HomeMy WebLinkAbout15-16104�
i CITY OF ZEPHYRHILLS
x - � 5335-8TH STREET
(sis)�so-oozo 1 6 4
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16104 Address: 6516 BRENTWOOD DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: BRENTWOOD FIRST ADDITION
Est. Value: Parcel Number: 04-26-21-0040-00000-0031
Improv. Cost: 10,500.00 OWNER INFORMATION
Date Issued: 3/24/2015 Name: LAROCHE, RICHARD
Total Fees: 135.00 Address: 6516 BRENTWOOD DR
Amount Paid: 135.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/24/2015 Phone: (813)355-3649
Work Desc: REPLACE 11 WINDOWS SIZE/SIZE
CONTRACTOR S APPLICATION FEES
OME PERF RMANCE ALL A E C BUILDIN FEE 135.00
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Ins ections Re uired
FOOTER 2ND ROUGH PL B MISC NSULATI CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� 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 properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRAC OR S ATiJRE PERMIT OFFI R
PERMIT E PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER �
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ���ry�, �i'.�e��R Y►'1 A Pi�.E ��l���i C�,
Date Received: `� — �Z — E S�
Site: �5'� �R��`��t�� 0 R
PermitType: ��p��1Cr t� v1D����o,vs ��2.��s�2�c
Approved w/no comments:❑ Approved w/the below comments:, Denied w/the below comments: ❑
���'�� � � �,� C�f� � r � �c�rr
This comment sheet shall be kept with the permit and/or plans.
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; ^ 2 �.��`� �
Kalvin Switze P s Examiner Date ontractor and/or omeo n r
� (Required when comm nts e present)
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s�sa8o-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Buiiding Department
Date Received phone Contact for Permittin /Z� S 3 — �� -1 b
Owners Name C- /-� C{ (; Owner Phone Number (J�,�J" 3SS'�(p�'
Owners Address L 5�� /�C�{�.�a�� �'c. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titieholder Address
JOB ADDRESS /� ��JI�-CN/ �..JO O� �� LOT# �
SUBDIVISION UUI PARCELIDq O •Z�p•�I ' OD7D"DO�D -U17��
(OBTAINEO FROM PROPERTY TA7(NOTICE)
WORK PROPOSED e NeW coNS7R e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q� OTHER �J
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK RC��C-� �� W I���il S S/tE' S/� M�N 'I��L 1
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $/ O �D U VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C.
QPLUMBING $ ���\��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER E('lMPANY �01Y'(: �.']'LFOILMhl� '� A�-I.I A L
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y! N FEECURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
Illlllllltlllllltltlllllllllllllltlllllllllllllllllllllllllltttllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must mee[compliance
SIGN PERMIT Attach(2)sels of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directlons:•
Fill out application completely
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contractor)or Power of Ariomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a conVactor 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.
TRANSPORTATION IMPACTIUTILITIES 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 buildings,as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation 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 permit 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 appiicant, 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 that 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 installation 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 regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to 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, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8� Rehabilitative Services/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 the use of fill:
- Use of fill is not allowed in Flood Zone"V"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 only 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 issued 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 understand 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 commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period 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 for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF ENCEMENT MAY RESULT IN YOUR
PAYING TWICE FO PROVEMENTS TO YOUR PROPERTY. IF YO INT D TO OBTAIN FINANCING,CONSULT
WITH YOUR LEN R R AN ATTOR Y BEFORE RECORDING Y R ICE OF C CEMENT.
FLORIDA JURAT(F .11 . 3)
OWNER OR AG T �� � CONTRACT�R
Subscribed and wo to(or affirtned)b fore me this Subscribed nd sworn to(or a�rme )before me is
Y�� bY J ' -r ,
is/ e p ally known to me or haslhave pr duced Who is/ar personally nown to me or has/Fiav produc d
as identification i entificati
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ot Public Notary Public
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PAULA S.O'NEIL,Ph.D PASCd CLERK 8 COMPTROLLER °�� ��'�'�''�"�'��
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� H o m e P e r f o r m a n c e Z850 Scherer Drive-Unit 550
A L L I A N C E St.Petersburg,FL 33761
Phone:727-538-4140•Fax:727-538-4217
License#CGC 1508826 �'�'�'•hpawindows.com
CONTRACT
13
C'H.j.SERN � ��1 Q ('�Pho e: '_j Date:
► �', C U�7
,a�dreS: Cell Phone ' -mail
C�S� h ��7 � _ Z ..�P� �
, C�ty2-.,4 � � G� ; srace: � z;p J ��
Sale CustomerAltemative Phone:
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General Description of Work: To furnish and install �� ! `�O�V►��D C , Il ��.
