C) 731.135(5)(6) Florida Statutes. REV 07.14 Jasper Contractors, Inc. 5olonial Dr. Orlando,.FL 32807 (407) 278-7788 ($00) 337-3361 Fax JasperRoof.com infoQ*asperinc.org JASPER Je�per Mof.com Contractor's License # CCC1329651 ROOF REPLACEMENT CONTRACT Account Manager SaT��rr `es Contact # �L 1 t owt o �-ka1� Insurance Company Information Company t�•-n H 1t 1 Policy # 273 a7'a Claim # okot? 1$ 7 Xlf S Mortgage Complay Information Company a p :j�sT Loan Number O l� 0 Sal G 30 o Ow r(s):--� Q rad--- 9� �' d'n azo Phone: . Address: CA� ' � Alt Phone: City: ? State: --L Zip code: Sz 3 Shingle Color- 0A ,,-4 S Email:dt--SC('S a0-7 t Roof RCV amount: coDrip Edge Color: If Owner's Insurance C6mpanv does not aeree to pay for a full roof replacement. this contract shall be voidable. Assignment of Insurance Benefits for the Full Roof Replacement Only: I hereby assign any and all insurance rights, benefits and proceeds under any applicable insurance policies to Jasper Contractors, Inc. ("Jasper'), the scope of which shall be limited to a Full Roof Replacement. I make this assignment and authorization in consideration of Jasper's agreement to perform services, supply materials and otherwise perform its obligations under this contract, including not requiring full payment at the time of service. I also hereby direct my insurer(s) to release any and all information requested by Jasper, its representative, or its attorney for the direct purpose of obtaining actual benefits to be paid by my insurer(s) for services rendered In this regard, I waive my privacy rights. If payment is made directly to the Owner/Agent/Insured(s), it shall be endorsed over to Jasper immediately upon receipt. I agree that any portion of work, deductibles, betterment or additional work requested by the undersigned, not covered by insurance, must be paid by the undersigned on the day of installation. Deductible: It is the Owner's responsibility to pay all Insurance Deductibles. Owner's out-of-pocket expense will not exceed the deductible amount, as stated on insurer's loss sheet, UNLESS replacement/repair of deteriorated decking is required and/or Owner requests optional upgrades. Jasper CANNOT pay, waive, rebate, or promise to pay, waive or rebate all or any part of the insurance deductible applicable to the insurance claim for payment of work. In the event of a discrepancy, the deductible amount stated on the insurer's Loss Sheet shall overrule Deductible listed above. Deductible: $ 54Z) MUST BE PAID IN FULL, PLUS APPLICABLE SALES TAX �tg' (initial) MORTGAGEAUTHORIZATION: I, Owner/Mortgagor, grant authorization for SH���MS't— Morteak with Jasper on matters including, but not limited to, the claim and draw status. (initial) PAYMENT SCHEDULE: Owner agrees to pay Jasper based on the following pay schedule: (i) Deposit in the amoudue upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owners insurer(s), plus Upgrade Costs, due and payable to Jasper upon completion of work being performed; and, (iii) the remaining Contract Price (equal to any applicable depreciation and/or change orders) due and payable to Jasper upon completion of work performed. In the event of a pending inspection, no more than 2% of Contract Price may be withheld until inspection has passed. Optional: UPGRADE ITEM: e5t, QTY: (5�-- PRICE: $ 15? TOTAL: $ �'y4 Replacement Work and Price: Upon insurer's approval and subject to the terms and conditions herein, Jasper agrees to fiimish all materials and provide the labor necessary to perform the full roof replacement which shall take place following Owner's insurance company's approval, approximately within 30 days, conditions permitting. Owner's Declaration of Intent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof replacement, Jasper shall perform the roof replacement upon receipt of fiords from Owner's insurance company. CANCELLATION: If Owner elects to terminate the services of Jasper, Owner may do so before midnight on the third business day after Contract is executed. