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HomeMy WebLinkAbout113 Pine Isle Dr (2)DEC 2 8 2011 r By: Application No: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Iq -3_P3 Documented Construction Value: $ 12,396.91 Job Address: 113 Pine Isle Dr. Sanford, FL 32773 Historic District: Yes No Parcel ID: 10-20-30-511-0000-0950 Residential 0 Commercial Type of Work: New Reroof yp Addition Alteration Repair Demo Change of Use _ Move Description of Work: Shingle Reroof GAF Timberline HD 35 Sqs. Plan Review Contact Person: Debbie Plybon Title: Phone: 407.696.7663 Fax: 407.695.7664 Email: staff@rooftopservices.com Property Owner Information Name Ahmed Esmailbegui & Zuleika Fuentes Phone: Street: 113 Pine Isle Dr. Resident of property? : Yes City, State Zip: Sanford, FL 32773 Contractor Information Name Roof Top Services of Central R., Inc. Phone: 407.696.7663 Street: 1150 Belle Ave., Su'te #1060 Fax: 407.695.7664 City, State Zip: Winter Springs, FL 32708 State License No.: CCC1326679 Name: Street: City, St, Zip: Bonding Company: tn Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulati ng 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: 5°' Edition (2014) Florida Building Code Revised: Rine 30, 2015 Pennit 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 ol'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 ONmer/Agent ate Aa ln 'oJI -s 02 Print Owner/Agents-Name Signature of Notary -State of Flori CAROLINE J. CLARK MY COMMISSION # GG 162766 o EXPIRES: November 26, 2021 Bww T1uu Notary Pubic underwriters O o Me or Produced ID _ (, T-Type of ID FL 1C>• L. A l,J ;t- ///-7 Sign Lure of Contractor/Agent Date Kristal A. Wingate Print Contractor/Agent's Name n ' / 2- Signature of Notary -State RAH PLYBON MY COMMISSION # GG 102302 EXPIRES: September 4, 2021rULQ,, Bonded Thru Notary Public U_derwnte s Contractor/Agent is x Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised:.lune 30, 2015 Permit Application THIS INSTRUMENT PREPARED BY: Name: Kristal A. Wingate Address: 1150 Belle Ave., Suite #1060 Winter Springs, FL 32708-2962 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number: 10-20-30-511-0000-0950 111imimi iiiii iiiii Bill iiiii vii mr GRANT MALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & CONKROLLERSK904t8Pq1198 (1p9s) CLERK'S T 201713088L RECORDED 12/28/2017 10:19:43 AM RECORDING FEES $10.00 RECORDED BY hdevore The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) LOT 95 STERLING WOODS PB 54 PGS 93 THRU 95 113 PINE ISLE DR SANFORD. FL 32773 2. GENERAL DESCRIPTION OF IMPROVEMENT: ROOF REPLACEMENT 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: AHMAD ESMAILBEGUI & ZULEIKA FUENTES 113 PINE ISLE DR SANFORD, FL 32773 Interest in property: PROPERTY OWNER Fee Simple Title Holder (if other than owner listed above) Name:, 4. CONTRACTOR: Name: Roof Top Services of Central Florida, Inc. Phone Number: (407) 696-7663 Address: 1150 Belle Avenue, Suite #1060, Winter Springs FL 32708-2962 5. SURETY (If applicable, a copy of the payment bond is attached): Address: Amount of Bond: 6. LENDER: Nam Address: Phone Number: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: Phone Number: Address: 8. In addition, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY 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. Signature of Omer or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager) State of 4 ""Vz-t 0'k County of M t t-k Q,t-AZ 144rv+G J i 17CT r 1 )C'u CA Print Name and Provide Signatory's Title/Of ) The foregoing instrument was acknowledged before me this as ND day of20 j by 1~SMN1LME/ t)1 l Name of person making statement who has produced identification type of identification produced: ota' Y P6e< MICWILE M CAMPBELL 0 GG 102854 CommissionExpires May 20, 2021 FOar% 10P Bonded ThruBudget Notary 9avlose LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 12-28-17 I hereby name and appoint: Ryan Plyhnn all agent of: Roof Top Services of Central Florida, Inc. Name of Company) to be my Lawful attorney -ill -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): All permits and applications submitted by this contractor. or X The specific permit and application for worl< Located at: 113 Pine Isle Dr , Sanford, FL Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Krlstal A. Wingate State License Number: CCC1326679 J Signature of .License Holder: lam/ STATE OF FLORIDA COUNTY OF Seminole The foregoing instrument was acknowledged before me this 201 7 , by Kristal A. Wingate to me or who has produced identification and who did (did-nat) take an oath. Signature Notary Sea]) Deborah Plybon Print or type name 28thday of Dec who is X personally known Pa+oGe •., DEBORAH PLY80N Notary Public - State of FloridaA. '° MY COMMISSION # GG 102302 EXPIRES: September4,2021 Commission No. GG102302 Bonded Thru Notary Public Underwriters My Commission Expires: og-04- 0 1 as Rev. 8/06/13) 8435 f)RSAROOF TOP SERVICES IZTS R.fi s• M<u. OF CENTRAL FLORIDA, INC. BBB. ClearLVueamC`,';`,°"°;','" " 1150 Belle AvenueSuite #1060, Winter Springs, FL 32708 S41ights www. rooftopservices.com • 407.696.ROOF (7663) • Fax: 407.695.7664 e state cert.# CCC1326616 i ROOFING CONSULTANT: DO L'tr G CONSULTANT'S CELL: PROPOSAL PREPARED FOR: A ( J v /! INSPECTION DATE: ADDRESS: / 3 ',. ( t S/ De. HOME PH: CELL PH- - V- i oSI CITY, STATE, ZIP: / j_`" 2 73 WORK PH: MAIL: t••° / i • Sena is c . .- JOB LOCATION, (if different from address above): uz. HrItK H VI3U/-1L wi3r'CLIIVIV Ur Irlt JUCSJIIC, VVC rICICCt5T KCJrr_ .irULLT JU[SIVill INIZ 1`-ULLUVVII14I_7 CJIIMfilt: // PREPARATION ® OPTION.#1: Initial: 141 2. Obtain necessary insurances, permits and inspections in accordance with the current Florida Building Code. 01I' nspect property and take necessary precautions to protect structure's exterior and landscaping. f r Remove (J) layer(s) of existing roofing in its entirety & properly dispose of all related trash and debris. Manufacturer warranty: DECKING & WOOD REPLACEMENT Workmanship Warranty: "1 P_i Inspect the existing roof deck, soffit and fascia board for any rotten/damaged wood and replace as / needed per the following pricing schedule: Shingle Series: T, Plywood - $ / b Per Sheet 1X - $ y, 0 linearfoot 2X - $,linear foot (n - f color: e P '' WOtI 4 Fascia(Pine/ Spruce) $ G.OU /linearfoot Fascia (Cedar) $ 00 /linearfoot D4-rovide & installadditional decking fasteners as needed to ensure compliance with the current Florida #1 Sub -Total: Building Code. UNDERLAYMENTS LI Provide & install a Synthetic Roof Underlayment to the prepared roof deck; fastened to ensure compliance with the current Florida Building Code Nail Pattern. Provide & install a double layer;of 15LB. UL Felt Paper Underlayment to prepared deck of low slope roof; fastened to ensure compliance