HomeMy WebLinkAbout16-17289 " CITY OF ZEPHYRHILLS �
� 5335-8TH STREET '
� ' (813)780-0020 172 '�
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
� Permit Number: 17289 Address: 5931 GALL BLVD
� Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0020-00000-0050
Improv. Cost: 18,269.00 OWNER INFORMATION
Date Issued: 4/26/2016 Name: ZEPHYR II LLC
Total Fees: 195.00 Address: 14524 N ROME AVE
Amount Paid: 195.00. TAMPA FL 33613-2029
Date Paid: 4/26/2016 Phone:
Work Desc: REROOF TPO
, CONTRACTOR S APPLICATION FEES
� SUTTER ROOFING REROOF COMMERCIAL 195.00
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Ins ections Re uired
DRY ROOF NSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
' "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 an attorney
� before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
' City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUit NOTICE REQUIRED
PROTECT CARD FROM WEATHER
5
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� 813-780-0020 City of Zephyrhills Permit Application FaX-s��-�aaooz� ` '',
- . Building Department
i / �-7 �y '
Date Received , ?/�-- �Ji phone Contact for Permittln (� /— C/
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Owner's Name � !/`V V Owner Phone Number
Owner's Address � /Y� Owner Phone Number
Fee Simple Tltieholder NC me� f b�`� Owner Phone Number
Fee Slmple Tltleholder Address ��
JOBADDRESS c� � � / ��V � �l I_�% ! $ �toT# �
SUBDIVISION PARCEL IDM I -G�{O" �{`���r�(J`-V�Q G
(OBTAINED FROM PROPERTY TA7(NOTiC� �
WORK PROPOSED B NSTALLSTR e REPAIR � SIGN Q Q DEMOLISH
�
PROPOSED USE Q SFR � OMM Q OTHER '
TYPE OF CONSTRUCTION BLOCK �RAME Q STEEL Q
DESCRIPTION OF WORK
�P � '
BUILDING SIZE SQ FOOTAGE OU HEIGNT �
QBUILDING $� Vz/ ,� VALUATION OF TOTAL CONSTRUCTION
l9
Q ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
� ����������
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING � SPECIALTY � OTHER v /✓ � G
FINISHED FLOOR ELEVATIONS FLOOD ZON QYES NO yI I �r]/(/ i
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BUI LDER �pp►�y O�r/'''
SIGNATURE � � REGISTERED Y N FEE CURRE� Y/N
Address ,d Z O • �j�f�(/ License# C.l.. � ��
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# �--�
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I I 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construcUon,
Minimum ten(10)working days after submitlal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set ot Energy Forms.R-O-W Pertnit for new construction.
Minimum tan(10)working days afler submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construclion.
Dvections:•
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement Is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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• NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" �
' which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any •
applicable deed restrictions. '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the �
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation .
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- ��
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. ;
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings,change of �
use in existing buildings, or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of .
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact .-
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. -
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone ,.
other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that all work `
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating �
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: �
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive �
Lands,Water/Wastewater Treatment. �
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering .�
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays. '
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, �
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement. �
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer .
licensed by the State of Florida. -
- If the fill material is to be used in Flood Zone "A° in connection with a permitted building using stem wall '
construction,I certify that fill will be used only to fill the area within the stem wall. ,
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in j-
this a�davit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A '
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by ,
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate �
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. , ,
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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORIDA JURAT(F.S.117.03) �
OWNER OR AGENT CONTRACTOR �i1��/������iA�!/YL �
Subscribed and sworn to(or affirmed)before me this Sup�cr�ibe�d a�gd�wor o(or a r�ned qe re me this
by —��=-��x"Y ��lL�, ��,L�Cj� /,a/I�
Who is/are personally known to me or has/have produced Who is/are ersonally kno n to me or has/have prod d
as identification. �;Y.�r2S 52 t�� as identification.
