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10-10881
CITY OF ZEPHYRHILLS 5335 — 8TH STREET (813)780 -0020 10881 BUILDING PERMIT -:x ( ° " ""`m - '`a i '�t s � x.§d v°°'""' a � ' r t^` ry'" .xi i��:�.a�. ,, ,,.': ,�. ,�,r .:� � ,C, t s ..: . ; ,.- '€t' ,,.. v .% a1:.. , .ss R ...,,.,u'�... ,.a.... .:..�..<": "�'2:, Permit Number: 10881 A 3840 L A U REL V ALL E Y BLVD LT 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: MAJESTIC OAKS Est. Value: Parcel Number: 24- 26 -21- 0000 - 00100 -0090 Improv. Cost: 3,725.00 ', e,. ..,. 4 ,. . ,,. . � Date Issued: 9/08/2010 Name: NHC FL -115 LLC Total Fees: 75.00 Address: 3851 LAUREL VALLEY BLVD Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/08/2010 Phone: (813)783 -3477 Work Desc: CONSTRUCT SCRN RM W/ CARPORT INSTALL SHED 408 SQ FT AREA w� ,.,x.,..�,�,a:.w,rs eems.c,�,,r say,., q_ s,...,_.. .�,,,.,;:a9'..w1.a2.:,..,;...aS «..�,.,� , „�,..�;:m�°,.;; „ss.ssT�.�aw,s....eez� �tc�,tr” - .� �.\ ■ : IL. 75.,' . --. )A --- e l- k ) - I i f - < ( ' A . ,. , . . . , • • R - • - i _,n� , �..._ _„., , I v ULA l i a. h � ��,.gti� a 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." c P r - ic,13/4.4____ CONTRACTOR SIGNA RE • PERMIT OFFI Fr PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s 14 VC t City of Zephyrlulls BUILDING PLAN REVIEW COMMENTS ' � 1- .'1/;ncc Contractor/Homeowner: ��S `f/ � /� n1 Date Received: Site: 361 /4a/el A Permit Type: S T - rCen rr . i g y r Approved w /no comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑ This comment s et shall be kept with the permit and/or plans. ?:26 e = (%L- , ecj � 1 Kalvin witzer - : Examiner Date Contractor and/or Homeowner (Required when comments are present) Pasco County Parcel: 24- 26 -21- 0000 - 00100 -0090 001 Page 1 of 1 I Data Current as Of: II Weekly Archive - Saturday, August 28, 2010 I Parcel ID I 24 26 - 21- 0000 - 00100 -0090 (Card: 001 of 001) Classification 28 - Rental MH /RV Park Mailing Address Property Value NHC -FL115 LLC Ag Land $0 6991 E CAMELBACK RD STE B -310 Land $1,382,463 SCOTTSDALE AZ 85251 -2493 Building $0 Physical .._ Address ..._ See All 334 addresses (First Extra Features Shown) $3,885 39512 AUGUSTA NATIONAL DR Market Value $1,386,348 ZEPHYRHILLS FL 33542 -8415 Assessed (Non - School Amendment Legal Description (First 4 Lines) 1) $1,386,348 THAT PART OF EAST 80.00 FT OF NW1 /4 & THAT PART OF WEST 1/2 Taxable Value $1,386,348 OF NE1 /4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST Land Detail (Card: 001 of 001) 1 Line II Use IlDescriptionll Zoning 11 Units r Type JI Price I Con I Value I 1 II 0220 II RV PARK II 00C2 11 165.00 11 UT 0 $7,700.00 11 1.00 lI $1,270,5001 I 2 II 0100 11 SFR II OPUD 11 16.00 11 AC 11 $6,960.00 II 1.00 11 $111,360 3 11 0100 II SFR 0 OPUD II 2.87 11 AC II $210.00 (I 1.00 11 $603 j l Additional Land Information Tax FEMA Acres 36.43 Area 3OZH Code X Residential Code RRVPCL4 Commerical Code RRVPCL4 I Building Information (Card: 001 of 001) Unimproved Parcel 00 - Unimproved I Extra Features (Card: 001 of 001) I Line II Description 11 Year - 11 Units (l Value I 1 II PVCF SF II 2005 II 2,100 II $3,885 I Sales History Previous Owner MAJ ESTIC OAKS RESORT LLC Year 1 Month I Book /Page 1I Type II Amount I 2006 II 01 II 6825 / 0087 1I W D II $ I 2004 II 03 I 5776 / 0191 WD I $0 I 2002 II 09 II 5065 / 0631 11 WD 11 $ http :// appraiser. pascogov. com / search /parcel.aspx ?sec= 24 &twn= 26 &rng =21 &sbb= 0000 &b... 8/31/2010 813- 780 -0020 City of Lepnyrnllls rem'''. /Applt,au 'ii 1 Building Department /-4 y 7G D / 7 a/T �. 