HomeMy WebLinkAbout19-22189 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22189
BUILDING PERMIT 7
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22189 Address: 4746 16TH ST
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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-02800-0120
Improv. Cost: 8,742.23 OWNER INFORMATION
Date Issued: 12/27/2019 Name: CROWELL, JAMES & WOODHOUSE, PAT R
Total Fees: 127.50 Address: PO BOX 158
Amount Paid: 127.50 ZEPHYRHILS, FL 33539-0158
Date Paid: 12/27/2019 Phone: 813-315-0771
Work Desc: 8 WINDOW CHANGE OUT S/S
CONTRACTORS APPLICATION FEES
POWER HOME REMODELING GROUP LLC BUILDING FEE 127.50
Ins ections Re uired.
FO TER 2ND ROUGH PLUMB MISC I SUI A ION 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 Rennspection 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.
N OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: 00, v, d 0 L,(-,4e Y l�
Date Received: / 2
Site: 7 7 � 16�A S '
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.
//d---�DEC y 2019
Kalvin S ze — ans Examiner Date ontr for and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 2!� �q0i / I -7 1
Phone Contact for Permit tinq J - CQ / 1
Owner's Name 3dLmeS C �� `Q<� i �0. �15� Owner Phone Number �316 -,/S wo" 6y�-7 T
Owner's Address P bC i 5 Ze h c-hi(5 L 3 Owner Phone Number n d3:A- 016S-
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5`144D Vi"' She-el, FL 33 a LOT# U
SUBDIVISION Mooves cifPARCEL Q�A 'a(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR B ADD/ALT � SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK U �l R{� (�1 1Z s non-
BUILDING SIZE SQ FOOTAGE= HEIGHT
®BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ 10
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I
=GAS: = ROOFING = SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
ELECTRICIAN: COMPANY
''SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY = I
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL: COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
f
Address License#
OTHER COMPANY Dan Price - Power Home Remodeling
SIGNATURE REGISTERED Y/ N FEE CURREN
Address 14135 Crescent Park Dr Riverview 335787 License# CRC1331654
� � � � � � �.111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . .
Directions: `
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over 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 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 violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
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 Statute's, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be 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, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W" 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, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with.the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the 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.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR r i
Subscribed and sworn to(or affirmed)before me this Sub crib d and sworn to or affirmed before,me this
by 2 .7 /9 by 13 r ct / cx�
Who is/are personally known to me or has/have produced Who is/ r pets aJl to me or has/have produced
as identification. !ty as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary yped,printed or stamped
+:Commission ft GG 346275
Expires June 18,2023
n insurance 800
'''cd"O"' Bonded Thru Troy FBI 385 7019
F `R'.
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•
Plan Review
Windows & Doors
1) Need. manufacturing installation specifications:
2) M6st meet.sections R308 and R612 of the 2017 F.B.C.
3) If:windows are to be installed inside the historical district,they will need to be approved
by the historical committee.
4:) No other work shall be permitted (framing, plumbing, and mechanical) unless otherwise
specified:
5) This is for replacement (glass for glass) only. If you wish to change from screen or vinyl
windows to glass,then additional information is required.
6) All windows to wall connections shall be.left visible for inspection.
7) All labeling and stickers shall remain.on windows until final inspection.
8) .No work shall start without permit first-.
n National Headquarters Patricia Woodhouse and James Crowell
2501 Seaport Drive,Chester,PA 19013 34-16452
888-736-6335 September 21,2019
® WWW.POWERHRG.COM
CRC1331654
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
R2NODf:1.16
Buyer(s)'Information and Description of the Property: Project Number:34-16452 September 21,2019
Patricia Woodhouse Date of Agreement
(813)315-0771 (Patricia's Cell)
James Crowell jimcrowe11582@ymail.com
4746 16th Street (239)265-3007(James's Cell) E-Mail Address r
Zephyrhills,FL,33542
County:Pasco
Township:
Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services of Power Home Remodeling Group
and its vendors("Contractor") in accordance with the prices and terms described in this 6 page document and the Product
Specifications,which are incorporated as part of the Agreement(collectively,this"Agreement"). This Agreement represents a cash
sale of goods and services. Buyer(s) agrees to pay the cost of the goods and services purchased as described herein, regardless of
timing or approval of any financing Buyer(s) may seek for their purchase.
Purchase Price: $8,742.23 Pre Installation Inspection Dates:
Down Payment: $0.00 Wed 10/2 between 1:50p and 2:50p
Balance Due on $8,742.23 Estimated Project Start: 10 to 12 weeks
Substantial.Completion: Estimated Project Completion: 1 to 2 days
Method of Payment: Other Buyer(s)acknowledge that a definite start and completion dates are NOT of the essence. Delays beyond
Contractor's control not included in calculating time frames. See Delay/Unknown Conditions.
