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520 Oak Ave 16-941; INTERIOR REMODELBP200I01 CITY OF SANFORD Application Inquiry 8/11/16 12:27:18 Application number . . . . . 16 00000710 Application status, date . . CLOSED 3/07/16 Property . . . . . . . . . . 520 OAK AVE Parcel Number. 25.19.30.5AG-0705-0050 Old CID . . . . . . . . . . . Subdivision . . . . . . . . TWN OF SANFORD (TRAFFORDS MAP) Zoning . . . . . . . . . . . SR1 SINGLE FAMILY Application type . . . . . . HPB HISTORIC PRESERVATION Application date . . . . . . 3/07/16 Tenant number, name . . . . Master plan number, rev'wd by: CD Estimated valuation . . . . . Total square footage . . . . 0 Public building . . NO Work description, qty . . . . Pin number . . . . . . . . . . 977530 Application desc . . . . . . : 2 HVAC units,reroof 16'x18'Flat Roof,Tankless WH Press Enter to continue. F3=Exit FS=Land inq F7=Appl names F8=Tracking inq F9=Bond inquiry F10=Fees Fll=Receipts F12=Cancel F13=Val calcs F14=Misc info F24=More keys BP200I01 CITY OF SANFORD Application Inquiry 8/11/16 12:27:31 Application number . . . . . 16 00000687 Application status, date . . CLOSED 5/11/16 Property . . . . . . . . . . 520 OAK AVE Parcel Number. . . . . . . . 25.19.30.5AG-0705-0050 Old CID . . . . . . . . . . . Subdivision . . . . . . . . : TWN OF SANFORD (TRAFFORDS MAP) Zoning . . . . . . . . . . . : SR1 SINGLE FAMILY Application type . . . . . . : ELEC ELECTRIC PERMIT APPLICATION Application date . . . . . . . 3/03/16 Tenant number, name . . . . . Master plan number, rev'wd by: JJ Estimated valuation . . . . 9000 Total square footage . . . . 0 Public building . . . . . . NO Work description, qty . . . Pin number . . . . . . . . . 229806 Application desc . . . . . . noc on file see permit 16-941 new permit for al Press Enter to continue. F3=Exit F5=Land inq F7=Appl names F8=Tracking inq F9=Bond inquiry F10=Fees Fll=Receipts F12=Cancel F13=Val calcs F14=Misc info F24=More keys BP200I01 CITY OF SANFORD 8/11/16 Application Inquiry 12:27:40 Application number . . . . 16 00001427 Application status, date . CLOSED 5/25/16 Property . . . . . . . . . 520 OAK AVE Parcel Number. . . . . . . 25.19.30.5AG-0705-0050 Old CID. . . . . . . . . . Subdivision . . . . . . . TWN OF SANFORD (TRAFFORDS MAP) Zoning . . . . . . . . . . SR1 SINGLE FAMILY Application type . . . . . HPB HISTORIC PRESERVATION Application date . . . . . 5/17/16 Tenant number, name . . . Master plan number, rev'wd by: CD Estimated valuation . . . Total square footage . . . 0 Public building . . . . . NO Work description, qty . . Pin number . . . . . . . . 198170 Application desc Replace broken glass panes/reglaze all paint Press Enter to continue. F3=Exit FS=Land inq F7=Appl names F8=Tracking inq F9=Bond inquiry F10=Fees F11=Receipts F12=Cancel F13=Val calcs F14=Misc info F24=More keys BP502I03 CITY OF SANFORD Inspection Inquiry - Inspection Selection Property address . . . . . . 520 OAK AVE Parcel Number . . . . . . . . 25.19.30.5AG-0705-0050 Application number . . . . . 16 00001096 Application type . . . . . . ROOFING APPLICATION Type options, press Enter. 1=Select Opt Str/Seq Pmt/Seq Inspection Type 000 000 ROOF 00 FINAL ROOF 000 000 ROOF 00 SHEATHING - ROOF 000 000 ROOF 00 ROOF DRY -IN 000 000 ROOF 00 ROOF DRY -IN F3=Exit F11=View 2 F12=Cancel Seq Insp 0001 JP 0001 SR 0001 SR 0002 SR 8/11/16 12:26:53 Result/Date AP 6/01/16 CA 5/09/16 CA 5/09/16 AP 5/10/16 Bottom PERMIT NO. ! CONTRACTOR: JOB ADDRESS: TYPE OF WORK: City of Sanford Building & Fire Prevention Division AUG 11 20% Residential Permit Card ISSUE DATE: A Post this permit in a conspicuous location outside Approved plans must be posted with permit for inspection I Leave all work uncovered until inspected and approved Permit expires 6 months from date of issue or last approved inspection PROTECT FROM WEATHER BUILDING INSPEC77ON TYPE /PPROV£D) REJECTED INSP R ELECTRICAL INSPEC77ON TYPE ,APPROVED REJECTED INSPECTOR FOOTER INSPECTION CS ` t0 ELECTRIC UNDERGROUND STEMWALL FOOTER/SLAB STEEL BOND FORMBOARD SURVEY T.U.G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH S LINTEL / TIE BEAM ELECTRIC FINAL f ZI / C SHEATHING - ROOF r MECHANICAL INSPECTON 77PE APPROVED REJ£CIED INSPECTOR ' SHEATHING - WALLS FRAME MECHANICAL ROUGH dINSULATIONROUGHINMECHANICALFINAL 14- AI", DRYWALL/SHEETROCK PL MBING INSPEC77ON TYPE APPROVED REJECTED INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUG FIREWALL SCREW TUB SETS % 6 FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL`/'/ FINAL SFR " t GAS INSPECTIONS INSPECTON TYPE APPROVED REJECTED INSPECTORROOF INSPEC77ON TYPE. APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL 6 f /, MISCELLANEOUS / FINAL INSPECTIONS INSPEC77ON TYPE APPROVED REJECTED INSPECTOR INSPECTON TYPE APPROVED REJECTED INSPECTOR PRE -DEMO FINAL DOOR FINAL DEMO FINAL WINDOW FINAL SOLAR PANELS IRRIGATION FINAL FINAL POOL SCREEN FINAL SCREEN ROOM FINAL UTILITY BUILDING FINAL BUILDING (OTHER) MOBILE HOME TIE -DOWN MOBILE HOME FINAL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY: A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: IN ADDITION TO THE REQUIREMENTS OF THIS PERMIT, THERE MAY BE ADDITIONAL RESTRICTIONS APPLICABLE TO THIS PROPERTY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES OR FEDERAL AGENCIES FBC105.3.3 REVISED: OCTOBER 2014 lospection Lioc: $55511.2112. REQVIDfgED R SPECT1ON SEQUENCE BP# & . f qi Address: 5 Zs 5. &.,W_ A4/1. VI`WIN, PERMIT Min Max fu ecttion DesczQ, fion Footer / Setback Stemwall Foundation./ Form Board Survey Slab / Mono Slab Prepour Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In Frame Insulation Rough In Firewall Screw Pattern Drywall / 'Sheetrock Lath Inspection Final Solar Final Roof Final Stucco / Siding Insulation Final Final Utility Building Final Door Final Window Final Screen Room Final:Pool Screen Enclosure Mobile .Home Building Final Pre -Demo Final Demo Final Single Family Residence Final Building (Other) REVISED: June 2014 Min MBA{ . 1(ffi I tCltll'I[I ICll till®n Electric Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final oaDI Electric Final Min Mays 1[ns , ecttion Deserij2flon Plumbing Underground Plumbing Sewer c9 Plumbing Tub Set c7tX7 Plumbing .Final I min M2X npsparinfian Min I Max Mechanical Rout Mechanical Final Gas Unde Gas Rou€ Gas Final Gel CITY OF SANFORD 3 2016 BUILDING & FIRE PREVENTION MAR PERMIT APPLICATION 1W BY: pip IpcationNo: Documented Construction Value: $ Job Address: J`_Zv 6- C-'AA—" 4119AIcsI_5 '`- Historic District: Yes 9No Parcel ID: Residential Commercial Type of Work: New Addition Alteration 'Repair Demo Change of Use Move Description of Work: 46PLACIy 6 4-1y4 yvRe p(IIAiNG A01?4_ , 1--Covxd Plan Review Contact Person: Phone: Fax: Title: Email:_'V Property Owner Information Name Street:/2Qy h City, State Zip: 32_77/ Phone: Resident of property? : /UJ Contractor Information Name / , /`'fi fTFiq// GO,EEI;Oq- ST•g2 L5z:-T&11- Street: City, State Zip: i.y.eeG 32 ??/ Name: Street: City, St, Zip: Bonding Company: Address: Phone: '47 y b '9 / Fax: State License No.: die /z3O1 Z 7 Architect/Engineer Inform. -`ion none: 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 regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional re"strictions applicable to this propertyKthat may befoundinthepublicrecordsofthiscounty, and there may be additional permitsrequired from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of'the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is 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: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Flood Zone: of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: ,T 1( UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: June 30, 2015 Permit Application Florida Star Electric, LLC 404 S. Palmetto Avenue Sanford, FL 32771 Phone: 407-416-8001 License # ER 13013250 E-mail: service floridastarelectric.com Job Estimate FOR: Brad Griffiths RighTurn, Inc. 520 Oak Avenue Sanford, FL 32771 Date: February 17, 2016 INSPECTION REPORT The original part of the house has knob and tube wiring (no ground). The addition has been wired with romex. SCOPE OF WORK Replace knob and tube wire circuits with copper wire(with ground) Replace fuse panel feeding the knob and tube circuits. Replace all switches and receptacles Add GFCI receptacles where required by code Install Smoke Detectors GENERAL PROVISIONS All work shall be completed in a professional manner and in compliance with all applicable building codes Contractor will provide all materials and all labor necessary to complete job PROPOSAL DETAILS The job will be permitted and inspected. The job will take approximately 9 to 10 working days This is a 2 story home and sheetrock will have to be cut in places to run new wires. I will make every effort to do as little damage as possible. Sheetrock repair is not included in price. TOTAL COST 9,000.00 30% deposit due at beginning of job. 30% due after rough inspection Balance due upon of completion of work and final inspection. Thank you for the opportunity to bid on the wiring upgrade for this home. If you have any questions, please feel free to contact me. I look forward to working with you soon. Contract Agreement IN WITNESS WHEREOF, the parties agree to the scope of the service provided and the terms of payment and duly affix their signatures under hand and seal. V 6- lY T(,)K L C (customer) contractor) lorida Star Electric, LLC N I I' , r, i F,. . r . i!i noticeofcommencement520 S oakn-' Pf a. i°i:i_{,! t,:_ r;;;;:+y;.:_ NOTICE OF COMMENCEMENT ! _... Permit Number: Parcel ID Number: 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) 520 OAi L li L of S 16r? C 6tAc - rV 2. GENERAL DESCRIPTION OF IMPROVEMENT: z ,W1^. IV, 3 Ij T&I T IS INSTRUMENT PREPARED Qjp 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:,•2r aG A= 76 v q z 7 eP10 Name and address: Interest in property: Fee simple Title Holder (if other than owner listed above) Name: Address: 4.. CONTRACTOR' Name: Phone Number: %7 a g^ziz - %t E, ,,- , Address: yof 5- '""o11 s . n -t z , 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number: Address: A//o+ 7. Persons within the state of Florida Designated by owner upon whom notice or other documents may be served as provided by Section Page 1 FIE OPY- MARYANNE MORSE CLERK OF Th" CWLOFI D COMP71iCJLLE s.V``. ;:'::tea.•` SEMiN ECO 2Q 106 sY oFPurrclb noticeofcommencement520 S Oak 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 owner or Lessee, or owner's or Lessee's (Print Name and Provide signatory's Title/office) Authorized officer/Director/Partner/Manager) state of county of Roe+po, VOI,Us'a The foregoing instrument was acknowledged before me this day of 20 I!o Q)*)tH rnl by V who is personally known to me . OR Name of person making statement Page 2 noticeofcommencement520 S oak who has produced identification . type of identification produced: r L hL SEAL Notary Signature Notary Public, State art Florida Commis6ono FF 131627 My s mm. @Wm4 duns 10, 2010 Page 3 SCPA Parcel View: 25-19-30-5AG-0705-0050 Page 1 of 1 0 MXG-On. ry; 011n,C Property Record Card R ,;: 13R.Q'PERTV Parcel: 25-19-30-5AG-0705-0050 RAISER_ Owner: WINDYCITY HOLDINGS LLC APPEl!. 