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HomeMy WebLinkAbout10-10175 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10175 BUILDING PERMIT Permit Number: 10175 Address: 39048 10TH AVE Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12- 26 -21- 0090 - 00000 -0030 Improv. Cost: 9,987.14'_$ `® Date Issued: 3/09/2010 Name: RIDER, JANET L INTERVIVOS TRUST Total Fees: 120.00 Address: 39048 10TH AVE Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/09/2010 Phone: (813)782 -3414 Work Desc: 13 WINDOW REPLACEMENT A -- I 1 :UILDIN EE 120.00 \a 6(16t 3-2 / •• R 2 • - •U H'LUMB MIS 1 ULA I•N EILIN 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." fir /tr C CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER • _-�., �- I cam City of Zephyrliills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: V ` Site: 31 � Permit Type: la. Ce M4 -- 13 ` r """ " " Approved wino comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑ Lye C//67) S AFT This comment sheet hall b kept with the permit and/or plans. /D `,, • Kalvin Switzer — Pl xaminer Date Cr andomr (Requ .r when /or comment are present) FROM (FRI )MAR 5 2010 11 :05 /ST,11:05 /No. 6812609379 P 1 AGORA, CERTIFICATE OF LIABILITY INSURANCE DA 03/03120 0 FR0EUEER 813- 831.8889 THIS CERTIFICATE 18 ISSUED AS A MATTE OF INFOR RIP WEACHTER INSURANCE HOLDER, THIS CERTR•IFICATE RIGHTS DOES O T A EM THE CERTIFICATE RONALD AYERS ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4311 EL PRADO BLVD, TAMPA, FL 3$629 INSURERS AFFORDING COVERAGE _ NAIC II wsuNED INSURER A: BRIDGEFIELD EMPLOYERS INC _ SEAL -RITE, INC. INSURERS: NATIONWIDE INSURANCE _. _ 4030 S PIPKIN RD, INSURER C: SUITE 100 INSURER 0: ---I LAKELAND, FL 33811 I NSURER E . COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N AMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OA 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. POLICY EFFECTIVE POLICY UP/RATION LIMBS IINSR LN AD 6 R e► DPPOUIRANCP. M10 POLICY NUMBER . OATEfMlIj1(YI DATE IMAllOtlJVY1 LTR Zl' I OENERALLIABILITV EACH OCCURRENCE S 1 , 000 ,000 X COMMERCIALOENERAL LIABILITY 7709PR865537 -3001 03/30/2009 03/30/2010 PMISES[Ea occu e $ 50,000 I CLAIMS MADE I X OCCUR MEDEXP (Any oneperson) $ 5,000 PERSONAL ADV INJURY S 1 ,000,000 GENERAL AGGREGATE S 2,000,000 � _ — , _ .. • _ PRODUCTS . COMP/OP A04 $ _.. 1,000,000 GEN'L AGGREGATE LIMIT A PFLIESPER: _ POLICY PRO, LOC AUTOMOBILE LIABILITY CONJOINED SINGLE LIMIT $ 1 8 ANY AUTO AGP5903843753 02!10/2010 02/10/2011 (Ea , X ALL OWNED AUTOS BODILY INJURY $ (Per pew.) X 5 HEDULEO AUTOS X HIRED AUTOS BODILY INJURY S (Par actldera) X NON OWNEOA[1TOS PROPERTY DAMAGE 3 (Per accident) GARAGE LIABILITY AUTO ONLY • EA ACCIDENT 3 ANY AUTO OTHERTHAN EA ACC $ _.... AUYOONLY: AGO a EXCESS/UMBR ELLA LIABILITY EACH OCCURRENCE S I OCCUR CLAIMS MADE AGGREGATE - $ a DEDUCTIBLE --- S RETENTION $ WG �TATV�1• iiOTH• WORKERS COMPlN$ATION AND TORY LIMITEZI X ER A EMPLOYERS' LIABILITY 83037613 03/01/2010 03!01 /2011 E.L. EACH ACCIDENT $ 1,000,000 ANY PR OPRIETORIPARTNER /EX ECUTIVE CFFICERU,IEMBE14 EXCLUDED. E.L. DISEASE EA EMPLOYEE $ 1,000,000 pye E 9 U� PAL LP ISIOe UnCBr NS helew EL. DISEASE • POLICY LIMIT S 1 000 000 Sp OTHER pEBC RIFTION OF OPERATIONS/LOCATIONS/ VEHIC LEB /EXCLUSIONS ADDED BY ENDOR6EMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE AU• 13 ED POLICIES SE CANCELL80BEFORETH E EXPIRATION DATE THEREOF, TN - $U G I LINER WILL EP/P AYOR TO MAIL 10 DAYS WRITTEN CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT NOTICE TO THE C • TI AT 'OLD= NAMED TO THE LEFT, BUT FAILURE TO 00 60 SHALL IMPOSE NO 0. [I t OF ANY KM UPON THp INSURER ITS AGENTS OR 5335 8TH ST. REPRESENT pi,.. - ZEPHYRHILLS, FL 33542 AUTHORC� - EP - TA y . f ' ACORD CORPORATION 19$ A COR D 25 (2001 /08) , ,' Plan Review Windows & Doors 1) Need manufacturing installation specifications. 2) Must meet sections R308 and R612 of the 2007 F.B.C. 3) If windows are to be installed inside the historical district, they will need to be approved by the historical committee. 4) No other work shall be permitted (framing, plumbing, and mechanical) unless otherwise specified. 