Buyer(s)hereby acknowledges receipt of a copy of the pamphlet, "The Lead-Safe Certified Guide to Renovate Right", informing
Buyer(s)of the potential risk of lead hazard exposure from renovation activity to be performed in or at Buyer(s)'Property, at the
address written above. Buyer(s) received this pamphlet on the date-of this Agreement, before commencement of work.
Buyer(s)' Initials.
This Agreement constitutes the entire agreement and understanding between the parties,and this Agreement replaces any and all prior
negotiations, representations,or agreements,either written or oral. No amendment, modification or waiver of this Agreement shall be valid
or effective unless in writing and signed by both parties. Buyer(s)hereby acknowledges that Buyer(s) 1) has read the entire Agreement and
has received a completed,signed,and dated copy of this Agreement, including the two accompanying Notice of Cancellation forms,on the
date first written above and 2)was orally informed of his/her right to cancel this transaction.
Notice To Owner
a.Do not sign this home improvement contract in blank.
b.You are entitled to a copy of the contract at the time you sign. Keep'it to protect your legal rights.
c.This home improvement contract may contain a mortgage or otherwise create a lien on your property that could be foreclosed
on if you do not pay.
Be sure you understand all provisions of the contract before you sign.
Buyer(s)also agrees and understands that if Buyer(s)finances the work with a third-party,the terms of that financing will be
contained on separate documents, including any finance charge.
Future promotions not applicable.
I have read and received each page of this 6 page agreement.
Power Home Remodeling Group Buyer(s) Buyer(s)
/09/21/19 /09/21/19 /09/21/19
Signature of Remodeling Consultant Signature Signature
Stephen Takas Patricia Woodhouse James Crowell
YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
September 21, 2019 12:36
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 6
.• National Headquarters Patricia Woodhouse and James Crowell
2501 Seaport Drive,Chester,PA 19013 34-16452
888-736-6335 September 21,2019
WWW.POWERHRG.COM
t mom'
CRC1331654
� -- PRODUCT SPECIFICATIONS
nstoocusa
Buyer(s)'Information and Description of the Property: Project Number:34-16452 September 21,2019
Patricia Woodhouse Date of Agreement
James Crowell (813)315-0771 (Patricia's Cell)
jimcrowe11562@ymail.com
4746 16th Street (239)265-3007(James's Cell) E-Mail Address 1
Zephyrhills,FL,33542
County:Pasco
Township:
Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification
sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications
(collectively,this"Agreement").
Pre Installation Inspection Date:Your pre installation inspection is tentatively scheduled for Wed 10/2 between 1:50p and 2:50p.
Windows-WinForce Duraglass Inclusions:All windows meet Florida State product approval.This includes reinforcement, nighttime
safety locks(on Double Hung windows only),double locks(on Double Hung and Slider windows only),welded corners, Heatshield 70,
Duraglass, installation,clean up and haul away of all job-related debris.
It is agreed and understood by and between the parties that the Product Specifications,along with the Custom Remodeling and
Improvement Agreement,constitutes the entire understanding between the parties,and replace any and all prior negotiations,
representations,or agreements,either written or oral. The Product Specifications may not be changed, modified,or varied in any way unless
such changes are in writing and signed by both Buyer(s)and Contractor. Buyer(s) hereby acknowledge that Buyer(s) has read the Product
Specifications.
I have read and received each page of this 3 page agreement.
Power Home Remodeling Group Buyer(s) Buyer(s)
/09/21/19 /09/21/19 /09/21/19
Signature of Remodeling Consultant Signature Signature
Stephen Takas Patricia Woodhouse James Crowell
YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
September 21, 2019 12:36 I IIIIII IIIII IIII IIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII
Page 1 of 3
National Headquarters Patricia Woodhouse and James Crowell
2501 Seaport Drive,Chester,PA 19013 34-16452
888-736.6335 September 21,2019
® WWW.POWERHRG.COM
CRC1331654
Project Specifications
Windows: Laundry room 1 37.0"x38.0"
WINDOWS: Models WinForce Duraglass Styles Double Hung Types None Configs None
OPTIONS: Color White/White: Grid Pattern: None I Removal Florida Flange I Additional Details None €
Windows: Bathroom 1 26.0"x38.0"
WINDOWS: Models WinForce Duraglass Styles Double Hung Types None Configs None
OPTIONS: Color White/White: Grid Pattern: None I Removal Block I Additional Details Special Options
(ie.Half Screen,Obscure Glass,etc)Obscure Glass Double Hung : Both Sashes PTrim Options No I
Remove and Reinstall No 1 Half Screen No
Windows: Bedroom 1 1 37.0"x38.0" "
WINDOWS: Models WinForce Duraglass Styles Double Hung Types None Configs Noner
OPTIONS: Color White/White: Grid Pattern: None I Removal Block/Additional Details None
IL
Windows: Bedroom 1 1 37.0"x38.0" f ...._.m
WINDOWS:_Models WinForce Duraglass Styles Double Hung Types None Configs None
OPTIONS: Color White/White: Grid Pattern: None I Removal Block I Additional Details None
Windows: Bedroom 2 1 37.0"x38.0" ( "'
WINDOWS: Models WinForce Duraglass Styles Double Hung Types None Configs None
OPTIONS: Color White/White: Grid Pattern: None I Removal Block 1 Additional Details None
k
Windows: Bedroom 2 1 37.0"x38.0"
WINDOWS: Models WinForce Duraglass Styles Double Hung Types None Configs None
OPTIONS: Color White/White: Grid Pattern: None I Removal Block 1 Additional Details None
DO'
September 21, 2019 12:36
IIIIII IIIII IIII IIIIII IIIII IIIII IIIII IIIII IIII IIII
Page 2 of 3
National Headquarters Patricia Woodhouse and James Crowell
2501 Seaport Drive,Chester,PA 19013 34-16452
888-736-6335 September 21,2019
WWW.POWERHRG.COM
CRC1331654
- Project Specifications
newo ec:in..
