HomeMy WebLinkAbout08-7506
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7506
Permit Number: 7506
Permit Type. GOMMERCIAL
Class of Work: ADDIAL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 296.00
Amount Paid: 296.00
Date Paid: 2/22/2008 Phone:
Work Desc: INSTALL FIRE DOORS, WALL, EX.FAN, FIREWOOL, EMERGENCY LIGHTS
Address: 5953 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0020-00000-0030
8,000.00
Name: ZEPHYR LLC
Address: 7162 READING RD #730
CINCINNATI. OH 45237-3845
FIRST CLASS ELECTRIC INC
FIRE INSPECTION FEES
30.00 FIRE PLAN REVIEW FEES
<0"'(\; ~ \/ D ~
~~
INSULATION WALL
FIRE DEPT. FINAL
ELECTRICAL FINAL
PLUMBING FINAL
FINAL MECHANICAL
BUILDING FINAL
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."
, -(#h
ONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ZEPHYRHIULS iFlREDEPARTMENT .
6907 Dairy 'Road, Zephyrflills, FL 33542
Bus (813)780-0041
Fire Chief Keith Williams
.-'."!tEt....... .. ..--.
-.:"i-!" = .~ >--- .
--"-.;.,&- -. -'~ ~ ,
Fax (813)780-0044
,FIRE SERVICE USER FEES
Occupancy ~o.:
Plan 'No.: C>..{ - 0 I,
Business Name:
Business Address: ,~)3 G-~
BusinessPhone No.:-
Business Fax No.:
Contact:
PLAN REVIEW FEES
D. Site Plan NlC
J){Mu~FamilylCommerciaJ ~
(Minimum Charge $25.00
o Plan Revisions DBL
INSPECTION FEES
NlC
NlC
$100
$250
$500
$100
Annual
1st Re-inspection
2nd Re-inspection
3rt1 Re-inspection
4th Re-Inspection
(Business closed until
violations corrected)
SPRINKLER SYSlEMS
~ Hydro Undergrounds $45
Hydrostatic Test $65
Acceptance Test $45
Hydrant Flaw $75
per sysIIlm
per sysBn
SPRINKLER SYSTEMS
B 0 - 25 Heads $50
26 plus Heads $1 00
STANDPIPE SYSlEM
o Per Riser $50
FIRE PUMP
o Per Pump
FIRE ALARM SYSlEM
B 0 - 25 Devices $50
26 plus Devices . $100
SUPPRESSION SYSTEMS
B:: E
B~ $50
KITCHEN EXHAUST
o HoodIDucts
OTHER
aLP InslaUation per tank
Fuel Tank Installation
(Per Tank)
o Natural Gas InsIaIIation
(Per System)
o Spray Booth
ARE ALARM SYSTEM
B System Acceptance $50
Recall Acceptance $50
mFirewa=WaJ, $15~~~1
LP Gas $25 per1ank
Natural Gas $25 per sysIIlm
$50 ~ Tent10'x10'or~
RrePump
Fire Suppression
System AccepIance
B. Exhaust HoodIDuct. $30
Re-inspectian DBL
(other than annual)
$50 0 Inspedion scheduled DBL
and cance/Ied less than
24 hours
wJ Construction Insp. NlC
Emergency Vehicle AD $50. oQ
PLANS TOTAL - INSPECTION TOTALC3TIl./
$50
$50
$50
$50
$15
$45
$30
per1Bnt
GRAND TOTAL
Comments:
Billing Phone No.'
Billing Fax No.:
Contact:
~
Sprinkler
Standpipes
RrePump
Hoods
Fife Alarm
LP Gas
Natural Gas
F~ TanIcs- perlank
Sparklers
RreWorks
Camp Fire
C0ntr0lIed Bum
HoodIDuct
Place of Assembly
Fire Protection
Flammable AppIicaIion
Waste Tire storage
Generator < tQ/V
Generator >30 tQ/V
Bio-HazarcI Waste
Fumigation Tenting
Torch Pot/Applied
Haz. Materials
PERMIT FEE
$50
$50
$50
$50
$50
$50
$50
$50
$100
$500
$25
$100
$50
$50 Annual
$25
$50 Annual
$50 Annual
$100
150
$100 Annual
$50
$50
B
t
PERMIT TOTAL[=:J
./~Lec;l' I
FALSE ALARM FEE
1st Alarm NlC
2nd Alarm N/C
3rd Alarm Nle
4th Alarm .$100
5th Alarm $150
6th Alarm $200
NON COMPUANCE $150
$100 Annual
FALSE ALARM
TOTALc=J
Date: :l.~~
I~doc ~/y &r~-~
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
February 20, 2008
I have reviewed and approved the plans for an interior remodel located at 5953 Gall. I
have attached the comments for the plan approval. If there are any questions please
contact my office at 813-780-0041.
