HomeMy WebLinkAbout16-17345 i �
� CITY OF ZEPHYRHILLS
5335-8TH STREET
_ . (813)780-0020 17345,- �
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION '
Permit Number: 17345 Address: 39500 8TH 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: SUNSET ESTATES
Est. Value: Parcel Number: 12-26-21-0310-00000-0720
Improv. Cost: 5,570.00 OWNER INFORMATION
Date Issued: 5/12/2016 Name: HAZLETT, EMMA
Total Fees: 97.50 Address: 39500 8TH AVE
Amount Paid: 97.50 ZEPHYRHILLS, FL. 33542
Date Paid: 5/12/2016 Phone: (813)782-3904
Work Desc: REPLACE 5 WINDOW S/S
CONTRACTOR S APPLICATION FEES
HOME PERFORMANCE ALLIANCE INC BUILDING FEE 97.50
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Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MI C INSULATION 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. li
CONSTRUCTION POLE FRAME MISC. MISC. �
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the '
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 properly. 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED I
PROTECT CARD FROM 1PVEATHER �
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�'{ Home Performance Alliance, Inc,
f 2850 Scherer Drive Suite #550 Saint Petersburg FL 331X6
,� Office 727-538-4140 Fax 727-53$-4217
�� License# CGC1508826
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�' Aprii 4`h, 2016
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Contractors Letter of Authorizatian
I, Thomas L'zppert,hereby authorize the following individuals as having the authority to
sign and submit applications and related documents for the purpose of obtaining permits
under my license number CGC1508826.
I further acknowledge and accept, as a Iicensed cantractor,my responsibiiity and Iiability
for each project permitted under the autharity designated an this form, and rny failure to
assume and fulfill said duty may be grounds for the initiation of disciplinary actians
against my contractor's Iicense.
Flease delete/disregard any other authorization Ietters on file.
D si ated Signers:
�
_ Mark Maggs
� _ Raseila(Jay) Maggs
Alexandra Maggs
By: � � .._
Thomas Lip
State of Florida
County of Pinelias
This instrument was sworn to and subscribed before rne this �'w' day of
��; r 2016 by Thomas Lippert who is personally knawn to me.
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Notary Public �---��;---•-
� ,,��*.� .SERE€VIY Kl�.BU�tR+I
�' � :� {y�Y CQMMISSION ti FF&18029
• Y' ��'' E?CPIRES January 05.2�20
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EXPIRE�Jatw�ry O6.2020
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, BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: � � ��
Date Received: ���Y��
' Site: �%�U � ��
Pennit Type: �Gt�I��OGC� �/�l�Ce/NP�1 '� � S � -
Approved w/no comments Approved w/the below comments: ❑ I3enied w/the below comments: ❑
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� This comment heet shall be kept with the pernut and/or plans.
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Kalvin Switzer—Pl s Examiner Date Contractor and/or Homeowner
. (Required when comments are present)
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813-780-0020 City of Zephyrhills Permit Application Fau 873-780-0021
Building Department
Dat9 Recefved' 9 �� �O� _ (��f_g
Phone Contact for Permittin w
Owners Name ��m�A, 01,C..�.� Owner Phone Number a��� ( OZ���vy
OwnersAddress 3q5 ��Q, � r�l���S �/OwnerPhoneNumber
h
Fee Simple TiUeholder Name Owner Phone Number
Fee Sfmple TltleholderAddress
JOBADDRESS �-IS�� J ��'e-/ ►� rhi11S Fl.� �35y2-- LOT# �
SUBDIVISION ���1� PARCEL ID# �Z"G�^C.l'��3������0
(OBTAINED FROM PROPERTY TAJC NOTICE)
WORK PROPOSED e INSTAl.LSTR 8 REPAIR � SIGN Q � DEMOLISH
PROPOSED USE Q SFR Q COMM �., OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK I�IR.. � O �I . S S.L )'nVWVJS � �V`���� I(Q�[-�D,I
BUILDING SIZE SQ FOOTAGE� HEIGHT �
TI"ITITTrTI"1"1"ITI'TfTP'rrTlTt�l"ITTPTrTI"1"I�TI"1"'1"'TTrTI'T"1'�TI"1'T�TI"1'T'
�@UILDING $ ��� VALUATION OF TOTAL CONSTRUCTION
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QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
i OPLUMBING $ � j 1�J' �
� � 1l�u V��G�y►
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MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� ��, �
,/ �
QGAS Q ROOFING Q SPECIALTY � OTHER� � � ��y'S
1
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO
�-C-'r�-�i-�-i��F ..� �-���.���i..G.�F+ .�-.-r�i-�-:TS.�•.�5.