Windows: Living room 1. 36.5'x50.0" ""......
WINDOWS: Models WinForce Duraglass Styles Double Hung Types None Configs None
OPTIONS: Color White/White: Grid Pattern: None I Removal Block 1 Additional Details None
Windows: Living room 1 36.5"x50.0"
WINDOWS: Models WinForce Duraglass Styles Double Hung Types None Configs None
OPTIONS: Color White/White: Grid Pattern: None I Removal Block 1 Additional.Details None
�d
September 21, 2019 12:36 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Page 3 of 3
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1/16/2018 Florida Building Code Online
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Product Approval
.�; •� USER:Public User -
Product Approval Menu>Product or Application Search>Application List>Application Detail
FL# FL22300-R1
s w
Application Type Revision
Code Version 2017
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by
the POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Northeast Building Products Inc.
Address/Phone/Email 4280 Aramingo Ave
Philadelphia,PA 19124
(215)535-7110
L.Knowles@nbpmail.com
Authorized Signature 'Lucas Turner
Luke@TurnerEC.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Double Hung
Compliance Method Certification Mark or Listing
Certification Agency Keystone Certifications,Inc.
Validated By Scott Wolters,PE
Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/I.S.2/A440 2011
ASTM E 1886 2005
_ASTM E 1996 2009
TAS 201/202/203 1994
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 12/28/2017
Date Validated 01/07/2018
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgs3M6m9%2fK8XPIxi6IKILNaUNvjFbYC3vEIF7geadJ3C6vg%3d%3d 1/2
1/16/2018 Florida Building Code Online
Date Pending FBC Approval
Date Approved 01/10/2018
Summary of Products
..............._..._.— _..........._. __.............-......._'---'--.........._.... .._._._...._..._. --._._............... ' —..__...... —. _....._.._
FL# Model,Number or Name . Description
i 22300.1 Y WinForce Double Hung Impact WinForce PVC Double Hung Window,Large Missile Impact
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL22300 RI Q CAC 86-157CAR Ddf
Approved for use outside HVHZ:Yes FL22300 R1 C CAC 86-164 AR.Ddf
Impact Resistant:Yes FL22300 RI C CAC 86-204CAR.Odf
Design Pressure: N/A FL22300 RI C CAC 86-211CAR Ddf
Other:Please see Certifications,Installation Instructions,.and FL22300 R1 C CAC 86-214CAR,Ddf
Evaluation Report for additional information,design pressures, FL22300 RI C CAC 86-215CAR Ddf
and configurations that are approved for the HVHZ. FL22300 R1 C CAC 86-216CAR.Ddf
FL22300 RI C CAC 86-403CAR.Ddf
FL22300 R1 C CAC 86-412CAR pdf
FL22300 R1 C CAC86-413 AR Ddf
FL22300 RI C CAC 86-414CAR.odf
FL22300 R1 C CAC 86-415CAR.Ddf
FL223QO R1 C CAC 86-419CAR Ddf
j FL22300 R1 C CAC 86-424CAR.odf
I Quality Assurance Contract Expiration Date
02/16/2021
Installation Instructions
FL22300 RI II FPA-WinForce-DH-LM-A Ddf
Verified By: Lucas A.Turner PE#58201
Created by Independent Third Party: Yes
Evaluation Reports
FL22300 RI AE EvalReport-WinForce-DH-LM-A.pdf
I Created by Independent Third Party:Yes
22300.2 WinForce Double Hung Non-Impact WinForce PVC Double Hung Window,Non-Impact
