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HomeMy WebLinkAbout10-10093 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10093 BUILDING PERMIT Permit Number: 10093 Address: 39341 8TH AVE 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: 12- 26 -21- 0310 - 00000 -0540 Improv. Cost: 12,400.00 i.,. ; , _ = , fit Date Issued: 2/10/2010 Name: BELIAW EDWARD Total Fees: 170.00 Address: 39341 8TH AVE Amount Paid: 170.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/10/2010 Phone: (813)355 -3210 Work Desc: CONSTRUCT GAME ROOM A ALUMI •N -I I• LL B ILDIN 135.00 L - 1 AL EE 3 JAMES 0 MORTON ELECTRIC CO.,INC. --'' licc-Q _—S' l V els I/ 4 aslsvt:7-yq4woar,wp2a:;-z42r-=t , •4 F•• R 2N. - •U HPLOM: MI C IN U LA •N I LIN 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." 6jeg.... 2 r 4 4 1.- , �- L 104 let) CONTRACTOR SIGNATURE `) PERMIT OFFI rR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ke ttw,m (0 Date Received: 2- 3_/j Site: 3 ?J // 8 iii/( Permit Type: l 6 y/ g �j e1-hit i' /) I i_ed ," �J Approved w /no comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑ ce( P t - N C sod This comment sheet shall be kept with the permit and/or plans. i . ) "S"--/C, ,_1z..c M Kalvin Switzer — Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) Plan Review Game Room 39341 8 Ave. 1) All property markers shall be exposed and clearly marked at time of first inspection. 2) All set -backs shall be met. 3) Access shall be made available at time of inspection. 4) No electric, plumbing, mechanical or framing is to be covered without inspection and approval first. 5) 2007 F.B.0 and 2008 N.E.C. are enforced. 6) Carbon dioxide detectors required throughout the house per code. 7) All electrical outlets shall be tamper resistant and have an AFCI breaker. N.E.C. - National Electric Code R.O.W. - Right Of Way F.B.C. - Florida Building Code STATE OF FLif1DA, COUN'Y OF PASCO t z- 1 l'HiS IS TO CrER` IEY THATTH&FOREGOING ISA IRA' AND, CRRECT COI( OF THE DC UMENT IIillllIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ON FILE OR OF PUBL4d RECORD IN THIS OFFICE 2010016914 VvI1 NESS IfiiY HAND AND OFFICIAL SEAL THIS DAY 0F.' L� PAULA S. C )'NE,IL, CLERK & -CO iPTROLLER Rept :1287065 Rec: 10.00 DS: 0.00 IT: 0.00 BY __ 02/08/10 DEPUTY CLERK 02/08/10 K. Garcia, Dpty Clerk • NOTICE OF COMMENCEMENT PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER Permit No. 02/08/10 01:2m 1 of _ 907 1 OR BK 8254 PG 1907 Property Identification No. /62-- oLh -- di— AIM X OW — awo 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.)-C44074 attAr '4 a Ad /4 RAF 3 A Le - / - sY Ae f/ 93 AA a) Street Address: .3115'/ 1'' '!e i r q,, ' 2.General description of improvements: I' 3.Owner Information a) Name and address: 6 & 'edb G.lticf 313Y/ /'' 4. /4 /)A - 1353 / 44- b) Name and address of fee simple titleholder (if other than owner) N c) Interest in property 4.Contractor Information // �-/ /L[! a) Name and address:. Ct . it 1 a(,H►J�. ae 5'y 4 • /'/- /2 2904P /a � //� b) Telephone No.: Fax No. ( t,) 5.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6. Lender a) Name and address: Phone 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 Lien3r'sNotice 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 COMME CEMENT. STATE OF FLORIDA COUNTY OF PASCO X e 74.1..(. Signature of wner o% Owne Au o n e leer/Director /Manager d 0 J� /, 'a � 3 ar h/M Print Name ` f The for going instrument wa acknowledged before me this 13 E L' 1 a s OQJ/t2 /' day of 7 Ct / , 20 w , b in fact) for ( e of authority, e.g. officer, trustee, attorney / (name of party on behalf of who m strument wa xecuted). Personally Known OR Produced Identification // Notary Siglil.