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10-10589
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10589 • BUILDING PERMIT ®, 7 '.; j : E ' = ., ? :� Permit Number: 10589 Address: 5637 GALL BLVD Permit Type: RE -ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 05800 -0010 Improv. Cost: 26,650.00 w . llitatarAfTW Date Issued: 6/16/2010 Name: ADVANCE AUTO PARTS Total Fees: 247.50 Address: 5637 GALL BLVD Amount Paid: 247.50 ZEPHYRHILLS, FL. 33542 Date Paid: 6/16/2010 Phone: (863)294 -3445 Work Desc: REROOF FLAT ROOF USING TPO SYSTEM MECHANICALLY ATTACHED , Arimmorclg 7: 7 7-77 7 77. 7 ., .wvpozr t ::vrawv pc" 1r " *FIN RE •• ISEN AL 2'7.50 OC 71T11,-!fiT=.'.7z:7:717=7.,rrt,:ltw-fo64Y-m fitz"veiektarr't, 0-YIN -.0 N P TAPE FINAL JOINTS �0 Z - (V REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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." / J CONTRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: 6 6 /C /g�� � C ■ Date Received: ‘ — I / /0 Site: 5 37 1/Q Id/ (" D Permit Type: iee rod ( (a" r A Approved wino comments: ❑ Approved w /the below comments: it5 Denied w /the below comments: ❑ -t/l(S 12 rerlr f I S ror fke_ Pub r e 00 A 4 t*" kJ e A-)„ Cf ri/e_ 7 ( Lc, 004 .Sha / 1 6e Jo This comment sheet sh• . be k-pt with the permit and/or plans. /1 ,If e—/F/O f ,„ ,, ; //, 47 A (72z - 4 Kalvin : witzer — P • , x aminer Date Contractor and/or Homeowner (Required when comments are present) 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 ANiD CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection- Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/VVastewater 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 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03 , y J J y / OWNER OR AGENT�/I er/ / ( ..fJ .Z' y� CONTRACTOR �fYzJ /4 Subscribed and swam to affirmed) o rr e tis Subscribed and swom to affirmed) before m s by d ./Age' /" ' /'er) by �1' / e / , ,4' Who is/are personally known to me or has/have produced Who is/are personally known to me or has/hav produced as identification. as identification. Notary Public Notary Public Commission No. Comm is: ion No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Florida Building Code Online Page 1 of 2 • 9 1 ipmet_cminmArms,APThurrstv It Affa ° r rt,A HiiiiE about DCA ncAPROGRAMS CbutArl OCA.. BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search ilh. ' lb r^ ; Product Approval 7/�4l �� USER: Public User ' C000rrn ) ^)unity Aff, Product Approval Menu > Product or Application Search > Application List > Application Detail FL11475 R1 " (C.to FL # REVIEW DATE. .�--- -_-- -- �Cb�Y xAro Application Type Revision ► 2007 PEyytD CITY QF ZE�7 ;-IIL? �t,�a��D�ivt+aTY t N P IENT Code Version Application Status Approved QLAN� EXAMINEI___� — - -- ;IV NCY .. Ayq�tE»T Comments *OFFICE OF: Tye Archived r s . TAgy Product Manufacturer Johns Manville Address /Phone/Email P.O. Box 5108 Denver, CO 80217 (303) 978 -2478 �� WIT�IA T lindareith @trinityerd.com l }_� � -rr cil r t_l`" I�bUI DFi r�v� � CODES, V /-X) . yRENIXAB- TRIC COLE A�c . , Authorized Signature Jonas Houchin c0D �]ATIfl NLLLE . �;;;Y flF r " ?11- 'LVILL OIZI) Technical Representative Jonas Houchin Address /Phone /Email 717 17th Street Denver, CO 80202 (303) 978-2478 Jonas.Houchin@jm.com Quality Assurance Representative Kimberly Deaton Address /Phone/Email 717 17th Street Denver, CO 80202 (303) 978-3555 kimberly.deaton @jm.com Category Roofing Subcategory Single Ply Roof Systems Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer F Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Robert Nieminen developed the Evaluation Report Florida License PE -59166 Quality Assurance Entity Underwriters Laboratories