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL22300 R1 C CAC 86-156CAR Ddf
Approved for use outside HVHZ:Yes FL22300 R1 C CAC 86-169CAR.Ddf
Impact Resistant: No FL22300 R1 C CAC 86-404CAR.Ddf
Design Pressure: N/A FL22300 R1 C CAC 86-409CAR.Ddf
Other: Please see Certifications,Installation Instructions,and FL22300 R1 C CAC86-410 AR.Ddf
Evaluation Report for additional information,design pressures, FL22300 R1 C CAC 86-411CAR.12df
and configurations that are approved for the HVHZ. FL22300 R1 C CAC 86-417CAR.Ddf
FL22300 Rl C CAC86-4 1 AR.odf
FL22300 R1 C CAC 86-422CAR Ddf
Quality Assurance Contract Expiration Date
02/16/2021
Installation Instructions
FL22300 R1 II FPA-Win Force-D H-NI-A.Ddf
Verified By: Lucas A.Turner PE#58201
Created by Independent Third Party:Yes
Evaluation Reports
FL22300 RI AE EvalRel2ort-WinForce-DH-NI-A Ddf
Created by Inde endent Third Party: Yes
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mall to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.-Pursuant to Section
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https://www.floridabuilding,org/pr/pr_app_dtl,aspx7param=wGEVXQwtDgs3M6m9%2fK8XPIxi6IKILNaUwjFbYC3vEIF7geadJ3C6vg%g3d%p3d 2/2
GENERAL NOTES FL#22300 WINFORCE DOUBLE HUNG WINDOW
1.THE PRODUCT SHOWN HEREIN CONSTRUCTED FROM DECEUNINCK
EXTRUDED RIGID PVC FRAMES HAS BEEN TESTED TO AAMANVDMA/CSA APPROVED CONFIGURATIONS NON-IMPACT
101/I.S.2/A440-08/11,AND MEETS THE REQUIREMENTS OF THE FLORIDA DESIGN
BUILDING CODE,6TH EDITION(2017). CONFIGURATIONS NOTED AS HVHZ HVHZ IMPACT
APPROVED HAVE ALSO BEEN TESTED TO TAS202-94,AND ARE CONFIGURATION PRESSURE
.. APPROVED RATING RATING LOCKNOTE: T LOCK ASSEMBLY
ACCEPTABLE FOR USE IN THE HIGH VELOCITY HURRICANE ZONE.
2.THIS PRODUCT IS NON-IMPACT AND REQUIRES THE USE OF IMPACT 54"x77"EQUAL LITE YES +50/-50 PSF (ITEMS 23-25)ALLOWED FOR
PROTECTIVE DEVICES(SHUTTERS) IN WINDBORNE DEBRIS REGIONS. 24"x77'EQUAL LITE YES +50/-50 PSF 24"X77"MAX.SIZE ONLY. ALL
3. THE DESIGN PRESSURES INDICATED IN THIS DRAWING ARE AS 45"x86"EQUAL LITE YES +50/-50 PSF OTHER CONFIGURATIONS
LIMITED BY ASTM E-1300 GLASS TABLES,AND TESTED WATER AND REQUIRE 2 LOCK ASSEMBLIES
STRUCTURAL PRESSURES. 53"x86"EQUAL LITE NO +40/-50 PSF NONE
4.THIS DOCUMENT ADDRESSES PRODUCT ANCHORAGE TO ACHIEVE W/FULL SCREEN INSECT SCREEN NOTE: ALL
THE INDICATED DESIGN PRESSURES AT THE INDICATED SIZES,IN THE 53"x86"EQUAL LITE NO +50/-50 PSF SIZES EXCEPT 53"X86"MAY USE
CONFIGURATIONS SHOWN IN THE ELEVATIONS. INSTALL PRODUCTS W/HALF SCREEN FULL SCREEN OR HALF SCREEN
WITH MAXIMUM SHIM GAP,MINIMUM EDGE DISTANCE AND EMBEDMENT, 42"x82"ORIEL NO +50/-50 PSF AT FULL DESIGN PRESSURE
AND WITH FASTENER TYPE AS SHOWN IN THE DETAILS AND AS
INDICATED IN TABLE 1. FOR FULL PRODUCT CONSTRUCTION DETAILS 54" MAX.
SEE NCTL TEST REPORTS 210-4067-02/02A/03/03A,AND WINDOW WIDTH 6"MAX 11" MAX.ON 24" MAX.WINDOW WIDTH
210-4083-03/04/05A/05C/06B/06C. 14" MAX. ON CENTER,
5. MINIMUM GLAZING IS INSULATING GLASS 1/8 ANNEALED+1/2"GED CENTER,TYP. FROM TYP
STAINLESS STEEL INTERCEPT SPACER+1/8"ANNEALED,GLAZED WITH � CORNER, 6" MAX. FROM
GE SCS2801 SILICONE BACKBEDDING W/1/2"GLASS BITE. TYP. CORNER, TYP.
