HomeMy WebLinkAbout17-18025 I
' ' CITY OF ZEPHYRHILL�
5335-8TH STREEI"
' � ' (813)780-0020 180
' BUII.DINC PERMIT
�'' PERIVIIT INFORMATIQN LOCATlON INFQRMATION
Permi# Number: 18025 Address: 38351 IRONWIJUD PL
Per � it Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class�of Work: 434-ADDIA�T RESIDENTIA� Township: Range: Boak: .
Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squ�re Feet: Subdivision: DRIFTWOOD
E�t. Value: Parcel Number: 02-26-21-021A-OOM00-0010
Improv. Cost: 10,926.00 QWNER INFQRMATIQN
Date Issued: 3/17/2017 Name: KAHRL TOMMY
Ta�al Fees: 135.00 Address: 38351 IRONWOOD PL
Amo�nt Paid: 135.00 ZEPHYRHiLLS FL 33542-6624
Date Paid: 3/17/2017 Phone: 813-780-8985
W�rk Desc: WiNDOW REPLACEMENT 9 S1S
� CONTRACTOR S APPLICATION FEES
WEAT �ER TITE WlND(JWS BUILDING FEE ���,pp
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� Ins ections Re uired
F TER I 2N R U PL B N1! INS LAT1 N CEILI G
�QOTER�BOND DUCTS INSULATED SEWER MISC.
ROUGH E�LECTRIC LINTEL MISC MISC.
95T ROUGH PLUMS PRE-METEF2 IRlSt1LAT10N WAI�L MISC.
DUCTS(t�STALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINs�PECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statufie 553.80(2)(c)the
local c�overnment shall impose a fee af four fiimes the amount of the fee imposed far the initiat inspection or
,� first reinspection,whichever is greater,far each such subsequent reinspection.
NOTICE: In addition ta the requirements of this permit, there maybe additional restrictior►s applicable ta this property that
may be found in the pub(ic records of this caunty, and there may be additianal permits required from other governmental
i� entities such as water management, state agencies ar federal agencies.
"1Na�ning to owner: Your faiture to record a notice of commencement may result in your paying twice for
imprinvements to your property. Tf you intend to obtain financing, consult with your lender or an attorney
I) 6efore recording your notice of cammencement."
Camp[ete Plans,Specifications Must Accompany Application.All wark shall be pertormed in accordance wifih
i� Ci Codes and Ordinances. N�OCCUPANCY BEFORE C.O.
I NO OCCUPANCY BEFORE C.O.
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'C RACTOR SIGNATURE PERMIT QFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED TNSPECTION
CALL FOR IiVSPECTION - 8 HOUR NOTICE REQUIREQ
PRCITECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: �; � d r
Date Received: /�V�i7—� �
Site: I v � � � �
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Permit T� e: �(it�� �i�G� S �
Approve w/no comments� Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This co� ent sheet shall be kept with the permit and/or plans.
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Kalvi �wit lans Examiner Date Contractor and/or Homeowner
I i (Required when comments axe present)
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' ' � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
_ .. - It . � (�
Dm R�alv�d � ' Pho�n Co�ot for P�rmittl 818 908 _ 0131
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��ry�� Tommy Kehrl Own�r Phom Numb�r (813)780-8985
�„,��� 38351 Ironwood Plece Zephyrhl�a,FL 33542 p���phon�Numb�r
FN�ImpN Titl�hold�r Ntm� WA Owna Phon�Numb�t
FN a1mpN Tlti�hold�r Addrvss WA
JOB ADDRE88 �1 Itornvood Place Zephy�fiills,FL 33542 �� �
BUBDM810M PARCEL ICi 02 28-21-021A-OOM00-0010
(O�lAV�D FROY PROPlRIYTAX M0710E1
WORK PROPOSED e NEW CONSTA e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOaED USE Q SFR Q COMM Q OTHER e 8ce
TYPE OF CONBiRUCIION Q BLOCK Q FRAME Q STEEL Q �
DESCRIPTION OF WORK Replace Same 81ze:9 Wlndowe
BUILDINO Slg SQ FOOTA(fE� HEIOHT �
� �BUILDING i���� VALUATIONOFTOTALCONSiRUCT10N
QELECiRICAL 5 AMP SERVICE Q PROORE88 ENERQY Q W.R.E.C.
QPLUIY�INO S
( QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION
QOAS Q ROOFINO Q SPECULLTY Q OTHER
FlNISHED FLOOR ELEVAT10N3 FLOOD ZONE AREA QYES NO
BUIWER • CO�P�` W�erTifeWindows
SIpNAiURE Y!N �ctrt�N Y/N
�d� 2119 W lumbua Drfve Tampa,FL 33807 ��s* CCiC1515541
ELeCTRICIAN COMPANY
810NA7URE aEo�srr� Y/N r�cura�N Y/N
�aa�... uo��# ,
PWYBER COYPANY
� 81GNAiURE REcitsTER� Y!N F�CURREH Y/N
AddtMs Lloente M
YECHANICAL COYPANY ,
SIONA7URE ttEQie1� Y/N F�Cuw�N Y/N I
/lddnsf Lloente# �
OiHER COIlPANY
SIONAlURE re�citer� Y/N tgCuar�n Y!N
Adanss ucenea#
1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Atlech(2)Plat Plene;(2)setn of Bufldinp Piene;(7)eet oi Enerpy Fom%R-O-W Pertntt far new conatructlon,
Minlm�un ten(10)worldnp deys etter eubmlMel dete. Requhed onaiCs,Conahuctlon Plena,Shormwafer Plena w/SBf Fence Inate9ed,
SmiMety FecBitle�81 dumpalnr,SMe Wodc PertnR tor eubdivtalonellarye proJecb
COYINERGAL Attach(2)compleEs seta ot BuOding Plene phro a Life 8efety Pape;(7)eet of Energy Fortne.R-0-W Pwfnit for rrew conatiuctlon. �
Minlmum ten(10)woridnp daye efier eutxnlffai date. Requlred orofte,Comhuctlon Piana,3tormweter Plena w/SQt Fence NsteOed,
Senitery FacUHlee 81 dumpder.31te Wark Pertnk for ell new proJecla.All comme�otel requlremerAe mua!meet compllence
SION PERMR Atteeh(2)seb of Enptr�eered Plem.