Inc. Quality Assurance Contract Expiration Date 12/01/2011 Validated By John W. Knezevich, PE F Validation Checklist - Hardcopy Received Certificate of Independence FL11475 RI COI Trinity ERD Certificaiton of Independence.pdf Referenced Standard and Year (of Standard) Standard Year Vear ASTM D6878 FM 4470 1992 Equivalence of Product Standards t_....... //..,.,r.,, flnrirlahiiildino nrl? /nr /nr any dtl. aspx? param= wGEVXQwtDgv8JygqZ9WuEL... 6/1/2010 Florida Building Code Online Page 2 of 2 • Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 12/30/2009 Date Validated 12/30/2009 Date Pending FBC Approval 01/07/2010 Date Approved 02 /02/2010 Summary of Products FL # Model, Number or Name Description 11475.1 5, P O 60 TPO 72, p PO oly es ply roof membranes thermoplastic polyoiefin, and TPO Systems Limits of Use Installation Instructions Approved for use in HVHZ: No FL11475 R1 II Al er123009FINAL JM TPO FL11475- Approved for use outside HVHZ: Yes R1.pdf Impact Resistant: N/A Verified By: Robert Nieminen PE -59166 Design Pressure: +N /A/ -367.5 Created by Independent Third Party: Yes Other: The Design Pressure noted in this application Evaluation Reports relates to one specific assembly in the ER. Refer to the FL11475 R1 AE er123009FINAL 3M TPO FL11475- ER for other systems and Design Pressures Ri.pdf Created by Independent Third Party: Yes Back ( l Next Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 rc; 2000 -2010 The State of Florida. All rights reserved. Privacy Statement I Coovricht Statement I Accessibility Statement I Plua -In Software I Customer Service Survey I Contact Lis Product Approval Accepts: Crt r►'t wrlOwn 3414,004 ti,, - t... UN - A U-SU f► r,t nru/nr /nr ant) dtl.asAX ?Par ='GEVXQwtDgv8JyggZ9WuEL... 6/1 /2010 • MIA M MIAM1-DADE I MIAMI -DADE COUNTY, FLORIDA DADS MEMO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEPTANCE (NOA) Johns Manville Corporation 717 17 Street Denver, CO 80202 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) 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 expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division 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 and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: JM TPO Single Ply Roof Systems over Recover Deck LABELING: Each unit shall bear a permanent 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 performance of this product. TERMINATION 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 for termination 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 renews and revises NOA No. 06- 0522.06 and consists of pages 1 through 30. The submitted documentation was reviewed by Jorge L. Acebo. (1)-rsr19 NOA No.: 07- 0517.06 Expiration Date: 07/17/12 � Approval Date: 07/12/07 Page 1 of 30 ROOFING SYSTEM APPROVAL CateEorv' Roofing Sub- Cate2orv: Single Ply Material: TPO Deck Tvpe: Recover Maximum Design Pressure See Specific Deck Type Fire Classification: See General Limitation #1 TABLE 1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Test Product Name Dimensions Specifications Product Description JM TPO 48 ", 75 ", 96 ", 120" or TAS 131 Polyester reinforced Thermoplastic 148" wide x 100' long x Olefin single ply membrane. 