HomeMy WebLinkAbout09-9196 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9196
BUILDING PERMIT
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Permit Number: 9196 Address: 6130 17TH 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: 02- 26 -21- 0180 - 00000 -0250
Improv. Cost: 4,228.00 E`" g
Date Issued: 6/05/2009 Name: MCDUFFIE, W.CLIFF
Total Fees: 82.50 Address: 6130 17TH ST
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/05/2009 Phone: (813)782 -0877
Work Desc: REPLACE 5 WINDOW SIZE / SIZE
SEARS HOME IMPROVEMENT PRODUCT BUILDING FEE 82.50
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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."
/0111 Pir 44 /A'
t 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
5335 - 8TH STREET
(813)780 -0020 9196
BUILDING PERMIT
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Permit Number: 9196 Address: 6130 17TH 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: 02- 26 -21- 0180 - 00000 -0250
Improv. Cost: 4,228.00
Date Issued: Name: MCDUFFIE, W.CLIFF
Total Fees: 82.50 Address: 6130 17TH ST
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)782 -0877
Work Desc: REPLACE 5 WINDOW SIZE / SIZE
SEARS HOME IMPROVE ENT PRODUCT BUILDING F_ ""
EE 82.50
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4 o•
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."
l .4 /1124
CONTRACTOR SIGNATURE PERMIT OFFI �R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor /Homeowner: .Jel X. S e -r efrt
Date Received: to - 3- ( /
Site: /36 / 7 S7
Permit Type: A9)bce 3 G(1 dUk
Approved w /no comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Kalvin witzer - ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813 - 780-0020 City of Zephyrhills Permit Application l�Lf�/ q ( Fax -813 - 780-0021
Budding Department 1
, Data Received I 1 p n — 3 - �� Phone Contact for Penning I ,I3' - 1917�n
r 1 [ ^
Owner's Name I �/p t:Ll�d , f Owner Phone Number S�3 • 7VA • 0 p 77
Owner's Address 1 624.30 /7 f 1 V r � I Owner Phone Number
Fee Simple Titleholder Name' I Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS 1 Ca ?O ! 7 Ph_ S f LOT* c
SUBDIVISION IPA K /6 7/ PARCEL ID# Ill i •. i ',_ " b .%/ - „/ — '1. T9
(OBTAMED FROM ..., • RTY TAX NOTICE)
WORK PROPOSED �f NEW CONSTR I ADD /ALT n SIGN Q MOVE Q DEMOLISH
H INSTALL REPAIR
PROPOSED USE n SFR ( I COMM n OTHER I I
TYPE OF CONSTRUCTION n BLOCK I 1 FRAME Q STEEL Q OTHER 1
•
DESCRIPTION OF WORK Ike
ia /A (a k S £.. ?o G D,C.sI... OA Ab(ntiXf
BUILDING SIZE 1 SO FOOTAGE I HEIGHT I
5; BUILDING ($ .5 0A 1 VALUATION OF TOTAL CONSTRUCTION
1 ---- 1 ELECTRICAL I$ I AMP SERVICE I PROGRESS ENERGY n W.R.E.C.
n PLUMBING 1$ I,
n MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION ��C
I I GAS I ROOFING n SPECIALTY I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES fNO (94'
BUILDER COMPANY
SIGNATURE -------- REGISTERED � � r OEC CI R tE M Y,
Address Vo lay ia 90 11)0 dd/( id,744 License* I
ELECTRICIAN COMPANY 1
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I
Address ( 1 License* 1
PLUMBER COMPANY I
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address 1 1 License* I
MECHANICAL COMPANY I
SIGNATURE REGISTERED I Y N I FEE CURRENT I Y/ N I
Address I 1 License# I
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1
Address 1 License* I I
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, Stonnwater 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, Stommwater Plans w/ Sid Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for ad 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 Attomey (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 NC 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 indude but are not limited to:
Department of Environmental Protection- Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater 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 AGEN;1 / fi CONTRACTOR _
Subscribed and or affirmed) before me this ubscribe and sw to (or affirmed) before me this
tit )-O'j by ct' C.art� 3 Of by (— ai,.JSo/�
V ho is/acepernown to me or has/have produced is/ar'e,personally known to me or has/have produced
l r - s onaly k as identification. l.r ` tQ�3t__ as identification.
Lg.on ' ") QUELIrvttsVUtS ``-- ���' - [fi ry Public
N r + •- mission DA R21R33 Comm' • T o r �a .. Commission DO 621833
_ Expires December 12, 2010 "' .;; ., xp res o -ce = ,
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.- roposai Date Job # Sears Home Improvement Products, Inc.
