HomeMy WebLinkAboutBLDG PERMIT #8938City of Cape Canaveral, Florida
BUILDING PERMIT J8938
PHONE: 321 - 868 -1222 INSPECTIONS & FAX: 868 -1247
_ PERMIT INFORMATION _ -_ LOCATION INFORMATION
Permit #:8938 Issued: 7/12/2012
Address: 525 WASHINGTON AV
Permit Type: ROOFING PERMIT
CAPE CANAVERAL, FL
Class of Work: 434- Add /Alt/Roof Residential
Township: Range:
Proposed Use:
Lot(s): Block: Section:
Sq. Feet: Est. Value:
Book: Page:
Cost: 5,745.00 Total Fees: 146.78
Subdivision:
Amount Paid: Date Paid:
Parcel Number: 24 3723CG 5 7
CONTRACTOR INFORMATION �_
OWNER INFORMATION
Name: HARKINS, JAMES MICHAEL
_
Name: PRO -TECH ROOFING OF BREVARD, INC.
Addr: 142 ORLANDO AVE., STE 100
Address: 2325 E 2ND ST APT 7
COCOA BEACH, FL 32931
LONG BEACH CA 90803
Phone: (321)783 -1694 Lic: CCC057650
Phone:
Work Desc: RE -ROOF PER SUBMITTED SPECIFICATIONS
APPLI ATION FEES
ROOFING OVER 2K 95.00 BUILDING PERMIT SURCHARGE 4.28 PLAN REVIEW OVER 2K J47.50
- Inspections Re ulr_ed
�—
Roof Over 21'- Provide Ladd
Dry-In /Flashing
Roof Sheathing
Final Roof
APPLICATION
ACCEPTED BY: PLANS CHECKED BY: APPROVED BY:
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ALIT HO D IS NOT COMME WITHIN 6 MONTHS, OR
IF CONSTRUCTION OR WORK IS SUSPENDED, OR ABANDONED FOR A PERIOD OF 6 NTHS AT ANY TIME F ER WORK IS STARTED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS DOCUMENT AND KNOW THE SAME TO BE TR E AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT. GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE
OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
WARNING TO OWNER: YOUR 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 WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
/ ... , I .......
-
ISSUED BY /D AUTHGI�tZED NAT RE /DA E�"
PRINTED NAME:
Date: 7 -6 -12
RECEIVED
CITY OF CAPE CANAVERAL
BUILDING PERMIT APPLICATION
JUL 10 2012 (321)868 -1222
Tracking #
Permit # 8 938
City of Cape Canaveral Building Department - 7510 N. Atlantic Ave. - Cape Canaveral, FL 32920
You may download this application: www.cityofcapecanaveral.oig. You may fax to: (321)868 -1247. All applications must include tl
backside of this form. Important: Please complete the checklist on the back of this form and provide other documentation as indicated c
the checklist. A copy of contract may be required. Application packages will not be accepted unless complete.
APPLICANT WILL BE CALLED WHEN PERMIT IS READY
(Contractor /Owner- Builder is required to sign for the building permit, unless indicated otherwise by affidavit. I.D. may be required)
Address of Job Site: 525 Washington Ave Zoning classification: Flood Zone:
Legal description of property: TWN: 24 RNG: 37 SEC: 23 SUBD: BLK: LOT: PB: PG:
Property Owner Name: Harkins, James Phone:
Address: 162 Wilson Ave Cape Canaveral, Fl. 32920
Fee Simple Titleholder's Name (if other than owner): Address:
Bonding Company: Address:
Mortgage Lender: Address:
Apartment $
ondominiu $
Other $
Architect/Engineer Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Primary Contractor Name: Daniel A Bi der Name of Company: Pro -Tech Roofing of Brevard, Inc
Address: 142 North Orlando Ave Suite 100 Cocoa Beach Florida 32931
State License No.: CC- C057650 Phone (office): 321 - 783 -1694 phone (cell/pager.): 321 - 403 -3224 Fax:321- 783 -1660
Electrical Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager,): Fax:
Plumbing Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Mechanical Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Specialty /Other Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Type of Permit
Brief description of work:
Const. O
Building
FPL lines C
City Sewer #
Electrical
# of #
# of #
Plumbing
# of
Mechanical
Building p
jt
Other
Re Roof
Apartment $
ondominiu $
Other $
Architect/Engineer Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Primary Contractor Name: Daniel A Bi der Name of Company: Pro -Tech Roofing of Brevard, Inc
Address: 142 North Orlando Ave Suite 100 Cocoa Beach Florida 32931
State License No.: CC- C057650 Phone (office): 321 - 783 -1694 phone (cell/pager.): 321 - 403 -3224 Fax:321- 783 -1660
Electrical Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager,): Fax:
Plumbing Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Mechanical Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Specialty /Other Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Type of S
Square C
Const. O
Occu- F
FPL lines C
City Sewer #
# of #
# of #
# of #
# of #
# of
� B
Building p
Feet T
Type a
anc V
currently a
available a
Concrete/ s
stories d
dwel- b
bed- w
water
Valuation of work
(please A
under (
(IA, C
Classifica
available to t
to serve C
Asphalt l
ling r
rooms c
closets (
(Copy of Contract Required)
indicate as r
roof V
VB, -
-tion s
serve this t
this P
Parking u
units
applicable) e
etc) (
(B,R1,R3 p
property? p
property? S
Spaces
etc.) Y
Yes/No Y
Yes/No
ommercial $
$
s F
FR $
$
Townhouse
Architect/Engineer Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Primary Contractor Name: Daniel A Bi der Name of Company: Pro -Tech Roofing of Brevard, Inc
Address: 142 North Orlando Ave Suite 100 Cocoa Beach Florida 32931
State License No.: CC- C057650 Phone (office): 321 - 783 -1694 phone (cell/pager.): 321 - 403 -3224 Fax:321- 783 -1660
Electrical Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager,): Fax:
Plumbing Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Mechanical Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
Specialty /Other Contractor Name: Name of Company:
Address:
State License No.: Phone (office): Phone (cell/pager.): Fax:
�l
Building Permit Application Checklist
Notes
Completed Permit Application
Current code edition: FL Bldg. Code 2010 (as revised)
Current survey showing all proposed construction and landscaping
Check with Bldg. Dept. for setbacks
Notarized signature — Owner/Builder Affidavit
If owner is acting as contractor
Sewer Impact Fee receipt
May be deferred until C.O. Unless job is remodeling
County Impact Fee receipt
May be deferred until C.O.
