HomeMy WebLinkAbout11-12301 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(si3)�so-oo20 12301
� BUILDING PERMIT
Permit Number: 12301 Address: 5049 9TH ST HISTORIC
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-20600-0070
Improv. Cost: 4,077.19
Date Issued: 8/29/2011 Name: STINNETTE ALEXA & ALBERT
Total Fees: 90.00 Address: 5049 9TH ST HISTORIC
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/29/2011 Phone: (813)779-8483
Work Desc: REROOF FLAT 900 SQ
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TAPE JOINTS R F I SP
FINAL �''��
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 munty, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing, wnsult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-7so-oo2o City of Zephyrhills Permit Application Fax-813-78Q-0 —�
Building Department � � 1 ''
Date Received ' Phone Contact for Permitting --
�
�er's Name � L �. � � �-r Owner Phone Number `� —�7 r�
Owner's Address `���1' ` � G-. � 33�Y Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS �U �[ ` J J �'� � 33 j 1 7 Z LOT # �
SUBDIVISION � � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR � ADDlALT � SIGN Q MOVE O DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM � OTHER C
TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL � OTHER �--�
DESCRIPTION OF WORK � 1' t �F JJ S �`
BUILDING SIZE SQ FOOTAGE _� HEIGHT C_�
�� BUILDING $ VALUATION OF TOTAL CONSTRUCTION
J'I 'l '
� ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0
� PLUMBING $
� MECHANICAL $ �I VALUATION OF MECHANICAL INSTALLATION
�
�
� GAS Q� ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS I� FLOOD ZONE AREA �YES �NO
�
BUILDER � _--- COMPANY 1� 1�1 VeZ6 ► 1��1q(;,,-� 11c. _
SIGNATURE REGISTERED / N FEE CURR T Y N �
Address � �"[ � � ug �� �e G �) 3 3 License # �(f.�, ���., `)v`� Z.
ELECTRICIAN COMPANY '
SIGNATURE � REGISTERED Y/ N FEE CURRENT Y/ N
Address License # � �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �
MECHANICAL COMPANY
iNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �— I
OTHER COMPANY
SiG�fi�TURE ' ^�cteTER�o Y; R FEE CURP.SNT Y/ N
Address License # �—
RESiDENTIAL Attach (2) Plot P4ans; (2) sets of Building Plans; (1) set of �nergy Forms
Minimum ten (10) u�orking days after submittal date. Repuired onsite, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans, (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
*""*PROPERTY SURVEY required for all NEW construction.
�n �
rections:
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 AFplication Only) � �
Reroofs Sewers , Service Upgrades A/C Fences (Plot/SurveylFootage)
Driveways-Not over Counter if on publicroadways..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/UTILtTIES 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, tf 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will' be perFormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
W tercourses.
- 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, t certify that fill will be used or�ly 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 extensio�. If work ceases for ninety f901 c�nser,utive dal��, th�;oh �s cc^�:�ersd abar,doned
� WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YUUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FlNANCING, CONSULT
� WITH YAUR I.E�l��ER OR p�4 ATT�iRT!��: BEF^R� R�.^..^,�:v�6':<� i'v}i.ir't �v��'iC� �� 4��ri�itichiC�i�iElNi.
FLORIDA JUf2AT (F S '117 03)
t //� c
OWNER OR AGENT �_� _�� CONTRACTOR � _��(
Subscribed and s n to (or a�rmed) efore me this Subscribed and sworn to (or affirmed) before me this
-� i byN�.tt�6�---i� ��1tQ iT__ �__�ir51 by �Qclfil;) P�h�Q
Who is/are per�,oRatly known to ma has/have produced Whd is/are personally kn,g�urrt"o=me-qr has/have produced
as identification. �" � ' as identification.
