HomeMy WebLinkAbout16-17992 � CITY OF ZEPHYRHILLS
- • i 5335-8TH STREET
(813)780-0020 17992
' BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Rlumber: 17992 Address: 6102 16TH ST
Permit Type: RE-ROOF ZEPHYRHILLS FL
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: PARK HILL
Esti. Value: Parcel Number:
Improv. Cost: 7,975.00 OWNER INFORMATION
Date Issued: 12/09/2016 Name: LUBBERS JOHN W II & MADELYN H
Total Fees: 75.00 Address: 6102 16TH ST
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-2654
Date Paid: 12/09/2016 Phone: 904-8914-6240
Woc�k Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
ROOFSMITH OF TAMPA BAY INC REROOF RESIDENTIAL 75.00
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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 properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
i 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 pertormed in accordance with
� Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
I NO OCCUPANCY BEFORE C.O.
� _._
�,� � ---�
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IC NT CTOR SIGNATURE PERMIT OFFI R
� PERMIT.EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 "
IBuilding Department
• ' Date Received Phone Contact for Permiltin
Owners Name ��hn Lubbers Owner Phone Number 904-891-6240
6102 16�h St-Zephyrhills,FL 33542
Owners Address Owner Phone Number
Fee Simple Titieholder Name Owner Phone Number
Fee Simple Titleholder Addres
II
; JOB ADDRESS "'r O 0 16th St-Zephyrhills,FL 33542 �
LOT�f
SUBDIVISION PARCEL ID# 02-26-21-0180-00000-0710
(OBTAINED FROM PROPERTY TAX NOTICE)
I WORK PROPOSED B NEW CANS7R B ADD/ALT Q SIGN � � DEMOLISH
INSTALL REPAIR
I PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �G /`,�F U rl/��hL
BUILDING SIZE S�FOOTAGE� HEIGHT �
BUILDING $ ;y/)�� VALUATION OF TOTAL CONSTRUCTION
/"I
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ��
QPLUMBING $ /1�
� \
, QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
'�+",., RoofSmith of Tampa Bay,Inc.
, BUILDER ,-� '�� COMPANY
, SIGNATURE� ��_.� REGISTERED Y/ N FEE CURREA Y/N
Add�ess 6089 Johns Rd.,Ste 9-Tampa,FL 33634 License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y J N FEE CURREI. 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 I N
Address License#
, OTHER COMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address License#
IIIIIItllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll
� RESIDENTIAL Atlach(2)Plot Plens;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consVuction,
I Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence inslalled,
Sanitary Facilitfes&1 dumpster,Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction.
� Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed,
� Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Atlach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
I Directions:•
� Fill out application compietely
Owner 8 ConVactor sign back of application,notarized
i If over 52500,a Notice of Commencement is required. (AIC upgrades over$7500)
I _ � " Agent(for the contractor)or Power of Attorney(for the owner)woutd be someone with notarized letter from owner authorizing same
� OVER THE COUNTER PERMIITING (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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INOTICE 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 resUictions.
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 conVactor 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 conVactor 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 IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
� that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,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
I 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—Homeowners
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 govemment 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:
i - Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
, Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
, Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
' - Department of Health & 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 pennitted buiiding 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
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air wnditioning, gas, or other installations not specifically inGuded in the application. A
� permit issued shall be consUued 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
i 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
i the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
i 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 �K.C�1'.�W�-�CONTRACTOR �
' Subscribed and swom to r affirtned)be(ore me this Subscribedend's`y m to�� d)before me this
�� 3���, by r��� la�+�lK j �6 � �.�I i b$y�t,v..,. �,t�yJ
Who is/are personally known to me or haslhave produced Who is,j�e,pQrsonaily known to me or has/have produced
as identification. as ident�cation.
I I � �`�=- L-�
Notary Pubiic CLuw.�-� ��.+a..� Notary Public
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� Commission No. �F�fl(o5 R Commission No. �� �'1 bfo b 5 g
S �2✓ (�vGt.� C.�AhS1� �o.. C�V2t:�
a e f o e rinted or stamped Name of Notary typed,prinled or stamped
:O�p�'Y PVB^ Notary Public State ot Florida ��ar��� Notary Public State oi Fbrida
, Christopher M Queen s , Christopher M Queen
y c.� '� My Commissfon FF 906858 �c*�� My Commission FF 906658
�`oFr�°� Expires09H3/2019 ����o Expires09/13/2019
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I IIIIII IIIII IIIIIIIIIIIIIII IIIII IIIII IIIII IIIII IIIII IIII IIII Rcpt:1821489 Rec: 10.00
DS: 0.00 IT: 0.00
2016194766 12/09/2016 K. D. K. , Dpty Clerk
PertnitNo. ParcellDNo 02-26-2 1-0 1 80-00000.071 0
NOTICE OF COMMENCENiENT
State of Florid$ County o( P�CO
THE UNDERSIGNE�hereby givas nottce that improvement w(II be mada to certaln real property,end In accardance with Chapter 713,Florida Slatules,
the foliowing infortnaGon is provided in this Notice of Commencement
1. �escripUon of Properiy: Parce1 IdentificaUon No. 02-26-21-0180-00000-0710
' 6102 16th Street--Ze h rhills,FL 33542
SVeetAdtlress: P Y
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2. General DascripUan of impmvement Remove existine roof and replece
I3, Owner Infortnatlan or Lessee infortnation if the Lessee contraded for tha fmprovement:
� John Lubbers
� Name
6102 16th Street Zephvrhills FI, -
, Address City State
lntarest fn Property: Fee Simple
Name of Fee Simple Tftleholder. T�a
(If difforent fram Ownar Iistod above)
- - - � Address�RoofSmithofTam aBa Inc. ���H.'��i�,- - �ity ��^.�Y� — � State --- �- - ^
� 4. Conuactor. P Y,
' N�0�9 Johns Rd.,Ste 9&10 Tampa FL
Address City State
Con(rectoc's Telephone No.: 813-419-0502
5. Surety: �a
Name
Address City State II
Amwnt of Bond: S Telephona No.:
6. Lender. n�a
� Name I
Address City State i
Lenders Telephone No.: '
7. Persons within the State of Florida desfgnated by Ihe ovmer upon whom noSces or ather documents may be served as provided by
Sedion 713.13(1)(a)(7),Florida Stalules:
Name
I Address City SSate
Telephone Number of Designaled Parson:
I 8. In additian to himsetf,the owner desfgnates a(
i to receive a copy of the lJenors Notice as protided in Section 713,13(1)(h),Florida Staurtes.
� Teiephone Number of person or Entlty Designated 6y Owner:
9. E�Iratfon dete of Nollce of Commencement(tha o�Iration date mey not be before the wmplelion oi consWcUon end Tinal peyment to the
conUaclor,bul wili be one year Bom the date of recording unlass a dflerenl date Is specified):
i WARNING TO OWNER: AM'PAYMENTS MADE BY THE ONRJER AFTER THE EXPIRATION OF THE NO"RCE OF COMMENCEMENT
� ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PAR71, SEC770N 713.13, FLORIDA STATUTES, AND CAN
RES��LT !N YCJR PA`IING??:9Cc rOR tNF•RC'JEf�iE�u TC YGUic PRG'r"EnTi. H NGiICE OF COMh1ENCEASENT MUST BE
RECORDED AND POSTEO ON THE JOB SITE BEFORE THE FIRST INSPEC710N. IF YOU IPJTEND TO OBTAItJ FINANCING,CONSULT
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
� Under pena(ty of pe�jury,I dedere tha!I have read the foregafnB n c of encement end t the fads s ed ere' e io ihe besl
of my knowled�e and beAeL �
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� STATE OF FLOS2IDA @�
i COUNN OPPASCU �
� Signa re f Owner or L ssea,or e e 's Au rized
Ofiice 1Di orJPariner/Manager
s�e�.,�oys ruerotr+�
The faregofng InsWment was acknowfedged before me thi�� day o( 4� ,24��,by �
' � as (type of auUwriry,e.g„afficer,trustee,attomey in fad)/or
(na e of party on behatf o m � s Wmenl�ras oxewle�.
