HomeMy WebLinkAbout08-7164
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7164
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
7164
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6020 6030 6038 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYRHILLS COLONY
Parcel Number: 03-26-21-0010-12800-0000
170,000.00
Name: GALL BOULEVARD LAND TRUST
740.00 Address: 602060306038 GALL BLVD
740.00 ZEPHYRHILLS, FL. 33542
11/02/2007 Phone: 813 643-8922
REMOVE & INSTALL CERTAINTEED GMS -C-B3 FLAT DECK COMM ROOF
q::~
~ l-\ --D~
TAPE JOINTS ROOF INSP
FINAL
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 anyfurther 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."
-~~
~ONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
Permit Review Comments
I have looked over the process of re-roofing at the addresses listed and have determined
that your business qualifies for the roofing permit due to the use of tar/asphalt being
applied. An inspection will be conducted during that phase of operation. The inspection is
clearly a safety inspection of the application process along with an equipment check. It is
your responsibility to notify the building department when that process starts so an
inspection can be completed. Please contact me if there are any questions with regards to
my comments.
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813--78~20
Date ~lved
City of ZephyrtJiIIs Penn it Application
Building Department
Fax-813--7llO-OO21
I
I
Fee Simple Titleholder Address I I
I /-OJ-O, "'o3DJloo.3~ Gte" f>ItKl, Zlt!J'h~rhiJ's ,3354~ I LOU I I
I I PARCELIDlI 03 -~lo -.;l' -DO/D - 101 iooo-aodo
(OIITMEO _ PROPERTY TAll NOTICEI
E3 NEWCONSTR D ADDIALT D SIGN 0 MOVE D
INSTAlL D REPAIR
PROPOSED USE D SFR 0 COMM D OTHER
TYPE OF CONSTRUCnoN D BLOCK 0 FRAME D STEEl 0 OTHER I
"'''''PnON DO' WORK I p"",..~ e." 51'"1 cpDI / ~n;>tq 1I Cer+" f I.:cd G.hl S - C -/33
BUlLDINGSIZE I SQFOOTAGE I ~ ~oo I HEIGHT L I
D BUILDING 1$ \'1 0, 0 <X:J < 00 I
D ELECTRICAl 1$ I
o PLUMBING 1$ I
o MECHANICAl 1$ I
D GAS ~ ROOFING 0 SPECIAl. TY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA
Owner's Name ~ L t'" S
"""""...... ~)fa rhor Pg "~Q "" W "'/ . c~. Ownar Phone Number I
- I . J= 3371t:/7 I
Fee Simple Tldeholder Name Owner Phone Number
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
DEMOliSH
VAlUATION OF TOTAl CONSTRUCTION
AMP SERVICE
o
PROGRESS ENERGY
o
W.R.E.C.
VAlUATION OF MECHANICAl INSTAlLATION
t0DUI
DYES
DNO
BUILDER COMPANY I
SIGNATURE REGISTERED Y/N FEE CURRENT Lr.!!LJ
Address License , I
ELECTRICIAN COMPANY I
SIGNATURE REGISTERED YI N FEE CURRENT Lr.!!LJ
Address License , I
PLUMBER COMPANY I
SIGNATURE REGISTERED Y/N FEE CURRENT Lr.!!LJ
Address License , I
MECHANICAL I COMPANY I
SIGNATURE REGISTERED Y/N FEE CURRENT Lr.!!LJ
, Add...... .~. oV I license , I I
OTHER ()\ q' ='"~ I{';~ ~ 1--0,,- ~\ --:r,.J.
SIGNATURE I Y I FEE CURREHT
Add_ I I Uc:ense , I I
RESIDENTIAL
AIIac;h (2) Plot PI8ls; (2) leis of Building Plans; (1) set of Energy Forms
Minimum ten (10) MNIdng days ...... submiIIaI........ Required onsile, ConsIrucIion Plans. SaIiBy FadIIies & 1 cIun1lSter
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) MNIdng d8ys after submIlIaI dale. Required onsile, ConstJucIion Plans. Sanilaoy FadIIies & 1 cfun1)sler
All COr,.I.erdal requirements must ~ <:oqIIiance.
Attach (2) sets of ~ Pbwls.
--PROPERTY SURVEY required for aI NEW con8lnlclion.
COMMERCIAL
SIGN PERMIT
Direc:tlons:
FiR out applcation compIeIeIy.
Owner & Conlrador sign beck 01 application, notaized
If over $2500. a NotIce of CoomoencetMnt Is noqulrwd. lAIC upgrades over $5000)
- Agent (for !he con\nIctor) or PO\Wr 01 Allomey (for !he -> WOlAd be someone wilh ~ lelIer from _ auIhorizing same
OVER THE COUNTER PERMITTING (Front 01 Application Only)
Reroofs Sewers SenIic:e Upgrades NC Fences (PIolISurwyIFOOC8ge)
Dr1v_aye-Not O\l8r Coun1er if on public roadways..needs ROW
NO'RCE OF D'EED 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 worle, 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 worle, 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 property 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 ofworle is $2,500.00 or more, I
certify that I. 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 "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 worle 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 worle, 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 "YO unless expressly permitted.
If the fill material is to be used in Flood Zone "N, 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 worle,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically induded in the application, A
permit issued shall be construed to be a license to proceed with the worle 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 worle authorized by such permit is commenced within six months of permit issuance, or if worle authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the worle 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 worle ceases for ninety (90) consecutive days, the job is considered abandoned.
Public
MY U>MMIs"'I'ON # DD4S3497
m ~ typed, Prf/M!ll.....~l. 2009
(407) 3lICW153 Florida -" Semce.com
Fire Ctliei j-<.ejth Williams
ZEPHYRHILLS FiRE DEpARTMENT
6907 Dairy Road. Zephyrhills, FL 33542
Bus (813)780-0041 Fax (813)780-0044
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.:
Business Name: ~M4 J5 /-'.{) LAAAil ~
Busine~Aclclr.~~: ~L2iP ,~~ ~?~
, I
Business Phone No.:
Business Fax No.:
Contact:
PLAN REVIEW FEES
B Site Plan N/C
Multi-Family/Commercial .06 sf
(Minimum Charge $25.00
o Plan Revisions DBl
SPRINKLER SYSTEMS
B 0 - 25 Heads $50
26 plus Heads $100
STANDPIPE SYSTEM
o Per Riser $50
FIRE PUMP
o Per Pump
FIRE ALARM SYSTEM
B 0 - 25 Devices $50
26 plus Devices $100
SUPPRESSION SYSTEMS
BE: ::
BOther $50
KITCHEN EXHAUST
o Hood/Ducts
OTHER
B LP Installation per tank
Fuel Tank Installation
(Per Tank)
o Natural Gas Installation
(Per System)
o Spray Booth
PLANS TOTALc=J
Comments:
$100
INSPECTION FEES
Annual N/C
1 st Re-inspection N/C
2nd Re-inspection $100
3rd Re-inspection $250
4th Re-Inspection $500
(Business closed until
violations corrected)
SPRINKLER SYSTEMS
~ . Hydro Undergrounds $45
Hydrostatic Test $65 persystem
Acceptance Test $45 per system
Hydrant Flow $75
Contractor:
Billing Address:
Billing Phone No.:
Billing Fax No.:
Contact:
PERMIT FEE
$50
$50
$50
$50
$50
$50
$50
Fl;Iel Tanks- perlank $50
$100
$500
$25
$100
$50
$50
$25
$50
$50
$100
150
Sprinkler
Standpipes
Fire Pump
Hoods
Fire Alarm
lP Gas
Natural Gas
Sparklers
Fire Works
Camp Fire
Controlled Bum
Hood/Duct
Place of Assembly
Fire Protection
Aammable Application
Waste Tire Storage
Generator < 'r<YV
Generator >30 'r<YV
Bio-Hazard Waste
Fumigation Tenting
Torch Pot/Applied
az. Materials
B
$100 Annual
$50
~nual
.......-;-
PERMIT TOTAL~
.-'
50 I
FALSE ALARM FEE
1 st Alarm Nfe
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $100
5th Alarm $150
6th Alarm $200
NON COMPLIANCE $150
Annual
Annual
Annual
FALSE ALARM
TOTAL I
FIRE ALARM SYSTEM
B System Acceptance $50
Recall Acceptance $50
OTHER
~.FirewalllSmOkewall $15
lP Gas $25
Natural Gas $25
per wall
per tank
per system
$50
~ Tent 1 0'x1 O' or greater
Fire Pump
Fire Suppression
System Acceptance
B Exhaust Hood/Duct
Re-inspection
(other than annual)
o Inspection'scheduled DBl
and cancelled less than
24 hours
B Construction Insp. N/C
Emergency Vehicle AD $50
INSPECTION TOTALC]
per rent
$15
$45
$30
$50
$50
$50
$50
$30
DBl
$50
GRAND TOTAL
Date: to by V7
Insij~ctor: _~V "1 ~ -W--
'-...---
LIe # eee 029579
GEORGE KONTOS RQOFING, INC.
p.o. BOX 547,
TARPON SPRINGS, FL 34688-0547
FAX 937-6017
938-6900
934-9451
BONDED / INSURED
PROPOSAL & CONTRACT
GALL BOULEY ARD LAND TRUST Date: 10/19/07
ANTHONYSARAYANOS
350 HARBOR PASSAGE
Clearwater, Fla. 33767 Telephone:643-8922
Job Address: Zephryhills shopping plaza 6020,6030,6038 Gall Blvd.
