HomeMy WebLinkAbout12-13089 CITY OF ZEPHYRHILLS
• 5335-8TH STREET
" (si3pso-oo20 13089
BUILDING PERMIT
Permit Number: 13089 Address: 5611 10TH ST
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: 11-26-21-0010-08700-0060
Improv. Cost: 3,909.00
Date Issued: 5/21/2012 Name: RDPD LLC
Total Fees: 82.50 Address: P.O. BOX 566
Amount Paid: 82.50 ZEPHYRHILLS, FL 33539
Date Paid: 5/21/2012 Phone:
Work Desc: REROOF SHINGLE/ FLAT RUBBER
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TAPE JOINTS R�IAI���
FINAL 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� 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.
"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 wmmencement."
Complete Plans,Specifications Must Acxompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONTRACTOR SIGNATURE PERMIT OFFI R
v PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a
Gree� �oafi�g Tech�olagies Ir�.�
901 South Woodro�v Wilaon St pk�tnti City, FL 335$3
727-799-7886 or 813-7a4-69S0 813-?046952 Fax
ccc-�3297os
To: Zephyerhills Building Developrnent Departrnent
This Letter authorizes Kelly rackson, Jay burton,
Ale� Gonzales to pull and pickup permxts on behalf
o.f Crreen Roofing Technolagies Inc.
Thanks, ,
.�ames H. Gomez
Qualifier for Gree 7'ec nologies Inc.
State Of Florida
Cou�nty �f Hillsboxough
The foregoing ins�trument was acknowledged before me this
� �� 2012 by � ,� l.��Green Roof ng
Technologics ��nc. He is perso�ally known ta me.
Notary Public
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E41.Y J JACKStaN
�� ,' COMM1381dN M EE033088
EXPIitES actober 17,2014
�'�,ar _ _�a�►rea_r „sw�a,eom
(.N'fice R13-7O4-b9S0 F�ax 813-7q�-6�)S? l:'mail �rccriraaf•in�lU(c�yahac�.cc�m
l,ic�nsc Nc�, C:C"C 1_i2n7()8
Z /T '��rdd I�i 9t�90 ZZOZ'TZ"��I
Pasco County Parcel: 11-26-21-0010-08700-0060 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, May 19, 2012
Parcel ID 1i-26-21-0010-08700-0060 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
RDPD LLC Ag Land $0
PO BOX 566 Land $15,120
ZEPHYRHILLS FL 33539-0566 Building $13,583
Physical Address Extra Features $0
5611 lOTH ST
ZEPHYRHILLS FL 33542-4159 7ust Value $28,703
Leaal Descriution (First 4 Lines) Assessed (Non-School Amendment 1) $28,703
See Plat for this Subdivision�'" Taxable Value ¢28,703
CITY OF ZEPHYRHILLS
PB 1 PG 54 LOTS 6 &7 BLOCK 87
OR 8686 PG 2619
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�1 0100 SFR OOR2 8,400.00 SF $1.80 1.00 $15,120
Additional Land Information
Acres 0.19 Tax Area 30ZH FEMA Code X Residential Code ZHLHLP2
Buildin9 Information - Use O1 - Single Family Residential (Card: 001 of 001)
Year Built 1959 Stories 1.0
Exterior Wall 1 Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Pine or Soft Wood Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl.Cost New
1 FEP 120 � $2,911
2 � 60 $728
3 BAS 770 $26,681
4 1�P 40 $208
5 UCP 248 $1,282
6 1�ST 64 $901
7 � 120 $1,247
Extra Features (Card: 001 of 001)
Line Description � Year Units Value
No Extra Features
Sales History
Previous Owner BAC HOME LOANS SERVICING LP
Year Month Book/Page Type Amount
2012 03 8686/2619 WD $24,900
2011 � 05—� $618/3463 WD $76,000
2001 12 4819/0955 WD $60,500
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 5/21/2012
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Code Version 2007
Application Status Approved
comments
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Address/Phone/Email 1361AIpsRoad T�r ��,T.,�Tj�;P�,T� � �. ^?�1�': ����5
Wayne,N)07470 �e. : �. L..---•.�.-_.,�.,�_..--:�,.,',\
(973)872-4421
lindareith�trinityerd.com
Authorized Signature eeth McSortey
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TechnicalRepresentative BethMCSarfey -��-���� ,r- l +, r F� ����
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Address/Phone/Email 1361 Afps Road-Bidg 11-i
Wayne,N)07470 %�S_.��� �-}���i!�[.r"�'
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Quality Assurance Representative
Address/Pho�e(Email
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report-Hardrnpy Received
Florida Engineer or Architect Name who Robert Nieminen
developed the Evaluation Report
Florida License PE-59166
Quality Assurance Entity Underwrlters Laboratories Inc.
