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HomeMy WebLinkAboutSUBMITTED PAPERSDATE: 14 IUE: �y RECEIPT #: Permit #: I tJ 1 Planning & Development Services Department COUNTYBuilding & Code Regulation Division S 2300 Virginia Avenue C Ft. Pierce, FL 34982-5652 St. B y��o Tel. 772-462-1553 APPLICATION FOR ROOF PERMIT CUcI count SEE REVS E SIDE FOR INSTRUCTIONS 1. Location/Site Address: J�?C L,%-):LE CZ: 2. Parcel ID Number: Z S(- l Z D l r O 1 g Z -- b Ud 4 Office Use Only Section ITownshi Ran a Ma Pa a Zonin Land Use Initials 3. Description of Projector Work Activity: Re_r a� 4. Total Roof Area (square feet): e-[.LQ 0 5. Roof Pitch: C 6. Type of Roof: [ Fiberglass Shingle3"' , -oncrete Roof Tile [ ] Wood Shake / Shingle [ ] Tar.& Gravel [�dified Bitumen [ ] Other [ �oduct Approval required for all types of Roofing Material (2 Sets) [ ] All Commercial Roormg requires design by an Engineer or Architect (2 Sets) with Product Approval attached ** Roof Mitigation per F.S. 553.844 will be required. 7. Owner Information 8. Contractor Information Name: 'M Q..rL>, i-�-© FL Reg/Cert#: P.C.0(:y-677F? Address: f" 1 Qd �%TLF Cr,, County Cert #: City: �R_QL g�i_ State: Business Name: Zip: '�q9c/ ? 'Phone: q 6 � V �r� � ` � � �� Cell Phone: -7 -7 a l - / TV 9. Value of Construction: $ �'j 3 D **Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval, CONTRACTORIOWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulating construction and zoning. PRINT QUALIFIERS/OWNERS NAME \ SIG1�fATURE OF QUALIFIER/OWNER STATE OF FLORIDA, COUNTY OF S0 , V.y CQ \'�� ACKNOWLEDGED BEFORE ME THIS a� DAY OF d C.'�. 20 %- , BY v` N T, . C Ck r1 A d WHO IS PERSONALLY KNOWN TOME OR HAS PRODUCED "YPU State o a G �/ r=•:a *��.- Notary Publrc Expfires Dec 2016 16, SIGNATURE OF NO RY TYPE OR PRINT NAME OF NOTA . ; » ' c My Re sio # EE 658761 'r�cA l rssion Assn. COMIVIISSION NUMBER 15 6 5�1 In o1 ;,`. Bonded Through National Notary NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Revised 4/26/2010 COOK & M( , 4ARD ARCHITECT JRE INC. 806 Delaware Avenue, Fort Pierce, Florida 34950 PHONE (772) 460-7751 FAX (772) 460-4244 EMAIL cookmenard@yahoo.com October 22, 2014 St. Lucie County Building Department Attn: Roof Permit Plan Review 2300 Virginia Avenue Ft. Pierce, FL 34982 Re: Roofing specification prepared for the St. Lucie County Building Dept_fO the structure located at WIV 11 Castle Ct. St. Lucie County, Florida %N foe Manufacturer: CertainTeed Corporation -Roofing Profiles: Modified Bitumen Roof System NOA# 14-0224.03 0 Wind Speed: 165 MPH; Ultimate Design Wind Speeds Code: FBC 2010; Section R 905.10 Exposure: B Mean Roof Height: 30' Maximum Pitch: 1/4" Required Design Pressure: Zone1: -42.1 Zone2: -58.2 Zone3: -96.3 Design Pressure: Zone 1-45 Zone 2 -90 Zone 3 -123.7 Membrane: Flintlastic GTA torch adhered to base sheet. Fasteners: Zone 1, Simplex Maxx Cap @ 9" O.C. at 2-inch lap and 18" O.C. in two, equally spaced, staggered center rows Zone 2, Simplex Maxx Cap @ 6" O.C. at 2-inch lap and 6" O.C. in two, equally spaced, staggered center rows Zone 3, Simplex Maxx Cap @ 6" O.C. at 2-inch lap and 6" O.C. in three, equally spaced, staggered center rows Underlayment: One or more plys of Glasbase; Flexiglas; Flintlastic Base 20; All Weather/ Empire Base; Poly SMS Base; Yosemite Roof Decking: Existing 15/32" plywood sheathing to be nailed with W/ 8D Ring Shank Nails @ 6"O.C. per & 6" O.C. Field Zone 1, & 4" O.C. per & 6" O.C. field Zone 2, 4"O.C. per & 6" O.C. Field Zone 3 The above approved, as per Florida Building Code Compliance acceptances, 2010 Florida Building Code, and the Manufacturer's recommendations. Respectfully Submitted, Peter B. Cook Cook & Menard Architecture, Inc. Florida Registration No. AA0003494, NCARB Certification No. 31789 M IAMl-[�DE ® MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.Qov/sera GAF Materials Corporation 1361 Alps Road Wayne, NJ. 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Capstone Shingles LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA 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 revises NOA# 11-0421.05 and consists of pages 1 through 4. The submitted documentation was reviewed by Alex Tigera. NOA No.: 11-0913.10 00FDAMDECOVEMM Expiration Date: 07/12/16 "' • ' Approval Date: 01/19/12 Page 1 of 4 GAF Capstone GAF Capstone Impact Resistant IR ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Asphalt Shingles Materials Laminate Deck type: Wood SCOPE: This renews and revises GAF Capstone and Capstone Impact Resistant IR fiberglass shingles manufactured by GAF Materials Corporation as described in this Notice of Acceptance, designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. PRODUCT. DESCRIPTION: Product Dimensions Test Specifications 12 1/8" x 39 1/2" TAS 110 121/8" x 391/2" TAS 