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08-8461
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8461 BUILDING PERMIT Permit Number: 8461 Address: 5255 18TH ST Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-17800-0050 Improv Cost: 12,615.00 H 2T iir Date Issued: 10/28/2008 Name: OSBORNE, GEORGIA E. Total Fees: 142.50 Address: 5255 18TH ST Amount Paid: 142.50 ZEPHYRHILLS, FL. 33542 Date Paid: 10/28/2008 Phone: (813)469-0468 Work Desc: REPLACE 11 WINDOWS & ENTRY DOOR SIZE/SIZE g o SEARS HOME IMPROVEMENT PRODUCT BUILDING FEE 142.50 U-1 .�a„ cwi. E EE :.'�, ` e ,,, -Er,: �,a'M'. - �v.. i s�-, <•., .. ::.. ;"dig .t3 e x a FOOTER 2ND ROUGH PLUMB MISC 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 any one 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." S JA- t2CAAj j � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER .................... City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: `� �5 —"" `'e Z'1/)r6Ve/31 Date Received: / 2-4 y Site: Z 9 8 S Permit Type: /f & '✓t ci'y CO � 3 e S� e_ Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ 56 This comment he Ishyallt with the permit and/or plans. Kalvin witzer—Pl xaminer Date Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department j4ijj44 1 Date Received 2 — D r Phone Contact for Permittl Owners Name Owner Phone Number Owners Address ISAPJX ff Owner Phone Number Fee Simple Titleholder Name 1 Owner Phone Number r Fee Simple Titleholder Address JOB ADDRESS LOT# ______11 SUBDIVISION I PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR a ADD/ALT O SIGN O MOVE O DEMOLISH INSTALL REPAIR PROPOSED USE O SFR O COMM O OTHER TYPE OF CONSTRUCTION O BLOCK O FRAME O STEEL O OTHER DESCRIPTION OF WORK !/ C 0/ ..1)LQ BUILDING SIZE I 1 SQ FOOTAGE L HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE O PROGRESS ENERGY O W..RR.E.C. PLUMBING ($ '� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J1) O GAS O ROOFING SPECIALTY O OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES ONO .0 . .bBUILDER .. . .' ,rCOMPANY SIGNATUR REGISTERED Y/ N FEE CURRENT N '• Address License# C�C��a5 ELECTRICIAN I COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address ---1 License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/N FEE CURRENT I Y/N Address License# OThER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/N Address License# 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 onsite,Construction Plans,Stormwater Plans w/Sift 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. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2600,a Notice of Commencement is required. (A/C upgrades over$6000) 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 A/C Fences(Plot/Survey/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 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/UTIUTIES 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 UEN 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 aU the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V'unless expressly permitted. - If the fill material is to be used in Flood Zone A', it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone'A' in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs,wells, pools, air conditioning,gas, or other installations not specifically included in the application. A permit Issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit Issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days 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) OWNER OR AGENT CONTRACT z �C+ bedd or grinned)before me this Subscribed arld o(abefore me us ( by f Z F by '7a a cø r\ Who is/are personally known tome or gave produced 11No is/ personally known to me or hasMeve produced ed as identification. as ideM6ication. t� r Notary Public _ Notary Public ' n DD 62 c '':, Commissl n DD 621833 - 0. Expires December z,4u moo; Expires December 12,2010 •�•' or stamped Name of Notary ,printed or stain Sears Home Improvement Products, Inc. w V Location: 1024 Florida Central Parkway♦ C:,ngwntic•. It 32?5G Home Improvement Products #Phone �!J? FEIN ;; I Q9F55 t — License Numbers:Al,.548': FL CG:;0t2`.i3S L.A 84194- Doors MA 148607:MS 50222.NC 47330; RI 27281:SC 105836: TN 2319:Columbus,GA 617117 Cl HIC.08u/6b9 _ /SS Name: Gt�t t��d. (-� - -O $• j�o!L N C---- Phone: Res: / - 7��-Bus.: Address: _._..JC ".. .s .1_..---• _ City 2 ti '! /L N'u S St.: Jt zip:_ J 5 I./We, the owner or the premises described below. hereinafter referred to as"Purchaser"offer to contract with Sears Home Improvement Products, Inc.hereinafter referred to as'Contract9',to furnish,deliver,and arrange for installation of all materials necessary to improve the premises located at: ___S _ —C (Street] — (City) (State) (Zip) Entry Door 1 Loc.L&!T Entry Door 2 Loc. Loc. Loc. Style ------- 1 Style. .-_..__—__.._. .._—— _— SIDELITES: STORM DOORS: -- ull Jamb re .Double Full Jamb L Frame L Double Model Number: Model Number: LJCC Stainable C Smooth_.:LMT Snocrh CC titarnable .[;(:Smooth L_LMT Smooth CC Stainable DCC SM ;.[one/Two L: Deluxe L DuraGuard p V"'T9`` eerror Cogs I _ _ _.. Exterior Colors _ Exterior Colors Color G1 ti ti r3lo�Colorc ..— .......... lnt ,or Interior Colors Interior Colors L7 Tinted Glass[:I Bronze I.I Gray Grid/Blind Color Grid.'Blind Color — Grid/Blind Color O Aluminum Screen Wire Gs Style--_IL Glass Style.._._..._..— Glass Style U Storm Door Standard Hardware ware Finish -.B "AB ;EiN Hardware Finish _:BB I AB SN Brass Threshold _ Black White Standard Hardware PKG Standard Hardware PK(3 3% -'2iColonial Casing Specialty Hardware 17� Decorative Trim Handle Decorative Trim Handle - 2t Modern Casing Color: I I Magazine Slot Magazine Slat Jamb Color 13 D Knocker and View Door Knocker and View Standard r : Extended Jamb O Hardware Fri . ?BB I JAB : :SN M<boor Knocker Oa . [-roil( Knocker Additional Options :1 Kick Plate Kick Plate TRANSOMS: SECURITY DOOR: Additional Options_—_--__--__....