HomeMy WebLinkAbout11-12112 CITY OF ZEPHYRHILLS
, • 5335 - 8TH STREET
(si3)�so-oo20 12112
BUILDING PERMIT
Permit Number: 12112 Address: 5903 YORKSHIRE DR
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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0400
Improv. Cost: 3,211.00 .
Date Issued: 7/14/2011 Name: LEECH, ROBERT & SHIRLEY
Total Fees: 82.50 -}-� 5• � ; Address: 5903 YORKSHIRE DR
Amount Paid: 82.50 �- (���(a �, � ZEPHYRHILLS, FL. 33542
Date Paid: 7/14/2011 � Phone: (813)780-1394
Work Desc: INSTALLATION WIND & S UTTERS
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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 called 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 county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.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
CITY OF ZEPHYRHILLS
, 5335 - 8TH STREET `
' (sis)�so-oo20 12112
BUILDING PERMIT
Permit Number: 12112 Address: 5903 YORKSHIRE DR
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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0400
Improv. Cost: 3,211.00
Date Issued: 7/14/2011 Name: LEECH, ROBERT & SHIRLEY
Total Fees: 82.50 Address: 5903 YORKSHIRE DR
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 7/14/2011 Phone: (813)780-1394
Work Desc: INSTALLATION WINDOW & 2) SHUTTERS
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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 called 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 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 commenceme "
C ..�-�"
CONTRAC OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iii� ii�i
2 011107601
R�pt:1377595 Ree: 10.00
DS: 0.00 IT: 0.00
07/13/11 K. Kraengel, Dpty Clerk
PRULA S 0 'NEIL,Ph D PpSCO CLERK & COMPTROLLER
NOTICE OF COMMENCEMENT 07 � 13 /11 10: 02am 1 of 1
- OR BK �5�� P� ��3
Permit No.
Property Identification No. i�' v7 �° p� �•— Q,�p? p•- �(.' �i' �G� -� � TD Q
THE iJNDERSIGNED hereby gives notice that improvemenu will be made to certain real property, and in accordance with Section
713 13 of the Florida Statutes, the following information is provided in this NOTICE OF CONIl�IENCEMENT
1 Description of ProPenY ��e8a1 crlption • ���+Ek.k�o9 / ��,SF/ � // �L'� � � R'r //• /S� LL; T �/C L��k'. S"fs� � ,��= � � � � ,r'
a)StrcetAddress: p C� S /L( � -�
2. General description of improvements: _ /!nJ/A,%�Q/.�,�„f ♦ (�f�
3, Owner [nformation
a) Name and address: ROL��.p r�/�/'�� S�IY�3 �L�Ql�Sfi+�,� QQ �,°�y.e, s �L _�� y 2
b) Name and address of fee s�mple htleholder (if other than owner)
c) Interest in property
4, Contractor Informapon
a) Name and addre �QLL�J�Z/, L f� //.� !�'P/� Q� L1.,� ]AcTr �! _ 3,3J� .5
b) Telephone No.. _'?��j/�jrj Fax Nn, l(h�t.l �7.?- J���I
5 Surety lnformation " - - - - - - -
a) Name and address:
b) Amount of Bond:
c) Telephone No. Fax No. (Opt.)
6. Lender
a) Name and address:
Phone No.
7 Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No. Fa�c No. (Opt)
8. In addition to himseff, owner desigiates the following person to receive a copy of the Lienor's Notice as provided in Section
713 13(1) (b), Florida Statutes:
al Name and address:
b) Telephone No. Fax No. (Opt)
9 Expiration date of Notice of Commencement (the expiratio� date is one year from the date of recording unless a different date is
Specified):
WARNING TO OWNER; ANY PAYMEN7'S MADE BY THE OWNER AFfER THE EXPIItATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED II�IPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECIYON 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TR'ICE FOR Il�IPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MiJST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TfIE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMI►�NCEMENT.
STATE OF FLORIDA � / � � //
COUNIY OF PASCO �� T G �
Signanae of Owner or Owner's Authoriud OtScedDirector artne�
�b �.r_ ./ � G O' Ni �,
Pnnt Name
The foregoing insfiunent was aclmowiedged before me this � day of t�JU , 20�, by /��
���7� � �lti.w� (type of authoriry, e.g. officer, trustee, attomey
in„fact) for (name of party on behalf of wh m' ent was executed).
