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HomeMy WebLinkAbout17-18809 CITY OF ZEPHYRHILLS 5335-8TH STREET •�' .. _ : (s�3)780-0020 .�3$��g BUILDING�PERMIT - PERMIT INFORMATI�IN LOCATION INFORMATION Permit Number: 18809 Address: 55�6 18TH ST Permit Type: RE-ROOF - ' ZEPHYRHILLS, FL. Class of Work: ROQF REPLACEMENT - Township: Range. Book: Propased Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-11200-0140 Imprav. Cast: 1,500.00 OWNER INFORMATION Date Issued: $12812017 Name: WALTERS NATHAN & SARAH Total Fees: 67.50 Address: 1721 SURREY TRL Amount Paid: 67.50 V111MAUMA, FL. 33598-7797 Date Paid: 8/28/2017 Phone: (813 454-6183 Work Desc: RERQOF METAL CONTRACTOR S APPLiCATIt�N FEES HOMEOWNER REROQF RESIDENTIAL 67.50 t ,U Ins ections Re uired DR IN ROOF I P TAPE JOINTS ROOF INSP FINAL � REINSPECTION FEES: (c)Wi#h respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the loca!gavernment shai! irnpose a fee of faur times the amount of the fee imposad far the initiat inspection ar 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 praperty that may be found in the public recards af this county, and there may be additionai permits required from other gavernmental entities such as water management, state agencies or federal agencies. "Warning to awner: Your failure ta record a notice af commencement may result in your paying twice for improvements to your property. If yau intend ta obtain financing, consult with your lender ar an attorney before recording yoar nofiice af camtt�encement." Complete Plans, Specifications Must Accompany Application.All wark shall be performed in accordance with i Ci Cocles and Ordinances. NO OCCUPANCY BEFORE C.O. � NO OCCUPANCY BEFORE C.O. vL-' -- CONTRACTOR �I NATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MtJNTHS UVITHU�T APPRQVED INSPECTION CALM. FOR INSPECTION - 8 HOUR NOTICE REQUIRED PRt�TECT CARD FROM WEATHER 813-�eo-ooz�o City af Zephyrhills Permit Application FaX a�a-780-Op21 Butiding Department - �C�h�b�l.1J� Date Recetvec! , , 11 j Phone-Can#act'far=Parmittin D i� �J �{ �� qwner's Name °�� Owner Phone Number Owner"s Address " Owner Phone Number .�}�� '—�g�`""��3'� I Fee Simple Tltlefiolder Name � � ' Owner Phone Number � � � .r � - Fe�Simple Tltleholdar Address JOB ADDRESS � LOT# C�� SUBDIVISION , �� � " PARCEL ID# ' (pBTAINBD FROM PROPERTYTAX NOTICE) WORK PROPQSED �__NEW CONSTR ADD1AlT �" SIGfiI'• 'Q Q DEMO�.tSH � e. INSTALI. � =.REPAIR � PROP05ED.t3SE � . Q SFR• � COMM � •OTHER j TYPE OF CON$TRUG1'ION � Q� '�BLOCK " Q FRAl1AE C]_ STEEC 'Q .;, � , �, DESCRIPTION OF WORK- .{^Vl C.� �l�t � I SQ�001"AGE 'tc�Z , NEIGHT su��a�H�s�z� Z�i X Z� � ��__��, . ���i�"����' • � VALUA710N:GfF TO7AL'COtVSTRUCI'ION Y �j�C',�,OD� QELECTRICAI. r$—"� AMP SERVICE � PRO�RESS ENERGY Q W.R.E.C. „ �___. ' QPLUMBING .. $ - � ..:�,,,�--� �� QMECNANtGAL $ � , VACUATION OF<MECHANICAI.