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HomeMy WebLinkAbout09-9369 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9369 BUILDING PERMIT wKe ta �u( .�.,k3J. i ,.. 1 n -',. `' % < �, ate,. aw�� -_ , �. � .: .,. , � � . �� €¢�;' .. ,�. .. : , Permit Number: 9369 Address: 5841 10TH ST Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 02400 -0050 Improv. Cost: 11,300.00 ` -_` ° :,= ° . =3 a r n, Date Issued: 7/24/2009 Name: HOLSTON, LINDA Total Fees: 135.00 Address: 5841 10TH ST Amount Paid: 135.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/24/2009 Phone: (813)782 -8644 Work Desc: INSTALL 9 WINDOWS SIZE /SIZE _ DU WINDOWS & DOOR INC BUILDING FEE 135.00 i a,t 1110/ s " 1 ' r k ,Q 0 , l r) i 1 r , 0 2) 4 1i `> k' a Y FOOTER 2ND ROUGH PLU B_ 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 fail - to record a notice of commencement may result in your paying twice for improvements to your property you intend to obtain financing, consult with your lender or an attorney before recording your notice of • mencement." 1 / CON - "r . R SIGN JTURE PERMIT OFFI FR 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/Homebwner: D(,( re? /Yl a de id 5 e5(bio5' Date Received: r �--2 /y- 0 Site: l O o{ Permit Type: ((S Q , 'I i'1 Glo1() Si Ze/ i 7 Approved w /no comments: ❑ Approved w /the below comments: i2 w /the below comments: ❑ LO-F,D-i- ki--00 - 4 9 Ott (21 This comment sheet shall be kept with the permit and/or plans. ‘7/7-1/ B' Bur ess - Buil Official '� —� `�� g Date Contractor and/or H omeowner (Required when comments are present) 6?y 813-780-0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 Building Department Date Received � "0 Phone Contact for Permitting a 35 -- 00 3:& 4t/O Lf almenassui Owner's Name tl l fl P\ ,o TO N Owner Phone Number 8/3 4g' a 81. y L1 Owner's Address 5-C I 0 1 L 5/ Owner Phone Number Fee Simple Titleholder Name J A Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5 I / 0 ` ,...s. LOT # SUBDIVISION PARCEL ID# 1 (ak' 001 0 (9 co 005 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT –- SIGN n MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE SFR 1 1 COMM n OTHER I TYPE OF CONSTRUCTION K 1 I FRAME I I STEEL n OTHER I I DESCRIPTION OF WORK 9 (AJ I u gip L-- I S (2..€ -Fo . Si ,c BUILDING SIZE FOOT • t - HEIGHT I 1 BUILDING $ 1 I ,3 I ' ALUATION OF TOTAL CONSTRUCTION I] ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY I W.R.E.C. n PLUMBING $ I] MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION 1 I I GAS IT ROOFING I 1 SPECIALTY I OTHER FINISHED ELEVATIONS �� FLOOR ELEVA n 2 I, D ZONE AREA YES NO B U I L D ER COMPANY '3.... ,, � • (M W I.vQot-' s f 099 S SIGNATURE = ;� REGISTERED \/' N FEE CURRENT 1 Y / N I Address 5 ?33 Lk-(! L \ c-(!-e__ ((_ €Qc..M1'� License # 6- C 13 I IL( Q 5(, $ 1 ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address [ License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y / N I Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y / N I Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster 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 Tess 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 IMPROVEMEN TO YOUR PROPERTY. IF YOU INTEND TO OBTA FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR EY BEFORE RECORDING YOUR NOTICE OF COM i =. CEMENT. FLORIDA JURA • OWNER OR AGENT `t CONTRA TO Wi l lN..._____Ai a ` Sub n and swp[n o (....1:0"-e, . 