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HomeMy WebLinkAbout06-5545 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 5545 Permit Number: 5545 Permit Type: MOBILE HOME Class of Work: MOBILE HOME SET-UP Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: 35,000.00 Date Issued: 3/09/2006 Total Fees: 4,442.58 Amount Paid: 4,442.58 Date Paid: 3/09/2006 Work Desc: MOBILE HOME SETUP Address: 37319 NEUKOM AV LO ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: 34-25-21-0170-00000-2470 Name: GRAND HORIZON Address: 37319 NEUKOM AVE LOT 247 ZEPHYRHILLS, FL. 33542 Phone: 813788-5440 H ACE AIR CONDITIONING & ELEC. MOBILE HOME PLUMBING SEWER CONNECTION MOBILE WATER METER RES 3/4" IRRIGATION CONNECTION TRAFFIC IMPACT FEE 1% FIRE IMPACT FEE PUBLIC SAFETY 5% 0.0 40.00 808.00 180.00 175.00 15.88 273.00 26.35 AL MOBILE HOME MECHANICAL WATER CONNECTION MOBILE He IRRIGATION METER TRAFFIC IMPACT FEES 99% COM PARK FEES MH POLICE IMPACT FEE 35.00 209.50 180.00 1,572.12 573.73 254.00 .J) cY / J1:0/ y\{\y\/\ \~ FINAL REINSPEcnON FEES: Reinspection fees will comply with Florida statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspection called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site (g) work not accessible 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 permits required from other governmental entities such as water management, state agencies or federal agencies The payment of inspection fees shall be made before any further permits will be issued to the person owning same Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances ~~ ~~ CONTRACT S SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED ~-1-0 (p PHONE GONTACT FOR PERMITTING --rer,. 7 ,,)I-fijl-Jt) OWNER'S NAME G~lId 11ov"Zd1 JOB ADDRESS . :J1$/9I'VtlAfo!Y7 A vfL LlJj '2-'-11 PHONE 311. 7J3-Sil'lo LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL 10 # ']'-1- ZS. 21 - 0 176-00 000- '2-'-170 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) \VORK PROPSED; DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR ~STALL DSIGN o MOVE 0 DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMlJLTI-F'AMILY 0# OF lJNITS ~OBILE HOME o COMMERCIAL o INDlJSTRIAL o SWIMMING POOL o OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WQRK mob) Je. horn c Sf f -lAJ:> I 'j)j..5""1 BUILDING SIZE SQIJARE FOOTAGE 15?? I HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORt1S . r-JOC J 6 BUILDING 35000, ~() $ , PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLA.TION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO COMPANY STATE CERT OR REGIST # ********************************************************~********* E~ECTRICIAN SIGNATURE ~~--r-- -> STATE CERT OR REGIST I ********************************************************,,********* COMPANy!lce PLUMBER COMPANY 8t, -1ft / h dC! 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'6 '~ , lj <> ~ 'J' ::;j -i;;: ~ If -d <:!:: ~ ~ .J' \\S' \- ;:i ~7 :t: ~ ~ 1111I11111111111I11I1111111111111111I11111111111111I11111111 2006045313 NOnce OF COMMeNCSMe'NT County of /115 ( 0 T.HE UNDERSIGNED hereby gilf&$ noriee lhat it, rO\leffle . . Chal'tPJ 713. "'1<>rK1a $taMes, llle following Inforn~tion is p~~~~~~' ~~.