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HomeMy WebLinkAbout10-11153 CITY OF ZEPHYRHILLS Y 5335 - 8T1 STREET (813)780 -0020 11153 BUILDING PERMIT Permit Number: 11153 Address: 38522 REMORA AVE 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: SLEEPY HOLLOW MHSUB DIV Est. Value: Parcel Number: 02- 26 -21- 0260 - 00000 -0830 Improv. Cost: 416.00 Date Issued: Name: BRENNAN, JOHN & MARGARET Total Fees: 60.00 Address: 38522 REMORA AVE Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/17/2010 Phone: (813)788 -1409 Work Desc: REPLACE 4 WINDOWS SIZE TO SIZE - , Y .... :1 .1.11 // 0 .. 1 1'111 ` 11Y: . 1 S. • 1 1 .+ 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 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." ior 4 1 /t CONT TOR SIGNATURE PERMIT OFFI rR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Oner .Z ri City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Air Contra omeov - , ." . /! J1 ' Date Received: /7 — /t) Site: 4I f7 v .44171 4 a Permit Type: / ° Approved w /no comments: ❑ Approved w /the below comments: )10 Denied w /the below comments: ❑ • This comment sheet shall be kept with the permit and/or plans. a,l M NOV 1 0 2010 Kalvin Switzer — Plans Examiner Date ✓ntractor and/or (Required when comments are present) Plan Review Windows & Doors 1) Need manufacturing installation specifications. 2) Must meet sections R308 and R612 of the 2007 F.B.C. 3) If windows are to be installed inside the historical district, they will need to be approved by the historical committee. 4) No other work shall be permitted (framing, plumbing, and mechanical) unless otherwise specified, 5) This is for replacement (glass for glass) only. If you wish to change from screen or vinyl windows to glass, then additional information is required, 813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department 11153 Date Received — Phone Contact for Permitting — Owner's Name S;i AO nh c>.1 /6,e4,74.11//9/1/ O wner Phone Number 7 R" / er i yJ. -�? � � �' ,�i� i - -, Owner's Address Q7f9 / 'e�R'/9if Owner Phone NumbeT Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 4 ,3e.0.2 7j� LOT # D feig /�� SUBDIVISION 1'I19A4t) PARCEL ID# / (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ri ADD /ALT SIGN I [fl DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR n COMM I ( OTHER 1 TYPE OF CONSTRUCTION n BLOCK fl FRAME I I STEEL Q DESCRIPTION OF WORK e-- 0 BUILDING SIZE SQ FOOTAGE HEIGHT I ,/BUILDING $ `�� o / VALUATION OF TOTAL CONSTRUCTION IELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. (PLUMBING $ (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION IGAS I I ROOFING n SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES NO a rt .. BUILDER =' ■'- " OMPANY ��� r SIGNATURE of ��/ t ` � REGISTERED Y / N FEE CURREI Y / N Address License # I ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN 1 Y/ N Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRE' I Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRE' I Y/ N I Address 1 License # I OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N J FEE CURREN I Y/ N I Address 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 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 -O -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 $7500) ** 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 if shingles Sewers Service Upgrades A/C 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 I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, 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 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) ��II' OWNER