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HomeMy WebLinkAbout09-9479 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9479 BUILDING PERMIT ��m•'. are Permit Number: 9479 Address: 6808 OAKCREST WAY 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: OAKCREST Est. Value: Parcel Number: 02- 26 -21- 0250 - 00000 -0120 Improv. Cost: 9,800.00" ' m Date Issued: 8/28/2009 Name: COOL, GARY & DELILAH Total Fees: 155.00 Address: 6808 OAKCREST WAY Amount Paid: 155.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/28/2009 Phone: (813)782 -7187 Work Desc: CONSTRUCT 12 X 24 SUN ROOM :A -, - • KEI H BUILUIN 120.00 ELE - AL 35.00 HOMEOWNER (0-!-- I vAT x � q i & , • , ':': !''``E� Sw s r•"e SRI E 5 fit .g � � - Foe R 2N■RsU HPLUM: MI IN ULATION EILING 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." c4_, /0,2V Itij 6 CONTRACTOR SIGNATURE PERMIT OFFI �R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER F City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor /Homeowner: .0 4iininci Date Received: ( P'09 Site: ‘050e' Da Kc ‘Jay Permit Type: / 2 04 SL.0 i raiM Approved w /no comments. Approved w /the below comments: ❑ Denied w /the below comments: ❑ This comment 7e1 shall be kept with the permit and/or plans. / - q 'I K. in ' '/ — Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) 813 -780 -0020 City of Zephyrhills Permit Application j ✓I Cf rax- ai r - you - uuZ I Building Department Li Date Received Phone Contact for Permitting d 3 71 -- `ANY • T Owner's Name Coo l Owner Phone Number fag aell / 10 I Owner Phone Number 1 P 3 7,4 7/17 Owner's Address 1 � Owner Phone Number 1 Fee Simple Titleholder Name1 ( Fee Simple Titleholder Address I l p e p �/ I LOT # I JOB ADDRESS 1 (Yd �a — G'� , / 1 � A ,, 9C } � 0/510 em Cd I PAR CEL ID # 1 00) — ) 4 —01 v 0-60 SUBDIVISION I (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NE W CONSTR I I ADD /ALT 1 I SIGN I I MOVE I 1 DEMOLISH INSTALL REPAIR ,, / y PROPOSED USE I I SFR I I COMM 1 1 OTHER 1 Q ��c/1f APO I TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL 11 OTHER 1 I DESCRIPTION OF WORK BUILDING SIZE 1 /0i! r x off-/ 1 I SQ FOOTAGE I bla T 1 HEIGHT I I Iv RA BUILDING l p: OWO VALUATION OF TOTAL CONSTRUCTION Cyj ELECTRICAL $ 1 OW AMP SERVICE PROGRESS ENERGY I 1 W.R.E.C. I I PLUMBING $ . r' r,c :i i ..�...= Niaa 01:11 /rib-5314 I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 _ , .t 7 r l/ I 1 GAS 1 I ROOFING 1 I SPECIALTY 1 1 OTHER FIN() OIL � i v--71/ �� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 I YES I I q BUILDER R COMPANY I 'ahl' (s /.. - - I SIGNATURE 7 d�G' "r^ L,7 REGISTERED I Y / N I FEE CURRENT I Y / N � � 4�64j KO' 7,,,p, ?Aar License # 1 Address `'�'-� ELECTRICIAN 3 ( COMPANY 1 SIGNATURE REGISTERED I Y/ N I FEE CIARENT I Y/ N 1 Address 41 Of O 22/6667k /• License # 1 PLUMBER COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I Address 1 License # I MECHANICAL COMPANY I SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned Understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency- Asbestos abatement. Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR • /,;�n OWNER OR AGENT Qom ' / l S bsc Cf ribdd sworn to �or affi b� meth cribed swom to (of afflrmed),t�efor7d mg this • f Gt B d by (4 o� lXJ i die 11l1it1' /1 J Who is /are personally knowg�to me or has/have produced Wh is /are personally k nown to me or has /have produced as identification. as identification. _/ / Notary Public ��/ / Notary Public Commission . • Commission N. " , Name of Notary typed, printed or stamped Name of Notary typed; printed or stamped Pasco County Parcel: 02- 26 -21- 0250- 00000 -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 I I Parcel ID I 02- 26 -21- 0250 - 00000 -0120 (Card: 001 of 001) Classification 11 01 - Single Family I Mailing Address Property Value COOL GARY A & DELILAH R Ag Land $0 6808 OAKCREST WAY Land $27,071 ZEPHYRHILLS, FL 335421692 Building $82,700 Physical Address Extra Features $1,341 6808 OAKCREST WAY ZEPHYRHILLS, FL 33542 -1692 Market Value $111,112 Assessed (Save Our Homes) $111,112 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision .1' Non - School Additional Homestead Exemption - $25,000 OAK CREST ESTATES PHASE TWO Non - School Taxable Value $61,112 PB 39 PGS 64 -65 School District