HomeMy WebLinkAbout17-18601 i
, .., CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18601
BUILDING PERMIT
PERMIT INFORMATION, LOCATION INFORMATION '
Permit Number: 18601 Address: 38908 5TH 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: CITY OF ZEPHYRHILLS �
' Est. Value: Parcel Number: 11-26-21-0010-17400-0040 �
Improv. Cost: 25,550.00 OWNER INFORMATION �
Date Issued: 6/23/2017 Name: CROCCO ANGELINA
Total Fees: 247.50 Address: 38908 5TH AVE
Amount Paid: 247.50 ZEPHYRHILLS, FL. 33542 �;
Date Paid: 6/23/2017 Phone: 813-782-4154
Work Desc: METAL REROOF ,
� CONTRACTOR S APPLICATION FEES
PARLAMENT ROOFING & CONSTRUCTION REROOF RESIDENTIAL 247.50
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Ins ections Re uired ' '
' DRY N R F INSP I
TAPE JOINTS ROOF INSP
FINAL '
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REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the I
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 ageneies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with i, ,
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. � i
NO OCCUPANCY BEFORE C.O. � I
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City af�Zephyrhills . �
BUILDING PLAN REVIEW COMMENTS i
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Contractor/Homeowner: �/�f�'�� ���'l`S�"`� � �
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Date Received: —'�J� �
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Permit Type: � ��
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Appraved wlna comments: Approved wlthe below comments: ❑ Denied wlthe below camments: ❑ �
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This comrnent sheet shall be kept with the permit and/or plans. � �
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Kal 'n Sw' e Plans Examiner Date Contractor andlor Homeowner �
(Requixed when comments are present} ;;
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ParlamentRoofing.com �
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PARLAI�[ENT_ �
Roofing & Construction I
1210131st Court N.
St.Petersburg,FL
CCC1329729 CRC1329809
727-571-4110
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Office: (727)571-4110 Fax: (727)571-4112 �
City of Zephyrhills, i
I,Jesse Rock, hereby authorize the following to act as my agents in obtaining permits in the City of Ii
Zephyrhills for all projects. I
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Matt Rayl 11624 Ocklawaha Dr., Leesburg, FL 34788 R40453793440 �
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Peter Wozniak 205 Forest Parkway N., Largo, FL 33771 W252665392270 I
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Jacknel Diaz 2712 W.Tampa Bay Blvd.,Tampa, FL 33607 D265420804240
Steven Rodriguez 5435 N.E. 12t''Ave.,Ocala, FL 34479 R362780824640
License Holder � I
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State of Florida
County of Pinellas �-h
The foregoing instrument was acknowledged before me this ��..:,L day of ��-���,20 /�
, 0�/ ;�=°'��P°°ti�:,BRIANA iNARIE DACHNI
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B ��5� ��,�o; MY COMMISSION#FF153883
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Personally known or produced identification. Type of identification produced
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. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 �
Building Department
Date Received �f
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� 1 Phone Contact for Permitting •� �✓ , � — � Q
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Owner's Name • h �(. ��`g C��CC� Owner Phone Number �
Owner's Address ���� o � ✓e Owner Phone Number I
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
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JOBADDRESS 3��Op Sr�� e L� UI\✓�1;I S 1"L '33'��Z LOT# � I
SUBDIVISION V''� n �f �1• / �i II PARCEL ID# I �/ — �I J V O�O � /��� � Q��� I
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH
INSTALL REPAIR i
PROPOSED USE Q SFR Q COMM � OTHER �
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q �
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DESCRIPTION OF WORK Gr' ��'f`��� l� I"t�I � ��P/'✓ ��7 �i%d' � 1^,,�f�� � � I
BUILDING SIZE SQ FOOTAGE 2 �`�' HEIGHT I'
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�BUILDING $ ��S�O VALUATION OF TOTAL CONSTRUCTION �,
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OELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l EJ�Q/
�GAS � ROOFING Q SPECIALTY � OTHER
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FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER (��� sU COMPANY ,�,� iz.�✓+� �' �'Jlr��ri'm 7�i '4c �9•
SIGNATURE � REGISTERED Y/ N FEE CURRE� /N
Address �� �� v License# (�CC(3Z�7Z�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �
Address License# '
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OTHER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I
Address License# �
1111111111111111111111111111111111111111111111111111111111111111111
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" i �I
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any I
applicable deed restrictions. I
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or � �I
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 � I
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- �,
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the �,
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco i
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and II li
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or �
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. �,
CONSTRUCTION LIEN 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 I
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 i
deliver it to the"owner"prior to commencement.
