HomeMy WebLinkAbout08-7838
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7838
Permit Number: 7838
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5043 16TH S
ZEPHYRHILLS, FL.
Township: Range: Boo_k:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: e11-26-21-0010-21200-0030
17,000.00
5/08/2008
172.50
172.50
5/08/2008 Phone:
REMOVE & REPLACE SIZE FOR SIZE 12 WINDOWS
Name: JOH ON, R
Address: 5043 16TH ST
ZEPHYRHILLS, FL. 33542
~I\~
~ ~ rU ~
2 INSULATION CEILING
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.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees 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. n
~/~~
CO NTRAC'rO R SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax -813-780-0021
Owner's Name
\J :s ..0'::'0 t\J
I S04~ {lotL Sl
Date Reteived
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
504~ ~ -tL. s\
:
S3~L{d-1
2eP~r~I'l~ ~(
I PARCEL 10#1
(OBTAINED FROM PROPERTY TAX NOTICE)
E3 NEW CONSTR 0 ADD/AL T ~ SIGN D MOVE D
INSTALL D REPAIR
~ SFR D COMM D OTHER
D BLOCK D FRAME D STEEL D
I ~v<- .t ~lk~ Q-W\~v'::> Sl~ W S~
I SQ FOOTAGE I I HEIGHT I
LOT #
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
DESCRIPTION OF WORK
BUILDING SIZE
If. . I I . . . . I I ~ P . I I I I . . I I . . , I . . . I . , , I , I , . . I I I . . . . I I . . . . I I . . . I I . . . I I I . . . . , I , . . . . I I I . . . , I . . . I I . . I . I I I . . II . . . . I I I I . . . . I I . . I I . . . . . I I I I . I I . , . I . I . . I . I . . . .
m BUILDING 1$
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS D
FINISHED FLOOR ELEVATIONS
11-) 00'0
VALUATION OF TOTAL CONSTRUCTION
ROOFING
I
I
I
I
D
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C
VALUATION OF MECHANICAL INSTALLATION
BUILDER
SIGNATURE
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
{{vJ(L
I
1,!200icA L- oLOoh~
I Y / N I FEE CURRENT I Y / N I
License # ~ {0 GI S') D II Q
Address
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y / N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
111111111111111 I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II11111111111111111111
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
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 onsile, 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.
111111I11111111111111111I1111111111111111111111111111111111 11111 11111 III III 11111 11111 11111 11111 11111 11111 III I 111111111111111111111111111111111I11I
Directions: '
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" restrictil;ms"
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 offill 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 ~hat a s.eparate perm~t. may ~e requir~d for elect~ica.1 work,
plumbing. signs, wells. pools, air conditioning, gas. or other ~nstallatlons 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, c~n~truction 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 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 Official for a period not t~ exceed nrn~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 COMMENCEM NT MAY RESULT IN YOUR
PAYING PROVEME S TO YOUR PROPERTY. TEND TO OB IN FINANCING, CONSULT
WITH YOU ENDER 0 ATTOR EY BEFORE RECORD IN YOUR N OF C ENCEMENT.
FLORIDA JURAT .5. 117.03)
Notary Public
Notary Public
Commission No. /1~ JACQUELINE SOGES
:*: ~*= Commlssfon DU 621833
t~..,. ....~ff Expires December 12, 2010
Name of Notary typed, '~~~~'or ~aCWt~~d'"l"Btn 1",","neB 800-385-7019
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
7Ifo /J/{' a f /#0 st;
I
5-2- 08
5tJ'/3 /bcgS-lI2-~e/
! 2- tVf'fJdacd S Sf '2e ~ Sf' 2~
Date Received:
Site:
Permit Type:
Approved wino comments: ~ Approved withe below comments: 0 Denied withe below comments: 0
This co
(5-6o'l
Date Contractor and/or Homeowner
(Required when comments are present)
Pasco County Parcel: 11-26-21-0010-21200-0030001
Page 1 of2
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, April 26, 2008
Tn 11-26-21-0010-21200-0030 (Card: 001 of 001)
/' Classification ~ 01 - Single Family
"- Mailing Address ...... D Assessment (totals)
JOHNSON RUTH M Ag Land $0
5043 10TH ST Land $46,880
l ZEPHYRHILLS, FL 3354221~~ Building $66,217
. .
