HomeMy WebLinkAbout16-17399 i'
CITY OF ZEPHYRHILLS /
,_ . 5335-8TH STREET
� (813)780-0020 17 99
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17399 Address: 7848 KAY MARIE AVE LOT 312
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0180-00000-3120
Improv. Cost: 1,079.95 OWNER INFORMATION
Date Issued: 6/09/2016 Name: MARGIOTTA LEONARD &TAVERNA CAT
Total Fees: 67.50 Address: 7848 KAY MARIE AVE
Amount Paid: 67.50 ZEPHYRHILLS FL 33541-7729
Date Paid: 6/09/2016 Phone: 813-355-3947
Work Desc: INSTALLATION DOOR UNIT S/S
' CONTRACTOR S APPLICATION FEES
LOWE'S HOME CENTERS INC BUILDING FEE 67.50
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Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DIJCTS INSTALLED WATER MISC DRIVEWAY
PRE-SL'AB SHEATHING MISC. MISC.
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
,
c�—
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOIV
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
v�a) v� .�v�+��)�����w � v������. .p,�..��vu��v�� . _.._._ ..... ...._,
Building Department
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Dat�FteceivEtd �- Phone Contact for Permitting �7 3 Z 6�j -- �i`� 6�'
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Owne�'s Name A 2 Z OwneP Phone Number �1 3 - 355- 3�{�{�
Owneu�'s Addlress��S Kay rnA2�e ���� OwneP Phone Number C __.]
Fee:iimple 1'itleho8der Name _� Owner Phone Number C _r�
Fee:iimple 1'itleho9der Address � _,]
JOB�aDDRESS �S�S KAy rnAR��V� �1Iz /li l�5 �L 3 3Sy/ � LOT# ! ��2' .]
SUBbIVISIOIV ���.rq l-�bRiLO�S� PARC�LID# 3�-Z.$-�l-0/SO -dDBOp - 3/�O r.]
(OBTAINED FItOM I�ROPERTY TAX NOTICE)
WOI�N:PROF'OSE� NEW CClNSTR ADD/ALT � SIGN [� CI DEMOLISH
INSTAI_L I� REPAIR
PROIPOSED USE Q SFR �� COMM [-� OTHER [ __:�
TYPE9 OF CONSTRIJCTIPJN Q BLOCK � FRAMG Q STEEL �� C __;�
DESI',IRIPTI�N OF 1NORK �(�L�_ � 6��L (iI,N�T Sr 2��Si 7.� �� ygoY.� �
BUIL�ING SIZE � :5Q FOOTAGE C—� HEIGHT [ I
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[_ BUILDINC $ 'v.��,�s VAL.UATION 01=TOTAL CONSTRUCTION
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[_�ELI=CTRICAL $ � AMI'SERVICE � PROGRESS ENERCiY � W.R.E.C.
[_�PLUMBING $ �
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[_�MECHANICAL $ � VAL.UATION Oi'MECHANICAL INSTALLATION �
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[_�GAS ' Q ROOFING [� SPECIALTY [� OTHER
FINISf-IED FLOOR ELEVATIONS � FLOOD Z E AREA� �YES NO
itti-I-F�9tttttt � tt�tFtttttii-hHtHtlt�fiNt�liiitH-FH-H�i
BUILIDER ���y � � pp CAMPANY LOW2 S �-Fp�p.� �,e,�'�'t�R.s (r(�� ]
SIGNA,TURE ,'��'����/w//� ^�' //1 C./"L— REGISTERED -Y/ N FEE CURRE� Y�/N
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�4�ddress Po (3cx Z'S!`Y�3 a21�c�a r� 32s�] License# ««S�gyi� .�
ELEGI'RICIAN '� COMWANY .,
SIGN.ATURE REGISTERED Y/ N FEE CURRE� Y/N
�ddress � � License# C �
PLUNIl3ER I COMPANY �
SIGN,ATURE REGISTERED Y/ N FEE CURRE� Y/N
/��idress License# C `,
MECH�4NICAI_ COMPANY _�
SIGN,ATURE _. REGISTERED Y/ N FEE CURRE� Y/N
/liidress � � License# C ]
OTHEiFt COMPANY � , I
SIGN�4TURE REGISTERED Y/ N FEE CURRE� Y/N '
/1�idress r License# C ,
ii-Fiiif�ti �H-fii-h+iiii-h+ft+F 111+�hFhhF 9
RESIDIENTIAI. Attach(2)Plot Plans;(2)sets of Bullding 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,Stormwater Plans w/Silt Fence Installed,
Sanitary Faclilties&1 dumpster;Site Work Permit for subdivlstons/large projects '
---COMtAERCIAL-�Attach-{3)-complete sets of Building.Flans-plus a Life Safety�age;(1-)set of Energy Forms.R-O-W-Permit-for-new constructfon._ _ _
Mtnimum ten(10)workfng days after submittal date, Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work F'erm(t for all now projects.All commercial requirements must meet compliance
SIGN P'ERMI7' Attach(2)sets of Engineered Plans.