[NSTALG9Ttt?N (�� � �l QGAS � ROOFING [� SPECIAl.TI �� OTHER, FINISHED FLOOR ELEVATIONS ��� FI.00D ZONE AREA �]YES. NO . ._ , , � � su«a��t �f ' coM��nr= a e ��tOv��e.�' , SIGNATURE REGISTERED Y/ N FEE CURREA Y/N . , .•,. , . � Address � , L"taense# � � ELECTt2iC1Ai�! .. - ;GOMPANY` _ . _ - SIGNATURE � REGIS7ERED Y/ N FEE CURRE�`� ` �'��Y/N Address � _ ., License# � • � � PLUMBER � . , . COMP,AFlY � � � 51(iNATURE" �`'� REGISTERED ,YJ�.N=. , •;,FEECURRE� Y•/N.- - aaa�s � ' � ucense.# �. w� . MEc���ca�: - . • . , � ., � � , coM,�a�nr. � SIGNATURE � � �� ' �� REGISTERED Y,./ N , < FEE'CURRE� Y/-N , � Addre�s`' .�� .: . - - ..�_. � ' ' �icense#��. . " --� , O'iNER �` � - ` - � - � ' ' ' ';GOM�BANY � � � � SIGNATURE--" . - � ' ` • ' R€GisTE�o Y/ N:. � "FEe CURrtEn Y/N, :: - .: ., _.. . _ .. - . . . - �.. ,::.. .,,.,,� . . . - , :.. Address ' ' - ° � . „ - . - •� _ . ._ -- .. _. _.,,,�.. . :r<. , .. ,- .; - ,. ,.. �- ,.`;; ,,- l:icense# �� � . ._., . . «.. , �. ;.:. .,,_. .>. . .,.. . . .. _ . t�-y.ri:_,. . ,RESlDEN'f�Ai»;_- :A#a,cfi'{2}nPlots,Plati`sr.;(2}sets:of{Buticling�Pta�s;{ljsetaf:Energy;Fai�ias.;'F2=0-tN'Perrrilttorneu±rcons#ructian,.,_ _ . , , , • . ` � ,.. - :. .�.. . , :. .. . . :� .. � -;- w,�,r�Minimum�ken:(•10),working da�is:after�sutimittal=date.;'Required orisite,`Constructlon-Plans;'Stormwater Pians w/SIIt Fence'in"stalled, Sanitary FaclliUes&1idumpster,=Site Work,�P„errnit'forsutid(visiori,s/large projects=�;b-�;�,�� : � � •:r-� ``� :��'.� ����_ � _�_ ' ' ' _ COMMERCIAL A#tach{3}coiriplete sets of'8uli�ing Plans plas a 1.if�Safefy'Page;(1}set ofEnergy Farms.R-�W Permit foc new construttton:�`� - Mintmum ten(10)working days�after submittal date. Required onsite,CansUucUan Plans,Stormwater Plans w/SIIt�Fence installed, Sanitary Facilitles&1 dumpster.Site Work Permlt for all newiprojeots:All commerclal requiremen�must meet compltance'' ` ' ^ - SiGNPERMIT AttacFi{2}"'setsof'Englneered�P3aiis::;:�;�:���:_�� . .. � �. ' . . , -' ' . , �� , . . ,. ••*"PROPERTY SURVEY;required forall NEW conshuctlqn., - --- - Direc#lons: ,. . .%.. , , , • ' .. _ .. - , Fiil out appNcadon completely. Owner&Contractor stgn back of applicaUo�,notadzed � If over�2500,a Notice of:Commeacement i�reqaired. {A!C upgrades aver 57500) r t. .._...,,., i rM i."y'':,iM;:>��" , Agent(for the contra'ctor)or`Povirer of Attamey(fbr tFie`owner)would'be someone with notarized letter from owner auttiorizing same D1tERTHE'C{}UNTER,PERMITTING._. --.(Frontof-APPlicaBon°On1y}_ �. �.` �..t,` , � _ . . ` - ,. µ Reroofs if shingles Sewers Service Upgredes A/G Fences(PlodSurvey/Footage) _ _ ._ _ - -._ .. _. -- -- . _ - ,- . . , , ,- _, , . .. Driveways-Nat over Counter if on-pubiic rosdways:r�s�d`s ROW-: `- . � --, ..,•.„>.,z . ... - - , .��. .. - ` " !Ic` , ,� �t:i:,�- . .., i�1 � 1 - , , - � ' - � =� . �: � ! ,.. _ .. , ;i:'"... � „ , ' .. � , . , . - � , LL ' - � �. . ,.,='i'k���r' �.,_ � ,�"I� 'i'.=,�. � _, .,� - - ,/�� . >� —. .._ --•., ,. ... . . � : _. _ - � -1..-,. .. ,...�_N_,'.... •- . .�. . -.