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HomeMy WebLinkAbout10-10901 CITY OF•ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10901 BUILDING PERMIT ,«.r. ., Permit Number: 10901 Address: 3818 ROYAL TROON WAY Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24- 26 -21- 0000 - 00100 -0090 Improv. Cost: 22,000.00 Date Issued: 9/10/2010 Name: NHC -F1115 LLC Total Fees: 315.00 Address: 6991 E. CAMELBACK Amount Paid: 315.00 SCOTTSDALE AZ 85251 Date Paid: 9/10/2010 Phone: Work Desc: CONSTRUCT 8 X 14 RM ADDITION & 13 X 42 OPEN PATIO �....� 5.10 CRANDALL, RICHARD PLUMBING FEE 35.00 MECHANICAL FEE 35.00 HOMEOWNER BAHR'S PROPANE GAS & NC, INC. / l \- \ie,bi 0,1 K- I Aibcv e'atri iu 4 cd /0 (A) .. ate . ..,, �� ,; . ,..zz:.4- k _.; a,;:....n „.,. •• - 2 • =•1 -L»c M 1 1 • • ILIN 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. 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." )1(4,4,i r 44 /■■■• CONTRACTOR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER • City ofZephyrhills BUILDING PLAN REVIEW COMMENTS CI omeowner: — ntract 40 „ k _ Date Received: - - Site: 7/ - j 4 _ Alf ft Pemit Type: •-* Approved wino comments:p Approved w/the below comments: El Denied w/the below comments: El 1 14 (1 (1) 0 ik- S 11411 / 6( aPidg C 0007 rec. g od aoog N6 d) A Olt Ski] COY..,,41 This comment she t s ep with the permit and/or plans. ?mei/ d K.a1vin Switzer — P1 xaminer Date Contractor and/or Homeowner (Required when comments are present) 813 - 780 -0020 City oT Lepnyrnnls ret llul / NNpiluQLikil . 'l , Building Department . / 0� Date Received e -- - 0 Phone Contact for Permitting -- Owner's Name Re.-i e.t.a..' .0 . 9 / 99f Owner Phone Number Ili �l -r/�0/n l Owner's Address I � � Owner Phone Number Fee Simple Titleholder Name' Owner Phone Number I Fee Simple Titleholder Address I JOB ADDRESS 1 311 2 lC LLI 7/-aH/7 I LOT # 10 7 SUBDIVISION 4 1nhvenle c DGa f I PARCEL ID#1 e2 V -04 -pl./- W ooioo- oayO (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR I ADD /ALT I I SIGN I I MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE 1 I SFR I COMM I I OTHER I TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL I I OTHER I DESCRIPTION OF WORK I' Go, a_0/ = -�� pa� BUILDING SIZE /3 SQ FOOTAGE , j I I HEIGHT I I 10 BUILDING $ e201 • t� VALUATION OF TOTAL CONSTRUCTION EV ELECTRICAL $ AMP SERVICE xi PROGRESS ENERGY 1 1 W.R.E.C. Ev PLUMBING $ PASCO PERMIT :.1 - r EP ( 81 3) 788-5314 78 MECHANICAL $ VALUATION OF MECHANICAL INST• LATION 1- �96.624Z4 -7894 I I GAS I I ROOFING I I SPECIALTY 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES I I NO �J BUILDER �p,���� J PI ` *\') - CMPANY 1%504. . Cr LAC • • • SIGNATURE 1 REGISTERED I Y / N I FE C RRENT I Y / N I Address (0 / F-0/`, t_Elts Ad 3 . ih2 p/. _/ License # • ELECTRICIAN • ' /.J " t " COMPANY Cf , � I Ggi 1�CGthGC SIGNATURE ter' - REGISTERED L Y/ N 1 FEE CURRENT I Y/ N I Address 4,933- ( r -- 4 /`A-- Ail Ze /t " " Alo License # • 1 PLUMBER COMPANY D(U -- /ze �� J SIGNATUREC� ���� REGISTERED I Y/ N I FEE CURRENT Y/ N I Address �„ License # r MECHANICAL COMPANY ' `,_,y -, �/����� , c v V�IJ`f ��C SIGNATURE 'fe �� /�� ` �-f4w \ REGISTERED I Y / N FEE CURRENT I Y / N I Address License # OTHER COMPANY SIGNATURE REGISTERED L Y/ N 1 FEE CURRENT 1 Y/ N I Address License # F RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-0-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. . Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $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 NC Fences (Plot/Survey /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 1, the applicant, have been provided with a copy of the "Florida .Construction Lien Law— Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency- Asbestos abatement. - Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone "V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a "compensating volume' will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to, violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR TWICE PAYING LENDER OR AN ATT ' . IF YOU INTEND TO OBTAIN FINANCING, CONSULT ORNEY BEFORE RECORDING YOUR NOTICE OF OMMENCEMENT. WITH YOUR FLORIDA JURAT (F:S. 117.03) � /o ) • OWNER OR AGEN� -C�-- CONTRACTOR �� / } ubscri ed and sworn to (or affirm ) b fore me this 6Z3 #'O Su pWOrn (pr affined) t�efor� m th /h is /are personally known to me or has ave produced Wh aersonally known to me or has /have produced as identification. as identification. Notary Public 4,s441/..4 Notary Public C. mission! . ! • i: : r • • . . Commission N. ' y PUBLIC STATE OF FLORIDA Suzanne Bahr Suzanne Bahr Name of Nola `e.ct�P�ti( 1 Name of Notary typed, pri . c (scion # DD601110 Expires: NOV. 15, 2C Expires: NOV. 15, 2010 iC HRU ATLANTIC BONDING Cu ., :' ,C t1 BONDING CO ., IN' Page No. of Pages Proposal ‘ SUN STATE ALUMINUM, INC:. 