1°8° 1 Date Received ' V 2-(9-10 Phone Contact for Permitting [/ 7» -- -- Owner's Name 4) ay/P9--- t WV— Owner Phone Number Owner's Address 3! VO i_etUte/ r age i tgho/ Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address LL!! / '�r (_/ 8� / Z / JOB ADDRESS 3 E TV L le/ v L/� UQ `r LOT # tt>2-- SUBDIVISION /' Z te act.,4f. a 4 PARCEL ID# a- --.524 --.524 - dMod - oo /co - O p C) (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT f I SIGN 1 I MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE E SFR 1 I COMM I I OTHER I I TYPE OF CONSTRUCTION I I BLOCK I I FRAME [ I STEEL I I OTHER I I DESCRIPTION OF WORK Ch-2 / Cr „A ,' &VA 7 C44 BUILDING SIZE / CL )( 3y SQ FOOTAGE 4 1 DO HEIGHT IV BUILDING $ q 762S 619 VALUATION OF TOTAL CONSTRUCTION �7 1 I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY I I W.R.E.C. /00 PASCO PERMIT SERVICE PLUMBING $ �t,' �' FA X 7$8 -5314 I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1-888-824-7894 I I GAS 1 I ROOFING [ I SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES I INO SIGNATURE BUILDER w G�b'-'��- 1 1 75 010 R COMPANY $ -( 1 v +" ° � CURRENT / N C -1 Address GA / C - 6/-7 1 -- K_ /2- ci .-1 1€-§ i License # C' Ac,0 s6 517 ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I Address License # I MECHANICAL COMPANY 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 # 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 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. understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone "V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots Tess than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to . violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TWICE FOR IMPROVEMENTS YOUR E TO YOUR NOTICE OF COMMENCEMENT YOU INTEND TO OBTAIN CONSULT PAYING TWIC WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03 /' �""" "`�l g(11-34Vil CONTRACTOR OWNER OR AGEN Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by Who is /are personally known to me by Who is /are personally known to me or has /have produced i dentihas /have produced as identification. as ification. Notary Public �€ Notary Public Commission tiOTARY PUBLIC -STATE OP FLOP 1 1.) y ommissi o. 0 7;?RY PI mI JC- S GP FLORIDA Suzanne Bahr Suzanne Bahr �- =` ' Name of Notary typed, prim �' -ta t 19 : 91.6 '• : r • Name of Notary typed p ' °'`` • f��ion # DD601110 tires: NOV. 19 " Expires: NOV. 15, 2010 gn yoLD 1i IV NTLANrIC BONDIV BONDED THRU ATLANTIC BONDING CO., I`::' C d 2--k-c§ • THAT PART OF EAST 80.00 FT OF NW1 /4 & THAT PART OF WEST 1/2 OF NE1 /4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST AND LYING WEST OF MAJESTIC OAKS COMMUNITY -PHASE ONE AS PER PB 35 PGS 107 -112 EXC NORTH 20 FT THEREOF FOR RD R/W & MAJESTIC OAKS COMMUNITY PHASE ONE PB 35 PG 107 -112 LOT 1 THRU 16 INCL & LOTS 19 THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87 NOTICE OF COMMENCEMENT 11111121111114111111111311111111 2010122976 Permit No. Rept:1322815 Rec: 10.00 Property Identification No. 1- 02 4 o f DS: 0.00 IT: 0.00 � - /C�— GYf9d 08/26/10 C. Cook, Dpty Clerk THE UNDERSIGNED hereby give informs you that the improvement will be made to Section 713.13 of the'Florida Statutes, the following information is provided in this NOTICE re F prof Y' and in accordance with 9F COMMENCEMENT. 