HomeMy WebLinkAbout15-16175 CITY OF ZEPHYRHILLS
` ` 5335-8TH STREET
' • (si3)�8o-oozo 16175
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16175 Address: 38840 B AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 14-26-21-0010-02700-0010
Improv. Cost: 2,310.37 OWNER INFORMATION
Date Issued: 4/20/2015 Name: GORTON, CHARLOTTE
Total Fees: 75.00 Address: 38840 B AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/20/2015 Phone: (813)782-5378
Work Desc: REPLACE 2 DOOR UNITS SIZE/SIZE
CONTRACTOR S APPLICATION FEES
LOWE'S HOME CENTERS I C BUILDING FEE 75.00
� - 26 � � s
� ���
Ins ections Re uired
F O ER 2ND ROUGH PLUMB MISC INSULATIO 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.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, 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
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CON RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Bufiding Departmeit �
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I e,a�I i ts4
Date Received —�� 's �
� Phone.Contact for Permittin �S l 3 Z�� – a�j G�
Owner's Name V►(3�jQ'f'�� ,�9p(�Tp� Owner Phone Numbelr �« -7�� ' �J�7�
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Owner'sAddress � ��/G � �v+� 2e?hs2y1+;/!5 I�L3 �2�ynerPhoneNumbe�r
Fee Sim�le 7ltleholder Name I
I � , Owner Phone Numb�r
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Fee Sim��le 7ltlehoider Address �
JOB ADDRESS '��4� . � �Ll�2_ ZP��IR�`/�1 i IjS F I 33sy� � LOT# I °�Z
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SUBDIVISIOPI n?�o�es /s7 �dd PARCEL ID# !tt 26-�/- oa rG� � C7 27�p ^�d/O
� I (OBTAINE�FROM PROPERTY TAX NOTICE)
WORK PROP03ED e NEW CONSTR 8 ADD/ALT Q � SIGN [� I Q DEMOLISH
INSI'ALL REPAIR �
PROP03�ED.U3E Q SFR, Q COMM � OTHER ;
TYPE OF'CON3TRUCTION Q BLOCK Q FRAME � STEEL Q i
��i DESCRIF�TION OF WORK R�PI/a C,� 2 �p ;a (,,�No`f'S , i 7� Si.Z.e /�L. y 9a�o �
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�i BUILDINiG SIZE I SQ FOOTAGE� HEIGHT �
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C]BUILDING $ �� j�`�� VALUATION OF TOTAL C� NSTRUCTION �
C]ELkCTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
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' C]PLUMBING �� i I \�\��
C�MECHANICAL $ VALUATION OF MECHAN CAL,INSTALLATION� �
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� C�GAS [� ROOFING I I
Q SPECIALTY C] OTHER j
FINISHE[)FLOOR ELEVATIONS FLOOD ZONE AREA QYES � NO
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I BUILDER. �j���� w � � D�OMPANY � 4_ ' �
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SIGNATUIRE �U '�n-�" REGISTERED Y/ N FE�CURRE� �Y I
AddUess �'"O QO!� � �f 1���✓" 2���'�'' 3�'��� Llcense�# ��O� S� � /
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ELECTRICIAIV COMPANY , I
SIGNATIYRE REGISTERED I Y/ N FE CURRE� Y/N
Address �— � Llcense#
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PLUMBEI� COMPANY I i
51GPlATURE REGISTERED i Y/ N FE CURRE� Y/N
Address � License#
MECHANICAI. COMPANY I I
51GNATURE REGISTERED Y/ N FE CURRE� Y/N
Address License# I
DTH�R COMPANY I ,
SIGNA7URE REGISTEREp I Y/ N FEE'CURREA Y/N
Address � Llcense# �
-ti-ffttfi-t ifi�ttiti-Ftit � �
RESIDENTIAI_ Attach(2)Plot Plans;(2)sets of Buiid(ng Plans;(1)set of Energy Forrr�s;R-O-W Permit for new construcUon,
Mlnimum ten(10)wo�king days after submittal date. Required onsite,�onstructlon Plans,S ormwater Plans w/Silt Fence Installed,
Sanitary-Facilides&1 dumpst�er;Site Work Permit for subdivlsions�ar�e proJects
- - ,OM!N[ER�IAL Attach_(3)_complete-sets=of-6uflr±fng-Rlans-�lus�_Life Safety P_age;_(1)'set of Energy_Forms._-O-W Permit for new constructlon. _`
Minlmum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, �
Sanitary Facilitles 8�1 dumpst�sr.Site Work Permit for all new proJects.�All commercial requir�ments must meet compilance
51GN PEFtMIT Attach(2)sets of Engineered Plans. � ;
"'""PROPERTY SURVEY required for all NEW construc8on. ; �
)irec�tlon�s: i i
FIII out applicatfon completely. '
OwnE�r&Contractor sign back of appl(catlon;,notarized' ! 'I
If ov�sr 52500,a Notice of Commencement�is requlred.. (A/C upgrades over 3TSb0) i
'' Agent(for the contractor)or Power of Attome�y�(for the owner wouid be someone wltti notarized letter from owner authorizing same
;_���.
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)VER THIE COUNTER PERMIITING (FronR of�Appllcation�Only) !
