HomeMy WebLinkAbout15-16473 = CITY OF ZEPHYRHILLS
; 5335-8TH STREET
�8is��so-oozo 1647
BUILDING PERMIT
I �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16473 Address: 38614 2ND AVE HISTORIC
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-20600-0010
Improv. Cost: 3,900.00 OWNER INFORMATION
Date Issued: 11/02/2015 Name: CALHOUN BARBARA
Total Fees: 82.50 Address: 38614 2ND AV HISTORIC
Amount Paid: 82.50 ZEPHYRHILLS, FL
Date Paid: 11/02/2015 Phone: (813)355-3444
Work Desc: REROOF METAL-APPRVD BY HB- SEE NOTES
CONTRACTOR S APPLICATION FEES
ONE CALL CON TRUCT S RVI ES I RER F RE IDENTIAL 82.50
�
�
r
/� _ � 5-- "` �
��a
� Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL � Z -/� -/3�
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 ins ection or
P
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTiCE: In addition to the requirement�of this permit� there maybe additional restrictions applicable to this properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
NTRACTOR NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MON IHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
,
. o'�'--_
Q�
Pl�(3_„Ai_Q_,A"^,.
_j:,��'��-.
��:.._
,� � �
�....
City of Zephyrhills
BUILDING PLA REVIEW COMMENTS '
Contractor/Homeowner: �� �,��j f
Date Received: �� ^�,C� � �
Site: � � �j�� ��� �Gt-�
Permit Type: /e(�1/` ���
�,b I
Approved w/no comments:L7� Approved w/the below comments: ❑ Demed w/the below comments: ❑
�
I
I
This comment s,eet shall b� pt with the p it and/or plans. .
, �� � � ���� �
�
��
r
Kalvin itzer—Plans �x iner Date Contractor and/or Homeowner
(Required when comments are present)
�
�
sis-7ao-oa2o City of Zephyrhills Permit Application Fax 813-TSaaa2�
Building Department
Date Racaivad � � p� � _ �
Phone Contact for permittin Oi 3 �' !�
Owner's Name ��'�`��'A�'l� �1!�`d 3�� I Ownar Phone Number O ".j��� 3����
Owner's Address ��b �� Z�+/.G va �� Owner Phons Numbec ��-�v � L '����
Fee Simpie Titteholder Name �— � Owner Phone Number � �
(
Fee Simpfe Titleholder Address
JOB ADDRESS �� 2^�� ��� LOT# ��
. i
SUBQFVISION � � PA4tCEl iD#
(QBTAINED FROM PROPERTYTAX NdTICE)
WORK pROP05Ep NEW CONSTR ADD/AI.� �] SIGN [� CJ DEMOLISN
' e INSTALL 8 REPAIR "�
PROPOSED USE Q SFR Q COMM' C� QTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME [,� STEEL Q
i?ESCRtP1'iON OF WORK ��+�'� � S,N I �
BUILDlNG$!2E � � SQ FOOTAGE r p��I HEIGHT ���-`_�:
�
�BUILDING $ �(���� �� VA4.UATtQ�QF TOTR�CON8TRt1GTiON
J
[�ELECTRICAL ($ � AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C.
�_ (�!
OPLUMBING $ ~� . t ��/
QMECHANICAL $ VAL.UATIO OF MECHANICAI.INSTALLATtON �
�
� �
QGAS Q ROOFING SPECIALTY Q UTHER �r�
�
FItVISHED FLOOR ELEVATiONS FLOOD ZONE AREA QYES NO
�
BUILDER �,/"�! � � � CQMPANY �J�✓� � !/
StGNATURE /� REGISTERED Y/ N FEE CURRE� Y/N
I
Ad[!re$$ LiGenSB# �— —�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
i
Address I Ltcense#•�i�` �
� �
PLUMBER COMPANY
SI�NATilRE REGISTERED Y J N FEE CURRE� Y/N
Address ( l.icense# � --�
, (
MECHANICAL COMPANY
StGNATURE REGISTERED Y J N FEE CURRE� Y I N
I
Address License# �^ ��
� I
dTHfR COMPANY
SIGNATURE REGISTERED Y J N FEE CURRER Y!N.
