HomeMy WebLinkAbout15-16852 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 16 2
� BUILDING PERMIT
PERMIT INFORMATION � � � . LOCATION INFORMATION -
Permit Number: 16852 Address: 38840 HENRY DR
� Permit Type: ADDITION/ALTERATIOIV ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0180-00000-0320
Improv. Cost: 1,069.00 � ` . OWNER INFORMATION
Date Issued: 12/23/2015 Name: REUBENS VIRGINIA M TRUST EUBENS
Total Fees: 67.50 Address: 38840 HENRY DR
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 12/23/2015 Phone: (813)788-1316
Work Desc: INSTALL GARAGE DOOR 9 'X 7 '
CONTRACTOR S � � APPLICATION FEES
BANKO OVERHEAD DOORS INC BUILDING FEE 67.50
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` � ` Ins ections Re uired - � � -
F ER 2 D ROUG PLUMB MISC INSULATION CEILI
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your 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. I
�, ��
CONT OR 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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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ,(r%�Gt.G�(} °�..li'e-C�
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Date Received: ��— ��j��
Site: (} �`F��� �i.�
Permit Type: �G� ,e.G��� l��
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit andlor plans. �:
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Kalvin S itz r— s Examiner ate Contractor and/or Homeowner
(Required when comments are present)
• � �-� � r ' Building Departmenf '
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Date lisceive,d • � ,�,�..—� • i � ' " � ���' ����
Phane Contact for Permitting `• l 3�
Owner's Name 1"/�'�i�LJ�� � JZ.-t�b.�,n S Qwner 1'hane Numbec �' �3'" 7g_8 — r 316
, . � -� . . .. . �
awne�'s Address 3�43 �b � h'�?� ,Z�r � � �usmer Phone Numbe��M
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Fee Stmpie Tatiehaider Name �. ' ' ' Owner Phone Nurriber
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Fee Slmgte Tiftehatder Address' i ' � �
��fla Aon�ss 3$�K g rt'{n� v� 2z,�I.yr�►�'I�s, �'� 3�S`,'�'Z • I.OT:� ,3"Z .
aik �/i// ' ' � PARCE�.ID#DZ " 26 -'�t -o� 8�0 -vovd v_0 3.Zo .
SUBUIVISION. • .. , tpBTAiNEDFRfldSPROPERTYTAXNOTlC� � �
WORK PRC)POSEp ' , ' NEW CONSTR ADDlAL7 •Q SIGN Q . MOVE [� DEMOLiSF� . ,
• e ! tNSTAlL e ��REPAlR • •
PRQPOSED USE . � t SFR , ' �- COMM Q OTHER ' •
TYPE UF Gt'liVS7RUCT101+1 Q ; Bt»OCK Q FRAME ' .Q STEEL Q OTHER(�� �i7
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�ESCRIPTION OF WORK, � �/rr/ p. �a.� ��da r •-( Jl�7' ' GG-�#' / .f Z?4• I 2 G - �.
BUILDING SIZE � ; SQ F007AC`aE�l�� ' HEIGHT �,_�
,
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' Q BUILDING � y�� Q � , � VAI.UATION OF T07AL CONSTRUCTION .
Q ELECTRICAL �$ • �� '. AMP SERVICE Q PRt7GRE$S ENERfiY Q W.ft.E.C.
. L__.!� _ .� ' . .
Q FLUNiBiNG `$ I ' ' '''� � .
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Q AAECHA�i1CAL �$ , � . VA,[.tlATiC1N OF MEGHAN{CAL INS3�LiA"TfON '
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� • GAS r , , [� �, ROOFIi�I�- ,[� . SPECIAL3Y Q `4THE32- . .
FINISHED FLOOR ELEVA'T ONS FLOOp ZONE AREA. QY'ES [�NO '
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BUIt,DER ,,, ,�� ' �""„��-�.' ,s� , � ��L,J , COMPANY ����i t/tf.c/�tc�� � L�v rS
SIGNATURE °� � R�GIsrEFiEO Y/ IV " �FEECUR�NT .Y�/N
Address I I � . � � - . ..t3�cense# � � oO�t3 7 9 Y �
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ELE�'Ci21CfAt�t. � I . . . . -`GCiM�ANY .. .
stGNATIiRE � !i� ��is��n � .Y/ N . ���cuRReNr - Y/N .