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight on the third business day after the contract is executed after notification from insurer(s) that the claim for payment on roof contract has been denied, in whole or in part. All written notices of cancellation, regardless of reason, shall be postmarked or delivered to Jasper's corporate office: 1955 Vaughn Road, Suite 209, Kennesaw, GA 30144. CANCELLATION EXCEPTIONS: The three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence. I, Owner, have read and understand all statements, terms and conditions of the "Roof Replacement Contract" and agree that all details are acceptable and satisfactory. I further understand that this contract constitutes the entire agreement between the parties and that any further changes or alterations to this contract must be 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 and enf7l in accordance with its terms. <i - 6o/& Au J per Representative Date Owner Date TE CONDITIONS: Acceptance of Terms: I, Owner, hereby agree to retain Jasper for a fiill roof replacement on the terms and co ti s tated herein. I fiuther agree to provide Jasper with the Scope of Loss Report generated by my insurer and authorize and grant full access to a property for the purpose of staging and completing all agreed upon work. Supplemental Claims: Jasper reserves the right to file a supplemental claim with Owner's insurance in the event that the estimate is incorrect and/or additional damage is discovered after LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: SAMANTHA MURRAY an agent of JASPER CONTRACTORS (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 The specific permit and application for work located at: 4 a (o PI or jrq Lo, k e i7 r (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: MICHAEL STEPHEN State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF SEMINOLE The foregoing instrument was acknowledged before me this day of N 6 V , 2%x, by (v1 t C 1 C 1 S i t_,p h ty� who is o personally known to me or o who has produced +D L as identification and who did (di a an oath. W00 (T Signature �, I I (Notary Seal)an VI L Q DANIELLE N DIAZ '� •'� MY COMMISSION 0 GG038827 EXPIRES WOW OW 16.2020 (Rev. 08.12) nt or type name Notary Public - State of Commission No. ,�,y> My Commission Expires: X10 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: ll I S I 1 (D I hereby name and appoint: 14ARI PEREZ- ARIAS an agent of. JASPER CONTRACTORS I Name of Compam• 1 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. o The specific permit and application for work located at: d Lake or Owl AJJreso F..xpiration Date For This Limited Power Of Attorney: License Holder Name: MICHAEL STEPHEN State License Number: CCC1329651 Signature of License Holder: STATE OF FLORIDA COUNTY OF Q trC n ( The foregoing instrument was acknowledged before me this I f)�) day of NO 201�0_. by M j (, i) a C j ',) A-(— po e- n who is personally known to me/ or who has produced 0 as identification and who did/did not take * oath. (Notary Seal) gAMANT�► MURRAYF�3z2 : � • MY 6OMMISSION •. te, zoto exrta�a otlr.+M� rpnw� � �4Un.� is p'a 1.1 Print or Typc Name Notary Public — State of Ft Commission Number rr01 yu;a- a My Commission -.xpires: )�-I1L9 -��/ 11/14/2016 11PAWME6 sc.