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HomeMy WebLinkAbout09-9478 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9478 BUILDING PERMIT F ",ss Permit Number: 9478 Address: 5119 5TH 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 - 16400 -0120 Improv. Cost: 4,521.00 Date Issued: 8/27/2009 Name: SCHLUETER, LORRAINE Total Fees: 82.50 Address: 3104 SALTON ST. Amount Paid: 82.50 HOLIDAY, FL 34691 Date Paid: 8/27/2009 Phone: (813)943 -9085 Work Desc: REMOVE & INSTALL 8 WINDOW SIZE/ SIZE WI D•W • T I•N TAM =AY IN BUILDIN E :2.50 PO I st Au t (-) NT, .AW WO • • 2■D - • H PLU : MI IF IN ULA I•N ILIN 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 • • . vements to your . roperty. If you intend to obtain financing, consult with your lender or an attorney befo - - ordin you• ti — f commencement." pita A Imo_ % a /_tp CO RAC ',6R SI' NA RE PERMIT OFFI FR PERMIT . • RES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department - Date Received t -- / Phone Contact for Permittin g 7Z ( �, t p w \ � ( y, n / Owner's Name L G,1 N �- C- ,f \ ` J Owner Phone Number # `T J • 0O J Owner's Address Ilangal Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 11 `J LOT # SUBDIVISION PARCELID# It'91t0`94I 00 a -o 110 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE ( 1 DEMOLISH INSTALL REPAIR PROPOSED USE n SFR 1 1 COMM n OTHER I l TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME n STEEL 1 1 OTHER 1 l • DESCRIPTION OF WORK I r Zvr . J e i f • GI.C. -k- uJ , - VZt 0 1( Si BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION 4 +y7777,s-a. k n ELECTRICAL r AMP SERVICE n PROGRESS ENERGY n W.R.E.C. PLUMBING $ //' I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �w ,' // F-1 ��// �(�/ / GAS n ROOFING n SPECIALTY OTHER ��^^•• l / FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES 1 1N0 " _ - s . S ® 1 BUILDER 0 '. � `' _ =',1r COMPANY V3 IF cc O l . ( \�' 1bIV '� S � ` y 1.If` SIGNATURE REGISTERED Y / N 6(d FEE CURRENT Y / N ' (y Address 1" /� 1 13 0 # , y\ 1��\ , J e• S"Ce..r -(0 -f OQ7 3 ICens�# O',�S' 7 if ELECTRICIAN COMPANY 1 \ o SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N l FEE CURRENT 1 Y/ N Address License # (ESIDEN�r1AA , ) 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/ 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 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 (PIot/Survey /Footage) Driveways-Not over Counter if on public roadways..needs ROW A.' 45cyi)` City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: lAtidad,5 c..JO ,' U)1 Date Received: 5-_/o 9 Site: 57/ 9 5W ...774-ee Permit Type: ie)) I1zJ 4CeM6l / Z.e/ f2e Approved w /no comments Approved w /the below comments: El Denied w /the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. /I / 8, Kalvin witzer Tans Examiner Date Contractor and/or Homeowner (Required when comments are present) Ira PINELLAS COUNTY CONSTRUCTION LICENSING BOARD THIS CERTIFIES THAT Sherry Anne Dufresne DBA Window Solutions Tampa Bay Inc STATE CERT # I- CGCO55194 HAS FILED HIS /HER LICENSE AND PROOF OF REQUIRED LIABILITY AND WORKERS' COMPENSATION INSURANCE WITH THIS BOARD. IN GOOD STANDING UNTIL September 30, 2009 DATE OF ISSUANCE 09 /23/2008 4 i .� STATE OF FLORIDA AC# 386,5169 ., DEPARTMENT OF BUSINESS AND '~'s PROFESSIONAL REGULATION CGCO55194 07/19/08 088011358 CERTIFIED GENERAL CONTRACTOR DUFRESNE, SHERRY ANNE WINDOW SOLUTIONS TAMPA BAY INC IS CERTIFIED under the provisions of Ch.489 FS Expiration date: AUG 31, 2010 L08071900337 . t i • i a ■1 ■ ■■ /30/2009 1 :59 P.M_ FROM: Fax AMS Sta££ Leaainc 172 PAGE: 001 OF 002 ■ ■ ■ • ■ • . • ■ ■ ACORD TV CERTIFICATE OF LIABILITY INSURANCE CERTIFICATENO./DATE Ac09- 16000507- Ei2439 07/30/2009 01:5E PM PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Highpoint Risk Services LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 191 60 Dallas Parkway 0500 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Dallas, TX 75254 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (8001 632 -5096 (972) 715 -0959 Fax: (972 ; 904-4950 INSURERS AFFORDING COVERAGE INSURED: AMS 1%c /t: INSURERA Companion Property and Casualty Insurance Comp WINDOW SOLUTIONS TAMPA BAY, INC INSURER 1730 S PINELLAS AVE STE 0 TARPON SPRINGS, FL 39 689 INSURER C (727) 943 -7800 Fax: (727) 993 - INSURER INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POU CY PERIOD 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. INBR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE fMM/DD/YYI DATE INMNDD/YY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE 4 COMMERCIAL GENERALUAEILITY FIRE DAMAGE (Any One Fire) $ 1 CLAIMS MADE OCCUR MED EXC' (Ary one person) S PERSONAL B ADV INJURY 4 GENERAL AGGREGATE 4 _ GEN'LAGGREGATE _IMIT APPLIES PER PRODUCTS - COMP /OP AGG - 4 — 1 POUCY fl 2 f _0„ . AUTOMOBILE LIAB'UTY COMBINED SINGLE LIMIT 4 ANY AUTO (Ea accident) ^^ A:-:_ OWNED AUTOS - B NJURY $ SCHEDULED AUTOS (Per er pers person! HIRED AUTOS BODILY INURY 4 NON -OWNED AU TOG' (Per acoderrt; — PROPERTY DAMAGE (Per accees) 4 GARAGE LIABILITY AUTO ONLY- EAACODENT 4 Arum AUTO , . OTHER AUTOO THAN EA ACC 4 AUTO GNLY AGG EXCESS LIABILITY EACH OCCURRENCE $ — - OCCUR n n AIMS MADE AGGREGATE 4 — — 4 — DEDUOTIBLE - $ ^_ RETENTION 6 _ $ — WO.KERS COMPENSATION AND WC 77779990901 X 1 ARV OMITS 1OIRr- A EMPLOYERS' LIABILITY 04/01/2004 019/01/2010 E.'