HomeMy WebLinkAbout22-4761 (2)City of Zephyrhills
5335 Eighth Street
ZephvrhiUa.FL33542
Phona:(813) 780-0020 Issue Date: 09/13/2022
Fax: (813)78O-00 1
Name: G|OVxwNAHALL &LARRYHALL & Permit Type: Add/Alter (ReoNanUe)
CECELE HALL I Class of Work: Add/Alter Residential
89641 MeeduwoodLoop
ZEPHYRH|LLS.FL 33542
|
Phone: | (813)347-0117
INSTALL KNEE WALL mVELECTRICAL
Electrical Permit Fee
Building Plan Review Fee
Building Valuation: $1.000.V0
Electrical Valuation: $1.2nV/0
Mechanical Valuation: $1I0
Plumbing Valuation: $1.00
Total Valuation: $2.20eI0
Total Fees: $130.50
Amount Paid: $130.50
Date Paid: 9/13/2022 12:09:10PM
3e641 MeouuwoodLoop
Contractor: EXECUTIVE CONTRACTOR
I INC
$46{0 Electrical Plan Review Fee
$22.50 Building Permit Fee
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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
fir
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
M)0�*-Xtoz�
PEfIT OFFICE
:0i1,r City of .r, Permit•a t
Building g Department
Date «' Phone
7w �MN�MI'11M � Irt M1 illy 1�.t11' IMI M!'MIM911f rIF1M r•�� r � • t for
« Permitting
• . ADDRESS
,. PROPOSED
rADDIALT
INSTALL REPAIR
PROPOSED
Comm
TYPE OF
BLOCK FRAME
DESCRIPTION OF WORK
r
1
HEIGHT
BUILDING
$ -��
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE PROGRESS
ENERGY W.R.E.C.
PLUMBING
$
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
�
$
GAS
ROOFING
SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA =YES NO
t
t
•
r'
Directions*
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over 11 a Notice of Commencementrequired.«t 1 t•
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 shinglesUpgradesA/C(Plot/Survey/Footage)
INSTR#2022203916OR BK10691 PG3591 Pagel-fi
09/1512022 10:16 AM Rcpt: 2503825 Rec: 10.00 DS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No. 6A-,e-
prWertyldcrtfificadonNo. 1.2 26 ZI 0lq60000g ,p'�l9to
THE UNDERSIGNED hereby give inifnMes you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT,
I.Description, of property (legal dera4don.)
a) Strad Address-.
2.OeneW description of improvements:
1711-?5� �,P -3763
3.Owner Wormation
a) Name and addmss:&z?'VAvia,� 44*1( '3!%y(
b) Name and address oF& simple , titicholder (if other than owner)
c) interest in pro" AWAL4-
4.CojnftcWr Information
Name and address: AIJ '�T- YU, 4. 33� I?
b)Telephone No.: Foci No. (Opt)
5.Surety Information
a) Name and address!
b) Amount of Bond:
c) Telephone No.: fax No. -(Opt-
6.Lender a) Name and address:
Phone No.
7. Identity of'person within the State offlAride designated by owner upon whom notices or other documents may be served:
a) Name and address:, L't
b) Telephone No.: _ Fix No. (Opt.)
8.10 addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b), Florida Statutes:
a) Nam and address:
b) Telephone No.: I-- — Fax No. (Opt.)
9.Expiration date ofNotice of Commencement (the expirailon date is one year firom, the data oficcordmigunle- -a different daft is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AMR THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 71113,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.i
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE �
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY FIRST
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STA,'M OF FWMDA
COUNTY OF PASCO
Sfpswre orowou or Owmes Audwrized Officer/131romr/PartneTIMmager
The regoing in was acknowledged before me this y aby
a. '�2 ofiuth ty� c.g. officer, trustee, attorney
in &act) for a��/ _-Z AA%odk of party on behalf of ent
OR Produced Identification Notary Signature
Personally Known Z 7L�/
Verification pursuant to Section 92.525, Florida Statutes. Under penalties 0111ury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief. I
LORI L. HILLAAN Sien
Notary Public - State of Florida!
.1 Commission 4 HH 254622
my Comm. Expires Aug 13, 2026
Janced through National Notary Alin.
0
0
(�5
2
U�)
:3 0
T
0 01
-.1
t:
0
0 C'
0
0
I-- C
0 a_ co
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant,
have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide' prepared by the Florida Department of
Agriculture and Consumer Affairs. If the applicant is someone other than the "owner', I certify that I have obtained a copy of the above described
document and promise in good faith to deliver it to the "owner' prior to commencement.
