HomeMy WebLinkAbout16-17147- _ �. -
. -
CITY OF ZEPHYRHILLS �
5335-8TH STREET
(813)780-0020 17
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17147 Address: 3916 QUAKER RIDGE ST LT 82
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: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0030-00000-0750
Improv. Cost: 28,000.00 OWNER INFORMATION
Date Issued: 3/11/2016 Name: NHC-FL 115 LLC LT 82
Total Fees: 382.50 Address: 6991 E CAMELBACK RD STE B-310
Amount Paid: 382.50 SCOTTSDALE, AZ 85251
� Date Paid: 3/11/2016 Phone: (813)783-7518
Work Desc: ROOM ADDITION 12 X 34 W/COVER
CONTRACTOR S � - APPLICATION FEES
SUNSTATE ALUMIUMN INC BUILDING FEE 262.50
� JAMES O MORTON ELECTRIC CO.,INC. ELECTRICAL FEE 60.00
BAHR'S PROPANE GAS &A/C, INC. MECHANICAL FEE 60.00 '
/.�Z.9�� ��
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.
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 properly 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.
�
/� 1
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
FORMS
FLORIDA BUILDING CODE,ENERGY CONSERVATION
FORM 402-2010 Residential Building Thermal Envelope Approach ALL CLIMATE ZONES
Seope:Compliance with Section 402 of the Florlda Building Code,EnergyConservation,shall be demonstrated bythe use ot Form 402 for single-and multiple-family residences of three
stones or less in height,additions to existing res(dential buildings,renovations to ewst�ng residential buildings,new heating cooling and water heating systems in epsting bwldings as i
applicable.To comply,a building must meet or exceed all of the energy efflciency requirements on Table'402A and all appiicable mandatory requirements summarized in Table 402B o{ttiis '
form.If a building does not comply wfth this method or Alternate Form 402,it may stili comply under Section 405 oi theFlorida Building Code,EnergyConservation.
PROJECTNAME: A1142�('SD , Lo'�� ScL BUILDER: a ry���rKr�^ �YIC•
AND ADDRESS: �j9�Cp �RiC�e, pERMITTWG/� /� I� I_ II
MQ,�S�i(, �CA.kS OFFICE: l..l Ol""Ze y� (��'lil�5 ,
OWNER: �yr��eY SD PERMIT NO.: � JURISDICTION NO.:
General Instructions:
1.New construction which fncorporates any of the following features cannot comply using this method:glass areas in excess oi 20 pe�cent of conditioned floor area,electric resistance
heat and afr handlers located in atties.Additions s 600 sq.ft.,renovations and equipment changeouts may comply hy this method with exseptinns given.
2.Fill In ail the applicable spaces of the`To Be Installed"column on Table 402A with the iniormation requested.All"To Be Installed"values must be equal to or more efficient than the
requfred levels.
3.Complete page 1 based on the"To Be Installed"column fnformation.
4.Read the requirements ot Table 402B and check each 6ox to Indicate your intent to comply with all applicable ftems.
5.Read,sign and date the"Prepared By"certification statement at the bottom of page 1.The owner or owners agent must aiso sign and date the form.
Please Print CK
1. New construction,addition,or existing building 1, � �,
2. Single-family detached or multiple-family attached 2, 5 n
3. If multipfe-family-No.of units covered by this submission g, -
4. Is this a worst case?(yes/no) 4. !��
5. Conditioned floor area(sq.ft.) g,�,��{�C�1
6. Glass type and area:
a U-factoc 6a. .�OJ'r
b.SHGC 6b. t,�,D
c.Glass azea 6c. �i0' sq.ft.
7. Percentage of glass to floor area � ''l ,�o
8. Fioor type,area or perimeter,and insulation:
a.Slab-on-grade(R-value) 8a.R- lin.ft.
b.Wood,raised(R-value) 8b.R- I 3 �4 g _sq.ft.
c.Wood,common(R-value) 8c.R= Sq.ft.
d.Concrete,raised(R-value) 8d.R= sq.ft.
e.Concrete,common(R-value) Se.R- sq.ft.
9. Wall type,area and insulation:
a.Exterior: 1. Masonry(InsulaGon R-value)
9a-1. R= sq.ft.
2. Wood frame(Insulation R-value) 9a-2. Fi=�_ �sq.ft.
b.Adjacent: 1. Masonry(Insu]ationR-value) 9b-1. R= sq.ft.
2. Wood frame(Insulation R Value) 9b-2. R=� a 3a sq.ft.
10. Ceiling type,area and insulation:
a.Under attic(Insulation R-value)
b.Single assembly(Insulation R-value) 10a.R= sq.ft.
110b.R= c � �_sq.�Y.
71. Air distribution system:Duct insulation,location,Qn
a Duct location,insulation 11 a. R= _� DDY'
b.AHiJ]ocation 11 b. - N A
c.Qn,Test report attached(<0.03;yes/no) 11c.Test re ort attached? Yes No
12. Cooiing system:
a.�,Pe 12a.Type: ��cc�. /FlG
b.E�ciency 12b.SEER/EER• l3
'13. Heating system: 13a.Type: ��K� �FL���r��
a Type 13b.HSPF/COP/AFUE: 7.7
b.Efficiency
14. HVAC sizing calculation:attached 14. Yes Jo
15. Hot water system: �/�
�.�,pe 15a.Type:
b.Efficiency 15b.EF•
I hereby certlfy that the pla and specfflcations covered 6y the calculatfon are in compliance v�th the Florlda Review of plans and specifications covered by this calcuiation Indicates compliance with ffie Flarfda
Energy Code. Energy Code.Betore constructlon fs compJete tl'�bullding will be inspected tor compliance fn
accordance with Section 553.0,F .
PREPARED BY: DATE: a 'z� I� �
CODE OFFICIAI.
I hereby certify thzt this bufld in compliance with the Rorida Energy Code: �
OWNER AGENT: DATE: DATE:
C.4 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION
FORMS
TABLE 402A '
BUILDING COMPONENT PERFORMANCE CRITERIA' INSTALLED VALUES:
U-Factor<0.65 Factor=
Windows(see Note 2): SHGC=0.30 HGC=
%ofCFA<=20% /otCFA=
S li hts U-Factor<0J5 P
Doors:Exterior door U-Factor U-Factor<0.65 -Factor=
Floors: Slab-on-grade No requirement R Value=
Over unconditioned s aces see Note 3 R-13
Walls—Ext.and Adj.(see Note 3):
Frame R-13 R Value=
Mass (see Note 3)
Interior of wall: R-7.8 R- alue=
Exlerior of wall: R-6 R- alue=
Ceilings(see Notes 3&4) R�0 R- alue= Test report
ReFlectance 025 Re lectance= Attached7
YesMo
Air distribution system(see Note 4)
Duchvork&air handling unit: Lo tion: Test report
Unconditioned space Not allowed Attached?
