1500 Celery Ave - BC17-002674 - ROOF CONCESSION STANDCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S 5430.00
Job Address: 1500 Celery St. Historic District: Yes X No
Parcel ID: 30-19-31-526-0000-0220 Residential Commercial X
Type of Work: New Addition Alteration ® Repair Demo Change of Use Move
Description of Work: Re -roof of Concession Stand
Plan Review Contact Person: Kristen Marion Title:
Phone: 4073657663 Fax: Email: info@oviedoroofing.com
Property Owner Information
Name City of Sanford Phone: 4073657663
Street: 300 N. Park Ave. Resident of property?
City, State Zip: Sanford 32771
Contractor Information
Name Oviedo Roofing Ent., Inc. Phone: 4073657663
Street: 802 S Hwy 27 Fax:
City, State Zip: Minneola FI 34715 State License No.: CCC1326813
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.
PBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5`h 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 ofthis 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 Oxwier/Agent's Name
Date
Signature of Notary -State ofTlorida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of I:D
ignature ofContractor/Agent Da[e
tC 'merintContrackttdAgent' 1me
0113
4 F'KOFSTEN M V,tRREK
MY COMMISSION a# FF9246i 4 EXPIRES
October 05, 2019 sa
Contractor/
Agent is V Personally Known to Me or Produced
ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Gas n Roof Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No # of beads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm. Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
8/31/2017 SCPA Parcel View: 30-19-31-526-0000-0220
Property Record Card
a d ' sn CIA Parcek 30-19-31-526-0000-0220
Owner: TIITFiUNIVOF FLORIDA AGRICULTURAL EXPERIMENT STAT
Property Address: 1500 CELERY AVE SANFORD, FL32771
Parcel Information Value Summary
i
Parcel 30-19-31-526-0000-0220
Owner T1ITF/UNIV OF FLORIDA AGRICULTURAL EXPERIMENT STAT
Property Address 1500 CELERY AVE SANFORD, FL 32771
Mailing C/O DEP 3900 COMMONWEALTH BLVD TALLAHASSEE, FL 32399
Subdivision Name PACEACRES
Tax District S1-SANFORD
DOR Use Code 182-FOREST/PARKS/REC AREAS
Exemptions 91 -STATE TIITF(2007)
23
r
22
Seminole County
Legal Description
w
Valuation Method
2017 Working 2016 Certified
Values Values
Cost/Market Cost/Market
Number of Buildings i 1
Depreciated Bldg Value 90,404 1$91,541
Depreciated EXFT Value 91,312 91,312
Land Value (Market) 142,340 142,340
Land Value Ag
Just,'Market Value
Portability Adj
324,056 325,193
Save Our Homes AdjAmendment
1 Adj 0
so P&
G Adj 0 Assessed
Value 324,056 325,193 1 Tax
Amount without SOH: $0.00 2016
Tax Bill Amount $0.00 Tax
Estimator Save
Our Homes Savings: $0.00 Does
NOT INCLUDE Non Ad Valorem Assessments S
628 FT OF LOT 22 + E 114 FT
OF S 628 FT OF LOT 23 PACE
ACRES PB3PG21
Taxes
Taxing
Authority County
Assessment
Value Exempt Values Taxable Value I
General Fund' F$324,056 324,056 t 0 Schools
City
Sanford SJWM(
Saint Johns Water Management) 4 ---------
324,
056 324,
056 324,
056 I 324,
056 056
0
0
0
County
Bonds 324,056 j 0 Sales
Description
Date Book PageAmount Qualified VactImp No
Sales Find
Comparable Land
Method
Frontage 11ACREAGE
0.00 Depth
units 0.
001 Units
Price Land Value 6.
