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HomeMy WebLinkAbout18-20674 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20674 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20674 Address: 38039 7TH AVE Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): I Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-12900-0015 Improv. Cost: 5,999.00 OWNER INFORMATION Date Issued: 1/16/2019 Name: Z-1 PROPERTIES LLC Total Fees: 105.00 Address: 25517 SEVEN RIVERS CIR Amount Paid: - 105.00 LAND O LAKES FL 34639-9513 Date Paid: 1/16/2019 Phone: 813-842-0135 Work Desc: REROOF SHINGLE &TPO CONTRACTORS APPLICATION FEES CB ROOFING CONSTRUCTION INC REROOF RESIDENTIAL 105.00 �0 Zl Ins ections Required DRY IN ROOF INSP TAPE JOINTS ROOF INSP FINAL I 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 property 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFICgR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department �y Date Recelved 77 Z Phone /Contact for Permitting � — 2 Owner's Name Cam" r rO � LS.�V Owner Phone Number jai J^ 1 Z V JS Z55i�Owner's Address Owner Phone Number Fee Simple Titleholder Name F Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS n k N\3i, LOT# SUBDMSION PARCEL ID# I — — —0010_ voyo (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADDIALT = SIGN Q = DEMOLISH FE INSTALL e REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE HEIGHT BUILDING �I-1� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS P!!g, ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOODZONEAREA =YES NO BUILDER //�•J OMPANY SIGNATURE / - REGISTERED Y/ N FEE CL RED I Y/N Address &2Z uily License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN I TIN N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN LILIN Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address I License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y I N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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 new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. "'PROPERTY SURVEY required for all NEW construction. Directions: 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 Attorney(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) Driveways-Not 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 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 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. TRANSPORTATION IMPACT/UTILITIES 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 occupancy"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 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 LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'SIOWNER'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 Sensitive Lands,Water/Wastewater 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 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 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 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 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 is 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 for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. 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. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this S cribed n�&worn to4of affirmed)before me thi by �-2 1— Ji��O 1 cJ�M�lcc r) Who islare personally known to me or has/have produced Who}.glare ersonally known to me or hasfha�ced as identification. ( 2i'vx4'S Li o2n ss— as identification. Notary Public otary Public Commission No. Commissio'No. 71 JACQUELINEBOGES Name of Notary typed,printed or stamped Name of Notary type t r '••?, 2791U— I IMS 1764171ber 12,2b22 ,r.,,' W"Th 7my F6 IllIUMN 8&38&yC1e oRoofing Construction, Inc. We've Got You Covered To whom it may concern, Steven Lombardo is an authorized CB Roofing representative and may pick up and request permits on behalf of CB Roofing. Thank you CB Roofing Chad Bowman President Sig d and sealed on this 9 day, of �'P 11p� 2018 11Y � Notary Stamp: Notary Public State or Florida Courtney Smith My Commission GG 237188 a Expires 07/11/2022 813-569-6930 (0) 3433 Lithia Pinecrest Rd Ste 202, 615-534-8740 (F) Valrico, FL 33596 CCC1330088 i 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 Building Department .DateRecelved Z P�ho�ne/ContactforPermittin `(ILL" O ` Q Owner's Name �' p r0 Owner Phone Number 13 CT7 Z�V JS Owner's Address Z5511 ew_muir Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS L/O,T/#y� SUBDIVISION PARCEL ID# 11 1' O I 0-1 VOC O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH INSTALL B REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE HEIGHT ;Rn—BUILDING 15/_I� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ \, l =MECHANICAL is VALUATION OF MECHANICAL INSTALLATION i =GAS t!!g, ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER — COMPANY SIGNATURE ..