CONTRACTOR'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.
FLORIDA JURAT IF.S. 117
OWNER OR AGENT
S scr e and sworn to (or affirmed) before me this
y� Zby Martin Sterling
Wh is/ar personally known to me or has/have produced
as identification.
_Notary Public
Commission No. 61
Name of Notary typed, printed or stamped
CJ�'yrwr1
'V l t.HI41 itA`,'i`j.:>i.%
ti LXRRES December 118, 2022
t
=riped and sworn to (or affirmed) before me this
by Martin Sterling
Who is/ar erso know to me or has/have produced
as identification.
___Notary Public
Commission No.
Name of Notary typed, printed or stamped
�;xiSxsXa^--1swk�3Fva'R Nw. zCRk"R 4t i,w't�fim � `C�&s�Y. '�".t Samh *+'�tSttNdd2`4 _.
R iiN i R1 I IL l r aA1 -..
2
I i PF t _m J t "(22
INSTR#2022194219OR BK10683 PG1 662 Page 1 of 1
09,/01 (2022 11:06 AM Rcpt: 2498764 Rec: 10.00 DS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
NrX�INLAI56r
t1-1---..
Parcel 10 Number D(P - 21 - Qb 16 — 0010
NOTICE OF COMMENCEMENT
State of Florida
County or - ri�cD
THE UNDERSIGNED hereby gives notice that improvements will be made to cortain real property, and in accordance with Section 713.13 of the
Florida Statutes, the folfovAng information is provided In this NOTICE OFCOMMENCEMENT.
1. Description of property (legal description): Awe �-ET a 4 it DIA
of
4V2 i�'w A
a) Street (Jab) Address: Ljkg
2.Generaf description of Improvements:
3.Owner Information or Lessee Information If the Lessee contracted for the Improvement:
a) Name and
b) Name and address of fee sirrplo titleholder (If different than Oviner listed above)
c) Interest 16 property:_CgA2fL4,`
4,Contractor Information
a) Name and address; The Home Depot 2455 Pnces Ferry Rd ftC- I I ATL, GA 30339
b) Telephone No.: 813-626-7548 Fax No.: (optional)
5.Suroty (if applicable, a copy of the payment bond is attached)
a) Name and address:_
b) Telephone No.:
v) Amount of
S. Lender
a) Name and address:
b) Telephone No.: 4111t
T Persons within th`oiiat-e-o-f Florida designated by Owner upon whom nofloosorothordocuments maybe served as provided bySection
713,13 (1) (a) 7., Florida Statutes:
a) Name and address: 1114
b) Telephone No.: 11jV11q Fax No,: (optional)
8, a) In addition to himself or herself, Oviner designates of
to receive a copy of the Llenor's Notice as provided In Section 713.13 (1) (b), Florida Statutes,
b) Phone Number of Person or entity designated by Owner
9, Expiration date of notice of commencement (the expiration date may not be before the completion of construcflon and final payment to the
contractor, but will be I year from the 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, PAT 1, SECTION 7113.113, 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 BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
-- - --- ------
Under penbLty of priory, I doare that �ave read the foregoing notice of commencement and that the facts stated therein are true to the best of my
STU T-60 �yierorLesm—GrOhraes&Les�e�s(AuWzodOMcerA)VeaoriPartwAlamger) doIN antoa do SbWW -sTIW0fka)
to foregoing instrument was acknowledged before me by means of [P physical presence or [5 on-line notarizallon, this day
f)�>S 20 by _7U40 �s 6,,f 1) ef-- officer, trustee, attorney in fact}
,e��V OjXo� of authority, e.g. o
r -11AAmA5 (-PM -m+j as
(Nam ofPetsoo) of aAodty, 9'9' offur, histee, adomeyin fact)
r A-),IAN,5 (PJ-)P4lj (name of Y ohhhom ImWnwl vasoxeaqad).
,rsonatly Known Produced ID
1pe of ID Notary Signature T
Print name
DAVID JOEL WILSON
Notary Public
State of Florida
Cornm# HH126881
Ir Expires 5/512025
IN,STR#2022179209OR BK10671 PG2884 Page 1 of 2
08 ' /12/2022 03:28 PM Rcpt: 2491574 Rec: 18.50 IDS: 1400.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Prepared by and return to:
Shawne Weaver, For
Meridian Title Company, Inc.
