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HomeMy WebLinkAboutSUBMITTED PAPERS1. 2. Planning & Development Services Department Building & Code Regulation Division ® 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 '=- Tel, 772-462-1553 'APPLICATION FOR ROOF PERIVIIT �,ounts, SEE REVERSE SIDE FOR INSTRUCTIONS Location/Site Address: 3�b�Z ®" ,� �l L� � �.,L'� 5�T F� E-1ZcCJ Parcel ID Number: Office Use Only ownship Range Map Page Zoning Land Use Initials 3. Description of Project or Work Activity: Tend (?-F—C P M-0 1Zg Ra°� 4. Total Roof Area (square feet): 5. Roof Pitch: 6. Type of Roof: [*,,Q Fiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle [ ] Tar & Gravel [ ] Modified Bitumen [ ] Other 7 PrductipPp®valrequlredVor_�all .type" s 'oaf Room "Ia11� 2�Sets [ ] All Commercial Roofing 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: CER I Z A) A LILC %Z Address: 6Z -S-w g R ©.Stu )yV JL a.D City: °.` 1,► is State: Zip: {- Phone: -cl o �a 9. Value of Construction: $ Q-?- o FL Reg/Cert #: (OWN e %Zi County Cert #: Business Name: Cell Phone: "Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval. CONTRACTOR/OWNER'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. t_ Eglc A ligl- k PRINT QUALIFIERS/OWNERS NAME STATE OF FLORIDA, COUNTY OFF/ ACKNOWLEDGED BEFORE ME THIS �� DAY OF IS PERSONALLY COMMISSION NUMBER ME OR HAS PRODUCED PRINT NAME 20Pq-, BY � ic U_1t 4_ 0 JC_AS IDENTIFICATION M `lp 4 (seal) 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 .;��;�'P, AUDREY B. HUMPHRF`( MY COMMISSION # EE 061159 EXPIRES: March 6, 2015 R' Bonded ThruNotary PubllcUnderwrilers oF. f INSTRUCTIONS Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This roof permit application is to be used only for those activities that are not otherwise included under a primary building permit. This application may not be used for any activity that includes structural alteration. Building activities involving structural alteration, in addition to the roof work, must be permitted through the regular building permit review process. The information to be provided with this application includes: 1. Location/Site Address 2. Parcel ID Number 3. Description of Projector Work Activity 4. Total Roof Area 5. Type of Roof 6. Owner Information 7. Contractor Information 8. Value of Construction Indicate the street address or general location of the property where the building activity is taking place. Indicate the tax identification number of the property where the building activity is taking place. Completely describe the building activity to take place. Please indicate if tear -off or shingle over shingle etc., Indicate total roof area to be affected by this permit. Also indicate the pitch of the roof, expressed as a standard ratio of run rise. Indicate the type of roof being repaired or resurfaced. Indicate the name and address of the owner of the property on which building activity is taking place. Indicate the State of Florida registration number. (if applicable), St. Lucie County contractor license number and the name of the business doing the work. Indicate the total value of the work to take place. Total cost of construction includes all material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction. This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce,. FL 34982. All permit applications must be filled out completely before submission. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. St. Lucie County Roof Permit Application rev. 3/1/2009 Planning & Development Sei-vi'ves Department Building & Code Regulations 2300 Virginia Avenue Fort Pierce, Florida 34982 (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 or a commercial building at a cost of under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within one year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. 