HomeMy WebLinkAbout14-15014 CITY OF ZEPHYRHILLS
5335-8TH SIREET
` . (si3pso-oozo 15014
BUILDING PERMIT
Permit Number: 15014 Address: 37519 GILL AVE LOT 278
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0170-00000-2780
Improv. Cost: 3,958.00
Date Issued: 2/27/2014 Name: DUKES, THOMAS & GAYNELL
Total Fees: 82.50 Address: 37519 GILL AVE LOT 278
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 2/27/2014 Phone: (813)779-7323
Work Desc: REPLACE 8 WINDOWS SIZE/SIZE
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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 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. If you intend to obtain financing,oonsult with your lender or an attorney
before recording your notice of�mmencement."
Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78Q-002Q City of Zephyrhills Permit Application Fax-813-760-0021
. Building Department
Date Received � � � 3 ��3 -_
Phone Contact for Permittin
r
Owner's Name Qg, �� Owner Phone Number -�/ �7 � �
Owner's Address � G Owner Phone Number �— —�
.
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �� it C l ✓'� LOT# �
SUBDIVISION � !�^ n f'"2 U PARCEL ID# �Y—��,� –(' _ > __ 7
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER �—
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK /GC w�'� GP� 5'r 2� .���Z, �
BUILDtNG SIZE —� SQ FOOTAGE� HEIGHT ��
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�� �-�l�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER '� , f� � COMPANY �^ SU� �a1d�
SIGNATURE � 2���lY►G f�['V�� (REGISTERED Y/ N FEE CURRE� Y/N
� >
Address G �i � ( � �.�y License# ���.% � ��j,(/
ELECTRICIAN COMPANY
SIGNATURE Re�is�Reo 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 PEE CURRE� Y/N
Address License# � �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlities 8 1 dumpster;Site Wohc Permit for subdivisionsAarge 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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance
31GN PERMIT Attach(2)sets of Engineered Plans.
`"'"PROPERTY SURVEY requlred for all NEW construction.
Directlons:
Fill out application completely.
Ovmer&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement Is required. (AIC upgrades over 57500)
"" 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(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
. .
✓
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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C ntracto omeowner: ��/ �
Da e Received: ,,� - � � �- f�
Site: �-�7� /g Z6J� �1��G
, �
Permit Type: , ,�z �I�S;��
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sh t all be kept with the permit and/or plans.
F�� 2 s 2014
Kalv 'tze Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
�{ ���I j-s Tc�D'���C:i .._..�?
�' ;� �6� �(i t�`�.:
NewSouth ,. ,��.� l i�C� +��4�� ';k,`L:� P
;��'� 4901 Oak Fair Bivd•Tam a,FL,'i3610
WINDOW ioNs ��, 813-626-6000•813-626-6001 fax
/ i �'�� www.NewSouthWindow.com
� 'Ma�E e�t6e SoM4...i�f tYe So�ffi. !i`� Date f— 1�— /7
To /Li0 K�w—,� �K�.—.S _ E-mail N �
��� _ Home Phone_p���7/Cell Phone
° State �t!
��. _ 2ip ,;�3 J~T� Business(Mr./Mrs.)�3a3
Replacement Windows•Entry&Pato Doors•Storm Doors•Impact Resistant Windows&Doors
WHOLESALE&RETAIL WINDOW CONTRACT
NewSouth�ndow Sdutlons agrees to measure,manufacture or furnish and service the following custom made windows forthe amount STIPULATED BELOW:
All NewSouth Vantage Series Windows include Double Pane,LoE glass with Argon gas,and 72 poiM fusion welded comers.
All eVantage windows are Sashihe"'sealed and vacuum tested with a foam enhanced sash and fiame.
