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Home My WebLink About12-13156 CITY OF ZEPHYRHILLS 5335-8TH STREET 'I 3156 (813)780-0020 BUILDING PERMIT Permit Number: 13156 Address: 37533 LILLY BEA AVE LOT 250 Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0010-02800-0250 Improv. Cost: 7,300.00 Date Issued: 6/12/2012 Name: FRASCONE PAULA 8�BRVENIK TRST Total Fees: 112.50 Address: 37533 LILLY BEA AVE LOT 250 Amount Paid: 112.50 ZEPHYRHILLS, FL. 33542 Date Paid: 6/12/2012 Phone: (813)788-3828 Work Desc: REROOF RUBBER 1 .5 i � � ��5`�t� TAPE JOIN��R��IN�S� 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 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. �iou intend to obtain financing,wnsult with your lender or an attorney fore recording your notice of commencement." Complete Pla s,Specifica ' s Must Accompany Application.All work shall be pertormed in acxordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. T TOR SIGNATURE PERMIT OFFI R ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i i�iiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii 2012097894 . PermitNo. ParcellDNo ��^� � � �^�� w�v '?JO� NOTICE OF COMMENCEMENT State of County of THE UNDERSIGNED hereby gives notice that improvement wfll be made to certain real property,and in accordance with Chapter 713, Florida Statutes, the following iniortnatlon is provided in this Notice of Commencement: 1 Desaiption of Property: Parcel IdeMificaUon No. streetAddress: 37533 Lilly�ea Ave . Zephyrhills , Fl 33542 2. General Descriptfon of Improvement r e r o o f MH R u b b e r 3. Owner Information or Lessee information if the Lessee contracted for the improvement: Paula Franscone Name FL 33542 37533 Lillybea Ave . Zephvrhills . . Address Clty Stete Interest in Property: Name of Fee Simple Titleholder: (If different from Owner listed above) Address City State a. contractor: A B a r t e t t R o o f i n Q Name Zephvrhills . FL 33542 d�gg City State ntractors Telephone No.: 813—7 8 2—S 5 8 S 5. Stxety: Name Address Rept:1440773 Rec: 10.00 DS: 0.00 I T: 0.00 State AmountofBond: $ 06/I1/12 D. Bonilla, Dpty Clerk 6. Lender: Name PAULR S 0'NEIL�Ph D PASCO CI.ERK & COMPTROLLER Address 06/11/12 0�9��a� 1 of 1Q State Lender's Telephone No.: OR BK � P� 3Q45 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be senred as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to recefve a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiretlon date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 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 1, 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I deGare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowiedge and belief. STATE OF FLORIDA COUNTY OF PASCO NOTARY PLBLIC-STATE OF FLORIDA ��'' Richard C. $3Tt]Ctt Signature of Owner or Lessee,or Own r's or�essee's Authorized �j�`Commission#DD878490 ��cer/DirectorlPartneNMa ger '-;;��-`Expires; NLY 31,1013 �^�� BOIYDED THRII ATLAA'fIC BO\'DL\G CO.,NQ S19� ory's Tft /Office The foregoing instniment was acknowledged before me this day of ,20,� , as (type of autho ,e.g.,officer,truste attorney in fact)for (name of a b If of who ' ent was executed). �� Personally Known❑�R Produced Identification❑ Notary Sig�ature Type of Identification Produced Name(Print) L E G A L D E S C R I P T I O N: ASSESSED IN SECTION 34, TOWNSHIP 25 SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA GRAND HORIZONS - PHASE THREE PB 53 PG 120 WPdLOT 2 5 0 OR 7 8 9 2 PG 16 3 2 OR 8408 PG 1793 ��`,��'�n� FLC�RIl7A, COUNTY OF PASCO rHl�I a (��F��d��;��AT THE FOREGOiNG IS A 7�c�J��►Np L��F�R�C'�LC�i��'OF THE�JdCUMENT Q(�1 FIk'L�-�R�Q��UBI,�t;F�E�flRD IN THIS OFFICE WITNi�.55'(VIY HAND AN OFF'1;61AL SEAL THIS _ � pA PA Y' MPTROL�\ B ' ' DEPUTy CLERK � ' .r ' - s�3-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Deparlment Date Received �- (`j' �Z-- phone Contact for PermlNin — Owne�'s Name Owner Phone Number / �CJ�� Owner's Address �_ Ovmer Phone Number � Fee Simple Titleholder Name Owner Phone Number � Fee Simple Titleholder Address J08 ADDRESS LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTiCE) WORK