�aioourm raown� Parcel Information SCPA Parcel View. 02-20-30-520-0000-0350 Prooerty Record Card Parcel: 02-20-30-520-0000-0350 Owner: RODRIGUEZ FRANCIS Property Address: 366 PLACID LAKE DR SANFORD, FL 32771 ---------- _-- � (Value Summary- - � - - - Parcel 02-20-30-520-0000-0350 Owner RODRIGUEZ FRANCIS Property Address 366 PLACID LAKE DR SANFORD, FL 32771 Mailing 1002 LONG BRANCH LN OVIEDO, FL 32765 - Subdivision Name PLACID WOODS PH 1 Tax District S1-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions Depreciated E)(FTValue V , N CJ1 1%0 v v Tax Amount without SOH: $1,943.73 2016 Tax Bill Amount $1,943.73 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Seminole County GIS Legal Description----------------- --------- ----•------ -----• ---- - •- -. ... ..--- -• -- LOT 35 PLACID WOODS PH 1 PB 51 PGS 23 THRU 29 Taxes 2017 Working 2016 Certified Units Values Values Vdluabon Method Cost/Market CosVWrket Number of Buildings 1 1 Depreciated Bldg Value $89,915 4 $86,313 Depreciated E)(FTValue $1,000 $1,050 Land Value (Market) $18,000 $18,000 ; $0 $108,915 Land Value Ag Jusl/Market Value " ; $108,915 ; $105,363 PortabilityAdj CitySanford Save Our Homes Adj $0 $0 Amendment 1 Adj -- $7,843 .$13,479 P&G Adj $0 $0 Assessed Value ^ $101,072 $91,884 Tax Amount without SOH: $1,943.73 2016 Tax Bill Amount $1,943.73 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Seminole County GIS Legal Description----------------- --------- ----•------ -----• ---- - •- -. ... ..--- -• -- LOT 35 PLACID WOODS PH 1 PB 51 PGS 23 THRU 29 Taxes .and Method Frontage Depth Units Units Price Land Value LOT 1 $18.000.00 ' $18.000 Taxing Authority Assessment Value Exam pt Values Taxable Value Schools $108,915 ; $0 $108,915 CitySanford $101,072: $0 $101,072 SJWM(Saint Johns Water Management) $101,072 - $0l $101,072 CountyBonds $101,072 ' $0 ; $101,072 County General Fund $101,072 $0 ' $101,072 • Sales ------------ ----- -- - •----- ---- -- ------ -- -------- • I Description Date Book Page Amount Qualified Vac/Imp WARRANTYDEED i 8/1/2012 ;07853 1490 $78,000 No Improved WARRANTY DEED 12/1/2007 !06903 11175 I `- $182,000 Yes Improved CORRECTIVE DEED - - - - - - - - CORRECTNE DEED .7/1/1998 - - —t- -- - - 11/1/1997 30 468 - 03320 - 1194 - 0541 - --- -- $100 No _ - fi -- - -- -- - -- $100 , No Improved - -.. .-- j Improved SPECIAL WARRANTY DEED - - - +6/1/1997 - (3251 0 00 � 6 �_ t � $81,800 !Yes t.- 1 Improved WARRANTYDEED ' 4/1/1997 03222 ;1689 $85,500 :No Vacant Find Comparable Sales .and Method Frontage Depth Units Units Price Land Value LOT 1 $18.000.00 ' $18.000 httpJ/parceldetaii.scpafl.org/ParceiDeWlInfo.aspx7PID=02203052000000350 1/2 Business` Professional Sub-lStart & racra '.pa_ Hor6 ,p6o0T,can oernonulorn',c tJMud: 3:tNM•al Atru > Froduo nr Apd,CalMn ilalCn > Apphut,atl t nl . Application paha Ir -� FL 11 FL17673 ='•=�=-'� Application Type New Code 'Jeision 2014 Application Status Approved *Approved by DBPR. Approvals by DOPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments I Archived' Product Manufacturer System Components Corporation Address/Phone/Email PO Brix 2432 Compliance Method Issaquah, WA 98027 Evaluation Entity (42S) 392.5150 Quality Assurance Entity cshepheid@)systerneamponcnis.net Authorized Signature Christopher Shepherd Validated By cshepherd@syslemcomponents.net Technical Representative Chris Shepherd Address/Phone/Emad PO Box 2432 Referenced Standard and Year (of Standard) Issaoualk WA 98027 Equivalence of Product Standards (425) 392.5150 Certified Dy cr.heplicid@systemcomponL-iiit;.net Quality Assurance Representative Address/hone/Email Category Roofing Subcategory Undeilaymenis Compliance Method Evaluation Report from a Product Evaluation Entity Evaluation Entity ICC Evaluation Service. LLC Quality Assurance Entity Quality Audiling• ristrtule Ltd. Quality Assurance Contract Expiration Date 01/31/2018 Validated By Chris Bowness, P E. : validation Checklist • Hardcopy Received i Cenlllcato of Independence I • ,� u•r ce r•eri ficate or Independence Q f � Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified Dy I Sections loom the Code 1 1507.2.3 1507.3.3 1507.5.3 