HomeMy WebLinkAboutOwner Builder Affidavit Planning&Development Services Department
co Building&Code Regulations
• 1, D2300 Virginia Avenue
Fort Pierce,Florida 34082
(772)462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S.489.103(7)EXEMPTIONS
State law requires construction to be done by licensed contractors.' You have applied for a permit under an
exemption to that law. The exemption allows you,as the owner of your property,to act as your own contractor even
though you do not have a license. You must provide direct, on-site supervision of the construction yourself. You
may build or improve farm outbuildings, a one-family or two-family residence for your use and occupancy. You
may also'build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is for your own
use or occupancy. You may not build or improve said structures for the purposes of selling or leasing that building.
You may not hire an unlicensed person to act as your contractor or to supervise people working on your building;it
is your responsibility to make sure that people employed by you have licenses required by state law and by county
or municipal licensing ordinances. Initial
If you sell or lease a building you have built or improved within one year after construction is
complete,then a presumption is created that it was built or improved for sale or lease,which is-a violation of
this exemption. Initil
You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to
perform the work being done. Your construction must comply with all applicable laws, ordinances,building codes,
and zoning regulations. Initial tl' f"
I understand that the building official and inspectors are not there to design or give advice on how to meet
the minimum code. Initial _
I understand that as an owner-builder that any contract disputes with sub-contractors and I must be handled
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial /j/
I understand that if I compensate any person or company for work performed they are required to be
licensed in this jurisdiction. If for some reason they do not possess a license,I may be responsible and liable for the
cost of the license. Initial 4/_�
I understand that if any person that is unlicensed and uninsured gets injured on my construction project-
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medical
cost,which could include loss of wages during recovery from their injury. Initial A/'T
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit application and initial the above
I hereby acknowledge that I have read and understand the above disclosure statement and that I further
understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and
Zoning Dep nt to the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of of 20 Zd.
Owner/Builder Signature
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this.30—day of 20,W_,
by 1V O ICR99TV *TQ C ae%-& ?*MZ#5_is personally kno to me,or who has
produced a as i entification.
Si afore of Not ��- � m,
gn Ty pe- Print Name of Notary (Seal)
Title:Notary Publ Commission Number
SLCPDSD Revised 02/7/20
' •tpRY P(rq.:' AUDREYB.HUMPHREY
MY COMMISSION tl GG 300817
9TH Po= EXPIRES:March 6,2023
'•;�,�?F F;�.� Bonded Thru Notary Public Underwriters
I
EXTERIOR RESEARCH&DESIGN,I.I.C.
Certificate of Authorization d9503
TRINITY ERD 353 CHRISTIAN STREET,UNIT#13
OXFORD,CT 06478
(203)262-9245
EVALUATION REPORT -
TRI-BUILT Materials Group,LLC Evaluation Report A42960.10.12-116
PO Box 70 F1.16048-116
Rutherford, NJ 07070 Date of Issuance:10/25/2012
(800)516-1485 Revision 6: 09/25/2017
SCOPE: f
T E-ualuation Reprt_is_iss er 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 6eh Edition (2017) Florida Building Code
sections noted herein.
DESCRIPTION: TRI-BUILT Roof Underlayments
LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted
herein. -
CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s)changes,the referenced
Quality Assurance documentation changes,or provisions of the Code that relate to the product change. Acceptance of
this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product
changes or the referenced Quality Assurance documentation changes. Trinity)ERD 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 "Trinity ERD 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 6.
Prepared by: ,sntfrzn
_. ��.�Q'�.•-��:S.''/moi .� _ _
_ 'ice� ;ti\a•3?4a'S�:��
-- -- --•-- - -- - '- - :r:'.'-a-�T''OF`"
- moi•-}�. R-� ,C��: - _....