. EACH ACCIDENT $ 1000000 E . DISEASE - EA EMPLOYEE S 1000000 E DISEASE - POL CY LIMIT 4 1000000 OTHER R —_. LIMITS $ - LIMITS 5 DESCRIPTION OF OPERATIONS /LOCATIONevEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 1. This cert:ficate remains in effect, provided the client's account is in good standing with AMS. Coverage is not provided for any employee for which the client _s not reporting wages tc AMS. Applies to 100 of the employees of AMS leased to )SC NDOW SOLUTIONS TAMPA BAY, INC, effective 09/01/2009 2. Insured is afforded Workers Compensat-on & Employers liability as a co- employer under the policy for employees leased from ANS. CERTIFICATE HOLDER I l ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN CITY OF ZEPHYRH_LLS ELDG DEPT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 8TH STREET 7,EPHYRHIL' S, FL 33542 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE { ACORD 25 -S (7/97) C ACORD CORPORATION 1988 Rece ved Time Jul. 30. 2009 2:-53PM No, 5344 CERTIFICATE OF LIABILITY INSURANCE Certi zi-Numt,er; ACP9- ,6D „,h.Sz-- K12439 EMPLOYEE ROSTER Attached roster includes employees paid through 07/26(2 p p” • 009. To verify employee's who may have been added since 07/26/2009, please call 1-800-72.8-0623. • Please note employee roster for this client is updated on a WEEKLY basis. Employee Lis[: L_4R� FR NKUN FODR.IGCEZ. ERNESTO 3012009 Uacc ! oil 1 L1 . 'i �_�/ I\: ���� A °R°® ' CERTIFICATE OF LIABILITY INSURANCE DA;E(MM/ PRODUCER Phone: (727)772 - 7800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fax: (727)797 - 7310 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE AIM Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3607 Alt. 19 N ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Palm Harbor, Florida 34683 INSURERS AFFORDING COVERAGE I NAIC # - - - - - -- - -- - - - - -- - -- - -- — -- -- INSURED INSURER A: Scottsdale Insurance C ompany 41297 Window Solutions Tampa Bay, Inc. -- • - - -- 1730 S. Pinellas Ave. INSURER e: _ Suite D INSURER C Tarpon Springs, FL 34689 INSURER D: — I i ; INSURER E: , COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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 7 POLICY EFFECTIVE POLICY EXPIRATION LTR INSRDI TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YYYY! DATE IMM/DD/YYYY) LIMITS GENERAL LIABILITY CPS0995547 4/5/2009 4/5/2010 i I ,B EACH OCCURRENCE $ 1 000000 A I ✓ COMMERCIAL GENERAL LIABILITY P EM PREMISES (Ea occurrence) $ 50,000 CLAIMS MADE I I I OCCUR i t MED EXP (Any one person) $ 5,000 i I PERSONAL & ADV INJURY 111 $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GE PRODUCTS - COMP /OP AGG $ 1,000,000 N'L AGGREGATE LIMIT APPLIES PER: _. - _.._._ POLICY ; I JECT � , LOC AUTOMOBILE UABILITY COMBINED SINGLE LIMIT I- —I ANY AUTO (Ea accident) $ ir- '! ALL OWNED AUTOS _; BODILY INJURY 1 I SCHEDULED AUTOS (Per person) $ HIRED AUTOS I -- — BODILY INJURY $ NON -OWNED AUTOS j (Per accident) ` - --- -- PROPERTY DAMAGE $ (Per accident) I, _GARAGE LIABILITY AUTO ONLY - EA ACCIDENT I $ ANY AUTO ,' -- OTHER THAN EA ACC $ AUTO ONLY: AGG 1 $ ,_EXCESS UMBRELLA LIABILITY I EACH OCCURRENCE $ j - - -- j OCCUR I � I AGGREGATE _ $ i CLAIMS MADE DEDUCTIBLE { $ RETENTION $ ( $ - -- WORKERS COMPENSATION IA I I WC STATU- ' OTH- AND EMPLOYERS' LIABILITY Y 1 N _. TORY LIMITS I ER _ _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) I E.L. DISEASE - EA EMPLOYEE $ If yes, describe under I SPECIAL PROVISIONS below [E.L. DISEASE - POLICY LIMIT ' $ OTHER I ■ I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Holder's Nature of Interest : Certificate Holder © SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Zephyrhills Building Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 8th St. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Zephyrhills, FL 33542 ENTATIVES. ARTHO IZED RgPRES TAT .,! f a e �... . ..r .r. __ .,,, ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Pasco County Parcel: 11- 26 -21- 0010 - 16400 -0120 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: I Weekly Archive - Saturday, August 15, 2009 Parcel ID I 11- 26 -21- 0010 - 16400 -0120 (Card: 001 of 001) I Classification II 08 - Multi - Family - Less than 5 units Mailing Address Property Value SCHLUETER LORRAINE Ag Land $0 3104 SALTON ST Land $23,562 HOLIDAY, FL 346913132 Building $20,599 Physical Address Extra Features $4,457 5119 5TH ST ZEPHYRHILLS, FL 33542 -4923 Market Value $48,618 Assessed (Save Our Homes) $43,480 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision . Non - School Additional Homestead Exemption - $0 CITY OF ZEPHYRHILLS Non - School Taxable Value $18,480 LOT 12 & NORTH 25 FT OF School District Taxable Value $18,480 LOT 13 BLOCK 164 Warning: A significant taxable value increase OR 8125 PG 474 may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line' II Use IlDescriptionll Zoning II Units II Type II Price II Condition II Value I 1 lI 0100 II SFR II 00R3 II 7,700.00 II SF Il $3.06 11 1.00 II $23,562 I Additional Land Information I Acres II 0.18 II Tax Area II 3OZH Il FEMA Code II X IlResidential Codell ZHLHLP2 I I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) I Year Built 1950 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Plastered Interior Wall 2 None Flooring 1 Carpet Flooring 2 None Fuel Electric Heat Radiant Electric A/C Window Unit Baths 2.0 I Line I Description II