HomeMy WebLinkAbout07-6857
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6857
6857
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Name: VARGHSSE,THOMAS
Address: 4924 5TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813 715-1458
7,500.00
Address: 4924 5TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-01000-0110
175.00
175.00
7/17/2007
19.11 x 9 KITCHEN ADDITION
35.00
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(2.-/"21 (07
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTlON 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 shall 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.
~~ ~~
.&N RACTOR SIGNATURE PERMIT OFFI
. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF
ZEPHYAHILLS
IINOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT"" I
44 '21 9l> r 1- :2 7 - 17l (, 51 5-7
THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job
. will be accepted.
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It is unlawful for any Carpenter, Contractor. Builder, or other persons, to
cover or cause to be covered, any part of the work with nooring. lath, earth
or other;.material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM - 4:30 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR j? U 111..:.riS)
City of Zephyrhills
BUILDING .PLAN REVIEW C01vfMENTS
Site:
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Contractor/Homeowner:
Date Received:
Permit Type:
Approved wino comments: 0 . Approved withe below comments: 'fJ Denied withe below comments: 0
III s:ef-facts:. thUS/- .(.,~ ;nJ-.
t!)O~ p/U'lf-
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Tms comm~d~l;vnth the :::OCPlWW.
Kalvin s+er- Plans ~er Date ~eowner
(Required when comments are present)
111111111111111111111I11111111111111111111111111111111111111
2007121744
State of
NOTICE ,OF ,OOMMENCEMENT
p! OYl~ 01..0-- County of !J/l-S(!()
Rcpt : 1115086 Rec: 10.00
DS: 0.00 IT: 0.00
07/17/07 Dpty Clerk
TBEUNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. /'1- 2(p- 2/- 00 10 - 0/000 - 0 I / IJ
1<e5d,'~i-r~-lI b - 110M (!)O<JL ~ Fi., ft n(t1g~J})?
(Legal description of the property and street address if aVaIlable)
Addl'f,(fn 19.~J x: 9 J;(ld~
~~91~~~~M":~~SC01CO~'Tl CLERK
OR BK 757M PG 1716
3. OwnerInformati~~: Name---:-=-V ITA ~ HE s e :;4, 71 He IY7f'r....s
Address If 9 /) ~ ) s-ffl s~f- City ? ~~r If ,) I J State r I
Interest in Property:
2. General Description of Improvement
, .
/l. ~ '-\ ~
OJ
Name of Fee Simple Titleholder:
(If other than owner)
Address
City
State
4. Contractor: Name
6 (J)/U,(
Address
5. Surety: Name
Address
City
State
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents maybe served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of. . . to receive a copy of the Lienor's Notice as
provIded In SectIOn 713.13 (1) (b), Florida Statutes.
9. Expiratio;n date ofNo~ce of Comm~ncement (the expiration date is 1 year from the date
of recordmg unless a different date IS specified.)
-5ignatureofOwner: ~~
Sworn to and subscribed before me this I 7
Notary Public: ,"'~~f~"'" JAC
t~: ':*~ mmission DO 621833
My Commission E '. . <if Expires December 12. 2010
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
1fG e$7
Fee Simple Titleholder Name
Owner Phone Number
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Address
JOB ADDRESS 9:J... t' 33J~ II
SUBDIVISION lYtg of 2~p~ wJ
PROPERTY TAX N eEl
WORK PROPOSED ~ NEW CONSTR ~ ADD/ALT 0 SIGN D MOVE 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR D COMM 0 OTHER I
TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I
DESCRIPTION OF WORK I N~ 1(. I fr.A.u,
BUILDING SIZE lJg.j J 'A, CJJ ij7 HEIGHT I 7~ ,
D BUILDING
D ELECTRICAL
D PLUMBING
D MECHANICAL
1$ I 5' 0 0 ~ ,1. f)) AMP SERVICE
, 11. 6J
1$ / a 06 ~jS'
1$ I
D GAS 0 ROOFING D
FINISHED FLOOR ELEVATIONS I I DNO
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111
:~~~~~RE ~ ~~~~:R~~ Yftol~~CURRE~ W~~N(" I
License # I
VALUATION OF TOTAL CONSTRUCTION
~.
PROGRESS ENERGY
D
W.R.E.C.
if'
VALUATION OF MECHANICAL INSTALLATlcJ\[1\ S''tJ'r
SPECIALTY 0 OTHER .