~ ~aln f'&a1 prOP\1r1y, aM in aceordance with ."'- '" \nlS '.OllCl;! of CommenC\!lrT1em; 1. DesenplionofProperty: ParoelNo. ?il- 25 -'21- () ~7tJ-() 0060.- 2q 70 statuf r !OVI J tl Rcpt:976151 DS: 0. 00 03/07/06 Rec: 10.00 IT: 0. 00 Dpty Clerk 2. (L~I1i1I~1ion of... I>~)' and w_ ~ If ll.,.,llaDIel G~a/ Description of Im~vetnenrl17obl i ( hoth.t. <;; e f -l~ JED PITTMAN, PASCO COUNTY CLERK 03/07/06 01:06~ 1 f \. Crcrr7c! flvVl ZUVJ OR BK 687 ~ PG 43'1 f:hj6 ~ ~fh~hl/j EL g?Zit S.;lW 3. Owner InfOnnation: NaOlli 7 ~Ljc; C/(lth1!o[:x':: Adllreu' - ~ imerest In Property: Name of Ftle Simple Tirlt"!llOlder: (11<Jll..tI1&n owner) ~H;'~-".~' ~: ":' . 4 ~5 ~____ C-~1~~fi0~~ J!/t:3o Jjy, f ~ . ~J Lr1 c~ ohjr h,;fr SIll'" 5. Surety: Name El13s'l2- s... Ad~, CiI) Sraea - Amount of Bond; S 6. Lender: NSm!l Ac!aI"",,, ~ SIme 7. Persons wflhin the StarE! of Florida rJesignated by (.>woer upon whom notices O( olher documen~ msy be se"'ed as provided b)' Section 713. 13(1)(a)(7), Florida Sratllles: Name Ad"''''5~ s~.- City B. In addition 10 hilTl6elf. Owner rJ~ignafe$ of NoIica <15 provided III Sec..'flon 713. 13("1)(b), Florida S'all.Jt",!'l. to r&a!ive 8 ropy or the Uenor'. 9. Expkalion cJate of No1lce of Commencemenr is .one yeat from .he dale of feco(dln9 unleG$ a difl'etem dare i:s specified. (~~L- ~~f",~aSH S~nlllur.. 01 -. Diil~ STATE OF Fl. ~IDA COUNTY O'::(y 0 ~r<;!90ing instr.llO[l[ r:..~edg~O~ me the \ c.... ~~___ <"::::kOOwnlo..me.OL.wflo has prodUced $eal: ~~~v ~~ ROBERTA BUTTERFIELD :Q.t-." MY COMMISSION' DO 071. 797 .~ EXPIRES: March 10. 2006 . "'''w...Ut-~ ~~..~,~~Seniites ""JtlC053048 .J} c\) I.j') D I -9 en ...J ...Joe( -0 ::J:- a: a:: >g ::J:~ Q.(/l UJ::l N:i: LLa:: O~ a.. >w I-N U q a;- m W t:( o d z b ~ a: W ~ 3: .......a: a:w WI- Zz :s:w ea: C) z :J <( :;;; en en w a: o o <( w () ~ w en o w U ~ w (f) u. u. o I- ::l J: (f) re w 3: w (f) w ~ re t3 o >- I- C3 ~ ~ C3 I- ::l o I- ::i z ii:i ::l I- W ~ ! ~ ~ ~ iii Z () o o::l (j o ~ ~ ~ ~ Z ~ < C ~ -1 I I I I \ I iii z w :.:: ~ re w o re o o bJ ~ o o ~ 5~ t~ ~ ,~ ~J >- 00 z w > a re w o re o >- OOC o~ Ww I-...J ~o.. o..::i: ::i:0 OU UW :.::t( rec ~"" is. ~ ell .Sol ~ uj~ ~~ .- ell ~~ aio ell; ~E 00 .E'i E,g o ell -> .sl"" :2.:.::: ~.E c:0 's-g i!~ w U ~ w (f) z o z re ::l I- re w I- W ::i: g (f) ~ o 0 re ~ w ::i: o < w re re ~ w ::i: :.:: re U w W J: is 6 "- ... 0\ J./) D ~ en ...J ...Joe( -0 ::J:- a: a:: >g ::J:U- Q.cn UJ::l N:i: LLa:: o~ a.. >w I-N U w t:( o d z b ~ a: w ~ 3: 1 ~ .......a: a:w WI- Zz :S:w ea: C) Z :J <( ~ Z ffi \ " Ii: j~ J en en w a: 8 <( w () :> a: w en o re W 3: W (f) o W U ~ W (f) U. U. o I- ::l J: (f) W ~ 00 re t3 o >- I- C3 ~ ~~ W U ~ W (f) 5' z re ::l I- re W I- W ::i: :::I ~ (f) ~ ~ C3 I- ::l o I- ::i Z ii:i ::l ~ W (f) 0 ~ I- ~ II: Z ~ ~ ~ iii ~ () o 0 ::l W (j . ~ ~ !:: !/l ~ ~ ~ a i ~ I I I I I~ I o o ~ ~ <;: ~ ~ i ~& o o a: W I- W ::i: o < W re re W I- W ~ :.:: U W J: U re W J: o >- 00 z W :.:: ~ re W o re o iii z W > a re W o re o >- 000 OW wI- I-W ~ii o..::i: ::i:0 OU uw :.::t( reo ~"" << .~ :t: C S aE ~~ ell~ .Qoe <ri~E Q)W..s .s Iii . ::'(QC tii:S:g 1a.9~ .~ g~ ::: ~ c o.g.. E ~, E=~ S! ~( .m~.