100 Queens Ct - 15-3501 (reroof)Job Address: 100 Queens Ct
Parcel ID:
" f
DEC 0 7 2�1
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ff r 350 1
Documented Construction Value: $ 13.159.46
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair
Description of Work: Shingle re -roof 6t SC,y-s -
Historic District: Yes ❑ No
Residential [2 Commercial ❑
Demo ❑ Change of Use ❑ Move ❑
Plan Review Contact Person: Jen Baker Title: Production
Phone: 407-654-4500
Fax: 407-654-4527 Email:ien anancroofing.com
Property Owner Information
Name �laviar R Yesenia Cordpm Phone: 407-760-5646
Street: 100 Queens Ct Resident of property? : Yes
City, State Zip: Sanford, FL 32771
Contractor Information
Name ANCRoofing- Inc Phone: 407-654-4500
Street: 720 Business Park Blvd #10 Fax: 407-654-4527
City, State Zip: Winter Garden, FI 34787 State License No.: CCC048173
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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. 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.
V01- Inc 2 eti..n h..:.. .:1. l ...:N. +1- 4-4- ..r....- ,ti .....,.1 ....ate :. _#T-4 . _Tr k..a A_,. .. cth C.I:u:.... dInIA�
NOTICE: lin addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating
construction and zoning.
i aye of Owner/Agent Date
Signature of Contractor/Agent Date
`
6JQbEy-40
V
V /7 r6;0
CA 1le�—acm'
Print Owner/Agent's Name
Print Contra for/Agent's Name
Signature of Not atee �c,ff�� nda Date
Y MAft6 7At1
NOTARY PUBLIC
Si ature o otary- Wiit4tidgAERI Date
Y
NOTARY PUBLIC
-� STATE OF FLORIDA
STATE OF FLORIDA
Comm# EE859569
Comm# EE859569
.
Expires 1/1312017
Owner/Agent is Personally Known to Me or
A Expires 1/13/2017
Contractor/Agent is Personally Known to Me or
4"C—
Produced ID Type ID nqulL
Produced ID Type of ID
of h
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 1 k115
I hereby name and appoint:CS�so�'
an agent of:
(Name of Company)
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The s ecific permit and application for work located at:
(Street Address)
Expiration Date for This Limited Power of Attorney: l 0,- 1 (Al t 5
License Holder Name: A"Aay) 4D-&qQ-4—
L
State
License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF y
The foregoing instrument was
20015 , by Acoan&Lc
to me or ❑ who has produced
identification and who did (did
(Notary Seal)
MARISOL ZAERI
NOTARY PUBLIC
STATE OF FLORIDA
Comm# EESS9569
Expires 1/13/2017
(Rev. 08.12)
before me this day f �%
who is'personally known
VVI, A Ll\ as
hot) take n oatl",J
Si atu e
AlbrlEbl
Print or type name
Notary Public - State of t' or'l dec
Commission No.
My Commission Expires: I 112, 1201--7
f=City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
'3a I
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
O a —
Underla ments
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
Description
Florida Approval #
(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
Envelope Products
Applicant's Signature
Applicant's Name
(Please Print)
June 2014
12/7/2015 Florida Building Code Online
Honda Departm011td BCIS Home i Log In User Registration t Hot Topics ; Submit Surcharge
Busines
ProfessiUSER:
PRral
Regulation
Afil
Stats & Facts j Publications i FBC Staff i BCIS Site Map j Links I Search
Product Aooroval Menu > Product or ADDlication Search > Application List > Application Detail
D %�? FL # FL10124-R16
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
lindareith@trinityerd.com
Authorized Signature Beth McSorley
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 05/14/2016
Validated By John W. Knezevich, PE
J Validation Checklist - Hardcopy Received
Certificate of Independence FL10124 R16 COI 2015 01 COI Nieminen.odf
Referenced Standard and Year (of Standard) Standard Year
ASTM D3161 2009
ASTM D3462 2009
ASTM D7158 2008
TAS 107 1995
Equivalence of Product Standards
Certified By
Sections from the Code
https://floridabui ldi ng.orglprlpr_app_dtl.aspx?param=wGEVXQwtDquracBeVC bdM QNZD6Zesy3BpT6YGGOoRawnh[Qtzyj %2b3Q%3d%3d 1/2
12/7/2015
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Products
Florida Building Code Online
Method 1 Option D
08/25/2015
08/27/2015
09/09/2015
10/16/2015
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 R16 II 2015 08 FINAL ER GAF Asphalt
Approved for use outside HVHZ: Yes
Shingles FL10124-R16.pdf
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 R16 AE 2015 08 FINAL ER GAF Asphalt
Shingles FL10124-R16.pdf
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:
64 ® E9
security 1t i'rR ws`
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdMQNZD6Zesy3BpT6YGGOoRawnhlQtzyj%2b3Q%3d%3d 2/2
1IF",
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 01506.01.08-1118
FL10124-1116
Date of Issuance: 01/03/2008
Revision 18:08/24/2015
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 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) 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 6.