Sq. Feet I Repl. Cost New I 1 ( B S $36,982 2 UEA I 96 I l I I $1,905 l 3 II FEA II 40 II $1,111 Extra Features (Card: 001 of 001) I Line I Description II Year I Units I Value I 1 I CLFENCE II 1987 468 I $165 I 2 I COOL DK I I 1987 I 246 I $626 I 3 I UDU -M II 1987 I 1 I $268 POOL -6V () 1983 l 288 I $3,067 I 5 t___ la:* 11 1973 I 1 I $331 I Sales History I Previous Owner II WANEK DONNIE R I Year I Month II Book /Page II Type I Amount II I • http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng=21 &sbb= 0010 &b... 8/26/2009 1 1IIIIII11111111111111111111111111111111111111111111111111111 2009112139 NOTICE OF COMMENCEMENT Permit No. Rcpt :1258042 Rec: 10.00 Parcel I.D. No. Ds: 0.00 IT 0.00 08/11/09 Dpty Clerk State of Florida PRULR 5. O'NEIL, PR5G0 CLERK d COMPTROLLER County of Pasco 08/11BK9 1 PG o L 6 THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1 e� ( I r (-7 Lc r'f ► t. -t It �eiox 6� I 15 A 74 - N k its / i - C- ay i2 1. Des ri tion of property leg 1 descriptio of propertA and address) 11 .. (T - a 1 - Q (j - t (o ( J-fl - - © [� r 1 t rno v e. k -e. a eneral description of improvements replacing $''windows doors with new non - impact windows /doors size or size. 3. Owner information: 5-, a) Name and address (if address is different from above) Le fl&. -t, ' v . 2 T /, 9 � j , , ^ b) Interest in property o W 1J t f Zr 0 fy fh t 1.7 / s„,,_ c) Name and addr of fee simple titleholder (if other than owner) 1 3 ..S—(1-.).- 4. Contractor Name: Slrerry Dufresne Company Name and address Window Solutions Tanzpa Bay. Inc. 1730 S. Pinellas Ave "D" Tarpon Splines. FL 34689 I a- 1, - 3 ---. M'a 5. Surety a) Name and address N/A B) Amount of bond N/A — 6. Lender (name and address) _ 7. Person within State of Florida designated by owner upon who notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes. Name and address Sherry Dufresne of Window Solutions Tampa Bay. Inc. 1730 S. Pinellas Ave "D" Tarpon SDrings. FL 34689 8. In addition to him or herself, owner designates of to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statues. 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified. x .Q0.. � , _ Signature of Owner STATE OF FLORIDA COUNTY OF PASCO The following instrument was acknowledged before me this `1 day of 4 aS9 , 200 ; by who is personally known to me, or has produced C-[ S 1-1<- a identification. ,- Notary Signature�\ JL.Q,w.. . After recording, return to: Name - ame (print) It., WindowSolutions Tampa Bav, Inc. Notary No. and x Yk &1} 1730 S. Pinellas Ave. Ste D ?, ARLENE V-7 Tarpon Sprints. FL 34689 = ... - ,-, M' *.7 "r':718'37 7 ,t„, r,. Hi : "epternber 18. 007`_-.TL-7— F`• " "+rtaryffervlee.com ' r STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT 0 FILE OR OF PUBLIC RECORD IN THIS OFFICE WI ESS MY HANwi D OFFICIAL ► EAL THIS DAY • 11 x'4 PTROLLER Pak S. O'NEIL, � • RK Bu CONTRACT WINDOW SOLUTIONS TAMPA BAY INC. CONTRACT CHANGING THE WORLD... ONE WINDOW AT A TIME WWW. WI NDOWSOLUTIONS4U.COM Sherry A. Dufresne 1730 S. Pinellas Ave. Ste. D General Contractor Tarpon Springs, FL 34689 License # CGCO55194 Phone 727 -943 -7800 Fax 727 -943 -7855 IIWE, the owner(s) of the premises mentioned below, hereby agree and authorize you as contractor, to furnish all necessary materials, labor and workmanship, to install, construct and place the improvements according to the following specifications, terms and conditions, on premises below described which we warrant and represent that we have good record title as to owner in our own name: OWNERS: l �l �•_ 1/ - in r;, Jr) PHONE: / / J 9(9 ` D ' ? DATE: f )7 JOB ADDRESS: // �' v �� j/, � UNIT #: CITY: i� .. 11 ! "? i'� ��1" STATE: _ f L_ ZIP: vg - EMAIL: f Description of Project: Contractor will construct the improvements specified in this Agreement and described Generally as follows: c. / .J rzIe 11`lr / � ! ('107,--,./' �.� I nl � (3 / ! , -: c' •i // i -1 t/ 6 4 , - _`. 1 v.Jt ,1 ‹�,/4 r 2 i1y 7/(1 %)(49t -- ,.. /�,-, ,- / 1_,,.. ,-f'n._ / Ac, / 6 I\ r - ( ,// r ,,, c ,/„,,_, ' ii 3 (, / ,' l i( l� � A r' ,,/,,. C .:' / Not included J(, 1! (J / e fir)' t :11 Allowances: (included in Contract Price) p t' ' 4 )t f 1 1 t 1 r)e<.i.• JIy; Payment: The Owner agrees to pay contractor in cash the total price of $ , ) ( ,y / j > ., l!irr ��f J t ,.? Dollars Payable as follows Not responsible for any cracked or damaged sills. Any sill cracked during installation will be patched free of charge. Not responsible for any special wall treatments such as wallpaper, etc. It is customer's responsibility to remove window blinds, verticals, or any other window treatments before installation. No painting or window washing. BUYER'S NOTICE OF RIGHT TO CANCEL The law provides that either party to a home improvement contract may cancel the contract by notifying the other party, in writing, by certified or registered mail by midnight of the third business day following the execution of the home improvement contract. If either party exercises this right, neither party will be liable to the other for damages. If the contract is cancelled after the aforementioned period, the Contractor is entitled to all costs incurred. The Buyer(s) hereby acknowledgement receipt of this Notice of Buyer's Right to cagCel this r, day of ■ j , / 7 `? BUYER , J lJ t , i , A---1 .