1507.7.3 1507.8.3 1507.9.3 1507.9.5 I 1518.2.1 1518.4 1 Product Approval Method Method 2 Option A Date Submitted 07/03/2015 Date Validated 07/03/2015 Date Peniding FOC Approval Date Approved 07/15/2015 Summary of Products FL Y Model. Number or Name Description 17873 11 Coverpfo 3000 Synthetic Roofirtg Pellounance Fell Replacement Underlayment 1 Limits of Use - _-_- - _ Approved for use In HVHZ: Yes r Installation Instructions Approved for use outside Hv"z: Yes FL17873 RO II coye[2io3000 inetaltattnn nd( Verified By: ICC Evaluation Service. LLC Impact Resistant: N/A Cleated by Independent Third Pony: Design Pressure: N/A Evaluation Repots Other. FL17073 RO AE ESR 1293 - Coov odf 17873.2 -- _ Coverpro Synthetic Rooting performance Felt Replacement Undeflayment Limits of Use Installation Instructions Approved for use In HVHZ: Yes FL 17A71 Rn 11 envernrn tmmnllntlnn nAf 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: FL 17873 RO AE ESR 1293 - Cooy odf 17873.3 Feltex SA300 Synthetic Self -Adhered Root Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL17873 RO 11 feltexsa300 Installallon.odt Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Pony: Design Pressure: N/A Evaluation Reports Other: FL17873 RO AE ESR 1293-CooY.odf 17873.4 Felled Style RXl High Performance - Synlhelic Roof Underloymenl Limits et use •. • . - - _ • Installation Instructions Approved for use in HVHZ: Yes FL17873 RD 11 feltex installation.odl Approved for use outside HVHZ: Yes Verilted By. ICC Evaluation Service, LLC Impoet;Resistant N/A Created by Independent Third Party: OesignIPressuie:N/A Evaluation Reports Other; FL17873 Ito AE ESR 1293 -Copy rdf 17873.5 Fellex Style RX2 High Performance Synthetic Roof Underloyment Limits Of Use Installation Instructions Approved for use in HVHZ: Yes FL17873 RO 11 feltex installation odf Approved for use outside HVHZ: Yes Verified By: ICC Evatuntion Service. LLC Impact -Resistant N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other: FL17873 RO AF ESR 1293, Copy odf 178736 Protex Contractor Grade Synthetic Root Underloyment Limits 41 Use Installation Instructions Approved for use In HVHZ: Yes FL17973 RO II ProTex Inslallallon.odf Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC ImpaclRoslstont N/A Cteated by Independent I bird Pony: Deslgnil"ressuro:N/A Evaluation Reports Other: FL 17673 RO AE ESR 1997. Coov.ndl r U :t940 wrath starn•Svers la7aeastee el.12749 Vnene. 85n 487.1824 t TIte SUtet/1 FtOrW rt an/WFFOemplgcr.Coorneet !007.701.1 SrtteM Fterda P,waev Sla:•menR Accss,M4v Srarrrrrnt •: P•lund Slateen•m urge, Florida 41w. enod mdressts are WD'+C records 11 you da rtot wan: ym r o *POO aftm rrleased o response to a pubee•remds r"o"k. do not seA etecuen e MO to this entity.Instead.CCAUnthe ollrcebypronea,"lwahoralhva dyou naveairyttwst.ans, Phrase Contact 850.487,1395 •Pur3uan1toSectmn455,275(1), notwo Statues• elleedrt ocwber 1, 2pt7, eeenteas hcerlsed allo Chapter 455, F S roust ptowdo the Departntnt with an matt addle" if they nate ant. The em id% prowded that, be used Ip e1f=l comrrw wtwn i llb IM ncensee wow"e, email addresea as pub:,c ,atmo. II you do nol wish to WWI a Personal add:es5, utast po+idt the Ott�trtment wrh an cvrlad addrK{ whtCh Can o! mad! araeabk IO ler Wilbt To del0rmine d you ate o I,censee undo Chapter 455. VS.. oteaso chcs how Madrtl Approfal Act"U: t ® 'Cr.rl Cred �-- .-_ a9�AE 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 RX1) HIGH PERFORMANCE, FELTEX® (STYLE RX2) HIGH PERFORMANCE; FELTEX SA3000 SELF -ADHERING, PROTEXO CONTRACTOR GRADE, COVERPRO AND COVERPRO 3000 ROOFING UNDERLAYMENTS ICC Icc ICC C PMG LUSTED Look for the trusted marks of Conformltyl I "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPC) Award in Excellence" _LWIIII H A Subsidiary of '"rtacunc+:! CODFCdINCII' A.V-V Evishrulion Repar is brc nil its he cinslrned as mprevenliog creslhel cs or rirl• other al/riheles 1101 spcc•/pici//r n h1n.,s'sed. stir r re 1/n:r tip he construed i.