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Home My WebLink About17-18835 a ; CITY OF ZEPHYRHILLS 5335-8TH STREEf (813}78Q-0020 �$$�� BUI�DING PERMIT - PERMIT INFORMATION - LOCATION INFORMATION - Permit Number; 18835 Address: 38831 NORTH AVE Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: RQOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: PARK HILL Est.Vatue: Parcel Number: 02-26-21-0180-00000-0470 Imprav. Cost: 8,$52.00 � OWNER INFORMATION Date Issued: 9101I2017 Name: NIASHBURN M4NTGUMERY � Tatal Fees: 80.00 Address: 38831 NORTH AVE Amount Paid: 80.00 ZEPHYRNILLS FL 33542-3819 Date Paid: 9/01/2Q17 Phone: 813-997-2547 Work Desc: RERQQF SHINGLE CONTRACTOR S APPLICATtON FEES SOUTHERN PRO RESTORATION REROC7F RESIDENTIAL 80.00 ��. � Ins ections Re uired D IN R F IN P TAPE JO,I�T�OOF INSP FINAL `!� � �� r � '"` REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80(2)(c)the locai government shail impose a fee of four times fihe amount of the fee impased 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 additiona! restrictians applicable to this property that may be found in the public recards of this county, and there may be additianai permits required from other governmenta( entities such,as water management, state agencies or federal agencies. "Warning to awner: Yaur failure to record a natice of cammencement may result in your paying twice for impravements ta your property. If yau intend to abtain financing, consult with yaur lender or an attorney before recarding your natice af commencement." Complete Plans, Specificatians Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEEORE C.O. NO OCCUPANCY BEFORE C.O. ��'""� CONTRACTOR 51GNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MCINTHS WITH�UT APPRQVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED P�OTECT CARD FROM WEATHER �` � a�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 ,- Building Deparlmenl Date Received $�?� l �..�-�j Phone Contact for Permitting _��_��_ __ _ _ __ _I"TI-t Owner's Name Owner Phone Number ��"'�F"C l-a5� Owner's Address 3DDJ� U � �i�� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 .� �( � LOT# � SUBDIVISION W � 'I PARCEL ID# -oc�p' ^b� �'lJU^�"' " 1T1�6 ' (OBTAINED FROM PROPERTY TA%NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION�OF WORK Q � �►'11 �O N (LI 4��C`�-�+e� Vn�AI.QIT`� BUILDING SIZE SQ FOOTAGE� HEIGHT � OBUILDING $ ��G� VALUATION OF TOTAL CONSTRUCTION J DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS � ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO BUILDER COMPANY �� (Zl � SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y I N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y I N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# IIIIIIIIIIIIIIi11tI11111111111111111t111111111111111111i11111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construciion, Minimum ten(10)working days after submittal date. Required onsiie,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Li(e Safely 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 w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions:• Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) I " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy ot conVact required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) Driveways-Not over Counter if on public roadways..needs ROW .� . +a. idt3T10E OF DEED i2EST62iCT14RIS: Th�undr�rsigned underst�nds fhat tt�ts perrnit may be s�bject fo"deeci"restrictions" which may be more r�strictive than County reyulatior.s. T"'tae undcrsign�d assumes respnnsibil;ty for compiiancr;�vith any ��plicable deed r�strictions. URILIGENSECI Ct3�tTRACTORS ARSt3 �ONTRACTOR RESPOtdS#6t4.IT1E5: if ihe owner has tured a r.ontractor or conhactors to undert�ke work,ihey may be required to be licenshd in accordance with state ancf local rec�ulalions. ff the contractar is nat l3censed as required by Eaw, bafh the r�vmer and contr�cic�r may bc�clteci for��nSsdemeanor violation unc�er stata iaw. tf the nwner.or interided contrac#or are uncertai�i as to what ticensinc�requirt�menis m�y appty ior the intetuled work,they ara advisc�d to cnntact the Pascn Cc�uniy E3uilding inswcction C?ivision--Licansing Section at 727-847- 8009, Furthsrmare, if tii� oevner has hired � contractor or contractors, f�e is advisad to havp tn2 cun2ractor{sj sign pnrtlons at the"ecintractc�r 81ock"of this spplication for which#trey wi3l be resprsns�ble. If you.as ti�e owrtLr sign as the contractor,that may be on indlca#inn#h�t he i5 nat prnperiy licensed and is nai entitied to permitting ptivileges in Pasco County, , ?RA#t1SPORTA11O�7 iNiPACTfU7[LRIES 11+liPACT A#dC1 i2ESOURCE E2ECC?VE12Y FEEB: The undersigneci understands i that Transporf�tion Impact Fees and ReGaursc Recovery Fees may ap�ly tn tho constructinn af new�buitdinr�s,cfiange nf use in existinc�buildinqs,or expansion afi existin�buildings, as specified in Pasco Gotanty Ordinance number 89-Q7 and � 94-�7,as arnendecl. Ti�e undersign�d also undersiands,that s�sch fees,as�ay t�e due,will be identi��d�t t}�e#in�e cf p�rmi#ting. it is furEher understnod ti�at Transpr�rtation irr�pact Fees and Resouroe ftecovery Fer�s must be p�ld p�ior to recsiv(ng a"certificate of occupancy"or tinal ppwer rete�ase. !f the projeci.does not invalve a certificate nf occupancy or tinal power retease,#he Eees musl ba pald prior to��ern�it issu�tn�e. Furthermore.if Pasco Countyr�Vater�i6ewer impact , fe�:s are due,they must be peid pr`sor tc�permit issuance fri�cc�rdanr,e with applicabte Pascc��ounty ordinanc<rs. GONSTRUCTION LIEhI LAW(Chaptew 7i3,Flarida Statutas,as ametrded): if valuetiran of work is S2.500.00 or more,I cer2i4y #hat 1� ihs �pplicant, havs beez� pravided �vith � copy of thc� "Fioride Constn�ct'son Lien Law--�}��csmeowner's Protection Guide"ptnpar€�d�iy the Florida Departm�nt of AgricuCturo and Consumer Af�airs. if the applicant is somenne other than the"owne",I certify