HomeMy WebLinkAbout17-18936 CITY OF ZEPHYRHILLS
5335-8TH STREET .
; �� (si3)7so-0o20 18936 .
BUILDING PERMIT � !'`+�
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18936 Address: 4900 8TH ST
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: MOORES FIRST ADDITION
Est. Value: P.arcel Number: 14-26-21-0010-01900-0150
Improv. Cost: 5,300.00 OWNER INFORMATION
Date Issued: 10/17/2017 Name: PATEL RAKHI & PATEL NILESH &SHAN
Total Fees: 97.50 Address: 4230 WINDCREST DR
Amount Paid: 97.50 • WESLEY CHAPEL FL 33544-7830
Date Paid: 10/17/2017 Phone:
Work Desc: REROOF MODIFIED
CONTRACTOR S APPLICATION FEES
CODE ENGINEERED SYSTEMS INC REROOF RESIDENTIAL 97.50
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNAT RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saso-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 \
, %� �,//� Building Department w•
Date Received ` �� � � Phone Contact for Permitting �� 333 - �.�6-�
Owner's Name Owner Phone Number
Owner's Address RkG�� �a�P(.1V'�l'S`� /ti¢�iClanQ �, �-'� � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Slmple Titleholder Address
1 JOB ADDRESS �"kC�.�b°-� `l Ob � . S?• � LOT# �
SUBDIVISION PARCEL ID# j�'� Z�I" C�e3 U.— b 1�'�d� b!S 6
(� ? (OBTAINED FROM PROPERTY TAX NOTICE)
�� WORFf PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
il i INSTALL REPAIR '
i` PROPOSED USE Q SFR _ Q COMM Q OTHER
�� TYPE O�F CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
�' DESCRIPTION OF WORK .��� �� � T-e� 2� � 1; I ( 1 Z r't�� w � N��2
,'
� BUILDING SIZE SQ FOOTAGE 1 �� HEIGHT
j` �
(� -
� QBUILDING $ ��3�� VALUATION OF TOTAL CONSTRUCTION ��
�
z ELECTRICAL $ AMP SERVICE Q PROGRESS EN�� .R.E.C�
�� o � �e/oG , ' � '��l�s g s
PLUMBING $ D
�� 1
? QMECHANICAL $ VALUATION OF MECHANICAL INST LLATION �_ 1 �� �
', OGAS Q ROOFING Q SPECIALTY 0 OTHER �
' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �`��?/
Y ul�.
a
x BUILDER � COMPANY Q � r� Q@� S ���"z
� SIGNATURE REGISTERED Y/ N E CURRE� /N
� Address � � � �t License# �C�` .�2. _
�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� � Y/N
# Address License# .
I ; . . ,
PLUMBER COMPANY ' "
� SIGNATURE REGISTERED . Y'/`N ' FEE CORRE� Y/�N ` "�-
� Address License# : -
; - ,
' MECHANICAL � COMPANY -
� SIGNATURE REGIS7ERED Y/-N, • - Fee cu�en . -:.Y/-N •_.
, � :
Address License#
I , OTHER� COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
�'.
' Address License#
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i_ RESIDENTIi4L ' �`�AttacFi 2 �Plot Pla;n's; 2 sets of Buildin Plans; 1 set of Ener Forms;"R=O;VV.Permit fo�new construction, .
`'' Minimum ten(:10):working daysafter su6mittal date.'Required onsite;�Construction Plans,Stormwater Plans w/Silt Fence installed,
;�� Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsflarge projects �
- COMMERCIAL Attach(2j 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. R'equi�ed`onsite,Construction.Plans,Stormwater Plans w/Silt.Fence installed,
{, Sanitary Facilities&�"9'�dumpster.Site VUork Permit for all'new projects.All commercial requirements must meet compliance
- SIGN PERMIT Attach(2),sets of Engineered Plans. „-
*"""PROPERTY,..SURVEY required for all NEW construction.