37837 Meridian Avenue Suite 100
Dade City, FL 33525
352-567-1241
File Number: 22-05-65AW
SALES PRICE: $200,000.00
Above This Line For Recording Data]
This Warranty Deed made this 5th day of August, 2022 between Corey D. Swanstrom and Melissa M. Swanstrom,
husband and wife whose post office address is 3025 Coats Rd, Zephyrhills, FL 33541, grantor,
and Thomas M. Conlon and Adriana I. Conlon, husband and wife whose post office address is , grantee:
(Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of
individuals, and the successors and assigns of corporations, trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate, lying and being in Pasco County, Florida to -wit:
See Attached Exhibit A
Parcel Identification Number: 14-26-21-0010-00800-0100
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances, except taxes accruing subsequent to December 31, 2021, zoning and/or restrictions imposed by governmental
authority, and easements, restrictions and reservations of record, if any, however this reference shall not serve to reimpose
same.
Home Improvement : Page I
Home Depot License Ws - For the most current listing visit www.Homede
FL: ECO001440,CGC1514813\CRC046858,CAC1813767,CFC1426021,CFC1427642.22840CAC1818831, CCC1331113,
CCC1331130
David Wilson
Salesperson Name Registration #(Raa'bu C)
Home Depot U. S.A.,Inc. ("Home Depot") or Authorized Service Provider named below will fumish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
1. Service Provider Contact Information
IThe Home Depot
Service Provider Contact Name Service Provider Company Name
k013) 623-6053 1 ahs—ccwstpete@homedepot.com FL: EC;0�00;1440, CGC1514813, CRC046858, CAC1813767,
Phone # Service Provider Email Address 6ei 10 en S�40, UAU
2.Customer Information
Customer Last Name Customer First Name Store #/ Branch Name Customer Lead/ PO#
4922 Gall Boulevard �YRHILLS
Customer Address CAT State Zip
Home Phone# Work Phone# Cell Phone# Customer Email Address
3. NOTICE OF RIGHT TO CANCEL
YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING
THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT:
|ahs_ucwonete@homedepcn.nnm |
1201 Kelsey Lane, Suite E
108/26/2022
Custome
by: — ��- --�-- � --- — —Signature
-- — — — — �� — — --�
+wu°a,—],°*m^(2'Jul. o)m Generated om° Le"&row . 0.1.12
Home Improvement Agreement: Page
km
4. Description of Work to be Performed
A detailed description of the work to be performed is included in the paragraph entitled Scope of Work, Specification,
Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement.
5. Anticipated Delivery Date) Installation Schedule
22 Approximate Finish Date: 02/24/2023 All dates are approximate
Approximate Start Date: 12/22/20
and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in
conflnning insurance coverage of Your claim for any repair, if applicable.
6. Electronic Records Authorization
You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent
applies to this Agreement and all subsequent documents and written communications related to this Agreement. By
contacting your Service Provider, you may update your email address, withdraw your consent, or obtain a paper copy
of the Agreement or related documents at no charge. By providing your consent and verifying your email address
above, you confirm that you have access to a computer that can receive and open emails and PDF documents.
7. Contract Price and Payment Schedule'
Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified
below or in a payment addendum.
Contract Price: $ 4543.85 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ o.00......_..._.._....._� (If applicable, total amount of taxes included in Contract Price)
*?t1ta. irnunt deposit ONLYapplicable in MD, YVA, ME (33%), AIJ, ICI (99l)
Deposit % 1100.0 ..__.._ Deposit Amount $ 14543.85 Remaining Balance $ 0.0 _......v__
8. Finance Charges
Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan
agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this
Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No
funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments
made payable to Home Depot.
9. Acceptance and Authorization
By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perfonn any Services or (b)
order and arrange for the delivery of special order merchandise, including special order merchandise that may be
custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting
information may need to be provided to You later.) By signing, you acknowledge that: (i) You have read, understand,
and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You
are receiving a complete copy of this Agreement; (iii) all rights and interests under this Agreement are solely vested
in the person listed as "Customer" above; and (iv) Electronic signatures will be deemed originals for all purposes.
X 08/26/20222
Customer's Signature Date
X I /s/ The Home Depot 08/26/2022
The Dome Depot Digital Signature Date
For questions related to your installation, contact Service Provider at ($13)
For any other concerns, contact The Home Depot at 1-800-466-3337
460 Swuhad Form HIA (21 Jul. 21) (E} Generated Date Lead/PO v 0.7.11
0-I-- I C122 F2fi381072
In Witness Whereof, grantor has hereunto set grantor's hand and sea] the day and year first above written.
