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550 Riverview Ave; 17-2346; roofCITY OF SANFORD UILDING & FIRE PREVENTION PERMIT APPLICATION T Application No: Documented Construction Value: $ -I 1 1, --7 33 - :?(o Job Address: 550 jZivtvvieVV 4ye,,. Historic District: Yes 0 No Parcel ID: *2 2 - 1 61 -,30-5 A. r>- 0 o o o - o 113H Residential 0 Commercial Type of Work: Ne%vE] Addition n Alteration Z Repah-E] Derno I] Cliangeol'Use [:] MoveEl Description of Work: " Co;-o v)A,, i,-Ci a I re - i-o" r Plan Review Contact Person: S+cpVicvi Za*-virt+ Title: P Ye Ae pi Phone: Lj 0 L(Z 0 pax: q o-7, (via E2-naiI:-.P.LV-yV1 1 1-15 ". A - Property Owner Information Name Soe,i Ltj of Sn, of- S >,/ ov I A "cAo FLA Phone: Loa o o S1 C 5 LA 5 0 Street: I (L4 'D 5 N Fol ir I e R I NJ C' Resident of property? NZ A City, State Zip: -.R.1 A lie, C I t l 10 C.p ©-1 Contractor Information Name CAl,- 0 (1 1 y' , I,, C . rPhone: 4 0 1 - (0 Li -1 9 1i Street: LI-11(e f\(4t, v( Y a A S. ..SfC Z0 1 Fax: 0 -7 - (p 0 City, State zip: - Oyja to o, R. 3 2—J51q State License No.: ('S30(PGL--, Architect/ Engineer Information Name: Phone: Street: Fax: City, St, Zip: Bonding Company: Address: E- ntail: iNlortgage Lender: Address, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OFCOMKENCEINIENT MAY RESULT IN YOUR PAYINC TWICE. FOR INIPROVEMENTs TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED 0' NSPECTION. IF YOU INTEND TO OBTAUN' N THEJOBSITEBE'FORE'T"F, FIRST I FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CON11VIV NCEM- ENT. 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 pert -nit and that -all work will be performed to tweet 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: 5'b Edition (2014) Florida Building Code R4:viscd; June 30,2015 Perm,it Applicntion NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscount-y, -be , and tlx rc may additional permits required from other governmental entities such as watermanagementdistricts, state agencies, or federal agencies, Acceptance of permit is verification that I will notify tire owner of the property of the requirements of Florida Lion Law, FS 713 The City of Sanford requires payment of plan review fee at the time of permit submittal. A copy of the, executed Centrue 'j is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal, The actual Construction value will be figured based on the current ICC Valuation Table in effect at tile time the permit is issued, inaccordancewithlocalordinance. Should calculated charges figured on' 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 infoi be, done in compliance witli all applicable laws regulating con S( a- . siva (Xvn,-OA ent Date Signature Or is accurate and that all work will 4,Ql zoning. Date kc- \1 Ll:-_ K- Q Print Ow f entis Na is Print Con truotor/Agent's Ninic Xy si, at I _Q _dhWQW'Q. Vilor"VARAH ROBINSON Date Y-s •- I __ Q Notary public - State, of Florida I SARAN RUSINSON Z Notary Public - State Of Florida Commission # GG 026363 Commission # GG 026363 My Comm, Expires Aug 31, 2020 MY Comm. Expires Aug 31, 2020 Bonded through NaliOnM Notary Assn, Bonded through National Notary Assn Owner t e sonal v nown to Me or Contractor/Agent is Personally Known toMeProduced IT) Type of lb . Produced ID _X Type of 117 _ BELOW IS FOR OFFICE USE ONLY Permits Required- BuildingF] Electrical n Mechanical [:] PlumbingF] CjasFj Roofn Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg; Min. Occupancy Load: — # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes D NoEl #of Heads APPROVALS: ZONING: COMWNTS: UTILITIES: ENGINEERING: FIRE. Fire Alarm Permit: Yes NoFj WASTE WATER: BUI LDlNG:_ 9 . 7 - 17 01 VT Rcvisvd: June 30,2015 Permit Applierition SOCIETY OF SAINT PIUS X, ORLANDO, FLORIDA, INC. EIN: 59-3461207 a/k/a Saint Thomas More Chapel 550 Riverview Avenue Sanford, Florida 32771-9507 CERTIFICATE OF CORPORATE RESOLUTION I, John Bruccani, now Secretary of Society of Saint Plus X, Orlando, Florida, Inc., a Florida non-profit corporation ("the Corporation") do hereby certify that the board of directors of the Corporation in a meeting which took place on February 6, 2015.resolved that the President and/or the Secretary were each jointly and separately authorized and empowered on behalf of the Corporation to open and close new bank accounts, to modify existing accounts, to determine who would be a signatory on any