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Home My WebLink About17-18932 CITY OF ZEPHYRHILLS 5335-8TH STREEi' . •� ($13)780-0020 18932 . �►i1ILDING PERMIT PERMIT INFORMATION L.00ATION INFORMATION Permit Number. 18932 Address: 5509 5TH ST Permit Type: RE-R(JOF ZEPHYRHILLS, FL. Ciass of Work: RQOF REPLACEMENT Township: Range: Boak: Proposed Use: NOT APPLICABLE Lot(s): Btock: Section; Square Feet: Subdivision: CITY OF ZEPNYRHILLS Est. Value: Parcel Number: 11-26-21-0010-06300-0070 Improv. Cost: 9,000.00 OWNER INFORMATION Date Issued: 90i1612017 Name: NfBBS F�IP FUND L.LC Total Fees: 120.00 Address: 3250 NE 1 ST AVE STE 305 Amourtt Paid: 12Q.00 M1AM! FL 33137-4295 Date Paid: 10/16/2017 Phone: Work Desc: REROC?F MqDIFIED CONTRA,CTOR S APPLICATION FEES IACOBS PROPERTY MGMT INC RERO(�F RESIDENTIAL 120.00 t� .�6 �f Ins ectians R ' ed DR N R OF I TAPE JQINTS ROOF INSi' FINAL REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the loca! government shail impose a fee af fonr times the amount af the fee imposed for the initial inspection or first reinspection,whichever is greater,far each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additianal restrictions applicable to this property fihat rnay 6e found in the public records of this county, and there may be additianal permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning ta owner: Your failure ta recard a notice of commencement may result in yaar paying twice for improvements to your property. If you intend to abtain financing, consult wifih your lender or an attorney before recorcling your notice of commencement." Complete Plans, Specifications Must Accompany Application. All wark shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � �,,RA OR SIGNATURE PERMIT (7FFI R PERMIT EXPIRES IN 6 MUNTHS 1NITHUUT APPRt3VED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PRCITECT CARD FRBM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Y. Date Received " �'��%`� phone Contact for Permitting O Y� — �� Owner's Name ��.s' � j �� Owner Phone Number Owner's Address �� LC ��= �1� �� {9��wner Phone Number i Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS , � �r� ?- 2��/�} �IT�1L�S � � �,% 2- LOT# � � SUBDIVISIOId PARCEL ID# ` �2/� ( ��o ��Q�� 1.j (OBTAINED FROM PROPERTY TAX NOTICE) �l WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH ii 't � INSTALL REPAIR #i4 PROPOSED USE Q SFR __ Q COMM 0 OTHER ;i TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q ; ' �j DESCFtIPTION OF WORK �I,vtOG�� - , � ,/��l, �?Q G�,T �2 ' ��/1� �6�/"' � � � 'I BUILDING SIZE SQ FOOTAGE �.�� HEIGHT � G� j{_ � �� . OBUILDING $ Q��i,�� t� VALUATION OF TOTAL CONSTRUCTION :� . S' DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY i; Q W.R.E.C: '� , I ; �PLUMBING $ �-1_ J � G 3?' �" (, � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � 9 � . OGAS ROOFING �Q SPECIALTY 0 OTHER � J7 1� i ✓ `� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES N t BUILDER COMPANY � SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N � a � Address License# , � ELECTRICIAN COMPANY f SIGIVATURE REGISTERED Y/ N FEE CURRE� Y/N i ' fAddress � License# � I , _. ; PLUMBER COMPANY � SIGNATURE REGISTERED Y�/ N FEE CURRE� ' Y./N' � Address License# MECHANICAL COMP.ANY SIGNATURE REGISTERED Y/•N. • Fee cuw�en Y/N � Address ' ense 1 . R�� / OTHER ,/� ,��^��t7� COMPANY � v i SIGNATURE ��'�-��0 ''�"/�!L • L`�l� REGISTERED Y,� CURRE� Y/N ` Address �� e`�� ,�, ��L�,f�� _ 3��-�f License# ��(� �G, � �=, �b +�� RESIDENTIAL- Attach(2)Plot Plans,'(2)sets of Building'Plans;.(1)set of Energy Forms;;R-O-W.Permit'for new construction„ _ Minimum ten(.1.Of..working days after submittal date. Required onsite;Construction�Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten.(10)working days after submittal date. Required onsite,Construction.Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1�dumpster.Site Work Permit for all hew projects.All commeroial requirements must meet compliance - SIGN PERMIT Attach(2),sets of Engineered Plans. � *'"'PROPERTY.SURVEY required for all NEV1/construction. Directions: Fill out application completely. Owner.