HomeMy WebLinkAbout17-19125 CITY OF ZEPHYRHILLS
. � 5335-8TH STREE�
(813)780-0020 19125
BUII.DING PERMIT
-� PERMIT INFORMATION LOCATION INFORMATION
Permi# Number: 19125 Address: 5009 DAUER CT
Permit Type: RE-ROOF ZEPHYRHIL.LS, FL.
Class of Work: ROQF REPLACEMENT Tawnship: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision; C1TY OF ZEPHYRNi�LS
Est.VaMue: Parcet Number: 10-26-21-0010-12600-0030
Improv. Cost: 4,890.00 OWNER lNFORMATIt�N -
Date Issued: 1 211 91201 7 Name: LAKEVIEW OF ZEPHYRNILLS LIMITED
Tatal F�es: 97.5p Address: 10912 N 56TH ST
Amoun# Paid; 97.50 TEMPLE TERRACE FL 33617-3044
Date Paid: 12/19/2Q17 Phone:
Work Desc: METAL REROOF
CONTRACTOR S APPLICATION FEES '
GLG ROOFlNG & SHEET METAL RER04F RESlDENTIAL 97.50
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Ins ections Re uired
D IN QF I P
TAPE JQINTS F2t}OF INSP
FINAL
REINSPECTIOIV FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
tacal government shall impose a fee of four times the amaunt of the fee impased for the initial inspectian or
first reinspection,whichever is greater,far each such subsequent reinspection.
NOTIGE: In addition to the requirements of this permit, there maybe additional restrictions applicabEe ta this prbperty that
may be found in the pub(ic records of this caunty, and there may be additiana( permits required from other governmental
entities such as water management, state agencies or federal agencies.
"1Narning to owner: Your failure to record a natice af commencement may resutt in your paying twice for
impravements ta your property. If yau intend ta obtain financing, consult w►ith yaur lender ar an attorney
before recording your natice of cammencemenfi."
Complete Plans, Specificatians Must Accompany Application. All wark shall be performed in accordance with
Ci Codes and Ordinances. NC1 OCCUFANCY BEFORE C.O.
NC1 OCCUPANCY BEFORE C.O. '
CONT R I NATURE PERMIT OFFI R
PERMIT EXPIRE5 IN fi MQNTHS WITHC>UT APPRt�VED INSPECTION
CALL FOR INSPECTIOId - 8 HOUR NOTICE REQUIRED
PRi�TECT CARD FROM WEATHER
�
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a��-�so-oozo City of Zephyrhills PermitApplication F�-s��-�aaooz�
• Building Departrnent
Date Recelved �a,_� • � Phone Contact for PermHting �� ��� _ /���
-I-iZ � / 1
Ovmer's Name P�'k h t �'1-d• Ov✓ner Phone Number
Owner's Address d � � Owner Phone Numher
Fee SlmpleTiUeholder Name Owner Phone Numher
Fee Simple TNieholder Address
JOBADDRESS Q C LOT@ �
SUBDNISION PARCEL IDS ID"� - -���b-I� �-V O��
(OBTAINED FfiOM PNOPFJI7Y TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTAUCTION Q BLOCK Q FRAME Q STEEL Q -
DESCRIPTION OF WORK TeLtr � !�i /{�
BUILDING SIZE SQ FOOTAGE� HEIGHT � �
QBUILDING �'�\
o VALUATION OF TOTAL CONSTRUCTION
QELECTRI L $ AMP SERVICE Q PROGRESS ENERGY Q W . . ��� ,
� � ��QPLUMBING $ �
QMECI-IANICAL $ VALUATION OF MECHANICAL INSTALLATION �� �
`�
QGAS � ROOFING Q SPECIALTY Q OTHER
FlNISHEDFLOORELEVATIONS L L{,, FLOODZONEAREA QYES NO
1 P
BUILDER �MPANY �� l� /
SIGNATURE � REGISTERED Y 1 N FE URREN Y/N
Address �£ ` O � License# �.(,l�j, �'�j� �U
ELECTRICIAN COMPANY ,
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTEREU Y/ N FEE CURREN Y I N
Address License#
MECHANICAL CpIWp/Wy
SIGNATURE REGISTEREO Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEE CURREN Y/N
Address License#
I 1 1 t 1 1 1 1 1 1 i 1 t 1 I I 1 I I 1 I t t 1 1 1 1 1 1 1 1 1 1 1 � I 1 I I t � 1 1 I 1 1 1 1 1 1 1 1 ! 1 I 1 1 1 1 t t 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(Z)sets of Building Plans;(1)set of Energy Forms;R-0.W Permit for newconstruction,
Minimum ten(10)worldng days after submiiial date. Required onsite,Construction Plans,S[ortnwater Plans w/SiR Fence installed, �
San'�ry FacilRies&1 dumpster,Site Work Permit for subdnrisansllarge pmjects
COMMERCIAL Attach(2)complete sets of Building Plans plus a�ife Safety Page;(1)set of Energy Forms.R-O-W Permitfor newconstruction.