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Notary Public Notary Public
Commission No Commission No
A . V
Name of N in�e ` 07426 Name of Notary typed, printed COMMISS�ON r �D9o7a26
v� EXPUtES !Ul 28 2012 �� EXMRES JUl 28 2012
� � � �Jp►{ � 80NDED THROUGFi
Inl INSUMPICE CO�'�Y dl NJSURANCE COAM4�NY
i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
2 011127205
• � Rcpt:1383537 Rec: 10.00
D5: 0.00 IT: 0.00
08/16/11 A. Giard, Dpf.y Clerk
NOTICE O F COM M E NC EM ENT PRULR S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER
MRI#4378 08/16/11 10:19am 1 of 1
Permit No. OR BK �5�� PG ����
Tax Folio No. 11-26-21-0010-20600-0070
THE UNDERSIGNED hereby gives notice that improvements will be made to certain reai 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 prope�ty (legal description): CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 7& 8 BLOCK 206 OR 5407 PG 1500;
5049 9 STREET, ZEPHYRHILLS, FL 33542; SEC 11 TWN 26 RGE 21
2.General description of improvements: ROOFING
3.Owner Information
a)Name and address: STINNETTE ALEXA & ALBERT, 5049 9 STREET, ZEPHRYHILLS, FL 33542-2178
b)Name and address of fee simpte title holder (if other than owner): N/A
c)Interest in property: OWNER
�Contractor Information
a)Name and address: MILBAR ROOFING. INC. . 15911 U.S. HWY 301, DADE CITY. FL 33523
b)TelephoneNo.: 352/567-6047 Fax No.(Opt.)
5 Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No. Fax No. (Opt.)
6.Lender
a) Name and address:
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 p�ovided 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 PROPER�Y 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 FLOR � � ' � ��!
+ ��91
COUNTY OF ,CrGlC,��` � O. �� <'
o_
Signature of ner or Owner's Authorized Officer/DirectodPartnedManager ,�r
a,r�. s�-, ,�,�,a ��� „�...�.��
Print Name and Title � .� o :
fore oin 'nstrument s acknowle d before me is � day of l.�! , 20�, by � 3��' '
as � l�� � (type of a horit .g. o cer stee, attorney ' �«;., v?-
fo i .� name of party on behalf of whom i tru e.nt w e ). � 9 �;
Personally Known OR Produced Identification Notary Signature� �� a H a�
Type of Identification roduced Name(print) � ° v �;?
+� o ��
�.� �D ��� � � ~ T —1
Verification pursuant to Section 92.525, Florida Statutes. Under enalties of per}'�Y I declar �`at I have read the fo � ing° d `
and that the facts stated in it are true to the best of my knowlec� ��I e'i �! /� __
k '� . G
- ���'�''`
Sig� �,�y;� � atural ersc> S�+; ' 9(�n line # 10.) Above
FORMS/NOC,rvsd2007 �
`
7,
1
6TAfi� t�� ��a�14A, COUNTY 4E PASCO: .�•-" „
TMI� i� Tq ��RTIFY THAT THE FORcG01t�'j�'1� ,_
TRUE AND CORRECT COPY OF THE DO�:(,�NT
ON FILE �R �F PUBLIC RECORD IN THI��F�1��
WIT MY HAND AND 0 ICIAL SEA4�'HIS
_�r�� pAY OF pT /lLE
pq� �� O'NEIL, CLE ���
BY - _ �"'I.ERK
Pasco County Parcel: 11-26-21-0010-20600-0070 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, August 20, 2011
Parcel ID 11-26-21-0010-20600-0070 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
STINNETTE ALEXA D& ALBERT C Ag Land $0
5049 9TH ST Land $19,040