Conditioned space Yes/No
Duct R-value R-value 2 6 R-V lue=
Air leakage Qn Qn 5 0.03 Q�
Air conditionin s stems see Note 5 SEER=13.0 SE R=
Heating system
Heal pump(see Note 5) Cooling: SEER=13.0 SE R=
Heating: HSPF=7.7 HS F=
Gas fumace AFUE 78% AF E_
Oil fumace AFUE 78% AF E_
Electric resistance:Not allowed(see Note 5)
Water hea6ng system(storage type)
Electric(see Note 6): 40 gal:EF=0.92 G Ilons=
50 gal:EF=0.90 A I � E _
Gas fired(see Note 7): 40 gal:EF=0.59 �'� nons=
, Other(describe): 50 gal:EF=0.58 F=
(1)EachcomponentpresentintheAsProposedhomemustmee rexceedeachoftheapplicableperformanc riteriainordertocomplywiththiscodeusingthismethod;
othenvise Section 405 compliance must be used.
(2)Windowsanddoorsqualifyingasglazedfenestrationareasmustcomplywith o - actorandthemaximumSHGC(solarHeatGainCoefficient)criteria
and have a maximum total window area equal to or less than 20%of the co�ditioned floor area(CFA);othenvise Section 405 must be used for compliance.
Exception: Additions of 600 square feet(56 m2)or less may have a maximum glass to CFA of 50 percent.
(3)R-values are for insulation material only as applied in accordance with manufacturers'installation instructions.For mass walis,the"interior of wall"requirement must be
met except if at least 50%of the R-6 insulation required for the"exterior of wall"is installed exterior of,or integral to,the wall.
(4)Ducts&AHU installed substantially leak free per Section 4032.2.1.Test by Class 1 BERS rater required.
Exception:Ducts installed onto an existing air distribution system as part of an addition or renovation;duct must be R-6 installed per Sec.5032.7.2.
(5)For ail conventional units with capacities greater than 30,000 Btu/hr. For other types of equipment,see Tables 503.2.3(1-8).
Exception:The prohibition on electric resistance heat does not apply to additions,renovations and new heating systems installed in existing buiidings.
(6)For other electric storage volumes,minimum EF=0.97-(0.00132 x volume).
(7)For other natural gas storage volumes,minimum EF=0.67-(0.0019 x volume).
TABLE402B MANDATORYREQUIREMENTS
COMPONENTS SECTION REQUIREMENTS " CHECK
To be caulked,gasketed,weatherstripped or otherwise sealed.Recessed Iighting IC-rated as meeting ASTM E
Air leakage 402.4 283.Windows and doors=0.30 cfm/sq.R.Testing or visual inspection required.Fireplaces:gasketed doors&
outdoor combustion air.
Ceilings/knee walls 405.2.1 R-19 space permit[ing.
Programmabie thermostat 403.1 1 Where forced-air fumace(s primary system,programmable lhermostat is required.
Aly distribution system 4032 Ducts in attics or on roofs insulaled to R-8;other ducts R-6.Ducts tested to��=0.03 by a Class 1 BERS rater. ��
Heat trap requfred for vertical plpe risers.Comply with efficiencies in Tabie 403.4.32.Provide switch or ciearly
Water heaters 403.4 marked circuit breaker(eiectric)or shutoff(gas).Circula6ng system pipes insulated to=R-2+accessible manual
OFF swilch.
Spas and heated poois must have vapor-retardant covers or a liquid cover or other means proven to reduce heat
Swimming pool&spas 403.9 loss except if 70%of heat from site-recovered energy.OffRimer switch required.Gas heaters minimum thermal
efficienc =78% 82%afterM16M3.Heat um oolheatersminimumCOP=4.0.
Sizing calculation perfortned&attached.Minimum efficiencies per Tables 503.2.3.Equipment efficiency verificatlon
Cooling/fieating equipment 403.6 required.Special occasion cooling or heating capacity requires separate system or variable capacity system.
Electric heat>tOkW must be divided Inlo hvo or more sta es.
Lighting equfpment ' 404.1 At least 50%of permanently installed lighting fiMures shall be high-eKcacy lamps.
2010 FLORIDA BUILDING CODE—ENERGY CONSERVATION C.5
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FL4904- Affirmation Masonite International National Accreditation&Management Approved
R7 Category: Exterior poors Institute,
Historv Subcategory:Swinging Exterior poor (804)684-5124
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https://www.floridabuilding.org/pr/pr_app_lst.aspx 7/3/2015
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149'MAX. OVERALL fRNdE WIDTH O N
0` ,�-a.�z,��e�°�
27" MAX 36.375" MAX.
SIDE-HINGED WOOD-EDGE STEEL DOOR UNIT � � �
-D.L.O.- pANEL WID7H _ 37.5" MAX. Q p
6'-8"DOUBLE DOOR WITH/WITHOUT SlDELITES W�ASTRAGAL � FRAME WIDTH � ��
GENFRAL NQLF� � O O I
1 E V A L U A T E D F O R U S E I N L O C A T I O N S ADHERINC TO � � � � F- �¢
THE FLORIDA BUILDING CODE AND WHERE PRESSURE Z U
REQUIREMENTS AS DEfERMINED BY ASCE 7, MINIMUM � �U
DESIGN LOADS FOR BUILDINGS AND 07HER STRUCTURES. ^ �
�OES NOT EXCEED THE DESIGN PRESSURES USTED. ,Q�
2. HURRICANE PROTECTIVE SYSTEM (SHUTTERS) IS N0T REOUIRED ON � � � �F'
OPAQUE PANELS, BUT IS REQUIRED ON GfA2ED SIDELI7E5. � �� � � W
3. IN THE HVHZ, FAGTORY PRIMED DOORS MUST BE PAINTED IN W J � T S
ACCORDMICE WITH SECiION 2220 OF THE FBC. W ih�
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4 POLYURETHANE CORE FIAME SPREAD IN6EX OF 50 a
AND SMOKE DEVELOPED INDEX OF 60 PER ASTM E84. `�
5. PLASTICS TESTING OF LITE FRAME MATERIAL. ¢ '� � rc
TEST DESCRIPTION DESIGNATION RESULT � � o�o =�,
SELF IGNITION TEMP ASTM D7929 740 'F > 650 'F a�� �z
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RATE OF BURNING ASTM D635 0.77 IN/MIN �. � m�y
SMOKE DENSITY ASTM D2843 13.47, $��w w
TENSILE STRENGTH• ASTM D638 7.507. DIFF a�W N �
O m I N,U
• COMPARATIVE TENSILE STRENGTH AFTER WEATHERINC ,.�,�o ¢�y
4500 HOURS XENON ARC METHOD 7 � ��g Q o
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DOUBLE DOOR UN17 W/SIDEU7ES � a
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SWGI E DOOR UNIT DOUBLE DOOR UNI7 SINGLE DOOR UNIT SINGLE DOOR UNI7 SINCLE DOOR UNI7 W/SIDELITES OOUB DOOR NIT W/ ID �IT S
WITH SIDELITE V/ITH SlnELlTE w o U m O
� ' WHERE WATER INFILTRATION PERFORMANCE IS
DESIGN PRESSURE RATING REQUIRED TO BE 15� OF DESIGN PRESSURE DAIE: ]���/OS
TABLE OF CONTEN7S CONFIG MAX WIDTH INSWING OUTSWING INSWINC OUTSWING ,/,. J �j sr1.tE: N.T.S.