We are pleased to submit the following proposal for labor & material as necessary to complete the
following:FLAT DECK REROOF
...
~.
SCOPE OF WORK.: Certainteed specification GMS-C-B3
Remove existing built up roofing and insulation to steel decking.
Over existing steel decking install one(1) layer of 1" isocyranurate rigid board'~sulation
And one(1) layer of W' dens deck rigid board insulation with approved fasteners and plates.
Install with hot asphalt one(l) layer offlexiglass fiberglass base sheet over which mop with hot
asphalt, one (1) ply of type VI fiberlgass felt. Over entire felts install with hot asphalt one(l) layer
of modified bitumen granulated membrane. Granulate all seams.
Install new modified bitumen membrane at walls with fibered cant strip ,extend up and over
parapet as required.
Install new 26 ga. galv. eave drip, coping cap around perimeter.
Demo six ale and/or chiller units non working and haul off.
Demo existing curb openings, attach new steel decking to fill opening.
Demo existing steel beam assembly and electrical panel not in use and haul off:
Demo 15 pitch pans not in use .
Reflash all remaining existing curb units with new modified membrane t1ashing.
Demo existing scupper boxes (gl rear of bldg and install new. Install tapered cricket panels to
provide slope to scupper openings.
Provide manufacturers 15 year No Dollar Limit Warranty, labor and materials
AlC, Electrical disconnect & reconnect"! by other at owners expense.
WARRANTY: Certainteed manufacturers 15 year No dollar Limit bond from manufacturer
P A YNlENT: Draw schedule provided upon contract signing.
ACCEPTED: The above prices specifications and conditions are hereby
accepted, You are authorized to do the work as specified. The above
contract is based on SF NET. (See reverse side).
Payments will be made as outlined above.
this proposal is valid for Days,
LABOR & MATERIAL $
ALTERNATE #1 $
ALTERNATE #2 $
\IOJOOO,oo
SUBMITTED BY:
ACCEPTED BY:
G~
GEO .E TOS ROOFING, INC.
CCC029579 DATE
DATE
"0 -1<1-0-,
Pasco County Parcel: 03-26-21-0010-12800-0000001
Page 1 of2
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
other Parcel Cards: 1 I .z I .3
Other Agency Data: Tax Collector School Board Supervisor of E-.Lections
Data Current as Of:
Parcel ID
Classification
Weekly Archive - Friday, October 26, 2007
03-26-21-0010-12800-0000 (Card: 001 of 003)
14 - Supermarket
Mailing Address
GALL BOULEVARD LAND TRUST
SARAVANOS GUS &
KOUTROUMANIS DEAN CO-TRUSTEES
350 HARBOR PASSAGE
CLEARWATER, FL 337671811
~hY~I~ilLAd_dr.e~~-,=_Se.e.__AIL3_~ddre~$_e.~ (First Shown)
6020 GALL BLVD
ZEPHYRHILLS, FL 33542-2543
Le9al Description (First 4 Lines)
ZEPHYRHILLS COLONY CO LANDS
PB 1 PG 55 THAT PART OF TRACTS
113 & 128 LYING EAST OF US 301
DESC AS COM AT SE COR OF SECT-
Land Detail (Card: 001 of 003)
T
AC
Assessment (totals)
Ag Land
Land
Building
Extra Features
$0
$605,500
$297,081
$50,967
Total Assessment
Save Our Homes
$953,548
$0
Taxable Value
$953,548
Line
Use
ion I Value I
1.00 I $605,500 I
1
1400
Additional Land Information
FEMA Code CDlcommerical Codel
Buildin9 Information - Use 14 - Grocery Store, Market (Card: 001 of 003)
Year Built 1959 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco
Roof Structure Rigid Frame w/Bar Joist Roof Cover Built-Up Tar and Gravel
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Packaged Roof Top Baths 2.0
Line
1
2
3
Description
FST
BAS
CAN
Sq. Feet
800
9,435
712
Repl. Cost New
$18,944
$446,842
$10,135
Line
1
2
3
4
Extra Features (Card: 001 of 003)
Year Units
PAV ASP
SPRNKFP
UGHTSM
LIGHTTM
1984
1984
1984
1984
Sales History
Previous Owner
Year
1997
1992
Month
02
06
Book/Page
3707 / 0186
3037 / 1026
111,651
10,235
3
2
Value
$22,609
$7,676
$1,913
$1,590
Amount
$0
$0
http://appraiser.pascogov.com/search/parce1.aspx?sec=03&twn=26&mg=21 &sbb=OOl O&b... 11/1/2007
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MIAM'- .
_iliii#
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVJSlON
NOTICE OF ACCEPTANCE (NOA)
Certain Teed Corporation (PA)
1400 Union Meeting R,oad,"P.O. Box 1100
Blue Bell, PA 19422
MIAMI-DADE COUNTY, FLQR.1J)A
MElRQ-DAllE FLAGLER. BUIlDING
140 WEST FLAGLER IsnulolU" surrE 1613
. ~n MIAMI. FLORIDA 33130-1563
O~ ~~ 1 FAX (305) 375-2908
SCOPE:
This NOA is being issued under the applicable roles and regulations governing the use of co~ction: materials.
The documentation submitted bas been reviewed by the BCCO and accepted by the Building Code and Product
Review Conunittee to be used in Miami Dade County and other areas where allowed by the. Authority Having
Jurisdiction (AHJ).
This NOA shall not be valid' after the expiIation date stated below. The BCCO (In Miami Dade County) mOlor the
AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality
assurance ptilposcs. If this product or material Wls to perform. in the accepted manner. the manufacturer will incur
the expen.sc of such teSting and the AHJ may immediately revoke, modify. ()l' suspend the use of such product or
material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO
that this product or material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and bas been designed to comply with the FlOrida Building Code,
including the High Velocity Hurricane Zone.
DESCRIPTIO~eed"lftodiliedBitmDeB Roofing:Systems.01rer Steel Decks
LABELING: Each unit shall bear a p~ent label with the manufacturer's name OT logo. city. state ~d
fOllowing statement: "Miami-Dade County Product Control Approved" , unless otherwise noted herein.
.RENEW AL of this NOA shall be considered after a renewal application has been filed and there bas been no
change in the applicable building code negatively affecting the performance of this product.
TERMiNA'lION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertiSing or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause fOT tennination and removal of NOA.
ADVERTISEMENT: 'The NOA number preceded by the words Miami-Dade County. Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed. then it shall
be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building OfficiaL
O~~~ N~
~~:.. i.1 \ \l~~1
~'(e:
~
This NOA revises NOA#02-1003.02 and consists of pages 1 through 30.
The submitted documentation was reviewed by Frank Zuloaga, RRC
8
OANo.: 0~.01
lion Date: 01102108
roftl Date: 0SI0fiI04
~lof30
ROOFING AssEMBLY APPROVAL
Cate2orv:
Sub-Cate2:orv:
Deck Tvpe:
Muimu:m Desio,Pressure
Fire Oassification:
Roofing
. APPISBS Modified Bitumen
Steei
-120 psf
See General Limitation #1 .
TRADE NAMES OF PRODUCTS'MANUFAcruRED OR LABELED' BY APPLICANT:
TABLE 1
ProduCt
All ~eather1EInpireBase
Sheet
F1eXiGlas:rM Base Sheet
FlCxiGlasnlFR Base
Sheet
~as@ Ply Sheet Type
IV or-VI
Flintlastic STA
Flintlastic STA Plus 5.0
Flintlastic GT A. GTA-FR
or Flintlastic Diamond
GTA
Flintlastic GTS
FfmtIastic GMS/OMS
Premium
Flintlastic FR-PIFR-P
Premium
8
. . Test .. Product
~ Suedfication Descriuuon
36" x 72'; Roll ASTM D 2626 Asphalt coated. organic base sheet.
weight 861bs.' UL Type IS.
(2 squares)
36"'x 108'; R~ll UL Type G2 Modified Bitumen. coated fiberglass base
weight: 90 Ibs_ ASTM D shed..
(3 squares) .. 4601, type n
393/B" x 50'; Roll UL Type-G2 Modified Bimmen. coated fiberglass base'
weight: 90 Ibs. ASTM D sheet.
(15 squares) 4601. type n
36" x 180'; Roll ASTM D 2178 Fiberglass. asphalt impre~ated ply sheeL
weight: 40/55 lbs. Type IV or VI
(5 squares) UL Type 01 . .
393-/8" x 33'; Roll ASTM D 5147 Smooth surfaced, APP Modified Bitumen
weight: 90 Ibs. membrane with non-woven polyester mat
(I square) _ reinforcement for torch application.
393/8" x 33'; Roll ASTM D 5147. Smooth surfaced, APP Modified Bitumen
weight: 95Ibs. . ~ with non-woven polyester mat
(1 square) . reinforcement for torch application.
393/8" x 33' 3"; ASTM D Si47 Granule smfaced, APP Modified Bitumen
. Roll weight: 105 membrane with non-woven polyester mat
Ibs. reinforcement for toch application.
(1 square}
39 3/B" x 24'9";
Roll weight: 92
Ibs.
(% square)
39 %" x 34' 2";
Roll weight:
lOOl1051bs.
- (1 square)
393/8" x 34' 2";
Roll weight:. 105
Ibs. .
