HomeMy WebLinkAbout15-16207 " CITY OF ZEPHYRHILLS
i � 5335-8TH STREET
(sis)�so-oo20 1 6 7 �
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16207 Address: 6020 ZEPHYR RIDGE RD.
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet:. Subdivision: ZEPHYR RIDGE
Est. Value: Parcel Number: 03-26-21-0130-00000-0630
Improv. Cost: 9,200.00 OWNER INFORMATION
Date Issued: 4/28/2015 Name: HUBBARD SARAH S
Total Fees: 127.50 Address: 2885 LONE VALLEY RD
Amount Paid: 127.50 CAMPBELLSVILLE KY 42718-8214
Date Paid: 4/28/2015 Phone: 270-465-7830
Work Desc: REROOF METAL
CONTRACTOR S APPLICATION FEES
PRESTIGE METAL RO IN I C REROOF RE DENTIAL 127.50
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP,
FINAL � -�.S -1 �
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CO RACTOR SIG URE PERMIT OFFI R
PERMI XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATIiER
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City of Zephyrhills
BUILDTNG PLAN�tEVIEW COIv1.MENTS
CantractoxlHomeowner: + f't°S �a
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Date Received. ��ii2— �S
site: Z-t� �� fL `
Perrni�Type: ��- /�r'
Approved wlno comments: Approved wlthe belaw comments: 0 Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
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vin Switze — s Exarniner Date Contractor ancUor Homeawner
{Required when camments aze present}
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a�a-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021
� " Building Department ,
Date Received b� Z�� _
Phone Contact for Pertnitting
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Owners Name l��( B�K�l/ Owner Phone Number ��' 7w i 7�s�
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Owners Address ' Owner Phone Number
Fee Simple Titleholder Name N AI Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS c�/ � �QGB !QD• LOT# G3
SUBDIVISION ��� PARCEL ID# O�' 'o��•O�D•�'Q�O�0 3O
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED NEW cONS7R ADD/ALT � SIGN Q 0 DEMOLISH
e INSTALL e REPAIR
PROPOSED USE �� SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q
DESCRIPTION OF WORK IvC'W �P �QF �IiIN �
BUILDIN SIZE SQ FOOTAGE� HEIGHT � �
UILDING $ � VALUATION OF TOTAL CONSTRUCTION qrf/�/��� �
�bti°
<<.ci�/
_ ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ 1 ��, ✓
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r�� ��V �
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QGAS Q ROOFING Q SPECIALTY OTHER G
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � I.R�
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BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
OTHER �- r � OMPANY rl�G���(�6 E��K �LbF/••G
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �� /Ni�!¢� � rLW D � F� 3��G License# 3�'�9
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Faciiities&1 dumpster,Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projecls.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
D ctions:�TT^ �T�T�^
Fill out application completely.
Owner 8 ConVactor sign back of appliration,notarized
If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMII"fING (Front of Application Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveyJFootage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new 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.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certiiy 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•'Flealth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
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 violate,cancel,alter, or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building O�cial for a period not to exceed ninety(90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LEND R OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F. .y17.03)
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OWNER O GENT CONTRACTOR
Subscribed an to(o umed)b re me th's S-ybs—crj'�ed an of�t�o�(or ff�rmed befoj e this �
�'l(0°lS by �c �+-"� -�-�bYi'�LA�C GCLi1�/l.fiM
1Nho is/are personall kn e or haslhave produced Who is/are ersonall known to me or hasfiave produced
as identification. as identification.
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����b�W �( . Notary Public � �� �/til� Notary Public
Com s a ' Commission No. - .
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2 ^ ' ' �►*�°�i Notary Public State of Florida
Nam of'�Jo typa d,.��t������E104104 Name of Notary typed,printed or s e � William Penuel
�OF F�O�" Expfres OB/16/2015 �G �o� Mv Commission tE104104
��OF P��` Expires 06/16/2015
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l'ERMII'!vU\t13CR:
PtOTiCE OF COMMEI�TCEMENT �
The undcrsigucd herehy grven notice thnt iroprovemeut wili bc made to certuin reu!ptvperty,und in accordancc wilh Chaptcr 713.