9ll Nrf,,PLOAtOA Property Address: 520 OAK AVE SANFORD, FL 32771-1828 Parcel: 25-19-30- SAG -0705-0050 1 Property Address: 520 OAK AVE Owner: WINDYCITY HOLDINGS LLC Mailing: 7824 FORESTHILL LN #1DR PALOS HEIGHTS , IL 60463 Subdivision Name: SANFORD TOWN OF Tax District: S1-SANFORD Exemptions: DOR Use Code: 0102-SINGLE FAMILY - SANFORD HISTORICAL DISTRICT a Value Summary 2016 Working 2015 Certil Values Values Valuation Method Cost/Market Cost/Mark( Number of Buildings 1 1 Depreciated Bldg Value 138,311 184,331 Depreciated EXFT Value 1,760 1,760 Land Value (Market) 15,390 15,390 Land Value Ag Just/ Market Value 155, 461 201,481 Portability Adj Save Our Homes Adj 0 65,635 Amendment 1 Adj 0 Assessed Value 155,461 135,846 Tax Amount without SOH: $3, 2015 Tax Bill Amount $1, Tax Estimator Save Our Homes Savings: $1, Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 5 BLK 7 TR 5 TOWN OF SANFORD PB 1 PG 59 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund Schools 155, 461 155, 461 0 { $ 1! 0 $ 1! City Sanford SJWM( Saint Johns Water Management) County Bonds 155, 461 155, 461 155, 461 0 $ 1' 0 $ 1! 1 Sales Date Book Page Amount Qualified Vac/Imp rDescription IALWARRANTYDEED IFICATE OF TITLE 2/ 1/2016 08641 6/ 1/2015 08479 0382 1494 i $ 136, 500 No Improved 182, 400 No Improved WARRANTY DEED 2/1/1990 = 02157 1361 88,000 Yes Improved Find Comparable Sales within this Subdivision http:// www.scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AGO7050050 3/3/2016 A. Settlement Statement U.S. Department of Housing and Urban Development d0 OMB Approval No. 2502-0265 Gi r B. Type of Loan 1. O FHA 2. Q RHS 3. Conv. Uni ns. 4. VA 5. Conv. Ins. 6. File Number 7. Loan Number 8. Mortgage Insurance Case Number I 16-0178 C. Note: This form is fumished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.c.)" were paid outside the closing; they are shown here for information_ purposes and are not included in the totals. D. Name and Address of Borrower Rightum B, LLC 3301 Celery Avenue Sanford, FL 32771 E. Name and Address of Seller Windycity Holdings, LLC 3670 Maguire Road #360 Orlando, FL 32803 F. Name and Address of Lender G. Property Location 520 Oak Ave` a`nford, FL 32771 LOT 5 BLK 7 TR 5 TOWN OF SANFORD PB 1 PG 59 SEMINOLE H. Settlement Agent Southeast Professional Title, LLC 151 Southhail Ln, #230, Maitland, FL 32751 Place of Settlement 151 Southhail Lane, Ste 230 Maitland, FL 32751 1. Settlement Date 02/26116 OZ126118 J. SUMMARY OF BORROWER'S TRANSACTION: i K. SUMMARY OF SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER 101. Contract sales 142,000.00 , 401. Contract sales price 142 000.00rice 102. Personal property 402. Personal property_ 103. Settlement charges to borrower line 1400) _ i 2 599.28 { 403. _ 104. Reimburse acquisition dosing costs 460.50 1 404. Reimburse acquisition dosing costs 460.50 105. 405. Adjustments for Items paid by seller in advance Adjustments for Items paid by seller in advance 106. Non-AdValorem Assessments to 1406. Non-AdValorem Assessments to 107. County taxes to i 407. County taxes to 108, Assessments to 408. Assessments to 109. _ 409. _ 110. 410. _ 411. 112. i 412. 120. GROSS AMOUNT DUE FROM BORROWER 145 059.78 420. GROSS AMOUNT DUE TO SELLER 142 460.50 200, AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT TO SELLER 201. Deposit or earnest money 3,000.OD 501. Excess Deposit (see instructions) 202. Principal amount of new loan(s) 502. Settlement charges to seller (line 1400) 2,750.00 203. Existing loan(s) taken subject to 503. Existing loans taken subject to 204. l 504. Payoff of first mortgage loan 205. 505. Payoff of second mortgage loan 206. 1506. _ 207. 507. 208. -- 508. 209_ 509. Adjustments for items unpaid by seller _ AdJustments for Items unpaid by seller 210. Non-AdValorem Assessments to 510. Non-AdValorem Assessments _ to 211. County taxes 01/01/16 to 02/26/16 297.34 511. County taxes 01/01/16 to 02/26/16 297.34 212. Assessments to 512. Assessments to 213. 513. 214. 514. 215, i 515. Acquisition Closing Costs Real Advantage T 134,163.16 21. 51. - 217. 517. 218. 518. 219. 220. TOTAL PAID BY / FOR BORROWER 3,297.34 519. _ 520, TOTAL REDUCTION AMOUNT DUE SELLER 137 210.50I 300. CASH AT SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELLER 301. Gross amount due from borrower (line 120) _ 145.059.78 601. Gross amount Aue to seller (line 420). 142,460.50 302. Less amounts paid by/for borrower (line 220) 3,297.34 602. Less reduction amount due to seller line 520 137,210.50 303. CASH FROM BORROWER 141762-44 603. CASH TO SELLER 5,250.00 form HUD-1 (3186) ref Handbook 4305.2 7 L'o, / r I r MAR 3 0 2016 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Construction Value: $ „SQQ °a Job Address: O S . aA 1C. hi(f- Historic District: Yes No Parcel ID: Residential,, Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move 1, i JeL ) Description of Work: 'emd8i j », =xis ; a r' 0mr - bg dtroow 0Af1olQt0, J oat., VJ%.. V' 1C C nlfS Plan Review Contact Person: c i V_ P(U ri me,(- Title: A z?z Phone: 2S2-Z67-L177 Fax: 352-3`14-7glz Email: Zjte__ _ AnalgI NcysA . co Property Owner Information Name a rn4 u to R .6C Phone: Street: 3301 C i ePr v AiE Resident o pr T City, State Zip: _ A Contractor Information Name 1) y') q [,e C 1 (l G Phone: 35 2- 2 6 7- Li. -77 7 Street: I ( b `7 3 1 T-eg o a5 a( C Fax: -_LS Z- ZG 7- 7 It City, State Zip: C (ec-r`rlcyvtici--- i-1 State License No.: e i3 C l dLS 7 7 O,6 Architect/Engineer Information Name: /., 1Jo0Q EAJa : n-ee('1! Street: V O Sun s e f 5 f-cures c1 r City, St, Zip: F/ 3 LI 71, Bonding Company: Address: Phone: - s 2 - 311`I 45 `1 U Fax: E-mail: 45 Mortgage Lender: (O7 4P- 1 f Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT .MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction, I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with'the date of application and the code in effect as of that date: 5t' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application City of Sanford iBuilding1 Fire Prevention Product Approval Specification Form Permit # Project Location Address 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 Hun 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 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 e r - A P d rcl a ,, 2U Ie l A4533 — 9-13 Roofing slate n, cn 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 u 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 1 I ser`:.: NO 1 s . iz 4 C: 14 i t I e 61 F 4. j7j I 4OPF ws fr X Proposed Pier Location to PIER LOCATION PLAN RECORD COPY CONCRETE NOTES 1. SLAB AND FOOTINGS: 2500 psi (MIN.) 2. MASONRY UNITS: fm. = 1500 psi MORTAR TYPE 'S' OR 'M', 1800 psi 3. POURED GROUT = 3000 psi. 4. REINFORCEMENT: #5 Bar Grade 40 role]-. . ON CRAWL SPACE; FOUNDATIC META12 w/ 5-10d FINISH GRADE 0 r` ti U M f-- J ti Z Z -j U LL- ' L1.1 Q J N p U ZCDWC14 Q(0ZCY) UWti J Q Cl) mLLJ J LLZW z 0 J U0O C o Z U) CIO 24x24x10 w/ , PAGE l OF 1 3) #5 BAR EA. WAY .® .............................® Lildon Engineering Company, Inc. 920 Sunset Shores Dr. CP fv-7- 0( 0 Minneola, Florida 34715 352) 394-2590 Ph.& FAX Cert. Auth. # 2898 O16ENSE ••. ENGINEERING MEETS OR EXCEEDS No. 52583 2014 FLORIDA BUILDING CODE, FIFTH EDITION, CH. 16. STATE OF FLOR P,;: IS10'• FSSIONALE•' Apr. 11, 2016 Wayne A. Block PE # 52583 CITE' OF SANFORD FLORIDA FIRE DEPARTMENT BUILDING AND FIRE PREVENTION DIVISION 300 N. PARK AVE • SANFORD, FLORIDA 32771 407.688.5150 • 407.688.5152 FAX WWW.SANFORDFL.GOV To: Angler Inc. 16731 Tequesta Tr Clermont, FL 34715 Re: Foundation Stabilization 520 S. Oak Ave Sanford, FL 32771 BP# 16-941 April 19, 2016 v 0e0 Please be aware that the Building Official requires an affidavit from the Engineer of record for the final inspection for the stabilization of the building's foundation. No inspections will be performed by the Building Department. When work is complete, please provide the Building Department with a signed and sealed affidavit from the Engineer of record indicating a positive conclusion for the final inspection to complete this permit. Whenever a permit is issued in reliance upon an affidavit or whenever the work to be covered by a permit involves installation under conditions which, in the opinion of the building official, are hazardous or complex, the building official shall require that the architect or engineer who signed the affidavit or prepared the drawings or computations shall supervise such work. In addition, they shall be responsible for conformity to the permit, provide copies of inspection reports as inspections are performed, and upon completion make and file with the Building Official a written affidavit that the work has been done in conformity to the reviewed plans and with the structural provisions of the technical codes. In the event such architect or engineer is not available, the owner shall employ in his stead a competent person or agency whose qualifications are reviewed by the Building Official. The Building Official shall ensure that any person conducting inspections is qualified as a building inspector under Part III of Chapter 468, Florida Statutes. Sincerely, mi-w Steve Fiorey, CBO Plans Examiner City of Sanford 407.688.5065 steve.fiorey@sanfordfl.gov PRESSURE PIER MATERIAL SPECIFICATIONS PRESSURE PIER FOUNDATION BRACKET: PLATE (OR ANGLE): 5/8" THICK ASTM A36 FIR STEEL MINIMUM YIELD STRENGTH = 36 KSI WELDS: E70XX MINIMUM YIELD STRESS = 57 KSI MINIMUM TENSILE STRENGTH = 70 KSI BRACKET TUBE: 3.25" OD, 3.125" ID, ASTM A513 DOM GRADE, 1020 COLD DRAWN STEEL I I" LENGTH MINIMUM YIELD STRESS = 55 KSI MINIMUM TENSILE STRENGTH = 55 KST PUMP: SPX POWER TEAM ELECTRIC PUMP, RATED 10,000 PSI, 4" PRESSURE GAUGE PRESSURE PIER PILE: PIER TUBE: 2.00" OD, ASTM A513 DOM GRADE 1020 COLD DRAWN STEEL = 36" LENGTHS MINIMUM YIELD STRESS = 55 KSI MINIMUM TENSILE STRENGTH = 65 KSI PIER TUBE COUPLER: ASTM A513 DOM GRADE MINIMUM YIELD STRESS = 55 KSI MINIMUM TENSILE STRENGTH = 65 KSI PRESSURE PIER INSTALLATION SYSTEM: JACK: SHEFFER, 3-1/4" BORE, RATED 3,000 PSI NOMINAL 24,900 LBS) MASONRY WALL TOPBRACKET 2) 7/8" DIA j BOUIS OP' 5/8" DIA BRACKETPLATE LIHBOLS5iAx10xL". 41-16 7/8" DIA SETPIN w! 2 x6x12GI?SSET 3' 8" SIIPPENERS 3" SOH. 40 2.0" SC1iED 40 e GALV. SIT.. PIPE. SLEEVE GALV STEEL EELPIPE (PIER) x PIER LOCATION PLAN COMPETENTBEARING sTRALaGRROCK PINNING BRACKET & PIN ELEVATION O\j 0ILD O\ NG Sp'`FO O OEPI x P W LO LO 0 r-- ti rl— ZU) M Z J U QL ' w:5Q(.0 Z J J ON p U Z C ) Z Q Z U W ti t` chm1' J Z Z W LL 0 W p v0 LL C o Z M PAGE I) F 1 Lildon Engineering Company, Inc. 920 Sunset Shores Dr. Minneola, Florida 34715 352) 394- 2590 Ph. & FAX Cert. Auth. # 2898 mama,• A: B• No,583 ° 52 ° TAOF • c NAo arch 25, 2016 Wayne . dock PE # 52583 RECORD COPY City of Sanford Building and Fire Prevention PERMIT CONDITIONS Application #: 16-941 REVIEWED POR CODE COMPLIANCE Address: 520 S. Oak Ave Description of Work: Residential Alteration PLANS EXAMINER These comments are provided for the permit listed above only. DATE This sheet must remain with the approved set of plans and be made available to the inspector at the time of inspection All conditions must be met and strictly adhered to. Scope of Work: Replace Knob & Tube wire circuits Replace fuse panel Replace all switches/receptacles; Add GFCI per 2011 NEC Update home with smoke detectors Remodel Master Bath Replace A/C units (no ductwork) Foundation Stabilization * * SANFORD BUILDING DIVISION A PERMIT 196UED SHALL BE CONSTRUED TO BE A LICENSE TO PROCEED WITH THE WORK AND NOT AS AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING A CORRECTION OF ERRORS IN PLANS, CONSTRUCTION OR VIOLATIONS OF THIS CODE Tankless water heater, as described on C of A, is not included as it was not listed under the permit application description of work) Conditions 1. Work must be done in accordance within the guidelines and scope of the Certificate of Appropriateness. 2. **Foundation stabilization work will not receive an inspection by the building department. Follow the guidelines attached to the foundation stabilization engineering. The engineer report will be required to sign off on the Final Building inspection. 