HomeMy WebLinkAbout17-18362 � � i
CITY OF ZEPHYRHILLS '
5335-8TH STREET
' (813p80-0020 18362 �
� + BUILDING PERMIT I i
PERMIT-INFORMATION LOCATION INFORMATION
Permit Number: 18362 Address: 38122 12TH AVE ;
Permit Type: RE-ROOF ZEPHYRHILLS, FL. i
Class of Work: ROOF REPLACEMENT Township: Range: Bo�
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS �
Est. Value: Parcel Number: 11-26-21-0010-05800-0210 �
Improv. Cost: 11,900.00 OWNER INFORMATION
Date Issued: 4/13/2017 Name: JONES ARLENE j
Total Fees: 142.50 Address: 38122 12TH AVE �
Amount Paid: 142.50 ZEPHYRHILLS, FL. 33542
Date Paid: 4/13/2017 Phone: 813-479-8700 ;
Work Desc: REROOF 10 SQ SHINGLE/ 13 SQ MODIFIED BIT �
CONTRACTOR S ' APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 142.50 !
� ,
i
�
I
, I
,
Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF IN P � i
FINAL J
� i
I
�
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 j
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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. j
NO OCCUPANCY BEFORE C.O. �
I
i
�
CON ATURE PERMIT OFFI R
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
.
�
�
�
. �
��� ��,��. !
�
A Division o f Ryman Construction,Inc. i
License#CCC 1325505/CGC 15177 �
INC.
April 6,2017 �
�
City of Zephyrhills I
I
Recording/Records Department i
Re: Letter of Authorization �
I
I
To whom it may concern: �
I
I, Kevin Ryman, hereby authorize the following to the list of Authorized Agents to sign, record and/or �
pick up and permits or related documents on my behalf: �
i
Tammy Verdadero �
Kelli Ryman .� i
Kyle Ryman � �
Ric McCarty �
Steve Billiter�
Aaron Camacho �
Angela.Haywood '
Jennifer Cowart-Greene
Jennifer Haywood �
i
�
�
Sincer y, I
�
I
<ev' n �
resident j
KLR/kr I
I
, Sworn to and subscribed before me this 6th of April 2017. Kevin L. Ryman is personally known to me. I
I
NOTARY:�'� � -��F:�.(� Stamp: �
I
.;�``��`°`!�;: JEfVNIFER N TFtAti9W1ELL
;�r:N"C:' �; MY C�h1MISStON#FF938D73
''?''' �' EXPIRES Janua 15,
orii,.� ry 20&Oi
�*b3:398-Ot53 Flondallota�yServ�.wrii.<.�� ,?
36413 State Road 54•Zephyrhills, Florida 33541•Telephone: 813-782-6094•Fax: 813 788-6773
www.rymanconstruction.com
, r �� =�\
� r �
�_� - ' AMERIfAN ,`"� y'�Q�
Ryman Roofing Inc. �RES � 1 -
/ 5%fee for credit card processing.
�=' ,:s,��. �� :._;�' A Division of Ryman Construction,Inc.
�°� � (7 36413 SR 54 • Zephyrhills, Florida 33541 Proposal#
�rt. :.�__ ` No.
�'�f s} - 1N�` Phone(813)782-6094 • Fax(813)788-6773
�"� 002300
�.9�J'`'��`�JO� 1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 Estimate#
�O www RymanRoofing.com
- � Serving all of Central Florida Job#
oW�e��P���naser Arlene Jones Date: 3/6/17
Claim#� InsuranceCompany: ,
Policy#
�ob Address: 38122 12th Ave �;�y: Zephyrhills Z;p. 33541 '
Mail to Address: E-Mail Address:
Home #� Cell #: Business #: �
I
� Complete tear off of existing ASphalt SF11tlgleS Additional Notes/Special Concems: �
and Modified Bitumen flat roofinq Includes a wood work allowance of$1,000.00 ;
Q Secure all loose roof decking as needed according �
to Florida Building Codes i
0 Rootdr�ed�r,w�tr, Synthetic underpayment and
#43 Base sheet I
❑ Install new valley metal with galvanized metal �
0✓ Install new 6 "drip edge color:;�`!!•:.h:�f�' . ::- I
�._�.:.:=�_..-----...:�
✓� Install new lead boots
Q✓ Install all new general roof vents �
� Install new �Shingle �Metal �Tile
�Modified Butimen ❑TPO
Q Manufacturer �Snin9ie, metal or tile) GAF
Manufacturer RPo or Mod. Bitumen) �.PI'tAllltPP.C�
� Color:(Shingle,MetalorTile)ri�`�•rl��!��:�.:� .: ' �.-:% ,
t_._:;., .. _:_:�=,�.:._.�._. ._..._.-�_..�
�
Color:(TPOorMOD.Bitumen) ��S�,w�. 5h�►1-��C
0 All roof related debris removed from job site,pick-up loose
i
nails using commercial grade magnet �
�✓ All materials, labor and permits furnished Base Price*$ � � �900.00 I
� Provide a 5 Ve81' labor warranty '
Additional Items:
�
�
. I
�
�
Payment Method: �Check# �Cash �Financing �Insurance Claim i
❑ Credit Card# Exp. Date CC ID# �
Down Payment: $ '4',165.�� Amount Financed: $ Approx. Monthly Payment: $
PaymentTerms: 35°/o down and balance upon completion
Extras: �
--_-;--;I
*Base Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above. customermitial_.: _.=-'
�Deficient 1/2"plywood replaced at a cost of$ 65.00 per sheet in the roof field,which includes labor&materials.All other wood work/ad-
i ional labor,such as, but not limited to,valley rebuilding, rafter replacement, 1x decking,etc.will be a rate of$5.00 per lineal foot plus the
cost of materials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROPOSAL AND HE Y CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
-- - ._._ _..---:-: - - ---- � -- - _ _ -- -- ----- - -, - - - -- ,-
Purchaser: ` .,_ . °, ` ._•. . ;:,.=,.�:�� - - at -— ---- - = -- -- - - -
_ �. • _ _ _ _ _
: .
, � �,
. - , ,
_ _ _ _ _ �
,..
. ._ , . _,..._..... : � :(
�
D e: ' � '
.
.
�. � ;�
�.
, � _,.�._. ,. _� .,,,'_
. . .
_: ..__ .
, ., .. ,.:
- -� � ,
Purchaser: Estimator:AarOn
. , I
��,�\\��/] p Y I
^�O�U I
,-��h(:tl li 111 fl
. "V �"a_,e�im�. . I
� � ��
... ` �
City of Zephyrhills I
BUILDING PLAN REVIEW COMMENTS �
i
;
-, �
�' i
Contractor/Homeowner: �� /%)lGf"1 fF-G� �/ � I
�, i
Date Received: �-`�i ��l � I
Site: ��liZ��C�� �('`� '
�
�
Permit Type: �� ��`r''���/( ���I�( 1,����'1 �.1'D .
�
. U � -
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ �
i
i
�
�
. �
i
i
�
i
�
� I
- ;
This comment sheet shall be kept with the permit and/or plans. ,
;
;! ���7
Kalv lans Examiner Date Contractor and/or Homeowner �
'� (Required when comments are present) ' '�
/
i
I
i
4/5/2017 Florida Building Code Online
e��a.e�..a
�� �
c s ' 0 0 e � ' a e 9 �
Q7 '����I
BCIS Home I Log In � User Registration I Hat Topics I Submit Surcharge I Stats&Facts I Publications I FBC Staff I BCIS Site Map � Links I Search I
Flonda '
� � a ProductApproval
� � USER: Public User
�
P.PCr.:mwF�i
Product Aooroval Menu>Produd or Aoolication Search>Aooliotion List>Application Detail
•• I•� FL# FL2533-R17 ,
Application Type Revision i
Code Version 2014
Application Status Approved
Com ments I
Archived ❑
�
i
Product Manufacturer CertainTeed Corporation-Roofing
Address/Phone/Email 18 Moores Road �
Malvern, PA 19355
(610) 651-5847 i
mark.d.harner@saint-gobain.com ,
Authorized Signature Mark Harner
mark.d,harner@sai nt-goba i n.com
Technical Representative Mark D. Harner
Address/Phone/Email 18 Moores Road
Malvern, PA 19355 i
(610) 651-5847 �� I
Mark.D.Harner@saint-gobain.cor� �1�,�,
R ""��R
�i_ F�q� �'� � ,
Quality Assurance Representative �.q���0,4 e G p<<�0�, �
Address/Phone/Email C����q(���j�G�.� ''�!Y����� i
�Fpyy TRi�U�:�r� h+
Category Roofing Ry��� c���. I
Subcategory Modified Bitumen Roof System SD/�0/��Vf3
'�N�F
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed`S I
Florida Professional Engineer
O Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen �� �i
the Evaluation Report C����F� ,
Florida License PE-59166 A q�p� 4q�,L.
