HomeMy WebLinkAbout17-18911 CITY OF ZEPHYRHILLS
• 5335-8TH STREET
(813)780-0020 18911
. BIJILDING PERMIT .
PERMI-T INFORMATION - �LOCATION IIVFORMATION
Permit Number: 18911 Address: 6943 OAKCREST WAY
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: OAKCREST
Est. dalue: Parcel Number: 02-26-21-0230-00000-0180
Improv. Cost: 2,460.10 OWNER INFORMATION
Date Issued: 10/10/2017 Name: SZATYARI JOHN & PATRICIA
Total Fees: 67.50 Address: 6943 OAKCREST WAY
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542-1695
Date Paid: 10/10/2017 Phone: (813)779-9910
Work Desc: REPLACE SLIDER S/S
CONTRACTOR S APPLICATION FEES
LOWE'S HOME CENTERS INC BUILDING FEE 67.50
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Ins ections Re uired
FO TER 2ND ROUGH PLUMB M SC 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.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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C NTRACTOR SIGNATURE PERMIT OFFI R �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
, CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW�COMMENTS
Contractor/Homeowner: L-`�(�{��Q ��;/ � ��1�!Q,�-
Date Received: g— ���7
site: � ��:� �G�I�('�7— l,f��-G1
/Z�- ��ce sl`��- ��
Permit Type: /
Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit'and/or plans.
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Kalvin ' er—Plans Examiner Date Contractor and/or Homeowner
; (Required when comments are present)
r Bulid�ng Department �
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Date Recelved � { _
' Phone.Contact[or Permittin� 2
Owner's Name T � 1 t S�"'��`y���1 � Qwne Phone Number '�l 3 ^ 7��^ �`� ta
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Owner's Address ���� �A���'�-Sf {rt�G}'� Owne Phone Number � ��
g � Owne�Phane Number
Fee BimpEe Tlttehaider Nam ��
Fee 83mple Ti#Eeholder Address 1 ��
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JOBAQDRESS �Gt�t3 ��k.�-R� ta3GY Zef'h�.rhi tIS �L 3355� �o�r# ���
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SUBDlVEStON �r4� C�.2_� ��7'}'�� PARCEL ID# @2,-��`r�la23E� -dtJG`74�'"���Q ��
{O�TAtNED FROM PROPERTY TAX NO'EICE) '
1MORK PROPOSED e NEW CONSTR 8 ADD/AL7 � Sl N � Q DEMOLISh�
INSTA�[. REPAIF?
PROPOSED USE Q SFR L] COMM [� O'HER �
TYPE QF CONSTRUCTION Q BLOCfC � FRAME � S1'EE� Q �— �
DESCRtPT10N flF WORK I ` jT �f�2_1 S j ��
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BUILDlNG SlZE �—� SQ FOtJTAGE H IEIGtiT ��
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BUI�DING $ ,����s VAf.UATlON OF TpTAL CQNS RUGTION
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DELECTRICAL ($ � AMP 5ERVICE � PROGRESS ENERGY Q VV.R.E.C.
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�PLUMBING � �
�]MECHANICAL $ VAL.UATION OF MECHANICAL NS7ALLA710N �� ` ��
. �
[�GAS t Q ROOFING [� SPECIALTY �� O HER
FtN1SHED FLOOR ELEVATIONS � —� , FLOOO ZONE AREA QYES NO
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$u��.Q�� ��� COMPNY - `�, o�e Ce�7,cR.s C.G��
SIGNATURE ���� n1��,s^•► REGISTERED � Y/ N ~ FEE CURRE� Y/N
Address !.(cense# ( C,,,Fr�. J'�`�3'�� (""'T I
ELEC7RICfAN COMPANY 4�
SfGNATURE REG�STERED Y/ N fEE CURRE� Y/N
Address � t�icense# � ��
PLUMBER i � COMPANY _�
SiGNATURE REGtSTERED Y/ N � FEE CURRE� Y J IV
Address �icense# � �_�
MECHANlCAL COMPANY _�
SIGNATl3RE _� REGisreREp ! N FEE CURRE� Y I N
Address � ' �icense# � ��
OTHER CONlPANY { _�
SIGNATURE REt31STEREO Y J N FEE CURRER Y I N
Adclress �Icense# � ��
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RESIbENTlAL Attach(2)Plot Plans;(2)sets of Buildtng Plans;i(1)set of Energy Porms,R O-VU Permit for new construeUon,
Minimum ten{10}war}cing days after submitta!date. Requlred onsi#e,Con tructton F'lans,Stormwater Plans w!SIlt Fenoe instatied,
__. � _Sanitarv Facillties&1 dumpster;.Site_Work I�ermittor_subdivi�lens/large pr�Jects__._ _ _J _
GOMMERCiAL Attach(3}compiete sets of Buftding Pians pius a Lffe 8afety Page;(1)set Qf Energy Forms.ft-O-W Permft fat nea+r constnictlon.�
Minimum ten(10}worktng days after submittal date. Required onsite,Cons�truction Plans,Stormwater Pians w!Siit Fence installed,
8anftary Facilitles&1 dumpster.Site Worli Permft for all new projects.All commercial requirements must meet compUana�
SIGN PERMIT Attact}{2)sets of Engineered Ptans.
