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HomeMy WebLinkAbout19-21341 a sir' CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21341 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION. Permit Number: 21341 Address: 5836 12TH 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-03800-0130 Improv. Cost: 19,199.00 OWNER INFORMATION Date Issued: 6/05/2019 Name: BARNES, SHARON Total Fees: 210.00 Address: 5836 12TH ST Amount Paid: 210.00 ZEPHYRHILLS, FL 33542-3738 Date Paid: 6/05/2019 Phone: 813-368-8374 Work Desc: REROOF SHINGLE / FLAT ROOF TPO CONTRACTORS APPLICATION FEES PARLAMENT ROOFING & CONSTRUCTION REROOF RESIDENTIAL 210.00 1� I Ins actions Required DRY IN ROOF IN P TAPE JOINTS ROOF INSP FINAL REINSPECTION FEES: (c)With respect to Rennspection 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. CO TRACTOR SIGNATfJAE PERMIT OFFICZR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills ZephyrhiO FL 33642 (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: � |cenamd under Chapter 4GB. Florida Statutes oms(n): Contractor nginae[___Architpot__Bu||ding |nmpecto[_ LiooneeNo. LCC [l| Onor about did personally inspect the: Check: RoofDeckNaO|n ryi edge X Check which was used: 3O#hdt___Pewi and 5t|ok-\-01her(List At the foil in 000neso' Based upon that examination, | have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based un Section 583.844. Florida 8tatuteo). Signature:-_ STATE OFFLORIDA COUNTY OF PASCO JAMIE CURNUTTce—_ Notary Public,State of Florida Notary Pu__State of Florida � � � | ' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting It -75k-h '=5-7/ a " . . . . . . . 111off-411 Owner's Nam: . . . .Ow'ner"Phone Number Owner Phone Number Owner Address 36 kl� Fee Simple Titleholder Name I I Owner Phone Number Fee Simple Titleholder Address. I JOB ADDRESS 16^%3,L LOTS SUBDIVISION IIi'�v of PARCELID#F ')6: 3100- 61-,- --,9 I-DA31 0-Q (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW C0176 ADD/ALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM tJ OTHER TYPE OF CONSTRUCTION BLOCK = FRAME = ST7L IV DESCRIPTION OF WORK BUILD _�IZE,)4G SO FOOTAGE HEIGHT . . . . . . . . . . . . . . . . . . . . . . . F '.ILDING VALUATION OF TOTAL CONSTRUCTION 7ELECTRICAL 7 AMP SERVICE Q PROGRESS ENERGYQ W.R.E.C. =PLUMBING I$ =MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION S =GAS 52—ROOFING = SPECIALTY = OTHER 0S FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . . . . . . . . . . . . 0 - BUILDER COMPANY (—Ta r h_M-eAA_ Cjb,)�k SIGNATURE REGISTERED Y1 N FEE CURREN L_IL N Address rJJ 13&� License#1 IOU- [SaEw ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L_KLN_j Address 7 License PLUMBER COMPANY = SIGNATURE REGISTERED Y/ N FEE CURPEK YIN Address License MECHANICAL COMPANY = SIGNATURE REGISTERED YIN FEE CURFLEK Address I License#F_ OTHER COMPANY = SIGNATURE REGISTERED Y1 N FEE CURREN Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plan.-,(1)Set of Energy Forms;R-OW 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 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&I 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. I I I I S 1 5 1 1 1 1 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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(PloVSurvey/Footage) Driveways-Not over Counter If on public roadways..needs ROW CCC1329729 CRC1329809 PARLAMENT Roofing & Construction 12880 Automobile Blvd., Suite L Clearwater, FL 33762 Office: (727) 571-4110 Fax: (727) 571-4112 WWW.PARLAMENTROOFING.COM Office: (727)571-4110 Fax: (727)571-4112 City of '7,aoh( ILh 1'85- [- I - I _,e h following to act as my agents in obtaining permits in se 7c hereby���nz� e R or 1�t all projects. James Rayl 11624 Ocklawaha Drive., Leesburg, FL 34788 R400453793440 Jacknel Diaz 2712 