HomeMy WebLinkAbout13-14224 _ CITY OF ZEPHYRHILLS
5335-8TH STREET
� (si3)�so-oozo 14224
BUILDING PERMIT
Permit Number: 14224 Address: 6725 CEDARRIDGE DR 1 UNIT A
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: 02-26-21-0220-00100-OOAO
Improv. Cost: 4,750.00
Date Issued: 5/24/2013 Name: HEALTH CONSULTING SYSTEMS INC
Total Fees: 90.00 Address: 6725 CEDAR RiDGE DR
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/24/2013 Phone: 813-777-6117
Work Desc: REROOF W/RESURF LOWER PRT W/43L6 BASE SHEET (BLD 1 )
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TAPE JOINT �RO F INSP�
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� 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 commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci C a Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR S NA E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
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Dat�Received �� � I Phone Contact for Permittin 'J��L 2�� _ � � r
tiu + �
Owner's Name � t� Owner Phone Number '� ��'�`�
Owner's Address Owner Phone Number �
Fee Simple Titleholder Name �— Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS , D r L T Z, I C � � � LOT# �
SUBDIVISION , PARCEL ID# O�. 2(,� Z� -b�ZD_ t vb- r:a
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK Rc �� ., �/�.� W i� �13 j J, (3�� . Qr�. C
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BUILDING SIZE SQ FOOTAGE�� HEIGHT
Q'B�UILDING $ � ,.,7�� � VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.Q�
QPLUMBING $ r .�I� (/� � �
�/
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��Z�L-�
�GAS [� ROOFING Q SPECIALTY � OTHER
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 I N FEE CURRE� Y/N
Address License# —�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ic se#
�
OTHER COMPANY "' � �L 2,p �,� �.�.�
SIGNATURE •--�, ` REGISTERED Y/ N FEE CURRE� Y/N
Address License�t �—
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 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 construcGon.
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 construcGon.
rt�re����ri�r����r����r���
Directions. " "+'+'`'" �lu�'
Fill out application completely
Owner 8 Contractor sign back of application,notarized
If over;2500,a Notice of Commencement ls required. (A/C upgrades over 57500)
** Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
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OVER THE COUNTER PERMITTING (Front of Applioation Only)
Reroofs if shingles Sewers Service Upgrades A/C Eences(Plot/Survey/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 responsibiliry 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 appiy 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 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. Fu�thermore, 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, 1
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 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, 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 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, I certify that fill 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 a�davit 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 NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT /�S, �--� CONTRACTOR ' -�-
Sub�cribed and s�lorn to�or���� efo, thi(��� Subscribed and syom o(or affirmed)before me this
��'��bY� h � lB�— b _
Wh—�re'perso�y known to me or has/have produced Who is/are personally known to me or haslFiave produced
�t„ as identlficatlon. as identification.
+ F `' � ^_ � � 'Notary Public
'` ublic '
� �j;r:",,• BOBBIE S.SYVETI.AND „".,, , BOBBIE S.SWET
Commissi . Commission No. • •
' :'� "� :�= Expires February 22,2016
•' ' Expires Febrt�y 22,201fi ,a�s
Name of Name of Notary
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Ow�M �p�'� (i��/���i�..
FI�G �nWr�ES
r•••• N�SPEd.'T10NS ,�.
��« �•� PROPOSAL
ESTIMATES
CALL MIKE THURSTON
O�ce: 352-437-4073 Cell: 352-6 0-7101 Pa9 t� ., of ages
TO: PHONE: � DATE.
ri�yJ ��G � � /�1CGr��? � �`� ���- � SS �/3�3�e - iS--�i'
��}�.-7�I-.� C(�J�(1S(•'C'�"� � C�J ��°�S'`�-EJ��S '1""�C'• JOB NAME/LOCATION � . '��
�C�Gt �' � I , C(� � ��'� �� �S �{'c��"le ' -�
��f �� �� h�r � i � � S , I� I �..3 S t� DEPARTMENT: OFFfCE: FLOOR.
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JOB NUMBER JOB PHONE:
We hereby submit specifications and estimates for•
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We Propose to furnish material and labor-complete and in accordance with the above specifications,for the sum of:
Dollars:$ �,����'�'
Payment to be made as follows.
