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408 West 9th St
1� .L FDLEE CITY OF SANFORD 0 REC'D BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: S -8;39-79 Job Address: 408M40 -West 9th Street, Sandford FL 32771 Historic District: Yes ❑ No 9 Parcel ID: 25-19-30-5AG-1007-0050 Residential ❑■ Commercial ❑ Type of Work: New 9 Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Remove and replace new roof with shingles Plan Review Contact Person: Elmer Campos Title: CONTRACTOR Phone: 407-542-5903 Fax: 407-542-8790 Email: Property Owner Information Name �.��� ��Oy1S Phone: Street: 408/410 West 9th Street, Sandford FL 32771 Resident of property?: Residential City, State Zip: Contractor Information Name Elmer Campos Phone: 407-542-5903 Street: 3024 Kananwood Ct Fax: 407-542-8790 City, State Zip: Oviedo, FL 32765 State License No.: CCC1328416 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Date Signature ofContractor/Agent x4gma _4 C:c..Eaao. s a r Print Own / t eni'9Name A Print Con ra for/AQent's Name /(9// %/ p� 0411'2m=/K'/ /_A Dale rNotary-Suitc or Florif 1 Date OZIEL HERNANDEZ AlZ OZIEL HERNANDEZ Notary Public - State of Florida Notary Public - State of FloridaCommission # FF 990343 Commission # FF 990343 "':;o?°'� My Comm. Expires May 9. 2020 My Comm. Expires May 9. 2020 i nk awn to Me or Contractor/Agent is y Personally Known to Me or Produced ID— Type of ID f6'4 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: Flood Zone: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: UTILITIES: 1:311s110VA 1091 COMMENTS: FIRE: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application CER�TfFICATE OVAPP, k' PR�IAI IN)ES-S �, ;H;I�SJ� CaR�I; � ;PSR ES E;R�U/ATI � aN' �B,•�-A�_R4D� CCIO ; A'N►Fr©�R�D, 3:0.0 'S, , P'a7rk Akue nine $ain►ford I PI;or,id-a. 1.2,777 40T:..O8°8:.'S X4,5 �w�w�w�aa�nf,�ordifl!:o ; !P ��_�_II►S> iD,©� c. �IVI►ENT' ?US�� BE ;P � S i 'ED % LT ALL. T'li_,`� •ES � TIS 'PRfOC:O M`, !_,=�LE� QED'.. 11SSUE0 G DATE ISSUED':' Elmer Campos; December: 20;, 2Q1'6 for 408' &. 410,'w,.'-9 t -h Street Sanford, FL 32771 RIV16-338Q -bAT-E ;EXPIREs:' June 20; 2011 Approved to reroofwith architectur�a'b shngles.:AII ;pitch�ed:.roof su. aces .ust be ire= roofed) ant d; ,must f at.0 ; i'm, xime, r :en'siony ;profi.l'e; fex�t�u're; coa'.or, and- other �isuaf q; o'lities..1f �r-e=roof ,requires:repair%,repl'ace ent of visible wood;;el:ements,(with the except�ion;of wooddecking�) .a1 septi.rate'CofA�s:;requ.ire-,di ,whi�cl, delineates ghat scope lof"wor c. , Christ�ine�Da`Ifon; �A�I:CP> iH.stori'c P;reser�at�ion Officer%Co'mmun''it4y�Plaah-ter iPlease6e,advised:�itiis.tfie owner andYror:agent's,.re'sponsiliilify�tonotify,-staff�of any,potental:clianges.from� the aprior to commencing, they changes: This; ;Certifcate Of Appr -P0iOft V-ess,,doCs, ,not constitute ifriali development approval: •he applicant i's,r'esponsilile for olitairiing all!�necessary��pfermits} and�,appro�als; from a'_ pp�lcabl_e: d'e'partments iliefore tinGvelopmerit. 4 HA BUIL -ING 015.01AIT iREQUIRE ,FORiTHE /A ilbl; �, rLIS7TED�/AB011ZE?%i_� -C-5, iNO Building it n0 iRepresent�at4iwo LIMITED POWER OF ATTORNEY SEMINOLE COUNTY and/or CITY OF SANFORD DATE: 12/20/2016 I hereby name and appoint: /d - 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: 408/410 W 9TH ST, SANFOR_D, FL 3277.1 (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 betme me this o20 day of ` 20 16 by ELMER A. CAMPOS who ersonally known me and did not take an oath. WITNESS y hand and official seal this oil" "�e�•., OZIEL HERNANDEZ Notary Public - State of Florida Commission # FF 990343 %;Fof Fid?' My Comm. Expires May 9. 