HomeMy WebLinkAbout14-15833 1
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- � �` CITY OIF ZEPHYRHILLS
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` 5335-8TH STREET
(si3)�so-oozo 15 3
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BUILDING PERMIT
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15833 Address: 6152 17TH ST
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: 02-26-21-0180-00000-0280
Improv. Cost: 7,872.00 OWNER INFORMATION
Date Issued: 12/09/2014 Name: STANWICH MORTGAGE LOAN TRUST
Total Fees: 112.50 Address: 6152 17TH ST
Amount Paid: 112.50 ZEPHYRHILLS, FL 33542
- Date Paid: 12/09/2014 Phone:
Work Desc: REROOF SHINGLE �
CONTRACTOR S APPLICATION FEES
PA L D SCHAPER ROOFIN I RERO F RESIDENTIAL 112.50
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Ins ec`tions Re uired
DRY IN ROOF IN P
TAPE JOINTS RC^�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 correctio�s not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fl 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, andlthere 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 properly. If you intend to obtain f nancing, consult with your lender or an attorney
before recording y ur notice of commencement."
Complete Plans,Specifications Must AccompanykApplication.All work shall be performed in accordance with
I City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
C, RA OR SIGNATURE PERMIT OFFI R
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� P RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT G'�ARD FROM WEATHER
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"` r,rt ' s�s-�eaoozo City of ZephyIrhills Permit Application Fax-s��-�eaooz�
Buttding Department
Date Received Phone Conia�t for Pertnitting
Owners Name Ji�]'1�1,��1 � �_�,'�',1�\ Owner Phone Number
�(� � � �y....
Owne�s Address�t�,5 tc i r1-�- T7}�l4�i.3 l4CV�_ Owner Phone Number
Fee Simple TtUeholder Name r- ! I Owner Phone Number �- �
M
Fee Simple Tideholder Address �
JdB ADORESS { � {� LOT# �_S1��E��
SUBDlVIStON � � PARCEI ID# °O( � , ��'
(OBTACNED FROM PRDPERTY TAX NOTICEj
WORK PROPOSED e NEw CoNSfR 8 ADDfALT �] SIGN C] Q DEMOLISH
INSTALL REP IR
PROPOSED USE Q SFR Q CO�M � OTHER
TYpE OF CONSTRUCTION Q 6LOCK Q FRAiv1E � STEEL Q
DESCRIPTION OF WORK \ f.' � � � Q s �Pd
BUIi.DING SIZE SGt FOOTAGB� HEIGHT
�BUILDING �r-� "'7� VALUAT ION OF TOTAL CONSTRUCTION
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QELECTRICAL r6 � AMP SE�VICE � PROGRE55 ENERGY Q W.R.E.C.
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QP�UMBlNG �� ���
QMECHANICA� $ VAIUAT ON OF MECNANlCAL INSTALLATlON � `�
QGA3 Q ROOFING Q SP(CIALTY � OTHER
FINtBFlED Fi.00R ElEVATIONS �� FL04D ZONE ARFA �YES P!Q
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BU(LDER `��ANY C'
SIGNATURE ` f REGISTERED Y/ N FEECURREA Y��
Address � �i.J i License# �� �1� �
ELECTRICIAN �COMPANY ` �
SIGNATURE rtE��sretx�o Y J N FEE GURREA Y!N
Address I License# � �
PLUMBER � (COMPANY �
SIGNATURE REGI5TERE0 Y/ N FEE CURREA Y/N
Address I License# �i�
MECNRNICA� � � COMPANY �
SIGPIATURE REG1STEftED Y 1 N FEE CURREA Y 1 N
Address ! License# � �
OTHER COMPANY �
SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N
Rddress � License# � �
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTtA� Attach{2)Plot Plans;{2)sets of Building Plans;{t j sei of Energy Fonns;R-O-W Permit for new consWCtion,
Minimum ten{10}wor}cing days after submittat date. Required onsite,GonsWdion Ptans,Starmx�ater Pia�s w!Sift Fence installed,
Sanitary Fadlitles 8 1 dumpster,Sile Work Permit�for subdivisions4arge projects
COMMERCIAI. Attach(3)complete sets of Building Plans plus a L�fe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten{10}wosking days atter submittal date. Required ansite,Gonstruction Plans,Stotmwater Aians w!Silt Fence instalted,
Sanitary Facilities&1 dumpstec Site Woric Permit�for aU new projec[s.Ail commercial requirements must meet wmpliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW co'struction.
