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Home My WebLink About07-6861 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6861 6861 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 19,873.00 Date Issued: 7/19/2007 Total Fees: 195.00 Amount Paid: 195.00 Date Paid: 7/19/2007 Work Desc: REPLACE Address: 38700 CAMDEN A V ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 35-25-21-0010-07800-0010 b V\QlecO ~- /\..1-61, I(~ 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 noti of commencement." C PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER f Pasco - Fl Garage SKETCH ADDENDUM n ~ ~ :;I ~ ..D Ul' ;" :1 ..' ...01 0 ,.-, -~.; <!9 <5>@G""2'/Z."!-A\)\\ fl'';, ,-., \. '" . II.. ,., \ e; '60 ... " '-': L L -......---- be.~~e.c..1'\@ -\(5' ~e~ fL, . l @ ~ '@ . / @\ 4' 15.>' ^~ . ~ ~",I:"; '-:<Oh ., / \ @ ~4lr @ 0 c::J r=:1 c::::J Master Bath Bath Kitchen Dining Room CD N Master @ 0 Bedroom (S) t:::::::I Bedroom Living Room @) c::::J 30.1' ~ (j CD 18' --" c:::l~ 1 3' '<;6'. . 19.3' 4.6' Covered Entry 34' 7-0-U? REVIEW DATE CITY OF ZEPHYRHILLS(5 PLANS EXAMINER f_ ALL WORK SHALL COMPLY WITH ALL PREVAILING CODES, FLORIDA BUILDINJ CODE, NATIONAL ELECTRIC CODE AND CITY OF ZEPHYRHILLS ORDINANCES SUMMARY FT AREA PERlMElER AREACALCULA lM1g AnNI Rnrt Floor FiIat Floor 1053 134 40.0 X 28.0 = 6.6 X 2.0 = Po_ Total Endos8d Pord1 126 46 Pord1 157 80 _ Pon:h 188 53 GaJageICarport Atlached Garage 468 88 (00~ ((ttopi.caI Rooflng~ Your Florida Roofing Specialist , ..n _ <SSO '" Customer Name ~era'-'o L. \J^lo..) \"-0 MHPI Subdivision Job Address -=0'2:.,00 City "Z421/"",'ll'l.\-T,.\\S Zip ~"'3>S<.\D-tC'3B WORKSHEET SUBMITTED BY D, CC"j., - WORK ORDER State Certified General Contractor Ucense # CGC 1510110 State Certified Roofing Contractor Ucense # cec 1326935 C.a""dc..o PN c.. . Phone ( 8\ ~ ., e ~ - \J"2De . DATE:' 1"2..\01 Window '1 I.j - W bl-\ Window 16 W "() t)t+ Window '11 w WINDOW PLAN: W Show window locations by number on inside of drawing. D ~\ If additional areas are neces- sary, draw ENTIRE PLAN on seperate sheet and check below. 5ZfSEE DRAWING ON l, SEPERATE SHEET. ~'5I~,cr..:z.)1.., <?\'/z :I.,-b'~ <5i~Y50 eo( Window .12 ~\\ ~~s ~ ~ .r-~"L-~~~ 111 rl ~I~ :: ::11- ~ .., -I v '::t:;. ~I -:r Q 'J I Window .2 t.:) W Window .7 JtL W ~\~ 005 ---.. I I I I I I I I 1 I. 1 1 1 1 I I 1 1 I --.I ~~ ~51~~ r.."'t! L\ ~~~ 35 '14 "I.. ~'S If.... <'31~ '60> ~a! ~Ir ~ 11- WI D ::--- H-.JI I l"l 1'a I .,J} B; J-:r.2 ~I~ -~ ~ 3 ..-------- FRONT ~ ~ "X ..... ') ~ &::.3 LI' ::r Window 13 ~ w t>14 Window '13 Window '8 ~ W bl-\ OE>S .. I, <;::;1'8"111 ~/li ~ '/4 '('1.S'/y <~ Y~"-'2. '14 <31'tz ,,~ CIRCLE RESPONSES Large Oulaide Trim y ~ .Sidlng on Home y W Awninll8 covering ecrewe y Window 14 Window ,,' .9 \II ~ Window '14 w \,..) w ~H 1)1 ~ SPECIAL INSTRUC1lONS: NO 6~\~. 4"0000 Ov. 'l\ ~ \ 2. \ '2>"""> t:l \,on- COM. ~L. <~ "53> , CHECK 0 FINANCE 0 VISA REVIEW DATE r71-~lERCARD .. CllY OF ZEPHYRHILLS PLA ER rc; _ . Window ' . 115 \J W TOTAL tq ,813 Olt DEPOSrr r 1000 BALANCE l '2. , '013 0.-\ <~~l4.LLCOMPLY~~J;,YJl{ . rREv,I;.ftmC-CODES, FLORIDA1IuILD:!f,ia CODE, NATIONAL ELECnuC CODE AND HYRHILLS. ORD Window . " .5 II'-' \..J D~' Window '10 w W DH <';5'41 YI,'1.~ DIRECTIONS TO HOME: ~ec:.. ~. g.~ ~ ~I ~ I. ,- ~ '~ -; ~ \ly ~ ftJ~'/':L 1/ 3Q/y )(yJ.. 12.. 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date ~eceived rz I Co-D" Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name :.. E- Q.. P, L.\) V t\ JV !l'0 'i:-..."';.ij.'