~ 1:.:.:::' ~.Eci c: Co. jg-gJ i!~~ (....~. >-. "Y'r.:. A, ~ ~"'''''''l:~t~/. 'f- "Y' ..,,~ ... " .." ..(5....,.. ',.., "J'., ", " , I " " ;. ~ t ~ ~. i' "l '.,~.c'--. .,-:"._ i .Il:. ~ (-,1 \, , ' J'.;j "\ CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5547 Permit Number: 5547 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 7233 HIGHLAND LOO ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Subdivision: OAK RUN Parcel Number: Book: Section: 1,065.20 3/09/2006 Name: THOMPSON, TELAH 40.00 Address: 7233 HIGHLAND LOOP 40.00 ZEPHYRHILLS, FL. 33541 3/10/2006 Phone: 813918-4798 INSTALL FRENCH DOOR REPLACING SLIDERS. . \9b ~ / 0r>' ~p _~ y \ '-' ' ,19' REINSPECTION FEES: Reinspection fees will comply with Florida statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shalf be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." NO OCCUPANCY BEFORE C.O. jM-9-~:r' - ~ ~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED 31r'[ID~ PHONE CONTACT FOR PERMITTING OWNER'S NAME Te.\% ""1hom\>son JOB ADDRESS f)ot33 b\\~"\tl.f\d laJp LEGAL DESCRIPTION: LOT(S) BLOCK PHONE ~\3-C\\~-4Iq8 Zef'h,y'h', \ \.S I FL ,~3SL\ \ SUBDIVISION ()c.U( '\=<'Uf\ PARCEL 10 # (ORTA TN FROM PROPERTY TAX NOTH-:El WORK PROPSED: 0 NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR 1$l. INSTALL r: . I~ te.(MI'1 5S~l o SIGN PROPOSED USE:~GL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL \f\.<:r\-o..\ \ O.r Ffe~m Doo( (rep\l1C i I'\lj o\\clecS) BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. o BUILDING PERMITS REQUESTED $ to~~. 20 VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R..E.C- o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO _::!I!I_..... BUILDER ,w.,u . .. COMPANY ~ 0 10.,., a"'\~ r SIGNATURE.Je.O~ ~ ~. ~)"f~ STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************,r* OTHER COMPANY SIGNATURE STATE CERT OR REGIST # CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. 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 City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to conunencement. E. 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 construc-cion, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental 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 Regulation-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-W"lls, Wastewater Treatment, S"ptic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or \'A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. 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 code. Every permit issued shall become invalid unless the work authorized by such permit is COffinlenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be 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 FINJ.NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 20- STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _day of----------, 20 by (name of person acknowledged) C1ho is personally known to me, or (name of person acknowledged) Dwho is personally known to me, or o who has produced (type and whoD did 0 did not of identification) take an oath. o who has produced (type of identification) and who 0 did D:iid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped D:ISCLOS1J1Ul: STA'l'EMBHT FOR OWNER C:ITY OF ZEP:EYIUC:LLS Bt7J:LD:ING DEPARTMENT :I, --\.