HomeMy WebLinkAbout16-17301 r ;
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 17301
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17301 Address: 39752 COGHILL LP
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: 24-26-21-0030-00000-1460
' Improv. Cost: 18,000.00 OWNER INFORMATION
Date Issued: 4/29/2016 Name: NHGFL115 LLC ',
Total Fees: 187.50 Address: 6991 E CAMELBACK RD STE B310
I� Amount Paid: 187.50 SCOTTSDALE AZ 85251-2493
Date Paid: 4/29/2016 Phone: 618-791-3713
Work Desc: SUNROOM, SHED, PATIO COVER & CONCRETE 442 SQ FT
CONTRACTOR S APPLICATION FEES
SUN STATE ALUMINUM INC BUILDING FEE 187.50
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'" Ins ections Re uired
F OTER 2ND ROUGH PLUMB MISC INSULATION CEILIN
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 inspec#ion 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 property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
—
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813-780-0020 City of Zephyrhills Permit Application Fax-813-7$0-0021
Building Department
Date Received .,,.-�_ .�. ._ _ __ __ phone Gontacf for Permittln f,3 �i� .�3��t "
T1-R-1-I-Tf'
Owner'sName t'�'C: -1GL !S� ''�-�(-C r"' C r� OwnerPhoneNumber ��- 29� '.37�J�'
Owner's Address (.�7% ���"+'�N�����`- � "`'S� g�3,D Owner Phone Number � _ �
� $� r} � �
Fee Simple Titleholder Name Owner Phone Number
FeQ Simple Titleholder Address
JOB ADDRESS �Sa �o� !�i!t C.u�s -�h i Il •...t_ 33 s`Ya- �oT� f la l�
SUBDIVISlON �`l +�,� �Trt UR.+�S PARGEL 1D# �Y`•� G' � t- a�,�v -' ��✓�l� " �'fl(o �
(OBTAIN�p FROM PROPERTY TAX NOTICE)
WORK PROFOSED , NEW CON5TR ADD/ALT � SEGN Q Q DEMQLIS!-i
e 1NSTALI. 8 REPAIR
PI20POSED USE � SFR Q COMM �� Q7HER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCl�tPTtON 4F WORK jit!? �+ �'�� l'Q T! �t� C 13 h</�' Q(/�'a� �SC%S t
BUILDIl+IG SlZE � � SG2 FOOTAGE 7�oZ � l HElGHT �,��
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QBUILDING $ � p�b� ��� VALUATIOII OF TO'fA�CONSTRUCTION
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QPLUMBING � � � ���
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QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIQN � � � .�
QGAS Q ROOFING Q SPEC�ALTY � QTHER � C
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FINIBHED FLOOE2 ELEVATi0I+1S FI.00D ZONE AftEA QYES !VO �� 1
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BUILDER ������ �-COMPANY �//t cS �� t LC H� /Iyf [!�
SIGNATURE �� 0���+�''l/�"IiJ �� REGISTERED Y/ N FEE CURREN Y/N
Address Gl��.s�� �`� Grk � �� �a 3.5� �-- License# ��V(v t� t 7 1 �
E4ECTR(CIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURF2EN Y/N
Address License# �^ �
PL.UMBER � � COMPANY
SIGNATURE � I REGISTERED Y/ N FEE CURREN Y/N
Address License# �_ �
MEGHANICAL � � GO1tttPAt�1Y
SIGNATURE � � REGISTERED Y/ N FEE CURREN Y/N
Address License# �� ��
OTHER - � CQMPA4tY
StGNATURE REGISTERED Y 1 N FEE CURREN Y I N
Address License� �T ��
IIIIIIIIMIII1111111111111 '111111I11M111111111MM1111111111M1111111111
FtESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far new construction, �
Niinimum ten{10}working days after submittaE date. Requ�red ansife,Gonstructton PIans,S#ormwafer Ptans wl Silt Fence insfalied,
3anitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERClAL Attach(3)complete sefs of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
�+linimum ten{'I O}working days after submiftai date. Required onsite,Gonstruction PIans,Sformwater PIans wl Silt Fence instalied,
Sanitary Facilities&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*"**PROf'ERTY SURVEY required for aH NEW aonstruction.
-1-i-1--1-M�I.a-W•1-1-1-L-i..f�l�i�-�-{-i-1-i-f-{-i•-1-1-1-4�f�L-1..1-A..I.•f-W�i-1--L-i-{..f..f-i-f-E..f-i-t-M..{-I--1-I••i-•1-1..1-a-i-J-fe.l..f�l-.
Directions: ,
Fi1i out appilcation complefely.
Owner&Contractor sign back of application,notarized '
, If over$2500,a NotiCe of Commencement is required. (AIC upgrades over$7500)
°* Agen#(far the confractar}or Power of Atfomey(for fhe owner)would be someone with natarized letter from owner aufhorizing same
OVER THE COUN7'ER PERMITTINC (Front af Application Only)
Reroafs if shingtes Sewers Servics Upgrades A!G Fences{PlotiSurveylFoatage}
Driveways-Not over Counter if on public roadways..needs ROW
hIQTtCE�YF DEED RESTR1CTIdNS: The undersigned understands fhat fhis 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 restric#ions.
UNLICENSED CONTRACTORS ANp CONTRACTOR RESPONSIBILITIES: If the owner has hired.a contractor or
contractors to undertake work, they rr►ay be required to be licensed in accordance with state and local regulations. !f the
contractor is not licensed as required by iaw, both the owner and cantractor may be cited for a misdemeanar vio(ation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intet�ded work,they are advised ta contact the Pasco Gounty BuiIding lnspectiQn Division—Licensing Section at 727-847-
80Q9. Furfhermare, if #he owner has hired a contractor or confractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. !f you, as the owner sign as the
cantracfor, that may be an indication that he is nat prcrperly Iicertsed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTtLITtES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
thaf Transportafion (mpacf Fees and Recourse Recovery Fees may apply to the canstruction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
- 9Q-07, as amertded. The undersigned also understands;that stach fees, as may be due;wiii be identifted at fihe tirne af �
permitting. It is further unders#ood ti�iat Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or fna! power release. It the project does not involve a certificate of occupancy or
finai power reiease, the fees must be paid prior ta permit issuance. Furthermore, if Pasco Caunty Water/Sewer impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONS3RUCTION LIEN LAV1((Chapter 793,Fiorida Stafutes,as amended}: lf valuation of work is$2,500.00 ar more, S
certify thafi I, the applicant, have been pravided with a copy of the "Flarida Construction Lien Law—Homeowner's
Pratection Guide" prepared by the Florida Depar#ment of Agriculture and Consumer Affairs. lf the applicant is someone
other than the"owner", 1 certify that 1 have obtained a copy of the above described document and promisa in gaod faith to
deliver it ta the"awner"prior ta commencement.
CO�I3RACT4R'814V1/NER'S AFFIDAVIT: I cer�ify that all the infarmation in this appiication is accurate and that al!work
will be done in compliance with all applicable laws regulating construction, zoning and iand deveiopment. Application is
• hereby made to obtain a permit to do work and installation as indicated. I cerEify that no work ar installation has
commenced prior to issuance of a permEt and that a11 work will be performed to meet standards of ali Iaws regutating
constructian, Cqunty and City codes, zoning regulations, and land develapment regulations in the jurisdiction. I also
certify that S understand that the reguiations.af o#her gavernment agencies may apply to the intended wark, and that it is
, my responsibility to iden#ify whaf actions I must take to be in compiiance. Such agencies include but are not limited to:
- Department of Environmental Protecfion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,INaterlUtlastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses.
- Army Corps of Engineers-Seawalls, Docks, tVavigable Waterways.
- �Department of Health�&. Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treafiment,
Sepfic Tanks. _
- US Environmental Protec#ion Agency-Asbestos abatement.
- Federa!Avia#ion Authority-Runways.
1 understand#ha#the foilowing restrictions appiy fo the use af fil(:
- Use of fill is not allowed in Flood�Zone"V"unless expressly permitted.
- If the #iSl material is ta be used in Fiood Zone °A", it is understoad that a drainage plan addressing a
"compensating volume" will be submitted at time of permitfing which is prepared by a professionai engineer
licensed by the Sta#e of Florida.
- If the fiil maferial is to be used in Flaod Zone "A" in cannection with a permifted buiiding using stem wali
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fili materiat is to be used in any area, 1 certify that use of such f 11 will not adversely affect adjacent
properties. If use of fill is found to adverseiy affect adjacent properfies, the awner may be cited for vio(ating
the conditians of the building permit issued under the attached permit application, far lots less than one (1)
acre which are eievated by fill, an engineered c3rainage plan is required.
