HomeMy WebLinkAbout15-16786 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 16786
. ' BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 16786 Address: 6151 SILVER OAKS DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-1280
Improv. Cost: 3,500.00 � OWNER INFORMATION
Date Issued: 12/16/2015 Name: VANATER, THOMAS W JR
Total Fees: 82.50 Address: 6151 SILVER OAKS DR
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 12/16/2015 Phone: (813)300-7120
Work Desc: REPLACE 6 WINDOWS SZ/SZ
CONTRACTOR S � APPLI.CATION FEES
CARROLWOOD WINDOW & DOOR , INC. BUILDING FEE 82.50
�G
; �� � �
� � �
� Ins ections Re uired �
FOOTER 2 D RO H P B M S 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 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.
CO T SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION ,
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-760-0020 City of Zephyrhills Permit Application _. F�-eis-�eo-oozi
Building Department /
�
Date Recelved Phone Contact for Permitting Gi'� 3 �Z - 7�7Cp
_.�_�..�t�..�...�...�_re ......._ �_....._.� .. ���.i_� r �.�..
� Owners Name /Tp✓� �/L7E{� TR Ow r Phone Number l G�3� ^7���
Owner's Address (p�7� ��-V���.5 �nCr Owner Phon
Fee Simple Titleholder Name Owner Phone Number
Fee 5imple Titleholder Address
JOB ADDRESS ���� ST L VFiR V� �I, Ii�SG� � �3S�Z LOT# I L-�
sueorvisioN SSLVf�2 G�1'KS pARCELID# �3-210-Zl-O/ZO�C.L'�-/280
(OBTAINEO FROM PROPERTY TAl(NDTICE)
WORK PROPOSED NEW coNSTR ADD/ALT [�] SIGN Q Q DEMOLISH
INSTALL B REPAIR
PROPOSED USE SFR Q COMM � OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK /VD'�/�- � ��✓-�WS SZZE Fi�: STZE
BUILDING SIZE SQ FOOTAGE� HEIGHT � ,
�TTTPT�rrrPT•TTl"'T�lT�rr�T'TTrrTRrTTTTRRrTTTR���P'ITTT
�BUILDING $ �'�� VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
0 PLUMBING $ � ��ry�G `�
� �N
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION \
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER����.....�.��...�..^...........=��;,i�COMPANY��.lr+r'r�..1CLtkX''D✓�^r'�'^"'�� • •�e.Li��.•
SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N
Address ��N011.('}f �S .�v� ,p�w�Q� �� License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1 1 1 I t 1 l 1 E 1 F 1 E 1 I 1 1 1 1 I I E 1 L 1 i 1 1 l 1 [ 1 1 1 !1 [1 1 1 1 1 I ! 1 [1 ! 1 1 1 1 1 1 1 1 1 1 f 1 E 1 I 1 i 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets oi Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facilities$1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
� SIGN PERMIT Attach(2)sets of Engineered Plans.
� ""PROPERTY SURVEY required for ail NEW construction.
�.Fi�f+i-Fi-FFF4.Ff-i-�L-i-1-f-N-R-i-i-L-f-1-�Y-f-i-f-i�-f-1-FI-FJ-FI-i-L-F-F-4�i-1-4-{-FF-i-1-1-t-i-f-i-f-i-Fl-i-1-�i-1-i-L-�-
Directlons:
FiII out application completely
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the contrector)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIITING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage)
Drivaways-Not over Counter if on public roadways..needs ROW
I
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in pians,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
� may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
I justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT_ / CONTRACTOR
Subscribed and swom t or affirrtlgA before me this Subscribed and swor (or affir d)before me this
by by
Who is/are personally nown to me or has/have produced Who is/are personally known to me or has/have produced
_ as identification. as identification.