813- 780 -0020 City of Zephyrhills Permit Application `b( 7s Fax -813- 780 -0021 Building Department Date Received Phone Contact for Permitting 8 6 3 • .._ 1 1 Owners Name iJ . — • — . • Owner Phone Number 813 7 8 2 - 4 Owners Address 39048 10th Ave Z ephy rh i 1 1 S Owner Phone Number Fee Simple Titleholder Name N /A Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 39048 10th Ave Zephyrhi 1 1 s FT, 33549 LOT# SUBDIVISION Heather Wood PARCELID# 12- 26 -21- 0090 - 00000 -00 '10 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I SIGN 1 I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR I I COMM I XI OTHER I Wi ndnws 1 TYPE OF CONSTRUCTION n BLOCK 1 I FRAME I 1 STEEL I OTHER 1 DESCRIPTION OF WORK Window Replacement BUILDING SIZE SQ FOOTAGE HEIGHT I 1 BUILDING $ 9,987.14 VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. 1 1 PLUMBING $ 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION pi GAS 1 1 ROOFING I I SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 11YES 1 INO C4 BUILDER y / ' am COMPANY Seal -Rite, Inc SIGNATURE ( ��� ��\ REGISTERED Y / N FEE CURRENT Y ! N Address 4030 S. Pipkin Rd., 4100 Lakeland License# fie. 0 4 - 3 7 -I ELECTRICIAN COMPANY SIGNATURE N /A REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE N/A REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE N /A REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N I Address License # OTHER COMPANY SIGNATURE N /A REGISTERED I Y/ N 1 FEE CURRENT 1 "'I 1 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 Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.0 OWNER OR AGENT CONTRACTOR // , , / / ,� GLv`. Subscribed and swom to or affirmed before m this Subscribed an sworn (r ffirmed) ,F re me this Woodrow A rc by F P r) 23, 2Q�Q Feb 23 2%1 OE . Jo Harlan Who is /are personally known to me or has/have produced Who is/are personally known to me o shave produced FL Driver's T,i C•Pnse as identification. FL Driver's Li as identification. .u-• ∎ • f CA A ,I. 1 \ ietgry Public a `�� i . - Notary Public Commission No. • / - Karen M. A er •;ice .' ''• KAREN M. AY �' _, M A P r s 4 ' ' KAREN M. AYERS Name of Notary typed, printed ors d !�� :a_ ion ' �'.� "? ' - ry -d, pnnt d or stamped : i `�� e'` _- Commission # DD 9 36052 -;;.!-t.: a Expires October ., 2013 ,► '� ' Ex October . , X019 pd ; Bonded Tin Troy FYn Imuance 800-385-7019 fjs;,, T Troy Pasco County Parcel: 12- 26 -21- 0090 - 00000 -0030 001 Page 1 of 2 . Data Current as Of: I Weekly Archive - Saturday, February 13, 2010 Parcel ID 12- 26 -21- 0090 - 00000 -0030 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Final 2009 Value RIDER JANET L INTERVIVOS TRUST Ag Land $0 39048 10TH AVE Land $16,112 ZEPHYRHILLS FL 33542 -4429 Building $87,529 Physical Address Extra Features $10,517 39048 10TH AVE ZEPHYRHILLS FL 33542 -4429 Market Value $114,158 Assessed (Save Our Homes) $71,656 Legal_Description (First 4 Lines) Homestead 196.031 $25,000 Non - School Additional Homestead Exemption - $21,656 See Plat for this Subdivision ,+1" HEATHER WOOD PB 24 PG 117 Non - School Taxable Value $25,000 LOT 3 School District Taxable Value $46,656 OR 3925 PG 221 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use IIDescription I Zoning I Units I Type I Price II Condition Value 1 I 0100 II SFR I 00R2 1 6,978.00 II SF 1 $2.43 II 0.95 I $16,112 I Additional Land Information Tax Acres 0.16 Area 3Q Code X Residential Code Commerical Code SBSD.STB. B uilding Infor mation - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1988 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 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 I Line III Description ( Sq. Feet II Repl. Cost New I 1 BAS I 1,548 II $105,032 I 2 FST 1 240 11 $8,142 Extra Features (Card: 001 of 001) Line Description I Year Units Value 1 SWC 1 1988 138 $202 2 CON_PTO 1 1988 440 $644 i I 3 PO 6 11 1996 288 1 $4,781 I 4 COOL DK I 1996 I 517 I $1,582 0 1 I 5 SCRN -AF 1 1996 I 1,269 $1,332 \' 6 DCFENCE II 1996 768 $287 Alk I 7 DWC I 1997 I 796 $1,234 i I 8 UDU -M II 2003 I 1 I $455 Sales History Previous Owner 1 RIDER JANET L Year II Month I B ook /Page 11 Type 1 Amount 1998 II 04 11 3925/0221 11 QC II $ 11 11 11 II http: / /www.appraiser.pascogov. com/ search /parcel.aspx ?sec= 12 &twn= 26 &rng =21 &sbb =0... 2/19/2010 Pasco County Parcel: 12- 26 -21- 0090 - 00000 -0030 001 Page 2 of 2 T I 1996 II 10 II 365 II WD. II $70,000 I 1987 II 03 II 1590.1.1486. 0 .w . $13,200 http : / /www. apprai ser.pascogov. com/ search /parcel. aspx ?sec =12 &twn= 26 &rng =21 &sbb =0... 