•""*PROPERTY SURVEY required for ali NE1hl.constructlon.
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Directlons:
F(II out application completely.
Owner&Contractor sign back of application,notar(zed
!f over 52500,a Notice af Commencer»ent is requfred. {A!C upgrades over$7500} .
"' Agent(for the cantractor)or Power of Attomey(for the ownerj would be someone w(kh not arized letter from awner authorizing same
OVER THE COtINTER PERMI7TING {Fcant of Appllcatian Only}
Reroofs if shingles Sewers Service Upgrades A/C i Fences(PIoUSurvey/Faota�e)
Driveways-Not aver Counter if on publia roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The unders�igned understands that this permit may be subject to"deed" restrictions"
which may k�e more restrictive than County regulaltfons. The undersigned assumes responsibility for compliance with any
applicable d�eed restrictions. •
UNLICENSI°D CONTRACTORS AND CONT CTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors no undertake work, they may be requi ed to be licensed in accordance with state and local regulations. If the
contractor i�� not licensed as requlred by law, bo h the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contra tor are uncertain as to what licensing requiremerits may apply for the
intended work, they are advised to contact the P��sco County Build(ng Inspection Divfsion—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a cbntractor or contractors, he (s advised to have the contractor(s) sign i
portions of the "contractor Block" of this applicati n for which they will be responsible. If you, as the owner sign as the �
contractor, that may be an indicat(on that he is n t properly Ucensed and Is not entitled to permitting privileges in Pasco
County.
TRANSPOF;TATION IMPACTIUTILITIES IMPAC'I AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse R�bcovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existinc�buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also unde,�stands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transpor�atfon Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final po�nler release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior �o permit issuance. Furthermore, if Pasco County WaterlSewer Impact
fees are due�, they must be paid prior to permit iss ance in accordance with applicable Pasco County ordinances.
CONSTRU(;TION LIEN LAW(Chapter 713, Fior da Statutes� as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's
Protection C9uide" prepared by the Florida Depar�ment of Agriculture and Consumer Affairs. If the applicant is someone
other than tfie"owner", I certify that I have obtainE�d a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement. �
CONTRACVOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this appllcation is accurate and that all work
will be done in compliance with all applicable law�s regulating construction, zoning and land development. Application is
hereby macle to obtain a permit to do work ar�d installation as indicated. I certify that no work or installation has
commencedl prior to issuance of a permit and tf at all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning rec�ulations, and land development regulations in the jurisdiction. f aiso
certify that I understand that the regulations of ot er government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must ta�Ce to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, aocks, Navigable Waterways.
- Department of Health & Rehabilitati�e Servfces/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks. ' ,
- US Environmental Protection Agency Asbestos abatement. ,
- Federal Aviation Authority-Runways.
I understancl that tfie following restrictions apply tc 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 subm tted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in F ood Zone "A" in connection with a permitted building using stem wall -
construction, I certify that fill will be u:�ed 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 ar versely affect adJacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for Iots less than one (1)
acre which are elevated by fill, an enc ineered drainage plan is required.
If I am the�►GENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavii: prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, g s, or other fnstallations not specifically included in the application. A
permit issue:d shall be construed to be a license �o proceed with the work and not as authority to v(olate, cancel, alter, or
set aside ariy provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a rorrection of errors in plans, construct on or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is cor menced withfn six months of permit issuance, or if work authorized by
the permit i:c suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be req�uested, in writing, from the Building �fficial for a period not to exceed ninety (90) days and will demonstrate
justifiable c��use for the extension. If work cease for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO EC�RD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR,
PAYING TVUICE FOR IMPROVEMENTS TO YOt R PFZOi'ERTY. IF YOU INTEND TO OBTAIN FINANCING,_CONSULT _ -�
WITPi YOUIZ LENDER OR AN ATTORNEY BEFI RE FtECORDING YOUR NOTICE OF COMMENCEMEN7.
FLORIDA JURAT(F.S. 117. 3)
OWNER a A,GE T � CONTRACTOR ' =�
Subscribed a to(or affirmed)before me this Subscribed and bworn o(or afffrmed)before me this
by y
Who islare personally known to me or has/have produced Who ts/are personally known to me or has/have produced
as fdenUflcatfon, as identification.
Notary Publir Notary Public
Commission No. Commfssion No.
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Name of Notary typed,prfnted or stamped Name of Notary typed,printed or stamped
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- L4tt+lE'S OF ZEP�-iYi�HiLLS. Fl.,STU#?�#'f 854 S'1'4R�PF►C}(UE:{813)83S-9t}0� _-___-�
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�Dc�cument Pr�nt�7ate:Q9/12r�017 � �
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meni,including ihe specifica9ly cornpleteef pages of this dcscumenG the Terms and Canditions incic�ded vlifh this document,the applicable portic�n(s� of Lowe's receipt, and any �
other addenda or attachatents hereta,shall be referred to herein as this°Contract."
