417 Sanford Ave; 18-3874; ROOFSEP 12 2018
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: 1 s -- 38-1
Documented Construction Value: $ 4,900.00
Job Address: 417 Sanford Ave. S(((JIr'd ,jZ ( Historic District: Yes Noa
Parcel ID: 25-19-30-5AG-060A-0060 Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Re -Roof 29 gauge galvaloom rib panel n
I n
Plan Review Contact Person: Saundra Bracken Title: Office Manager
Phone: 407-878-3750 Fax: 407-960-2612 Email: BrianSikesRoofing@cfl.rr.com
Property Owner Information
Name 417 Sanford LCC Phone: 407-448-9471
Street: 417 Sanford LCC Resident of property? : Owner
City, State Zip: Sanford, FL 32771
Contractor Information
Name Brian Sikes Roofing Phone: 407-878-3750
Street: 1550 S HWY 1792 Fax: 407-960-2612
City, State Zip: Longwood, FL 32750 State License No.: CCC1325977
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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: 6' Edition (2017) Florida Building Code
Revised: January 1, 2018 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.
gnature of Owner/Agent Date
l
Print Oy&Qf/Agent's Name
4P ft,4V Notary Public State of FloridaStevenCampbell
7 My Commission FF 990959
OF ao Expires 05/10/2020
Ito /I
Signature of Contractor/Agent Date
JW—c Print
S/tJC
Name
Notary Public State of Florida
Steven Campbell
y My Commission FF 990959
aa Expires05/10/2020
Owner/Agent is personally Known to Me or Contractor/Agent is j Personally Known to Me or
Produced ID Type of ID Produced ID
11
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.
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
r
rian Sikes
nG Inc.
1550 S. Hwy 17 92 Ph: (407) 960-2611
Longwood, FL 32750 Fax: (407) 960-2612
NAME/ADDRESS
Land Mark Building & Construction
417 Sanford Ave.
Sanford, FL 32771
Fax#407-323-5571
ATTN: *JIM*
PROPOSAL
DATE PROPOSAL;
6/11/2018 8968
Contractor submits this proposal for work on the property herein described.
Upon acceptance, Contractor agrees to furnish labor and materials necessary
to improve the above premises in a good, workmanlike and substantial
manner according to the terms, specifications, prices and plans (if any).
Start and Completion: The approximate start date of and
approximate completion date of are subject to permissible
delays as per provision (5) on the reverse side.
Submitted by X
Approved and Accepted (Contractor) Date
DESCRIPTION OF WORK AND MATERIALS QTY RATE TOTAL;I
Remove rib panels from Ix4 batten strips, and batten strips (4sq.) 4,900.00 4,900.00
Install 4ply 1/2in. plywood over trusses.
Install new 2x6 subfascia and 1 x6 fascia board over plywood.
Install high temp peal and stick.
Install new galvanized rib panels over high temp peal and stick.
Flash and counter flash head wall and around stove vent.
Ground will be swept with a magnet at the end of each working day.
Clean entire work area and haul away all debris.
7 YEAR LEAK WARRANTY (LABOR AND MATERIALS)
Price includes labor, materials, taxes and all permitting fees.
Contractor shall provide all releases of lien from contractor, subcontractors, and material suppliers.
TOTAL 4,900.00
ACCEPTANCE OF PROPOSAL
This Proposal is approved and accepted. There are no oral agreements. The written terms,
specifications, provisions, prices and plans (if any) are the entire agreement. Changes will be X
made by written change order only. Credit cards may be subject to a 3% convenience charge. pproved and Accepted(Owner) Date
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date
of this transaction. See Owner's Right to Cancel on the reverse side for details.
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018104107 Book:9208 Page:1105; (1 PAGES) RCD: 9/12/2018 2:51:36 PM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Name: Saundra Bracken
Address: 1550 S Hwy 17 92
Longwood, FI 32750
NOTICE OF COMMENCEMENT
Permit Number.
