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HomeMy WebLinkAbout17-18502 CITY OF ZEPHYRHILLS � � 5335-8TH STREET (813)780-0020 18502 BUILDING PERMIT PERflIlIT INFORMATiON=� ` _= LOCATION INFORMATION - = Permit Number: 18502 Address: 37612 GILL AVE LOT 269 Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): � Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0170-00000-2690 Improv. Cost: 9,000.00 OWNER INFORMATION Date Issued: 8/23/2017 Name: HAMILTON WALTON E & JANICE Total Fees: 180.00 Address: 37612 GILL AVE Amount Paid: 180.00 ZEPHYRHILLS, FL. 33541-7703 Date Paid: 9/29/2017 Phone: Work Desc: INSTALL NEW CONCRETE, CARPORT & STORAGE SHED 672 SQ FT CONTRACTOR S APPLICATION FEES ALL FLORIDA MANUFACTURED HOME S BUILDING FEE 120.00 JAMES O MORTON ELECTRIC CO.,INC. ELECTRICAL FEE 60.00 � � , . � � C � � � Ct��, � � Ins ections Re uired FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REYNSPECTION 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. , � CONT � NATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS , � 5335-8TH STREET (813)780-0020 18502 BUILDING PEitMIT PERMIT IMFORMATION ' LOCATION INFORMATION ` Permit Number: 18502 Address: 37612 GILL AVE LOT 269 Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0170-00000-2690 Improv. Cost: 9,000. 0 OWNER INFORMATION Date Issued: 8/23/201 Name: HAMILTON WALTON E & JANICE Total Fees: 120.00 Address: 37612 GILL AVE Amount Paid: 120.00 ZEPHYRHILLS, FL. 33541-7703 Date Paid: 8/23/2017 Phone: Work Desc: INSTALL NEW CONCRETE, ORT & STORAGE SHED 672 SQ FT COMTRACTOR S APPLICATION FEES � ALL FLORIDA MANUFACTURED HOME S B NG FEE 120.00 . c/ � )f� � �vv Ins ections Re uired FOOTER 2ND ROU H PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS I S�LATED 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. REIIVSPECTYOIV 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. I � I CON R CTOR SIGNATURE PERMIT OFFI R �, PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � O� � �� ��hW�II'� . .c�='- ' :��, _ :.a�t�liY���'" � .<�zµ;..e•�ia• .�..�y City of Zephyrhills BUILDING PI,AN REVIEW COMMENTS Contractor/Homeowner: _� �/'n S Date Received: ��-��� Site: V ��Z �'/w�G`Pri`� Permit Type: 1.�,�1I`Y� / �l�L1' ��� `��`� Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑ �/1�r�1 J� /��-�� f r.� l� S.�C f,�;� �i This comment sheet shall be kept with the permit and/or plans. �� �� � � � �~��� �� � Kalvin Switzer—Pl xaminer Date Contractor an o Homeowner (Required w mments are present) � i , I � a�s-��o-002o City af Zephyrhills P�rmit Application Fax 813-780-0021 � ' Buiiding Department Date Recelved �1� � -.Phooe Cantac#far ParmE�tin _ Cfwner's Name �j'Y'1�� 1� G1 1"i''-: Owrn+�r Phone Number - - Owner's Address Owner Phone Number �� ` ��:- .' Fee SlmpYe Titleholder'Name �— � � a � Owner Phane Number._ 'r� `� , � - �, .. � Fee Simple Tltleholder Address ° - � � JOB AL1pRE�3 LQ,` � � ' LOT� �� . SUBDIViS10P1 ,�'"�(Z`�,t'1��'�Z15 �ARCEL tD# ' • OOC� �Z}. - , - ,. , - (4BTAINED EROM PROPERTY.TN(N4TICE) - - WORK PRBi�OSED NEW CONSTA AC}D/ALT �.,.�" StGN" .'Q, - Q �DEMt}L.18H , e. w 'INSTALL :. , REPAIR �� _ - : . PROPOSED�USE � �° Q� - _:3FF2; . Q. ,",COMIU� , ,.�� �OTNEF2"- . , TYPE QF CONSTRUC'fION Q �BI.00K '"•��] „ -FRAME � � STEEC 'Q ' .. s. . �ESCRIi�T10iV OF-WORK '�Al� � � ' BUIL�tNGSt2� r�� c� � SQ:FOOTAGE,�t� ... . ,HEIGHT� ��t BUt�i3ING $, ,J� }-� �. yALUATION>C1F``'TOTAL CONSR`Rl7CTION ' - - _ . vvV QELEG`Cf�ICAI. � �} AIUlP SERVICE Q :•PROGRESS ENERGY � W:R.E.C. " � QPLUMSING $ 111. � . � / � � � �� G%' _ QMEGHANtGA�. $ VACUATION OF,:MECNANICAI.INSTAt.LATlQN. 5�/ QGAS � Q ROQFING Q SPECIALTY �: , OTHER - - FINISHED FLQOR ELEVATIONS � FLOOD 20iVE AREA [�YES .NO ; - BUILDEit . 2(;}, � COMPA4IY: ., '�- - SIGNATUi3E REGISTERED Y/ N . ` FEE.CURI2�� ' Y/N" � �lddreas �Y`•JG�- � - . . . ,.,1:icense:# � Cl � ��,�. � � ' - EIECl'RiC1APl; , � '� .. ��hCOMPANY;;, t�t'�y�� •� L�. SIGNATURE ���� .," „ REGISTERED Y/ N FEe:cURREn.r .Y�fV.� ' -�c�dPess �- ' �.. _ _ _ ---_-- ___------_ _____-"--� _._ _ _..� _ J— - , _. . _- -�:Ltcense#��"_�- `' — - - , � , • , - . , , PLUi4�BEt2 � . � , . G.OR�PIEWY_ _ ' _ SIGNA7URE' ��' � � ; REGISTERED - Y/ N FEE CURRE� � � Y/N ' ' _ �lddfe88 � � � ..� � --LicenSe.# ��`.� �. WIECHA41tC�iL" , � _' ` -, . � � GO�PI�PIY � $IGNATURE `- �` t� REGISTERED Y,/ N ,; FEE CURRE�-- 'Y/N _ _ . Addreas' � � - _.. '. , - ., -- . License`#��^ � 1 - OTtiE3t �� , . „ ,,, ,_ , .. . 4 �,COti�PANY" r - , , ' � - SIGNATURE�, .., _ , , .. � „ ' ' REGISTERED` Y! N,..: =FEe cURRE� - Y I N , Address �., . - ' .. �� , . . , , , License#��� � � . � 4,�.r" '�..' .x rv'' ' 'H: . r.... .��. .,�r., , -.. . ' 'n '�' .. E2ESlDEN'i'iAG.;::. :Attach{2),P2af Plans;:(2�sets;of+BiiiliiingFPtaiis;(.1)set af�Energy=Foiins;�R-O�W'Pemilt fot riew construcNan, ' � . � ,--,..Minimumy�ten+�,(40);working;days;affer,;submlttal'date.%Requlreii onstte;;Const'riicfton`Rlans;�Stormwater Pians wI Siit'Fence-installed; ��'���Sanitary Facll(Ues.&;9�,dumpste.r,-Site°Work�Permit forrsubiliyisions/large pro)ects;,,-�,�„; _ ' ' � � . _. at. ...., � _ . . ` COMMEt2CtA�:`- -Attach-(3j`camptete sets:of Bu�tdiiig"Plans plas a�Ctfe Safely�Page;(1}set of Enet�y Farms.R-LT�W Permit far new construcUon.r - � Minimum ten(10)warking days afker submittal date. Raquired onsite,ConsWctian Plans,Stormwater Pians wi Silt Fence tnstailed,_ Sanitary FaciUties&1 dumpster.Site V11ork Permit for all new�projects:.AlYcommercial requlrements,must meet compilance = ,.__�.,.-- -- StGN PERMIT AttacFi{2)sets df Erigineer,ed�Pians.:�,_<,;,.;:, � '- = ., -. _. � , .. ., ••"`F'ROPERIY SURVEY reguired.for,all NEW constructlon.. � � ° ' ' �� _ Dlreation�: �., ". , _" ,. , Fill out applicadon completely. - Owner 8 Contractor stgn bach of applEcaUan,notarized (f aver�2500,a Notics of Commencement i$reqatrse�. {A!C upgrades�av�r�7500} � � _ '" Agent(for the contractor)or Powe'r of Attbmey�(far ttie owner)'would be�someone with notarized letter from owner authorizing:same - - t3VER TNE COUPiTER PEFttrtITTFPiG-- - -;-�(Front of-Applicatian Onlyr) - " _ Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) < - . �, Driveiidays=tVotover.�Countertifonpubiic.roadways..i►eedsRt}W' � -. .�.,r,.,..,,�:_, r, :` _ , �' '. ' . , �v' � •'':1 '�9. ,'..._,::..-.._ - _ J �. '�� ,. ,. . _, �� ;�� �• ' .' •. � r. ._,�; t;� • - ' .... ii`�.a` .. , � .-. .... . - _ . .. ^_.._ '� . . '�{J " TM ,,., _.�.. .-.._�. _�,.:. � _.:' .. _ � . - � ,� , � . M�T10E OfF°DEED RiE3TRECTIOMS:.=The u�dersigned;under�tands��th�tsthis;ep�rmit_may:be•subJect,to.."deed"rrestr,,icNons",`,,,�,.,,.,`~;f r,�, wh(ch may.tie=more:�r.est�Ic�Ive��th����County4�regulatlons:�The��unde�lgned�`�§sume"s�`r�spon�itiility'�for{coPripllance�with`any"�' � � - appllcable:deed.�reshicttons. = -�,..:::� ,;,-.,.;.;�.._.;,. . ; • . ,_� . ,,..: :..:_ _.,_ .:.: �. _<.:� . . ._ . UNG�IENSED•�CONTRACTORS AND CONTRACTAR 93E�PQNSI�ILIT9�S:1� �°If��the��owner=has��`~hired���a"contractar or contractors to undertake work,:.they may-�be.re�quir;ed:•:to.;�be:lEcensed:ln�accordance.with-state�.and4local:regulations.:�If=the��� ' - ' contractor�ts--not�ltcensed as°�requlred"by laiar;;both�the own�r and�conuactorimay��tie�°cited fo���a��misdemeanor violatton under state law. If the owner or Intended;,,contractort are�unc�rtain �� to what Iicensing,.r�quirements�may.�apply:��ortliei�:����� ° �-�� _ ;. . ...,<. , � ..._ intended'work, they are�ad'vfsed to coritact the.Pasco County-BuIlding:Inspectton;Diirlslon;.-Llcensing Section at 727-847- SOOg. Furthermore, iP the owner'has"hired'a conuacfo�'or aontractors� he is advtsed to have the contractor(s),sign_, , ; portions.of the:"co�tcactvr:.BlocEc" of._#hls�appllcation,:.for�which,.they,will.�.bew.responsible..�:-If:you;:as:the.owne�'sign�as"tiie"" "� �� � cont�actor, that�rriay be an indication ttiat'`he''is��not`:prope�ly'licensed antl`''Is�not°entitled'�to petmitti"ng�privileges In Pasco_ County. _ _ ' , � . . : ; .:�. �.x., ,.;.. ., . : � _-. ,_ _.� ... . . .._ �'Ra4NSPARTAT10Id-IIlAPACTIUTILITIE��I�NIPAC7�A�D:�E�OURCE RECOVERY�EEE�:�The�unders(gned,understands that Transportatlo� Impact:Fees�and.Reco.urse�Recobery.F�es m'�y��apply�rto�tf��,construction;of new.building's�tchange�'of`�����°���=`� r4° use in existing buiidings, oc=,expanst�n��of+ei�isti��g:°�bu(Idings, �s sp�ciBed.In Pasco County O�dinance numb�r 89-07 and 90-07, as amended:�,The undet�signed �Isor'understands; that'°such fees;:;as�may`be:�due;..wilY.6e identifiied at the>time=�of-��•'�����"� '` permitting. It Is furtfier unders'tood that Trapsportation Impacf�Fees and��Resource�Reco�ery='Fees.:must be paid pr(or to receiving-a.'cer�ificate°of�occupancy"�or��flnal-powerrelease:`:If'the.proJect::does:;not lnvolve�a�certifioate of occupancy'o��{`�^'��_'��' final power release;��the=fees�mu�t'be paid.pr.ior to,;permit issuance. Ft��thermore;°tf:Pascok�County;lMater/�ewer�#Impact - � ,.. , feesare:due,;they�must:belpaid�p�idrto,p�rmit;Issuance=ln:accordance:wltFi���appitcatil�:Pasco�=County��o�clinances. • C�N�TRUCTION°�:I�PI�LA�Ifr(C9�'�pt��713� Florld��t�t��c����s ato��rad�d): If v�luatlon�f work:is$2�500,OO�.or.