469 $22,000.00 Building
Information Year
Built DescriptionActual/Effective iveStories Total SF E xt Wall Repi Value Appendages http://
parceldetaii.scpafl.org/Parcel Detail Info.aspx?PID=30193152600000220 1/2
DATE: 08/15/17 PURCHASE ORDER
CITY OF SANFORD
PO NUMBER 03.5524
P.O. BOX 1788
PURCHASING OFFICE: 407,688.5030 (300 NORTH PARK AVENUE)
ACCOUNTS PAYABLE: 407.688.5020 SANFORD, FLORIDA 32772 SUBMIT INVOICES TO: ACCOUNTS PAYABLE
FINANCE DEPT. FACSIMILE: 407.688.5021
FLORIDA TAX EXEMPT NO.: 858012621681C-8 P.O. BOX 1788
VENDOR NO.: 12341 SANFORD, FL 32772
TO: SHIP TO:
OVIEDO ROOFING ENTERPRISES INC CITY OF SANFORD404ESR434300N. PARK AVENUEWINTERSPRINGS, FL 32708 RECREATION DEPARTMENT
SANFORD, FL 32771
DELIVER BY TERMS F.O.B. DESTINATION BID OR QUOTATION NO. REQUISITION NO.
UNLESS OTHERWISE INDICATED ., 09/30/17- NET 66013ACCOUNTNO.; 0 01- 5 5 0 2- 5 7 5. 4 6- 0 0 PROJECT No.: FEMA16
NO DEVIATION FROM THIS PURCHASE ORDER WILL BE ALLOWED UNLESS AUTHORIZED BY THE PURCHASING MANAGER - CITY OF SANFORD
ITEM NO. DESCRIPTION QUANTITY UNIT OF
UNIT COSTISSUE EXTENDED COST
1 REROOF/REPAIR 5430.00 EA 1.00 5430.00
SUB TOTAL 5430.00
TOTAL 5430.00
APPROVED BY: APPROVED BY:
PORCHASh a AGENT CITY MANAGER
All packages and oices applicable to this P.O. must bear this P.O. Number. The Vendor shall comply with all specified and
referenced herein before and after. Any attempts to insert language to change these terms and conditions arehereby,rejected andwillberesolvedinfavoroftheCityofSanford. Standard terms and conditions hereby incorporated into this purchase order
may be found at http://www.sanfordfl.gov/index.aspx?page=879 Terms and conditions applicable to P.O.'s and
at Additional Terms and conditions http://www.sanfordfl.gov/index.aspx?page=883
I - LU1; r!4.VU 4ui000J141 I r ur z"IiruRL jl T11111111111111111141Ttlllf IN111
HIS INSTRUMENT PREPARED BY;
Jame.. ClefmOnt Roofinq tnc.
Address; 802 S Hwy 27 Minneola 34715
NOTICE OF COMMENCEMENT
Pormlt Number:
Parcel ID Number. 30-19-31-526-0000-0220
GRArJ T NALU f SE!`{INOLE COMFY
l-t,:K OF CIRCUIT COURT Cr C:ONPTROLLEk
15K 8,98
CLERK'S : 2017090861
Iz.l, (_ONE- ,I ,FItU,'1ii1 r' •tu•1.7 P11
tRW I)IN(a SEES $10.00
RECORDED BY hdev,;f•::!
The undersigned hereby gives notice that Improvement will be made to certain real property, and in Accordance with Chapter 713, Florida Statutes, thefollo,Mng Information Is provided In this Notice of Commencement.
1, DESCRIPTION OF PROPERTY: (Legal description of the property and street addreca if available) S 628 FT OF LOT 22 + E 114
PACE ACRES PB 3 PG 21 1500 CELERY AVE SANFORD FL 32771
GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Root of Concession Babe Ruth
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name end address: TIITFIUNIV OF FLORIDA AGRICULTURAL EXPERIMENT STATE
Interns, in property Owner
Fee Simple Title Holder (if other than owner listed above) Name:
I. CONTRACTOR: Name: Oviedo Roofing Ent. Inc. Phone dumber. 4073657663Address: 802 S Hwy 27 Minneols 34715
SURETY (If applicable, a copy of the payment bond is attached): Name:
Addrers
E. LENDER: Neme. Amount of Bond,
Address: Phone Number
7. Persons Within the State of ROrlda Designated by Owner upon whom notice or other documents maybe served as Provided b713,13(1)(a)7,, Florida Statutes
PName_ Y Section
Addross, Phone Number.
a. in addvtion. Omer desgn»tes
to a copy of the Lienor s Notix es ro of
P w«k`d in Section 713.13(1)(b), Florida Statures. Phone number. Expiration Date of Noticf 01 Canrmencernent (The expiration is 1 eer from date ofy recording unley-s a dlHereM date Is sP0cMed)
COr13rDERE—D HAPROR PNMEN7S UptR CHAPTER 7O13 1ER AFTER THE 713.1
A
STATUTES.
