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HomeMy WebLinkAbout15-16735 , CITY OF ZEPHYRHILLS . 5335-8TH STREET (si3)�so-oozo 16 5 BUILDING PERMIT ' PERMIT INFORMATION _. � LOCATION INFORMATION . Perrriit Number: 16735 Address: 38014 CHRISTINE AVE �ermit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: MOBILE HOME PARK Lot(s): Block: Section: , Square Feet: Subdivision: WINTERS Est. Value: Parcel Number: 14-26-21-0000-00200-0000 Improv. Cost: 4,455.00 OWNER.INFORMATION Date Issued: 11/10/2015 Name: WINTERS MOBILE HOME PRK INC Total Fees: 90.00 Address: 38022 WINTER DR Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/10/2015 Phone: (813)783-2584 Work Desc: REROOF TPO CONTRACTOR S APPLICATION FEES ALL FLORIDA WEATHERPR FING&CO REROOF RESIDENTIAL 90.00 E � - I � � � � J �� Ins ections Re uired DRY IN ROOF INSP TAPE JOINTS ROOF IN� FINAL � ` ���-1-I,S II 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 properly that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." • Co plete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. ONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER J s�s-��o-oozo City of Zephyrhills Permit Application Fax-813-780-0021 , Building Department Date Received — � phone Contact for Permitting �+�-7 �J ` � _ �i(J � l Owner's Name i�, scJ (C!� Owner Phone Number ��o ��7` IJ v �J Owner's Address � �J 1 '�`' �( ' ��h�li</c �y�� �'c�• Owner Phone Number �'ee Simple Titleholder Name �/�✓��il -G't•�. � Owner Phone Number Fee Simple TitleholderAddress �u l�'ZZ ��"� '"� `�� �rlT �jL�ri/ �� �+ ���'L JOB ADDRESS 38 D�t ��fr���i � AvE 2°E1�i����j�Gf 33� LOT# � SUBDIVISION l�V` G�C=U /"t.Tf.�. , PARCELID# ���� '� �`NO6JO" ' .GU �-liJ �hJ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE [� SFR Q COMM � TH TYPE OF CONSTRUCTION Q BLOCK Q FRAME � �STEEL Q DESCRIPTION OF WORK /vC" �AJ �7C� lC/V A1� �`� � C"� � /�,lrlGC'�i /"�� ('�(,��� ^�/�-�� BUILDING SIZE SQ FOOTAGE� HEIGHT �lif' OBUILDING $ /. O,�[� VALUATION OF TOTAL CONSTRUCTION ,,,�"`i_ F7 DELECTRICAL $ AMP SERVICE � PROGRESS EI�E�Y Q W.R.E.C. /I;� QPLUMBING $ j�j l � r � Li� �� z �' P �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION D � �aC ,o �GAS � ROOFING Q SPECIALTY � OTHER � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � �� � �'���� BUILDER ./''"��-Z�+✓9 y�l��D j'A,/�J � �y � COfiAPANY �l��a�� �I��(����CJ�I���iV 1�,. --- _. SIGPIATURE ���J,Et���'Y �� REGISTERED Y N FEE CURRE� Y/N Address ' License# V� ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUfUIBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Llcense# BflECHANICAL COMPANY SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N Address Llcense# OTHER COIIAPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N - Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCI,4L 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,Constnactibn Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance SIGPI PERflflIT Attach(2)sets of Engineered Plans. - '*'"PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. ' Owner 8 Contractor sigri back of application,notarized If over$250U,a Notice of Commencement is required. (AlC upgrades over;7500) ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERNAITTING (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 ` ' - '.,' � • , ;� '� . ~- , - , „ . . ..:....:... . ... .... .. . . . . ,.. . r 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 appiicable deed restrictions. � • �- ' , UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 appiication 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 County. � � , � TRAfdSPORTATIOfd IMP,fl►CT/UTILITIES IMPACT�1MD RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and F2ecourse Recovery Fees may apply to the construction of new buiidings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also uriderstands, 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.cer#ificate 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. CONSTRUCTIOfV 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—Homeowner's Protection Guide" prepared by�the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", 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. � COfdTRACTOR'S/OWNER'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 laws 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 that all work will be pertormed 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 wo�k, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not fimited to: - Department of Environmental Protection-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, Docks, Navigable Waterways. - ,'Department of Health � Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation:Authority-Runwa��s. _ ., , - _ _ 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 licensed 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 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 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 AGENT 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 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 permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension ___ may_be reque5ted,_in_writing, from_th_e_Bui�ding O_fficial for a period not to exceed ninetv_(90) davs and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. UVARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPEFZTY. IF YOU INTEND TO OBTAIN FINANCING, COPISULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) _ OWNER OR AGENT ��� � / � NC l.IY�L��r/� CONTRACTOR���` �'C�4��K-iQiLY Subscribed and sworn to(oraffirmed)before me this ,' � - Subs i nd worn to o i )�before�tne this � bY - � � ��y r1��r �c,���'-��_ Who is/are personally,known to me or has/have produced __ Who is/are personally known to me or has/have proc7uced as IdenUfication. � ' ntification. � Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped � ,,�ti�'�°y�¢. GAIL ZUPKO +; '.- MY COMMISSION U FF 126167 _;, 'a; EXPIRES:July 4,20t8 %S;�t��4d:`� Bonded 7hN Natary Public Underorriters � i isiiii iiiii iiioi iiiii iiiii iiiii iiiii iiiii iiiii i�iii iii�iiii • 2015177648 Permit Number: /' /— Rcpt:1725083 Rec: 10.00 Folio/Parcei Identification Number: �j-(� "�Yl�,�.