HomeMy WebLinkAbout15-16395' ; CITY OF ZEPHYRHILLS
"� 5335-8TIi STREET __ - _
(sis)�so-oo20 _ 1 63 5 -
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16395 Address: 5219 21 ST ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0010-00100-0090
� Improv. Cost: 7,690.00 OWNER INFORMATION
Date Issued: 6/25/2015 Name: WYNONAH, REED & HATRICK CHERITH
Total Fees: 112.50 Address: 5219 21 ST ST
Amount Paid: 112.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/25/2015 Phone:
Work Desc: REROOF RUBBER
CONTRACTOR S APPLICATION FEES
.BARTLETT ROOFING OF C NTRAL F RERO F RESIDENTIAL 112.50
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�-��, ,�
Ins ections Re uired
DRY N ROOF INSP
TAPE JOINTS ROOF INSP �
FINAL '
�
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 I
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� 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 properly that I
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. I
"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 i
before recording your notice of commencement." ��
Complete s, Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O. I
O C SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recelved - �2, � Phone ntactf ermlttfn -
Owner's Name �'✓ Owner Phone Number
Owner's Address � �— � Owner Phone Number
Fee Simple Tltleholder Na Owner Phone Number
Fee Simple Tltleholder Address
JOB ADDRESS LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN [� Q DEMOLISH
INSTALL B REPAIR
PROPOSED-USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q
DESCRIPTION OF WORK �--
BUILDING SIZE SQ FO AGE�� HEIGHT
QBUILDING $ �j{�ATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ ,
MECHANICAL ���5
� $ VALUATION OF MECHANICAL INSTALLATION � �
QGAS Q ROOFING Q�PECIALTY C] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address . License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ltcense# �
PLUMBER COMP,ANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
s
MECHANICAL " 'COMPANY
SIGNATURE � REGISTERED Y/ FE URRE� Y/
Address L e#
OTHER COMPANY
SIGNATURE REGISTERED N EE CUR n Y/N
Address ✓ License# �' �—
RESIDENTIAL Attach(2).Plot Plans;(2)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,Stortnwater Plans w/•Silt Fence installed,
Sanitary FacfliUes.81.dumpster,Site Wo[k�Permit for sutidivisionsAarge'projects �
COMMERCIAL Attach(3)complete sets.of Buildirig Pians plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permlt for new construcUon.
Mlnimum ten(10)working days after submittal•,date. Required onsite,ConsUucBon Plans,Stormwater.Plans w/Silt Fence installed,
Sanitary FaciliUes&1 dumpster.Site Work Permit for all nevir projects.All commercial requlrements m'ust meet,compliance �
51GN PERMIT Attach(2)sets of Engineered�Rlans., ° ,
""PROPERTY SURVEY required for all NEW constn�ctlon. ,
Directlons: '
Fill out applicatlon completely. •
Owner&Contractor sign back of applicatlon,notarized '
If over E2500,a Notice of Commencement is requlred. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(far the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNT.ER PERMI7TING (Front of AppllcaBon Only)
Reroofs lf shingles Sewers Service Upgrades A/C Fences(Piot/Survey/Footage)
Driveways-Not over Counter(f on public roadways..needs ROW
� NOTICE OF DEED REST.RICTIONS:. The undersigned under�tands.th�t.thi�.p�rmlt.maybe,subJect to"deed"restriations" * �
which may bemore,test�icttve th�n County,�regrilations:�THe�underslgned`assumes responsibility for°compllance witti any
appiicable deed res#�ictions. . ' , � ,
UNI.ICENSED CONTRACTURS ANC?-CONTRACTC►R RESPONSIBII:ITIES: -tf fhe owner-has��hired a contractor or
contractors#o undertake worlc, they maybe.requfredhto:be;tEcensed.#n..accord�rice.wfth�.state.and•toca!_regulations. -1f°fhe� °
contractor ts not Itcensed as requlred`by law} both the owner andconV�ctor�rriay be-clted�for a�misdemeanor violatlon
under state faw. If the owner or (ntended�,cantrackor�are:uncertain as ta what ticensing.require�rients;may apply���for�:the �� <<
intended work,they are advised to cori#ac#the Pasco County Buildtng Inspectlon C11vis1on--lLlcensing�Section at 727-847-
8oQ9. Futthermore, if the awr�er has hlred a contracto� or` contrac#ors, he is advised to have the cantractor(s) sign .
