HomeMy WebLinkAbout204 Walnut Crest Run3UL 2 9 2015 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $
Job Address: .Q0 1 kkhad SS _ Historic District: Yes No 54
Parcel ID: 0(oL 'I `I
Description of Work:
Plan Review Contact Person: (5 W YV-1
Phone: ,,5 9 l'c53 Fax(:
Zoning:
Title:
E-mail:
Property Owner Information
Name J 4An <Ll
Street: L61 1y G,t.
d
P &
City, State Zip: e Pc aid P- <Sc l-T?
Phone:
Resident of property?
4.,
Contractor Information
Name CJ YVI pq'" Phone:
Street: 931
T &
Fax:.
q, l `/-
City, State Zip: )y)0- ®I A 0 q State License No.: c , /6`
rchitect/Engineer Information
Named 6b h-i Phone:
Street: 1 Fax: 8&-g1
City, St, Zip:(99,10i) R- ( E-mail: /8t11n49 Bonding Company:
Address: Building
Permit
Square Footage:
No. of
Dwelling Units: Electrical New
Service -
No. of AMPS: Mortgage Lender:
Address: PERMIT
INFORMATION
Construction Type:
Flood Zone:
Mechanical (Duct
layout required for new systems) Plumbing No.
of
Stories: New Construction -
No. of Fixtures: Fire Sprinkler/
Alarm No. of heads: n Shall be
inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.
14
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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 districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
conAuction value when the executed contract is submitted, credit will be applied to your permit fees when the
Denlnit is released.
Name
p0.Y pU
MELANIE
MY COMMISSION ## EE 82rM
EXPIRES: Decemyb er,16, 201541"."Oe-V Tin TI S
S- 1 6
ate Signature of Contractor/Agent Date
Print 07ntractWARent's Name
Owner/Agent is Personally Kuawn tbl or
Produced ID Type of ID L,
APPROVALS: ZONING: %-',o- i ' "TILITIES:
ENGINEERING: FIRE:
COMMENTS: k f -Q ig!;j ,ll 1`2 1-- ;
f
KA '2 Signature
o Notary -State of Florida Dat r°
1p0.
Ypp c*
MYCOMMI #
EE827262 EXPIRES:
December 16, 2016 AM",, Toi,
cP W*dTh &10ptNot $ffVices Contractor/
Agent is 'T' Personally Known to Me or Produced
ID Type of ID WASTEWATER:
BUILDING: _
9' 4-( Shall
be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV
07.14
SCREEN ENCLOSURES
GLASS AND VINYL ROOMS
PORCHES AND RESCREENING
SCREENCRAFTERS COASTAL
Efficiency and Reliability
831 Railroad Street
Suite 2
Port Orange Florida 32129
Phone 386 481 3433
E-Mail Screencrafterscoastat@hotmail.com
PROPOSAL
ACCEPTING
VISA/MASTER CARD/AMERICAN EXPRESS
LICENSED AND INSURED
SM 31151669
BETTER BUSINESS BUREAU MEMBER
CUSTOMER NAME AND PHONE NUMBER CUSTOMER ADDRESS
Justin Sauer 204 Walnut crest Run
Orlando Ft
DESCRIPTION TOTAL
Install screen room
To include 12' x 22' covered area with 7' x 12' gable screen roof attached.
Solid roof will be 3" insulated "Elite" panels with 1 pre -wired fan beam, gutter and down spouts,
18/14 charcoal screen, 16" kick panel, 2 doors and bronze in color. $8,286.00
Cost to do same project with all solid roof. $8,988.00
Please sign and date here if you accept this
TOTAL DUE
Prices based on 8' height unless otherwise noted, any changes after final measurements
Will be charged accordingly. Material and workmanship guaranteed for 1 year.
Make all checks payable to SCREENCRAFTERS.
2.5% ADMIN CHARGE FOR CREDIT CARDS.
THANK YOU FOR YOUR BUSINESS!
WWW.SCREENCRAFTERSCOASTAL.COM
I
i 41441iii Iiili iiiii 111,ii il111 NO, ill iiI i i ii
THIS INST MENT PREP4RED,B Gj
Name: `
Address )
k— V
NOTICE OF COMMENCEMENT
MARYfll'ihiE 11GRGEY SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
CLERK'S 2015082786
l t•4 4 .22' L t. RE;:•ORDECr 1=1r;.9'?t=t1_ I't'?.,.•1•: F 1
RECORD TNG FEES $10.00
RECORDED BY hdevore
Permit Number:
Parcel ID Number: l2C Gx" "'1 15-25%
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if
2. GENERAL
Mnes 4e VecVo^ EMEND:
cteen
3. OWNER INFORMATION \OR LESSEE INFORMATION IF THE LESSEE C O/W' TRACTED FOR TH IMPROVEMENT:
Name and address: .Jc.t s rn ScLc,,c-G it Qyr4LI V L+ C,w P&+- 4LLX
Interest in property: 19(n01"X%l"
Fee Simple Title Holder (if other than owner listed above)
Address:
4. CONTRACTOR:
Address: C J
5. SURETY (If applicable, a copy of the payment bond attacnea):
Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: Phone Number:
Address:
8. In addition, Owner designates of
to receive a copy of the Lienor's Notice as provided iri Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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
JOB SITE EFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE MENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Ai
fa re of Owner ee. or Owner's or Lessee's (Print Name and PraWde Signatory s i /Office)
State of T LO& C_6k Countyof The
foreegoioinng instrument was acknowledged before me this /. day offik20 by LJ `
k— S i l 4e— Who Is personally Inown to me OR Name or
person making statement who has
produced identification Ape of identification produced: Otp0.V
P4B 4 MELANIE EDDINGTON r * MYCOMMISSW
EE 821282 E ES:
December 16 rt aaa h q/ o` .
i20 TNe oiil EOF FlOaTlvu9Udget%lota ceSr«.•, tAEnFIE EOPY-
MARY NN ORSE yc,;' 4 CLERK OF
HE CIRCUIT U AND oy COMPTRO
ER
SEMINOLE , RIDA
t f11t FCGUH+ By DEPUFY
CLERK JU 2015, C Notary
Signatwe
Ile
tl
A,
F ` City of Sanford
Aluminum Structures Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box
to the left or indicate n/a on this submittal. A complete application package shall include the
following:
Building Permit Application completed, signed and notarized. Application must include
correct address and complete parcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value of the project.