I� �D'irections:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500�a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for.the contractor);or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER:THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers:-�>°��� Service Upgrades^=A/C--•= Fences{Plot/Survey/Footage) r�•- ��-_ �--M-�•--• •- • -> • - ,
__�� .'�'J:,=_. „�..,�i;�..._iL? .!.. ,'�:`-' .., .,. , '- . . , , -
Driveways-Not over Counter if on public`roadways::needs ROVU_�`�� " �'�:�:~����:�• ���. � , ,
, � � '.i ,- ...,�.�t•i:... . � -- �• .; .,.. :i•, ,_, . _ �.,. _ � •
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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 coratractor or ;
contractors to undertake work; they may be required to be,licensed in accordance with state..and Iocal regulations. 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 iritended'confractor are uncertain as to what-licensing requirements may apply fo�tfie
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing,Section at.727-847-
8U09. Furthermore, if the owner lias'Fiired a' contractor or contractors, he is advised-to have tfie contracto�(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:
County. � - � �
TRAMSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees-and Recourse Recovery Fees may appl.y 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 idenfified 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 occ�rpancy 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 LIEM LAVII(Chapter 71-3, Florida Statutes, as amended): If valuation of work is$2,500:00 ur m'ore, I
certify that I; the applicant, have�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...lf;the applicant is�:�om'eone
other than the"owner", I certify that I have obtained a copy of the above described documenf and�promise in good 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 pecformed to meet standards of all�laws rpgulating
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 limit�d to:
- ' Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
L'ands,Water/Wastewafer Treatment. .
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. '
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Tr�atment,
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 F,lood 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 applicatio"n. 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 isi�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�
I
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR'IMPROVEMENTS T..O�YOUR PROPERTY. .IF YOU INTEND TO OBTAIN FINANCING, CON$ULT
__ ._ _WITH_YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. •
FLORIDA JURAT(F.S.917.03) - - - - � � -_- - - �
OWMER OR AGENT CONTRACTOR �
Subscribed and swom o(or affirmed)b fore me this Subscribed and swom to or affirmed1 bef re me this
/O1Sl/7 by �SA-�-r_� D/�Y/� Ffcf�/�trSav �0/s/�7 by /S�.�G /�l�/ �l�'��/�Q7Z' ;
Who is/are personally known to me or has/have produced Who is/are�,personally known to me or has/have produced
�/1/� C /_1C�itlS�as identification. �J/��/,�12_` �.//'FiLJSE as identification.
Notary Public � " Notary Publlc
C mmission No. ti� C.7-(� �G3 Com ission No.
�c�b�c� E��cii�e �u-�I �� �l i� �v '
N , Name ,
.•�a�:;� RA� LAINE RUFFEL �Y�w''••, DE RA ELAINE RU FELL
::q•. '�4;;, ,�°;....q�,I , .
:�; .,_Commission#GG 045343 _,: ,:Commission#GG 045343
,���;:Expires November 7,2020 ;y�,�,P;`Expires November 7,2020
o��;,.•� Bonded Ttw Troy Fain Insurance dDa385�7019 '•.Fo�n;.•• gonded 71wT�oy Fain Insurence 600,'l85�7019
�'I� RRFCnRI'SINC-RF'fURNTO' �IH ' li��t��l{F1t�iil��iiitl��IiiI��I�il{i�ll�l�t�l���l�l���il���
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. Rcpt:2899289 Rec: f0.00
I � DS: 0.00 IT: 0.00
�$�,T�E�;� 10/05l201? K. D. K. , Dpty Clerk
TwcFolioNo:14-26-21-0010-01900•0150 NOTICE UF COMMENCEMENT
Tha undersigned hereby given notice that impru��emeni will be made to cerTain real praperty,and in accozdance with Chapter 713.13
Flarida Stntues,the fallowing informatian is pra��ided in the NOTiCE OF CO�NCEMENT.