Directions:
Fill out applicaGon completely.
Qwner&Coniractor sign back of application,notarized
it over SzSna,a NoGce of Gommencement is reqaired. {AtC pgrades aver$7500}
" Agent(for the conVactor)or Pawer of Attomey(for the owner)wo�uld be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMt7TlNG (Front of Appiication Oniy�
Reroofs it shingtes Sewers Service Upgrades NG Fe ces(PIoVSurvey/Footage)
Driveways-Not over Counter if on publio roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigne�understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a 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 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 I
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 bui�dings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understa ds,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportatioh 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 p�rmit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuanCe in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify ti�at 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 ir�stallation 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 regula�ions, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other,9 overnment agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take tb 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,Doc s,Navigable Waterways.
- Department of Health & Rehabilitative IServices/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 thg use of fill:
- Use of fill is not allowed in Flood Zone"�'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 lonly 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 iss�ed 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 construction. I u derstand 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 comrr�enced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a penod 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 fo�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 YOURCPROPERTY. IF YOU INT ND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDE OR AN ATTORNEY BEFORE RECORDING YOUR N TICE OF COMMENCEMENT.
FLORIDAJURAT(F.S.11 �03
OWNERORAGENT CONTRACTOR �
Subscribed and swo�t ( r affirmed) efore me this Subscribed and sworn t ( r affirmed)be o e me this
by G I��P�-1�by J
o is/are personally k n to me o has/ha e produced Who is/are personall V to me or ha ' ave produced i
as denGfication. as identfication.
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•�O11j4 F N a PUbfIC `��a� ��O -- ' �
`,�,�,�„,� � t � , - N - No ry Public
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- � • 'oipmNstt�rr��ublic-St,te of fl ' �o , �: Notary Pubiic-State of Florida
-� ; #Q' My Comm. 25.20 , ;�: JQ; My Comm. xpires c
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2014192897
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Pertnit Na. Pmcel 10 No N N�
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� � NOTICE OF COMMENCEMENT � �D m"
SWte of f 1,0�� �� � County of �� �8�
THE UNDERSIGNED hereby gives notlee Ihat Mprovemenl wlll be made to certain real property,and in accordance wilh Chepter 713,Florida Statutes, O A
, the followinp infortnation is pravided in Uris Notica of Commence ent: �
1. DescripUon af Property: Parcel Idenllficstion No. � �� � � W
SUeetAddress: �� � `� � � ~
2. Generel Desdipl�on o�Imorovement,
fi'e- R a„d Roo�' R���r ����
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C'�m a
3. Own r Infortnation o Less infortnatton if Ihe Lessee contradad for lha mprovement: r-
n c e 1-a4� �� e � ; �r r�� c� F m
� � � J �amT �1 I � �
Address I City State
Interest in Property: �w NCf
�Name of Fee Simple TiOe�older.
(If ditterenl from Ovmer li sted above)
Address f���� ��� 11�Q�;^� ���Y State
ConUactor. Y FC ~�
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Q�yAN`�a11 d�V[� I ZOD�uw(In.aIIS _� � �m v
Q �jn /��^p Cily� Stale �p
Contre t�ors Telephone No.:C���'�t]/X'�1 0�U ' �N o
5. Surery: p7^��' !1n � �S�n i �m
a e � Q Ci � �F'�
ia L m-
%lddress� � � DO I Ciry � S�- �"���
Amount of Bond: S ���' Telephone No.. N�o
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6. lender: � � �
Name
N o
Addrass Clty Slate � �
Lenders Telephone Na.: p m
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7. Persons wllh(n Ihe Slate o(Flodda deslgnated by lhe ovmnr upon whom notiees or other docume�n�qts"mey be served as provided by r y,
Sedion 713.13(1)(a)(7),Florida Slatutes:��� ��n�a 1 �.�,vr.p�o a�- p�l�►'�p p'�� IN11��� �/� o
Name v+ 3
1(�A � �
'DA� �2. i �NM.�A�ilo (-� m �
��e , Yvlt�l�l,�.r o
Address �O+ _ ` '/i- n�Q e� ��b Slate m
Telephone Number oi Designeted Person: 1 1 "� J � � �
I 8. In addition to himself,Ihe owner designates � °�-
to rece�e a wpy of the Llenors Notice as provided in Section 713.13(1)(h),Florida Slatutes.