ZEPHYRHILLS FL 33542-2178 Building $58,392
Physical Address Extra Features $8,112
5049 9TH ST
ZEPHYRHILLS FL 33542-2177 Market Value ;85,544
Assessed (Save Our Homes) $85,544
Leqal Descriotion (First 4 Lines) Homestead 196.031 -$25,000
Non-School Additional Homestead Exemption - $25,000
See Plat for this Subdivision ,�
CITY OF ZEPHYRHILLS PB 1 PG 54 Non-School Taxable Value ;35,544
LOTS 7& 8 BLOCK 206 School District Taxable Value �60,544
OR 5407 PG 1500 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 Use Description 2oning Units Type Price Condition Value
�1 0100 SFR OOR2 7,000.00 SF $2.72 1.00 $19,040
Additional Land Information
Acres 0.16 Tax Area ZH FEMA Code � Residential Code ZHLHLP2
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1925 Stories 1.0
Exterior Wall i Tile or Wood Frame Stucco Exterior Wall 2 Concrete Block Stucco
Roof Structure Flat Roof Cover Built-Up Tar and Gravel
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Pine or SoR Wood Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 BAS 1,856 $76,838
2 � 144 $2,070
Extra Features (Card: 001 of 001)
Line Description Year Units Value
�— 1 �� DU-M 1978 1 $202
� 2 � 1�DA 1989 1 $201
3 POOL-6 1999 288 $5,299
�— 4 —� )ACUZZI 1999 1 $800
5 C L DK 1999 , 436 $1,359 �
6 �r D FEN E� 1999 672 $251
Sales History
Previous Owner MONICA CRYSTAL A
Year Month Book/Page Type �
2003 06 5407 / 1500 WD $130,000
1997 11 3843 / 1402 WD $32,700
1977 � O1 8830 / 1838 $ll,900
http://appraiser.pascogov.com/search/parcel.aspx?sec=11 &twn=26&rng=21 &sbb=0010&b... 8/26/2011
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: /l/l/ /�Gr � � ���
Date Received: � Z �—��
Site: ��b �9 �/ �� � %
Permit Type: J2 � �'�� ��Q 7
Approved w/no comments. Approved w/the below comments: ❑ Denied w/the below comments: ❑
, C��)
This comment sheet shall be kept with the permit and/or plans.
� ^ � 4
Kalvin S'tzer — Pl Examiner Date Contractor and/or Homeowner
(Required when comments are present)
2011-Aug-03 03 23 PM fhz radiology 8137836116 ��L
MiIB��r R�ofinq� in�. �
15911 U.S. 301, Dade City, FL 33623 St�te Cert Roofar
�ccc�szsosa
Ph: 800/562-2393 F�x: 352/567-4454� RGI Reg Roof Consuttant #0149
miibar@�arfhlink.net
ROOF PROPOSAL oaae i of2
DAT�: 07/80/11
Y �.� �i1Z� P ��G
TO; STINN�77E, ALEXA & ALBERT PN: 81 a/779-8483 A �� 0 �� p.B� � P �j)
5049 8 STREET PH: 8i3/7' 9� �� C �
ZEPHYRHILLS, FL 33542-2778 ���,�,'�Rl ���.1Cti
4�,� �* � 1 LLS O
JO6: STINNETTE R�SID�fVC� pI.A7 ROOF CO��' titi����
5049 9 STRE�'f' C1Z� 0 �
ZEPHYRHILLS, �L 83542
....-----�� � ===��_ �__=_=_=__ =_== - �, �A-
w ��'(�
��AY a� -aaa� �ap�rox xa �xsl�� �E���E. ��P�.��t-t�t�� C,�
1. Tear off and dlspose of the old on�-layer flat roafing syste ,�a�up work ar d�lly.��� �,��,�1���'
2. Re-fasten the ex}sting plywaod roof deck in accvrdance th the 20 Florlda Buil g Code.
3. Provide and install 2" polylsocyanurate �Igld Ineulation boar .
4. Provide end mechenicelly fasten a Flrestone MB fibergleae bsse e ove e plyWOOd deCk prlot to the
installatlon of the Firestone roofing membrane as par the msnufacturer's requirements.