+• an eurlwsurwnl r f'the subject it the report or is ry c imine nlirion pirr its rrse. T/rerc• is ii irir•runn• hr /l Y • h'rnluadon .Vemitt•. LL(*. ex/acus or implied as it, on) -/iodine rrr ulher• nrnlreri in dtis repurr. fit - in its nm prat/rrcr eurered hr rhe repirr. s ...,,,..cc„ Copyright Q 2015 Reissued February 2015 This report is subject to renewal February 2016. www.icC-e .Ora ( (800) 423-6587 ( (562) 699-0543 A Subsidiary o1 the International Code Council DIVISION: 07 00 00 -THERMAL AND MOISTURE PROTECTION Section: 07 30 05 -Roo, ing Felt and Underlayment REPORT HOLDER: SYSTEM COMPONENTS CORPORATION POST OFFICE BOX 2432 ISSAQUAH. WASHINGTON 98027 (425) 395-5150 www.systemeomoonents.net EVALUATION SUBJECT: FELTEX° (STYLE RX1) HIGH PERFORMANCE, FELTEX'' (STYLE RX2) HIGH PERFORMANCE, FELTEX SA300P SELF -ADHERING, PROTEXm CONTRACTOR GRADE, COVERPRO AND COVERPRO 3000 ROOFING UNDERLAYMENTS 1.0 EVALUATION SC+E Compliance with the Illollowing codes: 0 2012. 2009 and 2006 international audd/ng Codeo (18C) 0 2012. 2009 and 2006 International Residential Code* (IRC) Properties evaluated: o Physical properties o Ice barrier o Fire classification i 2.0 USES FelTexe (Style RX1) High Performance. FelTex" (Style RX2) High Performan I and ProTee Contractor Grade, CoverPro and CoverP� 3000 roofing undedayments are used as alternatives tolthe ASTM D226, Type I and Type II, roofing underlaymegts specified in Chapter 15 of the IBC and Chapter 9 of the IRC. The underlayments may be used as componentsl of classified assemblies when installed in accordance with Sedan 4.3. FelTex SA30e Self -adhering Roofing Underlayment complies with ASTM D1970 and is used as an alternate to the ASTM D226, Type I and it. roofing underlayments specified in IBC Chapter 15 and IRC Chapter 9. The underlayment may also be used where an ice barrier is required by IBC Chaplet 15 or IRC Chapter 9. 3.0 DESCRIPTION 1 3.1 FelTex° (Style RX1) High Performance Rooting Underlayment and i FelTex (Style RX2) High Performance Roofing Underlayment: FelTexe (Style RX1) High Performance and FelTexo (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 FelTexe (Style RX1) High Performance underlayment is 3.2 pounds per 100 square feel (4.6 oz./yd' (154 g/m2)) Total weight of the FelTexe (Style RX2) High Performance underlayment is 2.9 pounds per 100 square feet 14.1 oz.tydt (140 glint)). 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. FelTexe (Style RX1) High Performance Underlayment and FefTex° (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 undedayment is 2.6 pounds per 100 square feet 13.7 ozrydt (128 g/mt)). Standard size for the underlayment rolls is 4 feel wide by 250 Icer long 11.2 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 Sell -adhering Roofing Underlayment: FelTex SA300a 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 9.4 2pounds per 100 square feel (13.7 oz/yd' (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/yd' (94 glrrl2)). 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 feel long (1.0 m by 91.4 m). Other roll sizes are available. 4.0 INSTALLATION 4.1 FelTexo (Style RXt) High Performance, FelTexe (Style RX2) High Performance. ProTex° Contractor *Revised March 2015 /Cr'•h'.�'I:.ahwnr....N.•/�..r.✓r: tri h.M•..w.rrrwvl.r•nyw.,nlinJ;,n•.r4•u:..r.u!:r✓Ir,+✓nrlMn.:.rn✓yvvHf�dlr.•66;.•nl rr,r,n: Na.r•w:NrwNrr.•,/ .r• .nr ••roR.n. md,u nI ll✓ vd/.vI ,./ lb,• n7.+10. o n1+ron+. mlrrnur A� N. uw•. I Aw i. m „urr.mrr M•!rY l:ur/n.✓ww J: n•r.v: l.Lr ::./vr. .! Joydl.:/, m erdnr/brdun.•r wbvm,nb•rrndn'r.•p+L•.r rn n..nn /v.