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. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on how to.okeet the minimum code. Initial E 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 C' 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 C i 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 relate medical cost, which could include loss of wages during recovery from their injury. Initial-n� 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 Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 A C�JczQst��-- OwnerBuilder Signature STATE OF FLORID VacbAwl&edgged COUNTY OF%r/v` Th oreping instrument wabefore me this (�i day of , 20 b cer who is personally known to me, or who has produced as identification. I l Ga ► C7 Signature otary a or Print Name o otary eal Title: NotaW Public ommission Number SLCPDSD Revised 07/22/2010 AUDREY B. HUMPHREY zy. MY COMMISSION # EE 061159 _.. ;�•. r, EXPIRES: March 6, 2015 .. .- Bonded Thru Notary Public Underwriters Florida Building Code Onlin, - Page 1 of 2 B_usines Iff ..BCIS Home Log In User -Registration Ho I Submit Surcharge - Statr& Facts Publications FBC StaffBCIS Site -Map- Linksp-'Search i 9 g P 9 1lU7USER: Public User Product Approval Menu > Product or Application Search > AorAcation List > Application Detail o FL # FL10674=R8 �'� - — AP-Plication_Typ-e- - ----- ---- — -- - - -- --Recision--------- -- - ---- ---- - - - - — — - --- --- — —.-.� _—...------------- Code Version 2010 Application Status Approved Comments F'ILE Culjy Archived Product Manufacturer Owens Corning J Address/Phone/Email One Owens Corning Parkway 1 0 Toledo, OH 43659- (740)404-7829 greg.keeler@owenscorning:com Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Greg Keeler greg.keeler@owenscorning.com Mel Sancrant 1 Owens Corning PKWY Toledo, OH 43659 (419) 376-8360 mel.sancrant@owenscornig.com Roofing . Asphalt Shingles Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer !�. Evaluation Report - Hardcopy Received Robert J.M. Nieminen PE-59166 UL LLC 09/26/2014 John W. Knezevich, PE =1 Validation Checklist - Hardcopy Received FL10674 R8 COI Trinity ERD CI - Nieminen odf Standard Year ASTM D3161, Class F 2006 ASTM D3462 2007 ASTM D7158, Class H 2O07 http://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXOwtDotBNbEY5V%2--- 2/19/2014 Florida Building Code Onlir,: Page 2 of 2 Sections from the Code —_-Product-Appr-0val-Method---- __---____.Method LOpton.D� - -- --- - -- Date d Submitte _ , _ Date Validated 12/20/2012 Date Pending_FBC Approval : 12/25/2012 . Date Approved 02/04/2013 Summary of Products FL # jModel, Number or Name Description____-_____ 10674.1 Owens Corning Asphalt_ Roofing .. 3=tab, laminated, starter, and hip &_ridge - Shinales and Starters Limits of Use Installation Instructions-- Approved for use in HVHZ: No FL10674 R8 II er121912FINAL OC Asohalt Approved for use outside-HVHZ: Yes Shingles - FL10674-R8;df Impact Resistant: N/A Verified By:_ Robert]. M_Nleminen_PE_ -Design-Pressure: N/A _59166 - Created by Independent Third Party: Yes Other: Refer to ER, Section _5. Evaluation Reports- FC10674 R8--AE er121912FINAL OC Asphalt Shingles FL10674-R8.Ddf -Created by Independent Third Party: Yes Back Next Contact Us :: 1940 North Monroe Street, Tallahassee FL 323 9 Phone: 850-487-1824 The State of Florida Is an AA/EEO employer. Coovriaht 2007-2013 State of Florida.:: Privacy Statement _: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October.1, 2012, licensees licensed under Chapter455, 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 area licensee.under Chapter 455, F.S., please click here . Product Approval Accepts: eCAeck M . . ' seCurlil'�i➢TRICti http://www.floridabuilding.org/pr/pr app dtl.asDx?Daram=wGEVXOwtDotBNhF.YSV%?... 