&.Contractor sign back of application,notarized If over$2500,a Notice of Commericement is required. (AfC upgrades over$7500) " Agent(for the.contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same O.VER THE COUN7'ER PERMI'fTIMG" (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � - NOTICE OF D�ED RESTRICTIONS: The undersigned understands that this permit may be subject ta"deed"gestrictions" which may be more�restrictive than County regula#ions. 7he undersigned,assumes responsbility for compliance with:any applicable deed rest.r:ictions. , _ � ; ,. _ _ � - UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI�S: If the owner has hired a contractor or. contractors to undertake work, they may tie�required to be licensed-in accordance with state and IocaJ�.r.egulatiiins. tf the contractar is not licensed as.required by law, both #he owner and contractar may be cited for a misdemeanor_v,iolatian. under state law: if tha awner or infendet! contractor are uncertain as to what licensing�requirements may appljr far #he intended work, they are advised fa contact fhe Pasco County Buiiding Inspection Division--Licensing Sectian at 727-847- 8p09. Furthermore, if the owner has fiired a contractor or contractars, he is•advised to have th`e contract�r(s)'sign partiaRs of the "can#ractor Blockp of this applica#ion�far which they wiN be responsible. If you, as the awner sign as the cantractar, that may be an indication that he is not properly licensed and is not entitled to permitting'privileges in Pasco� County. � TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEE3: The undersigned understands #hat Transpartation lmpact Fees-and Recourse Recovery Fees may apply to #he construction of�new buildings, change of use in existing buiidings, or expansion af existing builc3ings, as specifted in Pasco County Ordinance number�89-07 and. 90-07, as amended. The��undersigned.also unders#ands, that such fees, as may be due, wilf�be identified at the time af permitting. If is further understaod #hat Transpartation Impact Fees and Resource Recovery�Fees must be paid pr:4or-,to. receiving a "certificate of occupancy" or final pawe� release. If the.praject daes not involve a�certificate of occ�rpancy or finat pawer release, the fees must be paid prior to permit issuance. Furth�rrnare, if Pasco County Water/Sewer. Impact fees are due, they must be paid prior to permit issuance in accordance wi#h applicable Pasco Caunty ardinances., CQNSTRUCTION LlEN LAW tChapter.743� Florida Statutes, as amended): If valuation of work is$2,500:00 or more, I certify that 1, the appficant, have-been pravided with a copy af the "Florida Gonstruc#ion Lien �aw—Homeawner's. Protectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"ownet�, 1 cettify that 1"have obtained a copy of the above described document�and prom�se in good faith to deliver it to the"owner" priar to cammencement. �� CONTRACTOR'SIOWNER'S AFFIQAVIT: =I certify that all the information in this application is accurate arid tha�all�work will be dane in compliance with afi applicab,le laws reguiating construction, zoning and land development. App(ication is hereby made ta 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 (�e pecformed to rr�eef standards of alt laws r�gulating construc#ion, County and City codes, zaning regulations, and land development regulations in the jurisdiction. I alsa ce�tify that 1 understand that the regulations of other goverr�ment agencies may apply ta the intended war,k, 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: - Deparkment of Environmental Protection-Cypress Bayheads, Wetland Areas and �nvironmentaUy �ensitive L'ands,Water/1Nastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alfering 1Natercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Deparkment af Health & Rehabilitative Services/Environmenta! Heafth Unit-Wells, Wastewater Treatrnent, Septic Tanks. ; ' - US Environmenta!'Protection Agency-Asbestos abatement. ; - FederaE Aviation Autharity-Runways. ; I understand that the following restrictions apply to the use of filL• �_ - Use of fill is nat atlawed in Fload 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 volusne° will be submitted at tirne af permitting which is prepared by a professional engineer licensed by the S#ate of Fiorida. � - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall constructian, t certif}r that fli will be used only to�Il the area within the stem wall. - If fill material is to be used in any area, I certify that use of such �II will not adversely affect adjacen# properties. If use a#fill is faund to adversety affect adjacent