~. ~~ Extra Features $1,222
~nA7 liTI. ""T
ZEPHYRHILLS, FL 33542-2142 Total Assessment $114,319
Save Our Homes $63,697
Legal Description (First 4 Lines) Homestead Exemption - $25,000
TOWN OF ZEPHRYHILLS AKA CITY
OF ZEPHRYHILLS PB 1 PG 54 LOTS Taxable Value $38,697
3 & 4 & NWLY 30 FT LOT 4.A Warning: A significant taxable value increase
BLOCK 212 may occur when sold. Click here for details
and info. regarding the posting of exemptions.
Land Deta.1 (Card: 001 of 001)
I Line II Use II Description I' Zoning Units II Type I Pri Value
I 1 II 0100 II SFR II 00R2 8,400.00 II SF I $5. $44,184
I 2 II 0100 II SFR II 00R2 4,147.00 II SF I $0.65 $2,696
Additiona Land Information
I Acres II 0.29 lr Tax Area II 30ZH II FEMA Code ILLJIResidential Code II ZHLHLP2 I
I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) I
Year Built 1971 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
AIC Central Baths 1.0
Line I Description II Sq. Feet I Repl. Cost New
1 I BAS II 1,104 I $77 ,446
2 I FSA 240 $5,893
3 I FCA II 216 I $3,788
Extra Features (Card: 001 of 001)
Line , Description I Year I Units Value
1 DWSWC 1974 I 178 $174 I
2 CLFENCE 1986 I 640 $226 I
3 UDU-M 1989 I 1 $286 I
4 UDU-M 1986 I 1 $536 I
Sales History
Previous Owner II N/A
Year I Month II Book/Page lr Type Amount
1985 I 02 II 1394 / 1114 II WD $30,000
1970 I 01 I' 0490/0219 I $0
I I
http://appraiser.pascogov.comlsearchlparcel.aspx?sec= 11 &twn=26&mg=21 &sbb=OO 1 O&bl... 512/2008
N'OTICE OF COMMENCEMENT
~~~~~~~~l~IIIIIII 11111 111111111' 11111 11111 """11
'ermit No.
'ax Folio No. It .g.eo ~ \ 00\ 0 ~ \ d ()() 0030
RDcpl: 1177606 Rec: 10.00
s: 0.00 IT: 0.00
04/30/08 ---_____ Dpty Clerk
'HE UNDERSIGNED hereby give informs you that the improvement wiII be made to certain real property, and in accordance with
:ection 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
.Description of property (leg'!!. description:) ,-r()"JV Orz.EA-l'fIZ.H~ I\\lA c:..cr1 ~ z.G'AHthtILLS. P&\ Pf},9-J Lo~ 3"'tY
a) Street Address:'"~O'-1~ lOti- sr- "'2.t:g\.-.v'\..\\s f\.~3D4';)' ,
:.General description of improvements: W\~ a.~~ .
;.Owner Information
a) Name and address: e\.rr"''SO't\~~.-.j' ll043 I~ $\. ~'"\r\-.\\~ f\ . "3 35"'-1 ~
b) Name and address of fee simple titleholder (if other than owner) }oJ \!\
c) Interest in property tOvlUE:rt...-
LContractor Information
a) Name and address: t\C.A\-. ILcoFi.v(.,
b) Telephone No.: f~T 5~;) SS-YS
i . Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
5.Lender
a) Name and address:
5733 M.'t~ LA\t€ l..1l. c..~l1.w~€1L. 1=/
Fax No. (Opt.)