Parcel ID Number: 25-19-30-5AG-060A-0060
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)
417 S SANFORD AVE SANFORD FL 32771- LOT 6 BLK 6 TR A
TOWN OF SANFORD PB 1 PG 56 & LOT 3 BLK 6
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof 29 gauge gaivaloom rib panel roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: 417 SANFORD LLC - 559 E HIGHLAND ST ALTAMONTE SPRINGS, FL 32701
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above) N
4. CONTRACTOR: Name: Brian Sikes
Address: 1550 S Hwy 17 92 Longwood FI 32750
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Phone Number. 407-878-3750
Address: Amount of Bond:
6. LENDER: N
Address:
Phone Number:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: Phone Number:
8. In addition, Owner designates
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 spercified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
signature of Owner a L s , or Owners or Lessee's (Print Name and Provide Signatories TitlelOffice)
Authorized Otfrcer/Director/Partner/Manager)
c
State of YL County of 7;&I/LCG OL&
The foregoing instrument was acknowledged before me this
it
day of f t r !/ if f2 0
by --N +(yV &- / uL/y J Who is personally known to me O OR
Name of pelon_qgdng stateent
hh
who has produced identificationemofidentificationproduced: LpATPQ,*
Notary
Public Stets OIFbriraStevenCampbell My
Commission FF 9909M9Notary signature Expires
05/10/2020- 4
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BCIS Home Log In User Registration Hot Topics .' Submit Surcharge stats & Facts Publications FBC Staff''' BCIS Site Map Links ! Search
e j Product Approvaldbrk9USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
r FL # FL17401-R4
PERMITApplicationTypeRevision
Code Version 2017
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
Mid -States Asphalt & Cant Strip, Inc.
1637 51st Avenue
Tuscaloosa, AL 35401
205) 345-6634
moises@msaroof.com
Moises Rached
moises@msaroof.com
Eric Bailey
1637 51st Avenue
Tuscaloosa, AL 35401
205) 345-6634
erlc@msaroof.com
Eric Bailey
1637 51st Avenue
Tuscaloosa, AL 35401
205) 345-6634
eric@msaroof.com
Roofing
Underlayments
Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Zachary R. Priest
the Evaluation Report
Florida License PE-74021
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 12/31/2019
Validated By Locke Bowden
Validation Checklist - Hardcopy Received
Certificate of Independence FL17401 R4 COI MSA17001 FBC 2017 Evaluation Report OUIK-Stick
FINAL.Pddf
Referenced Standard and Year (of Standard) Standard
ASTM D1970
TAS 103
UL 1897
Equivalence of Product Standards
Certified By
Year
2015
1995
2012
https://www.floridabuilding.org/pr/pr_app_dtl. aspx?param=wGEV XQwtDgtCUGgvj Qiz6G... 2/5/2018
rlurlua I)Uliulllg wue vrnlne
Sections from the Code
rage z of z
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Products
Method 1 Option D
08/12/2017
10/11/2017
08/16/2017
10/12/2017
FL # Model, Number or Name Description
17401.1 QUIK-Stick IW, QUIK-Stick IWS, Self -Adhered Underlayments
QUIK=Stick HT, QUIK-Stick HT -Pro,
QUIK-Stick FS
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL17401 R4 II MSA17001 FBC 2017 Evaluation Report
OUIK-Stick FINAL.pdfApprovedforuseoutsideHVHZ: Yes
Impact Resistant: No Verified By: Zachary R. Priest PE-74021
Design Pressure: +0/-52.5 Created by Independent Third Party: Yes
Other: Refer to Evaluation Report for Limitations of Use. Evaluation Reports
Wind uplift applicable to QUIK-Stick HT only. FL17401 R4 AE MSA17001 FBC 2017 Evaluation Report
QUIK-Stick FINAL.Pdf
Created by Independent Third Party: Yes
Back Next
Contact Us :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida Is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send
electronic mail to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850.487.1395. -Pursuant to
Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address If
they have one. The emalls provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to
supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under
Chapter 455, F.S., please click here .
Product Approval Accepts:
eC M
Credit Card
Safe
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtCUGgvj Qiz6G... 2/5/2018
Certificate ofAuthorizationion bur
Drive 9824
CREEK17520
Edinburgh Drive Tampa,
FL 33647 TECHNICAL
SERVICES, LLC (813)
480-3421 EVALUATION
REPORT FLORIDA BUILDING CODE, 6T" EDITION (2017) Manufacturer:
MID -STATES ASPHALT AND CANT STRIP, INC. Issued October 11, 2017 1637
5151 Street Tuscaloosa,
AL 35401 800)
489-2391 www.
msaroof.com Manufacturing
Location: Tuscaloosa, AL Quality
Assurance: UL LLC (QUA9625) SCOPE
Category:
Roofing Subcategory:
Underlayments Code
Sections: 1504.3.1, 1507.1.1 Properties:
Physical properties PRODUCT
DESCRIPTION AND LIMITS OF USE QUIK-
Stick Ice & Water QUIK-Stick Ice & Water Granular is an ASTM D 1970 self-adhesive underlayment Granular
constructed from SIBS modified asphalt, a fiberglass mat reinforcement and surfaced with
granules. The product is supplied in 2-sq. rolls with nominal dimensions of 3-ft x 66.