[ow.00ne�.(w�wkuaiwow) ke ❑ia� cnem_ eo__�(e.c�rar«ih) o_ iM�.wrcobrs ke ❑ra� caonm+rv+nslw�neyir«�sa
(mire in cdor) (�^��
Q�AMT^' OBSCUREGlASS ❑YES NO Quarimv
WRMWT GPI016 � PVCCOILTRIM 7'EMPEREDGLA55 O YES
cwos srne LOCATION: �� � COLOR:
LOCATION: O NO
antage � ;�Tantage o lyantage
� DOUBLE HUNG VANTAGE SERIES
� (HALF-SCREEN) CASEMENT
❑Fu115CIefn (FULISCREEN)
2 LI'fE SLIDER VANTAGE SERIES
(HALFSLREEM DOUBLE CASEMENT
(TWO fUIL S�R�NS)
❑Full Screen
PICTURE
WINDOW VANTAGE SERIES � DOUBLE CASEMENT
(NO SCREEN) WITH FIXED�ENTER
3 LITE SLIDER
PICTURE WINDOW AWNING&HOPPERTIIT WINDOW
VANTAGE SERIES (Fuuxr���
(TWO XREENS) Cdw uptim of WNte prTan pMy.
PICTURE WINDOW WffN PA770 DOORS 0 5/O x e/8(b91/2"x 791l2'�
� � DOUBLE HUNGS ❑6/O X B✓8(71 7/2"X 791/2")
VANTAGE SERIES lndicafe direction p g�p x g^p�ry�p�X 961/2'�
RWO HA�F XAEENS). Of SIid6 ��X����.X 79 1/2")
❑xoa�aox oeroxsra�m�rrx�a�re-�
❑HALF � OEYEBHOW � 07RAP OO7HER
$HAPEDWINDOWS(NOTFOAMENHANCED) noUNo �p�W N��p
GRID SfYLES ❑STANDARD ❑CONTOUR ❑BRA55/GOLD/PENCIL Was this home built priorto 19787 p Yes❑No
' � ❑Colonlal ❑pralrie
_S- ❑ppe�prairte If yes,the undersigned agress M the tertns and
condkions of the NewSouth Lead Safe Work
+ Practices Addendum.
_�. r_
�
i
TOTAL NUMBER OF WINDOWS ON THIS OR Buyer's55�+re
Ol'HER:
tomer a rees to aliow NewSouth to dis la a ard si n until 30 da s after com letion. iW0 YEARS fliEE�N BpME S6iVICE
BUYER'S RIGHT TO CANCEL Total price* S'-'S q SF �
BUYER MAY CANCELTHIS CONTRACT BY DELIVERING WRITTEN NOTICE f—�"�
TO THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD �
BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.BUYER MAY Down payment $_�3D�o�
_ .USE THIS CONTRACT AS.THAT NOTICE BY W&}JJNG"I HEREBY£AN���,"- .-
AT THE BOTTOM AND ADDING BUYER'S NAME AND ADDRESS.THE Balance payable on �
NOTICE MUST BE DELIVEREDTOTHE SELLER ATTHE ADDRESS SHOWN �nstallation/Delivery $��'`�Jo2� �
ABOVE.
❑ Bank Fnancing p Czsh on Completion
All material is guaranteed to be as specfied.All worlc is to be completed in a workmanlike manner according to standards and practices.This
contrad is valid only with proper signatures.NewSouth shall not be heid responsible for time and material delays,rtrikes,acts of God or any
other matters beyond iu control.Owner agrees that the equity in this properry is securiry for this contract.Since this contract calls for made to
order goods,it is not subject to cancellation except as stated above.Start installation approwmatel -� q
promisescancausemisunderstandings,thereforethiscontractconstitutestheentireunderstandingofthe�part'ieWs,and�othe undearstand�I
collaterel,verbal or otherwise,shall be binding,unless signed by both parties. NewSouth to remove and haul away all job related debris All
sales and dixounts allotted.All charges included above.Thank you for your order.
