The URL can be used to link to this page

Home My WebLink About15-16802 , CITY OF ZEPHYRHILLS 5335-8TH STREET �� sis��so-oozo 1680 BUILDING PERMIT I - PERMIT INFORMATION . LOCATION INFORMATION Permit Number: 16802 • Address: 37513 SERENITY AVE ' 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: VALLEYDALE RO ASSOCIATION Est. Value: Parcel Number: 03-26-21-0170-00000-0100 Improv. Cost: 5,918.00 � OWNER INFORMATION Date Issued: 12/09/2015 Name: VON SCHILLING HENRY& GISELA Total Fees: 97.50 Address: 37513 SERENITY AVE Amount Paid: 97.50 ZEPHYRHILLS FL 33542-4837 Date Paid: 12/09/2015 Phone: 813-355-3195 Work Desc: REROOF TPO CONTRACTOR S - APPLICATION FEES � COMFORT COVER S E S NC REROOF RESIDENTIAL 97.50 I � ) 2 - �� -� J �� Ins ections Re uired � � � DRYI ROOFINSP TAPE JOINTS ROOF INSP� FINAL p�17 -�,� 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 I 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 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 properly. 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 BEFORE C.O. NO OCCUPANCY BEFORE C.O. i CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 0 O i • � -�_;,IIOP� ��' -� �� _ , �` , II `.`,�. City`of Zephyrhills ' BUILDING PLAN REVIEW CONIMENTS I Contractor/Homeowner: �MFD(��" C�V�� T� U C ''i Date Received: � l — 2.� — l S Site: 3�5 � 3 �J CP.LN 1�Y �vt. Pernut Type: 1\�.Roa►_ �. P � 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. i ` , /�� -�d Kalvin wi — 1 s Examirier Date Contractor and/or Homeowner (Required when comments are present) � � � Iillllllllllilllllllllllllllllllllllllllllllllllliilllllllll � � 2015189476 Permit�lumber: Folio/d�arcel Iden4ifiication Number: G3-aG-a--1-��e'oaoo o-�►o� Rcpt:1730277 Ree: 10.00 Prepared by� �GN,�( �: �aQ,_� DS: 0.00 IT: 0.00 � 11/25/2015 S. S. , Dpty Clerk Retum to: C�,.�,��- C��t r S�5�:..tis �4,-�� . I � �� L��( S`� 7 PqULA S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER C.(r,�c�,�e�� 'c.-33756 11/25/2015 12:47 m 1 of 1 ' �� co�� OR BK �2�� P� 23�19 Sta�e or Florida, County of t�0.sw ' The undersigned hereby gives notice that improvemen4 will be m2de to certain real properiy, and in accordance i with Chapter 713, F{orida Sta4utes, the following inr'orma4ion is provided in this r�otice of Commencement. 1 �esc�ip�aro of pr��j legal description oT the properry, and stre�t address ifi available) -��.s�3 ��e.� �� Av, L��F 1 o UG((��Ik.��'l 1f�P Z�°�"� �C.- 33s�a- 2 ��98k,'�0(��.SCY��3$iOPI 07 9P79�3�OV�P3I�PA� Reraof 3 �raaeP ie�Yorrraa�ion oe L�� infoevaaa�on i�the Less�e contPac��d far t9ae iolapa�des�aera� i�ame e�r� � c,�' ; � Address_ �i� I 3 �S�c-c Y��r � f..4 r l-; �_ 3�S��-- )nterst in Proper'ty e�r,,.� �asaa�and a�de�ss of�ee�i��le 4a�Y�soOder('rf difrerent from Owner listc-d above) (�ame�A . ,�ddr�ss � 4 Co��c�or P�ame Rebecca J, �Aavs/Comfort Cover SysYems, Inc. Telephone Number 727-298-0965 Addt^�ss 711 Tumer St_ Clearw+ater, FL 33756 5. Sa�Pety (if appl9cable, a copy of the paymen4 bond is attached) Riame�� Telephone Number , Addr�.s Amount of Bond � - 6. Lendee Pdame�A ' � Telephone Number Address ' 7, ��ns dvithcn t�e Sfi�e ef Flo�ada d�sag�ated by�rvoer upo�a v�h¢�rn �o�sc� oP o�heP de�ca��ea�ts �aa� �see�ed a� provad�d by §7�3.13(1)(a)7, Florida