2020 NOTARY SEAL Rev.12/13 0 () day of �ZC . , 20 1(o (Printed Name.) Commission No. F(:Ctq 3 Y 3 State of FL. County of SEMINOLE My Commission expires: 5191a 0 Done RmHT I RAIN vGHT, GUJAJZ04 TMFA �t 3024 Kbnenwood Gt., #1005 FZ 32765 P. W"54Z3go P 4HY-5424M PROPERTY ADDRESS Richard & SUSAN CLEMONS 408 WEST 9 STKET je SANFORD, FL 32771 County: SEMINOLE �Z L� L LL �y ��SsoCtN•{�' F.. ROOFING 88"17-6787 11 www.cfproroofing.com R PROPOSAL NUM: Date: 11/21/2016 Phone: (407) 927-9182 Cell: Email: RSCLEMONS@I TEAR-OFF: 8 2 LayerShingles 1 layer Shingles Gravel Roof ALUMINUM SOFFITS & FASCIA' D Aluminum Fesde Sln It Ply Flat Roof IF Un Other ❑ Fa$da Induced In Price Undedayment ❑ Entire Roof Perimeter Soffit &I WOOD REPAIR: Customer Approval: Fascia Installed Only On: Inspect Roof Deck for Damaged Sheathing Soffit Installed Only On: Re Nail Entire Roof Deck Up To Code Price : Plywood sheathing replaced at$45.00 per sheet. Q Truss, fascia and wood board, will be replaced at ROOF VENTILATIONS U Aluminum Ridge Ven Col 0o per linear foot. _ft. ® Baffled Shingle over Ridge Vent other. Off -Ridge Vent(s):8 4 ft. Qty: _ FLAT ROOF SYSTEM: ` Q Torch Down Single Ply ❑ 7S Ibs Fiberglass Underlayment POWER VENT: 6 n' Ctty— Electric Exhaust Fan: 1 Qty: e COLD SYSTEM:❑ Self Adhered Modified Bitumen Roofing System Solar Powered Exhaust Fan: Qty: ❑ Peel & Stick Underlayment ❑ Fiberglass Reinforced Felt '(Eleculcal work not included.) TAPERED SYSTEM: IMNEY AREA' flashing b ISO Gold Polyisocyanurate Roof Insulation New Replace existing El Build Chimney Cricket Price: — I50 Plus Composite Polylsocydnurate/Perlite Roof Insulation 0 Remove Chimney Price: NEW ROOF FLASHINGS: SKYLIGHTS: 16"Flashing on: ❑ Roof Valley(s) ❑ Flat Roof Pitch Change LJ New Skylight ❑ Reuse existing 5 Plumbing Vent 600U: l.S"—2"_ 3" 1 4" _ 2X2: _pie._ J 4x" C) Boot Guards Color: " Other: Price: Gooseneck Vents 4" _ 6-- 10" _Color: ' `Nk"1Al TA>E OF SKYUGHT Self Flashm Curb Mounter 8 `'• • GALVANIIfD DRIP EDGE; U Insulated Gress Pdrywrbonatt 21/2 Inch Face installed around entire perimeterof roof Nets skylight Installations include inu ❑ Other• Color: dry wall, paint and labor. Labor char; ' AIMINUM SEAMLESS GUTTERS: SOLAR TUNNEL: ❑ IJ Aluminum Seamless Gutters' U Gutters Included In Puce Gutter price Quote:' 10' Price: [] Gutter Feet: Down Spouts: 14" El22" Price: Additional Gutters will be: perllnearfooL BUILDING.)URISDICT10N: ❑CI Additional Downspout will be: each IiQME OVNERS ASSOCIATION 1 PROPOSAL NOTES:_ _ _ O YES LJ NO Contact_ C_U_5T WILL _ 'This proposal L^ taro limited ufetane Architectural shingle. rated at 180 MPF. We propose to tear4rryora old roof to the wood deckand r ,boots flashing and darmeed woos, woos repair prt¢s listed above. A 5 laver protection system Is used around poriphrois penetrating your 15tick'seomoery water banter on oil places checked below. All tortes and petn iting fees are Included. 'Any wood repairs are not Included h r isubjeet to 6hlnee iin 016arant / special wood orders If needed _ Peel & 3 year Gold Pro Roofing & Assodates, Inc. wal dean root OM12 trom gutters to addition to magnetically sweep entire perimeterof job site. All rood included as part of our service. All materials are euerentee l w spedned. We will obtain all cnv or county permit necessary for aro com o xiVetecl according to standard roofing practices end anent buildlrte cod" Any attention or dmution from above specifications [rep only upon wotten order and will becorne an extra charge hem over and above thisi1Nement My rank: occurring during the warranty 1 written warranty. This proposal may W witiici iwp by us if not accepted within LS may. ACCEPTANCE OF PROPOSAL The above specifications, prices and omdltlom are satisfactory and are hereby accepted. You are authorized to do the v be made as oudlned hereln. If payment Is not received within 5 business days after completion of job there will be a 3% due. Any payment racieved by s cradle and b subject to a convlenence fee Payment Schedule U���pon_Completlon Start Oete: Completion Date: 2113J,& E/.WE R CAUPOS Authorized Signature Date Pro Roolin6 & Associates 1 #CCCT3Z"10 _-7 #'100 offit Included in Price scla Color: _ ft. Color: Color. — Price: Price: ashing if needed. Ilght Pike. )om¢ DT work; wood frame, ea. 