HomeMy WebLinkAbout13-14695 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 4695
BUILDING PERMIT
Permit Number: 14695 Address: 39545 CHARIOT LN LT 224
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 6,000.00
Date Issued: 11/05/2013 Name: NHC-FL115 LLC
Total Fees: 97.50 Address: 39545 CHARIOT LN
Amount Paid: 97.50 ZEPHYRHILLS, FL. 33542
Date Paid: 11/05/2013 Phone: (813)783-7518
Work Desc: CARPORT & BREEZEWAY ON EXISTING CONCRETE
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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 Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I Ililll IIIII IIIN IIIII Illll IIIII IIIlI IIIII IIIII IIIII IIII IIII
NOTICE OF COMMENCEMENT 2013185298
Rcpt:1559725 Rec: 10.00
Pennit No. DS: 0.00 IT: 0.00
Tax Folio No.�s/-a(a-�/-DOQo-Uo�OV�� 10/29/13 E. Munguia, Dpty Cle�k
THE LJNDERSIGNED hereby givcs notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,ttie following infom►ation is provided in this NOTTCE OF COMMENCEMENT
TMAT pIUtT O/BABT 00.00 R 0�NW1N t TIIAT iART Of WEBT 1/!OF P08 107•11�FXC NORTIi YO R TXEN80f fOR RD R/W 8 MA,IEBTIC OAK9
NEtI� f SEC Y�LYINO NORTM Of L�MYRNILLa BYPASB EA9T AND COMMUNITY�PMABH ONE PB JS PO 107•11t l0T 1 TFiRV tE INCL 61OT8 1C
I.DESCf1P11011 Of pIOpCPIy�ICb�YINQYI��T OF MA.IF��TIC OAN9 COMMUNITY�PHA86 ONE AS PER GB 75 TMAU�I�40T8 40 TIiRU Jt 8 LOTE 7J THRU 7�OR 0l�6 VO B7
a)Street(job)Address:39 U e.h � ���a
2.General description of improvements: �A��;:1olsT ��v E�/ ns c� LfaniG�Y T
3 Owner Information /`� G`/"�-//'� �
a)Name and address:G�91 G. Ham,eJ/�eK A� �g31�s�o,�s��A�t �ra�i
b)Name and address of fee simple titleholder(if other than owner)
c)lnterest in propezty
4.Contracior Information ��++F Ca nsTCCC+LP o N O F � v►,L•
a)Nauieandaddress:'itl�.�i PlOrcig�i�,tyC�i�1>• z'r���l��l�S� hl 335�3
b)Telephone No.:b�13�?$a—lOb'� Fax No.(Opt.)S�3 -7/S-l�58S
S.Surety Information
a)Na�ne and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.) •
6.Lender
a)Name and address:
Phone No.
7.Identity of pe�on within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Naine and address:
b)Telephone No.: Fax No.(Opt.)
8.In addition to himseif,owner designates tho following person to receivc a copy of thc Lienor's Notice as provided in Section
713.13(I)(b),Florida Statutes:
s)Name and address:
b)Telephone No.. Fax No.(Opt.)
9.Expiration date of Notice of Coinmencement(the eYpiratioa date Is one year[rom the date oi recording unless a different date
is spccsed):
WARNING TO OWNER: ANY PAYNfENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CIiAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IIV YOUR PAYING TWICE FOR II�tPROVEA'IENTS TO YOUR PROPERTY.
A NOTICE OF C01VA'�NCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRS'I'
INSPECTION. IF YOU INTEND TO OBTAIN FINANCIIYG,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COA�III�NCEMENT.
STATE OF FLORIDA ,/ • ^
COUN7Y OF 1'B'fiiLUC(�[�-t7 /��O. l�
� S�gnature of Own or Ow�er's Authoriztd cer/Director/Partnrr/Manager
�ero�l ' ��',ei�n.-�'
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The foregoing instrument was acirnowledged before me this o7�day of_Dr�t" ,Zp ?3_by l�rD�
���� � (type of authority,e.g.officer,trustee,
attorney in fact)tor (name o!pa on behalf of wh m i ttument was executed).
Personally Known_OR Produced Identification �! Notary Signa
Type of Identification Produced '' Name(print)
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Verification pursuanr to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and thac
the facts stated in it are tive to the best of my knowledge and belief .
