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65T_ra DATE: I FEES DL: I Permit #: lay Planning & Development Services Department Building & Code Regulation Division SCAMVEFp 2300 Virginia Avenue BY Ft. Pierce, FL 34982-5652 St. LL1Cj0 Tel. 772-462-1553 COuht}/ APPLICATION FOR ROOF PERM T E REVERSE SIDE FOR INSTRUCTIONS 1. Location/Site Address: Sl o ® �f' A LillY/i� l -� 2. Parcel ID Number: (_; A — �'0 0 00 1 \1 —U 00 ' e Office Use Only Section Township Ran a Ma P oning Land Use Initia 3. Description of Project or Work Activity: 4. Total Roof Area (square. feet): `EGG c 5. Roof Pitch: `f 6. Type of Roof. [ Fiberglass Shingle [ ] Concrete Roof Tile [ ] Wood Shake / Shingle [ ] Tar & Gravel [ ] Modified Bitumen [ ] Other [ Product Approval required for all types of Roofing Material (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• G'e ��A L10 L S FL Reg/Cert #: C .(,,[_ 1 3�d L/ Address: 0� County Cert #: i e City: r1 oJ_ 1_01&r State: ��• Business Name: Zip:3 S / Phone: 7��•-- a` Cell Phone: a- 9. Value of Construction: $ n **Note Dry -in and Final Inspection Required. Additional inspection may be required per Product Approval. �4 31 k(y CONTRACTOR/OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be j done in comp ' all applicable laws regulating construction and zoning. PRINT QUA IFIERS/OWNERS NAME SIGN RE O UALIFIER/OWNER STATE OF FLORIDA, COUNTY OF n ACKNOWLEDGED BEFORE ME THIS DAY OFMNAMEA Y ({��—• a WH kS PERSONALLY KNOWN TO ME OR HAS PAS IDE ICATION (IdAd/U&J2 IS SIGNATURE OF OTARY TYPEO(seal) COMMISSION NUMBER 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 4/26/2010AU1'IiEY D. HUMPHPEY MY COMMISSION # EE 061 i59 EXr IfiES: March 6, 2015 Bonded Thnr Notary Pul t Underwriters i .__ A ti 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 Property Appraiser - St.Lucie ^' -,mty, FL Page 1 of 1 PROPERTY RECORD CARD Terry G Lucas Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification CO Site Address: 5100 INDIAN BEND LN ParcellD: 1312-800-0014-000-8 G2 Sec/Town/Range: 13 :34S :39E Map ID: 13/13N Account #: 4425 Land Use: SF Res Q� Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Terry G Lucas Mary E Lucas HOLIDAY PINES S/D-PHASE II -A- LOT 183 (MAP 13/13N) (OR 1049- Address: 5100 Indian Bend Ln 1028: 1572-2538) Fort Pierce FL 34951-2389 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 127100 Land Value: 20500 Acres: 0.3 8/27/2002 190000 01 WD 1572 / 2538 Assessed: 127100 Building Value: 106600 12/3/1996 100 01 QC 1049 / 1027 Ag.Credit: 0 Finished Area: 2204 SgFt 12/2/1996 142000 00 WD 1049 / 1028 Exempt: 50000 11/27/1991 0 01 QC 0766 / 1099 Taxable: 77100 8/25/1989 26800 05 WD 0653 / 0264 Taxes: 1765.6 6/1 /1987 21000 00 CV 0548 / 2807 BUILDING INFORMATION waia�maN.� svwss Exterior Features View: - RoofCover: SA - Asph Shingle RoofStruct: GA - Gable ExtType: HC- - HC- YearBlt: 1992 Frame: - Grade: C- - C- EffYrBit: 1992 PrimeWall: BS - CB Stucco StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/FI: STD 1 /213ath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBit. No. Land Use Type Measure Depth SWAV - RES POOL AVG Y 1 450 AV AV 1992 1 0100-SF Res GFI -Front Ft 132.05 100 PA01 - POOL DK-AVG Y 1 401 AV AV 1992 ENC2 - POOL ENC-AVG Y 1 887 AV AV 1992 5CFT - 5CFT S 1 1 AV AV 1992 3CFT - 3CFT S 1 1 AV AV 1992 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/paslc/prc.asp?prclid=131280000140008 6/8/2012 Florida Building Code Online http://www.flao—'-i",)uilding.org/pr/pr_app_dtl.aspx?param=w... r � wt r BCIS Home L In ! User Registration Hot Topics I Submit Surcharge ! Slats & Fac[s Publications 1 FBC Staff BCIS Site Map Links Search Florida partrnent� i °� Busines6", � �A Product Approval Professii;' I ......., USER: Public User ReIIIgulation w .rI 111MProduct Approval Menu> Product or Application Search> Application List> Application Detail , FL # Application Type Code Version Application Status Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method FL11842-R2 Revision 2010 FILE COPY Approved MFM Building Products Corp. 525 Orange St. P.O. Box 340 Coshocton, OH 43812 (740) 622-2645 wcroft@mfmbp.com James L. Buckner P.E.