5. Provide and instsll a new Firestone APP-180 whtte aranula-surfsce rooflnp mambrane which is a torch•applied
iully.�adhered modlfted biwmen rocf system that is heat-welded at the seems to farm one sheet; provtde
F(roatone's 12-year Modified Bitumen Membrene llmlted Product Werranty.
8. AU meta! and concrete surf'aces wi11 be pr9med wlth an asphait base prfiner prior to installation of the Ftrestone
raoflng membrone.
7. Pravtde and Instafi new 26 gauQe galvanized metal eavedrip around the per(meter af the roof as needed.
Re the two (2) existing off vents.
8. Rep�Ir/Replacemant of any rotten or demaged roof decic, faseia, trim, framing, efc. or re the existing roof
deck wlll be completed on a cost-plus basis abave and beyond the contract price.
9. Owner to provlde �ecass to roof area for delivery trucks for idading/unloading of materlsls..
10. MIIBQr Rpofing, Inq. to provide Genersi Liebility and Worker's Compansatlon Insurance ($2,OQO,ODQ Itmit) and re-
roofing permit.
�� M���CC���C �CC�������������������^=aatrc.��tl�C���O� C�CC��CC��CC�� � ������
We propcee to fumish matertnl and labar, complota in seaordanc• wlth above speciflcationa, far the Cont1'act Sum of; � �
FOUR THOUSAND S�V�N'IY-SEVEN AND 19/100 DOLI,.ARS��»«w-«M•»----------------_.._� _ —�4,077.99
aoaa���� �ps��-�s ����oaoawsw�rlK1�Ml+bnmPnonm�Ca�� ���p�p—���aoiaoCO�ot
Payment to be mad@ ae fo11oW6: DUe UpOn GOtllplatlorl,
: a�-...............�a=�=�M�=�=����=��n=:=a= :�o_...,-�..aa��t :._...��=a��==_�==�_=a�===__=c===c
From. 08/04/2011 12:49 #456 P 001l001
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.-�� APPLICATION FOR A HISTORIC DiSTRICT
- "CERTIFECATE OF APPROPRIATENESS"
ey statt.• Application # Contributing: Yes / IVo Dafe Submifted:
(Apptfcar� P/ease provFde frrformaflon between fhe dou6/e lines}
Property Address or Location: __, v49 �l-h �tYQ Y�#
Owner's Name: ���hn�rx.� �-�� ��,c..r� Phone: �',1; �77.`� _ ��ic3
AppticanYs Name & Company (ifdJfferent): .')�7�r��- 1�. �lz ��� ���alc' `�i��, �y��
Appl9canYs Mailing Address:____ 1�.� l( I�.,� �i� �� , c �� -,�,,, I'lr ��.�i :� Z3
APp. Contact,lnfo: Phone: " ,� Fax: .�5z,,]__�_`1 � 4�� Emafl: milba�-C�_E�rHn1J1�k_v�'
_ Type of Property: Residenfiai � Commercial Pubiic or Other
PROPOSED RESTORATlOF! / RENOVATIONS / REPAfRS / RELOCATION ! ETC:
Exterior Walis 5ignage
E�derior poors Lighting
Windows New Main BuUdng or Addition to Existlng Buildng
Porches New Aocessory Bidg. (garage, carport, shed)
Awnings or Canopiss New dec�C, ramp, patio, etc.
Fencing Butlding, Demclitlon or Rebc�lon •
'} �Exterior Painting & Cobr Changes General Repairs (desaibe below) �
, ✓ Roofing Other'�describe betow)
Defailed description of pmppsed wor{c: (attach other shee#s if necessary) r'1 �- ����� (1yy
�� � �.i��PA_ c,MrrAcsr
The Hlstoric Preservatbn Board requires that the foliowing informatian MUST be included with an appiicatton prior to the
appGcation being accepted by staff:
• Detailed Plans, induding a site olan and elevation(s):
• Color and material samaies:
• ManuFaeturer's sales ture:
• Phobaraohs: and
• Any other_���o � mer�tatlon to show that the proposed work is consistent witt� the adopted Department
of Interior S'tandards.