OR AGEN ? / AC"- CONTRACTOR Subscribed and swo..' o (or affi rd) .e ore me this Subscribed and sworn to (or affirmed) before me this by by. Who is /are personally known to me or has/have produced Who Is /are personally known to me or has/have h identification. produced as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Pasco County Parcel: 02- 26 -21- 0260 - 00000 -0830 001 Page 1 of 1 • I Data Current as Of: II Weekly Archive - Saturday, November 13, 2010 1 I Parcel ID I 02- 26 -21- 0260 - 00000 -0830 (Card: 001 of 001) Classification II 02 - Mobile Homes Mailing Address Property Value BRENNAN JOHN J & MARGARET 3 Ag Land $0 38522 REMORA AVE Land $11,500 ZEPHYRHILLS FL 33542 -6339 Building $10,265 Physical Address Extra Features $593 38522 REMORA AVE ZEPHYRHILLS FL 33542 -6339 Market Value $22,358 Assessed (Save Our Homes) $22,358 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 SLEEPY HOLLOW MOBILE ESTATES Non - School Additional Homestead Exemption - $0 RESIDENTIAL COOPERATIVE OR 4507 PG 292 Taxable Value $0 LOT 83 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line II Use IlDescriptionll Zoning II Units II Type II Price II Condition II Value I 1 0200 MSUBM 00M2 1.00 LT $11,500.00 1.00 $11,500 • Additional Land Information I Acres II 0.08 II Tax Area II 30ZH II FEMA Code II -- IlResidential Codell SHOPLP1 I Building Information - Use 02 - Mobile Home (Card: 001 of 001) I Year Built 1973 Stories 1.0 Exterior Wall 1 Pre - Finished Metal Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M) Interior Wall 1 Plywood Panel Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C None Baths 1.0 Line I Description I Sq. Feet Repl. Cost New 1 I BAS 1 672 $18,131 2 I FOA 1 60 $405 3 1 FCB I 120 $2,914 4 1 FEA 1 160 $3,669 5 1 FCA I 484 $2,617 6 I FST 1 132 $1,592 Extra Features (Card: 001 of 001) Line II Description 1 Year 11 Units 0 Value 1 11 A /C -2 1 1993 II 1 II $60 2 I CAC -1 1 1992 1 II $308 3 1 DWC I 1975 II 240 II $225 Sales History Previous Owner I SLEEPY HOLLOW MOBILE Year 1 Month I Book /Page II Type II Amount 2003 I 03 I 5282 / 0027 11 PL 11 $20,900 2000 I 10 1 4482 / 0710 II WD 11 $ 1997 1 10 1 3818 / 1909 11 WD 11 $o http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 02 &twn= 26 &rng =21 &sbb= 0260 &... 11/16/2010 • • DISCLOSURE STATEMENT .FOR OWNER • C OF ..ZEP MUILDMKG DEPARTMENT . y#1 4- )) ! L � .Q elite and fully_ understand and agrthe pr vp.sions ' instrument. ns The undersigned .state d affirms that he or. she is desirous of constructing, . • renovating, adding to or reroofing his or her own domicile, that.he or she actually occupies, or will occupy by said domicile,'and same is not for rent, lease or sale.' That he or she gl1 comply with the following conditions: .1. That the owner and.he or she alone 51-+=11 act as the builder for all phases of • construction. ' ' 2. That the owner will comply with all provisions of the City of Zephyrhilis ordinances and nodes pertinent to the wilding- 3. That in the event various phases of construction are subcontracted, he will - engage only properly licensed subcontractors and will personally. supervise such work. '4. That in the event the Building l pector s1-1 1 1 require corrections to be made, the owner will assume full responsibility to insure they are made, and upon Completion will call .for a reinspeetion before proceeding with the building. 5. That the owner s1 =11 assume full responsibility for the construction and will not expect_ supervision of his work from the City ZephyrHi: s Building Department. 