'rice: my ® City QUIREMENTS: lees ell verds, Ned of dedire tndudint a 'Peel & U total patkeee p6w ^ Puce at wig be hauled away and is n of the jab. All work will be fmVp 9"-11 Ica executed I will be ropolrod per our is spaci fled. Payment vn'11 ce added to the balance 1112112076 Date MARYANIqE MORSE? SEMIHOLE COUI•ITY CLERl'']F CIRCUIT COURT 1, COMPTROLLER Permit Number: BK 3527 Pz 1355 QPss) Folio/Parcel Identification Number: 25 -19 -30 -SAG -1007-0050 CLERK'S v 2016131212 Prepared by: EDER OTERO RECORDED 12/19/2016 12:38::1`6 PI9 Return to: PRO ROOFING & ASSOCIATES INC. r, 3024 KANANWOOD COURT, SUITE 1008, OVIEDO FL 32765 `.F:C.ORDING FEES $10.1.10 NOTICE OF COMMENCEMENT RECORDED CY hdev-,ra 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) TO_WN-O_F_SANF_ORD•LO_T_5_BLK. _10 TR.7-,_408/410 W_9_TH ST, SANF_ORD, FL_327.7_l._ 2. General description of improvement(s) REMOVE AND REPLACE_ WITH NEW SHINGLE ROOF 3. Owner information t, o: Name: RI_CHARD_CLEMONS _— -_.• Interest in Property OWN Address , SANFORD, FL 32771 4. Fee Simple Title Holder (if other than owner shown above) - �• ; sE;�`;= Name: -N/A_ ..___—___ —_ _ ___-_ ___-.--Telephone Number: Address - - - - - -- -- - - -- - �+ - G S. Contractor Name: PRO ROOFING &ASSOCIATES, INC.— -Telephone Number: 407-542-5903 W c� Address 3024 KANANWOOD COURT, SUITE 1008,-OVIEDO FL 32765 6. Surety (if any) a o u Name: .-N/A--- ----Telephone Number: Address _ - -- _-_-Amount of bond $ 7. Lender (if any) Name: ---------- - - mW C _.Telephone Number: © ' - �� W Address N/A-,-- 8. N/A-.--8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be sel provided by §713.13(1)(a)7, Florida Statutes. " LP Name: .-N/A_.---- -----_.-_---Telephone Number: Address 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor'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 different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 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 Own4 Signatory's Printed Name/Title/Office (or Owner's Authorized Officer/Director/Partner/Manager §713.13111[d)) &MalJS This document was acknowledged before me this 15 day of - , 2016 by � Ch+� R.h who is personally known or produced x661 _ as identification. OZIEL HERNANDEZ Notary Public •State of Florida Signature of Notary Public — State of Florida N,y� �A� Commission # FF 990343 My Comm. Expires May 9.2020 Florida Building Code Online Florida Nplartmentof Busines Professi Al Regulation 9/15/15, 10:02 AM y� U Professional Regulation r BCIS Home I Log In I User Registration I Hot Topics I Submit Surcharge I Stats 6 Facts I Publications I FBC Staff I SCIS Site Map I Unks Search ®Product Approval � USER: Public User Product Approval Menu > Product or Agolicatlon Search > ppplica[lon List > Application Detail FL # FL5444-118 Application Type Revision Code Version 2014 Application Status Approved Comments Archived n 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. Harner 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 UL LLC Quality Assurance Contract Expiration Date 07/03/2017 Validated By John W. Knezevich, PE r:.,) Validation Checklist - Hardcopy Received Certificate of Independence FL5444 R COI 2015_01 COI_Nieminen.pdf Referenced Standard and Year (of Standard) Standard Year ASTM D3161, Class F 2009 ASTM D3462 2009 https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtahlgO7CSsoycOrl28CcpClJxNzsPPRyA%3d Pagel 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, 10:0? AM 20,08 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: NoLF 5444_g,$_II 2015_0_FINAL_ER CERTAINTEED Asphalt Shin FL5444-R8.pjJf Approved for use outside HVHZ: Yes 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_U_M_2015_Q3_FINAL ER CERTAINTEED_Asphalt 5bjngJC_FL5444-R8.odf Created by Independent Third Party: Yes Back FNext Contact Us :: 1940 North Monroe Street. Tallahassee FL 32399 Phone: 850-487.1824 The State of Florida is an AA/EEO employer. S,Qpynaht 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 mail to this entity. Instead, contact the office by phone or by traditional mad. 