Telephane Number of Parsan or EnUly Oesignated by�er:
9. E�irapon date o(Notice of Commencemenl(the e�ira on dele may not be before Ihe eampletion of consWcUan and final payment lo Ihe
cantrador,bul wi0 ba one year ham the dale ot recardind unless a diHerent dale is speafied):
WARNING TO OWNER: ANY PAYMENTS MADE BY�fHE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 7, SECTION 713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE' OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFOR�THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDcR OR AN ATTORNEY BEFORE COMMENCINa VJORK OR RcCORDiNG YOUR NOTICE OF COMM'cNCEMENT
Under penelty of per�ury,I dedara that I have read the folregoing noti af commencemenl end thet Ihe facts stated erein are We to Ihe best
o(my knowledpa end belief. /�
. STATE OF FLORIDA •'V A L/'�� ��-v
i COUNTY OF PASCO Sig eture ol Owner or Lessee,or efs or Lessee's Aulhorized
�S�d�orm�enev � agef � � .� �RrJ .
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a�aroyg rue� rr�
The foregoing inswmenl was e�icnowle�dged before me Ihis Z�dey af VlL�DM ,20��1,by JL o�� �r��I�G rl
as H a rn��Fo� (��,��{� (type of aulhority,e.g.,ofticer,Wstea,altomey in faC)for
J � (name o p on behalf of m insWment was executed).
Personally Known 0 4$Produceqd�Id-enllflcation� Nolary Signature��/wxti
Type olldentificalion Produeed N�'JCr'S `ICQA.� Name(PrinQ � \ �Q �A
`'a�"'°�'` ILIANA LUNA
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►;;,f ;�a MY COMMISSION#FF009096
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���� 0 , �� STA7E OF FLORID,4, CpU��°y���,����
. � . � � THIS IS T0�CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
� ° 1n�o,�=we7rvsi° o � ON FILE OR OF PUBLIC RECQRp(�1'HIS
``O � ��T�,�MY HANDp,�1 �FFICE
� ' X =��_DAY OF y\����IAL SEAL THI�
.� p8�� I� PAULA S O'N 2�
�•, , � p �� CLER COMPTROILER
��9T�Q O,- BY
— - ' EPUTY CLERK
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8949 Gall Boulevcxrd, Zephyrhills, F!33541
PH: (813) 782-0920& (�52) 567-8580 Fax: �813� -715-4875
STATE CERTlFIED BUiLDiNG AND Rt�OF1NG GONTRACTOR #CB-0054817 and#CC-0058]3�G
� SEZtvzNG FLORmA°S FzNEST HoMES&BUSiNESSBS sINCE 1976 www.schaper+construction.com
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Name: �•Green-�Ziver Capital Il►ate: 11-5-2014 Phane: -801�-456>�946 -
; Address: 269I So Aecker I,ake Lane 'w} aad(��reenriverca,p.cam -� _
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CITY West Valley State � UT - Zip 84119
��: Parcel# 02-�6 21-0180-00000-028U =
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=- We hereby pzopose ta furnish materials and Iabor�n�cessary for the completion of _=
. S�hingie Re-roof ==
- 1. For the shingled portions af the home,re�ave old roafxng materials ta dry-in,talcing precautions to -
protect the buildit�g aud the landscapzng. Groam�� th;�s�c d reset fhe e�sting decking nails. __
- 2. Replace bad wood other than herein agre ta at 3$.00 dollars per man-haur plus =—
-_ materials marked up at a �25% Per n.t coritractar's fee. , ��
-= ae,vt:.� a-a�u'i-�►�� cX.. e��:.�vbfS sl�.+��
..,�:_�` ..,_. .._.__. . - - � _-;-._. :a:..���'6�� �-�P.SsM, ��CaR��.:�t��'cE,r::�
��:_ 3. . �nstall �6"white ,. ^~ -• Ea.v ' drip with all ed,ges sealed with.plastic cement. ,��'n� c.�v�!��.�-`�
- 4. Instalt one Layer(s) of ASTM 30-1b aspl�alt shin�le underlayment. � --=_
= 5. Install galvanized vaUey metal for.the le�n�.of atl valleys. Valleys will be closed. �_
-- 6. I�istall new Iead boots ovsr vent pipes and replace metal vents with new. --
.�. '7. Chalk lines sha11 be struck ta assure propez shingle expoStu�e. -_
`
-" 8. Install 25i34 Year 3 tab Class,a self-sealisag£iungus resistant fiberglass shingle. _
--- Manufacturer: CertaiuteedlAtlas Color: choice =
=� 9. Six i-114"corrosian resistant nails sha11 b�installed per manufac#urer's instruetions.
