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HomeMy WebLinkAbout21-1310 ■ City of Zephyrhills PERMIT NUMBER a 5335 Eighth Street Zephyrhills, FL 33542 BGR-001310-2021 Phone: (813)780-0020 Y J Fax: (813)780-0021 Issue Date: 01/15/2021 I i Permit Type: Building General (Residential) Proplerty Number Street Address 12 26 21 002A 01300 0040 1 5625 23Rd Street Owner Information Permit Information Contractor Information Name: MARGIE TRUDEAU Permit Type:Building General(Residential) Contractor: DYNAMIC NATIONAL Class of Work:Reroof Address: 5625 23Rd St Total Valuation:$8,430.00 ZEPHYRHILLS,FL 33542 Total Fees:$123.23 Phone: (941)315-1504 Amount Paid:$123.23 f 1 Date Paid:1/15/2021 2:31:57PM Project Description REROOF MODIFIED Application Fees Building Plan Review Fee $41.08 Building Permit Fee $82.15 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit 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 add fee 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. ZI TRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES-IN 6 MONTHS WITHOUT APPROVED INSPECTION " CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER rib PRODUCTS Revision Date:Apr 2020 PRODUCT DESCRIPTION SA-SBS Cap Sheet is a premium self-adhering polyester reinforced modified bitumen membrane manufactured to meet the toughest industry and code requirements. SA-SBS Cap Sheet is manufactured using Adeso®dual-compound technology,whereby the membrane consists of a Styrene Butadiene Styrene(SBS)modified asphalt compound on top and a pressure sensitive adhesive compound on the bottom.The adhesive is covered with a split release liner. SA-SBS Cap Sheet is finished with granules on the top surface and features SEALLap®ULTRA side lap with self-adhesive compound for an instant bond,tested stronger than all other application methods and FASTLapo, granule free end lap. Each of these patented features provide for greater ease of application as well as improved long-term performance.SA SBS Cap Sheet is also used as a flashing membrane in all applicable specifications. Meets ASTM D6164 Type 1,Grade G (granular)I ASTM D1970. BASIC USES SA-SBS Cap Sheet membrane is designed for applications where the use of hot asphalt, cold process adhesive, or a propane torch is undesirable.Applications include new roofing, recover(retrofit)and BUR repairs. This system must be installed over an acceptable base sheet, roof insulation, or other suitable substrate.See the Mule-Hide Self-Adhered Modified Bitumen Application Guidelines for complete specifications and details. SPECIFICATIONS AND PACKAGING T es e j I tx� P to 3.5 mm(140)mils 84 lb./roll 32'107x39 3/8°(10mx1 m) 20 100 ftz P I P o e west 1t4 e�h :� - _.•:,a; ;;;,::, F=,..,::•a.•, ,; -r , .,r;:y 138 lbf1iin 24.2 kN/m MD ASTM D5147 701bf�n. 12.3 kWm t )- ( ) 88 Ibfrin 15A kN/m XMD :Elori`a�iocn�.ata?eakLosi,atRO`F R,1,8°C, x."-: > ASTM D5147 20% 52%MD,64%XMD B;S:a,;:_-:..z,;.,r'::.,a: ..r;, - >s. .r , ,;;• 80lbf/in(14.0kN/m)-MD `, :-z ASTM D5147 50 lbf/in. 8.8 kN/m ( ) 56 Ibffin 9.8 kN/m -XMD °EI`ori`ation``atPeak L"o`ad:_at:;7$°FY 23°C.:: : ASTM D5147 35% 52%MD,64%XMD UltimafeElon ation'at73° ,23°• ;,;;!.:,; . _:` ASTM D5147 38% 84%MD,93%XMD 129lbf 574N MD Tear SCrengtt9 at:T3"F;(23"C) :t>:',i^s:,°1- ASTM D5147 551bf(246)N s, 83 Ibf 369 N XMD Dmerisgnal,Statiiliiy,(tNaxiiuin);.; ^a,,,;: ASTM D1547 1% 0.3%MD,0.6%XMD Lovi-Tkmperature 0)4bility max,Ft G'):::- ASTM D5147 0°F(-18°C Pass ".Compound Stabili (maxir`rum) ASTM D5147 215°F(102°C) Pass Granule Erntiedment4 maximum loss`;;.;'::°-_' i'' ASTM D5147 2 1.5 >Adh'esion,to=PlywoodU .40'F<4:4'C)';;r::;_,; ASTM D1970 2.0 Ibf/ff 4.71bf/ft Adtiesion_torP ` ``od- ;7,5°:,F; ASTM D1970 12.0 Ibf/ft 31.0 Ibf/ft `":4": ';'`•- Black,Buff,Chestnut,Grey Slate,Oak,White,Red Blend,Pine Green,Heather C'Iors�'Avaitable:.x: Blend,Weatherwrood Typical properties and characteristics are based on samples tested and are not guaranteed for all samples of this prcduct. This data and information is intended as a guide and does not reflect the specification or specification range for any particular property of this product. ALL WORK SHALL QQMPLY WITH PREVAILING PRODUCT BENEFITS CODES FLORIDA BUILDING CODE, NATIONAL ELECTRIC CODP, 1. Pre-applied adhesive on the back of the sheet. AND THE CITY OF ZEPHYR HILLS 2.-_Durable-high performance reinforcement mat. ORDINANCES - 3. No hot asphalt, fumes or flar.ies required for installatlnn" JArV r`; `v.n ii ni In v ir'S..,c�i0 i.� 1?t- 'sub- rI'd:•^s sw re r:l`� REVIEW ®/'1TE Mulsrt lid--Prcduc•_s Co.,Inc. Page 1 of 3 CITY OF ZEPH� PLAN EXAMINER 1 "} MULt-HID �, PRODUCTS i i Revision Date:Apr 2020 PRODUCT DESCRIPTION SA Base Sheet is a premium self-adhered,fiberglass reinforced, modified bitumen membrane manufactured to meet the toughest industry and code requirements. SA Base Sheet is manufactured using Adeso®dual-compound technology,where the membrane consists of Styrene Butadiene Styrene(SBS)modified asphalt compound on top and a pressure sensitive adhesive compound on the bottom.The adhesive is r covered with a split release liner. SA Base Sheet is finished with a polyolefin film with printed lay lines on the top surface. Meets ASTM D6163 Type 1, Grade S(smooth)J ASTM D1970. BASIC USES SA Base.Sheet membranes are designed for applications where the use of hot asphalt, cold process adhesive,or a propane torch is undesirable.Applications include new roofing, recover(retrofit)and BUR repairs. SA Base Sheet can be used as a waterproofing base sheet applied to approved roof decks or substrates. See the Mule- Hide Self-Adhered Modified Bitumen Application Guidelines for complete specifications and details. SPECIFICATIONS AND PACKAGING kne s Ap�pr� 1M1LIih 3 ze R e era e 2.0 mm(80)mils 95 lb./roll 65'8'X39 3/8"(20=1 m) 25 200 ftz •Elongatiiin>at;PeakLgadat;0°F(-18°C)` : ,` ;` r" - ". "' fi` ASTM D5147 1% PeakLoad at`r73°F+_(23°C) F '` ASTM D5147 30 1bfln.(5.3)kWm +Elongation at?Peak,Lgad at 78°:F'{23°C)'y_- = ASTM D5147 2°.b Y. '' f' ASTM D5147 f 35 Ib (156)N aLow`Tempe�ature+Flezibility;maz; ASTM D5147 0°F(-18°C) Adtiesiori to Plyvuootl 40'F.(44°'C)::`°; ;i„ `L `" ASTM D1970 2.0 lbf/ft ASTM D1970 12.0 Ibf/ft ASTM D1970 Pass VHate_rproofintegrity:aHeraoW,temp`flezibility" _'::`., ,'.; ASTM D1970 Pass Waterproof:in{egrity;of-laPse'amt_:; ASTM D1970 Pass Typical properties and characteristics are based on samples tested and are not guaranteed for all samples of this product. This data and information is intended as a guide and does not reflect the specification or specification range for any particular propertyof this product. PRODUCT BENEFITS ALL WORK SMALL COMPLY WITH PRF_vAI INQ 1. Pre-applied adhesive on the back of the sheet. CODES FLORIDA BUILDING CODE, 2. Durable-high performance reinforcement mat. NATIONAL ELECTRIC CODE, 3. No hot asphalt,fumes or flames required for installation. AND THE CITY OF ZEPHYRHILLS 4. Excellent long term adhesion to multiple substrates and to basppgLNANCES JAN 4 2021 5. Offers low-temp flexibility, puncture and tear resistance. ��Y��� CODE APPROVALS CIV ® pLP'N EXp,Nili� Various code approvals are available including: Factory Mutual, Underwriters Laboratories, Miami-Dade, Florida Product Approval, [CC-ESR and Texas Department of Insurance. Contact Mule-Hide Technical Department for Mule-Hide Products Co.,Inc. Page 1 of 3 PDS 09-1405 '18164lDYNAM110 000 ®IFS{ T i0 hd ra L 10597 Oak St NE St. Petersburg, FL 