PLEASE READ THIS EPJTIRE DdCl3tulENT 1NCLUDING 1'HE"TERMS ANQ CC}NDITIflI+1S" $�FQFtE SIC,NING.
Lowe's r�egis,trafion or Cfln4ract�or i.icense�iumber/l.owe's Contrac�or�iame _
Flarida C�ntractar Lfcense Numb�r C�C1508417
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Customer Narne Home Phone �.
: � PA�RlGIA SZJ4TYARl 813 779-99t 0 v
. � Customer Address Clther Pt�ane I �
I �C7.Tiil'L��Lf!��1�Ylf K[ � �'
„ �- C ity State f Province Zp!Postal�ode �
� ZEPHYRHlL�S FL 33542 �
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Insta�iation Address z''�
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�- 6�43 O�tK�EtEST WAY �''�
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�EPciYRi�ILL'� FL 33542 �
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. MERCHAN�ISE AND II�S�A�LAT[ON SUMMARY �
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€�IERCHANDISE SUMMARY �
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� ��665f3: 14�DET2��_STtf: 7116•4-�DE PT PlCKET:7l16-4-5 DE PT F'lCKET:Gl�ti TUCKER LUMBEF?CL}MPAi�3ES L��-QTY 4 � o
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209620 : 073i8 :S�f'K :3J4-INX3-S/2-INX8-F7 PVG TRIM BRD:3f4-�hlX3-112-INX8-F7 PVC TRIA+1 BRD; EAST CQA�fi MI�I�WORK DISTRIBUTI -QTY 3
� 2�962� :(�2t�18 :S i K:8-F i Pt�i'vxkc�Y L�l�4 I�t�S-F�P�tivt�C�'Ltl�i iG� : C,�S� �t)�lS i�vii��i�.�t�t�€f t���i"�13u i l-4�`t'3
22703A : PELLA 350 SERI�S : SC?S:SOS PELLA 35Q PATIO BBG OR SBG : 2 PAh1EL1PATl0'�""THIS 3'RIC�RFFL�CTS A 2Q°l4 OFF PFi0141OTIC?F�fl!�
1 SpS PELLA�R�UttINDt��f'S&�ATld !�C}�R$-08130117 TC?��1201i7**'' : PEl�A 354 SERtES PATlQ DQ4RS-QTY 1
--i---- --- - - — --- ---- - - - - -- - - --- -- ---- -- ---- ----------- -- - - -._.
' � (�aterlals�rice �1736.5t
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Store 1854 Praject Na, 518956997#ar PATRICIA SZATYARI Page 1 of�
ST�RE CO PY' ;
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Stock or SOS:SOS Door Type: Patio Q.
Seiect Location : Back Door Select New Door: Slidin� -�
�� �ide�+gnts or�ransoms= ivo Ftidden Damage Descri�tion : None �
h;urnber ai addiiional holes bared for accessories : ivone Instail Specializerd�ortise Hardware: lVo I �
i otai �mear Feei oi�ustom i ri�n to b� Instaiieci:fl Deliver poor: Yes
Customer Understands Scope of the Project:Yes Permit Required : Yes
Wha Will Obtain Permit:Third Party Permit Fee :Yes
Add�tional Miles Traveled over 2fl : 0 Bring Up To Code DesGrip#iar�: Nflne
Local aisposal Fee:Yes Describe Other Work Needed : Frarne in per panel
Other Work Charge_Yes Comments : No Comment �
Lead Safe Practices: No Q
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Labar Charges $ 7�8.5 �
in
Detail Ded�ction -� 35.0 �
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,4dditional Specifications: W
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" Notation: Lowe`s wili not rnake structural modi�ications; pain�or stain ar removelreinstall security system equipmeni. Customer is responsible to advise if prop- OD
I Qill'J iS yVYV�I%V4 VY IJIJIVIIV VIJLIiyI OGy�JIQIIVI��. ] Q
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- -IAdciitionai Specifications: Federal law requires Lowe's to provide.y_ou with the._pamphlet_Renovafe Right: lc�pvdarrt Leaor_fafazar_r1_Informaiion-�or_Familes, °D
Chrrd Care Prvviders ar�d Schor�ts. �y si�rnn; t�?IS �4_►?�f�CGf� �tist�i,mgr a�knrJtnrlori�oc ha�fin� roroivarrl � �nry' n�f �F��S Y�m��:ga ��^civ^i2 'vtiO�n v2�,aFaii iiuvi�iii�i� I :�
Customer of the potential risk of the lead hazard exposure from��no�atian acti�ity to be performed in Customer's d�velling unit. v
PHOTO REL�ASE: Customer grants to Lowe's and Lawe's employees and independent contractors the right to take photograghs of the Prem+ses where En- �
stailation Services will be performed and all work perforrned at the Premises related to this Contract, and irrevocably grants to Lowe's all right, title, inte�est in �
and to the photographs for use in all marKets and media,worldw�de, in perpetuity. Custamer authorizes Lowe's ta copyright, use and publish the photographs in °`
print andlor electranicalEy, ancf agrees that Lawe's may use such pho#ographs for an; latn�ful purpose, incl�ding, hut r.ot !imited to, marketis;g,a�vert:sc�g, pu�li- , �
1 CIN,IkfllS�f&i60f1,tra+n�ng anc��Neb conte�t. �3y ini+,i?!+.!�g here, ��StOR:P:'agrees ta#„n fflt'eyo::ly^. [('.:1S�CiT�2C t^v li iltla^i i0 i�'i2 iciiJ- �I 4
