HomeMy WebLinkAbout16-17487 : CITY OF ZEPHYRHILLS
' S335-8TH STREET ,�,
(813)780-0020 17487
BUILDING PERMIT -�'�.
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PERMIT INFORMATIO.N LOCATION INFORMATION -
Permit Number: 17487 Address: 5500 10TH ST "
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11800-0130
Improv. Cost: 845.00 ,OWNER INFORMATION
Date Issued: 6/21/2016 Name: BARTLE TREVOR & RAMONA
Total Fees: 60.00 Address: 5500 10TH ST
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/21/2016 Phone: 810-627-9929
Work Desc: INSTALLATION 9 X 7 GARAGE DOOR
CONTRACTOR S APPLICATION FEES ,
BANKO OVERHEAD DOORS INC BUILDING FEE 60.00 ,
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Ins ections Re uired
FO TER 2ND R UGH PLUMB MISC INS TION CEI N
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: (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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRA OR IGNATURE PERMIT OFFI R
P RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. . _ i
• 813-780-0020 Cify of Zephyrhills Permit Application , Fax-si�-�saooz�
, Building Depertment ,
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Date Received (� - /H-�(,. . Phone Contact for Permitting e r� �7�o - �3 Z�i+
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OwnersName ( f'GVoJ' �o-t OwnerPhoneNumber
dwne�'s Address �s�� ��� 5�" Owr�er Phone tSum6e� � �
Fee Simpie Titleholder Namo � I Owner Phone Number � �
Fee Slmple Titleholder Address
sas aooREss S'S"o� / f'` S�t- tor# �3 f t'�1
sus�ivisioN Tv�►w o�f Z.?c�rti-'u� PARCEL ID# �' -2 G-2��-t�o�o-�i Soa -o�S a
{08TAINED FROM PRdPEftTYTAXNOTiCE)
WORK pROPOSED � NEWCONs7a� ADD/ALT Q SIGN Q C] LIEMOLiSH
INS7ALL REPAIR
PROPOSEdUSB Q SFR [� COMM Q 4THER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
i DESCRIPTIOt3 OF WdRK �� �t�r' (�o r r -t J( �"�{ �(,� /f'�?�f.j Z Fr I r 2 a �+r S��t G.
BUILDlI1GSlZE ��� SQFOOTAGE� HEIGHT [�
r rrrrr^rrrr-rr-r-res-t-rrrrrrrrrrr-c-nrrrrt�^s--rrrrrrrrtrrrs�rrr
QBUILpING $ ��f.. VALUATIONOF70TALCONSTRUCTION
[�ELECi'RICAL �� AMP S�RVtCE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBlNG �p � '/}, ,� -
[�MECHANICAL $ VALUATION OF MECHANIGAL INS7ALLATION
� ��T������ �t
OGAS Q ROOFING Q SPECIALTY � OTHER .�" � ���
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FiNkSHED FLOOEt ELEVAI'lQNS ELOQD ZONE AREA QYES NO
�7 '�ni�:��'e�i��'�-'�-i�i�C-'e-:���7-4.S.�C�i�..'r��/. . . �'r�i-�i��'.���'�nni�'-C-'r•'�' G-'r+i�}�:�i�i�'ri�+�'�{r'�'�.'�i-+
SUtLDER �fe� " �CO PANY ��� Dv.t.��to-t1 (�eers. �
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SIGNATURE ��isr�eo Y! N �cuwxen YiN �
Address 2�{ {iJ Gr' f�.w.w Sk License� G-78�8 —�
ELECTF2ICIAN ' COMPANY
SSGNATURE ���ss�ttm Y/N FEECURRE{� Ylt1
, Address License� � �
PlUMBER COMPAAtY �
SIGNATURE � � aEcisTeRm Y/ N FEEcuruzEn Y/N
Addre�s License#� �
MECHANICAL � � COMPANY I
S3GNATURE �c�sr�o Y1 N ��cuwz�n YtN
Address License#� �
OTtiER COMPANY �
SIGNATURE � � ttE�isTER� Y/N F�E cututen Y/N
Address L�cense�� �
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItltil
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bulding Plans;(1)set of 8nergy Forms;R O-W Permitfor new consiruction,
MlnSmam ten(10}warking days aiter sut�mittat date. Raqutred onsite,ConsWctton Ptans,Stormwater Ptans w!Siit Fence instatted,
Sanitary Facitit3es&1 dumpster,S"ste Work Peemif#or subdlvislonsRarge projects
COMMERCIAI. Attach(2)complete sets of Building Plans plus a Life Safety Page;(i)set of Energy Forms.R-O-W Pertnitfor new constructlon.
