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Home My WebLink About14-15777 / / CITY OF ZE HYRHILLS 5335�'8T STREET n �813�78 "0�2� 15 77 BUILDIN PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15777 Address: 38018 LAWANDA LOOP 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: WAYWARD WIND Est. Value: Parcel Number: 14-26-21-0160-00000-0230 Improv. Cost: 6,960.00 OWNER INFORMATION Date Issued: 11/17/2014 Name: SIRES SANDRA K& CESAR A Total Fees: 105.00 Address: 38018 LAWANDA LOOP Amount Paid: 105.00 ZEPHYRHILLS FL 33542-5633 Date Paid: 11/17/2014 Phone: 813-277-8968 Work Desc: REROOF METAL CONTRACTOR S APPLICATION FEES COMFORT COVER S TE S NC RER OF RESIDENTIA 105.00 � � � �� 2 - LO - � y �� Ins ection Re uired DRY IN ROOF NSP TAPE JOINTS ROOF INSP FINAL REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection � trips are necessary due to any one of the following re sons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corrections no made when inspections called d)work not ready for inspection when called e) permit not posted on jo site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this properly that may be found in the public records of this county, and ther may be additional permits required from other governmental entities such as water manageme t, state agencies or federal agencies. "Warning to owner: Your failure to record a notice f commencement may result in your paying twice for improvements to your property. If you intend to ob in financing,consult with your lender or an attorney before recording your otice of commencement." Complete Plans,Specifications Must Accompany Appl cation.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 ITHOUT APPROVED INSPECTION CALL FOR INSPECTION - HOUR NOTICE REQUIRED PROTECT CAR FROM WEATHER s��-�eo-oo2o City of Zephyrhilis Permit Application Fax-813-780-0021 Building partment Date Received �1 � (`� phone Contact r Permittin 7�7 SI J _ '�� q Ownet's Name Ce 5n`�' �c��5 Owner Phone Number �I3—�-7?—Fsq G � Owner's Addr�ss �$a 1$ �wo�r� �-csv Owner Phone Number Fee SimpFe Titleholder Name ��A Owner Phone Number Fee Simple Titlehotder Address JOB ADDRESS a�O S� L.a.w c�� L cs c1 �LOT#__ _ �-3, __ -_ -- _/, ._ _ SUBDIVISION W��-}ti c5 {�V� H � - —PAR EL ID# � I'`E-a(�-a 1- Q l��O aa c1 d - 4 a-�8 (OBTAINED FROM PROPER7Y TAX NOTtCE) WORK PROPOSED e NEW CONSTR e ADD LT Q SIGN Q MOVE �] DEMOLISH INSTALL RFa? IR PROPOSED USE Q SFR Q COM Q OTHER TYPE OF CONSTRUCTION Q BLOCK [� F E Q STEEL Q OTHER �� ` � p r DESCRIPTION OF WORK �c o�rc c {�a b��1e YL o�� Y �O r�c/�c. K6 pv+�. l�J� V c�n (c � �(l�e vv�brc.� BUILDING SIZE SQ FOOTAGE ti 5 Q� HEIGHT �� Q BUILDING $ ��0 ��O� VALUATI N OF TOTAL CONSTRUCTION Q ELECTRICAL $ AMP SER ICE Q PROGRESS ENERGY Q W.R.E.C. Q PLUMBING $ Q MECHANICAL $ VALUATI N OF MECHANICAL INSTALLATION � ,51�� [� GAS Q ROOFING [� SPE IALTY Q OTHER FINISHED FLOOR ELEVATIONS FLO D ZONE AREA �YES QNO BUIIDER �� OMPANY �°`�a�� `ret �c�5.�5, S�^c . SIGNATURE EGISTERED Y/ N FEE CURRENT Y/N Address Z�� `^�e� �� C<<�r�.r� � 3��J License# CC�05'1 a 1 � ELECTWCIAN OMPANY SIGNA7URE , e�ISreReo Y/ N FEE CURRENT Y/N Address License# PLUMBER � OMPANY SIGNATURE EGISTERED Y! N FEE CURRENT Y/N Address License# MECHANICAL OMPANY SIGNATURE EGISTERED Y/ N FEE CURRENT Y/N Address License# � OTHER OMPANY SIGNATURE OISTERED Y/ N FEE CURRENT Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-0-W Permit for new construction, Minimum ten(10)working days after submittal date. Fte uired onsite,Construdion Plans,Stortnwater Plans w/Sift Fence installed, Sanitary Faalities&1 dumpster,Site Woric Permit for su divisions/large projects COH7�ERCIAL Atiach(3)complete sets of Building Plans plus a Life Saf ty Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)worlcing