HomeMy WebLinkAbout18-19279 CITY pF ZEPHYRHILLS II
- 5335-8YH STREET-
-� �sis��so-oo2a-,�.,y 19279
BUILDING PERMIT SINGLE FI�I�IILY RESIDENTIAL
' PERMIT INFORMATION � LOCATION INFORMATION
' Permit#:19279 Issued: 2/07/2018 Address: 37624 GILL AVE LOT 267
Permit Type: ALUMINUM - ZEPHYRHILLS, FL.
Class of Work: ALUMINUM PACKAGE Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 33,000.00 Total Fees: 352.50 Subdivision: GRAND HORIZONS
Amount Paid: 352.50 Date Paid: 3/20/2018 Parcel Number: 34-25-21-0170-00000-2670
CONTRACTOR INFORMATION • OWNER INFORMATION
Name: ALL FLORIDA MANUFACTURED HOME SE Name: SILVA, BRIAN K SR & BARLOW, DORI
Addr: 36814 TERESA RD Address: 3145 HIDDEN LAKE DR
DADE CITY, FL. 33523-6537 ZEPHYRHILLS FL 33543-5269
Phone: (813)714-9364 Lic: Phone: (508)837-9337
Work Desc: SHED & SCRN RM 14 X 56 & CONCRETE
APPLICATION FEES
BUILDING FEE 307.50 ELECTRICAL FEE 45.00
�
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Ins ection , e uired
FOOTER FINAL
SLAB SHEATHING
RAISED SLAB
DRIVEWAY
FRAME
ELECTRICAL ROUGH
1ST ROUGH PLUMB
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.REINSPECTION FEES:
NOTICE: In addition to the requirements of this permit, there may be 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 and 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.
CO RACTORS SIGNATURE PERMIT OFFI
' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8TH STREET
t (sis)�so-oo20 19279
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION - LOCATION INFORMATION
Permit#:19279 Issued: 2/07/2018 Address: 37624 GILL AVE LOT 267
Permit Type: ALUMINUM ZEPHYRHILLS, FL.
Class of Work: �ALUMINUM PACKAGE Township: Range: I
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: I
Sq. Feet: Est. Value: Book: /Page: '
Cost: 33,000.00 Total Fees: 307.50 Subdivision: RAND HORIZONS
Amount Paid: 307.50 Date Paid: 2/07/2018 Parcel Number 34-25-21-0170-00000-2670
CONTRACTOR INFORMATION O NER INFORMATION '
Name: ALL FLORIDA MANUFACTURED NOME SE Name:�ILVA, BRIAN K SR & BARLOW, DORI
Addr: 36814 TERESA RD Address• 3145 HIDDEN LAKE DR
DADE CITY, FL. 33523-6537 � ZEPHYRHILLS FL 33543-5269
Phone: (813)714-9364 Lic: Ph ne: (508)837-9337
Work Desc: SHED & SCRN RM 14 X 56 & CONCRETE
APPLICATION EES
B ILDING FEE 307.50
' (1 �,�,��C�
�.2�U�' '
�
� �
1
/Ins ections Re uired
FOOTER FINAL
SLAB SHEATHING %
RAISED SLAB �
DRIVEWAY �
FRAME /%
ELECTRICAL ROUGH
1ST ROUGH PLUMB ��
/
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.REINSPECTION FEES:
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public reco�ds of this county, and there may be additional permits required from other governmental
entiti s such as water management, state agencies or federal agencies.
"Warning to owner: Your�faiyre 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 and 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.
CON CTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7$0-0020 Gity of Zephyrhills Permit App�ication Fax-813-780-0021
Building Department
Date Recefved ' 1 � Phone Contact far Permittin 1 c�`1 -
Owner's Name (�i v�.n ,� l thvner Phone Number �� p p `�! 3�
Ownec's Address �� W'1 "11 1� Owner Phrtne Number � �
Fee Simple Tiqeholder Name �— � Owner�hone Number r— �
Fee Simpie Tiilehoider Address
SO$Al3DRESS J � t��� i �� GQT# Q�Q�
SUBDIVISION "��� �"(��,�,'ARCEL ID# 3y -a -a � ' � �''����v�� �W�"'
{OS'fyNED FROM PR6PERTY TAX NOTSCE}
WORK PROPOSED e NEVJ CONSTR� ADD/ALT Q SIGN [� Q DEMOLISH
INSTALL REPAIR
PR4PQSED USE [� SFR Q C4MM �� OTN�R
TYPE OF CONSIRUCTION Q BLOCK Q FRAME � STEEL �
DESCRtPTtQN OF WOR#C ' Lt j �-�.�Y!�,C�1�,�.1� _
BUILDING SIZE I��S� SQ FOOTAGE � v� � • ,
HEIGHT �{,
QBUILDING $ �� �y.���� VAI.UATION OF TOTAL CONSTRLICTION
�«L�
�ELECTRICAI. $ AMF SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUM6tNG ��
QMBCHANICAI. $ VA4UATION OF MECHANICAL INSTALLATION �/�Z��
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVA710NS FLOOD ZONP AREA QYES NO
�
BUIGAER � `� CONtPANY 1�� ��� �
SIGNATURE / ��"� REGISTERED Y I N FEE CURREN Y I N
Address I.Ecense�C`ii���Z C]ti3 �
....�, ...... -- �"'`� - - -p�
ELECTRICIAN � COMPANY ��� t,,,,b �N _ �.�"��
SiGNA7URE REC,ISTEftED N fEE CURREN Y 1 N � �
.. .'::" .... ...... _
Address License#�' �
PLUMBER � � COMPANY �— �
SIGNATURE � REGISTERED Y/ N FEE CURREN Y/N
Address Lioense#t �— �
MECHANICAI. � COMPANY �
S1CaNATURE REGiSTERED Y 1 N! FEE CURREN Y 1 IS
Address License# � �
OTHER � � COMPANY �
i SIGNATURE REGISTERED Y 1 N FEE CURREN Y/N
Address �icense# � �
� IIIIIIIiI1111111111111t11111I111111111111111I111111111111111111i111
RE31pENTIA4 Attach(2)Plot Plans;(2)sets oi Building Plans;(�)set of Energy Forms;R-O•W Pemtit for new construction,
Minimum ten('!0}working days after submitia)date. F2equired onsife,Gonsiructian Ptarrs,Stotmwater Ptarrs wl Sitt Fence installed,
Sanitary Facil'�ties&1 dumpster,Site Work Permit fo�subdivision5liarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Paga;(1)set of Energy Forms.R-O-W Permit for new canstruction.