�,�, , / �:,'"r.:;S.. NOTiCE.OF DEED,RESTRICTIONS: The understgned;understands�;th�t-:thls:��rmit=.may._be,subJect,to_"deed"restr,lc�lons".. .�.,.,, .._.� which may'tieamor.e=r.e'sttictlye��tha�-County�regulattons.�'The underslgned'assumesiresp�'nsibil(ty'�#or�compliance=with any` � � �"� applicable.deed�rest�ictlons. .:. ;...;;°...r. �. : � � . . � -., �,.._ -...' -:- _ `_- "; - UNLICENSED�'CONTRACTORS AND CONTRACTOR�RESPONSIBILITiLS:� °If=the-�owner has��hired'�a��:contractor or contractors�to undertake work; they may.be;reiquired.to.:be,licensed In accordance.with;state.and�local,regulations:<If=the'���' - ,....__.._.. _ . contractor is�not llcensed as re�quired`tiy'law,�botfi-the owner.and�'cont"r'actor;•may��tie clted for`a�misiiemeanor violatton under state Iaw. If the owner or Intended�contractor�are,:uncertaln as�to what Itcensing;requirements'may�apply-��fdratFie° - ��_-' .,.,.�,,1,>.... .;. : . .; ,-_.�. -,...: ..... _ � . .. Intend�d�work, they are advlsed'to contact the,Pasco:County_:Building�inspection.Dlvision-Ltcensing Section at 727-847- 8009. FurtFiermore, if the owner`tias'��hired-a :conUacfor'o�contractors, he Is advised to have�the contractor(s),_sign; , ;,w � portions of the._°contractor.Block".of,this�applicatlon=for.which.they will !ie_�r.esponslble.- If::you;_as_#he owne�`�sign"as"the '" "' cont�actor, that°�may'be an indicatlon that`tie`Is not:properly'Iicensed'antl��is-'not entitled"to permitting priuileges in Pasco County. _° �� ; �-��..:�;�Y�_ .�.� �. :. . __ .. . . .. �_... ... . � _ . �,,. . TRANSPORTATIONdIMPACTIUTILITIES�(MPAC7'�ANb�RESOURCE RECOVERYfEES:��The�undersigned"�understands thatTransportation Impact Fees and.Recourse Recovery,Fees m'ay��appiy��to�tf�e,constructlon of new.buildings�°change�ofe`' `'=` ��= use in exis8ng buildings,-or=,expansi�n:�of.�eiiistin�'�bulldings, as speclfled.in Pasco County Ordinance number 89-07 and_ 90-07, as amended.t;:The undersigned also;urtderstands; ttiait�such fe.es;�:as��najr be�_.due;;wlll�tie identifled at the'=:time�of��"" �r�'r �` permittfng. It Is fti"rtHer understood that Transp�ortatlon Impacf'Fees andiResourae.�Recovery�Fees;_must be pald prior to receiving-a-'certiflcate=of occupancy"or��flnal�,power,�elease:��:lf�the,proj�ct.:does:not Invclve<�a-�certfftcafe of o�cupancy�o��-��'��-��•�" flnal powec release;,the;fees�mu§t`be=pald;,p�lor to.pecmft issuan'ce. F��thermo�e;���If:.Pasco:County�Vllater/Sewer:lmpact� ���:.5�-�� fees are due;,they,must:be=paid�pnior to:permit�,issuanee:.In..accordance:witli-appllcatife.Pesco��.County�ardinances. • CONSTRUCTION'LIEN'LAW�(Cliapte�713� Flor�da Statutes�as amended): If valuadon of work is$2,500.00,ormore,.l� �� : .,_ certify that .I,-�he.,:applicant�-have:_-been,_:provided��wtth-�a-�copy�=;of_�,.the�:".Florida���onstiuctton�Llen :Law—Homeowner's Protection Guide".prepared by�ttie Fio�ida Department;of Agrlc.ultyre and ConsumerAffairs. if the applicant Is someone, .. . other than the'owner",.I certify that�l;ha�e�:obta�ined;a;copy.of..the,above:rles:c�lbed;tlocument:�and;p.romis�::in,good�.faith-to s: deliver it to.