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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO
^1MUST
��B,nECOMPLETED FOR APPLICATION TO BE'ACCEPTED
Date: `�"�waW`` ;Permit Number:
COUNTY
IRECOED
w�
Building Permit Application j4AR ®4 Ion
Planning and Development Services
Building and Code Regulation Division permitting 9""'ment
2300 Virginia Avenue,Fort Pierce FL 34982 St'LuC1e Cunt
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: I NO
Property Tax ID#: 1 — Lot No. 1 T2
Site Plan Name: r Block No. J
Project Name: S+fJAJ 4 _
I
DETAILED DESCRIPTION, FWORK
Re-Roof
' I
CONS TRUCTIQN,INFORMATION
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors
Electric _Plumbing _Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: 35(04 Sq. Ft.of First Floor:
Cost of Construction: $_/ oZ� Utilities: —Sewer _Septic Building Height: 2�
I
OWNER/LESSEE: CONTRACTOR:
Name ( Name: Robert Donovan
Address: 1,76C? -kaoille fra tmce &A6mL Company: Total Home Roofing
City: Utig State: Address:, 597 Haverty Court, Suite 40
Zip Code: 9 17 Fax: City: Rockledge State: �FL
Phone No. W05; — 7,,z0-1!9 Zip Code': 32955 Fax:
E-Mail: Phone No 321-452-9223
Fill in fee simple Title Holder on next page(if different E-Mail Christa@throofing.com
from the Owner listed above) State or County License CM 330489
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
i
SUPPLEMEIVTAL.CONSTRUCTION LIE,N LAW.IN FORMATION:-
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: C4 Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.)
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential usie
"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,ICONSULT
WITH YOUR LENDEMR.AFPATrORNEY BEFORE RECORDING YOUR NOTICE OF EMENT:"
Signature of O essee/Contractor as Agent for Owner Signature.of Co nOwnicense Holder
STATE OF FLORIQA4 STATE OF FLORI
COUNTY OF I AIM COUNTY OF
I
The forg ing inst ent was acknowledged before me The forg ing instru ent was acknowledged before me
this day of r 20�by this nday of / 20Wby
ko'btx� 2)m�� Robert Donovan
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known(/z OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-Stat Florida) ature of Notary Public- atFlarid
Commission No. ":?'� •.(Se§�jRISTA.LYNs&MONS N /` CHRISTkLYNSALMONSQN
• ;; MY COMMISSION#GG �o iss i o n N o. 't COMMIIAMI� 930883
No
*� EXPIRES•March 10,202 0` EXPIRES:March 10,202Notm 0% 4
•„op q;,,• lio N
REVIEWS FRONT •� , SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19
i
Florida Building Code Online 12/26/19,2:40 PM
SCIS Home Log In j User Registration I HotTopi6 Submit Surcharge I S' Com' i Publications I Contact Us SCIS Site Map I Links IpFSearch
Florida
rProduct Approval
t }' )USER:Public User
r.Fa,';.Pr.Jh.ssp„ire Q
Product Aogroval Menu> Product or Anolication Search>Application List>Application Detail V��
[�"7 +- r FL# FL10674-R15 �1 c
Ce
Application Type RevisionCode Q, a
Q
e �
Version 2017
J
Application Status Approved Qei `�\�c�,Go
Comments
Archived
Product Manufacturer Owens Corning
Address/Phone/Email One Owens'Corning Parkway
Toledo, OH43659
(740)404-7829
greg.keeler,@owenscorning.com
Authorized Signature Greg Keeler
greg.keeler@owenscorning.com
Technical Representative Mel Sancrant
Address/Phone/Email 1 Owens Corning PKWY
Toledo,OH'43659
(419) 376-8360
mel.sancrant@owenscornig.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
T Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who developed Robert J.M. Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity PRI Construction Materials Technologies, LLC.
Quality Assurance Contract Expiration Date 04/20/2020
Validated By John W. Knezevich, PE
Validation Checklist- Hardcopy Received
Certificate of Independence FL10674 R15 COI 2019 01 COI NIEMINEN.pdf
Referenced Standard and Year(of Standard) Standard Year
ASTM D1970 2015
ASTM D3161 2016
https://www.floridabuilding.org/pr/pr_app_dt].aspx?param=wGEVXQwtDgtBNbEY5V%2boQT%2b6w7ahRegICQ8ucR6ixEDL76gG32Q9MA%3d%3d Page 1 of 2
II
Florida Building Code Online 2/26/19,2:40 PM
ASTM D3462 2010
ASTM D7158 2011
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 08/15/2019
Date Validated 08/15/2019
Date Pending FBC Approval 08/21/2019
Date Approved 10/15/2019
Summary of Products
FL# Model,Number or Name Description
10674.1 Owens Corning Asphalt Roofing 3-tab,4-tab, 5-tab, laminated,starter and hip&ridge
Shingles and Starters shingles
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10674 R15 II 2019 08 FINAL ER OC_ASP HALT
Approved for use outside HVHZ:Yes SHINGLES FL10674-R15.pdf
Impact Resistant: N/A ;Verified By: Robert J. M. Nieminen PE- 59166
Design Pressure: N/A Created by Independent Third Party: Yes
Other: Refer to ER, Section 5. Evaluation Reports
FL10674 R15 AE 2019 08 FINAL ER OC ASPHALT
SHINGLES FL10674-R15.idf
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 mail.If lyou have any questions,please contact 850.487.1395.*Pursuant to Section
455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have
one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a
personal address,please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under Chapter
455,F.S.,please click here.
