Loading...
HomeMy WebLinkAbout663 San Lanta CirNrl CITY OF SANFORD r DEC 0 5 2016 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No:. ' -3a�>9 Documented Construction Value: $ gaco' (fid Job Address: Cf Historic District: Yes ❑ No ❑ Parcel ID: �31-►q- 31- 5oti- D000— 03O Residential Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration N Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: �- WMS Cb(n I q - C, eS Plan Review Contact Person: �qM` ITUA VAAA,flJ,&L{ Title: Phone: 901 -21Y- -4-:1 NJ Fax: D W• 333J(o lEmail: -r Property Owner Information Name LV Phone: Street: XSaO LCAnkk eri r Resident of property? City, State Zip: &t y r-17 1 Contractorinformation Name G)YYrtrAC±0r S Phone: 401 (9 ' Street: t4w C. C-1-1. Fax: Wz) ' 3)'4- 3 3 1,0� City, State Zip: State License No.: LCL ( 36xgla 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. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5t° 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"s accurate and that all work will be done in compliance with all applicable laws regulating constructjon an zoning. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date f Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature Print Date rgnatureV Notary -State of Florida Date — // p A HI► MuRRAY My COt MgUWN E FF9"322 EriPIRE8 Dacenj w 16.201E Contrac I to Me or Produced ID Type of ID L - BELOW IS FOR OFFICE USE ONLY � Permits Required: Building ❑ '�Electrical ❑ Mechanical ❑ Plumbing❑ Gas[-] Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: 11 , Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes❑ No ❑ # of Heads r 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 Job Address: Parcel ID• Type of Work: New ❑ Addition Description of Work: Plan Review Contact Person: Phone: 10 i' CITY OF SANFORO BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 7m7ented Construction Value: S Historic District: Yes ❑ No ❑ Residential ❑ Commercial ❑ Alteration ❑ Repair ❑ Demo a of Use ❑ Move ❑ Fax: Property Name + Street: City, State Zip:'., 4.... AA Name Street: City, State Zip: N. Title: Ema Phone: Resident of property? License No.: Ar itect/Engineer Information\ Name: Phone: Street: z Fax: City, St, Zip: z E-mail: Bonding Company: Address: Mortgage Lender: Address: WARNING TO O ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA\INND ULT IN YOUR PAYING TWIG FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENT MUST BE RECORDED D POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or i tallation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulatingconstruction 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 Permit Number: Folio/Parcel ID #: 3 1- Prepared'by: Ori 5380 E Colonial Dr Orlan o FL 3 807 Return to: 5380 E Colonial Dr Orlando, FL 10111111111111111111111111111111111111, I1ARYr WIE 11ORSf_'r SENU11I401_t COUhI7Y C:L.ERY, OF CIRCUIT COT 2: COPIF'1'ROLLER BI( vv17 F'J 1220 (1Pss) CLERY.'S Y 201612-5510 RECORDED 12/05/2016 12:49:40 PI1 RECORDING FEES $10.0) RECORDED BY hdevore- NOTICE OF COMMENCEMENT State of Florida, County of Orange The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description ofproperty (legal descnQtion of the property, and street address if available) 2. General description of improvement 3. Owner information or Les Name lrzhnsc.:�Ac 14 - Address Interest in Property Owner Name and address of fee Name Address 4. Contractor Name Jasper Contractors if the Lessee contracted for the improvement (if different from Owner listed above) Telephone Num 5. Surety (if applicable, a copy of the payment bond is attached) Name Telephone Number. Address Amount of Bond $_ 6. Lender Name Telephone Number, 0 7. Persons within the State of Florida designated by Owner upon whom notices or other documents T»syr be served as provided by §713.13(1)(a)7, Florida Statutes. Name Telephone Number Address 8. 