- REGISTERED I Y/ N FEE CJ1REK I Y/N Address U Tm wyoLicense# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y I N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN Address 7771 r License# MECHANICAL I COMPANY SIGNATURE REGISTERED I YIN FEE CURREN 1 77 N Address 1 License# OTHER COMPANY SIGNATURE REGISTERED YIN FEE CURREN I Y/N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stor mwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsnarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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 8 1 dumpster.Site Work 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. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC 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) Driveways-Not over Counter If on public roadways..needs ROW 2122/2018 Florida Building Code Online .� ._.__..._ _ �r"�a�4„�',a1'�`:iri�1;J;,• ;+ut4i!, i:r�..:1,r�,�1f�J<. BCIS Home I Log In User Registration ; Hot Topics Submit Surcharge Stats&Facts Publications I FBC Staff BCIS Site Map I Links I Search Florida Product.Approval USER:Public User Product Approval Menu>Product or Application Search>Application Ust>Application Detail FL# FL16730-R14 Application Type Revision Code Version 2017 Application Status Approved ALL WORK SHALL COMPLV Vv"PREVAILING Comments CODES FLORIDA BUILDING CODE, Archived NATIONAL ELECTRIC CODE;' AND THE CITY OF ZEPHYRHILLS Product Manufacturer GAF ORDINANCES Address/Phone/Email 1 Campus Drive Parisppany, NJ 07054 (800) 766-3411 mstieh@gaf.com DA g C1Ty�QF,ZeF�Y 1. 2019 Authorized Signature Robert Nieminen �, RMILL ^�� lindar@nemoetc.com IA � Technical Representative William Broussard Address/Phone/Email 1 Campus Drive Parsippany, NJ 07054 (800) 766-3411 TechnicalQuestionsGAF@gaf.com Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Single Ply Roof Systems 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 the Robert Nieminen Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 10/18/2018 Validated By John W. Knezevich, PE 1,;, Validation Checklist-Hardcopy Received Certificate of Independence FL16730_g14_CCO_2017_0�_�Qj_Nieminen.p Referenced Standard and Year(of Standard) Standard Year TAS 114 2011 TAS 131 1995 Equivalence of Product Standards Certified By Sections from the Code https://ww%v.floridabuilding.org/pr/pr_app_dtl.aspx?param=%YGF,VXQwtDqu8obl%2fIZm6TIuetCt8RgpmtmHgFreYFQdXkWlbhOpgOg%3d%3d 1/2 i 2/22/2018 Florida Building Code Online Product Approval Method Method 1 Option D Date Submitted 10/17/2017 Date Validated 10/19/2017 Date Pending FBC Approval 10/22/2017 Date Approved 12/12/2017 Date Revised 02/09/2018 Summary of Products FL# Model,Number or Name Description 16730.1 EverGuard TPO Single Ply Roof Thermoplastic polyolefiin single ply roof systems Systems Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL16730_R14_II_2017_10 FINAL_A1_ER_GAF_EG Approved for use outside HVHZ: No TPQ_HVHZ_FL16730-R14.pdd Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: +N/A/-502.5 Created by Independent Third Party: Yes Other: 1.)The design pressure herein pertains to one system, Evaluation Reports Refer to ER Appendix for all systems and maximum design FL16730_1314_9F_�?_d_Q_FINAL_ER GAF_EG pressures, 2.) Refer to ER Section 5 for Limits of Use. TQ_HVHZ_FL16730-R14.p1 Created by Independent Third Party: Yes i(1'_ Bacot Ncxt Contact Us::2601 Binir Stone Road.Tallahassee FL 32399 Phone:950-487-1824 The State of Florida Is an AA/EEO employer.Copyliiaht 2007-2013 State of Florida.::Privacy Statement::Accessibility Statement::Refund Statement Under Florida law,email addresses are public rel ords.If you'do not want your e-mail address released In response to a public-records request,do not send electronic mall to this entity.Instead,contact the office by phone or by.traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to Section 455.275(1),Florida Statutes,effective October1l,2012,Iicensees.licensed under Chapter 455,F.S.must provide the Department with an email address If they have one.The emalis provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an'email address which can be made available to the public.To determine If you are a licensee under Chapter 455,F.S„ please click here. Product Approval Accepts: WeChecV. M-. Credit Card Safe •I https://ww,.v floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu8obl%2fIZm6f luetCt8RgpmtmHgFreYFQdXkWIbhOpgOg%3d%3d 2/2 u TRINITY ER® APPENDIX 1:ATTACHMENT REQUIREMENTS FOR WIND UPLIFT RESISTANCE Table Deck Application Type Description Page 1A Wood New or Reroof(Tear-Off) A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 6-8 113 Wood New,Reroof(Tear-Off)or Recover A-2 Mech.Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 9-10 1B Wood New,Reroof(Tear-Off)or Recover B-1 Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Roof Cover it 1C Wood New,Reroof(Tear-Off)or Recover C-1 Mechanically Attached Insulation,Bonded Roof Cover 11-12 1D Wood New,Reroof(Tear-Off)or Recover C-2 Plate-Bonded Roof Cover 13 1E Wood New,Reroof(Tear-Off)or Recover D-1 Insulated,Mechanically Attached Roof Cover 14 1F Wood New,Reroof(Tear-Off)or Recover D-2 Insulated,Mechanically Attached Base Sheet,Bonded Roof Cover 14 1G Wood New,Reroof(Tear-Off)or Recover E-2 Non-Insulated,Mechanically Attached Base Sheet,Bonded Roof Cover 15-17 2A Steel New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 18 2B Steel orStructural concrete New,Reroof(Tear-Off)or Recover B-1 Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Roof Cover 18-22 2C Steel or Structural concrete New,Reroof(Tear-Off)or Recover B-1 Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Base and Cap Ply 23 2D Steel or Structural concrete 'New,Reroof(Tear-Off)or Recover B-2 Mech.Attached Thermal Barrier,Bonded Temp Roof,Bonded Insulation,Bonded Roof Cover 24-25 2E Steel or Structural concrete New,Reroof(Tear-Off)or Recover C-1 Mechanically Attached Insulation,Bonded Roof Cover 26-33 2F Steel or Structural concrete New,Reroof(Tear-Off)or Recover C-1 Mechanically Attached Insulation,Bonded Base and Cap Ply 34 2G ... Steel or'Structural concrete New,Reroof(Tear-Off)or Recover C-1A Thermal Barrier with Vapor Barrier,Mechanically Attached Insulation,Bonded Roof Cover 35-39 2H Steel or Structural concrete _ New,Reroof(Tear-Off)or Recover C-2 Mechanically Attached Insulation,Plate-Bonded Roof Cover 40-41 21 Steel or Structural concrete New,Reroof(Tear-Off)or Recover D-1 Insulated,Mechanically Attached Roof Cover 42-43 21 Steel or Structural concrete New,Reroof(Tear-Off)or Recover D-2 Insulated,Mechanically Attached Base Sheet,Bonded Roof Cover . 43 3A Structural concrete New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 44-52 3B Structural concrete New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Base and Cap Ply 53 3B Structural concrete New,Reroof(Tear-Off)or Recover F Non-Insulated,Bonded Roof Cover 53 4A LWIC New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 54-55, 4B LWIC New or Reroof(Tear-Off) A-2 _ Mechanically Attached Anchor Sheet,Bonded insulation,Bonded Roof Cover 56 4C -LWIC New,Reroof(Tear-Off)or Recover C-2 Plate-Bonded Roof Cover 57 4D LWIC New,Reroof(Tear-Off)or Recover D-1 Insulated;Mechanically Attached Roof Cover 57-58 4E LWIC New or Reroof(Tear Off) E Non-Insulated,Mechanically Attached Base Sheet,Bonded Roof Cover 58-59 4F LWIC New or Reroof(Tear Off) - F Non-Insulated,Bonded Roof Cover 59-60 SA CWF New or Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 61 5B CWF New;Reroof(Tear-Off)or Recover C-1 Mechanically Attached Insulation,Bonded Roof Cover 62 5C CWF New,Reroof(Tear-Off)or Recover E-2 Non-Insulated,Mechanically Attached Base Sheet,Bonded Roof Cover 62 6A Gypsum Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 63-64 6B Gypsum Reroof(Tear-Off) A-2 Mechanically Attached Anchor Sheet,Bonded Insulation,Bonded Roof Cover 64 6C Gypsum Reroof(Tear-Off) B-1 Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Roof Cover 65-67 6D Gypsum Reroof(Tear-oft) C-1 Mechanically Attached Insulation,Bonded Roof Cover 67-69 6E Gypsum Reroof(Tear-Off) E-2 Non-Insulated,Mechanically Attached.Base Sheet,Bonded Roof Cover 68 6F Gypsum Reroof(Tear-Off) F Non-Insulated,Bonded Roof Cover 68 7A Various Recover A-1 Bonded Insulation,Bonded Roof Cover 69-82 7B ' Wood or Steel Recover C-2 Plate-Bonded Roof Cover 83 7C Steel Recover D-1 Insulated,Mechanically Attached Roof Cover 84 7D Various Recover F Non-Insulated,Bonded Roof Cover 84 Exterior Research and Design,LLC.d/b/a Trinity I ERD Evaluation Report 01506.12.13-1-R15 for FL16730-1114 Certificate of Authorization#9503 6'EDITION(2017)FBC HVHZ EVALUATION Revision 1S:10/17/2017 Prepared by: Robert Nieminen,PE-59166 EverGuard TPO Single-Ply Roof Membrane Systems,(800)766-3411 Appendix 1,Page 1 of 84 ._, TRINITY1ER® The following notes apply to the systems outlined herein: 1. The evaluation herein pertains to above-deck roof components;deck-attachment details pertain to'as-tested'conditions under Testing Application Standard TAS 114,Appendix J. Roof decks shall be in accordance with FBC(HVHZ)requirements to the satisfaction of the Authority Having Jurisdiction. 