Robert J.M. Nieminen P.E. '•� 9 -��`
�, The facsimile seal appearing was authorized by Robert Nieminen,
Florida Registration No.59166,Florida DCA ANE1983 P.E.on 09/25/2017.This does not serve as an electronically signed
document -
CERTIFICATION OF INDEPENDENCE:
1. TrinitylERD 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. Trinity ERD 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 Trinityl ERD 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.
f A
QOTRINITYIERD
ROOFING COMPONENT EVALUATION:
1. SCOPE:
Product Category: Roofing
Sub-Category: Underlayment
Compliance Statement: TRI-BUILT Roof Underlayments, as produced by TRI-BUILT Materials Group, LLC, have
demonstrated compliance with the following sections of the 61h Edition(2017)Florida Building Code through testing
in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations/
Conditions of Use set forth herein.
2. STANDARDS:
Section Property Standard Year
1504.3.1 Wind Resistance FM 4474 2011
1504.3.1 Wind Uplift UL 1897 2012
1504.6 Accelerated Weathering ASTM G155 2005
1507.2.4/1507.1.1,1507.2.9.2 Physical Properties ASTM D1970 2015
1507.3.3 Physical Properties FRSA/TRI April 2012(04-12) 2012
3. REFERENCES:
Enti Examination Reference Date
ERD(TST6049) Physical Properties 540540.02.13-1 02/19/2013
ERD(TST6049) Physical Properties 540540.11.13 11/19/2013
ERD(TST6049) Physical Properties S40540.03.14 03/26/2014
ERD(TST6049) Physical Properties S44870.04.14-2 04/02/2014
ERD(TST6049) Physical Properties 544870.04.14-3 04/02/2014
ERD(TST6049) Physical Properties S44870.04.14-1 04/10/2014
ERD(TST6049) Physical Properties 544870.04.14-4 04/10/2014
ERD(TST6049) Physical Properties S43530.02.14-1-R1 05/14/2014
ERD(TST6049) Physical Properties S43530.05.14 05/28/2014
ERD(TST6049) Physical Properties 540540.10.14 10/31/2014
ERD(TST6049) Physical Properties SC7645.02.15 02/13/2015
ERD(TST6049) Accelerated Weathering SC8520.04.15 05/27/2015
ERD(TST6049) �, Wind Resistance SC34045.05.17-R1 06/07/2017
L-L•L:(QUA9625) ^----'Quality-Control Multiple-Listing R16814 12/10/2015
UL,LLC.(QUA9625) Quality Control Service Confirmation Exp.07/18/2020
4. PRODUCT DESCRIPTI .
i
4.1 Tri-Built Sand-R SA Shingle Underlayment is a self- dhering, glass-mat reinforced, sand-surfaced, SBS
odified bitumen-r_oo underla ment,with a 36-inch eet width; meets ASTM D19
4.2 Tri-Built S/A HT TU Underlayment is a self-adhering, non-woven polyester fabric surfaced, SBS modified
bitumen roof underlayment;meets ASTM D1970 and FRSA/TRI April 2012.
4.3-, Tri-Built Smooth HT S/A Underlayment is a self-adhering, glass-mat reinforced, film-surfaced, SBS
modified bitumen roof underlayment;meets ASTM D1970.
S. LIMITATIONS:
5.1 This is a building code evaluation. Neither TrinityJERD nor Robert Niemineri, 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.
Exterior Research and Design,U.C. Evaluation Report A42960.10.12-116
Certificate of Authorization#9503 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL16048-R6
TRI-BUILT Roof Underlayments;(800)516-1485 Revision 6:09/25/2017
Page 2 of 6
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Q0TRINITY I ERD
5.4 TRI-BUILT Roof Underlayments may be used with any prepared roof cover where the product is
specifically referenced within FBC approval documents. If not listed, a request may be made to the
Authority Having Jurisdiction for approval based on this evaluation combined with supporting data for the
prepared roof covering.