.j Owner's Address i 3 <6 tOO C AM D E u t\ "C Fee Simple TitleholderNamel rJ \ (:\ Fee Simple Titleholder Address I rJ \ A 13~ roO CA~')E.u /ivE- I ufh..., (\.... \ \5 Dol tJ, (O'-1e<....i LOT # JOB ADDRESS SUBDIVISION PARCEL ID#I--S ~ .;o-C)\ 0010 ot-5500 DO ID (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE 0 DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION B o ~ NEW CONSTR INSTALL SFR BLOCK 83 D D ADD/AL T REPAIR COMM FRAME WORK PROPOSED OTHER STEEL OTHER I DESCRIPTION OF WORK DCV' ~ S I Z-C ~ r S I Z_L BUILDING SIZE I I SQ FOOTAGE I I I I I I I , I I I I I I I I I I 1 , I I I I I I I I I I I I I , I I I I I 1 I I I I I I I I I , , I I ~ I I I . I I , I 111 I , , I I , . I , , I I I ~ I I , I I I . I I . I I . I I , I I 1 , I I r I I I I I I , , I , , I I I I I , I I 1 I I , I I , I II,' I I t I 1 I I , I , I f I I I [2] BUILDING 1$ \C) <61- ~~ VALUATION OF TOTAL CONSTRUCTION I D ELECTRICAL 1$ AMP SERVICE D PROGRESS ENERGY D W.R.E.C, (:JDe D PLUMBING 1$ D MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DNO Address ELECTRICIAN I SIGNATURE Address I PLUMBER I SIGNATURE I License # FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/ N FEE CURRENT BUILDER SIGNATURE COMPANY REGISTERED COMPANY REGISTERED Y/N ( Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # 1111111IHtt,Uj,~11111111111111111111111111111111111111I11I111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111 RESIDENTIAL .. " Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, ____'- Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed. Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects 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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction, COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMMERCIAL SIGN PERMIT Dl~~~~i~~~': ' , , , , , I I , , , , , I , , , , I , , , , , I I I I I I I , . I , , , , , , I , . , , , , I , . , . , , , , . , . . . , I , , , , , , , , , , , I , . , , , , , . , , , I , , , , , , , , I , , , , , , , , , , , , . , . , , , , , , , I . , , , , , . , , , I , , , , . 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 (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with arty 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 s,eparate perm~t, may ~e requir~d for elect~ica,1 work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically 1n~luded, In the application, A permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y !o vlol~t~, 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, construction or violat~o~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 authorized. 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 n1n~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. A Y RESULT IN YOUR ANCING, CONSULT CEMENT, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEN TO OBTAI WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO OF CO FLORIDA JURAT (F,S. 117.03) Notary Public OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as Identification. Commission No. Name of Notary typed, printed or stamped ., l' . ~-l.:...? . " ." . . ". , . Permit No. . Parcel I.D.,No. , . , "'. :'~ NOTICE-DF:C01\tllY.ffiNCillvfENT . , ~ . '. . .,. . , ... .'0.. . 1111I11111111111111111111I1111111111I1111111111111I111111111 2007123252 J Repl: 1115759 Rae: 10.00 DS: 0,00 IT: 0.00 07/~~(07 Dpty Clerk ~~~ 1~~~~"A:1 : =:;;0 fOUN~~ C\ERf( OR Sf( 75,73 PG 1273 . THE uNnERSIGtffiD'he~gy ~Ye nO.tite:tb,at.the impr9ve:~ent. will b~ made t.Q q~n. .'._ ._~~,: " r~!p'!.oper.ty in .a~cordarice with Chapter 71?, F18Hdl'Stahres;".th~ fofl$\ving infonna.t.i?it'~s:proyrd~- ~. ..~in.lhis ilotice:bfcommericement. . . . State ofFIQrida ()-,r\/o~ . CountY ofPiRall~ r;.;~ ITATE OF FLORIDA. '.' , ~OUNTY OF PINELLAS - ~<;c.O I , DesCription of property {legid description of property and address if availabl e) ~:!~ 1IIu., (iUJ1 Co~ . . , ~&'"l C>O C:;t ~e..t"'\ ~. "Z.e q~\~ll~ I 't ~"3~4(:) _ IC:Y3~.._.. W\N{l.> P,6 t P<fs-~" , .: ..*. Ge,nerat d"escription ofimotovements'WwOO;;3' ~BE1Jr ..', ~'1-:r$"'a6F"t 'o.E...EMYg..cu:...::;-~ ~L, ::. : . ,.- ~ :.'. ~ '- .;.: . . :..