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HomeMy WebLinkAbout10-11194 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11194 BUILDING PERMIT Permit Number: 111 Address: 38623 LANSING AVE LOT 118 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: SLEEPY HOLLOW MHSUB DIV Est. Value: Parcel Number: 02- 26 -21- 0260- 00000 -1180 Improv. Cost: 4,271.00 Date Issued: 11/24/2010 Name: LECLAIRE, MARCEL & DOROTHY Total Fees: 90.00 Address: 38623 LANSING AVE LOT 118 Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/24/2010 Phone: (813)782 -2561 Work Desc: ALUMINUM SUNROOM 9 X 26 e: . . 171 1 :1 ID 1 .1 I1 Nr V . ql° 2f I V 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." '-SC,c_ i/Vat/e,u/) 66g— f Or 4 1 /t , 1 CONTRACTOR SIGNATURE PERMIT OFFI 'R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ■ City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: t,C �1 kh { 1 Date Received: //— — / 7 /0 Site: , (% Z3 L s1x e 4--. Permit Type: a UI � Yp . SI � x � 1 u vY l Approved w /no comments: ❑ Approved w /the below comments: l Denied w /the below comments: ❑ .. `, `/L1 rcovr) 67D `) i e �f� i T nr�,r? 7 J X 5V tl'Q, IN 1, kid - C61 e/ 6,4` This comment sheet shall be kept with the permit and/or plans. r Kalvi Swi — Plans Examiner Date / #__a_o/evo Contractor and/or Homeowner (Required when comments are present) 6:4 ge Z 8;3 -783 ps S �'d II11IIIIIIIIIIIIIIIII1I1IIIII S , 7 5 ?4 2010166336 N1111111111111111111111110I Rept:1336773 Rec: 10.00 DS: 0.00 IT: 0.00 11/18/10 A. Glard, Dpty Clerk PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER 11/18/10 1 of 1 OR BK PG 140 NOTICE OF COMMENCEMENT Z COMMENCEMENT Permit No. Property Identification No. d t2 — — — c p L 6 0 ....dp•OGa THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal description) cr a) Street Address: 3 �G. e?.3 64 /64) /�I� C- A�f • • , • . d � � el- tion of ��=z4� �i // 2.General description P miprovemetits: 0.i- &A /`00 /i) 3.Owner Information , - a) Name and address: , nom& / ` G C -�-62� at oL.3 adtriitf Act . �� b) Name and address of fee sim sle titleholder (if other than owner) L `�`` �/ c) Interest in property 4.Contractor Information a) Name and address rPSCVL cf Sigh -4 � j &/S-21 z2,4,..47/p7 �,! � - b) Telephone No.: 5.Surety Information Fax No. (Opt.) a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. 6.Lender (Opt.) a) Name and address: 7. Identity of Persia within the State of Florida deli Phone No. a) Name and address: gaited by owner upon whom notices or other documents may be served: b) Telephone No.: Fax No. (Opt) 81n addition to himself owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: • b) Telephone No.: (the expiration the t 9.Expiration date of Notice of Comment mea a Fax No. (Opt,) specified): e date is one ye ar from - the date of recording unless a different date is WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UND R E CH AP TE EXPIRATION I, SECCTTION��3, OF FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, STATE OF FLORIDA COUNTY OF PASCO s// 'gn tore of Owner or er's Au Officer/Director/PartnedManager Print Name The • going sh}nne • was aclmowled A I1 c GL4 as before me this day of � � 20�� in fact) for � 1. - by S—, / (name of party on behalf of w (type ns authority, e.g. officer, trustee, attorney instrument was Personally Known OR Produced Identification ./ Notary � / Type of Identification Produced IOC � '°` Name (print) Verification Pursuant to'Section 92.525, Florida Statutes. Under the facts stated in it arc true to the best of m penalties of perjury, I declare that I have read the foregoing and that y knowledge and belief. °ORMggt �� OC,rvstl2007 St a. o mural P ,•. SI III NOTARY PUBLIC -S 1AT� Or' I' i Stacie Hartwig Commission #DD92 ,, Expires: OCT. 16, 2013 BONDED THRU ATLANTIC BONDING CO., INC STATE OF FLORIDA, COUNTY'0 PASCO THIS IS TO CERTIFY THAT THE FOREGO T �; TRUEAND CORRECT COPY OF OFFICE , ,. ON FILE OR OF PUBLIC RECORD/1014 WITf��+Y HAND AND 0 7.