2. Unless otherwise noted,fasteners and stress plates for insulation or base sheet attachment shall be as follows. Fasteners shall be of sufficient length forthe following engagements: ➢ Wood Deck: Drill-Tec#12 Fastener or Drill-Tec#14 Fastener with Drill-Tec 3"Standard Steel Plate,Drill-Tec 3"Steel Plate,Drill-Tec 3 in.Ribbed Galvalume Plate(Flat)or Drill-Tec AccuTrac Flat Bottom Plate or Drill-Tec AccuTrac Recessed Plate(insulation only), Drill-Tec ASAP 3S or Drill-Tec Heavy Duty ASAP 3S. Min.0.75-inch plywood penetration or minimum 1-inch wood plank embedment. ➢ Steel Deck: Drill-Tec#12 Fastener,Drill-Tec#14 Fastener or Drill-Tec XHD Fastener with Drill-Tec 3"Standard Steel Plate,Drill-Tec 3"Steel Plate,Drill-Tec 3 in.Ribbed Galvalume Plate(Flat)or Drill- Tec AccuTrac Flat Bottom Plate or Drill-Tec AccuTrac Recessed Plate(insulation only). Minimum 0.75-inch steel penetration,engage the top flute of the steel deck. ➢ Structural concrete: Drill-Tec#14 Fastener or DrilFTec CD-10 with Drill-Tec 3"Standard Steel Plate,Drill-Tec 3"Steel Plate,Drill-Tec 3 in.Ribbed Galvalume Plate(Flat)or Drill-Tec AccuTrac Flat Bottom Plate or Drill-Tec AccuTrac Recessed Plate(insulation only) or Drill-Tec Heavy Duty ASAP 3S.Minimum 1.25-inch embedment. Fasteners installed with a pilot hole in accordance with the fastener manufacturer's published installation instructions. 3. Unless otherwise noted, insulation may be any one layer or combination of polyisocyanurate, polystyrene, wood.fiberboard, perlite, gypsum-based roof board or mineral wool roof board that meets the QA requirements of F.A.C.Rule 61G20-3 and is documented as meeting FBC(HVHZ)1516 and,forfoam plastic,FBC Chapter 26,when installed with the roof cover. Referto GAF published installation instructions for details and requirements regardingthe use of FBC HVHZ approved polystyrene insulation in EverGuard®roofing systems: Insulation:, High Traffic Applications: Recover Applications: ➢ .FBC HVHZ approved Expanded polystyrene (EPS) meeting or ➢ FBC HVHZ approved Extruded-polystyrene (XPS) meeting or ➢ FBC.HVHZ approved XPS Fan-Fold Recover Board with plastic exceeding Testing Application Standard TAS 110 and ASTM C578, exceeding Testing Application Standard TAS 110,and ASTM C578, facet meeting or exceeding Testing Application Standard TAS 110 Type IX, nominal 1.8 Ib/ft2 density and minimum 25, psi Type IV,minimum 1-inch thick and minimum 25 psi compressive and ASTM C578, Type IV, 3/8-inch thick and minimum 25 psi compressive strength. strength. compressive strength. ➢ FBC HVHZ approved Expanded polystyrene (EPS) with plastic ➢ FBC HVHZ approved Expanded polystyrene (EPS) with plastic ➢ FBC HVHZ approved EPS Recover Board meeting or exceeding facer meeting or exceeding Testing Application Standard TAS 110 facer meeting or exceeding Testing Application Standard TAS 110 Testing Application Standard TAS 110 and ASTM C578,Type IX, and ASTM C578, Type IX, nominal 1.8 Ib/ft2 density and and ASTM C578,Type IX,minimum 1-inch thick and minimum 25 1/2-inch thick and minimum 25 psi compressive strength. minimum 25 psi compressive strength. psi compressive strength. ➢ FBC HVHZ approved EPS-Recover Board with plastic facer meeting or exceeding Testing Application Standard TAS 110 and _ ASTM C578, Type IX, 1/2-inch thick and minimum 25 psi --_ _ — -- —compressive strength:. - -- TOPCOAT°FireOut—Fire Barrier Coating,VersaShield®Fire-Resistant Roof Deck Protection or VersaShield®Solo'"Fire-Resistant Slip Sheet,installed in accordance with GAF published installation instructions and fire resistance certification listings,may be used as a non-load=bearing,fire-barrier/slip-sheet component within any system outlined herein. 4. If mechanical attachment to the structural deck through lightweight insulating concrete is proposed,field withdrawal resistance testing shall be performed to confirm equivalent or determine enhanced fastening patterns and density. All testing and fastening design shall be in compliance with Testing Application Standard TAS 105 and Roofing Application Standard RAS 117 and/or RAS 137. Calculations shall be prepared, signed and sealed by a qualified design professional. 