""PROPERTY 9URVEY requlred for all NEW consWclfon.
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DI�ctlOnf: �
FlII out epqiratlon oomple�y. �
� Owner 6 Contrector�lpn beck ot eppOcaibn�notnrizsd �
H ov�r�2300,a Notlw oT Com�mnam�nt Is nquMd (I1fC uppnd�s owr s7600) ��
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I Agent(ror me caihactar)or Fowe�a Atlnmey(tor u�e owner)womd be saneone wnn nomdr,ea letter rmm owaoer euu,ortzin0 aeme
OYER7NE COUNTER PERMIT71Na (copy o}contrect roqutred)
RerooTe H ehtr�glee Sewe�e SeMce Upgradee AIC Fencea(PIoUBurveylFootage)
� Drlv�wrqs�lo4 over Coun6er M on pub6c roadwqa..neede ROW
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,, <, NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulatfons. 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
finat power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer 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—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",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 pertormed 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 fiil 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 fiil 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 plans,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 Buiiding Official for a period not to exceed ninety(90)days and will demonstrate
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,GONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) �
OWNER OR AGENT fr 6� � CONTRACTOR k
�bscri ed and swom to o affi ed befor me thi Sub cribe and sworn t ar ir ed befor me thi
ny �ll�([ AdQA��S z te by � /�i c i-E A�� F�o u a+u�E2
o Is/are personally known to me or has/have produced Wh islare personalty known to me or has/have produced
as identificadon. �� as identification.
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I ��c �C"' Notary Public
Commi ion No. Commissi No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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,S�Y P�'• SPENCER KAS�
.•:atY?va•. SPENCERKASu ��••-•r�G%
;�g• ��- ;+�� tr: h4YCOM�41SSI0N N FF03,i��4
_,; .: MY rON���IssI�JN d rF o33074 ;��;�-
� =a•. �: EXPIRES:November 1,2017 `�'�• P; EX?IAES:November 1,2017
;r;•• � �'�„qf���°` BondedThruNotaryPuhlicUndervmters
� '•r;;pF���;:�`'� Bonded 7hlu Notary Puhlic Undervrritera � ^_ --___
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� ,� 211�W.Cotumbu�s Drive*Tampa,Fic�ricia 33fi07
I������'� ���� r,,, �} p' {813)�OS-0�.3X •(927)2�0-6a29•(800)G40-31b1
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� FURICHA.SE A,GREEMENT
THIS CQN1'RAC'i`made this �. Da c�f ,
II ��,,,H,...,_,_._ y �r'C�zE�2. 20,�by a�id behaeen Weatheri'ite,
(S�ere�t�a#��r referred ta as"Setler"}aa�d Naine;�'�s� �o i-i Rt,.. ,
Address• (�3`a3S } J R ant�,3 0o i� (�t...� ._.._...__�.
Ci.ty.: Z.��' {-1 W-1 t_t. State: (�=`L . 7ip; 33 �u 2
Pci�zzary Pl�c�nc: 1 ��C?-'�`�$5 SecQztdacy Flto��e:� Emaii: '7`?4t�H2t��..�11E�.'•t?_S2 �L.N�
(here�uat��r ref'erred to as"gu}�er"}.
Seller a�rees to sell,ancl buyer a�rees to buy,aIi ihc�se materials and labar nece�sary ic�insta�t tlie same as set fortl�ici the falEawing S�eciflcafians and
in accord��ce wikh the Terros a�td Coiiditions below and with agpraxi�iiate measurernents and specificatipns listed on�xhibit A a�idlor Fxhibit B.
� ,a-c'�-t�dii'-r�-t� W t i,.t.. R�d`�t C>V�. 9' OL.[> a�tt...V r-c r nt i�r�t a.,,)�nI c>ot,.a 5 .�-r.�t�
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t�It �..,��. �m #�� +"�►�.� �..�'��e..�c..o�.,��.�; �t��tr,t rt.r 1/i rd�..ra �... L-+�a w t� �2t�t.a�,t�t
�^s€�t S�� t„fi a�r✓�t ��Cst�. 5+"''�L�t�S .�w��_L..��.�„��S r_13 tt�t�.t'�.r., t��.! [��2-Lyt+��,c� � .�S E-�S
!�f S !i�l L W N W l � � ..-W,1,p
hJ I TY-�t..tr R i�'7'� /LL7X �b-' !�, t:Ctt� � a�-t �Irt.i'Lf�— �'ti�:►''�SV(Z.rt.:
q�F' � � 15C�1n'v� e�Y2.U+'�-�-L� 1�L.d�G1
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� 111�5�'A��AT'I�l1Y�(J�S 1Vl�T`I1VC'LU,€�E P�I1YTLfl�G,41V17t�1� �'�'AI�YIN .fr"
Tl�rs p�°ic�r�e,�9'ects al!t�nrie-itts, s,�recials a�a�'efascaunts
TC}TAL G SI-C PRICC$ Oo�Z�n, uOWN Ptl`YMENT$ _�__�_ UNPAID BALANCE$_1C�f q�Cp .�
C.t3.I}.� � � � AM4UNT FINANCED�' $ �J�� ,�" IF CREDiT;i�i�.UF MONTHS � pi,.#�. C.71. 1 n�t'
��—�. �I C�•. �t_. �-�,�y�ue
�`Sub�ject fo ct•eefit approval at�d existiFag iraterest 1•ates wtth�tppPOv�t1g fttSttf�ttlPtt.8���l�2g ZTp: """ CY2: -"
C12BDIT�GARD# _�� CE2.ED6T CARD TYPE --' �XP.DAT� �
1. Rny hnliJer nf efiis cronauiner credit cansrnet is suUject to a!i claiftiis and defenses tivhioh t{�e c3ebtor c:oultt ussert s�gainst the seiter of�vvcls or senic•xs ubtained pursimnt hereto ur wit1�the
}�ror.e���Ihe�eof.Recovery hereunder by tl�e dabtor slzal!nol esceed amotmis p,iid b}�the dtblan c�rcu�der.venue of paymtsnt discr¢pnncies to bc dc��rmined hy Wcatherl'ite VUindows aoly.