Quality Assurance Contract Expiration Date 01/20/2013
Vaiidated By John W.Kneievich,PE
Validation Chedcifst-Hardcopy Recetved
Certlflcate of Independence FL,4q3 k�: Ci i Ti,ifiii-�r_-^.����_t;`�i.1;�Gi1 ut 'a��2:F�t)dri Ce;w�+;i
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Referenced SWndard and Year(of Standard) g�ndard Year
ASTM D4434 2004
' FM 4470 1992
TAS 114 1995
Equivalence of Product Standards
Certified By
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Application Type Editorial Change
Code Version 2010
Applicatlon Status Pending FBC Approval
Comments
Archived
Product Manufacturer �AF
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Address/Phone/Email 1361 Aips Road �'�}-�'A�L��C Cf)1 i1.�.�I��1ZIDFi�VIL��'G
wayne,NJ 07470 C�p�„�;_�I10`.:�I ELLCT'tZIC CODE AND
(973)872-4421
lindareith@trinityerd.�oh��'0;LEPHti'R�f�L1-�O�l�'��CE
Authorized Signature Beth McSorley
I indareith(�tri nityerd.com
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Technical Representative Beth McSOrley ��:�J!ir.�. F �..._ � �'�:
Address/Phone/Email 1361 Alps Road-Bldg il-1 � ��'�� �°________�.
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Wayne,N)07470 u;�"�' ��� ��.PyI���NILLS ,
(973)872-4421
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Quality Assurance Representative
Address/Phone/Email
Category Rooflng
Subcategory Asphait Shingies
Compliance Method Evaluatlon Report from a Florida Registered Architect or a Licensed
Florida Professional Englneer
Evaluation Report-Hardcopy Received
Fiorida Engi�eer or Architect Name who Robert Nieminen
developed the Evaluation Report
Florida Lfcense PE-59166
Quality Assurance Entfty UL LLC
Quality Assurance Contract Expiration Date 02/06/2013
Validated By ]ohn W. Knezevich,PE
Validation Checklist-Hardcopy Received
CertificateofIndependence �i:.U_�_�F_�_L.l�l i�_�l!?� �jf'�':} ;,�!,_.TI�ile:ti:'�j
Referenced StandaM and Year(of Standard) Standard Year
, ASTM D3161(Class F) 2006
ASTM D3462 2007
ASTM D7158(Class H) 2007
TiLS 107 1995
Equivalence of Product Standards
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received '�j'�g�� Z Phone Contact for Permittin �� � �� �— ����
Owner's Name �Q� Owner Phone Number
T ( �Owner's Address �� �� � � Z �` h`��s Owner Phone Number
Fee Simple Titleholder Name � � Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��o I � �b � � ����i5 �L � �� � LOT# �
SUBDIVISION � � PARCEL ID# � r '2���^��f� " V��6� " ����
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE ��SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK ��'r�o� lil,:�'` `'� (�
BUILDING SIZE 3 SQ FOOTAGE� HEIGHT
OBUILDING $ � i� ��, VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
///��� � ✓
OPLUMBING $ �1/���
!v ��✓
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO � �
OGAS Q ROOFING Q SPECIALTY Q OTHER ���G��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER �� COMPANY ��� `� ��N�°'°c��S
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Q�� s� ��10� �`l gd`� �� License# ��C �� z�7 d
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaGlities 8 1 dumpster,Site Work Permit for subdivisfonsflarge 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 constructfon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 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 52500,a Notice of Commencement is required. (A/C upgrades over:T500)
"* Agent(for the contractor)or Power of Attomey(for ihe owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (FroM of AppUcation Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/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 appiication 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 Transportatfon 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 ali 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 compiiance. 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 Heaith 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 materiai 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 fiil 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 OTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) �
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)befare me thls Subscribed and s �_ af�l�b�re me is
by
S-t E�-�Z- b /�''
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identlBcatlon. L,ct�tye as idendfication.
