Loading...
HomeMy WebLinkAbout15-16397 l • CITY OF ZEPHYRHILLS I '� 5335-8TH STREET - (si3)�so-oozo 163 BUILDING PERMIT - PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16397 Address: 38114 WINTER DR 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: WINTERS Est. Value: Parcei Number: 14-26-21-0000-00200-0000 Improv. Cost: 2,600.00 OWNER INFORMATION Date Issued: 6/30/2015 Name: CRUMPTER , NORMAN Total Fees: 75.00 Address: 38114 WINTER DR Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/30/2015 Phone: (813)713-6907 Work Desc: REROOF RUBBER CONTRACTOR S APPLICATION FEES - PAUL D SC APER ROOFIN I C REROOF RESIDENTIAL 75.00 � � ��� � �� �%� Ins ections Re uired DR IN 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 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 j 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 Cod �and Ordinances. NO OCCUPANCY BEFO C.O. CONT CTOR SIGNATURE PERMIT OFFI R ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � _ � J'� \ City of Zephyrhills BUILDING PLAN REVIEW COMI��NTS ContractorlHomeowner: � I sCk.�y� Date Received: �o—�7—�� Site: �f�l�� r/v���K� �i� , T Permit Type: ��� �l'L V �� Approved w/no comments. Approved w/the below comments: ❑ Denied w/the below comments: ❑ �,, r t s { � i I � This comment sheet shall be kept with the pernut and/or plans. i _ -��r j� � Kalv' ' z — ans Examiner Date Contractor andlor Homeowner (Required when comments are present) �� � a�aaso-ooso City of Zephyrhills Permit Application Fax-813-780-0021 ' Building Department Date Recelved �� �( 13 "�C)"�` �a 1 _�_i_i_��_��_� PhoneContactiorPerm�ttT /b v Owner's�Name V �WKQrV� � (,L -Q !� Owner Phone Number �� ' J '(� Owners Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS W� r LOT# � SUBDIVISION � �p S � / PARCEL ID# ( �� (0 � �I � �( ° �4l (OBTAINED FROM PROPERTY TA%NOTCE) WORK PROPOSED e NEW CoNSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q .�� �DESCRIPTION OF WORK �� II �n � �n�� BUILDING SIZE �`J {J� SQ FOOTAGE� HEIGHT � QBUILDING $ q�� f/U VALUATION OF TOTAL CONSTRUCTION V QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ ��(b�T`1 QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' � J�Q}rt,`,�'�t[��• / QGAS Q ROOFING Q SPECIALTY � OTHER v//////n'l �G C�D P`(� tl" �� FINISHED FLOOR ELEVATIONS . FLOOD ZONE AREA �YES NO �/r 2���� n�"'" � �.:/ ` BUILDER _ � � COMPANY r SIGNATURE REGISTERED Y/ N FEE CUR n Y/N Address / License# ��� '� ��j ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA 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 COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � Address License# � 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ' RESIDENTIAL Attach(2)'Piot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construction, Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 81 dumpster;Site Work Pertnit for subdivisionsllarge projecls COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. Minimum len(10)urorking days after submittal date. Required onsite,Consiructian Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facllities 8 1 dumpsler.Site Work Pertnit for all new projecls.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets oi Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directlons: - , Fill out application completety. Owner&Contractor sign back of application,notarized Ii over�2500,a Notice of Commencement ls required. (A/C upgrades over$7500) " Agent(for lhe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same i OVER THE COUNTER PERMIT7ING (Front of Application Onty) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) i Driveways-Not over Counter if on public roadways..needs ROW .� . � NOTICE OF DEED RESTRICTtONS: The undersigned understands that this permit may be subject io"deed"restrictions° which may be more restrictive than County regulations. 