Product Approval Accepts:
® eGtid
Credit,Card
Safe
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtBNbEY5V%2boQT%2b6w7ahReglCQ8ucR6ixEDL76gG32Q9MA%3d%3d Page 2 of 2
i
NEMO etc.
Certificate of Authorization#32455
353 Christian Street, Unit#13
Oxford,CT 06478
(203)262-9245
ENGINEER EVALUATE TEST CONSULT CERTI y
REPORTEVALUATION
Owens Corning Evaluation Report 037940.02.12-R10
One Owens Corning Parkway FL10674-1115
Toledo,OH 43659 Date of Issuance:02/06/2012
(740)404-7829, Revision 10: 08/15/2019
SCOPE:
This Evaluation Report is issued under Rule 61G20-3 and the applicable rules and regulations governing the use of
construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen,
P.E.for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The products
described herein have been evaluated for compliance with the 6t'Edition (201 7) Florida Building Code sectio s noted
herein.
DESCRIPTION: Owens Corning Asphalt Roof Shingles
LABELING: Labeling shall be in accordance with the requirements of the Accredited Quality Assurance Agency noted
herein and FBC 1507.2.7.1/R905.2.6.1
CONTINUED COMPLIANCE: This Evaluation Report is valid until 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. of any changes to the
product(s),the Quality Assurance or the production facility location(s). MEMO I etc. 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 "NEMOletc. 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 10.
Prepared by:
Robert J.M.Nieminen, P.E.
fi;e, :r:?: The facsimile seal appearing was authorized byl Robert
� . . ,,;.
Nieminen,P.E.on 08/15/2019. This does not serve as an
Florida Registration No.59166,Florida DCA ANE1983 �s'.;.; �:�''` electronically signed document.
CERTIFICATION OF INDEPENDENCE:
1. NEMOIetc. 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. NEMO I etc.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.
5. This is a building code evaluation. Neither NEMO I etc.nor Robert Nieminen,P.E.are,in any way,the Designer of Record for any project
on which this Evaluation Report,or previous versions thereof,is/was used for permitting or design guidance unless retained specifically
for that purpose.
©2018,NEMO ETC,LLC
ONEMOletc.
ROOFING SYSTEMS EVALUATION:
1. SCOPE:
Product Category: Roofing
Sub-Category: Asphalt Shingles
Compliance Statement: Owens Corning Asphalt Roof Shingles, as produced by Owens Corning, have
demonstrated compliance with the following sections of the 6ih Edition(2017)Florida Building Code and Florida
Building Code, Residential Volume through testing in accordance with the following Standards. Compli�nce is
subject to the Installation Requirements and Limitations/Conditions of Use set forth herein.
2. STANDARDS:
Section Prope Standard Year
1507.2.4,R905.2.3 Physical Properties ASTM D1970 2015
1507.2.5,R905.2.4 Physical Properties ASTM D3462 2010
1507.2.7.1,R905.2.6.1 Wind Resistance ASTM D3161 2016
1507.2.7.1,R905.2.6.1 Wind Resistance ASTM D7158 2011
3. REFERENCES: I
Enti Examination Reference Date
Owens Corning Declaration Equivalency Declaration 08/06/2019
PRI(TST5878) ASTM D1970 OCF-382-02-01 10/24/2017
UL LLC(CER9626) Physicals&Wind Resistance File R2453,Vol.3 02/15/2007
UL LLC(CER9626) Physicals&Wind Resistance 20120516-R2453 05/16/2012
UL LLC(TST9628) Physical Properties 06CA20263 04/18/2006
UL LLC(TST9628) Wind Resistance 11CA34308 02/18/2012
UL LLC(TST9628) Physicals&Wind Resistance 4786093137 02/01/2014
UL LLC(TST9628) Wind Resistance 4786126532 02/10/2014
UL LLC(TST9628) Physical Properties Classification letter 02/13/2014
UL LLC(TST9628) Physical Properties Classification letter 10/02/2015
Miami-Dade(CER1592) FBC HVHZ Compliance Various NOAs Various
PRI(QUA9110) Quality Control Service Confirmation 04/OS/2020
PRODUCT4. DESCRIPTION:
4.1 ACCESSORY STARTERS'
4.1.1 Starter Strip Shingle,Starter Strip Plus and SRS TopShield Starter are starter strips for asphalt roof shingles. Meets
ASTM D3462.
4.1.2 Starter Shingle Roll is a mineral-surfaced,fiberglass-reinforced,self-adhering SBS modified bitumen starter strip,
nominal 7.2-inch wide x 33-ft 4-inch long roll,for use with asphalt shingles. Meets ASTM D1970.
