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Home My WebLink About08-8148 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 8148 Permit :8148 Issued: 8/06/2008 Permit Type: GENERAL BUILDING PERMIT Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Sq. Feet: Est. Value: Cost: 23,592.00 Total Fees: Amount Paid: Date Paid: Address: 5027 4TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-18800-0010 Name: FA T R INDUSTRIAL PR Addr: 4150 SW 19TH ST OCALA FL 34474 Phone: 813852-0135 Lic: Phone: Work Desc: INSTALL SHADE SYSTEM ALLOW AIR FLOW-NO CHARGE NO NOC PER SHANE Name: CITY F ZEPHYRHILLS Address: 5027 4TH ST ZEPHYRHILLS, FL. 33542 ptJYed ffJ- K ,:). IN U FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTlON 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." ",-Jr[CU<" 1It21IiU/S ~ CONTRACTORS SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City. of Zephyr bills BUILDING PLAN REVIEW' COMMENTS. Site: .IWIMS~ . ;;E.dU5i/rral~. &<- g. t/-()t; 5f.> 27 CfY:b sr c./#AJflt/1 j ContractorlHomeowner: Date Received: Permit Type: Approved wino comments:, Approved wIthe below cOIDnlents: 0 Denied wIthe below comments: 0 This c be kept wifl.1 the Pen.nit' mid/or plaris. . ~4-c()- : Date' Contractor ,and/or Homeowner (Required when comments are present) . Page 1 of 1 Jacqueline Boges From: Shane LeBlanc Sent: Monday, August 04,200811 :12 AM To: Jacqueline Boges Subject: RE: QUESTION Jackie: Yes, those are shade structures for the water park - we have a purchase order to furnish & install - No notice of commencement is necessary and please waive the cost of the permit (not to include contractor registration fees). Thx. Shane Sliane J. Le<Bfanc PUBLIC WORKS SUPERINTENDENT CITY OF ZEPHYRHILLS 5335 8TH STREET ZEPHYRHILLS. FL 33542 T: 813.780.0022 F: 813.780.0025 sleblanc@ci.z~hyrhi11s.fl. us From: Jacqueline Boges Sent: Monday, August 04,200811:07 AM To: Shane LeBlanc Subject: QUESTION There is a awning going up at 5027 4th street was this order by the parks department? If so who will sign on the Notice of Commencement needed for this job, or do we need one? Let me know Thanks Jackie 8/4/2008 813-780-0020 City of Zephyrhills Permit Application Building Department '''''''"'''''',t 0fcffj Date Received Owner Phone Number ;;2owner Phone Number I Owner Phone Number I LOT# 1 I 1 li-7(1~ I JOB ADDRESS Fee Simple Titleholder Address 1 1 50:l' 'ft.;' 5T.l ::C~f'h'r!1'4;ftJ: Ft. 3J St/::J 1 'VI-v u 0 J- e-(p;,~rIMIJ I PROPOSED USE TYPE OF CONSTRUCTION ~ NEW CONSTR D INSTALL D D ~,vJ ddll I PARCEL ID#I ( 1-:2 (p-21-CO /0-1 y,f'60 -00/0 (OBTAINED FROM PROPERTY TAX NOTICE) SUBDIVISION SFR BLOCK ADDIALT D REPAIR mOTHER p u..r Il.... o STEEL C2r OTHER 15~1 !va l...Jc,IlS I SllOJril 5~ ~cd(gwr ).Ir JeHclw fhrtlVlj;L ;:i!b/,~ I SQ FOOTAGE 1 1;2.00 1 HEIGHT I i 0 I I ' B o o SIGN D MOVE D DEMOLISH WORK PROPOSED I I I I o I AMP SERVICE o PROGRESS ENERGY D WRE.C w o > ~ a:.q-CO L\J ..... ,..... cnC")~ ~L9C\J ~~O? a:,.....~ wc;-O? !l.......... 8e.