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Home My WebLink About08-5512 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5512 Number:,5~12 ~ , Permit Type: COMMERC)AL .., Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: 355,264.00 Date Issued: 5/31/2006 Total Fees: 16,569.05 Amount Paid: 16,569.05 Date Paid: 5/30/2006 Work Desc: PHYSICIAN'S OFFICE - SUITE 101 Address: 7323 GREENSLOPE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 34-25-21-0000-00300-0081 Name: Address: R A DAVID HARVEY ELECTRIC CO INC OLIVER PLUMBING LLC SPI MECHANICAL DIN PLUMBING FEE SEWER CONNECTION COMMERC WATER METER RES 3/4" TRAFFIC IMPACT FEE 1% 169.50 MECHANICAL FEE 4,361.98 WATER CONNECTION COMMERC 180.00 TRAFFIC IMPACT FEES COMM 345.30 35.00 1,125.41 8,287.21 IM~ 31\-{)~ YJP F C B DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." NO OCCUPANCY BEFORE C.O. ~~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Page 1 of 1 Bill Burgess - L~ '\r-.\~~ -0' t11J~~,-D~@. ,1:yJ (-Z--t05~ -{Vl- \ z,~\-e '~i>\- ~L-~ t..f @ [i', ~ From: ' Shan~ LeBlanc w18u"- 002-2- Sent: Friday, November 16,2007 2:47 PM To:: Bill Burgess Cc: Rick Moore Subject: 7323 Greenslope Dr. Attachments: 7323 Greenslopeside south-side111607 001.jpg; 7323 Greenslopeside north-side 111607 002.jpg Bill: When you get a chance can you contact the contractor working at 7323 Greenslope Dr. and let them know that the sidewalk repairs / replacement at this location are non-compliant? The south-side of the drive has: . Excessive ramp slope . Excessive cross slope . Truncated dome mat is a trip hazard and does not cover the entire width of the sidewalk. . No expansion material used. North-side: . Excessive cross slope . Truncated dome mat is a trip hazard and does not cover the entire width of the sidewalk. . No expansion material used. Should you have any questions, please let me know. Thanks, Shane Shane J. LeBlanc City of Zephyrhills Public Works 5335 8th Street Zephyrhills, FL 33542 T: 813.780.0022 F: 813.780~0025 I I. 11/19/2007 I I I ,. ' :Page 1 ofl Bill:Burgess From: . 'Sha;e LeBlanc~ 8u ... o02-:Z..- Sent: Friday, November 16,,20072:47 PM 'To: .BiII.Burgess Cc:' Rick'Moore Subject: 7323 Greenslope Dr. Attachments: 7323 Gree'nslopesidesouth-sidet11607 Q01.jpg; 7323 Greenslopesidenorth..;side '111607 002.jpg Bill: . ' Whenyou get a chance can you contact the contractor working at7323 Greenslope Dr. and let them know thatthe sidewalk repairs / replacement at this location are non':'compliant? The south-side Dithe drive has: '. Excessive ramp slope .. . Excessive cross slope '. Truncated dome mat is a trip hazard and does not cover the entire width of the sidewalk. '. No expansion material used. North-side: . Excessive cross slope' ;. Truncated dome mat is a trip hazard and,does not cover the entire width of the sidewalk. . No expansion material used. ,Should you have any questions, please let me know. Thanks, Shane Scv-,*,.eClt.:~i- ~'"'..>\ CS n 1-A\:9....VY'~vY"~ ~c- 104-1:5 C 0\ CJY'\.. '1. VCJ->-\.::' b"" . , .1 r"'. '33:r.A '-::' . }...o...\..u.xo./'('\o r--t- I I I C;S<o~ _ 4-ool - lPY: 2."2- I Shane J. LeBltlnc City of ZephiJrhilZs Public Works 5335 8th Street Zephyrhills, FL 33542 T: 813.780;0022 F: 813.780;0025 ..-- r;!f tb OJ t<5,~,,, ?c~~ ~lD3/ {pyL.\ (p5D / 11/19/2007 - Dr. G.M. Ramappa 7323 Greenslope Dr. Suite 101 SQ. FEET PRICE MAIN OR LIVING: 5,824 $ 61.00 OTHER AREA UNDER ROOF: $ 50.00 OTHER: - $ 0.85 VALUATION $ 355,264.00 FEE SHEET $ 1,248.00 ADDRESS $ 30.00 DRIVEWAY $ - BUILDING: $ 1,902.00 CREDIT: $ - BUILDING LESS CREDIT: $ 1,902.00 ELECTRICAL: $ 162.65 PLUMBING: $ 169.50 MECHANICAL: $ 35.00 SUB-TOTAL $ 2,269.15 RADON: $ - TOTAL $ 2,269.15 SEWER: $ 4,361.98 WATER: $ 1,125.41 IRRIGATION: $ - TOTAL: $ 5,487.39 WATER METER:I $ IRRIGATION METER $ 180~00 I FIRE DEPARTMENT FEES PLANS TOATL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ - Paid on shell permit PUBLIC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ - Paid on shell permit SUB-TOTAL $ 7,936.54 I I Plus 25% TIF l ~~~~~9.~5__~ i .'i PARK IMPACT FEESI $ , I I.,., ( SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - TI F'S: $ 34,530.06 99% $ 34,184.76 1% $ 345.30 25% Required at Time of Permitting Remaining TIF due at CO PERMIT TOTAL: $ 42,466.60 I Due at CO (j (,' ",' " {? !(IJ...~'). :,),,1 $ 1 / ~ i It; 8,632.5 ~ 'y\ S' , '3 D $25,897.55 $25,897.55 Z~r~~l\.'L) MW. At:l) ;2J.-}h . (;1l.G:~ S~fh...- j)ll, .square Feet 5H)i'-~ u.Jl,i 2..' I ~ OD Dollar Amount 'f.- t:33 ~I ~ y)'0 i\,}) ~~T: P A'LtJ N '" Valuation ' O<~) "SlI' '.1,7> ---1, ) . Building <~. h? Electrical '7 Plumbing l!11 ,50 ' 70 Mechanical .570" ~~ ~Do~ 101.51 Connection Fees ~ ? 7{77~l- J~ vs~d ~ -- Sewer Water er- -:::::- qao.. ..3-.... School Impact Fee ~}{T I C I' 2~ 5'( fT5. '~L >< :5~/i 3, , ~portation Impact Fee - Jj 34-15?:i~)1 0~ j;Y~ Park Impact Fee ,N )1) 't~tt~ .~ 1) - I I\:(~ ') X /75:40.,.:;:: I. r~1'(7)' J D, '"6S-~. P bl" S f I ..' U IC a ety Impact Fee' :=:::-? 6b 2- .l}I ^ I.~) ---: )):Ut'k lu, '32 i.. ~ i b1/,i' -=- J 1'71o'?~ ,bb ' I City of Zephyrhllls Water and Sewer Impact Fe. Calculation Land Use Type: Doctor or Dentist Office No. of Practitioners No. of Employees per 8hr Shift Impact Fees Within City Limits $ 1,125.41 $ 2,796.07 $ 1,565.91 $ 5,487.40 Water Distribution System Wastewater Collection System Wastewater Treatment Plant Capacity TOTAL Outside City Limits $ 1,407.44 $ 3,494.42 $ 1,955.37 $ 6,857.23 / CI'1'Y OF ZEPBYRBILLS PERMJ:T APPLICATION BU:ILDXNG DZP~ 5335 8m st, Zephyrhil.l.a, FL 33542 ~ 813-780-0020 FAX: 813-790-0021 _~~LI. DATE RECEj;Y3D-- 'y ~ --.... P."'" """""" >'OR P~ $i3-BIf3-qc.~~{I, O"'~R' , !]'g'd.3 p!-. ~: M. R NYi It p,aA '.ONE g-;:: fS/ Gl- ~6'~ ~L JOB ADDRESS ::,,~r_',..{' J"'1p'~ ~,D/~~,~ ~_ IDI _~~3,\lY+,lQ5 LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION ... PARCEL ID # :5' y "< S Z J t1!i::7 06 00 ;;'00 ()ot; I IORTA TN WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION OALTERATION OSIGN 0 MOVE 0 DEMOLISH FROM PROPF.RTY TAX NOTICE) o REPAIR o INSTALL PROPOSED USE:~L FAMILY DWELLING ~OMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK .... <;;""/1"W/ e/cj> tr ~jC'mt)/L ft, ,)/l..