( 1 square)
ASlM D 5147 Granule swfaced, SB~ Modified Bitumen
membrane with non-woven polyester mat
reinforcement for torch application.
ASlM D 5147 Granule surfaced SBS Modified Bitumen
membrane with non-woven polyester mat
reinforcement for mop application.
ASTM D 5147 Fire resistant, granule surfaced SBS
Modified Bitumen Membrane with non-
woven polyester mat reinforcement for
mop application.
NOA No.: 03-0S27 .01
Expiration Date: 01J02lO8
Approval Date: 05106104
Page 2 of 30
Product
Flindastic FR Cap
Plexiglas Premium Cap .
960
Gla,sBase™ Base Sheet
Poly SMS Base Sheet
Ultra Poly SMS Base
Sheet
\
Y osemite@ Mineral
Surfaced Cap Sheet
Stormsbield
Flinm1as@.M'meral
Surfaced Cap Sheet
Dimensions
39 3/s" X 34' 2";
Roll weight: 90
Ibs.
(1 square)
36" x 38"
(1 square) .
36" x 108'; Roll
weight 69 Ibs.
(3 squares)
39 3/a" x 64' 4";
Roll weight: 90
lbs.
(2 squares)
393/&" x 32' 10";
Roll weight: 90
Ibs.
(1 square)
36" x 36'; Roll
weight: 90 lbs.
(1 square)
36" x 75'; Roll
weight 75 Ibs.
(2.25 squares)
36" X 36';.Roll
Weight 78lbs.
(l square)
APPROVED INSULATIONS:
Product Name
FlintBoard ISO
PYROX
ACFoam I. II
ISO 95+
ISO 95+ Composite
..
Test Product
Suecilication Descriution
ASTM D 5147 Fire resistant, granule surfaced SBS
Modified Bitumen membrane with
fiberglass mat reinforcement, for mop
applications. .
ASTM D Granule suifaced SBS Modified Bitumen
6163, Grade mctDbrane with fiberglass. ~
G, Type I reinforcement for mop application. '
ASTM D 4601 Asphalt coated, fiberglass base sheet.
UL Type 02
ASTM D 5147 Modified Bitumen, c~ted Polyester base
sheet. .
ASTM D 5147 Modified Bitumen, coated polyester base
sheet
ASTM D 249 Mineral Surfaced organic cap and buffer
tn.. Type 30 sheet.
PA 103 Slag surfaced SBS Modified Bitumen
ASTM D 1979 sheet with fiberglass reinforcement for
peel imd stick applicati~.
ASTM D 3909 Asphalt impregnated and coated
inorganic glass ~ber surfaced with
mineral granules used as the top ply in
conventional built-up roof membranes.
TABLE 2
Product Description
Manufacturer .
(With Current NOA)
CertainTeed
Apache Products Co.
Atlas Energy Products
Firestone Building
Products, Ine.
FiIestone Building
Products. Inc.
Polyisocyanurate foam insulation
Polyisocyanurate foam insulation
Polyisocyanura.te foam insulation
Polyisocyanurate foam insulation
polyisocyanumtelperlite ridged inSulation
Wood Fiber
High Density Wood Fiberboard
Wood fiber insulation board
Wood fiber insulation board
generic
generic
8
NOA No..: 03-0817.01
Expiration Date: 01J02lO8
Approval,Date: 0SI06I04
Page 3 of30
APPROVED INSULATIONS:
Product Name
TABLE 2
Product Description
Manufacturer
(With Currmt NOA)
generic
G-P Gypsum Corp. .
Johns Manville
Perlite Insulation
Dens Deck
ENRGY -2, ENRGY -3. Plus.
IDttaGard Gold; PSI-25
FiberGlass Roof Insulation
Perlite insulation board -
Warer resistant gypsum board
polyisocyanurate foam insulation
Glass fiber/Mineral fiber insulation
Johns Manville
Structodek
Paroc Base Board
Parric Cap Board
Multi-Max. FA
APPROVED FASTENERS:
Expand~ mineral fiber insl:Jlati.on
PolyisocYaiuuate fom;./ rockwool
composite insulation ,
W cod-fiber insulation l;Kmd
Rockwool insulation
Johns Manville
Pesce Board
ISORce
Johns Manville
Masonite.
Partek. Inc.
PolyisooyanuIate foam insulation
Rmax. Inc.
TABLE 3
Fastener Product Product Manufacturer
. Number Name Description DhnensioDS (With Current NOA)
1. #12  Dekfast Insulation fastener Coosb:11Ction Fasteners. Inc.
Fastener
2. Dekfast Hex Plate Galvalume AZSO steel plate 27/8" X 3 1,4" Construction Fasteners, Inc.
3. #12 &. #14 Roofgrip Insulation fastener for wpod ITW Buildex Corp.
Fasteners and steel. . .
4. Metal Plate Galvalume stress plate. 3" round rrw Buildex Corp.
3" square
5. 4ilJ....,re iF~12 Insulation fastener Olympic Manufacturing
& #14 Group. Inc.
6. Olympic Standard Galvalume AZ50 steel plate 3" round Olympic Manufactming
Group. Inc.
7. Insul-Fin Fastener Insulation fastener for steel SFS Stadler, Inc.
and wood decks
8. Insul-Fixx S Plate Galvalume AZ50 steel plate 3" round SFS Stadler, Inc.
9. TI1l-Fast lID Insulation fastener for wood The Tro-Fast Corp.
and steel decks
& NOA No.: 03-0827.01
Expiration Date: 01102108
Approval Date: 05106104
Page 4 of 30
h
APPROVED FASTENERS:
Fastener Product
Number 1'Iame
10. Tru-Fast MP-3
TABLE 3
Product
Description Dimeusions
Galvalume AZ50 steel plate 3" ro~d
Manufacturer
(With ~t NOA)
The Tru-Fast Corp.
11. Tru-Fast 2.4" Barbed
Seam Plates
Galvalwne AZSO steel plate 2.4" round
The Tru-Fast Corp-
'EVIDENCE SUBMl'lTED:
Test A2encvlIdentifier Name Reoort Date
Factory Mutual Research Corp. PA 114 J.I. #3Y8A1.AM " 03123196' ,
(FMRC 4470)
Underwriters Laboratories, Inc. rue Oassification R11656 00/13187
\ "Compliance
Exterior Research & Design, Inc. TAS 114 3513.08.02 08115102
TAS 117 3515.00.03 CTl/2'l103
8
NOA No..: 03-0S27.o1
Expiration Date: 01I01J08
Approval Date: 0SJ06I04
Page 5 of 30
Membrane Type: SBS MODIFIED
Deck Type 21: S~l. Insulated
Deck Description: '18-22 ga. steel
System Type C(Z): All layers of insulation simultaneously attached
All General and System Limita~ODS apply.
One or moreJayers of any of the following insulations.
(Optional) Base.lDsulation Layer.
Insulation Fasteners
(Table 3)
Fastener
'])eDSitylff
Apache Pyrox
MiDimum.l.3"-tbiek. N1A N1A
ACFoam-ll, tntraGard Gold, tntraGanlP1anier, IsotJaerm It, ENJ.,lGY-2, ENRGY-3, PSI-2S,
nmm~m~O .
Minimum l.5"tbick N/A N1A
F"dJerglas
Minimum 15/16" tbi~ . N/A N1A
Perlite
Minimum 0/;' thick N1A N/A
IDgh DeDsity Wood Fiberboard
. MiDimum Vi'-thick N/A N1A
Dens-Deek
Mi.,;nllllll V4". thick N/A NJA
Note: All layers shaD be simultaneously fastened; see top layer below for fasteners and density.
. Top InsulatioD Layer
Insulation Fasteners
(Table 3)
Fastener
Density/fr
High Density Wood Fiberboard
Minimum 'Ii' thick -
1, 5, 7 or 9
1:2 ftz
Perlite
Minimum 0/1' thick 1, S, 7 or 9 1:2 ft2
Dens-Deck
Minimum VJ' thick ,1, 5, 7 or 9 1:2 ft2
Note: AD layers of insulation shaD be mechanically attached using the fastener density listed above.
The insolation panels li~ are minimum sizes and dimensions; jf larger panels are used, the
number of fastenerS shall be increased maintaining the same fastener density. IDSUlation fasteners
shan be tested for withdrawal resistance in complia_e with Testing Application Standard TAS 105
to contino comp1iRn~ with ~e wind load requirements. Please refer to :Roofing App6catioD
Standard RAS 117 for insulation attachment.
8
NOA No.: 03-0827.01
Expiration Date; 01102108
Appro"al Dale: 0SI06I04
Page 16 of 30
. Base'Sheet:
. Ply Sheet:
Membrane:
Surfacing:
\
Maximum Design
Pressure:
8
"
.. .
E>ne ply of GlasBase. ~ Flexiglas FR Base. Poly SMS. Ultra. Poly
SMS. Flintglas Ply Sheet (Type IV) or FlintglasPremiiun Ply Sheet (Type VI)
adhC;fed to the insulated substrate with approved mopping asphalt applied within
the EVT range and at a rate of 20-40 IbsJsq.
(Optional) One ply of GlasBase. Plexiglas Base. Plexiglas FR Base. Poly SMS,
Ultra poly SMS or one or more plies of FIintglas Ply Sheet (Type IV) orFfimgJas
Ftemium-Pfy Slleel (Type VI) adhered with ~pproved mopping asphalt.applied
within the EVT rcmge and at a rate of 20-40 IbsJsq. .