~ ~ u: 0.:: COMM FRAME DESCRIPTION OF WORK cr BUILDING SIZE BUILDING 1$ ;2"3/:;1 ). a:) - o ELECTRICAL 1$ f'J (t\- O PLUMBING 1$ N I ~ o MECHANICAL LN \ "" o GAS D FINISHED FLOOR ELEVATIONS I VALUATION OF TOTAL CONSTRUCTION VALUATION OF MECHANICAL INSTALLATION ROOFING SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO BUILDER SIGNATURE ~Ct, I ~iJ A. ~t:OMPANY - ~ REGISTERED I II=~U~~RR~fi:;1I'~ :Jk_ License # I I I I 1 I I I I I ~ FEE CURRENT ~ Address ELECTRICIAN I SIGNATURE Add ress I PLUMBER I SIGNATURE Address I MECHANICAL i SIGNATURE , Address OTHER I SIGNATURE Address I f\s ~ COMPANY REGISTERED IVff;r COMPANY REGISTERED ~ \'f\ COMPANY REGISTERED t'-l l~ COMPANY REGISTERED License # ~ FEE CURRENT ~ License # ~ FEE CURRENT ~ License # ~ FEE CURRENT ~ License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsnarge projects Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms, R-O-W Permit for new construction, Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects, All commercial requirements must meet compliance Attach (2) sets of Engineered Plans, "'*PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT 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 Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways. ,needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible, If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County . TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended, The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting, It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release, If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance, Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances, CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500,00 or more, I certify that t., 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 pen:nit 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 LE R OR AN ATTORNEY BEFORE RECORDING Y R NOTICE OF COMMENCE NT. :~:~:A~~~~~~ 1'(~ /~ CONTRACTO . " 7~;'~ Subscribed a~r.ir'to (or affinned) before me this3' S s9ribed afi ~r affirmed) before me this fl 1,_ 711/oYbyv"''-1'CA.f'^-.<j /VO'O'"<V</ W'hu'- I 0 by IC-.l.J t:!.O~ !Je,.,r-ov' Who is/are personally known to me or haslhave produced Who is/are personally known to me or haslhave produced as identification, - as identification. JJ I /--;/ 7k Notary Public /J --, 7 --:? 7,L, Notary Public Commission No, Commission No. ~ ~1:D..l~di;...... Name . ""N A lflALBOT :: : ..","" Comm# 000677455 5 : I : : g. Expires 6/15/2011 : :\~~ : . ~~-f/lf: ."" Florida Notary Also., Inc : ~.... :;~~~\~ I\! Ilf:1 '" It" ~"..P. "III" II I" II..... .,, II I. \i) 0 (', Io.l '-J..JL 'leV'", ~ JL;; lhclJ- Name of Notary typed, printed or stamp S.....OEANNE.TAMMy.TALBOT......S : ~\UIl"1I . : ~9!y&l:?<" Comm# 000677455 5 . ~~~~ . : ~~. ~. ~ Expires 6/1512011 5 . '=! ~ . : ~ /If:l'ol ,I' Florida Nota A u. I : : ~"IhHt""~ ry I"WNIII., nc : "'.........ltwil:!I!!':" -. "~.......................... FABMASTER INDUSTRIAL PRODUCTS, INC. 4150 S.W. 19th Street Ocala, FL 34474 Tel.: (352) 237-0135e FAX: (352) 237-2256 ~ bACid k- :JfloWJcf./"J ;Jrodu d;:J fA/C-, Company Name I . D. t --=s U/IUJ iVd r/h wv"lf~w L~cense Ho1der's Name C(;-C ISo ?K;?1 Lieense t: JL/ L5 d St-J /q sct~__m ress QCu(t:1.. / P{, 3 YI() Y To Whom It May Concern: Please be advised that Suzanne Bahr, Debbie Dokendorf, and Stacie Hartwig of Pasco Permit Service have my permission to sign and pick up permits for me until further written notice. Sincerely, ,~ 7L /J~- C)&'ieense Bo1der Signature NOTARY STATE OF FLORIDA - COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this .2sl:::.... day of ~J0 ff Personally known~or Produced identification f~' b//5/;2oll CC(mmissioned Stamp and Expiration Date LJ---?