<more;,l� �- �.;3� certify tNat.-I; •the.�:applicant,Mhave%been°.,provided�=with�a�•copy��of_�:the:���"Florida�°Constructton�'Lien :Lav�—Homeowner's Protection Gu(de" prepared by,tlie Floi�da.DepertmenC of Agriculture and Consumer;Affairs. If.the apppcant Is someone� :. .- : -,_ other than the"owner", I.certi6yr;.that l have:obtained�a"co " � � '''�'' , py,ofthe+above�d�scribeddocument;antl.prorriise;,in.good:;faith.to _ . deliver It to the:"owne�',:p�io�°fo�commericementc''`- . �' '� � '�� � , "= ' . , - CON4RACTOR'�lOMINER'�AFFIDAVIT: I.certi�y�;tti�t;all,the,;inf.ormati�n�:in'�thi� applicatlon is accurat�.and that�all work �ill'be done in compliance with �II appltcable`laws regulating construction, zoning antl��land�development. Pappl(catiora is hereby made_to obtain .a p�cmit�;to.;do;;work�4sand;ifistallation as indi�ateds�,•_'I cenffy that no work��or tnst�llation��fias' commenced p�tor to issuance of a permit""and that�all"�o�� v�lll be pertormed�to meef.standards of�all laws regulating� consQructlon, County and Cily cod�s� zoning r�gulatians, and land development regulatlons��tn the .jur(sd(ction:�� (<also certify that ( understand that the regulations of other�government ag�ncies may�apply�to the intended�ork, and that tt is my responsibilily to identify•what.actions I musf t�ke,:to,be,ln<;cornpllance:�.S,uch agencles include-but=are.not Iim(ted to: - : - De artment of E�vironmental>'P'r`otectton`=���"pr�ss�Ba�he�d�; i'Netl�nd Areas and Envlronmentall Sensitive P CY:..,r ... y.., y Lands�WaterMlastewater Treatment. ..• - Southwest Fiorlda W�ter Management::District-Wells; �Cyptess.� B�yheads; Wetland' Are�s, Alter(ng VNatercourses. - . - Army Corps of Engtneers-Seawalls,`Docks, I�avigatile Wat�ntiays. - Department. of:Health.;.B.ERehabilitative�._.Servtces/Envftonmental�.Health-Unit Well.s; Wastewater Tre�finent; Se�tic'Tanks:.. � ' � � _ - US Environmental Protection.Agency-Asbesto�abatem�nt:.._: � � - Fede�aFAvlatlon.AutFiod,ty=Runways:: - ' - I undea�stand:.that'the,folloiiving;�esirictions apply'to the us�of flIL•• , � - Use.of filt is not ailowed in<Flood=Zone"V"unless�xpressly.permitted. � • - � ' ' - If the.-:fil(r�ater(al�=1s •to-<be used.�In���Flood�Zone. "A", It:_is understood"that a drainage plan addressing a °compensating volume" w111=be submitted at tir�e of�petmttting which is prepared by a profess(onal engineer - Ilcensed by�the,=State'of.'F�ottda.. -- �� -: �_ - If�ihe�fill�material�.ts`to be:used in Flood �on� "A" In�conn�c�ion�wlth�a�p�rmitted building using stem wall construction� I certify;that:ftll:�rlll.be;used.only.to.�lll the area wlthin�the�stefn.wall: � - ' If�flll 'material"Is to be used in any area; l�certify that use. of�such��flll�will not adversely affect' ad)acent properties.. if use:.of fill is,found��to.adversely.�ffect-ad)aEent°properties,.the own�r may be ctted for violaQing,_ the condl#fons.:'of.:the building`.�permit,is"su�d=.under tlie"at�ached_.permit �pplication;::for;lots.less.than one (1) acre wFilcfi are elevatetl�by flil; act:engineered dralnag�plan Is required. • • If I am the AGENT_�OR,TFOE�-01RlNlEEi; I;promtse In.,good_faith to(nform tfie�owner of�the permit8ng condittons sefforth tn this affidavit�prtor to'�comriienoing construction. 1 und�rstand theta�separate permit may be requ(red for elect�ical�work� , _ . .�... plumbing;.,signs; wells,.pools;,air,.conditioning,:gas,.�oro#he'r. insfall�tions nol.speciflcally included�tn.the appltcat(on. .A - permit issued shall.be'construed to'be a�Itcenserto��proceed with tFie wo"rk,and.not-as:�authoNty�to;vtolate,°cancel; a�iter, or set aside�ny:provistons of the technical codes;�nor shall issuance�of a.permtt.pcevent the Buildirig O#iictal from thereafter requfring a.correction_Qf errors;,in..plans;constn'iction orviolat(ons of�any�codes:��Every'p'enntt:issued�shail-become�invalid unless.the work authorized.by such permlt:�ts.commenced�wlthln,sUt.,m.onths of�permit issuance, or tf work authorized by the perm(t-is suspended=or-:abandoned;for a�;pertod.of sixjEB)�montf�s;;atter;�the tlme�the�work��s commenced. An extenslon � may be requested,ln uHriting;-�from'tfie_Building,Offlci�i-foc a p�riod�not�.to•exceed'=ninety��(90)`days and�dvill demonstrate �ustifi�ble:cau�e for.�the extension: If work=ceases:for ninet�.(g0)cons.ecutive day.s,..the Job�is consider�d aba�doned. - i�5"il :� - � _, -. •. - ... , .� �. ... . liV�1RMIM� TO O�lfNER: YOUR..FAILWRE;;;Tt�.,�REC.OEtD,i4:�NOTIGI�;OF<-COMMENCEMENT�:NIAV,�R�SIJLT-IN�XOUR _ Pde1Y1NG TN►ICE;FOR IMPf,tO_.VEMEN.TS:,TOhYOUR::PRL�PEi�;Q'.Y:sY�IF°:YO.U:>I�1TEt�lD��T��O�TAIN��FII�A(��fNG;'C.ONSULT WIl`� Y 0 - = D �O.- f� TTO R! � OR��. CO � �;;. .g� a ,A ;� �..� � � �� T, .,, _ FLORIDA JURA�,(F.S:..117.03) - . � -, , _ _ ' -- - - --- - -- OY!►NER OR AOEIdT. COIdTRc�CTa •a � � u s ed an b�wom. o mt�ty bef re e thls ' S c d� d's rmed'b tlii� J - > . 1Mio is/are pe nally _ wn t e or;haslhave.p d.ced I, a e, onally me or hes/have�pro uced • as Id`entlBcetlon. ' e�idendflcadon. tdotary Publlc _ ►`� � Notary Publlc Commisslon No:_ �c�l--�C��� Comr�Ission.No. � '7 Name of Notary typed,printed or stamped me oi Notary typed,printed or stamped ,��;;';.•.., . L JENE BLACK .��';':y-..,, l.JENE BtACK =�'' � MY COMMISSION N FF 24�'i�95 '�''����= MY COMMISSION ri FF 243095 ��'�,,d; EXPIRES:OotobOr 2D,2019 � `+� `*` -EXPIRES:October 20,2019 p'� �� gondedThNNutanP�b��cUnderw!Um'S fi "••',?' F �''0. BondedThruNoaryPubGcUnderwritets . �3 �'f,;gch , '�Ri��•'�. 7 � � - ��0 ������� ����� ��0� �❑❑❑ . May1,2017 Re.: Attachment Beam (Host Beam)Verificarion: Serial Number: #01025 37612 Gill Ave Zephyrhills To whom it may concern; The above listed Jacobsen manufactured home has been constructed with a structural attachment beam,or"host beam".The host beam design and the home plans are both approved in accordance with the requirements of the FPilpral Manufactured Home Construction and Safetv Standards commonly referred to as the "HUD Code". The design of this host beam allows an attachment (typically sheds, carports, screens rooms, etc...) to be made directly to the included structural member in lieu of the typically required "fourth wall construction". Please refer to the serialized floor plan to verify the location of the host beam. This manufactured home is required to be set-up or installed, on-site, in accordance with the Jacobsen Homes "Set-Up Manual" and it's "Addendum". Please specifically refer to page SU-01-0008, which includes site requirements that must be followed in order to attach a structure to the host beam provided. This page also has the maximum sizes allowed for any attached structure along with the requirements for perimeter blocking along the entire sidewall area where the host beam is installed. All site installed structures shall be designed by a Professional Engineer (PE) registered in the State of Florida or as allowed by the Local Authoriry Having Jurisdiction (LAHJ). The design shall comply with all applicable sections of the Florida Buildina Code that is in effect during the time of the construction of the addition. All attachment designs and construction are by others, not Jacobsen Homes. Any site installed structures shall be subject to permitting,plan review,and inspection(s)by the LAHJ. If I can be of further assistance,please feel free to call me at 727-726-1138. Sincerely, ��` � _ � �� Craig Young Director of Engineering Jacobsen Homes File 600 Packard Court,Safety Harbor,FL 34695 Telephone:727-726-1138 Fax:727-726-7019 National:800-843-1559 In Florida:800-282-5389 www.iachomes.com . � , ,- - � - : .. � _ - - - e�3�C.ft�r_� -s"r;���' 4y _ . _ /X" ,�� �t`f'%n�� . ' ` ' ,. ' '. _ ' -�.- _ � . ._ _ _ ��.i ���"'tIG'_ �".,�. ��§ - . - . -, . ' , . . ,- ,- - ' --'�„� � __���;�;���j(;;t,:_-,s _ . - , _ - - _ . _ ._ .-,�:.--_� � -- . � . . . _ , . - _ .----- -:,:,:-.;.. - - -- BCIS Home Log In User Registration Hot Topia Submit Surcharge Stats&Facts Publications FBC Staff BC[S Site Map Links 'Search r �FICn^a _ "'h �-�`.�r.