FLOOD ZONE AREA 0ES
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Address
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
Y/N
MECHANICAL
SIGNATURE
Address
COMPANY
REGISTERED
OTHER
SIGNATURE
Y/N
SIGN PERMIT
License #
1111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required on site, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required on site, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
DI~~~ij~~~': . , , , . . , . , . . , , , . . . . . . . . . . . . , , , . . . . . . . . . . . . . . . , , . . . , . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . . , . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . , . . , . . . . . . , . , , , , , , , ,
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
.. 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 (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plol/Survey/Footage)
Address
111111111111111
RESIDENTIAL
COMMERCIAL
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. .
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida 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 "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 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 ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authono/ ~o vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, c~n~truction or violat~on.s o! any codes. Every ~ermlt Issued. shall become. invalid
unless the work authorized by such permit IS commenced Within SIX months o.f permit Issu~nce, or If work authonzed. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed mn~ty ~90) da~s and WIll demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job IS conSidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT INYOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT ~
Subscribed and sworn to (or a eCl) before me this
J-t7-~l bY~~~ ~fif
Who Is/are persona I nown me or haslha e roCluc
as Identification.
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or haslhave produced
as identification.
Notary Public
~:&;;. Commission DO 621833
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Name of Notary typed, printed or stamped
Notary Public
Commission No.
Name of Notary typed, printed or stamped
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DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I', ~I/ ftf{ ~HE.,,<;#?; </JfOJ77fJ...J have read and fu1.1.y understand and
agree to the provisions of this .instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domici1.e, that he or she
actua1.1.y occupies, or wi 1. 1. occupy by said domici1.e, and same is not for
rent, 1.ease or sa1.e. That he or she sha1.1. comp1.y with the fo1.1.owing conditions:
1. That the owner and he or she a1.one sha1.1. act as the bui1.der for a1.1. phases of
construction.
2. That the owner wi1.1. comp1.y with a1.1. provisions of the City of Zephyrhi1.1.s
ordinances and codes pertinent to the bui1.ding.
3. That in the event various phases of construction are subcontracted, he wi1.1.
engage on1.y proper1.y 1.icensed subcontractors and wi1.1. persona1.1.y supervise
such work.
4. That in the event the Bui1.ding Inspector sha1.1. require corrections to be made,
the owner wi1.1. assume fu1.1. responsibi1.i ty to insure they are made, and upon
comp1.etion wi1.1. ca1.1. for a reinspection before proceeding with the bui1.ding.
5. That the owner sha1.~ assume fu1.1. responsibi1.ity for the construction and wi1.1.
not expect supervision of his work from the City of Zephyrhi1.1.s Bui1.ding
Department.
6. That prior to fina1. inspection any additiona1. fees, inc1.uding reinspection
fees, must be paid in fu1.1.. A written request from this office sha1.1.
constitute an officia1. notice to pay additiona1. fees.
7. That the owner sha1.1. comp1.y with a1.1. City, State and Federa1. 1.aws in regard to
socia1. security, workman's compensation, 1.ien 1.aws, etc., where app1.icab1.e.
8. That the owner sha1.1. comp1.y with a1.1. the safety codes issued by the F1.orida
Industria1. Commission.
9. State 1.aw requires construction to be done by 1.icensed contractors. You have
app1.ied for a permit under an exemption to that 1.aw. The exemption a1.1.ows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a 1.icense. You must provide direct
onsite supervision of the construction yourse1.f. You may bui1.d or improve a
one-fami1.y or two-fami1.y residence or a farm outbui1.ding. You may a1.so bui1.d
or improve a commercia1. bui1.ding, provided your costs do not exceed $25,000.
The bui1.ding or residence must be for your own use or occupancy. It may not
be bui1.t or substantia1.1.y improved for sa1.e or 1.ease. If you se1.1. or 1.ease a
bui1.ding you have bui1.t or substantia1.1.y improved yourse1.f within 1 year after
the construction is comp1.ete, the 1.aw wi 1. 1. presume that you bui1.t or
substantia1.1.y improved if for sa1.e or 1.ease, which is a vio1.ation of this
exemption. You may not hire an un1.icensed person to act as your contractor or
to supervise peop1.e working on your bui1.ding. It is your responsibi1.ity to
make sure that peop1.e emp1.oyed by you have 1.icenses required by state 1.aw and
by county or municipa1. 1.icensing ordinances. You may not de1.egate the
responsibi1.ity for supervising work to a 1.icensed contractor who is not
1.icensed to perform the work being done. Any person working on your bui1.ding
who is not 1.icensed must work under your direct supervision and must be
emp1.oyed by you, which means that you must deduct F.I.C.A. and withho1.ding tax
and provide workers' compensation for that emp1.oyee, a1.1. as prescribed by 1.aw.