Acidress. • ' � ` � . - t,{cense# C ' • �
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PLUMBER t` . � ; . 1 . �t . COMPANY - . ' -
SIONATURE• j �cisr�x�o Y/ N F�E CuttRENT ' �Y!N
Address � '' ' �LtGeiiSe#� �! - �
MECHAt+1iCAi. . � � � ' � Ct}MPANY " : : _
• SIGNA7URE � - : � REGISTERE� Y/ M , FEE CURREN3' - Y/N . ' .
Ac3dress � � • • ' � _ LiCense�# � . �
.� �-OT�IER' . , _. ..___... .----- _. Y � - � � . �
SIGNATUFtE � . ... �._ REGts7EREa ' Y/ i� FEE CURRENT tc( . __._.._
. �
Address � . . . . • � • - ' l.icerise# 1 �
RESlDENTIAL Attac�(2)Plo Plans;{2)sets of Building Plans;(1)set uf�nergy Farms;l2-0=W Permik for neinr constnuctlon,
.� Nt�nicnum.ten. „0}working,days afEer suhmlklal date. Requi�ed onsite,Canstructian P[ans.St�rmwater Plans wl 5(If Fence�nstat(ed,
� �� •• Sanit`ary.F�cili es&,1:dumps�er;Site Woric Perinik for snbdivlsicins/large projects
COMMERCIAL . Attach.(3)co plete sets of 8uilding Plans p{us a!_ife Safety Page;.{1)set of Energy Forms.R-Q-W PermIt for new wnstrucfian.
. Minisyium-ten '[4}wocking days a�ter submitta4 date. Required flnsiie,-�ons#rucE�on P1ans,Sfoimwatec Pia�s wl 3ift Feiice�mstatled,
Sanih�ary Facil4ties&1 dumpster.Site Wodc Permlt for ail new proJects.All commercial requirements mt(st meet cbmpliance
, ' SIGN PERMIT Attach{2)sets of Engioeered Plat►s. ,
{"`**1'�20PEF2`'iY SUF�VEY required fpr atl:NEW.construc�an. -- • - .
Directions; . l� • , � . .
Fiii aut appiicafian cflmptetely: � � ' � " _ . . ,._ . .
Ouvner 8�Cantractor s'�ign b�ckfof application,notanized � • ' ' -
!f ovet�254Q,a Not�ce Qf Gs�inmencemeant is required. {AtC upgrades aver$5004) - "
" Agent(for ihe contraetor)or P�wer of Attorr�ey(for t,he ovu�er)would be someone with natarized letker from owner autharizing same -
. . i .
OVER itiE GOUNTER PEttMii3't � (Frocst af ApplscaBon Only} •
Reroofs Se�ers Service_Upgrades A1C Fences(P(otlSurvay/Footage) . .
Driveways-tVot aver�Gour�ter f on pubGc roadways.:needs FtOYit �
.. . . .f� .i. i1��7� 1`'_ ,:ir rSi` �i}.,'{'..
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i.4"�:.. . .� '.C. e � �.r �.:�� i, . 4::.�:�-?l''J1,,'J�'l�t�j���'``��t y.',.+". i.
,ti�`i� ,_:,�;`. � .1.� � t 4�,�',y1.,�e ' ' . .,.s:4;�.",�"::.. . � .. .,.._ " `a�v�• I.' .
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NUTiCE tJF DEED RES RiCTit�NS: The undersigned unders#ands that this permit may be subject'to"deed°testrictions"
whlch may be more resfr�cfive fh�an County reguiations: The undersigned assumes responsibitity for campliance witii any
applicable deed restnct�o�s. '
UNLiCENSEC► CCtNTR/�CTORS AND CQNTRACTOR RESPONSlBlLITIES: If the owner has hired a conti�actor qr
contractors#o undertake wotk, they may be required ta be iicensed in accordance with sfate and 4�cal regulations, tf the
contractor is not ticense� as re�uired by law, bofh fhe awner and contracfor may be cited for a misdemeanor violatFon
under state law. !f the owner aF lntended conh�ator are uncerfain as ta what liaensing recjuiremenfs may apply for the
intended wark� they are i dvisedi ta contact#he Pasca Couniy Building lnspection Division—Licens��ng Section at 727-847-
8008. Furthermore, if t�e owner has hired a conttactor or cantraaEors, he is advised to hav� the con#ractor(s} sign
portions of fhe "contract¢r Btock" of this appticatian for whieh fhey witi be responsibie. If you, as the awner sign as the
cantractor; that.may be an indidafion fhat he is not property iicetised and is nat entifled ta permitEing privileges in Pasco
County. ��. , � .