=- O tions �
� - • Hurricane-na'rl the deck to the ra�exs to me+et currettt SBCCI code. * �� � .
__ Instatl 64' feet of Co�or chaice Aluininum ridge vent. * .. , .
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-- *See Pricing Section - -- - --- -_ �--
-- Greea River Capital 11-]4201d -__- --_ = Page i of 2
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Shingle Re-raaf continued . . .
� Schaner Raofin�.Commitment ta Qnality �
� •All work shall be carefulty supervised and com leted by workmen skilled and knowledgeable in methods needed to
�.��produce�high quality work. � - �-
•The job site shall be kept clean rlaily for the d tian of the job and the grounds shall be Iaft clean of ail raof related
debris after completion. -
•The yard shall be swept with a magnet.
•The contractor shall provide permit,workman compensatioq and general IiabiIity insurance.
�Carpentry,authorized cl�ange orders and work,�vhich aze not covered under tl�e�scope of work outlined herein,shall be
perFormed on a time and material basis unless otherw�se agreed upon.
MCANUFAC�'CTk�R & CQNTRA.CTQR WA1tRANTY (S}
Upon completion of the work and payment of all`�nonies owed,Contractor shali issue:
� 1. A -S- year warranty for workmanshi Iimited to Ieaks caused by any cocuponent installed by the contraetoz.
;
' 2. Shingle manufacturer shall provide a � 25/30 Year limited warranty.
+ �
.t CO�TTRACT PRI.CING
;,. Visible T&M Allowance----------------------�--------------------------_______------------_ $ 500.40
-._ :�huagle Re-r:oaf as.d�s.cribed:herein------------ ---------------,.-.. -------------- - . -. -- ... $-:. . ., fi,58g�:,Q.
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' Modifications Install 60mi1 TPQ white single ply over flat area � 784.00
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�: , $
.
'°�^ TUTAL AGREED UPt?N CONTRACT PRICE�LABQR AND MATETiTAl:,------------------ $ 7,$72.00
�Y TERMS 'Iz Dowb $3,936.04 Balance C�m Ietion
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���� . Price VaIid For Thirty(30)Days j
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, '�:=: Colle ti C4StS lf�Tl���ether with in r shall be add the contrac ace if payment uIt occurs.
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�, Can ation of the t after the 72 grace period. 1 incur a n i 1 fee. ���
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Schaper Rooftng,Inc.Repre entative �
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- I accept f�ie above price and terms;you are �ufhorized to begin work.