1.Description of property (legal descripti :) Ldp s/a /tt �ki A& ` / a) Street Address: 3d lL��! k 2.General description of improvemp nts: Q ���� Wing = � .���� �, W. 3.Owner Information Tke cl Po ,0#4,_ ( • !)"/` a) Name and address: �i it �U/ 0 ' a / a /p�' • b) Name and address of fee simple titleholder (if other than owner) �/ `��'r°�" dik c) Interest in property itractor Information a) Name and address: LC / '10. "- b) Telephone No.: & Ary ,� 4 ti i ^ k§ 5.Surety Information Fax No. (Opt) j � a) Name and address: b) Amount of Bond: c) Telephone No.: 6.Lender Fax Na. (Opt) a) Name and address: 7. Identi of Phone No. ty person within the State of Florida designated by owner upon whom notices or other docum maybe served a) Name and address: b) Telephone No.: m $ op c ner designates Fax No. (Opt) o ' -. 713.13 1 grates the foll person tom a copy of the Lienor's Notice as provided in Section a' `� 8.1n addition to himself, ow ( )(b), Florida Statutes: OM o a) Name and address: m Z b) Telephone No.: .N 9.Expiration date of Notice of Commencement a Fax No. (Opt.) specified): ( the xpiration date is one year from the date of recordi unless a different date is o 0 1:73 L a 0 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF o o r COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, - 1_ " FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. •'J A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POS D ON THE JOB SITE BEFORE THE FIRST N INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSUL ,V OUR LENDER OR AN ATTORNEY BEFORE •A 3 COMMENCING WORK OR RECORDING YOUR NOTICE OF C s k � NC E i • NT r , STATE OF FLORIDA m COUNTY OF PASCO � ar f a . o .r Owner's Authorized Officer /Director/Partner/Manager Print Name The foregoing instrument was aclrnowledged before Inc this /dam` / as a&me /' day of 20. /U , by n fact) �6r �'- JL 1 (type of authority, e.g. officer, trustee, attorney (name of party on behalf of whom instrument was executed). 'ersonally Known OR Produced Identification)/ N o t ary ` ��� � Signature C e�� 1/L &Li__ ype of Identification Produced ,DL - � Name (print) �c lLt1 'erification pursuant to Section 92.525, Florida Statutes. Under penalties o x ie facts stistls .li a best of�my knowledge and belief. ' I decl: that I have read the foregoing and that THIS IS IuA, CO UNTY OF PASCO / TRUE AND CORRECT THAT THE OF IS A >RMSMOC, TRUE A OR O THE DOCUMENT :1 ,4 of �• � OF PUBLIC RECORD IN THIS OFFICE Signing Above J'�ITIV��MY HAND � ��. OFFICIAL FICIAL SEAL THIS / DAY OF NOTARY PUBLIC -STATE OF FLORIDA PAUL• :. O'NEIL, CLEe 4 I " 2 --�= =_ St Hartwig & CO MPTROLLER ' I = Comm #DD92 BY ./ .. /, . �� Bo •` Expires: OCT. 16, 2013 DEPUTY CLERK THRU ATLANTIC BONDING Co., L C Plan Review Modular Home Set-ups and Aluminum Packages ,,,,ipertv markers shall be exposed and clearly marked at time of first shall be met. .ir;-es shall comply with section 309.2 ( Fire separation ). shal l he made available at time of inspection. tire specification manual, approved plans and permit shall be available lc, plumbing, mechanical or framing is to be covered without nji vpmval first. He permit required for driveways on public streets. separation between other units. shall comply with the 2007 F.B.0 and the 2008 N.E.C. R.O.W. - Right Of Way F.B.C. - Florida Building Code N.E.C. - National Electric Code ... - , 0 , I - I 1 I I .. /V . ad • -.I ,.,., ,- - 7 •c_ :---,? .