Personaliy Known[�0$Produced Identificalion❑ Notary SlgnaWre u � h� �_ 0.�'`� '
Type of IdentiFlcaUan Produced Nama(Print) . ►'1 tl� !!�T r"t,
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PRULR 5.�0'NEIL,Ph D PASCO CLEP.K & COMPTROLLER ���������
12/09/2016 01:12 m 1 of 1 ,a-Y"'��: NANCYK.�AB�Fr;E �±
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OR �K ��,�� p� �Q�� ;*: .: MYCOMMISSIOf�BEE&30cE5
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=;;•, 'a: EXPIRES:December 27,2015 �
'-:pf��;;°:�'� Bonded Thru No4, p ��
wpdala/bcs/nollcecommencemen�pc053048 ry uhlic Unde;�rri,��r•
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RESIDENTIAL ROOFING SPECIALISTS
LIC#CCC1330041
FAX COVER SHEET
, Date: December 8, 2016 From: Kevin Bass
I
Attn: Contractor Licensing Fax: 813-574-4340
Re: Registration CC: File ,
Fax: 813-780-0021 Total Pages: I
Comments:
� Please find attached the information for contractor re 'stration. If ou have an
� Y Y
questions,please do not hesitate to contact me in our office. Thanks.
Kevin Bass
Ph 813-419-0502
cevans c[�,myroofsmith.com
i Check us out at: www.mvroofsmith.com
�
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*If you have any questions or require any additional information,please do not hesitate to
contact us in our office. Thanks.
6089 Johns Rd,Suite 9&10^'Tampa,FL 33634
', (Ph)813-419-0502^'(Fax)813-574-4344
www.mvroofsmith.com
� � STATE OF FLORIDA
�P �� '�r DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
. �~ ��f.
;� ., -t;-
. CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
"" ' �*�` 2601 BLAIR STONE ROAD
�oa�
TALLAHASSEE FL 32399-0783
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BASS, KEVIN MICHAEL
ROOFSMITH OF TAMPA BAY INC
6089 JOHNS ROAD
�, STE 9
TAMPA FL 33634
Congratulations! With this license you become one of the nearly ,� -
one million Floridians licensed by the Department of Business and _•-w,
Professional Regulation. Our professionals and businesses range ' y�' �: STATE OF FLORIDA
from arcliitects to yacht brokers,from boxers to barbeque 3��� DEPARTMENT-OF,BUSINESS AND
' restaurants,and they keep Fforida's economy strong. ��'` PROFESSIONAL REGULATION
Every day we work to improve the way we do business in order " CCC1330041 �° ISSUEp: 06/30/2016 �
to serve you better. For information about our services,please ' �
log onto www.myfloridalicense.com. There you can find more � CERTIFIED ROOFINGICONTRACTOR
information about our divisions and the regulations that impact ' BASS,KEVIN MICHAEL -"- -•�, `-
you,subscribe to department newsletters and leam more about ROOFSMITH OF•l'AMPA:BAY�INC'
the DepartmenYs initiatives. . - i
Our mission at the Department is: License Efficiently, Regulate __ ,
Fairly.We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida, � IS CERTIFIED under:tAe provislons of Ch 4B9 FS
and cong�atulations on your new license! �p�uo�a��e AUG 31,2018-- L160630000Q643
i
i DETACH HERE
RICK�SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
! CONSTRUCTION INDUSTRY LICENSING BOARD ��;�o
— -- ��•��_�. �4��,.'`
��.�fj�. � :�
CCC1330041 � . '
, �_,_�z•���
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The ROOFING CONTRACTOR - "
Named below IS CERTIFIED ����'` s�
Under th�e provisions of Chapter 489 FS - c°D"��
Expiration date: AUG 31, 2018 � -
- � � � ' �
BASS, KEVIN MICHAEL -- - � �
ROOFSMITH OF TAMPA BAY INC _• _ _ �
6089 JOHNS RD - _ - _ � _ - _. __ "-" __ _ _
SifE 9 - - -- ' - , _ � ,
TAMPA -FL 33634 .: :- - � ,
' - - � � , , �. �`�
i _ _
IssuEo: os/3o/2016 DISPLAYAS REQUIRED BY LAW sEQ# �1sos300000sa3
...--•-----------------•--...-----...........--•-------------------------------------------------..._.....------------•----------------------•---......
y� F_. y�� �y�, �,,:
!• •q�l��Vr -�.. °+ � �._ �7 ,.d�l!�:IA:Gf,�� f'.�,� ;s •,�r.v::�., a�"�u"% aa. "'.a:.��._a:i. - n�:,�_i�
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.. K:S..���. aji'�� ;x���`M,�,"3�!e'rf'ti�'S��'`.L��S:1A13��.�
. , , •Category Code Business Type Units Tax
26.01 090.000004 CONTRACTOR , 1 Empioyees Receipt Fee 16.00
Hazardous Waste Surcharge 40.00
Law Library Fee 0.00
_ CCC1330041
Paymants not received priorto Od 1st are deMqueM. eusiness ROOFSMITH OF TAMPA BAY
� 6089 JOHNS RD STE 9
Make;checks payable in US funds to: TAMPA,FL 33634
Doug Bolden,Tax Collector PO Box 30012 Tampa,FL 33630-3012
Remembertowdteyouraccountnumeermcbedc. Name ROOFSMITHOFTAMPABAY
Ptease Pay �0.00 $0.00 50.00 $0.00 $0.00 Mailing 6089 JOHNS RD STE 9
If Paid By Oct 31, Nov 30, Dec 31, Jan 31, Feb 28, Address TAM 63
i2016 2016 2016 2017 2017 �
,
� ture 6 Tftle
' i I ar or eMrm this application Iw businecs tex is for tha busineas,
' occupetion a profeulon indxste0 herean end is true arW conecL
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HillsbOrou�h County
Florida
� '��
BUILDII�G SEI�V�CES DIVISdON
� CERTIF�Ce�►TE �F �
, ��i'� �������'
� c��a���z�� �aoo�z�v� cora�a�c�o�
�C�1330041 09/30/201�
Certificate Number License Expiration Date
i
! Issued to:�E�.�S �+VIN M
! DBA:h200]FS1�I'TI�OF�'AN[P�.BA�'INC
� Workers'Comp: 12/31/2016
�
� ����1�
Issuing Officer
� CUT AIANG OUTER DOTTED LZNES�FOLD AIANG THE MZDDLE DOTTEp LINE,
� PLACE IN WALLET
�
� '__'_"'_""_""_'__""_"'_"'"'_"'"'_"_I
� I""'_'_"_ SZGN YOUR C71FtD I
' �This card is non-transferable and is revocable for cause�
i �
The contractor lieted hereon will be held responsible �
for all permita iseued under thi� card. If this card is�
; lost or atolen, notify the xillsborough Co. Contractor
� ILicensing Team ii[miediately at (813) 635-7308/7309.
Your card muat be renewed prior to the expiration date
shown on the front.
�
' Signature not valid unlesa aigned
� -----------------------------------
I '------------I
� ---- CERTIFICATE OF C�ETENCY
� HILLSBOROVGH COUNTY� FLORSDA �
I Y�pe:CERTIFiED ROOFZNG CONTRACTOR �
NO PERMIT UNTIL STATE REGISTERID, IF APPLICABLE �
I � CCC1330D41 09/30/201B �
ICertificate No. Expiration Date I
Iaeued To:
� HA89.KEVIN,_M.� . - ,
I _ . ., .. , . —. .. . ... �._� „ .._.