7he undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLlG�NSED CONTRAGT4RS AND CdNTRACTdR RESPONSiB1�iTIES: If the awner has hired a cantractor or contractors to undertake work,they may be required to be(icensed 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 stafe iaw. If the owner ar intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Bui(ding(nspection 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 ihe"contractor 6lock"of ihis appticatian for which they wil!be responsihle. If you, as the owner sign as the cantractor,that may be an indication that he is not properly Iicensed and is nat entit(ed to permitting privileges in Pasco County. TRANSPORTATlON IMPACT/UTILlTIES IMPACT AND RESOURGE RECOVERY PEES: The undersigned understands that Transportation(mpact Feas and Recaurse Recavery Fees may app(y to the construction of new buildings,change of use in existing buildings, or expension of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-fl7,as amended. The undersigned alsa understands,that such fees,as may be due,will be id'entifed at the time af permitting. It is further understood that Transportation Impact Fees and Resource Recavery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If tFre project does not involve a certificate of occupancy or final power release,the fees must be paid prior ta permit issuance. Furthermore,if Pasao County WaterlSewer lmpact fees are due,they mus#be paid prior ta permit issuance in accordance with applicable Pasca County ardinances. 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—HomeownePs Protection Guide"prepared by the Florida Department af Agriculture and Consumer Affairs. 1f the applicant is same�ne other than the"awner",I certify that I have obtained a capy of the above described document and promise in good faith ta deliver it to the"owner"prior to commencement. , GONZRAGT012'SIOWNER'S AFFIDAVIT: 1 certity that all fhe infarmation in this app(ication is accurate and that a[I wark will be done in compliance with a1I applicable laws regulating canstruction,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 ta issuance af a permlt and that a1i work will ba pecfarmed ta meet standards of alt 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 gavernment agencies may apply to the intended work,and that it is my responsibility to identity what actians i must take ta be in campiiance. Such agencies inciude but are nof limited to: - Department of Environmental Protecfion-Cypress Bayheads,Wetland Areas and Environmentaily Sensitive Lands,Water/Wastewater Treatment. - Souihwest Fiorida Water Ntanagement District-We[!s, Cypress Bayheads, Wetiand Areas, AEtering Wa#ercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Heafth & Rehabilifative Services/Enviranmenta! Healih Unit-Welis, Wastewater TreaTment, Septic Tanks, " - US Environmental Protection Agency-Asbestos abatement. - " Federal Aviation Authority-Runways. !understand that the following restrictions apply to the use of filh - Use of fill is not allowed in Flqod Zone"V"unless expressly permitted. - If the fill material is ko be used in Flood Zone "A", it is understood that a drainage pian addressing a ' `compensating volume"will be submitted at time of permifting which is prepared by a professional engineer licensed by the State of Florida. - lf the fill material is to be used in Flood Zone "A" in connection with a permitted building using stam wai! canstruction,i cerCiEy that fill will be used anly ta fII the area within the stem wal1. - 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 conditians of the bui3ding permit issued under the attached permit applicatian, for Io#s less than one{'I) 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 afftdavit priar ta cammencing construcfion. i understand that a separate permit may 6e required for electricai wflrk, plumbing, signs, wells, poo►s, 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 af the technicai cades,nor shail 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 permii is suspended or abandoned for a period of six{6}months after the time the wark is commenced. An extension may be requested,in writing,from tfie Building Official for a period not to exceed nineiy(90}days and wili demonstrate justifiable cause for the extensian. If work ceases for ninety(90)consecutive days,the job is considered abandoned. , WARNtNG TO 4WNER: YOUR FAILURE TO RECORD A NOTiCE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 7WICE F IMPROVEMENTS TO YdUR PROPERTY. IF YOU INTEND TO dBTAIN FINANCING,CbNSULT WITH YOUR L DE OR AN ATTORNHY BEFQRE REGORDING YOU YtGE OF t}MMENCEMENT. FLORlDR.tURAT( S.917. ) OWNER pR AGENT GONTRAGTOR � S crib sworn ta( e this S s an om to( rm d}b fore m thi • r ,j��j�,�6y_ r r by_ ✓ Who is/are personally k o mas identifi n.