/ '
Notary Public � / Notary Public
Commission No. Commis�' n No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
i iiiiii iiiii iiiii iii�i iiiii ii�ii oiiii iioii iiiii iiiii iiii ieii ►
- 2016061068 ,
PertnitNo. ParcellD No 10-26-21-0020-00000-0050
NOTICE OFCOMMENCEMENT Rcpt:1764817 Ree: 10.00 �
DS: 0.00 IT: 0.00 '�
Stateof F� co���Yor Pasco 04/20/2016 C. F. , Dpty Clerk �
- � THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statules,
the following information is provided in this Notice of Commence�nent
1 Descrip6on of Properly Parcel Identification No.��• ��5 �� ���"�"' �� �C ��f-/�
Street Address: 5931 Gall Blvd,Zephyrhills,FL PAULR S 0'NE I L,Ph.D PqSCO CLERK & COMPTROLLER
2. GeneralDescriptionoflmprovement `/`/arrentyroofrepair 04/20/2016 12:50 m 1 of 1
OR BK 9��� PG S ��� �
3. Owner Infortna6on or Lessee infortnation if the Lessee contracted forthe improvement:
Zephyr II LLC
Name
14524 N Rome Ave Tampa FL
Address City State
Inlerest in Property: _/,�'�.�.+ ,L�
Name of Fee Simple Titleholder /��'
(If different from Owner listed abo"ve)
Address City State
4. Contractor. Sutter Roofing
N�me
8811 Maislin Drive Tampa FL
Address City Slate
Contractors Telephone No.. g�3-868-0600
5. Surety• ��Ii
Name
Address City State
Amount of Bond: $ AJ j� Telephone No..
6. Lender
Name
Address n — City State
Lenders Telephone No. �r�
7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates of
to receive a copy of the Lienors NoGce as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entlty Designated by Owner:
9. E�iration date of Notice of Commencemenl(the expiration date may not be before the completion of construction and final payment to the
contraclor,but will be one year from the date of recording unless a differenl date is specified): ��6
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NO:f10E OF COMMENCEMENT _
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMEM"S TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORF 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 lhat I have read Ihe foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief,
STATE OF FLORIDA e � �{^�
COUNTY OF PASCO �/Q l d
Signature o wner or Lessee,or Owners or Lessee's Authorized
Officer/Direclo r/P artn er/Manager
k- l�t�{1 �w��
Signatorys Title/O ce
The foregoing instrument was acknowledged before me this�day of b��20 I�by `� ��
as- �Rn� ���� t e of authority�,officer,t stee,attomey in fact)for
� (na party on beh I�f..o..f.w{h'bm ins ment was executed). `
Personall Known ��. � � '3 L�aZ�� (�
y I�R Produced Identification❑ Notary Signalure
Type of IdenGfication Produced Name(Print) �f���l ����-.S
JANET P.SELL
ERS
Notary Public,State of Ohio
My Commission Expires 04-11-2018
wpdata/b cs/noG cecommencement�c053048
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p[Qdu[t Aooroval Menu> u i i n a >Aoaifcatinn List>Appr¢atbn�ta0
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°' " FL# � FL14083-R10
'�''�*� • 4 Application Type ; Revision
Code Version i 2014
Applicatlon Status � Approved
j
Commer� i
Archived ;
I
Product Manufacturer � Carlisle SynTec Systems
Address/Phone/Email � �zss rt�me�H�ynway ALLWORKSHALLCOMPLYWITHALL
' � r.o.sox�000
( (717)'245 700013 P�VAILING CODES,FLORIDA BUILDING
i � malpeai@syntec.�r���i��►NATIONAL ELECTRIC CODE AN�
� �TrnV vL•�y7��TVDiJT?T����!�iT�I\T��S
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Authorized Signature ; ]oe Malpeai
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malpeai�asyntec.prl(sie.com
Technical Representattve � Robert Patton
Address/Phone/Email ! 1555 Ritner Highway �
� Carlisle.PA 17013 •.i.����� ��'��
i Robert.PATfO�sYntec.carlisfe�:o�ni� �l� ' a
; ����V�HILLS �
; �Quality Assurence Represerrtative � ,� G�,� �X������
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Address/Phone/Email
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��9orY � Roofing
Subcategory i Single Ply Roof Systems
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Compliance Method ! Evaluation Report from a Florida Registered Architect or a lJcensed
! Florida Professional Engineer
i � Evaluatlon Report-Hardcopy Received
Florida Engineer or Architect Name wh i developed Robert J. M. Nieminen
the Evaluation Report !