~.. . - .... gF~So.A-_,. tlo('. ~o ff"v.At:.,~? ~ 'lit _ _ ". . . .3. OWner Information .' .- .'. . -.A) Name and Address ~LO L. \lzn ~'>S.UIc.J ". : .:' ..:'.}3) Interest in property O~(\-LC. . , f!. .' '.. q Name and ad~ress offe'e siz:np.le titlehoIOer (i~ o'tqer 'thai]' owner -&rt=\' . . ~ . .... ',,# '. _.,':..... , . 41 COQ~:a.ctor (name 'a~d address)' .=:- '.Mark McBroom l Tio~icar Roofing, Irlc:' _ ..': :::~:. . . '~ " . : '5985 -49th Street"North.St: PeterSburg. Florida 3""3109 -, _... .::.~ 5. Surety .. .. . .._ . : . : .' . A> N~e a~ address ~ . ..13) . Amount of bond '. " ' 6.:.~~n;d~~ (name and address) 'N\A- . ."' :........... '. ?:-~e.rs?~ 'Yit~in State'ofFlo.rida desig[~~:t'ea Iiy (iwner'upcin"who notices or'0ther'd6~meiit"s:may b'e. . serv~d as ptovided by Section 713.13(1)(aX7), FIQrida Statues, . Name and address .. _ . 8, In addition to him or herselt; owner desigilates " . ..:. ~~ ' . '" '. . . . to reCeived a copy of the Ljenor'g Notice as. provided m . )ectlOn 713.13(1)(b), Florida Statues. . . '. , . ), Expiration date of notice of COmmencement . . ': .(the expirati on dat~ i S QIl.e. .,':' ,..',. 'ear from ~he date:ofrecording unres's'~'diffei~Ii"t"d:a.te is specifi~), , 'Y<~~ Signature of O~e . " ,....... " ',' ~, h{;Ol/owing inst~e~as acknowledged before me this \'2'fP-dayof ::k>l..,\. ' . .2002 by ~ ~LD 0., ~ I ~SotWho is personally known to me or who pro6=dueed - "'Dr-~uCC' LIoC.. ' as identification, . '. ...&(.... n " :rer rycording return to: Notary Signatu . L.C-J :me: .... Tropical RoOfi~. Inc. B Notary Stamp:' .........~.. . DAVID R. COX :dress: 5985 - 49th Stre North. '''~ ..~,.\. MYCOMMISSION'DD552280 - - - : : : EXPIRES: May 15, 2010 y: St. PeteTSbur~. Florida 33709 . , " BondedllwNolalyNllclJnderwrbrs DOCSIFORMSINOC. rvsd2003 '- ! . \ PINELLAS COUNTY CONSTRUCl:ION LICENSING BOARD THIS CERTIFIES THAT Mark Christopher McBroom DBA Tropical Roofing lnc STATE CERT# I-CCC1326935 HAS REGISTERED HIS LICENSE AND FltEO PROOF OF REQUIRED UABILlTY AND WORKERS' COMPENSATION INSURANCE WITH THIS BOARD. IN GOOD. STAN01NG UNTIL SEPTEMBER 30, 2007 DATE OF ISSUANCE 10/1/06 ; . , , . if .! J._ -, - -_.._~ '~ ,.' , Z~~~j;~ ., ".' ~ 0;:; rri "5:!omCD~ a:lCD O'~O;om )>00 0 0:2 "tlmo m 'TI O-;o;O"m ;0 1:1 en CDCD",Ocn;o -f., CD ~a:lmO.,., 0';; :2 0;0 "TIm 'lI: "t!- m ~ -,m ~)>oClZO~_ 'n CD r Z -~o'TIoo iii., r): 0 ~. o;o:rCi) ;:o:r m 0)>0 -(J} ..... ~m_o o ., 00 0 C -oOCDc= =~ ~O ~ Z mSC... :I I>> 2; :::i Z;ooo CQ~ CDe r CDmm... -~ -Z Q) CD ~OZ~ ~o Z-j m -rCD ::- "-< "U O-m :1. OJo ., Z~)>o C/) ~O - m --z 0 ~ ZCO 'go ;oz OJ CD:;! Ow m c " -j ;0 ;0 .. ;;0 , w )>0 :: e _0 Z n \ 0 tD 0 I\J .. -j \ 0 m 0 0 0 0 -..j 3 z ", ," i f / Florida :B:llilding Code Online . . ~ GO-;30 Page 1 of3 --.r... BCIS Home I Log In ! Hot Topics I Submit Surcharge I Stats & Facts I Publications ! FBC Staff I B' Product Approval USER: Public User Product Approval Menu> Product or Aoplication Search> Apolication List> Application Detail FL# Application Type Code Version Application Status Comments Arch ived FL3515-R3 Revision 7__1/ -07 2004 REVIEW DATE Approved CITY OF ZEPHYRHILL?CS' PLANS EXAMINER Product Manufacturer Add ress/Phone/Email ALL WORK SHALL COMPLY WITH ALL PREVAILING CODES FLORIDA BUILDT":\''''' PGT Indu9ltAriQs , !J'J \'XJurr, NATIONAL ELECTRIC CODE AWl 1070 Tectjmt<mYl~ILLS ORDINANCEC' J.. Nokomis, FL 34275 IJ (941) 480-1600 ext 1124 Itu rner@pgtindustries.com Authorized Signature Lucas Turner Itu rner@pgtindustries.com Technical Representative Address/Phone/Email Lucas A, Turner 1070 Technology Drive Nokomis, FL 34275 (941) 480-1600 Itu rner@pgtindustries,com Quality Assurance Representative Address/Phone/Email Category Subcategory Exterior Doors Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc, Florida Building Code Online . , Referenced Standard and