\Z --. c,. 4 .. " ■. ' N. '- C k■ k ') ■ - .7 , 1 - /6 2, Od 1 - - -- /0 - ---••• - - I 0 0 dy / d (_ /2 oe P.1z• ) ,&-1/6' . „ . N v .,,• . i c. Vv 0 ,....3 P LANS Ev,, „ _ r-C HILLS - . • 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... I -` Com ri!u pit Affairs .1 l � 1 r o cA HOME DcA PRoZRAMs . CWTAGT DCA KISS Horne i Log In 1 User Registration Hot Topics Submit Surcharge i Stets & Facts 1 Publications j FBC Staff 1 BCIS Site Map 1 Links Search 0 034 ( "! I Product Approval 1 � � / USER: Public User Community Affairs Product Approval Menu > Product or Application Search > Application 'st > Application Detail I. COMMUNPTY PLANNING : FL# FL163 -R2 Iii O NG& MUNITr* Application Type Revision ' DEVELOPMENT Code Version 2007 r Application Status Approved AmmaemE Zi a OE OF THE Comments £g CRETARY,' a z = 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 (Ena Eval Rep 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 o Y sY m ca ;1 - y FP 5n .„ f.• w *N r O n m D Z Li) P 1; cn f i: d a ; al O m 2 cn g . >0 > AA Za N n � p 0O m q r z r r[[[ 8 s 'D m - a CO r 3. 9m m-4 r m zd C sm n om m z M5 0 i Ng3> o s z m s s S' n - D < y -im O - m -� z Z= z mg CO3 x *o w ms n a Z CV O 2°13 0 2 2 0 gz w 9 y 2 D _ K - iim 33 m O D O O O 2N -i § ++ 1 -a; 0 0Mo 9> w r N C O m Z n 0 •• I �> 3n D r O C c 0 rn m- 2 n K a moo g w 1 y -0 C-1 2 < 0 ° .z 0 o 3v < * m m m m O Z N v> - — • — - -- a <�p -4 > E O O T w0 % o m; O m m om 0 m w C N n m1 • �' w m w T C O m - 1 Z n 0 m .L7 9 77 O r T < E O rn0 o O O mo 1 •1 ( oz� a 71 m m D>--1 T n El ; c S am O ' --∎ m = 0 wS X 0 - 0X-• N w p r r- Z O 77 �_ "O I - T N C O m N= 0 z z C m C m$. 0 On 8 m N D z s Z mm m z i $ om y Zo WI > > mm - 0 g/ m -12 H n z z D a r n a m O p = 1r m - - - -- - m -0 � Z -I m a ZT y > m _. 0 A m -• 0 C D _ ; O m 7 ' C 77 z ��m 0 w C - I m Z N0 m Z ND = 2 o 2133 C n m m a mg. z a 31 m r m � = n P in CO 9 N N m 33 m 71 O m m Nm Q y� z a o < 0 m n 33 O n i s m o m v .E; 77 m v O Z z m3 O a D .. 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',10 3uilding Code Online http: // floridabuilding. org/pr/ pr_ app_dtl.aspx ?paramwGEVXQwtDq.,. moron oct+awn+nervr ors . . 1: :.f Communuty Affairs ,;,, .'� � ..' • rCA HOME ABOUT DCA DCA PRpORAMSCCUTACT DCA r.---7 BCIS Home Log In User Registration Hot Topics Submit Surcharge Stets & Facts I Publications 1 FBC Staff 1 BCIS Site Map I Links - Search ; �, Product Approval i ((]] USER: Public User wij 1 Community I Affairs I Product Approval Menu > Product or Aooliration Search > Application List > Application Detail It COMMUNITY PLANNING` FL # FL161 -R3 ► HOUSING A COMM)P TY Application Type Revision CORLOPMEta Code Version 2007 IP F1EAGENC'Y Application Status Validated MANAGEMENT r orrice g1 =TM 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 ReD Guardian Doorl.pdf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101/I52 -97 1997 Equivalence of Product Standards Certified By Sections from the Code 1 of 2 3/9/2009 2:01 PM - 0N ( .) 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