Copy of applicable contractor's license issued by the State of Florida.
A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the
contractor.
Certificate of insurance indicating worker's compensation insurance coverage and naming the
City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued
by the State of Florida (must be submitted with each application if contractor is the applicant).
Completed and Signed Owner Builder Statement / Affidavit (if the owner is the applicant).
Two (2) site plans indicating proposed location.
Two (2) copies of the signed and sealed engineered drawings. Wind design data required on
drawings per FBC 1603.1.4 to meet 129 mph ultimate design wind speed for risk category I
buildings OR Two (2) copies of previously mastered filed plans. Indicate all details and options
that apply.
G Two (2) copies of a site specific layout for the structure with minimum 1/8" per foot scale.
Include all framing sizes and types. Include any electrical devices to be added.
Two (2) copies of Florida Product Approval, including manufacturer installation instructions
and product evaluation reports, for composite or elite roofing systems. (If applicable)
For Sunrooms — must designate specific Sunroom Category on the signed and sealed plans, in
accordance with FBCR R301.2.1.1.2
These guidelines were compiled to assist the applicant in preparing an aluminum structure permit
application and may not be complete. The applicant is required to meet all City of Sanford, state, and
federal code requirements.
Revised: February 2015
RECORD COPY
F17571 awra
1
ALUMINUM SCREEN DESIGti
El El _ Aluminum & Constructlon E.ngin:eering
API n Tvm
Screen Room
Pool Screen/Cage (Removable Screen - Remove screen when wind speed exceeds 75 MPH)
POOL Screen/Cage (Non -Removable Screen — Designed'>t 91 1 i1)V
Car Port REVIEWED FOR CODr COMPLIANCE A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
Patio Cover
C LICENSE TO PROCEED WITH THE WORK AND NOT AS
PLAN EXAMINER AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
Other: , ! ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
DATE THE BUILDING OFFICIAL FROM THEREAFTER
Refere cneonHDate: -7 l G 1
Project Address:
City: 5 ANFoCz 't,
Contractor Name: c o p s--T A L.
Address:
City: pop,-nz
Zip Code: 32 k 2 Ci
Phone/Fax: Lr-z:5-1- 4-k
Email: sC_RE.Ct,.ic;ern r__RS C-C3F- t L iAC cc,,--.
Choose one:, Mail Pick Up Fed Ex* No of Copies
For FedE_x_option got to www.aluminumscreendesicin.com and provide FedEx account #)
Payment: CheckO Credit Card *
For Credit Card option go to www.aluminumscreendesign.com to pay by credit card)
Engineering prepared by:
LID
SANFORD
Engineer: Michael Thompson, MSc, P.E. (P.E. ##47S09)
5200 Vineland Road — Suite 250, Orlando, FL 32811
Office:407-529-3300 Cell:407-721-2292 -
Project Manager: Paul Thomas 386-479-9504 Fax: 888-923-8181 '2 4 6
Email: aluminumscreendesign@yahoo.com
Website: www.aluminumscreendesi ngcomCA#30930
S
LU INU CREEN
Aluminum & Construction Engineering
Ultimate Wind Speedp t 3c) a Exposed Category: C RiskCategoryw_._...t_ a_._. _ .___ ._ .. _._ ._. ._ _._ _ _.. _.. _. _.
Screen Roo :, Insulated Pan Roof
Fascia Wall: Block Conventional
Uprights Z x 3 * Top Plate Z x Z Kick Plate t-
PoolScreenlCage Dome []
Gable Mansard Gutter
Wall: Block Conventional Beams `
Z x 4- Uprights 2. x - Purlin 2 x 2, Car„
Porte Insulated
Pan Fascia
Wall: Block Conventional Beams
x Post x Patio
Cover.:: Insulated0
Pan Fascia
Wall: Block Conventionai Beams
x Post x 1
Existing
New: 4" Slab Pier Ribbon Footer x Pavers Other:
Note:
In the event that there is a conflict with the design plans and general notes and design standard, the contractor shall
utilize the more stringent dimensions and member sizes prior to ordering materials, fabrication and/or construction between
the plans and the general notes and design standard.
d tUMINUAA SCREEN DESIGNEIMASDAlucnistet &,cm-sitructi!In ingiea xitt
General Notes & Design Standards
Screen Patio Room Enclosure)
The following are general design standards. More stringent design standards may be noted on the plans. In the event
of a conflict in plans and/or design standard dimensions and/or member sizes, the contractor must utilize the more
stringent dimensions and/or member sizes prior to ordering materials, fabrication and/or construction.
Desien Codes:
Florida Building Code 2014 (51 Edition)
Aluminum Design Manual 2010
ASCE 7-10
Design Loads:
Pursuant to FBC Chapters 16 & 20
Ultimate Wind: -130 MPH (FBC Table 2002.4)
Risk Category: -See attach site specific plan sheet (FBC Table 1604.5)
Exposure Category: -See attach site specific plan sheet (FBC 1609.4.3)
Additional Load requirements:
Structural members supporting screened enclosures are designed for wind in both of two orthogonal directions using
the pressures given in Table 2002.4. Each primary member is also designed for a 300 pound load applied vertically
downward along any 1 foot of any member, not occurring simultaneously with wind load. In addition to wind
pressures, purlins is also be designed for a 200 pound load applied vertically downward along any 1 foot of any
member, not occurring simultaneously with wind load.