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BUILDER OMPANY �O �CC�'�1�YLGIVI�L. A�L��
SIGNATURE REGISTERED / N FEECURREA Y!N
Address ��GLI.R/TR/� S'�.P� e � �� License# �-Ll�t��� Z�,Q
ELECTRICIAN COMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
' PLUMBER COMPANY
I
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I
Address License# �i
OTHER � COMPANY II
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ,
Address I
License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)working days after submiltal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed,
, Sanitary Facilities 8 1 dumpster,Site Work Pemtft 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 Permit for new construction.
Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commerciai requirements must meet compliance I
� SIGN PERMIT Attach(2)sets of Engineered Plans. ;
""PROPERTY SURVEY required for aII NEW construction.
• • • • • • 1-�1+1.-1-.1-1-i-b-�I--1--t--1.-�F.a-i-Fi-1-�-i-4-1�.�1-d-4-f-t-I+f�-I--F-I+r-: •T.�1--F-i-1-.�F�-1-i-7--:-.-.-�f--1-F-E-1-
Directions:
FIII out applicalion completely.
Owner 8 Corrtractor sign back of application,notarized "
If over 52500,a Notice of Commencement is required. (A/C upgredes over$7500)
" Agent(for the conVactor)or Power of Attorney(for the owner)would be someone with notarized letter(rom owner authorizing same
OVER THE COUNTER PERMIITING (Front of Application Only)
Reroofs If shingles Sewers Senrice Upgrades A/C Fences(PlotlSurvey/Foolage)
Driveways-Not over Counter if on public roadways..needs ROW
MOT[GE OF DEED RESTRIGTIONS: The unders'sgned undersfands that this permik may be subject to"deed"restrictians"
which may be more restrictive than County regulations. 7he undersigned assumes responsibility far compliance with any
� applicable deed restrictions.
UNL[GENSED CQNTRAGTOftS AND CONTRACTOR RESPONStBtLtT1ES: lf the owner has hired a cantractor ar
contractars to undertake work,they may be required to be licensed in accardance 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 sfafe law. If the awner ar intended contractor are uncertain as to whaf licensing tequiremenfs may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Sectian at 727-847-
8009. Furthermare, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
por#iar�s o€the°contractar BlocEc"of this applicatian for which they wil[be resparrsib(e. lf you, as the owner sign as fhe
contractor, that may be an indica#ion that he is not properiy Iicensed and is not entitled to permitting privileges in Pasco
County.
Tl2ANSPORTATi4�i IMPAGTiUTfLtTIES i!VlPAGT AFiD REShcJRCE RECOVEl2Y FEES: The undersigned understands
fhat Transportation(mpact Fees and Recourse Recovery Fees may appiy to the construction of new buiidings,change of
use in existing buildings, or expansion of existing buiidings, 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,wiif be identifed at the tims af
permitting. It is furfher understood that 1'ransportatian(mpact Fees and Resource Recovery Fees must be paid prior to
receiving e"certificate of occupancy"or final power release. If the project does nat involve a certificate af occupancy or
final power release,the faes must be paid prior to permit issuance. Furtheemore, if Pasco Gounty WatertSewer Impact
fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,5pQ.00 or more,I
certify ihat !, the applicant, have been provided with a copy of the "Florida ConstTuction Lien Law—Hameowner's
Profectio�Guide"prepared by the Flarida Department of Agricuiture and Cansumer Affairs. (f the applicanf is someone
other than the"owner",I ce�tiy that I have obtained a copy of the above described document and promise in good falth to
deliver it to the"owne�"prior to commencement.