6.THE 4/3 ALLOWABLE STRESS INCREASE FACTOR(SHORT-TERM
INCREASE FACTOR)HAS NOT BEEN USED IN THE ANCHOR ANALYSIS
FOR THIS SYSTEM. THE 1.6 Cd FACTOR WAS USED IN THE ANALYSIS OF � O � O
ANCHORAGE INTO WOOD SUBSTRATE. 0 Q
7.THE OPENING SUBSTRATE MATERIALS(FRAMING,MASONRY,BUCKS) O � O CO
AND ATTACHMENT OF BUCKS TO THE SUBSTRATE ARE BY OTHERS AND coLL _ w M _
SHALL BE VERIFIED BY THE ARCHITECT OR ENGINEER OF RECORD OR :; g C7 w O
AS APPROVED BY THE AUTHORITY HAVING JURISDICTION(AHJ). Z j' W u1
BUCKING,OPENINGS,&BUCKING FASTENERS MUST BE PROPERLY w = g � 2 Lucas
DESIGNED&INSTALLED BY OTHERS IN ACCORDANCE WITH THE FBC TO m Z 0 CD Z _ 0 Tumer
O ;'• i O O t` O 2017-12-28
TRANSFER SUPERIMPOSED LOADS TO THE STRUCTURE. WITH i i. Cl r-- ❑
-
MASONRY OPENINGS,WOOD BUCKS ARE OPTIONAL. w .�O Z_ W J O Z 16:26+19:00
CC) _
8. DISSIMILAR MATERIALS THAT COME INTO CONTACT SHALL BE F- i ❑ � I— � ❑
COATED OR OTHERWISE PROTECTED TO PREVENT GALVANIC c° Z 4 � Fv Z �
m REACTIONS. WOOD BUCKS, IF USED,SHALL BE PRESSURE TREATED, r U r U M
WITH EITHER A TREATMENT OR COATING COMPATIBLE WITH THIS ,�`��`'••'�cS'
SILL ANCHOR SILL ANCHOR '
PROD SPACINGANCHORS USED SHALL BE OF A MATERIAL OR HAVE A COATING SPACING SPACING :' �O 5a`o�
9.AL •?*c
SAME AS HEAD SAME AS HEAD *,
COMPATIBLE WITH THE PRESSURE TREATED WOOD BUCKS AND ALL
OTHER WINDOW MATERIALS. '� STATE OF
54"x77" EQUAL LITE ELEVATION 24"x77" EQ. LITE ELEV. '-.° '••� A•''a``�
°n
10.ALL HARDWARE&FASTENERS SHALL BE IN ACCORDANCE WITH t�'•''c�`.�`
THESE DRAWINGS, OR AS APPROVED,SIGNED,AND SEALED BY A
FLORIDA REGISTERED PROFESSIONAL ENGINEER ON ASITE-SPECIFIC TABLE OF CONTENTS NORTHEAST BUILDING PRODUCTS
BASIS. SHEET DESCRIPTION 4280 Aramingo Ave., Philadelphia,PA 19124 �Z
11.SEALING AND FLASHING STRATEGIES FOR OVERALL WATER 1 NOTES, ELEV., Ph.(215)535-7110. www.camelotwindows.com 12/27/2017
INFILTRATION RESISTANCE OF THE INSTALLED PRODUCT SHALL BE THE CONFIG.TABLE SHEET DESCRIPTION: DATE DRAWN: Lucas A.Turner,P.E.
RESPONSIBILITY OF OTHERS AND ARE NOT ADDRESSED BY THIS 2 ELEV.,GLAZING NOTES, ELEVATION 4/13/2017 FL PE#58201
DOCUMENT. 3 VERTICAL SECT. 1239 Jabara Ave.
12. FOR ADDITIONAL REQUIREMENTS SEE GENERAL ANCHOR NOTES, 4 HORIZ.SECTIONS SCALE: NTS REV:A North Port, FL 34288
SHEET4. 5 BOM,PART DWGS DRAWING:FPA-WINFORCE-DH-NI SHEET: 1 OF 5 Ph.941-380-1574
WINFORCE DOUBLE HUNG WINDOW, NON-IMPACT
45"MAX. 53" MAX.
WINDOW WINDOW 42"MAX. -
11" MAX. WIDTH 6"MAX. 12"MAX. WIDTH WINDOW
6"MAX. .
ON CENTER, [ FROM ON CENTER, �*— FROM 14"MAX. WIDTH 6"MAX
TYP. CORNER, TYP. I CORNER, ON CENTER, FROM
TYP. TYP. TYP. �l CORNER,
TYP.
° �---
0I}Z - . � tL NQ
� t— crox w � oo Oa O
IY Q
u_
W = � M � F uu_
Z �t =
O ZCL fF W � O a '� W �Cz
� U O � CoU O � � ° Z° }
C t-
� uJ /.;' coo � w / Co w COp
N Z ° - Z O Z F Z
r , 04
) W O 0 �
N
SILL ANCHOR SILL ANCHOR SILL ANCHOR
SPACING SPACING SPACING
SAME AS HEAD SAME AS HEAD -�— SAME AS HEAD
45"x86" EQUAL LITE ELEVATION 53"x86" EQUAL LITE ELEVATION 42"x82" ORIEL ELEVATION
SEE TYPICAL 1/2"GED 1/8"ANNEALED
GLAZING 20 22 SEE LOCK STAINLESS STEEL GLASS
DETAIL NOTE, INTERCEPT SPACER 'R�''.