PkYING T VICE FOR t14PR0 THE EXPIRATIONFLORIDAID THE NOTICE OF COMMENCEMENT AREJoeSrrF- BEFORE THE FIRST INSPE TI YOUR PROPERTY. A NOTICE OF COMMENCEMENTBcfOP.E RST INSPECTION, IF YOU INTEND TO MUST B AND CAN RESULT IN YOURCOMMENCItJGWIO?KOq RECORDING YOUR NOTICE OF ONIM ICEMEN CONSULT RECORDED AND POSTEDWtTt-I YOUR LENDER OR AN A TORNEY
ge,4
r '" Or.G7r17uyaafl dadaa I. RYWI.4RM
ar+m'r
l
state
Co dr lll'I: Ullty Of
7ho foregoing instrument was acknowledged baforo me this
byi
who has producod identification C typo of identification Produced:
Nt7t fy PUMc Score of Florida
Rebe= Sofa
VXVMy COMM111)on FF 974499E*rea 03f2312020
Rece i ved Time Aug, 31, 2017 4; 24PM No. 0368
stay of _ _
Who la pomonafty known to me aE Rf
ii.,3a
r
Product Approval Specification Form
Permit #
Project Location Address 1500 Celery St.
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(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 Certainteed Landmark FI 5444-R10
Underla ments Certainteed Roofer's Select
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen Certainteed Flmtlastic FL2533
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
r
Applicant's Signature
Applicant's Na
Please Print)
June 2014
8/8/2017 Florida Building Code Online
s
r
BCIS Home { log in user Registration I Hot Topics Submit Surcharge Stats a Facts ; Publications FBC Staff ' BCiS Site Map j Links
SearchProductApprovald',bpr USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL # FL2533-R17
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
Florida Engineer or Architect Name who developed
the Evaluation Report
Florida License
Quality Assurance Entity
Quality Assurance Contract Expiration Date
Validated By
Certificate of Independence
Referenced Standard and Year (of Standard)
CertainTeed Corporation -Roofing
18 Moores Road
Malvern, PA 19355
610) 893-5400
mark.d.harner@saint-gobain.com
Mark Harrier
mark.d.harner@saint-gobain.com
Mark 0. Harrier
18 Moores Road
Malvern, PA 19355
610) 651-5847
Mark.D.Harner@saint-gobain.com
Roofing
Modified Bitumen Roof System
Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
U Evaluation Report - Hardcopy Received
Robert Nieminen
PE-59166
UL LLC
03/09/2020
John W. Knezevich, PE
f, Validation Checklist - Hardcopy Received
FL2533 R17 COI 2017 01 COI Nieminen.pdf
Standard Year
ASTM D6162 2000
ASTM D6163 2000
ASTM D6164 2005
ASTM D6222 2008
ASTM D6509 2009
FM 4470 1992
FM 4474 2004
Equivalence of Product Standards
https://wwv.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQvADgvwelwRFXRvHOHSbaIV%o2f8EtfCKNtt8hhPLbH66yy%2bci9g%3d%3d 1/2
8/8/2017
Certified By
Florida Building Code Online
Sections from the Code
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Date Revised
Summary of Products
Method 1 Option D
02/16/2017
02/16/2017
02/21/2017
04/04/2017
06/06/2017
FL # Model, Number or Name Description
2533.1 Flintlastic Modified Bitumen Modified Bitumen Roof Systems
Roof Systems
Limits of Use Installation Instructions
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
FL2533 R17 11 2017 02 FINAL Al ER CERTAINTEED MODBIT FL2533
R17.odf
Impact Resistant: N/A Verified By: Robert Nieminen, PE PE-59166
Design Pressure: +N/A/-630
Other: 1.) Refer to ER Section 5 for Limits of Use.
