HomeMy WebLinkAbout15-16145, CITY OF ZEPHYRHILLS
•• ' S335-8TH STREET
� (si3)�so-oozo 16145
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16145 Address: 5324 18TH 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: 11-26-21-0010-17400-0170
Improv. Cost: 2,496.00 OWNER INFORMATION
Date Issued: 4/08/2015 Name: SNYDER KENNETH J &APRILE D
Total Fees: 75.00 Address: 5324 18TH ST
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-4613
Date Paid: 4/08/2015 , Pho e: 13-783-9277
Work Desc: REROOF RUBBER �
CONTRACTOR S APPLIC TION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 5.00
� � �� �- c sr
��
, Ins ections Re uired
DRY IN ROOF INSP
I TAPE JOINTS ROOF INS�P
� FINAL �. - 1'� - L S
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 fl plans not at job site g) work not accessible.
NOTICE: In addition to the re uirements of this ermit there ma be additional restrictions a licable to this ro e that
q P , Y PP P P �Y
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.
CTOR SIGNATURE PERMIT OFFI R i
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �� �'
Date Received: .�` ��--.�`
s�te: ��� � / �c� �`7_
Permit Type: �UI�bP.� 9'��
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
,�, �`��'
Kalvin r— s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
�
Building Department
Date Received ����-(s Phone Contact for Permitting ��3 �g Z - ���
Owner's Name � �i�G � �ln�-�h 5i(1�G{e-✓ Owrner Phone Number ��3' ��3 � ��,�
Owner's Address 5�✓�� ��� 5"�' Owner Phone Number
Fee Sfmple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 53z� �$�' ��• �t'h`�rh`��s� �' 335�� LOT# �
SUBDIVISION PARCEL ID# ��'Z�' z�"bb�a- �'���d� 6��1�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PFtQ�POSED B NEW CONSTR e ADDIALT � SIGN Q 0 DEiV10LISH
INSTALL REPAIR � �.(��
PROPOSED USE Q SFR Q COMM 0 OTHE
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ��✓ b���t (e-('OD� -�an-f"pD�C�-- 2 s .Ifl�r��0 � �-Pla.i- r�o� Cer-1-Qi l eo�-
(�6G�i�� �tVY�
BUILDING SIZE SQ FOOTAGE� HEIGHT 2�.
�BUILDING $ 2��� _ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP.SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
. r�l`��
OPLUMBING $ ^�' /
y��\/
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �v
�%
OGAS � ROOFING Q SPECIALTY 0 OTHER 2CQ�,���
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
� � �
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 I N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER - : � COMPANY ��(.m� 1��c�"�°�.r,' � '�'�L'
SIGNATURE ✓( REGISTERED N FEE CURRE� Y N
Address 3h��3 Srz- 5u� h �hi 1l5� � 3'3cjy � License# �C l325 5D5
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
_ _ -- -Minimum ter.-{10)werking days-after-submittal date:!?equired onsi,e,-Construction-Plans,-Stormwafer Plans w!Silt Fence instalfed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
�ww�PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)o[Power of Attomey(for the owner)would be someone with notarized letter ftom owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only) �� � �
Reroofs if shingles Sewers ' Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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I I
I .
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 CON7RACTORS AND CONTRACTOR FtESPONSI�ILITIES: 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
I County.
TRANSPORTATION IMPACTIUTILITIES IMP�►CT 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
- -8U-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 LAVV(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 I
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�', I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement. �
CONTRACTOit'SIOWNER'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 la�nis 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 tiiat 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 Protec,tion-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, D�ocks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
' Septic Tanks.
- US Environmental Protection Agency-i4sbestos 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
Iicensed 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 a�y 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�1GENT 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 Buildirig 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 com'menced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months afte�the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNIN(s' TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT fiifAY RESULT IhV YOUR
PAYING lYVICE-FOR-IMPROVEMEN�S-TO YOUR PROPERTY. IF YOl1 INT�ND l'O O�TAIN FIPIAWCIPIG, CONSUL.I'
� VNITH YOUR LENDER OR AIV ATTORNEY�EFORE RECORDING Y09�R NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 17.03)
OIfVNER OF2 AGEN � CONTRACTOR
S bsc bed and swom o med)before me thls � Su scribed and swom to o 'irmed)before me this
�30 $ by � m� v.C.r�fu� � 3 �a ls by �I�mr� �t-�oteB'�-�s�
o islare personally known to me or haslhave produced Wh Is/are personally known to me as/have produced
as Identlficatlon. � as i en6fication.