with the current Florida Building Code Nail Pattern. Provide & install a self -adhering Waterproof Leak Barrier to prepared roof deck. ` VENTILATION Provide & install 10-ft. Aluminum Pre -Finished Ridge Vent a Provide & install 4-ft. Galvanized Metal Pre -Finished Off Ridge Vent It Provide & install rA->j,LF of Shingle -Over Vent ID Provide & install a 4-in. Finished Galvanized Metal Gooseneck Bath Vent Provide & install 10-in. Finished Galvanized Metal Gooseneck Kitchen Vent Provide & install Other Venting Color Selection: Xt6—WA Standard factory painted finishes available for metal ventilation are Brown, Black, White or Mill Finish. FLASHINGS & MISCELLANEOUS ii 53 Provide & install 9 1%" pipe boot collar(s) III Provide & install 3" pipe boot collars(s) 9Provide & install 2" pipe boot collar(s) Provide & install 4" pipe boot collars(s) . Inspect flashings and replace as needed at a replacement cost of $ 61 0D linearfoot rovide & install -113 LF of Self Adhering Waterproof Leak Barrier & 26-Gauge Galvanized Valley Metal to all vall` ey(s). OIProvide & install 3/ 6 ,. LF of new standard pre -finished, 2%-in. 26-Gauge Galvanized Metal Drip Edge to perimeter of roofj Color Selection: tom' 41 1 C Standard factory pointed finishes available for metal drip edge are Brown, Black, White, Beige, Grey or Mill Finish. SKYLIGHTS & SUN TUNNELS Acrylic / 1Glass Quantity: Size: Model # Acrylic / Glass Quantity: Size: Model # SUN TUNNEL Quantity: Size: _ Model # HIP & RIDGE MProvide & install Standard Ridge. Provide & install High Definition Ridge. ADDITIONAL WORK TO BE INCLUDED CONTRACT CLEAN-UP 9rClean gutters free of all debris/waste generated by this construction. Perform a daily magnetic sweep of entire jobsite. Clean up and properly dispose of all work related trash and debris generated by this construction daily. 0a°'OPTION #2!: Initial, -.,I' Manufacturer Warranty: Workmanship Warranty: Shingle Series: Color: 2 Sub - Total: I n OPTION-# 3: Initial: +:I Manufacturer Warranty i. Workmanship Warranty Shingle Series: Color: 3 Sub - Total: LOW SLOPE ROOF:, Initial Manufacturer Warranty: Tapered Package/Insulation: Workmanship Warranty: Material Type: Color: Low Slope Sub - Total: Roof Top Services of Central Florida, Inc. herebyproposesto furnish material and labor complete and in accordance with above description and specifications, for the total sum of $ PAYMENT IS DUE IN FULL IMMEDIATELY UPON COMPLETION OF WORK ACCEPTANCE OF PROPOSAL: By signing this contract, I am authorizing ROOF TOP SERVICES OF CENTRAL FLORIDA, INC. to do the work as described above. The above specifications, conditions and prices are satisfactory and hereby accepted. You are authorizedtodo the work as specified. I understand and agree that payment will be made in full immediately upon completion of work. M me-1ty re ., W S4 o/' M r t ' 1 d 4 PAS f/,1 } %?,)U F ! -J-1, V f z.V Signature: - _-- Acceptance Date: 11 W I ROOF TOP SERVICES IS NOT RESPONSIBLE FOR LOW SLOPES OR PONDING WATER. WeKe4 -fie 00 ak-Mid, r&*e, sm shire 14. STATUTORY WARNINGS LIEN LAW ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001 -- 713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT.YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. CHAPTER 558 NOTICE OF CLAIM CHAPTER 558, FLORIDA STATUTES CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY BRING ANY LEGAL ACTION FOR AN ALLEGED CONSTRUCTION DEFECT. SIXTY DAYS BEFORE YOU BRING ANY LEGAL ACTION, YOU MUST DELIVER TO THE OTHER PARTY TO THIS CONTRACT A WRITTEN NOTICE REFERRING TO CHAPTER 558 OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE AND PROVIDE SUCH PERSON THE OPPORTUNITY TO INSPECT THE ALLEGED CONSTRUCTION DEFECTS AND TO CONSIDER MAKING AN OFFER TO REPAIR OR PAY FOR THE ALLEGED CONSTRUCTION DEFFECTS. YOU ARE NOT OBLIGATED TO ACCEPT ANY OFFER WHICH MAY BE MADE. THERE ARE STRICT DEADLINES AND PROCEDURES UNDER THIS FLORIDA LAW WHICH MUST BE MET AND FOLLOWED TO PROTECT YOUR INTERESTS. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: (850) 487-1395,1940 N. Monroe St., Tallahassee, FL 32399-2202. Roof Top Services of Central Florida, Inc. cannot be held liable for damaged lawns, walkways, driveways or ceilings since access to and from the structure is essential for materials to be delivered and for work to be completed. We strive to avoid any damage at all, and will seek to access the structure with the least impact. Roof Top Services of Central Florida, Inc. is not responsible for any damages due to piping that may be attached to the underside of the roof deck. Roof Top Services of Central Florida, Inc. cannot be held liable for direct, incidental, coincidental, interior or exterior water damage, property damage, consequential damage, mold or mildew damage or personal injury related to the repairing or reroofing of the structure while job is in progress or after completion. Owner is to carry all necessary insurance (fire, tornado, flood, etc.) and any other necessary insurance. Disputes arising out of terms and / or conditions of this contract are subject to Mediation and Binding Arbitration by both parties. As a member in good standing, Roof Top Services of Central Florida, Inc. requires that all Mediation and Binding Arbitration be administered by the Better Business Bureau Care Program. Customer is responsible for any and all attorney fees related to their dispute. Should Contractor employ an attorney to institute litigation or arbitration to enforce any of the provisions hereof, to protect its interest in any matter arising out of or related to this Agreement, Contractor shall be entitled to recover from the Customer all of its attorney's fees, costs and expenses incurred therein, including attorney's fees, costs, and expenses incurred at mediation, administrative, appellate or bankruptcy proceedings. Any alterations or deviation from the agreed specifications involving extra cost of material or labor will only be executed upon written orders for same and will become an extra charge over the sum mentioned in this contract. All agreements must be made in writing. Roof Top Services of Central Florida, Inc. cannot be held liable for direct, incidental, coincidental, interior or exterior water damage, property damage, mold or mildew damage or personal injury related to the repairing or reroofing of the structure while job is in progress or after completion. Owner is to carry all necessary insurance (fire, tornado, flood, etc.) and any other necessary insurance. Roof Top Services of Central Florida, Inc. retains title to any equipment or material furnished until full and final payment is made. Contractor's Workmanship Warranty will become null and void if contract is not paid in full. Payments not rendered in accordance with contract agreement shall