--= r<� a7 • - ��� `J �:�iProductApproval ��I' r n��,, � ;���� USER:Public User ¢� �c:� �.,;i�'� �a�:;� Froduci A�o;ovr.l I�ert,�>Produc[or A��I�atio�Search>qpoiication l�sC>Appfication Detail _ • - _-" `� FL# FL12231-R2 ' ' �" � " ` - - �` Application Type Revision I Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Style Crest Inc. Address/Phone/Email 600 Hagerty Drive Fremont, OH 43420 (419) 333-5835 lewis.pope@styl ecrest.net Authorized Signature Lewis Pope lewis.pope@stylecrest.net Technical Representative Lewis Pope Address/Phone/Email 600 Hagerty Drive Fremont, OH 43420 (419) 333-5835 lewis.pope@styl ecrest.net Quality Assurance Representative Lewis Pope Address/Phone/Email 600 Hagerty Dr Fremont, OH 43420 lewis.pope@poly-foam.com Category Panel Walls Subcategory Siding Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer r Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who developed Eric J.Tompos P.E. the Evaluation Report Florida License PE-63511 Quality Assurance Entity Architectural Testing, Inc. Quality Assurance Contract Expiration Date 12/31/2018 Validated By Wiiliam R. Heiden III, P.E. l Validation Checklist-Hardcopy Received Certificate of Independence F1.12231 R2 COI EJT COl.pdf Raferenced Standard and Year(of Standard) StandaM Year ASTM D3679 2009 Equivalence of Product Standards Certified ey Florida Licensed Professional Engineer or Architect FL�2231 R2 Eauiv Eouival�nce of Product Standards STC111111-8 2015- 08-19 Seaied.odf • � . Sections from the Code Product Approval Method Method 1 Option D Date Submitted 07/22/2015 Date Validated 08/30/2015 Date Pending FBC Approval 09/06/2015 Date Approved 10/16/2015 Summary of Products FL# �Model,Number or Name Description 12231.1 Fairfield, Alpine Ridge and D4, DL4, D5 and DL5 Configurations i Ridgeview Vinyl Siding � Limits of Use Installation Instructions Approved for use in HVHZ: No FL12231 R2 TI Tnstallatian Instructions Attachment Details Approved for use outside HVHZ:Yes 2015-08-21.ndf Impact Resistant: No E1.12�31 R2 II Vinyl Sidina Inslallation 2021.pdf Design Pressure: +N/A/-59 Verified By: NTA, Inc. Other: Design pressure varies based on the installation Created by Indepehdent Third Party: Yes method. Please refer to the evaluation report for the proper Evaluation Reports design pressure based on the installation. FL12231 R2 AE Evaluation Report STCllilii-8 2015-OS-19 Sealed.pdf Created by Independent Third Party: Yes � 12231.2 Harbour Crest, Spiegel Grove, D4, DL4, DL4.5, D5, DL5 and T3.33 Configurations Addison Heights, and Sawmill Vinyl Siding Limits of Use Installation Instructions � Approved for use in HVHZ: No RiZ231 RZ Ii Instailation Instructions Attachment Details Approved for use outside HVHZ:Yes 2015-08-21.pdf Impact Resistant: No FL12231 R2 II Vinv� Sidinq Instailation 2011.odf Design Pressure: +N/A/-74 Verified By: NTA, Inc. Other: Design pressure varies based on the installation Created by Independent Third Party: Yes method. Please refer to the evaluation report for the proper Evaluation Reports design pressure based on the installation. FL12231 R2 AE Evaluation Report STC311111-8 2015-08-14 Sealed.Qdf Created by Independent Third Party: Yes 12231.3 Oak Harbor, Bristol Bay and Town D4, DL4, DL4.5, D5, DL5 Configurations Square Vinyl Siding Limits of Use Installation Instructions Approved for use in HVHZ: No R12231 R2 II Installation Instructions Attachment Details Approved for a�se outside HVHZ:Yes 2015-08-21.pdf Impact Resistant: No FL12231 R2 IT Vinvi Sidina Installation 2011.adf Design Pressure: +N/A/-59 Verified By: NTA, Inc. Other: Design pressure varies based on the installation Created by Independent Third Party: Yes method. Please refer to the evaluation report for the proper Evaluation Reports design pressure based on the installation, �7_1?_231 R2 AE Evaluation ReRort STCllllil-8 2015-08-19 Sealed.odf � Created by Independent Third Party: Yes I 12231.4 �Pro Pride _ _�DL4.5 Configurations ____ � �I Limits of Use I Installation Instructions i ' Approved for use in HVHZ: No ) FL12231 R2 II Installation Instructions Attachment Details i Approved for use outside HVHZ:Yes �20]5-08-21.gdf j ; Impact Resistant: No � FL12231 R2 II Vinvl Siding Installation 2011.�df � � Design Pressure: +N/A/-76 I Verified By: NTA, Inc. ; Other: Design pressure varies based on the ihstallatfon Created by Independent Third Party:Yes i method. Please refer to the evaluation report for the proper �Evaluation Reports design pressure based on the installation. FLi7231 R2 AE Evaluation Report STG11111�-8 T01S-08-19 � Seaied.odf Created by Independent Third Party: Yes 12231.5 I Prospan Premium, Dura Span and T4, D5 Configurations � i Pioneer Vinyl Siding I � 4 Limits of Use ��Installation Instructions i Approved for use in HVHZ: No FL12231 R2 II Installation Instructions Attachment Details '� Approved for use outside HVHZ:Yes 2015-08-21.pdf ` Impact Resistant: No � FL22231 R2 II Vipyl Sidina I�stailation 2011.qdf � Design Pressure: +N/A/-37 I Verified By: NTA, Inc. ! Other: Design pressure vartes based on the installation � Created by Independent Third Party: Yes � � • �l , �method. Please refer to the evaluation report for the proper I Evaluation Reports ` design pressure based on the installation, i FLi?23� R7 QE Evzfuaticn Re�orT STc'71�117- 7015-03-J9 i I�Seofed.pr�f � Created by Independent Third Party: Yes ' — —�----------------------- � 12231.6 �Select Series Beaded Sidin and � � g i Beaded 6.5 Configuration � I Lexington Series Beaded Vinyl � _ �_Siding ___ � � Limits of Use j Instaliation Instructions I Approved for use in HVHZ: No FU.223I R2 II Ins±ofiation Instructions Attachment Detai� � Approved for use outside FiVHZ:Yes 2615-08-21.nd� Impact Resistant: No II_1�7�� R2 iI Yinvl S[d:'no rnstzffation 2n]J..odf Design Pressure: +N/A/-74 • Verified By: NTA,Inc. ; Other: Design pressure varies based on the instatlation Created by Independent Third Party: Yes i method. Please refer to the evaluation report for the proper I Evaluation Reports I design pressure based on the installation. I F112231 RZ AE�.vafuation Report STCS11111-8 201S-na-i9 Sealed.qdf Created by Independent Third Party: Yes 12231.7 Select Series Board and Batten and Board and Batten Configuration Lexington Series Board and Balten Vinyl Siding Limits of Use Instaliation Instructions Approved for use in HVHZ: No F�12Z31 R2 II installation Instructions Attachment Details Approved for use outside HVIiZ:Yes z0l5-08-21.pdf � Impact Resistant: No F!.l2231 R2 II Vinyi Sidfna Installation 2011.odf Design Pressure: +N/A/-50 Verified By: NTA, Inc. Other:Design pressure varies based on the installation Created by Independent Third Party: Yes I method. Please refer to the evaluation report for the proper Evaluation Reports design pressure based on the installation. R�2231 R2 AE Evaluation Report STC111111-8 2015-08-19 Sealed.odf Created by Independent Third Party: Yes 12231.6 Timbermill D4, S7 Configuration i Limits of Use Installation Instructions I Approved for use in HVHZ: No F1..12232 R2 TI Installation Instructions Attachment Details �, Approved foruse outside HVHZ:Yes 20i5-08-21.odf � Impact Resistant: No FL12231 R2 II Vinvl Sidtna Installation 2011.adf I Design Pressure: +N/A/-72 Verified By: NTA, Inc. Other: Design pressure varies based on the installation Created by Independent Third Party: Yes method. Please refer to the evaluation report for the proper Evaluation Reports design pressure based on the installation. FL12231 R2 AE Evaluation Reoort STClillll-8 2015-08-19 Sealed.pdf Created by Independent Third Party: Yes 12231.9 Timbermill Log Cabin Panel Siding Cabin Board (56.5) Configuration Limits of Use Installation Instructions Approved for use in HVHZ: No FL12231 R7_ II Installation 3nstructions Attachment Details Approved for use outside HVHZ:Yes z015-08-21.pdf Impact Resistant: No FL12231 R2 II Vinvl Siding Tnstallatfon 2011,�df I Design Pressure: +N/A/-100 Verified By: NTA, Inc. Other: Design pressure varies based on the installation Created by Independent Third Party: Yes method. Please refer to the evaluation report for the proper Evaluation Reports design pressure based on the installation. FL12231 R2 AE Evaluation Report STC111111-8?_015-OS-19 Sealed.odf � Created by Independent Third Party: Yes 12231.10 Timbermill Vertical Siding D5 Configuration Limits of Use Installation Instructions Approved for use in HVHZ: No FLi2231 R2 II Instaliation Instructions Attachment Details , Approved for use outside HVHZ:Yes ?015-68-21.vdf � Impact Resistant: No FL12231 R2 II Vinyl Sidina Installation 2011.odf I Design Pressure: +N/A/-57 Verified By: NTA, Inc. , Other: 10" oc into OSB sheathing Created by IndependentThird Party: Yes j Evaluation Reports i FL17_231 R2 AE Evaluation ReportSTCilliil-8 Z015-08-19 j Seaied.