properties,the awner may be cited for wiofating the conditions of the building permit issued under the atfached permit apptication, for lots tess than one (1) . acre wh9ch are elevated by fill,an engineered drainage plan is required. , If 1 am the AG�NT FOR THE OWNER, ( promise in good faith ta inform fhe owrter of the permitting canditions set forth in this affidavit priar to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, welis, pools, air conditianing, gas, ar ather instalEatians not spec�cally inclucied 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 pcavisians of the technical codes, nor shalt issuance af a permit prevent the Building Official from thereafter requiring a correction of errors in pians, construction or violations of any codes. Every permit issued shalt becom�irivalid unless the work autharized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandaned far a period of six(6}months after the time the vuork isa�comrr�enced. An extei�sion may be requested, in writing, from,the Building Official for a period nat to exceed ninety (90) days and will demonstrate just�able cause far the extension. If wark ceases for ninety{90}consecutive days,the job is cons9dered abandoned; ; WARNlNG TO OIAfNER: YOUR FAlLURE TO RECORD A NOTlCE OF COMMENCEMENT MAY RESULT II� YOUR PAYtNG TINtCE FOR tMPROVEMENTS TO YOUR PROPERTY. IF YC�U iNTEND TO U TAtN PINANCING,Gt�NSULT Vill"PEi Yt'3UR-L-ENDER�OR-Q►R1-A"d''TORN�V BEFORI�RECOR�lRlG-Y-Oi�lR-!d E O– O BAENC�MENT. � -- -- , _ FLqRIDA JURAT{F,S.11T.03) OWNER OR AGENT CQNTRACTOR� „_ Subscribed and swom to(or a�irmed}before me this Su�scdb d and swo a rtn d}befare me this by Pj^��b ' Who is/are personally known to me or has/liave produced Wh s/a�,e p rsonal�Y k awn to me or has/have produced - as identification. �c�}2C�V�.�`�l.t,�.t�.s�-- as IdentificatEan. � ' Notary Public � Notary Publia Comm[ss'son Na. G m ssion ,� ��;-•,,` �ACQU INE BOGE 422 w� :r= Expires December.12,2018 ;:+�.. a� ein Inwrenoo 60Q3�`-7q19 Name of Notary fyped,printed or stamped . Name of iJotary � , . , � .:�. ' ��. , . �j�45L`s"` ' J';�� ,-ItU�NiUq �.�v .�-��_ n"�y,�,,,� .,_ _^�Y�Y��'- �.;w+«i:�' ..x.+ City af Zephyrhills BUILLIING PLAN REVIEW C011�IMENTS ��Cantractar/Homeowner: ' � Date Received: � �s'`� Site: �� >I Perrnit Type: 1�'� ;a < Approved wlno connnlents� Approved wlthe below coz�a�nents: Cl Denied w/the below comments: ❑ This comr�ent sheet shall be icept with the permit and/or plans. � �� f�l Kalvin wit Plans Exa:miner Date Cantractor andlor Homeowner (Required when comments are present} � IlIIIIIIIIIIll111llllllllll1111111111IIIII1111111111fi111111 . • 2017156614 Repl:1899378 Ree: 10.00 � D5: 0.00 IT: 0.00 10/05/2017 K. R. M. , Dpty Clerk Permit Number Parcel ID Number — � _ �� PpULA 5.0'NEIL,Ph.D PRSCO CLERK & COMPTROLL NOTICE OF COMMENCEMENT 10/05/2017�1�,�2�22,�mPG 22�•� State of Florida " �R BK is} County of Pinellas - ,;�t,. ....��_�.::e�,�,_._r._,,.._�r.K� �rs�=r.�l��,�:, .._,-.-�c::.,._, THE UNDERSIGNED hereby gives notice that improvements will be made fo certain real property, and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property(legal description): a)Street(job)Address: ��D�_,/'"�,��r ��/f/l'_h�/G11' F - �� _ 2.General description of improvements: Q m� 3.Owner Information or Lessee information if the Lessee contracted for the improvement: a)Name and address: �,��rj �� (�� T�/� ��- ��- b}Name and address of fee simple titleholder(if different than Owner listed above) ��`,¢/H�`�_L�� c)Interest in properly: 4.Contractor Informatlon a)Name and address: ,¢FT��E ��7� r,r�i�1� v,¢j� ��- Ut��p �L 33.S,g� b)Telephone No.: Fax No.:(optional) �S.Surety(if applicable,a copy of the payment bond is attached) a)Name and address: b)Telephone No.: c)Amount of Bond: ; �. 6.Lender a)Name and address: - b)Telephone No.: . 7.Persons within the State of Flonda designated by Owner upon whom notices or other doeuments may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: a)Name and address: b)Telephane No.: Fax No.:(optional) • 8.a.ln addition to himself or herself,Owner designates of io receive a copy of the Lienors Notice as_provided in Section 713.13(1)(b),Florida Statutes. , b)Phone Number of Person or en6ty designated by Owner. 