Florida Stotues the foliowing inf'omiation is providcd in the Noticc of Commcncement,
2 o/3b - d—d(o3U
1. DESCR1PTl0�OF PRUPERTY(Legal description&strzet add[ess,if availnble)TAX FOLIO ti0.;U✓• '��� �
SUBUI\'ISIO`I� �v� R�D�F BLOCK '1'NAC7' LOT�dLUC U�ill'
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d,Numc ond edJrcss of Ccti simplc�itlehuld.r(if o@cr�han(7Kncr)
4. CO`iTRACTOR'S NAME,ADDRESS A\D VHOV£�11117iiER: ��-��
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7. Pcrsons within the State of Floride designated by Ownet upon whom notices or other documents mny be served as provided b�• r�w M
Section 713.13(])(a)7.,Florida Statutes: �f� -
VAIIE,ADARESSANDPHOtiE\U\1HER: �j� —
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8. In addition to himself or herself,Owner designates the following to receive a eopy of the Lienor's Nlotice as provided in Sccuon 3 0
7l3.13(l)(b).Florida Statutes: • �
�pn+e,auueess n�vu r�+one nuKUt►t: ,/ ) �"�
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' 9. Gxpiratiun date of notice of commencement(the expitation date is I year&om the date of recording unless a different date is ��3
specified): �20 - w� �
W AR�'ING TO Ql'JNER ANY PAY 9 'T h"AD�BY ThE OP'"'ER AFTER'fNE�XPIRATfON OF THG NOTI TE O��GOM�M1I�N�NEMGYT �
H � �7U �
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WITH YOUR LENDER OR A^'"'''1'CIRNEY BEFORE COMMENCINQ W�RK nR RECORDINO YQUR NOTICE OF COMMENCEMENT.
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Signa re ot Owa or PNnt Name an Prov[de S[gnato s Title/Umce
Owner's Authoriz Ofticer/D(rectodPertner/Msnager
Stute of�lerida y
County of Tq��OIL '_��'t""'20 ��
The foregoing tnstrument was acknowledged beforc me t is �day of
Eiy 0,"�7
�(na oP e on (type of authonty,...e.g.o'fcer,tnxstee,nttorney m fact)
For `•
(na e ofparty on behatfofwhom instcument�vas executed) . .
g eofidentification: �
_____Personalty known or produced the followin typ
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�7A7��� ELORIn�,C�UN7Y OF PA5C0 ,�- � :',`•., �, � �..:� -
THIS IS TO CERTIFY TH�T THE FOREG0ING IS A � • ° ' ` '• `
TRUE AND RRECT COPY OF THE DOCUMENT � �" ��� �` �,
ON FILE F� F PUBLIC RECQRD IN THIS OFFICE � ° InGo[f iJe7nut •' � ~ '
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WI� AND FICI SEAL T � ' O y�
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P S O�lEIL, CLE K&COMPTROLLER � 1887
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Appilcation 7ype ALL Product Manufacturer AlphaProTech Engineered Products,Inc.
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Appiicatiost Status ALi. ComptEatzce Meti'tod - q�„
{2uatity Assurance Entity ALL Qual3ty.Assarante Entity Contract EXpired ALL
Product Model,Number or Name ALL Prod�sct Description ALL
Approved far use in HVkIZ ALL Approved for use outside HVElZ Ai.L
Impact Resistant ALL Design Pre�ure pu„
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Sc�6C,ategory:Undertaymerms
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' Appliption 7ype Revision
Code Version 2010
Appilcation Status Approved
' - Comments
I Archived �
� Product Manufacturer AlphaProTech Engineered Products,Inc.
v'� AddressJPhone/Emaii 301 S. Blanthard St.
Valdosta,GA 31601
(229)242-1931
bhayden�alphapratech,com
Authorized Signature BruGe NaYdell
bhayden@a Iphaproted�.wm
Technical Representative Bruce tiayden -
Address/Phone/Emzil . 301 S. Blanchard SL.
Valdosta,GA 31601
(229)242-1931
- bhayden@alphaprotech.com
Quatity Assurance Representative Daniel LaFace
Address/Phone/Email 301 South Blanchard Street
Valdosta,Gq 31601
(229)242-1931 Ext 237
dlaface@a(pha proter.h.com
��9°ry Roofing
Subptegory Underlaymer�Cs
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- Evaluation Entityr ICC Eveluation Service,LLC
Quality Assurance Entiry RApCO,INC.
Quaiity Assurance Cerrtract ExAi�tlon Date ' 07/02/2015
Validated 8y
Zachary R.Priest.P.E.