Year (of Standard) Page 2 of3 Standard ASTM E1300 TAS 201, 202, 203 TAS 202 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted Date Validated Date Pending FBC Approval Date Approved 07/05/2006 07/05/2006 07/12/2006 Summary of Products IFL # I Model, Number or Name 5,1 30 (Non-Impact) Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: Not intended for use in wind zones above 140 MPH, Please see SGD630- DesignPressureSummary document in the Installation Instructions section for more information, 15,2 SGD-730 (Impact Resistan Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: N/ A Other: Not intended for use in wind zones above 140 MPH. Please see SGD730- DesignPressureSummary document in the Installation Instruction section for more information, Aluminum Sliding Glc Certification Agency Ce FL3515 R3 C CAC SGD Installation Instruction FL3515 R3 II FTL-4164 FL3515 R3 II FTL-4168 FL3515 R3 II FTL-4169 FL3515 R3 II FTL-4172 FL3515 R3 II FTL-4173 FL3515 R3 II FTL-4174 FL3515 R3 II FTL-4328 FL3515 R3 II SGD630- DesiqnPressureSu mma ry, Verified By: Lucas A. Tur nGuard Aluminum Slidi Certification Agency Ce FL3515 R3 C CAC 190- FL3515 R3 C CAC 190- FL3515 R3 C CAC 190- FL3515 R3 C CAC 190- FL3515 R3 C CAC 190- FL3515 R3 C CAC 190- FL3515 R3 C CAC 190- FL3515 R3 C CAC 190- Installation Instruction FL3515 R3 II FTL-4159 FI?r..ida Building Code Online . Page 3 of3 FL3515 R3 II FTL-4161 FL3515 R3 II FTL-4162 FL3515 R3 II FTL-4163 FL3515 R3 II FTL-4171 FL3515 R3 II FTL-4322 FL3515 R3 II FTL-4326 FL3515 R3 II FTL-4910 FL3515 R3 II SGD730- Desig npressureSummary. Verified By: Lucas A, Tur Back I I Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Suncom 277-1824, Fax (850) 414-8436 @ 2000-2005 The State of Florida. All rights reserved. CODvriaht and Disci, Product Approval Accepts: .ilJm. YEIlI!'!' . .' .- MIAMIIIIJ!I!IIrr. Baliii' MIAMI-DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, .sv:rr.E 1603 MIAMI, FLORIDA 33130-1563 BUILDING CODE COMPLIANCE OFFICE (DCCO) PRODUCT CONTROL DMSlON NOTICE OF ACCEPTANCE (NOA) www.buildiD.1!COdeo1lliDe.com PGT Industries, Inc. 1070 Technology Drive Nokomis, FL 34275 SCOPE: This NOA is being issued 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 Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Iurisdiction (AID). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (ln, Miami Dade County) and/or the AHJ (in areas other 1ban Miami Dade County) reserve the right to have this product or material tested for quality assurance pwposes. If this product or material &iIs to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AID may immediately revoke, modify, or suspend the use of such product or materiaI within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fuils to meet the requirements of the applicable building Code. This product is approved as descnoed herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "SGD-73O" Aluminum Sliding Glass Doors - L.M.I. APPROVAL DOCUMENT: Dmwing No. 4406-1, titled "Alum. Sliding Glass Door, Impact", sheets I through 17 of 17, dated 4115105 with revision E dated 4/12/06. prepared by manuf.1ctu.rer, signed and sealed by Lucas Andrew Turner, P .E.. bearing the Miami-Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MIssILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING: Each unit shall bear a pennanent label with the manu13.cturer'sname or logo, city. state and' following statement: "Miami-Dade County Product Control Approved". unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the perfOrmance oftbis product TERMINATION of this NOA will occur after the expiration date or if there baS been a revision or change in the materials, use. and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales. advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal ofNOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it sha1l be done in 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 1he request of the Building Official. This NOA revises NOA II 05-0526.05 and consists of this page 1 and evidence pages E-I, E-2 and E-3. as well as approval document mentioned above. The submitted documentation was reviewed by Manuel Perez, P.E. '''t''r'. .,,~.