�eroofs If shingles Sewers Service Up'grades A/C Fences(Plot/Survey/Fqotage) I
_ -.• :..: . . ...:..:...__ ,_ _. .....�. � i
Driveways-Not over Counter if on`public roeiiways:.needs:ROW i I
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NOTICE OF DEED RESTRiCTtONS. The undersigned understands that tMs permit may be sub)ect to°deed^restrictfons°
I which may be�more resfrictive than Ca�unfy regulations; lThe undersigried assumes r.espimsibllity for comp!(ance with any
applieable deed restrlctlons,
UNLlCENSED CaNTRACTflRS AN[� GaNTRACTO RESPONSIBlLlTIES: If the awner has hired a contractor or
contractors to unde�take work, they may be requlred to e (icensed in accordance with state and local regu(ations. if fhEj
contractor is not Iicensed as required{by law, both the owner and confractar may be ciited for a mfsdemeanor violation i
under state (aw. If the�owner or inte �ded contractor a e uncertain as fo whaf licensing, reqt�irements may apply for the ,
infended wark, fhey are�advised ta co�tact the Paseo C�unty 8uiid3ng lnspection Divisior�—�icensing Section a#727-847- i
8009. Furfhermore, if the owner ha hired a cont�actor or contractocs, he !s adviseci to have the contractor{s� slgn
pa�tions af the "contractor Block° of tf�ls appiication for iwhEch they w11! be responsible, If you, as #he awner sign as the
contractor, that may be an indication that he (s not pro�erly Ucensed end is not entitled to permitting privileges in Pasc�
; Gounty. ` ' �
TRANSPORTATlON IMPACTIUTIUT�ES IMPACT AN RESOURCE RECCIVERY FEE;3: The undersigned undersfanda
that Transportation Impact Fees and Recourse Recover�y Fees may appfy to the constru�ction af nevtir bui{dings, change of ,
use in existing buildings, or expansion of existing build�ngs, as specified in Pasco CouriEy {�rdinance number 89�07 arti�
, 90-07, as amended. The undersigned also understands, that such fees, as may be duc�, wiN be identi�ed at the time af
permifting. it is fu�ther understaad #hat Transpartatlon �Impaet Fess and Resou�ce Rec+�very Fees must be pald pr(or t�i
receiving a "certi�icate of ocaupancy" or fina! power rele�ase, !f the projeot does nat invc�lve a certificate of occupancy or
fina! powe� release, the fees must be�pafd prfor to perrnit issuance. Furthermore, if Pasco Counfy WaterlSewer (mpacf
fees are due,.they must be paid prior t� permlt�ssuanca�in accordance with applicable P��sco County ordinances.
CONSTRUCTION LIEN LAW(Chapfer 713, Ftorida Statutes, as amended): !f val�atic>n of work is$2,500.00 or mare, !
certify that I, the applicant, �have bq'en provided wit � a aapy of the� "Fiorida Consti�uctian Lfen Law—Hameowner=-s
Pratect�an Guide" prepared by the Flc�rida Department�f Agrlculture and Consumer AfFairs. If the applicant is someone
ather t#�an#he"awnee", ! certify that I ave obtained a c�py of the above.described docuinent and promise in good faith t�o
deliver!t to the Nowner"prior#o comm�ncement. � ` ' .
CON`CRA►CTOR'S/OWN�R'S AFFID�VIT: I certify that all,the Pnformati;;n (n this appl(c��fion is accurate and that all wark
will�be done in comptiance wifh al( ap�licable laws reg f ia#ing construction, zoning and land development. Applicatian is
hereby made to obtain a permi# to �a wark and Ins allation as indicatsd. 1 cerE3fy �that no work ar Instaliation has
cammenced pr3or to issuance of a permit and that a!i wark wfli be performed to �eet standards.of all lavrs regulating
construction, Gaun#y and City cades} zoning regulations, and land development regulatians In the jurlsdlction. I also
certlfy that I understand that th� regulations of ottier g�vernment agencies may apply tc� the intended work, and`thaf it is
my respansibfifty to identify what actio�s I must take to �e in compllance. Such agencies Include but are not lim(ted to:
- Department of Environmental Profecfion-G� press Bayheads, 11Vefland Are�is and Enviranmen#ally Sensitive
� Lands,WaferlWastewater�Treafinent.
� - SouthwesE Fiorida Water Management Di:strict-Wells, Cypress BayhEaads, Wetiand Areas, Altering
Watercaurses.
- Army Carps af Englneers'Seawa!!s, Dacks, NaVigable Waterways. �
- De ar#ment of Healkh & Rehabilitative S rvices/Environmentai Health Un�it-Wells, Wastewa#er Treatment,
P
� Septic Tanks. � ' ;
- US Environmental Pratec ian Agency-Asbe'fos abatement.
- Fede�ai Aviafion Authorif��Runways. ;
i understand that the fallawing restrictions appiy#o the se of f�i{:�
- Use of fiil Is not aitawed i Fload Zone°V" nless expressly permltted.
- !f the fill! materlal Is to �e used In Floo. Zone "A", ft is �understood theit a drainage plan addressing a
°compensating volume" ill be submitted �t t(me of-permitfing whlch is prepared by a professional engineE:r
, Iicensed by the State of F or(da.
- If fhe fili materia( is to b used in Flood 7one "A� in conneotion with a p��rmitted building usfng stem w�H �
aonstrucfion, I certify that�fill w€il be used o ly to flil the area,wlthln the stem tivall. ;
- If ft{I material !s to be u�ed In any area, i certlfy that use of such f11i vdlfl r�vt adversely affect adjace�lt
properties. !f use of fill is� faund to advers ly affect adJacenk prapertles, the� owner may be c(ted for violating.
the condltlons af the bu3l�ing permit issue� under the attached permik application, far lots less than one ('I)
acre which are elevated b,'y fill, an engfneer�d drainage plan (s re4qu.ired. r, .
