HomeMy WebLinkAbout16-17679 � , , CITY OF ZEPHYRHILLS
' �' 5335-8TH STREET
� (813)780-0020 �7 79 �
; BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit H�umber: 17679 Address: 6505 HUNTINGTON DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Propos�d Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Squa�e Feet: Subdivision: SILVER OAKS
Es�. Value: Parcel Number: 03-26-21-0120-00000-0830
Improv. Cost: 3,487.22 OWNER INFORMATION
Date Issued: 8/23/2016 Name: STOKOE J H & C M TRUSTEES
Total Fees: 82.50 Address: 6505 HUNTINGTON DR
Amount Paid: 82.50 ZEPHYRHILLS FL 33542-0611
Date Paid: 8/23/2016 Phone: 757-635-7037 i
Wo'rk Desc: REPLACE DOOR UNIT S/S I
I CONTRACTOR S APPLICATION FEES
LOWE'S HOME CENTERS INC BUILDING FEE 82.50 'i
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I Ins ections Re uired
FOOTER I 2ND ROUGH PLUMB MISC INSULATION CEILIN
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH E�ECTRIC 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 respeet 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.
"Wacning 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.
I NO OCCUPANCY BEFORE C.O.
. V , l �---�.
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�'� �CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHAUT APPROVED INSPECTION
C�4LL FAR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
U��� .��h �IOC, F�rM ' S�of�O�
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� � ������������������������������������������������������������ '�. �
. �ermtt Number . 20161
Par�el ID Number (`�3—2G,—�!— �l2O— 0 00C10 "D 3O
� ' - Rept:1795610 Rec: 10.00 � I
N �E1 T 1 C E ��F E A•M��I�II E N li ��RA`'� N�' DS: 0.00 IT: 0.00 ;
State of-�,Iortda _ 08/23/2016 J. G. , Dpty Clerk �__ _
- County oj;�:-�
TwE 11N�8t�"S1f3NED�fiereby ghies no8ce that improvements.�will be made to�certa(n real property, and ln accocdance w�h S�tlan 713.�3�f the
Florida�Stetutes,the fouowing iriforrnetlon is providad in this NOTICE OF COMMENC�M�NT.
1.D��riptlon of property(/e8al derscdpBon). S�I ve R �h r�kS Phr�sP o nre. FB�.6 R9.S..4l�-Y9 Lo�'8 3 0��9�9 _
la)Street(Job)Address: Co S�`�� !-f Kn�T'�15 To nl oI 2 '2.QPh2yh.6/S FC, 3 3 Sy 2 p� 3 7 8� .
2GI neral dea�riptlon ot improvements: 4�,e�... (�Pal��o m.e�T ----------- .
3.�'�rnb�Infon�a�lorr or Leeaee Infomratlon If the Lea�aee contracted�for the Improvement:
�a)Name and address; SAm�eS l-� STakoe — �S O S �-1�,v7";nk�7�o�J cI2 2eP�RYh�i/S' FL 33 S�`fZ
�b)Name and eddress of fee.�impCe tideholder�(ff dlfferent than Owner Ilsted above) --
�c)lnterest irt property: __c�R,c�n12(L
� .Co tractor Infortnetlon
"� Name and address: � O w�: 5 l�co nn z l o..��'c''c�.S��Ycr. �6 t�o� ? Sl S 9 � d��4n/`c��� �L
�b)Telephona�tJo.: �p'7 �-.�3�3 -�[� Fax Na.:�(optlonalj 3.zQ��
S.Surety�f appucatile,a copy of the payme�'6ondTs a c jed) � �
�a)Nameand�address: A��(� ' ^ PAULR 5 0'NEIL,Ph D PRSCO CLERK & COMPTROLLE •
• b)Te{epftoltB�No.: 08/23/2016 12:52 m 1 of 1
�C)I�OtmtOf�0lfd: , s• - ' OR BK ��,1� FG 32�'3 �
6,L�end�r - -_ -
�a)Name and addre9s: n)f A •
b)Telephone�No.: • - •
7;Per�one w1�ilmthe.State of Florida de�ignated by Owner upon whom notices�or other documents may be senred as provkled by Seedon
; . �713.13(i)(a)7.,Florida Statutes: . .
�a)Name and address: __ N/q -
�)Telephane No.: Fax No.:(optional)
8,a.ln addlHon to himaeN or her�elf,Owner designatea �(�A of
Ito receive a copy of the Uenor's Notice as provlded In Section 71�3.13(1 J(b),Florida Statutes.
b)Fhone Number o�Person or entlty designated by Owner:
9.�xpintlon daM of notice q�commencement(the explratlon date may not be before the completlon Of conshvdlon eru!6na1 payment 6o the
co�tractcr but w�l be 1 froni the ate•of recordin .un ess'a dNferent date�(s s edflad:
. ;:�. . � i At�FY P IiFT8 ...� � Y�'T. . N . 1'HE�F+Ittk�'101�1 O(�`t: 'N�'T�IC��OF, .
� �.��FE'P�4Y�EM`$WHD�lt C• . . � .� ..
HA.P�`��t713,'pi�.�f l;S�CTI�N.713;13,FEOItl��'�'F'ptUi�:ltNp:.��,�: : fi�g�..
: PAYING TVYI�Ef�tt'il�f+R01'IE�ENI`S TO YbUR PI�OP�RfY,:�k'NOrt1C�OF�Q�MENQ[-��fcNT��l�S1' -
� U�PFCTIbN: IFYOt�l1�1TEND�10 OBTAlN��II�ANt31NG,CO�tSULT YOUR LENb'ER bi�Ai�tATT�fQN�Y�O�R��C��F
. I�ARDING 1�b�fI�qOTIC��OF CQMMEwEQMENT, •
Under pefleltjf of pe��iry,I declare��a�I�liave read the foregoUg.eobce of commencertient and tFiat the facts staf,ed thereln aie hue b the��tiest i�f my�
knowled .e�dbelleG��`� .
�� � `-� ��S �.�cs(4'���
, qnaw� �a,owi�er or�.. o� ers or�ssee�s�awt�oriz�a roi dpartnedtHens�er) IPi1nt Neme and Ptov(d�°S{On'AEoM�TitleIQfB6aI
' ing�inshume aciinowledged bef�re me I � dayof� —,qug
by 1 s ` • - �20 �� �
. � fof � _____o w n1e/Z (iype.o�authodty����e,a�eyln(ecq � �
. ,as �
(tJame of Peraon) (type of auiho
for �kY�...e.p.o�icer,tnatee,e�rley In feet) .
- • (name ot party on beheff of whom Insfrument was exec�tec�.