��M � 1���j ���
�Y Signed Date
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�- Green itiver Capita!1 I•14-2U14 _ -::=��;;=���:� Page 2 of 2
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(Search Results-Applications I
, FLN Ty,t�e Manufa,clu�r va{idated i3y Status I
FL5444-R4 Revision Certai�Teed�orporation-Roa(ing )ohn W. Knezevich, PE Approved (
Nistar Category: Rbofing (954)772-6224 �
Subcategory:Asphalt Shingles
'Approve6 by OSPR.approvats by DBPR shaii be revi�wed antl ratifie0 by the POC andjor the Commission i(�ecessary _��
Con[act Us 4 N r h M nro r II h F 32 Ptione:BSQ-487-1824
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Code Versan 2010
Approved
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Archived
CertainTeed Corporation-ROOfing
Address/Phone/Email PO Bux 1100
1400 Union hteeting Rd
ESlue E3ell, PA 19422
(215) 2J4-2350
Sleven.T Lawrey@saint-gobain.com
I Authorized Sgna[ure Steven Lawrey
S[even.T Lawrey�"�sain[-gobain.com
Technical Representative Steven lawrey
Address/Phone/Email 1400 Uniun hleetinq Road
Blue 6ell, PA 19422
(215) 274-2425
Steven.T Lawiey@saint-gobain.com
Quality Assurance Representative
Add ress/Phone/Ema il
Ca[egory F2oofing
Subcategory nsphalt Shingles
Compliance Me[hod Evaluation f2eport from a Fiorida Regis[ered Architect or a Licensed Fbrida
Professanal Engineer
Evaluatbn Report - Hardcopy Received
, - Fiorida Engineer or Architect Name who devebped the Robert Nientinen
Evaluatbn Report
' Florida License PE-59166
Quality Assurance Entity UL LLC
i Quality Assurance Contrac[ Expiration 0.�te 07/U3/2017
, Valida[ed By ]ohn W Knezevich, PE
Validation Checklist - Hardcopy Fteceived
Certifica[e of Independence _. __.;a�_. __�....__. __.__.._ _.._.___�'r.9:�>>i.�_;:_i'�•`
Referenced S[andard and Year(of S[andard) Year
2006
ASTM D3462 2007
2007
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Code Version 2010 F It ALL
Applica[ion Type ALL P oduct Manufacturer CertainTeed Corporation-Roofing
Category Roofing SIubcategory Asphalt Shingles
Applica[ion Sta[us ALL Curtpliance h1e[.hod ALL
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Fl`j_i4��-_R7 CertainTeed Corp ratbn-F�o(ing John W Knezevich, PE �Approved
Category: Roofin9 (954) 772-,6224
- ""'-" Subcategory:As halt Shingfes • ,
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'Approved by DBPF.Approvals by D6PR shall be reviewed a tl ra[ifie0 by the NO(:and/or the Commission i(necessary
Phone.850-987-1824
T�e 5[ate o(Florida is an AA/EEO employer CooYnah�t 2007-2013 Siate of Fbnda. Privacy Starement Re(und Sta[ement '�
Under FlodOa law,email addresses are public records.I you do no[want your e-mail a�idress released in response co a pubhc-records request,do noc send
electronic mail ro this eneity Instead,con[act[he office b1�Ohone or by[rad¢ional mail.If you have any quesuons,please con[act 850 407 1395 •Pursuan[[o
Section 455.275(1),Florida S[atutes,effective October 1,l012,licensees hcensed under Chap[e�455,F.S,musc Drovide the Departmen[vn[h an email adAress i(
Ihey have one The emads provided may be used for offi�cial communicatmn with Ihe hcensee.
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� -+�,�����'�� �Code Version 2010 FL ALL !
�Application Type ALL Pro1d Ma�ufacturer Mule-Hide Products Co, Inc.i
�Category Roofing5up tegory Single Ply Roof Systems j
IApplication Status L C pliance Method ALL i
Quality Assurance Entity ALL QuaIlity Assurance�ntity Contract ExpiredALL :
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�FL# Tvqe • Ma�ufact�rer Yalidated Bv Status I
•FL10703-R4 Editorial Change Mul�'liide�Products Co.,Inc. ]ohn W. Knezevich, PE Approved i
His� 5,ub at g��ryoS gle Ply Roof Systems �954)772-6224 �i
FL12772-Ri Revision �1ule-Hide'Products Co., Inc. John W. Knezevich, PE Approved I
HiStOry Category�Roofing (954)772-6224 �)
Subcategory:Single Ply Roof Systems
i•Approvetl by DBPR.Approvals by DBPR shall be review�tl and ratified by the POC and/or[he Commission if necessary �
Contact Us :1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824
The State o(Florida is an AAJEEO employer Coovriqfit�2007-2010 Sta[e of Florida. Privacv S[a[emen[ Accessibilitv Sta[ement. Re(und Statement
Under Florida law,email addresses are public records.�•If you do not wan[your e-mail address released in response to a public-records request,do no[
send elec[ronic mail to this entiry.Ins[ead,contac[[h2 o�ce hy phone or by traditional mail.If you have any ques[ions,please con[act 850.487 1395.