@CBUCK Engineering jimmy@cbuckinc.net Whit Croft PO Box 340 Coshocton, OH 43812 (740) 622-2645 Ext 118 wcroft@mfmbp.com Roofing Underlayments Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Lei Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed the James L Bucker, P.E.@ CBUCK Engineering Evaluation Report Florida License PE-31242 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12131/2015 Validated By Steven M. Urich, PE D Validation Checklist - Hardcopy Received Certificate of Independence FL11842 R2 COI CertOflndep.pdf 2-21 1 of 3 06/07/2012 08:40 PM Florida Building Code Online http://www.fl(, -`,-�)uilding.org/pr/pr--app—dtl.aspx?param=w... Referenced Standard and Year (of Standard) Standard Year ASTM D 1970 2001 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 10/26/2011 Date Validated 11/01/2011 Date Pending FBC Approval 11/1012011 Date Approved 12/06/2011 QU1111Od1y V1 r1Vuu6W FL # Model, Number or Name Description 11842.1 1 - "1B3","IB3 StormStopper", 1133 Self -Adhered Roof Underlayments attached to Plywood Deck Shingle Starter", 1134 StormStopper" & "Shingle Starter' Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: N/A Other: Refer to Evaluation Report for Limitations and Conditions of Use. Refer to Manufacturer's Installation Instructions as a supplemental guide for attachment. 11842.2 12 - "Peel & Seal" Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: N/A Other: Refer to Evaluation Report for Limitations and Conditions of Use. Refer to Manufacturer's Installation Instructions as a supplemental guide for attachment. 11842.3 13 -'Wind & Water Seal+ " Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: N/A Other: Refer to Evaluation Report for Limitations and Conditions of Use. Refer to Manufacturer's Installation Instructions as a supplemental guide for attachment. 11842.4 14 - "STS" Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Installation Instructions FL11842 R2 II 1 1B3Family EVALREPORT.odf Verified By: James L. Buckner, P.E. @ CBUCK, Inc P.E. #31242 Created by Independent Third Party: Yes Evaluation Reports FL11842 R2 AE 1 1B3Family EVALREPORT.odf Created by Independent Third Party: Yes Self -Adhered Roof Underlayment attached to Plywood Deck Installation Instructions FL11842 R2 II 2 PS EVALREPORT.pdf Verified By: James L. Buckner, P.E. @ CBUCK, Inc P.E. #31242 Created by Independent Third Party: Yes Evaluation Reports FL11842 R2 AE 2 PS EVALREPORT.pdf Created by Independent Third Party: Yes Self -Adhered Roof Underlayment attached to Plywood Deck Installation Instructions FL11842 R2 II 3 WWS+ EVALREPORT.pdf Verified By: James L. Buckner, P.E. @ CBUCK, Inc P.E. #31242 Created by Independent Third Party: Yes Evaluation Reports FL11842 R2 AE 3 WWS+ EVALREPORT.pdf Created by Independent Third Party: Yes Self -Adhered Roof Underlayment attached to Plywood Deck Installation Instructions FL11842 R2 II 4 STS EVALREPORT.pdf Verified By: James L. Buckner, P.E. @ CBUCK, Inc P.E. jai 9_ 2 of 3 06/07/2012 08:40 PM Florida Building Code Online ` http://www.flt -" building.org/pr/pr_app_dtl.aspx?param=w... i Impact Resistant: N/A #31242 Design Pressure: N/A Created by Independent Third Party: Yes Other: Refer to Evaluation Report for Limitations and Conditions Evaluation Reports of Use. Refer to Manufacturer's Installation Instructions as a FL11842 R2 AE 4 STS EVALREPORT.Ddf supplemental guide for attachment. Created