HomeMy WebLinkAbout10-11013 CITY OF ZEPHYRHILLS
• 5335 - 8TH STREET
(813)780 -0020 11013
BUILDING PERMIT
Permit Number: 11013 Address: 38839 5TH 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: 11- 26 -21- 0010 - 14600 -0070
Im rov. Cost: 2,750.00
Date Issued: Name: ATKI■S GROUP HOME INC
Total Fees: 75.00 Address: 38839 5TH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/07/2010 Phone: (813)788 -3117
Work Desc: REPLACE 3 WINDOWS
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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."
41Ti(
B RA' •R SIGNATURE PERMIT OFFI R
P RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
FROM' :FLORIDA LIFETIME FAX NO. :81.34435812 Sep. 29 2010 12:36PM P1
HILLSBOROUGH COUNTY BUSINESS TAX RENEWAL INSTRUCTIONS
Chapter 205.0535(5) Florida Statutes requires one of the following:
FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER
1. SIGN and return entire form in enclosed envelope. Your validated Business Tax receipt will be returned to you.
2. Business Tax receipts expire midnight, September 30th. Failure to display a valid Business Tax receipt after
September 30th is a violation of Hillsborough County Ordinance 95-4, as amended by 02 -5.
MAKE CHECK PAYABLE TO:
DOUG BELDEN, TAX COLLECTOR
P 0 Box 172920
TAMPA, FL 33672 -0920
2010 -2011 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9 - - 2011 rOLIO
...... I PACILI'1 iv( imosoE4 o il . ROOMS .v • - '' • " ' -" EUOLD'V'EES .._ ' •
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H. VVASIE TAX
CATECURY COUE BUSINE •1 YPE SURCHARGE
380.000 RETAIL SALES 30.00
090.007 DOOR AND WINDOW INSTALLATION 18.00
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`3MERGEV PAID A PRIVILEGE TAATPI'MAGP G rI ... `.,'Li I_ .T:
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813-835-5200 � •• c zx
IN BUSINESS. PROFESSION, OR OC61wATlON SPECIFIED HEREON. THIS BECOMES A TAX RECEIPT WHEN VALIDATED. n ► u '" = ' .,.:, ; •• ^
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Florida Lifetime Impact
Window & Door, Inc.
5134 W. Idlewild Avenue, Tampa Florida, 33634
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/ State Certifi Specialty 813 Contractor 435810 Fax License 813 Numbe r SCC 131149568
CONTRACT
FUR ART Phone: Date.
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A A ' drn -4r
Address: e / i
City: s� 717Z ` State: MI111111111111121111KIL" WO
Sales Rep: Cell Phone: r ��� �f
General Description of ' ork: fr/// a'1' / /VTW /' 70
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PAINTING IS NOT INCLUDED IN SCOPE OF WORK (PLEASE INITIAL):
Which Is further described In the detailed specification sheet attached hereto as Exhibi ' C" and initialed by the parties.
The above work will be completed in accordance with the terms, conditions and specifications herein, with payment to be made in
accordance with the following payment schedule:
1. PRICE: $ 21 S 0
2. TAX: $ ,-— —�
3. TOTAL: $ 23S 0
4. DOWN PAYMENT: $?
5. PRICE: $___/_ 13 UPON COMPLETION OF WORK
Contract price includes all applicable discounts, offers & promotions.
Payment to be made by check made payable to : "Florida Lifetime Impact Window and Door, Inc." Which check
is due and payable at Florida Lifetime Impact Window and Door's office at the address set forth above.
Note: RETAIL SALES TAX MUST BE CHARGED UNLESS THE CUSTOMER SIGNS THE FOLLOWING: I certify that I
own the land on which the structure I am improving 's permanently affixed. Furthermore, I have filed a declaration with
the Property Ape - iser re. - , • g ructure b ssessed as realty and it bears an "RP" decal.