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 Telephone Number Address 9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording unless a different date is specked) 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 RECORDEDD POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH.YOURLeNDER OR AN'►TTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Y U V c�l �/ 1^ V - Signature of Owner or Lessee, or Owners or Lessee's Authorized Officer/Director/Pariner/Mans er Signatorys Title/Office The foregoing instrument was acknowledged before me this 5 day of by (?t6Nt V(_ j Ld'NOr tt,, mon year name of person as U for Type of aut rity, e.g., officer, trustee, attomX in fat—,Name of party on behalf of whom Instrument was executed — State of Florida PersoYraKnown OR Produced Ik--I:— Type of ID Produced Form content revised: 01/23/14 <�ML-krj+V-t& 1 I l(A,n Gt Print, type, or stamp commissioned name of Notary Public ........ SAMANTHA MURRAY � . My rrjmmiSSI0" # r19A4322 EXPIRES Dpcompor 16, 2019 i�ari� pla's _..... �1. m r&I Jasper Contractors, Inc. 5380 E. Colonial Dr. Orlando, FL 32807 (407) 278-7788 (800) 337-3361 Fax JasperRoof.com into@jasperinc.com ZVISA ©m`=Q G;17 , JASPER Jo�OorRo Ccom ��1ra ctor's License # CCC1329651 ROOF REPLACEMENT CONTRACT Account Manager S,�-'f Lam, Contact # Z;q yTo yols— Insurance Company Information Company S-r.lto (--Ae Policy# 1 0 66 11UT Claim # S4 o ya•1 a N►I Mort a e Company Information Company avLt Loan Number ® 04 -?3q 15C- a) Owner(s): 1`p405CJA.S+ LArl�(�(:� Phone: 0, 1 Address: / G 3 5A,3 C Alt Phone: City:lQ CJ�•3� ` State: r—L Zip code: 3Z -7 Shingle Color Email: �v V�1-r Ati+� c� Roof RCV amount: 8200.00 Drip Edge Color: ���,,s If Owner's Insurance Company ocs not agree to pay fora full roof replacement, this contract shall be null and void. Assignment of Insurance Benefits for the Full Roof Replacement Only: 1 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/AgenUlnsured(s), it shall be endorsed over to Jasper immediately upon receipt. 1 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 rcplaccment/rcpair 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: S Aq 00 MUST BE PAID 1N FULL, PLUS APPLICABLE SALES TAX </ (initial) MORTGAGE AUTHORIZATION: I, Owner/Morlgagor, grant authorization for Mortgageo speak with Jasper on matters including, but not limited to, the claim and draw status. ,Y40L (initial) PAYMENT SCHEDULE: Owner agrees to pay Jasper based on the following pay schedule: (i) Deposit in the amount of $_� due upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's 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 PrJcc maybe withheld until inspection has passed. ` Optional: UPGRADE ITEM: � QTY: �� PRICE: $ TOTAL: $ V Replacement Work and Price: Upon insurer's approval and subject to the terms and conditions herein, Jasper agrees to furnish 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 funds 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: 1690 Roberts Blvd Suit 112 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. 1. Owner, have read and understand all statements, terms and conditions of the "Roof Replacement Contract" and agree that all delails are acceptable and satisfactory. I further understand that this contract constitutes the entire agreement behveen 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 wart is to the other that it has the full power and authority to enter into the contract and that it is binding and enforceable 'rt?ac n N'' t s terms. Authority Jasper Representative Date / Owner Date TER1175 A*CONDITIONS: Acceptance of Terms: I, Owner, hereby agree to retain Jasper for a full roof replacement on the terms and condons s4fed herein. I further agree to provide Jasper with the Scope of Loss Report generated by my insurer and authorize and grant full access to the 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 ager LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: 2— .S I I \0 hereby name and appoint: MARI PEREZ- ARIAS an agent of. JASPER CONTRACTORS INume 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. u The specific permit and application for work located at: Qu'!) SCA r% C.G V1 tG Cl (G(.,l (Sired Addrcca) F..xpiration Date For This Limited Power Of Attorney: License Holder Name: MICHAEL STEPHEN State License Number: CCC1329651 Signature of License Halder: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of t 20_q. by IM 1 W(A S j0h h who is personally known to nne/ or who has produced pL as identification and who did/did not take an (Notary Seal) Si `MV`YYG\"- Print or'fype Name Notary Public — State of T� % Commission Number Li kA My Commission Expires: IZ"u `� SAMANTHA MUPPAY •c Mr COMMISSION 0 Fr 17i -1Z 0 EXPIRES DecembrIf +6. ?019 i�0 .:341 1i Fye, 0W'YServ►W00ffl�� Si `MV`YYG\"- Print or'fype Name Notary Public — State of T� % Commission Number Li kA My Commission Expires: IZ"u `� Property Record Card ^rr 4� CIA Parcel: 31-19-31-505-0000-0300 d fp*490�6 Owner: LAMARR ROOSEVELT & PEGGY M /) sus+ort oW+rv. ravrra (� Property Address: 663 SAN LANTACIR SANFORD, FL 32771-2998 Parcel Information Value Summary Parcel 31-19-31-505-0000-0300 Owner LAMARR ROOSEVELT & PEGGY M Property Address 663 SAN LANTACIR SANFORD, FL 32771-2998 Mailing 663 SAN LANTACIR SANFORD, FL 32771-5901 Subdivision Name SAN LANTA3RD SEC Tax District S7-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions 00-HOMESTEAD(1994) 1 VV.`tL rc IJ Q Z s i I 1 rn Legal Description -- LOT 30 SAN LANTA 3RD SEC PB 13 PG 75 Taxes (0 Tr V) cV � 1( Seminole County GIS 41 a Tax Amount without SOH: $688.62 2016 Tax Bill Amount $616.42 Tax Estimator Save Our Homes Savings. $72.20 Does NOT INCLUDE Non Ad Valorem Assessments Tatung Authority 2017 Working 2016 Certified Book Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value ; $62,216 $59,775 Depreciated EXFT Value $1,467 $1,533 Land Value (Market) $13,500 $13,500 Land Value Ag County General Fund $65,711 Just/Market Value " $77,183 $74,808 PortabilityAdj --y--- - -- --• v - - - Save Our Homes Adj $11,472 $9,554 Amendment 1 Adj 02496 1027 P&G Adj $0 $0 Assessed Value $65,711 $65,254 Tax Amount without SOH: $688.62 2016 Tax Bill Amount $616.42 Tax Estimator Save Our Homes Savings. $72.20 Does NOT INCLUDE Non Ad Valorem Assessments Tatung Authority Assessment Value Exampt Values Book Taxable Value Schools $65,711 $25,000 $40,711 City Sanford - - - - - $65,711-, - $40,711 �- - $25,000 SJWM(Saint Johns Water Management) $65,711 + $40,711 ( $25,000 County Bonds $65,711 $40,711 1 $25,000 County General Fund $65,711 $40,711 $25,000 Sales Description Date Book Page Amount Qualified Vac/lmp SPECIAL WARRANTY DEED 3/1/1993 02573 1 1552 $54,000 ' No Improved SPECIAL WARRANTY DEED 12/1/1992 ; 02535 ! 0160 $100 No Improved CERTIFICATE OF TITLE 10/1/1992 02496 1027 $100 No Improved , WARRANTYDEED 1/1/1990 102144 11987 j $57,000 Yes Improved WARRANTYDEED 8/1/1989 1 02096 L I} $10,000 i Yes : Vacant WARRANTYDEED i 8/1/1986 01765 t-0511 I No Vacant - _- _$133,200 i - WARRANTYDEED 8/1/1986 101765 ; 0512 $133,200 No Vacant WARRANTYDEED 7/1/1986 1751 11163 -t - $28,800. No Vacant SPECIAL WARRANTY DEED 4/1/1985 101636 0430 $37,500 No Vacant WARRANTYDEED 2/1/1984 01530 jQ29 $220,000 ; No Vacant Find Comparable Sales tFLOF110A. D9PAIVMffW OFt o a - o o _ Florida Department! SCIS Home I Log In I User Registration I Hot Topics I Submit Surcharge I Stats b Facts I Publications I FBC Staff I SCIS Site Map I Links Search I Busines �� A. Professi nal uses PuProducelieve royal Regulation Product Approval Menu > Product or Application Search > Application List > Application Debil P OFRCE OF THE FL # FL17873 SECRETARY Application Type New Code Version 2014 Application Status Approved *Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived ` J Product Manufacturer System Components Corporation Address/Phone/Email PO Box 2432 Issaquah, WA 98027 (425) 392-5150 cshepherd@systemcomponents.net Authorized Signature Christopher Shepherd cshepherd@systemcomponents.net Technical Representative Chris Shepherd Address/Phone/Email PO Box 2432 Issaquah, WA 98027 (425) 392-5150 cshepherd@systemcomponents.net Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Product Evaluation Entity Evaluation Entity ICC Evaluation Service, LLC Quality Assurance Entity Quality Auditing -Institute Ltd. Quality Assurance Contract Expiration Date 01/31/2018 Validated By Chris Bowness, P.E. U Validation Checklist - Hardcopy Received Certificate of Independence FL17873 RO COI ICC -ES Certificate of Independence.pdf Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code 1507.2.3 1507.3.3 1507.5.3 1507.7.3 1507.8.3 