5. Preliminary insulation attachment for System Type C-2 and D=Minimum four fasteners per 4 x 8 ft board or minimum two fasteners per 4 x 4 ft board. ._ 6. Unless otherwise noted,insulation adhesive application rates areas follows. Ribbon or bead width is at the time of application;the ribbons/beads shall expand as noted in the manufacturer's published instructions. ➢ Hot Asphalt(HA): Full mopping,25-30lbs/square. ➢ GAF 2-Part Roofing Adhesive(GAF 2-Part): Continuous 25 to 35-inch ribbons,12-inch o.c. ➢ LRF Adhesive M(LRF-M): Continuous 0.75 to 1-inch wide ribbons,12-inch o.c. ➢ OlyBond Adhesive Fastener(Classic): Full coverage,1 gal/square. ➢ OlyBond 500(b6500): Continuous 0.75 to 1-inch wide ribbons,12-inch o.c.using PaceCart,SpotShot or Canister delivery methods. Note:Olyeond Classic orOlyeond 500 Green may be used in place of OB5OO. ➢ Note: When multiple layers(s)of insulation and/or coverboard are installed in ribbon-applied adhesive,board joints shall be staggered. ➢ Note: The maximum edge distance from the adhesive ribbon to the edge of the insulation board shall be not less than one-half the specified ribbons spacing. Exterior Research and Design,LLC.d/b/a Trinity IERD Evaluation Report 01506.12.13-1-R15 for FL16730-R14 Certificate of Authorization#9503 e'EDITION(2017)FBC HVHZ EVALUATION Revision 15:10/17/2017 Prepared by: Robert Nieminen,PE-59166 EverGuard TPO Single-Ply Roof Membrane Systems;(800)766-3411 Appendix 1,Page 2 of 84 JTRINITY11 ERD 7. Unless otherwise noted,all insulations are flat stock or taper board of the minimum thickness noted. Tapered polyisocyanurate at the following thickness limitations maybe substituted with the following Maximum Design Pressure(MDP)limitations. In no case shall these values be used to`increase the MDP listings in the tables;rather if MDP listing below meets or exceeds that listed for a particular system in the tables,then the thinner board listed below may be used as a drop-in for the equivalent thicker material fisted in the table. ➢ Hot Asphalt(HA): MDP= -240.0 psf (Min.05-inch thick) ➢ GAF 2-Part Roofing Adhesive(GAF 2-Part): MDP= -117.5 psf (Min.1.0-inch thick) ➢ LRF Adhesive M(LRF-M): MDP= -2325 psf (Min. 05-inch thick EnergyGuard Polyiso Insulation, EnergyGuard NH Polyiso Insulation, EnergyGuard Ultra Polyiso Insulation, EnergyGuard NH Ultra Polyiso Insulation) ➢ OlyBond 500(OB500): MDP= -315.0 psf (Min.OS-inch thick EnergyGuard RH or RN) ➢ OlyBond 500(OB500): MDP= -4875 psf (Min.0.5-inch thick EnergyGuard RA) ➢ OlyBond 500(OB500): MDP= -2925 psf (Min. 05-inch thick EnergyGuard Polyiso Insulation, EnergyGuard NH Polyiso Insulation, EnergyGuard Ultra Polyiso Insulation, EnergyGuard NH Ultra Polyiso Insulation) 8. Bonded polyisocyanu rate insulation boards shall be maximum 4 x 4 ft. 9. Perimeter and comer areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased,as calculated in compliance with Roofing Application Standard RAS 117 and/or RAS 137 6y a qualified design professional. *This extrapolation is nor permitted forsystems marked with an asterisk'". 10. For assemblies marked with antasterisk*,the maximum design pressure(MDP) limitation listed shall be applicable to all roof pressure zones(i.e.,field, perimeters and comers). Neither rational analysis, nor extrapolation is permitted for enhanced attachment at enhanced pressure zones(i.e.,perimeters,corners and extended corners). 11. Fastener spacing for mechanical attachment is based on a minimum fastener resistance value in conjunction with the maximum design pressure(MDP)listed for a specific system. Should thefastener resistance be less than that required,as determined by the Building Official,a revised fastener spacing—prepared,signed and sealed by a qualified design professional—may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application StandardTAS'105 and calculations in compliance with Roofing Application Standard RAS 117 or RAS 137. 12. For bonded insulation or membrane over existing substrates in a recover installation,the existing roof system shall be capable of resisting project design pressures on its own merit to the satisfaction of the Authority Having Jurisdiction,as documented'through field uplift testing in accordance with Testing Application Standard TAS 124. 13. For System Type D,steel deck applications,the roof membrane shall.be run.with its length perpendicularto the steel deck flutes. 