- Additional Options— Model Number: Model Number: - -_._..._._—..—...... ..... .. ......._.—_...._ -.-.._----_—_ CC Stainable _ICCSM LI Single Door Double Door Exterior Colors I.1 Sidelites I 1 One , :Two ing Outswing Inswing Outswing — Interior Colors Color Len Nand II><il lien] ten.,a,rt Pight Hnnd -c--arc H,$d ri,e . i.ett Hand Right r.at,d Glass Style I I Standard Hardware(Bright Brass) ,,,,;�,,,nousa b,auto nt r,cuac ,r•,•,•.,,�. I'•' inside or houtw i i 3% f=i 2f Colonial Casing Hardware Options t}` 11 2h Modern Casing Color: O $Tpeshold ll Brass Threshold Jamb Color — . Colonial Casing „r-1 2a Colonial Casing ._ Standard LI Extended Jamb C. Magazine Slot 2h Modern Casing Color -- 2••Modern Casing Color —_— Additional Options I.J Self Storing Glass Door Cutdown 5 NA Doer Cutdown —-- Jam ladding Color H '� ]—... Jamb Cladding Color Standard Jamb [: E:x-ended Jamb Standard Janih :. Extended Jamb Patio Door Screen Color Patio Door Scree Color Do Not Do: (}( —_—_Q J p ti ---.--_----.-- Purchaser Initials: Special Instructions: Contractor is not liable for condition. 10l ! 10 of rehilg storm doors. — Clean up job related deans and prov de necessary permlt. and insurance Allow approximately 3-6 weeks for installation.Warranty v ll be mailed upon satisfactory completion. TIME FOR COMPLETION OF WORK_Contractor shall oon•Idnence work within approximately twenty(20)days from the date shown herein and will be substantially completed within forty-five 45)days thereafter un ess a different estimated completion date is shown herein. Approximate starting date is:____—,,_'__ -..... .._.._—_ .— —_Approximate•completion date is: //Al—P NOTE:THE WARRANTY PROVISIONS AS STATED ON i E REVERSE HAVE BEEN EXPLAINED AND I/WE UNDERSTAND THEM FULL , ADDITIONAL PROVISIONS AND WARRANTIES ARE STAjrED ON THE REVERSE SIDE AND AREA PART OFTHIS CONTRACT. )( Please reaq the following bold type and initial corresponding line. Verbal understandings and agreements with represetltative shall not be binding.All understandings and agreements must be set forth in writing in this Contract. Due to cllmat)c con rions,Interior condensation may occur. Purchaser Initials: Icing on st,rfn doors may occur. Contract Price To ash u on comletion J 9 o be fance -.- P_--� Contract Price $ 2_2_ 5f, V Down Pa men( eJ .�IJ. in wilne ss whereor inc Buyer has entered into trls transaction State Sales Tax(—_%) $-- Balance Due 1.1 �o�_� this /.�._cay at QJ -P 20. (If applicable) c All transaction„are nubio tic a ev,;iii lint ov., t.n Ire ,Et:dtat+r•a'•d[-e,ir netaunuents vmo may cane.and,?unto r„•:downaayntent. Total Contract Price S Z `� 10^,6 Preferred Customer Discount(PCD►awarded for any future Sears Home Improvement Products purchases.Current pricing available for one(1)year. If this is a credit transaction.the agreemert for credit:e.contai-ed in a separate document which is incorporated herein by reference and made a part hereof.I/We the undersigned are hereby authorizing Sears Horrie Improvement Products, Inc.to verity and review my/our credit record with an independent credit reporting agency and release them from all liab lity incurrec fr:,m inadvertent ornlsslbns or errors. 7f-y IN WITNESS WHEREOF Purchaser(s)"iave hereunto signed tneIr name(s)mis 1/_7 day of C• —, sand acknowledge receipt of a true copy of this:Contract arid -inless otherwise specified, it is understood that the owner is ready for work to begin. You the Purchaser(s) may cancel this transaction any time prior to midnight of the third business day after the date of this transaction.See accompanying notice of cancellation form for an explanation of this right. DO NOT SIGNTI#S CONTRACT IF THERE ARE ANY BLANK SPACES ----- Signature affixed below acts as receipt that Purchasers)received separate cancellation forms. EMITTED BY Repre•se ntaliv_ — '-- • Dale Purch r Date jhu'ACCEPTED BY:, am Hone,r-iprovement P,rwtt.rs in — Dateif urChaser Date X G2-SO Rev.06/06 ACORD PRODUCER Aon Risk Services central, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY fka Aon Risk Services, Inc. of 111 i not s AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 200 East Randolph CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE Chicago IL 60601 USA COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE-(866) 283-7122 FAX- 847 953-5390 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA ACE American Insurance Company 22667 Sears Holdings Corporation INSURERS: Indemnity Insurance Co of North America 43575 d dba Sears Home Improvement Products, Inc ?B Attn: Risk Management E3-219A 3333 Beverly Road INSURER C: Self-Insured Retention 0065AL .o Hoffman Estates IL 60179 USA INSURER D: National Union Fire Ins Co of Pittsburgh 19445 INSURER E ._,. "�:z: *€_ - ue.... THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,'tERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D' LIMITS SHOWN ARE AS REQUESTED LTR INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVI POLICY EXPIRATION C DATE(MAI\DD1YY) DATE(MM\DD\YY) LIMITS ERAL LIAtILITY Self insured 08/01/08 08/01/09 EACH OCCURRENCE X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS MADE ® OCCUR PREMISES(Ea occurence) 1V one person) PERSONAL&ADV INJURY r4 GENERAL AGGREGATE m GEN'L AGGREGATE LIMIT APPLIES PER ❑ POLICY ` ❑ PERO- ❑ LOC PRODUCTS-COMP/OP AGG O SIR/Deductible $5,000,000 ,.,., A AUTOMOBILEIIASILITY i5AH08247274 08/01/08 08/01/09 A ANY AUTO ISAH08247316 08/01/08 08/01/09 COMBINED SINGLE LIMIT (Ea accident) $5,000,000 Z, ALL OWNED AUTOS at SCHEDULED AUTOS BODILY INJURY at (Per person) w X HIRED AUTOS t NON OWNED AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY r� AUTO ONLY-EA ACCIDENT ' L ANY AUTp IIj OTHER THAN EA ACC AUTO ONLY EXCESS/UMBRELLA LIABILITY AGG 6081822 08/01/08 EACH OCCURRENCE OCCUR ❑ CLAIMS MADE AGGREGATE $2,000,000 RETENTIOIII WLRC WORKERS COMPENSATION AND X C STATE- 0TH- EMPLOYERS'LIABILITY AOS A WLRC42847938 ANY PROPRIETOR/PARTNER/EXECUTIVE 08/01/08 08/01/09 E.L.EACH ACCIDENT $1,000,000 A OFFICER/MEMBEREXCLUDED? CA SCFC42847975 08/01/08 08/01/09 E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below WI E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATION$/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL,PROVISIONS bJ Alfred W. Nyman, Jr. , License #CGC012538 located @ 1024 Florida Central Parkway, Longwood, FL 32750 and Alfred --- W._Nyr n, Jr., Li4ense #CMC1249510 located f$ '.