1937 BEACH AVE ROOF22-0031 ';' 41',%=,,, Building Permit Application
,Mr{nred 10/9/1$
d'.
s -.--,• .-, City of Atlantic Beach Building Department **ALL INFORMATION
,\ 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
J';'�r IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 1937 Beach Ave. Permit Number:R 2 Z` ( C5 , \
Legal Description 15-57 09-2S-29E N ATLANTIC BEACH UNIT NO 2 PT LOT 54 RE# 169692-0100
Valuation of Work(Replacement Cost)S 45000 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: iZiNew DAddition DAlteration [Repair DMove [Demo [Pool DWindow/Door
• Use of existing/proposed structure(s): ❑Commercial EdResidential
• If an existing structure,is a fire sprinkler system installed?: DYes ONo
• # t1re'rs4 4,r Irmvrrd°m wisuerilercm'Wen Tot/rimed snritvell u`fe's'most•svh,rrih yra2trate-Wm Skernthrdi 4"er rriA', 1E-2114D
IDescribe in detail the type of work to be performed: I
Metal roof Re roof I
Florida Product Approval#33813.1 for multiple products use product approval form
Property Owner Information
Name Elliot Zinser Address 1937 Beach Ave.
City Maniac Beach State FL Zip 127V4 Phone 9047358518
E-Mail mfyomes149@yahoo.com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
rnntr,r*nr Information
Name of Company Ford Roofing Systems Inc. Qualifying Agent Robert Maust
Address 3839 Millpoint Dr City Jacksonville State FL Zip 32257
office phone 9043147671 Job Site Contact Number 9043147671
State Certification/Registration# CCC1327698 E-Mail fordroofing@gmail.c om
Architect Name&Phone#
Fngineer's Name R Phone U
Workers Compensation Insurer American zurich insurance OR Exempt Li Expiration Date 12/31/22
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 the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS, POOLS,FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. 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 a&es Kies.
OWNER'S AFFIDAVIT:I certify that all 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 P' • 'ERTY. IF YOU INTEND
TO OBTAIN Fl ANCING, CONSULT WITH YOUR LENDER OR , . ,TTOR EY BEFORE
Ktw # fitl. . F C T MENCEMEN . '�
(Signa a of• - . ,:ent) "ApPV:105.11,117. ot �S' eed and sworn to(or - _rrmed)bgfore me thisA3 day of ; sworn to(or affirm�jd)before a this 1 da of
*0-gby ,Gt zr5 " r / �O12 ,by l�c� l�lLi�c
roe'...•.' Commission If GO 851911 20�;...�s�,� GREGORY J.BARTHOLOMEW
* Expires February 8,2024
,,,5::7617)7,71.1)14e,
>,cr, * Commission#GG 951321
[ ]Personally Known OR Bi o — {-1 er anally Known OR 9 �o� Expires February6,2024
�'�PRiduced Identification DOFF\gyp _ [ )Produced Identification rFoFFLo BondedThruBudgetNotaryServices
Type of Identification: /—L ID 4t-1.7
el-5°M S Type of Identification:
,1N* �TrI r~ 11.4011r Registry No. 29824
T
-- R � � s 17520 Edinburgh Dr
Tampa, FL 33647
—
(8 r)480-3421
EVALUATION REPORT FLORIDA BUILDING CODE,7"EDITION(2020)
Manufacturer: GULF COAST SUPPLY&MANUFACTURING,LLC Issued October 21, 2021
14429 SW 2nd Place,Suite G30
Newberry, FL JZ ooa
(352)498-7852
WhAni —i --M
Manufacturing Locations: Alachua, FL
Sebring, FL
Montgomery,AL
Quality Assurance: PRI Construction Materials Technologies, LLC (QUA9110)
SCOP..
Category: Rooting
Subcategory: Metal Roofing
Code Edition: Florida Building Code, 7th Edition (2020) High-Velocity Hurricane Zones(HVHZ)
Code Sections: 1518.9.1, 1523.1.1, 1523.6.5, 1523.6.5.2.4, 1523.6.5.2.4.1
Properties: Wind Resistance
RCrCREIe,co
Entity Report No. Standard Year
Architectural Testing, Inc.(TST1527) 69000.01-450-18 TAS 125 2003
Farabaugh Engineering&Testing, Inc.(TST1654) T126-07 TAS 100 1995
Farabaugh Engineering&Testing, Inc.(TST1654) T128-07 TAS 100 1995
Farabaugh Engineering&Testing,Inc.(TST1654) T129-07 TAS 100 1995
Farabaugh Engineering&Testing, Inc.(TST1654) T130-07 TAS 100 1995
Farabaugh Engineering&Testing,Inc.(TST1654) T132-07 TAS 100 1995
Farabaugh Engineering&Testing, Inc.(TST1654) T215-08 TAS 100 1995
Farabaugh Engineering&Testing Inc. (TST1654) T270-08 TAS 100 1005
Farabaugh Engineering&T_stnV., Inc.(TST1654) T271-08 TAS 100
1995
Farnhorrnh Engineering R Tcctinn Inc,(TCT1654) T272-0R TAC 100 1995
Fnraahariestinn1 iii,. (TST16 4) T273-fl TAS 100 1qG.