€me-ply of Flintlastic GMS. Flintlastic Premium OMS. Flintlastic FR.-P. FIintIastic
Premium FR-p. Ultra Poly' sMS, Plexiglas Premium Cap 960. Flintlastic FR Cap
or Flintglas Mineral Surfaced Cap Sheet adhered to'base or ply sheet ~ith
approved mopping asphalt applied within the EVT nmge and at ~ rate of 20 to 4d
Ibs./sq. or Plintlastic GTS torch adhered to base or ply sheet
(Optional) Install one of the following: .
1. 400 Ib./sq. gravel or 300 lb.lsq. slag in a flood coat of approved mopping
asphalt at an application rate of 60 IbJsq..
2. Kamak97. FlintCOat A-ISO. APOC 212 Fibrated Aluminum. Henry 520
Aluminum or Gnmdy .AI. MB at an application rate of l~ galJsq.. .or APOC
Sunbrite at an application rate of 3 galJsq.
-52.5 psf See General Limitation #9
NOA No.: 03-0S27.01
Expiration Date: 01J02lO8
Approval Date: 0SI0iI04
Pagel70f30
GENERAL LIMITATIONS:
1. Fire classifir.arion is not part of this acceptance. refer to a current Approved Roofing Materials
Directory for fire ratings of.this product.
2. Insulation may be"insralled in multiple layers.. The first layer Sball be attached in compliance with
Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved
asphalt applied within the EVT range and at a rate of 20-40 lbsJsq., or mechanically attached using.
- the fastmj'l'lg pattern of the top layer .
3. All standard panel $izes"are . acceptable for mechaniCal attachment. When applied in approved
asphalt. panel size shall be 4' X 4' maximum.
4. An overlay' and/or recovery board insulation panel is required on all applications over closed cell
foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet
shall be applied using spot mopping with approved' ~haIt, 12" diameter circles. 24" o.c.; or strip
mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a
"continuous area of ventilation. Encircling of the strips is nQl: acceptable. A 6" break shall be placed
every 12' in eacb n"bbon to allow cross ventilation. Asp~t application of either system. shall be at a
-minimum rate of 12lbsJsq. Note: Spot attad1ed syStems shaD be 6mited to a .....umuDl design
. Pl'-=-u.... of ~ psf. . .
5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of
275 lbf., as tested in compliance with Testing AppliCation Staniiard TAS 105. If the fastener value,
, as ticld-tested, are. below Zl5 lbf. insulation attachment shall not be acceptable.
6. Fastener spacing for mechanical attachment of anchoiibase sheet or membrane attachment is based on
a JTrinimnm fas~ IeSistance value in conjunction with the maximum design value ~ within a
specific system. Should the fastener resistance be less ~ that required. as ~etermined by the
Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida registered
Professional Engineer. Registered An:hiti:ct, or Registered Roof Ccmsultant may be submitted. Said
revised fastener spacing shall utilize the withdrawal resistaricc value taken :from Testing Application
Standards TAS 105 and.calculations in compliance with Roofing Application Standard RAS 117.
7. Perimeter and comer areas shall comply with the enhanced uplift pressure requirements of these
areas. Fastener densities shall be increased for both insulation and base sheet as calculated in
compliance with Roofing Application Standard RAS' 117. Calculations prepared, signed and sealed
by a Florida registered Professional Engineer, Registered ArchiteCt, or Registered Roof Consultant
(When this limitation is specilieally referred within 1bis NOA, GeDeral Limitation #9 will not be
appDeable.)' -
8. All attachment and siziIig of perimeter nailers. metal profile, and/or flashing terinination designs shall
confamJ. with Roofing Application Standard RAS III and applicable wind load requirements.
9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e.
field. perimeters. and comers). Neither rational analysis. nor extrapolation shall be pennitted for
f';11hanN'!d fastening at enhanced pressure zones (i.e. perimeters, extended comers and comers).
(When this limitation is specifically referred within this NOA, General Limitation #7 will Dot be
appDcable.)
10. All products listed herein shall- have a quality assurance audit in accordance with the Florida Building
Code and Rule 9B-72 of the Florida Administrative Code.
END OF THIS ACCEPTANCE
8
NOA No.: 03-0827.01
Expiration Date: 01J02lO8
Approval Date: 05106104
Page 30 of 30 .
..
", TECHNICAL INFORMATION SHEET 11~~~
~we$to.e
BUIlDING PRODUCTS COMPANY
.
..
.
Insulation Attachment Patterns
The diagrams below show the required patterns for
proper placement of approved fasteners and plates for
insulation on Firestone Roofing Systems. These
fastening patterns apply to the following flat or tapered
insulations:
The most common fastener density and pattern
requirements are shoWl'l on this technical information
sheet. For non-standard fastener densities, contact the
Technical Department at Firestone Building Products
Certain specifications may call for increased densities of
fasteners in the perimeters and comers of roofs.
Minimum Number of Fasteners and Plates:
For Mechanicallv Fastened Systems
Insulation
All Approved
IS:;) 9000 10 No.: S723-f'RO-{)75
Thickness
4'x4'4'x8'
Boards Boards
All Approved
4
5
1
1
I~
o ~
--
J
1
...
~12"~rr
o TO LI
I--...-j--I ...
0101
o
o
o
o
Minimum Number of Fasteners and Plates:
For Non-Mechanicallv Fastened Systems
4'x4' 4' x8'
Insulation Thickness Boards Boards
Firestone ISO 95+ . 0.5"-1.4" 8 16
1.5"-1.9" 6 12
2" or Greater 4 8
Firestone ISO 300 1" or Greater 8 16
Firestone RetroGard 0.5" 8 16
Firestone Composites 1.5" or Greater 8 16
Firestone FiberTop 0.5"-1" 8 16
DensDeck@ 1/4" and 318"
EPDM,TPO.PVC 0.25"-.375" 8 16
Asphalt Systems 0.25"-.375" 6 12
DensDeck Prime@ 1/4" and 3/8"
EPDM. TPO. PVC 0.25"-.375" 6 12
Asphalt Systems 0.25"-.375" 4 8
o 0
lr.r 1r r j
r 0 ~tl
r 0 ~
f---------l
Comers (9)
o 0
-- ------j
f---...----1
Perimeters (8)
Field (5)
~.r~
I"'~
to 0 Fl
... ".. ...
10 0 II
i"'l!j
on
oll
1 0
...
1 :
I-- ...----J
1:
...
l 0 : 0
o 0
ii f---...---I
1 : f:
... r 0
1:
I---------J
.r
o TO
1-'" ---j-i
...
10
...
1
o
o
o
o
o
o
o
..
'""
. TECHNICAL INFORMATION SHEET 11~~~
'.......
1"0
... 0
Field (8)
Pen meters (12)
~"'" -'
Comers (14)
r
...
1:
r2A"~
to 0 Ll
1~ I I
o~
~ i2A"ld
o 0 0 ~
f-n+'2"+12" i I
o "0 0 DC'
'8"
o 0 0 8"
r~~
I 0 ~~~ 0 ~
10I~ 0..
r: : ::
1---"'---1
o
I
...
1 :
I
.------1
o
o
o
o 0
o
a
o
o
a
...---j
Field (12)
Perimeters (18)
Comers (21)
a
1"'=:1-
1l
'2" 0
or 2.-
2A"0 J.
oL J~ J
..Ja
2A"
I~
0 0 J-o fl
~12"TI'"
aTo
a '2" 0 t...
01.0 tJ
0 0 0
[ 0 0 0
0 0
0 0
0 0
0 0 0
....----j
Pelimeters (24)
12" 12" '2" 8"
I I I
I 12"
0 0 0 0
12"
0 0 0 0
12"
0 0 0 0
1-12"+'2"+12"_ 12"
... 0 0 0
1 12"
0 0 0 0
12"
0 0 0 0
12"
0 0 0 0
12"
j-----....---i
12" '2" 12" ..
I I
1 0 0 0 0 ~-
0 0 0 0
0 0 0 0
0 0 0 0
...
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
C' ------1
Comers (32)
Fj~ Building Products Company
A OMsion of BFS Di..-sIfied Products, LLC
310 E. 96'" Sb'B8~ Indianapolis, IN 46240
Sales: (800) 428-4442 . Technical (800) 428-4511
_.-..etIpco.axn
rr 1r_ 12" ~
I I I I I
~
o
H:
...
g : : ~
\-----<8"------1
aTo
'8"
otO
'8"0
010
a a
o
o 0
r--....--j
Field (16)
Comers (28)
I~--;J
~:..+: fl....
o oar
oLJ
1 :
...
[ : c
I
o
o
o
o
o
o
o
....----1
Field (18)
Perimeters (27)
This sheet is munt only 10 highlight RI8ll1Dne's pnxlucIs and specification&. In/annation is 1lUbjecI1o cIwIge without notice.
FIles1Dne takas ruponoibillty forfumishilg quality matBliaIs. which meet F_'s puIlI8hed pnxIuct~.
As neither Flrestone _ nor Its rep_ pradlce archlt8clur8, Flr881llne aflen<no opinion on, and ~ disdalm
any responsibility for the ~ of any _ on which Its products IIl8y be applied. If ~ 8ri... 8S1o the
9OU1dn8ss of 8 struclUnl, or Its 8bIIIty 10 oupport a pIln1ed _ prapsriy, the Ownsr _ _ opinions of
campel8nt _,. engineens _ procsedfng. R__ sc:cepta no leulty for any _, fBiIu... ...for
msuttalll Oamllll"S. and no R_ Ropo_,tati_ls~ 10 ""'Y this _imer.