TRANSP+DRTATION IM ACTIUTILITlES iMPACT AND RESClURCE REC�VERY FEES: The undersEgned understands
that TransporEaEion tmp c#�Fees and Recaurse Recovery Fees may appiy to the construCtit�n of neW buil8ings, change o€
use in existing buildings or expansion of ex�sfing buitdings, as specifieci in Pasco Counfy Ordinaerce number 89-07 and
90-Q7, as amended. T e undersigned also understands, that such fees, as may be.due, will be idenfified at the fime af
permitEing. 1t is further nderstood that Transpartatian Impact Fees and Resource Recovery Fees must be paid prior�to
receiving � °certificate of occupancy" or final power release. ff the praject does nat involve a certifca�e a#occupancy or
final power release, the�fees musf be paid prior ta permit issuance. Furthermore, if Pasco Caunfy WaterJSewer tmpact
fees are due,fhey must be paid prior#in permit issuance in accordance with applica6le Pasco Caunfy ordinances: •
CONSl'�UCTi�N E.i�N LAW tGhapter 713, Flarida Statu�es,as am�nd�d)`. !f va�lua#ion of vuork is$2,SOO.qO or rnore, 1 •
certify fhaE 1, the appfi anf, have been prawided with�a copy c�f the °Fiarida Constructian Li�n Law Homeowner's
Protect9on Gufde" prep red by'the Fiorida Department af Agricuiture and Cansumer Afifarrs. if tho appiicant is someane
ather�than th�°ovtiner", certify�#hat�I�have abtained a copy of the above described dacument and promise in good�faifh to
deliver it fo the"owner" rior ta commencement. � .
CONTRACTOR'SI�W ER'S AFF1DAVtT. I certifjr#hat all th�informaffon in ihis application fis accurate and that afi work
wil! be done in camplia�ce wltii alt appticable laws regula#ing consfructian, zoning and iand devetapment. Apptication is
hereby made to obtain a perinit to do work and installation as indicated. 1 cerfify that no wark or instatlation has
cammenced prior to issuance�of a permiE and that a!I work wiN be pertormed to mee# starrdards of all laws regulating
construction, County a'd City!cades� zoning regutafians, and land development regutat9ans in the jur9sdiction, ! af'so
certify tha# I undersfan�fhat#Fie regutafions �f ofher gvvernmenf agencies may apply fo the intended woric, and fhat it is
my cespanslbil4ty ta ider�iEi€y what actions !must take�to be:in compliance, Such agencies inctude buE are not[imited fo:
- Deparfinent af Environmentai Pratection-Cypress Baylieads� Wetland Areas and Env9ronmer�ta!!y Sensit�ve �
Lands,V11a erlWastewater Treatrrtent: ,
- Southwest �Flarida Water- Management District Wells, 'Cypress Bayheads, Weftand Areas, Aitering
Watercour�es. ` ` ' � - ,
� - Army Corps of.Engineers-Seawafls.,Docks.�tav3gable V1laterways.
- Departme t of Nealtii�`Reiiai�ilitafive ServiceslErivironmentai Nealth Unit Wells, 1Nastewater._Treatment.
� Septic Tan s. � • _
- US�Envir+� mental��Protection Agency-Asbestas abatemen#.
- Federai A ia#ion Authority-Rarnvays.
I undersfand that the f�8owing�resfricfions apply ta the use af fiii: �
- Use af fiA i� not allawec!i►i Flood Zone°V"unless expressiy permitted.
