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Home My WebLink About15-16819 � � CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 16 19 BUILDING PERMIT PERMIT INFORMATION - � LOCATION,INFORMATION - Permit Number: 16819 Address: 6838 LUM DR Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: VALLEYDALE RO ASSOCIATION Est.Value: Parcel Number: 03-26-21-0170-00000-0530 Improv. Cost: 4,768.00 - OWNER.INFORMATION Date Issued: 12/10/2015 Name: KOLDEN SHERMAN A& SHIRLEY J Total Fees: 90.00 Address: 12023 GUST ERICKSON RD Amount Paid: 90.00 HIBBING MN 55746-8509 Date Paid: 12/10/2015 Phone: 218-263-4596 Work Desc: REROOF TPO CONTRACTOR S � � ` APPLICATION FEES - � - C MF RT COVER SYSTE S RER OF RESIDENTIAL 90.00 � � � - Z - � � � �,� a � " � Ins ections Re uired � DRY N R F IN P TAPE JOINTS RO F INSP, J FINAL � � � ` (� 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 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ' NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�s-7so-oozo ' City of Zephyrhills Permit Application Fax-843-780-0021 • , Building Department Date Received Phone Contact for Permitting �°L� �!S -- �� ( Owner's Name (�7 << � ��1��'� � �` ` Owner Phone Number �i 8�,a�3_�.'��. _. Owner's Address ��i��3 �--v w, �F, Owner Phone Number�� —� Fee Simp(e Tittefiotder Name N � Owner Phone Nurriber�� 1 Fee 3imple Titleholder Address JOB ADDRESS Gs`d 3�1 �-v� �� LOT# tS3 SUBDIVISION �c.�ley�l� � H� � PARCEI.tD# �3-�-6-al-Ctl7 4-U�voa-Q�S 30 (OBSAINED FROM AROPERTY 7'AX NO'itCEj W4E2K PR4POSED NEW CONSTR ADD/ALT Q SIGN [� MOVE Q DEMOLISH, e INSTALL e REPAIR PROPOSED USE � SFR � - COMM Q OTHEF2 TYPE OF CONSTRUCTION � BL.00K � FRAME 0 STEEL Q CiTNER�— ��I C� ,M t t t (� fn n DESCRIPTiONOFWORK Kecov-e� 1�1�b<�e �bw�e � ��aY�c��., t��,.. Gr�,d-�. �t� fe t'� ��vn t�i�e BUIF,DING SIZE � � SQ Ft70TAGE �� -�� HEtGliT � � � I � B��' � .c�'��„� .�}� � VAI,UATIQN OF TOTAL GCft�lSTR.UGTtON i j � �LECTRlCAL {$ � AMP SERVICE Q PROGREBS ENERGY C] W.R.E.C. � � PI..UMBING � � ��(�� i l 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �(\� •4w Q GAS Q ROOFING [� SPECIALTY [� OTHER FINtSHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES �NO � BWI..DER �'9 �� COMPANY �c�w��or.�-- �S�cC cS �� cl�t... � SI�NATURE 1 REGISTERELI N FEE CURRENT I N Address ��i j Lr.f,n e�" cS�-, C��,.r�r t337�� License# ��<1�� °I �—�� ELEGTRICIAN • COMPANY Si�NATURE REGISTEREt3 Y I E� FEE CURRENT Y 1 t3 Address � �lcense# �—� ! PLUMBER COMPANY S{GNATtlRE REG{STERED Y/ N FEE CURREtJT Y I�1 Address License# �^ � MECHANICAL COMPANY SIGNATURE REGlSTERED Y I N FEP GURRENi' Y 1 N Address License# � � OTHER COMPANY SiGNATUF2E REGISTERED Y/ N FEE CtiRRENT Y/N Address License# � � RESID�NTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon, � Minimum ten{1�}working days after submittai date. Rsqufred onsite,ConstrucHon Ptans,Skormwaker Plans w/Sitt Fence installed, Sanitary Facilities&1 dumpster,Sife Work Permif for subdivisionsllarge projecfs � COMMERCIAL Attach(3)complete sets of Building Plans pl4s a Life Safety Page;(1)set of Energy Forms.R-Q-W Permit for new conskruction. ivlinimum t�n(10}working days aftec submittal date. Required onsite,Gonstruction Pians,Stocmwater Plans w/Sitt Fence inskafted, � Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Aii commerciai requirements must meet aompiiance SIGN PERMIT Attach(2)sets of Engineered Rlans. � "'*'PROPERTY SUF2VEY required for all NEW construcfian. Directions: Fitl aut applica#ton completely. _ Owner&Contractor sign back of