HomeMy WebLinkAbout17-18622 � � CITY OF ZEPHYRHILLS
- 5335-8TH STREET
(813)780-0020 18622
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18622 Address: 38025 9TH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-09300-0110
Improv. Cost: 1,295.00 OWNER INFORMATION
Date Issued: 6/30/2017 Name: WATSON J W &A D FAMILY TRUST WA
Total Fees: 67.50 Address: 112 PINE TREE RD
Amount Paid: 67.50 SAYRE, PA. 18840-1018
Date Paid: 6/30/2017 Phone:
Work Desc: REPLACE GARAGE DOOR 16 X 7
CONTRACTOR S APPLICATION FEES
BANKO OVERHEAD DOORS INC BUILDING FEE 67.50
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Ins ecti s Re uired �
FOOTER 2ND ROUGH PL MB 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. �
REIWSPECTION 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.
CONTRACTOR SIGN TU E PERMIT OFFI R
PERMIT EX S IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � � T�� ��2��
Date Received: � "' 20— (�
Site: 3�'j D ?�� �j� 1�1�-2
Permit Type: ,��-Q� �d� ��,��
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
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Kalvin Switzer—Pl xaminer Date Contractor and/or Homeowner
(Required when comments are present)
. � 813-780-0020 City of Zephyrhills Permit Application FaX-8i3-780-002t
Buiiding Department
Date Received �j �• , phone Conhaet for Petmitting �� � r W - ✓�`N'
Owner's Name '1V u4 3 pOw,�ne,r Phone Numbet �"�"� "—i y�S
Owee�s Address ��2 �j u. C�.-L.. �� ��Owner�Phone Number � �
Fee Sfmpie Titleholder Name I � Owner Phone Number � �
Fee Simple TltleholderAddress
JdBADDRESS � �� � i} -C Vti��� ' � �LBT# ��
SUBDMSION �����Y .1�� I PAR.CELID# ��'������''�"����'���0�(�
{OBTAttdED FRO&1 PROPERiI`TAX N�StCE} ,
WORKPROPOSED NEWCONsfR(� ADD/ALT � SIGN Q Q QEMOLiSH
INSTALL Q REPAIR •
PROPOSED USE SFft Q COMM Q 4THEit
TYPE OF CONS7ftUCT10N eLOCK Q FRAME � STEEL. Q
DESCR1PiI0NOFWORK Ut+i{ �'1J� �� 11'`x �� " �• �
BUILDING SlZB SQ FOOTAGE HEIGH7 [�
T �'ti'"!"!�!Z' 1"!� tT'tT�iT{TT"
�UILDING S /1/h� VALUATION OF TOTAL CpNSTRUCTION
L�►
[�ECEGTRtCA! �� AMP S�RVlCE Q PRQGRESS EiSERGY Q W.R.E.C.
OPLUMSING $ _ ±� ���PZ-� -
OMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION ��/ ) � �� p./4"'+" '�
L,/ 1
[�GAS � RpOFING Q SPECIALN [� OTHER
FINISHHD FLQOR ELEVATlQNS ��� FLOOD ZONE AREA QYES NO
.�'r-S�C�•'r�'.�Y'r.�i-.'.-'��i���7-'!.L'��'r�'re��i'rC�'�-7.�'��'� '�n�'�7�'e-'��r:�i�i+�C-'r•��'�-'n�i C�•'rY�'��:�i�'rn'-0�4'�inC�-'�'.
SG�NATURE � ��]4�'�iT � C��t� � ROMPAND ��� 1�FS„lVl�i N ��
Address �2. �t. 33to�cense�1 `�a.t-�1 �����
ELECTRICIAN � COMPANY �
StGNATtlRE � � REc�ssEREo � Y!N F�cusu�En YtN
Address License#��
PLUN{BER � � CdMPANY �
SIGNATURE REGIS7@RED Y�Ecuw�n Y!N
Addre�s License#� �
MECNANICAL COMpANY � �
SiGNATURE � � R�ts�rt� Y t N �Ecut�� Y t N
Address Lfcense�� �
pT(-��y� GOMPANY �
SIGNATURE � � REGISTERFD Y/N F�cuwaen Y1N
Address LEcense�� � I
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt1tI1It11t1ttt111t11111ilfltt
RESIDEN'f1AL Attach(2)Piot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-0.W Permftfor new consttuction, ,
M1nlmum ten{14}working days after submittai date. Reqvired onstte,Constsuctfon Ptans,SWrmwater Plans wi Sttt Fence tnstailed,
Sanitary Facllittes&1 dumpster,S'sfe Work Petmit for subdtvislonsRarge pmjects i
COMMERCIA4. Attach(2)complete sets of Building Plans plus a Life Safety Page;(ij set of Energy Forms.R-O-W Pertnit for new construction.