that I have obtained a cap��of the above described document and pron�ise in good faith ta dellver it to the"owner"prior to carrsmenaement. CC}NTRACTt?R'S1�WlVER'S AFfiCt�VIT I cerfify ttrat ali the informalion in this application is accurate and fE�at a1i�rork w�N b�n done in aampliance with all ap�licable i�ws rogulaiing construction,zoning and land development, tsppiicatiot�is � hereby made to obtain a permii to do work and insiallation �s indir.atnd. 1 certi#y tl�at no work or ins#7llatiori has commenced prior ta issua�ce of a permit and ihat all wflrk will be psr�t�rmed ta rneet standards af al3 Caws regulating. ! construction, Cnunty and City c�des, zoning reg�lations; and land ci�vc�ir�pment regul�tinns in the jurisdiction. i alsn certity that i understartd that the rz�gula#ians of other gavernment ag�ncies may apply to ihe intended work,end tfrat it is my responsSbil!!y to icienti#y what actians I mus#tske to be'sn con�pliance. Suci�agar�cies ii�clude bui are not limited to: - D�partment oi Environmentai Prokectinn-Cypress �3ayh�ads,WeUand Arsas and Enviranmentaily�ensitive Lands,W�ter/Wastewater`freatment. - Southwesi Florida i�tafer Marac�erne�zi Clistriai-Wells, Cypress Bayheads, UVe!lar�d Fueas. Atterirzg Watercourses. - Army Corps of Engiriears-5oawaps,Docks,IVa��igabic�Watenvays. - Depgr{rs�ent vf ti�alth & Rehabi{iitttive SeruiceslEitvi�•o3amc�tal Hc:alti} tinit-V�etis, Wasiswater Tr�attnent, Septic'f`anks. - US Envirortrnental Protectian Agency-Asbestos abaiement. - Federal Aviation Authority-Runways. I understand th�t ihe finllowing res#rict3ons apply to[he use ofi�t): - Usa of(ilt is not aiipwed in Fload Znne"V"unless expressly p�rmiited. - if tha �N material is tn b� used in Flood Zone "A", it is unders#arad that � drainage ptr�n addressing a „cnmpensating votume"will be submitted at tirne ai pQrniiitino wl�ictl is�arepared by a professionai enginaer lice��sed by the 5tate oi�Iqrirla. - )f the fili materiai is to bo used in Fiood Zpne "A"in connee.tion wiih a permitted building using stem wail construction,t ce�tity that fl3t ti�riiE b�used only to fill the 3rea witi�in the stem walE. - 1£fill meterisl is ta be usc�ci in any erea, � certify that us�: of such flil wilf not adverseiy affect �adjacent praperties. If use of fill is found to�dvers�ly affer,t arJjacent praperfies, the nwner may be cited for vlalatinc� the candi2ions of the bui#ding permii issued ur�der the aitac��eti permit�pptication,{or Iots less#han one{1) acre wh`sch ar�elev�t�d by fiill,an enc�ineered drainage pfan is requirpd. if I am the AGENT Ft3R THE OWPIER,!promise in goad gaith to infom�the owne�of tha parmitOng conditinns set CoRh in this affidavif pri�r tn cornmandng ca��strt�olian. i understand tha#�sepHratfl p�rn�it may k�e required(ar�lectrical work, �1c�mbinp,sic�ns,wel3s, ponls,air cc�ndiii+�ninq,gas, or c�itzc�r instatiations not spec�catty incl�ded in th� appiica#inn. A permi#i5sued shali be constiued to bs a license to prooepd witt7 the work and nc+t as authority to violate,cancel,alter,or set sside any provisinns of the kechnical cados,not s4iail Issuance of�p�rm4t prevent the Building Offic'sal from thereafter requ�ring a carrection af errass in plans,consvuction or viaiat�ons at sny cpd�s. �✓ery permit issue�shatl become inva(id unless the wark autharized by such p�rrnit is commenceci within six mnnths of permit issuance,e�r it work autharixed by the permit is suspended or abandoned far a pQriad oi six(6)manths a(ter ths time fhe tivr�rk is commencod. An extension may be requesi�;d,In writing, fram ths Builclir�g CI(ficia!tor a period r�ct tca exceed ninety{90}days and wili demonstra�e justi3iabi�cause fnr the extensian. if wc�rk cer�ses for ninety(90)consecutive days,lil�Jbb i5 COnSid2red abBndOri�:d, W�1E2NIPIG TO C?WNER. Y£iUR FAiLURE Tt7 l2EGORCI A�IC?TtCE C5F CQfiflME �t�'!'MAY RESULT]N YOUR PAY#NG 1WiCE�Ol2.tMPF2CtVEl�ENTS 74 YC}UR Pi2CfPERTY. IP YC)tl tNTENd O O TAlR4 FIi�AAJCitVG,Ci}NSUL7 WiTH Yt3UR L NDEFt C1R AN ATTORN�Y BEFORE ECORDII�G YQUR NOTI E OF {�MtYIENCEMENT. t=LORlDA JURJIT{F.S.197.43} ��'/' OWh3ER OR AG$AIT�� ""��_�n..�G70R____,� . .._._ -- SubsCrih[ad and swa tn�ar s�ffirtnod efpre me thls Subsorbnd and sworn;o(or nfifiin d)b�rCare i_i�ttiis bY 4 �'.✓� by K t ��- 3o Isfara p�srsanatly nawn to ma zrr hasJhave praduced Whoysrare�rsrsc�sliY u�o;4;r io me w hasfiaYe praduc:.-�d v�;,�y /Y(�+.�5i' as idc�nt;3icati�n. _ ��" �s identffir.aiian. (c��`'�ui�+� .,._� ��„�,,NotaryPublic Con'imission hlo. Commission dn. ��V��y_____ ��/,Z�rG � q��Z _,�._.___... ..___--_l� JW`1150't ame r Na ary rypeil,prinietl or sfampcd Name ot tJotary ty ed,printea or sterr;;+�zd •<�i:��,.,: Ta�Yt�tor�taa�t�tt�Fz „�::"~ corr��KNsar� �r�;. :;k��• �*c MY COMMISSION#GG 081040 '%�• �;. MY COMMISSION#GG 071072 •��Q`' EXF3FtES:March 8,2Q21 -ai�pa? £XPlRES:F86iU2ty 8,2021 yy:,�d��g.•� Bonded fi�u Notary Pu6Re Un�ierwatters i;pd t�°•�� Snnded Thn�NotarY Public Undeiwriters ,�� ' l�IN p �-�"'°"�' INSTALLATION AGREEMENT HOMEOWNERS Page i of 2 CHOICE CONSTRUC'TION EIN#81-1725414 Phone:(877)6523555 LIC#CBC1261240 www.homeownerschoiceconstruction.com DATE: � Z� iQ.. CUSTOMER NAME: 1"1.61YLT'� Mdt�'�G� -�/•) PHONE:(� 108 ADDRE55: � �� DP}/1 /d1 Jl�D�r�no,l�S Exterior Work:ROOF � {� Shingle Type: Y � �1�r I1�I'� 1]" Flat Roof: 1�N0 ❑YES FR Color:�`':., Shingle Color:_�fi . � d • Drip Edge Color:�,�Ridge Vent: ❑Metal �yp Cobre ❑Off-Ridge 4' RV Color:�� Underlayment: ❑301b Felt(�ood) �Syrithetic{aeccer) �Peel&Stick(sen) NOTE:Roof pitch can affect what underlayment is allowed per building codes. Dish: ❑DISPOSE ❑KEEP NOTE:If you keep the dish,please call your satellite provider upon completion to reinstall&calibrate it.HCG does not reinstall dish HOA Approval:CUSTOMER accepts full responsibility for obtaining any necessary HOA approvals for the scope of work and material types/colors. Initial:��i�� 7 Interior/Other Work or Notes: �'r a._,_I_ nsurance Claim Example: ..