PROPOSED e NEw CONS7R e ADD/ALT Q SIGN � � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 S EL Q DESCRIPTION OF WORK ^-- BUILDING SIZE � SD AGE HEIGHT �� QBUILDING $ �3 VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING S `� � �� QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION QGAS OOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addreas License# � � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI+ Y/N Address License# � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREP Y/N Address License# � � MECHANICAL COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address cense OTHER COMPANY SIGNATURE REGISTERED / FEE CU E� Y/N Addreas License# C_ 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,ConsVucBon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Fadlitles�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,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for atl new projects.All commerctal requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. •"'"PROPERTY SURVEY requfred for all NE1lf/construction. Directions: Fill out applicatlon completely. Ovmer 8 Contractor sign back of appiicatlon,notarized ' If over i2500,a Notice of Commencement la required. (A/C upgradea over 57500) � "" Agent(for fhe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTIN6 (Front of Appflcatlon Only) Reroofs if shingles 5ewers Service Upgrades A/C Fences(PIoUSurvey/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"rest�ictions" 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 Ifcensed 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 unce�tain as to what lic,�ensing 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 po�tions 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 �icensed 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 spec�ed 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 cert�cate 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 appiicable 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 "Fiorida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the appli�cant is someone other than the"owner", I certify that I have obtained a copy of the above desc�ibed 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 devetopment. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work o� 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 Environmentaily Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis, Docks, Navigable Waterways. - Department of Health 8 Rehabilitative Services/Environmental Flealth 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 expressiy permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fiil material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fili 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 flll, 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 appiication. A permit issued shall be construed to be a license to proceed with the work and not as authority to vfolate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a perm'it prevent'the Buiiding Official from thereafter requiring a correction of errors in plans, constructiorr 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 O�cial for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. tf work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: Y FAILURE TO RECORD A NOTICE OF CO ENCEM Y RESULT IN YOUR PAYING TWICE FOR I EMENTS TO YOUR PROPERTY. IF YO TO N FINANCING, CONSULT WITH YOUR LEN ATT RNEY BEFORE RECORDI UR N I T• FLORIDA JURAT(F.S ) / OWNER OR AGE / CONTRACTOR ____- Subscribed and r a d) e e thls Subscribed and s (or a ed)b e this Who Is/ar sonally kno to or ha ave uced Who Is/are pe nally known or haslhave produced as iden on. as iden ca6on. ry Public � Notary Public ••'i�' !i�';,, .,.,,,,, Comml :.