HomeMy WebLinkAbout11-11419 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
• ' � ! �sis��so-oo20 11419
BUILDING PERMIT
Permit Number: 11419 Address: 6009 CRESTON ST LOT 85
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: PINE CREST M.H.P.
Est. Value: Parcel Number: 03-26-21-0210-00000-0850
Improv. Cost: 4,000.00
Date Issued: 1/20/2011 Name: BARNES, JOHN/NANCY
Total Fees: 122.50 Address: 6009 CRESTON ST
Amount Paid: 122.50 ZEPHYRHILLS, FL. 33542
Date Paid: 1/20/2011 Phone: (813)779-9766
Work Desc: ENCLOSURE SUNROOM 13 X 22/ 10 X 15 PAN ROOF OVER EXISTING SLAB
HOMEOWNER � '
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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 inspecdon
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty conskruction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site � plans not at job site g) work not acxessible.
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 counry, 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."
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTIiS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application� f f(� Fax-813-780-0021
Building Department `�� � �
Date Received � -� � � Phone Contact for Permitting t�t � � � / --
�. h1 $� ' — �
Owner's Name r V� � �- �� Owner Phone Number
Owner's Address �� 1 G�� �`T� °/U � Owner Phone Number
Fee Simple Titleholder Name j� I`� �1.� �-� ��� � 5 Owner Phone Number �(� �� � 7 y—��i 4�
Fee Simple Titleholder Address � Q� L R E= � � D`L� J I
JOB ADDRESS (0 Od 1`�tS j I� n' �7 LOT # S
SUBDIVISION �IIi� � � � T � � � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED �X NEW CONSTR e �ALT � SIGN 0 MOVE 0 DEMOLISH
INSTALL R AIR �
PROPOSED USE Q SFR 0 COMM � OTHER
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME Q STEEL � �THER
DESCRIPTION OF WORK t%�C. �C..� !N`J1.'�-.'Q i ��'Z} ►' �i r - • � ��'! ���-•- �i �`�L.fI.I�"CY
LQ t?tu� }� �.�.
BUILDING SIZE �� X SQ FOOTAGE � HEIGHT D� �/� 10 X 1'S A
C.t�int� �,tt
BUILDING $ i.� _ VALUATION OF TOTAL CONSTRUCTION
� AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
� ELECTRICAL $ 0
��-- � ;�
PLUMBING $ � � � - - '" ��i'"'
C] �i \{�-__-_- -� 1
--�.-�--�---- - -'-
� MECHANICAL $� VALUATION OF MECHANICAL INSTA ION � I�' C �_.�
;� �.� c� ( ���ar ..�
� GAS � ROOFING � SPECIALTY 0 OTHER S� �;7�`��
FINISHED FLOOR ELEVATIONS (� FLOOD ZONE AREA �YES �td��----•--`"` �
�
BUILDER � t,Z; ,'�/ �. /Q � � COMPANY �
„ SfGNATURE � REGISTERED Y/ N FEE CURRENT Y/ N
C �_ �
Address License #
ELECTRICIAN
�� � COMPANY C/
SIGNATURE S REGISTERED / CURRENT Y/ N
Address License # �
PLUMBER 1 COMPANY
SIGNATURE REGISTERED Y! N FEE CURRENT Y/ N
Address License #
MECHANICAL � � � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License #
OTHER �� COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
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 Permit for new construction.