Prepared by:
Robert J.M. Nieminen, P.E.
Florida Registration No. 59166, Florida DCA ANE1983
The facsimile seal appearing was authorized by Robert Nieminen,
P.E. on 08/24/2015. This does not serve as an electronically signed
document. Signed, sealed hardcopieshave been transmitted tothe
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 Trinityl 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.
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
1507.2.5, 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:
Enttf
Examination
Reference
Date
GAF (PDM
1915)
Letter of Equivalency
Seal -A -Ridge Impact Resistant IR
01/13/2012
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)
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
01NK06632
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
03/11/2003
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
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
09NK06647
08/01/2009
Exterior Research and Design, I.I.C. Evaluation Report 01506.01.08-1118
Certificate of Authorization #9503 FL10124-1116
Revision 18: 08/24/2015
Page 2 of 6
4.
Exterior Research and Design, LLC.
Certificate of Authorization 119503
Evaluation Report 01506.01.08-1118
FL10124-R16
Revision 18: 08/24/2015
Page 3 of 6
TRINITY ERD
Entity
Examination
Reference
Date
UL (TST 1740)
ASTM D3161, D7158, D3462
09CA27281
08/27/2009
UL (TST 1740)
ASTM D3161,D7158,D3462
IOCA35554
03/05/2010
UL (TST 1740)
ASTM D3161, D7158, D3462
1OCA13686
05/15/2010
UL (TST 1740)
ASTM D3462
1OCA07264
05/27/2010
UL (TST 1740)
ASTM D3462
1OCA11953
10/29/2010
UL (TST 1740)
ASTM D3161, D7158, D3462
1ONK11951
10/30/2010
UL (TST 1740)
ASTM D3161, D7158, D3462
1ONK12070
11/04/2010
UL (TST 1740)
ASTM D3161, D7158, D3462
08CA06100
01/30/2010
UL (TST 1740)
ASTM D3161, D7158, D3462
1OCA53934
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. (QUA 9625)
Quality Control
Inspection Report, R21, Mobile, AL
06/19/2015
UL, LLC. (QUA 9625)
Quality Control
Inspection Report, R21, Myerstown, PA
07/21/2015
UL, LLC. (QUA 9625)
Quality Control
Inspection Report, R21, Tuscaloosa, AL
06/26/2015
UL, LLC. (QUA 9625)
Quality Control
Inspection Report, R21, Michigan Cty, IN
05/14/2015
UL, LLC. (QUA 9625)
Quality Control
Inspection Report, R21, Shafter, CA
07/16/2015
UL, LLC. (QUA 9625)
Quality Control
Inspection Report, R21, Savannah, GA
06/24/2015
UL, LLC. (QUA 9625)
Quality Control
Inspection Report, R21, Minneapolis, MN
07/14/2015
UL, LLC. (QUA 9625)
Quality Control
Inspection Report, R21, Mt. Vernon, IN
07/10/2015
UL, LLC. (QUA 9625)
Quality Control
Inspection Report, R21, Baltimore, MD
07/21/2015
UL, LLC. (QUA 9625)
Quality Control
. Inspection Report, R21, Tampa, FL
06/26/2015
UL, LLC. (QUA 9625)
Quality Control
Inspection Report, R21, Dallas, TX
07/15/2015
UL, LLC. (QUA 9625)
Quality Control
Inspection Report, R21, Ennis, TX
07/09/2015
UL, LLC. (QUA 9625)
Quality Control
Inspection Report, R21, Fontana, CA
07/16/2015
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, Country Mansion® II, Glenwood'"", Grand Canyon®, Grand Sequoia®, Grand Sequoia®
IR, Monaco®, Sienna®, Timberline American Harvest®, TimberlineO.Armor$hieldTM 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 and Timbertex®
Premium Ridge Cap
Shingles are fiberglass reinforced, hip and ridge asphalt roof shingles.