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 here_. Product Approval Accepts: ® ®R CreditSArFE ps://www.flondabuilding.org/pr/pr app_dti.aspx?param=wGEVXOwtDgtahlgO7CSsoycOr128CcpClJxNzsPPRyA%3d Page 2 of 2 QOTRINITYIERD EVALUATION REPORT CertainTeed Corporation 18 Moores Road Malvern, PA 19355 EXTERIOR RESEARCH & DESIGN, LLC. Certificate ojAuthorizotion #9503 353 CHRISTIAN STREET, UNIT #13 OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 Evaluation Report 3532.09.05-R9 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. Trinity IERD 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 CERTIFICATION OF INDEPENDENCE: 1. TrinityJERD 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) 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) 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. ,,. . , ,CT. T�: • The facsimile seal appearing was authorized by Robert Nieminen, ^ R�,•. :,� P.E. on 03/06/2015. This does not serve as an electronically signed i7�aV document. Signed, sealed hardcoples have been transmitted to the 1..�elrrrrr�t""`��,, Product Approval Administrator and to the named client CERTIFICATION OF INDEPENDENCE: 1. TrinityJERD 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) 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) 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. Q0TmN1'TYJERD 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: Examination Reference Date Section Proaertv 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: inti 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 05NK07049 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 D3161 05NK22800 06/22/2005 UL (TST 1740) ASTM D3462 R684 09/21/2005 UL (TST 1740) ASTM D7158 05NK08037 06/28/2006 UL (TST 1740) ASTM D3161 & D3462 09CA28873 07/23/2009 UL (TST 1740) ASTM D3462 1OCA41303 10/07/2010 UL (TST 1740) ASTM D3161 1OCA41303 10/08/2010 UL (TST 1740) ASTM D7158 10CA41303 10/27/2010 UL (TST 1740) ASTM D3161 & D3462 1OCA44960 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 XT7' 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, LLC. Evaluation Report 3532.09.05-119 Certificate of Authori:otion #9503 FL5444-R8 Revision 9: 03/06/2015 Page 2 of 9 5. LIMITATIONS: 6. QO-PuNITYIERD 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,sd = 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.w = 150 mph (V,,,, = 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,Sd = 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 3532.09.05-119 Certificate of Authorization #9503 FL5444-R8 Revision 9: 03/06/2015 Page 3 of 9 6.3.1 6.3.1.1 6.3.2 CT20", XT— 25, XT"" 30, XTr' 30 IR: LOW AND STANDARD SLOPE ENGLISH 12" 12" 12" (305 mm) (305 mm) (305 mm) 1"(25mm) —Sealant 1"(25MM) �( 1 5 5/9"(145 mm) 141 511z' /01 NOrrvod METRIC 131/8• 131/8" 131/8" 1"(25 mm) Se lant 1" (25 mm)-►( ±r--, _ _ — 614.. Figure 11.3: Usefour nadsfor every full sbingla Hip & Ridge: Cut Shingles 1' =.iI -.i Imo- 2" (50 mm) Remove (25 mm)�n�l I� I-1 .-Remove, \►j 1 -— f-- � _V 12..CaD Cap 305mm) Shingle Shingle Figure 11-21.