���' a e pers asal i to me or ha /have P� �""' _ _as identification. , .�!9, ub' � 3, `,,t Commission No.�^` �;��"``�:'• �� T�E ALLEN Ga mission No. '�'`T; �'','� SU �;_ * {,� * ,?_ Notary I -State of Florida ~ �� � .�; �: °_ Notary Public-State ot F ��xF�s-@�.K 25,24 ida tSame ot Nota�y", r tp'4#t� ot Natary tyPe '�;.r o4 .a mm. xpires Oct 25.2015 ; �,;o;�t�.�' ommission#EE i31770 �Y �q:IFit Commission#EE 13177p �,�,���,,,� „����,,,,•. , „ I �_�a, � i � � " .� � �� `� >'' �. �`�_:� -`�r�' _=��_?� °=� -- � €P ',� '' :3 ..� " _,�;a -_� � e; - �.1 ��3 4 �� ,:+�' � �-,�- �' '�.' � °- '�� �_'° � � � �.J V�a�.,�� s �'`� � �'a �� � u��_ � � .,� ��- _ : _ � �`� _ s �-F-�c�-�`— � ����:, .. -�s.–_ — ..s _%'-1T F'. - _ �_, 1_ _ _ _. _ _ _�_ ._'_ __!_ C}"•�� _ ___ � L �-." _ ' _ ''Y_i �f. 1�' _ _ _" __ '' _' � _ _ "_ _-_' ' i ' _ '_. _ _ .�_ _' __ � __ ___' � _ '_ '_ " _ � = 'T_ _�F�e.rl."�_ __ .,r= "'��'� _ _� '�_ _ _ " - -� .. _�-_�_•- _ Sf�� �'__ _u__ =1 I ��lii'1u:� 1.;[_�:�: � .+.._���::_ �1_�I:%�rl� �C..�'�:I�:j:_v.. ..._.� �F'"'=j, t:._'_ f-= t ` {; - ��i`c 'S: ' ?- L.r -�-' �� "�ni.=_ _� "-' -t Lfr -- - �+:-� _ i=' ° ._.'„ . $ . -�. y -,r..-srr' •='' p -'.r{ !=6_ _ aa.3 �_ _1:>'l; ' 2��' ' �'_`-i i_ F �'t.:`E_:rYS'S==_?=�C�: .��2EE ��i+:��>.,u _ z= _ z 96;_-`� -'• - -° - �'==`-' --=�'-- � { - - e=`�'s�c=- _? -t._�'.t's° � ( - -' t � i�;�,�M��=� � O�'4'1`� �,�, ('� �� rt, J uQ �, � '�'-- ��� % _ ` � ��������� �� i����L��l_�_ �` .v' �-- �'��"'"� � � - _ �� --3E g'fei'af'_ s s`.L� �--,y�� �,/�(81'�►,� �J ._.t`,='� �t,..�., �=T• � �j � rl�'� � - I ` _S�a�`'`—� z` p =��-�.��.- ���n�.�.QO�e C ���� _____ i � 6 �i�'� 31�iiN'.�4".� jiii'[JL��'S.L4,.� �����.i=��i Ii:s3E�..:._%2�:L!i.b ia:���•3 a:Y_�t_�_;�i��i�F 6:1C��L'�FFILILLE:i�b�[�'l. I � _ _ - ` � � � ��'�'' �.��'� F �3'i a� z:s,��x= �=_'`--f_"_ s,'", _ -: i _ : �- ,ss. _�. .'s'tikFErx_.�s,�„ •si%�•.��3.=3 �!��.�r3���'�i= i —_�_— � i 7 �+ ;' ! � i:+i�u-cG.�iut+.e-SJLi .`:�C��� s:1"C_':-..�.. '" ',� ''y� u�i C'i.�i., � �.. y�E_:F�ES�}��r° �'`__'y�`4��'_?:.�=t_�=s? iiit's£iiF;' Iti ��;,-.v5•Y - -�,:.-,c,�:- �._- ___'_ �� �.,���i: -- --i;�;:��-, __ �1�.�.5_":' L��l����.���t1Jot� ��.J 1..�. . L1� ..._ .� :irlr. ! ';� - ��3u>•�• <�ti_ _ 6 P_ _ __ _.__ ''. _ _ '12 _ _1 _ __ __ 2__ _ _ _ _ _ _- _ � _ ..._'n' " __i_T_,_. Ert�:_�-:��iz`=`i7i v-""' ''�1�±�`�_ �.'�.."` c'�,__3"'f"!_3 fz':'_��e= �u�.E�� i'' �y"it�ii== "i`S,TYis v.*iL1 g�k3i`.���4,_ ��.'t?,'y:= JvY'ii��f.,�' `T�tLi� 3��'i 2���t�r�i`�v_ ___—S E>�2i�tA??!�S i_iiy''_6�i y-�i-�p--�'•�.;.•�:�.i� A � 1 j3�.' �i'te�� 4 i ff ���_'- - _ ��.=3.�c-.t__ -. -�� _ �i'Tiil�cl=__:a ==`_ � _ lEl�t:.-.pA �� '''X�.y. r-` .` _=a_:r_`F �?g�',_" '6't b _� -'� -_-_�• _ _ -. "� •31�LCi1. ci':•r�.3.,.ftF:r_iE&��.��a.:ie�.E:c,. •:` _:�1-�•..I�€;�E'i�ii;iiiei�a%'sE::LSi�`�=� s�'t_'.t2ii_�•:@.4�iL. � ' -''-i:.-i, e'T -id� 1. .__ y _ t} S2=_.���.1: . � ..�_1 �:!'1.��rf 5=:•va`'`.S\ � . 3?^�_`_S.�Fir=',: ���%_.= 2_il.'_�.:"' '_'°�' �:L> �.�RT�i'=='r'�;=t'" '4',!.'''`-_3' � { , j.. ' _ --_'- -' - .:�. . _ ,- � gt]`;i�'.�'s,:E��.j-i.':;=°: �A�•`'_L��u �_ ."i:g�.'�.�''�i It�l !.. .�,_$� _, .. ''' i '' '-t T -�l:: zp� ' �Z•j� r3�- P (S � �(i � :.11'_i:�Li _iF�_ t'_�_i�:_1?��. ' � 1 � �.E' ;—T.-� lus � !E Ff-., F F _ � � '_ 3�' _�•�'ss_�.:��e .�4�cN3�.���,.� �Cs�a�_�Es�€a_��iti :.�t � �:��st�s:; �----- 4 � � ° ii� �i`i.fGtc �}`u'�ii �1'i 9 n�ra�'r�i� �Z.iZ�=���}.�� i>itl2 -i�s°F:�v��J �lC' b'-i_��.Z'�a��si z����{S u't��sti6[�:�'s�.'Eui:��-��lji'_ fTi.�iir'i�c.�`.��3� iL=_�t!=� � i{� ���i.F!�?�_L_tE 3}�4LtfiiL: �S'�'u'Sic.. _ _ - -_� _ ! T ' { i{ i + � _ _ " i 9 S�iu tii��3 ��a._ ��_v.