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HomeMy WebLinkAbout10-11319 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11319 BUILDING PERMIT Permit Number: 11319 Address: 37125 CULLENS TRL Permit Type: RE -ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS Est. Value: Parcel Number: 03- 26 -21- 0180 - 00000 -0610 Improv. Cost: 25,700.00 Date Issued: 12/15/2010 Name: WHALEY, LINDA Total Fees: 247.50 Address: 37125 CULLENS TRL Amount Paid: 247.50 ZEPHYRHILLS, FL. 33542 Date Paid: 12/15/2010 Phone: (813)782 -5101 Work Desc: REROOF ALUMINUM SHINGLE ■ 1.._ -.. 1 - - •• - . 1 • O f A s TAPE JOINTS R INSP FINAL ��lt'l 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 toy r property. If you intend to obtain financing, consult with your lender or an attorney before reco in r no ' of com encement." 21r /4 Mb- ONTRACTO SIGNATU PERMIT OFFI 'R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department Date Received 11- 0 / 0 Phone Contact for Permittin! 5'13 L/77 - 5 2 5 C Owner's Name _ L. 1 Ma A %S . L e Owner Phone Number g)3" 7n S7c)/ Owner's Address 347V Cl.IJQns Tyra is 1 Owner Phone Number Fee Simple Titleholder Name 2 r Owner Phone Number Fee Simple Titleholder Addres .7 2 JOB ADDRESS 9 L ] `L.'flQhS 'Cats LOT# Co/ It (4-- SUBDIVISION 5fepLeh4 C1 JQMaT si PARCEL 03 — Z[- a1 - (:)/SO - d00 -0 (0)0 ev (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR _ ADD /ALT 1 1 SIGN I n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR I 1 COMM I I OTHER I TYPE OF CONSTRUCTION n BLOCK n FRAME 1 1 STEEL n I DESCRIPTION OF WORK Ike f1OJC ,t l+ S t i InSle r 0 4 cfr I n SiA II A-1 vAi i Neat S L ; 05h 2 g BUILDING SIZE SQ FOOTAGE 5-000 lea - HEIGHT Z S FT I c tot? nBUILDING $ ZS/ 700 VALUATION OF TOTAL CONSTRUCTION ,J 1 (ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. 1 (PLUMBING $ (0..1,..0 G nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / !/r 1 C k , 1-42&. GAS N ROOFING n SPECIALTY 1 1 OTHER v I eed FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 YES NO i �� BUILDER Ch ris / 6A' N �4' COMPANY A him A T j ft Roofers I f (. SIGNATURE G / - '''-/11/1 _ REGISTERED I Y / N . 1 FEE CURREN I Y / N I Address 1 333 %.4 Pk vvl3 ✓i Q p A/ A - In License # I C. CC I3LS7/ 7 l ELECTRICIAN IA M pa i Ft_ 3 3 v 11 COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # 1 PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # 1 MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y / N I Address I License # I OTHER COMPANY SIGNATURE REGISTERED [ Y/ N 1 FEE CURREN I Y/ N I Address I License # I 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. 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Approved w /the below comments: ❑ Denied w /the below comments: ❑ This comme eet 1 - kept with the permit and /or plans. a-13--(1) Kalvin Swi ' er - Plan ' xaminer Date Contractor and /or Homeowner (Required when comments are present) Pasco County Parcel: 03 -26 -21 -0180- 00000 -0610 001 Page 1 of 1 Data Current as Of: I Weekly Archive - Saturday, December 11, 2010 Parcel ID I 03- 26 -21- 0180 - 00000 -0610 (Card: 001 of 001) I Classification U 01 - Single Family Mailing Address Property Value WHALEY LINDA J Ag Land $0 37125 CULLENS TRL Land $43,812 ZEPHYRHILLS FL 33542 -0662 Building $155,551 Physical Address Extra Features $14,476 37125 CULLENS TRL ZEPHYRHILLS FL 33542 -0662 Market Value $213,839 Legal Description (First 4 Lines) Assessed (Non - School Amendment 1) $213,839 