�_I , d"\ ______4/) Type of Identification Produced he-- �/ • Name ;print) <... , . �/ ;"mil ___ ,[iL___ Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read t • e foregoing and that the facts stated in it are true to the best of my knowledge and belief. 1A..r�. FORMS /NOC,rvsd2007 Signature of Natural Person Signing Ab • 11...- w - " O S TATE OF FLORIDA Sta cie Hartwig ��, �,, Commis #DD926164 ���, ?p OCT. 16, 2013 N TARY PUBLIC Bo TIM MTI.n rtc Bp1iD CO., IIiQ APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 11008-05 Residential Component Prescriptive Method B ALL CLIMATE ZONES I Compliance with Method 8 of Chapter 11 of the Florida Building Code, Residential or Subchapter 13-6 of the Florida Building Code, Building may be demonstrated by the use of Form 11008 for single -and multiple-family residences of three stories or Tess in height, and additions to existing residential buildings. To comply, a building must meet or exceed all of the energy efficiency requirements on Table 118 -1 and all applicable mandatory requirements summarized in Table 11B-2 of this form. If a building does not comply with this method, it may still comply under Method A of Chapter 11 or Subchapter 13-6 of the applicable code. PROJECT NAME: A e ' • ! 1 41 _ BUILDER: Ace Alum f n wt. AND ADDRESS: ' .34 ( 1 - e.. PERMxrnNG � 1Q rFi I S �1-L. OFFICE: 1, .Q. , OWNER: Ea I low k..,) PERT No. I JuR ISDICrION No.: 721h1ZI= 1. New construction including additions whrleef!!!t incorporate any of the folbwing features cannot comply using this method: steel stud wafts, single assembly roof/railing construction, or skylights or other nonvertical roof glass. 2. All in all the applicable spaces of the "To Be Installed" column on "Table 11B-1 with the information requested. Alt "To Be Installed" values must be equal to or more efficient than the required levels. 3. Complete page 1 based on the To Be Installed" column information. 4. Read "Minimum Requirements for All Packages ", Table 118 -2 and check each box to indicate your Intent to comply with all applicable items. 5. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form. Plisse Print CK 1. New construction or addition 1. f d d 1- f i on 2. Single- family detached or multiple- family attached 2. ,. f yl (( fo m 1) y 3. If multiple-family-No. of units covered by this submission 3. �J I 4. Is this a wdrsi case? (yes/no) 4. �� - -^ 5. Conditioned floor area (sq. fL) 5. 6. Glass type and area: C a U- factor 6a. J - b. SHGC 6b. - 35 c. Glass area 6c. 1 Sq. ft. 7. Percentage of glass to floor area 7. 5.2. X 8. Floor type, area or perimeter, and Insulation: 288 a. Slab -on -grade (R- value) 8a. R= lin.ft. b. Wood, raised (R- value) 8b. R= sq.ft. c. Wood. common (R- value) 8c. R= sq.ft. d. Concrete, raised (R- value) 8d. R= sq.ft. e. Concrete, common (R- value) Be. R= sq. ft. 9. Wall type, area and Insulation: a. Exterior: 1. Masonry (Insulation R- value) ga-1. R= sq. ft. 2. Wood frame (Insulation R- value) ga-2. R. 13 s ft. b. Adjacent 1. Masonry (Insulation R- value) 9b-i. =It_ sq.ft 2. Wood frame (Insulation R- value) 9b-2. R= e ] sq. ft. 10. Ceiling type, area and Insulation: a. Under attic (Insulation R- value) 10a. R= _ ft, b. Single assembly (Insulation R- value) 10b. R = 1 sq ft. - 11. Air distribution system: Duct Insulation, location 11a. R= (O Test report required if duct in unconditioned space 11 b.Teat report attached? Yes i, to 12. Cooling system: 12a. Type. rein rift (Types: central, room unit, package terminal A.C., gas. none) 12b. SEER/EER: 12c 13. Heating system: 13a. Type. porky (Types: heat pump, elec. strip, nat. gas, LP -Gas, gas h.p., room or PTAC. none) 13e. C SPF/COP / 7.7 14. Programmable thermostat installed on HVAC systems: 14. Y �itz 15. Hot water system: 15a. Type N/A (Types: elec.. nat. gas. LP -gas, solar. heat rec.. tied. heat pump, ocher. none) 15b. EF: !