-t BUILDING SIZE /ttj ~15'5 SQUARE FOOTAGE /c;f).::Y:? HEIGHT,n,.~ ?8' Ji BUILDING )l! ELECTRICAL Jtr PLUMBING RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIhL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINE~~LJ.--P:Q>;NS-^'REQi:itRED;, \. /J ..11 I)' ~ PROPERTY SURVEY REQU~~j;;D':rO~~L N~f}Y,..ST ,R~::O,N.....) /. /~~.J:!t2~- /'1 1";) /-Y CY 'i vyv I f '-' ./ ,----- ' , . /' PERMJ:~S 's-~-- ~:LFD I :'3..2-t '( ~,'" , $ gf5'~ ''C)D RU~----'---"'LJ._~-_... V' 5 S}4.k..s - k>.ces- ~~Jo~ /66tf AMP SERVICE 0 Progress Energy 0 W.R.E.C. ~ .sf MECHANICAL $ G'~~o VALUATION OF MECHANCIAL INSTALLATION o GAS .t:S'ROOFING 0 SPECIALTY o OTHER TYPE OF CONSTRUCTION: 1;3. BLOCK o FRAME o STEEL o OTHER SIGN "'ROJECT ':nooo "NE~YE~M~NODt'Q~~ . ::::;/ .,., '" ," ,::D\G STATE CERT OR REGI~~~.yeL""~ ****************************************************************** =~~y~.~..............:::~:~~;~~?~i~~ t~~ MECHANICAL f P 0 COMPANY <' _~ M 7i!:C.HIt-N ~ L SIGNATURE '1>, r ~ ,{, STATE CERT OR REGIST # C Me!. 12lf 9 g b ~ ***************************************************************** O'l'BER f/Rc.Di' Vl j SIGNATURE~~LC- COMPANY I " 'Hl"lh)p Pro Se~ v I CE's.. ,I 1'\ L c.Q.~ I ~d Sf< ~ Lf STATE CERT OR REGIST # 5'51~ SOUTHEAST DESIGN INTERNATIONAL INC. 2151 SOUTHERN OAKS LANE, LAKELAND, FL - 33813 TEL: 863-409-6422 FAX: 863-644-6507 GENERAL CONTRACTOR, CGC # 1509215 March 28, 2007 To, The Building Official, City of Zephyrhills. Florida. Ref: Extension in building permit #5512 Dear Sir, Our bldg permit has expired. We picked up permit long time back. Our work was on hold after the permit was picked. Also the bank was unable to complete its loan formalities with the owners on time. We will face financial hardship if our permit is not renewed at this time. In view of above situation, please consider our case and grant us extension so that we can finish the project in a timely manner. y Bipin For Southeast Design International Inc. ~. -~}-.- x.;;:' (;,./ t~ <\\ '\ 1: ~ \-.. ';.~r> r/{'?' y" fif joY' , 'J~ ~/<fO ~j r r::~ \f K ~ ~ \~(\V \ ~ -;7~~ ~ Ci cY~ ~~ \ L- 0~' ~~ '~, ~ 4J~ ~~ ~ ~ t1 y~,~ \ ~ I' ,)~ t'- v~ -:~ "0'< v t~ -\ '1 .') $1 '- ~ :f;7~ ~ ~~ {) ~ i(-P ~ C\$ o(t", Cf~'1 ~,\ \r(\ V ~' \~\J fJ.>\ ('\ (') ~ () ("\ () ("l ('l c o ~ (, PERFORMANCE BUSINESS P~ODUCTS. INC. 813-719-8008 FAX 813-719.7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA to-o s ~L( WATER ACCT. NO. DATE 5-3\-ob ,...........'---..- SHUT OFF SERVICE 0 ,. \.." 0: TURN ON SERVICE ~ INSTALL METER g READ METER 0 CHECK METER 0 OTHER 0 Sc:>~ea..*("", "De5\.':)n ~ ~~ .:t::n~no-*,unn10 MAILING \0 LtC:::; G...o\OY\..... \ Pax\<;' Lx- t-cULLl ~l"1) r::L 33~ 13- SERVICE ADDRESS I~~~ ('..,v-~~n~\np-e- Dv-- ~1J\-t11 \0\ [i(" WATER OWNER/ RENTER o SEWER o GARBAGE ~N CITY o OUT CITY -L No. OF UNITS _ DEPOSIT AMOUNT 31411 ~ ~ 7..e('{Y\;.\-- 56\~ _ AMOUNT LAST BIll _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service Dept. Water Service Dept. to sign yellow form & return to office, ORDER GIVEN BY ~:_~_:~...~. u I n_ 1 i CJ rl ,,"- o o o o 'K3 CI 'PERFORMANCE BUSINESS PROOUCTS.INC. 813-7111-8008 FAX 813-719-7010 I f Ii - CITY OF ZEPHYRHILLS ZEPHYRHIUS, FlORIDA ~, i I i i I I I I .1 WATER ACCT. NO. DATE ~ l:::J-lo. 107 '....''--- TURN ON SERVICE g- ..";." ~ INSTAlL METER F;:J/ READ METER 0 CHECK METER 0 OTHER 0 OWNER! RENTER SouJ-h ~ ~~\ ~ "!-n i1u ~ ~ MA'UNG .:2 \ 6 I SO~e.rvr C::bJ-(C; L Y) J....oJLD In, ^"'-rO.} +="l ;5 3 ~ f ~ SERVICE ADDRESS 73d.~ G('~e.n51~e nV" S4::e \01 SHUT OFF SERVICE 0 W WlVER o SEWER o GARBAGE GV'IN CITY o OUT CITY --L. No. OF UNIlS - DEPOSIT AMOUNT J=r-r.\ 8-' 0LCLti....a. ' 3{ '+ ' f ~-515I~ - AMOUNT LAST BIll _ DATE - MISC. CHARGE WORK COMPLETED BY & DATE COMPlETED ORDER TAKEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service Dept. Water Service Dept. to sign yellow form & return to office. ~DERGIVENBY "~'~'- ,--- -----.- , ;..' ::~ '(., V< ,\ 8 , , !}.. . r, I ,~ ~, .. \1 ,~' , ' ~,)\ " : '~,i \ :.~ l"',\ ,~ .~ "\i/~: . . D . DATE: SUBJ: JUdf0. Kare ' Feb. '14., 2006 Numeric Address , . \).: ",Il d. ~ " " 'I :,t - -- -- -- ~--,._-.. . - .. City lof ZephyrhHls Building ,Department 5335 8th sn.t Zephyrhills, Florida 33542 813-780-0020 Fax Cover Sheet- Fax: 127-815-7000 :.i .' ;,~.. \ t \' ~ ,>'f, .: ... .. , Could you please provide a numeric for the. below pr.oject. If :you have any questions or need further information, please'contact'me: Thanks. ,~\ ' .( . , .' '''1~1 ' , ParcellD: Type: Lot#: Square Footage: Floor: Street Facing: \~" f.,.. , " :', :, , ~ 'I .~. ., ~~ .;' ,? -; { \' .1 .~ ". ,^ " IJ~ .. ..i ' ,." :!") \ , , ~~. :~ ,', '( :: '\ '" .~: . , . .,(' Innllnrl^, l0/~0 . d 000L. SlB L.CL. 34-25-21-0000-00300-06;81 Medrcal Office - total of,S;sl.lites 81 10,883 One Floor Green Slope Dr' '13'),3 ~eeNS{ofe-- ~ 101) jO;), 103) 1D4) I os- \ . \.' .". ,!;:~~! ;>;; 'I ' ;".i;' :;::P ''"'=.::;:;:1\.11, : ~;": "~!:p,m~i li~:.~: .:1.,1.,11., . '; !!i~~.: f In~I~:: , tli~ I .~ i" \ ~~! T '?" '"' """ 0"\, ,.." f"'. I.... .. _. . M3I~3~ ~3a ^lNnOJ OJS~d BS:vl 900c-vl-a3~ nb5\"d "0 I("r, ~ r->o-- <\$10'3 - 0\ '3 - 1-\-'3% "7 '50-1'\-, \ James B. Whittum, P.E. Fla. #27689 8533 Acorn Ridge Court Tampa, Florida 33625 813-926-9719, Fax 877-881-1077. November 9, 2006 To Whom It May Concern: Re: Medical Office Building, 7323 Green Slope Dr., Zephyrhills, FL The internal partition walls for this building may be framed with wood studs instead of the metal studs shown on the plans. ~_ tJ)UL REVIEW DATE: / NOV 0 9 20D5 James B. Whittum, P.E. JBW Engineering, Inc. uZ'- APPROV'ED hy Fire . at h oi Z(~p'hyrhilb Iv! ~(. To Whom It May Concern: James B. Whittum, P.E. Fla. #27689 8533 Acorn Ridge Court Tampa, Florida 33625 813-926-9719, Fax 877-881-1077. 