•/mv.vnrnvl A. r/r ny.vr '��"� Paso 7 or 3 Copyright 2015 i ESR -1293 1 Most Widely Accepted and Trusted Page 2 of 3 Grade, CoverPro Viand CoverPro 3000 Roofing Underlayments: ( Minimum roof slope i 2:12 (17%, slope). For roof slopes from 2:12 (17%) up toIbut not including 4:12 (331/6). where the roof is covered with asphalt shingles, two layers of undertayment must bei applied in accordance with Section 1507.2.8 of the IBC or Section R905.2.7 of the IRC. For roof slopes from 2'/2:12 (21%) up to but not including 4:12 (33%). where the roof is covered wilh day 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 10.109 inch shank diameter (2.77 mm � corrosion -resistant steel roofing nails having minimum /e -inch -diameter (9.5 mm) heads; or minimum 1 -inch -diameter (25.4 mm) plastic caps, or No. 16 gage 10.065 inch leg diameter (1.65 mm)) corrosion -resistant staples having minimum 7/10 -inch crowns (11.1 mm). The underlayment must be fastened in accordance with the underlayment applicaiion and high wind attachment requirements specifredlin IBC Section 1507 or IRC Section R905. as applicable. For roofs required to have an ice bamer, two layers of FelTex` (Style RXi) High Performance. FelTexa (Style RX2) High Performance. ProTexo 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 shoe complying with ASTM D1970, such as FelTex SA300e set -adhering roofing underlayment: or one layer of an ice airier complying with the ICC -ES Acceptance Criteria for Sell -adhered Roof Underlayments for Use as Ice Barriers (AC48), must be applied. The underlayment must bel applied over the solid substrate in sufficient courses that the underlayment extends from the eave's edge to a pointlat least 24 Inches (610 mm) inside the exterior wall line of the building. The underlayment applied in the field of Ilie root 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) st{bstrates only when the ambient air and substrate tempera{ures 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 line' 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 Oat 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 FalTetij (Style RX1) High Performance. FelTex9 (Style RX2) High Performance. ProTexe Contractor Grade. CoverPro and CoverPro 3000 roofing undertaymenls may be used as components of classified roof assemblies consisting of Class A glass fiber mat asphalt shingles or Class C organic fell asphalt shingles complying with the applicable code. when installed in accordance with this report over a minimum z/p-inch-thick (9.5 mm) plywood deck for Fe1Tee (Style RX1) High Performance and minimum '6/32 -inch - thick (11.9 mm) plywood deck for FelTex" (Style RX2) High Performance, ProTexe Contractor Grade. CoverPro and CoverPro 3000. Under the 2006 IBC. the FelTexa (Style RX1) High Performance. FelTex (Style RX2) High Performance. ProTex Contractor Grade, CoverPro and CoverPro 3000 underlaymenls may be used in Class A or Class B roof assemblies that utilize the roof coverings specified in the exception to Sections 1505.2 and 1505.3. Under the 2006 IRC, the FelTex (Style RX1) High Performance, FelTex", (Style RX2) High Perlormance, ProTex° Contractor Grade, CoverPro and CoverPro 3000 undedayments may- be used with root 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 FelTexa (Style RX1) High Performance. FelTex (Style RX2) High Performance, ProTexe Contractor Grade, CoverPro. CoverPro 3000 Roofing Underlayments and FelTex SA300z 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 1 Most Widely Accepted and Trusted Page 3 of 3 5.1 Installation must comply with this report, the report holder's published installation instructions and the applicable code. A copy of the report holder's published installation instructions must be available to the code official of the jobsite. In the event of conflict between this repgrt and the report holder's installation instructions, this report governs. S.2 Installation is limited to use with approved roof coverings that are mechanically fastened through the underlayment to Ithe 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. 