� 1 nerdy certify that the plans and specdlntions covered by the - Litton are in compliance with Review of plans and seedlike cowed Mien Indicates compliance with the Fbridf the Florida Energy Code. r Energy Code. Before co Is . tit bonding wig be inspected for compliance In ,I e ilk 1 aaordarke well Section 553. . F.S. PREPARED BY: A/ i I +U. '� DATE: � 1 I �� 1 BUILDING OFFICIAL' i hereby can , �. „, i✓ m compf rrt� jda Energy Cade: ./ OWNER AG . -- / DATE: c2-3 DATE: al `c V 2007 FLORIDA BUILDING CODE - BUILDING 13-0.23 Effective 3/1/2009 FORM 1100B -08 TABLE 11B -1 MINIMUM REQUIREMENTS (See Note 1) All Climate Zones BUILDING COMPONENT PERFORMANCE CRITERIA INSTALLED • Windows (see Note 2): U- factor = 0.65 U- factor= SHGC = O. 35 SHGC= %CFA < =16% %of CFA= '0.'676 Exterior door type Wood or insulated Type: 14301M-el Walls — Ext. and Adj. (See Note 3): �� Frame R -13 R -value = Mass Interior of wall: R -6 R -value = f (9 kd 1. Exterior of wall: R-4 R -value = •J Ceilings (see Notes 3 & 4) R -30 R- value'= g. /5 Floors: Slab -on -grade No requirement � f / Over unconditioned spaces (see Note 3) R -13 R -value = Pr Hot water systems (storage type) Electric (see Note 5): 40 gal: EF = 0.92 Gallons = Ii/ 50 gal: EF = 0.90 EF = Gas fired (see Note 6): 40 gal: EF = 0.59 Gallons = 50 gal: EF = 0.58 EF = Air conditioning systems (see Note 7) SEER = 13.0 SEER = Heat pump systems (see Note 8) SEER = 13.0 HSPF = 7.7 SEER = 1 3 HSPF = 7. 7- Gas furnaces AFUE = 78% AFUE = — Oil furnaces AFUE = 78% AFUE = ---- Programmable thermostat Must be installed on all HVAC systems Installed ? -EX 1ST Yes No ✓ Ductwork (see Note 9) Location: Unconditioned space R -6, Tested Unconditioned space R- value= Co Test report: Conditioned space NA Conditioned space Unvented attic assembly per R806.4 with R-4.2 R -value = insulation at the roof plane (No test report required) Air Handler location: Location: Unconditioned attic or garage Requires test report Test report: ,`t r, I/11_ Conditioned space or It Unvented attic assembly per R806.4 with No duct test required insulation at the roof plane (1) Each component present in the As -Built home must meet or exceed each of the applicable performance criteria in order to comply with this code using this method; otherwise Method A compliance must be used. (2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U- Factor and the maximum SHGC (Solar Heat Gain Coefficient) criteria and have a maximum total window area equal to or less than 16 % of the conditioned floor area (CFA), otherwise Method A must be used for compliance. Exception: Additions of 600 square feet (56 m or less may have maximum CFA of 50 percent. (3) R- Values are for insulation material only as applied in accordance with manufacturers' installation instructions. For mass walls, the interior (Int) requirement must be met unless at least 50% of the insulation value is on the exterior (Ext) or integral to the wall. (4) Attic knee walls shall be insulated to same level as ceilings and shall have a positive means of maintaining insulation in place. Such means may include rigid insulation board or air barrier sheet materials adequately fastened to the