Farabaugh Engineering&Testing, Inc.(TST1654) T356-10 TAS 100 1995
Force Engineering&Testing(TST5328) 72-0313T-06A-C TAS 125 2003
Force Engineering&Testing(TST5328) 72-0198T-07A-C TAS 125 2003
Force Engineering&Testing(TST5328) 117-0062T-07A-C TAS 125 2003
Force Engineering&Testing(TST5328) 117-0062T-07D-F TAS 125 2003
Force Engineering&Testing(TST5328) 117-0062T-07G-1 TAS 125 2003
Force Engineering&Testing(TST5328) 117-0062T-07J-L TAS 125 2003
Force Engineering&Testing(TST5328) 117-0065T-07A-C TAS 125 2003
Force Engineering&Testing(TST5328) 117-0238T-09D FM 4471 1992
Fisrce Engineering,i Testing(av 5,t_L)) FM 4471 ---
Force Engineering&Testing(TST5328) 117-0238T-11A FM 4471 1992
Force Engineering&Testing(TST5328) 117-0378T-11A FM 4471 1992
Force Engineering&Testing(TST5328) 117-0378T-11B FM 4471 1992
Force Engineering&Testing(TST5328) 117-0378T-11C FM 4471 1992
PRI Construction Materials Technologies(TST5878) HTL-018-02-01 TAS 100 1995
PRI Construction Materials Technologies(TST5878) 1272T0002 ASTM B 117 2016
TAS 110 2000
PRI rnnstnlrtinn Materials Tar•.hnnlnnies(TST5R7R) 1272T0003 ASTM R 117 2016
FAs ' n;
PRI Construction Materials Technologies(TST5878) 1272T0005 ASTM G 155 2013
TOC 110 'Jong
PRI Construction Materials Technologies(TST5878) 1272T0006 ASTM G 155 2013
TAS 110 2000
GCS20002.2b FL33818-R2 Page 1 of 4
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services,LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation,recommended use, or other product attributes that are not
specifically addressed herein.
.•
Oil
G R E E K GULF COAST SUPPLY&MANUFACTURING, LLC
MefM!Rnnfing/FIVH7i
TECHNICAL SERVICES,LLC
PRODUCT DESCRiPTION
GulfLok Profile: 1 in.snap lock seam;Max.16 in.coverage —
. ........ .................
Description: Non-structural. snap lock standing seam roof panel with 7/8 in.slotted nail strip
Material: Min.26 ga.ASTM A792 AZ50 coated with Florupon®or ASTM A653 G90;
_min.50 ksi; Shall conform with FBC Section 1507A.3
a
11 -- _
12"and 16" Coverage
I �
VersaLoc Profile: 1.5 in.mechanical seam; Max. 18 in.coverage
Description: I Non-structural,mechanical lock 180°standing seam roof panel
Material: r Min.24 ga.ASTM A792 AZ50 coated with Florupon®or ASTM A653 G90;
F =min.50 ksi; Shall conform with FBC Section 1507.4.3
I
-
_
•
lin-I
1
iT8" 18"Covarayu
5V Crimp 4 Profile: 7/16 in. ribs at 12 in.o.c.;24 in.coverage
Description Non-structural,through fastened rnnf panel
Material: Min. 26 ga.ASTM A792 AZ50 coated with Florupon®or ASTM A653 G90;
Fy=min.50 ksi; Shall conform with FBC Section 1507.4.3
Min.0.032 in.ASTM B209,3105 H24 aluminum; Optional Florupon®paint finish;
I Fy=min.25 ksi; Shall conform with FBC Section 1507.4.3
7/16"t 12"
24"Coverage
GCS20002.2b FL33818-R2 Page 2 of 4
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services,LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation,recommended use,or other product attributes that are not
specifically addressed herein.
C R E E KGULF COAST SUPPLY&MANUFACTURING,LLC
Mut*i Rnnfinn(HvH7)
TECHNICAL SERVICES, LLC
GuIfPBR Profile: ' 1 1/4 in. ribs at 12 in.o.c.; 36 in. coverage
Description: ! Non-structural,through fastened roof panel
Material: ; Min. 26 ga.ASTM A792 AZ50 coated with Florupon®or ASTM A653 G90;
FY=min. 80 ksi; Shall conform with FBC Section 1507.4.3
• 1"4"
12"
• 36"Coverage
•
GulfRib Profile: 3/4 in. ribs at 9 in.o.c.; 36 in. coverage
Description: Non-structural, through fastened roof panel
Material: i Min.29 ga.ASTM A792 AZ50 coated with Florupon(E)or AS I M A653 G90;
FY=min. 80 ksi; Shall conform with FBC Section 1507.4.3
•
•
•
3/4"#
•
36" Coverage
•
GCS20002.2b FL33818-R2 Page 3 of 4
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services. LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report dues not express nor imply warranty, installation, recommended use,or other product attributes that are not
specificaiiy addressed herein.
•
MI CREEK GULF COAST SUPPLY&MANUFACTURING,LLC
Metal Rnnfinn(14VW7)
TECHNICAL SERVICES, LLC
LIMITATIONS
1. Fire classification is not within the scope of this evaluation.
2. The roof deck and the roof deck attachment information are provided based on testing. FBC requirements
for the rational design of the roof deck, including the attachment, are not within the scope of this
evaluation.
3. Roof slope shall be 2:12 or greater.
4. Reroofing shall be in accordance with Section 1521.
5. Installation of the evaluated products shall comply with this report, RAS 133and the manufacturer's
published application instructions. Where discrepancies exist between these sources, the more restrictive
and FBC compliant installation detail shall prevail.
6. All products listed in this report shall be manufactured under a quality assurance program in compliance with
Rule 61G20-3.
COMPLIANCE STATEMENT
The products evaluated herein by Zachary R. Priest, P.E. have demonstrated compliance with the Florida Building
!`nrlr 7th Frnti.. /2N17m H.h_Vc!nrify H irrir7Inn 7nnec (HVH7) nvirinncnri in the refe nr!rIn nta ihrnittp(1
by rhe n ed m factu.
uy uro,iaii,cu n,ai,u,a�rw cr.
`,`` R.
�
s 1111 l t i, !I
, Gip. ,� ,p,Qi,��•••
This item has been
digitally signed and
,� ..• GEN g�.�`�,�
'V.•. sealed by Zachary R. 2021 .1 0.21
No 74021 Priest,PE,on 10/21/2021. ,7?! / I �.A D.t1I
'" . '� y7s(`' C ' : :.1.'+J.1.1I
1 Printari t Opicc n!this �/ L1
* 7.",
rlr►rr�ment era not t r
tn
~ -r��. rw rr- •-•r- • .,1 i P' netwirioreR cinnori anr4 i — 14-41.
r
sealed and the signature
'� �• 'c P••���: achary R. Priest, P.E.
