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Home My WebLink About12-13321 CITY OF ZEPHYRHILLS 5335-8TH STREET �si3)�so-oo20 13321 . BUILDING PERMIT Permit Number: 13321 Address: 5030 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: 11-26-21-0010-21200-0130 Improv. Cost: 4,000.00 Date Issued: 8/08/2012 Name: ROMAN, ERIC Total Fees: 82.50 Address: 5030 9TH ST HISTORIC Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542 Date Paid: 8/08/2012 Phone: (813 997-3378 Work Desc: REROOF METAL rcv� S �- �a�r-yv � � � TAPE JOINTS OF SP FINAL � � REINSPEC7ION FEES: Reinspection fees will wmply 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 con�ections 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 acaessible. 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 bo owner: Your failure to record a notice of commencement may result in your paying twice for improvement�to your properly. if you intend to obtain financing,consult with your lender or an attorney before reoording our notice of commencement." Complete Plans, Specifications Must Acoompany Application.All work shall be pertormed in acwrdance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. ONTRACT SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER V) n ✓Z ,��15�Cct�� "�/> i � .�. � fs,�, ��,f,�4R'1R�'f,p►�i,� �l'� "^'" '"' x_ City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contrac r omeq�_ � �. � ° Date Received: �- ,_�- /.,� Site: -�U -� � ' ��y`� -� Permit Type: ; � I _ ,� , Approved w/no comments:❑ Approved w/the below comments� Denied w/the below comments: ❑ .� - 1 (� i � , � �� I' - � ��' � f�� -�rt� , � � � ,�s {>t- , �-� f� c�� This comment sheet shall be kept with the permit and/or plans. �� -�-j� /f'�-� «� Kal ' Switzer—Pl arriiner Date Contractor andlor Homeowner (Required when comments are present) qppLICATION FOR A HISTORIC DISTRICT . � "CERTIFiCATE OF APPROPRIATENESS" _ ey stat�Application#. l°Al� ��S� ��b�9� Yes' o Dafe Submitted: �- ^ , (APP��p�se p^�v�de l�orrr�atlon beiw+een fhe doub/e Grres) � C�Property Address or Location: j��fJ<� �k�, � _ Owner's Name: �f �c� ��", �� _ Phone: U�S-��~I-�3"3'7;� AppiicanYs Name�Company(lf d'�ler+en�: �� r� "`� AppiicanYs Mailing Address: 5v'�'�' � - App.Contact Info: Phone: � � �' �� Type of Property: Residerrtiai_� Commerc�al Public or Other PROPOSED RESTORATION/RENOVATIONS!REPAiRS 1 RELOCATION!ETC: Fxberior Walls � S�a9e �� . New�Matn Buiiding or Addidon b E�asti�9�9 p�s New A�esscry Bldg.(garage,carport.shed) Awnings or Canopies New deck.rarr�p.pa�o,etc. F�� Building�DertwNtlon or Relocation E�derior Pairrting&C�Obr Changes Get�ai Repairs(desa�be below) ��oo�u,g (rn e ta/� Other(descxibe below) Detai7ed descriptlon of proposed work: (attach otl�er sheets if necessary) The Historic Praservation Board requires that the fodowing ir�formation MUST be induded with an application prior t�the applic�On being a�ePted bY s�f: . Detatled Plans.indudin9 a site°lan and elevation(sl: . c`��and material samole.s• • lutanufachuers sales IiEeretute' • PhofiDOraDhs:and • My other Q��!�rtina documentation to show that the proposed wo�ic is consistent with the adoptied Departmerrt of tnterior Standands. S1G TURE OF THE OWNER and/or �PU�T (Applfcanf do NOT wrrte BELOW thls�ine) CTION EN: Date: y Staff: Approved Denied Reason for Denial: ❑By HPB: Approved Approved with modifications noted below`and/or on attached sheets Denied 'HPB Condition(s)of Approvai: Signed: Date: � �� . 813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 ° Building Department � r� . Date Received R / �✓ 3 �� Phone Contact fo�Permittin � 7 � �`�j78 Owner's Name '� �S' �C� �a M�/� Owner Phone Numbe� .SIR�E- Owner's Address $.� �� Z�" � , Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Addreaa JOB ADDRESS ' S� � �t�' ��" LOT# �� SUBDIVISION ( PARCEL,. — � ,_,'Z�"" JJ U-� �"'(�� OB NED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADDlALT [� SIGN [� Q � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM �� OTHER TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �� PGAC� St� //lJC-�, (� �pQ� �Tf+ fI/t�`7-AL_ BUILDING SIZE SQ FOOTAGE� HEIGHT BUILDING t' $! O�O � VALUATION OF TOTAL CONSTRUCTION A,i`r"�� i� � , ------ _._.._----.