2. liuyer A$rces to aCCOpt Jwlivecy uf maleeinls nCte[nodce frum Se!!cr uf tltc ipstallatiwi datc,ARrr 5 da3 5 pusK�tw date�f inslallatian iCbuycr mfuses to accepi delivcry,a ch<�e of 2.5°t��rer
week s�t�1l ioe Added as a stnrage Pea. F�a�vevac.SeIler sliall nM ise Iialste Por any detays caused by ivar,riot,strikes,acts ofGad,ftsctory dePec�s nr pk3ier causes beyond its cantcol.
3. Buyer tjc'�Cnowle��;es t1�et he has read lhis A�reeme�t in Full,Atiut it is she comp3ete a$reement bet�veen the pnrtics,and Utttt no oral promise nr mpresentation ofany kind will be reeognized
Uy,orasscrtcd a�ains�Setlor.
d, 3'{z"ss agr��rnenl is Rs�ihe bonsfit vf,and sttall b�binding upun,Ihe parties.tnd their respeetive t�eirs_succacsors and assigas.
5. 8tryef tiu�tl�arizes Seller l<t maka inq4[iries of ptliers conaerning credit iniormatian,including,but not lirnited to nrncurii�g consumer reparts S'rnm cnnsmner reporiing uganoies.
G. Any inslt�ll thut requires service ar services duriag the tiine of instuUation tliat daes not aftect the structu+hl integrity of praducts is,nnd will Ue,considered a complete inett�ll mid horneo�vner
agceas ta��ay in t'ull at tiaic of ins#ull.A}E sen ices wil!he reporied to c�ffice,sclredet3ec�uc3d comp�ated in a man�rer suilat�Ie to#he security af serv'sce es�11�arls:�e custoin and tin�e is
needed for manul'oeiuring.Nnmeosv,ner roay�vithlmld an amount equu]ta e�timuted cost oFcoreectian fmm finu6 paymenl onty.A finance c6ar�;e of 1.S%per mundi or I 6°/n per amium will
be assessed an a11 unpaid balances,U�d not to az acry time exceed tlye highest]egal rula of ineeresl allowed.
7. Alk Ih�:ck Rc.stric2ecl C'cimrnuneties,cundps ttnd hvmeournrr�xssuciutian nscmixrs�rm�t asss.et ir�ap�ravat af prc�ue�4.Any reqirirezl approvats aec ttic sois cesponsibilstY of fi�e t�omeocvner.
8. [3t�yer is�oieiy respnnsible far mo47ng furniiute,removing ond replacing btinds and any alarm svstems near or uttached to tsny opening[hat work is bein$perfon�ed.WC��iher'CiIC Windotv5
will na1 t�e finoncinlly respansible for claaui�;e V f such i lems�vl�atsewvcr. Wcatl�tr'1'iiC shall pOt be held YCS�wnSible for nny damage to furnilure aitcUor Jloors oC aitv oti�ec dnmage incurred
hj�t3uye��Suyar'8 i�ome ae�aropertg,
4, t3ndz psc�ies agrce thet any dis�+ute arising frpm this aeceen2enl shutl he ke�rt privuie rmd contidentiaT and not filed ar recorded in any�ubSie record.'i'Ita T3uyer ugcecs to keep iiiis trpnsaetian
and any iasue urising frUm Aiis lransaolinn priv�le,und nol lo ilisc�uss,publish or dlsseminate any inforrnation�+�il6ou�prior wri�ten cnnsent of 4Veather'Cite Windqws. A dispute urising from
this ccantract shail!be(�eud by an arbitrator u};rced to by bo!!i pauties AnJ paid for sotalp by iha Ru}er.
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Florida _
'�' " Product Approval
�,�� � wq USER: Public User
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� I Product Aooroval Menu>Produd or Aoplication Search>Apolicatlon L(st>Application Detail
.. + FL# FL1435-R19
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 �7 �
Product Mantifacturer - PGT Industries
Address/Phone/Email 1070 Technology Drive
� North Venice, FL 34275
(941)486-0100 Ext22318
� druark@pgtindustries.com ,
Authorized Signature ]ens Rosowski
jrosowski @ pgti ndustri es.com
Technical Represeritative ' Jens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
_ (941) 486-0100 Ext21140
jrosowski@pgtindustries.com
quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency • Keystone Certifications, Inc.