16"941 aBuildingdoesnotapproveanyworkoutsideofthehighlightedscopeofworkdetailedonthe attached Certificate of Appropriateness. If you experience any difficulty, please call 407.688.5150 for assistance. Revision VResponsetoComments 1 . MAY 18 2016 JBY: Permit # / 6 / `7 % Project Address: 'cL D =a (J Contact: / =,` Ph: % 0 % a O Email: X/, //f-j (- Trades encompassed in revision: Building Plumbing Electrical Mechanical Life Safety Waste Water Department Utilities Waste Water Planning Engineering Fire Prevention City of Sanford Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Submittal Date Fax: TIV ,4 L a G (:V^ General description of revision: W-as ROUTING INFORMATION Approvals 11 Building C,;r Z ,b- I(, Ty f 9z// RECORD COPY 2 ly SANFORD j7. 1f,- FpAR 16_941 4RECE — i MAY 11 916 I CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION BY. -_=- Application No: Q Documented Construction Value: $ ( "YO 0. C3 Job Address: VC) S ovOK Au-, 5;,mfi-y-d Historic District: Yes ET/No Parcel ID: Residential Commercial Type of Work: New Addition Alteration L`J Repair Demo Change of Use Move Elescription of Work: d~ /72/5,S7,, &-I'll /a C,Jva a- iC le ss w i C r1> 1/>a i i -t/.>1 5'%lam y r , / e ->7 d 6 n.... ,o (w -,rt % Ian Review Contact Person: Title: Phone: Name Fax: Email: Property Owner Information Phone: Street: Resident of property? City, State Ztpc;,, : N' °} µ `'.1i„] • i'I 1 k1 , 4hcl d i. /le: Contractor Information Nameeov1%^r` ci'` g^ r r Phone: 3 Q c1a7 ? Street: S— YU (lle yaso ,y Fax: '2,, ? G 9/7 0 City, State Zip: 0 n q Q State License No.: < : Fc_ o 5'7j oQ Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105. 3 Shall be inscribed with the date of application and the code in effect as of that date: 511 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID oil gnature of Contractor/Agent Date Print Contractor/Agent's Name 5 dIlQ ignature of Notary -State of FI AMANDA PLOOF Notary Public • State of Florida My Comm. Expires Apr 7, 2017 Commission # FF 005671 Contractor/Agent is 'PersolTarry Produced ID — -- Type of ID ----` onO 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: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application MAY 112016 J\ CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: (P o Documented Construction Value: S t o o S Historic District: Yes Q No Job Address: C (,C,LI Parcel ID: Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move 1 _ t Description of Work: R Gt.ce— ows i2lQ \„ r .J(Q P an Review Contact Person: ffiz F F 1( i S Title: 0 G Phone: , C7 1 0 1 O Fax: Email: Property Owner Information Name Phone: Street: Resident of property? s City, State,Zipzf til.. i1x I it i•^ r x 1 l ,. "; r ", `Contractor Information SX Name L= Phone: ,2 1 `l7) — C%% Street: .2 1 S C a" ru i Fax: 32 1 - 92 E- OR (c City, State Zip: % ' 1ZY r-r 'S cl] - 3` S 3 State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. . Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51' Edition (2014) Florida Building Code cf,1 Revised: June 30, 2015 Permit Application Ar-. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Date gignature of C actor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Print Contractor/Agent's N Signature c otaW,; late c 21pRV P(/e(` il\ilVi . L Contractor/Agent is Produced ID 5 l l-- ti ANNETTE SCM' Notary Public • State of Florida My Comm. Expires Jan 16. 2018 Commission # FF 071760 Bonded Throuo National Notary Assn. 7747 Personall Known to Me or Type of ID L _ L 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: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 1311 George Edwards Ct Merritt Island, FL 32953 321.482.2415 CAC1817237 energythrift@yahoo.com Name / Address Righturn,lnc. #7ui Bradley Griffiths 3301 Celery Avenue Sanford, FL 32771 I Terms I Upon Completion Date Estimate # 3/1 /2016 1692-3 Ship To 520 Oak Avenue Sanford, FL 32771-1828 I Description I Total Estimate to replace existing A/C equipment with new efficient equipment. Price includes 1) 4-ton split 7,500.00 system, 1) 4-ton package unit, safety float switch to prevent overflow of condensate drain, digital programmable thermostats, new copper lineset for the split system, disconnect at condenser and package unit, electrical connection from disconnect to unit, all labor, tax and permit. Price also includes thorough inspection and repairs to existing air distribution system as needed. Goodman 14 SEER A/C Systems (48,000 BTU each system) Warranty: TEN Years on all parts - ONE Year on labor Signature The above prices, specifications, and conditions are satisfactory. You are authorized to do the work. Payment will be made as outlined above. Total $7,500.00 B V t, D lWlof--01 Z) / 0, 4 5,0" cn z t,9 V6. 3/28/12016 s nirVcSLEGCii7N1Y, a.,a ian Property Address: 520 OAK AVE Owner: RIGHTURN B LLC Mailing: 3301 CLEERY AVE SANFORD, FL 32771 Subdivision Name: SANFORD TOWN OF Tax District: Sl-SANFORD Exemptions: SCPA Parcel View: 25-19-30-5AG-0705-0050 Property Record Card Parcel: 25-19-30-SAG-0705-0050 Owner: RIGHTURN B LLC Property Address: 520 OAK AVE SANFORD, FL 32771-1828 DOR Use Code: 0102-SINGLE FAMILY - SANFORD HISTORICAL DISTRICT t c akl Values Valuation Method Cost/Market Number of Buildings 1 I Cost/Market 1 c Depreciated Bldg Value $143,666 184,331 Depreciated EXFT Value i $1,760 1,760 Land Value (Market) j $15,390 15,390 Land Value Ag Just/Market Value $ 160,816 201,481 Portability Adj i w Save Our Homes Adj i $0 i $65 6 53 Amendment 1 Adj i $0 Assessed Value $160,816 135,846 Tax Amount without SOH: 2015 Tax Bill Amount Tax Estimator Save Our Homes Savings: Does NOT INCLUDE Non Ad Valorem Assessments 3,279.08 1,943.31 1,335.77 Legal Description LOT 5 BLK 7 TR 5 TOWN OF SANFORD PB1PG59 Taxes° R -VA"', 'r 4., f , S jY'` "Jz,'z Y+ ;k fi` Y }"Y .ti E .¢. I pS d ': > €+ ,.RP k l p" - f Value* rTaxing Authority t' rY , Fy ,r , ;Assessment Value .,= v Exempt Valuesr Taxable County General Fund ( $160,816 # $0 i $160,816 Schools $160,816 1 $0 $160,816 City Sanford A $ 160,816 : $0 $160,816 SJWM(Saint Johns Water Management) $160,816 j $0 $160,816 County Bonds $160,816 $0 i $160,816 Sales,' D e scrip b on Date Page Amounf Qualfiedr r Vac/Impr, p # Booker4 r , , SPECIAL WARRANTY DEED i 2/1/2016 08641 0382 t $136 500 I No Improved SPECIAL WARRANTY DEED 2/1/2016 08646 i 0441 $142,000 ( No I Improved CERTIFICATE OF TITLE 16/1/2015 j 08479 € 1494 1 $182,400 No i ImprovedIII i WARRANTY DEED 2/1/1990 02157 1361 s $88,000 S Yes ;Improved Find Comparable Sales within this Subdivision III Land' 2-MAR LandUalueANNx FRONT FOOT &DEPTH 2 57 117 0 i $270.00 ' $15,390 Building Information ~ r r T"o.3ta} g Dnon li,E x't zS°airIeIz~f?rAad,,J? tbVyalueSR'`e° :$ e: LrvmxS' Fs BasyAz`k,. I'SF ffI plValu* APpeVndaes http://www.scpafl.org/ ParceiDetail lnfo.aspx?PID=2519305AGO7050050 1/2 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Print Owner/Agent's Name Date G i ature of tractor/Agent Date Print Contractor/ Igent' sName Signature of Notary -State of Florida Date i i Owner/Agent is Personally Known to Me or Produced ID Type of M P ID of Florida LISA ANTONINI Notary Public - State of Florida My Comm. Expires May 21, 2018 Commission p FF 125242. to Me or BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Z Mechanical Plumbing Gas[-] Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: & I. '° UTILITIES: ENGINEERING: COMMENTS: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING:4_1q_.1(. Revised: June 30, 2015 Permit Application AFTER RECORDING — RETURN TO' t _ Angler Inc, NAR'iANHE t1ORSEr SGhlINOI..F COUNTY t I po box 632 CLERK OFCIRCUIT COURT & C:OMPTIMLIER 8K 6.`. 9 E•'9 626 ( 1N9s ) Minneola, r° FI. 34755 CLERK'S Y 201603317.115Mi ni RECORDED 0:. / 3fl1 !2016 11 n 5t 2 - 3 7 ill`s PERMITNUMBER' Rl <:.;()RC'Ii'aG FEES 25-t9-30-5ag-0705-0050 RECORDED E;'{ [ide,.t;ire TaxF°hoN°: NOTICE OF COMMENCEMENT n- ST The undersigned hereby given notice that improvement -will be made to certain real property, and in accordance with. Chapter 713.13 kV p Florida Statues, the following information is provided in the NOTICE OF COMMENCEMENT. 1. DESCRIPTION OF PROPERTY (Legal description &street address, if available) TAX FOLIO No.: 25-19 30 5ag-0705-0050 t SUBDIVISION BLOCK TRACT LOT BLDG UNIT lot 5 blk 7 tr 5 town of sanford pb 1 pg 59 2. GENERAL DESCRIPTION OF tNIPROVEIYIENT: 3. OWNER INFOPMATION: a. Name Rightum B LLC b. Address 3301 cleery Ave. Sanford Fl. 32771 c. Interestin property owner d. Name and address of fee simple titleholder (if other than Owner) none 4. CONTRACTOR'S NAME,ADDRESS AND PHONE NUMBER: Angler Inc. po box 632_Minneola FI 34755 352-394-3376 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: i. LENDER'S NAME, ADDRESS AND PHONE NUMBER: none 7. Identity of persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 71113 (])(a) 7., Florida Statutes: NAME, A DDRESS AND PHONE NUMBER: none In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1) (b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: none 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified): Jury 30 2016 Verification pursuant to Section 92.525, Florida Statutes Under Penalties of perjury, I declare th I have read the foregoing acid that the facts in it are. true to die best of my knowledge and belief (Section 92.525, Florida Statutes). State of Florida s, 1 e: o C'4 CountyofPlAls,Innl^'A 4- v w The foregoing instrument was acknowledged before me this _z_ day'of MQ. 2Q _ g ]j ; 5• ' Signature of Owner -Print Name and Provide Signatory's Title/Office watc Owner' s Authorized tcer/Director/Pnrtner/MaDager 9 aprZ yoyty gA e. vim' name of person) (type of authority,... e.g. officer, trustec, attorney in fact) ur For SAX _ nameofpartyonbehalfofwhominstrument was executed) 0 0 Q G 4 Personally known or y/fproduced the following type of identification; `O Z y rr Signature of Notary Public) `1 z JUUE M. BOWEPI Cr Notary Putllic, State of Horlda y Co FF 9 ap res Feb 7, 2020 CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: Brad & Cathy Griffiths for 520 S. Oak Avenue Sanford, FL 32771 DATE ISSUED: March 7, 2016 DATE EXPIRES: September 7, 2016 BP#16-710 Approved to replace 2 HVAC unites, in location depicted in Figure 1. Approved to re - roof 16'x18' flat roof with roll roofing. Approved to install tankless waterheater in location depicted in Figure 1. Foundation reinforcement, rewiring to eliminate know and tube, and replumbing will all require plans to be submitted to the 4 1 A. Building Department. 6ED 9 Christine Dalton, AICP Historic Preservation Officer/Community Planner Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? 0 YES NO Building *Depart ent Representative v1 1877 APPLICATION # 1,U--AC0 FOR A CERTIFICATE OF APPOPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.6145 to ensure your application is complete. General Information Downtown Commercial Historic District[] Residential Historic District Is this a retroactive request? Yes No Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes No Proposed improvements will affec he following elevations: North South East West X Property Address: LJ ZO ' Jr, fiA Property Owner Information Print Name: Mailing Address: _ SS O/ cc 6 Y' ' A16- ` Phone: 7 o p V 7 0!O F Email: /eZ6116.)AV /il/C PlT AIC C d1'^Signature: 5 Applicant/Agent Information Print Name: SA/9 E^ Mailing Address: Phone: ' Email: Signature: 7-OS BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE- OF- WORK' LISTED- -BELOW. YOU MUST CONTACT THE - BUILDING- DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTI4L FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE.. Signature: Cj Date: 313116 Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the -entire scope of work, including. changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688:5145 • www.sanfordfl.gov/HP APPLICATION # FOR A CERTIFICATE OF APPOPRIATENESS Suppjerental Information - Please use the space below to provide additional details regarding proposed work. Description of proposed work (continued from previous page): ONLY WORK SPECIFICALLY INDICATED ABOVE IS PERMITTED. ANY CHANGES TO THE BUILDING NOT LISTED ABOVE ARE NOT PERMITTED AND REQUIRE AN ADDITIONAL CERTIFICATE OF APPROPRIATENESS. ALLY ,Z, v r r5S 2 O#K i HISTORIC PRESERVATION BOARD - 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/1-P L F f ti1; 15 +t i 1 e a .I +•^ A. k•- .. --rt..:.