Personally Known V OR Produced Identification _ Notary Signature
Type of Identification Produced Name (print) _E� ��C1C/
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facu stated in it are true to the best of my Irnowledge and belief.
'Si��� Signin��
FORMSMOC,md2007
p.� �. "-, ` ; - ,- � -� f ;' '� �, v-�A NOTARY PUBLIGSTATE OF FLORIDA
''� . .,;' � . . ` ,.", Bogcian Nowacla
j� , � 4'� - ��: � 1'fi �=Commission #DD701176
� � _ ,'� � = ' �� 1 'o;;�. Expires: AU G. Ol, 2011
Bu:�� ..,. � ,�,,�,sla BONDEI7THE2IIATLAN'1TCBONDINGCQ�INC.
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGqING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND AND OFFICIAL SEAL THIS
� DAY OF �U � 2 Q`
PR O'NEfL, CLERK & C�MPTROLLER
Bk'
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__._ uEPi;rY ,r,'LERk
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Departrnent
Date Received l� Phone Contact for Permittln �7 s� _ Sd / Y
Owner's Name Owner Phone Number
Owner's Address J� lJ 3 Owner Phone Number �—
Fee Simple Tltlehoider Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ` LOT # C�
SUBDIVISION PARCEL ID# �v ' ��� " �� � d 6 a� ` � ���� �S�C�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED �NEW CONSTR e ADDlALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME �] STEEL Q
DESCRIPTION OF WORK //,�L�'GC, � I ��
BUILDING SI2E SQ FOOTAGEC� HEIGHT
UILDING � a J` � VALUATION OF TOTAL CONSTRUCTION
//
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
���
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�` / 2�(
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER � COMPANY �(<C–L/, �--L C
SIGNATURE REGISTERED FEE CURRE� Y/ N
Address � (_. License # C� L � J � 3 U a"�r
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �—
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N
Address License #
MECHANICAL � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� 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 8� 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construc6on.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor slgn back of application, notarized
If over $2500, a Notice of COiiSrri�ncement is requlred. (AJC upgrades over a7500) ,_
*" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter ftom owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed° restric$ions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, b�th 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 entitied to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpo�tation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buiidings, as speci�ed in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florfda 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
Prokection 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'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and khat 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 S 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 witl demonstrate
justiflable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.0 ��
OWNER OR AGENT CONTRACTOR
S bs bed and swom t( afflrtned) befo me thls Subscribed and swom to or afflrme before e is
_ ��_ri by C% �7 —(, —f /' by .�'/p _ G�i
Who is/are personallvlsnown to me or has/have produced Who islare pe I� to me or haslhave produced
as Identlflcation. ���� as identificatfon.
tary Public Notary Public
�N�
Com •, ",, JACQUELIN OGES Co sion :�'�`'_. JAC 'Seior� # EE 040520
�*; ::: . 12, 2014 ��' � = E�� R; �es�o,9
� �: Expires DeCe�►be� m,9 t e�remrotrorF'a'a�"r�„` _.o-
Name of o Name of Nota e
O�� 5 H I� � D , l.lC 2040 Weaver Park Drive - Clearwater, FL 33765
Hur�icane Shutter 1Vlanu.fa,cturer Corporate 727-451-ROLL (7655) - Fax 727-467-0910
License#CGC-1513024 AG R E E M E N T Agreement # 18 9 4
Representative /uj�� ��(,K,/ Date 6�p/ �2D`/ Page 1 of /
Estimated Time of Installation � 3—� weeks Referred by
Customer Name ,Q���% l.,��C'aL/ Home Phone $/3—�Q "/39'�
Address ,�q�3 yQ��{�,Q,� QQ Work Phone
City Z/�/n�'{y/ZyJJI � State �_ Zip , 3,3,-�2 Cell Phone
Job Address Email
Condo / Assoc Requires Association Board Approval � Yes � No
Number of Openings Products 2�Ji�]l��L /�pp�OG�/l.� Sfi�Ulr�/�
High Work Elevation �� Color �White �Ivory �Beige �Bronze
��t�/�.��Ja /��ST.�ELL �iV17 - Gr4
�,�IJl,T�.S b�uTt� 2 �'�� ���tJao�J�.
