HomeMy WebLinkAbout19-21488 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21488
BUILDING PERMIT
PERMIT INFORMATION LdqjION INFORMATION
Permit Number: 21488 Address: APPLEGATE DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-005A-00000-1060
Improv. Cost: 11,684.00 OWNER INFORMATION
Date Issued: 7/12/2019 Name: DINNING, LARRY& LORI
Total Fees: 150.00 Address: 7345 APPLEGATE DR
Amount Paid: 150.00 ZEPHYRHILLS, FL 33540-1033
Date Paid: 7/12/2019 Phone: 813-788-2451
Work Desc: REROOF 25 SQ & 6 SQ MODIFIED
CONTRACTORS APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 150.00
hyspectionsRequired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
(]Aqda_ �6ow4
ONTRACTO SIGNAT RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
01.571ov_uuzu %.illy U1 L-UP1J}+tittl10 t ctisttar'its�ttvt,tava,
Building Department
Date Received Phone Contact for Permitting
Owner's Name CL��� '}- Loy 1 V l n l n Owner Phone Number 13 - t 0(9 717 q5 "
Owner's Address �� f- � 1 �S 'r Owner Phone Number -"
Fee Simple Titleholder Name Owner Phone Number�-
Fee Simple Titleholder Address
(� / /( 2 `/
JOB ADDRESS 'tRpoleqol� i!{ ( c(t t�i _3 5`t D LOT#
SUBDIVISION I UI Inc E'S TGt s PARCEL ID# c�- � -W 5A'-6WJ6 -1 C =t.b.-
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT SIGN Q MOVE DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION • [ (�, BLOCK FRAME y Q " STEEL Q OTHER ]
DESCRIPTION OF WORK (fit .t� Q U� Si QS tl��� "t . 10
�
BUILDING SIZE, SCI FOOTAGE HEIGHT
BUILDING $ bb
/I VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
PLUMBING
MECHANICAL VALUATION OF MECHANICAL INSTALLATION
Q GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD
"ZONE AREA DYES QNO
BUILDER COMPANY
SIGNATURE I REGISTERED Y/ N FEE CURRENT Yi /N I
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address License#
MECHANICAL COMPANY
SIGNATURE " REGISTERED Y/ N FEE CURRENT
Address License#
OTHER C � ' I C� COMPANY
SIGNATURE _ REGISTERED Y)/ N FEE CURRENT -Y N
Address tQ t S�2 S (h t 5 t License# Ct 5<565 • "
RESIDENTIAL Attach(2)Plat Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(16)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence_ installed",
Sanitary Facilities.&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL• Attach(3)sets of-Building Plans;(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&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. (A/C upgrades over$5000)
*" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
'OVER THE COUNTER PERMITTING Front of Application Only)
Reroofs Sewer 'i7"'' �yg"''. _,:+�,.,- ° F'r::cSt,`nv.s:'s< w,:.a:.":•..FS..,t;'^..,.'•cr:,!nn::e.:,.�a.
• e`, ..;e`Se 'rrT,e"I��jaiTes""'°" `i4/C3. Fences(Plot/Survey/Foofage)
Driveways-Not over Counter if on bbb'l'ic'roa ways:°ri eds ROW ,4
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will. be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings,.or expansion of existing buildings, as specified.in Pasco County Ordinance.number 89-07-and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified-at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project,does not involve a certificate of occupancy or
final power.release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are'due, they must be paid prior to permit.issuance in accordance with applicable Pasco County ordinances.
CONST RUCTION.LIEN LAW:(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application. is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed.to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the.regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, ,Altering
Watercourses'.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
. Septic Tanks. .
Agency-Asb
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
understand that the following restrictions apply to the use of fill:-
.'Use of fill is not allowed in Flood Zone W"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If.fill material is to be used in .any area, .I certify that use of such fill will not adversely affect. adjacent
properties. If use-of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in-the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to.violotei cancel, alter, or
set aside any provisions.of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become.invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested,.in writing, from the Building Official for a period not to exceed ninety(90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90) consecutive days, th job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING-TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU__INTEND_T_O_OBTAIN.FINANCING,_CONSULT.