MMFIPROPERTY SURVEY required for all NEW construction.
�I�Sp�IIII] �H
Direct:t��ns:
F�ill out application completely. ,
C)�Nner&Contractor sign back of application,notarized
IU�over$:!500,a Notice of Commencement is required. (A!C upgrades over a7500)
"' �4c�ent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER.THE CAUNTER P�:RMITTING (Front of Application Only)
Reroofe�if shingles Sewers , Service Upgrades_A/C. _ Fences(PIoUSurvey/Footage)
[Irivewa��s-Not over Counter if on pubiic roadways..noeds�ROW - .
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NOTIC� OIF DEED�RESTI�ICTIONS: The undersigned understands that this permit rnay be subject to "d�ed" restric:tions" �
which m�y be more restric:tive than County regulations. l'he undersigned assumes responsibflity for compliance with any
applic:able deed rest�ictions. � � � ' � �
UNLI�C��ISED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a ccmtrac:tor or
contr��ctors to undertake work, they may be required to be licensed in accordance with state and local r�gulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemearror violation
under state law. if the owner or intend�d contractor are uncertain as to what licensing requirements may apply f'or the
intencied work, they are acivised to cont�ct the Pasco County Building Inspection Division—Licensing Sec;tion at 72'J-847-
8009. Furthermore, if the owner has hired a contractor or contractor�, he is advised to have the contractor(s) sign
portlons of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign �s fhe
contre�ctor, that may be an indication th�at he is,not properly lic�nsed and is not entitled to permitting privileges in �'asco
County.
TFlAPJSPORTATION IMP�ACTIUTILITIE� IMPACT AND RESOl1RCE RECOVERY FEES: The undersign�:d under:�tands
that T'ransportation ImpacQ Fees and Re�ourse Recovery Fees may apply to thE: construction of new�buildings, change of
use in existing buildings, vr expansion of existing buildings, as specified in Pa;�co County Ordinance number 89-07 and
90-07', as �mended. The undersigned also understands, that such fees, as m�y be due, will be identified at the time of
permutting. It is further uriderstood that Transportation Impact Fees and Resource Recovery Fees mus1; be paid prior to
recei�iing a "certificate of occupancy" or flnal power release. If the project doe� not involve a certificate of oc;cupancy or
final power release, the fe3es must be paid prior to permit issuance. Furthermore, ii� Pasco County Water/Sewer Impact
fe�s �3re due, they must bE� paid prior to permit issuance in accordance with applicabl�: Pasco County ordin:�nc�s.
C(�NSTI�UCTION�L•IEN LAW(Chapter 7�13, Florida Statutes, as amended): 9f valuation of work is $2,5p0.00 or more, I ;
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law�--Hc�meowner's
Protecti�n Gufde" prepar�d by the Florida Department of Agriculture ancl Consumer Affairs. If the applicant is sorneone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in c�ood faith to
delive;r it to the"owner" prior to commencement.