FORMSMOC I
��ir"•""i�,�M SARAH ELI2ABETM VALENTINE �'Si�awc ofN 1 Prnon Signing(ia c M l0.)Abovc
Nolary Publfc•State of FloriEa
=N ��My Comm.EzDlrea Auq 22.2014 PAULii 5 0'NEI�,Ph D Pq5C0 CLERK & COMPTROLLER
���%��«��:••' Commission I EE 19799 10/29/13 Q�2��; 1PGof��w
OR BK �f j �e
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* ' f�� � � TRUE ANG CCRR.���? uCP� 0�T�1E�C�CiJNfE�1T
y `��'�'� ON FILE 0�2 �F Pl�3L{C RECORL� IN ThiS�FFICF
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�, .�* WITNESS fJ�'f HP.t�G ANu 0- IC����-���`,
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�`• ' fd�� • * PAUL O tL�C &
9���CORIDA * aY , _ uE���''s c,�.��;�r
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Page 1 of 2
� Mike Fasano
TAX COLLECTOR > PASCO COUNTY > FLORIDA
"Thank you for allowing us to serve you."
BUSINESS TAX RECEIPT ACCOUNT
DETAILS
BUSINESS NAME:B & H CONSTRUCTION OF CENTRAL FL INC
ACCOUNT:02128
STATUS:PAID
BUSNIESS TYPE:BUILDING CONTRACTOR
BUSINESS ADDRESS:4025 MORRIS BRIDGE RD, ZEPHYRHILLS FL 33543 5056
PHONE:
OWNER NAME:BEEBE GREG A
OWNER ADDRESS:4025 MORRIS BRIDGE RD, ZEPHYRHILLS FL 33543 5056
SIC CODE:1541, NO. OF EMPLOYEES: 19
OPEN DATE:09/18/80
Payment History Receipt Date Paid Amount Paid
060031 07/06/12 $42.50
056916 07/21/09 $65.00
037259 08/08/00 $31.25
039406 08/16/01 $31.25
041156 08/07/02 $31.25
043223 08/06/03 $31.25
045431 08/05/04 $31.25
047676 08/09/05 $31.25
050459 08/17/06 $65.00
053314 09/11/07 $65.00
054457 07/03/08 $65.00
000847 08/25/95 $31.25
030577 09/09/96 $31.25
031892 08/11/97 $31.25
http://search.pascotaxes.com/search/OCLTAX.aspx?ACCOiJNT=02128 11/7/2013
Page 2 of 2
Receipt Date Paid Amount Paid
033656 08/11/98 $31.25
035605 08/20/99 $31.25
059563 09/16/10 $42.50
061025 08/18/11 $42.50
061925 08/19/13 $42.50
•CURRENT AS OF 11/OB/2013 18:55:49•
Business Tax Receipts may be purchased beginning July 1 of each year; are due and payable on or before
September 30 of each year, and expire on September 30 of the succeeding year.
http://search.pascotaxes.com/search/OCLTAX.aspx?ACCOUNT=02128 11/7/2013
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received f� �7�a.- _ I�Gj
� Phone Contactfor Permittin
Owners Name ��1C%'��� �/�� Owner Phone Number -aos-� y
Owner's Address �'��k��� �//I��U�t�' �T ST�.'3/ Owner Phone Number
Fee Simple 7itleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � � / "% N/�{. LOT# �
SUBDIVISION �� "�� `� PARCEL IDX �y'c��'e.7I�`�� l��G7 �fii�' �V
(OBTAINED FROM PROPERTV TAl(NOTICE)
WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK l�`� `# 1 ' f 7� �i � \ '�\e 'ri
BUILDING SIZE '�/ 3 .j S�FOOTAGE �G . � HEIGHT
UILDING $ /+/>/7 fiG VALUATION OF TOTAL CONSTRUCTION
�iri(i
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
� I ����
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER -��` _ � COMPANY � �� •dNST�liG��'� �
SIGNATURE � fL,L�� REGIS7ERE� Y/ N FEE CURRE� Y/N
Address 1/Q�S/� ,E'�5 i�,r'� E i / License# ,/��fl S 77ff��—�
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/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY —�
SIGNATURE REGtSTERED Y/ N FEE CURRE� Y/N
Address License# �
Illllltllilllllllllllllllllllllllllllllllllllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construdion,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-0-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Slortnwater 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 8 Contractor sign back of application,notarized
M over E2500,a Notice of CommencemeM is required. (NC upgrades ovar t7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(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 responsibility for compliance with any
appiicable 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 conVactor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsibie. 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 IMPACTNTILITIES 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 expa�sion 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 occupanc�'or final power release. If the project dces not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer 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 ConsVuction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Aifairs. 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 certi(y that all the information in this application is accurate and that all work
will be done in complia�ce with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a pertnit 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 govemment 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 Protedion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand 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.