� DHA:AOOFffi�IITH OF TAMPA SAY INC I
� Workere'Comp: 12/31/2016 �
� is—`su ng Officer �
---'--'----'-'-----------'---'-------"'----'-------'-'----"
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,�', ROOFOFT-01 JFAVA
• ACG�RO� CERTIFICATE OF LIA�ILITY INSURANCE DATE(MMIDD/YYYY)
�� 12/8/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.' THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER I NONTACT
ASSOCIATES AGENCY,INC. PHONE Fax
11470 N 53�d St (Fuc,No,eM:(813)988-1234 ac,No:(813)988-0989
Temple Terrace,FL 33617 Ao A'E .certs@associatesins.com
I INSURER 5 AFFORDING COVERAGE NAIC q
i INSURERA:GBRll�11��1SU�8�1Ce CO.
INSURED I iNsuReR s:AUTO OWNERS INSURANCE CO. 18988
Roofsmith of Tampa Bay,Inc. iNsuReR c:Commerce and Indust Insurance Co. 09410
6089 Johns Road Suites 9&10 INSURER D:
Tampa,FL 33634
INSURER E.
INSURER F: '
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR I 7ypE OF INSURANCE ADDL SUBR pOLICY NUMBER POLICY EFF POLICY EXP LIMITS
I
I A X COMMERCIAL GENERAL LIABILITY ��OOO�OOO
EACH OCCURRENCE $ I
� j CLAIMS-MADE a OCCUR GGP002299 09I24/2016 09�24�2��7 DAMAGETORENTED $ 100,��0 �
I
MED EXP M one erson $
PERSONAL&ADV INJURY $ �rOOO�OOO
' GEN'LAGGREGATELIMITAPPLIESPER GENERALAGGREGATE 2,000�000
POLICY��E�T �LOC PRODUCTS-COMP/OP AGG $ Z,�OO,OOO
OTHER: $
B AUTONOBILE LIABILITY COMBINED SINGLE LIMIT $ 'I�OOO,OOO
i
X ANYAUTO 5022555300 12/23I2015 12/2312016 gpDILYINJURY Per erson $ �
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY Per accident $
X HIRED �( NONAWNED PROPERTY AMAGE
AUTOS ONLY AUTOS ONLY Per accident $
, j PIP $ 10,000
I r+ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ �,OOO,OOO
X EXCESS LIAB CIAIMS-MADE EBU080744586 09/24/2016 09/2412017 qGGREGATE $ �'���,��� �
I DED RETENTION$ g I
WORKERS COMPENSATION PEA OTH- �
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT
OFFICER/MEMBER EXCLUDED7 � N/A
� (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ �
i I
DESCRIPTIO i OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 701,Additional Remarks Schedule,may be attached if more space is requlred)
I
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CERTIFICATE HOLDER CANCELLATION
i � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I'
I City of Zephyrhills-Building Dept. ACCORDANCE W TH THE PO ICY ROVIS ONSCE WILL BE DELIVERED IN
, 5335 8th Street
' � Zephyrhills,FL 33542
, � AUTHORIZED REPRESENTATIVE
c:;'��1/ V .
ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved.
� The ACORD name and logo are registered marks of ACORD
i
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ACO�RO� DATE(MMlDD/YYYY)
CERTIFICATE OF L1�4�ILITY IiVSURARJCE 12/08/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
Bouchard Insurance for WBS PHONE Ex . �g66)293-3600 ext.623 ac No:
P O.BOX BO9O E-MAIL
Clearwater;FL 33758-6090 ADDRESS:
INSURER S AFFORDING COVERAGE NAIC#
iNsuReRn: American Zurich Insurance Com an 40142
INSURED � INSURER B.
Workforce Business Services,Inc.Alt Emp:Roofsmith of Tampa Bay Inc
1401 Manatee Ave.West Ste 600 INSURER C:
Bradenton,FL 34205-6708 INSURER D:
INSURER E.
INSURER F:
COVERAG;ES CERTIFICATE NUMBER:15FL079874703 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR I 7ypE OF INSURANCE ADOL SUBR POLICY EFP POLICY EXP LIMITS
LTR POLICY NUMBER MMIDD/YYYY MMlDDIYYYY I
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CWMS-MADE �OCCUR PREM SES Ea occu ence $
I � MED EXP(My one person) $
I PERSONAL&ADV INJURY $
i
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY��E a �LOC PRODUCTS-COMP/OP AGG $
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
� Ea accident I
ANYAUTO BODILYINJURY(Perperson) $ �
ALL'OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-0WNED PROPERTY DAMAGE $
HIRED AUTOS pUTOS Per accident �
� $
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
1
EXCESS LIAB CLAIMS-MADE AGGREGATE $ ,
, DED RETENTION$ S �
� WORKERS COMPENSATION X STATUTE ERH
AND EMPLOYERS'LIABILITY
ANYPROPRIETOR/PARTNERfEXECUTIVE Y�N E.LEACHACCIDENT $ 'I,OOO,OOO
A OFFICER/MEMBEREXCLUDED? � NIA WC 90-00-818-05 12/31/2015 12/31/2016
(Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,�00,���
�I If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY L1MIT $ 1,000,000
ILocation Coverage Period: 12/31/2015 12/31/2016 Client# 054253
i
;
DESCRIPTION OP OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Addltlonal Remarks Scheduie,may be attached if more space Is required)
Covera9e is provided tor Roofsmith of Tampa Bay Inc
� only those co-employees 6089 Johns Rd,Ste 98�10
of,but not subconVactors Tampa,FL 33634
to:
1
CERTIFICATE HOLDER CANCELLATION
I
� City of Zephyrhilis Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
; 5335 8th Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN i
; Zephyrhills,FL 33542 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE ',
i
I ` II I
I O 1988-2014 ACORD CORPORATION. All rights reserved. I
' ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ,
�— I J
. ' �e
� � � Roof. :y.
Srn>th
liter.•,,00 I P.e'zFeC f Iir;cetl
RESIDENTIAL ROOFING SPECIALISTS
LIC#CCC1330041
December 9,2016
RE: Permits&License Registration(Revised)
To whom it may concem,
Please accept this letter as authorization for the following individual to apply for and sign for
permit applications,license applications, and issued permits on behalf of our corporation:
Colton Evans
Kelek Pineda
If you have any questions,please do not hesitate to contact me in our office. Thanks.
�---- •-----__
� Kevin M Bass
I CCC1330041
I
�State of Florida County of Hillsborou�h
�The forgoing instrument was acknowledged before me this�`�`day of�_��- ,201ro,by
i��s� '(� e,� ( o is� rs nal v known to m�)or(who has produced as
�identification), and who(did) i not)take an oath.
Notary Signature: _.� • .s� � I
�--s
���� Notary Public State o(Fiwide
. Christopher M Queen
e My Commission FF 808858
�apo�`� Expires091t312019
6089 Johns Road,Suite 9&10^'Tampa,FL 33634
(Ph)813-419-0502
www.myroofsmith.com
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� B200-513-74-4'19-0 J. �
-KE1/IN MICHAEL �
BASS
1+E'S0J TURNING LEAF CT �
`z TAMPA,FL'336263328 �.
'.3zDpB:'I1-19:1974 SEX:M ;
�.IS6UE0:10�2�,-2010HGT:5-11 , '
EA`MRES: 11-19-2018 t
i �- . ' R£ST - -� k � `�_ - `
� •-�ORSEr _- --- ' ' .
"` ji2ERtr►CEo;�04-2L°-2v,�i ` �p - I
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I - SAFE CRFY£R _' _ � -
Qpera.ion ol e momr vehicfe cw:_�nvtas censenc[a nny snbriery tesl requ�+ed 6r�- - _
-. � " _ __
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• � REVISED W/DWNERS NAME
i �RIGINAL PROPOSAL WAS BHHS
rRorosiu�
nt��\ RoofSmRh oi'r�mpa eay,lnc. 11102018-001
�`\t\ e►wt�
' �OOf���� 6GB9Johns Rd Ste 9&10 yypyq��qq jReplacement OpDion)
� ��It�'1.w,
Temp7,FL 33634 ��
11l1012016_
i. , r-.....