Created by Independent Third Party: Yes
Evaluation Reports
2.) The design pressure noted in this application
relates to one specific system. Refer to the ER
FL2533 R17 AE 2017 02 FINAL ER CERTAINTEED MODBIT FL2533-
R17.Ddf
Appendix for all systems and max design Created by Independent Third Party: Yes
pressures.
Back No-t
Contact Us :: 2601 Stair 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 electronicmalltothisentity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact $50.487.1395.. `Pursuant to Section 455.
275(l), 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 emaiis 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, ES., please
dick here . Product
Approval Accepts: 0 ®
E..12 Credit
Sa
secant} +
IZ I iR cshttps:
lhvww.floridabuilding.org/pr/pr_app dtl.aspx?param=wGEVXQMDgvwelwRFXRvHOHSbaN%2f8EtfCKNtt8hhPLbH66yy°/g2bcj9g%3dd/`3d 2/2
8/16/2017 Florida Building Code Online
BCIS Home i Cog In User Registration ; Hot Topics Submit Surcharge 'j Stats R Facts I Publications FBC Staff BCIS Site Map } Links Search ;
tts 'Product Approval
USER: Public User
uaaq a
Product Approval Menu > Product or Application S2arcn > Application List > Application Detail
r
FL # FL5444-R11X6 '- Application Type Revision
Code Version 2014
Application Status Approved
Comments
Archived E3
Product Manufacturer CertainTeed Corporation -Roofing
Address/Phone/Email 18 Moores Road
Malvern, PA 19355
610)893-5400
mark,d,harner@saint-gobain,com
Authorized Signature Mark Harrier
mark.d,harner@saint-gobain.com
Technical Representative Mark D. Harrier
Address/Phone/Email 18 Moores Road
Malvern, PA 19355
610) 651-5847
Mark.D.Harner@saint-gobain.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation. Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 03/09/2020
Validated By John W. Knezevich, PE
I Validation Checklist - Hardcopy Received
Certificate of Independence FL5444 R11 COI 2017 01 C0I Nieminen,ocif
Referenced Standard and Year (of Standard) Standard Year
ASTM D3161, Class F 2009
ASTM D3462 2009
ASTM D7158, Class H 2O08
Equivalence of Product Standards
Certified By
Sections from the Code
https://wvwv.floridabuilding.org/pr/pr_app dti.aspx7param=wGEVXQwtDgtahlg07CSsoycOrl28CcpCilzggWhOOJbj3Ay4MU1brQ%3d%3d 1/2
8/16/2017 Florida Building Code Online
Product Approval Method Method 1 Option D
Date Submitted 06/06/2017
Date Validated 06/08/2017
Date Pending FBC Approval 06/09/2017
Date Approved 08/08/2017
Summary of Productsr i
FL # Model, Number or Name Description
5444.1 CertainTeed Asphalt Roofing Shingles 3-tab, 4-tab, strip (no -cut-outs), laminated and architectural
asphalt roof shingles
Limits of Use Installation Instructions
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
FL5444 R11 11 2017 06 FINAL ER CEMINTFFD Asohalt
Shingle FL5444-R1i_odf
Impact Resistant: N/A Verified By: Robert Nieminen, PE PE-59166
Design Pressure: N/A
Other: Refer to ER Section 5 for Limits of Use
Created by Independent Third Party: Yes
Evaluation Reports
FL5444 R11 AE 2017 06 FINAL ER CERTAINTEED Asphalt
Shingle FL5444-R11.Ddf
Created by Independent Third Party: Yes
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 youdo not want your e-mail address released in response to a public -records request, do not send electronic mail
to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. "Pursuant to Section 455.