55\d Ran--.a...rPG- <603- ':.::)\0 - L\-'3'i5'7 5c1..V'\ '\ \ 10d'rJ-, 0') OY) ,~~~~ ~') P II'\. ~- - . , ......r\.C) - h..._ l>.:':l~ ....... November 9, 2006 Re: Medical Office Building, 7323 Green Slope Dr., Zephyrhills, FL The internal partition walls for this building may be framed with wood studs instead of the metal studs shown on the plans. e. ())ut- NO\' G n ^t'I"l' ~ . 'oJ dll:J James B. Whittum, P.E. JBW Engineering, Inc. :fT.)r 1.1 -:/J REVlE~~~PBY~, lL,#1J1(j2_~.?> clTY 0 OFFlC1A1",{,- BtJ1LD1NG ' ' 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address Fee Simple Titleholder Namel Fee Simple Titleholder Address LOT # JOB ADDRESS DESCRIPTION OF WORK B D D I I PARCEL ID#I NEW CONSTR B ADDIALT D INSTALL REPAIR SFR D COMM D BLOCK D FRAME D SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 DEMOLISH WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION OTHER I STEEL D OTHER I HEIGHT I BUILDING SIZE I I I I I I I I I I I I I ~ I I I I , I I I I I I I , I I , , I I I I I I I , I I I I , I I I I , I I I I I , I I I I . I I I I I I I , I I , , I . . I , . . I I , , I I 1 I . I I I . . , I I I I I , , I I I , I I I I I . I I I , I I I I I I I . . I t I I , I , I I I I I J I I I I , I I I , I I SQ FOOTAGE I D BUILDING 1$ I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111 COMPANY I I REGISTERED I I I I I I I I I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE YI N FEE CURRENT YIN Address License # COMPANY REGISTERED ELECTRICIAN SIGNATURE YIN FEE CURRENT YIN Address License # COMPANY REGISTERED PLUMBER SIGNATURE Y I N FEE CURRENT YIN Address License # COMPANY REGISTERED MECHANICAL SIGNATUR,E YIN FEE CURRENT YIN Address License # Address 111111111111111 RESIDENTIAL I License # 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite. Construction Plans. Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Directions:: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) 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 (Front of Application Only) Reroofs Sewers Service Upgrades AlC COMPANY REGISTERED YI N FEE CURRENT YIN OTHER SIGNATURE COMMERCIAL SIGN PERMIT Fences (PlotlSurvey/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 responsjbility 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, WaterlWastewater 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 / S,"""bed ao' '""'"' to (o<om,,",,) .mo", ma Ih. SW ri ami '""'"' . '.. - "". I mo h by 1/ by . Who islare personally known to me or has/have produced Who is! re personally kno as Identification. FJ-. I?,. J. ' Notary Public ~ IJ) j /, '~- ~ , ~ \: '.&Hij/~I Notary Public Commission No. Name of Notary typed, printed or stamped Name of No CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED ~ONTRACTORS 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 liceftsed as cequired 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 City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guideh prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify 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. E_ 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, City codes, zOlling regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental 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 Regulation-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 *U.S. Environmental Protection Agency-ASbestos abatement I also certify that, if fill material is to be used in Flood Zone "AN or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. 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 code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the t:ime the work is commenced. One 90 day extension of t:ime may be allowed for the permit with fee c rge of $15.00. The extension shall be requested in writing,to the Building Official. An a roved inspection must be logged during e;rcb six month period, or the project will be consid red abandoned. / WARNING TO OWNER: YOUR FAILURE TO RECORD A OTICE OF COMMENCEMENT MAY RESULT IN PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER IF YOU IN TO OBTAIN FINANC WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD YOUR NOT F C CEMENT. '2.500 m :: 00':;"'/,"; : m=RD ..::;;~ """e ..... ~ O"ER~ STATE OF FLO~J;Dll-1 I L COUNTY OF fN/lS/XI('-O(u:J- The foregoing instrumene was ac~nowledged / Before me tbl-s...1-'!- day of ~~lt> . 2~ by ..:;'"'t>."'IN !:t::!!-F F . (name of person acknowledged) ~hO is personally known to me, or of identification) take an oath. ~~ aJ;t~~ Name typed, so a le~~~~ent ~A~ r.omm. exo. Mar. 5, 2006 prin eorrrrn.~097437 Fire Chief Robert Hartwig ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Bus (813) 780-0041 Fax (813) 780-0044 10 f't'.3 Occupancy No.: Plan No.: Business Name: ' BusinessAddress: Business Phone No.: Business Fax No.: Contact: PLAN REVIEW FEES gSite Plan N/C Building Plans C~ Revision,D6 sf FIRE SERVICE USER FEES Owner: c,j,"/Ir., fi/utff i;1; - Billing Address: -., .t1......f~ , STANDPIPE SYSTEM [J Per Riser $25 SPRINKLER SYSTEMS EJ 0 - 25 Heads $30 26 plus Heads $60 FIRE PUMP [] Per Pump $100 FIRE ALARM SYSTEM EJ 0 - 25 Devices $30 26 plus Devices $60 SUPPRESSION SYSTEMS ~ Wet $35 Dry $35 C02 $35 Other $35 GREASENENTILATION [] Hood/Ducts $35 - -/2 PLANSTOTAL~ ---- INSPECTION FEES Annual NIC 1 st Re-inspection $25 2nd Re-inspection $50 3rd Re-inspection $125 4th Re-inspection $250 5th Re-Inspection $500 Construction $15 Commercial $25 SPRINKLER SYSTEMS Hydro Undergrounds $45 Hydrostatic System $45 Wet Acceptance $30 Dry Acceptance $45 Hydrant Flow $25 Hood / Booth $30 Grease Duct $15 FIRE ALARM SYSTEM o System Acceptance $50 o Recall Acceptance $50 OTHER Fire Wall/Smoke Wall LP Gas Natural Gas Fuel Tanks Tent Billing Phone No.: Billing Fax N~ ~_ Contact: kv, ".f- PERMIT FEE FALSE ALARM FEE 1 st Alarm NIC 2nd Alarm NIC 3rd Alarm NIC 4th Alarm $25 5th Alarm $50 6th Alarm $75 7th Alarm $100 8th Alarm $150 9th Alarm $200 10th Alarm $250 Non Compliance $150 "Affidavit of Service/Repair" SPRINKLER SYSTEMS o Automatic $15 FIRE PUMP o Fire Pump $15 FIRE ALARM SYSTEM o Detection $15 ~ On I' p.-t {) 6'6" OTHER $15* ~ LPGas $25 Natural Gas $25 Fire Works $25 Fuel Tanks $15 $45 $45 $25 $45 GREASENENTILATION ~ Hood/Ducts $15 Kitchen Suppression $15 FALSE ALARM I INSPECTION TOTA" PERMIT TOTAL! TOTAL Comments: .