0313) 788-7308 6154 Fort King Rd. .,..." , ■IP .7., , ZEPHYRHILLS, FL 33542 , \ \ PROPOSAL SUBMITTED TO . PHONE DATE \ s. '',.. ‘ `,... - r ( - • , - 1 j .)(„Z tit: =--, ,,,,...,,t,‘, 1 L_ \ i . t '‘ , %.,_) STREET JO: ' 'ME r--) . CITY, STATynd ZIP C,,ODE, , ',... : IICATION .. N , ., \ V-A, ,, „,.... _, ARCHITECT' "N... DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: _ ... k----1., s , -,. ,,, ' -• - ,...:.,... 'I ) — ,--- .. , •., , . I 1/47: ...1 . ? — . / --,.. , , _. .,.. i - 7:,.., k , \. \ , / , : \ . .) T.:, _, , - ' , ', , & - ':=„ .• , e—Propose ilarety_to_furnish-rnate,rial and •labor — complete in accordance with above specifications, for the sum of: .._ - . --- — - ), \ ‘ • --------- t % - dollars ($ ,— , ', ) • Payment to be made as foltows: „ - All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications Authorized - __::... --:.---- involving extra costs will be executed only upon written orders, and will become an extra Signature ...--' --- charge over and above the estimate. All agreements contingent upon strikes, accidents " .,_---=,.---.' or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Were..This ploposal may be with by us if not accepted within day \ Our workers are fully covered by Workman's Compensation Insurance. drawn , - s< Arrrptaurr of Proposal _ The above prices, specifications .. _,,,_,..::: ,..._ _ . .. - and conditions are satisfactory and are hereby accepted. You are authorized Sign , l • . - ' . - ' -- . • - ----,(----. , to do the work as specified. Payment will be made as outlined above. , Date of Acceptance: Signature \ . , Cc.4 07 Z-70.4 • THAT PART OF EAST 80.00 FT OF NW1 /4 & THAT PART OF WEST 1/2 OF NE1 /4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST AND LYING WEST OF MAJESTIC OAKS COMMUNITY -PHASE ONE AS PER PB 35 PGS 107 -112 EXC NORTH 20 FT THEREOF FOR RD R/W & MAJESTIC OAKS COMMUNITY PHASE ONE PB 35 PG 107 -112 LOT 1 THRU 16 INCL & LOTS 19 THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87 111111111111111111111111111111111111111111111111111111 NOTICE OF COMMENCEMENT 2010122977 Permit No. Rept:1322815 Ree: 10.00 DS: 0. IT: 0.00 08/26/10 C. Cook, Dpty Clerk Property Identification No. e --o2.6 —02V— 000'0— GrO/00— G i9' THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, G / Section 713.13 of the Florida Statutes, the following information is provided in t his NOTIC OF COMMENCEMENT. accordance 1 .Description of property (legal description:) � [J /- /9( ° � / h j J 6c j a) Street Address: d ,18 ad/1 tut. 2,49 2.General description of improvements: 3.Owner Information '�� ti �Q o a) Name and address: A /1GL►(„ Pax cif // 4 pt/ 7 / y 444dt( y 1.07 D b) Name and address of fee simple titleholder { other than owner) s c) Interest in property k ontractor Information r !' / a) Name and addresst t • •T-.4.0 . ,.,/ b) Telephone No.: r /7 5.Surety Information Fax No. (Opt) a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: Phone No. co -13, 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: m b) Telephone No.: Fax No. (Opt co ) 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: .N a) Name and address: 4:b;:. b) Telephone No.: Gar 0 Fax No. (Opt) 9.Expiration date of Notice of Commencement (the a specified): ( expiration date is one year from the date of recording unless a different date is �3 ,- • 0 o r 0 A WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF o COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, s FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. (,y 1 A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CO SULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE O ' n MMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO /, Signature of Owner or Owners _. Opp ../nor/PartnedManager "a44z.C(0. eg Print Name for going instrument was aclarowledged before me this day of , 20_ ` ft- .6 .6 e O&M �' , by in fact) for gyp, o (type of authority, e.g. officer, trustee, attorney (name of party on behalf of whom • t ent was uteri). Personally Known OR Produced Identification/ Notary Sigma Type of Identification Produced /J ( Name (print) C'f f Verificati t g Uader enaltie . . . the facts s #� P , I declare that I hav �: d the fore . img and that R d belief. TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE �AW: .� 'ORbAstNOCArktigSS MY HAND AN FFICIAL ScAL THIS Si. . ature of Natural Person Signing . . .4. G DAY OF 2 / NOTARY PUBLICSTATE OF F PAUL S. O'NEIL, CLEW & OMPTROLLER Stacle Hart Commission #D D926 164 BY DEPUTY CLERK •' Expires OCT. 16, 2013 B THRU .4TI AN IIC Sox co, n1a STATE OF FLORIDA e O -- i ' r W DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ,.. CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET ';' (850) 487 -1395 TALLAHASSEE FL 32399 -0783 BAHR, KEVIN JAY BAHR'S PROPANE GAS & A/C INC 4441 ALLEN RD ZEPHYRHILLS FL 33541 -8416 Congratulations! With this license you become one of the nearly one million w4 STATE OF FLORIDA A 51330218 Floridians licensed by the Department of Business and Professional Regulation. •''* DROF Our professionals and businesses range from architects to yacht brokers, from OF BUSINESS AND boxers to barbeque restaurants, and they keep Florida's economy strong. v;T�' PR01�8SST e. � � RFGtrFyATIbN. a CAC043948 Y.. A Every day we work to improve the way we do business in order to serve you better. / fl 108004803 For information about our services, please log onto www.myfloridalicense.com. �� ,,,_ There you can find more information about our divisions and the regulations that BpHR K impact you, subscribe to department newsletters and learn more about the BARR' 8� ' � ' 'VC INC C C • Department's initiatives. �- • Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! IS CERTIFIED uador `tha provisions of Ch.489 FS Expiration date: AIM 31, 2012_ _'Ii 10071000397 J DETACH HERE # 5030218 STATE OF FLORIDA DEPARTMENT 3TRFIIUI INDUSTRY BUS/NESS AND P"ROFESS�,�014AL +ATION LICENSING BOARD DATE BATCH NUMBER LICENSE _ BR ' - y S� L1007104T0397 ,>? y 07/10/2010 108004803 CAC04394 Che CLASS B AIR CONDITIONING . Tamed below IS CERTIFIED r' Tnder the provisions of Chapt *' ?,- ' iration date: AUG 31 ` � ' 2012 t a .. i irk ,,t,' BAHR, KEVIN JAY • BAHR' S PROPANE GAS & A/C INC _ •t : 4441 ALLEN RD ZEPHYRHILLS FL 33541-8416 - . , ;;;.1 CHARLIE GRIST GOVERNOR CHARLIE LIEM' INTERIM SECRETARY DISPLAY AS REQUIRED BY LAW ACORDTM . CERTIFICATE OF LIABILITY INSURANCE DATE D/YY) 08//26/2026/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Risk Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 410679 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Kansas City, MO 64141 -0679 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: AIX Specialty Insurance Company Bahrs Propane Gas & Air Conditioning, Inc INSURER e: Nova Casualty Company 4441 Allen Road INSURER C: Zephyrhills, FL 33541 INSURER D: 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. POLICY ' POLICY EFFECTIVE EXPIRATION INSR ADDL DATE DATE LTR INSRD TYPE OF INSURANCE POLICY NUMBER (MM/DD/YY) (MM/DD/YY) LIMITS A GENERAL LIABILITY LGZ -CL-0020005-0 09/ 01/2010 09/01/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES CLAIMS MADE I X OCCUR (Ea occurrence) 1x00,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1.000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 PRO - X POLICY JECT LOC B AUTOMOBILE LIABILITY LGP- CL- 0010005 -0 09/01/2010 09/01 /2011 COMBINED SINGLE LIMIT (Each X ANY AUTO accident) $1000000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) _ HIRED AUTOS _ , NON -OWNED AUTOS BODILY INJURY (Per accident) $ — PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT — ANY AUTO OTHER THAN EA ACCT $ EXCESS/UMBRELLA LIABILITY AUTO ONLY AGG $ OCCUR ' I CLAIMS MADE EACH OCCURRENCE $ AGGREGATE _ $ DEDUCTIBLE $ __ RETENTION $ $ $ WORKERS COMPENSATION AND wesraru ER EMPLOYERS LIABILITY TORY LIMITS I I ER ANY PROPRIETOR /PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ If yes, describe under SPECIAL PROVISIONS below A OTHER E.L. EACH ACCIDENT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Proof of Coverage " CERTIFICATE SUPERSIEDS THE CERTIFICATE ISSUED ON 8/26/2010 *" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATK)N City of Zephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 19_ 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE V ,,,,-/ 0 ile - ACORD 25 (2001/08) ©ACORD CORPORATION 1988 1 70 .69 / I 1 6 ' IV, co ) 1 v i3 .0 0 • Cf -.