be subject to finance charges of 1.5% per month. There is a $35.00 N.S.F. Fee for all returned checks. In the event of collection, debtor is to pay all attorney's fees, costs and expenses incurred therein regardless of whether Final Judgment is rendered. These terms and conditions will be enforced. Hydraulic Dump Trailers will remain on site until all work is complete. If homeowner requires the Dump Trailer to be relocated or removed before the completion of the work there will be an additional charge of 195.00 per move added to the contract price. All paperwork [Permit, Notice of Commencement, Photographs and all affidavits] posted at job site must remain outside and accessible to the building inspector to allow for signoff of all inspections. If paperwork is removed before all inspections have been completed there will be a $100.00 re -inspection fee assessed to the property owner. Pricing is based on 1-layer of roofing. If additional layers are found, there will be an additional charge per layer. Roof Top Services of Central Florida, Inc. reserves the right to withdraw this proposal if not accepted within (30) days. Any approval(s) required by the Homeowner's Association is the sole responsibility of the property owner. Owner and/or Owner's agent agrees to allow Roof Top Services of Central Florida, Inc. use of water and power on site for the duration of the project. Should Roof Top Services of Central Florida, Inc. employ an attorney to institute litigation or arbitration to enforce any of the provisions hereof, to protect its interest in any matter arising out of or related to this agreement, Roof Top Services of Central Florida, Inc, shall be entitled to recover from the Customer whether or not a suit is filed all of its attorney's fees, costs and expenses incurred therein, including attorney's fees, costs, and expenses incurred at mediation, administrative, appellate or bankruptcy proceedings. Customer's Name (Printed) : Customer's Signature: Date: Customer's Name (Printed) I Customer's Signature: Date: City of Sanford Building • 1d I • R, 1 d .• • i ! S Product Approval Specification Form Permit # Project Location Address 113 Pine Isle Dr., Sanford, FL As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll Up Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hung Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # including decimal) 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles GAF Timberline HD FL10124-R19 Underlayments GAF Tiger Paw FL15487-R5 Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Florida Approval # Description (include decimal) 5. Shutters Accordion Bahama Colonial Roll up Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelooe Products Applicant's Signature Applicant's Name Please Print) June 2014 rc. s -44 12/4/2017 SCPA Parcel View: 10-20-30-511-0000-0950 5 Property Record Card ft Parcel: 10-20-30-511-0000-0950plzl16Owner: ESMAILBEGUI AHMED & FUENTES ZULEIKA Ty. PLcWtVA Property Address: 113 PINE ISLE DR SANFORD, FL 32773 Parcel Information Parcel 10-20-30-511-0000-0950 Owner ESMAILBEGUI AHMED & FUENTES ZULEIKA Property Address 113 PINE ISLE DR SANFORD, FL 32773 Mailing 113 PINE ISLE DR SANFORD, FL 32773 Subdivision Name STERLING WOODS Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions Legal Description LOT 95 STERLING WOODS PB 54 PGS 93 THRU 95 Taxes Value Summary 2018 Working Values 2017 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 149,660 140,999 Depreciated EXFT Value y Land Value (Market) 25,000 25,000 Land Value Ag Just/Market Value ** 174,660 165,999 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 P&G Adj 0 0 Assessed Value 174,660 165,999 Tax Amount without SOH: $3,160.87 2017 Tax Bill Amount $3,160.87 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 174,660 0 174,660 Schools 174,660 0 174,660 City Sanford 174,660 0 174,660 SJWM(Saint Johns Water Management) 174,660 0 174,660 County Bonds 174,660 0 174,660 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED SPECIAL WARRANTY DEED 17/1/2015 2/1/2001 108524 11564 04018 0847 175,000 123,700 Yes Yes Improved Improved WARRANTY DEED v i 3/1/2000 03828 10476 315,000 I No Vacant Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT ` 1 $25,000.00 25,000 Building Information Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages ActuallEffective I I I I I I i 1 I I I I http://parceldetaii.scpafl.org/ParcelDetail lnfo.aspx?PID=10203051100000950 1 /2 4/2 11 17 SINGLE FAMILY Permits 2001 1 7 1 SCPA Parcel View: 10-20-30-511-0000-0950 3 2_0 1,874 2,530 1,874 CB/STUCCO $149,660 $158,370 Description Area i FINISH SCREEN I ' ! PORCH i 240.00 FINISHED OPEN PORCH 36,00 FINISHED I GARAGE FINISHED 380.00 Permit # Description Agency Amount CO Date Permit Date 00362 CONSTRUCT A 10 X 24 HIP ROOF SCREENED PORCH; PERMIT #01-362 SANFORD 2,350 11/7/2000 02986 PAD PER PERMIT 113 PINE ISLE DR SANFORD 83,000 2/23/2001 6/30/2000 Extra Features Description Year Built Units Value New Cost No Extra Features http://parceldetail.scpafl.org/ParceiDetaillnfo.aspx?PID=10203051100000950 2/2 r .._: 400 __ _ - ,pBP14Hpt iR8 IIPpQPR .A6P$p p19fOfl' e.4 Ny#GTwilt BCIS Home I Login I User Registration Hot Topics I Submit Surcharge I Stats & Facts Publications I FBC Staff I BCIS Site Map I Links Search Florida P Product Approval USER: Public User Product Apnroval Menu > Product or Application Search > Application List > Application Detail PE.'.::y' ME I ; FL # FL10124 R19 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer GAF Address/Phone/Email 1 Campus Drive Parisppany, NJ 07054 800)766-3411 mstieh@gaf.com Authorized Signature Robert Nieminen lindareith@trinityerd,com Technical Representative Beth McSorley (current) Address/Phone/Email 1 Campus Drive Parsippany, NJ 07054 973) 872-4421 bmcsorley@gaf.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 03/03/2018 Validated By John W. Knezevich, PE 2 Validation Checklist - Hardcopy Received Certificate of Independence FL10124 R19 COI 2016 01 COI Nieminen.odf Referenced Standard and Year (of Standard) Standard Year ASTM D1970 2009 ASTM D3161 2009 ASTM D3462 2009 ASTM D7158 2008 TAS 107 1995 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 08/26/2016 Date Validated 08/26/2016 Date Pending FBC Approval 08/30/2016 Date Approved 10/13/2016 Summary of Products FL # Model, Number or Name Description 10124.1 GAF Asphalt Roof Shingles Fiberglass reinforced 3-tab, laminated, 5-tab and hip/ridge asphalt shingles Limits of Use Installation Instructions Approved for use in HVHZ: No FL10124 R19 II 2016 08 FINAL ER GAF Asphalt Shingles FL10124-R19.DdfApprovedforuseoutsideHVHZ: Yes Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: N/A Created by Independent Third Party: Yes Other: Refer to ER, Section 5. Evaluation Reports FL10124 R19 AE 2016 08 FINAL ER GAF Asphalt Shingles FL10124-R19.pdf Created by Independent Third Party: Yes eacl< Next Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditlonal mall. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emalls 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: W ® eCh%E ZEN Credit Card Safe Ir QOTRRIN eI—Y I ERD EVALUATION REPORT GAF 1 Campus Drive Parsippany, NJ 07054 SCOPE: EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization ##9503 353 CHRISTIAN STREET, UNIT#13 OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 Evaluation Report 01506.01.08-R21 FL10124-R19 Date of Issuance:01/03/2008 Revision 21: 08/26/2016 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: GAF Asphalt Roof Shingles LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted herein. 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 I ERD 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 6. Prepared by: Robert J.M. Nieminen, P.E. Florida Registration No. 59166, Florida DCAANE1983 The facsimile seal appearing was authorized by RobertNieminen, P. E. on08/26/2016. This does not serve as an electronically signed document. Signed, sealed hardcopies have been transmitted to the Product Approval Administrator and to the named client CERTIFICATION OF INDEPENDENCE: 1. TrinitylERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. Trinity l ERD is not owned, operated or controlled by any company manufacturing or distributing,products it evaluates. 3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the evaluation reports are being issued. 4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. 5. This is a building code evaluation. Neither Trinity] 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. I 0 KONOTi ERD ROOFING SYSTEMS EVALUATION: 1. SCOPE: Product Category: Roofing Sub -Category: Asphalt Shingles Compliance Statement: GAF Asphalt Roof Shingles, as produced by GAF, have demonstrated compliance with the following sections of the Florida Building Code and Florida Building Code, Residential Volume through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Section Property Standard Year 1507.2.4, R905.2.3 Physical Properties ASTM D1970 2009 1507.2.5, R905.2.4 Physical Properties ASTM D3462 2009 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D3161 2009 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D7158 2008. 1507.2.7.1, R905.2.6.1 Wind Resistance TAS 107 1995 3. REFERENCES: Entity Examination Reference Date. GAF (PDM 1915) Letter of Equivalency Seal -A -Ridge Impact Resistant IR 01/13/2012 PRI (TST 5878) Physical Properties GAF-025-02-01 03/27/2002 PRI (TST 5878) ASTM D3462 GAF-059-02-01 09/02/2004 PRI (TST 5878) ASTM D3462 GAF-080-02-01 05/25/2005 PRI (TST 5878) Physical Properties GAF-324-02-01 12/01/2011 PRI (TST 5878) Wind Driven Rain GAF-407-02-01 01/21/2013 UL (TST 1740) ASTM D3462 93NK6295 11/29/1993 UL (TST 1740) ASTM D3462 99NK43835 01/12/2000 UL (TST 1740) TAS 107 94NK9632 03/29/2000 UL (TST 1740) ASTM D3462 0.1NK06632 02/02/2001 UL (TST 1740) ASTM D3161, TAS 107 01NK9226 05/21/2001 UL (TST 1740) ASTM D3161 01NK37122 12/18/2001 UL (TST 1740) ASTM D3462 01NK37122 12/19/2001 UL (TST 1740) ASTM D3161, TAS 107 02NK12980 04/10/2002 UL (TST 1740) ASTM D3161, TAS 107 02NK30871 09/09/2002 UL (TST 1740) ASTM D3161 03CA5367 03/1.1/2003 UL (TST 1740) ASTM D3462 03NK26444 10/17/2003 UL (TST 1740) ASTM D3462 04NK13850 06/07/2004 UL (TST 1740) ASTM D3161 04NK13850 06/23/2004 UL (TST 1740) ASTM D3161 04NK30546 03/10/2005 UL(TST 1740) ASTM D3462 04NK22009 05/06/2005 UL (TST 1740) ASTM D3161 04NK22009 05/09/2005 UL (TST 1740) ASTM D3462 05NK27924 02/10/2006 UL (TST 1740) ASTM D3161 05NK27924 02/11/2006 UL (TST 1740) ASTM D3161,D3462 06CA18077 06/05/2006 UL (TST 1740) ASTM D3161,D3462 06CA18074 06/16/2006 UL (TST 1740) ASTM D3161,D3462 06CA35251 10/18/2006 UL (TST 1740) ASTM D3462 06CA31603 12/01/2006 UL (TST 1740) ASTM D3161,D3462 06CA41095 12/27/2006 UL (TST 1740) ASTM D3161 07NK05228 03/13/2007 UL(TST 1740) ASTM D3161 06CA31611 04/04/2007 UL (TST 1740) ASTM D3161. 06CA61148 04/09/2007 UL (TST 1740) ASTM D3161,D3462 07CA31742 11/08/2007 UL (TST 1740) ASTM D3161, D7158, D3462 08CA06100 03/13/2008 UL(TST 1740) ASTM D3161,D3462 07CA55908 04/01/2008 Exterior Research and Design, LLC. Evaluation Report 01506.01.08-R21 Certificate of Authorization #9503 FL10124-1119 Revision 21: 08/26/2016 Page 2 of 6 Entity Examination Reference Date UL (TST 1740) ASTM D3161,D3462 09CA10592 03/26/2009 UL (TST 1740) ASTM D3161,D3462 09CA06856 05/15/2009 UL (TST 1740) ASTM D3161,D7158,D3462 09N1<06647 08/01/2009 UL (TST 1740) ASTM D3161,D7158,D3462 09CA27281 08/27/2009 UL (TST 1740) ASTM D3161,D7158,D3462 1OCA35554 03/05/2010 UL (TST 1740) ASTM D3161,D7158,D3462 1OCA13686 05/15/2010 UL (TST 1740) ASTM D3462 10CA07264 05/27/2010 UL(TST 1740) ASTM D3462 10CA11953 10/29/2010 UL (TST 1740) ASTM D3161,D7158,D3462 10NK11951 10/30/2010 UL (TST 1740) ASTM D3161,D7158,D3462 10NK12070 11/04/2010 UL (TST 1740) ASTM D3161,D7158,D3462 08CA06100 01/30/2010 UL (TST 1740) ASTM D3161,D7158,D3462 10CA53934 03/31/2011 UL (TST 1740) ASTM D3161,D7158,D3462 11CA48924 10/22/2011 UL(TST 1740) ASTM D3161,D7158,D3462 11CA47919 12/03/2011 UL (TST 1740) ASTM D3161,D7158,D3462 11CA48408 12/08/2011 UL (TST 1740) ASTM D3161,D7158,D3462 11CA48725 12/09/2011 UL, LLC. (TST 9628) ASTM D3462 12CA34891 10/12/2012 UL, LLC. (TST 9628) ASTM D3161, D7158, D3462 12CA58151 02/15/2013 UL, LLC. (TST 9628) ASTM D3161 12CA38083 02/26/2013 UL, LLC. (TST 9628) ASTM D3161 13CA32332 06/18/2013 UL, LLC. (TST 9628) ASTM D3161 13CA37934 08/02/2013 UL, LLC. (TST 9628) ASTM D3161, D7158, D3462 4786875675 07/17/2015 UL, LLC. (TST 9628) ASTM D3161, D7158, D3462 4787434542 05/17/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Mobile, AL 12/28/2015 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Myerstown, PA 02/23/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Tuscaloosa, AL 02/26/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Michigan Cty, IN 03/02/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Shafter, CA 02/18/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Savannah, GA 02/24/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Minneapolis, MN 02/09/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Mt. Vernon, IN 02/09/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Baltimore, MD 03/01/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Tampa, FL 02/29/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Dallas, TX 02/17/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Ennis, TX 02/03/2016 UL, LLC. (QUA 9625) Quality Control Inspection Report, R21, Fontana, CA 03/03/2016 4. PRODUCT DESCRIPTION: 4.1 Asphalt Shingles: 4.1.1 Marquis® WeatherMax®, Royal Sovereign® and Sentinel® are a fiberglass reinforced 3-tab asphalt roof shingles. 