� l. DESCRIPTION OF PR6P£R'TY(Legai deuription&street address,if arailahle)TA3C FOLSO N6.: 14'2S'21-0010-OS904-0150
' SUHDIVISION Moares Firsl Addition gLOCK 14 TRACf 26 LOT 2� 9LDG�01Q U1VIT 0��
' MOORES FiRST ADDiTION PB 1 PC,57 NQRTH tf2 QF LOT 45 8 L4T t&BLOCK 19 OR 954t P�35&5
. 2.GEHERAL DESCRIF''lZON OF 1MPROVEMENT:
REROOF
3, OWNER'[.YFOR1�fATION: a,Name Rakhi Palef,Nilesh Palel,Ganesh Etal Shanmgam
� h.Address A230 Windcrest DF,WBsley Chapel,FL33542 c.intarest in property
! d Name and address of foe simple tidaholder(if other�han Ovmer)
� 4. con�rtraCrox�S NAME,ADORESS AND PHON�AtUMBER:
I Coda Enqineered inc•PO Box 1593 Ruskin FL 33575•{873)333-8580
i
S. SURETY'S iVAME,ADDRESS AND PHO,�1E PIIIMBER At1D BOND AMOI3NT:
I
6. LENBER'S NA.11�,,ADDRESS APID PH41YE NUMSER:
7 Identity of persons within the State of Flarida designated by Owner upo�whom notices or other documents may be served as
proc ided by Section 713.13{l}{a}7„F`larida Statutes:
NAME.ADDRES3 AND PHONE NIIMHER;
� 8. In additipn to hirnself or herself,Qwner designates the following to receive a copy of the L'renot's Notice as provided in Section
� 713.13(l)(b),Flarida Statutes:
NAME,ABDRES3 A1VD PH�NE Nt3MBER:
4 Expirat3on date af notice af carnmeneement<the expiration date is I year&om thc date of reeording unless a different date is
� specified): ,20�
WARNING TQ OWNER: ANY PAYMENTS MADE BY THE dWNER AFTER'T'F�IE EXFIFtATION OF TF�NOTICE OF COMMENCEMENT
ARE CONSIDERED IIvfPROPER PAl'MENTS UNDER CHAPTER 713 PART T SECTION 713.13 FLORIDA STATUTES,AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPRQVEMENT'S TO YOUR PROPEliTY. A NOTICE pF COMMENCEMENT MU3T BE
CORDED AZ�D POSTED 023 THE 3t}B SI'IE BBFdRE TFiE FIILST IN3PECI'ION. FF XOU INT6"ND TO O$TAIId FINANCIPtG,C4NSULT ,
WIIH YOUR I.ENI.7ER OR AN ATTORNEY BEFORE COAIMENCING WORK OR RECORDING XdiSR NOTICE OF COMMENCEMEN'I'
' Vetification putsuant to Section 92.525,Florida Statutes
- Undsr Pena28es afpecjury,Z dectare that I have read the faregoing and that the facts in st are ttve to the best af my fmowfedge and 6eGef(Seetion 92.525,Ftorida Stattrtes),
; ..�~� � �9
S �.����n�'7"r� ..,,:,,
s� �re.... ... ,�j�4.,�y,;•.
of Owner or Print Name and Provide Signatory's TiHe/Office �p:
� ner's Authorized O�certDirectorlPartnerlMsnager ;� ��_
O,p. y`p.
i SteteofFlorida ,'�4 "��'�
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County of Polk .iF---- � � Ci
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T'he foregoing instrument was acknowledged before me this day of 4�'i�1�0�20 !7 3 ro C
By ,,,,� q,3� �i �w.��I►tA�O� as � 9'n c z
(name ofperson} (type ofauthority,.,.e.g.officer,trustee,atfomey in fact) �s � � tn
For � � D
' {name of pazty on behalf of wha hvmcnt was executed) � � � S
m y «4.� �
Personall y known or produced tfie followin g t y pe af identifioation: �� � "n �
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i�Ote72'y , • �
( ' tura of Notary Publi
` !It �•T'-�•��+t;"'e
7g Q!i} �' - _ _
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PpULii 5 0'NEIL,Ph.p,PA5C0 CLERK & COMPTROLLER
10%R5BK01��01�am �� 1fi���
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STATE OF FLORIDA,COUNTY OF PASCO e ��
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THIS IS TO CERTIFY THAT THE FOREGOING IS �.�o,_...
TRUE AND CORRECT�RpECORD N D��F�T � , 4"'�''' •� �
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� , . �.�w.'::<`�'' - B �
ON FILE OR OF PUBLIC OF � ,�qL SEALTHI. -: - . �
WlT E MY HAND A 2l�/ 1�yorl'jye?'r�y.r •
pAY OF COMPTROLLE �"''= ' �
G� d . •
A O'NEIL,CLE �. [�9;" . *
' _ UTY CLE ' 1 ,188'e�
BY �',9 � • � �
' ��F FLOK10P
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ��Gl� �/�C//7��:/�U �/�'l�j.�
Date Received: /�j���/�
Site: �G 9p0 �/i �
Permit Type: �QG�' •
Approved w/no comments:� Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit andlor plans.