by Independent Third Party: Yes Back Next Contact Us:: 1940 North Monroe Street, Tallahassee FL 32399 Phone: 850-487-1824 It* The Slate of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida.:: Privacy Statement ::Accessibility Statement ::Refund Statement Under Florida law, e-mail 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 mall to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions regarding DBPR's ADA web accessibility, please contact our Web Master at webmaster@dbpr.stale.fl.us. Product Approval Accepts: RM E M (Yy2j, I- A .4 Pa &md q veAugn 22 3 of 3 06/07/2012 08:40 PM �•ed EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization #9503 353 CHRISTIAN STREET, UNIT #13 ERD OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 EVALUATI ON REPORT Owens Corning One Owens Corning Parkway Toledo, OH 43659 Evaluation Report 037940.02.12 FL10674-R6 Date of Issuance: 02/06/2012 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 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. TrinityJERD requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADvEFm SEIVIENT: 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. I NSPECTION: 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 . f, •e1, The facsimile seal appearing was authorized by Robert Nieminen, P.E. on 02/06/2012 This does not serve as an electronically signed document. Signed, sealed hardoopies have been transmitted to the Product Approval Administrator and to the named client 03RTI FICATION OF I NDEPENDENCE: 1. Trinity] ERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. Trinity]ERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the evaluation reports are being issued. 4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. \I I RINITI' I ERD ROOFING SYSTEMS EVALUATI ON: 1. SCOPE: Product Category: Roofing Sub -Category: Asphalt Shingles Compliance Statement: Owens Corning Asphalt Roof Shingles, as produced by Owens Corning, have,o 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 Property Standard Year 1507.2.5, R905.2.4 Physical Properties ASTM D3462 2007 1607.2.7.1, R905.2.6.1 Wind Resistance ASTM D3161, Class F 2006 1507.2.7.1, R905.2.6.1 Wind Resistance ASTM D7158, Class H 2O07 3. REFERENCES: Entity Examination Reference Date UL (CER1739) Physicals & Wind Resistance File R2453, Vol. 3 02/15/2007 UL (TST1740) Physical Properties 06CA20263 04/18/2006 Miami -Dade (CER1692) RBC HVHZ Compliance 07-1116.12 02/14/2008 Miami -Dade (CER1592) R3C HVHZ Compliance 09-0915.12 12/16/2009 Miami -Dade (CER1592) R3C HVHZ Compliance 10-0817.09 10/27/2010 Miami -Dade (CER1592) FBC HVHZ Compliance 10-0817.10 10/27/2010 Miami -Dade (CER1592) FBC HVHZ Compliance 10-0817.08 10/27/2010 Miami -Dade (CER1592) FBC HVHZ Compliance 10-0817.07 10/27/2010 Miami -Dade (CER1592) FBC HVHZ Compliance 11-0411.03 06/16/2011 Miami -Dade (CER1692) FBC HVHZ Compliance 11-0919.05 10/13/2011 UL (QUA1743) Quality Control Service Confirmation Exp. 09/26/2014 4. PRODUCT DESCRIPTION: 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°, Duration° Premium, Oakridgee and WeatherGuar& HP are fiberglass reinforced, laminated asphalt roof shingles. 4.2 Berkshire° Hip & Ridge Shingles, High Ridge, Hip & Ridge with Sealant and WeatherGuardo HP 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. 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 Wind Classification: 5.3.1 All Owens Corning shingles noted herein are Classified in accordance with FBC Tables 1507.2.7.1 and R905.2.6.1 to ASTM D3161, Class F and/or ASTM D7158, Class H, 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 this wind rating. Exterior Research and Design, LLC. Evaluation Report 037940.02.12 Certificate of Authorization #9503 FL10674-R6 Date of Issuance: 02/06/2012 Page 2 of 6 M. � I P TR.INIIY I ERD 5.3.2 . All Owens Corning hip & ridge shingles and Starter Strip Plus noted herein are Classified 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 this wind rating. 