Ph(613)419-0502
%l0►OSAlSU6AAlI7tDi0 ►NONE(W1V1)
Jahn W.Lubbers
IWRR IACA7IDM(SU6DNLSIOIn u
904-891-624D
fM� FA1f
6��2�s�l�$ifEOL
CrtY,1T711[,ZV OOOE [MNL '
2ephyrhtlls,F133542. Johnwlubbers�gmalLoom
We hv�Dy submk apeclfkadons and esUm�tes!w the folbwlnQ work
�Remove existing roof shingles and underlaymcnt
m Renail existing ply�vood decking per current buildirig code riquirea►ents
Q7 Rcplacc up to._3_EA sheets of Plywood 5henthing-(marked if applicabie)—additional shcets replaad at SSSha
(7�Replace up to_10 LF of Wood Fascia(marked ifapplicable)
m Replace flashing and meta]drip edge(os applicable)
�Replaa existing pipe boots and exhaust vcnu(painied to match shirigles)
m install GAF"Aro-Start"Sterter Shingles af ell eave and ralie conditioas
(�J Install new 40 mil Fully Adliered Underluyrtient
m Furnish and instali new GAF Timberline HD LiCeGme Shingle System(in homeowner selection of color)
�Includes GAF"Sea]-A-Ridge"Hip&Ridge Cap Shingles
�Includes-_40 I:F of GAF Cobra 3 Ridge Vents
', � Includes all disposel fees,taxes,and building pecmit fees
�Includes RooiSmith's S year Worksmanship Warranty.nqd GAF"Systems Pius"LifeGme 1Varranry
� Includes Wind Mitigation RepoR for Insurance Company(potentiel discounts may be avaiiable)
NOTE: WILL DISCOUNT PRICE �500.00 FOR OASN OR CHECK MADE DUT TO
ROOFSMITH OWNER.
CUSTOMER NEEDS COMFLETED PRIOR TO YEAR END,
We propose hertbyto(�imfsh all IaEor and matertab-ramplete In accordance with the above specifiratlont,for thesum oL•
Seven thousand Nne hundred and seventy tive �,w�,�s 7,975.00 ,
PAYMENiTERMS:
NOTICETOOWNEi�As required by FloAda ConsW[ti�taw F5713.001-773.37,buitda. due upon comple0�
hereby noUfla Owner lh�t persons or tomponles fumBhing labor or matviatt for the
wnstruction on Owners i�nd may have Iien dgha on Owner's land Euadiegs if not pa1d.
Those entitled to I'icn rlghU,inad�tion te the undersi;ned builder,srethose who NOTE:This praposal mry be wrthdrawn by RootSmltA of Tsmpa Bry N not a[cep:e0
centn�drectty whh the Ormer or these whe givc thc Owncr thc notke aha they firxt �'^rn�n ten(10)days.
fumishWbororrtwterlalsfortheconstroctfoa Autheri=edSignawre
Christopher M.Queen
AClEPTANCE OF PROPOSAL-1 hcreby ceAifythat I have re�d and fully understand the Signature
provislom of this convact inciuding thetenns end�ondkioro wnt�}ned and I agree to all �'�"+ t( �,.,� � I! ���
of the provisi�ns,terms,and condklons lhereot The aDove prlces,speciflcattom,and Name�V W� d�� �
condtlons are sat�sfactory and are herebyaccepted.ftoofSmith of Tamya Bayls hereby Sign rc
aWwrited m perfacm worR as specified ahove.Paymenu shail 6e made a�outilned,
above. /
Na e ,� � /Y
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N'lorida 13uilding(;ode Unline Yage 1 of Z
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^BCIS Home !�Lop In�i User RegLstraUon��41 Mot Topits i Submit Surcharge { SWts&FaUs � Publiwtlons � FBC Staff { BCIS Site Map � Links � Search i
, Florida
� � „s Product Approval
��:-,� "' USER:PUDIic User
�.. .
t��;.,::1K�<
Product Aooroval Menu>ProduR or Aoolicallon Search>AoolipNon List>Appliotlon Detail
�'��:i''-�5""r::Y�r��"� FL# FL10124-R19
���:•_;,• ..
�'��y �� �"�'��'����l Application Type Revision
Code Version 2014
Application Status Approved
Comments
Archived i-1
Product Manufacturer GAF
Address/Phone/Email 1 Campus Drive
Parisppany,N]07054
(973)872-4421
lindareith@trinityerd.com
iAuthoriaed Signature Beth McSorley
� lindareith@trinityerd.com
ITechnical Representative Beth McSorley(current)
Address/Phone/Email 1 Campus Drive
IParsippany,N]07054
� (973)872-4421
� bmcsorley@gaf.com
I Qualfty Assurance Representative
� Address/Phone/Email
, Category Rooflng
i Subcategory Asphalt Shingles
i
� Compliance Method EvaluaUon Report from a Florida Registered Architect or a LJcensed
Florida Professional Engineer
I ❑ Evaluation Report-Hardcopy Received
I
I
Florida Engfneer or Architect Name who developed Robert Niemfnen
i the Evaluation Report
Florida License PE-59166
Quality Assurence Entity UL LLC
Quality Assurence Contract Expiretion Date 03/03/2018
I Validated By John W.Knezevich,PE
Ci Validation Checklist-Hardcopy Received
I Certificate of Independence R10124 R19 COI 2016 01 COI Nieminen.adf
i
Referenced Standard and Year(of Standard) Standard Year
; ASTM D1970 2009
I ASTM D3161 2009
ASTM D3462 2009
� ASTM D7158 2006
� TAS 107 1995
I
, Equivalence of Product SWndards
, Certified By
Sections from the Code
�
https�://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbd... 12/8/2016
I
�lorida 13uilding C;ode Unline - Yage 2 of 2
Product Approval Method Method 1 Option D
Date Submitted 08/26/2016
Date Validated 08/26/2016
Date Pending FBC Approval 08/30/2016
Date Approved 10/13/2016
Summary of Products
FL# Model,Number or Name Description
10124.1 GAF Asphalt Roof Shingles Fiberglass reinforced 3-tab,laminated,5-tab and hip/ridge
asphalt shingles
Limits of Use I�staliation Instructions
Approved for use in HVHZ:No FL10124 R19 II 2016 OB FINAL ER GAF AsDhalt
Approved for use outside HVHZ:Yes Shinales FL10124-R19.ndf
Impact Resistant:N/A Verified By: Robert Nieminen PE-59166 �
Design Pressure:N/A Created by Independent Third Party:Yes
Other:Refer to ER,Section 5. Evaluation Reports
FL10124 R19 AE 2016 08 FINAL ER GAF Asohalt
Shfnales FL10124-R19.odf
Created by Independent Third Party:Yes
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Lontac[Us::Z601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824
The State of Florida k an Aq/EE0 employer.Gouvriah[2007-2013 State of Florida.::PNvacv Statement::AccessibiliN Statemen[::Retund Statement
Under Florida Ww,email addresses are oublic reoords.If yau do not want your rmail address released in response to a Dublic-records request,do not send
i electronic mail to thls en[i[y.Instead,oontac[the office by phone or by tradttional mail.If you have any questlons,please conUct 850.487.1395.'Pursuant to
Sedion 455.275(1J,Florida Statutes,effective October 1,2012,licensees Iicensed under Chapter 455,F.S.must provide[he Department with an email address H
they have one.The emafLs provided may be used for official communfcation wtth tt�e licensee.However email addresses are public record.If you do not wish to
� suppty a personal address,ptease provide the Departrnent with an ema(I addmss which wn be made available to the public To detertnine if you are a Iicensee under ,
Chapter 455,F.S.,please click here.
