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Home My WebLink About17-18931 CITY OF ZEPHYRHILLS i - ` 5335-8TH STREEi' ($13)780-0020 1$931 BUILL�ING PERMIT PERMIT INFORiVIATION LOCATION INFORMATION Permit Number: 18931 Address. 5817 1'ETH ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class af Work: RQOF REPLACEMENT Tawnship: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Btock: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est.Value: Parcel Nurnber: 91-26-2'I-0010-03600-0050 Improv. Cast: 5,600.00 OWNER INFORMATION Date Issued: 101'16/2097 Name: MBBS FLIP FUND ��C Tatal Fees: 65.00 Address: 3250 NE 1 ST AVE Amount Paid: 65.00 MlA1Vll, FL. 33'137-3725 Date Paid: 1 p/16/2017 Phone: Work Desc: REROQF MQDIFIED CONTRACTOR S APPLICATION FEES IACOBS PROPERTY MGMT INC REROOF RESIDENTIAL 65.Q0 f �/ Ins ectians Re uir DR IN R OF I P TAPE JCIINTS RC}OF]NSP FINAL REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the bcai government shall impase a fee of four times the arnount of the fee impasec!far the initial inspectian 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 property that may be found in the public recards of this county, and there may be additionai permits required fram other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure ta racard a notice of commencement may result in your paying finrice far impravements to your property. If yau intend to abtain financing,consult with your lender or an attorney 6efore recording your nofiice of commencement." Complete Plans,Specifieatians Must Accompany Application.All wark shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NCi OCCUPANCY BEFORE C.O. T CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN fi Mt3NTHS 1NITHClUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM 1NEATHER .� 813-780-0020 City af Zephyrhills Permit Application Fax-813-780-0021 , Building Depar�,ment � pate Received ` ��7r��.,� phone Gantact for Permitting Q/� �"7 �� Qwner's Name - �. �GI`� �� ..:�'i Owner Phone Mumber Owner"s Address ��j� � �c'�l/,�:' `�2/�"3�� t.� Owner Phone Number � � � � Fee Simple Titleholder Flame �� Owner Phone fdumber � � Fee Simple Titleholder Address ' JOB/�►GDRESS �'r'J I �� ib L�.-,� ` LOT# �� ' SUBDIVtStON � � PARCEL ID# i, (OBTAINEP FROPA PROPER7YTAX NOTICE) �4 WORK Pi�OPOSED e NEW COt�STR e ADD/AtT � SIGN Q Q DEMOLiSH i; INSTALL REPAIR �4 PRdPOSED USE Q SFR _ Q COiU1M � OTHER �' NPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL �] +; DESCRIPTION QF WQFtK �d��11��"i��J-�%e� i'�'i�l� �'�(�'��G~ /VL`Gl/t�'�"�'�'''Cn�"r'l-�'�'i �N�v�,�il� ��,T— ( r1i14�i�'i'�` �; BUILDING StZE �^ � SQ FOOTAGE�__� HEIGHT �� . ,, k} OBUILDING $ �� ,j � VALUAT(ON OP TOTAL CONSTRUCTION c '' E�ECTRiCA� $ AMP SERV(CE ; � � � 0 PROGf2ES5 ENER�Y Q W.R.E,C: � �, Q PLUMBING $ , J�� !. ��i ; OMECFfANICA� $ -� VALUATIQN C}F NIECHANtCA�iNSTAI.LATlC}!U :� � �� 0 � �c�s RoaFi�v� � s�Ecia�.rr 0 OTHER ��jc,,� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO „ . ^ BUtLDER � COMPANY ;� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N _...., ,_ � Address License# r� � � k ELECTRtC1ANt CORAPANY � SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N ' � Address License# � � I - E i p�-��B�� COMPANY i 51GN,4TURE REGISTERED Y'/ N FEE CURREf� " Y/•N ` � Address License# r� � MECHANICAL GOMPANY SIGIdATIJRE REGISTERED Y/ N. - F��cu�En Y/N • � Address Lic s #_�— � , OTHER �� -��4�� /��i� ti COMPANY � SIGNATURE T. REGISTERED �EE CURRE� Y/N , Address License# ��.,�Z ��e'�, � ?, �� RESIDENTiAL• Aftachi(2)Piot Ptans;(2}sets of Buiiding Plans;(1}set of Energy Farms;:R-O-W.Permit for new construction, . Minimum-ten•(:10).working iiays affer submittal date. Recjuired onsite,Construc6on Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&9 durnpster;Site Work Permit for subdivisiansltarge pro]ects � � COMMERCtAL Attach(2)complete sets of Bui�ding Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new,construotion. Minimum ten.(10)working,days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed, � , Sanitary Facilities&1'dumpsfer.Site Wortc Permit for atl�new projects.All commercial reqairements must meet compiiance I - SIGRI PERMIIT Attach(2)sets of Engineered Plans. ***"PROPERTY SURVEY required for a!I NEW construction. � Dlrections: Fill out application completely. Ownec&Contractor sign back of application,notarized If over$2500,a Notice�of Commencement is requtred. (AIC upgrades over$7500) "` Agent(for the contractor}or Pawer-of Aftomey(for the awner)wautd be someane with notarized letter from owner authorizing same O.VER THE COUNTER PERMITfING (copy of contract required) Reroafs.if shir�gles Sewers . Service tlpgrades�AfG Fences{PloUSurveylFootage) Driveways-Nat over Counter if on public roadways..needs ROW 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� applicable deed restrictions. .. . � -, �� - - _ � _ UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may b'e required fo be licensed�in accordance with state and IocaLregulations. 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 intende�ii`cont'ractor 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 cont�actor(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•Rasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AMD RESOURCE RECOVERY FEES: The undersigned unclerstands 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: 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" o�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/SewFr..lm,pact fees are•due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.`� • CONSTRUCTION LIEN LAW(Chapter 71�3, Florida Statutes, as amended): If valuation of work is$2,500�00 or more, I certify that I, the applicant, haye�been provided with a copy of the "Florida Construction Lien Law—Hom��owner's. Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If�the applicant is•5omeone other than the"owner", I certify that I have obtained a copy of the above described documenf and�promise in goo�faith to 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 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 my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally �>ensitive L`ands,Water/Wastewafe�Treatment. - Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Wealth & 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 st�em 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 efevated 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 electric�l 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 becom�; 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 fo,r a period of six(6) months after the time the work isti,commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause#or the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned� 3 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 FINAIdCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR fd T E OF MMENCEMENT. . -_ —FLORIDA JURAT(F.S:117.U3)-- --—� - — � -- �—` -^ __, _ _, �-- OWMER OR AGENT CONTRACTOR '� �� Subscribed and swom to(or aff'irmed)before me this ubscrlbed and s p(o�r affirmed)before me tr�is by a�—l1 b iC�-FT�/1l� L//��f� Who is/are personally known to me or has/have produced Who is/a`e personal ly�.Cnown to me or has/have produced as identification. F[� b�.l�-�'Su�-+"�� as(dentification. � � Notary Public Notary Public Commission No. Co mi ion N . ,,q<�:Y°y6;.; JACQUELINE BOGES Name of Notary typed,printed or stamped Name of Nota � e riAte .�fF��f�FF 150422 ;:; �a: xpires December 12,2018 ''�p��;°��`d, Bonded Thru Troy Fein Ineursnca gpp.3g5-7p�g ' i :r' � � ,�� Ca►nt�act � aend A �ee�ne��` � I.�.IYI.� I I7 C. CONTRACT AMOUIV'F ��" • G� � IACOB'S PRCIPERTY MGMT., iNC 4404 Tevalo Drive • Valrico, FL 33594 DEPOSIT AMOUNT ��/�� c�� { • {$13} 431-0739 BALANCE AMOUNT��G�- /��1ATE License No. CCC1327622 BALANCE DUE IN FUL.L WH�N JOB COMPLETED INVe the Owner(s)of the premises mentioned below,hereby engage and hire you as Contractar,to furnish and install all necessary materials and labor,to instafl,construct and place the improvements according to the fo(lowing sgecifications,terms and conditions,ort and in the premises below described which we warrant and represent that we have gpod record tit(e as ta CJwners in our own name. OWNER'S NAME{S)_�,��7) ��(�p �'(,(�(� L_/..,�. PNONE ADDRESS_fj�!� �� _ CITY �,��,l�/��`�/�� S1'ATE �ZIP�..3�� #ractor agrees to fumish all labor and materials according to the following specifications: Provide documents to obtain building permit. City ar County of . Remove exisfing roaf to a usable surface and haul away job reiated debris . Inspect wood decking,fascia board,rafter tails,barge rafters and make necessary repairs at an extra charge as outlined in wood work sheet enclosed. 4 (nsfall underlayment as needed. flescribe 5 Install optio��Q Bo � insulation to raof of hame 6 [nsfall new � mR�^t r f.� .-«� ,A,�fh��a�p � ows: ��W Lifetime Fasteners ❑ Ridge Cap ❑ Hip Flashing ❑ Custom Fla , ings [� anc Endwall Fiashings w d Cricket 0 Sealants ❑ Eave Dri /Ra f ewall Flashings"�-�-��j Buildup ❑ Plumb' �ngs ❑ Fireplace Flashings ❑ Transition Flashings Q�i1 e�F'coof Gooseneck Vents ❑ Valley Flashings 0 J-Channel Area . Complefe jobsite cl nup and magnet sweep . Provide written�year installation warranty r . Materiais warranted by manufacturer. 1 . Provide Waiver of�ien. 1. Color �. � f� ' t� � �.,I f L-� ,� �` 1�L.... � �f -�� zb��-- ,� .` i�,P �C.�`/�- - � The undersigned Corttractor agrees to sell and fhe undersigned Buyer�s}(jaintly and severally,if mare#han ane}agrees to purchase fhe above described goods and services which are to be furnished or used in the modernization, rehabilitation, repair, alteration or improvement of real property located at Buyer's address given above. APPROXIMATE START DATE _ / ��/�` ,`� /� APPROXIMATE COMPLETE DATE,� 3 •� ��-��-" _ /C......,c:.........., _....._...._i� „��er%,r.� i�`i�}f�€..'=}{��"� �it'i`�� A. Do not sign this horne im�r�v�r;��n��,;;��;i�'�'are�r. B You are entitled t�a copp.of the con*:ract�€�;"s�rre�y��.s>ur.i�eap ri tc�r�t�:your[e�a1 rig;,�s. _ C 3his home improvernent contracz may ccn*�?c�a ��i ige�e er o�`�errr'sse create a lien on your property that could be foreclased on if you ' do not pay Be sure you understand a(I prov7siors a;�h�co�tract beiore you sign. . ACCEPTANCE The prices, specifications and canditions are satisfactory and�are hereby accepted IACOB'S PROPERTY MGMT., INC. is authorized to do the work as spec'fed. Payme #will be made as specifed above Buyer��'� �,�(�.