45 or 60 mils thick JM TPO Membrane 5 gallon pails Proprietary Solvent based, contact adhesive for Adhesive (Solvent bonding of roof membrane to substrate. Based) ENRGY 3 Various TAS 110 Polyisocyanurate insulation ENRGY 3 Plus Various TAS 110 Isocyanurate insulation with wood fiberboard facer lnvinsa Roof Board Various TAS 110 High density polyisocyanurate board TABLE 2 APPROVED INSULATIONS: Manufacturer Product Product Description (With current NOA) AC Foam 11 Isocyanurate insulation Atlas Roofing Corp. AC Foam composite Isocyanurate insulation with perlite facer Atlas Roofing Corp. Isecyanurate insulation R -Max, Inc Multi -Max FA y R -Max, Inc Thermaroof composite Isocyanurate insulation with perlite facer Celotex elotex Corp. High Density Fiberboard Wood fiberboard insulation The C Gypsum Dens -Deck Silicon treated gypsum TABLE 3 APPROVED FASTENERS: Manufacturer Product Product Description (With current NOA) 1. Construction Fasteners Insulation and membrane fasteners Construction Fasteners 2. Buildex Fasteners Insulation and membrane fasteners ITW B Vi dex Corp. 3. Olympic Fasteners Insulation and membrane fasteners Olympic 4. Tru -Fast Fasteners Insulation and membrane fasteners Tru -Fast corporation 5. Johns Mavnille Fasteners Insulation and membrane fasteners Johns Manville Corp. NOA No.: 07- 0517.06 ::- Expiration Date: 07/17/12 Approval Date: 07/12/07 ■ -E. Page 2 of 30 ;vim 1 ■ L,%. EVIDENCE SUBMITTED: Date Test A2encv Test identifier Description /04/02 Factory Mutual Research 3009797 FMRC 4470 02/04/02 3007119 FMRC 4470 3005794 FMRC 4470 12/13/01 3002357 FMRC 4470 05/16/00 3005415 FMRC 4470 02 /08 /00 3002775 FMRC 4470 09/16/99 3000919 FMRC 4470 04/07/99 3003690 FMRC 4470 03/29/99 3B9A2.AM FMRC 4470 01/25/99 4B 1 A9.AM FMRC 4470 09/09/98 1D9A7.AM FMRC 4470 07/31/98 1 D9AO.AM FMRC 4470 07/30/98 1 DOA3.AM FMRC 4470 09/24/97 1 BOA9.AM FMRC 4470 05/09/97 3012149 FM 4470 08/28/02 3015927 FM 4470 01/26/04 3023988 FM 4470 09/29/05 3019052 FM 4470 01/28/06 3025484 FM 4470 05/31/06 3026594 FM 4470 06/01/06 3025659 FM 4470 06/02/06 3027476 FM 4470 08/11/06 Exterior Research & 8054.02.02 -1 Physical Properties 02/22/02 Design, LLC. TAS 131 Underwriters Laboratories, 01NK14490 Fire Classification 03/10/97 06 /0l l 1 Inc. 96NK22037 TAS 114, (UL 790) 07/02/01 /01 01NK25823 Wind Uplift, TAS 114, (UL 1897) NOA No.: 07- 0517.06 % , Expiration Date: 07/17/12 Approval Date: 07/12!0? `t . Page 3 of 30 lipo Membrane Type: Single Ply, Thermoplastic, TPO Deck Type 71 Recover, Insulated, Deck Description Steel/Concrete /Lightweight Concrete/ Cementitious Wood Fiber /Gypsum System Type D(1): Membrane attached over preliminary fastened insulation All General and System Limitations apply. Insulation for Base or Top Fastener Density ft Fastener Type Layer ACFoam 1I, ENRGY 3 (flat or tapered) Minimum: 1.3" thick N/A N/A ACFoam Composite, ENRGY 3 Plus (flat or tapered), Multi -Max FA, Thermaroof Composite Minimum: 1.5" thick N/A N/A High Density Fiberboard Minimum: 1 /2" thick N/A N/A Note: All insulation shall have preliminary attachment prior to installation of the roofing membrane at a minimum application of two fasteners per board for insulation boards having no dimension greater than 4 ft, and four fasteners for any insulation having no dimension greater than 8 ft. Membrane: 3M TPO attached to deck as follows: Fastening #1: Minimum Grade 33 Steel Deck Only: JM 2" Anchor Discs with All Purpose Fasteners, spaced at max 6 in o.c. within the minimum 4.5 in (I 14 mm) wide laps, which are spaced at max 70.5 in (1791 mm) o.c. and sealed with a minimum 1.5 in (38 mm) heat weld. Maximum Design: -45 psf. Fastening #2: Minimum Grade 80 Steel Deck only: SFS Intec Extra Load Fastener screws spaced at max 12 in (305 mm) o.c. through GenFlex Anchor Bars, which are placed within the minimum 4.5 in (114 mm) wide laps, which are spaced at max 70 in (1778 mm) o.c. and sealed with a min 1.5 in wide heat weld placed on both sides of the anchor bar. Maximum Design Pressure: -45 psf. Fastening #3: Minimum Grade 80 Steel Deck only: OMG XHD Barbed Seam Plates with XHD Screws spaced at 12 in. (305 mm) o.c. within the minimum 4.5 in (114 mm) wide laps, which are spaced at 70 in. (1778 