.. _ . .. ---- --._..._.__ n�,........i e�i+ Co.,no incr�llcrl
Pasco County Parcel: 03-26-21-0210-00000-OS50 001 Page 1 of 1
�ata Current as Ot': Weekly Ar-chive - Saturday, January 08, 2011
cel ID � � U3-26-21-0210-00000-0850 �Card-:-Oa1 of 001�
Classification 02 - Mobile Homes
Mailing Address Property Value
BARNES NANCY & Ag Land $0
KRAL MAEGAN �nd $7,200
6009 CRESTON ST Buildi�g $4,567
ZEPHYRHILLS FL 33542-3268 Extra Features $765
Physical Address
Physical Address N/A Market Value #12,532
L@a311 DeSCriDtlon (First 4 Lines) Assessed (Non-School Amendment 1) $12,532
PINECREST MOBILE HOME PARK Taxable Value �12,532
CO-OP OR 4767 PG 100 &
OR 4814 PG 662
LOT 85 -
Land Detail (Card: 001 of 001)
Line Use Description Zoniny Units Type Price Condition Value
1 0200 MSUBM OOM2 1.00 LT $7,200.00 1.00 $7,200
Additional Land Information
Acres 0.05 Tax Area 30ZH FEMA Code -- PN P1
Buildina Information - Use 02 - Mobile Home (Card: 001 of 001)
Year Built 1968 Stories 1.0
Exterior Wall 1 Pre-Finished Metal Exterior Wall 2 None
Roof Structure Fiat Roof Cover Min Roof(Corr. or Sh M)
Interior Wall i Plywood Panel Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel E�ectric Heat Forced Air - Ducted
A/C None Baths 1.0
Line Descriptfon Sq. Feet Repl. Cost New
1 B� 480 $10,762
2 FQA 407 $2,287
E�ctra Features (Card: 001 of 001)
Line Description Year Units Value
1 wc_2 1993 1 $60
2 UDU-M 1980 1 $107
3 DW 2010 135 $299
4 C N 2010 135 $299
Sales History
Previous Owner PINECREST MOBILE HOME PARK
Year Month Book/Page Type Amount
2003 03 4 21 PL $14,000
2001 02 4567 / 1952 WD $0
1999 03 4125 / 0781 WD $0
http://wwvv.appraiser.pascogov.com/search/parcel.aspx?sec=03 &twn=26&rng=21 &sbb=0... 1 /11 /2011
DISCLOSURE STATEMENT FOR OWNER
CITY OF.ZEPHYRHILLS — BUILDING DEPARTMENT
i, _� � G� ��} � J�} �J _ have read and fully understand and agree to the
provisions of thislinstrument.
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by he.r�e,�.� said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the following
conditions:
1. That the owner and he or she alone shall act as the builder for all phases of construction.
2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will engage only
properly licensed subcontractors and will personally supervise such work.
4. That in the event the Building Inspector shall require corrections to be made, the owner will
assume full responsibility to insure they are made, and upon completion will call for a
reinspection before proceeding with the building.
5. That the owner shal� assume full responsibility for the construction and will not expect
supervision of his work from the City of Zephyrhills Building Department.
6. That prior to final inspection any additional fees, including reinspection fees, must be paid in
full. A written request from this office shall constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to social security,
workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida Industrial
Commission.
9. State law requires construction to be done by licensed contractors. You have applied for a
permit under an exemption to that law. The exemption allows you, as the owner of your
property, to act as your own contractor with certain restrictions even though you do not have
a license. You must provide direct onsite supervision of the construction yourself. You may
build or improve a one-family or twafamily residence or a farm outbuilding. You may also
build or improve a commercial building, provided your costs do not exceed $75,000. The
building or residence must be for your own use or occupancy. It may not be built or
substantially improved if for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person to act as your contractor or to supervise people working on your
building. It is your responsibility to make sure that people emplo�red by you have licenses
required by state law and by county or municipal licensing ordinances. You may not delegate
the responsibility for supervising work to a licensed contractor who is not licensed to perform
the work being done. Any person working on your building who is not licensed must work
under your direct supervision and must be employed by you, which means that you must
deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all
as prescribed by law. Your construction must comply with all applicable laws, ordinances,
building codes, and zoning regulations.
OWNER'S SIGNATURE DATE i
ADDRESS al
PHONE �1�- �77G1 - q7bf
WITNESS PERMIT
UMasterforms/OwnersAffidavit/Nov07
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2 031004926 ,
Rcpt:1345037 Rec: 10.00
DS: 0.00 IT: 0.00
01/11/11 R. Cervantes, Dpf,y Clerk
NOTICE OF COMMENCEMENT
PRULA S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER
PermitNo. � . 01/11/il ll: llam 1 0�1��
' OR BK ��� 1 p � i�
Property Identification No. e � - �6 - � � _ O � I o - no �ob - ,p,$�'�
THE iTNDERSIGNED hereby give informs you that the improvement will be made ta certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information'is provided in this NOTIeE OF COMMENCEMENT.