Mintmum ten(10)working days aftersubmlttal date_ Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence(nstalled,
Sanitacy Fat�lities&i dumpster.Slte Work Permit far alt new projects.Atl commercta!requtrements must meet compiiance
SIGN PERMIT Attach(2)sets of Engineered Pians.
"'"PROPERN SURVEY required far ail NEW consWctian.
.a-l.�i-�t-l-i-S-i��-I-F.l-i-d-I�-i..4.��-f�.�l�f-d-i-H-t-da-t-I..I-f�-i-l-H-f�-E�',-C�➢-6-:.�f.'-G-f-1-1-Fi-�-1-�1-:-:=.-'.-:-F•1-1�-1-1�
4[[ectlons:
Fiil oul applicaUon comptetefy.
pwner&ConUactor sign back of application,notadzed
it aver$2500,a Notice of Commencement is sequired. (AtC npgrades over$75�0)
" Agent(for the wntracto�or Power of Attomey(for the owner)wouid be someone with nofartzed teBer trom ownef authorizing same
OVER THE COUNTER PERMITfING (capy of wnVact requirec�
Reroois if shIngles Sewers Secvice Upgrades AtC Fences{P1oVSurveytFootage)
Driveways-Not over Counter if on publlc roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions°
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner.has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violatfon
under state law. If the owner or intended contractor are uncertain as to what 1lcensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Divislon—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 I
County.
TRANSPORTATION IMPACT/UTfLITIES 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 numher 89-07 and �i
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of I
permitting. It is further understood that Transportatfon Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid�prior to permit issuance. Furthermore,if Pasco County WatedSewer Impact
fees are due,they must be paid prior to permit issuance(n accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Sfafutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the appi(cant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that ali 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 thaf no work or installation has
- commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Wate�wrays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. .
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed In Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a p�ofessional engineer
' licensed by the State of Florida.
- If the fill material is to be used in Flood Zone"A°in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill Is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
• this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs,wells, poofs, 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 Building 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,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDAJURAT(F.S.117.03) /,�i��
OW NER OR AGENT CONTRACTOR.
Strb� an bsvom to or a rtned)b `me thi� `D ub�sc�ri�gd�nd b m o(ot vmed b fo e� ith s,�
CP ` I 1'1 X C)
o is/a perso y known o m or has/ha e produced �ho is! ersonally known to m haslhave produced
asfdentiflcatfon. asldentificaUon.
\— � No Iic v ���1-IY
Commisston ��Y Pue��C CATHER�NE �� Commission No. ��'������� SI N�FF 926378
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* . * •November 1,2019 * EXPIRES: ember 1,2019
Name of Notary� �d���qp,ggigudget No�ry eN1 Name of Notary typed,printed or st� � on ea rviCes
rA�OFfti�
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� Florida Building Code Online Page 1 of 7
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Florida Department� BCIS Home � Log In � User Registration ; HotTopics � Submit Surcharge � Statr&Facts � Publicatlons � FBC Staff � BCIS Site Map � Links I •Search �
Busines�rj(/,�
ProfessiVl l�l '� �� useR PubiApproval ,
�
Regulation
Product Aooroval Menu>Product or Aooifcation Search>Apolication List>Appliqtion Detall �
� FL# FL15279-R4
Application Type Revision
Code Version 2014
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and retified
by the POC and/or the Commission if necessary.