Customer N k ie P.O. Box 522290
(4. L�%0(4 feN6 /h e f. _ $ aI1S 1024 Florida Central Parkway
Customer's Home Phone ? Custom rr's Work Phone Longwood, FL 32752
g--, 3 /r 7- T7 to Jy 7 r.).,. - dpe 7 7 Home Improvement Products
Phone (800) 469 -4663 •
_
Street Address ESTIMATE AND PROPOSAL Contractor License /Registration Number
C ( 1 d -1 1 ST , Windows FL (Gen.Contr. #CGC012538)
City I. s Zip Cod -
Zefti, y Q Lj L L,S I Ft I . 3 $ S . '4 Is installation within city limits?
Installation Address. County h C: ❑ Yes ❑ No
Billing Address i it din.: - e rt tr 3ni .tI 'rj . ' I% State Zip Cude Project Consultant Name & License No. if applicable)
1
Description of the Project and De *olptionof the Significant Materials to be Used and Equipment to be Installed
1. Remove existing units to he , eplaced (PLEASE- N :`TE: The removed units are likely to be damaged.)
2. Prepare openings as necessary to recei replace Went Lnits. (No finish work other than normal installation is to be done unless otherwise noted
below.)
3. Installation includes the clean up of all job- related debris upon completion of the job.
4. Install Sear; Weatherbeate ... -. _2L 1 !n► Windows in the openings described below according to the following
specifications:_
COLOR: F' White ❑ Tan ❑ Why -e /Light Wr odgra n Interior ❑ White /Dark Woodgrain interior ❑ Beige /Dark Woodgrain Interior
_
TYPE: (A. DH ❑ SH __... .. -- ❑ I - LR CT 2 -LR [] 3 -LR ❑ PW ❑ Other
Qty "( Qty Qty Cly 1 Qty Qty - ❑ Other
- - -( --- - .. _ . _ — Qty
— ,, 14---- l - -± F -. . --> 0 E 0 ❑ Other
T___. - L _ - Qty
❑ Other
Qty.
GLASS: ❑ Clear - Bronze ❑ OBS Half Qty. SCREENS: Check if other than FIBERGLASS
ow E Argon .] , 3ray ❑ OBS Full Qty. (On sashes only) E] Aluminum
[__J TO rpered Qty. El Keepsafe Qty.
PLEASE NOTE: Tempered glass will be,insl to meet building codes.
GRIDS: Yes Col Sculq C:ol Flat Diamond ❑ T Existing units NOT to be replaced:
IZNo White ❑ Full
Tan
❑ Bottom
Wood Grain
Brass
5. (If applicable) After the completion of the project. he customer will be responsible for the application and removal (storage) of shutter panels. In the
event that the project requires the Installation of storm shutters or egress windows, Sears Home Improvement Products, Inc. ( "Sears ") will not re-
install any affected security bars.
5. (If applicable) In the event Sears is unable for erhative reason to obtain the proper permits prior to the commencement of any work, Sears will refund
any previous payment and this contract will be au' umatically cancelled
Additional work to be done: — -
Work NOT to be done: 1 c k --_ 4l Del (rL S
SPECIAL INSTRUCTIONS: c T L A t: , t r~ e_ '- V 1 w 5 c7/77c, 7
I
1
All of the above check boxes and the "Work NOT to be clone" section have been reviewed and explained to me. Custom (s) initials
APPROXIMATE START DATE and APPROXIMATE CON PLETION DATE: The work will start approximately G /'3d (0 oximate Start
Date) and will be substantially completed by rtpproxir 1ely (Approximate Completion Date). These dates are subject to change at
the time the contract is accepted by Sears Home Improve - - tent Products. Inc. ( 'Sears ") or at any other time by mutual written agreement. Customer under-
stands that the Approximate Stan Date is only an estin - 4 tecl date and the Customer will be contacted prior to this date to schedule the actual start date.
The TOTAL PRICE including all labor. material. taxes ant any applicable discount is $ Contract Price $ Lf). 't~ r
Initial Payment (not to exceed 30 of Total Price unless Special Order) $ s' State Sales Tax ( %) $ —
Final Payment (balance hayab : sport completion of job) $ — Local Sales Tax ( %) _ $ —
The Initial Payment Is due upon re- measure ardor ono to Sears ordering products.
1 The form and method by which the Customer(s) , a,fil pa r is described in a separate Cash /Credit Card Total Amount Due 1 $ ( 4 --1--z If •-• co
Payment Addendum made a part of and nco I :orated in •:t this contract b' reference Customer can buy at this price until close of
Custornensi rnitials business on — / -
NOTICE TO BUYER: YOU, THE BUYER, MAY C&NCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD
BUSINESS DAY [FIFTH BUSINESS DAY IN ALPCKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR
OLDER] AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN
EXPLANATION OF THIS RIGHT.