1
�
SIGNATURE OF THE OWNER and/or Al�PU
(AppJfcant do NOT wrlte BELOW this One)
ACTtON TAKEN Date:
y Staff: Approved• Denied Reason for Denial:
��C]By HPB: Approved Approved with modificatlons noted belaw' andlw on attached sheets
Denied
" HPB Condition(s) of Approval:
Signed: � Date: �/a�/�/
A r � * �-
,�,
''�''1 �'i� � �+t� �1 i� - � � .�:ti.
Granule Surface -��'��
BtM1�DING PR4DUCTS ° . � `' �. � � ��
.� -
��a
AP P 180
APP
Meets ASTM D 6222, Type I, Grade G Modified
7ested in AccordaACe with ASTM D 5147 Bitumen
Firestone Item Number: �
W70PUWP1800 (UltraWhiteT"') Glass Reinforced Burn-off Film
W70PWP1800 (White) Polyester Mat
W70PBP1800 (Black) . � o , � � . , , , _ �
DESCRIPTION:
Firestone APP 180 is a granule-surfaced APP modified bitumen If material must be stored temporarily on the roof before
membrane. It consists of select asphalt, modified with atactic application, it must be elevated from the roof surface on a
polypropylene, and reinforced with a non-woven 190 g/m (5.6
Z pallet, stored on end, and covered from the weather with a light
oz/yd ) polyester mat, enhanced with continuous glass fiber colored opaque tarp in a neat, safe manner not to exceed the
strands in the machine direction The combination results in a dllowable live load of the storage area
flexible, yet durable roofing membrane that exceeds the
performance requirements of ASTM D 6222 Type I, Grade G. pACKAGING•
APP 180 is ideal for both new construction and re-roofing applications Roll Width: . 39.4" (1 m)
as a cap sheet in single or multi-ply applications. Low slope roofs of any Roll Length: 32' 10" (10 m)
size, even those with numerous penetrations, may accommodate a Net Coverage: 98 sq. ft (9.1 sq. m)
Firestone APP 180 application. Roll Weight: 105 Ib (47.7 kg)
'�'� ' Pallet Size: 48" x 39" 1.2 m x 1 m
�!"S.'.';.`i i�. � ( )
- Rolis Per Pallet: 20
Weight Per Pallet: 2,060 Ib (936 kg)
Pallets Per Truckload: 21
Stack Firestone APP 180 Sauarelv In Oriainal Unouened Packaqinq
i i Weathered No More Than Two (21 Pallets Hiqh
'���' "*o-���, ; SolarReflectance o.�s Pending pRECAUTIONS•
�� ThertnalEmittance 0.69 Pendin 1. Take care when transporting and handling Firestone Modified
RatedProdudlD ooza Bitumen rolls to avoid unctures and other es of h sical
<<MN M�q ucensed ManufacturerlD osos P tYP P Y
•.��,. •..� ^� n C�assmwdon Production Une damage.
CoolRootRatingCOUncllrotingsaredeterminedtoraflxedsetoT 2• Isolate waste products, petroleum products, grease, oil
condldona,andmaynotbeappropriateTordeterminingseasonalene�gy (minerel and vegetable) and animal fats from all Firestone
pedormance. The actual eifect ot solarretlectance and tAermal emittance Modified Bitumen membranes.
oob�uaiogPerrorn,a��em.y�ary. 3. This product is not intended for application in hot applied
Manufacturero(productstipulateathattheseratingsweredMerminedin $O� as halt. Contact our Technical Coordinator at 800-428-
accordance wkh the applicable Cool Roof Radng Council procedurcs. 8 � p Y
RQ 4511 for specific recommendations.
flectance /ndex (SRI) = 89 4. Refer to Material Safety Data Sheet for APP Membranes and
SR/ ca/cu/ated using the ORNL (DOEJ ca/culator, ASTM E 1980-01 Flashing.