� � -
lic Notary Public
".�;e4.: JOEL E.BACON
Com i Commissi No ---- -- -
;-'e��f11fTrtS1 3'���Q "�'r c'o ----- --
" s res lune 29.2 ,.,�'�a,.....�,,, JOEL E.BACON
Nam . ed,gdf�flugqfa�ig�r+neaero-385-7ot8 Name of Nota d, tAA9��SI0f1 ]6]�
_�',�a: Expires June 29,2018
�;�''�.'o;•'
, ,p��;� Bonded Thm Troy Fan Instirance 806385-7019
, � i iiiiii iiiii�iioi ii�ii iiiii ii�ii iiiii iiiii iiiie iiii�iiii iiii
20151992
Rcpt:1734106 F:ec: 10.00
DS: 0.00 IT': 0.00 �
12/15/2015 K. K. , Dpty Clerk
NOTICE OF COMIVVYENCEMENT
PRULA 5 0'NEIL,Ph D PASCO CLERK & COMPTROLLER �
120R BK01�2��m PG 2'T""F� �
Permit No.
PropeRyId�tifrcaaonNo. D� -�-2�-or� -vdoo�-�zg�
THE UIQDERSIGTIED heLeby gives notice th�improvements wilt be made to certainreal properry,and in accordance with Section
713_13 oftheFlorida Sbtutes,the following infoimation is pmvided in this NOTICE OF COhi11�NCEMEIVT.
�.D��Ptianof��*rc��r��n:� ��lv�rOkks �hu,y� 9nE P�z� '��> �-�� La'r�z8 o�c �crg �S3s
a)Street Address: �il�J� S//l��'1 �<5 /� . F1� t �5 �f. �7$�f'Z-.
2 General description�f�provemeutr:
E�ru t �zy �,��
I 3.Owner InfocmaUon � `� 1�,,, Cl / /�{ f' ( I
a)Nameandadd�s_ lilbi'�1�t�i 1�i�'1Ql�/�. fils� �,T!/Vl� Qkks � �f�n`IjQ�llls��/i 3�jy��
b)Name and address of fee s�ple titleholder(if otber ffian owner)
c)Iuterest in property O�.t)�1 G1Y'`
4.ContcactorInfoimation j Q� �6r'lC�av1J 7 �D/��n�� LazS � Vti �w 3�1,�
a)Name and add[ess: CGi 2i20I'I W;� � p/ �!i'!?tPH�f�l�7J j�i/D
b)TelephoneNo.: S(�1L_rj'f�(j—fI(�TI�j FaxNo.(Opt)- �
5_Svicety Informabon _
, a)Name and addmss
b)Amoant o#Bond "
c)Telephone No_: F�c 1Qo_(OpL)
6_Lender
a)Name and address
Phone No. '
7.Idenrity of person within the State of Florida desgnated by owner upon whom notices or other documen�may be served:
a)Name and address:
b)TefepSone�No.: FaxNo.(Opt}
- 8_In addition tu himsel�owner desig�nates the following petson bo teceive a copy of the Lieno�s Notice as provided in Section
7I3.13(1)(b),Florida Statutes
a)Name�d addtess
6)TelephoueNa: F�cNo.(E?pt)
9.Expuation d�e ofNotice of Commeacement(the expuation date is one ye�frn�the date ofrecoiding imless a�fferecrt date is
Specifie,�. -
WARNITIG TO OWPIER: A1�II'PAYMIIVTS MADE BY THE OWAIER AFI'ER THE EXPIRATION OF T�iVOTiCE OF
COMMRSICEMENT ARE CONSIDERED Il►IPBOPEAPAYMENTS II1�IDER CgAn'�713,PART I,SECTION 71313,
" FLORIDA SLATUTFS�:NA C�3�I RFS[�LT IN YOi7R PAYIlVGTWICE FOH 7R3PROVE�4ffi'il'S TO YOIIR PROPERTY.
ANOTICE Oir CO1HhiFd�ICEMErIT MDST SE RECORDID A1�ID PQ5TEd OlY THE SOS SFLE SEFORE THE FIRST
INSPECITONL IP YOII IlVTEND TO OBT�IK I�,4�C[tiG,CO1+TS[3L'£FOIIR LEDfDER OR AN ATEORNLY BEFORE
COMMENCIl�7G WORg OR RECORDING YOIIRNOTICE OF COMMLNCEMENT.