SHEET � OESCRIPTION X 37.5 +76.0 -76.0 +76.0 -76.0 +19.0 -19.0 +55.0 � -55A {-d 1- r' � •
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2 ANCHORING LOCATIONS & DETAILS OX or XO 75 +55.0 -55.0 +55.0 -55.0 +19.0 -19.0 +55.0 -55.0 CNN.6T:
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3 ANCHORING LOCATIONS & DETAILS OXXO 749 +SS.0 -55.0 +55.0 -55.0 +19.0 -19.0 +55.0 -55.0 KURT BALTHAZOR DRAWING N0.
FLORIDA P.E. DWG-MA-FL0729-05
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ASTRAGAL REfAINER BOLT HOLE cgi a vai N z
#10 x 2" MUST BE DRILLED THROUGH �=o 0
8 x 2-1 2' ���''' �
#8 x 2—��Z�� # � THE THRESHOLD & INTO THE o�a= �
#10 x 5/8" � STRUCTURE DEEP ENOUGH
FOR A 1.375�� THROW
#8 x 2-1/2" #10 x 1'� �om
f�10 x 5/8„ `- o o w
� �10 x 3/4" DETAIL "F" ASTRAGAL O1"'�N o
- �10 x 2'� DETAIL ��E" ASTRAGAL m�N^
FRAME DOOR ic (I/B'TEUP cv�ss�
/ ATTACH ASTRAGAL RETAINER BOLT oow 9ss W/OPTIONAL DECORATNE INSERT
DETAIL "D" STRIKE PLATE TO FRAME ALUM, STEEL OR dUttL SPACER
DEfAIL "C" ��Z�BRE w o u m o
AS SHOWN z
lYPICAL _—Be x i-i/z•aEis
Adderdum lo WaU ,.'f,.�, onTE: 7/1 1/05
SCALE:
I 0.962"� ce��i�ntro.. u�noLlla-.K°/ � ',=;A:�:.� N.T.S.
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1.375�' � RCYI2NCdB1': clq-� DOW 995 .':i�-�.
�ateRev�r�: ,1�1J�a ��A.,�:; CHN.BY:
I I :•� '•'� ORAN7NG N0.
INSWING THRESHOLD OUTSWING THRESHOLD T�YPICAL GLAZIIJG D�4L OWC-MA-FL0728-05
SHEEf Z OF 3
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- "F" S H T 2 6� _ o e �
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A TACHNiENT DETAIL �N�m
1 ANCHOR ANALYSIS FOR LOADING CONDITIONS PREPARED, ' Z =
SIGNED AND SEALED BY LUIS R. LOMAS, PE o �
(FLORIDA f�62514) WITH THE LOWEST (IEAST) a W
FASTENER RATING FROM THE DIFF[RENT FASTENERS "���J
BEING CONSIDERED FOR USE. JAMB, HEAD, AND ���w
aa�
THRESHOLD FASTENERS ANALYZED FOR THIS UNIT INCLUDE �j�� o
#10 WOOD SCREWS OR 3/16" TAPCONS A PHYSICAL HARDWARE SCHEDULE ¢��w �n
SHIM MUST BE PLACED IN SHIM SPACE AT EACH ANCHOR ,��,N a z w
LOCATION TAPCON EDGE DISTANCE MIN 2-1/2". 1 KWIKSE7 SERIES 400 GRADE 3 CYLINDRICAL LATCH AND o�Q= �
2 MULLIONS TO BE 2-1/2" X 4-3/8" STRUCTURAL GRADE SERIES 980 GRADE 1 DEADLOCK HARDWARE TO BE INSTALLED
FJ PINE ON CONTINUOUS HEAD AND SILL UNITS. BACK TO AT 5-1/2" CENTERLINE. �oo�
BACK JAMB UNITS JOINED WITI-I 1" X 1/2" LONG 2. 4" X 4" FULL MORTISE BUTT HINGES Qt N N O¢
CORRUGATED FASTENERS LOCATED 3" FROM EACH END -- . �
p>.�-N�
AND MAXIMUM 7" 0 C OR #10 X 2" FLAT HEAD WOOD
SCREWS LOCATED 6" FROM EACH ENO AND MAXIMUM ' �. . �
12�� O.C. 1.50" + o • 1.25" � woUmo
3 THE WOOD SCREW SINGLE SHEAR DESIGN VALUES COME FROM MIN � p,25'� MIN ° �� _� t' 0.25"
ANSI/AF&PA NDA FOR SOUTHERN PINE LUMBER AND ACHEIVEMENT SHIM `SHIM DATE: ]/��/OS
OF 1-1/2" MINIMUM EMBEDMENT THE TAPCON MUST ACHIEVE ��_I �_ _J�, ��_I �_ A���oN+�� sr��e. N.7.5.
MINIMUM EMBEDMENT OF 1-1/4" ._�., �� -
.a`=:: CerGfMaibnNo. n SWS
4 WOOD BUCKS BY OTIIERS MUST BE ANCHORED PROPERLY TO '�'-':' c-2 y owc. ov
RevienedBy. � ,
Dale Review ;L L cnK. er;
TRANSFER LOADS TO STRUCTURE. . ,. oanvnNc No.
5 MINIMUM DESIGN VALUE STRENGTH OF ANCHORS 171 LBS. IYPICAL WOOD BUCK TYPICAL MASONRY DWG-A/A-F�0128-GS
ANCHOR INSTALLATION ANCHOR INSTALLATION '
s�ieer 3 or 3
, '
,
' J'Florida Building Code Online Page 1 of 3
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F!����a�na�m�nt� BCIS Home ; Log In'i sUser Registratfon i Hot Topics ; Submit Surcharge ; Stats&Facts : Publications ; FBC�Staff,: BCIS Site Map ; Links ;�•Search ;
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Regulation
�
Produc[Aooroval Menu>Product or Aooiita[ion Search>Aoolication List>Appliotion Detail
�•J�^'S_���,�X'q��; FL# FL1435-R16
_ -.�. y,�`..:,�::,.4�;,
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 PGi'Industries
Address/Phone/Email 1070 Technology Drive
Nokomis,FL 34275
(941)486-0100 Ext22316
druark@pgtindustries.com
, Authorized Signature Jens Rosowski
jrosowski@ pgti ndustries.com
Technical Representative ]ens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis,FL 34275
(941)486-0100 Ext21140
jrosowski@pgtindustries.com
Quality Assurence Representative
Address/Phone/Email
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency Keystone Certifications,Inc.