��usr,a�� A srN�c� -x��u� w�,�ao� u�irjr Mv,ur�us,�r��vT, �',�weGo�v
��s . �cu ,v4�� srsr�rs) . �,e,��s ro ,�� �r.u���uv�, .�vCZUa�s
sGe��1. CL��T� �,��
d� �
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,,,{{{ . , �1F:' ` F� ' ;r.. ,YVtf�. % -t�i�. ' ,�iYs _'if:ir:,`I_��l�.�i ,�:L
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Additionallnformation �
..0
: �,I�L/kG / .5
Terms Cash Finance /`,��.�� tc:�3!(� ContractAmount $ /,�,°
1 Deposit $ �� � � �� , ��,2'� Engineering & Permit(s) $
00
2 Design Payment $ -�-� Notice Of Commencement $�-3-�6- ' f 3
3 Upon Installation $ � f �as7� oF P�Mi i Administration Fee $�}$-96-
� ao
�� �� fl �et including permit) Sub-Total $ ��.2 J�.o 0
Financing ! Terms �' Y ' � � b� �� ��� �'� ? �
Make al ayments payable to RollShield LLC �-,°�
�� �s� < <, ���: � i' !_ A S - f �
Buyer's Signature �..�c=vLJ � Date � —/— // �
Buyer's Signature te �.; K, yP �.
Representative Signature � �� � Acce�tecf By - ��
This order becomes an AGREEMENT only when it is accepted by SELLER at his home offce, as reflerted by the acceptance and signature of a company offcer Execution of this
AGREEMENT by BUYER conshtutes authorization for RoIlShield, LLC To obtain BUYER's credit report from a credit-reporting agency An interest charge of 1 5°io per month will be
added to accounts not paid at installation. Addihonal terms & conditions are on the reverse side of this AGREEMENT
i L�
HURRICAIVE SHUTTER MAIVUFACTURER
wn�,�ldr �r� e/� /b� o+n�naity
License # CGC-1513024
June 2011
Dear Mr. Robert Leech / 5903 Yorkshire Drive, Zephyrhilis, FL 33542:
Enclosed please find your permit packet. It is very important that you do not
misplace or destroy this permit packet. The permit must be displayed in a
conspicuous location. An inspector for your municipality will need to complete a
final inspection when the installation is complete. Please have this permit pack
available for the inspector at the time of the inspection.
Should you misplace or destroy the permit, you will be invoiced whatever fees are
assessed for the replacement permit. Charges for a duplicate vary by
municipality, and there will be an additional $25.00 fee for picking up the
replacement permit in the event that one is Iost. Payment is due for the permit &
related fees and must be paid in full before we can schedule your inspection.
Rollshield, LLC values your business and we want to make certain that your
installation and inspection experience is a pleasant one. We always try to
accommodate you when scheduling your inspection. Rollshield has no control
over the time the inspector shows up. We can only request which date that the
job is to be inspected on. Again, thank you for your business. It is truly
appreciated.
Respectfully,
Rollshield, LLC r `` � .��T,,
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1151 KAPP DRIVE � CLEARWATER, FLORIDA 33765 �OFFICE (727) 451-ROLL �FAX (727) 467-0910
www.rollshield.com� contact�?rollshield.com
i
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � �/,5� �� G— L- C
Date Received: �— �p � ��
Site: J�gO � ���/ cl.�2
Permit Type: � � ll �jJ l.t��j'CGl(,2t
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit andJor plans.
� ,.
�` /' �� �
Z� � � �
Kal�iin Switz — Plans Examiner Date Contractor and/or Homeowner
�� (Required when comments are present)
' Florida Building Code Online Page 1 of 3
.;-,. -
: - - - - � _ F � tl
BCIS Home Log [n User Registra[ion Ho[ Topics Submit Surcharge 5[a[s & Facts Public�ons • , SB���A1G�F] Search
i v�'r'� � .
O ; Product Approval
• ��� ■ USER: Public USer
•
• Product Aooroval Menu > Product or Aoohcation Search > Aoohcation Lis[ > Application Detail
��� FL # FL5823-R4 � W �� 5��� CnMPLY WITH ALL
Application Type Revision
!' ' ' Code Version 2007 ����,�} �{���� FLORIDABUILDING
• ApplicationStatus Approved ��,},'�[��A� _EL�{."fRICCODEAND
Com ments �,1��;�� ����c��� r R� �����
• � • � Archived ■ I � ���
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
(352) 368-6922 Ext 207
MLaFevre@cws.cc
Quality Assurance Representative Ralph Emminger ## �
Address/Phone/Email 1900 SW 44th Avenue
Custom Window Syste�, Int,
Ocala, FL 34474 "
(352) 368-6922 Ext 20£�`'��
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 Roberto Lomas
developed the Evaluation Report
Florida License PE-62514
Quality Assurance Entity Keystone Certifications, Inc.