�= `e= �%;��F-ta C��_ t - �-� a2 `_ ._ ?� �ci �- 6��5 lTi T:�C :ziLlsli9_ =j �G f 1{ � � ` -_ _ _f:` _ ___ �u'.�'I'__. ._ L�_'c' .'`ti,(.:._c . _. }; d_'_.1 ._ _ =_.- _t_ uc3,°i{ _.. _��. ___�_i r!Y 1E.� _'�" � :Yf�i��!3 _l.Y{i!�_- :31?�'; L�ii__53.5_ii'4f?. � t{ 5 < � 2P._ _ �li _.��.h.it �:lF' "�"e`'lC'c.�>_ ."=u. ., iS_a�il•°_�. d. ,g ...tH t�i�F�4.'�'.=.d.;f� _�i��:. �Ze.f'-.•a��= Ft_,Yb'L:�. �'".,l>'.3ssat2 iLF%!ii_i�'.'i�c�i::Et. ai::� '="s:cfa_ .iiii;.t3iit°v` i:._..;dI3tC_ � - :s ° . � ":.+��. $;-_ . i ; .�r; ; a�,� r��_- o:i:' _' ' e 7- f__. � ' - _ ,f;=y,f�:.�. ��:i�°_?'-j-t�- -�.,3�*_-- •?3_�•:. -..:.�.5 =�?'t�. .`'$'�.'_''l�:: '7:s;�f_vi':_�ti{� ;_sy:���7_: =f�r";3v�-.. t -rL.h4��e C' i5. f+ � °'i.��P p _,.�. - _' �` - - ' _ _Y _� --�t_- �'- ' 4�`�ri�-r'=' -ia3- i E �i�-.i% j.._ ...ras".t--.:i s� � �- �e� =8 i�i=: , t fe: � f'i+:+-= �=t�- c��:_u: =ar_zi .� zeca:. z�l_� $ .: i_��_ __1_ _:e�fiE1= 3 e: 3_'_'_' ~�Zc_'Y'!�'E' s'i_ _'.t iEZl;ji_ �, � ! t C ) t!V_'� r� ' ' " „'�''�<'� ". .''u.� _ .... .-'� .. _. � "1 � i.T 1 a • .. a k@ f . , ` ? E°� T A ' � `- Y r v -.�� �-� ^� - n �-s � ,.`c-��� ��a �R3 �•_�'°�-�?—;e SB.i� �. �X"-u w"t.�is.:.gc "..�� f''=� _ r �e �____z e_F-r.�z �_=�r .�= .��_ � a' � _. a _ € �__'._ � n _�a= �9 ;'."�';?> � _{-%� _�'-:_9_'t:c:`c�I?' mye-= i�--, �=F3.E a�-- : �.-�i•"' £}'c_-`_-fi ' - � _' �� � _� "'" __._._ _ ^ ?fi.' E? •nf��_'.. _ i}��iz . . � l �. _ �irY�— . r-;--��h.. n_F = ,4 �,.=�,�_� i s'"_-��-'..-�> _- :, ;-g'r-- � _-—-_- : _- ..%��,.��'�9'� _ ,.'-�'�+" _ _ 5;�-.�.e�_ `-=S_r' "_,�._ s t i S 2 c�,'s'z S_S=__ . 5' = 4 � A " ' _ ' _' _ _ ',- b' f i � � 'j��sF' �r8S3i-�+��Lfst: `:Sr L!-``i=tFi�� .:�:�i .+.tv.�YSryY'TiL i_h; c_� Si:�'LL'•.-::_ Ji=E'4" _-tS}`�Cl�_a _ff.',�i .�_=Ci�t L _" _`2�:'��':i: i�'cc:iv'Tir �YiY ri_'�i�i�s_.c�.a__},��.� i__i�iC� fi_.3�''�.E�._ -1r_.:�= ��V �.�e�-� C.�"�viiG-S�ili�_'IiL ._�-�u6c F_F_:� _2_ _isiF.t:[•L�i�_' � � �`Ti_ _i�'_ 't��.e��4��'.:�RC''. =.�1��} �E}a'61+:.�.��: _/5����''G"n�ii�c+ . 6 f �t' ' _.5_��;� a3 e a-'q� . -.a r� � _ .. �_ . _ '.._ _ d � � i�i:'=� $_ f r_ �_-_ _ 3 � � s , ._ � : ;` �; . v. ,}.e _1 : 5 +. .r--- _"______�______________________________'.________._____`_________ . /' ' =y7.d� _ '�t _ _ t .9::i"'..____ L C��� � ? a """" ' _"_ ' ( i +' �, - - - - - - Y ;; _:5.AJ'' .•� ,; 7'1 _ _ . i ;i: ' q 4 � �`- R�_).; .i�, �' : _ __ .. _"__"'___'__'___'_'___'_'_'____'_'_'_"_'_'__'___'___ _l:-�._ _'.t_*__e�'�- � � � ��. _' __� _ _ __. �_ .�.� � - ____ __._'�_�'_ � � ,;�j�J'-r = r;��: �_ , ' _ _. _.-'_'t�.�'." _ . � I � ' -. 1 ; r � - T4 j.�__ _�_ .__ _� _ .T. �� /��-1 I '� ' T.�.�"�__+u.=1_�_���_.�i� '�_L=1 j.S_�..+_'ii__�'__._?:_d1.t___�....._,:.._tc _:a.__�k4'i_`-t__"___'_�_.._.__'_..—'__ � . ` � _'?.`i�. -�.-�_a___ ^ --� ` �L�G/" • � � �.5�'L� �ir�____����.cce.� .� ��:�`��+--riY— -_ -- - - . s: _ _ -_ i � i a:_' -[=_'s��t::� - 1��=:��� ' ' ` ii:.. :�u _. � - " - ' — — 'i ` 4 tiryi'fiii.�ft�it tr.i'��t� �.. - -_ ��t.�� ...{�r.-t:�.L1�� 4�C��.uli�t _�:.Ct.� Ea�L ci�4:i�1-0 �l �.x� i.. -_�' ' 1_� 'Yi _ '�e-: u: !��_YS.i�t�: _ _ ' _ - ':l.'.:1.���L��� � [1L. .��SL.�iL4� �}C.��L.i..._ � � ' _ d ' '_ ' _ � ' "-' ' ' _ *_ .., ?'7 z. _ _' .. - -j -i. _ . _� . , I 't_�'�'�i'€`#i'�'ii_€2iF�S_iF _:f S '[Gi_16:t i —�_' �asr ,_-Cii;_" ___" ' r_`�s' c_ "'.�." 't'•'_• _si:it�s�.`�.c'eF_'-_�' + ' ' � � �e ��f � �"< -«1'_ .�;.="� - V <.��?� ��r.�'Z{�/C� I - -• '_ _ t y °-� d - _ . "' � ��:.:.Cy:i in=i�_i:4Y'D.`. ':_' s 'ui__"":,'i'-�� t { If • _ - t _ . _. _ � _ : . _ � I � t t�?�CEl�Cf._` t'l�=at�': �.'$�� cbfiYic'i.'=za>`i:.. _:�!z .o-:.v ..�:.SiiS_=Z�.:i±ij �.ii eie�F4i`r=S.fEkx. � I I :�s�=s=� a > G�1An,�c r--�— ����� --� '�,� !�� , � \ , �� . , ' �'r'_�' ="-'-'--:-:�.__� - -- - =�` -�- =-=-- _ _ - -__ , � � t, \ � . - . � _"� r� NOTICE OF COMMENCEMENT � � � State of FLORTDA " County of PASCO ' . _ � • �Property Identification No: 14-26-21-0000-00200-0000 THE LJNDERSIGNEA hereby gives notice that improvement will be made to certain real property,and in 'n- accordance with Section 713 13 of the Florida State Statutes,the following information is provided in this Notice of Commencement: � 1. Descrintion of nrooertv(legal descrintinn)�• • COH NOODG 03�' S�W 221F64 TO B . IIIIIIIIIIIII�IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII SLY R/W LN OF SR 54 TH N64DG . 