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10-11196
CITY OF ZEPHYRHILLS I / • 5335 - 8TH STREET 11196 (813)780 -0020 • BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit #:11196 Issued: 11/24/2010 Address: 39540 AUGUSTA NATIONAL DR LT 14 Permit Type: ALUMINUM ZEPHYRHILLS, FL. Class of Work: ALUMINUM PACKAGE Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost 9,375.00 Total Fees: 127.50 S MAJESTIC OAKS Amou Paid: 127.50 Date Paid: 1 1/24/2010 Parcel Number: 24- 26 -21- 0000 - 00100 -0090 Name: SUN STATE ALUMN INC Name: MAJESTIC OAKS LLC Addr: 6148 FT KING RD Address: 6991 E. CAMELBACK RD ST B -310 ZEPHYRHILLS,FL. 33542 SCOTTSDALE AZ 85251 Phone: (813)788 -7308 Lic: Phone: Work Desc: CARPORT & SHED 13 X 40 1 .5 A) Q1/ 2 -� SLAB SHEATHING RAISED SLAB DRIVEWAY FRAME ELECTRICAL ROUGH 1ST ROUGH PLUMB 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." 1/4A496 or 4 4 /to , CONTRACTORS SIGNATURE PERMIT OFF! - - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i City of Zephyrhills BUILDING PLAN REVIEW COMMENTS ract; omeowner: 4.,a4 � s� � (L� Con t Date Received: //—/-- - 1 D Site: i4 t - 1C3 g'-e , 2 pOtP Permit Type: L, 4 c- 1 `mil Approved w /no comments: ❑ Approved w /the below comments: ig Denied w /the below comments: ❑ dkeel Se This comment sheet s 1 all be kept with the permit and /or plans. / A - 2 0 /f Kai ' , . w er ' Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) I c 01 Z- 1k f,aLC PERM SERVICE 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 R 813'7813 -5314 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 38ds, G!t `� COMMUNITY PHASE ONE PB 35 PG 107 -112 LOT 1 THRU 16 INCL & LOTS 19 Zep4r4.14 Pi THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87 `' ` 311111111111111111111111111111111111111111111111 2010164976 NOTICE OP COMMENCEMENT Rcpt :1336224 Rae: 10.00 DS: 0.00 IT: 0.00 11/16/10 A. Giard, Dpty Clerk Permit No. q PAULA S.0'NEIL,Ph.D.PASCO CLERK & COMPTROLLER 11/16/10 1' Tel 1P 8 32 Property Identification No. d Y-62-6 -eV- od 00- OD /00 - 009Q OR BK .7 THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal description:} 1 - , 5 1 / V al fdecih, 0a4 (u& 4.4" 64 al (t o ) a) Street Address: 3 9'Sqd l it /la rd Dr . 21 / ,/ 3.lT1/4 2.General description of improvements: Cl/ Apart- f-ct, c 3.Owner Information ' � L a) Name and address: /0 U- 0 Oa 3 Y S'S� ...400.04. /(iJ /s, d 294,414 f'/ arret ' b) Name and address of fee supple titleholder (if other than owner) ' ' c) Interest in property 4.Contractor Information M j�- / . 331 b) Telephone No.: Fax No. (Opt.) a) Name and address: .� t.ria.6. � • SAC . GM /G ''' /24 � +24 / 5.SuretyInformation a) Name and address: b) Amount of Bond _ • c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: • b) Telephone No.: Fax No. (Opt) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONS T YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF C ; 8 _' ■ MENT. STA'T'E OF FLORIDA ' / -g--c OF PASCO Si tura o e'er ��aa Il `'q's Authorized OfTicer/Dinector/ParniedManager Print Na r The fpregoing ent was acknowledged before me this 9 day of �/i�pl ell /- , 20 , by in 1 as 0/0/4-1 (type of authority, e.g. officer, trustee, attorney fact) for f (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identification Notary Signature 14/114 /41 Type of Identification Produced ,(7L V /-`,'' At544 Name (print) Verification pursuant toSection 92.525, Florida Statutes. Undsr penalties of declare that I have read the fore the facts stated in it are true to the best of my knowledge and belief. foregoing and that 'ORMS/NOC,rvSd2007 Signature Of N8 RSUm I gnin gA Ab Above NOTARY PUBLIC•STATE OF FLORIDA , Stacie Hartwig ,; gComr ssion #DD926164 '4,,,,,, E Xpir s: OCT. 16, 2013 BONDED THriC AT LANi (C 5ONDING CO.,INC. 