�, dd DAY OF COM ', :f 1.ER PAULA/ -- O'NEIL, CLE' r it • - a =ARK 813 - 780 -0020 City of Lepnyrnllis refill!' fry 4_// v f �j / Building Department � / Date Received / 1 ' ' te r V Phone Contact for Permitting 4 -- /C/ ilittee/ L %/e Owner Phone Number f -7F oz-r02-f / Owner's Name I Owner's Address I 3 1 ! &twin, . I Owner Phone Number I Fee Simple Titleholder Namel Owner Phone Number I Fee Simple Titleholder Address I JOB ADDRESS I i 16123 &+'v MAj A"_ 02./49 L ,✓/ri 1 ( I LOT # 1/ a SUBDIVISION 1 1 Curs /hJ /Gv I PARCE L ID #I 0a • — 6.14.--ill - .2-46- a -! /pd (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 11 NEW CONSTR I I ADD /ALT I I SIGN 1 1 MOVE I I DEMOLISH INSTALL REPAIR , _/ CIVIL PROPOSED USE I I SFR I I COMM �s: OTHER I IVIL LI)VA- I TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL 11 OTHER I I DESCRIPTION OF WORK LU A.- POO". BUILDING SIZE l • ` X a-e. SQ FOOTAGE 62-3 7 5 HEIGHT BUILDING $ T 42. / 44 ' VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY r I W.R.E.C. I PLUMBING $ I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS I I ROOFING I I SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 {YES 1 'NO i. � ` o.Sren �I/a_v . , • .mac • BUILDER � � COMPANY SIGNATURE � REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address (t /S3( / r-A- kid's Rd a 941.4k tl License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED 1 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. 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 H H+1 H 1 H 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 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 UR TWICE FOR IMPRO OWNER: YO VEMENTS TO YOUR PROPERTY. T IF YOU INTEND TO OBTAIN FINANCING, CONSULT PAYING TWIC WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT .f ' �� CONTRACTOR iv and sworn to • r a it • ed) efore me this / Prc n su scrib b yworn to or ff a of me this /7 W fo by Who is /are personally known t me or has /have produced Who is /are personally known to a or has as iden iifi ation. . _-- — as identification. -"") "" .�� 1��J Notary Public $1.-‘ 64411 Notary Public Commission No. Commission No. NOTARY PUBLIC-STATE OF FLORIDA PIQ�� �i,'& OF FLORIDA ed, r1Bi starrt l le Hartwig Name of Notary type,., Hartwig of Notary typ P ; Commission #DD926164 2D926164 a •: ts� -` Expires: OCT. 16, 2013 T.16, 2013 - BONDED THRU ATLANTIC BONDING CO., INC. BOti`uEi:ltiH G nh.S [C sC:�DL�G CO., INC. v -- ,.- »• JropnaI Page No. of Page SUN STATE ALUMINUM, INC. 6154 Fort King Rd. ZEPHYRHILLS, FL 33542 (813) 788 -7308 . PR SUED TO PHONE DATE STREET JOS NAME CITY, STATE and ZIP CODE JOB LOCATION ( { ARCHIT • DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for. K e: r \ f ‘pv - e V.i1 ( (2,,, i\d4- -ar ( . 