4.1.2 Camelot®, Camelot® II, Fortitude'", Glenwood'", Grand Canyon®, Grand Sequoia®, Grand Sequoia® IR, Grand Sequoia® ArmorShield'", Monaco', Sienna°, Timberline® American Harvest®, Timberline® ArmorShield'" II, Timberline® Natural Shadow®, Timberline HD®, Timberline® Cool Series®, Timberline Ultra HD® and Woodland® are fiberglass reinforced, laminated asphalt roof shingles. 4.1.3 Slateline® is a fiberglass reinforced 5-tab asphalt roof shingle. 4.2 Hip & Ridge Shingles: 4.2.1 Seal -A -Ridge® Ridge Cap Shingles, Seal -A -Ridge® IR Impact -Resistant Ridge Cap Shingles, Seal -A -Ridge° ArmorShield'" Ridge Cap Shingles and Timbertex® Premium Ridge Cap Shingles are fiberglass reinforced, hip and ridge asphalt roof shingles. Exterior Research and Design, LLC. Evaluation Report 01506.01.08-R21 Certificate of Authorization #9503 FL10124-R19 Revision 21: 08/26/2016 Page 3 of 6 4.3 Accessory Starter Strips: 4.3.1 Pro -Start® Eave/Rake Starter Strip Shingles and WeatherBlocker'" Premium Eave/Rake Starter Strip Shingles are starter strips for asphalt roof shingles. 4.3.2 QuickStart® Peel & Stick Starter Roll is a is a mineral -surfaced, fiberglass -reinforced, self -adhering SBS modified bitumen starter strip, nominal 9-inch x 33 ft roll, for use with asphalt shingles with exposure of 6- inch or less. 4.3.3 StarterMatch'"" Sharter Strip Shingles are color -coordinated starter strips for use with Grand Canyon® and Grand Sequoia° series asphalt shingles. StarterMatch'" are installed as the second starter for Grand Canyon® and Grand Sequoia® series installations. 5. LIMITATIONS: 5.1 This is a building code evaluation. Neither TrinityJERD 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 The GAF asphalt shingles noted in Section 4.1 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 use in all wind zones up to Vasd = 150 mph (V,it = 194 mph). Refer to Section 6 for installation requirements to meet this wind rating. 5.4.2 The GAF hip & ridge shingles noted in Section 4.2 are Classified in accordance with FBC Tables 1507.2.7.1 and R905.2.6.1 to ASTM D3161, Class F, indicating the shingles are acceptable for use in all wind zones up to V.,d = 150 mph (Vuit = 194 mph). Refer to Section 6 for installation requirements to meet this wind rating. 5.4.3 Classification by ASTM D7158 applies only to exposure category B or C, as defined in FBC 1609.4.3, and a mean roof 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. 5.5 All products in the roof assembly shall have quality assurance audit in accordance with the Florida Building Code and F.A.C. Rule 61G20-3. 6. INSTALLATION: 6.1 Underlayment: 6.1.1 Underlayment shall be acceptable to GAF 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 Starter Shingles or Starter Strip: 6.2.1 Installation of Pro -Start Eave/Rake Starter Strip Shingles, WeatherBlocker Premium Eave/Rake Starter Strip Shingles and QuickStart Peel & Stick Starter Roll shall comply with the GAF current published instructions. 6.3 Asphalt Shingles: 6.3.1 Installation of asphalt shingles shall comply with the manufacturer's current published instructions, using minimum four (4) nails per shingle in accordance with FBC Sections 1507.2 or R905.2, with the following exceptions: Camelot, Camelot II, Grand Canyon, Grand Sequoia, Grand Sequoia IR, Grand Sequoia ArmorShield, and Woodland require minimum five (5) nails per shingle. Slateline requires minimum six (6) nails per shingle. Exterior Research and Design, LLC. Evaluation Report 01506.01.08-R21 Certificate of Authorization #9503 FL10124-R19 Revision 21: 08/26/2016 Page 4 of 6 TRINITY ERD 6.3.2 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. 6.3.3 Where the roof slope exceeds 21 units vertical in 12 units horizontal, special methods of fastening are required. Contact the shingle manufacturer for details. 6.4 Hip & Ridge Shingles: 6.4.1 Installation of Seal -A -Ridge Ridge Cap Shingles, Seal -A -Ridge IR Impact -Resistant Ridge Cap Shingles and Seal - A -Ridge ArmorShield Ridge Cap Shingles shall comply with the manufacturer's current published instructions with a minimum two (2) nails, minimum 3/8-inch head diameter, per shingle and nominal 0.25-inch diameter beads of Henkel "Loctite PL S30 Roof & Flashing Sealant". 11.5" Sealant 1 (292 mm) 1' Sellante 25 mm) (25 mm) Enduit d 6tancheite f 0 12" 1( 305 mm) Nail Clavo 6 5/8" • 7 5/8" Clouer 168 - 194 mm) 12" 305 mm) 6.4.2 Installation of Timbertex Premium Ridge Cap Shingles shall comply with the manufacturer's current published instructions with a minimum two (2) nails, minimum 3/8-inch head diameter, per shingle and beads of Sonneborn NP1 Gun Grade Polyurethane Sealant or Henkel PL Roofing and Flashing Sealant. T 15" — salarrl y• li d sullanl$ t fai"rti'N25 rn I ndiriG l'6tard3fi F17YmNail vcr ( 305:Tm ) it 2211 nlrl; I. 1.2' 305;ffti YS_I 6.4.3 Fasteners shall be in accordance with the manufacturer's published requirements, but not less than FBC 1507.2.6 or R905.2.5. Staples are not permitted. Exterior Research and Design, LLC. Evaluation Report 01506.01.08-1121 Certificate of Authorization #9503 FL10124-1319 Revision 21: 08/26/2016 Page 5 of 6 I TRINITY I ERD 7. LABELING: 7.1 Labeling shall be in accordance with the requirements 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; (847) 664-3281 END OF EVALUATION REPORT - Exterior Research and Design, LLC. Evaluation Report 01506.01.08-R21 Certificate of Authorization #9503 FL10124-R19 Revision 21: 08/26/2016 Page 6 of 6 3/1/2016 Florida Building Code Online K Vj L m`, 1 o o o Florida Departmentq BCIS Home Log In User Registration Hot Topics Submit Surcharge Busines PI1 Product Approvalofessi6a1USER: Public User Regulation r Product Approval Menu > Product or Application Search > Application List > Application Detail n • • FL # FL15487-R5 Application Type Revision Code Version 2014 Application Status Approved Comments Archived } Product Manufacturer GAF Address/Phone/Email 1 Campus Drive Parisppany, NJ 07054 973) 872-4421 Iindareith@trinityerd.com Authorized Signature Beth McSorley Iindareith@trinityerd.com Technical Representative Beth McSorley (current) Address/Phone/Email 1 Campus Drive Parsippany, NJ 07054 973) 872-4421 bmcsorley@gaf.com Quality Assurance Representative Address/Phone/Email MIEJi,III ,Iy+ r;OBPRii0P1,Ei' ABOUT OB,PR OBPR OIYi910N9',CONTAPT013PR Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer I 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 10/22/2016 Validated By John W. Knezevich, PE J6 Validation Checklist - Hardcopy Received Certificate of Independence FL15487 R5 COI 2015 01 C01 Nieminen.Ddf 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 