� Validation Checklist-Fiardcopy Rece�ved
Certifrcate of Inde�er,dence �7_512 R C�I Coi �C ('.�rt f Tnria .,
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ReferenCetl Standard and Year(of Standard)
Equivalence of Product g�andards
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' Date Submitted 12/18/2012
� Date Validated IZ/26/�2012
�; Date Pending FBC Approvak Ol/01/2013
`�- Date Approved 02/04J2013
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Impact Resistan� N/A Created by IndependentThird Party: �
Design Pressure:N/A Evaluation Reports
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12512.3 7EC!-1NOpty Synthetic Roof Synthetic Roof Underlayment ;
Underlayment �
_ Limits of Use Insrtaliation Instre[etions `
�I Appraved for use in HVI�lZ:NO FL1252� RZ Ii ESR-ibDi �,,,df
Approved for�se aufiside HVHZ:Yes Verifled By: ICC Evaluation Service,LLC
impact Res�star�N/A - Createtl by Independent Third Party:
_ Design Pressure:N/A Evaiaation Repoct5
Other:Tnstallation must compiy with timitations of use FL12512 R2 AE ESR-��rn Pdf :
found tn secaon 5 of�the evaluation reporG �
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onte ::i No ra n Str T Ilaha 3 Piiane�850-a87-182a
The Sflte of FlOflda 15 en AA/EEp t�nObYer.Cornrin�+t 2007 201�StafP of Fltuida ::Drnrae±.S{d��t•• cc ibili
•� StatemeM;;Re4und Stat m n{
Uader Florida law,emall addrss�are pvbliC reGDfds.If yW do not want your rmail address releasaC in r� � p
electr�pnic mail fo tY,s 0nti.y.L�Spe,aC'corsYdetthe ptryoe py Pl�ne�r yy p�;�„ai„�.� Ao to a ublic-remrds request,do no2 send
sewon ass.z�scs).wor�ea�,�v�p��1.7d12,tiaen;,e6 Lcensetl u�C�Q���ve a�Q��o�•Pl����Ct 850.487.1395_3PUrsuent to
tl�ey have one.l7�e ema�ls prwided may ba�sed fpr offiGal Cpmmunimtion witlf ffie fjp��p,H��i tldrasses are pup�j ci recperl,If You tlo not w�i h to�;
suPD1Y a Da"'..onal atlOrQ.Wease P�Oe Cte Departrne�t wuA an errWlt a00rRS wlitcti on 4e a`nOa�vai�.b�v co are
CNOpL@r 455�P.S..pIP.3:C dfCk �u��Tb�«^^�ne rt you are a�ic¢�s�e��de:
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ProtluCt APAmval Atc¢pt,:
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NCC-ES EVa�Uafi0il RBpOrt E '*`�' R-1601
Reissued Navember 2014
This report is sub,�ect tc�renewal Novem6er 2016.
www.icc-es.arc� � (800)423-65$7 ( (5B2}6$9-05d3 A SuDsidiary af fhe/nfema�nna!Code C�uncif�
DIYISIQN:07 tW 00—THERMAL ANp MOlSTURE instrudipns. Tfie manufacturers published instapatian
PROTECTION instrttctions must be aveilabEe at the jobsite at all times
Section:d7 30 05--Raofing Fett and Under�ayment tfuring ir�.stat#a#iort.
REPORT HOLDER• Prior to appiication of the underiayment, the roof deck
� surface mt�st be fre�of frost,dust and di�,loase naits,and
ALPNA PROTECH ENGINEEFtED PRODUCTS�INC. Q�er protrusions.Damaged 5heathing must be repfaced.
3fl1 S011TH Si.At�CMARD STREET Irs�allation of ar� approver! raof covering can praceed
VAU)OSTA,GEORGIA 31601 immediatety fottowing appiication �f �e roofing
{22S}2�42-1931 underlayment� The underlayment is to be covered by the
www.alpl�aoratectt.com roof ccvering within the time se#fat#h in the under�ayment
manufac�urer's published installation instructions. For
EVALUATtON SU$.tEG7: rec�fing applicatior�s, the sarne procedures apply afker
remavat o#the e�cisting roaf cxivering and rocfirag fetts to
REX'" SYNF�I.T, REXTREME AND TECHNOPLY !�xAos1�3�roof deck.
s�x��c�oo�v�r,��u��rrs � A���ions� .
1.0 EYALUATION SCOPE The unde�laymer�t ►nust be install�d in accordance with
Comptiance with the following codes• Chapter 15 of the (BC ar Chaptec 9 af#he IRC,aad must
" � be laid printed side up hori�ontaAy (parallel to the eave}
� 2012,2009 and 2006/ntemationa/Buildfng Code (ISC) starting at the lower edge af the raaf,with 3-inch(76 mm)
� 2012,2809 and 2006 tni�mafiane/Residenfia/Code� �o���{ ���'�d}Iaps and 6-inch {'t52 rnm) vertiq! {end}
(�RG) laps.
Prcperrties evatuated; The urtdedayment mcsst be fastened to the roof deck
@ p using minimum No. 12 gage [0.109-inch {2.TI mm)3
frysica(propetties minimum shank diameter, COttosio�t-tesist�nt rop�i�g r�gErts
+e Fir�class'�'ica#ion having minimum '!-inch�fiameter j25.4 mm} piastic caps.
