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HomeMy WebLinkAboutSUBMITTED PAPERSAll APPLICA713 E INFO MUST BE COMPLETI s BOOR APPLICATION TO BE ACCEPTED � _ Date: Ala 1 Permit Number: d �a By '�' `•. Lucie Cr,,ny I Planning and Development Services Building Permit Application Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-15-7R --ommercial Residential PERMIT APPLICATION FOR: --em 04__ R2_Ko_(' -Prorv) Shy l +0 -m Address: Legal Description: 3 35 t9 NW V4 VC55 -kVon mp�p� t cr1�- I-2 cant 1pg A e1� Property Tax ID #: 23()3 - 2.11-- rW 23 - OWIS Lot No. Site Plan Name: _ 7�7timl brc Y Block No. Project Name:b�1.V i)l'nnl< Setbacks Front Back: Right Side: Left Side: wo permit- -Mechanical _ Gas Tank . —Gas Piping an that apply: _ Shutters Electric _ Plumbing _ Sprinklers Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ 5-gt� QQ Utilities: _ Sewer _ Septic Name�L1YlP Yo. �/V1QY City,,: RLE P.YC P T State: �L Zip1Code:3eo"7Z Fax: — Phone No. i- 2-- 24¢0 E-Mail: PJ/A Fill in fee simple Title Holder on next page (if different from the Owner listed above) ndows/Doors Roof Building Height: • . �.' 11�9r ��M*_& �''i Zip Code: Phone No. 2-- - "I E-Mail: State orCounty License: Stater If value of construction.is 2500 or more, a RECORDED Notice of Commencement is required. .atf:: ,� �.a �I,pN, I+Ed�t.�1 - - DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a. permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencem st be recorded and posted on the jobsite before the fir ion: If to obtain fl cing, con It with r an attorney before Comm to w r e our Notice of C men Si ure of Owner/ Agent/ Lessee Signature of Contractor/Lice.nse Holder STATE OF FLORIDA COUNTY OF STATE OF FLORIDA COUNTY OFnD��-R~w� The forgoing instr ent was acknowledged before me r The forgoing instru ent was acknowledged before me this day of r20 by this 1` 1 day of 26 by _L"7 Cl hrl (Name of person ack wledging) (Name of person knowledging )'- Signature of Notary Public- State of Florida ) nature of Notary Public- State of Florida) Personally Known � OR Produced Identification Personally Knowrtl—'<Z�_ OR Produced Identification -- Type of Identification Produced Type of Identification Produced Commission No. a ERCURI M Commission No. •„�����„ g�RCURI ;a�. `�'-; Public - state of FI 2016 ,Y�PU ,, BRIAN lorida , `'a a' state o1 F Public - 16 Notary Expire May 6, ExP r My Comm. P� E 191359 -.�q, N1161&Miss! nS�J� Commission PLANS VEGET Tlb�{����"' REVIEWS FR COU T1°���''� EW REVIEW REVI REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. Planning & Development Se' ., _ "es Building & Code Regulation Division Z300 Virginia Avenue Fort Pierce FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPEMON AFFIDAVIT" Re: Permit # I y d1'O a1 1 1, C� V�,r Lc-1.OS , licensed as a(n)Contractor*/Engineer/Architect (Please print name & circle license type) *FS468 Building Inspector *General, Building, Residential or Roofing Contractor or any individual certified under468 FS. to make such an inspection. On or about !/17 /I I did personally inspect the roof deck nailing (D e) work at: )'1 LQLi 15jM0kjbrW�, �+� �6 ' ► i�X� (lob site address) Based upon that examination I have determined the installation was done according to the Hurricane ual Signature and Seal STATE OF FLORIDA COUNTY OF Ira on 553.W F.S.) Sworn to and subscribed before me this )� by CAWS -C241/11n 5 Who!! as ideni /. Notary Public, State of Signature of Notary:_ Commission Number: En 01/19/2011 e.c-r ©s-8�01 License # I 20-t [mown me or who has produced (Seal) •ov'oai 69 W 33 #k UOISOIWW03 ;�a �;,, 910Z .9 #SW Sejldx3 ww00 AW .. e epu0ld to e1g5 - o114ad AJ010 z,, 1 IHI10113W NVIHQ JOSEPH E. SMITH, CLERK OF TiTF CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3996043 OR BOOK PAGE 2639, Recorded 09/17/2014 at `P5 PM Permit No. StateofRorida County of St Lucie NOTICE OF COMMENCEMENT r Tax Folio No.