1507.9.3 1507.9.5 1518.2.1 1518.4 Product Approval Method Method 2 Option A Date Submitted 07/03/2015 Date Validated 07/03/2015 Date Pending FBC Approval Date Approved 07/15/2015 Summary of Products FL 8 Model, Number or Name Description 17873.1 Coverpro 3000 Synthetic Roofing Performance Felt Replacement Underlayment Limits of Use Installation Instructions Approved for use In HVHZ: Yes FL17873 RO II coveroro3000 installatfon.odf Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other: FL17873 RO AE ESR 1293 - Coov.odf 17873.2 Coverpro Synthetic Roofing Performance Felt Replacement Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL17873 RO II coveroro Installatlon.odf Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other: FL17873 RO AE ESR 1293 - Coov.odf 17873.3 Feltex SA300 Synthetic Self -Adhered Roof Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL17873 RO II feltexsa300 installation.odf Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other: FL17873 RO AE ESR 1293 - Coov.odf 17873.4 Feltex Style RXl High Performance Synthetic Roof Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL17873 RO II feltex installation.odf Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other. FL17873 RO AE ESR 1293 - Cooy.odf 17873.5 Feltex Style RX2 High Performance Synthetic Roof Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes FL17873 RO II feltex installation.odf Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other: FL17873 RO AE ESR 1293 - Coov.odf 17873.6 Protex Contractor Grade Synthetic Roof Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL17873 RO II ProTex Installation.odf Approved for use outside HVHZ: Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Evaluation Other Pressure: N/A I FL17873 ROeAE ESR 1293 - Couv.Ddf Dack NCxt Contact s -1940 North Monroe Street, Tallahassee FL 32399 Phone: 850487.1824 The State of Florida is an AA/EEO employer. Coovrloht 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 -mall address released In response to a pubil"ecords request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. It you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 201$ licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The 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, FS., please click ptrL. Product Approval Accepts: ®FINE Wh CreditSAFE DIVISION: 07 00 00—THERMAL AND MOISTURE PROTECTION SECTION: 07 30 05—ROOFING FELT AND UNDERLAYMENT REPORT HOLDER: SYSTEM COMPONENTS CORPORATION POST OFFICE BOX 2432 ISSAQUAH, WASHINGTON 98027 EVALUATION SUBJECT: FELTEX@ (STYLE RXl) HIGH PERFORMANCE, FELTEX° (STYLE RX2) HIGH PERFORMANCE, FELTEX SA3000 SELF -ADHERING, PROTEX® CONTRACTOR GRADE, COVERPRO AND COVERPRO 3000 ROOFING UNDERLAYMENTS ICC ICC ICC C� PMG LISTED Look for the trusted marks of Conformityl "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPQ Award in Excellence" A Subsidiary of INToEM710i+11e ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not ceps specifically addressed, nor are they to be construed as an endorsement of the subject of the report ora t recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as to any finding or other matter in this report, or as to any product covered by the report. r,moue►�.�,o. •�+mnocM Copyright © 2015 ICC -ES Evaluation Report ESR -1293* Reissued February 2015 This report is subject to renewal February 2016. www.)cc-es.orct 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 05 -Roofing Felt and Underlayment REPORT HOLDER: SYSTEM COMPONENTS CORPORATION POST OFFICE BOX 2432 ISSAQUAH, WASHINGTON 98027 (425) 395-5150 www.systemcomi)onents.net EVALUATION SUBJECT: FELTEX® (STYLE RX1) HIGH PERFORMANCE, FELTEX® (STYLE RX2) HIGH PERFORMANCE, FELTEX SA30e SELF -ADHERING, PROTEX® CONTRACTOR GRADE, COVERPRO AND COVERPRO 3000 ROOFING UNDERLAYMENTS 1.0 EVALUATION SCOPE Compliance with the following codes: ■ 2012, 2009 and 2006 International Building Code® (IBC) ■ 2012, 2009 and 2006 Intemationa/ Residential Code® (IRC) Properties evaluated: ■ Physical properties ■ Ice barrier ■ Fire classification 2.0 USES FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance and ProTex® Contractor Grade, CoverPro and CoverPro 3000 roofing underlayments are used as alternatives to the ASTM D226, Type I and Type II, roofing undedayments specified in Chapter 15 of the IBC and Chapter 9 of the IRC. The underlayments may be used as components of classified assemblies when installed in accordance with Section 4.3. FelTex SA3000 Self -adhering Roofing Underlayment complies with ASTM D1970 and is used as an alternate to the ASTM D226, Type I and II, roofing underlayments specified in IBC Chapter 15 and IRC Chapter 9. The underlayment may also be used where an ice barrier is required by IBC Chapter 15 or IRC Chapter 9. 