CC�N'TR�ACTOR'SIOWNER'S AFF9DAVtlT: I certify that all the information in this application is accurate and ihat all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is �
herel;�y made to obtain si permit to da work and installation as indicated. I certify that no work or installatian has
comrnenced prior to issuance of a perrnit and that all work will be performed to meet standards of all laws regulating
consi:ruction, County and City codes, zoning regulations, and land development r�sgulations in the jurisdicfion. f also
certif,y that I understand that the regulations of otfier government agenci�s may apply to the intended work, and that it is
my rE:sponsibility to identify what actions I must take to be in compliance. Such agencies (nclude but are not lirnited to:
- Department of Environmental Protection-Cypress �ayheads, VVetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways. , --- �
- Department of Health & Rehabilitative Services/Environmental Health Un'it`-Welis,`Wastevuater�Treatment,
Septic Tanks. �
- US Environm�ntai Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I �mderstarid that tlie following restrictions apply to the use of fili:� � �
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- if the flll material is to be used in Flood Zone "A", it is urrderstood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a prof�ssional 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 tlie stem wall.
- If fill material is to be used in any area, I certify tliat use of such fill will not adversely affE:ct acljacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the condition:� of the building permit issued under the attached permit �pplication, for Iots less than c�ne (1)
acre which are elevated by fill, an engineered drainago plan is requlred.
If I ain the AGENT FOR 1fHE OWNER, I promise in good faith to inform the owner of the permitting condition� set i`orth in
this <afficlavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs,, wells, pools, a,ir conditioning, gas, or other installations not �pecifically 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
sE:t aside �ny provisions of the technical codes, nor shall issuance of a permit prevent the Building Officia(from thereafter
requfring a correction of errors_in plans, construction or violations of any codes. Every permit issued shall berome invalid
unle:�s the work authorize:d by such permit is commenced within six months of permit issuance, or if work authorized by
the aermit is suspended c►r 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 e�ctension, If work ceases for ninety(90)consecutive days, the`Job is considered abandoned.
WAFtNING TO OWNER: YOUR FAIL9JI�E TO RECORD A NOV'ICE UF COMMENCEMENT MAY RE::iUL.T IN YOUR
PAYINC�'f111110E FOR IMIPFtOVEMENT�TO YOUR PROPERTY. IF YOU-INTl=ND-TO OBTAIN FINAN��NG, COWSULT_ .,
WIT�i Y9UR LENDER O�AN ATTORN�Y BEFORE RECORDING YOlJR NOTICE OF COMMENCEMI=�IT.
FLORIDA JURAT(F.S.117. � "
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OWNIER t7R AGENT ' c�J� CONTRACTOR " =
Subsc;rlbed and swo to(or afflrmed)before me this Subscribed and sworn to(or affirmed)before me this
_bY --
Who fslare personally known to me or has/have produced Who Is/are pers ally nown to mr or has/have produced
as Identiflcation, as Identification.
,
Notary Public _ -" Notary Public
Commissfon No. Commiss o . —
,o1�.e�;a";.,�ELINEBOG
=*' �:__ Commission#FF 150422 _
NamE�of Notary typed,printed or stamped Name of No �tjr��;�0.•�BondedTlwTroyFeln ncurediwa800.385-7019
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City of Zephyrhills
BUILDING PLAN REVIEW COIVI�IENTS
Contractor/Homeowner:
Date Received: v" Z��,h .
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Site: . �� �(� '
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Pemut Type: �\\1��Y �i1 c 1— �.
Approved w/no comments:� Approved w/the below cflmments: ❑ I�enied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
���/ � .