7./1 A/?nl A TR,INI-ry I ERD - - i ROOFING SYSTEMS EVALUATION: 1. SCOPE: -- ----- -- - ---- - -- -- - ----- ----- ------------ ------Produci=Category: — =Roofing — --- --- - -- - ---- — ---- Sub=Category: Asphalt Shingles Comblllance Statewei9t: - Owens--Corning-Asphalt Roof Shingles; -as Produced_by Owens-Corning, have demonstrated compliance with the following sections of the Florida Building Code and Florida Building Code, Residential Volume 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 1507.2.5, R905.2.4 1507.2.7.1, R905.2.6.1 1507.2.7.1, R905.2.6.1 3. REFERENCES: Entity UL LLC (CER9626) UL LLC (CER9626) UL LLC (TST9628) UL LLC (TST9628) Miami -Dade (CER1592) Miami -Dade (CER1592) Miami -Dade (CER1592) Miami -Dade (CER1592) Miami -Dade' (CER1592) Miami -Dade (CER1592) Miami -Dade (CER1592) Miami -Dade (CER1592) UL LLC (QUA9625) 4. PRODUCT DESCRIPTION: Pro eerty Physical Properties Wind Resistance Wind Resistance Examination Physicals & Wind Resistance 'Physicals.& Wind Resistance Physical Properties Wind Resistance FBC HVHZ Compliance FBC HVHZ Compliance FBC HVHZ Compliance FBC HVHZ Compliance FBC HVHZ Compliance FBC HVHZ Compliance FBC HVHZ Compliance FBC HVHZ Compliance Quality Control Standard Year ASTM D3462 2007 ASTM D3161, Class F - 2006 ASTM D7158, Class H 2O07 Reference. Date . _ File R2453, Vol. 3 02/15/2007 20120516-R2453 05/16/2012_ 06CA20263 04/18/2006 IICA34308 02/18/2012 07-1116.12 02/14/2008 09-0915.12 12/16/2009 10-0817.09 10/27/2010 10-0817.10 10/27/2010 10-0817.08 10/27/2010 10-0817.07 10/27/2010 11-0411.03 06/16/2011 12-0309:01 07/19/2012 Service Confirmation R2453 Exp. 09/26/2014 4.1 Asphalt Shingles: 4.1.1 Classic° and Supreme° are fiberglass reinforced, 3-tab asphalt roof shingles. 4.1.2 Berkshire° are fiberglass reinforced, 4-tab asphalt roof shingles. 4.1.3 Duration°, TruDefinition° Duration°, DurationO Premium Cool, TruDefinitionO Duration° Designer Color Collection, TruDefinition° OakridgeO, OakridgeO and WeatherGuard° HP are fiberglass reinforced, laminated asphalt roof shingles. 4.2 Berkshire° Hip & Ridge Shingles, High Ridge, Hip & Ridge with Sealant, WeatherGuard°. HP Hip & Ridge Shingles and ProEdge Hip & Ridge Shingles are fiberglass reinforced, hip and ridge asphalt roof shingles. 4.3 Starter Strip Plus and Starter Shingle Roll are starter strips for asphalt roof shingles. S. LIMITATIONS: 5.1 This Evaluation Report is not for use in the HVHZ. 5.2 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory for fire ratings of this product. 5:3 Wind Classification: Exterior Research and Design, LLC. Evaluation Report 037940.02.12-R2 Certificate of Authorization #9503 FL10674-RS Revision 2: 12/19/2012 Page 2 of 6 1-� 0 TRINITY I ERD 5.3.1 All Owens Corning shingles noted herein are Classified in accordance with FBC. Tables - - - - 4507..2:7.1 -and R905:2:6-.-1-to-AST-M--D3161,-Class Fand/or ASTM-D7158;-Class--H; indicating - the -shingles shingles are acceptable for us in all wind zones -up to V - 150 mph (V,,It = 194 mph). asd o-Section=6=for-installation requirements--to-rieet this-wind=rating. -----_ ------------- 5_ .3:2 _AIL Owens Corning hip_. &_ridge shingles and_StarterTStfip Plus. -noted -herein -are--Classifled- in ---- accordance with FBC Tables -1507.2.7.1 and R905:2.6.1 to ASTM D3161, Class F, indicating the shingles are acceptable for us in all wind zones up tO Vasd 150-mph (V„it = 194 mph). Refer - • ------ .