See Plat for this Subdivision 41" Non - School Taxable Value $109,943 STEPHEN'S GLEN AT SILVER OAKS School District Taxable Value $134,943 PHASE THREE PB 32 PGS 54 -55 LOTS 61 & 62 I Land Detail (Card: 001 of 001) I Line II Use IlDescriptionll Zoning II Units II Type II Price II Condition II Value I 1 II 0100 II SFR II OPUD II 6,000.00 Il SF II $5.06 II 1.00 II $30,360 I 2 II 0100 II SFR II OPUD 013,188.20 II SF II $1.02 II 1.00 ll $13,452 Additional Land Information I Acres II 0.44 II Tax Area II 30ZH II FEMA Code II X IlResidential Codell SIVLLP1 I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1996 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line II Description II Sq. Feet II Repl. Cost New 1 l BAS II 2,500 11 $159,575 2 II F P II 258 I $4,149 3 II FGR 0 756 1 $19,277 Extra Features (Card: 001 of 001) Line 1 Description I Year Units Value 1 DWSWC I 1996 2,147 $2,630 2 I SCRN -AF I 1996 2,500 $2,250 3 I POOL -6 I 1996 392 $5,802 4 1 COOL DK 1 1996 1,064 $3,194 5 1 JACUZZI 1 1996 1 $600 Sales History Previous Owner 1 BAY VILLAGE BUILDERS INC Year II Month I Book /Page II Type II Amount 1995 I 11 I 3497 / 0542 II WD II $0 1995 II 11 1 3497 / 0541 II yVD II $0 http: / /appraiser.pascogov. com/ search /parcel. aspx ?sec =03 &twn= 26 &rng =21 &sbb =018 0 &... 12/14/2010 1111111111 11111111110111I I I I 1 11111111111111111111 1111 1111 2010174813 Rept:1339759 Rec: 10.00 J Y(6'(-) DS: 0.00 IT: 0.00 12/08/10 J. Ferias, Dpty Clark PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLEI NOTICE OF COMMENCEMENT 12/08/10 34 1 136 0f -7 1 85 Q OR BK PG Permit No. Property Identification No. 03- 2. is - Z i - 0 Igo - O 0 OOO - 0 LP 1 O THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal description : � rip ) - - A . . 12 h � Oa KS. � bw�se 7IL. lots ty l t- la Z a) Street Address: 3712-c r 142n s TraZi i 2.42.0 lls, FL ' - 335'i2 - Ow(p2- 2. General description of improvements: l -e - Zv o4 0C ko,n e . 3. Owner Information a) Name and address: L.. i rttl4 J. G% lay, 3 7125 Cu 1lens Tr4 i ) 1 Z pl, yrti i Us FL 3 3SYz b) Name and address of fee simple titleholder (if other than owner) N /4 R c) Interest in property D 4J n f 4. Contractor Information _ a) Name and address: 1 i la Qop 3, In 333 F�.1Ke.vbv�3 Rp A - -12 TAmpA, F(. 33(p►1 b) Telephone No.: g)3 - togs- 2. '1 4 S Fax No. (Opt.) $13 - t S y — '13 R8 5. Surety Information a) Name and address: b) Amount of Bond: /1/4//1 c) Telephone No.: Fax No. (Opt.) 6. Lender a) Name and address: /1 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.: 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. STATE OF FLORIDA X COUNTY OF PASCO �� /� i . •..A, , or is Authorized Of cer/D r/Partner/Manager - Print Name IIIJJJ The foregoing instrument was acknowledged before me this a7 day of Afe , 2010 , by L... a L Cho \e _ as (type of authority, e.g. officer, trustee, attorney in fact) for u (name of party on behal • , hom instrume '4). Personally Known OR Produced Identification Notary Signa :! _ _ , A, `� _ F271".7: _ _ '0 $ __.._ leC.0-mbe2 Q(0 ___ ARCHITECTURAL SPECIFICATIONS .