110 Product Description A heavy weight laminated asphalt shingle with a propriatery profile. A heavy weight laminated asphalt shingle with a propriatery profile. MANUFACTURING LOCATION 1. Tuscaloosa, AL. EVIDENCE SU$MITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering TAS 100 Uplift and wind driven rain 02/25/94 resistance. Underwriters Laboratories, Inc. TAS 107 Wind uplift resistance 12/20/93 Modifed ASTM D 3161 ASTM D3462 Physical Properties 12/17/93 Test Report ASTM D3462 OINK06632 02/01/01 TAS 107 OINK9226 05/15/01 UL 2218 09CA02007 01/31/11 ASTM D 3462 09CA02007 01/31/11 TAS 107 09CA02007 01/31/11 ASTM E 108 09CA02007 01/31/11 PRI Asphalt Technologies, Inc. TAS 100 ELK-047-02-01 04/16/01 NOA No.: 11-0913.10 MIAMFDADE COUNTY Expiration Date: 07/12/16 ' "' • ' Approval Date: 01/19/12 Page 2 of 4 LD41TATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Shall not be installed on roof mean heights in excess of 33 ft. 3. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B-72 of the Florida Administrative Code. INSTALLATION: 1. Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 2. Flashings shall be in accordance with Roofing Application Standard RAS 115. 3. The manufacturer shall provide clearly written application instructions. 4. Exposure and course layout shall be in compliance with Detail W, attached. 5. Nailing shall be in compliance with Detail W, attached. LABELING: Shingles shall be labeled with the Miami -Dade Approved Seal as seen below, or the wording "Miami -Dade County- Product Control Approved" BuELDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or the applicable code in order to properly evaluate the installation of this system. NOA No.: 11-0913.10 Expiration Date: 07/12/16 Approval Date: 01/19/12 Page 3 of 4 PROFII.E DRAWINGS DETAIL A DETAIL B GAF Capstone or GAF Capstone Impact Resistant IR Shingle 39%Z" 6 Nails - High Wind and Mansard Applications 4 Fasteners - Standard Slope Applications 1 rr 121181r----------------- ----------------------------------------------------- 1/2" TW. rr 63/8" 71/8►► 5 5 7/8" —. 71/8rr 1114" rr rr 7/8rr 1/4rr 718 1/2 END OF THIS ACCEPTANCE MIAMFDADE COUNTY ,...• r I 4112" NOA No.: 11-0913.10 Expiration Date: 07/12/16 Approval Date: 01/19/12 Page 4 of 4 F"�Q -J1 RINITi ERD Table Deck Application Type Description Page 1A Wood New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 5-6 18 Wood New, Reroof (Tear -Off) or Recover B Mech. Attached Base Insulation, Bonded Top Insulation, Bonded Roof Cover 7 1C Wood New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 8-9 1D Wood New, Reroof (Tear -Off) or Recover D Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 10-11 1E-1 Wood New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 12-14 1E-2 Wood New, Reroof (Tear -Off) or Recover E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 15-16 IF Wood New or Reroof (Tear -Off) F Non -Insulated, Bonded Roof Cover 1 , 2A Steel or Conc. New, Reroof (Tear -Off) or Recover B Mech. Attached Base Insulation, Bonded Top Insulation, Bonded Roof Cover 17-•. 28 Steel or Conc. New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 20-zi'r 2C Steel or Conc. New, Reroof (Tear -Off) or Recover D Prelim. Attached Insulation, Mech. Attached Base Sheet, Bonded Roof Cover 23-24 3A Concrete New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 25-33 38 Concrete New or Reroof (Tear -Off) A-3 Bonded Temp Roof/Vapor Barrier, Bonded Insulation, Bonded Roof Cover 34 3C Concrete New or Reroof (Tear -Off) F Non -Insulated, Bonded Roof Cover 34 4B LWIC New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 37 4C LWIC New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 38-41 5A CWF New or Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 42 513 CWF New or Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 42 5C CWF New, Reroof (Tear -Off) or Recover C Mech. Attached Insulation, Bonded Roof Cover 43 5D CWF New, Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 43 6A Gypsum Reroof (Tear -Off) A-1 Bonded Insulation, Bonded Roof Cover 44-45 65 Gypsum Reroof (Tear -Off) A-2 Mech. Attached Anchor Sheet, Bonded Insulation, Bonded Roof Cover 46 _ 6C Gypsum Reroof (Tear -Off) C Mech. Attached Insulation, Bonded Roof Cover 46 6D Gypsum Reroof (Tear -Off) E Non -Insulated, Mech. Attached Base Sheet, Bonded Roof Cover 47 7A Various Recover A-1 Bonded Insulation, Bonded Roof Cover 48-53 713 Various Recover F Non -Insulated, Bonded Roof Cover 54 The following notes apply to the systems outlined herein, 1. The roof system evaluation herein pertains to above -deck roof components. Roof decks shall be In accordance with FBC requirements to the satisfaction of the AHJ. Wind / load resistance of the roof deck shall be documented through proper codified and/or FBC Approval documentation. 