Taxable Value $86,112 LOT 12 Warning: A significant taxable value increase OR 8115 PG 1756 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 I Units II Type II Price II Condition II Value I 1 II 0100 II SFR II 00R2 II 8,250.00 II SF II $3.24 II 1.00 II $26,730 I 2 II 0100 II SFR II 00R2 II 922.00 II SF II $0.37 Il 1.00 II $341 Additional Land Information I Acres II 0.21 II Tax Area II 3OZH II FEMA Code II -- IlResidential Codell OKCRLP1 I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 2004 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 Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 I Line Ir Description 11 Sq. Feet II Repl. Cost New I 1 II BAS II 1,394 II $73,743 I 2 II FGR I I 528 II $11,162 I 3 II FOP II 60 II $794 I Extra Features (Card: 001 of 001) I Line II Description I Year II Units II Value I 1 II DWSWC I 2004 II 450 II $928 I 2 Il CON PTO I 2004 II 200 II $413 I Sales History I Previous Owner I PIERCE DANIEL L & CHRISTINE A I Year II Month I Book /Page II Type lI Amount I 2009 II 05 I 8115 / 1756 II WD II $140,000 I 2004 II 07 I 5976 / 0047 II WD II $135,000 II 1 II II http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 02 &twn= 26 &rng =21 &sbb= 0250 &b... 8/26/2009 Name a Pi oQ_k e, / a).2y Address ZepAy r / J F/ To Whom It May Concern, Please be advised that: Stacie Hartwig and Deborah Dokendorf of Pasco Permit Service have my permission until further written notice to act as my agent to sign and pick up permits. Sincerely, i Signature Date NOTARY STATE OF FLORIDA, COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this J L? ay of A l t a / , c . 1 - 0 1 1 1 . Personally known /or Produced identification Commissioned Stamp otary Si iature and Expiration Date . DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRBTLLS BUILDING DEPARTMENT I, Coo/ have read and fully understand and agree to provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work.' 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one - family or two - family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. OWNER'S SIGMA DATE d / - d9 ADDRESS If di 0, ego - PHONE f13 7 a - 7/f7 WITNESS (: "=== r 7 AA- 5tev J PERMIT # 634 the Z , //s . 1111111111111111111111111111111111111111 2009112453 Rept:1258157 Ree: 10.00 DS: 0.00 IT: 0 08/12/09 Dpty Clerk NOTICE OF COMMENCEMENT R S. O'NEIL, PRSCO CLERK & COMPTROLLER Permit No 08OPRULR2BI( 814 1 PG Property Identification No. 0 d 'd"& ' d -0 - 000W 0/ THE UNDERSIGNED hereby give 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:) tie CAW �// - d- As p 6e 6¢ ��- dry i //S a) Street Address: : (p lel tt.), fr °L. Jar r7`S-6 2.General description of improvements: k.S.a/1 /Win 3.Owner I a) Na a co o/ wat a i Cwt 2,y yfk-kf P/ �r7 a) Name and address: ✓ «ll ' b) Name and address of fee s' ple titleholder (if other than owner) c) Interest in property ntractor Information ` / // �/ a) Name and address: ��.11/� J ,.�;�1/tJ� � . �0 f i ^/ k- ^/ i �' 44rh4 l i ' ' `ryL" b) Telephone No.: Fax No. (Opt.) 5.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE 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 WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO �CJ Signature of Owner or Owner's Authorized Officer /Director/Partner/Manager COW Print The foregoing ins ent was acknowledged before me this day of Mari , , 20.Of , by &i / • as OW i (type of authority, e.g. officer, trustee, attomey in fact) for /I,t,/n JP# (name of party on behalf of whom • trument was executed). Personally Known OR Produced Identification Notary Signature X/ • Type of Identification Produced Name (print) er, e `���� r �v t3 Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. gnature of Naturalof Natural�Signing Ab FORMS/NOC.rvsd2007 NOTARY PUBLIC - STATE OF FLORIDA NOTARY PLJ sLIC - STATE OF FLORIDA Stacie Hartwig , , = Stacie Hartwig - mission #DD652189 ,'tDD652189 p,res. OCT 16 200 , ' L • (CT. 16, 2009 BONDED i NRu ATLANTIC BONDING CO., INC. BONDED THRU 7NDING CO., INC. 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 WIT F MY HAND AK? OFFICIAL1SEAATHIS- • 1 DAY OF r. S: . ;tt��( ,U (20 PAULA COMPTROLLER (- r` ! f BY_ {,'0'.� ..- DEPUTY CLERK COOL_ / 67" /L . k c.r . , ch%() 76 , OLT r --------- . lz, -- l . . _ 1 q ,co ' . P4 PC --.. 