Kalvin vv� ans Examiner Date Contractor andlor Homeowner
� (Required when comments are present)
STORE COPY
� IN5TALLATION SERVICES CUSTOMER CONTRACT- MWORK-INT/EXT/PATIO DOOR
ti LOWE'S OF ZEPHYRHILLS, FL,STORE#1854 STORE PHONE:(813)838-9000
� � 7921 GALL BOULEVARD SALESPERSON:ROBERT FATZINGER
ZEPHYRHILLS, FL 33541 SALESPERSON IQ: 1430167
Document Print Date:05/19/2016
This is only a Quote for the merchandise and services printed E�elow.This becomes an agreement upon payment and issuance of a Lowe's receipt, upon which the entire agree-
ment, incfuding the specifically completed pages of this document, the Terms and Conditions included with this document,the applicable portion(s) of Lowe's receipt, and any
other addenda or attachments hereto,shalf be referred to herein as this"Contract.°
PLEASE READ THIS ENTiRE DOCUMENT INCI.UDING THE"TERMS AND CONDITIONS" BEFORE SIGNING. - I
Lowe`s Registration or Contractor License Number/Lowe's Contractor IVame
Florida Contractor License fVumber CGC1508417
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� Customer Name Home Phone
� S LEQNARD MARGfOTTA 813-355-3947
� _Q Customer Address nt}��pop
00 7848 KAY MARIE AVENUE
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� City State/Province Zip/Postal Code
� p ZEPHYRH(LLS FL 33541
� Jnstallation Address
L -�- 7848 KAY MARlE AVENUE
o O lnstalfation City Instaflation State/Province Installation ZiplPostal Code
`� ZEPHYRHILLS FL 33541 '
MERCHANDISE AND INSTALLATEON SUMMARY �
IUIERCHANDtSE SUMMARY �
673405:2260: SOS : MAS COMMODITY SM FG PAINT: QUOTE#2260 301/2X 74 3/4 CAT DOOR CUTOUT 9°X 91/4H QUOTE BY CHERYL: DOOR FAB-
RICATiON SERVICES INC-QTY 7
i 13010:02150 : STK: PVC TRM BRD 5/8-INX1-1/2-iNX�2-FT: PVC TRM BRD 5/8-INX1-1/2-INX12-FT: EAST COAST MILLWORK DISTRIBUT.f -QTY 3
209626: 02018 : STK: PVC LATTICE 8-Ff: PVC LATTICE 8-FT: EAST COAST MlLLWORK DISTRIBUTI -QTY 3 '
� 2�8211 : HPA11-10888 : STK : 7.12-IN BIG CAT FLAP (PS) :7.i2-iN BIG CAT FLAP(PS} : RADIO SYSTEMS, INC.-QTY 1 �
0 525447: 1833496: STK: LOC 9-OZ PWR GRB ALL-PRPS{MLWRK) : LOC 9-OZ PWR GRB ALL-PRPS (MLWRK) : HENKEL CORPORATION -QTY 1
�
o Materials Price ;$ 550.45
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� Store 1854 Proiect No. 474180899 for LEONARD MARuIOTTA Page 1 af 7
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STORE COPY
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INSTALLATION DESCRIPTION
Stock or SOS: SOS Door Type : Exterior
Select Location : Back Qoor Select New Door: Single Pre-hung
Hardwood(Mahogany or Oak) Door: No Side Lights or Transoms: No
Hidden Damage Description : Cai Door Conceal/Replace Damage Charge :Yes
Number of additional holes bored for accessories: None Instalf Speciafized Mortise Hardware: No
Install Storm Door: No Total Linear Feet of Custom Trim to be Installed :0
Deliver poor:Yes Customer Understands Scope of the Project :Yes
Permit Required :Yes Who Wi(I Obtain Permit:Third Party
n Permit Fee:Yes Additional Miles Travefed over 20:0
n
� Bring tJp To Code Description : None Local Disposal Fee :Yes
o Describe Other Work Needed : None Comments : installer to install cat door. Hole will be cut out by manufacturer
°' Lead Safe Practices: No
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� Labor Charges $ 564.50
,�, Detail Deduction -$ 35.00
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° Additional Specifications:
Notation: Lowe's will not make structural modifications, paint or stain or remove/reinstall security system equipme�t. Ctastomer is responsible to advise if prop-
erty is governed by Historic Disirict Regulations_
Additional Specificatiorts: Federal law requires Lowe's to provide you with the pamphlet Renovate Right: Jmportant Lead Hazard lnformation for Familes,
Child Care Providers and Schools. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing
Customer of the potential risk o#the fead hazard exposure from renovation activity to be performed in Custamer's dwelling unit_
PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photograghs of the Premises where In-
stallation Services wifl be performed and all work performed at the Premises related to this Con#ract, and irrevocabfy grants to Lowe's all right, titEe, interest in
and to the photographs for use in all markets and rr�edia,wor[dwide, in perpetuity. Customer authorizes Lowe's to copyright, use and publish the photographs in
print and/or electronicaily, and agrees that Lowe's may use such photagraphs for any fawful purpose, including, but not limited to, rrzarketing, advertising, publi-
city; ilfustration, training and Web content. By initialing here, Customer agrees to the foregoing. (Customer to initial to the lef�].