Capital Expansion Impact Fee receipt
Maybe deferred until C.O.
Sidewalk Impact Fee receipt
If sidewalk exists on lot
Recorded Warrant Deed / Proof of Ownership
Copy of Recorded Notice of Commencement (over $2,500)
Over $7,500 for Mechanical change out
Current Cert. Of Liability Ins. /Worker's Comp. Policy / Exemption
Recota will be kept on file after initial submittal
Community Appearance Board Approval
For all work visible from Public Right -Of -Way
Planning and Zoning Board Site Plan Approval
For all new construction of four units or more
Concurrency Forms
For all new construction not part of approved site plan
Primary Contractor's State License
Record will be kept on file after initial submittal
Subcontractor's
State License
Authorizations:
Record will be kept on file after initial submittal
Notify Building Department of contractor changes
Plumbing Contractor
Plumbing Contractor
Electrical Contractor
Electrical Contractor
Mechanical Contractor
Mechanical Contractor
Roofing Contractor
Roofing Contractor
Swimming Pool Contractor
Swimming Pool Contractor
Gas Contractor
Gas Contractor
Specialty /Other Contractor
Specialty /Other Contractor
Construction Drawings:
Per F.B.C. 104
Three sets of sealed construction drawings
Per F.B.C. 104
Truss la out and reaction summary
Cut sheets and shop drawings will be needed at time of insp.
Electrical Load Calculations
Plans must indicate person responsible for calculations
Electrical Riser
All new service must be located underground
Plumbing Riser
Plans must indicate person responsible for design
A/C layout
Plans must indicate person responsible for design
Two sets of Energy Calculations
Plans must indicate person responsible for calculations
Lot Drain a e Survey
Four sets of Fire Su ression/S rinkler /Alarmspecifications
Requires Fire Dept. approval prior to issuance of permit
Pool Barrier Requirement Form (signed)
Pool permits will not be issued without barrier
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or
installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all
laws regulating construction in this jurisdiction. The Building Code in effect at the time of this application is the Florida
Building Code 2010 Edition. I understand that all permits require inspections as indicated and that it is the responsibility of
the permit holder to notify the building department when ready for inspection(s). This permit application is valid for six
months from date of submission. By signing, applicant affirms that all above is true and correct and that he /she is an
authorized agent of the Contractor /Owner and has the authority to apply for this permit.
*ALL OTHER APPLICABLE STATE OR FEDERAL PERMITS MUST BE OBTAINED OR TO MMENCEMENT*
Applicant's Name Applicant's Signature: v
c� �,n
Date: / Site Address: J ( S �iLtc 7�
For Notary use only: State of Florida, County of Brevar
Sworn and subscribed before me this day of 1 20�, by I .t (O / G
Printed name of Applicant
o produced identification: or
is personally known to
aliEl ry Public State of Florida P Patterson ommission DDS95702 Seal:res 08/11 /2013 G d' 12.')apt.Fonns Buildinp Permit Ali >. =J 12
P tg�4
Signature - Notary Public At Large
This fonn maybe duplicated,
Address:
BUILDING PERMIT FEES:
Building Permit per square footage: ....... .................. ............................... 8 9 3 8
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):
Building Permit based on valuation: ..................................... !r ...................
Total Sq. Ft. (Living Area):
Total Sq. Ft. (Enclosed Area):-
Building Permit miscellaneous: .....................................................................
Total Sq. Ft. (f iving Area):
Total Sq. Ft. (Enclosed Area):
Electrical............................................................................... ...............:...............
Plumbing............................................................................. ...............................
Mechanical........................... ................. ........ ............ ...............................
Building Permit Plan Check Fee .................... .............. ...............................
CPS 1
FireDept. Plan Check Fee ................................................. .................. ..............
Radon Trust Fund: sq. footage ......I ........................
Concurrency Management Fee .......................................... ...............................
CapitalExpansion Fee ..................:...................................... ...............................
Total Building Permit Fees: ...... d ,4� -n
SEWER PERMIT FEES:
SewerImpact Fee ...................................................... ...............................
SewerTap Fee ......... ................................................ ...............................
Total Sewer Permit Fees .............
By: Date:
CFN 2012131264, OR BK 6638 Page 2333, Recorded 07/09/2012 at 11:53 AM, Mitch
iJeedelman, Clerk of Courts, Brevard County
Permi(No. Tax Folio No.
NOTICE OF COMMENCEMENT
STATE OF FLORIDA,
COUNTY OF BREVARD.
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property: 24-37- 23 -CG- 00005.0- 0007.00 525 Washington Ave Cape Canaveral, FL 32920
2. General description of improvement; Shingle Re -Roof
3. Owner information: James Harkins 162 Wilson Ave Cocoa Beach, FL 32931
a. Name and address:
b. Interest in property: owner 321 -868 -1022
c. Name and address of fee simple titleholder:
4. Contractor: Pro -Tech Roofing of Brevard, Inc.- 142 North Orlando Ave Suite 100 Cocoa Beach Florida 32931
a. Name and address:
b. Phone number: 321- 783 -1694
5. Surety
a. Name and address:
b. Amount of bond $
c. Phone number:
6. Lender.
a. Name and address: —
b. Phone number: —
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes:
a. Name and address:
b. Phone number:
8.a. In addition to himself or herself, Owner designates
of
to receive a copy of the Lienor's Notice as provided in Section 713.130)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement (the expiration date may not be before the completion of construction and final
payment to the contractor, but will be.1 year of date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA
STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR 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 to
the best of my knowledge and belief.