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STATUTO or ICE REGARDING CONSTRUCTION LIENS:
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001- 713.37, FLORIDA STATUTES), THOSE WHO
WORK ON YOUR PROPERTY OR WHO PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT
TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION
LEIN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB - SUBCONTRACTORS, OR
MATERIAL SUPPLIERS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF
YOU HAVE PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY
ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST
YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR
MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOUR SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY
STATE OF FLORIDA
96 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
1 CONSTRUCTION INDUSTRY LICENSING BOARD
(850) 487 -1395
� • 1940 NORTH' MONROE STREET
wets"' TALLAHASSEE FL 32399 -0783
LANE, MICHAEL STUART II
FLORIDA LIFETIME IMPACT WINDOW & DOOR INC
5134 W IDLEWILD AVE
TAMPA FL 33634
w STATE OF FLORIDA A C# .1 L
Congratulations! With this license you become one of the nearly one million �y
Floridians licensed by the Department of Business and Professional Regulation. DEPARTMENT OF BUSINESS AND
Our professionals and businesses range from architects to yacht brokers, f PROFESSIOW,L<#;EGULATION
rom �-
®
boxers to barbeque restaurants, and they keep Florida's economy strong.
COCO 59485 , 108046006
Every day we work to improve the way we do business in order to serve you better.
For information about our services, please log onto www.myfloridalicense. CERTIFIED GENERAL` -' CONTRACTOR
There you can find more information about our divisions and the regulations that LANE, MICRAEL • STUART , TI
impact you, subscribe to department newsletters and learn more about the FLORIDA LIFETIME CT WINDOW
Department's initiatives. �
Our mission at the Department is: License Efficiently, Regulate Fairly. We
constantly strive to serve you better so that you can serve your customers. is CERTIFIED under the provisions of ch.489 as
Thank you for doing business in Florida, and congratulations on your new license! axeireciou aster AUG 31, 2012 L100e2501e46
DETACH HERE
AC # STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PLOFESSIO AL REGULATION
CONSTRUCTION INDUSTRY LICENSI BO ARD SEQ# L10082501946
DATE BATCH NUMBER LICENSE NHR
08/25/2010 /08046006 CGCO5
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chaptex 489 E.B.
Expiration date: AUG 31, 2012 •
LANEFLOR, MICHAEL STUART
IDA LIFETIME IMPACT 11 WINDOVf` =DOOR
5134 W IDLEWILD AVE
TAMPA FL 33634
CHARLIE CRIST CHARLIE LIE
GOVERNOR SECRETARY
DISPLAY AS REQUIRED BY LAW
• 813- 780-0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021
---) wilding Department _ -
Date Received Phone Contact for ermilting (��, �) �/) I / W if 1
1 1 1 1 f i - is Ti_ - i_7 ./ i �% ! tr ll
i la
Owner's Name ;'%tom IT/ P 1P,..r Owner Phone Number
Owners Address t 3 O U l a VC,
Fee Simple Titleholder Name )III Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS L 3 Q 6 q ' " )9-\ LOT #
SUBDIVISION ( l' PARCEL 113# ) ) . -^ .) — Cc ) V --) LI ��.:15
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED Ili NEW CONSTR _ ADD /ALT f SIGN Q n DEMOLISH
Mail INSTALL REPAIR
PROPOSED USE SFR n COMM I OTHER ( I
TYPE OF CONSTRUCTION BLOCK El FRAME I I STEEL n 1
DESCRIPTION OF WORK I ' 4 S. J I /1 ` 3 kz_) d id CiA-+-.5
BUILDING SIZE SQ FOOTAGE HEIGHT I
]BUILDING $ 3;2a6 VALUATION OF TOTAL CONSTRUCTION
]
(ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY n W.R.E.C.
]PLUMBING $
] MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
/JO C/� i �(�
]GAS r---1 n
ROOFING n SPECIALTY i OTHER 2 5 � - it '
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ]VES NO
1 " 1 1 1 1 1 " 1 1 1 1 " 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1' 1 1 1 1' 1 1 1 1 1 1/ 1 " 1 1 1 " 1 1 1' 1
�// , r�
BUILDER "- ` y COMPANY In.- L1 �/7� + ''I-' 1 }
SIGNATrri ` w �� �, REGISTERED I Y / N • f FEE CURREN Y I
Address 7L i 1 / - a . • License # W ir�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address I License* 1
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N
I
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address
License # I
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address License # 1 I
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 / 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster, Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) 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 $7500)
"" 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 if shingles 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 lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMP - OVEMENTS TO YOUR PROPERTY. IF YOU INTEN TO OBTAIN FINANCING, CONSULT
WITH YO R L NDER • AN ATTORNEY EF • RE RECORDING YOU - N •mot. OF COMMENCEMENT.