All matsrial is pwranbed to t»as apecifiad.All work to bs compiated in a prafeasiamal manrror
axordmg to atandard pacdcros. My altaration or deviation from th� above speeifications which
involve sxtra costs will bs made only unpon receipt of an auMorized,w►itten changs ordsr and witl bs �
shown on wbsrqu�nt irnroiess as amounta owr above the oripinal sstimats.It i�understood that we AUthOriZ@d
will not b�psnalizsd for delays auaed by aMikea.acc�denW or othsr delays caused by aeb of God
Our worlcm ars aovered by WoAcets Compensetiort msurance. Owner agreen ro fumish all other Signature
appropriats and necessay insurencs cowrages.
Note: This proposal may be withdrawn �y us if not accepted within
ACCEPTANCE OF PROPOSAL- The above prices, specificationsand conditions are satisfactory and are accepted.You are authorized to
do the work as specifled. Payment will be made as outlined above.
,j i
Signature �l',/ �����S �L'n'"
Signature Date of Acceptance:
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Ci�� ' ��
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contra omeowner: _
Date Received: �� �� •. � �
Site: ' � �
� ��
Permit Type: _ , � �
3� ��G�.S..c -� � � �,;d�c.e„�`
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the pernut andlor plans.
� S�`�1 /]
Kalvin S ' er P s Examiner Date Contractor and/or Homeowner
(Required when coxnments are present)
IIIIItIIiIIIII1lIIIUII11iIIIlIIIIINIIIIIII111IIIlIIIIIiIII s o NEIL,�,�pAS����OF 1���TR�.�ER
' 2013088048
� ' Repl:1521856 R.o: 10.00 0g R 8K �8� PG 319
D5: 0.00 IT: 0.00
08/20/13 C. Miner, Dpiy Clcrk
Permit No.
ParcellDNO va1^ZCn-LI -OZ20-vo�op-ppAO
NOTICE OF COMMENCEMENT
Slate ol r L County ot �Ac[p
THE UNDERSIGNED hereby givea nolice thal improvement will be matle to certain real propeAy,antl in accwdance with Chapter 713,Flor�tla Stalutes.
the following Informstion is proWded in thia Notice of Commencement:
t Description of PropeAy Parcel Identification No. O 2'�.la'Zl -b ZZO^C�OI 00-bo AC�
StreetAddress: �1Z..S l�tA'A�L �'�'^.E �R'�'Ec'� I��"P�'=H�f��') S� F!. 3�54�
2. General Description ot Improvement
� ��lrRa'v.L�wC. �.Ow�e'�L �442T o� I-saA' J4RRwwr`-41K
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3 Owner Information or Lessee information if the lessee contracled for the improvement:
♦
� ,,CbNS��
Name ��„�Q�..i�S �3.S�j� FS�
ld`i 2S C-�7+Q �`�c e I�2��t City Sta�e
Address
Interest in PropeAy ��N E/L
Name of Fea Simple Titlefioider
(If diHe�ent from Owner Iisted above)
Ciry State
Address ,�( n
4.�Contractor 1�C {�-6 i �. �
Namer� [��� i�L{',��i 3�s�r� A � �
���y State
Address
Contracta's Telephone No.
5. Surery:
Name
City State
Address
Amaunt of Bond: S Telephone No.
5. Lender
Name
City State
Address
I.enAers Telephone Na.
7 Persons wilhin the StBte of Florida design8ted by the owner upon whom nolices or other documeMS may be served as proviaed by
Sedion 713.13(5)(a)(7),Florida Slatules: � � *
J` . -• *
Name �„G •
City State
�� ��
Address • � ���
Teiephone Number ot Designated Person: F� ^ � �
U�__ V op
g. In addilion ta himself,the owner designates � � ��� � �
to receive a copy of lhe Lienofs Nodce as provided in SecUOn 713.13(1)(b),Florida Statutes. 4 � �
' • 1e
Telephone Number ot Person or Entity Designated by Owner: � ., �•�e.