~1o... h \~~~ . have read and fully understand and agree to the provisions of this instrument. The undersigned states and affixms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile~, that he or she actu~~y occupies, or ~~~ occupy by said domici~e, and same is not for rent, lease or sa~e. That he or she sha~~ comp~y ~th the following conditions.: ~. That the owner and he or she ~one shall act as the builder for all phases of construction. That the owner wil~ comply with all provisions of the City of Zephyrhi~~s ordinances and codes pertinent to 'the building. That in the event various phases of construction are subcontracted, he ~ll engage on~y properly licensed subcontractors and ~ll personally supervise such work.. That in the event the Building :Inspector shall require corrections to be made, the owner will_ assume ful~ responsibility to insure they are made, and upon completion wi~~ c~~ for a reinspection before proceeding ~th the 'bui~ding. That the oWer shal~ assume full. responsibi~ity for the construction and wil~ not expect supervision of his work from the City of Zephyrhil~s Bui~ding Department. That prior to final inspection any additional fees, inCluding reinspection fees, must be paid in full. A written request from this office shall . constitute' an officia~ notice,to pay addition~ fees. That the owner sha~~ comply ~th all City, State and Federa~ laws' in regard to social security, workman's compensation, lien ~aws, etc., where applicab~e. That the owner shal~ comply ~th all the safety codes issued by the Florida :Industrial Commission. State ~aw requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption a~lows you, as the owner of your property, to act as your own contractor with certain. restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourse~f. You may bui~d or improve a one-fami~y or two-fami~y residence or a far.m outbui~ding. You may a~so'build or improve a commercial building, provided your costs do not exceed $25,000. The bui~ding or residence must be for your own use or occupancy. :It may not be built or. sUbstantial~y improved for sa~e or lease. :If you seJ.l;or' lease a building you. have built or substantially improved yourself. ~thin 1 year after the construction is complete, the law will presume .tha:t you built or substantia~~y improved if for sa~e or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your bui~ding. :It is your responsibi~i ty to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not ~icensed must work under your direct supervision and must be employed by you, which means that you must deduct J.P.:I.C.A. and rithholding tax and provide workers' compensation for that employee, all as prescribed by iaw. Your construction must comp~y ~ th al~ applicable laws, ordinances, bui~ding codes, and zoning regulat1ons. JJ~ ~~ 2. 3. 4. 5. 6. 7. 8. 