Rorida License � PE59166
Quality Assurance Entity I UL LLC
Quality Assurance Contract Expiretlon ate 09/25/2016
Validated By � ]ohn W. Knezevich, PE
! d Validation Chedclist-Hardcopy Received
Certiflcate of Independence � FL14083 R10 COI 2015 01 COI Nieminen odf
1
Referenced Standard and Year(of Stan�ard) ��a� Year
` ASTM D6878 2008
FM 4470 1992
i FM 4474 2004
i
Equivalence of Product Standards ;
Certlfled By j
i
Sections from the Code '
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Produd Approval Method Method 1 Option D
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Date Submitted 10/19/2015
Date Validated 10/28/2015
Date Pending FBC Approval i 11/02/2015
Date Approved � 12/15/2015 I
Da[e Revised 02/14/2016 �
Summa of Producls i
FL# Model,Num� r or Name Description
14083.1 Carlisie Sur �Weld TPO Single Ply Thermoplastic Olefln('TPO)Single Ply Roof Systems
Roof System'
Limits of Use ' insta�ation InsWetioas
ApprovedforuseinHVHZ:No � FU4083 R10 II 2015 10 FINAL A1 ER CARLISLE Sure-
Approved for use outside HVHt:Ye` Weld TPO FL14063-RiO.odf
Impact Resistant:N/A j Verifled By: Robert). M.Nleminen PE-59166
Design Pressuro:+N/q/-495 i Created by Independent Third Party:Yes
Other.1.)The desfgn pressure in tht �appllcaUon relates to Evaluat�on Reports
one pardcuiar assembty. Refer to the R Appendlx all FL14083 R10 AE 2015 10 FINAL ER CARLs�F Sure-Weld
systems max.design presssures.2.)Refer to ER,Secdon 5 TPO FL14083-R10.odf
for Limits of Use. ; Created by IndependentThird Party:Yes
I
6ack Yest
I
Ca� `::1aM North Nbnrce Street Tulla �+F�72�Rfone:85a487-1824
The State of Flort�L9 an AA1�D empl iConvriaht 2007-2013 Sta oF Florlda.::Privaw StabemeM::A�bi�ilv Statement::Befund Statement
UrM�FlaWa law,emali addresses are p�(c � If you do rqt waid yo�e�mail addres3 released in response to a prbllo-reoords requat,do not send elemoNc
mail W this entlty.Ir�tead,aonta[t the oftlae by phone or by tradltlonal mail.If you have anY 9��.P�ease mnta�850.487.1395.'Pur.a��d to Se[tlon
aS5.275(1).Florlda Statut�,eHedlve pUober 1,Zp12,tlae�sees Iloensed under Oripper 455.F.S.must provlde the Department with an emall addres if tliey have
ona The emalls provided may be used for offi a!mmmwdmdon with ttK liaemee.Hrnvever emall addre�s are pubtic reaord.If you do not wisM to supply a
persanai address,please pmvide tlie Department 'th an ernail address which mn be made availa6ie to the pubtie To de�ertnine tf you are a Ilaensee�sder Chap[e�
455.F 5..PIea52 didc�-
PrOduct Appraral AOCepts:
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APPENdIX 1:A7TACF1MEPiT REQUIREMENTS fOR WIND UPLIFT RESISTANCE •
Table Deck Applicatlan Type DescrlpUan • Page
SA Waod New,Reroof{'f'ear-4ff),Rewver C Mechanica8y Attached tnsulation,Bonded Roof Cover 4
iB Wood New,Reroof(Tear-Off�,Recover p-1 Insulated,MechanlcallyAttached RoofCover 4
2C Wood i�ew,Reraa#{Tear-O€E},Recover D-3 iVon-InsuEated,Mechanicatty Atkached Sase Sheet,Bonded Rocf Covec 5
3D Wood New,Reroof(1'ear-Off),Recover E-1 Non•Insulated,Mechantcaliy Atteched Raof Cover 5
tE Wood New,Reroof(Tear-Off),Rernver E•2 Non-tnsulated,Mechenfcaliy Attathed Base Sheet,Banded Roof Cover 5
2A Stee�or Conc. New,Reroof(Tear-Off�,Recover B Mech,Attached Base Insulation,Bonded Top Insulation,Bonded Floof Cover 8-9
2B Steel or Conc. New,Reroof(Tear-Off�,Recover C-1 MechanicaAy Attached lnsulatlon,8onded Ruof Ccver 10-15
2C Steet New,Reroof(Tear-Offf,Recover G2 (Nechantcaliy Attached Insutatton,Ptate-6onded Roof Cover 16
2D Steel or Conc. New,Reraof(Tear-Off�,Recover D-1 Insulated,Mechanicalty Attached Roof Cover(SLress Plates) 17-20
2E Steel ar Conc. New,Reraaf{Tear-OFf),Recover D-2 insatated,N2echanEcally Attached Raof Cavei(RU55 Stclps} 21 I
3A Concrete New,Reraof(Tear-Off) A•1A Bonded Insulatlon,Bonded Roof Cover 22-25