accounts, to borrow and invest funds, and in general to bind the corporation to any and all banking resolutions which may be required by any bank or financial institution for opening and closing or modifying bank accounts, or for borrowing or investing funds or for adding, removing or changing authorized agents and signers, or for assigning or removing authority or powers delegated to such authorized agents and signers. Pursuant to such authority, Fr. Wegner and I have each chosen the following individuals as signatories on our existing corporate accounts with Sea Coast Bank Signatories (Officers) with authority as listed above: Fr. Jurgen Wegner President Fr. John Brucciani Secretary Signatories only: Fr. Marc Vernoy Pastor Fr. Thomas Brooks Priest REMOVE: All signers not listed above In Witness Whereof, I have hereunto set my hand, as secretary this 1401 day of January 2016. Fr. John Secretary Permit Number: Follo/Paxel Ill : 22-1 s-3Q-SAD-ogee-Q13H Prepared`by: Cody states Return to: Carroll BraOt ni, Inc 4776 New Broad Street, Suite 20 01ion a, FL'.32814 M AVJaNko-Wilwk III I , f.3 iF R f.i'Lt_Et 1'a f i State of Florida The undersigned hereoy gives notice that improvement will be made to certain real property, and in with Chapter 713, Florida Statutes, the following information is provided, in this Notice of Commence 1. Description of property (legal description of the property, and street address if available) 22-19-30-5A0-0000-013H 550 Riverview Ave 2. General description.of improvement commerical re -roof 3. Owner Information or Lessee information 1 Name Society of Saint Pius X Orlando FL INC Address 11465 N Farley Rd. Platte City, N40 64079 Interest In Property Owner Name and address of fee simple Namn 4, the Lessee contracted for the Improvement Telephone 5. Surety (if applicable, a copy of"the payment bond is attached) Name Telephone Number — Address Amount of Bond B. Lender Name Telephone Number_ Address 7. Persons within the State of Florida designated by Owner upon -whore notices or otl be served as provided by §713.13(1)(a)7, Florida Statutes. Name Telephone Number_ Address 6, In addition to himself or herself, Owner designates the following to receive a copy Notice -as provided In §713.13(1)(b), Florida Statutes. Name Telephone Number_ Address 9. Expiration date of notice of commencement (the expiration date will be 1 year from it unless a different date is specified) tNINQ TO, OWNER, ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF t ARE CONSIDERED iMPROPER PAYMENTS UNDER CHAPTER 713. PART I, SECTION 71313, FLORIDA L RESULT IN YOUR PAY1140 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMEN RECORDED AND POSTEDQN THE XPsiTE,BEFoRE THE FIRST INSPECTION. IF YOU INTEND TOOBI' WITH YOUR LENDER OR ATTORN BEFORE COMMENCING WORK OR RECORDING YOUR NOTIC or Lessee's Authorized The foregoing Instrument was acknowledged before ie this l day of by ._ m year i as ; ry I V,/ - for TitN MA 1- Typo of authority, e.g., officer, trustee, attorney in fact Name of party on behalf of whom I ly' lle— Signature I Notary Public -State of Florida Print, type, or stamp commis: Personally Known .(6 0RProduced ID was E name Type of ID Produced 111XU SARAH ROBINSON Form content revised: 01/73t14 Notary Public - State of f z Commission ar GG 021 e` A` My Comm. Expires Aug N BondedthroughNationalM T OFF. Ppjryj"t y r' City 1 Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address 55 P- i ve.rvi2 w Ave 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 Categoryl Subcategory Manufacturer Product Description( including Florida Approval # 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 v-q l.a F '7 04 CL Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E. P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll 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 B. New Exterior Envelope Products Applicant's Signature Applicant's Name J 0yl AA-111" m e"O kU Please Print) June 2014 EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization #9503 4 353 CHRISTIAN STREET, UNIT #13 TRINITY ERD OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 EVALUATION REPORT Entegra Roof Tile, Inc. Evaluation Report E39310.11.11-2-R1 1289 NE 9th Avenue FL7804-R7 Okeechobee, FL 34972 Date of Issuance: 11/02/2011 Revision 1: 06/22/2012 SCOPE: This Evaluation Report is issued under Rule 9N-3 and the applicable rules and