>the:'owner":PHor�toycornmencement:� � � " -� , . . . .� , � , -� �- . . _ .. - CANTRACTOR'SlOWNER'S AFFIDAVIT: I.certfGy.;that.,all.;the��information=�in'�this appiicatlon is accurate and that all work will'be done in compliance with all.applicable'laws regulating constructlon, zoning and�land,°deyelopment. Applicatton Is hereby made.to obtain.a petmikto:.;do-wofk��,and;instellatlon as IndlCefed:-..-<I, ceKify that no work`:or tnstallatton has commenced prior to issuance of,a permlf`and that.all work will be pertormed�to meet.standards-of all laws regulating- construction, County and Cily codes, zoning regulatians, and land development regulations�tn"the.jurisdtctton.�� I�al'so� � certify that I u�derstand that the regulations of other govemment agencies may�apply�to,the_.intended work, and that tt (s my responsibility to identify�what.actlons I must�take:to,be,ln:.corrlpllance:,Such agencies include but=are.not Iimited to: • � - Department of Ehvironmental��Protect�on-Cypres�.'Beyhead�, V�ledand Areas and Envtronmentally Sensltfve Lands�WatedWastewater Treatment. .. - Southwest Florida Water Management�.District Vllells, Cypress. Bayheads;- �Wetland° Areas� Altering Watercourses. - � � ° � � ' - Army Corps of Engineers�Seawalls, Docks, Navigatile Waterways. - Department of,,Health�'8 Rehabilitative.,SeniiceslEnvironmen#al Health Unit Weli.s; Wastewater�Treatment, Septic Ta�ks.,. � � � : � - US Environmental Protectlon Agency-Asbestos abatement. � Federal Avlatlon�Aulhorlty;Runways.�� ,� I understand that the.following;restrtctl`ons apply to the use of flll:� - Use of fill is not allowed 1n::FloodtZone"V"unless expressly permltted. - If the flll mate�lal 1s to`be used:In�:Flood Zone. "A", (t. Is understood that a drainage plan address(ng a "compensating volume" will be submltted at time of permifting which ts prepared by a profess(onal engineer Ilcensed by'�he�tate of'Flo�ld'a. � � � - - -- - If ih� flll materlal�.ls to be�used In Flood Zone 'A" In�connec�ion�wlth�a��permltted building using stem wall ' construction� I certify,that fill:viclll:b.e used only.to.flll the area withln�the�stem�wall: . - If fill materlal Is�-to tie used In any a�ea, I �certlfy that .use. of�such�flll w111 not adversely affect ad)acent ' propertles. If use�of flll is found.to adversely:�ffect adjacent properties,.the owner may be clted for vfolating � the�cond�lons:.of the bullding':permlt Issued�u�der the=attacFied_�ermlt applicatlon;�for�::lots��.less=than.one (1) ac�e whlch�are ele'vated�tiy f11t;��t englneered dralnage plan Is requlred. • If I am the AGENT FOR.THE OWNER;,I;.promise In good falth to fnform the owner of�the perniltting condfttons set forth In this affidavit'prtor to co`mrrieracing constructlon. I understand thet�a;separate permlt may be requtred for