HomeMy WebLinkAbout22-46014
Phone: (813) 5335 Eighth Street
ate: 08/1612022
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I III IIIIIIIIIIIrIF SIR III
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Complete Plans , Specifications add fee Must Accompany Application.All workperformed
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTORSIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City OF Zephyrhills Permit Application Fax-813-780-0021
Building C?epartrnent
Dare Received
Phone Contact for Permitting f
�''
Owner's Name ,T �tT 1S P >' ``? Owner Phone Number
n
Owner's Address 'a r } 1 {t Owner Phone Number
Pee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 1o—dLq'i1t'"sue .,,`%t a'�'.,-.' ""A"o+'r" LOT#j'`"''
SUBDIVISION d 1 rt t `v` 1 1 PARCEL ID# T 0 � ^ `. a f�TIGE)
,IAIAINECt FF2QtA F'ROPIRTY TAX
WORK PROPOSED NEW CONSTR F—I ADDIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL _
DESCRIPTION OF WORK
BUILDING SIZE SW FOOTAGE HEIGHT
t t t At I. Itt x*'.t Or, tx x It 4, Its,#. xx x Ct x': C.t C*4'.: X T,#: ,Itt X,X tx.X R' X I, t f: A.ItX €fIf, X Xd 4'. It, B r, X,1,
UIL DING $ �16 VALUATION OF TOTAL CONSTRUCTION
r .o
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING
=MECHANICAL � � VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING) SPECIALTY t__-___i OTHEIP
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY' G r /y r
iffi
SIGNATURE" "'"' ki GISITRE) i N FEE CURREN V / N
z
AddresskL(Iful w
�r IRP � license#sic
-_�
ELECTRICIAN COMPANY
SIGNATURE _ RrGlo,iERE--7 Y 1 N r'EeoueneN y` IN
Address License #
PLUMBER COMPANY
SIGNATURE RFCISTERFo rI�11 RR�11Y�LN
I
Address ...-.,. License# -.�...
MECHANICAL COMPANY
� �
SIGNATURE rR.018-ERED Y Nv� FoeCuaREra
Address License
OTHER COMPANY
�,T,�LRmuY;
SIGNATURE Rc Is7eReo Y 1 N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy roans; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Flans, Stonnnwater Plans wt 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: lit set of Energy Forms, R-O-bV Pernnit for new construction.
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stornwater Plans wt Silt Fence installed,
Sanitary Facilities & 1 dunnpster. 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.
TM� r4_4_V4,F
Directions:
Pill out application completely,
Owner A 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 COUNTERPERMITTING (copy" of contract required)
Remote if shingles Sewers Service Upgrades A!C Fences (Plot/Survey/Footage)
Driveways -Not over Counter if an public roadways.. needs ROW
813-780-002e City of Zephyrhil(s Permit Application Pax-813a80-0021
Building Departrrneri
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 fora misdemeanor violation under state taw. 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 Basso County Building Inspection Division—Lieerstng Section at 727-847- 8009.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contraeto'(s)aign portions of the "contractor Block" of this
application for which they will be responsible. If you, as the owner sign as the contractor, that inay 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 Frees fray 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 arnended: 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" of, fnal poser release. If the prwec= 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 1, 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 or a permit and that all nrork will be performed to meet standards of all
Taws 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,"WstewaterTreatment,
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses,
Army Corps at Engineers -Seawalls, Docks: Navigable Waterways.
Department of Health & Rehabilitative Service /Envimnmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement_
Federal Aviation Authority -Runways.
I understand that the following restrictions apply to the use of fill
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill Material is to be used in Flood Zone "A" it Is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a 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 FORTHEOWNER, 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 oca k 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 I ' CING, CONSULT
FLORIDA (('.5. 117,03}
OWNER OR AGENT _ m CONTRACTORS ' €`
Subscribed and sworn to (or affirmed) before me this If s fired and sworn$ (oraf e efore me this
by _ In
Who is/are personally known to me or fewhave produced Who afar ersonaIIy kr lie or has.Hauo produced
�asidentifisalim _ as rd n f attar_
—,,..., _,,,,_„__ ______„Notary Public _ . ..Notary Public
Commission Na _ (>n 145 " No.
Larne of Notary Typed, printed or stamped Name of Notary �, , i t r} s4
el
i d �.
M Doarm.Expire, '
October 3, 2023
ht:. Cis 920823
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odd T U� �•°':���
INS'TR#2022140455OR BK PC Page 1 of 1
06/2312022 10,24 AM Rcpt: 2472628 Ree: 10,00 D a: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq, Pasco County Clerk & Comptroller
NOTICE OF COMMENCEMENT
Permit Number tax FPaCles 0
The a.q*exsignrad rera rs gores o ice ;hat lmomaenert viltf t* maae- to "M
eertaon ReS Property, end ac mdante sv*lb Chariter '1i3, F znoa
statutes, Site Iollowoq Inforseat .,r is pti v aea in titts Notice of irumrtw �e Y? G
1. DESCRIPTION F PROPERTY:
fL5;I t, c 71g, tew w r •tp„zrst terP:zcU a s. d Mr !c z..
2. GE7NRAL DESCRIPTION OF I €°ROVE CENT
� r
'"his space reserved for,recordin
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT -
Name & Address:
Interest in Property:
Fee Simple Title Molder (if different from owner lasted a ye):_._._
4. CONTRACTOR; Name:' i PhongNumber:
Contractors Address:A. SURETY (if applicable, a cosy of the payment bond is attached). Arrourtt of bored:
came: Phone Number;
Address:
6. LENDER'S NAME: � � Phode Number:
Lender'w address.
7. Pe caws within the State of Florida Designated by Ownerat n whom notice or other documents may be
seared as provided by Section 713.13(1)¢a}T-, Flardda Statutes,
Nam a. A ey V hone Number:
Address: a _ ..
S. In addition, Owner designates of :o recervit
a copy of the L ienoes Notice as provided in Section 71 _13(1)(bl, Florida Statutes_
Pr, oe number of person or entity designated by Oviner, _
IlL Expiration of notice ca rn menctiment (the expiration date will he 1 year tram date al recording unless a different date is
specified, 2{J.