If I am the AGENT FOR THE OWNER, I promise in goQd faifh to inform the owner of#li+�`permitting,eonditians set farth in
this afiidavit prior to commencing construc#ion. 1 understand that a separafe permit ms�y be required for eEectrfcai work,
plumbing, signs, wells, poals, air cor�ditioning, gas, o�ather fnstaliations nat specificallly included in #he applicatlon: A
permit issued shaN be construed to b a flcense to pro sed wlth #he wor:k and not as at�athority to.violate, cancel, alter, or
set aslde any prov�sions of the technf�a! codes, nor sh�1! issuance of a permit prevent tt-ie Bulld(rig Offlcial from thereaft�,r
requiring a correction of errors in plans, canstruction or vialations of any codes. Every ��ermit (ssued shail become invai(d
unless the work authorized by such Rermit is commen ed wifh(n six mon#i�s of permit i'ssuance, or if work authorized by I
the permit is suspended or abandonetl for a periad of s�x (6) months af#er#he tfime fhe work is commenaed. An extension i
may be requested, (n writing, from thie Building Officla� for a period not to exceed ninejly (90} day� and.wi11 demonstra�e ,
just3fiabie cause for the exfension, if r�votk ceases far ni'nefy{90)consecutive days, th�j��b is cansfdered abandoned.
WARNING T4 OWNER: YOUR FA�LURE TO R�C RD A NOTICE OF�COMMENCI:M�NT MAY RESULT IN YOUR
PAY_ING_T_W10E,_FOR.IMPROVEMEt�T�TO_YOUR_P_ OPERTY. IF YOU�INTEND TO OBTAIN FtNANCING, CONSULT
WIT YOUR LE DE. dR.AN ATTORNEY BEFORE RECORDING Y NO �iC CiF CO14�MENCEMENT.- - - _ - _
FLORiDA JtJRAT(F.S.117.03j I �
OWNER OR AGENT. I CONTRACTOR ,�,L'L �..—
Subscr{bed and swom to(or a�irmedj before rr�e thls Subsor36ed and am to(ar at�smedy t�etore me Is .
kY bY
Who islare personally known to me or has/hav�praduced Who(s/are personalty known fo me or hasihave produeed
as idenflflea�on, i as Ident(�caftan.
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� Nokary Publlc j Notary Public
Commisston No. � CammSsslon N . �
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Name of Nofary typed,printed or stamped Name of Na ary tyjsed �r� ag�'st�rEr�sion#FF 93707�
=;� ��o= !:xE•Ires June29,2q18
i!%R:�;�.•�� BorNc.t t�Troy Fain tnaurance 800-:� ,
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City of Zephyrhills
BUILDIIVG PLAN REVIEW COMMENTS I��
Contractor/Homeowner: � ,
Date Received: �f �--�U�
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Site: �� �
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I'errnit Type: � �j r �Q�p��QCc.°��'l��cS
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
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Kalvin Sw'�er—Pla�s xaminer ` Date Contractor and/or Homeowner
, (Required when comments are present)
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INSTALLATION SERVICES CUSTOMER CONTRACI'-MWORK-IIVT/EXT/PATIO DOOR c�
Lt}WE'S OF ZEPHYRNl�LS, FL,STtJRE#7854 STORE PHQNE:�813}838-9fl00 �
� 7921 GALL BOULEVARD SALESPERSON:ROBERT FATZINGER �
EPHYftH1LLS, FL 33541 SA! ��P�RC�)ty tn.i�r��a� —'
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Document Print Date:04/01/2Q15 n;
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This is oniy a Quote for the merchandise and services printed below.This becames an agreement upon payment and issuance af a Lowe's receipt, upon which the entire agree-
ment, including the specifically completed pages of this docurrient,the 7erms and Canditions included wikh this document, the applicable portion(s)of Lowe's receipt,and any
okher addenda 4r attachments hereto,shail6e referred#o herein as this"Gontracf.°
� PLEASE READ THIS ENTIR�DOCUMENT INCLU�ING'FHE"TERMS AND CONDITIONS" BEFORE SIGNING
( (.owe's Registraiion or Contractor License Number J Lawe's Contractar iVame
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�� Ftorida Cantractc�r�icense Number CGC��08417
� Customer t�ame Efome Phone
v�"`., CHARL,OT7E GORTON $13-782-5378
Customer Address Other Phone p
� 38840 8 AVE �
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Ci#y State/Province Zip/Postal Code y
�,} ZEPHYRHILLS FL 33542 �
Insfalfatian Add�ess m
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T �ssao �av� W
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Ins#allation City Enstallation STate/Province finstallation 2ipiPos#al Cade �
� Z�PHYRHILLS Fl. 33542 0
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MERCHANDI�E AND INSTA�.LATION SUMnl1ARY v
lVIERCHANDlSE �U11!lMARY
223279:JP3-217 34"DOQR :SQS: SOS RB DECORATlVE STEEL-DQRFAS: 34"DOOR WITH PET Cl1T OUT NALF LlTE FLUSH M!N! BLiND FtJGHT IN-
SUVING : DOGR FASRICATI�N S�RVICES INC-Q7Y i
223279:JP3-217 36° DOOR: SOS: SOS RB DECORATlVE STEEL-pORFAB:36"HALF LlTE MlNI BL1ND MIN!BLlND HALF LITE 2 PANEL ST�E!:
D04R FABRICATIC?N SERV3CES INC-4TY 1
98458 :q7526: STK: RML 8-FT WHITE PVC �RICK MOUL.D[NG : RML 8-FT WHITE PVC BRICK MOULDING : EAST COAST MILLWORK DISTRIBUTI-
,. {�TY 3
209620: 0731$ : STK : PVC TR1M BOARD 3/41NX3-1/21NX8FT: PVC TRIM BOARD 3/41NX3-1/21NX8FT: EAST COAST MILLWORK DISTR1BUTl -QTY 3
209626:fl2018: S�'K: PVG LATTICE 8-FT: PVC LATT[C�8-Ft': FAS-r r�na��-n,���i:.r�:'.::n�.r�,-;-�,�3Q.;�9-i i`f o i -t�
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Store 1854 Project No.436287579 for CHARLOTTE GOR?ON Page 1 of?