9. OWNER'S S:IGNATURE ADDRESS PHONE 3/)-o~ r DATE W:ITNESS PBllKIT # . BUILDING CODE COi\lPLIANCEOFFICE(BCCO) ..RODUCT CONTROL DIVISION i\lI1'MI-DADE COUNTY. FLORIDA M~O-D^oeFLAGLt:R'8UltDtNG (40 WEST FJ,.AGLER STRl-:ET. su.n: 1603 I MIAMI. FLORIDA 33 130-IS63 (3050 375-2i)()I FAX (305) 37S-2t)()S ! NOTICE OF ACCEPTANCE (NOA) Jeld-Wcn, Inc. 3250 Lakeport Drive Klamath' Fallli, OR 97601 SCOPE:. . . . i, This NOAisbeingiss~ed under the applicable rules and regulations governing the usd of construe.tion materials. The'documentation submitted has bec:n reviewed by Miami-Dade County Product Codtrol Division and accepted by the Board of Rules and Appea1s (BORA) to be used in Miami Dade County and ot~er areas where allowed by the Authority Having Jurisdiction (AHJ). ' This NOA shall not be valid after the expiration date stated' below. The Miami-D4de County Prod~t Control Division (In Miami Dade County) andlor the AHi (in areas other than Miami Dade ~ounty) reserve the right.to . have this prod~t or material. tested for q~li~ assurance .purposes. If this p~uctorj material. fails t~~f~ in the accepted manner, the manufacturer wlll mcur the expense of- such testmg andl the AHI may ImmedIately revoke, modify, or suspend the use of such product or material within their jurisdicticJt: BORA reserves the right to revoke. thisaccepfimce, ifit is determln~d by Mianu...Oade CQunty Product Gootro! pi vision that this product or material fails to mee.tthe requireinents of the applicable building cixk . .! I. This .Product is a'ppro~ ~ descrii>ed.herein, :md has been'"dcSigried to.complrwith tht High VelOCity Hurricane.... . Zone.oftheF.londa Bulldll~gCode. ". .' . .... . .>+ '.. .'. '. .... ;r.~.;:l.~.li;t.;;.,..:i.i.~. .~~t~..:~~.&..:\:r.:~.:~~~.l.!~..~.~.'~'<. BI111dl1'~~..cQnSt11~t$;'i~.~~:~g.the:.M~m~",pa.~n(y J'!r~iJct'.C()rit~I:APfirO~li~~m.p,wli}i;,the'.N~tlcc.o.(;;.",,; . Accqltancc: 'nuplbC:r and approwJ date by.thc.:Miami..Qad!: Cotinty;Product Conlr()J'Di~~5i()n~' . . . . ..' .. '. ,... MIsSILE IMPAcrRATING: None. . .' . .'. '.. .; . ~~E~l'!G:l!aohuni!S~U~'~""~l with .th......f~tutcr'Sn.m< or ~. .;tY"lalc .n{ . .ro.no~~$. s~~~t:'~~ja:m.i;~t>aqe ~9,~P~i~rQ(llJ~.t.qqAttq! J,\~~;, .~I~ q,tpcljVi .~jt9t~4.~:fu:in.?::.;:.. . . " ':;liNE.'~VAL'~f.thi~;,~OA.. '~l~'cri~Si~~~.i~~ ~:~;'~I'~p~lib;,iio~ J.i~.;~~' fir . ~"'. Jh~r~:h~ ~~:~O' :'.~h;mg~.~~ ~-='~pp.l~~l~'~~u~~trig'~~~!NelY."~~tl.~i~e,~,tfe~c'.oftm~:.pt:: .'~". ...: ..... .... >.-;, ,':> .,~:-~~~~~ft~:~~~..~~~t"1r%i~~~;~:ili!h~:^ . produc~ for Sales, advertising or any other purposes. shall automatically terminate this~OA. Failure. to comply with any StXtion of this NOA shall because for termination and removal of NOA. . . . . I . ADVERTISEMENT: The NOA number preceded by the words Miami..nade County. Florida. and followed by the expiration datc maybe displayed in advertising literature. Ifany portion of the NQA is displayed. then it shnll be done it~its entirety. ! INSPECTION: A copy of this entire NOA shall be provided to the user by the manufaburer or its distributors and shall be available for inspection at tbejob sit~at the request of the Building omcinj. .' This NOA consists of this page. I as welt as approval document mentioned above: . The submitted documentation was reviewed by Manuel PCrC7., P.E. ! ''\. j 8 NOA No 02-0109.01 EXPirt.' ion Date: Jul)' 3. 