4 A Nl 7 � ANY PAYMENTS TOADE BY THE OWNER AFTER THE EXPIWi ION +twit= THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1, SECTION 713,13,
FLORIDA STATUTES, AND CAN RESULT IN YOUP PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST EE RECORDED AND POSTED 0,14 THE JOB SITE HEFORE THE FIRST
INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT Veipi YOUR LENDER OR AN ATTORNEY
SEFG COMXIIENCING YrVOMR R RECORDING YOUR NOTICE OF COMMENCEMENT,
qrs� oeuaC t'z�,rr>r rr' sac. crCitvr�e a E�:see's <PrirR Pram; �asd Prc.ir:� ��e:atc�p....zRiat�riicet;
rtusrceraecidfu^°, r�.3.orp,a•tnt+iisr crer}
the i ¢zng instna t as ealanoy�ledged tea ipre me thle t� da}' 09 _, 2 by
ztVF'z<" Ihz.Pz.}, e.,rr.,arx�cr, rets',::a< w,trwsw:p�Fr,6�ti ._»__v... ;r.^rr+:�crr p�tTp ues brlrslfut sbt�rr, x�x'rt.crz�rt 6+ve. eac_utarn
---Par,rratly irtcrwan cEtt dduced IdenRificati r
wwrrr' St3•xiicetscdCi °.xiiz
SU STRMy De EGglETS
COMMISSION 493(1353
PiRES :pVarkr7
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SHEETPRODUCT APPROVAL SPECIrICATION
As required by Florida $tatute 553,842 and Florida Administrative Code 913-72, please provide the information and approval
numbers on the building components listed below if they will be utilized on the construction project for which you are applying
for a building permit. We recommend you contact your local product supplier should you not know the product approval
number for any of the applicable listed products. Statewide approved products are listed online at wwwjlorid ill
1. EXTERIOR DOORS
A, SWINGING
B. SLIDING
C. SECTIONAL/ROLL UP
D. OTHER
2. WINDOWS
A, SINGLE/DOUBLE HUNG hIIC?-TA L LIC3 _ r t � �. _ _
C. AEI1.
FIB D
_r
E. MULLION
F. SKYLIGHTS
3. PANEL WALL
A. SIDING
B. SOFFITS
D. GLASS BLOCK
E.OTHER
_.
4. ROOFING PRODUCTS _.
A. ASPHALT SPANGLES
B. NON-ST U T METAL
C. ROOFING TILE
D. SINGLE PLY ROOF
E.OTHER
A. WOOD N TO
B. WOOD ANCHORS
C. TRUSS PLATES
D. INSULATION FORM
E. LINTELS
iF—df—HERS
6. NEW EXTERIOR_
A, ENVELOPE PRODUCTS
Theproducts listed below did not demonstrate product approval at plan review. I understand that at the time of inspection of
these products, the following information must be available to the inspector on the jobsite; (1 ) copy of the product approval ()
performance characteristics which the product was tested and certified to comply with; (3) copy of the applicable manufacturer's
installation requirements. Further, i understand these products may have to be removed if approval cannot be demonstrated
during inspection.
.x
APPLICANT SIGNATURE DATE Plan 3 - Rc<< 8I15
g'
aCIS Homey Lay In Use, Registration Not Topics
St„ mi. Su dwsiv wtats 8. Facts
Publicaboms Co racl Us Rwws Vol! mail
Unko �Uw h
1, u
i Product Approval
USF Nblic User
:> Fic,c�ta i .. t Lasi Flt",s,t, 9ctk
.w i s s .* Apgiftat esn L�rsYaTr
Application Type
R vis'jon
Cade Vernon
2020
Application Status
Approved
*Approved by IW x PR, Approvals by DBPR shall be rev iew6d
and ratified by
the h'OC and/or the
i,S>C'nYY NS'Or3 if necessary.
Comments
Archived
Product Manufacturer
A€dress/Phono/Enna it
Authorized Si nature:
Technical Representative:
Address/Phone/Esr zaii
Quality Assurance eprc=sentative
Address/ioho ae/Emait
Categw)t
Subcategory
Compliance Method
Certification Agency
Validated By
Referenced Standard and Year (of Standard)
PGT Industries
1070 lechnology Drive
.North 11t;;.Ciice, FL 34275
lens rR sin viski
ircasowski@pat.rid u rries,ceam
tyn a Miles d;E ,
107 redinnuio y Dr
N Venice, FL 34275
(s4l)480h0:10 Ext 21.142
Windows
Single Hwig
C.ertlflc.=.t;on Mark or r istina
Steven M, tlr.rh.,. PE
Validation Checklist ,. H ardcopy elect lved
to y rd,
,ANt,osxWr3#lA/C;SA 101/C32/A4.40
ASTM E188
ASTM E 88
ASTM E1,996
ASTM E283
ASTM E?337
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
t:
t ' °?�..'`Z" EGPI;v..r",a�N
tlLjl k t,'Itty
Y�2m
2011
NOS
2013
2012
2004
2002
Product Approval Method
Date, Submitted
Date VaUdated
Date Pending FBC Approval
Date Approved
Method I Option A
1,0127/2020
11/04,12020
11/08/2020
— ......... .....
24
I he Slote of Vkorkda s a AefE0 ems toy er, atLy-gy
U, atm Flo rIRi I ae, e mii 11 add rcases zwe pu h! hc,, eco rd, If you do riot watt. Your ma R address relea sed I i response dr a pub tic , tcords four Shot, do not send e le ctro nr C
oi,,M to this entity, Instead, co"Iract the office oy phone, or Oy Vad�tzonal mall, If you have any que"Itions, ldc,,Ise Contact 850,48',*J395, -trurouint to Section 45S,VS(l),
Fiw ,la Stotutes, effecti ve Octobe r 1, 2012, tics sm, ,ice: cool u nder Ch I i'pte 45' 3, K S. must provide the loopa rtment with an email od-drees if they have one , The ema I is
provid,wl may be used fw officizo communication with the licwnsoe, However conia addrevom, are public mcomd, If you do riot wish to supply a paIsonal address, plc,3-qe
tocvvla the lNulortrnent with m, ernail atryes, wrik�h ow, be roade ava&lioe, to the pimVc. To detormine If reu are a NcerisLe under Chforter 4SS, KS, please click
Produ,t Approval Accepter
—011
Sa
I fe
h''
Document TMe, 0 oc No t FRM BI-02 ._q
w -
k-'N
Structural Performanc
STOt
e 7-T
PNCg
Certification
Authorization Reoort
Required By PRO BI-03
CAR & Product ID Nurnber. 190 - 1021,O
Issue Date" 11/7/2014
Revision [)ate� 612712018
Expiration Date: 10/10/2021
Company Code: I f)o
This Certification Authorizabon Report (CAIR) is issued by Keystone Certifications, Inc, (KCl) after full valid ton review,
and is based on a standardized evaluation of the product conducted by an independent al,credited laboratory in
accordance with the specified referenced standard, Actual fenestration pns,)diuct performance may very based on many
factors, including installation, condition of they wallfroof substt-ate and the age of tie prcxluct and installation
components,
This report indicates the product is eligible for the application of Keystone Certification Program ceilification labels,
Licensee stipulates in affixing certtificabon labels to products, that those products are representative of the $I) K-imen
evaluated and documented for certificarion authurizabon, Only products bearing such a certification label shall be
consideredcertified, The infiarmation in this report can be verified atw%x-v,keystonecerts.corn,
Licensee Information: Product Information:
PGT Industries Model: SH5400 View PVC Single HUng
1070 Technology Dr, PO Box 1529 Operatcrr'fype: H
Nokomis FL 34274 Config: EM/All
Max Wicift 52
Max ejv�, 9-
9
Referenced Standard, Product Rating,
AAMA1V%(DMA/CSA 101/1,S,2tA440-11 l Class LG-PG50 1324x2330 (52x92)-Type, H \v,[T3 9,75
Qualifying Test Information:
Test Report No: FTL-7942/7944
Test Report Expiration: 10/10/2021
Authorized Signature: Keystone Certifications, Inc.
A k 0 18.06.2 7 '145 Urnekiln Rd, Suite 100B
4.