Rersonally Knouurr ❑ Produced�iD
Type�of.ID . �(�r i ol�. Notary Signatur � _ �p.v� . • � �
Pdnt nam � . •
•� �'�am�' .
• • ;��;: DAMEL JOSEPH AIpRRpyr • . S�O�� " �� � .
t�� '': AAY CQMMISSION N FF93e770' � _—~� ' •
' , EXPIRES Nov�mper 23,201!
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� ° . : '�'- \ , �YATE C�F FL�R9�A, COUNTY C�F PASCO
� `''��`�"�` THI� IS TO�CERTIFY THAT THE FOREGOING IS A
�
�1 ' t� ,�..��� ', � TRU�.AND CORRECT COPY OF THE DOCUMENT
' � e�,�� � ON FILE OR OF PUBUC RECORD IN THIS OFFICE
� � I"� � ="e''�� � WIT S MY HAND D OFFICIAL SEAL T`�HIS
�� � '� � DAYO �
� l�g� ✓ � PRU S.O'NEIL,C RK OMPTROLLER
� DEPUTY CLERK
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CITy Of Z�IlyI'11111S
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ����
Date Received: �'�U �/�
Site: ���
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Permit �ype: Y GGnI�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
I
This comment sheet shall be ke with the permit and/or plans.
, -' �=C�"��
Kalvin�Swi er— 1 xaminer Date Contractor and/or Homeowner
(Required when comments are present)
� ouuu0ty vG}�c7rttttetit
M"�Iv��"�
p�x���a,c�n� � Inl.''i 1'Y L N F ��� � �� ]]�
i Phone Gontact far Permittin � $�'3 �.6�i' �b
Own�ea�`s Name ��m��+'GR'�ieR+'N� S"�pjC,p� 4wrner Phane Number 7��_�o3•`r-7037 �
Own��'s Ad�ress��0�4� N�»,t�7 e N��an1�R� � Own�r Phone Numbet � .�
Fee lSfmple 7'Itleholder Name �� „� Qwn+�r Phane Nurc�ber � � �
( Fee>I�»pie 1'!tlehoQdet Address � _„_ ` �
I JOB A�DDRESS fO�QS /7'uN�in7 Qwf (�R �Z_��i„I�5 ML�i�S� LQT# O 3��.�
i
5U6171VISION �1��/e,�, Q q`GS � pARC�L ID# Q�J`�o'�� "Q(,� �'D�l�[7(^J~� (°��D ,�
{ABTAINED FI20M I�ROAERTY tAX NdTtCE}
WOR.M PROPOSED e NEW CC)NSTR I`� ADD/ALT � .�IGN [� C� DEMOLISH
INSTAI_l. REPAIR
PROIP()SED USE [� �FR I� COMM � UTHER [� �]
( TYPE:t�F CQNISTRIJCT[ON Q B�OGIi �� FRAME �� vTEE� C� C ._�.�
DESt.'IFtiPTiQ�N OF WORK �t4.L� � ��� �� LtNt'� si� �i ��L.�._� ���
BUIL[DING SlZE �� � SQ FOOTAGE C� HIElC`ak1T G � '
�ILt7:I73333� ��7�IIu.k:�
[��BUIL�DING $ �� .�. 2� VAL.UATIQN 01=TOTAL CONS'TRUCTION
[_��ELI:CTRIrAL $ AMI�SERVICE f�ROGR�SS ENERC,Y W.R.E_.C.
� � �� �
[__�PLIJ BING $
'� _
� �����
, [__�MEC ANICAL $ VAL,UATION Of=MECHANIC�AL INSTALU�1"ION �
�
[_�GAS C] ROOFING [� SPECIALTY � OTHER
FlN1St-IC'D FLOOR EC.EVATtONS � �LOOb ZGNE AREA �YES NO
i-t-l-Fttf i-tttttftttit FtthFt t#�hft#-Htttifi-F ttii-1i�fi�tl-li-tittFN-f�ti-t
_h_ � j ���
eun...��R co��A�Y �,o w�e� I�ome. Ti.+�h' ��1
S1GFiA,TURE ��Q, f,��T�'�tOi�1y „GFatW RO REGISTEREp �°`�Y'/�1�1 FEE CURFtE� Y 1 N
,4ddress �t� t3ox ?8 t�R 3 p�tta� ca r''t. 3Z�j7'$ Llcense# ��G 1�pgyl7 y`.�
ELEC;1'f21CtAi4 w COMWANY � r,
SIGh1ATURE REGISTERED Y J N fEH CURRE� � Y/h1
a��i�#ress �� �� Llcsnse# �� �J
PLUN4t3{cit COMPANY � ��
S1GN,ATURE REOISTERED �(/ N FEE CURRE� � Y/N �
AM�dress CY. �� l.Icsnse# � r�
MECti�44VICAl_ � COMPANY Cr�^--' —�
S1GN�ATURE C . REGISTERE� Y/ N 'FEE CURRE� Y I N
� L.__�
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a1+iclress C�,_,__ � �Icense# � �
OTHfiFt , COMPANY • ��
51GNt4T�JRE C RHC,I3TERED 1'J N FEE GURREh Y/N
_....___� �
li�iciress C� � L(cense# � �
-f-t++it+i-1ii+W-ffitH Hi�hFl�+ff�f+�hFthFt+f++fi-H-F+f+I-H-H�t i-tt+t+9
4ESll)IEfa71At. Attach(2)Piot Plans;{2)sets of 8uflding Plans;{1)set of�nergy Forms;R-��-W Permtt tor new c.anstruction,
Minlmum ten(i 0)working days after submittaf date. Raquired anslte,Cunsfruetian Pians,3tormwater P1ans w/St(f Fence tnstalied,
Sanitary Facllities&1 dumpster;Slte Work Permlt for subdivislans/large proJects
_:CtMt�tE12CIR�:=�= Attach(3}ca.mptete-se�s-of Bultd�ng"Plans-ptus�a Ci;a Sa�t�r Page;��'i)set-of Energy Forins��F2=0=V�1-F'ermlt for�new constructian.
Minimum ten{90}working days after submitEal date. Required onsite,Ctmstruation Plans,Stormwater Plans w!Silt Fence(nstalled,
Sanitary Facilitles&1 dumpster.Site Work Permft for all n�w pro)ects,All comrnerclal requlremants must meet compliance
itGN F�ERM17' Aftach{2}sets of Englneered Ptans.
Fkk�p��p�RTY SURVEY requlrad for all NEW constructlon.
�T2t2i2x�L]3:�I ��m��tl�� 7IIB
)Irect:H�r�s:
F�ill c,ut ap ilication completely.