application,notarized If�over$2500,a Notice of Cammencement is required. (AIC upgrades over$5000) *'' Agent{for the contractor}or Power of Attorney(for the awner}wauld be sameone with notarized ie##er from owner aufhorizing same OVERiTHE COUNTER PERMITTING (FronYof Application Only) ,Rer�ofs' - '" Sewers�." �� Service tlpgrades AIC Fences{PtatJSurveylFootage} � .,,,..;�„ , _, _, `�,. �,Driveways-Nat oveP�Counter 1f on�•putilic toadways,.needs ROW � , -, ,._,it�::r,• , .. r, - � ,r;,.. ��; . _,.:J _ - . � „ -. .. , . •.w. , , :.r`, . ... � - NOTICE OF DE�D 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 witli any applicable deed resfrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILMTIES: If the owner has hired a contractor or confracfors to undertake work, fhey may be requireci to be licensed in accordance with sta�e and lacal regulations. If fhe contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If fhe owner ar intended contractor are ttncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building inspection Division—Licensing Section af 727-847- 8009. Furthermore, if the owner has hired a cvntractor or cantractors, he is advised to have the contractor(s) sign portions of the "contracfor Black" of this applicatian for which they wili be responsible. If you, as the orrvner sEgn as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco Caun#y, TRANSPORTATION IMPAGTIUTI4.ITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transpo�#ation lmpact Fees and Racourse Recovery �ees may apply to the construction of new buildings, change of use in existing buildings, or expansion of exisfing bui(dings, as specified in Pasco Counfy Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, wiil be idenkified at the time af permitting. It is furfher understood tFtat Transporfation Impact Fees and Resource Recovery Fees must be pa'sd prior to receiving a "certificate of occupancy" or final power release. If the praject does nok involve a certificate of occupancy or ! final power release, fhe fess must be paRd prior ta permit issuance. Ftarthermore, if Pasco County Water/sewer Impact ' fees are due, they must be paid priar to permit issuance in accordance wifh applicable Pasco County ardinances. ; CONSTRUCTION LIEN LAW(Chapter 7'13, Florida Statutes, as amended): !f valuation of work is $�,5Q0.04 or more, ! � certify thaf i, the appiicant, have been provided wifh a copy of the "Fiorida Ganstruction L.ien �aw—Horneawner's I Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If khe applicant is someone ofher fhan the"awner", 1 csrtify#hat 1 have obtained a capy of the above described ciocument and prornise in good faith to deliver it to the"awner" prior to commencemen�. CC}NTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that all the information in this applicatian is accurate and that all work � wilf be dane in compliance with all applicable laws regulafing construction, zoning and tand devetopment. Application is '; hereby made to obtain a permit ko do work and installation as indicated. I certify that na work or installatian has commenced prior to issuance af a permit and that aH work wil! be performed to meet sfandards of ali laws regulaf4ng j construction, C�unty and City codes, zaning regulations, and land development regulations in the jurisdiction. f also ' certify fhat 1 urlder�tand;that the reguEations of other government agencies may apply to the intended work, and fhat it is ', my responsibility to identify what ac#ions I must take to be in compliance. Such