`303-7,11-0025-GO05 The undersigned haraby gives notice that improuementyAl be made to certain real property, and in accordance with Chapter713, Florida Statutes, the following information is provided In this Notice of Commencement General description Owns Irdippatian or Isssm'ftma *on i Name Mixi%y\QrrimyV1 Address Interest in propertyPM.1919ftC Name and address offee simpletideholder is If available): lessee contracted for the improvement: :0YT-P iererrtirom OWner rated above): AIIA- l�lQ/re. .4=L Phone Number. Surety (If applicable, a copy of the payment bond ed): Amount of bond: $ Name and address:_ Phone number. Lender Name Phone Number. Lendersaddresr. 13211-M UMIn the State of Horida deslgnalad by Owner upon whom notices or other documents may be served as provided by Section 7]3.23(1) (a)7., Florida Statues Name: Phone Number. Address: In addition to himself or herself, Owner designates 4,0of Lienor's Notice as provided in Section ZLIM(1) (b), Florida Statutes. Phone number of person crentity designated by owner; to receive a copy of the Etisiratien date of notiee of commencement (the expiration date may not be before the completion of coon and final payment to the contractor, but will be 1 year from the dam of recording unless a different date is specified) �V ¢ WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER OIAPTER 7a PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF OOMI WJCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. iFYOU INTEND TO OBTAIN FINANCING, CONSULT WiTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENONG WORK OR RECORINNGYOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true tothe best of Ice dge and belief. if 1VL� NU A�IJ� (Signatum of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Parbrer/Manager QWN154 (Signatory's rrde/OfBce) The foregoing instrument was acknowledged before methis U*-l' day ofja�L_, Zdq, By t as OONQX, for i(Tati SS7r..ihrmtiC err �i I�¢f�e F( Na of - Type ofauthority (e.g.officer, trustee) Party on behalf of whom instrument was executed (Signabrre re otaiy Public- State of Florida) (Prim Type, or Stamp Commissioned Name of Notary Public) ERIC DAVIS NOTARY PUBLIC STATE OF FLORIDA Garment FF10823b Fires 3/31/2018 Personally known_ or produced ldentiFaUon Type of Identification produced �(— lQSelo�l53la oa STATE Of FLORIDA ST. LUCIE C0 01 Y THtS IS TRIPE ANO CORRECCOPY Of THE ORICrt,N� 14. d Treasure Harvey E. Koehnen C oast Professional Engineer ##32831 B uilding Architect #AR0009471 E ngineers, Certified General Contractor #CGCO24776 Inc. Contractor Go(--I-Ikl 5 Owner 'B'1IN, MM vxL—, Job Address Illa-4A 22L METALROOFING L-,ULF 4-01\5aC 15'4 6t\(\J�`�`���I NEW ROOF _ RE -ROOF �(, REPAIR AREA 5 5c. METAL ROOF PLAN COG L I�� 1*—rnM e-t2 7205 Elyse Circle P 5 L Florida 34952-8212 PHONE(772) 466-5509 FAX(772) 489-3035 E-MAILhkoehnen@tcbeweb.com Date q /l 4P/! 4 ASCE 7-10 & FBC 2010 ENCLOSED BLDG _SEMI ENCLOSED BLDG OPEN PART Z LOW RISE C&C SIMPLIFIED RISK CAT 2/V = P Cow IXPOSURE�A = @ Kzt =1.0/h I� ? /12 PITCH ROOF SYSTEM S6 � 5 v NOA V- L� 4�r� �1<4JaL.