Your construction must comp1.y with a1.1. app1.icab1.e 1.aws, ordinances, bui1.ding
codes, and zoning regu1.ations.
SIGNATURE ~ A -"
H q- ~'4- ) ~'M~'~J J '7-pI1J,( 1:/1 OJ
(1'1-:') lIS- lJ;S~
OWNER'S
ADDRESS
PHONE
DATE
WITNESS
PERMIT #
...---...-.. ..~_.
NATIONAL FLOOD INSURANCE PROGt'tAM
ELEVATION CERTIFICATE
O.M.B. No. 3067-0077
Expires July 31,2002
For Insl.InInce Compan~ Us.
PoRcy Number
Company NAIC Number
ZIP cooe
;!.~ S"~ I
SOURCE: U GPS (l'yps):
U USGS QUild MlIp U Other:
secnoPf S - FLOOD INSURAHCE RATE MAP (FIRM) INFORMATION
81. NAP COMMUNITY NAMe & COMMUNITY NUMBER 83. STATE
c;. ,\ 2.0~3 ......:.co J:::'?,
&4. MAPAHD PANEL 85. SUFFIX B6. FIRM INDa: 87. FIRM PANEL. 88. FL.OOD 89. BASE FLOOD ELEVAiJON(S)
NUMBER DATE EFFEC"TtVEtJREVISED DATE ZONE(S} (Zone AO, use depth o't/ooding)
O~ l~ "/.,, (2..(,...,/<9. I A.c 6<f t
B10. Indfcate ftIe SOUI't:8 of the ease Flood Beyatlan (BF~ dsbI Dr bu. trood depth entered in B9.
U F'S ProffJe llJ FIRM L.I Community ~ed Ll Other (Describe,:
B11.lndlc:atathe elCMIffon datum used lor the SF!:'n B9: W NGVD 1829 LJ NAVD 1988 U Other (Desaftle):
81 Z. 18 the building located In a Coastal Barrier RNOUn:a8 System (CSRS) area or Otl1elWi$e Pn:lteded Area (OPA)? LJ Yes l& No
Oeslgnatfon Date: "..) I A
.
8ECTlON C - BUILD'NCiI ELevATTON lNFORMA TION .(SOAYE"'t" REQUIRED)
.
:1. Building ele"'8l1ons are based an: UCansfn.ldjon Drawfngs- LlBullding Under Construction~ I2dFinished Construction
"A new EIewtJon Certiffcate win be nsquJred when CC1nstrudfon oflhe building is complete. .
:2. BuildIng DI.gram Number -L- (Select the buUdlng diagram mast almBer to the building for which this certificate is being completed - See
pages 6 and 7. If no. dIagram accurately repruerms tfle buildIng. pravlde e sketch or photograph.)
::3. elevations - 20n" A1-A30. AE. AH, A (1wIth BFE), VE, V1-V30. V (with 8FE). AR, ARIA. ARIAS. ARIA 1-AJO. ARlAH. ARJAO
Complete Items C3e-1 below ec:eording to the buDdIng diagram spedtled In Item C2. State the datum used. If rile datum Is different from
t.ne d8llJm u8ed for the BFE in Section B, =nvert the datum 10 /fiat used fer the 8FE. Show field measurements and datum conversion
calculation. Use the apace provided or 1he Comm"nts ant8 of Section 0 or Sedlon G, as appropriate, to document the datum conversion.
Datum N(l"l.i} ("fa "\ ConvenJionlCammenta" .,...J fA . _ .