�.,�,n _�-_��lt-n�r��e„�.,o,�.�,,, S�•��- _JOB TOTAC(�p�rc�efi78fi�bs#"oPFroved by insurance) $15,000 i� � ��,.I lohn Doe has a$3,00�cleductible , $3,000 '�--�e�..��=.---F4l�-I-/.L--.�i�,�u.. ..____ Insurance.pays HCC $12,OD0 --�b lae�_.�l�.�d�c_.__��Q- .._ John Doe pays HCC his deductible $3,�00 __._;______._..___-_._...____�,�_.—_v_._.�r.. .____ 108 TOTAL is paid to HCC to complete rhe work $I5,000 __..._..__—___-.._.._._.—__ ' —__.___..�.. __- -- NOTf:This is an example of a simple insurance job.Tlte numbe�s akove are not related to the specific job in�his agreement Each jab varles as cosis for items -""-'�'�-�"-'�`-�"' - '�`--"��-��— - such as rotien wood replocement i�parac�es,suppl�men!s,etc.would affect the final breokdown o�the job. . � JOB TOTAL: ,�Q � Payment Notes: �� 2:��' � $��1 � 41pr� c�arr4�. . � installation Payme�t:CUSTOMER agrees to promptly release the 1"Insurence Check,CUSTOMER'S Deductible Amount,and any/all Upgredes to HCC at completion of the roof.GUSTONIER agrees not to withhold said payments over minor construction defects/disputes and/or status of the county's final inspection. Payees on Insurance Check(s): �44}�� '�i i��Q��..iR +�5�� Check Expiration oate: Bank EndorsemenY Process:Flease check ONE in each section below if a Bank's name is also listed as a pa�ye�e on tife in�su`r�-ance�(ieck(s).If NO,please leave blank. Section 1: ❑Monitored ❑Non-Monitored Section 2: ❑Mail Away ❑Lo�cal Bank Endorsement Section 3: �CUSTOMER will handle the Bank Endorsement ❑HCC will handle the Bank Endorsement Missed Items and/or Suppleri�ents/Hidden Damages: CUSTOMER agrees to allow HCC fo request supplemental funds from CUSTOMER'S insurance company for mistakes,items missed,do�umented pri�e increases, overhead&profit,underlying damage,etc.that may not be reflected on the insurence Settlement Statement.CUSTOMER agrees to release all supplemental funds(ff any}to NCC.This will not affect the amount CUSTOMER will have to pay out-of-pocket.Exdusion:Most insurance companies will not cover rotten wood unless directly damaged by the storm(Please see reverse side for more details). Initial:��,,,��-%�; Solar Panels:�NO ❑YES �IfYES,check ONE below: ❑CUSTOMEfi�wili'fiandle the solar panel portion of this project.CUSTOMER will have the panels removed and plumbing capped off rp 3or to the roof installatton date.The funds from the insurance company for the solar panels will be returned when all work in this agreement is complete and HCC has been paid in full. ; �CUSTOMER allows HCC to rerriove&dispose of the panels.CUSTOMER ensures the plumbing is inactive and capped off prior to install.There is a$250 emergency plumbing fee if it is i t ready upon our crew's arrival.The reinstallation funds will be returned when all work is complete and HCC has been paid in fuA. CUSTO ER�'INITIAL HCC INITIAL i � ***PLEASE INITIAL(3)FRONT AREAS&SIGN THE REVERSE SIDE OF BOTH WHITE AND YELLOW COPIES*** � WHITECOPY-HCC ♦ YELLOWCOPY-CUSTOMER Ver.0619170 INSTRUMENT#: 2'017324603, BK: 25169 PG: 1436 PGS: 1436 - 1436 08/16/2017 at 09:27:28 AM, DEPUTY CLERK:ADUPREE Pat Frank,Clerk of the Circuit Court Hillsborough County '1'hix space far usc by Clcrk of Ihe Circuit Cmirt only , NOTICE OF , COM1VlENCEMENT Penn it Numbcr i Tax Folio No. 012931-5122 7'be undercigned hereby gives notice that imprmemenls�rill be made fu certain rrvl propertr,and in accordance with Seellon 713.13 of the F'Inrida Statules,the follnwing iriformetinn is provided in Ihe NO'1'ICE O�C-O�I>I IC\CE V F.\'I' I Legal Ucscription of propeny(strocl address required): VILLAROSA PHASE�A LOT 2 BLOCK 5 U-05-27-1 B-OHA-000005-00002.0 19105 CELLINI PL LUTZ FL 33558 2 Gcneral description of nnprovcments� Re-Roof 3a. O��ner Name Allsher/Odinakhon Makhamadallev O��ncr Address:�105 CELLINI PL LUTZ FL�558 _________ � 3h O��ncr's interest in site:_Qwner 3c. Pce Simplc"I'iU�holder(of olhcr�han o��mcr) Address -- 4 Cnmractor Name: Homeowners Choice Construction(CBC)Southern Pro Restoration fSUB) Address. 9260 Bav Plaza Bivd.Suite 5D1 Tamqa FL 33619 Phonc. 813-835-1209 5 Surety Name _ mm�unt ol'bond: ilddress. —.--- f'hon�. .- 6 Lendcr Nmnc: _ Cnntace Address. _ Phonc: 7 Person�vilhin lhe Stal�ol'Florida designatrd h�o�tincr upon��hom ne�liccs or other documcnts may lx;surved as provided by tiectiun 713.13(I)(a)7,Plorida Statutes. Namc: Addi css Phone Numher 3. In addition to himself.Uwncr dcsignates the 1'ollo�cing person tn receive a copr of th�Lieimr's Notice as prorided m Sec[ion 713 13(I)(h).Florida Staiutes _ Name. Addresa. Phonc Number 9 l:xpira[ion dxtc of No�ict of Commeneetnen[(expiration datc is one(I)�ea�frnm dnle nf rccording unless a dil'ferent date is s�ci I ied). —-- I N'ARNINf.TOq\V�F'R: �\VYP.��:AfEN'I'ti�l,�l)EH}'1'NEq\Y\F,R.4FYER'I'IItiF.SPIR.�'IIO\OR'I'IIF,:�OI1C1iUFCOJISI}:NC'F:\1F.NTARF. I CONSIUERED INPROPER PAYMF.ti"fS UNUER CN:�PI'F.R 713.P,\Hl'I.SGC'f10V 713.13.FLURID:\STA'i[:'I'tS.A\I)(:A�RF;SI�L'I'IN 1'OUR PAIING T5'ICB FOR IDIPRO\'E1IF.�75-f01'OUIy pNOPF.R'fV .1�U7lCE pP('O\UIEVCE\1CVT\IL'ST iiF.RRCORUED.4ND POSTED ON THE JOd SITE BF.FORE TIIF.FIR51'1NSPF.C7'IOA. IF'VOU IN'1'Elvp'�p pRl'AIM1 P'IN�1\fIN(:.COVSVI:t'N'ITH 1'Ol!R LE\DF.R OH AV ATfORXF:V BF,FORE C011MENCINC\VORK OR RECOR INf,Y I,�R NOTICF,OF CO�INENCF:\IF,hI', � Signa (�7ieror Lessee.orOn-ner's or L�ssec's AuUiorized OI'IicedUirecioriPanner/Manager Owner Sienatarv s'I'itl��Oflicc S7'A1'E OF'FLORIDA COUNTY OF Ii1L.1.SllOROI�GH Tl�e Forcgoing inshvmenl��aa acknowledge hefore nte this_�5 day ul' _ �p��-�- �p �� ,,�" - ----�- —tJ'=`''----�---'-----'- -- -- �Y . �(�a�lCW�Ic.L+ol��{✓-- --'as (�ak�Ll -- (or l�ldS�Ce�1�v�'�. QL-- Personallv F.nown qR ProAuced Identifica�ron --- - ---- ---- ' ----�-- .__.�__ T��pcofldcntificationP�oduced ._R„p`-----_-- ' Si� i e-,' Public -- l:nder enel' erjnro, �clare that I have iead�he 1'orcgoing mid that ihc f:�cis siaiad in i�xre[�ne to Ihe b�. my kno��ledge and bdier: —� '�"':''• COTYJOHNSON �S ol'NnturalPcrson$i�uin�above — i�'�' �,= E E . _ _ kfY COMMISSION#GG 071072 L\cop.ofer.