Neo,1 Curnberland, Pennsylvania 17070
13:03:17 -04'00 Phone� 7,17-932-8500
Fax, 717-932-8501,
���OCtkY mt! Title noc iT, FRM BI-02
..... Rev N. 7 P"ge 1 01,
Structural Performance
Certification
Authorization Report
Required ByPRO Br-03
CAR & ProdUCt ID Number: 190 - 1022,0
Issue Date- 11/7/2014
Revision Date', 612712018
Expiration, Date. 8/13/2021
C—ompany Code: 190
This Cerfificab on Authorization Report (CAR) is issued uti Keystone Cerbications, Inc. (KCI) after full validation nzwiew,
and is based on a standardized evalWatio!', of the product conducted by an independemt accredited laboratory in
aCcordance with the specified referenced standard, Actual fenestration prodiuct performance may vary based on many
factors, including installation, condition, of the walttroof SUbstrate and the age of the Product rand installation
Components,
This report indicates the product is eligible for tie appfication of Keytor-reCertification Program certification labcers,
Licensee stipulates in affixing certification fabeis to products, that tiose products are representative of the specimen
evaklated and docurnented for certification autthorization, Only products bearing such a certification label shall be
considered certified, The information in this report can be verified atwsos.keystonecertsaorn,
Licensee Information: Product Information:
PG Industries Model, SH5400 PVC Single Hung
1070 Technology Dr, PO Box 1529 Operator Type, H
Nokomis FL 34274 ConfigEM/AH, CAS-1/8" Ann IG
Max Width: 40
Max F-teight: 63
Referenced S ar d g Product Rating'.
AAMAANDMA/CSA 101/!SZA44011 Class R-,PG50 1016x1600 (40x63)-Type H Neg DP=70
Qualifying Test Information:
Test Repart No: FTL-7946
Test Report Expirat 8/1312021
Authorized Signature: Keystone Certifications, Inc.
145 Urnekiln Rd, Surte 100B
2018.06-.,2/
New Cumberland, Pennsylvania 17070
1 -.0 Phone� 717-932-8500
3 8-06-0400 Fax717-932-8501
�N\,VVV. KEYS, f ONEC ERT�5`,CXW
Documenk Title 00C No, FRM BI-02
STON Structural Performance
Certification
Authorization Report
RequjredBy� PROB-1-03
CAR & Product ID Number: 190 - 1026O
issk,ie Date" -111,11 /2014
Revision Date: 6/2712018
Expiration Date, '101612021
Company Code: 190
This Certificafion Authoftabon Report (CAR) is issued by Keystore Cerfiftations, Inc, (KC11 rter full va�idairon review,
and is based on a standardized evaluation of the product conducted by an independent accredited laboratory in
accordance with the specified referenced standard, Acival fenestration product perfortnance may vary based on any
factors, including installation, condition of the wathroof substrate and the age of lie prOdUCt and installation
components.
This report indicates the product is eligible for tie application of Keystone Cerblication Program certification latitals,
Licensee stipulates in affixing certification labels to products, that those products are representative of the specirrien
evaluated and documented for certification al,1horizalion, Only products bearing such a certification label shall be,
considered cettified. The infom)ation in this repeat can be verified at
Licensee Information: 1 Product Information:
PGT industries Model: SH5400 View PVC Single Hung
1070 Technology Dr, PO Box 1529 Operator Type: H
Nokomis FL 34274 Config: EM/All
Max Width52
Max Height, 92
Referenced Standard: Product Rating,,
AAMAAAtDMA/CSA 101/1,S,2hA4,40-11 Class L,C-PG65 1324x2330 (5202)-Type H log DP=70
Qualifying Test Information:
Test Report No: F-IrL-794517943
Test R'Ieport Expiration: 101612021
Authorized Signature: Keystone Certifications, Inc.
2 0 18.0 6' .2- 7 145 Urrielkiln Rd. SUite -100B
A berland, Pennsylvania 17070 AA New CUrn '
5:16-15 -041 00 1 Phone: 717-932-8500
Fax: 717-932-8501
�..urrter£ iE!; ��
,,,
Structural r once Rev No Oage', I
Certification
......,
Authorization Report
Requifed By PRO F- 1-0
CAR & Product duct Its Number: "l o _. 11027,0
Issue eats:11/11/2014
Revision Date: 6/27t2018
Expiration Date. 101612021
Company Code: 190
This Cerlificaton Authorizabon Report (CAR) is issued tq Keystone Certifications, Inc. (KCI) after full validation review,
and is based on a standardized evaluation of the product conducted by an independent accredited laboratory in
accordance dance with they specified rpnc ef ced standard Actual fen tr t€on product t performance may vary bused on many
factors, including installation, condition of the vvall/roof substrate and the age a.f 0,Ee product and installation
components
This report indicates the product is eligible for the application of Keystone Certification Program certification lasers.
Licensee stipulates in affixing certification labels to producM, trial those products are representative of the specimen
evaluated and documented for certification authorization, Only products b2aring such certification label shall be
considered certified. The inf rinat on in fii s report can be verified atw vvv. Pystdnecerts.cwn,
Licensee Information: � Product Information:
PGT industries Mudell Sl"45400 View PVC Single Hun
i
1070 7r:; Technology Dr, PO Box 1529 Operator Type; H
Max Width, 36
Max Height" tad
ReferencedStandard
AAM:A&`'C?M,ratCSA 101/i,S,'2/,A4fit)- 1
mQualifying- est Reporl No, I t L- 94
'test Report Expiration: 1 `t U.`6/20 1
r Rating
KeystoneAuthorized S A ignature: Certifications,Inc.
1 rli w,, .2 14 1. ni kiln d, Suite 1008
.. �� +, New Cumberland, Pennsylvania 17070
- rc,.,RMA, PRODUCT APPROVAL 01435
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Submit swcT mgtY ', 50t.i N)ds pUtVcsass coltact0s 5CIS sii8KIP
Unkx
kr�w �ts�wsra i�zff p�'T
! Product Approval
. U E62, Publbs tfisY.`r
£
7
> Applic,.33flon Detail e
FL #
Fiu1844- fir,
dP
Application Type
"Revision
Code. Version
2020
Application Status
Approve
*A;a1ti-ot+ed, by u PR. Approvals by DSPR shall be reviewed and
ratified by
thw,, POC and/or the Cornmission if necessary.
Comments
Archived
Product Manufacturer
PVT find st ass
Addresq/Phone,Frraaai
1070 Technology Drive
North V .icier FL 4275
(941)486-0100 ' A 1S.4C
Authorized Signature
leas Rosows?ri
Technical Representative
Lynn Miller, RE
Address/Phone/Email
1070 Te chma[togy far
N Venicc FL :3427
(941) 86-01,00 Ext 114'2
rrtt=llc„r'�s3j'ar�tftadc „Crs�s,z:nrrt
Quality Assurance Representative
Address/Phone/Email
Category
Wlndows
Subcategory
Hnrl7ontal Slider
CompHance Method
Ce titicatimn, Mark ar U tang
Certification Agency
keyston.. Ce ti;ica ions,, Inc,
Validated By
Steven M, uric,, PE
�`�;,,fidition Checklist w H rdcopy Received
Referenced Standard and Year (of Standard)
ta1A-T
Y ell
AAW;i'WD,MA, J'C;SA 101./1,S,2/y,440
2011
ASTM E1886
2005
ASTM }".#tTSC
013
AS^;M E-1996
2012
Fquivaie=.race of Product Standards
Certified By
Florida Licensed Protesnsieinrtal Engine or Architect
iil.,i�¢\. r?;„„w?,tiPl9 rvJ.....g.`,-�t_?..«a�...,. 1iXLahlk?4...-;.u''k'v`..:.:evi.: .,*..'.