Elevation reference mal1c used L ,,~_l Does the elevation reference marle: Llsed appear on the FIRM? U Yes lLSl No
o a) Top at bottom floor (IncludIng basement or enclosure> ~ '5" . ~ l't{m) ci
a b) Top of nut higherfoor -. .t:!../.:!s... It.{m) ~
o c)8otfDm of lowest horizontal structuJ"llI member ~ zones only) .AI/.4. = ft.(m). J ~
a d) Aaac:l'led garage (!.op af .Iab) NI A . _ It.{m) .! 'I
a e) Lowest elevatIon of machinery and/or equIpment i !
servfdnp :thebuilding Ale. ~... ...K.. ft.{m) 5 i
o 1) lowest adjacent Grade (LAG) JfJ ~ . ..1e..- ft.(m) z!
o g) Highest 8dj8C8nt gtade (HAG). 2').2-.~ n.(m} I
o 11) No. of pennBnent openings (lIooa vents) with'n 1ft. above aclJaC8nt grade --6J./A- ~
Q i) Total area of all pennanent openings (flood vents) in C3h AJ/A. sq. in. (sq. em)
.
SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION I
'l1ls certfffcatron Is to be signed and sealed by eland surveyor, engineer, or architect authorized by law to certtry elevation infocmation.
cet1ify that the InformafJon in Sections A, B. anet C an thIs certlf1c;am represents my Ct1$t efforts to interpret th" data 8l1Bilable.
understand that any (a(38 statement may be puni:sheble by nn8 orlmprfsonment under 18 U.S. Cods, Sect/on 1001.
:ERl'IFIER'S NAME ... . . LICENSE NUMBER 5265
DAVID L. SMITH
'm..e .. COMPANYNAME DAVID r..; SMITH .SURVEYORS .. -
IODRES;SM .-CITY ._ .. ..._.._.__ STATE FL...~..ZIP_CQD~3612
TAMPA .
OATE. TELEPHONE 81
Go -10 -0 2.-
E REVERSE SIDE FOR CONTlNUAilON REPLACES.ALL!,~.~o~~_~~rTIO~S
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MbdwU........ 'WIndow Typa. . '.p..Jam8 Type. .. .-A'ppllcatfon.. . :~ftI-;-' .._.. .:,\!
.24~1)" :<jll:lale H UI1!;I Flanlle -Mllsonry Block:" "FL 1.21lS: ' ~.~
.2130 . :PJ'cture Window FJange ;:Masonry Stock: .' . 'FL1'2Q2".
.2183" .. -sm~re Hung:.. .'. .NewCas::lstructionoFin:. .. :Stick Frame" .' . .FLl2e4:....
.2tSO . . . :P.ldure Window '. '.iNew:Oonstru~in.. . -:Stick Frame":... . . P'Ll.2S'
21m:. ;: ':smale Huna:'; '" -=F.lange. . l:Mescnry Block' :.FLU6!f
...ma.: . . -f'lct1:tre Window: . &nge" - iMa:senry Block" : . :FLl21B... .
2if5D:' Smile Huna:',':: ~W":Ccm8tructioft.:.F.Jn... :'.BItOk Frame:;'. 3n.l2lm ..
':21BB:':. :-3?lClure Windaw' . :NewiOar.lstructJo~n'", . :EieK Frame:: . . atL129.!" .':.
....29m::. . :....13iogJe Hun{j:.. :1Slew:ce&stru~ .. Stk2k Frame:~:I" .;m,r.R6.... ".....
.. '~!QS:: . ~fOt~re Wi ndGw' . .. cert:1Mt' l1Iasaorv 'Blook. .. . .;rum ..
':.~~::' :; 'Plctare Winds\V.: ;aNew.:Qmatrucffim.:FM' . . '.:StlGK Frame:': ;JI'Ll:s:11....
. I.f .f
"~'" '::. "-Awning .. . '1' t3ement:.... ~ry Bloc:fl( .. .f'Ll45P~
'. .fJJ5(F :. -AwnIng .. '.~.'CtJmttru~n'" "~Frame':.:', "FLt:m:..... "
. '.1_:-. =Casement:: . 1....,;.oemtmt .... ; ::MlGnry BlGt;f<:, .. .~~'. . ~ .. .
.:'.:r.2iC.: '. ....:.Ca:eement'.. '~trudbn~. .stick"Frame.;;.... . ':li'Ll2In'" .. :
".::550015ElGBf5roo ....... .. '~fo Door' . cement ...tidaaDArv..Blo'Ck:. :~27,.~' :':
. --:5500tsealS100 " " ..~atlo DOQT:-:: ~;eenattuctien~::' ~ Frame,' _ ....:BLl$J1O.. ..
. - .. ..
':. =S5eO: :Oouble HUT-nF:< .' ...n.........cemsz:rt. :':MasorJry Stadt... ':FLIW. ... ~.