STATE OF.FLORIDA "
COUXl'Y OF PASCO
Si�t�ucofOwucorOwndsAmtim�d�0�"i � c
f �
- AmtName
. The foiegomg im-tn�ent was acknowtedged 6efoTe me this�day of /�'t��J�f'l��J'e� 20�7 by �1'I.C�WI� U A/'1 Cl,l��'
as ( of atrthority�e.g,office,tmstee,atiomey
in fact)for (nmme ofp�[y on behalfofw ipsu���` 'O�`l/1 ��
Petsonally&mwn�ProdncedId�tificarion_ Not�ySi�ae�/��
l�/� C /j/J����
Type of Ideutificabon Praduced Nmme(gc�t)�//�Q �I Ti����sJ r /I '
Verification p�uant to Section 92525,Florida Sfamte.s.Under penalties of pe�jury,I declaze th�I have read tbe fotegoing and that
the factr stated ia ic ace une to thebest ofmy knowledge andhelief
Slg��ofNaCualPusonSigningAbove /
FoftALSINoc,rvr�oU/ /
CHARLENE S MC LEOD
�ou v� COMMISSION p FF 1�4835
� vue��c . EXPIRES June 7,2017 �
STaiE OF
FLORIDA BONDED THROUGM
RLI INSURANCE COMPANY
,�c��c���
� . � :o
�
�J� ' _ � �TA�'E�F�LORI�,4, COVNTY OF P,4SC0
�. � THIS IS TC CERTfFY TNAT THE FOREGOING IS A
' F- � .; ��t��e•�.• �., TRUE AND CORRECT COPY 0�THE DOCUMENT
� • � ���' �'� � ON FILE OR OF PUBLIC RECORD IN THIS OFFIC�
� s'� 'N`="' 1NITNESS MY H,4ND AND OFFICIAL SEAL THIS
. �'
�a . 1��� o �� �D.AY OF % � pjSr
� . _ � ��r PAULA S. O'NEIL, CLER & COMPTROLLER
�' STA°�� �°A-��'`'
DEPUTY CLERK
N�a� � oo�.
Instal�Cing �t'rust One �i�Vin�faw at a 7ime
6025 US HWY 30l NORTH*TAMPA,FLQRIDA 33610
(813)626-76'76 '
REPLA�'EMENfi�'QNfiRAC�''
CLtENT NAME ��'� �IG.� T�-t/ DATE L� � Iv� PHt3NE v ��^� "� l�G�'�
STREET � �.�� � E L"��=� '��`K� 4 r BILLINGADDRESS ��'�'_=
CITY,STAZE,Z1P �"e � r��I�S J��r �•3✓��� EMAILADDRESS �
We prapose to do the following: .
1. Minor patch and repair ta plaster and stucca as needed due to removal of the old window units.
2. Sea1 the inside and.outside with white/bronze acrylic polyurethane caullc.
3. Haul off ald window frames,glass and debris directly related to the removal of the ald window units.
4. No touch up painting ta be done by Carrollw�ood Window&Door,Iric. installers.
5. No fuial glass cleaning to be done by Carroliwood Window&Daor,Inc.
6. Carrallwaad t�Vindow&Door,Inc. and aur employees shall nat be deemed responsible for extra cost
assaciated to prior damage to sills,plaster, stucco,framed openings,or other canstruction materials as a
result of water,termites, other subs, settling cracks, etc. ,
7. Carrollwood'Window&Daor,Inc is nat responsible for replacing alazm contacts the operational I
condition of the sys�em upon completiou of the work. �y s�j j �,,�j��� Cv- �
8. Note any special conditians: �f/ �
(����� 21.31�2-j
After acceptance by all parties, this dacumenr shall be considered a binding contract. In the event that it shall
become necessary to employ an attorney ta callect any amount due under this contract, then Client will be liable for
attorney's fees and costs incurred in such callection. �7 �a� e�
Depasit($ r ` �� )Balance ($ �'�v� }
VV=�-pp�epe�e-�o-€t�ris�����e�l-�--labor-cc�mpiete-irr-a�a�rcian�e-wwitK abzFv���e i ica�ions�r�he"-� _ .
sum of ($ ��� ' ). Payment to be made as follows: 5t}°lo deposit upon
placement of the order with the balance due in full upon�substantial completion af the work.
Alt material is to be as specified. ,911 work to be completed in a prafessional manner according fo sta»dard practices. Arry atteration or
deviation,f'rom above specificatia»s irzvolving�tra costs will be�xecuted only upon wrinen orders and will became an�rtra charge above
the estimate.