Quality Assurance Entity UL LLC �'Y � ` —
Quality Assurance Contract Expiration Date 07/03/2017 F�MptiYR /���
Validated By John W. Knezevich, PE ��/FR ti ��
l�i Validation Checklist- Hardcopy Received ���
Certificate of Independence FL2533 R17 COI 2017 Ol COI Nieminen.odf
Referenced Standard and Year(of Standard) Standard Year i
ASTM D6162 2000
ASTM D6163 2000
ASTM D6164 2005
ASTM D6222 2008 ,
ASTM D6509 2009
FM 4470 1992
FM 4474 2004 ,
Equivalence of Product Standards
https://www.floridabuilding.org/pr/pr_app dtl.aspx?param=wGEVXQwtDqvwelwRFXRvHOHSbaIV%2f8EtfCKNtt8hhPLbH66yy%2bcj9g%3d°/a3d 1/2
4/5/2017 Florida Building Code Online �
Certified By
` � � Sections from the Code
I
I
Product Approval Method Method 1 Option D �
Date Submitted 02/16/2017 '
Date Validated 02/16/2017
Date Pending FBC Approval 02/21/2017 �
Date Approved 04/04/2017 I
I
Summa of Products i
FL# Model,Number or Name Description �
2533.1 Flintlastic Modified Bitumen Modified Bitumen Roof Systems �
Roof Systems
I
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL2533 R17 II 2017 02 FINAL A1 ER CERTAINTEED MODBIT FL2533-
Approved for use outside HVHZ:Yes R17.odf i
Impact Resistant: N/A Verified By: Robert Nieminen, PE PE-59166
Design Pressure: +N/A/-630 Created by Independent Third Party: Yes
Other: 1.) Refer to ER Section 5 for Limits of Use. Evaluation Reports i
2.)The design pressure noted in this application R2533 R17 AE 2017 02 FINAL ER CERTAINTEED MODBIT FL2533-
relates to one specific system. Refer to the ER R17.pdf
Appendix for all systems and max design Created by Independent Third Party: Yes
pressures.
Back Next
I
I
Contad Us :2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida fs an AA/EEO employer.Coovriaht 2007-2013 State of Florida. :: Privacv Statement::Accesstbilitv Statement Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic ,
mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to Section
455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have '
one.The emails provided may be used for official cammunication with the licensee.However email addresses are public record.If you do not wish to supply a
personal address,please provide the Department with an emall address which wn be made available to the public.To detertnine if you are a licensee under Chapter
455,F.S.,please click here. �
I
Produd Approval Accepts: ,
� � tC6eck � I
Credit Card �
Safe �
�
https://www.floridabuilding.org/pr/pr_app dtl.aspx?param=wGEVXQwtDqvwelwRFXRvHOHSbaIV°/a2f8EtfCKNtt8hhPLbH66yy%2bcj9g%3d%3d 2l2
TRINIIY I ERD •
APPENDIX 1:ATTACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE
Table Deck Application Type Description Page „
1A Wood New or Reroof(Tear-Off) A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 5-6
1B Wood New,Reroof(Tear-Off)or Recover B Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Roof Cover 7
1C Wood New,Reroof(Tear-Off)or Recover C Mech.Attached Insulation,Bonded Roof Cover 8-9
1D Wood New,Reroof(Tear-Off)or Recover D Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 10-12
lE-1 Wood New,Reroof(Tear-Off) E Non-Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 13-15
1E-2 Wood New,Reroof(Tear-Off)or Recover E Non-Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 16-17
1F Wood New or Reroof(Tear-Off) F Non-Insulated,Bonded Roof Cover 17
2A Steel or Structurel Concrete New,Reroof(Tear-Off)or Recover 8 Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Roof Cover 18-20
2B Steel or Structural Concrete New,Reroof(Tear-Off)or Recover C Mech.Attached Insulation,Bonded Roof Cover 21-25
2C Steel or Structural Concrete New,Reroof(Tear-Off)or Recover D Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 26-28
3A Concrete New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 29-36
3B Concrete New or Reroof(Tear-Off) A-3 Bonded Temp Roof/Vapor Barrier,Bonded Insulation,Bonded Roof Cover 36
3C Concrete New or Reroof(Tear-Off) F Non-Insulated,Bonded Roof Cover 37
4A LWIC New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 38-39
4B LWIC New or Reroof(Tear-Off) A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 40
. 4C LWIC New,Reroof(Tear-Of� E Non-Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 41-44
SA CWF New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 45
SB CWF New or Reroof(Tear-Off) A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 46
, SC CWF New,Reroof(Tear-Off)or Recover C Mech.Attached Insulation,Bonded Roof Cover 46
SD CWF New,Reroof(Tear-Off) E Non-Insulated,Mech.Attached ease Sheet,Bonded Roof Cover 47
6A Gypsum Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 48-49
68 Gypsum Reroof(Tear-Offl A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 50
6C Gypsum Reroof(Tear-Off) C Mech.Attached Insulation,Bonded Roof Cover 51
6D Gypsum Reroof(Tear-Offl E Non-Insulated,Mech.Attached Base Sheet,Bonded Roof Cover 51
7A Various Recover A-1 Bonded Insulation,Bonded Roof Cover 52-57
78 Various Recover F Non-Insulated,Bonded Roof Cover 57 ,
The followin�notes applv to the svstems outlined herein: I'
1. The roof system evaluation herein pertains to above-deck roof components. Roof decks shall be in accordance with FBC requirements to the satisfaction of the Authority Having Jurisdiction. Load resistance of the
roof deck shall be documented through proper codified and/or FBC Approval documentation.
2. Unless otherwise noted,fasteners and stress plates for insulation attachment shall be as follows. Fasteners shall be of sufficient length for the following engagements: !
➢ Wood Deck: OMG�i14 Roofgrip with Flat Bottom Plate(Accutrec),OMG HD with OMG 3 in.Galvalume Steel Plate,Dekfast k14 with Hex Plate or 3"Round Insulation Plate,Trufast HD with Trufast 3"
Metal Insulation Plates or FlintFast#14 Fastener with FlintFast 3"Insulation Plates. Minimum 0.75-inch plywood penetration or minimum 1-inch wood plank embedment.
➢ Steel Deck: OMG tt12 or#14 Roofgrip with Recessed or Flat Bottom Plate(Accutrac),OMG�i12 Standard or HD with OMG 3 in.Galvalume Steel Plate,Dekfast#12 or#14 with Hex Plate or 3"Round
Insulation Plate,Trufast DP or HD with Trufast 3"Metal Insulation Plates or FlintFast#12 or#14 Fastener with FlintFast 3"Insulation Plates. Minimum 0.75-inch steel penetration and
engage the top flute of the steel deck.
➢ Structural Concrete: OMG#14 Roofgrip with Recessed or Flat Bottom Plate (Accutrac), OMG HD or CD-10 with OMG 3 in. Galvalume Steel Plate, Dekfast#14 or DekSpike with Hex Plate or 3" Round
Insulation Plate,Trufast HD or CF with Trufast 3"Metal Insulation Plates or FlintFast#14 Fastener with FlintFast 3"Insulation Plates. Minimum 1-inch embedment. Fasteners installed
with a pilot hole in accordance with the fastener manufacturer's published installation instructions.
Exterior Research and Design,LLC.d/b/a Trinity�ERD Evaluation Report 3520.03.04-R18 for FL2533-R37
Certificate of Authorization#9503 FBC NON-HVHZ EVALUATION Revision 18:02/16/2017
Prepared by: Robert Nieminen,PE-59166 CertainTeed Corporation;(610)651-5847 Appendix 1,Page 1 of 57
TRINITY I ERD -
3. Unless otherwise noted,insulation may be any one layer or combination of polyisocyanurate,polystyrene,wood fiberboard,perlite,GlasRoc Roof Board or gypsum-based roof board that meets the Qq requirements
of F.A.C.Rule 61G20-3 and is documented as meeting FBC 1505.1 and,for foam plastic,FBC 2603.4.1 or 2603.8,when installed with the roof cover
4. Minimum 200 psi,minimum 2-inch lightweight insulating concrete may be substituted for rigid insulation board for System Type D(mechanically attached base sheet,bonded roof cover),whereby the base sheet
fasteners are installed through the LWIC to engage the structural steel or structural concrete deck. The structural deck shall be of equal or greater configuration to the steel and structural concrete deck listings.
5. 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 manufacturer's published instructions.
➢ Hot asphait(HA): Full coverege at 25-30 Ibs/square
➢ Ashland Pliodeck(A-PD): Continuous 0.75 inch wide ribbons,12-inch o.c. Ri66ons of subsequent loyers shall be perpendicular to those in the layer below.
➢ Dow Insta-Stik(D-IS): Continuous 0.75 to 1 inch wide ribbons,12-inch o.c.
➢ Millennium One Step Foamable Adhesive(M-OSFA): Continuous 0.25 to 0.5-inch wide ribbons,12-inch o.c.
➢ Millennium PG-1 Pump Grade Adhesive(M-PGl): Continuous 0.5 to 0.75-inch wide ribbons,12-inch o.c.