- COfYtt1USS� E 040520 Commiss n o. ,, , �� : :�: xpires .. :.: Commisaion#E�0406Z0 . N'�f;cr`n;�r Boided Thu Troy Fa1n Nquerca 8003�r7D19 :n' - ; Name of Ndt� ,p n e or s amp Name of Notary or��nhrur�,eaeoo�eaao�o Pasco County Parcel: 34-25-21-0170-00000-2500 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, June 02, 2012 Parcel ID 34-25-21-0170-00000-2500 (Card: 001 of 001) Classification 02 - Mobile Homes Mailing Address Property Value FRASCONE PAULA T LIVING TRUST Ag Land $� FRASCONE P&BRVENIK R TTEES Land $22,500 37533 LILLY BEA AVE Building $�9,529 ZEPHYRHILLS FL 33541-7791 Extra Features $1,734 Physical Address 37533 LILLY BEA AVE Just Value #103,763 ZEPHYRHILLS FL 33541-7791 Assessed (Save Our Homes) $68,329 Leaal DesCriDtiOn (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision,�" Non-School Additional Homestead Exemption - $18,329 GRAND HORIZONS - PHASE THREE Non-School Taxable Value �24,500 PB 53 PG 120 School District Taxable Value ;42,829 LOT 250 Warning: A significant taxable value increase may occur when sold. OR 7892 PG 1632 Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value � 0200 MSUBM OOM1 6,000.00 SF $3.75 1.00 $22,500 J Additional Land Information Acres 0.14 Tax Area 30ZH FEMA Code �R i n i 1 GDHZLPl Buildina Information - Use 02 - Mobile Home (Card: 001 of 001) Year Built 2006 Stories 1.0 Exterior Wall 1 Above Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall i Drywaii Interior Wall 2 None Flooring i Sheet Vinyl Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted A/C None Baths 2.0 Line Description Sq. Feet Repl.Cost New 1 BAS 1,488 $72,778 � 2 F R 440 � $8,608 r 3 FEA 192 $7,972 Extra Features (Card: 001 of 001) Line Description Year Units � Value � 1 DWC 2006 519 $922 2 � A -4 2006 1 $812 Sales History Previous Owner FRASCONE PAULA T Year Month Book/Page Type Amount 2010 r 08 8408/ 1793 � $p 2008 07 �— �892� 1632—� WD $159,900 � 2006 ��4—�� 6961 / 0985 WD $28,000 http://appraiser.pascogov.com/search/parcel.aspx?sec=34&twn=25&rng=21&sbb=0170&b... 6/11/2012 �. � ,�.rtrett �.00fi�g �f �e�t��Y ,�Yorib�c, �1�c. � � = C/O Richard Bartlett � � 38408 3rd Ave. � Zephyrhills, FL 33542 One of the Largest, Oldest, Most Dep�. d�ble OFFICE Roofing Companies in Ce�al Flo�a PHONE Specializing in Mobile Home JP Stevens �t�.(3ubber Roofs (g 13) 782-5585 �.lnsulatedAluminum_Roa�`Overs '�� (813) 973-7737 RESIDENTLAL COMMERCIAL • MC3�JL�E HOME (352) 523-1944 ; T� - .�, IC S� - INSURED - BON D�'`�� 4 ��.� � Lic. #CCC 1325 99 • ME`MB F THE CHAMBER OF�MME�3CE• � Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel,,_Land O' L�kes a d Surrounding Areas We have re-roofed or repaired more roofs(i6,000)in the past 38 years, than th�l7r�l�eading r�fing comp�iiies combined. �� - , � � Date �''�.,1 J ,' �'� _� �. .�� Name ' � �{ � ''' � � � '• ` �� " ' � \ � r� j � " _�,_._.. Address i �� , _; , , . ,, . ,• , .. , Phone , �-- � � �~ � � .,. ,� �� !��... �r'� '� � ,. _.. . ..... u ............. ,. , . . . <: q - a �.. .. , _ . >,:.:. .. .>. r , q x � . . . .f � ._ - _ '.. � # a. � ... , � : � ��..� ' ; � 4 ; N ' ....... . ,?, .'.^ ':::'..:........... ....:...... ..:*-. ' ��.5` . . � .. �..<:. ... . .-. . .......: ...o. ..,:�_ :�. .�:`.. . .':. ...- .� ... . . $' ` J .._ , \ . N �' P. R r , !/ '! ..n ��.e.� �,, '"��,---A c;,- .-�'".'..,_.- r� J� i .t`:.) �_�-_- ;�, � � , r� r ,� ` � �^ �. , � --�,- .�-7`�'�,r--�;'�',-s-L i' �K°�:`-C.,.._... "`'_� ,, +t- , -- � 1 ; ' . � �• � r °--��•-^r.�a�� --_""' ..p-..�,c,�, .�/ 7 # .r" / ..yr �' .f �j��`--�'r(. • 'J J' L�,._.��1 / '/ '• I /n��J �,�.�/\,./�/`�—I f �l/ � ^1.w' �, � f�� tr Z i � 1 f'`_' '� :� �(• +e t,��V��.r��J� '/� ^ ~ t � . t' - . i _'_' —_ - '�R' .Y 1 .-.-- '1�,�+ h.--°""`J /. .._.v r��.. � � \ � 1,' �.r- 4� --°----�r _,��_ __f �\, \L 1 \ i, ..` , e ,,...{'�.��`-'L.�.� � ' j ,J�a �L/L..-%J ''� ;r��`I � ' �(1�...�'l�� ` .�'i , .. ? � � � �\_ `. .�_.�._ ' r � ��r Presi nt � e A�Bart #t�Roo� �� CeY�tr�1�L, Inc. � ,`� - ` ,� i (; '� `! �''""—..� 1 ' , J� Slgn:t 4 �; _._;'� v -- � t��'--�,%"�,t,�. � � "� � ; Richard C. art tt � 1 ' ,; ' `� �HAN 1; ._ . - _ ., „ ,� , ,�'15 Yo r Business i�Apprecia . , f �--_.__ � � Payment u'�on completion unless pre ious arrangerl�e�t np�de.Warranties`pertain to original Q�vner � � All arrangements contingea�upon strikes,accidents pidelays beyond our co7i!{ol�`¢1�vne�C t,o�rry fire,tornado and other ece�sary insuranca 0 � �-� Our workers are fully cove�y LNorkmen's,Edmpensation Insurance.Cy�tomB�isYiari/e iorany charges incurred in�llec�g this bill. .