6. That prior to f- inspection any additional fees, including rein pection fees, must be paid in full. A written request from this office s1-1a11 constitute an official notice -to pay additional fees- . 7. That the owner shall comply with all City, State and Federal laws in regard to . social security, workman's compensation, lien laws, etc., where applicable. B. That the owns shall comply with all the : safety codes issued by the Florida Industrial Commission. on. 9. State law requires construction to be done by licensed contractors. You have applied for a per+*it under an exemption to that law. The exemption allows • . you, as the owner of your property, to act as your own•contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one - family or two - family residence or a farm outbuilding. You may also build or improve a commercial_ building, provided your costs do not exceed $25,000. The building or be for your own use or occupancy. It may not be built or substantially improved for sale or. lease.. If you sell or lease a building you have built or substantially improved yourself will 1 year after the construction is complete, the law will press e•that you .built or •• substantially improved • if' for sale or lease, which is 'a violation of this exemption. You may not hire .an unlicensed person to act as your contractor or to supervise people working On your building. It is your responsibility to . make sure that people employed by you have licenses required by state law and . • by county or municipal licensing ordinances. You 'may not delegate the 'responsibility for supervising' work to a. licensed contractor who is not. licensed to perform the work being dome_ Any person working on your bui1 i'ng who is not licensed must work rrrii r your direct supervision and must be . employed by you, which means that you. must. deduct F:I.C.A. and withholding tax and provide workers' compensation for employee, all as prescribed by law. Your construction must comply 'with. ail applicable laws, ordinances, building codes, and zoning regulations. ,,/ OWNER'S SIGNATURE --!I f �`�► ' _ - DATE 1/ - /0 - � (� • ADDRESS °r f/T _ :�/ • X »� PHONE i n _ • WITNESS \ f _e_ti s i i ')/ PERMIT T # • • poayyuold COOZ © 1 G 141 (I ,/S -x'/.47// -4 7 �3 'J~ , ,r'P _ , 4 8 .1. 0 a :sd01S uoil • I i y [ s I xi e 1 - � - i f /.� j`�r -er. f -- .---; i :ld0ouo3 i . .. + , , ,-t ` , _ ...... )... / - el o a t : uolldpos0a • : 4oefoa d Florida Building Code Online k'n , AAMA/101 /I.S.2/A440 -05 2005 t'''''.,'' '.. Equivalence of Product Standards 4 * , .. Certified By 1 ary, ,,�.s , s LL Sections from the Code ' , Product Approval Method Method 1 Option D g ,.., r ; Date Submitted 11/03/2009 4, . " Date Validated 11/04/2009 4,,,-- " . Date Pending FBC Approval 11/08/2009 A'a Date Approved 12/09/2009 r e� 4 '' 'Summary of Products t is � I FL ;k lModei, Number or Name _ _ i Desd n iptio - .__ _, < - k — �. 12517.1 1SH -8100 Continuous Head & Sill ISH 8100 Cont. Head & Sill (double single Hung), Non - Impact, 74 a s ,g � I1 /8" x 63 ". I � � � V Umits of Use ..r° . _ --- --e._ - -- — .� _ ij � IInstallation Instructions , $ , f } „, y., Approved for use in HVHZ: No ; fL17517 Rt II C - 442 (SH Non - Imoact 74x63 I 4 Approved for use outside HVHZ: Yes 'C ontHdSU).ndf -- f -; � 4 . . Impact Resistant: No ; Verified By: Lucas Turner 58201 k I . Design Pressure: +N /A/ -N /A Created by Independent Third Party: Yes 1 ; - 1 -0' r < Other: SH -8100 Cont. Head & Sill Max. size 74 1/8" x 63 ", DP !Evaluation Reports c ",--r," f " c < uy +67.5/ -70 psf w/ std. sill, +/- 70 psf w/ Hi Rise sill. 1L17517 Rt AF Fval Ren (SH 8100 Non Imnact 74x63 a ' 3 e— ___a _ �__a�� _ - -- I Created by I ndependent Third Party: Yes .