� t..._ CO buYtK / 20 r; / • COMPANY'S GUARANTEE: the corpdany guarantees its workmanship for one year. It will replace faulty material or faulty workmanship within the period of the guarantee free of charge. The terms and conditions on the reverse side are expressly incorporated into this Agreement. This agreement constitutes the entire understanding of the parties. No other understanding or representations, collateral or otherwise, shall be binding unless in writing, singed by both parties. This Agreement shall not become effective or binding upon Contractor until signed by contractor or an officer of Contractor. Owner acknowledges receipt of a full completed cop of this Agreement. • Contractor's ignature -. '' § 1--► Owner , sycignature(s): Representative Accepted By (Owner Sign Here See and Read Notice on Reverse Page) Y i n L �,0� r OWNntt : V 11 N\ '7 -/ / t ►q -N-, ��. ae_E'\., kl, M k s _ 3S(--(L ( ‘ )c. 3 4 t 1 (. °'1C ( x t- tq ��� �` C tA c ? ) < kW_ ) I - 1 0 .4•Nimpr• .._.. ` )( Y3 X „---... r C < P N ' t r \CQ_Ck), \ (51-4 , - Cos I N -C \/ ` Q lit12- . ijJ ■Ack_o , et_- kk agq. ID ..--E... V 1---- 1.---- L '" ''' 5 kk 1/4) ti\cketk.)5 . ' iLv -1 c .7- C Q 'Yt, .' ) x- t o F Nt?5 .- ( A ,---- 0 Q'r -,--- � x ' GOY N.___________ 7 frwat ) ( t i i •,__L__A- `-` )0 - CO -..;,- xz kI v1P1. L L , ► , _ �'' C. �LR� K\ �'� V11 LORIDAB L � k 8�� I ) ( �'�� h /: hf hit 90 ) PREL`�OVAILING CODE � C CODE A CODE,NATIONA , IN ANCES CYVY OF ZEPIVVILL indow Solutions \I - 1730 S. PINELLAS AVE. STE. D , . ' ' . 4:: :,- ,: " t TAR PON SPRINGS, FL 3 4689 727,934 -9800 I- lon'da Building Code Online Page 1 of 3 iimi BCIS Home Log In User Registration Hot Topics Submit Surcharge Stars & Facts Publications PBC Staff BCIS Site Map Links Search , Product Approval '„ USER' Public User Community . Affairs Proouo Approval Menu > Product or Application Search > Appiicatior. List > Application Detail 6F FL m FL1435 -R4 Application Type Revision Code Version _,. 2007 Application Status Approved Comments . Archived AemetiOntlf. Product Manufacturer PGT Industries Address /Phone /Email 1070 Technology Drive Nokomis, FL 34275 (941) 480 -1600 Ext 21106 bclark@ pgti ndustries. com Authorized Signature Robert Clark bclark@pgtindustries.com Technical Representative Robert Clark Address /Phone, /Email 1070 Technology Dr. Venice, FL 34275 (941) 480 -1600 Ext 21106 bclark@pgtinclustries.com Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Single Hung Compliance Method Certification Mark or Listing Certification Aoency Keystone Certifications, Inc. Validated By Keystone Certifications, Inc. Referenced Stanoard and Year (of Standard) Standard Year AAMA /WDMA /CSA 101 /1S2/A440 2005 ANSI /AAMA /NWWDA 101 /I.S.2 1997 ASTM E -1886 2002 ASTM E -1886 2004 ASTM E -1996 2004 ASTM E -1996 2002 ASTM E -330 2002 Equivalence of Product Standards Certified By Fiorida Licensed Professional Engineer or Architect FL1 comp 02 -04 1886.pdf http://www.floridabuilding.org/pr `p app_ dtl. aspx? param= wGEVXQvvtDgsbCL-ITKe1?ODu... 8/4/200.9 1-londa Building Code Online Page 2 of 3 Product Approval Method Method 1 Option A Date Submitted 03/03/2009 Date Validated 03/04/2009 Date Pending FBC Approval 03/08/2009 Date Approved 04/07/2009 Date Revised 05/07/2009 ;Summary of Products FL # Model, Number or Name Description 1435.1 SH -300 Aluminum Single Hung Limits of Use — - --- ------ - - - - -- Certification Agency Certificate i Approved for use in HVHZ: Nc FL1435_R4_C_CAC_SH300- CAR- 410.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 02/27/2011 Design Pressure: +45/ -45 Installation Instructions i Other: Rating is H -LC45 for 52.125" x 75" fin (actual FL1435_R4_II_SH -300 Anchorage.pdf • window buck size) or 53.125" x 76" flange (tip -to -tip FL1435_R4_II_SH300- 71082- 01.pdf ; size). Please see test report ATI- 71082.01/.02- 401 -47 FL1435_R4II_SH300- 71082- 02.pdf for other product description and `test information. Glass Verified By _ Lucas A. Turner, PE 58201 upgrades may be required to meet full design pressures. Created by Independent Third Party: No Evaluation Reports • Created by Independent Third Party: 1435.2 SH -400 Vinyl Single Hung Window Limits of Use Certification Agency Certificate Approved for use in HVHZ: No Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Yes 04/08/2011 Impact Resistant: No Installation Instructions Design Pressure: N/A FL1435_R4 II_5H- 400 -500 Anchorage.pdf Other: Rating is H -R60 52.125x75 (actual window buck FL1435_R4_II_SH400- FTL- 4581.pdf size). Please see test report FTL -4581 for other product Verified By: Lucas A. Turner, PE 58201 description anc test information. Glass upgrades may be Created by Independent Third Party: No • required to meet full design pressures. Evaluation Reports Created by Independent Third Party: ' 1435.3 SH -4000 Pass -Thru Aluminum Single Hung Pass -Thru Window Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL1435_R4_C_CAC_SH4000PassThru- CAR- 1g8.pdf • Approved for use outside HVHZ: Yes FL1435_R4_C_CAC_SH4000PassThru- CAR- l99.pdf ; Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: N/A 10/19/2010 Other: Ratings are +/ -55 psf and +7-65 psf in 53_1/8 x Installation Instructions 50_5/8 size. This product was not tested for water FL1 -4000 PassThru Anchorage.pdf infiltration. Please see test reports FTL -5050 and 5051 FL1435_ R4 _II_SH4000PassThru- FTL- 5050.pdf for other product description and test information. Glass FL1435_R4_II SH4000PassThru- FTL- 5051.pdf u • pgrades may be required to meet full design pressures. Verified By: Lucas A. Turner, PE 58201 • Created by Independent Third Party: No Evaluation Reports • Created by Independent Third Party: 1435.4 SH- 4000/4001 Aluminum Single Hung Window Limits of Use Approved Certification Agency Certificate pp oved for use in HVHZ: No FL1435_R4_C_CAC_SH4001- CAR- 478.pdf Approved for use outside HVHZ: Yes FL1435_R4_C_CAC_SH4001- CAR- 479.