2007 Appr vul Date: Jut)' 3.2002 I, . rage I i ~~GOI .- BUILDING CODE COMPLIANCE OFFICE (BCCO) pRODUCT CONTROL DIVISION . MIAMI-DADE COUNTY. FLORID,\ METRO-DADE FLAGLER-BUILDING 1.$0 WEST FLAGLER STRt:ET. sUln: 1603 MI/\MI, FLORIDA 33 i3U-IS63 (305) 375-21)01 FAX (305) 375-2908 NOTICE OF ACCEPTANCE (NOA) Jeld-Wcn, Inc. 3250 Lakeport Drive Klalllath Falls, OR 9760 I SCOPE:, This NOA is being iss~ under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appea1s (BORA) to be used in Miami Dade County and other arens where at lowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) andlor the AHJ (in areas other than Miami Dade County) reserve the right to . have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufactUrer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction: BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product C.oritrol Division that this product or material fails to meet the requirements of the aPplicable buildingcode~ . This product is approved as described.herein, and has been designed tocoinply with the High Velocity Hurricane.. ..' Zone:9ftheFloridaBuildingCode. '" .'. . . ." ..' .... DES(;:Rln.IQN: S~ri~ "DOorC~rt@~~'8" S/~ Oilt~lViJ.ii.Glazed .lnstil~te~LSt~1 Door w/~v~Si<l~I~t~ ,.':, .=~f.~~t~i~~l~S~a~S!~~;;.' Acceptance'nu~bCr and approval datc bythc;M.iami"Dade County: Product Control' Dlvisi-on~ '. '. . '" ..... ......, 'i. MISSILE IMPAct RATING: None LABELING: ,Each unit shaH bear a permanent lal>clwjlh thc manufactutcr's namcor logo.city,'statc i!-nd' .....';.I.lIK.14i~I-I~llmz?~~,,;.. . ma~crials.'use:and/orriiamifatture ofthcptoduct or process; Misuse ofthisN'bA as.an endorsement of ally . . product. for Sales, advertising or any other purposes shall automatically terminatc this NOA. Failure.to comply with any section of this NOA shall because for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County. Florida, and followed by the expiration date maybe displayed in advertising literature. If any portion of the NOA is displ:1yed. then it shall be done i~ its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request or the Building Ollicial. This NOA consists of this page. I as weU as approval document mentioned above The submitted documentation was reviewed by Manuel PerC7., P.E. , '..'~. '.',' 9 NOA No 02.0109.01 Expiration Dllte: July 3, 2007 Approval Date: Jul)' 3,2002 . Page 1 I I.~~~_, '=~:~ ~~~........................ li'l~~~llttl~4'fI;i.f:~~.~~Ih~ER?'-_.~"""~JrQ.,~_~~ ~"""r.~-- _J "OJUI:.Ito-U ..... .~ en..... Z It' ~ ~g~ ~"'~ ;e ~ In ~lS m :f5 c: ~r:;;,^z iil!~ !ll '" jE . . +++~ . 2~:11;1 .. co Iii 5R !I. 0 - - -,....,. g ~ l. J. J. 1<;; "'II~~ ~ .... 00 I b b b "'0 l!!_: m '" t ;t t.~ !Ii i_ ~~i~1 i - - ~ Z I I I ill t;) ~ i ~;~;~I !!.~!!..~ + + z...... ~b~.. 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REJlISlOH TJH N(} DATE' .BY "'~~N~ .RE\IISIGNS JELD-WEN, INC. 31725 HIGHWAY 97 NORTH CHIt.OQUIN, OR. 97624 PH. 541.783.2057 -\l_.I~-:. D. 1.75- _. PANEl. 1HK. VI'" ~~ ~~ t ;;; ... 1.75" _. PANEl. THK. i.o .. ~ C:~i -~5i~ ~OO::Q ,,:~n '" '"' ~.~~ ~..... ~~!