.- . Fax No. (Opt.) _
JED PITTnAN, PASCO COUNTY CLERk
04/30/08 03: 51iD' 1 ~l01..
OR Bk 782:) PG a a
Phone No.
7. Identity of person within tbe State of Florida designated by owner upon whom notices or other documents may be served: .
a) Name and address:
" b) Telephone No.: Fax No. (Opt.)
Un addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
71 3. 13(l)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
~ .Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
;pecified):
\
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOURPAYlNG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
[NSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCEING WORK OR RECORDING YOUR NOTICE OF COMMENCE:ty.IENT.
:ITA TE OF FLORIDA
COUNTY OF PINELLAS
~~y,IJ~ DENNIS ROLAND GODSE
~ ~.. MY COMMISSION # D046614
"~Of,,<:;$ EXPIRES: Aug. 25, 2009
(407) 398'()153 Roods Notary Servic..com
TQe foregoing instrument was acknowledged before me this g'1 day of
i tr'l-I :sti,^!\s..~ to as 0 W ~f:. a...... '
in fact) for (name of party on beha 0
Personally Known _ OR Produced Identification ~
Notary Signature
Typ~Identification Produced fL.-lJ C
..:J~A5"'- 773- 20-62--'1-0
Name (print) ~IV i~
Q- &Pth~./I
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts ",tod ih it Me true to the b.,t of my knowledge and belief. . ~. . . ~..l
'js(il- ,~ ., -r;.gp-zLJ
. , sf ture of atural Pers n l' bov' . ~
;:ORMS/NOC,rvsd2oo7 .
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DURAMADE
WNXJ.NS&~
~Dwa&wmdmD
Customer Name i'1'*--::Jtj\-kJ~'f) ^' \ ,
MHPI Subdivision. Job Address Sb'-l3 / ,{J'7N- S rr--'
COy Z6PF'1"'- 1-<-, 11;=, Z;p -/72- "777 / Phon. (%>J "'~ .
W K SUBMITTED B DATE: ~ %:7
~W I~,
~
Tropical Roofing Inc. dba
-
WORK ORDER
State Certified Roofing Contractor
License # CCC 1326935
Stale Certified
General Contractor
License # CGC 1510tl0
WINDOW PLAN:
Show window locations by
M, P8:> number on Inside of drawing.
?f ,,;-If additional areas are neces-
/' '.> sary, draw ENTIRE PLAN on
seperate sheet and check
below.
BACK
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DIRECTIONS TO HOME:
OSEE DRAWING ON
SEPERATE SHEET.
1.---________.1
FRONT
CIRCLE RESPONSES
Large Oulaide Trim Y N
Siding on Home Y N
Awnlnge covering ecrews Y N
SPECIAL INSTRUCTIONS:
\1 1 .
"r",
I" 'J '. I' ,: ~ 'I ' ,
. ,:::'.:~i'~,:'; .:' \',""" /
': '. ~- 1
KEYSTON~
'; -C_~;CAi."'f"1.I:>Na. ""'t:.
L f..p .
...~ - ..-- _n. ..-......
OOC~"'inl rjll~; :t:>ocumelif NQ, FRM BI-02
CERTIFICATION AUTHORfZA TION REPORT R~i~joll I .... fpage: 1 Of I
NO'. , '
-.-.-...
RCqllif~d ~)': PRO ~J-Oj
" '- ".