ele�Mcel work� ,,„,..,,�•�, plumbing, signs� wells,.p;ools;. alr..condttbning,-.g$s, or other. Install�ttons nok spec�lcally Included-ln.the application. .A . permlt Issued shall be conshued to`be�a`Ilcense-to��proceed wlth tFie work and not�as-authoNty-to.vlolate;�.cancel, alter, or set aslde any provlslons of�lFie technlcal codes;�nor shall Issuance�of a.permlt.prevent the Bulldlrig Offictal from thereafter requlring a.correction af�etrors-_fn.plens; constructlon.orvlolatlons of-any codes. Every�piermlt=lssued shall-become Invalid unless the work authorized.by such permft:�s.commenced•wlthln sGc.months of�permlt Issuance� or If work authorized by the permlt is suspended=or.aba�doned-for-a;period,,of�slx�E$)�montFis`after the.tlrrae the�work�ls commenced. An extension may be requested, In writing;,,from.tNe:Bullding,Offlcfal for a perlod.�not-to-exceetl�:nlnety-(90)�days a�d=w111��demonstrate justl�able'cause for�the exfens(or�. If work-ceases.for nlnety•(90)cons.ecutive days.._the job�is consldered abandoned. 1NARNING TO OWNER: YOUR..FAILIJRE.TU.RE�.OttD,A:.,NOTIGE:OF:•COMMEi�CEMENT�.NFAY-RESULT IN-°YOUR ' PAYING TWICE;FOR:IMPROVEMENTS�TO;�(OUi�.:PIt�PER7Y."`:I�°YO.U;I��END'T���OBTAIN=FINiI�t�E1NG;�CONSULT WITH YOUR LENDER OR ANF�4TTORNEY�EFOR��[tECOR�I�1G"YOUR'NOT-IC �OF°C� � IIAENCEilY1ENT'4 `� FLORIDA JURA�(F:S:t17.03} - . - •• • ' _ . . " ' ` . -- ---- OWNERORA(iENT r� �.. CONTRACTOR �. �a�v�'1�1C� I !k I�l �2�'j � S b nd svwm (or affl e ) re me th s Su�b�jc,rl�e1rl' nd'svwm•to(ot aflirr b� ' "re�n�g. � �d i' -���b9 -k�'��bY ',�.t,vl//• o/�_` V1�o Islare 4rsonall known to.me.or-has/have.produced, Who,I¢� e p.erso�al ow�:,t��n�e;or haslhave-produced � E)�/ S //��(�.�P ` as Id'enU8catl4n. " E l�(�/�f.I"�S 1•1 QZ/�2r� . , as IdentlRcadon. - uQ. ''.IGIGCAIotery Publlc . � C� lQ Notary Publlc_ Commisslon No: ��"6/T�'=y'—v Comri�lsslo .No. (��-7 ��S3� . bcgR,A -�l��iV� ,�c/�'E�((� �PA- E�-/�-1ti1� �.�h,C�- Name ot Notary lyped,printed or stamped Name of No ,,,��,,, qYP� �{F�VPV��� DEBRAELAINE RUFFELL ��. o••., DEBRA ELAINE RUFFELL =�'"''�': ;�o� �.; :�; e,,:Commission#GG045343 ,�: ,:Commission#GG 045343 =y P'Expires November 7,2020 ;:. :�,��o;:ExpiresNovember7,2020 "•:Fa�;o:�� gondedThmTro Fainlnsurance800-385�7D19 ,,�.•....,pc , „�,�,t„ Y „oF��„• BondedThruTroyFalnlneurance800-385�70t9 .. „�„ ��O� ^`y��-j�' I�I:OIIIUfl uv �.:�� . ��� � � • ��..�'�"i:ti_, � '31 t}4%y / Q • City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ��'�Q�'}�UU ���� Date Received: _�(�p ��� � s�te: �S �'-� �-� � Permit Type: ��� /����u� • 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. _ �G' � � r Date ` Contractor and/or Homeowner (Required when comments are present) . �U��s�� 2�- � Samuel Walters 554618th St. Zephyrhills, FI. 33542 I have been given permission from my brother Nathan(the land owner),to do necessary renovations to his house while I'm renting it from him. Existing roof on the house is a 3-tab 