aTORE COPY �
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238211 : HPA11-10$88: STK: BIG CAT FLAP {PS}; BIG CAT FLAP (PS) : RADIO�YSTEMS, INC. -QTY 1 �C,,,
279722:88335�080477: STK: GH SC PROJ PACK SGL GALLO: KEYED ENTRY DOOR 1{NOB:K1NiKSET-QTY 1 C
314407:OGL10408-AG : STK: 1X4X$TREATED APPEARANCE GRALIE: 1X4X8 TR�ATED APPEARANCE GRADE: SUNBE�T FUREST PRODUCTS- �`'
G2TY 3 u,
585250 : 20297817 : STK: LARSON QUICKFIT HDL KIT BN : LARSON QUICKFIT HDL KIT BN : LAR50N MANUFACTURING COMPANY-Q7Y 1 N
585253: 14644032 :STK: I.ARSON TWFV 3�FRAME WFiT: LARSON TWFV 38 FFiAME 1NHT: iAR�ON MAN�IFACTURiNG CONIPANY -QTl' 1 Q`
Materials Price $1313.$'7
tNSTAL�ATI{3N DESCR1PT30N
Stock or SQS: SOS Door Type: F�cterior
Select Lacation : Front Door Select New Door: Single Pre-hung
Number o#Dc�ors to lnstail : 2 Sic#e�ights or Transoms: No
Hardwood.(Mahogany ar Oak) Doar: No Hidden Damage Description : None
Number of additianal holes bored for accessaries: None Install SpeciaEized Mc�rtise Hardware: Na o
Install Storm Door: Install new storm doar Select Storm Door_ Storm Door �
Lead Sa€e Practices: No Tota!Linear Fest of Custom Trim ta be Ensta(led: 17 `�
�
DeEiver poor:Yes Customer Understands Scope of the Project:Yes '�
` Perrnit Fiequired :Yes iNho 1NiI(C3btain i'ermit:Ti�ird Party �'
�
Permit Fee:Yes Additional Miles Traveled over 20: 0 �"�
�
Bring t1p To Code Descriptian: None Local Disposa(Fee :Yes �
Describe Qther Work Needed : frame work at front door and cut jamb from Other Work Charge :Yes �
p{aster inside wa1[ oa ,
Comments: put storm door on the front � '
Y
Labor Charges $1U31.50 ,
�, Detail Deducfion -$ 35.00
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Additional Specifications: �
Notation: Lowe's wi!! r�oi make structurai modificaiians, paint or stain or rernave/reinstalJ security system equipment. Customer is responsible to advise if prop-
' erry'ss governed by Historic aistrict Regulations.
Additiona! Specifications: Federa! !aw requires Lowe's to provide you wiih the patr�phlet Reraouafe R�gnf: lmpor�ant Lead Hazard lnformaFion for Famifes,
C�ifl� Cara Prnvirlgrc Mn,� ��fi��l�, R� �;y;;;;,� ,h;s ��;,�;�u�, �;;��;,,;,�; Q�n;,;,w;G�y�, �avi��c� rEC�ive� a copy oT inis parnpniet beTOre work began informing "
I Gustomer of the potential risk of the lead hazard exposure from renovation activity ta be performed in Cus#omer's dwelling unit. W
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Store 1854 Project No.436287579 for CHARLO f'TE GOR70f� Page 2 of 7
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PHOTO RELEASE; Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photograghs of the Premises where !n- c
stallation Services will be {�erforrned and all work performed at the Premises related to#his Contract, and irrevocably granis to Lowe's ali right, title, interest in �'
and to the phatographs far use in ali markets and media, war3dwide, in perpefuity. Custamer authorizes I�owe's to copyrighi, use and pubiish the photographs in c
print and/or electronicafiy, and agrees#hat Lawe's may use such photographs for any lawful purpose, including, but not limited to, mariceting, acivertising, publi- �
city, illustratian,training arad Web cantent. By initialir�g here, Gustomer agrees to fhe#ore�oin�, IGustc�m�r tg�nitra�t�t�,a�a�,�_ �
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NOTICE TO CUSTOMER - PRICE CALCULATIONS: In order to praperly perform the installation of certain Goods, the Contract Price may include more i�;
Goods than actua}ly wi(I be insTaEled based on the measured square footage of the Project Area.As a resuf#,the parties agree#hat t�te lump-stam Price stat�d in �
this Contract is ca(culaied upon both the value of the estimated Gaods required io fulfill the Contract (inciuding waste), which may exceed the actual square
footage of the Project Area, and the labar which may be estimated based on the amount of Goods required to fuffill the contract (including waste). By signing
th'rs Confract below, C�stomer acknowledges receipt of th'ss notice and agrees and understands that the Price includes these casts which may not be refunded
once the Installation Services are performed..