(Signatur of Owner or Owner's or Lessee's Authorized Officer /Director
Partner/ anager)
Signatory's Title /Office _
The foregoing instrument was acknowledged before me this � day of +,..�o �f e , ,(year)
bye ,� ¢. Itr a eA (name of person) as (type of
authority,... e.g. officer, trustee, attorney In fact) for _(n e of party on behalf of
whom instrument was executed).
Signature of Notary Public — State of Florida
0 �"' Print, Type, or Stamp Commissioned Name of Notary Public
n< Y'"Z Nntary:Public State of Florida Commission Number
;t ; t -riria P Patierson : -
�� My (:crnmission Dll895702. Personally Known or.Produced Identification
?or.rvaa Expires 08/11!20'13
&f''er , I,y.,, Type of Identification Produced
CAPE CANAVERAL BUILDING DEPARTMENT
Roofing Permit Application Requirements
Contractor n E � eL �t � & O OPhone f
Job Address
Work Description
210
REQUIRED ITEMS:
1) One (1) completed APPLICATION FOR BUILDING PERMIT.
2) Two (2) copies of the Roof Specifications for each type of roof covering. (Not required for typical shingles).
3) Roof pitch (slope): in 12.
4) Roofing Type Area
a) Shingle:
(Z sq.
b) Tile:
sq
c) Built -Up:
sq.
d) Single -Ply:
sq.
e) Other Type
sq.
Weight or Specification Manufacturer Deck Insulation
V7 L...115 vc ;y— 0,- 7
INFORMATIONAL NOTES FROM THE FLORIDA BUILDING CODE:
1) Roofing shall be applied in accordance with the Florida Building Code latest edition, and the Manufacturer's
current published application instructions.
2) The entire City of Cape Canaveral is designated to be in the 130 mph wind zone, exposure category "C ". All
types of roofing shall be installed in accordance with the manufacturer's specifications for 130 mph Exp. C.
3) Any damaged or rotted sheathing or fascia shall be replaced. All plywood rips shall be 24" min. width per
FBC
Table 2304.7(3). Replaced plywood will need to be clipped or blocked.
4) Underlayment for shingle roofing for slopes less than 4:12 down to 2:12 shall be two (2) layers of asphalt
saturated felts applied in double coverage, or a self - adhering polymer modified bituminous sheet.
5) Re- Roofing (recovering) may be applied over only one (1) existing layer of sound roofing materials for a
maximum total of two (2) layers.
6) If you have a flat roof (no slope), you must provide positive roofdraina_v_e (no ponding of water after 48
hours) at the time of re- roofing.
7) A copy of the Roofing Specifications shall be kept at the job site along with the permit card at all times while
the permit is active. The permit card shall be conspicuously displayed and protected from the weather.
INFORMATIONAL NOTES FROM THE CAPE CANAVERAL BUILDING DEPT:
1) Re- roofing will need to comply with the Hurricane Mitigation Retrofit Requirements. Contact the Building
Department for more information.
2) During the dry -in phase, all roof openings (vents, skylights, etc) shall be marked and protected from falling
danger. Failure to provide fall protection is a violation of OSHA requirements and subject to fines.
3) Many peel and seal underlayments have restrictions as to how long they can be exposed to sunlight.
4) We don't want to slow down any re- roofing work waiting for an inspection. Schedule roofing inspections
one day ahead, so the inspector can see the roof covering installation while still in- progress.
5) We have ladders capable of reaching 16 ft. If your roof is higher, please leave a ladder for the inspector,
6) An in- progress inspection is necessary for all re -roofs which have concealed fasters (i.e. tile, metal).
7) A final inspection is required when the job is complete.
8) Roofs over 12' high — Contracto must supply an extension ladder for all inspections.
CONTRACTOR'S SIGNATURE: v ATE:
G: Bldg .Dept.Forms /Handouts/Roofing Requirements This form may be duplicated
r
2010 Florida Building Code Requirements for Asphalt Shingle Attachment
8905 -.6 Attachment Asphalt shingles shell have the minimum number of
fasteners required by the manufiach=, but not less than four fasteners per
strip shingle or two fasteners per individual shingle. Where the roof slope
exceeds 21 units vertical in 12 units horizontal (21.12,175 Percent slope),
shingles shall be installed as required by the manufachuer.
8905.2.6.1 Wind Resistance of Asphalt Shingles. Asphalt Shingles classified
in accordance with ASTM D3161 Class P', TASI07 or ASTM D 7158 Class
H are acceptable for use in all wind zones. Asphalt shingle wrappers shall
indicate compliance with one of the required classifications.