�r, NOTICE TO CUSTOMER - PRICE CALCULATiOfVS: {n order to properly perform the installation of cer#ain Goods, the Contract Price may include more
`;; Goods than actually will be installed based on the measured square footage of the Project Area. As a result,the parties agree that the lump-sum Price stated in
o this Contract is cafculated upon both the value of the estimated Goods required to fulfill the Contract (including waste), which may exceed the actual square
� footage of the Project Area, and the labor which may be estimated based on the amount of Goods required to fulfill the contract (inc(uding waste). By signing
� . this Contract below, C�+ustomer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not be refunded
L �nna tho iii.5i2iiif�Zivii.3GI VII.CJ QIC FlCf1U(f'fl(��._
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� SYbre 1854 Project No. 474180899 for LEONARD MARGIOTTA Page 2 of 7
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STORE COPY
� NOTICE F ARBITRATION AGREEMENT
�
� This Contract provides that all claims by Customer or Lowe's will be resolved by BIEVDING ARBITRATION. Customer and Lowe's GIVE UP THE RfGHT TO GO
TO COURT to enforce this Contract (EXCEPT for matters that may be taken to SMALL CLAIMS COUR'f}. Lowe's and Customer's rights will be determined by
� a NEUTRAL ARBITFiATOR and NOT a judge or jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration procedures are SIMPLER AND
MORE LIMITED TNAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceabfe as any court order and are subject to VERY L[MITED RE-
V1EW BY A COURT. FOR MORE DETAILS: Review the section tit[ed ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS AC-
TION ADJUDICATION found in the Terms and Conditions of this Contract.
TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES `whereapplicable
- SUB-TOTAL $1079.9
*TAX $ 0.0
n DELIVERY $ 0.0
� • . , . ORQER TOTAL $ 1079.9
o . • BALANCE DUE
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� Work is to commence upon reasonable availablity of Contractor which is anticipated to be 1 !n eda� S fill in date].
� Estimated completion date is W� ��►1tY1�-f [fiU in date].
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�' N4TiCE TO CUSTOMER
All items listed in this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearing
on this contract form. This assumes sound existing substructures, superstructure and points oi attachments. Extra labor or material incident to instalEation
necessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be biiled at extra cost to custom-
er. DO NOT SIGN THfS CONTRACT UNTIL COMPLETE AND YOU HAVE REAQ THE TERMS AND CONDITIONS OF THIS CONTRACT. BY SIGNING
BELOW, YOU ARE ACKNOWL.EDGING THAT YOU HAVE READ, UNQERSTAND AND AGREE 70 TME 7ERMS AND CONDiTIONS SET FORTH OfV
THIS CONTRACT. YOU ARE EfVTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNA?URE.
