HomeMy WebLinkAbout11-12118 ,
CITY OF ZEPHYRHILLS
. 5335 - 8TH STREET
(si3)�so-oo20 12118
BUILDING PERMIT
Permit Number: 12118 Address: 39028 PARK 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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00200-0100
Improv. Cost: 3,449.46
Date Issued: 7/25/2011 Name: POLING ELLIS & MARGARET
Total Fees: 82.50 Address: 39028 PARK DRIVE
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 7/25/2011 Phone: (813)355-4562
Work Desc: REPLACE 8 WINDOWS SIZE/SIZE
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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 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 commenceme "
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CONTRACT R SIGN TU E 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
Contractor/Homeowner: G—(�ll��
Date Received: �— �— � �
Site: 3 � O 2 � �Cc.,� [�, �
Permit Type: � � � ��� ��GQ ►'i'�P-v�,fi �� S�Q,
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Approved w/no comments: ❑ Approved w/the below comments: �' Denied w/the below comments: O
This comme t s et shaJ� be t with the permit and/or plans.
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Kal n Switzer ans Examiner Date ontractor and/or Homeowner
(Required when comments are present)
� i I II�III IIIII lllll I�III IIIII II�II IIIII III�I IIIII IIII) I��) IIII
. �2011113882 `_ _ _ _ J
Rep�9529 Reo: 10.00
�DS: 0.00 IT: 0.00 .
NO�'ICE �OF COMMENCEMENT �/25/ 11 C._ Cook , Dply C 1 erk �
Permit No, •
Tax Folio No.
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THE UNDERS G,D hereby gives notice that the impmvements will be made to'real properry, and in accordance with Sectioa 713.13 of
the Florida Statutes, the following information is provided in this NOTICE OF CONIlv�NCEMENT.
1. Description of property (legsl descript n): � T 1K ab � g7
a) Street (job) Address: � �G �
2. General description of improveraents:
3. Owner Information ��� , � . �` ��� l S �
a) Name and address: 11101 �7�'IVota 1' � l�✓il t�' ��
b) Name and address of &e sunplc trtle lder (if other than owner) ....- �
c) Interest in pi�operiy Owner
4. Contractor Informarion
a) Name and address: L wes Home enters Inc P. O. 8 2
b) Telephone No: lJ�d 7- 32-��60 k�' Fax No: GL.�
5. Swety Information �
a) Name and address; NA � �oMPTR0I.LER
b) Amount of Bond: NA � ��
c) Telephone No:_NA � PpU� t � � D pRSC GLOf i l
6. Lender 0T OR BK ���� --=�-°� 15 �.-/
a) Name and address: NA �-�
b) Telephone No: NA Fax No: NA
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served
a) Nazne and address_NA
b) Telephone No: NA Fax No. NA '
8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(I)(b),
Florida Statutes;
a) Name and address: NA
b) Telephone No. NA Fax No. NA
9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date Is
specified): -
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATION OF TI�llS NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA
STATUI`ES CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE•RECORDED AND POSTED ON THE JOBSITE BEFORE THE FIR4T INSPECTION. IF YOU INTEND TO OBTAIIV FINANCWG,
CONSULT YOUR L AiV ATTORNFrY BEFORE COMMENCING •WORK OR RECORDING YOUR NOTICE OF
COMMENCEMEN . �� ��
Staie of Florida ��� 71610
�S: MAR 16. 2014 �
CountyOf e ������pwr�nce 10.
sigmNre or own« a ownv�. ,1ut6orima offiarmi orrnut�rtdwgv �
��<.s Pa�:� �
Prin Name °
The faregoing instrument wes aclmowledged before me this �day of 20�,by
As (type of authority, e.g. offic , trustee, attomey in fact) _
for (name of party on behalf of whom instn ent s exe ut d
Personally Known OR P;cduced Identification� Notary Signaturc ._
Type of Identification Producai ��.— 1L�L� Name (Print) �,Lri�'fGe� �frYl ��
—AND—
Verifica6on pursuent to Section 92.525, Fiorida Statutes. Under penalties of perjary,l deciare that I have read the foregoing and that the facts stated in it are true W the best of
my knowledge end belief.