. s. O R t O,.•�� �` must be verified on any Florida Registration No. 74021
eie0;S;ONA;� ``� electronic copies. Organization No.ANE9641
CERTIFICATION OF INDEPENDENCE
CREEK Technical Services, LLC does not have,nor will itacquire;a financial interest in any company manufacturing or di.stributing
products under this evaluation.
CREEK Technical Services,LLC is not owned,operated,or controlled by any company manufacturing or distributing products under
this evaluation.
Zachary R. Priest, P.E. does not have, nor will acquire, a financial interest in any company manufacturing or distributing products
under this evaluation.
Zachary R.Priest,P.E.does not have,nor will acquire,a financial interest in any other entity involved in the approval process of the
product.
aarrr nnqrrq
1) APPENDIX A—Installation (3 pages)
2) APPENDIX B—Approved Roof Systems(4 pages)
3) APPENDIX C—Design Wind Loads(3 pages)
GCS20002.2b FL33818-R2 Page 4 of 4
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services, LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation,recommended use, or other product attributes that are not
specificaiiy addressed herein.
CREEK GULF COAST SUPPLY&MANUFACTURING,LLC
Mofn!Rnnfinn WW1
TECHNICAL SERVICES, LLC
AoocNnIX A
INSTALLATION
Note-Refer to the APPROVED ROOF SYSTEMS section of this report for specific installation details of a selected system.
Unless otherwise specified in this report the following installation details shall be met for the named products:
1 Component + Product installation Detail
#4-95 HWH vw)od screw i I
with sealing washer
i/9-i 5 HWH WuoUZAC• i !
screw I Shall penetrate through the sheathing a minimum 3/8 in. Shall be corrosion
#10-12 Pancake Type A resistant in accordance with FBC section 1507.4.4.
Fasteners screw
#12-11 Pancake Type A
screw
1/4-14 HWH ZAC Impax Installed at panel side lap;Shall be corrosion resistant in accordance with FBC
Lap screw section 1`07.4.4.
I
24 ga.in-seam clip
I I .
' GulfLok
14.1f4- t
r' Ls
Clips
--1 0.78 ••--
4-1/4" -�
2"
NC-33003-3 Sliding Clip
Fri—J
n n
TSeaiants Metal d amzaster Shaii be applied in 1i4"-5i16"continuous beads on the maie rib aiong the seam
I Metal Roof Sealant
GCS20002.2b FL33818-R2 Page 1 of 3
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services.LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use, or other product attributes that are not
specificaiiy addressed herein.
. .
ICREEK GULF COAST SUPPLY&MANUFACTURING,LLC
——_ Mpf Printing(i-iviv)
TECHNICAL SERVICES, LLC
ADpCAt111V A
Fastening Details
Nomenclature Attachment
I' MAX. 16" COVERAGE- •r
I
Gu Lok Type.I ( i
! i
P _a
(1) #10-12 X 1"TYPE A PANCAKE
1 i ter- %ulFJ.iN CLIP c CAA. - -- _.
1 GulfLok Type 2 T/I 11_ _ 1
I I .,-1
`\ (1) #10-12 X 1" TYPE A PANCAKE
1'ri Max. 18" ir
i i
Vers&LUG Type 1
IIT ,,
LI!
\ 1500SC SLIDING CLIP
(2) #12-11 x 1"Panhead per Clip //ilf"---‘4
/41 N/1 4 r . _ 4 4 In!! 1 1tA/1 _-_IF1 __1! -- %w/_ _1_ _ _
! I �! I ) rr - Iii X I - TIC. I 'will I yyi.)c_nIIIIij uvn I!I
5V Type 1 12t14or 1 211 q
At Panel Lap
Ai Panel Lap—
#1/4-14
ap#1(4-14 x /Al"Lap Screw 24'U.L. Max.
12" 12" 1 12"
GuIfPBR Type 1
/Tht"------------//—\1° '
(1)#9-15 x 1-112"
GCS20002.2b FL33818-R2 Page 2 of 3
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services,LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This ewaivation report does nrA express nor irnpiy warranty,installation,recommended use, or other product attributes that are not
specifically addressed herein.
CR F F K GULF COAST SUPPLY&MANUFACTURING,LLC
-——- ._ Maarannling/141/1471
TECHNICAL SERVICES, LLC
APP=N DIY A
Fastening Details
Nomenclature Attachment
#1/4-14 x 7/8"Lap Screw @ 24"O.C. Max.
l—5" ! 7" I 5" Jr 7. f 5,, a 7" 41\5"--sr
{ t : : , + is
I GuIfPBR Type 2 t ! _ i _ i I ;.� i
(1)#9-15x1-1/2"
^^ _ T .r S
i 1 At Panel tap\1
.ulfRib
L(1)#9.15 x 1-1/2•w/Sealer Washer
� t
i6.5"12.5"-f--6.5"--'-, 2.5"-f--6.5"--1-2.5"1-5.5"--1.-2.5'17+' +-------
1-1/2"
i i i 17-. 1 i i GelfRib Type 2 I 1 -w/Sealer Washer
GCS20002.2b FL33818-R2 Page 3 of 3
This evaluation report is provided for State of Florida product approval under Rule 61G20-3. The manufacturer shall notify CREEK
Technical Services.LLC of any product changes or quality assurance changes throughout the duration for which this report is valid.
This evaluation report does not express nor imply warranty, installation, recommended use,or other product attributes that are not
specifically addressee herein.
1 {i. GULF COAST 8U' LY&MANUFACTURING,LLC
�, �,�.. REE -
l�'C� �'�^ Metal Roofing(HV'HZ)
TIE:oHNICAL SERA/I,::EES, LLC
APPENDIX B
APPROVED ROOF SYSTEMS
The following notes shall he observed when using the assembly tables below.
1. Maximum Design Pressur+ (MDP)was calculated using a 2:1 margin of safety per FBC Section 1523.4.
2. Refer to LIMITATIONS and sections of this evalLaticn when using the tatle(s) below.
3. Refer to INsTALLATIQn section of this report for installation detail when the information is not explicitly stated for the selected assembly.