5.5 Allowable Roof Covers:
TABLE 1: ROOF COVER OPTIONS
Underlayment Asphalt Nail-On Tile Foam-On Tile Metal Wood Shakes Slate
Shingles &Shingles
Tri-Built Sand-R SA Shingle Yes No No No Yes Yes
Underlayment
Tri-Built S/A HT TU Yes
Underlayment Yes Yes See 5.5.1 Yes Yes Yes
Tri-Built Smooth HT S/A Yes No No Yes Yes Yes
Underlayment
5.5.1 "Foam-On Tile"is limited to use of the following Approved tile adhesives/underlayment combinations.
TABLE IA:ALLOWABLE TILE ADHESIVE/UNDERLAYMENT COMBINATIONS)
Adhesive Florida Product Approval Underlayments
ICP Adhesives Polyset®AH-160 FL6332 Tri-Built S/A HT TU Underlayment
Dow TileBond' FL22525 Tri-Built S/A HT TU Underlayment
5.6 Allowable Substrates:
5.6.1 Direct-Bond to Deck:
Tri-Built Sand-R SA Shingle Underlayment,Tri-Built S/A HT TU Underlayment or Tri-Built Smooth HT S/A
Underlayment applied to:
➢ Plywood;ASTM D41 primed plywood; OSB;ASTM D41 primed OSB;Southern Yellow Pine; ASTM D41
primed Southern Yellow Pine;ASTM D41 primed structural concrete.
'While not required over plywood,OSB or Southern Yellow Pine substrates,TRI-BUILT Materials Group,LLC
recommends priming the deck if the final roof cover is not slated for installation within 24 hours. Note:
TRI-BUILT Materials Group, LLC requires tongue-and-groove board decking be covered with plywood or
OSB prior to installation of the self-adhering underlayment.
5.6.2 Bond-to-Insulation:
Tri-Built Sand-R SA Shingle Underlayment,Tri-Built S/A HT TU Underlayment or Tri-Built Smooth HT S/A
Underlayment applied to:
➢ Dens Deck Prime;SECUROCK Gypsum-Fiber Roof Board.
For installation under mechanically attached prepared roof coverings, insulation shall be attached per
minimum requirements of the prepared roof covering manufacturer's Product Approval. For installations
under foam-on tile systems (Tri-Built S/A HT TU Underlayment only), insulation attachment shall be
designed by a qualified design professional and installed based on testing of the insulation/underlayment.
system in accordance with FM 4474,Appendix D or TAS 114,Appendix J.
1 Refer to Tile Manufacturer's or Adhesive Manufacturer's Florida Product Approval for Overturning Moment Resistance Performance.
Exterior Research and Design,LLC. Evaluation Report A42960.10.12-R6
Certificate of Authorization#9503 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL16048-116
TRI-BUILT Roof Underlayments;(800)516-1485 Revision 6:09/25/2017
Page 3 of 6
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QOTRINITY I ERD
5.6.3 Bond to Mechanically Attached Base Laver:
Tri-Built Sand-11 SA Shingle Underlayment,Tri-Built S/A HT TU Underlayment or Tri-Built Smooth HT S/A
g Y
Underlayment applied to:
➢ ASTM D226,Type I or II felt.
For installations under mechanically attached prepared roof coverings, base layer shall be attached per
minimum codified requirements. For installations under foam-on tile systems (Tri-Built S/A HT TU
Underlayment only), base layer shall be attached per minimum requirements of FRSA/TRI April 2012(04-
12).
5.6.4 Wind Resistance for Underlayment Systems in Foam-On Tile Applications: FRSA/TRI April 2012 (04-12)
does not address wind uplift resistance of all underlayment systems beneath foam-on tile systems,where
the underlayment forms part of the load-path. The following wind uplift limitations apply to direct-deck
underlayment systems that are not addressed in FRSA/TRI April 2012(04-12)and are used in foam-on tile
applications. Maximum Design Pressure is the result of testing for wind load resistance based on
allowable wind loads, and reflects the ultimate passing pressure divided by 2 (the 2 to 1 margin of safety
per FBC 1504.9 has already been applied). Refer to FRSA/TRI April 2012(04-12),Appendix A,Table 1A or
FBC 1609 for determination of design wind pressures.