regulations governing the use of construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The products described herein have been designed to comply with the 2010 Florida Building Code (non-HVHZ) sections noted herein. DESCRIPTION: Entegra Concrete Roof Tiles (non-HVHZ jurisdictions) LABELING: Each unit shall bear labeling in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality Assurance documentation changes. TrinityJERD requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words "TrinityiERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety. INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This Evaluation Report consists of pages 1 through 4. Prepared by: Robert J.M. Nieminen, P.E. Florida Registration No. 59166, Florida DCA ANE1983 The facsimile seal appearing was authorized by Robert Nieminen, P.E. on 06/22/2012 This does not serve as an electronically signed document. Signed, sealed hardcopies have been transmitted to the Product Approval Administrator and to the named client CERTIFICATION OF INDEPENDENCE: 1. TrinityiERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. TrinityiERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the evaluation reports are being issued. 4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. F INIT(I ERD ROOFING SYSTEM EVALUATION: 1. SCOPE: Product Category: Roofing Sub -Category: Roofing Tiles Compliance Statement: Entegra Concrete Roof Tiles, as produced by Entegra Roof Tile, Inc., have demonstrated compliance with the following sections of the Florida Building Code through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Code Section Property Standard Year 2007 & 2010 1507.3.5 Physical Properties ASTM C1492 2003 2007 & 2010 1507.3.7 Attachment Requirements FRSA/TRI 07320/8 2005 2007 1715.2.1 Overturning Moment SSTD 11 1997 2010 1716.2.1 Overturning Moment SSTD 11 1997 3. REFERENCES: Entity Examination Reference Date PRI(TST5878) ASTM C1492 ESI-001-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-002-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-003-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-004-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-005-02-01 12/12/2006 ATL(TST3782) ASTM C1492 RT0615.01-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.02-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.03-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.04-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.05-11 06/28/2011 Tile Roof Institute SSTD 11 Membership Confirmation Current PRI (QUA9110) Quality Assurance Service Confirmation 11/02/2011 4. PRODUCT DESCRIPTION: 4.1 BERMUDA FLAT and PLANTATION FLAT are ASTM C1492, Type III (low -profile) concrete roof tiles. Bermuda Flat Exterior Research and Design, LLC. Certificate of Authorization #9503 7 14 Plantation Flat Evaluation Report E39310.11.11-2-Ri FL7804-R7 Revision 1: 06/22/2012 Page 2 of 4 4.2 4.3 l TRINITY I ERD BELLA HIGH'S" and ESTATE'S" are ASTM D1492, Type II (medium -profile) concrete roof tiles. tsena nign p MLULa GALENA SPANISH —S" are ASTM C1492, Type I (high -profile) concrete roof tiles 5. LIMITATIONS: 5.1 This Evaluation Report is not for use in the HVHZ. 5.2 Fire classification is not part of this evaluation; refer to FBC Section 1505 and current Approved Roofing Materials Directory for fire rating of this product. 5.3 Installation shall comply with manufacturer's current published instructions, but not less than the requirements of FBC Section 1507.3 and the FRSA/TRI 07320. 5.4 For mechanically attached tiles, attachment for wind load resistance shall be in accordance with FRSA/TRI 07320/8-05. 5.5 For mortar -set or adhesive -set tiles, attachment for wind load resistance shall be in accordance with FBC Section 1609.5.3 and the mortar or adhesive manufacturer's Product Approval. 5.6 All products in the roof assembly shall have quality assurance audit in accordance with the Florida Building Code and F.A.C. Rule 9N-3. 6. INSTALLATION: 6.1 Entegra Concrete Roof Tiles may be mechanically fastened, mortar -set or adhesive -set. Installation shall comply with manufacturer's current published instructions, but not less than the requirements of FBC Section 1507.3, the FRSA/TRI 07320 and, for mortar -set or adhesive - set applications, the mortar or adhesive manufacturer's Product Approval. Exterior Research and Design, LLC. Evaluation Report E39310.11.11-2-R1 Certificate of Authorization #9503 FL7804-R7 Revision 1: 06/22/2012 Page 3 of 4 F)o J TRINI Y I ERD 7. LABELING: 7.1 Each unit shall bear the imprint or identifiable marking of the manufacturer's name or logo. Tile lots shall be labeled in accordance with the requirements of the Accredited Quality Assurance Agency noted herein. 8. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. 9. MANUFACTURING PLANTS: Contact the noted QA agency for information on product locations covered for F.A.C. Rule 9N-3 QA requirements. 10. QUALITY ASSURANCE ENTITY: PRI Construction Materials Technologies, LLC. - QUA9110; (813) 621-5777 END OF EVALUATION REPORT - Exterior Research and Design, LLC. Evaluation Report E39310.11.11-2-R3 Certificate of Authorization #9503 FL7804-117 Revision 1: 06/22/2012 Page 4 of 4 INSPECTION SEQUENCE BP# 17-2346 ADDRESS: 550 Riverview Avenue BUILDING PERMIT Min Max Inspection Description Footer / Setback Stemwall Slab / Mono Slab Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof 10 Roof Dry In Frame Insulation Rough Firewall Screw Pattern Drywall / Sheetrock Lath Inspection Building Ceiling Air Barrier Insulation Roof (Com'l) Building Ceiling Grid 1000 Final Roof Final Stucco / Siding Final Insulation Final Firewall Final Door Final Window Final Utility Building Final Screen Structure Final Pool Screen Enclosure Pre -Demo Final Demo Final Single Family Residence Final Commercial — Final Commercial — Addition / Alteration Final Commercial — Change of Use Final Building (Other) ELECTRICAL PERMIT .' Min Max Inspection Description Electric Underground Footer / Slab Steel Bond Electric Ceiling Rough Electric Wall Rough Electric Rough Pre -Power Final Temporary Pole Electric Final LUMBINGP_ERMI7 § .. %, y . v k' gym, .•z.. e Min Max Inspection Description Rough Plumb Plumbing Underground Plumbing 2"d Rough Plumbing Tubset Plumbing Sewer Plumbing Grease Trap Rough Plumbing Steam / Chill Water Rough Plumbing Final MECHANICAL PERMIT Min Max Inspection Description Mechanical Rough Mechanical Fire Damper Framing Mechanical Ceiling Rough Mechanical Fire Damper Annular Space Mechanical Insulation Wrap Mechanical Fire Damper Angle Light / Water Test Ck Welds Mechanical Grease Duct Wrap Mechanical Final REVISED: June 2014 If'Sikko'FORD Building & Fire Prevention Division FIRE 0CPARTMENT Commercial - Structural Permit Card PERMIT NO. / 9 - d ISSUE DATE: ® ® t)• / 7 aCONTRACTOR: xrro • JOB ADDRESS: 5 0 • V • W an, ) uPost this permit in a conspicuous location outside Approved plans must be posted with permit for inspection Leave all work uncovered until inspected and approved Permit expires 6 months from date of issue or last approved inspection PROTECT FROM WEATHER FOUNDATION / CONCRETE / MASONRY INSPECTION TYPE APPROVED REJECTED INSPECTOR EXTERIOR INSPECTION TYPE APPROVED REECTED INSPP."CTOR FOOTER SHEATHING - WALLS STEMWALL SHEATHING - ROOF SLAB / MONO -SLAB LATH INSPECTION LINTEL / TIE BEAM FINAL STUCCO / SIDING INTERIOR INSPECTION TYPE APPROVED REJECTED INSPECTOR ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FRAME ROOF DRY -IN INSULATION ROUGH -IN FINAL ROOF INSULATION - ROOF WINDOWS/DOORS INSPECTION TYPE APPROVED REJECTED INSPECTORDRYWALL / SHEETROCK BUILDING CEILING GRID FINAL WINDOW FIREWALL SCREW FINAL DOOR FIREWALL FINAL DEMOLITION INSPECTION TYPE APPROVED RFECTED INSPECTORCEILINGAIRBARRIER INSULATION FINAL PRE -DEMO FIREWALL FINAL FINAL DEMO FINAL INSPECTIONS INSPECTION 77PE APPROVED REJECTED INSPECTOR SPECIAL / MISCELLANEOUS INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL COMMERCIAL - NEW PILING INSPECTION FINAL COMM - ALTERATION/ADDITION TILT WALL FINAL COMM - CHANGE OF USE TRAILOR TIE DOWN FINAL BUILDING - OTHER IRRIGATION FINAL FINAL UTILITY BUILDING JI 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 FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: Dial407.792.6069 or 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts To Schedule Fire Inspections: Please call 407.562.2786 ** w PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES FOUNDATION/CONCRETE/MASONRY EXTERIOR FOOTER 104 SHEATHING - WALLS 115 STEMWALL 102 SHEATHING - ROOF 106 SLAB / MONO -SLAB 103 LATH INSPECTION 132 LINTEL / TIE BEAM 105 FINAL STUCCO / SIDING 130 INTERIOR ROOF FRAME 109 ROOF DRY -IN INSULATION ROUGH -IN 110 FINAL ROOF I I IIIWINDOW / DOORS INSULATION - ROOF 119 DRYWALL / SHEETROCK 131 FINAL WINDOW 137 BUILDING CEILING GRID 121 FINAL DOOR 136 DEMOLITION FIREWALLSCREW120FIREWALL FINAL 143 PRE -DEMO 144 CEILING AIR BARRIER 117 FINAL DEMO 126 SPECIAL / MISCELLANEOUS PILING INSPECTION 101 INSULATION FINAL 113 FINAL INSPECTIONS FINAL COMMERCIAL - NEW 140 TILT WALL 118 FINAL COMM - ALTER/ADD 141 TRAILOR TIE -DOWN 122 FINAL COMM - CHANGE OF USE 142 IRRIGATION FINAL 321 FINAL BUILDING - OTHER UTILITY BUILDING L12 J]FINALMiscellaneous Notes: REVISED: 04-17 Inspection Line:407.792.6069 or 855.541.2112 City of Sanford Buildina and Fire PreventionC.7 Product Approval Specification Form Permit # "E !! Project Location Address 55 0 W ,Prve 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 ap provalpproval number for any of the applicable listed products. Be aware that windowa, 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,floridabuildinq.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 Hung Horizontal Slider Casement Double Hung Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category/Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Sidin Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4 Roofinu Products Asphalt Shingles Underlay meats Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles r 13c r to Ff^ `7 Q 4_ V- I Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 2 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5, Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Sk ii hts Other 7. Structural Com anents 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 Envelo a Products Applicant's Signature Applicant's Name 3 0 VA A,,j-V " iVt C.y3 Please Print) June 2014 3 PERMIT L 7 EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization #9503 TRINITY 353 CHRISTIAN STREET, UNIT #13 RD OXFORD, CT 06478 i PHONE: (203) 262-9245 FAX: (203) 262-9243 EVALUATION REPORT Entegra Roof Tile, Inc. Evaluation Report E39310.11.11-2-R1 1289 NE 9th Avenue FL7804-117 Okeechobee, FL 34972 Date of Issuance: 11/02/2011 Revision 1: 06/22/2012 SCOPE: This Evaluation Report is issued under Rule 9N-3 and the applicable rules and regulations governing the use of construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The products described herein have been designed to comply with the 2010 Florida Building Code (non-HVHZ) sections noted herein. DESCRIPTION: Entegra Concrete Roof Tiles (non-HVHZ jurisdictions) LABELING: Each unit shall bear labeling in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality Assurance documentation changes. TrinityJERD requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words "TrinitylERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety. INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This Evaluation Report consists of pages 1 through 4. Prepared by: Robert J.M. Nieminen, P.E. Florida Registration No. 59166, Florida DCA ANE1983 The facsimile seal appearing was authorized by Robert Nieminen, P.E. on 06/22/2012 This does not serve as an electronically signed document. Signed, sealed hardcopies have been transmitted to the Product Approval Administrator and to the named client CERTIFICATION OF INDEPENDENCE: 1. TrinityJERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. TrinityJERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the evaluation reports are being issued. 4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. TRINITYJERD ROOFING SYSTEM EVALUATION: 1. SCOPE: Product Category: Roofing Sub -Category: Roofing Tiles Compliance Statement: Entegra Concrete Roof Tiles, as produced by Entegra Roof Tile, Inc., have demonstrated compliance with the following sections of the Florida Building Code through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Code Section Property Standard Year 2007 & 2010 1507.3.5 Physical Properties ASTM C1492 2003 2007 & 2010 1507.3.7 Attachment Requirements FRSA/TRI 07320/8 2005 2007 1715.2.1 Overturning Moment SSTD 11 1997 2010 1716.2.1 Overturning Moment SSTD 11 1997 3. REFERENCES: Entity Examination Reference Date PRI(TST5878) ASTM C1492 ESI-001-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-002-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-003-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-004-02-01 11/06/2006 PRI(TST5878) ASTM C1492 ESI-005-02-01 12/12/2006 ATL(TST3782) ASTM C1492 RT0615.01-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.02-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.03-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.04-11 06/28/2011 ATL(TST3782) ASTM C1492 RT0615.05-11 06/28/2011 Tile Roof Institute SSTD 11 Membership Confirmation Current PRI (QUA9110) Quality Assurance Service Confirmation 11/02/2011 4. PRODUCT DESCRIPTION: 4.1 BERMUDA FLAT and PLANTATION FLAT are ASTM C1492, Type III (low -profile) concrete roof tiles. l- 1s. -- 1©' Y T.. . 