1. Install two certified fire extinguisher in accordance with NFP A 10, latest
edition.
2. Install combination exit/emergency light at front and rear door.
3. Install hardwire smoke detectors with battery backup in any storage related
space.
4. Install panic hardware on secondary exit door.
5. Be sure to seal area above block wall at roof deck with a fire rated material.
6. If gas is being used in business, separate plans shall be submitted for permit.
Plans shall show type of gas, lines into building and appliances being
operated.
7. Address front and rear doors.
Inspections Required
1. Firewall inspection (screw inspect for each layer and overall final)
2. Remodel [mal.
K
Contractor/Homeowner:
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
'7e<'St..rrI cJl "\ ouc.XI
-~ \~ ( ~ ! ~,^c$Jly,)
8 - 1'3 --0 <2'
Date Received:
Site:
5'15"'6 C-s~ 0 (L R:>lud
Permit Type:
~~C/V\./\
Approved w/oo comroents:r
Approved withe below comments: 0 Denied withe below comments: 0
Kalvin
heet shall be kept with the permit and/or plans.
/
Date
Contractor and/or Homeowner
(Required when comments are present)
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
<(
Owner's Name
Owner's Address
Date Received
PROPOSED USE
TYPE OF CONSTRUCTION
~) L.Lll>1A ,J~~A l.7l
1..1,&
/271:,4-rE. ZCfll
e;,tJ; ILL S ft.. "335 z.
PARCELlD#1 /0 "21>-2/. Oo;l.O-01X>()O -0::> 30
.~ (OBTAINED FROM PROPERTY ,TAX NOTICE)
ADD/ALT ~ SIGN D MOVE 0 DEMOLISH
REPAIR
COMM ~
FRAME 0
Owner Phone Number
Owner Phone Numberd813 )
Owner Phone Number I
788- t/f3Lf~
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
I
D
OTHER I
OTHER
STEEL
DESCRIPTION OF WORK /HSrItJL F/I7E tOa,rs 'W'f)-/.; ,Fi.. rA-N v/I?E we.t'/'" ,Glfp Ff/&-
BUILDING SIZE 1-41 y...,1 i I SQ FOOTAGE I I HEIGHT I . I
11...II.....I...'llllrl~:-:I.pll...'II......II...I.I..I,.........111...111......'....111..111........111..........11.......1111.'.....111111.111..
D BUILDING 1$ ("""'I VALUATION OF TOTAL CONSTRUCTION
l:S1~.
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
D GAS 0 ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11'........1'1.'...111...'.11..'...1'1'.......11'1'1.....II...',I;;l'".'V1V.....I..'I.'.'.I......I.....II".....I....1.'..11.....11...........'11'
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
~~~-s~fr:por _
t0DC /
r-'/m- 21 (3(cc-s
BUILDER
SIGNATURE
{lid
Address Gill (" It T~ 6'1 7;;; ('; /IJS 11 ;r3'cf""#1. License #
~~~~~NI~~~gi~~.O;~::~ I\T~/~J.I":EC"~ I
Address ~_~_ I License # Ice 00{).:{S-7 d
I
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
OTHER
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
License #
111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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 subdivisionsllarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
111I111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C 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 (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
"
'''4
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 tmisdellleanor 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 In~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 violations of any codes. Every ~ermlt Issued. shall become. invalid
unless the work authorized by such permit is commenced within six months of 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 Officia~ for a period not t~ exceed nln~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 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.
FLORIDA JURAT (F.S. 117.03) 7';:
CONTRACTOR z,. A
Subscribed an~}wor 0 (or affirmed) before me this
.;;.JI,VO'z{by 08e V E. ;:../r 1"T"{7/'J
Who (s/are personally known to me or has/have produted
as identification.
LY
COMMISSION II 00394264
EXPIRES: Mucb 13. 2009
FL NclIIIy Ilioccult AIooc. CD.
/J _- ~~~
/ ~b*" /-""" - .' )0./ Notary Public
com'ssion No. ])D 39 ;Jd..- (; cj
F S --
Name of Notary typed. printed or stamped ~..", "1'~"~;;t""^'"V""'\'VJV'.,",,,,"
;; ~. "'t->J 'u.\ t) IJ"~ Ii L. SL:r~ i . \ ..~
~').~ MY COMMISSION ~ lJOI\..,;.