� T. MANTTFACTURFR: dererinrarion panels are locked together by engaging O 0 . - Perfection a formed hp on the left side of panels E {l• <, PO Box 1524 C. Alloy and Temper — All aluminum with a modified U- shaped water stop R ' E. 8512 Industry Park Drive panels and accessories are made of on the right side of the preceding panel. r. Piqua, Ohio 45356 3105 -H25 aluminum sheet (minimum The concealed vertical lock hides the c g 000 P U.S.A. tensile strength 26,000 psi; vertical joint, minimum , making it practically � J Local: (937) 778 -5117 yield strength 22,000 psi) or impossible to discern the interlock 1 "- s Toll -free: (888) 788 -2427 equivalent. between full panels, no matter what the ,c.. ' r.: • Fax: (937) 778 -5116 angle of sight. the top lock provides a D. Thickucss — Alt panels have a continuous hooking lip for engagement F �' • II. SCOPE nominal thickness of 0.019" (.483 mm). with the bottom of each panel of Work includes all labor, materials succeeding courses. This type of snap - ui ment necessary to complete I V. INSTALLATION and e q P Y P lock allows the panels to be installed installation of Country Manor Shake A. Fastening — Country Manor Shake like siding panels. aluminum roofing. panels are applied over minimum /z" plywood decking or equivalent. B. Dissimilar Materials — Aluminum III. PRODUCTION INFO. The system may also be applied over materials should not be installed in A. Product Design — All panels are existing composition shingles (single contact with dissimilar metals, concrete, designed for use in residential and or multi- layered), wood shingles or stucco, asbestos siding, masonry or light commerical applications with wood shakes with 1" maximum butt other corrosive nonmetallic materials elevations up to 30 feet (9114 mm). thickness. In any case, the entire roof that might be wertligiMilii For applications of a different nature, must be covered with a minimum of prevent problems with wood, use contact Perfection. one layer of 30 -1b. felt underlayment. treatments such as creosote or zinc # . Height: 12" (304.8 mm) Country P naphthanate pentachlorophenal (5% Countr Manor Shake panels have a concentration). Width: 48" (1219 mm) continuous nailing flange to provide Wt. /Sq.: 46 lb. for easy application. Panels are installed To prevent chemical reactions from soil from left to right with left -hand end contaminants, do not install Country Each Country Manor Shake panel is cuts as required to stagger the vertical Manor Shake panels fewer than six formed into eight individual simulated joints between successive courses, inches above the soil line. Dissimilar shakes of varying height, width and enhancing the random appearance. materials should be painted or otherwise butt thickness to duplicate the random Country Manor Shake panels should protected when they are in contact with overlap appearance and three- be attached with ring or screw shank aluminum or when drainage from them dimensional effect of real cedar shakeds. aluminum mails that have a minimum passes over aluminum. Do not permit The product's authentic appearance is shank diameter of 0.090: and a water from copper flashing to drain further enhanced with a deep- rugged- minimum head diameter of 0.215 ". over aluminum products. looking grain formed into each of the Nails should provide a minimum of –...Nor eight individual shakes. ' /a" penetration, excluding point, into a V. CODE INFORMATION solid nailing surface. Country Manor Shake aluminum B. Finish — Country Manor Shake roofing is listed with the following 4iiiiiiiiiiilliiikaiay formed accessories Minimum Acceptable Roof Pitch: 4:12 evaluation services: are formed with a two -coat, high (101.6:304.8 mm) or, in non -snow A. Underwriters Laboratories, Inc. performance Kynar 500 or Hylar 5000 areas, 3:12 (76.2:304.8 