- Federal Aviation Authority-Runways.
I understand that the foltowing 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 affidavit prior to commencing oonsVuction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speafically inGuded in the application. A
permit issued shall be consUued 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,consVuction or violations of any codes. Every permk 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 L 'X�L� CONTRACTOR�.//t�c. K1C�/l.'�"-�.�
Sub cribed and swo to firme before me this Subscribed and swor t4 aN'med before me this
/a-�' -3 bv l�l�� ,�te�i� i0•��1'-[3 by �lviec ,�rcU+� _
Who is/are to me or has/have produced Who is/are personally kno to me or has/have produced
as ident�cation. ' as identfication.
� �blic L Notary blic
Co Commission No.
�=��-:'i�.,, SHARRO JOHNSON ,fi�'"•''''��;� �
Na S+ ry.lyye , ' Name of Notary , eG'
:-;��� ��e; Expires June 23,2015 �• a;� x s JunA 23,2015
•,� %'�,o���`, mntNotl7hrvtm/Ma!nlnsuraraalW385�7019
pa °•� Eonded Trr�Trcry F'a'm Ins�rencp BG0385-7013
ARt�`� � I`l�I�
ARKAY ENGIN�ERING, ING.
1958 E. EDGEVVOOD DRIVE
LAKEIAND, FL 33803
PN�(863) 688-6500 � FAX* (863) bB8-655�
FL. GERT.OF AUTHORIZATION x EB6347
RIGHARD L. KIDDEY,P.E. � 312�ib
DATE: 10/24/13
B&H Construction
Zephyrhills, Fl.
Re: • LEROY HEIFORT
Address: 39545 CHARIAT LANE Lot#
ZEPHYRHILLS, FL.
Dear Sirs, _
This letter is to certify that I have reviewed the above referenced
Structure to determine the structural adequacy of the existing structure
To receive the proposed attached structure. The proposed structure is
A structural panel 14' x 32' 3" carport roof with an additional 5' 4"
x 10' structural paneI roof between the home and the existing shed.
The panels will be installed under the overhang to the home wall,
Into the wall studs.
As always, should you have any questions, please feel free to call
me at any time.
�
SHEET� OF �
FOR.
B&H Construction
Of Ceotnl f7.]ae.
T'hese Standmda md plana meU the 2010
FloridaBnildin CodeBnildin Section1609
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�':f��3�� .. Code Version 2010 FL# 2291
Applicatlon Type ALL Produd Manufacturer ALL
Category ALL Subcategory ALL
Applicatlon Status ALL Compliance Method ALL
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IApproved for use in HVHZ ALL Approved for use outside HVHZ ALL
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Other ---- -- -- - ----- - ALL - ----- --- ------ - - - - - --
Search Results-Applications �
FL# Tvoe Manufadurer Validated Bv Status
FL2291- Revision Metals USA Building Products Jorge A. Pomerantz, Approved
R7 Category: Rooflng P•E• �
Histor Subcateyory: Products Introduced as a Result of (954)394-8521
New Technoloqv
'Approved by DBPR.ApD��als by DBPR sAall be reviewed and ratlFled by tlie POC and/or the Commission'rf necessary. _
Contact Us 3040 North Monroe Street.Tallaha<em FL 3230o phone:850-487-1824
The SWte of Fbrida is an AA/EEO employer ��vrloht 2007-2010 State of Florida.•:Privacv Statement•:q�cibilin SL[ement Refund Statement
Under Florida law,email addresses are public records.If you do rwt want your e-mall addrcss released in response to a pudic-records reques[,do not
send electronic mail to this eMiry Instead,mMact the olfice by phone or by tradkional mall.If you have any questiore,pkase contact 850.487.1395.