2/19/2010 Pasco County Tax Collector Parcel Search Result Page 1 of 1 • • mike Olson TAX COLLECTOR PASCO c:t�t. r�• FLORIDA HOME 1 Real Estate Search 1 Tangible Search Business Tax Receipt Search Tax 1 Driver License 1 Motor Vehicle 1 Boat 1 Business Tax Receipt 1 Fishing /Hunting License 2008 Pasco County Tax Certificates Now Available for Purchase A 18% Real Estate Property Search Results CURRENT AS OF: 02/18/2010 19:00:34 • * ** THE INFORMATION CONTAINED HEREIN DOES NOT CONSTITUTE A TITLE SEARCH AND SHOULD NOT BE RELIED ON AS SUCH. ADDITIONAL LIENS AND DELINQUENCIES MAY EXIST THAT ARE NOT INCLUDED BELOW. THE PASCO COUNTY TAX COLLECTOR ACCEPTS NO RESPONSIBILITY FOR THE ACCURACY OF THE INFORMATION PROVIDED. ALL FIGURES ARE SUBJECT TO CHANGE OR CORRECTION.(SEE FLORIDA STATUTE 197.122 Parcel ID 2009 Tax Year 12 26 21 0090 00000 0030 ASSESSED VALUE 71,656 Owner of Record HMSTD EXEMPT 25,000 RIDER JANET L INTERVIVOS TRUST ADD'L HMSTD EX 21,656 39048 10TH AVE OTHER EXEMPT ZEPHYRHILLS FL 33542 -4429 NON -SCH TAX VALUE 25,000 Physical Address SCHOOL TAX VALUE 46,656 AREA 30ZH 39048 10TH AVE MILLAGE 20.09459 Legal Description (Fi 4 Lines) GROSS TAX HEATHER WOOD PB 24 PG 117 (INCLUDING SPECIAL DISTRICTS) 723.32 LOT 3 Special Districts OR 3925 PG 221 SOLID WASTE 62.00 Mail To Information PASCO COUNTY STREETLIGHT SAME AS ABOVE PASCO COUNTY STORMWATER Escrow Code Current Tax NONE DATE RECEIPT AMOUNT PAID 11/25/09 584302 694.39 Tax Lien (Homestead Denial) NONE Unpaid Delinquent Taxes NONE Search Again PAYMENT HISTORY HEW Appraiser's Information Appraiser's Map Delinquent Map Delinquent Map Information O 1 webmasrer 1 HOME 1 Real Estate Search 1 Tangible Search 1 Business Tax Receipt Search Tax 1 Driver License 1 Motor Vehicle 1 Boat 1 Business Tax Receipt 1 Fishing /Hunting License http:// www. pascotaxes .com/Search/prclmain.asp ?Parcel= 1226210090000000030 2/19/2010 • i i • ► ►11111 I IIII IIIII IIIII {II II IIIII IIIII IIIIl 111 ll it 111 1111 ►III 2010025574 Rept:1289999 Rec: 10.00 DS: 0.00 IT: 0.00 02/23/10 D. Robinette Dpty Clerk NOTICE !CE OF COMMENCEMENT PgULR a 0 NEIL, • PR�SCO CL 6 COMPTROLLER V 020R3BK 2 ! 5 PG 115 115 Permit No. # 12 -2A -a1 -0090- State: FTC-- County: Tax Folio /Parcel ID: 000 00 -0030 The undersigned hereby gives notice that Improvement will be made to certain real property. In accordance with Chapter 713, Florida Statutes, the following information Is provided In the Notice of C RR 33c� 2 PG2 21 a Lat PS 2�1 PG 1. Description of pr. • ', (h9 I d�scriptlon, I y jblo �, and str= -t a� reds if avails • e •G � sP 2. General description of improve nt ,i l G . p : 1i � al � ■ 3a. Owner name/address: � � L i/ / / i. 3b. Interest in property: 3c. Name and address of fee el • I /) = holdr (if other than owner): 1 �� - Ellen M. J. • - Harlan 4, Contractor -� lift- Name an / / /.�/� S/J/.I rz d dd as: / //JJ�� / /' 863 701- • 00 5. Surety -Name and Address: A fit 1 -- Amount of bohd: — . _ 6. Lender- Name and Address: AL/ 7. Persons within the State of Florida Fl designated ated by 0 ner • • n whom notices or other documents may be served as provided by Section 713.13(1)(a) - • 8. In addition to him /herself, Owner designates the following person(s) to receive a copy of the Llenor's Notice as provided In Section 713,13(1)(b), Florida Stat - • -•vide Name/Malling Address): L// 9. NoC expiration date (one full year from the date of recording unless 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 1, SECTION 713.13, TO YOUR PROPER. FLORIDA A NOTICE OF COMMENCEMENT MUST BE RECORDED NAND POSTED ON THE JOB S BEFORE THE F RSTTM TVVICE FOR NS FORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEM T, I ATTORNEY 4I —,.•/_ .. Ado* Date (J 0 r gnature o.. • ner (or Owner's Authorized Officer! • • irector /Pa . er /Manager) George Ness Q W Z U � en W O CO w STATE OF FLORIDA f /y7 V C7 W CO Q III U County of `� ,, „/� a Z U Q p I } - The foregoing Instrument was acknowledged before me this day of 1 , 2 by W U ( w N d w (print name of person) as ,2' , I D+-1 .1'Pr L a T; n (type of it- L W _Z U I- o George Ness (P on auiTOin fact) for RS behalf of whom instrument eves executed). Commission# DD 936052 Expires Octob26,2013 a W J TtY O F- 0 rt Notary Public Karen M Ayers U S O O Z lL ' (Seal) G U Personally Known -OR- Produced Identlflcation F T nr; 3 er' s License O 0! rx u = Q W Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, 1 declare that I -J O Q M 3 O have read the foregoing and tharthe facts stated In It are true to the best of my knowledge and belief. O z O co Z Prepared By : Karen Ayers W co a _, W Return. To: Seal -Rite, Inc. Q j u_ Z • • .y 4 030 S. Pipkin Rd., Suite 10b 1� = LY Z H ignatur Natural Person Signing Above Lakeland, FL 33811 f13 t - F - O d 03 George Ness SEAL RITE, INC. 4030 South Pipkin Road, Suite 100 Lakeland, Florida 33811 (863) 701-7900 AUTHORIZATION FOR BUILDING PERMIT AND POWER OF ATTORNEY SEAL RITE, INC. AUTHORIZES Woodrow Ayers TO OBTAIN A BUILDING PERMIT FOR WORK TO BE PERFORMED ON: CUSTOMER: Janet L Intervivos Trust ADDRESS: 39n 4R 10th pyre Zephyrhill s FL 33542 PROPERTY DESCRIPTION: Heather Wood PB 24 PG 117 Lot 3 OR 3925 PG 221 CONTRACT PRICE: $ 9, 987 1 4 AUTHORIZATION ��))�� � k 1 i con 1-`=t l -� C�.