days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/SiR Fence installed, Sanitary Faalities&1 dump5ter.Site Work Permit for all ew projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of�ngineered Plans. """PROPER7Y SURVEY required for all NEW consUu on. Directions: Fill out application completely. Ovmer 8 Contractor sign badc of application,notarized If over;250Q,a Noti,ce,of:Commericemerrt is required. (A/C upgra over�5000) *` P�qent(for tFie:coirtradorj`orRower of Attomey(for the owner)would be s meone with notarized fetter irom owner authorizing same : ,. ,...- OVER TH�COUN7'ER PERMI77'ING � (Fronf of Application Only) Reroofs �Sewers --•�Service:Upgrades,,. . PJC Fen s(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs R01N � - ��.:r 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 undecsigned assumes responsibility for campiiance with any applicable deed restrictians. � UNLICENSED CONTRACTORS AND CONTRACTOR RESPQNSlBlUTiES: !f the awner h�s hired a cantractar or cantractors to undertake work, they may be required to be licensed in accordance with state and lQCa! regalations. If the ' contractor is not licensed as required by taw, both the owner and contractor may be cited for a misdemeanor violation � under state law. If tl�e owner or intanded contractor are uncertain as to what licensing requirements may apply far the intertded work, they are advised ts�contact the Pasa>County 8tritding Mspectian Division--t.icensing Section a#727-847- 8009. �urthetmore, if the owner has hired a contrac#or ar contraGtors, he is advised to have the contractor{s) sign '� partians of the "contractor Biock° of this application for which.tiv�y wi(I be responsible: If yau, as the owner sign as the contractor, that may be an indicafion that he is not properly licensed and is not entitled ta peRnitting privileges in Pasco Caunty. I TRANSP�RTATtt?N IMPACT/UTILtT1ES lMPACT kND RESOURCE RECOVERY FEES: The undersigned under'�tands , that Transportation lmpact Fees and Recourse Recovery Feas may appfy ta the const►�uction af new buildings,change af , use in existing buildings, o�e�ansion of existing� buitdings, as specified in Pasco County Ordinance number 89-0? ar�d SO-07, as amended. The undersigned atso undeirstands, that such fees, as may be due, will be identified at the time of pemtifting. !t is further understaod that Transporta6an tmpact Fees and Resource Recovery Fees must be paid prior to ceceiving a"certifiqte of vcct�pancyr°or final power refeas�. tf#he project does naf inuoive a certificate of occupancy or fina! power release, the fees must be paid priar to permit iss�ance. Furthermo�, if Pasco Coctnty WateriSewer irrtpac# fees are due,they must be paid prior to permit issuanGe in accordanc:e with applicable Pasco Gounty ord�nances. CtJNSTRUCTION L1EN LAW(Chapter?13, Florida Statutes,as amended): If valuation of work is$2,500.00 or more, ! certiiy that I, the apptican#, have been provided with a copy of the "Florida Const�uction Lien Law--Homeowner's Protection Guid�°prepared by the Flarida Department of Agricuiture and Cansumer Affiairs. if the applicant is someone other than the"owner", I certify that I have obtained a copy af the above described document and promise in gaod f�ith#a deliver it to the"owner"prior to commencement. � CCINTRACTOR'S/OWNER'S AFFIDAVIT: I certify that ail the information in this application is a+ccurafe and that all work will be done in compiiance with all appiicable laws reguiating construction, zoning and land development. Application is hereby made to obtain a pemnit to da work and insfatlation as indicafed. I certifyr that no work ar instaifation has commenced prior to issuance o#a permit and that atl work will be perfomzed to meet s#ar�dards o#a!! laws