°, rs T`"' Cz..eS ..c• .4:• pp sfm d... ) K. rp '• F .. t s j e c.a .•n , f, 1 21 }. C>,s t+^i S •' :• ii2 r `.- s a fl. •- zw -z:: tg•',' r R i* } 1!r' "i ,1'rWh `Y' `:i•Y.S:'' `t S1 Y t FJ•' ti r''k •• a t.i),'k h", ! j •:;..•,,C a ., ®c . '! :. 3 + ?y t :. ' i • t9 ti r : <fplp,rJ SLR:!+' .+ „ ,yr J •... q a 1 Y IVA per j • ,.cl^ J'. r .. t f _ . , tt •• f rY„ t + -. l.j . ,ii 1 it .adrisf`" `1 1 -i ^M s••i. YaT a Lx '^.i+!% f ..r +....\• p - c. ; it y t^• v.yap{.e `1! ,j; 5,• -fV'^. L ,5-1,i`3f..y chi+_E'L,w.i+R.L...L.(cI.i*`itti/.is"'i'':t'7Viba.2-huY5.'Sf..w i• A,r ( S;{•kv ti ' r,,i+l `x''j.k; i •5 = fiy;Mfe. at'' ~ t ti .,,f^?v ` `'4t j S , y 1e,,. <., A ! y:y 54 f+'yY f •,w.i`t'S! t {Jc• :2,t ti s 1 1.a J , r., 5 r ,p 't •,J ;,, us. e2 kt. ," S .µ, 5 rf t 'T f i:. W, :,•f^rpY/ i,•i;' }' : •'#+.i,+y,.a„MS 0 i v u r :•t"ai `,' r`y. . ra,f Cn t q,{?'nJ . ak i T; x , rJ`/ t*„i7`., T ' i's:x5r is3: ' a51x+ 1. '; --'e• y u- 3 "+.'K w r+ %Nr ., !t 'q,,i..c5. ti '. tJ , . J ? S+kR `C`y'"•3`ra 441ir. •'4'*'-1?.5r'"'z,.`q r `s ;,yc+ft.sVrc,f,\xf E" i. e+ , re M77'r el RUUD 7X rye '- `i .! \ , \\. •k Y1 p ?.; .. , 4 , ctJ RECm CITY OF SANFORD BUILDING & FIRE PREVENTION APR 12 2016 PERMIT APPLICATION Application No: Documented Construction Value: $- 3 n Job Add ress: 6-P 0 O A k CAA ' Gay) FOA *3D'1 I I Historic District: Yes No Parcel ID: 1-5 - I`l - 3 0 -!;AG 00 S — U O S O Residential N Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move 41: Description of Work: i'raYOOF L -5-1 LOA Id Y Lri yb' V4'e_Q J Mci -P) J t:.1 +0 en Lr1 Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information i Name 9T)AAVy_hJ `' C Phone: ._7 (00 q 2 J- 0 1 V C') Street: Cat r 3 SUE: City, State Zip: n 'd P L V Resident of property? Contractor Information a Name 1 ZZ i uy A- +` C AN-4,0 177UPhone: qT) 01 33 Street: a -l1 q C. Lcr Vd - --0 r+- DM Fax: City, State Zip: OP C_ 3 27 02 State License No.: CCc Architect/ Engineer Information Name: Phone: Street: Fax: _ City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address:. Address: WARNING TO OWNER: YOUR FAILURE TO. RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, 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: 5th Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application / NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Print Owner/Agent's Name Signature of Notary -State of Florida Date 1 Owner/Agent is Personally Known to Me or Produced ID Type of ID 0,A7J/27`) y >- l Signature of Contractor/Agent Date AN 4 !-0n7 /2/z.26 Print Contractor/Agent's Name of Florida Date MICHAEL LA.ROCK notary Public - State of Florida I minor. Expires Dec 26, 2u16 r Q, C:ommission # EE 055690 Contractor/Agent i Produced ID Type o BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps. Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONINGUTILITIES: ENGINEERING: FIRE: Flood Zone: of Stories: Plumbing.- # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: 5r + ' Q' 4- COMMENTS: PormoueD —Im W61k s Ow u 6ti GDF* - Revised: June 30, 2015 Permit Application 1 City o Sanford Building and Fire Prevention Permit # Project Location Address 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 U Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun 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 Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen a fl it vy-,L. IFLDS 33,-Kjl 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 u 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 u: LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: '-I - 1 I -- (6 I hereby name and appoint: ,N'l 1 L Z ,-- 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 specific permit and application for a o AIL RU C Street Address) tL 3'z7 Expiration Date for This Limited Power of Attorney: i I — I "? License Holder Name: A N CU State License Number: CC C_ tl 32 G L-1 Signature of License Holder: (!+ STATE OF FLORIDA COUNTY OF 0 Y-D! a b 1.1 The foregoing instrument was acknowledged before me this. 200 1 o , by jRrs —t Mn \4--?, to me or who has produce identification and who did (did not) take an oath. f day of who i ersonall known as O signature w ttJ 10 Y M- N U co nu ff1LA C, U w Notary Seal) ickwL bUC Print or type name J Q U d U 1 L ME w n Notary Public - State of E E Commission No. tfCT5 Gi V My Commission Expires: JO'2''aO'yp. Rev. 08.12) Date CERTIFICATE OF LIABILITY INSURANCE 1/5/2016 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. 1Holiday, FL 34691 727) 938-5562 Insurers Affording Coverage NAIC # insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer A: Lion Insurance Company 11075 InsurerB: 2739 U.S. Highway 19 N. Insurer C: Holiday, FL 34691 Insurer D: Insurer E: Coverages The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, tens or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Limits LTR INSRD Type of InsuranceI Policy Number Date Date MM/DD/YY) MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability Damage to rented premises (EA Claims Made ® Occur occurrence) g Med Exp Personal Adv Injury General aggregate limit applies per: Policy Project ® LOC General Aggregate Products - Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit EA Accident) Any Auto Bodily Injury All Owned Autos Per Person) Scheduled Autos Bodily Injury Hired Autos Non -Owned Autos Per Accident) Property Damage Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence AggregateOccur Claims Made Deductible A Workers Compensation and WC 71949 01/01/2016 01/01/2017 X wC StaterI OTH- Employers' Liability tory Limits ER E.L. Each Accident 1,000,000 Any proprietor/partner/executive officer/member E.L. Disease - Ea Employee 1,000,000excluded? NO If Yes, describe under special provisions below. E.L. Disease -Policy Limits 1,000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations/LocationsfVehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 91-67-594 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company": Rizzo Roofing, LLC Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s), while working in: FL. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or by calling (727) 938-5562. Project Name: FAX: 407-666-5152 / ISSUE 01-07-14 (TLD)/ REISSUE 10-22-14 (TLD) / REISSUE 08-04-15 (PH) REISSUE 12-03-15 (MV) Eggitn Dare 12 16 2013 CERTIFICATE HOLDER CANCELLATION CITY OF SANFORD Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to BUILDING DEPARTMENT do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. 300 N PARK AVE SANFORD, FL 32771 Kis.dn.' THIS INSTRUMENT PRVPARED BY: MARYitN1,-1L. HORSEY -JEMINOLE. COUNTY Name: CLERK OF CIRCUIT COURT In COMF'TROLLF_R Address: /iL'" BK 1166"' F'q 1050 Oc?f) 1 VL ' _ rSEMINOLECOLINTY CL.F:NA'S Y 2016037798 State of Florida RAL CHOICE RECORDED 04/12/ 1_11Chi 10'M'53 All Rr(' Ir, ORDING FEES $11-I , RECORDED BY hde-vt l' NOTICE OF COMMENCEMENT t Permit Number Parcel ID Number (PID) . z5 19 30 " ,• AG- — 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. DESCRIPTION OF PROPERTY (Legal description of the property and street address if available) f= fSacCAkPVCSANCS01t, 3.,1-7-7/ GENERAL DESCRIPTION OF IMPROVEMENT OWNER INFORMATION Name and address: CONTRACTOR Name and addrE Z e-, hf v/4V13 L_i* c 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 and address: In addition to himself, Owner Designates To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement: The expiration date 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 71.3.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS 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. I OUNTY F SEMINOLE 117> D —L jV1 . - r v X /` A— OWNERISS SIGNATUURq/ OWNERS PRINTED NAME NOTE: Per Florida Statute 713.13(1) (g)', owner must sign...... and noone else may be permitted to sign in his or her stead." The foregoing instrument before me this 60/1 day of 20 ` was acknowledged 1 personallyby / .Who is ersonall known to me b Name of person m kin sta nt OR who has produ did tification type of identification produced VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. d UNDER PENALTIES OF P RJ KY, I DECLARE THAT 1 HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE O:THE S7OF Y KNOWLEDGE AND BELIEF. 0 S ATURE OF NATURAL PERSON SIGNING ABC V z O Notary Public State of Florida Lr z C) tl W Q Douglas Oliver Notary SignatureMyCommissionFF137993 w i@apExpes 07/01/2018 n x2 z O r. td ' A Detail by Entity Name Page 1 of 2 Detail by Entity Name Florida Profit Corporation RIGHTURN INC Filing Information Document Number FEI/EIN Number Date Filed State Status Principal Address 3301 CELERY AVE SANFORD, FL 32771 Mailing Address 3301 CELERY AVE SANFORD, FL 32771 P15000068029 47-4822170 08/12/2015 FL ACTIVE Registered Agent Name & Address GRIFFITHS, BRADLEY 3301 CELERY AVE SANFORD, FL 32771 Officer/Director Detail Name & Address Title DP GRIFFITHS, BRADLEY 3301 CELERY AVE SANFORD, FL 32771 Title S GRIFFITHS, CATHRINE 3301 CELERY AVE SANFORD, FL 32771 Title T GRIFFITHS, BRADLEY, II http://search. sunbiz.orglInquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 4/ 11 /2016 Detail by Entity Name 0 Page 2 of 2 3301 CELERY AVE SANFORD, FL 32771 Annual Reports Report Year 2016 Document Images Filed Date 03/30/2016 03/30/2016 -- ANNUAL REPORT I View image in PDF format 08/12/2015 -- Domestic Profit View image in PDF format Copyright © and Privacy Policies State of Florida, Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/11 /2016 Detail by Entity Name Page 1 of 2 Detail by Entity Name Florida Limited Liability Company RIGHTURN B LLC Filing Information Document Number L15000168665 FEl/EIN Number NONE Date Filed 10/05/2015 Effective Date 10/05/2015 State FL Status ACTIVE Principal Address 3301 CELERY AVE. SANFORD, FL 32771 Mailing Address 3301 CELERY AVE. SANFORD, FL 32771 Registered Agent Name & Address RIGHTURN INC 3301 CELERY AVE. SANFORD, FL 32771 Authorized Person(s) Detail Name & Address Title MGR RIGHTURN INC 3301 CELERY AVE SANFORD, FL 32771 Title MGR RIGHTURN INC 3301 CELERY AVE. SANFORD, FL 32771 Annual Reports No Annual Reports Filed http://search.sunbiz.org/Inquiry/CorporationSearchIScarchResultDetail?inquirytype=Entity... 4/ 11 /2016 Detail by Entity Name Page 2 of 2 Document Images 10/05/2015 -- Florida Limited Liability View image in PDF format Copyright © and Privacy Policies State of Florida, Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/11 /2016 1~lonaa Bunning Uwe Un11ne rage 1 oI Lt i RECORD Copy xSr(, y .Je . ,a4".-"'r"+r``,'^. bwty +. i,;"r s. P. .