� I
Address ( License# �� �
RESIDENi7AL Attach(2}FlotPtans;(2}sets_o#Building Plans;(i)set�of E�ergy Forms;R-O-W Permlt for new consUvction,
Mfnfmum�ten.{4Q}.wartting days after.subssiitta4 date. R�equlred onsite,Gonstruction Plans,Stormwafer Plans w!3ilt Fence instailed,
8anitary Facilities.&1 du.mpster,Site Work Permit far subdirrislonsAarge proJects
COMMERCIAL Attacfi(3)complete sets of Building Pians plus a Life 5afety Page;(1)set of Energy Forms.R-O-W Permlt for new consUvcUon.
Min�mum ten{1Q}woricing days after submlttai date. Required onsite,Construction Plans,Stormwater Pians w/Siit Fence instailed,
Sanitary FacUides&1 dumpster.Site Work Permit tor aU naw pro}ects.All commercial requltements must mest compilance
SiGN PERMIT Attach�(2)sets of Erigineered Plans. .,-
**`•PRQPERTY SURVEY required for alt NEVN cansf ction.
Directlans:
Fiil out appiication compietely.
Owner 8 Contractor sign back of appiicatlon,natarized
If aver�2500.a Nottce of Commencement is requlred. (A/C upgrades over�T500)
�» �
Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authodzing same
OVER THE COUNTER PERMITTING {Front of Applicatian Only)
Reraofs if shingtes ,-', Sewers ,--:��Service Upgrades A/C Fenc i(PIaUSurvey/Faotage)
t � .
Drlveways-Not over Caunter if on public roadways..needs ROW �
1
/
�`
� � -- �
NOTICE OF DEED RESTR9CTIONS: The.undersigned under�tands.th�t this:p,�rmit.may be;sub)ect to"deed"restrictions"
which may be,more.restNctive.=th2ln County:regulatlons. �The�undersigned assumes'responsibility for comptlance witH any
applicable deed rest�ictions. , "
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has �hired a conhactor or
contractors to undertake work, they may be.required=to.be:llcensed In accordance.with state.and•local regulations. -1f the
contractor ts not I(censed.as�requlred:tiy law, both�the owner and contractor-may be�cited for a misdemeanor violatton
under state law. If the owner or Intended contractor are uncertaln as to what Iicensing.requlrements 'may,apply:.�-for:the
intended work, they are advised to contact the Pasco County�uliding Inspectlon Divislon—Licensing 3ectton at 727-847-
8009. Furthermore, (f the owner Fias htred a contracto� o� contractors, he is advised�to have the contractor(s) sign
portions of the "contractor Block" of this applbation for which they wilt be responsible.. if you, as.the owner sign�as flie
contractor, that inay be an indication that�he is not�.properly licensed and is not entitled to perniitting privileges in Pasco
County. '
TRANSPORTA710N IMPACTIUTILITIES�IMRAC7 ANb RESOURCE RECOVERY FEES: The undersigned understands
that Transportatfon Impact Fees and.Recourse Recove.ry.Fees may�apply�to the constructlon of new buiidings, change df
use in existing buildings, or.expansion�of-�existin�`•6uildings, as speclfled 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 identifled at the time of "
permitting. It Is further understood that Transportation Impact Fees and Resource Reco�ery�Fees musf be paid prior to
rece�ving a °certi�cate of occupancy" or flnal�powec�release. :If the project does not involve a:certfflcate of occupancy.or
flnal power release, the fees must be paid prior to permit issuance. Ft�tthermore, if:Pasco_County Water/Sewer-Impact
fees are due, they�must be�paid prior to permit-Issuance�in accordance witli�appllcable_Pasco�Couniy ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes�a�a�ende�): 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.L(en Law—Homeowner's
Protection Guide" prepared by the Florida Department�of Agric.ulture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have:obtained<a copy of the above described rlocuinent°and promise in,good faith to
deliver It to the°owner"prior to>commencement: �
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certfiy that all_thec inf.ormation In this application is accurate.and that all work
will'be done in complfance with all applicable laws regulating construction, zoning and:land�development. Appiication is
hereby made to obtatn .a permit to do. work ,and installation as Indlcated. I certify that no work:or (nstallatlon has
commenced pr(or to issuance of a permif and that all work will be pertormed�to meet standards of all laws regulaking-
constructlon, County and City codes, zoning regulations, and land development cegulations-in the jurtsdiction. I also
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsfbility to identify�what.actfons I must take to be�in..corrlpliance. S.uch agencles Include but�are.not Ilmited to:
- Department of E�vlronmental�Protection=Cypress.Bayheads, Wetland Areas and Envlronmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management I�istrict-Wells, Cypress. Bayheads; Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks� Navigable Waterways.