�— DS: 0.00 IT: 0.00 I Prepared by:George Vaczi 0���_ on�/�/1_ ,q0oo 11/04/2015 L. S. S. , Dpty Clerk N w�J l� ROtUfi7 tO:All Ftorida Weatherproofing Ft Construction,�IlC. PqULR S 0'NEIL,Ph D PRSCO CLERK & C0�7PTROLLE ' ' 4231 112th Terrace N 11/04/2015 09:14am 1 of 1 Clearwater Fl. 337b2 OR BK ���Q� pG �r71�� E+ CJ NOTICE OF COMMENCEMENT State of Florida, County of ���' C,� The undersigned hereby gives notice that improvement wiA be made to certain real property, and in accordance with Chapter 713, Flo�ida Statutes,the foliowing information is provided in this Notice of Commencemenf. i. Desc 'ption of prope legai escripti n of t r nd str t d ress f av i b 4��a��- c��'�T%��-- ,���,'��i��`����.�� �� ��� z- ��'��'�'.� � .�y� 2. Gen ai des�c-n"pt'o�Qf improvement �J 3 Owner inf r af n o��essee i formati n if the Lessee contracted for the improvement Name L , Address / �� T/ Interest in Property � Name and a,d�{ess�o�f s'mple titleholder if/�f�f c.rent from Owner listed above) , Name � W(/L'T t� /t'�, !�, �: �/�^'C� - Address�_ r � ��C.. , G �1 �,G a 4 Co�tractor Name_ Trav;s Fufford � AU F(orida Weatherproofing&Construction Telephone Number_ 727-572-�019 Address 4231 112th Terrace N. Clearwater, FI 33762 5 Surety (if appucaote, a copy or tne payment bond ts attached) Name "�" Telephone Number � Add�ess Amount of Bond S ' � 6 Lende� ', Name "'A Telephore Number Address -- ^ -- I , 7 Persons within the State af Florida designated by Owner upon whom r�otices ar other documents may be served as provided by§713.'i3(1 (a 7, Ftorida Statutes. � ) ) Name ��A Telephone Number Address � 8. In addition to himself or herself, Qwner designates the foflowing to receive a copy vf the Lienor's Notice as provided in §713.13{1J(bj, Florida 5tatutes. Name "'^ Telephone Number Address � 9. Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 year from the date of recording unfess a different date is specified) "'A I WARNING TO OVYNER:ANY PAYMENTS MAdE BY THE aWNER AFTER THE EXPIRATION aF THE NO710E dF CdMMENCEMENT ' ARE CON5IDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES,AND CAN , RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A KOTICE OF COMMENCFMENT MUST BE RECORDED AND PO.STED 01+1 THE JOS SITE BEFORE 7HE FIRST INSPECTlQN.fF YOU INTEND TO OBTAIN FINANCING,CaNSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I de�lare that t have read the faregoing na#ice of commencement and that the facts stated in it are true to the best of my know(edge and belief. � �. �`. � . S�gnature f Owner or Lessee,or Ownet's or Lessee' A� orized OfficerlDirecta:IPartner/Man2 er Owner , 5 Signatory Title/Office The faregoing instrument was acknowledged before me this '�-" d2y of��,zois by �,���5�►L� ��{�Y aS ��er Self M�rh �ame of person for Type of authdrir� �,g..` ce�stee,attomey in Name of party behalf of whom instrumeni was e cut� � �, Signature of Notary Pubiic—Sfate oi Flarida Print,type,or stamp commissioned na - D•� ic x ;:�:�'""°°��;:;.ROBERT S MENDENHALL Fersonally KnoNrn �R Produced ID MY COMMISSION#FFo87023 .; Q= orivar's�canca Numbar `y+''• o°' EXPIRES OCtOb6f 29,2017 '',•,iFoF'f`P,` Type of ID Produced ��o>>3se-ois3 FloridaPloiarv���rvice.com ����� ...e . , . . s.�°��� STATE OF FL�ORIDA,CO�JN71��I�pA��� �•Z` ° �ia, THIS IS TO CERTIFY THAT TME�OREGOING IS A � � TRUE AND CORRECT COPY OF THE DOCUMENT � ' � � ON FILE OR OF PUBLIC RECORD IN THIS OFFICE � � od.