Minimum ten(10)working days after submittal date. Required onsite.Construction Plans,Stormwater Ptans w!Silt Eenca installed,
Sanitary Facilities&1 dtampster.Sike Work Permit fa�aIt new projects.Alt cammerciat requirements must meet compliance
SIGN PERMI7 Attach(2)sets of Engineered Plans.
••"pROPERTY SURVEY required for all NEW construction.
. ._: . . . . . . . . . . . . ... . . . . . . . . . . . ... . . . . . . . . . .
. . . . . . . . .
Dlrectlflns:
� Fill oul application completely.
Owner 8 Contractor sign back of application,notarized
tf over$2500,a Notice of Cammencement is required. (AtC upgrades aver 5750d)
" Agent(for the contractor)or Power of Attomey(for the owner)would be somepne with notarized letter from owner authorizing same
OVER THE COUNTER PERMfTTING (copy of cantrect required)
Reroofs if shingEes Sewers Service�pgrades AtC Fences{P[oUSurveytFootage}
Driveways-Not ov�r Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed"restrictions"
which may b�more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
appdicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: ff the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building lnspection Division�icensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupanc�'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 Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is�2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner�prior to commencement
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicabie laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be 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 govemment 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 Proiection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District Welis, Cypress Bayheads, Wetiand Areas, Attering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watenvays.
- Department of Health 8� Rehabilitative Services/Environmental Heatth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency Asbestos abatement
- Federal Aviation Authority-Runways.
I understand that the following restrictions appiy to the use of fill:
- Use of fili is not aliowed 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 professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A° in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the 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 ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPRO EMENTS T UR PROPERTY. IF YOU INTEND TO TAIN FINANCING,CONSULT
WITH YOUR LENDER O ATTO Y BEFORE RECORDING YOUR NOTIC F COMMENCEMENT�
FLORIDA JURAT(F.5.117.0
OWNER OR AGENT CONTRACTOR �
S b r' d swo (or affirmed before m hi , ,/� Sp � s n affirmed before e '
� 1`/r L
Who is/are rso Ity kn wn t �n or has/have prod o islare o ally own me or aslhave produce
as identification. as identification.
otary Public Notary Public
Commission Commission No,
Name of � la � Name of Nolary typed,printed or stam d,�,�,�*
.,'� 4 L JENE BIACK ,,,,a,'•,, 4 JENE BLACK
'•' � MY COMMlSSION#Ff 243095 ;��'; MY COMMfSS10N#fF 243095
�•• EXPIRES:October 20,2019 EXPIRES:October 20,2019
��„� • ` Bonded Thru Notary PubNC Unde�writers �,'• -
�9f�����' Bonded Thro Natary PubFc Urtdeivrtfters
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City of Zephyrhills
BUILDING PLAN IZEVIEW CONIli�NTS
Contractor/Homeowner: �/�� �S
I�ate Received: �.� ��`�
Site: _ � c3 7�ZS� ����/�
Permit Type: c���t' �C���~ ��-� ��
�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
�
i
� Chis comment sheet shall be kept with the permit and/or plans.
�
/ 2 � "�
salvin Swi r—Plans Examiner Date Contractor and/or Homeowner
(I�equired when comments are present)
,.,
Data�Current as Cif:; Weekty Archive - Saturday, 3anuary 6, 2018
Parcel ID ; �34-25-21-0170-00000-2670 (Card: Q01 of p01)
Ciassification; ; , 00 -Vacant Residential '
Mailing Add�ess Property Value
, SILVA BRIAN K SR& , Ag Land $0
DORiS BARLC}ViW L.and $26,423
� � ;
31.45 NI��EN LAKE �R Buiiding $0
ZEPNYRNI�.I.S F�33543-5269 Extra Features $0
Physicat Addi�ess ,
37624 GILL AVENUE
ZEPHYRHILLS, FL 33541 aust Value $26,423
'; , Assessed (Non-School Amendment 1} $26,423
leaaf Descrt;ption (First a tines)
See Piat for th�s Subdivision Taxabie Value $26,423
�.�� �
GRAND HORIZONS - P,NA�E THREE
PB 53 PG 12E3 '
�QT 267`
4k2�626 PG 0;548 '
]urisdictiori '
Citv of Zephyrtif Us .
;, ; La�nd Detaii (Card: 001 af 001)
_...- -,_---.___ _.,__.__..__..._.__--„-..- - _,._____,___.___�____.----- •- .---- ----- -
� -r---.----- T-- -____�_-- ------- -- �- -- --_
Line Use ;Descr�gtion Zoningy Units � Type Price Conditian Valcee
---_.�___..i 0200 `�'NlBL HM SUB; OOMI ; 6,OQq.OQ � -- SF ��^ $4.40 ---_;_-_-�.QO--___,.._�26,400_
� ____--- - -� --
--�___,....._.,....___.—��._.__�__._. . : �
� , , ____.--- --,_ --- - - --- - ----- -�. _ ._-----
2 ' 0200 �,MBL HM SUB x qQMl � 42.00 5F $Q.55 1.40 $23
�''' ! Additional Land Information
Acres � 0.14 ;Ta'x'Area � 3pZN 1 �EMA _^ _ � -_ ` Residential Cacle GdHZLP1
{ , ; Code ,
Buit�ding Information -Use 00 -Unimpraved (Card: 001 of 001)
; ; ' Unimproved Farce100 - Unimproved
��'` Extra Features {Card: 001 of 001)
.. ._.. _,:__ _ ...