't I r_cii/v 1.). co /(1 /a, _± - i r - - - ( -II t /10t4 E 1 ,:... 1 c) I % c, 1 1, i , i .7 •-. a 1 3 ' c)6 A a li:NDRA: 8,Ac11,0ALL COMPLY WITH ALL DES, FLORIDA BUILDING 1 P REVAILIN AL ELECTRI C CoDE r . , --,'" • CODE . CITy OF 7Ep . 4' ' M ILL S ORD Ai \ Li , INANCES . , 7? "//fr ...„ , lorida Building Code Online http : / /floridabuilding.org/pr /pr_ app _dtl.aspx ?param =wGEVXQWtDgt... • • 3 a A }.. BCIS Home Log In User Registration Hot Topics Submit Surcharge Stets & Facts Publications FBC Staff BCIS Ste Map Links Search � Product Approval � *� � USER: Public User Communi 4, Ft - Product Approval Menu > Product or Application Search > Application List > Appimtion Detail Affairs FL # FL153 -R3 Application Type Revision Code Version 2007 Application Status Approved Comments Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368 -6922 Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 MLaFevre @cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368 -6922 Ext 208 Ralph @cws.cc Category Windows Subcategory Horizontal Slider Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Roberto Lomas the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL153R3 COI 510863IHS -6200 Eng Eva! Rep).pdf Referenced Standard and Year (of Standard) Standard Year AAMA /WDMA 101/IS2/A440 -05 2005 ASTM E1300 -04 2004 of 2 3/3/2009 11:01 AM • < W 4 A A W or S to m F. ' NW .. ¢ n t r 2 W J W a w2 w ¢ F p d � W t -! -� o m 0 0 i T 2 41 5 a ~ O 0 yl2 2 N w oQ� F 0 i 0 3 2 O ai Q W< g w " Q (7W W W 00 J U aH > > to 00 m 4 x ¢ gr m w 1 0 • fA d Q I I d � < LI W< 2 W t �¢ 0 !.. !, .1 • ' = t O W W H a W W < l � : Z �r 0 V W a W W u) a S 1� �/ W W 6 W 4-a t- 2 d! Y Y • ._ W U /4� 2 W W F ....17- 0 � ^ < W ¢ / LL m LL _ �d..' . • � 1 ' : 77 � � � { :.t'i L ztrU W W 1 j r 0 2 W Z m W Q r O ¢¢ 3 � � l/ � '^ V J �• y VA- N. FV 6 ZO RW < 2 W 2 LU W x2 00 . o � k a. , r 'O �, . '•. W ppp ...1 ".i.1.1;;,..-,. A� "' d V 220 co w W 3',, py m W § V� U i 4.Ji ri -y a Sf t�gV F• i0 ¢ ¢ w t'-O r- W d h 41. 6 • I . 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DA O■MATMEMT OP ■ ■ I l l Community Affairs .I�!4 .����:��a: PIMA SOME ABOUT DCA DCAPRDORAMIS CONTACT DCA BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search Product Approval 1 O USER: Public User Community ■ Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail >t6DAR4UtEtYPUSPINhlfil...:, FL # FL161 -R3 ►Ha18INa coMUTAUITV Application Type Revision oEveLoe rtrr Code Version 2007 l Application Status Validated MANAGEIENT ,cmc8oprie Comments Reviewed 3/8/09 • Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 MLaFevre @cws.cc • Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368-6922 Ext 208 Ralph @cws.cc Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Roberto Lomas the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL161 R3 COI 511038 (Eval Rep Guardian Door),odf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101/IS2 -97 1997 Equivalence of Product Standards Certified By Sections from the Code 1 of 2 3/9/2009 2:01 PM Florida Building Code Online http : / /floridabuilding.org/pr /pr_ app _dtl.aspx ?param= wGFVXQwtDq... L Product Approval Method Method 1 Option D Date Submitted 03/04/2009 Date Validated 03/04/2009 Summary of Products FL # Model, Number or Name Description 161.1 Guardian Hinged Door Guardian Hinged Door w/ Glazed Insert (Operable or Fixed). Limits of Use Installation Instructions Approved for use in HVHZ: No FL161 R3 II CWS -176A (Guardian Door).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: +40/ -40 Evaluation Reports Other: Not for use in HVHZ. Primarily used with Screen FL161 R3 AE 511038 (Eval Rep Guardian Door).pdf Rooms. Created by Independent Third Party: Yes 161.2 Guardian Hinged Door Guardian Hinged Door w/ Solid Core. Limits of Use Installation Instructions Approved for use in HVHZ: No FL161 R3 II CWS -242 (Guardian Door no olass).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: +40/ -40 Evaluation Reports Other: Not for use in HVHZ. Primarily used with Screen FL161 R3 AE 511050 (Eval Rep Guardian Door no Rooms. cilass).pdf Created by Independent Third Party: Yes ( Back' Next PCA 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 © 2000 -2005 The State of Florida. All rights reserved. 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