"....:B500Wtiliil/19n :::'..:.Doubre Hurnr "~stru~';':'~Frame'''''' .:BL141j: '.'
.. . ':a~ '" ~ng Window.~ .. '~acemenr.': '. "MalcA,y Sleek...' ..1l'L1:S!2.... ..
'~H '''lit'' ::SIIdir:Jll Window:' ; l1iIew:~ctlatl'lFIn:" '5Ilck Frame' . .i!Ll33.4, " , ::
,::: :B~:. " -slnlile H Ul'lt,.. ":, ... _ 'Y8' ' . : lo1l18l1n v Block' , 'R 2591" ::
. .. .:.::2!Bf):.... .:~Wln.c:tow!...~BStru~.;..:stJckFrame.:....... 'F.L.2S&B... "
.~.....n,.. ~-Ire Hu'-" . ,. .- S" ,....~. 81-Al.... :r::.r.~.. ..
~.J.So1. . . - ., 'Dl'.JI.I1 1,14:.l. . '. . ....JaIIY. . , I Y I~... . .::rl. 4/IoRU.'.
.::l!Ir.m.:. ': ":S1Afiie Hl.:tng.~:i.~ ~~~otkJ~:'" .BlkikFrame. "~'.~; ::. ~..
,"~:21IG.. ~U3ture Winaow~ :'. ~nae..., '1I8sonrv Block' .'.. ~~: .' :.'
.' "2i'l&e"':. . ~Gk:lre Windo.w:! :;bI8W':cBnetrucffoA.;F.lh;;: 3tlC!kFrame:..' .,'. ':!R.~:'.'., .,.
":2!I&Il"'" ' ,. ..sIoale Hunil:'" ,; . '~a'/llll'l;l;l;J:! .. "8IIIIk Frame:, , ~': ': ::
"~'.. :7P1emreWlndt>>.V: "FJanae.:. .. .~ryBloclr;'.:' ~~':. _ :..
'2TJ.W.'. :sll;l~e Hun-a:;. : '.1N_-crmstru~:: : 'SUck Frame." R:2e~.':" ',: ::
"2Elt::.. . ...Sft1aJe HunQ': 'N-~ctlOR-'Ffn''' !stR;k4=rame:.~.. :F.t."2B:2I'" .;;.~
'. 295'0.:.... ' !"AGbJre Wlndt:)W ::.faUtW"OcnstnJGtftm-:Fftl'.::. 'Stick Frame:. . . ~t:.2eI.1' "
':~.~:~::~: American
\'"~""I .Crafi~snlan
.' .
Frorida Ap.pr-ova.f. Numbers.
. .
.'
.Nate:
FL 1527 18IDENrrCAL TO'FL 153S
lIs InfOrm~tfon can be located on the follOwing webelte: W'MY.Florldebulldlna.orQ
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Bim..DJNG CODE 'CQMPLUNc& OFFICE caeCO)
PRODl7Cl' CONTltOL DMSION . .
MIAMI.DADE COUNTY, PLOlUDA
MET.RO-DADE PLAOLBRBUD..'DINO
140 wEsT FLAGLBRsnUa:T, Sl1n'E 1603
MIAMI. FLORIDA 3313().IS63
(305) ~75.~901 PAX (305) 37'-'2908
NOTICE OF ACCEPTANCE (NOA)
...
. .' '. Sllver LJne Bu.n~na Products corporation
. One snver LiDe Drive ' , .
P.O'-Box '6019 .
North'B~ck; NJ ~902
SCOPE: . . . .
. This NOA.ls' being issued under the applicabl~ rulea and regulations govemmg the use of constrUction materiala.
The documentation 8ubmi~d has been reviewed by Miami-Dade County Product Contro1.DivisiOJ! and accepted
. by the Board of Rules and Appeals (BORA) to be used in Mlami Dade County and other areas whem allowed ~'
, the ~uthority Hav~S ]~dictiDn (Am). . . .
-'. ' . . " .
. . This NOA shall. not" be valid after the expiration a.tC statecl bdow. The Mianii-Dade County Product Central
.. . Division (In Miami Dado County) and/or the AH1 elD ~ other than Miami Dade Count)') :eserve the rlght to
have this product or material tested for quality assurance purposes. If this product or material faUs to perf~ in
the accepted manner, tho manufaCturer win incur the expense of such testing and the AH1 may immediately
revoke, modifY. or suspend ~e use'of such product. or maWial w~thin their jurisdiction. BORA rescrvea the rlabt
to revoke this acceptance, if it is determined by. Miami-Dade. County Product Control DivisIon that.this product Dr
material fails to meet the requirements of the appliCable building code.
nus product is apPrOved as desm~d herein, and 'hu been clesign.,d to 'comply with the Eigh Velocity Hmricane
Zone of the Florlda Bullding Code.' . .' .'. '. ' . .