Product
ASTM D 3169- Miami -Dade
Class P - County NDA
CertainTeed Corporation
Centennial Slate"'
Yes
Yes
CertainTeed Corporation
CT29-
Yes
Yes
CertainTeed Corporation
Highland Slate-
Yes
Yes
CertainTeed Corporation
XT" 25
Yes
Yes
CertainTeed corporation
XT"' 30
Yes
Yes
CertainTeed Corporation
Carriage House Shangle"
Yes
Yes
CertainTeed Corporation
Grand ManorShangle°
Yes
Yes
CertainTeed Corporation
Landmark'
Yes
Yes
Cent Weed corporation
Landmark- Pro (formerly Landmark Plus)
Yes
Yes
CertainTeed Corporation
Landmark" Premium
Yes
Yes
CertainTeed Corporation
LandmarkTM TL
Yes
Yes
CertainTeed Corporation
Presidential Shake"`
Yes
Yes
CertainTeed Corporation
Presidential Shake TL
Yes
Yes
CertainTeed Corporation
Hatteras"'
Yes
Yes
GAF Materials Corporation
Royal Sovereign > -
Yes
Yes
GAF Materials Corporation
Camelot
Yes
GAF Materials Corporation
Capstone
Yes
GAF Materials Corporation
Country Mansion
Yes
Yes
GAF Materials Corporation
Grand Canyon ���'
Yes
Yes
GAF Materials Corporation
Grand Sequoia
Yes
Yes
GAF Materials Corporation
Grand Slate
Yes
r °—Yes
Yes
Yes
GAF Materials Corporation
Grand Timberline
GAF Materials Corporation
Timberline ArmorShield tl
Yes
GAF Materials Corporation
Timberline Natural Shadow
Yes
GAF Materials Corporation
Timberline Prestique 30 /Timberline 30
Yes
Yes
GAF Materials Corporation
Timberline Prestique 40 /Timberline 40
Yes
Yes
GAF Materials Corporation
Timberline HD
Yes
GAF Materials Corporation
Prestique Lifetime / Timberline Ultra
Yes
Yes
GA F Materials Corporation
Slateline
Yes
Yes
Owens Coming
Oakridge•
Yes
Yes
Owens Coming
Duration
Yes
Owens Coming
Duration Premium
Yes
Yes
Owens Corning
Classic"
Yes
Owens Coming
Supreme*
Yes
Yes
Owens Corning
Berkshire
Yes
Yes
Owens Coming
WeatherGuard HP
Yes
Yes
Owens Coming
Berkshire Hip
Yes
Owens Coming
High Ridge
Yes
Yes
Tamko Building Products, Inc.
Elite Glass -Seal
Yes
Yes
Tamko Building Products, Inc
Glass -Seal
Yes
Tamko Building Products, Inc.
Heritage
Yes
Tamko Building Products, Inc
Heritage 30
Yes
Yes
Tamko Building Products, Inc.
Heritage 50
Yes
Yes
Tamko Building Products, In[.
Heritage XL
Yes
Yes
Tamko Building Products, Inc.
Heritage Premium
Yes
Tamko Building Products, Inc.
Heritage Woodgate
Yes
Tamko Building Products, lnc.
Heritage Vintage
Yes
T Yes
6129/12 Florida Building Code Online
/n
"lixy,irl �.�k3ftriiP.flt'
"CIS Home Log ]n ( User Registration
{ Hot Topics Submit Surcharge !. Stats & Facts i Publications FBC Staff BCIS site Map ' Links ! Search
BUSines(
Product Approval Fiofessigal
USER: Public User
Regulation
i Product Auoroval Menu > Product n Anolicalion Search > ApOlicatlon List > Application Detail
r.. FL # FL10674 -R6
Application Type Revision
' Code Version 2010
's
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
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method
Owens Coming
One Owens Coming Parkway
Toledo, OH 43659
(740) 404 -71329
greg.keeler@owenscorning.com
Greg Keeler
greg.keeler @owenscorning.com
Mel Sancrant
1 Owens Corning PKWY
Toledo, OH 43659
(419) 376 -5360
mel.sancrant @owenscornig.com
Roofing
Asphalt Shingles
Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
I . Evaluation Report - Hardcopy Received
Robert J,M. Nieminen
PE -59166
Underwriters Laboratories Inc.
09/26/2014
John W. Knezevich, PE
Validation Checklist - Hardcopy Received
EL10674 R6 COI Trinity ERD Cl - Nieminen odf
Standard
ASTM D3161, Class F
ASTM D3462
ASTM D7158, Class H
Method 1 Option D
Date 5ubmltted 02/16/2012
www.floridabuilding.org /pr /pr app_ dtl. aspx? param= wGEVXQwtDgtBNbEY5V ° /a2boQTe /a2b6w7ahReg...
Year
2006
2007
2007
6/29/12
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Products
Florida Building Code Online
02/21/2012
02/24/2012
04/03/2012
Model, Number or Name
10674.1 Owens Corning Asphalt Rooting
^� Shingles and Starters
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 ER, Section 5.
I®
Description
3 -tab, laminated, starter, and hip & ridge
Installation Instructions
FL10674 Rc rr er020612FINAl Oc El .10674-R6 Asphalt
Shinciles.odf
Verified By: Robert 3. M. Nieminen PE - 59166
Created by Independent Third Party: Yes
Evaluation Reports
FL1067 4 R6 AE erQ2Q61?FINAl QQ EL 10674-R6 ASDhalt
Shinoles.odf
Created by Independent Third Party: Yes
Contact Us:; 1940 North Monroe Street Tallahasgee FL 32399 Phone* 850- 487 -1824
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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 mail to this entity. Instead, contact the office by phone of by traditional mall. If you have any questions regarding DBPR's ADA web accessibility, please
contact our Web Master at webmaster@dbor state.fl,us.
Product Approval Accepts:
INIQU ® Ed
lNor'ton. secttritv�t�xRic g
t'esr.Glgn
www.floridabuilding.org /pr /pr_ app_ dti. aspx? param= wGEVXQwtDgtBNbEY5V %2boQT %2b6w7ahReg.. , 2,
7/9/12
Florida Building Code Online
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BCIS Home Log In ` User Registration Hot Topics ; Submit Surcharge ; Stats & Facts Publications
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Product 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
Add ress /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)
FL11915 -R2
Revision
2010
Approved
Atlas Roofing Corporation
2000 RiverEdge Parkway
Suite 800
Atlanta, GA 30328
(770) 933 -4477
etodd@atlasroofing.com
Ed Todd
etodd @atlasroofing.com
Ed Todd
2000 Riveredge Pkwy
Suite 800
Atlanta, GA 30328
(770) 933 -4477
etodd@atlasroofing.com
Roofing
Underlayments
mug
FBC Staff BCIS Site Map Links Search
Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report - Hardcopy Received
Robert Nieminen
PE -59166
UL LLC
02/22/2013
John W. Knezevich, PE
Validation Checklist - Hardcopy Received
FL11915 R2 COI Trinity ERD CI - Nieminen.Dddf
Standard
ASTM D1970
ASTM D224
ASTM D226
ASTM D2626
ASTM D4798
ASTM D4869
ASTM D6380
ASTM D6757
ASTM G155
TAS 103
TAS 110
Year
2001
1996
2006
2004
2001
2005
2003
2007
2005
1995
2000
Equivalence of Product Standards -
Certified By
www.floridabuilding.org /pr /pr_app_dtl.aspx? param= wGEVXQwtDgsxYleb4opODUni2kW6ugTIS3EWJ ...