mm) o.c. and sealed with a minimum 1.5 in (38 mm) heat weld. Maximum Design Pressure: - 45psf Fastening #4: Minimum Grade 80 Steel Deck Only: OMG #15 Large Head Roofgrip, OMG XHD screw or JM High Load Fasteners with OMG XHD Barbed Seam Plates spaced at maximum 12 in. (352 mm) o.c. within the minimum 6 in (150 mm) wide laps, which are spaced at maximum 90 in (2285 mm) o.c. and sealed with a minimum 1.75 in (45 mm) heat weld placed on the outside edge of the lap. Maximum Design Pressure: -45 psf NOA No.: 07- 0517.06 _ � Expiration Date: 07/17/12 Approval Date: 07/12/07 4 Page 20 of 30 • Fastening #5: Minimum Grade 33 Steel Deck Only: OMG #15 Large Head Roofgrip, OMG XHD screw or JM High Load Fasteners with OMG XHD Barbed Seam Plates spaced at maximum 6 in. (150 mm) o.c. within the minimum 6 in (150 mm) wide laps, which are spaced at maximum 114 in. (2895 mm) o.c. and sealed with a minimum 1.75 in (45 mm) heat weld placed on the outside edge of the lap. Maximum Design Pressure: -45 psf Fastening #6: Minimum Grade 80 Steel Deck Only: OMG #15 Large Head Roofgrip, OMG XHD screw or JM High Load Fasteners with OMG XHD Barbed Seam Plates spaced at 12 in. (305 mm) o.c. within the minimum 5 in (127 mrn) wide laps, which are spaced at 70 in (1778 mm) o.c. and sealed with a minimum 2 in (51 mm) wide heat weld placed on the outside edge of the lap. Maximum Design Pressure: -45 psf Fastening #7: Minimum Grade 33 Steel Deck Only: OMG #15 Lage Head Roofgrip with Polymer Batten Strip. Screws are spaced at maximum 12 in (305 mm) o.c. within the minimum 4.5 in (114 mm) wide laps, which are spaced at maximum 140.5 in (3,568 mm) o.c. and sealed with a minimum 1.5 in (40 mm) wide heat weld placed on the outside edge of the batten strip and a minimum 1.0 in (25 mm) wide heat weld placed on the inside edge of the batten strip. Maximum Design Pressure: -45 psf Fastening #8: Minimum Grade 80 Steel Deck Only: JM High Load Fasteners spaced max 6 in. (152 min) o.c. through GenFlex Bar Anchors. The bars and fasteners are placed within the min 4.5 in. (114 mm) wide laps, which are spaced at max 70.25 in (1784 mm) o.c. and sealed with a min. 0.75 in (19 mm) wide heat weld on the inside of the lap and a min 1 in. (25 mrn) wide heat weld on the outside of the lap. Maximum Design Pressure: -75 psf Fastening #9: Minimum Grade 80 Steel Deck Only: JM High Load Fasteners spaced max 12 in. (305 mm) o.c. through GenFlex Bar Anchor. The bars and fasteners are placed within the min 4.5 in. (114 mm) wide laps, which are spaced at max 70.25 in (1784 mm) o.c. and sealed with a min. 0.75 in (19 mm) wide heat weld on the inside of the lap and a min 1 in. (25 mm) wide heat weld on the outside of the lap. Maximum Design Pressure: -52.5 psf. Fastening #10: Minimum Grade 80 Steel Deck Only: JM High Load Fasteners spaced max 6 in. (152 mm) o.c. through GenFlex Bar Anchors. The bars and fasteners are placed within the min. 4.5 in. (114 mm) wide laps, which are spaced at max 142.5 in. (3620 mm) o.c. and sealed with a min.1 in. (25 mm) wide heat weld on the inside of the lap and a min 1 in. (25 mm) wide heat weld on the outside of the lap. Maximum Design Pressure: -52.5 psf. Fastening #11: Minimum Grade 80 Steel Deck Only: OMG #15 Large Head Roofgrip with Polymer Batten Strip. Screws are spaced at maximum 6 in (152 mm) o.c. within the minimum 5 in (127 mm) wide laps, which are spaced at maximum 144 in (3658 mm) o.c. and sealed with a minimum 1.5 in (40 mm) wide heat weld placed on the outside edge of the batten strip. Maximum Design Pressure: -52.5 psf. NOA No.: 07- 0517.06 `\_ ` ''� Expiration Date: 07/17/12 J y\ Approval Date: 07/12/07 Page 21 of 30 Fastening #12: Min. 2,500 psi Concrete Deck Only: OMG #15 