NOTIGE t�F ARBITRATIflN AGREEMENT
7his Contract provides tha#ail clairns by Custamer or Lowe's wi11 be resolved by B1NpING ARBiTt�AT1C?N. Customer and Lowe's GIVE UP THE RIGH7 TO GO
70 COURT to enforce this Contract{EXCEPT for matters fhat may be taken ta SMALL CLAlMS CQURT}. Louve's and Customer's righis wiE! be determined by
a NEUTRAZ ARB�TRATOR and NOT a judge or jury. C.owe`s and Cvstomer are entitled to a FA(R HEARING. Sut the arbitration procedures are SIMPLER AND
MORE LlM1TED THAN RULES APPLICABLE IN COURT, Arbitrator decisions are as enfarceable as any court order and are subject to VERY LIMITED RE-
VlEW BY A CQURT. FOFt MQRE DETAILS: �i�view the section titled ARBITFtATION AGREENIENT, WAfVER OF JURY TRIAL AND 1NAlVE€� QF GLASS AC-
TipN ADJUDICAT1fJN found in the Terms and Conditions af this Contract.^
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" TOTAL CHARt�aES OF ALL 1UIERCHANDISE AND SERVICES Kwhereapplicable �
, SUB-TOTAL $2310.3 �
*TAX $ 0.0 W
DEI.IVERY $ 0.0 �
' ORDER TOTAL $2310.3 0
BALANCE DUE o°o
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Woric is to commence upon reasonable availabiiry of Contractor which is anticipated to be UU��� lor�tr�rnh.,� (fip in date]-
Estimated completion dats is W�tn%�t�ir�zo, �Ifill in datej.
NC}TICE TO CUSTOMER �
All items listed in this contract and specification sheet(s}are#o be installed under conditions agreed u�on at time of purchase and at the price appearing
,, on this cantract€arm.This assumes sound exESting subs#ructures, supers#ructure and points of attac�ments. Extra labar or material incident to installation
necessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures pr appliances to be billed at extra cost to custom-
er. DO N�T SIGN TMS CQNTRACT UN71L COMPLETE AND YQU NAVE READ TNE TERMS ANC}CQNDETI{3NS QF THES CONTFiACT. BY SIGNING
. BELOW, YOU ARE ACK�{��!!��En��n�r-rua-r vn� u��'` g�n�, ;;;Suc�S i Hivu �ivu Htat��t I O!F-iE TERMS AND CONDITIQNS SET FORTH ON �°
THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE. �"
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Store 1854 Project No. 436287579 for CHARLOTT'�GORTON Page 3 ot 7
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Door Detail SpeciFcatlons Holle Dev Cor #54584 �F
�� Please provide drawing fram onsite using swing info on right �
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Customer must 6e home for installation � ��.,`��fil�1 �s�3
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Door units to measure-one door per row-afl measurements must be in inches. �l'✓
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Storm En Sitleiight Trensom PaUa-Swing Patlo-S[[der Interlor orSlab Camment Wldth Hei ht Wir!ffi Hei ht Jamb Deptfi `�� �� ��
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2 1 Front o 36 8 ��„\;;<< , �„��\� �� �
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, Page 1 of 5
'FL # FL4904-R6
Application Type Editorial Change
Code Version 2010
Application Status Approved
*Approved by DBPR. Approvals by DBPR shall be
reviewed and ratified by the POC and/or the
Commission if necessary.
Comments
Archived �..�
Product Manufacturer Masonite International
Ad.dress/Phone/Email 1955 Powis Road
West Chicago, IL 60185
(615) 441-4258
sschreiber@masonite.com
Au.thorized Signature Steve Schreiber
sschreiber@masonite.com
Technical Representative
Ad.dress/Phone/Email
Quality Assurance Representative
Ad.dress/Phone/Email
Category Exterior poors
Subcategory Swinging Exterior poor Assemblies
Compliance Method Certification Mark or Listing
Certification Agency National Accreditation& Management Institute
Validated By National Accreditation & Management Institute,
Referenced Standard and Year (of Standard) Standard Year
TAS 201 1994
TAS 202 1994
http://www.floridabuilding.or�/pr/pr app dtl.aspx?param=wGEVXQwtDqteluIwHNbblSc.,. 2/21/2015
Page 2 of 5
TAS 203 1994
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 12/08/2014
Date Validated 12/09/2014
Da.te Pending FBC Approval
Date Approved 12/10/2014
Summary of Products
FL # Model, Number or Name Description
4�04.1 Wood-edge Steel Side- 6'-8" Opaque I/S and O/S Single Door
Hinged Door Units
Limits of Use Certification Agency Certificate
A►pproved for use in HVHZ: Yes FL4904 R6 C CAC NI0061 lO.Ol.pdf
�►pproved for use outside HVHZ: Yes Quality Assurance Contract Expiration �ate
Impact Resistant: Yes 12/31/2020
Tlesign Pressure: +76.0/-76.0 Installation Instructions
Other: Evaluated for use in locations adhering FL4904 R6 II FL0128.pdf
to the Florida Building Code including the Verified By: National Accreditation&
High Velocity Hurricane Zone, and where Management Institute
pi•essure requirements as determined by ASCE Created by Independent Third Party:
7, Minimum Design Loads for Buildings and Evaluation Reports
Other Structures, does not exceed the design FL4904 R6 AE 504A.pdf
pressures listed. 3'-0" x 6'-8" max nominal size. Created by Independent Third Party: Yes
When large missile impact resistance is
required, hurricane protective system is NOT
required. See DWG-MA-FL0128-OS for details.