8-ft and has a nominal thickness of 50 mils. QUIK-
Stick Ice & Water Granular is permitted to be used as prescribed in FBC Section 1507.
1.1 for mechanically attached roofing coverings. Exposure on the roof deck shall be
limited to a maximum 30 days. QUIK-
Stick Ice & Water QUIK-Stick Ice & Water Sand is an ASTM D 1970 self-adhesive underlayment Sand
constructed from SBS modified asphalt with a fiberglass mat reinforcement and surfaced with
sand. The product is supplied in 2-sq. rolls with nominal dimensions of 3-ft x 66.8-ft and
has a nominal thickness of 50 mils. QUIK-
Stick Ice & Water Sand is permitted to be used as prescribed in FBC Section 1507.
1.1 for mechanically attached roofing coverings. Exposure on the roof deck shall be
limited to a maximum 30 days. QUIK-
Stick HT QUIK-Stick HT is an ASTM D 1970 self-adhesive underlayment constructed from SIBS High
Temperature) modified asphalt with a fiberglass mat reinforcement and poly -fabric surface. The product
is supplied in 2-sq. rolls with nominal dimensions of 3-ft x 66.8-ft or 3-ft 3-in x 61- ft
and has a nominal thickness of 60 mils. QUIK-
Stick HT is to be used as prescribed in FBC Section 1507.1.1. QUIK-Stick HT is permitted
to be used with adhered clay or concrete tile roofing using either ICP Adhesives
Polyset AH-160 (ICP Adhesives and Sealants, Inc.). Exposure on the roof deck
shall be limited to a maximum 90 days. The
maximum roof slope shall be 6:12 when used with clay or concrete tile installations without
battens. Tile shall be stored on battens for roof slopes greater than 6:12. Tiles shall
not be stacked greater 10 tiles per stack. . MSA17001
FL17401-R4 Page 1 of 4 This
evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK Technical
Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid. This
evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not specifically
addressed herein.
MID -STATES ASPHALT AND CANT STRIP, INC
n7 E CREEK Self -Adhering Underlayments
TECHNICAL SERVICES, LLC
QUIK-Stick HT Pro QUIK-Stick HT Pro is an ASTM D 1970 self-adhesive underlayment constructed from
High Temperature) SBS modified asphalt with a fiberglass mat reinforcement and poly -fabric surface. The
product is supplied in 2-sq. rolls with nominal dimensions of 3-ft x 66.8-ft and has a
nominal thickness of 60 mils.
QUIK-Stick HT Pro is permitted to be used as prescribed in FBC Section 1507.1.1 for
mechanically attached roofing coverings. Exposure on the roof deck shall be limited to a
maximum 30 days.
QUIK-Stick FS QUIK-Stick FS is an ASTM D 1970 self-adhesive underlayment constructed from SBS
Film Surface) modified asphalt with a fiberglass mat reinforcement and textured film surface. The
product is supplied in 2-sq. rolls with nominal dimensions of 3-ft x 66.8-ft and has a
nominal thickness of 45 mils.
QUIK-Stick FS is permitted to be used as prescribed in FBC Section 1507.1.1 for
mechanically attached roofing coverings. Exposure on the roof deck shall be limited to a
maximum 30 days.
PRODUCT APPLICATION
Min. Roof Slope: 2:12 or in accordance in with the FBC
Application: All underlayments shall be installed in accordance with the FBC.
Deck substrates shall be clean, dry, and free from any irregularities and debris. All
fasteners in the deck shall be checked for protrusion and corrected prior to underlayment
application. Prior to beginning installation, the underlayment shall be unrolled and
allowed to relax for a minimum of 3-5 minutes.
The underlayment shall be installed with the release backer removed and pressed firmly
into place to ensure complete contact with the deck. The underlayment shall be installed
With the roll length parallel to the eave, starting at the eave, and with minimum 3" side
laps and minimum 6" end laps staggered min. 6-ft.from preceding course.
It is permissible to back nail the underlayment 12-inches on -center as needed (nails shall
be installed perpendicular to deck with the nail heads flush to the top surface of the
underlayment).
Min. Application 40°F; Contact the manufacturer when installing at temperatures below the minimum
Temperature: application temperature.