- .X "--- CI 1Y Of- y� 4.1`a#; 1" f_S 3 /5/ 00 ti M O a o. / c=c S 0 l 5S!f X oY"L 77 cV/Y APPROVED PRODUCT LIST 2007/2009 NAME/DESCRIPTION MANUF. PROD. # 3" RISER PAN TOWN & COUNTRY FL 9334 3" COMPOSITE PANEL METALS U.S.A. FL 2291 VINYL SIDING & SOFFIT STYLECREST FL 12231 HARDIE BOARD SIDING JAMES HARDIE FL 10477 WOOD WALL FRAMING: SP1 & SP2, STRIP TIES, H SERIES SIMPSON FL 10456 CONCRETE ANCHOR TITAN FL 2355 WOOD DECKS: JOIST HANGERS SIMPSON FL 10531 POST BASE & CAP SIMPSON FL 10860 WINDOWS & DOORS: SEE ATTACHED Florida Building Code Online Page 1 of 2 ',s` ; `u 4 Affaies � :� � �t : y �„ � �.u` .<. r „ ... ,: � N.i .,,.. .. tx.� J'k..,f v 3 r i w x r (rv. s v z ,. BCIS Home Log In ' User Registration Hot Topics , Submit Surcharge Stats & Facts Publications FBC Staff BC: y. ficl Product Approval v.+' "t.{ USER: Public User Community A Affairs € A k' Product Approval Menu > Product or Application Search > Application List > Application Detail r 1, FL # FL10124 -R1 e : • Application Type Revision l`a n Code Version 2007 Application Status Approved b ; - I Comments -i � , Archived t ,1 Product Manufacturer GAF Materials Corporation [1 ' 4 i- Address /Phone /Email 1361 Alps Road I Wayne, NJ 07470 13 =' (973) 872 -4421 bmcsorley @gaf.com r • l p - i ' _ t-',. Authorized Signature Beth McSorley bmcsorley @gaf.com ;," Technical Representative P Beth McSarley a # - 'Address /Phone /Email 1361 Alps Road Bldg 11 -1 Wayne, NJ 07470 (973) 872-4421 r t BMcSorley @gaf.com i `' Quality Assurance Representative f X 4 1 1 # 44 ; Address /Phone /Email $y • ▪ - 3 € • C ategory Roofing Subcategory Asphalt Shin les r , P 9 , t 1 ▪ Compliance Method Evaluation Report from a Florida Registered Arct L s ,, -j Professional Engineer fi ;- Evaluation Report Hardcopy Received ' ; Florida Engineer or Architect Name who developed Robert Nieminen ,, the Evaluation Report 6 .4.' Florida License PE -59166 n §' 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 - 1 , ': Y ', Certificate of Independence FL10124 R1 COI Trinity ERD Certificaiton of In( l ' k' t7 Referenced Standard and Year (of Standard) Standard ASTM D3161 (Class F) i .ii3 ASTM D3462 http: / /www. floridabuilding.org /pr /pr_ app_ dtl.aspx ?param= wGEVXQwtDquracBeV CbdMQ... 5/8/2009 Florida Building Code Online Page 2 of 2 m ASTM D6381 (Class H) ASTM D7158 (Class H) UL2390 (Class H) y ' Eq of Product Standards 3 ,. g Certified By Sections from the Code t „ i P - Product Approval Method Method 1 Option D - 11 Date Submitted 10/16/2008 Date Validated 12/16/2008 VA '1 Date Pending FBC Approval 12/10/2008 rz a Date Approved 12/18/2008 L'-lx , Summary of Products • FL # !Model, Number or Name ;Description y, a (10124.1 'GAF ELK Asphalt Roof Shingles 'Fiberglass reinforced 3 -tab, laminated :� asphalt shingles tK Limits of Use jInstallation Instructions Approved for use in HVHZ: No ' FL10124 R1 II er121108FINAL GAF `',4 ;.l Approved for use outside HVHZ: Yes IShingles.pdf Impact Resistant: N/A I Verified By: Robert Nieminen PE -591i Design Pressure: N/A I Created by Independent Third Party: ' I Other: Refer to ER, Section 5. Evaluation Reports r -, . , FL10124 R1 AE er121108FINAL GA • ;.i Shingles.pdf `i Created b Independent Third Party: peat j • to gam DCA Administration F a 3 Department of Community Affairs s t' r3 Florida Building Code Online -_ Codes and Standards v" 2555 Shumard Oak Boulevard - ��� . Tallahassee, Florida 32399 -2100 1 (850) 487 -1824, Fax (850) 414 -8436 t5 © 2000 -2005 The State of Florida. All rights reserved. Copyright and Disclaimer „ - ; Product Approval Accepts: i f!, :: ,,.. i' ▪ 1 gxzr) zi Bob http: / /www. floridabuilding.org /pr /pr_ app aspx ?param= wGEVXQwtDquracB eV CbdMQ... 5/8/2009 TM .