� Minimum ten(10)v.orking days after submittal date. Required onsite,ConsVuc6on Plans,Stormwater Plans w/Silt Fence installed,
' Sanitary Facilities&1 dumpstec Site Work Permit for all new pmjects.AO commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'•"PROPERTY SURVEY required for all NEW consVuction.
Directions:• ,
� Fill out application completely.
Owner&Contractor sign back of applicaUon,notarized i
I(over$250q a Natice of Commencement is required, (A/C upgrades over$7500) !
" Agent(for the contractor)or PowEr of Attomey(for the owner)vwuld be someone with noNarized letterfmm owner authorrzing same
OVER 7HE COUNTER PERMITTING (copy of contract required)
Reroois if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Not wer 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 compiiance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Blocl�'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.
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
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 occupanc�'or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to pertnit issuance. Furthermore, if Pasco County WateNSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTIOId LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.�or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepa�ed by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'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 pertormed 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 govemment 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 Sensitive
Lands,WaterM/astewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- ARny Corps of EngineersSeawalls,Docks,Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill,an engineered drairtage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good taith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work author¢ed by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety(�)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWMER: 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 N ATTORNEY BEFO ECORDING YOUf�NOT C OF COMMENCEMENT.
FLORIDAJURAT(F.S.117.0 , � �
�
OWNER OR AGENT CONTRACTOR
S bscri and swom to(or aifirtn efore me this Su cri d and s m to�qr affi d fore me th�
►[��by Yl�o..�' �--oSS I '� by hl ' /��
o i re
ty'�SDWR[oine-yr has/have produced V11ho is/a "Ily known e or ha ave produced
_ �identification. as identification.
" " " _ ������Notary Public � 1 "Vl LI.iC►�vLO`J Notary Public
Commission No. Commission No.
, Na of�8 a �ed, fl@tl 1� ' � " ' Name of Notary typed,printed or stamped NOtery Public State of Floflde
. Jessica Mtchelle Farina a���
{�. . Jessica Michelle Farina
�� o� My Commission GG 089�J81 � c � My Commission G�089381
or n� Expires 07/21/2021 �o�y�� Explros 07/21/2021
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' 2017193987
• Rcpl:1915181 Rec: 10.00
DS: 0.00 IT: 0.00
12/08/2017 E. M., Dpty Clerk
PermftNo. Parcel ID Na �b-r��D-o7�-��/���a7�P0�����
� NOTICE OF COMMENCEMENT
i Slate of 1 Ibri�C� County of P��n
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, THE UNDERSIGNED hereby gives notice thal Improvement will be made to certain real property,and in accordance wflh Chapter 713,Florida Statutes,
lhe following infortnatlon is proNded(n this Notice of Commencement:
1. Description of Property: Parcel Idenliiication No.��-��D-a7�-�1 D-'�a��D��-��c3 b
SUeetAddress: SC»�J DQfAQ.� C�T• Z�h�15y f L-
2. General DesuipU_on of Improvement -L(LSIU�� IDYI � nPt(� mP7Y1� lC��r f�/� �`�J�
S-lTl A.C.'TCJA'�_
3. Owner Infortnetlon or Lessee infortnat(on ff the Lessee conlracted for the fmprovement:
�l��;e�r� zPp�,,���ll�, �� �
1091��,�. �'(�`�St�- ��o% T rrac�e ��.