regutating construction, County and City codes, zoning regulations, �nd land develQpment regula#ions in the jurisdidion. ! also certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that lt is my responsibitity to identify what actions t must take ta be in ca�ripiiance. Such agencies inciude but are not limited#ca: - Department o# Environmentai Pro#ection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive � Lands,WaterlWastewatet Treatment - Southwest Florida Water Managemsn# Qistrict-We!!s, Cypcess Bayheads, WetEand Areas, Altering Watercours�s. - Army Corps of Engineers-Seawaiis, Docks, Navigable Waterways. - Department of Health & Rehabiii#ative Services/Environmental Heafth Unit Wel1s, Wastewater Treatment, Septic Tanks. - US Enviconmenta!Protection Agency Asbestos abatemen� - Federal Aviation Authority-Runways. I understand that the fotlowing restrictions apply to the use of fill: . - Use of fiifi is nat atldwed in Fiood Zone"V"uniess e�cpressly permittecJ. - - If #he fi1! materiai is ta be used in Flaod Zone "A°, it is understood that a drainage plan addressing a °compensating valume" wi!! be submitted at tit�►e of permitting which is prepared by a professiona!engineer licensed by the State af Florida. � ` - if the fill material is to be used in Flaod Zone "A" in cannection with a permitted buitding using stem wall construction, I certify that fiit witl be used anty to fiit the ar�a within#he stem watt. - If f�H material is to be used in any area, 1 certify #hat use of such fii! wi11 not adversety �ffect adjacent prope�ties. If use o##ill is found tc adversely affect adjacent praperties, tl�e awner may be a#ed#ar viotating the conditions of ths fauilding permit issued under the attached permit-application, €or fots less than one {1} acre which are elevated by fill,an engineered drainage plan is required. If i am the AGENT FOR THE OWNER, t promise in good faith to inform the owner of the pertnitting c�onditions set forth in this affrdavit prior ta commencing canstruction. i understand that a separate permit may be required fi�r eiectricai work, plumbing, signs, wells, poots, air conditioning, gas, or other installations no# specifically included "rn the applica�on. A permit�ssued sha11 be construed to be a license to proceed witt�the work and nat as autharity ta violate, cancel, alter, or set aside any grovisions af the technical cod�s, nor shall issuance of a permit prevent the�uildfig Officia!frorrt there�fter requiring�correction of errprs in ptans, construction or violations af any codes. Every permit issued shall become invafrd un#ess the work autFrprized by such permit is commenced within six months of permit issuance, or if waric authorized by fhe permit is suspended or abandaned for a periad of six{f:}months af#er the time the work is commenced. An e�ctensian may be requested, in writing, frorr► the Building Officia!for a period �at to exceed nin$ty {90} days and will demonstrate justifiable cause for the extension If work ceases for ninety(90)consecutive days,the job is cansidered abandoned. WARNiNG TO OWNER: YOUR FAtLURE TU RECORD A NOTiCE OF COMMENCEMENT MAY R�SUlT iN Y4UR PAYING TWlCE FOR EMPRt�YEMENTS TO Y4UR PROP�R'CY. tF YOU INTEND T8 C>BTAiN FINANCiNG,CONSUi�T WITH YClUR tENDER OR AN ATTORNEY BEFORE RECORDING Y�QUR NOTtCE QF GOMIVtEh1C�MENT. FLORIDA JURAT(F.S.117.03) OWNE#t OR A�ENT CON1'RACTOFt � Subscxibed and swom to(or affirtned�before ine this Subs and swom ta r rmed) r�me fhis �,� - f i , t bY�,. ��e�4'� T!,.,�i�-� Who.lslare gersonatfy known to rxte ar hasAieve produced Wh 1s! re p�rsonatly Ic►�own io me or hasfiave produs�d a5 identifiption. - as identification. Natary Pubtic Natary Pubtic Commission No. Gommission No. f''�"`� Public State o ' a :° 4; Anne �7 Q �iissbn Name of Notary typed,printed or stamped Name of Notary typed,printed or s a ,� 1104f2A09 ��r� Notary Public State of Fiorida � Anne Meade � My Commission FF OBd118 �af�°�� Expires 14/0412017 ._o � -. �� , �° � .