Quality Assurance Contract Expiretion Date 07/21/2020
Validated By Steven M Urich, PE
■ Validation Checklist - Hardcopy Received
Certificate of Independence FL5823 R4 COI 510484A lEval Reo SH-8100 Imoact) odf
Referenced Standard and Year (of Standard) Standard Year
AAMA/ 101/I. S. 2-97 1997
AAMA/ 101/I. S.2/A440-05 2005
ASTM E1886-02 2002
http://www.rtloridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvMdF6... 12/15/2010
' Florida Building Code Online Page 2 of 3
ASTM E1996-02 2002
PA/TAS 201/202/203 1994
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option �7' � �
� '>- _
Date Submitted 12/19/2008s �. ..': � � .
Date Validated O1/05/2009 ,
Date Pending FBC Approval O1/09/2009 :k
Date Approved 02/03/2009
--- — — — - ----- -- -- ---
Summary of Products
FL # Model, Number or Name Description
5823.1 8100 Vinyl Single Hung 8100 Vinyl Single Hung (Impact)
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL5823 R4 II CWS-155A (SH-8100 Imoact).odf
� Approved for use outside HVH2: Yes FL5823 R4 II DuPont PVB NOA 05-1208 02.�df
Impact Resistant: Yes FL5823 R4 II Mikron NOA 06-1220 Ol.�df
Design Pressure: +75/-75 Verified By: Roberto Lomas 62514
Other: Large Missile, 36x62 DP= +/- 75 psf. Created by Independent Third Party• Yes
Evaluation Reports
FL5823 R4 AE 510484A (EvalReo SH-8100
Im act . df
Created by Independent Third Party• Yes
5823.2 SH-8100 Vinyl Single Hung SH-8100 Vinyl Single Hung (Impact)
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL5823 R4 II CWS-155A (SH-8100 Imoactl.odf
Approved for use outside HVHZ: Yes FL5823 R4 II DuPont PVB NOA OS-1208 02.odf
Impact Resistant: Yes FL5823 R4 II Mikron NOA 06-1220 Ol.odf
Design Pressure: +67.5/-67.5 Verified By. Roberto Lomas 62514
; Other: Large Missile, 53x76, DP +/- 67.5 psf Created by Independent Third Party• Yes
Evaluation Reports
� FL5823 R4 AE 510484A(Eval Reo SH-8100
Im act . df
Created by Independent Third Party: Yes
I 5823.3 SH-8100 Vinyl Single Hung Heavy SH-8100 Vinyl Impact Single Hung w/ Heavy Duty FMR
Duty
Limits of Use Installation Instructions
i Approved for use in HVH2: Yes FL5823 R4 II CWS-369 (SH-8100 Im�act 52x72 100
'I Approved for use outside HVHZ: Yes DP . df
i Impact Resistant: Yes FL5823 R4 II DuPont SGP NOA 07-1116-04.odf
i Design Pressure: +100/-100 FL5823 R4 II Mikron NOA 06-1220 O1 odf
Other: Large Missile, 52" x 72", +/- 100 psf. Verlfied By: Roberto Lomas 62514
� Created by Independent Third Party: Yes
Evaluation Reports
FL5823 R4 AE 510965 lEval Reo SH-8100 Imoact 100
DP . df
Created by Independent Third Party• Yes
5823 4 SH-8100 Vinyl Single Hung Oriel SH-8100 Vinyl Single Hung Oriel Window w HD FMR, 5
HI sash.
� Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL5823 R4 II CWS-295 (SH-8100 Imoact 52x96) �df
� Approved for use outside HVHZ: Yes FL5823 R4 II DuPont PVB NOA OS-1208 02 odf
� Impact Resistant: Yes FL5823 R4 II DuPont SGP NOA 07-1116-04 odf
Design Pressure: +67.5/-67.5 FL5823 R4 II Mikron NOA 06-1220 O1 odf
� Other: Large Missile, 52" x 96" w/ 5 HI sash, +/- 67 5 Verified By: Roberto Lomas 62514
', psf Created by Independent Third Party: Yes
Evaluation Reports
FL5823 R4 AE 510868 (Eval Reo SH-8100 Im�act
52x96 . df
�_ Created by Independent Third Party: Yes
http://www. Floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvMdF6... 12/15/2010
' Florida Building Code Online Page 3 of 3
Back Next
Department of CommuNty Affalrs
Florlda Bu/Mlny Lode On/!ne
Codes and Snndards
1555 Shumard Oak Boulevard
Tallahassee, Florida 32399-2100
(850) 487-1824, Fax (850) 414-8436
O 2000-2010 The State of Florida. All rights reserved.