Acceptance af Proposal: the above prices, specif cations and conditions are satisfactary and are
hereby accepted: You are authorized to da the work as specified. Payment will be made as
outlined above. ' �
!/" 2 —'' - _ , , _, .. � . � .
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Date af Acceptance: Signature:
Signature: .
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�1�+.*iL{.����t��n�t' BCIS Home � Log In � User Reg�ation � Hot Topi6 j SubmR Surcharge � StaCs 8�FacLs � PubGcatbre � FBC Staff � BCIS Site Map � Links � Search x4, .
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' a Product Aocroval Menu>Product or Aoofication Search>Appliwtbn Ltst>AppGmtion Detai
• =• FL# FL1435-R17
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 PGT Industries
Address/Phone/Email 3070 Technology Drive
North Venice,FL 34275
(941)486-0100 Ext22318
druark@ pgtindustri es.com
Authorized Signature ]ens Rosowski
j rosowskl @ pgti n dustries.com
Technical Representative ]ens Rosowski
Address/Phone/Emaii 1070 Technology Drive
' Nokomis,FL 34275 ,
(941)486-0100 Ext21140
j rosowski @ pgti nd u stri es.com
Quality Assurance Representative
Address/Phone/Emaii
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency Keystone Certifications,Inc.
Validated By Steven M.Urich,PE
`� Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/IS2/A440 2011
AAMA/WDMA/CSA 101/IS2/A440 2005
AAMA/WDMA/CSA 101/I52/A440 2008
ANSI/AAMA/WDMA 101/I.S.2/NAFS 2002
ASTM E1886 2005
ASTM E1996 2012
ASTM E283 2004
ASTM E330 2002
1 of 3 10/27/�015 11•1 R AM
Florida Building Code Online https://floridabuilding.org/pr/pr_app_dtl.aspx?param�vGEVXQwtDq...
w. '
, Equivalence of Product Standards
� Certified By
Product Approval Method Method 1 Option A
Date Submitted 10/07/2015
Date Validated 10/08/2015
Date Pending FBC Approval
Date Approved 10/11/2015
Summary of Products
FL# Model,Number or Name Description
f 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 R17 C CAC Certification SH2DO.odf
Approved for use outside HVH2:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 05/28/2016
Design Pressure:N/A Installation Instructions
Other:Please see the Installation Instructions for design FL1435 R17 II SH-200.pdf
pressure,size and anchorage information.The Pass-Thru Verified By:A. Lynn Miller,PE 58705
version was not tested for water infiltration. Created by Independent Third Party: No
Evaluation ReporLs
FL1435 R17 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 Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R17 C CAC Certification 200HD.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 01/08/2017
Design Pressure: N/A Installation Instructions
Other:Please see the Installation Instructions for design FL1435 R17 II SH-200HD.odf
pressure,size and anchorege information. Verified By:A. Lynn Miller,P.E.58705
Created by Independent Third Party:No
Evaluation Reports
FL3435 R17 AE SH-200HD Evafuation.odf
Created by Independent'ihird Par[yr No
14353 SH-400 Vinyl Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL1435 R17 C CAC SH-400 Certifications.odf
Approved for use outside HVHZ:Yes Quality Assurance Contrect Expiration Date
Impact Resistant:No Ol/21/2017
Design Pressure: N/A Instaliation Instructions
Other:Please see the Installation Instructions for design FL1435 R17 II SH-400c.pdf
pressure,size and anchorage information. � Verifled By:A. Lynn Miller,PE 58705
Created by Independent Third Parly: No
Evaluation Reports
FL1435 R17 AE SH-400c 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 R17 C CAC SH-500 Certification R14.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistaot:Yes 08/27/2016
Design Pressure: N/A Installation Instructions
Other:Please see the Installation Instructions for design FL1435 R17 II SH-SOOc.odf
pressure,size and anchorage information. Verified By:A. Lynn Miller,PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R17 AE SH-SOOc Evaluation.odf
Created by Independent Third Party:No
2 of 3 10/27/2015 11:18 AM
Florida Building Code Online https://floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDq...