ISOSOOO 10 Na.: S~
'------"
,----'
Lie # eee 029579
GEORGE KONTOS RQOFING, INC.
P.O. BOX 547.
TARPON SPRINGS, FL 34688-0547
FAX 937-6017
938-6900
934-9451
BONDED / INSURED
PROPOSAL & CONTRACT
GALL BOULEVARD LAND TRUST Date: 10/19/07
ANTHONY SARAVANOS
350 HARBOR PASSAGE
Clearwater,F1a. 33767 Telephone:643-8922
Job Address: Zephryhills shopping plaza 6020,6030,6038 Gall Blvd.
We are pleased to submit the following proposal for labor & material as necessary to complete the
following:FLA T DECK REROOF
..
10(
SCOPE OF WORK: Certainteed specification GMS-C-B3
Remove existing built up roofing and insulation to steel decking.
Over existing steel decking install one(l) layer of I" isocyranurate rigid board'~sulation
And.one(l) layer of~" dens deck rigid board insulation with approved fasteners and plates.
Install with hot asphalt one(l) layer offlexiglass fiberglass base sheet over which mop with hot
asphalt, one (1) ply of type VI fiberlgass felt. Over entire felts install with hot asphalt one(1) layer
of modified bitumen granulated membrane. Granulate all seams.
Install new modified bitumen membrane at walls with fibered cant strip ,extend up and over
parapet as required.
Install new 26 ga. galv. eave drip, coping cap around perimeter.
Demo six alc and/or chiller units non working and haul off.
Demo existing curb openings, attach new steel decking to fill opening.
Dem0existing steel beam assembly and electrical panel not in use and haul off.
Demo 15 pitch pans not in use .
Reflash all remaining existing curb units with new modified membrane flashing.
Demo existing scupper boxes @ reat' of bldg and install new. Install tapered cricket panels to
provide slope to scupper openings.
Provide manufacturers 15 year No Dollar Limit Warranty, labor and materials
AlC, Electrical disconnect & reconnects by other at owners expense.
W~A.RR~~T~-: C~~~teed marlUia~~rers15'ye~rN~dclla;Limitb~~dfr(;"m-manufacturer
P A Ylv1ENT: Draw schedule provided upon contract signing.
ACCEPTED: The above prices specifications and conditions are hereby
accepted. You are authorized to do the work as specified. The above
contract is based on SF NET. (See reverse side).
Payments will be made as outlined above.
this proposal is valid for Days.
LABOR & MATERIAL $
ALTERNATE #1 $
ALTERNATE #2 $
\ro;ooo,oo
SUBMITTED BY:
ACCEPTED BY:
/~~
'-- -::l-, .. t .
. GEO _E TOS ROOFING, INC.
CCC029579 DATE
DATE
" 0 - t<=\ - 0-,
.,
.
MIAM"-
_iiiII'
BUILDING CODE COMPLIANCE OrnCE (BCCO)
PRODUCT CONTROL DMSION
NOTICE OF ACCEPfANCE (NOA)
Certain Teed Corporation (P A)
1400 Union Meeting Road,"P.O. Box 1100
Blue BeD, PA 19422
MIAMI-DADE COUNTY, FLORIDA
METRO-DADE FLAGLER BUILDING
140 WEST FLAGLER STltEln', SUITE 1613
MIAMI, FLORIDA 33130-1563
(305) 37S~~1 FAX (305) 375-2908
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of Con~truCtiOll' materials.
The documentation submitted has been reviewed by the Beco and accepted by the Building Code and Product
Review Committee to be used in M'Jami Dade County and other areas where allowed by the. Authority Having
Jurisdiction (AID).
This NOA sball not be valid' after the expiration date stated below. The Deco (In Miami Dade County) an(Vor the
AID (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality
asst.Uance ptiIposeS. If this product or material fails to perform in the accepted manner. the manufacturer wiD incur
the expel\se of such testing and the AHJ may immediately revoke. modify. or suspend the use of such product or
material ~ithin their jurisdiction. Beco reserves the right to revoke this acceptance. if it is determined by BCCO
that this product or material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the FlOrida Building Code.
including the High Velocity Hurricane Zone.
DESCRIPrION: CertaiDTftd MocBfted BitmneB RoofiBg Systems Over Steel Dedm
LABELING: Each unit shall bear a pennanent label with the manufacturer's name or logo, city, state and
following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the peIformance of this product.
TERMINA TION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
pr<XIuct, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for tennination and removal of NOA.
ADVERTISEMENT: The NOA number preceded. by the words Miami-Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA#02-1003.02 and consists of pages 1 through 30.
The submitted documentation was reviewed by Frank Zuloaga, RRC
l' ~_:_ 1,',:::i;\;~ SH!\LL COViPLY \VJTH ALL
FRE.V COD.ES. FLORIDA BDILor,,:'.)
CO NAL ELECTRlC CODE AN~)
CIT IYRHILLS ORDINANCES
REVIEW DA.:rE ~ ~'::..w:
CITY OF ZEPH RHI"~. :qJ Dale: 0SI06I04
PLANS EXAMiNER . Page 1 of 30
RooFING ASSEMBLY ApPROVAL
Cate2orv:
~ub.Cateeorv:
Deck Type:
Maximum Desio Pressure
Fire Oassification:
Roofing
APP/SBS Modified Bitumen
Steei
-120 psf
See General Limitation #1
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED'BY ApPLICANT:
TABLE 1
DimensIous
36" x 72'~ Roll
weight: 861bs.
(~ squares)
36" x 108'; Roll UL Type G2 Modified Bitumen, coated fiberglass base
weight: 90 Ibs. ~TM D shed.
"
(3 squares) 4601, type n
393/8" x 50'; Roll UL Type.G2 Modified Bitumen, coated fiberglass base'
weight: 90 lbs. ASTM D sheet.
(1.5 squares) 4601, type n
FlintgJast) Ply Sheet Type 36" x 180'; Roll ASTM D 2178 Fiberglass, asphalt impre~ated ply sheet.
IV or VI weight: 40155 lbs. Type IV or VI
(5 squares) UL Type 01 . .
39 3/8" x 33'; Roll ASTM D 5147 Smooth surfaced, APP Modified Bitumen
weight: 90 Ibs. membrane with nOll-woven polyester mat
(1 square) reinforcement for torch application.
Flintlastic ST A Plus 5.0 393/8" x 33'; Roll ASTM D 5147. Smooth surfaced, APP Modified Bitumen
weight: 95 Ibs. . me:mbnu;ae with non-woven polyester mat
(l square) . reinforcement for torch application.
393/8" x 33' 3"; ASTM D Si47 Granule surfaced, APP Modified Bitumen
. Roll weight: 105 membrane with non-woven polyester mat
Ibs. reinforcement for toch application.
(1 square)
393/8" x 24'9";
Ron weight: 92
lbs.
(~ square)
39 3/s" x 34' 2";
Roll weight:
1001105 lbs.
(1 square)
39 3/s" x 34' 2";
Roll weight: 105
Ibs. .
(1 square)
ProduCt
All WeatherJEmpire Base
Sheet
FleiiGlu'DC Base Sheet
FleixiGlas'DC FR Base
, Sheet
FlintIastic ST A
Flintlastic GT A, GT A-FR
or FlintIastic Diamond
GTA
Flintlastic OTS
FlintIastic GMSIGMS
Premium
FlintIastic FR-PIFR-P
Premium
.
Test ., Produd
Suedfic:ation DeseriDtion
ASTM D 2626 Asphalt coated, organic base sheet.
UL Type 15.
ASTM D 5147 Granule surfaced, SBS Modified Bitumen
membrane with non-woven polyester mat
reinforcement for torch application.
ASTM D 5147 Granule surfaced SBS Modified Bitumen
membrane with non-woven polyester mat
reinforcement for mop application.
ASTM D 5147 Fire resistant, granule surfaced SBS
Modified Bitumen Membrane with non-
woven polyester mat reinforcement for
mop application.
NOA No.: 03-0827.01
Expiration Date: 01102108
Approval Date: 0SI06J04
Page 2 of 30
Product
Flintlastic FR Cap
Plexiglas Premium Cap ,
%0
GlasBase™ Base Sheet
Poly SMS Base Sheet
Ultra Poly SMS Base
Sheet
\
Y osemite@ Mineral
Surfaced Cap Sheet
Stormsbield
Flintglas@.Mineral
Surfaced Cap Sheet
Dimensions
39 3/8" x 34' 2";
Roll weight: 90
Ibs.
(1 square)
36" x 38"
(1 square)
36" x 108'; Roll
weight: 69 lbs.
(3 squares)
393/8" x 64' 4";
Roll weight: 90
lbs.
_ (2 squares)
393/." x 32' 10";
Roll weight: 90
lbs.
(1 square)
36" x 36'; Roll
weight: 90 Ibs.
(1 square)
36" x 75'; Roll
weight 75 lbs.
(2.25 squares)
36" X 36';. Roll
Weight: 78 Ibs.