If I am the AGENT FOR THE OWNER, I pramise in good faith to inform the owner of the permitting conditions set forth in
this af�davit prior to commencing construction. I understand that a separate permit may be required for electrica(wark,
plumbing, signs, wells, poois, air condifioning, gas, or other instaliations nat specificaily included in the appiicafion. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
sefi aside any provisions af fhe technical codes, nor shall issuance of a permifi prevent the Building Official from fhereaf#er
requiring a correction af errors in plans, constructian or violatians of any codes. Every permit issued shall became invalid
unlsss the work autharized by such permit is cammenced within six manths of permit issuance, or if wark authorized by
� the permit is suspended or abandoned for a period of six(6} months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period nat to exceed ninety (90) days and will demonstrate
justifable cause for the extension. [f woric ceases for ninety{90}consecutive days,the job is cons€dered abandoned.
WARNlNG TO QWNER: YOUR FAILURE TO RECORD A NOTlGE OF GOMMENCEMENT MAY RESULT !N YOUR
PAYtNG TWICE FOR IMPROVEMENTS TfJ YOUR PRt3PERTY. IF YOU tNTEND?O'OBTAIN FINANC[NG,CONSULT
WITH YOUR LENbER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF GOMMENCEMENT.
FLC}R]DA JUF2AT(F.S.917. 3} i��!s�-�-m
OWNER Of2 AGENT �� 1 CONTRACTOR_�����
Subscribed and swom t (or a�rmed}. efore me this Subscribed and sworn to{�r a irmed}be ore me fhis
i1-1 q-i to by KCk.`�'flu �1 I rYt S �-!9-t to by F��'� ('M �+'�'�5
Who is/are personally known to e ar has/have produced Who is/are personally known to me or hasJhave produced
as Identificatlon. � as Identification.
V �
Notary Pnblic
� YP`° NAeNCY J BROOKS
Commission No. }0 4�;_ Commission No. ""YP'�•
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"' MY GOMMISSI�N#FF493699 .� ,, :
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'•.�;' ......_P•�a� _' .''� MY I
Name of Notary 'p" t"'�{'r:sta�tle�-��JF ' 1� Name of Notary typ ; �'st
R��1���"5��ar:�loadallotatyService.com .,,oFfl.�.•� ��ES February 18.2018
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�A�`,��� �`�" � SUN STATEV�ILUMI(�UM, INC.� �'� �S � • '
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C ittr�[t here t furnish a ri and labor—com lete ' ce with above i c ions, for�um of:
Paymern be ade as follows: dotlars($ � —�� ).
,
All unpaid balances subject to 1.5%monthly interest fee.
au ma�er�ai�yuaranteea ro ne as s�edr�d.ai wo�c co ee�om��ea�n a wo�„a�rka '
manner aocording to stendard pracUces,q�y alteration or devia8on from above specificatlons thor¢
inwhrmg extra cosLa vn'�be execuled onN upon W�nen orders.arul wiil become an ex6a v Si e
charge rnrer and anove u,e estimate_an ayreements contagent upon rnikes, a«adeots
or delays beyand our control.Owner to carry fire,tomado and other��essary insurance. Note:Thls proposal maY be
dur worlcers are tu9y covered by Worfm�an�s Compensation Insurance. withdrawn by us'rf not eccepted wtthin dgyg,
�1CC�t�YCCe Df �OttLL�ZI�—T�e above prices,specifications �
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specfied. Payment wli be made as outlined above.
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�-'^"aT�'-'-c.*a,'�c.�c..�:� s;v:
��x""�.����=`''�'`''"'� FL# FL331-RL1 �
' 3-�x�";�„:��3x
��'�.r.,,s, APPlication Type ' Revision
Code Version 2014
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and retified
� by the POC and/or the Commission if necessary.
Comments
Archived � -
Product Manufacturer PGT Industries
Address/Phone/Email 1070 Technology Drive :
Nokomis,FL 34275
(941)486-0100 Ext22318
druark@pgtindustries.com -
Authorized Signature Jens Rosowski
j rosows ki @ pg ti n d ustri es.co m
Technical Representative Jens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext21140
- jrosowski@pgtindustries.com
Quality Assurance Representative
Address/Phone/Email '
Category Exterior poors
Subcategory Swinging Exterior poor Assemblies
Compliance Method Certification Mark or Listing
CertiFcation Agency Keystone Certifications,Inc.
Validated By ' Steven M. Urich,PE
• � Validation Checklist-Hardcopy Received
, Referenced Standard and Year(of Standard) Standard Year
AAMA 450 2010
AAMA/WDMA/CSA 101/I.S.2/A440 2008
ASTM E-1886 2005
ASTM E-1996 2009
ASTM E-1996 2012
Equivalence of Product Standards
• Certified By
Product Approval Method • Method 1 Option A
https://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDqtsZzB6Yv%2bq... 7/3/2015
Florida Building Code Online Page 2 of 2
, k
Date Submitted 06/11/2015
Date Validated 06/16/2015
Date Pending FBC Approval
Date Approved 06/27/2015
Summa of Product
FL# Model,Number or Nam Description
1.1 CD-290 Aluminum Hinged Door
Limits of Use Certification Agency Certificate
Approved for use in HVH2:No FL331 R11 C CAC FD-290 Certification.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 09/21/2018
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions f design FL331 R11 II FD-290.�df
pressure,size and anchorage information. Verified By: A. Lynn Miller, P.E. 58705
Created by Independent Third Party: No
Evaluation Reports
FL331 R11 AE FD-290 Evaluation.odF
Created by Independent Third Party: No
331.2 FD-455 Vinyl French Door&Sidelite/Transom
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL331 R11 C CAC Certification FD-455.odF
Approved,for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No OS/21/2017
Design Pressure: N/A Installation Instructions
Other:Please see the Installation Instructions For design FL331 Ril II FD-455.odf
pressure,size and anchorage information. Verified By: A. Lynn Miller, P E.58705
Created by Independent Third Party: No
Evaluation Reports
' FL331 R11 AE FD-455 Evaluation.odf
Created by Independent Third Party: No
331.3 FD-S55 Vinyl French Door&Sidelite/Transom
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL331 R11 C CAC Certification FD-555 II.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 05/21/2017 •
Design Pressure: N/A Installation Instructions
Other:Please see the Installation Instructions for design FL331 Rii II FD-SSS.odf
pressure,size and anchorege information. Verified By: A. Lynn Miller, P.E.58705
Created by IndependentThird Party: No
i Evaluation Reports
FL331 R11 AE FD-555 Evaluation.odf
Created by Independent Third Party: No
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Contad Ue 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1624
The S[ate of Florida is an Aq/EEO einployer�oovriaht 2007-2013 State nf Florida.::privacv Statement::Ac�esslbiliN Statemen[ :Refund Statement
Under Florida law,email addresses are public records.If you do not wan[your e-mail address released ln response[o a public-records reques[,do no[send
i electronic mail[o[his entity Instead,contac[the o�ce by phone or by tradl[lonal mail.If you have any ques[ions,please contact 850.487.1395.'Pursuant to'
Section 455.275(1),Florida S[atu[es,effective October 1,2012,Ilcensees licensed under Chap[er 455,F.S.mus[provlde the Departmen[wlth an email address if
they have one.The ematls provided may be used for officlal communlcatton with the Ilcensee.However email addresses are publlc record.If you do no[wish[o
supply a personal address,please provide the Department with an emall addmss which can be made available[o[he public.To determine if you are a licensee under
Chapter 455,F.S.,please clitk here
Produd Approval Accepts: ,
� � � �� �
securitFs��-nt�c.; '
h1-tnc•//unuw flnrirlahnilrlina nra/nr/nr anr� r�tl acnx�naram=�zrC'TFVX(l�utTlntc7�R(,Vv%71�n 7/'�/7(I1 S
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, � �
GENERAL NO1E5: ANCHOR LOCATIONS 8 SPACING �
1j THE ANCHORAGE METHODS SHOWN HAVE BEEN DESIGNED TO ���,^�-�37-3/8"OVERALL MAX. 73-3/8�OVERALL MAX.-
COMPLY WITH THE FLORIDA BUILDING CODE FOR THE DESIGN �����----�{�36'BUCK MAX.(Z-BAR� ��72"BUCK MAX.(Z-BAR��— �
PRESSURES LIS7ED. II II I I �
13-1/16" ' 13-9/16' ' - �
2)WOOD BUCKS DEPICTED AS 1X ARE LESS THAN 1-12'THICK.IX M� • M,tV(. ,
WOOD BUCKS ARE OPTIONAL IF UNIT IS INSTALLED DIRECTLY TO T $0-11/16" �
SOLID CONCRETE.WOOD BUCKS DEPICTED AS 2X ARE 1-12'THICK OR �- SH OR PW T �- SH OR PW SH OR PW j
OVERALL 80-11/16'
GREATER.A7TACHMENT METHOD OF WOOD BUCKS SHALL BE DONE Z�_��2„ INSERT pp•Mqx, M� 2�_��z• INSERT INSERT OVERALL �
BY OTHERS. M� � M,q)(. MAX.