__--__—.--3�-�:-...—Cbnerct .__��_._�-----__..__._ ,. f�{'fe�a_ ,. __________._.� ._.__.._�_�...--- ttical ,. _ _ _____.__�._______.__._..---..._�._...__..�_._...._.�___
3C Cancrete New,Rerooi(Tear-Offl F Non�lnsulated,Bonded Roof Caver 27
4A LWIG New,Reroof{Tear-Off! A-3A Bonded lnsulatlon,Bonded Roof Cover 28
�8 IWtC New,Reraaf(Tear-Otf) A-2 Meth.Attached Anchor Sfieet,8onded insuiation,Bonded Roof Cover 28
4G3 LWIC over 5teel New,Reroof(T'ear-Off) F Non-Insulated,Bonded Raof Cover 29
4G2 INtC over Conc. New,Reraof{1'ear-Qf� F Non-lnsi�lated,Bonded Rcof Cover 3Q
5A CNlF New,Reroof(Tear-Of� A-1 8onded Insulatlon,Bonded Roof Cover 31 '
6A Gypsum Reroof{Tear-Offa A-1 8oaded Insulatton,9onded Roof Ccver 32
fi8 Gypsum Reroaf(Tear-Off) F Non•Insulated,Bonded Roof Cove� 32 �',
7A Various Recover A-1 Bonded Insulallon,Bonded Roaf Cover 33-34
78 Steel Remver C-2 Mechanically Attached insuiatian,Piate-8onded Roof Cover 35
7C Steel Recover D•1 Insulated,MechanlcallyAttached RoofCover 36
7D Steel Recaver D-2 tnsutated,Methanlcally Attathed Roof Caver(RUSS Sutps) 37
7E Various Recover E-1 Non•Insulated,Mechanically Attached Roof Cover 38
7f-1 Varlaus Remver F-1 Nan•insulated,8anded Etaof Cover 39
7F-2 Varlous Rewver F-2 New I.WC over Existing Roof,Bonded Roaf Cover 39
The follawing nates app{y ta the systems outlined herein:
1. The ro�f system evaluaHon herein pertains to above•deck roof components. Roaf decks and struccural members shall be tn accordance with FBC requirements to the satlsfaction of the AHJ. Load reslstaoce of the
roof deck shall be documented through proper cod(fied and/or FBC Approval docurnentation.
2. Untess ott�erwtse noted,fasteners aad stress plates for tnsuEailon attachment shafl be as foilows. Fasteners sfia8 be of sufficient length for the fotlawing en�agements:
D Waod Deck: Sure•Seal HP Fastener with Sure-Seal Insulation Plate. Mlnimum i-inch woad penetration.
D Steel Deck: Sure-Seal HP Fastener with Sure-Seat Insulatlon Plate. Minlmum 5:-lnch steel penetration,engage the top flute ef the steei deck.
➢ ConaeteDeck: Sure-Seal HD 14-10 Cancrete Pastener,Cartiste CD-10 ar NP Concrete Splke{1J4)with Sure-Seai insutation Piate.Minimum i-inch embedment Fasteners tnstaifed wlth a piiot hale in
accordance with the fastener manufacturer"s published installation Instructions.
Exterior Research and Design,LLC,d/bja Trfniry j HRD Evaluation Repart C33660.09.10-R10 for FL14083•R10
CerUflqte of Authorization#9503 Revision 10:1Q/19/2015
Frepared by. Rabert tVEeminen,PE-54158 Appendlx 1,Page 1 af 39
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;r TRINIIY�ERD '
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3. Unless otherwise noted,insulation may be any one layer or combination of polyisocyanurate,polystyrene,fiberboard,periite and/or gypsum-based tnsulation board that meets the CL4 requirements of F.A.C.Rule
61G20-3 and fs documented as meeting FBC 1505.1 and,for foam plastic,FBC Chapter 26,when Installed with the roof cover.
4, Mfnimum 200 psl,minimum 2-Inch thick Ilghtweight Insulating concrete may be substftuted for rigid insulation board for System Type D(mechanically attached membrane),whereby the membrane fasteners are
Installed through the LWIC to engage the structural steel or concrete deck. The strudurel deck shall be of equal or greater type,thickness and strength to the steel and concrete deck Iistfngs. Roof decks and
structurel members shall be in accordance wfth FBC requirements to the satisfacHon of the AHJ. Load resistance of the roof deck shall be documented through proper codified and/or PBC Approval documentation.
5. Preliminary insulation attachment for System Type D=Min(mum four fasteners per 4 x 8 ft board or minimum two fasteners per 4 x 4 ft board.