=- """".. ,... ~"'Cr '''''''~''. .,-'!,. "'ro-"~ \....,_,.....;_~~,;.oJ.. ...&.i'. \";"'__;~l_..._;.vu 8 NOA No 0lt-0S23.03 Expiration Date: November 11, ZOO!) Approval Date: August 3,2006 Page 1 , ' . , .. PGT Industries. IDe. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturers die drawings and sections. 2. Drawing No 4406-1, Sheets I through 17 of 17, titled" Alum. Sliding Glass Door, Impact", prepared by manufacturer, dated 4/15/05 with revision E dated 4/12/06, signed and sealed by Lucas Andrew Turner, P.E. B. TESTS 1. Test reports on 1) Uniform Static Air Pressure Test, Loading per FBC, T AS 202-94 2) Large Missile impact Test per FBC, TAS 201-94 3) Cyclic Wind Pressure Loading per FBC, TAS 203-94 along with marked-up drawings and installation diagram of aluminum sliding glass door, prepared by Fenestration Testing Laboratory, Inc" Test Report No. F'fL..4454, dated 01/31/05, signed and sealed by Edmundo Largaespada, P.E. (Submitted under NOA # 04-0622.07) 2. Test reports on 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC, T AS 202-94 3) Watee Resistance Test, per FBC, T AS 202-94 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wmd Pressure Loading per FBC, TAS 203-94 6) Forced Entry Test, per FBC 2411 3,2,1 (b) and TAS 202-94 along with marked-up drawings and installation diagram of aluminum sliding glass door, prepared by Fenestration Testing Laboratory, Inc., Test Report No, F'fL..4524, dated 01/31/05, signed and sealed by Edmundo Largaespada, P.E. (Submitted under NOA # 04-0622.07) 3. Test reports on 1) Air Infiltration Test, per FBC, TAS 202-94 2) UniformStatic Air Pressure Test, Loading per FBC, TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile Impact Test per FBC, T AS 201-94 5) Cyclic Wmd Pressure Loading per FBC, T AS 203-94 6) Forced Entry Test, per FBC 2411 3 .2.1 (b) and T AS 202-94 along with marked-up drawings and installation diagram of an aluminum sliding glass door, prepared by Fenestration Testing Laboratory, Ine" Test Report No, FTL-4159, dated 03/25/04, signed and sealed by Edmundo Largespada, P .E. (Submitted under NOA # 04-0622.07) E-l Manuel P .E. Product Control E am er NOA No 0 .03 Expiration Date: November 11, ZOO9 Approval DR: Augut 3, 2006 " PGT Industries. Ine. NOTICE OF ACCEPTANCE: EVIDENCE SUBMnTED 4. Test reports on I) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile Impact Test per FBC, T AS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 6) Forced Entry Test, per FBC 2411 3.2.1 (b) and TAS 202-94 along with marked-up drawings and installation diagram of an aluminum sliding glass door, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL-4161, dated 03/26/04, signed and sealed by Edmundo Largespada, P.E. (Submitted under NOA # 04-0622.07) 5. Test reports on 1) Large Missile Impact Test per FBC, TAS 201-94 2) Cyclic Wind Pressure Loading per FBC, T AS 203-94 along with marked-up drawings and installation diagram of an aInmin1l1J1 sliding glass door, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTIA163, dated 03/25104, signed and sealed by Edmundo Largespada, P.E, (Submitted under NOA # 04-0622.07) C. CALCULATIONS 1. Anchor Calculations and structural analysis, complying with FBC-2004, prepared by manufacturer, dated 5/12/06, signed and sealed by Lucas A. Turner, P.E, Complies with ASTM E1300-98/02 2. Anchor Calculations, and structural analysis, dated OS/23/05, and last revised on 07/22/05, prepared, signed and sealed by Lucas A Turner, P.E., 3. Anchor Calculations and structural analysis, complying with FBC-2004, prepared by PGT Engineering, dated 06/17/04, signed and sealed by Lucas A. Turner, P.E. (SIlb1nitted under NOA # 04-0622. 