- Department of Health� 8 Rehabl8tative Services/Environmenfal Health Unit-Wells, Wastewater Treatment, '
Septic Tariks. .
- US Envi�onmental Protection Agency-Asbestos abatement.
- Federal Aviatton Authorlty-Runweys.
I understand that the following.resfrictions apply to the use of flll:•
- Use of fill Is not allowed in Flood Zone"V"unless expressly permitted.
- If the flil materfal is to be used. In �Flood Zone "A"� it. is understood that a drainage plan addressing a
"compensattng volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florlda.
- If the flll material Is to be used In Flood Zone "A° in�connec�ion�wlth.a permitted building using stem wall
� construction� I certify that flll�.wlll:be used only.to#ill the area within�the�stem wall.
- If flll material is to be used in any area, I certify that use. of such flll will not adversely affect adjacent
properties. If use of flll is found to adversely:�ffect adJasent propertles,.the owner may be cited for violating
the conditions of the building,permit Issued under the at�ached permit application, for lots less than one (1)
acre which are elevated�by fill, an engtneered dralnage plan is required. •
If I am the AGENT FOR THE OWNER, I;:promise In good faith to inform the owner of the permitting conditfons set forth in
this affidavtt�pr(or to commer�cing construction. I understand that a-separate petmlt may be requtred for elecMcal work,
plumbing, signs, wells,,pools; alr condttioning, gas, or other installations no�.spectflcally included in the application. �A
permit Issued shall be constcued to be a license to proceed with the work and not as:authority to vlolate, cancel, alter, or
set aside any provisions of the technical.codes; nor shall issuance of a.permit.prevent the Bulidirig Official from thereafter
requirtng a correction af errors in plans, construction or vlolations of any codes. Every permlt Issued shall become invalid
unless the work authorized.by such permit=�s.commenced within sfx months of permit issuance, or if work authorized by
the permtt is suspended or abandoned for a:period of�six(6)montfis:after the time the�work�ts commenced. M extension
_may_be_requested. tn writing,hom the Buflding.Officiai_for a,period_not_to exceed_ninety_(90)days_and_+�ill_demonstrate____—
justifiable cause for.the extension�. If work ceases:for ninety(90)consecutive.day.s,..th�job is considered abandoned.
WARNING TO OWNER: YOUR.FAILURE.TO..REC.ORD.A MOTIGE OF•COMMENCEMEMT IIfFAY RESULT IN YOUR
PAYING TWICE.FOR iMPROVEMEN.T3 TO YOUR;PR�OPERTY. IF°YO.U�IMTEND�`T�'OBTAIN�FINtANCING��COIdSULT
WI7 YOUR NDE O AN ATTORNEY� FOR�� CO �� G.�YOU ' �C '.OF� ' E C T�
FLORIDA JURA�(F.S.117.03) _ � �
OWNER OR AOENT CONTRACTO � �
Subscribed and swam to(or aHirmed)betore me fhis Subscrlbed and's�erom (ot a rmed)�befote me ttiis
by �by
Who is/are personally known to.me or haslheve produced Who.islare p.ersonally known�M me or haslheve produced •
as Identlflcatlon, as Idendflca0on.
- Notery Public _ Notary Public
Commisslon No. Commisslon No.
�.�-�, � -�
Name ot Nolary typed,p►Inted or stamped Name of Notary typed,printed or stamped �- i
" � ,
_ � _ .
,,
`} -
.,� � ' I. ,
_�
��������'8�� ���� �@�'����� ���'��@�`�
������������� �� ���������������9�
�y st��:,4pplic�fian#. ���f���a�fd�ga ��s!�� D�t�,���arr�ia'�e�m I
C
^ _ (�ppli�ar�$}'lease prU�ri�'e infa�arafioar b�tr�een fh�double lines)
..
/1 :335y�-
� ��E�ropert�Addre�s o�L�catior�: �g� 1�t` �t(-�� �7 Ve., �,e���/i�/���15,, �j�
--
ca���������: ����a.. C�-/��w,� �n0��: ��ss— 3 yy� �
APplicanY�Plam��Corvrpany(ifdlfferent): I
APpiican4'� Mailing Addres�: �S�'f� ar� �U`�, �-�.,�,�+v��i i 11.5 ��.. 3 J�{.S�ol,�
�PP� �onta�4 Info: Phon�:�13-355 3 y y�f ��xe �aii: p c.a��oc.� �,'. G-in�i 1, r.��
Typ�of Property; Residentiai,� ��I me�ia9 P�abli�or atf�er
�R�1�t3SE� RE��'t7�A'�°tQR9!Ft��{�V��°i#��951����'►I�S 1 RE���,�°6tt�i�1�7'�.