2015096348 32' 52"E 67.92 FT TH S68DG.18' � - - • - ' " -' I WINTERS MOBILE HOME PARK INC .� � ��1l r/ � 2�.�,,��,a, 36022 WINTER DR Street Address 3�(I� W'�K�r ,�-� y� ,�, •I-t_1� ZEPHYRHILLS FL 33542-5544 • 2. General Description of Improvement: --cd'�J� Phvsical Address-See AIE �36 3.Owner Information: U addresses�F��nshow�) `� a)Name and address: ,; 38022 CROSS DR .� b)Name and address�of fee simple titlehoider(if other than owner):j+',� ` ZEPHYRHILLS FL 33542-5590 • i c)Interest in properly: �e� � �"�rm c7.r) CV1rVV�'l rJ)GN , � • � 38114 IN�YI�C r Dr Z,ca►'�4f h f 11S �l-3 3,S�IZ- � 4.Contractor: Paul Schaper, 8949 Gall Blvd.,Zephyrhills,FL.33541 -Ph:(813)782-0920,Fax:.(813)715-4875 �Z lz. 5. Surety: Bauer&Associates, 122 b Highway�301 N.,Dade City,FL 33525-$5,000 bond � 6. Lender: Name/Address: N/A • '�• o�i r°n e 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may �,.� be served:N/A �` � �m.. a) Name and �• � address: �m� b) Telephone No.: Fax No. N � � (Opt) ?� r+ ' 3 r-+ , 8. In addition to himself,owner designates the following person to receive a copy of the I:ienor's Notice as ; �� provided in Section 713.13(1)(b),Florida Statutes: . vm•°• Paul Schaper,8949 Gall Blvd,Zephyrhills,FL 33541-Ph:(813)782-0920-Fax:(813)715-4875 '°m�, - • . + �c m m 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a � m different date is specified): � x WARNING TO OWIVER: ANY PAYMENTS MADE BY THE OWNER A�I'ER THE EXPIRATION OF THE NOTICE OF , COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SEGTION 713.13,FLORIDA � STATUTES,AND'CAN RESULT IN Y.OUR PAYING TWICE F'OR IMPROVEMENTS TO 1'OUR PROPERTY.A NOTICE OF � ' COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO O&TA�IN FINANCING,COlVSULT YOUR LEIVDER OR AN ATTORNEY BEFURE COMMENCING WORK OR � ' RECORDING YOUR NOTICE OF COMMENCEMENT. , STATE OF FLORIDA COUNTY OF PASCO Signature of Owner or Owner's Authorized �cedDirectodPartner/Ntanager / � C�N��, �� T�}e foregoing nstrument was acknowledged before ' �_day of ,20!S',by ' Y'�p�✓�ci,��r'u��l�r as ( o ' ,e.g.officet,trustee, attomey in fact)for name of p behalf of whom insmiment � was executed). .�, i 4. � . , Personally Known ' O Produ e�4 c N Signature i ,�� �,. "I'ype of Idenrification Produ .•;�"p "''�;•: SUZANNE ALLEN _ = otary Public-State ef Floifda � :r+ :aQ;My Comm.Expires Oct 25,2015 OfF�P� Commission #cE 131770 •�,�F o,�• � �'�pnu����. '��� .-. . . PfiULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER 06/17/2015 1:01 m 1 of 1a � � OR BK CJ�O� PG 377� I STA7E Q�= FLC�RI�A, C�U�I�'Y�SF 4?ASCO ,�aA3�����.'���� '� THIS IS TO CERTIFY THAT THE FOREGOING IS A �' '� � TRUE AND CORRECT COPY OF TNE DOCUMENT � ' o ON FILE OR OF PUBLIC RECORD IN THIS OFFICE �. � WITNESS MY HAND D OFFICIA SEALTHIS �' ° rnG°��Ne�'�� e DAY OF 2�� � � e ', �$ PA—�' EIL,C RK&COMPTROLLER •r� � � � 1887 BY DEPUTY CLERK e��^�,�.������,��' '" . ._ _ . �.",� 1 �RIf�IIY i IERD ; APPENDIX 1:ATTACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE , - � � Table Deck Application Type Description � ! Page 1A Wood New,Reroof(Tear-Of�,Recover C Mechanically Attached Insulation,Bonded Roof C r ��� 3 1B Wood ` New Construction F Non-Insulated,Bonded Roof Cover �„ � � 3 2A Steel or Conc. New,Reroof(Tear-Offl,Recover C Mechanically Attached Insulation,Bonded Roof C�� _ � 4-6 2B-1 Steel or Conc. New,Reroof(Tear-Offl,Recover D Insulated,Mechanically Attached Roof Cover(Str� t� W } 7 2B-2 Steel or Conc. New,Reroof(Tear-Of�,Recover D Insulated,Mechanically Attached Roof Cover(Bat�e � � �-- /� � 8 n � 3A Concrete New,Reroof(Tear-Of� A-1 Bonded Insulation,Bonded Roof Cover !Q �a � 9-10 3B Concrete New,Reroof(Tear-Off) F Non-Insulated,Bonded Roof Cover. � U �j � 10 e-.� 4A Various Recover A-1 Bonded Insulation,Bonded Roof Cover ,:•' �i. � � z 11-12 The following notes apply to the systems outlined herein: -�.