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Home My WebLink AboutOwner Builder Affidavit 6. 'I CREEK MID-STATES ASPHALT AND CANT STRIP,INC Self-Adhering Underlayments TECHNICAL SERVICES, LLC GENERAL LIMITATIONS I 1) This evaluation report is not for 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 manufacturers 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. COMPLIANCE STATEMENT The products evaluated herein by Zachary R. Priest, P.E. have demonstrated compliance with the Florida Building Code,7th Edition(2020)as evidenced in the referenced documents submitted by the named manufacturer. ,,,t,11u a lli,,11 ,.%gyp. . R. pRi�� 2020.10.16 �GENg�.F�j!�� No 74021 14:26:19 -04'00' -?3'. STATE OF .'41JZ ��T�•.'° P,.' Zachary R. Priest, P.E. G R O'��```� Florida Registration No.74021 ��.% Organization No.ANE9641 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. END OF REPORT MSA17001.2 FL17401-R5 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. ' j LI�I 1'rtIL`f�l'n O Planning&Development Services Department • a Building&Code Regulations ' 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 OWNERBUILDER 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 Here. If you sell or lease a building you have built or improved within one year after construction is complete, then presumption is created that it was built or improved for sale or lease,which is a violation of this exemption. Initial Here, You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perfo the work being done. Your construction must comply with all applicable laws, ordinances, building cod zoning regulations. Initial Here I understand that the building official and inspectors are not there to design or give advice on how to t minimum code. Initial Here I understand that as an owner-builder that any contract disputes with sub-contractors and I must be handled in a civ' court with the advice of an attorney. This department will not mitigate any contract disputes. Initial Here. I understand that if I compensate any person or company for work performed they are required to be licensed in thi jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for the cost t license. Initial Here. I understand that if any person that is unlicensed and uninsured gets injured on my construction project-they may b entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medical cost i could include loss of wages during recovery from their injury. Initial Here To qualify for this exemption under this subsection, an owner must personally appear, 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 ownedbuilder exemption shall be reported by the Building and Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowled this day of of 20 OwnerBuilder Signature STATE OF FLORIDA COUNTY OF ��, The foreggin&instrument was acknowledged before me this 11 day of J., ,20�, by r ,. , who is personally known to me,or who has roduced L as identific iQ�;; I• ... - LASHq}I11111114111GRAM-RAFIMING .; W COMMISSI l fL 'mr �; ID GG 275060 I—Si ature of Not Type or Print Name f Notary FodFLq",.� Ia mber20,2022 Title:Notary Public Commission Number NOe+wrilers