1.Description ofproperty (legal descrtptlon:) �.,� '�. ES?' 1►1o$�uE t{eR�� PA Rk C o-o P a R 4� G'1 pG Ioo oR � B�9 P6 4f.� �,o'i i
a) Street Address; �Q� o� C E�,T n� - J-� 7�P Ft � R N) i�L 5
2.Oeneral desaription of improvements: 4� cJDS�D �FVS✓� A7ED Sv�JRt�o m L�W�?C!P ��JSTi�r G�
_�LU5 �Anl t-2od F � v�R �� p n^�� �n.� !"� eok I S ccrn �.�v? �A �
3.Owner Information
a) Name and address: � 1� Nc�/ �'R �1FZ�tJ�. �S, h LjQ G R �CJTON ST ZL� P��N ILL� �,� � s•r(..�
b) Name and address of fee sunple titleholder (if other than owner)
, c) Interest in property
4.Contractor Information � . ' �
a) Name and address: �J . c 1_5
b) Telephone No.: � - Fax No. (Opt.)
S.Surety Information � .
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 norices or other documents may be served: '
a) Name and address:
b) Telephone No.: Fax �To. (Opt.)
8.In addition to himself, oWner designates the following person to receive a copy ofthe Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: L-- Fax No. (Opt.) '
9.Expiration date of Notice of Commencement (the expiration �ate is one year from the date of recording unless a diffe'rent date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OR
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 B'EFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUIt LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK QR RECORDING YOUR NOTICE F COMMENCEMENT.
STATE OF FLORIDA ,��, �
COUNTY OF PASCO �' ••'�' � '`'� ��E DIXON
* * MY COMMISSION t EE 025895 s��� of er o. wner's Aut6orized Officer/Director/Parfier/Menagcr
EXPIRES: September 14, 2014 r -.
�'�OF Flda``�e B@�a!a Thfu BUdget NMary SEMCCS
Print Neme
The foregoing instrument was aclaiowledged before me ttus �_ day of �l.l 20 1., by ��, 4.�'d.� PS
as �• (type f au ri, e.g. officer, trustee, attoraey
in fact) �or (name of party on behalf of who ' ent was e cuted).
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_____ PREVAILING CODBS, FLORIDABUILDING
CODE, NATIONAL ELECTRIC CODE AND
� � - - CITY OF ZEPHYRHILLS ORDIN
ANCES
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"���`�`�'��*��:�s Application Status Approved
_ t>.hti \i'ivvy.'��Y' i��.
� ry' � `,, .::\?:;. v {+ �
....�� `.:<' ..:?::.:�:: Comments
Archived
Product Manufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella, IA 50219
{641) 621-6096
pellaproductapproval @ pella.com
Authorized Signature Hughes Alan
hughesaj@pella.com
Technical Representative Alan Hughes
Address/Phone/Email 2000 Proline Place
Getrysburg, PA 17325
(717) 338-1165
hughesaj@pella.com
Quality Assurance Representative Ali Zarghami
Address/Phone/Email 102 Main St
Pella, IA 50219
(641) 621-1000
zarghamia C+� pella.com
Category Windows
Subcategory Single Hung
Complianc�►�t�i i�� SHALLCOMPLY WITHALL
PREVAII.ING CODES, FI.ORIDABUII.DING Certification Mark or Listing
CODE, NATIONAL ELECTRIC CODE AND
Certificatio ZEPHYRHILLS ORDINANCES Window and Door Manufacturers Association
Validated By ,James L. Buckner, P.E. at CBUCK, Inc.
� Validation Checklist - Hardcopy Received
rICVICV� u/y�C ' ' �
CITY OF ZEPHY HILL -
PLANS EXAMINER
,,,, ,.... ,�,,,,,, , .,..,,, -. 4
�rda Builcling Code Online http://www,floridabuilding.org/pr/pr_app_dtl.aspl?param=wGEVXQwY...