Design Basis:
Allowable Stress Design (ASD) =Allowable Strength Design (ASD) divide by safety factor
General Requirements:
Reproductions of contract drawings by contractor in lieu of preparation of shop drawings signifies acceptance of
information shown as correct and obligates himself to any expense, real or implied, arising from their use.
A change to the structural drawings due to the acceptance of alternates and/or substitutes is the responsibility of the
contractor and must be submitted to the engineer for approval.
The general contractor and each subcontractor shall review the approve construction plans in its entirety and verify
all existing conditions prior to the start of any work. All inconsistencies shall be reported to the designer and/or
structural engineer, if needed. Should contractor construct the premises in a fashion not consistent with the plans
prepared by the designer and/or structural engineer, or in any fashion, change the plans and drawing without the
review and approval from the designer and/or structural engineer. Then designer and/or structural engineer shall
bear no responsibility or liability for the construction of premises and accuracy of the drawings.
Foundation and Earthwork:
Applicable only when unsuitable soils are encountered.
When unsuitable soils are encountered as specified bearing strata, notify owner's representative/engineer.
Soil bearing capacity — 2,000 psf Minimum
Provide neat excavation for footing and place concrete immediately after excavation and inspection.
Pump water from footing excavation if greater than one inch.
Compact all fill to 95% ASTM D698 density.
Unit soil weight = 105 pcf
Internal angle of friction = 30 degrees
Coeff. Of friction between footing and soil = 0.5
5200 Vineland Road., Suite 250, Orlando, FL 32811. (P) 407-529-3300 (F) 407-529-3310
www.aluminumscreendesign.com
NO It ALUMINUM SCREEN DESIGNommsDAtLsiLaisxes txGtucttCreclg$riu sziti
Structural Aluminum:
Conform to latest edition of Florida Building Code and Aluminum Design Manual standard practice for aluminum
design.
All aluminum shall be 6005-T5 (E= 10,000 ksi; Fy = 35 ksi) with'a minimum wall thickness of 0.046"
Splicing prohibited without prior approval as to location and type.
Burning of holes in aluminum members is prohibited. Any member with burned holes must be replaced.
Aluminum Protection:
Shall be pursuant FBC 2003.8.4. Aluminum surfaces in contact with dissimilar materials, lime -mortar, concrete, or
other masonry materials, shall be protected with powder coated or ESP paint or alkali -resistant coatings, such as
heavy -bodied bituminous paint or water -white methacrylate lacquer.
Screws:
Aluminum self -tapping screws shall conform to ASME B18.6.4 specification.
Self —tapping screws shall meet the requirements of ADM J.5
Maximum fastener spacing shall not exceed (3+20t) where "t" is the member thickness in inches.
For roofing and siding connection, use minimum #12 screws for end and side laps spaced at 12" max for side lap
and end lap fasteners shall be no more than 2" from the end of overlapping sheets.
Bolts:
Bolts and other fasteners shall be aluminum, stainless steel, hot -dip or electro-galvanized steel. Double cadmium
plated steel bolts may also be used. Bolt holes diameter shall not exceed 1/16" larger than the bolt diameter and shall
be spaced at a minimum of 2.5 times the bolt diameter with minimum edge distance of 1.5 times the bolt diameter.
Bolts shall meet the requirements of ADM J.3
Chair Rails, Purlins & Wind Brace:
Chair rails, purlins and wind brace shall conform with the below maximum span length. If the event contractor's
specific site plan conflict with the below recommended length, the contractor shall utilize the more stringent
dimensions and member sizes prior to ordering materials, fabrication and/or construction.
Wind Speed =130 MPH
2 x 2 Chair Rail = 6'-9" 2 x 2 Purlins = 7'-6" 2 x 2 Wind Brace = 4'-3" 2 x 3 (0.125) Wind Brace = 10'-0"
2 x 3 Chair Rail = 9'-0" 2 x 3 Purlins = 9'-0" 2 x 3 Wind Brace = 9'-0" 2 x 4 Wind Brace = 10'-0"
Concrete
Conform to ACI 318, latest edition and ACI 301
Compressive Ultimate Strength (Minimum at 28 days) shall be 3000 psi
Exposed chamfer edges shall be'/4"
Reinforcine Steel:
Conform to ACI 318 and 315, Latest edition
All reinforcement steel shall be ASTM A615 Grade 60.
Smooth dowels & ties shall be ASTM A185
Welded Wire Fabric shall be ASTM A185 or A82 (Flat sheet).
Deformed bar anchors shall be ASTM A496, Grade 70
Cover: Footing 3"
Washer:
Washers shall be used under bolt heads and under nuts.
Hole Alienment:
Poor matching holes must be rejected. Contractor shall prevent holes from drifting and distort the metal. All chips
and foreign matter between contacting surfaces shall be removed before assembly.
5200 Vineland Road., Suite 250, Orlando, FL 32811. (P) 407-529-3300 (F) 407-529-3310
www.aluminumscreendesign.com
20 Atil iNUA SCREEN DESIGN "\I 4Q11ASDkfumhiunr & CaStAruci#Cu Engi6*-=;;in9
Beams & Uprights:
In the event of a conflict with the values in this table and the site specific plan, the contractor must utilize the more
stringent dimensions and/or member sizes between the site specific plan and the below applicable span limitations
prior to ordering materials, fabrication and/or construction.