1• 7 fa Bermuda Flat Exterior Research and Design, LLC. vSITE Certificate of Authorization #9503 Plantation Flat Evaluation Report E39310.11.11-2-R1 FL7804-R7 Revision 1: 06/22/2012 Page 2 of 4 t J TRINITY ERd 4.2 BELLA HIGH "S" and ESTATE "S" are ASTM D1492, Type II (medium -profile) concrete roof tiles. Dena niyn a GDIOLU . 4.3 GALENA SPANISH "S" are ASTM C1492, Type I (high -profile) concrete roof tiles. 17" 5. LIMITATIONS: 5.1 This Evaluation Report is not for use in the HVHZ. 5.2 Fire classification is not part of this evaluation; refer to FBC Section 1505 and current Approved Roofing Materials Directory for fire rating of this product. 5.3 Installation shall comply with manufacturer's current published instructions, but not less than the requirements of FBC Section 1507.3 and the FRSA/TRI 07320. 5.4 For mechanically attached tiles, attachment for wind load resistance shall be in accordance with FRSA/TRI 07320/8-05. 5.5 For mortar -set or adhesive -set tiles, attachment for wind load resistance shall be in accordance with FBC Section 1609.5.3 and the mortar or adhesive manufacturer's Product Approval. 5.6 All products in the roof assembly shall have quality assurance audit in accordance with the Florida Building Code and F.A.C. Rule 9N-3. 6. INSTALLATION: 6.1 Entegra Concrete Roof Tiles may be mechanically fastened, mortar -set or adhesive -set. Installation shall comply with manufacturer's current published instructions, but not less than the requirements of FBC Section 1507.3, the FRSA/TRI 07320 and, for mortar -set or adhesive - set applications, the mortar or adhesive manufacturer's Prod t val. 2 a jPE - Exterior Research and Design, LLC. Evaluation Report E39310.11.11-2-Ri Certificate of Authorization #9503 FL7804-117 Revision 1: 06/22/2012 Page 3 of 4 TRI I 1 1 ERR 7. LABELING: 7.1 Each unit shall bear the imprint or identifiable marking of the manufacturer's name or logo. Tile lots shall be labeled in accordance with the requirements of the Accredited Quality Assurance Agency noted herein. 8. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. 9. MANUFACTURING PLANTS: Contact the noted QA agency for information on product locations covered for F.A.C. Rule 9N-3 QA requirements. 10. QUALITY ASSURANCE ENTITY: PRI Construction Materials Technologies, LLC. — QUA9110; (813) 621-5777 END OF EVALUATION REPORT - PERMIT Exterior Research and Design, LLC. Evaluation Report E39310.11.11-2-R1 Certificate of Authorization #9503 FL7804-R7 Revision 1: 06/22/2012 Page 4 of 4 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 17-00002346 Date 8/07/17 Property Address . . . . . . 550 RIVERVIEW AVE Parcel Number . . . . . . . . 22.19.30.5AD-0000-013H Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . AGRICULTURAL Permit . . . . . . COMMERCIAL ROOFING PERMIT Additional desc . . Phone Access Code 997247 Permit pin number 997247 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10 116 BL15 ROOF DRY -IN 1000 111 BL03 FINAL ROOF / / ITY• OF SkNFORD Building & Fire Prevention Division RESIDENTIAL RE-ROOFAFFIDAVIT FIRE D PART%4EiNT' RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL p PROOF COVERINGS PERMIT #: L3 Q ADDRESS: 5Sb Z V'l/ Y i Vy . Sa40r, & I J o vl a ti, ofy I V L eyi f— c-- , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: C CC, t 3 3 0 (y 5 (a COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICE o c >r ZNd DATE: NSE HOLDER O= 1NAL INSPECTION IS REQUIRED: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE —INSPECTION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF t7 Gt > e Sworn to and Subscribed before me this day ofA3m L4 S 20 t -1 by: f/m6tfVv/l.(_ 0 . Who is5'ersonally Known to me or has Produced (type of identit- anon) ignature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public as identification. SARAH ROBINSON Notary Public - State of Florida Commission # GG 026363 x IMy Comm, Expires Aug 31, 2020 Bonded fhmngn tIarinnal Nbtary Assn :;