WIND RESISTANCE
The Maximum Design Pressures shown below were calculated using a 2:1 margin of safety per FBC Section 1504.9.
Underlayment System No.1 — QUIK-Stick HT only
Roof Deck: Min. 15/32-inch CDX plywood attached to wood supports spaced a maximum 24" o.c.
Underlayment: QUIK-Stick HT shall be fully adhered to the optionally primed plywood deck.
Maximum Design -52.5 psf
Pressure:
MSA17001 FL17401-R4 Page 2 of 4
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
CREEK
PY w TECHNICAL SERVICES, LLC
GENERAL LIMITATIONS
MID -STATES ASPHALT AND CANT STRIP, INC
Self -Adhering Underlayments
1) This evaluation report is not use in the HVHZ.
2) Fire Classification is not within the scope of this evaluation.
3) Installation of the evaluated product shall comply with this report, the FBC, and the manufacturer's published
application instructions. Where discrepancies exist between these sources, the more restrictive and FBC
compliant installation detail shall prevail.
4) The roof deck shall be constructed of closely fitted plywood sheathing for new or existing construction.
5) The space under the deck area shall be properly ventilated in accordance with the FBC requirements.
6) All side lap seams shall be installed to shed water from the deck.
7) The underlayment may be used as described in other current FBC product approval documents.
8) Design wind load pressures shall be determined for components and cladding in accordance with FBC
1609.
9) The roof deck shall be designed by others in accordance with FBC requirements to resist the design wind
load pressures for components and cladding.
10) Maximum Design Pressures for a given underlayment shall meet or exceed the design wind loads
determined for the roof assembly.
11) All products listed in this report shall be manufactured under a quality assurance program in compliance with
Rule 61 G20-3.
REFERENCES
Eafty Report No. Standard Year
PRI Construction Materials Technologies (TST5878) BWR-514-02-01 ASTM D 1970 2015a
PRI Construction Materials Technologies (TST5878) BWR-522-02-01 ASTM D 1970 2015a
PRI Construction Materials Technologies (TST5878) BWR-533-02-01 TAS 103 1995
PRI Construction Materials Technologies (TST5878) BWR-534-02-01 ASTM D 1970 2015a
ASTM D 4798 2011(2016)
PRI Construction Materials Technologies (TST5878) BWR-543-02-01 ASTM D 1970 2015a
PRI Construction Materials Technologies (TST5878) WRMI-011-02-01 ASTM D 1970 2015a
PRI Construction Materials Technologies (TST6049) MSA-007-02-01 UL 1897 2012
PRI Construction Materials Technologies (TST6049) MSA-026-02-01 ASTM D 1970 2015a
MSA17001 FL17401-R4 Page 3 of 4
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
CREEK
TECHNICAL SERVICES, LLC
COMPLIANCE STATEMENT
MID -STATES ASPHALT AND CANT STRIP, INC
Self -Adhering Underlayments
The products evaluated herein by Zachary R. Priest, P.E. have demonstrated compliance with the Florida Building
Code, 6t' Edition (2017) as evidenced in the referenced documents submitted by the named manufacturer.
01111111111
No 74021
tit
STATE OF :IJJOR
s 10 N A11 E
CERTIFICATION OF INDEPENDENCE
2017.10.11
04'00'
Zachary R. Priest, P.E.
Florida Registration No. 74021
Organization No. ANE9641
CREEK Technical Services, LLC does not have, nor will it acquire, a financial interest in any company manufacturing or distributing
products under this evaluation.
CREEK Technical Services, LLC is not owned, operated, or controlled by any company manufacturing or distributing products under
this evaluation.
Zachary R. Priest, P.E. does not have, nor will acquire, a financial interest in any company manufacturing or distributing products
under this evaluation.
Zachary R. Priest, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the
product.
END OF REPORT
MSA17001 FL17401-R4 Page 4 of 4
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specifically addressed herein.
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit # Y p 7 9
Project Location Address 417 Sanford Ave. Sanford, FL 32771
i13LkNq rQ-
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
r
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 Mid -States QUIK-Stick High Temp FL17401.1
Roofing Fasteners Grip -Rite Hex -head Neo-Prene Screws F1667-95
Nonstructural
Metal Roofing Millennium Metals Rib Panel FL5211.2 R7
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal)
5. Shutters
Accordion
Bahama
Colonial
Roll 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 gv ijw, s;rzs
Please Print)
June 2014
9/11/2018 Florida Building Code Online
gg
A;
BCIS Home Log In User Registration Hot Topics j Submit Surcharge j Stats & Facts Publications Contact Us BCIS Site Map Links Search
dlFlorida p r
s Product Approval
t,' r 0USER: Public User PERMIT #
c rAt:xt isx: t-
Product pproval Menu > Product or Apollcation Search > epollcat(on Llst > Application Detail
FL # FL5211-R7
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer MILLENNIUM METALS INC.
