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HomeMy WebLinkAbout08-7427 CITY OF ZEPHYRHILLS =-t7Y O= 5335-8TH STREET (813)780-0020 7427 BUILDING PERMIT I� _ Permit Number: 7427 Address: 3512 AQUAMARINE WAY LOT 15 Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: RV PARK Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE RV RESORT Est. Value: Parcel Number: 24-26-21-0020-00000-0150 Improv. Cost: 20,000.00 Date Issued: 1/28/2008 Name: ALLEN, ROBERT/JUDITH Total Fees: 265.00 Address: 3512 AQUAMARINE WAY LOT 15 Amount Paid: 265.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/28/2008 Phone: (706)513-8008 Work Desc: LANAI 12x32 SCREEN RM (10x12) $ JA HOMEOWNER BUILDING FEE 195.00 ELECTRICAL FEE 35.00 PLUMBING FEE 35.00 FOOTER WATER MISC. ROUGH ELECTRIC SHEATHING ELECTRICAL FINAL 1ST ROUGH PLUMB FRAME PLUMBING FINAL PRE-SLAB SEWER BUILDING FINAL 2ND ROUGH PLUMB INSULATION WALL LINTEL MISC. PRE-METER DRIVEWAY 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." ç/ CONTRACTOR SIGNATU E 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: ,- s p p - (?cja- Date Received: t-23-O% Site: 35 Permit Type: A o - -- Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ /dL � P This comment sheet shall be kept with the permit and/or plans. Kalvin Switze Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 'Jj ✓ c� Date Received, i-Z3_t:}l.3" Phone Contact for Permitting 13 V -- RQ bef i" Al1 , Owner Phone Number 3� Owner's Name Owner's Addressl�. -- v/!1e__ Z-ephyrhi IL≤j Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 35/ 2 h rhl 1/s F 33S D LOT# I 'S SUBDIVISION rnera/ Point RVRe�sOrt 4{c$ ARCELID# ��i ôQa (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR B ADD/ALT SIGN MOVE E DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR E COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL Q OTHER DESCRIPTION OF WORK L V7 d m BUILDING SIZE !a. Sc%een POmSQ FOOTAGE HEIGHT BUILDING $ �Q O /I VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. E PLUMBING $LIII a_--�� � MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION Q GAS Q ROOFING EIII SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA LIYESNO BUILDER COMPANY rl - kJOr r SIGNATURE // L / REGISTERED Y/ N FEE CURRENT Y/N //) Address ll Ff Ki i . Z /J hl L33 oZ' License# ELECTRICIAN COMPANY YI �— 'W et SIGNATURE REGISTERED Y/ N I FEE CURRENT^ Y/N 6 Address i J 1J -^1 4 1 L 3,3 1- License# / �i 2i?i PLUMBER4J /y/ *COMPANY SIGNATURE I_ REGISTERED Y/ N FEE CURRENT Y/N Address `I[� l r) Ad. h rhi I] 1L 1— License# Q/ MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURRENT I Y/N Address I I 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)sets of Building Plans;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance 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$2500,a Notice of Commencement is required. (A/C upgrades over$5000) ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades 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/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other 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.11 3) OWNER OR AGENT CONTRACTOR _Subscribed and swoyy��to(or a rrJ d before me this / _ Subscribed an s to or affir d) f e t is � /Yob !�� me or has/have produced Wh isl per ovally known to me or has/have produced lWho Is/a Q �S as identification. __________________________as Identification. Notary Public G�"'� Notary Public Commission o. Commission No. 0F ,,_ �T,ATF(1F FLURIDA F F Name of Notary typed,printed or Name of Notary typed,printgd'or~staA�ped stated. } DISCLOSURE STATEMENT FOR OWNER /� CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, � � Ur± 4'ICA/U have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided, your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a _building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. / r OWNER'S SIGNATURE X G DATE ADDRESS 3 5 )-- Anarmc