.. -~.-I
FMA Keystone Certification Program
Certification Authorization Report
..~
CAR & Product ro Number: 022 _ 107
CAR Issue Date: 2/612004
CAR EXPiration Oate: 4/2/2007
Company Code:' 022
/
i
i
,
Th;s Certification Aulttorizalion RepOrt (CAR) Is ISSUed by Keystone Certifications, Inc. (KCI) atter M
validation review Ollhe prod""t s_on documents for lhe Product named below. This report Is only
Valid WIlen slg_ and ...Ied by the President of KCI. and Indicales lhe product os manufactuf>ld by the
"""'pany named betow has been - and meef$ me requiremeflts of the rof_cad standard and is
Oligiblelor lhe application of FMA Keystone CertificaOOn Program COrIitk:a<ion labelS. licensee SHi>Ulates
in afflxlng COrti_on labels 10 products, that those prOducts are reptO"nlallve ollho Specimen
eva/ua",. and doc '""entad for certification authorization. Only P1OdU</s bearing such a certification label
shall be considered certified.
Refereru:::ed Standard: Product Rating: .
-...
ANSIlAAMNwOMA 101/182-97 H*R30 54x77
Company Information: Product Information:
Gorell Enterprises Mode': G5305 Tilt Double Hung
1380 Wayne Ave. Operator Type: OH
Indiana PA 15701 Configuration: Bow Pin
Max Width: 54
Max Height 77
. -'.
Qualifying Test 'Information
..
Test Report No: T137*03
Test Report Expiration; 4/2/2007
AuthQrized Signature:
~~/~
Marcia P'a11ie, President
Keystone Cettifie.ations~ Inc.
2545 Lori Drive, Suite 204
York, Pennsylvania 17404
Phone: 717-764~278
Fax: 717-764*3049
WWw.keystonecerts.com
Ifldependem Certification and Ins.oection Agency
;. .PJQffda: Building Code Online
" ',' ./. .~~ :r,:~,'.: ""';';:, i~: ,,:~",.. ': ','
Page 1 of4
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Product Approval
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Product APProval Menu> Product or Application Search> Application List> Application Detail
FL #
Application Type
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Certification Agency
Referenced Standard and Year (of
-P:/IWVIw.t1()rinlOlhn;Tr/;"Mn- ....~~/__I__ ___ _1,'
FL747-R1
Revision
2004
Approved
Gorefl Enterprises Inc.
1380 Wayne AVe.
Indiana, PA 15701
(724) 465-1839
rgibson@gorel'.com
Richard Gibson
rgibson@gorefl.com
Windows
Double Hung
Certification Mark or Listing
Keystone Certifications, Inc.
Standard
':', 'FlpHcla"Building Code Online
''', '. ,..;,::>:, ,:: '~,'>,:> ,':,
;.1,...,......"'.1. I.' ,
. .', '1'
Page 2 of4
Standard)
ANSI/AAMA/WDMA 101/1.5.2-97
Equivalence of Product Standards
Certified By
Sections from the <;()_$e
1703.5*1714.5,2.1 *17
Product Approval Method
Method 1 Option A
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
10/14/2005
11/16/2005
11/28/2005
12/06/2005
-
Summary of Products
!FL# I Model, Number or Name lOescription
747.1 G5115 Double hung replacement
Limits of Use (See Other) Certification Agen.cy Ce
Approved for use in HVHZ: Installation Instruction
Approved for use outside HVHZ: PTID 747 Rl I G5155 ~
Impact Resistant: PTID 747 Rl I G51SS (
Design Pressure: +/~ PTID 747 Rl I GS30S :
Other: G5115 R40@44x60 R50@32x54w/Mod PTID 747 Rl I G5305 ~
sm PTID 747 Rl I GSVDH-
PTIO 747 Rl I GSVDH-
PlIO 747 Rl I GSVOH-
PTID 747 Rl I PSI00 fi
PTID 747 Rl I PS305 fi
Verified By:
7.2 IIG5155 Double hung replacement
Limits of Use (See Other) Certification Agency Ce
Approved for use in HVHZ: Installation Instruction
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/_