_ ,
� 1435.5 SH-800 WinGuard Multistory Aluminum Single Hung Window
Limits of Use Certification Age�cy Certificate
Approved for use in HVHZ: No FL1435 R17 C CAC SH-800 Certification odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 09/07/2017
Design Pressure: N/A Instaliation Instructions
� Other:Please see the Installation Instructions for design FL1435 R17 II SH-800c.odf
pressure,size and anchorage information. Verified By:A.Lynn Miller, P.E.58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R17 AE SH-800c Evaluation.odf
Created by Independent Third Party: No
1435.6 SH-5400 EnergyVue Vinyl Single Hung Window
Limits of Use Certification Agency.Certificate
Approved for use in HVHZ:No FL1435 R17 C CAC SH-5400 Certification.odf
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 R17 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 R17 AE SH-5400 Evaluation.odf
Created by Independent Third Party: No
1435.7 SH-5500 WinGuard Vinyl Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R17 C CAC SH-5500 Certification.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 10/OS/2018
Design Pressure: N/A Installation Instructions
Other:Please see the Installation Instructions for design FL1435 R17 II SH-5500.odf
pressure,size and anchorage information. Verified By:A.Lynn Miller,P.E.58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R17 AE SH-5500 Evaluation.odf
Created by Independent Third Party: No
Badc Next
Contact Us::1940 North Monroe Stree[.Tallahassee FL 32399 Phone:650-487-1624
The State of Fbrida 6 an AA/�-0 empbyer. ooyrioh[2007-2013 SLate of Fbrida.::Privacy Sta[ement::Accessb�i[v Statement::Refund Statement
Under Florida law,email addresses are pubGc 2cords.ff you do not want your e-mail address reteased in msponse W a pubfic-records request,do not send elecGonic
mail to this entity.Instead,contact the office by phone or by traditional ma7.ff you have arry questbns,please cantact 850.487.1395.'Pursuant to Sectton
455.275(1),Fbrida Statutes,efFective October 1,2012,I'icensees licensed under Chapter 455,F.S.must provide the Departrnent with an ema�7 address�they have
one.The emaiLs provided may be used for offxial communicatbn with the Iicensee.However emaq addrnsses are pubGc record.ff you do not wLsh[o suppy a personal
address,please provide the Department with an ema�7 addrnss whkh can be made ava8able to the public.To detertnine if you are a licersee under Chapter 455,F.S.,
please[Gck h�_.
Product Approval Aooepts:
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3 of 3 10/27/2015 11:18 AM
� GENERAL NOTES:SERIES 5420
NON-IMPACT RESISTANT.VINVL FU(ED
WINDOW --
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�iG'i;?�✓`����rJ BCS Home � Log In � User Reg'sUation � Hot Top'Ks f SubmR Surcha�ge � Statr�FacLs � PubGcatiore � FBC S[aff I ��Site Map � Links � Search j
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Produc[Aooroval Menu>Product or Aoolication Search>Apoiication List>Appfiotion Deta�
• FL# FL5012-R16
Application Type Revision
Cade 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 � G
Product Manufacturer PGT Industries
Address/Phone/Email 1070 Technology Drive
North Venice,FL 34275
(941)486-0100 Ext22318
i 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
j rosowski @ pgti ndustries.com
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Fxed
Compliance Method Certification Mark or Listing
Certification Agenty Keystone Certifications,Inc.