W
7/9/12
Sections from the Code
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Florida Building Code Online
Method 1 Option D
02/23/2012
04/17/2012
03/02/2012
04/23/2012
FL # I Model, Number or Name I Description I
11915.1 ' Atlas Roof Underlayments (HVHZ)
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: No
Impact Resistant: N/A
Design Pressure: N/A
Other: Refer to ER Section 5 for limits of use.
Roofing Underlayments for use in HVHZ jurisdictions
Installation Instructions
FL11915 R2 II er041212FINAL ATLAS
Underlayments HVHZ FL11915- R2.Ddf
Verified By: Robert Nieminen PE -59166
Created by Independent Third Party: Yes
Evaluation Reports
FL11915 R2 AE er041212FINAL ATLAS
Underlayments HVHZ FL11915- R2.Ddf
Created by Independent Third Party: Yes
11915.2 Atlas Roof Underlayments (non -HVHZ) I Roofing Underlayments for use in non -HVHZ jurisdictions
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 ER Section 5 for Limits of Use
Installation Instructions
FL11915 R2 II er041212FINAL ATLAS Underlayments NON -
HVHZ FL11915- R2.Ddf
Verified By: Robert Niennnen PE -59166
Created by Independent Third Party: Yes
Evaluation Reports
FL11915 R2 AE er041212FINAL ATLAS Underlayments NON -
HVHZ FL11915- R2.Ddf
Created by Independent Third Party: Yes
� s
Contact Us :: 1940 North Monroe 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, 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 mail 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(tdbpr.state.fl.us.
Product Approval Accepts:
® e0_
_V/Norton security %i i in r,
V-5.9A
www.floridabuilding.org /prlpr_ppp_dtl.aspx? param= wGEVXQwtDgsxYleb4opODUn !2kW6ugTIS3EWJ... 2/;
EXTERIOR RESEARCH & DESIGN, LLC.
Certificate of Authorization #9503
TT�RINITYlERD 353 CHRISTIAN OXFORD, CT UNIT
06478
PHONE: (203) 262 -9245
FAX: (203) 262 -9243
EVALUATION REPORT
Atlas Roofing Corporation Evaluation Report A12630.12.08- HVHZ -R4
2000 River Edge Parkway FL11915 -112
Atlanta, GA 30328 Date of Issuance: 12/23/2008
Revision 4: 04/12/2012
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 Florida Building Code (HVHZ).
DESCRIPTION: Atlas Roof Underlayments (HVHZ)
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 "Trinity) ERD 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 7.
Prepared by:
Robert J.M. Nieminen, P.E.
Florida Registration No. 59166, Florida DCA ANE1983
CERTIFICATION OF INDEPENDENCE:
1. TrinityJERD 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.
The facsimile seal appearing was authorized
4 u
by Robert Nieminen, P.E. on 04/12/2012
This does not serve as an electronically signed
...,,;...S; .`1�
document. Signed, sealed hardcopies have been
transmitted to the Product Approval Administrator and
to the named client
CERTIFICATION OF INDEPENDENCE:
1. TrinityJERD 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.
ROOFING COMPONENT EVALUATION:
1. SCOPE:
Product Category: Roofing
Sub - Category: Underlayment
Compliance Statement: Atlas Roof Underlayments, as produced by Atlas Roofing Corporation, have
demonstrated compliance with the following sections of the Florida Building Code (HVHZ) 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
1518.4, RAS 115, RAS
Physical Properties
ASTM D226
2006
118, RAS 119, RAS 120
1507.2.4, 1507.2.9.2,
Physical Properties
ASTM D1970
2001
1507.5.3
1518.4, RAS 115, RAS
Physical Properties
ASTM D2626
2004
118, RAS 119, RAS 120
TAS 110, RAS 118, RAS
Physical Properties
ASTM D6380
2003
119, RAS 120
1523.1.1
Physical Properties
TAS 110
2000
TAS 110
Physical Properties
ASTM D224
1996
1523.6.5.2.1
Physical Properties
TAS 103
1995
TAS 110
Accelerated Weathering
ASTM D4798
2001
3. REFERENCES:
Entity
Examination
Reference
Date
Atlas
Traceability
Cross - Listing
03/11/2009
PRI (TST 5878)
TAS 103
NEI- 006 -02 -01
08/12/2003
PRI (TST 5878)
TAS 103 / ASTM D4798
NEI- 045 -02 -01
05/10/2007
PRI (TST 5878)
ASTM D226
ATL- 033 -02 -01
08/16/2007
PRI (TST 5878)
Tensile Adhesion / LTA
NEI- 046 -02 -01
09/17/2007
PRI (TST 5878)
ASTM D1970
NEI- 029 -02 -01
10/19/2007
PRI (TST 5878)
TAS 103 / ASTM D4798
NEI- 045 -02 -01
03/17/2008
PRI (TST 5878)
TAS 103 / ASTM D4798
NEI- 053 -02 -01
04/30/2008
PRI (TST 5878)
ASTM D1970