Minimurn ten(t0)work(ng deys after submittal date. Required onsite,Consiructton Plans,Stormwater Plans w/Silt Fence fnstalied,
Sanitary Facilities&1 dumpster.Sifs Wark Permit for al!»ew projects.Ait cammercial reqnirements must meet compSiance
StGN PERM17 Attach(2j sets of Eng(neered P�ans.
""PRQPERTY 3URVEY required for all NEW constnictfon.
..1-'Y.'.-'r'r��4d-1-�.I��-i-1--I�:�:�-F;.i-f�i-�l-H�l.-f.�•4.1.1-�I�i�.i-i-1�-1-:-:�:-i-y'-'�' '.�'-{••1�-1-L.f-�-i�l�i..4-1-i-f-1-1-1�-I•.
i DicecHons:
Fill out application compfetety.
Owner&Gontractor stgn back of applica8on,nota�ized
i tf over$2504,a Hottce of Commeneement is required. (AtC upgrades over$7500)
( --------....- -- - -----._ _
" Agent(fo�the cantractor}or Powev of Attomey(for the owner}wouid be someons with notarized Ietter from owner authorizing sams
OVER 7HE COUNTER PERMITTINC3 (copy of contract requlrec�
Remafs if shingtes Sewecs Sesvice Upgrades AfG �ences{PIoUSucveylFootage} '
Driveways-Not over Counter if on pubiic roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions° . I
which ma be more restrictive than Count re ulations. The undersigned assumes responsibility for compliance with any
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applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertafn as to what Iicensing requirements may appfy for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
portions of the°contractor Block°of this application for whlch they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly Iicensed and is not entitled to permitting privileges in Pasco
Couniy.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportat(on Impact Fees and Recourse Recovery•Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identifled at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a°certiftcate of occupancy°or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid�prior to permit fssuance. Furthermore,if Pasco County WatedSewer Impact
fees are due,they must be paid prior to permit Issuance in accordanGe with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner'prior to commencement.
CONTRACTOR'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application Is
hereby made to obtain a permit to do work and installaUon as indicated. I certify that no work or installation has
' commenced prior to issuance of a permit and#hat all work will be perFormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watenroays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. •
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Aufhority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A', it is understood that a drainage plan addressing a
"compensating volume°will be submitted at time of permitting which is prepared by a professional engineer
' licensed by the State of Florida.
- If the fill material is to be used in Flood Zone"A in connection with a permitted building using stem wail
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
propert(es. If use of fill is found to adversefy affect adjacent properties,the owner may be cited for violating
the conditions of the tiuilding permit(ssued under the attached permit applicatfon,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing,signs,wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authorify to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Officiai from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
i may be requested,in writing,from the Build(ng Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF 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.
FLORIDA JURAT(F.S.117.03) � �
OW NER OR AGEN� CONTRACTOR
Subscribed and swom to(o affirmec�before me this Subscribed and swom tg,(or atfirme�before�ne thfs
bv �✓�/Gc. 1-'e�t✓ntit bv iSruct �C.�li �,/t,
1Nho is/ar nall no to me or has/have produced 1Nho Islare erso all ow o me or haslhave produced
asldentificaUon. asldentification.