• Cut tabs, Then lrin back to make cap shingles (English dimensions shown). QoTmNIT'YIERD STEEP SLOPE Use four nails and six spots of asphalt roofing cement* for every fail shingle (Figure 11-4). Asphalt roofing cement meeting ASTM D4586 Type II is suggested. I - Rooling Cement Apply 1" (25 mm) spots of asphalt rooting cement under each tab comer Figure 11.4: Usa four nails and sir spots ofaspbalt cement on steep slopes 'CAUTION: Excessive use of roofing cement can cause shingles to blister. (305 Fast (125 mm) `; `mac til .. �115� ��°` N°nypOao Figure 11.25: Installation of cups along the blps 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. Carriage House Shangle®, Centennial Slate'" and Grand Manor Shan¢le®: LOW AND STANDARD SLOPE Ilse five nails for Lvery full Shangle. i—(25mm) I (251mm) F- 5/8" 5/8" 8 518" (16 mm) �mm) Figure 17-4: U.w fire runts for errry frill Grand Alanor.cbannglr. Gnriage Ilouse Sbangle, or Cenlennial Stan. STEEP SLOPE Use seven nails and three spots of asphalt roofing cement for every full Grand Manor Shangle, Use five nails and Ihrev spots of asphalt roofing cement for even• hill Carriage (louse Shangle and Centennial Slate. Apply asphalt roofing cement I- (25 mm) from edge of shingle (Figure 17.5). Asphalt roofing cement mcetiing A31d1 D458011pe 11 is suggested. (25 fro FOure 17.5: When installing Grand lianor.Shongim on sleep slopes. use seven nail.: and Am, spots ofaspbalt roofing conn!. 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 9 141 141 NO 0, (25 fro FOure 17.5: When installing Grand lianor.Shongim on sleep slopes. use seven nail.: and Am, spots ofaspbalt roofing conn!. 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.' SbanRle• Ridge. QOTRINITYIERD 18• Exposure Remove tape from the right side 1 �, ; g•` I and Casten F SII SECOND the Fasten left side 85/81./ RIGHT FIRST LEFT Figure 17-19.' Installation of Sbangle& Ridge sbingles on 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. 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 It 13'/Y' 13" 13V METRIC DIMENSIONS 1--(343 mm)—I—(330 mm)—I—(343 mm) - 12" 143/4" 12"-- I•—I"(25mm) 1"(25mm) —►I -- --(305 mm)—I—(375 mm)—•—(305 mm) --1 j- I--1"(25 mm) Relr Tape 1" (25 mm)'�I r I,n.. • Nailabte7F Figumli•J:Osejorrnailsforereg-fullsbm##,. Area STEEP SLOPE LANDMARK It Use six nails and four spots of asphalt roofing cement for every full laminated shingle. lice below. Asphalt roofing cement should meet I (343 mm) (330 mm) (343 mm) ASTM D4586'rype II. ,Apply I' spots of asphalt roofing cement undo each corner and at about 12" to 13" in from each edge. -m) METRIC DIMENSIONS(25 *5m mm) (2 ram) Rodbro CaneN —12 143/4" 12 (305 mm) (315 mm) (305 mm) axamer xYJ1 a'"1i101o1� RiQ 2i7626AY7t ;�-I"(25mm) RdeaseTT ape 1"(25 MM) --i Nail Area l For Sleep 1..yi Ir— r-1.. (25 mm) — —"Roor-'a (25 mm; Cement Exterior Research and Design, LLC. Certificate of Authorisation +x9503 Figure 13•k Use sir nalls muf four spou of aspbdiMo/Inscementon skipstop- Evaluation Report 3532.09.05-R9 FL5444-Rg Revision 9: 03/06/2015 Page 5 of 9 6.3.3.1 6.3.3.2 Hip & Ridge, Option 1: Shadow Ridge'" \ F Figure 13-16 Sbadoru Bulge armory sbingles delwb easily from three -pieta° units to make 72 individual cap pieces. 12' (305mm) (150mm) (150mm) Notch for Centering 6 rnm) Notches for Alignment to the Top Edge of the Prevaus 7 Capfor5'(125mm)Fxposure (ION English Dimension ,2• (305mrn) I✓ ��,ii//I/ Laying Notch I 5. (125mm) 1 Figure 13.10: Use laying noicbes to center sbingles on bips and edges, and to bole 1be correct exposure Q0TP,uN1'TY1ERD 97/8' (250mm) 415!16' 415/1G (125mm) 1 (125mm) f Notch for Centering 13114' (337mm) Notches for Alignment to 5 Top Edge Previous 7 of the ( n mn Lthe Cap for 5518'(141 mm) Exposure � i Metric Dimensbn 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. Exterior Research and Design, LLC. Certificate of Authorization #9503 Evaluation Report 3532.09.05-R9 FL5444-R8 Revision 9: 03/06/2015 Page 6 of 9 QOTRINITYIERD 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 % 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. Han6searnp iByfiv� 1t1' �• 1,102MR) (,ptmn>_ _ us mm► o 1b of 85003 camerae between h ,• e 0 trays (25 mm) 6.3.4 Presidential Shake'", Presidential Shake'" IR, Presidential Shake TL'": LOW AND STANDARD SLOPE: STEEP SLOPE: For low and standard slopes, use five nails for each fuU Presidential For sleep slopes, use nine naps for each full Presidential shingle and shingle as shown below. apply 1 • diameter spots of asphah roofing cement under each shingle tab. Alla applying 5 nails in between the nailing guide Wes, apply 4 nags I' Naeirry 40' above 0b cutouts mating certain tabs of overlying shingle corer nails Guido Unes (1016 mm) 5114' (133 non) . . 141/4' 1 1 /I 38 nan) (362 mm) NOTE. Apply nails on painted guideline. iigrwo 164 fastening Prasidenhal and Netldenlyd rL Sbaho sbtngla on lora and standard sloyac 6.3.4.1 Hip & Ridge, Option 1: Presidential Accessory PRESIDENTIAL ACCESSORY 1 1. • —--y-------- _ i 1' diameter asphalt ioorine cement T Figure 16-7.• fastening Nzakienlid and Aasidentud M sbakv sbingla on steep slopes. 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, LLC. Evaluation Report 3532.09.05-R9 Certificate oJAuthori:otion p9SO3 FL5444-R8 Revision 9: 03/06/2015 Page 7 of 9 6.3.5 6.3.5.1 Hatteras'": IOW, STANDARD AND STEEP SLOPE: Figure 13.3' l tulrrring 11411ems Sbingles on /..on,anAStandard.Vopes For low and stantbtnl slopes, use Inv nalls for each hta fhaRerts shingle :u slsmcn above. Hip & Ridge, Option 1: Accessory for Hatteras QoTpuNIT'YIERD Atilm 13.1. lbstruug fMnems Sblre$s ou Vnp.VOpro For steep 5101x•., nae Ric naps and eight aputs of •rsphalt roofing cement for each big listens shingle as shown abmr. Apply I. (15mm) diameler spots of roofing cement INTJI D 45861jpe 11 su&,rsted) under rich tab corner. Press shingle Into pUcr. do not impose cement. GImON: Too mucb roofing cement rm cause sbingles io blister. Figrae 15-14: 18 three piece rmits separate to drake 54 Hatteras Accessory sbingW 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. 6.3.5.2 Hip & Ridge, Option 2: Cut Hatteras Shingles 9,. 230 MMI) I I I I I I -- ------ -- 460 mm) Cap Cap Cap Cap Shingle Shingle Shingle Shingle Fas�e� (203 mm)I Figure 15-20.• Crit Hatteras sbingtes to stake toner cap. Figure 15-21: lnstaUatton of caps 41OnR bips and ridgtn 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. Certificate olAuthariration #9503 Evaluation Report 3532.09.05-R9 FL5444-R8 Revision 9:03/06/2015 Page 8 of 9 6.3.6 6.3.6.1 6.3.7 7. LABELING. Highland Slate' Highland Slate'" IR: LOW AND STANDARD SLOPE: -0 1 Izmm) MremtDWe reWin six rob (W rob 1r6ldW Over comer oAuA a ehorm), Figum 11.3: Use RYE nai4foretoy Higbland Slab sbingla QOTRINITYIERD STEEP SLOPE- Use FIVE nails and EIGHT spots of asphalt roofing cement* for each full Highland Slate shingle. For Miaml-Dade, SIX nails are required. Apply 1' diameter spots of asphalt roofing cement under each tab comer. Asphalt roofing cement meeting ASTDI D45861)pe fl Is suggested. MenWaee regrira = nob (bo nab uUr3be 9W oNlr CAW a **oa Figure 11.3A Use ME nalb and eigbi spots of atpball roofing commI 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 I -OUR nails for every full shingle located as shown below. Srlmt 1.-- /--- rr1/r 1, (25mn) 1'(7Scn} 1156 MM) (333cr.) 13171-4 + (limn) STEEP SLOPE Use FOUR nails and four spots of asphalt roofing cement for ever full shingleas shown lvin%v. Mph:& roofing ccumii meeting ASPM D4586 Typc II is suggcslcvl. Apply 1115 min) slots of asph:dl roofing cement as shown. CAtMON: Excessive use of roofing coneni can crosc shingles to blister. ± ------------- TT ------- Ty_ _ noelle0 terotnl l` -10 —l-- 7. l-- Hip & Ridge: Refer to instructions herein for Cedar Crest'", Cedar Crest'" IR, Shadow Ridge'" or Shangle Ridge'" hip and ridge shingles. 