agencies include but are not limited to: - Departmetif of EnvironmentaE Pratection-Gypress Bayhsads, Wetland Areas and Environmentalfy Sensitive Lands, Water/Wastewafer Treatment. i - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering � Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. , - Departmen# af Health & Rehabilitative ServiceslEnvironmental Nealth Un'tt-tNe11s, Wastewater Treatment, Septic Tanks. i - US Enviranmenfal Protection Agency-Asbestos abatement. ' � - Federal Aviation Autharity-Runways. ! understand that the following restrictions apply to the use of fill: �" - Use of fili is not allowed in Flaod Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a "COCTI�@T1S�tiSl� VOIl1(Tl�" wi41 be submitted at time of permitf9ng which is prepared by a professiana4 engineer licensed by the State af Florida. - If fhe fill material is to be used in Flood Zone "A" in connection w9th a permitted biailding using stem wall I consfruction, 1 certify that frll will be used only to fill fhe area wRthin tF►e sfem wall. � - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent i properties. If use af fi(i is found to adversety affect adjacent properfies, the owner may be cited for violafing the conditions of the building permit issued under the attached permit application, for lats less than ane (1) acre uvhich are elevatec3 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 fhe permifting conditians set forfh in this affidavit prior to commencing consteuction. I understand that a separate permit may be required for electrical work, plumbing, signs, welis, poals, air canditioning, gas, or other instaliations not specifically included in fhe application. A permit issued shal! be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, ar set aside any pravisians of the technical codes, nor sha11 issuance of a permit prevent the Building �fficial from ther�after requiring a correction of errors in plans, construction or vialations of any codes. Every permit issued shall become invalid unless fhe work aufharized by such permit is carr�menced within six months of permit 4ssuance, ar if work authorized by � the.permit is suspended or abandaned for a period of six(6) months affer the time the work is commenced. An extensian may be requested, in writing;fror►m-the Building Officia!-for-a-period not-to exceed-ninety__(90_)._days_and will demonstrate __ __ justifiable cause for the extension. if wark ceases for ninefy{90)consecuf9ve days, the jab is considered abandaned.i � WARNING TQ OVYNER: YOUR FAiI.URE TO RECQRD A NOTICE QF CQNIMENCEM�NT MAY RE3ULT !N YQUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO QBTAIN FINANC�NG, CONSULT W1TH YQUR�.ENDER QR AN ATTORNEY BEFORE RECORQING YQUR NOTlCE OF COMMENCEMENT. FLORIDA JURAT(F:S.117.03) OWR2ER OE2 A��NT CONTftACTOR L" � ..— Subscribed and swom to(ar affirmed)before me this Subsc i6e and swom to{o ff'itmed}bef r��r e me fhis bY fa °( ts by �r �J cc� �� l�a��"� Who islare personally known to me or haslttave produced Who Is/are,�aersonally known ta me or haslhave produced as identffication. as identification. Notary Public Nofary Public Cammisslon No. Commission Nv. � �� otary u ic tete on a � Anne Hillhouse Name of Notary typed,printed or skamped Name of Notary typed,prinfed a f F� Expires 11/04l2017 : i i��lil illll liiil lilll lllil Ilill f111611i�1 llili�ilii Ifli Ilii � , ' 2015196165 � � —_--- --- --- � � Petmit Nurnber i2cpt:1732749 Rec: 10.00 Fo6olParcel idantific�rtion Pxumber. ��-�.6-�i- a t"?