- if #he fif) matetial 4s to be used in Flood Zone °A", it is understood thaE a drainage pian addressing a
".compens�ting vayume" wifi be subm�tted at�#€me of pert�riitt�ng which is pregared by a professiona!`engineer
ticensed b�fh�St� te of Florida. ` � � � '
- !f the fii! ate�ial�is to be used in Flood Zone "A° in conriection wiEfi a permitted building using,s#em waii
constructi�n, !cert#fy that fi!!vui!!be used only to filf the area within the stem wall.
- lf.flil materiai is tcr be used in any a'rea, 1 certify that use of such fill viril! not adversely affect.adjacent
� properties� if-use of flt is found to adversety aifect adjacent properties,the owner may be c�ted€oc violat�ng
, the candit�ons•of Efhe building permit issued under the af#aaheii pecmif appiication, f�r lat� less than one ('f)
acre which are elevated by fill,an engineered drainage-plan is required.
If i am the AGENT F�R THE�OWNER, i promfse in good fai#fi#o inform the owner of the permitfing conditions set forth in
this af�idavit prior to cammencing constructian. i unders#and that a separate permit may be required far electrica! work,
piumbing, signs, welfs�, pools; atr conditioning, gas, or ofher�instailations not spec3ficaily 'rnciuded in the applicatiori. A
permit issaed shali bet canst►ved to be a licer�se to proceed with the work and not as aufhority to.vioiafe, cancei, aifer, or
set aside any provisio�s of fhe technicai codes, nvr shali issuance af a permit prevent the Building Official fram fhereafter i
�equiring..a:.correation:�af..errors.in.:pla�ts,:.cons#rucfion.oT violaf�ans of any cocles. �ve.ry permft issued shall,:beco�rte�iraYalid- --
unless the work aukhorized by such permit is aommenced within six months of permit issuance, ar if work acithor�zed by
the permit is suspended or abandanec!far a periad of six(6)months after ftie fime the work is commenced. An extension
may be�requested, fin�writing� fram the Buildtng C)ff'tcia! for,a-period no't to sxceed ntnety.(90) d�ys and witl demonstra�e
jusfifiabte cause for#h�e extension. if wot'ic Ceases for ninet}!{90}consecutive days,the,�job is cans�deced abandoned. ,
�- �iil'ARNIN�TE'D (J1NN�l�:_.Y_QUR �AlLURE TO RECCIRD A NOTiCE UF CUMMENCEMENT itAAY�RESULT tN YOUR •
RAYiNG'`fWlCE_F<OR1MP_.R�VEMEN ST `T'O Yt?ftf�t•P�?.ClPEl:-T-1(.-l�.YOU INTEND�TO.UBT141N FII�fANCtNG�,CONSULT
WiTH'1fOUR LENDER t3R,AN:ATTCiRNE " EF'QRE�R�C(?RQlNG YOOR<NOTICE�C)F�G(9�f1i1��iY�E�4'IEP33'.-` -__.._.__
FLOR(QA Jt1RAT(F.�) .� � ., . , ,
%_ � "
OWNER.OR AGE � r CONTRAC7'O!2 ��./'. ,� „
Subscri ed and swam fo(br TT��Ij before_�Ne thts ' � Snbscribed and swam to r aHirmed fore me this
�4 /T by � �`-/i'�'G//'P./CC,.7`Cr'tiP .L_2-�.��Y_.._._r�''1�iC"��e.�eri ts+-`�-P
Wfto i5/afe persoitatiy knowr�t to me or has/have produced Who Islar�personally knawn to me or has/have produced
; as�tdenti�ication. as identiiicaUon.
�. i � � . .' .. .
/ I � Notary Pubiic � i - Nofary Public
��,��._,-'. . . .
Commission IJo. ' t►� �„��� Commtssfion No. 4�r�g, '
�' �+' � .�;•••;�o p00G Bl1i�LE1�`
,� * MYCQMN{l3510N#��93535,4
Name of Notary typed,printed � d�o�,�� 8trem r ,2019 htame of Natary typed.printed ar stampe�t , �` c:Xpj�E�;Novembet 11,�2�0 9
'� � �N°��� `� �4t �
��fl,oP Bar,drJThnfBu�gMNotarySeryirea
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I � 5329 W, CRENSHAW ST. � TAMPA, FL 33634 � � �
877-90-BANKO (22656) � Banko�oor�.CO,�I�
� � Tampa Bay Area:813-882-9900� Manatee/Sarasota:94"I-756-7424 �Pinellas/Pasco:727-530-440.1. .