� Product Approval Accepts:
� � � eCAeE �
' Credit Card
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� I
�j� �' ,�'" � �, EXTERIOR RESEARCH&DESIGN, LLC.
�� �•..,,:. Certificate of Authorization 119503
, t ������� 353 CHRISTIAN STREET,UNR#13
E�� OXFORD,CT 06478
PHONE:(203)262-9245
FAX:(203)262-9243
E\/ALUATION REPORT
GAF Evaluation Report 01506.01.08-R21
1 Campus Drive FL30124-R19
Parsippany, NJ 07054 Date of Issuance:01/03/2008
Revision 21:08/26/2016
SCOPE:
This Evaluation Report is issued under Rule_61G20-3 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 beer� evaluated for compliance with the 5"'Edition (2014) Florida Building Code
sections noted herein. ' '
DESCRIPTION: GAF Asphalt Roof Shingles �,
, I.�BELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted _ ,
herem.
CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the
re�ferenced 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
pr;oduct changes or the referenced Quality Assurance documentation changes. Trinity�ERD requires a complete
rei iew of this Evaluation Report relative to updated Code requirements with each Code Cycle.
A�veR'nsenneNr.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.
Thlis Evaluation Report consists of pages 1 through 6.
Prepared by: . .,��s««;,,,,,—
��.�+��,x;..:t �•,
.
.
�GQ.�'G�1:F p•�/••
��Q�:-M� •'!�i
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RobertJ.M.Nieminen P.E. 'r�S�'^�""'�' �facslmilese�lappearir�wasauthorizedbyRobertNleminen,
� t+,.!����������+��� P.E.on 08/26/2016.This does rot serve as an electronlolly signed
Flo�ida Registration No.59166�FIOfICIO DCA ANE1983 document.5igned,sealed hardcopies have been transmkted to the
I Product Approval Adminlstrator and to the named dient
CERTIFICATION OF INDEPENDENCE:
1. i 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 manufaduring or distributing products for
which the evaluation reports are being issued.
4. Robert Nieminen,P.E.does not have,nor will acquire,a�nancial interest in any other entity involved in the approval process of the
product.
5. This is a building code evaluation. Neither Trinity�ERD nor Robert Nieminen, P.E. are,in any way,the Designer of Record for any
project on which this Evaluation Report,or previous versions thereof,is/was used for permitting or design guidance unless retained
specifically for that purpose.
�
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ROOFING SYSTEMS EVALUATION:
1. ScoPE:
Produd Category: Roofing �
- Sub-Category: Asphalt Shingles
Compliance Statement: GAF Asphalt Roof Shingles,as produced by GAF, have demonstreted 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: � II
Section Pro e _ Standard Year
1507.2.4,R905.23 Physical Properties �ISTM D1970 2009 i
1507.2.5,R905.2.4 Physical Properties ASTM D3R62 2009
1507.2.7.�,R905.2.6.1 Wind Resistance ASTM D3163 2009
.1507.2.7.1,R905.2.6.1 Wind Resistance � ASTM D7158 2008
1507.2.7.1,R905.2.6.1 Wind Resistance � TAS 107 1995 -
3. REPERENCES:
Enti Examination , Reference Date i
GAF(PDM 1915) Letter of Equivalency SeaI-A-Ridge Impact Resistant IR O3/13/2012
PRI(TST 5878) Physical Properties GAF-025-02-01 03/27/2002
PRI(TST 5878) ASTM D3462 , GAF-059-02-01 09/02/2004
PAI(TST 5878) ASTM D3462 GAF-080-02-01 05/25/2005
PRI(TST 5878) Physical Properties GAF-324-02-01 12/OS/2011
PRI(TST 5878) Wind Driven Rain _ GAF-407-02-01 Ol/21/2013
UL(TST 1740) ASTM D3462 93NK6295 11/29/1993
UL(TST 1740) ASTM D3462 99NK4383� Dl/12/2000
UL(TST 1740) TA5 307 � 94NK9632 03/29/2000
UL(TST 1740) ASTM D3462 O1NK06632 02/02/2001
UL(TST 1740) ASTM D3161,TAS 307 O1NK9226 05/21/2001
11L(TST 1740) ASTM D3161 O1NK37122 12/18/2001
UL(TST 1740) ASTM.D3462 O1NK37122 12/19/2001
UL(TST 1740) ASTM D3161,TAS 107 02NK12980 04/10/2UO2
UL(TST 1740) ASTM 03161,TA5 307 02NK30871 09/09/2002
UL(TST 17d0) ASTM D�161 �J3CA5367 03/11/2003
UL(TST 1740) ASTM D3462 03NK26444 10/17/2003
UL(TST 1740) ASTM D3462 04NK13850 06/07/2004
UL(TST 1740) ASTM D3161 04NK13850 06/23/2004
UL(TST 1740) ASTM D3161 04NK30546 03/10/2005
UL(TST 1740) ASTM D3462 � 04NK22009 05/06/2005
UL(TST 1740) A57M D3161 ' 04NK22�9 05/09/2005
UL(TST 1740) ASTM D3462 ' 05NK27924 02/10/2006
UL(TST 1740) ASTM D3161 OSNK27924 02/11/2006
UL(TST 1740) ASTM D3161,D3462 06CA18077 06/05/2006
UL(TST 1740) ASTM D3161,D3462 O6CA38074 06/16/2006
UL(TST 1740) ASTM D3161,D3462 06CA35251 10/18/2006
UL(TST 1740) ASTM D3462 � 06CA31603 12/01/2006
UL(TST 1740) ASTM D3161,D3462 06CA41095 12/27/2006
UL(TST 1740) ASTM 03161 07NK05228 03/13/2007
UL(TST 1740) ASTM D3161 06CA31611 04/04/2007
UL(TST 1740) ASTM D3161 06CA61148 04/09/2007
UL(TST 1740) ASTM D3161,D3462 07�A31742 11/08/2007
UL(TST 1740) ASTM D3161,D7158,D3462 08CA06100 03/13/2008
UL(TST 1740) ASTM D3161,D3462 07CA55908 04/Ol/2008
Exterior Research and Design,LLC. Evaluation Report 01506.01.08-R21
Cerifflcate oJAuthorizadon i19503 FL10124-R19
Revision 21:08/26/2016
' Page 2 of 6
, '
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` Enti Examinatian Reference Date
� UL(TST 1740) ASTM D3161,D3462 09CA10592 03/26/2Q09
Ul(TST 1740} ASTM 03161,D3452 09CA06855 p5j15j2QQ9
' UL(TST 1740) ASTM D3261,D7158,D3462 09NK06647 OSj01/2009
"; UL(TST 1740) A5TM p3161,D7158,D3462 09CA27281 D8/27/2009
UL(TST 1740� ASTM D3151,D?158,D3462 10CA35554 o31Qst2oio
UL(TST 1740) ASTM D3161,D7158,D3462 10CA13686 OS/15/2010
UL(TST 174Q) ASTM D3462 lOCA07264 05/27/2010
Ul(TST 17A0) ASTM D3462 lOtA11953 10/24j2020
Ul(TST 1740) ASTM D3161,D7158,D3462 lONK11951 10/30/2010
Ul(TST 1?4Q) ASiM 03161,D7158,Q3462 SONK12070 21JOAj2Q10
UL(TST 1740) ASTM D3161,D7158,D3462 OSCAp6100 01/30/2030
UL(TST 1740) ASTM D3161,D7158,D3R162 lOCA53934 03/31/2011
U�{TST 1740� ASfNi D3161,D7158,D3462 S1CA48924 10j22j2011
UL(TST 17A0) ASTM D3161,D7158,D3462 S1CA47919 12/03/2011
Ul(TST 2740� ASTM 03161,D715$,d3462 21fA4$4Q8 12f48/201Y