07) 4. Revised Anchor Calculations, and structural analysis, prepared by PGT Engineering, dated 10/08/04, signed and sealed by Lucas A. Turner, P .E, (Submitted under NOA # 04-0622.07) D. QUAUTY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). Manuel Perez, P Product Control . NOA No Expiration Date: November 11, 009 Approval Date: August 3,2006 E-2 PGT Industries. Ine. NOTICE OF ACCEPTANCE: EVIDENCE SUBMfITED E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 01-1204.01 issued to E.l DuPont DeNemours, fot'"Sentry Glass @ Plus" dated 1/17/02, expiring on 1/14/07 2. Notice of Acceptance No. 01-0205.02 issued to Solutia, Inc, for "Saflex/Keepsafe Maximum" dated 05/17/01, expiring on OS/21/06. 3. Notice of Acceptance No. 00-1212.04, issued to EJ. DuPont DeNemours for their "Dupont Butacite@PVB", approved on 021I5/01 and expiring on 12111/05. F. STATEMENTS 1. Statement letters of confonnance and "No financial interest", both dated OS/23/05, signed and sealed by Lucas A. Turner, P.E. G. OTHER 1. Notice of Acceptance No, 05-0526.05, issued to PGT Industries, Inc. for their Seriers "SGD-730 Aluminum Sliding Glass Door, approved on 08/25/05 and expiring on 11/11/09. }~~ MaImeI Product Co.trot E . 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",'g <:i ~ j o;~ ~ ~ u c ~ ~ ~ ~ ~ ~ ! g .. ~ [5 ~ .. is ~ ~ ! ~ ~ ~ ~ ~ ~ ~ ~ g ~ ~ " '" ~ ~ ~. ~ ~ .., ~ - ~ ~ ~~~ 1..lol.~i-; J l 1 ~~ ~ ~ ~ ~ ~ ~ ". - ~;:a FI~r.ida Building Code Online SL[(k; Sq"" 7;}- f COMMUNITY Pl..ANNINC) --~ Product Approval USER: Public User Page 1 of2 - I Publications I FBC Staff I B Product Approval Menu> Product or Application Search> Application List> Application Detail FL # Application Type Code Version Application Status Comments Archived Product Manufacturer Add ress/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency Referenced Standard and Year (of FL8335 New 2004 Approved ALL WORK SHALL COMPLY WlTHALL PREVAILING CODES, FLORIDA BUILDfr~3 CODE, NATIONAL ELECTRIC CODE AN~1 ClTY OF ZEPHYRHILLS ORDINANCES Gorell Enterprises Inc, 1380 Wayne Ave, Indiana, PA 15701 (724) 465-1839 rgibson@gorell,com Richard Gibson rgibson@gorell.com REVIEW DATE '7~() -0) CITY OF ZEPHYFfAIL[S PLANS EXAMINER {S _ Windows Double Hung Certification Mark or Listing Keystone Certifications, Inc, Standard http://www,floridabuilding.org/pr/pr_app _ dtl.aspx?param=wGEVXQwtDqt%2f7U3N88Q,.. 7/13/2007 Flqrida Building Code Online Page 2 of2 Standard) AAMA/WDMA/CSA 101/IS2/A440-05 ASTM E1886/1996-05 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted Date Validated Date Pending FBC Approval Date Approved 02/27/2007 03/02/2007 03/05/2007 03/28/2007 Summary of Products IFl # IIModel, Number or Name IIDescription 18335,1 IIG5405 Vinyl DH tilt Impact Windl Limits of Use Certification Agency Ce Approved for use in HVHZ: No FL8335 RO C CAC Certi Approved for use outside HVHZ: Yes FL8335 RO C CAC Cust Impact Resistant: Yes compound.PDF Design Pressure: +50/-50 FL8335 RO C CAC G541 Other: Large Missile Level D wind zone 3 at 54 FL8335 RO C CAC G54( x 72 AAMA DP 55 at 54 x 72 FL8335 RO C CAC lamir Installation Instruction FL8335 RO II G5405 fa Verified By: Keystone Ce Back I I Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Suncom 277-1824, Fax (850) 414-8436 @ 2000-2005 The State of Florida. All rights reserved. CODvriaht and Disci, Product Approval Accepts: . rilE!. YI!IIlII'Y. http://www.floridabuilding.org/pr/pr _ app _ dt1.aspx?param=wGEVXQwtDqt%2f7U3N88Q... 7/13/2007 r=C:::1:--1 ~EYSTON~, ~~"nON.