�,,,e7,�= o WITN,ESSMYHANDA OFFICIALSEALTHIS � tnG :���'�••• �e ���DAY OF - 2� � ' � �q�,��q_ �O EI LER CO T�ROLLER � _� � 18J� Q' BY ���T��F�Q�`� � � � All Florida Weatherproofzng � Construction, Inc. � 4231 112�' Terrace North Clearwater, FL 33762 (877) 572-1019 FAX (727) 572-5670 State Certified License CCC1327406 r i �. Contractor's Letter of Authorization I hereby autho�ize the below named individual to act as my agent to obtain all necessary permits for residential roofing work for: . , Owner: ��lL� �E k,�.� At this location: �8� �� �i1�t��/�/�✓-� � �� ���1����/��.Lcl' This person is also empowered to obtain, complete, and sign all forms, applications, registrations, and documentations, with this limited power of attomev, on behalf of ine that may be required to accomplish this 'issuance of any permits that may be required in any jurisdiction throughout the State of Florida. Authorized FL Driver's License# Sisnature George C. Vaczi V200-303-60-054-0 � Contractor's Signature: � ���p� Travis A. Fulford— Contractor/Director Sta.te License # CCC 1327406 Notary (as to Contractor) Sworn to and subscribed before me this Z� day of ��� , 2p ��, Personally known to me��4�%�el ���� (print Name), or has produced as identification and who did(did not)take an oath. My Commission Ex 'res: � Notary Signature \ �Y pry 4 y *�. y4i,: GAiI ZUPKO • �,,; " MY COII'iMiSSlON�FF 126167 s�. '�: EXPIRES;JuIY 4,2018 �F�f�d`�� �nded 7hru Nofary Public Undenvritere /nor�z y��,� S�z�� • ALL FLORIDA WEATHERPROOFING � � ��:,�,�. AND CONSTRUCTION, INC. _ ;�t�.:,,r „ 4231112th Terrace N.•Clearwater,FI.33762 �� -;'�:-`'=-:''�'s=_ (87�572-1019•Fax(72�572-5670 - - - www.AllFloridaRoofs.com 'Firestone _ -"��,a��V.;Y w�R[�tT3 State Certified License#CCC1327406 • #CBC1259006 Owner(s)lPurchaser(s):/I9 R.�'J�'IXb,�ON/1�.D FeRI�I YPhone:(H) � �c>3�a-3a7-Q�9t Mailing Address:3 S0� G H�'��s/�n�P_/�4�.City: � County G� State:�Zip:,�.,�.5�� 1 � [Circle:SB HP Community Name: �1�/1� �/eS. Lot#: AltemateAddress: City: State:_Zp: Phone: E-mail: ` � UWe,ihe Owner(s)lPurchaser(s)of the premises described below,hereinafter referred to as"Purchase�'offer to contract w�h ALL FLORIDA WEATHERPROOFING AND CONSTRUCTION,INC.,hereinafter referred to as°Contractof to(umish,to deliver and arrange for insfallation ot a�materials necessary to improve ihe premises located at Jobsite Address: City: State:�aP: , according to ffie foliowing written spedfications: . , �SOLID WHffE MEMBRANE:BRAND ?�D �SHINGLE-LOOK MEMBRANE:BRAND&COLOR II orH�: 1.PROVIDE ENERGY-SAVING INSULATED WATERPROOFING SYSTEM FOR THE FOL.LOWING AREA(S): I /I?�, .,� �� � ����'�'��J R�F �Pcd� 2.INCLUDE ENERGY-SAVING DOUBLE-FOIL FACED INSULATION AS INDICATED: � O BRONZE:45 MIL NO INSULATION O SILVER.45 MIL 1-1/4"INSULATION �GOLD.45 MIL 1-S�ULATION �`(3.ALL CUSTOM ROUNDED PRESSURETRE FRAMING INCLUDED. � � 4.INCLUDE NEW SPUN ALUMINUM VENTS:�SMALL � LARGE INITIALS FOR �5.INCLUDE UP TO 100 SQ.FT.OF NECESSARY DECK REPLACEMENT.ADDITIONAL DECK SYSTEM \ REPLACEMENT TO BE INVOICED SEPARATELY AT$3.00 PER S�UARE FOOT. �6.INCIUDEALL RE�UIRED PERMITS. � CLEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOB SITE. �8.MAIL OUT[LIMITED LIFET/ME]NO-LEAK,TRANSFERABLE WARRANTY FULLY COVERING ALL LABOR AND � MATERIAL.