��Uondmus�bcaiixhedm�heiiineofrcmrdniinnnfibi•�uiisura�,�„��«��u '; oPo.` EXPIRES'Febluary8 �Q��,dr�,; n�r_ '�•"Lt� ��+�+��8�!'PubGo U�rMa�vi,ters Generalized Building Schematic o2-z6-2�-olsa-ooaao-o470 Card: 401 �� 1� �� 1� �� 4a� iz �� f� t � �-�i �� .�y-i�r�.L' zs � z� zs ��. z� �o iz � � . 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Knezevich,PE r! Validation Checklist-Hardcopy Recefved Certificate of Independence �L10124 R19 COI 2016 O1 COI Nieminen p�i Referenced Standard and Year(of Standard) Standard Year ASTM D1970 2009 ASTM D3161 2009 ASTM D3462 2009 ASTM D7158 20G8 � TAS 107 1995 Equivalence of Product Standards Certified By Sections from the Cade https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeV Cbd... 2/14/2017 Florid�Building Code Online Page 2 of 2 Product Approval Method Method 1 Option D Date Submltted 08/26/2016 Date Validated 08/26/2016 Date Pending FBC Approval 08/30/2016 - Date Approved 10/13/2016 Summar 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 Installation Instructions Approved for use in HVHZ:No FL10124 R19 II 2016 08 FINAL ER GAF Asohal Approved for use outside HVHZ:Yes Shj�qles FL10124=R1��df 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 Shingles FL10124-R19 odf Created by Independent Third Party: Yes Back Next Contac[Us::2601 Blair Stone Road Tallaha� F 3 9 Phone:850-487-1824 The State of Flodda is an AA/EEO employer.Coovrlaht 2007-2013 5[ate of Florlda ::prlvacv Statemen[::Accesslbilitv Statement::Hefund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released In response[o a public-retords request,do not send electronic mail to this entity Instead,contact[he office by phone or by tradi[lonal mail.If you have any questlons,please contact 850.487.1395.'Pursuant to Sec[ion 455.275(1),Florida Statutes,effective Oc[ober 1,2012,Iicensees Iicensed under Chapter 455,F.S.mus[provide the Departmen[with an email address if they have one.The emails provided may be used for official communication with the Ilcensee.However emall addresses are public record.If you do no[wish to supply a personal address,please provide the Department wlth an email address which can be made avallable to[he publi[.To determine if you are a Iicensee under Chapter 455,F.S.,please click here Produd Appraval Accepts: � � F�4,,,lieck � ^ G'f�C�I��'iBfC�� $afe ii !. � https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbd... 2/14/2017 � '��` EXTERIOR RESEARCH& DESIGN, LLC. '�,��` � �``�..,�� Certificate ofAuthorization#9503 ''��I�� cD a 353 CHRISTIAOX ORDT TN 6478 �Ct1 PHONE:(203)262-9245 . FAX:(203)262=9243 EVALUATfON REPORT GAF �valuat'ion Re�aort Q1506.01.08-R21 1 Campus Drive FL10124-R19 Rarsippany,.NJ 07054 Date of Issuance:01/03/2008 Revision 21;p8/26/2016 SCOPE: This Evaluation Report is issued under Rule .61G20-3 and the applica6le rules and regulations governing the use of construction materials in the State of Florida,The documentatipn submitted has been reviewed by Robert Nieminen, P,E. for use of the product under the Florida Building Code and F�orida Building Code, Residential Volume. The products described herein have been evaluated for compliance with the 5th Edition (2014) Florida Building Code sections noted herein. DESCRIP710N: GAF Asphait Roof Shingles LABELING: Labeling.shall 6e in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is vali� until such time a5 the named product(s} ehanges, the referenced Qualiky Assurance docuinentation changes, or proyisions of the Code that relate to the product change. Acceptance of this Evaluation Repor.t by the named client constitutes:agreement to notify Robert Nieminen, P.E, if the product changes or the referenced Quality Assurance documentation changes. T"ri.nity�ERD requjres a complete review of this Evaluation Report relative.to updated Code requirements yvith eaeh Cpde Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words "Trinity�ERO Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed,then it shall be done in its entirety. ►NSPECTION: lJpon request,a copy of this entire Evaluation Report sh�ll be prQvided to the user by the manufacturer or its distributors and shall be available for.inspection at the job site at the reqwest of the Building Official. This Evaluation Report consists of pages 1 thcougfi 6. � Prepared by: ��,,,,��am,,,�� t?:..j.::r:;,`•, .,.•'-:%''",.��s ,%�••. N?�::;�r�-sv�.�s�•.�: _ , y . ��"^ �� :��-e;:':6F �ukj't ��p�,K�-,n�1Q.r'�T' , Rqbert.J,�r�.Niel�linen,P.E. �'+;�5;;;�••••'•G;y�' Thefacslm�lesealappearingwasa�thor�zedbyRobertNleminen, ''4�,Ut��i�ttti`,''3 P.E.on08/26/2016.Tlilsdoesnotserveas'anelectronicallysigned Florida Registration No.5916�Florida DCA ANE1983 � document•Slgned,sealed h.ardcopies have beeptren'smitted to the Product APproval Administrator and to the named client CERT�FICATION OF INDEPEN�ENCE: 1. Trinity�ERD does not have,.nor does it intend to ecquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. Trinity�ERD Is no[owned,operated ot-controlled by any company manufactu�fr]g or distributing products It evaluates, 3. Rohert Nieminen,P.E.does not have rior will acquire,a financial interest in any company manufactu�ing or distributing products for which the evaluation reports are being issued. 4. Robert Nieminen, P.E.does not have,nor will acquire,a financial Interest In any other entity involved in the approval process of the prpduct. 5. This is a huilding code evaluation. Neither Trinity�ERD nor Robert Nieminen, P.E. aie, 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. �� "� TR1�lITY�ER� ROOFING SYSTEMS EVALUATION: 1. SCOPE: - . Product Category: Roofing Sub-Category: Asphalt Shingles Compliance Statement: GAF Asphalt Roof Shingles, as produced by GAF, have demonstrated compliance with the following sections of the Florlda Building Gode and Florida Building.Code, Residential Vblume through testing in accordance with the following Standards. Compliance is subject to the.lnstallation Requirements and Limitations / Conditions of Use seC forth herein. 