-. INCl,. ~ L--L-J--1 ' Document Title: Document No. FRM Bl-43 CERTIFICATION AUTHORIZATION REPORT Revision 1 I Page: 1 Of: 1 No. Required By: PRO BI-03 FMA Keystone Impact Certification Program Certification Authorization Report CAR & Product 10 Number: 022 - 208 Issue Date: 2/27/2007 Revision Date: 3/112007 Expiration Date: 2/28/2011 Company Code: 022 This Certification Authorization Report (CAR) is issued by Keystone Certifications, Inc, (KCI) after full validation review of the product qualification documents for the product named below, This report is only valid when signed by an officer of KCI, and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products, that those products are representative of the specimen evaluated and documented for certification authorization, Only products bearing such a certification label shall be considered certified, The information in this report can be verified at www.keystonecerts.com. Company Information: Product Information: Gorell Windows &' Doors, LLC Model: G5405 Impact Double Hung 1380 Wayne Ave. Operator Type: H Indiana PA 15701 Configuration: EM/1M, GS - 5/16" Lami IG Max Width: 54 Max Height: 72 Corresponding Structural CARs: 022-127 "~ Referenced Standard: Product Rating: /' " \ ASTM E 1886/1996-05 Missile Level 0, Wi~ Zone 3,pP +/-50, 54x72 f / Qualifying Test Information: ~ Test Report No: FET-T112-07 Test Report Expiration: 2/28/2011 Authorized Signature: f' L Digitally signed by Marcia P. Falke "m ON: cn=Marcia P. Falke, c=US, o=Keystone '/lh~; ~ A -r-:.; ~Certifications. Inc,. ou=President, fA"~ r: ~ ~i1=mfalke@keystonecerts.com ~I am approving this document /,f Date: 2007.03.01 14:03:29 -05'00' ,~,' Keystone Certifications, Inc. 1790 Old Trail Road, Suite 0 Etters, Pennsylvania 17319 Phone: 717-932-8500 Fax: 717-932-8501 www.keystonecerts.com ....:. ;~:'.:'.:;':~:~~)'~~.:;}:~;~~:~;::;..., . ,':::. ..:,:":.:": :i/: ,::':+:~~,T~~i.'.:. ......"'~;i;:E,:-::';:'?:,j'y. ,l,' ~~I~;:~~[~, . .....'..,~'~:~'!. iI':4(~;;'~]~ ."~;~\if ..;..:::...';;;1\ !.:- : ~~:,,'.""!' "'1'" ...,c", ~1:': :f:,;~.~1':~~: I'~;':":'.'.' , .." .:"'''' i... ~", ,~:;:: it!: ..':.:,:: HI "::l!;J'd,-1 ":IC: T)..I.-l).r~ I t-I':l ,J':lJ>.lr'1C; nC'OTr:O....-h7,. 07"7T } r.l1A7 Ie: T II Q : "~ <:U:::~:;:"~;;1 ';~", ; ,,,::'''::,.':'',''': ,:'.',::,":' ," ,'" '(I::;;' r;.,~~:. .;,:\; ",': , !;.:,; ::Nu;~. ,:/,' ,.'''.'''' ,," ,..' 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", Page 1 of3 --~ BCIS Home I Log In I Hot Topics I Submit Surcharge I Stats & Facts I Publications I FBC Staff I B' Product Approval USER: Public User Product Approval Menu> Product or Aoplication Search> Apolication List> Application Detail FL # Application Type Code Version Application Status Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency FL261-R3 Revision l 2004 ~EV'EW DATe~\7' OJ CITY OF ZEPHYRHILLS ApprovepLANS EXAMINER ]LS ALL WORK SHALL COMPLY WITH ALL PREVAILING CODES, FLORIDA BUILDf\;3 PGT Inde~~ATIONAL ELECTRIC CODE ANIl 1070 TeeJfrYc06g:~rontfRmLLS ORDINANCES Nokomis, FL 34275 (941) 480-1600 ext 1124 Itu rner@pgtindustries,com Lucas Turner Itu rner@pgtindustries.com Lucas A. Turner 1070 Technology Drive Nokomis, FL 34275 (941) 480-1600 Itu rner@pgtindustries,com Windows Mullions Certification Mark or Listing Miami-Dade BCCO - CER Florida Building Code Online , 1 L.). Page 2 of3 Referenced Standard and Year (of Standard) Standard TAS 201, 202, 203 TAS 202 _ .,'.~...d,..:...~..,..... Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted Date Validated Dqte Pending FBC Approval Date Approved 09/22/2006 09/22/2006 09/25/2006 10/11/2006 ~mmary of Products # Model, Number or Name IDescription 261.1 1x Heavy Wall Mullions Aluminum Tube Mullions Limits of Use Certification Agency Ce Approved for use in HVHZ: Yes FL261 R3 C CAC 06-01 Approved for use outside HVHZ: Yes Installation Instruction Impact Resistant: Yes FL261 R3 II 06-0125-0' Design Pressure: N/ A Verified By: Miami-Dade Other: Please see Miami-;Dade County Notice of Acceptance (NOA) #06-0125,07 for product performance information, and mullion clip anchorage details, 1/1;1 2 II1x Standard Wall Mullions Aluminum Tube Mullions Limits of Use Certification Agency Ce Approved for use in HVHZ: Yes FL261 R3 C CAC 06-01 Approved for use outside HVHZ: Yes Installation Instruction Impact Resistant: Yes FL261 R3 II 06-0125-01 Design Pressure: N/A Verified By: Miami-Dade Other: Please see Miami-Dade County Notice of Acceptance (NOA) #06-0125,06 for product performance information, and mullion clip anchorage details, . 261.3 112x Heavy Wall Mullions Aluminum Tube Mullions Limits of Use Certification Agency Ce Approved for use in HVHZ: Yes FL261 R3 C CAC 06-01 Approved for use outside HVHZ: Yes Installation Instruction Impact Resistant: Yes FL261 R3 II 06-0125-0: Design Pressure: N/ A Verified By: Miami-Dade Florida Building Gode Qnline . , I ,. . . . Page 3 of3 Other: Please see Miami-Dade County Notice of Acceptance (NOA) #06-0125,08 for product performance information, and mullion clip anchorage details. I I Back Next DCA Administration Department of Community Affairs Florida Building Code Online . Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Suncom 277-1824, Fax (850) 414-8436 @ 2000-2005 The State of Florida. All rights reserved. CODvriaht and Disci. Product Approval Accepts: _iii E III ItERIFY' MIAM"~ -iiiI' MIAMI-DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLQJUDA 33130-1563 (305) 375-2901 FAX (305) 375-2908 www.buildingcodeonline.com BUILDING CODE COMPLIANCE OFFICE (DCCO) PRODUcr CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) PGT Industries 1070 Technology Drive Nokomis, FL 3427 SCOPE: This NOA is being issued 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 Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AID). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AID (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 AID 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 Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein. and has been designed to comply with the Florida Building Code, including the High Velocity HurrlcaneZone. DESCRIPTION: l"x Std. Wall.Aluminum Tube Clipped Mullion-L.M.I. APPROVAL DOCUMENT: Drawing No. 6220. titled "I" STD. Wall. Elevations Aluminum Tube Clipped Mullion". sheets 1 through 5 of 5, prepared by PGT Industries. signed and sealed by Robert L. Clark, P.E" dated 04!.Z8/00. with last revision on 05/30/06, bearing the Miami-Dade County Product Control Renewal Stamp with last the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSn.EIMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials. use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales. advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by tl}e manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises and renews NOA # 04-0528.04 and, consists of this page I and evidence pages E-l and E-2, as well as approval document mentioned above. The submitted documentation was reviewed by Jaime D. Gascon, P.E. 8 A ~~t~ 'j~ NOA No 06-0125.06 Expiration Date: June 28, 2011 Approval Date: July 20, 2006 Page 1 '., ~, Q ..., 5 ~ .... 5: lS :J:ll::: :J: '- ~ .... :x: II :x: ~ Q ..., ~ t ~ lI) pl~ ...,liJ ~~ Q@ lI). gsp na: ~~ u . '- ..~ ~~ '" ...,l.oJ ~~ Qg lI). !5P na: ~o ~. ~ '- :x: ~ :;j 5 ~ ~ ~~e · 0 '- ;::!Cl:l@ ~'-,- 1<J~q; Q. lI)P~ gsa:oo:( J:;Oll) U. Q ~~~ ICl I e f5 t:J a: ~. g (S o ..... I<J ~12 ~ ~ ~ii:l .... ;t ~;:!; ~ ~~~~ ~ · ~ ~ Iou ll::::J: ~s~!3 1111 'S ~ ~ ~'il: <: ~~lt)C5~ ~ ~~~~!3 ~(.!j~ ;::j C\I ~i3:i!:~~ t;;;.Qo:t.... i~ ~ ~ ~~ I~ ,,~ 2. ~( ~I S? I-.: \.) :::! 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