25yr.shingle roof that is 8yrs old. Existing roof is still in good condition but I'd like the put a steel roof over top of the existing for aesthetic and preventative reasons. House is 24'x24'and roof pitch is 8/12. My plan is to dry-in the existing roof with 301b. UL felt,and install 1"x4" purlins on 2'centers. Lastly I'll install a 26 gauge Masterrib steel rib panel roof with drip edge. I have a signed notarized letter with permission from my brother to do the renovation. Thanks, Sam ' � Landlord Permission Letter We,Nathan and Sazah Walters,as agents of the property located at 5546 18�' St,Zephvrhills,FL 33542, give permission for the residents, Sanauel and Joanna Walters,to make any repairs or improvements to the property including replacing the roof,remodeling the inside, landscaping, and repairs on any outside structures, etc. � �l� ASHLEE M. SCOii Notary Public, State of Michigan Nathan Walt�rs County of Presque Isle My Commission Expires ca -a-aoa3 Acting In the County o�IS(� � Y �,� � I - �� . - , - � _� - - � . Si�Tc7.11 w��@TS _ � , - - �:` - . DISCLOSURE Sx�T� FOR pWNER ' ° � CITY OF ZBPHYRHII,LS BIIILDII�TG DEPARTP�P]T _: �`Y��VI�-� t�.��it,.1�P.1"� have ace�d aad fully tinder�taad and. agree to the provisiaas af this iaet�ent. The uadersigned states aad affirmB that he or she ie desirous of caastructiug. reaovating, addiag to or reroafiag his or h�r owa domic3le, that he ar she aetua23.y occupies, os tvill ocaupy by �aid domic3le, and same is aot £or z�,nt, Zease or sale. That he or she sha31 comply w:ith the foZlowiag coaditioas: 1. That the ow�ner aad he or she aloae shall aat ae the builder for all phases of coastructioa. � 2. That the awaer w3.i1 camply with all provisioas of the City of Z�phyrhille ordinaaaes aad cod�s pertiuetat to the buildiag. 3. That ia tlae eveat variaus ph�,ses of eoastructian are subcontracted, he wi22 engage onlZ► properly licensed subaontractors aad wi21 p�rsaaally supervise auch tvork. g. That in the event the 8uildiag Iaspector shall require correcticns to be made, the at�vner will as�svme fu21 responsibility to insure Ghey are made, and upon eamp3etioa w321 e�i2 for a reiaspeetioa before praceeding with the buiidiag. 5. That the owaer shall assume full resgotisibslity for the coastr.uation aad will not �acpect superv3sioa of his work from th� City af Zeghyrhills Suildiag Departmeat. 6. R'hat prior to £iaal inspecbion aay addit3oaal fees, iacludiag reinsp�ction fe�s, must he paid ia �ull. A written request £rom thi� of£ice �sha12. con�titute aa offscial aotiae to pay ac�d3tiaaal fees. 7. That the or,ezaer shall camply with all City, Stat� aand Federal laws in regard ta sacial security, workman�s compensation, lien laws, et�. , where applicable. 