#£•.r� x3, '? $ mac:, :6 ::t_. NCElti1pd.x'r City of zepp hyrhills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 5335 Eighth Street DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL zephyrhi11s FL 34240 USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEVI', BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 1024 Florida Central Parkway,Longwood,FL 32750 PH:407-551-6000 April 2008 LETTER OF AUTHORIZATION I, Alfred W. Nyman, Jr., Assistant Secretary and Florida State Qualifier for Sears Home Improvement Products, Inc., grant permission to Deborah Lawson and her associate Joel Lawson to submit permits and licenses, pick up permits and licenses, make changes to permits, licenses and plans and initial changes made by the building department on behalf of Sears Home Improvement Products, Inc. I also grant permission to Deborah Lawson and her associate, Joel Lawson to purchase permits and/or licenses with a company check, personal check, personal credit card or cash. This authorization is valid through December 31,2008. I certifiy that the above information is true and correct. Alfre . yman, ssistant Secretary an Florida State Qualifier (CGC012538, (CMC1249510) Sears Home Improvement Products, Inc. STATE of Florida COUNTY of Seminole SWORN TO AND SUBSCRIBED BEFORE ME THIS 3rd day of April 2008,by Alfred W. Nyman,Jr.,Assistant Secretary for Sears Home Improvement Products, Inc. and who is X personally know to me or has producted a valid Drivers License. Seal: NOTARY PUBLIC-STATE OF FLORIDA Print Name: Deborah P. s Philli Deborah P. Phillips P Commission#DD689052 Notary Public,State of Florida �• `�Expires: AUG.13,2011 Commissin#: DD689052 BONDED 1 HRG A'I'L NIIC BONDING CO.,LNC. MY COMMISSION EXPIRES: Aug. 13, 2011 STATE OF FLORIDA COUNTY OF PASCO 11111111111111111111111111111111111111101111111111111111111 THIS 15 10 CERTIFY THAT THE FOREGOING IS A This Instrument Prepared by: TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE 2008154830 Name: OR OF PUBLIC RECORD IN THIS OFFICE. TNESS MY SEARS HOME IMPROVEMENT P U S.1 AL SEAL THIS DAY OF 1024 Florida Central Parkway 2 ?' Rcpt:1209914 Rec: 10.00 JEO P TTMAN L K OF CIRCUIT COURT DS: 0.00 IT: 0.00 Longwood,FL 32750 10/24/08 Dpty Clerk Phone: 407-551-6000 BY DEPUTY CLERK NOTICE OF COMMENCEMENT D PM SCO COUNTY CLERK K� 53 1°47 Permit No. OR BK PG Tax Folio No. l/- .th' Op/Q- lZ OQ - OV SD THE UNDERSIGNED hereby gives, informs you that the improvement 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. 1. Description of property (legal description:) f k{( Gj i 6- AQ / é'E (j) 7 a) Street Address: 2. General description of improvements: 3. Owner Information a) Name and address: 6 d 6 r b) Name and address of fee simple titleholder(if other than owner) c) Interest in property: ô u)^J o 4. Contractor Information: a) Name and address: SEARS HOME IMPROVEMENT PRODUCTS,INC. 1024 FLORIDA CENTRAL PARKWAY LONGWOOD,FL 32750 b) Telephone No: 407-551-6000 Fax No.(Opt.) 407-767-8536 5. Surety Information: a)Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6. Lender a)Name and address: Phone No.: 7. Identity of person within the State of Florida designated by owner upon who notices or other documents may be served: a)Name and address: b)Telephone No.: 8. In addition to himself,owner designates the following person to receive a copy of the Lien or's Notice as provided in Section 713.13(1)(b),Florida Statutes: a) Name and address: hl m w -Di I� 04 rn b m ° o o g' s ' ) I ____ 4 I - oNo 'vNi r n � � � -•-� � bOi' rn o cn m o Ls rn b�. '_r Florida Building Code Online Page 1 of 8 BCIS Home ! Log In ! Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BUS Site Map Unks Search Product Approval I+E USER:Public User Product Approval Menu>Product or Application Search>Application Ust>Application Detail FL# FL5167-R2 Application Type Revision •' ,. Code Version 2004 Application Status Approved Comments • Archived Product Manufacturer Simonton Windows Address/Phone/Email 1 Cochrane Ave Pennsboro,WV 26415 (800) 746-6687 Ext 4825 patricia_robison@simonton.com Authorized Signature Patricia Robison patricia_robison@simonton.com Technical Representative Patricia Robison Address/Phone/Email 1 Cochrane Dr Pennsboro,WV 26415 (304) 659-2903 Ext 4825 patricia_robison@simonton.com Quality Assurance Representative AAMA Address/Phone/Email 1827 Walden Office Square Suite 550 Schaumburg, IL 60173 (847) 303-5664 webmaster@aamanet.org Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Validated By Referenced Standard and Year(of Standard) Standard Year ASNI/AAMANWWDA 101/I.S. 2 1997 Equivalence of Product Standards http://vvww.