4. The on-center(o.c.)spacing given is the maxi-num allowable attachment spacing for the rated system.
5. Luderlayment shall be installed in accordance with FBC requirements. The minimum underlayment shall be ASTM D 2:i6, Type II installed as described
in FBC Section 1518.2.1 with hails and tin caps per 1517.5.
6. Steel Deck shall be designed by others in accordance with FBC requiremen:s and shall be m.nirnurn 22 ga (Fy=min.410 ksi)Wide Rib Deck(Type WR)
conforming to ANSI/SDI-RD1.0& FBC. In no case shall the panels be installed on less than 1wa continuous spans,which are spaced a maximum 5-ft o.c.
At minimum,the decl' shall be attached with one (1)#12 x 1.5-inch I-M1H self-drilling screws at the bottom of each flute,,maxaimuh,.6-inch o.c. alDncl the
support). At minimum,the deck side laps sha I be fastened a maximur-t 6-inch o,c.with#12 x 1 5-inch HWH self-drilling screws,
7. Wood Deck shall be designed by others in accordance with FBC requirements and shall be minimum 19/32-inch this APA Span-Rated plywood
sheathing or wood plank M maximum 24-inch span for new construction. Existing constructio 1 s•aall be the minimum plywood sheathing or wood plank
thickness at maximum 24-inch span as stated in the approval tables on following pages. In no case shall the attachmeit be less than 8d ring shank nails
spaced 6-inch o.c.
_^_ Roof System Numbers and Definitions _�Y� _ -�.
•
LOK-W# GulfLok over Wood Dec,:(New or Existing)
VL-W# _ 1.5"VersaLoc over Wood Deck(new or Existing) _ —
5V-W# By Crim.over Wood D--ak(New or Existing) - ^
PBR-W# GuIfPBR over Wood De ckjNew or Existing]_ __ --. -� '� ____
RIB-W# GulfRib over Wood Deck(New or Existing)_ -_-~�_ _
--_ .w Approved Systems for GulfLalk over Wood Deck(New or Existing) _.w.-�
Sy:atcarr' Deck Fire Barrier ll�nderlayment Roof Panel Panel Attaachrnent MOP
PJo.
(psi)
--. .rOPTIONAL w.wM .__....e3uffLok Type 1 attachment with#10-12 x T'
LOl' W1 Min. 15/32 Min
AX?droved fire barrier As required per FBC .26 ga.GulfLok Pancake Type A screw:3 spaced 5-3/16 in.o.c. -121,75
CDX plywood �r insulation Max. 18-inch coverage Titebond Weathermasi er Metal Roof Sealant
applied to male rib.
µ
Min. 15/32 OPTIONAL Y 26 da,Grade 80 GulfLck GulfLok Type 1 attachment #1Q-12 x 1"
LOK;W..2 Apdroved fire barrier As required per FBC •63x,5
B-C plywood x Insulation Max. 18-inch coverage Pancake Type A screws sperued 5.3/16 in.o.c
OPTIONAL -.�.-- --.�... ---_...» GulfLok Type 2 attachment with -.�.M
I-.OK;W••3 Min. 15/32 Apa.,rovedfire barrier As required per FBC 26 ga.,Grade 80 Gulfl_c k 410-12 x 1"Pancake Type A screws through -161
B-C plywood ,:)r Insulation Max. 18-inch coverage clip and spaced 5-3/16 in.o.c.
GC 211002.E:b - --- FI.3381E3 2 --�- -- -Foga1 of 4
This evaluation report is provided for Stote of Florida product srpproval under Rule 61G20-3. The manufacturer shall not t/CREEK Technical Seivices,LLC of any product changes or
quallly assurance changes througrrout the duration for which this report Is valid. This evaluation report does not express nor Imply warranty, installat:on, recommended uss,or other
product at:r butes that are not specificalt/addressed herein.
u ' 'REEK: &C"'REEK
COAST SUPPLY MANUFACTURING,1.1..0"
3 �" ..�., Metal Roofing(H0/HZ)
TECHNICAL SERVICES, LLC APPENDIX B
Approved Systems for VersaLoc over Wood Deck(New or Existing) _ __.,.w — -�^
SystemMl a A
Deck Irire Barrier 1irderlayment Roof Panel Panel Atlaachn1ent
it12;0
Min. 15/32 OP71ONAL Miry.24 ga.VersaLoc VersaLoc Type 1 eittadhhnent
/L-W-1 B-C I Approved fire barrier As required per FBC -59 1'5
plywood �r Insulation Max. 16-inch coverage with clips spaced;;114 in,o.c.
__. Min. 15/32 1 ^`MdPTioNAL _- — Min.24 ya.VersaLoc --_ ..._ VersaLoc Type? 1 rattatihlnent —�_....
'JL-W-2 B-C plywood Aire roved fire barrier As rrrqulrect per FBC Max. 10-inch coverage with clips spiced r3 in.0.c. -12:3.5
or Insulation
_ _ Approved)Systems for 5V Cririp over Wood Deck(New or Existing) N ,—.�_M�
Sy,_,tem ire Barrier/ MOP
No, Deck nsulation Unde>rlayMent Roof Panel Panel Attachment t
(l�'ts )
OPTIONAL
Min. 15/32 Min.26 ge,5V Crimp 5V Cdr.v7o Type 1 attachment with t'`.)=15 HWH wood
ECJ W-1 B-C plywood Approved fire barrier As required per FBC 24-inch coverage screws with sealing washers spored 12 in.o.c. -106'9
or Insulation
OPTIONAL
�iV W ? Min. 15/32 Aper'uved fire barrier As rewired per FBC Min.26 pa.5V Crimp 5V Crir�;o Type 1 attachment v/ith#9=15 HWH wood _156 9
B-C plywood or Insulation 24-inch coverage screws with sealing washers spaced 8 in.o.c.