4.2 ASPHALTSHINGLES:
4.2.1 Classic'and Supreme'are fiberglass reinforced,3-tab asphalt roof shingles. Meets ASTM D3462.
4.2.2 Berkshire'are fiberglass reinforced,4-tab asphalt roof shingles. Meets ASTM D3462.
4.2.3 Duration°,TruDefin'ifion Duration,Duration°Premium Cool,TruDefinition*Duration'Designer Color Collection,
TruDefinition®Oakridge', Oakridge` and WeatherGuard' HP are fiberglass reinforced, laminated aspha t roof
shingles. Meets ASTM D3462.
4.3 HIP&RIDGE SHINGLES:
4.3.1 Berkshire'Hip&Ridge Shingles with Sealant,DuraRidge®Hip&Ridge Shingles with Sealant,P_roEdje—!:Hip_&Ridge
Sfiingies and WeatherGuard'HP Hip&Ridge Shingles are fiberglass reinforced,hip and ridge asphalt roof shingles.
Meets ASTM D3462.
NEMO ETC,LLC Evaluation Report 037940.02.12-R10
Certificate of Authorization#324s5 CH EDITION(2017)FBC NON-HVHZ EVALUATION FL10674-R35
Owens Corning Asphalt Roof Shingles Revision 10:08JP/2019
Page 2 of 10
I
MEMO etc.
5. LIMITATIONS:
5.1 This is a building code evaluation. Neither NEMO ETC,LLC nor Robert Nieminen, P.E.are,in any way,the Designer
of Record for any project on which this Evaluation Report,or previous versions thereof,is/was used for permitting
or design guidance unless retained specifically for that purpose.
5.2 This Evaluation Report is not for use in FBC HVHZ jurisdictions.
5.3 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory for
fire ratings of this product.
5.4 Wind Classification:
5.4.1 The Owens Corning asphalt shingles noted in Section 4.2 are Classified in accordance with FBC Tables 1507.2.7.1
and R905.2.6.1 to ASTM D3161, Class F and/or ASTM D7158, Class H, indicating acceptable use in all wind zones
UP to Vasa=150 mph (Vast=194 mph). Refer to Section 6 for installation requirements to meet this wind rating.
Note: Classification by ASTM D7158 applies only to exposure category B or C, as defined in FBC 1609.4.3, and a
mean roof height of 60 feet or less. Calculations by a qualified design professional are required for conditions
outside these limitations. Contact the shingle manufacturer for data specific to each shingle.
5.4.2 Starter Strip Shingle,Starter Strip Plus and SRS TopShield Starter noted in Section 4.1.1 and the Owens Corning hip
& ridge shingles noted in Section 4.3 are Classified in accordance with FBC-Tables 1507.2.7.1 and R905.2. '1 to
ASTM D3161,Class F, indicating acceptable use in all wind zones up to Vasd= 150 mph (Vit= 194 mph). Refer to
Section 6 for installation requirements to meet this wind rating.
5.4.3 Refer to Owens Corning published information on wind resistance and installation limitations.
5.5 All products in the roof assembly shall have quality assurance audit in accordance with F.A.C. Rule 61G20-3i
INSTALLATION:6.
6.1 GENERAL:
6.1.1 Roof deck, slope, underlayment and fasteners shall comply with FBC 1507.2 / R905.2 and the shingle
manufacturer's minimum requirements.
6.1.2 Underlayment shall be acceptable to the shingle manufacturer and shall hold current Florida Statewide Product
Approval,or be Locally Approved per Rule 61G20-3,per FBC Sections 1507.2.3, 1507.2.4 or R905.2.3.
6.1.3 Fasteners shall be in accordance with the shingle manufacturer's published requirements, but not less than FBC
1507.2.6 or R905.2.5. Staples are not permitted.
6.1.4 Owens Corning asphalt shingles are acceptable for use in reroof(tear-off) or recover applications,subject to the
limitations set forth in FBC Section 1511 or R908 and published installation instructions.
6.2 ACCESSORY STARTERS:
6.2.1 Installation of Starter Strip Shingle, Starter Strip Plus and SRS TopShield Starter shall comply with the Owens
Corning current published instructions using minimum five(5)nailsper strip.
Feftmdedayment ', Deck Fdaededarmaa h—Deck tveara s
Se84dhered ,
WeadmLocks
l
arlderlaymm
' Ddpe4e Imp
M11aHs!orated r-r trom me
Instau first Se@-searure adhesive �+eshe
Starter Strip _ positiaoedalonpeave ��"�Strgp" - v � +�+•a•+r'e
ddnplele7Mh \ wrkhPrarovad \
8'reaoved Starter Sftshinoleoverhanpseaves andrakes'/i-Yi SnrtarS't*PWorn6agreavesandrake.vr-u4•
Figure 1:Minimum Nailing,Starter Strip Figure 2:Minimum Nailing,Starter Strip Plus
MEMO ETC,LLC Evaluation Report 037940.02.12-1130
Certificate of Authorization#32455 6TH EDITION(2017)FBC NON-HVHZ EVALUATION FL10I674-R15
Owens Corning Asphalt Roof Shingles Revision 30:08/15/2019
Page 3 of 10
ONEMOjetc.