Product Approval Method
Date SubmRied
Date Validated
Date Pending F8C Apprcivat
Date Approved
Summary of Products
�F`L# Model, Number or Name
1844,1 Ht5410
Method I Option A
10/27/2020
II/D4/2020
11/08/2020
Limits of Use
Approved for use hn HVHZ. No
Approved for use outside HVHZ: Yes,
Impact Resistant, No
Design Pressure- N/A
Other: Please Sce the installation Instructions for design
pvk -„ssurff, size earid arichorage information,
1844,2
Limits of Use
Approved for use In HVHZ* No
Approved for use outsids, HVHZYes
Impact Pesfstantz Yes
Design Pressure, N/A
Other. Please see the Instaiiation instructions for ricsign
pressure, size and aricho,rage information,
F—
Description
1 Energy`Vue Vinyl Horfirontal Roller
Certification Agency Certificate
Quality Assurafrice Contrast Expiration Date
12/1-1/2021
Installation Instructions
Verffied Ely� A, Lynn Milker, PE58705
Created by Independent'Third Party: No
Evaluation Reports
ESBA -R251A Q Af
tIl
Created by lindependent Third lhoirtyNo
---------- ....... . .. . .....
WinGuard Vinyt Horizontal Roller
Certification Agency Certificate
EUAASd,
Quality Assurance Contract Expiration Date
12/11/2021
Installation Instructions
Verified By: A. Lynn Miller, RE, 58705
Created by Independent I hird Party. No
Evaluation Repofts
Created by Independent Third Party: No
T,he RaW of Florida is In AA/UE0 emplayer, "Ri _ Lnt -t'j
Under RoHOM iaw, ennail addresses am pttblic recards, 11 you do, not want your e-nush addre'sr ref~.ale,d in refpotse to a pubtir-reco?*' requee, do not, send electroole
ma A to rriis enbly. Tnsteade contact the GIfice by phone or by tradflhyriai fnaiL If you bave any quessom, Please contact 850,487<1395, 'Psrsoant to Swftlon 4S1275(1),
FIV'Ida SO, N'taseffsMve Octiher 1,< 201�' ftersees rcanted or, ler Charter 4S5, RS, must provide, the 0epartmerit with an amtot addre.sq If they havi one, Ilu. einaft
provid,,,e mwv be, used for offickfi M"'In the ficensee, H"4evnrr emait add'esiies a pUblie MicrdIfyou do not woh .a supply a personal address, ql,wqia
provide the Mpartment with an onnail siddiross which ewi be made avairible to the pubic, To deternfte If you are a Mee nsee under Charter 455, KS , pleyee click Lq-e_.
Product Approvat Acccprc,�
' Ei Owl
"AI I �
N'T" 1 k
j rd
Safe
N41 01,
Docurri,ent Tiile Doc, 'N10 FRNI BI-02
Structural Performance
Certification
Authorization Report
RequlredBy� PROBI-03
CAR & Product ID Number: 190 - 1041 .O
ISSUe Date: 1/7/2015
Revision Date: 10110/2018
Expiration Date: 12/11 Q021
Coinpany Code� 190
This Certification Authorization Report (CAR) is issuendby Keystone 'Certifications, Inc, (KU) after full validation review,
and is based on a standardized evaluation, of the product conducted, th y an indep laboratory i �ndent accredited laratory in
accordance with the specified referenced standard Actual fenestration product txiffarrnarrce may vary teased on many
factors, including installation, condition of the wall/roof substrite and the age of ffie procluct and installation
Components.
This rewt indicates the product is eligible k,,,r sae application of Keystone Certification Program certification labets,
Licensee stipulates in affixing certification labels to products, that those products are representative of the specirrien
evaluated and docuniented for certification ai.Ahodzalion, Only products tbearing such a cedification label shall be
considered certified, Theinformationin this ref,<.)ftca.!ibeveri,iedatwm",keyqlonecerts.coi-n,
Licensee Information: Product Information:
PGT Industries i Model, FIR54 10 PVC Horizontal Slider SO
1
1070 Technology Dr, PO Box 1529 Operator Type: HS
Nokomis FL 34274 Config: EM/All
Max Width: 75
Max lHeight, 72
FFReferenced Standard, Rating:
AAMAAVD1V1A1l-,SA I 01/LS,2/A440- 11 Class LC-PG65 1905x1829 (75x72)-Type HS Neg DP=70
Qual'ifying Test Information:
Test Report No- F11-8024/8026
Test Report Expiration: 1 12111/2021
Authorized Signature: Keystone Certifications, Inc.
11 !N11111 . ...... 2018.10-10 1145 Urnekiln Rd, Suite 100B
16 -ooNew Cumberland, Pennsylvania 17070
-93"-8500 31:25 -04 tt Phone 717
Fax: 717-932-8501
CON,
Docmtnent TWs' 0 C No: FRM 81-02
Structural Performance Rev Page, 1 Of
Certification
Authorization Report
Required By- PRO BI -03
,CAR & Product ID Number: 190 - 10410
Issue Date: 1/712015
Revision Date: 10/1012018
Expiration Date, 12/18/2021
Company Code: 190
This Certificafion Authorization Report (CAR) is issued by Keystone Cerbifil cations, Inc, (KCI) after full valrdatein review,
and is based on a standardized evaluation of t1he product conducted by an independent accredited laboratofy in
accordance with the specified referenced standard, Actual fenestration product lVrformance may vary based on many
factors, includinq installation, condition of the waWroof substrate and the age of the product and installation
componenbc,,
This report indicates the product is e4gibte k)r the applicatron of Keystone Certification Prograrn certification labels.
Licensee stipulates in affixing certification labds to, products, that those prorJucts are reprasentative of the specimen
evaluated and docurnentm' for certification akAhorization. Only products loaring such a certification labet shalt be
considered cerfified, The inforrriation in this re;xort can bevedfied atww"tV.keyshonecerts"Casm,
Licensee Information: Product Information:
PGT IndUstries Model: HR54,10 PVC Horizontal SWer XO
1070 Technology Dr. PO Box 1529 t Operator Type. HS
Nokomis F L 34274 Config: EMh4,,U
Max Width: 75
101ax Height-, 63
Referenced Standard: Product Rating:
AAMA/WDMA/CSA 1011t,S,2/A440-11 Class t,.,C-PG50'l9015x1600 (75x63)-Type HS
Qualifying Test Infor mation:
Test Report Noii FTI.--8027
Test Report Expiratiom '12 /1 0 2 1
Authorized Signature: Keystone Certifications, Inc.