9.Expiretion date of notice of commencem¢nt(the expiration date may not be before the completion of construc6on and final payment to the � cantractor,but will be 1 ear from the date of recordin unless a different date is s ecified: ,2p WARNING TO QWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION T13.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR I PAYING TYVICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON � THE JOB S1TE BEFORE THE FlRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT 1MTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I dedare that I have read the foragoing notice of commencement and that the facts stated therein are t�ue to ihe best of my knowledge and f. �tul r�r 1��c�, �.J�GCYI�'10��.P Y Signature a ner or Lessee,or Owner's or Lessee's�(Aufharued Otficer/DiredarlPaMedManager) (Pnnt Name and Pro+nde Signatorys Title/Office) The foregoing instrument was acknowledged before me tfus day of ��,ry��,r ,Zp �-'� bY ��L�(� g�(�1�1 8S (iype of aufhority,e.g.officer,trustee,attomay in fact) ' for ' � ,as , .� � (Name of Person) (type of authodty,.__e.g.officer,trustee,attomey in fact) , �� gi�]S ��► �t,(.{�1.d �-��`-(name of pa half of whom instrument w s exe ed). Personally.Known ❑ Produce ID . ; Type of ID � � c�, Notary Signature - " Print name . r"�ti�►':'�, - �' JAMIEA COREY ;: ; MY CQMMISSION#GG 06t07$ =z;, pg= EXPIRES:January 17,2021 "•`,P:�:` Bor�dedThn+NoMaryPtb�cUnderwriters v�ic '�`r, ' � �c��P STATE OF FLORIDA,COUN�'Y C1F PASCG ��, �� THIS IS TO CERTI�Y 7HAT THE FOREGOING IS�1 � ;� TRUE AND COR�2ECT COPY Or?HE DOCUMENT � . m Gocfwe rrusr . � ON FILE�R�F f'U�LIC RECORD IN THIS OFFICE � WITNESS MY HAND ANp��FICIAL SEA2 O= '* � �� * ��+n �AY o�..��-Q�-� �c '�►' . PAU-�`�q"`5,__O'NEIL.,CLERK&COMPTROLLER �rq :�8; A � ��_ �,� (�(1�rI DEPUTY CLERK �F�je�,p�i�� C'�nt�act and �1 �ee��zent � I.�"".�.� 1 n C. CC}fVTRACT AMOUNT ��*�� IACOB'S PROPERTY MGMT., INC. � 4404 Tevalo Drive • Va(rico, FL 33594 DEPOSIT AMOUNT L��Jd ( • (813} 431-0739 BALANCE AMOUNT�� aATE License No CCC1327622 BALANCE DUE !N FULL WHEN JOB COMPLETED INVe the Qwner{s)af the premises mentioned below,hereby engage and hire you as Contractor,to furnish and insfai(ail necessary materiais and labor,to insta!!,constrGct and place the improvements according to the fotiowing specifications,terms and conditians,on and in the premises below described which we warran#and represent that we have good record title as to Owners in our own name. OWNER'S NAME(5��'l' ��f� �'�/�li� �f� PNONE ADDRESS ��`��'� CITYi?��1c�.�� STATE f'"� ZIP��_��_ Contractar agrees ta fumish ail(abor and materia(s according to the fo(iawing specifications: �f'ravide dacuments to obtain building permit. City or County of Ftemove existing roof to a usable surface and haul away job related debris � Inspect wood decking,fascia board,rafter tails,barge rafters and make necessary repairs at an e�ctra charge as outlined in wood work sheet enclosed. nstali underiayment as needed. Describe� c/ ,c�/�'"/5��r/� 5 (nsfal(optional ISO Bqa d � insulation to raof af home �� j� ith all nec�� 6 Install new � � mP�^ rOOf 4VS�Pm�nr -, - -- �-�� — (� Lifetime Fasteners ❑ Ridge Cap ❑ Hip Ffashing 0 Gustom Flashin �s Q Pancake Screws Ridge Vent System ❑ Endwa!!Flashings ❑ Build ❑ Sealants ❑ Esue Qrip/Rake ❑ g��d�F Q Plumbing Flashings as ir�gs ❑ Transition Flashings ❑ Modified Raof s ❑ Valley Flashings Q J-Channei Area 7. Comple#e jobsite cleanup and magnet sweep Provide written�_year installafion warranty Materials warranted by manufacturer 1 Provide Waiver of L.ien. 11 Calor � .� � �,�~r�- �j�� f �� GL 4 �'� ..�1��= t� � T �L_� � t� � �� The undersigned Contractor agrees to sell and fhe undersigned Buyer(s}(jointly and severally, if more than ane)agrees to purchase the above described goods and setvices which are to be fumished ar used in the modernization, rehabilitation, repair, alteration or improvement of real property located at Buyer's address given abave. APPROXlMATE START QATE 2 G�/� L�� APPROXIMATE COMPLETE CJATE � ' .� �c/ � /C.....�.Ft.......... ............._i� +�`�f��'= '��7 ii'TC {'iV'tNEr� A. Do nqt sign t,�is horne imYreve>��t�t cc�:�«�:.x:;�;��c_ B You are entitled ta a capy_iaf the c�n:i��t.�t ti:e��n;s y�u s;y¢z. i��'s�:��r�:rc€y�ur iega! rign�s. C This home improvement-cor�tract rr�ay co�=.2:r a mcr;gG�e cr e��en•riss crea'te a�lien on your properfy that cauic3 be foreclosed an ifi you. do not pay Be su�e you understand alf pr6visior�s of�he cortract before you sign. AGCEATANCE The.prices, specificati ns and con itions are satisfactory and are hereby accepted IACOB'S PRQPERTY MGMT., INC. is authorized to do the work as sPeci Paymenf w" be made as specified above. �l `'� J- !