1/"� ^���-�7 Notary Pu611c ��-� Notary Pu61ic
Commisslon No. Commission No.
-`� ,�pRY PGB DOUG BURLETT
�ys'agUR �9�''s�53 ° •••••�'�
Name of Notary typed .•s-.d or stampo rh�5��r�� 2�19 Name of Notary typed,printed or stamped � * , 1��1�SS�ON tt FF 935353
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City of Zephyrhiils
BUILI3ING PLAIV REVIEW COMMENTS
Contractor/�iomeowner: c�lL/1/I� QE�)�
Date Re�eived: --/ ! I
Site: ���� � I�
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I'ermit Type: � " -
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 andlor plans.
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Kalvin Switz ans Examiner Date Contractor and/or Homeowner I
� - (I�ecluired when comments are present)
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Flgrid�-�uilding Code Online Page 1 of 7
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florida Depar�ment� BCIS Home I Lo9 In � User Registretion � Hot Topfcs Submit Surcharge (Stats&Facts Publicatfons FBC Staff � BCIS Site Map Links Search
Busines �
Professi �al ,�� '� Product Approval
� ""` USER: Public User
Regulation
Product Anoroval Menu>Product or Aoolication Search>Aoolication Lfst>Application Detail
� � FL# FL15279-R4
• °" ' Application Type Revision
Code Version 2014
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 Clopay Building Products Company
Address/Phone/Email 8585 Duke Blvd.
Mason, OH 45040
(513) 770-6062
mwesterfield@clopay.c�r�WORK SHALL COPJIPLY WITH
PREVAILING CODES
Authorized Signature Scott Hamilton FLORIDA BUILDING CODE,
shamilton@clopay.cor�T�ONAL ELECTRIC CODE,ANQ
CITY OF ZEPHYRHILI,�ORDINANCES
Technical Representative i •
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email REVIEW DATE
CITY OF ZEPHYRHILLS
Category Exterior poors �'�a� EX�MlN�R
Subcategory Sectional Exterior poor Assemblies
Compliance Method Certification Mark or Listing
Certification Agency Intertek Testing Services NA Inc. - ETL/Warnock Hersey
Validated By Gary Pfuehler
�!� Validation Checklist- Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
ANSI/DASMA 108 2005
ANSI/DASMA 115 2005
ASTM E1886 2002
ASTM E1996 2002
. ASTM E330 2002
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
� �
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv3yV VKJZ 1 QRAbbA5BZk19... 6/14/2016
F�,�rida Building Code Online Page 2 of 7
FL15279 R4 Eauiv 20150319 - FBC- DASMA 108 equiv.pdf
FL15279 R4 Equiv 20150319 - FBC- DASMA 115 equiv.pdf
Product Approval Method Method 1 Option A
Date Submitted 03/19/2015
Date Validated 06/12/2015
Date Pending FBC Approval
Date Approved 06/21/2015
Summary of Products
� Go to Page ;� � � � � Page 7/8 � �
FL# Model, Number or Name Description
15279.121 121 W6-18 PAN-2F443: G4S, Gallery/Artistry/Expressions: Steel Pan (min. 24 ga.)
G54, GD4S, GR4S, G4SV, GS4V, 16'4"to 18'2"wide WINDCODEp W6 Garage Door
i GD4SV, GR4SV, E45, ED4S,
E4SV, ED4SV, SS4, AR4S, SS4V,
I AR4SV
� Limits of Use Certification Agency Certificate
I Approved for use in HVHZ: No FL15279 R4 C CAC Letter with oroof of contract and
Approved for use outside HVHZ: Yes proof of insaection.pdf
�I Impact Resistant: Yes FL15279 R4 C CAC W6 Listin4 Intertek.qdf
Design Pressure: +37 PSF/-39 PSF Quality Assurance Contract Expiration Date
Other: Solid doors (no standard glazing) are impact- 05/21/2028
I resistant (large missile impact). Installation Instructions
FL15279 R4 II 103406-A-Rev06.pdf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
II Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.122 122 W6-18 PAN-2F443: G4S, Gallery/Artistry/Expressions: Steel Pan (min. 24 ga.)