C)�vner&Conkractar sign baek of app!(cation,nc�t�rized
1tP�a�rer$:?500,a Notia�af Commencement is requlred. {A!G upgrades over 57500�
' F�clent(for kIlhe contractor)or Power of Attomey(for the owner)would be snmeone with notarized letter from owner authorizfng same
)VER'tME C{}UNTE:R P�iRMtTTtN6 jFrant of Applicatlon Only}
�eroofs,if shingles Sewers Service Upgrades A/C �ences(PIoUSurvey/Footage)
Urivaway�s�Not over Counker If on pubiic roadways..noeds ROW
I
, � ,
N07"ICE OIF DEED,R�STt�ICT1�N5: �7he undersignad understands that this permf#may be subject to "d��ad" restrfc,tions"
whick�may be more restrictive #h�n Cou��ty regulaf�ons. The understgnec! assurnes responslbllity for com�li:ar►ce wiEh any
applic;ablo deed restriatlons. �
UNLI�C��I�SED C�NYRAGTOR�' AND CtINTRAt:Tt�R RESPONSIBf�lTIES: If tF2e owne� has, hlred � cc�ntrac�tor or
contr��ctc�rs to underfake work, they may b� requirE3d i;o be licenseci in aocordance with state and focal rec�ulatlons. If fhe�
contr��ctc�r is not Ifcensed as requfred by law, both the owner and oontractor may be cited for a misden�eanor vfalat(on
under state law. ff fhe owner or intendod contractor are uncertain as to what licensing requirements m�y appiy for thH
intencied work, ihey are acivised Qo contacQ the Pasco County Biaflding Inspection Division--Licensing Sec;tion at 72?-847�-
8Q09. F=ttrthermore, if th� awner has hlred a contr�ctor or contractor�, he 3s advlsed to have the canfractor{s} sigr�
portians of the "aontractor Block" af this applicatlon f��r which they will,be responslble. If you, as the owner slgn �s th�:
contr<�ctc�r, that�may be an indlc�tion th�st he is not praperly lic�nsed anii is no4 entl�led to permltting'prlvlfeg�,s In �'ascv
County,
TF�Ah�SF�ORTATION lMP,4C'T/U'�lL.ITIE� IA�PACT At�D RESOIJRCE R�;COVERY FEES; The undersigned tinder:�tands
th�t T'ranspartation impacQ Fees and Recourse Rer,overy Fees rnay apply to thf: constructian of new buifdings, change of
use ir7 existing buildings, ur expansion c�f existing buildings, as specified in Pa;�co County Ord(nance number 89-07 and
90-07', as �mended. The undersigned �I>v under.�ta�ds, that �uch fees, as m�y be due, w31{ be Identified at fhe fime of
permntting. It is furth�r uriderstood that Transpart��tion Impact FeF:s and Resaurce f2ecovery Fees musi: be ��aid prior tc�
recei�r4nc� a "certiflcate af ocaupancy" or final power r�lease. 4f th� proJect dae;� not invofve a certificaEe of ac,cupancy or
finaf power release, the fe�es must be paid priar te� pfarmit issuance. Fui�thermure, i� Pasco Counfy Water/S�wer tmpact
feQs<�rs due, they must b�s pafd prior to �aermit issuanc:e In accordance with applicabl�Pasco County ordli�anc��s,
CUNSTRUCTI�N LtEN LAW(Ch�pt�r 7't3, FIoN�ia �tatutes, as amendedj: if vaivation of wark is $2,tiC�0.00 or r�ore, I
certify ti�at I, the applicant, have been provided with a copy af the °Florida Canstruation l.ien Law•--Hc�meowner"a
Protectian Gulde" prepar�d by the Florlda Deparfn�ent of Agrlculfure and Consumer Affairs. If the appl3c�nf is sorneon�:
other than the"owner", I certify tha4 I have obtaineci a copy of the above ciescribed dc�cument and promise In c�ood faith tc�
de3iv�,r It fo ttte"owner"prior ta commencrement. �
C�N'TRAGTOR'S/OYVNER'S AFFGDAVGT: I cerfify that all the Information in this appllcat(on (s accurate and that ail work
wili be done fn complianc� with a!I applicabls laws regulating con�truction, zoning and land developmerat. Appiication is
herel:>y made to abtain �i permit to d� work and ir�sfallation as ind)cafed, I ce�tify that no work or installation ha,]
comrnenced prior to fssu��nce of a permit and that �►II work will be performed to meet standards of all laws reg�alatin,y
cansfruction, Coun#y ancS G3ty codes, zorring regt�lafions, and land development r�gulations In the Juri�dicfton. 1 also
certif,y that I understand tf�at the regulatians of atlier government agenci�s may apply to the intended work, �ind that it i:s
my r��sponslbllity to Ident9fy wha#actions # must takc�fa be fin campliancs. Such agertcles Include bu#are nc�k IErnited to:
- Departmenf of Environmonta( Protection-�Cypres5 �ayheads, VVefl�nd Areas and Environmenfaily Sensitive
Lands, Water/Wastewater Tre�tment.
- Southwest Fiorida Water Management District-Wells, t�ypress Bayheads, Wetland �re��s, Aiterin�
Watercourses.
- Army Corps of Englneers-Seawalls, Dack;�, Navlgatale Wa#erway�.
- Departmant of Health & Rehabilika#ive ;5ervices/Environmental -Health Unit-Wells, Wastew�ter Treatment,
Septic Tanks. , .
- US Enviromm�ntal Protection Agency-f�sbesfos abatement, _
- Federa!Aviatlon Autharity-Runways»
( understand fhat ffie following-resfricfions apply ta the use_af fi!#:�
- Use af fill is not allowed in Fload Zane "V" unless expressly permltt�d.
- if Ehe flll rnalerial is ta be tfsed irt F�loc�d Zane "A", It Is unders#ood that a dra3nage plan addressing a
"compensating volume" will be submitted at tfine of permittirtg which is prepared by a prof�ssional engineer
Ilcensed by the State af Flarida. �
- If the fll material is to be �ased in Flaod Zone "A" in conn�ction wifh � permitted buiiding using sfem wa(( I
constructEon, I certify that fi!!w4ll be use:d only to fi!!the area withln the stam wail. ,
- If fiil maferial is to b� used in any ��rea, I certify that use af such fiii wil! nat adversely affe:ct acijacenf
properties: If use of fill is fc�und to adversely affect adJacenk properties, the owner may be cited for vialatiny
the condition:� of the building permit i.;sued under th� attacl�ed permlf �ppE�cation, for lots less than ane {1}
acre which are elevated by�ill, an enginee3red drainage plan is requlred.