FLORIDA JU' - 1 tr
''I/ •� •
OWNER ��►,;�LL�f - �i� C� CT� L
Subscri • -. + �'[ CI � J I affirmed) . ✓= this Subsrn .and swo , this
by 4 ' . ti b i • , . . '
Who is/are personally known to me or has/have p Who is/are personally known to me or ha ave • r• • uced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
1111111 IIIII IIIII IIIII IIIII IIII1 II1II IIIII IIIII IIIII IIII IIII
2010138938
' NOTICE OF C
Root:1328082 Rec: 10.00
DS: 0.00 IT: 0.00
09/28/10 C. Farrington, Dpty Clerk
umttt No.
--- ------- --- - - - -- - - - - - -- - - - - - --
a.■ Folio No. - -�J )e2je,- - - --- -- - ' >C_ G>
1 UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Se i1o,
% i 3.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
i .De t ipt of property (legal description) p z ( 2 PI- C` I - 9c3 1 9,. � -
a) Street (job) Address }( _ l� ±L 1 ( �� _ C3i�e ) � )
.l�u]e[ al es rip[ion of improvements: .. - - - -- -._.
3.0v, tier Information rJ - - -- - ---- - - - - - - -- - _�` - --
a) Hanle and address: L r / F� �1G g 1 _ ,'
b) Name and address f tee simple titlehold er (ti other than owner) t
i interest in property, e! - - --
R -:. �ontractw information 1 1 y �� - - -- _
) Name and address :�) ,'e_. 5 L4 - 5 )3�1.v /et7t 7�.v -L�
b) Telephone No e )3 ` _ "y l � ` � a_ ,- L i
4 � Fat N (Opt.) �)
�.Jurrty information
.._
a? Name and address: n i � _ --
b) ;mount of Bond: - - -- -
1 1` lcph0neN0.: PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER
Fax No. (Opt -) 09/28/10 01:14 pm 1 of _/
c.L nder — -- OR BK 8428 PG 1938
a) Name and address:
- -- — - Phone No.
7. [dentin' 01 person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:h }
b) Telephone No.: Fax No. (Opt.)
S. in addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.131 1 )(b), Florida Statutes:
a) Name and address:
b) Telephone No.: -_- Fax No. (Opt.)
9.Fspuation date of Notice of Commencement (the expiration date is one year from the date of recording unless a different U.a- zi
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE 04-
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.1 3,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER :l' :
A. NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
i :'NSr't:CT'ION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEI•'O t-'
CO31 1FNC1NG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
_ rt: fir r[- oniu :k. / ` /,
r j/ ��
Jt Sl Ji PIAELL S X10 / � / %� f
Sigi , . f T rorON'ner':, - unzed Officer /Directs '• eleuMana;er
hh Print Na ie ' my ,* r
Tiic 13regoing instrument was acknowledged before me this / i day of �G . e 20/ d' by -i,i,.,,,_,29 as - - -- (type o ' . utho ity, e. l. officer, truster,
attorney in fart) for (name of art on be alf o
of party m lrument was execute i;.
Personally hno'sn OR Produced identification Notary Signattt ... - i,„,/o.
,kgi
1' pe of Identification Produced � ,,0,,, RA D 1 QRAY
Natne (pant) p
°-_ AND - -- rV1
I o EXPIRES Jtme 22 M-642 ,2011 245-
2, 2611
t itication pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I, • -it . ' .. iiiiti a 464 ; '
the Pats stated In it are true to the best of my knowledge and belief. ; ;7 *tu �"P �.it and ?h ::
Si - .f ral P un Si if
,- gsrng (in line # 10 .) Above
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNES Y HAND A % : F CIA SEAL THIS
pZ DAY OF Jr* 2 (V 0
PAULA S. O'NEIL, C "''". Co PTROLLER
BY SI�II DEPUTY CLERK
•
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.
5) This is for replacement (glass for glass) only. If you wish to change from screen or vinyl
windows to glass, then additional information is required.
Pasco County Building Schematic Page 1 of 1
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htt p: / /www. appraiser. pascogov. com / search /traverse /traverse.aspx ?sec =11 &twn= 26 &rng =2... 9/27/2010
•
MIAM
MLtMI•DADE COUNTY, FLORIDA
COUNTY MEMO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603
PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130-1563
(305) 375 -2901 FAX (305) 375 -2908
NOTICE OF ACCEPTANCE (NOA)
PGT Industries
P.O. Box 1529
Nokomis, FL 34274
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted
by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by
the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes. If this product or material fails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHI may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code,
including the High Velocity Hurricane Zone.