SHEET 1 GE SCS2801 ~ .Z No 58201 i1
- 1/8"ANNEALED SILICONE
a L GLASS , SrarE o ;mow
16 �_ 17
rr44t' 'L,0 A t'D
36 34 17 D o NORTHEAST BUILDING PRODUCTS y
EXT. 4280 Aramingo Ave.,Philadelphia,PA 19124 1 '
8 9 Ph.(215)535-7110 www.camelotwindows.com 12/27/2017
EXT. INT. � m SHEET DESCRIPTION: DATE DRAWN: Lucas A.Turner,P.E.
TYPICAL GLAZING ELEVATIONS, GLAZING DETAIL 4/13/2017 FL PE#58201
MEETING RAILS DETAIL SCALE: NTs 1239 Jabara Ave.
DETAIL REV:A North Port,FL 34288
DRAWING:FPA-WINFORCE-DH-NI SHEET: 2OF5 Ph.941-380-1574
WINFORCE DOUBLE HUNG WINDOW, NON-IMPACT SEE GENERAL ANCHOR NOTES,SHEET4.
MIN. EDGE DIST., SEE TYP. GLAZING
APPLIES TO BOTH DETAIL SHEET 2 g '
SUBSTRATE EXT.AND INT. SIDES, z_ w w
BY OTHERS, SEE TABLE 1 coin w 15 4
SEE TABLE 1 w EXT. INT. CLEARANCE
SEALANT BY 36 0 HOLE AND PLUG
INSTALLER 10 D D INSTALLATION
FASTENER,SEE
1 1 TABLE 1,SEE
a LOCATIONS U
SHEETS 1-2 C/5 a
U ��
15 Cn0 � Qa SEALANT BY f
8 Cf) INSTALLER 1
_ 0
35 STRUCTURAL
SILICONE
D INSTALLATION
FASTENER,SEE MIN. EDGE DIST.,,, .
o w SUB
STRATE
EXT. INT. TABLE 1, SEE z w w � APPLIES TO BOTH
LOCATIONS g [aw m BY OTHERS,
SHEETS 1-2 w H SEE TABLE 1 EAT.AND INT.SIDES,
SEE TYP. GLAZING SEE TABLE 1
DETAIL SHEET 2 CLEARANCE
HOLE AND PLUG
TYPICAL HEAD VERTICAL SECTION TYPICAL SILL VERTICAL SECTION
y1tiOG�F;.tiLC E N g�.. .r,,'.
No 58201 %
TABLE 1: EQUAL LEG/FLANGE FRAME INSTALLATION ANCHOR REQUIREMENTS TABLE * *'
NOTE: ALL ANCHORS ARE PAN HEAD OR HEX WASHER HEAD o?. SPATE OF �+
SUBSTRATE TYPE ANCHOR TYPE MIN. EMBED. MIN. EDGE DIST. 't"F' a a tip'
CONCRETE(2.0 KSI MIN) 3/16"ITW TAPCON 1" 1 1/8" ��'`S ONt,-S;;.���`
NORTHEAST BUILDING PRODUCTS
HOLLOW OR GROUT-FILLED CMU(117 PCF MIN.) 3/16"ITW TAPCON 1" 2" 4280 Aramingo Ave., Philadelphia,PA 19124 xZ
CONCRETE(2.85 KSI MIN.) 3/16"ELCO ULTRACON 1" 1" Ph.(215)535-7110 www.camelotwindows.com 12/27/2017
2X MIN.SOUTHERN PINE WOOD(G=0.55) #10 GRADE 5 WOOD SCREW 1-3/8" 1" SHEET DESCRIPTION: DATE DRAWN: Lucas A.Turner,P.E.
HEAD/SILL INSTALLATION 4/13/2017 FL PE#58201
16 GAUGE(0.060")MIN.STEEL STUD,33KSI #10-16 HILTI KWIK-FLEX OR ITW 1/2 1239 Jabara Ave.
YIELD MIN.,OR 1/8"ALUM.6063-T5 MIN. TEKS SELF-DRILLING SCREW FULL SCALE: NTS REV:A North Port,FL 34288
DRAWING: FPA-WINFORCE-DH-NI SHEET. 3 OF 5 Ph.941-380-1574
WINFORCE DOUBLE HUNG WINDOW, NON-IMPACT
1/4"MAX.
1/4"MAX. INSTALLATION FASTENER, SHIM SPACE INSTALLATION FASTENER, _
SHIM SPACE SEE..TABLE 1,SEE . ._ , SEE TABLE 1,SEE
LOCATIONS SHEETS 1-2 MIN. EMBED., LOCATIONS SHEETS 1-2
MIN. EMBED., SEE TABLE 1
SEE TABLE 1
U) CLEARANCE cn CLEARANCE
uj � = z w HOLE AND PLUG W U HOLE AND PLUG
C9 z
Oa- 0 J W n- po2S W
J
zuj aO � WQ ❑ INT. zap . Uj INT.
� U) W U) o o � U) W u) o 0
0 �
a -
o a SEE TYPICAL o a
GLAZING
0— DETAIL,
a SHEET 2
El � a
o a a0 a
SUBSTRATE EXT. SUBSTRATE EXT.
