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Home My WebLink About16-17116 CITY OF ZEPHYRHILLS rr� 5335-8TH STREET ,�r (8i3}780-0020 �� '� • Y BUILDING PERMIT PERMIT INFORMATION � LOCATION INFORMATION Permit Number: 17116 Address: 38525 CAMDEN AVE Permit Type: ADDITION/ALTERATIQN ZEPHYRHILLS, FL. Class of Work: 434-ADD/AL.T RESIDENTIAL Township: Range: Book: Proposed Use: SINGLE FAMILY FtESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivisian: ALPHA VILLAGE Est.Value: Parcet Number: 35-25-21-045A-00000-�090 Imprav. Cost: 1,42�4.00 OWNER INFORMATION Date lssued: 3103I2016 Name: DOLINGER, JERRY�SR& KAREN S Total Fees: 67.50 Address: 38525 CAMDEN AVE Amount Paid: 67.54 ZEPNYRHILLS, FL. 33542 Da#e Paid: 3/0312Q16 Phane: (813 469-$516 Work Desc: GARAGE DOOR REPLACEMENT 9 X 7 CONTRACTOR S APPLiCATiON FEES BANKO OVERHEAD DOORS NC BUILDING FEE 67.50 �r �~, � 1�� t l� - . f r".�'' � �l Ins ectians Re uired F ER 2 OU H PLUMB M S INSU TlON EI 1 FOOTER BQND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER lNSULRTION WALL MISC. DUCTS INSTALLED WATEF2 M(SC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUGTION PQLE FRRME fU11SC. MISG. REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Flarida Statute 553.80(2)(c)the lo+cal government shall impose a fee of faur#imes the amounfi af the fee imposed far the initia! inspection or first reinspection,whichever is greater,far each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additianal restrictions applicable to this property that may be faund in the public recards of this county, and there may be additional perrrmits required from other governmenta{ entities such as water management, state agencies or federal agencies. "Warning ta owner: Your failure to record a notice af commencement may resuEt in your paying twice for impravements to your property. If you intend to abtain financing,consult with your lender or an attorney befare recording your notice of commencement." Camplete Plans,Specifications Must Accompany Application.All wark shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFQRE C.O. N4 OCCUPANCY BEFORE C.O. ��-- CONT CTOR SIGIVATURE PERMIT OFFI R PERMIT EXPIRES IN fi MUNTHS WITHOUT APPROVED INSPECTI�N CALL FOR INSPECTTON - 8 HOUR NOTICE REQUIRED PRCITECT CARD FRt}M WEATHER ( a�s-7ao-oozo Cify of Zephyrhills Permit Application Fax 813780-0021 Building Depariment , Date Received z�ri� phone Contactfor Pertnitting /� 7G - �3.W . OwnersName Jt� �d ��,✓� � OwnerPhoneNumber g13^�G 7�o�i Owners Address 38 s Z,f G 4�''��LR AV� Owner Phone Numbe� Fee Simple TiUeholder Name Owner Phone Number � Fee Simple TitleholderAddress JOBADDRESS 3��Z S CG'�') �C'� /7J�i LOT# �DY SUBDIVISION /T' h" V�r� PARCEL ID# 3S Z'f 2��A ^0�00^�O y0 (OBTAINED FROM PROPERTYTAX NOTICE� WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER C a� -� TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK EGo fnc✓ �ao� 9X 7 FL# /�79• �° BUILDING SIZE SQ FOOTAGE�� HEIGHT � TTrTI"1Trrl"TTIT��TTrTTrI"1"[�TI"ITIT�TrTI"iTTTI"rrT�rrl"1"[�TI"1'T' QBUILDING $ �H Zy� VALUATIONOFTOTALCONSTRUCTION QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ I`(/}� ', QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (i�Z� � � V _ QGAS Q ROOFING Q SPECIALN U OTHER I�I I� � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � T�TIrl7�i�TTrlT�T�Trrr TriT�L!iQ�rTrTTrrrriT��TrTTriTTni�i��iTl� ( e �� J ;� ' BUILDER • •� �/ OC MPANY �+�ka �t/neR.(� �,/0 0�S .J- SIGNATURE . REGISTERED Y I N FEE CURREA Y!N � Address �2q � C�'G/1S�4.Ul S� License# �7g�8 ELECTRICIAN ' COMPANY , SIGNATURE REGISTERED Y/N FEE CURRE� Y/N � Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEECURREA Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERm Y/ N FEECURREA Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N �e cuwteh Y/N Address License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllltl RESIDENi1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsAarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new constructfon. Minimum ten(10)working days after submiltal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence(nstalled, Sanitary Facilities 8 1 dumpster.Slte Work Permit for all new proJects.All commerciai requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for aii NEW constructfon. -�-1-�I-t-F,.1--1-1-I-1-1-d-t-F.