O r �
x c
x �
Buyer's Signature NewSouth
ta'/e /
x X � t.�
euyer's Signature NewSouth Manufacturing Authorized Officer ,
i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
2014026394
Rcpt:1583201 Rec: 10.00
DS: 0.00 IT: 0.00
PermitNumber 02/20/14 S. Shultz, Dpty Clerk
ParcellD Number 34-25-2t-0170-00000-2780
NOTICE OF COMMENCEMENT
State of Florida
County of P�S'Cd
THE UNDERSIGNED nereby gives notice that improvements will be made to certain real prope�ty, and in accordance with Section 713.13 of the
Florida Statutes,#he following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(legal descripti0n): GRAND HORIZONS-PHASE THREE PB 53 PG 120 LOT 278 OR 6457 PG 97&
a)Street�job)Address: 37519 GILL RVE ZEPHYRHILLS FL 33541-7795
2.General description of imprOvements: WINDOW OR DOOR REPLACEMENT
3.Owner Information or Lessee irlformation if the Lessee conVacted for the improvement:
a)Name and address: DUKES FAMILY REVOCABLE TRUST 37519 GILL AVE ZEPHYRHILLS FL 33541-7795
b)Name and address of fee simple titleholder(if different than Owner listed above)
c)Interest in property: OWNERS
4.Contractor Information
a)Name and address: NEWSOUTH WINDOW SOLUTIONS 4901 OAK FAIR BLVD TAMPA FL 33610
b)Telephone No.: a7s-s26-s000 Fax No.:(optional) 813-626-6001
S.Surety(if applicable,a copy of the payment bond is attached)
a)Name and address:
b)Telephone No.:
c)AmountofBond: $ PRULR S.0'NEIL,Ph.D.P�SC� CLERK & COMPTROLLER _
6.Lender 020R BK ����"j lP�o 2�2� '
a)Name and address �
b)Telephone No.:
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.:(optional)
8.a,ln addition to himself or herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b}Phone Number of Person or entity designated by Owner:
9.Expiration 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 1 ear from the date of recordin unless a different date is s ecified : ,20
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSfDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,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
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my
knowledge,and belief. �
c
x __��e, �> ��
(Signah� Owner or Les ee,or Owners or Lessee's(Aufhorized OfficedDirectodPaMer/Manager) Print Name a d Provi�e Signatory's Title10ffice)
The foregoin instrument�ac n/o ged be e me t`his 57— day of r ,2p
bY ����� 171���T/_ � / � (rype of autho' , .g.officer,trustee,attomey in fact)
for ,as
(Name of Person) (type of autho�ity,...e.g.officer,trusfee,attomey in fact)
for (name of party on behalf of whom instrument was executed).
Personally Known � Produced ID
Type of Ip D.�£}— — — —(�Notary Signature ���'A..Q"1 �k ���—
Print name
;':`�p�P`�4�:_ REBECCA ANN ROSE
.o..... ,-•,
;_,i. ; MY COMMISSION#FF071135
^��oF n�� EXPIRES November 18,2017
(,,,r�^��,'�^9,0153 FloridallotaryService.com
Testing Evaluation Laboratorics, Inc.
2002 t�lood Court Suitc I—P(�ant City,�L 33563
I'hor7e: 813-754-9887
�a�r�. i�o�.�-o�
(ASTM E330-!)Z,A5T1Vi i',2�33-f)�1 c^�i A..��TN[ L"=�47-(�(})
T�;S'T 1�GPORT SUMMAI2�'
T'�st l�e�ort Issued To:
NEW SOUTH WINDOW
4901 �AK rAIR BLVD.
T'AMYA,FL 33610
1Vlodel 40QDH -5�.0" x 75.0" Double Hung Windvw
Title of Test R�sutts
2.2.3.1 ASTM E330-02 Exterior Pressure +��.p ��'
2.2.3.2 ASTM E334-42 Interior Pr�ssiii•e _ ��,.� �{`
2.2.� ASTM E2$3-44 Air InfiltrRtian 0.�09 scfm/ft"2
2.2.� ASTM E547-00 Wat�r R�sistanc e _ U.00 psi'ae�/scree►� _.�p
� Q.�Q sf ���la �creen
Ref�r�rtce sl�otalct �c m�cl� to ncpart IV�. TEL t?2t)20439 fur�orriplc;t� test sp�;ci�txen cicsc�•i�tion ancl
d�t�.
For Testir�g Cv�luatian Labot•at�ries, Inc.
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� � -�.��.����a `��F. � 'r`e ��%�,, .�.
'Vivian I�, 't�right,
I'resiclent
PF'4��)'1�EL f't}?t)Zt)-1�9 P„gc I of"I
Testin� Evaluat�on LabQr�toi�ies, Inc.