Address/Phone/Email 10200 Eastport Road
Jacksonville, FL 32218
904)358-8366
tonyac@mmi2000.net
Authorized Signature James Buckner
jimmy@cbuckinc.net
Technical Representative Tonya Steele
Address/Phone/Email 10200 Eastport Road
Jacksonville, FL 32218
904)358-8366
tonyac@mmi2000.net
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Metal Roofing
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed the James L. Buckner
Evaluation Report
Florida License PE-31242
Quality Assurance Entity Keystone Certifications, Inc.
Quality Assurance Contract Expiration Date 09/22/2026
M. - U icfi;--PE -------- ---- --- --- Validated By Steven -- - -- —
Validation Checklist - Hardcopy Received
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
FL5211 R7 COI COI CertOf Indeo James BUCkner,P.E. sc.PDF
Standard Year
TAS 125 2003
UL1897 2012
UL 580 2006
Florida Licensed Professional Engineer or Architect
FL5211 R7 Eauiv 5211 Test Standard Eauiv.p_df
Sections from the Code
https://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgvWKGCdrv%2fKmeCAr4mW8KzZEApSgUEivtl%3d 1/2
9/11/2018 Florida Building Code Online
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Products
Method 1 Option D
10/20/2017
10/27/2017
10/29/2017
12/12/2017
FL # Model, Number or Name Description
5211.1 1- "5-V Crimp" and "Millennium-V" Lapped Roof Panel, 26 Gauge (Minimum Thickness) Steel, 24"
Wide Panel Attached to Wood Deck
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5211 R7 II 17-196-1-5V WoodDeck-ER.pdf
Approved for use outside HVHZ: Yes Verified By: James L. Buckner, P.E. @ C-Buck, Inc. P.E.
Impact Resistant: No 31242
Design Pressure: +See/ -Report Created by Independent Third Party: Yes
Other, Refer to Evaluation Report for Limitations and Evaluation Reports
Conditions of Use. Refer to manufacturer's installation FL5211 R7 AE 17-196-1-5V WoodDeck-ER.pdf
instructions as a supplemental guide for attachment. Created by Independent Third Party: Yes
5211.2 2- "Rib Panel" Lapped Roof Panel, 29 Gauge (Minimum Thickness) Steel, 36"
Wide Panel Attached to Wood Deck
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5211 R7 II 17-196-2-Rib WoodDeck-ER.pdf
Approved for use outside HVHZ: Yes Verified By: James L. Buckner, P.E. @ C-Buck, Inc. P.E.
Impact Resistant: No 31242
Design Pressure: +See/ -Report Created by Independent Third Party: Yes
Other: Refer to Evaluation Report for Limitations and Evaluation Reports
Conditions of Use. Refer to manufacturer's installation FL5211 R7 AE 17-196-2-Rib WoodDeck-ER.pdf
instructions as a supplemental guide for attachment. Created by Independent Third Party: Yes
5211.3 3- "M-Seam" Snap Lock Roof Panel, 26 Gauge (Minimum Thickness) Steel,
16" Wide Panel Attached to Wood Deck
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5211 R7 II 17-196-3-MSeam WoodDeck-ER.pff
Verified By: James L. Buckner, P.E. @ CBUCK, Inc. RE/ Approved for use outside HVHZ: Yes
Impact Resistant: No 31242
Design Pressure: +See/ -Report Created by Independent Third Party: Yes
Other: Refer to Evaluation Report for Limitations and Evaluation Reports
Conditions of Use. Refer to manufacturer's installation FL5211 R7 AE 17-196-3-MSeam WoodDeck-ER.pdf
Created by Independent Third Party: Yesinstructionsasasupplementalguideforattachment.
BacF Next
Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Copyljght 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic
mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. 'Pursuant to Section 455.275(1),
Florida'Statutes,-effective October* 1, 2012,-licensees-licensed-underChapter 455-F.S.-must-provide the Department with -an email -address If they -have one: The-emails-- provided
may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide
the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product
Approval Accepts: RR
N Credit
Card Safe
https://
www.floridabuilding.org/prlpr app_dtl.aspx?param=wGEVXQwtDgvWKGCdrv%2fKmeCAr4mW8KzZEApSgUEivU*/a3d 2/2
SpeciaN Structural Englnel=rinq
Evaluation Report
Rib Panel"
Metal Roof Assembly
Manufacturer:
CBUCK, Inc. Certificate of Authorization #8064
Millennium Metals, Inc.