STOREN / v ✓� C ��t'iJ ' �
� ' Signeturo ofNaturel Person Signing (' ine 10) Above
�7A'TE �k� FLQRI��, CQUMTY �F PASCO
T!-il� IS T'C� CER?IFY THATTHE FOREGOiNG ISA
��!_1E A���7 CQRRE�T CQPY OF THE DOCUMENT
���i FN_E Jk C� PUE�LIC RECORU !N THIS OFFICE
�'� r�� HAND A D OFFICIAL SEAL THIS,
v � � �JAY OF 2 �' �
�°�Ul_A� O'NEII_, ER & C MPTROLLER
,
i�� (� �� a�/,%X�,/]� � �7�p�ITY CLERK
813-780-0020 t;ity ot �epnyrnins rermit Hppiication rax-oio-�ou-uvc.i
Buildfng Department
/l�Or✓ � c fj
Date Received ` '� �� — l phone Contact for Permittin �� :� �_
Owner's Name Z• � 1 I �� � Owner Phone Number ��' S`� '� S�o�
Owner's Address ���� G� /� /4 I` i� (�2,. Owner Phone Number � ��
Fee Simple Titleholder Name Owner Phone Number �— �
Fee Simple Tftleholder Address
JOB ADDRESS r O � P�� ��''� �C.'��h �i'�I ! I�S C L 33.sy 2. LOT # � b
SUBDIVISION �'���1y/!�j �(�S � fZ/, �(•1'tS PARCEL ID# �." Z-�' 2l `C� O 3C� -��O Z,OO � fJ ! G` Q
{OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR [� ADD/ALT � SIGN �] MOVE � DEMOLISH
INSTALL �' REPAIR
PRpPOSED USE � SFR � COMM 0 OTHER
TYPE OF CONSTRUCTION BLOCK � FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK lA C.�_ �� �,U�`� � ,� N r�S S� �?{ l //LG� , L-f . 3
F� r�37z, r
BUILDING SIZE " 3Q FOOTAGE HEIGHT
Q BUILDING $ �.. � �/ VALUATION OF TOTAL CONSTRUCTION
!CJ
0 ELECTRICA� $ AMP SERVICE , 0 PROGRESS ENERGY Q W.R.E.0
0 PLUMBING $ � ��� �
0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
0 GAS � ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES QNO
'� -269- S ON�cA
� �-�. `��� � � e. ev rZ�
BUILDER � _��� � `^-[� ' COMPANY � �I ,
SIGNATURE ' ' REGISTERED N FEE CURRENT Y/ N
Add�ess � 1 (� ��� ��, � � � Ucense# ` C��voT� �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address • � �
License #
OTHER COMPANY
SIGNATIJRE REGISTERED Y/ N FEE CURRENT Y/ N
Address Llcense # —�
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Miiimum ten (10) working days after submittal date. Requfred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
San(tary Facfl(tles 8 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new constructio; �.
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 commerclal requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions: '
Fill out applicatlon completely
Owner & Contractor sign back of appiicatlon, notarized
If over;2500, a Notice of Commencement Is required. (A/C upgrades over a500U)
" Agent (for the contractor) or Power of Attomey (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 responsib(lity for compliance witii any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hfred a contractor or
contractors to undertake work, they may be required to be Ifcensed fn accordance with state and local regulations. If the
contractor Is not licensed as requfred by law, both the owner and contractor may be cited #or 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 IMPACTIUTILITIES 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, wiil 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"ce�tificate 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, 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 Fiorida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than ttie "owner", I ce�tify 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/OWfVER'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 pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso
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, Wetiand Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depa�tment 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 wa�l
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 vlolating
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
justifiabie 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 TVNICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YoUR LENDER OR AN ATTORNEY BEFORE REr,ORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F S. 117 03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this
by by
Who is/are personalty known to me or has/have produced Who Is/are personally known to me or has/have produced
as IdenUflcaUon. as identificatlon.