If I a�n #I�e AGENT Ft}R YHE OWN�R, I promise in good fa3#h to fnform fihe owner of the permltting conditlona set 1�orth ft�
this [�ffidavit prior to cammencfng canstruction. I ianclerstand that a separate �ermit may be required for electrical work,
plumbing, slgns, welis, pao3s, air conditionfng, gas, +�r other installations not �pecifiically included in thQ applicatian. ��
pE;rmit issued sha(I be canstrued to bo �� license fc� proceed with the work and nat as autharity to,vloiate, cancel, alter, or
sf:t as(de�ny provislons c�f the technical cndes, nor s9�all issuance of a permit prevent the Buildirig Officfal from thereafter
requirin,y a correction of errors In plans, constructicrn ar viofa#ions of any codes. Every permif Issusd sha11 bet,ome invalid
unle:>s the work authorize:d by such permit is commenced within six manths of permit issuance, or if work authori:zed by
the permiE Is suspended c►r abandoned for a perlod of slx{6) months atter the time the work Is commenced. �in extension
may be requested, in writing, from the Building 01'flcial for a perlod not to exc�ed ninety (90) days and will ��emanstrat� .
}usfiflable cause#or the ea�tension. If work ceases i�or ninsty(90)consect�tive days, th�)ob is consEdered abandone�. ,
I�- WAFtNlNG T4 OWt�ER: YOUR FAIL4J42E TO RE�ORD A NOYICE UF COMMENCEMENT MAY RE=:�UL.T IN YOUf2
F�AYtNt�T�Vi/ICE FOFZ IMIPRQV�II�ENT�TO Y�UIR F'ROP�RTY. IF 1(Clll !N'i`E:ND'Ca OBTAIi�t F[NAl+1COt+IG,CO��tSULt'�-- - - �
WITU�I YOUit LENDER 09�AN A,T7'ORNEcY BEFOR�' RECCIRDING YOtJf�IvOTICE OF COIIAMENCEMI=INT. �
FE.ORIDA JURAT{F.S.197.Q3)
UWNI�R OR AGENT CONTRACTOR _�...—
Subscrl6ed and sworn fo{or afflrmed)befare me fhls 8ubscrlbed and swrtrn to{or atflrmed}befiore me thls ,
�bY by �.'.— ,
Who is/are personally known to me ar haslhave produced Who Islare personally known to mrs or has/have praduced
as Identiflcatlon, as ldsnklf3cat{on.
Natary Publ�c __Notary Pub(ic
� Comrnlssian No. Commisslan No. -.-
P1emc3 aF Notary typed,printed t�r sfamped Name af Notary typed,printed ar stamped � �
�
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- - - - - - - - - - - �zo�� �o��
^ ,:s�a..=.. INSTAI I �T(�1fU CFR!/I�FS�I IC�T(1RfIGR (`ll,tLITR�lr`T-l�All�(�I�L�- �RTI�XTI�QT��i �.�.vg
c i �' � LOWE'S OF ZEPI-IYRHILLS, �L,STORE# i 854 STORE PHONE: (813)838-9000
� .�� i a f � � IyLI GHLL tSl1l.JLt1%HFiU SALESPEI�-SON:RO B E AT F AT ZI N G E R
EPHYRHILLS, FL 33541 SALESPERSON ID: 1430767
i Document Print Date:08/06/2016 I
, Th��;s only a Quote�or the merchandise and services printed below.This becomes an agreement upon payment and issuance oi a Lowe's receipt, upon wfiich the entire agree- �
ment, including#he specificaliy completed pagss of ihis doc�me;�t, the Terms and Ccndinons included with this docume�t,ihe ap�licable a:,riicn(sj of Lovre's re:,eipt, a7d ^aRj+
other addenda or at�achments hereto,shall be referred to herein as this°Contract."
PLEASE READ THIS ENTIRE DOGUMENT.INCLUDING THE "TERMS AND CONDITIONS." BEFORE SIGNING
ILowe's Registration or Go�?trar�Q!1 i�,on�cn IJ;.ilF!Jer��^!7l'��S .E'..^..^.t."2C•.�!�`�2::1� -
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I iCustomer Name HQma Phr�na I
o J s�+�i�SOCAT'HERiNE S i OKOE f��-fi35-�0��
Customer Address
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� I6505 HUfVTfNGTON DR.
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�! � 238344: 2826-12 :STK:3/4X3.5X12RF EMBOSD PVC TRM BOARD: 3/4X3.5X12RF EMBOSD PVC TRM BOARD : ROYAL MOULDINCS LIMITED-QTY 2 F
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. Stark or SOS: SOS �;,;,;Typ�: Pa�i;,
Select Location : kitchen to lanai Select New Qoor: Hinged/French
Side Lights or Transc�s: �Jo Hidden Damage Description : fVone
vumber ofi additionaf holes bored for accessories: None Instalf Specialized Martise Hardware: No -
Total Linear Feet of Custom Trim to be Installed: 21 Defiver poor: Yes
Customer Understands ScnnP nt rt,P pr����r :vo� oo...�,c+o,....,�.,.a •v,...
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, Who Will Obtain Permit :Third Party Permit Fee:Yes - -- - - - - - ——"I �_
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� �ud;�;���a, �„9i,�s TI.?ii7$ICU GNCI 2u .�, 8ring Up To Code i�escription : fVone �
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, Commenis : ivo Commeni I
o � Lead Sa#e Practices :,'�o •
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� i I Labor Charges I � 962.50,
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� Additional Specifications:
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"' �iotafi0n: Lowe�s wiii n0t matce structural modifications, paint or stain or remove/reinstail security system equipment. Customer is responsible to advise if prop- �
r ± etiy�s governe� oy'riisioric�isirici Regulations.
( At�rliti�nal Cnarifir�tipng: �ouo��� ���y. � ' � � a -� ��- ��y .'r7_gr�ntiata ,?irrnP: imnnrPant 1 c�rl t-i���rYi /nf�rm�finn i�r��mtics �
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� I Child Care Providers and Schools. By signing th�s COP.t��Ct; Cl:S#0!??eC BCk�e��(��g�s havir� ;�^�6v�d a ccpy Lf t��s r�.�?;��:!et "vf,r�,rc iy;,;� ����;: �;:»:,;�i�5
i Customer of the_poten#ial risk oi the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. f
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.I PH�TO RELEASE: Customer grar?ts te Lo�are's ar.d ?o��re's employees ��d indep2nd2nt ccntractcrs tha �i�"t to take �y�tcg�aghs c� t�e P�e�r�ses �here in-
I Sf2llatl0�1 SPNlG6S �/VlI� �@ Q91{Of!T't@� 21ft� zII 11Jork perf�fRi2.'�, ai��ls �iEt711Seg �P��;aei t.^�t�is (_:p��ra�t an�i jrrayn�ahl��ra^;S S0 1 �:n;o'g aIJ r�y;;f Ej.1g �n±o,nSt j^ I
� an�f4 tF�e hote ra hs for us� in ?I� rnaYk?ts a�C�:ted:a� YJG(If:1FJ6de in e; �,uit _ C� " .