2. STANDARDS: Section Propertv Standard Year 1507.2.4,R905.2.3 Physical Properties ASTM D1970 2009 1507.2.5,R905.2.4 Physical Properties ASTM p3462 2009 1507:2.7.1,R905.2.6.1 Wind Resistance ASTM D3161 2009 1507.2.7.1,R905.2.6.1 Wind Res`istance ASTM D7158 2008 1507.2.7.�,R905.2.6.1 Wind Resistance TAS 107 1995 3. f�EFERENCES: Entitv Examination Reference Date GAF(PDM 1915j Lette�of Equivalency SeaI-A-Ridge Impact Resistant IR 01/13/2012 PRI(75T 5878) Physical Prqperties GAF-025-02-07. 03/27/2002 PRl(TST 5878) ASTM D3462 GAF-059-02-01 09/02/2004 ' PRI(T5T 5878) ASTM D3462 GAF-080-02-01 05/25/2005 PRI(TST 5878) Physical Properties GAF-324=02-01 12/01/2011 PRI(TSTS878) Wind Driven Rain GAF-407-02-01 D1/21/2013 UL(TST 1740) ASTM A346� 93 2 NK6,95 11/29 1993 U L TST 1740 � ( ) ASTM D3442 99NK43835 O1/12/2000 i UL(TST 1740) TAS 107 94NK9632 03/29/2000 UL(TS7174b) ASTNI D3462 Q1NK06532 02/02/2001 UL(TST 1740) ASTM D3161,TAS 107 O1NK9,226 05/21(2001 UL(T5T 1740) ASTM D3161 O1NK37122. 12/18/2001 Ul(TST 1740) ASTM D3462 O1NK37122 1.2/19/2001 UL(TST.1740) ASTM R3161,TAS 107 02N1C12980 04 10 2002 / � UL(TST 1740) ASTM D3161,TAS 107 02NK3p871 09/Q9/2002 UL(TST 1740) ASTM D3161 03CA5367 03/11/2003 UL(TST 1740) ASTM D3462 O�NK26444 10/17/2003 UL(TST 1740) ASTfVI D3462 04NK13850 06/07/200A UL(TST 1740) ASTM D3161 04NK13850 D6/23/2004 UL(T5T I740) ASTM A3161 Q4NK30546 03/10/2005 UL(TST 1740) ASTM D3462 a4NK22009 D5/06/2005 UL(TST 1740) ASTM,D3161 Q4NK22009 05/09/2005 UL(TST 1740) ASTM D3A62 05NK27924 02/10/2006 UL(TST 174b) ASTM D31E,1 05NK27924 02111/2006 UL(TST 1740) ASTM Q3161,D3462 06CA18077 06/05/2006 UL(TST 1740) ASTM D3161,D3462 06CA18074. 06/16/20D6 UL(TST 1740) ASTM D3161,D3462 Q6CA35251 10/18/2006 � UL(TST 1740) ASTM D3462 06CA31603 12/01/2006 UL(TST 1740) ASTM D3161,D3462 06CA4109S 12/27/2006 UL(TST 1740) ASTM D3161 07N1C05228 03/13/2007 UL(TST 1740) ASTM D3161 06CA316S1 04/04/2007 UL(TST 1740) A57'M D3161 06CA61148 q4/09/2007 UL(TST 1740) ASTM D3161 D3462 o�ca,�s�az. si/oa/zoo� UL(TST 1740) ASTM D3161,D7158,Q3462 OSCA06100 03/13/20D8 UL(TST 1740) ASTM D3161,p346z 07CA55908. 04/Ol/2008 Exter(or Research and Design,LLG. Evaluation RepQrt 01506.01.08-R21 CertificatQ ofAuthorization#9503 FL10124-R19 Revision 21:08/26/2016 Page 2 of 6 i��w.,.�'n 3 �`�. TRINI�Y�ERQ Entitv Examination Reference Date UL(TST.1740) ASTM D3161,D3462 09CA1�592 03/.26/2009 UL(1'ST 1740) ASTM D3161,D3462 09CA06856 05�15/2009 UL(TST 1740) ASTM D3161,D7158,D3462 09NKQ6647 08/Ol/2009 UL(TST 1740) ASTM D3161,D7158,D3462 09EA27281 OS/27/2009 UL(TST 1740) P;STM D3161,D7158,D3462 10CA35554 03/05�2010 UL.(TST 1740) ASTM D3161,D7158,D3962 10CA13686 OS/15/2010 U.L(TST 1740) ASTM D3462 -10CA07264 OS/27/2010 UL(TST.1740) ASTM D3462. 10CA.11953 10/29/2D10 UL(TST 1740J ASTM D3161,D7158,D3462 10NK119S1 10/30/2010 UL(TST 1740) ASTM R3161,D71S8,D3462 10NK12070 11/D4/2010 UL(T$T 1740) pSTM D3161,p715$,D3462 08CA06100 01/30/2010 UL{TST 1740J ASTM�3161,D7158,D3A62 10CA53934 03/31/2011 UL(TST 1740) ASTM D3161,D7158,D3462 11CA48924 10/22/2011 UL(TST 1740) ASTM D3161,D7i58,D3462 11CA47919 12/Q3/2011 UL(TST 17A0) ASTM D3161,.D7158,D3462 11Cqq8408 12/08/2011. UL(TS7 1740) ASTM D3161,D7158,D3462 i1CA48725 12/09/2011 UL,LLC.(TST9628) ASTM D3462 12CA34891 10/12/2012 UL,LLC,(TST 9628) ASTM D3161,D7158,D3462 12CA58151 02/15/2013 UL,LLC:(TST 9628) ASTM D3161 12CA38083 02/26/2013 UL,LLC.(TST 9628) ASTIVI D3161 13CA32�32 06/18/2013 UL,LLC.(TST9628) ASTM D3161 13CA37934 08/02/2013 UL,LLC.(TST9628) ASTM D3161,D7158;D3462 4786875675 07/17/2015 UL,LLC.(TST 9628) ASTM D3161,D7158,D3ti62 47874345AZ OS/17/2016 UL,LLC.(QUA 9625) Quality Cbntrol Inspectiori Report,R21,Mobile,AL 12/28/2015 UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Myerstown,FA 02/23/2016 UL,LLC.(qUA 9625) Qu.aliky Control Inspection Report,R21,Tuscaloosa,AL 02/26/2016 UL,LLC.(QUA 9625) Quality Control � Inspection Report,R21,Michigan Cty,IN 03/02/2016 UL,LLC.(CZUA 9625) Quality Control � Inspection Report,R21,Shafter,CA 02/18�2016 UL,LLC.(QUA 9625) Quality Control Inspectlon Report,R21,Savannah,GA 02/24/2016 UL,I:L'C.(QUA 9625) Q,uality Control Inspectibn Report,R21,IVlinr�eapolis,MN 02/09/2016 Ul.,LLC.(QUA 9625) Quality Control Inspection Report,_R21,Mt.Vernon,IN 02/09/2016 UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Baltimore,MD D3/Ol/2016 UL,LLC,(QUA 96z5) Quafity Control In;p�ctiQn Report,R21,Tampa,FL 02/29/2016 UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Dallas,TX 02/17/2016 UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Ennis,.TX 02/03/2016 UL,LLC.(QUA 9625) Quality Control Inspecfion Repo�t,R21,Fontana,CA 03/03/2016 4. PROOUCT DESCRIPTION: 4.1 Asphalt Shin�les: 4.1.1 Marquis� WeatherMax�, Royal Sovereign° and Sentinel� are a fiberglass reinforced 3-tab asphalt roof shingles. 4.1.2 Camelot°, Camelot° II, Fortitude'"^, Glenwood'"", Gran� Canyon�, Grand Sequoia�', Grand Sequoia° IR, Grand 5equoia° ArmorShieldT"', Monacom, Sienna�, Timberline� American Harvest�, Timberline� ArmorShieid'TM II,Timberline� Natural Shadow�,Timberline HD�,Timberline� Cool Series�,Timberline Ultra HD°and Woodland�are�bergla�s reinforced,lamir�axed asphalt roof shingles. 4.1.3 Slateline�js a fiberglass reinforced 5-tab asphaft roof shingle, 4.2 Hip&Rid�e Shin�les: 4.2.1 SeaI-A-Ridge� Ridge Cap Shingles, SeaI-A-Ridge° IR Impact-Resistant Ridge Cap Shingles, SeaI-A-Ridge° ArmorShield""Ridge Gap Shingles and Timbertex�Premium Ridge Cap.Shingles are fiberglass reinforced, hip and ridge asphalt roof shingles. - Exterior Research and Design,LLC. � Evaluation Report 01506.01.08-R21 Cerfificote o/Ruthorization#9503 FL10124-R19 Revision 21:08/26/2016 Page 3 of 6 , � �� - 1 I1�1`d'��ER,� � 4.3 Accessorv Starter Strips: 4.3.1 Pro-Start� Eave/Rake Starter Strip Shingles and WeatherBlocker'"' Premium Eave/Rake Starter Strip Shingles are starter strips for asphal,t roof shingles. 