Addiess l� City Stale
Interest fn Property: VWAP.�
Name of Fee Simple Titlehalder.
(If dlHerent 6om Owner Iisted ehove)
Address Stale
4. Conlrador.;TnrnaS(h;rtY.� �nc. U.c, d(,a �'I-L> 'ne. �Shee�g�/
171'] �a�y�j /�f y.l. ��1D5 `7QmOQ �
Address /' \ �/[�1 Clty Slata
ConVactofs Telephone No. I��J�/ d:7o(-3�7�
5. Surety:
Name -`�� �' �
Address Clty ' Slala �.G� 0 �o �
Amounl of Band: $ Telephone No.: �0 ��
8. Lender. e _� .� �1 �
Name �. �
Address City State � � rx �0 � �
Lenders Telaphone No.: ��� � � m �
7 Persons wi(hin the Slate of Florida designated by Ihe owner upon whom notices or other dowments may be served as provided by m$ �� � �
Sedlon 713.13(1)(a)(7),Florida Slatutas: � •���Cj'
Nama y
�� � •� �
Address _ City Stele Y
Telephona Number ot Designated Person: Q z U � w
J
8. In addiUon to himself,the owner designeles � ot � �� � = J U
to receive e copy of lhe Llenors Nolice as pravided in Sedton 713.13(1)(b),Florida Statules. � O U� f- � F
Telephone Number of Person or Entlty Designated by Owner. Q a N
_
8. E�iratlon date of Notice of Commencement(lhe e�iralion date may not be before the camplelion of canstructlon and flnal payment to the � Ll..l � ~ w �
cont2dor,6ut will be one year Gom the data of reco�ng unless a dif(erent date is speWfled): � � = z JQ
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �' O ~ � �
RESULTONNIY UR�PAYINGPTWICEYOR IMPROVEME TSPTORYOURP ROPERTY.TIA NOTICE F�CO M NCEME T MUST BE � � O O �
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCI -CONSULT � � >- U LL
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CO CEMENT � � (� w O
�
Under penalty o(perjury,I declare lhat I have read lhe foregaing notice commencement and Ihat the fads s lhereln are hue ta Ihe hest
of my knowledge and be11eL �� � J � � J
STATE OF FLORIDA � � U m p L�
COUNTY OF PASCO � �-�- w � Z O J
Signalure of Owner or Lessee,or Owners or Lessee's Aulhorized � � � � = Q W
OfllcedDirectorlPartnedManager � W � 0 } 0 Z
oWrler � UU � �
� Signalory's TitlelOiflce � � z � Uj
The foregoing instrument wes acknowledged bafore ma this.J�eeY of Nb vc,,,,b 2 17 by Tr�„� �s S � (n Q J J
L a t c e v� e u as � �( (type of aulhority,e.g.,officer,truslea,atlomey In fad)far � _ � z Q }
�Ct�e���W e� ��e�.y r �{'�S �-'4'�- (nama of party on behal(of whom I strumen was executed). � � �-- � � d m
Personally Knawn�OB Produced Identlfication❑ Notary Signature r � �
Type of IdenUficaUon Produced Neme(Pdnl)�e.SS f GLL {�r ��e Ll Q G.,T i/� 0. i�
PPULR 5 0'NEIL�Ph.D.PRSCO CLERK &COMPTROLLEt , I
12/08/2019645m PG 2V98 �"�`�`�, nueryP�ncsreuaFlalde
OR BK � Jesstca Michelle Ferina
My Commlasion(30 OB9987
� �'+„nd� �resa�mnozi
wpd ata/bcs/n olicecommenceme nt�cD5304 B
\ — - - -
_ Proposa! , , � ,
James Garrett Roofing Date: Nov. 28, 2017
1717 E Busch Blvd. #405
Tampa, FL 33612 '
813-728-0027
roofdogg65@yahoo.com License PJumber: CCC1330510
Proposal Trent Goss ]ob name Cracker House Ref# 00000965
submitted to
Address : 10912 N 56th St SR 54 5009 Dauer 1st lot in Mob61e Home Park
Temple Terrace, FL Zephyrhills, FL
Proposal# , 000315 Proposal valid Numtaer
till date# of ages �
We hereby submit specifications and details for:
1. Remove existin metal roof s stem.
2. A I d -in base sheet to areas as needed.
3. Reinstall metal roof s stem usin 5 -crim metal roof anels.
4. Clean u and remove all roof related trash and debris.
We hereby propose to furnish material and labor to complete the job as per the above specifications for a sum of:
us�Four Thousand Eight Hundred Ninety and 00/100-----------------�i�f�y�res� us� 4,890.00
With the terms of payments as follows: 50% up front prior to start of job for materials
with remaininq 50% due upon completion.