i�OTICE TO CEISTOP�ER - PRICE CALCUL�TIfltVS: 1n order to properly perform the insfallation af certain �oads, the Contract Price may incfude mvre I N
Goods than actual�y will be installed based on the measufed s quare#oota ge af the Pro�ect Area.As a�esuit,the oarties agre�e tf�at t he l um p-s u m P r i c e s t a t e d i n �
this �ontract is caicula4ed upon bQtn �he va�ue ofi the esiima#ed Goods required tQ fu�fil� the Contract (inclucfing waste), which may exceed the actual square
faotage of the Project Area. aRd the labor which may be estimated based on ih� arrtount of Goods requi�ed to fulf[II the contract (Encl�dina �ast�l_ 3u sianin�
, � ihis Contract below, C�stflmer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not�be refunded I
once the Installatia� Services are p�r�armed.. � -
�1/�Tlf��, !1C DpITt�arin�l AnnC ru ��T �
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� I IIIS VVIFLIQLL N,uy,�C� ���d���,c,�a��r�s uy Lus�o�i,er ar�owe s w�ii be resoi�ed'oy Bii�Diivu Hrs�si i�t,�TiON. �usi�mer ancs Lo+r1e`s GiVE UP TH�RIGH7 TO GO I v
TO COURT t�enforce ihis Contraci(EXCEPT for matters that may be taken to�MALL CLAIMS COURT). L4Lue'$ant� C_i igEnmor'g r;�ht�l�,�ll ho�ietorr�-i�nnri hV �
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5tore 1854 Project No.5189�6997 fior PATRICEA SZAfYARI Page 2 of 7
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—P�IORE�-tFA1TfD'i"!�A-��IJLESA-P�CICABL-EIN-COURTAtGi ra or ec�saons are as en�ceable as any court order and are subject to YERY LIM«'E�? R�- ,
VI EW BY A��U�T. FflR MORE DETAILS: Review the section titled ARBITRATION AGREEMENT, WAIVER OF JEJRY TRIAL AND WAIVER OF�LASS AC- �
TION ADJUDICATION found in the Terms and Conditions of this Contract.
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E V�RL �;i-iAtitat� V� ALL NE�1=�(::I-IAIVl315t AIV�J S�RVIC�� -wFiereapplicable
SUB-TOTAL �24$0.01
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DELiVERY $ OA
ORDER T07'i�L S 24fi0A1 �.
BALANCE DUE o
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Work is to corni�nence�Qor±reas�n2b!e availablit�of Cor.tract�r:�1t�ich is antic�pat�d to be �� ' ^ [fi��i��datej. i �o
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_ Estimated cornpletion date is � (fill in dateJ_ �
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. �EOTICE TO CUSTOMER W
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All items listed in t�is contract and specification sheet(s1, 2re?o he�nst2�!e� �!n�e►�enc�6t:�^s agree� upe.^, at:::re e! N��hase a��d at th2 NiiC2 aNN28i iiig o
on this contract form.This assumes sQur�d existing substruct�res, superstructure and points of attachrnents. Extra labor ar mate�tal incident to ins!allaiion �
necessitated by def�ctive substructures, supsrstructure, paints of attachment, ar the moving flf fixtures flr appliances to be billed at extra cost to�ustom- O0
e�. �JQ f�!OT SICN TH1S GOf�TgACT iJ"aT�L COlVI�L�TE AND Yfll! yAV� REA'J TuE�cr��AS Aitiv vv�L'rITIC}i��C'ir TE-IaS CC7i�!�t-�.Fii.�. �3-1'��+ri�l:�'� '''
�ELOW,YpU ARE ACKNOWLEDGING THAT YOU HAV� READ, UNDERSTAND AND AGREE TO THE TERMS AND C�NDITIONS SET F�RTFi ON Y
THIS CONTRACT.YOU ARE ENTITLED TO A COPY OF THIS CONTRAC7 AT THE TIME�F SIGNATURE. °o
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NOTICE TO OWNE�:-ACCORDING TO FLaRIDA'S CONSTf�UCTIOI� Ll�t� Ll�W (SEC�lONS 7�3.001- 7�3.37, FL�RO�A �
STATUTES}, THOSE UYHQ WflRK �N YOUR PRaPERTY OF� PROV�DE MATERIALS AND SERVICES AND ARE NOT b
a�3n �1 �na � i i L.i tV iP�i.9T �1�i PS�io� � P�1 A n V� �r ■�� T • ���r� t.e� w.� .�..r ^�
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KNOWN AS A CONSTRUC�ION LIE(V. IF YOI�R CONTRACTOR OR A SUBC4NTRACTOF� FAILS T� PAY SllBCC)M- ti
TRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLiERS, THOSE PEaPLE WHO ARE O1tVED MONEY (U1AY
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YOU FAIL T4 PAY YOUR C�NTRACTOR, YaUR ��NTRACTOR �l1AY ALSO HA�IE A LIEN �N Y�UR PRO�ERTY. �'F�1�
�'iIfEANS IF A LIEN IS FILED YOUR PRQPERTY C�U�.D BE S�LD AGA��IST Y�IIR WILL TO PAY FOR LABOR, NJATERI-
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tIJITNESS OUR HAND(S)AND SEAL(S}BELOW THIS 1�,� DAY OF ��. �
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Daor�etail Specifications Holley�ev Corp#54584 �
.i Please provide drawing from onsite using s�ving lnfo on right �
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, Page 1 of 2 I
Product Ap�roval Menu>Product or Application Search>Application List>Application Detail