➢ OMG OlyBond 500 or OlyBond Green(OB500): Continuous 0.75-inch wide ribbons,12-inch o.c.(PaceCart or SpotShot)
➢ ICP Adhesives CR-20: Continuous 2.5 to 3-inch wide ribbons,12-inch o.c.
➢ Note: When multiple layers(sJ of insulation and/or coverboard are installed in ribbon-applied adhesive,adhesive ribbons shall be staggered from layer-to-layer a distance of one-half the ribbon spacing.
➢ Note: The maximum edge distance from the adhesive ribbon to the edge of the insulation board shall be not less than one-half the specified rib6ons spocing.
6. Unless otherwise noted,all insulations are flat-stock or taper board of the minimum thickness noted. Tapered polyisocyanurate at the following thickness limitations may be substituted with the following Maximum
Design Pressure(MDP)limitations. In no case shall these values be used to'increase'the MDP listings in the tables;rather if MDP listing below meets or exceeds that listed for a particular system in the tables,then
the thinner board listed below may be used as a drop-in for the equivalent thicker material listed in the table:
➢ Ashland Pliodeck(A-PD)@ 12-inch o.c. MDP -105.0 psf (Min.1.0-inch)
➢ Ashland Pliodeck(A-PD)@ 6-inch o.c. MDP -277.5 psf (Min.1.0-inch)
➢ Dow Insta-Stik(D-IS): MDP -120.0 psf (Min.1.0-inch)
➢ Millennium One Step Foamable Adhesive(M-OSFA): MDP -157.5 psf (Min.1.0-inch)
➢ Millennium PG-1 Pump Grade Adhesive(M-PG1): MDP -157.5 psf (Min.1.0-inch)
➢ OMG OlyBond 500(OB500): MDP -45.0 psf (Min.0.5-inch Multi-Max FA3)
➢ OMG OlyBond 500(OB500): MDP -187.5 psf (Min.0.5-inch I50 95+GL)
➢ OMG OlyBond 500(OB500): MDP -315.0 psf (Min.0.5-inch ENRGY 3)
➢ OMG OlyBond 500(OB500): MDP -487.5 psf (Min.0.5-inch ACFoam II)
➢ ICP Adhesives CR-20: MDP -117.5 psf (Min.1.0-inch)
7 Bonded polyisocyanurate insulation boards shall be maximum 4 x 4 ft.
8. For mechanically attached components or partially bonded insulation,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 criteria. Commonly used methods are ANSI/SPRI WDl, FM Loss
Prevention Data Sheet 1-29 and Roofing Application Standard RAS 117. Assemblies marked with an asterisk*carry the limitations set forth in Section 2.2.10.1 of FM Loss Prevention Data Sheet 1-29(January 2016)for
Zone 2/3 enhancements.
9. For assemblies with all components fully bonded in place,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.
10. For mechanically attached components over existing decks,fasteners shall be tested in the existing deck for withdrawal resistance. A qualified design professional shall review the data for comparison to the I
minimum requirements for the system. Testing and analysis shall be in accordance with ANSI/SPRI FX-1 or Testing Appiication Standard TAS 105. ;
11. For existing substrates in a bonded recover or re-roof installation,the existing roof surface or existing roof deck shall be examined for compatibility and bond performance with the selected adhesive,and the existing '
roof system(for recover)shall be capable of resisting project design pressures on its own merit to the satisfaction of the Authority Having Jurisdiction,as documented through field uplift testing in accordance with I
ANSI/SPRI IA-1,ASTM E907,FM Loss Prevention Data Sheet 1-52 or Testing Application Standard TAS 124
12. For Concrete Deck or Recover Applications using System Type D,the insulation is optional.
Exterior Research and Design,LLC.d/b/a Trinity�ERD Evaluation Report 3520.03.04-R18 for FL2533-R17
Certificate of Authorization#9503 FBC NON-HVHZ EVALUATION Revision 18:02/16/2017
Prepared by: Robert Nieminen,PE-59166 CertainTeed Corporation;(610)651-5847 Appendix 1,Page 2 of 57
TRINIIY I ERD �
13. Lightweight Insulating Concrete(LWC)shall be cast in accordance with FBC Section 1917 to the satisfaction of the Authority Having Jurisdiction. For systems where specific LWC is referenced,refer to current LWC
Product Approval for specific deck construction and limitations. For systems where specific LWC is not referenced,the minimum design mix shall be 300 psi. In all cases,the minimum top-coat thickness is 2-inches.
For LWC over structural concrete,reference is made to FBC Section 1917.4.1,Point 1 �
14. Unless otherwise noted,refer to the following references for bonded base,ply or cap sheet applications.
CERTAINTEED FLINTLASTIC�MODIFIED BITUMEN COMPONENTS S�APPLICATION METHODS
Reference Layer Material Application
Bp_AA Base Glasbase;All Weather/Empire Base;Flexiglas Base;Flintlastic Base 20
Hot asphalt at 20-40 Ibs/square
(Base and Plysheets,Asphalt-Applied) ply One or more Flintglas Ply Sheet Type IV;Flintglas Premium Ply Sheet Type VI
gP_AA2 Base Yosemite Venting Base Hot asphalt in 24-inch diameter spots in 30-
(Base,Spot-Asphalt-Applled) inch grid pattern
BP_AA3 Base Yosemite Venting Base Hot asphalt in 9-inch diameter spots in grid
(ease,5pot-Asphalt-Applied) pattern noted herein.
BP_AA4 Base Yosemite Venting Base Hot asphalt in 9-inch wide ribbons spaced
(Base,Strlp-Asphalt-Applied)
as noted herein.
BP-CA2 Base/Ply Glasbase;All Weather/Empire Base;Flexiglas Base;Flintlastic Base 20 Henry#903 Adhesive at 1.5 gal/square
BP�3 Base/Ply Glasbase;All Weather/Empire Base;Flexiglas Base;Flintlastic Base 20 Millennium Hurricane Force Membrane
Adhesive,beads spaced 6-inch o.c.
Base Flintlastic Base 20;Flintlastic Poly SMS Base;Flintlastic Ultre Poly SMS Base
Ply One or more Flintlastic Base 20;Flintlastic Poly SMS Base;Flintlastic Ultra Poly SMS Base
SBS-AA Hot as halt at 20-40 Ibs s uare
(ses,Asphalt-Applled) Cap Fiintlastic Cap 30;Flintlastic Cap 30 CoolStar;Flintlastic FR Cap 30;Flintlastic FR Cap 30 CoolStar;Flintlastic FR Dual P �q
Cap;Flintlastic FR-P;Flintlastic FR-P CoolStar;Flintlastic Premium FR-P;Flintlastic Premium FR-P CoolStar;
Flintlastic GMS;Flintlastic GMS CoolStar;Flintlastic Premium GMS;Flintlastic Premium GMS CoolStar
Base Flintlastic Base 20;Flintlastic Poly SMS Base;Flintlastic Ultra Poly SMS Base
Note: Base ply cures overnight prior to application of the ply or cap ply
FlintBond Brush or Karnak No.81 Cold
565-CA1 Ply Flintlastic Base 20;Flintlastic Poly SMS Base;Flintlastic Ultra Poly SMS Base Process Modified Bitumen Adhesive Brush
(sss,Cold-Applied) Cap Flintlastic FR Cap 30;Flintlastic FR Cap 30 CoolStar;Flintlastic FR Dual Cap;Flintlastic FR-P;Flintlastic FR-P CoolStar; Grede at 1 gal/square
Flintlastic Premium FR-P;Flintlastic Premium FR-P CoolStar;Flintlastic GMS;Flintlastic GMS CoolStar;Flintlastic
Premium GMS;Flintlastic Premium GMS CoolStar
Base Flintlastic Base 20;Flintlastic Poly SMS Base;Flintlastic Ultra Poly SMS Base
Ply Flintlastic Base 20;Flintlastic Poly SMS Base;Flintlastic Ultra Poly SMS Base
SBS-CA2 Hen #903 Adhesive at 1.5 al s uare.
(SBS,Cold-Applied) Cap Flintlastic Cap 30;Flintlastic Cap 30 CoolStar;Flintlastic FR Cap 30;Flintlastic FR Cap 30 CoolStar;Flintlastic FR Dual ry g �4
Cap;Flintlastic FR-P;Flintlastic FR-P CooiStar;Flintlastic Premium FR-P;Flintlastic Premium FR-P CoolStar;
Flintlastic GMS;Flintlastic GMS CoolStar;Flintlastic Premium GMS,Flintlastic Premium GMS CoolStar
Base Flintlastic Base 20;Flintlastic Poly SMS Base;Flintlastic Ultre Poly SMS Base
Ply Flintiastic Base 20;Flintlastic Poly SMS Base;Flintlastic Ultra Poly SMS Base Millennium Hurricane Force Membrane
SBS-CA3
(ses,Cold-Applied) Cap Flintlastic Cap 30;Flintlastic Cap 30 CoolStar;Flintlastic FR Cap 30;Flintlastic FR Cap 30 CoolStar;Flintlastic FR Dual qdhesive,beads spaced 6-inch o.c.