Please revert for any clarification / further details.
Authorized Signatory: Name James C Garrett I Signatur _� ^ -
. �
Acceptance of Proposal
I/We have reviewed your proposal and hereby indicate our acceptance of the same,as per the details,specifications
and amounts mentioned in the proposal form. I/We agree to the proposed terms of payment and will release the funds
as per agreed herein.
� �
Authorized Signatorv: Name S e SSlCo4 �!'g•�-�d(-� Signature Date �� �q �
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C1Ty Of Z�IlyT'�1111S
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: S P�����
Date Received: /����/J �/� "
Site: ��(�q �CG%��/' C� �
Permit Type: D
Approved w/no comment� Approved w/the below comments: ❑ Denied w/the below comments: ❑
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�,� ,�g� ��/z 1.�� r,� �n�i�1
This comment sheet shall be kept with the pennit and/or plans.
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,/;�h '
Kal ' it —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
a i " • ♦
�� ONLINE GERTIFIGI�7lONS DIREC.TOR� ��. 157a� "��_
Construction No. 453
TGKX.453
Roof Deck Constructions
Pa9e Bottom
Design/System/Construction/Assembly Usage Disclaimer
• Authorities Having Jurisdlction should be consulted in all cases as to the particular requirements covering the installation and use of UL Listed
or Classified products,equipment,system,devices,and materials.
• Authorities Having Jurisdlction should be consulted before construction.
• Fire resistance assemblies and products are developed by the design submitter and have been investfgated by UL for compliance with
applicable requlrements.The published information cannot always address every construction nuance encountered(n the field.
• When field issues arise,it Is recommended the first contact for assistance be the technical servlce staff provided by the product
manufacturer noted for the design.Users of fire resistance assemblies are advised to consult the general Guide Informatfon for each
product category and each group of assemblies.The Gulde Information includes specifics conceming altemate materials and altemate
methods of constntction.
• Only products which bear UL's Mark are considered as Classified,Listed,or Recogn¢ed.
Roof Deck Constructions
See Gene��rr,f�r,,,�r�....F.o,.,.o�__ �,,,Rions
�
Construction No.453 REVIE�II DATE ,��1�
February 17,zoio CIl�'OF ZEPHYRP-11 LS
Uplift—Class 90 P�N ��MINER
Fire Not Investigated
��L�/�R���:�i�.�.�`�'�a��„�S,�V;����� �
CODES FLc�n��,�q�g1i,QIN�����9��/6�IlING
NATIO�dAL EL�CTRI��C1D�,
AND 7'FfE Cl�i Y p��EP�Rkil�,�
ORDIfVq�C��
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1.Metal Roof Deck PaneLs*—No.26 MSG minlmum coated steel.Maximum panel width 24 in.Rib height maximum 1/2
In.Panels continuous over two or more spans.A bead of sealant may be used at panel sidelaps, '
ALL S7EEL BUILDINGS&COMPONENTS
TUBUL/iR DIVISION INC lVfew Glassifica fon)—"5V-Crimp"
, AMERICAN BUILDING COMPONENTS�View Cla�siflcation)—"5V Crimp"
AMERICAN CONSTRUCTION METALS�View Classification)—"5V Crimp"
BUILDING COMPONEM'S INC(View Glassifkatlon)—"5-V Panel"
CEPITRAL TEXAS METAL ROLLFORMING IMC(VI w la ffica nl—"5-VEE PAiVEL"
BEACON SAL�S ACQUISITION INC,DBA
COASTAL METAL SERVICE(View Classfi arbnl—"5V"
DREXEL M —
ETALS INC(View Ciass�i4a fon) "DMC 5-V"
�FABRAL INC(Vfew Classificatlon)—"5V Crimp" �
._...�.