Si,-)jicd, scaled and delivered in our presetilm
Witness:
P6 ted Witness
Witness:
j/
Printed Witness Name k'
.� j,-(Z vf 1"'
Stale of Florida
Coulity of Pasco
C_ e, Swanstrom
C-1 Nl�- rn-&Q�W� �-, --- �
Melissa M. Swanstrom
The forcgoino inStrUnICIlt was acknowledged before me by means of JX] physical presence or Ij online notarization, this
541) k.)-t4t day o 152"F22 by Corey D. Swanstrom and Melissa M. Swanstrom, who are personally known or [X] have
produced a driver's license as identification.
(Notary Seal]
Comm.
ANDREW WALTERS
Notary Public - Slate Of Flonda
Commission # GG 352906
MY Comm.'Expirei Jul 8, 2023
floccled through National Notary Assn.
I
Notary Public
Printed Name:
My Commis
sion Expires:
ll'urrmirIv Deed - Pap 2
DoubleTimem
WINDOW SPECIFICATION SHEET - Spec. Sheet #: F27381072 Sheet: 1 of 1
Customer: Thomas CONLON Job #: F27381072 Consultant: David Wilson Date: 08/26/2022
New Window --
Hinge Locations
Existing Window
---Measurements
Grids
Product Options
Labor Options
From outside,
Left to Right
Bays, Bows
Location
Color
Rough Opening
# of bars
# of bars
Csmnts, 1 Phi,
use L, R or S
Glass
Misc Items
Hardware
Code
Screens
For doors use
c
Mull
"S" = stationary or
g
a
c
0
"V = operating
w
Style
Wraps
ivy
a L7
Room
Floor
Code
{Y/N)
Style Code
Series Code
w
_
H
o
STD, White, GlassPack:
J CHAN,
1
LIV
1st
DH-
N
DHC
6500
WH
WH
52
50
102
Standard
BF
HITILT
STD, White, GlassPack:
J CHAN,
2
LIV
1st
DH-
N
DHC
6500
WH
WH
36
49
85
Standard
BF
HITILT
STD, White, GlassPack:
J CHAN,
3
LIV
1st 'DH-
N
DHC
6500
WH
WH
36
49
85
Standard
BF
HITILT
STD, White, GlassPack:
J CHAN,
4
BED1
1st
DH-
N
DHC
6500
WH
WH
52
49
101
Standard
BF
HITILT
Wrap Color
Interior Casing Type
Bay or Bow window:
Seatboard material (vinyl only -Birch or Oak)
Bay Project Angle (30 or 45)
Bay Flanker Type (DH, SH, or Csmnt)
op of window to soffit (inches)
If tied to soffit, color of soffit material
onstruct Roof (Yes or No)'
Garden Window:
Seatboard Material {vinyl only -White Pionite,
SPECIAL CONSIDERATIONS:
Permit Processing
I have reviewed and agree with all the job specifications above and the
Special Terms and Conditions on the following page
Florida Building Code Online
6500 DH Non -Impact
WIN WIEMINZMIII�Ihll��
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts ', Publications ` Contact Us BCIS Site Map Links Search !;
Product Approval Menu > Product or App ication earch > Application List > Application Detail
FL #
FL5167-R37
Application Type
Revision
Code Version
2020
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 Simonton/Ply Gem Windows
Address/Phone/Email 5020 Weston Parkway
Suite 300
Cary, NC 27513
(800) 542-9118 Ext413596
luanne.harris@cornerstone-bb.com
Authorized Signature
Luanne Harris
luanne.harris@cornerstone-bb.com
Technical Representative
Luanne Harris
Address/Phone/Email
3948 Townsfair Way
Suite 200
Columbus, OH 43219
(614)532-3596
luanne.harris@simonton.com
Quality Assurance Representative
AAMA
Address/Phone/Email
1827 Walden Office Square
Suite 550
Schaumburg, IL 60173
(847)303-5664
webmaster@aamanet.org
Category
Windows
Subcategory
Double Hung
Compliance Method
Certification Mark or Listing
Certification Agency
Fenestration and Glazing Industry Alliance (formerly AAMA)
Validated By
American Architectural Manufacturers Association
Referenced Standard and Year (of Standard) Standard Year
AAMA 450 2010
AAMA/WDMA/CSA 101/I.S.2 A440 2011
AAMA/WDMA/CSA 101/I.S.2 A440 2008
Equivalence of Product Standards
Certified By
https:llflorida bu ild i ng. org /p r/pr_app_dtl. aspx?pa ra m=wG EVX QwtDgtZ M I u87gOKmCtAC9n EO%2 b U 7wr5BBbmrOOPC4bvyWvnCXw%3d %3d
HE
Florida Building Code Online