($50TRIP FEE MAY APPLIn � �`9.ADDITIONAL INFORMATION: 10.IT IS UIVDERSTOODTHATTHE FOLLOWINGAREAS WILL�Qt Sxaprnry�x�a.qar�,aupramrrsavsag BE INCLUDED IN THE COVERAGE PROVIDED BY THIS �.amx��rs■a�iu�s ao�Nva�. AGREEMENT(Also See Drawing at Right): �u��o'n�►ax�s a�'��tws�• �"1al?,� '�L'�'���e�;�!' � �� �� OTHER NOTES: o e L � STO , INI S G ' NOTE:AETAIL SALES TAX MUST BE CHARQED UNLESS THE CUSTOMER SIGNS THE FOLLOWIN['i: I certify that I own the lantl on which the structure I am improving is pertnanently aflixed.Furthermore,1 have filed a declaration wtth the Property Apprafser requestlng the sWcture be assessed as realty and k bears an°RP°decal. SIGNATURE: The CASH CONTRACT PRICE for all Labor&Materials(including any applicable discounts)is$ ��l�J.� Terms�Cash O Credit(Subject to the approval of the Credit Sales Department) S Sales Tax S 3�I �l✓ If this is psh Vansaction,the purchase price shal b p ' Cash down P a y ment(Mlnimum 33Yo)= Ianee P a y a ble S ���L T o t a 1 P ri e e; Y �l w Iithis is a aed'R Vansacfion,the agreement for it is contained in a separate document wh' i is incorparated herin by reference and made a part thereof. UWe undersigned are hereby authorizing ALL FLORIDA WEATHERPROOFING AND CONSTRUCTION,INC.to verity and review my/our credit record with an inde- pandent credit reporting agency and release them from all liability incurring from inadvertent omissions or ertors. Verbal understandings and agreemenis with representaGves shall not be binding.All undetstandings and agreements must be set forth in writing fn ihis Contract.ADDITIONAL PROVISIONS ARE STATED ON REVERSE IDE AND ARE PART OF THIS CONTRACT. UNLESS OTHERWISE SPECIFIED,IT IS UNDFRSTOOD T NER(S)ISfARE READY FOR THIS WORK TO BEGIN.THE PURCHASE PRICE QUOTED ABOVE WILL BE HONORED ONLY UNTIL Purchaser(s)understands and agrees ihat if this agreement is cancelfed after the rescission periad, the Purchaser is 6able for twenty frve rce o e tatai sales priCe as damages to the ConUactor.In the eventihis afterto conUact is not aaepted by Contrador,any paymenl made hereunder shall be refunded to the Purchaser(s)and this proposai shail be nuu and void and of no eflect. Contractor is not responsible for e�risting structural defeds,dry rot or other factors beyond our wntrol.No repairing,plastering,pain6ng carpentry,ordecorat- ing is iriGuded unless specifiraliy charged for and specfied in wri6ng herein.Purchaser agrees to pay the Tatal Price in full upon installatian unless othenvisa agreed to in writing.If installation is started but not eompleted the same day and the parties agree ihat the installation is not campleted,Purctiaser may wRhhaid 10%of fhe Total Price until installa6on is completed. INWRNESSVYHEREOPPurehaser(s)havehereuntosignediheirname(s)this�dayof �C� 20�1 � and acknowled�e�re�eipt of a true co.py of this ContracL �--- -----------------------� � �v� in��v��v z l 7'v��,tS � �', �.��� , /o/��I �SU MITTE BY:Representative D e C E ED BY:PurchasedOwner D e I � �L�.:�. d - ��2lt/> >� �1�s�o/ ' � ACCEPTED BY:Author�zfld Signature for ConVactor Date ___ ACCEPTE�BY_PurChasedOwner ____ Date__J L------------------ I � � � t� � PRODUCT APPROVAL SPECIFICATIC)N SHEET As required by F3orida Statute 553.842 artd Flarida Administratnre Ccde 98-72.Please prov�de the ini�arrriation and approuai numbers on the bualding componerits listed below if they wiH be u�lized on the construdion projed far which yaa are apPMnS fac a building permit, We rewmmend ycu caritad your loca!prodad supplier should yau not know the produd approval number for an of the a licable listed raduds. Statewide a roved roducts are listed anlirte www.fladdabuildin .cr o u o Manufa�turer Product Descri tion rova!Nc�tnbe s 1. EXTERIOR DOORS �� A. SWINGING ' � . B. SLIDING , C. SECTI4NAUR01.