= 7 l ME I /MBERL/N OEF /NlT /oN SH/NGL ES H OEFb NITIGN` SH/NOI_ Eg 'ELK' 7jMBEpjjN IG H OEF /NIT /ON SHINGLES SHINGLEg APPLICATION INSTRUCTIONS English Four Nail Pattern Engbsn Size Sningle: 12'x364/8• (305 r 924m.m) Six Nail Pattern Note: These shingles MUST be „•_,/ _w „_ V_amm nailed a nominal 5 5/8" (143mm) r- ro - gym) 17-1 from bottom of shingles, not in or ,z .rn1- Mm, 7 I s,z,n , 7, ` above self seal, as shown. Nails — - -( _. _ ,_._ . •-� should remain unexposed. ""�°° " (_ "� „ sI ,iii ru�m I i -i 'Paw nas up m,.,n m MK. 0.0 aeiuln es;nanlM. .r4 clos,.17 emnsE9e .0. GENERAL INSTRUCTIONS • ROOF DECKS: Wood decks must be well- seasoned, (25mm) up from bottom of the shingle. Press shingle firmly into supported, and tightly- constructed with maximum 6" (152mm) the adhesive. For maximum wind resistance along rakes, install wide lumber, having adequate nail - holding capacity and a smooth GAF -Elk Starter Strip Shingles with GAF -Elk Dura - Grip® sealant or surface. Plywood or OSB decking as recommended by APA -The cement shingles to underlayment and each other in a 4" (102mm) Engineered Wood Assn. is acceptable. Do not fasten shingles width of asphalt plastic cement. Caution: Apply ONLY a thin directly to insulation or insulated deck unless authorized in writing uniform layer of asphalt plastic cement less than 1/8" (3mm) thick. by GAF -Elk. Roof decks and existing surfacing material must be Excess amounts can cause blistering of the shingles and may dry prior to application of shingles. soften the asphalt in certain underlayments, including • UNDERLAYMENT: Underlayment beneath shingles has many StormGuard°, Weather Watch® and other GAF -Elk Leak Barriers, benefits, including preventing wind - driven rain from reaching the resulting in the asphalt flowing, dripping and staining. interior of the building and preventing sap in some wood decking • RELEASE FILM: The film strips on the back of each shingle from reacting with asphalt shingles.Underlayment is also required are to prevent sticking together of the shingles while in the bundle. by many code bodies and is required to maintain the UL Class A Their removal is NOT required during application. fire rating. Where an underlayment is to be installed, use • MANSARD AND STEEP SLOPE APPLICATIONS: For a breather -type underlayment such as GAF -Elk Shingle - Mate, roof slopes greater than 21" per foot (1750mm /m), shingle must be Leatherback• or Deck - Armor'" underlayment. hand sealed (DO NOT use on vertical side walls). See "Wind • FASTENERS: Use only zinc - coated steel or aluminum, 10 -12 Resistance /Hand Sealing" for the application of adhesive. gauge, barbed, deformed or smooth shank roofing nails with heads • SHINGLE TAB ADHESIVE: Use asphalt plastic cement 3/8" (10mm) to 7/16" (12mm) in diameter. Fasteners should be conforming to ASTM D4586 Type I or II. long enough to penetrate at least 3/4" (19mm) into wood decks or • THROUGH VENTILATION: All roof structures must be just through the plywood decks. Fasteners must be driven flush provided with through ventilation to prevent entrapment of with the surface of the shingle. Overdriving will damage the moisture -laden air behind roof sheathing. Proper ventilation is also shingle. Raised fasteners will interfere with the sealing of the necessary to prevent mold growth. Ventilation provisions must at shingles and can back out. least meet or exceed current F.H.A., H.U.D. or local code minimum • WIND RESISTANCE /HAND SEALING: These shingles have requirements. Note: Minimum net free ventilation area of 1 sq. foot a special thermal sealant that firmly bonds the shingles together per 150 sq. feet (1 sq. meter per 150 sq. meters) of ceiling area is after application when exposed to sun and warm temperatures. required. When vents are located at the eaves and near the roof's Shingles installed in Fall or Winter may not seal until the following peak (balanced) for maximum air flow, ventilation may be reduced Spring. If shingles are damaged by winds before sealing or are not to 1 sq. foot per 300 sq. feet (1 sq. meter per 300 sq. meters). exposed to adequate surface temperatures, or if the self - sealant • NON - CORRODING METAL DRIP EDGES: Recommended gets dirty, the shingles may never seal. Failure to seal under these along rake and eave edges on all decks, especially plywood decks. circumstances results from the nature of self - sealing shingles and • EXPOSED METAL: All exposed metal surfaces (flashing, is not a manufacturing defect. To insure immediate sealing, apply 4 vents, etc.) should be painted with matching GAF -Elk roof quarter -sized dabs of shingle tab adhesive on the back of the accessory paint. shingle 1" (25mm) and 13" (330mm) in from each side and 1" I 4 underlayment: Standard Slope -4112 (333mm/m) or more 1 Underlayment: Low Slope 2/12 -4/12 (167mm- ;333mm/ r!) Application of underlayment: Cover deck with one layer of underlayment installed a Application of underlayment and eave flashing: Completely cover the deck w two without wrinkles. Use only enough nails to hold underlayment in place until covered by layers of underlayment as shown. Use only enough nails to hold underlayment in place shingles. Application of eave flashing: Install eave flashing such as GAF -Elk Weather until covered by shingles. Use blind nailing for eave fleshings. At eaves and where ice Watch', StormGuard', or other GAF -Elk Leak Barrier in localities where leaks may be caused darns can be expected, use one layer of GAF Weather Watch*, StormGuard' or other by water backing up behind ice or debris dams. Eave flashing must not overhang the eave GAF -Elk Leak Barrier. Eave flashing must not overhang the roof eave edge by more edge by more than 1/4" (6mm) and extend 24" (61Omm) beyond the inside wall line. than 1/4" (6mm) and not e ) nd extend dc ( 6 install ) beyond e of Shingle-Mate' inde walll underlayment. line. here ice dams or P 2 plies 4" (102mm)r Weat Welch", StorrGuard '', 4 " 12" (305mm) Deck or other GAF -Elk Leak Barrier (51mm to 102mm) 12" (305mm) Weather Walch StormGUard Minimum Slope. For lower slopes, see Box la �/� or other GAF -Elk Leak Barrier i 6 m� All sheets are 36" (914mm) - l \ g1 All sheets are 36" (914mm) ✓ 39"`A wide Shingle -Mate underlayment N. c el • \ or other GAF -Elk underlayment. •y69,,ACO \ l x, de Shingle- Mate"or \ \ other GAF -Elk underlayment. \ v Up to 1/4 (6mm) roof overhang : .,,psr� l -."-' / /I NZ610.`� Mtn# ' / Lap sheets 2" (51 mm side la Rake dnp edge - \ ,\,� 19 (483mm) ' ) P��! to provide t _ douhle coverage Along rake, place drip edge fop / 4" (102mm) end la (-- of underlaym ent p Up tot /4" (6mm) roof overhang Eave drip edge Along eave, put underlayment on top of metal drip edge. Z Starter Course 2 First Course Apply as shown. Note: GAF -Elk starter strips with sealant are recommended at the e. Start and continue with full shingles laid flush with the starter course. Shingles may be laid eaves and rakes for best performance and required for the best limited wind warranties from left to right or right to left. DO NOT lay shingles straight up the roof (racking) since this on certain products (see limited warranty for details). procedure can cause an incorrect color blend on the roof and may damage the shingles. Place shingles close Ingethet Slarl at either rake and lay in either direction but don'1 c rowd Continue with full - length Non - corroding trimmed shingles Starter Course Meal Drip \ � Edge / egvl L J� e�men� / / , day \2 0 Continue Place shingle 114' -3r4' (r5t tours¢ rG,,tse (6 d9ake ledver save . with whole For maximum wind resistance along rakes, Install any 5 . N containing or to prcvitle tln First Cours shingles to underlayment and d each other in a 6' If not using a pre -cut I (702mm) width of asphalt plastic cement. starter tabs off NI* ` all starter ar c coursurs e shingles Star( first course with whole Shingle Trim 6" (152mm) l07' (176mm) from end of first shingle then place and nail as placed 1/4" -314' (6 -19mm) over save to 1 02, l 4' ( and rake edges to provide drip edge. to 02mrn mj 1 from s save ave I 4 Second Course 5 Third Course Start and continue second course as shown. Trim 6" (152mm) from the end of the Trim 11" (279mm) from the first shingle in the course; then continue with full shingles shingle. Position the shingles in the second and subsequent courses flush with the tops across the roof. Strike a chalk line about every 6 courses to check parallel alignment of the wide cut -outs. This results in a 5" (127mm) exposure. Continue with full width with eaves. NOTE: Shingles may be laid from either left or right -hand side. shingles across the roof, e�' deg \a9 of Third Course ' . �. � Second Course \,L � gd `� : , ' .