attic sides of knee wall framing materials. (5) For other electric storage volumes, minimum EF = 0.97 - (0.00132 * volume) (6) For other natural gas storage volumes, minimum EF = 0.67 - (0.0019 * volume) (7) For all conventional units witlm'capacities greater than 30,000 Btu /hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000 Btuthrsee Table 13- 607.AB.3.2A of the Florida Building Code, Building, or Table NI 107.AB.3.2A of the FBC- Residential. (8) For all conventional units with capacities greater than 30,000 Btu /hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000'Btu/hr see Table 13- 607.AB.3.2B of the Florida Building Code, Building, or Table N1107.AB.3.2B of the FBC- Residential. (9) All ducts and air handlers shall be either located in conditioned space or tested by a Class 1 BERS rater to be "substantially" leak free. "Substantially leak free" shall mean distribution system air leakage to outdoors no greater than 3 cfm per 100 square feet of conditioned floor area at a pressure differential of 25 Pascal (0.10 in. w.c.) across the entire air distribution system, including the manufacturer's air handler enclosure. TABLE 11B -2 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHEC)( Exterior joints & cracks N1.106.AB.1.2 To be caulked, gasketed, weather - stripped or otherwise sealed. r / Exterior windows & doors N1106AB.1.1 Max. 0.3 cfm/sq.ft. window area; 0.5 cfm /sq.ft. door area. Sole & top plates NI 106AB.2.1 Sole plates and penetrations through top plates of exterior walls must be sealed. 1/ Recessed lighting N1106.AB.1 :2.4 Type IC rated with no penetrations (two alternatives allowed) Multistory houses N1108.AB.1.2.5 Air barrier on perimeter of floor cavity between floors. Exhaust fans N1106.AB:1:3, Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. Water heaters N1112AB.3 Comply with efficiency requirements in Table N1112.AB.3. Switch or clearly marked circuit breaker electric or cutoff (gas) must be provided. External or built-in heat trap required for vertical pipe risers. Swimming pools & spas N1112AB.2.3.4 Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78 %. Heat pump pool heaters shall have a minimum COP of 4.0. Hot water pipes N 1112.AB.5 Insulation is required for hot water circulating systems (including heat recovery units). Shower heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 psig. HVAC duct construction, Ni110.AB All ducts, fittings, mechanical equipment and plenum chambers shall be mechanicalty insulation & installation attached, sealed, insulated and installed in accordance with the criteria of Section N1110.AB. Ducts in attics must be insulated to a minimum of R-6. HVAC controls N1107.AB.2 Separate readily accessible manual or automatic thermostat for each system. 13 -D.24 2007 FLORIDA BUILDING CODE — BUILDING • 813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 s Building Department �©7 3 Date Received ' 1..---.3 l ) Phone Contact for Permitting d43 7/1 __ Szil Owner's Name E Wvd—rO 4 e1 / Lai d'i Owner Phone Number Owner's Address `? 93 W IA /At Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address �i �� JOB ADDRESS 37357 il ee LOT # s y SUBDIVISION 'S-(cR r / l &dia fw 4t b PARCEL ID# 4 al -IWO - - d s 7o (OBTAINED FROM PROPERTY TAX NOTICE) III WORK PROPOSED NEW CONSTR ADD /ALT I SIGN I 1 MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I I OTHER 1 TYPE OF CONSTRUCTION n BLOCK I 1 FRAME 1 I STEEL 1 1 OTHER 1 I DESCRIPTION OF WORK 9 aim man�Poa/ roam BUILDING SIZE l & X l ." i SQ FOOTAGE b -O f HEIGHT BUILDING $ /el` 000 °L) VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ uoo • AMP SERVICE 1 1 PROGRESS ENERGY I 1 W.R.E.C. I I PLUMBING $ 7 PASCO PERtArr SE I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (813) 788.58114 FAX 1 - 868 - 8247394 I I GAS I I ROOFING I 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES [ NO BUILDER 1 Q� COMPANY ' A_ t i#* . 