�nA- ZONEIP@ @ h=30 = X = PSFxO.6= 2S'� r ZONE 2 P @ @ h=30 = X = PSF x 0.6 = 44 ~! ZONE 3 P @ @ h=30 = x - PSFx0.6= - MAX DESIGN PRESSURE PER NOA — q 4-' 7-5 (2 V, 01 ` , DECK TYPE THICKNESS `pmm PaL.Y5-tic- V sPeNs BASE SHEET nn-tT5 N0. OF PLIES I FAST-W&R ` PLY SHEET �- NO. OF PLIES FASTENER TYPE SPACING TOP PLY NO, OF PLIES FASTENERTYPE SPACING INSULATION BASE LAYER TYPE `" SIZE TYPE OF FASTENERS; SPACING FIELD PERIMETER _ CORNERS INSULATION TOP LAYER TYPE SIZE TYPE OF FASTEN ERS/OR-BOWNt-MAT-ER1AL �-K NZ 1. 12-" Vj"io 0 5GrZ��✓ W I U✓ DRIP EDGE SIZE `y� �` DRIP MATERIAL 2r10 Ak 'A FLASHING MATERIAL A'FASTENER SPACING SPACING FOR METAL ROOF PANELS; FIELD I C.-O a PERIMETER VP CORNER 0 0 T reasure C oast B uilding E ngineers, Inc. Harvey E. Koehnen Professional Engineer #32831 Architect #AR0009471 Certified General Contractor #CGCO24776 These 'Tables Are For Roof Goverincts Roof coverings Installed on Buildings with a Mean Roof Height of 30' or Less Located in Exposures B, C or D Table R301.2 [2]_a?Z yua S-( A5c15 7- to GQMPONENTS AND CLADDIMG WORST CASE DESIGN PRESSURE [PSF]. Roof > 0 to 7 degrees 60 Exp B Zone 1 -27.6 160 Exp C (One story -33.4 160 Exp C 160 Exp D 160 Exp D (Two story*) (One story*) (Two story -38.7 -40.6 -45.9 7degrees = 11/2112 pitch Zone 2 -46.4 -56.2 -65.0 -68.3 Zone 3 -69.8 -84.5 -97.7 -102.7 -115.9 .00f > 7 to 27 degrees 'Zone 1 -25,3 27 degreos�6/,j2_pitch Zone 2 -44,1 Zone 3 -65,1 - 30,7 - 53.4 -78.8 - 35.5 - 61.8 - 91.2 -64.9 - 95.7 - 73,3 - 1087'. Roof > 27 to 45 degrees Zone 1 - 27.8 -33.7 -40.0 -40.1 -462 45 degrees =1211.2 pitch Zone 2 - 32.4 -39.3 -45.4 -47.7 -53-8 1 Zone 3 - 32.4 -39,3 -45A - 47,7 -53.8 _,v op 160 Exp B 150 Exp C 150 Exp C 150 Exp D 150 Exp D L (one story*) ( tvdo story') (one story*) ( two story v Zone 3 -61.4 -74.3 -8U -90.3 -102.0 Roof > 7 to 27 degrees Zone 1 -22.2 - 26,9 - 31.1 -32.7 - 36.9 27 degrees = 6/12 pitch Zone 2 -38.7 - 46.9 -54.2 -56.9 - 64.3 Zone 3 . -57,3 . - 69.44 - 80-3 -84.3 - 95.2 Roof > 27 to 45 degrees Zone 1 - 24.3 -29.5 -34.1 -35.8 - -40.4 45 degrees = 12/12 pitch Zone 2 - 28.4 -34,4 -39.8 -41.8 -47.2 Zone 3 - 28.4 -34.4 -39.8 -41.8 -47.2 One story,* = one story building with a maximum mean roof height of 15 feet Two story'` = two story building with a maximum mean roof height of 30 feet .If.allowed by the Miami Dade N.O.A or Florida Product Approval any-system.that does. -not meet the mihimum components and cladding pressures for the area that the building is located per this form may require a Florida licensed engineer to revise the fastener spacing T C B E, Inc. 7205 Elyse Circle PHONE (772) 466-5509 Port Saint Lucie FAX (772) 489-3035 Florida 34952-8212 E-MAIL hkoehnen@tcbeweb.com r rionea iijuI>aing t-oae vnnne l0."- a G i Vi J S o-CIS Home Log In - User Registration Hot Topics Submit Surcharge stats & Facts Publications FBC Staff BCIS Site Map Links Search (Busineso.:j t"roessi©nG�1 �uea:PuubIcUser oval . ros_l 7-lenu > Prtiuct or Aonlication Search > :.n^_licatton Lis. > Application Detail FL # FL11651-R1 Application Type Revision Code Version 2010 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Email 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 Gulf Coast Supply & Manufacturing, LLC. 4020 S. W. 449th Street Horseshoe Beach, FL 32648 (352) 498-7852 ray@gulfcoastsupply.com Ray Bowen ray@gulfcoastsupply.com Roofing Metal Roofing a Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer . Evaluation Report - Hardcopy Received Terrence E. Wolfe