•,,,il'7i ,' 3. .11 Ili; t. fvrld3 DcpoarrT''2flir" BCIS Home ;Log In User Registration Hot Topics I Submit Surcharge Stats B Farts Publications I FBC Stall ;' BCIS Slte Map Links Search Business's )' aProfessional ProductSERvblicUseroval Regulation Product Aooroval Menu > Product or Application Search > Application List > ApplIcation Detail FL # FL2533-R13 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method CertainTeed Corporation -Roofing 18 Moores Road Malvern, PA 19355 610)651-5847 mark.d.harner@saint-gobain.com Mark Harper mark.d.harner@saint-gobain.com Mark D. Harper 18 Moores Road Malvern, PA 19355 610) 651-5847 Mark.D.Harner@saint-gobain.com Roofing Modified Bitumen Roof System G 1 6 - 1 0"96 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 Nleminen the Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 07/03/2017 Validated By John W. Knezevich, PE RI Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By FL2533 R13 COI 2015 01 COI Nieminen.odf Standard ASTM D6162 ASTM D6163 ASTM D6164 ASTM D6222 ASTM D6509 FM 4470 FM 4474 Year 2000 2000 2005 2008 2009 1992 2004 a https://www.floridabuilding.orglpr/pr app_dtl.aspx?param=wGEVXQwtDgvweIwRFXRv... 8/11/2015 rionaa nuuaing t,oae unttne Page 2 of 2 Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Products t Method i Option D 03/16/2015 04/07/2015 04/11/2015 06/23/2015 FL # Model, Number or Name Description 2533.1 Flintlastic Modified Bitumen Modified Bitumen Roof Systems Roof Systems Limits of Use Approved for use in HVHZ: No Installation Instructions FL2533 R13 II 2015 03 FINAL2 Al ER CERTAINTEED MODBIT FL2533- Approved for use outside HVHZ: Yes R13.Ddf Verified By: Robert Nieminen, PE PE-59166ImpactResistant: N/A Design Pressure: +N/A/-630 Other: 1.) Refer to ER Section 5 for Limits Created by Independent Third Party: Yes Evaluation Reports of Use. 2.) The design pressure noted in this application relates to one specific system. FL2533 R13 AE 2015 03 FINAL2 ER CERTAINTEED MODBIT FL2533- R13.odf Refer to the ER Appendix for all systems and Created by Independent Third Party: Yesmaxdesignpressures. Back Next Contact U :: 1940 North Monroe Street Tallahassee FIL 3239 Phone: 850-487-1824 The State of Florida is an WEED employer. Coovrioht 2007-2013 State of Florida :: Privacy Statement :: Accessibility t t m nt :: Refund Statemenr Under Florida law, email addresses are public records. If you do not want your e-mal address released in response to a public -records request, do not sendelectronicmailtothisentity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. 'Pursuant toSection455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 4S5, F.S. must provide the Department with an email address iftheyhaveone. The emails provided maybe used for official communication with the licensee. However email addresses are public record. Ifyou do not wish tosupplyapersonaladdress, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee underChapter455, F.S., please click here_. Product Approval Accepts: 9.9 LiM==3 Ett¢d 09 Cre littps://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgvweIwUXRv... 8/11/2015 V TRINITY i ERD APPENDIX 1: ATTACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE Table Deck Application Type Description 1A Wood New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover Page 1B Wood New, Reroof (Tear -Off) or Recover B Mech. Attached Base Insulation, Bonded Top Insulation, Bonded Roof Cover 5-6- 1C Wood New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 7 1D Wood New, Reroof (Tear -Off) or Recover D Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 8-9 3E-1 Wood New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 10-11 _ 12-141E-2 Wood New, Reroof (Tear -Off) or Recover E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 15-161FWoodNeworReroof (Tear -Off) F Non -Insulated, Bonded Roof Cover 2A Steel or Conc. New, Reroof (Tear -Off) or Recover B Mech. Attached Base Insulation, Bonded Top Insulation, Bonded Roof Cover 16 17-192BSteelorConc. New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 2C Steel or Conc. New, Reroof (Tear -Off) or Recover D Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 20-24 3A Concrete New or Reroof (Tear -Off) A-1 Bonded,, Insulation, Bonded Roof Cover 25-26 27-343BConcreteNeworReroof (Tear -Off) A-3 Bonded Temp Roof/Vapor Barrier, Bonded Insulation, Bonded Roof Cover 35 3C Concrete New or Reroof (Tear -Off) F Non -Insulated, Bonded Roof Cover 4A LWIC New or Reroof (Tear -Off) A-1 BondedInsulation, Bonded Roof Cover 35 36- 37 4BLWICNeworReroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover B8 4CLWICNew, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 39-43 5A CWF New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 44 5B CWF New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 45 5C CWF New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 45 5D CWF New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 46 6A Gypsum Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 47-48 6B Gypsum Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 49 6C Gypsum Reroof (Tear -Off) C Mech. Attached Insulation, Bonded Roof Cover 49 6D Gypsum Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 50 7A Various Recover A-1 Bonded Insulation, Bonded Roof Cover 51-57 7B Various Recover F Non -Insulated. Bonded Roof Cover The following notes apply to the systems outlined herein: The roof system evaluation herein pertains to above -deck roof components. Roof decks shall be in accordance with FBC requirements to the satisfaction of the AHJ. Load resistance of the roof deck shall be documentedthroughpropercodifiedand/or FBC Approval documentation. Unless otherwise noted, fasteners and stress plates for insulation attachment shall be as follows. Fasteners shall be of sufficient length for the following engagements: Wood Deck: OMG #14 Roofgrip with Flat Bottom Plate (Accutrac), OMG HD with OMG 3 in. Galvalume Steel Plate, Dekfast #14 with Hex Plate or 3" Round Insulation Plate, Trufast HD with Trufast 3" Metal Insulation Plates or FlintFast 014 Fastener with FIintFast 3" Insulation Plates. Minimum 0.75-inch plywood penetration or minimum 1-inch wood plank embedment. SteelDeck: OMG #12 or #14 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG #12 Standard or HD with OMG 3 in. Galvalume Steel Plate, Dekfast #12 or #14 with Hex Plate or 3" Round Insulation Plate, Trufast DP or HD with Trufast 3" Metal Insulation Plates or FlintFast #12 or #14 Fastener with FlintFast 3" Insulation Plates. Minimum 0.75-inch steel penetration and engage the top flute of the steel deck. Concrete Deck: OMG #14 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), CMG HD or CD-10 with OMG 3 in. Galvalume Steel Plate, Dekfast #14 or DekSpike with Hex Plate or 3" Round Insulation Plate, Trufast HD or CF with Trufast 3" Metal Insulation Plates or FlintFast #14 Fastener with FlintFast 3" Insulation Plates. Minimum 1-inch embedment. Fasteners installed with a pilot hole in accordance with the fastener manufacturer's published installation Instructions. Exterior Research and Design, LLC. d/b/a Trinity( ERD Evaluation Report 3520.03.04-R14 for FL2533-R13 CertificateofAuthorization #9503 Revision 14: 03/27/2015 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 1 of 57 1,1 TRIM- Y j ERD 3. Unless otherwise noted, Insulation may be any one layer or combination of polyisocyanurate, polystyrene, wood fiberboard, perlite, GlasRoc Roof Board or gypsum -based roof board that meets the QA requirementsofF:A.C. Rule 61G20-3 and is documented as meeting FBC 1505.1 and, for foam plastic, FBC 2603.4.1 or 2603.8, when Installed with the roof cover. 4. Minimum 200 psi, minimum 2-Inch lightweight Insulating concrete may be substituted for rigid insulation board for System Type D (mechanically attached base sheet, bonded roof cover), whereby the base sheetfastenersareinstalledthroughtheLWICtoengagethestructuralsteelorconcretedeck. The structural deck shall be of equal or greater configuration to the steel and concrete deck listings. S. Unless otherwise noted, insulation adhesive application rates are as follows. Ribbon or bead width is at the time of application; the ribbons/beads shall expand as noted in the manufacturer's published instructions. Hot asphalt (HA): Full coverage at 25-30 Ibs/square Ashland Pliodeck (A-PD): Continuous 0.75 inch wide ribbons, 12-Inch o.c. Ribbons of subsequent layers shall be perpendicular to those in the layer below. Dow Insta-Stik (D-IS): Continuous 0.75 to 1 inch wide ribbons, 12-Inch o.c. Dow Spray-N-Grip (D-SG): Full coverage Millennium One Step Foamable Adhesive (M-OSFA): Continuous 0.25 to 0.5-inch wide ribbons,12-Inch o.c. Millennium PG-1 Pump Grade Adhesive (M-PG3): Continuous 0.5 to 0.75-inch wide ribbons, 12-inch o.c. OMG OlyBond 500 or OlyBond Green (OB500): Continuous 0.75-Inch wide ribbons, 12-inch o.c. (PaceCart or SpotShot) 3M CR-20: Continuous 2.5 to 3-inch wide ribbons,12-inch o.c. (Note: TITESET may be used where CR-20 is referenced). Note: When multiple layersts) of insulation and/or coverboard are installed in ribbon -applied adhesive, adhesive ribbons shall be staggered from layer -to -layer a distance of one-half the ribbon spacing. Note: The maximum edge distance from the adhesive ribbon to the edge of the Insulation board shall be not less than one-half the specified ribbons spacing. 6. Unless otherwise noted, all insulations are flat stock or taper board of the minimum thickness noted. Tapered polyisocyanurate at the following thickness limitations may be substituted with the following MaximumDesignPressure (MDP) limitations. In no case shall these values be used to 'Increase' the MOP listings in the tables; rather if MOP listing below meets or exceeds that listed fora particular system in the tables, thenthethinnerboardlistedbelowmaybeusedasadrop -in for the equivalent thicker material listed in the table: Ashland Pliodeck (A-PD) @ 12-inch o.c. MDP -10510 psf (Min. 1.0-Inch) Ashland Pliodeck (A-PD) @ 6-Inch o.c. MDP -2775 psf (Min. 1.0-inch) Dow Insta-Stik (D-IS): MDP -120.0 psf (Min. 1.0-inch) Millennium One Step Foamable Adhesive (M-OSFA): MDP -157.5 psf (Min.1.0-inch) Millennium PG-1 Pump Grade Adhesive (M-PG1): MDP -157.5 psf (Min. 1.0-inch) OMG OlyBond 500 (06500): MDP -45:0 psf (Min. 0.5-inch Multi -Max FA3) OMG OlyBond 500 (OB500): MDP -187.5 psf (Min. 0.5-inch ISO 95+ GL) OMG OlyBond 500 (OB500): MDP -315.0 psf (Min. 0.5-Inch ENRGY 3) OMG OlyBond 500 (OBS00): MDP -487:5 psf (Min. 0.5-Inch ACFoam II) 3M CR-20: MDP -117.5 psf (Min. 1.0-inch) 7. Bonded polyisocyanurate insulation boards shall be maximum 4 x 4 ft. 8. For mechanically attached components or partially bonded insulation, the maximum design pressure for the selected assembly shall meet or exceed the Zone 1 design pressure determined in accordance with FBCChapter16, and Zones 2 and 3 shall employ an attachment density designed by a qualified design professional to resist the elevated pressure criteria. Commonly used methods are RAS 117 and FM LPDS 1-29. Assemblies marked with an asterisk* carry the limitations set forth in Section 2.2.1.5.1(a) of FM LPDS 1-29 for Zone 2/3 enhancements. 9. For fully bonded assemblies, the maximum design pressure for the selected assembly shall meet or exceed critical design pressure determined in accordance with FBC Chapter 16, and no rational analysis is permitted. 10. For mechanically attached components over existing decks, fasteners shall be tested in the existing deck for withdrawal resistance. A qualified design professional shall review the data for comparison to theminimumrequirementsforthesystem. Testing and analysis shall be in accordance with TAS 105 or ANSI/SPRI FX-1. 