- ELLEN M. JO SON - HARLAN STATE OF FLORIDA CBCO23215 COUNTY OF Pasco SWORN TO AND SUBSCRIBED BEFORE ME THIS 2 3rd DAY OF February 2010 BY ELLEN M. JOHNSON- HARLAN WHO HAS PRODUCED FLORIDA LICENSE #J525- 202- 44 AND DID NOT .014 KAREN M. A YERS TAKE ANY OATH. Commission A # DD 936052 Expires October 26, 2013 , ? .. ∎` Bonded 1185 Troy Fan Insurance 800 - 385 -7019 MY COMMISSION NUMBER: MY COMMISSION EXPIRES: NOTARY Karen . Ayers License # CBCO23215 p ty+�f �Y1 K' £, c c W O D �° o° a. n 1..,:c1'.1 n v' n E m ," ° '0 - a O a m £ Dl o o„ o 'J °1 g m a ,B 2� n m M . �. � n 2 h n P _ a °' 9 ° Ft'n 'P [+7 GE o d Pam m O' r' 0 - 0 0 - 'O N _ ^ ,- '^ E E. ° Ia £ n ° H 4 43 'I. ^ Y 7C ] o y y n g = o - s w . m c o ,•• H y g n . o g . Y d P. ° n Y `t''R ^ v _ _ ' RC ., e. a 9 c F F. „ m c °° , . '� .. n .. - ° r ig f • • , t y x1 .y.byC B m a • 2 a3 ?.a n ; B 3 a. 3 = c c, o o g _ w 2a ° �.P o � P000 9 r= = § ° _ o a I d I I � I � �i I'ch - I ° o • �' "� �_ w y or 9 i, E o'o ° "3 gq N m _ .� E m S • r% 0. h E.; o (l O t-', s P. y d Li ! I' J = c r. m o o . $ m 5 O m rv= n$ s ■ Fi d o ° 3 P 3 _> c E G- , c4 n 2 CO' b7 ° ° c ; : i :1 ° ° • ? a ;. o s €o n e. = s a il 3 0 P. 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N ) D D P T rn Z r rn w w Cn rn A � N O W 0 70 N 1 N N D0 00 v rn U1 -P. w N N r V m W N I- O rn - N 7 00 y w w w w w v1 U1 Cn w- w w n r- D n Ql Q1 Q1 c1 Ln N N N W W 00 00 CO W D Z r m I- N 1-A I- I- W W V O v Z 7 m N N N N p N O D 70 X W m O m ∎I > _ -I N r X X X X X X X X X X X X X O uj o Z Z O co N n w w w LD u' Lc Lo Lo Lo LD LD up u m Z J i o C O 00 00 0 O C C ,-' O O O O O O O O O n 0 0 0 C c c c c c c c c-I c c c W W W W CO CO CO CO CO z W co co E m rn m rn rn rn m m rn Z S I 5 2 i i i 2 2 2 2 2 0 m C C c c c c c c c cc Z Z Z Z Z Z Z Z Z Z Z Z Z , ..r, o NA Z C cl CJ C cn -- 0 rn co m 71 O N = 0 m w 1 = Q N ,V) D D - Ti m m r - W w Z U'1 m N N N Florida Building Code Online Page 1 of 5 :" ` ^ T �:. . .. sue` '� =,x fr- g O Aar BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publicatii Product Approval USER: Public User Communi Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail t FL # FL8134 -R4 Application Type Revision Code Version 2007 Application Status Approved Comments INFO a ', + Archived Product Manufacturer Alside Window Company Address /Phone /Email 3773 State Road Cuyahoga Falls, OH 44223 (330) 922-2108 rickw ©rwbldgconsultants.cc Authorized Signature Marsh Fernbaugh rickw ©rwbldgconsultants.cc Technical Representative Marsh Fernbaugh Address /Phone /EmaiI DATE 3773 State Road CITY OF ZEPHYRMILL ahoga Falls, OH 44281 mfernbaugh @alside.com PLANS EXAMINER Quality Assurance Representative Address /Phone /Email Category AIL ' SII: LL COMPLY V\karitIctiOws Subcategory i "1;',NAILING CODES, FLORiftb!o 1 'F-i.ing CODE. NATIONAL i;LECY SIC COLE Ar' OF ZEPITYR111L1.S 0 D1NANCE Compliance Method Evaluation Report from a FI Florida Professional EngineE Evaluation Report - Han http: / /www.floridabuilding.org /pr /pr_ app_ dtl. aspx? param= wGEVXQwtDqul jdteSXaTw %... 2/22/2010 Florida Building Code Online Page 2 of 5 Florida Engineer or Architect Name who Lyndon F. Schmidt, P.E. developed the Evaluation Report Florida License PE -43409 Quality Assurance Entity Architectural Testing, Inc. Quality Assurance Contract Expiration Date 12/31/2011 Validated By Ryan J. King, P.E. Validation Checklist - Ht Certificate of Independence FL8134 R4 COI Certificate Referenced Standard and Year (of Standard) Standard 101 /I.S.2 AAMA /W DMA /CSA101 /I. S. ; Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 12/29/2009 Date Validated 01/04/2010 Date Pending FBC Approval 01/07/2010 Date Approved 02/02/2010 Summary of Products FL # Model, Number or Name Description 8134.1 a. Model 0201 Extruded Vinyl Do Limits of Use Installation Inst Approved for use in HVHZ: No FL8134R4_II_IN I Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 8134.1 for Design Pressure Ratings, FL8134R4AEE any additional use limitations, installation instructions Created by Indep and product particulars. 