--=to-Section 6-for-installation-requirements to-meet=thismind rating.._ - 5.3.3 -- Classification by ASTM D7158 applies to exposure-category_B or C and_a_buildlag-heigh-Lof-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. 5.3.4 Refer to Owens Corning published information on wind resistance.and installation limitations. 5.4 _AI,I,_products .in the roof assembly shall have quality assurance audit in :accordance with the Florida Building Code and F.A.C. Rule 9N-3. - 6. - INSTALLATION: 6.1 - Underlayment: 6.1.1 Underlayment shall be acceptable to Owens Corning and shall hold current Florida Statewide Product Approval, or be Locally Approved per Rule 9N-3, per FBC Sections 1507.2.3, 1507.2.4 or R905.2.3. 6.2 Asphalt Shingles: 6.2.1 Installation of asphalt shingles shall comply with the manufacturer's current published instructions, using .minimum four (4) nails per shingle in accordance with FBC Sections 1507.2 or R905.2, with the following exceptions: .__➢_.--Berkshire° shingles -require minimum five (5).nails pershingle.- ➢ WeatherGuard° HP shingles require minimum six (6) nails per shingle. ➢ Starter Strip Plus requires minimum five (5) nails per strip. Refer to Owens Corning published information on wind resistance and installation limitations. 6.2.2 Fasteners shall be in accordance with the manufacturer's published requirements, but not less than FBC 1507.2.6 or R905.2.5. Staples are not permitted. 6.2.4 Where the roof slope exceeds 21 units vertical in 12 units horizontal, special methods of fastening are required. Contact -the shingle manufacturer for details. 6.2.5 Minimum Nailing - Classic@ & Supreme: - .Normai _ Mansard or Area pare Wind Areas High Wind desvenes y Arra pan vienros normales Arm vienros fuertas B" Exposure ,. Exposlel6n Exterior Research and Design, LLC. CertiFcate of Authorization #9503 - -Normal- - Mansard or Area pare Wind Areas High Wind demnas y Area pare Wentos nonneles Areas vientos fuertes 6 6/8' Exposure - . Exposlci6n Evaluation Report 037940.02.12-R2 FL10674-R8 Revision 2: 12/19/2012 Page 3 of 6 TRINI?V I ERD . - - Minimum Nai in ._. 9. =-Berkshire@: - . . _ Sealatnstdp- - � LalBadaseHadar SeahnlslFip -- T r—r•--► �—=► rr—►• -R.ya. -_ -. - — "B Yf.. -r. __ -_ 9 Yf-- •t—►• �--► • • �--► •�—� • 1" . - ,4s'phaft iooting oeinenl do 848110 6.2.7 Minimum, Nailing - Duration@, TruDefinition@ Duration,. Duration@ Premium Cool & TruDefinition®-Duration° Designer Color Collection: - 4-Nd Patter .. 6 Nei1 Wwwarm strro saa •tape. bdm. SunNaiO Pattern - amandtup 0Mott. ESQuema — dimwde aSerm. a, de 6deVos amdarNWe BRIM d • • • a2aSarNzia roerk smatmOrcarrB.. SunN.0 - - ` - =- \ Sud1aIP lastiNrq 6stmh Vow arras abmal�h sqJR3P 1S ` I '. 1T 8m1IP B Na6s 5w Exposure srpoakl6r Gavos 6a.L pulp. ale expoddan F 6.2.8 Minimum Nailing — TruDefinition8 Oakridge@, Oakridge@: 4 Nail Patter -Esp ma con 4 datws - r �• 5 6/8" Exposure . Nab 6 6/R" Exposure Exposiddn de 66/8ptdg.. Clams Exposid6n de 66/8pudg. 6 Natl Patter Esquema ton 6 davos r r Ir 56fe"Exposure Cla°� .-66/8"-Exposure Expostoi in de 66/8pulg, Exposld6n de 66/8 polg. Exterior Research and Design, LLC. Evaluation Report 037940.02.12-112 Certificate of Authorization #9503 FL10674-RS Revision 2: 12/19/2012 Page 4 of 6 f 4 TRINITY I ER® - --Minimum _Nailin- WeatherGuard® HP: g_= _ 7. 