4.3.2 quickStart� Peel & Stick Starter Roll is a is a mineral-surfaced, fiberglass-reinforced, self-adhering SBS modified bitumen starter strip, nominal 9-inch x 33 ft roll,for use with asphalt shingles with exposure of 6- ' inch orless. � 4.3.3 StarterMatchT"^ Sharter Strip Sfiingles are color-coordinated starter strips for use with Grand Canyon° and II� Grand Sequoia° series asphalt shingles. StarterMatchTM are installed as the second starter for Grand '� Canyon�and Grand Sequola'�series installatians. ' 5. LIMITATIONS: . 5.1 This is a bUilding code evaluation. Neither T�in'ity�ERD nor Robert Nieminen, P.E. are, in any inray, 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. 5.2 This Evaluation Report is not for use in the HVHZ. 5.3 Fire .Classification is not part of this Evaluation Rep.ort; refer to current Approved Roofing Materials Directory for fi�e ratirigs of this product. � 5_G Wind Classification: 5.4.1 The GAF asphalt sh'ingles noted in Section 4.1 are Classified in accordance with FBC Ta61es 1507.2.7.1 and R90S�2.6,1 to ASTM D316�., Class F �nd/ar ASTM p715$, Class H, indicating f�e shingles are�aceptable for use in all wind zones up to V�d=15Q mph(VUit=194 mph). Refer to Section 6 for installation requirements to meet this wind rating. 5.4.2 The GAF hip &ridge shingles noted in Sectlon 4.2 are Classified In acc�rdance with FBC Tables 1507.2.7.1 and R905.Z,6.1 to ASTM D3�.51,Class F,indicating the shingles are acceptable for use in all wind zones up to Vasd=150.mph(V„it=194 mph). Refer to Section 6 for installation requirements to meet this wind rating, 5.4.3 ClassificatiQn by ASTM D7158 applies only to exposure category e qr C, as defined !n FBC 160�.4.3, and a mean roof height of 60 feet 6r less. Calculations l�y a qualified design professional are required for conditions outside these limitations, Contact the shirigle manufacturer for.data specific to each shingle. 5.5 All products in the roof assembly shall have quality assurance audit in accordance with the Florida Building C�de and F.A.C. Rule 61G20-3. 6. I NSTALLATI ON: 6.1 Underlayment: 6.1.1 Underlayment shall be acceptable to GAF and shall holcl eurrent Florida Statewide Product Approval, or be Locally Ap�roved per Rule 61G20-3,per FBC 5ections 1507.2.3,15Q7.2.4 or R905,2.3. 6.2 5tarter Sfiingles or'Starter Strip: 6.2.1 Installatioq of Pro-Start Eave/Rake Starter Strip Shingles, WeatherBlocker Premium �ave/Rake Starter Strip Shingles and QuickStart Peel &Stick Starter Roll shall comply with the GAF current published instructions. 6.3 Asphalt Shingles: 6.3.1 Installation of asphalt shingles shall comply with the.manufacturer's current published instructions, using minimum four (4) nails per shingle in accordance with FBC Sections 1507.2 or R905:2, with the following exceptions: ➢ Camelot, Camelot II, Grand Canyon,.Grand 5equoia, Grand.Sequoia lR, Grand Sequoia ArmorShield, and Woodland require minimum five(5)nails per shingle. > Slateline requires mitiirrium six(6)nalls per shingle. Exterior Research and Design,LLC. Evaluation Report 01506,01.08-R21 Certificate ofAuthorizatlon a9503 FL1D124-R19 Revision 21:08/26/2016 Page 4 of 6 � �� ,......- TI�� 1 1 ��Q � 6.3.2 Fasteners shall.be in accordance with manufacturer's published requirenients,but not less than FBC 1507.2.6 or R905.2:5. Staples are not permitted. 6,3.3 Where the roof slope excee.ds 21 units vertical in 12 units horizontal,�special methods of fastening are ', required. Contacf the shingle manufacturer for details. I 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 A�morShield Ridge Cap Shingles 5hall comply with the manufacturer's current published instructions with a rninimum two(2}nails,minimum 3/8-i.nch head diameter;.per shingle and nominal 0.25-inch diameter beads of Henkel"Loctite PL S30 Roof&Flashing Sealant". , Y1.5" Sealanl 1^ (292 mm} 1" Sellar�le (25�mm) (2��) Enduit d'�tancheite' � . � ; .. . . � ~�`;: , , �'>e;... _ , ,. .!�a , .: ,; - __I�• " ..' ,, .. , 12� ._:�:.�..._..:.... .__�.�._��_.__; �305 mm) Nail Clavo (�5;8°,7 5/8" Ciouer 68�194 mm� 12" (3D5'mm) 6.4.2 Installation of Timbertex Premium Ridge Cap Shingles sHall compiy with the manufacturer's current published instructions with a minimum tv�to (2) nails, minimum 3/8-inch head diameter, per shingle and beads of 5onneborn NP1 Gun Grade Polyurethane Sealant or Henkel.PL Roofing and Flashing.Sealant. Tt=i' o }�(:;�`s�rnix�}�_ 1, �r''�Sall n!� ��-�-tt� �'�r rn� �nxla.7tsl'��EattctlatGo � y s 3 ' ' ' ��" .A....,...,,.«W.�......,...».��....�..+.._�: n7.�iY '4<51�'J ��'b ��.r.ClliK,'� I�.�I�fA ItRf�} �t• ��.rnla�'p 1."»�"' �_,g��5 i�t,t�)-_",�'. 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. Exterfor Research and Design,LLC. Evaluatlon Report 01506.01.08-R21 Certiflcate ofAuthorizatlon 119503 FL10124-R19 Revision 21:08/26/2016 Page 5 of 6 � ) � . T'RI(�IITY�E�� 7. LABELING: 7.1 Labeling shall be in �accardance with the requirements the Accredited Quality Assurance Agency noted herein. �', 7.� Asphalt shingle wrappers shall indicate compiiance with one.of the required classifications detailed in FBC � Table 1507.2J.1/R905.2.6.1. �i $. BUILQING PERMIT REQUIREMENT$: As requi�ed by the Building Cjff.icial or Authority Having Jurisdiction in oPder 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 51G20-3 QA requirements, 10. QUALITYASSURANCE ENTITY: UL LLC—QUA9625; (847)664-3281 - END OF�VALUATIDN REPORT- I Exterior Research and DeSign,LLC. Evaluation Report 01506.01.08-R21 Certificate of AuthorizaYion 1/9503 FL10124-R19 Revision 21:'08/26/2016 Page 6 of 6 . Florida Building Code Online Page 1 of 2 ,.;:�.. :. . ........ - - - - - - ._ �; ��,. ,� .. �,..s,;�- ..�;r�-_ ..� ,_ _��. � �;V,,�. .. ,��`�� . - .- ` y-:r.._ i w' . �� '�' �'.j.s s G' .Nt'i.,�` `�j; I t;-v^ tc ..�c .��• g v ` .' � i Ex .,��'vn ! r - � ,�u. �z�4d3" '�• .�$1 ��"5"'� '> �_ •�L �¢ w 3 `�t,�.