�'�1�'!(��ate �'_l "�� —�6 i ' Agent Date ��r��-��Co-Buyer Date U ACKNQWLEDGES RECEIPT OF THES CONTRACT tMMEDiATELY UPON EXECUT(ON HEREOF. NO VERBAL AGREEMENTS WILL BE HONfJRED. ITEMS ORDERED MUST BE ON GONTRACT. Thic ic a la�a!!v hinriinn rnntrart If nnt fa iI(v��nrlar¢tnnr! cpak rnmnatant nrtuirc � ' ` III�IIIIIIII IIIII IIIII IIIII Illll IIIIIIIIIIIIIIIIII�I II�IIIII 201715fi613 Rcpt:1899378 Rec: 10.00 DS: 0.00 IT: 0.00 Permit Number 10/05/Z017 K. R. M. , Dpty C 1 erk Parcel ID Number ��_2j�_��9 _rQ�'fif7.-��,5� PRULA S 0'NEIL,Ph D PRSCO CLERK B COMPTROLLEk NOTICE OF COMMENCEMENT 10/05/2017 12:22 m 1 2,.L1�$ State of Florida , . . ,s;.�;;. OR BK g�1� PG County of Pinellas THE UNDERSIGNED hereby giyes notice that improvements will be made to ce�tain real property, and in accordance utith Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF CDMMENCEMENT. 1.Description of property(fegal descriptlon): a)Street(jo6)Address: ��1��/, /j�'" ZE�/� /r� � � � . 3�_ � 2.General description of improvements: Q rs,c-y-� c 3.Owner information or Lessee infortnation if the Lessee contracted for the improvement: a)Name and address: A��j�js �( I O �Ll..l(� LL ,��,��f S��,�.j/f= ��O� b)Name and address of fee simple btleholder(if different than Owner listed above) /vl/�,¢lU�� j_ �� /�"-j c)Interest in property: . 4.Contrador Infortnatlon ,�"�� , a)Name and address: �-��t�'� .,t/�-L'l�B /Jl� �L'�,,�t/��¢,/�,2��3�"�� b)Telephone No.: ��3=�3�Q��f Fax No.:(optional) .Surety(if applicable,a copy of the payment bond is attached) a)Name and address: b)Telephone No.: c)Amount af Bond: 5 6.Lender a)Name and address: b)Telephone No.: 7.Pe�sons within the State of Florida designated by Owner upon whom notices ar other documents may be served as pravided by Section 713.13(1)(a)7.,Florida Statutes: - a)Name and address: ' ' b)Telephone No.: Fax No.:(optional) 8.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 Number of Person or entity designated by Owner: 9.Expiration date of notice of commencement(the expiration date may not be before the compleGon of construction and final payment to the contractor,but will be 1 ear from the date of recordin unless a different date is s cified: ,20 WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE . CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON � THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN � ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief , _ = d/1,%1 � f�c��k- ��c�r�1�.12;--��.2 , (Signah�reb�Owner or Lessee;or Oxmers or Lessee's(Authorized OfficedDirectodPartriedMana{�er) (Print Name and Provide Siqnatnry's Title/Office) - ', The for oing inshume was ac nowledged before me this a � day of �,��}'��;Y ,20 �� . by ��( 1(� L��,eS �_�i,`t.e(� (type of autharily,e.g.officer,trustee,atlomey in fad) ' ,�" for - ,as T - n Name af Person) -' ' ,,,- � ,� '- �(type oFaulhority;...e.g.�cer,trustee,atto in fact) �1� for l �� - � /�iL:�(name�of party on b ' .� whom insWment was ecuted). �-Personally Knovm ❑ Produced.ID� � �� - ' � .` �; _ . a _Type of ID � �'Notary Signature _ �� Print name� � '� , �"•" JAMIE A COREY _. 1: � � - _ ,_ � ;.�n:eira�;;. 