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +55/ -55 02/16/2013 ; Other: Configurations qualified include 1/1 (equal lite) Installation Instructions and ProView configurations, with standard, Radius, or FL1435_R4_II_SH 4001 - ATI - 89077.pdf Arch top. 52.125x75 (actual window buck size). Please FL1435_R4 II_SH 4001 - anchorage.pdf see test reports ATI 89077 for other product description Verified By: Robert L Clark, PE 39712 and test information. Glass upgrades may be required to Created by Independent Third Party: No meet full design pressures. Evaluation Reports Created by Independent Third Party: 1435.5 .. 51 (Impac) WinGuard Vinyl Single Hung Window Limits of Use Certification Agency Certificate �' Approved for use in HVHZ: No Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Yes ; 04/08/2011 ; Impact Resistant: Yes Installation Instructions hup: www. floridabuilding .ora a param = wGEVXQw 8/4/2009 I- Building Code Online Page 3 of 3 Design Pressure: N/A FL1435_R4_II_SH- 400 -500 Anchorage.pdf Other: Impact Resistant, Missile Level D (9.0 lb 2x4 FL1435 R FTL4586.pdf traveling at 50 f /s). Rating is H -R60 52.125x75 (actual FL1435_R4_II_SHSO0 -F 1 L4587.pdf window buck size). Please see test reports F i L -4586, FL1435_R4_II_51-1500- FTL4828.pdf 4587, 4828, and 4833 for other product description and FL1435_R4 II_SHSO0- FTL4833.pdf test information. Glass upgrades may be required to Verified By: Lucas A. Turner, PE 58201 meet full design pressures. Created by Independent Third Party: No Evaluation Reports Created by Independent Third Party: 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) 41 -8436 2000 -2005 The State of Florida. All rignts reserved. Copyright and Disclaimer Product yA�pppr�oval Accepts V.rt61.e +\ reel," a.+ http:! /www.floridabuilding.or epr app_ dtl. aspx?param= wGEVXQw 8/4/2009 mA ;3m ^4)3j�00 y �A X p I D m�'� m "?z•�O pl 2 m G1 z,T cD Eby OzODN F m fn m01 rn 0 ' z z cr _,,,, g M ca = i( Z o i .:'I r o A li z g ,� 1 � r O;i T - Sa > Ill T D = - O 0 m z 0 � Z pO inn r- � zG)zm m 0 O m-n p-. co M 1 A 1 . —i S z z m5 °oo z L --a m > -� G7 ram�Ms T i -i r II = ml O Z m v?s a ilzm Z a �.. ' ! 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" m2 te m n T-4< 2 z 'i f � O ;rr S m m0 m x -. .m y COm 55 m 5 a > r w C O pp n m m m y fn 0 5 dAC 2cm c c Z i „,. -c D ^ mm r > n D 0 c.n 0 2 m C Op OC O m 2 ; O mZ002 a. m m co 0 in N z -C2000 O m y 0 0 Z O O p C m y 0 m m m m o % O m O ; m $ 1 S m y z 5 > v� z m m m m m' n m co O 5D> _tom mm d4inmK < O il a Omz o23 5 o m ' m z D O z O O n p 0 m �y -t 4C r7�S m m z m m O 2 D m U g 1 .1 I - ; �� o C .___ )„\s‘c z i c , ° , •( 0 m o - r .n m ' rO bd r cuc, ,, D r y:m m s - °IC A M DD - _r• m 2 rn > L,c.;p o a „ (o � m a, - 6 • a •• .rrn �tn m s 4 4' 0 • < m O C C W 1 -, 1 _ — 0 8 P h z c rn m m - 8 _ o § m f m 1 1 ..... z C C y Iv $ rn 'Wilt Q _n 0 § 2 & m m 0 -- 1 !lit 1 w st ko : 41 m N n n M Z r o `1 I -. 1 _' - . tZI f G0 5' I + t o m o �� pro 0 tag i –.1 0 m Florida Building Code Online Pale 1 of 2 _ .. g dig g 3CS Home Log :n User Registration Hot Topic, Submit Surcharge Stets A = acts Puoiicaoons F3C Staff : 3CS Site Hao Unks Search t �'E° Product Approval ;}�>,� USER: Puodc Jser x Community Affairs • Rroouc: Aoproval `^enu > ?roouc or apolicatlon Search > a coiicacion List > Application Detail aMMIIIMMINIMMOMMERN FL # FL1844 -R4 Application Type Revision 4 " Code Version 2007 • Application Status Approved tilliVIVIaftemir . • Comments !► +«r ove Archived Product Manufacturer PGT Industries Address /Phone /Email 1070 Technology Drive Nokomis, FL 34275 (941) 480 -1600 Ext 21106 bclark ©pgtindustries.com Authorized Signature Lucas Turner iturner@pgtindustries.com Technical Representative Lucas A. Turner Address /Phone /Email 1070 Technology Drive Nokomis, FL 34275 (941) 480-1600 Iturner@pgtindustries.com Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Horizontal Slider Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Validated By Keystone Certifications, Inc. Referenced Standard and Year (of Standard) Standard Year AAMA /WDMA /CSA 101/1.5.2/4440 2005 ASTM E -1886 2004 ASTM 5 -1996 2004 Equivalence of Product Standards Certified By Fiorida Licensed Professional Engineer or Arcnitect FL1844 R Equiv _EquivalencyCertification510. pdf Product Approval Method Method 1 Option A hrLp 'iwtivw.floridabuildin;.ora.rpr , pr_app dtl. asp x?param= wGEVY(�w�n� . ( rcic/RU.rA - Vziir Q/;l:-innci) Florida Building, Code Online Pa 2 of 2 Date Submitted 12/17/2008 Date Validated 12/24/2008 Date Pending FBC Approval 01/01/2009 Date Approved 02/03/2009 Summary of Products .................____._._....__...._...__......--- FL * Model, Number or Name (Description 1844.1 1HR -201 (Aluminum Horizontal Roller Window with Slip -On Nailing 1 _ ;Fin Limits of Use ,Certification Agency Certificate Approved for use in HVHZ: No i FL1844_R4_C_CAC_201- CAR- 465.pdf Approved for use outside HVHZ: Yes I FL1844_R4_C_CAC_201- CAR- 466.