14. For.recover installations,the existing roof shall be examined in accordance with FBC 1521. For Recover Applications using System Type C-2 or or any-System Type D,the insulation is optional. Alternatively,a separator board may be installed priorto roof cover installation when using System Type C-2 or any System Type D or a separator sheet may be installed prior to roof cover installation when using any System Type D. The separator component shall be documented as meeting FBC(HVHZ)1516 and,forfoam plastic,FBC Chapter 26,when installed with the roof cover in Recover applications. ➢ Separator Board Options for Recover System Type C-2 or System Tvpe D: Min.0.5-inch EnergyGuard Polyiso Insulation,EnergyGuard NH Polyiso Insulation,EnergyGuard RA,EnergyGuard RN,EnergyGuard Ultra Polyiso Insulation,EnergyGuard NH Ultra Polyiso Insulation,Structodeck High Density Fiberboard Roof Insulation,EnergyGuard RH HD Polyiso Insulation,EnergyGuard HD Polyiso Insulation,EnergyGuard NH HD Polyiso Insulation,EnergyGuard HD Plus Polyiso Insulation or EnergyGuard NH HD Plus Polyiso Insulation,or min;0.25-inch Dens Deck,Dens Deck Prime,SECUROCK Gypsum-Fiber Roof Board orSECUROCK Glass- Mat Roof Board. ➢ Separator Sheet Options for Recover System Type D: EverGuard Polymat Separation Layer(3 oz/yd2)or EverGuard Polymat Cushioning Layer(6 oz/yd). 15. For systems,where specific lightweight insulating concrete(LWIC)is referenced, refer to current LWIC Product Approval for specific deck construction and limitations. Unless otherwise noted,for systems where specific LWIC is not referenced,the minimum design mix shall be 300 psi. 16. Side laps for EverGuard Freedom TPO with RapidSeam Tech nology,a re self-adhering. Side laps for.EverGuard Freedom TPO,HW are heat welded. Unless otherwise noted,reference to EverGuard Freedom TPO in this Appendix relates to either method. Exterior Research and Design,U.C.d/b/a Trinity ERD Evaluation Report 01506.12.13-1-R15 for FL36730-R34 Certificate of Authorization#9503 6't'EDITION(2017)FBC HVHZ EVALUATION Revision 15:10/17/2017 Prepared by: Robert Nieminen,PE-59166 EverGuard TPO Single-Ply Roof Membrane Systems,(800)766-3411 Appendix 1,Page 3 of 84 '\,/TR1 IT(j ER® 17. For adhesive-applied membrane systems,side laps shall be minimum 3-inch wide sealed with min.1.5-inch heat weld. Unless otherwise noted,membrane adhesive application rates areas follows: Membrane Adhesive - Method Rate EverGuard TPO EverGuard TPO#1121 Bonding Adhesive Contact(both sides) 0.8 to 1.0 gal/square/surface. For use over SECUROCK Gypsum-Fiber Roof Board,the application rate (#1121) changes to 1.2 to 1.67 gal/sq/surface To polyisocyanurate or Structodek High Density Fiberboard Roof Insulation,Fiber Base HD1 or Fiber Base HD6 EverGuard TPO EverGuard WB181 Bonding Adhesive(WB181) Contact(both sides) at 0.63 gal/square and roof cover underside at 0.21 gal/square. To Dens Deck Prime or SECUROCK Gypsum- Fiber Roof Board at 0.63 to 0.75 gal/square and roof cover underside at 0.21 to 0.25 gal/square EverGuard TPO VOCr,uard Low VOC TPO Bonding Adhesive(L- Contact(both sides) 0.46 gal/square/surface EverGuard TPO 3 Square Low VOC Bonding EverGuard TPO Adhesive(TPO 3-Square) Contact(both sides) 0.84 gal/square/surface EverGuard TPO FB Ultra Hot asphalt Wet lay(substrate) 25 Ibs/square EverGuard TPO FB Ultra EverGuard WB381 Bonding Adhesive(WB181) Wet lay(substrate) 0.83 to 1.0 gal/square GAF LRF Adhesive M-(LRF-M) or LRF Adhesive 1-inch wide ribbons spaced as noted in tables herein. Note:The adhesive ribbons are located directly over EverGuard TPO FB Ultra O(LRF-0) Wet lay(substrate) the adhesive ribbons used to secure the insulation when the cover is bonded to insulation less than 1.5-inch thick. EverGuard TPO FB Ultra GAF 2-Part Roofing Adhesive(GAF 2-Part) Wet lay(substrate) "Spatter pattern"at 3.75 Ibs/sq. EverGuard TPO FB Ultra OlyBond 500 Canister Wet lay(substrate) "Spatter pattern"at 0.32 gal/square. 18. The"Triposite Roofing System"noted herein consists of loose-laid GAFGLAS Stratavent Perforated Venting Base Sheet,followed by asphalt-applied two(2)plies of Ruberoid 20 Smooth or three(3)plies of GAFGLAS FlexPly 6,followed by asphalt-applied 80-mil EverGuard TPO FB Ultra with i-5/8"heat welded side laps. 19. Unless otherwise noted,the"Hybrid Roofing System"noted herein consists of asphalt-applied Ruberoid 20 Smooth, Ruberoid Mop Smooth, Ruberoid Mop Smooth 1.5,GAFGLAS#75 Base Sheet,Tri-Ply#75 Base Sheet or GAFGLAS#80 Ultima Base Sheet followed by asphalt-applied EverGuard TPO FB Ultra. 20. EverGuard Extreme TPO may be used as an alternate to EverGuard TPO. EverGuard Extreme TPO FB Ultra may be used as an alternate to EverGuard TPO FB Ultra. 