1• r W&Imp view 6.3 Hip & Ridge Shingles: 6.3:1 : Installation of Berkshire® Hip and Ridge Shingles, High Ridge, Hip & Ridge with Sealant, WeatherGuard° HP Hip'and Ridge Shingles and Pro Edge Hip & Ridge Shingles shall comply with the manufacturer's current published instructions; using. four_ _(4) nails-per.:shi.ngle: Refer to -Owens Corning published information_on wind resistance -and installation_ limitations, including the use of hand -sealing for wind warranties. 6.3.2- Fasteners -shall be in accordance with the manufacturer's published requirements, but not less than FBC 1507.2.6 or R905.2.5. Staples are not permitted. 6.3.3 Minimum Nailing. - Berkshire@ Hip & Ridge and HighRidge: i Fig.1IF PmMtftVdnd 4 DileWon P MIS - 'O 4 p 1 I A I I 4 I 1 i I p I 1 I I I I v Exposure - - 6.3.4 Minimum Nailing - Hin & Ridge with Sealant rim Shingle 'nd Discard �„ 2" Sealant Strip ' Fa$tiening -557E" 5" Exposure Di$tanoe _ 1 1. _ - �- 12 Exterior Research and Design, LLC. Certificate of Authorization #9503 Evaluation Report 037940:02.12-R2 FL10674-RS Revision 2: 12/19/2012 Page 5of6 TRINITY,( ER® - 6.3.5 eat - Minimum Nailing WherGuardp HP Hip and Ridge: ---- -- — Fi Hi —&-Fill a Shingle Fastenn - Fig -A - 4 4 g• P_ . 9 9 9 _ �arevanmgwine _ _. �1 _ \ _ 7opYhw_ -- .nlrw_tba Nabs -- - - - -_ -_ - - - =--\ -Nails _ - - - - ..Nails_ - - - - - - - - - I T' ' ---------- - -- - T---- i ---- - A t'�I -- Exposure- -_ jk s, Exposure 6.3.6 Minimum Nailing - proEdge Hip & Ridge Shingles: Prevailing - Wind Direction Sedxntito B' Exposure Fasten 7W Cover Expo>:ed Fmenen with Roof Cement Standard Fastening Pattern seaaat 7h� 6" Exposure 7., LABELING: 7.1 - -Each-unit shall .bear a -permanent label with the manufacturer's name, logo, city, state and logo of the Accredited Quality Assurance Agency noted herein. 7.2 Asphalt shingle wrappers shall indicate compliance with one of Ahe required classifications detailed in FBC Table 1507.2.7.1 / 11905.2.6.1. 8. BUILDING PERMIT REQUIREMENTS: 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 9N-3-.QA--requirements. 10. QUALITY ASSURANCE ENTITY: UL LLC- QUA9625 ; (414) 248-6409;'karen.buchmann(&ul.com - END OF EVALUATION REPORT - Exterior Research and Design, LLC. Evaluation Report 037940.02.12-112 Certificate of Authorization #9503 FL10674-RS Revision 2: 12/19/2012 Page 6 of 6 EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization.#9503 -353 CHRISTIANSTREET,.UNIT-#13 - - OXFORD, CT -06478 -- - _—. -- —, _--- - -- ----PHONE. -2�3 262 9245._ --- --- - - _ (- _ -) --- FAX: '(203)-262-9243 EVALUATION REPORT .--Owens Corning Evaluation Report 037940.02.12-R2 One-_Owens-Colrnin'g.Parkwa F 0 4=R8 - 1 ,. L1 67 , Toledo, OH 43659 Date of Issuance: 02/06/2012 -- ------------- ----- TRevis�o—n_: 1-2739/2D12--- - SCOPE' -- This Evaluation Report -is issued- under - Rule- 9N-3 and -the-applicable -r-ules,.and.regulations_governing the use of construction materials in Lthe 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 Volum:e.. The products_ described -herein have been designed to - -comply-with-the 2010 FBC and-2010 FBC- Residential Volume sections noted herein. DESCRIPTION: Owens Corning Asphalt- Roof ;Shingles.. LABELING: Each unit shall bear labeling 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:JERD 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 IERD 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: Robert J.M. Nieminen, P.E. - Florida, Registration No. 59166, Florida DCA ANE1983 The facsimile seal appearing was authorized by Robert Nieminen, P.E. on 12/19/2012 This does not serve as an electronically. signed document. Signed, sealed hardcopies have been transmitted to the Product Approval Administrator and to the named client 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. TrinityiERD 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.