`145 Limekiln Rd, Suite 100B
A 21 0 18.10.10
New Cumberland, Pennsylvania 17070
Phone 717-932-8500
-04'00' 16.132. Fax: 717-932-8501
'AMW KEYF;1"0NECER1'5A70M
Document Tifle, UoNo, FRM BI-02
v7 ads NaNa�
Structural Performance
y� �ST 1 00. Certification
Authorization Report
Required ray PROBI-03
CAR & Product ID Nurnberi 190 - 1043,0
Issue for 117/2015
Revision Date, 101,1012018
Expiration Date: 12/16/2b2l
Company Code: Ego
'rhis Certification Authorization Report (CAR) is issued by Keystone Certiflications, fric, (KCI) after full validation review,
and is based on a standardized evaluAaion of the product canducted by an independent accredited IaLv, story in
accordance siith the specified rebvencKJ slandard Artual Fenestration pf-oduct performance may vary based on niany
factors, including installation, ccr—dition of the wall/roof substrate zind the age of the prodUCt grid installation
components.
This report indicates the product is eligible kir hlre application of Keystone Certification Program certification labels,
Licensee stipulates in affixing certificabion labels to products, that ffiose, pr sucts are representative of the specirnen
ewaluated and documented for certification authorization, Only products t*aring SUCh a certification label shall be
considered certified, The intbmiation. in this report can be vediled at eNwe,keystanecer"S.Ccm.
Licensee Information. Product Information:
PGT Industries Model: FIRS 410 PVC Fiorizontal Slider XO
1070 Technology Dr, PO Box 1529 Operator Type, HS
Nokomis FL 34274 Config: EPd/All
Max Width� 75
Max Height: 54
[tReferenced Stan�dard: Product Rating: 'M -PG651905xl372 (75x54)-,'Fype HS Neg DP=70
JE I J�C 111,
AAMAMIDMAICS,A 101/1�SZA440 Class R
Qualifying Test Information:
Test Report No: FTL-8029
Test Reporl Expiration: 12/16/2021
Authorized Signature: Keystone Certifications, Inc.
145 Urnekiin Rd, Suite 100B
2018.10.10
'i U 1, , New Cumberland, Pennsylvania 17070
116 5:34:54 -04'00" Phyfne� 717-932-8500
Fax: 717-932-8501
U ocumaif TMe 00C No, FIRM B1 -02
%
1 ev NO, 7 r',1V Structural Performance
kx,��FYSTONI,
Certification
Authorization Report
RequffedBy PROB'1-03
CAR & Product ID Number: 190 - 1044,0
Issue Date, 1/7/2015
Revision Date: 10/10/2018
Expiration Date: 12/18/2021
Company Code:: 190
This Cerfificabon Authorizabon Report (IGAR) Es issued by Keystone Certifications, Inc, (KU) after full validation review,
and is based on a standardized evaluation of the product conducted by an independent accredited laWratore in
accordance with the specified referenced standard, Actual fenestration product perVArnance may vary based on many
factors, inClUding installation, cmditlon of the, watllroof substrate and the age of the product and installation
componeWs.
This report indu,ates the product is eligible tbr he application of Keystone Certification Program certification labels.
Licensee stipulates in affixing certificabon labels to products, that twse products are representative of the specimen
evaluateri and documented for cei4tification aUtionizailon. Only products bearing mich a certification label shall be,
considered certified, The iMotmation k'n Uhis report can be verified atwvN%,,keyslc)r,,ecerts-corn
,
Licensee Information: Product Information:
PGT Industries Model: HR541 0 PVC Horizontal Slider XO
1070 Technology Dr, PO Box 1529 Operator, Type, HS
Nokomis FL 342 74 Config� EM/All
Max Width'. '75
Max Height: 54
ReferenGed Standard: Product Rating.
AAMA/WDMA/CSA Its 11/132iA440-11 Class R-PG50 1905x1372 (75x54)-Type HS WTP=9,75
�uafifyinc g Test Information:
Test Report No� I FTL-8030
Test Report Expiratronr 121,1812021
Authorized Signature: Keystone Certifications, Inc.
145 Llmekiln Rd, Suite 100B
2018.10.10
New Cumberland, Pennsylvania 17070
16:36:16 -04 00 Phone: 717-932-8500
Farr: 717--932-8501
m
Document
x ,Certification
Authorization
Required By: PR 1 µit
lssc Date: 117/2015
Revision Date: 10/1012018
Expiration Date: 12/1612,021
Company Code" 190
f.h s Certsficabon Authorizaton Report (CAR) is issueed by Keystone Corti nations~ Inc. ((KCI) after fall validation review,
and is fused can a standardized evaluation, of the product conducted by an independent accredited laboratory in
accordance with the, specified referenced standard, Actual fenestration ptoduct M,<forma ~ce may vary based on man
factors, rs, including installation, condition of the v fiirr f SUbstrate and the ace of the prMuct and installation
components,
This report indicates the product is eligible for ttie application of Keyst�lne Certification Pro r ryl cestific tion labeds.
Licences stipulates in affixing cert frc bon labels to produchs, that rtiost productS are representative of the specimen
evaluated and d curnented for ce1ification aUthOrliZaborl. Only products hearing such a certification label shall be
considered certified. The inibrymatron in this report can be verified a t vw.k y sston c:erts corn.
Licensee Information: Product Info,rm ti n
GT Industries Model HR5410 PVC 114-1/ -°1/4 Horizontal Slider XOX
1070 Technology Cyr, PO Box 1529 OperatorType: HS
Nokomis FL 34274 onf3p: EM/ 11
Max Height 1
L Referenced Standard: Product Rating:
A Mt
,S 2/A440-11 .w Class 1 t P 50 048x t 60 t 1 U63) ype HS Wf P9 T ...w
,Qualifying Test Information:
Test Report No: FTL-8033
r
Test Repeat Expiration, i .1 11 i/2- `tAuthorized Signature-, t
Keystone Certifications, Inc.
i r, 145 Limekiln . Saito 100E
w Cumberland, Pennsylvania 17070
Fax: 717-932-8501
'Doaunnfm Tme, Doc W FIRM BI-02
Structural Performance RevNo: 7 PN" ; 1 ell, I
ity� YSTONE�
Certification
Authorization Report
Required By PRO 61-03
CAR & Product ID Number: 190 - 10710
Issue Date: 1/20/2015
Revision Date: 10/1012018
Expiration Date: 12/1612021
Company Code- 190
This Certification Authorization Report (CAR) is issued by Keystone Certifications, Inc, (KCI) after 'Full validation review,
and is based on a standardized evaluation of the product conducted by an independent accredited laboratM in
accordance with the specified referenced standard. Actual fenestration product perforrnance may vary based of', many
factors,, including installation, condition of the watUrmf substrate and the age of the pro pact and instaltation
cornponents.