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
( n /
S 1.7.03)
OVp N.E. :OR AGENT, . ,• _ �_ _4VWVhIs/areFLORIDA JURATb cri ed and sw o(or i Cd)be C this � i�nd byo to or beU_)06 this
JO I byW o is/are personally ka wn tome o has/have produced personally kn n to me or s/have produced
as identification. as identification.
GT L Notary Public Notary Public
Commission
Com isst@t v ,,au�wF,� ."ANN11 MARIE LYNCH TERRY .
Notary Public-S7ofida • P80- Name of NotNam c perti�W§t e . °�b� ��'st n FF 958064
omm.Expires Apr 4. 20?t, ;�9r o�= My Comm.Expires Apr 4.2020
i,OF iFOF FI
Bonded through National Notary As C , • Bonded through National Notary Assn
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City of Zephyrhills;
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
�(
Date Received: - O
Site: `U---
Permit Type:
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet s all be kept with the permit and/or plans.
JUL 1 0 201
Kalvin rtz —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
till!L0'I t3 �. ,u..........� _
FL
BCIS Home I Log In User Registration 7 Hot Topics Submit Surcharge Slats&Facts Publications ' FBC Staff I BCIS Site Map Links Search
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Product Approval Menu>Product orApp Lcation Search>Application List>Application Detail
FL# FL10626-R13
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived r
Product Manufacturer GAF
Address/Phone/Email 1 Campus Drive
Parisppany,NJ 07054
1 (800)766-3411
mstieh@gaf.com
Authorized Signature Robert Nieminen
lindar@nemoetc.com
Technical Representative William Broussard
Address/Phone/Email 1 Campus Drive
Parsippany,NJ 07054
(800)766-3411
TechnicaIQuestionsGAF@gaf.com
Quality Assurance Representative
Address/Phone/Emali
Category Roofing
Subcategory Underiayments
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
=� Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 05/19/2020
Validated By John W.Knezevich,PE
4�, Validation Checklist-Hardcopy Received
Certificate of Independence FL10626 R13 COI 2017 01 COI Niemr2 nen.pdf
Referenced Standard and Year(of Standard) Standard Year
ASTM D1970 2015
ASTM D6164 2011
ASTM D6757 2016
FM 4474 2011
FRSAjTRI April 2012(04-12) 2012
TAS 103 1995
Equivalence of Product Standards. _ ....
Certified By
https://www.floridabuilding.org/pr/pi app_dtl.aspx?param=wGEVXQwtDgtBNbEY5V%2boQY9nVE2RUHVOuwgULxCexQ2mWDIMLugN°/`2bwp/o3d%3d
INSTR#2019,104231 OR BK9925PG2326 Pag,if,
06/19/2019 12:16 PM RCpt:2065057 Rec: 10.00 DS:0.00 IT:0.00
Paula
S. OWK Ph.D., Pasco county Clerk&COMytrotfer
b5 0 C)
wince OF commeNOSMENT
State of- To
T fie UND1;-RSIGW_D herebyakcs riqlIcathot Improvement will he madeto certern rant property,Mriclin aa=darico lorl 0.14plarVa,FtorfdA vatutes,
the following triflointallop is provided In Ibli Nolfca,oF Commencement,
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1. D.4orvion of Property: Repel Idewn tide No.