Other: G5155 R40@44x60 R50@32x54w/Mod
Isill
jf47.3 IIG5195 lDouble hung replacement
Limits of Use (See Other) Certification Agency Ce
Approved for use in HVHZ: Installation Instruction
Approved for use outside HVHZ: Verified By:
Impact Resistant:
Design Pressure: +/_
Other: G519S R40@44x60 R50@32x54w/Mod
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47.4 G5265
Limits of Use (See Other)
Approved for use in HVHZ:
Approved for use outside HVHZ:
Impact Resistant:
Design Pressure: +/_
Other: G5265 R40@44x60 R50@32x54w/Mod
ill
Double hung replacement
Certification Agency Ce
Installation :Instruction
Verified By:
:;'":-::~ .... -
.5 G5275
Limits of Use (See Other)
Approved for use in HVHZ:
Approved for use outside HVHZ:
Impact Resistant:
Design Pressure: +/_
Other: G5275 R40@44x60 R50@32x54w/Mod
ill
ouble hung replacement
Certification Agency Ce
Installation :Instruction
Verified By:
7.6 G5305
Limits of Use r)
Approved for u n HVHZ:
Approved for use outside HVHZ:
Impact Resistant:
Design Pressure: +/_
other: G5305 R55@44 x60 R30@54x77
TM1887 im act level C 44 x 60
Double hung replacement
Certification Agency Ce
Installation Instruction
Verified By:
747.7 GSVDH
Limits of Use (See Other)
Approved for use in HYHZ:
Approved tor use outside HVHZ:
Impact Resistant:
Design Pressure: + /_
Other: GSVDH R20@44x60 R50@32x54Mod Sill
Vinyl Double hung new co
Certification Agency Ce
Installation rnstruction
Verified By:
747.8 VDH-2
Limits of Use (See Other)
Approved for Use in HVHZ:
Approved for use outside HVHZ:
Impact Resistant:
Design Pressure: +/_
Other: GSVDH-2 R20@44x60
inyl Twin Double hung n,
Certification Agency Ce
Installation Instruction
Verified By:
Back
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Next
DCA Administration
Department of Community Affairs
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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. CODVri(lht and Disci.
Product Approval Accepts:
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CERTIFICIATIONTEST REPORT
GORELL MODa G5305
TIL T OO:uBLE HUNGVVlNDOW
H-RJO
(4' -6" X 6'-5")
FOR
GORELL ENTERPRISES, INe
1380 WAYNE AVE
INDIANA, PA 15701
Project No. T13 7;'03
4/2/03
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. Manufacturer:'
s;.J~I~'li~(:;An6N:~St.,~E)!()R;T
()O$t?~~ ~Jii~1U'SE$~rNC
l~~O<WA~AVB
. !NiJiANl\ PA.1570l
1!tQdU~i ,J.de~t:lae{tti~n
FrodlictType.:
DoUble B~gWUldow
SeriesiNfudEU #:
0.5305
Specification:
AA1vlAlNWwDA 10 l/LS.2,.97
Designation:
HAD 0 (54" X 77") ANv.fAJNW'\,VDA lOIlLS.2-97
GRADE 30
Product Description: Attached
T est Results:
Attacbed
T est Equipment:
FET
. Testing Dat~:
3/17/03
Detailed assembly drawings sh6'Wing wall truckness Df all members, comer construcdon and
h:.u-dware'apPlicationaveon me;:mdbave be~i1compared to the sample submitted. Acopyof
thls report ~d test sample will he retained at FET fOt aperip,dor 4 years. The results
(Ybtmj1~4appfyp'roy to the:s;pe~ihiei:t tested. No con~lu:sionsof any,'kinq'regardhIg the
adequacy or inad~qoacy of the glass in the te,stspecimen may be,drawn form this test.
The above result$- w.ere seeuredby using the designated test metnodsand they indicate
c.ompiiandeWith thep~rf-4rmance- requirements ,:ofthe refeteneedspecift{:;ation. This report
doel1 n()tconstitut~~eatio1t OftlrisPfOQUct, whiehmay on!yoegranted,by the
certification program administrator.