11. For existing substrates in a banded recover or re -roof installation, the existing roof surface or existing roof deck shall be examined for compatibility and bond performance with the selected adhesive, and the existingroofsystem (for recover) shall be capable of resisting project design pressures on its own merit to the satisfaction of the AHJ, as documented through field uplift testing in accordance with ASTM E907, FM LPDS 1-52, ANSI/SPRI IA-1 or TAS 124. 12. For Recover Applications using System Type D, the insulation is optional; however, the existing roof system shall be suitable for a recover application. Exterior Research and Design, I.I.C. d/b/a Trinity ) ERD Evaluation Report 3520.03.04-1114 for FL2533-R13CertificateofAuthorization #9503 Revision 14: 03/27/2015Preparedby: Robert Nieminen, PE-59166 Appendix 1, Page 2 of 57 ter TRINITY I ERD 13. Unless otherwise noted, refer to the following references for bonded base, ply or cap sheet applications. CERTAINTEED FUNTLASTIC° MODIFIED BITUMEN COMPONENTS & APPLICATION METHODS Reference Layer Material Application BP -AA Base Glasbase; All Weather/Empire Base; Flexiglas Base; Fltntlastic Base 20 Base and Ply sheets, Asphalt- Applied) Hot asphalt at 20-40 lbs/squarePlyFlintglasPlySheetTypeIV, Flintglas Premium Ply Sheet Type VI BP AA2 Base, Spot -Asphalt -Applied) Base Yosemite Venting Base Hot asphalt in 24-Inch diameterspots in 30- Inch grid pattern BP- AA3 Base, Spot -Asphalt -Applied) Base Yosemite Venting Base Hot asphalt in 9-inch diameter spots in grid pattern noted herein. BP AA4 Base, Strip -Asphalt -Applied) Base Yosemite Venting Base Hot asphalt in 9-inch wide ribbons spaced as noted herein. BP- CA2 Base/Ply Glasbase; All Weather/Empire Base; Flexiglas Base; Flintlastic Base 20 Henry #903 Adhesive at 1.5 gal/square BP- CA3 Base/Ply Glasbase; All Weather/Empire Base; Flexiglas Base; Flintlastic Base 20 Millennium Hurricane Force Membrane Adhesive, beads spaced 6-inch o.c. Base Flintlastic Base 20; Flintlastic Poly 5MS Base; Flintlastic Ultra Poly SMS Base Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base SBS-AA Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual SBS, Asphalt -Applied) Hot asphalt at 20-40 Ibs/square Cap Cap; Flintlastic FR-P; Flintlastic FR-P CoolStar, Flintlastic Premium FR-P; Flintlastic Premium FR-P CoolStar; Flintlastic GMS; Flintlastic GMS CoolStar; Flintlastic Premium GMS; Flintlastic Premium GMS CoolStar Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base SBS- CAI Flint8ond Brush or Karnak No. 81 Cold Note: Base ply cures overnight prior to application of the cap ply. SBS, Cold -Applied) Process Modified Bitumen Adhesive Brush FlintlasticFRCap30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual Cap; Flintlastic FR-P; Flintlastic FR-P CoolStar; CapFlintlastic Premium FR-P; Flintlastic Premium FR-P CoolStar Grade at 1 gat/square Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base SBS- CA2 Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual SBS, Cold -Applied) Henry #903 Adhesive at 1.5 gal/square. Cap Cap; Flintlastic FR-P; Flintlastic FR-P CoolStar; Flintlastic Premium FR-P; Fltntlastic Premium FR-P CoolStar; Flintlastic GMS; Flintlastic GMS CoolStar; Flintlastic Premium GMS; Flintlastic Premium GMS CoolStar Base Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base SBS- CA3 Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Flintlastic Ultra Poly SMS Base SBS, Cold -Applied) Millennium Hurricane Force Membrane Adhesive, beads spaced 6-inch o.c. FlintlasticCap30; Flintlastic Cap 30 CoolStar; Flintlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; Flintlastic FR Dual Cap Cap; Flintlastic FR-P; Flintlastic FR-P CoolStar; Flintlastic Premium FR-P; Fltntlastic Premium FR-P CoolStar; Flintlastic GMS; Flintlastic GMS CoolStar; Flintlastic Premium GMS; Flintlastic Premium GMS CoolStar Exterior Research and Design, U.C. d/b/a Trinity] ERD Certificate of Authorization #9503 Prepared by: Robert Nieminen, PE-59166 Evaluation Report 3520.03.04-1114 for FL2533-1113 Revision 14: 03/27/2015 Appendix 1, Page 3 of 57 TRINITY! ERD CERTAINTEED FDNTLASTIC® MODIFIED BITUMEN COMPONENTS & APPLICATION METHODS (CONTINUED) Reference Layer Material Application _ Base Flintlastic Ultra Poly SMS Base; Flintlastic Base 20 T SBS-TA Ply Flintlastic Ultra Poly SMS Base; Flintlastic Base 20 T SBS, Torch -Applied) Torch -Applied Cap Flintlastic FR Cap 30 T; Flintlastic FR Cap 30 T CoolStar; Flintlastic GTS; Flintlastic GTS CoolStar; Flintlastic GTS-FR; Flintlastic GTS-FR CoolStar; FlintClad APP-TA Base Flintlastic APP Base T; Flintlastic STA; Flintlastic STA Plus Ca P Flintlastic STA; Flintlastic STA Plus; Flintlastic GTA; Flintlastic GTA CoolStar; Flintlastic GTA-FR; Flintlastic GTA-FRAPP, Torch -Applied) Torch -Applied CoolStar SBS-SA-H SBS, Self -Adhering, Hybrid Base/Ply Black Diamond Base Sheet; Flintlastic Ultra Glass SA Self -AdheringSystems) SBS-SA Base Flintlastic SA PlyBase; Flintlastic SA Mid Ply Ply Flintlastic SA PlyBase; Flintlastic SA Mid PlySBS, Self -Adhering) Self -Adhering Cap Flintlastic SA Cap; Flintlastic SA Cap CoolStar; Flintlastic SA Cap FR; Flintlastic SA Cap FR CoolStar 14. Insulation is optional for Recover or Concrete Deck Applications using System Type D (Mechanically Attached Base Sheet, Bonded Roof Cover). 15. "MDP" = Maximum Design Pressure is the result of testing for wind load resistance based on allowable wind loads. Refer to FBC 1609 for determination of design wind loads. Exterior Research and Design, LLC, d/b/a Trinity I ERD Evaluation Report 3520.03.04-1114 for FL2533-1113CertificateofAuthorizationH9503 Revision 14: 03/27/2015 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 4 of 57 J TRINITY ERD TABLE 1A: WOOD DECKS —NEW CONSTRUCTION OR REROOF (TEAR -OFF) SYSTEM TYPE A-2: MECHANICALLY ATTACHED ANCHOR SHEET, BONDED INSULATION, BONDED ROOF COVER System Deck Anchor Sheet Base insulation Top Insulation Roof Cover MDPNo. (See Note 1) Type Fasteners Attach Type Attach Type Attach Base Ply Cap (psf) SELF -ADHERING SYSTEMS: Min. 19/32- Glasbase, All Weather Empire, 32 ga., 1-5/8- 9-inch o.c. in 4-inch Min. 1.5-inch inch Flexiglas Base, inch dia. tin lap and 12-inch o.c. ACFoam II, Min. 0.25-Inch W-1 plywood at Flintlastic Base 2 caps with 11 ga. In two, equally FlintBoard ISO, HA Dens Deck HA SBS-SA Optional) SBS-SA 45.0* max. 24-inch Poly SMS; Ultra Polyo annular ring spaced, staggered ENRGY-3 H-Shield primed with SBS-SA spans SMS; Yosemite shank nails center rows or Multi -Max FA3 FlintPrime SA HA full Min, 19/32- Glasbase, All 32 ga., 1-5/8- 8-inch o.c. in 3-inch Min. 1.5-inch coverage or HA full Inch Weather Empire, Inch dia. tin lap and 8-Inch o.c. ACFoam 11, OB500, M- Min. 0.25-inch coverage or W-2 plywood at Flexiglas Base, Poly caps with 11 ga. in three, equally FlintBoard ISO, OSFA, A- Dens Deck OB500, M- SBS-SA Optional) max. 24-inch SMS or Ultra Poly annular ring spaced, staggered ENRGY-3; H-Shield PD, D-IS or primed with OSFA, A-PD, D- SBS-SA SBS-SA 52.5 spans SMS shank nails center rows or Multi -Max FA3 CR-20, 4- FlintPrime SA IS or CR-20, 6- Inch o.c. inch o.c. Min.19/32- 32 ga., 1-5/8- 8-inch o.c. in 3-inch Min. 1.5-inch Inch Yosemite Venting inch dia. tin lap and 8-inch o.c. ACFoam 11, Min. 0.25-inch W 3 plywood at Base Sheet caps with 31 ga. in three, equally FllntBoard ISO, HA Dens Deck HA SBS-SA Optional) S85-SA 52.5max. 24-inch annular ring spaced, staggered ENRGY-3, H-Shield primed with SBS-SA spans shank nails center rows or Multi -Max FA3 FlintPrime SA HA full Min. 19/32- Glasbase, All 32 ga., 1-5/8- 8-inch o.c. in 3-Inch Optional) Min. or Min. 0.25-Inch HA fullcoverage Inch Weather Empire, inch dia, tin lap and 8-inch o.c. 1.5-inch ACFoam OB500, M- K coverage or W-4 plywood at Flexiglas Base, Poly caps with 11 ga. in three, equally 11, FlintBoard 150, OSFA, A- Gypsum- 08500, M- SBS-SA Optional) SBS-SAmax. 24-inch SMS or Ultra Poly annular ring spaced, staggered ENRGY-3; H-Shield PD, D-IS or Roof BoardRoof Board OSFA,A-PD, D- SBS-SA 60.0 spans SMS shank nails center rows or Multi -Max FA3 CR-20, 4- primed with IS or CR-20, 6- inch o.c. FlintPrime SA inch o.c. Min. 19/32- 32 ga., 1-5/8- 8-inch o.c. in 3-inch Optional) Min. Min. 0.25-inch Inch Yosemite Venting inch dia. tin lap and 8-Inch o.c. 1.5-Inch ACFoam SECUROCK W-5 plywood at Base Sheet caps with 11 ga. in three, equally II, FlintBoard ISO, HA Gypsum -Fiber HA SBS-SA Optional) SBS-SA 60.0max. 24-inch annular ring spaced, staggered ENRGY-3, H-Shield Roof Board SBS-SA spans shank nails center rows or Multi -Max FA3 primed with FlintPrime SA HYBRID SYSTEMS: Min. 19/32- Glasbase, All Weather All 32 ga., 1-5/8- 9-inch o.c. in 4-inch Min. 1.5-inch inch Flexiglas Base, inch dia. tin lap and 12-inch o.c. ACFoam II, Optional) SBS-AA, W-6 plywood at Flintlastic Base 20; caps with 11 ga. in two, equally FlintBoard 150, HA None N/A SBS-SA- BP -AA, SBS- SBS-TA 45.0* max. 24-inch Poly SMS; Ultra Poly annular ring spaced, staggered ENRGY-3, H-Shield H AA, SBS-TA or APP- s ansP SMS; Yosemite shank nails center rows or Multi -Max FA3 orAPP-TA TA Exterior Research and Design, I.I.C. d/b/a Trinity I ERD Evaluation Report 3520.03.04-R34 for FL2533-R33CertificateofAuthorizationN9503 Revision 14: 03/27/2015 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 5 of 57 TRINITY , ERD TABLE IA: WOOD DECKS —NEW CONSTRUCTION OR REROOF (TEAR -OFF) SYSTEM TYPE A-2: MECHANICALLY ATTACHED ANCHOR SHEET, BONDED INSULATION, BONDED ROOF COVER System Deck Anchor Sheet Base Insulation Top Insulation Roof Cover MDP No. See Note 1) Type Fasteners Attach Type Attach Type Attach Base Ply Cap psf) Min. 19/32- 32 ga., 1-5/8- 8-inch o.c. in 3-inch Min.1.5-inch Inch Glasbase; Flintglas. inch dia. tin lap and 8-inch o.c. ACFoam II, Optional) SBS-AA, W 7 plywood at Premium Ply Sheet caps with 11 ga. in three, equally FIIntBoard ISO, HA None N/A SBS-SA- BP -AA, SBS- 60.0 max. 24-inch Type VI; Yosemite annular ring spaced, staggered ENRGY-3,' H-Shield H AA, SBS-TA or APPorAPP- shank nails center rows or Multi -Max FA3 or APP-TA TA CONVENTIONAL SYSTEMS: Min. 19/32- Glasbase, All Weather Empire, 32 ga., 1-5/8- 9-inch o.c, in 4-inch Min. 1.5-Inch Min. 0.25-inch BP -AA, Inch Plexiglas Base, inch dia. tin lap and 12-inch o.c. ACFoam II, Dens Deck SBS-AA, Optional) SBS-AA, W-8 plywood at Flintlastic Base 20; caps with 11 ga. In two, equally FIIntBoard ISO, HA primed with HA SBS-TA BP -AA, SBS- SBS-TA 45.0' max. 24-Inch Poly SMS; Ultra Poly annular ring spaced, staggered ENRGY-3, H-Shield FlintPrime (ASTM or APP- AA, SBS-TA or APP- spans SMS; Yosemite shank nails center rows or Multi -Max FA3 D41) primer TA or APP-TA TA Min. 19/32 Glasbase, All 32 ga., 1-5/8- 8-inch o.c. in 3-Inch Min. 1.5-inch HA full coverage or Min. 0.25-Inch HA full BP -AA, inch Weather Empire, inch dia, tin lap and 8-inch o.c. ACFoam II, OB500, M- Dens Deck coverage or SBS-AA, Optional) SBS-AA, W-9 plywood atPY'N Flexi las Base, Poly8Y caps with 11 a. P B in three, equallyqY FIIntBoard ISO, OSFA, A- primed with 08500, M- SBS-TA BP -AA, SBS- SBS-TA 52.5 max. 24-inch SMS or Ultra Poly annular ring spaced, staggered ENRGY-3 H-Shield PD, D-IS or FlintPrime (ASTM OSFA, A-PD, D- or APP AA, SBS-TA or APP- spans SMS shank nails center rows or Multi -Max FA3 CR-20, 4- D41) primer IS or CR-20, 6- TA or APP-TA TA inch o.c. inch o.c. Min. 19/32- 32 ga., 1-5/8- 8-inch o.c. in 3-Inch Min. 1.5-Inch Min. 0.25-inch BP -AA, inch Yosemite Venting inch dia. tin lap and 8-inch o.c. ACFoam II, Dens Deck SBS-AA, Optional) SBS-AA, W-10 plywood at Base Sheet caps with 11 ga. in three, equally FIIntBoard ISO, HA primed with HA SBS-TA BP -AA, SBS- SBS-TA 52.5 max. 24-inch annular ring spaced, staggered ENRGY-3y H-Shield FlintPrime (ASTM or APP- AA, SBS-TA or APP- spans shank nails center rows or Multi -Max FA3 D41) primer TA or APP-TA TA HA full Min. 