West Tampa Bay Boulevard.,Tampa, Florida 33607 D265420804240 Richard Ruggieri 4699 Coynti:;t /I;Dive Lot#286, Holiday, Florida 34690 R260756720810 'Z�;' License Holder STATE OF FLORIDA, COUNTY OF PINELLAS Sworn o and subs ibed bef re me the T day ofjaf Lp- 2019. By ho is personally kno by me or. produced as identific * �ho is personally kno b� Itif 1c �- ary Signatu e BRIANA M.DACHNIEWICz Notary Public,State of Florida MY Comm.Expires Aug.24,2122 No.GG 229690 OPdANDO JACKSQMaLLE 300 International Parkway, Suite 104 4651 Salisbury Road, Suite 275 Lake Mary, FL 32746 Jacksonville, FL 32256 Office: (407) 949-9196 Office: (904) 999-6612 INSTR#2019093310 OR BK 9916 PG 692 Page 1 of 1 Q,� 06/04/2019 11:08 AM Rcpt:2060183 Rec:10.00 DS:0.00 IT:0.00 VV Paula S. O'.Nei�Ph.D., Pasco County CCerfe&ComytroCCer Permit Number Parcel ID Number NOTICE OF COMMENCEMENT State of Florida Tmm AREA WRES8MDMR CLERK OF THE COURT CMrnF!CATION County of Pinellas THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1.tJescxfption of property{kga/description); Cf Y &F gI /WNi l � l �G S L.Ufs J -/it,1 S l V�c,F 3'g 0''r-U j„ft a)Street{M Address: -51 31, 1 5-- 47;�e-C4 2.General description ro ments: 3.owner Infonrlation or Lawe information if the Lessee contracted for the improvement: a)Name and address: 6 64h S T 3 35 b)Name and address of fee simple tifleholder(d different than Owner fisted above) c)Interest in property: pcu 9.Contractorltrformation faW'IC,r—e«.,.'X ["cfi%^q C e-ASAn'-c a)Name and address: Gam$O 6 i p siyi cG��.,� je.- / -3' 3 76 ;2 b)'telephone ido.: 7- o 17 51�/U Fax No.:(optional} S.Surety(d applicable,a copy of the payment bond is attached) a)Name and address: b)Telephone No.: c)Amount of Bond: $ a)New and address: b)Teelephone No.-. 1.Petsons coo"the State of Florida desisted by Oenet upon wham notices or outer dmments maybe served as povided by Sector 713.13(1)(a)7.,Florida Statutes:- a)Name and address: b)Telephone No.: Fax No.:(optional) 8.a.ln addition to himseM or herself,Owner desgmtes of tc'n3ceiMe a copy of the Lienor's Notice as provided in Sediori 713.13(1)(b),Florida Statutes. b)Photee Number of Person or entity designated by Owner: 9.apirati in date of notice of=nmenaement(the expiratlar data may not be before the completion of constuction and final payment to the contractor,but will be 1 year from the date of recorcling unless a different date is .20 WARMING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART L SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR INPROWEMENTS TO YOUR PROPERTY.A M0710E OF COMMENCEPAENT 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 COMMEMCtMG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I dactwe that I have read the foregoing notice of commencement and that the fads stated therein are true to the best of my MpOlip and belief. (Sigrok"ofowrfer or ieasea,or Q m es or Loma's(Aiffior zsd 018 ) (Print Nwme and Pro+ndeSfgr Wys Tft a kg) The fo ng insfrume rLt was adunowtedged before me this 4q day of -�TW't-e - ,20 by ,t/j ��>f n P S as rl lL] A" , (Mm of aueuait),19•ofrroer,trustee,eeomey in faco for 'es (Name of Peraon) (type of auftrfly,...e.p.am—.trust m.aftomey rn fact) for (name of rty on om instrument was executed), Personally Known ❑ Produced ID ��.. T of ID �(051- 19' �� --otq Notary Signature �- - ---------• --------—-----. Hama NOTARYSTAMP Notary Puboc P toofF,orlda W Carom Exgtres Feb.19,2023 No.GG 303417 i . ,COUNTY OF PASCO tors rS ro CERTIFY THAT THE FOREGOING ISA r`= tE CORRECT COPY OF THE DOCUMENT�.ND r" P!t-E O OF PUBLIC RECORD IN THIS OFFICE "irj= r� "' • W)TN�:SS MY HAND D OFFICIAL SEAL THIS Y J` -~/ 13DAY OF - A p L, CL RK&COMPTROLLER— " €� �t3 7 B DEPUTY CLERK �� CCC1329729 CCC1.327351 • CRC1329009 CIICO16377 PARLAMENT Roofing & Construction QRLANQO CLC-ARWAYFR JACKS9!l1fJLl.G 364 CooPerPalut Parkway 121100 Aulatuabile filed.Suite 1. 