BY OTHERS, BY OTHERS, .. 5 SEALANT BY
SEE TABLE 1 SEE TABLE 1
INSTALLER
SEALANT BY 3 18 9 37
INSTALLER
TYPICAL JAMB HORIZONTAL SECTION TYPICAL OPTIONAL ADD-ON FLANGE SECTION,
JAMB SHOWN, MAY ALSO BE USED HEAD/SILL
GENERAL ANCHOR NOTES: �` `'•''� � '' `�
yw•fjr,:y�` ••:,,,
1. INSTALL ONE ANCHOR AS INDICATED IN DETAILS ON SHEETS 3 AND 4 AT EACH LOCATION �v.•'' No 5a
SHOWN IN THE ELEVATIONS ON SHEETS 1 AND 2.
2. INSTALL SHIMS AT EACH ANCHOR LOCATION WHERE A GAP OF 1/16"OR GREATER EXISTS M o srATs oa :w
BETWEEN PRODUCT FRAME AND SUBSTRATE. n
3.SHIMS SHALL BE LOAD-BEARING(PLASTIC OR METALLIC)AND CAPABLE OF r!Ilk 4C°..
TRANSFERRING LOADS TO SUBSTRATE.
4.SPECIFIED ANCHOR EMBEDMENT TO SUBSTRATE SHALL BE BEYOND WALL FINISH OR NORTHEAST BUILDING PRODUCTS
STUCCO, BY OTHERS. FOR ATTACHMENT TO METAL SUBSTRATES ENSURE FULL THREAD 4280 Aramingo Ave., Philadelphia,PA 19124 Z�
ENGAGEMENT THROUGH METAL WALL WITH MIN.3 THREADS BEYOND. Ph.(215)535-7110 www.camelotwindows.com 12/27/2017
5. FOR MASONRY WITH WOOD BUCKS LESS THAN 1-1/2"THICK,EMBEDMENT SHALL BE SHEET DESCRIPTION: DATE DRAWN: Lucas A.Tumer,P.E.
BEYOND WOOD BUCKS AND INTO MASONRY. WOOD BUCKS ARE OPTIONAL WITH MASONRY JAMB INSTALLATION/ALT.FLANGE 4/13/2017 FL PE#58201
INSTALLATIONS WHERE MASONRY EDGE DISTANCE CONDITIONS ARE MET WITH NO BUCKS. 1239 Jabara Ave.
WOOD BUCKS 1-1/2"THICK OR GREATER SHALL HAVE EMBEDMENT INTO THE WOOD BUCKS. SCALE: NTS REV:A North Port, FL 34288
6. ENSURE 3"MIN.ON-CENTER SPACING BETWEEN ANY TWO INSTALLATION ANCHORS. DRAWING:FPA-WINFORCE-DH-NI SHEET: 4 OF 5 Ph.941-380-1574
BILL OF MATERIALS WINFORCE DOUBLE HUNG WINDOW,
I'EOM DESCRIPTION PART NO. SOURCE MATERIAL NON-IMPACT
1 HEAD 10005160 DECEUNINCK PVC
2 SILL 10005161 DECEUNINCK PVC 432 " ' 1'5"
3 JAMB 10005162 DECEUNINCK PVC ❑ ❑ 432
4 SILL EXTENSION 10005131 DECEUNINCK PVC O
5 ADD-ON FLANGE 10008341 DECEUNINCK PVC
6 SASH STOP 10008483 DECEUNINCK PVC NIA-
7 o COIN
ED
8 WEATHER STRIPPING .187 BK X.220 HT ULTRA FAB FIN PILE N Q 0 N
9 WEATHER STRIPPING .187 BK X.290 HT ULTRA FAB FIN PILE 00��
10 WEATHER SEAL-SILL FOAM FILLED BULB AMESBURY FOAM/POLYETH. O ❑ ❑
11 BALANCE CLIP ROLLER TILT-RT562 CALDWELL O
12 FRAME SCREWS-SILL TO JAMB #8 X 1/2"PPH-SS MERCHANTS ST.STEEL
13 BALANCE SCREWS #8 X 7/8"PFH -SS MERCHANTS ST. STEEL
14 232"
15 TOP/BOT.LIFT RAIL 10005541 DECEUNINCK PVC
16 IKEEPERRAIL 10005543 DECEUNINCK PVC 1 ❑0�
17 LOCK RAIL 10005542 DECEUNINCK PVC 32" I1-12°
18 TOP/BOT.STILE 10005540 DECEUNINCK PVC'
19 BULB SEAL 10008206 DECEUNINCK PVC
-3/ "IGNON-IMP. NMI20 GLAZING BEAD
co a
21 PIVOT BAR 16Y513 STAINLESS STEEL CALDWELL ST.STEEL ❑ r N o =
22 PIVOT BAR SCREW #6 x 5/8"PPH TEK-SS MERCHANTS ST.STEEL
23 LOCK D2100AL-XX ASHLAND TIN-ZINC 35 36Tyr'
24 ILOCKSCREW #8 X 1"PAINTED PFH 'MERCHANTS STEEL
25 KEEPER 13999-999-XX ASHLAND TIN-ZINC ❑
26 KEEPER SCREW #6 X 3/4"PAINTED PFH MERCHANTS STEEL a
27 VENT STOP 1760 VISION VINYL
28 TILT LATCH-UPPER SASH 7397 FC-R/7397 FC-L VISION VINYL 3 U
29 TI LT LATCH-LOWER SASH 2OF0041 LH /20F0042 RH CALDWELL VINYL 1n
30 TILT LATCH SCREW-LOWER SASH #8 X 3/8"PPH TEK MERCHANTS STEEL 12 11„
31 TILT LATCH THUMB BUTTON 20F000501/502 CALDWELL VINYL T Tgii'
16