'Pursuant to Section 455.275(1),Florida Statutes,efFedive October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department
with an emall address If they have one.The emails proWded may be used for dfidal mmmunication wtth the licensee.However emall addresses are
ou6lic record.If you do�ot wish to supply a personal address,please provide the Department with an email address which wn be made available to the
public.To determine If you are a licensee under Chapter 455,F.S.,plwse dick j�_
Praduct Approval Acaepts:
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Florida Building Code Online Page 1 of 2
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r:,�•�,.;�-t. _,�,�;s�` Application Type Revision
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer Metals USA Building Products
Address/Phone/Email 7815 American Way
Groveland, FL 34736
(352)787-7766
bkaufmann @ metalsusa.com
Authorized Signature Frenk Bennardo
frankCa�engexp.com
Technical Representative Bill Kaufmann
Address/Phone/Email 7815 american Way
Groveland, FL 34736
(800)342-9077
b ka ufm a n n�m eta I s u sa.co m
Quality Assurance Representative
Address/Phone/Email
Cate9ory Roofing
Subcategory Products Introduced as a Result of New Technology
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who Frank L. Bennardo
developed the Evaluation Report
Florida License PE-0046549
Quality Assurance Ent(ty UL LLC
Quality Assurance Contract Expiration Date 11/29/2015
Validated By ]orge A. Pomerantz, P.E.
� Validation Checklist- Hardcopy Received
Certiflcate of Independence FL2291 R7 COI Cert Indep.pdf
Referenced Standard and Year(of Standard) Standard Year
ASTM D1929 1996
ASTM E72 1998
ASTM E84 2003
Equivalence of Product Standards
Certified By
Florida Licensed Professional Engineer or Architect
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvBLGds%2bEz... 4/22/2013
Florida Building Code Online Page 2 of 2
FL2291 R7 Equiv Equiv E72.Ddf
FL2291 R7 Equiv Equiv E84.pdf
Sections from the Code
Product Approvai Method Method 1 Option D
Date Submitted 12/21/2012
Date Validated 12/21/2012
Date Pending FBC Approval 12/27/2012
Date Approved 02/04/2013
— ---------- - - --- ---- -- ---�
�Summary of Products
FL# Model,Number or Name Descri tion
2291.1 Pro-Fab Roof Panels Aluminum and Steel Skin EPS Core Sandwich Panels
Limits of Use Installation Instructlons
Approved for use in HVHZ:Yes FL2291 R7 II Dwq.adf (
Approvad for use outside HVH2:Yes Verified By: Frank L. Bennardo,P.E. PE0046549 I
Impact Resistant: No Created by Independent Third Party:Yes ;
Detfyn Prescure:N/A Evaluation Reports I
Other: -For outside patio construction only. -Refer to FL2291 R7 AE Eval.odf
engineering drawing#04-151-0001 for limitations and Created by Independent Third Par[y:Yes
condfUons of use.
,...____�_.__.__._..._._....__...__._ .___.......____.__ _ _.�._...-.-----._._.____. .-----.----_._..----_—___..__- ----__. _._... __------..._....,
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Contnct Us 14a0 North Monroe Street.Tallaha<e_m FL 32399 Phone:850-487-1824
The Swte of Florida is an AA/EEO employer Coovriaht 2007-2010 State of Florida.::Privacv Statement::Accessibilrir Stntement Refund Statement
Under Florida law,email addresses are public remrds.If yau do not want your e-mall addrcss released In response to a public-recads request,do not
send eledronic mail to this entlty.tnstead,contnR the ofNce by Ohone or by traditianal mall.If you have arry questions,please contaR 850.487.1395.
"Pursuant to Section 455.275(1),Florida Statutes,eRective October 1,2012,licensees Iicensed under Chapter 455,F.S.must provide the Departmen[
wiM an email address H they have one.The emails provided may be used for offlcWl rommunicadon wRh the littnsee.Mowever emall addresses are public
record.If you do not wish to supply a Dersonal address,Dlease provide the Department with an email address which can be made available M the public.
To determine If you are a ticensee under Chapter 455,F.S.,please didc here
Product Approval Aeppb:
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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ontr omeowner: T
Date Received:
S�te: � ����� �����
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Permit Type: � `-�`
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Approved w/no comments: Approved w/the below mments: Denied w/the below comments: ❑
This comment sheet hall be kept with the permit and/or plans.
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Kalvin 'tz — lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)