CONTRACTOR'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 performed to meet standards of all laws regulating i
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is I
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: I
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive i
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering i
Watercourses. i
- 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-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
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
V � co may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate ,
� � N o justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. I
E
Z LL � d WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
a Z y z PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
p � � � WITH YOUR LENDER R A RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
W � � ro
FLORIDAJURAT F.S.117.0
� N ¢ z OWNER OR AGE CONTRACTOR
� � W � S s ib d s � ol me ,7 Subscribed and swom ro(or affirmed)befare me this
a O [L `o • 1 ' e by
� U d u- ho is/re ers ally known o me or has/have pro uced Who is/are personally known to me or has/have produced
m � X as idenG cation. as identification. I
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`�.`���`O,b,' � ' I
a`� °�;�m otary Pu ic Notary Public �
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:o��f�;;� Commission No. Commission No. j
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Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped �
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• ' , 2017091061 �
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Rcpt: 1871023 Rec: 10.00-- - - I
" DS: 0.00 IT: 0.00 �
06/13/2017 K, q, , Dpty Clerk '�
Permit Number -- ----- I
ParcellDNumber - c7/0 � 1��� ��J PAULR S 0'NEIL,Ph D PRSCO CLERK $ CO�iPTROLLE�i
� 06/13/2017 01:42 m 1 of 1
NOTICE OF CONiMENCEMENT OR BK t�5�� PG 2�s� '
S t a t e o f F I o r i d a THIS AREA IS RESERVED FOR CLERK OF THE COURT CERTIFICATION I
County of Pinellas ,
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Secfion 713.13 of the
� Florida Statutes,the following information is providfe�in this NOTICE OF COMrENC MEN T.
1.Description of property(fegaldescription): V��n 0� �( h / ���/J �� � � G �Y ��� f
a)Street�job)Address: 3� 5.� g J e • `Z .�p � � ;/ f ,�3 f�( I
2.General description o�im�prq�reme�ts: ;
�ti 41 � r '
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3.Owner Information or Less e inforTation if th�/'�'essee contracted for the improvement: r �
a)Name and address: �� �C -1 i r� ' l.� � c C� �� � � � S � �t �{ � ���/` /'"LJ,�'�(( �
b)Name and address of fee simple titleholder(if different than Owner listed above) I
c)Interest in property: ��tiG
4.Contractor Information (
n r (�' /� r '
a)Name and address: (L l C�i''��� � ���^ (/�,.,r�'�cd-;o 12��' al' �,�c�
b)Telephorte No.: Z"7 ' s)/`1�(v Fax No..(optional) � c��,,ti „ �(.�2-�-�
5.Surety(if applicable,a copy of the payment bond is attached)
a)Name and address:
b)Telephone No.: ,
c)Amount of Bond: $
6.Lender I
a)Name and address: I
b)Telephone No.:
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
a)Name and address:
bJ 7elephone No.: Fax No.:(optional)
S.a.ln addition to himself or herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b)Phone�lumber of Person or entity designated by Owner:
9.Expiration date of notice of commencement(the expiration date may not be before the completion of construcfion and final payment to the
contractor,but will be 1 ear from the date of recordin unless a different date is s ecified: ,20
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWflIER AFTER THE EXPIRATIOM OF THE NOTICE OF COPJIAAENCENiENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTI�i�713.13,FLOR{Dl4 STATUTES,APdD CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMEfdTS TO YOUR PROPERTY. A NOTICE OF COM�iENCEflI�EfNT H+rUST BE REC06:DED AA9D POSTED Ofd
THE JOB SITE BEFORE THE FIRST INSPECTIOM. 9F YOU IflBFEND TO O�TAIflP FIt�AN�II�G, COA!SUL�' �BTE6 YOl9R LEfdDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR FZECORDIfdG YOUR(�OTICE OF COWI�IEf��EME�ET.