275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record, If you do not wish to supply a personal address,
please provide the Department with an email address which can be made available to the public. To determine if youare a licensee under Chapter: 455, F.S., please
click bg_rp_. Product
Approval Accepts: M
0 Credit,
i Safe
zSecurlty,
4t>urrfcK kj https://
www.floddabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtah 1 gO7CSsoycOrl28CcpCjlzggWhOOJbj3AyaMU 1 brQ%3d%3d 2/2
4/26/2017 Florida Building Code Online
BCIS Home Log in i user Registration 1 Hot Topic ( Submit Surcharge Stats & Facts ? Publications € FBC Staff BCIS.Site Map Links Search
r t- Product Approval
USER. Public User
sue; rx
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL # FL11288-R15
a 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
Florida Engineer or Architect Name who developed
the Evaluation Report
Florida License
Quality Assurance Entity
Quality Assurance Contract Expiration Date
Validated By
Certificate of Independence
Referenced Standard and Year (of Standard)
CertainTeed Corporation -Roofing
18 Moores Road
Malvern, PA 19355
610) 651-5847
mark.d.harner@saint-gobain.com
Mark Harrier
mark.d.harner@saint-gobain.com
Mark D. Harner
18 Moores Road
Malvern, PA 19355
610) 651-5847
Mark.D.Harner@saint-gobain.com
Roofing
Underlayments
Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
L. Evaluation Report - Hardcopy Received
Robert Nieminen
PE-59166
U L LLC
03/09/2020
John W. Knezevich, PE
J Validation Checklist - Hardcopy Received
FL11288 R15 COI 2016 01 COINieminen.odf Standard
year ASTM
D1970 2009 ASTM
D226 2006 ASTM
D4601 2004 ASTM
D4869 2005 ASTM
D6163 2000 ASTM
D6164 2005 ASTM
D6222 2008 ASTM
D6757 2007 FM
4474 2004 https:/
hvww.floridabuilding.org/pr/pr app o.aspx?param=wGEVXOwtDgs6WGOndiUHYonUmKSG5yyaJM4c4BcWaVTRkRVeshObtg%3d%3d 1/2
4/26(2017
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Productsr ---
Florida Building Code Online
FRSA/TRI April 2012 (04-12)
TAS 103
TAS 110
Method 1 Option D
02/14/2016
02/16/2016
02/17/2016
04/12/2016
2012
1995
2000
FL # Model, Number or Description
Name
11288.1 Certainreed Roof
Underlayments
Roof underiayments for use below Approved prepared roof coverings.
Limits of Use Installation Instructions
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
FL11288 R15 Il 2016 02 FINAL ER CERTAINTEFD UNDERLAYMENTS FL11288
RIS,odf
Impact Resistant: N/A Verified By: Robert Nieminen PE-59166
Design Pressure: +N/A/-555.0 Created by Independent Third Party: Yes
Other: 1.) The DP in this application Evaluation Reports
pertains to a particular application for use
in adhesive -set tile applications. DP is N/A
FL11288 R15 AE 2016 02 FINAL ER CERTAINTEFD UNDERLAYMENTS FL11288-
R7 .odf
for undedayments installed beneath Created by Independent Third Party: Yes
mechanically attached prepared roof
covers. 2.) Refer to ER Section 5 for other
Limits of Use.
Buclr Ncxf
Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer, Coovriaht 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic
mail to this entity. Instead, contact the office by phone or by traditional mail. if you have any questions, please contact 850.487.1395, *Pursuant to Section
455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have
one. The emails provided may be used for official communication with the licensee. However email addresses are pubic record. If you. do not wish to supply apersonaladdress, please provide the Department with an email address which can be made available tothe public. To determine if you are a licensee underChapter
455, F.S., please dick here .
Product Approval Accepts:
Credit Card
Safe 4
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ACC? CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
1118/2017
THIS CERTIFICATE IS ISSUED AS A, MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS -UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND .OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW., THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may, require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsements).
PRODUCER -.. CONTACT Griselid s Acosta. NAME: y
PHONE--.
m...m. - ... ._...
Frank H. Furman, Inc. lAIG.No-Ext) (95,4) 943-5050 E : (s54)s42-6310
1314 East Atlantic Blvd. E-MAILADDRESS:gris@furmannsurance.com
P. O. Box 1927 -
a ..