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. 8. 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-R8 Revision 9: 03/06/2015 Page 9 of 9 Florida Building Code Online t Page l of 2 Product Manufacturer POLYGLASS USA Address/Phone/Email 150 Lyon Drive Fernley, NV 89408 (570)384-1230 Ext 242 Jakins@polyglass.com Authorized Signature James Akins jakins@polyglass.com Technical Representative Steve Wadding Address/Phone/Email 150 Lyon Drive Fernley, NV 98408 (602)363-7139 stevew@polyglass.com Quality Assurance Representative James Akins Address/Phone/Email 555 Oakridge Road Humboldt Industrial Pkwy Hazleton, PA 18201 (800)894-4563 jakins@polyglass.com Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer ❑O Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen Fit FlOFW DpfIfMtd SCIS Home I Log In I User Registration Hot Topics I Submit Surcharge ' Stats B Facts Publications I FBC Stag SCIS Site Map Unks Search Busines UL LLC Quality Assurance Contract Expiration Date "rofessit AN Prod Pu�icUseroval 0 John W. Knezevich, PE USER: Regulation PrpduR Aopmval Menu > Product or ADpbcatlon Search > Application flit > Application Detail FL # FL5259-R24 Application Type Revision Code Version 2014 Application Status Approved 'Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived ❑ Product Manufacturer POLYGLASS USA Address/Phone/Email 150 Lyon Drive Fernley, NV 89408 (570)384-1230 Ext 242 Jakins@polyglass.com Authorized Signature James Akins jakins@polyglass.com Technical Representative Steve Wadding Address/Phone/Email 150 Lyon Drive Fernley, NV 98408 (602)363-7139 stevew@polyglass.com Quality Assurance Representative James Akins Address/Phone/Email 555 Oakridge Road Humboldt Industrial Pkwy Hazleton, PA 18201 (800)894-4563 jakins@polyglass.com Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer ❑O Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report Florida License PE -59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 07/01/2017 Validated By John W. Knezevich, PE ® Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) FL5259 R24 COI 2015 01 COI Nieminen.odf Standard ASTM D1970 ASTM D226 ASTM D6164 ASTM D6222 ASTM G154 Year 2009 2006 2005 2008 2006 https://www.floridabui ldi ng.org/prlpr_app_dti.aspx?param=wGEVXQwtDgvbSgAaZp3Cr... 5/23/2016 ,.Tilorida Building Code Online ASTM G155 FM 4474 FRSA/TRI April 2012 TAS 103 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 07/22/2015 Date Validated 08/07/2015 Date Pending FBC Approval 08/15/2015 Date Approved 10/16/2015 Summary of Products Page 2 of 2 2005 2004 2012 1995 FL # Model, Number or Description Name 5259.1 Polyglass Roof Roofing underlayments Underlayments Limits of Use Installation Instructions Approved for use in HVHZ: No FL5259 R24 II 2015 07 FINAL ER POLYGLASS UNDERLAYMENTS FL5259- R24.Ddf Approved for use outside HVHZ: Yes Impact Resistant: N/A Verified By: Robert Nleminen PE -59166 Design Pressure: +N/A/ -622.5 Created by Independent Third Party: Yes Other. 1.) The design pressure in this Evaluation Reports application relates to one particular FL5259 R24 AE 2015 07 FINAL ER POLYGLASS UNDERLAYMENTS FL5259- underlayment system (over concrete R24.Ddf deck) for use under foam -on tile systems Created by Independent Third Party: Yes (where the underlayment forms part of the load -path). Refer to ER Section 5.6.4 for other systems, other deck types and associated maximum design pressures. 2.) Refer to ER Section 5 for other limits of use. 