�-i--f-1-4-�1-�t-.1-1-a-4-1-I-I..I-�1..1-4-1-�I--{-f.�f-1-1-d-N�-f-i-1-1-�1a-E•�-�1--F-f..la-4-t-4-1-�F. Directions: Fill out applfcation completely. Owner&ConVactor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over S7500) " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized Ietter trom owner authodzing same OVER THE COUNTER PERMITfING (copy of contract required) 'i `,.._, . •• ', •� Reroofs if shingles Sewers' Senrice Upgrades A/C Fences(PIoVSurvey/Footage) .;i;�s , ,:i ,�� •, • Driveways-Not.overCounte�.'rfonpublicroadways..needsROW � ' ' � ' • � � , , • ' � � 'i: , NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions° which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any . applicable deed restrictions. • UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a 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 uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and � 90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transpo�tation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid�prior to permit issuance. Furthermore, if Pasco County WatedSewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I ' certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to - deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this appiication is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and#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 govemment 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-Welis, Cypress Bayheads, Wetland Areas, Aitering 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 Authoriry-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. ,� - If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a , "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall consfruction,I certify that fill will be used only to fiil the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the tlme the work is commenced. An extension may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF 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 COMME CEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGEN� CONTRACTOR �� Su} ribed3nd swom t r rmed)b re me thi Sy bs�cr�ibed nd sworn to.�%a�rmed)b ore me�thfs v��ilo� bv � � ,�rv��/�i p/� �%��/a�by iJ/'dr'��d� �/`t Who is/ar persona now e or has/have produced Who islar sona y o o me or has/have produced _ as identification. as identfflcation. .1�;7� Nolary Public -L�'""�- Notary Publfc Commission No. Commissfon No. oti�ay.P;'Bi. 66Uf9 6U�IL� Name of Nota* t* Name of Notary typed,printed or stamped ot:...,Bt.� DpUG BURLETi' EXPIRES:November 11,2019 * * MY CO�IMISSION�t FF 935353 '"�,TEo_��.�°` BondedihruBudgetNotaryServKe� EXPIRES;November 11,2019 ��oF��`O� BondedThruBudgetNotaryServaes '�O�RiOA �'�9►�!� - + �:�. . _ _ '`,.,�c►�—�'--.,,_.,..� :; Y _�� `,�`� _- City of Zephyrhills BUILDING PLAN REVIEW CONIMENTS Contractor/Homeowner: SC-�-�1lIC..O �1��'�� Date Received: Z�ZZ `� Site: u�(�;-�j�� C�y�i G��it �-�j� Permit Type: �� r �� Approved w/no comments. Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. � _� - Kalvin Switzer- ans Examiner Date Contractor and/or Homeowner (Required when comments are present) ' Florida Building Code Online Page 1 of 7 ��. � - - :1 SY i.�: ��' �� • � • � . . � a . . a , e �, m _ .�_� ... . -- - � - . , ,-�- , . II Flo�da Depar�ment� BCIS Home � Log In � User Registretion E Hot Toplcs , Submit Surcharge I Stats&Facts Publications FBC Staff ' BCIS Site Map Links Search' Busines � Professi al �'�` 'R� Product Approval � USER: Public User Regulation Product Aooroval Menu>Product or Aoolication Search>Aoolication List>Application Detail ' FL# FL15279-R4 . « � Application Type Revision Code Version 2014 Application Status Approved *Approved by DBPR. Approvals by DBPR shall be reviewed and �I 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.com Authorized Signature scott Hami�ton ALL WORK SHALL COMPLy uIITHALL shamilton@clopay.co , �REVAIL ING CODES,FLORID , CODE N A BUILDING , , ATIONAL ELECTRIC COD Technical Representative CITYOFZEPHYRHILLS 0 EAND RDINANCE , Address/Phone/Email S Quality Assurance Representative Address/Phone/Email •��.vl�tt{7 Category Exterior poors ��" �� -( Subcategory Sectional Exterior po�p��e�EaHYRH� � ` ��f�� Compliance Method Certification Mark or Listing Certification Agency Intertek Testing Services NA Inc. - ETL/Warnock Hersey Validated By Gary Pfuehler L: 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... 