32 CENTER FIN WEATHERSTRIPPING .270 BK.x.270 HT.Adhesive ULTRA FAB FIN PILE34 LOCK RAIL REINFORCEMENT 10300266 ASTRO SHAPES 6005-T5 ALUM. r1N ��. P........35 TOP LIFT RAIL REINFORCEMENT 10300159 ASTRO SHAPES 6005-T5 ALUM. r �°p ' cE.,s36 KEEPER/BOTTOM LIFTRAIL REINF. 10300159 ASTRO SHAPES 6005-T5 ALUM. 37 t v . no 58201 .+�=
37 STILE REINFORCEMENT 10300166 ASTRO SHAPES 6005-T5 ALUM.
Qt STATE OF :40
23n ri+� b R
AIM 132 123.
32 g4rs�01VA�G{����.
r 18" NORTHEAST BUILDING PRODUCTS
fl l
32 - 4280 Aramingo Ave., Philadelphia, PA 19124 Z
' 23" �N _T [�� cf)Ci Ph.(215)535-7110 www.camelotwindows.com 12/27/2017
❑ IN 04 SHEET DESCRIPTION: DATE DRAWN: Lucas A.Turner, P.E.
BILL OF MATERIALS,PART DWGS 4/13/2017 FL PE#58201
O 16 17 D� 34 1239 Jabara Ave.
SCALE: NTS REV:A North Port, FL 34288
DRAWING: FPA-WINFORCE-DH-NI SHEET: 5 OF 5 Ph.941-380-1574
INSTR#2019193460 OR BK 10005 PG 1154 Page 1 of 1
11/13/2019 09:03 AM Rcpt:2107939 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT
Permit Number Tax Folio# /y-21—Zl-&VId�02ffy-0/2,
The undersigned hereby gives notice that improvement will be made to
certain Real Property,and in accordance with Chapter 713,Florida
Statutes,the following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY:
(Legal descrlptlon of the prop and street address,if available).
e� 1Z s�
2. GENERAL DESCRIPTION OF IMPROVEMENT:
�..��.K .0.,/ ���� �!/lir fa,✓� This space reserved for recording
3. OWNER INFORMATION OR LESSEE IPFORN4ATION IF THE LES E ONTRACT Ff ED O R THE IMPROVEMENT:
Name&Address: �lriGr4 6✓�a./ �e17y� �� t,! 4ss�y�—milli fL 3?J'�l2
Interest in Property:
Fee Simple Title Holder(if different from owner listed above):
4. CONTRACTOR: Name: Daniel Price-Power Home Remodeling Phone Number.610-874-5000 ex)4037
Contractors Address; 413b L;rescent Parkr Hiverview
5. SURETY(if applicable,a copy of the payment bond is attached):Amount of bond: $
Name: Phone Number:
Address:
6. LENDER'S NAME: Phone Number:
Lender's address:
7. Person's within the State of Florida Designated by Owner upon whom notice or other documents may be
served as peovided by Section 713.13(1)(a)7.,Florida Statutes.
Name: Phone Number.
Address:
8. In addition, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Phone number of person or entity designated by Owner.
9. Expiration of notice commencement(the expiration date will be 1 year from date of recording unless a different date is
specified. 20,
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND,TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEF�COMMENCING WORK R RECORDING YOUR NOTICE OF COMMENCEMENT.
k�( t�-�-f-\Q ko- 'l 00A O V.S 11e.
(Signature of Owner or Lessee,or Owner's or Lessee's (Print Name and Provide Signatory's Tdle/OfRce)
Authorized Ofrcer/Director/PartnedManager) ,,��
State of ,/�n County of_I-;fGo Township 2;eP/d111
The foregoing instrument Me acknowledged befo`e me this 2A*1 day of 20� by
to It. �17!l /g( J
(type of authority,...aa.officer,trustee,attorney in fad) (name of party on behalf of whom instrument was executed)
Personally Known or Produced Identification L
(Signature of No c—State of Florida) J8m&*emp
?CExpii
omm.00342671 FOrmiP502—Redsed01/13/15
Prepared By: James Kemp
1 F 8mdedlluiiRAawNd3y