130 MPH
PRIMARY BEAMS & COLUMNS -SCREEN & PATIO ROOM ENCLOSURES ROOF PANELS
Max Beam
Span & Max
Column Insulated Roof
Beam -Size Spacing Column -Size MaxColumn-Height Pan Roof Span a Span 3"
Spans 13'- 2
X 3 6'-0" 2 X 3 8'-0" 6" 3" Spans 15'-0" 6"
Spans 20'-0" 2X48'-6" 2 X 4 8'-0" 2
X 5 1 10'-0" 2 X 5 9'-0" Knee
Bracing: Contractor
shall provide knee bracing on 45 degree angle pursuant the attach detail sheet that specified size and length
requirements. Purlin•
Contractor
is required to install purlins spaced to align with column spacing; however, spacing between purlins shall not
exceed 7'-2". 5200
Vineland Road., Suite 250, Orlando, FL 32811. (P) 407-529-3300 (F) 407-529-3310 www.
aluminumscreendesign.com
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I
EXTRUDED FASCIA IS ATTACBED 3" C CHANNEL ISALUMINUMSCREENDESIGNT' INSULATED ROOF WITH #10 11' 6T0 6" FRO ENDS 24"O.0 &TTO 33" INSULATED ROOF WITH 6 #10/1" PER SID CONS
FROM ENDS 24" O.C.
EXTRUDED GUTTER IS ATTACHED
3" INSULATED ROOF WITH #10 1" 6"
FROM ENDS 24" O.C.
ROOF IS ATTACHED TO FRONT WALL
WITH (4) 410 4" PER PANEL ,
2X2 POST .046 OR GREATER
Owe lh
2X2 FRONT WALL TOP PLATE
HINGE LOCATIONS
SCREEN DOOR FULL Z OR
DOOR JAM STANDARD DETAIL
EACH DOOR IS SCREWED INTO UPRIGHTS WITH 910 1" 6" FROM ENDS 24"
KICK PLATE IS ATTACHED TO STRUCTURE
WITH #10 1" 6" FROM ENDS 18" O.C.
UPRIGHTS ARE ATTACHED WITH:
BLIND SCREWED WITH (3) #10 3",
CAPRI CLIPPED WITH (4) #10 1" PER CLIP
BLIND CLIPPED WITH (4) #10 1" PER CLIP
1X2 IS ATTACHED TO FRONT WALL
lxrr•rvuin ')It -It VDnr,r Vane')n" n fl
CHAIR RAIL IS ATTACHED TO UPRIGHTS
WITHEITHER BLIND
SCREWED WITH (3) #10 3", CAPRI
CLIPPED WITH (4) #10 1" PER CLIP BLIND
CLIPPED WITH (4) #10 1" PER CLIP UPRIGHTS
ARE ATTACHED WITH: BLIND
SCREWED WITH (3) #10 2", CAPRI
CLIPPED WITH (4) #10 1" PER CLIP BLIND
CLIPPED WITH (4) #10 1" PER CLIP INSULATED
ROOF IS ATTACHED TO UMINUM
STRUCTURE WITH #10 4" FROM
ENDS 24" O.C. SIDE
WALL TOP PLATE 1X2
IS ATTACHED TO BLOCK STRUCTURE WITH
2-1/4" X 1/4" TAPCONS 6" FROM ENDS
24" O.C. 2X3
SIDE W 2X2
CHAIR RAIL 1X2
IS ATTACHED TO CONCRETE WITH
2-1/4" X 1/4" TAPCONS 5"
X 1/4" IF THRU PAVERS) 6"
FROM ENDS 24" O.C. ALUME\
UMSCREENDESIGN.COM DESIGN STATEMENT MICHAEL THOMPSON AL
SCREENDESIGI T METAL IS .046 THICKNESS OR GREATER, ALLOY IS 6005-T5 5200 VINELAND RD. ALL
TAPCONS SHALL PROVIDE MINIMUM OF 1 1/8" EMBEDMENT DEPTH SUITE 250 C@YAHOO. COM THIS
STRUCTURE HAS BEEN DESIGNED IN ACCORDANCE TO MEET THE REQUIREMENTS OF THE 2014 (5TH EDITION) 1r PHONE #:
3 86-320-0256 OF THE FLORIDA BUILDING CODE FOR OPEN AND SEMI -OPEN STRUCTURES AND SHALL WITH STAND ULTIMATE WIND ORL
0 1 L. 32811 FAX #:
8 88-923-8181 SPEEDS
OF 130 MPH (FOR 3 CONTRACTOR
SHALL FIELDSVENOMINALANS DIMENSIONS ED
1PRIOR TO
MATEROOF RIAL PURCHASE, FABRICATION
AND CEXPOSURE O SN TRUCTION
SK
CATEGORY 1. P.
E. # 47509 CONTRACTOR SHALL NOTIFY THE
ENGINEER IMMEDIATELY SHOULD SITE CONDITIONS DIFFER FROM CONSTRUCTION PLANS CA#3 0930,
ALUMINUM SCREEN DESIGN
BEAM IS ATTACHED TO UPRIGHTS
WITH (8) 910 V ON EACH SIDE OF BEAM
C7 U. L- *
7 0.