// Buyer /�GC�Y� �!�'��lN��'!� Date[��-'f f 7 Agent � - Date Co-Buyer Date , f ER A KNOWLEDGES RECEIPT OF THIS CONTRACT IMMEDIATELY UPON EXECUTION HEREOF. NO VERBAL AGREEMENTS WILL BE HONORED.ITEMS ORdERED MUST BE ON CONTRACT. T�:- - - �-- -„ � ,. . ,. . .:.�4.,�:ow�".;•1�:'fn�=d�p"�;.f�y..x��?i .7.... �.r- .N�w�e..�. .. ' . `;t�+!'r . .. r , ;' .� r,y'�i'." -�` ;� '^� ` 'd� "z.+`.,�i.��.n�t.�.�. ;r,. , ., S, ,,, �y.y�.,�.� .: ., �!Yr} . .�i � . �k F >' � �]�i,T;E'x,'�:u.G'yM'dev�,at M.� '� �l. -�sfi @YF. '�s. -.r:i;j v d' � i tl�,�� •.<;�;U t '�` ..s,�`�r.;r.i, .. " �� . ��57 � rt � #. �� '�N �� . •• �■ }; ' ,:�:s �.�,.�"r'. '�$�•_�� ,n a �� YD 9 r� ,-;1�� d � #"n�'. Y stiu_��{I�J��l� ;�� w � � ��`�-..,.:� � ; ., L' � � �,�iAr..f�'y3" �z �� 2}m''~. t.4 Ea;$'-"'!.: Y`..3 k� .. . . . '_ '� 'J.� :i M.v. .....:;..:'...3'»7,.. �a '"�'Yw. ::i:i'...3 ��.^.�LY'nE2x�� `��Y'.s" y qr: BCIS Home � Log In � User Registration 'Ho[ToD�a ' Submit Surcharge � Stats&FacLs � Publications , FBC Staff � BCIS SI[e Map � Links ; Search � Flonda .� }'•� ;"�')Product Approval {,�'�� -�:.y USER:Public User _ Q'-i. �.: nn�_'.�.W hb F:tn ProduR Aooroval Menu>Product or Aoolication Search>Aoolication List>Applfcation Detail ��,-q...�.' . ��";;�.,,� � yyy a � �;�.� ��'' FL#.. FL735-R11 �.q , .y`.4f.4 Application Type - Revision Code Version 2014 Application Status Approved *Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived ❑ Product Manufacturer TAMKO Building Products,Inc. Address/Phone/Email PO Box 1404 Joplin,MO 64802 �yC �r/� (417)624-6644 Ext 2305 ��/�`��'� O�� kerri_eden@tamko.com �.p:�a�,Z�p ` HYR HfLl�c� Authorized Signature Kerri Eden ��N�' ��1p��p �f kerri_eden@tamko.com ��d y� --�--�.-�= Technical Representative Kerri Eden � Address/Phone/Email PO Box 1404 Joplin,MO 64802 (417)624-6644 Ext2305 kerri_eden @ta m ko,com Qua�iry Assura��e RePresentati�e '' ,��L�(�Rl4 SHALL C'Jr�FDLY!lVI�'F4 P��iOAILIRlCs Address/Phone/Email CODES FLO�ciDA BUILDIPJG CODE, cate9ory Roofing �A�IOFlPaL IELECTRI(;CODE, subcategory Modieed eitum��if��,��F�ZEP�iYRH111,S KUiNH ��C Compliance Method Certification Mark or Listing Certification Agency Miami-Dade BCCO-CER Validated By Robert J.M.Nieminen,PE ` i:%t Validation Checklist-Hardcopy Received Referenced Standard and Year(of Standard) Standard Year 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 1992 TAS 114 2011 Equivalence of Product Standards Certified By . Product Approval Method Method 1 Option A Date Submitted 10/12/2016 Date Validated 11/O1/2016 Date Pending FBC Approval Date Approved il/03/2016 Summar of Products FL# Model,Number or Name Description 735.1 TAMKO Modified Bitumen Roof Modified Bitumen over Cementitious Wood Fiber Decks System over Cementitious Wood Fiber Decks I Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL735 R11 C CAC 14082714 MB CWF�df Approved for use outside HVHZ:Yes Quality Assu�ance Contract Expiration Date Impact Resistant: N/A 08/23/2021 Design Pressure:+N/A/-82.5 Installation Instructions Other: 1.Acceptable for use on low slope roofs.2.The FL735 R11 II 14082714 MB CWF.p�f � design pressure noted herein pertains to one system over Verified By: Miami-Dade BCCO-CER one deck type,refer to NOA listings for all deck types and Created by Independent Third Party: maximum design pressures.3. Refer to NOAs for deck Evaluation Reports specific and general limitations of use. Created by Independent Third Party: 735.2 TAMKO Modified Bitumen Roof Modified Bitumen over Concrete Decks System over Concrete Decks Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL735 Rll C CAC 14082719 MB CONCRETE odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A 10/23/2021 Design Pressure:+N/A/-622.5 Installation Instructions Other: 1.Acceptable for use on low slope roofs.2.The FL735 R11 II 14082719 P48 CONCRETE.odf design pressure noted herein pertains to one system over Verified By: Miami-Dade BCCO-CER one deck type,refer to NOA listings for all deck types and Created by Independent Third Party: maximum design pressures.3. Refer to NOAs for deck Evaluation Reports specific and generel limitations of use. Created by Independent Third Party: 