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 WITH SS MY HAND AND��9QFFICI SEAL THIS �__ DAY OF Pi 0 2 Of PAULA . •'NEIL, CLERK ; COMP - OLLER BY / _ _ _ e ' ATY CLERK O O • CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11196 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit #:11196 Issued: Address: 39540 AUGUSTA NATIONAL DR LT 14 Permit Type: ALUMINUM ZEPHYRHILLS, FL. Class of Work: ALUMINUM PACKAGE Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 9,375.00 Total Fees: 127.50 Subdivision: MAJESTIC OAKS Amount Paid: Date Paid: Parcel Number: 24- 26 -21- 0000 - 00100 -0090 Name: SUN STATE ALUMN INC Name: MAJESTIC OAKS LLC Addr: 6148 FT KING RD Address: 6991 E. CAMELBACK RD ST B -310 ZEPHYRHILLS,FL. 33542 SCOTTSDALE AZ 85251 Phone: (813)788 -7308 Lic: Phone: Work Desc: CARPORT & SHED 13 X 40 :1 s • 7. • --' \I /00e '.{ Skil sr ly,,,d-/ wir.......... ) , ‘..............., SLAB SHEATHING RAISED SLAB DRIVEWAY FRAME ELECTRICAL ROUGH 1ST ROUGH PLUMB 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." 6 e)g..- CONTRACTORS SIGNATURE PERMIT OFFI v - - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I 813 -780 -0020 (ity oT Lepnyrnln5 ref I I Ill rypil c uuI 1 4* i r ( Building Department �p • Date Received Phone Contact for Permitting bl3 MI -- Firlai ^ L O d!OA/. Owner Phone Number Owner's Name Q/ 39 s Q r, Owner Phone Number Owner's Address ir4; " Y 9 (' y , e /•C�cA Owner Phone Number Fee Simple Titleholder Name k te s t s / -Wy3 Fee Simple Titleholder Address /� chi // `. - / / t/ 3 'Se /7'. cam' /7 y l0/W dr* LOT ! ]' JOB ADDRESS �j � /` O ! / t �o�y PARCEL ID# a'r 44 ' 0WO AV al d� SUBDIVISION "7 'r (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR I ADD /ALT 1 I SIGN 1 1 MOVE = DEMOLISH INSTALL REPAIR SFR I COMM r& OTHER « i / PROPOSED USE I I BLOCK 1 I FRAME ED STEEL 1 1 OTHER TYPE OF CONSTRUCTION I DESCRIPTION OF WORK I e (Ala or t °` `f BUILDING SIZE I 13 X yv I SQ FOOTAGE I S6 I HEIGHT I I — P BUILDING I$ ,, j 7 G I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE I I PROGRESS ENERGY I I W.R.E.0 ELECTRICAL I$ .. PERMIT p 8 ; `S,783-5311 . PLUMBING I$ 1 MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION GAS I I ROOFING I 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA 1 'YES 1 INO ' I 7 $ .1) COMPANY 1 d (f) . h ,1,14441( •.,,C . SIGNATURE BUILDER ��� � � /. � I REGISTERED L Y / N 1 FEE CURRENT 1 Y / N I Address /SY / t:"4- // - la ' 0 4 Ft I License # � I ELECTRICIAN COMPANY 1 I SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N I License # 1 Address I PLUMBER COMPANY 1 SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y / N 1 1 License # Address I MECHANICAL I COMPANY I SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N 1 License # Address I OTHER COMPANY 1 SIGNATURE REGISTERED I Y/ N FEE CURRENT 1 Y/ N I Address I I 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 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 1 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 CA &(_ J/Q/1_40 CONTRACTOR ��`3L —�' Subscribe9I and sworn to (or a rmed) bef4 a me this / Subsc abed and sworn to (or a irmes;) befgrQ me t is !� /love r woo c1 ° cr n�r✓7 � aaeti xr Billy <I u c ALAS Who Is /are personally known to me or has /have pro uced Who is/are personally known to me or has /have produced as identification. as identification. / Nota Public Notary Public - � �' ommissidrtTlo. NOTARY PUBLIC - STATE QF FLORIDA Commission N. Suzanne Bahr �.,�Ifc s c it; on #01)601110 Name of Notary typed, printed of -d Suzanne Bahr Name of Notary typed, f? Qi t'�f} CS' �' "' CD� miss . #DJj6() ; Tres: NOV. 15, 2010 Fires: NOV. e 3(1 ����'fHR[J avriCBONDINGco.,1?v'C \ BOND 1 Plan Review Modular Home Set -ups and Aluminum Packages 1) All property markers shall be exposed and clearly marked at time of first inspection. 2) All set -backs shall be met. 3) All garages shall comply with section 309.2 ( Fire separation ). 4) Access shall be made available at time of inspection. 5)Manufacture specification manual, approved plans and permit shall be available at time of inspection. 6)No electric, plumbing, mechanical or framing is to be covered without inspection and approval first. 7)R.O.W. Use permit required for driveways on public streets. 8) At least 10' separation between other units. 9) All work 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 Page No. of Pages PrOPOSal SUN STATE ALUMINUM, INC_ 6154 Fort King Rd. FPHYRKLIS, FL 335 (?13) 7887308 „,...., \ -----,_ . PROPOSAL-SUBMITTED TO . PHONE ..