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 a -mall address released In response to a public -records request, do not send electronic nail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. 'Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address If they have one. The email$ provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supWy 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 dick b=. Product Approval Accepts: ®® scat :it %wrares https://www.floridabuilding.org/pr/pr app_dti.aspx?param=wGEVXQwtDgvbSgAaZp3Cr... 5/23/2016 r SCPA Parcel View: 25-19-30-5AG-1007-0050 Page I of 2 CCppTTVV Property Record Card P���a Parcel: 2579-30-5AG-1007-0050 KK�AA EErroll_(( Owner: CLEMONS RICHARD S 8 SUSAN s<�+ou,aawrr �� Property Address: 408 W 9TH ST SANFORD. FL 32771 Parcel Information Parcel 25-19-30-5AG-1007-0050 Owner CLEMONS RICHARD S d SUSAN Property Address 408 W 9TH ST SANFORD, FL 32771 Mailing 5541 HOWELL BRANCH RD WINTER PARK, FL 32792 Subdivision Name SANFORD TOWN OF Tax District S4-SANFORD- 17-92 REDVDST DOR Use Code 0102 -SINGLE FAMILY - SANFORD HISTORICAL DISTRICT Exemptions Seminole County GIS Legal Description LOT 5 BLK 10 TR 7 TOWN OF SANFORD PB 1 PG 62 Taxes Value Summary Tax Amount without SOH: $1,370.82 2016 Tax Bill Amount $1,370.82 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 2 2 Depreciated Bldg Value $52,072 $50,835 Depreciated EXFT Value $69,622 $0 Land Value (Market) $17,550 $17,550 Land Value Ag $69,622 County General Fund Just/Market Value " $69,622 $68,385 Portability Adj $5,000 No Save Our Homes Adj s0 s0 Amendment 1 Adj s0 s0 P&G Adj s0 s0 Assessed Value $69,622 $68.385 Tax Amount without SOH: $1,370.82 2016 Tax Bill Amount $1,370.82 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 $69,622 $0 $69,622 City Sanford $69,622 $0 $69,622 SJWM(Saint Johns Water Management) $69,622 $0 $69,622 County Bonds $69,622 $0 $69,622 County General Fund 1$69,622 $0 $69,622 Sales Description Date Book Page Amount Qualified Vadlmp QUIT CLAIM DEED 6/1/2004 05376 1137 $100 No Improved WARRANTY DEED 5/1/2000 03861 1800 $11,000 No Improved QUIT CLAIM DEED 4/1/1990 02187 0227 $5,000 No Improved WARRANTY DEED 8/1/1980 01293 0396 $32,000 No Improved WARRANTY DEED 11/1/1977 101138 1 2Q4 I $13,000 Yes Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value SQUARE FEET 0.00 0.00 5850 $3.001 $17,550 Building Information a I DescriptionI YearActuBuilt ve I Fixtures I Bed I Bath I Base Area I Total SF I Living SF I Ext Wall I Adj Value I Rept Value I Appendages http://parceidetail.scpafl.org/ParceiDetailInfo.aspx?PID=2519305AG 10070050 12/20/2016 SCPA Parcel View: 25-19-30-5AG-1007-0050 Page 2 of 2 1 SINGLE 1950/1960 3 11.0 720 720 CONC 530.782 $50.256 Desatption Area FAMILY I BLOCK No Appendages 2 SINGLE FAMILY 1934/1960 3 1 1-0 270 654 414 SIDING GRADE3 $21,290 $34,759 Area 144.00 ffesption ED 240'00 Permits Permit 8 Description Agency Amount CO Date Permit Date No Permits Extra Features Description Year Built Units Value New Cost No Extra Features http://parceidetail.scpafl.org/ParcelDetailInfo.aspx?PID=2519305AGI007O050 12/20/2016 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #:I � I 1, c0Vl')erCG��%% hereby acknowledge that 1 personally inspected 1 Roof deck nailing and/or. Secondary water barrier work at and have determined that the work (Job Site Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official d shall constitute a misdemeanor of the second degree pursuant to SectM*S. 112-4111 Signature of Contractor Date Elm -e r'' C m 1.9 rn 132sS Wk Printed Name of Contra or License # License Type: 0 General 0 Building 0 Residential [Roofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OFy tVY% N 0 ( Z_' Sworn to (or affirmed) and subscribed before me this 23 day of gnWA V 20 1 7 , by F2 CA /n 12 Os , who is Personally Known to a or ha Produced (type of identi as identification. (SEAL) S' ature ofNotary Public NANDEZ St a of Flori a / ) Z4;v O PubIELlic HER tate of �/ Notary Public •State o1 Florida E >: 2NA�J�F Z • Commission # FF 990343 Print/Type/Stamp Name <<.� My Comm Expires May 9, 2020 of Notary Public