�df I l__ _ __ Created by Independent Third Party: Yes _ � 0 � Contact Us 2601 Blair Stone Road,Tatlahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer.Coovriaht 2007-2013 State of Florida. :: Privacv Statement::Accessib(litv Statement:: Refund Statement Under Fiorida law,email addresses are public retords.If you do not want your e-mail address released in response to a public-remrds request,do not send electronic mail[o 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 4"- _ _ -_- __ : __ _ _ _ � _ .:_- - == _ '�:�� � ,,,.,: -�. :�. ... - _-._ _ . - _ � _ - -, . _ _ -_ -_ _:-L - � - _ •�' -k�yy,.� - - - - - .,- - g ��te - - -, __- : ' - ' _ _. -_ - _ .F� " _ � .Y;�r iZl.....,� f. . - - - . _ _ _ jf��:'�` .i'.`'_ ' '. ,p - - _ 'i' Y 1' - �t,_ k. `�� :�," a� _ � J�t•� 't R '�(� "'�e 2': �� ,F . � , . _ . �. . , � � - -- ' ' _ _ ,. .- _ '_ ,j F4����' �:.r,,�dvL�"`�::r�l�.�r.... = , , ---" -- . -. : -- - , _ _ .� - • - - .<_ -.- ; _�- =-�_.._ -- _ �� . ; ..,. -. _- •� •: '_ . -., ,._..'�-1°c.���;�;�ri�;'._'�<,:';::�;:�_;f...`,:'�;��'';�-:�.�:,,��; BCIS Home Log In . User Registration Hot Topics Submit Surcharge Stats&Facts Publiwtions FBC Staff BCIS Sfte Map Links 'Search � ��Oi IC1u � :. � `'� ��'" ~���Product Approval �,� � `�;� ��, & ��� ��`-uR.�- USER:Public User `s � �odu-t ho��ovaf Kenu>P1o4uct or A��ffcation Search>f ooiiption List>Application Detaii - ; - �# FL18464 `;:.`_.`�`�,:;`�;-;:...^�`_""� Appiication TYPe New Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Metals Building Products Address/Phone/Email 7815 American Way Groveland, R 34736 (352) 787-7766 bkaufmann@metalsbp.com Authorized Signature Bill Kaufmann bkaufmann@metalsbp.com Technicai Representative Bill Kaufmann Address/Phone/Email 7815 american Way Groveland, FL 34736 ' (800) 342-9077 bkaufmann@metalsusa.com Quality Assurance Representative BILL KAUFMANN Address/Phone/Emaii 7815 AMERICAN WAY GROVELAND, FL 34736 (352) 787-7766 Ext227 bkaufmann@metalsusa.com Category Roofing Subcategory Metal Rooflng Compiiance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professionai Engineer �' Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who developed Steven Moraga the Evaluatfon Report Florida License PE-64609 Qualtty Assurance Entity UL LLC Quality Assurance Contract Expiration Date 04/29/2018 Validated By )orge A. Pomerentz, P.E. -� Validation Checklist- Hardcopy Received Certificate of Independence Fi„18464 RO COI Rhino cert of(ndeo FBC 201401322320]50831130601.odf Referenced Standard and Year(of Standard) Equ(valence of Product Standards • Certified By Sections from the Code FBC 1504.3 FBC 2507.4 �. , FBC 1607.1 FBC 1609.3.1 FBC 1604.4.3 Product Approva! Method Methad 2 Opt€on 8 Date Submitted 48/31/2015 Date Validated 04J11J20I5 Date Pending FBC Approval 09/13/2015 Date Appraved IOJ16J202S Summ�af Products FL# �Model,Number or Name���Description 2&464.i Rhino pan,Twin Vee W pan Stee! roof panels for autdoor patia praducts, residential or commercial pakio covars, carports,screen roams, awnings, canopies, walkway covers,sheds Limits of Use Installation Ins#ructions � Approved for use in HVHZ: No FL18464 RO II Rhino TwinVe� rod {�pN1 ' Appraved far use outside EtVH2:Yes �„tstaEd237092015d91]134952.�df Impact Resistant: No Verified By: Steven Moraga 64609 Design Pressure: N/A Created by Independent Third Party: Yes Other:see instaliatian instructions for span tabies Evatuation Reports FL28464 Rb AE Rh3no evai (tr �BC2014g13222 0� 150��11305„�,,C�,.�df Created by Independent Tl�ird Farty: Yes 0 "� Co�tact Us;:2601 Btair Stone Rpad.TaI(ahassee FL 32399 Phone:856-487-3&24 The State of Florida is an AA/EEO employec CpPvrioht �Q7-2013$kate of Florida. :;Privacv Statement::Accessi¢�l(tv State ent::F�,efund Stat ment Under Flarida taw,emait addmsses are public rewrcfs.If yau do not want your e-maii addrass released in cespoase ta a pnbtto-fecords request,do nat send etectronic mail to this entity.Tnstead,contact the office by phone or ly traditional mait.If you have any questions,ptease contact 850.48�.1395.*Pursuant tp Section 455.275(1),Florida Statutes,effective Octpber 1,2012,licensess Iicensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails psovided may be used for official communicatian with the licettsee.However emai!addresses are publlc record.If you do not wish to supply a personal address,pleasa provide the Department with an emai}address which can be mada avaiEabte to the pubtic.So determine if you are a licensee ur�der Chapter 455,F.S.,please dick here. Produtt ApprovalAccepts: t:s- : Y�`��-`�"�.' e�k_1 ��+--�:. C�edit Gard S�'f@ � '� - ' • _ _ _ _ ' _ � ' ` ' - . Yr""-.c:atza, .;;.w—'','� " ' '= . ' "" ' _ -'- ' ,-...�.,,,,,,E.'. ' f" _. _ - _ _ '" "_ ' - ' ,' ' ([����/,� ?hPy�y'.2iF� _ _ : „ . . .. : � ' �",'"��j�, _. _ '1?ki�`� i."„�...`� � . ' � ' .." � _ - � , - -�� ,. � --" , -L!�"� ;'��}�s� rii �� •�r:.j{l'H�+ $ ; - , ' ' ' .-_ _ _ �_ .. � __ ... _ ..., _c=.i`�.d��8_�;^�'_"��'.+'�dd _. .' _ ' ._ ' ` ' -- . � , "' - _ . , _ '-,S'� .-- -' ._-._ __-- _.' .�_-�•���. _ BCIS Home Log I� User Registration Hot Topics Submlt Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search �FI���Ua f_ - . , r�,, p --'F � "��(J'��" ;� ,�s��{Product Approval �_ ,� w��x �,i,,,� �?T��,-� USER:Public User ��� E��� �: � prohu�t apvr�:�zl I��enu>Prcdud or Aoelication Search>aoatication Lin>Appiieation Detail -_ -,. _ , -, FL# FL16468-R8 `" ` " - "` " Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacture� JELD-WEN Address/Phone/Email 3737 Lakeport Blvd Klamath Falis, OR 97601 (800) 535-3936 fbcl@jeld-wen.com Authorized Sfgnature Kaede McLaughlin fbcl @jeld-wen.com Technical Representative JELD-WEN Corporate Customer Service Address/Phone/Email 3737 Lakeport Bivd. Klamath Falis, OR 97601 (800) 535-3936 customerserviceagents@jeid-wen.com Quality Assurance Representative Address/Phone/Email � Category Exterior poors Subcategory Swinging Exterior poor Assemblies Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer f Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who developed Hermes F. Norero, P.E. the Evaluation Report Florida License PE-73778 Quality Assurance Entity National Accreditation&Management Institute Quality Assurance Contract Expiration Date OS/01/2018 Validated By Locke Bowden � Validation Checklist- Hardcopy Received Certificate of Independence FL16458 R8 COI COI JW 55 2015-04-27.adf Referenced Standard and Year(of Standard) Standard Year TAS 202 1994 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 04/15/2015 Date Validated OS/Ol/2015 Date Pending FBC Approval OS/SO/2015 Date Approved 06/22/2015 Date Revised OS/26/2016 Summar�f Products� FL# �Model,Number or Name I De p ' Y � I — ----r------ ! 16468.1 Design Pro/Smooth Pro Flberglass Single(X) Opaque Door 3-0 x 6-8 and 3-0 x 8-0 Inswing and Outswing Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL16468 R8 Ti A010861A.pdf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E, 73778 ( Impact Resistant: No � Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: FL16468 R8 AE PER3472.pdf Created by Independent Third Party: Yes 16468.2 Design Pro/ 5mooth Pro Fberglass Single (X) Glazed Door 3-0 x 6-8 and 3-0 x 8-0 Inswing and Outswing Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL16468 R8 II A0108628.�df Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. 73778 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: F7.,16468 R6 AE PER3473.pdf � Created by Independent Third Party: Yes 16468.3 Design Pro/Smooth Pro Rberglass Double (XX) Opaque Door 6-0 x 6-8 and 6-0 x 8-0 Inswing and Outswing Limits of Use Instaliation Instructions Approved for use in HVHZ:Yes FL16468 R8 II A010863A.pdf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. 73778 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: FL16468 R6 AE PER3474.pdf Created by Independent Third Party: Yes 16468.4 Design Pro/Smooth Pro Fiberglass Double(XX) Glazed Door 6-0 x 6-8 and 6-0 x 8-0 Inswi�g and Outswing Limits of Use Installation Instructions Approved foruse in HVHZ:Yes I R16468 R8 II A0108b4A.pdf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P,E. 73778 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: FL16468 R8 AE PER3475.odf Created by Independent Third Party: Yes 16468.5 Design Pro/Smooth Pro Fberglass Single with sidefite(s) (X,O/O,X/O,X,O) Opaque Door 9-0 x 6-8 and 9-0 x 8-0 Inswing and Outswing Limits of Use Instailation Instructions Approved for use in HVHZ:Yes FL16468 R8 II A010865A.pdf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. 73778 Impact Resistant: No Created by Independent Third Party: Yes I Design Pressure: N/A Evaluation Reports , Other: FL16468 R8 AE PER3476.pdf � Created by Independent Third Party: Yes 16468.6 I Design Pro/Smooth Pro Fiberglass Single with sidelite(s) (X,O/O,X/O,X,O) Glazed Door 9-0 x i I � 6-8 and 9-0 x 8-0 Inswing and Outswing Limits of Use Instailation Instructions � Approved for use in HVHZ:Yes F1.16458 R8 II A010866B.