https://www.floridabuilding.orglprlpr_app_dtl.aspx?param=wGEVXQwtDgtep%2bDhVRQZHDyCx4GxXMbxPdO5uxzimBFdpzNU2Xdx9w%3d%3d 1/2 3/1 /2016 Florida Building Code Online 1507.9.3 1507.9.5 v Product Approval Method Method 2 Option B Date Submitted 04/06/2015 Date Validated 04/10/2015 Date Pending FBC Approval 04/15/2015 Date Approved 06/23/2015 Summary of Products FL # Model, Number or Name Description 15487.1 GAF Synthetic Roof Underlayments Synthetic Roof Underlayments Limits of Use Installation Instructions Approved for use in HVHZ: No FL15487 R5 II 2015 04 FINAL ER GAF Synthetic Underlayments FL15487-R5.1)dfApprovedforuseoutsideHVHZ: Yes Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: N/A Created by Independent Third Party: Yes Other: Refer to ER Section 5 for Limits of Use. Evaluation Reports FL15487 R5 AE 2015 04 FINAL ER GAF Synthetic Underlayments FL15487-R5.1)df Created by Independent Third Party: Yes Back Next Contact Us :: 1940 North Monroe Street, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 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: eC_heck 001011 Credi C r_lr SAFE https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtep°/g2bDhVRQZHDyCx4GxXMbxPdOSuxzimBFdpzNU2Xdx9w°/g3d°/g3d 2/2 F' EVALUATION REPORT GAF 1 Campus Drive Parsippany, NJ 07054 EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization #9503 353 CHRISTIAN STREET, UNIT #13 OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 Evaluation Report 01506.03.12-R5 FL15487-R5 Date of Issuance: 04/23/2012 Revision 5: 04/02/2015 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: GAF Synthetic Roof Underlayments LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted herein. 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 I ERD 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 "Trinity I ERD 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 5. Prepared by: O= r 7 c Robert J.M. Nieminen, P.E. Florida Registration No. 59166, Florida DCA ANE1983 hr eu Li ti The facsimile seal appearing was authorized by Robert Nieminen, P.E. on 04/02/2015. This does not serve as an electronically signed document. Signed, sealed hardcopies have been transmitted to the Product Approval Administrator and to the named client CERTIFICATION OF INDEPENDENCE: 1. TrinitylERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. Trinityl 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. S. This is a building code evaluation. Neither Trinity lERD 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. 0 ROOFING COMPONENT EVALUATION: 1 2 3 4. 5. SCOPE: Product Category: Roofing Sub -Category: Underlayment Compliance Statement: GAF Synthetic Roof Underlayments, as produced by GAF, have demonstrated compliance with the intent of the following sections of the Florida Building Code through testing in accordance with the applicable sections of the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. STANDARDS: Section Property Standard Year 1S07.2.3, 1507.S.3, 1507.7.3, T1507.8, Unrolling, Breaking Strength, Pliability, ASTM D226 2006 1S07.8.3, 1507.9.3, 1507.9.5 Loss on Heating 1S07.2.3, 1S07.S.3, 1507.7.3, 1507.8.3, Unrolling, Tear Strength, Pliability, Loss ASTM D4869 2005 1S07.9.3 on Heating, Liquid Water Transmission, Breaking Strength, Dimensional Stability 1507.3.3 Installation Practice FRSA/TRI April 2012 (04-12) 2012 TAS 110 Accelerated Weathering ASTM D4798 2001 REFERENCES: Entity Examination Reference Date ERD (TST 6049) Physical Properties R3360.02.07-2-R1 03/13/2007 ERD (TST 6049) Physical Properties G12110.12.08 12/02/2008 PRI (TST 5878) Physical properties BRY-003-02-01 03/19/2002 PRI (TST 5878) Physical properties GAF-224-02-01 07/27/2009 PRI (TST 5878) Physical properties GAF-349-02-01 07/03/2012 ITS (TST 1509) Physical properties 100258583COQ-010A 01/11/2011 Miami -Dade (CER 1592) HVHZ compliance 13-1104.11 03/06/2014 Miami -Dade (CER 1592) HVHZ compliance 14-1022.26 02/05/2015 ICC-ES (EVL2396) IBC/IRC compliance ESR-2053 04/01/2014 ICC-ES (EVL2396) IBC/IRC compliance ESR-2808 07/01/2013 ICC-ES (EVL2396) IBC/IRC compliance ESR-3283 06/01/2013 ICC-ES (EVL2396) IBC/IRC compliance ESR-3286 02/01/2015 UL, LLC (QUA 9625) Quality Control R10689; Charleston, SC 02/11/2015 UL, LLC (QUA 9625) Quality Control R10689; North Bay, ON 10/22/2014 UL, LLC (QUA 9625) Quality Control R10689; Hickory, INC 10/28/2014 UL, LLC (QUA 9625) Quality Control R10689; Stockton, CA 11/12/2014 UL, LLC (QUA 9625) Quality Control R10689; McGregor, TX 02/03/2015 UL, LLC (QUA 9625) Quality Control R10689; Pryor, OK 02/05/2015 UL, LLC (QUA 9625) Quality Control R10689; Mission, BC 11/05/2014 PRODUCT DESCRIPTION: 4.1 Deck -Armor" Premium Breathable Roof Deck Protection is a non -woven, spun -bonded polypropylene laminated polyethylene scrim sheet roof underlayment. 4.2 RoofPr0T1 SBS-Modified All -Purpose Underlayment is a fiberglass -reinforced, SIBS modified bitumen roof underlayment. 4.3 Shingle -Mate® Roof Deck Protection is a fiberglass reinforced, asphaltic roof underlayment. 4.4 StormSafe'" Anchor Sheet is a polypropylene woven fabric which serves as an anchor sheet in two-ply roof underlayment systems. 4.5 Tiger Paw— Roof Deck Protection is a non -woven, polypropylene reinforced, polymer coated roof underlayment. 4.6 VersaShield® Fire -Resistant Roof Deck Protection is a non -asphaltic, fiberglass -based roof underlayment and/or fire barrier. LIMITATIONS: 5.1 This is a building code evaluation. Neither TrinityJERD 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. Exterior Research and Design, LLC. Evaluation Report 01506.03.12-115 Certificate of Authorization #9503 FL15487-RS Revision 5: 04/02/201S Page 2 of 5 6. T'ITRINITYI ERIF 5.3 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory or test report from accredited testing agency for fire ratings of this product. 5.4 GAF Synthetic Roof Underlayments may be used with any prepared roof cover where the product is specifically referenced within FBC approval documents. If not listed, a request may be made to the AHJ for approval based on this evaluation combined with supporting data for the prepared roof covering. 5.5 Allowable roof covers applied atop GAF Synthetic Roof Underlayments are follows: TABLE 1: ROOF COVER OPTIONS Slate or Underlayment Asphalt Nail -On Tile Foam -On Tile Metal Wood Shakes Simulated Shingles Shingles Slate Deck -Armor'" Premium Breathable Roof Deck Yes No No Contact Mfg Contact Mfg Contact Mfg Protection ROofPrOT" SBS-Modified Yes No No No Yes Yes All -Purpose Underlayment Shingle -Mate® Roof Deck Yes No No No No No Protection Tiger PaWT" Roof Deck Yes No No Contact Mfg. Contact Mfg. Contact Mfg. Protection VersaShield® Fire - Resistant Roof Deck Yes No No Yes Yes Yes Protection 5.6 Exposure Limitations: 5.6.1 Deck -Armor^' Premium Breathable Roof Deck Protection; RoofPro— SBS-Modified All -Purpose Underlayment; Shingle - Mate® Roof Deck Protection; StormSafeT" Anchor Sheet; Tiger Pawl" Roof Deck Protection shall not be left exposed for longer than 30-days after installation. . 