�—
�� �-T ..�
Notary Public� �Ip�a ublic
`���iil���' '� `�4PNV Pvb����
,o`�PR�NO� ANNA MARI LYNCH TrNi�Y � Commission No. =2+ •�: Notary PubIIC-Stat o� Flc�nda
Commisslan N .•° °.•; _ � �
- * . iC- tate c "�' : ° � �5865
;y` ;P; MY GOmm.Expir�� .��� ,tr+7"�� %.Iq� ,,�: Commission#EF .
Name of Nota ty�►¢ � , �ed or �5�� � �F �55865 � Name of Notary typed,p'nted�or�sfamp e roug wr,: e,� �
Bonded Throu�� � , ����ary�qyq.
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zesseaeses
Rcpt:167106? Rec; 30.00
j DS: 0.00 IT: @.00
03/30/2015 p. W., Dp4.y Clerk
� Permlt No. � Parcet tO No L"'26'2{-�t�—i'��ao-^ (}1'i t7
N4TIlCE QF GOMMENCEMEN7
State of ��"�d� ' county ot '��-`o
THE UNDERSIGNEp hereby gives nolice that Improvement vdll he mede ta cerlaln reet property,and tn accordence wGh Chapter 713,Fiodda Statutes,
the toitawtng tninsmatlon is provlded In this N�ttce of Commencement.
1. DescdptlonofPropeAy: PsrcelldenlificationNO. <<-2(0-21- ObiO� �"7�bU-•bt"10
StreotAddress: �J32`l ( �= S�"F �_?�h{d_rh�Itr�� �Z. 33'`�J�2..
2: General Deacriptlon of ImprovemeM {�
t"bJ-�� �
I
3. Owner Infurmatlon ar lessee information If ihe Lessee contracted for the Impmvement:
I�C%nn�h�' A-pritc. Snydel
J�3Z+{ 3S�%-NS`�'-°. �fl4'turh�!(s �2,335�{L
� Addreas City State
fnierest tn Property: �iA5(1i°../
Name of Fee Simpie 7ltlehotder. '
{Ii different trom Owner Ilsted ahove) -
� Address City . Slete
Canirector: `�i mtt.�1 t�t�-�in �'1C�
�b�t3 "S� 5� �Ahca�4i,1+s (2. 335�1
. Addresa City�— State
j Conlractor's Teiephone No.. ��3'�$Z'�j6R�' ' -
� 6. Surety: y
Name
PRULR 5 0'NEII,Ph D.ASSCO CIERK & C6riPTR0l.LER,_
Address 03/30/201��3��m 1 �f�1
Amount of Bond: � OR SiS 1 PG �7 —
8. Lender
Name ` � .�'
Address , City State �,��_± ' �f " � �
Lendera Teiaphone No. - — � �
7. Paraans vAihtn ihe Slate of Florida designaied b the nwner upon whom noiicax or other dncumenta may be served as provided Gy �� � (�
Sedian 723.13{7)(e�(7�,Flarlda Stalutes: y o � °�,� n, m �y
�
ao �'
I Name ' . c � ^ °g��
� ° P+�.
I � • �
Addresa Cily State �� o ,� .'�
Tetepfione NumberotDes#gnated Person: n
S. In uddttlon fa htmsetf.Shs owner designates � - �i— '7�� � . � �
to reaaive a copy of lhe LlenoYa Notice as proWded In Seclion 713.13(t)(B),Flodde Siatutes. $i �
Telepbone Number ot Pereon or Entity pestgna[ed by Owner.