21. The following insulations are interchangeable within the scope of this Evaluation Report. ➢ EnergyGuard Polyiso Insulation b EnergyGuard NH Polyiso Insulation; —EnergyGuard Ultra Polyiso Insulation b EnergyGuard NH Ultra Polyiso Insulation; ➢ EnergyGuard HD Polyiso Insulation b EnergyGuard NH HD Polyiso Insulation; ➢ EnergyGuard HD Plus Polyiso Insulation b EnergyGuard NH HD Plus Polyiso Insulation. Exterior Research and Design,I.L.C.d/b/a Trinity ERD Evaluation Report 01506.12.13-1-R15 for F1.16730-1114 Certificate of Authorization#9503 6`h EDITION(2017)FBC HVHZ EVALUATION Revision 15:10/17/2017 Prepared by: Robert Nieminen,PE-59166 EverGuard TPO Single-Ply Roof Membrane Systems;(800)766-3411 Appendix 1,Page 4 of 84 TRINffYI I ERD 22. Vapor barrier options for over structural concrete deck with adhered insulation carry the following Maximum Design Pressure(MDP)limitations.The lesser of the MDP listings below vs.those in Table 3A applies: VAPOR BARRIER OPTIONS;STRUCTURAL CONCRETE DECK;ADHERED INSULATION PER TABLES 3A-1 AND 3A-2 Option# Primer Type Vapor Barrier Attach Insulation Adhesive MDP(psf) VB-1. Matra 307 Premium Asphalt Primer or ASTM D41 primer One ortwo plies,GAFGLAS#75 Base Sheet,Tri-Ply#75 Base Hot asphalt applied Hot asphalt -360.0 Sheet,GAFGLAS Ply 4,Tri-Ply Ply 4 or GAFGGLAS FlexPly 6 VB-2. Matrix 307 Premium Asphalt Primer or ASTM D41 primer Ruberoid Torch GR Torch-applied GAF 2-Part,12-inch o.c. -169.0 VB-3. Matrix 307 Premium Asphalt Primer or ASTM D41 primer Ruberoid HW 25 Smooth or Ruberoid HW Smooth Torch-applied GAF 2-Part,12-inch o.c. -180.0 VB-4. Matra 307 Premium Asphalt Primer or ASTM D41 primer Liberty SBS Self-Adhering Cap Sheet Self-adhering GAF 2-Part,12-inch o.c. -250.0 VB-S. Matrix 307 Premium Asphalt Primer or ASTM D41 primer One t,GAF two plies,GAFGLAS Tri- ly P Base Sheet,Tri-Ply Fle#75xPly Base Hot asphalt applied GAF 2-Part,12-inch o.c. -262.5 Sheet,GAFGLAS Ply 4,Tri-Ply Ply 4 or GAFGGLAS FlexPly 6 VB-6. Matrix 307 Premium Asphalt Primer orASTM D41 primer Ruberoid 30 Hot asphalt applied GAF 2-Part,12-inch o.c. -270.0 VB-7. Matrix 307 Premium Asphalt Primer or ASTM D41 primer Ruberoid HW 25 Smooth or Ruberoid HW Smooth Torch-applied LRF-M,12-inch o.c. -180.0 One or two plies,GAFGLAS#75 Base Sheet,Tri-Ply Base VB 8. Matra 307 Premium Asphalt Primer or ASTM D41 primer Sheet,GAFGLAS Ply 4,Tri-Ply Ply 4 or GAFGGLAS FlexPly 6 Hot asphalt applied LRF M,12-inch o.c. -495.0 VB-9. Matra 307 Premium Asphalt Primer or ASTM D41 primer Ruberoid Torch Smooth Torch-applied OlyBond 500,12-inch o.c. -165.0 VB-10. Matra 307 Premium Asphalt Primer or ASTM D41 primer Ruberoid HW 25 Smooth Torch-applied OlyBond 500,12-inch o.c. -180.0 VB-11. Matra 307 Premium Asphalt Primer or ASTM D41 primer Ruberoid 20 Smooth Matrix 102 SBS Membrane OlyBond500,12-inch o.c. -202.5 Adhesive at 1.5 gal/square VB-12. Matra 307 Premium Asphalt Primer or ASTM D41 primer Ruberoid HW Smooth Torch-applied OlyBond 500,12-inch o.c. -2325 One or two plies,GAFGLAS#75 Base Sheet,Tri-Ply#75 Base VB 13. Matra 307 Premium Asphalt Primer or ASTM D41 primer Sheet,GAFGLAS Ply 4,Tri-Ply Ply 4 or GAFGGLAS FlexPly 6 Hot asphalt applied OlyBond 500,12-inch o.c. -3525 23. "MDP"=Maximum Design Pressure is the result of testing for wind load resistance based on allowable wind loads.Refer to FBC(HVHZ)1620 and RAS 128 for determination of design wind loads. Exterior Research and Design,LLC.d/b/a Trinity IERD Evaluation Report 01506.12.13-1-R15 for FL16730-1114 Certificate of Authorization#9503 6'EDITION(2017)FBC HVHZ EVALUATION Revision 15:10/17/2017 -Prepared by: Robert Nieminen,PE-59166 EverGuard TPO Single-Ply Roof Membrane Systems,(800)766-3411 Appendix 1,Page 5 of 84 `�. TR IMITY 1 ER® -TABLE 1F: WOOD DECKS-NEW CONSTRUCTION,REROOF(TEAR-OFF)OR RECOVER SYSTEM TYPE D-1: MECHANICALLY ATTACHED ROOF COVER rW49. Deck Insulation(Note 14) Roof Cover (Note 1) Type Attach Membrane Fasteners Attachment MDP(psf) (Optional)One or Drill-Tec#14 Fastener Fastened 6-inch o.c.within 5.S4nch wide laps Min.19/32-inch plywood or wood plank;24"spans;8d Prelim. EverGuard more layers,any with Drill-Tec 2 in.Double spaced 114.5-inch o.c.and sealed with a 1.75-inch -45.0 common nails 6"o.c. combination attached TPO Barbed XHD Plates heat weld. (Optional)One or Drill-Tec#14 Fastener Min.19/32-inch plywood or wood plank;24"spans;8d more layers,any Prelim. EverGuard with Drill-Tec 2 in.Double Fastened 6-inch o.c.within 5-inch wide laps spaced -525 common nails 6"o.c. combination attached TPO Barbed XHD Plates 554nch o.c.and sealed with a 1.75-inch heat weld. SYSTEM TYPE D-2: INSULATED,MECHANICALLY ATTACHED BASE SHEET,BONDED ROOF COVER System Deck Insulation Layer(s)(Note 14) Base or Anchor Sheet No. (Note 1) Type Attach Base Fasteners Attach Roof Cover MOP(PA Min.19/32-inch plywood;24"spans; GAF StormSafe Anchor Drill-Tec#14 Fastener with Drill- 18-inch o.c.at min.4-inch lap W-51. 