735.3 TAMKO Modified eitumen Roof Modified Bitumen over Lightweight Concrete Decks System over Lightweight Concrete Decks Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL735 R11 C CAC 14082717 MB LWC pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:N/A 09/06/2021 Design Pressure:+N/A/-75 Installation Instructions Other: 1.Acceptable for use on low slope roofs.2.The FL735 Rll II 14082717 MB LWC odf design pressure noted herein pertains to one system over Verified By: Miami-Dade BCCO-CER � one deck type,refer to NOA listings for all deck types and Created by Independent Third Party: maximum design pressures.3. Refer to NOAs for deck Evaluation Reports specifc and general limitations of use. Created by Independent Third Party: 735.4 TAMKO Modified Bitumen Roof Modified Bitumen over Poured Gypsum Decks System over Poured Gypsum Decks Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FI_735 Ril C CAC 14082716 MB GYPSUM pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:N/A 08/23/2021 Design Pressure:+N/A/-75 Installation Instructions Other: 1.Acceptable for use on low slope roofs.2.The FL735 R11 II 14082716 MB GYPSUM pdf design pressure noted herein pertains to one system over Verified By: Miami-Dade BCCO-CER , one deck type,refer to NOA listings for all deck types and Created by Independent Third Party: maximum design pressures.3. Refer to NOAs for deck Evaluation Reports specific and general limitations of use. Created by Independent Third Party: 735.5 TAMKO Modified Bitumen Roof Modified Bitumen over Recover Decks System over Recover Decks Limits of Use Certification Agency Certificate � Approved for use in HVHZ:Yes FL735 Rll C CAC 14082715 MB RECOVER pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date � Impact Resistant: N/A 08/23/2021 Design Pressure:+N/A/-230 Installation Instructions ' Other: 1.Acceptable for use on low slope roofs.2.The FL735 Ril II 14082715 MB RECOVER.odf design pressure noted herein pertains to one system over Verified By: Miami-Dade BCCO-CER one deck type,refer to NOA listings for all deck types and Created by Independent Third Party: I maximum design pressures.3. Refer to NOAs for deck Evaluation Reports specific and general limitations of use. Created by Independent Third Party: 735.6 TAMKO Modified Bitumen Roof Modified Bitumen over Steel Decks System over Steel Decks Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL735 Rll C CAC 14082718 MB STEEL odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:N/A 10/10/2021 Design Pressure:+N/A/-75 Installation Instructions Other: 1.Acceptable for use on low slope roofs.Z.The FL735 Rll II 14082715 MB STEEL.odf design pressure noted herein pertains to one system over Verified By: Miami-Dade BCCO-CER one deck type,refer to NOA listings for all deck types and Created by Independent Third Party: maximum design pressures.3. Refer to NOAs for deck Evaluation Reports specific and general limitations of use. Created by Independent Third Party: 735.7 TAMKO Modified Bitumen Roof Modified Bitumen over Wood Decks System over Wood Decks Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL735 RS1 C CAC 140827Z0 MB WOOD.vdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:N/A OS/23/2017 Design Pressure:+N/A/-60 Installation Instructions Other: 1.Acceptable for use on low slope roofs.2.The FL735 Rli II 14082720 MB WOOD.odf design pressure noted herein pertains to one system over Verified By: Miami-Dade BCCO-CER one deck type,refer to NOA listings for all deck types and Created by Independent Third Party: maximum design pressures.3.Refer to NOAs for deck Evaluation Reports specific and general limitations of use. Created by Independent Third Party: oack Next Contac[Us: 2601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer Coovriaht 2007-2013 State of Florida.::Privacv Statemen[::Accessibilitv Statemen[.:Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic mail to this entity.Ins[ead,contact the office by phone or by traditional mail.If you have any ques[ions,please contact 850.487.1395.