10200 Eastport Road
Jacksonville, FL 32218
877) 358-7663
for
Florida Product Approval
FL 5211.2 R7
Florida Building Code 6th Edition (2017)
Per Rule 61G20-3
Method: 1- D
Category: Roofing
Sub - Category: Metal Roofing
Product: "Rib Panel'
Material: Steel
Panel Thickness: 29 gauge, Minimum
Facsimile of digital copy signed by
Panel Width: 36" James L. Buckner, P.E.
Support: Wood Deck Electronically signed and sealed documents shall
comply with the provisions of FAC Rule 61G15-23.
111 liiirrriiiSLBUC
p -_ y; --------- -------------------- Pre ared-b------------ CEN sF •• ----_----
James L. Buckner, P.E., SECB No31242
Florida Professional Engineer # 31242 W
Florida Evaluation ANE ID: 1916 STATE OF
4U
Report No. 17-196-Rib-S9W-ER•F ORIDP.•
p 0 N
Revises 15-104-Rib-SW-ER)
AX-
Date: 10 / 16 / 17 f {
Contents:
Evaluation Report Pages 1— 9 2017.10.19 20:13:36-04'00'
CBUCK, Inc. — Palm Beach County, Florida
Phone: (561) 491-9927 • Email: cbuck@cbuckinc.net • Website: www.cbuckinc.net
Main Office: 1374 Community Drive, Jupiter, Florida 33458
i__ Zrwwl I
Specialty Structural Engineering
Manufacturer: Millennium Metals, Inc.
Product Name: "Rib Panel"
FL #: FL 5211.2-117
Date: 10 / 16 / 17
Report No.: 17-196-Rib-SM-ER
Page 2 of 9
CBUCK, Inc. Certificate of Authorization #8064
Product Category: Roofing
Product Sub -Category Metal Roofing
Compliance Method: State Product Approval Rule 61G20-3.005 (1) (d)
Product/System Rib Panel"
Description: 29 gauge (Minimum Thickness) Steel roof panel mechanically attached to Plywood Deck
with screws.
Product Assembly as Refer to Page 4 of this report for product assembly components/materials & standards:
Evaluated:
1. Roof Panel
2. Fasteners
3. Underlayment
4. Insulation (Optional)
5. Barrier Board (Optional)
Support: Type:
Wood Deck
Design of support and its attachment to support framing is outside the scope of this
evaluation.)
Description:
15/32 (min.) or 19/32" (min.) or greater plywood,
or Wood plank (min. specific gravity of 0.42)
inimum-slope _shall -be _in_compliance with_FBC Chapter 15_Section_1507.4.2,_applicable__
code sections and in accordance with manufacturer's recommendations.
Performance: Wind Uplift Resistance:
Design Uplift Pressure: Refer to Table "A"
Refer to "Table A" attachment details herein)
FL M FL 5211.2-117
Date: 10 / 16 / 17
Report No.: 17-196-Rib-S9w-ER
Page 3 of 9
Specialty Structural Engineering CBUCK, Inc. Certificate of Authorization #8064
Performance Standards: The product described herein has demonstrated compliance with:
UL580-06 - Test for Uplift Resistance of Roof Assemblies
UL 1897-12 - Uplift test for roof covering systems
Standards Equivalency: • The UL 580-94 standard version used to test the evaluated product assembly is
equivalent to UL580-06 standard version adopted by the Florida Building Code 6th
Edition (2017).
The UL 1897-98 standard version used to test the evaluated product assembly is
equivalent to UL1897-12 standard version adopted by the Florida Building Code 6th
Edition (2017).
Code Compliance: The product described herein has demonstrated compliance with Florida Building Code
6th Edition (2017), Section 1504.3.2.
Evaluation Report Scope: This product evaluation is limited to compliance with the structural requirements of the
Florida Building Code, as related to the scope section to Florida Product Approval Rule
61G20-3.001.
Limitations and • Scope of "Limitations and Conditions of Use" for this evaluation:
Conditions of Use: This evaluation report for "Optional Statewide Approval' contains technical
documentation, specifications and installation method(s) which include "Limitations
and Conditions of Use" throughout the report in accordance with Rule 61G20-3.005.