2/18/2016 Florida Building Code Online - Page 2 of 7 � Y FL15279 R4 Equiv 20150319 - FBC- DASMA 108 eauiv.qdf • FL15279 R4 Eauiv 20150319 - FBC- DASMA 115 equiv.qdf 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 j4 j � � � Page 4/8 V� R� FL# Model, Number or Name Description 15279.61 061 W5-16 PANSP-2F156: 76SP, Steel Pan (min. 25 ga.) Double-Car(9'2"to 16'0"wide) 76VSP WINDCODEp W5 Garage Door Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL15279 R4 C CAC Letter with qroof of contract and Approved for use outside HVHZ: Yes oroof of inspection.odf Impact Resistant: Yes FL15279 R4 C CAC W5 Listinq Intertek.pdf , Design Pressure: +32 PSF/-37 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 103723-A-Rev08.pdf Verified By: Intertek Testing Services NA Inc. - ETL/Warnock Hersey Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 15279.62 062 W5-16 SPO-2F449: Grand Steel Pan (min. 24 ga.) with Overlay Double-Car(9'2"up Harbor, Stone Manor to 16'0"wide) WINDCODEp W5 Garage Door 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.pdf Impact Resistant: N/A FL15279 R4 C CAC W5 Listinq Intertek.odf Design Pressure: +30 PSF/-30 PSF Quality Assurance Contract Expiration Date Other: The OPTIONAL glazing available for this product 05/21/2028 meets the wind load requirements of the building code Installation Instructions but DOES NOT meet the impact resistant requirement for FL15279 R4 II 103553-Rev06.vdf windborne debris regions. The product without glazing Verified By: Intertek Testing Services NA Inc. - DOES comply with the impact resistant requirement for ETL/Warnock Hersey windborne debris regions (ref 1609.1.4 FBC). Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 15279.63 063 W5-16 W-1B899: Reserve Reserve Wood Double-Car(9'2"To 16'0"wide) Collection RHxx WINDCODEp W5 Garage Door Limits of Use Certification Agency Certificate Approved for use in HVH2: No FL15279 R4 C CAC Letter with oroof of contract and Approved for use outside HVHZ: Yes proof of inspection.pdf Impact Resistant: N/A FL15279 R4 C CAC W5 Listinq Intertek.pdf Design Pressure: +30 PSF/-33.5 PSF Quality Assurance Contract Expiration Date Other: The OPTIONAL glazing available for this product 05/21/2028 meets the wind load requirements of the building code Installation Instructions but DOES NOT meet the impact resistant requirement for FL15279 R4 II 102536-Rev06.pdf windborne debris regions. The product without glazing Verified By: Intertek Testing Services NA Inc. - DOES comply with the impact resistant requirement for ETL/Warnock Hersey windborne debris regions (ref 1609.1.4 FBC). Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 15279.64 064 W5-16-B AL-1F499: AvanteT'" Full View Aluminum Residential WINDCODE�W5 Sectional Door, 12'3"to 16'2"wide http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv3 yV VKJZ 1 QRAbbA5BZk19... 2/18/2016 Florida Building Code Online Page 6 of 7 . Design Pressure: +38 PSF/-42 PSF Quality Assurance Contract Expiration Date , ' Other: The standard glazing available for this product 05/21/2028 meets the wind load requirements of the building code Installation Instructions but DOES NOT meet the impact resistant requirement for FL15279 R4 II 103954-B-Rev03.pdf 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: 15279.77 077 W6-09 DSIEO-1M479: Double Skin Insulated EPS (exterior skin 27 ga. min.; Coachman/Settlers/Affinity interior skin 27ga. min.) with Overlay Single-Car(up to 9'0"wide) WINDCODEp W6 Garage Door Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL15279 R4 C CAC Letter with qroof of contract and Approved for use outside HVHZ: Yes proof of inspection.odf Impact Resistant: Yes FL15279 R4 C CAC W6 Listinq Intertek.qdf Design Pressure: +38 PSF/-42 PSF Quality Assurance Contract Expiration Date Other: Solid doors (no standard glazing) are impact- 05/21/2028 resistant(large missile impact). Installation Instructions FL15279 R4 II 103223-A-Revll.pdf Verified By: Intertek Testing Services NA Inc. - ETL/Warnock Hersey ' Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 15279.78 078 W6-09 DSIEO-1M479: Double Skin Insulated EPS (exterior skin 27 ga. min.; Coachman/Settlers/Affinity