Cap;Flintiastic FR-P;Flintlastic FR-P CoolStar;Flintlastic Premium FR-P;Flintlastic Premium FR-P CoolStar;
Flintlastic GMS;Flintlastic GMS CoolStar;Flintlastic Premium GMS;Flintlastic Premium GMS CoolStar
Exterior Research and Design,LLC.d/b/a Trinity�ERD Evaluation Report 3520.03.04-R18 for FL2533-R37
Certificate of Authorization#9503 FBC NON-HVHZ EVALUATION Revision 18.02/16/2017
Prepared by: Robert Nieminen,PE-59166 CertainTeed Corporation;(630)651-5847 Appendix 1,Page 3 of 57
TRINIIY I ERD •
CERTAINTEED FLINTLASTIC�MODIFIED BITUMEN COMPONENTS S�APPLICATION METHODS�CONTINUED)
Reference Layer Material Application -
Base Flintlastic Ultra Poly SMS Base;Flintlastic Base 20 T
� SBS-TA Ply One or more Flintlastic Ukra Poly SMS Base;Fiintlastic Base 20 T Torch-Applied
(SBS,Torch-Applied) Cap Flintlastic FR Cap 30 T;Flintlastic FR Cap 30 T CoolStar;Flintlastic GTS;Flintlastic GTS CoolStar;Flintlastic GTS-FR;
Flintlastic GTS-FR CoolStar;FlintClad
Base One or more Flintlastic APP Base T;Flintlastic STA;Flintlastic STA Plus
APP TA Cap Flintlastic STA;Flintlastic STA Plus;Flintlastic GTA;Flintlastic GTA CoolStar;Flintlastic GTA-FR;Flintlastic GTA-FR Torch-Applied
(APP,Torch-Applied) CoolStar
SBS-SA-H Base/Ply Black Diamond Base Sheet;Flintlastic Ultra Glass SA Self-Adhering
(SBS,Self-Adhering,Hybrid Systems)
Base Flintlastic SA PlyBase;Flintlastic SA Mid Ply
SBS-SA ply Flintlastic SA PlyBase;Flintlastic SA Mid Ply Self-Adhering
(585,Self-Adhering)
Cap Flintlastic SA Cap;Flintlastic SA Cap CoolStar;Flintlastic SA Cap FR;Flintlastic SA Cap FR CoolStar
15. "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 Trinity�ERD Evaluation Report 3520.03.04-R18 for FL2533-R37
Certificate of Authorization q9503 FBC NON-HVHZ EVALUATION Revision 18:02/16/2017
Prepared by: Robert Nieminen,PE-59166 CertainTeed Corporation;(630)651-5847 Appendix 1,Page 4 of 57
TRINIIY I ERD �
TABLE 1A: WOOD DECKS—NEW CONSTRUCTION oR REROOF(TenR-OFF)
SYSTEM TYPE A-2: MECHANICALLY ATTACHED ANCHOR SHEET,BONDED INSULATION,BONDED ROOF COVER •
Sys. Deck Anchor Sheet Base Insulation Top Insulation Roof Cover(Note 14) MDP
No. (Note 1) Type Fasteners Attach Type Attach Type Attach Base Ply Cap (psf)
$ELF-ADHERING$YSTEMS:
Min.19/32- Glasbase,All 32 ga.,1-5/8- 9-inch o.c.in 4-inch Min.1.5-inch Min.0.25-inch
Weather Empire,
inch inch dia.tin lap and 12-inch o.c. ACFoam II, Dens Deck O tional
Flexiglas Base, ( p )
W-1 plywood at caps with li ga. in two(2),equally FlintBoard ISO, HA primed with HA SBS-SA SBS-SA -45.0*
max.24- Flintlastic Base 20; annular ring spaced,staggered ENRGY-3,H-Shield FlintPrime or SBS-SA
inch spans Poly SMS;Ultre Poly shank nails center rows or Multi-Max FA3 FlintPrime SA
SMS;Yosemite
HA full HA full
Min.19/32- Glasbase,All 32 ga.,1-5/8- 8-inch o.c.in 3-inch Min.1.5-inch Min.0.25-inch
coverage or coverage or
inch Weather Empire, inch dia.tin lap and 8-inch o.c. ACFoam II, Dens Deck
OB500,M- OB500,M- (Optional)
W-2 plywood at Flexiglas Base,Poly caps with 11 ga. in three(3),equally FlintBoard ISO, primed with SBS-SA SBS-SA -52.5
OSFA,A-PD, OSFA,A-PD,D- SBS-SA
max.24- SMS or Ultra Poly annular ring spaced,staggered ENRGY-3,H-Shield FlintPrime or
inch spans SMS shank nails center rows or Multi-Max FA3 D-IS or CR-20, FlintPrime SA IS or CR-�0,6-
4-inch o.c. inch o.c.
Min.19/32- 32 ga.,1-5/8- 8-inch o.c.in 3-inch Min.1.5-inch Min.0.25-inch
inch inch dia.tin lap and 8-inch o.c. ACFoam II, Dens Deck O tional
Yosemite Venting � p )
W-3 plywood at caps with 11 ga. in three(3),equally FlintBoard ISO, HA primed with HA SBS-SA SBS-SA -52.5
max.24- Base Sheet annular ring spaced,staggered ENRGY3,H-Shield FlintPrime or SBS-SA
inch spans shank nails center rows or Multi-Max FA3 FlintPrime SA
HA full Min.0.25-inch HA full
Min.19/32- Glasbase,All 32 ga.,1-5/8- 8-inch o.c.in 3-inch (Optional)Min. SECUROCK
coverage or coverege or
inch Weather Empire, inch dia.tin lap and 8-inch o.c. 1.5-inch ACFoam Gypsum-Fiber
OBS00,M- OB500,M- (Optional)
W-4 plywood at Flexigias Base,Poly caps with 11 ga. in three(3),equally II,FlintBoard I50, Roof Board SBS-SA SBS-SA -60.0
OSFA,A-PD, OSFA,A-PD,D- SBS-SA
max.24- SMS or Ultra Poly annular ring spaced,staggered ENRGY-3,H-Shield primed with
inch spans SMS shank nails center rows or Multi-Max FA3 D-IS or CR-20, FlintPrime or IS or CR-20,6-
4-inch o.c. FlintPrime SA �nch o.c.
Min.0.25-inch
Min.19/32- 32 ga.,1-5/8- 8-inch o.c.in 3-inch (Optional)Min. SECUROCK
inch inch dia.tin lap and 8-inch o.c. 1.5-inch ACFoam Gypsum-Fiber O tional
Yosemite Venting ( P� )
W-5 plywood at caps with 11 ga. in three(3),equally II,FlintBoard I50, HA Roof Board HA SBS-SA SBS-SA -60.0
max.24- Base Sheet annular ring spaced,staggered ENRGY-3,H-Shield primed with SBS-SA
inch spans shank nails center rows or Multi-Max FA3 FlintPrime or
FlintPrime SA
HYBRID SYSTEMS:
Min.19/32- Glasbase,All 32 ga.,1-5/8- 9-inch o.c.in 4-inch Min.1.5-inch
inch Weather Empire, inch dia.tin lap and 12-inch o.c. ACFoam II, (Optional) SBS-AA,
Flexiglas Base, BP-AA,SBS- SBS-TA
W-6 plywood at caps with 11 ga. in two(2),equally FlintBoard I50, HA None N/A SBS-SA-H -45.0*
max.24- Flintlastic Base 20; annular ring spaced,staggered ENRGY-3,H-Shield AA,SBS-TA or APP-
inch spans Poly SMS;Ultra Poly shank nails center rows or Multi-Max FA3 or APP-TA TA
SMS;Yosemite
Exterior Research and Design,LLC.d/b/a Trinity�ERD Evaluation Report 3520.03.04-R18 for FL2533-R37
Certificate of Authorization#9503 FBC NON-HVHZ EVALUATION Revision 18:02/16/2017
Prepared by: Robert Nieminen,PE-59166 CertainTeed Corporation;(610)651-5847 Appendix 1,Page 5 of 57
` --- — --
- -- ----- ------ -
— --- --- ---- —--
TRINITY I E�D �
TABLE 1A:.WOOD DECKS—NEW CONSTRUCTION oR REROOF(TenR-OFF)
SYSTEM TYPE A-2: MECHANICALLY ATTACHED ANCHOR SHEET,BONDED lNSULATION,BONDED ROOF COVER' •
Sys. Deck Anchor Sheet Base Insulation Top Insulation Roof Cover(Note 14) MDP
No. (Note 1) Type Fasteners Attach Type Attach Type Attach Base Ply Cap (psf)
Min.19/32- 32 ga.,1-5/8- 8-inch o.c.in 3-inch Min.1.5-inch
inch Glasbase;Flintglas inch dia.tin lap and 8-inch o.c. ACFoam II, (Optional) SBS-AA,
BP-AA,SBS- SBS-TA
W-7 plywood at Premium Ply Sheet caps with 11 ga. in three(3),equally FlintBoard ISO, HA None N/A SBS-SA-H � SBS-TA or APP- -60.0
max.24- Type VI;Yosemite annular ring spaced,staggered ENRGY-3,H-Shield
or APP-TA TA
inch shank nails center rows or Multi-Max FA3
CONVENTIONALSYSTEMS:
Glasbase,All
Min.19/32- 32 ga.,1-5/8- 9-inch o.c.in 4-inch Min.1.5-inch Min.0.25-inch gp_qA, (Optional) SBS-AA,
Weather Empire,
inch inch dia.tin lap and 12-inch o.c. ACFoam II, Dens Deck SBS-AA, BP-AA,SBS- SBS-TA
W-8 plywood at Flexiglas Base, caps with 11 ga. in two(2),equally FlintBoard I50, HA primed with HA -45.0*
Flintlastic Base 20; SBS-TA or AA,SBS-TA or APP-
max.24- annular ring spaced,staggered ENRGY-3,H-Shield FlintPrime(ASTM
inch spans Poly SMS;Ultra Poly shank nails center rows or Multi-Max FA3 D41)primer APP-TA or APP-TA TA
SMS•Yosemite
HA full HA full
Min.19/32- Glasbase,All 32 ga.,1-5/8- 8-inch o.c.in 3-inch Min.1.5-inch coverege or Min.0.25-inch coverage or BP-AA, (Optional) SBS-AA,
inch Weather Empire, inch dia.tin lap and 8-inch o.c. ACFoam II, Dens Deck
OB500,M- OB500,M- SBS-AA, BP-AA,SBS- 5B5-TA
W-9 plywood at Flexiglas Base,Poly caps with 11 ga. in three(3),equally FlintBoard ISO, primed with -52.5
OSFA,A-PD, OSFA,A-PD,D- SBS-TA or AA,SBS-TA or APP-
max.24- SMS or Ultra Poly annular ring spaced,staggered ENRGY-3,H-Shield D-IS or CR-20, FlintPrime(ASTM IS or CR-20,6- APP-TA or APP-TA TA
inch spans SMS shank nails center rows or Multi-Max FA3 4-inch o.c. D41)primer inch o.c.