---i--_— ___._._W
Approved Syet�ms for GuIfPE�IR over Wood Deck(Newor't casting) -_�uK
System t=re Barrier/ MDP
No. Deck insulation Undadayment hoof Panel Panel Attachment (pa-)
OPTIONALGuifRet?Type 1 attachment with#7-15 '15 HWH WoodZAC
Min. 15/32 Min.26 pa,GuIfPBR screws spaced 24 in.c.c.
PEIh-VV-I Ap,a wed fire barrier 4:.required L)er FBC pr -Ei0.5
B-C plywood cr Insulation 3E1-inch coverage Laps fastened With 1/4-14 x 7/8" HV!H ZAC Impax Lap
screws spaced 2:4 in.c.c.
GC520002.2.b _ _ FL3_,81 El•R2 _ _Page 2 of 4
This evaluation report is provided for SI<,te of Florida product approval under Rule 61G20.3. T he manufacturer shall notify CREEK Technical.€€vices, LLC of any product:changes or
quality assurance changes throughout the duration for which this report Is valid. This.svaivation report does not express nor Imply warranty,installat on, recommended u.;e,or other
product attributes that are not specifically addressed herein.
iG .,"u GULF COAST SUPPLY&MANUFACTURING,LLC
1N "�..+ i+j Metal Rooiiny(HVnH2)
TECHNICAL SERVI E'B, LLC
APPENDIX B
_ Approved Systems for GUIfPENiR over Wood Deck(New or f oisting)
5y:=tem Deck F=ire Barrier/ MOP
No. IrllUlgtion Uricierlayrnent ROO/Panel Panel Attachment
(pal
(N
Min. 1x4 No.2
SYP wood GurtPI3R Type 1 attachment with 49-1:i HWF4 WoodZAC
purlins spaced OPTIONAL Min.26 ga,GUIfPBR screws spliced 24 in.c.c.into mod purlins
PBR-W-2 24 in.o.c. Ap,n,°ovedfire barrier As required per FBC -1110.5
38.inc:h coverage Laps"asteried with 1/4-14 x 7/8 ZAC know Lap screws
over Or Insulation
Min. 15/32 spaced 24 i":.O.C.
......
B-C plywood _ ,., —.— _ ___..... — _......,,,_.- _._..,. ___.. —
Min. 1x4 No.2
SYP wood GrrIIPEJR Type 2 attachment with kih 15 15 HWH
purlins spaced OPTIONAL Min.26 ga,GUIfPBR WoodZAG screws spaced 12 in.o.c,lute wood purlins
PESR-11%/ 12 in.o.c. Ap,G,wetl fire barrier 4:.required per FBC 38-inch coverage Laps fastened With 1/4-14 x 718" HWM ZAC Impax Lap -1'i1'7a
over car Insulation screws spaced 24 in,o.c.
Min. 15/32
B-C plywood _
OPTIONAL GuifPI3R Type 2attachment with 49-115 HWF4WoodZAC
PEIR-VV•41 Min. 15/32 Appt>"oved fire barrier As required per FBC Niin.26 tJa,GUIfPBR s«news spaced 12 in.o.c. -154.75
B-C plywood r Insulation 36-inch coverage Laps fastened with 1/4-14 x 7/8" HWM ZAC Impax Lap
sirews spaced 24 in.o.c.
�._._..,�.+ .�._..... — . ................... __,�._». ._.�...,.." 1.1 11.•...,-
._._.,.w ._ _.,..,....._, __.�..,,...,..._„ ._.�..,..,...._r
Approved Systems for GulfRib over Wood Deck(New or IEicietirtg)
y: tern Deck F::re eprrier/ Unclorlaylnent Roof Panel Panel Attachment MOPNo. inBUlgtion (PO
Min. 15/32 OPTIONAL Min.29 ga,GulfRib GuifRib Type 1 attachment with#with 00,15 HWH
RIE-W-1 B-C plywood Approved fire barrier 4s required per FBC 3E;..inc�h coverage )hloodnAC screws spaced 2 4 in.b;c •7'I, 9
car insulation
Min. 1x4 No.2 _._.,.,. — ___ .x....- ----µms .- — __.._ .. ____...._..._
SYP wood
purlins spaced OPTIONAL Min.26ga,C3ulfRib GulfRib Nuhn: 1 Attachment with d9-1 E HWH WoodZAC
RIE•W 24 in.o.c. Ape.raved fire barrier As required per FBC 3E;-inch coverage screws spaced 24 in.o.c:.into Wood purlins -106.75
over or Insulation
Min. 15/32
B-C plywood
GCS2f002. 'b _ F1_3=i£316-122 _ _ _ _ Fuge 3 of 4
This evaluation report is provided 'or SI:cde of Florida product approval under Rule 61G20.3. The manufacturer shall notify CREEK Technical Services,LLC of any product:charoaa or
quality assurance changes throughout the duration for which this report Is valid. This avaluatiun report does not express nor Imply warranty, installation, recommended tee, or other
product:at:r hutes that are not specifically addressed herein.
r. GULF COAST SUPPLY&MANUFACTURING,LLC
C"' REE
�, Metal Roollnd(M)J�HZ)
TIE CHNICAL SERVICE i, LLCAPP'�IVI�I ;B
^—,M kms_ Approved Systems for GulfRib,)vier Wood Deck(Nero or +i ing) ---.....--mo.,-...—..--.—.,..........-
� w..�„,.,....
System Fre Barrier/ MOP
Deck Underlayment IRncbf Panel Panel Attachment
No. IneUlgtion (1:1!;')
...__,... . ....w...-iYLi, r•• .�...., .....�...r...i...,�y .w„Mmlf~x./ .r......,.n....irrr. ..m.mv....M.MOr
OPTIONAL
B .15y5//3322 hAin.26 0a,GulfRib GutfAib Tyve2 attachment with#9-111 HWH WoodZAC
F:IB-W-3
App,-oved fire barrier As required per F BC 3f;-inch coverage screws spaced 12 in,o.r,. -156.25
Or int illation
_..w.—Min.1x4 No.2 -_.,.� w.�.....,�— _._...r,r�......._ �..M..m..-. ._._.,.� --, �.�.,...M,....r
SYP wood
purlins spaced t)PTIONAL Min.20 ga,GulfRib GU/fRib Tyne 1 Attachment with 1t9-1R HWH WoodZAC
RIE-W-4 12 in.o.c. App.uvea tire barrier As required{:ter FBC -164.2536-Inch Coverage screws spaced 12 in.o.c:.into wood puffins
over or Insulation
Min.15/32
B-C plywood
—.�..........., .�•......M .w..wdmiNuiYY-- ....,.M .w..W,.YV- –,, —.�....M,. .•.