6. Unless otherwise noted,insulation adhesive application rates are as follows. Ribbon or bead width is at the time of application;the ribbons/beads shall expand as noted in the manufacturers published instructlons:
9 Carlisle FAST 100,FAST 1�LV(full); Full-coverage at 1 gal./square.
D Carllsle FAST 300,FAST 100 W(ribbon): Continuous 0.75 to 1-inch wide rfbbons,l2-Inch o.c.
D Carlisle Flexible FAST(full): Fuil-coverage at 1 gal,/square.
D Carlisle Flexible Fast(ribbon): Cont(nuous 0.75 to 1-fnch wide ribbons,l2-inch o,c.
D Carilsle FAST Dual Cartridge: Continuous 0.75 to i-inch wide ribbons,l2-inch o.c.
> Carlisle FAST Bag in a Box Adhesive(BIAB): Continuous 0.75 to 1-inch wlde ribbons,l2-inch o.c.using OMG Bag-In-Box PaceCart 2
➢ OlyBond 500(OB500): Continuous 0.75 to 1-inch wlde ribbons,l2-inch o.c.using PaceCart or SpotShot
Note:OlyBond 50D Green may be used where OlyBond SOD is referenced.
D Note: When muftlple Iayers(s)of Insulatlon and/or coverboard are Jnsta!!ed In rlbbon-applied adheslve,adheslve rlbbons shall be staggered from layer-to-layer a dlstanre of one-half the rl66on spadng.
.............-- -..___..._,..,y,...___ O :- � ISlCifCE�fPdflTTJf�S'fIIfE�51[1P71 . . � - 8[!Ofl'bd�Iff3'IICJI'bP'ftOFJ � - - B � C ----.-------.......--.,__._...........,.,. ..,... .,..
7. Unless otherwise noted,all insulations are flat stock or taper board of the minimum thickness noted. Tapered polyisocyanurate at the fallowfng thickness Ilmitations may be substituted with the foilowing Maximum
Design Pressure(MDP)Ifmitatlons. In no case shall these values 6e used to'Increase'the MDP Iistings In the tables;rather if MDP Ifsttng below meets or exceeds that Iisted for a particular system In the tahles,then
the thinner board listed below may be used as a drop-In for the equivalent th(cker material listed in the table:
D FAST 100,FAST S00 LV or Flexible FAST: MDP -157,5 psf (Mfn,0.5-inch thick)
� OlyBond 500(OB500): MDP -187.5 psf (Min.0.5-inch thick)
8. Bonded palyisocyanurate insulation 6oards shall 6e maximum 4 x 4 ft.
9, For mechanically attached components or parttally bonded Insulatlon,the maximum design pressure for the selected assem6ly shall meet or exceed the Zone 1 design pressure determined in accordance w(th FBC
Chapter 16,and Zones 2 and 3 shall emplay an attachment density designed by a qualifled design professlonal to resist the elevated pressure criteria. Commonly used methods are RAS 117,FM LPD51-29 and
AN51/SPRI WDi. Assemblies marked with an asterisk'carry the Iimitations set forth in Section 2.2,1.5.1(a)of FM LPDS i-29 for Zone 2/3 enhancements.
10. For assem6Ues with all components fully bonded In place,the maximum design pressure for the selected assembly shall meet or exceed critical desl�n pressure determined in accordance with FBC Chapter 16,and no
rational analysis is perm(tted.
ii. For mechanlcally attached components over existing decks,fasteners shall be tested in the existing deck for withdrawal reststance. A qualified desfgn prolessional shall review the data for comparison to the
minimum�equiremenu for the system. Testtng and analysis shall be In acrnrdance with TA5105 or AN51/SPRI FX-1.
12. For existing substrates in a bonded recover or re-roof installatfon,the existing roof surface�or existing roof deck shall be examined for compatibiflty and bond performance with the selected adhesive,and the existing
roof system(for recover)shall be capable of resisting project design pressures on lu own merit to the satisfaction of the AHJ,as documented through fleld uplift testing in accordance with ASTM E907,FM LPDS i-52
orAfV51/SPRI IA-1,
13. For System Type D,steel deck applications,the raof inembrane shall be run with(ts length perpendlcular to the steel deck flutes.
14. For Recover Applicatlons using System Type D,the Insulatlon fs optional. Alternatively,min.0.5-Inch HP Recovery Boa�d,SecurShield HD or H-Shield HD or min.0.25-Inch to 0.625•Inch Dens Deck,Dens Deck Prirne,
SECUROCK Gypsum•Fiber Roof Board or SECUROCK Glass-Mat Roof Board or min.3/8-inch Insuifoam R-Tech EPS or Fan-Fold may be used as a separator board,preliminarily attached priar to roof cover tnstallatian.