Min.19/32- 32 ga.,1-5/8- 8-inch o.c.in 3-inch Min.1.5-inch Min.0.25-inch gp_AA, (Optional) SBS-AA,
inch inch dia.tin lap and 8-inch o.c. ACFoam II, Dens Deck SBS-AA, BP-AA,SBS- SBS-TA
Yosemite Venting
W-10 plywood at caps with 11 ga. in three(3),equally FlintBoard ISO, HA primed with HA -52.5
max.24- Base Sheet annular ring spaced,staggered ENRGY-3,H-Shield FlintPrime(ASTM SBS-TA or AA,SBS-TA or APP-
inch spans shank nails center rows or Multi-Max FA3 D41)primer APP-TA or APP-TA TA
Min.19/32- Glasbase,All 32 ga.,1-5/8- 8-inch o.c.in 3-inch (Optional)Min. HA full HA full
inch Weather Empire, inch dia.tin lap and 8-inch o.c. 1.5-inch ACFoam coverage or Min.0.25-inch coverege or BP-AA, (Optional) SBS-AA,
OB500,M- SECUROCK OB500,M- SBS-AA, BP-AA,SBS- SBS-TA
W-11 plywood at Flexiglas Base,Poly caps with 11 ga. in three(3),equally II,FlintBoard ISO, -60.0
max.24- SMS or Ultra Poly annular ring spaced,staggered ENRGY-3,H-Shield OSFA,A-PD, Gypsum-Fiber OSFA,A-PD,D- SBS-TA or AA,SBS-TA or APP-
inch spans SMS shank nails center rows or Multi-Max FA3
D-IS or CR-20, Roof Board IS or CR-20,6- APP-TA or APP-TA TA
4-inch o.c. inch o.c.
Min.19/32- 32 ga.,1-5/8- 8-inch o.c.in 3-inch (Optional)Min. Min.0.25-inch BP-AA, (Optional) SBS-AA,
inch inch dia.tin lap and 8-inch o.c. 1.5-inch ACFoam
Yosemite Venting SECUROCK SBS-AA, BP-AA,5B5- SBS-TA
W-12 plywood at gase Sheet caps with 11 ga. in three(3),equally II,FlintBoard I50, HA Gypsum-Fiber HA SBS-TA or AA,SBS-TA or APP- -60.0
max.24- annular ring spaced,staggered ENRGY-3,H-Shield
inch spans shank nails center rows or Multi-Max FA3 Roof Board APP-TA or APP-TA TA
Exteriar Research and Design,LLC.d/b/a Trinity�ERD Evaluation Report 3520.03.04-R18 for FL2533-R37
Certificate of Authorization#9503 FBC NON-HVHZ EVALUATION Revision 18:02/16/2017
Prepared by: Robert Nieminen,PE-59166 CertainTeed Corporation;(610)651-5847 Appendix 1,Page 6 of 57
TRINITY I ERD �
TABLE 1B: WOOD DECKS—NEW CONSTRUCTION,REROOF(TenR-OFF)oa RECOVER
SYSTEM TYPE B: MECHANICALLY ATTACHED BASE INSULATION,BONDED TOP INSULATION,BONDED ROOF COVER •
System Deck Base Insulation Layer Top Insulation Layer Roof Cover(Note 14)
No. MDP(psf)
(Note 1) Type Fasteners Attach Type Attach 8ase Ply Cap
HYBRID SYSTEMS:
Min.15/32-inch Min.1.5-inch ACFoam FlintFast tf12 or Min.1.5-inch ACFoam II, HA,D-IS,M-
exterior grade II,FlintBoard ISO,H- #14 with 1 per 1.33
W-13 p��,00d at max.24- Shield or FlintBoard FlintFast 3" ft2 FlintBoard ISO,H-Shield or OSFA,M-PG1 SBS-SA-H (Optional)APP-TA APP-TA -67.5
inch spans ISOH. Insulation Plates FlintBoard ISOH. or OB500
CONVENTIONALSYSTEMS:
Min.23/32-inch Min.0.5-inch FM Approved
Min.1.5-inch ACFoam (Optional)BP-AA,
exterior grede z Wood Fiberboard,min. BP-AA or SBS-AA,SBS- *
W-14 plywood at max.24- �I,FlintBoard I50, Note 2 1 per 2 ft 0.75-inch FM Approved HA SBS� SBS-AA,SBS-TA or TA or APP-TA -45.0
inch spans ENRGY 3,H-Shield perlite APP TA
Min.23/32-inch Min.0.25-inch SECUROCK
Min.1.5-inch ACFoam BP-AA,SBS- (Optional)BP-AA,
exterior grade 2 Gypsum-Fiber Roof Board, 585-AA,SBS-
W 15 plywood at max.24- �I,FlintBoard I50, Note 2 1 per 2 ft Dens Deck or Dens Deck HA AA,SBS-TA SBS-AA,SBS-TA or TA or APP-TA -45.0*
inch spans ENRGY 3,H-Shield Prime or APP-TA APP-TA
Min.15/32-inch Min.1.5-inch ACFoam FlintFast q12 or Optional additional layer(s) HA,D-IS,M-
exterior grade II,FlintBoard ISO,H- #14 with 1 per 1.33 of base insulation followed
W-16 Plywood at max.24- Shield or FlintBoard FlintFast 3" ftZ by Min.0.25-inch SECUROCK OSFA,M-PGl APP-TA (Optional)APP-TA APP-TA -90.0
inch spans ISOH. Insulation Plates Gypsum-Fiber Roof board or OB500
Exterior Research and Design,LLC.d/b/a Trinity�ERD Evaluation Report 3520.03.04-R18 for FL2533-R17
Certificate of Authorization#9503 FBC NON-HVHZ EVALUATION Revision 18:02/16/2017
Prepared by: Robert Nieminen,PE-59166 CertainTeed Corporetion;(610)651-5847 Appendix 1,Page 7 of 57
TRINITY I ERD •
TABLE 1C: WOOD DECKS—NEW CONSTRUCTION,REROOF(TenR-OFF)oR RECOVER
SYSTEIVI TYPE C: MECHANICALLY ATTACHED INSULATION,BONDED ROOF COVER '
System Deck Base Insulation Layer Top Insulation Layer Roof Cover(Note 14) MDP
No. (Note 1) Type Fasteners Attach Base Ply Cap (psf)
SELF-ADHERING SYSTEMS:
Min.15/32-inch (Optional)One or more Min.0.25-inch SECUROCK Flintfast 3 in.Insulation
W-17 plywood at max.24- layers,any combination, Plates with FlintFast#12 1 per 3.2 ftZ SBS-SA (Optional)SBS- 565-SA -30.0*
inch spans loose laid Gypsum-Fiber Roof Board or#14 SA
Min.19/32-inch (Optional)One or more Apply FlintPrime or
W-18 exterior grade plywood layers,any combination, Min.0.25-inch Dens Deck Note 2 1 per 133 ftZ FlintPrime SA to (Optional)SBS- SBS-SA -45.0
board&plates, SA
at max.24-inch spans loose laid -
followed by SBS-SA
Min.19/32-inch (Optional)One or more Flintfast 3 in.Insulation
W-19 exterior grade plywood layers,any combination, Min.3/8-inch SECUROCK plates with FlintFast N12 1 per 2.7 ftZ SBS-SA �Optional)5B5- SBS-SA -45.0*
at max.24-inch spans loose laid Gypsum-Fiber Roof Board or#14 SA
Min.19/32-inch (Optional)One or more Min.1.5-inch ACFoam II, Flintfast 3 in.Insulation Apply FlintPrime or
W-20 plywood at max.24- layers,any combination, ENRGY 3,H-Shield,Multi-Max Plates with FlintFast#12 1 per 2 ftZ FlintPrime sA to (Optional)SBS- SBS-SA -45.0*
board&plates, $q
inch spans loose laid FA3 or FlintBoard I50 or t�14 followed by sB5-SA
FlintFast#14 HD with
Min.15/32-inch (Optional)One or more FlintFast 3"Insulation Apply FlintPrime to
W-21 plywood at max.24- layers,any combination, Min.1.5-inch FlintBoard ISO Plates or Trufast HD 1 per 1.6 ftZ board&plates, SAPtional)SBS- SBS-SA -52.5
inch spans loose laid with Trufast 3"Metal followed by SB5-SA
Insulation Plates
Min.19/32-inch (Optional)One or more Min.1.5-inch ACFoam II, Apply FlintPrime or
W-22 plywood at max.24- layers,any combination, ENRGY 3,H-Shield,Multi-Max Note 2 1 per 1.45 ftZ FlintPrime SA to (Optional)SBS- SBS-SA -60.0
inch spans loose laid FA3 or FlintBoard ISO board&plates, gp
followed by SBS-SA