Validated By Steven M. Urich,PE
C�i Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/IS2/A440 2011
- AAMA/WDMA/CSA 101/I52/A440 2005
AAMA/WDMA/CSA 101/IS2/A440 2008
ANSI/AAMA/WDMA 101/I.S.2/NAFS 2002
ASTM E1886 2005
ASTM E1996 2012
ASTM E283 2004
ASTM E330 200Z
Equivalence of Product Standards
Certified By
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsbCUITKe120D... 7/3/2015
� ,
Florida Building Code Online Page 2 of 3� r
Product Approval Method Method 1 Option A
Date Submitted 06/11/2015
Date Validated 06/16/2015
Date Pending FBC Approval
Date Approved 06/25/ZO15
Summa of Products
FL# Model,Number or Name Description
1435.1 SH-200 Aluminum Single Hung Window(Std. Meeting Rail,inc. Pass-
Thru)
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R16 C CAC Certification SH2O0.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No OS/28/2016
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions for design FL1435 R16 II SH-200.odf
pressure,size and anchorage information.The Pass-Thru Verified By:A, Lynn Miller, PE 58705
version was not tested For water infiltration. Created by IndependentThird Party: No
Evaluation Reports
FL1435 R16 AE SH-200 Evaluation.odf
Created by Independent Third Party: No
1435.2 SH-200 HD Aluminum Single Hung Window(with HD Meeting Rail)
Limits of Use rtification Agency Certificate
Approved for use in HVHZ: No FL 435 R16 C CAC Certification 200HD.odf
Approved for use outside HVHZ:Yes Qu lity Assurance Contract ExpiraYion Date
Impact Resistant:No O1/ 8/2017
Design Pressure:N/A Ins allation Instructions
Other:Please see the Installation Instructions for design F 435 R16 II SH-200HD. df
pressure,slze and anchorage information, erified By: A. Lynn Miller, P.E.58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R16 AE SH-200HD Evaluation.odf
Created by Independent Third Party: No
� 1435.3 SH-400 Vinyl Single Hung Window
Limits of Use� Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R16 C CAC SH-400 CertiFcations.qdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No O1/21/2017
Design Pressure:N/A Installation Instructions
Other: Please see the Installation Instructions for design FL1435 R16 II SH-400.pdf
pressure,size and anchorage information. Verified By: A. Lynn Miller, PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R16 AE SH-400 Evaluation.odf
Created by Independent Third Party: No
1435.4 SH-500 WinGuard Vinyl Single Hung Window ,
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R16 C CAC SH-500 Certification R14.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes OS/27/2016
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions for design FL1435 R16 II SH-SOO.pdF
pressure,size and anchorege information. Verified By• A, Lynn Milter, PE 58705
Created by Independent Third Party: No
Evaluation Reports
' FL1435 R16 AE SH-500 Evaluation.pdf
Created by IndependentThird Party: No
1435,5 SH-B00 WinGuard Multistory Aluminum Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R16 C CAC SH-800 Certification.pdF
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 09/07/2017
Design Pressure:N/A Installation Instructions
Other: Please see the Installation Instructions for design FL1435 R16 II SH-800.odf
pressure,size and anchorage information. Verified By: A. Lynn Miller, P.E.58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R16 AE SH-800 Evaluation.odf
Created by Independent Third Party: No
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsbCUITKe120D... 7/3/2015
� _'� Florida Building Code Online Page 3 of 3
1435.6 SH-2100 Vinyl Single Hung Window
Limits of Use � Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R16 C CAC Certification SH-2100.pdf
Approved for use outside HVH2:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No O1/24/2016
Design Pressure:N/A Installation Instructions
Other: Please see the Installation Instructions for design FL1435 R16 II SH-2100.odf
pressure,size and anchorege information. Verified By: A. Lynn Miller,P.E. 58705
_ Created by IndependentThird Party: No
Evaluation Reports
FL1435 R16 AE SH-2100 Evaluation.pdf
Created by Independent Third Party: No
1435.7 SH-2200 Vinyl Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R16 C CAC SH-2200 Certifications.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 10/21/2015
Design Pressure:N/A Installation Instructions
Other: Please see the Installation Instructions for design FL1435 R16 II SH-2200.odf
pressure,size and anchorage information. Verified By: A. Lynn Miller, P.E. 58705
Created by IndependentThird Party: No
Evaluation Reports
FL1435 R16 AE SH-2200 Evaluation.odf
Created by IndependentThird Party: No
1435.8 SH-5400 EnergyVue Vinyl Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL1435 R16 C CAC SH-5400 Certification.odf
- Approved for use outside HVH2:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 08/13/2018
Design Pressure:N/A Installation Instructions
Other: Please see the Installation Instructions for design FL1435 R16 II SH-5400.pdf
pressure,size and anchorage information. Verified By: A. Lynn Miller,P.E. 58705
Created by IndependentThird Party: No
Evaluation Reports
FL1435 R16 AE SH-5400 Evaluation.odf
Created by Independent Third Party: No
1435.9 SH-5500 WinGuard Vinyl Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL1435 R16 C CAC SH-5500 Certification.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 10/O1/2018
Design Pressure:N/A Installation Instructions
, Other: Please see the Installation Instructions for design FL1435 R16 II SH-SSOO.odf
pressure,size and anchorage information. VeriFied ey: A. Lynn Miller,P.E. 58705
Created by Independent Third Party; No
Evaluation Reports
FL1435 R16 AE SH-5500 Evaluation.odf ,
Created by IndependentThird Party: No
Back Next i�
L 2 n � - 7-
Con[ac[Us::1940 North Monroe Street.Tallahassee F 3 399 Pho e.850 48 1824
The State of Florida Is an AA/EEO employer.Coovrlaht 2007-2013 S[ate of Florida.::Privacv Statement :AccessibiliN Statement::Refund Statement '�
Under Florida law,email addresses are public records.If you do no[want your e-mall address released in response to a publlo-records request,do not send i
elec[ronic mall to thls entlty.Instead,contaR[he office by phone or by traditional mail.If you have any questlons,please contact 850.487.1395.*Pursuant to 'I
Sectlon 455.275(1),Florlda SUtutes,effective October 1,2012,lirensees licensed under Chapter 455,F.S.must provide[he Department with an emall address if '�
they have one.The emails provlded may be used for offidal communlmtion wi[h the Ilcensee.However emall addresses are publfc remrd.If you do not wlsh to ��
supply a personal address,please provlde the Department with an email address which can be made available[o the public.To determine If you are a licensee under ,
ChaDter 455,F.S.,please click h�g.
Product Approval Accepts:
�� -��-'--- �
scY:urit•ui;reii�� -
https://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqsbCUITKe120D... 7/3/2015
GENERAL NOTES. ANCHOR LOCATIONS&SPACING
E
i
i
1)THE ANCHORAGE METHODS SHOWN HAVE BEEN DESIGNED TO COMPLY i
WITH THE FLORIOA BUIL�ING CODE FOR THE DESIGN PRESSURES LISTED.
i
2)WOOD BUCKS DEPICTED AS 1X ARE LE55 THAN 1-1l2'THICK.1X WOOD i
BUCKS ARE OPTIONAL IF UNIT IS INSTALLED DIRECTLY TO SOLID CONCRETE. , �
WOOD BUCKS DEPICTEO AS 2X ARE 1-12'THICK OR GREATER.ATfACHMENT'
{
METHOD OF WOOD BUCKS SHALL BE DONE BY OTHERS. 53-1/8"MAX.TIP-TO-TIP 52-1/8"MAX.BUCK �
3)SEE TABLE FOR MINIMUM EDGE DISTANCE FROM CENTER OFANCHOR TO �� 52-1/8�MAX.BUCK � 6�Mqx �5'MAX i �
SUBSTRATE EDGE(DCCLUDING FINISH OR STUCCO). ',
4)SHIM EACH ANCHOR LOCATION WHERE THE PRODUCT IS NOT FLUSH TO 9��M�• i
THE SUBSTRA7E,USING SHIMS CAPABLE OF TRANSFERRING APPLIED T � � � fi
LOADS. 1 i / � 77" / , i
5)ANCHORS SHALL BE COATED OR CORROSION RESISTANT AS 1 / I M�' / I
APPROPRIATE FOR SUBSTRATE MATERIAL.DISSIMILAR MATERIALS SFWLL BE I I BUCK
PROTECTED AS REDUIRED TO PREVENT REACTIONS.ALUMINUM SHALL BE I I 6�MAX• '
PROTECTED FROM DISSIMILAR MATERIALS AS SPECIFIED IN THE RORIDA
BUIL�ING CODE. � I I (
I I ��� �
6)ADHESIVE SEALANT SHALI BE USED BETWEEN SUBSTRATEAND FLANGE 17�M'�• I I • MAX.