46511 Salltbuq RvAd,suite z7r, APOPIM.IFL32703 Clearwater.n 33762 larlmonvilbr.Ft.3z256 IDIIICN(407)949-9196 011ice:(727)571-4 130-Pau 1727)$71.4112 SALES CONTRACT ftrillnens floating A construction agree$to landsh an Inatertall amd labor"em"frip Perform OW vrf lluldon address: Is a U .613)%2-f-3 1 re i i 464 Address: 5-SUL, 11-vo Sri;;-:W- r— Date. air. Wills State, FLU —Zl Email: 111.ca—M I—county. pa'g-C.0 to occorWice%ith the SPOCIP"llans given below: At ELUBMUM U G C SillN lffrAl, / TILE Mm - --IPI 1.MIMTExWIxr.RWF16%%UWUlE5URVAMpteltOGe Z.RML1ROPFVkKj%,MI RING sItANK ItAltS. 3*WLAC1 ANY ROrfM%%'(IIJDt%'ITIISTAtIIMPMSIIE&nllnGQSIJ)DMUt&AitMOOF90APDMZ96.ODMSII=OFM'%VUOD-IF 4� IIISTAIL I DEPAAUM9700MRERODFOECKSMAM WALL RAMUMN*11TAL IN VAIMS AKDWM=nMIMG AS 11WUW. IL INSTAM NL%%'tM DMISM ENSUILSTAM AND IVIACEAM PORME MM 7.I'WALLWFIWVAFA%ISDMPAROUtit)rWPMMLMREW'niEltON.Colop. 9-'ItStALL—masofK&CoSrOrj�4rAOL=GN-"�1l -A-AP&0:-�—MArnTlC YMMMATTION ATAAqDnU IMCLEW-11PANDHAULAWAY REIATMULDIUSANDLFA%EJOUSiMCLEAK II.CG'iTRACFOR%VnLWDRDINATE-tiMRMOV-ALLWRBWAUA'nOtICFRDOFKLAnDPMnitPALSSMIAS(DWNDTLOUTEDIO) 'VUGIfMSMMtMMT-V-DISHEXANDICRAIROD-10MONM JOWISABOMMALTOCO.WACr?IUCEliDWALAND Sh In= Otl=AUA'nONOP%INMANDIORMETALSorMANUFASO,%%%UMADDMO.4AL$42$AUNURFODT.. D-UWAIMPEDIM FIAT Ilm Mmmiat7p0lliallal AIREATO ROOF: MAIN HOME LlkMDVEVMNGRooM%vDRMDLESURFAM One CirdOme 3-REnAcEAt-YRDMN%%WDN%'MlsrAwDAiw$IIFATUINGVS740 PER LWMr=OFWM.AND$90"pjMglMroFrL%'%VWIXgFA"T.- 4.InTAUSM irmitiliDMIAYMDMTDEM=RNFD=SURFACF- L RMAUtj MTRSUILSrACKSANDREMMAMPURPOSEVOM 7-INStALLG'tll�L%'ArAVLSDRIPAROUtI TuermnEmommitooIk. I!E-"=-- =Ir I 11W 1411-1—R_ INsrAt.L T) M.A991-1 9-CLEW-WN(DUAVLAWAY 111UTWOrMSAWDLIAVEMOSITCUSAIL MINS11AUATION OFA ROOf4VERVOIDS N%tBER 2 AND 4 INSEMON L ILCDWMMRI%ILLCOURDINATgn,EP.DWVALANDP.WWAUAMItOPItOOFMATWPVMPiIMWSUCIIAktSUrMntwrmlo) SK%UGiMS()LARUNIMT.t'.DMtMAND/ORAIRCONOMONMMSUCICOSTISADmnoNALTOCNaPACrMMWWVALAND PXIMAItA=NOFVINYLANDIORRUALSoffit FASCIAWUMMITIO"MIL142SAUNICARIPM. Caftc1prial I-A0 ff—. d* him L--Jon- -0 U I-I DAUNCED M UMCOWLVM or m"bmvwoWWvWr4 v M!,d W &ON,vambf* ExcC34"dUpffic0to day of vmcop)jc*whIehwa 20 ,nCe NEtt Z-Yc tftftdt*.s=P1 017A cono— lkc youofamKetpfttoprostlyourdghtL - S7fftoOr Putrhase i-n-rere OfficeesStriature Par-Omfir Sign Ifere Scanned with CarnScanner too 7 SCIS Home Log In User Registration Hot T-Pla Submit Surcharge St-ts h Facts Publications FOC SUff BOS Site Map Unks Search Product Approval USER:Public User Product Aplanvof Menu:,Product or AoRligation Search>APPricetion List;,Application Detail Fl.# FL10264-R13 Application 1YPe Revision Code Version 2017 Application Status Approved Comments Archived Product Manufacturer Firestone Building Products Company,LLC. Address/Phone/Email 200 4th Avenue South Nashville,TN 37201 (317)575-7017 grzirbowskikelth%1LT"?,-&-IALL COMPLY WITH PRF-VAILING Authorized Signature Keith Grzybowsk]CODES FLORIDA BUILDING CODE, grzybowsklkelth�JK- ELECTRIC CODE, AND"TRW OF ZEPHYRHILLS Technical Representative ORDINANCES Address/Phone/Email Quality Assurance Representative RE-VIE-ki"I DAT"JUN Address/Wone/Emall I L C ZEPHY .,ITY OF Category Roofing PLANS 'E-XAN1R`4_F" L Subcategory Single Ply Roof Systems Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report-Har4copy Received Florida Engineer or Architect Name who developed Robert Niemlnen the Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 09/11/2020 Validated By John W. Knezevich,PE Validation Checklist-Hardcopy Received Certificate of Independence FLI0264 R13 COI 201701 C01 Nlemlnen.pdf Referenced Standard and Year(of Standard) Standard year ASTM-D6878 2011 FM 4470 2012 FM 4474 2011 TAS 114 2011 