HYBRID SYSTEMS:
Min.15/32-inch (Optional)One or more Flintfast 3 in.Insulation (Optional)BP-
W-23 plywood at max.24- layers,any combination, Min.0.25-inch Dens Deck; plates with FlintFast#12 1 per 2 ft2 SBS-SA-H AA,SBS-AA,SBS- SBS-AA,SBS-TA _30.0*
inch spans loose laid Dens Deck Prime or#14 TA or APP-TA or APP-TA
FlintFast#14 HD with
I Min.15/32-inch (Optional)One or more FlintFast 3"Insulation 2 (Optional)SBS- SBS-TA or APP-
W-24 plywood at max.24- layers,any combination, Min.1.5-inch FlintBoard ISO Plates or Trufast HD 1 per 1.6 ft SBS-SA-H -52.5
inch spans loose laid with Trufast 3"Metal TA or APP-TA TA
Insulation Plates
Min.15/32-inch (Optional)One or more Min.1.5-inch ACFoam II, (Optional)BP-AA
W-25 plywood at max.24- layers,any combination, FlintBoard ISO,ENRGY 3 or Note 2 1 per 133 ftZ SBS-SA-H or SBS-AA SBS-AA -52.5
inch spans loose laid Multi-Max FA3
Min.19/32-inch (Optional)One or more Min.1.5-inch ACFoam II, (Optional)BP-
W-26 plywood at max.24- layers,any combination, FlintBoard I50,H-Shield, Note 2 1 per 1.45 ftZ SBS-SA-H AA,SBS-AA,SBS- SBS-AA,SBS-TA _60.0
inch spans loose laid FlintBoard ISO„ TA or APP-TA or APP-TA
Exterior Research and Design,LLC.d/b/a Trinity�ERD Evaluation Report 3520.03.04-R18 for FL2533-R37
Certificate of Authorization#9503 FBC NON-HVHZ EVALUATION Revision 18:02/16/2017
Prepared by: Robert Nieminen,PE-59166 CertainTeed Corporation;(610)651-5847 Appendix 1,Page 8 of 57
TRINIIY I ERD •
TABLE 1C: WOOD DECKS—NEW CONSTRUCTION,REROOF(TeaR-OFF)oa RECOVER
SYSTEM TYPE C: MECHANICALLY ATTACHED INSULATION,BONDED ROOF COVER �
System Deck Top Insulation Layer Roof Cover(Note 14) MDP
No. (Note 1) Base Insulation Layer Type Fasteners Attach Base Ply Cap (psf)
Min.15/32-inch (Optional)Min.1.5-inch,One Min.1.5-inch ACFoam II, Flintfast 3 in.Insulation (Optional)SBS-
W-27 plywood at max.24- or more layers,any FlintBoard ISO,H-Shield, Plates with FlintFast#12 1 per 1.33 ftZ SBS-SA-H AA,SBS-TA or SBS-AA,SBS-TA _�5.0
inch spans combination,loose laid FlintBoard ISO„ or#14 APP-TA or APP-TA
Min.19/32-inch (Optional)One or more Min.1.5-inch ACFoam II, (Optional)SBS- SBS-TA or APP-
W-28 exterior grade plywood layers,any combination, FlintBoard ISO,ENRGY 3 or Note 2 1 per 1.33 ftZ SBS-SA-H TA or APP-TA TA $z'S
at max.24-inch spans loose laid Multi-Max FA3
CONVENTIONAL$YSTEMS:
Min.23/32-inch (Optional)One or more Min.0.5-inch FM Approved (Optional)BP-
W-29 exterior grade plywood layers,any combination, Wood Fiberboard,min.0.75- Note 2 1 per 2 ftZ BP-AA or 5B5-AA AA,SBS-AA,SBS- SBS-AA,SBS-TA _45.0*
at max.24-inch spans loose laid inch FM Approved perlite TA or APP-TA or APP-TA
Min.OZS-inch SECUROCK
Min.15/32-inch (Optional)One or more FlintFast#12 or#14 HD BP-AA,SBS-AA, (Optional)BP-
W-30 plywood at max.24- layers,any combination, Gypsum-Fiber Roof Board, With FlintFast 3" 1 per 2 ft2 SBS-TA or APP- AA,SBS-AA,SBS- SBS-AA,SBS-TA _45.0'
inch spans loose laid Dens Deck or Dens Deck Insulation Plates TA TA or APP-TA or APP-TA
Prime
Min.15/32-inch (Optional for Recover)Min. FlintFast#12 or#14 HD (Optional)APP-
W-31 plywood at max.24- 1.5-inch,One or more layers, Min.0.25-inch SECUROCK With FlintFast 3" 1 per 1.45 ftZ APP-TA APP-TA -60.0
inch spans any combination,loose laid Gypsum-Fiber Roof Board Insulation Plates TA
(Optional for Concrete or
Min.19/32-inch FlintFast#12 or#14 HD BP-AA,SBS-AA, (Optional)BP-
Recover)Min.2-inch ACFoam Min.0.5-inch SECUROCK z SBS-AA,585-TA
W-32 exterior grade plywood II,FlintBoard,H-Shield or Gypsum-Fiber Roof Board W�th FlintFast 3" 1 per 1.78 ft SBS-TA or APP- AA,SBS-AA,SBS- or APP-TA -60.0
at max.24-inch spans ENRGY 3,loose laid. Insulation Plates TA TA or APP-TA
Min.15/32-inch (Optional for Recover)Min. FlintFast ti12 or#14 HD (Optional)APP-
W-33 plywood at max.24- 1.5-inch,One or more layers, Min.0.25-inch SECUROCK With FlintFast 3" 1 per 133 ft� APP-TA APP-TA -67.5
inch spans any combination,loose laid Gypsum-Fiber Roof Board Insulation Plates TA
Exterior Research and Design,LLC.d/b/a Trinity�ERD Evaluation Report 3520.03.04-R18 for FL2533-R17
Certificate of Authorization#9503 FBC NON-HVHZ EVALUATION Revision 18:02/16/2017
Prepared by: Robert Nieminen,PE-59166 CertainTeed Corporation;(610)651-5847 Appendix 1,Page 9 of 57
i
813-780-0020 M1 City of Zephyrhills Permit P+pplication Fax-813-780-0021 ;
, Building Department �
Date Received �-� � �a�"� v Phone Contact for Permitting ��J �� -�u��
Owner's tdame ��� ��� Owner Phon�Rlumber � �3 =y�`� -8 7a�
Owner's Address �/�P� � � � V� �� �����S Owrner Phone�umber
Pee Simple Titleholder idam� Owner Phone ft�umber
Fee Simple Titleholder Addcess
JOB ADDRESS (,)��� ��� 11�. ��I.�I 5 I 33 5 y a LOT# �
SUBDIVISIOPJ PARCEL ID#
(OBTAIfdED FROPA PROPERTY TAX NOTICE) �
WORK PROPOSED ivEW CONSTR ADD/ALT � SIGN Q Q = DEMOLISH I
e INSTALL e �REPAIR 4
PROPOSED USE Q SFR Q COMM [� OTHER
TYPE'"OF CONSTRUCTIOR! Q BLOCK - Q FRAiUIE 0 STEEL Q �
DESCRIPTIOiV OF 1!1lORFC 1 ��D� 'v S V�� ► '`m►J�II�lQ �h�l� IC , S L.C�1'T"T� � U�'
BUIL'DIPIG SIZE SQ FOOTAGE � �� HEIGHY
�BUILDING $ r] p O h��O VALUATION'OF TOTAL CONSTRUCTION ,
� ! -� V
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q �W.R.E.C. I
I
QPLUMBING $ ' i
QMECHANICAL $ VALUATION OF MECHANICAC INSTALLATION ��'
3��
QGAS Q ROOFING Q SPEGIALTY 0 OTHER i
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
i
i
i
BUILDER COMPAPIY
SIGtdATURE REGISTERED Y I N FEE CURRE� Y/N
AddPess �License#
ELECTRI.CIAN COMP�4WY
SIGIdATURE REGISTERED Y J N FEE CURRE� Y/N
Address License# µ �
1
I
PLUMBER. COi�1PAP1Y- I
SIGMATURE 'REGISTERED Y•/ N- FEE'CURRE� Y/N 1
i
AcEdress - License#
MECHi4NICAL � COiViPAP1Y
SIGV�ATURE REGISTERED Y/ IV FEE CURRE� Y/N '
Address=� � - - — License:#
-.,,yc ._ �
OTHER• ` � � ' ���f COMI?AR1Y ��� UQ � �'
SIGNATURE-.� ' REGISTERED Y N FEE CURR Y/N �
Address l0 I S �y �'lrrl�S�� I 3 35�) �icense# C�.��3 a s so s ;
�
RESIDENTIpd:<<;' Qttach�;(2)"-PIoY Rlans;+(2)�sets�of<Building'Plans,:(1)'seYof Energy FoYms;R-,O-VV Permit.for new.construction,.