5.6.2 VersaShield® Fire -Resistant Roof Deck Protection shall not be left exposed for longer than 180-days after installation. INSTALLATION: 6.1 GAF Synthetic Roof Underlayments shall be installed in accordance with GAF published installation instructions subject to the Limitations set forth in Section 5 herein and the specifics noted below. 6.2 Re -fasten any loose decking panels, and check for protruding nail heads. Sweep the substrate thoroughly to remove any dust and debris prior to application. 6.3 Deck-ArmorTl Premium Breathable Roof Deck Protection: 6.3.1 Install Deck-ArmorT" Premium Breathable Roof Deck Protection in compliance with manufacturer's published installation instructions and the requirements for ASTM D226, Type I and II underlayments in FBC Sections 1507 for the type of prepared roof covering to be installed. 6.3.2 Fasteners shall be 1-inch diameter plastic -capped corrosion resistant nails or 1-inch diameter plastic -capped, corrosion resistant staples. 6.3.3 Optional, or if required by the Authority Having Jurisdiction: Install a leak barrier of Liberty" SBS Self -Adhering Base/Ply Sheet; StormGuard® Film Surfaced Leak Barrier; UnderRoofT" 2 Polyester -Surfaced Leak Barrier; UnderRoofTM HT High Temperature Leak Barrier; WeatherWatch® Mineral Surfaced Leak Barrier or WeatherWatch® XT Mat Surfaced Leak Barrier at vulnerable leak areas, including but not limited to eaves, valleys, rakes, skylights and dormers. At eaves and valleys, install the leak barrier prior to installation of the underlayment. Along the rake, install the underlayment, leaving 6 to 8-inch of the deck exposed, and then install the leak barrier over the underlayment and exposed decking. At other areas, install the leak barrier over the underlayment. 6.3.4 For non -tile roof installations: 6.3.4.1 Standard Installation with Single Layer; roof slope > 4:12 Starting at the eave, fasten the eave edge and 6-inch wide end -laps 6-inch o.c. Fasten in the field of the roll 12-inch o.c. in two, equally spaced, staggered center rows. Exterior Research and Design, LLC. Evaluation Report 01506.03.12-RS Certificate of Authorization #9503 FL15487-115 Revision 5: 04/02/2015 Page 3 of 5 TRIM YIERD Continue upslope in a similar manner, maintaining minimum 3-inch side -laps and minimum 6-inch end -laps. Fasten 6- inch o.c. in the laps and 12-inch o.c. in two, equally spaced, staggered center rows in the field. Ensure all end laps are staggered at least 3-feet apart. 6.3.4.2 Standard Installation with Double Layer; 2:12 < roof slope < 4:12 Starting at the eave, fasten the eave edge and 6-inch wide end -laps 6-inch o.c. Fasten in the field of the roll 12-inch o.c. in two, equally spaced, staggered center rows. Continue upslope in a similar manner, with minimum 28.5-inch side -laps and minimum 6-inch end -laps. Fasten 6-inch o.c. along the low edge and end laps and 12-inch o.c. in two, equally spaced, staggered center rows in the field. Ensure all end laps are staggered at least 3-feet apart. 6.4 Tiger Paw'" Roof Deck Protection: 6.4.1 Install Tiger Paws`" Roof Deck Protection in compliance with manufacturer's published installation instructions and the requirements for ASTM D226, Type I and II underlayments in FBC Sections 1507 for the type of prepared roof covering to be installed. 6.4.2 Fasteners shall be 1-inch diameter plastic -capped corrosion resistant nails or 1-inch diameter plastic -capped, corrosion resistant staples. 6.4.3 Optional, or if required by the Authority Having Jurisdiction: Install a leak barrier of Liberty- SBS Self -Adhering Base/Ply Sheet; StormGuard® Film Surfaced Leak Barrier; UnderRoof " 2 Polyester -Surfaced Leak Barrier; UnderRoof— HT High Temperature Leak Barrier; WeatherWatch® Mineral Surfaced Leak Barrier or WeatherWatch® XT Mat Surfaced Leak Barrier at vulnerable leak areas, including but not limited to eaves, valleys, rakes, skylights and dormers. At eaves and valleys, install the leak barrier prior to installation of the underlayment. Along the rake, install the underlayment, leaving 6 to 8-inch of the deck exposed, and then install the leak barrier over the underlayment and exposed decking. At other areas, install the leak barrier over the underlayment. 6.4.4 For non -tile roof installations: 6.4.4.1 Standard Installation with Single Layer; roof slope > 4:12 Starting at the eave, fasten the eave edge and 6-inch wide end -laps 6-inch o.c. Fasten in the field of the roll 12-inch o.c. in two, equally spaced, staggered center rows. Continue upslope in a similar manner, maintaining minimum 3-inch side -laps and minimum 6-inch end -laps. Fasten 6- inch o.c. in the laps and 12-inch o.c. in two, equally spaced, staggered center rows in the field. Ensure all end laps are staggered at least 3-feet apart. 6.4.4.2 Standard Installation with Double Layer; 2:12 < roof slope < 4:12 Starting at the eave, fasten the eave edge and 6-inch wide end -laps 6-inch o.c. Fasten in the field of the roll 12-inch o.c. in two, equally spaced, staggered center rows. Continue upslope in a similar manner, with minimum 22.5-inch side -laps and minimum 6-inch end -laps. Fasten 6-inch o.c. along the low edge and end laps and 12-inch o.c. in two, equally spaced, staggered center rows in the field. Ensure all end laps are staggered at least 3-feet apart. 6.5 StormSafe•" Anchor Sheet: 6.5.1 StormSafe"M Anchor Sheet is limited to use as a mechanically attached base layer in 2-ply underlayment systems. 6.5.2 Fasteners shall be 1-inch diameter plastic- or steel -capped corrosion resistant nails; corrosion -resistant nails & 1-5/8- inch tin -caps; or Drill-Tec screws and plates. 6.5.3 For tile roof installations: Installation is governed by the FRSA/TRI April 2012 (04-12) Installation Manual, 5th Edition (Revised). Use is limited to the mechanically attached base sheet in the two-ply system beneath UnderRoof'" 2 Polyester -Surfaced Leak Barrier. The attachment requirements for StormSafe" Anchor Sheet shall be adjusted from those in Appendix A, Table 1 of FRSA/TRI April 2012 (04-12), Sth Edition (Revised) to be proportionate to the width of the StormSafe" Anchor Sheet product. 