UL 1897 2012 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 09/30/2017 Date Validated 10/03/20I7 Date Pending FBC Approval Date Approved 10/08/2017 Summary of products FL Model,Number or Name Description 10264,1 Firestone UltraPly TPO Single Ply Thermoplastic polyolefin(TPO)roof systems Roof Systems Limits of Use Installation Instructions Approved for use in HVHP:No FLID264 Ri3 11 20 7 DQ FINAL Al ER 1jitraPt IM FL102fi4- Approved for use outside HVHZ:Yes R13,odf Impact Resistant:N/A Verified By:Robert Nleminen PE-S9166 Design pressure:+N/A/-49S.0 Created by Independent Third Party:Yes Other:1.)The design pressure noted In this application Evaluation Reports relates to on particular assembly.Refer to the ER Appendix FL�64 R13 AE 2017 09 FINAL FR UltraplyTPD FL10264 for all assemblies and associated design pressures.2.)Refer $l3.D to the ER,Section 5 for Limits of Use. Created by Independent Third Party:Yes iaatx Next Contest Us:.2601 Blair gone Road.Tallahassee fl 32399 Phone:850-07-1624 The State of Florida is an AA/UO employer,copyright 2007-2013 State of Florida,::privacy Statement::A= ibtit_. _tv Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released to response to a public-records request,do not send electronic mall to this entity,Instead,'contact the office by phone or by tradltlonal mail.U you have airy quastlons,please contact$50.487.2395.-Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,ikemees licensed under chapter 455,IS.must provide the Department with an email address N they have one.The malls provided may be used for official communication with the 8eensee.however email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an ema0 address which can be made avaltoble to the public,7b determine Uyou are a licensee under Chapter 455,FS., please dick JIM. Produet Approval Accapto. Credit Card I t TiMN JER® • . 'td�'�1zE7�>�s llH;f�D.t�E��':r�R�Ei�fC1�t��Rlf,�tf.�.oRREROf�i<�TEAytr�f>k�cRiREGDNER , S kiB Sa i:'ti11Et5CdAMQAt "%0,jMSt3LAT10t4,!0hi1�lDROt FCS3llER System Deck Top Insulation Layer No.. {Note 1) Base Insulation Layer Type Attach Roof Cover(Note 16) MDP(psf) Fasten UUVA0tV tP.Q SYSTEaRS W-1. Min.25/32-inch plywood at (Optional)One or more layers,any Min,1-inch RESISTA Note 2 1 per 4 R' UltraPty TPO/UP-BA,LVOC-BA- 30.04 max 24-inch spans combination,loose laid 1168,LVOC-BA W-2 Min.19132-inch plywood at (Optional)One or more layers,any UitroPly TPO/UP-BA,LVOC-BA- max 24-ineh spans combination,loose laid Min.2-tneh I50 95+GL Note 2 1 per 1,781t= 1168,WBBA-P 45.0 W3• Min.15/32-inch plywood at (Optional)One or more layers,any UltroP)y TPO/UP-BA,LVOC-BA- e Min,1-inch RESISTA Note 2 1 per 2.67 fe -45.0 matt 24inch spans combination,loose laid 1168,LVOC-BA W 4 Min.15/32-inch plywood at (Optional)One or more layers,any = UltraPly TPO/UP-BA,LVOC-BA- max 241nch spans combination,loose laid Min.1-Inch RESISTA Note 2 1 per 1.6 ft 1168,LVOC-BA -45.0 W 5 Min.15/32 inch plywood at (Optional)One or more layers,any UltraPly TPO/UP-BA,LVOG BA- max 24-inch spans combination,loose laid Min,0,5-inch iSOGARD HD Note 2 1 per 2.67 it! 1168,LVOC-BA -45.4 Min.15/32-inch plywood at (Optional)One or more layers,any Min.0.5-inch SECUROCK G sum-Fiber UttraPly TPO/UP-BA,LVOC-BA- W-6. max 24-Inch spans combination,loose laid Roof Board Note 2 1 per 4 ft' 1168,LVOC-BA 45.0" W-7 Min.7/16-Inch APA rated (Optional)One or more layers,any UltraPty TPO/UP-BA,LVOC-BA- OSS at max.24inch o.c. combination,loose laid Min.tl.25-inch Dens Deck Prime Note 2 i per 2.67 fe 1168,LVOC-BA,WBBA-P 45.0 Min.23/324neh plywood at (Optional for Recover)Min.1.5-inch thick W. max 24inch spans one or more layers,any combination, Min.0,25-inch Dens Deck Prime Note 2 1 per 2.67 ftz UitraPiy TPO/UP-BA.LVOC-BA -45.0° loose laid Min.19/32-inch