Per Rule 61G20-3.004, the Florida Building Commission is the authority to approve
products under "Optional Statewide Approval'.
Option for application outside "Limitations and Conditions of Use"
Rule 61G20-3.005(l)(e) allows engineering analysis for "project specific approval by
the local authorities having jurisdiction in accordance with the alternate methods
and materials authorized in the Code". Any modification of the product as evaluated
in this report and approved by the Florida Building Commission is outside the scope
of this evaluation and will be the responsibility of others.
This report is a building code product evaluation per FLPE rule (FAC) 61G15-36 to
comply with Florida product approval rule (FAC) 61G20-3. This evaluation report is part
of the Florida Building Commission approval for the listed code related criteria. This
report by James Buckner, P.E. and CBUCK Engineering is not a design certification of
codecompliance construction submittal documentation, per FBC section 107,-for-any
individual structure, site specific or permit design.
All metal components and fasteners shall be corrosion resistant in accordance with
applicable sections of FBC, including but limited to Sections 1504.3.2, 1506.6 and
1507.4.4.
Design of support system is outside the scope of this report.
Fire Classification is outside the scope of Rule 61G20-3, and is therefore not included in
this evaluation.
This evaluation report does not evaluate the use of this product for use in the High
Velocity Hurricane Zone code section. (Dade & Broward Counties)
Quality Assurance: The manufacturer has demonstrated compliance of roof panel products in accordance
with the Florida Building Code and Rule 61G20-3.005 (3) for manufacturing under a
quality assurance program audited by an approved quality assurance entity through
Keystone Certifications, Inc. (FBC Organization M QUA 1824).
FL #: FL 5211.2-117
Date: 10 / 16 / 17
Report No.: 17-196-Rib-M-ER
Page 4 of 9
Specialty Structural Engineering CBUCK, Inc. Certificate of Authorization #8064
Components/Materials Roof Panel:
by Manufacturer): Product Identification: Rib Panel
Material: Steel
Thickness: 29 gauge (min.)
Panel Width: 36" (max.) Coverage
Rib Height: 3/4"
Yield Strength: 40 ksi min.
Corrosion Resistance: In compliance with FBC Section 1507.4.3:
ASTM A792 coated, or
ASTM A653 G90 galvanized steel
Fastener:
Type: Hex -Head Wood Screw with WSW
Size: #10 (x length to meet min. penetration through deck)
Penetration Through: 3/16" min. through wood deck
Corrosion Resistance: Per FBC Section 1506.6 and 1507.4.4
Standard: Per ANSI/ASME B18.6.4
Components/Materials Underlayment:
by Others): Material and application shall be in compliance with FBC Section 1507.1.1 and in
accordance with applicable code sections and manufacturer's recommendations.
Insulation (Optional):
Type: Rigid Insulation Board
Thickness: 3" (max.)
Properties:
Density: 2.25 pcf (Ibs/ft3) min.
Insulation Notes:
Rigid Insulation shall meet minimum density OR compressive strength.
Insulation shall comply with FBC Section 1508. When insulation is incorporated,
fastener length shall conform to penetrate thru bottom of support a minimum of
3/16".
Barrier (Optional):
Barrier Board: Approved Barrier, up to 1/2" thick
FL #: FL 5211.2-117
Date: 10 / 16 / 17
Report No.: 17-196-Rib-59W-ER
Page 5 of 9
Specialty Structural Engineering CBUCK, Inc. Certificate of Authorization #8064
Installation: Installation Method:
Refer to drawings on Pages 6-8 of this report.)
Fastener spacing: Refer to Table "A" Below
along the length of the panel)
Row Spacing: Refer to Table "A" Below
along the row, across the panel profile)
Rib Interlock: Lapped
Minimum fastener penetration thru bottom of support, 3/16".
For panel construction at the end of panels, refer to manufacturer's instructions and
any site specific design.
TABLE "A„
ALLOWABLE LOADS
Deck
Thickness
Fastener
Spacing
Row
Spacing
Refer to
Drawings
Design Pressure
PSF)
METHOD 1 15/32" 9" 24" A 47.5
METHOD 2 15/32" 9" 12" A 95
METHOD 3 15/32" 5",4",5",4",... Pattern 16" B 113.75
METHOD 4 19/32" 9" 16" A 71
METHOD 5 19/32" 5",4",5",4...... Pattern 16" B 144.25
Allowable design pressure for allowable stress design (ASD) with a margin of
safety of 2 to 1.