- - __._._...___ - - ------ -__.__-- _----- --------------- - - -
l.ine _ Descreption Year �3nits Vatue
__--------- --- --__,._.1_�.�a—___._..._----...--'----------_--_____.--- -=-----�-�- ------ - ---.___..�. _._.._____�_. _ __.
' ' ' ' No Ex�ra Features
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' ' � Sales His�orv-Se�Atl 5 saEes
Previous Ownere ' SIMPSQN ARTHUR)1R&�OANN R
, . �
- - -- _ - --� ----- - - - ----- -- -
Montt�/Year =Book/;Pa�ge � TYpe . DQR Code �Conditian Amount
_ _____._T____. . -._... ___.__.__�.__..,_.,.�— : .____- -- - - - .-- .-- --__._. _.._. ----- --- - --- - - -
iQ/2017 ' 9626 ! 0548 � Warranty Deed {}�, Vacant $25,000
_�_�_-------- _ :.._ _.___._,____.__.---__. .. _ ;-. __�.--. _.____�_____ .. :___..._ :� __ _� .. .. ._�_ ,.__.
06/2006 7Q22 ! E?6$3 ' Warranty Deed Vacant $28,000
- .- �..____._. _ __ .._._.;.,_.r---__---.. �._... _..__._.,_..___ ._ . - ---- - __ -
12/1995 ; 350$ 1 0207 � Warranty Deed Vacant Mu1ti-Paccel Sa1e
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EXCLUSIVE DEALER:
/{� ��Ii{�' �I
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�l�Yl��'�St ��{�l�Cl�'S `co s°
J HOMES
The "Key Lar�o"
KEY FEATURES; '• � � � °"'°"�N� °""�w"°°�
-... .., ;�,
:��Y ti�.•�r
• 2 BedroomslUen ��,-_�:��.��=__. rrr�rrr��rr�r-
:�:-�t _ ��r-����r�rr-r-
,�y--�
• 2 Fu1l Baths �r��a�;��- � �. �r��ra�z-rr�r
• Grea#Room/ppen Ptan- � ,�j' `'� -�rr�rti��ir��r-��
• Large Eat-in Kitchen 4���r��'�-r��f��F
N r -rrr�rr -� rr�r;
• Custom Ca6irtets& Upgrade "� � r��rr �,-rr-�r-r.
N� r�r�rr-r-r-r-rr��
Appliance Package � :A
0 o rrr-rrrs-r-rc-
• Very Large Bedrooms � � rr�rr rrt` �$
• Glamorous Master Bath w/2 -���r �r
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Sinks &Linen Gabir�et � =rr�� $ ���it�
• Walk-in Closets ���� �� �� O
rr� r� �
�r� r�-r-
� rrr�r-�rr=-r�$
rr.r�rr����� �r�rr�r-rz- �
acobsen S�andard Features � � ,
r�rr�r�rr�r rrrr�r-rr�r
rr�rrr�r��r-r�� ��rr O
� • Fibergiass Shingie Raof rrr�r�r��rrr�rr rr� ��' �0�
rr�rr�-�r�rrr .rr� �x��
• Wood Sheathing Exterior Walls ��r�r�a��r�rr� rr-rr
rr�rr �rc��-� r�rrc�rr��-r- ��
• Truss Raof Ra#ter System � rr�rr. �r�r��� rr-�rr�� $ 'T�
• Insulated Flex-Duct System � rr�r�r�rr��r r��$rr��r������ ��
a rr��r�rrr�-r r��� _
* Ver�tilated Roaf Cavity � rr
�rr rr �
• Vinyl Lap Siding � r ;
rrs-r r.
* 2" x 6" Exteria�Wa11s r, r ,=��g ��`
• 2" x 4" Interiar Walls - -= m rr 'P�
� a r� �$
• � Dauble Marriage Vtlalls ti � rr'� � � ��
• Decorator Gypsum Interior Walls ti , �r-►� � ��„�,� 0
Reinforced Palyvinyl Battom Baard ' rr �r=m
' r�rr r o�z-rr-�
• Solid Steel I-Beam Frame �r�� r-r 3��-rrr
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• Tie-aown connectors �, �g
• Shut-Off Valves on all Sinks ��, y��,`/�,' �.�rrr�
and Commodes ��;,�;��ij�y-k: i'rr���-
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� SPECtF(�ATiONS: ''✓N ��_- �
Square Feer: 3,�93 � rri-- �'� ,
Dimensions: 28'x 56' �rr n
SETUPS AND LANDSCAPING MAY VARY.ALL S1ZES ARE
APPROXIMATE AND NOT SHOWN TQ SCALE
i �
3S162 State,Road S4 W•Zephyrhills, Florida 33541 • Office(813)788-3300
���«•titi�.suncrestsales.com • email_ sales.c suncrestsales.com
❑❑o❑ ����
°o°�oo � � � ' �
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January 21,2018
Re.: Attachment Beam (Host Beam)Verification:
Serial Number: #35423
37624 Gill Ave.Zephyrhills
To wl�om 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 Federal Manufactured Hom'e Construction and Saf�tv 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 witli 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
JacoUsen 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
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; �----, - - , - FL# FL18464
` Application Type New
Code Version 2014
Application Status Approved
Comments
Archived
Product Manufacturer Metals Building Products
Address/Phone/Email 7815 American Way
Groveland, FL 34736
(352) 787-7766
bkaufmann@metalsbp.com
Authorized Signature Bill Kaufmann
bkaufmann@metalsbp.com ' ,
Technical Representative Bill Kaufmann
Address/Phone/Email 7815 american Way
Groveland, FL 34736
(800) 342-9077
• bkeufmann@metalsusa.com
Quality Assurance Representative BILL KAUFMANN
Address/Phone/Email 7815 AMERICAN WAY
GROVELAND, FL 34736
. (352) 787-7766 Ext 227
bkaufmann@metalsusa.com
Category Roofing
Subcategory Metai Roofing
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
4 Evaluation Report- Hardcopy Received
Fiorida Engineer or Architect Name who developed Steven Morega
the Evaluation Report
Florida License PE-64609
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 04/29/2018
Validated By Jorge A. Pomerantz, P.E.