6.2.2 Installation of Starter Shingle Roll shall comply with the Owens Corning current published instructions.
Deck
f^ Undedayment
Drip edge
,. Drip edge
ySr
t �
` Starter Shingle Roll adhered
r `'
" directly to undedayment and
primed drip edge
Self-sealing adhesive
positioned along eaves
i
Figure 3:Starter Shingle Roll
6.3 ASPHALT SHINGLES:
6.3.1 Installation of asphalt shingles shall comply with the Owens Corning current published instructions, using
minimum four(4)nails per shingle in accordance with FBC 1507.2.7 or R905.2.6,with the following exceptions:
➢ Berkshire shingles require minimum five(5)nails per shingle.
➢ WeatherGuard®HP shingles require minimum six(6) nails per shingle.
Where the roof slope exceeds 21 units vertical in 12 units horizontal,special methods of fastening are required
Refer to Owens Corning published information on wind resistance and installation limitations.
6.3.1.1 Classic®&Supreme:
Normal Mansard or Area para Normal Mansard or Area para
Wind Areas High Wind desvones y Wind Areas High Wind desvanes y
Area per&vientos normales Areas vientos Mertes Area pen vientos nonmles Areas vientos fvertas
t.. t. 2• IB 2- t-� t" (A} t- (Y z• (B
tr tr tz tzt
5"Exposure 5 51W F.xposom
Exposition Frrposicion
Figure 4:Minimum Nailing,Classic&Supreme Figure 5:Minimum Nailing,Classic&Supreme
(Standard Size) (Metric Size)
NEMO ETC,LLC Evaluation Report 037940.02.12-1130
Certificate of Authorization 1132455 6m EDITION(2017)FBC NON-HVHZ EVALUATION FL10674-R15
Owens Corning Asphalt Roof Shingles Revision 10:08/15/2019
Page 4 of 10
I
14NEmo etc.
6.3.1.2 Berkshire®:
Seaiart strip Sealant strip
La tira doseflador La tira de sepador
1" aw 9 Vf 9 W $Vi' } .8
t" ��J t �•J
OF
r
I
Figure 6: 5-Nail Pattern,Berkshire Figure 7: 6-Nail Pattern,Berkshire
Sealants"
Lat$adeseRadr
04 bel 0
r s of svf s�c sof
1
•���
2" Asphalt roofing cement
Cemento de techode astafto
Figure 8: Mansard or Steep Slope Pattern,Berkshire
NEMO ETC,LLC Evaluation Report 037940.02.12-1110
Certificate oJAuthorization 1132455 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL10674-R15
Owens Corning Asphalt Roof Shingles Revision 10:08/15/2019
Page 5 of 10
OMEMO etc.
6.3.1.3 Duration® Tru Definition®Duration Duration®Premium Cool&Tru Definition®Duration®Designer Color Collection:
4-Nail Fastening Pattem
SureNaiW fastening area width
Nail,Typical
12" P7
Rwxns Coming S—Maa • o S enaMO • a—C—ing 5..Nai% •
6-118" 5-518"
:!Doss•.
Figure 9:Standard 4-Nail Pattern,Duration
6-Nail Fastening Pattern
SureNall®fastening area width
Nail,Typical
1" 12" 12" 1"
Rrmns Como+9 SweYaP • �;anS Euiwo�suaap •,Ow:ns Coinusg Sweni30 •
6 118"
�sK
Figure 10: 6-Nail Pattern,Duration
Fastening for Slopes Greater Than 21:12
SureNallO fastening area width
Nall,Typical
1" 12" 12" A.
•T'+ens Comi�p SwetWJ' • 'RmS Bmwo�suaxo •Owens Coming SwMJaa •
_ @—T2n
Four 1"Spots of Asphalt;Roofing Cement
Figure 11: Mansard or Steep Slope Pattern,Duration
NEMO ETC,LLC Evaluation Report 037940.02.12-1110
Certificate of Authorization#32455 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL10i 674-R15
Owens Corning Asphalt Roof Shingles Revision 10:08/15/2019
Page 6 of 10
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ONEMO etc.
6.3.1.4 TruDefinition•Oakridge®.Oakridge®:
4 Nail Pattem
Esguema con 4 davos
1" 1'
5 SAr ExposureNails 5 518"Exposure
Expodd6nde66/Sptdg clavus Egoddkinde66/8pulg.-
i
Figure 12:Standard 4-Nail Pattern,Oakridge
6 Nail Pattern
Esquema con 6 efavos
t' t
I
I
5 518"Exposure clavos 5 518"Exposure
fl
Exposfddn de 66/8 pulg. Egosfd6n de 6618pufg.
Figure 13:6-Nail Pattern,Oakridge
Fastening for Slopes Greater Than 21:12
sareNalm fastening area w fdth.