S�#utes. Name iWa Telephone iVumber Addrass , 8 la� �c�d�t�a�to h8�sedf a� hees��f, Oa�cter des4gnat�.s the fi�4lo�ir�g fio raceiv� a copy of�he Lieno�'s R1m�ac�as p�ayided i� §713.13�1)(b), F@o�ida St�t�ates. : Name��A Telephone Number Address ' - � 9 F�cpiPa�ion daie o��o�ac� o�con�rr�e�aceaiaerat (4he expiration date may no4 be�before tne comaletion of cons4ruction and final payment to the contra�ctor, ut will be 1 year from the date of recording unless a di�rer�nt date is specified} �-� /�-� r� �A4�IR9G TO OWBJ�&Z:A6�Y PAYt�AB�AflAD�BY i'HE OVViNER,��R THE EXPE92�TiORJ OP.:THE�lOTiCE OF C�"��PdCEih�EPJT ARE C�SIDER�D lA9PROPER P�`(k�lER1TS UPiD�R CHAPTER 713, PART I,S�CTIORI 713.13, FLORIDA STATUT�S,Afl1D CAA�! R�SULT IN YOUR PAYiPlG T{MC�FOR IR�P�ObEs'i�EAITS TO YOUR PROPERT(.A PfOIiCE OF CO@�tt1A�'�C�7�P3'f�AUST 8E R�C�i��D AF1D POST'�D 0�1'i1i�JaB S1T��FORE THE FIRST IPfSPECllO�l.IF YOU Ih!"fEPlD TO OSTc'�Vd�iP�A�C1�k}G,COA�SUL7 . Wli�i i YOUR LEid�ER OR�f ATTORR9EY BEF�RE COPe9�ER}C}NG U�JORt4 OR RECORDING YOUR Pd07iCE OF CQ��AEt�C��7�i�T. Ured�P pec�at� of p�r��ry, I declar�tha� ! hav� e�ad t��foragoir�g notice or co�aarr��v�ce�e��a�d�naf i;�� rj � �k i� i� t��he �Sest a�er�y E��ao�nrledge a�d belief, _ _ �dy - _- ' �gn r or Less , ers or Les.See's Authorized O�icedDirectorlPartner/PAanager Signatorys T�1PJO�ice � ; The ior�going instrument was acknow�ledged before me 4his-�day ofi �I /� by 1�-�. ..5� �'0�1 Se�i Z-L J� m th/year ' nama of person • as for Type of authorfty,e.g., r,Vuste�,attomey in fad Name of party on behatF of whom instrunent was e;r�cuted i � ' nature of No Public-State of Florida Print,type,or stamp ccmmissioned nam,e of Noiary Public � Personally Kno��Yt� OR Producad ID � ��"�Y,��B�% CATHICHAMBERWN , ��fL�a b� ,� � * MY COMMISSION#EE 21883i i� �' e EXPIRES:July 23,2016 �rFOF F10�\� Bandzd Thtu Budget Notary Seivlces ��. � 0 � .'�� STATE�F FLORIDA, COUPITI(0�' PASCO � ��r�. � o T I �� H S IS TO CERT(FY THAT THE FOREGOING IS A � � A . � TRUE AND CORRECT COPY OF THE DOCUMENT � , �.rt � �� ON FILE OR OF PUBLIC RECORD IN THIS OFFICE G �.er, WITNESS MY HAND AND OFFICIAL SEAL THIS '�r ^ DAY OF p(� . 2 � ��'• �t� 0,�.�' �� • PAU S O'NEIL �LE &COMPTROLLER , � �.�:� �� ' �`�* � o {a BY Y CLERK �d��ORID� ' � � _� s��-�so-oo2o City of Zephyrhills Pe�mit Application Fax-��-�so-aoz� • Building Department �� p_ �t r�� v� \ Date Received phone Contact for Permitting 7 11 ��S _ � � � 1 OwnePs Name �-��h c� 6c1� G��v� -- Owner Phone Number �13�' ��"�/ ,5 Owners Address �75�� Y�� , Owner Phone Number Fee Simple Titlehofder Name E�L � Owner Phone Number Fee Simple TiHeholder Address JOBAOARESS ��75�3 S�c�r`� �` v � LOT� �a 9UBDIVISION UG I`� ��e f1�'Hp PARCE�ID# ��'a�'�l-Cc�?O—csaCsOo -o�a� (OBTAINED FROM PROPERTY TAX NOitCE) WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q pEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER pESCRIPTION OF WORK �e c a r�( �Q�o;l e �n sn..�. C.