° Validation Checklist-Hardcopy Received
Certificate of Independence F1.18464 RO COI Rhino cert of ind p FBC
�014013 '� 0 0831130601 odf
Referenced Standard and Year(of Standard)
Equivalence of Product Standards
Certified By
Sections from the Code
FBC 1504.3
FBC 1507.4
� ' ' FBC 1607.1
' FBC 1609.3.1
FBC 1609.4.3
Product Approval Method Method 2 Option B
Date Su6mitted 08/31/2015
Date Validated 09/11/2015
Date Pending FBC Approval 09/13/2015
Date Approved 10/16/2015
Summary of Products�
FL# �P9ode1,Number or Name �Description -�
18464.1 Rhino pan,Twin Vee W pan Steel roof panels for outdoor patio products. residential or �
I commercial patio covers, carports, screen rooms,awnings,
�canopies, walkway covers,sheds
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL18464 RO II Rhino TwinVee orod agprvl �
Approved for use outside HVHZ:Yes insta101370920150911130952 odf
, Impact Resistant: No Verified By: Steven Moraga 64609
Design Pressure: N/A Created by Independent Third Party: Yes
Other:see installation instructions for span tables Evaluation Reports
FL18464 RO AE Rhino evai Itr
FBC20 40� n1508 �i 0 16�df
Created by Independent Third Party: Yes
� �
Contact Us:: 2601 Blair Stone Road.Tallahassee FL 323 Phone:850-487-1824
The State of Florida is an AA/EEO employec Coovriaht 2007-2013 State of Florida. ;;prtvacv Statement:;Accessibi�iri Statement:: Refund Statement
Under Florida law,emall addresses are pu6flc records.lf you do not want your e-mail address released In response to a publfc-records request,do not send elec[ronic
mail ta this enUty.Instead,contact the office by phone or by traditlonal mail.If you have any•questions,please contact 850.487.1395.*Pursuant to Sectfon
455.275(1),Flarida Statutes,effective October 1,2012,Ifcensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have
ane.The emails provided may be used for offlcial communication with the licensee,However email addresses are public record.If you do no[wish to supply,a
personal address,please provide the Department with an emall address which can be made available to the public To detertnine if you are a Ifcensee under Chapter
455,F.S.,please dick here.
Product Approval Accepts:
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Credit Card
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Product A�orovai Menu>Prnduc[er AoMicatlon Search>Apalia+tlon Usi>Application Detail
.' •- _ � _ FL# FL12231-R2
Application Type Revision
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@stylecrest.net
Authorized Slgnature Lewis Pope
lewis,pope@styl ecrest.net
Technical Representative Lewis Pope
Address/Phone/Email 600 Hagerty Drive
Fremont, OH 43420
(419) 333-5835
lewis.pope@stylecrest.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
� Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who developed Eric]. 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 William R. Heiden III, P.E.
-' Validation Checklist- Hardcopy Received
i Certificate of Independence FL12231 R2 COI ElT COI.pdf
Referenced Standard and Year of Standard
� ) Standard Year
ASTM D3679 2009
Equivalence of Product Standards �
Certified By Fiorida Licensed Professional Engineer or Architect
FL12231 R2 Eauiv Equivalence of Product Standards�Cllllli-$2015-
08-19 Sealed,pdf
,
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
Summ�of Products ��
�-- —
�FL# +Model,Number or Name _�_Description ----1 �
12231.1 Fairfield, Alpine Ridge and �D4, DL4, D5 and DL5 Configurations �
�Ridgeview Vinyl Siding i i
Limits of Use �Installation Instructions
Approved for use in HVHZ: No F 1 1 R II Inctallation Instr� ion A arhmant nPtailc
Approved for use outside HVHZ:Yes ?015-08-21.pdf
Impact Resistant: No � Fl_12231 R2 II Vinvl idina Installation 2011 pdf
Design Pressure: +N/A/-59 I 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 2015 OS 19
Sealed.�df
, 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 FiVHZ: No Fl_i 7231 R2 II Installation Instructio�s At+achm n Details
Approved for use outside HVHZ:Yes (2015-08-21.odf
Impact Resistant: No R12231 R2 II Vinvl Sidino Installation 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. F�12231 R2 AE Evaluation Report STCiillli-8 2015-08-19
Sealed.odf
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 HVH2: No F7 12�31 R2 II Installation Instructions Attachme�t nPra��c �
Approved for use outside HVHZ:Yes 2015-OS-21.odf
Impact Resistant: No Fl 1223i R2 II Vinvl Sidinq Installation 2011 �df
Design Pressure: +N/A/-59 Verified By: NTA, Inc. �
i 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 Evatuation Re[�ort�Gllllll-8 2015-08-19
�Sealed.�df
Created by Independent Third Party: Yes
I __�--._'_- _-____ � ____'___'"-_.__"_"__'__"'_ "____'--�
_�
12231.4 C Pro Pride �DL4.5 Configurations
Limits of Use i Instaliation Ynstructions
� �pproved for use in HVH2: No � Fi 12231 R2 II Installation Instructions Attachment Detail
j Approved for use outside HVHZ:Yes I 2015-08-21.odf �
I Impact Resistant: No i FL12231 R2 II Vtnyl Sidinq Instaliation 2011 �df ,