(1 square)
APPROVED INSULATIONS:
Product Name
FlintBoard ISO
PYROX
ACFoam I. n
ISO 95+
ISO 95+ Composite
Wood Fiber
High Density Wood Fiberboard
I
I,
Test Product
Suedfication DescrlDtion
ASTM D 5147 Fire resistant. granule surfaced SBS
Modified Bitumen membrane with
fiberglass mat reinforcement. for mop
applications.
ASTM D Granule surfaced SBS Modified Bitmnen
6163. Grade metObrane with fiberglass. n.
G, Type I reinforcement for mop appiication.
ASTM D 460 1 Asphalt coated. fiberglass base sheet
UL Type 02
ASTM D 5147 Modified Bitumen. coated polyester base
sheet. '
ASTM D 5147 Modified Bitumen, coated polyester base
sheet.
ASTM D 249 Mineral Surfaced organic cap and buffer
ill.. Type 30 sheet.
P A 103 Slag swfaced SBS Modified Bitumen
ASTM D 1979 sheet with fiberglass reinforcement for
peel and stick applicatiOl!.
ASTM D 3909 Asphalt impregnated and coated
inorganic glass fiber surfaced with
mineral granules used as the top ply in
conventional built-up roof membranes.
TABLE 2
Product Description Manufacturer
(With C1trrent NOA)
Polyisocyanurate foam insulation CertainTeed
Polyisocyanurate foam insulation Apache Products Co.
Polyisocyanurate foam insulation Atlas Energy Products
Polyisocyanurate foam insulation Firestone Building
Products. Inc.
PolyisocyanurateJperlite ridged inSulation FIreStone Building
Products. Ine.
Wood fiber insulation board generic
Wood fiber insulation board generic
NOA No.: 03-0817.01
Expil'8tioD Date: 01J02lO8
Approval Date: 0SI86I04
Page 3 of 30
APPROVED INSULATIONS:
Product Name
TABLE 2
Product Description
Manufacturer
(With CurreBt NOA)
generic
G-P Gypswn Corp. .
Johns Manville
Perlite Insulation
Dens Deck
ENRGY -2, ENRGY -3, Plus,
IDtraOard Gold, PSI-25
FiberGlass Roof Insulation
.Perlite insulation board
Water resistant gypsu~ board
Polyisocyanurate foam insulation
Glass fiberlMineral fiber insulation
Johns Manville
Fesco Board
. ISORoc
Expand~ mineral fiber ins~on
Johns Manville
Johns Manville
Structodek
Paroc Base Board
ParoC Cap Board
Multi-Max, FA
..
PolyisocYaiuII3m foam I rockwool
composite insulation ,
Wood fiber insulation ~
Rockwool insulation
Masonite.
Partek, Inc.
Polyisooyanui'ate foam insulatl.on
Rmax, Inc.
APPROVED FASTENERS:
TABLE 3
Fastener Product Product Manufacturer
. Number Name Description DimeosiODS (With Current NOA)
1. #12 & #14 Dekfast Insulation fastener Construction Fasteners, Inc.
Fastener
2. Dekfast Hex Plate Galvalume AZ50 steel plate 27/8" X 3 ~" Construction Fasteners, Inc.
3. #12 & #14 Roofgrip Insulation fastener for wpod ITW Buildex Corp.
Fasteners and steel.
4. Metal Plate Galvalume stress plate. 3" round ITW Buildex Corp.
3" square
5. 91} ~ plla1llmQ- #12 Insulation fastener Olympic Manufacturing
 Group, Inc.
6. Olympic Standard Galvalume AZ50 steel plate 3" round Olympic Manufacturing
Group, Inc.
7. Insul-Fixx Fastener Insulation fastener for steel SFS Stadler, Inc.
and wood decks
8. Insul-Fixx S Plate Galvalume AZ50 steel plate 3" round SFS Stadler, Inc.
9. TI1l-Fast lID Insulation fastener for wood The TI1l-Fast Corp.
and steel decks
. NOA No.: 03-0827.01
Expiration Date: 01102108
ApproYaI Date: 05106I04
Page 4 or 30
"
APPROVED FASTENERS:
TABLE 3
FasteDer Product Product Manufacturer
Number Name Description Dimensions (Witll ~t NOA)
10. Tro-Fast MP-3 Galvalume AZ50 steel plate 3nro~nd The Tro-Fast Corp.
11. Tru-Fast 2.4" Barbed Galvalwne AZ50 steel plate 2.4" round The Tru-Fast Corp.
Seam Plates
'EVIDENCE SUBMI1TED:
Test A2enevlldentifier ~ Report Date
Factory Mutual Research Corp. PA 114 1.1. #3Y8A1.AM 03123196' ,
(FMRC 4470)
Underwriters Laboratories, Inc. Fire Classification RII656 07/13/87
\ Compliance
Exterior Research & Design, Inc. T AS 114 3513.08.02 08115102
T AS 117 3515.07.03 07/21103
.
NOA No.: 03-8827.01
Expiratioa Date: OllWJ08
ApproY81 Date: 0SJ06I04
Page S of 30
Membrane Type: SBS MODIFIED
Deck Type 21: S~I, Insulated
Deck Description: '18-22 ga. steel
System Type C(2): All layers of insulation simultaneously attached..
All General and System Limita~ apply.
One or more layers of any of the following insulations.
(Optional) Base losuIation Layer.
Apache Pyrox
ltfinimum.l.3't.thick N1A N/A
ACFoam-ll, UltraGard Gold, UltraGard PJemier, Isotherm a, ENR.GY-2, ENRGY-3, PSI-25,
ftntBoard ISO .
MiDimum 1.5" tbiek N/A N1A
Insulation Fasteners
(Table 3)
Fastener
DeDSitylff
FiJJerglas
Minimum 15/16" tbiek NlA N1A
PerBte
Minimum 0/;' thick NJA N/A
IDgh Density Wood Jiiberboard
. Minimum Yi'.tbiek N/A N1A
DeDs-Deek
Mi..mlDm Vi' thick N/A NJA
Note: All layers shaD be simultaDeOUsly fastened; see top layer below for fasteDers and density.
. Top Insulation Layer
High Deasity Wood Jiiberboard
Minimum %" thick
Insulation Fasteners
(Table 3)
Fastener
DeDsity~
1, 5, 7 or 9
1:2 ft2
Perlite
Minimum o/i' thick
1,5,7or9
1:2 ft2
Dens-Deek
Minimum Yi' thick 1, 5, 7 or 9 1:2 ft2
Note: Aft layers of insulation sIIall be mechanically attached using the fastener density listed above.
The insulation panels listed are minimum sizes and dimensions; if larger panels are used, the
number of fasteners shaD be increased maintaining the same fastener density. Insulation fasteners
shan be tested for withdrawal resistance in compliance with Testing AppUcation Standard TAS 105
to coofinn compliance with the wind load requirements. Please refer to Roofing App6catioD
Standard RAS 117 for insulation att-hment.
8
NOA No.: 03-0S27 .01
Expiration Date: 01101108
Approy.. Date: 0SI06I04
Page 16 of 30
. Base Sheet:
. Ply Sheet:
Membrane:
Surfacing:
\
Maximum Design
Pressure:
I
I,
. ,.
One ply of GlasBase, FIexigIas Rae, Plexiglas FR Base, Poly SMS, Ultra Poly
SMS, Flintglas Ply Sheet (Type IV) or Flintglas Premium Ply Sheet (Type VI)
adhered to the insulated substrate with approved mopping asphah applied witbin
the EVT range and at a rate of 20-40 IbsJsq.
(Optional) One ply of GlasBase, Plexiglas Base, Plexiglas FR Base, Poly SMS,
Ultra Poly SMS or one or more plies of Flintglas Ply Sheet (Type IV) or FtinIgIas
Piemium Ply Sheet (Type VI) adhered with approved mopping asphalt.applied
within the EVT range and at a rate of 20-40 IbsJsq. .
One ply of Flinllastic OMS, Flintlastic Premium OMS, Flintlastic FR.-P, Flintlastic
Premium FR.-P, Ultra Poly SMS, Flexiglas Premium Cap 960, Flintlastk FR Cap
or Flintglas Mineral Surfaced Cap Sheet adhered to base or ply sheet ~ith
approved mopping asphalt applied within the EVT range and at ~ rate of 20 to 40
lbs./sq. or Flintlastic GTS torch adhered to base or ply sheet
(Optional) Install one of the following: ,
1. 400 lb./sq. gravel or 300 lb./sq. slag in a flood coat of approved mopping
asphalt at an application rate of 60 IbJsq..
2. Karoak 97, FlintCoat A-ISO, APOC 212 Fibrated Aluminum, Henry 520
Aluminum or Grundy AL MB at an application rate of 1 ~ galJsq., ,or APOC
Sunbrite at an application rate of3 gaIJsq.
-52.5 psf See General Limitation #9
NOA. No.: 03-0S27.01
Expiratioll Date: 01102108
Approval Dele: 0SI06I04
Page 17 of 30
GENERAL LIMITATIONS:
1. Fire classificatioo is not part of this acceptance. refer to a current Approved Roofing Materials
Directory for fire ratings of. this product.
2. Insulation may be"instaIled in multiple layers. The tint layer shall be attached in compliance with
Product Control Approval guidelines. All other layers shall be adhered in a full1Jl()pping of approved
asphalt applied within the EVT range and at a rate of 20-40 Ibs./sq.. or mechanically attached using.
the fastening pattern of the top layer .