DESCIUPTION: Series 2100 ExtrutJe4 ~VC SinaIe ~Una'WJndow '.
. ~OV AL DOCUMENT: Drawing No. 8-2375, elated 06/1SIQZ, with revision #1 qated O~106I03, ~tled
':'Exrruded PVC Single Hung Window up to '2" x 62". sheets 1 through 4. prepar~d byR. ". Building
Consultants, Inc., bearing the Miami-D~ County Product CCD1tOl Approval stamp With the Notice of Acceptanco'
number and approval date by the Miami-Dade County Proqnct ~ Division. ,'. .
MISSILEIMPAcrRATING:Noue . . . .
.. . .
LABEUN<?-: Bach unit shall bear lL permanent la~l with tho manUfacturers.name Of loge, city, state and
. following statement:' "Miami-Dade County Product Control Approveti", unless otherwise .noted hemn. .
1'. ' . RENEw AI.. of this NOA shall Qe consiclered after a renewal application'has been filed and thcro bas been no
I ' change in the applicable b~ld.ing code D8p~vely' affecting the performince of this product. .
TER:M:INATlON qt this NOA will occur after the expiration daw or it there has been a revision or change in the
materials. UI~ anCVor manufacture 01 the product or process. Miluse of this 'NOA as ~ endorsement of any
pfaduct, for sales, advertising C?1" any other purposes. shall automatically temi1nate 'thia NOA. Fa!1uro to c~ly
wiPI any section ofthls NOA shall be'cause for.terminati~ and removal of.NOA. . .'
ADVERTI~: The NOA number preceded by the.words Miami-Dade County, Florida, and fonowed by .'
the oxpiratlon date may be display,cd in ac1vertising literature. If any portion of the NOA is displayed, then it shall
be done in its entirety.. . . .....
INSPEcrlON: A copy of this entire NOA shall be pro~ded to the USCf by the manufacturer Qf itS distri~
and sball be available for inspection at the job site at the request of the BJillcling Official.
i. '" This NOA consists of this })age 1 ai well as approval docw:nent mentioned.above.
The sUQmitted dOC,umentation w~ reviewed by Manuel Perez, PeE.
"!
. I
..&~
NOA'No 03.0630.03 .
Expiration Date: September 18, 2008
Approval ~ata: September 18, 2003
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SINGl.C .HUNG WlNDOIV S/lvarllns BUIlding proquore Oorp.
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One Si/verflne Dr/v.
tt~rth......s..ru.'1a_w~c:1<! _ NJ Q890~
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North Brunawlcic, NJ Oa902 .
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Model Number Window TVDle Frame Tvoa Appllcatlon Aaronl Number DP Ratlna Data Validated
700 SH FLANGE BLOCK FL5611.1 R3 45/50 11/29/2005
710APW 711 H CIRCLE 712 QUARTER PW FLANGE BLOCK FI7134.3 80 813/2006
720 SH FLANGE BLOCK FL5611.1 R.3 45/50 11/29/2005
730A-PW 731 H CIRCLE 732 QUARTER PW FLANGElFIN BLOCK/STICK FL7134.4 R3 80 813/2006
780 mall 56x74 SH FIN BLOCK FL5611.2 R3 30/50 4/4/2006
760 PW FIN BLOCK PENDING 111 IIIIa. Worklno on
no max 56x74 SH FIN BLOCK FL5611.2 R3 30150 4/4/2006