Street A-d-e-s- n Cf,tp
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0. 0(rear InrNmisdan or Lessee information If Ihe LEsneg,conlrair;d far-Ilie JImprwx-mant:
T Cif(' 4
f Name
Address— City Wa(a
Inke'rest In Property:
Name or Fee Simple-i igeholder:
(If MeiValfrom Or+nerits ad above)
Addrete CitySiafe
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city Si-ale
Amountof Bond: 3 Telephone No.,
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Address City
Le6derls'relxphone No.:
7. Persens W(hin the Staia of,Florida des"Cagi`zil by the owner upcn whom notices ar other documents mej be bwwd as provided by
Sectlah 718.'l8(iXp)M,Florldel Stakdes: jq
'Name
Address city, State
Telephone Number or llezignated Per,Un' I
8. In addiffan to hlms4 the caner des%.Ies or_
In rqwiia a copy ofthe Usnofe Kplice as provided in-Sedlitiv 713.1 M)(b),Mildet GlaMes,
Telqphcne Number of pgi*scn or ffraty D-ignated by Owner.
Expiration date of Naito of Ocnimericohient{"she elxpiratldn date may not be Delfe the comoj',-n of op SkW? arid fl, I payment to the
contractor,but Wit be one yearftorrilhis date Orretiording unless adill arent date Is specified); JA C
W AIININGTOOVVNEP: ANY PAYMEM-MADE BY THE OMWAN FTERTHEEXPIPATIONCIFi a C E O-SIVIEK-1 1,p , "a--UNDER CHAPTERAS, RARTI, MMION713.,3 PLO'0 T. GAN
A _ CONSIDERED IMPROFM PAYME
IN YOUR PAYING VDICE FOR MPROVEMENT8 TO YOUR PROPERTY. &NOT MU
RESULT OF
W,,0yR.r1,MA11,11P05TR 0 IFE (IN. IF YOU INTS TO I •C R Lr 'I R " IT MF FOR "S Mir PECORDINGY0 MIMOF I
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ffi,��IAMWM SEFFOPR(C OPRONRECORDINGY0 M04OF CQUA
Under uWaIlY of PedurYj I duQWa that I have mad the forgoing notice or commencement and Matifie'rerts sited therqn aratrue to the beat
of my linowledge anci be ka.
SME OF MORIEX'�
COURTY'OF Msco 44,
11690wria or Lessees Authorized
4 Sign u,"a rorN.I. CIrs
T HE
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The 1brap 'Uqr.Ins oment was.actmowfEdged before me 1h14-j—day o9la-L OVII'm
_Sig _.(Weafaulhar"ity, a.,oulaer'l I.e,afitor�ayln fact)for
of party A he a a(Yftoni(ns4rum- L executed).
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Type oUdenthicieIon Produced H6 f_1 CL, 061 V b-,k-'Y,)CA
ANGELA NAYVV00[)
Notary Public-state Of Fluji
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COMMiSSIDII#IFF 91P551
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80ridOd through Natlana,I Notary Assn.
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Roofing, U
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ADhvisiom
38413 SIR 54' Zephyrhi|ha. F|ohda33541 Proposal
'- Phone(813) 82- US4 Fax ��0
13)788-G773 ^` ^ _______ O�2����
- ' 1'865-<3o-Flyman (1-855-4G7-982G) ' Li�#CCC1325505 E��im�e#
~~ vmwW.RymanRoofing.00m
Serving all of Central Florida Joo#
Owner/Purchaser Lori []iOOiO ate: 6/14/9
C|oim#: Insurance Company:
Po|ioy#
Job Address: 73^15 Applegate Dr City: Z8phV[hiUs Zip: 33540
Mail toAddress: E'Moi|Addnano:
Home #- 813-788-2451 Cell # Businesm#:
[v� Cumplete tear off nfexisting Asphalt shinglesAdditional Notes/Special Concerns: Includes
One laver included
Install new GAF Timberline hd di[OeOSiOD8| limited '
f7l secure uu lifetime shingles
tu Florida Building Codes
n/
Roof-- FihiDO U20 roof synthetic d l t
[q Install new valley metal with galvanized metal
[� Install new drip edge color White
Install new lead boots
�� Install all new generalroof vents
�� Install new OShingle Roof vent boot guards f.or lead boots
| |K�od�odBuU
�� Manufacturer��
�� (shingle, metal or tile)
Manufacturer npo",Mod. mm=°*
Twosheets f plVwood included
�/ Co|ur(Gh/ng|e.N1��|o��k$ onmwvoo � � "°
�� Permit and scheduling finspections
Color:(TPOorMOO.Bitumen)
�� All roof related debris removed from job site,pick-up loose
nails using commercial grade magnet
4 � ���� ���
[J All m�oha|o. labor and permits fumiohed � Base phua^$ / / '����~n'^�^�
[771 Provide a 5 year labor warranty
Additional Items:
Payment Method: �-]Chauk# F-lCanh �--lRnon� F—
ng �Insurance C /im
�� ��
O Credit Card# Exp. Dobo CC|D#
Down Payment:$ —Amount Financed:$ Approx. Monthly Payment$
3596 down and balance upon completion
*13ase Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above.