Ja2 r^ i l S L 3$ D PHONE -'f 531 WITNESS PERMIT # Name Address 1 To Whom It May Concern, Please be advised that: Stacie Hartwig and Deborah Dokendorf of Pasco Permit Service have my permission until further written notice to act as my agent to sign and pick up permits. Sincerely, Signature Date NOTARY STATE OF FLORIDA, COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this day of Personally known or Produced identification , "''OTARY PUBLIC-STATE OF FLORIDA Suzanne Bahr ^�til DD601110 NOV 15, 2010 1R_ ,,kBOND1\GCo,,INC. Commissioned Stamp 4otary Sigature and Expiration Date LOT M. , ...+M ENT EOA operty Evaluation .Coznixtee. & Board of Directors: •From4! (PN LO /Mess /a- 35 mze t'u)i`f1 Phone number where you can be reached 7((o- 73� o o t! 81st - ©3q WWrequest:POA approval for the following (must include drawing for any construction / additions / remodeling / landscaping, etc.). ,9� C�lewa�� Low q � � � � ��� t? ?t4i1 4d14- �o — ' U 0 Lot Owner's Signature >, Date /-3--4 Approved Denied /41 Property Evaluation Committee: Bo •d of Directors: ' _______ Date: Remarks: r s z r ; o t aJ k1 rn ? Iz id / o0 ' A , /k 1/ may?^+ . . " 't ' c /I Notice of Preventative Treatments for Termites (as required by Florida Building Code(FBC) 104.2.6) Lic#JB152189 1st Choice Termite Services Mailing Address: 14012 7th Street,Suite 19 P.O.Box 516 Dade City,FL 33525 Dade City,FL 33526 813-779-3731 • 352-521-7185 Fax: 352-521-7186 Name of Builder or Owner: ).i _ Address of Treatment or Lot/Block of Treatment it 1 i' ' Date Time Applicator Product Used Chemical Used Number of Gallons Applied (active ingredient) Percent Concentration Area Treated Type of Foundation Linear Feet Treated (square feet) Stage of Treatment(Horizontal,Vertical,Adjoining Slab, Retreat of Disturbed Area) As per 104.2.6-If soil chemical barrier method fortermite prevention is used,final exterior treatment shall be completed prior to final building approval. If this notice is for the final exterior treatment,initial and date this line White-Company Yellow-Building Inspector Pink-Builder r7orlda Building Lode Online Fage I of 3 BCIS Home Log In Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff B R p Product Approval (jj SER: Public User 6i - Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL157-R1 Application Type Revision Code Version 2004 Application Status Approved �ry Comments Archived Product Manufacturer Custom Window Systems, Inc. Address/Phone/Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 ext 206 Nancy@cws.cc Authorized Signature Nancy Haldin Nancy@cws.cc Technical Representative Michael LaFevre Address/Phone/Email 981 NE 16th Street Ocala, FL 34470 Michael@cws.cc Quality Assurance Representative Ralph Emminger Address/Phone/Email 981 NE 16th Street Custom Window Systems, Inc. Ocala, FL 34470 (352) 368-6922 ralph@cws.cc Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgt3e 1 SA1nEO W3D9b... 11/4/2006 41 J1 1 Om A Tm< '- p �� o z ma mS p D m _ Do Tf r] pp A m it Ze — 1 _ >= C R1 to U e C � p II $ UC II 8O 0 O pD O \ �; mz u A= 18 D — — m3 I �o ^' m I v 8f7 0 i nn• L e 'Qo per. vC` 00 m� D Di mp m'm J 3 0 0 (77 X 60 N ST = •�° c mp = pm LJ L1 z v'm d1O n m �ZOm A s yD J1C O T m z N z' ra m Cf�� O mSd` 5Q�s <m r z O Co n �S p ;mi am ais m z _ r�Z Op C r of 0 m p Zworn rZ E ZrD N N n C7Cn� ti D o L 1 z cn b w m I I �tO OOVQD�CT�A TW N�Z - KKKDC)D�0"1Oz 1 O �y O O zxzx-+O�mmDm ? ? ? YOC O O O k Ozpmcn>Dmn0 O O O O O O uo CnT o�Cmi»zDCn<�— C o - - .. A A A 0 0 ° ° J J J a O'. a �C! 