PE-44923 Keystone Certifications, Inc. 04/12/2014 Locke Bowden Validation Checklist - Hardcopy Received FL11651 R1 COI Letter of Certif.vdf N 11651. R1 COI Letter of iiiame char cie.odf Referenced Standard and Year (of Standard) Standard Year FM 4471 1995 FM 4471 2010 TAS 100 1995 TAS 125 2003 UL 1897 2004 UL 580 2006 Equivalence of Product Stand6rds http://www.floridabuilding.org/pr/pr_app_dtl.aspOparam=wGEVXQwtDgs'- -u c2fTr... 3/21/2013 Honda Building Uode UMine u details. For use in HVHZ Zones. kc-o 2010Forma_.edf Created by Independent Third Party: Yes 11651.13 26 Ga. 5V Crimp 26 Ga. 5V Crimp over 15/32" Plywood Limits of Use Installation Instructions Approved for use in HVHZ: No FL11651 RI H 26 Ga. 5V Crimp over plywood detailsNON HVHZ.Ddf Verified By: Terrence E. Wolfe, P.E. 44923 Created by Independent Third Party: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +N/A/-131.PSF Other: -94.25 psf @ 16" o.c. t tt r -131.0 psf @ 16" o.c. pa ern. Install per manufacturers Evaluation Reports FL11651 R"- AE 5V Crinio Panel over .5 Phrv:ood NON H:`HZ Roof 2010 fo-mat.od details. Not for use in HVHZ Zones. 11 Created by Independent Third Party: Yes 11651.14 26 Ga. 5V Crimp 26 Ga. 5V Crimp Roof Panel over 1x4 Wood Purlins over 15/32" Plywood Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +N/A/-149.2PSF Installation Instructions FLZi_651 R1 II 26 Ga. 5V Crimp over 1x4 ourlins t1HVHZ details.c,df Verified By: Terrence E. Wolfe, P.E. 44923 Created by Independent Third Party: Yes Other:-149.25 psf @ 16" o.c. fastener pattern. Install per manufacturers details. Not for use in HVHZ Zones, Evaluation Reports FL11651 R1 AE 5V Crin:o Panel over 'Ix4 E:,00d o L sins INON HVHZ Roof 2010 Format.Ddf 11 Created by Independent Third Party: Yes 11651.15 26 Ga. Gulf Lok 26 Ga. Gulf Lok 16" Wide Roof Panel over 15132" 11 Plywood Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +N/A/-161.OPSF Other: -63.5 psf @ 5 3/16" o.c. fastener spacing. - 161.0 psf @ 5 3/16" o.c. fastener spacing. Install per manufacturers details. For use in HVHZ Zones. Installation Instructions FL1165-- R1 II 26 Ga. Gulf Lock over .5 Dlv%rood details.rdf Verified By: Terrence E. Wolfe, P.E. 44923 Created by Independent Third Party: Yes Evaluation Reports FL11651 R1 AE 26 oa. Gulf loci, over 15-32 Pl-vwaod Roof format.odf Created by Independent Third Party: Yes 11651.16 26 Ga. Gulf Lok 26 Ga. Gulf Lok 16" Wide Roof Panel over 15/32" Plywood Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +N/A/-63.SPSF Other: -63.5 psf @ 5 3/16" o.c. fastener spacing. Install per manufacturers details. Not for use in HVHZ Zones. Installation Instructions FL' 1651 R1 rT 26 Ga. Gulf Lock 16 in over .5 olvtvood NHVHZ details.Ddf Verified By: Terrence E. Wolfe, P.E. 44923 Created by Independent Third Party: Yes Evaluation Reports FL116S1 R1 AE 26 e_. Gulf lock over 15-32 PN od 11 Roof.o if Created by Independent Third Party: Yes 11651.17 1126 Ga. PBR 26 Ga. PBR 36" Wide over 15/32" Plywood Limits of Use Installation Instructions Approved for use in HVHZ: No r ! �b�j _ ! .�-- a _ . '• detail -.oaf Verified By: Terrence E. Wolfe, P.E. 44923 Created by Independent Third Party: Yes Evaluation Reports FL11651 R1 AE 26 Ga. PBR Panel over .5 Dlv: cod Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +N/A/-154.7PSF Other: -59.25 psf @ 24" o.c. fastener spacing.