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, pri�t and/or electronical(v; and avrees #hat f owP�� ma�����A����h nhntnnr�nhg fr��gn�,, 12y�rf'�I Mw'.w�S�. !^C�::u��1C. Uui ^C< i➢�:2�::,; �„o^a;�^c����G; a�vc�'iSi?�, vi:��?- �
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� N�TIC� T� CUSTOME�i - P4EC� ��L�l:L,�T.C23�S: (n order ta praperly pe�fo�m the irstal�ation o; ce�tai�� Goods, ihe Caniraci rrice may inciude more i
Goods than aC�U����LV1���8 :;?St2��P!��g$g!�1 [+.r �ha mcag�`:��ri gM��Gro fnn:�ya nf fho ^��jo��n���.�S 3�BSliit, iiic�aiiicS ayicc i,iat iiic iu�ii�-SuiTi r�'iic:G Sidit�u I�1 �
� I this Cantract is calculated upon �aoEh #he val�:e of the estima.ted �oods required tc fulf�ll the Con?rac? ;�nc!!���n� :�r�stA„ ;n,h;�h m�3 0;;�00�+ th� �c:�a?' sy::arp �
" � foetaae e# the ��.^,�eCf ACB�; �(�� Y!;� �A�lnr Lvhir�: -a�� h� cc;im�tan '_n,�Gov! nn 4no �mni�nt �4^ _ �.7 r �.u:�s . - - - --- _
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_ � this Contract belpw, C�� Gtnmgr ar.knnwlarJnag ro�cint nf ti��c ^��;�o ..� �"o� .�� �;;� • +�+n��+�-��a�� ��� �.;^;-^ a�^^^ ^ ^•^__.'-:-'- --� - � ._,.�„ •
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`� � ivV i i�� i1r Htitsl I HA I tUN AGHEEMENT �
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- - -- - - - - ST�RfE COi�Y
Tnis Contract provides that aii ciaims by C�storner or i e�!�e�s,N�i� nA resolvsd �y B!NDlhG ARB!TRATlO�. �ustc�rz�ard �OVJ2's GIVE:;�T�� RIGHT TC GC �
� ( TO COURT to enforce this Contract (EXCEPT for matters that may be taken to SMALL CLAIMS COUR�. Lowe's and Customer's rights will be determined by
� ! a NEUTRAL ARBITRATOR and NOT a judge or jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitraTior. pr�cedures a:e SlMPLER AND
LL ivivnC �iivii i tu Ti-iHiv Ri.iLtS AN��ICABLE 1N COURT_ Arbitrator decisions ar� as entor�eable as any court order and are subject to VERY L1MITED RE- ;
� VIEW SY A COURT. FOR MORE DETAILS: Review the sec#ion titfed ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS AC- �
TION ADJUDICATION foGnd in the Terms ancf Corditions of thss Ccntract.
TOTAL CHARGES OF ALL iUIERCHANDiSE AND SERVICES •wheteapplicable
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� � ORDER TOTAL � -$3487.22�
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� � iiVork is to commence upon reasonable availablity of Contractor which is anticipa#ed to be .3�� ffill in date]. .. (
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� i Al! items listed in this contract and specification sheet(s} are to be installed under conditions agreed upon ai time of purc?�ase and at the prics appearing !
� on this contract farm. This ass�mes sound exisiing substruciures, supe;structure and points of attachments. Extra labor ar materiaE incident to installation I
j, necessiiaied by de�ective substructures, superstructure, points of attachment, or the moving of fixtures or app[iances to be bifled at extra cost to custom- i
! er. uv ivO i�iuiv i i-ii� c;Viv I hiAC;`1 UNT1L COMPLETE AND YOU HAVE READ TFiE TERMS AIVD CONDITIONS OF THIS CONT�ACT, i3Y s��t����
ia�LOVI,', Xvu i�nE�.�;K�Oi(Vi.tt�GiN� I HAT YOU HAVE READ, UNDERSTAND AND.AGREE TO_THE TERMS_AND--CONDI-TI.ONS-SE-T-FORTFi-ON-------�-----
TNlS CONTRACT. YOU Ai�E EN�iTLE�TO A CO?Y OF i i-�IS CO:�TRACT AT 7NE TlME OF SlGNATURE. �
I NOTtCE TO OWNER:-AGGO_R_�I�G T� �L�RlDA'c ���lS�R!!GTlQN L!�!� !RUt! dS`�Tl��'� 7?3,��1- 7'3n3a- ����9^� � -
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� J ��+, Please prvvidc drawing from onsite us9ag swing info on�ight `
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�}oor units to measure-one doar per row-alf ineasurements must be in inches.
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Product�,��•oval Ivlenu>Pr�duct or A�plication Search>Applic�tion List>Application Detail
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FL# �� ', FL8228-R7
ApplicaUon Type ' � Affirntltion
Code Version � ; 2014
Applicat�ion Status( ; Approved
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Comments �
Arcluveil I
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Product�tanul'achirei� , Masonite International
Address Pl�one/Emaill , 1955 PowiSltoad
� West Chicago,[L 60185
I , (615)441-�}258
I sschreiber(r�masonite.corn
Authorized Signnture Steve Schreiber
I sschreiber(r�masonite.com
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'T'ecl�nic�l Represenl�Five '
Addres5/Phone/Email
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Qualiry Assurance R��present��tive �
Address/PhonelEniail
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CateE;oryI � I Exterior poors
SubcntCgoiy Swinging Eixterior poor Assemblies ,
, �
Compl�ance Method � i Certificltion Mark or Listing
Cenifiinnc�n Agency I j National Accreditation&Menagement Inslitute
V�lida ed By i , National Accreditation&Management Insti(ute
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Refereiced Standard 1nd Yetv ofStandard) , �`
s ( Standard �� ��� Ycar
i . ASTM E1886 A��O�� 7_
! ASTM El')96 �/��� ��
; j ASTM E330 �e_� `��`
I i "I'AS 202 �
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Equi�V�ilence o}'Produ�t Stlndards I �p�(
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Cerhlied f3y I ; ,��RF�oR
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i �/I affinn that there are no change�� �a��rh�a I3ifil��$Code which aftect my
i product(s)and my product(s)are in com�t �it�ne�+�FK�13uilding Code.