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: N/A 01/10/2012 Other: XOX format 111x63 size achieves a rating 01' HS- Installation Instructions R45. XO or OX format 74x72 size achieves a rating of FL18 01 401- 47- RO.pdf HS -R45. Please see test report ATI 78026.01- 401-47 For FL18 -201 Anchorage.pdf additional information. Glass requirements may limit Verified By: Lucas A. Turner, P.E. 58201 product size or require glass upgrades to achieve full Created by Independent Third Party: No design pressures. Evaluation Reports I ' Created by Independent Third Party: I 1844.2_ HS-410 _ _ !(Vinyl Horizontal Sliding Window • Limits of Use Certification Agency Certificate _________,' Approved for use in HVHZ: No . FL1844_R4_C_CAC_410-510-CAR-433.odf Approved for use outside HVHZ: Yes FL1844_R4_C_CAC_410- CAR- 456.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: N/A 08/17/2011 Other: For XO or OX configuration, rating is HS -C60 Installation Instructions 73x62 (actual window buc:< size). For XOX 1/4- 1/2-1/4 I FL' _ _ configuration, rating is HS -050 110x62 (actual window FL18 - -L 55007pdfl.pdf 1 I buck size). Please see rest reports FTL -5351 and 5500 I FL1844_R4 II_HS- 410 -510 Anchorage.pdf for other product description and test information. Glass I Verified By: Lucas A. Turner, P.E. 58201 I requirements may limit product size or require glass I Created by Independent Third Parry: No upgrades to achieve full design pressures. I Evaluation Reports Created by Independent Third Party: 1844.3 j HS -510 (Impact) WinGuard Vinyl Horizontal Sliding Window ' Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL1844_R4_C_CAC_410510 CAR 433.pcf Approved for use outside HVHZ: Yes F Impact Resistant: Yes L1844_R4_C_CAC_510 CAR 225.pdf I Quality Assurance Contract Expiration Date Design Pressure: N/A 01/16/2010 Other: Impact Resistant, Missile Level D (9.0 lb 2x4 !Installation Instructions I traveiing at 50 f /s). Available in XO or OX configuration I F L 1844 _R 4 _II_ 4 10 - 510- FTL- 5351.odf I I only. Rating is HS -C60 73x54 (actual window buck size). I F LI344_R4 II_510- F-L- 4831.pdf Please see test reports FTL -4831, 4832, and 5351 for i FL -F L- 4832.pdf other product description and test information. Glass FL1844_R4_II_HS -410 -510 Anchcrage.pdf requirements may limit product size or require glass Verified By: Lucas A. Turner, P.E. 58201 upgrades to achieve full design pressures. Created by Independent Third Party: No Evaluation Reports — _ I Created by Independent Third Party: — 3ack I Next :CA AdminiStratinfi Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak 3ouievard a/lahassee, Florida 32399 -2100 (850) 1 87 -:821, Fax (850) 4 1 4 -3436 6 2000 -ZOOS The State of rror,da. All rights reserved. Cdpynght and Disdaimer Product Approval Accepts: r..ar sln .. se<d.w I hrtp:. :. w wv. foridabuildin .or g ,,% p r 'pr_app_dtl. asps ?pararn= wGEVXOw-tDasG 71' 52:U:711110 0 ° z o- O a Z al � t _ __ 13 a T Z F i°' o • '':- m + It o 1 —c ca.. i i I �� I z m o ; z N I r 1 = - � til� I l i ' I Sig f �j m p CO g m -. 1 r---1 I {I R f ( i m °; m z zz c c T a� ii '! X m Z m a D 1 .� � 1 111 o r z -, ; F ' a i . m = m R go ,,,, 8 • ...,. 11Mgli______. i I zi ir al ik 0 C7 IV' i I1 1 x t; 4i—O y� p00 .:=;'..- v t �C •� 0 3O ; s�' Si a a> 111 Z jrn mug z O m? _� �mo a 0 : . a t n . .a - c ; z° 111 �'0o �; i?; • >-• R+ • 2 z ? m z z o D ; o ff .r: O e �_ C7 s,,-...o ^ m J r A a 0 -..Q .- „ N \ ' '''u ...... VV r 9 , 1 ..'..' 3 3 � rn 0 = �4�=■ vl Q z a co Z A .J x g is o tg o o p T a N nm i d Q gQ f pm ; � —, m- c m C R 3 G7m ? ; m an -- P 7 i _A p a d t. T m� Q f)n �* ; 0Z - Z? Q Q s Ill' a m A O 1 g O g z T `r ; _ f m FR v m ■`�� • 4 -*. 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OZ v > i a i fr m zrli o ,-4--,z T-c.., ,oz, p 000m )A g y � rt = I Sp v, O T O< m S] A C D m D " ZS A >> O p O � 2�m� m =x O SD 00 .z E D T �C = SU �m�fnD �AV 2 m p p = Cg o J' �m � � r - Z00' O> DS m N2 C) 0 m _. x C 2 rn0 zmr D > _> Z>> mm m D Z r > o a m mo O O >-i -i 1-;m no g? -i - IZ S D m m m� - N '� mM m 0 0 m>zzm n C 2 2 co <ZOmc ZOyOA y5O O m m o ; - i ^ '�? o w 8 ,2 T MW O m m °I Om $m °' G C S '/ < � p m' O m 0 O y�D m O O � ; O�m rn �q g5 m m m T Cn O 1 1 T \ /. 7 4, 'k • m Cr/ mm • m • i a m Ni,„ t , c7 O ▪ m � \ 2 I m .. ,...... C p 0 0 ,,. - .. obd zuc, 2 • 0 CA C4 > m N 2: m 2 D "1 • • m 1 rn 0 0 o h: F? m O c• 0 ' .. _ O \ \� • y ro x + u it 3 3; '^ o7 � co at f • • ` o rn l - ; I 3 �0$� 3 - n 0 T 1 1 1 I = O ■ 1— f ;7.5. _ _ m m k k Ik I �' = T. m -f i ' 13 03 y ! f 4Q 2 2 y a O \ \\ 2 Am 3 M 14.1111i m - FA' 1 Ili 2_ o - - -- 0000 -- > 7.1- 1 111,4 1 O m i to I O: fin n C m O = pa-1 2 4 ` S 0 k L� \� rtr'i $ D < cn p 1 n r 2 Q a _ — E G) ._ 1 I 1 1 I A. m m � i -4 0 N O N Page 1 of 4 C »mui i y Affairs . , 8Q5 Horne Submit S e Log In Jser Registration Hot Tope r 1�E. 