DESCRIPTION: Series "SH Aluminum Single Hung Window
APPROVAL DOCUMENT: Drawing No. 2736, titled "Alum. Single Hung Window W/ STD. MTG. Rail ",
sheets 1 through 7 of 7, prepared, signed and sealed by Robert L.Clark, P.E., dated 12/15 /04 with revision "I', on
09/20/06, bearing the Miami -Dade County Product Control Renewal Stamp with the Notice of Acceptance number
and expiration date by the Miami -Dade County Product Control Division.
MISSILE IMPACT RATING: None
f
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
i7"7 10 -
following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. )'^
r1 / -1 0
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no 4/4
change in the applicable building code negatively affecting the performance of this product. '-; ,Y E :
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the �/!!/ t
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any ` 6 J
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA # 05 0104.05 and, consists of this page 1 and evidence page E -1 and E -2, as well as
approval document mentioned above.
The submitted documentation was reviewed by Jaime D. Gascon, P.E.
NOA No 06- 0706.04
' _ Expiration Date September 30, 2011
t Approval Date: October 19, 2006
,° Page
•
PGT Industries
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
A. DRAWINGS
1. Manufacturer's die drawings and sections.
2. Drawing No 2736, titled "Series "Alum. Single Hung Window W /STD. MTG. Rail"
Sheets 1 through 9 of 9, prepared by the manufacture dated 12/15/04 with revision
"D", on 12/15/04, signed and sealed by Robert L. Clark, P.E.
B. TESTS
1. Test reports on I) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94
along with marked -up drawings and installation diagram of aluminum single hung
window, prepared by Fenestration Testing Laboratory, Inc., Test Report No. ITL-
3654 signed and sealed by Joseph C. Chan, P.E.
"Submitted under NOA # 058 - 0104.05"
2. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94
2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202-94
3) Water Resistance Test, per FBC, TAS 202 -94
4) Forced Entry Test, per FBC 2411.3.2.1 (b) and TAS 202 -94
along with marked -up drawings and installation diagram of aluminum single hung
windows, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL-
2959, 2960, 2961, 2962, 2963 and 2964 dated various, signed and sealed by Antonio
Acevedo, P.E. "Submitted under NOA # 058- 0104.05"
3. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94
2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94
3) Water Resistance Test, per FBC, TAS 202 -94
4) Forced Entry Test, per FBC 2411.3.2.1 (b) and TAS 202 -94
along with marked -up drawings and installation diagram of aluminum single hung
windows, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL-
4179 dated April 07, 2004, signed and sealed by Edmundo J. Largaespada, P.E.
"Submitted under NOA # 058 - 0104.05"
4. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94
2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94
3) Water Resistance Test, per FBC, TAS 202 -94
4) Forced Entry Test, per FBC 2411.3.2.1 (b) and TAS 202 -94
along with marked -up drawings and installation diagram of aluminum single hung
windows, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL-
4379 dated 11/04/04, signed and sealed by Edmundo J. Largaespada, P.E.
c am..
aime D. Gast P.E
Chief, Product Control Division
NOA No 06- 0706.04
Expiration Date: September 30, 2011
Approval Date: October 19, 2006
E -1
PGT Industries
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
C. CALCULATIONS
1. Revised Anchor Calculations, ASTM -E 1300-02, and structural analysis, prepared by
PLOT Industries, dated 09 /20/06, signed and sealed by Robert L. Clark. P.E.
D. QUALITY ASSURANCE
1. Miami Dade Building Code Compliance Office (BCCO).
E. MATERIAL CERTIFICATIONS
1. None.
F. STATEMENTS
1. Statement letter of conformance and no financial, dated May 11, 2001, signed by
Robert L. Clark, P.E.
"Submitted under NOA # 04
2. Laboratory compliance statement as part of test reports for Test Report no. FTL -2959,
2960, 2961, 2962, 2963 and 2964, issued by Fenestration Testing Laboratory, Inc.,
signed and sealed by signed and sealed by Antonio Acevedo, P.E.
"Submitted under NOA # 04-0714.06"
G. OTHER
1. Letter from the consultant stating that the product is in compliance with the Florida
Building Code (FBC).
2. Notice of Acceptance No. 05 -0104.05, issued to PGT Industries, Series SH -4000
Aluminum Single Hung Window, approved on 03/24/05, and expiring on 09/30/06.
J 1 D. Gascon, '.E.