CQNTRACTOR'SIOWNER'S AFFIDAVlT 1 cerEi{y that alI the information in fhis app]ication is aceurate and fhat all work
will be done in campliance with all applicable laws regulating construction,zoning and land develapment. 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 permi#and thaf aIl work will be perfarmed to meef standards of all laws cegu(ating
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 identity whaf actions l must fake ta be in compliance. 5uch age�cies inciude buf are not lim'sfed#a:
- Department af Enviranmentai Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest F(or'sda Wafer Management District-Weiis, Gypcess Bayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- t}epartment oi Health & Rehabilifative ServiceslEnvironmental Healfh Unit-We[Is, Wastswater Treatment,
' Sepfic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federa2 Aviation Ruthority-Runways.
1 understand fhat the following restrictions appiy to#he use of fili:
- Use of fill is nat allowed in Fload Zone"V"unless expressly perrnitted.
- if the fii! materia! is to be used in Fiood Zone "A°, it is understood ihat a drainage pfan addressing a
"compensating volume"wili be submitted at time of permifting which is prepared by a prafessionai engineer
licensed by the State of Florida.
- If the fi!! material is to ae used in Flood Zone "A" in connectian with a permitted building using stem wa!!
constructian,!cerfify thaf fit[wil!be used oNy fo fi3l the area within the stem wa((.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. !f use of fill is found to adversely affect adjacent properties,the owner may be cited for vialating
the conditia�s of fhe building permi#issued under the atfached permit epp]ication,for Iofs Iess than ane(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 farth in
this affidavif prior to commencing canstruction. 1 understand that a separate permit may be required for e2ectrica(work,
piumbing, signs, welis, paols, air conditioning, gas, or other installations not specifically inciuded in the application. A
permit issued shall be cpnstrued to be a license to proceed with the work and not as authoeity to violate, cancel,alter,or
set aside any provisions of tt�e Eechnicai codes,nor shall issuance af a permit prevenE fFre 8uilding Ofticial from fhereafter
requiring a correction of errors in pians,canstruction or violations of any cades. Every permit issued shall Gecome 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 pesiod af six(6)monfhs after fhe time the work is cammenced. An exfension
may be requested,in writing,from the Buiiding O�cial 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 COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUFt PROPERTY. IF YOU INTEND 70 OB7AIN FINANCING,CONSULT
WITH YOUit LENDER OR AN AT'i'ORNEY SEFORE REGORDfNG Y4UFt N4T(CE OF COMMENCEIttIEN'('
FCORIDA JURAT{F.S.417.03}
OWNER OR AGENT CONTRACTOR
Subscri4ed and�swom to(or a�rtned)before me this _$u g�ib cJ�nd s�wom r affirmed}before me this
i} z.t ytp
Who is/are personally known lo me or hasfiave produced o is/r ersonally known t me or haslhav oduaed
as identification. as identificatian.
Notary Public Notary Public
Commission No. Gommission No.
Name of Notary typed,printed ar stamped Nam o �.ype ,pn�
:�`�"'.;:�;. �&�Ot�t��
� - MY COMMISSlON�FF 983281
;� :o' D(PlRES:Febtuery 22,2010
�'''%PFf��er' Botidfld'i1WA1�yPuhACUtfd6tWff9t�
Rcpt: 1766472 Rec: 10.00 I I'lll'II'll I'I'I IIIII'llll IIIII IIIII�IIII IIIII IIIII IIII IIII
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0�/27J2016 eRecording
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PAULA S.O'NEIL,Ph.D.PASCO CLERK&COMPTROLLER ° ��Q�4 � a Po
04 f 27 j2016 10:57 AZ3 1 of 1 ;��`'��;d,� ����yp�,
9358 � VyQY�y�
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'�;. HOME PERFORMANCE ALLIANCE,_INC.
State Certified General.Contnactor License#CGC1508826
2850 Scherer Drive,llnit 550,St.Petersburg,FL 33716
_ Home Performance Office(727)538-4140
� L L I A N C E "�Whnawindows.com �0�'11
Pp��L �t..�
CONTRACT
PURCHASER NAME MAIN PHONE OTHER PHO WORK PHONE
,n� Z �� � �l3- `7�Z� D
STREET E-MAIL
5aU �-
CITY,STATE,A� � CUSTOMER ALTEiiNATE PHONE:
�� . �- 33
SALES REP REPS PHONE DATE
GfN� �c°r�2 �Jr�i�'3��S 7 j .