33716 CCC1330028 December 9, 2020 To: City of Zephyrhills Building Dept. RE: Letter of Authorization To Whom It May Concern, I, Seth Bedell, license holder for Dynamic National, hereby authorize the City of Zephyrhills Building Dept.to issue permits to the following,who is acting as an agent to submit applications,secure &pay for permits for me and/or the company I qualify in the roofing trade. Name—Stephanie Locko Phone—727-900-2617 Name—Allen Ebanks Phone—727-505-5012 Name—Dallas Ebanks Phone—727-505-5102 Name—Jay Mott Phone—727-459-4600 Name—Jared Rich Phone—813-453-9432 If you should have any questions with this agent authorization letter granting approval to the following people listed above, please feel free to contact me at 727-272-2599. Z R gard , State of County Set Bedell On this day o before n President—Florida to 'known e.perso ex cuted the for:; i trument,an ac no led ed that he Dynamic National executed th same I e a deed. SEAL(signed) - License#CCC1330028 Seth.Bedell@dvnamicnationaI.com Ph#727-272-2599 ........ S7EPHARt1E A LOCKO . MY COMMISSION A GG109088, ��+ EXPIRES May,30,•2021. rI, City of Zephyrhills Permit Application 813-780-0020 U Fax-813-780-0021 Jif,I Building Department Date Received 2� _ ' Phone Contact for Permitting ) goo L n— 1 a Q79®Qlt Una - Y9..3 Owner's Name Owner Phone Number Owner's Address OFILA5wner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address /� JOB ADDRESS L3 IRV. �J LOT# SUBDIVISION PARCEL ID# � 2 LN-`.1 OZ 01300 — O LU (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR L PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK M j BUILDING SIZE SQ FOOTAGE HEIGHT ai�LR0. BUILDI,= ` $ / VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL\J $ o "g AMP SERVICE PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ _19-11 ( �� � F =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONi. U J' l.(/1 =GAS ROOFING SPECIALTY = OTHER ���Q � S FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO I ✓/A`/ BUILDER COMPANY �/ SIGNATURE REGISTERED �Jy�Y'N/� FEE CURRENNOUMF Y/N AddressVia • • 73-(1 License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address I I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN I Y/N Address License# MECHANICAL COMPANY SIGNATURE F REGISTERED Y/N FEE CURREN LILN Address License# OTHER COMPANY = SIGNATURE REGISTERED Y/N FEE CURREN Address License# 91719a98;Q77�799179.9999339a19933391193d991997979999 �i99991999339d9�1791 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 Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all 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 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 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'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 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 W"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 TOO TAIN FINANCING,CONSULT MME CEMENT, FLORIDA JURAT(F.S.11 .03) OWNER OR AGENT CONTRACTOR s ri wo d be his b i} aorn to ed e r h' Who is/are pe nall me or has/have produced Who is/are pe nally known t e or hasihave produced as identification, as identification. Notary Public Notary Public Al J J/ isssiionn Noo.M p ® C io No. O R [ 11�1tA71�T_ • LJ<J�LW Ito tYam*o Notary typed,pr�ea or stamped Name o otary typed-,printed or stamped AP MY COMMISSION#GG109088 �©� of EXPIRES May 30.2021 ;;?"✓o S�'E�"6�AF9I� A6C0 MY CC)MMISSION 0 GG109088 EXPIRES May 30.2021 INSTR#20202084G9 OR BK 10232 PG 2808 Page 1 a 1 12/08/2020 03:10 PM Rcpt:2235516 Rec:10.00 DS:0.00 IT:0.00 Comptroller ge o2- Peniti;Nn._ :w. .•.� r .0►'30D- 040 Wercef IO No;" �0.' 