Notary Public
Notary Public
Commission No. Commissfon No
rinted or stam ed Name of Notary typed, printed or stamped
Name of Notary typed, p P
Pasco Counly Parcel: 12-26-21-0030-00200-0100 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, July 02, 2011
Parcel ID 12-26-21-0030-00200-0100 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
POLING ELLIS RAY & MARGARET E Ag Land $0
39028 PARK DR Land $13,654
ZEPHYRHILLS FL 33542-4655
Physical Address Building $57,811
Extra Features $328
39028 PARK DR
ZEPHYR.HIILS FL 33542-4655 Market Value ;71,793
Assessed (Save Our Homes) $71 793
.
Le9a1 Descriotion (First a Lines) Homestead 196.031 -$25,000
Non-School Additional Homestead Exemption -$21 793
See Plat for this Subdivision �" �
ZEPHYR HEIGHTS PB 5 PG 50 Non-School Taxable Value �25,000
LOT 10 BLOCK 2 School District Taxable Value $46,793
OR 7587 PG 885 Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�1 0100 SFR OOR1 7,000.00 SF $1.91 1.00 $13,370
� 0100 SFR OOR1 1,050.00 � $0.27 1.00 $284
Additional Land Information
Acres 0.18 Tax Area 30ZH FEMA Code � Residential Code ZHLGLP3
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1967 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring i Terrazzo Monolithic Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line � Description Sq. Feet Repl. Cost New
1 BA 1,272 $66,564
2 I�EA 220 $5,756
� 3 -� FGR 420 $8,791
4 FOP 66 $890
Extra Features (Card: 001 of 001)
Line r Description Year Units Value
1 DW WC 1967 340 $204
�2 � DCFENCE 1985 252 � $94
3 UDU-M 1967 1 $30
Sales History
Previous Owner BERNARD RONALD
Year Month � Book/Page Type Amount
2007 07 7587 / 0885 WD $125,000
2004�� 11 6129 / 0878 �C � �
1988 10 1750 / 0715 WD $55,000 �
http://appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21 &sbb=0030&bl... 7/7/2011
Plan Review
Windows & Doors
1) Need manufacturing installation specifications.
2) N1ust meet sections R308 and R612 of the 2007 F.B.C.
3) If windows are to be installed inside the historical district, they will need to be approved
by the historical committee.
4) No other work shall be permitted (framing, plumbing, and mechanical) unless otherwise
specified.
5) TN�is is for replacement (glass for glass) only. If you wish to change from screen or vinyl
windows to glass, then additional information is required.
6) All windows to wall connections shall be left visible for inspection.
7) All labeling and stickers shall remain on windows until final inspection.
8) No work shall start without permit first.
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Florida Building Code Online http://www.floridabuilding.or�fpr/pr_app_dtl.aspx?param=wGEVX...
• Product Approval
USER: Publit User
Produok AoQroval Menu > Product or Aeolicatbn �earth > : AppYcetbn Dete�
FL # FL11206-RS
Application Type Revision
Code Version 2007
App�ication 5tatus Approved
Comments
Archived
Product Ma�ufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella, IA 50219
(641)621-6096
pellaproductapprovai@pell com
�E��E
Authorfzed Signature Joseph Hayden (�'`� W �AT ..
Jahayden@pelia.com �' OFZ�p � � �— ` f
P �AI�s F HY RHId_�.�c � �"
Technical Representative Joseph Hayden �M1NE� � /��
Address/Phone/Email 102 Main Street - ``
Pella, IA 50219 _ a
(641)621-6096
Jahayden@pella.com
Quality Assurance Representative Andrew Nelson
Address/Phone/Email Pe 2a p� �� s�1LL COMpLy WI
(641) 621-3804 I LINGCODES FLp H `�' I '
nelsona@pella.co NATION ' �ABNLDING
��'I'OFZEp A� p� CODEAND
Category Windows
Subcategory Single Hung �ANCES
Compliance Method Certiflcation Mark or Llsting
Certification Agency Window and Door Manufacturers Association
Validated By James L. Buckner, P.E. at CBUCK, InC.