Referenced Standard and Year(ofStandard) Standard
AAMA 101/I.S.2-47
AAMA/WDMA/CSA 101/I.S.2/A440-05
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Op6on A
Date Submitted 06/30R009
Date Validated 07/06/2009
Date Pending FBC Approval 07/08/2009
Date Approved 08/11/2009
Date Revised 08/25/2009
Summary of Products
FL # I Model, Number or Name Description
11206.1 ` Series 10 Flanged Single Hung Vinyl Flanged Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL for i'ei
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No 06/10/2013
Design Pressure: +30/-30 Installation Instructians
Other: Configurations of glass conform to latest ASTM E1300 standard. FL11206_R2_II_1414.pdf
Verified By: Warren W. Schaefer, F
Created by IndependentThird Part
Evaluation Reports
FL11206_R2_A�1414.odf
Created by Independent Third Part
-------------- � -------���--- - -----------------
11206.2 ; Series 10 Flanged Single Hung Vinyl Flanged Single Hung Window
- �-�- ----- - - -- - . .. ... ....... ......__--�- - �-�----� -- �--- .......... ._..- -- �--- - - ....... .. - - - - -- - --- - �-� --- -��- -
� Limits of Use Certification Agency Certificate
� Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL for Pel
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No 04/20/2013
Design Pressure: +50/-50 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL11206_R2_II_1414.ndf
Verified By: Warren W. Schaefer, F
Created by Independent Third Part
�
Evaluation Reports
FL11206_R2_AE`1414.pdf
Created by Independent Third Part
�
11206.3 ; Series 10 Flanged Single Hung Vinyl Flanged Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL for Pel
Approved for use outside HVHZ: Yes Quality Assurance Contract Expi�
Impact Resistant: No 02/11/2013
Design Pressure: +55/-55 Installation Instructions
�r�a Buil�ing Code On�inf� h�tp://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEV�iQ���t...
O� ther: Configurations of glass conform to latest ASTM E1300 standard. : FL1I2d5_R2_II_14I4.pdf �
� Verified By: Warren W. Schaefer, F
; Created by Independent Third Part
� Evaluation Reports
; FL11206_R2_A�1414.pdf
: Created by Independent Third Part
11206.4 ; Series 10 Flanged Single Hung Vinyl Flanged Single Hung Window
Limits of Use Certification Agency Certificate
` Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL for Pel
Approved for use outside HVHZ: Yes Quality Assurance Contract Ex�pii
Impact Resistant: No 02/09/2013
Design Pressure: +50/-50 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL11206_R2_II_1414.pdf
Verified By Warren W. Schaefer, F
Created by Independent Third Part
� Evaluation Reports
� FL11206_R2�E_1414.n�i
Created by Independent Third Part
�— i
11206.5 ' Series 10/20 High Performance Single Vinyl High Performance Single Hun
Hung
Limits of Use Certification Agency Certificate
Approved for use in HVH2: No FL1I206_R2_C_CAC_CCL for Pe)
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No 03/17/2010
Design Pressure: +50/-50 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL112Q6_R2_II_1572.ndf
Verified By• Warren W. Schaefer, F
Created by Independent Third Part
Evaluation Reports
FL11206 RZ�F__1572�df
Created by Independent Third Parc
11206.6 ; Series 10/20 High Performance Single Vinyl High Performance Single Hun
Hung
� Limits of Use Certification Agency Certificate
; Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL for Pel
� Approved for use outside HVHZ: Yes Qualiry Assurance Contract Expii
Impact Resistant: No 02/14/2010
Design Pressure: +50/-50 Installation Instructions
� Other: Configurations of glass conform to latest ASTM E1300 standard. FL11206_R2_II_1572.pdf
� Verified By: Warren W. Schaefer, F
Created by IndependentThird Part
Evaluation Reports
FL 11206_R2_AE_1572. pdf
, .� �
Created by Independent Third Part
;......._..-� -��-�---- ��- ��---- ------- --- �--�-�-t•- - -- ....... -� -� -- -�---- �--�-��-�--�--�- - �--...--- -� -� --... ... - �- - �
--� - ---- -� --. .... - -� -. ._. _ __
� 11206.7 ; Series 10/20 Single Hung Vinyl Single Hung Window (48" x 7�
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL Eor Pel
i Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No 10/20/2009
Design Pressure: +35l-35 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL1120b R2_II_1572.adf
� Verified By Warren W. Schaefer, F
� Created by Independent Third Part
' Evaluation Reports
...... ...... ... .. ... ........... FL11206_R2��.2572.pdf
�TM-�a B�;ild�ng Code Onlinf� http://wwcti.flaridabuilding.org/pr/pr_app_dtl.aspx ; �.,.
