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
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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) 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 � �
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STREET �'•�-�-� JOB NAME
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CITY STATE and ZIP CODE �, ; _,_,,,_ JOB LOCATION
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ARCHITECT DATE OF PLANS ' JOB PHONE
We hereby submit specifi�;ations and estimates for
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^ �O�JO.if her� �[sh material�td.la�ec,�c�rr�plet�n ac or ance with above specifications, for the s�m of•
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, .,. �._a0�1'S f $ � .G"° � )
Payment to be made as fullows: "
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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...
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�� "'� Product Approval
� USER; PubliC USer
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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. Urich, PE
'" Validation Checklist - Hardcopy Received
Certificate of Independence FL163 R2 COI 510510A (Ena Eval Reo SH-3500) pdf
Referenced Standard and Year (of Standard) Standard Year
ANSI/AAMA/WDMA 101/IS2-97 1997
Equivalence of Product Standards
Certiflied By
Sections from the Code
1 of 2 3/4/2009 9:53 AM
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- `� ':' Product Approval
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Produc[ Aooroval Menu > Product or Aoolicatfon Search > Aooiication List > Application DeWil
��+���� ,�q��i�,� FL # FL161-R3
Application Type Revfsfon
o ' � ��.,' ''��'�,ii,� Code Version 2007
Appllcation Status Approved
�,•, Comments
° ' Archived �
� o
Product Manufacturer Custom Wfndow 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 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. Urich, PE
�'I Validation Checklist - Hardcopy Received
Certificate of Independence FL161 R3 COI 511038 (Eval Reo Guardian DoorZodf
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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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. Urich, PE
�'I VaUdation Checklist - HaPdcopy Received
Certificate of Independence FL161 R3 COI 511038 lEval Re� Guardfan 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=wGEVXQwtDqvyf4ngAXh10... 11/11 /2010
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