NOTICE TO OWNER:-ACCORDING TO FLORIDA'S CONSTRUCTiON LIEN LAW (SECTfONS 713.001- 713.37, FLORIDA
STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT
PAID fN FULL HAVE A R(GHT TO ENFORCE THE[R CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIIVI IS
KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCON-
�, TRACTORS, SUB-SUBCONTRACT�RS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY
� LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YQU HAVE ALREADY PAID YOUR CONTRACTOR 1N FLILL. 1F
o YOU FAIL TO PAY YOUR CONTRAC�'OR, YOl1R CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS
o MEANS IF A LtEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY F�R LABOR, MATERI-
N • �iLS, t�r� fi i�itt� S�RVICES THA'� YOUR COfV�'RACTOR OR A ��Q��3NTRA��t�R tvaAY �mv� �n�o �� �c� ppv, 'rc�
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� St'bre 1854 Project No. 474180899 for LEONARD fv1ARGI0i�TA Page 3 of 7
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a ��Ooar Detai#Spetiflcatiaas Nolley Dev Corp#54584
i �"'' ` { Please provide drawing from orisite using swing info on ri�ht
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Product Approval Menu>Product or Apnlication Search>Application List>Applic�tion etail
FL# FL4904-R7
Applicfltion Type Affirmation i
Code Version 2a14
Applicltion Status Approved
Comments
Archived �
Product Manufacturer Masonite International
AddresslPhone/Email 1955 Powis Road
West Cliicago,IL 60185
(615)441-4258
sschreiber c�masonite.com
Authorized Signature Steve Schreiber
ssclireiber@masonite.com
Teclinical Representative
Add ress/Plione/Email
Qualiry Assurance Representative
Address/Phone/Email
Category Exterior poors
Subcategory Swinging Exterior poor Assemblies
m liance Method Certification Mark or Listi�g
Co p
Certification Agency National Accreditation& anagement Institute
Validated By National Accreditation& anagement Itistitute
i Refr,renced Standard and Year(ofStandard) Standard 1'ear
TAS 201 1994
TAS 202 1994
TAS 203 1994
Equivalence of Product Standards �
Certified By ��
C'j /�
�O� � �o
+�I affirm that there are no chau es in the new Florida Bu Co uc ct m
g � Y
product(s)and my produc(s)are in compliance witlt the new� 'gg ode. �
���/�5�y� �
' En i � �
Documentation from approved Evaluation or Validation t ty � Yes �%No �N/A � � �
��' ��s �
� �
Product Approvai Method Method I Option A �'�` `-�
A�_'� '���,i'
,7����� �C� � f.
Date Submitted 04/29/2015 � . �f'�''�
Date Validated 04/29/2015 ��'�,��' -
� ' �� �
Date Peiidiiig FBC Approval �� �.
Date Approved OS/04/2015 �� ����
Summary of Piroducts ��
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� �L N Model,Number or Name Description
49p4 1 Wood-edge Steel Side-Hinged Door Units 6'-8"Opaque I!S and O/S Single Door
Limits of Usc Ccrtitic�tion Agency Certificate
Approved fm•use in HVHZ:Yes FL4904 R7 C CAC NI0061,10;01_,pdf
r�pproved for use outside HVHZ:Yes Qu�lity Ass 'r�nce Contract Espiration Date
Impact Resistant:Yes 12/31/2020
Dcsign Pressure:+76.0/-76.0 Installation nstructions
O�I�er:Evaluated for use in locations adhering to tlie Florida Building FL4904 R7 II_FL0128,,pdf
Code including tlie Higli Velocity Hurricane Zone,and where pressure Verified By: ational Accreditation&Management Institute
requiremeats as determined by ASCE 7,Minimum Design Loads for Created by Ii dependent Third Party:
Buildings and Otlier Structures,does not exceed the design pressures �valuation eports
listed.3'-0"x 6'-8"max nominal size.When large missile impact FL4904 R7 AE 504A. df
resistance is required,hurricane protective system is NOT required.See Created by I�dependent Third Party:Yes
DbVG-MA-FLOl28-OS for details.
4904.2 Wood-edge Steel Side-Hinged Door Units 8'-0"Opaque 1/S and 0/S Single Door
Limits of Use Certification rlgency CertificTte
Approved for use in HVHZ:Yes FL4904 R7�C CAC NI006110.02.qdf
r�pproved for use outside HVHZ:Yes Quality Ass rance Conh•act Gspiration Date
Intp�ct Resistant:Yes 12/31/2020
Design Pressure:+70.0/-70.0 Installation nstructions
Other:Evaluated for use in locations adhering to tl�e Florida Building FL4904 R7 II_FL0129,pdf
Code including tlie High Velociry Hurricane Zone,and where pressure Verified By:INational Accreditation&Management Institute
requirements as determined by ASCE 7,Minimum Design Loads for Created by Ipdependent Third Party•
Buildings and Other Structures,does not exceed the design pressures Gvaluation[�eports
listed.3'-0"x 8'-0"max nominal size.When large missile impact FL4904 R7�AE 503A_pdf
resistance is required,hurricane protective sys[em is NOT required.See Created by I dependent Third Parry•Yes
D1�/G-MA-FL0129-OS for details.