EINSURRS AFFORDING GE NAIC # COVERAGEi _ RA
Pompano Beach FL 33061 INSURER AEvans ton Insurance Company 135378
INSURED INsuRER B Bridgefield Employers Ins Co ti 10701
Oviedo Roofing Enterprises, Inc. INSURERC:
Clermont Roofing, Inc. INSURERD:
802 South highway 27 INSURERE.
Minneola FL 34715 INSURER F :
rovFRAr.F'S rr-PTIFirATF IdtiMRCR-1 7-1 A MA:RTRR Cr.RT Dcvlelnki knleeDCD.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM 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. LIMITS SHOWN; MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR .-
FAO L:SUBRR_. ..-.,_..:. TYPEOFINSURANCE - 4 : LTR '. (
POLICY NUMBER. i _.._... POLICYEFFPOLICY_EXP I MMIDDIYYYYMDDIYY,YY ' LIMITS X `
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4-1 CLAIMS -MADE. X OCCUR. 3CO7196 TO
RE=2ENCE
DAMAGE
7O REN ('El PREMISES
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20/2016( 10/20/2017_D P(Anyone ersonj S 100,
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L AGGREGATE LIMIT APPLIES PER: I I GENERAL AG;GR_EGATE S 2 r 2,000,000 POLICY
JEGT E I LOG PRODUCTS-COMPtQPAGfis 5 2,000,000 t
OTHER: AUTOMOBILE
LIABILITY ` ICOMBINED SINGLE LIMIT ANY
AUTO ' ' I BODILY INJURY (Per person) $ ALL
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AUTOS p I BODILY INJURY (Per accident) S I
i NON -OWNED PROPERTY tHIREDAUTOS_ AUTOS DAMAGE
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UMBRELLA LIAB i OCCUR EACH OCCURRENCE i $ a
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LIABILITY YIN ' ANY
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23/2017 1/23/2018 E.L. DISEASE EA EMPLOYE 1
000 000 1
040s S000n Iifyes. describe under DESCRIPTIONOFOPERATIONSbelow E.L. DISEASE-- POLICY LIMIT $ 1,000,000 , DESCRIPTION
OF OPERATIONS t LOCATIONS I VEHICLES (ACORD 101,.Additional Remark$ Schedule, maybe attached If morespace is required) Patrick
Scott License Number CCC1326813 and License Number CCC1330052. CFRTIFICATF
Hf l nFR CA?JrFl I ATInN 14073283859@efaxsend.
eom SHOULD
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City
of Sanford THE EXPIRATION .DATE THEREOF, NOTICE WILL BE DELIVERED IN 300
North -Park Ave. ACCORDANCE WITH -THE -POLICY PROVISIONS, Sanford,
FL 32771 AUTHORIZED
REPRESENTATIVE - Dirk
DeJona/'GA 019882014.
ACORD CORPORATION. All rights, reserved. ACORD
25-(2014/01) The ACORD name and logo are registered marks of ACORD INS025
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CITY OF
SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. / % + 9te-74 ISSUE DATE: 09. 06 * 1-7
CONTRACTOR: U U 1 e Ro 0-1; 4
JOB ADDRESS: l z-o ® Ce, I e-I LA
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TYPE OF WORK: On C eiS sfg!1v`
PROTECT FROM WEATHER
Post this Permit and all required documents in a conspicuous place outside
Digital Photographs are required - please follow re -roof policy and procedures guide
All trash, debris and dumpsters must be removed from job site at final inspection
Permit expires six (6) months from date of issue
ROOF
NSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
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:
Dial 407.792.6069 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
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
Final Roof Inspection Code 111
Inspection Policy & Procedures
A Final Roof Inspection is the only inspection required for Residential
Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits.
The Following is required to be provide on the job site:
Permit Card, posted in a conspicuous and weatherproof location
Completed Residential Re -Roof Scope of Work
Completed and Notarized Inspection Affidavit
All Florida Product Approval and Corresponding Installation Instructions
Product Approval shall match what is on the scope of work)
Digital Photographs (must include the permit number or address in each picture)
o Each plane of the roof, showing the underlayment installed
o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
o Roof Deck Nails used (including a measuring device or ruler showing size ofnails)
o Underlayment Pattern & Spacing (including a measuring device or ruler)
o Drip Edge & Valley Attachment (including a measuring device or ruler)
o Shingles installed, nail pattern and location of nails
Skylights (if applicable)
o Digital photographs showing all installation components, per FL Product Approval
o Digital photographs showing all required flashing, per FL Product Approval
Failure to follow these specific guidelines will result in an affidavit provided by a Florida
Design Professional (Architect or Engineer), certifying FBC code compliance by personal inspection
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112