APA rated W 9 plywood or min,7/16-inch (Optional)One or more layers,any Min.0.254nch Dens Deck Prime or Note 2 1 per 2.13 fe UltraPly TPO/UP-BA,LVOC-BA• 45.0' APA rated OSB at max.24- combination,loose told SECUROCK Gypsum-Aber Roof Board 1168,LVOC-BA,WBBA-P Inch o.c. W-10. Min.15/32-inch APA rated (Optional)One or more layers,any Min.0.254nch SECUROCK Gypsum-Flber Note 2 1 per 1.6 fe URraPly TPO/UP-BA,LVOG BA- -45.0 plywood at max.24-inch o.c. combination,loose laid Roof Board 1168,LVOC-BA,W88A P Min.19/32-Inch Min.0.54nch SECUROCK Gypsum-Fiber iy plywood at (Optional)One or, Layers,any : U1traP TPO/UP-BA,LVOC-BA- _45 0 W-11. max 24-inch spans combination,loose laid Roof Board,Dens Deck or Dens Deck Note 2 1 per 1.6 ft 1168,WBBA-P Prime N 12 Min.15/32-inch APA rated (Optional)One or more layers,any Mtn.0.5-Inch SECUROCK Gypsum-Aber Note 2 1 per 2.13 ft' UltroPiy TPO/UP-BA,LVOC-BA- _52.5 plywood at max,24-Inch o.c. combination,loose laid Roof Board I I 1 1168,LVOC-BA Min.15/324nch plywood at (Optional)One or more layers,any Min.0.5-Inch SECUROCK Gypsum-Fiber UltroPly TPO/UP-BA,LVOC-BA- J•13. max 24-Inch spans combination,loose laid Roof Board Note 2 1 per 1.78 fe 1168,LVOC-BA -67.5 VRAPLYTP03tR S75TECJis 14 Mtn.7/16-inch APA rated (Optional)One or more layers,any : UltraPiyTPO XR i XR St1ck,12- O58 at max.241ncfi o.c combination;loose laid Min.0.25-inch Dens Deck Prime Note 2 1 per 2.67 ft inch o.c,or hot asphalt(full -45.00 coverage) trior Research and Design,UC.d/b/a Trinity i ERD Evaluation Report F8970.02.08-R13 for FL10264R13 tificate of Authorization##9503 a EDITION(2017)FBC PEON-HVH2 i:VALUATION Revision 13:09/30/2017 cared by; Robert Nieminen,PE-59166 Firestone UitroPiy TPO Single Ply Roof Systems,(317)S75-7017 Appendix 1,Page 4 of 69 iSN [I fi ER® t + ran ats-� w�o i riiw? iibns o;r RED F ��a •ac)ar�.a pvta Sj'S'f 6 IFi �:ill 43HAM +L�7cr l�tcNEbTS.t71fAAHtORt,�OA1b�b•ROOFCQIfiER System Deck Base insulation Layer Top Insulation Layer Roof Cover(Note 16) MOP{psf) No. (Note 1) Type Fasten Attach Min.19/32-inch APA rated UltraPly TPO XR/XR Stick,l2- W 15 plywood or min.7/16-inch (Optional)One or more layers,any Min.0.25-inch Dens Peek Prime or . APA rated OSB at max.24- combination,loose laid SECUROCK Gypsum-Fiber Roof Board Note 2 1 per 2.13 fit inch o.c.or hot asphalt(full 45.0 Inch o.c. coverage) Min.15/324nch APA rated {Optional)One or more layers,any Min.0,25-ineh SECUROCK Gypsum-fiber t UltraPlyTPO XR/XR Stick,12- W-16. plywood at max.24-inch o.c. combination,loose laid Root 8card Note 2 1 per 1.6 ft inch o.c.or hot asphalt(full -45.0 coverage) ULiRAPLvt9.0 SA-Symms W-17. Min•15/32-ineh plywood at (Optional)One or more layers,any Min.1-inch RESISTA Note 2 1 per 4 fit UltraPiyTPO SA,self-adhered -30.0' max 24-inch spans combination,loose laid W-18. Wn.15/32-inch plywood at (Optional)One or more layers,any Min.0.5-Inch SECUROCK Gypsum-Fiber Note 2 1 per 4 fit UitraPlyTPO SA,self-adhered -37.5' max 24-inth spans combination,loose laid Roof Board W-19 Min.19/324nch plywood at (Optional)One or more layers,any Min,24nch ISO 954 GL Note 2 1 pet 1.78 f? UltraPly TPO$A,self-adhered -45.0 max 24 inch spans combination,loose laid W-20. Min.i5/32-Inch plywood at (Optional)One or more layers,any : e max 24-Inch spans combination,loose laid Min.1-inch RESt57A Note 2 1 per 2 7 ft UltraPly TPO 5A,self-adhered 45.0 W 21 MIn.15/32-inch plywood at (Optional)One or more layers,any : max 24-lnch spans combination,loose laid Mtn.1-inch RESI57A Note 2 1 per 1,6 ft UltraPly TPO SA,self-adhered d5.0 W 22 Min.15/32-inch plywood at (Optional)One or more layers,any Min.0.5-inch ISOGARO ND Note 2 1 per 2.7 fe UltraPly TPO SA,self-adhered -45.0' max 24-Inch spans combination,loose laid W-23. Min.7/i6-inch APA rated (Optional)One or