Under penalty of perjury,I declare that I have read the foregoing notice of commencemenf and that the facts stated therein are true to the best of my „
knowled e and belief.
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lC � � �����o�.E�i �!�t .�o c�d
(Sig ature o ner or Lessee,or Owners or Lessee's(Aufhor¢ed OtficedDire�todParfner/Manager) ` (Print Name and ProHde Signatorys TiUe/Office) '
The{pregoi�instrum t was acknowledged before me this �' ��- day of '�G�.�� �" ,20 ! 7
by ¢I�,,,Ci. I I A C �/d � �� 85 (� ��P� (type of authority,e.g.officer,trustee,attomey in faa)
—� ,8S
for �
(Name of Person) . (type of authority,...e.g.officer,trustee,attomey in fact)
for (name of party on behalf of whom instrument u�as executed). • j
Personally Known ❑ Produced ID �
Type of ID C ��f� "��'� �3�- �/�'.Notary Signature � --- --
�_aG�a � Rrint name _� _�-� �
- �O��RY ��AN�P A�aRF,��.,�ul���
. No1�m�p�p�5�1p�rdt 4 2039 I
- No.FF 2129$7 �
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THIS IS TO
� Inyod�'''e�'�g..,. m � TRUE AND CORRECT COPY OF THE DOCUMEt�I
'o- ��� � ON FILE OR OF PU�LIC RECORD IN THIS OFFICE
�• "�""-' • � WIT S MY.I�P�P��A (5�F1�SEA2 T�1
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°�r��C�r��'� pEpUTY CLERK
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, �� �# FL2569-R11
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" Application Type
Code Version 2014
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Comments ;
Archived
Produtt Manufacturer Soprema,Inc.(Caoada) , I
AddressJPhone/Emall 1640 rue Haggarty i I
Drummondville,NOPI-US 00000
(819)478-2400 Ext 3327 ' I
memathieu@soprema.ca i
Authorized Signaivre Marc-Etienne Mathieu
m emathieu @soprema.ca
Technical Representative MarrEtienne Mathieu �
Address/Phone/Ematl 1688 Jean-Berthmans-Michaud
Drummondville,NON-US 00000
(819)47$-2400 F�tt 3327
memathieuf�lsoprema.ca -
Quality Assurance Representative , ]ean-Francois Cote,Ph.D.
Address/Phone/Email 1640 rue Haggarty
Drummondville
(888)811-3145
jfcoUeQ�soprema.ca
Category Roofing
Subcategory Underlayments
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed florida
Professlor�al Engineer
��= Evaluation Report-Nardcopy Receive�c�
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Florfda Engineer or Arch�tect Name who developed the Robert J.M.Nleminen ���/��v�
Evaluation Report p O�� ��� �
Horida Ucense PE-59166 �� �/�� ��
Quality Assurance Entity UL LLC S���/����A���/�
Quality Assurance Contract Expiratlon Date 10/16/2017 p
Validated 8y ]ohn W.Knezevich,PE �'S'
� Validation Checklist-Hardcopy Received �
Certiflcate o(Independence F+�569 Rll COI 201s 01 [OI Nleminen odf i
I
Refereoced Standard and Year(of Standard) ' �p�m Year
ASTM D1970 Z��
ASTM D6163 2000
ASTM D61 '�,(� 2005 i
2004
FM 4474 ��C,aCQ�� � �'��� 2012
FRSAlTRk�hH�1�� ,
TAS l�n�r�r�� �l�� �,� �'�� 1995
Ta.s iio����,���(jj�oO���� z000 I
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Appltcation Sbtus Approved �,
Comments I
Archived
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Product Manufacturer Firestone Build(ng Products Company, LLC.