3.0 DESCRIPTION 3.1 FelTex® (Style RX1) High Performance Roofing Underlayment and FelTex® (Style RX2) High Performance Roofing Underlayment: FelTex® (Style RX1) High Performance and FelTex® (Style RX2) High Performance roofing underlayments are cross - woven polypropylene roofing underlayments with a two-ply proprietary coating on one side. Total weight of the FelTex® (Style RX1) High Performance underlayment is 3.2 pounds per 100 square feet [4.6 oz./yd2 (154 g/m2)). Total weight of the FelTex® (Style RX2) High Performance underlayment is 2.9 pounds per 100 square feet [4.1 oz./yd2 (140 g/m2)]. Standard size for the underlayment rolls is 4 feet wide by 250 feet long (1.2 m by 76.2 m). Other roll sizes are available. FelTex® (Style RX1) High Performance Underlayment and FelTex® (Style RX2) High Performance Underlayment may also feature full-color custom -printing artwork as specified by the end user. 3.2 ProTex® Contractor Grade Roofing Underlayment: ProTex® Contractor Grade roofing underlayment is a cross -woven polypropylene roofing underlayment with proprietary coatings on both sides. Total weight of the underlayment is 2.6 pounds per 100 square feet [3.7 oz/yd' (128 g/m2)]. Standard size for the underlayment rolls is 4 feet wide by 250 feet long �1.2 m by 76.2 m). Other roll sizes are available. ProTex Contractor Grade roofing underlayment may also feature full-color custom printing artwork as specified by the end user. 3.3 FelTex SA30e Self -adhering Roofing Underlayment: FelTex SA3000 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 underlayment is 9.4Zpounds per 100 square feet [13.7 ozlyd2 (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 [2.8 oz/yd2 (94 g/m2)]. Total weight of the CoverPro 3000 underlayment is 2.2 pounds per 100 square feet [3.2 oz/yd2 (108 g/m2)]. The standard size for the underlayment rolls is 40 inches wide by 300 feet long (1.0 m by 91.4 m). Other roll sizes are available. 4.0 INSTALLATION 4.1 FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor *Revised March 2015 ICC -ES Evaluation Reports are not to be consorted as representing aesthetics or any other attributes not spec y7cally addressed. nor are they to be construed as an endorsement ofthe subject of the report or a recommendation for its use. There Is no warranty by ICC Evaluation Service. LLC. express or Implied. as ' to any finding or other matter in this report. or as to any product covered by the report Copyright 0 2015 Pagel of 3 ESR -1293 I Most Widely Accepted and Trusted Page 2 of 3 Grade, CoverPro and CoverPro 3000 Roofing Underlayments: Minimum roof slope is 2:12 (17% slope). For roof slopes from 2:12 (17%) up to but not including 4:12 (33%), where the roof is covered with asphalt shingles, two layers of underlayment must be applied in accordance with Section 1507.2.8 of the IBC or Section R905.2.7 of the IRC. For roof slopes from 21/2:12 (21%) up to but not including 4:12 (33%), where the roof is covered with clay or concrete tiles, two layers of underlayment must be applied in accordance with Section 1507.3.3.1 of the IBC or Section R905.3.3.1 of the IRC. For slopes of 4:12 (33%) or greater, underlayment must be a minimum of one layer applied shingle fashion. The deck surface must be dry and free of dust, dirt, loose nails and other protrusions. Damaged sheathing must be replaced. The underlayment is laid horizontally (parallel to the eave) with the print side up, and with 3 -inch (76 mm) horizontal and 6 -inch (152 mm) vertical laps. Overlaps must run with the flow of water in a shingling fashion. The underlayment must be attached to the roof deck with a minimum of No. 12 gage 10.109 inch shank diameter (2.77 mmV.