�
� ' Created by Independent Third Part
j ... ... ...
� 11206�8 � Y � y � ; Series 10/20 Single Hung �__��� Vinyl Single Hung Window (48" x 5�
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL for Pel
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
tmpact Resistant: No 10/20/2009
� Design Pressure: +35/-35 Installation Instructions
Oiher: Configurations of glass conform to latest ASTM E1300 standard. FL112a6_I22_II_15�2.pdf
�J Verified By• Warren W. Schaefer, F
1 Created by Independent Third Part
Evaluation Reports
FL112a6 R2_A 1572.pdf
Created by Independent Third Part
11206.9 ; Series 10/20 Single Hung Vinyl Single Hung Window (36" x 5�
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL for Pel
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No lORfl/2009
Design Pressure: +35/-35 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL1120b_R2_II_1572.ndf
Verified By: Warren. W. Schaefer, I
Created by Independent Third Part
Evaluation Reports
FL11206_R2_A�1572.�d f
Created by Independent Third Part
11206.10 ; Series 10/20 Single Hung �� �� Vinyl Single Hung Window { 48" x 8�
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL far Pe!
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No 10R0/20�9
Design Pressure: +35/-35 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL11206 R2_II_1572.pdf
Verified By: Warren W. Schaefer, F
Created by Independent Third Part
Evaluation Reports
FL11206 R2 I572.ndf
�_________ __ _` „ Created by Independent Third Part
11206.11 ; Series 10/20 Single Hung Vinyl Single Hung Window (36" x 7:
, Limits of Use Certificatian Agency Certificate
� Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL far Pel
� � Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No lORO/2009
Design Pressure: +35/-35 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL11206 R2 11 1572.pdf
Verified By: Warren W. Schaefer, F
Created by Independent Third Part
Evaluation Reports
FL11206 R2 A 1572.pdf
Created by Independent Third Part
-� - ........ - -� ------- - ------------- ------+� - - -�- -- ...... .. - --�-�-----�- -... ----� - -� -�-� -�- ---�-�- -._. ._. .---...- ---� .
- �- -- -• •- -- - -
a 1120 6.12 ; Series 10/20 Single Hung Vinyl Sin Hung Twin C omposite �
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL11206 R2_C_CAC_CCL for Pe!
; Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
�._. --�- - --��----- - -� ------�--�- --�--�--�----- - -- � . . ...... ....... �- �- -- ------�-- -...... ....-� - -�---�-��- -... .- - �- - - - -
;rida Building Code Onlin° http://www,fforidabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQtvt...
� � Impact Resistant: No � 03/17/2010 �
Design Pressure: +35/-35 ; Installation Instructions
� Other: Configurations of glass conform to latest ASTM E1300 standard. ; FL11206 f22_II_1572.ndf
; Verified By: Warren W. Schaefer, F
" � ; Created by Independent Third Part
; Evaluation Reports
; FL112Q6_R2_A�1572.pdf
; Created by Independent Third Part
-- - ---� - ---�--� - �-- ----� - ._..., �- --- �-� -� -�--- �--�-�-•---��- - � �----�----�-- ----� - -� � �-- - -- -�---..