." "-,-,.ru/ EXPZRES: M.an:b U. 2""
{~\~~:~;;~~~Y'\r~~'J:
L
ASSESSED IN
DES C RIP T ION:
~EgT~O~ 10, TOWNSHIP 26 SOUTH, RANGE 21 EAST,
PASCO COUNTY, FLORIDA
COR LOT 10 TH N02DG 02' 12"W
N02DG 02' 12"W 306.96 FT TH
S38DG 431 06"E 140.00 FT TH
WEST R/W LINE US 301 TH SELY
28' 05"W 482.54 FT TO POB
PINE GROVE PB 2 PG 15 COM SW
313.00 FT FOR POB TH CONT
N88DG 25' 13"E 59.58 FT TH
N88DG 25' 13"E 150.00 FT TO
ALG R/W 273.41 FT TH S88DG
OR 4341 PG 1041
Repl: 1160ee9 Ree: 10,00
DS: 0,00 IT: 0,00
02/13/08 Dpty Clerk
~ JED PITTMANJ PASCO COUNTY CLERK
.. /d -~ /"_4(.- ClO~O.....CCOOCJ-OdV d - 02/13/08 h:34am 1 of 1
Property Identification No. - ~b ~ OR BK 7760 PG 376
THE UNDERSIGNED hereby give infonns you that the improve:ent will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
NOTICE OF COMMENCEMENT
1111I1111111111111111111111111111111111111111111111111111111
2008022260
Permit No.
l.Description of property (legal description:) S'EF A-bo VL?- . '. Y;Jo.f-! '1
a) Street Address: S9 6"":$ GAL),./1 ). Vel. Z IE,oA Y r it ,otiS, R,
2. General description of improvements: i 'i orA). t- ,P, 'Ih;. tJo!!1O/.} f- ;'/1{ 0 ~ j./fn '0 i~
3.0wner Information
a) Name and address: ~ {ZlJh J r ).1- C \)<0 rj.. ~
b) Name and addresl of fee simple titleholder (if other than owner)
c) Interest in property
"tractor Information
. a) Name and address: /f/J.Fo/ll ~oNSr
b) Telephone No.: ~f3 ~ 781. - /.1Jl1
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6. Lender
a) Name and address:
I P-rit At/)'i:
;Z~,IJ)JritJ).jS: F~, ?'.s:S""~ 1.
C;#/6" ~b rJ, Sr 7t5'~jJrh/.ttS; FL. ss6"4 "L
Fax No. (Opt.)
Fax No. (Opt.)
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713. 13(I)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PA YMENTSUNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
A~[Z{~Offi__~mn~M~~
ok Y -, / -01'1
Print Name
instrument was ac1m.oWle~ged before me tlris /3'fA day of ~ . 20pt . by &,u" ~
Jot as (!pH.-fr~fvr _ ( e of authority, e.g. officer, trus ee, attorney
" ..,r. U~5 (name of party on behalf of who
STATE OF FLORIDA
COUNTY OF PASCO
Personally Known L OR Produced Identification
Notary Signature
/
Type of Identification Produced
Name (print) 6u..za..Vl.~ ~I
FORMSlNOC,rvsd2007
Verification Pm:su~t to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated m It are true to the best of my knowledge and belief. ;;l
N.~Jfu~:.PUB~C;SW:oFF!JjRIDA . 8(li'J!' d.-
:' ~ -::. u uzanne Bahr SIgnature 0 atura! Person Signing Above
~ ~ Commission # DD601110
,-,..."""",- Expires: NOY. 15,,~QlO
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FROM :HOPE LUMBER
FRX NO. :3525180218
Feb. 18 2008 02: 49PM> HI',
~~Lumberand Su~ Company
PO Box 939
Zephyrhills, FL 33539
Phone: 352-588..2501
Fax: 352-518-0367
To:
From: Jerry Smith (IS.11C/-:'I~
Sales Re resentative
Ann:
Office location: #66 Dudo City
Re:
-L.
. Date:
Fax #:
# pgs, inCl cover:
:=] UrgeDt :] Reply ASAP I-.J PI~ comment 0 Please review
oryourinfonmatiOD
fC.v1 IDy f}dlJ~/W~r~j(
r(f4(
~9r.~
FROM :HOPE LUMBER
;:q R~,FAXI'lO.:3525180218
F eb, 18 2008 Cl2J2 :=~PM - 'P2
./iii" .Product APPro".'