DATE ��`f �I�INSTALL DATE/TIME �'� j� )�y � TICKET NO:; ��j�G�,
OYERk D DOORS,INC.
GARAGE DOORS&OPENERS r We cannot redictthe lifes an of a rehooked o ener �
Name ��UE�l2.�t � s\�l.�,VG•NS � � Door and o ener are se arate items
Address ,���� �.-1-�t��-9 � �" I will be available for a count ins ector to ins ect work ;
—I— ���[,�.Z We do not caulk or aint� !
City � � � 5 State Zip [ We cannot redict are not res onsible for stucco „�/�.-
Subdivision LoUBLK Pa ment in full due at time of the install �� `,ti
�'3 ,.]� , `3 �� �ara e must be clear�o'back on install da ! �
Phone S ecial order doors take a roximatel z weeks to arrive f
Email Fd'e.E��C.�(�',.1�-.N�[�.{�U�6�Fr1� • �� I hereby authorize Banko to publish the photographs of my I
garage door or me for use in printed publications and website.
Sales Consultant ����.�- �t 3 t��13 .35��� '
\ Other.
� ..- . . . . . . - .
1 `7'3 ��o .�` � �e�� � �.1�t ' �--�
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� / �'35'�S� �z f-t� �` ,�'C�-� � �.'�+`�.�e� .�s� -' �
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Homeowner Signature X +. :. l ���r2r'�
�
�`"' """1 ��e y"�c"'�� �""""'� Framing: Existing Door �Sectional ❑ None ❑1-piece
InPinellas��� � �fatr;�'"lac�e �:��� �Wood
County,bucks F��eilen,�_ �nonr-,, `exce � j y Does current trim protrude over 1/4"? .�No ❑Yes
t� � �., �' ' Ilenc � Block
must be high � •�� ,- . _ •- ''� :+a How Far?
e�oUgh to � ��r ��ellen fafr��'replace none, ir , Stem
allow instali of �� :•�. .." �Wall Recess �Okay ❑Needs to be Cut
�,�_____�/7=
bearingplate � � Add Anchors?�E NO , �� � ❑Other 10'Back Wor{voom ❑Yes �No �Told to Clear
flange/ag.If rcplace� ( / trepia�e
bucks are L'' � Requirements fbr'Installer. k( buck he�gnc Existing Opener �Yes ❑No
short,add � �one � W4-5�min.75"intervals C 'oone-� Existing Opener�Norks? �Yes ❑No �Recommend Ne�v
extensions to l' ;, W6,min i2"intervals �:`,
� � �.� Recannecl? p No ❑ Yes
estimate. ( ^�yy��g_see special instructions �'�
Brand of Exisfing Opener L ` r,r Apx.Age
(4"min clearance on each side of opening)
A Prewire? ❑Yes ❑No
Vinyl InslrucGons �� i•i. t
Power Onsite? �Yes ❑No
WS Color �� ,�
Ceiiing Outlet? ��Y�s �No
Hard�vare ❑Keyhandle �Inside Locks ❑Barrel Vault Release �{
(PERMlTTING lNFO ONLYJ
Who Is Pulling Permit? ❑Custom�r �Banko ❑N/A ❑Unknown Who To Call���� Install Dat� �
Opening Sizes 3� a� � Pho Q�3 ��� '�3�� AIt.Contact# Q ! �
Email �������1�j lw_1-t�i-fP��l� o C�S�tiI�
Are Openings Square? �Yes ❑No (Measure Both Sides of Openings) Door Approval#
(;!L,¢��
Floor to Ceiling Height r / . 15'rad.(8'S"&higher)
❑D T (7'8"-7'11") �12"rad(S'-8'4") ❑D T.Rear(7'5"-7'7")
Year Built �-Existing Structure ❑New Structure
Stage of Construction: ❑Framed ❑Drywall ❑Painted _ •. �
Special Instructions: ��� .