General Description of Work: To furnish and install: � fif�.�"'1 �� ��� ��'�" ��
^--� „/� i
Windows and l _�Y�./ �` sliding glass doors and���/ O 7 "
entry doors -which is further described in the details specification sheet attached hereto as Exhibit"A"
and initiated by the parties.We will remove and dispose of all debris from job site.Including building permits and warranty.
The above workwill be completed in accordance with the terms,conditions and specifications herein,with paymentto be made in accordance
with the foilowing payment schedule:
1. PRICE ��'"'� a'�'"l /' $ ' �� ��
2. SITE INSPECTION 8 PERMITTING FEES $250.00
3. SUBTOTAL ,$ � U. � .
4. DOWN PAYMENT $ ��
5. BALANCE C.O.D. $
6. BALANCE FINANCED � $ S � � � '
*BALANCE DUE UPON IfVSTALLATION OF WINDOWS AND DOORS NOT AFTER THE FINAL INSPECTION.
*COMPAPJY NOT RESPONSIBLE FOR RECONNECTIfVG BURGLARALARM.SYSTEMS.
*COMPANY NOT RESPONSIBLE FOR PAINTING OR STAINING..
IF PAYMENT TO BE MADE BY CHECK PAYABLE TO"HOME PERFORMANCE ACLIANCE,I ."ALL APPLICABLE DISCOUNTS HAVE
BEEN APPLIED AT TIME OF SERVICE. / `
Additional Comments: t��.C7 �Tv� ��
All work is to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from the.above scope
of work involving extra costs will become an extra charge in addition to the quot price.Our workers are fully covered by Workmen's
Compensation insurance.Unless othervvise specified,Contractor's work carries a year limited workmanship warranty.The Contract
Documents consist of this proposal,the terms and conditions,all documents ref renced therein and the Limited Workmanship Warranty
and are incorporated herein by reference.
Buyer'S Right to CanCel: This is a home solicitation sale,and if you do not want the goods or services,you may cancel this
agreement by providing written notice to the seller in person,by e•mail,or_by regular or certified mail.Saturday is a business dav
' for the auraoses of this contract.This notice must indicate that you do not want the goods or services and must be delivered or
postmarked before midnight of the third business day after you sign this-agreement. If you cancel this agreement within the 3
dav qeriod,the seller may not keep any cash down payment.If you cancel after the 3rd business day,you will be liable for a 30%
liquidated damages fee in addition to loss of your deposit. -
I H�►VE READ AND UNDERSTAND THIS PROPO�AL;THE TERMS AND CONDITIONS
�►ND ALL DOCUMENTS REFERENCED THEREIN AND AGREE TO BE BOUND BY
THEIR 7ERMS.
ACCEPTANCE OF PROPOSAL: The above prices, specifications ReSpeCtfully submitted,
and conditions of Satisfactory and are hereby accepted.Contractor is
authorized to do the work as specified. By signing below, Customer HOME PERFORMANCE ALLIANCE, INC.
acknowledges that Customer is the owner of the property where work
is to be performed. �/'� I
/ ��],�]-�� r
A
OwnerSignaWre:�/ �.��� ��i.�'i'�i� By: --� a�''��- I �`�'P �'� ��
(Officer of ompany)
Co-Owner Signature:
�
Cust.t�ame ,�.�(�
�"� � Cont.Date 4 a� t co
- t ,� � 3q soo �
�.:y.1 Address
'ZeQh t�.;lls
Sales Name
fi-G2 ��'`�' CFi.e'ck$L`_ist;= ;Y'z �i:
Loan Doc's , 1
Egress I
PIC�UPES
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Descriat3on: �
No �n�s y a�
�.clD��-� � �( � � ti� \
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� C�sto er Signature Date j
/
•
[ �oft-L1te�
� ���
Bringing qualiiy to light.
July 15, 2015
1 ►""�! ►''�
9
� �_. u��r� _:p�ar,itl��,
��4 � ,_: �1�,._,r, Pete Sadowski
�� Home Performance Alliance
'-�'- 2850 Scherer Drive Suite 550
St. Petersburg, FL 33716
�. ,-,.
•�`,�, Dear Pete:
.:.,�'.��
At Soft-Lite Windows and Doors (Soft-Lite, LLC), we are extremely proud to be the
National Energy Star Partner of the Year for the past two years. Having this recognition
'�. is a testament to our customers like you that push us to have the strongest energy ratings
in the industry.
