HomeMy WebLinkAbout15-16583 CITY OF ZEPHYRHILLS
�, ' S335-8TH STREET
� ; , (sis)�so-oozo 165
BUILDING PERMIT
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- PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16583 Address: 5221 8TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-16700-0110
Improv. Cost: 9,250.00 J OWNER INFORMATION
Date Issued: 9/11/2015 Name: C & R HOLDINGS OF ZEPHYRHILLS
Total Fees: 85.00 Address: 5221 8TH ST
Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/11/2015 Phone: (813)545-0485
Work Desc: REROOF �Mif�#�tE 't' �
CONTRACTOR S � ? APPLICATION FEES
RYMAN RO FIN INC REROOF RESIDENTIAL 85.00
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��I�d
Ins ections Re uired
DRY IN R F INSP
TAPE JOINTS ROOF INSP
FINAL � -L�-( �
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 inspection or
first reinspection,whichever is greater,�for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that �,
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water managementl 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 no;tice of commencement." '
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. �i
NO OCCUPANCY BEFORE C.O. �
ONTRACTOR GNATURE PERMIT OFFI R �
PE T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED �
PROTECT CARD FROM WEATHER -
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813aeo-oozo - , ,;, Citytofi Zephyrhills Permit Application Fax-813-78Q�oo2�
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Phone-Coetast forPermttfin :-�..
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' Owner's Name Owner Phone Number��:< � �._,�-. • , ,.��L• �.,.::�x`<,:� �,,:"_
Owner's Address I Gwner Phone Number � �
Fee Simple Titlehalder Name � C,/ { �;�w er Phone Number �— �
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Fee Simple Titlehalder Address
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JOB ADDRESS ��vZ` ��r'j�• IIS '�l` �3SZ�.. L07# ��
suaoiv�siaN ���j���j1y��1,i1�� PARCELID# 11-2-�-��- t�b�0-1t��IDq-bt10
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED NEW CONSTR ADO/ALT � SIGN Q Q DEMOLISH
INSTALL 8 REPAIR ,
PROPOSED USE Q SFR :�]� GOMM Q OTNER = )
TYPE OF CONSTRUCTION Q. ,BLOCK�°•",�;,'� FRAME � STEEL Q _
DESCRIPTION OF WORK `�� .:^ K��' �;+e' ���� �
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BUILDING S12E �.,SQ�F�4�T�AfiE ���lO I HEIGHT �. �
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Q���14i�� � �/A4UATION OFITQTAL CONSTRUCTION
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QEl.ECTRICAI. $ f•� � ,�; � AilRP SERVICE Q PROGRESS ENERGY W.F2.E.C.
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� QP�UMSING $
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OMECNANtGAI $ VAI.UATtON OP MECFiANICA�INSTAElAT10N
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QGAS � ROOFING Q SPEClAITY � OTHER
FINISHED FLOOR ELEVA710NS FLOOQ ZONE AREA QYES NO
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` BUt�0EE2 � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address � License# � �
EIECTRIClAN COMP�
SIGNATURE REGISTEREp Y/ N FEE GURRE� Y J N
���8�$ � License# �� �
i PLUMBER ;�,;:>.,;.. CUMPANY
SIGNATURE ':;�'r� REGISTERED Y/ N FEE CURRE� Y/N
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Aililress { �
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License#
F1�IECNANICAL y � ;�4:: . COMPANY
� SIGNATURE � � � '
•:,t��C�:;,"���,.;:+� REl31STERED Y/ N FEE CURREA Y/N
Address � License#
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OTNER ., _.�,,, �i., . i,+��: ('�
�% '�' COMPANY � YYl�t.V1 �C}{�C7
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SIGNIATURE " - �•• • �° R6GISTEREO Y N =• FEE CURRE� Y/N
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Address 3 lD 13 "�'..+~YL rV�il�s F'2 3 I i.icense# � C:����i� �
RESIDENTIA! Attach{2)Plot Plans;(2}sets.af Buildi�g PEarts;{1}set af Ene�y�Forms;R-4-W Permit fcfr new constructian,
Mintmum ten(1Q)working days after submittal date. Requi�ed onsite,ConsUvction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilltles.&.1 dumpster,Site Work�Permit for subdivisio�s/large projects
COMMERCIAL Attacf�{3}compte#e sets of Buildlrig Pians plus a Life Safety Page;{1}set a€Energy Forms.R-Q-W Pemtit#ar new consttuction. --
_ . Minimum ten(10)working days'after submlttal dafe. Ftequired onsite,.ConsUuctton Plans,Startnwater Plans w/Silt Fence installed,
Sanftary Facilikies&1 dumpster.Stte Work Permit for all new proJecks.All commeroial requlrements must meet compliance '
SlGN PERMlT Attach(2}sets af Enginee�ed Ptans.
""PROPERTY SURVEY required for all NEW constructlon.