Comments
Archived ❑
Product Manufacturer Clopay Building Products Compa�<< w�RKSHA
Address/Phone/Email s5s5 Duke Blvd. F O�VA�«NG C D ���pL1`V�llfi
(513)77�0-60562� NAT ON�L E��DING COp� H
mwesterfieldC�clopay.co�mE C�n'OFzEpHYRN�C COROlqN� ''
Authorized Signature Scott Hamilton VBE��Q�t�, � LLS p NANC�s
shamilton@clopay.cor�f - �.,��
�O���� t^, �'�-�.�
�� QA�c� ��''i�'�llL�r'
Technical Representative —" '�v�7 ��IA�� ..i 'y/,
Address/Phone/Email ��� ��� Cu
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Quality Assurance Representative
Address/Phone/Email
Category Exterior poors
Subcategory Sectional Exterior poor Assemblies
Compliance Method Certification Mark or Listing
Certification Agency Intertek Testing Services NA Inc.-ETL/Warnock Hersey
Validated By Gary Pfuehler
� Validation Checkiist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
ANSI/DASMA 108 2005
_ _. ANSI/DASMA 115 2005 'I
ASTM E1886 2002
ASTM E1996 2002
ASTM E330 2002 i
' I
Equivalence of Product Standards �
Certified By Fiorida Licensed Professional Engineer or Architect
' FL15279 R4 Equiv 20150319-FBC-DASMA 108 equiv.Ddf
FL15279 R4 Eauiv 20150319-FBC-DASMA 115 eauiv.odf
Product Approval Method Method 1 Option A
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� . Flarida Building Code Online - Page 2 of 7
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Date Submitted 03/19/2015
Date Validated 06/12/2015
Date Pending FBC Approval
Date Approved 06/21/2015
Summary of Products
Go to Page 7� � �1 � Page 7/8 i� �
FL# Model,Number or Name Description ,
15279.121 121 W6-18 PAN-2F443:G4S,GS4, Galiery/Artistry/Expressions: Steel Pan(min.24 ga.)16'4"
GD4S,GR4S,G4SV,GS4V,GD4SV, to 18'2"wide WINDCODEp W6 Garage Door
GR4SV,E4S,ED4S,E4SV,ED4SV,
SS4,AR4S,SS4V,AR45V
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R4 C CAC Letter with oroof of contract and oroof
Approved for use outside HVHZ:Yes of insoection.odf
Impact Resistant:Yes FL15279 R4 C CAC W6 Listinq Intertek,odf
Design Pressure:+37 PSF/-39 PSF Quality Assurance Contract Expiration Date
Other:Solid doors(no standard glazing)are impact- OS/21/2028
resistant(large missile impact). Installation Instructions �
FL15279 R4 II 103406-A-Rev06.odf
Verified By: Intertek Testing Services NA Inc.-
EfL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by IndependentThird Party:
- 15279.122 122 W6-18 PAN-2F443: G4S,GS4, Gallery/Artistry/Expressions: Steel Pan(min.24 ga.)16'4"
GD4S,GR4S,G4SV,GS4V,GD4SV, to 18'2"wide WINDCODEp W6 Garage Door
GR4SV,E4S,ED4S,E4SV,ED4SV,
SS4,AR4S,SS4V,AR4SV
Limits of Use Certification Agency Certificate -
Approved for use in HVHZ:No FL15279 R4 C CAC Letter with oroof of contract and oroof
Approved for use outside HVHZ:Yes of insoection.odf
Impact Resistant:No FL15279 R4 C CAC W6 Listina Intertek.odf
Design Pressure:+37 PSF/-39 PSF Quality Assurance Contract Expiration Date
Other:The standard glazing avallable for this product OS/21/20Z8
meets the wind load requirements of the building code but Installation Instructions
DOES NOT meet the impact resistant requirement for FL15279 R4 II 103406-B-Rev06.odf
windborne debris reglons. Verified By:Intertek Testing Services NA Inc.-
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.123 123 W4-09 DSIE-1F171:4300, 2"Double-skin Insulated EPS(exterior skin 27 ga.min.;
4301,4310,4400,4401,HDG, interior skin 27 ga.min.)Single-Car(up to 9'0"wide)
HDGL,HDGF,66,66G,67,67G, WINDCODEp W4 Garage Door
68,SP200,SF200,SE200,6200, �
6201,6203
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL15279 R4 C CAC Letter with oroof of contract and oroof
Approved for use outside HVHZ:Yes of insoection.odf
Impact Resistant:Yes FL15279 R4 C CAC W4 Llstinq Intertek.odf ,
Design Pressure:+28 PSF/-29 PSF Quality Assurance Contract Expiration Date
Other:Solid doors(no glazing)or doors with optlonal O5/21/2028 �
impact-resistant glazing are Impact-resistant(large missile Installation Instructions �
impact). FL15279 R4 II 101652-A-Revll.odf
Verified By: Intertek Testing Services NA Inc.- �
ETL/Warnock Hersey
Created by Independent Third Party: �
Evaluation Reports i
Created by Iridependent Third Party: '
I
15Z79.124 124 W4-16 DSIE-1F171:4300, 2"Double-skin Insulated EPS(exterior skin 27 ga.min.;
4301,4310,4400,4401,HDG, lnterior skin 27 ga.min.)Double-Car(9'2"to 16'0"wide) i