#1 Maximum Design Pressure=45.0 psf:
Deck: Min. 15/32-inch plywood to meet project requirements to satisfaction of Authority
Having Jurisdiction.
Primer: (Optional)ASTM D41 or RESISTO EXTERIOR PRIMER
Underlayment: Tri-Built S/A HT TU Underlayment,self-adhered.
#2 Maximum Design Pressure=-67.5 psf:
Deck: Structural concrete to meet project requirements to satisfaction of Authority Having
Jurisdiction.
Primer: Soprema Elastocol 600c
Underlayment: Tri-Built S/A HT TU Underlayment,self-adhered.
#3 Maximum Design Pressure=-150.0 psf:
Deck: Min. 15/32-inch APA-rated BCX plywood (may be installed C-side up) to meet project
requirements to satisfaction of Authority Having Jurisdiction.
Deck Preparation: Plywood shall be thoroughly cleaned to remove dust and debris that may inhibit
adhesion. All sheathing fasteners shall be driven flush with the surface. All sharp
splinters and wood projections shall be removed/sanded.
Primer: (Optional)RESISTO EXTERIOR PRIMER
Underlayment: Tri-Built S/A HT TU Underlayment, self-adhered, shall be thoroughly roll using hand
roller and/or weighted roller to ensure there are no voids, and ensure there are no
voids/bridging at side and end-laps.
#4 Maximum Design Pressure=-60.0 psf:
Deck: Min. 19/32-inch plywood to meet project requirements to satisfaction of Authority
Having Jurisdiction.
Base Sheet: Soprema Sopra-G or Modified Sopra-G mechanically attached with nails (FBC 1517.5.1)
and tin caps(FBC 1517.5.2)spaced 6-inch o.c.at the 4-inch laps and 6-inch o.c.in three,
equally spaced rows in the center of the sheet.
Underlayment: Tri-Built S/A HT TU Underlayment,self-adhered.
Exterior Research and Design,I.I.C. Evaluation Report A42960.10.12-116
Certificate of Authorization#9503 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL16048-R6
TRI-BUILT Roof Underlayments;(800)516-1485 Revision 6:09/25/2017
Page 4 of 6
QOTRINITYIERD
5.6.4.1 For mechanically attached Base Sheet,the maximum design pressure for the selected assembly shall meet
or exceed that required under FRSA/TRI April 2012(04-12),Appendix A,Table 1A.
Alternatively, the maximum design pressure for the selected assembly shall meet or exceed the Zone 1
design pressure determined in accordance with FBC 1609. In this case, Zones 2 and 3 shall employ an
attachment density designed by a qualified design professional to resist the elevated pressure criteria.
Commonly used methods are ANSI/SPRI WD1, FM Loss Prevention Data Sheet 1-29 and Roofing
Application Standard RAS 117. Assemblies marked with an asterisk* carry the limitations set forth in
Section 2.2.10.1 of FM Loss Prevention Data Sheet 1-29(January 2016)for Zone 2/3 enhancements.
5.7 Exposure Limitations:
Tri-Built Sand-R SA Shingle Underlayment or Tri-Built Smooth HT S/A Underlayment shall not be left
exposed for longer than 30-days after installation
Tri-Built S/A HT TU Underlayment shall not be left exposed for longer than 180-days after installation.
5.8 Tile Slippage Limitations(TAS 103 per FRSA/TRI April 2012(04-12)):
When loading roof tiles on the underlayment in direct-deck tile assemblies,the maximum roof slope shall
be as follows. These slope limitations can only be exceeded by using battens during loading of the roof
tiles.