7 � � - - �� : MY COMMISSION i��G 0610 8 � � - , __ - '«�r;: EXPIRES:January 17,2021 " .' -. sti.,`,e c.��oa'� BOrdeC TiIN NotmY Pub�Undetwd�eis -" . - - _ _ r i , � ��v�e�t�i:� ,� 0 . �CG i a7� .�>► I COUNTY OF PASCO � � • ; , -!� � STATE OF FLORIDA� � • In yocllNeTi-wt . . :„�,.,, �l COPY 0�THE DOCUMF10E THIS IS TO CERTIFCTHAT THE FOREGOIN F rtRUE AND COFRE ��RECORp��TH�S 0 �r �� •* ON FILE OR OF PUBL 0��20=- � . 1887 WITNESS MY HAND AND�ICIAL SEALYH� � � � ,�`OP �� DAY OF &COMPTROLLER ,��F�,O PA�S D,N��,CLERK D�PUTY CLERK gY �r..s;��'�"�'.�•,.;ra��„zc��as�w�-r-�r. .r•fi;;;Ms��vc�::: . r3,.', . -^;'r'C: ".'�"°''."^r �;�'�r Y7{� `»At'�,`�w'��„_�k'�; � .�'v,�r%�:p<,,`'�£.'.a;,r`� 4�`��f4': 'sr:. r�t�� l�s''�iA.:�Y .�y�-a'+'�.t' 1�' •ry`�"""i=^yJ:• l ..'fFe.- -b�• t-� +.4:,,-: r�.�3�'^� Y i �,`• '�,,, f .�i:;,a..�, .. ;gh' �'��i�i-:d •��`�`..�:r'��' 4j^��r. --�.�� ?.',�r.s.e'.�;�`> .t.�� °e�`:`v-: ,i' {`i�••'ig .�, `tl':ij�f. �.,�'.�•• �'s'L�..';� ��.�f'�... 4 Yd ys.�?�" '�� , 4:� '�,1:,=?��Sk�` _Y.ea't..:^r,'J �ae,,,� �ti ''?-=�'ta E5��:�' ',y�,t��-.,� �'('��.�`��t Ry. r* , lr,'.,f+3.'" -t-,;�� ; r,.` �'A { f 4 .} t '"i-�`: F� �-5:e:� `itr, _^'�',��'`_i�.;='�'a+'�'t: �1 .��:;�� ,�a�4,i-��;'�"k.A,�'��;�;� ��;�� '� L� . Lr .' _ ' [� ).'�'�>R,�^: �;'� z. ;;Y:: -_.�e,g;p�:.a;;ii�K�,..�,'- rsa',7"' x-';_�:c-"�:>:. ��aU;' , . �. - - ` ::.si.7:1'�".^�z'�•.:.::_ '-,e:._;. ��,�:` 6�'.��'l" �f�i'�'e��'.• - BCIS Home � Log In � User Regis[ration Hot Topics � Subm(t Surcharge � Stats&Facts ` Publicatlons I FBC Staff ; BCIS Slte Map ' Links � Search•� Flarida - c�k� Product Approvai �'�, t,� USER:Publfc User � � �` r,�.,;v':iE.: . Product'Aooroval Menu>Product or Aoolication Search>Aoolication Lfst>Appllwtion Detall p '6;7a,*-?-.'�.3 u 4.,r9s1^`:.:%s:-T^:t">,47 t'"�ye�",�x.� � Ar�.:'�;,�.�'<��.:,�r`>'z,y FL# FV35-Rii � Application Type Revision Code Version 2014 Application Status Approved *Approved by DBPR.Approvals by DBPR shall be reviewed and ratifled by the POC and/or the Commission if necessary. Comments Archived �-, ��`��V�� ` � Product Manufacturer TAMKO Building Products,Inc. d � Address/Phone/Ematl �p�Bn,XMO 64802 ��'VS�� }�� (417)624-6644 Ext 2305 �� ke rri_e d e n@ ta m ko.co m Authorized Signature Kerri Eden kerri_eden@tamko.com � Technical Representative Kerci Eden Address/Phone/Email PO Box 1404 Joplin,MO 648�°L� (417)624-664� �"��,�i1 yJ�//f� " � kerri_eden@t� ��-�� a t��f�„�� oP�,��1"�'�'�'r��6��1�� E�,q��l�� Quality Assurance Representative Address/Phone/Email ��.��;'�� •`ry Category Roofing Subcategory Modified Bitumen Roof System Compliance Method CertiFication Mark or Listing Certiflcation Agency Miami-Dade BCCO-CER Validated By Robert J.M.Nieminen,PE i� Validat(on Checklist-Hardcopy Received Referenced Standard and Year(of Standard) Standard ear ASTM D 2178 2004 ASTM D 2626 2004 ASTM D 4601 2004 ASTM D 4897 2001 ASTM D 6163 2008 ASTM D 6164 2005 FM 4470 lggZ TAS 114 2011 Equivalence of Product Standards � Certified By I i _�v% o r • � uV �u -rca�iun 2R��:1 _..__�;,. . .e�+wa..,."t.... ...,,a, _ . ih, �.a.,_ , `_1-..;... City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �` S Date Received: / � —'�� Site: �� P Permit Type: `�'- � / Approved w/no comments:�l Approved w/the below comments: ❑ Denied w/the below comments: ❑ � - i ' This comment sheet shall be icept with the permit and/or plans. . / U �l / Kalvin Svy't r–Plans Examiner Date Contractor and/or Homeowner � (Required when comments are present) �