Exterior 1lVatls Signag�
Exteriar poor� . �igfiting
Windows . New iUlatn Building or Additian to Existing Building
Parches New Acc�ssory Bidg.{garage,carporf,�shed}
Awnings o�C�r�opie� iVew deak,ramp,patia,etco
Fencing �uiiding,Demolition ar Relocation
Exterior P inti g Gator Changes GeneraB Repairs{describe belav�rj
xt
�✓' Roofing �prr��� Other(describe belovu)
D'
�e4ailed descrip� fi propased vu�o�{ce (attacF�o�he�i h�ets if s�ecess�ry�
I
TEte Nistoric Presenratior�eoard requires that the fot!Iu�ing ir�formatiort����'be included vuith ar�applicatiara prioc t�8t�e __. --
application being accepted by staff:
e Detailed Plans,�including a site olan and elevatianisl:
� Color and material s�mnles;
e 11�anufacturer's sales iitera#ure;
� I�hotagraol�s:and ,
o Any other su000rtina documentation fo shove 4ha�fhe proposed work is cansisfen�wifFi the adop#ed[7epa�i�n�
ef Bnterior S#andards.
�� Cs��,�••-.. - ���'w►�.. ���1�-�-----
SIG�ATUR�{�F tHE QW�UER arad/ar �0.��i.ICAP1�
A J`cant do lVt77°u�rite BELOW fhis Jine
A�'�d�6'�T'e�6C��: �2te: - 1 ✓ � �
❑�y Staff: Apprc�v�d �` ��nied Re�s��t far�enial:
�
��HI�B: Approved pproved v�rith j odi�ica4i�ns nated b�lou+*and/or on atfiached sheets i
Denisd
'"F9PB Condition(s)af A pr�iiv I:
� �
� � �V
Signed: Date:
RECORDING AFFIDAVIT
STATE OF FLORIDA
COUNTY OF MARTIN
BEFORE ME,the undersigned authority,personally appeared Giselle Benavides,who after being first
Duly sworn,deposes and says of her personal knowledge the following:
l. E-Recording Inc.was established with the Department of Corporation, State of Florida on July 14, 1988.
2. E-Recording Inc.receives legal documents and submits the document for electronic recording in the
Official Records.
3. E-Recording Inc. is the recording agent and processed the recording of the Notice of Commencement
recorded in OR Book 9231/1886,Pasco County,Florida
:�
ECOR 'I
By:
E-Rec'o '
STATE OF FLORIDA
COUNTY OF MARTIN
Sworn to ubscribed before me this 27th day of J ly,2015,by Giselle Benavides who is personally known to
me and di t an o . `�
4..
Notary Pub(ic State of Florida
,•�;w%'oy�•.,, DONNAL.DIRR
'`�� ��'` MY CC61A415SION N FF 091T17
:': `_
-• ' " EXFIRES:Apri!27,2018
"%E� o°:�' Bonded Thru Nota Pubfic Underv+ritecs
S� •�°f�;`• �Y
1
� ,,--�� _.
�� � SUPERIO'_ % CRAF'7CSNIANSHIP
—Let our experienced professionats accurtttety assess your needs—
�r� a �
� Tampa
II � � � ($13)849•$990 (813)27Q•41Q5
� GONSTRUGT60N SERVlGES,lNG. i Toll Free(86+6}996•4777
IZOOFING SPECIALIST—C'CC I.327903 �
� Proposal Submitted To:
Date
�'� Name � � � �� Phone ��������� /
f Address �8 ��'"' Cell - �d✓ �
i , �+�,/
�� City,State,Zip \!� �.T ! � g�
I
Job Address(if different) Email
�I 1
' PROPOSAL
Job Specifications:
� ]2emave e�sting raof&haut away.
� ''� Re-nail the deck to Florida BuiIding Code.
Dry in to meet Flarida Buitding Code.
� Furnish&install metaI ecfge flashing in brown ,white ,or gaIvanized �; N��
Fnrnish&instatl ib",26 gauge metat in aIt valleys.
i � E�cisting fiashing in walIs and chimneys behind stucco will not be i eplaced.