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtZMlu87g0Km... 5/14/2008 Florida Building Code Online Page 2 of 8 Certified By Product Approval Method Method 1 Option A Date Submitted 07/12/2007 Date Validated 09/07/2007 Date Pending FBC Approval 07/23/2007 Date Approved 09/08/2007 Summary of Products Go to Page 0-O Page 1/ 2 0 0 FL# Model,Number or Name Description 5167.1 07-09 waivers to 07-70&75- Reflections 5500, Prism Platinum, Sears 9300, 75 - 100VL StormBreaker,Vinyl DH Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5167 R2 C CAC 07-70 to 07-09 waiver Approved for use outside HVHZ:Yes revised 1006 to include AAMA ALI signatures.pdf Impact Resistant: No FL5167 R2 C CAC New waiver letter for 0707 Design Pressure: +60/-60 75-70 07-70 07-75 to 75-75 signed by ALI and Other: 37x84. AAMA.pdf FL5167 R2 C CAC SIM 0709 0710 0720 DH4 37x84 DP60.odf Quality Assurance Contract Expiration Date Installation Instructions FL5167 R2 II IN0066 07-09 1X 37X84 DH.Ddf FL5167 R2 II IN0067 07-09 2X 37X84 DH pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5167.2 07-09 waivers to 07-70&75- Reflections 5500, Prism Platinum, Sears 9300, 175 100 VL StormBreaker,Vinyl DH Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5167 R2 C CAC 07-70 to 07-09 waiver Approved for use outside HVHZ:Yes revised 1006 to include AAMA ALI signatures pdf Impact Resistant: No FL5167 R2 C CAC New waiver letter for 07-07 Design Pressure: +65/-65 75-70 07-70 07-75 to 75-75 si ned by_AL!and Other: 37x76 AAMA_pdf FL5167 R2 C CAC SIM 0709 0710 0720 DH2 37x76 DP65.pdf Quality Assurance Contract Expiration Date Installation Instructions FL5167 R2 II S-120R3.pdf FL5167 R2 II S-129R2.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5167.3 07-09 waivers to 07-70 &75- Reflections 5500, Prism Platinum, Sears 9300, 75 100VL StormBreaker,Vinyl DH Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5167 R2 C CAC 07-70 to 07-09 waiver Approved for use outside HVHZ:Yes revised_1006 to include AAMA ALI signature pdf Impact Resistant: No FL5167 R2 C CAC New waiver letter for 07-07 Design Pressure: +50/-50 75-70--Q7-70 07-75 to 75-75 ski ned,by ALI and http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtZMlu87g0Km... 5/14/2008 Florida Building Code Online Page 3 of 8 Other: 36x63,40x64,47x71, 53x71 AAMA.pdf FL5167 R2 C CAC SIM__0709 0710 0720 DH1 36x63 dp50.pdf FL5167 R2 C CAC SIM 0709 0710 0720 DH3 40x64 DP50,pdf FL5167 R2 C CAC SIM 0709 0710 0720 DH5 1 52x71 dp50.p-df FL5167 R2 C CAC SIM 0709 0710 0720DH6 47x71 dp550.pdf FL5167 R2 C CAC SIM 0709 07100720DH7 53x76 DP 50.pdf Quality Assurance Contract Expiration Date Installation Instructions FL5167 R2 II IN0129(S-101-R3 07-70.75-70 07-09 ix.odf FL5167 R2 II IN0130 (S=159-21 07_70 75-70 07-09 53x71.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5167.4 07-10waivers to 07-09&07- Reflections 5500, Prism Platinum, Sears 9300, 70&75-75 100VL StormBreaker,Vinyl DH Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5167 R2 C CAC 07-70 to 07-09 waiver Approved for use outside HVHZ:Yes revised 1006 to include AAMA ALI signatun spdf Impact Resistant: No FL5167 R2 C CAC 5000 fin and J waiver of Design Pressure: +65/-65 retest letter including casements and signed by Other: 37x76 both AAMA and ALI.pdf FL5167 R2 C CAC New waiver letter for 07-07 75-70 07-70 07-75 to 75-75 signed by ALI and AAMA.pdf FL5167 R2 C CAC SIM 0709 0710 0720 Dl-12 37x76 DP65.pdf Quality Assurance Contract Expiration Date Installation Instructions FL5167 R2 II IN0017 SBP 07-10 2by DH 37by76.p-df FL5167 R2 II IN0018 SBP 07-10 DH 1 by 37by76.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5167.5 07-10waivers to 07-09 &07- Reflections 5500, Prism Platinum, Sears 9300, 70&75-75 100VL StormBreaker,Vinyl DH Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5167 R2 C CAC 07-70 to 07-09 waiver Approved for use outside HVHZ:Yes revised 1006 to include AAMA ALI signatures.pdf Impact Resistant: No FL5167 R2 C CAC 5000 fin and I waiver of Design Pressure: +50/-50 retest letter including casements and signed ly Other: 36x63,40x64,47x71, 53x71, both AAMA and ALU.pdf FL5167 R2 C CAC New waiver letter for 07-07 75-70 07-70 07-75 to 75-75 signed by ALI and AAMA.pdf FL5167 R2 C CAC SIM 0709 0710 0720 DH1 36x63 dp50.pdf j FL5167 R2 C CAC SIM 0709 0710 0720 DH3 40x64 DP50.�df FL5167 R2 C CAC SIM 0709 0710 0720 DH5 52x71 dp50.pdf FL5167 R2 C CAC SIM 0709 0710 0720 DI-16 47x71 dp50.pdf FL5167 R2 C CAC SIM 0709 0710 0720 DH7 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtZM1u87g0Km... 5/14/2008 > n 71 MAX.OVERALL FRAME HEIGHT O X O E E O O 4 _ O* ₹ i . 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Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search Product Approval �ti USER:Public User • Product Approval Menu>Product or Application Search>Application List>Application Detail FL# FL5177-R1 Application Type Revision Code Version 2004 ■ Application Status Approved Comments Archived Product Manufacturer Simonton Windows Address/Phone/Email 1 Cochrane Ave Pennsboro,WV 26415 (800) 746-6687 Ext 4825 patricia_robisoh@simonton.com Authorized Signature Patricia Robison patricia_robison@simonton.com Technical Representative Chuck Anderson Address/Phone/Email 1 Cochran Ave. Pennsboro,WV 26415 (800) 746-6687 chuck_anderson@simonton.com Quality Assurance Representative AAMA Address/Phone/Email 1827 Walden Office Square Suite 550 Schaumburg, IL 60173 (847) 303-5664 webmaster@aamanet.org Category Windows Subcategory Fixed Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Validated By Referenced Standard and Year(of Standard) Standard Year ANSI/AAMA/NWWDA 101/I.S 2 1997 Equivalence of Product Standards http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtQcIh%2bCtW... 9/29/2008 Florida Building Code Online Page 2 of 7 Certified By Product Approval Method Method 1 Option A Date Submitted 11/15/2006 Date Validated 11/17/2006 Date Pending FBC Approval 11/17/2006 Date Approved 12/06/2006 Summary of Products FL# Model,Number or Name - Description 5177.1 07-09, 07-10,07-20 waivers Reflections 55O0, Prism Platinum, ,Impressions to 07-07 and 75-75 See- 9800,Sears 9300,Storm Breaker,Vinyl Fixed applicable waivers Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5177 R1 C CAC 07-70 to 07-09 waiver Approved for use outside HVHZ:Yes revised 1006 to include AAMA ALI signatures.pdf Impact Resistant: No FL5177 Ri C CAC 5000 fin and J waiver of Design Pressure: +55/-55 retest letter including casements and signed by Other: 74x63 both AAMA and ALI pdf FL5177 Ri C CAC SIM 0709 0710 0720 PW 74x63 DP 55.pdf Quality Assurance Contract Expiration Date installation Instructions FL5177 Ri I_I IN0081 07-10 2X 74X63 PW odf FL5177 R1 II IN0082 07-10 1X 74X63 PW pdf FL5177 Ri II IN0083 07-20 2X 74X63 PW odf FL5177 Ri II IN0086 07-09 2X 74X63 PW.pdf FL5177 RI II IN0087 07-09 iX 74X63 PW pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.2 07-75 waivers to 75-75 See THD @ Home Services 6500, Polar Wall, applicable waiver Generations,Vinyl Fixed III Limits of Use Certification Agency Certificate Approved for use In HVHZ: No FL5177 R1 C CAC 07-70 to 07-09 waiver Approved for use outside HVHZ:Yes revised 1006 to include AAMA ALI signatures pdf Impact Resistant: No FL5177 Ri C CAC SIM 7575 PW1 96x72 Design Pressure: +45/-45 DP45.pdf Other: 96x72 Quality Assurance Contract Expiration Date Installation Instructions FL5177 Ri II S-108R1.