4 auk Lie SIGNATURE 0 �� REG ISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address V9e2- 4� ` ' G . T '/'l xi 2 - ' f 33 SYCPL License # ELECTRICIAN S ✓ k COMPANY /4 0 1e/A C6ti e- SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I • Address p • d • Q J X 13 37 2 i1 4 /! fc License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # (— MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) 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 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 1, 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 Tots 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 TTORNEY BEFORE R- CORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.0 A74 OWNER OR AGENT �� /�. - A-1; CONTRACTOR Subscribed and sworn tw(or affirmed}��,bbetor e t s /3 / Subsc bed and sworn to frirmed) be m this vT /Lby Ectii td 0 % W4/ by ViL 6 Who lit! personally known to me or hash duced %' Who is /are personally known to me or has /h produced as identification. f as t ica ion. Notary Public Notary Public Commission o. 0 �. ; �, , 1111 •� Commission o. NOTARY PUBLIC -STATE OF FLORIDA ' " Suzanne Bahr Suzanne Bahr Name of Notary typed, prig ; s sibn # DD601110 Name of Notary typed, Suzanne # DD601110 %,,,,'''' Expires: NOV. 15, 2010 ,, ,,.••` Expires: NOV. 15, 2010 BONDED THRU ATLANTIC BONDING CO., INC BONDED THRU ATLANTIC BONDING CO., INC ,. pp_ottuseb 1 /Io,CU' 6RM 1 9.40' E Xx577 LS, vu' 3, I -�-; a � a 1 a io,a) , 1 10, \ } - f- --,,-. l E S1, 8 GAk4 1 ao.00 °vII o i 3 y3 W ,i PkAl' E 6 Ec.z - .4 PI/J1/ Z, a 7 s1 S UIfis r ELs71J iS # ca- / b.1 -4 -0 e<3 /0 - 0000,% - as--/J APPROVED PRODUCT LIST 2007/2009 NAME/DESCRIPTION MANUF. PROD. # 3" RISER PAN TOWN & COUNTRY FL 9334 3" COMPOSITE PANEL METALS U.S.A. FL 2291 VINYL SIDING & SOFFIT STYLECREST FL 12231 HARDIE BOARD SIDING JAMES HARDIE FL 10477 WOOD WALL FRAMING: SP1 & SP2, STRIP TIES, H SERIES SIMPSON FL 10456 CONCRETE ANCHOR TITAN FL 2355 WOOD DECKS: JOIST HANGERS SIMPSON FL 10531 POST BASE & CAP SIMPSON FL 10860 WINDOWS & DOORS: SEE ATTACHED Florida Building Code Online http:// floridabuilding .org/pr /pr_app_dtl.aspx ?param= wGEVXQwtD... , y FLORIDA OEPART OP R ! tril 1�/ C o ity Affairs mmun . f i F CA HOMSE ABOUT DCA II:A PRoGRAIds cant mGTOGI, i - BCIS Horne j Log In I User Registration Hot Topics Submit Surcharge I Stets & Facts Publications , FBC Staff I BCIS Site Map j links Search ' , Product Approval ! ( ('1j �r7� - / USER; Publk User i a ' Community) C_J Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail •CDm1.AtNrry Puokmwo FL # FL163 -R2 t MODGINC. A i70�.tMINI Y Application Type Revision DENELaPMENr Code Version 2007 MANAGEMENT EMERGENCY Application Status Approved ,049,: oFTHE Comments SECRETARY . _ 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 Single Hung 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 FL163 R2 COI 510510A (Eng Eval Reo SH- 3500).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 3/4/2009 9:53 AM Florida Building Code Online http:// floridabuilding .orgpr /pr_app_dtl.aspx ?param= wGEVXQwtD... • Product Approval Method Method 1 Option D Date Submitted 11/10/2008 Date Validated 11/10/2008 Date Pending FBC Approval 11/14/2008 Date Approved 12/10/2008 Summary of Products FL # Model, Number or Name Description 163.1 3500 Single Hung 3500 Single Hung Limits of Use Installation Instructions Approved for use in HVHZ: No FL163 R2 II CWS -268A (SH- 3500).