GS4, GD4S, GR4S, G4SV, GS4V, 16'4"to 18'2"wide WINDCODEp W6 Garage Door
�� GD4SV, GR4SV, E4S, ED4S,
E45V, ED4SV, SS4, AR4S, SS4V,
AR4SV
Limits of Use Certification Agency Certificate
II Approved for use in HVHZ: No FL15279 R4 C CAC Letter with proof of contract and
Approved for use outside HVHZ: Yes proof of inspection.pdf
Impact Resistant: No FL15279 R4 C CAC W6 Listin4 Intertek.qdf
Design Pressure: +37 PSF/-39 PSF Quality Assurance Contract Expiration Date
Other: The standard glazing available for this product 05/21/2028
I� meets the wind load requirements of the building code Installation Instructions
but DOES NOT meet the impact resistant requirement for FL15279 R4 II 103406-B-Rev06.odf
windborne debris regions. Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
'� Created by Independent Third Party:
' 15279.123 123 W4-09 DSIE-iF171: 4300, 2" Double-skin Insulated EPS (exterior skin 27 ga. min.;
4301, 4310, 4400, 4401, HDG, interior skin 27 ga. min.) Single-Car(up to 9'0" wide)
HDGL, HDGF, 66, 66G, 67, 67G, WINDCODE� W4 Garage Door
68, SP200, SF200, SE200, 6200,
6201, 6203
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with oroof of contract and
Approved for use outside HVHZ: Yes proof of insaection.pdf
' Impact Resistant: Yes FL15279 R4 C CAC W4 Listin4 Intertek.pdf
Design Pressure: +28 PSF/-29 PSF Quality Assurance Contract Expiration Date
Other: Solid doors (no glazing) or doors with optional 05/21/2028
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=vvGEVXQwtDqv3yV VKJZ 1 QRAbbA5BZk19... 6/14/2016
F�:�rida Building Code Online Page 3 of 7 �,
impact-resistant glazing are impact-resistant (large Installation Instructions
missile impact). FL15279 R4 II 101652-A-Revll.odf
Verified By: Intertek Testing Services NA Inc. -
ETL/Wamock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.124 124 W4-16 DSIE-1F171: 4300, 2" Double-skin Insulated EPS (exterior skin 27 ga. min.;
4301, 4310, 4400, 4401, HDG, interior skin 27 ga. min.) Double-Car(9'2"to 16'0" wide)
HDGL, HDGF, 66, 66G, 67, 67G, WINDCODEp W4 Garage Door
68, SP200, SF200, SE200, 6200,
6201, 6203
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with proof of contract and
� Approved for use outside HVHZ: Yes oroof of inspection.odf
Impact Resistant: Yes FL15279 R4 C CAC W4 Listina Intertek.qdf
' Design Pressure: +25.5 PSF/-25.5 PSF Quality Assurance Contract Expiration Date
Other: Solid doors (no glazing) or doors with optional 05/21/2028
impact-resistant glazing are impact-resistant (large Installation Instructions
missile impact). FL15279 R4 II 101481-A-Revl3.pdf
� Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
iCreated by Independent Third Party:
15279.125 125 W4-18 DSIE-1F171: 4300, 2" Double-skin Insulated EPS (exterior skin 27 ga. min.;
4301, 4310, 4400, 4401, HDG, interior skin 27 ga. min.) 16'2"to 18'0" wide
HDGL, HDGF, 66, 66G, 67, 67G, WINDCODEp W4 Garage Door
68, SP200, SF200, SE200, 6200,
6201, 6203
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with aroof of contract and