[VIDeficient 112"plywood replaced at a cost of$65.00 per sheet in the roof field,which includes labor&materials.All other wood work/ad-
Monal 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 TUP CCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
1 ACCEPT THIS PROPOSAL By IFY THAT E READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Date:��~-- 6/14/19
Purchaser:
E�
PPurchaser: - Estimator
11/2/2018 Florida Building Code Online
o • • 9 0 . • � � � v 0
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Product Approval Menu>Product or Application Search>Application List>Application Detail
o a s• FL# FL10124-R20
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer GAF
Address/Phone/Email 1 Campus Drive
Parisppany,NJ 07054
(800)766-341ALL WORK SHALL COMPLY WITH PREVAILING
mstieh@gaf.co'CODES FLORIDA BUILDING CODE,
NATIONAL ELECTRIC CODE,
Authorized Signature Robert NiemineAND THE CITY OF ZEPHYRHILLS
lindar@nemoetbAbINANCES
Technical Representative William Broussard r P. =i JUL 1 o 2019
Address/Phone/Email 1 Campus Drive _ —�--
Parsippany,NJ 07054 ;lTY 0F ` ;,I;°i'ti I-i; I S
(800)766-3411
TechnicalQuestionsGAF@gafpi.dp ,110
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Asphalt Shingles
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 the Robert Nieminen
Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 10/18/2021
Validated By John W. Knezevich, PE
r Validation Checklist-Hardcopy Received
Certificate of Independence FL10124 R20 COI 2017 01 COI Nieminen.pdf
Referenced Standard and Year(of Standard) Standard Year
ASTM D1970 2015
ASTM D3161 2016
ASTM D3462 2010
ASTM D7158 2011
TAS 107 1995
Equivalence of Product Standards --
Certified By
httns://www.floriciahijildino.nm/nr/nr ann cltl.acnx'?naram=wr F\/Ynuftnni irar.Ra\/r.hriftAnm7nri7acvgRnn%ii uiXh�Arl/mfnvlF/ll,ni/Ao�Z,{o�Z,{ q/�
11/2/2018 Florida Building Code Online
Sections from the Code
t
Product Approval Method Method 1 Option D
Date Submitted 09/20/2017
Date Validated 09/27/2017
Date Pending FBC Approval 09/28/2017
Date Approved 12/12/2017
Summary of Products
FL# Model,Number or.Name Description
10124.1 GAF Asphalt Roof Shingles Fiberglass reinforced 3-tab, laminated,5-tab and hip/ridge
asphalt shingles
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10124 R20 II 2017 09 FINAL ER GAF Asphalt
Approved for use outside HVHZ:Yes Shingles FL10124-R20.pdf
Impact Resistant: N/A Verified By: Robert Nieminen PE-59166
Design Pressure: NIA Created by Independent Third Party:Yes
Other: Refer to ER,Section S. Evaluation Reports
FL10124 R20 AE 2017 09 FINAL ER GAF Asphalt
Shingles FL10124-R20.pdf
Created by Independent Third Party:Yes
eacic IVeut
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.Copyright 2007-2013 State of Florida. ::Privacy Statement::Accessibility 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 communication 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 email address which can be made available to the public.To determine if you are a licensee under Chapter 455,F.S.,please click here.