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ProductIUApproval c E Product Approval Menu > Product or Application Search > Application List>Application Detail FL # FL1170-R1 Application Type Revision Code Version 2OO4 rss Application Status Approved Comments p�+ Archived Product Manufacturer Therma-Tru Corporation Address/Phone/Email 118 Industrial Drive Edgerton, OH 43517 (419) 298-1740 sjasperson@tttechnologies us Authorized Signature Steve Jasperson sjasperson@tttechnologles.us Technical Representative Address/Phone/Email '° '° Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification.Agency National Accreditation & Management Referenced Standard and Year (of Standard http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE VXQwtD quzB EnNWwexO%2f... 9/12/2006 I4IaILJ r , r N Construction Series Steel Configurations Design Pressure Ratings (psf) by Dade County Approval Maximum i Size _____ _L I ]I H Number o ___ Inswing 0828.11 +67/-67 +60/-60 +601-60 +60/-60 +60/-60 8/4 x 6/8 00 +60/-60 +48/-51 +48/-51 a 12/0 x 6/8 407.05 +48/-51 +48/-518 6/8 Outswing 99- +55.0/- 3/0 x 11.01 65.6 6/8 01- +67/-67 +60/-60 +60/-60 +60/-60 +60/-60 8/4 x ¢828.10 6/8 Note: "B" designates requirement of surface bolts. © 2002 Therrna-Tiu. All rights reserved. Fiber-Classic, Classic-Craft, &Smooth-Star are Registered Trademarks of TT Technologies, Inc. CD Revision: April 4, 2002 file://D:lbrand%20pages\cs_solid.htm 5/2/2002 Inm i'I tit In O ❑ w �� W 1 rnw I I IvOI I I- `: m °;w > Tm 6. - 14.0" oo -m rnm 11 1 4PLCS 2 0 y in m _ I I CI �I _ ,�-I - in O1 m rn l.i D, Un O W m 6" Y'� m 6" r _- -1 JWo 14.0" rnw m �O I aOw - wrn ul o y 4PLCS w m 11 L I I I I _ iL1 -�Z - -r -f Z _ r • O W ?cn m W 29.25 TYP. 9.25 - 1 t--- zo y n m to r•In�nyaft�[�[��FZ . �1��WpNym� II m D o D ttTinll nm Fes—29.25" 29.25" 9.25 DO y0 7 m �m NrNm GE m_ONlDmi] :v I I. —6 I� LCS IJ —'11 DO�NZz�` iCS mL'o�D�O D x�nr2Xp �U, . "m=mnC OS .r mtn Am 2icn3 AD Oc �Oyy W cl N Zm fn.�o m V O W inn yy o 2 �n Vly r D O O =2 r Om�r ZOZy m o Vm c) TT 2 0 Om e mp I O n ti PRODUCT: "CONSTRUCTION SERIES" THERMA-TRU CORPORATION n g p W 6-8 SINGLE & DOUBLE IN-SWING STEEL DOOR 1687 WOODLANDS DRIVE m PART OR ASSEMBLY: MAUMEE, OHIO 43537 In o u 6 ANCHORING LOCATIONS PHONE 800.537.8827 n NO DATE BY & DETAILS REVISIONS 25"" MIN. R)I1 L 11J�QJ�i 1. ° EMBED. G 2 " MAX. _ A SHIM SPACE .15" MIN. C-SINK c � y D th 2 Z m V rnr o O p . qo.. ,� o o00 �• na n .o Q.o p.4-.Q.O�p 90 ..O 0 � � Io. �...4. •. C • U7 e ti 2 � N G7 79.25'" MAX. PANEL HEIGHT MAX. .75" PAD 81.25'" MAX. OVERALL FRAME HEIGHT y� 1.25" MIN. EMB. , o w ° r25" MIN. .25" MAX. SHIM COUNTERSINK ' hIIV CD .15" MIN. n,< MAX. C-SINK r� op/ \f/ \ y�rt .v.. p� 1i Rt O V 79.75" MAX. OVERALL PANEL HEIGHT ₹ c PRODUCT: I w A g o m N "CO IES"NSTRUCTION SER THERMA-TRU CORPORATION IN I w 6-8 SINGLE & DOUBLE N z N IN—SWING STEEL DOOR 1 687 WOODLANDS DRIVE ti -i* hi c PART OR ASSEMBLY: MAUMEE, OHIO 43537 NO DATE BY TECTIOCS PHONE 800.537.8827 REVISIONS VERTICAL CROSS E d o `o. 1.68•" MIN. PANEL THK. r W LN° m N ° x o A om 0 c n m ° o z oy c0 o. �o n nr p. C4 z aZ f W A U .5"" MIN. ® = m CLASS THK. as :00: : ' a a 1.68" MIN. °.D. , p,, PANEL THK. oA z o v m � rn rn W N N O 0 v N ° .4 ff m ao a m m .5•' MIN. cNn GLASS THK. o PRODUCT: ' ?_ "CONSTRUCTION SERIES" THERMA-TRU CORPORATION vi o u c 6-8 SINGLE & DOUBLE m IN-SWING STEEL DOOR 1 687 WOODLANDS DRIVE y 'z w PART OR ASSEMBLY: MAUMEE, OHIO 43537 Im f = o u" 5 HORIZONTAL PHONE 800.537.8827 NO DATE REVISIONS 6Y CROSS SECTIONS r ioriaa tsuuaing uoae umine Page 1 of 2 ni 7P1l^ ( ('T. `l1' 1 II111111 11 TI_11� ,11 y5 -ex.«ro...� ..+ y..w.y+'wMm s.:{ BCIS Home Log In Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff B Product Approval USER: Public User > > > Application Detail FL # FL163-R1 Application Type Revision Code Version 2004 Application Status Approved cojirnEs '1. Comments Archived _RC[wt1CA Product Manufacturer Custom Window Systems, Inc. Address/Phone/Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 ext 206 Nancy@cws.cc s Test*'+ - Authorized Signature Nancy Haldin Nancy@cws.cc •MICR Technical Representative +IA1f8flt Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Single Hung Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. 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