{'', �rti ( y'l (��b+-a,�- --i BUILDING 31ZE � SQ FOOTAGE l a a a— HEIGHT �J � Q BUILDING $ VALUATION 0�TOTAL CONSTRUCTION �1 f �-U� [� ELECTRIGAL $ AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C. � Q PLUMBING $ �� C MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION CP�SQ,� � � [� GAS [� ROOFING Q SPECIALTY Q OTHER � N� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES �NO � �O" BUILDER ��OMPANY o:w-�t f�— � vc P s S d�-s,�I-+l.c, SIGNATURE �� REGISTERED Y N FEE CURRENT Y/N Address � �� U c v��c r s� �c�ct,,,4�r � 33�`S� License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# �� PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y!N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# � OTHER COMPANY SIGNATURE REOISTERED Y/ N FEE CURRENT Y/N E►ddress License# RESiDEN71AL 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,Construdion Plans,Stormwater Plans w!Sift Fence installed, Sanitary Faalities 8 1 dumpster,Site,Woric PeRnit for subdivisionsAarge projects COMMERCIAL Attach(3)complete sets of Buildirig•Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fenoe installed, Sanitary Faalities 8 1 dumpster.Site Wortc Permit for all new projects.All commercial requiremerrts must meet compliance SIGN PERMIT Attach(2)sets of�ngineered F'lans. ""PROPERTY SURVEY rsquired for all NEW construction. Directions: Fill out application completely. � ' OwnerBContraFtor•sign•bacic�of.appli�ation,.notarized • If over:2500,a Notice;of Comrnensemerrt is requlr�d, (A/C upgrades over 55000) " Aqent(for tlie contrador)ot Powe�`of'Attomey�(f4F the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITi1NG� •�(Front of Application Qnly) Reroofs -''��Sewers < �• Servioe Upgredes��•^° AIC Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW __ ��i nn NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed"restric#ions" which may be more restrictiue than Gounty regulatians. The undersigned assumes responsibiii#y for compliance with any applicable deed rest�ctions: UNLlGENSEQ CONTRAGTOR& AND GONTRACTQR RESPONStBILtT1ES: If the ownec h�s hired a contractor or contractors#o 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 contractac may be cited for a misdemeanor violation under sta#e law. If the owner or intended contrac#or are uncertain as to what ticensing requirements may appty for the intended work, they are advised to contact the Pasco County 8uilding Inspection Division—Licensing Sectipn at 727-847- 8009. �urthermore, if the awner t�as hired a contractor or contra�tors, I18 1S �t�VtS�CI t0 11�YE tI9@ CO(ttt8t�Ot{S} �!{�t} portions of the"contractor Blocic" 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 nat propetly licensed and is not erttitled to permitting priviieges in Pastx� County. TRANSPORI`ATION IMPACT/U"TILITIES IMPACT AND RESOIJRCE RECOVERY FEES: The undersigned understands that Transportatiort lmpact Fees and Recourse Recovery F�es rttaY aPP}l+#o the constrt�ction af new buildings, change af use in existing buildings, or ex�►ansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersignet� also understands, that such fees, as may be due, wiil be identified at the time of petmitting. It is fut#her understoad tha#Transpo[tation tmpacE Fees �nd Resource Reaavery Fees must be paid prior ta receiving a °certificate of accupanc�' or final power release. If the prcrject daes nat invalve a certific.ate of occupancy or finaf pawer release, ihe fees must be paid prior to perrrtit issuance. Fu�fherma�e, if Pasco County WaterlSewer lmpac# fees are due, they must be paid prior#a permit issuanGe