0 0 E OF GO)VIM&CEMENTr' State o} D/�Cr��1 ' i•--�/L- •..Coul�ty oh:, - nz 7S�VUP THE'UND4BSIONED hereby gives nonce.that Improvemeht will bb.mode.'to cerlefn"real.pFoPerty,and In accordance with Chapter 713,Florida Statutes, the toftowing inforinallon Is provided in this Notice ofComme men f- _1 t- .^.'.; :• ff 11 1. Description of Property: Parcel ldenliricaliori N �= '� 'v: �' O V0-040 Street Address: L9ZS ''(.i 'r�Yp 2, General Description of Improvement 3, Owner■/Inform lion or Lessee'Information if the Lessee contracted for the improvembnl -TuILE Address R�A'O Cily- State Interest in Property: Name of Fee Simple Titleholder. (If different from.Owner listed above)' Address �UU. Pity'• State 4. Contractor: 'V 1 -. Address lMr� ,:,City:;.: State Contractors Telephone No.: 5. Surety: Name Address ally", State ) Amount of Bond.$ Telephone No:: 8. Lender: Name Address mcity State Lenders Telephone No 7. Persons within the State of Florida designated by the jowner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City: State Telephone Number of Designated Person: " S. In addition to himself,the owner designates of—, to receive a copy of the Lienore Nollce es provided In Section 713,13(1)(b),Florida Statutes, Telephone Number of Person or Entity Designated by Owner. 9. Expiration date of Notice of Commencement(the expiration date may not bs'before the canpletlon of construction and rmal.payment to the. contractor,but will be one year from the date of recording'unless a different 0ateis'speciflocIp WARNING TO OWNER: ANY PAYMENTS MADE BYTHE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER 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,1 declare that I have read the foregoing notice o(oommencement and that the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA '— COUNTY OF PASCO. SignnatutO of Owndrtr Lessee,a Osmeea or Lessee's Authorized OfticerllDired or_/Padre aneger Sign/attonre Title/Office ,/► n1 D/� The foregoing Instrument was acknowledged before me'thi ::day of tV(,C .20? y o.4 1 V"� `u�'� ! as (lyp of suthwl ,e, , 0eer, rusles,attorney in fact)for (n a of arty to of t ant was e / Personally Known[3 OR Produced identification Notary Signature Type,of Identification Produced _ _; 06 Name('Print) lip . STEPHANIE A LOCKO t MY COMMISSION#Gs(i101a088 a` Al. EXPIRES May 30,2021 _ wedatafbcs/neticecommencemenl pc0530411 • i state 9f Florida,;county Of PaBoo This is to certify that the foregoing is a • true and correct copy of the document on file or of public record in this office. ► . Witness my hand and official seal this � I qo�' '.'�T"` day of , 2� t Nikki Alvarez4Q' lI� Esq.,Clerk&Comptroller Pasc o I>�'ida BY Deputy Clerk 1/29/2021 Zephyrhills,FL Roof Affidavit Roofing Inspection Affidavit, City'of Zephyrhills Phone: 813-780-0020 5335 8th Street,Zephyrhills, FL,30Z)-+4 Permit Number BGR-001310-2021 Name Seth Bedell —1 am licensed under Chapter 468,Florida Statutes as a(n): Architect Building Inspector (gD Contractor 0 Engineer License Number CCC1330028 Personal Inspection Date —1 personally inspected the: 1/28/2021 FVYJ Dry in 01) Flashing and Drip 0 Roof Deck Nailing Edge —Check which was used: 30 Pound Felt C,) Peel and Stick Other If other,please explain: 2 ply mod bit Address of Roof Inspection 5625 23rd St.Zephyrhills, FL 33542 A Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based on Section 553 844, Florida Statutes). hftps://www.ei.zephyrhills.fl.us/FormCenter/Print?form]D=75&Preview=YES&Save=Faise&savedProgresslD= 112 `1/29/20241 Zephyrhills, FL Signature Seth Bedell y State of Florida County of Pasco Sworn to&Subscribed Before This Notary Public State of Florida Day Stephanie A. Locko 1/28/2021 https://www.ci.zephyrhilIs.fl.us/FormCenter/Print?formID=75&Preview=YES&Save=False&savedProgresslD= 2/2