`�`�~ ' f City of Z phyrhills BUILDING PLAN R VIEW COMMENTS Contractor/Homeowner: or�r-b RT OV� TF tlyl$ � �N G. Date Received: (� '� � — / Y site: 380 l $ IqW�N�I� L.00P Permit Type: M�TA�— R ��Ot' Approved w/no comments: Approved w/the below omments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or lans. � Kalvin Sw z —Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) . . i i�iiii ii�ii iii�i iii�i�iiai ii6ii iiiii ii�ii ii�ii iii�i iiii ii�i � 2014177158 Permit Number: � Folio/Parcel Identif'�cation Number: i�-��-�,- 41�d-.�oca0•-01• ° - - - — ------- - Rcpt:1640575 Rec: 10.00 Prepared by: �.�«< C�`t�c�� DS: 0.00 YT: 0.00 Retum.to: �o,,,��d.��C`o„-ec- Sy,s��`� 11/07/14 K. McCutcheon, Dpty Clerk Z�� 1 U C v�es S'�' -- ��0.��c ��j-7� PRULA S 0'NEIL,Ph D.PRSCO CLERK & COMPTROLLER 1 11/07/14 08:47am 1 of 1 . N��TICE OF COfVIME CEMENT OR BK �� PG Z��1� 5tate of�Florida, County of ��sc� _ _____ __ The undersigned hereby gives notice that improvement will be ade to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is p ovided in this Notice of Commencement. 1. Description of property (legal description of the property, a d street address if available) o (�-� a3 rs r'Y1 P �. �.�l�S 335�{a. 2. General description of improvement Reroof 3. Owner information or Lessee information if the Lessee c ntracted for the improvement Name e.G «<s Address ��ai C_ � � t� [� , s a Interest in Property aw� Name and address of fee simple titleholder('rf different fr m Owner listed above) � Name -43,�A Address 4. Contractor Name Rebecca J, Ma s/Comfort Cover stems, Inc. Telephone Number 727-298-0955 Address 711 Tumer St Ctearwater, FL 33756 5. Surety(if applicable, a copy of the payment bond is attached " Name N/A Telephone Number � . Address Amount of Bond � 6. Lender Name WA Telephone�Number Address � 7. Persons within the State of Florida designated by�Owne upon whom notices o�other documents�,may �be served as provided by§713.13(1)(a)7, Florida Statut . Name RUA - Telephone Number - Address ' 8. In addition to himself or hersetf, Owner designates the f Ilbwing to receive a copy of the LienoPs Notice as provided in§713.13(1)(b), Fiorida Statutes. •. Name N/A Telephone Number Address . 9. Expiration date of notice of commertcement(the expirati n date may not be before the completion of construction and final payment to the contra or, ut will be year from the date of recording unless a difFerent date is spec�ed) l i 't r 5 ViIARNIFfG TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER E EXPIRATION OF:.THE P10110E OF CQtIAMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I SECTION 713.13,FLORlDA STATUTES,AND CAN RESULT IN YOUR PAYING TVHICE FOR INJPROVEMEN7'S TO YOUR PROP RT1'.A N0710E OF COMMENCEMENT MUST BE RECORDED AND POSTED Ofd THE JOB SITE BEFORE 11iE FIRST INSPEC ON.IF YOU INlEND TO OBTAlN FlNANqNG,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK R RECORDING YOUR NOTICE OF CQMMENCEMENT. � Under penalty of perjury, I declare that I have read the for ing notice of commencement and tha4 the . facts stated in it are.true to the best af my knowledge and b lief. _ � ,. 5ignature of Qwner or Lessee,or Ovvner's or Lessee's Authorfzed Officer/Direc;t rlPartner/Manager Signatorys Trt1�10�ioe : The foregoing instrument was acknowledged before me this��. day of �o � by �SFI,r2 �R��i�b o 5,2-�5 month/year name of person as for � � � Type of autho' e. .,of�Cer,trustee,attomey in fact ame of party on behalf of whom instrument vras executed . " �Sigr�ature Notary Public=State of Florida rint,type,��eamp commissioned name of Notary Public 20:.