Approved for use outside HVHZ: Yes aroof of insoection.adf
Impact Resistant:Yes FL15279 R4 C CAC W4 Listinq Intertek.pdf
Design Pressure: +25 PSF/-25 PSF Quality Assurance Contract Expiration Date
Other: Solid doors (no glazing) or doors with optional 05/21/2028
� impact-resistant glazing are impact-resistant (large Installation Instructions
' missile impact). FL15279 R4 II 101247-A-Rev19.�df
Verified By: Intertek Testing Services NA Inc. -
i ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
� Created by Independent Third Party:
15279.126 126 W4-09 PAN-2F151: 73, 1500, Steel Pan (min. 25 ga.) Single-Car(up to 9'0"wide)
; 75, 190, 84A, 94, 76, 42, 48, 55, WINDCODEp W4 Garage Door
` 42B, 48B, 55S, 4RST, 6RST,
I 4RSF, 6RSF, 2RST, GDSS,
GDSSV, GR5S, GR5SV, ARSS,
ARSSV, EDSS, EDSSV
Limits of Use Certification Agency Certificate
, Approved for use in HVHZ: No FL15279 R4 C CAC Letter with aroof of contract and
Approved for use outside HVHZ: Yes qroof of insoection.pdf
Impact Resistant: Yes FL15279 R4 C CAC W4 Listina Intertek.pdf
Design Pressure: +25 PSF/-32 PSF Quality Assurance Contract Expiration Date
Other: Solid doors (no glazing) or doors with optional 05/21/2028
impact-resistant glazing are impact-resistant(large Installation Instructions
missile impact). FL15279 R4 II 300159-A-Rev16.�df
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party: '
�� 15279.127 127 W4-16 PAN-2F153: 73, 1500, Steel Pan (min. 25 ga.) Double-Car(9'2"to 16'0"wide)
I 75, 190, 84A, 94, 42, 48, 55, WINDCODEp W4 Garage Door
4RST, 6RST, 4RSF, 6RSF, GDSS,
GDSSV, GRSS, GRSSV,ARSS,
ARSSV, ED5S, ED5SV
Limits of Use Certification Agency Certificate !
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with oroof of contract and '
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv3yV VKJZ 1 QRAbbA5BZk19... 6/14/2016
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�s z�W e�w uu Es c� 2s�u+s a W 2s c�n+s sEcrffi+s SHEET 1 OF 2 07 08/03/04 ADDm INSUUITED M/N 190, 1500
CL�AY 8411.94 73.7S 1500.190 76 76V �P���, 4
p3•Tp gg• g OB 05/19/05 UPDATED COUE REF.
.,�.� aesr,�n �r+sF SRsr r� a+sr — yo�m w•c• s 09 09/28/O5 ADDED ROLLER OPfION
t�.�s 4a,�eE — 42,42E 55,sss — — fa's'Tn tz'a• � 10 11/30/07 ADDm 76V, EXTENDED HOGHiS, COMBINm CLOPAY, HOLM6, AND IDEAL M/N
��T P�_ ��pp� 12'6'TD 14'0' B
i��ta tss� s 11 08/08/08 ADDED M/N 428, 488, SSS �
.-��.�s�usN uro• io
Mnu secimx r�tntn 2i• 12 10/21/OB ADDm M/N 4F
•cAattIIGE wuse•RAIs[n PA1EL omuss a�s 13 12/2009 ADDED 'CAFtRIAGE HOUSE' EMBOSS DOORS.
�'Ls 2s[�1 2s W II�ts 25 w 2s c�u�s 14 08/2010 REVISm MODEL TABL6.
a.��v m3s, mssv, _ _ 15 01/2012 REVISm WIND SP�TABLE FOR ASCE!-10.
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F�..l�S �8.IBB — 42.42B 55.SSS — — YAY BE COUN1F1t5UNN(BUf NOT f�0U1Nm)TD PRONDE A F1L91 YWMMO SUHF/C6
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3/8':3'SLFEVE ANCHOR BOL73 ON 24'CENfFRS(200D P9 YIN•CUNCREIE).
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DRAWINO 300159•A yp]E 7RACK CONFlGURATION
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