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: 3500 Single Hung Equal Lite H -050 55x91; 3500 FL163 R2 AE 510510A (Eno Eval Rep SH- 3500).pdf Single Hung Oriel H -C45 55x91 Created by Independent Third Party: Yes I Backl INextl 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) 414 -8436 © 2000 -2005 The State of Florida. 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FL # FL5262 - R1 G ommyry Application Type Revision DEVELOPMENT Code Version 2007 MaNnGEMEXT Application Status Approved )OFFICE OF pie C ommen t s if- SECRETARY' Archived Product Manufacturer Therma -Tru Corporation Address /Phone /Email 118 Industrial Drive Edgerton, OH 43517 (419) 2984740 sjasperson @tttechnologies.us Authorized Signature Steve Jasperson sjasperson @tttechnologies.us Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency National Accreditation & Management Institute, Validated By Ryan J. King, P.E. Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standard Year ASTM E330 2002 TAS 201, 202, 203 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 06/28/2008 Date Validated 10/24/2008 Date Pending FBC Approval 11/11/2008 Date Approved 12/10/2008 1 of 3 3/4/2009 10:12 AM - SSNVil05N09 0NIalIn9 " MO 9(2,00 i` 606£4 '.N 3'd 11VW4.6 'd e,opuai S310N 1W213N39 4' S321(1SS321d A8 SNOISIA32! 31Va ON 03 oo ' ,G..02 -n) - 7,/ --Z-.7 f N91330 N011W13/3 1701dA1. i vi 0 3 �I 099 'oN uolip 1V'Y ;0 A18Y13SSY 230 t+woui .I as Vd M F- 3 • N �I �aui9u3 louolscs ;ad ;o yoag op�oe3 d p L6L8'9S9'£l9 :'oN ouo4d 1 z N 46= '14 . OM ..13 •o•d c1000 SSW70213913 O g g 2 ? 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PPO14'MP'89 179ZS 29ZS- U \s DSM4 - G\80Zi Jd \OOEI - JOZS ram \vaPpA 33.I0.1d \4fad - v a Florida Building Code Online http: // floridabuilding. org /pr /pr_app_dtl.aspx ?param= wGEVXQwtD... • C m affairs re/SHORE- AnCrlit6CA STLaPRNnItnda . Occracsaca {{ I ` n '` �' - BCIS Home 1 Log In 1 User Registration Hot Topics Submit Surcharge 1 Stets & Facts 1 Publications 1 FBC Staff 1 BCIS Site Map 1 Links Search 1 1 ( Product Approval USER: Public User I Community Affairs - Product Aooroval Menu > Product or Application Search > Application List > Application Detail canonourrraLANNit4 - FL # FL163 -R2 ousiNG Nif Application Type Revision Deveio MENT Code Version 2007 004Enrurr 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 Single Hung 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 FL163 R2 COI 510510A (Eng Eval Reo SH- 3500).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 3/4/2009 9:53 AM Florida Building Code Online http://floridabuilding.org/pr/pr_app_dthaspx?param=wGEVXQwtD... Product Approval Method Method 1 Option D Date Submitted 11/10/2008 Date Validated 11/10/2008 Date Pending FBC Approval 11/14/2008 Date Approved 12/10/2008 Summary of Products FL # Model, Number or Name Description 163.1 3500 Single Hung 3500 Single Hung Limits of Use Installation Instructions Approved for use in HVHZ: No FL163 R2 II CWS -268A (SH- 3500).odf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: 3500 Single Hung Equal Lite H -050 55x91; 3500 FL163 R2 AE 510510A (Eno Eval Reo SH- 3500).ndf Single Hung Oriel H -C45 55x91 Created by Independent Third Party: Yes Back INextl 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) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. 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