4.3 Starter Strips:
4.3.1 Pro -Start® Starter Strip Shingles and WeatherBlockerTI
Premium Eave/Rake Starter Strip are starter strips
for asphalt roof shingles.
Exterior Research and Design, LLC.
Certificate of Authorization 119503
Evaluation Report 01506.01.08-1118
FL10124-R16
Revision 18: 08/24/2015
Page 3 of 6
TRINITY ERD
S. LIMITATIONS:
5.1 This is a building code evaluation. Neither Trinity IERD nor Robert Nieminen, P.E. are, in any way, the
Designer of Record for any project on which this Evaluation Report, or previous versions thereof, is/was
used for permitting or design guidance unless retained specifically for that purpose.
5.2 This Evaluation Report is not for use in the HVHZ.
5.3 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials
Directory for fire ratings of this product.
5.4 Wind Classification:
5.4.1 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 V,� = 150 mph (V„ n = 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
Vasd = 150 mph (V.it = 194 mph). Refer to Section 6 for installation requirements to meet this wind rating.
5.4.3 Classification by ASTM D7158 applies to exposure category B or C and a building height of 60 feet or less.
Calculations by a qualified design professional are required for conditions outside these limitations.
Contact the shingle manufacturer for data specific to each shingle.
5.5 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 Undedayment:
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:
6.2.1 Installation of Pro -Start Starter Strip Shingles and WeatherBlocker Premium Eave/Rake Starter Strip shall
comply with the manufacturer's 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, and Woodland require minimum
five (5) nails per shingle.
➢ Slateline requires minimum six (6) nails per shingle.
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.
Exterior Research and Design, I.I.C. Evaluation Report 01506.01.08-1118
Certificate of Authorization #9503 FL10124-1116
Revision 18: 08/24/2015
Page 4 of 6
d
TRINITY ERD
6.4 Hip & Ridge Shingles:
6.4.1 Installation of Seal -A -Ridge Ridge Cap Shingles and Seal -A -Ridge IR Impact -Resistant 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
155m) Enduitd6tancheite
1 12'
_.
Nail (305 mm)
Clavo
65/8 75/8' 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 NPl Gun Grade Polyurethane Sealant or Henkel PL Roofing and Flashing Sealant.
M
1. (292 min) S I
Nab
u
i'_` ucr
Cr
(229 mlw
Sellant4
Frduit cl`6tanchd to
Ia�tt� kT�Ph.�!
1r
(:a015 amt)
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, I.I.C. Evaluation Report 01506.01.08-1118
Certificate of Authorization #9503 FL10124-1116
Revision 18: 08/24/2015
Page 5 of 6
7.
8.
9.
10.
°- " TRINITY: ERD
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.
BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of
this product.
MANUFACTURING PLANTS:
Contact the named QA entity for information on which plants produce products covered by Florida Rule 61G20-3 QA
requirements.
QUALITY ASSURANCE ENTITY:
UL LLC — QUA9625; (847) 664-3281
- END OF EVALUATION REPORT -
Exterior Research and Design, LLC. Evaluation Report 01506.01.08-1118
Certificate of Authorization #9503 FL10124-1116
Revision 18: 08/24/2015
Page 6 of 6
01 ( L), h 0 ir' - Iv 11 11 .11/VI iv(J"I'llwy-.( nvi
720 Business Park Blvd., Unit #10
CENTRAL FLORIDA Winter Garden, FL 34787 SOUTH FLORIDA
Ph: (407)654-4500 Ph: (561) 202-6901
Fax: (407)654-4527 PROPOSAL/CONTRACT
NRA Fax: (561) 202-6902
^:It' I.tir Ni,,
`.t,rlc itltillii+ Lire n.ti•PJ u.l: lt(:++• - LICENSED BONDED INsuilvi) WIND;uidIIA11, 1)A A1nGl(til`P.('In1,IS1
PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT:
NAME (AV,3S=p— (-ol2L)g ceo NAME
STREET /pU Uf=—,Cn./2, G'i, STREET
CITY FL CITY
Az -
PHONE
CELL 40EMAIL
SCOPE OF WORK: i /
r ► 1/0G'ASIS t / Utl � Slew cel,tvm J -o S m or'fti IV,?, It,to% 5(/r ��i ce
hay I G, Y / I� w ,� , � L
/ ( .012, �-
Pot
if e( VeA
A
/C /A` t on bPJ
FOR THE SUM OF: v A l'1 -,C t' t° c'
NOTE: 1. Replacement of any unforeseen bad or rotted wood will be installed at an additional charge and will be billed to the
insurance company during and after completion of roof.