3. All standard panel $izes.are . acceptable for mechaniCal attachment. When applied in approved
aspbalt. panel size shall be 4' x 4' maxilDUIIl.
4. An overlay. and/or recovery board insulation panel is required on all applications over closed cell
foam insulations when the base sheet is fully mopped. Ii no recovery board is used the base sheet
shall be applied using spot mopping with approved' ~haIt., 12" diameter circles, 24" o.c.; or strip
mopped 8" ribbons in three rows, one at each sidelap md one down the center of the sheet allowing a
continuous 8Ie& of ventilation. Encircling of the strips is nqt acceptable. A 6" break shall be placed
every 12' in each ribbon to allow cross ventilation. AsP,haIt application of either system shall be at a
minimum nue of I2lbsJsq. Note: Spot attaclaed syStems shaD be 6mited to a JIIR,QmuDl design
. pl'eIIIIIft of ~ psf. ' .
5. Fasteoer spacing for insulation attachment is based on a Miniumm Characteristic Force (F) value of
275 lbf.. as tested in compliance with Testing AppliCation Standard TAS IOS. lithe fastener value,
. as field-tested, are below 'ITS lb!. insulation attachment shall not be acceptable.
6. Fastener spacing for mechanical attachment of anchoilbase sheet or membrane attachment is based on
a minimum fastener resistance value in coojunction with the maximum design value listed within a
specific system. Should the fastener resistance be less than that required. as ~etennined by the
Building Official, a revised fastener spacing. prepared, signed and sealed by a Florida registered
Professional Engineer. Registered Architect, or Registered Roof Consultant may be submitted. Said
revised fastener spacing shall utilize the withdrawal resistaJice value taken from Testing Application
Standards TAS 105 and.calculations in compliance with Roofing Application Standard RAS 117.
7. Perimeter and. comer areas shall comply with the enhanced uplift pressure requirements of these
areas. Fastener densities shall be increased for both insulation and base sheet as calculated in
compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed
by a Florida registered Professional Engineer, Registered ArchiteCt, or Registered Roof Consultant
(When this limitation is spedftcaDy referred within this NOA, General Limitation #9 will not be
appJieable.)
8. All attachment and sizing of perimeter nailers, metal profile. and/or flashing termination designs shall
conform with Roofing Application Standard RAS III and applicable wind load requirements.
9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e.
field, perimeters. and corners). Neither rational analysis, nor extrapolation shall be permitted for
enhanced fastening at enhanced pressure zones (i.e. perimeters, extended comers and comers).
(Wbea this limitation Is speeif'IC8Uy referred within this NOA, General limitation #7 wlll not be
applicable.)
10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building
Code and Rule 9B-72 of the Florida Administrative Code.
END OF THIS ACCEPTANCE
e
NOA No.: 03-0827.01
Expiration Date: 01102108
Approval Date: 05106I04
Page 30 of 30
. TECHNICAL INFORMATION SHEET 11~~~
"..estone
BUlLDlNO PRODUCTS COMPANY
Insulation Attachment Patterns
The diagrams below show the required patterns for
proper placement of approved fasteners and plates for
insulation on Firestone Roofing Systems. These
fastening patterns apply to the following flat or tapered
insulations:
The most common fastener density and pattern
requirements are shown on this technical information
sheet. For non-standard fastener densities, contact the
Technical Department at Firestone Building Products
Certain specifications may call for increased densities of
fasteners in the perimeters and comers of roofs.
Minimum Number of Fasteners and Plates:
For MechanicallY Fastened Systems
Insulation
Thickness
All Approved
4' x 4' 4' X 8'
~~
All Approved
4
5
Minimum Number of Fasteners and Plates:
For Non-Mechanicallv Fastened Systems
4' x4' 4'x8'
Insulation Thickness Boards Boards
Firestone ISO 95+ 0.5"-1.4" 8 16
1.5"-1.9" 6 12
2" or Greater 4 8
Firestone ISO 300 1" or Greater 8 16
Firestone RetroGard 0.5" 8 16
Firestone Composites 1.5" or Greater 8 16
Firestone FiberTop 0.5"-1" 8 16
DensDeck@ 1/4" and 318"
EPDM, TPO, PVC 0.25"-.375" 8 16
Asphalt Systems 0.25"-.375" 6 12
DensDeck Prlme@ 1/4" and 318"
EPDM, TPO, PVC 0.25"-.375" 6 12
Asphalt Systems 0.25"-.375" 4 8
r~ !-""--j l~ ,~ 1~ d
I
I 0 0 ~ I o~ q 1 000 f1
f-- "'. ....
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J 0 10
... ------------------------ ...
... 0 I j _{)__m_..{)mm_..{)__
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f--------- ... ----I f----... -------------1 f---...---j
Field (5) Perimeters (8) Comers (9)
I
...
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f----... --I
r24.~
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96'" ____n___n________~___.~_~__ kJ
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_:__10 J
o
o
ISO 9000 10 No.: S723-PRD-075
o
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f---....--I
..
TECHNICAL INFORMATION SHEET 11~~~
,
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Peri~eters (12)
Comers (14)
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Comers (21)
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o IT 0 I ....
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_________~____~_________n__
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Comers (28)
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Perimeters (27)
Comers (32)
This "'-l is meant only 10 highlight Fi-.e's products and spec;ifk:ations. Information is subjed 10 change wIlhout nollce.
F-.s tal<es1MpOl1Sibility forfurnisllinQ quality m_, which meet F-.s's publislled product spec;ifk:atjon.
As neither Firestone itseW nor its representatives practice erchi1Ilcture, Firestone oilers no opinion on, end expressly disclaim
any responsibility for the soundness of any structure on wIlidl its products may be applied. W qwsIIons arise as to the
soundness at a structure. or its ebiltty 10 support e planned ___ properly, the Owner should obtain opinions of
compelent structurel engineers before pnx:eedi11lJ. Filfttone eccepIa no Iiablltty for any structurel f8ilure or for
resuftant damages, and no Firestone Representatlw is authorized 10 V8fY this disclaimer.
ISO 9000 10 No.: S~PR0-075
FinIAone Building Product& Company
A Dillision of BFS Di_ Products, LLC
310 E. 96'" Street, Indianapolis, IN 46240
Sales: (800) 428-4442 . Technical (800) 428--4511
www.fireslDnebpoo.com
POWER OF ATTORNEY
That I, George Kontos has made, constituted and appointed and by these presents does
make, constitute and appoint Vasili Kontos lawful attorney for him in his name, place and
stead for the propose of registering his State of Florida Certified Roofing License # CC
029579 with any jurisdiction where it is so required, and do any and all things necessary
to apply, secure and receive permits on his behalf to authorize to make decisions,
requests, purchases and sign documents, etc. on his behalf.
,~~~~
George Kontos, Presiden
George Kontos Roofing, Inc.
\ 0'" Z? "61.
Date
STATE OF FLORIDA
COUNTY OF PINELLAS
Before me personally appeared George Kontos to me well known and known to me to be
the person described in and who executed the foregoing instrument for the proposed
therein expressed. .~
WITNESS my hand and official seal this ,z ? day of e,JC::r( ~ 20()7.
111111111111111111111I11111111111111111111111111111111111111
2007177580
Rcpt: 1137774 Rec: 10.00
DS: 0.00 IT: 0.00
10/24/07 __~ Dpty Clerk
NOTICE OF COMMENCEMENT
Permit No.
Tax poHoNo. O~.- 2<0'" '2 \ - <:::>0\0 -\"2.Boo- 0000
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 ofthe Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
I
r
l.Descriptionofproperty (legal description): 03 -2~ -~ \ - 00\ 0 - \'2800 -000 0
a) Street (job) Address: (o~7P,(Po"'2..0 (o~B (~~\A. &\J.o,-Z\:P~~\I.4.SjK. ?~S4"2.
2.Gencra1 description of improvements:
~w\tQ)f-
3 ,Owner Information .\ .
a) Name and address: C:,Au.. ~oo\..E\l~ L..P.t.lOT~srr , ~SO '"'~~ P~.~Ln\~/f1.
b) Name and address of fee simple titleholder (if other than owner) 'S ~1 (Pi
c) Interest in property t:::lUJ~$
4.Contractor Information
a) Name and address: ~~C~ ~TO$ ~~h3~\~'-'
b) Telephone No.: -, - 9 - 9 Fax No. (Opt.) ''2..'- 9 ?i- (gO("""]
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
./
/"
/'
a
.' .~
. , J... '..:;
Fax No. (Opt). JED PITT"AN~ PASCO COUNTY CLERK
10/24/07 01:5~m 1 of 1
OR BK 767rJ PG 806
Phone No.
7. Identity ofperson within thc State of Florida dcsignated by owncr upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.ln addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement(the expIntion date is one year from the date of reeonlillg unless a different date
is specified): tjO cliO)'>
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMM CEMENT.
/
/ i
\:l'S Apl40rized OfficcrJDirectorlPartnerfl1anager
'i\ ~f'CVc..."\oC /'Ol~-r~'
,
STATE OF FLORIDA
COUNTY OF PINELLAS
The foregoing instrument was acknowledged before me this Z + ~ of out d;;ec., , 2l:b1 . by A jJ \\b~i-
- ~ \.tOS as ~\ (type of authority, e.g. officer, trustee,
attorney in fact) for AI,).. LA f) lz,v \ (name of pa .