3)SEE TABLE FOR MINIMUM EDGE DISTANCE FROM CENTER OF ' / O SEE 80"BUCK O 80"BUCK i
ANCHOR TO SUBSTRATE EDGE(EXCLUDING FINISH OR STUCCO). �— // NOTE M� � � MAX }
4)SHIM EACH ANCHOR LOCATION WHERE THE PRODUCT IS NOT Q A (Z-BAR) � 65� � (Z-BAR) j
FLUSH TO THE SUBSTRATE,USING SHIMS CAPABLE OF � j
TRANSFERRING APPLIED LOADS. 2�,MAX �
I �
5)ANCHORS SHALL BE COATED OR GORROSION RESISTANTAS � � _� � � I
APPROPRIATE FOR SUBSTRATE MATERIAL DISSIMILAR MATERIALS 12-5/B' �� �2-5�8" !
SHnLL BE PROTECTED AS REQUIRED TO PREVENT REACTIONS. Mp,�(, MAX. _ '
ALUMINUM SHALL BE PROTECTED FROM DISSIMILAF2 MHTERIALS AS '-[—�'M�� �15��g• ���:� � �M�� � �MS/�16'
SPECIFIED IN THE FLORIDA BUILDING CODE. J � �
MAX.
6)ADHESIVE SEAL{�NT SHALL BE USED BETWEEN SUBSTRATE AND 6'=6'HI SINGLE(X) 6'-8'HI DOUBLE(XX) �
FLANGE OR FIN. OVERALL SEALING/FLASHING STRATEGY FOR WATER
RESISTANCE OF INSTALLATION SHALL BE DONE BY OTHERS.
�MATERIALS USED FOR ANCHOR EVALUATIONS WERE SOUTHERN ----�-#-37-3/8"OVERALL MAX. �73-3l8"OVERALL MAX.—^I�
PINE,2.7 K51 CONCRETE AND CONCRETE MASONRY UNITS ' i ��36'BUCK MAX.(Z-BAR) I IF+-72"BUCK MAX.(Z-BAR)�yl
COMPLYING WITH ASTM C-B0.GLAZING COMPLIES WITH ASTM E1300. � II �I ��
13-1/16' � 13-1/16'
8)THE 7!3 STRESS INCREASE WAS NOT USED IN THIS NOTE A: M,q)(, MqX.
ANCHOR EVALUATION.THE 1.6 LOAD DURATION FACTOR 96-11/16'
SH OR PW � SH OR PW SH OR PW
WAS USED FOR THE EVALUATION OF WOOD SCREWS. ANCHORS ARE OVERALL 96-11/16' �
REQUIRED � INSERT 23-314'MAX. MqX. INSERT INSERT OVERALL J
B)IF THE F�WCT PRODUCT SIZE IS NOT LISTED IN THE WITHIN 3"OF THE I M� �
TABLES,ALWAYS ROUND UP TO THE NEM LARGER VALUE. CENTERLINE OF 1 l . ' i
THE HANDLE 1-J-� 96'BUCK , ,
AND/oR � 12-1/4" � M�
DEADBOLT. z3-5/8" M�• 23-5/8" (Z-BAR) �
7ABLE 7: M�(, O SEE MAX. � o �
MrhorType Subslrate Min.Edga Min. � _ // NOTE 96"BUCK �_ / /
Dist. Embedment p A M� ��
wood(Sa,tnem alne) 9lts• �-3/S � (Z-BAR) !
iti2 Sleel SMS Steel Stud Gr 33 3l8' .045(t B GA) 21�MAX. I � �
Aluminurtr60fi3T5 318' 1!8' � S� � � , _ �� � � �
Steel,A38 3IB' 1I8' 12-5/8' �j I 12-5/8" , �
1/4"Mesonry Conctele 1" t-3l8" MAX. � � � � MAX.
a,cnor Haiav cMu 2-vr �.va• � 'I 3-15/16" 14-7/8' -I � ,
+{14-7/B" -� �- 6" _� ��15/16"
NOTE:FOR ALL AIETAL SUOSTMTES,6CREW EMOEOMENT 6MALL BE MIN.7 TMfYE/�OS I MAX.� M�• MAX.� 'l �MAX. MAX.
BEVOND INSIDE FACE OF AVITERNL
8'-0'HI SINGLE(X; ,�, 8'-0'HI DOUBLE XX
TAB�E2: �t', .i. � .
AsTestea Configuretlonc .;:'•.��.•1 .;�• p""�� °" �� ��"OA���p°���� :
���'.' :f:.c^ J.ROSOWSKI 09rS0/'Ii ALUMINUM6063-T6 ��,�,o��.�
Mex.Nom. Swing DP Certl(Icatlon .,��' ,�wAnamrc�tr.i.orrurxavcKrxs '
Size in Con6guralion p�rectlon Freme Type Sfll Type PSF Glazs _ �� oxuaxrwrse�senoarm�w.crox i
C) ( ) Number '� � �•.� ixrwanmwrncm�mmer i
„J.�P.(V re»aswo��cT/uarro[a
36z80 Slnple(K1 Oul-swing Z-6adBox High @umper). t1-50 ].9a789,791 ' :�� ' ::� �
3fix9fi SI le Out•swin Zbe79ox Metllum bum r al-35 - �� � ' m � ,
�9 09 8 f Pa) 19a792, Min.1/e^ _ CL' a �S L•:' �
72rz98 Douda()OQ Oul-swtng 2bad0oz Medium(bumper) r!-35 Temp., � �1.p^ . .r' ?a7o7ECHNOLOOY�RNE �
MOfla.Of L G. � i'�^ ` t� �r' N O K O M I S,F L 3 4 2 7 5 � �
aexee s�rx��epp Oul/ln-ewing z-oa�/eoX Lav(saadle) */-35• �3� . `��,?�:�;:_,=;'\ FLCERT OFAUTH. 29296 CABANA DOOR INSTALLATION t
77x� Douda()OQ OWIn-swing Z-baABox Law(satldie)� +l-35• `%��_ •• • �i -
'llmitad Weter(VJaler InfilUallon Tested at O ps�. ;'��<<,'i(�h;^�1,.,•'' A.Lynn Miller,P.E. �o-Z90 NTS �t of 3 �n� 7093071JR � `
;������i� P.E.#58705
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INSTALLA7ION WITH BOX FR,4ME
i
� EDGE
DISTANCE� OPTIONAL OPTIONAI, �
EDGE � SU T E SUBSTF2A7E OUT-SWING SIN6LE HUNG
� DISTANCE SHOWN INSERT �
SHOWN
' _ SU T E � EMBEDMENT
EMBEDMENT� � � � i I
�_ WOOD
SHIM SHIM
-- INSTALLATION NOTES:
OPTIONAL OPTIONAL 1)SEE SHEET 1 FOR SPACING ,
OUT-SWING IN-SWING RE�UIREMEMS. � �
BOX FRAM ,E
SHOWN SHOWN 2)SEE TABLE i FOR ANCHORAGE EXTERIOR SHIM JAMB INSTALLATION �
AND SUBSTRATE REQUIREMENTS. fZ (DIRECTLY TO SUBSTRATE)
V
3)MAX.SHIM THICKNESS TO BE�/4'
� a 4)FOR HARDWARE DETAILS,SEE i
SUBSTRATE
EXTERIOR EXTERIOR SHEET3. SHIM O
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I O i
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OPTIONAL --1 OPTIONAL ; �
FIXED LIGHT � FD(ED LIGHT � ' �
INSERT INSERT s I r 1
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SHOWN SHOWN �x OPiIONAL �qpqg INSTALLATION FIXED LIGHT •
EXTERIOR
BOX FRAME, BOX FRAME, OPTIONAL n WOOD IN-SWING (USING 1X WOODBUCK) INSERT I
HEAD INSTALLATION. HEAD INSTALLATION SINGLE HUNG v SHOWN SHOWN
(DIRECTLY TO SUBSTRATE) (USING 1X WOODBUCK) INSERT
SHOWN !
i
ooao oa��
OPTIONAL OPTIONAL °ooa ,
FIXED LIGHT KICKPLATE ;o°oo°p00000
INSERT INSERT �O4 >o°0000°oo`oo°oo°oo°o� OPTIONAL .�,������+!i,�
SHOWN SHOWN ADJUSTABLE �� . '
BUG SWEEP '��;`• �.'�i'� ; .
(SADDLE _ � ;-:•':'' -'p,
THRESHOLD ` �. '
ONLI� . ,, �_'.:� .,': I
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EXTERIOR EXTERIOR EXTERIOR �" ' • "((�r( o��s • ��j .