�df I Approved for use outside HVHZ:Yes I Verified By: Hermes F. Norero, P,E. 73778 ' IImpact Resistant: No i Created by Independent Third Party: Yes i Design Pressure: N/A �Evaluation Reports � Other: I FL16468 R8 AE PER3477.�df I Created by Independent Third Party: Yes --------,-----------------�-------- ------- ---- -----------� i 16468.7 ��Design Pro/ Smooth Pro Fberglass �Double with sidelite(s) (XX O/O,XX/O,XX,O) Opaque Door � I I �12-0 x 6-8 and 12-0 x 8-0 Inswing and Outswing � _�� Limits of Use nstailation Instructions � Approved for use in HVHZ:Yes i � �CS�S R$ 1T AOi0SE7A.�df I ` Approved for use outside HVH2:Yes � Verified By; Hermes F. Norero, P.E. 73778 � Impact Resistant: No � Created by Independent Third Party: Yes � Design Pressure: N/A �Evaluation Reports � Other: I FL164E8 R8 AE f=ER3473.odf i Created by Independent Third Party: Yes 16468.8 j Design Pro/Smooth Pro Fberglass i Double with sidelite(s) (XX,O/ O,XX/O,XX,O) Glazed Door i � j 12-0 x 6-8 and 12-0 x 8-0 Inswing and Outswing Limits of Use �Installation Instructions � Y � Approved foruse in HVHZ:Yes � F�.,IC�b8 RII II :�O10E6SA.cdf � Approved for use outside HVHZ:Yes I Verified By: Hermes F. Norero, P.E, 73778 Impact Resistant: No , Created by Independent Third Party: Yes Design Pressure: N/A I Evaluation Reports I Other: FL16468 R8 AE PER3479_pdf i Created by Independent Third Party: Yes i � 0 Contact Us::2601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1924 The State of Florida is an AA/EEO employer.Coovriaht 2007-2013 State of Florida. :: Privaw Statement::AccessibtliN Statement::Refund Statement Under Florida law,email addresses are public records.IF you do not want your e-mail address released in response to a pu6lic-records request,do not send electronic mail to th(s enUty.Instead,contact the office by phone or by tradltional mail.If you have any questions,please contact 850.487.1395.�Pursuant to Section 455.275(i),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must prvvide the Departrnent with an email address(f they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the puhlic To determine if you are a licensee under Chapter 455,F.S.,please dick here. Produd ApprovalAecepts: k'�"�`% � `C�r_�' � Credi! C2rd Safe 'H 1 V' ' . . - . - � _ _ ., . : . - , _ .,- ,__���„�,� ;�-=_---" �;�,� - ' /y���r �. 4 h'j-`-.� , -� - --_ .,.. � _ -, , , - �-- : ' -- . - _ _f=��I.LF,- i\F� `'."')'t7!�''��� � ��*, ,. � . _ _ ��- ( �'��f��'�1�(yt It'i}�.el. _ . _ . _ ` - _ .. , ' . ._ _ ' �#y. -��,•,�t:i^.i.1,1_��a_�P . - _. - = - ' _. _� _ e -. ._� BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts PuWications �FBC Staff BCIS Site Map �Links ` Search . N F�0!IG'a : �r-':;P ��-; r:� .�� " as � �- , � � !�-Ek ProductApproval � �—�.y� � �,` k I,i`�y.�� ,�V.r USER:Pu61ic User / �%� ��:-' v:� P�oAuc'Loo-ova!f'enu>ProQud or Aoplicrtfon Search>Aoalic tfon i S>Appiication Detail ' • -.- _ --- � : �# FL15279-R4 ' �"� - -" -' - ��� Application Type Revision Code Version 2014 Application Status Approved *Approved by DBPR. Approvals by DBPR shali 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 mwesterfield@clopay.com Authorized Signature Scott Hamilton shamilton@clopay,com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior poors Subcategory Sectionai Exterior poor Assemblies Compliance Method Certification Mark or Listing Certification Agency Intertek Testing Services NA, Inc. Validated By Gary Pfuehler ° Validation Checklist- Hardcopy Received Referenced Standard and Year(of Standard) Standard Year ANSI/DASMA 108 2005 ANSI/DASMA 115 2005 ASTM E1886 2002 ASTM E1996 2002 ASTM E330 2002 Equivalence of Product Standards II Certified By Florida Licensed Professional Engineer or Architect FL15279 R4 Equiv 20150319- FBC- DASMA 108 equfv.pdf , FL15279 R4 Eauiv 20150319- FBC- DASh1A 115 eouiv.odf 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 '�r'� � � Page 1/8� � FL# Model,Number or Name �Description -� 15279.1 001 W3-09 DSIE-1A171: 2050, i 1-3/8" Double-skin Insulated EPS (exterior skin 27 ga. min.; � �2051, 2053,4050, 4051,4053, 6Z, interior skin 29 ga. min.)Single-Car (up to 9'0"wide) I 64, 65, 62G, 62LG, 64G,SDP38, WINDCODEp W3 Garage Door SFL38, SRP38, 134, 135, 136, 6130, 6131, 6133 Limits of Use I Certification Agency Certificate Approved for use in HVHZ: No � R15279 R4 C CF�C Letter tvith oroof of contract and proof Approved for use outside HVHZ:Yes �Qf ins�edion.pdf Impact Resistant: N/A FL�.5279 R4 C CAC VJ3 Listino Intertek pdf Design Pressure: +20 PSF/-ZO PSF Quality Assurance Contract Expiration Date Other:The OPTIONAL glazing available for this product 05/21/2028 I meets the wind load requirements of the building code but Instatlation Instructions DOES NOT meet the impact resistant requirement for F�i5279 R4 II SO]�55-Rev12.p�if windborne debris regions.The product without glazing DOES Verified By: Intertek Testing Services NA, Inc. comply with the impact resistant requirement for windborne Created by Independent Third Party: debris regions(ref 1609.1.4 FBC). Evaluation Reports Created by Independent Third Party: 15279.2 002 W3-09 DSIE-1A471: GD1SP, Gallery/Artistry/Expressions: 1-3/8" Double-skin Insulated GR1SP, GDSLP, GRiLP,ARiSP, EPS (exterior skin 27 ga. min.; interior skin 27 ga. min.) ARiLP, EDiSP, EDiLP, 4132, 2132, Single-Car(up to 9'0"wide)WINDCODEp W3 Garage Door 6132, SFC38, MFC38 Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL15279 R4 C CAC Letter with aroof of contract and proof Approved for use outside HVHZ:Yes of insoection.odf Impact Resistant: N/A FL15279 R4 C CAC 1N3 Listing Intertek.�df, Design Pressure: +20 PSF/-21 PSF Quality Assurance Contract Expiration Date Other:The OPTIONAL glazing available for this product 05/21/2028 meets the wind load requirements of the bullding code but Installation Instructions DOES NOT meet the impact resistant requirement for FL15279 R4 II 1039S2-RevOl.odf windborne debris regions.The product without glazing DOES Verified By: Intertek Testing Services NA, Inc. comply with the impact resistant requirement for windborne Created by Independent Third Party: debris regions (ref 1609.1.4 FBC). Evaluation Reports Created by Independent Third Party: 15279.3 003 W3-09 DSIU-1A171: 9130, Double-skin Insulated PUR(exterior skin 27 ga. min.; interior 9131, 9133, HDP13, HDPF13, skin 27 ga. min.) Single-Car(up to 9'0"wide)WINDCODEp HDPL13,7130, 7131, 7133, 8130, W3 Garage Door 8131, 8133 Limits of Use Certification Agency Certificate Approved for use in HVHZ: No Fl 15279 R4 G CAG Letter�vith proof of contract and oroof Approved for use outside HVHZ:Yes of inspection.odf Impact Resistant: N/A F7.15Z79 R4 C CAC W3 Listing Intertek.{�df Design Pressure: +20 PSF/-20 PSF Quality Assurance Contract Expiration Date Other:The OPTIONAL glazing available for this product 05/21/2028 meets the wind load requirements of the building code but Installation Instructions DOES NOT meet the impact resistant requirement for FL15279 R4 TI 104175-RevOl.�df windborne debris regions. The product without glazing DOES Verified By: Intertek Testing Services NA, Inc. comply with the impact resistant requirement for windborne I Created by Independent Third Party: �debris regions (ref 1609.1.4 FBC). Evaluation Reports I Created by Independent Third Party: I � r r - 15279.4 004 W3-16 DSIE-SA171: 2050, � 1-3/8" Double-skin Insulated EPS(exterior skin 27 ga. min.; � 2051, 2053, 4050, 4051, 4053, 62, I interior skin 29 ga. min.) Double-Car (9'2"to 16'0"wide) � 64, 65, 62G, 62LG, 64G, SDP38, WINDCODE� W3 Garage Door ! SFL38, SRP38, 134, 135, 136, 6130, 6131, 6133 , �Limits of Use �Certi£cation Agency Certificate Approved for use in HVHZ: No FL15279 R4 C CAC Letter with �roof of contract and oroof Approved for use outside HVHZ:Yes of ins�ection.pdf I Impact Resistant: N/A � FL15279 R4 C CAC W3 Usting Intertek.�df Design Pressure: +20 PSF/-21 PSF Quality Assurance Contract Expiration Date ; Other:The OPTIONAL glazing available for this product 05/21/2028 � meets the wlnd load requirements of the building code but �Installation Instructions � IDOES NOT meet the impact resistant requirement for FL15�79 R4 II 3018?