1� 6
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windows and�J�'Z Q. 4� � [� � , sliding glass doors and
entry doors We will remove and dispose of all debris from job site.Includes building permits and warranty.
,
' -which is further described in the detailed specifica[ion sheet attached hereto as Exhibit"A"and inivated by the parties.
The above work will be completed in accordance wi[h the terms,conditions and specifications herein,wi[h payment[o be made accordance with the
following payment schedule:
1. PRICE $ l �'1—� ��
'� 2. TAX $ �''
3. TOTAL $ " � �
4. DOWN PAYMENT $ �C�
5. BALANCE C.O.D. $ J c7�
6. BALANCE FINANCED $
I "`BALANCE DUE UPON INSTALLATION OF WINDOWS&DOORS NOT AF1'ER THE FINAL INSPECTION.
*COMPANY NOT RESPONSIBLE FOR RECONNECTING BURGLAR ALARM SYSTEMS.
[F PAYMENT TO BE MADE BY CHECK PAYABLETO"HOME PERFORMANCEALLIANCE,INC.".ALLAPPLICABLE DISCOUNTS HAVE °
BEEN APPLIED AT TIME OF SERVICE. `,� � �� � ,
Additional Comments:��lo] �-+ �G�uO r�n.yA _���iA v n � r1 S p /J fJN
. - � �-T�
Bi7YF,R'S RiC.flT TO C:ANCF.7.
I TFIIS IS A AOME SOLICiTATTON SALE,AND IF YOU DO NOT WANT THE GOODS OR SERVICES,YOU 119AY CANCEL THIS AGREEMENT BY
PROVIDING WRITTEN NOTICE TO 1'HE SELLER IN PERSON,BY TELEGRAM,OR BY MAIL,T'HIS NOTlCE MIJST INDICATE THAT YOU DO NOT
� WANC THE COODS OR SERVICFS AND MUST BE�DELIVERED OR POSPMARKED BEFORE MIDHIGHT OF THE TffiItD BUSINESS DAY AFfER
YOU SIGN THIS AGREEhIENT. IF YOU CANCEL TfIIS AGREEI1�Mf,1'HE' .SE�.i-FU 11fAy NOT'KEEP'ALL OR PART OF ANY CASH DOWN
PAYhfENT.
STATU'TORY NOTICE YtEGARDING CONSTR�JCTION LIENS: ACCOItDING TO
FLO � � - , FLORIDA S'I'ATUTES),
THOSE WHO W.ORIC ON YOiJIa PROPER . �OR PROYIDE..MATERIALS AND SERVId:ES AND
?iitE NOT PAID IN FUI,I. HAVE. A RIGgIT TO ENFOItCE THEIR CLAIM FOR PAYIVIEPiT
' AGAINST YOUR PROPERTY. THIS CLAIM I�KNOWN AS A CONSTRiJCTION LIEPT. IF YOUR
CON�'RACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTOIF�S S3J�3-
�
SUBCONTRACTORS, OR MATERIAL,_SUPPLIERS, THE PEOPLE yVHO AI�E OWED IVIOIeTEY
1VIAY LOOK TO YO.UR PROP,ERTY FOR �PAYMENT; .EYEN II�' YOiT HAYE PAID� YOUR
C01�1TRAC'TOR IN•FULL. IF YOU FAIL TO�PAY YOiJR��CONTRACTOR,YOUR CONTi2ACTOR
MAY ALSO HAVE A LIEN ON YOUR PROPER�'Y. THIS MEANS IF A LIEN IS FILED'YOUR
PROPERTY COULD BE SOLD AGA,;�NST YOUR WILL TO PAY FOR LABOR, MA1'��iAi.S, OR
OTHER SERVICES THAT YOUR CONTRACTOR OR�A S�JBCONTRACTOIt MAY HAVIE�AILED
�'O PAX. TO PROTECT YOU�iSELF, YOiT:�I�OULD STIPUI,ATE'IN '1'�S_CONTRACT THAT
BEFORE ANY PAYMENT IS MADE, YOUR�CONTRACTOR IS REQUIRED TO PROVII3E YOU
i �'�I� A WatITTEN RELEASE OF LIEN F�YOIVI ANY PEItSON OR. COMPANY T�AT d�AS
PRO��IIDED TO YOU A "NOTICE TO.OWNER". FLORIDA'� COIVSTRTJGTIOPT LIEPI LAW IS
i COMPLEX AND-IT LS RECONIIVIENDED THAT YOU GONSZJI:T'AN A'd""�OItioTEY.