„.. I p t plFs ks \ 1 )\ STREET - NAME i 1 ---,- CITY, STATE and ZIP CODE JOB LOCATION ,..,....-., \ \ ‘,_ ' ■- ',-- (33 \'‘'...._ ARCHITECT DATE OF PLANS JOB PHONE _ We bereby-sithmit specifications and estimates for: .. -- i \ , dp )-- 1- i , , -. ...-1 I - . ' - : t•-.7i c ' :-. 77,...1 ) ' .. )-. ! I :.-- - -, ..., -.1.....).. , .. .........._... ,....,_,_ ( v -:):::) -74N.€-., ,... , 1 ... \,...-. j -'• ::,;)...Ns -it ......,....,_,... 1 -....- . , ,... ,- -4 ( i...., ,.. .. , ri C PrepOSec herebytg_tiontstilWatellararidVal?or\-- coknplete inc'accordariEe with above specifications, for the stem of - - )t -..., -.\ - ---=-). ', NI- - dollars ($ 1 ) 1 ---- - ). I 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 _ - , - -; • - 7 .- .-, - .-„,..--":: - - - involving extra costs will be executed only upon written orders n , and will become a extra Signature .=4 ,..__ -- charge over and above the estimate. All agreements contingent upon strikes, accidents '- -- - - (-.-_—_ :. 7._ _-- --'"-,- ----' - or delays beyond our control Owner to carry fire, tornado and other necessary insurance. Note: This proposal may be day \ Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within day s. \ , Acceptance of Proposal _ The above prices, specifications ... , ., -,---,----- • ' . - ' ' .---- / / \ and conditions are satisfactory and are hereby accepted. You are authorized Signatiee . ,--. ,--f al (--... - , ,-- ' t- ---- to do the work as specified. Payment wilt be made as outlined above. , Date of Acceptance: Signature ,g Cy / /3. . £ O' -� . , , , 1 '0 , , o ,,,_ ,, f 11 , 1 ‘ i _ l 1 1 I I I j I I ■ I v E • o L 1 __________], ., ,. ..::., �s y0.001 ..:., . o 06oz G07- / y /V-.0-7 0/i R I/ r t T `�' ay- e2-1- 021- a000— 0 /do 0090:,,f ____A Z �'GO 1 Florida Building Code Online http: / /fLoridabuilding.orgfpr /pr app dtl.aspx?paraur wGEVXQwtD... rr t . ai SOS Home I Log In I User Registration I Hot Topics I Submit Surcharge I Stats & Facts I Publications I MC Staff 1 BCIS Site Map I Links I Search i • =I� Product Approval r L USER: Public User i Community - _ -fu product Approval Menu > product or Application Search.> Application Ust> A pp li cat i on Detail FL163 -R2 - PLPNI: FL # Application Type Revision -a tlTa Fi 7F1'5F+E'.7 Code Version 2007 Application Status Approved Comments Archived t 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 1 ? 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 i+ 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 • c mm a E'p' a rn{• m VI _ n p 2 m ?Z p 'g ; _ y - i3 a i 6 1 2 4 0y 0 , 8 ? � S� o* O o c m� D . • 21§,§t -� § o 0 8 sS m T,6., F. Z m z o a am O Z m <� +=0 c n 0 cg 0 z m z m m m2z m z 1 r a y C 0 0 CIO a y _z'ya a Z _ ` L -i m 9 a Z ?C= z= z Vo x y E . .1 O c K i m O my 0 77 r a O a i y m 17' • a -1 '---11- ` ,�t °O-na m r - m 4.0 Ea Z c r zU6 = q � z y 9 m mm I t � � �m S� ma, -i -I -r -4j Z -C 0 Z O I I }( 3W °- m m m to O Z m0 O a nm40 =A m > O rn 0 co a P p 'I � - _ - mg o oc, s73 O a T C .2' � H Z • O m0 „ m az_ z a z - <� o z I -yI1Np 1 O i z m a"i -n ■ nO -1 xm 0 -i - g m = O om m m- 0 z m - m = Z I x I 31 2 0 z C v O N ON m ma o . 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Affairs r Product Approval Menu > Product or Application Search > Application Lint > Application Detail ` dGe rr,,, s -a, FL # FL161 -R3 $ Application Type Revision P,,� y _ • Code Version 2007 Application Status � Approved At Comments I r ' 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 v. 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 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL161 R3 COI 511038 (Eval Rep Guardian Door).odf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA/WDMA 101/I52 -97 1997 Equivalence of Product Standards http: / /floridabuilding.org /pr /pr app_ dtl. aspx? pararn= wGEVXQwtDgvyf4ngAXh1045csM... 6/11/2009 li ^ f mvm h; T. y m 1, (('�j Q mx 1r .., I11 V C 71 Bern6 - o m r cg fN m z o I II g yi Z ,111 Z i Z a£� 'I. = — 4 _ I D o 6. y � iI m P > � T .. o m D-• '' ? 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