in accardanee with applicable Pasco Caunty ardinances. CONSTRUCTlON L.IEN tAW(Chapter 713,Florida Statut�,as amended}: !f valuation of wark is$2,5fl0A0 or more, t I certify #t�tat t, ttte applicant, have been provided with a copy of the "Flarida Constnucfion Lien Law--Homeowner's Protection Guide" pr�par�d by the Flonda Departrnent of Agriculture and Consumer Affairs. If the applicant is sameone , ofher tfian the°owne�', 1 certify that t have obtained a copy of the abov�described document and promise in goad f�ith to deiiver it to the"owne�'prior to commencement. CONTRACTC�R'S/QWNER'S AFPiDAVlT: 1 certify tha#aA the informatian in th�s apptEcatian is accurate and that al!work ', wiit be done in camptiance with afl appt�cable iaws regulating construction, zoning and land deveiopment. Application is � hereby made to obtain a permit to do work and installation as indicated. I certify that na work or installation has cornmenced p�or ta issuance af a permit and ittat ail work witl 6e perfartned ta meet stancfards of af! taws regula�ting construction, County and City codes, xoning regulations, �nd land develapmen# regulations in the jurisdiction. I also cerkify khat 1 understand that the regulations of other government agencies rr►ay apply to the intended work, and ifiat 1#is � my responsibility#a identify wha#actions i must take to be in co{rapliance. Such agencies inciude but are not limited to: - Department of Enviranmental Protecdan-Cypress Bayheads, Wetland Areas and Environmentally Sensitive [.ands,VttatetJWastewater Treatmen#. - Sauthwest Florida Water Management District-We�ls, Cypress Bayheads, Wetland Areas, Attering W�t6fCOUfS�S. � - Army�Corps of Engineers-Seawalls, Docks, Navigable Waterways, - Department of Health 8 Rehabilitative Services/Environmental Health Unft Wells, Wastewater Treatment, 8eptic Tanks. � - US Environmental Protection Agency-Asbestos abatement. � - Federat Aviatian Authority-Runways. ' t understand that the foiiowing restrictions apply to the use of fill: , - Use of fill is not alldwed in Flovd Zone"V"unless e�ressly permitted. ' - t# #he fill meterial is ta be used in Fload Zane °A°, it is understood that a drainage plan addressing a� "campensating volume" will be submitted at time of permitting which is prepared by a prafessional engineer Iicensed#�y the State af FEorida if the filt materiai is #o be used in Flood Zone "A" in connection with a perrnitted building using stem wall ( construction, !certify that fill wi!!be used only to fiU#he area within tha stem wall. - If fiil rrtateriai is to be used in any area, ! certify that use of such fil1 wilt nat adversety atfect adjacent properties. If use of#ill is found to adversely affect adjacent praperties, the awner may be cated for violating �i ttte corrditions of the build�ng permit issued under the a#tac#�ed permit-applicatian, far tats less than one {1} acre which are etevated by fill, an engineered drainage plan is required. ' If I am the AGENT FOR THE OWNER, ! promise in good faith to inform the owner of the permitting canditions set forth in � this afftdavit prior ta comm�ncing canstruction. 