�df FL5177 R1 II S-134R.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.3 07-75 waivers to 75-75 See rHO @ Home Services 6500, Generations, Polar lapplicable waivers Wall,Vinyl Fixed Limits of Use Certification Agency Certificate Approved for use In HVHZ: No FL5177 Ri C CAC 07-70 to 07-09 waiver Approved for use outside HVHZ:Yes revised 1006 to include_AAMAAUjgnatures.pf Impact Resistant: No FL5177 Ri C CAC SIM 7575 PW2 72x63 Design Pressure: +60/-60 DP60.odf Other: 72x63 Quality Assurance Contract Expiration Date http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtQcIh%2bCtW... 9/29/2008 Florida Building Code Online Page 3 of 7 Installation Instructions FL5177 R1 II S-108R1_pdf FL5177 R1 II S-134R pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.4 07-75 waivers to 75-75 seeFL51 ome Services 6500,Generations, Polar applicable waivers Vinyl Fixed Limits of Use tion Agency Certificate Approved for use in HVHZ: No R1 C CAC 07-70 to 07-09 waiverApproved for use outside HVHZ:Yes 006 to include AAMA ALI sionatures.pdfImpact Resistant: No _1.77 R1 C CAC SIM 7575 PW3 63x63 Design Pressure: +50/-50 dp50.pdf Other: 63x63 Quality Assurance Contract Expiration Date Installation Instructions FL5177 Ri ITS-108R1. f FL5177 R1 II S 134R.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.5 08-08 Profinish Contractor, Profinish Master, Luminess 700, Luminess 800,Vinyl Fixed Casement Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5177 Ri C CAC SIM 08-08 PW 1 96x72 Approved for use outside HVHZ:Yes 25.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +25/-25 Other: 96x72 Installation Instructions FL5177 R1 II S-144-1.pdf FL5177 R1 II S-181-2pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.6 08-08 Profinish Contractor. Profinish Master, Luminess 700, Luminess 800,Vinyl Fixed Casement Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5177 Ri C CAC SIM 08-08 PW2 74x63 Approved for use outside HVHZ:Yes 55.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +55/-55 Other: 74x63 Installation Instructions FL5177 Ri II S-144-1 pdf FL5177 Ri II S-181-2.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.7 08-09 Reflections 5500, Prism Platinum,Generations, Impressions 9400, Impressions 9800,Sears 9300,THD@Home Services 6100,THD@Home Services 6500, Luminess 4500,Vinyl Fixed Casement Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5177 Ri C CAC SIM 08 09 PW1 96x72 Approved for use outside HVHZ:Yes 40.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +40/-40 httP://www.floridabuilding.org/pr/pr app dtl aspx2para GEVXQwtDqtQcIh%2bctw 9/29/2008 Florida Building Code Online Page 4 of 7 Other: 96x72 Installation Instructions FL5177 RI II S-144-1.pdf FL5177 R1 II S=1588=2 pdf FL5177 R1 II SBNH pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.8 08-09 Reflections 5500, Prism Platinum, Generations, Impressions 9400, Impressions 9800, Sears 9300,THD@Home Services 6100,THD@Home Services 6500, Luminess 4500,Vinyl Fixed Casement Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5177 R1 C CAC SIM 08-Q92 80x63 Approved for use outside HVHZ:Yes . 55.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +55/-55 Other: 80x63 Installation Instructions FL5177 R1 II 0809 Casement Additional Anchorage.pdf FL5177 R1 II S-144-1 pdf FL5177 Ri II S-158-2.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation-Reports Created by Independent Third Party: 5177.9 43-06 waivers to 40-06 See D@Home Services 6060, Profinish Builder, applicable waiver Luminess 500,Vinyl Fixed Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5177 R1 C CAC 43-06 Fixed 96x72 R25.odf Approved for use outside HVHZ:Yes FL5177 R1 C CAC New sash 43 waiver to Impact Resistant: No include AU and AAMA signatures pdf Design Pressure: +25/-25 Quality Assurance Contract Expiration Date Other: 96x72 Installation Instructions FL5177 R1 II IN0092 43-062X 96X72 PW.pdf FL5177 R1 II IN0093 43-06 1X 96X72 PW•pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.10 43-06 waivers to 40-06 See D@Home Services 6060, Profinish Builder, applicable Waivers Luminess 500,Vinyl Fixed. Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5177 Ri C CAC 43-06 Fixed 96x60 R45.pdf Approved for use outside HVHZ: Yes FL5177 R1 C CAC New sash 43 waiver to Impact Resistant: No include ALI and AAMA signatures. f Design Pressure: +45/-45 FL5177 R1 C CAC SIM 4306 PW 7.4x63 Other: 96x60 74x63 DP45pdf Quality Assurance Contract Expiration Date Installation Instructions FL5177 RI II IN0092 43-06 2X 96X72 PW pdf FL5177 R1 II IN0093 43-06 1X 96X72_PW.