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Documenttition from o-Spproved Evaluation or Valid�tion Entiry Yes �No N/A `s�O�' �
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Prodiict Approval Method Method I C)ption A �
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Date Submitte<I i 0�!/29/2015
D�te V�lidated � , 0�4/29/2015
Date Pending FBC A�iproval i
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FL�I � � Alodel,Number or PJxme Desa•iption �
8228.) i I Y Piberp;less Side=Hing�.d Door Unit � 6'-8"Opaque I/S and 0/S Sin�;lv Door � Y
---------�----------=—•--- -- ------ ----•------------
L,iniit�oPUse � ; Certification Agency Cartifiratc
ApprIo��cd for usr.in FIV1iZ:Yes FL8213 R7_C_CAC NIOOG;.�UO;OI.�df
t1�>p lo��ed for use butside HVI3'L:'Yes Quality Assurance Contrac¢E;xpirntion:Uate
[m p�c t�tesist�+n L•�Yes l2/3 U2020
De::ign['ressure:-F85.0/-85.0 [nstallation Insh�uctions
Othei•:fivalualed f'or use in loc;ttions adhering lo tlie Florida 13uilding FL8218 R7 [I FLO1GOUx.���if'
Code i ucluding the}4igh Velocity Hurriclne Zone,;md where pressure Verifed By•National Accreditltion&Mana@emenl Institute
requu'ements as detenninecl by ASCG 7,does not exceed the design Created by Independent Thir<I Yarty:
pressi�res listed.3'-0,"x 6'-h"max nomin�l size.I-[urricane protective GvTluation Reports
syslei�i required in I-�vHZ,bul not required in the W'ind l3orne Debris FL8228 R7 AE 504AJ�df '
Reg,ion.5ee DWG-�IA-FLOlGO-0'I Fur additional infonnation. � Created by[ndependent Thircl Party:Yes •
3228.?__ � �I�iber�;lass Side_Hing�;d Door Unit 8'-0"Opaque I/S 1nd O/S Sin�lr,Door
Limit�s of Usr. � ' Certificatiou Agency Certificate �
App�ov��d for usr.in HVHZ:Yes FL8228 R7_C CAC Nf00(iJ00.�2.�df
Appi�oved for use�Sutside H'VHZ:Yes Quality Assurauce Conh•�ct Expir�tion llate
Impnct liesistant:YIes 12/31/2020 '
Ue,�ign Pres:�ure:+�70.0/-70.0 Installation Instruction!� �
Otli 'i: Evalueted ti5r use in locltions adhering to the Florida l3uilding FL8228_R7 II �L0161_l�x,E�df
Code�including the}iligh Velociry Hun•icane Zone,and where pressure Verifed By•Nation�l Acereditation&Management Institute
requi�ements as dete�-mined by ASC1=7,does not exceed the dcsign ' Created by Independent'i'hird harry•
pressures listE:d.3'-Of'x 8'-U"max nominal size.Hurcicane protective ' Ev�luation Repm•ts �
syst�.m r�quired in HVHZ,but not required in�the Wind Borne Debris FI.�8225 R7_AE 503�1,pdf
Region.3ee DWG-fyIA-FLO IG I-07 for additio;nal information. Created by Independent Tliird t'arty•Yes
—'-------' -- — ----'r — ---=-----
8228.6 � Fiberglass Sid�-Fling�:d Door Unit I 6'-8"Opaque Inswing Single oc Double Door w/or w/o 5idelites
LimiSs of Usi � ' • Certification Agenc,y�Certific�te �Y Y
r�pproved for use i�IiVEIZ; Yes FL822S R7 C CAC NI006�JOO.OI.pdf
Appi�o��ed for use outside IIVHZ; Yes , Quality Assin•�ncc ConirTcl Lxpiration ll�te -,
Imp.�ct Resist;uuh Yes 12/31/2020
Desi�n Pressure;+'S0.5/-SU.� Installation Insh•uctions I
Oth�jr:Evaluated ftir use in locations adhering to the Florid�E3uilding FL8228 R7 II FLOl60U�clf �!
Codelincluding the h3igh Velocity Hurricane 7one,and H�here pressure Verified By;National Accredit�ition&Mnnagemenc Institute
requi�lemen(s as dete�•mined by ASCI�7,does iiol exceed the de:sign Created by Independent"Chird Farty•
pressures listed. 12'-0"x 6'-3"mnx nominal size.Hurricane protective ' GvaluTtion Reports
systei�required in HVEiZ,but not required in the Wind Borne Debris FL8228 R7 AE_502A�df i �
Regiqn.See DWG•_A%IA-FL0160-0'1 i'or additiopal inlormation. Created by Independent"fhird�'arty•Yes
_.__� i -- -- -- --- ,-- --- — I
82221.i14 � F'iberglass Side�Hinged Door Unit � 6'-8"Opaque Outswing SinglE;br pouble Door w/or w/o Sidelites
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Limits of Use � � Certi(ic;ttion Agency Certifie�te
App�•aved for use i�i HVl-IZ;Yes � FL8228_R7_C CAC N1006,y_0.01_;ndf
A ��•oved far use outside HVHZ:Yes �
• pl i QuTli,ty r�ssurance Conh•act�xpiration Uatc
ImF��ct Resi:ctaut:Yes � 12/31l2020 �
Desi6n Pressure;+55.0/-SQS ' • Install;�tion Insh•uctions �
Other:I;v:iluated Fqr use in loc�tions adhering tu the Florida l:suilding FL,8_228 R7 [I_FL0160L)�,p�if
Codelincluding the Fligh Velociry Hurricane'L'one,and where pressure Verifed By:National Accreditation&Management fnstitute
reqiniements as delennine<I by ASCE 7,does not exceed the design Created by[ndependent Third Party:
press}ires listed. 12'-O"x 6'-R"max nominal size.HurricTne protective , Gvaluation Repm•ts
systi:m rrquired in f-I�FIZ,bul not required in the Wind Borne Debris FL8228 R7 AE 502A,pdf
Region.See C�WC-iv1A-FL0160-07 for additional infonnation. Created by Independent Third Party•Yes
822�i.�5 ____ry _'�Piberglass Side-Hinged Door Unit � 8'-0"Opaque Inswing Single or pouble Door w/or w/o Sidelites
Limi�s of Use I Certification Agency Certificate
rlpproved for use in FIVF{L:Yes FL8228 R7 C CAC N1006S�OQ_02_p�f
Ap�i{•oved for use o�utside li1�H7; 1'es Quality Assur�nce Contr;icf Isxpiration Dat��
Irnp�ctlkcsi��tTnt; Yes 12/31/2020 �
Design 1'ressure:+j0.�/-50.5 Installntion Instructious
OthCr:Eivalu�ted Ftir use in locations adhering to thz Florida E3uilding FL,8_7_28 R7 I[ FL0161Dx.pcif
Cod�,lincluding the Higli Velociry Flurricane'Lone,nnd where pressure Verified By•National Acereditation&�M�iriagt:ment Institute
requii�ements as deteymined by ASCE 7,does iiot exceed the design � Created by[ndependent Third Party: i
pres,:ures listed. 12'-Q"x 8'-0"max nominal size.Hw•ricane protective Evaluation Rcpm�ts �
system required in HUHZ,Uut not rec�uired in the Wind Borne Debris FL8228 R7 AE_SOIA..pdf �
Regiqn.See DWG-N'A-FL(1161-07 for additional inform�tion. Created by Independent Tliird Party�Yes
—i------� -- -- —� --••-------