OR FIN. OVERALL SEALING/FLASHING STRATEGY FOR WATER RESISTANCE � � I BUCK
OF INSTALLATION SHALL BE DONE BY OTHERS. �
I I 78°
7)MATERIALS USED FOR ANCHOR EVALUATIONS WERE SOUTHERN PINE,2.7 i / � MqX, / �
KSI CONCRETE AN�CONCRETE MASONRY UNITS COMPLYING WITH ASTM TIP-TO-
C-90.GLAZING COMPLIES WITH ASTM E1300. � � !
i / i TIP /
I 1 �
8)THE 1!3 S7RESS INCREASE WAS NOT USED IN THIS ANCHOR EVALUATION. j ':
THE 1.6 LOAO DURATION FACTOR WAS USED FOR THE EVALUATION OF _[_ j
WOOD SCREWS. 9„M� � � �
. ,
------ ------ 5"MAX. '
9)PRODUCT MAY BE INSTALLED INTO STEEL �
OR ALUMINUM SIMILAR TO THE WOOD INSTALLATION DETAILS. � � FIN FRAME • I
FLANGEFRAME �
10)THE 200 SERIES WAS FORMERLY KNOWN AS THE 4000/4001 SERIES. WITH HEAW-DU7Y MEETING RAIL WITH HEAVY-DUTY MEETING RAIL
!
i
TABLE 1.FIN 8 FLANGE WINDOWS TABLE 2:FLANGE WINDOWS TABLE 3:FIN WINDOWS _ i
Min.Edge MIn. Min.Edge Mln. �
MchorT e Subslrete AnchorType 3ubstrsta
Buck Si:e Design Pressure Certif(cation yP Dist. Embedment Diet. Emhedment �
Width Hel ht Sash Style + sf .t3t'x z-t72• '
( ) (-) sf Numhers Wood(Sauthem P(ne) 12" 1-3i8' Wood(Southem Pfne) 3/8' 1-7/16' �
Nail
52-1/8" 7T' Equal Ute 55 65 190-1003 Steel Stud Gr 33 3/B" .045(18 GA) ili2 Penheed �
#12 Sted SMS SMS Wood(Saulhem Pine) 8/18' 1-3/8' �
, Aluminum�OB375 3l8" 1/8" i
Steal,A38 3/g" ��g� #70 husshead yyoad(Sauthom Pine) 7/18' 1-318' �
Screw
, 1f4'Masonry Concrete 1' 1-3lB" �
�h�' Fbllav CMU 2-1/2' 1-1/4" `
NOTE:FORALLMETALSUeSTRATES,SCfiEWEMBEDMENTSNALLBEMIN.3THFEADS �
BEYOND INSIDE FACE OF I.MTERIAL. �
�
..,,,,,��,,,;, �
;� ,���.�� .,:zt.���; a..i�: oe� w..k ,r�..v�,mc�varnwawco�
�� -:=~ •? J.ROSOWSKI 01/18/13 ALUMINUM 6083T6 ��,���°`� I
umv�awrAorarrnv�rwn (
�''�' ' . �" ma�rt�ur�mmaerswa.�r �
`,4` ,!r o-:}IC= . ��o�,awar�vrxim�'^°^a' �
� � � a.st+se
y / (,O1�f ���_1o707ECHNOLOGYDRIVE � I
. ,,. V�,�F"f :•;�-' NOKOMIS,FL34275 SINGLE HUNG INST., HD MEETING RAIL �
,,, .. �C `��Q;.,',(,�`. FL CERT,OF AUTH. 28286
'"C=,,:,r �i,• A.Lynn Miller.P.E. °`r'w°'e a� e"� u"'o^n w.. j
i/; .-.:.ln1h�,`^�;' P.E.if58705 SH-200 NTS 'I of 3 1032412JR i '
I
i
f' .
, �
_ �
� '
�
�
INSTALLA710N WITH FLANGE FRAME �
S ST E EXTERIOR �
. ;SU RA SU T '
i
i
,X �0 Q� � �
SHIM WOOD !
i
SHIM �
EDGE 1
DISTANCE
NO ;
ANCHORS L NO � SHIM
RE�UIRED � ANCHORS � EMBEDMENT—I�—^-I �
EXTERIOR REQUIRED EXTERIOR i
f
FLANGE FRAME,
JAMBINSTALLATION '
(DIRECTLY TO SUBST.RATE)
FLANGE FRAME.
HEAD INSTALLATION FLANGE FRAME. .
- (DIRECTLY TO SUBSTRATE) HEAD INSTALLATION
(USING 1X BUCKS7RIP)
i
4 �
SU TW�F �
�� EXTERIOR
� a I
EXTERIOR �
EMERIOR
� I
EDGE �
No No DISTANCE
ANCHORS ANCHORS � �
REQUIRED REQUIRED � �x SHIM - �
EMBEDMENT ---�w000 `\,,� �•• ,,,� ;
:,.;,�:! i.;�i,,.'
: �::7 � i
FLANGE FRAME, "� � i
JAMBINSTALLATION �•`''������ � �
SHIM SHIM (USINGIXBUCKSTRIP) - �;�,� � �
1X - '�O � �
WOOD � � __ ' ; ` �_ ;
J•. :r r
� � [D��S 1
s t>P C�r ,' �
SU T E :,:j. • 'r;r�R'•qr;y„'.
'[, �� _� !
FLANGE FRAM.,.E °in�' °i� '�'� neKdaunqCoi$viaeai�m+rwm �
SILL INSTALLATION 85T TE J,ROSOWSKI 01l18/13 ALUMINUM 6063-TB �^'e�e���rco•ror �
(DIRECTLY TO SUBSTRATE) "°"'�"' �++�� �� , i
�rm�iwr:eo eorsranv�n+a
FIANGE FRAME, � ,W.��,������
INSTALLA710N NOTES: SILL INSTALLATION �'''O`��s �
(USING 1X BUCKSTRIP) � �t�
1)SEE SHEET 1 FOR ANCHORAGE,SUBSTRATE AND SPACINO REQUIREMENTS. 1070 TECHNOLOGY Darve �
2)GLASS SHOWN AS EXAMPLE.MAY VARY BY SERIES AND DESIGN PRESSURE REQUIREMENTS. NOKOMIS,FL 3a275 T°`
3)FORSMOOTHSASHOPERATION,THEANCHORS MUSTBEFLATHEADS. F�CERT.OFnu7ti.:2s2ee SINGLE HUNG INST., HD MEETING RAIL i
4)AMX.SHIM 7HICKNESS TO BE 1/4', byd.ti,yt sde m.� n,..�w, y„ i
5 FLANGE MAY BE REMOVED TO CREATE EQUAL-LEG FRAME-USE FLANGE FRAME INSTALLATION. A.Lynn Miller,P.E j
) p,E.pyg�ps SH-200 NTS 2 0( 3 1032412JR
i
; I
INSTALLATION WITH FIN FRAME
i
�
I
�
EDG� BST rE � ;
DISTANCE
EXTERIOR �
_ �
I
SHIM j
, EDGE� �
DISTANCE 4 !