~7k- Notary si ture State of Florida Coun ty of i'\\C1.....'otJ .... ...... ...... II' .......... ....L.B..O..:r.. ....= : OEANNE TAMMy:rA 5 . 5 . 5 ~~~"~II/'f~ Comm# 0006774 5 .j',~ '" . ! i~ . ~ Expires 6/15/201 5 . \....'41 "~l; . :~~llf:p..~$' Florida Notary Also., nc 5 i. ...::';~~'......... II' II I' ... ... ........ ..... 5T ATE OF FLORIDA DE~ARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 (850) 487-1395 BARBER, JAMES NORMAN FABMASTER INDUSTRIAL PRODUCTS INC 34 NEEDLES DR OCALA FL 34482 ..,..,..,.'..,....,.'.,.,'. .' ..,.,'...S",T. ATE",..O,.,f. fL.O".,R IP"A"..,.,., .'.' . A.., C" #".,>262,1, 3'0 .. ,:p.EPAR~Of':at1SJ:!JBSS JUm .:.' . ..P~OFESStoNALREGm.ATION CGC1509881 06/18/06 05$094304 \;;,';,\'" ......'...'CERTI;&lI:ED GENERAL COm'RACTOJ;t '\'EU~,RB:&lR, JA.MJ!;SNOmo:AN \'Jii'~NA:~.1's:R~NJ;)t1STRI.1l.LPR()DOCTS INe ~. :-- .X:!i!"cEa~~FI~]hUllc1.~ t".prQ>lisic:iJl80f Ch.4;!I9 I's. llx:Pi.r.ti""~t.IAUG3.1" 2.008 L06061.800039 DETACH HERE AC# 26 213 90.:$l"AT~."@,~,:FLq~II:)~c .' ..'.... ' '. '.' DEPARTM.E~ OF BU:S:I:NJ:lS.s.:~\.A:.N:Q .Pi,OF;ESSIC>NAL REGULATION q~s~~'t19W;fO~:~:I~~fJ'R:i,';~%~J'PEN~;tliGBQ:AlU>:., ,'~ '.$eGl#L()60 6180 0 ()3,9 - :..."'< LICENSE NBR 06 18 2006 058094304 CGC1S09881 The GENERAL CONTRACTOR Named below .,.' ISOERTI~;IED ,,: ' Under the provisionsO'f Cha:pte;J:!4f3'9'}F'~. E:x;piration date: AUG 31" 2008 BARBER, JAMES NORMAN FABMASTER 'INDUSTRIALP,RODUCTS' 34 NEEDLES DR OCALA FL 344$~ JEB BUSH GOVERNOR , - .,.. '~';:::~i\:::,,':. ,;i-"'-.' .".....;i' '::'i .,.... SI~QNE MARSTILLIi:R "SECRETARY . .."-'" "::~.\, ''"il' - ", . . :", '.. ~ -' . ", . ); :: DISPLAY AS REQUIRED BYLAW ."". . ' QUALIFIER FOR BUSINESS CITY OF OCALA CERTIFICATE OF COMPETENCY P.O. BOX 1270 OCALA, FLORIDA 34478-1m (352) 629-8421 2007-2008 EXPIRES9-30-200SL BARBER, JAMES N CATEGORY REGISTRA TION# GENERAL CGC1509881 CONTRACTOR CERTIFICATION FEE 20.00 Paid 11/12/2007 FABMASTER INDUSTRIAL 4150 SW 19 ST Ocala, FL 34474 BUSINESS NO 39357 Bus. License A35276 CITY OF OCALA BUSINESS TAX RECEIPT P.O. BOX 1270 OCALA, FLORIDA 34478-1270 (352) 629-8421 2007-2008 LICENSE EXPIRES 9-30-2008 Type of Business: CONTRACTORS LICENSE FEE DESCRIPTION No Fee License AMOUNT a u S N I A N M E E $ S $0.00 I PAID DATE I FABMASTER INDUSTRIAL PRODUCTl BARBER, JAMES NORMAN (352) 237-0135 IS HEREBY LICENSED TO ENGAGE IN BUSINESS LOCATION 4150 sw 19 ST TOTAL FEES $0.00 MAILIN~ AODRESS FABMASTER INDUSTRIAL PRODUCTS 4150 SW 19 ST Ooala. Fl34474 ACORD'M 'CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 07/07/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Cypress Insurance Group BO-CL ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Drawer 9328 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Lauderdale, FL 33310-9328 954 771-0300 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: FCCllnsurance Group Inc. Shade Systems Inc, Fabmasters Indust. INSURER B: FL Retail Federation Self Insurers F Products Inc&Recreation Innovations Inc INSURER c: 4150 SW 19 St. INSURER D: Ocala, FL 34474 INSURER E: Client#. 