portlons of the "contractor Block" of thls appllcatton for wMch #hey wltl be.responsible. .if you,-as.#he or�rrier'stgn as`tiie
contracto�, that-rnay be an indicatian that he�Is not,properly licensed and is not sntitled'to permltt(rig privlleges Mn Pasco �
County. _ �
TRANSPQRTATiON IMPACTIUTiL1TiES IMPAC714Nb-RESOURCE RECOVERY FEES:�The undersigned understands
that Transpar#ation impact Fees and.Reco.ur�e Recove.ry.Fees may.'-appiy��to-the canstruction af new,buildtngs,.change•of' ' '
use In existing buildings, or:expansio�-of-�eiiistin,g'��uildtngs, as specifled in Pasco County ardinance number 89-07 and
90-07, as amended. The undet�signed alsot understands; thalt such fees�-.as�may�be:due;,wlff�.�be Edenftfied at the#time of �� °'
permltting. tt is turther understood thak Tfansportation Impacf Fees and�Resource Recavery Fees must be paid prtor to '
receiving a °certlficate af accupancy" ar final�power.release. �.If�the praject does not lnvolve a�certff[cate of occupan+cy.-or
final power retease; the fees mu�t be pald prtor to permlt Issuance. Furthermore,if Pasco County 1Nater/Sewer�lmpaat
fees are due,they must.be-paid prior ta permit-tssuance-tn accordance with applicabie Pasca�County a"rdlnances.
CQNSTRUGTtON!.lEN LAW(Chapter 713� Elorida Statutes,as amended): if vetuation of work.is$2,500.00:or more, I
certify that I� #he appl{cant� have been provtded with_.a copy of the "Florida-Cotistruction Lien lav�-Homeowner's
Protectlon Guide" prepared by the Florida Deparfinen#of Agrtculture and Coa�sumerAffair�. If the applican# ts someone
o#her than#he°owner", I certify that I have.obtained�a copy.of.the above.rlescribed document°and promise in.good faith to
deiiver it ta the'owne�"priar to�commencementc . , ,
CQN'FRACTCIR'SfOWNER'S AF�lDAViT: 1 cer`tify that alt#he.irtiformation in thi��_appifcation is.aacurate and that all work
wil!�be done in compllance wlth all appfEcable laws regulating constructfian� zoning and land develapment. Appiication is
hereby made to obta[n .a permit to do work..and Installatlan as lnc!lcafecl;• '1 aertify that no work �or InstalEation has
cammenced prlor ta Issuance of a permit and that.all w�rk wiA be perfarmed�to mest ska�dards of al! laws regula�ing�
construction, County and City aodes, zoning regulations, and land development regulationsYtn the�Jurlsdlctfon. ! a!'so
certify that I unde�s#and that the reguiations of other government agencles m�y�appiy�ta the lntended work, and that it is
my respansibitity#�id�nttfy�what,actions i must taka.to be,in:.c�rr�pliance: S:uch agencies-lnclude bwt are not limited to:
- �epactmettt oi Et�vironmenta# ProEect�on-Gypress:'BayFieads; VlteNand Areas and Environmentaiiy Sensitive
Lands,WaterlW�ste�nrater Treatment.
- Southwest Florida Water Management� .Districk-Wells, Cypres�. Bayheads. Wetland Areas� Alter�ng
Watercourses.
- Army Corps of EngineersSeawalls, Docks, Navigable Waterways.
- Department of Hea!#h� � Ret�abllitative Seniices/Environmenfal .Heal#h Unit V{lelis, VNastewater Treatment,
Septic Tanks. .
- US Environmental Proteation Agency-Asbestos abatement.
- Federal Av(atlon Authorlty-Runways..
t unders#and that the foltowing�restrictlons appiy#o the use of flli:•
- Use of fill is not atlowed in Fioad Zone"V"uMeas expressiy permltt�d.