EXTERIOR
� I
i
i
. i
!
i
FIN FRAME, j
HEADINSTALLATION '
i
i
SHIM f
f
�
FIN FRAM �E `.
JAMBINSTALLATION
i
�
SUBSTRATE i
� �
. i
� i;. �
^�t� ..�• � i, i
SHIM / �: . �'.G : ' ' � i
, ;i i
. ;��•�.� ����
� `� �
� 6.r���S ��' !
BST TE EX7ERIOR ;" ',1_`•� .i= �
" �'J; ,°!_�ntl)A ..��
;���1!�,,, �`' i
FIN FRAME. p..�,er. o.r: wst.r� rnexo�wmrzas�vneai�mrnatn
SILL INSTALLATION J.ROSOWSKI Ot/1B/13 ALUMINUM 8063-TB ��,,,,o�°^�^��� �
ei aa: rme.w�e µo�awvi.osnvnavu�n.s
av�rrwrneunuw�saaooi�x �
INSTALLATION NOTES: �������p
` efsavara�rorvttarn.e�
o u°'n6°°'c i�
7)SEE SHEET 1 FOR ANCHORAGE,SUBSTRATE AND SPACING REQUIREMENTS. 10707ECHNOLOGY DRIVE (
2)GLASS SHOWN AS EXAMPLE.MAY VARY BY SERIES AND DESIGN PRESSURE REQUIREMENTS. NOKOMIS,�aa275 T� i
3)FORSMOOTHSASHOPERATION,THEANCHORS MUSTBEFLATHEADS. FLCeR7.OFnuTH. 2929s SINGLE HUNG INST., HD MEETING RAIL
4)MAX.SHIM THICKNESS TO BE 1/4' A.Lynn M�ler,P.E. - -'`� 5°'"` 5""` n„W+"'> �„-
5)FIN MAY BE REMOVED TO CREATE EQUAL-LEG FRAME-USE FLANGE FRAME INSTALLATION. p,E.#56705 SH-200 NTS 3 of 3 1032412JR � •
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7.
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s�a;�ao-oozo,� - _ City of Zephyrhills Permit Application � � "�" - -��8�3-7ao-oo2�
� Bu[Id1ng Department • ; ,
DaEe Received `��j--,�--r���, Phone Gontact for Permitfin ��� �'8 = `- �/
��1-1-T1- � - . ., _ _
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Owner's Name L [.�C ,r Owner Phone Number
/ �l s-fie �s1r,i2 2 8�-sr
Owner'sAddress /,�f� ,I'1l� /JQe� l�C� OwnerPhoneNumber � �
�•
Fee Simple Titleholder Name �! � Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADDRESS � 1 C� /C.IGY " kG{ 1 � �3 sY [.OT# �•►Z-
SUBDIVI810N �t�frG �1�,�S I FAftGEL ID# �1—��-� t�Gd3!>— ��'��— �7S1�
(OBTAINED FROM PROPER7Y TAX NQ17CE)
WORK PE20POSED e , NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLlSH
iNSTALL REPA►R
Pf20POSED USE Q SFR Q COMM � QTHER
TYPE OF C4NSTRLtCT10N Q SLOCK Q Ft2AME � S7EEL Q
DSSGRtPi'iON dF WORK tYl� I � / �C�1 U�
BUlLDlNG SlZE o��G"� � SQ FOO7AGE O� HElGHT C��
-�-r-trr'e-�-rr•'r�'-e�t-rr'rt-�-rri-z-�-t-ri�rrr�-�-rrR"rrs-�e's-rrre-e�i"rri-x-re-r"s�rr'm-
QBUILDING $� �-�� VALUATION QF TOTAL CON�7RUCTION
'QELECTRICAL � . � AMP�ERVICE � PROGRESS ENERGY Q W.R.E.C.
OPLUMBING � � � ��'J �(��
I (
QMECHANICAL �� VALUATION dF MECHANICAL INSTAL.LATION
OGAS Q ROOF�NG Q SPECfAL.TY � OTHER
F1NiSHED FLQ4R ELEVATlQNS ��� F1,OOD ZONE AREA QYES NC?
-�M-1-f�-1-F-1-�1-a-1�-�-1-1-X-�--f-M-1-a-F-I-1-F-1-I-1--1-k-1-1--1-�f-{-i-1-t-i-1-#-i-f-f-1-F-a-I�-i-1-F-1-�-H--t-t--f-I-#-�-f-�i-1-1--f-E-1-1-�-
BUILDER /�� ��Y� s �aY1�� COMpANY �Glk �lL7� �Gll`i'/~ L/d'"`
SIGNATURE f "��`� REGISTERED Y! N FEE CURFtEN Y/-N—�
Address ,,� '�j'� / �t ���/l��3 rys'" License � j-Z (o �c,7�'�
.. .. .....
EI.ECTRICiAN � �. COMPANY O/'�h �"G �G
SIGNATUI2E _„�»-+� , REGISTERED Y/ N FEE CURREN Y/N
Address ��' ..� ? �ft�j( �-1� 3 S'�3 License# �� G�i D��{Y3 �
8l.UMBE32 CONiPANY
SIGNATURE REGISTERED Y/ N FHE CURREN Y/N
Address License# �_ �
MECtiANICAC r j�� /��/�a�� �t Q� { � GOMPAt+tY �eL/�',S' �C...
SIGNATURE f � REGISTERED Y/ N FEE CURFtEN Y I N
ABdress f /�fT !2t`t ..-L- �'3s�s �.icense# C'//F��G (���� ���
4THER - � GOMPANY
SIGNATURE REGISTERED Y! N FEE CURREN Y!N
Address Llcense� � ��
111111111111111111IIIIIII 'It111II11I1I1111tI1i111tIt11lit1i111ii1111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(.1)set of Energy Forms;F2-0-W Permit for new canstruc#ion,
Miolmum tgn{10}working days affer subrriittal date. Required onsite,Ganstruction PIans,Sta�mwater Plans wl Si1t Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisians/large projects
COMMERCIAL Attach(3)compleYe sets of Building Plans plus a Life Safety Page;{1)set of Energy Forms.R-O-W Perm(t for new construcBon.
Minimum fen(9 0}warking days affer submiftaI date. Required onsite,Gonstruction Plans,Starmwater Plans wl Silt Fence 3nsta](ed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets af Engineered Plans.