MARLYN METALS ENC(View Ciassif�a lon)—"5V CRIMP"
- - -- - - - - --,
_ ..�,
• MBCI f View Classification)—"5V Crimp"
i
MCELROY ME'i'AL MILL INC jVisw Classificationl—"5V-Crimp".
METAL SALES MFG CORP�.1(lew Cfassficationl--"5V Ctimp"
NCI BtlILDING SYSTEMS C P tVlew C3assificationl—"5V Crimp"
RIFFE METALS L L C{yi�w Classfficationl—"RiFfe 5V"
BERRID6E NQFG CD{View Classificationa—"Double-Rib Panel"
2.Fasteners--(Screws)—For panel attachment to wood deck(Item 3),fasteners to be#14-10 x 1-1/2 in.Type A,
Hex-head with separate 5J8 in.4D steel wasfier and a bonded neoprene washer or 9-15 x 1-Sj2 in.Iongiife or#1 x 1-1/2
in.Woodmac with sealing washer.Fastener spac(ng!s as follows:a line of fasteners is to be instaifed,beginning from the
center of the doubls V at the sidlap in 2-9-2-9 in.pattem for a tofial of four fasteners across the width of the panel.This
festener spacing to be 3 feet on center along the length of tfie panel is 3 feet on center.
For attachment of piywood deck(Item 3)to jotsts(Item 5),fasteners to be minimum No.6x1-7/8 In.bugle head screw or
annular ring-shank nails.Spacing to be b in.4C at plywaad edges and I2 In.4C at intermediate supports.
When light gauge structural steet joists are used,fasteners to be No. 12x1-5/8 in.long with a Phillips head. _
3.Substructure—(PFyrwood)—Ptywood decking to be a nom 5/8 in.thick,exposure sheathing span C-D,4p/20
plywood.Aii butt joints to be sealed against leakage by using tape and/or caulk or with one-part urethane sealant.
4.Mo�sture Barrier—(Optfonal)Any suitable membrane to protect substructure(Item 3).
5.Joists—]oists spaced at 2 ft,0 in.OC; may be one of the follow3ng:
A.Nom 2 by 6 in.or 2 by 10 In.wood ja[sts No.2 or better.
B.Nom 2 by 4 in.wood when used on a top cord of a wood truss,Wo.2 or better.
C.C1ght gauge structural steei framing with the member against the plywood to be a minimum No.
2Z MSG coated steel.
Referto General Inforrrration,Roof Deck Construction,(Rooflng Materials and Systems Directory)
for Items htot Evaluated.
*Bearing the U[.Ctassiflcatfon Mark
i�st Uodated on 2010-02-17
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�O 2012 UL LLC
The appearance of a company's name ar product in this database does not in itseff assure that products so identified have been manufactured
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APP.LIC�►TION FOR REGISTRATION OF FICTITIOUS NAME ',
REGISTRATION# G17000040273
Fictitious Name to be Registered: GLG ROOFING&SHEET METAL
Mailing Address of Business: 1717 E BUSCH BLVD
UNIT 405
TAMPA, FL 33612
Florida County of Principal Place of Business: MULTIPLE FILED
Apr 13, 2017
FEI Number: Secretary of State
Owner(s)of Fictitious Name:
JAMES GARRETT ROOFING, LLC
1717 E BUSCH BLVD UNIT 405
TAMPA, FL 33612 US
Florida Document Number: L17D00008997
FEI Number�81-4934Q88
I the undersigned, being an owner in the above fictitious name, certify that the information indicated on this form is true and
accurate I further certify that the fictitious name to be registered has been advertised at least once in a newspaper as defined ;
in Chapter 50, Florida Statutes, in the county where the principal place of business is located. I understand that the electronic
signature below shall have the same legal efFect as if made under oath and I am aware that false information submitted in a
document to the Department of State constitutes a third degree felony as provided for in s. 817.155, Florida Statutes. ' '
JAMES GARRETT 04/13/2017
Electronic Signature(s) Date _ �
Certificate of Status Requested( ) Certified Copy Requested( )
I