9, Expire(ion date of Natice of Commencemeot(tbe expiraiian dato may not be��afare-the comptetlon af const�escUgn and finat payment to thQ
contractor,but witi bs ane year fram ihe dske of rpcardtng untess a dtflerent dste fs speafied):
WARNIIdG TO ONMEFt: At3Y PAYMEN78 MApE BY THE OWNER AF7�R THE EXPIRATIt7N OF THE NOTICE OF COMMENCEMEN7 d ~ U �
ARE GONSIDEf2Ed 1MPR{SPER PAYMEfSTS UCSDER.CHAPTEi2 713, PAt2T i, SECTlON 773.13, FLOFtIDA STATUTES; AND CAN {� z 11� �
RESULT IM YOUR PAYING TWICE FOR IMPROVEMENTS 70 YOUR PROPERTY. A NOT�CE OF COMMENGEMENT MUST BE ��- U7�„� tLf
REGORDED AND POSTED ON THE JOB S1TE BEFORE TF{E FlR3T INSPECTION. !f YOU INTEND TO OBTAIN FINANCING,CONSULT � � � U- Z 1 -� V
WITH YOUR LENDER OR AN A7TORNEY BEFC�RE COMMENC(NG WORK OR RECORDING YOUR F2CSTiCE dF COMMENCEMENT �Z � O �� J F
(
, Under penatty ot perjury,i decia�e that I fiave iead the foregoing notics ai commencement and fhat ihs iaets steted therein are true to the 6est �C�d N d cv(y� �
of my knowlaCge and bellef. ���Q� �{„; 1-- W
9TA7E OF FLORIDA � ���Z J � �
( CD152�l7Y OF PASGO �F-��]i'� O
� SI re of Ovm6r o ss ,ar O ar's ar Cessee's Anthorized �'bL � �U - U
Office!plrectndPertnedMenagar . ���,0� �
5(gnatory'sTiHe70ttice ��.-- d'-��\ �
.,�� �(1 '"� /� �� � r"�' w •��
The toregatng inatrumeM was acknawtedged before me this�y_day ai!��0�!'�r�. 20�5 by r`�f��e- 5n�der- �, �C7 U z� �
as ,_,(lypo of aulhor(ty,e.g.,oftiCer,Irustee,attamey in(ecq for • � }�� Q (� J
, (na me o on eh (whom InsVUment was execute d j. , � i.t. W� a Z Q �
�"' Q >- jtf
i persanaUy Known�1�q Produced�denNflcailon❑ Notery Stgnature,� ("� �{k„' �„= Q
i'ypa alldenUilcaUon Praduced Flsme(Prfiq � tL (.�,} L�,} � � � 0. �
.� Nntary Pudk State of Fbrida LL (� �
;g��; Tammy Verdadero Q }- � d � �
� �p' MyCanmiealoeFF184049 � � e,{ � �4�( �
„po` EzWreat2/16t2018 � � �yy � Z,�
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wpdataltscsJnnttcemmmenceman�pc053048
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� ..�; '''� �� �?Q��s��C. Irivaice Number:0324],S ..
¢s ;
1""�a �i '_Etirc�iase Order. '
�=''� A Division o f Ryman Construction,InG Sales�Re ' � Chris�vlar`shalI.
p.:.,
'Invoice Date; ;03/24/]5
License#CCC 23255051 CGC 1517711 Due I}ate:� 04J2�11 S
INC.
Page Niunber: 1,of T' „
Custamer: 3534
Location:
Snyder,Aprile
5324 18th Street
ZepfiyrhilIs,FL 33542
_. .._ .. ... ..: . .... . ........ _.. . .. ............
Quantity <tTnit _ � Desciiption!Part Nwiiber � Unit Price�:.Tx. Pzice.Extension :
I.00 2,496.0004 2,496.40
Complete tear off af existing shingles;Secure all loose roof
decking as needed according to Florida Building Codes; Roof
dried in with peel and stick; Install new valley metal with
galvanized rnetal; Install all new 6"drip edge color-white;
Install alI new lead boots;Instali ail new general roof vents;
Install all new 3-tab shingles; Manufacturer: Tamko Color:
Grey Blend; Ali roof relatad debris rennaved fram jab site,
pick up loose nails using commercial grade magnet. All
materiais,Iabor and permits furnished.