5.0 EVIDENCE SUBMITTED 6.1 Data in accordance with the ICC -ES Acceptance Criteria for Root Underlayments (AC188), dated FebruaEry 2012. (editorially revised February 2014), for ProTex Contractor Grade. FelTexm (Style RXI) High Performance. FelTex° (Style RX2) High Performance, CoverPro and CoverPro 3000 Roofing Underlayments and FelTex SA30e 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 SA300f Selr•adhenng roofing underlayment; including liquid water transmission testing in accordance with ASTM D4869, Section 8.3.5. 5.4 Installation is limited to roofs with a slope of 2:12 6.3 (17%) or greater. 5.5 Installation is limited to roofs with ventilated attic spaces. 5.6 FelTex SA3006 Self -adhering Roofing Underlayment is limited to stiuclures located in areas where nonclassified roof'coverings are permitted. 5.7 FelTex SA3000 dell -adhering Roofing Underlayment must not be installed when frost is present on the roof deck. 1 5.8 FelTex SA300e Self -adhering Roofing Underlayment installation is limited to plywood and oriented strand board IOSB) substrates. i 5.9 FelTex' (Style RXI) High Performance, FelTex° (Style RX2) High -Performance. FelTex SA30e 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. Reports of testing in accordance with ASTM E108 for FelTex (Style RXI) High Performance. FelTex" (Style RX2) High Performance. ProTexe Contractor Grade. CoverPro and CoverPro 3000 roofing underlayments. 7.0 IDENTIFICATION The FelTex" (Style RXI) High Performance, FelTex` (Style RX2) High Performance, ProTex° Contractor Grade, CoverPro and CoverPro 3000 Roofing Undedayments 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). M Supplement* Reissued February 2015 This report is subject to renewal February 2016. www.icc-es.org 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council° DIVISION. 07 00 00—THERMAL AND MOISTURE PROTECTION Section: 07 30 OS—Roofing Felt and Underlayment REPORT HOLDER: SYSTEM COMPONENTS CORPORATION POST OFFICE BOX 2432 ISSAQUAH. WASHINGTON 98027 (425)395-5150 www.systemeomDonents.net EVALUATION SUBJECT: FELTEe (STYLE RX1)1HIGH PERFORMANCE, FELTEX° (STYLE RX2) HIGH PERFORMANCE, FELTEX SA30041 SELF. ADHERING. COVERPRO. COVERPRO 3000 AND PROTEX* CONTRACTOR GRADE ROOFING UNDERLAYMENTS 1.0 REPORT PURPOSE AND SCOPE I Purpose: The purpose of this evaluation report supplement is to indicate that FetTe)y (Style RX1) High Performance. FelTexa (Style RX2) High Perfonnande. FelTex SA306 Self -Adhering. CoverPro. CoverPro3000 and ProTexo Contractor Grade Roofing Underlayments, recog I ixed in ICC -ES master report ESR -1293, have also been evaluated for compliance with the codes noted bolow. Applicable code editions: 0 2014 Florida Building Code—Building ■ 2010 Florida Building Code—Building 0 2014 Florida Building Code—Reslden1181 a 2010 Florida Building Code—Residential 2.0 CONCLUSIONS The roofing underlaymenls, described in Sections 2.0 through 7.0 of the master evaluation report ESR -1293, comply with the 2014 and 2010 Floridi Building Code—Building and the 2014 and 2010 Florida Building Code—Residential, provided the design and installation! are in accordance with the International Building Codot provisions noted in the master report and Section 1507 of the Florida Budding Code - Building. Use of the roofing undedayments 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 Codo—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. *Revlsed March 2015 1('r'•hl fir.✓u.IlnwR�nl..In•mile/,•.•..n.r.rnLl.rrl.ryluury;.n•.✓w•!ir•I.r.nn.Mlyt OIIIIhIO:.I1.Y 1fY.'I�,.11l1 I�Ab:.