Large Head Roofgrip with Polymer Batten Strip. Screws are spaced at maximum 12 in (305 mm) o.c. within the minimum 4.5 in (114 mm) wide laps, which are spaced at maximum 144 in (3658 mm) o.c. and sealed with a minimum 1.25 in (32 mm) wide heat weld placed on each side of the batten strip. Maximum Design Pressure: -45 psf Fastening #13: Min. 2,500 psi Concrete Deck Only. OMG #15 Large Head Roofgrip with Polymer Batten Strip. Screws are spaced at maximum 6 in (152 mm) o.c. within the minimum 5 in (127 mm) wide laps, which are spaced at maximum 144 in (3,658 mm) o.c. and sealed with a minimum 1.5 in (40 mm) wide heat weld placed on the outside edge of the batten strip. Maximum Design Pressure: -60 psf Fastening #14: Approved Lightweight concrete Deck cast over Steel or Concrete Only: Fasteners installed through lightweight concrete to steel deck. JM TPO membrane secured with OMG #15 Large Head Roofgrip spaced max 6" o.c. through the Polymer Batten Strip. The batten strip and fasteners are placed within the min. 4.5" wide laps are spaced at max 143.5" o.c. and sealed with a min 0.75" wide heat weld on the inside of the lap and a min. 1" wide heat weld on the outside of the lap. Maximum Design Pressure: -90 psf Fastening #15: Cementitious wood Fiber or Poured Gypsum Deck Only: N.T.B Magnum Fasteners with 2 in (51 mm) head spaced at max 6 in (1152 mm) o.c. within the minimum 4.5 in (114 mm) wide laps, which are spaced at max 57 in (1448 mm) o.c. and sealed with a minimum 1.5 in (38 mm) heat weld. Fasteners shall have minimum 2 in (51 mm) embedment. Maximum Design Pressure: -45 psf. Maximum Design Pressure: See Fastening Options for Specific Deck Type NOA No.: 07- 0517.06 Expiration Date: 07/17/12 Approval Date: 07/12/07 �-- Page 22of30 AC #. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L0807o100651 DATE BATCH NUMBER LICENSE NBR 07/01/2008 087000060 CCCO57931 The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2010 GILILEO, LARRY D GGR ROOFING INC 1010 LAKE MATTIE ROAD ALBURNDALE FL 33823 CHARLIE CRIST CHUCK DRAGO GOVERNOR INTERIM SECRETARY DISPLAY AS REQUIRED BYLAW POLK COUNTY LOCAL BUSINESS TAX RECEIPT ACCOUNT NO. 21924 CLASS: B EXPIRES: 9/30/2010 OWNER NAME LOCATION GILILEO, DANNY 4104 RECKER HWY WINTER HAVEN BUSINESS NAME AND MAILING ADDRESS CODE ACTIVITY TYPE 230250 CONTRACTOR ROOFING GGR ROOFING, INC PO BOX 1337 AUBURNDALE, FL 33823 OFFICE OF JOE G. TEDDER, CFC * TAX COLLECTOR THIS N COUNTY LOCAL BUSINESS TAX RECEIPT MUST BE CONSP DISPLAYED AT THE BUSINESS LOCATION PAID - 1703268.0001 -0001 17 10/01/2009 70.50 ' GLES * TILE * HO TAR * ti Licensed * Bonded * Insured Phone: 863 - 965 -7663 Fax: 863 - 551 -1459 I2oofingg Di 863- 96 -3Et©OF P.O. BOX 1337 AUBURNDALE, FL 33823 Project Description: Only Quality Materials Used ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. By signing you are authorizing GGR, LLC to do the specified. ALL payments are due upon completion. Signature: Date: All Material & Labor are guaranteed To Be Provided & Performed Specified Above Any Alterations From Above Specifications Will Be Executed Upon Written Orders And Will Be Charged Extra Owner Is To Carry All FIR& TORNADO, And OTHER Necessary Insurance Upon Beginning Above Work Workers' Compensation & Public Liability Insurance Will Be Provided By: GGR, LLC. Quote is good for 14 days! . nessl If We Can Do Anything To Further Assist You, Qoofunt Division \ Haven. Florida 863.551.3116 June 1,2010 City of Zephyrhills Building Department 5335 r Street Zephyrhills, FL 33542 To Whom It May Concern, This letter is to authorize Terri Ingram, to act on my behalf in regards to permitting for the project located at: 5637 N. Gall Blvd., Zephyrhills, FL 33541 If you have any questions please feel free to contact our office at any time. Sincerely, Larry D. Gilileo Qualifier — GGR Roofing Inc. ' d , 1) NOTARY PUBLICSTATE OF FLORIDA Y. Commission DD 66443 .,` Expires: MAR. 10, 2 BONDs TxaU a T S aot� ca, iN 012 C fa( ?) 