mm). listing as an approved fire -rated coating, which includes a protective roof covering as Class A, B or C primer and baked -on high - performance For weather protection and to imitate when applied usingecified . topcoat that resists chalking, fading and a joint between individual shakes, _..1011111111•P■ MIA M MADE MIAMI -DADE COUNTY, FLORIDA • METRO -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) Classic Metal Roofing Systems 8510IndustryPark Drive Piqua, OH 45356 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) ind/or the AH1 (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. t This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Country Manor Shake 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. 1 with This renews and revises NOA# 02- 0814.09 and consists of pages 1 through 4. All work s11a11 C01ILp The submitted documentation was reviewed by Alex Tigera. vili lln$'S for C tTiCR _ mech plutnbixg (, NOA No.: 07- 0807.01 Expiration Date: 11/18/12 Approval Nate: 12/13/07 rI. Page 1 of 4 ROOFING SYSTEM APPROVAL Category: Roofing Sub - Category: Metal Sub -Type: Aluminum Maximum Design Pressure: -75 psf Maximum Fire Classification: See Limitation #1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Product Dimensions Test Product Description Specifications Country Manor Shakes 14 ' /8" x 48 V2" TAS 110 Corrosion resistant imitation shake panel press - formed from .019 inch thick aluminum. TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Product Dimensions Specifications Product Description Manufacturer (With current NOA) Roofing Nails Minimum shank TAS 114 Aluminum or stainless Generic (Shingle/Shake diameter .090" steel standard ring or attachment) and a head screw shank nails for diameter of shake and accessory .215 ". attachment. EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Report Date Farabaugh Engineering and TAS 100 Wind driven rain infiltration 11/01/07 Testing, Inc. resistance Architectural Testing, Inc. TAS 125 Standard Requirements for 12/11/98 UL 580 Metal Roofing Uplift Resistance Architectural Testing, Inc. ASTM E8 -96a Tensile Test Report 12/11/98 ,.aghjied Research ARL 99009, 07/13/99 Laboratories • 99010 work shall comply with p evailing codes for building, • plumbing, electrical, mechanical, gas., pools and aluminum s1ructuref NOA No.: 07- 0807.01 Expiration Date: 11/18/12 Approval Date: 12/13/07 NZ./ Page2of4 APPROVED ASSEMBLY sup•.... System A: Country Manor Shakes Deck Type: Wood, Non - insulated Deck Description: Min. 15 /32" Plywood, or Wood Plank )11 Slope Range: 2 ":12" or greater Maximum Uplift Pressure: The maximum allowable design pressure for system A shall be —75 psf. Deck Attachment: In accordance with applicable Building Code, but in no case shall it be less than 8d annular ring shank nails spaced 6" o.c. In reroofing, where the deck is less than 19 /32" thick Minimum 15 / 32 ") The above attachment method must be in addition to _ existing attachment. Underlayment: Minimum underlayment shall be a double layer underlayment system comprised of a #15 felt (ASTM D 226, typel) applied with a 50% overlap or application of a #30 felt (ASTM D 226, type II) or #43 coated base sheet (ASTM D 2626) installed with a minimum 6" side laps and 2" head laps. Underlayment shall be fastened with corrosion resistant tin -caps and 1 V4" annular ring shank nails, spaced 6" o.c. at all laps and two staggered rows 12" o.c. in the