2. Unless otherwise noted, fasteners and stress plates for insulation attachment shall be as follows. Fasteners shall be of sufficient length for the following engagements: ➢ Wood Deck: OMG #14 Roofgrip with Flat Bottom Plate (Accutrac), OMG HD with OMG 3 in. Galvalume Steel Plate, Dekfast #14 with Hex Plate or 3" Round Insulation Plate, Trufast HD with Trufast 3" Metal Insulation Plates or FIIntFast #14 Fastener with FlintFast 3" Insulation Plates. Minimum 0.75-inch plywood penetration or minimum 1-inch wood plank embedment. ➢ Steel Deck: OMG #12 or #14 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG #12 Standard or HD with OMG 3 in. Galvalume Steel Plate, Dekfast #12 or #14 with Hex Plate or 3" Round Insulation Plate, Trufast DP or HD with Trufast 3" Metal Insulation Plates or FlintFast #12 or #14 Fastener with FlintFast 3" Insulation Plates. Minimum 0.75-inch steel penetration and engage the top flute of the steel deck. ➢ Concrete Deck: OMG #14 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG HD or CD-10 with OMG 3 in. Galvalume Steel Plate, Dekfast #14 or DekSpike with Hex Plate or 3" Round Insulation Plate, Trufast HD or CF with Trufast 3" Metal Insulation Plates or FlintFast #14 Fastener with FlintFast 3" Insulation Plates. Minimum 1-inch embedment. Fasteners Installed with a pilot hole in accordance with the fastener manufacturer's published installation instructions. Exterior Research and Design, LLC. d/b/a Trinity IERD Evaluation Report 352Q.03.04-Rll for FL2533-Rll Certificate of Authorization #9503 Revision 11: 02/20/2014 Prepared by: Robert Nleminen, PE-59166 Appendix 1, Page 1 of 54 \J TRINITY I ERD 3. Unless otherwise noted, insulation may be any one layer or combination of polyisocyanurate, polystyrene, wood fiberboard, perlite, GlasRoc Roof Board, Dens Deck, Dens Deck Prime, Dens Deck DuraGuard, SECUROCK Gypsum -Fiber Roof -Board or SECUROCK Glass -Mat Roof Board that meets the QA requirements of F.A.C. Rule 9N-3 and is documented as meeting FBC 1505.1 and, for foam plastic, FBC 2603.4.1 or 2603.8, when installed with the roof cover. 4. Minimum 200 psi, minimum 2-inch lightweight insulating concrete may be substituted for rigid insulation board for System Type D (mechanically attached base sheet, bonded roof cover), whereby the base sheet fasteners are installed through the LWIC to engage the structural steel or concrete deck. The structural deck shall be of equal or greater configuration to the steel and concrete deck listings. 5. Unless otherwise noted, insulation adhesive application rates are as follows. Ribbon or bead width is at the time of application; the ribbons/beads-shall expand as noted In the manufacturer's published instructions. ➢ Hot asphalt (HA): Full coverage at 25-30 Ibs/square ➢ Ashland Pliodeck (A-PD): Continuous 0.75 inch wide ribbons, 12-inch o.c. Ribbons of subsequent layers shall be perpendicular Dow Insta-Stik (D-IS): Dow Spray-N-Grip (D-SG): those in the layer below. Continuous 0.75 to 1 inch wide ribbons, 12-inch o.c. Full coverage Millennium One Step Foamable Adhesive (M-OSFA): Continuous 0,25 to 0.5-inch wide ribbons, 12-inch o.c. Millennium PG-1 -Pump Grade Adhesive (M-PG1): Continuous 0.5 to 0.75-inch wide ribbons, 12-inch o.c. OMG OlyBond 500 or OlyBond Green (OB500): Continuous 0.75-inch wide ribbons, 12-inch o.c. (PaceCart or SpotShot) 3M CR-20: Continuous 2.5 to 3-inch wide ribbons, 12-inch o.c. (Note: TITESET may be used where CR-20 is referenced). Note: When multiple layers(s) of insulation and/or coverboard are installed in ribbon -applied adhesive, adhesive ribbons shall be staggered from layer -to -layer a distance of one-half the ribbon spacing. Note: The maximum edge distance from the adhesive ribbon to the edge of the insulation board shall be not less than one-half the specified ribbons spacing. 6. Unless otherwise noted, all insulations are flat stock or taper board of the minimum thickness noted. Tapered polyisocyanurate at the following thickness limitations may be substituted with the following Maximum Design Pressure (MDP) limitations. In no case shall these values be used to'increase'the MDP listings in the tables; rather if MDP listing below meets or exceeds that listed for a particular system in the tables, then the thinner board listed below may be used as a drop -in for the equivalent thicker material listed in the table: ➢ Ashland Pliodeck (A-PD) @ 12-inch o.c. MDP -105.0 psf (Min. 1.0-inch) ➢ Ashland Pliodeck (A-PD) @ 6-inch o.c. MDP -277.5 psf (Min. 1.0-inch) ➢ . Dow Insta-Stik (D-IS): MDP -120.0 psf (Min. 1.0-inch) ➢ Millennium One Step Foamable Adhesive (M-OSFA): MDP -157.5 psf (Min. 1.0-inch) ➢ Millennium PG-1 Pump Grade Adhesive (M-PG1): MDP -157.5 psf (Min. 1.0-inch) ➢ OMG OlyBond 500.