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.11 43-17 waivers to 40-17 See Profinish Contractor, Profinish Master, Luminess ap licable waivers 700, Luminess 800,Vinyl Fixed Limits of Use Certification Agency Certificate http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtQcIh%2bCtW... 9/29/2008 Florida Building Code Online Page 5 of 7 Approved for use in HVHZ: No FL5177 R1 C CAC 43-17Fixed 96x72 LC30.pdf Approved for use outside HVHZ:Yes FL5177 RI. C CAC New sash 43 waiverto Impact Resistant: No include ALI and AAMA signatures.pdf Design Pressure: +30/-30 Quality Assurance Contract Expiration Date Other: 96x72 Installation Instructions FL5177 R1 II IN0090 43_17 2X 96X72 PW.odf FL5177 RI. II IN0091 43-17 1X_96X72 P1N pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.12 43-17 waives to 40-17 See Profinish Contractor, Profinish Master, Luminess applicable waiver 700, Luminess 800,Vinyl Fixed T-mulled twin Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5177 R1 C CAC 43-17 Fixed twin_97x8o Approved for use outside HVHZ:Yes R40.pdf Impact Resistant: No FL5177 R1 C CAC New sash 43 waiver to Design Pressure: +40/-40 include ALI and AAMA signatures.pdf Other:96.5x80 Quality Assurance Contract Expiration Date +f Installation Instructions FL5177 R1 II IN0088 43-17 2X96 5X80 PW.pdf FL5177 R1 II IN0089 43-17 1X 96 5X80 PW.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.13 43-17 waives to 40-17 See Profinish Contractor, Profinish Master, Luminess applicable waiver 700, Luminess 800,Vinyl Fixed Limits of Use Certification Agency Certificate Approved for use.in HVHZ: No FL5177 R1 C CAC 43-17 Fixed 96x60 R35.pdf Approved for use outside HVHZ:Yes FL5177 R1 C CAC New sash 43 waiver to Impact Resistant: No include ALI and AAMA signatures.pdf Design Pressure: +35/-35 Quality Assurance Contract Expiration Date Other: 96x60 Installation Instructions FL5177 Rl II IN0090 43-17 2X 96X72 PW.pdf I FL5177 R1 II IN0091 43-117 1X 96X72 PW pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.14 43-17 waives to 40-17 See Profinish Contractor, Profinish Master, Luminess applicable waiver 700, Luminess 800,Vinyl Fixed Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5177 R1 C CAC 43-17 Fixed 74x63 R50.pdf Approved for use outside HVHZ: Yes FL5177 R1 C CAC New sash 43 waiver to Impact Resistant: No include AU and AAMA signatures.pdf j Design Pressure: +50/-50 Quality Assurance Contract Expiration Date Other: 74x63 Installation Instructions FL5177 R1 II IN0090 43-17 2X 96X72 PW.pdf FL5177 R1 II IN0091 43-17 1X 96X72 PW.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third.Party: Evaluation Reports Created by Independent Third Party: 5177.15 43-17 waives to 40-17 See Profinish Contractor, Profinish Master, Luminess applicable waiver 700, Luminess 800,Vinyl Fixed Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5177 R1 C CAC New sash 43 waiver to http://Www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtQcIh%2bCtW... 9/29/2008 Florida Building Code Online Page 6 of 7 Approved for use outside HVHZ:Yes include ALI and AAMA signatures df Impact Resistant: No FL5177 R1 C CAC SIM 4317PW80x48 Design Pressure: +55/-55 DP55.pdf i Other: 80x48 Quality Assurance Contract Expiration Date Installation Instructions FL5177 R1 II IN0090 43-17 2X 96X72_PW.pdf FL5177 R1 II IN0091 43-17 1X 96X72 PW pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.16 43-40 waives to 40-40 see eflections 5050, Reflections 5300, Prism Bronze, applicable waiver Prism Ultra Gold, Impressions 9400,THD@Home Services 6100, Luminess 4500,Vinyl Fixed Limits of Use Certification Agency Certificate Approved for use-in HVHZ: No FL5177 Ri C CAC New sash 43 waiver to Approved for use outside HVHZ:Yes Include ALI and AAMA signatures.pdf Impact Resistant: No FL5177 R1 C CAC SIM 4340 PW2 74x60 Design Pressure: +50/-50 DP50.pdf Other: 74x60 80x48 FL5177 R1 C CAC SIM 4340 PW3 80x48 DP50.pdf Quality Assurance Contract Expiration Date Installation Instructions FL5177 RI II IN0094 43-40 2X 96X?2PWjxf FL5177 Ri II IN0095 43-40 1X 96X72 PW.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5177.17 43-40 waives to 40-40 see Reflections 5050, Reflections 5300, Prism Bronze, applicable waiver Prism Ultra Gold, Impressions 9400,THD@Home Services 6100, Luminess 4500,Vinyl Fixed Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5177 R1 C CAC New sash 43 waiver to Approved for use outside HVHZ:Yes include ALI and AAMA signatures.pdf Impact Resistant: No FL5,77 R1 C CAC SIM 4340 PW196x72_ Design Pressure: +40/-40 DP40.pdf Other: 96x72 Quality Assurance Contract Expiration Date Installation Instructions FL5177 R1 II IN0094 43-40 2X 96X72 PW pdf FL5177 R1 II IN0095 43-40 1X 96X72 PW pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: Back Next DCA Administration Department of Community Affslrs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Florida 32399-2100 (850)487-1824,Fax(850)414-8436 ®2000-2005 The State of Florida.All rights reserved.Coovright and Disdalmer Product Approval Accepts) a ® acs ® http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtQcIh%2bCtW... 9/29/2008 63' MAX. OVERALL FRAME HEIGHT 3• 3• - L ITEl 't ; ) : 1 1fI11 - o • wit ° n____ _1 a all, tQg =o �� Aso � u � :. • Florida Building Code Online Page 1 of 5 BUS Home Log In Hot Topks Submit Surcharge Stats Jl Fads Publications FBC Staff BUS Site Map Links Search s• Product Approval USER:Public User • Product Approval Menu>Product or Application Search>Application Ust>Application Detail FL# FL5179-R0 Application Type New Code Version 2004 Application Status Approved Comments Archived Product Manufacturer Simonton Windows Address/Phone/Email 1 Cochrane Ave Pennsboro,WV 26415 (800) 746-6687 Ext 4825 patricia_robison@simonton.com Authorized Signature Patricia Robison patncla_roblson@simonton.com Technical Representative Chuck Anderson Address/Phone/Email 1 Cochran Ave. Pennsboro,WV 26415 (800)746-6687 chuck_anderson@simonton.com Quality Assurance Representative AAMA Address/Phone/Email 1827 Walden Office Square Suite 550 Schaumburg, IL 60173 (847)303-5664 webmaster@aamanet.org Category Windows Subcategory Horizontal Slider Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Validated By Referenced Standard and Year(of Standard) Standard Year ANSI/AAMA/NWWDA 101/I.S.2 1997 Equivalence of Product Standards http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtQclh%2bCtWN... 