Validated By Steven M. Urich, PE
'� Validation Checklist- Hardcopy Received
Referenced Standard and Year (of Standard) Standard Year
� AAMA/WDMA/CSA 101/IS2/A440 2011
AAMA/WDMA/CSA 161/IS2/A440 2005
AAMA/WDMA/CSA 101/IS2/A440 2008 II
ANSI/AAMA/WDMA 101/I.5,2/NAFS 2002 �I
' ASTM E1886 2005 �
ASTM E1996� 2012 I
" ASTM E283 2004
ASTM E330 2002
I
I
IEquivalence of Product Standards
Certified By
I
I
F
' � �
Product Approval Method Method 1 Option A
Date Submitted 01/Ob/2017
Date Validated O1/07/2017
Date Pending FBC Approval
Date Approved 01/09/2017
Summary of Products
FL# Model,Number or Name Description
1435.1 SH - 200 Aluminum Single Hung Window (Std. Meeting Rail, inc. Pass-
Thru}
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R19 C CAC CertificationB -SH2O0.pdf
Approved for use outside HVFiZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 02/16/2019
Design Pressure: N/A Instaliation Instructions
Other: Please see the Installation Instructions for design FL1435 R19 II SH-20D.odf
� pressure, size and anchorage information.The Pass Thru Verified By: A. Lynn Miller, PE 58705
version was not tested for water infiltration. Created by Independent Third Party: No
Evaluation Reports
FL1435 R19 AE SH-200 Evaluation.ndf
Created by Independent Third Party No
1435.2 SH - 200 HD Aluminum Single Hung Window (with HD Meeting Rail)
Limits of Use Certi£cation Agency Certificate
Approved for use in HVHZ: No FL1435 R19 C CAC 190-1003CAR2.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No O1/08/2d20
Design Pressure: N/A • Installation Instructions
Other: Please see the Installation Instructions for design FL1435 R19 II SH-200HD.�df
pressure, size and anchorage information. Verified 8y: A. Lynn Miller, P.E. 58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R19 AE SH-200HD Evaluation.qdf
Created by Independent Third Party. No
1435.3 SH - 500 WinGuard Vinyl Single Hung Window
Limits of Use Certification Agency CertiFca'te
Approved for use in HVHZ: No FL1435 R19 C CAC CertificationB -SH500.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 08/27/2018
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions for design FL1435 R19 II SH-500c.pdf
pressure, size and anchorage information. Verified By: A. Lynn Miller, PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R19 AE SH-SOOc Evaluation.odf
Created by Independent Third Party: No
1435.4 SH -800 WinGuard Multistory Aluminum Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R19 C CAC SH-8D0 Certification.ndf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 09/07/2017
Design Pressure: N/A Enstallation Instructions
Other: Please see the Installation Instructions for design FL1435 R19 II SH-806c.odf
pressure, size and anchorege information, Verified By: A. Lynn Miller, P,E, 58705
Created by Independent Third Party: No
Evaluation Reports
FLi435 R19 AE SH-800c Evaluation.odf
Created by Independent Third Party: No
1435.5 SH=54a0 EnergyVue Vinyl Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R19 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 R19 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
� i
j • .
` s FL1435 R19 AE SH-5400 Evaluation.odf
Created by Independent Third Party: No
1435.6 SH-5500 WinGuard Vinyl Single Hung Window
Limits of Use Certification Agency Certificate
� Approved for use in HVHZ: No R1435 R19 C CAC SH-5500 Certification.qdf
Approved for use outside HVHZ:Yes QualityAssurance Contract Expiration Date
Impact Resistant:Yes 10/01/2018
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Tnstructions for design FL1435 R19 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 R19 AE SH-55D0 Evaluation.qdf
Created by Independent Third Party: No
Back Mext
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone: 850-487-1824
The Sta[e of Florida Is an AA/EEO employer.Copvriqh[2007-2013 State of Florida. Privacv Statement Accessib(litv Statement .Refund Statement
Under Fiorida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic
mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to Section
455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S,must provide the Department with an email address if they have
one.The emails provlded may be used for officlal communication with the licensee.However email addresses are public record.If you do not wish to supply a
personal address,please provide the Department wfth an email address which can be made available to the public.To determine if you are a licensee under Chapter
455,F.S.,please click here.
Product ApprovalAccepts:
� � eC6ecV. �
i Credit Card �
Safe '
� -
i
Si
� J�
- - - " - - - - - - —A1AX:BUMq4=WIDT - ---- -- - ----- - -_ - - - - -
MAX.BUCK WIDTH SEE TABLE 1
SEETABLE 1 28' �+-- MAX.BUCK WIDTH -..{ ��
MAX. �-� p. ,C � I SEE TABLE 1 I � r MAX. ' •
2B' 1 Y
�r B,SEE �• D,SEE I 4'MA%.O.C.
B,SEE
MAX.�� �-C' � _ SHEET 3 SHEET 4�-1 � � I
SHEET 3 A,SEE
A,SEE SHEET 3 �� S EET 4 �
SHEET 3 ` ��' /
/ 17.88T MAX.O.C. / T � / �
� �_ I 17.8 T6� MAX.O.C. � I / �
I � MAX.BUCK I � �- 4'MAX. � MAX.BUCK
� HEIGHTSEE O.C. � HEIGHTSEE j
�- MAX.BUCK
4 10'MAX.O.C. T��' HEIGHT SEE X 4 TABLE 1 �
X o T��, - �
_ /- � � � � !
I 13.773'MAX.O.C. X � - 10'MAX.O.F. � .
� A -J—L C
� / q 13.773'MAX.O.C. i
�
. 8-112•MAX. / B-tl2'MA)C. D 2'MAX. -�{ r� !
B NO ANCHORS AT SILL � B NO ANCHORS AT SILL I
� I
ELEVATION FOR 7YP.FLANGE FRAME, ELEVATION FOR TYP.FIN OR J-CHANNEL FRAME, !
ELEVATION FOR TYP.EQUAL LEG FRAME, EQUAL-LITE CONFIGURATION `
EQUAL-LITE CONFIGURATION PROVIEW/ORIEL CONFIGURATION (SIMIUIR ANCHOR DIMENSIONS FOR OTHER CONFIGURATIONS)
ICOTTAGE SIMILAR) I
1
TABLE L• (
GENERAL NOTES:SERIES 5400 NON-IMPACT RESISTANT, H►indow Buck Size Reinf. Desi9n Pressure Certification !i
VINYL SINGLE HUNG WINDOW Width Height �Onflguratlon �eVe� {+)psf (_)ps{ (CAR)Number f
r
1)THIS PRODUCT HAS BEEN DESIGNED&TESTED TO COMPLY WITH THE �p �� Equal-lite R4 bO.O �O.O 190-1 OZZ
RE�UIREMENTS OF THE FLORIDA BUILDING CODE 36" 6Y Equal-lite SHAPES MAY BE USED BY
INSCRIBING THE SFiAPE IN s
2)ALL WOOD 6UCKS LESS TFiAN 1-1/2'THICK ARE TO BE CONSIOERED 1X 36" 62" Std.ProView R4 5�.0 50.0 1�-�02� A BLOCK AND OBTAINING !