(013500): MDP -45.0 psf (Min. 0.5-inch Multi -Max FA3) ➢ OMG OlyBond 500 (OB500): MDP -187.5 psf (Min. 0.5-inch ISO 95+ GL) ➢ OMG OlyBond 500 (06500): MDP -315.0 psf (Min. 0.5-inch ENRGY 3) ➢ OMG OlyBond 500 (OB500): MDP -487.5 psf (Min. 0.5-inch ACFoam II) ➢ 3M CR-20: MDP -117.5 psf (Min. 1.0-inch) 7. Bonded polyisocyanurate insulation boards shall be maximum 4 x 4 ft. 8. For mechanically attached components or partially bonded insulation, the maximum design pressure for the selected assembly shall meet or exceed the Zone 1 design pressure determined in accordance with FBC Chapter 16, and 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 RAS 117 and FM LPDS 1-29. Assemblies marked with an asterisk* carry the limitations set forth in Section 2.2.1.5.1(a) of FM LPDS 1-29 for Zone 2/3 enhancements. Exterior Research and Design, LLC. d/b/a Trinity IERD Evaluation Report 3520.03.04-1111 for FL2533-1111 Certificate of Authorization #9503 Revision 11: 02/20/2014 Prepared by: Robert Nleminen, PE-59166 Appendix 1, Page 2 of 54 QOTPO.INITYIERD 9. For fully bonded assemblies, the maximum design pressure for the selected assembly shall meet or exceed critical design pressure determined In accordance with FBC Chapter 16, and no rational analysis is permitted. 10. For mechanically attached components over existing decks, fasteners shall be tested in the existing deck for withdrawal resistance, A qualified design professional shall review the data for comparison to the minimum requirements for the system. Testing and analysis shall be in accordance with TAS 105 or ANSI/SPRI FX-1. 11. For existing substrates in a bonded recover or re -roof installation, the existing roof surface or existing roof deck shall be examined for compatibility and bond performance with the selected adhesive, and the existing roof system (for recover) shall be capable of resisting project design pressures on Its own merit to the satisfaction of the AHJ, as documented through field uplift testing in accordance with ASTM E907, FM LPDS 1-52, ANSI/SPRI IA-1 or TAS 124. 12. For Recover Applications using System Type D, the Insulation is optional; however, the existing roof system shall be suitable for a recover application. - 13. Unless otherwise noted, refer to the following references for bonded base, ply or cap sheet applications. CERTAINTEED FLINTLASTIC@ MODIFIED: BITUMEN; COMPONENTS 8t APPLICATION _METHODS Reference Layer Material Application BP -AA Base Glasbase; All Weather/Empire Base; Flexlglas Base; 'Fllntlastic Base 20 (Base and Ply sheets, Hot asphalt at 20-40 Ibs/square Asphalt -Applied) ply Fllntglas Ply Sheet Type IV; Fllntglas Premium Ply Sheet Type VI BP-AA2 Base Yosemite Venting Base Hot asphalt In 24-Inch diameter spots In (Base, Spot-Asphalt-Applled) 30-Inch grid pattern BP-AA3 Base Yosemite Venting Base Hot asphalt In 9-Inch diameter spots In (Base, Spot-Asphalt-Applled) grid pattern noted herein. BP-AA4 Base Yosemite Venting Base Hot asphalt In 9-Inch wide ribbons (Base, Strlp-Asphalt-Applled) spaced as noted herein. BP-CA2 Base/Ply Glasbase; All Weather/Empire Base; Flexlglas Base; Fllntlastic Base 20 Henry #903 Adhesive at 1.5 gal/square BP-CA3 Base/Ply Glasbase; All Weather/Empire Base; Flexiglas Base; Fllntlastic Base 20 Millennium Hurricane Force Membrane Adhesive, beads spaced 6-Inch o.c. Base Fllntlastic Base 20; Fllntlastic Poly SMS Base; Fllntlastic Ultra Poly SMS Base Ply Flintlastic Base 20; Fllntlastic Poly SMS Base; Fllntlastic Ultra Poly SMS Base SBS-AA Hot asphalt at 20-40 Ibs/square Flintlastic Cap 30; Flintlastic Cap 30 CoolStar; Fllntlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; (SBS, Asphalt-Applled) Cap Flintlastic FR Dual Cap; Fllntlastic FR-P; Flintlastic FR-P CoolStar; Fllntlastic Premium FR-P; Fllntlastic Premium FR-P CoolStar; Fllntlastic GMS; Fllntlastic GMS CoolStar; Fllntlastic Premium GMS; Fllntlastic Premium GMS CoolStar Base Fllntlastic Base 20; Flintlastic Poly SMS Base; Fllntlastic Ultra Poly SMS Base SBS-CA1 FIIntBond Brush or Karnak No. 81 Cold Process Modified Bitumen Adhesive Note: Base ply cures overnight prior to application of the cap ply. Cap Fllntlastic FR Cap 30; Fllntlastic FR Cap 30 CoolStar; Flintlastic FR Dual Cap; Fllntlastic FR-P; Fllntlastic (SBS, Cold-Applled) Brush Grade at 1 gal/square FR-P CoolStar; Fllntlastic Premlum FR-P; Fllntlastic Premium FR-P CoolStar Base Fllntlastic Base 20; Flintlastic Poly SMS Base; Fllntlastic Ultra Poly SMS Base Ply Flintlastic Base 20; Fllntlastic Poly SMS Base; Fllntlastic Ultra Poly SMS Base SBS-CA2 Henry #903 Adhesive at 1.5 Fllntlastic Cap 30; Flintlastic Cap 30 CoolStar; Fllntlastic FR Cap 30; Flintlastic FR Cap 30 CoolStar; (SBS, Cold-Applled) Cap Fllntlastic FR Dual Cap; Fllntlastic FR-P; Fllntlastic FR-P CoolStar; Flintlastic Premium FR-P; Fllntlastic gal/square. Premium FR-P CoolStar; Flintlastic