This report indicates the product is eligible b,,- U,,e at plicatwn of Kpystone Certification program certification labels,
Licensee stipulates in affixing ceftifictilion labels to productss, t1hat thwse products are representative of the specimen
evaivated and documented for certifickation authisrizaton. Only prc)ducts bearing such a certification kabet shati be
considered cenified. The information in Isis repoil can be vehfied atmvw,keystonecerts,corn
Licensee, Informatiow Product Information:
PGT Industries Model: HR5410 PVC 1/4-112-114 Horizontat Slider XOX
1070 Te&noiogy Dr, PO Box 1529 Operator Type, HS
Nokomis FL 34274 Config-1 EM/Atl
Max Width: 120
Max Height, 63
Referenced S nr d ct t1ng:
AAMAA'k/DMA/CSA 10111,S,21A440-111 i G'ias,s LC-PG65 30480600 (12U63)-Type HS Neg DP=70
Qualifying Test Information:
Test Report No: FTL-8032
Test Report Expiration, '12/16/2021
Authorized Signature: Keystone Certifications, Inc.
2018. 11 145 Umekiln Rd, Suite 100B
.10
New CUmbertand, Pennsylvania 17070
1 '00 Phone: 717-932-8500 Z2 : 3 3 - 0 4'
Fax, 717-932-8501
COM
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Appraava!
r(Pr°cadsxc€
USER: Public Use,
Application Cteol l
FL ff
FE 15 13-R4 , g
Application Type
Revision
Code Version
2020
Application Status
Approved
Comments
Archived
Product Manufacturer
PI a 81:pro inc, / N1 riya Plastics `Jrr-
Address/Phone,rl"rnaii
5200 W C ENTLJRCatVD.
LOS ANGE. LES, C`rx 90045
(440) 969-97 7,3 Ext 16
1 i4iw@rwbiil':lo ultants,con)
Authorized Signature
Vivian Wright
rrr,c�i�,ewalc!��ca,�>Urltant�.cut�
Technical Representatives
Scott Johnson
Address/Phone/Email
5200 Ytt Century Blvd,
�}
Los Angeles, CA c 0045
(440) 969,9773 Cxt 18
scottjol-,nSCJt7(Zll,` l,.-,,tpi-aii-ic.c.ok'tl
Quality Assurance Representative
Ron O'Cinn(Al
Adores**/Photre}i.rnail
5200 W Ccritw'y Blvd,
i os Angele,, , CA =, 0015
(� 40) {9[4 p773 Ext1.6
3noconnell@pla�.pro.coir,
Category
Exterior Des s
Subcategory
Sotirv:iing Fxre.ner Dooi AS t'iT1i hes
Cornpli<ance Methud
Evaluation Ri'.l)cwt from a Florida Registered A C.ill,„ecl: of a
Ucensed Florida
-
Profiessio al EngiF eer
E"iti=loatk)n Re)wt - Harcicopy Received
Florida. Engineer or Architect Name who developed
the Lyndon F. Schmid , RE,
Evalcaatron Report
Florida License
,rt:_434E9
Quality Assurance Entity
National Accrediit Lion and Management Tnstit M',
Quality Assurance Contract Expiration Later
1 /3 S /2021
Validated By
Ryan 1. King, RE.
Validation Checklist - Hatch:{;,py Reco.ived
Certificate of Independence
Referenced Standard and Year (of Standard)
X fir;
i99?
IOl /I,S,2/NAFS
W02
A STN4 El A 8 6
2002
A"3TM E1886
2005
AS pM U E 996
2009
ASTNI F 1996
2002
AST E330
2002
Equivalence of product Standards
Section,,,, bona the Code:
Product Approval Method
ISaCe Subnaithe*d
Bate Validated
Note. Pending, FBC: Approval
Date Approved
Summary of Products
Go to Page.
EL
1521.3.1
Flo, ida Licensed Priafestsion al Engineer or Architect
,
Method 1 Qp ;on t2
07/21/2020
08/25/2020
08/26/2020
10/13/20-20
Nobel, Number or Name Description
a. Smooth/Wood Crain/White Wood 08 "Impact" Opaque Fiberglass Single Door
Crain/Ru4ti,/Mai r gany Series, ies, lnswin.c/Dutswing (k - Configuration)
Fibor'glaFs Door
Linuts of Use
Installation .Instructions
Approved for use in HVHZ9 No
Approved for use outside HVHZ: Yes
Verified By: Lyndon F. St hrnidt, RE, 43409
Impact Resistant Yes
Created by Independent Third Party: sles
Design Pressure, N/A
Evaluation Reports
Tither, See INS 1 15213A For Deslgn Pressure Ratings, any
I_..t } ,V a I i..._,.1 ', `u?"
a€,elitiean4kl use It7kIC«t;;tns, +n.,Ctai:ea@iun ?, str,.rt"t dn., ixrtil product
Created by itadela°zncferrt 'rhird FYarty. 4'e5
pa€ticulirs,
IS213,2 b. Stno€Jta/Woo€i Grain/White Wood
6'8 "DoPaCC OpagUe Fiberglass Single Door" with sidelite
Grain/Rustic/i tahogsny Series
utilizing "Snap F"rwhe " Glazing - inseing/Outswing (OX ot XO e
Fiberglass Near
Configurations)
Limits of Use
Installation Instructions
Approved for use in HVHZ: N
Approved for use outside l4VHZ, Yes
Ve!ified By: Lyndon F. Schmidt, RC, 43409
Impact Resistant: Yes
Created by IndependentThird parley: Yes
Design pressure, N/A
Evaluation Deports
Other: See 1NS' 15213.E fm Design Pressure Ratings, any
t....t r. . .... ,...tF
addidonal use, i initatiCons, installation !T)StrUCd0nS Zinc) Pl OdUCt
Created by Inclepondent Third Party. Yes
p3i'tIC lars.
tS 2.3, 3 Smooth/Woos Grain/White Wood
enr'<tlrktRt4`.C7C.,jM ili.tgcI y Series
Fiberglass Door
Limits of Use
Approved for use in HVHZ: No
Approved for use outside i VHZf Yes
Impact Resistant Yens
Design pressure: Ntti
Other: See INS-T 152133 for Design pressure Ratings, any
additional use limitations, ns, nstallation Mks€ructions drag procluut
Par=ICUInt's.
1521:3A d SfrntxctLh/Wood GrainANhiLe Wood
Grain/Rustic/Mahogany Series
Fffi ,rgla i Door
Limits of Use
Approved for use in HVHZ. No
Approved for use outside HVHZ: Yes
Impact Resistant, Yes
Design pressure; N/A
Other, See IN T 1,5213A for Design Pressure Ratings, any
additional use hula tcatrons, installation e istr etto ls, and Product
Particulars,
15213.5 e, Stnoothk,/Wood Grain/White Wood
C :ain/Rustic,'Mal ogany cries
Fi# eralass Door
63 "Impact" Opaquo Fiberglass Single Door with Sid0tes
utilizing "Snap France" Glaring Inswing/Outswettg (OXO
C 011 f L U{ d tlon)
Installation Instructions
Venfie.d By: Lyndon F, Schmidt, R.S. 4341,09
Created by independent Third Party: Yes
Evaluation Reports
r
F"
Cr eared by Indc pe ndent Thin( Party: Yes
6' "llulpact" Opaque:: Fiberglass Single; Door with Sidelite
UtiliZIrig "Lip ! t:e" Glazing - I€'rswing/Outst ing (OX or XO
Configurations)
Installation Instructions
Verifies( By. Lyndon F, Schmid' t, RE, I3 tq
Created by independent Third Party: Yes
Evaluation Reports
Created by independent Third €Tarty. Yes
6'8 "Impact Opaque. Fiberglass Singlet Door with Side ites
utilizing Lilt 1-ite Glazing - In wing,=Outswing (OXO
Configurx ion)
Limits of Use
Instalation Instructions
Approved for use in HVHZ; No
r.... f,,.