4 7 r 7 a by Pei" l> e• t�O9S e this Sub gip J and swor 7�ffir before e? a this W o is/ re pers nail to me or has /have'produced W o is /are persona 1 t me or has/havve p odlced .3 ■ 440.M o 3 ,, as identification. ( "yap I'i b q 1 O 3 o as identification. k e., ,_ int 1 . r ..tary Public III • ,.. , A i ; Commis � � -..1.. :% . • -- Notary Public co issio � ( :`= mbar 12 2010 ' * *� * CommIss "� DD 621833 f�'� TS'��;•� ggdedThruTroJFaintnsurenw - � :: +e • �� „ owhmu Th. tro Fain In.rrin.y P90.7847019 Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Li Ntba HAIW ovkni /-Oo L 5� ,..,) Permit No. FL . L'C' H1/23- 5zY- V7 -9v,/O Tax FolioNo.J� �(� � � 4 . : 1 0 , /Z- 4-Ze), . N __ THE UNDERSIGNED hereby gives notice that improvements will be made to certain 713.13 of the Florida Statutes, the following information is provided in this NOTICE property, and in accordance with Section '6"-x----' OF M1VV[EhICEMENT. CO m — 1 .Description of property (legal des don): it s-1 0 C - 4t.1 2 to._ t C , . S _ m - a) Street (job) Address: , s . ; 0 -tt . y 1 C a t U 'o Pr to'? 2.General description of improvements: cJ1, iOOt Li. 3.Owner Information a) Name and address: n/ 9 L , • O t4Sit1`(R}1111 Fto`forL b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 0 . . 4.Contractor Information (', • Ft a) Name and address: ! �Qp c b __ r,v oo„�,S S 3 2 b) Telephone No.: •e?4 a3� 0133 gyp`" Gi'2 C(,f� f 33 (,O .. 5.Surety Information Fax No. (Opt j a) Name and address: . b) Amount of Bond: c) Telephone No.: 6.Lender Fax No. (Opt) a) Name and address: v N Phone 7. Identity of person within the State of Florida designated by owner upon whom n or other - documents may be served: 1 a m LH a) Name and address: 1..i b) Telephone No.: ZS Fax addition to himself, owner designates the following Fax No. (Opt) c I c3 w 713.13 1 g person to receive a copy of the Lienor's Notice as provided in Section xi ( )(on to m a Statutes: a) Name and address: b) Telephone No.: n 9.Expiration date of Notice of Commencement (the expiration Fax No. (Opt) e is specified); date is one year from the date of recording unless a different date 0 m m ( gpiration WARNING TOO o m R'IV$R: ANYPA�'MENTS MADE BY TILE OWNER AFTER THE EXPIRATION OF THE NOTICE OF x COIVMV�NCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER m FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR Il JH 5 TO YO1UR PR PERT A NOTICE OF COivarErNCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU OPERTY. INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE Is MMENCE MENT. STATE OF FLORIDA a COMMENCING WORK OR RECORDING YOUR NOTICE OF CO COUNrY OFPIlVELLAS ♦w1Y °" DENNIS OLh� ,? �. X3ND • + ` D GODSEY 10. �� % y � MY COM I 1SSI(ON # 0/3466141 � 1 � [ 4tr.� � � Q 1 ,.... W A m o g_„ i of ., , or • .•'r's Authorized �OFRi EXPIRES. 1 S: /tug 25. 2009 (407) 398.0153 Florida Officer/Director/Partner/Manager tO m .., Wary Service.rom Z. ■ C a ) w r' Print Name �L� d A/ oin in � " - g 8 instrument was acknowledged before me this /5 day of U The fore � L 1N1)A �0 j.tJ 20 0 1 _ by as L31‘.2"€.17._ o (hype of authority, e.g. , fficer, trustee, - 0 ~ A m yin fact) for S � C (name of r rty on :. f of whom ' 0 9. attorney Personally �.� ent was executed). a Y Known OR Produced Identification d a // Notary ' Signature i r Type of Identification Produced !� ___— o Name (print) c, � tp 9 S m Verification pursuant to Section 92.525, Florida Statutes. , tinder the facts stated in it are true t the best of my know Penalties of Pe I declare that I have read the foregoing and that Y wIedge and belief FORMS/NOC.ivsd2007 AO - . s ,ham , • , T ati,ra1 Pelson Si ,,,,1 (in line # •.