>>~ ~~~5 ~<;r-~ :r::r-lC..:t. l~ la~ !6", "'", 00 ~& ~~ ~~ '" 8?i ~.PI ~~ ~U1 ~~ ~'" '" CO VIe :z::a C)~ i: "" I !3 I ~ '> VI ~ ~ nl "'0 ","" J 1.75" IIIN. PANEl. TIlK. ~\-.125" 1IIH.1EWP. GlASS THK. .~ l; PANEl. lJiK. .... :r!o> "'... "' - ...'" ... ~~ ...;;; ai ~ ~ ! ~ "" en i 1J 1J ;;; ~~ 2'" ~ 0 ;::U,;e(il'w r.... ~~ ~ Dl8 ~~ g;~~ :",_'1- e~~ - zz 00 PROIlUCT: STill EDGE GlAZED DOOR .WI .t:..W/O!" SIOO.ITES UP TO 1 03 15 02 NO DAlE RE\IISlOR TJH , BY PART OR "'~:V: f/ORtZClHTAl CROSS SECTIONS JELD-WEN, INC. 31725 HIGHWAY 97 NORTH CHILOOUfH. 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" TJH BY JELD-WEN. INC. 31725 HIGHWAY 97 NORTH CHILOQUIN, OR. 97624 PH. 541.783.2057 ~~~ ~il! ~:OQ] ~1II!;l. Pro ~!:ji':; ~::J::il ;;&103> g!ii~ :i!J if"&~ ...~ '" ~mlll~ ~~~d :tJ'OaJ=:b ."'!;l~a:!l '" -:i!r is:I~ ~:ll~ Q5~~ ~5~~! ~~lD~ ioTO ~!:ji':; S;::ll::J:'" M~O~ g~ ~~.f-"'..i~n:~ s. e.3 c Dif D~=' .. c:2 . &i ~ n:g.. - -i " ~ - i -~-~- -- r____ ", ~~:ll". =":0"'_ ~~~~ ",f1'1:z:~ 1II-n!;l~~ ~S;:1II~ "nI~:tJ, !:!lR-ii/i':; ~~~~ ~~ "'000,- ft\o S;:~~ "... ,....... s:'" '" Pl~ .... ",:ll :il~> ;;;~(J) M~~ .,:ll3> s;:"'~ ,..0..... "'..... -.. (J)(J) ~~ .~ i;! g~5<~ tltS;:~ ~r;ttor- . .... 0> ",R-!:j!:!l :il0::J:~ . ;;:,,~~ "'5~"'" ~~:ll M ~ (6) MORE EVENLY i---I SPACED AT ".7S" I 16-', ~ l- J ck ~ "\ 1 I~@I ~@ ... ! (6) . MORE EVENLY M 6" -=t I SPACED AT 11.7S- . . r Tl" ~c"! \~ ---, 7.37s-~=r ~~ Q] ~.3~- ~O . 69.37S-. qi1 .; 0.;::: .<7 II. ~ 1 -113.85-1- -113.8s-1- -;:l I- 6" -113.85- ~ =-1,3.85" ~ =-113.85"1- /36.37S", is.S" P' .~ '1 .~ I~@' ... , f5 02. c1lENEIW. 'llfWSIllII TJH DAlE BY q , Cbc...OU) ~~~ ......... ~ -1 I~@l ~ I~~' ~ C>(J) '" (J)'" ::J:o 8~ )> "'''' JELD-WEN, INC. 31725 HIGHWAY 97 NORTH CHILOOUIN. OR. 97624 PH. 541.783.2057 ~~~ "011:: i'l51 "'R- ~<:> ;-fg ...00 VI ~~~ ts.Vj i'l-. ",0 ln~. , ~~ Vl ... d~! :..."< VI..... ~"1J ~~ r-&l n ",0 (;3 iF ~!'I~ '" " -n o .. \'-' I NO 0.3 I 02 DATE ~. 1\. . . . . 'I I -113.85"1- -113.85"1- ..J 1-6" -J13.85"~ =-t13.B5'~ ~13.B5-1- '" :~ r @ .~ i I~@I I~@ ~" ~ ... c ,;,'~4 ;~ 38.375 ..., <:> 69.375- ':l"E "';=: \OJ MUI<t. t.\/I:.NLT T:1 SPACED AT 11.75" . 6" r- I 0> 0> I~ .L ~ 36.375- I I ~ I~<IDI .-L T ~@ ~llID J. ~ (5) MORE: EVENLY SPACED AT 11.75" PROOUCT, . snn EDGE: GLAZEO DOOR WI &: \!OOT ?fOEllTES UP TO JEW-WEN, INC. 31725 HIGHWAY 97 NORTH CHILOOUIN, OR. 97624 PH. 541.783.2057 GaERAI. IlEVlSIllH .PARrOR ~~nAY: AHCHORlNG LOCATIONS &: GI..AZJN(; DUAlLS TJIt BY ''- l.75", tffi . ~J .j .530" L ~ .500" ~ @ ,,,,,- [ I ...... :i! ~~i 0." f!?2 !'> I -< ... " -0 '" Ol :0 " f 0 OJ '" " . ~~ b 8'" <0 .::: @ @ "'~ ~e~' t~~ ~. b 1 -li~ NO DA ~ '" OJ . ~~2~. ....<o....<o~ O~O~~ OJr-(j'-" ~~.,,~~ o.~. . ~~ .~ ~ ~ <:> <:> ;;;; ;;;; r- 4.0" --j 011 i:j - Q, ~ til .... . QJj ~g~~1 ~0l~0l~ oooo~ . . drl~r~ 1J"a" .'. '(..,~t:. ~~~ o 0 ~ ~ . REVISIONS @l o ~ @j -1.75"1- ~f @ (0 -J 8t .B11" I" 1-1.797", 0.~.. ..~ . 0 " . ~'JT .~ 2.764-" .3.1B75~ '" (.., "i += ~ 2.OW" ~ o <0 "i o o o o PRoDucT: SJm EDGE GlAZED DOOR ,/.1< W/Oo/ SIOEI.I1ES uP TO JH BY UNIT COMPONENTS 8C0 ~ I ... 