Pnvacv 5[atement I Coovnoht Statement � Accessibdrtv Statement I Plua-in SoRware ��ustomer Service Survev � Contact Us
Vroduct Approval Aaepts:
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Florida Building Code Online Page 1 of 2
• `
�� �tCL�'d�f�t�
BCIS Home Log In User Registra[ion Hot Topics Submrt Surcharge Stats & Facts Pubhcations FBC Staff 8Q5 Site Map Links Search
/� s Product Approval ((( �
V ��� S USER: Public User /� i� �
� �i ; �
� � � _,.„_ �.—�
Produc[ App�oval ��1en� > Product or Aoolica[ion Search > Aoolica[ion List > Apphca� �—., .�..
�/ �,EPHYRH��—� �
FL # FL5790-R7 �' 1 � ��
� Application Type Revision P �NS EXAMINE�.._-
. .-
Code Version 2007
1 Application Status Approved
� Comments
�� Archived r �
Product Manufacturer American Shutter Systems Associatjpq��i�.(,O���'� A�f�`G
Address/Phone/Email 4268 Westroads Driv �Tl �
West Palm Beach F��s w � �C C,CODE�
(561) 209-8263 p�1A�' TIO��'L�'L�G�RD�p,�CES
bfeeley@easternmeta1.�11F,�� ZE �,mti(�,� 0
lrv� O � � lu,.�
Authorized Signature Bill Feeley
C1� �
Irodriguez@easternmetal com
ss,
Technical Representative �*
4�% 4
Address/Phone/Email •
� i.� �?': � a , ,
Quality Assurance Representative ')�`���_ � -- � ..
Address/Phone/Email �
Category Shutters
Subcategory Roll-up
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
r Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who Trevor ]ohnson
developed the Evaluation Report
Florida License PE-65624
Quality Assurence Entity National Accreditation and Management Institute
Quality Assurance Contract Expiration Date 12/31/2013
Validated By ]ohn Henry Kampmann Jr
I% Validation Checklist - Hardcopy Received
Certificate of Independence FL5790 R7 COI Certn`icationOfIndependen�e.pdf
Referenced Standard and Year (of Standard) Standard Year
ASTM E-1886 2002
ASTM E-1996 2002
ASTM E-330 2002
Equivalence of Product Standards
Certified By
Sections from the Code
http://www. fl oridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtDmAG7pnms8... 1/ 19/2011
Florida Building Code Online Page 2 of 2
Product Approval Method Method 1 Option D
Date Submitted 09/07/2010
Date Validated 09/08/2010
Date Pending FBC Approval 09/13/2010
Date Approved 10/13/2010
Summary of Products
FL # Model, Number or Name Description
5790 1 58mm Bertha End Retention / Roll Shutter System (includes View Port Option)
Non-Retention Roll Shutter
System (Non-HVHZ)
Limits of Use Installation Instructions
I Approved for use ia HVH2: No FL5790 R7 II InstallationInstructions .pdf
' Approved for use outside HVH2: Yes Verified By: Trevor lohnson, P E. PE-65624
I Impact Resistant: Yes Created by Independent Third Party• Yes
Design Pressure: N/A Evaluation Reports
Other: This product shall not be installed within High FL5790 R7 AE EvaluationReDOrt .pdf
Velocity Hurricane Zone. For design loads and spans Created by Independent Third Party Yes
refer to engineered drawings (installation instructions)
Back uext
Department of Community Affairs
F/orlda Bui/ding Code Onllne
Codes and SWndards
2555 Shumard Oak Bouleva�d
Tallahassee, Florida 32399-2100
(850J 487-1824, Fdx (850) 414-8436
� 2000-2010 The Sta[e of Flonda. All r�ghts reserved
Privacv Statemen[ � Coovriaht Statemen[ � Accessibih[v Stafement � Pluo-in Software � Customer Service Survev � Contact Us
Product ApprovalAccepts:
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