Nag.Typteal
r fr tt• r
•�vtmmw s.cw •. mse+n.�m++.n •o.a.,c�ae s.d+n- •
fi-1B•S.6I8^ -
FEe T
r
Four V Spots ofAsphA RodbM Cement
Figure 14:Mansard or Steep-Slope Pattern,Oakridge
NEMO ETC,LLC Evaluation Report 037940.0.12-1110
Certificate of Authorization#32455 0 EDITION(2017)FBC NON-HVHZ EVALUATION FL10674-RlS
Owens Corning Asphalt Roof Shingles Revision 10:08/15/2019
Page 7 of 10
I I
OMEMO etc.
6.3.1.5 WeatherGuard®HP: r
Irl 112 p g�, �h_12 Rtg_1PdgIj
NA axm
5 5i8'Epc�ve 5 5f8'Ex�ppoaue
E�posiridn de 5 5.B ping &pasickn 5 5i8 pukj.
Figure 15:6-Nail Pattern,WeatherGuard HP
6 Nail Pattern
Esquema con 6 clavos Nail 6118"from bottom
of shingle
Clove a 6118 ping.de la
5 518"Exposure fi su e�tadores pxte inferior de la tqa
Exposicion de 5 518 pulg. )
�114 1 p1
12
• 124 • • • • R{oi} • —
i
Four 1"Spots of Asphalt Roof Cement
Cuatro pumas de cemento de terho de ssfalto de 1 pada
Figure 16:Mansard or Steep-Slope Pattern,WeatherGuard HP
i
6.4 HIP&RIDGE SHINGLES:
6.4.1 Installation of asphalt shingles shall comply with the Owens Corning current published instructions.
➢ Berkshire® Hip and Ridge Shingles with Sealant and DuraRidge® Hip & Ridge Shingles with Sealant require
minimum two(2)nails per shingle.
➢ WeatherGuard® HP Hip and Ridge Shingles and ProEdge® Hip & Ridge Shingles require minimum four (4)
nails per shingle.
Refer to Owens Corning published information on wind resistance and installation limitations.
MEMO ETC,LLC Evaluation Report 037940.02.12-R10
Certificate of Authorization#32455 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL1d674-R15
Owens Corning Asphalt Roof Shingles Revision 30:08%15/2019
Page 8 of 10
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ONEMO etc.
6.4.1.1 Berkshire®Hip&Ridge with Sealant and DuraRidge®Hip&Ridge Shingles with Sealant:
Fig. A Fig. B
Prevailing Wind Direction Top
View
del viento predominante Vitoup or
1"
Nail
2s/a Claw
a I •
Nails Owens coming su e w •
�i'
Clavos� I
I I
p I l I•
4
I j j dl�
v
Cc
; Ellposure
I e
Fici6n de 8 pulg
e
I
A
12"
Figure 17:Isometric View,Berkshire and Dura Ridge Figure 18:Plan View,Berkshire and DuraRidge
6.4.1.2 WeatherGuard®HP Hip&Ridge Shingles:
Fig,A q 4 Fig.C Hip&Ridge Shingle Fastening
PrevaOing wind Top Vlew
'�-Olredbn A
P
Nalls`\ 4 4
Nalls Naps
,44A i i T'
I I 7• 2..
A I I i I
A
Exposure
S' Exposure
_ iz
Figure 19:Isometric View,WeatherGuard HP Hip&Ridge Figure 20:Plan View,WeatherGuard HP Hip&Ridge
I
NEMO ETC,LLC Evaluation Report 037940.02.12-R10
Certificate of Authorization#32455 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL10674-R15
Owens Corning Asphalt Roof Shingles Revision 10:08/15/2019
Page 9 of 10
i I
NNEMO etc.
6.4.1.3 ProEdge®Hip&Ridge Shingles:
Prevailing Standard —11°—•
Wind Directionp Fastening
Sealant Strip Pattern
6°Exposure ~ � �� I•.� -.�.I I,�
t2' 1 } Sealant
Fasten7'h° 7 1h, F6'Exposure
Cover Exposed 1
Fasteners with
Roof Cement
Figure 21:Isometric View,ProEdge Figure 22: Plan View,ProEdge
7. LABELING:
7.1 Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted herein.
7.2 Asphalt shingle wrappers shall indicate compliance with one of the required classifications detailed in FBCITable
1507.2.7.1/R905.2.6.1.
8. BUILDING
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 named QA entity for information on which plants produce products covered by Florida Rule 61G20-3
QA requirements.
t QUALITY
PRI Construction Materials Technologies, LLC—QUA9110; 813 621-5777;bwilson@pricmt.com
- END OF EVALUATION REPORT-
NEMO ETC,LLC Evaluation Report 037940.02.12-1110
Certificate of Authorization#32455 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL1d674-R15
Owens Corning Asphalt Roof Shingles Revision 30:08/15/2019
Page 110 of 10
Florida Building Code Online (�;> 7 12/26/19,2:47 PM
�A OAK.. i �� ,a-�� f. .•t,`�I IN
NP
BCIS Home I Log In j User Registration I HotTopl6 I Submit Surcharge Stats BctSy'� Publications Contact Us BCIS Site Map I Links I Search i
a ���
db U
L ,�� Product Approval
r �r� USER:Public User
x f si:+:W,tll`ioi
Product Approval Menu>Product or Application Search>Application List>Application Detail
FL# FL9777-Ril
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer Owens Corning
Address/Phone/Email One Owens Corning Parkway
Toledo, OH 43659
(740)404-7829
greg.keeler,@owenscorning.com
i
i
Authorized Signature Greg Keeler
greg.keeler@owenscorning.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Underlayments
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 Zachary R. Priest
the Evaluation Report
Florida License PE-74021
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 12/31/2020
Validated By Locke Bowden P.E.