_0-Revl3.pdf i windborne debris regions. The product without glazing DOES � Verified By: Intertek Testing Services NA, Inc. � I � � � comply with the impact resistant requirement for windborne � Created by Independent Third Party: i debris regions (ref 1609.1.4 FBC). ;Evaluation Reports � � � � � _ - _--j Created by Independent Third Partyi_ _ ; J � I 15279.5 I 005 W3-16 DSIE-1A471: GDiSP, I Gallery/Artistry/Expressions: 1-3/8" Double-skin Insulated � � i GRiSP, GDSLP, GR1LP,AR1SP, �EPS (exterior skin 27 ga. min.; interior skin 27 ga. min.) � �AR1LP, EDiSP, ED1LP, 4132, 2132, Double-Car(9'2"up to 16'0"wide)WINDCODEp W3 Garage � 6132, SFC38, MFC38 Door _� I-----------------� �----- ------ � Limits of Use i Cettification Agency Certificate � Approved for use in HVH2: No j FLi5279 R4 � CAC Le�Ger v�ith proof o`4ontrac�an� Cf60f � Approved for use outside HVHZ:Yes I of fnSpeCtio�.odf I IImpact Resistant: N/A i ft.IS7_79 R4 C CAC �'E'3 ��srinq T�terte�f � Design Pressure: +20 PSF/-21 PSF �Quality Assurence Contract Expiration Date � Other:The OPTIONAL glazing available for this product I 05/21/2028 i meets the wind load requirements of the building code but �Installation Instructions DOES NOT meet the impact resistant requirement for � R157_79 R4 3I 104028-Rev�l.odf windborne debris regions.The product without glazing DOES ! Verified By: Intertek Testing Services NA, Inc. � comply with the impact resistant requirement for windborne � Created by Independent Third Party: debris regions (ref 1609.1.4 FBC). Evaluation Reports � Created by Independent Third Party: 15279.6 006 W3-16 DSIU-1A171: 9130, Double-skin Insulated PUR(exterior skin 27 ga. min.; interior 9131, 9133, HDP13, HDPF13, skin 27 ga. min.) Double-Car(9'2"to 16'0"wide) I HDPL13, 7130, 7131, 7133, 8130, WINDCODEp W3 Garage Door 8131, 8133 Limits of Use Certification Agency Certificate Approved for use in HVH2: No FL15279 R4 C CAC Letter v✓ith�roof of contract and �roof Approved for usa outside HVHZ:Yes of insoection.�df Impact Resistant: N/A R15279 R4 C CAC W3 Listina Intertek pdf Design Pressure: +20 PSF/-21 PSF Quality Assurance Contract Expiration Date Other:The OPTIONAL glazing available for this product 05/21/2028 meets the wind load requirements of the building code but Installation Instructions DOES NOT meet the impact resistant requirement for FL15279 R4 II 104166-Rev0l.odf windborne debris regions. The product without glazing DOES Verified By: Intertek Testing Services NA, Inc. comply with the impact resistant requirement for windborne Created by Independent Third Party: debris regions(ref 1609.1.4 FBC). Evaluation Reports Created by Independent Third Party: � 15279.7 I Q07 W3-16 PAN-2F153: 73, 1500, Steel Pan (min. 25 ga.) Double-Car(9'2"to 16'0"wide) 75, 190, 84A, 94, 42,48, 55, 42B, WINDCODEp W3 Garage Door 48B, 555, 4RST, 6RST, 4RSF, 6RSF Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL15279 R4 C CAC Letter with oroof of contract and aroof Approved for use outside HVH2:Yes of inspection.pdf Impact Resistant: N/A FL15279 R4 C CAC W3 Ustinca Intertek.pdF Design Pressure: +20 PSF/-21 PSF Quality Assurance Contract Expiretion Date Other:The OPTIONAL glazing available for this product 05/21/2028 meets the wind load requirements of the building code but Installation Instructions DOES NOT meet the impact resistant requirement for F�15279 R4 II 101308-Rev12.�df, windborne debris regions.The product without glazing DOES Verified By: Intertek Testing Services NA, Inc. comply with the impact resistant requirement for windborne Created by Independent Third Party: debris regions (ref 1609.1.4 FBC). Evaluation Reports Created by Independent Third Party: 15279.8 008 W4-09 DSIE-1F171: 4300,4301, Z" Double-skin Insulated EPS (exterior skin 27 ga. min.; 4310,4400,4401, HDG, HDGL, interior skin 27 ga. min.) Single-Car(up to 9'0"wide) HDGF, 66, 66G, 67, 67G, 68, SP200, WINDCODE�W4 Garage Door SF200, SE200, 6200, 6201, 6203 j Limits of Use Certification Agency Certificate I Approved for use in HVHZ: No FL15279 R4 C CAC Letter vrith proof of contract and proof � Approved for use outside HVHZ:Yes �of inspection.vdf I ImpactResistant: No � FL15279 R4 C CAC 1N4 Usting Intertek.odf � � Design Pressure: +28 PSF/-29 PSF �Quality Assurence Contract Expiration Date � � Other:The OPTIONAL glazing available for this product I 05/21/2028 � �meets the wind load requirements of the building code but Instaliation Instructions � DOES NOT meet the impact resistant requirement for ��5279 R4 II 101652-B-Revll.(�df windborne debris regions.The product without glazing DOES Verified By: Intertek Testing Services NA, Inc. � comply with the impact resistant requirement for windborne Created by Independent Third Party: I debris regions(ref 1609.1.4 FBC). Evaluation Reports � Created by Independent Third Party: _ I --------� 15279.9 009 W4-09 DSIE-iF471: GD2SP, Gallery/Artistry/Expressions: 2" Double-skin Insulated EPS i GR2SP, GD2LP, GR2LP, AR2SP, (exterior skin 27 ga. min.; interior skin 27 ga. min.) Single- i AR2LP, ED25P, ED2LP, 4302, HDGC, Car(up to 9'0"wide)WINDCODEp W4 Garage Door 6202, SFC68, MFC68 I � Limits of Use I Certification Agency CertificaEe ; Approved for use in HVHZ: No � ��s��9 R4 G CAC latter with oroof of contract and�ooF � Approved for use outside HVHZ:Yes I of inspection.odf Impact Resistant: No �� Fl_IS279 R4 C CAC W4 Ustino_Intertek.Qdf � � � Design Pressure: +28 PSF(-29 PSF i Quality Assurance Contract Expiration Date I . ( Other:The standard glazing available for this product meets �. 05/21/2028 I the wind load requirements of the building code but DOES t Installation Instructions I NOT meet the impact resistant requirement for windborne � FLI SZ79 R4 II 703954-B-RevOZ od6 , i debris regions. Verified By: Intertek Testing Services NA, Inc. I Created by Independent Third Party: i iEvaluation Reports � Created by Independent Third Party: �15279.10 i O10 W4-09 DSIU-1F171: 9200, 'Double-skin Insulated PUR(exterior skin 27 ga. min.; interior� I i 9201, 9203, HDP20, HDPF20, I skin 27 ga. min.) Singie-Car(up to 9'0"wide) WINDCODEp I HDPL20, 7200, 7201, 7203, 8200, W4 Garege Door �8201, 8203 ___ -_ ' �Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FI�15279 R4 C CAC !etter with oraof o`contract en�'� ra�f I Approved for use outside HVHZ:Yes �of insoection.�df I Impact Resistant: N/A FL15279 R4 C CAC \'J4 listinq IntertPk odf I Design Pressure: +28 PSF/-29 PSF Quality Assurance Contract Expiration Date Other:The OPTIONAL glazing available for this product 05/21/2028 meets the wind load requirements of the building code but Installation Instructions DOES NOT meet the impact resistant requirement for FL15279 R4 II 104183-RevOl.ndf windborne debris regions. The product without glazing DOES Verified By: Intertek Testing Services NA, Inc. comply with the impact resistant requirement for windborne Created by Independent Third Party: debris regions (ref 1609.1.4 FBC). Evaluation Reports Created by Independent Third Party: 15279.11 011 W4-09 DSIUO-1K479: Canyon Double Skin Insulated PUR(exterior skin 27 ga. min.; interior Ridge/Brookstone skin 27ga. min.) with Overlay Single-Car(up to 9'0"wide) WINDCODEO W4 Garege Door Limits of Use Certification Agency Certifcate Approved for use in HVH2: No FL15279 R4 C CAC Letter with oroof of contract and oroof Approved for use outside HVHZ:Yes Qf(nsoection.adf Impact Resistant: N/A FLi5279 R4 C CAC W4 Listino Tntertek.pdf Design Pressure: +28 PSF/-29 PSF Quality Assurance Contract Ezpiretion Date Other:The OPTIONAL glazing available for this product 05/21/2028 rneets the wind load requirements of the building code but Installation Instructions DOES NOT meet the impact resistant requirement for EL15279 R4 II 104456-RevOl.odf windborne debris regions.The product without glazing DOES Verified By: Intertek Testing Services NA, Inc. comply with the impact resistant requirement for windborne Created by Independent Third Party: debris regions (ref 1609.1.4 FBC). Evaluation Reports Created by Independent Third Party: I 15274.12 012 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, WINDCODEQ W4 Garage Door 426, 48B, S5S, 4RST, 6RST,4RSF, 6RSF, 2RST, GDSS, GD5SV, GRSS, GR5SV,AR55, AR55V, ED55, EDSSV Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL1�279 R4 C CAC Letter with oroof of contract and proof Approved for use outside HVHZ:Yes of insoection.odf Impact Resistant: No �15279 R4 C CAC 1�N4 Listinq Inkertek.odf Design Pressure: +25 PSF/-32 PSF Quality Assurance Contract Expiration Date Other:The standard glazing available for this product meets OS/21/2028 the wind load requirements of the building code but DOES Installation Instructions NOT meet the impact resistant requirement for windborne R15279 R4 II 360159-B-Revl6.ndf debris regions. Verified By: Intertek Testing Services NA,Inc. Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 15279.13 013 W4-09 PAN-2F441: G4S, G54, Gallery/Artistry/Expressions: Steel Pan (min. 24 ga.)Single- � I G4L, GL4, GD4S, GD4L, GR4S, Car(up to 9'0"wide)WINDCODE�W4 Garage Door I i j GR4L, G45V, G54V, G4LV, GL4V, � �GD4SV, GD4LV,GR4SV, GR4LV, ' F E4S, E4L, ED4S, ED4L, E4SV, E4LV, ED4SV, ED4LV, SS4, SL4, AR4S, � AR4L, 554V, SL4V,AR4SV, AR4LV ILimits of Use Certification Agency Certificate Approved for use in HVHZ: No FL15z79 R4 C CAC Letter with proof of contract and r�roof � Approved for use outside HVHZ:Yes of insr�ection.