� Furnish&insta22 1.5", 2", 3", 4"'Iead fiashings. � �
� Furnish&instalI 4", 10"GRV raof vents.
� � Furnish&install r�of vents.
�� Fnrnish&instait underlaymant: Palyg2ass TU Ptus �STM 90 lb. Modificd Bitumen
---�A. �
Furnish&instaIl eIave cIosure. ��
�- � Furnish&instal2�,� vear t���Jce''�r �51�'`^ltt�3'�resist'Iant fiberglass shingles.(Color: ��`�`f� )
� Fumish&instatl - I roof tile and related trim pieces.
�� Furnish&instail ft.of ridge vent.
Reroof any flat areas with modified bitumen roof system. �
� Year tabar wananty.
�Price inctudes alt permits,taxes,and dump fees.
Cy� Other c� > � � vc�
�' c� � �,.1
We propose hereby to furnish material and labor-complete in accordance I ith the above specifieations. All material is guaranteed to be as speGified and installed in
accardance with the Florida BuiIding Code.All work to be completed in a workmanIike manner according to standard practices. Any alteration ar deviation from
above specif3cations involving extra costs will be eacecuted only upon wrztten orders and will become an e�ra charge over and above the estimate. One Ca[2
ConstructionServices,Inc. willmaintainbothliabilityandworkerscompenisationinsuranceasreguiredbylaw.
Price
Option Optian Price
Price with Options Initial ta Accept Price with Options
E�ra Charges:Plywood replacement @ uer sheet.�Rotten fasc' truss end replacement @ per ft. �xtra
chaxges are over and abave the cantrac#price.
Payment Terms ` ��� �S �--- �-" �
/��d
Anthorized Signature / � �
One Call Construction Services;Inc.
�
Acceptance of Proposal: The above prices,speci�ications and conditions TERMS AND CONDITTONS 4N I2�VIERSE SIDE.
are satisfactory and are hereby accepted. You are authorized to do the work .
as specified. Payme»t wiii be made as outlined above.
r ��- ��� ���� 1i
� Signature � Date af Acceptance � �� �
CJwner
l -
i
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'lllllllllllllll'llllll'll �
. , . 2015118v98 I
Rept: 1700779 Rec: 10.00 �
DS: 0.00 IT: 0.00
� 07/27/2015 eRecorciing
, PAULA S O'NEIL Ph.D PASCO CLE K CO PT OLLE II
R & M R R
N�TICE OF COMMENCEMENT o7/27/2015 10:11 AM 1 of 1
OR SK 9231 pG ����
Permit No.
Property Identification No,_II�G"�I' d��� I afJ��(�°J�Q
THE UNDER5IGNED hereby give informs you that thel improvement will ba made to cetiain real property,and in accordance with
Secfion 713.13 of the Florida StaNtes,the following informaHon is provided in this NOTICE OF COMMEIVCEMEIYT,
I.Descriptionofproperty(legaldesc�tprlon:) .
a)Street Address: � !/�t� I�
2.General description of improvements:
i�
3.Owner lnformation
a)Namc and addrtss:_��/ZPj/�,Q,A ��. (f/V �,,/!��j�/fj ,��/�4+ ���ti,�, r{& �s_
� fu�_ _.c.c��.
b)Name and address of fee stmQle ttt]eholder(If other than owner)
c)[nterest in property_�Ob/, �
4.Contractnr Inform'ation , I y�p �/,
e)Name and eddress:� �,{�`��LL�� Ar{/ {�N �—�y,�y p1 �/�'�2 � ,D3
b)Telephone No.: _.87�—�.�/y y/'U'S' Fax No.(Opt.)�—cy,ry���/�,
S.Surety InCormation
a)Name and eddress:
b)Amount of Bond: �
c)Telephone No.:� Fax No.(Opt.)
6.Lender I - —�
� a)1Jame and Tddress:
Phone No•
7.Identity of person within the State of Florida designated by wner upon whom notices or other ocuments may be served:
a)Name•end address: �
b)Telephone No.: I Fax No (Opt)
S.In addition to.himsclf,e�vre::r dcsion.+.P�*t,..f�ll4wjpg peron to rccei•:;:a capy of the Licnor's, otice a provided in Sectian•-
713.13(1)(b),Florida StaNtes:
a)Name and address: � [_ �/J ��
b)Telephone No.: J I Fax No,(Opt.)