0_0 [00 � U8C0 si - � �s ( s tf -4--) LLC 12cx Division 'Winter llavcn. Florida 863.551.3116 June 1,2010 City of Zephyrhills Building Department 5335 8 Street Zephyrhills, FL 33542 To Whom It May Concern, This letter is to authorize Danny Gilileo, to act on my behalf regarding the permitting process for the project located at: 5637 N. Gall Blvd., Zephyrhills, FL 33541. Should you have any questions please feel free to contact our office. Thank you for your cooperation regarding this matter. Sincerely, , L2,1-49--- t p Larry D. Gilileo Qualifier GGR Roofing, Inc. COI I NOTARY PUBLIC-STATE OF FLORIDA Terri Lynn Ingram = :;, Commission #DD766443 ••' Expires: MAR. 10, 2012 BONDED THRIJ ATLANTIC BONDING GO., INC. # 5/25/2010 10:44 Lion Insurance LION INSURANCE COMPANY4.GGR 4/5 Date CERTIFICATE OF LIABILITY INSURANCE 1 5/242010 Producer: Lion Insurance Company This Certificate is Issued as a matter of information only and confers no rights 2739 U.S. Highway 19 N. upon the Certificate Holder. This Certificate does not amend, extend or alter 9 y the coverage afforded by the polides below. Holiday, FL 34691 Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc. Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer B: Holiday, FL 34691 Insurer c: Insurer D: Insurer E: Coverages The policies of insurance 1sted below have been issued to the insured named above fa to poficy penal rrhdcated. Nol .thstard'ing arty r equiremer4 term or condii on of any contract or other document wren respect to which this certificate may be issued or may pertain. the insurance afforded by the pofaes described herein is subject to al the torahs. exc sighs, and conditions of such pof cies. Aggregate Writs shown may have been reduced by paid claims. IISR A Policy Effective Policy Expiration Date Limits LIR iNSRD Type of Insurance Policy Number Date (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence s Commercial General Liability Damage to rented premises (EA Claims Made 0 Occur occurrence) 5 Med bp 5 Personal Adv Injury 5 General aggregate limit applies per: General Aggregate 5 7 Policy ❑ Project ❑ LOC Products - Comp/Op Agg 5 AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) 5 Any Auto ▪ Al Owned Autos BodiN MO/ (Per Person) 5 Scheduled Autos ▪ Hired Autos Bodes Injury Non-Owned Autos (Per Acaderi) 5 Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑ Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/012010 01/01/2011 x I WC Li 1 ] ER F Employers' Liability Any proprietodpartnerlexecutive officerdnember E.L. Each Aceiderg 51.000.000 excluded? E.L. Disease - Ea Employee S1.000.000 If Yes, describe under special provisions below. E.L. Disease - Policy Limits 51,000,000 Other Lion Insurance Company is A.M. Best C _ an parry rated A- (Excellent). AMA # 12616 Descriptions of Operations /LocationsNehicies/Exc1usions added by Endorsement /Special Provisions: Client ID: 80 - 398 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. that are leased to the following "Client Company ": GGR Roofing, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. active employee(s) , while working in Florida. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Name: FAX: 863 -551 -1459 / ISSUE 05 -24-10 (SD) Begin Date: /12/2010 CERTIFICATE HOLDER CANCELLATION CITY OF ZEPHYRHI L LS Shouid any of the above described polaes be canceled before the erptretion date thereof. the issuing insurer will BUILDING DEPARTMENT endeavor to mail 30 days writer notice to the certificate holder re Si the e letur fa , but to do so shat impose no obigauon or loony of any kind upon the insurer. Os agents or represenutives. 