GMS; Fllntlastic GMS CoolStar; Fllntlastic Premium GMS; Fllntlastic Premium GMS CoolStar Exterior Research and Design, LLC. d/b/a TrinitylERD Evaluation Report 3520.03.04-1131 for FL2533-Rll Certificate of Authorization #9503 Revision 11: 02/20/2014 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 3 of 54 JTRINITY I ERD : CERTAINTEE6 FLINTLASTIC® M ODIFIED; i$ITUMEN COMPONENTS;& APPLICATION METHODS (CONTINUEO):` � ` Reference Layer Material Application Base Flintlastic Base 20; Fllntlastic Poly SMS Base; Flintlastic Ultra -Poly SMS Base Ply Flintlastic Base 20; Flintlastic Poly SMS Base; Fllntlastic Ultra Poly SMS Base SBS-CA3 (SBS, Cold-Applled) Millennium Hurricane Force Membrane Adhesive, beads spaced 6-Inch o.c. Cap Flintlastic Cap 30; Fllntlastic Cap 30 CoolStar; Fllntlastic FR Cap 30; Fllntlastic FR Cap 30 CoolStar; Fllntlastic FR Dual Cap; Flintlastic FR-P; Fllntlastic FR-P CoolStar; Flintlastic Premium FR-P; Fllntlastic Premium FR,P CoolStar; Flintlastic GMS; Fllntlastic GMS CoolStar; Flintlastic Premium GMS; Fllntlastic Premium GMS CoolStar Base Flintlastic Ultra Poly SMS Base; Flintlastic Base 20 T Ply Fllntlastic Ultra Poly SMS Base; Flintlastic Base 20 T SBS-TA (SBS, Torch -Applied) Torch -Applied Cap Fllntlastic FR Cap 30 T; Fllntlastic FR Cap 30 T CoolStar; Flintlastic GTS; Fllntlastic GTS CoolStar; Fllntlastic GTS-FR; Flintlastic GTS-FR CoolStar; FIIntClad APP-TA (APP, Torch-Applled) Base Fllntlastic APP Base T; Flintlastic STA; Fllntlastic STA Plus Torch -Applied Cap Fllntlastic STA; Fllntlastic STA Plus; Fllntlastic GTA; Flintlastic GTA CoolStar; Fllntlastic GTA-FR; Flintlastic GTA-FR CoolStar SBS-SA-H (SBS, Self -Adhering, Hybrid Base/Ply Black Diamond Base Sheet; Flintlastic Ultra Glass SA Self -Adhering Systems) SBS-SA (SBS, Self -Adhering) Base Fllntlastic SA PlyBase; Fllntlastic SA Mid Ply Self -Adhering Ply Fllntlastic SA PlyBase; Flintlastic-SA Mid Ply Cap Flintlastic SA Cap; Fllntlastic SA Cap CoolStar; Fllntlastic SA Cap FR; Flintlastic SA Cap FR CoolStar 14. Insulation Is optional for Recover or Concrete Deck Applications using System Type D (Mechanically Attached Base Sheet, Bonded Roof Cover). 15. "MDP" = Maximum Design Pressure Is the result of testing for wind load resistance based on allowable wind loads. Refer to FBC 1609.1.5 for determination of design wind loads. Exterior Research and Design, LLC. d/b/a TrinitylERD Evaluation Report 3520.03.04-R11 for FL2533-RII Certificate of Authorization #9503 Revision 11: 02/20/2014 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 4 of 54 �l TRINITY I ERD TABLE 1A: WOOD DECKS — NEW CONSTRUCTION OR REROOF (TEAR -OFF) SYSTEM TYPE A-2: MECHANICALLY ATTACHED ANCHOR SHEET, BONDED INSULATION, BONDED ROOF COVER System Deck Anchor Sheet Base Insulation Top Insulation Roof Cover MDp Type Fasteners Attach Type Attach Type Attach Base Ply Cap No. (See Note 1) (psf) SELF -ADHERING SYSTEMS: Min, 19/32-Inch Glasbase, All plywood at Weather 32 g1-5/8- a ., 9-Inch o.c. In 4- Min. 1.5-Inch max. 24-Inch Empire, Inch dia, tin Inch lap and 12- ACFoam II, Min. 0.25-Inch - W-1 spans attached Plexiglas Base, caps with it Inch o.c. In two, FIIntBoard ISO, HA Dens Deck HA SBS SA (Optional) SBS-SA 45.G 6-Inch o.c. with Flintlastic Base 9a. annular equally spaced, ENRGY-3, H- primed with SBS-SA 8d common or 20; Poly SMS; ring shank Halls staggered center Shield or Multi- FIIntPrime SA ring shank nails Ultra Poly SMS; rows Max FA3 Yosemite Min. 19/32-Inch Glasbase, All 8-Inch o.c. In 3- Min. 1.5-inch HA full full plywood at Weather 32 ga., 1-5/8- Inch lap and 8- ACFoam II, coverage -or Min. 0.25-inch coverage or co max. 24-Inch fm Ire, p Inch dia. tin Inch o.c. In FIIntBoard ISO, 08500, M- Dens Deck OB500, M (Optional) W-2 spans attached Flexlglas Base, caps with it three, equally ENRGY-3, H- OSFA, A-PD, Primed with OSFA, A-PD, D- SBS-SA SBS-SA SBS SA 52.5 6-Inch o.c. with Poly SMS or ga. annular spaced, Shield or Multi- D-IS or CR- FIIntPrime SA IS or CR-20, 6- 8d common or Ultra Poly SMS ring shank nails staggered center Max FA3 20, 4-Inch Inch o.c. ring shank nails rows O.C. Min. 19/32-Inch 8-Inch o.c. In 3- Min. Inch plywood at 32 ga., 1-5/8- Inch lap and 8- am ACFoam II, Min. max. 24-Inch Yosemite Inch dia. tin Inch o.c. In FIIntBoard ISO, Dens -Deck Deck (Optional) W-3 spans attached Venting Base caps with 11 three, equally H HA primed with HA SBS-SA SBS-SA SBS-SA -52.5 6-Inch o.c. with Sheet ga. annular spaced, ShieldENRGr Shield or Multi FIIntPrime SA 8d common or ring shank nails staggered center Max FA3 ring shank nails rows Min. 19/32-Inch Glasbase, All 8-Inch o.c. In 3- (Optional) Min. HA full Min. 0.25-inch HA full plywood at Weather 32 ga., 1-5/8- Inch lap and 8- 1.5-Inch coverage or SECUROCK coverage or max. 24-Inch Empire, Inch dia. tin Inch o.c. In ACFoam II, OB500, M- Gsum-Fiber Gypsum -Fiber 05500, M- (Optional) W-4 spans attached Flexlglas Base, caps with 11 three, equally FIIntBoard ISO, OSFA, A-PD, Roof Board SPA, A-PD, - SBS-SA SBS SA SBS-SA -60.0 . 