HomeMy WebLinkAbout11-11718 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
, � (si3)�so-oozo 11718
BUILDING PERMIT
Permit Number: 11718 Address: 5438 18TH ST
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: 11-26-21-0010-14500-0201
Improv. Cost: 5,815.00
Date Issued: 3/31/2011 Name: LINN, EILENE M
Total Fees: 157.50 Address: 5438 18TH ST
Amount Paid: 157.50 ZEPHYRHILLS, FL. 33542
Date Paid: 3/31/2011 Phone: (813)788-9109
Work Desc: 14.6 X 12 SUNROOM W/ ELECTRIC
A B 7.5 6 .00
REESE ELECTRICAL INC
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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 calied d) work not ready for
inspection when called e) permit not posted on job site � 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 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."
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CONT C O IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: - (/�l ' � � ����t'G{' �'��
Date Received: ���- � �� ��
Site: � � 3 � � � ��i �`J�'�eC� `�
Permit Type: �C.t ►� ��r•n l�� � X 1 Z- L� /�l �c���
Approved w/no comments: ❑ Approved w/the below comments: Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
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Kal in Switze �� ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
s�3aso-oo2o Lity oT Gepnyrnins rer����� r+NN���Q�����
Building Departmenf
Date Received
- ?j ' ' Phone Contact for Permitting �l �oa - �a`�`"
. ��3- ��f - 9��oy
Owner's Name �/�/k � n� Owner Phone Number
Owner's Address S y �° � Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Nurriber
Fee Simple Titleholder Address ��
JOB ADDRESS
.r y3O l d' "' f LOT # �i
� f� /
SUBDIVISION 6'F I�/�.� PARCEL ID# � �' a � /
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q MOVE 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE 0
SFR � - COMM [� OTHER
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME � STEEL 0 OTHER
DESCRIPTION OF WORK ��-�- ���m � e "' " -'
BUILDING SIZE !y ( 6�� u��" SQ FOOTAGE � 7 7 HEIGHT
� BUILDING $ s — ' y�� , �U �+ VALUATION OF TOTAL CONSTRUCTION
� ELECTRICAL $ AMP SERVICE [� PROGRESS ENE�Y �] W.R.E.C.
y�S. �
0 PLUMBING $ � 1�i ""� �
PAS00 rEAMIT a�RVICE
� MECHANICAL $ VALUATION OF MECHANICAL INS7ALLATION (�3� 788-5314
FAX 1-896-824-7894�
� GAS Q ROOFING 0 SPECIALTY � OTHER I I�� �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES ONO �/
d�
BUILDER c �� �� � � � COMPANY � • � ' " f OC Z/t�C .
SIGNATURE ���� / ��� REGISTERED Y/ N FEE CURRENT Y/ N
Address `���� �� � r License#
ELECTRICIAN �� (" �� (�� ��a��� , ,/, �l� �+� COMPANY �C.(:l�Le. �G�G�7�'l•C
1VL�t, v�-7�'`� REGISTERED Y! N FEE CURRENT Y/ N
SIGNATURE
Address P ' � • � Ux d � � � r �s"� License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y I 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 subdivisionsllarge 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 submittai 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. (AlC upgrades over $5000)
** Agent (for the contractor) or Power of P;ttorney (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 (PIoUSurvey/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 an�r
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 reg.ulations. 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.
CONSTRU�TION 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 wifih 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 infended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include bufi 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 filf 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: YO EMEN�TS TO YOUR PROPERTY. YOU INT TO OBTA N F NANC NG C
PAYING TWICE FOR IMPRO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTtCE OF COMMENCEMENT.
FLORIDA JURAT (F:S. 117.03), � ��� `����, _ _ �, , S �
OWNER OR AGEN � � �
�J�J CONTRACTO J(r��W�
ubscrib d an wor (or a�rm bef r� me this / � Subscr' e� by o�n j,9�� a� rm bef e rpe this
��� ���s - _.--- ��., r�
Who is/are personall kno o me or haslhave produced Who is/are personally known to me or has/have produced
as identification.
as identification.
Notary Public
�_ Notary Public
Commission o.
ommission No. A NOTARY PLBLIC-STATE OF FIARIDA
,. Suzanne Bahr '"""'
,"„I,,,, � on 4 Name of Notary typed printed� _��lissior. # EE044504
Name of Notary ryped, printe�,l . xpires: NOV. 22, 2014 ''•. � Expires: ti OV. 22, 2014
•..��.,.•. .,,,,,,.••'
BONDID TI-IRG ATL.�.�7IC Bu\1;PiG CQ, iNC. BONDID THRC AT! :1.�TiC kiu�'DLtiG CO., INC.
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(�ASCQ PERMIT SERVIt'r:.
813-788-5314 CITY OF ZEPHYRHILLS PB 1 PG 54 WEST 1/2 OF LOTS 20 21 8 22 NBLOCK
�_, �� G � s c� 145 TOGETHER WITH A UTILITY EASEMENT ACROSS SaUTH 4 FT OF EAST —
� 1!2 OF LOT 20 OR 1182 PG 743 OR 4830 PG 607
�.pl�r�.:llr F�
,�ass�- � IIIIIIIIIIIllllllillllllllllllllllllllllllllllllllllllllllll
2031041579
NOTICE OF COMMENCEMENT -- ----•--- ----_`___.