8d ring shank nails,6"o.c.at edges One o more layers, Loose-laid Sheet(Max.48-inch Tec 3"Steel Plate or Drill-Tec 3 and 184nch o.c.at two,equally EverGuard Freedom -45.0* and V o.c.at intermediate supports any combination wide) in.Ribbed Galvalume Plate(Hat) spaced,staggered center rows TPO/self adhered Min.19/32-inch plywood;24"spans; GAF StormSafe Anchor Drill-Tec#14 Fastener with Drill- 84nch o.c.at min.4-inch lap and W-52. 8d ring shank nails,6"o.c.at edges One or more layers, Loose-laid Sheet(Max.48-inch Tec 3 in.Ribbed Galvalume Plate 8-inch-o.c.at two,equally EverGuard Freedom -60 0* and 6"o.c.at intermediate supports any combination wide) (Flat) spaced,staggered center rows TPO/self adhered Exterior Research and Design,U.C.d/b/a Trinity ERD Evaluation Report 01506.12.13-1-R15 for FL36730-1114 Certificate of Authorization#9503 6" EDITION(2017)FBC HVHZ EVALUATION Revision 15:10/17/2017 -Prepared by: Robert Nieminen,PE-59166 EverGuard TPO Single-Ply Roof Membrane Systems;(800)766-3411 Appendix 1,Page 14 of 84 o m 013 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS �-, Contractor/Homeowner: s4r Date Received: l 2`1,F)-I C Site: C)?J Permit Type: Approved w/no commen s Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be ept with the permit and/or plans. 1 2�19 Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) Permit Number Parcel ID Number NOTICE OF COMMENCEMENT State of Florida County of THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance Wth Section 713.13 of the Florida Statutes,the following iniormallon is provided in this NOTICE OF COMMENCEMENT. 1) --7" 1 ' . /i *' I L- 9 1 i.Description of property Vega]desodpidon) N ),A),A 4�.k a)Street(job)Address:;So 5'S-S-� ti-71 2.General description of improvements: Re"Roof 3.Ovmer Information or Lessee information If the Lessee contracted for the improvement: -7 a)Name and address- b)Name and address of fee simple titleholder(if different than Owner listed above) c)Interest in Property: Owner. 4.Contractor Information a)Name and address: CB Roofing Construction 3433 Lithia Pinecrest Rd. Suite 202 k1alrico, FL 33596 b)Telephone No.: 813-569-6930 Fax No.:(optional) 615-534-8740 5.Surety(if applicable,a oo y of the payment bond is attached} a)Name and address: b)Telephone No.: o)Amount of Bond: 6.1-ender a)Name and address: b)Telephone No.: 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes., a)Name end address: b)Telephone No,: Fax No.:(optional) 8.a.In 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.Explratl6n date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be I year from the date of recording unless a different data is 20 1iUARNING TO OWNER: ANY PAYMENTS AFTER THE EXPIRATION OF THE NOTICE ARE kAbt BY THE OWNER CONSIDERED 161PROPER PAYMENTS UNDER CHAPTER 713,PART 1,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 5, age, a'Y e The firrng in - igacknowledg before methis dayof 20, by .... as W Ale-117 (Type of suftlrity.e.g.officer,truster,atornisy in tcl) for a, (Name of.Person) (type olauthority...e.g.officer,trustee,attorney In fact) for {name of;pgai'In behalf of whom instrument was exacuted)- Pro Personally Known Produced 11) Type of ID 1' -OL, :S76100---7643 Signature Print name Notary Public State of Florida Steven Lombardo le My Commission GG:243141 60res 07MIE �4") 112022 04M 0~ R00fing We've Oot You Covarad To whom it may concern, To who it may concern Steven Lombardo is authorized to pick up permits on be halt of CB Roofing Construction. Chad Bowman CB Roofing Signed and Sealed on this day, of 2019 No Taisigne—gre--1: Stamp: Not"public state of F101tis coudm Smith '%T=7-11111=22 M 813-569-5930(0) 3433 Lithia Pinecrest Rd Ste 202, 615-534-8740(F) VaIrico, FL 33596 CCC1330088 Y 5 Y� l ROOFING IN51PFC ION AFFMAVI'r �a tN licrt1,C i Under C���;ri:�r±1<�6���FI4rC�1'�1t�+tx�fi�eF 11(s i�t a<'ared�k It`t:S+:t 5 u'mha 310A'fe C�-t: L Ond 3tICk Oth6l ('IS977 At chi!foLo.;Ning s �: -J, it �itii51n2,'t�D* i:iu rJ e.G�, ieii ie d tiicEiit' P .�Il�il�e+'��` -doFiyu�ri�#�t� ; ilon'RE'U,rf�it �',+'1aaijal (Onedtirl Stcrncwl ..i ,.Florid ���t��t��] .s TAT E Of FLORIDA C'OMN OF PASco i Sworn ticold$WbSt4filbed beta a Ithis'dwe Notary PUNK Mate of 4d'capvw ■ �f+-rfi��i�l�j�� il��ST -_-LF I� - �y�I�Aywi��.�},�y