__._. _.. /1/F- QELECTRICAL a M AMP SERVIC� Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ E�v�l'�/j �� !�'` ��U�� i�� ,I-` _. ----�j' ��--.�._._.._-----_-__.�_ QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION -=-�_��"'�"""�T� �� _ QGAS [� ROOFING Q SPECIALTY � OTHER �3� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � BUILDER ��.� COMPANY //�• /� � SIGNATURE � ! REGISTERED Y/ N FEE CURRE� Y/N Address License# —� ELECTRICiAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� 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 License# OTHER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Fom►s;R-O-W Permit for new construction, Minimum ten(10)working days aRer submittal date. Requfred onsfte,Constructfon Plans,Stormwater Pians w/Silt Fence installed, Sanitary FaclUUes 8 1 dumpster:Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. Minimum ten(10)wo►king days after submittai date. Required onsite,ConstrucNon Plans,Stortnwater Plans w/Silt Fence installed, Sanitary FaciliNes 8 1 dumpster.Site Work Pem►it for all new projects.All commercia�requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. """PROPERTY SURVEY required for all NEW construction. Directions: Ffll out applicatlon completely. Owner&Contractor sign back of applicatlon,notarfzed If over 52500,a Notice of Commencement is requlred. (AIC upgradea over:7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owAer authtlNzfng same OVER THE COUNTER PERMITTING (Front of AppUcation Only) Reroofs if shingles Sewers 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" 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 cont�actor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be ident�ed at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prio� to receiving a "certificate of occupancy" or finat power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: i certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work 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 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 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Fede�al Aviation Authority-Runways. I understand that the following restrictions apply to the use of flll: - Use of fill is not allowed in Flood Zone"V"unless expressty 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 fili 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 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, welis, 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)ob is conside�ed 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 YO R LE ER O AN ATTO EY B FO R CORDING YOUR NOTICE OF C EN E NT. F�ORIDA JURAT(F.S.117.03) , OW1�6i�R AGENT CONTRACTOR 1/ ��A scribed and s to nr a fo n s Subsdibed and swom to(or aiflrmed) efore me this by � bY Who is�r�per�qal��own to me or ha ave produced Who islare personally knovm to me or has/hade tlficadon j J as ide ficadon. �_ _ � ) - ,. E S. Notary Public �_." :.; :.: mmisswn Commis i`` b; Expires February 22,2016 Commissfon No. ,.P��• N �or � Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped i �� , 2012133109 �� Rcpt;1453088 Rec: 10. DS: 0.00 00 e8�e��i2 Ir: e.00 �• Miner, DptY Clerk PqULR S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLEh 08/07/12 0�4�0�� PG o �1 OR BK � �� NOTICE OF CO MENCEMENT Permit No. Property Identification Na ('��' ��-vJ�� ' �C,f,�Uc)— i 3� "THE UNDERSIGNED hereby gives notice that improvements will e made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provide in the NOTICE OF COMMENCEMENT. 1. Description of property(legal description: �- � 7 , � ,_ �� j � .� � U�)� r a) StreetAddress: �� `7( P� $ �' �31� � � Z � 2. General description of improvements �7 3. Owner Information _� a) Name and address: l.:.. � v t� -5{- �e � j j5�� b) Name and address of fee simple titleholder(if other than o ner) / ' c) Interest in property 4. Contractor Information �-z a) Name and address: .% �'ti� , (,'�S ( �,/.�!