•ul. n.r ru: lJ�;'Irl JL•*IrlNn11•d .I. ...I: rMh./.:nM•.J ../I� .I.rY✓I'I•�I/1•I.(.Yll�.1 l.1.r1,MI:l��llNrll l.✓'11. R..' IM'II'1.n`r llllflllllll'A\'JI'I'I.IIIJIIII/Frll �r'f11:r: I.l.r I'fr•I: ,IM III �Ili.I 11. --_. J.•J.Ir li.hax—IIIInv—,It.T 111%!.n/..11../.nl.•.I..1/N.••/u1ll..r\'I:./�I'l/I.•I,/.M! 4is7MI ,. Page 7 of 7 GoDYrlgnt G 2015 • THIS INSTRUMENT PRI 1� 1 Warne': JASPER CONTI •) v Address: 5380 E COLO NOTICE OF C l Permit Number: I ParcelIID Number: ba . a(, The undersigned hereby gives not followi A g information is provided in 1. DESCRIPTION OF PROPERT 2. OF 3. OWNER INFORMATION OR Name and address: Frar Interest in property: Fee Simple Title Holdei (if o 4. 111l11111lfi !1!9!,1!119 !till lllll illi 1111 DBY: MARYANNE 11ORSEr SEMINOLE COUNTY RS CLERK OF CIRCUIT COURT & COMPTROLLER IR BK 8805 P9 1416 (1f;•9s ) CLERK'S v 2016118661 = RECORDED 11/15/2016' 10:38:06 AM RECORDING FEES t1i►!OO RECORDED BY OWENCEMENT Q, 6 --D - DOW - 03 Sid that improvement will be made to certain real property, and in accordance with Chapter 713', Florida Statutes, the pis Notice of Commencement. (Legal description of the property and street address if available) i INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: �' cX/ ednaU r_ � . Alelo PU ciLl LD V -C Or. �['i�`�Ci /-71 than owner,listed above) Name: Address: 5380 E COLONIAL DR ORLANDO FL 32807 Phone Number. S. SURETY (If applicable,ta copy of the payment bond Is attached): Name: Address: Amount of Bond: I 6. LENDER: Name: Phone Number: I I _ Address: I I • 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as prof 713.13(1)(a)7., Florida Statutes. ; Name: I Phone Number: Address: 8. In addition, Owner designates of to ri ceive a copy of the Lienors 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 PF CONSIDERED IMPROPER>PAYM PAYING TWICE FOR IMP90VEM JOB SITE BEFORE THE FIRST I BEFORE COMMENCING WORK ( Audrodred State of The foregoing Instrument was a by 1. m n G�� I Name of who has produced identifit:atior ts• •= MY rr ` RENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF ITS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND ITS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED �PECTION.:IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND RECORDING YOUR NOTICE OF COMMENCEMENT. _ r (Print Name and Provide signatory's Tit Kce) or IMENCEMENT ARE RESULT IN YOUR 3 POSTED ON THE OR AN ATTORNEY _ County of V r K ! < nowledged before me this day of AM y/ + 20 (-Q u e f1 Who is personally known to me O OR ;on makln ement type of identification produced: A CL IANTHA MURRAY I I )MMISSION p FF944322 . RES December 16, 2019' Florida 0111130 vloe.dom Notary Signature � I CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 1 b ' S061 c J� I, J DZ .�� _" hereby acknowledge that I personally inspected Af deck nailing and/or�ondary water barrier work at 366 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 understand that making any false statemt performance of his or her official du Section 837.06 F. 7, atu�f Contractor Printed Name of Contractor true and accurate to the best of my belief and that I fully Iain writing with the intent to mislead a public servant in the all constitute a misdemeanor of the second degree pursuant to 1 114 Date C -L(— 13 -) ! License # License Type: 0 General 0 Buildin esidentiRoofing Contractor 0 or any individual certified in accordance with F.S. 46 make such an inspection. VhIVIAIO STATE OF FLORIDA COUNTY OF n f Sworn to (or affirmed) and su scribed before me is ay of I V o VC , 20 by S , who is 0 Personally Known to me or has 04roduced (type of idekation as identification. C12M1(2j2d6VVA_ (SEAL) Signature of Notary Public State of F1 *da pcmigrF Print/Type/Stamp Name of Notary Public ; LN DANIELLE N DIAZ W COMMISSION 0 00038827 EXPIRES October 18, 2020 Revised: February 2015