780 PW FIN BLOCK PENDING 111 en". Worfelno on
840 SLIDER FLANGE BLOCK FL7569.1 50 10/5/2006
880 SLIDER FIN PENDING 111
2110 SINGLE UP TO 63 X 63 SH FLANGE BLOCK FL6163.3 35/50 2/2112006
2110 SINGLE UP TO S4.5X6U SH FIN BLOCK FL 6163.3 35/50 2/2112006
2110 TWIN UP TO 106 X62 SH FLANGE BLOCK FL 6163.3 50 2/21/2006
2110 TWIN UP TO 107.5X64.5 SH FIN BLOCK FL 6163.3 50 2/21/2006
2110 SINGLE UP TO 63 X 74 SH FLANGE BLOCK FL 6163.1 50 2/21/2006
2130 73X41 PW FLANGE BLOCK FL 6156.2 R1 20/40 2/21/2006
2130 SINGLE MAX 73 X 74 PW FLANGE BLOCK FL6156.2 R1 25/40 2/21/2006
2130 NON IMPACT PW FLANGEIFIN BLOCK/STICK FL 6156.3 20/40 2/21/2006
2180 54.5X64.& SH FIN BLOCK/STICK FL 6163.2 35/50 2/21/2006
-c-
2180 54.&X75.6 SH FLANGElFIN BLOCK FL38B4.1 R1 25/50 8/1/2005
2180 MAX 74.5 X 75.5 PW FIN BLOCK/STICK FL 6156.1 20140 2/21/2006
2180 NON IMPACT PW FLANGElFIN BLOCK/STICK FL 6156.3 20140 2/21/2006
2200 DISCONTINUED SH FIN STICK FL 3863.2 R 1 DISCONT 8/1/2005
2280 DISCONTINUED PW FIN STICK FL 3861.2 R1 DISCONT 7/27/2005
2300 54,5X64.& U.. 2724 Mull SH FIN STICKlBLOCK FL 3863.3 R 1 35/50 8/112005
2300 54.6X7U USE 2724 MULL SH FIN STICKlBLOCK FL 3884.3 R 1 35/50 8/1/2005
2380 Unto 74.& X 76.& PW FIN BLOCK FL 3861.3 R1 20/40 7/27/2005
2392 SH FLANGE BLOCK NOT APPROVED 12/22/2005
2710 SINGLE SH FLANGE BLOCK FL5974.1 40160 12/22/2005
2710 MullNl WI 2723/ 2724 SH FLANGE BLOCK FL 5974.2 50160 12/22/2005
2730 max 73x74 PW FLANGE BLOCK FL 6109.1 20/40 2/20/2006
2730 NON IMPACT PW LANGEIFIN BLOCK FL6109.3 20/40 02.120/06
2780 SH FIN STICK FL 5974.3 60 12/22/2005
2760 Mulled 2723 or 2724 SH FIN STICK FL 5974.4 50160 12/22/2005
2780 max 75.&x78.& PW FIN BLOCK/STICK FL 6109.2 20/40 2/20/2006
2780 max 7&.5x78.5 PW FIN BLCOK/STICK FL 6109.3 20/40 2/20/2006
2780 max 73 x 74 PW FLANGE BLOCK/STICK FL 6109.3 20140 2/2012006
2800 mex 74.84x&2.84 SLIDER W/FIIN BLOCK/STICK FL6138.1 40/50 2/20/2006
2900/2910 SINGLE MAX 49X8& SH FLANGE BLOCK FL 6186.1 30150 2/20/2006
2900/2910 TWIN MAX 89.& X 78 SH FLANGE BLOCK FL 6166.1 30/50 2/2012006
2903 TRIPLE MAX 108 X 7& SH FIN BLOCK/STICK FL 4065.3 R1 50 7/26/2005
2980 max 84.& x 89 PW FIN BLCOK/STICK FL 6102.1 40 2/20/2006
29&0 Im....ct PW PENDING 9/1
2980 SINGLE MAX &1.& X 87.& SH FIN BLOCK/STICK FL 6166.2 30/50 2/2212006
2960 TWIN MAX 92 X 78.50 SH FIN BLOCK/STICK FL 6166.2 30/50 2/22/2006
2900/2960 IMPACT MAX &1.5 X 63,5 SH FIN BLOCK/STICK FL6686.1 R1 50 6/19/2006
3000 IMPACT max 41.7&x80 fin to fin DH FIN STICK FL 5363. 1 50 1117/2005
3000/3900 SINGLE max 41.7&x68.7& fin to fin DH wolw fin STICK FL 4890.1 R2 45/50 12/2012005
3000/3900 TWIN max 100x80.7& fin to fin DH FIN STICK FL 4890.2 R2 30/40 12/20/2005
3000/3900 TRIPLE mall 112x80.7& fin to fin DH FIN STICK FL 4890.3 R2 35 12/20/2005
3000/3900 Steel Reinforced DH PENDING 9/1
FLORIDA APPROVAL NUMBERS AND NOA'S
page 1 013
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