5167.13 143-40 and 43-45
Verified By: Fenestration and Glazing Industry Alliance
(formerly AAMA)
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
Reflections 5050, Reflections 5300, 6100 VantagePointe,
PerfeXion Gold, 4000E Vinyl Double Hung
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL5167 R37 C CAC 43-40 DH 32x62 R50.pd
Approved for use outside HVHZ: Yes
FL5167 R37 C CAC 43-40 DH 36x63-R45.12d
Impact Resistant: No
FL5167 R37 C CAC 43-40 DH 36x72-R30,12d
Design Pressure: N/A
FL5167 R37 C CAC 43-40 DH 36x74 P,-PG50.pd
Other: 36x72 (+/-30 PSF), 52x71 (+/-35 PSF), 48x80 (+/-35 I FL5167 R37 C CAC 43-40 DH 44x63 R PG45.p.df
PSF), 36x63 (+/-45 PSF), 44x63 (+/-45 PSF), 32x62 (+/-50
EL5152 R37 C CAC 43-40 DH 44x53 R35.pd
PSF), 36x74 (+/-50 PSF), 46x84 (+/-25)
FL5167 R37 C CAC 43-40 DH 46x84 R PG25.pd
FL5167 R�7 C CAC 43-40 DH 48x80 R-PG35.pd
FL5167 R37 C CAC 43-40 DH 52x71-R35,pd
FL5167 5. pjLf
FL5167 R37 C CAC 43-45 waiver to 43-40.p�ff
Quality Assurance Contract Expiration Date
01/30/2022
Installation Instructions
FL5167 R37 II IN0432b 43-40 43-45 DH-2X.pd
FL5167 R37 11 IN0434 43-30 43-45 DH IX.Of
Verified By: Fenestration and Glazing Industry Alliance
(formerly AAMA)
Created by Independent Third Party:
Evaluation Reports
FL5167 E32_ E �Ev lReep!2�434�-R&pdf
Created by Independent Third Party: Yes
15167.14 143-50 (Three -Step Sill)
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: N/A
Other: 52x71 (+/-35 PSF), 36x63 (+/-45 PSF), 44x63 (+/-45
PSF), 32x62 (+/-50 PSF), 36x74 (+/-50 PSF)
6100 VantagePointe, Asure, PerfeXion Silver Vinyl Double Hung
Certification Agency Certificate
FL5167 R37 C CAC 43-50 DH 32x62-R50,pd
FL5167 R37 C CAC 43-50 DH 36x63-R45.pd
FL5167 R37 C CAC 43-50 DH 36x74-R50.pd
FL5167 R37 C CAC 43-50 DH 44x63-R45.pd
FL5167 R37 C CAC 43-50 DH 52x71-R35.pd
Quality Assurance Contract Expiration Date
01/25/2026
Installation Instructions
FL5167 R37 11 IN0432 43-50 DH 2X.pd
FL5167 R37 11 IN0569 43-50 DH 1X.pjaf
Verified By: Fenestration and Glazing Industry Alliance
(formerly AAMA)
Created by Independent Third Party:
Evaluation Reports
FL5167 R37 AE Eva I Report -I N0569-R4,12d
5167.15 75-75, 75-09, 07-75, 07-09, 07-10 Reflections 5500, Generations, Impressions 9800, 6500
1 and 07-20 VantagePointe, PerfeXion Platinum, 6000 Vinyl Double Hung
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ. Yes
Impact Resistant: No
Design Pressure: N/A
Other: 48x80 (+/-25 PSF), 53x74 (+/-30 PSF), 48x80 (+/-35
PSF), 52x71 (+/-35 PSF), 53x80 (+/-40 PSF), 36x63 (+/-50
PSF), 36x74 (+/-50 PSF), 36x72 (+/-55)
Certification Agency Certificate
FL5167 R37 C CAC 07-75 DH 48x80 R PG35.pd
FL5167 R37 C CAC 07-75 DH 53x74 R PG30.pd
FL5167 pdf
FL5167 R37 C CAC 75-75 DH 36x63 R PG50.12d
FL5157 937 Q CAC 75-75 DH 36x72 R PG55.pd
FL5167 R�7 C CAC 75-75 DH 36x74-LC50.pdf
FL5167 R37 C CAC 75:75 DH 48x80 LC PG25,pjjf
FL5157 R37 C CAC 75-75 DH 52x71 R PG35.pd
FL5167 R37
0 9 1 P-1
FL5167 R27 C CAC ACP-05 SIM 75-75, 07-09, 07-75, 07-09,
75-1Q 75-20 DH frame.pd
Quality Assurance Contract Expiration Date
06/06/2022
Installation Instructions
FL5167 R37 IT IN0113 75-75 75-02 07-75 07-09 07-10 07-
20 DH 2X.pfff
FL5167 R37 II IN0132 75-75 75-09 07-09 07-10 07-20 DH-
ixaff
Verified By: Fenestration and Glazing Industry Alliance
(formerly AAMA)
Created by Independent Third Party:
Evaluation Reports
FL5167 R37 AE EvalReport-IN0132-R12.pd
Created by Independent Third Party: Yes
5167.16 175-75, 75-09, 07-75, 07-09, 07-10 1 Reflections 5500, Generations, Impressions 9800, 6500
https://floridabuilding.org/pr/pf_app_dti.aspx?param=wGE\/XQvADqtZMiu87qOKmCtAC9nEO%2bU7wr5BBbmrOOPC4bvyWvnCXw%3d%3d 5/6
..MODEL DESIGNATION:.