�-rloa�a -�s�a D5: @.00 IT: 0.00 Prepared by:`��..�,�( ta�`,(r�..� 12/09/2015 K_ M. , Dpty Clerk Retum io: �,�..��,�..�ve� �v�j-}ti„v.�� `J'�"'�' PAULR S 0'NE IL,Ph D PRSCO CLERK & CO�IPTRQL�ER i L 12/09/2015 10:1�3+am 1 ofq 1�rr� Z c� Tvr,��ec �- OR BK ��7 P�' 1 iJ�G. � �t�r��.r, R-a�7�� _ NOTICE OF COMMENCEMENT State of Ftoride, Gounty af {�.sc�, , The undersigned hereby gives nvtice that improvement wi11 be made to certain real pmperty, and in accordance ' witkt Gttapter 713, Flo�da St�tuk�s, the fo(�ov�ing information is provided in this Notice of Commencement. , 1. Descriptfon of properiy (Eegal description of the property, and street address if avai}ab{e) G�'vFs L.f,�,�`�Ff� L.�s�--S.3 V'�CLe ,�.l� /y71f� � 2e(PG��rrG�;��s F� 3�3s��- 2. Gene�r-al dascri{�tion of improver3ze�tt —r-;r--r- Reroof � 3. Owrset�!nf n or L�sseej infor:»a�ic>n sf ths Le�ses contracted far the irngrovetnent �13i1'?H ct�n� a cL Y� /� 7� q.^ Address �o�13� �..l�vr� r �.C.(7�..y r�� f l_ �/S 1 d- Ir�terest in Pmpsrty Ck,a�r � " � Name and address of#ee simple titJe#�older(if d'rfferent from Uwner listed above) . Name t�t d� _ Address' , 4. Contractor - . � Name Rsbecca J, Mays t Comfort Govet Systems, lnc. Telephone Number 727-298-4955 Addr�s.s 7�� Tumer St. Clearwafer, FL 33756 � � 5. Suretty(if aPAlicab�e, a capy af�e paymern bond is attached} ; Name t�ElA Te�ephane Number Addt�ss - � Amourrt of Band � 6. Lenc�er Name P�1/A Te�ephane Number Address , 7 P�rsons within the Stabe of Fforida designated by Owner upan whom notices or ather dacermen#s may ba served as provided by §T'l3.13{1)(a)7, Florida Statutes. ' �lame N1A TeJep�ane Numb�er ' Address , 8. !n additlon to himsetf ar hsrseFf, Owr:er des(gnates the fQUowing to re�ceive a copy of�he L(enar's Ftot}ce as provitled En§713.13{�f)�b), Ftorida SY�tutes. � NameN�A Telephone Nurnber , Addcess ' 9 Expiration date af not3cs of commencement(the expiration date may not be before the completion of � consttvetion and fln8!�ayment to the con cto , but will be 1 year frpm the date af recarding unless a differ�rsf date is specfieci} t��9 �� _ VYARlfIt�Ci'F04KfNEf�NdY PAl'1+�M'S FAADE BY THE QWNER AFi'Eft THE EXPfRAT10H OF THE M{?T]CE OF CCN�4dENC�lEN7 ARE CONSiDE3�D tMPRC1i'ER PAYit�tiTS t�tA?ER CttAPTER Tt3,PAR7!,SEC3TON 71�13,FLORfT3A STATtlT�S,AbtD CAtI RE513LT iii YOUR PRYING'fVY10E FOR FMPROYEMENTS TO YOUR PROPERTY.A NbTtCE 4F Cdi44MENCEt�AENT�11UST B� � F{EGORpE£I AtlD Pi)STED.ON 1'!�{E JCt$SITE B�ORE 7HE�if23TlNSPECTFUN.!F YOU(NTEND TU OBTAIFI RNANqNG,COt151JLT WITH YOUF2 LQiDER QR AN AT'ft3RT�t�Y B�FOFtE CON�i�RCtMG W�RK OR RE�3RDtNG YOt3E2 F2dTlCE C7F CORtR+tENG`EA4Et�iT. Under penatfy af pe�Jut3r, 1 decEa�e ttsat t have read the faregofng notice of commencernsnt and t#�at the facts stated In it are Uve to the best of rny knovriedge and betief. > � 5igr�ature oF C7wr�er pr , or Ormers ar Less�e's ' ed f�fficerlDire�o�rlr'artne7Manager Signatorys T'Nd'C}��ce The foregang instrvment was acknow�ed9ed before me this t�day af Z J�by ��Gi r'��e�1 "1�z� t�C-�l ' monthlyear nam of person as _,-� for �Type of a ;�.g., , truxtee, attomey' Name of party on behal(of wftom irssttumertt was e�afted . Sigrrihrra ot Putrlic—5tate af Floricta Print.type,ar stamp comrtussionec�narrre af Notary Pu�fic Persar�aliy Known "` QR Praduced tD `� ``"�`•r� T e of ID Produced �L , �`Y�� NoYary Public State of Floride YP" ,�,L-- � ;p��; Edward Semeniuk � � My Commission EE 213208 ''�'pp fl� Expires 4$10312018 ' -- - — - - _.�. --- ��.