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 [0.065 inch leg diameter (1.65 mm)] corrosion -resistant staples having minimum 7/16 -inch crowns (11.1 mm). The underlayment must be fastened in accordance with the underlayment application and high wind attachment requirements specified in IBC Section 1507 or IRC Section R905, as applicable. For roofs required to have an ice barrier, two layers of FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro or CoverPro 3000 roofing underlayment cemented together with a roofing cement complying with ASTM D4586; or one layer of self -adhering polymer modified bitumen sheet complying with ASTM D1970, such as FelTex SA300® self -adhering roofing underlayment; or one layer of an ice barrier complying with the ICC -ES Acceptance Criteria for Self -adhered Roof Underlayments for Use as Ice Barriers (AC48), must be applied. The underlayment must be applied over the solid substrate in sufficient courses that the underlayment extends from the eave's edge to a point at least 24 inches (610 mm) inside the exterior wall line of the building. The underlayment applied in the field of the roof must overlap the ice barrier. Installation of the roof covering can proceed immediately following the underlayment application. The underlayment is not intended to be left indefinitely exposed and must be covered by a roof covering in accordance with the report holder's published installation instructions. For reroofing applications, after removal of the old roof covering and roofing felts to expose the roof deck, the same procedures apply as for new construction. 4.2 FelTex SA3000 Self -adhering Roofing Underlayment: Prior to application of the underlayment, the deck surface must be free of frost, dust and dirt, loose fasteners, and other protrusions. Damaged sheathing must be replaced. The underlayment must be applied to plywood or oriented strand board (OSB) substrates only when the ambient air and substrate temperatures are above freezing. Starting with a full roll of the membrane, a portion of the membrane approximately 3 to 6 feet long (0.9 to 1.83 m) is unrolled with the release liner left in place. While unrolling, the upper release liner is removed and the roll is aligned parallel to the eave of the roof and placed firmly in place with heavy hand pressure. The subsequent courses of membrane are applied parallel to the eave from the lower edge of the roof upward in a shingle -lap manner. Side (horizontal) laps must be a minimum of 3 inches (76 mm) and end (vertical) seams must be overlapped a minimum of 6 inches (152 mm). In areas of the roof required to have an ice barrier under Chapter 15 of the IBC or Chapter 9 of the IRC, starting at the lower edge of the roof eave, the roofing underlayment is applied over the solid substrate so that the underlayment extends up from the eave's edge to a point at least 24 inches (610 mm) inside the exterior wall line of the building. Following placement along the lower edge, the membrane may be installed either vertically or horizontally. If the membrane becomes misaligned, the roll must be cut and restarted. Damage and fishmouths must be slit, pressed flat and covered with a round patch of membrane that extends beyond the damaged area by a minimum of 6 inches (152 mm) in all directions. Flashing around protrusions is installed over the membrane to prevent water backup. Other flashing must be installed in accordance with the applicable code. Installation of the final roof covering can proceed immediately after installation of the underlayment is completed. The underlayment is not intended to be left indefinitely exposed and must be covered by the final roof covering as soon as possible in accordance with the report holder's published installation instructions. 