- h~5 /1." pir? / GRAND TOTAL /?'V/~ $~~ ~ /;. }/"Ji:-5. Date: ~:;~~/- Inspector: Parcel Information for: 34-25-21-0000-00300-0081 Card: 001 Search AQain -Show Ma..Q Building Schematic Unavailable Estimate Taxes See Tax Collector Information - Current/Delinquent Taxes Frequently Asked Questions ParcellD Classification 34-25-21-0000-00300-0081 (Card: 001 of 001) 10 - Vacant Commercial Mailing Address EAST PASCO MEDICAL ARTS INC 12136 COBBLESTONE DR BAYONET POINT, FL 346672432 Physical Address 7315 GREEN SLOPE DR ZEPHYRHILLS, FL 33541-1314 Legal Description (First 4 Lines) COM AT NE COR OF SE1/4 OF SEC 34 TH ALG NORTH LINE THEREOF N89DEG 58'35"W 1345.17 FT TO NL Y EXT WL Y R/W GREEN SLOPE LN Assessment (totals) Ag Land Land Building Extra Features Total Assessment Save Our Homes Taxable Value Line Use 1 1000 2 1000 3 1000 Acres 1.21 Land Detail (Card: 001 of 001 ) its Type SF SF SF Cond 1.00 1.00 1.00 Price 8.00 2.15 .95 COMMERCI COMMERCIAL COMMERCIAL Additional Land Information Tax Area Page 1 of 1 $0 $93,636 $0 $0 $93,636 $0 $93,636 V $40,000 $15,050 $38,586 Comm Code PTVM2AA Line Building Information Unimproved Parcel 0 Extra Features (Card: 001 of 001 ) Description Year Units Value Previous Owner Year Month 2004 03 1992 06 Sales History TOWNVIEW MEDICAL ARTS CENTER Book I Page 581 3 / 1695 3041 /0130 Search Again Show MaD Building Schematic Unavailable Estimate Taxes See Tax Collector Information - Current/Delinquent Taxes Frequently Asked Questions http://appraiser.pascogov.com/search/offline _ tca.asp?sec=34&twn=25&mg=21 &sbb=OOO... 2/14/2006 COMMERCIAL CHECKLIST FOR NEW CONTRUCTIONPERMITTING CITY OF ZEPHYRHILLS ~ Si~e P~an Review requirements satisfied & approved - date: Notice of Commencemen~ certi-fied copy Application completed in its ENTIRETY. Check if contractor & subs are curren~ly registered. ~ ~ F~orida Energy Efficiency Form completed. THREE SETS of Engineered Building Prints with Electrical, Plumbing and Mechanical diagrams. A!lL If Business Classification is State Regulated, approval must be on engineered building prints. CITY R-O-WUse Permi. ~, if applicable. Pasco County R-O-W Permi. t, if applicable. Departmen~ of Transportation R-O-W Permi. t, i-f applicable Southwest Water Management Permit EnviromentalPermit -from DEP Elevation Certificate, if applicable. ~ Verify Wa~er & Sewer Service. Sewer & Water Connection Fees & Water Meter fee paid prior to or at time of permit issuance. Transportation Impact fees may be paid 25% at time of permi.t issuance, with 75% of balance due prior to C.O. Pasco County Resource Fee must be paid prior to issuance of Certificate of Occupancy. Public Safety Impact Fees may be paid prior to C.O. ***** SEE ATTACHMENT REGARDING CERTIFICATE OF OCCUPANCY CHECKLIST. MEETING NOTES SHEET OF SUBJECT . ----DR. ~ \ fV\ \ yffiW'AJrf) i> L))(; , DATE 2lR 1{)6 , l ATTENDANCE TOPICS DISCUSSED ACTION / NOTES = ~'la.v,-1\.J\1...'A ~ ~bl ti~ SitftLL AfNj:. /it~ S~ ~ roru... _~LH~ll3 VA6p.-"'") i)f? f-u\~)If'{~ ,JLrtN p~ FL 51 5,.,T":'~fl~ 'L.J'11 f"1-- ) (", S'7*~mL L.j7/ f ) R'FVlFW OATF.' ~,tf ,,~ CITY OF ZEPHY LL~ ~ BUILDING OFFICIAL. V J ~' 02/13/2007 15:25 813521 '3510 MCKNIGHT TESTING LAB PAGE 02 CURT'S F. McKNIGHT TESTING LABORA TORtES, INC. TESTING and INSPECTION 7708 E. BROADWAY TAMPA, Fl 33619 www.mcknighttestingcom Phone: (813) 626-0287 Fax: (813) 621-9610 INSPECTION REPORT Customer Southeast Design International, Inc. Address 2151 Southern Oaks Lane Lakeland, Fl. 33813 Date 13, February 2007 \N()II. 07-4835 Type of Inspection Visual Inspections Applicable Specifications A WS D 1.1 - 2006 ::;ustomer Purchase Order No.Customer ~j, ;P{., r>,~t. it <;" s: I \ RESUL T5.OF INSPECTION A site inspection was made on this date. The joist beam welds bridging welds and anchors. colwnn cap and base ?late connections, Girt beam connections were visual inspected. Two loose nuts were found on one colwnn base plate, 1a."1 column to the south. Also, at B 1, girt does not line up on embed plate so beam is welded on end, one side and underneath in 4F position. West wall has numerous joist beam sets with embed not level, non-faying side of joist has been properly shimmed and welded. In general, welds and assembly look correct and acceptable with the exception of the loose nuts mentioned previously. Welder qualifications were examined, no welding procedure specifications were presented. Out of (5) welders certifications, (2) were to the ASME code for a different erector and (l) other was to a different erector, the other (2) were good. This is allowable to A WS DI.l provided engineer of record accepts these do~uments. . Decking appeared satisfactory, nO welder certifications or procedure specifications were avatlable for revteW to A WS D 1.3 Structural Sheet Steel Code. .-;t --'-'_."._-_._~- - ~- -~--- ------ ~~ ., , --,----,---- --- -'--- - -.-- prepare~i-bY--- Approved by Kel\€. MeKni~t, CW~ve},"Jpflhnician -....---- -.--."--' .---...- -,~ 62/15/2667 15:68 8136219616 MCKNIGHT TESTING LAB PAGE 16 PHONE (913)626-0287 Fax (513) 621-6910 -CURTIS F. McKNIGHT TESTING LABORATORIES, INC. TESTING and INSPECTION '1708 E. IlROADWIIY TAMPA, FLORIDA 33619 www.mcKnighttesting.com VISION TEST JAEGER J-l / ORTHO-RATER 8 Name: Adam J. Rybenski Da t e: 11, September 2006 Vision without corrective lens: Nannal Visj.on with corrective lens; NfA Colo:::-: N~ C'7fJ Signacure of E~. Remarks: 02/15/2007 15:08 8136219610 MCKNIGHT TESTING LAB PAGE 17 PHONE (813) 626-0287 FAX (613) 621-9610 CURTIS F. McKNIGHT TESTING LABORATORIES, INC. TESTJNG and lNSPECTION 7708 E. BROADWAY TAMPA. FLORIDA 33619 Certifies that Adam 1. Rybenski Has by examination and performance demonstrated his proficiency in the specified non-destructive testing method in accordance with CURTIS F. McKNIGHT TESTING LABORATORIES, INC. QUALITY ASSURANCE PROCEDURES AND SNT-TC-1A As 81 Level I Technician in Radiographic Inspection 98 Specific 98 General 100 Practical 98 Composite Grade Dee 31, 2009 :i. CPl* Date Expires Examiner ........... 