CU rn
v 2X4
X v UPRIGH'
o
a cX
Q N
q
2X3 WIND BRACE IS BLIND SCREWED 2X2 PURLINS WILL BE BLIND SCREWED
TO ALUMINUM STRUCTURE WITH THROUGH ROOF BEAM INTO EMBOSS
3) #10 2", OR TOE NAILED W/ (3) # 10 2" WITH (3) #10 I3"
2X4 BEAM
KNEE BRACE ON A 45 DEGREE SCREWED INTO H CHANNEL
Tl ITTTT L L1Il — nA A(+ --AP. C.— 1 TA— TLTL' nCAAA 1 MTTl1 TILL' DTTDT TILT
2 X 2 KNEE BRACE FOR 25'-0" MAX BEAM SPAN
2 X 3 KNEE BRACE FOR 40'-0" MAX BEAM SPAN
2 X 4 KNEE BRACE FOR SPANS IN EXCESS OF 40'-0"
2X2 CHAIR RAILS & GIRTS ARE ATTACHED WITH INTERNAL
CLIPS WITH (4) 910 1% CAPRI CLIPPED WITH (8) #10 1", OR BLIND
SCREWED WITH (3) #10 2"
2X4 OR GREATER BEAMS UP TO IY ARE STITCHED
TOGETHER WITH #10 1" 6" FROM ENDS 24" O.C.
IX2 BOTTOM PLATE IS ATTACHED TO CONCRETE WITH 2-1/4" X 1/4"
TAPCONS (5" X 1/4" IF THRU PAVERS) 6" FROM ENDS 24" O.C.
2 X 2 X 1/8" ANGLE SCREWED INTO EACH SIDE OF BEAM WITH (2)
10 V & INTO CONCRETE WITH (1) 2-1/4" X 1/4" TAPCON
2 HINGE
FRONT WALL, BACK WALL & SIDE WALLS TOP
PLATES ATTACH TO ROOF MEMBERS WITH #10 1"
6" FROM ENDS 24" O.C.
V X .050" GUTTER STRAP 24" O.C. MAX 4" FROM
EACH UPRIGHT SCREWED THROUGH GUTTER INTO
FASCIA WITH #10 2" ATTACHED TO FRONT OF
T P =n II/T'T'II 41 A V'
EXTRUDED GUTTER IS ATTACHED TO
FASCIA WITH #10 4" 6" FROM ENDS
24" O.C. INTO RAFTER TAILS
KNEE WALL ATTACHES TO STRUCTURAL GUTTER
WITH 4" 2 X 2 X 1/8" ANGLE & (4) #10 1" INTO
GUTTER & BEAM PER SIDE
2X2 POST .046 OR GREATER
to 36"
HINGE LOCATIONS
SCREEN DOOR FULL Z OR
DOOR JAM STANDARD DETAIL
I EACH DOOR IS SCREWED INTO UPRIGHTS WITH #10 1" 6" FROM ENDS 24" O.Ci „
DESIGN STATEMENT MICHAEL THOMPSON
ALUMR-JUMSCREENDESIGMCOM METAL IS .046 THICKNESS OR GREATER, ALLOY IS 6005-T5 5200 `%INELAND RD.
ALUMINUMSCREENDESIGN ALL TAPCONS SHALL PROVIDE MINIMUM OF 1 1/8" EMBEDMENT DEPTH
SUITE 250
@YAHOO.COM THIS STRUCTURE HAS BEEN DESIGNED IN ACCORDANCE TO MEET THE REQUIREMENTS OF THE 2014 (5TH EDITION)
OF THE FLORIDA BUILDING CODE FOR OPEN AND SEMI -OPEN STRUCTURES AND SHALL WITH STAND ULTIMATE WIND ORLANDO, FL 32811
PHONE #: 3 86-320-0256 SPEEDS OF 130 MPH (FOR 3 SECOND GUSTS) NOMINAL SPEED 101.4 MPH UP TO A 15FT ROOF HEIGHT, FACTOR OF 1.0, AND EXPOSURE C, RISK CATEGORY 1. P,E, # 47509
FAX #: 8 8 8-923 -8181
CONTRACTOROCONTRACTOR SHALL NOTIFY THE ENGINEER IMNIEDIATELYLFIELDVERIFYALLPLANSDIMENSIONSSHOULDORTOMATERIAL
CONDITIONS DIFFER FROM CORICATIONNSTRUCTION PLANCONSTRUCTION
CA#
3 093 G,
ALUMINUM SCREEN DESIGN
SIDE WALL DETAIL
IX2
TOP PLATE IS ATTACHED TO 2X2
W1X2ALL BEAM WITH # 10 2" 6" FROM
r
NDS 24" O.C.
F
iCN Cy)N
z 2X4 BEAM a
end•
N CO
l 0 p
yQ
00
3
2X2
1X2 BOTTOM PLATE IS ATTACHED 1X2 BOTTOM PLATE IS ATTACHED TO
TO CONCRETE WITH 2-1/4" X 1/4" UPRIGHTS WITH CAPRI CLIP WITH (4)
5" X 1/4" IF THRU PAVERS TO FOOTER) 10 1" OR BLIND SCREWED WITH (2)
TAPCONS 6" FROM ENDS 24" O.C. 10 2" PER SIDE
CABLE DETAIL
1/8" THICK ANGLE BRACKET
ATTACHED TO UPRITE AND
GIRT WITH (6) #10 1"
EYE BOLT WELDED
CLOSED WITH DOUBLE NUTS
COMPRESSION SLEEVE
IDE VIEW
OMPRESSION SLEEVE
A.S.T.M. A-36 STEEL CLIP
ATH (2) 2-1/4"X1/4 TAPCONS
ANCHORED TNTO CONCRETE 3/4" FROM
TOP AND BOTTOM CONCRETE
WITH (2) 2-1/4- X 1/4- TAPCONS
IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO INFORM THE HOMEOWNER THAT THE CABLES AND CABLE
ATTACHMENT MUST BE INSPECTED BY THE HOMEOWNER AT LEAST TWICE A YEAR TO ELIMINATE ANY DEFICIENCIES ASSOCIATED
WITH TENSION SLACK AND/OR CORROSION AND IF NECESSARY TO MAKE CORRECTIVE REPAIRS TO MAINTAIN THE CABLE FULL TENSION
NO SLACK) DESIGNED FOR STRUCTURAL LATERAL STABILITY
ALUMIr1UMSCREENDESIGN.COM DESIGN STATEMENT MICHAEL THOMPSON
METAL IS .046 THICKNESS OR GREATER, ALLOY IS 6005-T5 5200 VINELAND RD.