;r Validation Checklist-Hardcopy Received
Certificate of Independence FL9777 R11 COI OCR14002.8a 2017 FBC Evaluation Report Weatherlock
Non-HVHZ:pdf
Referenced Standard and Year(of Standard) Standard Year
ASTM D 1970 2015
ASTM D 226 2009
ASTM G 155 2005
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtgkcMGblcW71%2fZr7gdugvKElMFg53ndV601883S636Kw%3d%3d Pagel of 3
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Florida Building Code Online 12/26/19,2:47 PM
TAS 103 1995
UL 1897 2012
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
I
Date Submitted 10/11/2017
Date Validated 10/11/2017
Date Pending FBC Approval 10/17/2017
Date Approved 12/12/2017
Summary of Products
FL# Model, Number or Name Description
9777.1 Weatherlock G Weatherproofing Underlayment
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL9777 R11 II OCR14002.8a 2017 FBC Evaluation Report
Approved for use outside HVHZ:Yes Weatherlock Non-HVHZ.pdf
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL9777 R11 AE OCR14002.8a 2017 FBC Evaluation Rem
Weatherlock Non-HVHZ.edf
Created by Independent Third Party: Yes
9777.2 Weatherl-ock G(High Tear) Weatherproofing Underlayment
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL9777 R11 II OCR14002.8a 2017 FBC Evaluation Report
Approved for use outside HVHZ:Yes Weatherlock Non-HVHZ.pdf
Impact Resistant: N/A 'Verified By: Zachary R. Priest PE-74021
Design Pressure: N/A Created by Independent Third Party: Yes j
Other:See evaluation report for limits of use. Evaluation Reports
FL9777 R11 AE OCR14002.8a 2017 FBC Evaluation Report
Weatherlock Non-HVHZ.pdf
'Created by Independent Third Party: Yes
9777.3 Weatherlock MAT Waterproofing Underlayment j
Limits of Use Installation Instructions
Approved for use in HVHZ:Yes FL9777 R11 II OCR14002 8b 2017 FBC Evaluation Repo
Approved for use outside HVHZ: No Weatherlock HVHZ.Pdf
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other:See evaluation report for limits of use. Evaluation Reports
FL9777 R11 AE OCR14002.8b 2017 FBC Evaluation Report
Weatherlock HVHZ.pdf
Created by Independent Third Party: Yes
i
9777.4 Weatherlock MAT Waterproofing Underlayment
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL9777 R11 II OCR14002.8a 2017 FBC Evaluation Report
Approved for use outside HVHZ:Yes Weatherlock Non-HVHZ.rdf
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL9777 R11 AE OCR14002.8a 2017 FBC Evaluation Re or
Weatherlock Non-HVHZ.pdf
Created by Independent Third Party: Yes
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtgkcMGblcW71%2fZr7gdugvKE1MFg53ndV601883S636Kw%3d%3d Page 2 of 3
i
Florida Building Code Online 12/26/19,2:47 PM
• 9777,5 WeatherLock Metal Weatherproofing Underlayment
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL9777 R11 II OCR14002.8a 2017 FBC Evaluation Repo
Approved for use outside HVHZ:Yes Weatherlock Non-HVHZ.pddf
Impact Resistant: N/A Verified By: Zachary R. Priest PE-74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL9777 R11 AE OCR14002.8a 2017 FBC Evaluation Report
Weatherlock Non-HVHZ.pd
Created by Independent Third Party: Yes
9777.6 WeatherLock Metal Weatherproofing Underlayment
Limits of Use Installation Instructions
Approved for use in HVHZ:Yes FL9777 R11 II OCR14002.8b 2017 FBC Evaluation Report
Approved for use outside HVHZ: No Weatherlock HVHZ.pdf
Impact Resistant: N/A Verified By: Zachary R. Priest PE-74021
Design Pressure: N/A Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL9777 R11 AE OCR14002.8b 2017 FBC Evaluation Report
Weatherlock HVHZ.pdf
Created by Independent Third Party: Yes
i
9777.7 WeatherLock Specialty Tile&Metal Weatherproofing Underlayment
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL9777 R11 II OCR14002.8a 2017 FBC Evalua lion Re ort
Approved for use outside HVHZ:Yes Weatherlock Non-HVHZ.pdf
Impact Resistant: N/A Verified By: Zachary R. Priest 74021
Design Pressure: +0/-142.5 Created by Independent Third Party: Yes
Other: See evaluation report for limits of use. Evaluation Reports
FL9777 R11 AE OCR14002.8a 2017 FBC Evaluation Report
Weatherlock Non-HVHZ. dfdf
Created by Independent Third Party: Yes
Back Next
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
I
The State of Florida is an AA/EEO employer.Copyright 2007-2013 State of Florida.::Privacy Statement::Accessibility Statement:: Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic
mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.•Pursuant to Section
455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have
one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a
personal address,please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under Chapter
455,F.S.,please click here.