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SADDLE 1-7/7G BUMPER a..�e�: n,r; ua,,,t �„���,�a��,� y
THRESHOLD BUMPER THRESHOLD J.ROSOWSKI 09/30l�1 ALUMINUM 6063T6 ��'s"������
SHOWN THRESHOLD SHOWN '
SHOWN er cm w.w,a� .vmvr�r,ver.norozrc.wcwrrm
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/ � / / � / 1070TECHNOLOGYDRIVE
NOKOMIS,FL 34275 n"
FICERT OFAUTH. 29298 CABANA DOOR INSTALLATION
BOX/Z-BAR FRAME y,�y� � �
SILL INSTALLATIONS A.Lynn Miller,P.E °'"�^"' '+^'
P.E.#58705 CD-290 NTS 2 of 3 1093011JR
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INSTALLATION WITH Z-BAR FRAME "
EDGE TABLE 3:HARDWARE(ALL FRAME TYPES)
, DISTANCE� Part# DeseripGon (
EDGE �cosa �t sw«p�u
—'�'j SU 6FLAlTA Slriker8xkirpPlate
DISTANCE� � 7Cp5PDB Dea�oM SNke Plate
SU T E EMBEDMENT SUBSTRATE SHIM OPTIONAL
_ _ �8516� FeJ2:,375 PA.FI.S.S. OPTIONAL
4UBLDK �.ocksuownAssy. OUT-SWING SINGLEHUNG
EMBEDMENT � O 763aFW tiG:.750 PA.Fi.5M5 INSERT �
WOOD ��P �'smkeaime(an,Ksiae) - SHOWN SHOWN
bFlA7M S[RCer BaeWnp Plete(Ac[ne Sleb)
SHIM SHIM 7CDSpDB peedyq�Strike Plele(Acfi�e&Wb)
OPTIONAL OPTIONAL �esis� lg32 x.375 PA.FL 5.5.(AeG�e SIaD) �
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4170{ Finge Pin Cep
EXTERIOR Ex�pR t77os Hlqa Pin 9iaNng EXTERIOR O Z-BAR FRAM1 I
7700(OM Hnge Pln � JAMB INSTALLATION
�vras r�naaw�c (DIRECTLYTOSUBSTRATE) `
7834FP7W Dg x.750 PA.FI.lEK SMS �
SUBSTRATE �x
WOOD
OPTIONAL L— SHIM
OPTIONAL
FIXED LIGHT FIXED LIGHT � O O
INSERT INSERT '
SHOWN SHOWN
Z-BAR FFtAM1 Z-BAR FRAME. OPTIONAL I j
HEAD INSTALLATION HEAD INSTALLATION SINGLE HUNG i' }
(DIRECTLY TO SUBSTRATE) (USING 1X WOO�BUCIQ INSERT
SHOWN
0 0 0 0 0 0 o EX'fERIOR Z-9AR FRAME, OPTIONAL
OPTIONAL OPTIONAL °°o°o°o° �o°oo°0000°oo°000000o n OPTIONAL ,IAMB'INSTALLATION FIXED LIGHT
FIXED LIGHT L KICKPIATE °O°o°°oo°°000° ;�o IN-SWING INSERT
INSERT L INSERT � �°o°o° �°o U (USING 1X WOODBUCK)
SHOWN � SHOWN o°000000eo >�°,�°o 00o SHOWN SHOWN
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' '� �'p�- I
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INSTALLATION NOTES: ` '' I
a � �� _ ::.�:•s�'�= .
EXTERIOR EXTERIOR EXTERIOR 1)SEE SHEET 1 FOR SPACING REQUIREMENTS. - /' ' ,� �
2)SEETABLE'I PORANCHORAGEANDSUBSTRATEREQUIREMENTS. ,j(� u �O``� •-!+_' '
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SADDLE 1-7/1G BUMPER �� � �� ����,��A�� '
_ THRESHOLD BUMPER THRESHOLD J.ROSOWSKI 09/30/11 ALUMINUM 6063T6 �16���TMO`�r
SHOWN "THRESHOLD SHOWN �'����
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.80XlZ-BAR FRAME. , A.LYnn Miller,P.E. 8i'""''�i°'� �' °"O� R.�w�r.. n,. �
SILL INSTALLATIONS p,E.#58705 C0.290 NTS 3 of 3 1093011JR
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Regulation
�'� Produd Aooroval Meou>P:oduct or Aooli[ation Search>Aaolication List>Applfcallon Detatl
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'aa "�^`ri..i�,1,
,�"',�� ,;�Y,.��,.;� FL# FL1435-R16 -
'.:t�_«-, r�-
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
i
Archived [�,'
/
• Product Manufacturer PGT Industries
Address/Phone/Email 1070 Technology Drive
Nokomis,FL 34275 �
, (941)486-OS00 Ext22318
druark@pgtindustries.com
Authorized Signature Jens Rosowski
jrosowski@ pgtindustries.com
Technical Representative Jens Rosowski
Address/Phone/Email , 1070 Technology Drive
Nokomis,FL 34275
(941)486-0100 Ext21140
, jrosowski@pgtindustries.com
Quality Assurance 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�F.t Validation Checklist-Hardcopy Received -
Referenced Standard'and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/IS�/A440 2011
AAMA/WDMA/CSA 101/IS2/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 E33D 2002
Equivalence of Product Standards II
Certified By �
i
https://www.floridabuildin�.or�/pr/pr app dtl.aspx?param=wGEVXQwtDqsbCLJITKe120D... 7/3/2015�
, f�
Fiorida Buiiding Cocle Online P�ge 2 of�
Praduct Approval Methad Method 1 Option A
oate Submitted Q6JS1J2d15
Date Validated 06/16/2015
Date Pending FBC Approva!
Date Approved 06J25J201S
, Summar of Products �
FL# Model,Number or F1ame pescriptian
i i435.2 SFt-200 Aluminum Single Hung Window(Std. Meeting Rail,inc. Pas5-
� Thru) ,
Limits of Use CertificaEion Agency Certificate
' Approved for use in HVHZ:No FL1435 RIb C CAC Certification SH2b0,ndf
Approved for use outside HVHZ;Yes Quality Assurance Contract Expiration Date
Impact Resistant;No q5/28f2Q16
, Design Pressure:NJA Xnstatlafiion Znstructians
' Other; Please see the InstallaCion Instructions for design FL1435 R16 II SH-200.pdf
pressure,size and anchorage inPormation.The Pass-Thru Verified By• A. Lynn Miller, PE 58705 `
version was nat tested far water tnfittraCion. Created by Independent Third Party� No
Bvaluation Reparts
, F�1435 R16 AE 5H-200 Fvaluation.odf
Created by Independent Third Party: No
1435.2 SH-2Q0 HD Aluminum Single Hung Window(with HD Meeting Rail)
Limits af Use rtification Agency Certificate
Appraved for use in HVHZ: No FL 435 R16 C CAC Certification 200HD,ndf
Approved for use outside HVHZ:Yes Qu lity Assurance Contract Expiration Date
Impact Resistant:No d2J &J2017
Design Pressure:NJA Ins altatian Instructions
Other: Please see the Tnstallatian Inskructions For design F 435 R16 II SH-200HD df
' pressure,size and anchorage information. erified By: A. Lynn Mi11er,P.E.58705
Created by Independent Third Party; No
Evaluation Reports
FL.1435 R16 AE SH-200hID Evaluation.otlf
Created by Zndependent Third Party: No
� 1435.3 SH-400 Vinyl Single Hung Window
Limits af Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R16 C CAC SH-400 Certifications,pdf
IIApproved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
I Zmpact Resistant:Na OlJ21J2Q17
Design Pressure:N/A Installation Instructions
Other: Please see the Installatian Instructions Par design FL1435 R16 II SH-400.pdf
pressure,size and anchorage inFormation. Verified By:A. Lynn Miller,PE 58?OS
Created by Independent7hird Party: No
Evaluation Reports
FL1435 R16 AE SH-40Q Gvaluakian.odf
Created by Independent Third Party: No
1435.4 SH-50Q WinGuard Vinyl Single liung Window
� Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R16 C CAC SH-500 CerCiflcation R14.�df '
' Approved for ase outside HVHZ:Yes QuaEity Assurance Gontract Expiration Date .