FL# FL 14010-R3
Application Type Affirmation
Code Version 2014
Application Status Approved
Comments
Archived ,;.,
Product Manufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella,IA 50219
(641)621-6096
pellaproductapproval@pella.com
Authorized Signature Joe Hayden Sandi Robinson
pellaproductapproval@pel la.com
Technical Representative Joseph Hayden R��/��� ��,"�� ! �rT �J
Address/Phone/Emai1 102 Main Street -�/ �y �y,���r`�� '
Pella,IA 50219 �', 9 ���`������e����
(641)621-6096 ��������.� /�f
jahayden@pella.com • ��-�:�<_
Qualiry Assurance Representative Andrew Nelson
Address/Phone/Email 102 Main St
Pella,IA 50219
(641)621-3804
nelsona@pella.com
Category Exterior poors ALL W�?R6�_�a��l���������'�'�����`��°���
Subcategory g Exterior poor Assemblie SC.'��������RI���u`��'�������f ,-
Slidin IV�T��������i��0��Q���
AND TH�CI`rl'�9F Z�PH1fRHl�.I��
Compliance Method Certification Mark or Listing ��������E�
Certification Agency Window and Door Manufacturers Association
Validated By Terrence E.Lunn,PE
:.w Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA (O1/I.S.2/A440-OS 2008
Equivalence of Product Standards
Certified By
J I affirm that there are no changes in the new Florida Building Code which affect my
product(s)and my product(s)are in compliance with the new Florida Building Code.
Documentation from approved Evaluation or Validation Entity ;,;yes �_No C>N/A
Product Approval Method Method 1 Option A
Date Submitted O1/29/2015
, Date Validated O1/29/2015
Date Pending FBC Approval
Date Approved 02/OZ/2015
I http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtGLR%2byCB... 8/10/2017
l
, Page 2 of 2
Summary of Products
FL# Modcl,Number or Name Dcscription
14010.1 350 SERIES VINYL SLIDING DOOR-OXXO(146"X 100")
Limits of Use Certification Agency Certificate
Approved for usc in HVHZ:No FL14010 R3 C CAC 411-H-1120.37.ndf
Approved for usc outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 06/16/2018
, Design Pressure:+50/-50 Installation Instructions
Other:Configurations of glass conform to latest version of ASTM FL14010 R3 II 1712.ndf
E1300,and shall be safety glazed wliere required by FBC 2406. Verified By•Warren W.Schaefer,P.E.44135
Created by Independent Third Party•Yes
� Evaluation Reports
FL14010 R3 AE 1712.pdf
Created by Independent Third Party:Yes
14010.2 350 SERIES VINYL SLID[NG DOOR-OXO(146"X 100")
Limits of Usc Certification Agency Certificate
Approved for usc in HVHZ:No FL14010 R3 C CAC 411-H-(120.00.adf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 04/09/2018
Design Pressurc:+50/-50 Installation Instructions
Other:Configurations ofglass conform to latest version ofASTM FL14010 R3 II 1712.pdf
E1300,and shall be safety glazed where required by FBC 2406. Verified By:Warren W.Schaefer,P.E.44135
Created by Independent Third Party•Yes
Evaluation Reports
FL14010 R3 AE 1712.ndf
� Created by Independent Third Party:Yes
14010.3 350 SERIES VINYL SLIDING DOOR-OX/XO(95.5"X 100"
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL14010 R3 C CAC 411-H-1120.00 with WDMA Letter•pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Rcsistant:No 04/09/2018
Design Pressure:+50/-50 InstaUation Instructions
Other:Configurations of glass conform to latest version of ASTM FL14010 R3 II 1712.Qdf
E1300,and shall be safety glazed where required by FBC 2406. Verified By•Warren W.Schaefer,P.E.44135
Created by Independen[Third Party•Yes
Evaluation Reports
FL14010 R3 AE 1712.pdf
Created by Independent Third Party•Yes
14010.4 350 SERIES VINYL SL[DING DOOR-O(48"X 100")
Limits of Use Certification Agency Ccrtificate
Approved for use in HVHZ:No FL14010 R3 C CAC 411-H-1120.Q0 with WDMA Letter.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 04/09/2018
Design Pressure:+50/-50 Installation Instructions I
Other:Configurations of glass conform to latest version of ASTM FL14010 R3 II 1712.ndf �
E 1300,and shall be safery glazed where required by FBC 2406. Verified By•Warren W Schaefer,P.E.44135
Created by Independent Third Party:Yes
Evaluation Reports
FL14010 R3 AE_1712.pdf
Created by Independent Third Party�Yes
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtGLR%2byCB... 8/10/2017
ow,w,vm er: u¢am ar:
GENERAL NOTES: 746' MAX. FRAME WIDTH 48" MAX. FRAME WIDTH ""` ••s
1, A11 FISTENERS SNnLI BE IN ACCORDANCE WrtH THESE D.4Aw�NCS. RDT` °"E
SPECIFlED M1CH�R EUBEO TO 8f5E bfAlERIAI.5l1AlL BE BEYOND WALL 3,• 3e ,-x. o�/x/�o
FlNISH OR STlICCO.