Product Approval Accepts:
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EXTERIOR RESEARCH&DESIGN,LLC.
F)o Certificate of Authorization#9503
TR�N�-�-Y`ERD 353 CHRISTIAN STREET,UNIT#13
OXFORD,CT 06478
(203)262-9245
EVALUATION REPORT
GAF Evaluation Report 01506.01.08-1122
1 Campus Drive FL10124-1120
Parsippany, NJ 07054 Date of Issuance:01/03/2008
(800)766-3411 Revision 22:09/20/2017
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 6th Edition (2017) Florida Building Code
sections noted herein.
DESCRIPTION: GAF Asphalt Roof Shingles
LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted
herein and FBC 1507.2.7.1/R905.2.6.1.
CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the
referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change.
Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the
product changes or the referenced Quality Assurance documentation changes. TrinitylERD 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 6.
Prepared by: —
,li., 4,
Robert J.M.Nieminen,P.E.
r,t��«�s The facsimile seal appearing was authorized by Robert Nieminen,
Florida Registration No.59166,Florida DCA ANE1983 4 '' P.E.on 09/20/2017.This does not serve as an electronically signed
document.
CERT IFICATION OF INDEPENDENCE:
1. Trinity IERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or
distributing products it evaluates.
2. Trinity ERD is not owned,operated or controlled by any company manufacturing or distributing products it evaluates.
3. Robert Nieminen, P.E.does not have nor will acquire,a financial interest in any company 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.
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.
rTR INITY JERD
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 6th Edition (2017) Florida Building Code and Florida Building Code, Residential Volume
through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements
and Limitations/Conditions of Use set forth herein.
2. STANDARDS:
Section Property Standard Year
1507.2.4/1507.1.1, Physical Properties ASTM D1970 2015
R905.2.3/R905.1.1
1507.2.5,R905.2.4 Physical Properties ASTM D3462 2010
1507.2.7.1,R905.2.6.1 Wind Resistance ASTM D3161 2016
1507.2.7.1,R905.2.6.1 Wind Resistance ASTM D7158 2011
1507.2.7.1,R905.2.6.1 Wind Resistance TAS 107 1995
3. REFERENCES:
Entity Examination Reference Date
GAF(PDM 1915) Letter of Equivalency Seal-A-Ridge Impact Resistant IR 01/13/2012
PRI(TST 5878) Physical Properties GAF-025-02-01 03/27/2602
PRI(TST 5878) ASTM D3462 GAF-059-02-01 09/02/2004
PRI(TST 5878) ASTM D3462 GAF-080-02-01 05/25/2005
PRI(TST 5878) Physical Properties GAF-324-02-01 12/01/2011
PRI(TST 5878) Wind Driven Rain GAF-407-02-01 01/21/2013
UL(TST 1740) ASTM D3462 93NK6295 11/29/1993
UL(TST 1740) ASTM D3462 99NK43835 01/12/2000
UL(TST 1740) TAS 107 94NK9632 03/29/2000
UL(TST 1740) ASTM D3462 01NK06632 02/02/2001
UL(TST 1740) ASTM D3161,TAS 107 OINK9226 05/21/2001
UL(TST 1740) ASTM D3161 OINK37122 12/18/2001
UL(TST 1740) ASTM D3462 OINK37122 12/19/2001
UL(TST 1740) ASTM D3161,TAS 107 02NK12980 04/10/2002
UL(TST 1740) ASTM D3161,TAS 107 02NK30871 09/09/2002
UL(TST 1740) ASTM D3161 03CA5367 03/11/2003
UL(TST 1740) ASTM D3462 03NK26444 10/17/2003
UL(TST 1740) ASTM D3462 04NK13850 06/07/2004
UL(TST 1740) ASTM D3161 04NK13850 06/23/2004
UL(TST 1740) ASTM D3161 04NK30546 03/10/2005
UL(TST 1740) ASTM D3462 04NK22009 05/06/2005
UL(TST 1740) ASTM D3161 04NK22009 05/09/2005