�g@�9lB�� a � � �`� ^gC0 � ' `' �'� �.; � I P'� r. F P �i � COIJPIT�f 0 � • � - �TA�� 'C3�1�� .AT THE FOREGOING IS T ��Q�yF ;" ��M" ,.� � THIS IS Tn GERTI�Y TH � t� �,�� TRUE AND C�RRECT`C RE ORDHN�HIS OFF CE ,,, . ...'� ON FII_E OR 0�PUBL pFFICIAI. EALTHIS ��" ,�'.�� w; V � WITNESS M�f HAI�S�A � 2� s DAY bF , �COMPTR�LLER ��iP��' .� PAU� NE L,CL DEPUTY CLERK BY �_ _ - Contract j`�� ' �� `�� ` �� ` FL Lic. #CCC057091 {727}2s$-as�s (800)226-0955 711 Tumer 8t. Fa7C:{727)298-0111 COMFORT �OVERSy5TEM5 ciearwater,FL 33756 ry PROUDLY ROOFINC SINCE 19$5 �q � [ ZI� ' `�,, G� PRi�Pi.7S7_A S B ITT'ED O ��1�I -L", J_ �IGFE'Y�1 PHONE ' � '�hr� CONTRACTDATE �v� "r /�� Seasanai Resident �uN Time Resident f,�}'� �.�5.� �=�,,�C�5�'�' j�� v�„ i `�-Y STREET ' �l VYf � ALT ADDRESS �f CITY,STATE,ZIP ��' � ��`I S "'� �4� MHP NAME V � I I � f ' l L�c_.�e�+lt o ��bf tE 1� ji �`, REPRESENTA7IVE: "r E'JN E ,� `� APPROX.JOB S7AR A c�� '`h '� We hereby submit the fai{owing specifications and estimatea: Year. ��1� Make:('�,�,�-�� Modef: 1. INS'fALL COMFORT COVER SYSTEMS PAT�NZE�1 FZOOFII�LG SYSTEM_FOR TH, ___. . FC1LlOWING AREA: N`lct a v� H'o-r�t , ?`�,fU(pc4m -1��' S�► G�v�'J��1 f 2. SYST�M TO BE INSTALLED:�.--.8 _�WHITE GREY BEIGE 3. INCLUD�.DOUBLE-F01�.-FACED INSU�ATI�}N AS INDICATED: ✓� 2"nam. 3/4" norn. NONE 4. INCLUDE NEW VENTS, EXCLUDING FURNACE VENT; (E�IMINATE DEAD AIR SPACE VENTS) 5. INCLUDE ALL REQUIRED PERMITS. 6. CLEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOBSITE. 7. #_,��SKYLITES TO BE INSTALLED. N4(NSIDE FINtSH INCLUDED. 8. PROVIDE CONTRACTOR'S LIFETIME RESIDENTlAL LIMITED LABOR WARRANTY AND MANUFACTURER'S LIFETIME RES.tDENTIAL LIMITED MEMBRANE WARRANTY 7RANSFERABLE TO NEW OWNER FOR 15 YEARS FROM DATE OF TNE ORIGINAL MEMBRANE lNSTAI.LATION. SPEClAL lNSTRUC7IQNS & E'XTRA WQRK(USE ADDITIONAL PAPE`R 1F 1YECESSARY� � 1 I �}�v1� i v� 3 '� NOTE:RETAIL SALES TAX MUST BE CHARGED UNLESS THE CUSl4MER SIGNS THE FOLL4WING: I certify that I awn the land an which the structure I am improving is permanently a�xed Futhermore, I have filed a dec#arafion with the Property Appraiser reques#ing the structure assessed as real#y and it bears an"RP"deca3. SIGNATURE RF#(S} CASH PRICE AND PAYMENT SCHEDULE: (Reference ta a phase af construction means ail work, materiats and equip- ment necessary ta complete that phase) Buyer agrees to pay Seller the Cash Price at Seller's office in accordance with the fotlawing payment schedule: �/ I have the autharity to order the above work anc3 do sa arder as outiined herain, �. Price � "Y 7�j�. O�.i it is agreed that the seller will retain title to any equipment or material furriished unti!final&compiete payment is made. An express mechanic lien is hereby 2.. T8X $ � �G� acknowledged for security of this debt and the totat amaunt wili be paid wiU`�in 3. Down Paymen# $ C.� .oG ce�ms Sno�,. 4. Baiance $ ��(�'� C�,, �,{we)herewQth express�y agree ta pay not as a penalty but as liquidated � damages,25/a of the principal amount of this contsact ta Comfort ON CQMP�ETtON OF A��WC�RK CoverSystems in the event of a breach of this agreement by I(we)for any reasan whatever Terms: O Cash �Credit(Subject to the approval ot the Credit Sales Department.