, ; Minimum:,,ten?;(;1U)_w.orking!days aftecsubinittal-date. Requiretl onsite;'Constr�ction Plans,Stormwater.Plans w/Silt Fence installed,
��� Sanitary;Facilities,&T1;.dumpster;S,,,i#ei .W,ork�Rermitfor:'subdi`visions/large.pr'ojects��
_-__COflAAflERCIAL Attach(2)coriiplete'�sets'of Building�Plans plus a�Life.Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. ,. _ _ _
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit fo��all new projects.All commercial requirements must meet compliance
�.SIGtd PERNlIY Attaoli(2)sets of;Engineered Plans: ,
**""PROPERTY SURVEY required for.all.NEW.construction. - `
_ _.. . __ I
,Di�ections: .. . �
Fill out application completely.
Owner&Contractor sign.back of application,notarized '
If over$2500,a Notice of Commencement is required. (AIC upgrades ov�r$7500) '
`* Agent(for th'e conf�actor)�or Power of'Attorney(for'the owner)would be someone with notarized letter from owner authorizing same
�.OVER THE COUNTER PERIVi1TtIY�G (copy of-contract required) ' ,
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public_roadvuays:needs ROW . , ,, , • .. .• " �
' , ,.� ,,,. , . fi �.r: . .., ' �. . , .
� , z: .. �.. � r _.; , ... _.- . , ' •,., " _. '
, �
. ____��-�.�.�,,,:,,�.,M�:.��..,�:����.������;:�:,�:��a
�
,
N�bTiCi��V�B��i�D RES�'8�t��'i�NS: The undersigned understands_that this perrnit maybe subj�ct„to"deed" resf�ctions`';,�:',
which.,may..be more�restr•ictive than County.r,egulations. Tlae=und'eesig"n'ed•�asseimes�r.'esponsibafity'"forscompii'ance witfi���any" "=`
applicable deed restrictions. .,. , . . : �
�1�lLICE�l�I�� Ct��iTR��'�"ORS A�9D ��ii�TR�CT�6� 4���PONSi�t�.1�'IES: If"tfie-owner has°kiired�a.Tcontractor or
cantractors to undertake r�roric, they may be required;to be..licensed-in accordance vuith�state and<loca! reg�alatRons:-=if�the= _
contractor is not (icensed as r�quired bp`law, botfi'the awner�and:contrac#or imay-t�e�cited�for-�a rnisdemeanor viaiation
under state law. !f fhe owner or intended contractor are uncertain as 4o what iicensing requiremenfis:=may:�,apply foc�.;.�tiie��
intendec!v�ror.k, they are•advised to coiitact`tFie'Pasco Courity Building tnspectian�"Division—�Licensing Sectian:at 727-847-
8009. Furthermore; if the owner has liired'a'�contractor or contractors, he'is advised to ;have the contractoc{s).;sigp,, ,
portions af the "contractar Btock" of this application fior vuhich they wi!! be responsible. If you, as°`tiie avvn+e�sigri as tiie `
contractor,.that may be an indication that he is not properly licensed and is not entit(ed"#o permitting priviteges in Pasco
County. � .� .
TC�+�SPOR�'�YIO�! ifl�i�A��'lUTILIT-I�S Ii�fF?AC'6'��lD B�ESt3tdRC�6�ECOV�RY FE�S: The undersigned understands
that Transpartation Impact Fees and Recourse Recovery Fees may.:apply to the cansttuction af,new buiidings, ctiange=of�°�'=�
use in existing buiidings, or expansion.of<existing"buildings, as specified irt Fasco County Ordinance number 89,07 and
90-07, as amended. The under'signed also understands, that such.;fees, as may.,,,b.e due, uvill ae;identified at�the=time�of"�
permitting. It is further understoad that-Transportation impact Fees and Resource'Reeovery Fees must be paid prior to
receiving a "cerkificate af occupancy" or final_power release. !f the_project does not involve a certi�cate o€accupancytorF��•
fina( power release, the fees.-must be paid priar to permit issuance. Furthermore, if Pasco County W.ateNSewer Impact
fees are due,#hey must be paid prior to permi#issuance in accordance with appiicabie Pasco Caunty ordinances.
C�?N�TRUGTl�N l�9�6d �A�!!{C�►ap��r��03, Ft�r�i��St�tu��s, as�en�radrod): If valuation of wark is$2,500.00 or moce,.J
certify that I, the applicant, have b�en prouided with a copy af the "Florida Construction Lien Law=Homeowner's
Protectian Guide" prepared by the Florida Department of Agriculture and Consumer.Affairs. tf the appficant:is someone
other than the"owner", I,certify that l have obtained a capy of the abave descri�etl'document-and promise�in gootl faifli'ta
deliver.it to the.':owr�ec"priac ta commencement: ,
C��6i'�C'�OR'�/O�Rl�43'� A�'�IDdNIT: I_certify.that all the informatian in this application is accurate and that alf work
wiil be done ln comp(iance with a!! applicable laws regulating construction, zoning and-land-devefopment. Appficafian is
hereby rnade ta obtain a perrnit.to do work-and installation as .indicated. f certify tha# no work or installation has
' cammenced priar ta issuance of a permit and fhat all work will be performed to meet standards of al! laws regulating
construction, Counfy and City codes, zoning regulations, and land development regulations in the jurisdictian. ! alsa
certify that I understand that the regulations of oth�r governrrient agencies may apply to the interided work, and that it is
my responsibility to identify what actions I must take to be in comp(iance. Such agencies include but are not limited.to:
- Department of Environmental Protection-Cypress�Bayheads`, UVetland Areas and Environmenta!!y Sensitive
Lands,UVaterMtastewater Treatment.
- Southwest Florida Water �anagement Qistrict-Wel}s, Cypress Bayheads, We#land Areas, Aiterfng
Watercourses.
- Nrmy Corps af Engineers-Seavuatls, Dacks;Navigabie Watervuays.
- Depacfinent af Heatfh � Rehabiiitative Serrrices/Environmental Nealth Uni#-W.e!!s, Wastewater Trea#ment,
S.ep.tic�Tanks. �
- US Environmental Protection�4gency-Asbestos abatement.
- Federal AviatiQn Authority-Runways.
t understand that�the faifowing restrictions apply fo the use of fill:
- Use af fiil is not allowed in Flood Zone"V" unless expressly perrr�itted.
- !f the fil( materia! is to be used in F{ood Zone "A", it is understoad that a rfrainage pian addressing a
"compensating valume" vuiil be submitted at time of.permitting �nrhich is prepared by a professional engineer
licensed by the S#ate of Fiarida.
- If the fill materia( is to be used in Ftood Zone "A" in cannection with a permitted bu9lding using stem wall
construction, I certify that fill will be used only to fill the area vui#hin the stem walL �
- !f filF inaterial is to be used in any area, i certify that use of such fill witt not adversely affect adjacent
properties. tf use of fill is found ta adversely affec#:adjacent properties, the owner may be cited for violating
the conditions of the=buiiding permit,issued under the attached permit application, for lots less than one (1)
acre�rhich are elevated by fill, an engineered drainage plan is requi�ed.