� First Course Trimmetl Shingles , Trim Shingles 6" (152mm) Fourth Course and Remaining Courses ' Hip and Ridge 6 Trim 17" (432mm) from first shingle in the course, then continue with full shingles Install GAF -Elk Timbertex ", Z "Ridge, Seal -A- Ridge ", or Ridglass hip and ridge shingles across the roof. Fifth and subsequent courses; repeat Steps 3 through 6. (check regional availability).Follow the application instructions shown on the hip and ridge wrapper. Fifth Course Full Shingle Fourth Course 111' 41111i Trimmed Shingles v , v pl .. ' a' \ tic • 9 Wall Flashing Sheathing —* -4— Siding 5" (127mm) Minimum Metal Flashing (Nailed to the deck, not to vertical side wall) • Cap shingle - Do Not Nail. Install with asphalt plastic cement Asphalt Plastic Cement ' -- -4--- Shingle Roof Deck --► 9 Chimney Flashing Non - corroding metal counter Cricket on flashing to extend down over high side of base flashing chimney 4 4, . . .,— , 6 Non - corroding metal base flashing. .. One piece step flashing for each course .. I / h Cement n place and nail with 2 nails ' // Bond overlying shingles in asphalt plastic cement 1���4_ �% - 1 * 4 . 11 • • 4 j , ■ 4 4# ■■• - - .,-..... 4 v g .4. 4 *.■•■••■•afr • • 0 __ I 0 Valley Construction - Closed or Woven Valley Center a full 36" (914mm) width of Weather Center full width roll No fasteners within 6" (152mm) of center line Watch °, StormGuard° or other GAF - Elk Leak of Weather Watcho, StormGuardo Barrier over entire valley length to seal the or other GAF -Elk Leak Barrier Valley center line Extra fastener in valley. Lay Shingle Mate" or other GAF - Elk [6" (152mm) end laps] in valley end of shin i the Leak Barrier into the rier a minimum and m of 6 " (1 9e the Lk Barimu (152mm). Design the valley for water flow over the trimmed shingle by installing the valley ,, ,„ Clipped corner set in beginning with the roof plane that has the lower ; - asphalt plastic cement slope or lesser height. Extend the bottom shingles 12" (305mm) past the valley center ------ . line. Use normal shingle fastening methods (no fasteners within 6' (152mm) of valley center line, two nails at the shingle's end). Continue to Run starter stop and the top of the valley in the same manner. Trim • • 0 ` . first shingle course shingles 2" (51mm) back from valley center line ' • . * ,.. 1 . only across valley. on top roof plane. Clip shingle corners after the .� .� .. . �. ► 12" (3osmm) minimum cut to keep water flow in the valley center. Seal 6" Install underlayment )over �..j the valley using plastic roof cement: seal the leak barrier r ,..� I valley shingles to each other for the best eaarrir ** . � . protection. (Note: Excess cement can cause : G ... N . . shingle blisters). . � � Shingles trimmed 2" (51 mm) back from valley center line DI Valley Construction— Open Cut Center full width roll Center a full 36" width of Weather Watch', ofWeather Watche, StormGuard° or other GAF -Elk Leak Barrier StormGuardsorother over entire valley length to seal the valley. Lay GAF - ELK Leak Barrier Shingle -Mate" or other GAF -Elk underlayment 16" (152mm) end laps] m into the valley and overlapping the leak barrier in valley a minimum of 6 ". Center valley metal using 20" a 1 Crop top corners Cement 12 (305mm) (508mm) wide aluminum, galvanized steel, metal laps with asphalt, � ° ; yr of shingles at copper, or other non - corroding, non - staining plastic cement valley as shown metals (24 gauge minimum). Embed the metal . + " - laps in asphalt plastic cement a minimum of , , 12" (305mm).. Nail the metal on the edges so Embed shingles in the nail heads hold it in place. Do not puncture Center metal in valley :„ asphalt plastic the metal. Nailing through the metal may cause b i , . ` cement in valley leaking and buckling due to movement. Install shingles to the valley, covering the metal 4" Top of valley 6" (152mm) (102mm) minimum on each site to seal. Clip wide between shingles. the top corners to keep water flow toward the Spreads 1/8" d eaves valley center. Taper the valley shingles to per foot toward eaves handle increasing water volume. Start at 6" (152mm) wide at the valley top, widen 1/8" 1 • . ' . Shingles should extend • (3mm /m) per foot toward the eave (snap chalk � j min. 4" over metal at eaves lines to ensure shingles diverge properly in celley). omead tee hhinele onhe plaatic wa - cement to seal the shingles a the metal and ... keep ep water from running under r metal them. t "Note. Excess cement can cause shingle blisters. Precautionary Notes These shingles are fiberglass, self - sealing asphalt shingles. Because of the natural characteristics of the high quality waterproofing material used, these shingles will be stiff in cold weather and flexible in hot weather. 