1 understand fhat a separate perrni# may be required fOr electrical wark, plumbing, signs, wells, paals, air conditioning, gas, or other installatic►ns not sper.ifically included in the applicatian. A pem�it issued sh�11 be construed#o be a license#o proceed with#he work and not as authorify to violate, cancel, alter, or set aside any provisions pf the technical cod�s, nor shall issuance of a permit prevent the Building OfFcial from there�fter requiring a correction af e�rors in plans, constn�ction or vialations of any codes. Every permit issued shall become�nvalld unless the woric authorized by 5uch permit is commenced wi#hin six months of permit issuance, or if wark authorized by the perrnit is suspended or abandoned for a period of six(6)months after the time the woric is commenced. An extension may be requesterl, in wri#ing, #rarr� #he Build�ng �fficial for a period not to exceed nine#y (90} days and will demanstcate justifiable quse for the e�ctensian. If work ceases for ninety(90)consecutive days, the job is considered abandoned. . - _ — � ^ WARNING TO OWNER: YOUR �AiLURE�TO RECORD A NOTiCE t3F C4MMENCEMENT MAY RFSULT IN YOUR PAYING TWIGE FOR IMPROV�MENTS TO YOUR PROP�RTY. IF YQU INTEND TO 08TAIN FINANCING,CONSULT 1MTH XtJUR�.ENpER OR AN ATTORNEY BE�ORE f2ECQRDtNG YC?UR NOTICE 4�COMMENCEMENT. FLORIDA JURAT(F.S.117.03) I OWNEF2 OR At'aFNT COAI7RACTOt� �,,,,� Subscribed and swom to(or aflirmed)befare me this Subscribed and swom to(o rmed)bef ine this � by �Y Who islare persanaily known#o me or hasfiave produced Who Islare persartaily knawn to me or basfisve praduced � as identification. as idernification. � Notary Public Nota Public Cqmmission N�. Cammission No. ,�'" Nota PubNc Smte M Fbiida . Anne Hilthause ` y c � My Gammisaion FF 887387 ' Neme of Notary typed,prirrted or stamped Name of Notary typed,pri P"8S Contract ' ��y S�,-fN FL Lic. #CCC057091 (727)298-0955 711 Tumer St. (800)226-0955 Fax:(727)298-0111 COM ORT �OVERSy5TEM5 Clearwater,FL 33756 PROUDLY ROOFING SINCE 1985 EN2� 9 G�S�i.A PROPOSAL SUBMITTED TO U pn1 S G�� LL�i.!C, PHONE $�3- 3 j'3{ SCONTRACT DATE J�'I�:f s Seasonal Resident ✓ Full Time Resident STREET �7S I,3 S��/r \/� ALT ADDRESS CITY,STATE,ZIP �P d{ i LLS� , �L �j S� Z MHP NAME V�L(.E`i � �� 1 i.,l�}� eF REPRESENTATIVE: �—TfAMU P i� APPROX.JOB START DATE L �� We hereby submlt the following specifications and eatimates: Year: i�T Make: �f n�PT r Model: ft1�INSTALL COMFORT COVER SYSTEMS PATENTED ROOFING SYSTEM FOR THE FOLLOWING AREA:_ MAi.� �2 SYSTEM TO BE INSTALLED: � WHITE GREY BEIGE � INCLUDE DOUBLE-FOIL-FACED INSULATION AS INDICATED: X 2" nom. 3/4" nom. NONE � INCLUDE NEW VENTS, EXCLUDING FURNACE VENT; (ELIMINATE DEAD AIR SPACE VENTS) . �5 INCLUDE ALL REQUIRED PERMITS. � CLEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOBSITE. , #�_SKYLITES TO BE INSTALLED. NO INSIDE FINISH INCLUDED. 8 PROVIDE CONTRACTOR'S LIFETIME RESIDENTIAL LIMITED LABOR WARRANTY AND MANUFACTURER'S LIFETIME RESIDENTIAL LIMITED MEMBRANE WARRANTY TRANSFERABLE TO NEW OWNER FOR 15 YEARS FROM DATE OF THE ORIGINAL MEMBRANE INSTALLATION. SPECIAL liVSTRUCT/ONS & EX-T__R�4--WORK(USE ADDlTIONAL PAPER lF NECESSARY) - �i N�S �r(�G�' ��J�,r►��i �n.� �.�5-jvwi�2 s� �i�..�r�L !