The existing roof system shall be suitahle for a recover application.
� Exterior Research and Design,LLC.d/b/a Trinity�ERD Evaluatlon Report C33680.09.10-R10 for FL14083•R10
Certiflcate of Authorization p9503 Revision 10;10/19/2015
� Prepared by; Robert Nieminen,PE-59166 Appendix 1,Page 2 of 39
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�.�` TRINITY�ERD , .
15. For adhered membrane systems,side laps shall be minlmum 2-inch wide sealed with min.1.5-inch heat weld. Unless otherwise noted,mem6rane adhesive application rates are as follows:
Membrane Adhesive Method Rate
Sure-Weld or S ectro-Weld Sure-Weld eondin Adhesive Contact both sides 60 ft/ al
5ure-Weld or S ectraWeld A ua Base 120 Bondin Adhesive Contact(both sides 120 ft/ al
Sure-Weld or S ectro-Weld Low VOC Bonding Adhesive Contact(both sides 60 ft/gal
Sure-Weld Sure-Seal 90-8-30A Bonding Adhesive Contact(both sides) 60 /gal
Sure-Weld FleeceBACK Aqua Base 120 Bonding Adhesive Wet lay(substrete) 120 h/gal
Sure-Weld FleeceBACK H droBond Water-Based Adhesive Wet la (substrate 300 to 133 ft/ al
Sure-Weld FleeceBACK FAST 100,FAS�100W,Flexible FAST Wet lay(substrete) Full coverage at 100 ft/gal or Ribbons spaced as noted herein,spread to 2-3 Inch,roof cover
set and rolled with 50 Ib roller.
5 ectraWeld FleeceBACK FAST 100W,Flexible fAST Wet lay substrate 100 ft/gal
16. For membrane systems attached using TPO 10-inch Pressure-Sensitive RUSS,the underside of the membrane wh(ch comes in conWct with the tape shall be primed with TPO Primer, The membrone shall be secured
by placing the pr(med portion onto the tape portion of the Sure-Weld TPO SO-inch Pressure-Sensitive RU55 and roll with a steel hand roller to ensure contact.
17. For adhered membrane systems,unless otherwise noted:
D Reference to"Sure-Weld"membrane below also Includes"Sure-Weld EXTRA"and"Spectro-Weld";
_ _ D Referenee to"Sure-Weld FleeceBACK"Includes 300 115 and 135•
_.....___..._......._.-- --•-�----___—__--�- -- -----•- ---�----.....--- --�------------.__.._._ ._..__----..._._.._......------.._-----�--�------�------_...._----.._...__.._._...,.___.__._....._._.,.,_._._�..-•--�----__.._..._.......__......�._.....___----• -._�...___......_.....----��.....,_....,.,...... —�...
➢ ��Refe�ence to"Sure-Weld AFX"fncludes i4FX 120,AFX 135 and AFX 155;
D Reference to"Sure-Weld FleeceBACK"includes Spectro-Weld FleeceBACK applied in FAST 100LV(full coverage)only.
18. "MDP"=Maximum Design Pressure is the result of testing for wind load resistance based on allowable wind loads. Refer to FBC 1609 for determination of design wind loads.