8134.2 b. Model 0301 Extruded Vinyl Do "Non- Impact" http://www.floridabuilding.org/pr/pr_app dtl.aspx?param=wGEVXQwtDqu 1 j dteSXaTw %... 2/22/2010 , Florida Building Code Online Page 3 of 5 Limits of Use Installation Inst Approved for use in HVHZ: No FL8134_R4_II_II\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 8134.2 for Design Pressure Ratings, FL8134_R4_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 8134.3 c. Model 0401 Extruded Vinyl Do Limits of Use Installation Inst Approved for use in HVHZ: No FL8134R4_IIIIN Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 8134.3 for Design Pressure Ratings, FL8134R4AEE any additional use limitations, installation instructions Created by Indep and product particulars. 8134.4 d. Model 0501 Extruded Vinyl Do Limits of Use Installation Inst Approved for use in HVHZ: No FL8134_R4_II_II\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 8134.4 for Design Pressure Ratings, FL8134_R4_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 8134.5 e. Model 0601 Extruded Vinyl Do Limits of Use Installation Inst Approved for use in HVHZ: No FL8134R4_IIII\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 8134.5 for Design Pressure Ratings, FL8134_R4_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 8134.6 f. Model 8001 Extruded Vinyl Do Limits of Use Installation Inst Approved for use in HVHZ: No FL8134_R4_II_It\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 8134.6 for Design Pressure Ratings, FL8134_R4_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 8134.7 g. Model 9001 Extruded Vinyl Do Limits of Use Installation Inst Approved for use in HVHZ: No FL8134_R4_II_II\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep http:// www. floridabuilding. org/ pr/ pr_ app_dtl.aspx ?param= wGEVXQwtDqu1 jdteSXaTw %... 2/22/2010 Florida Building Code Online Page 4 of 5 Design Pressure: N/A Evaluation Repo Other: See INST 8134.7 for Design Pressure Ratings, FL8134R4 any additional use limitations, installation instructions Created by Indep and product particulars. 8134.8 h. Model "i" -201 Extruded Vinyl "Ti Impact" Limits of Use Installation Inst Approved for use in HVHZ: No FL8134_R4_II_Ii\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 8134.8 for Design Pressure Ratings, FL8134_R4_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 1 8134.9 i. Model V101 Extruded Vinyl Do "Non- Impact" Limits of Use Installation Inst Approved for use in HVHZ: No FL8134_R4_II_IN Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 8134.9 for Design Pressure Ratings, FL8134R4_AE_E any additional use limitations, installation instructions Created by Indep land product particulars. 18134.10 j. Model V121 Extruded Vinyl Tw Mullion and Nail Fi Limits of Use Installation Inst Approved for use in HVHZ: No FL8134_R4_II_IN Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 8134.10 for Design Pressure Ratings, FL8134_R4_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 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) 414 -8436 © 2000 -2010 The State of Florida. All rights reserve Privacy Statement 1 Copyright Statement 1 Accessibility Statement 1 Plug -in Software 1 Product Approval Accepts: http:// www. floridabuilding .org /pr /pr_app_dtl.aspx? param= wGEVXQwtDqul jdteSXaTw %... 2/22/2010 Florida Building Code Online Page 5 of 5 Vcr S g Secured 1 VERIf http: / /www.floridabuilding.org /pr /pr_ app_ dtl. aspx? param= wGEVXQwtDqul jdteSXaTw %... 2/22/2010 SNl s1HV_CInsn00 ONIOling 'M'U 500E • I•£t ' ON '3'd '1P! 'd 0 (4 ,04 1 SNOISIA3N �_ S310N 11163N30 5321(ISS3ad A8 31VO 'ON H N NOIS30 N011V313 1V01d,U o L £L96 ON u0ODZN04loY )O .loOINy00 N V) Q L. 't .00!6(13 Io(1OI...)°-d )O p.00 Opuold :Al8W0SSV 80 lhVd N h -- n o L616' 6S9'£l9 '°N . . Z z .- s££ 'id O OA o£Z .9 'o'd� l MOONIM ONlW JlOnoa i ONI 'SINV1lf1SNOO ONIO1If18 Z9 Li ...(9 p.,od..id .1u.uunooa : lonaoad a g% u g H u^. W O co O 0 0 O Q ( 04 'R Ln ^O u) in 01 W j O O O O O O 1 \ J .. +v+L+C) ++++. w `' `' M o0 M el M 03 X y 0 0 O M co N N M N '` '` ..iZ.. 