�")�.-$�'y`G-,�.f�t� �'�S ..,'t.�` I�,� �,:��L� ��Z 7�/.l L G
R�57�3
Florid��Building Code Online Page 1 of 7
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Florida Department� BCIS Home � Log In � User Registration ; Hot Topics Submit Surcharge (Stats&Facts Publications FBC Staff ( BCIS Site Map Lfnks Search
Busines �'�
Professi nal � ���Product Approval
�7 "� USER:Public User
Regulation
Product Aoproval Menu>Product or Aooiication Search>Apolication List>Application Detail
� ,. � FL# FL15279-R4
Application Type Revision
Code Version 2014
Application Status Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed and
ratified by the POC and/or the Commission if necessary.
Comments
Archived �+
�_�
Product Manufacturer Clopay Building Products Company
Address/Phone/Email 8585 Duke Blvd.
Mason, OH 45040
(513) 770-6062
mwestertie�d@clopay.co���G HALL C �TH�L
CODES pL�LY
Authorized Signature Scott Hamilton CpDE � RIDABU
shamilton@clopay.com �.�,..;NATIpI�TALELECTRjCCObE�G
� .1r;'�TA'�d;��f,
Technical Representative
Address/Phone/Email
Quality Assurance Representative ���I�
Address/Phone/Email �,/������ /��
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Category Exterior poors ��$��I� ��I���
Subcategory Sectional Exterior poor Assemblies �� /�'/'
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Compliance Method Certification Mark or Listing
Certification Agency Intertek Testing Services NA Inc. - ETL/Warnock Hersey
Validated By Gary Pfuehler
L Validation Checklist- Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
ANSI/DASMA 108 2005
� ANSI/DASMA 115 2005
I ASTM E1886 2002
� ASTM E1996 2002
ASTM E330 2002
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv3yVVKJZ 1 QRAbbASBZkI... 12/16/2015
Florid�B�iilding Code Online Page 2 of 7
FL15279 R4 Eauiv 20150319 - FBC - DASMA 108 eauiv.pdf
' FL15279 R4 Equiv 20150319 - FBC- DASMA 115 equiv.pdf
Product Approval Method Method 1 Option A
Date Submitted 03/19/2015
Date Validated 06/12/2015
Date Pending FBC Approval
Date Approved 06/21/2015
Summary of Products
Go to Page �7 4� � � Page 7/8 � �
FL# Model, Number or Name Description
15279.121 121 W6-18 PAN-2F443: G4S, Gallery/Artistry/Expressions: Steel Pan (min. 24 ga.)
GS4, GD4S, GR4S, G4SV, GS4V, 16'4"to 18'2"wide WINDCODE� W6 Garage Door
GD4SV, GR4SV, E4S, ED4S,
E4SV, ED4SV, SS4, AR4S, SS4V,
AR45V
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with oroof of contract and
Approved for use outside HVHZ: Yes proof of insaection.odf
Impact Resistant: Yes FL15279 R4 C CAC W6 Listina Intertek.odf
Design Pressure: +37 PSF/-39 PSF Quality Assurance Contract Expiration Date
Other: Solid doors (no standard glazing) are impact- 05/21/2028
resistant (large missile impact). Installation Instructions
FL15279 R4 II 103406-A-Rev06.�df
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.122 122 W6-18 PAN-2F443: G4S, Gallery/Artistry/Expressions: Steel Pan (min. 24 ga.)