*Pursuan[to Sectlon 455Z75 (1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Departmen[with an email address if[hey have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do nat wish to supply a personal address, please provide the Departmen[with an email address which can be made availabte to the public.7o determine if you are a licensee under Chapter 455,F.S.,please dick ere. Product Approval Accepts: � � cGhed � Credit Card Safe ��' MIAMI-DADE COUNTY � PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONONIIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economv ' Tamko Building Products,Inc. 220 West 4th Street Joplin,MO 64801 I SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami-Dade County and other areas where allowed by the Authority Having Jurisdiction(AH�. This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Section (in Miami-Dade County) and/or the AHJ (in areas other than Miami-Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is detemuned by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida.Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: TAMKO Modified Bitumen Roof System Over Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city, state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecring the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product, for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any secrion of this NOA shall be cause for temunation and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done , in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No.12-0716.18 and consists of pages 1 through 14. The submitted documentation was reviewed by Gaspar J Rodriguez. NOA No.: 14-0827.20 MIAMI•DADECOUNTY Expiration Date: 05/23/17 ,..., � Approval Date: 07/28/16 Page 1 of 14 ROOFING SYSTEM APPROVAL Cate�orv Roofing Sub-Cate�ory: Modified Bitumen Material• SBS Deck Tvpe• Wood Maumum Desisn Pressure: -60 PSF TRADE NAMES OF PRODUCTS MANUFACTURED OR LASELED BY APPLICANT: T�LE 1 Test Product Product Dimensions Specification Descriution ' Awaplan�" 39 3/s"wide ASTM D 6164 Polyester reinforced SBS modified membrane surfaced Type I with granules. Applied in hot asphalt or cold adhesive Tamko SA Cap 39 3/8"wide ASTM D 6164 Self-adhering rubberized asphalt cap sheet surfaced with ' Type I granules. Tam-Cap�' 39 3/s"wide ASTM D 3909 Asphalt impregnated and coated felt surfaced with mineral granules used as the top ply in conventional built-up roof membranes. Awastar SA 39 3/g"wide ASTM D 6164 Self-adhering rubberized asphalt cap sheet surfaced with Type I white acrylic film. Glass-Base�" 39 3/s"wide ASTM D 4601 Type II asphalt impregnated and coated glass fiber base , Type II sheet for use in conventional and modified bitumen built- up roofing. Awabase SA 39 3/8"wide ASTM D 4601 Self-adhering rubberized asphalt base sheet. Direct Type II adhesion to wood deck not permitted in the HVHZ. Shall only be mechanically fastened to wood deck. Do Not Remove Release Film! Awa Nailbase 39 3/8"wide ASTM D 4601 Fiberglass rubberized asphalt base sheet. Type II Tamko SA Base 39 3/e"wide ASTM D 1970 Self-adhering rubberized asphalt base sheet. Direct adhesion to wood deck not permitted in the HVHZ. Shall only be mechanically fastened to wood deck. Do Not Remove Release Film! Tam-Ply IV�" 39 3/s"wide Type IV asphalt impregnated glass felt for use in conventional and modified bitumen built-up roofing. Type 43 Base Sheet 36"wide ASTM D 2626 An organic felt reinforced asphalt base sheet. Applied in hot asphalt or mechanically fastened. Versa-Base'�' 39 3/s"wide ASTM D 6163 Asphalt impregnated and coated glass fiber base sheet for Type I use in conventional and modified bitumen built-up roofing. Tam-Pro 846 Fibered 5 gallon ASTM D 1227, Protective coating. Emulsion Coating Type II Tam-Pro 813 Quick 5 gallon ASTM D 41 Asphalt based primer Dry Primer NOA No.:14-0827.20 MIAMI•DADECOUNTY Expiration Date: 05/23/17 �•••� � Approval Date: 07/28/16 Page 2 of 14 r APPROVED INSULATIONS: TaBLE 2 Product Name Product Description Manufacturer (With Current NOA) ACFoam Composite Isocyanurate Insulation with perlite facer. Atlas Roofing Corp. ACFoam II Isocyanurate Insulation. Atlas Roofmg Corp. EnergyGuard Perlite Expanded mineral fiber Insulation. GAF Materials Corp. ENRGY 3,ENRGY 3 25 PSI Isocyanurate Insulation. Johns Manville Retro-Fit Board A high-density perlite roof insulation. Johns Manville Fesco Board Rigid perlite roof insulation board. Johns Manville Structodek High Density Fiberboazd High Density Wood Fiber insulation boazd. Blue Ridge Fiberboard H-Shield Isocyanurate Insulation. Hunter Panels,LLC H-Shield WF Wood fiber/Isocyanurate Composite Hunter Panels,LLC Insulation. APPROVED FASTENERS: T.