INSTALLATIONS.1X WOOD BUCKS ARE OPTIONAL IF UNIT IS INSTALLED DIRECTLY � 67-9/�6" CIIS�ORf S9SI1 DESIGN PRESSURES FOR j
TO SUBSTRATE.WOOD BUCKS DEPICTED AS 2X ARE 1-1/2'THICK OR GREATER. THAT BLOCK SIZE FROM �
1X AND?X BUCKS(WHEN USED)SHALL BE DESIGNED TO PROPERLY TRANSFER SZ-'I/8" 84° EqUBI-IItB THE TABLE ON THIS SHEET.
LOADS TO THE STRUCTURE.WOOD BUCK DESIGN AND INSTALLATION IS THE � - � �
RESPONSIBILITV OF THE ENGINEER,(EOR)OR ARCHITECT OF RECORD,�AOR). 52-1/8" B4," StC.PIOVICW R'I SO.O .SO.O 190.1021
3)ANCHOR EMBEDMENT TO BASE MATERIAL SHALL BE BEYOND WALL DRESSING 52-1�8" 91-13l16" Custom Sash '
OR STUCCO.USE ANCHORS OF SUFFICIENT EMBEDMENT INSTALLA770N 52-118� &I" Equal-Ike $
ANCHORS SHOULD BE SEALED.OVERALL SEALING/FLASHING STRAFEGY FOR
WATER RESISTANCE OF INSTALLATION SHALL BE DONE BYOTHERS AND IS b2-�/8" B4" Std.ProView RZ 6S.O �O.O 190-1026 �
' BEYOND THE SCOPE OF THESE INSTRUCTIONS. 5Q-�/8" 91-�3/16" G19tOR1 SBSh �t I i i(f; '
4)MAX.1/4'SHIMSAREREQUIREDATEACHANCHORLOCATIONWHERETHE �`��,a „ ���%, !
PRODUCT IS NOT FLUSH 70 THE SUBSTRATE.USE SHIMS CAPABLE OF '��,O`;� ���' S'��!;.���� i
TRANSFERRING APPLIED LOADS,WOOD Bl1CK5,BY OTHERS,MUST BE ' �'�C-�'�� �"•'%� `
SUFFICIENTLY ANCHORED TO RESIST LOADS IMPOSED ON THEM BY THE WINDOW. � ��' -n.% i
... ;
� VINYL SH WINDOW FPA(NON-IMPACT) " 12/13/14 . e �•'�'�''"'''
5)THE ANCHORAGE ME7HODS SHOWN HAVE BEEN DESIGNED TO RESIST THE o ' ' !
WINDLOADS CORRESPONDING TO THE RE�UIRED DESIGN PRESSURE.THE Gl �
33-113%STRESS INCREASE HAS NOT BEEN USED IN THE DESIGN OF1}iIS o GENERAL NOTES 8 ELEVATIONS om J ROSOWSKI .':, �� �� J:. i
PRODUCi.THE 1.8 LOAD DURATION FACTOR WAS USED FOR THE EVALUATION OF � ,. _ ��;���- �
ANCHORS INTO WO00.ANCHORS THAT COME INTO CONTACT WITH OTHER � ��-` �•'��' _ ,�}, '�;` �
DfS51MILAR MATERIALS SHALL MEET THE REQUIREMENTS OF THE FLORIDA CERT OF AUTH.#29286 � � �
BUILDING CODE FOR CORROSION RESISTANCE. ; �G �`��i�j f•�.r;� �`�•� �
1070 TECHNOLOGY DRIVE
N.VENICE,FL34275 p p$ ����"'"'`� ;
0.LYNN b1LLLER P.E.
(941)-480-160D � SH-5400 ,� NTS � 1 OF 4 o z FPA-5400.0 �z P E���� ;
�
TABLE 2:ANCHORS INSTALLED THROUGH FRAME TABLE 3:ANCHORS INSTAILED THROUGH INTEGRAL FlN
Min.Edge Min. Min.Edge Min. j
Anchor Substrate Disfaoce 6nbedment ��or Substrate Distanee Embedment
#10 SMS P T Southem Pine(SG--0.55) 7/18' 1�18" 2-1/2'x 131'Common Nail p T Soulhem Pine(SG=.55) 9l16° 2-7/16"
(steel,18�S.S. Sted,A38 3/8" 0.050" Max.DP of 50.0
or 470 S.S.) Steel Stud,A653 Or.33 3/8" 0.0348"(20(3a.) 2-1lZ'x 131"Ringshank Nail P T Southem Pine(SG=.55) 9/i6' 2-7l16" �
Max.DP of 50.0 Aluminum,6063-T5 3/B' 0.0713" 14 Ga. &1/2^x '145"Roofing Nall P T Southem Pine(SG=.55) Bl16" 2-7l16`
#t2 SMS P•T Southem Plne(SG=-0.55) 9H6" 13/8' P.T Southem Pirre(SG=.55) 314" 1�10' �
(steel,1&8 S.S. Sted,A38 3/8" 0.050" #10 SMS Aluminum,608&TS 3I8' 0.0773'(14 Ga:) ;
w 410 S.S. Steel Stud,A853 Gt.33 3/8" 0.0346'(20 Ga.) (steel,18-8 S.S. Steel Stud,Gr.33 3/8' 0.0346"(20 Ga.)