Diractians:
Fill out applicatinn completely. �
Qwner&Contractor stgn back of applicatlon,notadzed
tf over�2500,a Notice of Commenaement is required. {AtC upgrades over$T500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter ftom owner authorizing same
DVER THE COt3NTER PERMITTING {Front af Application t3nty}
Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drivaways-Not over Caunter if on pubEio roadways..needs ROW
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PIOTiCE�OF' DEED RE�TRIC71qNSr:The�undersigned understands�;th�t this.permlt.may.be.subject to"deed"restrictlons"
whtcfi may be•more r.estnictive:fM�n Gounty r,egulattons. �The undersigned assumes responsibitity for compitance v�ith any
appiiaable deed restrtctions. °���� �����,� � • '
UNLtCENSED CQNTRMCTQRS, AN1?�CQNTRACTOR RESPANStBE#:ITt�S; If the awner-has hired a contractor ar
con#ractors to undertak�work, they may be'requlred_�to b�;l[censed In aacordance.with state.and�lacal regulatlons. !f the
contractor ts not Iicensed as requlred by law; bath the owrner and contractar may be clted�for a misdemeanor violatlan
under state law. if the ¢�wner or tntended?;contr�ctar �re�uncertaln as ta what Iicensing.requirements may apply�for the
intended work, they 2�re�dvised to,contact,,the�;Pasco County Building Inspection Division—t�.icensing Sectian at 727-847-
8009. Furthetmore, !f the owner has hlred-a`contractor �r contractars, he ,fs advfsed to have the contraator(s) slgn
portians of the "aonkract�r Bloak° o#thls appllcatton for whlch they wlll. be cesponslble. If you, as.the ownec stgn as the
contractar, that may be �n indication that he is not.praperly I(censed and is not entitled to permftting priulleges In Pasco
Caunty.
._ _'��N�PORT�TtUN�t�If�1��T1UTii.IT1ES iMPAC''t'ANI�_RESOU�tGE RECaVERY FEES: The undersigned understands
� that T�ansportatlan lmpact Fees and Recourse Recovery.Fees may��apply ta Etie cortstruction of new�6uitdings;change of � �
use in existing buildings, or.expar�sion��of�exlsti��g`6uildtngs� as spealfted in Pasco Caunty Ordinance number 89-0? and
90-07, as amended. The undersigned also e�nderstands, that.such fees�.as�may i�e�.due,.wlll:be identified at the time af
permitting. It is further �snderstood that Transpo�ta#lon fmpact Fees and Resource Recovety �ees must be paid prlor to ,
receiving a "certificate of oecupancy" or final power.release. :If�#he project does not Involve a eertificate of ocoupancy or
final pawer reiease, the fiees must be paid ptior to permit issuance. Furthermore,�if Pasco Caunty Water/Sewer impact
fees are due,they must be pald prior to permlt fssuance-in accardance wtth appilaable Pasco'County ardinances.
CONSTRUCTlQN LlEN B.AVII(Chapter 713, I�lorlda Statutes.as amended�: If vaivat#on of work ls$2�5QO.OQ or more, #
certify that I, the appliaant, have been provlded with a copy of the "Flarida Construcklon Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departmenk of Agric.ulture and ConsumerAffairs. If the appltcant!s svm�o�e
other than the°awner", i�ertify that I�have,obtained a copy,of.the.above.descrlbed document°and.promise in.gaod faith to
delive�it ta the°owner"priqr to-commencemert#:
CflNTR,ACTOR'StQWN�R'8 AFPICIAVIT: 1.ce�tlfy that�sll the fn#�rmatlon in thts applicatEon is aacurate and that a1i work
will�be done in compliance with al! applicabte laws regulating const�uctlon, zoning and�land devetopment. Appttcatbn is
hereby made to obtain .a permit to do work and tnstallatlon as Indtceted.� '! certify that no work ar 4nsta4latlon has
cammenced prior to issuance of a permlt and #hat.all work will be performed to meet standards af all laws regulating�
canstruction, County an� City cades, zaning.;rsgulations, and' land deveiopment teguiattans In ihe jurlsdlction. I al'so ��
certify that 1 u�derstand th�tt the regula#fons.of`�bther govemment agencies may�apply�to the intended work, and that it is
my responsibllity ta iden#f�y..whai�cttons'1�must#ake ta betfn:.corr�plfance: S.uch agencies-Include but are nat iimited ta:
- Depa�tment of�Environmental;�.Pfotection-�ypress.'Bayheads, Wetland Areas and E�vira�mentaily Sensitive
Lands�WateNWastewate�Treatment.� ��� � .
- Southwest Florida Water Management: .District-Wells, Cypress.� Bay.heads�� Wetland Areas* Altering
Watercourses. ,._^ ,{:
- Army Corps�f Engineers=$eawails;�Docks� Navigable Waterways. �
- Department �f Health & Retiabflitat�ve Services/Environmentat F�ealth Unit Welis, Wastewater Treatment,
Septic Tanks. , � • : �•-��E: ; _
�- ...lj=;�,... .;i.