NEI- 062 -02 -01
01/14/2009
PRI (TST 5878)
TAS 103 / ASTM D4798
NEI- 076 -02 -01
02/14/2011
UL (TST 1740)
ASTM D1970
02- NK40952
02/27/2003
UL (TST 1740)
ASTM D226
02- NK40952
02/27/2003
UL (TST 1740)
ASTM D2626
02- NK40952
02/27/2003
UL (TST 1740)
ASTM D4869
02- NK40952
02/27/2003
UL (TST 1740)
ASTM D6757
02- NK40952
02/27/2003
UL (TST 1740)
ASTM D6380
02- NK40952
02/27/2003
UL (TST 1740)
ASTM D6757
08CA18320
04/25/2008
ICC -ES (EVL 2396)
IBC Compliance
ESR -1783
05/01/2007
Miami -Dade (CER 1592)
HVHZ Compliance
08- 1006.03
01/28/2009
Miami -Dade (CER 1592)
HVHZ Compliance
10- 1101.04
04/14/2011
Polyfoam Products
Tensile Adhesion
Polyfoam List
04/02/2009
UL (QUA9625)
Quality Control
File No. TGDY.R14902
07/19/2008
UL (QUA9625)
Quality Control
File No. R25794
02/06/2009
UL (QUA9625)
Quality Control
Inspection Report
02/22/2012
Exterior Research and Design, LLC. Evaluation Report A12630.12.08- HVHZ -R4
Certificate of Authorization #9503 FL11915 -R2
Revision 4: 04/12/2012
Page 2 of 6
TRINITY ERD
ROOFING SYSTEMS EVALUATION:
1. SCOPE:
Product Category: Roofing
Sub - Category: Built -Up Roofing Systems
Compliance Statement: GAF Conventional Built -Up Roof Systems, as produced by GAF, have
demonstrated compliance with the following sections of the Florida Building Code 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
ED92911Y
Stand ard
Year
1504.3.1
Wind
FM 4474
2004
1504.7
Impact
FM 4470
1992
2004
1507.10.2
Physical Properties
ASTM D2178
1997
1507.10.2
Physical Properties
ASTM D3909
04/01/1998
1507.10.2
Physical Properties
ASTM D4601
2004
1507.10.2
Physical Properties
ASTM D4897
2001
1523.6.2
Wind
TAS 114
2011
3. REFERENCES:
Entity
ERD (TST6049)
Examination
Physical Properties
Reference
G6850.08.7 -1
Date
08/13/2007
ERD (TST6049)
Physical Properties
G34140.04.11 -4
04/25/2011
04/25/2011
ERD (TST6049)
Physical Properties
G34140.04.11 -5
07/02/1997
FM Approvals (TST1867)
FM 4470 / 4450
2138A4.AM
01/08/1998
FM Approvals (TST1867)
FM 4470 / 4450
3139Q1.AM
04/01/1998
FM Approvals (TST1867)
FM 4470 / 4450
0Y9Q5.AM
07/09/1999
FM Approvals (TST1867)
FM 4470 / 4450
0D0A8.AM
08/14/2001
FM Approvals (TST1867)
FM 4470/ 4450
3011140
05/22/2003
FM Approvals (TST1867)
FM 4470/4450
3014547
04/05/2004
FM Approvals (TST1867)
FM 4470 / 4474
3017250
07/30/2004
FM Approvals (TST1867)
FM 4470/ 4474
3020703
03/13/2006
FM Approvals (TST1867)
FM 4470/ 4474
3025524
07/18/2006
FM Approvals (TST1867)
FM 4470/ 4474
3023458
01/05/2007
FM Approvals (TST1867)
FM 4470 / 4474
3028478
05/11/2007
FM Approvals (TST1867)
FM 4470 / 4474
3029832
04/05/2000
IRT (TST7408)
TAS 114
00001
00002
04/05/2000
IRT (TST7408)
TAS 114
01 -0136
12/18/2001
IRT (TST7408)
TAS 114
02 -005
01/18/2002
IRT (TST7408)
TAS 114
02 -011
02/26/2002
IRT (TST7408)
TAS 114
02 -014
03/22/2002
IRT (TST7408)
TAS 114
02 -015
03/26/2002
IRT (TST7408)
TAS 114
02 -026
07126/2002
IRT (TST7408)
TAS 114
04 -009
01/26/2004
IRT (TST7408)
PRI (TST5878)
TAS 114
Physical Properties
GAF - 012 -02 -02
11/06/2001
PRI (TST5878)
Physical Properties
GAF - 020 -02 -01
02/01/2002
Miami -Dade (CER1592)
Physical Properties
Various NOAs
Current
09/20/2011
UL (QUA1743)
Quality Control
81306, Inspection Report
Exterior Research and Design, LLC.
Certificate of Authorization #9503
Evaluation Report 01506.01.09- BUR -Ri
FL11946 -Ri
Revision 1: 11/29/2011
Page 2 of 4
164112VAN
4. PRODUCT DESCRIPTION:
4.1 #15 SPECIFICATION FELT is an ASTM D226 Type I asphalt- saturated organic felt.
4.2 #30 SPECIFICATION FELT is an ASTM D226 Type II asphalt- saturated organic felt.
4.3 #43 BASE SHEET is an ASTM D2626 asphalt- saturated and coated organic felt.
4.4 GORILLA GUARD® is a glass mat reinforced, asphalt- saturated roofing underlayment that meets
the performance requirements for an ASTM D226, Type I organic felt.
4.5 WEATHERMASTERTM GRANLAR ICE & WATER PROTECTION Is an ASTM D1970 self- adhering, glass mat
reinforced, granular surfaced, SBS modified roof underlayment.
4.6 WEATHERMASTERT" POLYSEAL is an ASTM D1970 self- adhering, poly- fabric surfaced, high -temp, SBS
modified roof underlayment.
4.7 WEATHERMASTERT" TU ULTRA is a TAS 103 / ASTM D1970 self- adhering, woven polyester surfaced,
SBS modified tile underlayment.