� or 410 S.S.) �
Aluminum.6063-T5 3/8" 0.0713' 14 Ga.) Sted,A3S 3�B' 0.050'
3/18"Ultraeon P T.Southem Pine(SCr�0,55) 7/16" 13lB'
(steel) Concr�e(min.285 kst) 1" 1-3rs' WINDOW SNAPES AS SHOWN BELOW OR
Max.DP of 50.0 U(1 tCd CMU,(ASThA C-BO) 2-1/2` 1-114" ANCHOR NOTES: SIMILAR,MAY BE USED BY INSCRIBING TNE �
P T Southem Pfne fSG=0.55) 1" 1.y8" GE-7700 OR SHAPE IN A BLOCK AND OBTAINING OESIGN �
1)'UNGROUTED CMU"VALUES MAY �OW-791 PRESSURES AND ANCHORAGE FOR TNAT BLOCK
1/4"UI�fdC011 Concrete(min.2.85 ksi) 1° 1.y4" � SIZE FROM TNE TABLE ON SF�ET 1. #
(51221) UfIgfOUI2f�CMU, AS11YI C$O Z-�/Z" �_t14^ BE USED FOR GROUTED CMU SILICANE
� J _ APPLICATIONS. 1!2'NOM.GLASS —�{ WIDTH {�-- —►{ WIDTH �-- f
Concrete min.285 ksl 2-1Y2" 1�3/4" s�nP. T
P.T.SOtlthErtl PI�E(SC�0.55) 1" ��8" 2)PANHEAO,FLAT}gAD OR EXTERIOR T
1/4'Cf�tCf107( Concrcte(min.3.35 ksi) �" t314+ HEXHEA�ARE ACCEPTABLE. I
(410 S.S.) Unp�outed CMU,(AS1M C-80 2-12" 1-1/4" 3)ANCHOR LENGTH TO BE 50 THAT � � / � � �/ � �
ConCf2tB Rtitl.3.35 ksi 2-1l2' ��(Q" A MIN.OF 3 THREADS EXTEND W W W ��F= �
BEYOND THE�METAI SUBSTRATE.
1/4"Aggre-Gator Concrete(min.3.275 ksi) t-1/2' 1-3�8" _ _ _ / �W
P T Southem Pine(SG--0.55) �� ��g TYP.GLAZING DETAIL �� W / _ �
(18-8 S.SJ Un uled CMU, ASTM C-90 7' t-1/4" � I _ � � / 1
rsaoiusroP nncNrw €
�eoun�-urESNon'r+l cvaov�wroa��srowr+l i
'r
- -+{ 314'NOM. � —�{ 314'NOM. � —�{ 7/8'NOM. �+— � 7!8'NOM. � �
� � � �
118"ANNEALED OR 3/16'ANNEALED OR
TEMPERED GLASS TEMPERED GLASS 5/16"A!A PVB 5l16'AIA PVB �
1!2"AIR SPACE 3/8"AIR SPACE 7/16'AIR SPACE 3/8"AIR SPACE j
1/8"ANNEALED OR 3/16"ANNEALED OR 1/8"ANNEALED OR 3/16'ANNEALED OR i
TEMPERED GLASS TEMPERED GLASS TEMPERED GLASS TEMPERED GLASS t
DURASEAL, DURASEAL, DURASEAL, DURASEAL, ±
SUPERSPACER SUPEF2§PACER SUPERSPACER SUPERSPACER (
OR CARDINAL OR CARDINAL OR CARDINAL OR CARDINAL i
XL EDGE XL EDGE XL EDGE XL EDGE �
GLAZING TYPES (
TABLE 4:REINFORCEMENT 7YPES +�1 I�-7l � `��y L':r::v� �' • �
Reinforcement 6 (r U U � lJ ,'��.�; .:;',�,.' �
REINFORCENT TYPE A REINFORCENT TYPE B REINFORCENT TYPE C ��`" ���
Upper Lite Lower lite `• ;
Level gottom ToP��� Bottom Side � VINYL SH WINDOW FPA(NON-IMPACT) 0 72/13/14. 1( ������t�J �
Rail Rail Rails —
_,, Cl .
'f.�_
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R 3 B A A A o G L A S S/A N C H O R O P T I O N S o m J R O S O W S K I �":' �^�,J; �
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R4 B A A N/A CERT.OFAUTH.#29286 N rv� �``'`,i!);;j_,,��;;' ' . �
1070 TECHNOLOGY DRIVE � �g � ���;;•+� c �
N.VENICE,FL 34275 a m � ' A LYNN MILLER,P.E. �
PVB INTERLAYER MANUFACTURED BY DUPONT INC.(AKA KURARAY AMERICA,INC.J (941�-480-1600 � SH-5400 y NTS N 2 OF 4 p z° FPA-5400.0 a z p.E.ri 58705 . �
. �
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—�— EDGE DISTANCE
SHOWN � • '
INSTALLED
THROUGHIX
BUCKS7RIP EMBEDMENT
FLANGE —C SHOWN SHOWN �
FRAME INSTALLED INSTALLED I
SHOWN - DIRECTLYTO THROUGHIX EMBEDMENT j
EMBEDMENT —� SUBSTRATE BUCKSTRIP �
� O❑ � � � t
EDGE � 0� �O DISTANCE �
� DISTANCE D a !
o �Q �-_- . - _ - �
a �
��� ��a � ' '
� LS 2l OPT.SASH TOP -- - -- EDGE �
�LIFf RAIL EXTERIOR DISTANCE
S �D�� � S � �
I a 0 FLANGE I I ELEGL 1
SHOWN� BUCK WIDTH FRAME ;
I O
HORIZON7AL SECTION A-A sr+owr� !