18071 SHADESYS COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR NSR TYPE OF INSURANCE POLICY NUMBER PJ>l-t~~ri~r68'wIE Pg~fl(~X":~~N LIMITS A GENERAL LIABILITY GLOO027835 05/13/08 05/13/09 EACH OCCURRENCE $1 000 000 - lL 5MERCIAL GENERAL LIABILITY ~~~~~~J9F~';,~J.;'~nc.\ $100000 - CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $5 000 lL PD Ded:500 PERSONAL & ADV INJURY $1 000.000 - GENERAL AGGREGATE $2 000.000 ~'L AGGREAE LIMIT APnS PER: PRODUCTS. COMP/OP AGG $2 000 000 PRO. POLICY JECT LOC A ~TOMOBILE LIABILITY CAOO045615 05/13/08 05/13/09 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 - - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - lL HIRED AUTOS BODILY INJURY $ lL NON.OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) ~RAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ :=5ESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND 52032040 11/04/07 11/04/08 X IT~~N~~;,I 10TH. ER EMPLOYERS' LIABILITY $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT OFFICER/MEMBER EXCLUDED? EL DISEASE. EA EMPLOYEE $1,000,000 If yes, describe under $1,000,000 SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Workers Compensation applies to Florida employees and operations only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ---1Q.... DAYS WRITTEN 5335 8th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Zephyrhills, FL 33542 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~.et 8, &nzd.., ACORD 25 (2001/08) 1 of 2 #S72530/M72011 SM @ ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001/08) 2 of 2 #S72530/M72011 , SOU T H W EST R b S b A 1{ CHI N S '1'1 T U T E@ 6220 CUlEBRA RD, 78238-5166 . P,O. DRAWER 28510 78228-0510 . SAN ANTONIO. TEXAS. USA . (210) 684-5111 · WWW,SWRl.oRG CHEMISTRY AND CHEMICAL ENGINEERING DIVISION DEPARTMENT OF FIRE TECHNOLOGY WWW.FIRE.SWRI.ORG FAX (210) 522-3377 NFPA 701 - 1999 "STANDARD METHODS OF FIRE TESTS FOR FLAME-RESIST ANT TEXTILES AND FlLMS" (TEST METHOD 2) TEST REPORT CONSISTING OF 5 PAGES MATERIAL ID.: COOLNET SwRI PROJECT NO: 01.10083.01.237 TEST DATE: SEPTEMBER 14,2004 REPORT DATE: OCTOBER 4,2004 Submitted by: U/~ ~\\ ANTHONY L. SAUCEDA SENIOR ENGINEERING TECHNOLOGIST Prepared for: SHADE SYSTEMS 4350 N.W. 19TH AVENUE, UNIT G POMPANO BEACH, FL 33064 Approved by: ~~o. ~.~"> 1'<\. ~U...l ~ ((() r MARC. L. JANSSENS, PH.D. DIRECTOR DEPARTMENT OF FIRE TECHNOLOGY this report Is lor the Informallon of the client. It may be used In lIS enllrety lor the purpose of securtng product acceptance Irom duly conslltuted approval authorilles. this report shall no! ba reproduced exceplln full, w1thoullhe wrilten approval at Swfll. Neither this report nor the name at Ihe Instllute shell be used In publicity or adVertising. ~ HOUSTON, TEXAS (713) 977-1377 . WASHINGTON, DC (301) 881-0226 INTRODUCTION This report presents the results of NFPA 701 Test Method 2 on a specimen submitted by the Client, tested at Southwest Research Institute's (SwRI's) Department of Fire Technology, located in San Antonio, Texas. The test is conducted in accordance with the procedure outlined in "Standard Methods of Fire Tests for Flame-Resistant Textiles and Films (NFPA 701 Test Method 2,1999)". This method is intended for use in determining the resistance of fabrics and films to propagation of flame beyond the area exposed to the source of