20Q?Wood Couit Suite 1 —Fl�int GJtY, FL 33563
Plio�ie: 81'3-754-98&7
AAMA 1701,1-02
(ASTM E330-Q2, AS"TM E2$3-0� & ASTM [�:��?-Op)
Test Report Issued Ta:
NE�'V SUUTH�INDOW
4901 OAK FAIR I�LVll. '
TANf PA, F:[� 3:�61 Q
IAS Laboratar3=Certi�ication Na.s TL-299 Repc►rt Nc�; TEL(i2020439
Test Date: N�►veml��r 17,Zf�11
Re�ort T.)ate: llecember 8,2011
Project Sumn�ary:
Testing Evaluation Laboratories,Inc.(TEL)was contracted by Ne�rv South Windo��v t:o �erforna tests on a
S�I.Q"x 75.Oy'Mocie!4pOD�f PVC iloubl�e Hi�ng Window at TEL's Planf City,I+L tes#facility. Tlae sam�le
tested,successfally�net the�erf�rm�nc� requirements far At�MA 1741,2-02.Test s�ecimQn deseripti�n ancl
results are�-e�arteci herein.
T�t Specin�en Description:
�eries!Model: Model�t00DH PVC Dauble Hi�ng Windoiv
'rYpe: T3ouble L3ung Winc[o�v
Overall Size: 54.4"�vide x 75,0"high l�L��.�w t'�:;;.�,I I ;.I ,i. , ,-_. T
��1.�i L� svll:�� +�,L
PR�V�'�I► I�wC�( ��i1��;� , � ���lLdJ�f�Ul�l_?I�O�G
I)aylight t3pening: �#6.89"�vide x 33,38"higiy-Tog�3., � �'�['i,?��C;I.F I ' ( i;�IE'CO��.��'�;D
4$.27"�vide x 34.(�3" high-13ott!�1��+ ,+�,�q�{,+ ,.!- �I7`�,T7'_r` 7 y�
e.:il�lrt '_:l:,;IiIt11.lA�,.I..��,+ti1�Et��Vl��Ce.�s
Gikiz�ng. 7f8"Insa�lated Glass
I+rt�me Consti•c�ctian: P�VC FZEVIEW DAT� FEg Z 6`
��TY�F����%��?�t4
S�sla Con�truction: j"VC �
��� ������� �
Itei��foa•ceme��t; 1�Jan� - -�-
inst�lla��ic�i�: �pe�ci���eli tivas install��l int�a�doubi���ood ��esk l�uel�(Souitherat Y�tt���r I'iar�)
�or Tested �Ie�ation,Vertecal Crass Secti���s, Ii�riz�ixtal Cross Sectio��,;,Ca�np�n�i�ts,
F'ram� r�ncliori����t��cl IiiiI of M�teria[s S�ee i�#t�tclyed Dr.x�ving#�L-�28�.
['F�29 TEL#02Q2fi439 Page 1 af 3
2.2 'I'es�t r-ec�t�iren�ents
72.0"x 65.0"PVC Horizontal Slidin�'t�indcfiv
2.2.3 Structural Perfoa•mance Test
2.2.3.i Cxteo•io�•!'o•essu�-e {ASTM E330-02)
I�'.ange Time(seconds) Lo�d {psfj
Half Proof'Pasikive 10 12.5
Proof Positive �p �S,p
2.2.3.2 Iuiei•ior Pressure (AS'1'M E334-02}
Range Time(secor�cis) Load {psf�
I
Half proQf Ne�at�ve 10 6.25 �
Proof Negative 10 i 2.5
�,�.4 Air In�ltration Tes# (AST'M E283-04)
Pressure SCFM/Ft"2 Res��1t
1.57 PSI' 0.0�$ Pass
2.�.5 W�ter Itesista�lce Te�t (ASTM ES�T-tlO)
Pressure Ti�ne Result
O.UO PSF (4} - 5 Mi��. Cycie Pass (witfi screen}
0.00 PSI� (4) -5 Mi�i. Cycle Pass {without scree�a)
Nc�te:f1t�/re conrpletinrt r�f rrtl t�crcts Erferior crnr!Irllerior t/rere were frr�corrrlitir�as tlir�t rendererl t/rc>
s�ecira:�,�r«rt�perrabJe.