Address/Phone/Emall 250 West 96th 5treet
Indianapolis,IN 46260
(317)B16-3806 fxt 538D6
McquillenTi m @ifi restonebp.com
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Authorized Slgnature 7im McQuillen �
McQuillenTirr�@flrestonebp.com
Tectinical RepreSeritative Tim McQuiilen
Address/P.hone/Email 250 W,96th Street
Indianapods,IN 46240
(8DU)443-4272 fxt 53806
mcqulllentim(�firestonebp.com ,
Quality Assurance Representative Tim McQulllen ��3�����
Address/Phone/Email 310 East 96th Street 'd� ��
Indlanapolis,IN 44240 �9'
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(31�816-3806 �•[�51��������
mcquillentim�flrestonebp.com �
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��°n' Roofing � {►`� �,�� � �
Subcategory Single Ply Roof Systems �
Compliance Method Evaluation Report from a Florfda Registered Architect ar a Ucensed
Florida Professianal Engineer
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Florida Engineer or qrchttect Name who developed Robert Nfeminen ���
the Evaluat(on Report �
Florida License PE-59166 M T Ro�ON�s�
Quality Assurance Enttty UL LLC �'/j},�O/�'Qe� C�trLa
Quality Assurance Contract Expiration Date 02/26/�017 ofi�<�` �C�/�FS'��
Validated ey �,hn W. Knezevich, PE ��Aiy�Tj�CC��� �r�?�y�,
�''y Validation Cheek!!st-Hardcopy Received y/�`SCQo ��
Certificate of Independence FL�0264 R12 COl 20�5 01 CO] Ni min n odf O��Ve� �
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Referenced SWndard and Year(of Standard) Stan� Year s
ASTM D687B 2008
fT7 4470 1992 �
FM 4474 2004
TAS 114 2011 �
UL1697 2004
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Equivalence of Product Siandards
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Product Manufacturer Gutf Coast 5uppfy&Manufachuing,LLC. ;
Address/Phone/Emali 4028 S.W.449tfi Street
Norseshae 6eacb,FL 32648 �
�ssz�a�e-�ss� �
ray�gulfcoastsuppfy.com
Authorized 5lgnat�re Ray Bawen '
rayt�BuifcoasCsupply.com
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TechNcal Representat)ve
Address/Phone/Ern�it
Quaitty Assurartca Representative
AddressjPhortiejErnati
CateQorY RoofinB ,
subcategosy Metal i�oofing ,
Compliante Method �uatlan Report from�Rarida Registered archltreect or a ticensed
o a Protesslonal Engineer
� Evaluation Report-Hardcopy Received
Horida Engineer ar Architett iVame who develaped Danlef S.Kuhn '
tha Evaivatton Report �
Florida License pE-75519
Quallty Assura►�oe Enttty KeysbOne Certlfications,inc.
Quallty Assurance Contract ExplraUon Date 04/12,/2024
Valldate�By 4ocke Bowden
� vauaaaon cnecx�ist-Hardco�r±Recelved
GettifsCake oE Ltdependence }�1651 R2 [OI Cprt of Ind K�hn Ena.Ddf
�11651 R? !�02 Letter of Name chanae.odf
Referenced Standard and Year{of Standarci} � Y,eaP
FM 4471 1842
T!#5 100 1995
TAS 114 2000 '
TAS 12S 2003 �
Ul 189? 2004 ,
t)l 58Q 2006
Equtvalence af Product Star►darQs
Certtfltd 8y
Sections from tf�e Coda