� Rotten wobUiS an extra$35.00 per sheet(4-ply).Rotten fascia is$2.00 per linear foot. � ��Total ' � \ , 1 � � � �/i C � Y ` � � � l � � Z v� s____---- __ � _ J --� � ,.. � P � M �� . • � � ' � ' , �. � .•;� ' �.<<; ,; City of Zephyrhills ;�r BUILDING PLAN REVIEW COMMENTS `` , ,� Contractor/Homeowner: � ' !�J(�r��7�- yt , Date Received: � - � �� Site: � l �/� � G-r `� �� Permit Type: ��Y�� .��`�t� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. 7 ��7z Kalvin S zer 1 aminer Date Contractor and/or Homeowner (Required when comments are present) Florida Building Code Online Page 1 of 2 . , , � , : . ' � � . ' - � . i T��Tt�� Florida C�epartmen� �IS Home Log In User Reqistretfon Hot Topics Submft Surcharge S[ats 8�Fac[s Pubifwtions FBC SW/f BCIS Slte Map Unks Search Busines��)� � Professi al ; usERdu ict�Approval Regulation � Product Aooroval Menu>Product or Ao�Ilcation Search> >Appliptb Datall �� FL# FL5293-R5 Applicatlon Type Revlsion � � . � Code Version � 2010 �' Application Status Approved ' Com ments / Arcnived � � ALL WORK$�-IALL('(�;bjpI t - ' <��,j, PREVAILING CUDE�,FI,C` ' �,Drn,,� Product Manufadurer GAF CODE,NATIONAL ELEC' , »j� Address/Phone/Emafl 1361 Alps Road r 1�I Y OF ZEPHYRHII,�.�l��t�)j;�'�i'�� Wayne,N]07470' � � � (973)872-4421 il ndareith@trinityerd.com Authorized Signature Beth McSorley I i nda reith@tri nityerd.com ��VI�'t,�; :��y� !//' // / Technical Representative Beth McSorley V j / f`1 �, � Address/Phone/Email 1361 Alps Road- Bldg 11-1� �� ;� �,� - Wayne,N]07470 ��;; � (973)872-4421 �( BMcSoriey@gaf.com Quality Assurance Representative Address/Phone/Emall Category Roofing Subcategory Single Ply Roof Systems Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluatlon Report-Hardcopy Received Florida Engineer or Architect Name who Robert Nieminen developed the Evaluatlon Report Florida License PE-59166 Quality Assurance Entity Underwriters Laboratorles Inc. Quality Assurence Cont2ct Expiratlon Date 04/13/2012 Validated By ]ohn W. Knezevich,PE Validation Checklist-Hardcopy Received Certiflcate of Independence FL5293 R5 COI Trinitv ERD CI- Niemi�en.�df Referenced Standard and Year(of Standard) Standard Year ASTM D6878 2006 FM 4470 199Z FM 44�4 2004 TAS 114 2011 Equivalence of Product Standards http://www.floridabuilding.org/pr/pr_app_dtl.aspx?pazam=wGEVXQwtDquwVcLJLes7wT... 6/8/2012 Florida Building Code Online Page 2 of 2 Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 02/16/2012 Date Validated 02/21/2012 Date Pending FBC Approval 02/24/2012 Date Approved 04/03/2012 Date Revised 04/06/2012 Summary of Products FL# Model,Number or Name Descri tion 5293.1 EverGuard TPO Single-Ply Roof Single-ply,thermoplastic polyolefin rooflng systems Membrane Systems Limits of Use Installation Instructions Approved for use in HVHZ: No FL5293 R5 II A1 er021612FINAL GAF TPO FL5293- Approved for use outside HVHZ:Yes f Impact Resistant: N/A Verifled By: Robert Nieminen PE-59166 Desiyn Pressure: +N/A/-502.5 Created by Independent Third Party:Yes Other: 1.)The design pressure noted in this applfcation Evaluation Reports relates to one speciflc assembly in the ER Appendix. FL5293 R5 AE er021612FINAl GAF TPO FL5293- Refer to the ER Appendix for all systems and associated max.desfgn pressures. 2.)Refer to ER Sedion 5 for Created by Independent Third Party:Yes Limits of Use Back Next ConUd Us 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824 The State of Florida Is an AA/EEO employer.Convriaht 2007-2010 State of florida. Privacv Statement :Accessibilitv Statement Refund Stntemen[ Under Florfda law,e-mail addresses are public records.If you do no[want your e-mail address rcleased In response to a public-records request,do not send electronic mail to this enttty.Instead,contact the office by phone or by t2ditional mall.If you have any ques[lons regarding DBPR's ADA web acttssibllity,please contact our Web Master at we6master�dbor.state.fl.us. Product Approval Acaepb: � � � � �� sec:urit MP.NICS SE�UR�Q � • ,„i...i 1 v�rislpn http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquwVcLTLes7wT... 6/8/2012