4 • 9etMG.Ve e cA `,. se...... esf L X4•4 (lil ( t),.)1,(40.05 at ca.lMt Can - C3 Me e* Cc&e., L • . S 7060 ••c v S alum itot 5n 4 3\cize • l'IN.A-NA \h.q '\ -k-(. C;A:4- �o r k -I-o c tMtMedt.ce cA -er c e rrn t '� t 1 S5ccerl . ii t gin:guise hereby to furnish material and labor — com Iete in accordance with above specifications, for the sum of: of s' ` , o� Satr•�/ 11), — 1&c _ e P � too dollars ($ 7 t - "v Payment to be made as follows: ). All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications Authorized ..-- involving extra costs will be executed only upon written orders, and will become an extra Signature _ charge over and above the estimate. Alt agreements contingent upon strikes, accidents r or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note: This proposal may be 1 \ Our workers are fully covered by Workman's Compensation Insurance, withdrawn by us if not accepted within days. 'Acceptance of Proposal — The above prices, specifications / � i and conditions are satisfactory and are hereby accepted. lbu are authorized Signature A �� i - �. .«, to do the work as specified. Payment will be made as outlined above. \‘.. Date of Acceptance: Signature 1 Pasco County Parcel: 02- 26 -21- 0260 - 00000 -1180 001 Page 1 of 1 Data Current as Of: II Weekly Archive - Saturday, November 20, 2010 Parcel ID I 02- 26 - 21 - 0260 - 00000 -1180 (Card: 001 of 001) I Classification 11 02 - Mobile Homes I Mailing Address Property Value LECLAIRE MARCEL H SR & Ag Land $ LECLAIRE DOROTHY E TRUSTEES Land 38623 LANSING AVE $11,500 ZEPHYRHILLS FL 33542 -6312 Building $11,190 Physical Address Extra Features $566 38623 LANSING AVE Market Value $23,256 ZEPHYRHILLS FL 33542 -6312 Assessed (Save Our Homes) $21,755 Legal Description (First 4 Lines) Homestead 196.031 $25,000 SLEEPY HOLLOW MOBILE ESTATES Non School Additional Homestead Exemption $0 RESIDENTIAL COOPERATIVE OR 4507 PG 292 Taxable Value $ Warning: A significant taxable value increase may occur when sold. LOT 118 Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) I Line II Use IIDescriptionll Zoning II Units II Type II Price II Condition II Value I 1 0200 I MSUBM II 00M2 I 1.00 I LT J$11500.0oJ 1.00 II $11,500 I 1 Additional Land Information I Acres II 0.08 II Tax Area 11 30ZH 11 FEMA Code II -- IlResidential Codell SHOPLP1 I I Building Information - Use 02 - Mobile Home (Card: 001 of 001) Year Built 1973 Stories 1.0 Exterior Wall 1 Pre - Finished Metal Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M) Interior Wall 1 Plywood Panel Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C None Baths 1.0 Line Description Sq. Feet ( Repl. Cost New 1 BAS 552 I $15,942 162 I $2,108 3 UEA 4 243 $4,910 FCA 264 $1,531 5 FCB 288 I $7,480 1 1 Extra Features (Card: 001 of 001) Line II Description II Year II Units I 1 11 CAC -1 11 1976 11 1 Il Value I 2 II A/C -1 11 1990 11 1 p $308 1 3 11 Mc 11 1975 11 $33 1 1 240 Il $225 I Sales History Previous Owner WD 11 SLEEPY HOLLOW MOBILE 1 2000 Year 11 Month I l Book /Page II Type 1 2000 1 12 I 4509 ! 0419 11 Amount I I 0 11 4482 / 0710 11 PL 11 $0 1 1997 II 10 1 I 3818 / 1909 II WD 0 $0 http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 02 &twn= 26 &rng =21 &sbb= 0260 &... 11/23/2010 LE ._07' //i k. 5 7 V hiOL 1_ e w ,1, - ,s7 0 62-64 - 00000- //f0 1 , 6 -S f. ere i /62_, co ' hz, 0 1 r 1 n, `) n a r' I .. 1 1 • >" 1 •■ C-N t 1 ( i q• ■.) 1 R I 33'r It, r') 7. 00 ' / 2_. 610' ' , , ... REV0648';- I CITY (14 . PLAN I i ' I '1' ... - - - - — 1„) , Y :•-.: ,...,., . , • . 3 i 62 .523 (44_57.1110-,:fr E , .