`,e b) Telephone No.: 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: 7. Identity of person within the State of Florida designated by ow er 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 t 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 d e is one year from the date of recording unless a different date is specified): WARNING TO OWNER:ANY PAYMENTS MADE BY THE WNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PA ENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PA TWICE FOR IPROVEMENT3 TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED D POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING, ONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE O COMMENCE NT. STATE OF FLORIDA COUNTY OF PA yp� '�'''"°``'P`�'�" a�`r� ,. ' i`�`��?d � ��` ;.,,�r,�` Signa re OF Owner or Owner's Aut6orized Officer/Director/Partner/Manager f�; t:`� � ,;� • „ ,ti- . =��a _u„Y .,�.�ss�. Co " (' �... T+i^ .� �=�..�.�a=.:v° . , .,,.�da,r„� Print ame The foregoing instrument was acknowledged before me this 2_day of U d1/ST �2p �,') �by e ItlC RpiAIJ as (type of authority,e.g.officer,trustee,attorney in fact)for (name of party n behalf of whom instrument was executed). Personally Known_OR Produced Identification� Not Signature aTeiC.rG qRa,O a�• Type of Identification Produced D.L. RSSO-a01-�O� Nam (print) Pf1T C,! JO N/ /78- O Verification pursuant to Section 92.525,Florida Statutes.Under penalties perjury,I declaze that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and be:ief. FORMS/NOC,rv5d2007 Sigia ofNaNral Person Si�ing Above - `� ,,, ST�`i E cJ� �LORfDA,G �-'�l:p �` THIS fS T;`��.{�R71FY TH E FOREGOINS��A TRUE,q�!u CL�Rl�EG�1'G PY��DH�.�)q�J1y�(T �JN FI;L Of=?OF PI.JB � RE IN�H�OF,F�,E ' � �JFSS MY HAND D F'!� _ L SEAI�TFiI .� �� DAY OF 2 �(� PAtJLR S t�' EIL;` L.E &, MPTROtLE�2 • � � �, � -_ � .\r ,, �EP ,�r' ';CLERK ��, . •i , • DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT I, �, �f�c— 9\U M u..^ have read and fully understand and agree to the provisions of this instrument. The undersigned states and a�rms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc.,where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perForm the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning cegulations. OWNER'S SIGNATURE r/ �� DATE � c� .� / � ADDRESS L��J u� q PHONE ��" -cf� � 3 WITNESS /�m�"�-�— ^��%� `` J - � PERMIT vMascerforms�ownas.�.ffiaavivxovo7 � . Pasco County Parcel: 11-26-21-0010-21200-0130 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, July 28, 2012 Parcel ID 11-26-21-0010-21200-0130 (Card: 001 of 002) Classification 08 - Multi-Family - Less than 5 units Mailing Address Property Value ROMAN ERIC A Ag Land �p 5030 9TH ST ��d $15,120 ZEPHYRHILLS FL 33542-2137 Phvsical Address - See All 2 addresses (First Building $20,744 Shown) Extra Features $390 5030 9TH ST )ust Value #36,254 ZEPHYRHILLS FL 33542-2136 Assessed (Save Our Homes) $36,254 Homestead 196.031 - $25,000 Leaal Descriution (First a�ines) Non-School Additional Homestead $0 Exemption See Plat for this Subdlvision CITY OF ZEPHYRHILLS PB 1 PG 54 Taxable Value #15,470 LOTS 13& 14 BLOCK 212 Warning: A significant taxable value increase may OR 4271 PG 953 occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 002) Line Use Description Zonin� Units Type Price CondRion Value 1 0100 SFR OOR2 4,200.00 � $1.80 1.00 $7,560 2 0109 SFR OOR2 4,200.00 � $1.80 1.00 $7,560 Additional Land information Acres 0.19 Tax Area �OZH FEMA Code X Residential Code H P Buildina Informati n - Use 01 - Single Fami�y Residential (Card: 001 of 002) Yea�Built 1947 Stories 2.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall i Wall Board or Wood Wall Interior Wall 2 None Flooring 1 Pine or Soft Wood Flooriny 2 None Fuel Gas Heat Convection A/C Window Unit Baths 1.0 Line Description Sq. Feet Repl.Cost New 1 � �� $5,130 2 � �0 $11,543 Extra Features (Card: 001 of 002) Line DescripNon Year Units Value 1 �� 1974 222 $99 2 F E 1975 400 $141 Sales History Previous Owner ALSTON JEFFREY L&LOIS A Month/Year Book/Page Type �R Condition Amount Code 11/1999 4271 /0953 Warranty Deed Improved $46,000 05/1983 1250/ 1699 Improved $40,000 http://www.appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=00... 