Product Approval Accepts:
�n+• � ® eCkczt.
Credit'Card
Safe
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https://www.floridabuilding.org/pr/pr_app_dti.aspx?param=wGEVXQwtDgtgkcMGblcW71%2fZr7gdugvKElMFg53ndV601883S636Kw%3d%3d Page 3 of 3
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Certificate of Authorization No. 29824
17520 Edinburgh Drive
CREEK
Tampa, FL 33647
(
TECHNICAL SERVICES, LLC 813)480-3421
EVALUATION REPORT FLORIDA BUILDING CODE,6T"EDITION(2017)
Manufacturer: OWENS CORNING ROOFING AND ASPHALT LLC Issued October 11, 2017
1 Owens Corning Parkway
Toledo, OH 43657
(800)438-7465
www.owenscorning.com
Manufacturing Location: Brentwood, NH
Houston,TX
Quality Assurance: UL LLC(QUA9625)
SCOPE
i
Category: Roofing
Subcategory: Underlayments
Code Sections: 1504.3.1, 1507.1.1
Properties: Physical properties
REFERENCES
Entity Report No. Standard Year
PRI Construction Materials Technologies(TST5878) NEI-039-02-01 ASTM D 1970 2015
PRI Construction Materials Technologies(TST5878) NEI-042-02-01 REV2 ASTM D 1970 2015
PRI Construction Materials Technologies(TST5878) NEI-045-02-01 TAS 103 1995
PRI Construction Materials Technologies(TST5878) NEI-045-02-01 ASTM G 155 2005a
PRI Construction Materials Technologies(TST5878) NEI-053-02-01 TAS 103 1995
PRI Construction Materials Technologies(TST5878) NEI-053-02-01 ASTM G 155 2005a
PRI Construction Materials Technologies(TST5878) NEI-093-02-02 ASTM D 1970 2015
PRI Construction Materials Technologies(TST5878) OCF-213-02-01 ASTM D 1623 2009
PRI Construction Materials Technologies(TST5878) OCF-237-02-01 UL 1897 2012
PRI Construction Materials Technologies(TST5878) OCF-252-02-01 ASTM D 4798 2001
PRI Construction Materials Technologies(TST5878) OCF-252-02-01 ASTM D 1970 2015
PRI Construction Materials Technologies(TST5878) OCF-253-02-02 ASTM D 1970 2015
PRI Construction Materials Technologies(TST5878) OCF-272-02-01 TAS 103 1995
PRI Construction Materials Technologies(TST5878) OCF-296-02-02 ICC-ES AC 188' 2012
ICC-ES AC 48 2012
PRI Construction Materials Technologies(TST5878) OCF-297-02-01.1 ASTM D 1970 2015
PRI Construction Materials Technologies(TST5878) OCF-318-02-01 ASTM D 1970 2015
PRI Construction Materials Technologies(TST5878) OCF-320-02-01 TAS 103 1995
PRI Construction Materials Technologies(TST5878) OCF-320-02-01 ASTM G 155 2005a
PRI Construction Materials Technologies(TST5878) OCF-321-02-01 ASTM D 1623 2009
PRI Construction Materials Technologies(TST5878) OCF-322-02-01 UL 1897 2012
PRI Construction Materials Technologies(TST5878) OCF-355-02-01 UL 1897 2012
'Determined to be equivalent to ASTM D 226-09,Type I and II
I
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OCR14002.8a FL9777-R11 Page 1 of 4
This evaluation report is provided for State of Florida product approval under Rule 61 G20-3. 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 OWENS CORNING ROOFING AND ASPHALT Ll C
WeatherLock@ Self-Sealing Ice&Water Barrie s
TECHNICAL SERVICES, LLC
PRODUCT DESCRIPTION AND LIMITS OF USE
WeatherLock@ G WeatherLock@ G is an ASTM D 1970 self-adhesive underlayment constructed from SBS
(Brentwood, NH) 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 66.7-ft.
I
I
WeatherLock@ G 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 tol a
maximum 30 days.
WeatherLock@ Mat WeatherLock@ Mat is an ASTM D 1970 self-adhesive underlayment constructed from
(Brentwood, NH or SBS modified asphalt with a fiberglass mat reinforcement. The product is supplied in 1-
I
Houston, TX) sq. rolls with nominal dimensions of 3-ft x 33.3-ft and 2 sq. rolls with nominal dimensions
of 3-ft x 66.7-ft.