2. This proposal is subject to the acceptance within N/A days and is void thereafter at the option of the contractor.
3. All proposals subject to approval by A N C Management.
4. SUPERVISION AND QUALITY CONTROL. The Contractor shall supervise and direct the work, using his best skill and attention.
The Contractor shall be solely responsible for all construction means, methods, techniques, sequences, procedures and for +
�
contracting and performing all portions of the work and quality control under the Contract. V a r/
Jf �_
5. DELAYS, ETC. Purchaser hereby acknowledges that weather patterns may delay the job equal to the storms length and Y C.s
&Ur
duration which is beyond the control of the Contractor and Purchaser hereby accepts the delays occasioned by these
circumstances. Purchaser further agrees.to pay 20% of the total contract price to the Contractor due to premature cancellation
of the contract.
6. PAYMENT. Purchaser hereby agrees that if the amounts due and owing hereunder are not paid when due, Purchaser
shall be liable to pay all costs of collection, dispute, including, but not limited to reasonable attorney's fee and costs, which a
together with all sums due and owing hereunder, shall bear interest at the maximum allowed industry rate. ,
7. ANC Roofing, Inc. is not responsible for faulty or inadequately reinforced driveway. A
8. Any unforeseen double roofs (double tear off) not noted In this contract will be at an additional charge.
9. In no event hall the contra or's obligation over the life of this warranty exceed the
II �
Notes: `IM � h �y^ p 'ce paid for the roof:
I �� h GO'SC' �EL'' 7,c
WARRANTY TERMS:
/( fdf�e e
At "i lie
Date: _ S ANC Roofing, Inc. Authorized Signature: ✓moi '�� /
ACCEr'TANC1= OF AGF:EEMENT
Terms: This agreement is for full insurance scope of loss proceeds and is subject to Insurance company's
approval and does not obligate homeowner or ANC Roofing, IInc. unless homeowner's insurance company
approves repair or replacement of roof and/or other damages. By signing this agreement the homeowner authorizes
ANC Roofing, Inc. to pursue homeowner's best interest for repair or replacement of roof and/or other damages at a
price agreeable to the ins. co, and ANC. Homeowner is res onsible for deductible and The final price agreed on
between the insurance company and ANC shall become the final contract price of: FULL SCOPE OF INSURANCE
PROCEEDS. The specifications set out herein to accomplish the repair or replacement of roof and/or other damages.
In the event of the claim being settled through a Public Adjuster or Legal Assistance r feed by A his contract
will still be fully executed and in effect under the terms specified within.
II
Insurance Co. Na •� V
Accepted by Owner/Buyer
Claim #
Consultant
000
�G f�tc>. S GG�L93 :ZS��
C( to h, �
THIS INSTRUME
:NT PREPARED BY: j' j��? t s1 t�
Name: ANC Roofing, Inc -Jennifer Baker I kID
VIT
Address: i I+ t t.
' ' �►�� 7 161
t;V ;
NOTICE_ OF COMMENCEMENT ''='`r'
Permit Number: ` Parcel ID Number: 33-19-30-513-0000-0520
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
his provided
inr�this Notice of Commencement.
D 88 l>?ueens M,OQanTortl,yt 5 llf Ltote�L pMayTB rrVaWS,r1% gy if iF'Ci� 38 thru 41
RNERA DESCRIPTION OF IMPROVEMENT:
rOOT
OWNER INFORMATION:
Name: Javier & Yesenia Cordero
Address: 100 Queens Ct, Sanford, FL 32771
Fee Simple Tittle Holder (if other than owner) Name:
CONTRACTOR:
Name: ANC Roofing, Inc
Address: 720 Business Park Blvd #10, Winter Garden, FL 34787
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
of
To receive a copy of the Lienors Notice as Provided in
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date is specified) 06/01/2016
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 1, 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 CONI NCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Undef enalities f perjury, I I re that I have read the foregoing and that the facts stated in it are true
to t15a best of know ge ancY belief. /,
-� Owne "gnature /; Owner's Printed Name
iF od�tatute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
State of ( a� - County of SC'VYA )i vv.