UL(TST 17A0) ASTM D3161,D�158,D3A62 SifA48725 12jd9/2011
UL,LLC.(TST 962$) A5TM D3462 12CA34891 10/12/2012
Ul,itC.{TST 9628j ASTM 03161,07158,D3452 12CA58251 02j15J2013
UL,LLC.(TST 9628) ASTM D3161 12CA38083 02/26/2013
Ul,LLC.(T5T 4628j ASTM D31G1 13CA32332 05/18/2013
Ul,LLC.(TSi 9628} ASTM D3161 13CA37934 08JQ2J2013
UL,LLC.(TST 96Z8) ASTM D3161,D7158,D3462 4786875675 07/17/2015
U�,llC.{TS3'9628} ASTM D3161,D?158,D3462 47874345A2 OSj17j2016
UL,LLC.(QUA 962Sj Quatity Cantrol Inspettion Report,R21,Mobile,AL 12/28f2015
Ul,LLC.(QUA 9625) Quality Cantrol Inspection Report,R21,Myerstown,PA 02/23/2016
UL,llt.(QUA 4625) Quafity Cantrol Inspectioa Report,R21,Tuscaloosa,Al 0212�lzoi�
' UL,LLC.(4.UA 9625) Quality Control Inspection Report,R21,Michigan Cty,IN q3/02/2016
Ul,ilC.(QUA 9625� Quality Contral tnspection Report,R21,Shafter,CA 02/18J2016
UL,LLC.(QUA 9625� Quality Control tnspection Report,R21,Savannah,GA 02j24J28f6
UL,LLC.(QUA 9625) O,uality Control Inspection Report,R21,Minneapolis,MN 02/09/2016
Ul,�iC.(QUA 9625} Quatity Control Inspectian RepaR,Rz�,Mt.vemoa,�c� 021o�12oi�
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Baltimore,MD 03/01/2016
UL,LLC.{QUA 9625) Quat�ty Contro) Inspection Report,R21,Tampa,FL 02f29/2015
UL,iLC.(QUA 9625) Quatity Controi inspection Report,R21,dallas,TX 02j17J2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Ennis,TX 02/03/2016
U�,llC.(QUA S625j Qtral'�ty Control InspeGtioa Rcport,R21,Fontana,cA o�/o3/2oi�
4. PRODUC7 DESCRIP'iION:
4.1 Asphatt Shin�tes:
4.3.1 Marquis� WeatherMax°, Royal Sovereign� and Sentinel° are a fiberglass reinforced 3-tab asphalt raof
shingtes.
• 4.1.2 Camelot°, Camelot� 11, Fortitude'"', Glenwood'", Grand Canyon0, Grand 5equoia�, Grand Sequoia° IR,
Grand Sequaia� ArrrrorShieldTM, Monaco�, Sienna�, Tirnbertine°' American Harvest�, Timberline�
ArmorShieldTM II,Timberiine�Natural Shadow�,Timberline HD�,Timberline�Cool Series°,Timberline Ultra
HD°and UUoadland°are fiberglass reinfarced,taminated asphalt roaf shingles.
4.1.3 Slateline�is a fiberglass reinforced 5-tab asphalt roof shingle.
4.2 Hip&Rid�e Shin�tes:
4.2.1 SeaI-A-Ridge� Ridge Cap Shingles, SeaI-A-Ridge'� IR Impact-Resistant Ridge Cap Shingles, Seai-A-Ridge°
ArmorShield'"Etidge Cap Sh'sngtes and Timbertexi°Premium Ridge[ap ShingCes are fiberglass reit�forced,hip
and ridge asphalt roaf shingles.
E�ertor ltesearch and Desfgn,LLC. Evatua#ton Report 41506.01.Q8-R21
Certi�cate oJAuthorizatlon�I9503 Fi.10IZ4-R19
i Revisian 21:OS/26/2016
Page 3 of 6
i *�. ---,1 . .
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4.3 Accessorv Starter 5trias:
4.3.1 Pro-S#art°EavejRake Starter Strip Shingles and WeatherBtocker'"Premium Eave/Rake Starter Strip Shingles
are starter strips far asphait roof shingles.
4.3.2 QuickStart��Peel & Stick Starter Rol! is a is a mineral-surfaced, �bergfass-reinfarced, seif-adhering SBS
modified bitumen starter strip,nomina)9-inch x 33 ft roll,for use with asphalt shingles with exposure of 6-
inch or less.
4.3.3 StarterMatch"'Sfiarter Strip Shingtes are color-coardinated starter strips far use with Grand Ganyon'�and
Grand Sequoia° series asphalt shingles. StarterMatch"' are installed as the second starter for Grand
Canyan�and�rand Sequoia�series installa#ions.
5. unn�rAr�oNs:
�
5.1 This is a buitding code evaluation. Neither Trinity�ERD nor.Robert Nieminen, P.E. are, in any way, the
Designer of S4ecord for any praject�on which this Eval�ation Report, or previous versions thereof, is/was
used for permii#ing or desi�n guidance uniess r�tained specificalty#ar that purpose. �
5.2 This Evaluation Report is�z►t for use in the HVHZ. .
5.3 Fire Gassification is not part af this Evatuation Report; refer to current Approved Roofing Materials
Directory fo��re ratings of this�roduct.
5.4 Wind tlassificatian: ' ,
5.4.1 The GAF asphalt shingles noted in Settion 4.1 are dassified in accordance with FBC Tables 150?.2.7.1 and
R905.2.6.1 to ASTM D3162,Class F andJor ASTM D7158,Ctass H, ind'rcating the stiingtes are acceptabte for
use in all wind zones up ta V�=150 mph�V„�t=194 mph). Refer ta Section 6 for installation requirements
ta meet Lbis wiod cating.
5.4.2 The GAF hip&ridge shingles noted in 5ection 4.2 are Classified in accordance with FBC Tabies 1507.2.7.1
and R9Q5.2.6.5#o ASTM p3161,Ctass F,indicating the sh'sngles are acceptable far use in alt wind zanes up to
V,�=150 mph(V„��=194 mph). Refer ta Section 6 for installation requirements to meet this wind rating.
5.4.3 Uassificatian by ASTM D7158 appiies anty to expasure categary B or C, as definec! in FBC 16Q9.4.3, and a
mean roof height af 60 feet ar less. Calculations by a qualified design professional are required for
conditions autside these limitations. Contad the shingle manufacturer#or data specific ta each shingie.
S.5 All products in the roof assembly shall have quality assurance audit in accardance with the Florida Building
Code and F.A.C.Rule 6162C1-3.
6. (NSTALLATION:
6.1 Undertaymentc
6.1.1 Underlayment shall be acceptable to GAF and shall hold currenf Flarida Statewide Product Approval, or be
Lacaffy Appraved per Rute 61f20-3,,per FBC Sectians 15t}7.2.3,1507.2,4 or R905.2.3.
6.2 Starter Shingles or Starter Strip:
6.2.1 tnstatJation of Pra-Start EavejRake�Starter Str3p Shfigtes,WeatherBiacker Fremium EaveJRake Starter S#rtp
Shingles and QuickStart Peel&Stick Starter Roll shall comply with the GAF current published instrudions.
� 5.3 Asphatt Shi»gtes:
6.3.1 Installation of asphalt shingies shall camply with the manufacturer's current published instructions, using
minimum faur {4} �aits per shingte in accardance with FSC Sectians 1507.2 ar R905.2, urith the fallowing
exceptions:
➢ Camelot,Camelot il,Grand Canyon,�rand Sequoia,6rand Sequoia!R,Grand Sequota ArmorShield,and
Wood(and require minimum five(5j nails per shingte.
D Slateline�equires minimum six(6)nails per shingie.