4.8 #55 SMOOTH ROLL ROOFING is an ASTM D6380, Class S / ASTM D224 asphalt- saturated organic roll
roofing sheet that meets the performance requirements of ASTM D2626.
4.9 SLATE /TILE UNDERLAYMENT is an ASTM D6380, Class M asphalt- saturated organic roll roofing sheet.
4.10 #90 MINERAL SURFACE ROLL ROOFING is an ASTM D6380, Class M asphalt- saturated organic roll
roofing sheet.
5. LIMITATIONS:
5.1 Fire Classification is not part of this Laboratory Report; refer to current Approved Roofing
Materials Directory for fire ratings of this product.
5.2 #15 Specification Felt and Gorilla Guard can be used in any approved prepared roof assemblies
where ASTM D226, Type I underlayment is specified and installed with prescribed approved
fasteners and fastener densities.
5.3 #30 Specification Felt and SummitTM Synthetic Underlayment can be used in any approved
prepared roof assemblies where ASTM D226, Type II underlayment is specified and installed
with prescribed approved fasteners and fastener densities.
5.4 #43 Base Sheet and #55 Smooth Roll Roofing can be used in any approved prepared roof
assemblies where ASTM D2626 underlayment is specified and installed with prescribed
approved fasteners and fastener densities.
5.5 WeatherMasterT`" Granular Ice & Water Protection, WeatherMasterV4 Polyseal and
WeatherMasterTm TU can be used in any approved prepared roof assemblies where ASTM D1970
underlayment is specified.
5.6 WeatherMasterTm TU Ultra can be used in any approved prepared roof assemblies where TAS
103 underlayment is specified.
5.7 #55 Smooth Roll Roofing can be used in any approved prepared roof assemblies where ASTM
D6380 Class S / ASTM D224 underlayment is specified.
5.8 Slate /Tile Underlayment and #90 Mineral Surface Roll Roofing can be used in any approved
prepared roof assemblies where ASTM D6380, Class M underlayment is specified and installed
with prescribed adhesives (e.g., D312, type IV hot asphalt).
Exterior Research and Design, LLC. Evaluation Report A12630.12.08- HVHZ -R4
Certificate of Authorization #9503 FL11915 -R2
Revision 4: 04/12/2012
Page 3 of 6
5.9
9
611101011
5.10
Allowable prepared roof covers applied atop Atlas Roof Underlayments (HVHZ) are follows:
Table 1: Roof Cover Options for Atlas Roof Underlayments (HVHZ)
Underlayment
Asphalt
Nail -On Tile
Foam -On
Metal
Wood Shakes
Slate
Shingles
Tile
& Shingles
ASTM D226, Type II
#15 Specification Felt
Yes.
No
No
Yes:
Yes:
Yes:
2layers
ASTM D6380, Class M
Slate / Tile Underlayment, #90 MSR
2layers
2layers
2layers
#30 Specification Felt
Yes
Base Yes:
Base Yes:
Yes
Yes
Yes
#43 Base Sheet
Yes
Yes:
Yes:
Yes
Yes
Yes
Base Layer
Base Layer
Gorilla Guard
Yes:
No
No
Yes:
Yes:
Yes:
2layers
2layer
2layer
2layers
WeatherMaster Granular
Yes
No
No
Yes
Yes
Yes
Ice & Water Protection
WeatherMaster Polyseal
Yes
No
No
Yes
Yes
Yes
Yes
WeatherMaster TU Ultra
Yes
Yes
Top Layer
Yes
Yes
Yes
See 5.9.1
#55 Smooth Roll
Yes
Yes:
Yes:
Yes
Yes
Yes
Roofing
Base Layer
Base Layer
Slate / Tile
Yes:
Yes:
ToY s Layer
No
Yes:
Yes:
Underlayment
Top Layer
Top Layer
See 5.9.1
Top Layer
Top Layer
#90 Mineral Surface Roll
Yes:
Yes:
Yes:
Top Layer
No
Yes:
Yes:
Roofing
Top Layer
Top Layer
See 5.9.1
Top Layer
Top Layer
"Foam -On Tile" is limited to use of Polyfoam PolyPro AH160 unless tensile adhesion / long term
aging data from an accredited testing laboratory is provided.
Exposure Limitations:
5.10.1 #15 Specification Felt, #30 Specification Felt, #43 Base Sheet and #55 Smooth Roll Roofing
shall be covered as soon as possible after installation; exposure for more than 24 hours after
installation could adversely affect performance
5.10.2 Gorilla Guard®, SummitT"' Synthetic Underlayment, WeatherMaster TM Granular Ice & Water
Shield, WeatherMaster TM Polyseal, Slate /Tile Underlayment and #90 Mineral Surface Roll Roofing
shall not be left exposed for longer than 30 -days after installation.
5.10.3
5.11
WeatherMaster TM TU Ultra shall not be left exposed for longer than 180 -days after installation.
For tile roof installations governed by RAS 118, RAS 119 and RAS 120 use is limited to the
following:
Table 2: Tile System Options for Atlas Roof Underlayments per RAS 118, 119 or 120
System
Underlayment
Section
Reference
Atlas Product(s)
Option
ASTM D226, Type II
#30 Specification Felt
ASTM D2626
#43 Base Sheet or #55 Smooth Roll Roofing
1
3.01A
RAS 118
ASTM D6380, Class M
Slate / Tile Underlayment, #90 MSR
RAS 119
RAS 120
Anchor /Base Sheet
#30 Specification Felt, #43 Base Sheet or
2
3.02D
#55 Smooth Roll Roofing
Self- Adhered Underlayment
WeatherMaster TU Ultra
Exterior Research and Design, LLC. Evaluation Report A12630.12.08- HVHZ -R4
Certificate of Authorization #9503 FL11915 -112
Revision 4: 04/12/2012
Page 4 of 6
V I KINJTY ERD
Surfacing:
HVHZ Approved asphalt shingle, non - structural metal, wood shakes & shingles
or slate.