GS4, GD4S, GR4S, G4SV, GS4V, 16'4"to 18'2"wide WINDCODEp W6 Garage Door
GD4SV, GR4SV, E4S, ED4S,
E4SV, ED4SV, S54,AR4S, SS4V,
AR45V
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with �roof of contract and
Approved for use outside HVHZ: Yes proof of insoection.odf
Impact Resistant: No FL15279 R4 C CAC W6 Listin4 Intertek.qdf
Design Pressure: +37 PSF/-39 PSF Quality Assurance Contract Expiration Date
Other: The standard glazing available for this product 05/21/2028
meets the wind load requirements of the building code Installation Instructions
but DOES NOT meet the impact resistant requirement for FL15279 R4 II 103406-B-Rev06.odf
windborne debris regions. Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.123 123 W4-09 DSIE-SF171: 4300, 2" Double-skin Insulated EPS (exterior skin 27 ga. min.;
4301, 4310,4400, 4401, HDG, interior skin 27 ga. min.) Single-Car(up to 9'0"wide)
HDGL, HDGF, 66, 66G, 67, 67G, WINDCODEp W4 Garage Door
68, SP200, SF200, SE200, 6200,
6201, 6203
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with oroof of contract and
Approved for use outside HVHZ: Yes proof of inspection.odf
Impact Resistant:Yes FL15279 R4 C CAC W4 Listina Intertek.�df
Design Pressure: +28 PSF/-29 PSF Quality Assurance Contract Expiration Date
Other: Solid doors (no glazing) or doors with optional 05/21/2028
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Florida B�ailding Code Online Page 3 of 7
impact-resistant glazing are impact-resistant(large Installation Instructions
� missile impact). FL15279 R4 II 101652-A-Revil.odf
= Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.124 124 W4-16 DSIE-1F171: 4300, 2" Double-skin Insulated EPS (exterior skin 27 ga. min.;
4301, 4310,4400, 4401, HDG, interior skin 27 ga. min.) Double-Car(9'2"to 16'0" wide)
HDGL, HDGF, 66, 66G, 67, 67G, WINDCODEp W4 Garage Door
68, SP200, SF200, SE200, 6200,
6201, 6203
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with oroof of contract and
Approved for use outside HVHZ: Yes proof of inspection.pdf ,
Impact Resistant: Yes FL15279 R4 C CAC W4 Listin4 Intertek.odf
Design Pressure: +25.5 PSF/-25.5 PSF Quality Assurance Contract Expiration Date �
Other: Solid doors (no glazing) or doors with optional 05/21/2028
impact-resistant glazing are impact-resistant(large Installation Instructions
missile impact). FL15279 R4 II 101481-A-Revl3.odf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.125 125 W4-18 DSIE-1F171: 4300, 2" Double-skin Insulated EPS (exterior skin 27 ga. min.;
4301, 4310, 4400, 4401, HDG, interior skin 27 ga. min.) 16'2" to 18'0" wide
HDGL, HDGF, 66, 66G, 67, 67G, WINDCODEp W4 Garage Door
68, SP200, SF200, SE200, 6200,
6201, 6203
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with �roof of contract and
Approved for use outside HVHZ: Yes proof of insoection.odf
Impact Resistant: Yes FL15279 R4 C CAC W4 Listina Intertek.ndf
Design Pressure: +25 PSF/-25 PSF Quality Assurance Contract Expiration Date
Other: Solid doors (no glazing) or doors with optional 05/21/2028
impact-resistant glazing are impact-resistant(large Installation Instructions
missile impact). FL15279 R4 II 101247-A-Revl9.qdf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.126 126 W4-09 PAN-2F151: 73, 1500, Steel Pan (min. 25 ga.) Single-Car(up to 9'0"wide)
75, 190, 84A, 94, 76, 42, 48, 55, WINDCODEp W4 Garage Door
426, 48B, 555, 4RST, 6RST,
4RSF, 6RSF, 2RST, GDSS,
GDSSV, GRSS, GRSSV, AR5S,
ARSSV, ED5S, EDSSV
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with oroof of contract and
Approved for use outside HVHZ: Yes proof of insoection.odf
Impact Resistant:Yes FL15279 R4 C CAC W4 Listina Intertek.ndf
Design Pressure: +25 PSF/-32 PSF Quality Assurance Contract Expiration Date
Other: Solid doors (no glazing) or doors with optional 05/21/2028
impact-resistant glazing are impact-resistant (large Installation Instructions
missile impact). FL15279 R4 II 300159-A-Revl6.odf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.127 127 W4-16 PAN-2F153: 73, 1500, Steel Pan (min. 25 ga.) Double-Car(9'2"to 16'0"wide)
� 75, 190, 84A, 94, 42, 48, 55, WINDCODEp W4 Garage Door
4RST, 6RST, 4RSF, 6RSF, GDSS,
GDSSV, GRSS, GRSSV, AR5S,
ARSSV, EDSS, EDSSV
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with �roof of contract and
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv3yVVKJZI QRAbbA5BZk1... 12/16/2015
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