• Above STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WIT1 FrS MY HAND D O ICI' SEA HIS �j DAY OF P LA . O' y NIL"'CCER+5 & OM "TROLLER BY U ' i PUTY CLERK r r N 4 5 D , �1R1IYIADE WORK ORDER ca'sMau re ir INC State Certified Roofing Contractor state Certified ! License # CCC 058282 Specialty Contractor Customer Name JLi )V License* SCC 131149568 �L MHP/ Subdivision 70 City -ze p/.�- /z34 S Job Address 5l/ WORKSHEET SUBMI BY Z` 4P . $� Phone ( L N/' ��` rid E LF .c, S3/ 3) 'I - �6 S«/ Windo Window z ._.6 T DATE: 7- -o � sl Window w �� w ndow WINDOW PLAN: Show window locations by 111111 ��i �i� 37�� number on inside of drawing. If additional areas are neces- sary, draw ENTIRE PLAN on i i. seperate sheet and check < > below. 3c, < 3S %y > frnili window L 3y- vsr -z.c. e3 K SEP RATESHEET. ON s2 /I window .bf,/ +� if Window BACK 112 1 - - 1 \.ir 1--- I 1 < 3s Y, > 1 < > 1 I Window ;IF Z `s' z .47:4" ' / "g . q #3 Window /L Wndow ..:,1,, ,4t',,.'v,',,,,,,,,4 j �� �� ea !/ # 73 iii \,.... I 1 '�, t„;,„.....,.. 3d �, I 1 1 I 1 . I 1 ,,,, 1 I dU L.OING S • i L r.'JIEPLY wrrh < 353e. AP'PLIC z E BUI1 NG, I < / 7 zr> ELECTRICAL ' LUMBitsG AA _ 1D 6��c - M C7clr`A; : ;4I�C L S L ` �` ... �_ Z#rt _ 1 window �l r2�c� FRONT ` r " ..1 Apt ( Window window CIRCLE RESPONSES s14 Largo o4teide :den NSES �tl Siding on horn Y N / 7 Y N Awning* covering screws Y N iiii _,,,, SPECIAL INSTRUCTIONS: < 35 y> VVV < 35iz> < 6FGr�,E > CHECK O FINANCE yq Window E 3 MASTERCARD 15 I Window ,b14 stn Window 115 in 37 TOTAL ' ' //5 a O 1 DEPOSIT j �. < 3, 3/ > \/ < BALANCE "" 5 :U • DIRECTIONS > < Ta HOME: > F Building Code Online 05 4 ti." (p C) Page 1 of 4 • Carytu'A'rn"A'lliiity Affairs �r • A Pd 1 i r�I� 4 r," F.0 Aitt[it BCIS Home 1 Log In 1 Hot Topics I Submit Surcharge j Stats & Facts j Publications 1 FBC Staff B f ( Product Approval i ` " USER: Public User Community Af arr Product Approval Menu > Product or Application Search > Application List > Application Detail ► t. t€ r" PLANNThiCn FL # FL747 -R1 Application Type Revision Ik ! *r r cc Mo IT Code Version 2004 CIEVEL0:1t.g1 M1IT Application Status Approved M.VNAGE",IENT Comments *OFFICE OF 714E. Archived riacArrARY Product Manufacturer Gorell Enterprises Inc. Address /Phone /Email 1380 Wayne Ave. Indiana, PA 15701 (724) 465 -1839 rgibson @gorell.com Authorized Signature Richard Gibson rgibson @gorell.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Referenced Standard and Year (of Standard http : / /www.floridabuilding.org /pr /pr app dtl.aspx ?param= wGEVXQwtDgt8Bwwt9vl l Pm... 7/13/2007 ' Flo. is Building Code Online Page 2 of 4 Standard) ANSI /AAMA /WDMA 101/I.S.2 -97 Equivalence of Product Standards Certified By Sections from the Code 1703.5 *1714.5.2.1 *17 Product Approval Method Method 1 Option A Date Submitted 10/14/2005 Date Validated 11/16/2005 Date Pending FBC Approval 11/28/2005 Date Approved 12/06/2005 Summary of Products FL # IlModel, Number or Name IfDescription 1747.1 11G5115 IlDouble hung replacement Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: PTID 747 R1 I G5155 Impact Resistant: PTID 747 R1 I G5155 Design Pressure: +/- PTID 747 R1 I G5305 Other: G5115 R40 @44x60 R50 @32x54w /Mod PTID 747 65305 ! sill PTID 747 R1 I GSVDH- PTID 747 R1 I GSVDH- PTID 747 R1 I GSVDH- PTID 747 R1 I P5100 f, PTID 747 R1 I P5305 f. Verified By: 1747.2 65155 (Double hung replacement Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: G5155 R40 @44x60 R50 @32x54w /Mod sill 1 747.3 11G5195 'Double hung replacement Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: G5195 R40 @44x60 R50 @32x54w /Mod http : / /www.floridabuilding.org/pr /pr _app _dtl.aspx ?param= wGEVXQwtDgt8Bwwt9vl