19/32- Glasbase, All 32 ga., 1-5/8- 8-inch o.c. in 3-inch Optional) Min. coverage or HA full BP -AA, inch Weather Empire, inch dia. tin lap and 8-inch o.c. 1.5-inch ACFoam OB500, M- Min. 0.25-inch coverage or SBS AA, Optional) SBS-AA, W-11 plywood at Flexiglas Base, Poly caps with 11 ga. in three, equally II, FIIntBoard ISO, OSFA, A- SECUROCK 08500, M- SBS-TA BP -AA, SBS- SBS-TA 60.0 max. 24-inch SMS or Ultra Poly annular ring spaced, staggered ENRGY-3; H-Shield PD, D-IS or Gypsum -Fiber OSFA, A-PD, D- or APP- AA, SBS-TA or APP- APP- spans SMS shank nails center rows or Multi -Max FA3 CR-20, 4- Roof Board IS or CR-20, 6- TA or APP-TA TA inch o.c. Inch o.c. Min. 19/32- 32 ga., 1-5/8- 8-inch o.c. in 3-inch Optional) Min. BP -AA, inch inch dia. tin lap and 8-inch o.c. 1.5-inch ACFoam MIn.0.25•inch SBS-AA, Optional) SBS-AA, W-12 plywood at Yosemite Venting caps with 11 ga. in three, equally 11, FIIntBoard 150, HA SECUROCK HA SBS-TA BP -AA, SBS- SBS-TA 60.0 max. 24-inch Base Sheet annular ring spaced, staggered ENRGY-3, H-Shield Gypsum -Fiber or APP- AA, A or APP- spans shank nails center rows or Multi -Max FA3 Roof Board TA or APP-TA TA Exterior Research and Design, I.I.C. d/b/a Trinity) ERD Certificate of Authorization #9503 Prepared by: Robert Nieminen, PE-59166 Evaluation Report 3520.03.04-1114 for FI-2533-1113 Revision 14: 03/27/2015 Appendix 1, Page 6 of 57 TABLE 1B: WOOD DECKS— NEW CONSTRUCTION, REROOF (TEAR -OFF) OR RECOVER SYSTEM TYPE B: MECHANICALLY ATTACHED BASE INSULATION, BONDED TOP INSULATION, BONDED ROOF COVER System Deck Base Insulation Layer Top Insulation Layer Roof Cover No. See Note 1) MDP (psf) Type Fasteners Attach Type Attach Base ply Cap HYBRID SYSTEMS: Min. 15/32-Inch Min. 1.5-Inch ACFoam FIIntFast #12 or exterior grade II, FlintBoard ISO, H- 14 with 1 per 1.33 Min! 1.5-inch ACFoam II, HA, D-IS, M- W-13 plywood at max. 24- Shield or FlintBoard FlintFast 3" . ft2 FlintBoard ISO, H-Shield or OSFA, 1VI-PG1 SBS-SA-H Optional) APP-TA APP-TA 67.5 inch spans ISOH. Insulation Plates FlintBoard ISOH. or 013500 CONVENTIONAL SYSTEMS: - Min. 23/32-Inch Min.1.5-Inch ACFoam Min. AS -inch FM Approved Optional) BP -AA, W-14 exterior radeg II, FlintBoard ISO, See Note 2 2 1 per 2 ft Wood Fiberboard, min. HA BP -AA or SBS-AA, SBS-TA or SBS-AA, SBS- 45.0' plywood at max. 24- ENRGY 3, H Shield 0.75-inch FM Approved SBS-AA APP-TA TA or APP-TA inch spans perlite Min. 23/32-inch Min. 1.5-inch ACFoam Min: 0.25-inch SECUROCK BP -AA, SBS- Optional) BP -AA, W-15 exterior grade Il, ISO, See Note 2 2 1 per 2 ft Gypsum -Fiber Roof Board, HA AA, SBS-TA SBS-AA, SBS-TA or SBS-AA, SBS- 45.0• plywood at max. 24- RGY 3, H- ENRGY 3, H-Shield Dens Deck or Dens Deck or APP-TA APP-TA TA or APP-TA Inch spans Prime Min. 15/32-inch Min. 1.5-inch ACFoam FlintFast #12 or Optional additional layer(s) exterior grade II, FlintBoard ISO, H- 14 with 1 per 1.33 of base insulation followed HA, D-IS, W-16 plywood at max. 24- Shield or FlintBoard FlintFast 3" ft2 by Min. 0.25-inch SECUROCK OSFA, M-PGM-3 APP-TA Optional) APP-TA APP-TA 90.0 inch spans ISOH. Insulation Plates Gypsum -Fiber Roof board or 013500 Exterior Research and Design, LLC. d/b/a Trinity ERD Evaluation Report 3520.03.04-1114 for FL2533-R13 Certificate of Authorization #9503 Revision 14: 03/27/2015 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 7 of 57 TRINITY I ERD TABLE 1C: WOOD DECKS— NEW CONSTRUCTION, REROOF (TEAR -OFF) OR RECOVER SYSTEM TYPE C: MECHANICALLY ATTACHED INSULATION, BONDED ROOF COVER System Deck Base Insulation Layer Top Insulation Layer Roof Cover No. See Note 1) Type Fasteners Attaeh Base Ply Cap MDP (psfl SELF -ADHERING SYSTEMS: W 17 Min. 15/32-Inch plywood Optional) One or more layers, any combination, Min. 0.25-inch SECUROCK Flintfast 3 in. Insulation Plates z at max. 24-inch spans looloose laid Gypsum -Fiber Roof Board with FIIntFast #12 1 per 3.2 ft SBS-SA Optional) SBS-SA SBS-SA 30.0• or #14 932-inch exterior Optional) One or more W-18 Madeg plywood at max. 24- layers, any combination, Min. 0.25-Inch Dens Deck primed with FlintPrime SA See Note 2 1 per 1.33 ft= SBS-SA Optional) SBS-SA SBS-SA 45.0 inch spans loose laid Min. 19 32-inch exterior Optional) One or more Flintfast 3 in. W-19 grade plywood at max. 24- layers, any combination, Min. 3/8-inch SECUROCK Gypsum -Fiber Roof Board Insulation Plates with FIIntFast #12 1 per 2.7 ft' 5BS-SA Optional) 5BS-SA 5BS-SA 45.0• inch spans loose laid or#14 Optional) One or more Min. 1.5-Inch ACFoam 11, Flintfast 3 in. W-20 Min.19 32-Inch IP ywood at max. 24-inch spans layers, an combination, y Y ENRGY 3, H-Shield, Multi -Max FA3 or FlintBoard ISO primed Insulation Plates with FlintFast #12 1 per 2 ft' SBS-SA Optional) SBS-SA 5BS-SA 45.0• loose laid with FlintPrime SA or #14 Optional) One or more Min. 1.5-inch ACFoam 11, W 21 Min. 19/32-inch plywood at max. 24-inch spans layers, any combination, ENRGY 3, H-Shield, Multi -Max FA3 or FlintBoard ISO primed See Note 2 1 per 1.45 ft' SBS-SA Optional) 5BS-SA 5BS-SA 60.0 loose laid with FlintPrime SA HYBRID SYSTEMS: W 22 Min. 15/32•inch plywood Optional) One or more layers, any combination, Min. 0.25-inch Dens Deck; Flintfast 3 in. Insulation Plates Plateses ft Optional) BP -AA, SBS-AA, SBS-TAS-AA, S at max. 24-Inch spans loose laid Dens Deck Prime with Ftion 1 per 2 SBS-SA-H 5BS-AA, SBS-TA or or 30.0• or #14 A PP -TA W-23 Min.15/32-inch plywood Optional) One or more layers, any combination, Min. 1.5-inch ACFoam II, FlintBoard ISO, ENRGY 3 or See Note 2 2 1 per 1.33 ft SBS-SA-H Optional) BP -AA or SBS-AAatmax. 24-inch spans loose laid Multi -Max FA3 SBS-AA 52.5 Min. 19/32-Inch plywood Optional) One or more Min. 1.5-inch ACFoam II, Optional) BP -AA, W-24 at max. 24-inch spans layers, any combination, FlintBoard ISO, H-Shield, See Note 2 1 per 1.45 ft' SBS-SA-H SBS-AA, SBS-TA or SBS-AA, SBS-TA 60.0 loose laid FlintBoard ISO„ APP-TA or APP-TA W-25 Min. 15/32-inch plywoodP Optional) Min. 1.5-inch, One or more layers, any Min. 1.5-inch ACFoam II, FlintBoard ISO, H-Shield, Flintfast 3 in. Insulation Plates 1 per 1.33 ft' SBS-SA-H Optional) SBS-AA, SBS-AA, SBS-TA at max. 24-inch spans combination, loose laid FlintBoard ISOH with FIIntFast #12 SBS-TA or APP-TA or APP-TA 75.0 or #14 r / u, ° --ky i `^" Evaluation Report 3520.03.04-1114 for 1`12533-1113 Certificate of Authorization #9503 Revision 14: 03/27/2015 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 8 of 57 TRINITY 1 ERD TABLE 1C: WOOD DECKS— NEW CONSTRUCTION, REROOF (TEAR -OFF) OR RECOVER SYSTEM TYPE C: MECHANICALLY ATTACHED INSULATION, BONDED ROOF COVER System Deck Base Insulation Layer Top Insulation Layer Roof Cover No. See Note 1) Type Fasteners Attach Base Ply Cap MDP (psf) Min.19/32-inch exterior Optional) One or more Min.1.5-inch ACFoam II, W-26 grade plywood at max. 24- layers, any combination, FIIntBoard ISO, ENRGY 3 or See Note 2 1 per 1.33 ft' SBS-SA-H Optional) SBS-TA SBS-TA or APP- 82 5InchspanslooselaidMulti -Max FA3 or APP-TA TA CONVENTIONAL SYSTEMS Min. 23/32-inch exterior Optional) One or more Min. 0.5-inch FM Approved Optional) BP -AA, W-27 grade plywood at max. 24- layers, any combination, Wood Fiberboard, min. 0.75- See Note 2 1 per 2 ft' BP -AA or SBS- SBS-AA, SBS-TA or SBS-AA, SBS-TA 45.0" Inch spans loose laid inch FM Approved perlite AA APP-TA or APP-TA Min. 15/32-Inch plywood 0 tlonal One or moreOptional) Min. 0.25-inch SECUROCK Gypsum -Fiber Roof Board, FlintFast #12 or 14 HD with BP -AA, SBS- Optional) BP -AA, W 28 at max. 24-inch spans layers, any combination, Dens Deck or Dens Deck FlintFast 3" 1 per 2 ft2 AA, SBS-TA or SBS-AA, SBS-TA or SBS-AA, SBS-TA APP-TA 45.0• loose laid Prime Insulation Plates APP-TA APP-TA or Optional for Recover) FlintFast #12 or W 29 Min. 15/32-inch plywood Min. 1.5-inch, One or Min. 0.25-Inch SECUROCK 14 HD with 1atmax. 24-inch spans more layers, any Gypsum -Fiber Roof Board FlintFast 3" per 1.45 ft' P APP-TA Optional) APP-TA APP-TA 60.0 combination, loose laid Insulation Plates Optional for Concrete or Min.19/32-inch exterior Recover) Min. 2-inch Min. 0.5-inch SECUROCK FlintFast #12 or 14 HD with BP -AA, SBS- Optional) BP -AA, W-30 grade plywood at max. 24- ACFoam II, FlintBoard, H- Gypsum -Fiber Roof Board FlintFast 3" 1 per 1.78 ft' AA, SBS-TA or SBS-AA, SBS-TA or SBS-AA, SBS-TA 60.0 inch spans Shield or ENRGY 3, loose Insulation Plates gpp.TA APP-TA or APP-TA laid. Optional for Recover) FlintFast #12 or W-31 Min. 15/32-inch plywood Min. 1.5-inch, One or Min. 0.25-inch SECUROCK 14 HD with 1 1.33 ftz APP-TAatmax. 24-inch spans more layers, any Gypsum -Fiber Roof Board FIIntFast 3" perP Optional) APP-TA APP-TA 67.5 combination, loose laid Insulation Plates Exterior Research and Design, LLC. d/b/a Trinity( ERD Certificate of Authorization #9503 Prepared by: Robert Nieminen, PE-59166 Evaluation Report 3520.03.04-1114 for FL2533-1113 Revision 14: 03/27/2015 Appendix 1, Page 9 of 57 TRINITY IERD IAtlLt IU: WOOD DECKS —NEW CONSTRUCTION, REROOF (TEAR -OFF) OR RECOVER SYSTEM TYPE D: PRELIMINARILY ATTACHED INSULATION, MECHANICALLY ATTACHED BASE SHEET, BONDED ROOF COVER System Deck Insulation Layers) Base or Anchor Sheet Roof CoverNo. See Note 1) Type Attach Base Fasteners Attach ply Cap PD) SELF -ADHERING SYSTEMS: I Min.19/32-Inch Min. 1.5-Inch, One 8-Inch o.c. at min. 3-inch lap and 8- W-32 plywood max 24- or more layers, Prelim. Attach Flintlastic SA NailBase See Note 2 inch o.c. in two, equally spaced, staggered center rows; Stress platesggP Optional) SBS-SAinchspanssanycombinationshallbeprimedwithFlintPrimeSBS-SA 82.5 ASTM D41) primer or FlintPrime SA Min. 15/32-inch Min.1.5-inch, One Flintfast 3 in. Insulation Plates 6-inch o.c. at min. 2-inch lap and 6- W-33 plywood at max 24- or more layers, Prelim. Attach Flintlastic SA NailBase with FlintFast #12 or #14; Trufast MP3 with DP or HD; Inch o.c. in three, equally spaced, staggered center rows; Stress Optional) Inch spans any combination OMG 31n. Round Metal Plates plates shall be primed with FlintPrime SBS-SA SBS-SA 97.5* with OMG #14 HD ASTM D41) primer or FIIntPrime SA. Min.15/32-inch Min.1.5-inch, One prelim. Fllntfast 3 in. Insulation Plates with FlintFast 412 or #14; 6-Inch o.c. at min. 2-inch lap and 6- inch o.c. in four, equally spaced, W-34 plywood at max 24- or more layers, Attach Flintlastic SA NailBase Trufast MP3 with DP or HD; staggered center rows; Stress plates Optional) SBS-SA 127.5* inch spans any combination OMG 3 in. Round Metal Plates shall be primed with FlintPrime SBS-SA with OMG #14 HD ASTM D41) primer or FlintPrime SA. HYBRID SYSTEMS: Min. 15/32-inch Min. 1.5-inch, One Prelim. Glasbase; Flexiglas; Flintfast 3 in. Insulation Plates with FlintFast #12 or #14; 6-inch o.c. at 4-inch lap and 6-inch o.c. in three, equally spaced, W-35 plywood at max 24 or more layers, Attach Flintlastic Base 20; Poly SMS Trufast MP3 with DP or HD; staggered center rowsStress lates pSBS -SA-H SBS-AA, SBS- 97. 5 inchspansanycombinationBase; Ultra Poly SMS Base OMG 3 in. Round Metal Plates shall be primed with FlintPrime TA or APP-TA with OMG #14 HD ASTM D41) primer or FlintPrime SA. Min. 19/32-inch Min. 1.5-inch, One Prelim. Glasbase; Flexiglas; 7-inch o.c. at 3-inch lap and 7-inch W-36 plywood at 24- or more lay ers, Attach Flintlastic Base 20; Poly SMS See Note 2 o.c. in three, equally spaced, SBS-SA-H SBS-AA , SBS- 105. 0 inchspansanycombinationBase; Ultra Poly SMS Base staggered center rows TA or APP-TA Min. 15/32-inch Min. 1.5-inch, One Prelim. Glasbase; Flexiglas; Flintfast 3 in. Insulation Plates with FlintFast #12 or #14; 6- inch o.c. at 4-inch lap and 6-inch o. c. in four, equally spaced, W-37 plywood at max 24- or more layers, Attach Flintlastic Base 20; Poly SMS Trufast MP3 with DP or HD; staggered center rows; Stress plates SBS-SA-H SBS-AA, SBS- 127. 