F�'429 THL�F(3�02Q439 Page Z�i'3
Acidition�l Docwnents
TE�is report is not con�plete unless accompanie�l by the follo�v'rng docnments benring[lie Testin; E3r«�luation
:Lt�borfltories,Inc.skamp an+� signed by appropriafe personncl:
1.D�•a�ving. #L-4285,titlect N�«�South V�Jintlows,Doubte Hunb tV4�indo!�v, Slieets 1 tlu•a�u�h 7 oi'7.
2.Die Dr�wing#'S 441F,�42F,443F,4758,�$SB,493ii,4948,�#20B�incl�i�6t3.
Conditians,Te�•�ns,and Genera! I`�iotes Regarding These Tcsts
Tl�e ��•acluct tested Has Been con�pared to the detailed d�-a�ving, bill o�"r��aterials a»d fab��ication i�yCor��i�ti�rt�
snp�liecl by tl�+e client so named herein,+Dur analysis,�vhich includes ciimensiar��t!��nci c�or������iie��t descri��tian
cvn��arisons,inclieate#lie#ested prod�ct and engineei•ing inform�tion supplied I�y tlie+�[ie��t"Ar��quivalent".
Th� re�rort and re;�resent�iive s�n�a�Cc9���ill b�retaii�ec! fo�-fUur years froia� ttae tl�ate of i«itia[ #est.
These test results�ar�ere obtainecl by employittg all require►nents af the design�ited fest n��e.tl�acls��=itl� no
Devia�i�iQns unless ex�ticit�ly uoted ii� tes#re�ort. Tha test results and specimen aupplied for teqE�in��re in
compiiance with Y6e reference,
Tl�e test results are speci�c to the product testecl by this laboe•a[ory ancl of tfj�s�mple su�pEiecl b�tl�e client
nanied herein,and they relate ta no ather p��odact eithe��manu#'�ctw•ecl ��y thr�client,a fah�•ic�tor of tt�e client
or of instaUev fieid Perfor►nance.
Thls test report does nat canstitute certification of this product,�ut only that the above test results�vere
obtai�ed using the designa#ed test methacts and they in�licafe coitipliance with tlie perfc�rmance recgui�-r�rnent�
(�Saragraphs�s listed}of the above referencecl specifications.
Testing Evaluation Labora#ories,Iaic.makes no opinions or enclorsements reg�rtling fhis proctuct a�y�I its
perform���ce.This report may no#be reproduced ar quoted 'ui partial farn�`vithout the expresse�I rvritten
a�praval af Testing Evaluatian Labc�ratories,Inc.
Testing�vahiation Laborataries,Inc.'s lette�•,re�orts,its n�tn�e or i��sig�iia or rnarlc��re !'or t[ye escl�asive crse of
tl�e c[ient so named hee•ein �and any otiyei'17$�!$S�1'ICtI}']�1'4I1lL?ItC�tI.Tha repaa•t,lette�'S�Y1fI �IIQ Ci�lit�pf T�SfiCt�
Evaluation Laboratories,Tnc>,its seal ot�marlt shaEl nc�t be used in�ny circi�«ist<infi�to the geoek�<it �sublic rar
iii any acivertising.
Limitation of liabili[y: Due cliligence tivas useKl in pe�-formin;the tests aa�cl �•e#�orfing tl�e �-esulCs. I3y �tcce�tr►t�ee
of this re�or�,#I�is client agrees ta ltalci h�rr�rless arati i��d�rn��ify�T�stit�� I;valuatio� .Lxl�ar�Ytor•i��, [nc.,it�
e�nplt�y+�es aricl officer-s an�l�rwners�gainst all claims�ncl d�e��iAr�tls of any kincl �vhltsoever,�vlaicl��trise o�et c�F
�ar in any Enanner cc�nnecteci�vith the p�rforma��ce of�vork referre�l to her�in.
Testia�g C�%aluation L�boratories, Ir�+e.
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Vivis�n K.Wri�ht,
Presiclen t
PF 429 `t'FL#U2f�?043�1 Page 3 crt 3
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