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U a W X il-1 O O Z O ¢J w w U U,U U w w O U Z ct U 411 es w ri w a �, N N m Z ”' j w w o F U Q K 4 N Q -, -, m G 8 " U o w 0 [ Lu - I N 2 U O m p ''' w O Q U A Z O CV CV .6 < O ce K Z (. Q Z O w Y w ± re Z= Ir o <L D m x00 P o 0 0¢ N ¢ z t- < U °; 79 O 5 3 w a a v) x g .A a = Z ,7' '<' Q , CI e-, m (� 3 OJ u C) Z U ¢ K w w ct G m U 0 w t..1_ u— co v, o o , 0— CN M c �n , 0 N co rn L m O * O L AC'Sop3•4£I8 \bET8 \s 76M6 - 0 \£LO Jd \ODES -TC21 lam \siapiod pafmd \spafoid - v \:0 R W R W Building Consultants, Inc. B Consulting and Engineering Services for the Building Industry P.O. Box 230 Valrico, FL 33595 Phone 813.659.9197 Florida Board of Professional Engineers Certificate of Authorization No. 9813 Product Evaluation Report Report No.: FL- 8134.5 R4 Date: December 16, 2009 Product Category Sub Category Manufacturer Product Name Alside Window Company Model 0601 Window Double Hung 3773 State Road Extruded Vinyl Cuyahoga Falls, OH 44223 Double Hung Window Phone 330.922.2108 "Non- Impact" Scope: Product Evaluation report issued by R W Building Consultants, Inc. & Lyndon F. Schmidt, P.E. (System ID # 1998) for Alside Window Company., based on Rule Chapter No. 9B- 72.070, Method 1A of the State of Florida Product Approval, Dept. of Community Affairs - Florida Building Commission. RW Building Consultants and Lyndon F. Schmidt, P.E. do not have nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. Limitations: 1. This product has been evaluated and is in compliance with the 2007 Florida Building Code structural requirements excluding the "High Velocity Hurricane Zone ". 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressing or stucco. 3. When used in areas requiring wind borne debris protection, this product is required to be protected with an impact resistant covering that complies with Section 1609.1.2 of the Florida Building Code. 4. Site conditions that deviate from the details of drawing FL- 8134.5 require further engineering analysis by a licensed engineer or registered architect 5. For 2X stud construction, anchoring of the assemblies shall be as shown for 2X buck masonry construction. 6. See drawing FL- 8134.5 for size and design pressure limitations. Supporting Documents: 1. Test Report No. Test Standard Testing Laboratory Signed by ATI 55535.01 501 - 47 ANSI /AAMA/NWWDA 101/I.S.2 - 97 Architectural Testing, Inc. Michael L. Mackereth 2. Drawing No. Prepared by Signed & Sealed by No. FL 8134.5 RW Building Consultants, Inc. (CA #9813) Lyndon F. Schmidt, P.E. 3. Calculations Prepared by Signed & Sealed by Product Anchoring RW Building Consultants, Inc. (CA #9813) Lyndon F. Schmidt, P.E. Buck Anchoring RW Building Consultants, Inc. (CA #9813) Lyndon F. Schmidt, P.E. 4. Quality Assurance Certificate of Participation issued by Architectural Testing, Inc., certifying that Alside Window Company is manufacturing products within a quality assurance program that complies with ISO /IEC 17020 and Guide 53. Lyndon F. Schmidt, P.E. FL PE No. 43409 December 17, 2009 PF 1273 Sheet 1 of 1 Florida Building Code Online Page 1 of 6 ito . 01.41 a n r "atTwrMrg BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publicatii Product Approval t � USER: Public User om m unity Affairs 7 Product Approval Menu > Product or Application Search > Application List > Application Detail � FL # FL9834 -R3 Application Type Revision 3' Code Version 2007 Application Status Approved Comments Archived Product Manufacturer Alside Window Company Address /Phone /Email 3773 State Road Cuyahoga Falls, OH 44223 (330) 922-2108 rickw @rwbldgconsultants.cc Authorized Signature Vivian Wright rickw @rwbldgconsultants.cc REVIEW DATE -1- ° Technical RepresentativA Ty OF ZEPHYRHILL Address /Phone /Email PLANS EXAMINER \ - S Quality Assurance Representative Address /Phone /Email Category ALL WORK SHALL COIPLI hTib 4 Subcategory PREVAILING CODES, FLORID JILDI'.'G CODE, NATIONAL ELECTRIC COLE A CITY OF LEPI-IYRHILLS ORDINANCE; Compliance Method Evaluation Report from a FI Florida Professional Engine€ Evaluation Report - Har Florida Engineer or Architect Name who Lyndon F. Schmidt, P.E. developed the Evaluation Report http: / /www. floridabuilding.org /pr /pr_app_dtl. aspx? param= wGEVXQwtDdts8kfUAG %2f0... 