WeatherLock@ Mat is permitted to be used as prescribed in FBC Section 1507.1.1 for
mechanically attached roof coverings. Exposure on the roof deck shall be limited to a
maximum 30 days.
WeatherLock@ Metal WeatherLock@ Metal is an ASTM D 1970 self-adhesive underlayment constructed from
(Brentwood, NH) SBS modified asphalt with a fiberglass mat reinforcement and plastic film surface. The
product is supplied in 2.0 sq. rolls with nominal dimensions of 3-ft x 66.7-ft.
WeatherLock@ Metal is permitted to be used as prescribed in FBC Section 1507.1.1 for
mechanical) attached roof coverings. Exposure on the roof deck shall be limited to a
Y 9 P
I
maximum 90 days.
I
WeatherLock@ WeatherLock@ Specialty Tile & Metal is an ASTM D 1970 self-adhesive underlayment
Specialty Tile&Metal constructed from SBS modified asphalt and surfaced with a non-woven polyester fabric.
(Brentwood, NH or The product is supplied in 2.14 sq. rolls with nominal dimensions of 3-ft x 71.3-ft.
Houston, TX)
WeatherLock@ Specialty Tile & Metal is permitted to be used as prescribed in FBC
Section 1507.1.1. WeatherLock@ Specialty Tile & Metal is permitted to be used with
adhered clay or concrete tile roofing using either ICP Adhesives Polyset AH-160 (ICP
Adhesives and Sealants, Inc.) or TILE BOND TM Roof Tile Adhesive (The Dow Chemical
Company). 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.
WeatherLock@ G (High WeatherLock@ G (High Tear) is a self-adhered, underlayment used as an alternative to
Tear) ASTM D 226,Type I or Type II roofing felt and ASTM D 1970 self-adhering polymer
(Houston, TX) modified bitumen underlayment. The underlayment is composed of SBS modified
asphalt with a fiberglass mat internal reinforcement and is surfaced with granules. The
product is supplied with a nominal thickness of 50 mils in 1.95-sq rolls with nominal
dimensions of 3-ft x 65-ft.
WeatherLock@ G (High Tear) is permitted to be used as prescribed in FBC Section
1507.1.1 for mechanically attached roof coverings. Exposure on the roof deck shall be
limited to a maximum 30 days.
OCR14002.8a FL9777-R11 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.
I
• •3
CREEK OWENS CORNING ROOFING AND ASPHALT LLC
WeatherLock®Self-Sealing Ice&Water Barriers
TECHNICAL SERVICES, LLC
PRODUCT APPLICATION
Min. Roof Slope: 2:12 in accordance with the FBC
Application: All undedayments 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 undedayment
application. Prior to beginning installation, the undedayment 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. Additionallyi, if
applying WeatherLock® Specialty Tile &'Metal, end laps shall be primed with ASTM I D
41 primer or sealed with asphalt roof cement a minimum of 3-4 inches across the width
of the lap.
It is permissible to back nail the underlayment 12-inches on-center as needed (nails shiall
be installed perpendicular to deck with 'the nail heads flush to the top surface of the
underlayment). Additionally, WeatherLock®Specialty Tile & Metal shall be back nailed
when installed on roof slopes greater than 3:12.
i
I
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 —WeatherLock Specialty Tile&Metal Only
Roof Deck: Min. 15/32-inch CDX plywood attached to wood supports spaced a maximum 24°o.c.
Underlayment: WeatherLock® Specialty Tile & Metal shall be applied in accordance with
manufacturer's installation instructions to the fastened deck and backnailed along the
selvage with minimum 12ga., 1-1/4-inch galvanized ring shank roofing nails through
optionally primed, 32ga. x 1-5/8-inch, 0 tin caps spaced 12" o.c. The applied
underlayment shall be rolled with a minimum 75Ib steel roller immediately following
application.
Maximum Design -142.5 psf
Pressure:
i
OCR14002.8a FL9777-Rl l 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 arel not
specifically addressed herein.
i
i� f
OWENS CORNING ROOFING AND ASPHALT LLC
GREEK WeatherLockO Self-Sealing Ice&Water Barriers
TECHNICAL SERVICES, LLC
GENERAL LIMITATIONS
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.
I
COMPLIANCE STATEMENT
i
The products evaluated herein by Zachary R. Priest, P.E. have demonstrated compliance with the Florida Building
Code 6`h Edition (2017)as evidenced in the referenced documents submitted by the named manufacturer.
%%`0111111111111
`1p:Y I R'1p�i,�i
�.`�`QC'?P GENS 9�F�i'�� 2017.10.11
No 74021 09.06.29
*: :*
-10
X -04'00'
-'. STATE OF : 4�
,�•.•A Q,;�_�: Zachary R. Priest, P.E.
'moi F -... NAI O R �••• .` Florida Registration No.74021
sS �NALE�.�`` Organization No.ANE9641
411
CERTIFICATION OF INDEPENDENCE
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.
I
END OF REPORT
I
OCR14002.8a FL9777-R11 Page 4,of 4
This evaluation report is provided for State of Florida product approval under Rule 61 G20-3. 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. I