'a " "'° acp Surcharge Stats & Facts Publications PBC Stall BCIS Site Map Links Search Q _ ' _ m r - 1 Product Approval ""'- USER. Public User Community Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail FL5012 -R3 FL Application Type ancrrtr, Revision me yT Code Version ViervELapam 2007 Application Status Comments Approved 3FTttE Archived Product Manufacturer Address /Phone /Email PGT Industries 1070 Technology Drive Nokomis, FL 34275 (941) 480 -1600 Ext 21106 b c l a rk ©p gti n d u stri es. co m Authorized Signature Robert Clark bclark @pgtindustries.com Technical Representative Robert Clark Address /Phone /Email 1070 Technology Dr. Venice, FL 34275 (941) 480 -1600 Ext 21106 bclark ©pgtindustries. com Quality Assurance Representative Address /Phone /Email Category Subcategory Windows Fixed Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Validated By Keystone Certifications, Inc. Referenced Standard and Year (of Standard) Standard AAMA /WDMA /CSA 101 /I52/A440 _gam ANSI /AAMA /NWWDA 101 I.5.2 1997 ASTM E 1886 1997 ASTM E 1886 2002 ASTM E 1886 2004 ASTM E 1996 2005 ASTM E 1996 2002 ASTM E 1996 2004 2005 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect FL5012 R3 _ E _EquivalencyCertification520.pdf FL5012_ R3_ Equiv _EquivalencyCertification540 -0. pdf http://www.fl %2... 4/7!2009 riu:iu4 nulla.ng Loae Online Pa Product Approval Method Method 1 Option A Date Submitted 03/04/2009 Date Validated 03/06/2009 Date Pending FBC Approval 03/11/2009 Date Approved 04/07/2009 r 'Summary of Products I. IFL # ___ Model, Number or Name 'Description 5012.1 !CA 640 'O" (Fin) 'Aluminum Casement Fixed Fin IlLimits of Use !Certification Agency Certificate Approved for use in HVHZ: No i FL5012_R3_C_CAC_190- 490CAR.pdf '' Approved for use outside HVHZ: Yes 'Quality Assurance Contract Expiration Date I ! Impact Resistant: No 02/25/2013 j Des Pressure: +60/ -60 jInstallation Instructions Other: Rating is FW -R60 -62x75 (actual window buck I FL - ATI 88226.pdf 'size). Please see test report ATI -88226 for additional ; FL - 0 - Anchorage.pdf 'information. Glass limitations may lower design Verified By: Robert Clark 39712 lipressures or require glass upgrades to achieve full desion I Created by Independent Third Party: No pressure (Evaluation Reports Created by Independent Third Party: 1'5012.2 ICA -440 Fixed JIVinyl Casement Fixed Window i t its of Use !Certification Agency Certificate Approved for use in HVHZ: No !Certification H Approved for use outside HVHZ: Yes FL5012_R3_C_CAC_CA440 -0- CAR- 425.pdf I!, Impact Resistant: No !Quality Assurance Contract Expiration Date Design Pressure: N/A 01/16/2010 i Other: Rating is FW -C70 72x72 (actual window buck !Installation Instructions !size). Please see test reports FTL -4773 and 5348 for i FL5012_R3_II_CA440- 540- 0- Anchoraoe.pdf other product description and test information. Glass FL5012 _R3_II_CA440- 0- FTL- 4773.pdf 'limitations may lower design pressures or require glass FL5012 _R3_II_CA440- O- FTL- 5348.pdf upgrades to achieve full design pressures. Verified By: Lucas A. Turner, P.E. 58201 Created by Independent Third Party: No 'Evaluation Reports Created by Independent Third Party: '5012.3 ICA -540 Fixed (Impact IWinGuard Vinyl Casement Fixed Window !Limits of Use A !Certification Agency Certificate Approved for use in HVHZ: No ' F L 5012 _R 3 _C_CAC_CA540-0-CAR- 176. pdf Approved for use outside HVHZ: Yes FL5012_R3_C_CAC_CA540 -0- CAR- 211.pdf Impact Resistant: Yes FL5012_R3_C_CAC OCAR- 426.pdf I L Design Pressure: N/A !Quality Assurance Contract Expiration Date ! Other: Impact Resistant, Missile Level D (9.0 lb 2x4 01/11/2010 traveling at 50 f /s). Rating is FW -C60 72x72 (actual ;Installation Instructions !window buck size). Please see test reports FTL -4772 and FL5012_ R3_II_CA440- 540- 0- Anchoraoe.pdf ' '5349 for other product description and test information. I FL5012 _R3_II_CA540- 0- FTL- 4772.pdf Glass limitations may lower design pressures or require FL5012 _R3_II_CA540- O- FTL- 5349.pdf r lolass upgrades to achieve full design pressures. Verified By: Lucas A. Turnr-, P.E. 58201 � I Created by Independent Third Party: No �i !Evaluation Reports Created by Independent Third Party: 1'5012.4 I CA -640 Fixed Aluminum Casement Fixed Window with Integral Nailing I 'Fin Limits of Use — — — A !Certification Agency Certificate l pproved for use in HVHZ: No FL5012R3_C_CAC_CA640 -0- CAR- 187.pdf i Approved for use outside HVHZ: Yes !Quality Contract Expiration Date Impact Resistant: No , 06/23/2010 j Design Pressure: N/A Installation Instructions Other: Rating is F -C75- 60x76. Please see test report FL5012 _R3_II_CA640- O- Anchoraoe.pdf IIFTL -4995 for additional information. Glass limitations FL5012 _R3_II_CA640- 0- FTL- 4995.pdf 'may lower desion pressures or require glass upgrades to Verified By: Lucas A. Turner, P.E. 58201 llachieve full design pressure. Created by Independent Third Party: No jl li !Evaluation Reports Created by Independent Third Party: ! j'5012.5 JIF -320 jiAluminum Fixed Window Limits of Use 'Certification Agency Certificate , ; Approved for use in HVHZ: No FL5012_R3_C_CAC_F320- CAR- 411.pdf http:/ /www.floridabuilding.org /pr. /pr_ app_ dtl. aspx? param= wGEVXQwtDgtU0E2x88XL %2... 4/7/2009 iu11L d t] all a1P-a l-oae Online Pa_e3of4 Approved for use outside HVHZ: Yes 'Quality Assurance Contract Expiration Date i Impact Resistant: No 02/26/2011 I', Design Pressure: +45/ -45 Other: Rating is FW -R45 for 105.25" x 52.625' fin 1 Installation Instructions FL5012 71332 -01- 401- 47.pdf I 1 !