Additional provisions of this contract are staled of th pages following. 1 Customer(s) initials
E2 FL Rev 03,08
1 iiHI lilII III IIIII III IIII I IIII III IIIII IIIII III IIII
2009076184
This Instrument Prepared by: Rept:1246132 Rae: 10.00
N DS: 0.00 IT: 0
SEARS HOME IMPROVEMENT PRODUCTS, INC. 06/02/09 Dpty Clerk
•
1024 Florida Central Parkway PRULR $. O'NEIL, PRSCO CLERK & COMPTROLLER
Phone FL 32750 �OR2BK96
Longwood, 1
: ongw
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No. .n1 . - a/ Ohn - I>DODO — ews-c
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:) _Y/. #I % /���44 0 111 1 �]
a . i ���T,.7 c—
a) Street Address: 4410 / s-1 ' pA e,C, li c if . 2c -
2. General description of improvements:
3. Owner Information
a) Name and address: , / ), I A ./ . 1
r rri fr aled I A. W , - 1 .
b) Name and address of fee simple titleholder (if other t • n ''weer)
c) Interest in property: Of47A).
4. Contractor Information:
a) Name and address: SEARS HOME IMPRQVEMENT PRODUCTS. INC.
1024 FLORIDA CENTRAL PARKWAY. LONGWOOD. FL 32750
b) Telephone No: 407 -551 -6000
5. Surety Information: Fax No. (Opt.) 407 - 767 -8536
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:
b) Telephone No.:
Fax
9. Expiration date of Notice of Commencement (the expiration date is one y a llo. from the date of recording unless a different
date is specified:)
WARNING TO OWNER: ANY PAYMENTS MADE BY TIIE 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE
THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORT{ OR RECORDING YOUR NOTICE OF COMMENCEMENT.
• STATE OF FLO A
COUNTY OF ,s?
C r /'�� �• � I t Q W _ cc
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Signature of Owner or Owner's Anti:. ized 0 '1a r/Director/Partner/Manager U 0 Lr1 L� = W w
Pere G' i Y3 ��, u) -UO~ 0 ~
PRINT NAME a O = Q N
instrument was acknowled ed b me this LtJ W F-- C • ` 0
The foregoin
er�gg,, _d O E. =
officer, trustee, attorney in fact) r Qv�J �a as — �---�� 200 by } t L u_ U O
(type of au ority, e.g. Z = O O
party on behalf of whom instrument was executed). (name of Z f — O U o
Personally Known OR Produced Identification -� U Q O tY O
Notary Signature ,9 ~ 2 U U J
Type of Identification Produced G Q U co V
�' AND(Print) :Patel el ,. .2,7 ce I
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read JO W O u = o Z
the facts stated in it are true to the best of my knowledge and belief. d the foregoing and that O O Q O I
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NOTARY PUBLIC-STATE OF FLORIDA W Q J co
FORMSMOCNER200F
Donald P. Roy Signature of Natural Person €ngb�
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L iTr , `Commissioa # DD610217 = tY z 1 < >
Expires: DEC. 14, 2010 (A I— I— 0 5 , n- no
BONDED THRC 411.t,'TIC BONDING CO., INC.