-�t s s i ��"��.�� r .�` �.. �,'�`� ��( "��''� .^Y�. F BCIS Home j Log In j User Reglstration ; Ho[Topics j Submit Surcharge j Statr&Facts ; Publica[ions ; FBC S[aff ; BCIS Slte Map � Llnks j Search ; ��OfiCcl t;,:.. 'K'�� Product Approval �,'�j' � ��'�'��USER:Publlc User , � i�.'s.... , . Produ�Apgroval e,py>Product or Rpolication Search>Aoolicatlon List>Applicatinn Detail Fv,�r''��"'N�i e9':��'�,c'�'� �?�u-'_V'�=�-��°`5�; FL# FL15216-RZ .,.,r.:,.._�Y:s��.t3�=a Application Type Revision Code Version 2014 Application Status Approved Comments Archived Z...� Product Manufacturer InterWrep,Inc. , Address/Phone/Email 32923 Mission Way Mission,NON-US 00000 (S51) 574-2939 mtupas@intenvrep.com Authorized Signature Eduardo Lozano elozano@interwrap.com Technical Representative Eduardo Lozano Address!Phone/Email 32923 Mlssion Way Mission, NON-US 00000 (778)945-2891 elozano@interwrap.com Quality Assurence Representative Nddress/Phone/Email Category RooFlng Subcategory Underlayments Compliance Method Evaluation Report From a Florida Registered Architect or a Licensed Florida Professional Engineer • i_; Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation R2port Flerida License PE-59166 Quality Assurance Entity Intertek Testing Services NA, Inc, Quality Assurance Contract Expiration Date 11/17/2017 Valfdated By John W. Knezevich,PE �� Validation Checklist-Hardcopy Received Certificate of Independence FL15216 R2 COI 2015 O1 COI Nieminen.odf Referenced Standard and Year(of Standard) Equivalence of Product Standards Certifled By Sections from the Code 1507.2.3 1507,5.3 1507.8.3� 1507.9.3 1507 9.5 ` T1507.& https://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXOwtDav3vVVKJZIO... 1/19/2017 �'lorida Building Code Online Page 2 of 2 Product Approval Method Method 2 Option B Date Submitted 04/28/2015 Date Validated 04/29/2015 Date Pending FBC Approval OS/04/2015 Date Approved 06/23/2015 Summary of Products FL# Model,Number or Name Description 15216.1 RhinoRoof Underlayments Synthetic rooF underlayments Limits of Use Installation Instructions Approved for use in HVHZ: No FL15216 R2 II 2015 04 FINAL ER INTERWRAP RHINOROOF FL15216- Approved for use outside HVHZ:Yes R2.odf Impact Resistant:N/A Verlfled By; Robert Nieminen PE-59166 Design Pressure: N/A Created by IndependentThird Party: Yes Other:See ER Section 5 for Limits of Use. Evaluation Reports FL15216 R2 AE 2015 04 FINAL ER INTERWRAP RHINOROOF FL15216- R2.odf Created by Independent Third Party:Yes Back Next Con[a�t Us::2601 BIaIr Stone Road.Tallahassee FL 32399 Phone:850-487-1624 The Sta[e of Florida is an Aq/EEO employer Coovriaht 2007-2013 State of Florida.::Privacv S[atement: Accessibllitv 5[atement::Refund S[a[ement Under Florida law,email addresses are publl�records.If you do no[wan[your e-mall address released in response[o a public-records request,do not send electronic mall to this entity Ins[ead,conUct the office by phone or by Vaditfonal mall.If you have any questions,please contac[850.487.1395.RPursuan[to Section 455.275(1),Florlda Statu[es,effective October 1,2012,Iicensees Ilcensed under Chap[er 455,F.S.mus[provide[he Department wl[h an email address if they have one.The emails provided may be used for official communica[lon wl[h[he Ilcensee.However email addresses are public record.If you do not wish to supply a personal address,please provide[he Departmen[with an email address whi[h can be made available[o the public.To determine If you are a Iicensee under Chapter 455,F.S.,please ciltk�_. Product Approvai Accepts: � O iCf"�_'k � Credik Card �afe �p � � https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv3yVVKJZI Q... 1/19/2017 �'""' Y' "°, EXTERIOR RESEARCH &DESIGN, LLC. �'��,+ '� � � Certificate of Authorization#9503 �``'�.,..,,a•' ; I 353 CHRISTIAN STREET,UNIT#13 ;Y�'�,�° �� ;E�p OXFORD,CT 06478 PHONE:(203j 262-9245 FAX.(203)262-9243 EVALUATION REPORT Interwrap, Inc. Evaluation Report 140510.02.12-R2 32923 Mission Way FL15216-R2 Mission, BC V2V-6E4 Date of Issuance: 02/17/2012 Canada Revision 2: 04/27/2015 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 been evaluated for compliance with the 5th Edition (2014) Florida Building Code sections noted herein. DEscRiPriorv: RhinoRoof Underlayments LABELING; Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CorvTiNUEo ConnPuaNCE: This Evaluation Report is valid until such time as the named product(s) changes,the referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality Assurance docurnentation changes. Trinity�ERD requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words "Trinity�ERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed,then it shall be done in its entirety. INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This Evaluation Report consists of pages 1 through 3. Prepared bY: ,,,��F�lu��,,,,— ��`�i��j•��,''�.. �,�..��'��,�c:'�`�,��;�'• K�C.��o s�r+s': :: _ ,F: � _ i - ;`_ �:J'�'gi:i -��`;f�: '�°T'�-:"s:�p��r��':, RobertJ.M. Nieminen, P.E. ti�,�S�iV;v�`�Gt��4y ThefacsimilesealappearingwasauthorizedbyRobertNieminen, :�� i�f P.E.on 04/27/2015.This does not serve as an electronically slgned Florrdo RegistroYion No.59166,Florida DG4 ANE1983 � document.Signed,sealed hardcopies have been transmitted to the Product Approval Administratorand to the named cllent CERTIFICATION OF INDEPENDENCE: I 1. Trinity�ERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or �, distributing products it evaluates. I 2. Trinity�ERD is not owned,operated or controlled by any company manufacturing or distributing products it evaluates. I 3. Robert Nieminen, P.E.does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the evaluation reports are being issued. � 4. Robert Nieminen, P.E. does not have, nor will acquire,a financial interest in any other entity involved in the approval process of the product. II 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. �._�.,��.•°� '�-.�...