2 OPENINCS,BIICKING k BUCKING FASTENERS MUST eE PROPERLY EQUAL EQUAL EQUAL EQUAL k' g
DESIGNED k INSTALLED TO TRANSFER WIND LOADS TO 1HE SfRl1CTURE 6" MAX. SPACING SPACING SPACING 6� M�' SPACING 6 �• a =
3. THESE NON-161PACT RATED DOOR STSiEM IN5fALlATIONS ARE IN '
ACCOROANCE WRH ANU NEEf TME REQUIRF�AQJiS OF THE FLORIDA SIMIUR SiuitAR SMitAR
BUILDING CODE(FBC). A A A A � �
4, ALL ANCHORS SECURWG DOOR FRAME TO PRESSURE TREATED 3 3 3 � 3 �
BUCKS�OR WOOD FRAMING SHALL BE GIPABLE OF RESISiING
CORROSION CAl15ED BY TME PRESSURE TREA7ING CHEMIGLS IN THE
w000. 6" M!il(. 6" MAX. � �
5, MATERNiS,INCLUDING Btf�N0T UMIiED TO STEEL SCRENS,1HAT T
COME INTO COMACT WITH OTHER DISSIMILAR 6UITERWS SHALL MEEf � j j I pppp5�f[ � o �
THE RE�UIRENENTS OF FLORIDA BUIL�ING CODE CHFPTER 2�. �
6. TO 7NE BESi OF OUR KNOWLEDGE,THE DOORS SHOWN MEREIN B 8 �
ARE CERTIFlED&OUAUtt ASSURm BY A FLORIOA SfATE APPROVED 3 � 3 � � �a
CEHIIFlCAl10N/OA EN117Y k SHALL BE lABELE�IN ACCORQ4NCE WRH 0 X O O p P�
THE fBC AND 7HE 9N-3 FIOftIDA BUIL�ING COMNISSION
SPECIFICATIONS. OOOR ASSEMBLY IS N0T PART OF THIS ORAWINC AND _
SHALL BE IN ACCOROANCE WITH iHE MANl1fAC1UREfi�S OUALfIY ~— oPPOSIiE
ASSURANCE SPECIFlCAilONS&T6T1NG REPORTS. = B B FRAME SCREWS WHERE <
7. CERi1FlCATiON OF THESE DOOR INSTALIATIONS SHALL BE W 3 0 3 p
CONSIDEREO VDIO IF ANY OF THE FOLLOWING APPLY:1)THEY ARE = SHOWN. SEE "FRAME �
INSTALIED WRHOUi A BUILDING PERUIT fROM 7HE APPUGVBLE LOCAL ---r- ANCHOR REQUIREMENTS � �
BUIIDINC DEPARTMEM. 2)IF THEY ARE INSTALLED BY ANYONE OTHER � �
7HNJ A LICENSED CONTftACTOR EXPERIENCED WIiH OOOR TABI.E' ON THIS SHEET �
WSTALV1110NS 3)IF CHANGES HAVE OCCURRm TO THE PRODUCYS � �8� M�• 18� MAX.