I also wanted to confirm to you that the 5400 series and 5300 series exceed the Energy
4 io -� Star Ratings for u-values and solar heat gain coefficient(below)that went into effect in
' � � 2015 as lon as Solar Low-E Solarban 70 is included in our orders. Also, addin rids
P- rtnershi � 9 � � Y g g
for xCe ence"-j Will actually reduce the SHGC rating even further.
��
5400 Series U-value SHGC
Wndou�oor DH54
��p ��oo NON 0.27 0.18
DH54
IMP 0.27 0.18
�
� ;, SSL54
NON 0.26 0.2
SSL541MP 0.25 0.2
'i
PW54 NON 0.25 0.22
PW541MP 0.24 0.22
Manuhclurer o(
Certified Produda
��� 5300 Series
Double Hun 0.28 0.20
9
��� Slider 0.28 0.20
��� �
' Picture Window 0.25 0.23
I
� Let me know if you have any questions or concerns, or if I can be of further assistance.
I ��"
Respectfully,
C���
Tyson Schwartz
Vice President, Sales & Marketing
Soft-Lite LLC 10250 Philipp Parkway Streetsboro,OH 44241
P:330.528.3400 F:330.5283501
Flvrida Buildin�Code Online Page 1 of 3
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Horida Depath'nnen ���+�:�I,Lop In I�USer ReplsVatlon � Hot ToD�6 I Submit 5urt�arqe i SWts&Facts j Publlcations � FeC 5Gif1 ( BCIS S1m Ma0 � Unks � Seard� �
�us�nes
�Pro essi I �:�� Product Approval
y '� USER:Pubnc User
A
'Regulation - -
Preduct Aooroval Menu>ProGuct or Aopllcatlon Search>AoolicaGon list>Aoul"ca Ion bisMrv>Appllcatlon DeWil
� �,1
p(.� FL15780-RS
���,.. --- -.�Appllcatlon Type Revlsion
Code Verslon 2014 d� I
Applicatton Status Approved � ��j (�i � t� I
� � D�
Comments
Archlved L� -�
`��" ��� �f'
Product Manufadurer Soft-L1te LLC �
Address/Phone/Emafl 10250 Phillpp Parkway
Streetsboro,OH 44241 �� Tg ALL
(330)5�8-340U Ext 1104 �SH�LL COMPLY� D�CT
jtinkerC�soft-lite.com BU�,
Authorized Slgnature Vlvlan Wrlght pREVA��G�OD�S'FLOR�D CODE AND
rlckw�nvbldgconsultants,com NATIONALELEC� C�,S
c�y pF ZEPHYRHILLS ORDINAN
Technlcal Representative
Address/Phone/Emall
Quallty Assurance Representative
Address/Phone/Emall I
� ,1�
Cate9ory Wfndows i'`t-vi`�"NV 6.���� "---�—�'�
Subcategory Double Hung ��"`���� ��,��Y��'°�IL-L-S
Compfiance Method Evaluadon Report from a Flor{da Registe��-AYthttBct brxClC�h§�tl�����
Florida Professional Englneer
❑ Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name wha developed Lyndon F.Schmidt,P.E. _
the Evaluatlon Report
Florlda Llcense PE-43409
Quality Assurance Entity Farabaugh Engineering and Testing,InC
Quality Assurence Contract Explretlon Date 07/OS/2016
Va{Idated By Ryan].King,P.E,
9 Validatian Chedclist-Hardcopy Recetved
Certiflcate of Independence F�, 5780 RS COI CERTIFICATE OF INDEPENDENCE.odf
Referenced Standard and Year(of Standard) St�ndard year
AAMA/WDMA/CSA101/I.5.2/A440 Z008
AAMq/WDMA/CSA101/I.S.2/A440 2011
ASTM E1886 2005
ASTM E1996 2006
TAS 202,202,Z03 1494
Equivalence of Produd Spndards
Certlfled By
SecHons from the Code
http://www.floridabuilding.org/pr/pr app_dtl.aspx7paxam=wGEVXQwtDqt3e1SA1nEOW6... 4/4/2016
Florida Building Code Online Page 2 of 3 i'
�
Product Approval Method Method 1 Optlon D
Date Submitted 08/24/2015
Date Validated 08/24/2015 �
Date Pending FBC Approval Q8/26/2015
Date Approved 10/16/2015
Date Revised SO/30/2D15
Summa of Produets
PL# Model,Number or Namo Deseription
15760.1 a."Imperlal LS DH12"Double Hung Extruded PVC Double Hung Window-(X/X Configuradon)
Window
limits oT Use InsFallatton Instructiona
Approved for use in HVHZs No FL15780 R5 II INST 15760,1,odF
Approved for use outside HVHZ�Yes Verified 8y, Lyndon F.Schmldt,P.E.43409
Impact Reaistant:No Created by Independent Third Party:Y�s
Desiyn Dressure:N/A Evaluatlon Reports
Other:See INST 15780.1 for Destgn PI'essure RaUn9s,any FL15780 RS AE EVAL 15780,i,odf
additlonal use Iimltations,installatlon instructlons and CreaCed by Independent Third Parly:Yes
product particulars.