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'- PREVAILING CODES, FLORIDA BUILDING
CODE, NATIONAL ELECTRIC CODE AND
T4 CITY OF ZEPHYRHILLS ORDINANCES
, —t n
REVIEW DATE r0 3` vi
w,ITY OF ZEPH zH1_L -
PLANS E M E 5
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Product Approval
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Affairs 13i t Product_ Approval Menu > Product_ or Application Search > Application List > Application Detail
FL # FL10924
Application Type New
Code Version 2007
Application Status Approved
y I '' Comments
Archived
Product Manufacturer Wincore Window Company, LLC
Address /Phone /Email 250 Staunton Avenue
Parkersburg, WV 26104
(304) 485 -7463 Ext 217
jmiller @wincorewindows.com
Authorized Signature Luis Lomas
rllomas @yahoo.com
Technical Representative
Address /Phone /Email
Quality Assurance Representative
Address /Phone /Email
Category Windows
Subcategory Double Hung
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
E 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 12/31/2011
Validated By Steven M. Urich, PE
T Validation Checklist - Hardcopy Received
Certificate of Independence FL10924_R0_COI_510704.pdf
Referenced Standard and Year (of Standard) Standard Year
AAMA /WDMA /CSA 101/I.S.2/A440 2005
Equivalence of Product Standards
Certified By
Sections from the Code
http: / /www. floridabuilding .org /pr /pr_app_dtl.aspx? param =wGE VXQwtDgvihT9G9wJ1k4... 3/26/2009
r 1orlcta tiu11aing Low online rage z 01 z
Product Approval Method Method 1 Option D
Date Submitted 06/23/2008
Date Validated 07/02/2008
Date Pending FBC Approval 07/13/2008
Date Approved 09/15/2008
!Summary of Products
'FL # I'Model, Number or Name 'Description 1'„
10924.1 7700 DH PVC DOUBLE HUNG 7700 DH PVC DOUBLE • REINFORCED
WINDOW - REINFORCED
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10924_RO_II_FL 00439.pdf
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +25.08/ -25.08 Evaluation Reports
Other: FL10924_R0_AE_07020807.pdf
FL10924RO_AE_510704.pdf
Created by Independent Third Party: Yes
10924.2 7700 DH PVC DOUBLE HUNG 7700 DH PVC DOUBLE HUNG WINDOW - REINFORCED
WINDOW - REINFORCED 37x76
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10924_RO_II_FL 00440.pdf
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +50.16/ -50.16 Evaluation Reports
Other: FL10924R0_AE_07020807.pdf
FL10924_RO_AE510706.pdf
Created by Independent Third Party: Yes
10924.3 7700 DH PVC DOUBLE HUNG 7700 DH PVC DOUBLE HUNG WINDOW - REINFORCED
WINDOW - REINFORCED 52x72
! Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10924 R0 II FL00442 .pdf
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +40.13/ -45.14 Evaluation Reports p
Other: FL10924RO_AE_07020807. df
1 FL10924_R0_AE_510710.pdf
Created by Independent Third Party: Yes
10924.4 7700 DH PVC DOUBLE HUNG 7700 DH PVC DOUBLE HUNG WINDOW NON -
WINDOW NON - REINFORCED REINFORCED 52x72
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10924_R0_II_FL 00441.pdf
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +25.08/ -30.09 Evaluation Reports
Other: FL10924_R0AE07020807.pdf
FL10924_ROAE_510708.pdf
Created by Independent Third Party: Yes
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['CA Administration
Department of Community Affairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee, Florida 32399 -2100
(B50) 487 -1824, Fax (850) 414 -8436
p 2000 -2005 The State of Florida. All rights reserved. Copyrii ht and Disclaimer
Product Approval Accepts:
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OCA ONE ABOUT DCA OCA PROGRAMS CONTACT=
a ,., .' BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search
: " Product Approval
USER: Public User
Community,
Affairs ' Product Approval_Menu > Product or Application Search > Application List > Application Detail
tegainiffiliMMIlanann
FL # FL10782
Application Type New
OP
o Code Version 2007
kY Application Status Approved
MANAGEMENT Comments
AUFFKtaoFTME`.? Archived r-
Product Manufacturer Wincore Window Company, LLC
Address /Phone /Email 250 Staunton Avenue
Parkersburg, WV 26104
(304) 485-7463 Ext 217
jmiiler @wincorewindows.com
Authorized Signature Luis Lomas
rllomas @yahoo.com
Technical Representative
Address /Phone /Email
Quality Assurance Representative
Address /Phone /Email
Category Windows
Subcategory Horizontal Slider
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
f 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 12/31/2011
Validated By Steven M. Urich, PE
E Validation Checklist - Hardcopy Received
Certificate of Independence FL10782_RO_C0I_510688A.pdf
Referenced Standard and Year (of Standard) Standard Year