__ SimontonDoubleHung -Series -75-75 / 75-09 / 07-75 j
07-09 / 07-10 / 07-20 Vinyl Window
MAXIMUM OVERALL NOMINAL SIZE:
See Size Chart
DESIGN PRESSURE RATING:
See Size Chart
USABLE CONFIGURATIONS:
X
X
GENERAL DESCRIPTION:
The head, sill, and side jambs are extruded PVC. The wail
thickness through which the anchor screw penetrates is a
minimum of 0.070".
X
Q
--"W" MAX. OVERALL FRAME WIDTH -I
cn
SILICONE CAULK
SEE NOTES 13 & 14
SIZE CHART
OVERALL SIZE
DP RATING
WIDTH
.11,"H"
HEIGHT
48"
80"
±25 PSF
53"
74"
±30 PSF
48"
80"
±35 PSF
52"
71"
53"
80"
1 ±40 PSF
36"
63"
t50 PSF
36"
74"
36
72
t55 PSF
@ HEAD
1
SILICONE CAULK
SEE NOTES 13 & 14
REV... --' REVISIONS:
NO P.E. SEAL REQUIRED a:
INSTALLATION SUPPORTED 10 UPDATED SIZES PER NEW TESTING.
BY AAMA TEST REPORTS 11 ADDED MIN. EDGE DISTANCE NOTES
12 ADDED NEW SIZE TO CHART
13 ADDED NOTES 12 & 13 - AAMA 800
14 UPDATED SIZES PER NEW TESTING.
SILICONE CAULK
;EE NOTES 13 & 14
1 1/2" MIN. EMBED.
'MAX. SHIM
2X BUCK
#8 X 2 1/2" MIN.
WOOD SCREW
3/4" MIN, EDGE DIST.
SILICONE CAULK
SEE NOTES 13 & 14
REVISED BY:
DATE:
T.D.D.
01/29/1,1
GIM
06/16/15
LMH
07/10/15
LMH
08/16/16
LMH
04/11/18
SILICONE CAULK
SEE NOTES 13 & 14
1/4" MAX. SHIM
SILICONE CAULK
SEE NOTES 13 & 1:
�i� JAMB
2X BUCK
1 SILL
NOTES:
1. This installation has been evaluated for use in locations adhering to the Florida Building Codes and where pressure requirements as determined
by ASCE 7 Minimum Design Loads for Buildings and Other Structures do not exceed the design pressure ratings herein, for use outside the
H.V.H.Z.
2. All exterior perimeter surfaces of the window must be caulked. Interior caulking is optional unless noted otherwise.
3. Anchors shall be as specified and spaced as shown. Anchor embedment to base material shall be beyond wall dressing or stucco and into wood.
4. The responsibility for selection of Simonton products to meet any applicable local laws, building codes, ordinances, or other safety requirements
rests solely with the architect, building owner, or contractor.
5. Shims are optional. Max. shim stack is 1/4".
6. Wood bucks (by others) must be engineered and anchored properly to transfer loads to the structure.
7. When used in areas requiring impact protection this product REQUIRES the use of approved impact resistant shutters or other external
protection.
8. Flashing should be applied using the ASTM E 2112 method appropriate for the opening into which the window is being installed.
9. Installation screws must be at least 3/4" from the edge of the wood.
10. Installation screws may be placed in the interior or exterior track of the jamb. Screws should be flush with the vinyl.