'.Pursuan[[o SeRion 455.275(1),Florida S[atu[es,eff¢ctive October 1,2012,licensees licensed under Chap[er 455,F.S.must provide the Department
with an emaii address if they have one.The emails p�ovided may be used for official communication with the ticensee.However email addre5ses are public
record.If you do�o[wish[o supply a personal addressj please provide[he Department with an email address which can be made availa6le to the public.
To determine if you are a licensee under Chapter 455,F.S.,please dick here
Produc[Approval Accepts:
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;E7'Y,o,�•"""a�°��i-�:�4� FL# FL12772-R2
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Code Version 2010
Appiication Status Approved
Corrments
Archived '
Mule-Hide Products Co.,Inc.
Address/Phone/Email 1195 Prince Hall Dr
Beloit,WI 53511-5481
(608) 365-3111 Ext 809
lindareith@trinityerd.Com
Authorized Signature Timothy McFarland
linda reith@trinityerd.com
Technical Representative Tim McFarland
Address/Phone/Errnil 1195 Prince Hall Dr
Suite A
Beloit,WI 535115481
(608)365-3111
timmcfariand@mulehide.com
Quality Assurance Representative
Address/Phone/ErYnil
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
i.'_ Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who developed the Robert Nieminen
Evaluation 12eport
Florida License PE-59166
Quality Assurance Entity FM Approvals- QA
Quality Assurance Contract Expiration Dete 06/14/2015
Validated By John W. Knezevich, PE
Validation Checkiist- Hardcopy Received
Certificate of Independence Nierrinen- 2013.pdf
Referenced Standard and Year(of Standard) Year
ASTM D6878 2006
FM 4470 1992
FM 4474 2004
TAS 114 2011
Equivalence of Product Standards �
Certified By
�
Sections from the Code �
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Product Approval Method Method 1 Option D
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Date Submitted 10/10/2013
Date Validated 10/14/2013
Date Pending FBC Approval SO/20/2013
Date Approved 12/13/2013
Summary Of Products
—�
--r-- --�
Description
12772.1 Mule-Mde TPO-c Singl Ply Ftoof Therrroplastic polyolefin single ply roof systerrts —�
Systerrs I
—�------------1--------- --- - --------- - —
Limits of Use Installation lnstructions
Approved for use in HVHZ: No � FL12772 R2 II A1 er092713FINAL MULE-HIDE TPO-c �112772-
Approved for use outside HVHZ:Yes R2.odf
Impact Resistant:N/A Verified By: Robert Nierrinen PE-59166
Design Pressure: +N/A/-525 Created by Independent Third Party: Yes
Other. Evaluation Reports
particular assembly. Refer to the ER appendix for all assemblies FLi2772 R2 AE er092713FINAL MULE-HIDE TPO-c FL12772-
and DP's. 2.) Refer to ER section 5 for Limits of Usl. R2.odf
Created by Independent Third Party: Yes
C C
� Phone:850-487-1824
' The 5ta[e of Flodda is an AA/EEO emplayer.CopvAaht�007-2013 State of Fiorida. : Refund Statement
Under Fiorida law,email addresses are public records.If ou do not tvan[your e-mafl address released in response to a public-records request,do not send
0lectronic mafl to[his enUry.Instead,wntait the office byf phone or by tradi[ional mail.If yau have any questlons,please contad 850.487.1395.•PUrsuant to
Sec[ton 455.275(i),FbAda Statu[es,effective October 1,2012,Ifaensees licensed under Chapter 455,F.S.mus[provide[he oepartmen[with an emall address If
they have one.The emails provided may be used for offid�I communimtion wi[h the licensee. �
' supply a personal address,please provide the Department�with an email address which can be made available to the public.To determine If you are a litensee
underChapter455,F.S.,please click ere
Product Approval Accepts:
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