6.5.4 For non -tile roof installations: Starting at the eave, fasten the eave edge and 6-inch wide end -laps 6-inch o.c. Fasten in the field of the roll 12-inch o.c. in two, equally spaced, staggered center rows. Exterior Research and Design, LLC. Evaluation Report 01506.03.12-115 Certificate of Authorization #9503 FL15487-RS Revision 5: 04/02/2015 Page 4 of 5 I TRINITY I ERD . Continue upslope in a similar manner, maintaining minimum 3-inch side -laps and minimum 6-inch end -laps. Fasten 6- inch o.c. in the laps and 12-inch o.c. in two, equally spaced, staggered center rows in the field. Ensure all end laps are staggered at least 3-feet apart. One the same day, install Liberty— SBS Self -Adhering Base/Ply; StormGuard° Film Surfaced Leak Barrier; UnderRoof'" 2 Polyester -Surfaced Leak Barrier; UnderRoof'" HT High Temperature Leak Barrier; WeatherWatch° Mineral Surfaced Leak Barrier or WeatherWatch° XT Mat Surfaced Leak Barrier over the StormSafe'" Anchor Sheet. 6.6 RoofPro'^" SBS-Modified All -Purpose Underlayment and Shingle -Mateo Roof Deck Protection: 6.6.1 Install RoofPro'" and Shingle -Mate® in compliance with manufacturer's published installation instructions and the requirements for ASTM D226, Type I and II underlayments in FBC Sections 1507 for the type of prepared roof covering to be installed. A double layer is required for 2:12 < roof slope < 4:12. No hammer tacks or staples are permitted. 6.6.2 Optional, or if required by the Authority Having Jurisdiction: Install a leak barrier of Liberty'" SBS Self -Adhering Base/Ply Sheet; StormGuard° Film Surfaced Leak Barrier; UnderRoof"" 2 Polyester -Surfaced Leak Barrier; UnderRoof'" HT High Temperature Leak Barrier; WeatherWatch® Mineral Surfaced Leak Barrier or WeatherWatch® XT Mat Surfaced Leak Barrier at vulnerable leak areas, including but not limited to eaves, valleys, rakes, skylights and dormers. At eaves and valleys, install the leak barrier prior to installation of the underlayment. Along the rake, install the underlayment, leaving 6 to 8-inch of the deck exposed, and then install the leak barrier over the underlayment and exposed decking. At other areas, install the leak barrier over the underlayment. 6.7 VersaShield® Fire -Resistant Roof Deck Protection: 6.7.1 Install VersaShield® Fire -Resistant Roof Deck Protection in compliance with manufacturer's published installation instructions and the requirements for ASTM D226, Type I and II or ASTM D4869 underlayments in FBC Sections 1507 for the type of prepared roof covering to be installed. A double layer is required for 2:12 < roof slope < 4:12. No hammer tacks or staples are permitted. 6.7.2 Optional, or if required by the Authority Having Jurisdiction: Install a leak barrier of Liberty'"" SBS Self -Adhering Base/Ply Sheet; StormGuard° Film Surfaced Leak Barrier; UnderRoof " 2 Polyester -Surfaced Leak Barrier; UnderRoof'" HT High Temperature Leak Barrier; WeatherWatch® Mineral Surfaced Leak Barrier or WeatherWatch® XT Mat Surfaced Leak Barrier at vulnerable leak areas, including but not limited to eaves, valleys, rakes, skylights and dormers. At eaves and valleys, install the leak barrier prior to installation of the underlayment. Along the rake, install the underlayment, leaving 6 to 8-inch of the deck exposed, and then install the leak barrier over the underlayment and exposed decking. At other areas, install the leak barrier over the underlayment. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. 8. MANUFACTURING PLANTS: Contact the manufacturer or the named QA entity for information on plants covered under Rule 61G20-3 CIA requirements. QUALITY ASSURANCE ENTITY: UL, LLC. — QUA9625; (847) 664-3281 END OF EVALUATION REPORT - Exterior Research and Design, LLC. Evaluation Report 01506.03.12-115 Certificate of Authorization #9Sd3 FL15487-RS Revision 5: 04/02/2015 Page 5 of 5 CITY OF Building & Fire Prevention Division F` FORD RESIDENTIAL RE-ROOFPOLICY&PROCEDURES FIRE DEPARTMENT PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARETHISDOCUMENT (SIGNED) ALONG WITHREQUIREDTOBESUBMITTEDASPARTOF YOUR PERMIT APPLICATION. THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE. PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE SANFORD HISTORIC PRESERVATION BOARD INSPECTION POLICY & PROCEDURES A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIREDRE-ROOF P TS ENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE: PERMIT CARD, POSTED.IN A CONSPICUOUS AND WE LOCATION e COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK e COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK) OR ADDRESS IN EACH PICTURE) DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED o ROOF DECK NAILING PATTERN &SPACING (INCLUDING A MEASURING DEVICE OR E OF NAILS) o ROOF DECKNAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) RULER) o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS SKYLIGHTS (IF APPLICABLE) o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FLCP APPROVAL APPROVAL o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODU FLORIDA FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT OMPLIANCE PROVIDED Y INSPECTIODESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FB ODE C/, DATE: a ' CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: F PERMIT 4Dt t City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 113 Pine Isle Dr., Sanford STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM RE -ROOF TYPE: © REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) 0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): Plywood PLEASE NOTE: ONLY 100 SQUARE FEET OF TH EXISTING DECK IS PERAIITTED TO BE REPLACED** ROOF VENTILATION: DOFF -RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBINES Shingle Over SKYLIGHTS: 0 YES 0 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: 0 LESS THAN 2:12 0 2:12 —4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Ox SHINGLE GAF FL# 10124-R19 0 METAL FL# 0 MODIFIED BITUMEN FL# 0TORCFI DOWN FL# 0 INSULATED FL# 0 TILE FL# OOTHER: Underla ment GAF FL# 15487-R5 ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: 0 Less THAN 2:12 0 2:12 —4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0 SHINGLE FL# 0 METAL FL# 0 MODIFIED BITUMEN FL# 0TORCI-I DOWN FL# 0 INSULATED FL# 0 TILE FL# 0 OTHF-_H: FL# PERMIT #: City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS 71- 3 7 9 3 ADDRESS: Kx.S 4- A , o I i 9c;7l e- , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT,`60F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE#: e Q C t 3- 6 6- 7(- 9 - 7 COMPANY / CONTRACTOR: 64 (O p Sc rc) f. C e S G''T `-ems r I - CONTRACTOR SIGNATURE: "- MUST BE SIGNED BY LICENSE ER OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: DATE: a D-3 ` ' S THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OFC—Mti t. Sworn to and Subscribed bbeeffoore me this a3 day of e! 20 /,? by: K j'L S A i kgcv+ Who is ^_1V'ersonally Known to me or has CI Produced (type of identification) Dz Signature of Notary Public State of Florida as identification. DEBORAH PLYBON MY COMMISSION # GG 102302 s' o EXPIRES: Selfterbl3en 4, 2021 Bonded Thru Notary Public Underwriters Print/Type/Stamp Name of Notary Public