4904.3 Wood-edge Steel Side-Hinged Door Units 6'-8"Opaque I/S and O/S Door w/or w/o Sidelites
Limits of Use Certificatio Agency Certificate
Approved for use in HVHZ:Yes FL4904 R7 C CAC NI0061 1_0.01_.�df
Approved for use outside HVHZ:Yes Qualiq�Ass rance Conh•act Expiration Date
Imp�ct Resistant:Yes 12/31/2020
Design Pressure:+55.0/-55.0 Installation nstructions
Otl�er:Evaluated for use in locations adliering to the Florida Building FL4904 R7 II FL0128. df
Code including the Higli Velocity Hurricane Zone,and wliere pressure Verified By:National Accreditation&Management[nstitute
requirements as determined by ASCE 7,Minimum Design Loads for Created by I idependent Third Party•
Buildings and Other Structures,does not exceed the design pressures �vTluation eports
i listed. 12'-0"a 6'-8"maa nominal size.When large missile impact FL4904 R7 AE 502A. df
resistance is required,hurricane protective system is NOT required on Created by I idependent Third Party•Yes
opaque panels,but is required on glazed panels.See DWG-MA-FL0128-
OS
4904 4 Wood-edge 5teel Side-Hinged Door Units 8'-0"Opaque I/S Door�v/or w/o Sidelites
, Limits of Usc Certificatio Agency Certificate
Approved for use in HVHZ:Yes FL4904_R7 C_CAC NI0061.,1_0,02,pdf
Approved for use outside HVHZ;Yes Quality Assurance Contract Grpir�tion Date
Impact Resistant:Yes 12/31/2020
Design Pressure;+45.0/-50.0 Installation nstructions
Other:Evaluated for use in locations adhering to the Florida Building FL4904_R7 II_FL0129..pdf
Code including the High Velocity Hurricane Zone,and where pressure Veri6ed By.N�tional Accreditation&Management Institute
requirements as determined by ASCE 7,Minimum Design Loads for Created by I idependent Third Party:
Buildings and Other Structures,does not exceed the design pressures Cvaluation eports
listed. 12'-0"a 8'-0"max nominal size.Wlien large missile impact FL4904 R7 AE SOIA:pdf
resistance is required,hurricane protective system is NOT required on Created by I idependent Third Party:Yes
opaque panels,but is required on glazed panels.See DWG-MA-FL0129-
OS
4904.5 Wood-edge Steel Side-Hinged Door Units 8'-0"Opaqu O/S w/or w/o Sidelites
Limits of Use Certificatio Agency Certificate
Approved for use in HVHZ:Yes FL4904_R7 C CAC NI0061]0_02_pdf
Approved for use outside HVHZ:Yes Quality Ass n•ance Contract Gxpiration Date
Imp�ct Resist�nt:Yes 12/31/2020
Design Pressureo+50.0/-45.0 Installation' nsh•uctions ,
Other:Evaluated for use in locations adhering to the Plorida Building PL4904 R7 fI_FL01.29._pdf
Code including the High Velocity Hurricane Zone,and where pressure Verified By National Accreditation&Management Institute
requirements�s determined by ASCE�,Minimwn Design Loads for Created by[aidependent Third Party•
Buildings and Other Structures,does not exceed the design pressures Gvaluation�tepm•ts
listed. 12'-0"x 8'-0"max nominal size.When large missile impact FL4904 R7�AE_SO,IA.pdf
resistance is required,hurricane protective system is NOT required on Created by Independent Third Party�Yes
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opaque panels,but is required on glazed panels.See DWG-MA-FLOl29-
Q5.