Approved for use outside HVHZ, Yes
Verified By: Lyndon R Schmidt, RE, 43409
Impact Resistant: Yes
Creat.,d by intetztndent `Mrd Party: Yes
Design Pressure- N/A
Evalw3flon Reports
Other. See INST 1521M for Design Pressure Ratings, any
5, S"„ ,
additional use Iirnittations, installation instructions and product
GreiittG by intit.,rendc,it Third natty: Yes
particulars,
15213,E f, Srnooth/Wood Grain/White Wood
6'8 "i€ ap ct" Opaque Fiberglass Double Door -
Gr/.in/RuSUC/iMahog ally Series
lE swi tl C,utSY• ing (XX . Configuration.)
Fiberglass Smoot
Limits of use
Installation Instructions
Approved for use in HVHZ* No
Approved for use outside HVHZ- Yes
Vorif ed fly Lyndon r, Sc rnidt, RE, 43409
Impact Resistant. Yes
C're.zat=d by independent Third Party: Yes
Design pressure; N/A
Evafuition Reports
Gather. See INST 15213,6 for Design Pressure Ratings, any
_ ; ;*, . , r. ' t; . t•'. ,
kParty:
additional toot limitations, installation jnstrtrcttnt7s and product
(.t'eat .d by In rpendent rhird Yes
particular$,
15213. g, Sr'noot h13111ood ,. train/lF hite Wood
6'8 `,Tr -)pact` ct" Opaque Fiberglass Double Door with Sideli t'--`:
GraintRustic Ma hogany S�.a� (n
utifizi v ' Snap Frame,"� lazing - I .swing/Outswing (OXXO
Fiberglass Door
Cons raiiora)
Urnits of Use
Installation Instructions
Approved for use in HVHZ,,. No
,
Approved for use outside HVHZ, Yes
Verified By: Lyndon i", Schmidt, RE. 43409
Impact Resistant: Yeas
C rea .,,d by Ind pendexiat Tiair Party: Yes
Design Pressure. N/A
Evaluation Reports
Other, See. INST 15213,7 for, Design Pressure Ratings, any
additional use limitations, installation instruction,-; and product
C'r€Sat..d by i,'atlt pu.,adetri Third Party: Yes
. PartiCUlar5,.
152,118 h. ` mooth/Wood G,aitl/Wh te7 brood
68 "Ir-ip act" Opaque Fiberglass Double Door with Sidellte
Grain/Ru Sticyvlahog any> Senies
ublizir g 1. P Lito" Glazing - ln1 wih4i/aSI;swinq (O.XXO ,,.
Fiberglass Door
i'onflouration)
Limits of Use
Insta lation Instructions
Approved for use in HVHZ: No
1:a
Approved for use outside HVHZ., Yes
Venfr ,d tsy: Lyndon F. Schrnidt, RI, , 43409
Impact Resistant, Yes
CreitM by Intl .pe=sdont Third Party: Yes
Design pressure; N/A
Evaluation Reports
Other„ wee INST I5213.8 fq; T3es+cit'i FreSa:il3'o Ratings, t.e1y
I
additional use litnitation.s, installation instt`c s.nona s slid product
C:€ e atacd by independent Thiid Party: ty: Yes
partct;larS.
15215.9 1, Smooth/Wood Grain/White Wood
6'8 "Win -he'll act Glazed Fiberglas Single Door utilizing "Snap
Graift/RustfC"Mr3#3t)gany Series.,
FrI-Ini Glazing Insori g/Oul-SNing (X a. Configuration)
Fiberglass Door
Limits of Use
Insta latioan Instructions
Approved for use in HVHZ. No
Approved for use outside HVHZ, Yes
Vo rifi .d BY: Lyndon R Schmidt. R E, 43 4 09
Impact Resistaratn No
Created by Ind perident Third Party: Yes
Design pressure; N/A
Evaluation Reports
Other. See INST 15213.9 for Design Pre~ssuro. Ratings, any
additional use limitations, installation instr uc,tlf`ns and urodu t
CreatUtd y I d` d penY'ent Ihir'I lywty: Yes
particulars,
15213.10 7, Smooth/Wood Grain/White Wood
Carain/Rustjc/l ahoganv Series
Fiberglass Door
Limits of Use
Approved for use in HVHZ-, No
Approved for use outside l- VHZf Yes
Impact Resistant; No
Design Pressure. N/A
Other., See INST 15213,10 for Design Pressure Ratings, any
additional use limitations, Installation instructions and Product
par='icular ;
68 "fYon-impact Glazed Fiberglass Single Door with Sidelite
atilitirg "Sna#a Frame" Glazing - Inswing/Outswin (OX or XO
t oniz tli'l'ion of
Inst 'lation Instructions
p„ , 3 ,
Verifr d By: l>yr,rlcan r Schmidt, RE, 43409
Creak�d by Invdependent. Third Rarty= Yeas
Evaluation Reports
Creai,ed bySlndeRendent Third Party: Yeas
1521111 k Smonth/Wood Grain/White Wood tS S "hon-linpact' GlaaYd Crherglw,,r Single: Door with Sidelims
Gr<ain/RUstie;/Mah ganyt Series uni zieg "Snap Ftt+ire Glazing - Tr7i;odnig/Out. wing (t3Xt, -
Fiberglass Gloat Conti( uriadan)
Limits of Use InstrAlation Instructions
Approved for use in 3 VHZt No I„
Approved for use outside HVHZ,, Yes tferfte i Sy; Lyndon F, Schnnidt, RE, 43409
Impact Resistant. No (,realed by Independent Third Party, Yes
Design Pressure-, N/A Evaltation Deports
Other, See INST 1521 3A 1 for Resign Pressure Ratings, any
additional use (irditdtions, installation, tiasrructions and product
_�. �..;: r a` ��u�i �21,,.r
particulars,
Created by 1, ndepei dent Third Patty: Yes
15211121 E, Snn noth/aPe°ood Gratin/tVIi to >rti'ood
6'8 "Non-Ir;npract Glazed Fiberglass Double Door utilizing „Snap
Graain/( ustic/Plahogany Series N
t lane' Glazing Inswing/Outswing (XX - Configuration)
F bergEas x Door
Limits of use
Installation Instructions
Approved for use in HVHZ* N
Approved for use outside HVHZ, Yes
Verified By: Lyndon F, Schmidt, P.L. 4340g
Impact Resistant, Net
Created by inde.pendernt Third Party: Yes
Design Pressure* N/A
Evaluation Reports
urea': See, !Ns,r 152.1.3,1. Coi I et',yn Pfes,,,uie Rain Cjs, any
'` " �,,, ,.at ,•' 'u ti :, . t
additional use halitatiow, rir tartan an instiuc:hons and product
Created by Independent Third Party: Yeas
Particulars,
1 213,13 m, Smocitht/Wood Grain/White Wood
f '8 "Non -Impact" Glazed F b rgt ss Double Door with Sidelites
Grai n/Rustic/fya had any Series N
utilizing "Snap Frame" Glazing - Irnasaii nr/Outswing (OXXtO -
i=iberglaass Dour
'onfiguration)
lirruts of Use
Installation Instructions
Approved t`CT\re f f{t7" use FYE t No
= i...: �... ., `Z 3 ,_; ..i w. i,.. 's i
Approved for use outside HVHZ, Yes
Verified 3y. Lyndon F. Schmidt, RE, 43409
Impact Resistant, No
Created by Irr:fc,iaendent bird Patty! Yeas
Design pressure.: Nu'A
Evaluation Reports
Ott -ter, S..e :iNST 15213,13 for Design [It etss are Patin(, S, any
additional use llmitatiorns, installation instructions, grad product
Created by I:nde>.pendent. Third Party; Yes
Poo i1cul 3:"s.
