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HomeMy WebLinkAbout11-11724 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3)�so-oo20 11724 ` � BUILDING PERMIT Permit Number: 11724 Address: 39552 AUGUSTA NATIONAL DR LT 172 Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: RV PARK Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0000-00100-0090 Improv. Cost: 12,400.00 Date Issued: 4/01/2011 Name: MAJESTIC OAKS LLC Total Fees: 210.00 Address: 39552 AUGUSTA NATIONAL DR Amount Paid: 210.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/01/2011 Phone: (813)783-7518 Work Desc: INSTALL SHED, SUN ROOM & CARPORT 13 X 50 HOMEOWNER i � . � / � � l ,/ ( �' � i ' 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) wndemned work resulting from fauity 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." �'L� l � v �O' CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting O/� -- ��T � Owner's Name � �7 � cS' Ge Owner Phone Number — e�d� �d� Owner's Address � 9 w OZ- /��li�V C/!?�� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number � � Fee Simple Titleholder Address JOBADDRESS �9�d li- �� u��� LOT# � SUBDIVISION � . w Y-'�c U�C� PARCEL ID# ��--�Y —�—���— ���dO— �9� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW CONSTR B ADD/ALT 0 SIGN � MOVE � DEMOLISH INSTALL REPAIR PROPOSED USE 0 SFR 0 COMM Q OTHER TYPE OF CONSTRUCTION 0 BLOCK � FRAME � STEEL � OTHER DESCRIPTION OF WORK �.l� /�OCJI�1 U � � BUILDING SIZE �3 X Sd SQ FOOTAGE Gt� HEIGHT � BUILDING $/�' �rn Q6 VALUATION OF TOTAL CONSTRUCTION w 0 ELECTRICAL. $ 3 � • � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <N / � 0 PLUMBING $ `� �" PA$(;p pERMIT S�RVICE �� (813) 788-5314 � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��( 1-$�B-B2 _7� 0 GAS � ROOFING � SPECIALTY � OTHER ,U ' O � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO � � BUILDER ` ����� � /' COMPANY �UI�- J�kJIL SIGNATURE � C�� ���'�'"'""�s.l REGISTERED Y/ N FEE CURRENT Y/ N Address � / 0"/� , /'� Z --� License # � ELECTRICIAN COMPANY SIGNATURE � ' C REGISTERED Y! N FEE CURRENT Y/ N Address ,STo2- �,JLIL /�!q[L/ �!J/ • Z ' � License # PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N Address C License # � � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N Address C 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 p�us a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. �linimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, :]anitary Facilities 8 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 A/C Fences (Plot/Survey/Footage) �riveways-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 mor�Restrictivq�an County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTR�CTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake vv�rk, 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 powe� 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 "�wner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone "V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR 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 ) / �(� ' !/ �,1� � �� s�e.�i� OWNER OR AGEN'1�-� L'k- /�-���� CONTRACTOR Subs 'bed and sworn to affirm ) be re me thls p scri t� d and swom t(or affirm ) b fore me this e2c� ��.� oto</by J�e c i� ���il ��;�tih dd//by J�a o�a �¢�w1 . Who islare person_ all_ v knovv to me or has/have produced Who is/are Qersonally kno wn to me or has/have produced as identification. as identification. Notary Public Notary Public C mmission . �T�y gj,��,IC STATE nF �I.nRmA Commission No. NOTARY PL'BLIC-STATE OF FIARIDA Suzanne BShr � �� �= Commission # EE044504 Name of Notary typed,' ,. e Name of Notary typed, printed or's4�21�P� - ; - �� ��. � �,.: °� , NOV, 22, 2014 8 �,,-�� �v nn,n.Nnc sor ca,ata gp^�'DED THRL' ATLA.�'17C BO\'DL�iG CO., INC. �� D � Q$ tt � Page No. of Pages aa"i.�§W M:65��� sTMd$:.:.�������p'�66c �s i 54 F�¢-€ �(�ng f:d. �7�f'f-tYRHI?_�.�, �L 33542 ���.3" ?�8-�3€i$ PROPQSALSUBMITTEDTO PHO � DATE � � �..� .:'-�a..�`--�'�1�-�--`l �- � '►-� �_�. � �`�� ���_ � L ;i i� �'C,.,� 3 � 1 l � STREET �'•�-�-� JOB NAME ... s^. - "^ r i ,,� ��; - �,aU.'� .C,.� �' '�,s CITY STATE and ZIP CODE �, ; _,_,,,_ JOB LOCATION .,-•1 ..� r� '�.�� ^ 1 'a --' , t i._...__--- . "_``\ r^.,� . � `��. �F "_-,°, "`'�c. 'vy �� � �` ARCHITECT DATE OF PLANS ' JOB PHONE We hereby submit specifi�;ations and estimates for r,.,..