�
aucic i
HEIGHT � a � I
I
i
� D� INSTALLATIpN NOTES: i
' 1)SEE SHEET 1 FOR SPACING REQUIREMENTS. �
i EXTERIOR 2J SEE TABLE(S)ON SHEET 2 fOR ANCHORAGE AND
C] SUBSTRATE REOUIREMENTS. '
I a n 3)MAX.SHIM THICKNESS TO BE 1!4'. �
1 I r❑ 4)GLASS SHOWN IS FOR ILLUSTRATIVE PURPOSES �
I I ONLY AND MAY�IFFER TO MEET DESIGN
� 4PT.SASH U � REQUIREMENT5.
1 BOTfOM LIFT FLANGE � 5)FIN AND/0R FLANGE MAY BE REMOVED TO CREATE
�HANDLElLOCK SH�� �D OTH£R FRAME TYPES. �
E�UAL � '
LEG �� �
FRAME INSTALLATIONTHROUGH ��RIOR �
SHOWN �r----�'1��� THE FRAME,INTO METAL � ;��.�I t I 1+;� �
L.._.J i.
�_� _.i:t 'Yi��.�� ��
NOANCHORS ' _''����r� k
.� ^ �L� i
/ RE�UIREDIN -. -
FUINGE OR ,° VINYL SH WINDOW FPA(NON-IMPACT) 0 12/13/14 ` �t���;�''�='' t
enua�-�Ec -- �
T FRAMES�L4S "FLANGE&E.QUAL-LEGlBOX FRAMES �m J ROSOWSKI `'+}�, �G C I •1
� 1- �
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0 � ^� � .
CERT.OFAUTH.i129298 � �� ' .'�' • r��'��'�"?'•�;.` 1
VERTICAL SECTION B-B 1070 TECHNOLOGY DRIVE � - �o J'� L �;�'
/�^�n., � �
N.VENICE,FL 34275 - . "�� �
(941�480-1600 m SH-5400 N NTS.� 3 OF 4 o z FPA-5400.0 r z A LYNN�MI��P.E. i
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- --- — --- - .. -- -- - --- - -
- --- -- ---- - -- --- - - -- . __.
!
a
EDGE DISTANCE SHOWN INSTALLED SHOWN INSTALLED
SHOWNINS7ALLED THROUGHTHE THROUGHTHE
T}420UGH THE -� F�E INTEGRAL FlN
FRAME
�Q EMBEDMENT EDGE DISTANCE F�
J-CHANNEL EMBEDMENT I
FRAME O ;
SHOWN � �
I
� �� I I �r�- o �0 _.
� D �
�� � � EMBEDMENT �
1 � I
0 Q a �
EDGE I � � ' �
; DISTANCE j � � RI I
� � LJ� �
� LS 1J 1 OPT.SASH TOP EXTERIOR � �
J LIFT RAIL O�D�� �' �� FRAME II
� J-CHANNELI I SFiOWN I
� S OWN � BUCK WIDTH �
I
I � HORIZONTAL SECTION C-C ;
iNsruuanoN Nores: i
BUCK
HEIGHT �' a � i)SEE SHEET 1 FOR SPACING f
RE�UIREMENTS. �
2)SEE TABLE(S)ON SHEET 2 FOR '
ANCHOR4GEAND,SUBSTRATE
RE�UIREMENTS. I
3)MAX SHIM TH�CKNE55 TO BE 1/4' �
EXTERIOR DC� DL� 4)GLASSSHOVJN.lSFORILLUSTRATIVE �
a PURPOSE§ONLY AN�MAY DIFPER TO �
MEET DESIGN REQUIREMENTS.
� 5)FIN AND/OR FLANGE MAY BE REMOVED I
�� TO CftEATE OTHER FRAME 7YPES. �
a �j� ///Q� � � I Q �
�OPT.SASH LN-JLI - U� �
FlN IfiOTTOM LIFf
FRAME J�DIElLOCK
SHOWN EXTERIOR FRAME ���� �RIOR �ME �D�� t
� �/ SHOWN � SHOWN �
IINSTALLATION THROUGH IN57ALLATION THROUGH THE i /, '' �
� �oOo -� THE FRAME,INTO METAL INTEGRAL FIN,INTD METAL ,,t�,�t
� •� �y,s,r ',
----�._-1 �''�;.,
SHOWN EDGE i�. � ': �n.-��%�� i
INSTALLED ' DISTANCE -- -- - -- - - - - -- , i ',�..r,t �
THROUGH � � '" -
mE � VINYL SH WINDOW FPA(NON-IMPACT) 0 1?J13J14 . �"' �''�' :
INTEGRAL FlN ' -�' EDGE u _
_ -- oisTnr�ce o J-CHANNEL&.INTEGRAL FIN FRAMES�m J ROSOWSKI � ;,a� 6 �o �S '��;�_� (
�- EMBEDMENT � a - - � •;�. •`ra;=;;' _,:��` i
CERT.OFAUTH.p28298 a �� •"'`�``��'� -��•i.� ' �
VERTICAL SECTION D-D 1070 TECHNOLOGY DRIVE � �o `�'✓c'�r':.,�'_`'"�;:•'' "
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DS: O.OD IT: O.OU
�{'ermit Number 01 f 24/2017 eReeording '
Pa icel Ip Number �L Q-��Q��]���.��.�_
N 10 T i G E O F C� M M E N C E M E N T RA[3LA S.4'NEiL,Ph_D.PRSGQ CLEf?K&Ct�MPTROLLER
� Q1j24/'2017 Q9:27 AM 1 0� 1
St�#e of �larj,da �r
Co�� nty of_�l��G.Q_------ OR S� ��I �G ���
THE UNDERSIGNED hereby gives na6ce that improvements will be made to certain real property,and in accordance with Section�13.13 of t�e
Florida Statutes,the following informaiion is provided in this NOTiCE OF COMMENCEMEN7.