ignition. This method shall apply to single layer fabric and multi layer curtain and drapery assemblies while suspended in a vertical configuration. However, where durability to cleaning or weathering is claimed, the fabric or material shall be tested for flame resistance as produced and after being subjected to the applicable cleaning or laundering procedure. The results of this test do not necessarily indicate whether the material tested will resist the propagation of flame under severe exposure or when used in a manner that differs substantially from the test conditions. Ten individual test specimens shall be cut from a single piece ofthe material to be evaluated: for flat strips, a size 1.25 mm x 1.20 m (4.90 in. x 47.25 in.); for folds, a size of 610 mm x 1.2 m (24 in. x 47.25 in.), with the length parallel to the lengthwise direction of the material. Only specimens that cannot be folded shall be tested in the flat configuration. Each specimen shall be conditioned in an oven at a temperature of 1050e :!: 30e for not less than 1 hour, no more than 3 hours before testing. Each specimen tested is mounted on the support hanger in the test cabinet. The burner is placed 100 mm away from the specimen and with the center axis of the burner at a 25 degree angle and in line with the bottom of the center of the specimen and maintained for a 120 second exposure time. The after flame time of the specimen (time of burning of the specimen after the gas flow is turned off) and the time of burning of material that falls to the bottom of the chamber shall be measured and recorded. The requirements for acceptance of the NFP A 701 Test Method 2 are: 1. Where fragments or residues of specimens that fall to the floor of the test chamber continue to bum for more than 2 seconds, the material shall be recorded as failing the test. 2. Where the char length exceeds 435 mm (17.1 in.) for flat specimens or 1050 mm (41.34 in.) for fold specimens, the material shall be recorded as failing the test. 3. Where the after flame exceeds 2 seconds, the material shall be recorded as failing the test. 4. Where the specimens do not demonstrate perfonnance in accordance with any of the conditions indicated in the above, the material shall be recorded as passing the test and shall be designated as flame resistant. The results apply specifically to the specimens tested, in the manner tested, and not to the entire production of these or similar materials, nor to the perfonnance when used in combination with other materials. Sbade Systems 2 SwRl Project No.: 01.10083.01.237 This standard should be used to measure and describe the properties of materials, products, or assemblies in response to heat and flame under controlled laboratory conditions and should not be used to describe or appraise the fire hazard or fire risk of materials, products, or assemblies under actual fire conditions. However, results of this test may be used as elements of a fire risk assessment which takes into account all of the factors which are pertinent to an assessment of the fire hazard of a particular end use. Shade Systems 3 SwRI Project No.: 01.10083.01.237 NFPA70lTESTREPORT (TEST METHOD 2) CLIENT: Shade Systems SWRI PROJECT NO: 01.10083.01.237 MA TERIAL DESCRIPTION Material ID.:* Trade