UL(TST 1740) ASTM D3462 05NK27924 02/10/2006
UL(TST 1740) ASTM D3161 05NK27924 02/11/2006
UL(TST 1740) ASTM D3161,D3462 06CA18077 06/05/2006
UL(TST 1740) ASTM D3161,D3462 06CA18074 06/16/2006
UL(TST 1740) ASTM D3161,D3462 06CA35251 10/18/2006
UL(TST 1740) ASTM D3462 06CA31603 12/01/2006
UL(TST 1740) ASTM D3161,D3462 06CA41095 12/27/2006
UL(TST 1740) ASTM D3161 07NK05228 03/13/2007
UL(TST 1740) ASTM D3161 06CA31611 .04/04/2007
UL(TST 1740) ASTM D3161 06CA61148 04/09/2007
UL(TST 1740) ASTM D3161,D3462 07CA31742 11/08/2007
UL(TST 1740) ASTM D3161,D7158,D3462 08CA06100 03/13/2008
Exterior Research and Design,I.I.C. Evaluation Report 01506.01.08-1122
Certificate of Authorization#9503 6Te EDITION(2017)FBC NON-HVHZ EVALUATION FL10124-1120
__.GAF A_.sphalt Roof Shingles- - .___. .-Revision 22:09/20/2017.
Page 2 of 6
C)o
TR1N11Y(ERD
Entity Examination Reference Date
UL(TST 1740) ASTM D3161,D3462 07CA55908 04/01/2008
UL(TST 1740) ASTM D3161,D3462 09CA10592 03/26/2009
UL(TST 1740) ASTM D3161,D3462 09CA06856 05/15/2009
UL(TST 1740) ASTM D3161,D7158,D3462 09NK06647 08/01/2009
UL(TST 1740) ASTM D3161,D7158,D3462 09CA27281 08/27/2009
UL(TST 1740) ASTM D3161,D7158,D3462 10CA35554 03/05/2010
UL(TST 1740) ASTM D3161,D7158,D3462 IOCA13686 05/15/2010
UL(TST 1740) ASTM D3462 1OCA07264 05/27/2010-
UL(TST 1740) ASTM D3462 IOCA11953 10/29/2010
UL(TST 1740) ASTM D3161,D7158,D3462 IONK11951 10/30/2010
UL(TST 1740) ASTM D3161,D7158,D3462 IONK12070 11/04/2010
UL(TST 1740) ASTM D3161,D7158,D3462 08CA06100 01/30/2010
UL(TST 1740) ASTM D3161,D7158,D3462 10CA53934 03/31/2011
U L(TST 1740) ASTM D3161,D7158,D3462 11CA48924 10/22/2011
UL(TST 1740) ASTM D3161,D7158,D3462 11CA47919 12/03/2011
UL(TST 1740) ASTM D3161,D7158,D3462 11CA48408 12/08/2011
UL(TST 1740) ASTM D3161,D7158,D3462 11CA48725 12/09/2011
UL,LLC.(TST 9628) 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) ASTM D3161 13CA32332 06/18/2013
UL,LLC.(TST 9628) ASTM D3161 13CA37934 08/02/2013
UL,LLC.(TST 9628) ASTM D3161,D7158,D3462 4786875675 07/17/2015
UL,LLC.(TST 9628) ASTM D3161,D7158,D3462 4787434542 05/17/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Mobile,AL 10/25/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Myerstown,PA 10/20/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Tuscaloosa,AL 11/11/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Michigan Cty,IN 11/01/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Shafter,CA 11/17/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Savannah,GA 11/11/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Minneapolis,MN 10/25/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Mt.Vernon,IN 10/25/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Baltimore,MD 10/21/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Tampa,FL 11/17/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Dallas,TX 11/04/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Ennis,TX 11/03/2016
UL,LLC.(QUA 9625) Quality Control Inspection Report,R21,Fontana,CA 11/01/2016
4. PRODUCT DESCRIPTION:
4.1 Asphalt Shingles:
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'"', Glenwoodi"', Grand Canyon®, Grand Sequoia°, Grand Sequoia° IR,
Grand Sequoia® ArmorShield TM, Monaco®, Sienna°, Timberline® American Harvest®, Timberline®
ArmorShieldT"' II,Timberline° Natural Shadow®,Timberline HD°,Timberline® Cool Series®,Timberline Ultra
HD®and Woodland®are fiberglass reinforced,laminated asphalt roof shingles.