4904.G Wood-ed�e Steel Side-Hinged Door Units 6'-8"Glazed /S and 0/S Door w/or w/o Sidelites
Limifs of Usc Certifieafio Agezicy Certificate
Approved for use in HVHZ;Yes f L�3904_R7 C_CAC NI006110 03;pdf
Approved tor use ouYside HVFiZ:Yes Quality Ass rance Contract Expiratian Date
Impnct Resistant:Na 1 213 3/202d
Design Pressure:+SO.S/-50.5 InstallTtion nstructions
Ot}�er:Evaluated for use in(ocations adhering to qie Fiorida Building FL49Q4 R7 fl FL0130. df
Code including the High Velocity Hurrioane Zone,and where pressure Verified By:National Accreditation&Management Institute
requirements es detennined by ASCE 7,Minimtun Design Loads for Created by 1 dependent Third Party•
Buildings and Other Structures,does not exceed the design pressuras Gvaluation eports
listed. i2'_0"x 6'-$"max nominal size.When large missile impact FL49d�i R7 AE 502A,�pdf
resistance is required,hurricane protective system is required.See DWG- Created by[�dependent Third Party:Yes
MA-FL,013d-45 for details.
4904 7 Wood-edge Steel Side-Hinged Dopr Units 8'-0"Glazed�/S Door w/or w/p Sidelites
Limits of Use Certificatio Agency Ces•tifieate
Approved for use in HVHZ;Yes FL4904 R7 C CAC N1006110.04_�df
Approved for use outside HVHZc Yes Quality Assurance Contract Expiration Datc
Impact Resistant:No 1213112020
Design Pressure,+40.0/-45.0 Installation nst��uctions
Othe�:Evaluated for use in locations adhering to the Florida Building FL4904 R7 11_FL0131.pdf
Code including the High Velocity Hurricane Zone,and where pressure Verified By�i National Accreditt�tion&Managemeni Institute
requirements as determined by ASCE 7,Minimum Design Loads for Creatad by fYidependent Third Rarty•
f3uildi�igs aiid Otlier Structures,does ziot exceed tlie design pressures Gvaluation�epai•ks
listed. l2'-0"x 8'-0"maY naminal size.Wl�en lar$e missile impact FL4404_R7 AE_SOI,A.pdf"
resistance is required,hurricane protective system is required.See DWG- Created by 14idependent Tliird Party�Yes
MA-FL0131-OS for details.
4904.$ Wood-edge Steel Side-Hinged Door Units 8'-0"Glazed O/S Door w/or w/o Sidelites
Linuts af Use Certifleatio Agency Ce:•8fic�te
Approvcd far usc in HVHZ:Yes FL4904 R7 C CAC NI006110.04.pdf
App�roved for use outside HVI3Z:Yes Quality Ass n•nncc Conh�act�xpirTtion Date
Impnet i2esisCanf:No � 1213112020
Design Pressure:+45.0/-40.0 Inst�llation nstructions
mtlier:Evaluated for use in locations adhering to the Florida Building FL4904 R7 II FL0131. df
C«de inc3�tding tha High Valocity Hurricane Zone,aizd where pressure Veri�ed By NAtional Acereditatian&Managemant Instituta
requirements as determined by ASCE 7,Minimum Design Loads for Created by 6ndependent Third Parry•
Buildings and 4ther Stnictures,does not exceed the design pressures Evaluation eports
listed 12'-4"x$'-Q"max no�tzinal siaa,Wheiz large missile impaet FL4404 R7 AE SOIA. df
resistance is required,hurricane protective system is required.See DWG• Created by �ndependent Third P�riy•Yes
MA-FL0131-OS for defnils.
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THE FIORIpA BUILDInG CODE hNp �vt�ERE PR::SSURE ( � ' I d i � W �')U
REOUfREMENTS AS DEfERMlNED BY ASCE 7, NinI�MUM + � � � � o �- t,7
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