11. This product complies with ASTM E 1300.
12, Designation "X" and "O" stand for the following: X: Operable Panel - O: Fixed Panel.
13. Use 100% pure silicone caulk compliant with AAMA 800 Section 1 - Sealant Specifications for use with Architectural Fenestration Products.
For more details visit Simonton.com.
14.Use a backer rod on all joints >3/4" deep and/or wider than 1/4". Finished caulk joint should be a minimum of 3/8" deep.
S I M ON TO N-
J B�F,This
DISCLOSURE S LATEMENT
Dimensional Tolerances
RMS FINISH:
documet Is the property of Simonton Windows, which retains all
its This document Is
Unless Otherwise Specified
wINnowsRAproprletary
and other rights to subject matter.
prov Ided to the recipient on the expressed wndition that it is not to be
I Cochrane A —Re
ALLOY & TEMPER:A
CHECKED
alsdosetl, reproduced In whole or part, nor used In conjunction with the
Pennsboro, W V 26415
destg n, manufacture or repair of goods for anyone other than Simonton
WEIGHT:
VOLUME:
Decimals Angles
SCALE: SHEET:
APPRVO B
Windows wRhout its consent. This restriction does not limitthe
Flt' 1 of 1
recipient's r19h[s to utilize information contained In this document which
.X t .03
SURFACE AREA:
PER ETER:
SERIES: 75-75 / 75-09 / 07-75 /
Is properlyobtained from another source.
.XX f .01 0° 30 min.
07-09 / 07-10 / 07-20 DOUBLE HUNG
.XXX � .005
FINISH TREATMENT;
TITLE:
2X BUCK INSTALLATION {AS TESTS
FILE: FL 5176.15
MODEL DESIGNATION: Simonton Double Hung Series 7575 / 07 75 / 75-09 /
07-09 / 07-10 / 07-20 Vinyl Window........
MAXIMUM OVERALL NOMINAL SIZE: See Size Chart
DESIGN PRESSURE RATING: See Size Chart
USABLE CONFIGURATIONS: x
X
GENERAL DESCRIPTION: The head, Mil, and side jambs are extruded PVC. The wall thickness
through which the anchor screw penetrates is a minimum of 0.142".
6" MAX
) 1. 6" MAX -�--I
g
\
.n
v
x
O
i
CIRCLED ANCHOR LOCATIONS
REQUIRED FOR SOME SIZES,
SEE SIZE CHART
�p
T M
�
M
i
�XX
4
�- "W" MAX. OVERALL
FRAME WIDTH
Q
SIZE CHART
OVERALLSIZE
DP RATING
WIDTH
"W"
HEIGHT
"H"
CIRCLED
ANCHOR
LOCATIONS
REQUIRED?
48"
80"
NO
±25 PSF
48"
80"
NO
t35 PSF
i
52"
71"
NO
53"
80"
YES
±40 PSF
36"
63"
NO
f50 PSF
36"
74"
NO
36"
72"
YES
±55 P
ID
SUBSTRATE TYPE
ANCHOR TYPE
MIN. EMBED
D STENDCE
A
CONCRETE (2 KSI MIN.)
3/16" irW TAPCON
1-1/2"
t-1/8"
B
HOLLOW OR GROUT -FILLED CMU
3/i6" ITW TAPCON
1"
2"
117 PCF MIN.
C
2X MIN. SOUTHERN PINE WOOD
3/16" ITW TAPCON
1-3/8"
7/8"
G=0.55
D
2X MIN, SOUTHERN PINE WOOD
#10 WOOD SCREW
_
1-3/8"
7/8"
G=0.55
E
16 GAUGE (0.060) MIN. STEEL
10--16 ITW TEKS
FULL THREAD
1/2"
STUD 33KSI YIELD MIN.
SELF -DRILLING SCREW
F
t 8 ALUM. 6063-TS MIN. OR
10 GRADE 5 SELF -TAPPING
FULL THREAD
i/2"
1 8" STEEL 36 KS I MIN.
DRILLING SCREW
U1111t/tF
Z/2D/2027
REV
ftEVISI6Ns:
s �rr.s rugr.
LUCAS A. TURNER, P.E....
Lucas Turner
` r�`wA e+" �'
TURNER PENGIN$RING &
2021.03.03
=.�f No Is III \ E
CONSULTING, INC.
_11E simor Tes n sneeT 2.
15:14:56
Pir �I=
= t?�
(COA 29779
# )
a ae¢uIaewenTs To sI
-06'00'
STATE pf
'.l .t�p> ,4 \�
2428 OLD NATCHEZ TRACE
TRAIL, CAMDEN, TN 38320
Ize aT.