Impact ResisCant:Yes 08J27/20i6
pesign Pressure:N/A Installatian Instructions
Other:Please see the Installation Instructions far design PL1435 R16 II SH-SDO.pdf
I pressure,size and anchorage information. Verified By:A. Lynn Miller,PE 58�05
Created by Independent 7hird Party: No
` Evaluation Reports
F�1435 R16 AE SH-500 Evaluatian.pdf
Created by Independent Third Party: No
I 1435.5 SFi-840 WinGuard MultisEory Aluminum Single Hung Wintiow
I _ Limits of Usa Certificatian Agency Certi�cate
Approved for use in HVHZ:Np FL1435 R16 C CAC SH-$00 Certification.pdF
Approued for use outside HYHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 09J07j2017
pesign Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions for design F�1435 R16 II SN-80Q.odf
pressare,size and anchorage information. Verified By:A. �ynn Miller,P.E.58T05
� � Created by Independent Third Party: No
_ Evaluatian Reporfis
F�1435 RIb AE SH-800 Evaluation.odF
Created by Independent Third Party: No
� ,
ht�ps:/Iw�rw.fl�ridabuzldin�.or�lpr/�r at�t� dtl.asnx?�aram=wGEVX,C}wtDask�CITITKeI2��__. 7l�1�t�15
;= 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.odf
� Approved for use outside HVHZ: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 desigri FL1435 R16 ii SH-2100.pdf
• 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-2100 Evaluation.odf
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.odf
. 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.�df
Created by Independent Third 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.pdf
Approved for use outside HVHZ: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.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-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 Certificatiori.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes , 10/O1/2018 '
Design Pressure: N/A Installation Znstructions
Other: Please see the Installation Instructions for deslgn FL1435 R16 II SH-S500.pdf
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-5500 Evaluation.pdf -
Created by Independent Third Party: No
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Contac[Us::1940 North Monroe SVeet.Tallahascee FL 32399 Phone:850-487-1824
The State of Florida is an Aq/EEO employer Coovriaht 2007-2013 State of Florida. Privacv Sta[ement::AccessibiliN Statement Refund Statemen[
Under Florlda law,email addresses are public records.If you do not want your e-mafl address released in response to a pu6llc-records request,do not send
electronlc mail to this entlty.Ins[ead,mntac[the office by phone or by tradi[lonal mall.lf you have any questions,please contact 650.487.1395.'Pursuant to
SeRion 455.275(1),Florida Sta[u[es,effective Oc[ober 1,2012,licensees licensed under Chapter 455,F.S.must provide the Departmen[with an email address if
they have one.The emails provided may be used for offlclal communimtion with the licensee.However emall addresses are public record.If you do not wish to
supply a personal address,please provide the Departmen[with an email address which can be made available to[he public.To determine if you are a Iicensee under
Chapter 455,F.S.,please click�igrg.
Product ApprovalAccepts:
� � ��- �
� securit'�tarnuci
a dtl.as x? aram=wGEVX wtD sbCUITKe120D... 7/3/2015
https://www.floridabuildin�.or�/pr/pr pp p p Q q
I
GENERAL NOTES. ANCHOR�OCATIONS 8 SPACWG �
� i
1)THE ANCHORAGE METHODS SHOWN HAVE BEEN DESIGNED TO COMPLY
WITH THE FLORIDA BUILDING CODE FOR THE DESIGN PRESSURES LISTED. �
2)WO00 BUCKS DEPICTED AS 1X ARE LE55 THAN 1-t/Z'THICK.�X WOOD ' i
BUCKS ARE OPTIONAL IF UNIT IS INSTALLED DIRECTLY TO SOLID CONCRETE. �
WOOD BUCKS DEPICTED AS 2X ARE 1-12'THICK OR GREATER.ATTACHMENT
METHOD OF WOOD BUCKS SHALL BE DONE BY OTHERS. �53-1/8"MAX.TIP-TO-TIP� 52-1l8"MAX.BUCK — �
9)SEE TABLE FOR MINIMUM EDGE DISTANCE FROM CENTER OF ANCHOR TO � 52-1/8"MAX.BUCK 6+M� �—5'MAX '
SUBSTRATE EDGE(EXCLUDING FINISH OR STUCCO). '
4)SHIM EACH ANCHOR LOCATION WHERE THE PRODUCT IS NOT FLUSH TO 9�M�•
THE SUBSTRA7E,USING SHIMS CAPABLE OF TRANSFERRING APPLIED T � � , ;
LOADS. � �
� � � 77" � :
5)ANCHORS SHALL 8E COATED OR CORROSION RESISTANT AS � � MAX. i
APPROPRIATE FOR SUBSTRATE MATERIAL.DISSIMILAR MATERIALS SHALL BE I I BUCK
PROTECTED AS REOUIRED TO PREVENT REACTIONS.ALUMINUM SHALL BE � / I / .
PROTECTED FROM DISSIMILAR MATERIALS AS SPECIFIED IN THE FLORIOA � I 6'MAX ,
BUILDING CODE. T � I
T 77,
6)ADHESIVE SEALANT SHALL BE USED BEM'EEN SUBSTRATE ANO FLANGE 17'MAX. � �
- � I I MAX.
OR FIN. OVERALL SEALING/FLASHING STRATEGY FOR WATER RESISTANCE I I BUCK
OF INSTALLATION SHALL 8E DONE BY 07HERS. '
I I 78"
7)MATERIALS USED FOR ANCHOR EVALUATIONS WERE SOUTHERN PINE,2.7 � / f Mpx / �
KSI CONCRETE AND CONCRETE MASONRY UNITS COMPLYING WITH ASTM � � TIP-TO- �
C-90.GLAZING COMPLIES WITHASTM E1300. i , / i TIP �
8)THE 1/3 STRESS INCREASE WAS NOT USED IN THIS ANCHOR EVALUATION. � � � I �
THE 1.6 LOAD DURATION FACTOR WAS USED FOR THE EVALUATION OF ' • :
WOOD SCREWS. 9��X � � , , :
------ ------- 5"MAX. ;
9)PRODUCT MAY BE INSTALLED INTO STEEL � . .
OR ALUMINUM SIMILAR TO THE WOOD INSTALLATION DETAILS. �
FLANGE FRAME � F�N FRAME
10)THE 200 SERIES WAS FORMERLY KNOWN AS THE 4000/4001 SERIES. WITH HEP,W-DUTY MEETING RAIL WITH HEAVY-DUIY MEETING RAIL '
i
i
TABLE 2:FLANGE WINDOWS TABLE 3:FIN WINDOWS -
TABLE 1.FIN&FLANGE WINDOWS Min.Ed e
BuckSize Des( nPressure Certification ���Type Subslrate Min.Edge Min. YP 8 Min.
AnchorT e Suhstrste ;
SaihStyle B Dist. Embedmant Diel. EmbeCmenl ; .
W dth Hei ht (+) sf (-�psf Num6ers Wood(Southem Plne) 12' �_yg• �31'x 2-1/2' ,�rood(Southem Pine) 3/9• 1-7/16' �
Nail �
52-1/8" 7T' Equal Llte 55 65 19(Y1003 Steei Stud Gr 33 3/B' .645(18 GA) #72 penheed
1l12 Steel SMS Woad(Soulham Pina) 9/18' 1-3/8'
Alufnl�um�063-TS 3/B" 1/B" SMS
�:o Steel,A38 yg' �(g- #10 husshoad y�ood(Southem Pine) 7/1B' 1-3/8'
Screw
, 1/4'Masonry Concrate 1' 1-3�8' .
�h� Hollav CMU 2-'Il2" 1-1/4" �
NOTE FORALL METAL SU95TR1TE5,SCRFW ElABEDMENi SHALL BE AlIN.3 TNREADS
BFYOIm INSIDE FACF OF AIATERI.LL.
, �
�.��.:liill�, ;
�. ,'i�'/. ��/� LY�'^B�' LYds 144'Yt TEM1Bflia'l�4(lPd7AQW7A�
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OR
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[ �Ol,s �•1070TECHNOLOGYDRIVE �
.%'� , y�,�.ict:� . :�� NOKOMIS.FL34275 n°`
I
!.�., FLCERT OFAUTH. 28298 SINGLE HUNG INST., HD MEETfNG RAIL
�, � '�';��' �
"y �=^._. ' A.Lynn Miiler.P.E. �w'°'� a�' B""` o"aa"" '°n. -
����:=:�._ P.E.St56705 SH-200 NTS 1 0( 3 1032412JR
�
�
k�
J1
f
IN57ALLATION WITH FIANGE FRAME
_ , �
4 � ,
S ST E � EX7ERIOR '
- �SU� TRA / gU T -
/ �/
, � j I
1X
SHIM ^ WOOD �� �\, f'
SHIM
EDGE / a
No DISTAyNCE
ANCHORS -� NO -1—
REQUIRED �-✓ ANCHORS � EMBEDMENT��—�SHIM
EXTERIOR REQUIRED EXTERIOR
i
_ FLANGE FRAME,
JAMBINSTALLATION
(DIRECTLY TO SUBSTRATE) '
FLANGE FRAME. '
HEAD INSTALIATION FLANGE FRAME,
(DIRECTLY TO SUBSTRATE) HEAD INSTALLATION
- (USING 1X BUCKSTRIP) �
, �
; SU TRA I �
i l EXTERIOR
/'
� � l • �
EXTERIOR �
EXTERIOR j
� �
�
' EDGE
No No DISTANCE � �
ANCHORS ANCHORS � i
REQUIRED REQUIRED � �x SHIM .