�BLE 3 Fastener Product Product Manufacturer ' Number Name Description Dimensions (With Current NOA) 1. #12 Standazd Roofgrip Insulation fastener for wood and OMG,Inc. steel. 2. #14 Roofgrip Insulation fastener. OMG,Inc. 3. OMG Accutrac Fastener Insulation fastener for wood and OMG,Inc. steel. 4. Accutrac Plate Galvalume AZ50 steel plate. 3"square OMG,Inc. » 5. 3"Round Metal Plate Galvalume stress plate. 3 round OMG,Inc. 6. OMG Plastic Plate Polypropylene plastic plate. 3.25"round OMG,Inc. 7. #12 Del�ast Insulation fastener for steel and SFS Intec,Inc. wood decks. � 8. #14 Dekfast Insulation fastener for steel and SFS Intec,Inc. wood decks. 9. Del�'ast 3"Round Steel Insulation Galvaluxne AZ50 steel plate. 3"round SFS Intec,Inc. Plate 10. Trufast#12 DP Fastener Insulation fastener for steel and Altenloh,Brinck&Co. wood decks. U.S.,Inc. 11. Tru-Fast 3"Metal Insulation Plate Galvalume AZ55 steel plate. 3"round Altenloh,Brinck&Co. U.S.,Inc. NOA No.: 14-0827.20 MIAMI•DADE COUNTY Expiration Date: OS/23/17 , .••�. � Approval Date: 07/28/16 Page 3 of 14 � � Membrane Type: SBS Deck Type 1: Wood,Non-insulated Deck Description: Minimum15/sz" or greater plywood or wood plank. Plywood shall be attached to wood supports spaced 24"o.c.using wood screws spaced 6"o.c. System Type E(1): Base sheet mechanically fastened. All General and System Limitations apply. Anchor Sheet: One ply of Tamko Glass-Base or Versa-Base fastened to the deck as described below: Fastening: (Option#1)Attach anchor sheet using 11 ga. annular ring shank nails and 1-5/8"diameter tin caps spaced 9"o.c.in a 4"lap and 9"o.c.in two staggered rows in the center of the sheet. Maximum Design Pressure:—52.5 psf, (See General Limitation#7) (Option#2)Attach anchor sheet using#12 or#14 Dekfast Fasteners with Plates or OMG Accutrac Fasteners and 3"Square Plates spaced 12"o.c.in a 4"lap and 12"o.c.in two staggered rows in the center of the sheet. Maximum Design Pressure:—60 psf, (See Genera[Limitation#7) Ply Sheet: (Optional) One or more plies of Tam-Ply N,Glass Base or Versa-Base adhered with a full mopping of approved asphalt applied within the EVT range,at a rate of 20-40 lbs./sq. Membrane: Awaplan adhered with a full mopping of approved asphalt applied at 400°F at the point of contact,at a rate of 20-401bs./sq. 5urfacing: Optional for mineral surfaced Membranes. Required for smooth surfaced membranes.Any coating,listed below,used as a surfacing,must be listed within a current NOA. 1. 4001b./sq. gravel or 3001b./sq. slag in a flood coat of approved mopping asphalt at an application rate of 601b./sq.. 2. Henry 520 or Karnak 97AF applied at 11/z gal./sq.,or Grundy Fibered Asphalt Emulsion,or Tam-Pro Fibered Emulsion at 3 gal./sq. Ma�mum Design Pressure: See Anchor Sheet Fastening Options above NOA No.: 14-0827.20 MIAMI•DADE COUNTY Expirarion Date: OS/23/17 �•••• � Approval Date: 07/28/16 Page 12 of 14 , • Membrane Type: SBS Deck Type 1: Wood,Non-insulated Deck Description: Minimum15/3i' or greater plywood or wood plank. Plywood shall be attached to wood supports spaced 24" o.c.using 0.113"x 2 3/8"ring shank nails spaced 6" o.c. System Type E(2): Base sheet mechanically fastened. All General and System Limitations apply. Anchor Sheet: One ply of Tamko Awa Nailbase or Tamko Awabase SA fastened to the deck as described below: , Fastening: Attach anchor sheet using 11 ga. annular ring shank nails and 1-5/8" diameter tin caps spaced 6" o.c.in a 4" lap and 6"o.c.in three equally spaced and staggered rows in the center of the sheet. Ply Sheet: (Optional) One or more plies of Awabase SA or SA Base self-adhered to the base or ply sheet. Membrane: One ply of Tamko SA Cap or Awastar SA,self-adhered to the base or ply sheet. Surfacing: Optional for mineral surfaced Membranes. Required for smooth surfaced membranes.Any coating,listed below,used as a surfacing,must be listed within a current NOA. 1.4001b./sq.gravel or 3001b./sq. slag in a flood coat of approved mopping asphalt at an application rate of 601b./sq.. 2.Henry 520 or Karnak 97AF applied at 1'h gal./sq.,or Grundy Fibered Asphalt Emulsion, or Tam-Pro Fibered Emulsion at 3 gal./sq. Mazimum Design Pressure: -60 PSF: (See General Limitation#7.) . ,.. 1 A:''� I • � .. . :t ' N• � . NOA No.: 14-0827.20 Mu►r�i•uane couNrr Expiration Date: OS/23/17 .��•• � Approval Date: 07/28/16 Page 13 of 14 �-