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G~eral( . _.. . '~'" .
test$amp1ewa~eQmprisedof ~reUMddel 4<GS~QS; Tilt Double Hwg Vinyl Prime, on€!-
over..;o.ne'(ti1tJa~d1t'l.g.typ~) doubte.hungwindo'i-v; with. an oveta:11 maSter frame size
fPeas-unng: 54"wid.{a' Jt71hhighX3...Jl4i, wide. The'ijQitom sa;sh ftie$titiid50-I/8" wide X
381>'h1'$bjJ:\1'-t#tdl~ .:'th~t:OP~h measured 49;..114" Wkle X 37-l/&'> .'Overail. The fratne
cornets;wer.e:ofwclde~ftutii';~~'with Qoescrewin f.)ottomcorrt:~rs'. cO'rtsttttctibn. The sash
CotneTs; were':'ofw-,eld.etiirritere(f 't.ypeA:ornercon$;tttlcti001'}~ l':1riUqm sash nad an exterior
aIumitlmns()re~lI" EaC1f'sa$!:l had (l}f'oamchhnney-bIQckslocatedin 'the Jambs near the
baJarides,Orie fom:n~yb.toe:kfur each side of eachsaslLEach.p'erimeter frame member
hoUQWS were JlIred with: stkmfoam Pieces that measured to he 7l1fi't x: 9i 16". The bottom rail
of the. bottom sash nad a anti bow sway bat attached to the rail and when the window- woul<i
shut the barwQuld. slide into an opemng that was in the center of the silL
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tV.tEXv.IDER W1:!ATE.E.RSTIPPlNG QUANTITY 'iNIDTH:X HEIGHf LOCA TrON
{womS)
haipe 1rtiad~r4isert. Center ~in Pile Set1l 1 {} .187"'0/ x.23" ht si4e t'1ce
.... 'F~~,SUJ none {J ~ nQPe
.;F~~l$ps . none {) - nOlle
T()trs;l$h' ...:top rarl C:t:uTerFui 1'i1~ Seal 1 o. 1&7" w x 2".11' at e~eri.Qt :face
'. .J
Top saslIC-.VDtrail C~mei'Hn File Seal I o. 187'; w x .23" ht interior face
~Detf,tiJ)
BQuOIn Sash -tpp tail Center Fin Pile Seal 1 o. 181" wX.23" ht extenor face
fm.:ewng tail) ..
Bottom Sas.h ~ bot rail Center Fin Pile Seal 1 O.iST' w x 2""" hr B6tt\JIU face
. oJ
(lift rail) Foam Filled Bulb Vinyl 1 0.3125" Dra. Bottom fac:e I
\YiUl Fin .
Top sash -jamb stiles CeitterFin Pile Seal I 0, 187" w x .23" ht Exter.1Qr face
.. Cenie.t . S~ 1 Q.J$1..w X.23H ht $i4,~ fa~. .
Bottom sa;$h - jamb stiles ; Cel.lt~t, Seal 1 o.Jar.:wx .23" ht Exter.iQtf~~e
.. C!(!.!j:ter F:~~ ;f::ih;. ~aI I '. O.1i$1"wx.13" ht $id~fa~
$~n... tqv :tail Pjf~sear 1 O. 187'W;iI::3S" ht lntetlortoce
Opetatrirs.and' Other a.ardwar.e:
Bachsasll~ad two $ets 0r(4)const~nt for.cehalance sh(jes,oneperj~p, One tam-type
sweep 19ck wasatt~Gbed to the .center. oItfie bottom sash meeting railwith keeper on top
sash:nteetmg raiLOri:e pl3Stic tilt lat~h with thi.im;uaCtuato.r wa$;~'0u.:$.ed At each end otthe, top
rail ,and interior meeting rail of the bottom s.ash. Onedie..castplvPt oor was fastened with (1)
screw at each end of the bottom honzontalrnil's of the top and bottom sash. Each sash had a
lift rail. with the top sash lift rail on the lOp railanct the bottom sash lift tail on the bottom rail.