5.3.3 Classification by ASTM D7158 applies to exposure category B or C and a building height of 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 All products in the roof assembly shall have quality assurance audit in accordance with the Florida Building Code and F.A.C. Rule 9N-3. I NSTALLATION: 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 per shingle. ➢ WeatherGuardo 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(D & Supreme: Normal Mansard or Area pore Wind Areas High Wind deavanea y Area pare vientoa normalea Areas vientoa fuertea T lAi t" 1 2• 1 8 Y 1• 11• 11• ti• Exposure Exposlei& Exterior Research and Design, LLC. Certificate of Authorization #9503 Normal Mansard or Area pare Wind Areas High Wind deavanea y Area pare viensos normales Areas vientoa Mertes 1• lA) 1• r 2• (B) 2• 1. t2 i 6 6fl ' Exposure Expoalcl3n Evaluation Report 037940.02.12 FL10674-R6 Date of Issuance: 02/06/2012 Page 3 of 6 III "10 _ •ff6 ` R.INIiY I ERa 6.2.6 Minimum Nailing — Berkshire0: Sealant strip La Bra de sellador „ S ye 1 9 W, t.. i 2.. Asphalt roofing cemerr cemenfo de lecho de Waite 6.2.7 Minimum Nailing — Duration0 & Duration0 Premium: 6.2.8 Minimum Nailing — OakridgeO: 4 Nail Pattern Esquema con 4 clavos r r 12. --31-1 5 5/9" Exposure Naffs 5 He. Exposure Exposicidn de 6W pa4 claws Exposlorda de 6618putg. 6 NOU Ir fasten bphvem Sure aaaa Pattern area and top eftutout. Esquema Hhm0jrmddaonto r de 6davos apvasur ftaenae el strew dgamorre. rla —1 xmeda delr¢alr. sureNaB'a \ Snenalta fast,Nmt fastening areaevi h aua Width Araade t" \1' Leadr SuttNa. a9 t_ tr, .' SusNai9 LK 5V' Exposure Naffs 5114' Exposure 5.%pufg. de erposteldn Claws 5/1 pufg. de exposicf6o 6 Nail Pattern Esquema con b clavos t. t„ 5 5/9" Exposure Nails 5 5/e" Exposure &posidein de 6518pufg. Exposictvn de 6618puig. Exterior Research and Design, LLC. Evaluation Report 037940.02.12 Certificate of Authorization #9503 FL10674-R6 Date of Issuance: 02/06/2012 Page 4 of 6 �E/ V6 6.2.9 Minimum Nailing — WeatherGuardO HP: k— 2' 6.3 Hip & Ridge Shingles: Single site View VLb lrEvd R.�r.71�rd� Ndl llnr CIw�wYWrArf�dfe TTRINITY I ERD 6.3.1 Installation of Berkshire° Hip and Ridge Shingles, High Ridge, Hip & Ridge with Sealant and WeatherGuardo HP Hip and Ridge Shingles shall comply with the manufacturer's current published instructions, using four (4) nails per shingle. Refer to Owens Corning published information on wind resistance and installation limitations, including the use of hand -sealing for wind warranties. 6.3.2 6.3.3 6.3.4 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: Minimum Nailing — BerkshireO Hip & Ridge and High Ridge: Fig. 1 4 f— Pnnrdllny+Mnt1 Direction Nails A YQ N A � I I I q I I I I I I I I A I I I I A I I I I Exposure Minimum Nailing — Hip & Ridge with Sealant: em Fig. 2 - High Wind Fastming Paittem (4 Nails) rirn Shingle nd Disralyd 2„ Ztt lk 140 � Sealant --F Strip T 12" ' Fastening 5�ia" S"FFJcposure Dllstancae 12" Fig. 2 Top View SideView Nails Nails TOPLaninated Z.. 4" Piece I I I I �I JI �I 8" «I cl VI I I I I ON "o Exterior Research and Design, LLC. Evaluation Report 037940.02.12 Certificate of Authorization #9503 FL10674-R6 Date of Issuance: 02/06/2012 Page 5 of 6 " 6.3.5 Minimum Nailing — WeatherGuardO HP Hip and Ridge: Fig. A q q Prevailing Wind A Nails q q A I I A `Z I I I I I I I I AA I I `i' Exposure 7. LABELING: TRINITY ER© Fig. C Hip & Ridge Shingle Fastening TopVlaw Nails Nails T' 2" 2" 5, Exposure 12 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 the required classifications detailed in FBC Table 1507.2.7.1 / R905.2.6.1. 