Exterior Research and Design,LLC.d/b/a Triniry�ERD Evaluation Report C33680.09.10-R10 for FL34083-R10
Certiflcate of Authorization N9503 Revislon 10:10/19/2015
Prepared by, Robert Nieminen,PE•59166 ' Appendix 1,Page 3 of 39
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TABLE 2D:STEEL oa CONCRfTE DECKS—NEW CONSTRUCTION,REROOF('CEaa-OFF)oR RECdVER
5Y5TEM 7YPE D-1: INSUTATED,MECHANICALl.Y ATTACHED RdOF COVER
insulation Iayer
S stem (See Note 1a) Raof Cover MDp
y Roof Deck
No. 7y�e Attach Membrane Fasteners Fastener Lap Width Cap Seam (p�}
Spacing Spacing We�d
SURE-WELD OR SPECTRO-WELD MEMBftANE APPUCATIONS�SEE NOTE_17):
M(n.22 ga.,type B, Mtn.1,5-fnch,one Sure-Weid or �rtiste MP-X Fastener{steet only},Carl3sle H01Mi0
Pretlm. (concrete only)or CD-1q(cancrete only)Fasteners 138.5-fnch 1.5-inch
SG109 Grade 33 steel or min. or more layers,any attach Sure-Weld EXTRA and Piranha Plate or�iS Roofgrip(steei only}with 12-inch o.c. 5.5-Inch Q,�. outstde -30.0
2,50Q psi concrete cambinatlon ar Spectro»We1d 23/8"Eyehook Seam Piates{AccuSeam}
Min.22 ga.,type B, Min.1.5-(nch,one 5ure-Weld ar Cariisie HP-X Fastener(steel oniy),Carlisle HD id-i0
St-310 Grade 33 s#eeE ar min. or more layers,any �r���m' Sure-Weld EX74tA ��0ncrete on3y}or CD-10(concrete only}Fasteners 12-Inch o.c. 5.5-inch 92-lnch o,c. 2'S�rs� -30.0
2,500 psi convete cambinatlon attach or Spectro-Weld and Piranha Plate or q15 Roofgrip(steei oniyj with outside
2-3/9"Eyehoak 5eam Plates(AccuSeam)
..._.__---,--___.____.__._. _Mtr�:2T8a:;t�Pe B;Gtade'---Mth:l-teeh;one oY� _._...__.__.._..�_.__....,._�---._..__.___.--_..-....__...--�_.�__,_.__---_.__.___._._________,._.._._.......__..._...._.----.� .......---.---.--.---._ .__..___..__.....----------__.___......_.______._ __._. _...._..
33 steei,6 it span,5/8" more layers,any
dlameter puddle welds B" comblaation(optlonal Prelfm. 5ure-Weld o� 90.5-InCh 1.5-inth
SG112 4,c,�side faps secured 24" for reccver}folfawed attacb Sure-Weld 6XTRA Carlisle HP-Xt�a Fasteners and Pirenha Xtra Plates 12-lnch o.c. 5.5-lneh �G outslde -30.0
o.c.w!K"-Y4xi"Iong setfi- 6y Sj8-inch Insutfoam
tapping hex�headscrew R Tech EPS orFan-Fold
Mfn.22 ga.,type 8;Grade
33 steel,6 tt span,Sj8^ Mtn.i-inch,O�e of Sul'2-Weld(min.
diameter puddle welds 6" Prelfm. 90.Sdnch 1.5-Indt
SGi12 o.c„side faps setnred 24" mnre layers,any A�Ch nominal 80-mil)or Carlisle HP-Xtra Pasteners and Piranha Xtra Plates 12-Inch o.c. 5.5-Inch Q,c. outside '37,5
a.c,wJ%"-1Axi"iasg setf- �mbtnation Sure-Wetd EXTRA
tapping hex�head screw
Min.1.5-tncfi,one Su�e-Wetd ar �rlisle HP-X Eastener(steel on{y}+Cartisie HD 14-10
Min.22 ga.,type B, Prettm. (concrete only)or CO-IO{concrete oniyt Fasteners 115-Inch 1,S-inch
SC-119 Grade 80 steel or min. or more laye�s,any attach Sure•Weld EXTRA and Piranha plate or#15 Raofgrip(steel only)wlth 12-Inch o.c. 5.5-inch o.c. outside '37.5
2,5U0 ps(concrete combinatlan or 5pectra-Weld Z_3J8"Eyehook 5eam Piates{AccuSeam}
Miro 22 ga.,t}rpe 8,Grade
33 steel,e h apan,5/8" Min.1-inch,one or Carlisle HP-X Fasteners a�d Piranha Plates or#15
dtameier puddte weids 6" Prelim. 5ure-Weid or „ 13$.5•inCh 1.5•irtch
SC-SSA o.c„slde taps secured 24" rnore laye�s,any attach Sure•Weld EXTRA ��ofgrtp w(th 2-3J8 Eyehook Seam Plates 6-inch a.c. 5.5-lnch �,� qutside '�5.4
o.c,w/x"-14xi"long self- combinatlon (AccuSeam)
tapping hex•head screw
' MIn.22 ga„type 8, Mir�.1.5-Uch,ane Carllste HP-Xtra Pasteners and Piranha Xtra Plates
Pre11m. Sure-Weld or 115-inch 1.5-inch
SC-115 Grade SO steel or min. or more layers,any attach Sure-Weld EXTRA (steel only)or Carlisle HD 14•30(concrete only)or 12-inch o.c, 5.5-inch o.c. autside �5'p
2,500 psf concrete cornbfnation CD-10(cancrete oniy}�asteners and Piranha Plates
Min.18 ga.,type B, Min.1.5-inch,one Carlisle HP-X Fasteners(steel only),Carllsie HD 14-
Prelim. Sure-Weld or 10(concrete only)or CO-10(concrete only) 115-inch 1.5-inch
SG316 Grade 33 steel or min. or more layers,any ��ach Sure-UJeid EXTRA Fasteners and Alranha Plates or#15 Roafgrip{steel 12-lnch o.c. 5.5-inch �� �u��d� -45.0
2,800 psi cancrete tomb]natEon oniy)with 2-3/8"Eyehaok Seam Plates(AccuSeam)
Fxterior Research and Design,LLC.d/bja Trinity�ERD Evaivation RepoR C33680.09.10-R10 for F1,14083-R10
Certiflcate of Authorizatlon#9503 Revision 10:10/19/2015
Prepared by: Rabert Nieml�en,PE-54i66 Append€x 2,Page 17 of 39
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Y eP
, BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: • '� �
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Date Received: � �'��
Site: S�GI�� �S�-1 l Q( V�
Peimit Type: ��� � �
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
�' .