��0(Z�JA C- i3'-I !rl 24 J► �,� NOTE:RETAIL SALES TAX MUST BE CHARGED UNLESS THE CUSTOMER SIGNS THE FOLLOWING: I certify that I own the land on which the structure I am improving is permanently affixed Futhermore, I have filed a deClaration with the Prqp , y Apprai r �equest� -ihe structure assessed as realty and it bears an "RP" decal �� . � � �'s Z i� SIGNATURE �� " RP # (S) � 5 � CASH PRICE AND PAYMENT SCHEDULE: (Reference to a phase of construction means all work, materials and equip- ment necessary to complete that phase) Buyer agrees to pay Seller the Cash Price at Seller's office in accordance with the following payment schedule I have the authority to order the above work and do so order as outlined herein, 1. Price $ ��l S- D v it is agreed that the seiler will retain title to any equipment or material fumished /�� until final 8 complete payment is made. An express mechanic lien is hereby 2. T8X � �Y acknowledged for security of this debt and the total amount wili be paid within 3. Down Payment $ � �'terms shown. 4. Balance � /�.p�j I,(we)herewith expressly agree to pay not as a penalty but as liquidated damages,25%of the principal amount of this contract to ComfoR ON COMPLETION OF ALL WORK CoverSystems in the event of a breach of this agreement by I(we)for any reason whatever. Terms: O Cash O Credit(Subject to the approval of the Credit Sales Department.) Authorized � Signature �" NOTICE TO OWNER All m8terial is guafanteed to be as specified.All work to be completed in a workmanlike Do not sign this home improvement contract in manner according to standard practices.Any alteration or deviation from above specifica- blank,or before you read it.You ere entitled to a tions involving extra costs will be executed only upon written orders and will become an copy of this contract at the time you sign.Keep it extfe charge over end above the estimate.All agreements conlingenl upon strikes, to protect your legal rights.euyer's right to cancel accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary on reverse side insurance.Our workers are fully covered by Workers,Compensation Insurance. i Acceptance of Contract—The above prices, specifi- Signature � � � cations and conditions are satisfactory and are hereby � accepted. You are authorized to do the work as specified. Signatur � D l Payment will be made as outline above. � Florida Building Code Online Page 1 of 2 _ y.��. .�r,..�� -,�.=,.-_, �:--.-�- _ , :_ _- _ �a::�:�..-_,r-, �-x=�-a:�gi. �=.. , .;�; €�;_-=- � �;. ___ �� `" _ � It..�. `� �s��. ' �'�� :�.;:� � � � j --- E Y-- �", ' -��;- , B 6 e i ,�y �.., �_. -' � "r.+ r� - - ¢��"`£� ,{r.?y Y: _- •��,��..��'-i'?;j.^�-•_^;";."f^� .�. .. - �3'.- . '1—.=: .: .,-_ ." z __ _'._,.. . - �- ` .. BCIS Home Log In User Regist2tlon Hot Topics Submit Surcharge Sta[s&Factc Publicadons FBC Staff BCIS Site MaD Links Search � Business�4� ��, � �� :•, u E�P�i�APProval t ` Professional +�9�.a� �f�,Ew��+r�� ` i-��.�, ��- � �FZFp `, �c� "'cv_'_`- � —`> ----_' -�=-----�=- �-- - >Appliptlon Detail � L.4NS E �I�h��(��1 � ' ��.4., x�l��i111� , � �� FL# FL2534-R8 � ) G�.s;3f..' ' �__ Application Type Revision • Code Version 2014 Application Status Approved Comments . ALL WQ Archived P��qj�SHALL COMpLy �L ING CODES FLO WITH Product Manufacturer IB Roof Systems CODE,NAxION ' �DABUILDING Address/Phone/Email 8181 JetStar Drive ��1.