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Glazing SyStenn '. . , ' .', '. ' '
Each's'a.sh W'aS:e:)ttet1Qt drop gIazed"with 1i~/'Jhickinsufated glass. using, double-sided foam
gIatingtape. The ~sh utilized two OiS") thick d€€t[ annealed glas$lites~th a 518"
contipuQu$ Jpetat sp:~tcel'. " Anext~riot snap-insit1;gle Jeafaual duto:m~terrigid vinyl-glazing:
bead ~cured:theg-fas:s, '
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Pa;ge 4 of 6
Weep; lIhles: '" ,
TWb (3i8" x 3132"} weep slots were:J9cated attheglazing track through the bottom of the
top sash botto.m hor1;z-ontaJ. rail>, One .if,.lJ8h froin ea~h end. Two (1/4" x 3132") weep slots
wete.1ocated at the gi~ngtrackofthe bottom sash bottom hOrl?ontaI. tail, one 2" tromeach
end, One (3/8" x 3116") weepsIOct Werelocat,edju'S,t abo:Vee~ch{Jf..ti1e pivot bars 011 the .ends
ofthe bottom sashrat16f:the.boths~slies. Two U/~"){ US") hataedweep; sLots were Io:cated
on the exterior face Qft.he sill, each one 1-7/8" from' each end. Four (112" x 1/8") weep slots
were located on the inner chamber wall of the sill" two on very ertd of each side. Two (112"
x31l6") weep slots: Were located on the interior of the si:l~ one 1-3/4" from each en-d.The
frame sill was a, slOped ,sill:.. Three (3/8" diameter) ba'ffled weep .hotes were located on the
hottQmrailofthe screen, one weep in the center and one 5-3/4" from each end.
Sealant:
Silicone sealant was applied to all the following areas:
· Entire hottom of the sill to buck intersection. .
· Screw heads hole openings used for anchorage of the frame to buck.
· Exterior and interior offrame to buck intersection.
it A v.;" wood Shim around the Perimeter of the frame secured to the frame.
· Cover flange atthe s.ill andhearler on the exterior of the frame was sealed to the
frame/flange int~rsectiort arid the flange was also sealed to the buck/flange intersection.
A.nchQrage:
A %" wood shim was attached with ,silicone to the p.erimeter of the buck frame, Two
additional W' wood shim strips Were ri:ttachedat eadljambscrew attachment to the wood
huck The fhune was ~lttached to the buck using2"loogwOod'screwSalong with silicone at
the 3iH and en the exterior &""1d !rttenor perimeter of!he fra.'t!,e to buck intersections, ' 'E.1C.!;
jamb was attached with five sets of2" lo:pg screws. The hea':d~nvas attached with three sets
ofwOodscrewa. Each setofsctew3 COnsisted ofa sttewlo;;ated en theintenof jamb track
and one Screw located On the exterior track or the frame. EaCh: set of screws were attached
par~el to each other. The sill was secured using a buHt up, ofwOcao that was secured to the
. buck and then ihe .11l wasltt1acltedw!th .illc_ ta tire Wl>o,l. TItel!lcteno,. af the .si!I then
USed a trimattaclnnent and was secuted to the fr.ame sill and. buck using silicone.