� a W '� � U � 1. The roof system evaluation herein pertains to above-deck roof components. Roof decks and structural members shall be in accordance with FBC re�ir�n�t�o the satisfaction of the AHJ. Load resistance of the roof deck shall be documented through proper codified and/or FBC Approval documentation. . 2. Unless otherwise noted,fasteners and stress plates for insulation attachment shall be as follows. Fasteners shall be of sufficient length for the following engagements: ' ➢ Wood Deck: Mule-Hide HDP Fastener with Mule-Hide 3 in.Insulation Plate,OMG#12 or#14 Roofgrip with Flat Bottom Plate,OMG#12 Standard or#14 HD with OMG Standard metal plate,Dekfast#12 or#14 with Hex Plate,Tru-Fast DP or HD with MP-3 Plates. Minimum�-inch plywood penetration,or 1-inch wood plank embedment ➢ Steel Deck: Mule-Hide HDP Fastener with Mule-Hide 3 in.Insulation Plate,OMG#12 or#i14 Roofgrip with Flat Bottom Plate,OMG 4�12 Standard or#14 HD with OMG Standard metal plate,Dekfast#12 or q14 with Hex Plate,Tru-Fast DP or HD with MP-3 Plates. Minimum%-inch steel penetretion,engage the top flute of the steel deck. ➢ Concrete Deck: Mule-Hide HDP Fastener or Mule-Hide CF with Mule-Hide 3 in.Insulation Plate,OMG#14 Roofgrip with Flat Bottom Plate,OMG#14 HD or CD-10 with OMG Standard metal plate,Dekfast #14 or Dekspike with Hex Plate,Tru-fast HD or CF with MP-3 Plates.Minimum 1-inch embedment. Fasteners installed with a pilot hole in accordance with the fastener manufacturer's published installation instructions. 3. Unless otherwise noted,insulation may be any one layer or combination of polyisocyanurate,polystyrene,wood fiberboard,perlite,Dens Deck,Dens Deck Prime,SECUROCK Gypsum-Fiber Roof Board or SECUROCK Glass-Mat Roof Board that meets the QA requirements of F.A.C.Rule 61G20-3 and is documented as meeting FBC 1505.1 and,for foam plastic,FBC 2603.4.1 or 2603.6,when installed with the roof cover. 4. Minimum 200 psi,minimum 2-inch thick lightweight insulating concrete may be substituted for rigid insulation board for System Type D(mechanically attached membrane),whereby the membrane fasteners are � installed through the LWIC to engage the structural steel or concrete deck. The structural deck shall be of equal or greater configuration to the steel and concrete deck listings. � 5. Preliminary insulation attachment for System Type D=Minimum four fasteners per 4 x 8 ft board or minimum two fasteners per 4 x 4 ft board. 6. Unless otherwise noted,insulation adhesive application retes are as follows. Ribbon or bead width is at the time of application;the ribbons/beads shall expand as noted in the manufacturer's published instructions: ➢ Hot Asphalt: Applied at a rate of 20-40 Ibs./sq. ➢ OlyBond 500: Continuous'/<to 1-inch wide ribbons,12-inch o.c.using PaceCart or SpotShot application devices. ➢ Note: When multiple layers(s)of insulation and/or coverboard are installed in ribbon-applied adhesive,adhesive ribbons shall be staggered from layer-to-layer a distance of one-half the ribbon spocing. ➢ Note: The maximum edge distance from the adhesive ribbon to the edge of the insulation boord sholl be not less than one-half the specified ribbons spocing _ , Exterior Research and Design,LLC.d/b/a Trinity� ERD Evaluation Report M31240.11.09-R4 for FL10703-RS Certificate of Authorization#9503 , Revision 4:12/19/2014 Prepared by: Robert Nieminen,PE-59166 Appendix 1,Page 1 of 12 .. � �� '`', TRIIO�ITY'ERD c TABLE 2A: STEEL oa CONCRETE DECKS-NEW CONSTRUCTION,REROOF(TenR-OFF)oa RECOVER SYSTEM TYPE C: MECHANICALLY ATTACHED INSULATION,BONDED ROOF COVER System Deck Top Insulation Layer Roof Cover Adhesive MDP Base Insulation Layer � (psf) No. (See Note 1) Type Fasteners Attach MEMBRANE APPLIED IN MULE-HIDE BONDING ADHESIVE: , Min.0.5-inch thick HP Recovery Board,Fiber Base HD1,GP High Density Roof Fiberboard,min.0.25- Mule-Hide Standard Black EPDM, Min.22 ga.,type B, inch thick Dens Deck,Dens Deck Prime or White-on-Black EPDM,Standard Grede 33 steel or (Optional)One or more layers, 1 per 2 SC-1 min.2,500 psi any combination,loose laid SECUROCK Gypsum-Fiber Roof Board,min.1.5-inch See Note 