8. BUILDING PERMIT REQUI REMENTS: 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 ENTI TY: Underwriters Laboratories —QUA1743; (414) 248-6409; karen.buchmann@ul.com - END OF EVALUATION REPORT - '0 Exterior Research and Design, LLC. Evaluation Report 037940.02.12 Certificate of Authorization #9503 FL10674-R6 Date of Issuance: 02/06/2012 Page 6 of 6 '4*anning & 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 # 12-OG — 01zq licensed as a(n) ontractor*/Engineer/Architect (Please print name & circle license type) *FS468 ui ing Inspector *General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. On or about 1 Z I did personally inspect the roof deck nailing (Date) work at: 1 C)© 1 N bIAPJ Pam C ��, � Pl�C 5'i � 3 � �(5 l (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.) G( L4 License # STATE OF FLORIDA COUNTY OF Swo to and subscribed before m this I day of 20� by Who is personally known to me or who has produced 4Ms i hification. Notary Public, State of F da Signature of Notary: Commission Number: (Seal) En 01/19/2011 i —` NOTICE OF COMMENCEMENT Permit No. Q 2L-_ Tax Folio No. G 1 2 SM M f i-i --MO/I r Elate of Florida County of El. Lude The undersigned hereby gives notice that improvement will be made to certain real property, and in aeoordancewith Chapter 713, Rorida Elatutes, the following information isprovidedinthisNotioeofCommencement. Legal Description of PI•operty. (and street address if available): General description of improvement: Oki L— Owner informatioril or Lessee ipformation if the Lessee contracted for the improvement: Name 1E QQY' I-zd V:S Address 51 C6 t N5IN1Vc*Z1 P-l— F4=,0T Interest in property: Name and address of fee simple titleholder (if different from Owner listed above): Contractor's Name: Contractor Address: 3cgnm� �LL� Phone Number: 'i?2-3t-i2 Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ Name and address: Phone number: Lender Name: Phone Number: Lender's address: PersomWthin the State of Florida designated by Owner upon whom notices or other do mcerits may be served as provided by 713.13(1) (a)7., Rorida Statutes Name: Phone Number: Address: In addition to himself or herself, Owner designates of to receive a Lienor's Notice as provided in Section 713.13(1) (b), Florida Elatutes. Phone number of person or entity designated by owner: a 0 U H U V Z Le 6 (� T W ~ U. Z � o O in v 0 Y O N vZo° .z�W a ti-OmQo V)W��v> W qz (LWz#mo 1 04Wo:w Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payq 5 0 «o m contractor, but will be 1 year from the date of recording unlessa different date isspecified) I� WAF NINGTO C�IMIBR ANYPAYMBMMADEBY-fHEGNM- NERAFTHRTHEEM10N OFTFENO110EOF00MMB�KHVIHVTAFECam,.,;...._.-._.., IMR41URPAYMBI TSUNDEROiAPT9R713, PARrI, =ON 713.13, R_ORDASrATUTE5 ANDCAN FESJLTIN)'OURPAYINGTWCEFOR IMPRO EMBVTSTOYOURPROPBRiY.ANOTICE0FCiOMMEN MENTMUSTEERIDDRD®AND POSTED ONTHEJDBS7EBB;ORETHERRS'r INSIEWN. IFYOU INTENDTOOBTAIN RNANCINQ CC)NaJLT1MTHY0URLENDBRORANATrOR4EYM:'CFE00MMBVONGWOFKOR FUDM NG YOUR NOII CE OF OOM M BVC EM ENT. Under penalty of perjury, I dedare that I have read the foregoing notice of commencement and that the factsstated therein are true to the best of my knowledge aiAbelief. t - (Signature of Owner of/Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager (Signatory's Title/Office) The foregoing instrument wasadmowledged before methis�day , 20Q, By as �� um t - for Type of authority (e.g. officer, trustee) JFRitl o'Pd ar PU ic-.Elateof Florida) e, or 3amp Commissioned Name of Notary Public) NET FAI.R.WAN °- MY COMMISSION #.EE626424 CXPIRES September 15, 2014 (407)338-0183 ;`1x1daHo1avSeMce.rom Party on behalf of whom instrument was executed Personally known_ or produced Identification Type of Identification produced FL L Cef