The foregoing instrument was acknowledged before me this day of fL i ��c� {- , ZLLD
by �t \`� -a `--t� Who is personally known to me
Name of person making stat � ent 11 /
OR who has produced identification type of identification produced: 6341a
f F ,
#, MikRISOL ZAERi � +ED pY_NotarySignature �el�
NOTARY PUBLIC MA Y NoF THE 1111,
o tf
CLERK O THE CIRCUIT
t. a
STATE OF FLORIDA COMPT OLLER RT rvD
c EES59569 SEMIN
yyK Gifilfittl O COUNTY,
1 Expims 1113120PE c ® 7
leu
1 F ID
p :�.•ten,?'
PY tt��i>.•,".,
SCPA Parcel View: 33-19-30-513-0000-0520
r. Property Record Card
Parcel. 33-19-30-513-0000-0520
Owner: CORDERO YESENIA M & JAVIER
ITSC-MNOLC t 10A Property Address: 100 QUEENS CT SANFORD, FL 32771
Pagel U2
Parcel: 33-19-30-513-0000-0520 Value Summary
Property Address: 100 QUEENS CT 2016 Working 2015 Certil
Owner: CORDERO YESENIA M & JAVIER Values Values
Mailing: 100 QUEENS CT Valuation Method i Cost/Market i Cost/Mark(
SANFORD, FL 32771
Subdivision Name: MAYFAIR OAKS 331930513 Number of Buildings 1 E 1
Tax District: Sl-SANFORD Depreciated Bldg Value j $138,268 $133,234
Exemptions: 00 HOMESTEAD (2011) Depreciated EXFT Value $300 $313
DOR Use Code: 01 -SINGLE FAMILY
Land Value (Market) $28,000 ; $28,000
Land Value Ag
—LIVERFOOL-D -- Just/Market Value $166,568 $161,547
�
Portability Adj l
Save Our Homes Adz $39,248 $35,237
x, Amendment 1 Adj
Assessed Value $127,320 $126,310
z Tax Amount without SOH: $2,
2015 Tax Bill Amount $1,
t Tax Estimator
Save Our Homes Savings: $
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 52
MAYFAIR OAKS
APB 50 PGS 38 THRU 41
Taxes
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$127,320 ',
$50,000 [
$:
Schools
$127,320
$25,000
$1(
City Sanford
$127,320 !
$50,000
$;
SJWM(Samt Johns Water Management)
$127,320
$50,000
...... _
County Bonds_.__
$127,320_b_r.$50,000
;
Sales
Description — Date Eook
Page
Amount
Qualified
Vac/Imp
WARRANTY DEED 6/1/2010 07412
1798
$155,000 No
i Improved
WARRANTY DEED 6/1/2000 03877
0173
$131,100 Yes
i Improved
Find Comparable Sales within this Subdivision
Land
http://www.scpafl.org/ParcelDetaiiInfo.aspx?PID=33193051300000520 12/7/2015
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: I U' 3�5 D 1
1, R g m a w H i d (ay oct hereby acknowledge that I personally inspected
C9'Roof deck nailing and/or ❑ Secondary water barrier work
at 100 Q u Q w") Ct 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 837.06 F.S.
Signature of Contr ctor
k R X11 a,W H d GLV U
Printed Name of Contra for
i..l poli 5
Date r
CCC, OWT113
License #
License Type: ❑ General ❑ Building ❑ Residential ❑ Roofing Contractor
❑ or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF W-41 va :
Sworn to (or affirmed) and subscribed before me this 10Tt' day of V6 C , 20 15 , by
A-RMklg WEb(qjk,-r , who is C�'ersonally Known to me or has ❑ Produced (type of
identificatio) as identification.
(SEAL)
Signature of Nota ublic�*Expires
MARISOL 7AEtt1
State of Florida NOTARY PUBLIC
STATE OF FLORIDA
Comm# EE859569
Print/Type/Stamp Name 1/117
of Notary Public
3