Personally Known / OR Produced Identification_
.., CWfMIS80N II 00453497
EU'liIlEli:
I._....,,~
.~-------
Type ofIdentification Produced
Name (print)
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of
the facts stated in it are true to the best of my knowledge and belief.
~
SignatureofNaturaJ Person S' .ng bove
e n:ad the foregoing and that
FORMSlNOC.rvs<I2007
10-24-2007 09:38 7279376017
PAGEl
.
George Kontos Roofing, Inc.
201 S.LevisAveDoe
.
::".'",,,.~,~.,~,.I~,r.p~~~~~ '.'U"'. ,..., ,".,".:"
:~~~~~~~~t1.~t~~~~:~i~~S~g;:f;i~;r::~:~:;~~!Z'?-':\'>,:,"~.'.. ;'~':"'"
facsimile transmittal
To: Permitting Fax: 813-780..0021
co. Zephyrhills HIgd. Dept. Date: 10/24/07
Re: Pages: y
. · cc: . . . . . . .
:. :....;'.,.
. ,
" 0....."
,:..: .....', ..;::.:.....
. .'
. . 0 For RBvi8w
o PleMeCcmment
o PIeMe Reply
D PleBe Recycle
,. : .j
.. ~l_ .... \
.. : ~.. '. ~ I..:'
No.: Please see attached Cert of Insurance &
u-;"'i c_.:,of~State License.
OUr company will be filing for a pennit for roof work.
The NOC, NOA's & Power of Attomey will be
accompanied with the pennit application itself.
Please process the Cert of Insur & State Lie to
expedite the pennit process.
Thank you...
Gary Stark
...................
10-24-2007 09:38
7279376017
PRGE2
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'llOClUCal
CERTIFICATE OF LIABILITY INSURANCE
1#125351 TlUCIAlI'ICATI.IUUID M AIlIATTIR OF ~lION
OlIILY MD~_ ND IIGHI'I UPON,.. ClfUIPh.AU
HOI.OI!R. TfII ClllllPlCATI DOD NOT MlND.IXnUID OR
AL COYIMCII POLICIIII!LOW.
'NIUMM oUJD__ CCM!IWJE MAlet
W1N1TON NCI! INC.
::ONDON MeEK
1211 COURT STREET
~LEARWATSR, FL 33758
:,..nkCIUm 1-800-217-1820
100 S MISSOURI AVENUE
;LEAftWATER Fl3375e
lIIaJR!ft II:
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IN8URIR D;
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TN( PQUQA Of _IUIICI! LII1'ID __1fMII_ __ TO.............MCMI,. TMI POI.JeV PUlClD IIDC&TID. tlCmIlm4lTMDIMI
MY _--..n'. 1I!ItII.. COIIDmON Qlt MY OGN'IIIMlTCW 0'I'NIIl ~WIIH ~TO lIMCIt TtII GeltWIOATt Illy...... OR
flAY"""'" 'hIIlNIUIl'WCIi~'" 'I'NI ~ DaaI'-O.....II...".'rOA&.L t1tI_ DOl UMIMI AND ClONGIftDNS MaucH
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"'US CERTIFICATE REMAINS IN EFFECT PROVIDeD Tt1E CUENr8 ACCOUNT IS IN ??oo STANDING WITH FrenlcCnm. COVERAGE
I NOT PROVIDED FOR ANY EMPLOYEE FOR WHICH THE CUENT IS NOT REPORTING HOUAS TO FrankCNm. COVERAGE 18 NOT
ROVIDED FOR STATUTORY EMPLOYEES OF THE CLIENT. EFFECT1VE 12102aD02, APPUES TO 100% OF THE EMPLOYEES OF
"'Crum lEASED TO GEORGE KONTOS RDOPING, INC. 7~".937.eo17
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GALL BOULEVARD LAND TRUST
CIO GUS SARAVONOS
8020 OAU.. RLVD
ZEPHYRHILLS, Fl 33542
~ I ~"ION
~Mr"lNE___'" __ POUCIIlIE-' -~"""""YlClN
tAft 'I"ItIMOP. ?MI.... _ WIU, IJlIlMVaft TO.... ...,. WIIIrTIJC N01Q
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10-24-2007 09:39
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AaJBJJ.. CERTIFICATE OF LIABILITY INSURANCE T QATe(MMIODlYVYVI
10i22/2007
PIIODUCl!ft TNI. CI!ItTlptIU~ It ISSUED AS A MAT'TER OF INFORMATION
PAUI. MaDISON DfSURANCE ii UJU, EST. ONL.Y At4g t;ONFEIU NO R1C1HT8 UPON THI CI!!"""tCATE ,
HO~gER. THI~OlCIImIllCATI DOIS NOT AMEND. EXTEND OR !
1'0 BOX 3646 ALTM TNI C WAAGE AFFOItDEO IV". POUCIII8 Il!l.OW. .
HOLIDAY, ~ 346iO i
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1727' 934-5751 INSURERS AFFORDING COV.RAGE NAICt :
INSURED aBoaR XON'1'OS ROOl'nlQ, me: . tNIUIl;R A: DNa'rAaa IMIUltANCE i
tNIUlIIA., wnmsoa %IISmtAMeE
PO BOX 547 Il\llVAliR c:
TARPON 9P1UNGB , I'L 34689 INSUREA l)-
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COV&RAG.'
THE POLICIES OF INSURANCE L.lmD BELOW HAVE IEEN ISSUED TO THE INIUQO /WAID AIOVi FOR THE POL.ICY PEAIOD INDICATED. NOTWfT1ot.TAt4CING 1
ANV REQUIREMENT. TERM OR CONomDN OF ANY CONTRACT OR OTHER DOCUMENT WITH "eSPICT TO WHICH THIS CERTIFICATE MAV IE ISsueD 0.. J
M4V PERTAIN, THE INSUAANCf! AFFORDED BV THI! POLICIES OISCRI&l!D HI"IIN I' SlJlJICT TO AlL THE TERMS, EXCLUSIONS AND CONcmONS OP SUCH
POLtClIS.^GQ"~TILIMITSStiOWN MAYH"IIIIIIN IIIIDUCIO ev PAlPCLAIMS. ~ ~
~ ~~ POLICY N........ I r:.qWi! LlMIT1 .
~NIlIW. ~l-'Ill"'" I IA,CM OCC,,","..,.CIl . 500.000
~ ~"01A~ .HIlMl. ~'AlIlL.rTY I M!l:l!X~IAnl'_"'NnI : 50.000
10- CLMII~ [j] ClCCUft Exoluded
.A HQI./49'318-06 '/13{2007 i/13/200. PI!RIONAL6ADVIIIJUA't t 500.000
OIHI!IW. AQQllIo.. TI . 1.000.000
rl~ AG~I LIMIT APfl' PlR: PlWOUCT$ . CO~IOP AGG , 1.000.000
IIOt.ICY I I ~ Lac
~OMClIILfUAlIL/TY COMIIINED lING... UMIT S $500,000
- AIf'I' AUTD Ie._)
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SCH!llUl.~O AIITOS II'.. tlIfIOIIl
~ j309800620~ 12130/06 12/30/07
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Qflllalll-&-~- _~ I.L. DIIQli - iA Q!PLOVE .
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OelCllIl"TION 07' MI!IlATIONI '~OCATlON. NI"I~/lIXc;LU'I()lq AOOIiO IV iNOOR.eMlHT, 'PI!CIo\L ~"OVI!IONI
--. -- ..-
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CANCILlATION
'HollLO MY CII' 1He MCM! OE3CAIftO POLIe" II CAHC&L&.iD IlEFORE THE EXPIAATIO
DATI! THeAI!OF, T141 IUl,IING l"'IUREA Wll.4. I"OI.~ TO llII~ DAYS ~"11N
NOTle!; TO THIi CEATllIlCA'! "OI.~ _ED TO lte Lfl'T. lilT ~AlLUltI! TO 00 BO SHALL
It.II'08E NO O8l.ICIA'rION Oft LlAIIlLllY Of' AH'tf IClND UPON THE INSlJRlA ITI AOII"'T8 OR
"1!I'~!lIfT"TIV!'
AUTHOIU;ZIiD AII'
Gall .~l.Yard Land T~.~
c/o CUe Saravanos
8020 CJa1~ Blvd
Z.phy%h111., FL 33542
ACORD 21 (2001fOl>>
1l::l-22-2elB7 10: 35 7c79376017
PAGEl
PAGE2
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City of Zephythills . .
BUILDING PLAN REVIEW COlv.ll:vffiNTS
. Date Received:
, ,
,
Gr;n~~ ~ ~sbJlJ
. {o- f;.{J1 ..
fo o1.ob~38. reA-fl' 6lr/j} .
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~.a w/1he below C<JIDnlOI]!s: ~ . ri"";.a ,:,/the below comments: . ..0
. / ()6 ( ,0 -
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D Y DDD'O .
jk g()b~
, Contractor/Homeowner:
Site:
Permit 'TyPe:
ApProv.ed wino co~ents:D
. }tffwec/lfy,.1b
'. 'Frof'
'/YP-r ~ ~e..,/
/?eVf'.l-<~. ..
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. 'This comment she~ shan be kept "With the permit and/or plans.
.' jLl ~.' . /o-;){,-rtJ' ~~
Kalvm S'Wltzer .,... Exammer Date Contractor and/or Homeo"WIler
(Required when comments are present)