GCS2170Q2, :b FL3 X81 B.R2 Page 4 of 4
This evaluation report is provided'tor State of Florida product.approval under Rule 61G20.3. The manufacturer shall notify CREEK Technical:Services,LLC of any product changes or
quality assurance changes throughout the duration for which this report Is valid. This evaluation report does not express nor Imply warranty, Installation, recom mended me,or other
produce:attributes that are not specifically addressed herein.
R EEK GULF COAST:3Ur'FLY&MANUFACTURING,LLC
.�
Metal Rooting gFHlIMZ)
OHNICAL SER /I:;r:h L.LC
APPENDIX C
DESIGN WIND 4OAD5
The following tables provide design wind loads for components and cladding in accordance with Section 1620 of the FBC and ASCE 1-16 under the follss,voind
provisions:
1. Wind speeds for risk ::at ry I, II, Ill, and IV buildings shall be as defined in Section 1620 of th_:FE3C.
2. Ex:posuire C and D shall tie as gefined in section 1820 of the FBC.
3. [Design wind load provided only for gable/hip rpofs with roof slopes be=tween 2:12 and 6.1:12
4. All caldulations are based on Ha effective wind area of 10-ft2 or less.
5. Topographic factors such as escarpments or hills have peen excluded from the analysis
6. Caverhdngs have been elude from the anal'y'sis.
7. Wind directionality factor, Kd 0.85
8. Design wind loads are calculated using Pa sd 0.6Puit.
9. Zone 2 is inclusive of Zone 2e,Zone 2n,and Zone 2r
10. Zone 3 is inclusive of Zone 3e and Zone 3r
11. Projects with mean roof heights greater than€0-ft shall De evaluated lbS'a licensyd design prclessiohal
12. Zones 1,2. and 3 shall be defined as shown below, Dimension"a"shall bit 10%of the least horizontal dimension or(C`.l ': Kean Roof Height),whichever
IM smaller, but not les_ then either 4%of the least horizontal dimension or,aft
Gable Hip
3 2 ;3— 2
�... momover
3 ^ 2 3 a
V
2 1 i 2 1 :t 2 1 2 ,i
2
3 2 4 3 2 �3 2, l21 a
I
w.I a I 13
I a I
.—•�...M I a I
GCS2000: . .b FI.3 81EI.R2 _ _ _P,:ge 1 of 3
This evaluation report is provided `or Stade of Florida product Approval under Rule 61G20-3. 'The manufacturer shall notify CREEK Technical: ervicea,LLC of any product char°ges or
quality assurance changes throughout the duration for which this re,port Is valid. This evaluation report does not express nor Imply warranty,installation, recommended roe, or other
product atrbutes that are not specifically addressed herein.
•
'.I , ° GULF COAST SU„'SLY&MANUFACTURING,4-LC
c �+x �1i Metal Roolinq(HVIHZ)
TF HNICAL SER/I-:I: L.l.0 APP'h14001' C
�'. `'..L.i Roofs in Eixsurrr C In Mlami-Dade Zi Elr'rnarau0unty(Roof sl:E9s bc!!ween 2:12 and 12:121 , ..
Basic✓rind:<oeed(mph)
Mean Roof .. ,. ..�..�, _.. . _..._... ,...r..�.... .,.,... „
Buil ding"ype Zona �Fzsn C t I Flit Ic d,tut I Risk Cai II Risk Cat II Rifk�" t I IV Risk.C st III IV
Height(ft) .._.» 156-,.�.fa---� -- 165 170 �....,. 175 --.,.. ; 0 .�...,,
�,_.�.....�.. ._.... .•..�._ 20 _'_.�„^.,�� ."'4311-w,s__ -74.0,_.�... -78.5 -� ,..-33,0 -8EL6 _
25 _ _ -85,1 -72,8 -77.3 r_ ~81.9 - -86677 -.92.6
1 30 _ -67.4 J'y_'�_8"a 80_6___. _ -89,.4 �._�_, ~904_ :gE{.5_
__ 40 _ -72,01 . -60.6 -85.6 -90.7 -9¢_f150 �102,4n
~-- $4.8.~�- 89 7 -'�-�_95.0 -��100.5 ...:7F1129,,(1,--2;71::65..4-3-1i
107.3-�
---75.$ . s ,_. __
.......,«•.,-...�, 60 ,.....„..-78.'1 •87k1- -93.0 -98.5 .....,..-1 -1'1.3
20 90, -'101.7 -108.0 .114.4 _ •1 1.1 "•. 129
_�- 25 _.. ..95.(1 -.106,3, _ -112.8 � -119.6 s-1x5 _-135.00.
Enclosed/ 2 30 ..99,t1 =110.8 -117.6 -124.6 -138 140,8�
Partially Open 40 a.:- 10 .1 -'117.4 124.8 _-13 .2 _ -13.1,9
1�49:4 r�
50 ___. .. 1 . -'123.2 -130.8__ 138.E _ :1410 -156,88_
.�...,..,. .,i...... 60 , x'14. -'1277.x. .r�� 135.6,..�...�.�.'�-143.7 -10,42.,0 1 Ei2.3
20 -'08.1 -'120.!3 _ 128.4 -136.0 ��=,"143.9 -153.