4.1.3 Slateline®is a fiberglass reinforced 5-tab asphalt roof shingle.
4.2 Hip&Ridge Shingles:
4.2.1 Seal-A-Ridge® Ridge Cap Shingles, Seal-A-Ridge® IR Impact-Resistant Ridge Cap Shingles, Seal-A-Ridge®
ArmorShieldT" Ridge Cap Shingles and Timbertex®Premium Ridge Cap Shingles are fiberglass reinforced,hip
and ridge asphalt roof shingles.
Exterior Research and Design,I.I.C. Evaluation Report 01506.01.08-R22
Certificate of Authorization#9503 6TN EDITION(2017)FBC NON-HVHZ EVALUATION FL10124-R20
GAFAsphalt_RoofShingles -_--_ -_ - - Revisiog22.09/20/2017
Page 3 of 6
'\J
TRINIIY J ERD
4.3 Accessory Starter Strips:
4.3.1 Pro-Start®Eave/Rake Starter Strip Shingles and WeatherBlocker'"I Premium Eave/Rake Starter Strip Shingles
are starter strips for asphalt 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 or less.
4.3.3 StarterMatch'"I Starter Strip Shingles are color-coordinated starter strips for use with Grand Canyon® and
Grand Sequoia® series asphalt shingles. StarterMatch"I are installed as the second starter for Grand
Canyon®and Grand Sequoia®series installations.
5. LIMITATIONS:
5.1 This is a building code evaluation. Neither TrinitylERD 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.
5.2 This Evaluation Report is not for use in FBC HVHZ jurisdictions.
5.3 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials
Directory for fire ratings of this product.
5.4 Wind Classification:
5.4.1 The GAF asphalt shingles noted in Section 4.1 are Classified in accordance with FBC Tables 1507.2.7.1 and
R905.2.6.1 to ASTM D3161, Class F and/or ASTM D7158,Class H, 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.
5.4.2 The GAF hip&ridge shingles noted in Section 4.2 are Classified in accordance with FBC Tables 1507.2.7.1
and R905.2.6.1 to ASTM.D3161, 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 Classification by ASTM D7158 applies only to exposure category B or C, as defined in FBC 1609.4.3,and a
mean roof height of 60 feet or less. Calculations by a qualified design professional are required for
conditions outside these limitations. Contact the shingle manufacturer for data specific to each shingle.
5.5 All products in the roof assembly shall have quality assurance audit in accordance with F.A.C.Rule 61G20-3.
6. INSTALLATION:
6.1 Underlayment:
6.1.1 Underlayment shall be acceptable to GAF and shall hold current Florida Statewide Product Approval, or be
Locally Approved per Rule 61G20-3,per FBC 1507.2.3,1507.2.4 or R905.2.3.
6.2 Starter Shingles or Starter Strip:
6.2.1 Installation of Pro-Start Eave/Rake Starter Strip Shingles,WeatherBlocker Premium Eave/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 GAF current published instructions, using minimum four
(4)nails per shingle in accordance with FBC 1507.2.7 or R905.2.6,with the following exceptions:
➢ Camelot, Camelot II, Grand Canyon, Grand Sequoia, Grand Sequoia IR, Grand Sequoia ArmorShield,
and Woodland require minimum five(5) nails per shingle.
➢ Slateline requires minimum six(6)nails per shingle.