ALU NIVQNUMSCREENDESIGN ALL TAPCONS SHALL PROVIDE MINIMUM OF 1 1/8" EMBEDMENT DEPTH SUITE 250
@YAHOO.COM THIS STRUCTURE HAS BEEN DESIGNED IN ACCORDANCE TO MEET THE REQUIREMENTS OF THE 2014 (5TH EDITION) OIu, O 'FL„32811
PHONE #: 3 86-320-0256 OF THE FLORIDA BUILDING CODE FOR OPEN AND SEMI -OPEN STRUCTURES AND SHALL WITH STAND ULTIMATE WIND
SPEEDS OF 130 MPH (FOR 3 SECOND GUSTS) NOMINAL SPEED 101.4 MPH UP TO A 15FT ROOF HEIGHT, FACTOR OF 1.0, AND EXPOSURE C, RISK CATEGORY 1. P.E.: # 47509
FAX # : 8 88-923 -8181 CONTRACTOR SHALL FIELD VERIFY ALL PLANS DIMENSIONS PRIOR TO MATERIAL PURCHASE, FABRICATION AND CONSTRUCTION
CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY SHOULD SITE CONDITIONS DIFFER FROM CONSTRUCTION PLANS r1. CA# 3 093 0,
5tr'—t3—G 1J: NJ f r1CLA'1: raLl ttY5lJK1 IfYl.t 'fly r Ul r' i U: 40 rl
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FL# Type Manufacturer Validated By Status
FL7621- Revision Elite Aluminum Corporation Jorge A. Pomerantz, Approved
33 FL#: FL7621.1 P.E.
History Model: OSB / Aluminum Roof Panels 954) 394-8521
Description: EPS Foam Core Composite Patio Roof Panels
Category: Roofing
Subcategory: Products Introduced as a Result of New
Technology
Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary.
Contact Us :: 1940 North Monroe Street, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida Is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, 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
electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. -Pursuant to
Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if
they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to
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 licensee under
Chapter 455, F.S., please click here .
Product Approval Accepts:
pie--_gSAFE
8/4/2015
IEPLS FOAM CORE ROOF PANELS
OSB / ALUMINUM SKIN
MAXIMUM ALLOWABLE CLEAR SPAN TABLES: MA
cd w
Z
0. vl
Live Load
Or Upon
Dal Mon
Limit
i
4' Panels
0,024" 0.030'
Alum Skin Alum SkM
14b EPS 1-Ib EPS
60 Panels
0.024"
Alum S.
14b EPS
0.030'
Alum.
14b EPS
10 PSI L/120 17'S" IV-1 1" 22'-2" 2T-W
0 9 12 Psf L 11 20 1W_5" 1T-10" 21'-3" 22'-11"
w z 14 psf L 1120 15'-r 16'-11" 20'-2" 21'-9•
tu
O 18 PSI L / 120 14'-11" r IV-2" 19'-3" W.B.
0w 18 PSI L / 120 14'4- 1 T-7" 18'-7" 19'-12"
112w 20 psf L/120 ITAO" i 15'-0" 17"AI" IV-4"
0 LU 24 psf L / 120 131-0" t 14'-2" 18'-10" 18'-2"
L) 28 psf L / 120 1 T-4" ( 1T,7 16'-0" iT-3"
32 psf L / 120 11'-10" r 12'-10" 164" 1 16-6'
CLEAR SPAN TABLE
USE INSTRUCTIONS:
1. DETERMINE TYPE OF ENCLOSURE TO BE COVERED (OPEN,
SCREENED WALLS, OR FULLY ENCLOSED).
2. DETERMINE THE SITE SPECIFIC REQUIRED DESIGN WIND
PRESSURE PROVIDED BY SEPARATE ENGINEERING, BY A
LICENSED ENGINEER OR REGISTERED ARCHITECT, IN
ACCORDANCE WITH THE FLORIDA BUILDING CODE FIFTH
EDITION (2014).
3. FIND ALLOWABLE COMPOSITE OSB PANEL CLEAR SPAN IN
TABLES FOR APPROPRIATE PANEL DEPTH, FACING THICKNESS,
AND EPS CORE DENSITY SELECTED.
ADD (2) Y4• CONTINUOUS ADHESIVE
LINES DIRECTLY ON EPS, (1) 1" FROM SEAL JOINT
058 EDGE, (1) 1/S" FROM OSB EDGE `CONTINUOUS CAULKING
OSB / • OSB
z °o a
a C c°o
0.024-0.030" ALUMINUM
CROSS SECTION AT
TYPICAL RARECiN IERLOCK
EPS ROOF PANEL SPAN DETAIL:
4' MAX WIDTH PER INTERLOCKING PANEL
9! " OSB (2" PER FOOT MIN SLOPE)
9 °o EPS CORE (1.0 PCF)
0.024" OR 0.030' ALUM
o CLEAR SPAN W INSIDE TO INSIDE
REFER TO ADDITIONAL ENGINEERING SHE
FOR LOADS, ROOF CONNECTIONS, & SUPPORTING
STRUCTURE DETAILS (BY OTHERS). THIS SHEET
CERTIFIES ALLOWABLE ROOF SPANS ONLY.