02/15/2007 15:08 As a 8135219610 MCKNIGHT TESTING LAB PAGE 18 PHONE (813) 626-0287 FAX (B13) 621.9610 CURTIS F. McKNIGHT TESTING LABORATORIES, INC. TESTING and INSPECTION noe E. BROADWAY TAMPA, FL.ORIDA 33619 Certifies that Adam J. Rybenski Has by examination and performance demonstrated his proficiency in the specified non-destructive testing method in accordance with CURTIS F. McKNIGHT TESTING LABORATORIES, INC. QUALITY ASSURANCE PROCEDURES AND SNT-TC-1A Level II Technician Magnetic Particle Testing in 90 Specific 91.75 General 100% Practical 93.9% Composite Grade 16 May 2009 Date Expires ~e71J~ Examiner 02/15/2007 15:08 As a 8136219610 MCKNIGHT TESTING LAB PAGE 19 PHONE (B13) 626-0287 FAX (813) 621-96,0 CURTIS F. McKNIGHT TESTING LABORATORIES, INC. TESTING and INSPECTION 7708 E. BROADWAY TAMPA. FL.ORIDA 33619 Certifies that Adam J. Rybenski Has by examination and performance demonstrated his proficiency in the specified non-destructive testing method in accordance with CURTIS F. McKNIGHT TESTING LABORATORIES, INC. QUALITY ASSURANCE PROCEDURES AND sNT-TC-1A Level II Technician in Liquid Dye Penetrant Testing 100 Specific 86,8 General 95.6% Composite Grade 100 Practical 16 May 2009 Date Expires :i. CPl:J!tl- Examiner 15:138 81352195113 MCKNIGHT TESTING LAB PAGE 213 J:'I'lUl'lt. I ClJ..;>/ """-""0' Fax (813) 621-6910 CURTIS F. McKNIGHT. TESTING LABORATORIES, INC. TESTING and INSPECTION 7706 ~. BROADWAY TAMPA, FLORIPA 33619 www.rncknighttesting.com VISION TEST ,JAEGER J-1 I ORTHO-RATER 8 Name: Jason M. Garlock Date: 7/25/06 Vision without corrective lens: Normal Vision w~~h corrective lerls: N,A C:o:'or; Normal },l.~ C in it" Signature of EKam ner PeJ'!':ary.s: 02/15/2007 15:08 As a 8136219610 MCKNIGHT TESTING LAB PAGE 21 PHONE (813) 626-0287 FAX (81:3) 621.9610 CURTIS F. McKNIGHT TESTING LABORATORIES, INC. TESTING and INSPECTION 170B E. BROADWAY TAMPA, FI..ORIQA 33619 Certifies that Jason M. Garlock Has by examination and performance demonstrated his proficiency in the specified non-destructive testing method in accordance with CURTIS F. McKNIGHT TESTING LABORATORIES, INC. QUALITY ASSURANCE PROCEDURES AND SNT-TC-1A Level II Technician in Liquid Dye Penetrant Inspection 100 Specific 86.8 General 100 Practical 95.6 Composite Grade July 31, 2009 Date Expires i e",q Examiner 02/15/2007 15:08 8135219510 MCKNIGHT TESTING LAB PAGE 22 PHONE (813) 626-0267 FAX (e1:3) 621-9610 CURTIS F. McKNIGHT TESTING LABORATORIES, INC. TESTING and INSPECTION 770a E. BROADWAY TAMPA, FLORIDA 33619 Certifies that Jason M. Garlock Has by examination and performance demonstrated his proficiency in the specified non-destructive testing method in accordance with CURTIS F. McKNIGHT TESTING LABORATORIES, INC. QUALITY ASSURANCE PROCEDURES AND SNT-TC-1A As a Level J Technician in Radiographic Inspection 98 Specific 96.4 General 100 Practical 98 Composite Grade July 31, 2009 Date Expires :ic7?'Iq Examiner MCKNIGHT TESTING LAB PAGE 23 02/15/2007 15:08 8135219510 As a PHON E (813) 626-0287 FAX (813) 621-9610 CURTIS F. McKNIGHT TESTING LABORATORIES, INC. TESTING end INSPECTION 1708 E. BROADWAY TAMPA. FLORIDA. 33619 Certifies that Jason M- Garlock Has by examination and performance demonstrated his proficiency in the specified non-destructive testing method in accordance with CURTIS F. McKNIGHT TESTING LABORATORIES, INC. QUALITY ASSURANCE PROCEDURES AND SNT-TC-1A Leve I II Technician Magnetic particle Testing In 97.5 Specific 93.4 General 100 Practical 96 Composite Grade July 25, 2009 Date Expires :LC7?J# Examiner 02/15/2007 15:08 8136219510 MCKNIGHT TESTING LAB PAGE 11 PHONE (613)626-0267 rex (813) 621-6910 CURTIS F. McKNIGHT TESTING LABORATORIES, INC. TESTING and INSPECTION 7708 E. BRO~DWAY TAMPA, FLORIDA 33619 www.mcknlghttesting.com VISION TEST JAEGER J-1 / ORTHO-RATER 8 Name: Ken C. McKnight Da t e: 9, January 2006 Vision without corrective lens: N/A vision with corrective lens: Nonnal Color: Nonna) (J--~ signature of Examiner Remarks: 02/15/2007 15:08 8136219610 MCKNIGHT TESTING LAB PAGE 12 :.~ ~~~~ ',.:. ",\ :.. '.' o . .' 01. . I..... ,", .~:.: 02/15/2007 15:08 8136219610 MCKNIGHT TESTING LAB PAGE 13 ~HONE (B13) 62B-0287 FAX (813) 621-9E10 CURTIS F. McKNIGHT TESTING LABORATORIES, INC. TESTING and INSPECTION 7708 E. BAOADWA Y TAM~A. FLORIDA 336H! Certifies that Ken Co McKnight Has by examination and performance demonstrated his proficiency in the specified non-destructive testing method in accordance with CURTIS F. McKNIGHT TESTING LABORATORIES, INC. QUALITY ASSURANCE PROCEDURES AND SNT-TC-1A As a Level In T ecbnician in Radiographic Inspection 100% Specific 100% General 100% Practical 100 Composite Grade: -No, .. ~::i- ". May 15, 2008 Date Expires ..... ..: ..:.""...... .:<~:. - ........ .... "- .......,. -, . ~' Examiner 02/15/2007 15:08 8136219610 MCKNIGHT TESTING LAB PAGE 14 FlHONE (813) 626-0287 FAX (813) 621-9610 CURTIS F. McKNIGHT TESTING LABORATORIES, INC. TESTING and INSPECTION 1108 E. BROAOWAY TAMPA, FLORIDA 33619 Certifies that Ken C. McKnight Has by examination and performance demonstrated his proficiency in the specified non-destructive testing method in accordance with CURTIS F. McKNIGHT TESTING LABORATORIES, INC. QUALITY ASSURANCE PROCEDURES AND SNT-TC-1A As a Level III Technician in Magnetic Particle Testing 100% Specific 100% General 100% Practical 100 Composite Grade " __....,.._4."'.... May 15, 2008 Date Expires . ....- - '" .".... - "'-... "-.-.-.'" ..- Examiner 02/15/2007 15:08 8136219610 MCKNIGHT TESTING LAB PAGE 15 PHONE (813) 626-0287 ~AX (8131 621.9610 CURTIS F. McKNIGHT TESTING LABORATORIES, INC. TESTING and INSPECTJON 1108 E. BROADWAY TAMPA, FLORIDA 33619 Certifies that Ken C McKnight Has by examination and performance demonstrated his proficiency in the specified non-destructive testing method in accordance with CURTIS F. McKNIGHT TESTING LABORATORIES, INC. QUALITY ASSURANCE PROCEDURES AND SNT-TC-1A As a Level III Technician in Liquid Penetrant Inspection 100% Specific 100% General 100% Practical 100 Composite Grade . ............. May 15,2008 . ' Date Expires . . ''-. ._" .,' "--. . ..