_� 25 12 9 -12f3.3 �_ -134.1. -142.1 160.3 -160,5.-.-
3 __ 30 __---_,....r-i -7 -'131.7._ -139.8 ______-148.1 �_�.'�7 -167_33-
40 _ *...-114,9 -139.7tt� -148.3 -157.7 1t3 -177.6 T_
-146.k5 -15 .5 '-184.7 x•174.3 :186.1
50 5
_..... 3030 8 __.....,.._ ,.> .--
60 � 35._7 -151,8K� -161.2 -170.820 -1 0.7 1p2,9
.�,_. ,..., ...._...�....., ��..M8'______ -86.6'_.........._.r -91.8 9 1 •T103
_ 25 Y__y... -781 -85.2_ - -90.4 _ -95.8 _=,.101.4 108.3
1 30 __.g,...-79,4 88.k 94.3 _ -g '99.9 ��•1 Q5> 1'2.8
40 -84„1 -94,'_ . -100.1"� -106.0 __-112.2 -1 8988
50 T-�_•,..-88,:t .9e.gi ti 104.9__�»M -111.1 ., -117.6_• X 1;:5.5..._
60 y....-91 -102 11~� -108.T _�•,._ _115.2121 9i30.2-
._........,__ 20 T- 0 ., LL'113 -120.6 _�..r -127.8 _-186 2 144. ..
1 - 25 r - -106.0 -118.8 -125.9_ -133.4 -141.2 -TO_
7•
Partially ., _30 ____;110.5 -123.7" 131.3 -139.1 �i47.2 1,171
Encloee:d 40 __ -117•x -'131.2_ -139.3 ..4. -147.6 �,. "1 8.2 -108.8_
��
_ 50 __,--123.0 -'137.5 -146.0��� �_-154.7 _w 103 7 -11-74.8.,
._.«,~l.... . 60 :.. -127.7 -'1428
. .,.x, -151.4 ____:115469:03.160.4 _., •.1 .7 •181 2
._,..... . 7 ....... .....� __.�
20 - 18 -'13 .8 -140.9 ••1 0 ��1Ei�M
25 s. _ 24.0 =I38.'r"� -147.2x 186.0 -176.2
3 30 - �,•,.- 29.F -'144.Ei� -153.5 �, -162.8 -172.0 -183.7
----
40 _y...'3.1 -15�,4 -162.9_ -172.6 _ -102._6 -195.0_
50 -143.7 -1804_y_ -170.7' _ -180.9 ___. -191.4 2t1g4..3.-�
-_,_.�......_.. .- ,____ 60 ._._.... 149.0 -168.7_ ___4 -177.0• �-187.5 -_19_8_,4 2 1.9.
GCS20002,:eib _ FL33818-R2 _ 013ge a of 3
This evaluation report is provided'sr Stet*Of Florida product.approval under Rule 61020.3. The manufacturer shall notify QREEK Technical,3Ervlces,LLC of any product;changes or
quality assurance changes throughout the duration for which this report Is valid. This evaluation report does not express nor Imply warranty,Installation,recommended utie,or other
product attributes that are not specifically addressed herein.
cREEK:
�, GULF COAST:SUPPLY&MANIJFACTt1RINC,LIG
Motel Root'nu(h1VH2)
rimoo
'Ti::cHNICAL SERVII:ES. LL C
APPENDIX C
yab e!, ip Roofs in E:r�r� -"nhlllarrl-Dade n Ill wa.r ..w�..,,, ....., ,......«„.,
-„_•�_.M.�...+ 4..•.rri.. - 44. .. m . d ro d y0unty(Roof sla ms hraiweer+2 12 and 12:121
Mean Roof _...,.., Basic Wind`oeed tmph,
Err ding 1'ype Zone Height(ft) ,..•..r 2t l Rid It d;ttt 'j-"T_ k C til , -Rit la -at II,IV Risk Cat=WOW
III IV
f k C Risk C ci I s a
156 IE,.. ,., � 175 _. .,,.,•�..,,,;.
4.....440.40,.....41...
5 170 160 1 El6
....,,....�.� ..� 20 ..� _ 74. �v !3 0�.�_ 88.8...�.....�=94.1 _ ...�... 9®- ,106 3...,,
25 _-77.0 _ EIC,.B_ -92.1 __� -97,8 __ 0,3 0 3._.-
1 --. 30 _ __..- -1-1•1--- 4 69i"!_ -95.4 _.. -101.1 147.0 1 4 2
40 _ ._ 84.9 --:',011,-- -100.4 ~--_106.3 112.5 1 ,0,11- 56 60 _ -88,(t .98, -104.5' -110.1 117,1 -1 551
.1.41.1N.1164.�...: 60 ,�_.. -90.i f-101 _107.8 _� ___-114. ....�10 8 1;!8,0
20 _ _ 09.1 x,122.1 ` -129.6, .x,......,_..+_137.4 _ .1-i , 1f�5
25 - -113.2 _ -128.3, -134.4 _142.4 �_,__.,Y150.7 1f1009
iE nclosecli 2 .-• 30 .._._ .__-117.2 -131"1. _139.2__..•� -147`9 _-__ _,=.':158.0 168.6~-
Pair;ally Open - 49 _-__.`-123.5 -137, �� -146.4 _.._ -155.1 ,164.1! -1 5,22 Y
50 -128.5 _ • _ -143"31 -152.4,._ -161. ._.._._�._m.r.Y'170.8 ..:18224"'
......r.,.,,......, 60 ...r.., X32.4 ,,,1 1 157.2 .�,..�.A..�-166.f3 ......-176.2 fs8,2
-. 2t -'21 'IaCi.1 154.0 163.2_ ....,..1--
__ •172.7 18 ,4
-. 2 13x.5 -160.bx- -159.7. �. ,. _169.4 �.�__ .-179.1 181,2..
3 3Q ,4L_ . ;9 -1559 165.4 ,�._am,.'�155.0 -16111
49 - _.......:146.5 .. -183,'3 174.0 _11-____-----118754:: -195,1 ?U8,3-_
-. 50 152.5 -'170.4 - -192.0
a .. 181.1 2:43.1 .2.6,$
r.......w -- 60 57. -178.0186.8
-- __,;,-29__3.1__198.b __._209.5 X223,7
_.�..r....•.i «.......w w..•....�.