6-Inch o.c. with Poly SMS or ga, annular spaced, ENRGY-3, H- D-IS or CR- primed with I 6 - S or CR-20, 6 8d ring shank Ultra Poly SMS ring shank nails staggered center Shield or Multi- 20, 4-Inch FIIntPrime SA Inch o.c. - nails rows Max FA3 o.c. Min. 19/32-Inch 8-inch o.c. In 3- (Optional) Min. Min. 0.25-Inch plywood at 32 ga., 1-5/8- Inch lap and 8- 1.5-Inch SECUROCK max. 24-Inch Yosemite Inch dia, tin Inch o.c. In ACFoam II, Gypsum -Fiber (Optional) W-5 spans attached Venting Base caps with 11 three, equally FIIntBoard ISO, HA Roof Board HA SBS-SA SBS-SA SBS-SA -60.0 6-Inch o.c. with Sheet ga. annular spaced, ENRGY-3, H- primed with 8d ring shank ring shank nails staggered center Shield or Multi- FllntPrime SA nails rows Max FA3 HYBRID SYSTEMS: Min. 19/32-Inch Glasbase, All plywood at Weather 32 ga., 1-5/8- 9-Inch o.c. in 4- Min. 1.5-Inch (Optional) max. 24-Inch Empire, Inch dia. tin Inch lap and 12- ACFoam II, BP -AA, SBS-AA, W-6 spans attached Flexlglas Base, caps with 11 Inch o.c. In two, FIIntBoard ISO, HA None N/A SBS-SA-H SBS-AA, SBS-TA -45.0* 6-Inch o.c. with Fllntlastic Base ga. annular equally spaced, ENRGY-3, H- SBS-TA or or APP- 8d common or 20; Poly SMS; ring shank nails staggered center Shield or Multi- APP-TA TA ring shank nails Ultra Poly SMS; rows Max FA3 Yosemite Exterior Research and Design, LLC. d/b/a Trinity IERD Evaluation Report 3520.03.04-Rll for FL2533-Rll Certificate of Authorization #9503 Revision 11: 02/20/2014 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 5 of 54 VTRINITYIERD TABLE 1A: WOOD DECKS — NEW CONSTRUCTION OR REROOF (TEAR -OFF) SYSTEM TYPE A-2: MECHANICALLY ATTACHED ANCHOR SHEET, BONDED INSULATION, BONDED ROOF COVER System Deck Anchor Sheet Base Insulation Top Insulation Roof Cover MDP Type Fasteners Attach Type Attach Type Attach Base Ply Cap No. (See Note 1) (psf) Min. 19/32-Inch 8-Inch o.c. In 3- Min. 1.5-inch plywood at Glasbase; 32 ga., 1-5/8- Inch lap and 8- ACFoam II, (Optional) SBS AA, max. 24-loch Flintglas Inch dia. tin Inch o.c. in ISO, BP -AA, SBS-TA W-7 spans attached Premium Ply caps with 11 three, equally ENRGFlintBoard H HA None N/A SBS-SA-H SBS-AA, or APP- -60.0 6-Inch o.c. with Sheet Type VI; ga, annular spaced, Shield r Multi Shield SBS-TA or TA 8d ring shank Yosemite ring shank nails staggered center Max FA3 3 APP-TA nails rows CONVENTIONAL SYSTEMS: Min. 19/32-Inch Glasbase, All plywood at Weather 3Z g1-5/8- a ., 9-Inch o.c. In 4- Min. 1.5-Inch . Min. 25-Inch 0 (Optional) max. 24-Inch Empire, Inch dia, tin Inch lap and 12- ACFoam II, Dens Deck BP -AA, BP -AA, SBS-AA, W-8 spans attached Plexiglas Base, caps with 31 Inch o.c. In two, FlintBoard ISO, HA primed with HA SBS-AA, SBS-AA, SBS-TA -45.0�' 6 Inch o.c, with Flintlastic Base ga. annular equally spaced, ENRGY-3, H fllntPrime (ASTM SBS-TA or SBS-TA or or APP- 8d common or 20; Poly SMS; ring shank nails staggered center Shield or Multi D41) primer APP TA APP-TA TA ring shank nails Ultra Poly SMS; rows Max FA3 Yosemite Min. 19/32-Inch Glasbase, All 8-Inch o.c. In 3- Min . 1.5-Inch HA full HA full plywood at Weather 32 ga., 1-5/8- Inch lap and 8- ACFoam II, coverage or Min. 0.25 Inch coverage or BP -AA, (Optional) SBS-AA, max. 24-Inch Empire, Inch dia, tin Inch o.c. In FlintBoard ISO, OB500 M- Dens Deck OB500, M- SBS-AA, BP -AA ' SBS-TA W-9 spans attached Plexiglas Base, caps with 11 three, equally ENRGY-3, H- OSFA, A-PD, primed with OSFA, A-PD, D- SBS-TA or SBS-AA, or APP- -52.5 6-Inch o.c. with Poly SMS or ga. annular spaced, Shield or Multi- D-IS or CR- FIIntPrime (ASTM IS or CR-20, 6- APP-TA SBS-TA or TA 8d common or Ultra Poly SMS ring shank nails staggered center Max FA3 20, 4-Inch D41) primer Inch o.c. APP-TA ring shank nails rows o.c. Min. 19/32-Inch 8-inch o.c. in 3- Min. 1.5-inch plywood at 32 ga., 1-5/8- Inch lap and 8 ACFoam II, Min. 0.25-inch BP AA, (Optional) SBS AA, max. 24-Inch Yosemite Inch dia. tin Inch o.c. In FlintBoard ISO, Dens Deck SBS-AA BP -AA, SBS-TA W-10 spans attached Venting Base caps with 11 three, equally ENRGY-3, H- HA primed with HA , SBS-TA or SBS-AA, or APP- -52.5 6-Inch oic. with Sheet ga, annular spaced, Shield or Multi- FIIntPrime (ASTM APP-TA SBS-TA or TA 8d common or ring shank nails staggered center Max FA3 D41) primer APP_TA ring shank nails rows Min. 19/32-Inch Glasbase, All 8-inch o.c. in 3- (Optional) Min. HA full full plywood at Weather 32 ga., 1-5/8- inch lap and 8- 1.5-inch coverage or Min. 0.25-Inch co coverage or BP -AA, (Optional) SBS-AA, max. 24-Inch Empire, inch dia. tin Inch o.c. in ACFoam II, OB500, M SECUROCK OB500, M- SBS-AA, BP -AA, SBS-TA W-11 spans attached