; Design Pressure: +N/A/-76 � 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. FL12231 R2 AE Evaluation Reoort�GS11111-8 7015-08-iQ
Sealed.odf �
Created by Independent Third Party: Yes �
--� — — '--- -- — ---- ---
12231.5 �Prospan Premium, Dura Span and T4, D5 Configurations � � �
;Pioneer Vinyl Siding j I
�Limits of Use J I sn tallation Instructions �
� Approved for use in HVHZ: No Fl 1��31 R2 II Installation In�r���rtions Attachment D tailc �
I Approved for use outside HVHZ:Yes 2015-OS-21.odf (
� Impact Resistant: No , FL12231 R2 II Vinyl Siding Installatio� 2011.�df �
� Design Pressure: +N/A/-37 � Verified By: NTA, Inc. i
Other: Design pressure varfes 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. � F�12231 R2 AE Evatuation Reoort STC111111-8 2ni5-nR-tq i
' �Seated.odf �
�^Created by Independent Third Party: Yes �
-�--- ---- ------- -------- —
___�_ -�
1ZZ31.6 I Select Series Beaded Siding and (Beaded 6.5 Configuration
�Lexington Series Beaded Vinyl ; ;
�Siding ; �
Llmits of Use ,�Installation Instructions �
� Approved for use in HVHZ: No ; FL12231 R2 II Installation instructions Attachment Detaits �
_ -- - - - ----- -- - _.� .Approved_for-use-outside-HVHZ:Yes- -- ----.--- -- ---��15-08-21.odf---- --- _._ ___ _
Impact Resistant: No � � F1,12231 R2 II Vinyl Sidino Instatlation 2nt i,�
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. I �t�?231 R2 AE Evaluation Reoort STGilili�-6 0 5-08- 9
Sealed.pdf
_ ___�_Created by Independent Third Party: Yes
12231.7 --�Select Series Board and Batten and !Board and Batten Configuration �
- Lexington Series Board and Balten
l Vinyl Siding
Limits of Use Installation Instructions
Approved for use(n HVHZ: No F7 12231 R2 iI Installation Instructions Attachment D ail
' Approved for use outsede HVHZ:Yes 2015-08-21.pdf
Impact Resistant: No Fl 12231 R2 II Vinvl Siding Installat�on 2�11_nrtf
Design Pressure: +N/A/-50 Veritied 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. FI.,�2231 R2 AE Evaluation Report G'�'r�i i��i_R�m 5-08 19
Sealed.odf
Created by Independent Third Party: Yes
12231.8 Timbermill D4, S7 Configuration
L'emits of Use Installation Instructions
Approved for use in HVHZ: No Fl�?�31 R2 II Instailation Instr�c+ions Attachment Details
Approved for use outside HVHZ:Yes 2015-08-21.pdF
ImpacE Resistant: No FL12231 R2 II Vinvl Sidtno Instaliatton 2011�df
Design Pressure: +N/A/-72 Verified By: NTA, Inc.
Other: Design pressure varfes based on the(nstaflation Created by Independent Third Party: Yes
method. Please refer to the evaluation report for the proper Evaluation Reports
design pressure based on the installation. Fl i�z31 R2 AE Evaluation Report STCiiilil-8 mS nR �o
Sealed.odf
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 HVNZ: No FJ..12231 R2 II Instalfation Instructions Attachment Deta(Is
Approved for use outside HVHZ:Yes 2015-OS-21.odf
Impact Resistant: No Fl 12231 R2 II Vinyl Slding Installation 2011 �df
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. FL1223T R2 AE Eval�ation Renort STC111111-R�ms-nR io
Sealed.odf
� Created by Independent Third Party: Yes
12231.10 Timbermill Vertical Siding �D5 Configuration
� Limits af Use Installation Instructions
Approved for use in HVHZ: No F1.12231 R2 II Installation Inctr�!ctions Attachm nt Detail
Approved for use outside NVHZ:Yes z015-08-21.odf
Impact Resistant: No FL12231 R2 II Vinvt Sidina In allation 2011 pdf
Design Pressure: +N/A/-57 Verified By: NTA, Inc.
Other: 10" oc into OSB sheathing , Created by Independent Third Party: Yes
Evaluation Reports
Fl_I?Z31 R2 AE Evaluation Re�ort STGllllil-8 2015-08-19
Sealed.�df
� Created by Independent Third Party: Yes !
— -- --�
0 �
. Contact Us:: 2601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824
The State of Fiorida is an AA/EEO employer.Coovriaht 2007-2013 State of Florida. :: Privacv Statement::Accessibflitv Statement::Refund Statement
Under Florida law,email addresses are pubtic records.If you do not want your e-mail address released in responsE to a pubifc-remrcls request,do not send electronic
mail to this entity.Instead,contact the office by phone or by traditional maii.If you have any questions,please contact 650.487.1395.�Pursuant to Section
- � • • - - � �.- , � : . - � � - _ :� .�tiv„��� - ��,��;<:
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BCIS Home Log In User Regist�atlon NoY Sop3cs Submit Surcharge Stats&Facts Pubiiqlions fBC Sta�f BC2S Site Map Links Search i
I
f�fli 1(�c7 �,� `
� � �p ��8�Product Approval
� ��(�,-� ilSHR:Pub[it User
��� �. ,
Prc�Gu�,f AoorovaS Menn>procfucY or Rot�lltakton,Searcri>Aottilcation List>Applicatioq Detail
.,: ���I,.,�.,�- - FL# FL16468-R8 '
" � '"- - ". -- ' .Applicatian Type Revision
Code Version 2014
AppiieaYion Stetus Approved
.
Comments
Archived
P,roduct Manufacturer 7ELD-WEN
Address/Phone/Email 373a Lakeport Blvd
Klamatl�Falls,OR 97601 �
(8Q0) 535-3936
f6c1@jeld-wen.com �
Authorized Signature Kaede Mcl.aughlin
fticl@jeid=wen.com
Technical Representative )ELD-WEN Corporate Customer Service
AddressJPhoneJEmail 3737 Lakeport Btvd.