( Exter3ar Research and Design,ClC. Evatuatian Report 01506.81.08-R21
CertTfltate of Authorizadon�J9S03 FL10124-R19
� Revlsion 22:a8J2s/Zo�e
Page 4 af 6
1
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�`�J�RINITI��E�D
, 6.3.2 Fasteners shail be in accordance with manufacturers published requirements,but not less than FBC 1507.2.6
, or R905.2.5. Staples are not permitted.
6.3.3 Where the roof slope exceeds 21 units vertical in 12 units horizontal, special methods of fastening are
, required. Contact the shingle manufacturer for details.
� 6.4 Hip&Ridge Shingles:
6.4.1 Installation of SeaI-A-Ridge Ridge Cap Shingles,SeaI-A-Ridge IR Impact-Resistant Ridge Cap Shingles and Seal-
A-Ridge ArmorShield Ridge Cap Shingles shall compiy with the manufacturer's current published instructions
with a minimum two(2)naifs,minimum 3/8-inch head diameter,per shingle and nominal 0.25-inch diameter
beads of Henkel�Loctite PL 530 Roof&Flashing SealanY'.
��•5� Sealant
�° (Z92mm� �� Sellante
(25 mm) (25 mm) Enduit d'etancheite
.,',�,.
' ' " . ' �_ . -
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� (305 mm)
Naii
' ClaVo ' .
6 5/8°-7 5,'8° Clouer
(168-194 mm)
12°
(305 mm)
6.4.2 Installation of Timbertex Premium Ridge Cap Shingles shall comply with the manufadurers current
published instructions with a minimum two (2) nails, minimum 3/8-inch head diameter, per shingle and
beads of Sonneborn NPi Gun Grade Polyurethane Sealant or Henkel PL Roofing and Flashing Sealant.
tt S� —- 5eau+m
�• 12a2mn;` t� 5t:lanla
42�mrrij ti��m^' cndut d'��rtc�@.h3
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6.4.3 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.
Exterior Research and Design,LLC. Evaluation Report 01506.01.08-R21
Certificate of AuthnrizotJon�t9503 FL30124-R19
Revision 21:08/26/2016
I Page 5 of 6
t. _ ,f...__-� •
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7. LABELING: ,
7.1 Labeling shall be in accordance with the requirements 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. BUILOING PERMIT REQUIREMENTS:
As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of
this product. '
9. MANUFACTURING PLANTS: �
Contact the named QA entity for information on which plants produce products covered by Florida Rule 61G20-3 QA
requirements. � •
10. �UALITYASSURANCEENTfTY:
UL L!C--QUA9S25;(847)064-3281 • �
- END'OF EVALUATION REPORT-
Exterior Research and Design,LLC. Evaluation Report 01506.01.08-R21
CertJJlcate of Auihvrization�9503 FL10124-R39
, Revision 21:08/26/2016
Page 6 of 6
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The LASTOBOND Eaves Protection Membrane is a SBS modified bitumen membrane reinforced with a fibreglass mat.The self-adhesive
underface is covered with a split back siGcone release film.The surface is sanded.
LASTOBOND is specially designed as an eaves protection membrane used under asphalt shingies.
Apply to clean,dry surfaces of plywood,OSB or RESISTOBOARD asphalt panels.
Install roof covering as soon as possible following the membrane installation.
A�olication temoerature:4.5 to 50°C(40 to 122°F)
Service Temperature:-45 to 90°C(-49 to 194°F)
�
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• ; Rolls of 36 in x 33 ff(0.91 m x 10 m)covering approximately 97 ff2(9�m') �
• Rolis of 36 in x 49 ft(0.91 m x 15 m)covering approximately 147 ff'(13 m')
• Rolls of 36 in x 65 ff(0.91 m x 19.8 m)covering approximately 195 ff'(18 m')
, • Rolls of 36 in x 80 ff(0.91 m x 24.4 m)covering approximately 240 ff'(22 m')
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LASTOBOND is covered by CCMC 13184L.
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Thickness - 1.6 mm 63 mil
Reinforcement - Glass Mat
Surface - Sanded
Und i rface - Self-adhesive,covered with a release protection film
Rolls per skid—18 m'(195 ft') - 25
Roll weight-.18 m'(19�ft') - 33 kg 73 ib
Breaking Strength-MD/XD ASTM D1970 10/7 kN/m 57/40 Ibf�n
I
Elongafion at Break-MD/XD ASTM D1970 20/20%
Tear Resistance ASTM D1970 350/300 N 79/67 Ibf
� Static Puncture resistance ASTM E154 200 N 45 Ibf
Adhesion to Plywood,4.5°C (40°F) ASTM D1970 120 N/m 8.31bf/ff
Adhision to Plywood,24°C (75°F) ASTM D1970 300 N/m 20 Ibf/ff
Low Temperature Flexibility ASTM D1970 -29°C -20 °F
Water Vapour Permeance ASTM E96 <2.1 ng/Pa•s•m' <0.04 perm
Nail Sealability ASTM D1970 Pass
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(All vatues are nominal)
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,,��5, ...., � ESR-7524 �` � aur:►�1ti�xesrEr�� ,;��:�;::,i.� , .
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NOTE RESISTO may modfy the composifion and/or ulifaafion of its producis withouf prior notice. ,/2
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• Can be stored at temperatures below 0°C(32°F),but must be conditioned 24 hours at minimum 4.5°C(40°F) before its use.
• Keep upright af all times.
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• Not recommznded under matol reofing.
• Do n4i apply directly onto wood planks.Cover surface with plywood or OSB panels prior to the membrane application.
• Da not apply EXTERIt�R P�itv1ER onto polystyrene surfaces. � •
• It is not recommended to use an elastomeric bitumen membrane direcily on soffwood boards or on flexible polyvinyl chloride.
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._� f MIRMI-DADE COUHTY��. ��� � �� FIS � � ��z�'�`' ��E�17 ��n. ��� �6dCd ��ltY�� .
.��5. .,..� i �__.r5 ESR-7524 '.,, QURf.(T1�51'STCf�i
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NOTE RESISTO may modfy fhe composiiion and/or utiGzation of its products without prior notice. 2�2
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BCIS Home ? Log In�! User Regfstration � Hot TopicsYi Submit Surcharqe � Stats&FaGs I PublitaGons ; PBC Staff � BC15 Site Map ; Links � Searth i
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,,. �°�Product Approval
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Produc[Aooroval Menu>Produtt or Aonliption Search>Aooliration List>Applintlon Detail
F:'.- .,_,..,.,�__�;,.,
t.`.;-�':•='i��;=;" '� _ ' FL# FL17084-R2
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Application Type Revision
Code Version 2014
. Application Status Approved
Comments
• Archived !_�
Product Manufacturer RESISTO,a division of Soprema,Inc.