- ,m,,,,,,,,,, i Florida Building Code Online Page 1 of 2 c m ur ity Affairs i1 ° ... rOCA IIO1 ! A.SnuT bCA MEM= CONTACT ncA BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts j Publications FBC Staff BCIS Site Map Links - Search 0 ° .. Product Approval USER: Public User COnrUntty Affairs product Approval Menu > Product or Aoolication Search > Application List > Application Detail CNl FL # FL153 R3 Application Type Revision " cbl ' is143 "'" 4124ITY Code Version oevnopmENT 2007 } y Application Status Approved iAro.oeme r Comments to wce.oF - Archived sEcRetiVY Product Manufacturer Custom Window Systems Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368 -6922 Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368 -6922 Ext 207 MLaFevre @cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368 -6922 Ext 208 Ralph @cws.cc Category Windows Subcategory Horizontal Slider Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Roberto Lomas developed the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 07/21/2020 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL153 R3 COI 510863 (HS -6200 Eno Eval Reo).odf Referenced Standard and Year (of Standard) Standard Year AAMA/WDMA 101/IS2/A440 -05 2005 ASTM E1300 -04 2004 http: / /floridabuilding.org /pr /pr_ app_ dtl. aspx ?param= wGEVXQwtDgtH8572gvdWI QAbV... 11/3/2010 E o Z vi ¢LL n p y m w O 1 yt Q 8 1 2 yW n . Ill t .-i & S Z < W F W d F 0 la •C c Z W 1 2W 0 x 0 .0 ~ . 3 4 LI LI W ', W y O W '< a. a. m< 0 w z oU 2 SS W W 0 .< F w 5 a zo Q ZZy • J 7:. 1. 1 yu. Z r6- N o x 0 cc or > > 0 0 Cg •�' ~ « w . z 5 a n < w w w W o a_ 1 3 u • 0 u. jQ , O 0 0 Z w . rey N U co upa 2 a = 0 0 y K q < y V1 H E - E < ° wo w< m w v, a o B ��� 't w ... I- H .c% • I- gi W — < < . g L I. ) I li Okii., O Vp 0 a, ° co 1 J . ; k..riC �:• i�' '3' r "" '1r Vii► IL 3( • L .. y9 _ Q 2 2 z z 30 r �.� 7. 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FL # FL161 -R3 • itt451N Application Type Revision /13 ,ENELDPMEfirr : Code Version 2007 t 1l Er1cY a Ap Status Validated Mrd1VA�Fr Comments Reviewed 3/8/09 ,r >g- 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 Reo Guardian Doorl.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 l of 2 3/9/2009 2:01 PM Florida Building Code Online http : / /floridabuilding.org /pr /pr_ app _dtl.aspx ?param= wGEVXQwtDq... Product Approval Method Method 1 Option D Date Submitted 03/04/2009 Date Validated 03/04/2009 • Summary of Products FL # Model, Number or Name Description 161.1 Guardian Hinged Door Guardian Hinged Door w/ Glazed Insert (Operable or Fixed). Limits of Use Installation Instructions Approved for use in HVHZ: No FL161 R3 II CWS -176A (Guardian Door).odf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: +40/ -40 Evaluation Reports Other: Not for use in HVHZ. Primarily used with Screen FL161 R3 AE 511038 (Eval Rep Guardian Door).odf Rooms. Created by Independent Third Party: Yes 161.2 Guardian Hinged Door Guardian Hinged Door w/ Solid Core. Limits of Use Installation Instructions Approved for use in HVHZ: No FL161 R3 II CWS -242 (Guardian Door no olass).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: +40/ -40 Evaluation Reports Other: Not for use in HVHZ. Primarily used with Screen FL161 R3 AE 511050 (Eval Rep Guardian Door no Rooms. plass).pdf Created by Independent Third Party: Yes Backl l Nextl • pf A Admini r Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. csIgyright and Disclaimer Product Approval Accepts: 9 Bobby • 3/9/2009 2:01 PM 2 oft . oo O 0 m N. • 0 U O Y o •- n LL 1- 0 w < m 3 O cc n cc m m U •- O cC O cc cC 0 co 11-- ¢ , O Q. W m e O I = .. 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