5 InchspansanycombinationBase; Ultra Poly SMS Base OMG 3 in. Round Metal Plates shall be primed with FIIntPrime TA or APP-TA with OMG #14 HD I ASTM D41) primer or FIIntPrime SA. CONVENTIONAL SYSTEMS: V- 38 Min. 23/32-inch exterior grade Min. 1.5-inch, One prelim. Glasbase; All Weather/ Empire Base; 12-inch o.c. at 4-inch lap and 36-inch BP -AA, SBS- plywood at max. 24- or more layers, Attach Flexiglas Base; Flintlastic See Note 2 o.c. wo, equally intwo, spaced, AA, SBS-TA or SBS- AA, SBS- 30. 0* Inch spans any combination Base 20• Yosemite staggered center rows APP-TA TA or APP-TA aAtenor reesearcn ano Ueslgn, LLI.. 0/D/a Innitylk:W Certificate of Authorization #9503 Prepared by: Robert Nieminen, PE-59166 Evaluation Report 3520.03.04-R14 for FL2533-R33 Revision 14: 03/27/2015 Appendix 1, Page 10 of 57 ID 17/--U C)fiK IIVL"-- - OAA111-OKI-) w OwI6 C)pk)llj 7v o vo ` VAX' b- No ek IS RIO 941 J\VDING 6 S PAl. Gc PAR CCC-13ft452 030 4-7663 11 305011ullikAve Viol 03 BOB RtrV 7663lobScheduling4 Vi- i" 0 F I IN G info*,rizzo inglic.com rIando's Home Town Rooter 2: CONTRACTOR AGREES TO PROVIDE ALL 1'"ABOK MATERIAL, AND EQUIPMENT (UNLESS OTHERWISE SPECIFIED) TO COMPLETE THE it ""wwTjW rMM NrywNMAtakenatthe) stte for cAsplay, pttmwtion and iver0 thad compensation. WOOD LAC XT1SCALCULATED AUNEEN DAM- AGEAND IF ROTTEN WOOD EXISTS AFTEf'tTEAR-0FF tT WILL BE DOCUMENTED REPLACED AT AN ADDITIONAL COST ABOVE THIS ESTIMATE. Fascia wood = (1" by ping ;8.50 per fL), (2" by pine @ $8A0 per ). Structural = (2" x 4" @ $10.00 per ft.), (2" x 6"@ ine @ $8.00 per ft.). (1"x 10"@ $8.50 per ft.). 4'x8' includes roofing permit and atL Inspections, 1. tear of€and disposal of ONElayer a _existing shin,;les, 2. re -nail entire deck to wind code, 3. install 30 pound fett. D 1-ee _e _as iqg the COMPLETE INSTALATION-OF ROOFING CHOICE BELOW.---- I.. unit cm Total Cog t t -------------------------------------- 2- Tub Atlas or Economy 35 year Shingles sq! f".. i'll Color ArchitacturA Shingles 95 year, 130mph attaclonei ;Shiaglos so. ft. Color bw Roof Perimeter Edge Metal 5 Black. White lircwn Plot modified hiturnam W yaw, FIAT ROBF114G sq-211- 1) Black 1: V-dDemo Pack + 1319 For q, flronrl 73IRMATE WoodreplacementisawaitraexpenseABas stipulated above signature 7130 Add; bumTe3r-affsq.it. disposal -if one layer of existing, roofing, included aU others at S 40.00 parsq. TOTAL ROOF PRICE - I ------------------------------------ 7 --- 77- ------- - - - - Syflthfflg" ffigti mind ffesistant undarlayment (option) SolVent 39wall/lswatf quan y- 11L— (option) ar Skyligift7X 7, units i 'yx 4' units Wall fleshing h. Z flashing ft. Special Flashing fl- MTAL PAYMENT TOBFtAADF.ASiFOI"',owFD. At Time of Eantract 1/00- At time of Rateria.1 Delivery 41 an Completion LEGAL NOTICE: UNLESS OTHERWISE AGREED i') IN WRITING PRIOR TO START OF WORK: PAYMENTS RECEIVED LATER THAN TEN (10) DAYS WILL BE LEVIED A $ 150.00 LATE FEE AND SERVICE &I P GE OF 3% PER MONTH .THE UNDERSIGNED AGREES THAT THEY WILL BE RESPONSIBLE FOR THE COSTS OF COLLECTION AN UNPAID OF 4BALItjCE. INCLUDINGREASONABLE ATTORNEYS FEES. The customer will be refunded 1000% of any deposits if canceling this contract within three days, Cancmotiorij ftacle after third (3) business day, will result in the contractor retaining 30% of the total price as a restocking fee. WA (Qyegarscovennuclal— - It;-, — complete re roof and 1 year on all repairs. Manufacturer warranty extended to Customer upon payment in full for work completed. PRICES ARE GOOD FOR WDAYS AND AFTER ARE SUBJECT TO CHANGE. Contractor is NOT responsible for interior damage from water Penetration into any structure until tho finished roof them that is not a direct act of negligence , Contactor assirm no liab* Jor damqe5 to ft=YS, walkways,, shtture a*,o walls or ceilings or landscape that s n6i a direct act of negligence by the Contractor. 2' Bouts 3' Bouts Off RV / RidgavEmits I A! Y, Cap1 1, End Caps I ScIling Associate signat=WAI/ 4'floots G' j vents Starter Strip Valley Flashing i Wall Flashing Peel 9 Stick Data 3-16 ITJ Vent, 4: Edge Metal f! Existing Skylights Any alterations or deviation from above specit- i 4d scopeof work will be executed only upon written orders and will becomla.n extra charge over and I Iq abovetheestimate. Rizzo Roofing LLC Is equil;',-M with all the necessary licenses and insurances required by the State , of Ffrida to provide contracting services in the roofing industry. This proposal t-.-Ah an owner authorized signature and upon final approval by Rizzo Roi;Jnq LLC corporate office will become a contract directly between 1thel'.gcl owner and Rizzo Roofing LLC . Thisagreementconsigtotesthe %]Ila understanding. The Au- thorized signature warrants that he or she is the 4- - mbie owner of the premis- es or represents the owner with viable documentlen. Thank you for your business we, took forward to serving you. 0%vner Autfio klj Signature_ e Printed N UkV, Le'4 T T . he authiiii. edsi ture above here by a6knowlodges, theN have 1'- m,adandagrceentirely to the term, and .services Thai are incorporaied in this propmtl_ SCPA Parcel View: 25-19-30-5AG-0705-0050 Page 1 of 2 Property Record Card OMW PHA , cFA Parcel: 25-19-30-5AG-0705-0050 Owner: RIGHTURN B LLC Property Address: 520 OAK AVE SANFORD, FL 32771-1828 Parcel Information # I Value Summary Parcel 25-19-30-5AG-0705-0050 Owner RIGHTURN B LLC Property Address 520 OAK AVE SANFORD, FL 32771-1828 —` Mailing 3301 CLEERY AVE SANFORD, FL 32771 Subdivision Name SANFORD TOWN OF Tax District S1-SANFORD DOR Use Code 0102-SINGLE FAMILY - SANFORD HISTORICAL DISTRICT Exemptions Seminole County GIS Legal Description Taxes 2016 Working 2015 Certified Values Values Valuation Method CosUMarket Cost/Market Number of Buildings 1 i 1 Depreciated Bldg Value 143,666 184,331 Depreciated EXFT Value 0y- 1 $1,760 Land Value (Market) i $15,390 1 $15,390 Land Value Ag Just/Market Value _ 160,816 j $201,481 Save Our Homes Adj 0 65,635 Amendment 1 Adj i $0 P&G Adj 0 0 _ a W Assessed Value 160,816 135,846 Tax Amount without SOH: $3,279.00 2015 Tax Bill Amount $1,943.00 Tax Estimator Save Our Homes Savings: $1,336.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 160,816 ? 0 160,816 Schools 160,816 0 160,816 City Sanford a_ 160,816 0 160,816 SJWM(Saint Johns Water Management) I 160,816 I 0 160,816 County Bonds — 160,816 0 160,816 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 2/1/2016 08641 0382 136 500 No Improved SPECIAL WARRANTY DEED 2/1/2016 i 08646 1 0441 142,000 No Improved CERTIFICATE OF TITLE 6/1/2015 08479 1494 1 $182,400 1 No Improved WARRANTY DEED 2/1/199002157 1361 i $88,000 Yes Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH I 57.001 117.00 0 $270.00 $15,390 Building Information Is Bed/Bath count incorrect? Click Here. Description Year Built Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value } Repl Value Appendages 1 i SINGLE 1900/1970 8 4 2_5' 1,255' 3,850 3,465 { SIDING $143,666 $ $194,143 I FAMILY GRADE 3 11 Description Aga http://parceldetail. scpafl.org/ParcelDetailInfo.aspx?PID=2519305AGO7050050 4/12/2016 RECORD COPY City of Sanford Building and Fire Prevention PERMIT CONDITIONS Application #: 16-1096 Address: 520 S. Oak Ave Description of Work: Re -roof flat roof These comments are provided for the permit listed above only. This sheet must remain with the approved set ofplans and be made available to the inspector at the time of inspection. All conditions must be met and strictly adhered to. Scope of Work: Re -roof 16' x 18' flat roof area, as depicted on C of A documents Conditions 1. Work must be done in accordance within the guidelines and scope of the Certificate of Appropriateness. 2. This permit is for the flat roof only. All other work to be covered under separate permits. Building does not approve any work outside of the highlighted scope of work detailed on the attached Certificate of Appropriateness. REVIEWED FOR CODE COMPLIANCE PLANS EXAMINER DATE SANFORD BUILDING DIVISION A PERMIT 196UED SHALL BE CONSTRUED TO BE A LICENSE TO PROCEED WITH THE WORK AND NOT AS AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING A CORRECTION OF ERRORS IN PLANS, CONSTRUCTION OR VIOLATIONS OF THIS CODE Ifyou experience any difficulty, please call 407.688.5150 for assistance. e 4 ' CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 SANFORD 407.688.5145 o www.sanfordfl.gov/HP R- i PROJECT IS COMPLETED. ISSUED TO: Brad & Cathy Griffiths for DATE ISSUED: March 7, 2016 # 1 6 0 1 p 9 6 520 S. Oak Avenue DATE EXPIRES: Sanford, FL 32771 September 7, 2016 BP#16-710 , Approved to replace 2 HVAC units, in location depicted in Figure 1.Ap.pto r roof l6fI- t7 wlth2°rol-' oroflnApprovedtoinstalltanklesswaterheaterin location--depicted-in Figure l -Foundation reinforcement, rewiring to eliminate knob and tube, and replumbing will all require plans to be submitted to the building department. Christine Dalton, AICP Historic Preservation Officer/Community Planner Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating 7YES elopment. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVEQ NO Building Departmerit Representative APPLICATION # --A to FOR A CERTIFICATE OF APPOPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.6145 to ensure your application is complete. General Information Downtown Commercial Historic District Residential Historic District Is this a retroactive request? Yes PNoIsthisapplicationfiledinresponsetoaNoticeofViolationfromtheCodeEnforcementDepartment? Yes[] Proposed improvements will affec he foollowiing elevations: North South 0 East West Property Address: D (qu iN Property Owner Information Print Name: Mailing Addr Phone: Zf a Applicant/Agent Information Print Name: Mailing Address: Phone: Email: Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE--- OF --WORK -'LISTED--BELOW. =YOU-- =MUST CONTACT THE `=BUILDING "DEPARTMENT ' TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. Signature: &A Date: v /6 Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the -entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688:5145 • www.sanfordfl.gov/HP APPLICATION # FOR A CERTIFICATE OF APPOPRIATENESS Supplemental Information - Please use the space below to provide additional details regarding proposed work. Description of proposed work (continued from previous page): ONLY WORK SPECIFICALLY INDICATED ABOVE IS PERMITTED. ANY CHANGES TO THE BUILDING NOT LISTED ABOVE ARE NOT PERMITTED AND REQUIRE AN ADDITIONAL CERTIFICATE OF PPROPRIATENESS. Site Details J}L t_SN t-t= 55 2 V4 Please use the space below to -illustrate site details. 9 2 C'e1G- 1- 1 0#x t4 VC HISTORIC PRESERVATION BOARD - 300 S. Park Avenue -Sanford, Florida 32771-407.688.5145 -www.sanfordfl.gov/HP rA 77 City of Sanford Certificate of Completion ISSUED 11.02.2016 PARCEL NUMBER 25.19.30.5AG-0705-0050 PROPERTY ADDRESS 520SNOAKAUE" g Qqp 11 y PROPERTY ZONING f ; , {{$( 01 SW.. SINGLE FAITIVI4 IL, PROPERTY GWN' EAR RIGHTURN B LLe r COT4RAUTOR PERI4IT NLJIVIB=ER 1,6 941 _ i RTPTIONOF WORK IN TiERIOR/EXTERIOIZ 'SINGLE F/AMII x 177STRUCT-ON "TYPE 1 V v LIPANCY USE GROUPS SR I 1,T-P-A XTT T ;(1 A Tl b t= Nt/ In accordance With this Cert>fi'cateof Gdmpletion ahl inspections for compliance with Florida Bu>ld'in Code g 2010 have been performedancl approved: itted,-.and burlt undre ,tle owner/builder contractorIftheconstructionproJ17 was perm , exemption of Florida State Cstatutet4 89. 034efer to state statute`,,regarding limitations on renting, lease or sale-,ofthis property' Approved Building Official