- If the �il1 materiai is to be used,_in Flood Zane. "A"� it. (s understood that a drainage plan addressing a
°compensating valume" will bs submltted at ttme of permitting which 1s prspared by a prafessfana! engineer
Iicensed by the State-of Florlda: �
- If th� fill materlal ts to be used in Flood Zone "A° In�connectian�wlth.a permitted building using stem wall
� construc#ion, i certify that fiil:wlli�b.e used only.#o.fiil the area within t�e s#em wall.
- if fiil material is to be used in any area, 1 �certify that use of such flll w11) not adversely affect adjacent
propertles, ff use o#f!t! is fonnd to adverseiy:�ffect ad)acent�prop�rtie�,.ths owner may be cifed for violating
the condiEions of the b�llding:permit lssued under the attaalied p�rmitYa�ppf(ca#ian, for lots less than ane {1)
acre which are elevated by f111;��engineered drainage plan!s requfred. .
(f(am the AGENT FOR THE OWNER, I,�promise in good faith to Inform the-nwner af the permitting condltlons set forth(n
this affidavit prfor to commencfing cons#ruction. I undersfand that a�s�parate permtt may be required far electrical work,
piumbing, signs, wefts, poots; afr candltloning,.gats, or gther- insfall�ttons nat.spec�ic�tty inciuded-in the application. .A
permit Issued shal! be construed ta be a�lice�se to proceed wlth the work and no#as:authorlty to.violate,cancei, aitar, or
set aside any provistons of the techn(cal codes; nor shali Issuance�cif a.perm�t.pre�ent the Bullding O#ticlat from Ehereafter
requiring a correction.af errors In;pla�s, consfr,uction or vlalatlons of any cades. Every,pe It Issued shall became invalid
uniess the work authorized.6y such,permit�is:commenced�wlthin sGc months of peimit9s .nc�p, ar if wa�k au#horized by
Ehe permit ts suspendecf or:abandoned for a.periad of six:f�)months:af�er the#irnte#he� �is commenced:-.An extension
may be requested� fn wrlting, f�orrt the Building,t}fflcial for a perlod not to exceed nl _� _�(90} days;and wili._demonstra#e -
�uskt�i�bl�cause forthe�exten lon:.:if work ceases_f.or ninetiy(9Q}cons.ecutive dey;..t� ob ls.consfdered aba��oned.
_ .. 4 , + ,
WARNING TO OWNER: UR.FAILIJRE�70,REC.ORD A, �GE O �CO ME CEMEMT MAY�RESUlT IN YCIUR
PAYING TWICE,�'tfR IM VEMENT�Tfl YOUR PROP � . :iF�YO INT `D�'� C�OBTAIN��FINAI�CING,�CONSULT
WIT Y UR N ATTORN 8 F R �<. � - � G� tx = - �C ' _� CE
FLORII?A JURA�(F.S. .4 " . .
OWNER OR At3E1VT CO TO
Subscrl6ed and swo ( d)be re me thls Su ed a s m t fllmned} efqre me'lti1�
by •b
Who Istare pers f or a ave pr+aduced o tsJ re p. o ait o �Co me hasfieve-produced
as I 8 un�aon. , as iden8�catlort.