- US Environmental PratecNon A�ency'�,Qsbestos aba#ement. ,
- Federat Aviatton AutMoriCy=Runways: '
t understa�d thaf the fatiowing.reshl�tions apply to tite use af fiil:� '
- Use of fill!s not aliowed In Fiood Zone"V"unless expeessiy permitted. ,
- If the fili mat�rfa! Is to be used In. Flood Zane "A", !t. Is understoad that�a drainage plan addressing e 1
°compensating volume" w1A be subr�I.tted at�ime of permttting whiah is prepared by a professfona! englneer
Ilcensed by#h�.State of Fiorlda:
- If the fili material is #o be used in Flood Zone °A° ins connection�with.a permitted building using stem wall
cons#ruc#ion, I certifyr that filt�wiil:b.e used only.#a fiti the area within the s#em�waii.
- !f fill materfal is to be used in any a�es, 1 �certlfy that .use af sucti fitl wil) not adverseiy affect adjacent
prapenles. #f use of fl!! Is found to adversely:�ffect ad�acent�propectfes,.the owner may be cit�d#or u#olating
the conditions of the building.permit issued under the attached�permit appltcation, for {ots less than one (1)
acre which ar�elevated�by flli, an engtneer�d drainage plan is required.
if i am the AGENT PtaR T�#E t'�WNER, I,:promtse in good faith to inform the-awner of the permltting conditlons set forkh in
this affidavlt prlor ta comrraeractng cor►structian. 1 understand that a�separate permit may be required for etec#rical work,
plumbing, signs} wells, poc�ls; air cond4ttoriing,.gas� or othe� lnstalM�tbns not spea�#Ically inciuded-in.the appifcation. .A
permit issued shall be construed to be a�Ilaense ko proceed wlth the work and not as authority to,violate,cancel, aiter, ar '�
set aside any provislons of the.teahnlcal codes; nor shall Issuance�of a.permit.pr.event the Bulldirig O#1'ic(al from thereafter
requfiring a aor�ection Qf errors in.plans, const�uction or violattons of any codes. Every permlt Issued shall become invatid
uniess the wo�k authoriaed.by such permit:�is-commenced�within six months of permi#lssuance, ar if work authorized by
the permlk is suspended or.abandoned for a period of�slx�{H)-months after the#ime the�wo�`k is commenced. An extension
may be requested� in wrltin�, from the�8�ild(ng.Qf�clal for a perlod not�to exceed•�ntnety(90) days and wiit demanstrate
jusklfiable cause far.the extension. If wark ceases:#or ninety(90)cons.eautive days,..th`Job�is.considered abandoned.
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WARNtNG,TO OWNER: ;1(�UR.FAiLURE�TO.,REC.ORD A NClTIGE:OR COMMENCEMEMT MAY RESULT IN YQUR
6�AY1NG TWICE�OR IMPROVEMENTS;Tt3 YOUR;�PROPERTY. IF�YQU�IN'�EKID�`TQ�08TAiN��FINANGING��CONSULT
1NlTH YQUR E D ;O AN AT3C?RNEIf�B FC�RE� ECORD G:' UUR= �C `OF � � E CE� NT
FLORIpA JURA'�(F.S.11 .0 ';"'' "`."
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OWNERORAGEN - ,,,, CONTRAGTCIR � -
Who!�onal! knovm to�me�����-,.1�,'`',.:;�t�`�'=��`� 1 ; � me'���� �
Sut�scribed and swo r, i me fhis _ Sub tlbed d's M to(ot afflrmed� tors
�l 1�1 S b � . Ct �l� J� �•bY�'� � �- ... � attl.1.�., .�__�.�
P Y . o hasfiave-produc�! � Wha ts/are p.etsonelty knaum M me or aslhave prodiaced
as Identlflcatlon:.;, ' � as lden8flcatlon.
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G/,.. ,r,y • � ;
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Notery Pubtic . Notary Publlc
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Commission No. Commisslon.Plo. �
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Name oC Notary typed u ke o Name of Notary typed,pdnted or stampe
, � '�?i�ii _ MOtMy h1111E,=�ttt#o!FlOiNla
�' , CNAO S RIfMAN � � CM�1lIp4e�i I FF�91la7 �
Mp�ry p�-.$tu�of Plorida M�t C0�lIli:Es�q JiMi 21.2019
�� " � CoRtaritrtfOn�►FF 191gd7� �..`���. :,";:
, %���fl,���a I�yt Comm:ExPlr#i Jtft 21,2499 _
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� 2015147471
PertnitNo. , ParcellDNO ��-zG -?� •ooi�- /�70�-01/�
'yy� NOTICE OF COMMENCEMENT�f -
Slate ol� ` �df� ��' County o( !'nt.S/O
THE UNDERSIGNED hereby gives nallce lhat improvemenl will be rtiade to certain reel property,and In accnrdance wilh ChaD�er 713,Florida Slalutes,
Ihe toliowing inlormalion is provided(n this Nolica of Commencemenl:
1 Descrtption of PrapeAy: Parcel IdenlificaUon No, II�G � O D(rJ ��+' �DO O l��
. Street Address: 7 7 ti� g�h s'�" C e0�"i��l ���5 �� 3 s 5 vz
�T ' � �• f.