9.Expiration date ofNotice of Commencement(the expitation date is one year&om the date of recording unless a different da[e is
specified): � �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER TFIE EXPIRATION OB THE NOTICE OF
COMMENCEMENT ARE CONS[DERED IMPROPER PAYMENTS UNDER CFPAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IIY YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A fvOTICE OF COMMEIVCEMENT,MUST BE RECORDED AND POSTED ON THE JOT3 STTE BEFORE THE FIRST
INSPEC7'fON, TF YOU INTEND TO OBTAIN FWANCINC,CONSULI'YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMEIYCEMEIVT.
STATE OF FLORIDA
COUNTY OF PASCO �O�� �/�
' S/i]�f1aturo of Oxmer or Ownv's�Authoriud OfficcdDimctadPertnalhfenager
� [ilQr/1 S r[L �-L1A���/
Print Nemc
�foregoing inshvmbnt wes acknowledged before me tl}�is,�day of_vJ�li 20�by
Q'r��' �'Qj��`�""'' °5 (type of authorlty,e.g,o�cer,trustce,attomay
in fact)for I (name ofparty on behalfo whom insWment was executed).
Personally KnOwn_,OIt Produced Identification" ? Notary Sfgneture
Type of Identification Produced ' �'l_.�— Name(print) ' �h�Sl� �-�{cc:vC �
Verification pursuant to Section 92.525,Florida StaNtes.Under penalties of perjury,I declaze that I havc read the foregoing and that
the facts statad in it are true to the best of my knowlcdge and belief.
�� ����
Fowasmoc,masm� Signa(uro ofNawral Pu:on Signmg Above
W1den M DeCba�e
NOTARY PUBUC �
3TATE OF FLORIDA
. �PF0.93156
, E�b�8/28/2017
�
1
� Oct 2815 01:OQp p•2
.;nas�ata�+�-�v Me�s►xoahng trom uwrl,oestanpp�FV9 httpJlwww.gn�coasc4nppty.cot1V11¢etst-s40hngtcoasTat->v meiat-roobng
' CALI US:S{8$8�393-0335
i � . �I
��o��oa n�ErR�. �QC�Fr�G !YlETAL ROOF QU�fTE
, MADE HERE•NSADE NOW•MADE TQ LAST �
HOME D 1�ETAl ROOFING PANFIS>Cqf�STAL 5Y�M METAL ROOHNG
���� , �� ��su
/ � !ltDDE�l'SQiEW
/� GULF LQ K
� '" ` �. GItLF�EAiv1
� COASiACSEAt,�
��� � �
� GIj�F STJAP
r� i' .
� �..r.. ' Ei(P06E115Ci�4{f . I
- — .....+.,.. /" .:;,,,.� CiU[F R� {
—.r a'�- �,.,, COASiQI.arV I
,.�<..
�'���~�";w:.:•„3 GUI.F PBR
t r � �" GULELVAVE
�'%'}`• :�,� i '�'
Y�3;. :�
� �..<,;• _,t ���
.'•< ',✓y�� :M... �.•.*nv.wn.,�„l�,,,�,�� .
�� "'X .speclflcatlons
�Oebil Ei{arw�at.