29 __. - 7,9 97,! 103.J' -114.1 ma.-1116.5 -124.4
25 - _ g0,i •'101.5 �_ 107.8 -114. -120,8 .;P^AgT0 _
30 _-_-_-94.01 - =105.1 111.6'__.. _11$.5 ___125.1 1;13,6
1 -. 40 - _.y.. .98,0 -110.8 117_4 .124.c4 _..✓131.6 --1 10,5
-. 50 _�... 02.9 -'115.1~ -122.2 -129.5 -137.0 _11863 T~
6o �-'06.1 -118.7 --126.0 -133.6 -141.3 150.9w
_-_.�.,..,w... 20 _ ,,...,.r..2+-13311.3 -144.7 .,.,..*....+-153.3 ......,.-162.2•
s-2 �,3..�
25 _____-_20 -141.3.._. 150.0-__. .r-159,,1 __.::,1 6 2 _ .:1;%9966
Partially 2 _ 34 130• _ -148.4 155.4_ -164.7 •174,2 1fS80'
Enclosed 40 �.."137.6_- -154.0 _ -163 4 __.y._ -173.7 __. 183• .2 -'1s5 6
50 -143.3 180.;3 -170.1 __�~�-180.3 _ -190.7 _203,6._._
._....,« -166,3 ..rte- -175.5 - �.�. ____186.0 ..,.....196.7 --2"0,1
s.. ...... 127.
20 , ...,,.�.. 15913 169.1'.,•....d.,�...�-179.Z 189. ►
25 __.._-147'7 -185,2� 175.4 M 185.8 _ -196.6 -_2"0,0
30 -153.0 . -'171.1 161.6 -192.5 -i: 3.6 - _
3 __
40 _ _ -160.9 -'180.0 -191.0 -202.4 -214.2,__ -228,7
50 _y_ -167.5 -187,3~ 198._9 -210,7 _-- 223.0 ;�g�1 _
60 -172.7 -'193.2~ -205.1 . s _ -217.4 -X130.0 -245,6 J
��w.•••.r...r�.. ..t.ma,..,.,./ ..• w.•.rrwr..,emon+ rw ---...�ti ._•we.....�,. n"•�w.r+ , •.••••nrr.en
GCS20002.2t) __ ___ _ _� F1,33819.4R2 Page?of 3
This,evaluation report is provided for State of Florida product approval wider Rule 61020-3. The manufacturer shall notify GREEK Technical services,LLC of any product changesro
quality assurance changes throughout the duration for which this report Is valid. This evaluation report dyes not express nor imply warranty,installation, recommended use,or other
product attributes that are not specifically addressed herein.
NOTICE OF COMMENCEMENT
State of FL Tax Folio No. 169692-0100
County of Duval
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 15-57 09-2S-29EN ATLANTIC BEACH UNIT NO 2 PTLOT 54
Address of property being improved: 1937 BEACH AVEAtlantic Beach FL 32233
General description of improvements: Metal Re Roof
Owner: Elliot Zisser Address: 1937 Beach Ave Atlantic Beach, FL 32233
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Ford Roofing Systems Inc.
Address: 3839 Millpoint Dr Jacksonville, FL 32257
Telephone No.: (904)314-7671 Fax No:
Surety(if any)
Address: Amount of Bond $
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2) (b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement (the expiration date is one (1)year from the date of recording unless a different date is
specified): 07/30/2022
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Doc f? 022130100,nP BK'n"oz oage 1718, 5//7/a
2
Number Pages:1 V v Signed: �/ Date:
Recorded 05/23/2022 11:41 AM, Before me this /7 day of /'r�� in the Coffin_Uo�DYg.L$ t�
p� J
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Of Florida,has personally appea -• • -�ger-.e�?
COUNTY y�
Notary Public at Lar:- e of Flor - �n�
.�- � T
a :
RECORDING $10.00r •�LL
My commissio pir- • • mission" 12979
Personally Kni-•• oFF'• My omm. xpi •r
Produced I:- i ication: •
2021 -2022 LOCAL ..iUSINIESSS TAX RECEIPT
JIM OVERTON, DUVAL COUNTY TAX COLLECTOR
231 E.Forsyth Street,Suite 130,Jacksonville,FL 32202-3370
Phone:(904)255-5700,option 3 Fax:(904)255-8403
h ttp s://tax c o l t ector.c oj.net/
Note -A penalty is imposed for failure to keep this receipt exhibited conspicuously at your place of business. This
business tax receipt is furnished pursuant to Municipal Ordinance Code,Chapters 770-772,for the period
October 01, 2021 through September 30,2022.
MAUST, ROBERT JOHNSON
3839 MILLPOINT DRIVE
JACKSONVILLE, FL 32257
ACCOUNT NUMBER: 220439
BUSINESS NAME: MAUST, ROBERT JOHNSON
PHYSICAL ADDRESS: 3839 MILLPOINT DRIVE
JACKSONVILLE. FL 32257
CLASSIFICATION CODE: 5 QUALIFYING AGENT,CONTRACTORS
COUNTY TAX: 0.00
MUNICIPAL TAX: 100.00
COUNTY LATE PENALTY: 0.00
STATE LICENSE NO: CCC1327698
MUNICIPAL LATE PENALTY: 25.00
TOTAL TAX: 125.00
RENEWAL
VALID UNTIL September 30, 2022
***ATTENTION***
THIS RECEIPT IS FOR BUSINESS TAX RECEIPT ONLY.
CERTAIN BUSINESSES MAY REQUIRE ADDITIONAL STATE LICENSING.
This is a business tax receipt only. It does not permit the receipt holder to violate any existing regulatory or zoning laws of
the County or City. It does not exempt the receipt holder from any other license or permit required by law. This is not a
certification of the receipt holder's qualifications.
•
JIM OVERTON,TAX COLLECTOR
THIS BECOMES A RECEIPT AFTER VALIDATION.
Paid INT-23-00011904 01/05/2022 $ 125.00