2. General Descripticn ot lmprovement �rnr0�f� �ee��—' °'7`"t" o "� 'PX'S f'n� /�o
_���I-e..l� �/ew 6 ,�..�./ %/�D r��,l� � —
3. Owner Informallori or Lessee infartnafion ll Ifie Lessee cantraded tor Ihe i�nprovemenl: I �
m /�h . d i�/-iPu! nds I Le.�b .
rJo"2a+'I TJ�Nai�pi- �L 33�+-1a-
Address 'Clty I Slate
Inlerestin Property I
Name o(Fee Simple Tiliehotder. � I �
(If diHerent from Owner lisled a6ove)
Address /� ..._ City I � Slale
4 .r.on�racla� r, 06 �G .
�G��//3am S/Q �� 7 N�� •��S � 339-11
Address (� �y�� ,��
Ci��� Slate
Cantraclor's Telephone No. d��V 7���y
5. Surely. . I
Name
Address � Cily I Stale
Amount of Band: S Telephone Na.i
6. Lender. I
Name '
AOdress Clly
Stale B p�
10 fI�9
Lenders Teleph6ne No. ►+ �
YB"
7 Persons withln,�lhe Stale of Florida daslgnated by Ihe:owner upon whom nolices or olher�dowments may be served as provided by �- .+
Seclion 713.1.3�1)(a)(7),Florida Slalules: B m N
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Name ' flt �'
Address ' ' ' City I Slale 3��
Telephone Number of Designaled Person: , 0�� _``� � �
8. In addilion lo hirtiself,lhe owner designales I of_ ��M ��V � '• � '
to receive a copy of the Lienor s NoUee as proi ided In Secllon 713.13(1)(b),Flodtla Slatules. '� B m ` �,
Telephone Number o(Person or Entity Designated by Owner: "' � �` �
g. Erpiralion dale of Notice o(Commencemenl(lhe expiration date may nol be before lhe com Iletion of construcUon and final payment lo ihe F � � '�� �
jYla.�h 31 a.o�ti ��• � � ' �'
conlraUOr,bul will be one year/rom t he da la o f recor di n g u n l e s s a d i H e r e n l d a l e I s s p e c i f i e d): � �♦
v o � •,O
N/A R N I N G T O O W N E R: A N Y P A Y M E N 7 S M A D E B Y 7 H E O W N E R AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT .
ARE CONSIDERED IMPROPER PAYMENTS UN�ER CHAPTER 713, PART 1' SECTION 713.13 FLORIDA STAT U T E S A N O C A N . ,U ' �
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP�RTY A�NOTIC� OF COMMENCEMEN'F MUST BE � � . �
RECORDED AND POSTE�ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU'INTEND TO OBTAtN FINANCING,CONSULT
WITH YOUR IENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR R�CORDING YOUR NOTICE OF COMMENCEMENT � ' ���
Under penaity of per)ury,I declare that I have read ihe foregoing notice ai commencemenl anA Ihat tha faUs etateC therein ere trua to Ihe bes� .. + �
o(my knowledge and belief. "'-�'
STATEOF FLORIDA p n A,� / o — � M�I J
it ,1h!I[ld � Q C�
COUNTY OF � �"
Signalu e of pwner ar ee,or'Owners or Lessee's Aulhonzed
OKcedDireclorlPaRnerlManager a �Q� Q c�i a
�- � ° Z � a
Signatory's TrtlelOKce �
The foregoing tnslrument vias acknawleAged be(ore me lhis °�-5day of 1QU� ,20�by Rai.hel � P��Q,�'I� — o O � d � �
as (type of a�uthadty,e.g.,oKcer,Iruslee,attomey in facq tor � W Q O V
(name b( Ay n nimenl was e ed). � }— � W !L Y
Personally Known�Q3 Produced Identificalion❑ Notary 5lgnalure I V Q� � �
Neme Pdnq � I ��� � —1
T e of Idenli(cation ProUUCed �
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' � . "�::'w;�� KELLI B. RYMAN O � O�C �= Q W
• ;�'� �= Commission M FF 905017 —� (i1 Q 0 p z
My Commission Expires U () � �
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wpdata/bcs/nodcecommencemenl�c053048 � � ¢—� g
pRULRIS 0'NEIL,Ph D PPSCO CLERK B COMPTROLLER Q (J)��1- �
09/11/2015 01:5 m 1 of 1 � �� O � Q m
OR BK 925� P� 3411
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36413 SR.54 Zephyrhills,FL. 33541 °
Lie.#CCC 13�5545
813-782-6094 PH. 813-788-6773 FAX
Custamer;Faithfiill Friends :Date:8/7l15 Code#:
Adduess:52218th Sheat,Zephyrhills,FL 33542
Contact rJumbers:813-78$-3065
Jab bescription:Flat Roo£Systern
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1 complete tear off of existing Asphatt Membzane. �
2. Repair rotted decking according to Tiorida Buildxng Code.
3. Roof dried in with't:"Fan Fold Insrilation pec Floirida Code.
4. Install new lead boots
5. Install new general roaf vents to match elcisting.
6. :Instalt new 6"drip edge. Color: i�hite
7. •Install new.60 MIL'ITd Membiane —
8. Manufacturer:.GAF �
9. Colar: White
10.•All rUOfrelated debris remvved forru jobszte.Pick up all loose nails using commercial grade
, ma�net.