�. TI�I�lITY�ERD ROOFING COMPONENT EVALUATION: 1. $COPE: ' Product Category: Roofing ' Sub-Category: Underlayment Compliance Statement: RhinoRoof Underlayments, as produced.by Interwrap, Inc., has demonstrated compliance with the intent of following sections of the Florida Building Code through testing in accordance with applicable sections of the following Standards. Compliance is subject to the Installation Requirements and Limitations/Conditions of Use set forth herein. 2. $TANDARDS: Section Properties Standard � Year 1507.2.3,1507.53,T1507.8, Unrolling,Breaking Strength,Pliability,Loss ASTM D226 2006 1507.8.3,1507.93,1507.9.5 on Heating 1507.23,1507.5.3,1507.8.3, Unrolling,Tear Strength,Pliability,Loss on ASTM D4869 Z005 1507.9.3 Heating,Liquid WaterTransmission, Breaking Strength,Dimensional5tability 3. REFERENCES� Entitv Examination Reference Date ITS(TST1509) Physical Properties 100539395COQ-006 10/27/2011 ITS(TST1509) Physical Properties 100539395COQ-002 10/27/2011 ITS(TST1509) Physical Properties 100534395COQ-006 03/14/2014 ITS(QUA1673} Quality Control Inspection Report 11/17/2014 4. PRODUCf DESCRIPTION: 4.1 RhinoRoof U2o is a multilayered polymer woven coated synthetic roof underlayment intended as an alternate to ASTM D226,Type I or Type II felt or D4869 Type il felt. RhinoRoof Underlayment is available in 42-inch wide rolls,and can be produced in various other sizes. 5. LIMITATIONS: 5.1 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 I design guidance unless retained specifically for that purpose. � 5.2 This Evaluation Report is not for use in the HVHZ. _ 53 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory or test �, report from accredited testing agency for fire ratings of this product. 5.4 RhinoRoof Underlayments may be used with any prepared roof cover where the product is specifically referenced � within FBC approval documents. If not listed, a request may be made to the AHJ for approval based on this evaluation combined with supporting data for the prepared roof covering. , 5.5 Allowable roof covers applied atop RhinoRoof Underlayments are follows: ..........,..._..... .........., _ ,.:... .: .. .•- ;:,...w.c — . 2' ;.,�.:'e k'.:. 'C ..:iA�l. _ _ .. ,. . � .� '.. .: ., ... ... . . ........4:... ` ' _ ":.j�.� .., ..��.F ,,... ' . 4.% t' ....: .�..:.... . .. �a'��'�;>�Roo'`C� 'T ~:s�:::::.:,:r;.;'<E:: .,.,.,...._ ...:;... .. ;,�, .. .__.. ... �:. ...... .. . ......:... .... ...; . ..,... �:::: :•. .;. , , ........:.:.... ...: •.,<....... :.....::>.:..:.< .:... „ ,......,:;.`: ..s.: ;;�: � ' S� ,:. .�„F,.OV��:O�? IQNS.:: . , •, . , • . .>. . . �.;�,,. ..,.. :.: Underlayment Asphalt Nail-On Tile Foam-On Tile Metal Wood Shakes Slate or Shingles &Shingles Simulated Slate RhinoRoof U20 Yes No No Yes Yes No 5.6 Exposure Limitations: 5.6.1 RhinoRoof Underlayment shall not be left exposed for longer than 30-days after installation. 6. I NSTALLATION: 6.1 RhinoRoof Underlayments shall be installed in accordance with interwrap, Inc. published installation instructions subject to the Limitations set forth in Section 5 herein and the specifics noted below. 6.2 Install RhinoRoof Underlayments in cornpiiance with manufacturer's published installation instructions and the � requirements for ASTM D226, Type I or il or D4869, Type II underlayments in FBC Sections 1507 for the type of � prepared roof covering to be installed, Exterior Research and Design,LLC. Evaluation Report 140510.02.12-R2 Certificate of Authorization 719503 FL15216-R2 Revision 2:04/27/2D15 Page 2 of 3 , , ' � ' ��,.,,_'�,f.�..� � ��``°-�_ - ��4-� �TR.I�,II`fY�E�D � 6.3 Re-fasten any loose decking panels, and check for protruding nail heads. Sweep the substrate thoroughly to remove any dust and debris prior to application. 6.4 RhinoRoof U20: 6.4.1 Fasteners: For exposure < 24 hours, corrosion resistant fasteners may be 1-inch roofing nails with a 3/8-inch diameter head, or , those noted in 6.4.2. The use of staples is prohibited. ' For exposure > 24 hours up to maximum 30 days, corrosion resistant fasteners shall be minimum 1-inch diameter plastic or metal cap nails or FBC HVHZ nails & 1-5/8" diameter tin caps (with the rough edge facing up). The use of staples is prohibited. 6 4.2 Sin�le Laver;Roof Slope>4.12: End(vertical) laps shall be minimum 6-inches and side(horizontal) laps shall be minimum 4-inches. Refer to Interwrap, Inc.recommendations for alternate lap configurations and/or the use of sealant under certain conditions. ' For exposure<24 hours, use of every-other fastening location printed on the surface is acceptable. For exposure>24 hours up to maximum 30-days,use of every fastening location printed on the surface is required. When batten systems are to be installed atop the underlayment,the underlayment need only be preliminarily attached pending attachment of the battens on the same day. Battens shall not be positioned over cap nails. If this occurs, remove the cap nail and patch the hole in accordance with Interwrap published instructions. 6.4.3 Doubte Layer;2:12<Roof Slope<4:12: End(vertical}laps shall be minimum 12-inches and side(horizontal)laps shall be minimum half-sheet-width plus 1-inch. Double layer application; begin by fastening a half-width plus 1-inch starter strip along the eaves. Place a full-width ' sheet over the starter, completely overlapping the starter course. Continue as noted in 6.5, but maintaining minimum half-width plus 1-inch side(horizontal)laps,resulting in a double-layer application. � 7. EiUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. 8. MANUFACTURING PLANTS: Contact the manufacturer or the named QA entity for information on plants covered under Rule 61G20-3 QA requirements. 9. QUALITY ASSURANCE ENTITY: Intertek Testing Services NA Inc.-ETL/Warnock Hersey—QUA1673;(604)520-3321 -END OF EVALUATION REPORT- � Exterior Research and Design,LLC. Evaluation Report 140510.02.12-R2 Certificate of Authorization N9503 FL15216-R2 Revision 2:04/27/2015 Page 3 of 3