-154.75 psf @ 12" o.c. fastener spacing. Install per manufacturers details. Not for use in HVHZ Zones. INONHIVHZ Roof 2010 format.odf Created by Independent Third Party: Yes 11651.18 26 Ga. PBR 11 26 Ga. PBR Roof Panel over 1 x 4 Wood Purlins over 15/32" Plywood Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +N/A/-151.7PSF Other: -100.5 psf @ 24" o.c. fastener spacing.-151.75 psf @ 12" o.c. fastener spacing. Install per manufacturers details. For use in HVHZ Zones. Installation Instructions FL11651 R1 I1 'M Ga. PBR over 1::4 ourlins HVHZ deta!is.Ddf Verified By: Terrence E. Wolfe, P.E. 44923 Created by Independent Third Party: Yes Evaluation Reports FL11651 RI AE 26 Ga. PBR Panel over 1x4 HVHZ Roof KiO format.odf Created by Independent Third Party: Yes 11651.19 26 Ga. PBR 26 Ga. PBR Roof Panel over 15/32" Plywood Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +N/A/-154.7PSF Installation Instructions FL11651 R1 H 20 as. PER over .5 olviiood !AVH detai!.odf Verified By: Terrence E. Wolfe, P.E. 44923 i Created by Independent Third Party: Yes http://www.floiidabuilding.org/pr/Pr_app dtl.aspx?param=wGEVXQwtDgsQFc5K%2fIr... 3/21/2013 26 Ga. 5V Crimp over 15/321, PI 5-V CRIMP EXPOSED FASTENER 24" O.C. NOMINAL COVERAGE TYPICAL FASTENER PATTERN -Twe �-1 5 x 1.1)'WOOD SCREW W/WASHBFZ TEM —11 t FASTENEk-KATTERN @ F�ANEL 'JD & LAPS \j 6 SUadFlodds gw(; No.44923 j. fo ly -0 GULF COAST SUPPLY& MFG., INC. 4020 SW 449 STREET ft e� �40 "R, HORSESHOE BEACH, FL 32648 IQNS 888-393-0335 -lag! FEB 0 9 2012 Florida Building Code Online A a r Page 1 of 2 3 rt„ i2y, R P i d5.+3 �'se33�L•� kk Nkk �r �yt a - a�y°o �. �_y $fL t_ s _z �I3Grisa•z�? i'' BCIS Home Log In User Registration Hot Topics Submit Surcharge s Stats & Facts Publications { FBC Staff BCIS Site Map Links j Search Business,-'- I Product Approval Professional USER: Publlc User 'eC;i lai—io Product Approval Menu > Product or Aonlication Search > Application List > Application Detail e FL # FL5259-R18 Application Type Revision Code Version 2010 Application Status Approved Comments Archived ' Product Manufacturer POLYGLASS USA Address/Phone/Email 150 Lyon Drive Fernley, NV 89408 (570)384-1230 Ext242 jakins@polyglass.com Authorized Signature James Akins jakins@polyglass.com Technical Representative Steve Wadding Address/Phone/Email 150 Lyon Drive Fernley, NV 98408 (602) 363-7139 stevew@polyglass.com Quality Assurance Representative James Akins Address/Phone/Email 555 Oakridge Road Humboldt Industrial Pkwy Hazleton, -4 18201 894-45 jakinakins@polyglasass.com - \ Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed the Robert Nieminen Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 08/08/2015 Validated By John W. Knezevich, PE " Validation Checklist - Hardcopy Received Certificate of Independence FL5259 RSS COI Trinity ERD CI - Nteminen - 2013.pdf Referenced Standard and Year (of Standard) Standard Year ASTM D1970 2001 ASTM D226 2006 ASTM D6164 2005 ASTM D6222 2002 ASTM G154 2005 ASTM G155 2005 FM 4474 2004 FRSA/TRI07320 2005 TAS 103 1995 Equivalence of Product Standards Certified By 1 .. if n • 1 1 •1 1• _ 1 1 1.1 — .— . — .-. -- . .-.--'--'— Florida Building Code Online 1 Page 2 of 2 t Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Method 1 Option D 04/26/2013 04/26/2013 05/03/2013 06/11/2013 Summary of Products 11 FL # Model, Number or Name Description 5259.1 Polyglass Roof Underiayments Roofing underlayments Limits of Use Installation Instructions Approved for use in HVHZ: No FL5259 R18 II er042613FINAL POLYGLASS UNDERLAYMENTS FL5259- Approved for use outside HVHZ: Yes 1118.0 I Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 i Design Pressure: +N/A/-622.5 Created by Independent Third Party: Yes Other: 1.) The design pressure in this application relates to one Evaluation Reports particular underlayment system for use under foam -on tile systems. FL5259 RIS AE er042613FINAL POLYGLASS UNDERLAYMENTS FL5259- R18.odf Refer to ER Section 5.5.2 for other systems and maximum design ipressures. 