�CT Suite 150 CITYppZ�pH�ILLS-ORp��N�� Irving,TX 75063 (800)426-1626 Ext 227 phillip.david@ibroof.com v Authorized Signature Phillip David phillip.david@ibroof.com Technical Representative Phillip David Address/Phone/Email 2877 Chad Drive � Eugene,OR 97408 (800)426-1626 Ext 227 Phillip.David@ I BRoof.com ' Quality Assurence Representative Address/Phone/Emaii Category Roofing � Subcategory Singie Ply Roof Systems Compliance Method Evatuation 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 Contrect Expiration Date OS/O1/2018 Validated By John W Knezevich, PE � Validation Checklist-Hardcopy Received Certificate of Independence _,_______-___________:____________ Referenced Standard and Year(of Standard) Standard Year ASTM D4434 2009 FM 4470 1992 FM 4474 2004 Equivalence of Produd Standards CertiFed By Sections from the Code h+r,.•//.,,.,,..,fl,,,.:a.,1.,.:1,7;..,. ,...,.i..«l..... „�., a+t ,,,..,..�..�..,......—...��vn...�Tl,..�....T"'77T'Vll_. L/r1A/'1/11 C Flarida Building Cade Onlzne � Page 2 af 2 Product Approval Method Method 1 Option D � Date Submitted OS/01/2015 Date Validated OS101/2025 Date Pending FBC Appcovai OSj07/2015 Date Approved' " , - � � 06/23/2015 � Summa oftProducts Fl# Mode(,Number or Narne Description 2534 1 IB Single Ply Roof Systems Reinforced, polyvinyl chloride single ply roaf systems � �imits of Use Instatlation Instructions Appraved for use in HVHZ:No ��z��ti ui: :i �l;__Oi GIf',=.L __F�= i!' Ri�'J� -L25��- Approved for use outside HVHZ:Yes ;�..Pd; Impact Resistartte N(A Verified By� Robert Nieminen PE-95166 Design Pressure:+IitJAj,5125 Created by Tndependent Third Party Yes Other: Refer to ER S,'ection�5 for Umits of Use.7he design Evaluation Reports 4 � pr�ssure noEetl herein,relates;to one specific assembly Refer =r 7_5;q RS �� r?� {;5 F;yn� 5� Fg F:�r,F ��,;�- � to the,ER Rppendix for alt'assembties and max.design 48.,ad; ;�, !;'' p[essures. : i r+ Created b Inde endent Third Pa Yes �: , , �r� Y P rtY� , ,� ' t ,' � r ,t ,� • �� ' ='1 • . � ' v .�i t t ;f j 7;1 ,i��i � ` i � t i:��` , , � 6d.".N (J(!'xt I * Contact Us 1940 North[�gnroe Street.Taltabassee FL 32399 Phone:850-487-1624 ' The State of Florida is an AA/EEO emptoyer CoovriqM 2007-2Q73 State of Ftoritla. Privacv SWtemenj :AccessibiliN Statement Refund Staiement Under fiorida Ww,email addresses are pubiic remrds.If you da not want your rrtwil address released in response W a public-records request,do not send electronic mail to thts enG[y.Instead,contact[he o�ce by phone or by traditional mail.If you have any questlons,please rnnkact 850.487.1395.�Pursuant to Section 455.275(1),Fiorida Statutes,effeCdve October 1,2012,licensees IlCensed under Chapter 4$S,F.S.mos[p{ovid8 the DepaKment with an email adtlress+f they have one.7he emaiis provided may be used!or otEicial communicatio�wRh the Iice�see.However emaii adtlre55es are pub�ic rernrd.If you do npt wish to supptY a personai atldress,piease provtde the Oepartment with an emaii address which tan be made availabie to the pubiic.To de[ermine if you are a iiCensee uader Chap[er 455,F.S.,O�ease click here P�roduct(A��p,'��pr�roval Acc�epts: ( L'_`__: I�k•�ol E:tfCt t�.:c+;t �I 4'a� urtirit� ` �.T'� � I II i I L..+�.�/....____.C1..�.7..t--_ra:__� _..��----r_.- ---_ J..t ..-----rr_..__-------r-�r�Tv�--1T�------T---nrvn__ rrner�n�e