EMBEDMENT ----�W000 ,, � • ,,,
��• i.��t i.tqi. ' ,,
• FLANGE FRAME, � ,'"
SHIM JAMB INSTALLATION . �� , , �
SHIM I (USING 1X BUCKSTRIP) � i
--- 1X - " .�� �� j
WOOD ,� � -: �� '
- ;.a � b. �°�:�t '�'_ '
su r � �-�, �.., ,+\:. �
FLANGE FRA�E a.w�er• u.r. wwe mrero�wnptprSvlwai�cwcvm �
B5T TE J.ROSOWSKI 01118/�3 ALUMINUM 6063-T6 ^�F"E^'nnfrxncencm�mma�ror !
SILL INSTAI.LATION �"�""Om10O°�0°"'�'�
(DIRECTLY TO SUBSTRATE) � "^1° • "^""` ' mv��Twre�ru�onPe4�.r�H _
FLANGE FRAME, ,,H,frn„x+,+cv„��n�,,,Fr
INSTALLATION NOTES: SILL INSTALLATION �'T�+"�`'O`��b'�1 ;
(USING�X BUCKSTRIP) � uor+� i
1)SEE SHEET t FOR ANCHORAGE,SU6STRATE AND SPACINO REQUIREMENTS. �07o TECHNO�OGY Dwve
2)GLASS SHOWN AS EXAMPLE.MAY VARY BY SERIES AND DESIGN PRESSURE REQUIREMENTS. NOKaMiS,FL 39275 ' .
3)FORSMOOTHSASHOPERATION,THEANCHORS MUSTBEFLATHEADS. F�CER7.OFnu7H. 2s2es SINGLE HUNG INST, HD MEETING RAIL �
4)MAX.SHIM THICKNE55 TO BE'I/4" �---•- mk m..e u„arow, n,K j
5)FLANGE MAY BE REMOVED TO CREATE E�UAL-LEG FRAME-USE FIANGE FRfJ�1E INSTALLATION. A•Lynn Miller,P.E t SH-200 NTS 2 of 3 7032412JR �
P.E.it5B705
i
INSTALLATION WITH FIN FRAME
� i
i I
i I
�
EDGE eST TE r'� � �
DISTANCE `� �
__ EXTERIOR � I
i
f
SHIM i
EDGE II
DISTANCE � ' '
EXTERIOR
i
i
- FIN FRAME,
HEADINSTALLATION �
i
SHIM '
i
� FIN FRRM yE
JAMBINSTALLATION
I
SUBSTRATE
, ',.� „� ' . I
� SHIM ���" `
' � , ..1•" '_. „
� � 85T TE E�OR 6 (0 I� ��/'.
� _ .�:� . �
_ ,;..�,. f
FIN FRAME, � ' _�i%t J''I`,•,`,�� '
a..n .
Br o.r
wan.c
',�rr mr.�suvoeaumrr,:
SILL INSTALLATION �
J.ROSOWSKI 01/18/13 ALUMINUM 8063-T6 �H19��114AFP�^'p`Por
nmarnrs.vo c�r�o cxvsnvrr�+c
x...eer. om: ww� .�+ornavnc�.wr.noroxnova��s �
LW�d'lWYBE USm[XA�DRqJI.I.TD N
AAt'{PW 41iJlL!lliJf fl}Rf.S1Ell Mid'f1M
INSTALLATION NOTES. ��Por��
p Orvpem �
1)SEE SHEET 1 FOR ANCHORAGE,SUBSTRATE AND SPACING REQUIREMENTS. ' '
1070 TECHNOLOGY DRIVE
2)GLA55 SHOWN AS EXAMPLE.MAY VARY BY SERIES AND DESIGN PRESSURE RE�UIREMENTS. NOKOMis,�.3a275 "'a' � �
3)FORSMOOTHSASHOPER4TION,THEANCHORS MUSTBEFLATHEADS. FLCERT.OfAUTH. 29256 SINGLE HUNG INST., HD MEETING RAIL
4)MAX.SHIM THICKNESS TO BE 1/4' �
5)FIN MAY BE REMOVED TO CREATE EQUAL-LEG FRAME-USE FIANGE FRM1E INSTALLATION. A.Lynn MJler,P,E. --'�ii2' � �i° �'v�a n..:
P.E,#58705 SH-200 NTS 3 of 3 1032412JR �
�.
1X
�Iorida Building Code Online Page 1 af 2
; , :{
���'s:^L2�>r�t.��C.�ffr.,n�x-�����;��'"`r'.'v�i._.:i."L:--`.�ah;•s^`_r- *�;t��� =��',,,',��ir^;" ,".`:r,f. �
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4'.� .�. �'r: _s�+��=�`,;: �>r.« �-�:.s:,�"�;s��-`x�=''�";.�.�'`. r�'��:r:u._- ;�'�` ';r,--,"' •�' �J
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�n ,a��==����.
f1C��,�����ni� BCIS Mome � Log tn i User Registration : Hot Topics ; Submit Surcharge ; Stats&Facts i Pubiications ; FBC Staff : BCtS Site Map ; t;�ks�;Search ;
BuS{neS �,� �� . -
Prof�ssi�l IUI `'i �Produc#Approval
�USER:Public User
ReguldtfQn �
�`.�, .� product Aooravai Menu>P�odu t or AQat{Cation Searth>Aooiicatian list>Appticatton Detail
�.�"�,. .
• �`�,�'';'�,Yy,�:s`� FL# FL761-RS
.'.'� -: ,-, ,� >,
Application Type Revisiom
Code Version � 2014
Applicatian Status Approved
Comments
Archived L�
Product Manufackurer Custom Window Systems Inc.
Address/Phone/Email 1900 SW 44th Avenue '
Ocala,FL 34474
(352)3b8-6922
ekass@cws.cc
Authorfzed Signature Koss Erin
ekpss@cws.cc
Technical Representative Erin Koss
Address/Phone/�mait f900 SW 44Ch Ave. �
Oca(a,FL 34474
(352)368-6922 Ext291
ekoss@cws,ce
Quality Assurence Representative Jay Lathrop
AddressJPhaneJEmail 1440 SW 44th Ave.
Ocata,FL 34474
(352)368-6922 Ext291
jiathrop@cws.cc
Category Exterior poors
Subcategory Swinging Exkerior poor Assembties
Compitance Method Evaluation Repart from a Flor3da Registered Architect or a Licensed
Ftorida Professional Engineer
C� Evaluation Repork-Hardcopy Received
Florida Engineer or Architect Name who developed Lucas A.Turner
- the Evaluation Report
Florida Gcense PE-S82d1
Quality Assurance Entiry Keystone Certifications,Inc,
Quality Assurance Contract Expiration Date 07(21J2420
Vaiidated 8y Steven M.Urich,PE
� Validation Checklist-Hardcopy Received _
Certificate of Independence FL161 RS COI EvalReo CWS-176E(Guardian Door).pdf
- Referenced Standard and Year(af Standard) Standard Year
AAMA(SOS/I.S.2-97 1997
� ASTM E1300-04 2004
Equivatence of Product Standards ,
Certified By
Sections from the Code
,
https://wvvw.florzdabuilding.org/prlpr_app_dtl.aspx?param=wGE�'XQwtDqvyf4ngAXh 104... 7J312015
Florida Building Code Online . Page 2 of 2
} . �
Product Approval Method Method 1 Option D
Date Submitted 04/28/2015 -
Date Validated � 04/29/2015 '
Date Pending FBC Approval OS/06/2015
Date Approved 06/22/2015
Summary of Products
- F . Model,Number or Name Description
161.1 Guardian Hinged Door Guardian Hinged Door w/Glazed Insert.
Li ' s of Use Instailation Instructions
pproved for use in HVHZ: No FL161 RS II CWS-176E(Guardian Door).odf
Approved for use outside HVHZ:Yes Verified By: Lucas A.Turner 58201
Impact Resistant:No Created by IndependentThird Party:Yes
Design Pressure:+40/-40 � Evaluation Reports
Other:Not for use fn HVHZ. Primarily used with Screen FL161 RS AE EvalReo CWS-176E(Guardian Door).vdf
Rooms. Created by Independent Third Parfy: Yes
161.2 Guardian Hinged Door Guardian Hinged Door w/Solid Core.
Limits of Use Installation Instructions " �
Approved for use in HVHZ:No FL161 RS II CWS-242D(Guardian Door-Solid Core).odf
Approved for use outside HVHZ:Yes Verified By: Lucas A.Turner 58201
Impact Resistant:No Created by IndependentThird Party: Yes
Design Pressure:+40/-40 Evaluation Reports
Other:Not for use in HVHZ. Primarily used with Screen FL161 RS AE EvalReo CWS-242D(Guardian Door-Solid
Rooms. Core . df
Created by IndependentThird Party: Yes
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' Con[ad Us::1940 North Monroe Street,Tallahassee FL 32399 Phone:850-487-1824
7he State of Fiorida Is an AA/EEO employer,Coovrlqht 2007-2013 State of Florida.::Privacv Statement:�Accesslbilitv Statement Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mall address released in response[o a publfc-records request,do no[send
elecVonic mail to this en[iry Instead,contact the office by phone or by tradi[lonal mail.If you have any quesGons,please contact 850.487.1395.*Pursuant to
Section 455.275(1),Florida Statutes,effective October 1,2012,licensees Iicensed under Chapter 455,F.S.must provide the Departmen[with an email address if
they have one.The emails pmvided may be used for officlal communication wi[h the Iicensee.However email addresses are public rewrd.If you do not wish to
supply a personal address,please provide the Department wlth an email address which can be made availa6ie to the public.To determine if you are a Ilcensee under
Chapter 455,F.S.,please click here.