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8728�6 I Pibergl�ss Side-Hinged Door Unit 8'-0"Opaque Outswing Single or poub�le Duor w/or�v.�o Sidelites
Limits ot'Use i + Certification Agency Certificace i `
Ap{;�rovcd for usc i�i HYHiS: Yes PL8228 R7 C CAC NI00690Q.02.pclf
r1pp��ovcd for use o�utsidc Fi\'�IZ: Y'es � Qualit��AssurAucc ConG•act Gxpirfltion D�tc
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[mE�acQ Resi::tant:Yes 12/31/2020 ;
Dcsigr Pressurc:+55.0/-50.5 Instnllation Insh•uctions `i
Other I:vnluated for use in locations adherin to the Florida ESuilding FL8228 R7 I[ FL0161 Dx.p�� �
Code ii cludin�;the Fligh Velucity Hurricnne 7_�one,and where pressure Verified By:National Accredit�ition&Managament lnstitute
require ients as determined by ASCI;7,does i�ot ex�,eed the design Created by Independent Third i'arty' ;
pressu f;s listed. 12'-0"x 8'-0"maa nominll s�ze.Hurricane protective Gv�luation Reports �
systc:m r�:quired in NVHZ,but not required in Ehe Wind Borne Debris " FL8228 R7 AE SOIA.pdf ;
Region.5ee UVVG-MA-FLO1G1-07 ibr additioinal information. Created by Independent'Phird arry• Yes
��._-------- _--�-�--__--- ---� ------ — -- �
8?.2Y,.7 F'iberglass Side�Hingc:d Door Unit 6'-8"Glazed Inswing Sin�;le or k�ouble Door w/or w/o Sidelites
—�------ — — ---�-- — ---
LimitsI of lJsc I Certification Agency Certific+�te , ,
ApprGved far use in HVFIZ:Yes � FL8228_R7 C CAC N1006yd0 03.��df
Appr�ved far use outside HYHZ: Yes � Quality Assurance Canh�act I�xpirxtion llTtc
Impa t Resi:�tant:No ; 12/31/2020 ;
Desig i 6°ressure:+52.0/-52.0 � Instnllation[nshvctions ;
Othe�:L'valuated for use in locations adherin�tu the Florida Eluilding FI,8228 R7 [[ FLO 162D�r�fl
Code i icludiny the F[igh Velocity Hurricane'7_'one,and�vhere pressure Verified By:National Accredit rtion&Management Institute
requir ments ns dr,tennined by ASCIi 7,does iol ex,eed the design Created by Independent"I'hird�'arry•
pressu r.s lisred. 12'-0"x 6'-8"mnx nominal siie.Hurricane prolective Gvaluatiou Reports ; �
systen�rcquired in HVI-IZ and the lvind E3orn�Debris Region.See DWG- FL8228 R7 AE 502A.pdf ;
MA•�P�,OlG2-07 fur t�dditional information. I Created by Independent"fhird r'arty•Yes _
--r----- � —•�----
872£i.�_____ Fiberglass Side�Hingad Door Unit 6'-8°Glazed Outswing Single o�•Double D<�or w!or�v/o Sidelites
Limit�of Use u CertiticTtion Agency Cert�6ctite
Approved 1'ar use in HVI�[Z:Yes FL8228 R7 C CAC_N10069 0.03,1�df
Appi�oved for use outside kiVHZ;Yes Quality Assurance Contract xpiration Uate
lmpa�ct Resi:�tant:No 12/31/2020 i II
Desi n Pres�,m•e:+55.0/-55.0 Installation Insh•uctions '
Othe•:Evaluatetl for use in locations adherin ro the Florida E)uilding FL8228 R7 II FLOl62I)�r(
Code ncluding the F[igh Velocity I�urric�ne L'one,and where En•essure Verifed By:National Accredit ition&ManagemenY Institute �
requir ments ns determined by ASCIi 7,does iiol e�:ceed the design Created by Independent"fhird�'ar[y�
pressi�res listed. 12'-0"x 6'-8"max nominal si�e.Hurricane pro ective Evnluatian Reports !
systcip required in HVHZ and the Wind Born�.Debris Region. iee bWG- FL8228 R7 AE 502A�df i
MA•�I.OIG2-07 for�idditimial information. � Created by Independent"fhird f'arty•Yes ___` _
-_�---�».- - -----�_�.-�----- --•-�—•---- --- --
822!!. _____�Fiberglass Side iHinged Door Ui it __ 8'-0"Glazed Inswing Sin�;le or��ouble Door w/or���/o Sidelites
LimiPS of Use I Certification Agency Certific:�te
r\pp�toved for use in HVE[Z:Yes I F1,8228 R7 C CAC N10069 0.04.a�df
Approved fa•use outside GiVHZ:Yes � Quality Assurance Contract�yxpiration I>ate
lmp�ct Resi:�tant;No � 12/31/2020
Desi u Pressm•e:+40.0l-45.0 � Installation Instructions '
Otly r:1?valuated for use in locations adhering to tlie Florida E uilding FL8228 R7 11 FLO 163D�r1�
Code including the I-[igh Velociry Hurricnne'7_one,and where ressure Verified By•National Accredit�ition&Management Institute '
requi•ements ns determined by ASCL 7,does iiol exceed the de>ign Created by Independent'Chird�'arty� �
pressures listed. 12'-0"x 8'•0"mnx nominal si�e.Hurricane pro ective Evaluation Reports i
syst+:ip required in HVHZ and the 1Nind Born�Debris Region. iee DWG- FL8228 R7 AE SOIA.}�df
MA-t�LOlG3-07 for additional information, I ; Created by Independent'fhird 1'arty•Yes
�_��_ -- , � -- —�— ,
8728 l0 Fiberglass Side1Hingr.d Door Ur it 8'-0"Giazed Outswing Single o5•Double Door w/or w/o Sidelites
—�------ -- — — -
Limi�s of Use ; Certification Agency Certific�te '
App uved for use in F[VI-[Z:Yes FI.8228 R7 C CAC NI0069.0;04,.��df
App•oved far use outsidc IHVH2:Yes Quality Assw•ance Contract xpiration llate �
Imp ct Rcsistant:No I 12/31/2020
Desi lu Pressw•e:+43.0/-d%A � Installation Insh•uctions �
Oth r:L-'valuate<I for use in locations adhering to die�lorid�E uilding FL8228_R7 II FL0163D�e1� ;
Cod inclu�ing the hligh Velocity flurric�ne T'onu,�nd�vhere E ressure , Verifed By:NTtional Accredit�ition&M1n�gzmenf Institute
requi ements�s determined by ASCIi 7,does i'iol exceed the design i Created by Independent"I'hird f'arty•
press irf;s listed. 12'-0"x 8'-0"max nominal siie.Hurric�ne pro ective j GvaluAtion Repm•ts '
sysic:�»rc;quired in HVHZ and the 1Nind F3orne Debris Region. 'ee DWG; FL8228 R7 AE SOIA.pdf ' ' ,
MA,'LO IG3-07 for�idditional inforniation. ; _ _1 Created by lndependent"fhird party•Yes __ _
--r------- — -i ' ! -
8228�.1 I _� _ F'iberglass Side!Elinged Door Ur it _ � 6'-8"Impact Glazed Inswing;iitigle or�Double Door�v/or w/o Sidelites
•-,-- ' -
Lim;ts oPiJsc �, ! j Certific:�tion Agency Certific tc �
Approved for use in HVF(Z:No ' � F1.8228 R7 C CAC N1006��O.OS.pdf
Ap�#roved far use outside�IVHZ:Yes � � Qu�lity Assur�ncc Contract[�spiration llate
lm��nct Rcsi:�tatih Yes � 12/31/2020 ; �
Desfgn Pressure;+52.0/-52.0 ! I Installation Insh•uctions ; I.