AAMA /WDMA /CSA 101 /I.S.2 /A440 2005
Equivalence of Product Standards
Certified By
Sections from the Code
http : / /www.floridabuilding.org /pr /pr app_dtl.aspx ?param= wGEVXQwtDgv1dAvIteOYO... 3/27/2009
i iviiva 1.3 uuu1116 \_,vuc viuuuc rage 4. UT
• Product Approval Method Method 1 Option D
Date Submitted 05/21/2008
Date Validated 05/26/2008
Date Pending FBC Approval 05/28/2008
Date Approved 06/24/2008
'Summary of Products
FL # Model, Number or Name Description
110782.1 5400 EV PVC HORIZONTAL 5400 EV PVC HORIZONTAL SLIDING WINDOW - '
SLIDING WINDOW REINFORCED 108 x 60 XOX (424)
1 Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10782_RO_II_FL 00433.pdf
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +25.06/ -25.06 Evaluation Reports
Other: 1 FL10782_RO_AE_07020807.pdf
FL10782RO_AE_510692A.pdf
Created by Independent Third Party: Yes
10782.2 5400 SL PVC HORIZONTAL 5400 SL PVC HORIZONTAL SLIDING WINDOW -
1
SLIDING WINDOW - REINFORCED
ion Instructions st t I
Limits of Use
' Approved for use in HVHZ: No 1 FL10782 RO _II_FL 00431.pdf
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +30/ -30 'Evaluation Reports
Other: DESIGN PRESSURE FOR NAILING FIN FL10782RO AE 07020807.pdf
+46PSF/-48.5PSF Created by
INSTALLATION 8.5PSF 30.OPSF FOR FRAME INSTALLATION O Independet Third Party: Yes ;i
10782.3 5400 SL PVC HORIZONTAL 5400 SL PVC HORIZONTAL SLIDING WINDOW -
SLIDING WINDOW ;REINFORCED 72 x 48
1 Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10782_RO II FL 00432.pdf
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +40.13/ -40.13 Evaluation Reports 1
Other: FL10782_RO_AE 07020807.pdf
FL10782RO 510690-A.pdf
Created by Independent Third Party: Yes
10782.4 7700 EV PVC HORIZONTAL 7700 EV PVC HORIZONTAL SLIDING WINDOW 148 x 48
1 SLIDING WINDOW XOX (424)
Limits of Use Installation Instructions 1
Approved for use in HVHZ: No FL10782 R0_IIFL 00451.pdf I
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +25.08/ -25.08 Evaluation Reports
Other: FL10782_RO_AE_07020807.pdf
FL 10782_RO_AE_510728A. p df
Created by Independent Third Party: Yes
10782.5 7700 EV PVC HORIZONTAL 7700 EV PVC HORIZONTAL SLIDING WINDOW 96 x 48
SLIDING WINDOW XOX (424)
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10782RO_II_FL 00452.pdf
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +45.14/ -45.14 Evaluation Reports
Other: FL10782_RO_AE_07020807.pdf
FL10782RO_AE 510730A.pdf
Created by Independent Third Party: Yes
10782.6 7700 SL PVC HORIZONTAL 17700 SL PVC HORIZONTAL SLIDING WINDOW -
SLIDING WINDOW JREINFORCED 78 x 72
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10782_RO—II_FL 00450.pdf
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +20.06/ -20.06 Evaluation Reports
Other: FL10782_RO_AE_07020807.pdf
FL10782RDAE510726A.pdf
Created by Independent Third Party: Yes
110782.7 117700 SL PVC HORIZONTAL 117700 SL PVC HORIZONTAL SLIDING WINDOW -
http: / /www.floridabuilding.org /pr /pr_ app_ dtl. aspx ?param= wGEVXQwtDgv1 dAvIteOYO... 3/27/2009
1'iuiiva uuiiuiiig I.UUC VIll111C rage 3 of 3
SLIDING WINDOW REINFORCED 84 x 48
i Limits of Use Installation Instructions I'
Approved for use in HVHZ: No FL10782 00448.pdf
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
1 Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +45.14/ -45.14 Evaluation Reports
Other: FL10782RO
FL10782RO _ AE 510722A.pdf
Created by Independent Third Party: Yes
10782.8 7700 SL PVC HORIZONTAL 7700 SL PVC HORIZONTAL SLIDING WINDOW -
I— SLIDING WINDOW REINFORCED 72 x48
Limits of Use Installation Instructions i
I Approved for use in HVHZ: No FL10782 ROIIFL 00449.pdf
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
I Design Pressure: +50.16/ -50.16 Evaluation Reports
Other: FL10782_RO_AE_07020807.pdf
FL10782ROAE_510724A.pdf
I Created by Independent Third Party: Yes
10782.9 7700 SL PVC HORIZONTAL 7700 SL PVC HORIZONTAL SLIDING WINDOW - i
�
SLIDING WINDOW REINFORCED 96 x 65
i Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10782RO ,.
Approved for use outside HVHZ: Yes Verified By: Luis R. Lomas 62514
1 Impact Resistant: No Created by Independent Third Party: Yes I '•
Design Pressure: +20.06/ -20.06 Evaluation Reports
Other: FL10782
FL10782_RO_AE_510720A.pdf
I Created by Independent Third Party: Yes ,
Back I Next
DC/3_ 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
5J 2000 -2005 The State of Florida. All rights reserved. Copyright and Disclaimer
Product Approval Accepts:
Igie R--45)
Secured
P 4R
YE
http : / /www.floridabuilding.org /pr /pr app_ dtl. aspx ?param= wGEVXQwtDgv1dAvIteOYO... 3/27/2009
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