15780.2 b."54oD DH54(G5405)'Double Extruded PVC Double Hung Window-(X/X Configuratlon}
Hung Wlndow
�Imite of Use Tnstallatlon Instructions
Approved for use in HVHZ:No F1.15780 RS II INST 15780,2,odf
' Approvod for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt,P.E.43409
Ympaet Resistant:No Created by Independent Third Party:Yes
Design Pressure:N/A Evpluatfon Reports
' Other:See INST 15780.2 for Design Pressure Ratings,any FL1576Q RS AE EVAL 15780.2.�dF
addktional use Ilmftations,Instalfation Instructions and Created by Independent Thlyd Party:Yes
product parttculars.
' 15780.3 c."5400 DH54(G5405)"Double Extruded PVC Doubfe Hung Window-(X/X Conflguratlon)
Hung Wlndow
Limits of Use Installat(on Instructions
Approved for use in HVHZ:YeS FL157$0 R5 II Inst 15780.3.odf
Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmfdt,P.E.43409
Ympaet Resistant:Ye5 Created by Independent Third Party:Yes
� Design Pressure:N(A Evaluation Reports
Other�See jNST 15780,3 for pesign Pressure Ratings,any FL]578D RS AE Eval 157803_Rdf
� addlqonal use Iimftations,installation Instructlons and Created by Independent Third Aarty:Yes
product particulars.
15780,4 d."5300 DFl53(G5305)"Double Extruded PVC Double Hung Window-(X/X Configuratlon)
Hung Window
Llmits oP Uae Installatlon instructiona
Approved for use in HvNZ:No FL15780 RS II Inst 15780,4.odF
Approved for use outsPde HVHZ:Yes Veri�ed By; Lyndon F,Schmldt,P.E.43409
lil Impact Resistant:No Created by lndependent Thlyd Party:Yes
Desipn Pressure:N/A Evaluation Reports
Other:See INST 1578D.4 for Design Pressure Ratings,any FLl 78 R5 AE EVAL 15780.4.odf
addittonal use tlmltations,Installatfon instructions and Created by Independent Thfrd Party:Yes
product particulars.
15780,5 e."5300 DH53(G5305)"Double Extruded PVC Double Hung Window-(X/X Configuratlon)
Hunq Window
Lfmita of Uae InsWllation Instructions
Approved for use in HVHZ:No FL15780 RS IZ Inst 157BO.S.odf
Approved Tor use outside HVHZ:Yes Verifled 8y: Lyndan F.Schmldt, P.E,43409
Impact Realstent:Yes Created by Independent Third Aarty:Yes
Design Pressure:N/A Evaluatlon Reports
Other.See IA1ST 15780.5 for Deslgn Pressure Ratings,any �15780 R5 AE EVAL 15780.S.odf
additional use llmltat(ons,Installation instructions and Created by Independent Thlyd Party:Yes
product particulars.