Name:* Description: * CoolNet CoolNet Tape and monofilament knitted shade fabric, manufactured from 100% high-density polyethylene (HDPE) with U.V. stabilizers and flame retardant (received on August 6,2004) Forest Green 0.04 in. Color:* Thickness: * From Client's material description and/or instructions PREPARATION The specimens (provided by the Client) were cut to size and placed in an oven and maintained at 1050C for one hour before testing. The specimens were then removed from the conditioning chamber and secured into the test chamber and tested. TEST DA T A (room conditioned) Specimen No. Char Length (in.) Afterflame Time Burning On Floor PasslFail (sec) (see) 1 5.00 None None Pass 2 5.75 None None Pass 3 5.75 None None Pass 4 6.75 None None Pass 5 6.75 None None Pass 6 5.75 None None Pass 7 9.25 None None Pass 8 8.75 None None Pass 9 9.25 None None Pass 10 5.25 None None Pass OBSERV A nONS There were no flaming droplets or burning pieces falling on to the floor in any run. Shade Systems 4 SwRI Project No.: 01.10083.01.237 NFPA701TESTREPORT (TEST METHOD 2) CLIENT: Shade Systems SWRI PROJECT NO: 01.10083.01.237 PREP ARA TION The specimens (provided by the Client) were cut to size and immersed in a 700P water bath for 72 hours. They were then placed in an oven and maintained at 1050C for one hour before testing. The specimens were then removed from the conditioning chamber and secured into the test chamber and tested. TEST DATA (with water leaching) Specimen No. Char Length (in.) Afterflame Time Burning On Floor PasslFail (sec) (sec) 1 7.25 None None Pass 2 8.00 None None Pass 3 6.25 None None Pass 4 7.25 None None Pass 5 8.25 None None Pass 6 6.00 None None Pass 7 7.25 None None Pass 8 7.75 None None Pass 9 7.25 None None Pass 10 8.25 None None Pass OBSERVATIONS There were no flaming droplets or burning pieces falling on to the floor in any run. CONCLUSIONS Based on the test results and the above mentioned classification criteria, the specimen identified as CoolNet, passed the requirements established under the NFP A 701 Test Method 2 and the accelerated water leaching protocol. Sbade Systems 5 SwRI Project No.: 01.10083.0] .237 (b~ A-D ( \CL) Manufactured by: GENERAL NOTES: 1- THE SHADE STRUCTURE HAS BEEN DESIGNED IN ACCORDANCE WITH ASCE 7-02 TO THE FOLLOWING DESIGN CRITERIA: Shade A4~ ~~~u@mm~TM STRUCTURE W/FABRIC CANOPY REMOVED I C 0.77 150 MPH 41.0 PSF 66.0 PSF -CA TEGORY - EXPOSURE -IMPORTANCE FACTOR -BASIC WINO SPEED -DESIGN WIND PRESSURE -DESIGN UPLIFT PRESSURE ./ ~ /. I"-.. I l'o.... T -T/" L/"' h /L 0' /' /. T/ / I Y /' /' J...- /' /' ../1 '" 1...- All h A I 1-" V ~~ 1/ ""... 1 ISOMETRIC VIEW 4150 S. W. 19 STr~EET OCALA, FL 34474 Tel,: 1-800-609-6066 10'-4" TOP of @ ~ STRUCTURE \ 2-1/2' DIAMETER / " GAUGE 10'-0" EAVE HEIGHT STEEL 11JBING (MIN Fy = 45 KSI) ~ A T FRONT 8'-9" EA VE HEIGHT ~ A T REAR 7' -11" COLUMN ~ HEIGHT ~ _ STL TUBE COLUMN 6" SCHD 40 TUBE PIPE (MIN Fy = 50 KSI) 2- THE FOUNDATION ASSUMES A MINIMUM SOIL BEARING CAPACITY OF 1700 PSF. 3- ALL FASTENERS SHALL BE STAINLESS STEEL" ZINC-PLATED. OR HOT DIPPED GALVANIZED. 