Notary Public Notary Public
,� ,� J . I S
Commission No. Com�nls n N =.:
ya res r 12,2014
Baded llxu Tmy Fah Yroirance 8003�-7019
Name of Notary typed,printed or stamped Name of Nota .
May.10.2 012 0 8:0 9 AM Iilllll I IIII Iilll III�I�IIII��I��I�I�������������������������
NO'�'��E QF COMN�N[�EMENT
,. � .�
Rcpt:1436170 Rec: 10.00
�j=iyo.��_ DS: 0.00 IT: 0.00
1'ax�oluf No. �,�-7(;�--'Z7�'-=oo i � U`�?�C`a �'°��� 05/18/12 C. (;ook, Dpty C 1 erk
rH�uNflBRSrGxEa heroby�ives notke that;mpe�ve�sents+w#��be msae co c�i�rea�property,eoa�e�pocordar►ce wit�sa�on
7!3.I3 of d�e Fiorida St�At�es,the folbwing infoRmation ia provided in tlri3 N+0'�'1C�OF�:QMML�NCBNY�lM'F'.
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2.tHner�1 de�cripqori of improvemeats: 12��c� _
�.Oy�7101,IAPOi�idQn PRULR 5 0'NEIL,Ph D PRSCO CLERK & COMf'TROLLER
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�.te sddida�i�a h�oeetf�ownar daa e the tblbwi�pecsoa ta eec;eive a copy of tbe Lieaar's Noti�e eA prov�ded i�Seotion
713.13(1 Xb}.�to�ids�t�4rt�:
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WARNII�IG TQ QWNLR: AlV'lE'PAYI4�P'JVT$MADB BY TA�OWN6R A1►T'�8 THB BKPIRAT�QN OF 7H�lVOTIC�UF
�OMM�(C�MSN'I'A1tR C'QN�RRBD IMPRQPRR PAYM��{1'S UI'�DEQ CRA�R y13,rART i,S�[,"�iON 713.13,
F�.A�DA STATqT1�.S,J�iD�A�'i R�b97LT IIY XQUYt PAYIi+II�TWICB I+'OR III�ItOV�M6HT8 TO YOUR P�OPERTY.
A NUTtCE 4�`COMMSNG'6MBN'1`MU5'F B�R�CO�DED Ai�1��TED ON T�JQB�T��SF01t�T��ItB't'
I�T�N. iF Y�i,l�IT�ND'I'a Q�'AIN N'II�iAI"1CII'�G,CONS[71�T YO�UR I.�PfDB`R t)R AN A'�'E�RIMBY�1�'4R6
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STATE C:� FLQ�26CA, COUNTY OF PASCO
THIS I� TG C.�hTIFY TMAT THE: FOREGO!NG IS A
TRUE ANQ CORREGT CQPY OF THE QOCUMEN7
ON FILE OR OF PUBLIC RECORD IN THIS UF(=10E
VVITNESS MY HANp AN FICIAL SEAi. THIS
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���u'� S O'NEIL, C ERK&C MPTROCLEf2
�� �1 i DEPUTY C�ERk
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: ���- �-�1 � �� � ��i� � Uc f E'S'
Date Received: � � i �-- � Z
site: S� � I 1�`�� �
Permit Type: i�E r � S ���� � �r���e f- � �
Approved w/no comments: Approved w/the below comments: O Denied w/the below comments: ❑
This comtnent sheet shall be kept with the permit and/or plans.
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Kalvin Sw' zer—Plan aminer Date Contractor and/or Homeowner
(Required when comments are present)
Florida Buiiding Code Online Page 1 of 2
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Business . --.