� 11. AlI makerial,labor,pernutsfiurnished.
� 12. Provide a 5 year labar warranty
E 'TRA'S
Removai of existing.chimney from 2"d story roof tine and sealing rv f,rea with shingles ta rnatch ercisting.
� $1,800:00: j . '�= ;�`.�
Ineludes: 3 sheeks of flecking
Additional iEems if applicable: insufficient,missing and/or rotten '/Z"ptywood vviIl be replaced at an
addiEivnal cs�st of$1.95 per sq.f#.(includes:labox and nLaterials)in the ronf field.AII other additianai labor
such as bnt not tirnited tao,rafter replacemeat,.fasaia'6,�oazd replacement,etc.will be charged at an hourly
rate af�85.OU per man hour plus tha cost of materials.��,;-'.�:'���..;,
�
Payment Sehedulec 35%Down and balance upun lompletion,{;;(��`a;�.�';'�.`�r,
Total Bid Price:$7,450.00 %�^.��,���<::,_="'� does nat include chiznney
THIS aECOMES A BINDING CONTR.�.CTO UPC1N ACCEPTANCE OF FROPdSAL.PUZ2:CHASER
AGXNt?WLEDGES RECEIPT UF A COPY O�TFIIS CONTR.A,CT.I AGCEPT THIS PROPOSAL AND HEREB
CERTIFY I HAVE READY APdD FULLY UNDE��TAIYD TAE PROVISIONS OF THIS CONTRACT
Stgnature:v<�/� ��-��� Date• C��-.�y"�-I h
' Signa#ure: � Dafe:
Paga l 0€.3
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I EXTERIOR RESEARCH&DESIGN,LLC.
Certificate of Authorization#9503
��' ����D D 353 Christian Street,Unit 13
1'� Oxford,CT 06478
PHONE:(203)262-9245
FAX.(203)262-9243
EVALUATION REPORT
GAF Evaluation Report 01506.09.05-R18
1 Campus Drive FL5293-R17
Parsippany, NJ 07054 Date of Issuance:11/09/2005 ,
Revision 18:04/15/2015
SCOPE:
This Evaluation Report is issued under Rule 61G20-3 and ithe applicable rules and regulations governing the use of I
construction materials in the State of Florida.The documentation submitted has been reviewed by Robert Nieminen, �,
P.E. for use of the product under the Florida Building Code. The product described herein has been evaluated for I
compliance with the 5th Edition (2014) Florida Building Cod i sections noted herein.
, DESCRIPTION: EverGuard�TPO Single-Ply Roof Membrane Systems
�I LABELING: Labeling shall be in accordance with the requirements of the Accredited Quality Assurance Agency noted
herein. I
CONTINUED COMPLIANCE: This Evaluation Report is valid until�such time as the named product(s) changes,the referenced
Quality Assurance documentation changes,or provisions of the Code that relate to the product change. Acceptance of
this Evaluation Re ort b the named client constitutes a reement to noti Robert Nieminen, P.E. if the roduct
p Y g fY P �
. .I
om lete review of this
chan es or the referenced uali Assurance documentation chan es. Trinit ERD re uires a c
g Q tY g Y� q P
Evaluation Report relative to updated Code requirements with each Code Cycle.
ADVERTISEMENT: The Evaluation Report number preceded by the words "TRiNiTV�ERD Evaluated" may be displayed in
advertising literature. If any portion of the Evaluation Report is displayed,then it shall be done in its entirety.
INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or
its distributors and shall be available for inspection at the job site at the request of the Building Official.
This Evaluation Report consists of pages 1 through 5,plus aln 82-page Appendix.
Prepared by:
e/� �` ,,d�;vt.jlern��',,.
"y�y^'� �~ �`,4Q�•• '�\��"/•
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RobertJ.M.Nieminen P.E. %��. = •=� ThefacsimilesealappearingwasauthorizedbyRobertNieminen,
� � 'r��' tis•r{^;� P.E.on 04/15/2015.This does not serve as an electronically signed
Florida Registration No.59166,Florida DCA ANE1983 ��''�s�'oti'a�ti;�•`� g a�
i � i i document.Si ned,sealed hardco ies have been transmitted to the
',"'�������'��'��� ProductApprovalAdministratorandtothenamedclient
CERTIFICATION OF INDEPENDENCE:
1. Exterior Research&Design,LLC.d/b/a Trinity�ERD does not have,nor does it intend to acquire or will it acquire,a financial interest in
any company manufacturing or distributing products it evaluate�s.
2. Exterior Research & Design, LLC. d/b/a Trinity�ERD is not owned, operated or controlled by any company manufacturing or
distributing products it evaluates.
3. Robert Nieminen, P.E.does not have nor will acquire,a financii I interest in any company manufacturing or distributing products for
which the evaluation reports are being issued.