5335 8TH STREET ZEPHYRHILLS, FL 33542 /�r * LE li•a •R Licensed * Bonded * Insured Phone: 863-297-9167 9 -c. Fax: 863-551-1459 c»fir .1CO isriicii. ESES01-1E)(31:5-3EVC•0315` P.O. BOX 1337 AUBURNDALE, FL 33823 *****ALL PAYMENTS ARE DUE UPON COMPLETION***** ine.ssi If We Can Coo Anything To Further Assist You • � CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) OP ID VD GGRL -01 05/24/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Mulling Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 Box 308 208 E Park Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Auburndale FL 33823 -0308 Phone: 863- 967 -4454 Fax: 863 -967 -7592 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Gotham Insurance Company INSURER B. Progressive Ins. Companies 10193 GGR, LLC . / GGR Roofing Inc. INSURER C. Terri Ingram P.O. BOX 1337 INSURER D: Auburndale FL 33823 INSURER E'. 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. I TR NSRC TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD ) DATE (MM/DD YYYOY) LIMITS L NSRC GENERAL LIABILITY EACH OCCURRENCE $ 1000000 U/ jW .. I V RS(Eatr 1 CU A X COMMERCIAL GENERAL LIABILITY GL00449310 04/10/10 04/10/11 - PREMI $100000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG $ 1000000 POLICY JECCT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 300000 B ANY AUTO 05957879 -2 09/04/09 05/25/10 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ (OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKER COMPENSATION WCSIAIU UIH AND EMPLOYERS' LIABILITY TORY LIMITS ER Y/N ANY PROPRIETOR/PARTNER /EXECUTIVE E . EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? (Mandatory In NH) E . DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES !EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Roofing - commercial or residential over 3stories CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITYZEP DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Zephyrhills REPRESENTATIVES. Building Department AUTHORIZED REPRESENTATIVE 5335 8th Street Eephyrhills FL 33542 _ ACORD 25 (2009/01) 9 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Jun 15 10 11:08a GILILEO ROOFING (863) 294-2207 p,1 Advance Auto Parts WORK ORDER Work Order #: W000245345 Date: 05/112010 Trade: Roofing- GL801140 Not To Exceed Amt: $ 26,650.00 Respoi ibie/Cantact: Dwest Vendor Send Invoice to Vendor ID: RF -3445 Address: CIO IBM PROCUREMENT SERVICES Company: Giliieo Roofmg and Consulting P.O. BOX 29053 Address: P.O. Box 2079 City: HOT SPRINGS 2204 Fish Hatchery Rd, Lakelan State: AR City: AUBURNDALE Zip: 71903 State: FL Phone: ( ) - Zip: 33823 Attn: Derell Gilileo Priority: P2 -Next Business Day Phone: (863) 294 -3445 Fax: (863) 294 -2207 Status: Quote Approved Work Order number must appear on invoice! Location Store Number: 9607 Reported/Issued by: Store Name: NORTH GALL BOULEVARD Address: 5637 NORTH GALL. BOULEVARD City: ZEPHYR HILLS State: FL Zip: 33541 Phone: (813) 788 -7043 Problem Description 05/11/2010 09:02:47 ( CMCCANN) Approved, please provide ETA. 04/07/2010 14:5954 (CMCCANN) February 16, 2010 Advance Auto Parts P.O. Box 2710 Roanoke, VA 24001 Project Name And Location Store Number 9607 Store Name NORTH GALL BLVD Address 5637 N Gall Boulevard City Zepayrhills State FL Zip 33541 Existing Roof System 1. Metal Deck 2. Steel Perlins 3. 