�df � Impact Resistant: No FL15279 R4 C CAC W4 Listinq Intertek.pdf , IDesign Pressure: +25 PSF/-32 PSF Quality Assurence Contract Expiration Date Other:The standard glazing available for this product meets OS/21/2028 II Ithe wind load requirements of the building code but DOES installation Instructions � ! NOT meet the impact resistant requfrement for windborne FL15279 R4 II 103486-B-RevO8.pdF I debris regions. Verified By: Intertek Testing Services NA,Inc. � Created by Independent Third Party: �� Evaluation Reports i Created by Independent Third Party: I �- -�- , --- --�-- ---- -----, �15279.14 i 014 W4-09 SPO-2F449: Grand �Steel Pan (min. 24 ga.) with Overlay Single-Car (up to I . , � �Harbor, Stone Manor �9'0"wide) WINDCODEp W4 Garage Door � �Limits of Use j Certification Agency Certifcate Approved for use in HVHZ: No I FLi5274 R4 C CAC LeLter ivith �ro f of contract and oroof � Approved for use outside HVH2:Yes �of incpectian.pdf I Impact Resistant: N/A FL1527g R4 C CAC `"✓4 Listina I�tertek �dF Design Pressure: +25 PSF/-32 PSF Quality Assurance Contract Expiration Date � Other:The OPTIONAL glazing available for this product ' 05/21/2028 meets the wind load requfrements of the building code but �Instatlation Instructions � �DOES NOT meet the impact resistant requirement for ' FL157_79 R4 II 103549-Rev06.pdf ' windborne debris regions. The product without glazing DOES � Verified By: Intertek Testing Services NA, Inc. comply with the impact resistant requirement for windborne I Created by Independent Third Party: � ' debris regions (ref 1609.1.4 FBC). i Evaluation Reports Created by Independent Third Pa ! �Y� � i 15279.15 015 W4-16 DSIE-iF171: 4300,4301, 2" Double-skin Insulated EPS (exterior skin 27 ga. min.; 4310,4400, 4401, HDG, HDGL, interior skin 27 ga. min.) Double-Car (9'2"to 16'0" wide) I HDGF, 66, 66G, 67, 67G, 68,SP200, WINDCODEp W4 Garage Door I SF200, SE200, 6200, 6201, 6203 Limits of Use Certification Agency Cettifcate Approved for use in HVHZ: No FL15279 R4 C CAC Letter with �roof of contracr and oroof Approved for use outside HVHZ:Yes of insoection.odf Impact Resistant: No FL15279 R4 C CAC W4 Listing Intertek.Qdf Design Pressure: +25.5 PSF/-25.5 PSF Quality Assurance Contract Expiration Date Other:The standard glazing available for this product meets 05/21/2028 the wind load requirements of the building code but DOES Installation Instructions NOT meet the impact resistant requirement for windborne FL15279 R4 II 101481-B-Revl3.odf I debris regions. Verified By: Intertek Testing Services NA, Inc. Created by IndependentThird Party: Evaluation Reports Created by Independent Third Party: 15279.16 016 W4-16 DSIE-iF471: GD2SP, Gallery/Artistry/Expressions: 2" Double-skin Insulated EPS GRZSP, GD2LP, GR2LP,AR2SP, (exterior skin 27 ga, min.; interior skin 27 ga. min.) Double- AR2LP, ED25P, ED2LP,4302, HDGC, Car(9'2"up to 16'0"wide)WINDCODEp W4 Garage Door 6202, SFC68, MFC68 Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL15279 R4 C CAC Letter with proof of contract and aroof Approved for use outside HVHZ:Yes of inspection.�df Impact Resistant: No FLI5279 R4 C CAC 1N4 Listina Intertek.odf Design Pressure: +25.5 PSF/-25.5 PSF Quality Assurance Contract Expiration Date Other:The standard glazing available for this product meets 05/21/2028 the wind load requirements of the building code but DOES Instailation Instructions NOT meet the impact resistant requirement for windborne FL152i9 R4 II 104029-B-Rev03.�df debris regions. Verified By: Intertek Testing Services NA, Inc. � Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 15279.17 017 W4-16 DSIEO-1F479: Double Skin Insulated EPS (exterior skin 27 ga. min.; interior Coachman/Settlers/Affinity skin 27ga, min.) with Overlay Double-Car(up to 16'0"wide) WINDCODEp W4 Garage Door Limits of Use Certification Agency Certificate Approved for use in HVHZ: No F�15279 R4 C CAC Letter with oroof of contract and„_proof ' Approved for use outside HVHZ:Yes of insoection.odf i Impact Resistant: N/A Fl 15279 R4 G GAC W4 Ustino Intertek.odf Design Pressure: +25 PSF/-25 PSF Quality Assurance Contrect Expiration Date Other:The OPTIONAL glazing available for this product 05/21/2028 meets the wind load requirements of the building code but Installation Instructions DOES NOT meet the impact resistant requirement for R15274 R4 II 103046-Rev07.odf �windborne debris regions. The product without glazing DOES Verified By: Intertek 7esting Services NA, Inc, I �comply with the impact resistant requirement for windborne Created by Independent Third Party: �debris regions (ref 1609.1.4 FBC). I Evaluation Reports ! ; Created by Independent Third Party: I 15279,18 �018 W4-16 DSIU-1F171: 9200, Double-skin Insulated PUR(exterior skin 27 ga. min.; interiorl 9201, 9203, HDP20, HDPF20, skin 27 ga. min.) Doubie-Car(9'2"to 16'0"wide) HDPL20, 7200, 7201, 7203, 8200, WINDCODEp W4 Garage Door 8201, 8203 Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FLi5279 R4 C CAC Letter with oroof of contract and proof � Approved for use outside HVHZ:Yes I of(nsoection.pdf I Impact ResisYant: N/A � F1,15279 R4 C CAC VJ4 Listing Intertek.pdf Design Pressure: +25.5 PSF/-25.5 PSF Quality Assurance Contract Expiration Date I Other:The OPTIONAL glazing available for this product I 05/21/2028 I � meets the wind load requirements of the building code but Instatlation Instructions � IDOES NOT meet the impact resistant requirement for � F215279 R4 II 104169-RevOl.odf ; windborne debris regions. The product without glazing DOES i Verified By: Intertek Testing Services NA, Inc. i i Created by Independent Third Party: j comply with the impact resistant requirement for windborne i Evaluation Reports ! , , debris regions (ref 1609.1.4 FBC)___ � Created by Independent Third Party: _� i — -- 15279.19 019 W4-16 DSIUO-1K479: Can on T y �Double Skin Insulated PUR(exterior skin 27 ga, min.; interior �Ridge/Broukstone �skin 27ga. min.) with Overlay Double-Car(92"to 16'0"wide) � __ � WINDCODEp W4 Garage Door i ----- - --r — --{ Limits of Use i Certification Agency Cert�cate � Approved for use in HVHZ: No i FL15279 R4 C CAC Letter with proof of contrzct znd nreof i Approved foruse outside HVHZ:Yes i of inspecticn.odf Impact Resistant: N/A I FL15279 R4 C CAC 1'J4 Listing Intertek.odf Design Pressure: +25.5 PSF/-25.5 PSF Quality Assurance Contrect Expiration Date Other:The OPTIONAL glazing availabie for this product � 05/21/2028 I meets the wind load requirements of the buildfng code but Installation Instructions , DOES NOT meet the impact resistant requirement for FL15779 R4 IT 1�4457-Re��07�pdE � windborne debris regions.The product without glazing DOES ( Verified By: Intertek Testing Services NA,Inc, i comply with the impact resistant requirement for windborne Created by Independent Third Party: � debris regions(ref 1609,1,4 FBC).— �Evaluation Reports � Created by Independent Third Party: 15279.20 020 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, 4RST, �WINDCODEp W4 Garage Door , 6RST,��RSF, 6RSF, GDSS, GDSSV, GR5S, GRSSV,ARSS,ARSSV, EDSS, EDSS\� Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FI 15279 R4 C CAC Letter with oroof of contract and oroaf Approved for use outside Hi/HZ:Yes of inspection,odf Impact Resistant: No FL15279 R4 C CAC VJ4 Listina Intertek.pdf \I Design Pressure: +24 PSF/-24.5 PSF • Quality Assurance Contract Expiration Date Other:The standard glazing available for this product meets 05/21/2028 the wind load requirements of the building code but DOES Installation Instructions NOT meet the impact resistant requirement for windborne F1.15279 R4 II i01711-B-Revl5.pdf debris regions. Verified By: Intertek Testing Services NA,Inc. Created by Independent Third Party: Evaluation Reports �I Created by Independent Third Party: I Go to Page '�' � � Page 1/8� � I i 0 � i IContad Us::2601 Blafr Stone Road.Tallahassee FL 32399 Phone:850-487-1824 1 The State of Florida is an AA/EEO employer.Coovrioht 2007-2013 State of Florida. :: Priva�v Statement::AccessiWlitv Statement::Refund Statement Under Florida law,emafl addresses are public records.If you do not want your e-mail address released in response to a puhlic-remrds 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 Sectlon 455.275(1),F�orida Statutes,effecUve October 1,2012,Iicensees Ilcensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communiration with the licensee.However email addresses are puhlic record.If you do not wish ta supply a personal address,please provide the Department with an email address which can be made available to the public To determine if you are a Iicensee under Chapter 455,F.S.,please dick her . Product ApprovalAccepts: � "'�? c�CF��, � Cred+t Card Safe � �� ,� 6� ,A . � " �- - .. - - _ - - _ ' ' k"fwx'acs. ' �', . . - � - - _ ' _ _ ". - '_ _ " ' s'j �f�/��/J� C;a��l IJJ�� • ,_ � - . . , _- . ._ ` a__.