,
J
This comm nt sheet s r 1 be k ith the pernut and/or plans.
;
f � � �(l�°
Kalvi �wi er lans Examiner Date Contractor andlor Homeowner
. (Required when comments are present)
� .
.. CARLiSLE ROOFING SYSTE�IIS
Purchase Order Confirmation Letter
Please complete the forrn as indicated. If additional hours are required, plea�e conlact Carlisle
Warranty Services at(800)233-0551. This purchase order expires in three(3)months.
Purchase Order#: SS80189673 Date Issued:02/01/2016 Max. Hrs.Autborized: 0 Response Days: 0
Authorized Applicator: SUTTER ROOFING COMPANY OF FLORIDA, INC.
Job Name and Location: Warranty Exp Date: 04/28/2020
ZEPHYR PLAZA Drawing Number: CMD041358P
5931 GALL ROAD
ZEPHYRHILLS, FL System Type Project Size
S-WELD MFW 36,1Q0
' Owner Workorder#:
Site Contact: Mod Caller: Marfc Ayer
Telephone: Telephone: l513)608-3619, PO issued By:
' eMail: eMail: ayermark@gmail.com Kristen Morrow
Claim Report: DAVE MARTIN AUTHORIZED RFG LABOR NTE$17,769:0,0+CRANE$500;00 TO REFAIR AFPROX.
5,7.78 SF',MEMBRANE,5'.PS:SURE WH1TE_ELASTOFORM:38_LF;&:12'.'PS SURE VUHITE
ELA$TOFORM•549 LF SHIPPING MATERIALS DIRECT TO SU"I7ER ATTN:JASON SIMS. Created By:
MORROW
Please complete the following and return this form with the aoaroariate invoice for oavment. For non-warranty
repairs, obtain prior authorization from the owner and invoice the owner for non-warranted renairs. if non-warrantv
reaairs will not be authorized by the owner, please complete temporary repairs to stop the leak and complete the
section below. A roof sketch showina res�air locations with before and after diaital photoqraahs of reoairs must be
Iprovided.
*�'**NOTE: Roof conditions and renairs are subiect to review and auaroval bv FSR�***
Investigation Findings: Please circle all that apply.
� 'Warrantv Reaairs •Non Warrantv Reaairs(owner resaonsibilitv)
Membrane Seams • qry. Puncture/cuts!tears
T�oir�ts/Corners # HVAC/Skylights
Pipe Wraps/Pourable Sealer Pockets Non-conforming altera6ons/details
Coverstrip 1 flashings Non-Carlisle material
Tented fasteners Loose walkway pads
Drains!Walkpads!Loose Welded Other
Other
Owner Authorization Signature(required): �,Q%� ���� Date: v'��� Zv/
Ptease verify billing information(below)for non- na�ed repairs and make any necessary changes.
OwnerAddress(Billing Information): ZEPHYR LLC
7162 READING ROAD
CINCINNATI,OH 45237
Telephone: (513)60&3619 �
To ensure payment,your invoice must be received within three(3)months of the purchase order issue
date listed above and include before and after oictures and roof plan showinq location of repairs.
Carlisle Roo�ng Sysiems,lnc. ' Wairanty Services Departmen�lrrvolce Processing• Rev.
P.O.Box 7000 • Ca�lJsfe,PA 17013 • Phone: (800)233-0551 ' Email:invoiceprocess)ng�cadisleccm.com 4/14