8. That the owaer shail ccmply svith all the safety codes issued by the Floxida Industrial Commis�iaa. 9. State 1aw requires aonstsuc�ion to be d,one by liceasad coutractozs. You l�ave applied for a permit uader aa exesaptiou ta that lasa�. The �acemptxoa a2lows you, as the ov,�ner of your property, to act as yaur owa aoatractox wa.th certaia restrictions evea though you do sxo� h�ve � licenee. You must gravide d3.rect onsite supervi�ioat, of the coastruc�iaa your$elf. You may build or im,prove a one-fami2y or t�o-fami.ly z�sid�aae or a farm outbuiiding. You may also build or improve a eoaunaxcial builciiag, provided youx eosts c3c aot e.�ccee� $?5,000. The buildiag or re�eideace must be �or yaur awa uee or oacupaacy. It may not be .built or substantially impraved for sale or lease. If you aell or lease a ' buiidiag you hav� built or su��taa�ially improvedl yourself w3thin 1 year after ', the coa�str�actian is campZet�, th� law vaiZl preeume that you built or �� subs�aatiall� imgrovec3 3f for sale or le�.se, which 3s a violation of �his exe�mptioa. Yau may aot hire aa ualiceasec�. per�oa ta act as your aontractor or �i to superv3se people workin oa g your buildiag. =t is your respoas3.b3.lity to � mak� sure that peopl� employed by you have licenaes required by s�ate law aad by couaty ar mua3.eipal liaeaeiag ardin.aaces. You �y aot delegate the reapons�.bai.Zity for supervisiag wark to � 13c�ased eoatractor �vho f s t�ot liceased to pexform the wosk beiag doae. Aay person workimg oa your buildiag who ie �noC licensed mus� work uader yaur diruct eup�rvisiou aad mv.st be ------ �I.�ed_byyouu� wI�G�]Y1��s�hai- �cav.-must-dedact-��--��C-�--aad-withho3�diag tax_ ..__.------- --.-- and provid� workers' aompensation far that em,ployee, a11 as pzeacribred by law. Y'our construatio�n must eomply with all agp2icah2e laws, ordiaaaces, buiidiag . codes, aad zoniag regulatiaas. OWNER'S SIGNATURE DATE � � , ADDRESS ' ' �'�L � psoza�. �t=�u�t�-�!�� . I �ITNSSS PSR�IT #� r �..-.�.... � � f � � � . ., � � EVALUATION REPORT OF , � U1�ION CORRUGATING COMPANY s i �29 GA,MASTERRIB PANEL' OVER NOM. 1" x 4"WOOD SUPPOitTS i � f ? FLORIDA PRODUCT APPROVAL i � FL 9555.5-R2 � f STRUCTURAL COMPONENTS • I � R,QUF DECK 5 � S { � , 1 � P.repared For: pA'T� �'`� ✓/ ;� Union Corrugating Company ������zEPp�YRN4�L� � , s P.�.Box 229 CI'� ����R � Fayetteville,1�1C 28302 p1.F��s� � Telep6one: (910)483-0479 � Fa�: {9I0)483-�897 't ��1���� ; M���������� '' �O�KSH�-PgVll.�t��f���" i' ;��ES FI.�R��t1G p�����,a ; Prepared By: ;,-����NA1-c��F ZE � B�la Sockaliagam,Ph.D.,P.E. .,;d��► �ES t Florida Professional Engineer#b2240 .�D�N� 3 � i21b N Lansing Ave,,Setite C � Tu1sa,.OK 7410b t f Telephone: (9iS)492-5992 ; F.AX: (866)366-1543 � - � �, �.� ;.,; - .a ,. �i This report consists of '" Evaluation Report(3 P�ges including cover) �� Instailation Det�ils(1 Page) :� ��,�1Rtdt�ti/��� ' :� R �����g0�lGq(Ij�rG/jsO� ; /,�,....y....... � 41 ���` �l ��AI��i aA�'�.� �i/ C �� �g �\/. �Z�e'�4/ y� � iP s�s ��� � ��� � Report Na C1805-7 „�,� 4,�°,� II Date: 11.25.2011 �'`• ������ ;{�,�: � �� � �. 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