2.) Refer to ER Section 5 for other limits of use. Created by Independent Third Party: Yes Contact Us :: 1940 North Monme Street, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida.:: Privacy Statement :: Accessibility Statement :-Refund Statement Under Florida law, email addresses are public records. Ifyou do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. -Pursuant to Section 455.275 (1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emalLs provided may be used for official communication with the Ilcensee However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public To determine if you are a licensee under Chapter 455, F.S., please dick here . Product Approval Accepts: cCRct securit-ol1.1"x:cs . .. 11 — 1 1 •1 l r 1 1.1 _rl - /'lTT1Tf/l. _'_ 1 [ __ ♦ _r/ _n� 11._ rl/-^r/1A1n EVALUATION REPORT Polyglass USA, Inc. 150 Lyon Drive Fernley, NV 98408 EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization #9503 353 CHRISTIAN STREET, UNIT #13 OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 Evaluation Report P12060.02.09-11113 FL5259-R18 Date of Issuance: 02/24/2009 Revision 13: 04/26/2013 SCOPE: This Evaluation Report is issued under Rule 9N-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 designed to comply with the 2010 Florida Building Code sections noted herein. DESCRIPTION: Polyglass Roof Underlayments 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. TrinityJERD 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 `"TrinitylERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety. INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official This Evaluation Report consists of pages 1 through 10. Prepared by: Robert J.M. Nieminen, P.E. Florida Registration No. 59166, Florida DCA ANE1983 The facsimile seal appearing was authorized by Robert Nieminen, P.E. on 04/26/2013 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. TrinitylERD 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. -- TRI[ ITY ERD Entily Examination Reference Date Polyglass USA Materials Affidavit Polystick SA Compound 08/18/2011 Ut ,11 r- (ill IA967S) _ Oual� Control Service Confirmation Exp. 08/08/2015 4. PRODUCT DESCRIPTION: 4.1 Mechanically Fastened Underlavments: 4.1.1 -lastobase is a fiberglass reinforced, SBS modified bitumen base sheet. 4.1.2 Elastobase P is a polyester -reinforced, SBS modified bitumen base sheet. 4.2 ' Self -Adhering Underlayments: 4.2.1 Polystick MTS. is a nominal 60-mil thick rubberized asphalt waterproofing membrane, glass fiber reinforced, surfaced with polyolefinic film surface; meets ASTM D1970 and TAS 103. 4.2.2 Polystick IR-Xe is a nominal 60-mil thick rubberized asphalt waterproofing membrane, glass fiber reinforced, with an aggregate surface; meets ASTM D1970. 4.2.3 Polystick TU is a nominal 100-mil thick rubberized asphalt waterproofing membrane, glass fiber reinforced, with a granular surface; meets ASTM D1970 and TAS 103. 4.2.4 Polystick TU Plus is a nominal 80-mil thick rubberized asphalt waterproofing membrane, glass fiber reinforced, with a polyester fabric surface; meets ASTM D1970 and TAS 103. 