4904.2 Wood-edge Steel Side- 8'-0" Opaque I/S and O/S Single Door
Hinged Door Units
Limits of Use Certification Agency Certificate
��pproved for use in HVHZ: Yes � FL4904 R6 C CAC NI006110.02.pdf
�pproved for use outside HVHZ: Yes Quality Assurance Contract Expiration:Date
Impact Resistant: Yes 12/31/2020
Design Pressure: +70.0/-70.0 Installation Instructions
http;//www,floridabuilding.or�/pr/pr app dtl.aspx?param=wGEVXQwtDqteluIwHNbblSc... 2./21/2015
. P�ige 3 of 5
. Other: Evaluated for use in locations adhering FL4904 R6 II FL0129.pdf
ta the Florida Building Code including the Verified By: National Accreditation &
High Velocity Hunicane Zone, and where Management Institute
p��essure requirements as determined by ASCE Created by Independent Third Party:
7; Minimum Design Loads for Buildings and Evaluation Reports
Other Structures, does not exceed the design FL4904 R6 AE 503A.pdf
pressures listed. 3'-0" x 8'-0" max nominal size. Created by Independent Third Party: Yes
VVhen large missile impact resistance is
required, hurricane protective system is NOT
required. See DWG-MA-FL0129-OS for details.
4904.3 Wood-edge Steel Side- 6'-8" Opaque I/S and O/S Door w/ or w/o
Hinged Door Units Sidelites
Limits of Use Certification Agency Certificate
A�pproved for use in HVHZ: Yes FL4904 R6 C CAC NI0061 lO.Ol.pdf
��pproved for use outside HVHZ: Yes Quality Assurance Contract Expiration :Date
Impact ktesistant: Yes 12/31/2020
Tlesign Pressure: +55.0/-55.0 Installation Instructions
Other: Evaluated for use in locations adhering FL4904 R6 II FL0128.pdf
to the Florida Building Code including the Verified By: National Accreditation & ,
High Velocity Hurricane Zone, and where Management Institute
pr�essure requirements as determined by ASCE Created by Independent Third Party:
7, Minimum Design Loads for Buildings and Evaluation Reports
Other Structures, does not exceed the design FL4904 R6 AE 502A.pdf
pressures listed. 12'-0" x 6'-8" max nominal Created by Independent Third Party: Yes
size. When large missile impact resistance is
required, hurricane protective system is NOT
required on opaque panels, but is required on
glazed panels. See DWG-MA-FL0128-05.
4904.4 Wood-edge Steel Side- 8'-0" Opaque I/S Door w/ or w/o Sidelites
Hinged Door Units
Limits of Use Certification Agency Certificate
�pproved for use in HVHZ: Yes FL4904 R6 C CAC NI006110.02.pdf
A�pproved for use outside HVHZ: Yes Quality Assurance Contract Expiration ]Date
Impact Resistant: Yes 12/31/2020
�lesign Pressure: +45.0/-50.0 Installation Instructions
Other: Evaluated for use in locations adhering FL4904 R6 II FL0129.pdf
to the Florida Building Code including the Verified By: National Accreditation&
High Velocity Hurricane Zone, and where Management Institute ',
pressure requirements as determined by ASCE Created by Independent Third Party: '
7, Minimum Design Loads for Buildings and Evaluation Reports
Other Structures, does not exceed the design FL4904 R6 AE SOlA.pdf
pressures listed. 12'-0" x 8'-0" max nominal Created by Independent Third Party: Yes '
size. When large missile impact resistance is
required, hurricane protective system is NOT
required on opaque panels, but is required on
glazed panels. See DWG-MA-FL0129-05.
http://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDqteluIwHNbblSc... 2/21/2015
, Page 4 of 5
4�04.5 Wood-edge Steel Side- 8'-0" Opaque O/S w/ or w/o Sidelites
Hinged Door Units
Limits of Use Certification Agency Certificate
A..pproved for use in HVHZ: Yes FL4904 R6 C CAC NI006110.02.pdf
A.pproved for use outside HVHZ: Yes Quality Assurance Contract Expiration i�ate
Impact Resistant: Yes 12/31/2020
�lesign Pressure: +50.0/-45.0 Installation Instructions
Other: Evaluated for use in locations adhering FL4904 R6 II FL0129.pdf
to the Florida Building Code including the Verified By: National Accreditation &
High Velocity Hurricane Zone, and where Management Institute
pressure requirements as determined by ASCE Created by Independent Third Party:
7, Minimum Design Loads for Buildings and Evaluation Reports
Other Structures, does not exceed the design FL4904 R6 AE SOlA.pdf
pr•essures listed. 12'-0" x 8'-0" max nominal Created by Independent Third Party: Yes
size. When large missile impact resistance is
required, hurricane protective system is NOT
required on opaque panels, but is required on
glazed panels. See DWG-MA-FL0129-05.
4�04.6 Wood-edge Steel Side- 6'-8" Glazed I/S and O/S Door w/ or w/o
Hinged Door Units Sidelites
Limits of Use Certification Agency Certificate
A�pproved for use in HVHZ: Yes FL4904 R6 C CAC NI006110.03.pdf
A►pproved for use outside HVHZ: Yes Quality Assurance Contract Expiration :Date
Impact Resistant: No 12/31/2020
�lesign Pressure: +50.5/-50.5 Installation Instructions
Uther: Evaluated for use in locations adhering FL4904 R6 II FL0130.pdf
to the Florida Building Code including the Verified By: National Accreditation &
High Velocity Hurricane Zone, and where Management Institute '
pi•essure requirements as determined by ASCE Created by Independent Third Party:
7, Minimum Design Loads for Buildings and Evaluation Reports
Other Structures, does not exceed the design FL4904 R6 AE 502A.�df
pi•essures listed. 12'-0" x 6'-8" max nominal Created by Independent Third Party: Yes
size. When large missile impact resistance is
required, hurricane protective system is
required. See DWG-MA-FL0130-OS for details.