more layers,any Min.0.25-Inch Dens Deck Prime Note 2 1 per 2.67 fe UltraPly TPO SA,self-adhered -45.0' OSB at max,24-inch o.c. combination,loose laid Min.23/32-inch plywood at (Optional for Recover)Min.1,54neh thick, : VJ-24. max 24-inch spans one or more layers,any combination, Min.0.25-inch Dens Deck Prime Note 2 1 per 2.67 fe UkraPly TPO SA self-adhered 45.0� loose laid Min.19/324nch APA rated V-25 plywood or min.7/16-inch (Optional)One or more layers,any Min.0.25-inch Dens Deck Prime or Note 2 1 per 2.13 fit UltraPly T"elf-dher.d -45.01- plywoodAPA rated OSB at max 24- combination,loose laid SECUROCK Gypsum-Fiber Roof Board Inch o.cMin.15l32-inch APA rated_ (Opttonat)One or more Layers,any Mln.0.25-Snch SECUROCK Gypsum•Fiber x at max 24-inch o.c. combination,loose laid Roof Board Note 2 1 per 1.6 ft UltraPly T 27 Min.19/32-Inch plywood at (Optionai)One or more layers,any Min.0.5-inch Dens Deck Prime Note 2 1 per 1.6 ft2 UltraPly TPO SA,self-adhered -45.0 matt 24-Inch spans combination,loose laid 28 Min.15/32-Inch APA rated (Optional)One or more layers,any Min.0_54nch SECUROCK Gypsum-Fiber Note 2 1 per 2.13 fit UltraPly TPO SA,self-adhered 52.5 plywood at max.24-inch o.c, combination,loose laid Roof Board ,g Min.15/32-inch plywood at (Optional)One or more layers,any Min.0.54nch SECUROCK Gypsum-Fiber. Note 2 1 per 1.79 ftt UitraPiyTPO SA,self-adhered -67.5 max 24-inch spans combination,loose laid Roof Board trier Research and Design,LLC,d/b/a Trinity)ERD Evaluation Report F8970.02.08-R13 for F1.10264-R13 ificate of Authorization R9503 6TM EDiTiON(2017)FBC NON-HVHZ EVALUATION Revision 13:09/30/2017 ared by: Robert Nleminen,PE-59166 Firestone UltraPly TPO Single Ply Roof Systems,(317)575-7017 Appendix 1,Page 5 of 69 I t. EXISTING 1R"GDX PLYWOOD ROOF 9NEATN'NG W1TN B dA -A'EN.t 6"FN. 1 1 in'EXPANDED POLY.1NSULATiON BOARD. 0 ! 3. 60 MIL ENGNEERED G-3 ROOFN6 MEMpRANE 3 W.. A. EX"N6 ROOF STRUCTURE. i 9. EDGE FASTENNS RAI,OR 20"FLAT STEEL STRAP FASTENED +�•; r e fl"OL. WITU "!®X 1117, SA.6CFWJZ f d Q I <. ••K'=,75:�` �•y:'�`i IS. P.T.2X+t NAILER SECURED WRU 6A0 X 3'>•JEX 1�7EAD SCREU/a12"Or APPLY SEALANT TO ALL JONTS ,. J : a g• EXISTING BUILDNG MALL ( z ' g DRIP EDGE METAL FLAMING TO BE NSTALLED WITW WOOD METAL scRaulis b a•o- iJ i 10.EXISTING 2X BLOCKING. i it. Mt`1®RANE PERIMETER SWEET i • �(t 0",,0%RHAND ORTAll- JI 5�y r rIt I, O 41 e , O F C a !1 b 1 a- ° 13 x w " % w O O it i w tY V7 o a t TUCK" DKTAIL� CL UL,TIQAPY TPo FIRESTONE 61NOLM PLY BOOR SYSTEM ------- 2 N.T.B. TICsiNEf*RED G20OF MW,15mAN13 RASTENING DISTAILS A°.+ TEATED MY;I ASTMG 1l719 a UL» 8 152t )Fon FIRE RESISTANOM AND 6PL,IFT PER A I FM.4SM 14410 N.O.A. APPROVAL. 04-0910.02 FIRESTONE ULTRA i .. PL.Y TPO 4-1-M i.�-- DgfsrturatolHnh6*YItslStilllti{! (STATE ALE NUMBMW_ STATE OF FLOR16A MARRIAGE RECORD TYPE RN UPPER CASE lmt mwlAll USE BLACK INK AM7 H 1 off" CIENK 03S4 OR 1K 41$13 PB 1779 (APPLICATION NUMBER) APPLICATION TO MARRY t nooxaw�nENwF�wi _ s HATE OF.e1R 1 T+E7 HARTIN JOSEPH GRASSING­'ER _ 12-09-58 Ei TfY(2, IOCATgN I1N7Y 3e STATE •• +I®HTMPLAGE( Nbfae{re CuN7J �ST�-� PASCO FL 3354 PA- 53 MWEM NAME(79?i[Mffl*,L*V - _.•.. .w (nN.aEnO 6 DATE of ORTH(MMA ...N SHARON JOAN GUYNN FLANNERY 02-03-61 7A ZCI'IY,_TOJ(31,ORLOCATON T&CCU l..M._ 7c 6TAT 6 EiRR4PLACE(3MOrfVpgn LAi�p ZHP LLTT�Bi �SSTi PASCO FL NY ' THIS 'IT aanrx av- ,� �� • ••• ON Tee r he;rOnOUM:oAneerTO TFt t7tsorOUW N101M;ODEANO RalE7;71NT NO LFIHt OfUE:C1roNTOTHE UunaewE :�1.'• ,••+ e�Trieroawnoeawua+meroAfmaA,ceYncawao +m+;aA,roneArsrA.nTTanuameroe+Asnr. -M c!• ,p tsW ATwn. O+eeA* to fefasen�s sMtoAx fsf7nt ME {MTEI ij SE L• , JXliLjPf7TI6N CLERK CIRCUIT COURT DC to B namr av I Wfemmw TOSEWERLONjUATEI th 99 .TTLF :«'F1psM+.