Klamath Falls, OR 97601
- {$OQ) 535-3935
cu�tomerserviceagents@jeld-wen.com
Quality Assu�ance Representative
Address/Phone/Email
Cakegory Exterior poors
Subcategory Swinging Exterior poor Assemblies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
F1or'sda Prafessiona! Engineer
, �' Evaluation Report- Hardcopy Received
Florida Engineer or Arcfiitect Name wfio deveioped Hermes F. Norero, P.E.
the Evaluation Repart
Florida License PE-73778
Quality Assurance Entity - National Accreditation &Management Institute
QuaHty Assurance ContracC E�cpiration Date 01/Ol/2018
Vaiidated By Locke Bowden
-' Validation Checklist- Hardcopy Received
� Certificate of Independence FL16468 R8 COI COI JW Ss zo15-04-27,pdf
Referenced Standard and Year(of Standard) Standard ea
TAS 2Q2 1494
I') Equivatence of Product Standards
Certified By
� Sections from the Code
• Product Approval Method Method 1 Option D
Date Submitted 04/15/2015
Date Validated _ 05/01/2015 ,
Date Pending FBC Approval 05/SO/2015
Date Approved 06/22/2015 �
Date Revised O8/26/2016
Summar,(of Products II
—
FL# �Model,Number or Name 4 Descriqtion �
16468.1 �Design Pro/Smooth Pro Fberglass �Single(X) Opaque Door 3-0 x 6-S and 3-0 x 8-0 Inswing and 1
---� -- -----�---tswing -- - - �
Limits of Use �Installation Instructions
Approved for use in HVHZ:Yes FL16468 R8 TI A010861A.�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: FL16468 R8 AE PER3472.pdf
Created by Independent Third Party: Yes
� 16468.2 I Design Pro/Smooth Pro Fberglass Singte (X)Glazed Door 3-0 x 6-8 and 3-0 x 8-0 Inswing and
Outswing
Limits of Use Installation Instructlons
, Approved for use in HVH2:Yes � FL16468 R8 II A0108628.�df
Approved for use outside HVHZ:Yes Veriffed 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 PER3473.pdf \
I Created by Independent Third Party: Yes
16468.3 Design Pro/Smooth Pro Fberglass Double(XX) Opaque Door 6-0 x 6-8 and 6-0 x 8-0 Inswing
� and Oukswing
Limits of Use Installation Instructions
, Approved for use in HVHZ:Yes Fl..16468 RS II A010863A.odf
Approved for use outside HVHZ:Yes Verifted 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 PER3474.odf
Created by Independent Third Party: Yes
16468.4 � Design Pro/Smooth Pro Fberglass Double (XX) Glazed Door 6-0 x 6-8�and 6-0 x 8-0 Inswing and
Outswing
Limits of Use Installation Instructions '
Approved for use in HVHZ:Yes E116468 R8 II A010864A.�df
Approved for use ouYside 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: F116468 R8 AE PER3475.�df
Created by Independent Third Party: Yes
� —
16468.5 Design Pro/Smooth Pro Rberglass ;Single with sidelite(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 Installation Instructions
Approved for use in HVH2:Yes f7..16468 R8 II A010865A.�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: FL16468 RS AE PER3476.�df
Created by Independent Third Party: Yes
16468.6 I Design Pro/Smooth Pro Fberglass Single with sidelite(s) (X,O/O,X/O,X,O) Glazed Door 9-0 x
� 6-8 and 9-0 x 8-0 Inswing and Outswing V �
Limits of Use � ,Installation Instructions
Approved for use in HVHZ:Yes R16468 R8 II A010866B.Qdf
Approved for use outside HVHZ:Yes I Verified By: Hermes F. Norero, P.E. 73778
Impact Resistant: No ' Created by Independent Third Parly: Yes
Design Pressure: N/A Evaluation Reports ,
Other: FL16468 R8 AE PER3477.�df j
____ Created by Independent Third Party: Yes _�
-,------------ ------- -- ---_--
—{------------ -------r----- --1
16468.7 ` ~ � ;Design Pro/ Smooth Pro Fberglass (Double with sidelite(s) (XX,O/O,XX/O,XX,O) Opaque Door I
i �1Z-O,x 6-8 and 12-0 x 8-0 Inswing and Outswing
. � ��miCs af tlse -'-�___ _ --- - i�nstallafiian Instc�e�ctians ---- ---------�
� Approved for use in HVHZ:Yes � FL1646� RS A010367A.odf !
� Approved for use outside HVhd2:Yes � Verified By: Hermes F. Norero, P.E. 73778 ;
i Impact Resistant: Na , Created by Independent Third Party: Yes J
� Design Pressure: N/A Evaluation Reports
Other: � FL15468 R8 AE PER�478.odf f
� T.___...__� t Created by IndependentThird Party_Yes _ �J
�__ __------�----_
-r—-.__....._ Y._...------r-�---_._..... . . -----_...._.
k 16468.8 � � . :Design Pro/Smqoth Pro Fbergtass 'Double with sidelite(s)(XX,O/ O,XX/O,XX,O)Glazed Daor ,
i t i 12-d x 6-8 and 12-D x 8-0 Fnswing ancE Outswing #
�._ ---_.---------_____�----'--� -------- -- ----. -------------__.____--!