4. Robert Nieminen, P.E. does not have,nor will acquire,a financial interest in any other entity involved in the approval process of the
product. �
5. This is a building code evaluation. Neither Trinity�ERD nor R Ibert Nieminen, P.E. are, in any way,the Designer of Record for any
project on which this Evaluation Report,or previous versions thereof,is/was used for permitting or design guidance unless retained
specifically for that purpose.
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ACCORDIPIG TO FLQRIDA'S CON�TRUCTION LIE�i LAW �SECTIONS 713.001-
713.37, FLORIDA STATUTES},.TH�SE WHO WORK QN YCtUR PR4PERTY OR .
PR�VlDE MATERIALS ANC? SERVICES ANa ARE NUT PA1D iN FULL NAVE A
' RiGH1"T� ENFORCE THEIR GLAfM Ft}R PAYMENT AGAIhlST YQUR PRGIPERTY.
THIS�l.A�M IS KNOWI� AS A CONSTRUCTiON L.IEN. IF YOUR CONTRAGTOR OR �
' A SUBCONTRACTOR FAILS TQ PAY SUBCtJNTRACTORS,.SUB-
SUBCONTRACTORS, OR MATERiAL SUPPLIERS, THOSE PEBPLE WHO ARE
OWEf�Nt�NEY MAY LOQK TQ Yt�UR PR!?PERTY FQR PAYMENT, EVEN IF YOU
; HAVE ALREADY PAfD YOUR-CC3NTRACT�R�IN FULL. iF YOU FAiL T� PAY Yt3UR
CtJNTRA.GTpR, YC�UR Ct�NTRACTOR MAY AL50 HAVE A LIEN ON YOUR
PROPERTY. THIS MEANS iF A 11EN IS FtLED YDUR PROPERTY COULD BE SaLD
AGAINST YOUR WILL T0 PAY l�dR LAB09t�MATER(ALS, aR(}THER SERVICES
THAT Y4UR CONTRACTOR OR A SUSCONTRACTCiR MAY HAVE FAIl.ED TO PAY.
TO P�tOTECT YOURSE�F, YC?U SHOULD.�TIPUlATE IN TWIS C�NTRACT THAT
SEFO�E ANY PAYMENT IS MADE', YI�UR CC�NTRACTOR IS REQUIRED T0
PRQVIDE YCfU WITN A YVRITTEN:RELEASEI OF LIEN FROM ANY PERSON OR
COMPANY THAT HAS PR+OVIDED�TC1 YCfU A "Nfl►T#CE Tt� OWNER." FL�RIDA'S
C4NSTRUCTION LIEN LAW IS Ct�MPLEX, AND IT iS RECOMMENDED THAT YOU -
CCINSULT AN ATTORNEY.
_ CHAPTER 558, FLORtDA.5TATUTES, CdNTAiNS.iMPC1RTANT REQUIREMENTS
; YG1U MUST F�LLOW BEFfiaRE Yt3U MAY �3RiNG ANY LEGAL ACTION F�R At�
F
ALLEGED CON5TRUCTION DEFE�T 1N Y4ltR HQME. SIXTY QAYS BEFt?RE YOU
BRiNC,AI�Y LEGAi.ACTi�N, YC1U MUST DELIVER TQ THE OTHER PARTY TO
THIS CQNTRAGT A WRETTEN NC�TIGE, REFERRING TQ CHAPT�R 558, QF ANY
CqNSTRUCTION COlVDITIONS YpU ALLE�E ARE DEFECTIVE AND PROVICIE
SUCH PEl�SON THE OPPQRTUNITY Ta II�SPECT THE AL1.EG�D CCINSTRUCTi0ri1
DEFE�TS:AND TO CONSI'�ER MAKtNG AN OFFER T8 REPAIR QR�PAY FOR TH£
ALLEGED GONSTRUCTlt3N DEFE�TS. Yt3�� AR� NOT t?BLtGATEC}"TO ACGEPT
ANY AFFER WHiCH MAY BE MACtE. THEt�E ARE ST�tiCT DEADL(NES AND
PROCEDURES UNClER THIS FLOf�iDA LA1M WHICH MUST BE MET AND
�
FOLlOW�D Tq PRaTECY YOUR INTER�STS.
S��na�ure: �''��� ���I M Date: L��'����5`
i
Signatur�: 1 Date:
Page:3 of 3 �
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i.A}1 materiai is guarantecd to be as specified and co�gieted in a sub&taritial workmanlike manner.
2.Att agreements eontingent opon strikes,accidents or delays heyand our controt.Ovmer to earry fire,hurricane and other necessary
insurance upnn ahove work.
3_Labar wairaitEy does not eoVer datnage to roofs eaused by lighting,hu i canc,tornado,hailstorm,impact'of foreign objects or other
violent skorm or casualty dattiage to mofs due to selUer'nent,distorkion,failure or cracking of roof deck,waTls or foundation af a
building.Interior water damage will he covered for a period of 12 inonths from time of job completion.
4.Workmen's comgensaHon and public liability insurarice on sbove work to be taken aut by 1tYMAN ROOFtNC,ar its sub-
contractors. j
5.RYMAN ROOFING,INC.is not responsible to provide any mate�iels or fo perform any work ofher than what is described above.