∎ 12517.2 SH 8100 Continuous Head & Sill ISH -8100 Cont Head & Sill (double single Hung) Non - Impact, 74 -a - c IUm tS o f Use Installation In structions ; i "'? sue. Approved for use in HVHZ: No , fL125_17 RI II CWS -497 (SH -A100 Non- Impact 74x72 j .1 a , x - i Approved for use outside HVHZ: Yes ContHdS1).ndf i! t -4 -- ` - e � a ! Impact Resistant: No I Verified By: Lucas A. Turner 58201 11 ` '' 4, Design Pressure: +N/A/ -N /A 1 Created by Independent Third Party: Yes 1■ l r , * Other: SH-8100 Cont. Head & Sill, Max. size 74 1 /8" x 72 ", see lEvaluation Reports /1 .� k r , -, chart on Installation Dwgs. for DP. . is .,- „.. ! ' " II 1ConLHdS1 CWS- 492).ndf .; r , ; - - -- __ _ . �_ _ _ J Created. 7a y1 d Mikron NOA 06 O1 .ndf = j .` by Independent Third Party: Yes � x � * kip x Department of Community Affairs " ;, € a Florida Building Code Online i' Codes and Standards - . 2555 Shumard Oak Boulevard a ., 1 ', ^ Tallahassee, Florida 32399 -2100 i r '' (850) 487 -1824, Fax (850) 414 -8436 k+" i ' ` , ® 2000 -2010 The State of Florida. All rights reserved. • Privacy Statement I cagnIgIlLatiaginegt I Arcessihility Statement I Plua -in Software I Customer Service Survey I Contact Us r r , ` �4 ' Product Approval Accepts: '7 � r''''',-;P'X''''k4f-'0'.::: CO lierlSign P r w =g:4:,'' Secured Y `- ...%,,4 VERIFY. http: / /www.floridabuilding.org /pr /pr_ app_ dd. aspx? param= wGEVXQwtDgvG4Aty8UaHdNFOj46bggHDnUaw0% 2ffRsYFfMa8tC5tWGQ %3d %3d[4/15/2010 2 :54:01 PM) Florida Building Code Online � 4, t V k°^` �4` ... ...4y..er: . u . l,'. .. , "�..;4 �•• °.. 4. s� K- Mwnn +O* w8OU D DCA .... !�71�M! f I'' -- ,%��; BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Unks Search k ? a t Product Approval USER: Public User e ta. ;! Community * -, Affairs '' product Annmval Menu > product or Annhcahon Search > Aoolication I ist > Appl Detail fi e :. FL # FL12517 -R1 ) l , , :4k. ?r •, r Application Type Revision , ; Y ,' ', , Code Version 2007 rr y: V ` :` 4 Application Status Approved I.� ` ,$,. < Comments s t Archived ❑ $ d1 x ` i� u ,� " , Product Manufacturer Custom Window Systems Inc. Address /Phone /Email 1900 SW 44th Avenue ,' Ocala, FL 34474 's , �' (352) 368 -6922 Ext 207 iC mlafevre @cws.cc $ C ' . Authorized Signature Michael LaFevre 3 mlafevre @cws.cc i s ?.+ I F- Technical Representative Michael LaFevre ## y , Address/Phone /Email 1900 SW 44th Avenue � : ';. Ocala, FL 34474 ,a 'i5 (352) 368 -6922 Ext 207 - r a MLaFevre @cws.cc vNxr4t "'s s r ^ f, �e ... Quality Assurance Representative Jeff Thompson . , X Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352) 368 -6922 Ext 221 tir ,..„-t„:,-:,:i;.,,......1,,„ a� f ;; jompson@cws.cc '' Category , { Windows f 5 Subcategory Single Hung r ue J9 j s ,, „ia Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida x€ v * ° Professional Engineer ° f ' 0 Evaluation Report - Hardcopy Received r ° 1 �� ,,,,.. f _ Florida Engineer or Architect Name who developed the Lucas Turner f x 3 ,. Evaluation Report 1 Florida License PE -58201 °”' ° Quality Assurance Entity Keystone Certifications, Inc. " " Quality Assurance Contract Expiration Date 12/31/2010 a' c f Validated By Steven M. Urich, PE b +" ,, #,a , 0 Validation Checklist - Hardcopy Received `1 { f_. .. Certificate of Independence pI 17517 RI COI Eval Rep (SH Non - Imnart 74x63 ContHdSl).ndf Referenced Standard and Year (of Standard) Year http: / /www.floridabuilding.org /pr /pr_ app_ dti. aspx? param= wGEVXQwtDgvG4Aty8UaHdNFOj46bggHDnUaw0% 2ffRsYFfMa8tC5tWGQ %3d %3d[4/15/2010 2:54:01 PM]