2.0 llSES The fas6eners must be spaced 8 inches (203 mm) on
� cenfer at vertiCal and hotizont2S laps. and 24 incEzes
�Ex SynFe�, REX#reme and TECNNdpEy synthetic (610 mm} on cerrter verticaity and harizontally in a
roofing underlayments are al#ematives to the ASTM D226, staggered pattem in the field of the underiayment, except
Type i and 7ype CI, roafing undedayment sp&cified in 'sn areas subjet� t,a high windS t+�here undertaymen#
Chapter 'f� of the 18C and Ctispter 9 of the tRC. The fastening must compty with high wind attachm�nt
underiayments are also use�d as camponents of classified requiremerns specified in�gC Sectipn 15D?or IRC Sectiora
roafing assemblies whert insta!!ed as deSCrif�ed irt this f2905.Fasteners tnust be tcctg enough ta penetrate"inta the
report sheathing a minimum af 3Ia inch{19,7 mm) or through the
3.4 DESCRIP7'tON shesthing. whiChever is less, When battens are instailed
The roof underiaymer�ts consist of a woven potypropyiene aVer the und�Maymerzt' t� u����{aym��yt need only be
fabric with a porypropylene coatin on each side. The ����m���a����nding attachment af the battens or
� count+erbaitens.
R�c�° SynFe�. RE3Ctres�e and 7ECNNdpty sym#hetic
underlaymeMs have namina{vv�ights, respe�Gyely�pf 2.5g A singie layer of minimum 24inch•wide (610 mm)
pounds per 1p0 squ�re fee2(125 g/m), 2.97 pounds per ���Yment must be ir�taped and centered verticatly at
i00 square feet (2 25 gtm}, anr3 2.05 pout�ds per 10t} al!valt�ys befare anderEayment itt the f�eld, and a#ai(hips
square feet(100 g/m ),and are produced in rolis pf various �nd ridges afte�underlaymertt in the field.
sizes. Whete the slope"ss from 212{97 percertt sfa
4.0 i3ESiGN AND ENSTALLA't'i0N (33 percent �toPe) �tnd the roof is to be�ve ed w�i�th�
4.1 Generai: asphalt shingles, or whete the glOpe fs frorrt 2�/2:12
lnstatiatior� must compiy with the applicabte cade. this (21 �sercent Slope} up ta 4:'12 (33 percent stope} an� tne
p u detrlaymereit�mu�be horizpntaHy rl pp 24 �ir�c es
report and #he manufackurePs ublished instaliation
!CC-ESEvotnarioir Reportrrnenot to be ean,clnredas represenang arstherics ormry orheranrtbides nat ed
as an errdorseme�rJ pjthe subJect qf�he�epp�yor a recommendaNpn fpr�yr,�L Therc is no M � ��°d���nor are they to be con+yrued �,
to mry fmding or orher mvner in rFiis npnrt,oras ro 'OrT°nD'b3'rGCEvolvmio,r Service,LLC,e,cpreu or tmplied,crs +�
Q++YProdnatCOVemd by dre repprY.
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��n����y�� Product Approval
(�{�SS1��: , . �:�������
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_�J;:��UtIV'a i
. p�prJu�Aonrnvql AlefU>Prndi�rt nr 4nDli�'dt!On S?.7rCh>ADD�iCat�On List>ApPliq{iOn DCtaii
�"- —' FL# FL16Z66
�.-�:.- New ' •
� .. Appiication Type
Code Versio� 2010
Application Status APProved
- Comments
Archived �
.� Product Manufacturer UNION CORRUGATFNG COMPANY
'��' AddressJPhone/Email 701 S. lQNG ST.
FAYETTEVILLE,NC 28301
_ (910)483-0479 Ext 241
� dpotts@unioncorrugating.com
Aathorized Signature Dan Potts
� dpotts@unioncorrugating.com
�
`.� Technicai Representative
� AddresslPhone/Email
�--
Quality Assurance Representative
Address/Phone/Emai!
Category Roofing
' - Subcategory Metal Roofing ,
Compliance Method Evaluation Report from a Ftorida Registered Architect or a Licensed
Flo�da Professiona(Engineer
� Evaluatfon Report-Hardcopy Received
' Florida Engineec or Architect Name who developed Bala Sockalingam
rne Evaluatian Report
Florida license PE-62240
Qual::y Assurante Entity Keystone Certifications,Inc.
Qualiy Assurance Contract Expiration Date 12/31/2015
Valic!ated By Yoosef Lavi,p,E,
� Validation Checklist-Hardcopy Received
_ Certificate of Independence FL:6266 RO COI CertificateInd n�ndenrP nrlf
;= Referenced Standard and Year(of Standard) Sta�dard
Y_e_ar
ASTM E1592 2001
FM 4470
UL 1897 1992
UL 580 1998
1994
Equivalence of product Standards
_ Certified By •
Florida Licensed Prafessional Engineer or Architect
FLi6266 RO E uiv TestE uivalent FL16265, df