1. These shingles are particularly tough, heavyweight shingles with a definitely rugged - looking appearance. They require additional effort to trim to fit on the roof. Curved blade utility knives are more effective than straight blade utility knives in cutting these shingles. Using a circular saw equipped with carbide - tipped blades is also effective. 2. Regardless of the tool used, always wear proper protective wear, i.e. gloves, eye protection, etc; follow all protection procedures and use tools carefully to prevent personal injury when working with these heavier products. 3. Do not drop bundles on edge or on other bundles to separate shingles. Do not load bundles across a hip or ridge. Do not bend bundles over shoulder for carrying. Premium weight may cause cracks at sharp bend points. 4. Handle carefully. Shingles can easily be broken in cold weather or their edges damaged in hot weather. 5. Store on flat surface, in a covered, ventilated area — maximum temperature 110 °F (43 °C). Do not store near steam pipes, radiators, etc., or in sunlight. 6. GAF -Elk does not recommend long -term storage of double stacked pallets. If double stacking is required for short periods, slip sheets of 1/2" (13mm) plywood cut to the pallet size are required between pallets to minimize damage. Long -term double stacked storage, especially in hot weather, can result in possible sticking, staining and distortion of the shingles in the lower layers of shingle bundles. 7. If shingles are to be applied during PROLONGED COLD periods or in areas where airborne dust or sand can be expected before sealing occurs, the shingles MUST be hand sealed. See "Wind Resistance /Hand Sealing" instructions. IMPORTANT: Repair leaks promptly to avoid adverse effects, including mold growth. Re- Roofing If old asphalt shingles are to remain in place, nail down or cut away all loose, curled or lifted shingles; replace with new; and just before applying the new roofing, sweep the surface clean of all loose debris. Since any irregularities may show through the new shingles, be sure the underlying shingles provide a smooth surface. Fasteners must be long enough to penetrate the wood deck at least 3/4" (19mm) or just through plywood. Follow above instructions for application. Note: Shingles can be applied over wood shingles if the surface can be made smooth enough. This may include cutting back old shingles at eaves and rakes, installing new wood edging strips as needed, and the use of beveled wood strips. Install #30 underlayment to maintain Class A rating. For more information, visit our website at www.gaf.com or call Technical Services at 1- 800 -ROOF -411. This product is sold with an express LIMITED WARRANTY only. A copy of the LIMITED WARRANTY stating its terms and restrictions is printed on the product wrapper or may be obtained from the distributor of this product or directly from GAF -Elk Corporation. Any deviation from printed instructions shall be the responsibility of applicator and /or specifier. 02007 GAF -Elk Corporation Florida Building Code Online http:// floridabuilding. org/ pr/ pr _app_dd.aspx ?param= wGEVXQwtD... • o mmu it Affairs t ; � 1°° iI• CA 6aU,_ MA r P#±@ .28 Svl r.C7 DCA , _ r BCIS Home 1 Log In 1 User Registration Hot Topics i Submit Surcharge 1 Stets & Facts 1 Pubhcations 1 FBC Staff I BCIS Site Map 1 Links ; Search 1 i r A i \ Product Approval USER Public User Community fl Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail P #;pg FL # FL163 -R2 • 1 &i imut,lM Application Type Revision - W b Pf? •� Code Version 2007 .rsue k - Application Status Approved � pproved 17:..2-4 ) Comments Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368 -6922 Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368 -6922 Ext 207 MLaFevre @cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368 -6922 Ext 208 Ralph @cws.cc Category Windows Subcategory Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Roberto Lomas the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL163 R2 COI 510510A (Enc Eval Rep SH- 3500).ndf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101/IS2 -97 1997 Equivalence of Product Standards Certified By Sections from the Code 1 of 2 3/4/2009 9:53 AM o (Am m ;r - o, m m?. ' *N r' 6 . nma 1-y r Q v� a 3 � O mY U, M �� 1-i+ 1- r* * m°: a 0 m M > _ 2., mDi , Z z . O =m A g= rn Z -4-4M0 CZ -4 a z 9 a C O 0 Gad D m2Z c, O c^ m -i m mb Z n. 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