4.2.5 Polystick TU P is a nominal 130-mil thick rubberized asphalt waterproofing membrane, glass- fiber/polyester reinforced, with a granular surface; meets ASTM D1970 and TAS 103. 4.2.6 Polystick TU Max is a nominal 60-mil thick rubberized asphalt waterproofing membrane with a 170 g/m2 polyester fabric surface; meets TAS 103. 4.2.7 Polyflex SAP, PolyFlex SAP FR, Mule -Hide SA-APP Cap Sheet and Mule -Hide SA-APP Cap Sheet (FR) are a polyester reinforced, APP modified bitumen cap sheets. 4.2.8 Dual Pro' is a nominal 60-mil thick dual -layer rubberized asphalt waterproofing membrane, fiberglass reinforced, with a polyester fabric surface. 4.2.9 Tile Pro"" is a nominal 60-mil thick dual -layer rubberized asphalt waterproofing membrane, fiberglass reinforced, with a polyester fabric surface. 4.3 Mechanically Fastened and/or Bonded Underlayments: 4.3.1 Elastoflex S6 G and Elastoflex S6 G FR are polyester reinforced, SBS modified bitumen cap 4.3.2 Polyflex G and Polyflex G FR are polyester reinforced, APP modified bitumen cap sheets. 5. 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 Polyglass 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 AHJ for approval based on this evaluation combined with supporting data for the prepared roof covering. 5.4 Allowable roof covers applied atop the underlayments are as follows: Exterior Research and Design, LLC. Evaluation Report P12060.02.09-R13 Certificate of Authorization #9503 FL5259-1118 Revision 13: 04/26/2013 Page 3 of 10 Table 1: Roof Cover Options Underlayme t Asphalt Nail On Tile Foam -On Wood Shingles Tile Shingles Elastobase Yes Yes No Yes Yes Yes Elastobase P Yes Yes No Yes Yes Yes Polystick MTS Yes Yes No Yes Yes Yes Polystick IR-Xe Yes No No No Yes Yes Polystick TU Yes Yes Yes No Yes Yes See 5.4.1 Polystick TU P Yes Yes es No Yes Yes See 5.Polystick TU Plus Yes Yes es Yes Yes Yes See 5.Polystick TU Max No Yes Ye No No No See 5s Dual Pro Yes Yes No Yes Yes Yes Tile Pro Yes Yes es Yes Yes Yes See 5.Elastoflex S6 G Yes Yes es No Yes Yes See 5.Elastoflex S6 G FR Yes Yes No No Yes Yes Polyflex G Yes Yes es No Yes Yes See 5.Polyflex G FR Yes Yes No No Yes Yes Polyflex SAP or SAP FR Yes Yes es No Yes Yes See 5.Mule-Hide SA-APP Cap Sheet Yes Yes Yes No Yes Yes or SA-APP Cap Sheet (FR) See 5.4.1 5.4.1 "Foam -On Tile" is limited to use of the following Approved the adhesives unless tensile adhesion / long term aging data from an accredited testing laboratory is provided. ➢ Polyfoam PolyPro AH160: Polystick TU, Polystick TU P, Polystick TU Plus, Elastoflex S6 G, Polyflex G, Polyflex SAP, Polyflex SA Cap FR, Mule -Hide SA-APP Cap Sheet or Mule -Hide SA-APP Cap Sheet (FR) or Tile Pro. ➢ 3M"m 2-Component Roof Tile Adhesive AH-160: Polystick TU Max ➢ Dow TileBond: Polystick TU P, Polystick TU Plus, Polyflex SAP or Tile Pro ➢ Convenience Products' Touch `n Seal StormBond Roof Tile Adhesive: Polystick TU Plus, Polystick TU Max 5.4.2 For nail -on tile systems over Polystick MTS, battens are required for loading / staging of the tile. 5.4.3 A 2-ply underlayment system, consisting of Polystick MTS followed by Polystick MTS, TU, TU P, TU Plus or TU Max, or Polyflex SAP is allowable for use under mechanically attached prepared roof systems. This is not a requirement, but is allowable if a 2-ply underlayment system is desired. Exterior Research and Design, LLG. Certificate ofAuthorizatfon #9503 Evaluation Report P12060.02.09-1113 FL5259-RIS Revision 13: 04/26/2013 Page 4of10 caffl z R60films Iwo collinsroofinginc Dgmail.com P.O. Box 12867, FortPierre, FL 34979 Phone: (772) 201.1352 Fax: (772) 489-6505 LIC: CCC 058011 SUBMITTED TO: Pauline Brammer Phone: 1-765-524-4573 DATE: 09/11/2014 ADDRESS:1764 Stoney Brook Dr., Fort Pierce FL E Mail: pjbrammer1(a7msn rnm & jpbrammerl 0 sn com PERMIT: We will pull the required permit and schedule all inspections as required: sheathing/nailing inspection, dry -in inspection and final inspection. 