• 's8 SiOtfeiALUMOW i JED PITI.W CLERK CIRCUIT T DO LICENSE XNAKRY • AUMURQTIONANRUCEN39 iS MEKW A OWN Aw1UliC8CASSM1XiYMtiFtptNE84ATEffFF1pR7AlMilIOTO TFEtEERRM6E OFT RAMEWllmPER:ON&T#B UCEHSEAMW y. LET1DGiOlfliTE7tT/Eff7iCDVEQ4T!J,fOt>tiptEEFOTtET#f70tRA7gM l%4TEtFTiCTATEOFiiDA16EPI0RDB2TOSERECORMpAMDYAUO. )' +-• 7/.DOY/rt1'ISEIetNi vumu 76 DATE 9EIED 7ti iD E>wM1iON GATE 06-15-99 06-19-99 OS-18- S ?p• 1 an _ zd.TME JED PITTMAN RK DC CLE CIRCUIT COURT a"• "y r, CERTIFICATE OF MARRIAGE IMEREBftYRtiTTNATTIIEAGDVFtiMNEatS80pYANDtWCEYA{£JOD7frD�YY£IX WW1GOEpiAK.CfS0Et1L'ENiTNTNE tAW90fiNE8TATE0FEi-CROA. . 2f.WIE Gf lum^ .Yawl 1L CITY,70NN,ORI OF ,.....— h rh;1lS rlcAct,j/p��vr��,,mm 23L 8Ni3N of PERF LilU M.,,ApONEBB{0f1.�.K.� —— SEAL ► G e�i n0. u of D O - jo rT IdY=w�,ccstZ Il�t�..• emra��A�iu�r:.. nq.erur�q i i 6/5/2019 PASCOCLERK.COM-OR-Results=lnstr-Detall v • Official Records - Instrument. Detail View Document (. Instrument Detail for 2004238210 Instrument Y 200423821.0 2004-12-23 Time �- 9:39AM _Book_ 6162 Documentcim�� #Pages -- -- --- - _� Recording Fee $0.00 MiSceftaneaus - Legal LS BL38 CTY ZH • Idjxedj1 ;iName T eYPONIN J Grantee. Exc6lldnce...Always Pasco County Clerk&Comptroller fl 2016 1 www.pascocierk.com/public-sup-svcs-resu#s-or-instr-detail.asp?mdgs=l&tbgs=2004238210 i Department of Health•Vital Statistics STATE OF FLORIDA (STATE FILE NUMBER), MARRIAGE RECORD n IN UPPER CASE I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII USE BLACK INK This Qcgngence nOlvtlld Onten wl of deer, dIO1R°'C°u>fly coal,qp0m the`= J2008042323 p 3� 0% Mp � pp m0 fOUNTY CLERK 24c ia:i of OR 8K 7790 PG 1885 (APPLICATION NUMBER) APPLICATION TO MARRY R- l'ORwws?4*%m(FYa,A6,LSe,Wq Z.DATE OF BIRTH Q.m&D.y.Ynq DAVID PAUL BARNES 01/19/1971 I..RESIWNCE-(31T,To,m.L bo 34 LTAINTY k.NTATE {.BIRTHPIACE(5lre w Fottign Carta 583512TH PASCO FLORIDA 33542 CALIFORNIA ZEPHYRHILLS 5�6RIDE'S NAADi(F'n.1.AWD..Wq' S7FLANNMY- 6,DATEOFBOttH5=h D",Y—) SHARON JOAN FLANNERY 02/03/1961 7..RE5IDENCE-CIry,T-%-,—6- AL1.7OM Y 7u.STATE B.BIRTHRA[8(St.h.F-1p Country) 583612TH PASCO FLORIDA NEW YORK WE7HEAFFUCA EDI TMISCERDF)C TE,EA FOR 1 ORHCRSEL►,STATCT TTNGINFORMATION►AOYIDEO ••�•� ♦ ON TiDA RECORD IS CORRECT TO THE BESTOF OUR KNOVA. ME AND BELIEF,THAT NO LEOAL 08JECTDN TO THE YARRIAOE � NOR THE ISSUANCE ULT:IieE TO AUTHORIZE THE SAME IS KNOWN TO lL9 AND HERESY APPLY FOR UCFAnIETO MARRY. �?07SVd 3 1S OFOR(1nM omcL-14 ) A Im NUMCKIRED AM MURN TO BEFORE WON(DATE) February 25, 2008 d _ _ D PITTMAN Clerk of Circuit Court 11�67GNA (7/LI(1 �1.�1 t) + O ►• a ,A` ,tl ; NATURE RI (Si6n full mpg 'I Il5Ue5C e O // February 25, 2008 ', •'�. �1J!#-0. ,'• &XIfn OFFI 16.SICNAT OFOY L eck inq �... �� JED PITTMA Clerk of Circuit By: DC ," • 7 x ' '1 LICENSE TO MARR AUTHORIZATION AND UCEN6E IS/IEREBY GIVEN TO ANY PERSON DULY AUTHORIZED BY THE LAYYS OF THE STATE OF FLORIDA TO RFORN /A. • �'1 1, - AISARRIAOE CEREMONY WITHINTHE STATE OF FLORIDA ANO TO SOLOMNIZE THE MARRIAGE OF THE ABOVE MANED PERSONS.THISUCENSEYUST Y ' ' BE USED ON OR AFTER THE EFFECTIVE DATE AND ON OR BEFORE THE EXPIRA710N DATE IN THE STATE OF FLORIDA IN ORDER TO BE RECORDED AND VALID. ,�.. `,••..•,->;, ' I,LUUNTYINSUMOUCENSE IS.DATEUC(NSEIMUED 14)ATEUCEMSEEFFECTIYE If.EXPIRAT1(M DATE °1 PASCO 2/25/2008 02/2912008 04/28/2008 IO;MONA aERz E gnb"TREE 2%,BYD.0 /r JED PITTMAN o r ►By: RM I,-'yrt d f^.�. F Clerk of MARRIAGE Court \ 1) " •'•�•.