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,Pr~'eCt No. 'T 1:3"1.;03
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n:~r~~e~r~, TestJ\1i,ethad
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Page 5 016
.:t.estR$t!lts
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bHo",'able
'G1.itfiJ '"h.l,llh,Ce:1t.uirgme.ltts
2.1.2 Ait' , ,'afi6u T:Cst
(AS11Vl E;-48J~91)'
@ (57" psf 0.09 cfrn/sf 0.30 cfinlsf
Tlte te.sts;J'ecftneUlrteets the perf(mnai~'Ce levels specified itJ
A4NUJNtf"WfJA lOl/J.S.2~97 far Air Infiltration
2.1.3
2.1.4.2
2.1. 7
2,1.8
2.2.1.6. I
Water Resist:u"ce Test
(ASTM E547-96) ,
@ Z,~6psf(w & wo screen)
Uni:f'ornfLoa.d Structural Test
(see optional performance results)
Welded Corner Test
Fo r(:~d tntiy" Resistance
(ASTM F58S:'97) Performance
LeveilO TyPe A (Section 10)
See, 10.1 Lock Manipulation Test
Sec, 10.2. 1.1 T~st Al
Sec. 10.2.1.2 Test A2
Sec. '10.2. Lltest A3
Sec. lO:2.JATest A4
See.. 10;2.1.5 test AS
See,' 10.2.1.6 Test A6
Sec.I0:2.1.7TestA7
Sec. 10.2. L 8 Lock Manipulation
Test
Sl1'i!ci:fil; 1PJ.ndow Pfrl'()7mance Re$ult.s
Operating Force Test
top sash
bottom sash
'No penetration
Meets
No Failure
No Failure
No Failure
NoF' allure
NO. Failure
No ,Failure
NQ; 'Failure
No Fauwe
No Fallure
30 Ib up, 1 1 Ib dn
28 lb up~ SIb <in ,
No penetration
As Stated
As Stated
As Stated
As Stated
As Stated
As Stated
As Stated
As Stated
As Stated
As Stated
30Ib
30Ib
,";;i':V.';;'?';(~';" :'; ,
Project No~ T137-U3
P.'J-ta~nf:lh
2,2. L6.2
4.3
Page 6 of6
GO~LL"'~G.5;a05'" . J)O'0:J3LE IH1NGWtNDOW
.' . . " .. .... . ". ....):~stR~ttt.t~ni~l.p .'. . - '.
1'. 'title / . 'TestR~jdts Allowable
.... ,:,&ttt~die.stMeth{j~ ." .
. ~egt~ingTest
(ASf:M'E9,8:i,;8:a) Method B)
'X~bsash
left stile@ 5 (j,rbr
right stite@ 50 Ibf
tnpnul @.,to Ibf
botlomrail@70 Ibf
Bii:f:t,inn sash
left'.Stile @'56"Ibf
riohtstUe .m.SO lbf
i::1... . ~ .
top rall@ 7Qlpf
hottom rail @ 70 [bf
I.... 0/ < I 00%
.) 10
13 ~~ <100%
13% < 100%
13% <100%
13 % <100%
13% < I 00%
6% <IOO~'O
6% < I 00'%
OlltiQliaJP.er(ormance Results
Wat~t Resistance Test
(ASThr E547-96)
@8.25psf(w& wo screen)
No penetration
No penetration
4.4.2 Unifot1u Load St.ructural Test
(ASTM E-3'30'-97)
@45 psfpositive
@ 45 psfhegative
@ 45 pSfpositive
@45 pst negative
* - lviaximum Defom18.tfcns~
0.073" *
0.08917 *
0.013" '1<
0.076" *
(O.4%xL)
0.197"
0.197"
0.152" (stile)
0.201" (bot. rail) .
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NOISN3f^110
March 13, 2008
Contractors Letter of Authorization
I, Mark McBroom, hereby authorize Dennis Godsey, Jason Laupert and
Mark Gensemer to obtain and sign for all permits, registration and
Occupational Licenses in all counties and municipalities in the State of
Florida.
Dennis Godsey, Jason Laupert and Mark Gensemer are also empowered to
obtain, complete and sign all documents, applications and registrations with
this limited Power of Attorney on behalf of me that may be required to
accomplish the . ssuanc 0 all permits in the State of Florida.
Mark Mc oom
Qualifier
Florida State License CCC-1326935 CGC-1510110
Signed and Sealed this Jl day ,f -1'^..truh 2008 by Mark
McBroom who is pers nally o~ to me.
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