field of the roll. Or, any other approved underlayment having a current NOA. Note: All flashing cement used shall be ASTM D 4586 asbestos -free flashing cement. I products shall have Miami -Dade Component Approval. Fire Barrier Any approved fire barrier having a current NOA. Or for class A o Board: install minimum 1/4" thick Georgia Pacific "Dens Deck" (with current NOA or minimum 4mm thick of Tritex, RockRoof (with current NOA) or 5 / water resistant type X gypsum sheathing with treated core and facer. Valleys: Valley construction shall be in compliance with Roofing Application Standard RAS 133 and with Classic Metal Roofing System's current installed instructions. Metal Panels and Install Country Manor Shake, and accessories in compliance with Classice Metal Accessories: Roofing System's current published installation instructions and details. Flashing, penetrations, valley construction and other details shall be constructed in compliance with the minimum requirements provided in Roofing Application Standard RAS 133. All work shan Prevailin mj With for plumbing ele/nca1, . building, gas, Pooh and �. structures s � �� �2, NOA No.: 07- 0807.01 t °' � Expiration Date: 11/18/12 Approval Date: 12/13/07 . ro Page 3 of 4 ' I:Yt y Where panels intersect with a valley, panels shall be cut at a diagonal and folded over and locked to the standing rib of the valley. Note: The two round die -set holes on each panel are not for nailing. LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. The maximum designed pressure listed herein shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be °n • permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). 3. All panels shall be permanently labeled with the manufacturer's name or logo, city, state, and the following statement: "Miami Dade County Product Control Approved ". * tot DETAIL A 48" �. l . �1 •' 1 1 ..11 • 11 ll� 12" Ma END OF THIS ACCEPTANCE NOME All work shall comply with - prevailing codes for Wing, plumbigg, eta Irs .Cl z rf:3a;,,; , NOA No.: 07- 0807.01 g, pools aDtl1 12; Expiration Date: 11/18/12 Approval Date: 12/13/07 Page 4 of 4 'lorida Building Code Online Page 1 of 2 . . ,, // .. , Ht. . ii, , BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search 1111. • • i j Product Approval USER: Public User Community Affairs Product Approval Menu > Product or Application Search > A..licati.,; t > A . • ication Detail 1) /' � Yq �� �5 (.4l .� C. FL # L10626- 2 REVIEW 1 �1�11E '° � Application Type Revision '1'` }PHYRHI�.:: ( Code Version 2007 pf�'iNC EXAMINER___ C' Application Status Appro ed Comments CI Archived Product Manufacturer GAF Materials Corporation t�[�t Address /Phone /Email 1361 Alps Road M LY In Wayne, NJ 07470 1,I,,WORK - , - ....• DING lindareith @trinit .co VAILING CODES, C CO DEpj3D cOl ,NaION ALE1 [ 07D11 pNCES Authorized Signature Beth McSorley CS�ti CI' ,��1�"� lindareith @trinityerd.com 1 i� Technical Representative Beth McSorley Address /Phone /Email 1361 Alps Road Wayne, NJ 07470 (800) 365 -7353 jll work comply iwith ding n bmcsorley @gaf.com p>ieVal code. f r b, Quality Assurance Representative g�lUmbing, eI1clrj Address /Phone /Email S: tools structure Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architec$ nsed Florida Professional Engineer •'• !. 