Notery PubOc Natary Publlc
Commisslan No. Comr�isslon.tda
Name v/Notary lyped,printed or stamped Name at Notary typed,pdntad er stamped
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2015101372
PermilNO. ��� ParcellDNo 1� '�_ �e���l . �0�0• C1E1�/1•004�
NOTICE OF COMMENCEMENT
Slate of_��C1d Counry of�C1J G Q
THE UNDERSIGNED hereby gives notice thal improvement will be made to certain real property,and in accordance with Chapler 713,Florida Stalules,
Ihe following inlormation is provided in this Notice of Commencemenl:
1 Description ol P�opeAy: Parcel Identification No.1.Z•Z�w•�.� � QQ��•C'���0• ���0
Streel Address:$�_� d��J3'f-���
2. General Oescription of Improvement .��_41L� ���T
3. Owner Infortnation or Lessee intartnation if.lRe Lessee conlreded far the improvemenl:
1
�f e7+�e 5�-f.2.2.-�^ �e nhc.(�I�C �
Ad ess (� ( City��- StateI'
Inleresl in PropeAy' n�e 1 Y`��'c' ���" v
Name of Fee Simple Tilleholder:
(If diHerent from Owner listed ahove)
Address City Stale
Conlroctor: _J
m3v'� ��"Z tale Q � W Y
Address �e a
Conlroclor's Telephone No.. ����QZ��O� ��� � Z U � �
� � W Lt_ ��W J
5. Surety � � � Q =� J V
Name C� z () � � O �
Itept:lby'Ly7'1 ee: 1b.1717 Slale � � �� w N � W
Address DS: 0.00 IT: 0.00
nmountoreond: 5 06/25/2015 D. B., Dpty Clerk � � = z J � �
6. Lender. - � E— � Q �
Name � w � � U U
Address
Ciry Slate � _ � � �
Lenders Telephone No. � ~ } W �
7 Persons within lhe Slale of Florida deslgnaled by the owner upon whom notices or other documents may be served as provided by (� _ � � �
Section 713.13(t)(a)(7),Florida Slalules: �} � Q
Name YHULH � V Nt1L,Yf1 V YHJI.V I.LtR� a Wnrircv��t LL w � O �
06/25/2015 02:33 m 1 of 1 � � a Q } �
Address OR BK 921� P� 17�5 Slate --� W O � �
Telephone Number ot Designated Pe[son: � U �
g. In addilion lo himself,lhe owner designales o1— Q O z �
to receive a capy o(the Lienors Nolice as provided in Sectlon 713.13(1)(b),Florida Statutes. �jj t� Q J
Telephone Number of Person or Entity Designated by Owner: � �
g. Expvalion date of Nolice of Commencemenl(Ihe expiration date may not be before lhe completion of consiruction and�nal paymenl lo the (g� �� � � a m
contraclor,but will be one year Gom lhe dale of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �
ARE CONSIDERED IMPROPER PAYMENTS UNOER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN j¢ �
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE `�
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT '� ��
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT _A� � � a�
�/�
Under penalty of per�ury,I declare ihal I have read the foregoing notice of commencemen[and lhat cts s d Ihere a true lo fhe 6est � � ��� � ��
of my knowledge and belief. r(1 ' p�e y
2� f, ,� � s �
STATE�OF FLORIDA +6`M�`�e RICHARD C.BARTLETT mq � �
COUNTY OF PASCO ��,tyCOA4.115SIONaFF1i098 �[ t �
2 Signature of Ow r or Lessee,or Ownefs essee's �ulhorized ,.�y
�iv ��'�WY��•�a�� OKcer/Dir clor rt�e Manager y'�i ' "� � . �°,m : �
. �,,� ,.�o.�-� � .
Sign ory's Ti�le/0 ice . � ,
The foregoing inslrument vias acknowledged before me this�day, �Z�—•bY ��� • � • j� �
as ly a ority,e icer,Irustee,attomey in facQ for �j��p �
�YB
�� y s erecuted).
Personally Known�OR Produced Identification❑ Notary Signature
Type of Idenlificalion Protluced Name(Print) -
wpC ala/bcslnoticecomm enCem enl_pc053048
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� City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: • r��Y�l�l C
� Date Received: �j-u—�
Site: � 2 � 9 � � `s� c��
Permit Type: ��-d'� /�(,(,� �i-
Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the pernut and/or plans. �
Kalvin Switzer-Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
: ''y,''r., , ` .. . ,=.:.,-.?r..:_, . _ .. ... . . . , . .- ' " _ � , , : � - "- _
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; C/O Richard Bartlett � ',
38408 3rd Ave. � '
Zephyrhills, FL 33542
�
� One of the Largest, Oldest, Most Dependable OFFICE
` Roofing Companies in Central Florida
PHONE
iSpecializing in Mobile Home White Commercial Rubber& Color Metal Roofing �813� 782-5585
� RESIDENTIAL � COMMERCIAL • MOBILE HOME (813) 973-7737
� , LICENSED - INSURED - BONDED (352) 523-1944 '
' � MEMBER OF THE CHAMBER OF COMMERCE • '�
' & BETTER BUSINESS BUREAU • _,.-Lic. #CCC 1325499
.l
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel,.Land O' Lakes a�d�Surrounding Areas
� We have re-roofed or repaired more roofs(18,000)in the past 39 years, than the four local leading roofing companies combined.