�t!P Q. C?THER 2. WINDOWS ' A. SINGLE/DC3UBLE HUNG B. HORiZC3NTA�SLtDER ' G. CASEMENT D. FIXED • ' E. MULLIQN C F. SKYUGHTS G. 4TliER 3. PANEL WALL A. SIDING - B. SOFFiTS C. S'fOREFRONTS ,. � D. Gl.ASS SLaCK �--.. E. 4THER " 4. ROOFtNG PRODUCTS ''--� A. ASPhiALT SHINGI.,ES B. Id4N-STRUCT METAE. C. Ft00FlNG TILES D. StNGLE PLY ROOF Mu�e-t�Ide aroaucC,Co.,Is�c. 'rnermoR�astk Potyole�a sUs�►!e p{Y roaf syste�i�s AL127J�.! E. OTHER 5. S'iRUCT Ct?MPONEFt'fS A. WOOD G4NNECTORS S. WOOD ANCH4RS C. TRUSS PLATES D. INSUtATtON FORMS E. UNTEIS F. O7NERS 6. NEW EXTERIOR ENVELOPE PRUDUC7S A. The produds listed betow did not demanstrate pradud approval at pian review. t understand that at the fime of i�spection of these producks,the following informatian must be avatlable to the inspecEor on the jabsite; '!)copy cf the product approval,2)perFormance charaderis�tics which the produd was tested and aertfied to comply with,3)oopy of the applicable manufadurers insta!lation requirements.Further,I understand these products may have to be removed if approval can�ot be demonstrated during inspedian. . �_7 - � / r �"' AP L ANT SIGNATURE DATE�r R-130S 8'5-84 � ' rionaa t�ui�amg�aae Vnune https:tiwww.floridabuil@ing.org/pr/pr app_dtl.aspx?param=wGE... : ; � �� Product Appraval ��„ - USER:Pubi'K User ps � Prad��c A4orova(.(�,�*p�>ELVdSitt9.C1lqFtiCdti4ti`.tCarth>BRRIiGdti4,a.L35L>Apptkatian Detail FL# FL12772-R3 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Mule-Hide Products Co.,Inc. AddresslPhone/Email 1195 Prince Hall Dr Beloit,WI 53511-5481 {608)365-3111 Ext8Q9 lindareith@trinityerd.com Authorized Signature Timothy McFartand tindareith@tri nityerd.com TechniCal Representative Tim McFarland Address/Phone/Emai4 1195 Prince Hali Or Suite A Beloit,WI 535115481 {60$)365-3111 tim.mcfarland @mutehide.com Quality Assurance Representative Address/Phone/Email ' Category Roofing Subcategory Single Ply Roof Systems Compliance MeYhod Evatuation Repart from a Fiorida Registered Architect or a Licensed Florlda Professiastal Engineer • Evaluation Report-Nardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaivation Report Florida License PE-59166 Quality Assura�ce Entity UL LLC Quality Assurance Contract Expiratian Date O6J05)2d26 VatidaCed By 7ohn W.Knezevich,PE Validation Checklist-Hardcopy Received Certificate of Independence FL12772 R3 COI 2015 01 COI Nieminen.odf Referenced Standard and Year(of Standard) tanda Year RSTM D6878 2008 FM 4470 1992 FM 4474 2004 TAS 114 2012 Equivalen4e of Product 5tandards Certified Sy Sections from the Code Product Approvat Mekhod Method 1 Option D 1 of2 DateSubmitted 03J20J2di5 �J�S/2p15 g;�3 AM ns�a ir>�..+�tc.