2/22/2010 Florida Building Code Online Page 2 of 6 Florida License PE -43409 Quality Assurance Entity Architectural Testing, Inc. Quality Assurance Contract Expiration Date 12/31/2011 Validated By Ryan J. King, P.E. Validation Checklist - Hi Certificate of Independence FL9834 R3 COI Certificate Referenced Standard and Year (of Standard) Standard ANSI /AAMA /NWWDA 101 /I Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 12/29/2009 Date Validated 01/04/2010 Date Pending FBC Approval 01/07/2010 Date Approved 02/02/2010 Summary of Products FL # Model, Number or Name Description 9834.1 a. Model 0104 Extruded PVC No Fin Limits of Use Installation Inst Approved for use in HVHZ: No FL9834_ R3_II_II\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.1 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 9834.2 b. Model 0170 Extruded PVC No Fi n Limits of Use Installation Inst Approved for use in HVHZ: No FL9834_ R3_ II_ IN Approved for use outside HVHZ: Yes Verified By: Lynd http:// www. floridabuilding .org /pr /pr_app_dtl.aspx? param= wGEVXQwtDgts8kfUAG %2f0... 2/22/2010 Florida Building Code Online Page 3 of 6 Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.2 for Design Pressure Ratings, FL9834 R3 any additional use limitations, installation instructions Created by Indep and product particulars. 19834.3 c. Model 0204 Extruded PVC No Limits of Use Installation Inst Approved for use in HVHZ: No FL9834R3_II_IN Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.3 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep land product particulars. 19834.4 d. Model 02A4 Extruded PVC No Limits of Use Installation Inst Approved for use in HVHZ: No FL9834_R3_II_I(\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.4 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 9834.5 e. Model 0404 Extruded PVC "No Limits of Use Installation Inst Approved for use in HVHZ: No FL9834_R3_II_IF\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.5 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 19834.6 f. Model 0504 Extruded PVC No Limits of Use Installation Inst Approved for use in HVHZ: No FL9834_R3_II_IF\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.6 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 1 19834.7 g. Model 0604 Extruded PVC No Limits of Use Installation Inst Approved for use in HVHZ: No FL9_834_R3_II_IN Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.7 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep http : / /www. floridabui ldi ng. org /pr /pr_app_dtl . aspx ?p aram =wGE V XQ wtDgts 8 kfUAG %2 f0... 2/22/2010 Florida Building Code Online Page 4 of 6 l and product particulars. 11 19834.8 h. Model 0614 Extruded PVC "No Limits of Use Installation Inst Approved for use in HVHZ: No FL9834 Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.8 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 9834.9 i. Model 0704 Extruded PVC "No Fin Limits of Use Installation Inst Approved for use in HVHZ: No FL9834_R3_II_IIN Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.9 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 9834.10 j. Model 0970 Extruded PVC "No Limits of Use Installation Inst Approved for use in HVHZ: No FL9834_R3_II_II\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.10 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 9834.11 k. Model 8014 Extruded PVC "No Limits of Use Installation Inst Approved for use in HVHZ: No FL9834_R3_II_II\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.11 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 19834.12 I. Model 9014 Extruded PVC "No Limits of Use Installation Inst Approved for use in HVHZ: No FL9834R3_II_II\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.12 for Design Pressure Ratings, FL9834 any additional use limitations, installation instructions Created by Indep land product particulars. ;19834.13 m. Model 3104 Extruded PVC "No IILimits of Use ll Installation Inst http: / /www.floridabuilding. org /pr /pr_app_dtl.aspx ?param= wGEVXQwtDgts8kf UAG %2f0... 