badc Next
ConW ct Us::Y?40 Nortfi Monrae S .Tallaha� n�4 Phone:e5a487-1824
The StaFe of FlOdda 15 an AA/EEO employef.[OOVrlahk 2007-2013 S�te of Florida.:!Prka�Y S�[ement t:Accessihll(N Statement::Relund Statement
http://www.floridabuildin�.org/pr/pr_app_dtl,aspx7param=wGEVXQwtDqt3 e 1 SA1nEOW6... 4/4/2016
Florida Building Code Online Page 3 af 3
I
Under Flortda law,¢mail addrassrs are publlc records,Tf you do oot want your�mail addrass relrased In response to a vublu-records request do not send I�
eiectronlc mall to this entlry.Instead,cont�ct U�e afflca hy phone or by traditicnal matl.If you have any questlonv,please[on�d 850.487.1395.'Pursuant to
Se[klon 455.Z75(1),Florida Sta[u[Ps,effective OCWher 1,2012,Ilcensees Ilcensed undnr Chapter 455,F.S.must provide the Department with an emall address if
they have one.The emalls provided may he used tlor of(idal communication w�Th the Ilcenzee.Nowever email a0dnesses ata Dubllc record.!f yau do not wish tn �',
� suppy a persanal address,please provide the DepaKment with an emall address whirh mn be made avaltable to the puhlie To de[ertnlne If you ere a Ilceose�under
p7apter 455,F,S.,please cllck�. �
Vroduct Approval Aaapts:
���� ,
s�ctlrIt atKru�t's
:+� � �
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comme�ts pI,LWORK SHALL COi�1�LY��THALL
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pREUAILING CODEE�C���COD AN
Product Manufacturer Soft-Lite LLC CQDE,NATIONAL T
Address/Phone/Emaif 10�50 Phflipp Parkway �ITy pF���I�'-�x��'L�������C��
Streetsboro,OH 44241
(330)528-3400 Ext 1109
jtinker{�soft-IIYe.com
Authorized Signature Vivlan Wright
rickwC�rwbldgconsuitants.com y�
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Technical Representative
Address/Phone/Email �I�l(Oi=�E�'B—a1(F'�HILLS
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Address/Phone/Email
Category Windows
Subcategory Mulllons
Compliance Method Evaluation Report From a Florlda Registered Archltect or a Licensed
Florida Professlonal Engineer I
;J Evaluation Report-Hardcopy Received �
Florlda Engineer or Architect Name who developed Lyndan F.Schmidt,P.E. I
the Evaluatlon Report �
Florida License PE-43409
Quality Assurance Entity Farabaugh Engineering and Testing,Inc
Quality Assurance Contract Exptratlon Date 07/Ol/2016
Valldated 6y Ryan].King,P.E.
'� Valldatlon Chetklist-Hardcopy Received
Certlflcate of Independence FL16026 Rl COI CERTIFICATE OF INDEPENDQJCE.Ddf
Referenoed Standard and Year(of Standard) $}�ndard Year I
TAS 201,202,203 1994
Equlvalence oP Product Standards
Certffled By
Sections from the Code i
Produa Approval Methad Method 1 Option D
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oate Submftted 01)21/2015
Date Vatidated. OS/28J2015
bate Pending FBC Approval 02/Ol/2015
Date Approved 04/15/Z015
5umma o!Wroducts
FL# Madel,Num6er pr R9ame Description
16026.1 a.Series 29044 Structural Beam Extruded Aluminum Clipped Mulflon for use with impact and
Mullion non-impact window products in Masonry or Wood Openings
Llmits nf Use In�fallatton Instract7ona
Approved for use in HVHZ:No FL1fi026 R3 II Inst 16026.1.nAf
Approved for use outside tfVHZ:Yes Verifled By: Lyndon F.Schmidt,P.E.43409
Lnpact lteaistant:Yes rreaked by Indeper.dent Thlyd Party:Yes
Design Pressure:N/A Eveluatlon Reports
Other:See INST 16026.1 for Design Pressure Ratlngs,any FL16026 Rl val 16026.1. d
additional use Iimftations,fnstallation Instructlons and Created by Independent Thlyd Party:Yes
product particulars,
16026.2 b.Series 19044 Structural Beam Extruded Aluminum Clipped Muilion for use with ImpaCt and
Mullion non-Impact window products fn Masonry or Wood Openings
Limits af Us� Inspallmtion Instructions
Approveal for uee In HVHa:Yes FL16026 Rl II Inst 16026.2.odf
Approved for use outside HVHZ:Yes VeriFfed By: Lyndon F.Schmidt,P.E.43409
Ympact R�slstants Yes Created by Independent Third Party:Yes
Design RPessure:N/A Evaluatton Reports
Other:See INST ifi026.2 for Design Pressure Ratings,any FL16Q26 Rl AE Evai 16o26.Z.p�f
additional use tlmltatlons,Installation instructlons and Created by IndependentThird Party:Yes
product particulars.