. .� r FLPtb�ct
ARP�+ak
coa�rnt sv t�srssEt� c:ruae uis�reu.� w�rnu s�tsirr �
� ����� �� �����
5V CRIMPT�^5V MET�IL ROOF�NG SYSTEMS FOR FXP05ED FASTENfR PRQJECTS •
A 5V CrimpT""Fremium Metal Roaf from Gulf Coast suppty is th i
kimeless look of authentic�lorida in a sircx�g.durdble,and ene�y ,,.A'"�~ ; A��,�,���.,r�,��, �, r
I �..- ? •�•.='a` ��.��i.����'
9 3'+� 'P P�� � T -�a:f�3 >>,vt:I,#,.�;. �. �� 4 ��'��.t��L
efficient roofin s m.its 24' anei width and e�c fastener �'•.:_.--•---� r.�Dc�'����,�71it,� j'�,,(�j��'����
applicavon make SV CrimpT'"ane af our rnost econamiczl 2��Q��i��,�,����i� : (���'�
ronfing opl�ans.The distintiive desgn featudng altemating single �"�.' b " l��r���������,
and dou+�le ribs provide the o!d Flarida loak,white the svew ������t3�����j�LS 017D1NAj�,r�'�s�
patEem pzotirtdes engineering to prated ycaq,�r home in the stron t of storms.� »
��E+���1�1�T���1i�
5V CRIMPT�SY'NtETAi ROOFING SP�CIFICATI{}NS �`= ��E���
Cqlors: 35 Colors,Including 19 Colors af Uftra-F Resisfve KynarSf}flC�&Ntilf Fmis�t�+ ��'��`�"�
Gulfalume Avaitabte '~'} pw ����J��
4�'�_uM1,' y �
C= �F �
CCrverdge: 24°IVet Coverage �,���-...._ ` .�
+
;aauge: 2b&29 Gauge Steet ,�"��'>`;�
Substrate/Warranty: AZ-5U Gulfalume 13S/30 Year Premium Palnt Fin'sh � ..r
A2-5U 6ulfalumel4N3Q Year Stanclard Patnt Finis.h Warrer�iy
i AZ-55 Golfalume/25 Year Unpainted Mill f inish V�IattaMy
�5 Year OceanGuardT"'SaFt Water Warranty**
�'XAvaifa6te r�11?cean�uatdT'"'t'aas#al A�uminurra Roafing Se7es
Testing: HUH71Miarni-Dade Approiral FL Product Approval Ho.1155� �
Minimum Siape: 3:i2*
*Applicatian on sJapes down fo t/Z;12 permJssible v�ith site-svecific written �,
, af�prova! '
Su6shuctttre: 75f32"CDX or�2 1 x4 Yeltow Pine{minim m} '
C��TI�lL i11�AN4JAL
.or2 ' ' �aaBtas.s:�sn.h
Oct 2815 01:dOp p.3 I
j
N'�IA1+9M�4DE MiAVff DADE COUNTY
� PRbDUCP CONTRQL S�CTLON
118D5 SW 26 Sttcet,Room 2U8
DEPARTMENT OF REGULATQltYAND ECOr4MIC URCES(REii) Miami,Flarida33175-2474
SflARD AI�D COIfE ADMINISTR�TiON DIYISION T{786}315-259U F{?86}31525-49
NI�TICE �F ACCEPTAI�TCE (NOA) we•w.miamidrtdc.eov/ecanomy
Intenvrap,Inc.
324Z3 Missian Way
Missio�,SC,Canada V2V-6E4
SC(JPE`.
This NOA is being issued under the applicable nz�es at�d reguiations gayert�ing ths use of construction materials.Tbe
documentation submi�tted has been reviewed and acc pted b�Miamui-Dade Couniy RER-Product�ontrol Sectian to be
ussd in Miami Dade Connty a�d otlier areas where si owed by the Au#i�arity Having Juarisdiction(A�i3}-
This N01�,. shail �ot be valid after the expiration date sta�! belaw. The Miarni-Dade County Pr�aduct Control
Section {In Miami I}ade County) a�dJor the AFLT(in areas ather than�vfiami Dade t;ounty� reserve the right to
ha��e this product or material tested for quality assurance purposes. Xf this product or material fa�s ta perfoan in
the accepfed manner, the manufa�tur�r will ineur the e�cpense of�ucl� te�ting an�i the �►H.� may �tnnnedi$tely
revoke,madify, or suspend the use af such product�r mater�al writhin their jurisdiction, RER.reser�ves the right to
revake tltis accepfance, if it is deterrr�ined by Miamz-I?ade Cc�unty Proc{�ct Contrt�l Section that this prt�duct or
material fails ta meet the reguizements of the applicable building code.
This product is appro�ed as ct�scribed herein,and ha�been designed to compiy with the Fiorida Building Code
inclnding tlae High Velocity Hurricane Zooe of the F oz-ida Building Code.
�
DESCRIPTIOI'�1': Titanium�UDU30!Tita,nium�►FSU 30,Titaniwct�UDL 25 PL�7S!TitatQiumC7 PSU-34,
and UDL-�VID t2 pty}!Tit�niu��PS�3�Underlaymeut System
LABELING.Each unit�hall bear a persnanent�abe]w�t�f�e nna�tufacl�r�er's name�r 1ogo,caty,s#ate and followi.ng
st�teme�t: '74liami-Dade County Praduct ContraM A,p�raved",unless ot�erwise noted}�erein.
(
�El'w�WAL o£ifiisNQA s6all be considered ai�er a�reaewat application has been filed and ti�ere has been no change
in the applicable building code negati�rely affseting tl�e peiformance of this product.