l Pm... 7/13/2007 F1'o:,da Building Code Online Page 3 of 4 I11 1747.4 11G5265 'Double hung replacement Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: G5265 R40 @44x60 R50 @32x54w /Mod sill 1747.5 11G5275 11Double hung replacement Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: G5275 R40 @44x60 R50 @32x54w /Mod sill 1747.6 11G5305 11Double hung replacement Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: G5305 R55 @44 x60 R30 @54x77 ASTM1887 impact level C 44 x 60 1747.7 1 GSVDH (Vinyl Double hung new ca Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: GSVDH R20 @44x60 R50 @32x54Mod Sill 1747.8 11GSVDH -2 llvinyl Twin Double hung n Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: GSVDH -2 R20 @44x60 I Back I I Next DCA Administration Department of Community Affairs http : / /www.floridabuilding.org/pr /pr a pp_ dtl. aspx? param= wGEVXQwtDgt8Bwwt9vllPm... 7/13/2007 J, .da Building Code Online Page 4 of 4 Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Suncom 277 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. Copyright and Discl, Product Approval Accepts: @f---)vesirastu14 a x VERIFY b http : / /www.floridabuilding.org/pr /pr app _dtl.aspx? param= wGEVXQwtDgt8Bwwt9vI1 Pm... 7/13/2007 %..._ /d L'V 7 .,- KEYSTONE' Diw:emcyst nib:. ]hKueticnt V0. _ f•R.NI B1-02 CERTIFICATION ION AUTHORIZA"I ION REPORT ORT i z R « xe Fx,z 1 of I N. xe t o re 1 xy. PRO Q I - 03 FMA Keystone Certification Program Certification Authorization Report CAR 84 Product ID Number: 022 - 108 CAR Issue Date: 2/6/2004 CAR Expiration Date: 4/11/2007 Company Code: 022 This Certification/Authorization Report (CAR) is issued by Keystone Certifications, Inc . (KCI) after full validation review'of the product specification documents for the product named below. This report is only valid when signed and sealed by the President of KCI, and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels_ licensee stipulates in affixing certification labels to products, that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. Company Information: Product Information: Gored Enterprises _ Model: G5305 Tilt Double Hung 1380 Wayne Ave. Operator Type: DH Indiana PA 15701 Configuration: Bow Pin Max Width: 44 Max Height: 60 Referenced Standard: Product Rating: ANSI /AAMAM/DMA 101/IS2. -97 H -R55 44x60 Qualifying Test Information Test Report No: T138 -03 Test Report Expiration: 4/11/2007 Authorized Signature: Keystone Certifications, Inc, 2545 Lori Drive. Suite 204 York, Pennsylvania 17404 Phone: 717- 764 -6278 ,rift. Fax 71 7- 764 -3049 Marcia Faike, President www. keystonecerts corn IncePendent Certification and Inspection Agency laugh . Engineering 044 T . roc. Al f' : CERTIFICTATION TEST REPORT GOREt.T,:MODEL G5305 r:1;',..,.43.,- TILT DOUBT F. HONG WINDOW ? M H-R55 W (3,_8» 5, -0 ") i,r r : FOR GORE:Z. ENTERPRISES, INC �T".RpRI�ES� 1J.V 1384' WAylyEyE INDIANA, PA 15701 �' Project No. T138 -03 I • 7 4/11/03 N.' t� y Sa DANIEL G A IBAUG ` F Y , , Station _ � ,, , . - 253- tmdera i7 WYori Rd ti ` ,, :: r 7 i Wi t. Trafl '74:,.....,,--..." �,, ,, Qrd, 450 5` ,r- °� (412) 37 -9 ^- 4 � , Keystone Commons • 515 Bradcl0ck Avenue Turtle Creek, PA; a (412) 824' -331 . FAX (412) 824-3367 '* , " . • '4=1 „,,„,';',: d • f ,. Project No. T138 -03 y x '.z;&'',.'4'-• �t Report Date: April 11, 2003 Page 2 of 5 1 TION ” T REPORT Manufacturer: GORELL EN 'ERPRISES, INC d ,, 1380 WAYNE AVE 1 ;. INDIANA, PA 15701 E ,. Product Identification Product Type: Double Hung Window Series/Model #: G5305 Specification: A 101/LS 2 -97 Designation: II-R55 (44" X 60 ") Al . A 1011E 5.2 -97 GRADE 55 Test Reference: See Test Report (FET Test Report T137 -03) for any additional information n k ceded "' ° Product Description: Attached Test Results: Attached Test Equipment: FET Testing Date: 3/20/03 Detailed assembly drawings showing hardware application are on file and have been compared members, ;corner..construction and r P the sample submitted. A copy of this report and test sample will be retained at FET for a period of 4 years. The results obtained apply only to the specimen tested. No conclusions of any kind rear adequacy or inadequacy of the glass in the test specimen may be drawn fo rm this t the -test. The-above results were secured by using the designated test methods s eorppliance with the performance of the referenced specification. This report ormance re and they indicate I - does not. constitute certification of y this product, which may only be granted by the certification program administrator. Prepared .y: Approved b, x Paul G. F. abaugh ✓.�' — - Zgliti Patrick J. � E E is , ,f °` to - S -0 ', Project No. T138 -03 - ' �` Page 3 of 5 .�, ag IFI ';, Product Description : : ,t � . General: 0 Test sample was comprised of Goren Model "G5305" (.downsize)Tilt Double Hung Vinyl Prime, one- over -one (tilt loading type) double hung window, with an overall master frame K size measuring 44" wide X 60" high X 3 -1/4" wide. The bottom sash measured 40 -1/8" i wide X 29 -1/2" high overall. The top sash measured 39 -1/4" wide X 28 -5/8" high overall. ,, The frame corners were of welded mitered with one screw in bottom comers construction. ,. The sash comers were of welded mitered type corner construction.. Bottom sash had an 1 ' aluminum exterior screen. Each sash had (2) foam chimney blocks located in the jambs near ¢ the balances. One foam chimney block for each side of each sash.. Each perimeter frame member hollows were filled with stirrofoam pieces that measured to be 7/16" x 9/16 ". The bottom rail of the bottom sash had a anti bow sway bar attached to the rail and when the i window would shut the bar would slide into an opening that was in the center of the sill. Weather stri e e in 1: I MEMBER WEATHERSTIPPING QUANTITY WIDTH X HEIGHT LOCATION r • Frame Header Insert Center Fin Pile Seal 1 I CHES � ` � Frame Sill 0.187" w x .23" ht side face none 0 Frame Jambs none 0 - none T, a sash — ■ e rail Center Fin -Pile Seal 1 - none Top sash =hot rail. 0.187" w x .23" ht exterior face Center Fin Pile Seal 1 0. I87" w x .23" 'ht • . , interior face Bottom sash — top rail Center .Fin :Pile Seal 1 meetin_ rail 0.187" w x .23" ht exterior face Bottom sash bot rail Center Pin Pile Seal 1 0:187" w x .23" ht Bottom face rail) Foam Filled Bulb Vinyl 1 0.3125" bia Bottom face with Fin Top sash — jamb stiles Center Fin Pile Seal 1 i � Center Fin Pile Seal 0.187" w x .23" ht Exterior face Bottom sash -jamb stiles' Center. File Seal 1 0.187" w x .23" ht Side face Center Fin Pile Seal 0.187" w x .23" ht Exterior face Screen - to. rail Pile Seal 0.187" w x .23" ht Side face ';� 0.187" w x .35" ht Interior face 9t t : Operators and Other Hardware: "F Each sash had two sets of (4)constant force balance shoes, one per jamb. One cam -type , sweep lock was attached to the center of the bottom sash meeting rail with kee sash meeting rail. One plastic tilt latch with - thumb actuator was housed at each end of the w, rail' and interior meeting rail of the bottom sash. One die -cast pivot bar was fastened (1 screw at each end of the bottom horizontal rails of the top and bottom sash. Each sash had (1) t lift rail with the top sash lift rail on the top rail and the bottom sash lift rail on the bottom r t , ':; rail. }r- b Y .. � / . , Project No T138-03 f � Page 4 of 5 Glazing System: Each sash was exterior drop glazed with 7/8 "� ated glass using double -sided foam ki glazing tape. The sash utilized two (1/8 ") thick clear annealed glass lites with a 5/8" continuous metal spacer. An exterior snap -in single leaf dual durometer rigid vinyl- glazing bead secured the glass. 