Plexiglas Base, caps with 11 three, equally FlintBoard ISO, OSFA, A-PD, Gypsum Fiber OSFA, A-PD, D. SBS-TA or SBS-AA, or APP- -60.0 6-Inch o.c. with Poly SMS or ga. annular spaced, ENRGY-3, H- D-IS or CR- Roof Board IS or CR-20, 6- APP-TA SBS-TA or TA 8d ring shank Ultra Poly SMS ring shank nails staggered center Shield or Multi- 20, 4-Inch Inch o.c. APP-TA nails rows Max FA3 O.C. Min. 19/32-Inch 8-inch o.c. In 3- (Optional) Min. plywood at 32 ga., 1-5/8- Inch lap and 8- 1.5-inch Min. 0.25 Inch gp_AA� (Optional) SBS AA, max. 24-Inch Yosemite inch dia. tin Inch o.c. In ACFoam II, SECUROCK SBS-AA, BP -AA, SBS-TA W-12 spans attached VentingBase caps with 11 three, equally y FlintBoard ISO, HA Gypsum -Fiber HA SBS-TA or SBS-AA, or APP- -60.0 6-Inch o.c. with Sheet ga. annular spaced, ENRGY-3, H- Roof Board APP-TA SBS-TA or TA 8d ring shank ring shank nails staggered center Shield or Multi- APP-TA nails rows Max FA3 Exterior Research and Design, LLC. d/b/a Trinity IERD Evaluation Report 3520.03.04-R11 for FL2533-R11 Certificate of Authorization #9503 Revision 11: 02/20/2014 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 6 of 54 F)o '\l TRINITY ERD TABLE 1B: WOOD DECKS — NEW CONSTRUCTION, REROOF (TEAR -OFF) OR RECOVER SYSTEM TYPE B: MECHANICALLY ATTACHED BASE INSULATION, BONDED TOP INSULATION, BONDED ROOF COVER System Deck Base Insulation Layer Top Insulation Layer Roof Cover No. (See Note 1) MDP (psf) Type Fasteners Attach Type Attach Base Ply Cap HYBRID SYSTEMS: Min. 1.5-Inch Min. 15/32-Inch ACFoam II ISO, FIIntFast #12 or er Min. 1.5-Inch ACFoam II HA D-IS M- W-13 exterior grade FIIntBoard H- FlintFast 3" 1 33 ft2 FIIntBoard ISO, H-Shield OSFA, M -PGA. SBS-SA-H (Optional) APP-TA APP-TA -67.5 plywood; See Note 1 Shield or FIIntBoard insulation Plates or FIIntBoard ISOH, or OB500 ISOH. CONVENTIONAL SYSTEMS? Min. 23/32-Inch Min. 1.5-Inch ACFoam II, 1 per 2 Min. 0.5-Inch FM Approved Wood BP -AA or (Optional) BP -AA, SBS-AA, W-14 exterior grade plywood; See Note 1 FIIntBoard ISO, See Note 2 ft2 Fiberboard, min. 0.75- HA SBS-AA SBS-AA, SBS-TA or APP-TA SBS-TA or APP-TA -45.0 ENRGY 3, H-Shleld Inch FM Approved perlite Min. 23/32-Inch Min. 1.5-Inch Min. 0.25-Inch SECUROCK BP -AA (Optional) BP -AA, SBS-AA, W-15 exterior grade ACFoam II, FIIntBoard ISO, See Note 2 i per 2 ft 2 Gypsum -Fiber Roof Board, Dens Deck or Dens Deck HA SBS-AA, SBS-TA or SBS-AA, SBS-TA SBS-TA or -45.0* plywood; See Note 1 ENRGY 3, H-Shield Prime APP-TA or APP-TA APP-TA Min. 1.5-inch Optional additional Min. 15/32-Inch ACFoam II, FIIntFast #12 or #14 watt layer(s) of base Insulation HA, D-IS, M- W-16 exterior grade FIIntBoard ISO, H- 3" Flint.plywood; 11 r2 followed by Min. 0.25-Inch OSFA, M-PG1 APP-TA (Optional) APP-TA APP-TA -90.0 See Note 1 Shleld-or FIIntBoard Insulation Plates SECUROCK Gypsum -Fiber or OB500 ISOH. Roof board Exterior Research and Design, LLC. d/b/a TrinitylERD Evaluation Report 3520.03.04-1111 for FL2533-Ril Certificate of Authorization #9503 Revision 11: 02/20/2014 Prepared by: Robert Nleminen, PE-59166 Appendix 1, Page 7 of 54 Q0TFuN1*ERD TABLE 1C: WOOD DECKS — NEW CONSTRUCTION, REROOF (TEAR -OFF) OR RECOVER SYSTEM TYPE C: MECHANICALLY ATTACHED INSULATION, BONDED ROOF COVER System Deck Base Insulation Top Insulation Layer Roof Cover No. (See Note 1) Layer MOP (psf) Type Fasteners Attach Base Ply Cap SELF -ADHERING SYSTEMS: W-17 Min. 15/32-Inch (Optional) One or more layers, any Min. 0.25-Inch SECUROCK Fllntfast 3 In. Insulation Plates 1 per 3.2 ft2 SBS-SA (Optional) SBS-SA SBS-SA -30.0* plywood; See Note i combination, loose laid Gypsum -Fiber Roof Board Yp with FIIntFast #12 or #14 Min. 19/32-Inch exterior (Optional) One or more Min. 0.25-Inch Dens Deck 1 per 1.33 W-18 grade plywood; See layers, any primed with FIIntPrlme SA See Note 2 ft2 SBS-SA (Optional) SBS-SA SBS-SA -45.0 Note i combination, loose laid W-19 19/32-Inch exterior grade plywood; See (Optional) One or more layers, any Min. -Inch S FlIMin. 3 Plates Insulation Plates Insulation 1 per 2.7 ft2 SBS-SA (Optional) SBS-SA SBS-SA -45.0* Note 1 combination, loose laid um Roof Boar Gypsum -Fiber Roof Board with FII #12 or #14 #14 (Optional) One or more Min. 1.5-Inch ACFoam II, Fllntfast 3 In. W-20 Min. 19/32-Inch plywood; See Note 1 layers, any Y ENRGY 3, H-Shleld, Multi- Max FA3 or FIIntBoard ISO Insulation Plates with FIIntFast 1 per 2 ft2 SBS-SA (Optional) SBS-SA SBS-SA -45.0* combination, loose laid primed with FIIntPrlme SA #12 or #14 (Optional) Min. 1.5- W-21 Min. 15/32-Inch Inch, One or more Min. 0.25-Inch Dens Deck See Note 2 1 pert .33 SBS-SA (Optional) SBS-SA SBS-SA -52.5 plywood; See Note 1 layers, any DuraGuard ft combination, loose laid Min. 19/32-Inch plywood (Optional) One or more Min. 1.5-Inch ACFoam II, W-22 at max. 24-Inch spans attached 6-Inch o.c. with