Limits of Use �xnstallation InstrucYions �
' Appr�ved for use in NVHZ:Yes t F}_I64�8 R8 IJ A91 Q$�$A.�adf
Approved for use outside HVHZ:Yes � Verified By: Hermes F. Norero, P.E. 73778 j
Irnpact Resistant: No � Created by Independent Third Party: Yes i
Design Pressure:NJA `EvaluaCian Repasts
Other: F�Ib46$ R8 A� PER3479.q�ij
RS
Created by Independent Third PartyyYes a
0 �
�yaPtact Us::2601 Blalr Sione Road.Tallahassee Pj 32394 Qhgne;85�t-48J-1824
The State of Florida fs an AA/EC-0 empioyec Cauvriaht 2Qp7-2013 State of Fiartda. :: Privacv Statement:;A«ssikilitv Statement::Refund Statement
Under Florida law,email addresses are public remrds.If you da not wank your e-ma(!address released in response to a pu6lic-records request,do not send electronic
malt to this entity.Instead,contact the nffice by phor�e ar by tradlttona(mail.If yau have any questians,ptease oontact 854.48?.1345.*Pucsuant to Section
45S�275(ly,Ftorida Statutes,effective October 1,zaiz,ticensees iicensed under Chapter 455,F.S.must provide the Departme�t with an emall address if they have
one.The emails provided may be used For official rnmmunication with the licensee.However email addresses are public rernrd.If you do nat�vish to supply a
petsonal address,please provide the DepaKment with an email address whtch can be made available ko the public To deYermine if you are a licensee under Chapker
455,F.S.,please dlck j�„rg.
Product Approval Accepts:
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BCIS Nome Lag In User Registration Not Top}cs Submit Surcharge 8tats&Pacts Pubiications FBC Staff BCiS Site Map Links Search
'� f iQ`ll'�i F� ..�. I
� °� "� '�9 Product A
�r.:�� pproval
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Praetitt poosovet env>Ptoduct or Aan�i�,�ir�p,5earrn>Pozlicatton�ist>Applzcation Oetai)
, � -_ - , ' FL# R239-R24
' - A�aplication Type Revisian
Cods Versian 2014
App{}cation Status Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed and ratified
by the POC and/or the Commission if necessary.
Comments
Arch3ved �
Product Manufacturer PGT Industries
Address/Phone/Email 1070 Technology Drive
North Ventce, FL 34275
{s��}aa�-oloo �xt2zsis
druark@pgtindustries.com
Authorized Signature Jens Rosowski
jrosowski@pgtindustries.com
Technical Representative Jens Rosowski
Addr2ssfPhoneJEmait 107Q Technofogy Drive
, Nokomis, FL 34275
(941)486-p100 Ext21140
jrosowski @pgti ndustries.com
Quality Assurance Representative
AddrassJPhoneJEmail
Category W�ndows ,
Subcategory Single Hung
Compiiance Method Certification Mark pr�sYing
Certi�cation Agency Miami-Dade BCCQ- CER
Validated By Miami-Dade BCCO-VAL
Referenced Standard and Year (of Standard) Standard Year
TAS 201, 202, 203 1994
Equivalence of P�-oduct Standards
Certified By
Product Approva! Method Method 1 Qption A
Date Submikted 08/22/2016
Date Vatidated 49j07/20i6
Date Pending FBC Approval
� . , Date Approved 09/08/2016
Summary of Products
r------- -----
r-- ------�-- ------------;---- ----------- --�
FL# ;Model,Number or Name '�Description ;
, I
239.1 � ;SH -200(Non-Impact)_ �Aluminum Single Hung Window �" ` i
' — -- --- -- - ---�---- ---- — --- i
Limits of Use !Certification Agency Certificate
� Approved for use in HVH2:Yes � FL239 R24 C CAC i6-0505 02�df �
I Approved for use outsfde HVHZ:Yes �Quality Assurance Contract Expiration Date �
I Impact Resistant: No � 09/01/2021 �
� Design Pressure: N/A i Ynstallation Instructions j
Other:Please see Miami-Dade County Notice of Acceptance � FL239 Ra4 II 16-0505.QZ.q.��
(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: !_ J
239.2 ySH - 500(Large Missile Impact) �WinGuard Vinyl Single Hung Window �
L(mits of Use �Certification Agency Certificate
Approved for use in HVHZ:Yes I � R 4 A 15-061 -t�b�
Approved for use outside HVHZ:Yes �Quality Assurance Contrect Expiration Date
Impact Resistant:Yes OS/08/2019
Design Pressure: N/A Installation Instructions
Other: Please see Miami-Dade County Notice of Acceptance �t�39 R24 II 15-0612.12b.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
Created by Independent Third Party:-
239,3 �SH -600 (Non-Impact) Aluminum Single Hung Window
Limits of Use � Certification Agency Certificate
Approved for use in HVHZ:Yes FL239 R24 C CAC 16-0714.05.�df `
Approved for use outsic9e HVHZ:Yes Quality Assurance Contract Expiration Date �
Impact Resistant: No O1/26/2021
Design Pressure: N/A Installation Instructions
Other: Please see Miami-Dade County Notice of Acceptance FI.239 R24 II 16-0714.05.pdf
(NOA)for product pertormance information, anchorage i Verified By: Miami-Dade BCCO-CER
details, and anchor type„size, and spacing information. i Created by Independent Third Party: I
Evaluation Reports — �
� Created by Independent Third Party:
239.4 SH -700(Large Missile Impact)• I Aluminum Single Hung Window
, Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes 739 R24 AC 6-07 4.06,odf
, Approved for use outside HVHZ:Yes Quality Assurance Contrect Expiretion Date
Impact Resistant:Yes � 03/26/2021
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 pertormance 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: �
, 239.5 �SH -800 (Large Missile Impact) Multi-Story Aluminum Single Hung Window ;
----- - ------1----- -- -— —-- --�
Limits of Use ' �Certification Agency Certificate
Approved for use in HVH2:Yes � Ft 239 R24 C CAC 16-0714.Oi.odf i
' � Approved for use outside HVHZ:Yes ;Quality Assurance Contract Expiration Date
� Ympact Resistant:Yes 05/03/2022 �
iUesign Pressure: N/A �Instaliation Instructions I
; Other: Please see Miami-Dade County Notice of Acceptance � F�39 R24 II 16-0714.01 odf
!(NOA)for product performance information, anchorage I Verified By: Miami-Dade BCCO-CER I
'details, and anchor type, size, and spacing fnformation. l Created by Independent Third Party:
I Evaluation Reports �
_ _ _ _ I Created by Independent Third Party: ti
-- ,— ---- ----- --- ----
239.6 �SH -800 (Small Missile Impact) �Multi-Story Aluminum Single Hung Window ` I
� —-----
�Limits of Use ^ ' Certification Agency Certificate 'i
I Approved for use in HVHZ:Yes i FL239 R24 C CAC 16-0714.02.odf i
� Approved for use outside HVHZ:Yes I Quality Assurance Contrect Ex piration Date
Impact Resistant:Yes � 05/03/2022 �
�, Design Pressure: N/A �Installation Instructions
� Other: Please see Miami-Dade County Notice of Acceptance � F�39 R24 II 16-0714.02.�df �
�(NOA)for product pertormance information, anchorage ; Verified By: Miami-Dade BCCO- CER
I detaifs, and anchor type, size, and spacing information. ' Created by Independent Third Party: �
� i ,
'Evaluatian Reports !