2 ft� Reinforced EPDM or FR Reinforced -45.0* Poly ISO 2,ACFoam II,ACFoam III,Polyiso HP-H,HP- EPDM/Mule-Hide Bonding concrete N,HP-W,Poly ISO 1,H-Shield,H-Shield CG,ENRGY Adhesive 3,PSI-25,Multi-Max FA-3 Mule-Hide Standard Black EPDM, Min.22 ga.,type B, Min.1.5-inch Poly ISO 2 WF,ACFoam White-on-Black EPDM,Standard Grade 33 steel or (Optional)One or more layers, 1 per 3 . SC-2 min.2,500 psi any combination,loose laid Composite/FB,Polyiso HP-H Composite,H-Shield- See Note 2 ftz Reinforced EPDM or FR Reinforced -45.0 WF,ENRGY 3 Plus EPDM/Mule-Hide Bonding concrete Adhesive Mule-Hide Standard Black EPDM, Min.22 ga.,type B, Min.2.0-inch Poly ISO 2,ACFoam II,ACFoam III, White-on-Black EPDM,Standard Grede 33 steel or (Optional)One or more layers, 1 per 4 SC-3 min.2,500 psi any combination,loose laid Polyiso HP-H,HP-N,HP-W,Poly ISO 1,H-Shield,H- See Note 2 ftZ Reinforced EPDM or FR Reinfor�ed -45.0* Shield CG,ENRGY 3,P51-25,Multi-Max FA-3 EPDM/Mule-Hide Bonding concrete Adhesive Min.0.5-inch Dens Deck,Dens Min.22 ga.,type B, Mule-Hide HDP Fastener or Deck Prime or SECUROCK Mule-Hide Standard Reinforced SC-4 Grade 33 steel or Gypsum-Fiber Roof Board, Min.0.5-inch Dens Deck,Dens Deck Prime or Mule-Hide CF(concrete 1 pe Z13 EPDM or FR Reinforced EPDM/ -67.5 min.2,500 psi followed by min.1.5-inch SECUROCK Gypsum-Fiber Roof Board onlyJ with Mule-Hide 3 in. ft Mule-Hide Bonding Adhesive concrete STYROFOAM DECKMATE Plus FA Insulation Plate Min.22 ga.,type B, Mule-Hide HDP fastener or Mule-Hide Standard Reinforced Grede 33 steel or Min.1.5-inch Approved Min.0.5-inch Dens Deck,Dens Deck Prime or Mule-Hide CF(concrete 1 per 1.3 EPDM or FR Reinforced EPDM/ -67.5 SC-5 min.2,500 psi polyisocyanurate SECUROCK Gypsum-Fiber Roof Board onlyJ with Mule-Hide 3 in. ft� Mule-Hide Bonding Adhesive concrete Insulation Plate Min.22 ga.,type B, Mule-Hide HDP Fastener or Mule-Hide Standard Black EPDM, Grede 33 steel or (Optional)One or more layers, Min.2.0-inch Poly ISO 2,ACFoam II,Polyiso HP-H, Mule-Hide CF(concrete 1 per 1.6 White-on-Black EPDM,Standard SC-6 min.2,500 psi any combination,loose laid HP-N,HP-W,Poly ISO 1,H-Shield or ENRGY 3. onlyJ with Mule-Hide 3 in. ft� Reinforced EPDM or FR Reinforced -75.0 concrete Insulation Plate EPDM/Mule-Hide Bonding Adhesive Exterior Research and Design,LLC.d/b/a Trinity� ERD Evaluation Report M31240.11.09-R4 for FL10703-RS Certificate of Authorization#9503 Revision 4:12/19/2014 � Prepared by: Robert Nieminen,PE-59166 Appendix 1,Page 4 of 12 ��� �� ��I�O��ERD � TABLE 2A: STEEL oa CONCRETE DECKS-NEW CONSTRUCTION,REROOF(TeAR-OFF)oR RECOVER SYSTEM TYPE C: MECHANICALLY ATTACHED INSULATION,BONDED ROOF COVER System Deck Top Insulation Layer Roof Cover/Adhesive MDP Base Insulation Layer Fasteners Attach (Psfl No. (See Note 1) Type Mule-Hide Standard Black EPDM, Min.22 ga.,type B, Mule-Hide HDP Fastener or White-on-Black EPDM,Standard Mule-Hide CF(concrete 1 per 1.6 SC-7 Grade 33 steel or Min.1.5-inch Approved Reinforced EPDM or FR Reinforced -75.0 Min.0.5-inch SECUROCK Gypsum-Fiber Roof Board on/y)with Mule-Hide 3 in, ft2 min.2,500 psi polyisocyanurete EPDM/Mule-Hide Bonding concrete Insulation Plate Adhesive Min.0.5-inch Dens Deck,Dens Mule-Hide HDP Fastener or Min.22 ga.,type B, Deck Prime or SECUROCK Mule-Hide Standard Reinforced SC-8 Grede 33 steel or Gypsum-Fiber Roof Board, Min.0.5-inch Dens Deck,Dens Deck Prime or Mule-Hide CF(concrete 1 per 1 EPDM or FR Reinforced EPDM/ -97•5 min.2,500 psi followed by min.1.5-inch SECUROCK Gypsum-Fiber Roof Board onlyJ with Mule-Hide 3 in. ft2 Mule-Hide Bonding Adhesive concrete Insulation Plate SIYROFOAM DECKMATE Plus FA Min.22 ga.,type B, Mule-Hide HDP Fastener or Mule-Hide Standard Reinforced SC-9 Grade 33 steel or Min.1.5-inch Approved Min.0.5-inch Dens Deck,Dens Deck Prime or Mule-Hide CF(concrete 1 per 1 EPDM or FR Reinforced EPDM/ -97•5 min.2,500 psi polyisocyanurete SECUROCK Gypsum-Fiber Roof Board only)with Mule-Hide 3 in. ft� Mule-Hide Bonding Adhesive concrete Insulation Plate MEMBRANE APPLIED IN WBBA 2000 ADHESIVE: Min.22 ga.,type B, Mule-Hide HDP Fastener or