'firesrone
U/traWhite granu/es can he/p achieve points in the U.S. Green LEED INFORMATION:
Bui/ding Council's LEED� rating system and meet the requirements Post Consumer Recycled Content: 6% �
for Califomia's Tit/e 24 regu/ations. Post Industrial Recycled Content: 0% �``
Manufacturing Location: Beech Grove, IN
APPLICATION METHOD: �
APP 180 shall be installed by fully heat welding to an "• �`
appropriate substrate F F,U ��` Sryf`
�pBSiFj�,
STORAGE: F M "' •
All material must be stored out of the weather in a clean, dry Note: ��� US
area in its original unopened packaging at a minimum of 40 °F � Dade CountyApproval
(4 °C) and a maximum of 140 °F (60 °C) so that it will be a otUaraWnite products
minimum of 40 °F (4 °C) at the time of application. is pendin9
Firestone Building Products Company, LLC
This sheet is meant to highlight Firestone's products and spedhcations and is subject to 250 W 96�" Street, Indianapolis, IN 46260
change withoul nolice. Firestone takes responsibility for fumishing qualiry materials, which
meet Fireslone's published product spedficalions. Neither Firestone nor its representatives Sales: (800) 428-4442 • Technical (800) 428-4511
practice architecture. Firestone offers no opinion on antl e�ressty disdeims any www.fi�estonebpco.COm
responsibility for the soundness of any struclure. Firestone accepts no Iiability for structural
failure or resultant damages. Consult a competent sWctural engineer prior to installauo� if
the structural soundness or structural ebility to propeAy support a planned installation is in
question. No Firestone representative is authorized to vary this disGaimer S723-RFS-025
� � � j � .i.
i �
APP 180 '�r 1� t''' ,, S�"t"�► �'1. �„'
Meets ASTM D 6222, Type I, Grade G BUILDiNG pRpDUt'�S
Tested in Accardance with ASTM D 5147
Dimensions and Mass
English
Metric
Property ASTM Firestone
Unit ASTM Firestone
Minimum Nominal Unit
Product Thickness mil Minimum Nominal
160
Net Mass Ib/100 ftz 85 162 mm 4 4.1
Bottom Coating 93 9�m 4,150 4,544
mil 30 48
Ph sical Pro erties mm 0 1,2
Peak Load at 0°F (-18 °C) MD 120
(Tensile Strength) Ibf/in 60 MD 21
XMD 98 kN/m 10.5
Elongation at Peak Load at XMD 17
0°F (-18 °C) % 10 M� z4 24
% 10 MD
XMD 29 XMD z9
Peak Load at 73.4 °F (25 °C)
(Tensile Strength) Ibf/in 50 M � 84 MD 15
XMD 62 kN/m g,g
Elongation at Peak Load at XMD 11
73.4 °F (25 °C) % 23 M� 42
% 23 M� 42
XMD 51 XMD 51
Ultimate Elongation (at 5% of MD 45
Peak Load) at 73.4 °F (25 °C) % 30
% 30 M� 45
XMD 57 XMD 57
Tear Strength at 73.4 °F (25 ° C) �bp M� 125
�� N 311 M � 557
XMD 85 XMD 377
Dimensional Stability o�o Change 1 MD -0.05
% Change 1 MD -0.05
Low Temperature Flexibility ,F XMD -0.04
XMD 0.04
32 14 ,� Q
High Temperature Stability oF -12
230 270 °C 110
Granule Loss 132
Ph sical Pro erties After Heat Conditionin 9 2 •� o.a
Peak Load at 73.4 °F (25 °C)
(Tensile Strength) Ibf/in 50 M � �� MD lZ
XMD 59 kN/m g,g
Elongation at Peak Load at XMD 10
73.4 °F (25 °C) % 23 M� 40
Low Temperature Flexibility ,F XMD 47
% z3 M� 40
32 XMD 47
12.0 oC �
0
S723-RFS-025