-.,�% CA71il CHAMBERWN Personally Known O/R Produced ID�, # � * MV COMMISSION�EE 218831 Type of ID Produced t/� �� r9�OFF��\oP B ndedThruBu getNotarySem'ces �.,...,oe,�o�• co,.fo,,,►,e.�� n�� T�J�p�� ST11Ti��0�' FLOF�IRA,G�UNTY OF PA�CO � �'° • ��.�� TFdl�a i�TQ CEaT1FY TH/�T TH�FOREGQING IS A • ';��;''�;a r,� ,� T�U�ANp GO�tRECT GQPV QF rhlE pOGUMENT � • r�� ..�.r:� ON FILE Qi�OF PUE3LIC f�EGORp IN THIS qFFICE �'l o��'��- "° WITNES5 M`(hiANl�AUD OFFICIA SEAL THIS � >�;.� 4�F��r3° 4 H�� 2 �`l W" i� ��~.'1� �`r f��I �D�Y OF � / x�'• , � � . PAULA , O'NEfL, L C MPTROLLER �,��01�.;9 ('A:��;` ;.�`�RY 1+ • � (�pg,,��"�.,_,,A��`°-''S�. r'� gY _DEPUTY CLERK �. .�" �,�:�... `,,,�C r�`��a t��__,'.n: ,.+°� lorida 13uilding Code Online Page I of 2 .r - - g, -�-,�-=-. �:_�-�--,�:�.; �_•..x1:,��'-^'��:�`--�`;�e��. ;.;;.�=-_ • �" " c.- a a�. .w.�.�..»��-��t�«�s�ay��'a.,o�--�r''�� i sx"� }.�:�ti"' m�«sPa�' �. � � � �� ( y P 'e ,�.`r a��"' +tr�-��c..x,�� e`r�,G c�af� �s ��° i `"''.t. t�rt� � � '�' ' ro�y �,"�� ,�*"�� } R E�Y. :.{_ �� .., 1�,�.�..� ";�;y�,�,'' i��'"� .� r y� � �""� L� � � �y'� y, �.e �• e ' �'� r u'S j-.�"�ry,..��y:�° � 't'9 p ry,:�;� t �( "r:,� r�?'y�� {+�f�a} d y��=�'^7''�.�'"'L �, �Y3„ '�w ��¢ � ,.E" "5;��.,_�)(A [� �`.t�1 p�Fy��},.L�.�N��'�-$§e fi��j��"� j y`a�� Y�'("'��-Y�' � S�' *fi{�� :..$^'�'Y'��...,,�a�+_"�� ' , ~ cy.r' F..-x'f.�-.:.s.�'L.x a....':.�.TS+,�..a� °� "" X`'��_y��:.Yd'��,�....��`a�?.e:��'�_-..�.:".�z� `�..�•:;� �'%�. .'1 �i-•�°° � r ;l^..E« a: ��{�t��t,� BCIS Nome l.og In tSser Registration Hot Tapics Subrriit 5urc arge Stats&Facts Pub(icetions FBC Staff BCIS Site Map Links Seaech 3usines�v(�� -- � ��d��s��j,'�al ;;�; �A�Product Approval ll E� � USER:Public User ?2C��I�u�lQi� �� Product Aooroval Menu> Product or Aaol�catian Search >A licatio Lis[>Applir.ation D tail .�^ +rn ..x.,._:'"'�`',*�??;�', �s�"�..��:� Application Type E torial Change t,_. Code version - Z 10 a€��%�r�:��a��t.� �a��.��rr� Applicatian Status ppraved �j,g, q��v3,��,�BUI�,�I�Ga Camments �LE�.s`?',Tt:,°,�.L,�'LtJ1biBT�Nt'.r,4:3� � � Archived A��,CI�A,1`P'�,�.�.C+�J�S. Product Manufacturer Raof stems Address/PhoneJEmail 8 had Dr ugene, OR 47408 �� >]�J { OQ) 425-1626 _., � � f rian.htartineau@ibroof com C�TY OF:��pNYRHPLLS . PLf�f�S EX��1h�E�� Authorized Signature rian Martineau " -� rian,Martineau@ibroof.com Technical Representative rian Martineau Address/PhoneJEmail 877 Chad Drive ugene, OR 97408 804} 426-162b rian.Martineau@ibroof.com Quality Assurance Representative Address/Phone/Emai! Category oofing Subcategory ingle Piy Roof Systems Campliance Method va�uation Report from a Florida Registered Architect or a Licensed lorida Professional Engineer Evaluation Report- Nardeapy Received Florida Engineer or Architect Name who Robert Nieminen developed the Evaluation Report Florida License PE-59166 Quality Assurance Entity Intertek Testing Services NA Inc. - ETL/Warnock Hersey Qua{ity Assurance Contract Expiration Date I1J07J2413 Validated By John W Knezevich, PE Validation Checklist - Hardcopy Received Certificate of independence FL2534 R6 COI Trinitv ERD CI - Nieminen - 2013.pdf tt»�llcznxnx,fl�,.-;�-l.�h,t;i�;+,rr �„-rtt+,.�i,.,- ,,.-..� a+i .,n....�,-......,.,-.—., �ZT'V'n,,.«n,..,�....r___nrvn..TTr-rntiTr____r�r.TTO n�s nr�ni� �lorida Building Code Online Page 2 0�� Referenced Standard and Year(of Standard) Standard Year ASTM D4434 2006 �, FM 4470 1992 FM 4474 ZOQ4 Equivaience of Praduct 5tandards Certified By � Sections from the Code Product Approval Method Method 1 Qptian D Date Submitted Q4/12J2013 Date Vaiidated 04/17/Z013 Date Pending FBC Approval 04/28/2013 Date Approved 06/11/2013 r_�_�_.._._____..__.._------,._.___�------_____�--------_—� _�—_---------- ; �Summary of Products M �!