Pradud Approval Accepts:
� � ECheeV. �
5lY`If Y'I t V'tit 4T RI C1'
http s://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvyf4ngAXh 104... 7/3/2015
�
PRIME DOOR - NON-IMPACT GENER.4LNOTES: /Jq���,�
1.THE PRODUCT SHOWN HEREIN IS DESIGNED AND MANUFACTURED /V
(SHOWN w/ALUM.SINGLE HUNG) � TO COMPLY WITH THE FLORIDA BUILDING CODE(FBC),CURRENT W�NDOW SYSTEPIS
EDITION. 1900 SW 44TH AVE.
OCALA,FLORIDA 34474
2.GLAZINGOPTIONS:(SEESHEET2) " WWW.CWS.CC
37 1/4" 3.CONFIGUR,4TIONS:OUTSWING,LEFf OR RIGHT HINGED.
OVERALL WIDTH 4.DESIGN PRESSURE RATING: �OOO ALUM.
� , •NEGATIVE DESIGN LOADS BASED ON,TESTED PRESSURE AND GUARDIAN DOOR
UNIT WIDTH GLASS TABLES ASTM E-1300-04. NON-IMPACT
-POSITIVE DESIGN LOADS BASED ON,TESTED PRESSURE,WATER
� INFILTRATION TEST PRESSURE AND GLASS TABLES
DOOR CORE ASTM.E-1300-04. ,� r a,
- o
A 5.ANCHORAGE:THE 33 1/3%STRESS INCREASE HAS NOT BEEN USED N � `r H
IN THE DESIGN OF THIS PRODUCT.SEE SHEET 6 FOR ANCHOR o 0 0 0
DETAILS. WINDLOAD DURATION FACTOR Cd=1,6 WAS USED FOR WOOD
ANCHOR CALCULATIONS. � W o }
w t- ¢ m
7 5/8• 6.NOT APPROVED FOR IMPACT RESISTANCE.IMPACT PROTECTIVE �
HINGE(TYP.) SYSTEM IS REQUIRED IN WIND BORNE DEBRIS REGION. m m o Z
__ � LL m O
7.ALL FRAMES SCREWED TOGETHER. SMALL JOINT SEAM SEALANT P � � �
USED AT ALL FRAME JOINTS. N N Q Z W
37 1�2" j ' w w o � �
B B 2� o o W a
B HINGE(TYP.) �.'�'.. F o v
BJ_ g . o 0 o W
OVERALL > > ¢ o
HEIGHT � • — -••
' w O U m ¢ O
� NIT . �0���1p RE W�T�i i
HEIGHT � .```�5 cE�ni 'L�P�'.
�VP.•�� SF.,y�
� �: No 582D9 �����
i Lucas A. =*c * i*_
��" Turner �-n: �rrz'
DOOR 2015-04-27 �9�: STATE OF .:���
CORE 20:51-04:00 '.,'��:''�,<o R�O P G�Z'�`
I ����SSi�N A,��+`���
z�
4/27/2015
LUCAS A.TURNER,P.E.
FL PE#58201
1239 JABARA AVE.
� NORTH PORT,FL 34288
A PH.941-380-1574
6 A SHEET DESCRIPTION;
GENERAL NOTES AND
TABLE OF CONTENTS ELEVATIONS
DRAWN BY: DATE:
GENERAL NOTES&ELEVATIONS........1 il
CONFIGURATIONS...............................2 ADE 09/08/08
SECTIONVIEWS.....................................3 MAX. UNIT SIZE DESIGN PRESSURE RATING IMPACT RATING . oW�a: RE�.:
ANCHORSCHEDUNE&NOTES.............5 37-1/4��X ai�� +/-40 PSF NONE CWS-176 E
INSTALLATION DETAILS........................6 scA�E: SHEET
�'15 1 OF6
�������
. WINDOW SYSTEMS
1900 SW 44TH AVE.
� OCALA,FLORIDA 34474
27 3�4"
www.cws.cc
MAX UNIT W IDTH
23'1�2" 1000 ALUM. �
��a,ss o�o GUARDIAN DOOR
. NON-[MPACT
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// %Ot� STATE OF ����
:
:���F•A`�6 R��p;�����•
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' 4/27/2015
- � LUCAS A,TURNER,P,E.
GLASS DLO FL PE#58201
- 1239 JAB,4RA AVE.
SH-3500(SEE SEPARATE APPROVAL) NORTH PORT,FL 34288
ALL GLAZING DSB TEMPERED MIN. PH.941-380-1574
SHEET DESCRIPTION:
DOOR
, CONFIGURATIONS
� DRAWN 9Y: DATE:
ADE 09/08/08
DWG tt: REV,.
CWS-176 E
scn�e: SHEET
���� 20F6
u
+
.�
12 3/4" MAX O.C.(TYP.) ����'�
6" MAX.(TYP.) WIMDOW SYSTEMS
SEE NOTE 2
6" MAX.(TYP.) � 1900 SW 44TH AVE.
OCALA,FLORIDA 34474
� www.cws.cc
INSTALLATION
ANCHOR(TYP.j
1000 ALUM.
� � GUARDIAN DOOR
NON-IMPACT
��°
n�ax.o.c. �, r �,
(Typ,) • � o
a T ' w
� INSTALL TWO#8 ANCHORS THRU o � o. o
STRIKE PLATE AND DEADBOLT STRIKE
PLATE INTO SUBSTRATE(TYP.)
INSTALL ONE#8 ANCHOR THRU w � ¢ m
EACH HINGE INTO SUBSTRATE(TYP.) � �
- � - � LL m O
, o O (n
o N r =
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ANCHOR LAYOUT Z
`����`���DREbf"f��i
P� v T �i
- ��Vq-�?.��C E NSF G�Qti•.
��: No 58201 �:���
_ =*' .k .:�t'�
�-o: '��
NOTES: �9t STATE OF :w�
1.INSTALL ONE ANCHOR AT EACH INSTALLATION LOCATION. SILL ANCHOR SPACING SAME AS HEAD. �!��Fs�<o p 10����`��,'.
�'�4S;ONA 1f��0`.
2.SHIM AS REQ AT EACH INSTALLATION ANCHOR USING LOAD BEARING SHIMS. MAX.ALLOWABLE SHIM STACK TO BE 1/4". USE SHIMS WHERE SPACE GREATER THAN 1/16'IS PRESENT. LOAD BEARING �� �'
SHIMS SHALL BECONSTRUCTED OF HIGH DENSITY PLASTIC OR BETTER.WOOD SHIMS ARE NOT ALLOWED.
3.ANCHOR TYPE,SIZE,SPACING AND EMBEDMENT SHALL BE AS SPECIFIED IN THESE DRAWINGS,SEE TABLE 1,SHEET 6.
4/27/2015
LUCAS A.TURNER,P.E.
4.ALL INSTALLATION ANCHORS MUST BE MADE OF OR PROTECTED WITH A CORROSION RESISTANT MATERIAL OR COATING. DISSIMILAR METALS OR MATERIALS IN CONTACT WITH PRESSURE TREATED FL PE/t 58201
W OOD MUST BE PROTECTED TO PREVENT REACTION. 1239 JABARA AVE.
NORTH PORT,FL 34288
5.INSTALLATION ANCHORS SHALL BE IN ACCORDANCE WITH ANCHOR MANUFACTURER'S INSTALLATION INSTRUCTIONS,AND ANCHORS SHALL NOT BE USED IN SUBSTRATES WITH STRENGTHS LESS THAN PH.941-380-1574
THE MINIMUM SPECIFIED IN TABLE 1,SHEET 6. SHEET DESCRIPTION:
6.ANCHOR EMBEDMENT TO SUBSTRATE SHALL BE BEYOND WALI.DRESSING OR STUCCO. ANCHOR SCHEDULE AND
NOTES
' 7.A MINIMUM CENTER-TO-CENTER SPACING SHAIL BE MAINTAINED BETWEEN ALL FASTENERS:3'FOR MASONTRY,1"FOR WOOD AND METAL. oRnwN ar onTe:
8.WOOD OR MASONRY OPENINGS,BUCKS AND BUCK FASTENERS SHALL BE PROPERLY DESIGNED BY THE ARCHITECT OR ENGINEER OF RECORD AND INSTALLED TO TRANSFER WIND LOADS TO THE ADE 09/08/08
STgUCTURE.SUBSTRATES SHALL MEET THE MINIMUM STRENGTH REQUIREMENTS AS SHOWN IN TABLEI,SHEET 6. CONCRETE AND MASONRY SUBSTRATES MAY NOT BE CRACKED. � owc a: aev..