KIMUM ALLOWABLE CLEAR SPAN TABLES:
4" Pants 6' Panels
Lhre Load De0eo0on 0.024' 0.03T 0.024' 0.030•
Wor Upm Umit Alum Skin Alum Skin Alum Skin Alum Skin
14b EPS 14b EPS 1-Ib EPS 14b EPS
L/1B0 IT3" 14'-5" 173• 18'-7"
15 psf
L/240 12'-1' 1T-l" 15'-8' 16'-10"
L / 180 12'-9" 13'-10• 16'-6" 1T-10"
17 psf
L/ 240 1 T-7' 1 T-T 16_V 16'-2"
un L/180 12'-1' 13'-1" 1T-W IV-1("
w 20 Pat L / 240 IV-12' 11'-11" 14'-3' 1514"
L 1160 1114, 12'-4" 14'-9" 16.10"
j24 Pat L / 240 VY-4" 11'-r 13'-4" 14'S"
L1180 10'-10" IV-9" IT-12' IV-1"
28 Psf L/240 9'-10" 101-8" 12'-r 13'$'
In L / 180 1V-7' 111S" 13'-r 14'-9"
InL
30 psf 240 9'-7" S10'" 12'S" 13'1
L / 180 10'-4" 11'-3" 1T4" 14'S"
32 psf
L!240 9'S" U
w
10'-2'
10'-12
12LK
13'-1"
13'-1"
74'-2' L / 180 10-1
C:
34 Pal L / 240 9'-2" 9'-12• 11'-11" 12'-10'
p 37 psf L / 180 9'-10' 10'-8" 12'-9' 13'-9'
L/240 8'-11• 91-V 11'-r Iz_T
t, L / 160 9'-r IV-5" 1T5" 13'-S
0 40 Pal L 1240 8'-r V-5" 1 V3" 12'-2'
w L/lB0 913" IVA" 17-0" 12'-12'
44 psf
L / 240 8'S" 9'-2- IV-11" 11'-9'
L / 180 9'-T 9'-10' 11'-8" 12'-7'
48 psf L / 240 8'-2" B'-11" 10'-7" 11'S'
L 1160 B'-9•
52 pal
L / 240 T-17
L/ 180 8'-r 9'4" 11'-1" 11'-12"
56 psf L 1240 T-9" 10'-1" 19-10"
L / 180 B'4' 9'
8'S"
1' IV-10" 11'S'
60 pal L / 240 T-T 8'3' 9'-IW IV-7'
DEFLECTION NOTES:
1. USE L/120 FOR ALL MEMBERS SUPPORTING ROOFS OVER AN OPEN OR SCREEN -WALLED
ROOM.
2. USE L/180 FOR ALL MEMBERS SUPPORTING ROOFS WITH A NON -PLASTERED CEILING OVER
AN ENCLOSED ROOM.
3. USE L/240 FOR ALL MEMBERS SUPPORTING ROOFS WITH A PLASTERED CEILING OVER AN
ENCLOSED ROOM, PER FLORIDA BUILDING CODE FIFTH EDITION (2014) TABLE 16D4.3.
OTHER CONSIDERATIONS:
I. FRONT OVERHANG MAYBE UP TO 3'-0` WITH VALUES LISTED HEREIN. MAXIMUM
UNSUPPORTED SIDE OVERHANG IS 25% OF LAST PANEL WIDTH (i.e. 12" MAX FOR 48"
PANEL WIDTH).
2. ROOF PITCH SHALL BE AS PER MINIMUM BULDING CODE RE UIREMENi
OPTIONAL
GUTTER
NOTE: SHINGLES AND/OR OTHER
APPROVED WEATHER MEMBRANE
OROR DRIP SHALL BE AFFIXED TO THE OSB TOP
CAPLOADS
PER MFR. SPECIFICATIONS. DEAD
OVERHANG -
DUE TO THESE ROOFING
MATERIALS SHALL BE CONSIDERED
36" MAX O/H AT FRONT & 25% IN ADDITION TO LOADS SHOWN
OF LAST PANEL WIDTH AT SIDES ABOVE WHEN USING SPAN TABLES.
UP TO 12" MAX O/H AT SIDES)
MAXIMUM ALLOWABLE
DESIGN PRESSURES: kQ
AS NOTED IN CLEAR
SPAN TABLES
DESIGN NOTES:
POSITIVE AND NEGATIVE DESIGN PRESSURES
THIS SYSTEM SHALL BE DETERMINED BY OTHI
2014) SHALL BE LESS THAN OR EQUAL TO THE POSITIVE OR NEGATIVE
AS SHOWN SURE CAPACITY VALUES LISTED HEREIN FOR ANY ASSEMBLY
GENERAL NOTES:
1. THIS SPECIFICATION HAS BEEN DESIGNED AND SHALL BE
FABRICATED IN ACCORDANCE WITH THE REQUIREMENTS OF THE FLORIDA
BUILDING CODE FIFTH EDITION (2014 FOR USE OUTSIDE THE HVHZ. COMPOSITE ROOF PANELS SHALL COMw'Y WITH CHAPTER 7 SECTION 720,
CHAFFER 8 SECTION 803, CLASS A INTERIOR FINISH, AND CHAPTER 26
SECTION 2603 OF THE FLORIDA BUILDING CODE FIFTH EDITION (2014).
CONTRACTOR SHALL INVESTIGATE AND CONFORM TO ALL LOCAL BUILDING
CODE AMENDMENTS WHICH MAY APPLY. DESIGN CRITERIA BEYOND AS
STATED HEREIN MAY REQUIRE ADDITIONAL SITE -SPECIFIC SEALED
L ¢ Q U LL e o; rn nv
a Si d
Lz. 3NoW g
W
IA z a 3 y
e w —
Cf
a
y
ENGINEERING.