HDGL,HDGF,66,66G,67,67G, WINDCODEp W4 Garege Door
68,SP200,SF200,SE200,6200,
6201,6203 �
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL15279 R4 C CAC Letter with proof of contract and�roof
Approved for use outside HVHZ:Yes of insoection.odf
Impact Resistant:Yes FL15279 R4 C CAC W4 Listinq Intertek.�df
Design Pressure:+25.5 PSF/-25.5 PSF Quality Assurance Contract Expiration Date
Other:Solid doors(no glazing)or doors with optfonal OS/21/2028
tmpact-resistant glazing are impact-resistant(large missile Installation Instructions
impact). FL15279 R4 II 101481-A-Revl3.odf
Verified By: Intertek Testing Services NA Inc.-
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv3yVVKJZ 1 QR... 4/8/2016
� , Florida Building Code Online Page 3 of 7
;
ETL/Warnock Hersey
Created by IndependentThird Party:
Evaluation Reports
Created by Independent Third Party:
15279.125 125 W4-18 DSIE-1F171:4300, 2"Double-skin Insulated EPS(exterior skin 27 ga.min,;
4301,4310,4400,4401,HDG, interior skin 27 ga,min.) 16'2"to 18'0"wide WINDCODEO
HDGL,HDGF,66,66G,67,67G, W4 Garage Door
68,SP200,SF200,SE200,6200,
6201,6203 �
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL15279 R4 C CAC Letter with oroof of contract and oroof
Approved for use outside HVHZ:Yes of insoection,odf
Impact Resistant:Yes FL15279 R4 C CAC W4 Listina Intertek.vdf
Design Pressure:+25 PSF/-25 PSF Quality Assurance Contract Expiration Date
Other:Solid doors(no glazing)or doors with optional OS/21/2028
impact-resistant glazing are impact-resistant(large missile Installation Instructions
impact). FL15279 R4 II 101247-A-Revl9.odf '
Verified By:Intertek Testing Services NA Inc.-
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.126 126 W4-09 PAN-2F151: 73, 1500, Steel Pan(min.25 ga.)Single-Car(up to 9'0"wide)
75,190,84A,94,76,42,48,55, WINDCODEp W4 Garage Door
42B,48B,555,4RST,6RST,4RSF,
6RSF,2RST,GDSS,GDSSV,GR55,
GRSSV,ARSS,ARSSV,ED5S,
EDSSV
Limits of Use Certification Agency Certificate �
Approved for use in HVH2:No FL15279 R4 C CAC Letter with oroof of contract and proof
Approved for use outside HVHZ:Yes of insoection.odf
Impact Resistant:Yes FL15279 R4 C CAC W4 Listinq Intertek.odf
Design Pressure: +25 PSF/-32 PSF Quality Assurance Contract Expiration Date
Other:Solid doors(no glazing)or doors with optional 05/21/2028
impact-resistant glazing are impact-resistant(large missile Installation Instructions
impact). FL15279 R4 II 300159-A-Revl6.odf
Verified By: Intertek Testing Services NA Inc.-
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.127 127 W4-16 PAN-2F153: 73, 1500, Steel Pan(min.25 ga.)Double-Car(9'2"to 16'0"wide)
75,190,84A,94,42,48,55, WINDCODEp W4 Garage Door
4RST,6RST,4RSF,6RSF,GDSS,
GD5SV,GRSS,GR5SV,ARSS,
ARSSV,EDSS,EDSSV
Limits of Use Certification Agency Certificate ;
Approved for use in HVHZ:No FL15279 R4 C CAC Letter with oroof of contract and oroof
Approved for use outside HVHZ:Yes of insoection.odf
Impact Resistant:Yes FL15279 R4 C CAC W4 Listinq Intertek.odf
Design Pressure:+24 PSF/-24.5 PSF Quality Assurance Contract Expiration Date
Other:Solid doors(no glazing)or doors with optional O5/21/2028
impact-resistant glazing are impact-resistant(large missile Installation Instructions I
impact). FL15279 R4 II 101711-A-RevlS.odf
Verified By: Intertek Testing Services NA Inc.-
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party: �,
15279.128 128 W4-18 PAN-2F153:73, 1500, Steel Pan(min.25 ga.) 16'2"to 18'0"wide WINDCODEp I
75,190,84A,94,42,48,55,42B, W4 Garage Door �
48B,SSS,4RST,6RST,4RSF,
6RSF,GD55,GDSSV,GR5S, �
GR5SV,ARSS,ARSSV,EDSS,
ED55V
Limits of Use Certification Agency Certificate �
Approved for use in HVHZ:No FL15279 R4 C CAC Letter with oroof of contract and oroof
Approved for use outside HVHZ:Yes of insoection.odf
Impact Resistant:Yes FL15279 R4 C CAC W4 Listinq Intertek.pdf
Design Pressure:+25 PSF/-25 PSF Quality Assurance Contract Expiration Date
Other:Solid doors(no glazing)or doors with optional OS/21/2028
impact-resistant glazing are impact-resistant(large missile Installation Instructions
impact). FL15279 R4 II 101312-A-Rev14.�df
Verified By: IntertekTesting Services NA Inc.-
ETL/Warnock Hersey
. Created by Independent Third Party:
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