� Professional �_.` �..�.��P ERduct Approvai
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�.� Product Auprovai Menu n Produd or Ao�iiratlon Search>ARPilcztlou List>Appllcat{on Detail
�.# FL2346-R4
Application Type Revision
Code Version 2010
Appiication Status Approved
Comments
Archived
i Product Manufacturer Warrior Roofing Manufacturing
� Address/Phone/Email 3050 Warrior Road
; Tuscaloosa,AL 35404
i (205)553-1734 Ext 115
j Steven@ W arriorRoofi ng.net
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� Authorized Signature Steven Crew
; StevenC�WarriorRoofing.net
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� Tech�ica�Representative Steven Crew
, Address/Phone/Email 3050 Warrior Road
; Tuscaloosa,AL 35404
� {205)553-1734 Ext1024
Stevenf�WarriorROOfing.net
Quality Assurance Representative Steven Crew
Address/Phone/Email 3050 Warrior Road
Tuscaloosa,AL 35404
(205)553-1734 Ext1024
Steven@ W arrio rRoofing.net
� Category Roofing
� Subcategory Underlayments
Comptiance Method Test Report
� Testing Lab PRI Construction Materials Technologies,LLC
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurence Contract Expiration Date SO/05/2019
Validated By Jesus Gonzalez, P.E.
Validation Checklist-Hardcopy Received
Certificate of Independence i__..° � '�� r i- � �'.�� .�� ;,: `-_---._„-� -`_- -
Referenced Standard and Year(of SWndard) ��dard Year
� ASTM D226 2006
� ASTM D4869 2005
�
� Equivalence of Product Standards
� Certified By
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httnJ/www_fl�ndabmldm�.or�lnr/nr ann dtl.asnx.varam=wGEVXOwtDatOc8bnSknRps... 4130/2012
` Flonda Builciing Code �ntine rage L oi �
, Produd Approval Method Method 1 Option B
Date Submitted 11/30/2011
Date Validated 12/05/2011
Date Pending FBC Approvai 12/13/2011
Date Approved 01/31/2012
i Summary of Products
i
� FL# Model,Number or Name Descri tion
' 2346.1 #15 and#30 roofin felt STM D 226 Tesbed
; Limits of Usa Installation InstruCtions
( APProved for use in HVH2:Yes r.__.s.r.< <- - i;;;*�;;,,��.��::,,�., i,,t�c �.;,��.l;
� Approved for use outside HVHZ:Yes Verified By: PRI Construction Materials Technologies,
i Impact Resi�aM: N/A LLC
� Design Pressure: N/A est Reports
Other:Primary roof covering should be instal►ed - " _ --_T_:� ��.E; ; _
immediately aRer felt Roofing feit is not intended to be r='�_:;�_�"�__ -__ .,-_.__=_ :��`s_'�:. "
an unprotected weathering surface.
� 2346.2 15w and 30w roofing fielt STM D 4869 Tested
Limits of Use Instailation Instructions
� Approved for use in MVHZ:No '�! = r� % _ �! - :1
� - -
! Approved for use outside NVHZ:Yes Verified By�PRI Construction Materials Technologies,
Impact Resistant: N/A LLC
i Design Pressure: N/A ast Reports
f Other.Primary roof covering should be installed ��_=. ±�_, ��� 7�• ;_ . , _:�t ;�:'
� immediately after felt.Rooffng feit is not intended to be __ _._, _ _�__ ___. . �� �•
an unprotected weathe�in surface.
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! Cantact Us: 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824
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� The State of Fiorida Is an AA/EEO empbyer CoovriaM 20W-2010 State d Ftorlda.::Privacv Statement::Accessibllttv Statement :Refund Statement
� Under Florida law,e-mall addresses are puWk recoMS.If you do not waM your e-mall address released In response to a puWic-rernrds request,do rrot
send electroNC mall to thls entity.Instead,conWU the offYce by phone or 6y tradRbnal mail.If you have any quesibns regarding DBPR's AOA web
accesslbNity,please contact our Web Master ffi webmasterAGbor.state.fl.us.
Product A�rov�l Accepts:
� � �
�NOI'tC11 •�c��l�
'` "�"�'�
http://www.floridabuildin�.or�/pr/pr app dtl.aspx?param=wGEVXQwtDqtOc8bnSknRps... 4/30/2012
� , WARRIOR ROOFING MANUFACTURING
� P.0.BOX 40185 a TUSCAl.00SA,Al 35404.PHONE(205)553-1734.FAX(205)553-1755
...