11206 `v_ � � Series 10 Single Hung Vinyl Si ngle H ung Twin Co �
Limits of Use � Certification Agency Certificate
Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL for Pel
� Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No 03/17/2010
� Design Pressure: +35/-35 Installation Instructions
� Other: Configurations of glass conform to latest ASTM E1300 standard. FL11206_R2_II_1572.pdf
Verified By: Warren W. Schaefer, F
Created by Independent Third Part
Evaluation Reports
FL11206_R2_A� I572, pdf
Created by Independent Third Part
11206.14 ; Series 10/20 Single Hung Vinyl Fixed With Single Hung F la nk �
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1Z206_R2_C_CAC_CCL for P�I
Approved for use outside HVHZ: Yes Quality Assurance Contract Expi�
Impact Resistant: No 12/27/2011
Design Pressure: +30/-30 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL11206_R2_II_1572.arif
Verified By: Warren W. Schaefer, F
Created by Independent Third Part
Evalua[ion Reports
FLI1206_R2_AE_1572. pdf
Created by Independent Third Part
� 11206.15 �� ���� Y � Series 10/20 Single Hung � � Vinyl Single H Twin Com posite �
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL112Q6_R2 C_CAC_CCL for Pe!
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No 03/17/2010
Design Pressure: +30/-30 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL112Q6_R2_II_1572.pdf
Verified By: Warren W. Schaefer, F
Created by Independent Third Part
Evaluation Reports
FL11206 R2 A 1572.pdf
_ Created by Independent Third Part
� ----------------- — ----- —
� �
11206.16 � Series 10/20 Single Hung V i ny l Single Hu ng T wi n C omposit e �
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL11206_R2 C_CAC_C�L for Pel
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No 03/17/2010
Design Pressure: +35/-35 Installation Instructions
i Other: Configurations of glass conform to latest ASTM E1300 standard. FL11206_R2_II_1572.pdf
� Verified By� Warren W. Schaefer, F
Created by Independent Third Part
Evaluation Reports
� FL11206 R2�E I572.pdf
�
��r da Bi:ilcling Code Onlir�e htip://t«vw.floridabuildin .or ,r
g g/pr/pr_app_dtl.asp�?param=wGEVkQ��
.--. ... ' Created by Independent Third Part
--- �-- �- ---- , -��- --� �- �-�-• �--� ...................... ... -. .- �-�-- -� ,
11206.17 _ vvy_v`v �� v , Series 10/20 Single Hung �� Vinyl Single Hung Triple Composite
Limits of Use �� Certification Agency Certificate
Approved for use in HVHZ: No FL11206_R2_C CAC_CCL for Pe}
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No 03/17/2010
Design Pressure: +30/-30 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL11206 Ft2 II 1572 odf
Verified By: Warren W. Schaefer, F
Created by Independent Third Part
� Evaluation Reports
FL1Z2Q6_Fi2_A�1572. pdf
l Created by Independent Third Part
� .—_ .
11206.18 ; Series 10/20 Single Hung Vinyl Single Hung Triple Composite
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1120&_R2_C_CAC_CCL far Pei
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No 03/17/2010
Design Pressure: +35/-35 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL11206_R2 II 1572 pdf
Verified By: Warren W. Schaefer, F
Created by Independent Third Part
Evaluation Reports
FL11206_R2_AE`15
Created by Independent Third Part
11206.19 �' Series 10/20 Single Hung � Y � Vinyl Single Hung Trip Composite
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL11206_R2_C_CAC_CCL for Pei
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No 03/17/2010
Design Pressure: +35/-35 Installation Instructions
Other: Configurations of glass conform to latest ASTM E1300 standard. FL1I206_R2 II 1572 odf
Verified By: Warren W. Schaefer, F
Created by Independent Third Part
Evaluation Reports
FL11206 R2 E 1572 ndf
Created by Independent Third Part
---�------, • --- -- ---
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DCA Administration
Department of Community Affairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee, Florida 32399-2100
(850) 487-1824, Fax (850) 414-8436
O 2000-2005 The State of Florida. All rights reserved. Coovriaht and Disclair
Product Approval Accepts:
: ��
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=� x Product Approval Menu > Product or Application Search > lication List ' ation DeWil
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-�� FL # FL1824-R4 �
�� • � Application Type �
`«��.�: Revision
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' ��� Approved
, ; � �, ;� Application Status
. �
j ` �� �� � ' Comments
Archived ����
Product Manufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella, IA 50219
(641) 621-6096
pellaprodudapproval @pella.com
Authorized Signature Hughes Alan
hughesaj@pella.com
Technical Representative Alan Hughes
Address/Phone/Email 2000 Proline Place
Gettysburg, PA 17325
(717) 338-1165
ALLWORKSHALLC4Ng'LYWIT��L hughesaj@pella.com
Quality Ass � CTRIC COD D AND
Ali Zarghami
Address/Ph ►�,�i�Ep�iLLS ORDINAI`10ES 102 Main St
Pella, IA 50219
(641) 621-1000
zarghamia@pella.com
Category ,�� V 1 t VV UATE i' I� �� Exterior poors
Subcategory 11TY 4� ZEPHYRHILLS Sliding Exterior poor Assemblies
'�_ANS EXAMINER____��__
Compliance Method Certification Mark or Listing
Certification Agency Window and Door Manufacturers Association
Validated By ,James L. Buckner, P.E. at CBUCK, Inc.