~_. "- ..~., -. " Examiner TESTING and INSPECTION 170e E. BROADWAY TA~j:lA, FLORIDA 33619 Certifies that Ken C. McKnight Has by examination and performance demonstrated his proficiency in the specified non-destructive testing method in accordance with CURTIS F. McKNIGHT TESTING LABORATORIES~ INC. QUALITY ASSURANCE PROCEDURES AND SNT-TC-1A As a Level III Teclmician in Ultrasonic Inspection 100% Specific 100% General 100% Practical 100 Composite Grade May 15, 2008 Date Expires ~) ~f 7~/1'.__cr{'__~ ~'-rr ~ ''/ . Examiner FAX(TX) IT:TIATE ~V/27 TRANSACTION REPORT P.Ol/Ol NOV/27/2007/TUE 08:36 AM RECEIVER 818138180706 TYPE/NOTE OK SG3 , ...:f....:.,.:.. . ~ ... :p~geJ..ofl ,. . .' ". . '.! ..... . .: f:, :.' .. '. " "" ~~. :.~ .1 ." . . .' .....':. ',.' . :' "' :' .. . ':Bi~i~BiJr.ge~s- .'.; .: '. . ".:- ' . 'I'. : .': '.(F.~om:': . :~~an~;LeBi':1n~' '~:~~'.'~:~~~:::.:--"~ ..... '. : . '.. :Sent:.. .' "f~day. ::November}.6. .20~7 .2=47. pM . :' . . ,. , . " '" " :1'0:.' ..':.Bill'.aurge~s :n......, . .'. ..' ..' '. CC.' . : .' Rick;Mo~re'..' ." ~ -:.'. ...; . , . :_, :... . ,-, : '. . .'. .....,..' ." '~ " :';'. ~ .' .. .' ~ . . .... i . ,. .' . ... '.' Su~Ject:, . 7923 ~r~n~~opeJ;:>r.. '.. '.' .... ",:"j '.. , .. : ,.., . '! . ,... .' . :Attacti~~~tS:732~~ree'nSlopeSiije'~ouih-Slde1.t1,~~7 q01.jpg;:732~:'Gree~slo~~jde.~~':"i';Side11160T ..'..., .' ". .' _ OOZ.JP.g . . . . . . ~ <. .....:: '. -.;': '. '.:, '. ." . ". ...... -...... '. . .. , ". . ..... . " . ' , .. ", ." . . " . .. ':' :Bill:-... ...., . . . . ',':. . , ;" .:: . ...'" .' " " . . "::'" ",: ':"'" :..', .: .'... '..: .' :, ' . " : "..... . .... ',' :. . : . . .:.... ' 'Whenyou~ge.t.a ~e.canYo~ cODtacttlie COPtmctorwOr'king at7323 GreenSlope"Pr:,'andlet ..., , '. ': .t\1~ khow.tbatl:he. si~ewa1k~.~ l'rep1ac~.eJ?:t 'at' t1:iis:.l~cation ate nOit;:cOm'p'~im~' : ." " " '. .' ..' ,. .. .. .'. :. ....... . . .' nle sonth-side.otthe driVe'has.:' '.' ,....: ..:"'. " . . . , . .' '..: .ExeesSive'rmDp ~oPe"" .:..,...... . :' . , .. . . .' ..~'EX~~yecIos~'~ope'. ...' ..'.,;....' ..,... ,...'" . .... ' .:. ,.... .'. " .. T'limcated doiD.e.mat is a:1rip ~d and does not caVer ~e entire width oHhe sidewalk. .. '.. No' expansi011'ln.aterial Used; ,., " '...., . . . ." ... '. ~ . .' . . . ..." . . '. , NC?rth..;side: ... Excesm.v~a:o~sslQp'e" '. .' . .... .'... , ,': :.... " '.' '. " , ":' 'Nt ,1'runC~ dOme ID:at isatr.~pbaz8rd aIi4.do~ riot cover ~ entire'width.ofibe- sideWalk.' . , ....No expan.sion~aterial1lSeC.t . . ' . . . I,': . ., 'J . ' . '.1 . .Shouldyo~:ba.ve.~qu~~Ons,pl~ase:l~t'Jne kn~w. " " . .' . ..' .,.'. . ..'" . ~ . ! .:'.., .. ~;. . . :!. . ;..' .'. .: , '. '.". ',' "'l"L_'_ ' . ~~' , , . Shane. . . ,. ,. .. . .' . . . ,/ . " . ':. .: ...... '" ;', , '::1 ':';" . '. . .,. . . . " ." .' ....., '. ,.' . '.,,, ... . " .... , .... ,,:'. '. . . ':,..' 'Shan~l~LeBiinU:.~" . .' . ,:. ',: ..~" :' :,City.ofzephiffmJls:' ',', " .~. " '.:' . ...:..... . ,.. '~blicWoTk6' '::.: ," , " " . .... 5335:8tJiStreet;. ..:". ,". . .... :. ~ep~yr~1.1ls~FL'.~. :,'" '. '.; :", :....'..::.:..!~:::.:'..:. :>'~:".. ~""".' . .... . ' ' ,.. . T: ~.780.0022 . .:-- . '" ,.,.. .. .... '. . .' . .... .. ';'" ::F:B:U.780;OO~.....>' .....:..f..,;..::.. ...>...~:. :~.......'::::.:>':~..:.. :.'..~:., ....:.' .... '.: ' ,,,' ..... ,'" .'. .1' >..:., '.' .., .." . .' .' ':.' ," -.' .,' . . '.... .. .:, :~- . . ": ,. : ,:" . ':: ::..... :'" .. .' I . .". , . . ' .. :. ' ..-.... . . . . ~ ,. ~. . . ...... .' ".' ..= ........ . " . .'. . . .:. .:': .. .:~-:.. .' . .... .:'. .....;. ',.;f'.. '. ,,'. f . ..: ." '. ", . ....:.. ... . ,. . .....; ..:,.'.: . .,'" '. '.' . " - .' . .~ . ; . . FAX(TX) ~)ATE ~)V/27 TRANSACTION REPORT P.Ol/O'! NOV/27/2007/TUE 08:40 AM RECEIVER 818636446507 TYPE/NOTE OK ECM " :'.:. :.. .". :Page J. . ofl : . ... ..... . ',. : i:,: ' . . p...... ." .: . ~ .. ,'. ' :., ". '.1 , " . .' . 'J :' '. .." . "BUiiBUr.ge~s. . ., '.. .' . i " " ,.,..' ,of. .-: .;F.rom:' ". :~~an~LeBi~n~ ""J:~i,Y.'~:~~~~':.~"."r-':. .....:..... .: '.:'" :~~nt::<.. .' "F~ldaY.~Novem~~;~..20~~.~:.47.'PM ',':. ."; '. ...'..... Te;. .' ..,.: .Bjll.Burge~~ .:: ..'. ':'" '.' '.:;.:" i . - I ...... . .. .. . :Cc::'. ,: . . "RIcJ('tv1~ore'...: , ' . ..,., . '... ~ , " ...' , ,..., . ,.' '. I "Subject: .' ':r92~r~reenslope:J)r.." ':., .>.' '.. .'.... . ':' . .' . ..:..' ....', "". I. . .. , . . . .. .. . "Attacti~entS; -7523. ~ree.'nslopesli:le 'south-side't1'1.607 'Q01.jpg: 7323: Gr'eenslop'eslde .nprth.;side'111607' '. . '. . '. ,OO2.jp9 :'. ,.:-~ ." .- :.,.'., '.,: ~ .' ~;::. '.,.'.:, '. '.' '. .... ,'.. '.' ,...... ,:. ',' ,'-'". .' '. '. . . .' -', . . . , " . ~ ", ': .. ',' 'B' ill' ". , .. ..... . . . .' '. " . "..... '... .. . . . . ~ . . .' . . . ..: ';. '. , . . :. .... " .'" ..., ..' ." ." . ,.., .' :, ".....:.,: Whenyon.ge:t.a ~e.can'yo~contacttbe QOP,traetorwo:tking'at,'7323'Greens1opeDr.'8nalCt .,' . ....': 't\1em.kD.ow.t1iat.the sidewalk-repms'ltepta.cernent at'tbiS'laca1;ion are non~com'pWmt? .':. :., . .' ..... . . I' '. .' .., ~ ' '. .' .' . . .' Th~ soutb-si&.of:thB CJ,riv~'h8s.:' '. ,.::.... ". . '. .' 'it 'Excessive'rari1p~s1ope .,.. '. .,.....' , . - " ..,. ':".. ., . . . .' ,"'EXc.eSsivecroSS,slope' .' ' .' ;.:,' ,.,.. " ':,. . . ,< ,.' ,'.. ..... '" ...' .' ..' 1TUncated dOme. mat is a'trip'h~ aDd 'does l1OtcOVCl: tJle ~e width of "the sidewalk. ; '. No'~~onmaterial~ed.' ',,'..... ' ' . ' . . , North-'sidc: .. . \ . .. 'Excesm.ve cz:oss:slOp'e'" , . ' .,.. ,'. " . '.. Truncated dOme mat is a1rip 'haZard an4.do~ no~ cover ~e entire'width.ofthe. sldeWalk.' . '. ?~'o expansion3nateri~ use4 .' ".;.,...,..,..,' . : '... .:' . . ,', . ". ) " . , ' . ,ShQuld:yo~ ba~.~Y q~~,.pl~~.~;e:l~~e know. , ..... '. ,.:' , ThaDks .. '. , . .'. . . .' ': ..Shane.. ....:, '. .". . .:l" "., '. 1. , .'. " , '..... ",':.;.:: ,,: ,r..... '. ~ '.' '. " '. .:." " ,.' .. "u:j: ,::', .'