Replacement of deteriorated decking,fascia 6oard or any other additional maieriats/labar thatmaybe needed and is not descrihed �
above will be ciearge as an extra unless ot�terwiae state�herein. �
6.T'his contraet is subject to final approval by RYMAN ROOFING,ING�'.and is the entire agreement af the parties and no other
written or other Torms will be recognized. , I
7.A chaz�e of I.5%wi1l be mede on all unpaid balances after 30 days pius attomey's fses.
8.A 4%processing feo will be added to att credit Card orders.
9.Ryman Roofing,lnc.will not b�held responsble fo�any septic tank,'sod,stnvbbery,driveway,conerete,sidewalk,piping af any
type that may occur from ihe refcrred job.Not respansibte for eatcitite signal toss.
(p.Ryman Roufing,inc.is not responsibte for the painti�g of any replaced/non-repiaced items such as,6utnot timited to,fascia
boazds,rafters,plywood,sidittg,ete.
i l.This proposal is subJect ta buiiding department ap�rovat and�nai detaiis appraved by Ryman 3taofing,inc.and maybe cancelled
by Rymen Roofing,tne,at anytime for anry reasan before commencoment of.wark. •
i 2.Ali otose as pqsSible conditions shat3 be at the eanfraetar`s discretidn due ta variables in matching exisEing r,andidons.
13,Contractor expresses na gusiantee an scheduling eiccept that ai1 customers wi11 be treated an a first cflme first serve basis and —
contraetor can nvt be respansi`(sie far deSays flue to masi pawer,materiai de]ivers andlor weatEier conditions.C}nea praject is started
continusl:pragress other than reasonabie detays wiii be made untii prnj�t oamptet�an.
t4.Purchaser(s}agree{s}to allaw I2yman Roafing,Tne:ttss of water and house power on site for duration Qf the projeat
t 5.Any approvals requiret3 by the Homeewners Association is the sole responsibility of the purchaser(s)
i 6.Fiydr�ulie dvmp tr�ailers wiii remsin an site until all work ia campleteil.If purchaset requires the dump trailar to he re-located or
removed bafora the compietian of tlte wark there wiU he an additional;charge of$195.4D per mnve added to the contract price.
i YI.A!t permits snust ramaia postesi at jab site and must remsin aocessible to inspectors to allow sign off of aU inspections.Tf
� paperwork is remaved before all inspccdons have been campleted theie will be a$100A0 re-inapection fee assessed to the property
owner.
l8.All a�diiional work reyuired will be submitted in a:changa order and must be apprpved in writing before commencement af said
work,a11 change ordera muat be gaid in full upon rmmaliate completion of said work,Att change•orders will be submitted in a timety
mannecto eliminate delay of wark,any change orders.whieh are not i dressed by the purchaser(s)in a timety mannar may reautt in a
delay of work oharge af ffi250.00.
l9.Existing damages such as but not limited too screen dama�e,paint,Tandscaping,pavement,etc.wiri be identified with photos,
Ryman RuoFing.inc.wil]not be held liable for existing damages i
Page 2.af 3
Si�nat�re: �cz�s+- 6�'r�-,��-�'�"i� Date•C��'-�y--�5
i
Si�ua�ure: • � Date:
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Florida Building Code Online Page 1 of 2 '
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�i�^da Decpartrr;ent� BCIS Home �NLOg In � User RegisVa[ion ; Hot Topi6 � Submi[Surtliarge ( S[acs&Fac[s Pu611raNans � FBC S[aff BQS SI[e Map � Links � Search ;
Busines r��
Professi�T"IGI � � PraductApproval ,
� USER:Public User
�
Regulati�n
Produc[Aooroval Menu>Product or Aoolication Search>Aoolica[ton List>Appliwtion Detail
FLif FL5293-R17
° Application Type Revision
Code Version 2014
Application Status Approved
Commenks
Archived 0
Product Manufacturer GAF
Address/Phone/Email 1 Cam us Drive
P
Parisppany,NJ 07054
(973)872-4421
I inda re i[h @tri nityerd.com
Authorized Signature Be[h McSorley
linda reith@trini[yerd.com
Technical Representative Beth McSorley
Address/Phone/Email 1361 Alps Road-Bldg li-1
Wayne,NJ 07470
� (973)872-4421
BMCSorley@gaf.com
Quality Assurance Representative
Address/Phone/Email
Ca[egory Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Florida Registered Archi[ect or a Licensed Florida
PrOfe55iOndl Engineer
� Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed[he Robert Nieminen
Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
qualiry qssurance Contract Expiration Date o1/oE/2o16