Otl�er;L-'valuatecl for use in locations adhering to the Plorida E uilding � FL8228 R7 I[ FLOI62Dx.pd ';
Codc�nol including the High Veloci,ry Hurricane Zone,and wh re pressure Verified By•National Accredit ition&Managzment Institute
requ rements ns detennined by ASCI:7 do noc�e�ce¢:d the desi�n pressures Created by Independent'Chird 'arty i
� ; i Gvalu�tion Reports ; �
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IisR:d. 12'-0"�6'-8"max nominsil size.See DWG-NIA-FL0162.-07 for FL8228 R7 AE 502A��df �
;idditi nal information. ' Created by lndependent Third 'arty:Yes
--•------ ---- .�_���_--- — ---_.�-----�..--
A223.1�2 ` ' f�iber�;]ass Side-Hing�;d Door Unit � 6'-8"Impact Gl�zed Outswin€;�ingle or pouble Door�v/or w/o Sidelites
-- ---------�---- -------- --••-�-------- —
Limits oi'1Jse + Certification Agency Certifir.�te
Appi�crved for use in HVHZ:No FL822R_R7 C_CAC_NIOOfi9�0,Q5.pdf
Appr��ved fnr use outside HVI�IZ,:Yes Quality Assur;�nce Confracf�Lzpiration llate
Impa�i:t ResistnnL Yes ; 1?./31/2020 �
Design Pressuo•e;+55.0/-55.0 Installation Instructions �
Other; E�•aluated for use in locations adhering to the Florida I3uilding FL822S R7 II FL0162D�c1�'
Code not including the High Velocihy FIurricane Zoue,and where pressurf; Veritied By:National AccrecliSation&M�inagement Instiwte
requiremf:rits as determined by AS('.l?7 do not exce�:d the desi�;n pressure� Crelted by Independent'Third('arty:
listed.l 12.'-0"e 6'-8"max nomin�il si::e.See DWG-MA-FL0162-07 for GvTluation Reports I
�dditi i nal infortnation, i ; FL822S R7 AE 502��df '
� � Cre�ted by Independent'I'hird�'arty•Yes
—�---- -=------- - - --•�----- ----
8228.I 3___ Fiber€;lsiss Side'',-Elingcd Door Unit I 8'-0"lmpact Glazed Inswing Si�igle or ponble Door�v/or w/o Sidelites_
Limits of l.lse , � CertificTtian Agency Certific�te
r�pp�Ioved for use in IiVHZ:No � FL822S R7 C CAC NI0069�O,Q6,}�df
t\ppilnvecl f'or use outside H\rHZ:Yes Qu�lity Assw•nnee Conir�ct I�xpirTtion Date
, Imp�ct Resistent:Yes , 12/31/2020 ;
De:>i�n Pressure:+40.0/-45,0 Instaliation Instructions '
Otlic�^ Hvaluated tiir use in locations adhering ro d7e Floridl E3uilding , F1�8225_R7_ll_�LOlG3I�x,�<I�
Code�not including the Hi�h Ve:lociry Hurric�ine Zoue,and wltere pressurff Verified By•N�tionel Accredipaticm&� M�inagement Institute
requii�ements as determined by ASCI's 7 do not er.cecd tlie desi�;n pressures Created by Independent"I'hird I'ar'ry•
I' listecl� 12'-U"�8'-0"max nomin�il sir.e.See DWG-MA-FL,0163••07 lor Gvaluetion Reports ;
�dditii u,il tnfonnation. FL822S R7_AE_SOIA,pdf �
Created by Independent'Cliird '�rty•Yes
--,-------- ---- ----------- - --•-�---------- ---
8228 il•'I___ _^__�Piberg_I�ss Side-Hingcd Uoor Unit_i 8'-0"Impact Glazed Outswing�ingle or pouble Door w/or w/o Sidelites
, LimiSs of I.Is�� � ' Certification Ageucy Certifica te
r�pp'•o��ed f'or usc in EIVHZ:No i - j FL8228 R7 C CAC N10069(�0 06.pclf
App�o��ed f'or use outsidc HVIIZ:Yes i ' Quality Assurance Contract I�xpiration I)ate
Imp i ct R�sist�nt;Yes � ' � 12/31/2020 ,
Dc:cigu�'rest�ure:+43.0/-4"/.0 I � Installatian Instructions ,
Oth'r:Evaluated for use in locations adhering to tl�e Florida E3uilding � FL8228 R7 II FL0163I)x•pc�
Code�not including the Hioh Velocity Hurricane Zone,and where pressurd Verified By:National Accreditkition 3c M�magement lnstitute
reqw ements as determined by ASCI?7 do not�excecd the desi�;n pressures Created by Independent'fhird t'arty•
listed� 12'-b"x 8'-0"max nominal siz.e.See DWC)-MA-FL0163••07 for ' Evaluation Reports �
addit�on�l infurmelion. ' FL8228 R7 AE SOIA.pdf
� Created by Independent"I'hird f'arty•Yes
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