.. '. ,', .' . . ,~. . . I." '. '.' .' " . I" S~J~'-ie1J~c. :: .':::.". . ,.,....: .::; ..'.: ,.,' Cif1J:~;i'w~~l~:;" '. ',...:::.:.:.J.:....:;..'.::".,..,.,t."...,.,.. ......,. ..,..,....,',.. :. . ..',":', ',' . .' .' 5335.8thStreet: .;. ' "" . ". . ..' .zepny;.1iiZkt,FL.33s42' ..' , , . ,,:. :.., ': <:.... ....' .' ".. .' :".~: .' . . '. . ...' '. '~'~;:=:,:,' : ...... . . . ;'.'. >:".'~'~j:': .'~ . .:;-;,-~, : :,.:..... ::,' '. :..': .. . .'.' .' ..;." ,;. '. . '.; . .". '. ,. .' .:..... '..' ,.' . ..' . ." ". .'. ... .. . . . .., " .. .: ',:. ):::". ~: .' . . i:.::.::::'.::,;~/-;.;.:'~:1":'<:>.. \" '.:::' .... ..': .:": . . . . .".. .,. '1.. .' . . .' .' .' ". " .t." . . '. ' .: ',..,' ...... ~ C\lAA -:=:::::=- ... _ . QlKltM/.'IH/IIt'....., CPb ~ he ' ~~€) ~e.re"'" J;-c~ p~ ~ ~_0e<lIIIII. .JJI!;tIJ rDMIf. "",_"'lIepftllllll__~''''-' ~ ~ MI_ ..l........1.lItW~ J1t111Dr.-- .........lIr\-Il> !lfl!lcof..... tOlll..... -1IglIt.-- 'V" ........M1..... I'lIIIIllII wt..... ... .... (ill!!\I f'arM1lilll.,..,~.lllIlIIolIDOIoM...~"",,,.....llaItc.-r. a Ilo.oIloIJJo_ "-.~. ~.. Iw _... .... /::...1 ~ L . ~ o av 1nalI_lWWllgsfcH IIJ*lIII_....M'ld IMIId .....5MlelwIIl\........c.-. (. ~ a 0' InSrd *"'DrJetlM!l.........IIllICiIlV......';IIM........... .-.....NjlNIt...,e.-r. ~ ~ '-f' I:l if'" ~lts.tj\lll'llsN..........,...c- (,J~ o it" ~...\11eIJO\t>.........__fA51Mt ". - -~ J _.i-- o Q ft_"f.d>.lIli;"II!ll-~,..........-."tI" ___..tI&c ~--- C1 g"i...........( _lit! I" / otI\It )\'Omett"-'IXIIlftI\'--~ ~ o V Cc*rlllldtwlUf~.~~ k.tO r!:IlJ"~A-JJJ.f,.~ ~ o a'" QIIlIflIftd."'...fNt/Ift....~lIl!Ilr1I._iIl'I~---ltIII1l1r. ~. ~' /1 o gI oa"lUl~ 't> ~ J _. a fI Pftlo/dltf~_\lPaf.iIlIU.........,JaIl.ln~ . - '""2. (P ./"'J'~ o r:f rlIIndd1'lMd~~._bNir- ;/.~ r; o r/ CIIU...lIllOOt......wlCIlUlal..,.,.1tIIng. /,.~ I~ J.-- .7 o rI?-'l\IIlAo""~"'~ ~~-~/ o e' CMIl~___iIoOlllltlft!l. 1./ ~ c tII' FlnII1IaplC1lOl'l"'''-__If>--'fINI~~ 1i' lira r.......1I; NIject"."..,. 'Jl' IJMIIn ItICll'DlllAal"~ (i1I___\IIIItI 101:II '-I v~---~ N~ CI!MJ~. if ~11lQKt"'DecIIif1I. 00 o c o o o o o Q ~\? L;lC( ~ we ProDOllllMbt lu~ -*' 1ftlI.....~ itI8CD:l!'denCIIWlll1""~'- lOr"""..... .._1COlIlllInI1II"~ fd1eoNIe_~~ dtijOb 61'1C1t~ I S;.~ "T~A)I\ lJu.-- M......~ ~'11lf1V -(aJn ....($ U ,.... -' ~.~ ;&" CIIioPfo~ _ ~ifII~,'U .fa DJ4J 1JA."I-uJ ~u. 8~,Z:IiIJ~~"'- NOT~"'1'CI ~l'OGIImU. ~'" Alu..-ftl~ll~o.:IlII',--*1NI! SlgIIIIU" . ' ", "UjeCllO....Cl\llVloIl.5.,.pIIl'mO/llII~ NolI!; ~ . ..., .., - flelIltfntw.. ~ ..Jf*~~n -,- ".4. ~~.ThealJaw""'~. :::::.~.-.:"~~= .. _UJLDJIlIG COI)It COMI'I.WfCE OPFICE (Beco) JI'IlOJ)1)(.."T CONTROL DiVlsION ~<XltJNTY. M.o1UDA MImlO.DADE I'LAGLER BOIUJIHU 1... war fUOLD 1ttlIErr. S11I'I'8 1. MLUII. Ft.OlUDA 331>>-1563 {305} )75-:2901 PAX (305) 3".2!lOl1 NOTICE OF ACCEPJANCE (NOA) Eap IIooftq PnductJ LLC 1575 EaIt c.It. 470 Sumtuvillr., )I'L3J51S SCOPE: null NOA is bcir1a isaaed I.1llder tile applicable rulil8 ancheplalions govfl'Ding the uee of tlOlJ8uuction material~. The d(lcumentation submitted bas been I'O\'iewed by tho JiCco llDd aacePt-i by the Buildilll Code IIId Product ReviewCWDDIiIt<< 10 be used in Miami Dade COunt)'aDd odia '1l'Ctl& wbQr: allowed by d1e Authority Havina ll1risdiction (AHJ). This NOA. ~bal1 DOf be valid after the expiratioo date itated below. The Miami.Dade County Product Conuol Division (In MiamiDadc Coumy) lDlVor dloAHJ (in IIIaI Other than Miami DadcCau.aty) I1!lM:l'VI: the right to have this product or .maIIIIldalles~ for qualify UIlIraDl;:e pw"J.lOMl8. If cbis product ~ ~ fail. to perform ill the acccptIld 1llIIIlnel". the m_,,~,rw 1Pill ~ tbe. uporlse of such te8dna and the Am may immediltely revoke, modify, rr suspend th= lJ!iC of such pI'I:1duct OJ',~ Wi,Ibin lJteir jurisdiction. BORA reserve. the riJht to m-oke thi. acceptJmCe, if it is cIetcrmiue.d by M_-~ Cct,1ntyProduct CoottoI Division thai this prod\lCt Ot' material fllil..'l to meet the reqllireme11tS of !be appl1cabJe bUildbtl Code. TIJis J)1'OCluct is approved as deacribecl herein, IUId has bcIen deaiped 10 comply with the florida Building Code, OlDd Chc High Velocity Hllttieame Zone lit the Florida Building Code. DEsCRIPTION: Capjstnmo ~te Tile I,ABELING: ElM:h utili: shll1l bear a petJlWleIU; tal with the mllDUf8CtUrcr's nlU'Ile Of 10jl0, city, 8lalt: and following statement; "Miami-Dade Cl,ll:ll1ty Product Confn:ll Approved", unlcslI othcrwllle noted berdn. RENEWAL ofdWl NOAsha11 be COJJ8idered after arelJe'Vll application hq been filed and tha-e ba been no chaage in the applicable builtling code negatively afl'ecting the perl'ormaDC:e of tbit product. TERMINA lION of tbiJ NOA will occur after !he expiration date Pt jJ there has been a tevisioJl or change in tho materia", lJte, &Dd/Q( manufacture of the product IJrprooelS. MlllU8e of d1ia NOA u an endorsement of any product, for sales, edvertising 01' any other purposes shall iutonwic;a11y terminate this NOA. Pailure to <:omply with any section of this NO.1\. sball be cause for t<<m:Inado.. and removal ofNOA. ADVERTISEMENT: The NOA number preceded by the wOl'ds Miami-Olde County, F1odda, and followed by the t:X.pindon dare may be displayed in IIdvcm..m, n~. H any pOrtion of the NOA is dillplllYed, then it shall be done in .iu entirety. IN8PEcnON: A copy nfthis ea~ NOA shell be provided to the UBCt by Ihe1tWJUfacturerOt its distributors and ~hal1 be avaiLable fer inspeeUOllIIt the job ~lte It the request of tbeBuildiog Official, This NoA consists of pages 1 tbrol1ab 6. The submitted documentation was rcviewM by Alex TJ.aera. ~-- 8 NOA NO.1 Of-05Z6.0I ~DtR: 1Mw1.1 APPN'l'llI n.te: lfWSIM Pqe 1 016 :')C -d 7;9i..# ~1ddn5 ~1D~S ~1no OZ~St~€LZ4 01=90 4~OZ'OS'cd~ .. ROOFING ASSEMBLY APPROVAL r.._: hb.c.taorv: M.......I: Deck TYDe: Roofing 07320 Roofiag TIles Coftcl:nlte WOOd I. SCOPE This llJlprova a new roofi1lls)'Stem lIsiltf ;~ COftCnlte Tile" as .anufaclmed. by EaaJe RoofiDa PnxIncQ LLC in SllmteM.l.le, PL. aDd <teacribed in Section 2 at thi.