Mule-Hide Standard Black EPDM, SC-10 Grede 33 steel or (Optional)One or more layers, Min.0.5-inch HP Recovery Board or min.0.25-inch Mule-Hide CF(concrete 1 per 4 Standard Reinforced EPDM or FR -30.0" min.2,500 psi any combination,loose laid Dens Deck Prime onlyJ with Mule-Hide 3 in. ft� Reinforced EPDM/WBBA 2000 concrete Insulation Plate Min.22 ga.,type B, Mule-Hide HDP Fastener or Mule-Hide Standard Black EPDM, Grade 33 steel or Mule-Hide CF(concrete 1 per 2 Standard Reinforced EPDM or FR -37.5* SC-11 None Min.0.5-inch HP Recovery Board only)with Mule-Hide 3 in. ft� min.2,500 psi Reinforced EPDM/WBBA 2000 concrete Insulation Plate Min.22 ga.,type B, Min.1.5-inch Poly I50 2, Mule-Hide HDP Fastener or Mule-Hide Standard Black EPDM, Grade 33 steel or ACFoam II,Polyiso HP-H,HP-N, Mule-Hide CF(concrete 1 per 2 Standard Reinforced EPDM or FR -45.0" SC-12 min.2,500 psi HP-W,Poly ISO 1,H-Shield, Min.0.5-inch HP Recovery Board only)with Mule-Hide 3 in. ftZ Reinforced EPDM/WBBA 2000 concrete ENRGY 3 Insulation Plate Min.22 ga.,type B, Min.1.5-inch Poly ISO 2,ACFoam II,Polyiso HP-H, Mule-Hide HDP Fastener or Mule-Hide Standard Black EPDM, SC-13 Grede 33 steel or (Optional)One or more layers, HP-N,HP-W,Poly ISO 1,H-Shield,ENRGY 3,min. Mule-Hide CF(concrete 1 per Z Standard Reinforced EPDM or FR -45.0` min.2,500 psi any combination,loose laid 7/16"APA Rated oriented strand board or min. only)with Mule-Hide 3 in. ftz Reinforced EPDM/WBBA 2000 concrete 0.25-inch Dens Deck Prime Insulation Plate MEMBRANE APPLIED IN MULE-HIDE ACRYLIC WATER BASE BONDING ADHFSIVE: � Exterior Research and Design,LLC.d/b/a Trinity� ERD Evaluation Report M31240.11.09-R4 for FL10703-RS Revision 4.12/19/2014 Certificate of Authorization#9503 y Prepared by: Robert Nieminen,PE-59166 Appendix 1,Page 5 of 12 �1�...— 4 �� � ^� {T� 5 - � Tp�.�I�IT�';E�D TABLE 2A: STEEL oR CONCRETE DECKS-NEW CONSTRUCTION,REROOF(Teae-OFF)oR RECOVER SYSTEM TYPE C. MECHANICALLY ATTACHED fNSUtATION,BQNDED ROOF CQVER System Deck Tap Insulatton Layer MpP �Q Base Insulation layer Roof Cover i Adhesive (See Note ij Type Fasteners Attath (psf} Min.22 ga.,type B, Min.0.25-inch Dens Qeck or Mule-Hide HD Fasteners and Mule-Hide 3 in. Mule-Hide 5tandard Biack EPDM J Grade 33 steel or SECUROCK�ypsum-Ffber Roof 1 per SG14 min.2,500 psi Board or Min.1.5-inch Poly ISO Min.7J16-inch APA rated OSB Insulation Plates or Tru-Fast 1.33 ftZ Mule-HiBe Acrylic Water Base -SO5.0 HD Fasteners and MP-3 Bonding Adhesive conuete 1 or H-Shieid,toose Iaid. plates ' Min.22 ga.,type B, {pPtiona!)Min.0.25-inch Dens Mule-Hide HD Fasteners 6rade 33 steel or peck or SEGUROCK Gypsum- M+n.2-inch Poty i501-NB or H-Shield NB or Min.3- and Mule-Hide 3 in. 1 P��, Mule-Hide Standard Black EPDM J SGlS min.2,500 psi F�ber Roof Board or Min.1.5- �nch Poly 4501 Cooi-Vent or Cool-Vent insulation Plates or Tru-Past 1.33 ft2 Mule-Hide Acrylic Water Base -105.0 concrete �nch Poly tS01 or H-Shield, HD Festeners and MP3 Bonding Adhesive loose Iaid. piates Min.22 a., Mule-Hide HD Fasteners g type B, Min.0.25-inch Dens Deck or and Mule-Hide 3 in. Muie-Hide Standard Black EPDM i Grade 33 steei or SECUROCK Gypsum-Fiber Roof �'per� Mule-Hide Acyrlic Water Base -150.0 SC-16 min.2,500 psi Board or Min.1.5-inch Poly ISO ��n.7J16-inch APA rated OSB insulation Plates or Tru-Fast ft concrete 1 or H-Shield,toose iaid. HD Fasteners and MP-3 Bonding Adhesive piates Min.22 ga.,type B, �Optionalj Min.0.25-inch Qens Mule-Hide HD Faste�ers Deck ar SECUROCK 6ypsum- and Mule-Hide 3 i�. Mufe-Hide Standard Black EPDM i Grade 33 steei or Min.2-inch Poly ISO 1-NB or H-Shieid NB or Min.3- 1 per 1 SC-17 min.Z,500 psi F�ber Roof Board ar Min.1.5- inch Poly I501 Coof-Vent or Coo!-Vent insulation Plates or Tru-Fast ftz Mufe-Hide Acyrlic Wa#er Base -150.0 concrete �nch Pofy ISO 1 or H-Shield, HD fasteners and MP-3 Bonding Adhesive loose laid. piates Exterior Research and Design,LLC.d/bia Trinity y ERD Evafuation Report M31240.11.04-ftA far fL10703-RS Certificate of Authorization#9503 " � Prepared by: Robert Nieminen,PE-59166 Revision 4.12J1912014 Appendix 1,Page 6 of 12