� j ` FL# Modei, Number or Name Description ', 2534.1 —^�IB Single Piy Roof Systems Reinforced, po(yvinyl chloride single ply roaf systems ;Limits of Use Instaflation Instructions j i Approved for use in HVHZ: No FL2534 R5 II A1 erQ41213FINAL IS ROO� FL2534- � �i � Approved for use outside HYHZ: Yes R6.pdf ; Empact Resistant: N/A Verified By: Robert Nieminen PE-46166 1 ; Design Pressure: +N(A(-512.5 Created by Independent Third Party: Yes j j Other: Refer to ER Section 5 for Limits of Use. The Evaluation Reports � � design pressure noted herein relates to one specific F�Z534 R6 AE er0412i3FINAL IB ROOF F�2534- � � assembly. Refer to the ER Appendix for aH assembiies and R6.qdf E � max. design pressures ___ _ � Created by Independent Third Party; Yes _� �� I Batk � Next Contact Us . 1940 North Monroe Skreet Tallahassee FL 32399 Phone.850-4&7-1824 The State of Fiorida is an AA{EEO empfoyer Coovriqht 2007-2010 State of Flarida. . Privacv Statement �Accessibilitv Statement Refund Statament Under Florida Iaw,email addresses are public records.If you do not want your e-mail address released in response to a pubiic-records request,do not send eiectronic maii to this entity Instead,contact the affice by phone or by iraditiona!mail.If you have any questions,piease contact 850.487 1395. "Pursuant to Sedion 455.275{l�,Florida Statutes,effective Qctaber 1,2412,licensees ticensed under Chapter 455,F.S.must provide the Pepartment with an email address if khey have one.The emails provided may be used for officiai communication with the iicensee.However emait addresses are pubiic record.If you do not wish to supply a persor�a!address,piease provide the Department with an emaii address which can be made availabie to the public.To determine if you are a licensee under Chapter 455,F.S.,please click here Product ApprovatAccepts: �'.: � n:r�c_r. � �ccurit�•. :;�, �'� �...ii.....,... �.._.a,.t..;ia:...� .._�i_..i__ ,.__ a.� ..,._..n_........,,—...nctrvn...+r�.,.....,.T...nr.vn..rYr,-rn�z�c._.....nczTO n�Tnl�nj': Contr ct �� FL Lic. CCC057091 (�2�2sa-osss � (800)226-0955 711 Tumer St FaX:(727)298-01 COMFORT COVE Sy5TEM5 c�e�wate�,FL 33756 PROUDLY ROOFING INCE 1985 �s�-Q � �� A- c��e. PROPOSAL SUBMITTED TO ��'ES HONE$ 3-Z 'j, CONTRACT DATE /O —3/-j STREET � "Ql•r Q- • ` •. MHP NAME ��T��S �'il-f P CITY,STATE,ZIP G�P �. �� L MHP ADDRESS ` i,.�}c a REPRESENTATIVE: �� c� APPROX.JOB START DATE �� I 7 /`f- We hereby submit the following specffications and estlmatea: Year: Make: � � Model: 1. INSTALL COMFORT COVER SYSTEMS ATENTED ROOFING SYSTEM FOR THE FOLLOWING AREA: Mf}i,S �aS�`I , 2. SYSTEM TO BE INSTALLED: �`WHITE GREY �B IGE 3. INCLUDE DOUBLE—FOIL-FACED INSU TION AS INDICATED: !�f 2"nom. 3/4"nom. NONE 4. INCLUDE NEW VENTS, EXCLUDING F RNACE VENT; (ELIMINATE DEAD AIR SPACE VENTS) 5. INCLUDE ALL REQUIRED PERMITS. 6. CLEAN UP AND REMOVE ALL JOB-RE TED DEBRIS FROM JOBSITE. 7. #�KYLITES TO BE INSTALLED NO INSIDE FINISH INCLUDED. 2N�'x3o" 8. PROVIDE CONTRACTOR'S LIFETIME . ESIDENTIAL'LIMITED LABOR WARRANTY AND MANUFACTURER'S IFETIME RESIDENTIAL LIMITED MEMBRANE WARRANTY TRANSFERA LE TO NEW OWNER FOR 15 YEARS FROM DATE OF THE ORIGINA MEMBRANE INSTALLATION. SPEC/AL INSTR{JCTIONS& EXTRA WORK( SE ADD/T10NAL PAPER/F NECESSARY) � i��!koJ�L. o� 1--tC.�� l��l�s t f��i�_.:�L�� 'y �s��,�,� e� R�R sk y�� - NOTE:RETAII SALES TAX MUSF�E CHARGED UN ESS THE CUSTOMER S/GNS THE FOLLOWlNG: I certify that I own the land on which the structure I am im roving is permanently affixed. Futhermore, I have filed a declaration with the Property Appraiser r questing the s ructure assessed as realty and it bears�y 13PS,�ecal. S Y SIGNATURE �� RP# (S)s�$`I� CASH PRICE AND PAYMENT SCHEDULE: (Reference to phase of construction means all work, materials and equip- ment necessary to complete that phase). Buyer agrees to pay Se ler the Cash Price at Seller's office in accordance with the following payment schedule: I have the authority to order the above work and do so order as outlined herein, �. Price � �p G�c . a U it is agree that the seller will retain title to any equipment or material fumished . 