8ack Next
Coritad Us::±940 North Mon t Ta,lahaccao n z�aoa phone:850-487-1824
The 513te of Floflda Is an Aq/EEO 0mpi0yer.Coovrlaht 2007-2a13 518te of Florlda ::Prlvacv SMtemo_nt:;Att�st4lilK Statemerrt:;$o(�lnd StalemeM
Under FlorWa lew,em2il addresses are publle reaords.[f you do not waM your e-mail aAdress relrased In response to a puDtic-reconia reque�,do notsend
elecVonlc mall flo ihis entity,Instead,mnmc[the oft9ce by phone o�by tradRlonel mall.If you have eny questfoas,piease mntact 850.487.1395.�PursuaM to
Sedlon 455.275(1),Florlda Sfetutes,efiecqve October 1,2U12,ticensee5 licensed under Chapiar 455.F.S.must provide tha Department witfi en ematl etldress If
they have one.7he emalL�provtded may be used Por ofticlal wmmunlotion with the Ilce�ee.However email aGdresses are Dublic remrd.If you tlo not wish bo
supply a personal address,please D�'Ide the Depertment with an emall addiess whlch ran be made avalla6ie to the puhlk.To determine lf you are a Ikensee under
� Chap[er 455,F.S.,please dick j��.
PraductApproval A�te:
� ��
Meurii•sutk�c.
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1. Thk product has been evaNafed wuJ is in compllance wifh the 5th EdFHon(Zp14f Ftaida g � �'�
Build'ng Cade�F8C1 shucturd requUements,exdutling the^Nlgh Velociy FAmicane zone'. 3 � a
� 2 When tised in areas requirfig wmd bane debris protedlon,ttds producf(tf muBad fogetlmr ySH Wpi 2 " �I � g ��
With impact roterl windwvs)iioez not require protec3lon from on impact resisstani covedng: sHo�m,t AAflULLED itNlid Yd1�IDOW UPdIQS SHO�dM � �
when used in Wfnd 2ones 1,2 and 3 as defined by ASiM E 1996, POR CLAi�iY �����p���
� 3. le Wlnd 2one 4„as.defined by ASiM E 1496,thtr product must be protected with on impoct �
g rssistonf eoveri�g eomplying wHh SecHon 16D9.12 of the FBC. -- - - - - -- -- - - - - �
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� 5. sepoiota produot approvals tor each 9�9 P�oduct used wifh Hiem mulRwts must be AW#:.4d`�� SOi d8 "�d. , 4d �2. 1 40 S4 38 . 37 36 35 35. 3�1 34 '"
� submHted abng wlih th's mu�on product appraval,iho design preswre ratir�of the ::;: -' s,� rrq 48 q6 -4q 42 41 40 39 9� '37 35- 36 36
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as�m6iy sha9 De the les�r ot ihe bud copaaly of ths mv6ion os speci8ed using th's t.°:.;�":,__
s opprovrd a tite desfAn prau+xe�13ng of the tndNitlual gla�rtq produch usad. �;;,ry�:��'+':`:' 66 S3 30 48 46, 43 43 42 4T_ 4D 39 38 37. 37
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G. Mchaing ot each gla�ing produd to the mul�on sha�be as shown M tt�s drawfng or as �.�..� 62 59 56 54 52 51 49 48 46 .45 d4 43 42 42 � €
� shown E�each fndlvkhx�l gi�ng product o al,whichavetls more siri 1. =�;.^-:....-.
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2 z " La'�`' 65 62 59 i7 55 34 52 51 49 48 47 46 Ad 43 m� �
� 7. htu�anchor embedment to base m��i shoA be beymd wali drassing.orsiucco. = a �g,�� 69' dd 63 -81 �59 $7 55 b4 S2 51 -SO SO- �4 A8 � m
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� B. Any coridHlons not cwsred in ihls evduatbn are subject 10 separate engineermg c..I�;�'. 73: 70 67 85 63 dl 59 S8 5b 55 54' 33 52. 52 : o
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