****PROPER"{Y SURVEI'rsqulred for a11 NEV1!constructlon.
-N-�-i..1.�.4.1-i-1-i.d-1-{.�L-i.�l-1-t-1-f-1-1-1-�1-6-1--1-I..i-f-i-1-f-L-1-l.�l-L-I..:1-I-�M.�I-{..1..1-i..f-1-1..1-1-1-i-I..I..M.�4-f-W..f-b-1-W.f-1-h
Dlrections:
Fiii out apptication completeIy.
Owner&Contractor sign back af appllcafion,notarized
If over$2500,a Notice of Cnmmencement is requlred. (A/C upgrades over$7500)
""` Agent{for the cantractar}or Power af Attamey(far the owner}would be sameone wifh notarized letter fcam owner aufhodzing same
OVER THE COUNTER PERMITTING (Front af Application Only)
Reroots if shingles Sewers Service Uggrades AlG Fences{PlotlSurveylFaotage}
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE C1F DEEp RESTRICTIONS: The under.signed understands fihat this permit may be subJect to"deed"resfrictions"
which may be more restrictiv�than County regulations. The undersigned assumes responsibility far compliance with any
applicabfe deed restrictians.
UNL.ICENSED CONTRA,CTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired .a contractor or
contractors to undertake work,they may be reguired to be licensed in accordance with state and locai regufations. if the
contractor is not Iicensed as required by (aw, both fhe owner and cantractar may be cifed for.a misdemeanor vioiation
under state law. If the owner ar intended contractor are uncerkain as to what licensing requirements may apply far the
intet�ded wark,they are advised to contact the Pasco Caunty Bttilding Inspection Divis9on—Licensing Sec#ion at 727-847-
8009. Furthermare, if the owner has hired a contractar or cantractors, he is advised to have the contractor(s) sign
portians of the "cot�tractor B(acic" of this applicatian for which they wil! be responsible. if you, as the owner sign as the
contractor, #hat may be an indication that he is not properiy Iieenseci and is not entitied to permitting priviieges in Pasco
County.
TRANSFOt2TATtQN IMFACTIUTtLIT1ES INIPACT AND RESOURCE RECUVERY FEES: The undersigneci urtderstands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the canstruction of new buiidings, 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 �e due, vuiil be identified at fihe time af
permitting. It is further understood tfiat Transportation Impact�Fees and Resaurce Recovery Fees must be paid prior to -
receiving a"certiftcate af occupancy" ar 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. FurEhermore, if Pasca County Water/Sewer lmpact
fees are due,they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
Gt,1NSTRUCTIQN LtEN LAVf/(Chapter 713,Fiarida Statutes,as amended}: 3f valuatiott of work is$2,500.00 or more, [
cerkify that I, the applicant, have been pravided with a copy of the "Flarida Construction L.ien Law—Hameowner's
Pratection Guide" prepared by the.Florida i7epartment�af Agriculture and Consumer Affairs. !f the appficant is someone
ofher than fhe uowner", 1 cerfify that 1 have obtained a copy of the.above described document and promise in good faith to
deliver it to the"owner"prior to�.commencement.
CaNTt�ACTOR'S10V11NER'S AFFIt�AV1T: 1 cerEify that a!I the information in this application is accurate and that a11 wark
will be done in campliance with all applicable laws regulating canstruction, zvning and land development. Applicatian is
� hereby rnade to abtain a permit to do work and installatian as indicated. 1 certify that no work or installation has
commenced priar to issuance of a permit and that a11 work will be performed to meet standards of all laws regulating
construcfion, County and City codes, zoning regulations, .and land development regulations in the jurisdicfiion. I also
certify that i understand that the reguiations.af ather gavernment agencies may apply ta the intended vdork, and that it is
, my responsibility to identify what actions I must take to be in compliance. Such agencies inciude but are nof limified to:
- Department of Environmerital Protecfiian-Cypress Bayheads, Wetland Areas and Environmentally,Sensitive
Lands,lNaterlUVasfiewater Treatment. '
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alfiering
Watercaursas.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- �Department of Health & �Rehabilitative-Serv'rces/Environmental Health Unif-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- FederaI Aviatian Authoriiy-Runways. � -
1 understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood'Zon�"V"unless expressly permitted.
- 1f the fifl material is to be used in Flaad Zone "A", it is understoad that a drainage pJan addressEng a
"compensating valume" will be submitted afi time af permi#ting which is prepared by a professional engineer
licensed by#he Stafie of Fiorida.
- if the fi11 material is to be used in Flood Zone "A" in connection wifh a perrnitted buiiding using stem wa11
construction, I certify that fill will be used only to fill#he area within the stem wall.
- If fil materiai is ta be used in any area, I cert9fy that use of such fiI will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violafing
the conditions of the building permit issued under the atkached permit application, for lats less than one (1)
acre which are elevated by fil1, an engineereti drainage plan is required.
If I am the AGENT FOR THE OWNER, I pramise in good faith to inform the owner af the permitting conditions set forth in
this affidavit prior to commencing construction. I canderstand that a separate permit may be reqttired for eIectrical work,
plumbing, signs, wells, pools, air canditioning, gas, or other installations nat speci�cally included in the applicafion. A
permit issued sha!! be construed to be a license ta proceed with the work and not as authority ta violate, cancel, alter, or
set aside any provisions of fhe technica!codes, nar shall issuanoe of a permit prevent the Building 4�cial from thereafter
requiring a correction of errors in plans, constructian or violations of any codes. Every permit issued shall became invalid
unless the work authorized by such permit.is commenced vuifhin six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after�fhe time fhe work is cammenced. 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. (f work eeases far ninefy�90)consecutive days,the jab is considered abandoned.
1NARI3iNG TO ODUNER: YC}UR FAILURE T4 RECORD A t�OTlCE OF CtaMMENCEMENT MAY RESULT !N YOUR
PAYING"TW(CE�OR IMPROVEMENTS TO YOUR PROpER7'Y. IF YOU INTEND TO'OBTAIN FINANCiNG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C(7MM�NCEMENT.
FLC}RlI}A JUt2AT{F.S.1'17.03} `
�
OWNER 012 AGENT__� CONTRACTOft
Sub cribed and swom to or affirmed)be re me this - � .Subscribed and s om t r� yrmed hefore me this
3 x t 4 by K�u vVb t✓n�, 's CZ(1 t� by ���.n UY►��.5
Who is/are a nown�r,m or has/have produced Who Is/are personally knawn to me r has/have produced
as iden6fication. as Edenfificaflon.
�''�����Z�^f��� Nofary Pu6lic ��'��l.2kfW'L.t.,, � t���'� _ Nofary Pa61ic
Gommission No. �r b Q ��`� ! Commission No. t` ��� �J�n� �
Na ,:�RY pUL� pec,pnn e or stam ed ' Name of Not nad.printed or stamped
a 8{:=. NANCY J �ROC}KS .•�••�•. —.
�_ � "� ''°�'RYAGg�-'� i�ANCY d BROOKS
• - MY COMMISSION#FFq93699 =�� ,1� o'•;
`:'�"�'a:' O -` '�1 "= MY COMM15SION#FF093699
``4�of�o4: EXPIR�S February 1$.2O�U ;4.Cs-�1_�,Q�:
(407)398•0153 FloridallotaryService.com `•�'oF�P��` EXPlRES February i8,2di8
(aq7)ass-o153 FloridallotaryService.com
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City of Zephyrhills '
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �-%LZ,�r�4�. /T���'�2y,2
Date Received: ��2--��
Site: �j 1.�'l � /�� Q��C°.�^��
Peimit Type: �X-�� j 2�°��
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the pernut and/or plans.