6/1/2008 Florida Building Code Online Page 2 of 5 Certified By Product Approval Method Method 1 Option A Date Submitted 08/31/2005 Date Validated 09/21/2005 Date Pending FBC Approval 09/29/2005 Date Approved 10/11/2005 Date Revised 01/07/2008 Summary of Products FL# Model,Number or Name IDescription 5179.1 07-09 waivers to 07-70, 75- 07-09 waivers to 07-70,75-75,Reflections 5500, 75 Reflections Platinum,PL Ultimate,Sears 9300, Vin 2-lite Slider Umits of Use(See Other) Certification Agency Certificate Approved for use In HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- PTID_5179_I FramSash_:approva .ndf Other:07-09 waivers to 07-70, 75-75, See PTID_5179_I_profilhange to attached waivers,Vinyl 2-lite Sliders. 73x51 DP= u70 _aupruval.paf +/-HS-R45 73x51 DP= +/-HS-R50 60x48 DP= PTID_5 7w _s !t 2_;E +/- HS-R55 72x48 DP= +/-HS-R45 Non-Impact, PTID_5 7 i_ <1 ,Not for use in HVHZ. P,T 5 7 _?_C 1 'R 1 & PTTD 5t 9IS 1_19R1. df PTID5179IS-127 R.odf P-f u_5179_T_s-128k pa Ti ,ce_ r9I3 u_' 2_F�ir" PTID 5175 I 5-15S-2.r11 PTID 9177 1 C 77.-5 df PTID 5179 _i_S-7.77-2.rdf PTID_517 9_I_,S-17 8-2.pdf j rl iu 5117_ ver_-u a; Verified By: Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 5179.2 07-09 waivers to 07-70, 75- 07-09 waivers to 07-70, 75-75, Reflections 5500, 75 Prism Platinum, PL Ultimate,Sears 9300,Vinyl 3- lite Slider Umits of Use(See Other) Certification Agency Certificate Approved for use In HVHZ: Quality Assurance Contract Expiration Date f Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 07-09 waivers to 07-70, 75-75 See Created by Independent Third Party: attached waivers,Vinyl 3-lice Slider. 105x51 Evaluation Reports 1/4,1/2,1/4 DP = +/-HS-R50 136x60 1/4,1/2,1/4 Created by Independent Third Party: {DP = +/-HS-R30 105x51 1/4,1/2,1/4 DP= +/- HS-R50 136x60 1/4,1/2,1/4 DP= +/-HS-R30 102x60 1/3,1/3,1/3 DP= +/-HS-R30 84x48 1/4,1/2,1/4 DP= +/-HS-R55 84x60 1/4,1/2,1/4 DP = +/-HS-R30 100x48 1/4,1/2,1/4 DP= +/- HS-R45 64.5x48 1/3,13,1/3 DP= +/-HS-R55 75x48 1/3,1/3,1/3 DP= +/-HS-R45 64.5x60 1/3,1/3,1/3 DP = +/-HS-R30 Non-Impact, Not for use in HVHZ. 5179.3 75-09 waivers to 75-75 75-09 waivers to 75-75, Impressions 9800,Vinyl http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgtQcIh%2bCtWN... 6!1/2008 62'MAX. OVERALL MIGHT •i : 1 :Jyi :i 6• fF , a x n 3 3 s s a v 0 o ''• �^ O n v V O v O V � f3' � !Ij • � w a " o N r 4 M V V yip � O 1 1 r o! o • O W O c •3 0 60•MAIL OVEtbW.HEIG a 3 n � g 6 von it 1__ • • ____ o � • $ 3'� Iaa zo 1 '3 Ln o In R %�� w.':•'� � � roc O 33as O C r r n _ a g i Y ₹ 1i :A. 2.0• 5aaj � � Sa` � � •�, `' x ANCHORING CROSS SECTIONS Sknonson vaxiow�s 4 .2j #' FOR lx BUCK TO MASONRY One Cochrane Avenue R ENDVENT Pennsboro. WV 26415 Florido PH. 800.426.2249 19506 French tvegd' $ VINYL WINDOW Lutz. FL 33658 e Florida Building Code Online Page 1 of 3 s . BCIS Home Log In Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search Product Approval I•> USER:Public User Product Approval Menu>Product or Application Search>Application List>Application Detail FL# FL10260-R0 Application Type New Code Version 2004 r , Application Status Approved Comments • • Archived Product Manufacturer ProVia Door, Inc. Address/Phone/Email 2150 State Route 39 Sugarcreek,OH 44681 (330) 852-4711 Ext 1663 christopher.nolt@proviadoor.com Authorized Signature Luis Lomas rllomas@yahoo.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who Luis R. Lomas developed the Evaluation Report Florida License PE-62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date Validated By Steven M. Urich, PE Validation Checklist- Hardcopy Received Certificate of Independence FL10260 R0 COI Certificate20ga doors._odf Referenced Standard and Year(of Standard) Standard Year ASTM E330 2002 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquGot0kaJvZZ2... 6/11/2008 Florida Building Code Online Page 2 of 3 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 02/07/2008 Date Validated 02/07/2008 Date Pending FBC Approval 02/15/2008 Date Approved 03/18/2008 Date Revised 05/16/2008 Summary of Products FL# Model,Number or Name Description 10260.1 20Gauge Steel Door 20Gauge IS/OS Steel Patio Door with swinging hinge Limits of Use Installation Instructions Approved for use in HVHZ: No FL10260 R0 II FL 00367.pdf Approved for use outside HVHZ:Yes Verified By: Luis R. Lomas P.E. 62514 Impact Resistant: No Created by Independent Third Party: Design Pressure: +50/-50 Evaluation Reports Other: APPROVED CONFIGURATIONS: OX,XO, FL10260 R0 AE 510521 odf XO. DESIGN PRESSURE RATING FOR AREAS FL10260 R0 AE FoamSpecs.oddf WHERE WATER INFILTRATION RSISTANCE IS NO Created by Independent Third Party: REQUIRED 10260.2 I20Gauge Steel Door 20Gauge IS Steel Door with Steel L Frame Limits of Use Installation Instructions Approved for use in HVHZ: No FL10260 R0 II FL 00368_pdf Approved for use outside HVHZ:Yes Verified By: Luis R. Lomas P.E. 62514 Impact Resistant: No Created by Independent Third Party: Design Pressure: +60.19/-60.19 Evaluation Reports Other: APPROVED CONFIGURATIONS: X. FL10260 R0 AE 510523_pdf DESIGN PRESSURE RATING FOR AREAS WHERE FL10260 R0 AE FoamSpecs.pdf WATER INFILTRATION RSISTANCE IS NOT Created by Independent Third Party: REQUIRED 10260.3 I20Gauge Steel Door 20Gauge OS Steel Door with Steel L Frame Limits of Use Installation Instructions Approved for use in HVHZ: No FL10260 R0 II FL 00368.pdf Approved for use outside HVHZ:Yes Verified By: Luis R. Lomas P.E. 62514 Impact Resistant: No Created by Independent Third Party: Design Pressure: +75.24/-75.24 Evaluation Reports Other:APPROVED CONFIGURATIONS: X. FL10260 R0 AE 510523 pdf DESIGN PRESSURE RATING FOR AREAS WHERE FL10260 R0 AE FoamSpecs.pdf WATER INFILTRATION RSISTANCE IS NOT Created by Independent Third Party: REQUIRED 10260.4 20Gauge Steel Door 20Gauge IS Steel Door with or wihout sidelites and with or without transom Limits of Use Installation Instructions Approved for use in HVHZ: No