15213,14 n, S ca'h, V ood Gi aatrn/oP-, to Wood
We "Nan -Impact Glazed Fiberglass Single Door utilizing "Lip
Grat n/R{ustra,rMahogany Series N
te" Glazing - Insmn9y ut.swing (X . Configuration)
Fiberglass Door
Livnits of use
Installation Instructions
Approved for use in HVHZ. No
i : ,;
Approved for use outside HVHZ, Yes
Verified By Lyaidon F, Schmidt, RE. 43409
Impact Resistant: No
Created by Independent Third Party: Yes
Design pressure. N/A
Evaluation Reports
Other, Sec LNST 152111 f1cir Design Pressure Ratings, any
...'5.
additional use liirniiations, nstallation instructions and oroduc:t
Cratated by independent Third Party: Yes
Particulars,
t521.115 : o, ;?IY',00th/4`JCaod C rain,/ti hite Viuou
5'8 'Non-Ini pact" Glazed Fiber -glass Single Door with Sideli(::e
G„ 'ai, )jRL. Eitl C('MG-11109�.,rlY Series N
ritilizi ng "Lip Lite. Glazing - inswii ECl/Outswing (OX at- XO -
F(bsrrgkass Door
Configurations)
Limits of Use
Installation Instructions '
Approved for use In HVHZ, No
Approved for use outside HV14 . Yes
Verified By. Lyndon F, Schmidt, l'.L, 43409
Impact Resistant; No
Created by independent Third Party: Yes
Design Pressure: N/A
Evaluation Reports
Other: See 1NSI 1521315 for Leos qn pressure Ralfings, tarry
la, I . ,'Idt
additional use, limitatron:s, installation instructions and tnetduct
Created by Independent Third Party: Yes
tl"tCt7CUI.) ,
,.
I521.1 :1..6 : p. 5r'ioch"Il(Wood G ain/V'VEi'1.w Wood
6'8 " Non -j rn pact" Glazed Fiberglass Single (,ioor with Sidolites
G [airlifvUstit-,'rI lbog ny Se res N
utilizing "Lit°? Lite" Glazing .. InsL ing/Outmeing (OXO -
- Fiberglass Boor
Ca}nnqul atiokn )
Limits of Use
Installation Instructions
Approved for use in HVHZ; No
Approved for use outside HVHZ, Yes
Verified By: Lyndon F, Schmidt, R 4.3409
Impact act Resistant. No
Created by Independent Third Party: Yes
Design pressure: N/A
Evaluation Poports
Other; Ste INS,T 15213,16 for Design Pressure, Ratings, any
R,! s ...il, . V i, t..,..z.;,,'t
;idditionaat ure Iimit.ationq, installation ,n;tructiom-', and to ,idciet
Created by Independent Third Party: Yes
Partiw'd.ilc.rs,
15213,17 Q. Snnooth/sscod f.'ia to/1Ah to Wood
G`S "Non -Impact Glazed Fiberglass Disubte Door utilizing "Lila
C, aiCi,ritika.ai,iCeit`satk4hsalty Series s N
!ire" Glazing - Inswing/Outswing (XX -- Configuration)
Fibe;glass Dow
Limits of Use
Installation Instructions
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yeas
Verified By: Lyndon F. Schrtnidt, P.F. 43409
Impact pact Resistant. No
Created by independent Third Party: Yes
Despirt Pressures N/A
Evaluation Reports
tether~; See INS1 152 3A? for Design Pressure Ratings, any
�±,..1, R: " i .. . ._."�:.��.-.. 1....,,,:i
additional use hin t.ation:s., installation instructions and product
Created by Independent Third Paa'ty: Yes
particulars,
1551.3_',g t, Smoutf,,°Wood Grain/White Wood
G'd "Non -Irnpact" Glazed Fiberglass Double Door with `5idelites
Via !l,,"°Dust,(/MaiC)gany Series N
utilizing."Lip Litt Glazing - Inso ing/Outs4ting, (O,\'XO W
Fiberglass ;scan
Configuaration)
Limits of Use
Installation Instructions
Approved for use in HVHZ. No
'Ji Z)
Approved for use outside HVHZz Yes
Verifikd By' Lyndon F, Schrnfdt, RE. 43,M9
Impact Resistant. Na
Creatd by Independent Third Party: Yes
Design Pressure: N/A
Evaluation Reports
Other. INST 15213,18 for Design Pressure Ratings, any
,,,2
additional use limitations, installation instructions and product
Creatod by IndependenrThird Party: Yes
Particulars,
15213,19 s, Smooth/World Grain/White Wood
8'0 "Ir-wact" Opaque Fiberglass Stingle, Door-
Grain/Rustic/Mainogany Series N
lnswirrI/O utswiria (X - Coll fi g u i-�Itfo n)
Fiberglass Door
Limits of Use
Instalation Instructions
Approved for use in HVHZ. No
Approved for use outside HVHZ,, Yes
Vel`ifiEd By: Lyndon F', Schrr)idt, RE. 43409
Impact Resertant: Ye's
Created by Independent Third Party: Ycs
Design Pressurc. N/A
Evaluation Reports
Other: INST 15213,19 for Detsign PreSSUre Ratings, any
Fk
additional use hinitations, installation instructions and prodUCt
Created by independent Third Party: Yes
barticulars,
15213,20 t- Sn-,uoLh/W,)(,,)d Grain/White Wood
8'0 'Ir-)pact" Cipaque Fiberglass Single Dww with Sidelite
Grain/Rustic/Mahogarly Serics N
utilizinn "Snap Frame" Glaziog , Inswina'Outswing (OX or XO -
Fiberglass Door.
Configliations)
Limits of Use
Approved for use in HVHZ� No
Approved for use outside HVHZ: Yes
Irripact Resistant: Yes
Design Pressure: N/A
Other: INST 1,5213.20 for Design Pressure Ratings, any
additional use lirriftations, installation instructions and product
Particulars,
Go to Page 4
Installation Instructions
V�nNa By�: Lyndon F, Sdf,'ijdt,', l'.E", 43409
Creif,�d by Party: Yo,,�
Evaluation Reports
Creat,,cl by Independent Third Party: Yes
0 0 Page I / 2 0 44
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