4.3 Classified Roofs: Under the 2012 and 2009 IBC and IRC, the FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000 roofing underlayments may be used as components of classified roof assemblies consisting of Class A glass fiber mat asphalt shingles or Class C organic felt asphalt shingles complying with the applicable code, when installed in accordance with this report over a minimum 3/e -inch -thick (9.5 mm) plywood deck for FelTex® (Style RX1) High Performance and minimum 15/3rinch- thick (11.9 mm) plywood deck for FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000. Under the 2006 IBC, the FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000 underlayments may be used in Class A or Class B roof assemblies that utilize the roof coverings 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 Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000 underlayments may be used with roof coverings of brick, masonry, slate, clay or concrete roof tile, concrete roof deck, ferrous or copper shingles or sheets, and metal sheets and shingles where such roof coverings are permitted to be used in lieu of a Class A assembly under Section R902.1. 5.0 CONDITIONS OF USE The FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro, CoverPro 3000 Roofing Underlayments and FelTex SA3000 Self -adhering Roofing Underlayment described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: ESR -1293 I Most Widely Accepted and Trusted Page 3 of 3 5.1 Installation must comply with this report, the report holders published installation instructions and the applicable code. A copy of the report holder's published installation instructions must be available to the code official at the jobsite. In the event of conflict between this report and the report holders installation instructions, this report governs. 6.0 EVIDENCE SUBMITTED 6.1 5.2 Installation is limited to use with approved roof coverings that are mechanically fastened through the underlayment to the sheathing or rafters, or to use 6.2 with approved roof coverings that are mechanically fastened to battens or counterbattens that are mechanically fastened through the underlayment to the sheathing or rafters. 5.3 Installation is limited to roofing systems that do not involve hot asphalt or coal -tar pitch. 5.4 Installation is limited to roofs with a slope of 2:12 (17%) or greater. 5.5 Installation is limited to roofs with ventilated attic spaces. 5.6 FelTex SA3000 Self -adhering Roofing Underlayment is limited to structures located in areas where nonclassified roof coverings are permitted. 5.7 FelTex SA3000 Self -adhering Roofing Underlayment must not be installed when frost is present on the roof deck. 5.8 FelTex SA3004) Self -adhering Roofing Underlayment installation is limited to plywood and oriented strand board (OSB) substrates. 5.9 FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, FelTex SA3004) 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. Data in accordance with the ICC -ES Acceptance Criteria for Roof Underlayments (AC188), dated Februarf 2012, (editorially revised February 2014), for ProTex Contractor Grade, FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, CoverPro and CoverPro 3000 Roofing Underlayments and FelTex SA3004D Self -adhering roofing underlayment. 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 SA300P Self -adhering roofing underlayment; including liquid water transmission testing in accordance with ASTM D4869, Section 8.3.5. 6.3 Reports of testing in accordance with ASTM E108 for FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000 roofing underlayments. 7.0 IDENTIFICATION The FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, ProTex® Contractor Grade, CoverPro and CoverPro 3000 Roofing Underlayments and FelTex SA300® Self -adhering Roofing Underlayment are marked at 48 -inch (1.22 m) intervals with the product name. Each roll of the product must be labeled with the System Components Corporation name, the product name, the manufacturing date code, and the evaluation report number (ESR -1293). ICC -ES Evaluation Report ESR -1293 Supplement* Reissued February 2015 This report is subject to renewal February 2016. www.icc-es.or4 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 05—Roofing Felt and Underlayment REPORT HOLDER: SYSTEM COMPONENTS CORPORATION POST OFFICE BOX 2432 ISSAQUAH, WASHINGTON 98027 (425) 395-5150 www.systemcomaonents.net EVALUATION SUBJECT: FELTEe (STYLE RX1) HIGH PERFORMANCE, FELTEX® (STYLE RX2) HIGH PERFORMANCE, FELTEX SA300® SELF. ADHERING, COVERPRO, COVERPRO 3000 AND PROTEe CONTRACTOR GRADE ROOFING UNDERLAYMENTS 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that FelTex® (Style RX1) High Performance, FelTex® (Style RX2) High Performance, FelTex SA300 Self -Adhering, CoverPro, CoverPro3000 and ProTexo Contractor Grade Roofing Underlayments, recognized in ICC -ES master report ESR -1293, have also been evaluated for compliance with the codes noted below. Applicable code editions: ■ 2014 Florida Building Code—Building ■ 2010 Florida Building Code—Building ■ 2014 Florida Building Code—Residential ■ 2010 Florida Building Code—Residential 2.0 CONCLUSIONS The roofing underlayments, described in Sections 2.0 through 7.0 of the master evaluation report ESR -1293, comply with the 2014 and 2010 Florida Building Code—Building and the 2014 and 2010 Florida Building Code—Residential, provided the design and installation are in accordance with the International Building Code® provisions noted in the master report and Section 1507 of the Florida Building Code - Building. Use of the roofing underlayments has also been found to be in compliance with the High -Velocity Hurricane Zone provisions of the 2014 and 2010 Florida Building Code—Building and the 2014 and 2010 Florida Building Code—Residential under the condition that the underlayment is installed to the master report, the manufacturer's installation instructions and the minimum requirements of Section 1518 of the Florida Building Code—Building. For products falling under Florida Rule 9N-3, verification that the report holder's quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by the Commission). This supplement expires concurrently with the master report, reissued February 2015, revised March 2015. *Revised March 2015 ICC -FS Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifrcolly addressed. nor arc they to be conatrned as an endorsement of the subject of to report or a recommendation for its tae. There is no warranty by ICC Evaluation Service, LLC, express or implied, as to any finding or other matter In this report, or as to any product covered by rite report. Copyright O 2015 Page 1 of 1 J�o— 3,��9 j LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, II Seminole County, Winter Springs Date: 12.1ft I I I hereby name and appoint: )Ome.S 1)�t m i k� etl .1�h tit Y9, an agent of 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 appoibtment for (check only one option): la. All permits and applications submitted by this contractor. o The specific peb mit and application for work located at: Wo3 dun La" J -a C e Expiration Date For Tis Limited Power Of Attorney: License Holder Nameil M a Ai ' S�N� State License Number Signature of License older: STATE OF FLORID* COUNTY OF r G The foregoingi instrument was acknowledged before me this _� day of fa -LC_ , c�rL 1,2.1n who is personally known to me/ 20_ , by /V1,1IJU 61 or who has produced Q as identification and who did/did not take& oath. MV Y EX S06"MbV1&M9 Aw rJHAL VA ,)Yc a�a.,w Notary Public - State of V-- \ + Commission Number -F� 4U �a a My Commission Expires: 12-) Lo -p CITY OF SANFORD BUILDING SERVICES • � F• Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: Ito - 36,139 I M I i� .--U �a 6 hereby acknowledge that I personally inspected Roof deck nailing and/or Necondary water barrier work at (Wfi:?) &rN La r►+CA [ :j r 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 duty shall constitute a misdemeanor of the second degree pursuant to Section 937.06 F.S_ Signature of Contractor ✓o/`c 1-� o --d Printed Name of Contractor I;--- / , Date ceCJ3aq 10s/ License # License Type: 0 General 0 Building 0 Residential ViRoofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Q✓A nq C Sworn to (or affirmed) and subscribed before me this JEL_ day of D ee , 20 / (> , by , who is 0 Personally Known to me or has 0 Produced (type of 'identifi tion) .0 as identification. (SEAL) Signature of Notary Public State of lorida �6�mot�rl�, Print/Type/Stamp Name Y ' of Notary Public � k HURRAY * W.I"y COA"SSION # FF914322 EXPIRES oeownber 18. 201E 3