, We do not charge extra fees for credit card purchase.Most companies charge 3 to 5%.
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, � Date ��
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Address _'7 U� � r�. / 'i
' Phone . e ,� �, � L,c/ � ' '
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President &,O. n r A. Ba�lett Roofing of Central FL, Inc. -
Si n: '�
S / `/[ Richard C.Bartlett
� �--� THANK YOU �
� Your Business is Appreciated.
Payment upon completion unless previous arrangement made.Warranties pertain to original owner
All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance.
�= �Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill. ��7 �
- Rotten wood is an extra$35.00 per sheef(4-ply).Rotten fascia is$2.00 pe�linear foot. TOt81 /
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_ Florida Building Code Online Page 1 of 2
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Comments
Archived
Product Manufacturer GAF
Address/Phone/Email 1361 Alps Road
Wayne, NJ 07470
(973)872-4421
l i n d a re ith @trf n ityerd.co m
Authorized Sfgnature Beth McSorley :�., , �-�
Iindareith@trinityerd.com �?;Tts- � , .- - `' '' . �.
•1i,�.L.,./'EIVrIT�
.'M".s..,. ..' . ;s ; i . '• ^
Technical Representative Beth McSorley �j,y���.'j'i�I�,E:..,�'L'.�'�INv��
Address/Phone/Email 1361 Alps Road-Bldg 11-1 ��:����'����
Wayne, N]07470
(973)872-4421
BMcSorley@gaf.com
Quality Assurance Representative ) ��
Address/Phone/Email .#��i��� ;»,��� �L../�I�-�� I
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Category Roofing ����F��������� /
Subcategory Stngle Ply Roof Systems ?�f��.l� �'���[��� �l.�
Compliance Method Evaluatlon Report from a Florida Registered Archltect or a Licensed
Florida Professional Engineer
-� Evaluation Report-Hardcopy Recelved
Florida Engtneer or Architect Name who Robert Nieminen
developed the Evaluatfon Report
Florida License PE-59166
Quality Assurence Entity Underwriters Laboratories Inc.
Quality Assurance Contrect Expiration Date 04/13/2012
Validated By ]ohn W. Knezevich, PE
�' Validatton Checkllst-Hardcopy Received
Certificate of Independence FL5293 RS COI Trinitv ERD CI-Nieminen.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6878 2006
FM 4470 1992
FM 4474 2004
TAS 114 2011
Equivalence of Product Standards
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`';, �Florida Building Code Online Page 2 of 2
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� Sections from the Code
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� Product Approval Method Method 1 Option D
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�� Date Submftted 02/16/2012
f Date Validated 02/21/2012
� Date Pending FBC Approval 02/24/2012
Date Approved 04/03/2012
Date Revised 04/06/2012
Summary of Products
FL# Model,Number or Name Description
5293.1 EverGuard TPO Single-Ply Roof Single-ply,thermoplastic polyolefin roofing systems
Membrane Systems
Limits of Use Installation Instructions
Approved for use Pn HVHZ: No FL5293 RS II AS er021612FINAL GAF TPO FL5293-
Approved for use outside HVHZ:Yes R5. df
Impact Resistant: N/A Verified By: Robert Nieminen PE-59166
Design Pressure: +N/A/-502.5 Created by Independent Third Party:Yes
Other: 1.)The design pressure noted(n this application Evaluation Reports
relates to one speciflc assembly in the ER Appendix. FL5293 RS AE er021612FINAL GAF TPO FL5293-
Refer to the ER Appendix for all systems and associated R5. df
max.design pressures. 2.)Refer to ER Section 5 for Created by Independent Third Party:Yes
Limits of Use
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