1.D�escription of property(legal descripfionj: �-�,�-r 1:..�}�,�.-�J.�}`���__��.��. _____
;a}S(reef(jobj Address: ����.,j V ��2{�.�QCL����_.����.L��L�.��-_.�rt�—_ �.� ..-.�-.
2.G neral desc�iption of improvements: Repface Size for Size Windaws _ �_ _� ,
3.�ne�[nfoRnatian or i.essee infarmatian if#he Lessee contracted For the impravemen#: -_______._. ---.� �_
�a)Name and address: �.Q'L�_���_�}�f���..�1 ..,Z�'-{1�C1t�JQ�_..�,tt�Ce��Y�Y Yli�tS ,FL �����-----
�j Name and address of fee simple tiEle er(if different ihan Owner lisied abave}
�}lnterest in praperty: Owner ___.
4.0�ntrac#or Infarmation -,._�_______..___.. __.._.�_....�---.._.�� ---
�)Name 2nd addr6ss: 1Neather Tlte Windows 2119 W.Calumbus Dr.Tampa,FL 33607 �` �_
�)Telephone No.: 813-9oe-0131 ��� Fax No.:(aptianal) 813-908-0134 _ �"
5.Su ety(if applicable,a copy_of the payment bond is attached)
}Name a�d address: Nj�
--______.__.._..-._____.___.._.__.-..___.___..._. ..�___._.__..._._.�..__.__.�—...__.__._....__----_.__-------
i)Telephone No.: _ _
c Amount of Bond: $__ �� � � � ` � _ .
6.Le der --�---�--- ------- - -- -.�_..__��
a� Name and address: N�A _.._
U� Te(ephone No.: ------�_..-_.____ _-...- ----- --
T.P�rsons within the State of Florida designated by Owner upon whom notfices or other dacvments may be served as provided by Section N
7� 3_13{1}(a}7.,Florida SEatutes:
a Name and address: NIA
b Telephone No.: —__._ �_..___.-..�..�--- .`_ Fax No.:(aptional).—.__._._ _Y. ...�_._.. �.._--
8.a.1 addition ta himself or herself,Owner designates of
t�� reaeive a aapy of the Lienor's Notice as provided in Sec6on 713.13(1)(b),Florida Statutes. ^ � �
b)Phone Number of Pe�son or enti#y designated by Owner. N/A �
- 9.Ez��iration date of notice of camrnencement(the expiration date may not be before the completion of constructia�and final payment to the
a►ntracfor,but wiil be 1 year from the date of recording uNess a different date is s eoified: ,20 �
�WARi'tiENG T�OWNER:ANY PAYMENTS MADE 8Y TiiE OWNER AF1'Ei2 THE EXPIRATtON dF THE N07iCE OF COMMENCEMENT ARE i
CON�ulDERED IMPROPER PAYMlENTS UNDER CHAPTER 713,PAR71,SEC7lON 7l3.13,FLORIQA Si'ATUTES,AND CAN RESULT IN YOUR j ,
PAYI�G TWIGE FOR IMPROVEMENTS 70 YOUR PROPERTY.A NQTlGE OF COMMENCEMENT MUS7 BE RECORDED AND P4STED ON '
THE �08 SI"fE BEFQRE THE FIRST INSPECTION, 1F YOU INTEND 70 QB7AIN FINANCING, CONSUL7 WITH YOUR LENDER OR AN E
ATi'0 NEY BEFORE COMMENCiNG WORK OR RECdRDiNG YOUR NOTICE 8F COMMENCEMENT. ;
Undei�pensl#y of per�ury,l declare tf�at 1 have read the fotegoing notice of commencement and fha#the facts stafed f�erein are frue ta#he best of my
knowl d e and belief. ,/�h��
� �, I �'��/� y�. '�O t�'!/'1 y' C /j ___.___.-.__
, (5ign re ot ar Lessee,o�Owners or Lessee's(Authorized OfGcedDirectodParfierlManager) (Print Name and Prov�i e Signatorys Ttle%Otfice)
` The fa�egoing i strume�cnt was acknowledged before me this _.���_ day af ���__ ,20�(� ____
�y _r.t,,�, , � }.i�.� �. _-, aS ��—.'(.}�__.__. ,.� (type af autirorify,e.g_officer,trustee,attomey in fact).
•---
for _ g��ner T�t indaws ,8s Contractar
.�..._____- __._��...__.____.___...._..� __ _____ _.____.___.__ __..__..._...__....__. ...-----
{Name of Person� (type o!au4hority,...e.g.officer,trustee,attomey In fadj
fp►' ""rl o , 7''� �/'11 CL}")Y[ (name of party on behalf of whom insWment was executed�_
Personal(y Known'� Q Produced ip [�✓ /���
Type oi iD ��- __� Nofary Signature _����!-�--- �
QI'tt1�flBRle Spancer �
�I�,.`�:::�is;, 3PENCEa KASg �—�.—�
��'�''�" ;;�'����n;rss�or3��E�,::�rv ,
J.� '= E:{PI.r+ES:Nut�em�er; 2U1; i
,i'T g,��',.u: 5on3ec�hrU tvo;ary P�b��c"ndsnv:�te�s j
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STATE OF FLORID�,COUN'�lt'�F PASCO
THIS IS TO CERTIFY THAT THE FOREG01�lG IS A ��` �s�
TRUE AND CORRECT COPY OF THE DOCUMENT �2 • � o
ON FILE OR OF PUBLIC RECORD IN TH16 OFFICE '� .� �
WITNESS MY HAND AfV FFICIAL SEAL THIS � j„yoQ�ve��-�.<r .
�_�AY OF � �
/ 2_ Cj�_ �'"�C~� � .,�
�AULA S. O'NEIL,CLERK&COMPTROLLER �. ��� •� I�
BY�_��^l�jl,�— DEPUTY CLERK � Sj��;e o��° �'���
�i�.��F��A
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