TEl?31�TATION ofthis NCyA will accur a$er the s�rtpiratian date or ifthere has been a revisian flr change in the
materiais,use,aadlor manufactur�of the groduct or process. Misuse r�f this NOA as an end�rrsement of any prodac�
for se.les,advertising or any other pwrposes shalI autornatically berminate t�is NOA.�ailure ta comply with anv section
c�f t�.is lYOA shall be cause ft�r termination anc�remaval of NtJA.
ADYERTISEMENT: 'The NC?A number preaeded by the words Miarni-Dade County,Florida, and fol�t�wed by the
expiration date rna3=be displayed in advertising literature. If any partion ofthe NOA is displayeci,thea it shall be done
in its entirety.
INSPECTION:A copy of this eritire NDA shall be pravided to tiie user by the manufacturer ar its distributors and
shall be available for insgection at#he job site at the i qu�st of the Building t�fficiai.
This NQA r�vises NOA#11-0515_05 aad consists af�ages 1 thrcaugh�.
T6e submitted docc�mentarion w�as reviewed by Atex Tigera_
��•trnr�F� �rK NOA lYo.: l3-U"7�OA1
.• .• � � � Expiration Date: 01/26/17
App�oval Date: 1 V1.4/13
Page 1 oi 7
�
Oct 2815 01:OOp p,4
ROOFA�TG COMPONEI�'T,A,PPRUVAL
Cate�orv� Roofing
S�b-Cate�orw:_ Underlayment
Material• I'olypropylen�
TRADE NAMES OF PRODUGTS MANUFAGTUREB BY APPLICANT
TaBLE 1
Product Dimensions Test Praluct
Specification Descri[�tion
�i
Titaninm�E7DL-25 48"x 250'rolls ASTM D226 VJoven sy�thetic polymer underlayment with one
PY�US Type I&II side cos.bed witlt W protected and slip resistant
polymer stabilized polypropylene on both sides.
Nlanufacturing
Locatiorr#fl�#2
UIfL-?VID(ZPIy systern) 48"x 250'rolls A�STM D226 Woven synthetic polyrner under7a}znen#wit�a
'I�pe I&D chemical slip resistant and LTV protected coating on
Martufacturing both sides.
Lncation#2
Tit�nium�Z3DL-30 48"x 250'rolls ASTM D226 Woven syntiietic polymer underlaymefrt with two
ype I&Cl sides coated�vith UV protected and s]ip resjstant
Manufacturrng polymer stabilized polypropyiene on both sides.
�ocation#1&#Z
Titanium�PSU 30 36"x 72'rolls TAS 103 Unreinforced po3yrner modified bitumen material
adhered to the underside of a polymer-coated,
11�fanufactuv-ir�g synthetic woven sheet. The underside is backed
Location #3 with a release film.
IVIANUFACTDRING LOCATIONS:
l. ML 1
2. ML3
3. MY.4 ,
NOA Na: 13-0730.01
��;�N'�'� Expirativn Date: OIR6117
Approva!Date: 11/14/13
Page Z of 7
Oct 2815 01:03p P,5
EVIDENCE SUSIYIITTED:
� Test A�e,ncv Test Identifier Test NamelRenort Date
In�ertek Testing Services #303 I783 TAS 3 04 02119/03
3119b47CC�Q-003B _; ICC-BS AC48 02120/08
3 t24826-01 ASTM E108 02/19/0$
3124826M1D-007 ASTM E108 02!25/08
311801000Q-003 ASTIVi D226 OZI2Q%08
3130639COQ-002� ASTM D226 02124I08
314G738COQ-003A ASTM D226 04122/08
3146738C(�Q-0�3B ASTM D 1876/TAS 1]7 03128/08
Trinity� ERD I35520.06.11 TAS 143!TAS l 04 0611 S/l 1
I38010.Q8.I 1 ASTM D226 O8I11/11
I35524.08.11 ASTIvI D2523!D1781 08117/11
I35520.0$.]1-1 TAS 114 0811�/11
L�5520.06.11 7'AS lfl3 f TAS 104 06!15/11
I�4970.07.13 ASTM D226!D1781 t TAS 0�!]S/i 3
t14
o�t2a z�o�:ooP P.�
I
Oi�E CACI COhiSTRUCTiUN SERViCES C+CC 13279Ci3 813-849-$990 813-270-4i U5
'Ttte follawing are the NOA's for Barbra Calhvun 38614 2 ND AUE�epherhilts