. UllER: "'.'ll: Ufer
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Code Ven;lOf"l
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Comment5
ArchIVed
Pnlduct Menuracturer
Addren/Phon8/Emall
Authorlz4ld Signature
Technical Representative
Address/Phone/I:mltll
Quality Assurance Representative
Address/Phone/Emall
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Compliance Metnod
Certll'lcatlon Agel'll;}'
Referenced Stan&lrd ilnd Year (or
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Equlvalenee of Product Standards
Certified By
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Date Submitted
Date VlIlJdated
Date \>ending FBC Approval
Qate Approved
FL5493-Rl
Revision
2004
Appnlved
r.;:
MI WIndows and Doors
650 Welt Market street
Gratz, PA 17030
(717) 365w3300 I!Xt 2560
bsltlingerOmlwd .com
Brent Sltllnger
bsltllng.rOlTIlwd,com
exterior Doors
Sliding Extertor Door Assembllu
certlftcatlon Mar1c. Dr U5tlng
American ArchItectural ManufactuNf'$ As$odatlon
modaal
ANSIIAAMA/NWWDA 101.1.5,2
!Ill
1991
Method 1 Option A
04/19/2006
04/20/2006
05/02/200&
http://www.t1oridabuilding,orglpr/pr__ app._"dtl.aspx?param=wGEVXQwtDqsqFh V2n%2fq3... 2/1812008
FROM :HOPE LUMBER
- <<
~.~ 132 R1SFrC; .,..,- FAX NO. : 352518121218
Feh.:=1B2008 ,12I2:'49PM P3
SUmmary of Products
FL'. Model NuMb_ or Neme DucrlDtlon
5483,1 420/430/440 OXX Aluminum 18'-xBO SIngle G18Ztld 3/16" Tempered
PatIo Door
U",Ie. et U.. Certlncatlon Agency Certlftcete
Approved "for UlIIe .n HVHZI No FL5483 Rl C CAe 4~~.3.o-440 SGD V(l!.l~!
Appt'Oved for Ule ~de HVHZ: Yes I ...._ not'
Impact R_lsblnt: No 1::1,.5483 Rl c: CAt...M.MA C..hart . 421)-4:'10-440
!>Mil" .......ure: +35 /.35 :t::n ...41
OtIMr: R-3S No re)nforcoment. Per IJnlltalllltlon ~n*"c:tIoM
manufactul'8nl Installation Imil:ructlons. EJ,.51\B3 R1Jl !t~30''''40 SGD Comparative
Fl54B3 Rt U 420-430-440 SGD Tl!lpmn Instr -
11I1'
Vertfled By: American Architectural
Mtlc",faeturers AssoCIation
5483.2 ~20/430/440 XOX Alumlnum 14<tx96'Slngle Glazed 3/16" Tempered
PatIO Door
Umtts of U.. C.rtlflcetlon AgMCY c.rtIftc:ate
Approved for UR in HVHZ: No Fl5483 Rl C CAe 420-430.440 SGD Waiver
Approved for u.. oUUlde HVHZ: YeS I ...._ not,
Jmpact Rnlstlant: No fLS4S3 Rl C CAC /\AM" Chart - 42o-4:t~
__".n Preseure: +4U 1-40 c:r.n ....F
Other: R-40 WIth Stoel and Alumlnum I.rwtllll.tlon In.tructlo.,.
Reinforcement. Per manufBcturers Installation FLS483 R1-.11 420-4]0--440 SGO C()m~
Instruc:tlons, .....
FL548] Rl IT 420-430p440 SGD TaDCtln Instr -
;-~!I~~
Verlfted By: American Architectural
Manufacturer.; Association
5483.3 470/452 XO Aluminum Patio 196x81 Single Glezed 1/8" Tempered
Door
Umlbi of UN jcertlflc:8l:lon Agency CertJftC11t8
Approved fo... ".. In HVHZ: No F~8] Rl C CAe /\AMA Chart - 470-452
Approved for u.. outsId. HVHZ: Yes I",,,,,, .....,
Jm,.ct Realstau\t! No Itn_llatlon In.crudlOM
D...." PreMurer +25 1-31 EL5483 Rl 11..~2.0~G.!>_~pa)n In~1:r - FaRhlner
other: R-25 Per manufacturers Installation is'b,,dule.pdf
Instructions Verified By: Amertan Architectural
MlInufllCWI'8l"ll Alloclathm
5483.4 t,~S/3485 XO Aluminum 72x80 Single G1t'zed 5/32" l'empered
Patio Door
Umlts ., Use ..ertlflcetlon Agency c:.rtlflcete
Approved for U_ In HVHZ: No FL5483 Rl C CAe. AlIMA ChZIrT - 485-34(1$
Apprvved for u.. outalde HVHZ: Yes ..."" n.oF
l..plIc:t Relllltanb No In&tllUatlon Inatru~ons
__lIln P.....u...: +55/-74 FL548J R1 n 485-3485 SGD XO Struc Test 01-
Other: R.SS Per manuf'Bcturers Installation ....~~ /\~ .....