� 323 DEVELOPMENT AVENUE•CHAMBERSBURG,PA 17201 .PHONE(717)709-0323•FAX(717)705-0027
� SPECIFICATIONS
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Our#30W asphalt saturated organic felt is manufactured to meet or exceed ASTM-D4869,Type II
; Width of roll : 36"+ or- .7%
i Area : 216 sq. ft.
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; Net mass of saturated felt : 8.O lbs./100 sq. ft.
�
� Net mass of saturant : 4.0 lbs./100 sq. ft.
Saturant Weight : Shall not be less than 1.0 rimes the weight of the moisture free felt.
Saturant efficiency : Shall be no less than 75%for type 30 asphalt saturated felt.
! Packaging : The rolls are wrapped securely and the manufacturer's or distributor's
! name,type, and specification markings are evident on the label.
� UPC bar coding is included on all our labels.
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` Important: Warrior Roofing Manufacturing is a statewide approved vendor for the
i State of Florida. The Florida Product Approval Code # is FL 2346.
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Florida Building Code Online rage 1 ar�
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BCIS Nome Log In User Registratlon Not Topks Submit Surd�arge Stats&Facts Vublicatbns FBC StatF HCIS SKe Map Links Search
Busines� ---
Professiona! �; �.�;�P ERduct Approval
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�y:'YtiiY�711Ylfilltt�� PraSUd Auurosa=hienu>PfDdUd of APDII4dCIUf1 S@dCCh>ADDIiCTtlOtI USt>MPlicatlon Detail
� FL# FL5259-R14
I Application Type Revision
i Code Version 2010
( Applicatio�Status Approved
� Comments
�
iArchived
i Praduct Manufiacturer POLYGLASS iJSA
Address/Phone/Email 150 Lyon Drive
Fernley, NV 89408
(570)384-1230 Ext 242
jakins@polyglass.com
; Authorized Signature James Akins
jakinsC�polyglass.com
Technicai Representative Steve Wadding
� Address/Phone/Email 150 Lyon Drive
Fernley,NV 98408
( (602)363-7139
istevew@polyglass.com
Quality Assurance Representative James Akins
Address/Phone/Email 555 Oakridge Road
Humboldt Industrial Pkwy
Hazleton, PA 18201
(800)894-4563
jakins@polyglass.com
Category Roofing
Subcategory Underlayments
j Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
� Florida Professional Engineer
Evaluation Report-Hardcopy Received
� Florfda 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 il/30/2012
Validated By 7ohn W. Knezevich,PE
� Validation Checklist-Hardcopy Received
( Certificate of Independence - � y" �' ' �' '` �' " �"
� ,, .__ �, � ,. .,,,: i - _— -
jReference�Standard and Year(of StanQard) y�andard Year
ASTM D1970 2001
ASTM D226 2006
ASTM D6164 2005
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i �,++r.•ii.x,.xnx,fl�r;�ahnitriino�r�/nr/nr ann dtl.aspx?param=wGEVXQwtDqvbSqAaZp3Crk2... 4/4/2012
Fl�rida Building C�de flnline '���� = �; .-'
ASTM D6222 zaoz
ASTM G154 2005
I ASTM G155 2005
FM 4474 2004
FRSA/TRI07320 2005
TAS 103 1995
; Equivalence of Product Standards
Certified By
� Sectiars from the Code
I
, Product Approval Method Method 1 Option D
�
' Date Submitted 12/09/2011
Date Validated 12/15/2011
� Date Pendin9 FBC Rpprova) 12/20/2011
� Date Approved 01/31J2012
I
� Summary of Products
f
s FL# Model,Number or Description
Name
5259.1 Polyglass Roof Roofing underlayments
Underiayments
Limits of Use Instaliation Instructions
n:._
APProved for use in HVHZ: No -=5=_ '�--`----�,_<<i=1._'(ti:�. -"�=_�_�-_-t (`;_-_—r�="=--`-�==_�--
Approved for use outside �.:�_rv`tl �
HVH2:Yes Verified By: Robert Nieminen PE-59166
Impact Resistant:N(A Created by Independent Third Party•Yes
Design Pressure: +N/A/-622.5 Evaluation Reports _ _
Other: i.)The design pressure in this 4 _ "_=�_ -' ':- _--____ _=r_:�.., - -- ±�_:s,,.� ., -- _ _ __
application relates to one particuiar ��'s,;,c_
underlayment system for�se under Created by Independent Third Party.Yes
foam-on tile systems. Refer to ER
Section 5.5.2 for other systems and
maxlmum design pressures. 2.)Refer
to ER Section 5 for other limits of use.