Rept:1337139 Rce: 10.00
Permit No. DS : 0.00 IT: 0. 00
03/38/11 R. Cervantss, Dply Clerk
Property Identification No. //� � ���/� _ � ' `-_-- - _---+ -- �
THE iJNDERSIGNED hereby give informs you that the improvement will be made to certain real properry, and in accordance with
Section 713 13 of the Florida Statutes, the following infortnation is provided in this NOTICE OF COIVIMEN ME1VT.
1.Description of property (legol descriptlon:) LOf'J J'�� d� '� �' ""''� � Z �� ��Q �lcl� ��
a) Street Address: ��
2.General description of improvements: '
[t./�
3 Owner Information ��!� �
a) Name and address: E/ �B/! 8 L'� �1 n y�P �� ` �� � Y"j"� �`�`��'
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4.Contractor Information E . ���� � t�/�d� �� � �` ,���� �/
a) Name and address: � � • �
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 [he State of Florida designated by owner upon whom notices or other docutnents may be servtd:
a) Name and address:
b) Telephone No.. Fax No. (Opt.)
8.In addition to himself, owner desigttates 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 yeaz from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFPER 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 SPPE B�FORE 7'IiE FiRST
INSPECTION. IF YOU INTEND TO OBTAIIV FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCllVG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. � �-
STATE OF FLORIDA - , - ` �� � , , ' ' ' f � . �. ��
COUNTY OF PASCO � � � � � � ` ' "
ZSigisture of Owner or Owner s Authonu �ar/D�recWdPartnedManager ��--. W
1� � .� � %7 /�. �i /�! a O � W LL (n i � � } ���,�
� t Name V (� � �` � . J ' U' ,
- � ! � z � 0" H �t "=J � � ` .
Th foj e�goin instrument was aclmowled ed before me this /U ' da of �'�!/LCn 20 �� , by Q p��-� O ~' ",,
�/ /[� g L{,da as OWk� y (type of suthority, e.g. officer, Wstee, attomey a� p��w N }..�_ �„' '�'
in fact) for (name of party on behalf of who ' trumept was exe u ed� �� Z�J a ,� � ,
Personally Known _ OR Produced Identification � Notary Signature � C.� ti� t .p � U . O
�,�.
> > �.�.. �� Cj: }� � �� -
h� (' � V Q '� �.�
Type of Identification Produced �vG Name (print} (J ��. �
v TC.�U � .
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Verification pursuant to Section 92.525, Florida StaNtes. Under penalties of perjury, I declaze that I have read the foregoing and that � h�W a Z O J
the facts stated in it aze true to the best of my lcnowledge and belief. NOTARY PUBLIC�TATF. OF FLORIDA
Stacie Hartwig � w �� z o z
'`� ' Cammission �DD926164 �- C> >-
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PRULR 5 0'NEII,Ph.O PRSCO CLERK 6 COMPTROLLER
030R88K1 D PG o 3! 40 _
, Reese Electrical, Inc Estimate
P.O. BOX 862
Zephyrhills, FL 33539-0862 Date Estimate #
3/9/2011 1514
Name / Address
Eilene M Linn
5438 18T'h St
Zephyrhills, FL 33542
Projed
Description Total
Job: Sunroom
Supply and Install:
1- E�ctend Existing Power Circuit
1- E�ctend Existing Fan Switch Leg
3- Duplex Receptacles
1- Ceiling Fan Install
Note: Ceiling Fan By Others
TOTAL 415.00
100% Due Upon Completion. TO
5415.00
Signature � `���� ,y�
«e � ��7��
Phone # Fax # E-mail
(813) 788-0091 (813) 788-0781 reeseelectric@tampabay.rr.com
� A.�.Er 8� ASSOCIAT�S IN�. '�
ALUMINUI�v1 SPECIAL'I`Y CQNTRACTQR
� LICENEU - BQND�D - fl�TSIIRED PHUNE -(S 13)713-3 I 8�
Thzs sates agreetnent is made on // (date�, befw�en A.W.E. &
assoeiates inc. and _�!!� —��;��-- �` ------ �ruzn�e of brrverj, af
_S_�J � --!' �-� . � f�d�essJ �i � ? �� �/�(phor�e j
�Y��� � � ly��. j �,^-y/� "
fi' � J SECTI�JN ONE
SALE OF G(JODS
A.W.E & assaciates inc. will canstruct job # j� �o. the Pasca Building Dep�
codes at�d to my persc�t al satisfactian c�n or t�efor� �� � /__ (dateJ,
l .� . � , "
.-e_.__L� ` l� t' �__ _� 4'g�:riptaort of cortslrxfc#iort ►vorkJ.
SECTI�N TWQ.
� SALES AGREEMElVT
� �`��A��
�
� .� / � (rea»xe ofbrsyerJ a;ree to pay �j B� `'for
job #/ J�t, plus permit �ost.lr,Ry payments will be do as foll�wed 60% which is
�' ��v_�� = _ dot�n at si�ning of this contract. And the �alanee which is $ 1� �e
upon co�npletion of job #/�►' C
��CTI()N 'THREE.