' I HEREBY CERTIFY THAT I HAVE READ AND`FULLY UNDERSTAND THE-PROVISIOAIS OF THIS-CONTRACT,
INCLUDING 'TFIE TERMS AND CONDITIONS CONTAINED ON TEIE REVERSE SIDE,APID I AGREE TO�.I.L OF TEIE
PROVISIONS,TERMS AND CONDITIONS TEIEREOF.
HOME PERFO CE A CE INC.
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---<-_—�' Applicetion 7ype { -�j� V" Revlsiort �� v
. Code Verslon f ,�"� 2p10 ...—d� � �
AppflcatJon Status Approved �
Ccmments
Archlved ,
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ProductManufacturer so�r-u�eu_c C�T}' �� :�,��:�;�i`���(L�`�—'��`—"--°`.
AddressJPhone/Email 1025o Phlllpp Parkway
s��oro.oNaazaz PL,t���� �X�i��lf�(�.-F`�
(3S0)528-34U� Fxt 1109 X � .�,..�,__��.
f tinkerfl�sofr-11te.cam
Authorized 51gr�ature Ylvlan Wrl�ht
rlckw@�rwbidgconsut�nts.com
7echntcat Represent�tive
Addres,s(Phone/Ema!! .�� s r�
t�Te7i�..�3�t TC'r yz�'_:,�.�..LilvbYl`.`��'�3VI�'�
�k,LL.�i'k�I.�'���L�.T3UILD�G,
Qua�fty Assurance ttepr�esentat�ve ����-�����,���,������q,�
AddresslFhoneJEma�t V;�,C�iAIJ�Cb.:.C017.�,5.
L�te9�Y WlndowS
Subcabegory Double Hunp
Ccsmpliance Method Evaluatlon Report from�FloHda Regfs[er�ed ArchitecC or a LJCensed
Fiarlde Ptofe�ionat Engineer
L: EvaluaUon Report-Nardeapy R�elved
Fiorida Engineer or Ardiltect Name who Lyndon F.Sthmldt,P.E.
develaped the Evatuatton Ftepart
Florida Llcense PEA3409
quaJity Assurance EnUty Farabaugh Englneering and Tesking,Inc
Qvaikty Assurance Contract ExplraUon date 07JO1J2015
Valldated By Ryan].K�ng,P.E.
L� Yafidatlon Checklist-Nand�py Recelved
Cerdflr.ate of Independence FLi5768 R3 CoT CertlFlcate OF Tndeaendence.odf
Referenced Standard and Year{of Standard) � a��
AAMAjWDMAjtSA101jI.5.2/A440 2d88
ASTM E1886 20U5
ASTM E1946 2006
ASTM F1996 2D09
TA5 20I,202,2U3 1944 �
Equlvalence ot Prnduct Standards
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�Ic��da Building Cc�d�C7a�line Page 2 of 3 '
Se�dons from the Coee
Product Appraval MeYhad Metltod 1 Option D
Aste Submltbed iQJ10/2013
Date Valldafied 10J3D/2013
Date Pendtng FBC Approval 11J04JZd13
Date,�pproved i2/28i201S
5vrnm�ay af�radact�
@.# NS�del P�ute�(ser or Piame Destripiton
1578d.1 a."Tmperia!L5 DH12"Double E�ctruded PVC Doubie Hung�4tirxiow-(3tJX Ccmflguration)�
Piun lNlndow
cirrotts ox'us� n�te!l�tion Xns�cucttons
Ap�proved for ur.��ee f�4lY9Y:No FL15�SQ RS II X T 15780.i.odf
�roves@ fnr us�outsl�e i4VHY:Ye5 Vetifled By:tyndan F.Schmidt,P.E.43469
tae�y�C4 R�st�n��!o Created by Independen#7'hird Party:Yes
Re�lgn l�r�surra:R}JA Evel�atlon Rep�or�
�er:See INST 15780.1 for Design Pressurre Ratings, FL1S780 R3 AE �VAL 15780.i.adf
any addiEional use�imitatlons,installation fnskructions Created by Independeryt Third Pariy:Yes
and roduct articulars.