Install the "Millennium Rib" roof panel assembly in compliance with the installation
method listed in this report and applicable code sections of FBC 6th Edition (2017). The
installation method described herein is in accordance with the scope of this evaluation
report. Refer to manufacturer's installation instructions as a supplemental guide for
attachment.
Referenced Data: 1. UL580-94 & UL 1897-98 Uplift Test
By Hurricane Test Laboratory, LLC (FBC Organization #TST ID: 1527)
Report #: 0232-0321-03, Report Date: 8/27/03, Specimens #1-2
Report.#:A232-0510-03,_Report_Date:_8/27/03,.Specimen#2_____
2. UL580-94 & UL 1897-98 Uplift Test
By Hurricane Test Laboratory, LLC (FBC Organization #TST ID: 1527)
Report #: 0232-0911-05, Report Date: 9/27/04, Specimen #1
3. Engineering Analysis
By CBUCK Engineering
4. Quality Assurance
By Keystone Certifications, Inc. (QUA ID: 1824)
Millennium Metals Licensee # 423
5. Equivalency of Test Standard Certification
By James L. Buckner, P.E. @ CBUCK Engineering
FBC Organization # ANE 1916)
6. Certification of Independence
FL #: FL 5211.2-R7
Date: 10 / 16 / 17
Report No.: 17-196-Rib-M-ER
Page 6 of 9
Specialty Structural Engineering CBUCK, Inc. Certificate of Authorization #8064
By James L. Buckner, P.E. @ CBUCK Engineering
FBC Organization # ANE 1916)
Installation Method
Millennium Metals
Rib Panel" Roof Panel Attached to Wood Deck
91
Profile Drawings
95
Typical Panel Profile View (Not To Scale)
T
3141
TABLE "A"
ALLOWABLE LOADS
Deck---
Thickness
Fastener——
Spacing
Row-------Refer-to---
Spacing Drawings
Design-Pressure--
PSF)
METHOD 1 15/32" 9" 24" A 47.5
METHOD 2 15/32" 9" 12" A 95
METHOD 3 15/32" 5",4",5",4",... Pattern 16" B 113.75
METHOD 4 19/32" 9" 16" A 71
METHOD 5 19/32" 5",4",5",4",... Pattern 16" B 144.25
Allowable design pressure for allowable stress design (ASD) with a margin of
safety of 2 to 1.
FL #: FL 5211.2-R7
Date: 10 / 16 / 17
Report No.: 17-196-Rib-SM-ER
Page 7 of 9
SpPclalty Structural Engineering CBUCK, Inc. Certificate of Authorization #8054
Installation Method
Millennium Metals
Rib Panel" Roof Panel Attached to Wood Deck
9" 1 9" 1 g' 1 g'
Fastener Spacng
Across Panel Wdth
10 Hex Head Mod Screwwith V\SVV
311 Fmin penetration thru deck Spaoed
T as across the panel Detail
A - Typical Assembly Profile View (Not To Scale)
Specialty Structural Engineerinq
r M:T2%
FL #: FL 5211.2-117
Date: 10 / 16 / 17
Report No.: 17-196-Rib-S9W-ER
Page 8 of 9
CBUCK, Inc. Certificate of Authorization #8054
Refer to Table "A" for Mnimimn- idoiess
Detail A - Typical Assembly Isometric View (Not To Scale)
Installation Method
Millennium Metals
Rib Panel" Roof Panel Attached to Wood Deck
5' 14' 5' 41 5'
T—
Fastener Spadng
Across Panel Wdth
10 Hex -Head Wood Screvvwith VVSW
3116' rrin. penetration t m deck
Spaced in a 5', 4', 5', 4', F, 4', S', 4' Pattern
FL #: FL 5211.2-R7
Date: 10 / 16 / 17
Report No.: 17-196-Rib-S9W-ER
Page 9 of 9
Specialty Structural Engineering CBUCK, Inc. Certificate of Authorization #8054
Detail B - Typical Assembly Profile View (Not To Scale)
Pcv-4onor
Detail B - Typical Assembly Isometric View (Not To Scale)
INSPECTION SEQUENCE
BP# 18-3874
ADDRESS: 417 Sanford Avenue
BUILDING PERMIT
Min Max Ins ection 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'1)
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 PERIVIIT
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
PLUMBINGPERI Ti
Min Max Ins ection Description
Rough Plumb
Plumbing Underground
Plumbing 2"a Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
Plumbing Final
ME& NIltM PERMIT g "17:411,111 - ':at
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