RISK QF LOSS
if payr�ent is not made my job �vill be stopped �ntil payment is made I also understand
that if tina! paymeat is not made and A.W.E. & assQeiates inc. has to cansult lega} help I
will be responsible to pay aIl legal fees and court co�t.
SECTIC)N FQUR
WA�RRANTY
Tw� year warranty against leaks and any misinstalled materials or products!?
I have read, understand, and agree to the terms and conditions of this contract.
(C��storrrer Sigreatl.rreJ �.��.e� �j : v��_��
��1. W. E. Sigr�at�rreJ
. �
�lf . w . E , � �r�lc�.� �irc , v /6/����� 0�' Z ,4lell
Company Name I.D. # �
2 �.eh ,Q�'pd /o�
License Holder's Name License #:
y� �'� �� C�IQ
Address .
�,��, �,�IIf ,�I �=�-
To Whom It May Concern:
Please be advised that Suzanne Bahr, Ra.thy Mims, and
Stacie Hartwig of Pasco Permit Service have my permission to
sign and pick up permits for me until further written notice.
Sincerely,
L' ense Holder Signature
NOTARY
STATE OF EZORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscri.bed before me this 8� day of /�2�i , oZ0/�
Personally known� or Produced identification
NOTARY YUBLIGSTATE OF FLORIDA
""" Jeffrey Todd Reudmann
'-� Commission #� EE053345 � ��
�` Expires: JAN. 05, 2015 �
SONDED THRU ATLANTIC BONDlNG CO., iNC.
Commissioned Stamp ta ignature
and Expiration Date ta e of Florida
County of Pasco
�Q.�ese E��'�c i 3 aa /�� Z,�!/,r
Company Name I.D. #
7lt�iac �r �aect'e c c / 3 �0 /3s�3
License Holder's Name License #:
3 4 33 /�e tU �1l•ser /L�✓
Address / ��,�'
���, r�-�,G �
To Whom It Ma.y Concern:
Please be advised that Suzanne Bahr, Kathy Mims, and
Stacie Hartwig of Pasco Permit Service have my permission to
sign and pick up permits for me until further mritten notice.
Sincerely,
�� � �
License Holder Signature
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument mas sworn to and�
subscribed before me this ��' da.y of /Y1�r� , oZ0/�
���r�����.��� or Produced identification
'""' Jeffrey Tudd Reudmann
� Commission � EE053345
�•:`s'.•� Expires: JAN. O5, 2015
BONDED 7'HRU A'CLANTIC BONDING CO., INC. ' �'� ��
Commissioned Stamp s nature
and Expiration Date at of Florida
County of Pasco
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ALL WORK SHALL COMPLY WITH ALL
PREVAILING CODES, FLORIDA BUILDING
CODE, NATIONAL ELECTRIC CODE AND
CITY OF ZEPHYRHILLS ORDIlVANCES
�tV1�VV �q�1°
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, '���YRHILLS '
'�.,�i+l�� ��AMIN�R � �
Florida Building Code Online Page 1 of 2
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e ,� �� FL # FL161-R3
Application Type Revision
' ' Code Version 2007
� Appifcat(on Status Approved
�!' � � � Comments
��, '' 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 Si9nature 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 Exter(or poors
Subcategory Swinging Exterior poor Assemblies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Profess(onal Engineer
� Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who Roberto Lomas
developed the Evaluation Report
Ftorida License PE-62514
Quality Assurance Entity Keystone Certifications, Inc.
Quality Assurance Contract Expiratfon Date 07/21/2020
Validated By Steven M. Urich, PE
�'1 Validation Checklist - Hardcopy Received
Certi�cate 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
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvyf4ngAXh 10... 11 / 11 /2010
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Product Aooroval Menu > Prgduct or Aootication Search > Aoofication List > App�fotion Detail
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FL # FL163-R2
Application Type Revision
Code Version 2007
Application Status Approved
Comments
Archived
Product Manufacturer Custom Window Systems, Inc.
Address/Phone/Email 1900 SW 44th Avenue
Ocala, FL 34474
(352) 368-6922 Ext207
mlafevre@cws.cc
Authorized Signature Michael LaFevre
mlafevre@cws.cc
Technicai Representative Michael LaFevre ##
Address/Phone/Email 1900 SW 44th Avenue
Ocala, FL 34474
(352)368-6922 Ext207
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 Ext208
Ralph@cws.cc
Category Windows
Subcategory Single Hung
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
' Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Roberto Lomas
the Evaluation Report
Florida License PE-62514
Quality Assurance Entity Keystone Certifications, Inc.
Quality Assurance Contrect Expiration Date 12/31/2010
Validated By Steven M. Urich, PE
" Validation Checklist - Hardcopy Received
Certificate of Independence FL163 R2 COI 510510A (Eng Eval Reo SH-350.41 odf
Referenced Standard and Year (of Standard) Standard Year
ANSI/AAMA/WDMA 101/IS2-97 1997
Equivalence of Product Standards
Certffied By
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