Validated By Steven M.Urich,PE
� Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA 506 2008
AAMA/WDMA/CSA 101/IS2/A440 2011
AAMA/WDMA/CSA 101/IS2/A440 2005
AAMA/WDMA/CSA S01/IS2/A440 2008
ASTM E1886 2005
ASTM E1996 2012
ASTM E283 2004
ASTM E330 2002
1 of 4 10/27/2015 11:24 AM
1
Florida Building Code Online https://floridabuilding.org/pr/pr app_dtl.aspx?param�vGEVXQwtDq... I
. Equivalence of Product Standards
' Certified By
Product Approval Method Method 1 Option A
Date Submitted SO/07/2015
Date Validated 10/08/2015
Date Pending FBC Approval
Date Approved 10/12/2015
Summary of Producks
,FL# Model,Number or Name Description
5012.1 PW-220 Aluminum Fxed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5012 R16 C CAC F-220 Certification.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 10/24/2017
Design Pressure: N/A Installation Instructions
Other:Please see the Installation Instructions for design FL5012 R16 II F-220.odf
pressure,size and anchorage information. Verified By:A.Lynn Miller,PE 58705
Created by Independent Third Party:No
Evaluation Reports
FL501Z R16 AE F-220 Evaluation.odf
Created by Independent Third Party: No
5012.2 PW-420 Vinyl Fxed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL5012 R16 C CAC F-420 Certification.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No OS/Ol/2017
Design Pressure:N/A Installation Instructions
Other:Please see the Installation Instructions for design FL5012 R16 II F-420.odf
pressure,size and anchorage information. Verified By:A.Lynn Miller,PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R36 AE F-420 Evaluation.odf
Created by Independent Third Party: No
50123 PW-440 Vinyl Fxed Casement
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL5012 R16 C CAC Certification-CA440F odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No SO/28/2018
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions for design FL5012 R16 II FCA-440.odf
pressure,size and anchorage information. Verified By:A.Lynn Miller,PE 58705
Created by Independent Third Parly: No
Evaluation Reports
FLSOSZ R16 AE FCA-440 Evaluation pdf
Created by Independent Third Parly: No
5012.4 PW-520 WinGuard Vinyl Fixed Window
Limits of Use Certification Agency Certi£cate
Approved for use in HVHZ: No FL5012 R16 C CAC Certifications PW-520 odf
Approved for use outside HVHZ:Yes Quality Assurance Contrect Expiration Date
Impact Resistant:Yes 08/15/2016
Design Pressure: N/A Installation Instructions
Other:Please see the Installation Instructions for design FL5012 R16 II F-520.odf
pressure,size and anchorage information. Verified By:A.Lynn Miller, PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R16 AE F-520 Evaluation.odf
Created by Independent Third Party: No
2 of 4 10/27/2015 11•�4 AM
Florida Building Code Online httpsJ/floridabuilding.org/pr/pr app_dtl.aspx?param�vGEVXQwtDq...
; �
�
, ' � 5012.5 PW-540 WinGuard Vinyl Fixed Casement
�Limits of Use Certiflcation Agency Certificate
( Approved for use in HVHZ:No FL5012 R16 C CAC Certification-CA540F.edf
Approved for use outside HVH2:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 10/28/2018
� Design Pressure: N/A Installation Instructions
� Other:Please see the Installation Instructions for design FL5012 R16 II FCA-540.odf
;pressure,size and anchorege information. Verified By:A.Lynn Miller,PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R16 AE FCA-540 Evaluation.odf
Created by Independent Third Party: No
5012.6 PW-640 Aluminum Fixed Casement
Limits of Use Certifcation Agency Certifcate
Approved for use in HVHZ:No FL5012 R16 C CAC CAPW-640 Certifications.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 02/25/2019
Design Pressure:N/A Installation Instructions
Other: Please see the Installation Instructions for design FL5012 R16 II FCA-640.�df
pressure,size and anchorege information. Verified By:A.Lynn Miller,PE 58705
Created by IndependentThird Party:No
Evaluation Reports
FL5012 R16 AE FCA-640 Evaluation.odf
Created by Independent Third Party:No
5012.7 PW-2720 PremierVue Vinyl Fxed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5012 R16 C CAC Certifications PW-27ZO.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Eupiration Date
Impact Resistant:Yes 05/30/2016
Design Pressure:N/A Installation Instructions
Other: Please see the Installation Instructions for design FLSOSZ R16 II F-2720.odf
pressure,size and ancho2ge information. Verified By:A. Lynn Miller,P.E.58705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R16 AE F-2720 Evaluation.odf
Created by Independent Third Party: No
5012.8 PW-2820 PremierVue Vinyl Flxed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5012 R16 C CAC Certifications PW-2820.pdf
Approved for use outside HVHZ:Yes Quality Assura�ce Contract Expiration Date
Impact Resistant:Yes Ol/28/2016
Design Pressure:N/A Instailation Instructions
Other: Please see the Installation Instructions for design FL5012 R16 II PW-2820.odf
pressure,size and anchorage information. Verified By:A.Lynn Miller,P.E.58705
Created by Independent Third Parly: No
Evaluation Reports
FL5012 R16 AE F-2820 Evaluation.pdf
Created by Independent Third Party: No
5012.9 PW-3020 Architectural Systems Aluminum Fxed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FLSOIZ R16 C CAC Certifications PW-3020.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 09/11/2016
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions for design FL5012 R16 II F-30ZO.odf
pressure,size and anchorage information. Verified By:A.Lynn Miller, PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R16 AE F-3020 Evaluation.odf
Created by Independent Third Party:No
5012.10 PW-5420 EnergyVue Vinyl Rxed Window
Limits of Use Certification Agency Certificate
Approved for use in HVH2:No FL5012 R16 C CAC PW-5420 Certification.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 07/29/2018
Design Pressure:N/A Installation Instructions
Other:Please see the Installation Instrudions for design FL5012 R16 II F-5420.pdf
3 of 4 10/27/2015 11•24 AM
Florida Building Code Online https://floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDq...