4- THE STRUCTURE HAS BEEN DESIGNED IN ACCORDANCE WITH SECTION 3105.4 OF THE FLORIDA BUILDING GOVERNING THE DESIGN OF FABRIC-COVERED FRAMES. THIS SECTION REQUIRES THAT THE FRAMING MEMBERS BE DESIGNED FOR A WiND VELOCITY OF NOT LESS THAN 75 MPH WITH THE FABRIC ATTACHED. THIS FABRIC SYSTEM IS DESIGNED TO RELEASE 'MiEN WIND SPEED EXCEEDS 90 MPH, 'MilCH IS THE DESIGN LOAD ON THE STRUCTURE WITH FABRIC AND EXCEEDS THE REQUIREMENTS OF THE FBC. C\1 ~ l(J CVJ cYJ en ~ ,- -, h ;:::: r ""\- --, ~~ ~~~ ~ h r:t=-' ~en~ ~ en ~~~ N~:::J ~ ~ ~ ~ ~ ~ N STEEL: 1-STEEL PIPES SHALL HAVE A MINiMUM YIELD STRENGTH OF 50,000 PSI. STEEL PLATES SHALL CONFORM TO ASTM A501. 2-ALL TUBING MEMBERS SHALL BE FACTORY-WELDED TO AMERICAN WELDING SOCIETY (AWS) SPECIFICATIONS AND SHALL UTILIZE E70-S6 AND HAVE THE HIGHEST STANDARDS OF QUALITY WORKMANSHIP Do y- 3-ALL WELDS SHALL BE FILLET WELDS WITH MAXIMUM PERMISSABLE n,ROAT THICKNESS OR FULL PENETRATION GROOVE WELDS. CONCRETE: ()<) 1-ALL CONCRETE SHALL BE MIXED AND PLACED IN ACCORDANCE WITH ACI 301-96. 2-CONCRETE SHALL HAVE A MINIMUM 28 DAY COMPRESSIVE STRENGTH (f'e) OF 2500 PSI. A PREBAGGED CONCRETE MIX HAVING A LISTED STRENGTH OF A T LEAST 2500 PSI THAT is MIXED IN ACCORDANCE WITH THE MANUFACTURER'S RECOMMENDATIONS IS ACCEPTABLE FOR USE. \ D<o C) CD FINISHED GRADE 0, 0" ~ - SCALE: N.T.S. 3-REINFORCING STEEL SHALL BE ASTM A-615 GRADE 60 Win, A MINIMUM YIELD STRENGTH (fy) OF 60 KSI. 4-UNLESS OTHERWISE SHOWN, CONCRETE COVER SHALL BE 3" (MIN). FABRIC 1-F ABRIC HAS A SIEVE FACTOR OF 64%. ~ a E&/ ~ C\2 a lCJ --~,-~-----,-"--"'--'~-------- ------~-------~------ - r--------- ,---------------- I @ELEV A TI ONsCA~:1 ~.~. ~ h ~ U NOTE TO OWNER: OWNER ACCEPTS FULL RESPONSIBILITY FOR REMOVING THE FABRIC SIl.4DE MATERIAL FROM TIfE STEEL FRAME IfIfEN SEVERE JrEA'fIfER CONDITIONS ARE PREDICTED, SUCIl CONDITIONS INCLUDE PREDICTED WIND SPEEDS IN EXCE8H OF 00 UP!!. .A.LSO, AS' STRUCTURE IS NOT DESIGNED FOR ANY SNOW LOAD, IT IS RECOMMENDED TIlAT CANOPY BE REMOVED WIlEN SNOWFALL IS EXPECTED. DIA. / 11 GAUGE STEEL TUBING Model: SW1 0301 0 Approved: 33'-6)) TENSIONING SLEEVE (1 j2"r/Jx2" WELDED ROD 1 '-g", I 15'-0)) 15'-0)) 1'-9)) \" ... ::: o ::: I I 0 ~ ILD o 0RAF-TER END r;C~L: :Ir~ _,________ ___,_______________~____,____________J L------- I -, ..-- 1/4~ STEEL CABLE AROUND PERIMETER OF STRUCTURE Revisions: POST SIDE POST SIDE POST SIDE VIEW 0PLAN 3"1& SCHO 40----./ STEEL PIPE 3" 1& SCHD 40 STEEL PIPE , OJ " I : 113 HOOPS @ 12' MAX. I APART FROM EACH OTHER I (NOT SUPPLIED BY FACTORY) I (5) 115'. VERTICAL (NOT SUPPLIED BY FACTORY) 3" WIDE & 3" LONG #4 BAR FACTORY WELDED R E P: TO STEEL COLUMN 2-7/B' DIA. 13 GAUGE STEEL TUBING 2- 7/B' DIA. / 13 GAUGE STEEL TUBING 2-1/2' DIA. / 11 GAUGE STEEL 11JBING 2-1/2' DIA. /11 GAUGE STEEL TUBING U 1.----- 3o._j,--;'I~ ." DIAMETER (TYP) @r~RLII~R Scale: N.T.S. CONCRETE BLOCK MAY BE USED FOR SUPPORT A T CONTRACTOR'S OPTION (NOT SUPPLIED BY FACTORY) I Job No: 2165 Drawn: LSV Checked: TT/NB Approved: TT /NB Date: 06/26/08 END RAFTER MIDDLE RAFTER EN D F-< AFTER Sheet No: @)RAFTER ~~Z ~~~ 1 OF 1 ---~--~---~--- - ---------- --~---------_.---_._----~--- ------~---~----' ---- ----,---_._~- -"----------------. -------.. ------- - ------ -,-------- .---- -- ----------- --------------------~ ----------.------------ ------- ----- ------------------~-------~--~~~---~----- ~------~-----~---_._~- --. [fj.-1 07: Q7' 7 I 0-Ji07// ()/) 0 - -1 (l,,j' Qq 17-~lll H I H-~ -=17 -~ n,t, II~] 0 \. 080 Ill,I\S - ~)ckj-d 1>1