� EJ.�:5
Contad U5 .�940 North Monroe Street TaHahassee FL 32399 Phone:850-46�-1824
S
The State of FloAda Is an AA/EEO employer r vrmhr aoa�-2010 State of Florlda ::Privacv Statement: �aessibilttr Statement: Refund Statement
Under Florlda law,e-mall addresses are pubik records.If you do na want your e-mail addre�released in response to a Dubllrremrds request,do rrot
send electronlc rtmil to this enUty Instead,contac[the oflice by phone w Dy tradttional mall.tf yau have any questlons regarding DBPR's ADA web
accesslbiltty,please coMad our Web Master at webmaster�dbor s[ate fl us.
Product Approval Atcepb:
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� ,_..._.ii____.._.fi,._:a.,ti,,,;�a;„rt ,,,.n�„,.�„T a„„ .�tt a�nx�r�aram=wC'TRVX(�wtDavl�SaAaZt�3Crk2... 4/4/2012
, Green Roofing Technologies Inc. PRIME
"Green Is Good CONTRACT
901 South Woodrow Wilson St
Plant City, Fbrida 33653
{813)704-6950 or(727)799-7886
Fax(813}704-6952
License#CCC-1329708
green roofing 10@yahoo.com
THIS CONTRACT IS ENTERED INTO THIS OATE:
ONRVERBUYER NAME OWNER'S AD�RESS
OWNER'S CITY,STATE&POSTAL CODE OWNER'S HOME PHONE OVMIER'S 41R7RK PHONE
PROJECT NAME PROJECT ADDRESS
PROJECT GTY,STATE 8 POSTAL CODE PROJECT PHONE PROJECTPHIXJE 2
CONSTRUCiION LENDER IS (Name and address of consiruction fund hoMeq
(Name and Branch Rddress of Bank,Saving and loan Assn. Escrow Agent,Joint Control or Other)
WE HEREBY PROPOSE to fumish all materials and necessary equipment, and perform all labor necessary to complete the following work
(Describe Labor, Material and Equipment to be fumished).
1) Remove the existing shingle roof down to the ply wood deck.Any additional layers discovered will be an additional charge
of 21.00 per layer, per square.(Ini6al)
2} Inspect the existing deck fasteners and re-nail to the current Florida and Local Building Codes.
3) Dry in the roof with 30# attached per cuRent Florida and Local Building Codes.
4) Install new drip edge metal.Available in white, brown,tan, and charcoal. Drip edge will be 6" unless spec�ed.
Color White (Initial)
5) Install new valley liners.Type N/A
6) Replace any roof to wall flashings that are deteriorated and seal with roof cement.
7) Remove and install new soil pipes and GRV vents.
8) Install starter course shingles at the eaves and apply roof cement at the eaves and rakes.
9) Install_20_feet of Aluminum_ridge vent. Install Fungus Resistant class A Shingles_NEED COLOR 30year
10) All wood working is an additional charge per wood working sheet.
11) All work indudes all permit fees, dump fees,workers compensation,general liability and taxes in the total price.
12) Supply the property owner with a 2_year workmanship warranty from Green Roofing Technologies.
13) Supply the property owner with a_30_waRanty from the roofing manufacturer.
TIME FOR COMPLETION: The work to be performed by Contractor pursuant to this Agreement shall be substantially completed within
( )days or approximately on E[nm Execution of contract
IIVTEREST: Overdue payments will bear interest at the rate of�%per month.
PAYMENT:This is a cash transaction. Owner agrees to pay Contractor a total cash price of•
Dollars ($ 3,905.00 �.
Down payment(if any)$ with payments to be made as follows• UpOn COmpletion
2827.00 shingle roof 1078.00 Flat roof
ConlractodSeller Signature Date OwnerBuyer Author¢ed Signature Date
ContradodSe�ler Signature Date O�rmedBuyer Authorized Signature Oate
'.�1992-20d8 STapPYFORMS.can R'ime Carxnerc�al Conlfact.