L.t Sjs
PH. 941-380-1574
nsamrmn(2 .)rac.
I II"I
MIN. EDGE DIST.
SEE TABLE 1
INSTALLATION FASTENER
SEE TABLE 1
SUBSTRATE
BY OTHERS
MIN. EMBED.
SILICONE CAULK SEE TABLE 1
(EXT. PERIMETER)
SILICONE CAULK
(INT. PERIMETER)
1/4" MAX. SHIM
SF
1/4" MAX. SHIM
SILICONE CAULK
SILICONE CAULK SUBSTRATE
BY OTHERS
HEAD
i
SUBSTRATES
BY OTHERS
INSTALLATION FASTENER
SEE TABLE 1
MIN. EDGE DIST.
SEE TABLE 1
MIN. EMBED,
SEE TABLE 1
SILICONE CAULK
(INT. PERIMETER)
1/4" MAX. SHIM
SILCONE CAULK
( EXT. PERIMETER)
AMB
3
NOTES
1. This installation has been evaluated for use in locations adhering to the Florida Building Code outside the HVHZ, and where pressure requirements as determined by ASCE 7
Minimum Design Loads for Buildings and Other Structures do not exceed the design pressure ratings herein.
2. All Interior and exterior perimeter surfaces of the window must be caulked.
3. Anchor type, size, spacing, embedment, and edge distance shall be as specified in these drawings. Use appropriate anchorage from Table I according to substrate type. A
minimum center -to -center spacing of 3" shall be maintained between all Elco Ultracons in any direction.
4. Anchor embedment to substrate shall be beyond wall dressing or stucco. For masonry openings with wood bucks less than 1-1/2" thick, embedment shall be beyond wood
bucks, if used, and into masonry substrate. Wood bucks with masonry are optional.
S. Wood or masonry openings, bucks, and buck fasteners, by others, shall be properly designed and 'installed to transfer wind loads to the structure.
6. The responsibility for selection of Simonton products to meet any applicable local laws, building codes, ordinances, or other safety requirements rests solely with the
architect, building owner, or contractor.
7. Shims are required where gaps of greater than 1/16" exist between opening and frame. Max. shim stack is 1/4". Shims shall be load -bearing and capable of transferring
loads to the substrate.
8. When used in areas requiring impact protection, this product REQUIRES the use of approved impact resistant shutters or other external protection.
9. Sealing and flashing by others should be applied using the ASTM E 2112 methodology appropriate for the opening into which the product is being installed. Overall water
penetration resistance of the installed product is not addressed in this drawing and is the responsibility of others.
10. Glazing shall comply with ASTM E 1300.
11. All fasteners penetrating into pressure treated wood shall be capable of preventing corrosion due to reaction with pressure treatment chemicals. Any dissimilar materials
that come Into contact shall be protected to prevent reactions In accordance with code requirements.
12. A wind load duration factor Ed = 1.6 was used for the analysis of wood screws only.
13. Products shall be constructed as specified in test reports ATI-A6989.01-501-47, ATI-C9020.01-501-47, ATI-C9025.01-501-47, ATI-D2914.01-109-47,
ATI-D2916.01-109-47, ATI-C2266.01-109-47 AND ATI-DO300.01-501-47-rO.
14.Deslgnation "X" and "0" stand for the following: X: Operable Panel - O: Fixed Panel.
15.Use a backer rod on all joints >3/4' deep and/or wider than 1/4". Finished caulk joint should be a minimum of 3/8" deep.
DISCLOSURE STATEMENT
This document is the property of Simonton Windows, which retalns all
proprietary and other rights to its subject matter. This document is
provided to the reclplent on the expressed —dill- that it is not to be
disdosed, reproduced in whole or part, nor used In conjunction with the
design, manufacture or repair of goods for anyone other than Simonton
windows wrchout its consent. This restrictlon does cot limit the
recipient's rights to udilze Information contained H this document which
is properly obtained from another source.
SIMONTON'
Dlmochreat TDlerances
�
DRAWN BY
Unless OFherwlse SDedfled
�'
T.D.D.
I Cochrane Avenue
Pen sboro, W V 26415
CHECKED I
Decimals Angles
SCALE: SHEET:
APPRV'D B'
.X t .03
FIT I of 1
.XX t .01 0° 30 in.
SERIES:
.XXX , .005
7S-75 / 07-75 / 75-09 / 07-09 / 07-10
/ 07-20 C
1X BUCK INSTALLATION