2. NO 33-1/3% INCREASE IN ALLOWABLE STRESS HAS BEEN USED IN
THE DESIGN OF THIS SYSTEM.
3. THE ARCHITECT/ENGINEER OF RECORD FOR THE PROJECT
SUPERSTRUCTURE WITH WHICH THIS DESIGN IS USED SHALL BE D z aZ hRESPONSIBLEFORTHEINTEGRITYOFALLSUPPORTINGSURFACESTOh"I 0 o
THIS DESIGN WHICH SHALL BE COORDINATED BY THE PERMITTING
CONTRACTOR.
J M a #
4. SEPARATE'SITE-SPECIFIC' SEALED ENGINEERING SHALL BE z a! oLL
REQUIRED IN ORDER TO DEVIATE FROM LOADS, DEFLECTIONS, OR SPANS J u 0. 0 LCONTAINEDHEREIN. LINEAR INTERPOLATION OF THE ALLOWABLE SPAN
TABLES LISTED HEREIN SHALL NOT BE PERMITTED. CONTACT THIS Q Q. O
ENGINEER FOR ALTERNATE SPAN CALCULATIONS AS MAY BE REQUIRED.
IS GENERIC AND DOES NOT' PROVIDE
uLLIdzOoS ut z 'aS. THE SYSTEM DETAILED HEREIN
INFORMATION FOR A SPECIFIC SITE. FOR SITE CONDITIONS DIFFERENT Fy-' z g 2:w
FROM THE CONDITIONS DETAILED HEREIN, A LICENSED ENGINEER OR FOR I 0 0 0 u a 0REGISTEREDARCHITECTSHALLPREPARESITESPECIFICDOCUMENTSWVauw — USE IN CONJUNCTION WITH THIS DOCUMENT.
6. THE CONTRACTOR SHALL CAREFULLY CONSIDER POSSIBLE IMPOSING p N
LOADS ON ROOF, INCLUDING BUT NOT LIMITED TO ANY CONCENTRATED W % u 0
LOADS WHICH MAY JUSTIFY GREATER DESIGN CRITERIA. THIS
ADDITIONAL ROOF LOAD CRITERIA SHALL BE PROPERLY ANALYZED BY A
LICENSED ENGINEER OR REGISTERED ARCHITECT.
a a
7. EPS CORE COMPOSITE PANELS SHALL BE CONSTRUCTED USING TYPE S3105-H154 ALUMINUM & 1/2' ORIENTED STRAND BOARD (OS BI FACINGS,
1.0 PCF EPS. THE EPS FOAM SHALL BE ADHERED TO THE FACINNGS WITH
ASHLAND SPECIALTY). FABRICATION
p 6
3 mLU
w
ISOGRIP SP 2020 ADHESIVE (BY
SHALL BE IN ACCORDANCE WITH APPROVED FABRICATION METHODS BY
m 0.
MANUFACTURER FOR ALL PANELS..
SPECIFICATION BY CONTRACTOR, et. al.
ESS THIS ENGINEER FOR ALL COST &
EES & APPELLATE FEES RESULTING FROM
EM ERECTION; & CONSTRUCTION PRACTICES
D FOR BY LOCAL, STATE, & FEDERAL CODES
PLAN.
ROVIDED HEREIN, NO ADDITIONAL
BONS ARE INTENDED.
JS, HIGHLIGHTING OR OTHER MARKINGS TO
LMRTED AND INVALIDATE THIS
TABLE VALUE DERIVATIONS: BRM
14-1441PANELPROPERTIES:
1. PANEL STRUCTURAL PROPERTIES DERIVED FROM CERTIFIED TEST
REPORTS Nos. HER-05-2025,-05-2026,-05-2027,-05-2028, SCALE:
PAGE DESCRI TION
NT.S.
05-2032,-05-2033,-05-2034,-05-2035 BY HURRICANE
ENGINEERING & TESTING, Inc.
2. PANEL DEAD LOADS (EXCLUSIVE OF WEATHER -RESISTANT
ROOFING MATERIALS) HAVE BEEN FACTORED INTO
CALCULATIONS FOR GRAVITY LOADS AS WELL AS CALCULATIONS
FOR PANEL PROPERTIES.
REQUIRED INSPECTION SEQUENCE
BP# /) - 2Y4 2 Address: ZvY u/ 4Vu 0ee5'r iw
BUILDING PERMIT
Min Max Inspection Description
Footer / Setback
Stemwall
Slab / Mono Slab Pre our
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof (Com'l)
Building Ceiling Grid
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Final Solar
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial — New
Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
ELECTRICAL PERMIT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
Electric Rough
Pre -Power Final
Temporary Pole
Electric Final
PLUMBING PERMIT
Min Max Inspection Description
Roof Storm Drain Rough
Plumbing Underground
Plumbing 2nd Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
Plumbing Final
MECHANICAL PERMIT
Min Max Inspection Description
Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Light / Water Test Ck Welds
Mechanical Grease Duct Wrap
Mechanical Final
REVIS41): June 2014 '
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: Y 1 L-p v)
an agent of: U :' (.1 s 1 9 C r -J- ( 1
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
Ef The
0
permAt apd application for work located at: ( t f
G( (
Sh& Address) (/
This Limited Power of Attorney:
License Holder Name: 6c& pia
State License Number: Wo l
Signature of License Holder;
RAM
STATE OF FLORIDA
COUNTY OF
The foregoing 1Mtrument was know a ged before me this day of
20p, by who is o pe pall known
to me or o who has prod ced I' L 2 1 d' as
identification and who did (did not) take an oath.
Signature
Notary Seal)
s wm'ep .eNoa S d1
Rev. 08.12)
or type name
Notary Public - State of _
Commission No.
My Commission Expires;