� Validation Checklist - Hardcopy Received
F2eferenced Standard and Year (of Standard) Standard
AAMA 101/1.S.2-97
AAMA 101/I.S.2/NAFS-02
. AAMA/WDMA/CSA 101/I.S.2/A440-05
ASTM E1300 04E1
Equivalence of Product Standards
Certi�ed By
Product Approval Method Method 1 Option A
Date Submitted 03/26/2009
Date Validated 03/30/2009
Date Pending FBC Approval 04/28/2009
Date Approved 06/09/2009
Summ of Products
FL # Model, Number or Name D es c ripti o n
1824.1 Series 10/25 High Performance Sliding Viny12-Panel "OX" Sliding Glass Dc
Glass Door
Limits of Use Certi�cation Agency Certificate
Approved for use in HVHZ: No FL1824_R4_C_CAC_CCL for Pella
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact ResisWnt: No 01R2R012
Design Pressure: +50/-50 Installation Instructions
Other: (411-H-951.00) SD-R50 (2407mm x 2076mm); (411-H-951.01) FL1824_R4_II 1250C �df
SGD-R50 (2407mm x 2076mm); (411-H-951.02) SGD-R50 (94.75" x Verified By: Warren Schaefer 4413
81.75"); (411-951.03). Configurations of glass shall conform to current Created by Independent Third Parn
ASTM E1300 standard. Evaluation Reports
FL1824_R4�E_ 12 50C. ndf
___.___.__ � Created by Independent Third Part�
1824.2 Series 10R5 High PerFormance Sliding Vinyl Single Panel "O" Sliding Glass
Glass Door
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1824_R4_C_CAC_CCL for Pella
Approved for use outside HVHZ: Yes Quality Assurance Contract Expii
Impact Resistant: No Ol/22/2012
' Design Pressure: +5%50 Installation Instructions
Other: (411-H-951.00) SD-RSO; (411-H-951.01) SGD-R50; FL1824_R4_II_1250C ndf
(411-H-951.02) SGD-R50; (411-951.03) R-PG50; Configurations of glass Verified By: Warren Schaefer, P.E.
shall conform to current ASTM E1300 standard. Created by Independent Third Part
Evaluation Reports
FL1824_R4� 1250C ndf
_..._. C reated by Independent Third Part
Back Next
Department of Community Affairs
Florida Building Code Online
Codes and SWndards
2555 Shumard Oak Boulevard
Tallahassee, Florida 32399-2100
(850) 487-1824, Fax (850) 414-8436
O 2000-2010 The State of Florida. All rights reserved.
Privacv Statement � Co�vri4ht Statement � Accessibilitv Statement � Plua-in Software � Customer Se
Product Approval Accepts:
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contract /I�omeo� � �
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Date Received: / �- - � � �_' ,' !
Site: ���1� q_� �J5 - qa� �,�') l
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Approved w/no comments: ❑ Approved w/the below comments: � Denied w/the below comments: ❑
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Kal ' witz - Pl xaniiner Date Contracto dlor Homeowner
(Requir when comments are present)
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