FL10260 R0II_FL 00369 odf Approved for use outside HVHZ:Yes Verified By: Luis R. Lomas P.E. 62514 Impact Resistant: No Created by Independent Third Party: Design Pressure: +45.1/-45.1 Evaluation Reports Other:APPROVED CONFIGURATIONS: O/OXXO, FL10260 R0 AE 510544^odf O/XX,O/OXO, O/OX, O/XO, O/X,OXXO,OXO, FL10260 R0 AE FoamSpecs.pdf OX,XO,XX,X. DESIGN PRESSURE RATING FOR Created by Independent Third Party: AREAS WHERE WATER INFILTRATION RSISTANCE IS NOT REQUIRED 10260.5 20Gauge Steel Door 20Gauge OS Steel Door with or wihout sidelites http://www.floridabuilding.org/pr/prapp dtl.aspx?param=wGEVXQwtDquGotokaJvzz2 6/11/2008 Florida Building Code Online Page 3 of 3 and with or without transom Limits of Use Installation Instructions Approved for use in HVHZ: No FL10260 R0 II FL 00369,pdf Approved for use outside HVHZ:Yes Verified By: Luis R. Lomas P.E. 62514 Impact Resistant: No Created by Independent Third Party: Design Pressure: +50.16/-50.16 Evaluation Reports Other:APPROVED CONFIGURATIONS: O/OXXO, FL10260 R0 AE 510544.pdf O/XX,O/OXO, O/OX,O/XO, O/X,OXXO,OXO, FL10260 R0 AE FoamSpecs._pdf OX,XO,XX,X. DESIGN PRESSURE RATING FOR Created by Independent Third Party: AREAS WHERE WATER INFILTRATION RSISTANCE IS NOT REQUIRED 10260.6 I20Gauge Steel Door 20Gauge IS/OS Steel Door Limits of Use Installation Instructions Approved for use in HVHZ: No FL10260 R0 II FL 00370.Ddf Approved for use outside HVHZ:Yes Verified By: Luis R. Lomas P.E.62514 Impact Resistant: No Created by Independent Third Party: Design Pressure: +35.11/-35.11 Evaluation Reports Other: APPROVED CONFIGURATIONS: XX,X. FL10260 R0 AE 510546.pdf DESIGN PRESSURE RATING FOR AREAS WHERE FL10260 R0 AE FoamSSoecs.pdf WATER INFILTRATION RSISTANCE IS NOT Created by Independent Third Party: REQUIRED 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,Fax(850)414-8436 m 2000-2005 The State of Florida.All rights reserved.Copyright and Disclaimer Product Approval Accepts: W [Chet Vrrlyfscrytl Y[[IPY http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquGot0kaJvZZ2... 6/11/2008 L. Roberto Lomas F.E. Engineering Evaluation Report 1432 Woodford Ttd.' Ctammons,NC 27012 336445-9693 Report No.:510544 Manufacturer: ProVia Door,Inc. 2150 State Route 39 Sugarcreek.014 44881 Product Line: 20 Gauge.Steel Inswtng!outswing Door with or without Sidelites and with or without Transom, Compliance: The above mentioned product has been evaluated for compliance with the requirements of the Florida.Department of Community Affairs for Statewide Acceptanceper Rule 98-72.070 method 1(d).The product listed herein complies with the 2004 Florida Building Code. Ptpductslescrip fon Product Type lnswtngloutswing Door with Sidelines and Transom. Frame construction Frame is constructed of wood and aluminum..Frame comers are butted,sealed and secured with staples andscrews. Parcel construction Panels are constructed from two(2)20.Gauge steel skins.Skins are cool-famed onto interior and exterior sides of panel.Panels use a foam-flied center. We '-stro:Five weather-strips of gent materials are located In door frame,jambs,astragal,strike stiles and threshold'. � I Steel and wood was painted white. • Grade 2 Knob assembly • Grade 2 Dead bolt assembly • 4"x4 ball bearing(`bilges from Penrod(4 per panel) • Outswing threshold from Provia Door Inc. • Inswing threshold from Provia Door Inc. • Hurricane;astragal from Endure Supporting"Technical Documentation: 1. Approval document:drawing number FL 00369,dated 01/08 sheets I biro 3,titled 20 Gauge Steel Inswing10utswrng Door with:or without Srdelites and with or without Transom,.prepared,signed and sealed by L.Roberto Lomas,P.E 2. Test Reports: a) Test Report No,:77199.01:1,09-44 signed and sealed by Michael D.Stremmel,P E. Architectural Testing,Inc: 20 Gauge Steel Inswing Double Door with Sidelites and Transom. ASTM E 330-02 Uniform Load±45.14paf design pressure Water Resistance Teat.4 psi b) Test Report.No.:77200.01-109-44 signed and sealed by Michael 0.Stremmel.,P.E. Architectural_Testing.Inc. 26 Gauge Steel outswrng Double Door with Sldelitea and Transom ASTM E 330,02 Uniform Load±5016psf design pressure Water'Resistance Test.0-psf 3. Anchor calculation report number 510545-1 51.0545-10 prepared,;signed and seated by L Roberto Lomas P.E. ,~ \r w - \`fn - .L.: 1 of 2 1'.N2 5$r ' 3Z0 s..tii-tas�y a\a L. Roberto Lomas P.E. Engineering Evaluation Report 1432 Woodford Rd. Clemmoes,NC 27012 336=945-9695 Report Mo.:510544 Umifatlons and Conditions of use: Design ura.railng Where wetter Inliltratlon resisfaince 1s not is'ed Description Conftguratlon Max.Size DP tiudswi . DR Doublewlsldelites&transom OJOXXO 10610*100 is' Double w/sWellEes OXXO lO55 W Double . Xx 745W Double Wtuanscni O/XX 74'x100'/1" Single wlskte es&transom 00/OXO 68'5c11° *" 145.1 psf 150.18.psf S+ le w/sidelites OXO 68"x8;1 W Sinaleadsklekte&transorn O/ClX. OFXO 52%N100%4" SieWsidOllte ... .. OXXO 62--74 7185 W Sktqie X 37 W'85W Sing .wftransont O/X 37':4"x100'/" Description Max.Size Max..DLO. Active Panel 35 33" 20518"x62.W Inactive Panel . 36'X'5 _ 205/8!, 2W 6 Sidelite Panel 13%"x83' 5W'x62''4' Transom 105x15"Y 101 7/ x:12 5/5' • Units must be glazed E 1300.02. • This;product is not rated to be used in the tiVHZ • This product non-Impact resistant requires impact protection. • This:product is not qualified to be,used in areas where water penetration protection is required. • Frame material to be wood and aluminum • Door assemblies equal or smaller in size than those,specified above are acceptable-within tie.•runtlations specified herein. Installation: Unit must be installed:in strict'accordance with approval document drawing FL 00369. Certification of Independence: Please note-that I don't have nor will acquire a financial interest in any company manufacturing or distributing the product(s) for which this report is being issued. 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