$ NQtioe of AcceplUce. For 10Cldi00s where the preSsure reqlJil:~lU delermined by appliCllbJe Bui1dina Code doe. DOt exceed fbe delilp pR'SSW1l Talues obtained b;-calcu1a.tionJ in eomplianeewidl RAS 127 usm, the Y:Uuelllilltl!d In section 4 hcniJL The .~t Calculations IlhaJ1 be doD~ as a momllD1 bIRed system. 2. PRODUCT DFSCIUPTION M.BDlWtnPWI by A.IinI~!t T.., ~d.m. ~ Clqristrano Concrete TIle L = 17" W '" 12 1,4" 1bJc:Ic4ese :; ~.. . 1 *' TariM w = varir.e vllrying tbic-Jcar:ss 2.1 stJBMJ'l'liu EVIDENCE: '1'- AIII!IQ Tf.It J~ ", TAS 112 Trim Piece/ol TAS 112 PRJ Asphalt TechnOJogia! RedJMd 'feclmologies ERPP-OOl..()2.Q2 , 7161"()3 ApPendix m Leau Dat!d Au," ,1, 1994 P09647..o1 RedJlltld TeclIuoJogies Red1and TechoolQJjes Redland Tecbnologles P0402 The CeIlter for Applied P..o,gi:Il.ccrin" me, The CcnII!r for Applie<t Engineeriug. .Inc. 904-OS3 94-084 9 ?OOi zeO"1i H81.' ^1ddns S10~g 31no Produ.ct n.m~ot Hiatt pmfiJe c:O.x:me roof tJ1e. For direct declc or bIit.taried uai!-onlpptkatiOOfi. Aeceisory trim, c.Iay roof pieces for dJe at hips, 'rU.es, ridsos aDd vl1lcy a:rmi:Dati0fl8. MaDu!lICt.unldfot each tile protUe. TMtN.r..IV_ TAS-112 Stm1c: Uplift TNdDg TAS lOt&: 102(A) WIOO Twmel T~ TAS 108 (Nait.{)n) Wind Tlumel Test.iaa T AS 108 (Morw Set) W~thdrawal Reaistmce Testing Qf ICnlW VI. mtooth &hank IWlfi Stade UpIiftTEIItln, TAS 101 (Adhesive Set) Static Uplift TMti.l1& TAS 101 (Mortar Set) 1lIII Au,. 2006 Der;. 1991 Aug. 1994 Aug. 1994 Sept 1993 April 1994 May 1994 NOA No.: M-452U8 ~rattoa u..'I""11 Appn".. nnell~ Pvp :htti OZSStS61.ZI. ,,:80 ~OO~'OS'~d~ Tho Center fur AppJic:d 25. 7094-(~. 6 k 9) Stark Uplift Testing Oct. 1994- Bn,gjnecdng, Tnc. TAS 102 The Center for Applied ~c 7120-(J (\ 2) StJdic; Uplift Testing Nov. 1994- &linem:tns. Ine.. TAS 102 The Center fer Applied 25-7183-(3&4) Swic Uplift 1'estiJlg Feb. 1995 Mlinec:tiog. Tnc. TAS 102 ~ Cecltcr for Applied ~.72]4-{3, 4, &7) Static, PpIlft l'cs_ Marc:h, 1995 EDginccrlng. b. TAS 102 The CeMer- for Applied 2S-7~ Stalic Uplift Testing &p.I996 EngiIltlerinJ. Inc. TAS 102 Celotcx Corporation 320111-3 Static Uplift TMtinJ Dec. 1998 TestinJ Semcell TAS 101 Ce1CKU COl'pC.otioo S20191-~1 StatU: UpJjl\ TClbng M81Chl999 Testing Services TAS 101 Walker Eulineerin&.lnc. CllkuIalions Aetod}'tUlJllic. Multiplia' Sep. 2006 WQlker Engineering, :me. C&J.eulatiolll ' . Re5toriri@ Moment JJae to Sep. 2006 Orbity 3. LIMITATIONS 3. I fo'ire cJassifiClltion is no<< plIrt of this acaeptallce. 3.2 For mortar (IT lIdheaive *4!t, tile appUc:adO%l8, a stlItfc field llplift test shllll be pedotnled in acc.ordaDce ",jib TAS 106. 3.3 Applicant sfudl retJQc die lInicet of. Mll'!'i-DIde Couuty Cc:rtiBecl Laboratory to perform quanerty UlIt in aeoordllzH:o wlm TAS, ,1 t ~ ~ · A', Such teItina shall be submitted EO the nlrilding Code CompJiaDce Oftk:e for revieW. 3.4 Ml.cimum 1IDderIaymc'lltl ahall be lncoinPlimce wilh the applieable Roofing Applic;a1kms Slandards lisled secdo1l4.1 bereia. B 3('J,I9() bot mopped 1Dlderiaymeat appIieatiolll may be ins'l8llod pezpeDdicu]. 10 tbc roof ~Iope I.II1Ics6 8tal.Cd otherwise by tho DDderlaYIQallIllaterial manufac:tmr& pub.liabect Jilet'atun!. :3.6 This accepr.uce Is for wood c:k:ck applkadonl. MinimQJlldeck fflQI1in::meata $hlll. be in compliallce wilh chapter 29 of the SFBC. 8 NOA N..I 06-I526.C18 Il:xJIIralilIIl Da1e:lIW!1l1 Appmql Dllte: IIM1MJfi Pap 3 of'6 3COI SOO.d 7f8~* J.'Iddl1S :3:~tl'ia 3'IflD OZEStE6LZL t::eo LJQZ'G,'H~~ . 4. INSTALLATION 4.1 Eagle Roofing Products lie Cap' in strict com liance with IS~O ~oncrete Tile and its components shall be installed 4.2 Data For A~Chment ea1~~::s Application Standard RAS 118, RAS 119 and RAS 120. Table 1: Average Weight (W) and Dimensions (I x w ) TIle Profile Welght-W (lbf) Length-I Cft) Wldth-w Cft) no Concrete Tile 10 1.417 1.04 Table 2: Ilcatlon Tile Profile C Istrano Concrete Tile TIle Profile Capistrano ,.... -. - 8.:12. Battens Direct Battens Dirsct RAttAn" N--... ...~_. _. Table 3: ReatorIn Mornente due to G 3":12" 4":12" 5.:12" GANder than 7":12" CITY OF ZEPHYRHILLS "NOTICE" OF ADDITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE ADDRESS PERMIT # ~7 (dQii~ S )z.., p(Z. ~ S=:>, '2, THIS JOB HAS NOT BEEN COMPLETED. T~e following additions or corrections sholl be mode before the job will be occepted. CD J1,(..-l.?tM~ l ~rli11 <Af~..((" <J/'~ P. N~yt;(tj <;10 ii-- A'7 , ?j>VUJ ~ '1'"fi.. @ rv\ ~c\J1") )) ( le, J W--A/L.Lfi...L ~11) <;.~ ls- (~f6f<jj',,1tif) tV\ -.~ T O- f) u L - c)i-<; -IO J W~ W (}l-\L (VLiiA firCfzt?e S :, 'f" 1 rJ 11 hl",rtr ~ Lf),~\L..L -{1(L jiLl2.CTV\-\LYT L Vv>l~h.-L (.)Y'LU\,') Arl D tiijJl~ ~ ~~~'-. e.sT> I . 7;; . ~4',;P P-i~1~5' ~ PE- 1.tt~ 4t5 ~Yl~ ~__~y:)-lL ~ (~ 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 wor1< with flooring, lath, earth or other material, until the proper inspector has had ample time to approve 780-0020 FOR RE-INSPECTION the instaHation. t9 I OFFICE HOURS 7:30AM -4:30 PM MON.-FRI. INSPECTOR ~}<..1.Jh5{) . [ ~ Tile ProfIle Capistrano Concrete Tile Table 5: Attachment Resistance Expressed 88 a Moment M, (ft-Ibf) for Two Pa Adhesive Set S ms nle Application Adhesive Minimum Attachment Resistance 29. 1 2 Tile Profile Capistrano Concrete Tile Table SA: Attachment Resistance Expressed as a Moment - M, (ft-lbf) for Sin Ie P Adhesive Set S ms TIle Application 3 4 Medium Minimum Attachment Resistance 66. 38. Table SB: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) for Mortar Set Systems TIle Tile Attachment Proflle ADDllcatlon ResIstance Capistrano Concrete Tile Mortar Set=' 24.5 5 TIle- rrte Roof TIle Mortar. 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo (See Detail Below), or following statement: "Miami-Dade County Product Control Approved". i EAGLE:- ~.. FLORIDA CAPISTRANO CONCRETE ROOF TILE LABEL, SuMTERvn.LE PLANT (LOCATED ON UNDERSIDE OF 'I1LE) 8 NOA No.: 06-0526.08 Expiration Date: UW5I11 Approftl Date: 10105i06 Page 5 of6 , . ... ~ 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWING NAIL. NOLI J CAPISTRANO CONCRETE ROOF TILE END OF THIS ACCEPTANCE 8 NOA No.: 06-0526.08 Expiration Date: lW05l11 Approval Date: lCW5m6 Page 6016