layers, any ENRGY 3, H-Shleld, Multi- Max FA3 or FIIntBoard ISO See Note 2 1 per 1.45 ft2 SBS-SA (Optional) SBS-SA SBS-SA -60.0 8d ring shank nails combination , loose laid primed with FIIntPrlme SA HYBRID SYSTEMS? W-23 Min. 15/32-Inch (Optional) One or more l p ) layers, any Min. 0.25-Inch Dens Deck; Fllntfast 3 In. Insulation Plates i per 2 ft2 SBS-SA-H SBS- (Optional)- BP -AA, BS-AA, SBS-TA SBS-AA, SBS- -30.0* plywood; See Note 1 combination, loose laid Dens Deck Prime with FIIntFast or APP-TA TA or APP-TA #12 or #14 Min. 15/32-Inch (Optional) One or more Min. 1.5-Inch ACFoam II, 1 per 1.33 (Optional) BP -AA W-24 plywood; See Note 1 layers, any FIIntBoard ISO, ENRGY 3 See Note 2 ft2 SBS-SA-H or SBS-AA SBS-AA -52.5 combination, loose laid or Multi -Max FA3 Min. 19/32-Inch plywood at max. 24-Inch spans (Optional) One or more Min. 1.5-Inch ACFoam II ' i per 1.45 (Optional) BP -AA ' SBS-AA, SBS- W-25 attached 6-Inch o.c, with layers, any FIIntBoard ISO, H-Shleld, See Note 2 ft2 SBS-SA-H SBS-AA, SBS-TA TA or APP-TA -60.0 8d ring shank nalls combination, loose laid FIIntBoard ISOH or APP-TA Min. 15/32-Inch (Optional) Min. 1.5- Inch, One or more Min. 1.5-Inch ACFoam II Fllntfast 3 In Insulation Plates 1 per 1.33. (Optional) SBS- SBS-AA SBS- W-26 plywood; See Note 1 layers, any FIIntBoard ISO, H-Shleld, with FIIntFast ft2 SBS-SA-H AA, SBS-TA or TA or APP-TA -75.0 combination, loose laid FIIntBoard ISO„ #12 or #14 APP-TA Exterior Research and Design, LLC. d/b/a TrinityjERD Evaluation Report 3520.03.04-1111 for FL2533-R11 Certificate of Authorization #9503 Revision 11: 02/20/2014 Prepared by: Robert Nieminen, PE-59166 Appendix 1, Page 8 of 54 J OSFPN E. SMITH. Cl, � I T AFTER RECORDING -RETURN TO: J I {? THE Ci,t,1JJT CCM )T aA?i�iT i iJ�-F-- fi3OUN T" R LOCK 166 AG r" ,i i'-, - _ 1 i R �v !Dn .'' PERMIT NUMBER: j • J NOTICE OF COMMENCEMENT - The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. ) r /� 9 -1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: I W y"701- Q 1 `7fr, a " ©60J u � - I R&K 19 (,o�- K rdlz Q 69 -Q(7r� 171- - 2. GENERAL DESCRIPTION OF IMPROVEM NT: Z - K.00(-- 3. OWNER INFORMATION: %,a. Name GLi` L U dr o-/ri b. Address ./,�Cd� J 7 C.0 a,- :F- 6,'1' te'Ge- �'Ir W "I L16i c. interest in property 4 d. Name and address of fee simple titleholder (if other than owner) //� __ 4. C(�NTRACTOR?&NAME, ADDRESS AND PHONE NUMBER _ 0-06 � C.c 0 j 6if^q 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND -BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the State of Florida designated b Owner upon -whom notices or other documents. -may be served as provided by .Section 713:13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: �(f '6 ( I / 0/ / t c 8. In addition to himself or herself, Owner designates the following to receive a copy of the Uenor's Notice as provided in Section - 713.13, (I)(b)I Florida Statutes: NAME, ADDRESS AND PHONE.NUMBER: ' 9: Expiration date of notice of commencement (the expiration date is 1 year from the date of recordingunless adifferent date is specified) , 20 .Aar, Signature irowner or Print Name Owner's Authorized Officer/Director/Partner/Manager U"IICh UN UUMMENCEMEN'P. " e j ,C; fib owl Provide Signatory's Title/Office State of Flori - County of 1061 The foregoing instru ent was acknowl dged before me this day of 06 �0 - , 20�. i By �YY�Is�U Z;Lo u knof as v vb (N e of per on (Type of auihority ... e.g. Owner, officer, trustee, attorney in fact) . Por ( /�- (Name of p on behalf of whom instrument was a uted) Personally Known r produced the following type of•ID: . 0,J ' EUGENE D. JAEGER ted Name of Notary Pubhc) (Si u o No Pub c MY COMMISSION # FF078590 Y ) ° EXPIRES: January 20, 2018 CFFV Undez penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my know edge and belief (section 92.525, Florida Statutes). Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above:. By: Z�%L�! C�� g61 Rev.08/302007(Re rding) r` Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit # PA 140 --d313 licensed as a(n)Contractor*/Engipeer/Architect (Please print name & circle license type) *FS468 Building Inspector *General, Building, Residential or Roofing Contractor or any individugl certified under 468 F.S. to make such an inspection. On or about I did personally inspect the roof deck nailing (Date) work at: / GC3, Q—,—a F— �� (Job site address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) 0 Signature and Seal STATE OF FLORIDA COUNTY OFSk, W IZG o 0(cP`7 gq License # Sworn to and subscribed before me this day of 04z7� 2014 by 5 2,1n Cd► hr,,a 'C1 . Who is personally known to me or who has produced as identification. PNNP G\�a e 2��6 Notary Public, Statee oF.Florida E�VVI • s SoP,r. ,6� Signature of Notary: .•7�, . ' a o�CyoP ExP`� # EE Noah psi Commission Number: [SS ro c=" Pu: En 01/19/2011