TABLE 2: Tim LIPPAGE LIMITATIONS FOR DIRECT-DECK.TILE INSTALLATIONS
Underlayment Tile Profile Staging Method Maximum '
Slope
Flat Max.10-tile stack 6:12
Lugged Max.10-tile stack 5:12
Max.10-tile stack(bottom 2-tile stack
shall be inverted,followed by 8 tiles high 6:12
on slope,as shown below)
Tri-Built S/A HT TLI
Underlayment
Lugged
� a
Exterior Research and Design,I.I.C. Evaluation Report A42960.10.12-R6
Certificate of Authorization#9503 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL16048-R6
TRI-BUILT Roof Underlayments;(800)516-1485 Revision 6:09/2S/2017
Page 5 of 6
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TRINITY I ERD
6. INSTALLATION:
6.1 TRI-BUILT Roof Underlayments shall be installed in accordance with TRI-BUILT Materials Group, LLC
published installation requirements subject to the Limitations_set forth in Section 5 herein and the
specifics noted below.
6.2 Re-fasten any loose decking panels, and check for protruding nail heads. Sweep the substrate thoroughly
to remove any dust and debris prior to application,and prime the substrate(if applicable).
6.3 Tri-Built Sand-R SA Shinsle Underlayment,Tri-Built S/A HT TU Underlayment or Tri-Built Smooth HT S/A
Underlayment:
6.3.1 Shall be installed in compliance with the requirements for ASTM D1970 underlayment in FBC Table
1507.1.1 for the type of prepared roof covering to be installed.
6.3.2 Non-Tile applications:
While priming is optional,TRI-BUILT Materials Group, LLC recommends priming the deck if the final roof
cover is not slated for installation within 24 hours.
Apply sheet parallel to the roof edge. Roll out approximately 10 ft of membrane and peel back the first 3
ft of release film.
Adhere the exposed part to the substrate and unroll the remaining membrane as far as possible.
Once the entire length of membrane is in place, peel-off the release film diagonally while holding the
membrane tight. Firmly roll, broom or hand-press the membrane into place to achieve a bond.
Horizontal seams should be minimum 3-inches, configured to shed water. Vertical seams should be 6-
inches and staggered not less than 2-ft from vertical seams in the course below,sealed in accordance with
TRI-BUILT Materials Group,LLC requirements.
When installing at slopes above 8:12, TRI-BUILT Materials Group, LLC recommends back-nailing in the
overlap area at the top of the sheet at 12-inch o.c.
For Valleys and Ridges: Cut underlayment into 4 to 6 foot lengths. Peel the release paper and center sheet
over valley or ridge. Drape and press sheet into place, working from the center of the valley or ridge in
each direction. For valleys,apply the sheet starting at the lowest point and work upward.
6.3.3 Tile Applications(Tri-Built S/A HT TU Underlayment only):
Reference is made to FRSA/TRI April 2012 (04-12) Installation Manual and Table 1 herein, using the
instructions noted above as a guideline.
For foam-on tile applications, reference is made to Section 5.6.4 herein for wind resistance limitations that
fall outside the scope of FRSA/TRI April 2012(04-12).
Tile shall be loaded and staged in a manner that prevents tile slippage and/or damage to the
underlayment. See Table 2 herein, and TRI-BUILT Materials Group, LLC published requirements for tile
staging.
7. BUILDING PERMIT REQUIREMENTS:
r
As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of
this product.
8. MANUFACTURING PLANTS:
Gulfport,MS
9. QUALITY ASSURANCE ENTITY:
UL,LLC—QUA9625;(314)578-3406;k.chancellor@us.ul.com
-END OF EVALUATION REPORT-
Exterior Research and Design,I.I.C. Evaluation Report A42960.10.12-R6
Certificate of Authorization#9503 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL16048-R6
TRI-BUILT Roof Underlayments;(800)516-1485 Revision 6:09/25/2017
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