} Auihorized �_ r? � � � Signeture �� NC}T10E TO OWNER Do not sign this home improvement contract in AN materiai is guaranteed to be as spacified.AU work to 6e completed in a workmanlike blank,or before yau read it.You are entitled to a manner according to standard practices.Any alteration or deviatian from above specifica- copy oi this co�trect at the 6me you sign.Keep it tions involving extra costs will be exacuted only upon written arders and will become an xo protect your legal rights.Buyer's right to cancel extra charge over and above the estimate.R(i agreeme�ts contingent upon strikes, on reverss s�de. accidents or deiays beyond aur coniroi.Owner to carry fire,tornado,and other necessary insurance.Our workers are tully covered by Workers Compensation Insurance. AcceptanCe of Contract—The above prices, specifi- Signature • cations and conditians are sa#isfactary and are hereby l accepted. You are authorized ta do the work as specified. Signature �} Payment will be made as outline above Florida Building Code Online � Page 1 of 2 . ' H...� : r., ,:'-r-�,... :�p�� f.:_. 4�_ �� 1 ' a 1 0 f.��'''�� - I 4,�.-,�ir . -'::f' .I-.�!a�'i:��'1��-�i.:l r�.. �i,;,.�_`�,,;-^-, BCIS Home Log In User Reg'istration Hot Topics Submit Surdiarge Sta[s&Fac[s Publicadorts FBC Staff BCIS'SRe Map LinkS Search � Business� �� - � Professiorial �;� '�� use�pubuApproval Rea��!at�o� prou�c�corc,a��:er,�>"______—.—___—�—--__a_>APPIIeaGon Detafl _ F ,�i ^ FL# FL2534-R8 Application Type Revision ' � Code Version 2014 Application Status Approved �/ Comments . `'n'„ Y � Archived '��YY V�`� ✓ ` • Product Manufacturer IB Roof Systems CITY QF��P�Y�MIL�.�` � Address/Phone/Email 8181]etStar Drive ��N'�ttle��---"—"—"T Suite 150 Irving,TX 75063 (800)426-1626 Ext 227 phillip.david@ibroof.com Authorized Signature Phillip David L phillip.david@ibroof.com LY WITH� ORKSHALLCONIP DABUIL��G Technical Representative Phillip David E11'1'w ��ODES,FLORIC CODE A� Address/Phone/Email 2877 Chad Drive pRE�N'ATI�N�,ELECT� CE$ . Eugene,OR 97408 Y pF ZEPK�LLS�� (800)426-1626 Ext 227 CODE� Phillip.David@IBRoof.com �IT Quality Assurence Representative Address/Phone/Email Category Roofing Subcategory Singie Ply Roof Systems Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer ✓ Evatuation 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 05/01/2018 Validated By John W. Knezevich,PE � Validation Checkiist-Hardcopy Received Certificate of Independence FL25"'� °� �Ci �u i��_1_=_�:em,r��c -�di Referenced Standard and Year(oF Standard) Standard Year ASTM D4434 2009 FM 4470 1992 FM 4474 2004 Equivalence of Product Standards Certified By Sections from the Code b.4+.+.//..,......11,.�.7,.L..:�a:_� __��--�-- —__ a�i -----n_--_—_-----rr1�v�--y^-----T---r,r�rr, iin�inn� r Florida Building Code Online _ Page 2 of 2 � Product Approval Method Method 1 Option D Date Submitted 05/O1/2015 Date Validated OS/O1/2015 Date Pending FBC Approval 05/07/2015 Date Approved � 06/23/2015 Summa of Products FL# Model,Number or Name Description 2534.1 IB Single Ply Roof Systems Reinforced,polyvinyl chloride single ply roof systems � Limits of Use Installation Instructions Approved fo�use in HVHZ:No =12534 RS i; %�i� US GiNiiL A1 ER. i8 ROO; �L25:4- Approved for use outside HVH2:Yes �8. df Impact Resistant:N/A Verified By: Robert Nieminen PE-96166 Design Pressure:+N/A/-512.5 Created by Independent Third Party:Yes Other:Refer to ER Section 5 for Limits of Use.The design Evaluation Reports .pressure noted herein relates to one specific assembly.Refer �L25;4 R8 ;,E 2015 CS FiNAL ER IB ROGF FLZS34- to the ER Appendix for.all'assemblies and max.design RR.odf pressures. Created by Independent Third Party: Yes eack Ne:. , ContaR Us 1940 North Monrce Stree[Tallahassee FL 323Q9 Phone:850-487-1824 The State of Florida is an AA/EEO employer.Coovriqht 2007-2013 State of Florida. 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