4 inches ISO Insulation 4. Modified Roof membrane Licensed * Bonded * Insured , t 11110 Phone: 863-297-9167 Fax 863-551-1459 E firi irsr eglEga:04:roei■X;e_C■CbF P.O. BOX 1337 AUBURNDALE, FL 33823 *****ALL PAYMENTS ARE DUE UPON COMPLETION***** - nessi If We Can bo Anything To Fur ther Assist You • 111111111111111111111111111111111111111111111111111111111111 • 2010082735 Rcpt:1309864 Rec: 10.00 DS: 0.00 IT: 0.00 06/11/10 K. Garcia, Dpty Clerk NOTICE OF COMMENCEMENT PAULA 5.0 ' NE I L , Ph . D . PASCO CLERK & COMPTROLLER 06/11/10 09:30am 8351 1PGo 17 Permit No. Property Identification No. 1 4 - v1(n - •2 (- fit i - O5 RCS '- w ( 0 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 71 3.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal description .) P l ( PC. r5.4 LCi T s ■ - :5 i N C_L.. ( Ck c e a) Street Address: _ . ' _ • a • _ 1 1 , n • 2. General description of improvements: ■ 3. Owner Information „, 0 a) Name and address: 1 � ∎ ` . C L e t ; � Z 1 -k: � : ) ( t 4 / , 1-11C, f � C i (G C . v ( %u- ^ ) ' 1 l O to yt 64 - . . ; 1 4 . 6 0 1 b) Name and address of fee simple titleholder (if other than owner) N /Pr c) Interest in property ►J/ Pr pit 4. Contractor Information a) Name and address: (G t• l srl li • \ l - 63 r - ►TZ vc 2i ut v1G � � 3 3 b) Telephone No.: . - 9' 1 - ?> 111v Fax No. (Opt) , f% y '��YS 3�}tn 5 5. Surety Information a) Name and address: l _ b) Amount of Bond: 4 _ c) Telephone No.: Fax No. (Opt.) 6. Lender • a) Name and address: NI / A. Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: �// /A. ` Fax No. (Opt.) 8. In 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 expiration date is one year from the date of recording unless a different date is Specified): 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 COMMENCEMENT. J� STATE OF FLORIDA �/�67 �� 1%T �[ ` ! COUNTY OF PASCO i/v�K� Signature of Owner or Owner's Authorized Officer/Director /Partner/Manager !.nc z M. Le. Print Name n The foregoing instrument was acltnowledbefore me this r day off ` Y� 20 ICI) , by ! \Y1t(� � • LC(' - as ('...cif (type of authority, e.g. officer, trustee, attomey in fact) for 1�iSi ± LI. f {f., Cf9” k (name of party on behalf of whom instrument was execut . Personally Known .• OR Produced Identification _ Notary Signatrire . k...t.L & ' ' i% - iii...— Type of Identification Produced Name (print) 'e..V f , L. tyIn A.4 IC s 0 - /" Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. y/� NOT y puBL.IC- STATE CV FLORIDA �,yiCi "' Terri Lynn Ingram Signature of Natural Person Signing Above FoRaws aoc.rsazoor r ` Commission #DD766443 '"/ Expires: MAR. 10, 2012 BON THRU ATLANTIC BONDING CO., INC. STATE OF FLOFA„ COUNTY OF PASCO THIS IS TC. DERTF:Y THAT THE FOREGOING IS A TRUE AK.) CORREC.. DD2Y 0:: HE DOCUMENT ON FILE IC I'D. IN THIS OFFICE VVITi\rp' HAM: AN' OFFICiALSEAL THIS (_,JA).• (I,.- 2 0/0 PA L i A S. 0 r - LII...... CL . K & COMPTROLLER . .., DEPUTY CLERK , ,.. _ .. . ,. . .._ . .. .. . . . _ .. ,_ ..... ...... . . ._...,............. . . Or ig. 111111 LLC Roofing Division Winter haven. Florida 863.551.3116 June 16th, 2010 To Whom It May Concern, This letter is to authorize Darrell Gilileo on my behalf regarding the permitting process for the project located at: 5637 N. Gall Blvd. Zephryhills FL. 3354 Should you have any questions please feel free to contact our office. Thank you for your cooperation regarding this matter. Sincerely, Larryb. Gilileo NOTARY PUBLIC -STATE OF FLORIDA Qualifier '; Terri Lynn Ingram • 1 I Commission #DD766443 GGR Roofing, Inc. Expires: MAR. 10, 2012 BONDED THRU ATLANTIC BONDING CO., INC. (Pi L( � 0 ri n 1— z tn m r = 2 N 1 a -t s s W cD H 1 N ❑ LU U $ ) ❑ 0 O IA ti c1 = N C to a c c ❑ 10 N a O a ❑ 2 p s ❑ iii N ❑ C1 L C V ~ ❑ ❑ o E 2 ❑ Y 0 O Q La O LJl c. 0 ❑ rn ❑ CO ❑ to N. ,— Q 0 rf rf r&1 rL J C N 0 .> Y j .h J M Q t� m CC LL Q c ¢ a LL ~ -I T � � W cn N J = LPN 2 } OW°° = V3OD Ofcry`...: F—W8W U • Z • 4) - 0 a) ..... O m (n r0 1...O ](A