CWS-176 E
9.SEALING AND FLASHING STRATEGIES FOR OVERALL WATER RESISTANCE OF INSTALIATION SHALL BE DONE BY OTHERS FOLLOWING THE CURRENT VERSION OF THE REFERENCE DOCUMENTS: scn�E:
i FMA/AAMA 100(FIN WINDOWS),FMAlAAMA 200(FLANGE WINDOWS), FMA/WDMA 250(BOX WINDOWS),FMA/AAMNWDMA300(EXTERIOR DOORS) SHEET
1.2� 5 OF 6
TYPICAL HEAD ANCHORAGE ������,�
MIN.EMBEDMENT WINDOW SYSTEMS
SEE TABLE 1 MIN.EDGE DIST — i90o SW 4aTH AVE.
SEE TABLE 1 OCALA,FLORIDA 34474
SUBSTRATE BY OTHERS WwW.CWS.CC
SEE TABLE 1 INTERIOR 1/4' MAX.SHIM
PERIMETER SEALANT
BY INSTALLER MIN.EDGE DIST HINGE/STRIKEPLATE HINGE/STRIKEPLATE �OOO ALUM.
SEE TABLE 1 MIN.EMBEDMENT MIN.EDGE DISTANCE GUARDIAN DOOR
INSTALLATION ANCHOR SEE TABLE 1 SEE TABLE 1
SEE TABLE 1 NON-IMPACT
SEALANT BEHIND
FLANGE BY INSTALLER 1/4" MAX.SHIM MIN.EMBEDMENT `,� T °'
, HINGE/STRIKE PLATE SCREW SEE TABLE 1 N n ch �
SEE TABLE 1 T '-
o � o 0
Y ly, W
' INTERIOR INSTALLATION ANCHOR SUBSTRATE BY OTHERS w � ¢ m
SEE TABLE 1 SEE TABLE 1 � � � cn
SEALANT BEHIND PERIMETER SEALANT m °LL° m O
FLANGE BY INSTALLER BY INSTALLER � � o �n
INSTALLATION ANCHOR - � HORIZONTAL SECTION W w o � �
SEE TABLE 1 SEAL OR SET IN 6 TYPICAL JAMB ANCHOHAGE o o � a
CONCRETE OR MASONRY a Q w U
PERIMETER SEALANT ° .
BY INSTALLER a —� �_� a o
a � a MIN.EMBEDMENT w p U m ¢ O
SUBSTRATE BY OTHERS a o SEE TABLE 1 Z
SEE TABLE 1 `,`,��������rrr���
a ,`�� PT10REby T��i�i
I ���p.�?.��G E N S�L�pti�.
MIN.EDGE DIST. --I ^ ��:� No 58201 �:��:
SEE TABLE 1
A�VERTICAL SECTION �*t ir ''F-
�6J TYPICAL SILL ANCHORAGE "�� ;a=
�9';. S7ATE OF .��
%OT. �, •�U��
'�'♦
��i`C�Ss�O fi 10 N�•j,,��
'�r,��NA��t��•�`
X�
4/27/2015
LUCAS A.TURNER,P.E.
FL PE#58201
1239 JABARA AVE.
NORTH PORT,FL 34288
TABLEI:APPROVEDINSTALLATION FASTENERS
PH.941-380-1574
SHEET DESCRIPTION:
SUBSTRATE TYPE ANCHOR TYPE MIN.EMBE�MENf MIN.EDGE DIST. �
CONCRE7E(2.0 K51 MIN.) 3ns"ITW TAPCON i• i_vs• INSTALLATION DETAILS
CONCRETE(2.85 KSI MIN.) 3/16'ELCO ULTRACON 1• �^
2XMIN.SOU7HERN PINE(G=0.55) #10 WOOD SCREW �_3/g' ��2• DRAWNBY• DATE:
0.045"ALUM.(6063-T5 MIN.)OR #10 GRADE 5 SELF-TAPPING/ FULL iHREAD ADE 09/08/08
0.045'S7EEL(33 KSI MIN.) DRILLING SCREW 11-IRU 0.045' ��Z� owc a: qEv�
HINGE AND STAIKE PLA1E ANCHORS NOTE:GLAZED WINDOW FRAME ATTACHMENT SHALL FOLLOW ALUMINUM CWS-176 E
2X MIN,SOUTHERN PINE(G=0.55) #f8 WOOD SCREW 7-3/8' 7!8^ ANCHORAGE AS SHOWN IN TABLE 1 SCALE:
SHEET
1�2 60F6
� '�� Fa� �l��� � I IIIIII IIIII IIIII IIIII IIIII IIIII IIII9IIiII IIIII IIIII IIII IIII
�lorida ;� ���j;,������ 2016062574
��►ildin 6272 Abf�tt S4ation Dr. ' ,
g Un�101 Rcpt:1765400 Rec: 10.00
�,ode �hyrhiCi�,fL 3s����2 " DS: 0.00 IT: 0.00
04/22/2016 K. R. M. , Dpty Clerk
Pertnit No. Parcel ID No J
NOTICE OF COMMENCEMENT
State of �j��i O' 4 County of ���C"�
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement:
i Description of Property Parcel Identification No. ��/ - �G•a � � ��j v ` �d��� — ��f(o �
Street Address: �7 7.SoZ. e� �!�� �UO ' � "l' �3 S��
2, General Description of Improvement �Cth rJd� C�/!�'u �7��a Cd u� � Q lt r"�"���
3. Owner Information or Lessee information if tfie Le see contracted for the improvement:
l�fC ^�'G /S� —LL C t' �i�v�
� -li'-r'i�/ E�a�e/%a�� �✓• S�`� ,6'-3/� �-� �`f�� �e � 8s a s�(
Address , City S�a�e
Interest in Property� � !�/n �r
Name ot Fee Simple l'itleholder
(If different from Owner listed above)
Address / � / T Ciry State
4 Contrector � � rzc C�� � �u w� /
l��.5��1 e �lC'• /�/� �/ ��.,'��y��t r f l S f� � 33.�y'�
Address ? City ' State
Contractor's Telephone No.: ��J ` �u�+ � 73a d
5. Surety: ��
D
C
Name O�N D
Address Ciry State � �N�n
Amount of Bond: $ Telephone No.: � m
6. Lender; ��r
Name 'w'��
e�7�+s
Address City State ��W�
Lender's Telephone No. ��a��� �
0
7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by � c
Section 713.13(1)(a)(7),Florida Statutes: , �°�r
m
�
�O �
Name �~'�
��+o
3
Cit State �
Address y � �
0
Telephone Number of Designated Person: �
• m
8. In additiori to himself,the owner designates of �
(� to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number oi Person or Entity Designated by Owner:
9. Expiration date oi Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the
contractor,but witl be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE 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 OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I decfare that I have read the foregoing notice of commencement and that the facts stated therei�are true to the best
of my knowledge and belief
STATE OF FLORIDA
COUNTY OFPASCO
Signature of Qwner or Lessee,or Owner's or Lessee's Authorized
OKcer/Di rector/P artner/Man ag er
�/�ii.�� �
Signatory's Title/OKce
The foregoing instrument was acknowledged before me this�/ day of �C�20��by �ITL— //�'5����`"
as �����— (ty e of authority,e.g.,officer,trustee,attorney in fact)for
(name arty on behali of who 'nstru nt was executed).
Nota Si nat ' V�� i �
Personally Known 0 OR Produced Identification �Y 9 / . -�
�L+ 1J�'�L� Name Print ���/l�n�� !'� ��rL�TlC� '�..
Type of Identification Produced t � ,.
i�
,�+'�h��ty,�,I SHIRDENK.DELCOTTO
��� :r MY COMMISSION�EE 198857
5,,-�'��, a? EXPIRES:June 26,2016
� �,���Q�`' Bortded ThN Notary Public Underwriters
wpdata/bcslnoticecommencement_pc053048
. �
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- - ',�„ ^'s:;�
�,,l-
• -r.. �11115
Ci� of
Z h
tY eP Yr
BUILDING PLAN REVIEW COMMENTS
i Contractor/Homeowner: c�S'`f-El� �G����a�(
Date Received: �ZZ�,F�
Site: ��/�� �� �/ �
Permit Type: �Su�tyj�--�).y� L J�� �Y-�"��'��- ��U'yrC�2.�
- ���jc`s.�J
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
,'
. ',
I J
't andlor lans. �
Tlus comme sheet s � be kept wrth the pernu p
��� �6
Kalvin wi lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)