� ' pressure,size and anchorage information. Verified By:A.Lynn Miller,P.E.58705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R16 AE F-5420 Evaluation.odf
Created by Independent Third Party:No
5012.11 PW-5440 EnergyVue Vinyl Fxed Casement Window
Limits of Use Certification Agency Certificate
Approved for use in HVH2:No FL5012 R16 C CAC PW-5440 Certification.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 07/29/2018
Design Pressure:N/A Installation Instructions
Other: Please see the Installation Instructions for design FL5012 R16 II FCA-5440.odf
pressure,size and anchorege information. Verified By:A.Lynn Miller,P.E.58705
Created by Independent Third Par[y: No
Evaluation Reports
FL5012 R16 AE FCA-5440 Evaluation.odf
Created by Independent Third Party: No
' S012.12 PW-5520 WinGuard Vinyl Fxed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL5012 R16 C CAC PW-5520 Certification odf
Approved for use outside HVH2:Yes Quality Assurence Contract Expiration Date
Impact Resistant:Yes OS/12/2018
Design Pressure:N/A Installation Instructions
Other: Please see the Installation Instructions for design FL5012 R16 II F-5520.odf
pressure,size and anchorage infortnation. Verified By:A.Lynn Miller,P.E.58705
Created by Independent Third Party:No
� Evaluation Reports
FL5012 R36 AE F-5520 Evaluation pdf
Created by Independent Third Party:No
5012.13 PW-5540 WinGuard Vinyl Fixed Casement Wlndow
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL5012 R16 C CAC PW-5540 Certification.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 08/12/2018
Design Pressure:N/A Installation Instructions
Othe�:Please see the Installation Instructions for design FL5012 R16 II FCA-5540.odf
pressure,size and anchorage information. Verified By:A.Lynn Miller,P.E.58705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R16.AE FCA-5540 Evaluation.odf
Created by Independent Third Party: No
Badc Next
CoMact lJs;;1940 North Monme Street Tallahasce>F 3 4 Phone:850-487-1824
The State of Fbrida s an AA/�-0 empbyer.,�opyrioht 2007-2013 State of Fbrtda.::PrNacy Statement::AccessbdiTv Statement::Refund StatemeM
Under Fbrida law,emal addresses are public records.If you do not want your e-mail address released in mspor�se to a pubGc-records request,do not send electronic
ma0 to this en[ity.Instead,contact the office by phone or by trad�onal maiL ff you have arry questiore,please contact 850.487.1395.•Pursuant to Sectbn
455.275(1),Fbrida Statutes,effective October 1,2012,Gcervsees i'icensed under Chapter 455,F.S.must provide[he Departrnent wnh an ematl address if they have
one.The emaik provided may be used for offidal mmmunkatbn wi[h the I'icereee.However ema0 addresses are pub6c record.If you do not w5h to suppty a persanal
address,please provide the Departrnent with an ema�1 add�s whkh pn be made avaaable to the publk.To determine fiyou are a licereee urder Chapter 455,F.S.,
' please ctrk��.
ProduQ Approvai Amepts:
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4 of 4 10/27/2015 11•24 AM
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �a R��l.C.�00� �}a At0�,J �- �00�
Date Received: l� �- � � — � S �
site: 6 l 5 l � t LvC� 0/�4CS �R '�
Pernut Type: R�p1.,�C1= 6 w� N oaws SlS
Approved w/no comments� Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
����'���
Kalvin Swit Plans Examiner Date Contractor and/or Homeowner
� (Required when comments are present)
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