CERTIFlCATIDN EM1IY5 CEAiIFlCATE THAT CAUSE THESE INSTALLATIONS
O.C. FOR REOUIREMENTS. O� � � w�
TO BE INCORAECT OR WCONSISTEM WfiH WHAT WS BEEN iES7E0. ~ W�O
8. THE LElST DESIGN PRESSURE SPECIFlm EffHER IN THIS DRAWINC � � � � � �N�
OR IN THE PROOUCTS CERTiFlCAT10N SFiALL COMROL FOR THE � � ��^
wsraueo 000R. FRAME SCRE4VS AT z � Z¢�
9.THFSE DRAWINGS CERTIfY THE DOOR INSTALLATIDN ONLY. WA7ER o FRAME SCREWS WHERE PANEL MID-SPANS ARE � � ¢ �
PROOFlNG OF 7HE INSTALLED DOORS IS N0T PART OF THIS
INSTALLA710N CERTIFlCA710N. T�T RESPONSIBIUN SHALL BE TNAT OF SHOWN. SEE "FRAME NOT REQUIRED WHEN v� s �g!
THE MFNI1fACNRER&/OR INSTALLER ANCHOR REQUIREMENTS THE FRAME WIDTH IS � W oa'�°
TABLE" ON THIS SHEE7 36" OR LESS (iYP. a a �
FOR REQUIREMENTS. HEAD & SILL). �
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6" MAX. 6" MAX. Z �
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FRAME SCREWS AT PANEL EXTERIOR ELEVATION: EXTERIOR ELEVATION: ? Z
MID-SPANS ARE NOT REOUIRED "OXO�� DOOR SEf SILL IN A BED OF ��0�� DOOR ? ¢ m
WHEN THE FR4ME WIDTH IS SEALANT PER SECTIDN � W
710" OR LESS (TfP HEAD & SCALE: 1/2° = 1'-0" A/3 & 8/3 SCALE: 1/2" = t'-0" w� Z� na
a c�a���
SILL). � wc���
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ALLOWABLE DESIGN PRESSURE $ �Z�=W
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(ALL CONDITIONS) "� �N��j°�
FRAME ANCHOR REQUIREMENTS TABLE + -50 PSF ��ti��"°��'+�e�� — "� `
FRAME SCREWS � 'd��P 'k��3j°`< 83
ALiERNATE ANGHOR.SUB�AlE EVpLUATION NOTE: �P��,.••° .,��Y/��� w
OPENING TYPE MINIMUM MINIMUM ALL ALTERNATE ANCHORS IN THEIR SPECIFlED ��,' w•• �
(z)FRAME TO OPENING FASTENER 7YPE EMBED EDGE DIST. SUBSTRATES HAVE BEEN ANALYZED IN ACCOROANCE -V t`�' � •Y- �� � �
($UBSTRATE) WITH THEIR APPLICABLE STANDARD(5) AND ARE FOUND :�;� �,�q uoi�3 Q _ '�" 4^
MIN. 2X6 WOOD FRAME OR BUCK N 0. 1 Q S M S O R W O O D S C R E W 1 1/4" 3/4" T O B E E Q U I V A L E M T O O R S T R O N G E R T H A N T H E ��:c� O F o:� � b` �o
(MIN. GR. 3 & G=0.55) ANCHOR(S) USED IN TESTING WITH THIS PRODUCT. 12� .�
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MIN. 18 GA. 33 KSI METAL STUD N0. 10 GR. 5 SELF TAP/DRILL SCREW FULL 1/2" ''•J�6•'•Z • �GJ` w �d �a
MIN. 1/8" THK A36 STEEL N0. 10 GR. 5 SELF TAP/DRILL SCRE'N FULL �/Z INSTALLA110N EVALUATION IS BfSm ON APPLICAOLE ANCHOR STMIDARDS AND/OR ':�bjf'�'���()Fti�> " � � '�
MIN. i/8"THK 6063-TS ALUM. N0. 10 GR. 5 SELF TAP/DRILL SCREW FULL 7�2�� INFORIMTION&RESI1L75 FROM APPIJCABLE TEST REPOR75. iHE RORIOA BUILDING `�
CODE VERSION CONSIDERm N7R1 THE EVALUA710N W!5 TF1hT IN FORCE AT THE TINE 3
MIN. C-90 C+AU OR 2500 PSI CONCRETE �'� t/4" CONCRETE SCREW 1 1�4� z" OF THE EVALUATION. IN THE EVENi OF CODE VEfi510N CWdJCES/UPDAlES OR IN
iHE EYENT TFIFT NEW OR ADDRIONAI-TEST�NC I$Lb41P�EfEP ON THE REFFRENCED TMESE DRAWINGS ARE PPPUGBLE ONLY TO THE PRO�UCT DRNWING NO. ftEV.
(1)CONCRETE SCREWS SHALL BE ELCO ULTRACONS (C.S.), ELCO CRETE-FLEX (5.5.), INJ PRODUCT,PRIOR TO STATINC COOE CONPLIANCE WRN THE STATE,THE bIPNUFACTURFJi a�m.n�er unr Nor ee osm roe n,e isscueir �71 2 A
RAMSET/RED HFAD TAPCONS (C.S. OR S.S.) OR HILTI KWIK-CON II �C.S OR S.S.�. SHALL CONFlRM WITH THE INSTALLhTION EVALUATION ENGINEER OF RECORD 7HAT THE IWD/Ofl WSfNUTION OF PNY O1HER PROWCT NON lUY
INSTAl1Al10NS SPECIFlED HERE-M ARE CURRENr WITF1 7HE 7HEN CURREM TESTING. n+[�'BE usm fnR aanowLL pND/OP�cu nPPaovu 5HEE7 N0.