,nstructlons Verified BY: Amerlca/l Archlteau~1
Manufaeturer5 Allocletlon
5483,5 910/3910 XO Vinyl Patio 72x80 Jl'l9uletecl DSB Tempel'8d
Door
Umle. of U.. Certification ..gency Certificate
Approvell for use In HVHZ: No FLS483 R1 C_C1.oUAMA.Chart. 910-~lno
Approved for U. outside HVHZ: Yes 5G.Q...gdf
Impect .....&t:Ilnt: No Installation Jn~ctions
DelfIn Preaure: +35,3/-47.2 I"'L54113 Rl II 910-3910 SGD leO Structural
Otherl R-3S Per m"nufllcturers Insbllatlon T.!it62~9.8.01-1()C}-47-rO.udr
InllitrUctlons. Verlfled By; American Architectural
Ma"ufacturers AssOCIation
5483.6 1955 OXO AlumInum Petlo 18Ox96 Insulated 3/16" Tempered
http://www.f1oridabuilding,org/pr/pr_app_ dtl.aspx?param-wGEVXQwtDqsqFh V2n%2fq3... 2/1812008
FROM : HOPE LUMBER::1 R':::NID38~3:;::;::::-
FAX NO. :3525180218
...:i::271:EeffiEf8.200802:S0PM P4
Iooor
Umltaor UIIe Certlftc:atlDn -AI.nc:y c.rtlftc8te
Approved for u.. In HVHZ: No FlS~3 Rl C CAe AAM" Q)Brt. 9s..~(jf
Approved tor u.. autalde HVH%: Yes In.tall.tlonllMtructlon.
ImpactR...tant: No f1li483 Rl n 955 SGD 0)(0 and Xo !Uruc Test
De.Jvn Pre...re, +30/-30 55773.01-1:2:2-47 pdf
Other. C-30 Per manufacturers tnmllatlcn Verlfted By: American An:hiteetUI'III
instructlOll$. Mltlufacturers Association
5483,7 ~s 0)(0 "'umlnum PiltlO 107x96 IlISulatild 3/16" Tempered
Door
Umlt8 or u.. Certlflc:etJon Agency c:.rtlftcatll
Approved for u..ln HVHZ: No F.L5483 Rl C_c;AC AAM~.Chll:t..::..i.55.SG1Lgd.r
Approw" for .... outside HVltZ: Yes natllUatlon ln8truc:tlons
Impact R~nt: No FL5483 Rl II 955 SGD 0)(0 8nd )(0 Sm.u:o: Test
Dellgn Pres",,.: +50/-50 ........." n._
Other. C-SO" Per manufacturers Installation Verltled By: Amel1can Archltl'.d:lJral
Instructions, !Manufacturers AssOCIatIOn
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http://www.floridabuilding,orglpr/pr_app_ dtl.aspx?param=wGEVXQwtDqsqFb V2n%2fq3.,. 211812008
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8132333741
WORKERS COMPENSATION
STATE OF FLORIOA
OIVISION OF WORKERS' COMPENSATION
BU~EAU OF COMPLIANCE
r.impIOy.~ ID: 0017'79108
eMPLOYER EXEMPTIONS REPORT
~m8: BOBBY !ilL TON CONSTRUCTION INC
street1: 641516TH ST
Streett:
City: ZEPHYR-HILLS
FEINISSN: 200525044
scate: FL Zip: 33542-
.
02122/2008
01/18/2006
01/1512004
01/0112004
02120/2006
0212112010
01/1812008
0212012006
02125/2005
0212012008
CONSTRUCTION ~
CONSTRUCTION
CON~UCTION
CONSTRUCTION
CONSTRUCTION
PROCESSED
L()~:LLG b.
(~J) 27-\ - [obIS-
RECEIVED
FEB 22 2008
BUREAU OF COA,fPUANCE
TAMPA
PAGE 01
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