4904.7 Wood-edge Steel Side- 8'-0" Glazed I/S Door w/ or w/o Sidelites
Hinged Door Units
Limits of Use Certification Agency Certificate
�ipproved for use in HVHZ: Yes FL4904 R6 C CAC NI006110.04.pdf
��pproved for use outside HVHZ: Yes Quality Assurance Contract Expiration :Date
Impact Resistant: No 12/31/2020
Design Pressure: +40.0/-45.0 Installation Instructions
Other: Evaluated for use in locations adhering FL4904 R6 II FL0131.pdf
to the Florida Building Code including the Verified By: National Accreditation &
http:/1www.floridabuildin�.or�/pr/pr app dtl.aspx?param=wGEVXQwtDqteluIwHNbblSc... �/21/2015
, Pa.ge 5 of 5
High Velocity Hurricane Zone, and where Management Institute
pressure requirements as determined by ASCE Created by Independent Third Party:
7, Minimum Design Loads for Buildings and Evaluation Reports
Other Structures, does not exceed the design FL4904 R6 AE SOlA.pdf
pressures listed. 12'-0" x 8'-0" max nominal Created by Independent Third Party: Yes
size. When large missile impact resistance is
required, hurricane protective system is
required. See DWG-MA-FL0131-OS for details.
4904.8 Wood-edge Steel Side- 8'-0" Glazed O/S Door w/ or w/o Sidelites
Hinged Door Units
Limits of Use Certification Agency Certificate
A,pproved for use in HVHZ: Yes FL4904 R6 C CAC NI006110.04.pdf
A.pproved for use outside HVHZ: Yes Quality Assurance Contract Expiration lDate
Impact Resistant: No 12/31/2020
�lesign Pressure: +45.0/-40.0 Installation Instructions
Other: Evaluated for use in locations adhering FL4904 R6 II FL0131.pdf
to the Florida Building Code including the Verified By: National Accreditation&
High Velocity Hurricane Zone, and where Management Institute
pr�essure requirements as determined by ASCE Created by Independent Third Party:
7, Minimum Design Loads for Buildings and Evaluation Reports
Other Structures, does not exceed the design FL4904 R6 AE SOlA.pdf
pressures listed. 12'-0" x 8'-0" max nominal Created by Independent Third Party: Yes
size. When large missile impact resistance is
required, hurricane protective system is
required. See DWG-MA-FL0131-OS for details.
http://www.floridabuildin�.or�/pr/pr app dtl.aspx?param=wGEVXQwtDqteluIwHNbblSc... 2/21/2015
. �
�� 149°MAX. OVERALL FRAME�DTH � �
�_�G'l,«:��y7��"�" ° �
21" MAX 36.375" MAX. -�
SIDE-HINGED WOOD-EDGE STEEL DOOR UNlT 37.5" nnax. ¢ o
D.L.O. PANEL WtDTH FRAME WIDTN Z �J
6'-8"GLAZED DOUBLE DOOR WITN/WITHDUT SIDELITES W/ASiRAGAL � O
ti �
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GENERAL NOTES � �'��j
1 EVALUATED FOR USE IN LOGITIONS MHERING TO =
THE FLORIDA BUILDING CODE AND WHERE PRESSURE 11.1 ln U
REOUIREMEM'S AS DEfERMINED BY ASCE 7. MINIMUM - - �
DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES, � �°n Z p�j
DOES NOT EXCEED THE DESIGN PRESSURES LISiED. � `" O ,_�
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2. HURRICANE PROTECTIVE SYSTEM (SHU17ER5) IS REOUIRED. � X � �
3. IN THE HVHZ, FACTORY PRIMED DOORS MUST BE PAINTED IN '� �� �
ACCORDANCE WITH SECTION 2220 OF THE FBC. _ �0 �
x
4. POLYUREfHANE CORE FLAME SPREAD INDEX OF 50 � � O z
ANO SMOKE DEVELOPED INDEX OF 60 PER aSTM E84. � a
5. PlASTICS TESTING OF LITE FRAME MATERIAL. '� �
TE5f DESCRIPTION DESICNATION RESULT � � o°w�y o i W
SELF IGNITION TEMP ASTM 01929 740 'F > 650 'F a U W
RATE OF BURNING ASTM D635 0.77 IN/MIN �_ „��2
o� mr.�
SMOKE DENSItt ASTM D2843 13.47 S �+w'"w
TENSILE STRENGTH• lSTM D6J8 7.507 DIFF ���.°,y��
• COMPARATNE TENSILE STRENGTH AFfER WEATHERING �W o o ¢��y
, 4500 HOURS XENON ARC METHOD 1 j w a a
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DOUBLE DOOR UN17 W/SIDELfTcS a a
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SINGLE DOOR UNIT DOUBLE DOOR UNIT SINGLE DOOR UNI7 SINCLE DOOR UN1T SIN6LE DOOR UNIT W/SIDELITES DOUBLE OOOR UNI7 W/SIDELITES SINGLE OOOR UNIT
W1TH SfDEL17E WITH 5117F1ITF
WITH VENTLI7E w O U m¢Z
WHERE WATER INFIITRATION PERFORMANCE IS on�: 7/�7/G$
TABLE OF CONTENTS DESIGN PRESSURE RATING REOUIRED TO BE 15% OF DESIGN PRESSURE �� n�--.