0. Ol '" OJ .5" J h75"-1 ~ ;" ": N L ; . " "1::rl ~~ ~11 ~~ L1219.J 2~Q ~~ r~ g; ~ ~ ~ ~. . ~ L '--1 r:i I .... L1.21"J VI o ill.".., 0 ~:t!6~ ~ ~~p' : 00....:0 I VlOf-o ilT I J)~ :0'0 ~ - E~~ 2' ~r- ~ ~~~ ~~O C,.". iil~:O So? .... JE~WEN, INC. 31725 HIGHWAY 97 NORTH CHILOOUIN, OR. 97624 PH. 541.783.2057 ,. ~ This is a contract between Lowe's (as defined in the Terms and Conditions) ("Lowe's.), and the above-named Customer for the installation of goods at the Customer's residential premises (the "Premises.) at the following installation address: I~~~ S~~~~.~ . j' Prtv1f:" A- QUUV~ - Lowe's to arrange normal installation of the following door(s): Exterior ~ Interior Prehung Unit ~ Item Number /5" 5"' ~2 RHO LH~ # I Door(s) Size 036 x 80 o 32x80 STATE ZIP Slab p{Other Size 72. )( 8'"0 For warranty to be valid - customer must finish frame and all six (6) sides of door immediately (within 5 days) after installation. Customer InRla7<J & Item Number RH 0 LH 0 # Door(s) Size 036 x 80 o 32x80 0 Other Size Delivery of Door Yes ~ No 0 (check one) Haul away of any debris related to installation: Yes 9< No 0 (check one) Basic Installation includes the following: . -Normal Installation of door in same size square opening in good condition -Installation of hardware with pre-bored door -Reinstallation of present casing or customer provided new casing -Clean-up of job-site Basic Installation does not include the following: -Reframing or alterations to existing structure or carpentry work resulting from old or damaged structure -Any reinstallation of Burglar Alarms -Any painting or staining or finishing of new door unit -Reinstallation of Screen or Storm or Security Door -Reinstallation of vinyl or aluminum covering on exterior molding With the exception of Burglar Alarms and finishing, any of the above labor items can be contracted at an additional cost and must be specifically listed in the additional specifications block on this contract. I Additional Specifications: The Environmental Protection Agency (EPA) has requested that Lowe's notify installation customers that a lead based paint hazard may exist in dwellings built prior t01978. See pamphlet EPA 747-K-99-001 for details. 'Tax Labor Lf /6. ()O 'Tax Work is to commence upon reasonable avail Estimated completion date is Total 1060.20 , Where applicable labor Is taxable; check local tax restrictions. lity of Contractor which Is anticipated to be [fill in date]. [fill In date]. NOTICE TO CUSTOMER All items listed in this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearing on this contract form. This assumes sound existing substructures, superstructure and points of attachments. Extra labor or material incident to installation necessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to customer. DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON THE REVERSE SIDE OF THIS CONTRACT. BY SIGNING BELOW, YOU ARE ACKNOWLEQGING THAT YOU HAVE READ, UNDER- STAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS CONTRACT. YOU ARE ENTITLED TO A COpy OF THIS CONTRACT AT THE TIME OF SIGNATURE. WITNESSOURHAND(S)ANDSEAL(S)BELOWTHIS~./l DAY OF MA-t<cl-I. .' 200b. WITN~~~~ 2Serj~~~pA-o--- ~ (Seal) Specialist or Above Spouse (Seal) (Seal) @ 2004 by Lowe's.@ Lowe's and the gable design are registered trademarks of LF Corporation.