1578Q.2 b."54Q0 DH54(G5405)"Double F�ctru�ed PYC Double Hung Wlndow-(X1X Ganflguratian)
Hung YJlndow
➢.Itt►its Qf R➢s6 xnstalCalloR In�'uctlanfi
�proveal�r use�n iLVH�:No FL15780 R3 II TNST iS78D.2.adP
Appsra�veei for r+se outside f#NFfZ Yes Verified By:l.yndan F.Schmidt,A.E.434b9
ieripact iBeslstanL:Alo Created by Independent Third Party:Yes
Cfesign Pressuree ld/A Ev�tuatlon�eparta
Other.See I{�ST 15i$Q.2 far Desfgn pressure Ratings, FL,1�78D R3 AE EVAL 15780.2.�df
any addfGona!use Ifmikstians,Instattation instrudions Created by Independent Thtrd Pa►ty:Yes
and roduct parttcutars.
15780.3 c."54dQ DN54(G540ah"C►oubte Extruded PVC double Hung Wtndow-(X/X Cartflgurati0n)
Hun Window
6►alts o!lUS� nsEailat3on tnstructlons
�p�rOVeeQ Cc�use it�FiVHT:Yes F�15790 R3 II TNS7 1,5>ed.3.adf
Appr�v�d fcr us�oetsede NVttZ:Yes Verifted 8y:Lpndan F.5cttmldt,P.E.43409
Imps�R�sistan�Yes Cr�abed by Irrdependent Third Party:Yes
deaign Pre�sure:NjA Evaluakion Re{eoet�
�fifihCr:See INST 15780.3 for Deslgn Pressure RaUngs, FL25780 R3 ii� EVA�I�78D.3.Ddf �
any addltional use ilrnitatlans,Instatlat�on tnstructlans Created by Independent Third Parly:Yes
a duct atttcViats.
iS780.4 d."5300 DHS3(�5395)"daubJe 6ctruded AVC Dnubi�Hung Wlndnw-{X(X ConfiguraGon)
�'�"""""� Hung Windaw
/ E.ienE�ot Us� ns�aliatto�€Ynstructiar��
�prow4d for use In H9�liZ;Iyo FL15T80 R3 II 7nsk IS 8Z0.4.adf
/��,paoved tar ac��oca�ld�I�Yt4Z:Yes VeHfied 6y:tyndon F.Schmidt,P.E.43409
Ytnp�c4 ELesist$e�:No Cre�ted by Indepsndent Thlyd Party:Yss
���ign&�re.�uo-�:Ni� Evaluatlon Repos�ffi
�tB►�r:See IN5T 15786.4 for Design PresSUre Ratings, FL1578U R3 AE EVI�L iS780.4.Ddf
any addittonai use(ImltaCtonS,[nstaltation InsGvcYfons CeeaYed by IndependentThtrd Party:ves
and duct particulars.
� I5790.5 e."5300 AH53(G5905)'Dauble Extruded PVC Doubfe Hung Wlndow-t�Conflguretfon}
Hun Window
�ImfiLS o8¢tse Instat�atlon Instraictlons
Approvad for u�e is[tEMMZ:Ho FLX579D R3 II I�st 157�,U,�.odf
ti�rov��f�g u�e+seat�t�e ii'1�Ff�:Yes VeriPied By:Lyndon F.Schmtdt,P.E,q34Q9 i
Ympacg Reststme�Yes Createtf!sy IndependentThlyd Perty:Yes
�e�i�n�+r�sseare:td(A �a�Fuati�n iteport�5
�tilser:See INST 15780.5 for Destgn presSUre itatlngs, FL15780 R3 AE EVAL 15780.S.odf
ny addltlanal use Iimitatlons,lnstaifation instructior�s Created by Independent Thlyd Pariy:Y�s
- and roduct articutars.