SHEET OESCRIPTION CONFIG MAX WIDTH INSWING OUTSWING INSWING OUTSWING �Sc�"�/ sca�.E: N.7.S.
� X 37.5 +50.5 -50.5 +50.5 -50.5 r19.0 -t9.0 +50.5 -50.5 owc.ev: SWS
1 iYPICAL EIEVATIONS & GENERAI NOTES XX 74 +50.5 -50.5 +50.5 -50.5 -4-19.0 -19.0 +50.5 -50.5
' 2 ANCHORING LOCATIONS & DEiAILS OX or XO 75 +50.5 -50.5 +50.5 -50.5 +79.0 -19.0 +50.5 -50.5 CHK.BY:
3 nNCHORING LOCATIONS & DETAILS CXO 112.5 +50.5 -50.5 +50.5 -50.5 419.0 -19.0 +50.5 -50.5 KUR7 8AL7HAZOR ortnnvnnc r+a.
OXXO 149 +50.5 -50.5 +50.5 -50.5 +19.0 -19.0 +50.5 -50.5 FLORIDA P.E. DWG-MA-F(A73'v-05�
X - VENT 37.5 +55.0 -55.0 +55.0 -55.0 N A N A �/56533 •
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ASTRAGAL REfAINER BOLT HOLE ���uv, o
#1 p X 2�• #8 X 2_��2° � MUST BE DRILLED THROUGH Q�o� �
#8 x 2-7/2" ° THE THRESHOLD & INTO THE �NOOZ w
f�70 x 5/8" � STRUCTURE OEEP ENOUGH ��a= �
#8 x 2-1/2" #10 x 1"" . FOR A 1.375" THROW �o 0 0�
ow
' a #10 x 5/8" #10 x 3/4" D�TAIL "F" ASTRAGAL �N�N p
#10 x 2"' DETAIL "E.. ASTRAGAL °f^`V�
IG (7/e'TEMP GLfS")
FRAMt / DOOR AITACH ASTR,4GAL RETAINER BOLT ��'995 w/oPnoruLL oECOaarne iNSarr ^
DETAIL "D" STRiKE PLATE TO FRAME � �M,�EL OR BUM SPACER W O U m Z
DETAIL "C" AS SHOWN.
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INSWING THRESHOLD OUTSWING THRESHOLD TYPICAL GLAZlNG DE7AIL owc-Ma-F�o�ao-os
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ATTACHMENT DEfAIL ���m'
1 ANCHOR ANALYSIS FOR LOADING CONDITIONS PREPARED, _
SIGNED AND SEALED BY LUIS R. LOMAS, PE ° �
(FLGRIDA #62514) WITH THE LOWEST (LEAST) � ��
FASTENER RATING FROM THE DIFFERENT FASTENERS �ww�
BEING CONSIDERED FOR USE. JAMB, HEAD, AND I�a a�
THRESHOLD FASTENERS ANALYZED FOR THIS UNIT INCLUDE �a�N o
#10 WOOD SCREWS OR 3/16" TAPCONS_ A PHYSICAL HARDWARE SCHEDULE ac�°``' "'
SHIM MUST BE PLACED IN SHIM SPACE AT EACH ANCHOR ��n o� >
LOCATION TAPCON EDGE DISTANCE MtN 2-1/2" 1 KWIKSET SERIES 400 GRADE 3 CYLINDRICAL LATCH AND os°a= �
2. MULLIONS TO BE 2-1/2" X 4-3/8" STRUCTURAL GRADE SERIES 980 GRADE 1 DEADLOCK HARDWARE TO BE INSTALLED �
FJ PINE ON CONTINUOUS HEAD AND SILL UNITS. BACK TO AT 5-1/2" CENTFRLINE. '-OOOw
BACK JAMB UNITS JOINED WITH 1° X 1/2" LONG 2. 4" X 4" FULL MORTISE BUTT HINGES �NNN�
CORRUGATED FASTENERS I.00ATED 3" FROM EACH END rn�N�-
AND MAXIPAUM 7" 0 C. OR #10 X 2" FLAT HEAD WOOD ..
SCREWS LOCATED 6" FROM EACH END AND MAXIMUM ,'"" -
1Z�� O C �MIN~ I 1M2N" . . . � woUm�
3. THE WOOD SCREW SINGLE SHEAR DESIGN VALUES COME FROM —M��� i � —M���
ANS!/AF&PA NDA FOR SOUTHERN PINE LUMBER AND ACHEIVEMENT SHi�n SHIM onTe: 7/>>/OS
OF 1-1/2" MINIMUM EMBEDMENT. THE TAPCON MUST ACHIEVE . AddendmloN�1A1
CL—I �_ _.. ���I �— :".'�', sca�: N.7.S.
MINIMUM EMBEDMENT OF 1-1/4". `-'�'E ���No- e a-2=I owc.er: S�NS
,4- WOOD BUCKS BY OTHERS MUST BE ANCHOREC PROPERLY TO k��`�� � ' c�K.er:
oateRevizwe���.,
TR.4NSFER LOADS TO STRUCTURE. ow�unHC No.
5. MINIMUM DESIGN VALUE STRENGTH OF ANCHORS 7 71 LBS. TYPICAL V�/OOD BUCK NPICAL MASONRY pWG-MA-F�0130-OS
ANCHOR INSTA�LATION ANCHOR INSTALLATION
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