!f I am the�4aEft4'�' FC?R�'H�d�'!�lR��R, ! promisa in gaod faith to irrform.the awner of the permifting conditians set forth in
this affidavit prior ta commencing canstructian. i understand that a separate permit may be required for electrica! work,
plumbing, signs, vvells, paols, air candi#ioning, gas, or oth�r installations not specifically included in the application. A
permit issued shall°be construed to be a license to proceed with the v�tork and not as author'tty to violate, cancel, alter, or
set aside any provisions af the technica! codes, nor shall issuance ofi a permit prevenf the Building Officiat from thereafter
requiringa correctian�af errors_in_pians,�constr:uc#ion_ac._v�olations_of_any codes._Every..permit-issued shal(-becom� invalfd-- --
� unfess the work authorized by such permit is commenced within six months af permit issuance, or if work authorized by
the permif is suspended or abandaned.far a periad,.of six(fi�'inanths after the time the wrork is commenced. An e�ctension
may be requested, in wr.iting, frorrt the Suilding (Officia! for a period.nat to exceed ninety(90} days and will demonstrate
justifiable cause for the extension. if work ceases fpr ninety(90)consecutive days,the job is considered abandoned.
�1�a�tYVlidG T�3�Ol�N�E2: YOU1R E/AILUR(E.'D'dl RE�ORD � I�OTEG� OF GOMIl�E�dCE1V1EMT [1�AY RESULT al�! VClUR
�'�4YIi�G Y�lICE�QR!�'t7�'ROVE�ENT�Y.,�YQUR:-fPRQJPEl�TY: IF YC4�.�lNTEND�TO C►BTAIN,�I�tA[dCING,COR�SULT
�N9�'H YOl�Ft L�N�ER OR A�! �IFt?RE.62EC4RDiNG Y{D R C3TICE O�'COi�iiifllENCE➢�ENT.
FLORIDA JllRAT{F. 97.08) '
- -�Olf��l�R�OR AGEPlT - r.. �_ - C�P4T AG� R _ �_ _ - —
S b be and s t p ' re m this bs ribe rt or affi e be or e this
�, �U�� by � Oo � Co �U1 �y ��Vtrt � `��,��
Wha islare personally lcnawn to me or aslhave produced Who islare personally known to me or fias/have produced
as identificatian. as identification.
�.�,�✓Y4 �yc- �/�i� Notary PublPc ��`���" �'t_�iG2aak�_ _ �totary Pubtic
Commission lVo. �Q�$��.3 Comm►ssion No. �`� 3���� � ' ---
�n+��s- J�_ �'r�r�¢,�( �u�'�S" 1�1• "I�'ark�co
Name of Notary typed,printed or stamped Name of Natary typed,printed or stamped -
�---- -
� :�'""'�+�` JE4V41ftFEFd N TF2RMA+iEl.L
t =���`•`•"•''�; JENNlFER N TRAMMELI
` I ' : MY COMMtSStON#FF9380T3
j MY C�MMISSiON#FP9380�3 • ��•'' �
� �'�,ario�'� EXPiRES January 15.2020
�
� �'•`''?•�.,�;,,, EXPIRES January 15,2020 .su:,�,�-0ss3 P�onqallouiysarv�c�.com
.:i�,.i�lr 0+53 FlondsiNo�uYSurvwti.cwn � -
,
. � -- ` _
11111fl11l11lillilllllll�lli111111111f11f111111f111111111111 � �
2017@51082 . ,
Permit No^ ^ ` Parcet 1D Na + �'��~�f -a a�o - 0 5 g�� -�a r°
/'� [dOTICE OF CDrifl�f7EP10EPAEfl17'� /s
5tate oe �1 ori V'"L Connty o4 �'vl �
TNE USJRERS!(3NE0 hereby gives nutioe fttat Improvemen!will 6e made to ceRaln real property,and in accordance with Chapter 713,Florida Statutes,
the following Infartnation Is provided in ihis NoUca of Cammencameni}��/ ,��, �O�O,,, X�(},\a r,�� + �
1. Descrlpiion of Property: Parcei[derttificaNbn No. � �a U L�v �
Stceet Adtlress: �(J 1 �� (p�� V�. � �1 ��«�`S f 5�I
2. General Descrlptlan ot tmprovemen / p
l.lJ.{ D l.' .�
3. Owner in ation ar Lessee i rmation iFthe Lessee confracfed for•the tmpravement:
���2i2� �U2t'..5
� �, !a� f� Je ,� ,.t S � . �
Address CitY State
interest in Propedy:
Name ot Pee Simple Titlehotder.
{!f difie[eni trom Owr�er tisted above)
� Addre'ss �� 'Q� � �C. City State '
ConVactor ,/
am I�J � `1 . y�l�`� S —f 33S`f�
Addres5 -���i a-�o�_ °fty t State
Caniractars 7elephone No.: '
5. Surety. � �����T �
Name (1, ! . . . � "�
V`�'
Address . City State � a `a �
Amount oF Bond: $ Tetephone Na.: � � i
N ��' � '
s, Lender. • I
Name +� �..;� �,t�' v
0�9 m �� `,'• '�'r) .�? �
Address Gity Stat �� �a�t q' i
LendePs Tetephane No.: � � �`�� ��4�� o �,
7. Persons wfthln the State of Florida designated by e pwner upon whom nottces ar other documents may pe served as provided G � � �� � a � ,
Secllori 713.i3(1)(a)(�,Florida Staiutes: A ! cti �1 � ' � �� (
�v !�'
Name - � � S�J �! +5�� i
i
Address City. State � !
Telephone Number of Destgnated Person: �
8. tn addittan to himseif,the otimer designates r"' " oP_ � i3.1 � �
ta receTve a copy oF the Ltenar's Nptice as provided 1n 9ection 793.i 3(1)(bJ,Flodda Statutes. � � � � w � �
T e i e p h o n e N u m 6 e r o f P e rs o n o v En ti t y R e s t g n a t e d b y O w n e r; � (� � a � U � I
9. Expiration daie of Notice oP Gommenaement(1he expiralion date may not be 6eFore lhe compi n ort�cor�;(trtucft��a.�la/n�d4 i Payment to iha � � O � .,� N � _ { �
contractor,bist ev[II tre ane yeer trom the date af recordiAg ualess a drfCerent date Is speclfied):�t.-1��1—��.—J 1� C X V t� �^ C`� p � � �-. n- �
WARNlNG TQ 04VNER: ANY PAYMEN7S MADE HY THE OWNER AFtER 7HE EXPIRA710N OE✓THE NOTICE OF COMMENCEMENT � � C�-1 � � �- C� � I
ARE CONSIDERED IMPROPER PAYMEN7S•UNDBR CHAPTER 713, PART 1 SECTION 713.13 FIORIDA STATUTE3, ANp CAN d � S - -� � �
RESUi.T IN YOUR PAYiNG 7WtCE FOR IMPftOVBMENTS TO YQUR FftOP�RTY. A N07'!G�4F GOMMENGEMENT MUST 8E }. � �-- Q '�C Q
RECOS2flED AND POSTED ON THE JQB SITE BEFOftE T!-lE FIRST 1NSPECTION. IF YOU INTEND TO 08TAIN FINANCINO,CONSULT �.. � �t; � �,,� U ;
WITFI YOUR LENpER OR AN ATTQRNEY B£FORE CQMMENCINC3 WORK OR RECORDiNG YOUR NOTiCE OF C4MMENGEMENT. � = fj Q ��
Under penafty oE per}ury,!declare lhat I have read the foregoing notice of commencement and that ihe facts stated therein are irua to ihe best � � a W O �
of my knowledga and 6elleF. �
STA'T6 OF FLC}RiOA � � � �� �
COUN7Y OF PASCO �'f t`�� �•-� p } U � �
Signatut�e cP Ownsr ot Lessee, Ovmets or Lessea's Aniharrzed �y � � C� LL. �
OfiicerlDirectorlPar[netlManager QC � O -a
� � a �►- z a �
sf to,ys rts�rotr,�e ) ►� c�'�'� � �>- a z
�-//� r��}� (�RP �."• p a � � �
'�h�r oing Irument was acknowledged before me this dey o��`^ ',2�,,by ``'i`u' �" � Q }- z 0 �/j
U as •{type uf authority,e.g.,officer,trustee,attomey in fact)foc C.t1 Cn ¢ � � Q
�- � t� � I
( e of pariy 6eha whom instntme�pt was exeouted). .� � �
�J Ct.. � -GJLXJ 0�.. t"' _ � z E` ¢ 7�-
P.ersonatly Known I�!OR Produced Identificalion C.� Notary Sigrtatui����� L� F- t-- Q � Q. C13
r � f Q o. �s�!
Typ o Name(Print)
,,4'��p��� ANGELA HAYWOOD
�° `�c;: lJataty Publlc-State ol Florlda Repl.:1852601 Rec: 10.00
Gomrnlsslon#fF 912551 d5: �.�� jT: 0.0PJ
,;?:�oF F�;�;�?= My Gomm.Explres Aug 24,2019 fD4106l2017 K. D. K. , DPtY C-1 erk
�,,,,,,t+ Bonded tNough Na!lonal Nota.ry Assn.
4 PRUI,R 5 0'NEII,Ph D PASCO CLERK & COMPTROLLER
04/06l201 46am 1 of 1 /
OR BK ���1 P� 3231
- - - --- __- _ �