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Code Version �� 2D10 C-,�
Appllcatlon S`tatus Approved ✓ � �
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Commertts
Archived L�
Product Manufacturer Saft-Ltte�LC
Address/Phone/Emal� 10250 Philipp Parkway
5treetsboro:OH 44241
(33D)528-34t?0 Ext 11Q9
jtinker�soft llte.rom
Authorized Slgnature Vivian Wr�ht
ridcw�rwbtdgcansuttaMs.cam
TechNcat Representative
Address/Phone/Emall
Quality Assurance Representative
AddresslPhone,tEmafi �
Category Windaws �
SubCategary FUced
Campti8nce Method Evaluatlon Report from a Florlda Registered Archibert or a ilcensed
FloHda Profe�lon�l Ertqineer
(?a Evaluation Report-Hardcopy Retelved
Plarlda Englneer ar Archftect tYarne who lyndan F.Schmidt,p.E, '
developed the Evaluation Report
Plar�da 1Jcense FE-43409
Quafity Assurance Entity Fdrabaugh Englneerin8 and Testing,Inc
Quality Assurance Contract Eacpiration Date 07JOSJ2015
Validated By Ryan].King,A.E.
L Validatton Checkltst-tlardtapy Recefved
Certt�cate of Indepenri�nc�e F115768 R2 COI Certiflcate OF Independehce�df
Referenced Standard and Year(of Standard} c,,g���g�r� y��r
AANW WDMAIt5A101jI,5.21A440 20dB
ASTPA E f8B6 2005
AS'TM E 1996 2p86
TAS 201,202,263 1994
Equtvalence of Product Standards
Certifled By
Sectlans fram the Code
http://wvvw.�loaidabtaildin�.or�It�r/�r a��s c�tl.��x2*���a*��=��'�r7��trc�*;�� �fi_e.t:��t�t�r� �,�r�r�:c
1
. �
Florida Builditag Cod��lin� Pag�2�f 3
Product Approva!Method Meihod i Qptlon i3
Date Submftted 10/26/2013
Dste VdtiBabeci 1OJ29/Z013
Dabe Pending FBC Approvai SIJD4)2023
Date Approved 12i13/2013
sa�m�tf�ry oP I�roduc�
'FT.�e Modet,Rlureaber or Fd�rn� criptoon
15J66.1 a."CPWL°Casement Picture Fxtruded PVC LOw Proflle Fu;ed Gasennent Piclvre
W}ndow Low Profile iNindow- tT Confi uratian
L6etxFt�af[Dse In�IfatFan I�strnetions
Appmme�s4 for use its @�TTVVFt�:No FL25768 R2 II INST 1576@.l.odf
��Sprav�d fasr use aat�lde fff�tt�s Yes Verified By:i.yndnn F.Scl�midt,P.E.43409
Iprep�ct R�i�nt:No Createrl by Independer�t'ihird Party:Yes
�e�l�n Prc�.SUre;td�A �V�Iuatian itepmrffi
i94Feer.S�e IPdST 15768.1 for Design PresSUre Ratings, �115768 R2 AE EvAl,]5768.1.pd€
any addittonai use limikattat�,instaitation instructlons Cre6ted by Independent'Third Party:Yes
nd product particulars.