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 03/01/2012 Validated By John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL10626 R2 COI Trinity ERD Certificaiton of Independence.odf Referenced Standard and Year (of Standard) Standard Year ASTM D1970 2001 ASTM D226 1997 ASTM D6757 2002 TAS 103 1995 Equivalence of Product Standards http://www.floridabuilding.org/pr/pr_app _dtl.aspx ?param= wGEVXQwfDgtBNbEY5V %2... 12/8/2010 Florida Building Code Online Page 2 of 2 • Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 08/28/2009 Date Validated 09/08/2009 Date Pending FBC Approval 09/21/2009 Date Approved 10/13/2009 Summary of Products FL # Model, Number or Name Description 10626.1 GAF -ELK Roof Underlayments Roofing underlayments for use in sloped roof systems Limits of Use Installation Instructions Approved for use in HVHZ: No FL10626 R2 II er090809FINAL GAF Approved for use outside HVHZ: Yes Underlavments FL10626- R2.pdf Impact Resistant: N/A Verified By: Robert Nieminen PE -59166 Design Pressure: N/A Created by Third Party: Yes Other: Refer to Evaluation Report, Section 5 for Limits Evaluation R its of Use. FL10626 R2 er090809FINAL GAF Underlayments FL10626- R2.odf Created by Independent Third Party: Yes Departn,ent 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 c9 2000 -2010 The State of Florida. All rights reserved. - "'*" 1 'r7 Statement I Copyright Statement 1 Accessibility Statement 1 Plug -in Software 1 Customer Service Survey I Contact Us Product Approval Accepts: ® Iecreci xa urit% 1 "� 1�t1 work :hall comply with prevailing codes for t'` ildhig, pltunbing, dectrical. mechanical, gas, pools and aluminum stnictures http: / /www. floridabuilding. org /pr /pr_app_dtl. aspx ?param =wGE V XQwtDgtBNbEY5 V %2... 12/8/2010 DATE (MM/OONY) CERTIFICATE OF LIABILITY INSURANCE 12/09/2010 PRODUCER Serial 1 179484 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FRANKCRUM INSURANCE AGENCY, INC. HOLDER. THIS CERTIFICATE DOES NOT MEND. EXTEND OR 100 S. MISSOURI AVE. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. _ CLEARWATER FL 33756 INSURERS AFFORDING COVERAGE NAICO INSURED INSURER A: FRANK WINSTON CRUM INSURANCE, INC. 11800 INSURER E' FrankCrum 1 -800 -277 -1620 iNsuRER , 100 S MISSOURI AVENUE INSURER D: CLEARWATER FL 33758 INSURERE — - THE POLIOIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTNRTMSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OF OTHER DOCUMENT WITH RESPECT TO WNICN THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCWSIONS ANO CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. wsR 7 A00'L P OUCY NUMBER POLICY EFFECTIVE POucy - wax: R' LIMITS WIRD TYPE OF INSURANCE DATE (MMIDDIVY( DATE (MWODIYYI EACH OcwRRENCE 5 GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY FIRE DAMAGE VIM ens 5I0) 5 , 71CLUMS MADE DOCCUR M .r1 1 PERSONAL $ ADV INJURY 1 , GEA'ERAL AGGREGATE 5 CENL AGGREGATE UNIT APPLIES PER PRODUCTS - COMP'OP A00 5 f POucV ' (PROJECT FLOC AUTOMOBILE UASILITY GOMSINED SINGLE LIMIT 5 (E..eado/0 ANY AUTO AU. OWNED AUTDB BODILY INJURY 5 (Poi prAPN SCHEDULED AUTOS HIRED AurOB BODILY INJURY 5 (Dm mold /NI ,.., NON.OWNED AUTOS PROPERTY DAMAGE $ . (Pm IccideAl) 4 444 — 1— BRANY ARACE LIABILITY AUTO ONLY. EA ACCIDENT 1 AUTO ,_ OTHER THAN EA ACC 5 AUTO DULY AGO 1 EXCCI3 I UMBRELLA LIABILITY CACTI OCCURRENCE 5 OCCUR OOLAINS awe AGGREGATE $ s DEDUCTIBLE 5 RETEN $ _ , 1 , WORKERS COMPENIAT1dJ AND + WC 5tATU• 1 OTHER A EMPLOYERS' LN8I.ITI WC201000001 07/01 /2010 01/01/2011 X L TORY LOOTS ANY PROPRIETDRI PARTNER I EXECUTIVE OFFICER I NEWER EXCLUDEDT E L EACH ACCIDENT - E 1,000.000 ✓ yen, a.em. E.L DISEASE. EA EMPLOYEE $ 1,000,000 S PECIAL PROVISIONS MI.0 E.I. DISEASE- voucYLeN1T 1 1 000,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONS 1 VEIMCLEB I EACLU01oNI mono BY OJDOASEMENT I SPECIAL PR3VI$IONS EFFECTIVE 07/20/2009, COVERAGE IS FOR 100% OF THE EMPLOYEES OF FRANKCRUM LEASED TO METAL ROOFING CONSULTANTS, INC. DBA ALUMA -TILE ROOFERS, INC. (CLIENT) FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM. COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. CERTIFICATE HOLDEN cANCEU.ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION PATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SHALL IMPOSE MO OBLWATION OR LIASLJTY Of ANY KI O UPON THE INSURER, ITS AGENTS OR CITY OF ZEPHYRHILLS BUILDING DEPT. REPRSSENTATNES. 5335 8TH STREET AumoRIzED REPRESENTATIVE ZEPHYRHILLS, FL 33542 -� 100 /(00 wn.If YV-1 7.I :AI (IIn7. /Rn /7.1 ALUMA -TILE ROOFERS, INC. Lifetime Metal Roofing Specialist • 333 Falkenburg Road, Suite A -130 • Tampa, Florida 33619 (813) 685 -2485 • 800 - 999 -3930 • FAX (813) 654 -4388 LIC # CCC1325717 NAM E 1.... Na Q ' 1 a IN'e/ PHONE DATE / W 8)3- "18 Z SI o 1 /0 2"7 /© STREET 3 I/ 2 S C U `l e•n 5 TyL SALESMAN k c' 5 H 0& et rr CITY Ze,p LA 7 le 11 , )1 s 1 P C".- . a 4 �p & - We hereby submit specifications and work description: 1� ern DV{ Ex ' n 5' i vvsl e s -4- k avl .id Pear-, ,1)ne.r+gseS 2 I "434- I I CI) k i e f � - 4 T i 4 r c o 1 Ce * w a 4.r S ti ; e) d u ncl er la „ u�. E 0 Furn1■51, d-- Ii'S+ -i !f Per 4 ec-1- � o#, Coo "I I - v\I Manor L'4e4ttv.,¢ Mu in .u wh RDOc-i "_ S s .1-em cc. ,, y A-1 ro'o-F e. r -eq,. 6) Use A,I co 1 ,r- rnvt,4-otn;ns acccssor ;-es sucl, A dr: p ec4 AlivAi h :p 4- r - ictee cJAps 1 4 DFF — R;clse c.Aps C ) USe rotven u nder ft>o -F around I c 1 Cc3.e q' 4 -11011+ coo fit er.. a NA- I- o F F Pl w 'c c to M€€- - New ccse-Les . 0 } (3)S11eets c piywdorl 0 Aro c vice / Bc.P woad 4A jrtS1/411*( THE ABOVE DESCRIBED WORK WILL BE COMPLETED ACCORDING TO SPECIFICATIONS, FOR THE SUM OF 3 z-5, 700 ($ ZS 1 700 ). PAYMENT TO BE MADE AS FOLLOWS: / !n c ue 0..+ 57311; n 20% q+ S f irtirl- _S / i 5 3 '1,I4h c.e t-19:›r► cc r ,le f NO ORAL AGREEMENTS HAVE BEEN GIVEN OR ACCEPTED. THIS WRITTEN CONTRACT IS THE ENTIRE AGREEMENT COVERING ALL THE WORK TO BE PERFORMED AND/OR MATERIALS TO BE FURNISHED. THE WRITTEN PORTION ABOVE IS THE ENTIRE CONSIDERATION FOR THE AMOUNT OF THE CONTRACT. PURCHASER MAY CANCEL THIS CONTRACT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE PURCHASER SIGNED THIS CONTRACT. IT IS AGREED: Contractor will do all said work in a good and workmanlike manner and in strict accordance with the ordinances, rules and requirements of the City, Town or Village, wherein the above mentioned property is located. If Purchaser should cancel this contract after time stated above, the Purchaser agrees to forfeit down payment paid. In the event it becomes necessary for Contractor to employ an attomey to collect any sums due the contract pursuant to this contract, then the Purchaser shall pay all reasonable attomey's fees incurred by the Contractor. This contract shall not be binding upon Contractor until accepted by them. Upon such acceptance by said company, this contract shall be binding on me /us without any further notification to me /us. The undersigned property owner agrees that this contract may be assigned for the performance of the work and labor required by the description of the work to be performed. Upon assignment the parties hereto consent to the performance of the work by and the payment to such assignee of the amount of this contract. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the stated contract amount. NOTICE TO THE BUYER: (1) Do not sign this contract before you read it or if it contains any blank spaces. (2) You are entitled to an exact copy of the contract you sign. (3) Under the law you have the right to pay off in advance the full amount due and under certain circumstances to obtain a partial refund of the time charge. Owner acknowledges receipt of a true copy of this CONTRACT. ATR `` ALUMA - TILE O S. INC. Pgrcc haser Date B . 2:7 v 6 I /D � 0 Date Purchaser Date This contract is enforceable only when accepted by the management of ALUMA -TILE ROOFERS, INC. Ac R°r CERTIFICATE OF LIABILITY INSURANCE DATE(MIMODNTYY) I 12/9/2010 THIS CERTIFICATE 1S• ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 'DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. • IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the tames and conditions of the policy, certain policies may require an endorsement A statement on this certificate doss not confer rights to the certificate holder in Hen of such endorsement(s). • PROWLER CONTACT Theresa Fields NAME: American Westbrook Insurance Services, LLC Ejlp_Exa: (800) 894 -9091 Da Not: (630)990 -9099 Four Westbrook Corporate Ct.r Amens tf ieldeeamweetbrook . cos Suite 500 PRODUCER 00000964 CUSTOMER ID Ir. Westchester IL 60154 INSURERS) AFFORDING COVERAGE NAIC 1< INSURED INSURER A :SUA Insurance Co INSURER B : Metal Roofing Consultants, Inc. INSURER C DBA Alums -Tile Roofers INSURER D : 333 Falkenburg Road N. A -127 INSURER E. Tampa FL 33619 -7891 INSURER F: COVERAGES CERTIFICATE NUMBER:10 /11 MASTER REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDL SUER POLfef 1:FP - POUCY EXP — INSR WVD POUCY NUMBER (MWODIYYYY) (MMIDDIYYYYI UMITS GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERA. LIABILITY DAMAGE TO RENTED � PREMISES (Ea occurrence) S 100,000 A CLAIMS-MADE ! A I OCCUR 10APRRF100525GLO3 9/18/2010 9/18/2011 MED EXP (Any one person) — $ 5, 000 PERSONA. & ADV INJURY $ 1, 000 , 000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE UMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 2C POLICY nJFRTT n LOC s — AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY (Per person) ! SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS PROPERTY DAMAGE (Per accident) NON-OWNED AUTOS — $ - S — UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAMS MADE AGGREGATE DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION i AND EMPLOYERS' 1JA91U7Y ' WC STATU- I I ANT PROPRIETOR/PARTNER/EXECUTIVE Y / N TORY LMIT8 { 1 ER OFFICERIYEMBER EXCLUDED? n N 1 A E.L EACH ACCIDENT S (Mandatory In NH) yyeesa E.L DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below • E.L DISEASE - POUCY LIMIT $ DESCRIPTION OF OPERATIONS U LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Zephryhil l s- Building Dept ACCORDANCE WITH THE POUCY PROVISIONS. 5335 8th Street Zephyrhills, FL 33542 AUTHORIZEDREPRESENTATA(E 442,44.41100 riferfaLthiC Mike Melniak /TFI ACORD 26 (2008!09) 019882009 ACORD CORPORATION. Ni rights reserved. 1NS026, (200909) The ACORD name and logo are registered marks of ACORD • s3t`. 1-I PDO • C� , It W �- w c , °. 1' ` t H W l .*, - V ''}, g 4. 0 � r, g W g...-- . R i4. ''':'' +'r N a " ' - +{ k d `g - o . it g m 0. t z to r no al