`� % (
Kalvin Switz ' lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
FBC Pla►,s I IIIIIIIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
������a� �Engineering � 2016038327
�uilding 6272 Abbott Station Dr. -
Unit 101 - .
�ode ZephyrhiRs,FL 33542 Rept:1754560 Rec: 10.09
DS: 0.00 IT: 0.00
03/11/2016 K. R. M., Dpf.y Clerk
Permil No. Parcel ID No
NOTICE OF COMMENCEMENT�
State o( �/O�^/��[� County o! / `TS�V
THE UNDERSIGNED hereby gtves notice thal improvement will be made to ceAain real property,and in accordance with Chapter 713,Florida Slatutes,
Ihe following informalion is provided in this Notice of Commencement:
1 Description of Property: Parcef Identification No. �y -a c�.a �- od�o- �0000 .- a�s�
Street Address: �7� — �r l�l I• � �
2. General Descripl(on af Improvemenl UC_LCJ�Y1 /'iC� /�//Qln K �a�o C d VP.�
3. Owner InformaUon or Lessee infortnation i tfie Lessee contracted for the improvemenl: .
/l/6�C��'� /�s G�c �f/ry /q�2d�rda� .
Name
_�Gi'iY � Gf'ua_,E's�' �`r�s� ���b�l�� � 33 �y�
Address � Gity State
Inlerest in Property: ����A�
Name of Fee Simple Titleholder:
(If difierent from Owner listed above)
Address �J Ciry Slale
4. Contractor• �!kJ�Q� /T�k{tc i i?L[l,t�
Lo�'.�°� �'>`- /�.� �l ���c.!r 14 �--s3 S'��—
Address p p City Stale
CoMreclor's Telephone No. 6 �3` �a o�' 7?�� _-
5. Surely:
Name , I
m�
Address City State o W c
Amouni o(Bond: E Telephone No.: , ��D
�N
6. Lender. �N o
m
Name rA��
State ��� r
Address Gty wF.•v
Lendels Telephone No. ~o
Wp
7 Persons within the Stale of Florida desig�aled by the owner upon whom nolices or other documents may be served as provided by ��a N
Section 713.13(1)(a)(7),Fiorida Slatutes: 3 0 �/ �(
� �
Name � �~r �0� '•
m
~� � � e ��
w
Address ' C�ty Stale ,A�o � �?'� �
'T e l e p h o n e N u m b e r o t D e s i g n a t e d P e t s o n: w � '��� � �
{ � �, t� � �
8. In addilion lo himsell,the owner designates � of_ � o '� • � � �„
to receive a copy of the Lienor's Notice as proviAed in Section 713.13(1)(b),Florida Stalutes. p y � "� � �
Telephone Number of Person or Enliry Designated by Owner x'� �' �
,`�� , ' .' W �,�
9. Expiralion dale of Notfce of Commencemenl(Ihe expiration date may not be before the comple0on of conslruclion and final paymenl to fhe
�
contraclor,bul will be ane year from lhe date of recording unless a diHerent dale is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �� � • Ta
ARE CONSIDERED IMPROPER PAYMENTS UN�ER CHAPTER 713, PART 1, SECTION 713.13, FLORIOA STATUTES, AND CAN �b1 � • j�,
RESULT IN YOUR PAYING TMCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO 06TAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalry of perJury,I declare that I have read the foregoing notice ot commencement an0 lhat the facts stated therein are true to fhe best
of my knowledge and belief. ¢ z U �
STATE OF FLORIDA � �'L�Y��'J (� �
COUNTY OF PASGO � �t � Il = ` � �
Sig� e ol pwner or Lessee,.or Owner's or Lessee's Authorized 0
I 6f ceqDirectodPartnerlManager (n z U �-�� � O �,
��.�+�� �. (7 � = Q N � Q
� Signatory's TillelOKce j_ n � � W ~ �
�d ���� �+ v f�lflt� �Tf�7�l��-.S61� � �p � z Q � o
The foregoing inslrument vias acknowledg/e�d befare me this day ot 20� b
as 61G/�/5���� ._(rype of authority,e.g.,oficer,lrustee,attomey In facl)for 1..�'_, W LL � V r �
(name of arty on behalt of whom Instrumenl w execuled). � _ � � � �
/J /�� a � I— >- Vlt
� , Personally Known�OR Produced Identification Nolary Signalure�AJL-�L�� /�/(,YS-'� � f-- a � � Y
Type o(Identification Produced "�G Name(Print) / �/����E� �� '! �� � = O U z W �
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t;,�'� ' SUN STATE ALUIiIIINUM, INC.
;' •� � -• . � 6154 Fort King Rd. -
ZEPHYRHILLS, FL 33542 �
(813) 788-7308
+ � B.
SUBMITfED TO o � PHONE D T '�
'°--�._k( Y t ��� ., �� \���+s.�"�`�e1,l+�"'� e��)�'�. �: !'�� ��
STREET JOB NAME w � 1. "
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CITY,STATE and ZIP CODE ` JOB LOCATION �
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ARCHITECT DATE OF PLANS r � � ^ JOB PHONE
We hereby submi�s ecifications and estimates for: ��,
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I �E..�D1Y�dL�hereb to furnish-�materia'I�a`nd�iabor—com lete�i accordance with above s ecifications for the su' of:
� �'' �;y �� ���� �1 p\ �i ,, _.-___. P� `- '..°��^-,, � �
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CS �r.�" , ! ..l. !r dollars $�.�- f .�
- Payment to be made as follows: �—'' � \1 """ � \V� _ _Y
__ . - • —_�"_""=----.�___..__�-a
� % All unpaid baiances subject to 1.5%monthly i�terest fee. 1.,.�--r"�.--�--�,��.�-��_'����
' All material is guaranteed to be as specified.All work to be completed in a workmanlike '" X''��'"`� --"�^^^'��"�"��"""�'µ'�— ---- •"����
manner according to standard practices.My alteration or deviation from above specifications lAufhorjzed���"�:!�� --,_->�-^"""� f�� �
involving eMra costs will be executed only upon written orders,and will become an extra!=--Sign8tU7@-' �' �,o�..r-�'.-"`=--��~_.,._..-- �-vy'.�-�--- �i
�...- „�,:�.--•---- -
charge over and above the estimate. All agreements contingent upon strikes, acciden£s,�,'"„�..�---� ----...:�-�'='"-�'~�"'""'~��� i
or'delays beyond our control.Owner to carry fire,tomado and omer necessary insurance.�----`_'-"""+Nofe�"'fhis propoSal may be
Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days.
i �ICCC�IAICCE Df �LOI�1���1—The above prices,specifications ��/�%'� '/� %�
and conditions are satisfactory and are hereby accepted. You are authorized Signature �n��%%� tr��'��l��'''''����-
to do the work as specrfied. Payment will be made as outlined above. r`'� v �
Date of Acceptance: Signature ,
' �.