15768.2 b."CPW"Casement Picture �tutet!FYC Fbced Casemerrt PiCtur8lNindaw-{Q
4Nlndow Configuratlon
C6tY�it�oE Riss Znsteilatian Yns9ructtdns
�pproved for u5e!ra k[VHZ:Nn FLi5768 RZ II INS'f 15758.2adf
kppevDv�d far use outffiIde HYtC�:Yss 'Verifled By:Lyndon F.Schmfdt,P.E.434q9
7tssr}�ac�ffiesi�lar�t;Ma Created by Independent Thlrci Farty:Yes
De�ign�re��ue�:YJ/A ��)neet6an 6Sapac�
�Lbes�:See IfitST 1576$.2 far DeSign pressut�e i2atings, FL15768 R2 AE EVAL f5768.2.ACff
any additfanal use Ilmltatlons,installat�an Instruct(ons Created hy Indep�nderttThlr'd Parly:Yes
end roduct 8iticutats.
15?68.3 c_"Impertat LS PYd12°Ptcture Extruded PVC Flxed Plcture Window-(O Conflguration}
Wlndow
Limtts of Ctse Fnrt�lletlare Enstrue�i�a►�
tappm�€e�fat u58 in NYIiR:No �L15T68 R2 II �NSi'15768.3.ndf
ApprovecN foe ease outsia��a NrUH�.:Yes VeriFled By:Lyndon F.Schmld�P.E.43409
Y�pact Res6sEan�No Created by Independerrt i'hird Parky:Yes
Desl�a�F�re�sure:N(A Ev�Ottatlort Rt�p�tt�
Other;See INST 15768.3 for Deslgn Pressure Ratlngs, FL1576B RZ AE �VAL 15766.S.p,�
any addttlonei use iimltatlons,IrsstatiaUOn instructions Created hy Independerit Third Party:Yes
and roduct particulars.
15768.�d d."5�00 PW54(G54U1)"Plctvre F3ttruded PVC F)xed Picture UVlndow-(Q ConFlguratlon)
UYlndav�
�REQtS I��1R30 �'8�1o5L'�O[t=/ib'�'i'fSCL'��lY6
1�pr�vad for uce 6n FIVHZ:No F1.15768 R2 II INST 15768:�pdf
Apptroved far t�sa��eat�slx4e tiVH�:Yes Verifled 8y:Lyndan F.Schmtdt,P.E.43�09
Iet�{s�nct R�fs�an�:No Created by IndependentThtrd Party:Yes
���i�n�a�easc�re:t�l� �v�tu�ti�as�t�p�r�
��e�r.See INST 15768.4 for Aesfgn Pressure Rattngs, PL15768 R2 AE �VAL 15768.4.odf
any addittonai use Iimitations,instafiation instructlons Created by Independent Third Party:Yes
artd raduct art�culars. I
15768,5 ."54Q0 PW54{G5401)"Picture EXtruded PVC Flxed Ficture Wlndow-(O Conftguratton}
indaw -
C.'ce��04 cf�e ns,taiiatto�Ins�atactione
Approved for a5e Ir�6iVH�:Yes FL15768 R2 II TNST'�576&.5.odf
�pproved for use outs6ds HNFi�:Yes Verlfled By:Lyndon F.Schmidt,P.E.43409
Ympa�a�Reslstmmctt:Yes Created by Indegendent Third Party:Yes
�e�6fln�ress�orca:N/l4 E�lu�tlon Re{tortcs
�ther:Ses If�ST 15768.5 for Deslgn Pressur�Rat[ngs, Fii�7b8 R2 A� EuAI.15?58.S.odf
ny addltlonal use Ilmit2tions,Installation instructivns Created by Indep;.ndent Tlrlyd Party:Yes
and raduct arttculars.
�--..�,,,,_� 15768.b f."5300 PYU53 f�5301�"Ptcture Eutruded PVC Fixed Picture LUindovu-(O Canflguration)
Windaw
of 1D�e %o�staBlatloof Snstreacei�as�
�,��rm�s�f�r u�e d�B��tF�:�PO F1-�5768 R2 II INST 25768.S.s�df
fap�sr�a�red i'ar tuse esu��ide Hl°&i�:Yes VeriFed By:Lyndon F.Schmidt,P.E.43409
iEZS�S�sC t���[��t:No Created by Intiep�ndent Third Party,Yes
hi�p://wr��.fl�rid�.�ba�ildi��.csr�l�rl�tr_�,t�_�l�l,as�sx?na�=v��iE��tc�t�3e��3�T�Ain�C3U+T5... 1/2/2dD15
F1
orida Buildin C�de Online
g Pa e 3 of 3
g
' �estgn Pr�s�ree:N/A Evnluatfor�Repoet�
�Qlsor,See INST L5768.6 for Design Pressure Ratings, FL15768 R2 AE EVAL 15768 6 ndf
any additlonal use Ilmitatlons,fnstaflatlon ins#ructions Created by Independent'Thlyd Pariy:Yes
and roduct particulars.