Validated By John W.Knezevich,PE
❑� Validation Checklist-Hardcopy Received
Certiflcate ofIndependence FL5293 R17 COI 2015 OS COI Nieminen.odf
Referenced Standard and Year(of5tandard) Standard Year
ASTM D6878 2008 �
FM 4470 1992
FM 4474 2004
TAS 114 2011
Equivalence of Product Standards
Certified By
Sec[ions from the Code
�
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquwV cLTLes7wT... 6/23/2015
I
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I Florida Building Code Online � Page 2 of 2
• , ,
Product Approval Method Method 1 Option D
, Date Submitted 04/SS/2015
Date Validated 04/20/2015
Date Pending FBC Approval 04/22/2015
Date Approved 06/23/2015
Summary of Producis I
FL# _Model,Number_or_Name—�-------- —Description--- �T'"_."—"°°-- '
5293.1 EverGuard TPO Single-PIy.Roof;Membrane Single-ply,thermoplastic polyolefin roofing systems J
—-_ _' SysEems -� �
Cimits of•USe--'�°' ' ^ Installation Instructions
Approvedfor usein HVHZ:No FL5293 R17 II 2015 04 FINAL AS ER GAF EG TPO FL5293-R17.odf
Appraved for use outside HVHZ:Yes Verified By Robert Nieminen PE-59166
Impact Resistant:N/A Created by Independent Third Party Yes
Design Pressure:+N/A/-502.5 Evaluation Reports
Other:1.)The design pressure noted in this application relates to one FL5293 R17 AE 2015 04 FINAL ER GAF EG TPO FL5293-RI7.odf
specific assembly in the ER Appendix.Refer to the ER Appenilix for all Created by Independent Third Party•Yes
' systems and associated max.design pressures.2.)Refer to ER Section 5
for Limiks af Use �
��
Contact Us 1940 North Monroe Sheet.Tallahassee R 32399 Ghone:B50-487-1824
The State of Florida is an AA/EEO employer.Coovriaht 2007-2013 5[a[e of Florida. Priva�v 5[atement Accessibilitv S[a[ement Refund Statemen[
Under Florida law,email addresses are public remrtls.If you do not Iwant your e-mail address reieased fn response to a puhlic-records request,do no[send electronic
mail to Nis en[ity.Insteatl,contaR the offlce by phone or by[radltional mail.If you have any questions,please con[ac[850.487.1395.*PUrsuan[to Seccion 455.275
(1),Floritla Sta[utes,effective Oc[ober 1,2012,Iicensees Iicensetl under Chapter 455,F.S,mus[provide[he Departmen[with an email address if they have ane.The
emalls provided may be used for official communication with the Iice�see.However email atltlresses are puhlic record.If yau do not wish[o supply a personal address,
piease provitle Ne Department with an email atldress whlch can he made available to[he public.To de[ermine if you are a Iicensee under Chap[er 455,F.S.,please
click here
�Praduc[Approval Accepts:
� � eC1�cA �
sccuriYvscs�aacc'S
�
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquwVcLTLes7wT... 6/23/2015
From 8137886773 1.813.788.6773 Fri Nov 13 13:23:23 2015 MST Page 1 of 1
11f1312015 16:21 8137886773 RYMAN CONSTRUCTIDN PAGE 01/01
.Z015 FLO I 0 LI B COMPANY ANNUAL�REPORT F��Ep
4'
" DOCUMENT#L09000114i32 A�ar 18, 2015
fnNky Mame:C&f2 N�LDINGS OF ZEPHYRHILLS, ��,C Secretary vf State
Current PrinCApal �ce of Business:
CC8372442355
5221 �TH STREET ' �
' Z�PHYRHILLS, FL 39542
Current Ma�lin�Addres$;
52,�1 STH STRE�T
�EPHYRHiI.LS, FL 33542
FEI Number,45-4862774 Certi�icate of$tatus Desired: No
Name and Address of Cur'1'�nt Registered A�ent:
GOLSON,W GREGORY ESQ
174Z5 BRIDGE HI�I.CdURT
SUIT�202
TAMPA,FL 38647 US
, 7 ho&bov6 nemad entlty 8ubinlls Ufls sfetemerrt fnr Nr�purppsg a(changing!t8 I@�lst9tgtl ofAce or reglSteretl 3g9nf,or Golh,!n!hD Stefe of FJo�lde.
$IGNATURE: ' •
��echonia Signature o4 Registered Agent ' � Date
A�utharized Person(s}Detaii: �
Title MGRM Title MaRM
Name HODG�S,CAROLYN Name L�BI.ANC,RACHEL
Address 5221 BTH STREET Address 5221 8TH STREET
City-Stsbe-ZIp: ZEPHYRHILLS FL 33542 City��9fate-71p� ZEPHYRHILLS FL 3354Z �
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�fte�eDy ceMKy fhaf?ha Jnformsf�indicafed on fhla roporf ar suAWemtrnMl rr,pw�!s true errd accu+pfe t+ntl mat my afad,wNc aMnefuro shaA Rave tRe aemo lagp�etft+ct aa,7mnda under
oBtA;f118t!efh a mnnaglnp mem0er vr mnns9aral fAe Ghilbd Ib+bt/qF'�A�Y w thp reoc+lver or huctmi ampowaretl!a omwm flits repoA me mquh�d bY Clieptor 6Ca.FM!!da SfatuMa�end
lA91!nY nemo aPp���ppye.oron art p�f�IRrenf wRb n0 otbglAke lmpo�wrnd.
SIGNAtURE:RACHEL LEBLANC MGRM 03/98/z045
' Electroni�Signature of Signing Authorized Person(s)betaif Date