• , Product Control Division
NOA No 06-0706.04
Expiration Date: September 30, 2011
Approval Date: October 19, 2006
E -2
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City of.Zephyrhills
BUILDING PLAN REVIEW COMMENTS
er:
FTL � 46/u2. Contractor/Homeown 02C'
Date Received: / Z9h ltec S /O
Site: 36E3'39 741,e_
Permit Type: �QGi% 3&
! r%K4 "
� y
Approved w /no comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑
9e S'4
This comment sheet sh. be kept with the permit and/or plans.
r r
6- . /0
Kal , . S tzer % ans Examiner Date ontractor • d/or Homeowner
(Required when comments are present)
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.
5) This is for replacement (glass for glass) only. If you wish to change from screen or vinyl
windows to glass, then additional information is required.
F "1 " 111 t.' E
IMPACT WINDOW x 00 OR
C
To Whom It May Concern;
October 6, 2010
I Michael S Lane II give Brian Cothern to pull permits using my
license. I also give Brian Cothern permission to register my license
at the City Of Zephyrhills Building Department. I give him
permission to drop off, pay for, and pick up any permit. I am
listing him as an agent for my license at The City Of Zephyrhills
Building Department.
License # CGCO59485
Brian Cothern lives at the address below
10908 Livingston Dr
New Port Richey, F134653
pr p
Michael S Lane II
.44:0C,ee //2e / e e do•v" . Z ,
oolimn
t W o/ i. 41eis<", cAtP/.0' / // g;tiIS31p^r'•.`
FLORIDA LIFETIME IMPACT WINDOW & DOOR, INC• 9 .% 0643 215 ; Q
5734 W ldlewild Avenue • Tampa Florida 3363'/ %,�
4 ��� 1
phone: &73•'",'3.5&70 fax: &73•&",3.5&72 Lk: C00O59'/&5 11 111 ��� �����
,
FROM :FLORIDA LIFET FAX NO. :8134435812 Oct. 11 2010 02:34PM P2
i;!) 0 3
_... ..._____. . .
1 BUILDING DEPARTMENT QUESTIONNAIRE
1 (If you have performed work in multiple jurisdictions, make additional copies of this form
and have it completed by at least two [2] building departments.)
TO: Building Official —
"'This is a mandatory form needed for their probation.appearance; please help them comply bV
filling out the following questionnaire.
The following individual is currently on probation with the Florida Construction Industry Licensing Board
(CII_B). Please complete this form and sign, if you have any questions or concerns, please contact David
Spingicr with he CILB at 850,922.8074 or via email at david .s.pingjeradbpr.state.fl.us .
This form may also be faxed to my attention at 850.617.4457. Thank you for your assistance.
SUBJECT: Michael S. Lane, November 11, 2010
License #(s): CGCO59485
,
On behalf of the building department, the following answors are suppliecl.
1. Has the above named contractor pulled any permits or called for any inspections in your
jurisdiction during the last six months? If your answer is ''no ", you do not need to answer
questions 2 through 6 nn less applicable.
NO
2. Has any of the contractor's work been issued a stop work order in the last six months? If yes,
please provide supporting documentation,
YES O
3. Has the contractor failed to obtain permits on time? If yes, please state amount and any fines
that may have been imposed,
YES •
40 •
4. I las any local discipline been started or complete ainst this contractor in the last six
months? YES NO
5. Have there been any serious code violations by the -e'. z tor in the last six months? If so,
please explain. YES NO
6. In general, do you have any adverse comments concerning this contractor's performance
during the last six months? If so, please provide hri -..• -. - its and attach additional sheets, as
necessary. YES NO
TO BE COMPLETED BY BUILDING OFFICIAL PROVIDING ABOVE ANSWERS:
/ -- J6/1 1 1
Building O cial' ignature — Date '6 Prinled Name: 1, it ,/ / .► L Icon ;e #: t
Job Title: \OtL-.?Jr3 s• Gib-- . _
Phone #: � � �... ��(..� .
Name of Building Department: 0 . . / ; 0 - 1 2 c (/r' i I I S
FROM :FLORIDA LIFETIME FAX NO. :8134435812 Oct. 11 2010 0233PM P1
FAX
Florida Lifetime Impact Window & Door Inc
5134 W Idlewild Ave Ta Fl
Fax number:813-443 0 * 813-443-5810
7 37L - —
Fax number: y 1 3 o 2_ 1
Date:
Regarding: eAnn
Number of pages:
Comments:
/ tok j
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