15768.7 g."5300 PW53(G5301)"Picture Extruded PVC Fized Plcture Window-(O Conflguratlon)
Window I
mlt�of U�e nst�lladcat instructlons
Approeed for usg��HVFIY:�o FL15768 R2 II INST 15768.7.ndf
�pproa+ed for use ou6�fde FdVFtZ:Yes Verifled 8y:Lyndon F.Schmidt,A_E.43469
�p������nt:Yes Crezted by Independent Tt�ird Party:Yes
De�i�e�Pee�seer�:P�/A Ev�luatfo���per�s
�tHer.See IfilST 15768.7 for Design Pressure Ratlngs, FL15768 RZ AE EVAL 157b8 7 pdf
any addltbnal use IfmlYations,installatlon instructions Created 6y Independent Thtrd Pariy:Yes
and�roduct particulars.
ELCk Poer.t
M*Lk::1 n L 2 Phane:850-�87-1824
The Sbte of Aori�Is en qq/EEO emplpyel._�wrlaht 20.�7- m a ct.ti.,f e�_.a� ::Privacv cn.n..,�en�••B�sfbllitv Statemern:•Rd���+...�,,,,�nt
Under Florida law,emall addresses are puhlEC recordg,If you de nnt naM yeur e-maB address reJ�sed 1�r�,porese m e pubtic rpmnds requ�t do not
cend efertronic m8ii to thLc�y.7��,��a��yy,p�ne or hy trad�l maq.If you have onY 9��,A��tzr�t 650.487.1345,
'Pursuent W Sedien 455.275(1),Fbrlda Stahites,efPedive p�her 1,2�32,Ilcensees If�r�ed under Chapxr 455,F.S.m�st provide the bepa�tmg�H
wi7h en cmall eddrrss 1( � H
recoM.IF ��o�'The emalls prrnndad may 6e used for oftidal mmmunl�tbn x�tli Me N�nsee.However�11 addresses erc�blk
you de not w�h to suDply a personal add�,please D�ide the oepertment wRh an emall address whtch�n be mede avettabte to the Publlc
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� datfmsnP edg9 dkhance or�d c�e►terd&t�r.�e re��utremarits.
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� fham�.edpadisfoncetairwrtarjdnfs.t�+conc+uteanc7wrtocattorrs
nated cwa�tA7c.ON G'£jV►Ea"musf be adyuat�d to mrsdnPaFn the mFrr.sdg� �
k
ut�zcv matfarjotnfs.ad�c!cancrafe anchors moY 6e+e4t�ad �
n ta��u�ue fhQ'7VAA?G OM CENfER°Qknt�rufons are nof exceea�i.
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C U4"AM4X.SHIM SPACE � �
D 1/4"X 2�/4 Pf�1 H.CO OR IFW COt�REfESCREW y�, 3.9� ��� 0.
E M�40NRY-5,142 PSI MIN.CONCREtE CONFpRMING Tp ACI a,
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FXiRUDH�IJ�LSffS IN"AAAAA CE¢�qCAiIONS PROGRAMS FOR RK�YD PVC E�RRi15fON5'. � �
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Florida Building Code Onli�ae Page 1 of 2
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_. _ .___.__: Applicatlon Type � � � New ��
Code Version 2010 1 ���
ApPlicatlon Status ARProved �l�tiT�
Commer�
Archived
C.•
Product iKanufacturer Soft-Lite LLC
Address/Phone/Email 10250 Fhillpp Parkway
Streetsbarv,OH 44241
(330)526-3400 Ext 1109
�tin ker�soit-I fte.com
Authorized Signature Vivian WHght I�
rickw�nwhldgconsultants.com
Technlcal Representatfve
Address/phone/Emall
Quallty,4ssurance Representative
Address/Phone/Emaii
Cetegory Windows
Subcategory Mullions
CompUance Methad Evaluation Report from a Florida Registered Archfkect or a Llcensed
FloHda Professlonal Engineer
C� Evaluatlon Rsport-Hardcopy Recelved
Horida Engineer or Arzhltect Name who Lyndon F.Schmldt,P.F.
developed the Evaluatlon Report
Florida Ucense PE-43409
Quaiity Assurance EnUty Farabaugh Engineering and Testing,Inc
Quallty Assurance Contract Expiretion Date 07/01/2015
Validated By Ryan J.Ki�g,P,E.