6.3.2 Fasteners shall be in accordance with manufacturer's published requirements, but not less than FBC 1507.2.6
or R905.2.5. Staples are not permitted.
6.3.3 Where the roof slope exceeds 21 units vertical in 12 units horizontal, special methods of fastening are
required. Contact the GAF for details.
Exterior Research and Design,I.I.C. Evaluation Report 01506.01.08-1122
Certificate of Authorization#9503 6TN EDITION(2017)FBC NON-HVHZ EVALUATION FL10124-R20
GAF Asphalt Roof Shingles Revision 22:09/20/2017
Page 4 of 6
'
`
NTINITYIERD
6.4 Hip&Ridge Shingles:
6.4.1 Installation ofSeal-A-R\dge Ridge Cap Shingles, Seal-A,88dge IR Impact-Resistant Ridge Cop Shingles and
Seal-A-Ridge ArmorShleld Ridge Cap Shingles shall comply with the GAF current published instructions with
a minimum two (Z) nails, minimum 3/8'inch head diameter, per shingle and nominal 0.25'inch diameter
beads nf Henkel"&octitePL83D Roof&Flashing Sealant".
11.51 Sealant
�12'
i
305
' '
'
Cleve
xr
6.4.2 Installation ofTimbertex Premium Ridge Cap Shingles shall comply with GAF current published instructions
with a minimum two (Z) nails, minimum 3/8-nch head diameter, per shingle and beads ofSonneborn Np1
Gun Grade Polyurethane Sealant ur Henkel PL Roofing and Flashing Sealant.
»
rriduft
|
1
6.4.3 Fasteners shall be in accordance with GAF published requirements, but not less than FBC 1507.2.6 or
R905.2'5. Staples are not permitted.
Exterior Research and Design,uc Evaluation Report��01.08-m
Certificate of A uthorizatio"#9SO3 EDITION(2017)FBCmON-xVHz EVALUATION FL10124-RZO
GAF Asphalt Roof Shingles Revision zuoy12o/20oz _ _
�PTRRINJWIERD
7. LABELING:
7.1 Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted
herein.
7.2 Asphalt shingle wrappers shall indicate compliance with one of the required classifications detailed in FBC
Table 2507.2.7.1/R905.2.6.1.
8. BUILDING PERMIT REQUIREMENTS:
As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of
this product.
9. MANUFACTURING PLANTS:
Contact the named QA entity for information on which plants produce products covered by Florida Rule 61G20-3 QA
requirements.
f
10. QUALITY ASSURANCE ENTITY:
UL LLC—QUA9625;(847)664-3281
END OF EVALUATION REPORT-
Exterior Research and Design,LLC. Evaluation Report 01S06.01.08-R22
Certificate of Authorization#9503 6'EDITION(2017)FBC NON-HVHZ EVALUATION FL10124-R20
GAF Asphalt Roof Shingles Revision 22:09/20/2017
oft
"N115 GI 01
City ofZephyrhil,ls
F0 I'p R 5335 St'St
t.�b Zephyrhills FL 33542
_.h 1
(W)780-002d
�}\ ROOFING INSPECTION AFFIDAVIT
Permit-No.:. v�
I, 4v o I\4 man licensed under Chapter 468, Florida Statutes as a(n):
Contractor Engineer Architect_Building Inspector
License No. CCU 3 fA SS bS
On or about 7 .3 I I did personally inspect the:
Check: Roof Deck Nailing `� Dry in Flashing and Drip edge)
Check which was used: 30#felt Peel and Stick_Other'(List)
At the following
address:
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual(Based on Section 553.844, Florida Statutes).
i
Signature-
STATE OF FLEWID
COUNTY OF PASCO
JJ c
Sworn o and subscribed before thi. day 5'la
BY: �
Notary Public State of Florida
Notary00
Abu 1 AYW
Sta eoof Florida
My comm.Expires Aug 24.2623
"" Bonded through hadonai Notary Assn.