� Created by Independent Third Party: �
. . . �_.._---.__ _� �__,.—L.._—. _�.---__—_—.. _.__ ._____._
-- ��� ._�- - - - --
�239.�7 � I SH-3000{Large Missile Impact} ; Architectarat Systems Alum'snam Single Hung Window�
�..._______.-----�__.,.__�-- -- ------- -------.---__
Limits of Use . � Certification Agency Certificate '
Approved fior use in HVHZ:Yes F�z39 R24 C �RC 1�-Q622.T 7 LP1I.pdf �
Appraved for use outside HVHZ.Yes Qaaiity Assurance Cantract Expira#ion Date �
Impact Resistant:Yes 12/06/2017
Desigw Pressure:N/A �Installation InstrucYions i
Other:Ptease see Mijami-pade County Natice af Acceptance � FL23g R24 FI SS-06�2�i1 LMIzpdt" !
(NQA)for product pertormance information, anchorage Verified By: Miami-Dade BCCO-CER I
details,and anchor type, size,and spacing information, � Created by Independent Third Party:
EvaEuatian Reparts �
� Created by Independent Third Party: � �
239.8 SN-3�60{Smat! Missile Impack} Architecturai Systems AEuminum Singie Hung Window��
Limits of Use k Certification Agency Certificate �
Approved for use in HVH2:YeS FL239 R24 C CAC 25-06l2.10 SMZ.r�df
Approved for use outside HVHZ:Yes Quality Assurance Cantract Expiration Date
Impact Resistant:Yes 12/06/2017
design Pressure:NJA Installation Znstructions
Other. Piease see Miami-Dade County Notice of AccepCance �?39 R24 II IS-06I2.10 SMi.udf
(NOA)for producC pertormance informatiqn, anchorage Verified By: Miami-Dade BCCO-CER ,
detaiis,and ac�chor type, size,and spacing information. Created by Indegendent Third Party:
Evaluation Reports
Created by Independent Third Party:
239,9 SH-540p(Non-Impact) Vinyt Single Hung Wlndow
LimiYs of Use Certtficatian Aget►cy Certificate
Appraved far ase in HVHZ:Yes FC239 R24 C CAC !&-4714.dA.odf
Approved for use outside HVHZ:Yes 12uality Assurance Contrect Expiration Date
Impact Resistant:No Q7/30/2020
Design Pressure:N�A Ins#altation Tnstructioas
Other: Please see Miami-Dade County Notice of Acceptance E1Z39 R24 II 16-0714.04.odf
(NOA)for product performance inFormatian, anchorage Verified By: M1ami-Dacle BCCO-CEft
details, and anchor type,size,and spacing 3nformatlon. Greated by Indep�ndent Third Party:
Evaluation Reports
' Created by Independent Third Party:
I-23.-9��-..�10 -.-. SH-5500(Large Missile Impact) Vinyl Singie Hung Window
Lfm� its of Use � - Gertificatian Agency Certiflcate
Approved for use in HVH2:Yes �39 R24 G CAC 1�-0714.Q�pdf
Approved for use outside HVHZ:Yes Quality Assuwance Contract Expiration Date
Impact Resistant:Yes 07J30J2020
Design Pressure:NJA Instaitation Instructions
Other: Please see M(ami-Dade County Notice oP Acceptance FL39 R24 IT 16-0714.03.�df
{NQA}for praduct perEormance information,anchorage Verified By: Mlami-Qade SCCQ-CER
detai}s,and anchor type, size, and spacing information. Created by Independent Third Party:
Evaluation Reports
Created by Independent'Third Party: J
� �
Gonkad s::2601�Iatr Ston�,Road,Ta!lahassee FL 32399 phone:$SO-487-1824
' The Skate af Flbrtda is an AA/EEO employec Copvriaht2b07-2013 State of Fiprida. :;Prlva�v Statement::A�essibilltv Statement::Refund Sta�ement
Under Ftorida Iaw,emaii addresses are pubtic recorc3s.If yau do not waat your e-matl address re3eased in resgflnse ta a pubftrrecortEs requesk,do not sec�d electronic
maii to kh(s entlty.Instead,contact the office by phone or by tradiHonal mail,If you have any questions,please contact 850.487.1395.*pursuant to Section
455.275(1),Florida Statutes,effective Ockober 1,2012,license:es Iicensed under Chap[er 455,F.S.must provide the Department wlth an email address if they have
one.The emails provided may 6e used far off'icial communiption with the licensee.However email addresses are pubiic rewrd.If you do nat wish to suppty a
personai address,please pravide the 6epartment witfi an email address whith pn Ge made avaltabte ta the public Ta detetmine if you are a litensee under Chapter
455,F.S.,p�ease dick �re.
Prpduct ApprOvalAccOpts:
�..F � f_Fc_{ "�v�.`
G��!€�'i�CCf
Sc�'f@