Lt Valldadon Checkllst-Hardcopy Recelved
CertiflCate of Tndependence FL16�26 RO COI Certfficate Of IndependenCe�f
Referenced Standard and Year{of Standard) ��
Year
TAS 2D1,202,203 1994
Pquivalence of Product Standards
Certlfled By
5ections from the Code
I
E
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:
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Florida Building Code�line Page 2 of 2
FroductApproval Method Method 1 Optlon D
Date Submitted 10/23/2012
Date Valldated 10/25/2012
Dabe Pending F6C Approval 11/04/2012
Date Approved 12/U4/2012
�mmary nf ProducYs
�� P6od�1,Ydumber mr Nam� Descrl tl�n
16026.1 a. Series 19pq4 Structural Beam Extruded Aluminum Cfipped Mulllon for use with Impact
Mullion and non-impact wlndow products In hRasonry or Wood
o In s
��°0��°f�� Inatallation Ynstructlons
���v�`O��@���d�Z°�� F�16026 RO II INST 16026�pdf
p�Oved for use outside HYIiZ:Yes Verified By: Lyndon F.Sdimldt,P.E.4340g
a������nC Y� Created by Indepsndent Third Party:Yes
Design Pres�tar�;N/q Fvaluatian Repoet�
Other.See ItdST'16026.2 For Desfgn PreSSUre Radngs, R16026 RO AE EV,4L 26026 1 nr�f
any addftlonal use Ilmltations,fnstalladon Instructions Created by Independent Thlyd Party:Yes
nd roduct particulars.
16026.2 b.Series 19D44 Strudural Beam Extruded Alumfnum Clfpped Mullfon for use wfth Impact
Mulllon and non-Impact wlndow products In Masonry or Wood
O enfn s
����°p�� stallatlon Ynstruc,tlons
l�pproved ior ut�e in FPI/FIY:Yes FL16026 R4 TI INn�FnZ6 2 odf
Approved fmr use ouQBide IiYtl�:Yes Vertfied By;Lyndon F.5Chmidt,P.E.43409
Impakst Resfistar�t;Yes Creahed by Independent Thlyd Party:Yes
oes6pn Pre,ssur�:N/A Ev��uation Repore�
Other.See INST 16026.2 for Destgn Pressure Ratlngs, ,FL160 6 RO AE L 16 26.2, df
any additlonal use 1lmftations,Installation Instructions Created by Independent Third Perty:Yes
and product arqculars.
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S�ntast_t�::isao em�n mo� c�r�ne - �, ���pnorre;aso-na�-ieze
The Styte vf poriQa Is an Aq/F2q emptoyer. ::g(yecv� mrnt;.
- _� t,�.. .AccesslD��,r.jm�;;g�p��
Under Fbrtda law,emel addresses are publk records.if yai do not warrt your e-mall address rela3sed N r�y��e to a publirremrds request,da noi
send electrcNC mall m this entlty,]nSYead,�taa the ofryca yy phon�at yy yodttlana!meil.If you heve eny questlors,please mr�ct 850.4B7.i395.
`PUrsWnt tv SatPcn 455.275(1),Fbrlda Statutg,pfl�cyve pdoDer 1,2A32,Il�nsees Ikensed u�er ChapOa 455,FS.must provide the Department
wlth en emall address if hhey haye one,i�he emaqs prnvlde0 mey be used far offidel mmmwlcatlq�wtth the Uornsee.However emell addresses are public
record.lf you do not�ish m suppty a peisonel address,p128se prov(de the peyartment wit}�a�ematl addreSS whldi ca�be made ev:ilabte to Nie publk.
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