• \J �� t INBIEer CFAfiFTH TINE ASSYE RAVED CE�IOEWERA�BYR SI YUARRRIIAGGEEDA W AN ELMTR THE IA190FTRE STATE OF FLORIDA. yiB ILA Null 11.DATE OF GE @SaoN,Dry,Yew 1t CFTY,TOWN,OR LOCATIONOF LfARR1AU D.. OF qONYIUST;BLACK DIX) ZTc. '10TprnmpaF �oaoam7) , r r A --SEAL TRIE PERaoNIERFnnC3RU10[[Y SI TI x ,.2 , (•�. "L 33S 1: "LSD 3'f 1 .SKMAT CITO CEREASUNY Lu A ra x - . ^ . . NOTICE opDEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" wnmn 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` —e an---'—tion- ---he---'----` --------'^~~^~`~~,—^~~gp'`^`e~^''a"~~ 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners 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'ownero prior to commencement. CONTRACTOR'S/OWN ERIS 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,Weiland Areas and Environmentally Sensitive Lands,WaterMastewater Treatment. ' Southwest Florida Yvate, Management District-Wells, Cypress Boyhuoun. YYoVomj 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-*,r unless expressly permitted. .. the .,. material is o be used .. ,== Zone ". it is =ve.omnv that a ummoaw plan onn"000mp o .compensating volume"will be submitted at time of permitting which is prepared by professional engineer licensed uy the State mFlorida. - If the fill material is to be used in Flood Zone"A" in omnnaohvn with a permitted building using stem wall construction,|certify will be used only m fill the area within the stem wall. - If fill material is to be used in any area, | certify that use of such ,0 will not adversely anwm 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,after,or set aside any provisions of the technical codes,nor shall issuance of a permit xuno�iuno(onn�inn|una monvonu� violations uvdao' Every �event the ��=~a��oa/u~cial - -' requiringreafter /—iu 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 TOOWNER: YOUR FAILURE To RECORD A NOTICE or COMMENCEMENT MAY RESULT|mYOUR 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. OWNER OR AGENT C Subscribed and swom to(or affirmed)before me this _affirmed).befo-re-rVto,this— Who Is/are personally known to"°",h.aslhave produced W Notary Public kll�ziv_ Notary Public Commission No. CITY OF / / / BUILDING ZEPHYRHILLSNOTICE DEPARTMENT OF ADDITION OR CORRECTION ...REMOVE ® o NOT. t: ADDRESS FA DATE PERMIT ILA, - '` ThiJo,Il.o"win F adu�'itions.or.corredioiifik6 l Fie;rr,�^de before the job THIS JOB,HAS NOT BEEN COMPLETED: 3 9' - -_- v+iill%be'beceFfed:` It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth 78�-��2� FAR RE-INSPECTION or other material,until the proper inspector has had ample time to approve • thb installation. OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR 1, n?,�, ,� , �i�r�r r� .r, '11.�;, ,,��i�,.q. �' ��� �ii� 'i� ,�� �ii�' -t.� �1. l�rirrlf! � ���r1��117 l 11 �. �� � /Jd, �.�� 'ir ! i, ''r,, fly � i�� ' ��� r � �� �. �' �� � � 1 �f �1 i� � �' �l�� � �"' �.. '�1�; I c !i� '��1rr� � ���i,, ���/I �� i���� � � � ll�� ,��it�� '' ' i�� �� "+t} �r� !',, I�rt� � - � �r,. ', � ,� �`'�r� ��)�i., l� � �1'Iil tY.` J7�,t :!!� �� I��� i t L�I�i � i {r l rrl�1 � ) �A1tll� ���f'i� '� I r�'1 'I f 1� �� ��� ill(����' / �, ��)� '� �'��1,� � ��l�l r'� ilk �r�''I�Lr , � t.�r�t�l� � � ��i�I��FI �la�l,�� rr,� life i ! iil� /, i l� 7 Il���' �!!. f r � .���l i i J��� � r/�i� � �1 Ufa/� 'i ���f�i Ir��� l; j � �i� li 1, 1 � I � �1{ 1 � ,,, �,,, �L.,t �I I�R � ''r�r� � ,lj fvr ���1�i�t fr , � ����J�t � r, i,r� �� "/� � '�, � �'�llti, r��l rr� ��1�„ -� �`�'11 � �� � ���- � ��•r� �r, ���r,� ��, � � �rllli �r,1 ��r� ~ ^ City of Zephyrhills;. ROOFING INSPECTION AFFIDAVIT Permit No.: f Rodc Icensed under Chapter 4OB Florida Statutes aom(n) Co uUding |napecbo[___ License No. -|�� C)nor about. |d personally inspect the: Check: Roof Deck Nailing ryi aahingandDdpadQ Check which was used:3O#fd\___pme|and SUnkXOther(List At the f�| address._.. Based upon that examination, | have determined the installation was done according to the Hurricane Mitigation RetnzfitManual(Based on Section 553.B44. Florida 8tatubam). ' Signature: STATE OF FLORIDA COUNTY OF PASCO S rn and subscribed rbe re this day 040 / 19 ur MY COMM biiiies Nov,ill,2023 No.GO 932786 Notary Public State"' Florida ' \ /