, (2)ALL FRAME SCREWS SHALL BE EITHER PAN HEAD OR HEX HEAD SCREWS. cooe ar�o naauenetF srnr�outos. or aur rRoouer Nor rRooucco er n�e u,wuvorrurs�n � oF 3
sra on n+�ornwiNcs
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96' MAX. FRAME WIDTH 146" MAX. FRAME WIDTH
3" 3" 3" 3" �
6" MAX. EQUAL EQUAL 6" MAX. 6" MN(. EOUAL EQUAL EQUAL EQUAL 6., �
SPACING SPACING SPACING SPACING SPACING SPACING �
SiuuM 51unM SIMUAR �
p A A A A A �
3 3 � 3 3 3 3 � o
6" MAX. T6� MA%- �
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FRAME SCREWS AT PANEL EXTERIOR ELEVATION: EXTERIOR ELEVAl10N: a ����;
WHEN THE FRAME WDTHQSIR72" �OX" DOOR SEALANT PER SECTIONF ��OX-XO" DOOR � w J��$ I
SCALE. 1/2" = 1'-0' SCALE: 1/2" = 1'-0' y w� �'°
OR LESS (lYP HEAD & SIIL). A/3 & B/3
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SUBSTRATE BY OTHERS PER "FRAME FRAME SCREW SEAL SPACE WITH LOW �
ANCHOR REQUIREMENTS TABLE' pER ELEVATION . EXPANSION FOAM AROUND
• - •. � }, o PERIMETER OF DOOR FRAME o
FRAME SCREW �
, 1/4" MAX. SH�M PER ELEVATION �
" �AT FJ+CH ANCHOR �
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OTHERS QolJ��J�� o FRAME ANCHOR �Q �,
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B � oNv�i�
SEALANT BY SCALE: t/2 FULL 3 z � Z¢�
EXTERIOR D �` ` O1HERS � � ¢ �
� �g!
� FRAME SCREW PER ELEVATION � � oa�
� & "FRAME ANCHOR a �
= REQUIREMENTS TABLE" a a
CONTINUOUS WOOD MEMBER LESS IN THICKNESS �
''' THAN A 2X_ BUCK TO BE MIN. 5 1/2° DEEP SUBSTRATE BY OTHERS Z � �
� (NOT REQUIRED WHEN SHIM SPACE IS WI7HIN PER "fRAME ANCHOR o W
�- ALLOWABLE DIMENSIONS SHOWN IN SECTIONS). REQUIREMENTS TABLE" J �
� l �, } , � �
rn
INSTALLATION NOTE: WHILE NOT � Z�
SHOWN, THE DOOR FRAME ! J , Z �fO m
EXTRUSIONS CAN BE SUPP�IED SEALANT BY n � � W� �
WITH A FLANGE OR NAIL FIN OTHERS Q�J�o�J�O �[] � Z,.,o v
BONDED WASHER OR NPICALLY USED TO SEAL THE � � O Q N Wd���i
SEALANT REQUIRED AT FRAME PERIMETER TO THE OUTER o d w d��<
EACH SILL FASTENER EDGE OF THE BUCK. USE OF � � � W ��8��
LOCATION. g � THE FLANGE OR NAIL FIN IS � � m z€� �
� � Q ACCEPTABLE PROVIDING THE o ��_�z
Q Q ANCHOR CONDITIONS SHOWN ARE � ��
(�� UNCHANGED, c,� 3v���
SEALANT BY d��L_J�� �� _
i
OTHERS � �3'�
�.... .: •;.. ' :, ' .';•:: r� `�AO�;s;ti�6Pj�` w
�FRAME/SILL SHIM OR ROUT EXTERIOR D ,``�4 e ti:'p'��yy ij p
SUBSTRATE BY,�SETSSILL•IN A.'• •. • SCREW PER ` � '•��'� � �a
OTHERS PER CONTINUOUS BED OF ELEVATION •• �
: �'�:'•if1 ♦u.�o tk� t �<
"FRAME ANCHOR SEALANT -�:�u M 0 G�} �z
REQUIREMENTS 'V:� `- e.t .rt o 3w
TABLE'. '�;w �'� �¢o;',�
SECTION A OPTIONAL DIRECT MOUNT DEfAIL '{'� ci n�:��
. SCALE: 1/2 FULL 3 '�2.�y.,=.z ..,��,`'` 3
TO SUBSTRATE WITH SPACER �,:° '° Q a owawwc r+o. REv.
(HFAD SECTION SHOWN; SILL & SIDES ARE INSTALLED THE SAME) �M•e���'-� �7�Z A
(FOR DETAIL NOT SHOWN, SEE OTHER SECTIONS) '
SHEEf ND.
3 oF 3