2/22/2010 Florida Building Code Online Page 5 of 6 • Approved for use in HVHZ: No FL9834_R3_II_IN Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: N/A Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.13 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 9834.14 n. Model 3104 Extruded PVC "No Fin Limits of Use Installation Inst Approved for use in HVHZ: No FL9834_R3_II_IN Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.14 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 9834.15 o. Model "i" 204 Extruded PVC "No Limits of Use Installation Inst Approved for use in HVHZ: No FL98.34_R3_II_IN Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.15 for Design Pressure Ratings, FL9834R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. j 9834.16 p. Model "i" 970 Extruded PVC "No Limits of Use Installation Inst Approved for use in HVHZ: No FL9834_R3_II_Ir\ Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.16 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 9834.17 q. Model V114 Extruded PVC "No Fin Limits of Use Installation Inst Approved for use in HVHZ: No FL9834 R3_II_IN Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.17 for Design Pressure Ratings, FL983.4_R3AE_E any additional use limitations, installation instructions Created by Indep l and product particulars. 9834.18 r. Model V204 Extruded PVC "No Fin Limits of Use Installation Inst Approved for use in HVHZ: No FL9834_R3_II_IN http : / /www. floridabuilding. org /pr /pr_app_dtl. aspx? param =wGE V XQwtDgts 8kf UAG %2f0... 2/22/2010 Florida Building Code Online Page 6 of 6 Approved for use outside HVHZ: Yes Verified By: Lynd Impact Resistant: No Created by Indep Design Pressure: N/A Evaluation Repo Other: See INST 9834.18 for Design Pressure Ratings, FL9834_R3_AE_E any additional use limitations, installation instructions Created by Indep and product particulars. 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) 414 -8436 © 2000 -2010 The State of Florida. All rights reserve Privacy Statement 1 Copyright Statement 1 Accessibility Statement 1 Plug -in Software Product Approval Accepts: 07 PA EChe k 0 Ynr1yn Sacu VERIFY http: / /www. floridabuilding .org /pr /pr_app_dtl.aspx? param= wGEVXQwtDgts8kfUAG %2f0... 2/22/2010 ON' 5,N01,15 N170 oNiavne M a SOLI. a 91£1 'oN '3'd '1 %1.11.5 '3 opu.(l SNOISIA3a S310N ltM3N30 2 2 53811SS38d f - p• 2 1 NOIS30 'NOI1VA313 1VOId.U. l8 31V0 ON o vi • Y N c°. 41 £196 'ON uotlozl� /O yoolyf- 3 M I- J I') o .....6u3 Iouol•••yo..d yo puoog oPPold :A1BY 3SSY ao laud N g L6 1.61999C19 BS9£I9 :o •:o4 d 2 ^I 39££ - IA •.lul°A O£L 008 ' O'd� .- & . 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FL 33595 Phone 813 659.9197 Florida Board of Professional Engineers Certificate of Authorization No. 9813 Product Evaluation Report Report No.: FL- 9834.8 R3 Date: December 17, 2009 Product Category Sub Category Manufacturer Product Name Alside Window Company Model 0614 Window Fixed 3773 State Road PVC Fixed Window Cuyahoga Falls, OH 44223 "Non- Impact" Phone 330.922.2108 Scope: Product Evaluation report issued by R W Building Consultants, Inc. & Lyndon F. Schmidt, P.E. (System ID # 1998) for Alside Window Company, based on Rule Chapter No. 9B- 72.070, Method 1A of the State of Florida Product Approval, Dept. of Community Affairs - Florida Building Commission. RW Building Consultants and Lyndon F. Schmidt, P.E. do not have nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. Limitations: 1. This product has been evaluated and is in compliance with the 2007 Florida Building Code structural requirements excluding the "High Velocity Hurricane Zone ". 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressing or stucco. 3. When used in areas requiring wind borne debris protection, this product is required to be protected with an impact resistant covering that complies with Section 1609.1.2 of the Florida Building Code. 4. For 2x stud framing construction, anchoring of these units shall be the same as that shown for 2x buck masonry construction. 5. Site conditions that deviate from the details of drawing FL- 9834.8 require further engineering analysis by a licensed engineer or registered architect 6. See drawing FL- 9834.8 for size and design pressure limitations. Supporting Documents: 1. Test Report No. Test Standard Testing Laboratory Signed by ATI 73622.01 501 - 47 AAMAM/DMA/CSA 101/I.S.2/A440 - 05 Architectural Testing, Inc. Michael L. Mackereth 2. Drawing No. Prepared by Signed & Sealed by No. FL- 9834.8 RW Building Consultants, Inc. (CA #9813) Lyndon F. Schmidt, P.E. 3. Calculations Prepared by Signed & Sealed by Product Anchoring RW Building Consultants, Inc. (CA #9813) Lyndon F. Schmidt, P.E. Buck Anchoring RW Building Consultants, Inc. (CA #9813) Lyndon F. Schmidt, P.E. 4. Quality Assurance Certificate of Participation issued by Architectural Testing, Inc., certifying that Alside Window Company is manufacturing products within a quality assurance program that complies with ISO /IEC 17020 and Guide 53 Lyndon F. Schmidt, P.E. FL PE No. 43409 December 17, 2009 PF 1295 Sheet 1 of 1