8/3/2012 Florida Building Code Online Yage 'L ot 'l Produd Approval Method Method 1 Optfon D Date Submitted 04/20/2012 Date Validated 04/26/2012 Date Pending FBC Approval 05/02/2012 Date Approved 06/11/2012 �------ --- - -- ---- Summary of Products - -- - --- --- - --- —- � F�� Model Number or Name DescH ion I 5213.1 AG Panel Minimum 29 Ga.AG Roof Panel over 15/32" 1 wood LImRs of Use Installadon Instructions Approved for use in HVHZ: No FL5213 R4 II aa�anel details�df Approved for use outside HVNZ:Yes Verified By:Tertence E.Wolfe,P.E.44923 Impact Resistant: No Created by Independent Thircl Party:Yes Desiyn Presaure:+N/A/-108.5psf Evaluatlon Reports Other:-63.5 psf at 9"-9"-9"-9"Fastener Pattem at 24" FL5213 R4 AE 29 Ga Ao Panel over 5 Plvwood �df O.C. -108.5 psf at 5.5"-3.5"-5.5"-3.5"-5.5"-3.5"-5.5" FL5213 R4 AE AG Roof oanelload table�df Fastener Pattem at 24"O.C.Install per manufacturer Created by Independent Third Parly:Yes InsWllatlon deWils. Not for use in HVHZ Zones. 5213.2 R/PBR Panel Minimum 29 Ga. R/PBR Panel over 15/32" I ood Limits of Use tnstallatlon Instrudlons Approved for use in HVM2: No FL5213 R4 II R-PBR Roof over olvwood details�df I Approved for use outside HVHZ:Yes Verifled By:Terrence E.Wolfe, P.E.44923 Impact Reslstant: N/A Created by Independent Third Party: Yes Desiyn Prcssure: +N/A/-131.OPSF Evaluation Reportc Other:-71.0 psF at 12"-12"-12"fastener pattern at 24" FL5213 R4 AE 29 Ga. R and PBR Panel over S o.c. -131.0 psf at 7"-5"-7"-5"-7"fastener pattern at 12" PI wo . f o.c.Install per manufacturers details. Not for use in FL5213 R4 AE R-PBR Roof over�Ivwood load tabl df ' HVHZ Zones. Created b Inde ndent Third Pa :Yes Back Nezt Contact Us 1940 North Mon �treet Talla � F ��Phone:850-487-1624 The State of Florida is an AA/EEO empbyer�pvriaM 2007-2010 c. of FloNda ;Privaro Stetement nmecel6ilitv 5�t m nt R emd 5••m �r Under flori0a law,email address�s are publk records.If you da not want your e-mail address relessed In response to a public-records request,do not send ekc[ronk mall to this eMlty.lnstead,oontact the oRke by phone or by traditipnal mall.lf you have any Quesqons,pkase conqct 850.487.1395. •PUrsuant to Sectlon 455.275(1),Florlda Statu[es,eRective October 1,2012,Iicensees Iicensed under Chspter 455,F.S.must proWde the DepaRment with an email address if they have one.The emails provided may be used for afRClal communlcatbn wKh the Iicensee.However email addrcsses are public record.If you do not wish to supply a personal address,pkase prpvlde the Depe�tmeM with an email addrets whkh can be made available to the public. To determine if you are a Ilceruee under Chapter 455,F.S.,pkase dkk� Produtt Apyroval Aoa�pb: �� N01'�0�1 xtivrit�-�i��ic. � ` � v..�s.qn http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvWKGCdrv%2f... 8/7/2012 Florida Building C;ode Unlme Yage 1 ot 1 . � � � , ' • ► � r�� F��rj�;�`��o��d BCIS Home Loq In User 0.cqistration Hot Topics Submit Surcharqe Stats&Facts Publicatlons FBC SWf► BCIS Site Mep unks Search Busines `� Professi��a) " Product Approval �USER:Public User Regulation Product Aooroval Menu>Product or Aonlication coa.�h>Aoolication Lis[>AppliC�tion Datail �JY ". .. F�# FL5213-R4 Application Type Revision Code Version 20�o ALL Wp[�SHALL COMPLY W]THALL Applicatlon Sta[us Approved PREVAILING CODES, FLORIDA BUILDING comments CODE,NATIONAL ELECTR[C CODEAND Archlved CITY OF ZEPHyRHILLS ORDINANCES Product Manufacturer Corrugated Industries of Florida,Inc. Address/Phone/Emall 1920 US Highway 301 North Tampa, FL 33619 (813)623-6606 gwilllts�forceengineeringtestln com �EVjE1�' Authorized Signature Gene LeBouef �f yy D�T� �-�_/ gwfllits�@forceengineeringtesti co�Q�7�Fj ��.� �,�qA��<<LS Technlcal Representative � ��' Address/Phone/Emall ---�� Quality Assurance Representative Address/Phone/Email Category Rooflng Subcategory Metal Rooflng Compliance Method Evaluation Report from a Florida Registered Archltect or a Licensed Florida Professlonal Engineer Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who Terrence E.Wolfe developed the Evaluation Report Flonda License PE-44923 Quality Assurance Entity Keystone Certiflcatlons,Inc. Quality Assurance Contract Expiration Date 04/08/2019 Validated By Shawn G.Collins, PE Validation Checklist- Hardcopy Received Certiflcate of Independence FL5213 R4 COI Letter of Certification odf Referenced Standard and Year(of SWndard) Stsndard Year FM 4471 2010 UL1897 2004 UL 580 2006 Equivalence of Product Standards Certified By Sectlons from the Code http://www.floridabuilding.org/pr/pr app_dtl.aspx?pazam=wGEVXQwtDqvWKGCdrv%2f... 8/7/2012