11, ROOF SYSTEM: GULF COAST 5-V CREMP Made with U.S Steel, 26 gauge galvalume system, styrated mill -finished. UNDERLAYMENTS:1 layer of # O� fait l ailed with 11/2" tin tabs, l per square foot. Industry standard. 2"X2" eves metal, 26-gauge, on the perimeter attached 4" on center Solid lead flashings on all plumbing vents 2 -1 Y2". New air vents from kitchen, bathrooms and laundry rooms 4 - 6", . REMOVE: We will remove one layer of shingles and felt underlayment. Additional layers will be an extra cost based at $ .50 per s.f, shingles and $ .15 per s.f, felt underlayment. WOOD: We will repair all accessible rotted plywood, two sheets included, associated with the roof at additional cost of $ 58.00 per sheet. RE NAIL: The existing plywood sub -deck 6" on center in the field and on all joints. DEBRIS: Collins roofing will provide a small dump trailer to remove all roofing debris and dispose of properly. OPTIONS FOR METAL SYSTEMS: Polyglass MTS self-adhesive water resistant barrier, applied directly to the wood deck. This system qualifies for a secondary water resistant barrier. Ce M-T75 _ryj� _2 17 ��Vql�3 19 J ` Pershini Mobile ifn:ne SakS Inc Record: 1 of 3 Property tdeatificstinn Site Address: 10001 W Angle Rd Sec/Town/Range: 03 :35S :39E Map ID: 23/03N Zoning: CN 1 PROPERTY RECORD CARD «Pre: Next» SpecAssn-unt Paxes ParcelID: 2303-211-0025-000 5 Account #: 12845 Use Type: PRKG/MOBILE } City/Caty: Saint Lucie County Ctt'ner uip and .1*0ailin Owned Pershing Mobile Home Sales Inc Address: 901 NW 31stAve Pompano Beach FL 33069-1100 �erptio[rs :Te::nrlts il�rrn2 P:iait ¢.egal :la5cripdan 3 35 39 NW 114-LESS AVON MANOR -UNITS 1 AND 2 AND LESS W 615.5FT LYG S OF AVON MANOR -UNIT 1 AND LESS More-.- Rr71:5 mfom-adou Assessment 201.4 .i01:1-1 Lane and IS dtildin Date Price 3/31/1989 Code Deed BooldPage 2014 TRIM: 7876100 Land Value: 3105000 Acres: 99.02 6730090 6/I/1984 1150000 00 01 WD 0630 / 0131 Assessed: 7876100 Building Value: 4771100 6/1/1974 0 CV 0433 / 2528 Ag.Credit: 0 Finished Area: 9528 SgFt 02 CV 0228 / 1382 Exempt: Taxable: Taxes: 153293.71 m.aaaaass ux t+r -• Fxtr+io, Fearir c View: - RoofCover _ RoofSnuct: _ ExtTYpe: M1fPK - MH Paths YearBlt: 1985 Frame: Grade: X-C - Commer C E&lrrBlt: 1985 PrimelNall: StolyHght' 0010 -1 Story NO.Units: SecWal(: - a:t:+gar 1-eantr=_- BedRooms: 1 Electric: - PmilntWall: FullBath: 0 HeatType: - AvgHt/FL• 1/2Bath: 0 HeatFuel: - Prm.Flors: °oA/C: 0 %Heated: 0 %SP rinitled: 0 • 3pe�-tar t'ean+i--.5 and Yard itefus Lund hilintriation Type Y/S Qty- Units Qual. Cond. YrBlt- No. Use Type Type Measum Depth CSAV - COM POOL AVG Y 1 1703 AV AV 1985 1 2800 PRKG/MOBILE 112 -Site 414 PA0.1 - POOL DK AVG Y 1 2156 AV AV 1985 ASP2 - ASP2 LOW Y 1 141760 AV AV 1985 C\C2 - CONCRETE LOW Y 1 1375 AV AV 1985 CURB - CEMENT CURB Y 1 150 AV AV 1985 FENl - CHAINLINK 10 Y 1 432 AV AV 1985 SFLB - SHUFFLEBOARD Y 1 4352 AV AV 1985 SPA-- SPA -HOT TUB Y 1 64 AV AV 1989 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. 4 - � - � ei v .•�n .ate �. ,y � d i W l 1' TrXIo" - 9 : �. &fir t� � �. r f ' i • 'f