-_ _-- �,. ._ . _ ,_ :F�4'�4.$///��t'79 ..�ti4,�.�i���f1;:Z,-=.-�� ' . - = . " _. _ � : _ ..� �._�.�� . �� 1�'�' � `Y����'F`.a� �Iyf+�{ . 1 �S.-+ :� c,L � " ' ' ' " : " , - - . " _ " ," .,__ ,+�,_.��� BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Pu6lications FBC Staff BCIS Site Map `Unks(` Searth�. _ f �F!��;�da _ _�� ��:�� �� (�' Sy�� i` , p � Product Approval 4�=-�'��.} f ,!� �, ��', �� ;,,i :- USER:Public User � ♦ ti•_ '�A:.': �.�¢N y,�-"•' �._ P•odu�i 1exov�!hienu>Produd or Applfcation Search>p�alicaticn List>Appiication Detail - . ' ., " FL# R239-R24 '--" " "" - ' �-'-� Application Type Revision Code Version 2014 Application Status Approved *Approved by DBPR. Approvals by DBPR shail be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived Product Manufacturer 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 ndustries.com Technical Representative ]ens Rosowski Address/Phone/Email 1070 Technofogy Drive Nokomis, FL 34275 (941)486-0100 Ext 21140 jrosows ki @pgti ndustri es.com Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Single Hung Compliance Method Certification Mark or Listing Certification Agency Miami-Dade BCCO- CER Validated By Miami-Dade BCCO-VAL Referenced Standard and Year(of Standard) Standard Year TAS 201, 202, 203 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 08/22/2016 Date Validated 09/07/2016 Date Pending FBC Approval Date Approved 09/08/2016 Summary of Produc� �- --- - FL# �Model,Piumber or Name �Description —� — --�---- ----- — -- 239.1 �SH - 200(Non_Impact) __ {Aluminum Single Hung Window � ILimits of Use 'Certification Agency Certificate Approved for use in HVHZ:Yes � FL239 R24 C CAC 16-0505.02.rdf j � Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date � Impact Resistant: No 09/01/2021 ; Design Pressure: N/A Installation Instructions � Other:Please see Miami-Dade County Notice of Acceptance � �739 R24 IT if-0505.02.�J�f (NOA)for product performance information, anchorage � Verified By: Miami-Dade BCCO-CER details, and anchor type, size, and spacing information, Created by Independent Third Party: �Evaluation Reports I Created by IndependentThird Party: � 239.2 ! SH - 500(Large Missile Impact) WinGuard Vinyl Single Hung Window Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FF 239 R24 C CRC 15-0612.12b.odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes Ol/08/2019 Design Pressure: N/A Installation Instructions Other:Please see Miami-Dade County Notice of Acceptance FL239 R24 FI 15-0612.12b.pdf (NOA)for product pertormance information, anchorage Verified By: Miami-Dade BCCO- CER details, and anchor type, size, and spacing information. Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 239.3 SH -600 (Non-Impact) Aluminum Single Hung Window � Limits of Use Certification Agency Certi£cate Approved for use in HVHZ:Yes F1.239 R24 C CAC 16-0714.05.pdf I Approved for use outside HVFlZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No OS/26/2021 Design Pressare: N/A Installation Instructions Other: Please see Miami-Dade County Notice of Acceptance FL239 R24 II 16-0714.O5.odf (NOA)for product pertormance information, anchorage Verified By: Miami-Dade BCCO-CER details, and anchor type, size, and spacing information. Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 239.4 SH -700(Large Miss(le Impact) Aluminum 5ingle Hung Window � Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL239 R24 C CAC 16-0714.06.pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiretion Date Impact Resistant:Yes 03/26/20Z1 Design Pressure: N/A Installation Instructions Other: Please see Miami-Dade County Notice of Acceptance FL239 R24 Ii 16-0714.06.odf (NOA)for product performance information, anchorage Verified By: Miami-Dade BCCO-CER details, and anchor type, size, and spacing information. Created by Independent Third Party: Evaluation Reports i Created by Independent Third Party: 239.5 SH -800 (Large Missfle Impact) Multi-Story Aluminum Single Hung Window � Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL?_39 R24 C CAC 16-0714.Ol,pdf , Approved for use outside HVHZ:Yes Quatity Assurance Contract Expiration Date � � Impact Resistant:Yes E OS/03/2022 � i Design Pressure: N/A Installation Instructions � � Other: Please see Miami-Dade County Notice of Acceptartce I F1.239 R24 II 16-0714.Ol.odf ( �(NOA)for product performance information, anchorage Verified By: Miami-Dade BCCO- CER f details, and anchor type, size, and spacing information. Created by Independent Third Party: Evalaation Reports ' Created by Independent Third Party: ! i 239.6 SH - 800 (Small Missile Impact�Multi-Story Aluminum Single Hung Window � Limits of Use Certification Agency Certificate � Approved for use in HVHZ:Yes FL239 R24 C CAC 16-0714.02.pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiretion Date � Impact Resistant:Yes 05/03/2022 i IDesign Pressure: N/A i Installation Instructions I � Other: Please see Miami-Dade County Notice of Acceptance j FL239 R24 II 16-0714.02,�df , �(NOA) for product performance information, anchorage Verified By: Miaml-Dade BCCO- CER � Idetails, and anchor type, size, and spacing information. I Created by Independent Third Party: I I � � , • � �Evaluation Reports i � Created by Independent Third Party: � — – ----- - —1------------ -- ---� i -- 239.7 �SH-3000(Large Missile Impact) �Architectural Systems Aluminum Single Hung Window --i Limits of Use �Certification Agency Certificate � � Approved foruse in NVHZ:Yes ! FLZ"s4 R24 C CAC ]5-06]2.I1 Lt�fF.pdf ! IApproved for use outside HVHZ:Yes IQuality Assurance Contract Expiration Date Impact Resistant:Yes f 12/06/2017 � � Design Pressure: N/A �Installation Instructions I IOther: Please see Miami-Dade County Notice of Acceptance i R�3g R.24 II 15-Q612.]! Lt��I.pdF I �(NOA)for product performance information, anchorage Verified By: Miami-Dade BCCO- CER details, and anchor type, size, and spacing information. I Created by Independent Third Party: ' �Evaluation Reports ` Created by Independent Third Party: � 239.8 SH-3000 (Small Missile Impact) Architectural Systems Aluminum Single Hung Window__� Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes I FL239 RZ4 C CAC 15-0612.10 SMI.odf Approved for use outside HVHZ:Yes �Quatity Assurance Contract Expiration Date Impact Resistant:Yes 12/06/2017 Design Pressure: N/A Installation Instructions Other: Please see Miami-Dade County Notice of Acceptance FL239 R24 II I5-0612.10 St�lT.�df (NOA)for product performance information, anchorage Verified By: Miami-Dade BCCO- CER detaiis,and anchor type, size, and spacing information. Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 239.9 SH-5400(Non-Impact) Vinyl Single Hung Window Lfmits of Use Cert�cation Agency Certificate Approved for use in HVHZ:Yes FL239 R24 C CAC 16-0714.04.pdf Approved for use outside HVHZ:Yes Quality Assurance Contrect Expiration Date � Impact Resistant: No 07/30/2020 Design Pressure: N/A Installation Instructions Other:Please see Miami-Dade County Notice of Acceptance EL739 R24 II 16-0714.04.pdf (NOA)for product performance information, anchorage Verified By: Miami-Dade BCCO- CER details, and anchor type,size, and spacing fnformatfon. Created by IndependentThird Party: Evaluation Reports Created by Independent Third Party: 239.10 SH-5500(Large Missile Impact) Vinyl Singie Hung Window limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL239 R24 C CAC 16-0714.03.�df Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes 07/30/2020 Design Pressure: N/A Installation Instructions Other:Please see Miami-Dade County Notice of Acceptance FL239 R24 II 16-0714.03.pdf (NOA)for product performance information, anchorage Verified By: Miami-Dade BCCO-CER details, and anchor type, size, and spacing information. Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: ' 0 0 � Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-4A7-1824 The State of Florida is an AA/EEO employen Coovriqht 2007-2013 State of Florida. ;:Privacv Statement::Accessi6fli[v Statemen[ :Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-remrds request,do not send electronic mail to this entity.Instead,contact the offlce by phone or by traditional mail.If you have any questions,please mntact 850.487.1395.�Pursuant to Section 455.275(1),Florida 5tatutes,effective October 1,2012,Ifcensees Iicensed under Chapter 455,F.S.mus[provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public To detertnine if you are a Ifcensee under Chapter 455,F.S.,please dick er . 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