� n�i��i�nw c LL ' � ,,,��„a liu,���r,������,�,����C https:/lwww.tlaridabuilding.org/prlgr app dtt.aspx?param-wGE... I . rronuc�tip�rova�r�eu�ou i•teu�ou 1 v{�uoi�v Date Submitted 03/20J2015 Date Validated 03/27/2015 Date Pending F6C Approval 03/31/2015 Date Approved 06J2212415 Summary of Prodacks �__,_...�..._.......___-��__.:---._...;___.___..._...�.�.._ __�...____._� .W.._...�. _....��....._ t......�..---..._-_ i FL# Model Number or Name �Description ----».._. _�_...�_.._. , j 127?2.I �Mule-Hide TPO-c Single PIy Ro��of.�Thermoptastic polyolefin single pIy roof systems � j �Systems I , �........._ E !l"emits of Use � A�� �� w I Insta!lation Instruc#ians r 6 Approved for use in HVH2:No � FL12772 R3 II,�015 03 FINAL A1 ER MULE-HIDE TPO- � ; Appraved far use autside HVHZ:Yes c FL12772-R3. f � � Impact Resistant:N/A a Verifed By: Robert Nieminen PE-59i6b ; ; Design Pressure:+NJAj-495 € Created by Independent Third Party:Yes ° ; Other: 1.)The DP noted in this application pertains to one �Evaluatian Reparts � ;particular assembly.REfer to the ER appendix fpr all E FL12772 R3 AE 2Q15 03 FINAL ER MlJLE-NIDE�TPO- � assemblies and DA's.2.)Refsr ta ER section 5 far Cimits of =c F112772-R3.odf i Use. ; Created by Independent Third Party: Yes ' i.__.... .... i ?of 2 7/15l20]5 9:53 AM ;� � . , � , Mobilei�/Ianufactured I�ome Roof �overing I3etails Genera! Notes , ���r��a-r�a-,a��-� 1. SUB5TRAT£S TO BE A MINIMUM 15/32" CATEGORY B& C !5'A.SD. ,� w�ozrr�aRtes � FLYYl00D OR ME7`At DECK B 26go. OR DA24' fidOF(CAIEGORY 8J PR£SSUHES ARE!N ASD t 2 � 2. DD NOT QVfR TORQU£f;4S7ENERS. !F ro.� +1so-27.s +ts.p-46.a +16.0-69.8 FASTFNER 57RlPS OUT lNROUGH 5UBSTRA7� 5p s� t16.0 Z6.Q tIS.O-34.8 +rso-cr.s ........ • .......... Rf-FASIFN Wl7N RNOTNfR FAS7ENER W lN t" ipp sF +16.0-25.3 t16.0-30.0 tf8.0-30.0 ROf7F(CAtEGORY C)FRfSStlftES AR£!N ASD "' �� / 2 3 ALL fYOftK iS TO BE'tN ACCORIlMlCE Wf 7Ftf ro s� tl6.Q-33.5 +16.0-56,2 t16.0-84.6 fLORIDA BUlCDING CODE 2014 AND TH£2014 FBC sp sF +16.0-3t.5 +16. - .3 t!.o- .8 � = EX1571N6 8U(LU1NG -LEYtZ t AtTfRR7JON tpp sF t16.0-30.6 +16.0-J6.3 +16.0-36.3 " ,__.. ,,, ASCE 7-10 CHAPTER 26-31 FOR ALL WIND LOADS, ,�„ . " RNQ LQGqt CQDES BY tAfYS AND RECU1R77UNS RIDGE � �• •• .. [AP MIN. 6'E/W&HOT WHERE THES£TAICf PRECEDENCE BYASCf 7-f0 aR�CD(�YP) c.atcuc�norvs 3 2 3 �� N :'; • .. f60 M.F.N. �7NQ LOADS OR IESS M } ROOtING Al�itBRANf(Tt1?) • B&C EXPOSURf " • R1SK CAJECORY- TYPE!t 2 �1 2 � ,.. + 51RUC7URE ND MORE� 15'NIGN � :. • .. T"ROUND MEfAC RAWL G4LYALUMf w 3 2 � " #r2 scrs�ws,�/nrrx. r r12, Skylight Instalfation ��� ��M��8•o� oR�� r. �raat�oto sxrttcxr 3 2 .3 .... PER MNVUfACTt1RERS SPEGS �. .:•� :•::�::... z r�rrosract,�c N�sv r�vs�o cuRa srnlrcxr :: ';-; ':`:;;::;.:;."- .. �, r.�MrN s•e�w�Hor W/�10 X 5'SCREWS!N PRE-DRILCEO NOLES� 2 a 2 ::. ._; ::^'.; .;;.;; �'�.• �AtR WELD(rYP.J ............. �.>•., �•: g" ,............':::::"::::........:•;:;: ::.:> [c�`:`t � . . ::�. .. , . �rr:�� :s ..�.::... •�.. ` :'::.r .._,. �............ 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City of Zephyrhills BUILDING PLAN REVIEW COMMENTS L Contractor/Homeowner: /`►��/(6 ���^��C� Date Received: l��� s Site: ����C� �L���f3'1�°}'� Permit Type: P - e Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the pernut and/or plans. � ` I . / � � - � Kalvi � i er ans Exaininer Da e Contractor andlor Homeowner (Required when comments are present)