Address/Phone/Email 1675 rue Haggarty
Drummondville,NON-US 00000 �
(819)478-2400 Ext 3327 �
memathieu@soprema.ca
Authorized Signature Marc Mathieu
memath ieu@soprem a.ca
Technical Representative Marc Mathieu
Address/Phone/Email 1675 rue Haggarty
Drummondville,NON-US 00000
(819)478-2400 Ext 3327
memath ieu @sop rema.ca
Quality Assurance Representative
Address/Phone/Email
I
Category Roofing
Subcategory Modified Bitumen Roof System
I
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
� Florida Professional Engineer
i �0 Evaluation Report-Hardcopy Received
IFlorida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
IQuality Assurence Contrect Expiration Date 07/29/2017
I Validated By John W.Knezevich,PE
i u Validation Checklfst-Hardcopy Received
Certificate of Independence FL17084 R2 COI 2015 O1 COI Nieminen.odf
� Referenced Standard and Year(of Standard) Standard Year
I ASTM D1970 2009
I ASTM D6163 2000
FM 4470 1992
� FM 4474 2004
I
Equivalence of Product Standards
! Certified By
Sections from the Code
https�://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv2aB QpHpQQ... 12/8/2016
r lonaa tsuildmg C;ode Unlme Yage 2 of 2 �
_ ; I
Product Approval Method Method 1 Option D
Date Submitted 07/22/2015
Date Validated OS/07/2015
Date Pending FBC Approval 08/13/2015
Date Approved SO/16/2015
Date Revised SO/06/2016
�
iSumma of ProducGs
i FL# Model,Number or Name Description
17084.1 RESISTO Modified Bitumen 5B5 modified bitumen roof systems
I Roof Systems
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL37084 R2 II 2015 07 FINAL A1 ER RESISTO MODBIT FL17084-
Approved for use outside HVHZ:Yes R2.odf
' Impact Resistant:N/A VeriFied By: Robert Nieminen PE-59166
Design Pressure:+N/A/-112.5 Created by Independent Third Party:Yes
Other: 1.)The design pressure noted herein Evaluation Reports
pertains to one assembly. Refer to ER Appendix FL17084 R2 AE 2015 07 FINAL" ER RESISTO MODBIT R17084-
for all assemblies and maximum design pressures. R2.odf
2.)Refer to ER Section 5 for Limits of Use. Created by Independent Third Party:Yes ,
[tack Next
Contact Us::2601 Blatr Stone Road.Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.Convriaht 2007-2013 Sta[e of Florida.::Privacv Statement r.EScess@iliN Sbtement::Refund Statement
Under Florida law,email addressrs are publtc records.If you do not wan[your e-mail addr�s released In response to a public-records request,do not send
electronit mail to this entity.Instead,mntaR the office by phone or by traditional mail.If you have any questlons,D�ease cantaR 850.487.1395.'Pursuant to
SeGion 455.275(1),Florida Sta[utes,eHective October 1,2012,Iicensees licensed under Chapter 455,F.S.must provide the DeDartment with an email address if
they have one.The ematls provided may be used for o�cial rnmmunloUon with Ne li[ensee.However email addrnsses are pubtic record.If you do not wish to
I supply a personal address,please provide the Department with an email address which can be made available W the public.To detertnine if you are a licensee under
Chapter 455,F.S.,please didc here.
i Product Approval Accepts:
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APPENDIX 1:A7TACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE
Table Deck Application Type Description Page
lA Wood New or Reraof(Tear-Of fl E Non-Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 2
1B Wood New or Reroof(Tear-Of� F Non-Insulated,Bonded Roof Cover Z
The foilawinQ notes a�alv to the svstems outlined herein:
1. The roof system evaluation herein pertains to above-deck roof components. Roof decks and structural members shall be in accordance with FBC requirements to the satisfaction of the AHJ.
Load resistance of the roof deck shall be documented through proper codified and/or FBC Approval documentation.
2. ease sheet fasteners shall be of sufficient length for minimum 0.75-inch penetration through the wood deck.
3. For mechanically attached components,the maximum design pressure for the selected assembly shall meet or exceed the Zone 1 design pressure determined in accordance with FBC Chapter
16,and Zones 2 and 3 shall employ an attachment density designed by a qualified design professional to resist the elevated pressure criterfa. Commonly used methods are RA5117 and FM
LPD51-29. Assemblies marked with an asterisk'carry the Ifmitations set forth in Sectfon 2.2.1.5.1(a)of FM LPDS 1-29 for 2one 2/3 enhancements.
4. For fuliy bonded assemblies,the maximum design pressure for the selected assembly shall meet or exceed critical design pressure determined In accordance with FBC Chapter 16,and no
rational analysis is permitted.
5. For mechanically attached components over existing decks,fasteners shall be tested in the existing deck for withdrawal resi'stance. A qualified design profess(onal shall review the data for
comparison to the minimum requirements for the system. Testing and analysis shall be in accordance with TA5105 or ANSI/SPRI FX-1.
6. For existing substrates in a bonded recover installation,the existing substrate shall be examined for compatibility and bond perFormance with the selected adhesive to the satisfaction of the
AHJ.
7. Uniess otherwise noted,refer to the following references for bonded base,ply or cap sheet applications.
TABIE 1:RESISTO RooF Covens
Reference Layer Material • Appltcation
SB5-SA Base SA Base,SA Smooth Ply 40
Self-Adhering
(SBS,Self-Adhering) Cap SA Cap GR
8. "MDP"=Maximum Design Pressure is the result of testing for wind load resistance based on allowable wind loads.Refer to FBC 1609 for determfnation of design wind loads.
Exterior Research and Desfgn,LLC.d/b/a Trinity�ERD Evaluation Report 7215.06.14-R2 for FL37084R2
Certificate of Authorizotlon#9503 Revision 2:07/22/2035
Prepared by: Robert Nieminen,PE-59166
Appendix 1,Page 1 of 2
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�*���: TRll�lll�i ERD
TABLE SA;WOOD pECKS—NEW CQNSTRUCTION oR RERQQF(T�►R-OFF)
SYSTEM TYPE E: NON-iNSULATEp,MECtiANiCA�tY ATTACHEU BASE SHEEf,BflNDEO ROOF COVfR
System Base 5heet Roof Cover
Np Deck(See Nate 1} Primer MdP{ps�
8ase Fasten At4ach Base PrTmtr Cap
Mfn.7/16-inch OSB or Sopra-G or 32 ga.,l-5/8-inch 6-inch a.c.at the 4-inch laps and RESISTO RE515T0 s
W-1 diameter t#n caps with 11 6-inch o.c.at four{4),equally E}tTERIOR S85-SA EXTERIOR SBS-SA -3?.5
min.15J32-Inch plywood Moditied Sopra G
ga.annutar ring shank nafis spaced,staggered center rows PRIMER PRIMER
32 ga.,l-5/8-inch 7-inch a.c.at the A-Inch laps and RESISTO RESf5T0
W-2 Min.19J32-inch plywood Sapra-� diameter ttn caps with 11 7-inch o.c.at three{3},equaily EXTERtOR 585•SA EXTERtOR 585-SA -37.5
ga,annular ring shank na(is spaced,staggered center rows PRIMER PRIMER
NIin.15J32-inch OSB or 32 ga.,i-5J8-1nch 6-inch a,c at the 4inch laps and RESiSTO Rf5lSTO
W-3 Sopra-G diameter tin eaps with 11 6-inch o.c.at four(4),equally EXTERIOR SBS-SA EXTERIOR 585-SA -45.0
min.15/32-tnch plywood ga,annular ring shank nalls spaced,staggered center rows PRIMER PRIMER
TABLE 1B:WOOD bECKS—NEW CONSTRUCTION aa REROOF(T�►R-OFF)
SYSi'EiVI TYPE F:NOtH-tiYStlLATED,BONDED ROOr�Ct�9lER
System Roai Cover MpP�RSt}
No. Deck(See Note Sa Primer
Jaint Treatm�ni Base . F�imer �A
W 4 Min.7/16-inch OSB or min.15/32- RESISTO EXTERIOR pR1MER None 585-SA RESISTO EXTERIOR PRIMEN 5B5-SA -45.0
inth pfywood
W-S Min.15/32-inch OSB None None SA Smootfi Ply 40 None SBS-SA -87.5
W6 Min.15J32-inth OSB RE515T4 EXTERiOR PRiMER Nane SA Smooth Ply 44 None SSS-SA -?5.0
W-7 Min.15/32-inch plywood None None SA Smoath Ply 4q None 5B5-SA -305.0
W-8 t+tlin.l5/32-inch piywaod RESIST4 EXTERtOR PR1iVIER Norte SA Smooth P!y 44 Nane S85-SA -112.5
,-
I I
E�er3or Researcfi and design,CIG.djb/a Triniry(ERD Evatuation Repart 7215.06.14-R2 far FC1�084-R2
Certfficote af Authorization N9S03 ' Revisian 2:07/22/2015 `
Prepared by: Robert Nieminen,PE-54166 Appendix 1,Page 2 ot►2
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