0 Weep Holes: Two (3/8" x 3/32 ") weep slots were located at the glazing track through the bottom of the top sash bottom horizontal rail, one 4 -1/8" from each end. Two (1/4" x 3/32 ") weep slots were located at the glazing track of the bottom sash bottom horizontal rail, one 2" from each end. One (3/8" x 3/16 ") weep slot were located just above each of the pivot bars on the ends of the bottom sash rail of the both sashes. Two (1/2" x 1/8 ") baffled weep slots were located 4: on the exterior face of the sill, each one 1 -7/8" from each end. Four (1/2" x 1/8 ") weep slots 4. were located on the inner chamber wall of the sill, two on very end of each side. Two (1/2" x 3/16 ") weep slots were located on the interior of the sill, one 1 -3/4" from each end. The - frame sill was a sloped sill. Three (3/8" diameter) baffled weep holes were located on the i bottom rail of the screen, one weep in the center and one 5 -3/4" from each end. Sealant: ft:, Silicone sealant was . applied to all the following areas; t b t • Entire bottom of the sill to back intersection.: • • Screw heads hole openings used for anchorage of the frame to buck - ay • Exterior and interior of frame to buck intersection. • A ' 4" wood Shim around the perimeter of the frame secured to the frame: ,, • Cover flange at the sill and header on the exterior of the frame was sealed to the frame/flange intersection and the flange was also sealed to the buck/flange intersection. Anchorage: A '4" wood shim was attached with silicone to the perimeter of the buck frame. Two additional'/" wood shim strips were attached at each jamb screw attachment to the wood { :R buck. The frame was attached to the buck using 2" long wood screws along with silicone at the sill and on the exterior and interior perimeter of the frame to buck intersections. Each , jamb was attached with four sets of 2" long screws. The header was attached with two sets of wood screws. Each set of screws consisted of a screw located on the interior jamb track and one screw located on the exterior track of the frame. Each set of screws were attached parallel to each other. The sill was secured using a built up of wood that was secured to the buck and then the sill was attached with silicone to the wood. The exterior of the sill then used a trim attachment and was secured to the frame sill and buck using silicone. II Y g 1 , ,e' ; 1 . P roject No T138 -03 Page 5 of 5 GOREL "G5305" DO PD V R , II G WINDOW 1 Test Results .. Paragraph Test Title / Test Results Allowable Referenced Test Method See T137-03 (Full Size Test Window) for all Test Data on Gateway Minimum and Specific Performance Window Requirements. 1 Optional Performance Results I/ 4.3 Water Resistance Test (ASTM E547 -96) @ 8.25 psf(w & wo screen ) No penetration No penetration II 1 , 4.4.2 Uniform Load Structural Test (AST1V1 E- 330 -97) (0.4 %xL) @ 82.5 psf positive 0.044" * 0.157" 82. psf.negative 0.049" * 0.157" @ 82. psf positive 0.020" * 0.118" (stile) @ 82. psf negative 0.022" * 0.160" (bot. rail) * Maximum Deformations. • t ' - !. -:. 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