,-
�����
Kalvin �wi er lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
Florida Building Code Online Page 1 of 2
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-�� � � � Product Approval
y USER:Public User
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Product Aooroval Menu>Product or Aoolication Search>Aoolication List>Appllotlon Detafl
' " FL# FL1654-R21
Application Type Revision
Code Version 2014
Application Status Approved ���6,I�f�'
��� �� ���� ���//�
Comments
Archived ❑ PL,q���'�����'F�HEL��
�4�{���
Product Manufacturer POLYGLASS USA �cL ��l�(� `r__�_
Address/Phone/Email 150 Lyon Drive C���S�' �����L TM�
�5�oj s'sa"izso�EXt�9���F C�Le���'lUP�OIP�yG���d���(/
jakins@polyglass.cor���, ���, e co 0��.� 6�J����
N�C ���'E#� �p'����
Authorized Signature JamesAkins �� ��'u7���
jakins@polyglass.com
Technical Representative Maury Alpert � 9
Address/Phone/Email 1111 W.NewpQdt�CerSte'r�.%D'�e7�� f
Deerfield Beaclij,��§� ` �•_� ;, ify;F
(912)429-86 �e".'�,��� �:'��s'�;�`',,�, ��e��� �'�a�;`
MAlpert@poly��l�9-l��tfFh��"��.����•��s-�'�r;�r�,,'2:tv�;, ,��^.,,`�.`�� .. �
�i1yr 1 i"'6-i .,� . > . .'i. ��•`'
"�/�i�E��-a f'r•, ..��r�ti,r � r�
Quality Assurance Representative James Akins �l4a,,.�,?y "' l�k i'f�:,1�;��,;.
Address/Phone/Email 555 Oakridge Road
Humboldt Industrial Pkwy
Hazleton,PA 18201
(800)894-4563
jakins@polyglass.com
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
❑ Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurence Entity UL LLC
Quality Assurance Contrect Expiretion Date 10/06/2018
Validated By ]ohn W.Knezevich,PE
C�I Validation Checklist-Hardcopy Received
Certificate of Independence FL1654 R21 COI 2017 OS COI Nieminen odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6162 2000
ASTM D6163 2000
ASTM D6164 2005
ASTM D6222 2008
ASTM D6509 2009
FM 4470 lggZ
FM 4474 2004
https://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDyvqqu2w%2b... 10/11/2017
Florida Building Code Online Page 2 of 2
` • UL 1897 2008
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 06/OS/2017
Date Validated 06/08/2017
Date Pending FBC Approval 06/14/2017
Date Approved 08/08/2017
Date Revised 09/14/2017
Summa of Products
FL# Model,Number or Name Description
1654.1 Polyglass SBS and APP SBS and APP modified bitumen roof systems
Modified Bitumen Roof
Systems
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL1654 R21 II 2017 OS FINAL AS ER POLYGLASS MODBIT FL1654
Approved for use outside HVHZ:Yes R21.odf
Impact Resistant:N/A Verified By: Robert Nfeminen PE-59166
Design Pressure:+N/A/-622.5 Created by Independent Third Party:Yes
Other: 1.)The design pressure in this Evaluation Reports _
application relates to one particular assembly FL1654 R21 AE 2017 OS FINAL ER POLYGLASS MODBIT FL1654
over concrete deck. Refer to the ER Appendix for R21.odf
other systems and deck types.2.)Refer to ER, Created by Independent Third Party:Yes
Section 5 for other Limits of Use.
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Under Florida law,ema(I addresses are publtc remrds.If you do not want your e-mail address released in response tn a public-records request,do not send
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they have one.The emails provided may be used for o�cial communiation with the licensee.However email addresses are pubUc rerord.If you do not wish to
supply a persanal address,please provide the Departrnent with an email address which can be made available to the public.To determine if you are a Iicensee under
Chapter 455,F.S.,please click here,
Product Approval Aocepts:
� � � sClsek �
i Creclit Card
� � �:Sate: ,
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