2. T8X $ �P until final complete payment is made. An express mechanic lien is hereby acknowle ged for security of this debt and the total amount will be paid within 3. Down Payment $ �l��6 cerms Sno . 4. 8818�1C@ $ (��7`�e -o`t� ��We)he ewith expressly agree to pay not as a penalty but as liquidated damages,25%of the prinapal amount of this contract to ComfoR ON COMPLETION OF ALL WORK �verSys ems in the event of a breach of this agreement by I(we)for any reason atever. Terms: O Cash O Credit(Subject to tF�e appro•ral of tha Credit ales Department.) ' ` Sig etu ed �%�' "�-' , NOTICE TO OWNER , All material is guaranteed to be as specified.All work to be completed in a workmanlike Do not sign this home improvement contract in manner according to standard pradices.Any alteration or deviation from ove specifica- blank,or before you read it.You are entiUed to a tions involving extra costs will be executed only upon written orders and II become an copy o(this contract at the time you sign.Keep it extra charge over end above the estimate.All agreements contingent up,o strikes, to protect your.legal rights.Buyer's right to cancel accidents Or delays beyond our control.Owner to carry fire,tomado,and ther necessary on reverse side insuranCe.Our workers ere fully covered by Workers Compensation Insur nce. AcCeptance of Cont�act—The above prices,specifi- ignature � cations and conditions are satisfactory and are hereby � accepted.You are authorized to do the work as specified. ignature Payment will be made as outline above. 'londa Building Code Online Page 1 of 2 _ .°�,rrr_ - - ":arii*�:t:�':.a-�i,t:�s:.� �+.�:'.;r�'n� `�;�f� _'�'�2�[rds �x'-.�t�.'=:;::r:�a v, ' ' _''y'_ -_..�. _ � ' %'�'r�.-,�.*_y-aw��t"'�:'9s�=;��:.._;�#."�-,,�,..:�i:;-.r��'"��{�` S- - '=".'�tiEcir'«+�`�3 i�^-;i. `'; a%�'�''',3-- 'f.�xvw"':Z`-,"��' t._1r° '�t ^'"-:�?':�":;�i�i�-i 4��""�'s&,t':?�.�,�-�.a.. s.� --- F;�; ..�-�� a - 4...,x'� _ _z:3��;:�r-a.'' �`•-f:=?�...;. "'i .,�£-S.-.,t,� -��,��y ..N_°`�. �;-... __ ..t..- f p E°b'�-: �! �.�6`� .��.A�=�,-sa�,'„°�._ '�'''�';�r:*�'��(�!:�'t�i�G'"=�°;j w%�.�_ �]a�- ' '�s .� -F� �h�..=:: �„� .` ,� �. :�_��.''-;r,i,�;„,-� tF.' -_3, " ' ��- �t"G�£'"a�`��,s;. �.:_X- ► .�-. -�" ^,�'' -�'�;^J�., _ �> �T�.��"- 3..-,;=E,��zR;.x.ars.-. � - '.-3.:..a-.�..:�;� . ,;i-�-s�h�� _ -.;.r,- .s'� '�•rt9 'i='r,� ' - .. s:. :,_�� .4 �i�z ��r.._,� e� ,.�!� �} e -sri�' =:,��! r'+6 z� #�'.. _ �'��v t''� r.r.�_a'j:.x''d�i=-' -_� a_ '��-_•�. 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'°�+`1'` +;c•i �,. _ rt��f�`. � -:i.7 }�..,A=H,s,.�_�.,'.'^.- ' v, y�� ''`-2�� - _ � ', cn"'.� _ _ - a - € �� - '4�'; .i;��'° A�;�� -'1,�.�.��1 �;;�r,7 - ,:;;�'`;<?, L .:a. .:=F:�r.,�.:�..,.,� �,.�.� r_,_��:, r..,-� 4?' t�:�i. �� -.�a� �e�--..��°� `r'�-�''•'-.- '� , t^`:, y-r� n..��s ��s��`,.�:;'��<<�-��i..:';-'1 � "" - ° -.va + _.�.�=�x. ...:kti-.�'Ifs�.�,��.._"":�u�°-:s.r -`=�Y��.>`.:9 ��-;2F;. �'i%�V :;1:;�T 11' ;r„�• "� ��n�,r��j��;��T� BQS Home Log In User Registretion Hot Topics Submit Su harge StaLS&Facts Publications FBC Staff BCIS Site Map Links Search Busines�'�� .;:=��, ��.�, �x Product A roval Professil'11'lal �`�� pP � � t;,, USER: Public User Reg�latior� ��"� Product Aooroval Menu>Product or Aoplication Search>A hcati n List>Application Detail - -'�:::�'� �q�;.,y�6 - ��°�9 FL # L2534-R6 ��''�i'�;.'¢��=�y� Application Type ditorial Change •�.�.