9. E�pireUOn date of Notice o(Commencement(fhe expiralion date may not be be(ore the complelion of construction antl final payment to Ihe
conlraclor,but will be one year from the date af recording u�less a ditterent date ia specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �'�s � � �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIOA STATUTES, AND CAN * *
RESULT IN YOUR PAYING N�ICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE J08 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LEN�ER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCFMENT Q � � Y
Under penally of perjury,�deGare that I have read lhe taregoing nolice of commencement and thal the fads sWted therei�are truF to the best �i �� W � V� � �
or my knowtedge and te�iet I`��L-C-TN C�S�`�'��� 4'� � `�
S✓7 -= � �H `�.� t_i
STATE OF FLORIDA � ^ 'T � � C� U � �O � ~
COUNTY OF PASCO �9 � �gg�,or pwners or Lessee's Aulharized � u U {�L� �V � ��
cer ireclodPartnerlManager ,P'� o � ;Z � �
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Signatory's TiUelOmce � W � O U O �
17 da �s.lrr� Vca H wn • ;.� F-. a w ,��'
T h e f o r e g o i n g instrument was acknowtedged be(ore me this y o��_�Z��bY�
as n �-n r (rype of aulhon ty,e.g.,o Kcer,lru s t , tt a n e y i n t a c q f o r � � � � �
. (na (pa r t y on h f of m instrumen s executed). V z
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Personaly Known O 4�Proauced�dentification�l Notary Signalure U�
��ph(�C1�Y��f�i C.���Name(Prinq C Qhav Q �� � �Q Q O J
. Type of Ide�tification Produced LL W
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Florida Building Code Online Page 1 of 3
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���5�}l�������� Prod.uct A�proval Menu > Product or ApUlication Search > Application List > Application Detail
FL # FL984-R8
Application Type Revision
Code Version 2010
Application Status Approved
Comments
Archived .
Product Manufacturer Firestone Building Products
Address/Phone/Email �L�ORKSHALLCOMPLY�jT'pl�� 96th Street
PREVAILING CODES,FLORI����S, IN 46260
CODE,NATIONALELECTRI(�����'pj-3806 Ext 5380t
CITYOFZEPHYRHILI,S OR]�,���nTim@firestonebp.�
Authorized Signature Tim McQuillen
McQuillenTim@firestonebp,�
��cvi�cuv u/-�ft� S' - L3 (?,
Technical Representative C�TY OFZEp�,.iY--�-��-p4�u.�llen
Address/Phone/Email ►�LANS �Xq�rNER��Sb�/v.. 96th Street
di polis, IN 46240
(800 -4272 Ext 5380E
mcquillentim@firestonebp.c
Quality Assurance Representative Tim McQuillen
Address/Phone/Email 310 East 96th Street
Indianapolis, IN 44240
(317) 816-3806
mcquillentim@firestonebp.c
Category Roofing
Subcategory Modified Bitumen Roof Syst
Compliance Method
Evaluation Report from a FI�
http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqupyL97KIMXdPk 1£.. 5/20/2013
Florida Building Code Online Page 2 of 3
Florida Professional EngineE
Evaluation Report - Har�
Florida Engineer or Architect Name who Robert Nieminen
developed the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 08/22/2015
Validated By ]ohn W. Knezevich, PE
Validation Checklist - H�
Certificate of Independence FL984_R8_COI_Trinity ERD
Referenced Standard and Year (of Standard) Standard
ASTM D6163
ASTM D6164
ASTM D622Z
ASTM D6223
FM 4470
FM 4474
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 04/27/2012
Date Validated 04/27/2012
Date Pending FBC Approval 05/02/2012
Date Approved 06/11/2012
Date Revised 04/25/2013
Bummary of Products � ��� � ��T���_ ��������_��µµ_�_
�
� FL # Model, Number or Name Description
- 984.1 Firestone SBS and APP APP and SBS Modified Bit
Modified Bitumen Roof
http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqupyL97KIMXdPk 1 f... 5/20/2013
, Florida Building Code Online Page 3 of 3
`I �Systems �I
€ Limits of Use Installation Instructioi
; Approved for use in HVHZ: No FL984 R8 II A1 er042;
Approved for use outside HVHZ: Yes R8.�df
- Impact Resistant: N/A Verified By: Robert Nierr
j Design Pressure: +N/A/-547.5 Created by Independent
' Other: The design pressure noted in this Evaluation Reports
; application pertains to particular systems in the FL984 R8_AE er042712
: Evaluation Report. Refer to the ER Appendix for R8Tpdf
! specific systems and specific design pressures. Created by Independent
6�ck �Nc�Rt �
Contac_t_Us :. 1940 North Monroe Street,_Tallahassee FL 32399 Pho
The State of Florida is an AA/EEO employer. Copyright 2007-2010 State_of Florida. :: _P_riv_acy Stat_en
Under Florida law, email addresses are public records. If you do not want your e-mail address relea
send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you
*Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed unc
with an email address if they have one. The emails provided may be used for official communicatic
public record. If you do not wish to supply a personal address, please provide the Department with a
public. To determine if you are a licensee under Chapter 455, F S ,
Product Approval Accepts:
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, Florida Building Code Online Page 2 of 2
send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you
*Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed unc
with an email address if they have one. The emails provided may be used for official communicatic
public record. If you do not wish to supply a personal address, please provide the Department with a
public. To determine if you are a licensee under Chapter 455, F 5 ,
Product Approval Accepts:
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