___. � - - / '���.}�,�, i �`�' �ti � ��t ��� _y.. a ; � °,,`._.� ' � �,�"`'�i� ��"ti j� � � a � � � -^{� �i__l:t`'e„� , ° ���1 T �i r •- ,, ,,ai ' � � � �d,,�..� r � , � r � L � \..^` � , w.� V�...�, s- �' � -� .�.. . - -- � i 1 -�"` t,� . -a �"--�., �,_ 'a •� i ��,_:�,.,'...j-.� ti g _� �`.. ; �`� �.� �-a �=� {�.� ,, '�'- � __.�' � i � �� ,*wr= � � t, � � ��\ ` _ - d � � � . - �`* � �... � - �,,.� 'ti , ,, �"`_ ` j '��y \ �fl , t � . rt'•., ..._}„ �`,�s "'- '_ } ' . .x LC-,-._.. �,J' � �'. � \. `�„�.,? �� - '°`� � '` � i �-. �' ds-_a' `` ,_ q � i ti �� J i _, �.�3-- _. � n..,r�� ._. -� `�,�...J ^,..,,R.�'���_� ..,.�1.�,,,. { � r -�. . �.._�' _ , ^ �O�JO.if her� �[sh material�td.la�ec,�c�rr�plet�n ac or ance with above specifications, for the s�m of• ....- 4 '�/ ' ��'—�---"�' °, \ ` �` 1 6 { �, ��..✓ ^ ��� -.�"_ �_�~ "� . , 1,1..__`.r `\ )_ - *, � (s,.,J ��� , t 11 i./ � s , .,. �._a0�1'S f $ � .G"° � ) Payment to be made as fullows: " , _ _ ._,,,,�"' .. ...- .�.._..�- _ _ '`��" '-�' � .. ° All material is guaranteed lo be as specified. All work to be completed in a workmanlike -'� '` %����^""� �� manner according ro standard practices. Any alteration or deviation irom above specifications ��AUth ii2 d� � involving extra costs will be executed only upon written orders. and will become an ext f Si �^���.� " �,-_ _^-... charge over and above the estimate. All agreements contingenT upon strikes, accidents �_�--°°°�' or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. NOte: This propOSal may be Our workers are fully coveied by Workman's Compensation Insurance. withdrawn by us if not aCCepted within _ dayS. �CCP���IIjPP Of �PO�IOS�I� —The above prices, specifications , and conditions are satisfactory and are hereby accepted. You are authorized Signafure - ', ' �_ _� to do the work as specified. Payment will be made as outlined above. Date of Acceptance: — Signature - � � �r � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �Lt- � s -�� �(� `�'1`� /Y Date Received: � - 2 � � � Site: � 7 ��"`" ` Permit T e: S b S •�� �� i1 (_i' �2�'7 /�'T�--7` �y� yr Approved w/no comments: Approved w/the below comments: O Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. �� -1 Kalvin witzer - ans Examiner Date Contractor and/or Homeowner (Required when comments are present) c�.� � .� z-�.'1/,� ` PASCO PERMIT SERVICE' ` (813) 788-5314 THAT PART OF EAST 80.00 FT OF NW1/4 & THAT PART OF WEST 1/2 OF ' FAX 1-886-$24.7gc�e6 NE1/4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST AND 3�35/ C�. � 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 ��� �c COMMUNITY PHASE ONE PB 35 PG 107-112 LOT 1 THRU 16 INCL & LOTS 19 �� THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87 oti- I IIIII� II�II IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII� IIII I�II ' 2011045296 NOTICE OF COMMENCEMENT Rcpt :1358408 Rec: 10.00 D5: 0.00 IT: 0.00 03/25/11 A. Giard, Dpty Clerk Pemut No. PRULq S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEI ?roperry Identificarion No, o�-`t/- pT.( -p2. /- OCK�I - Ov�Ov -' v d Q 03/R5BK1 11: 25am 1 of 1 p ��2� P � 1��� THE UNDERSIGNED hereby give infom�s you that the improvement wiIl be made to certa,in real property, and in accordaace with Secrion 713. I3 of the Florida Statutes, the following informarion is provided in this NOTICE OF COMNlENCEMENT. 1.Description of gmperty ((eg�r1 desG.i�uox:} �.d� /7et e�, Q� ��� � /_ a) street Addr�ss: a 9sT'� !cd �,� �e-4xY� 2. General descri tion of ' �' � P unprovements: �4-1t r'00/N 6�,�p�r,� ,� 3 Owner Informanon a) Name and address: Q •�'u-4 lu15� ��0� Q/' l .��( , f'� ���6+' , b) Name and address ���i/�L J��-9 �/� �e�- •r r=- s:�-� uu�u�l er {if other than owner) c} Interest in property ontractor Information a) Name and address4�Lt-�t. cf � ��� � .Z,1C , �3- �� � � / /� ,�/ ,,,�.,,L b) Telephone No.: IIK�� Ji,�J pP F'87C �0. ��t.� S.Surety Information a) Name and address: - b) Amount of Bond: c) Telephone No.• Fax No. (Op�) 6.Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida desitgnated by owner upon whom notices or othet documents may be served: s) Name and address: b) Teleghone No.: Fax No. (Op�.) B.In addition to himseIf, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section ?13.13(1�{b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt} 9.Expiration date of Notice of Commencemeni (the expuation date is one year from the date of recording unless a l3ifferent da.te is specified): WARNING TO OWNER: ANY pAYMENTS MpDE gy T'�; pWN�R �•ER THE EXI OF THE NUTICE UF COMMENCEMENT ARE CONSIDERED IlVlpROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FI.ORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. a rroTicE oF coM1v�NCEMENT 1viUST BE RECURDED aND POSTED ON T� 30B SITE BEFORE TgE �II2,ST INSPECTiON. IF YOU INTEND TO OBTAIl�T FiNA,NCiNG, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTiCE OF COMMENCEMENT. STATE OF FLORIDA - COU{YT'Y OF PASCO � Signa�of er or 0 ��' ' s Au ed O /DirectorJPar�edManager �/� � • ,�,�2qv e Pnnt Name ' The foregoing inshwnent was acl�owledged before me this �o�- �ay of '��/� 2p�� by �(! 2�r._„gt `��. � � as D�v.�i.I" (type afaut$ority, e.g. officer, hustee, attomey in fact}�for _ �. �r �' (name of party on behalf of whom insttt�ment was exxu�bed), Personally Known ^_ OR Produced Identification e � ,� Na4ry Signahue _ -Q.F�-.. !� � Type of Ideutifcatioa Produced ,aG ' r ' Name (print) �/ �� �6ul� J Verification pursuant to Section 92.525, Florida Statutes. Undor penalties ofperjury, I de�lare that I read the foregoimg and that the facts statcd in it are true to the best vf my knowledge and belief. / � �oRMSmoc.rvsa2oo� gnaaece of a Pason S' ing NOT PUBLIC•STATF. OF FLORIDA ""' Stacie Hartwig �� ��; Commission #DD926164 , , Expires: OCT.16, 2013 BONDEU THRU ATL,AN1'IC BO\'DING CO., TNC, , }' e, � �' STATE t7� FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGO�JNG, iS �� ° TRUE AND CORRECT COPY OF THE�C��.ClJMET '_� ON FILE OR OF PUBLIC RECORQ IN'TH.I�'OFFIC� �, ,,, WITNESS MY HAND AND O F� I C l A L S E A L: T H I S � � DAY OF M�1�' '. ' 2 0/%: PAULA S. O'NEIL, CLERK &�:OM,PTROLLER ' BY . �, DEPU�'�' C'��RK Florida Building Code Online http://floridabuilding.orgJpr/pr_app_dtl.aspx?param=wGEVXQwtD... :,�: , . � � � -- - _ � BCLS Home � Log In � User Registretbn ' Hot Top'KS � Submit Surcharge � Stats & Factr � Publications I PBC Staff I BCLS SRe Map � Links � Search I ti�• s [ %� _ �4 �� "'� Product Approval � USER; PubliC USer � u► � Product Aooroval Menu > Product or Aoollcatlon Search > Aoolkation List > Appli�atlon Detail . ' FL # FLi63-R2 n 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 Technical Representative Michael LaFevre ## Address/Phone/Email 1900 SW 44th Avenue Ocala, FL 34474 (35Z)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 devefoped Roberto Lomas the Evaluation Report Flor(da License PE-62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. 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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 Representatfve Mlchael LaFevre ## Address/Phone/Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 M La Fevre@cws.cc Quality Assurance Representatfve Ralph Emminger ## Address/Phone/Email 1900 SW 44th Avenue Custom Wfndow Systems, Inc. Ocala, FL 34474 (352)368-6922 Ext208 Ralph@cws.cc Category Exterior poors Subcategory Swinging Exterior poor Assemblies Compliance Method Evaluation Report from a Flor(da Registered Architect or a Licensed Florida Professional Engineer ,! Evaluation Report - Hardcopy Received Fiorida Engineer or Archftect 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. 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P",�l:�'�"" . : --, --„� BCIS Home � Log In User Registratlon Hot Topics i Submit Surcharge Stats & Facts Pubtications FBC Staff BCIS Site Map Links Search 1 9 - '�t �� Product Approval � � USER: PubliC USer Product Aooroval Menu > Product or Aoolication Search > Aoolication List > Application Detail p i FL # FL161-R3 Applicatfon Type Revtsion ' , �` � '� Code Version 2007 i ie Applfcation Status Approved i 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 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 Qualfty Assurance Representative Ralph Emminger ## Address/Phone/Emafl 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352)368-6922 Ext208 Ralph@cws.cc Category Exterior poors Subcategory Swinging Exterfor poor 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 Roberto Lomas developed the Evaluation Report ' Florida License PE-62514 Qualfty Assurance Entfty Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 07/21/2020 Validated By Steven M. 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