�;�.t:,,. i Code Version - O10 Application Status pproved Comments k��I ,r, Archived CjTY OF;�� _�pN �� .� Product Manufacturer IB Roof Systems P�tiNS EX�1�,�I��N�LLS Address/Phone/Email 877 Chad Dr "�-�..�� ugene, OR 97408 ( 00) 426-1626 rian.Martineau@ibroof.com Authorized Signature rian Martineau rian.Martineau@ibroof.com Technicai Representative rian Martineau ��°�i3{j�,-� ;, Address/Phone/Email 877 Chad Drive ��,c��le�'�,� ugene, OR 97408 �'��'�'.��LI,.�}�� ( 00) 4Z6-1626 ��'�'X��„jirf J.,��C �Q R� rian.Martineau@ibroof.com �'3� Quality Assurance Representative Address/Phone/Email Category oofing Subcategory ingle Ply Roof Systems Compliance Method valuation Report from a Fiorida Registered Architect or a Licensed orida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who obert Nieminen developed the Evaluation Report Florida License P -59166 Quality Assurance Entity I tertek Testing Services NA Inc. - ETL/Warnock Hersey Quality Assurance Contract Expiration Date 11/07/2013 Validated By J hn W Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence F 2534 R6 COI Trinit ERD CI - Nieminen - 2013. df ttn•//i3nini�fl..,-;�ol-,,,;1.7;,,.' .,�../..,./„« .,,.... atl .,,,...,�7..,......�.—...r'_ �7Vn...�r�,._..._,.r_._nrvn_.rrr-rn�trc____r.crro nii ni�ni� �larida Building Cade Qnline Page 2 af 2 . Referenced SCandard and Year(of Standard) Standard Year ASTM D4434 2QOb FM 4470 1992 FM 4474 2QQ4 I Equivalence of Product Standards Certified By Sections from the Code Product Approva( Method Method 1 Option D Date Submitked 04/12/�013 � Date Validated 44J17J2013 Date Pending FBC Approval 04/28/2013 Date Approved 06J11/2413 _�._.______.�__-.---------- -_.____�------.__._,.._.._------------------.-----. ._.�__.___�_ ____.�__._...T 'Summery of Froducts ; j FL# u�Model, Number or Name DescripYion � I , 2534.1 IB Singie Piy Roof Systems Reinforced, polyvinyl chloride single p(y roof systems 1 { Limits of Use Insta!lation Instructions } � j Approved for use in HVHZ: No FL2534 R6 II A1 er041213FINAL IB ROOF ��2534- j ; Approved for use putside HVHZ: Yes R6.pdf ' � � Impact Resistant. N/A Verified 6y: Robert Nieminen PE-96166 ; Design Pressure: +NJA/-512.5 Created by Independent Third Party: Yes ; ; Other: Refer to ER Section 5 for�imits of Use. The Evatuation Reports � ; design pressure nated herein relaCes to one specific FL2534 R6 AE er041213FINAL IB ROOF FL2534- � `assembly. Refer to the ER Appendix for a(I assembiies and R6.qdf � i max. design pressures. Created by Independent Third Party. Yes � ^_ �.___..—.�_—._`.,__.__ . _.___.__�—__�__ _—��__._ _—.. -------��_� �Back Next Contact Us. 1940 North Monroe Street Tailahassee FL 32399 Phone. 850-4$7-1824 The State of Florida is an AAJEE4 employer Coavrioht 2407-2010 State of Florida. :.Privacv Stetement,.Accessibititv Statement •Refund Statement Under Fiorida Iaw,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send etectronic maii to this entity Instead,contact the office by phone or by traditional mail.If you have any questions,please contact$SQ.487 1395.*Pursuant t0 Section 455.275(i},Fiorida Statutes,effective October i,2012,Iicensees ticensed under Chapter 455,F.S.must prOVide the Department with an email address if they have one.The emails provided may be used€or officia!communication with tfie iicensee.However email addresses are public record,If you do not wish to suppiy a personal address,please provide the Department with an email address which can be made availabie to the pubiic.To determine if yau are a licensee under Chapter 455,F.S.,please click here Praduct Approval Actepts: �,:a�,.:• � =�hFC4. � �": ._� Rt•t'tiCt2t`:> i.t� , ��.�� .1l..,..,..,�l....:.a..2.,.:t,�l:....� ..,�.�t.....J...». ....� ,Ic1 .........t1�,...,..«—...r'ST'�7V�l...fTl.....,...T.,.1?T.'V'T3..TiT.`T/'�zi7G.....,....Tl�TTO nn n»ni^