(actual window buck size) or 106.25" x 53.625' flange j FL5012_R3_II_F320- Anchorage.pdf (tip -to -tip size). Please see test report ATI- 71332.01- i Verified By Lucas A. Turner, P.E. 58201 i401 -47 for other product description and test ilinformation. Created by Independent Third Party: No !Evaluation Reports ' !Created by Independent Third Party: 15012.6 1F_6000 !Aluminum Fixed Window with Slip -On Nailing Fin I 'Limits of Use 'Certification Agency Certificate Approved for use in HVHZ: No 1 FL5012_R3_C CAC_F6000- CAR- 436.pdf Approved for use outside HVHZ: Yes Impact Resistant: No F L 5012 _R 3 _C_CAC_F6D00- CAR 437.pdf !Quality Assurance Contract Expiration Date Design Pressure: N/A 10/24/2011 Other: Rating is FW - R65 -60x76 with Tempered glass !Installation Instructions and FW R30 53.125x76 with Annealed glass. Please see ! FL5C12_R3_II F60D0 -ATI- 77289- 01.pdf !test report ATI- 77299.01 for additional information. ; FL5012_ R3 _II_F6000- SlipFin- Anchorage.pdf !Glass limitations may lower desion pressures or require 1 verified By: Lucas A. Turner, P.E. 58201 glass upgrades to achieve full design pressure. Created by Independent Third Party: No !Evaluation Reports 'Created by Independent Third Party: 5012.7 F- 6001 !Aluminum Fixed Window with Integral Nailing Fin I ILimits of Use A r !Certification Agency Certificate pp oved for use in HVHZ: No 1 FL5012_R3_C_CAC_F6001- CAR- 434.pdf !, Approved for use outside HVHZ: Yes I FL5D12 R 3 _C_CACF6001- CAR -435. df Impact Resistant: No !Quality—Assurance—Contract Expiration Date Design Pressure: N/A 10/24/2011 Other: Rating is FW - R75- 119x59 with Tempered glass !Installation Instructions band FW R 53.125x76 with Annealed glass. Please see 1 FL5012_R3 II_F6001- Anchoraoe.pdf l i 'test report ATI 77298.01 for additional information. FL5012_R3_I1_F6001 -ATI- 77298- 01.pdf Glass limitations may lower design pressures or require I Verified By: Lucas A. Turner, P.E. 58201 !glass upgrades to achieve full design pressures. Created by Independent Third Party: No 'Evaluation Reports I Created b Independent Third Party: 15012.8 IPW-3020 (Impact) Architectural Systems Aluminum Fixed Window 'Limits of Use (Certification Agency Certificate I Approved for use in HVHZ: No j FL5012 _R 3 _C_CAC_PW3020- CAR -229. pdf Impact Approved for use Yes ide HVHZ: Yes FL5012R3_C_CAC_PW3020- CAR- 472.pdf Quality Assurance Contract Expiration Date !! Design Pressure: N/A 09/11/2010 Other: Impact Resistant, Missile Level D (9.0 lb 2x4 ( 'traveling at 50 f /s) with cyclic pressure of +/ -75 psf at FL t R3 n II_84 1 D9 ' 01 401- 47.pdf 72x120 size. Air / water / structural rating is FW -C90 FL5012_R3_II_PW3020 Anchoraoe.pdf ! 72x120. Please see test report ATI 84109.01 and 5349 ' Verified By: Lucas A. Turner, P.E. 58201 i l jlfor other product description and test information. Glass !1 Created by Independent Third Party: No limitations may lower design pressures or require glass !Evaluation Reports iup•rades to achieve full design pressures. !Created by Independent Third Party: 115012.9 PW -420 'Vinyl Fixed Window Limits of Use !Certification Certification Agency Certificate pproved for use in HVHZ: No 1 FL5012_R3_C_CAC_PW420- CAR- 423.pdf ! Approved for use outside HVHZ: Yes 'Quality Assurance Contract Expiration Date !1 Impact Resistant: No Design Pressure: N/A ' 08/01/2011 [ !! Other: Rating is FW -C80 96x60 (actual window buck 1 FL50 llation Instructions l i 'size). Please see test report FTL -5346 for other product FL -FTL 346 pD9 e.pdf description and test information. Glass limitations may I Verified Lucas A. Turner, P.E. 58201 'lower design pressures or require glass upgrades to 1 Created by Independent Third Party: No !achieve full design pressures. (Evaluation Reports [Created by Independent Third Party: 1 15012.10 PW-520 (Impact) IWinGuard Vinyl Fixed Window ILimits of Use 'Certification Agency Certificate I! Approved for use in HVHZ: No 1 FL5012_R3_C_CAC_PW520- CAR- 174.pdf j Approved for use outside HVHZ: Yes 1 FL5012_R3_C CAC_PW520- CAR -209. df !; impact Resistant: Yes FL5012_R3_C_CAC_PW520- CAR - 227 -pdf I Design Pressure: N/A 1 FL5012_R3_C_CAC_PW520- CAR- 228.pdf 1' Other: Impact Resistant, Missile Level D (9.0 lb 2x4 FL5012_R3_C_CAC PW520- CAR- 474.pdf traveling at 50 f /s). Ratino sizes below are actual window 1 F L 5012 _R 3 _C_CAC_PW520- CAR -475. pdf 'buck size. Ratings are FW -C80 96x60 when tested with Quality Assurance Contract Expiration Date 1 7/16H/H SGP lams, FW -C80 75x60 when tested with 7 /16102/06/2010 'A/A SGP lami, arid F -HC80 48x62 when tested with 5/16 Installation Instructions A/A PVB lam'. Please see test reports FTL -4829, 5763, ; FL5012_R3_II_PW420- 520- Anchorage.pdf " 5764, and 5765 for other product description and test 1 FL5012_R3 II PW FTL- 4829.pdf information. Glass limitations may lower desion F L 5012 _R 3 _II_PW520- FTL- 5763.pdf http: //v w, .floridabuilding.org /pr /pr_ app_ dtl. aspx? param =«- GEVXQwtDgtU0E2x88XL %2... 4/7/2009 • Pa pressures or require glass uporades tc achieve full design', FL5012_R3_II_PW52O- FTL- 5764.pdf !pressures. FL5012 _ R3 _II_PW52O- FTL- 5765.pdf Verified By: Lucas A. Turner, P.E. 58201 Created by Independent Third Party: ND !Evaluation Reports I Created by Independent Third Party: Back Nett D^t, AH ration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak boulevard Tallahassee, Florida 32399 -2100 Cc 2 000 -2005 The State 0 ) Florida. 2 4 , Fax (550)414-B436 reserve!. Copyright ant Disclaimer Product Approval Accepts; 14:e.. 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