Provide a 5 year Labor Warranty
Additional Notes: Front section above(2)windows shingles,
flat section-modified bitumen. -
invoice Net 2,446.00
36413 State Road 54�Zephyrhills, Florida 33541�Telephone�'��"�L����Fax: $13 78$-6�1�'���•00
www.rymanconstruction.co�et Due d.4Q
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a �$.'' -���FW i `8' A-'L""�F�brt�"4�"" .'� ��W,���� 'E' �g - 3 �' �a. ���'$��
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USER: Public User
��'(�t��d�:ft��l
������ .�i ,� Produd Aooroval Menu>Product or Apolication Search>Aoolication List>Application Detaii
���;?"��, :s�;' ' k FL# FL2533-R12 �
�`��_ :t-a� +:;���:W...`'....,�.�
Application Type Revision
Code Version 2010
Application Status Approved ,
Comments
Archived ,_
Product Manufacturer CertainTeed Corporation-Roofing �
, Address/Phone/Email 18 Moores Road
Malvern, PA 19355
(610) 651-5847
m a rk.d.ha rne r@sa i nt-goba i n.com
Authorized Signature Mark Harner ��11(���� ��y�����,_._! '
mark.d.harner@sain_t- obain.com J
L�4fY OF��aFHYR�j�1LLS `
Technical Representative Mark D. Harner PLAfvv ���� /(/.
IAddress/Phone/Email 18 Moores Road f`��R �"
Malvern, PA 19355 �--1—"
(610) 651-5847
M a rk.D.H a rne r@sa i nt-goba i n.com
Quality Assurance Representative
Address/Phone/Email 7 �y! `x
r5::.&i.Pr�`'7_� . : !. '�.F'l�lvli���� VI�lAL�I
�.L_'���;_.�� .'��.�;�UILDIP�TTG, .
Category Roofing �� �;,.,,
Subcategory Modified Bitumen Ro 1f`5ystem�`1r`"� �'�'�`B�G A�
� !YIi:C,'I-?f�.iv':;��..�'���5.
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
' ��' Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 07/03/2017
Validated By John W. Knezevich, PE
! Validation Checklist- Hardcopy Received
Certificate of Independence FL2533 R1Z COI 2014 04 COI Nieminen.�df
Referenced Standard and Year(of Standard) Standard Year
ASTM D6162 2000
ASTM D6163 2000
ASTM D6164 2005
ASTM D6222 Z002
ASTM D6509 2000
FM 4470 1992
FM 4474 2004
I _
��; �' ~ Equivalence of Product Standards
4
' Certified By
,
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 10/24/2014
Date Validated 10/24/2014
Date Pending FBC Approval 10/27/2014
Date Approved 12/15/2014
Date Revised 03/16/2015
Summa of Products
F
FL# {Model,Number or Name Description
2533.1 i Flintlastic Modified Bitumen Modified Bitumen Roof Systems �
Roof Systems
Limits of Use ' Installation Instructions �
Approved for use in HVHZ: No FL2533 R12 II 2014 10 FINAL A1 ER CERTAINTEED MODBIT FL2533-�
Approved for use outside HVHZ:Yes 12. f I
Impact Resistant: N/A Verified By: Robert Nieminen, PE PE-59166
Design Pressure: +N/A/-630 Created by Independent Third Party: Yes i
Other: 1.) Refer to ER Section 5 for Limits of Use. Evaluation Reports
2.)The design pressure noted in this application FL2533 R12 AE 2014 10 FINAL ER CERTAINTEED MODBIT FL2533-
relates to one specific system. Refer to the ER R12.pdf
Appendix for all systems and max design Created by Independent Third Party: Yes
pressures.
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Contac[Us:: 1440 North Monroe Street,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.Coovriaht 2007-2013 State of Florida. :: Privacv Statement Accessibilitv Statement: Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mait address released in response to a public-records request,do not send electronic
mail to this entity.Instead,contact the office by phone or by tradit(onal mail.If you have any questions,please contact 850.487.1395.'Pursuant to Sedion
455.275(1),Florida Statutes,effec[ive Oc[ober 1,2012,licensees licensed under Chapter 455,F.S.must p�vide the Department with an email address if they have
one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a
personal address,please provide the Department with an email address which can be made available to the pubiic.To detertnine if you are a licensee under Chapter
455,F.S.,please dick here.
Product Approval Accepts:
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