6.3.5 System E(5):
Base underlayment mechanically fastened to deck, top layer adhered
Deck Type 1:
Wood, Non - Insulated
Deck Description:
Min. 19/32" plywood or wood plank
Base Layer:
One or more plies of #30 Specification Felt, #43 Base Sheet or #55 Smooth
Roll Roofing with minimum 4" wide head laps and a minimum 6" wide end laps,
mechanically fastened to deck.
Fastening:
HVHZ Approved nails and tin caps 6" o.c. at lap and two equally spaced
staggered rows 12" o.c. in the field.
Mid Layer:
(Optional) #15 Specification Felt, Gorilla Guard @, #30 Specification Felt, #43
Base Sheet or #55 Smooth Roll Roofing with minimum 3" wide head laps and
minimum 6" wide end laps in full 25 Ib /sq ± 15% mopping of ASTM D312, Type
IV asphalt.
Top Layer:
Slate /Tile Underlayment or #90 Mineral Surface Roll Roofing with minimum 3"
wide head laps and minimum 6" wide end laps in full 25 Ib /sq ± 15% mopping
of ASTM D312, Type IV asphalt. Headlaps shall be back - nailed 12" o.c. with
HVHZ Approved nails and tin caps.
Or
WeatherMasterT`" TU Ultra with a minimum 4" side lap and 6" end lap.
Surfacing:
HVHZ Approved asphalt shingle, non - structural metal, wood shakes & shingles,
slate or tile.
7. LABELING:
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.
S. BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the
installation of this product.
J. MANUFACTURING PLANTS:
Contact the manufacturer or the named QA entity for information on plants covered under Rule 9N -3
QA requirements.
10. QUALITY ASSURANCE ENTITY:
UL LLC — QUA9625; (847) 664 -3281
- END OF EVALUATION REPORT -
Exterior Research and Design, LLC. Evaluation Report A12630.12.08- HVHZ -R4
Certificate of Authorization #9503 FL11915 -R2
Revision 4: 04/12/2012
Page 6of6
CITY OF CAPE CANAVERAL
AUTHORIZATION FORM
City of Cape Canaveral Building Department 105 Polk Ave. Cape Canaveral, FL 32920
(321) 868 -1222
(You may download this authorization: www.myflorida.com/caP e. You may fax to: (321) 868 -1247.
Date:'' �Z
Permit #: V 1 34
CONTRACTORS AND SUBCONTRACTORS - PLEASE HAVE YOUR SIGNATURE
NOTARIZED AND SUBMIT THIS FORM WITH THE PERMIT APPLICATION.
Company Name: '' i -4-e - "[ IM r-�V- &-k0Q,CQ
J v
hereby authorize
(State License Holder's Name — PLEASE PRINT) (Authorized Person — PLEASE PRINT)
to obtain a permit on my behalf under my state license as issued by the Department of
Business and Professional Regulation, Construction Industry Licensing Board Ce _e 0 V
(State License Number)
for the job site described below.
* For blanket authorization, do not complete.
Name of Property Owner
Address of4bb Site
Signature of License Holder
For Notary use only: State of Florida, County of Br and c
Sworn and subscribed before me this !— day of 20 1 �—, by �,-
Name of Applicant
who produced identification: or
is personally known to me.
o.►�"" Notary Public state of Fbrida
( J My C P Patterson i
Seal: My Comm�saion pQ8957o2
, flo Expires Q8/9 tl2013 Signature - Notary Public At Large
G :\B1dg.Dept.Fonns\Authorization Form This form may be duplicated.
Type of Permit
Building
Plumbing
Electrical
Mechanical
Roofing
Swimming Pool
Specialty Structure
Other — Specify:
Name of Property Owner
Address of4bb Site
Signature of License Holder
For Notary use only: State of Florida, County of Br and c
Sworn and subscribed before me this !— day of 20 1 �—, by �,-
Name of Applicant
who produced identification: or
is personally known to me.
o.►�"" Notary Public state of Fbrida
( J My C P Patterson i
Seal: My Comm�saion pQ8957o2
, flo Expires Q8/9 tl2013 Signature - Notary Public At Large
G :\B1dg.Dept.Fonns\Authorization Form This form may be duplicated.
; Permit # . �)' (? 3 A
Date; ,61- /Z
City rir of Cape Canaveral
��o rii� ��nnror +�rwarw��rrw�.r..� *rrwrr_�
BUILDING DEPART NT
.In eefion Affidavit
I,— '- l licensed as Can * ngineer /Architect,
(Please printnamc and circle Lic, Type)
FS 468 Building, Inspector *, License #; � �% �, hereby certify that the -roof
d a✓ na Uh aa&or Vg dM wV- ter harrier m auk at;
(circle GNd t both , 1 I A
Site Address)
hasbea,)Ayproperl y completed in accordance with the Hurricane "tiSation Retrofit Manual based on 553,844 >~,S.
Sigtaa e
STATE Of ,FLORIDA
COUNTY OF BREVA D
Sworn to subscribed b p fore zae this j ,day of
By
Notwy Public, State of Florida
}�"�" Notery Puglic Slate of Finrlda
(Pri nt, type or stamp na te) r Triaia P Pstter4on
,c* My commiRsion Doe 98702
Commission lvd„ Expiros 08/11/2013
Personally known or
Produced Identification
Type of identification produced,
* General, Building, Residential, or Roofing Contactor or any individiial certified tinder 468 r1,5. to make such an inspection. Include
photographs of each plane of the roof with the Permit 9 or address # clearly shown, marked. on the deck for each inspection.
MR feM my he duplicated 0:181dg Dcpt form /Ruffiewe Mitigotionlinspcctiou aMidavit (rev 2,29,08)