interior skin 27ga. min.) with Overlay Single-Car(up to 9'0"wide) WINDCODEp W6 Garage Door Limits of Use Certification Agency Certificate , Approved for use in HVH2: No FL15279 R4 C CAC Letter with proof of contract and Approved for use outside HVHZ: Yes qroof of insaection.pdf Impact Resistant: No FL15279 R4 C CAC W6 Listin4 Intertek.odf Design Pressure: +38 PSF/-42 PSF Quality Assurance Contract Expiration Date Other: The standard glazing available for this product 05/21/2028 meets the wind load requirements of the building code Installation Instructions but DOES NOT meet the impact resistant requirement for FL15279 R4 II 103223-B-Revll.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: 15279.79 079 W6-09 DSIU-1A171: 9130, Double-skin Insulated PUR (exterior skin 27 ga. min.; 9131, 9133, HDP13, HDPF13, interior skin 27 ga. min.) Single-Car(up to 9'0"wide) HDPL13, 7130, 7131, 7133, 8130, WINDCODEp W6 Garage Door 8131, 8133 ' 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 proof of inspection.pdf Impact Resistant: N/A FL15279 R4 C CAC W6 Listinq Intertek.qdf ' Design Pressure: +37 PSF/-37 PSF Quality Assurance Contract Expiration Date Other: The OPTIONAL standard glazing available for this 05/21/2028 product meets the wind load requirements of the building Installation Instructions code but DOES NOT meet the impact resistant FL15279 R4 II 104180-Rev0l.pdf requirement for windborne debris regions.The product Verified By: Intertek Testing Services NA Inc. - without standard glazing DOES comply with the impact ETL/Warnock Hersey resistant requirement for windborne debris regions (ref Created by Independent Third Party: 1 09. C). Evaluation Reports Created by Independent Third Party: 15279.80 080 W6-09 DSIU-1F171: 9200, Double-skin Insulated PUR (exterior skin 27 ga. min.; ', 9201, 9203, HDP20, HDPFZO, interior skin 27 ga. min.) Single-Car(up to 9'0"wide) HDPL20, 7200, 7201, 7203, 8200, WINDCODEp W6 Garage Door with Optional Impact- 8201, 8203 Resistant Lites 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 inspection.odf Impact Resistant: Yes FL15279 R4 C CAC W6 Listinq Intertek.pdf Design Pressure: +37 PSF/-40 PSF Quality Assurance Contract Expiration Date Other: Solid doors (no standard glazing) or doors with 05/21/2028 optional impact-resistant standard glazing are impact- Installation Instructions http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv3yVVKJZI QRAbbASBZkl9... 2/18/2016 Florida Building Code Online Page 7 of 7 resistant (large missile impact). FL15279 R4 II 104184-A-Rev0l.�df , " Verified By: Intertek Testing Services NA Inc. - ETL/Warnock Hersey Created by Independent Third Party: , Evaluation Reports Created by Independent Third Party: Go to Page j4 'C�d '� � Page 4/8 � � Back Next Contact Us:: 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer.Coovriqht 2007-2013 State of Florida. Privacv Statement: Accessibilitv Statement:: Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by treditional mail.If you have any questions,please contact 850.487.1395. *Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,Iicensees licensed under Chapter 455,F.S.must provide the Department with an emafl address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455,F.S.,please click here. Product Approval Accepts: � � eCheck � SL`CUCit\'\S 7:TIi 1 CS —_� _ �__' http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv3yVVKJZ1QRAbbA5BZk19... 2/18/2016 i 1 . � � ¢ 3 2 1 � ElIDOSS TYPE e�F REVISIONS HRAND SH�RT L�NG FLUSH n��R�� SECTIDNS CLi]PAY 9200,HDP20 9203,HDPL20 9201,F�PF20 UP T�7'0' 4 REV. N0. ZONE: DATE: ECN N0. APPVD: DESCRIFTiION 7'3'70 B'9' S 00 - - - SH INfTIAL RELEKSE IDEAL 8200 8203 0201 9'0'T�10'6' 6 01 SH UPDATED WINOCODE CHART 10'9'TO 12'3' 7 F�.l�S 72U0 7203 7201 12'6'TO 14'0' 8 14'3'TO 15'9' 9 ��+�� 6-0• �o o D D Mp% SECTIDN HEIGHT 21' twuc caannt,voN�awe 7�noaa atv�n mivw.aiao wr ff swnvs an�ver�wrt wr�trter ne wo inw x.aw av n�ome aaa�a��iox a-e ro�ocnut o 9[ tin ior aaoxr �uoors°1�s�auEnn�em � (�7/4'OW Sli TMAO 5�19 �pppp��FA(IO 5L7 �F Id1�101 -- -i i r-- i r ---� .a u..e -i� � r � � r � f r � �� i�w aw.sna�uo araoar. ��w(ru!sm�.�va a�aar. va�ris�ven ro�mo.wm am � � sm. 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NO.: 104184 VER: IBC 4 3 2 f��0OG30DQ pG�oODNJC�4 i^ppG30OMG°Q�9�5��1g