Validation Checklist - Hardcopy Recefved
Referenced Standard and Year(of Standard) Standard vear
AAMA 101/I.S.2-97 1997
AAMA 101/I.S.2/NAFS-02 2002
AAMA/WDMA/CSA 101/I.5.2/A440-05 2005
Equivalence of Product Standards
Certified By
Produd Approvai Method Method 1 Option A
Date Submitted 09/07/2010
Date Validated 09/OS/2010
Date Pending FBC Approval 09/10/2010
Date Approved 10/13/2010
Cnmmqrv nf Dmrl��rFe
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.............. ... . ............
FL i! Model, Number or Name Description
11206 1 Series 10 Flanged Single Hung Vlnyl Flanged Single Hung Window (54" x 90")
____ _.�...._.. ._..._. . .� _. ----....----...---._�..._�._.._.__...__._..____---_________.._...------___ _...�-----
Limits of Use Certification Apency Certificate
Approved for use in HVHZ: No FL11206 R5 C CAC CCI for Pella 6 30 09 411 H
Approved for use outside HVH2: Yes iQ��,Q.�,__Q�,.p�f
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +30/-30 06/10/2013
Other: Configurations of glass conform to latest ASTM Installation Instructions
E1300 standard. FL11206 RS II 1414 �df
Verified By: Warren W. Schaefer, P.E. 44135
Created by Independent Third party: Yes
Evaluation Reportc
FL11206 RS AE 1414 odf
Created by Independent Third Party; Yes
-. _..--. ... _. �...._._.... __._._._.. ..��....�..._...�. .._.__..�..__._._.__--___..___..�..__._..._..____._._
11206.2 Series 10 Flanged Single Hung Vlnyi Flanged Single Hung Window (52-1/8" x 73")
Limits of Use Certification Ayency Certificate
Approved for use in HVHZ: No FL11206 RS C CAC CCL for Pella 6-30-09 411-H-
Approved for use outside HVH2: Yes 1032,.05-07.,pdf
Impaet Recistant: No Quallty Assurance Contract Expiration Date
Desipn Pressure: +50/-50 04/20/2013
Other: Configurations of glass conform to latest ASTM In�tallation Inctructions
E1300 standard. FL11206 RS II 1414 odf
Verified By: Warren W Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL11206 R5 AE 1414. df
Created by Independent Third Party; Yes
11206.3 Series 10 Flanged Single Hung Vinyl Flanged Single Hung Window (36" x 62")
Limits of Use Certification Aqeney Certificate
Approved for use in HVH2: No FL11206 RS G CAG CGL for P lia ��n n 411 H
Approved for use outside HVH2: Yes 1032,13-15.�df
impact Resistant: No Quality Assurance Contract Expiration Date
Desiyn Pressure: +55/-55 02/S1/2013
Other: Configurations of glass conform to latest ASTM Installation Instruction�
E1300 standard. FL11206 R5 II 1 414 ndf
Verlfied By. Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL11�6 R5 AE 1414.�df
Created by Independent Third Party: Yes
11206.4 Series 10 Flanged Single Hung V(nyl Flanged Single Hung Window (36" x 90")
Limits of Use Certification A�ency Cartiflcate
Approved for use in HVH2: No FL11206 RS C CAC CCL for Pella 6 411 H
Approved for use outside HVH2: Yes 1032 09-11 �df
Impact Resistant: No Quality Assurance Contract Expiration Date
Desiyn Pressure: +50/-50 02/09/2013
Other: Confiqurations of glass conform to latest ASTM Installation Instructlons
E1300 standard. FL11206 RS II 1414 odf
Verified By� Warren W Schaefer, P.E. 44135
Created by Independent Third Party. Yes
Evaluation Reports
FL11206 RS AE 1414 odf
Created by Independent Third Party: Yes
11206.5 Series 10/20 High Performance Vinyl High Performance Single Hung Twin Composite (72" x
Single Hung 65-1/2")
Limits of Use Certification A9ency Certificate
Approved for use in HVH2: No FL112O�R5_C CAC 411-H-109� ��f
Approved for use outside HVH2: Yes FL11206 R5 C CAC 411-H-109S n�f
Impact ResiBtant: No Quality Assurance Contract Expiration Date
Design Pressure: +50/-50 11/17/2013
Other: Configurations of glass conform to latest ASTM Installation Instructions
E1300 standard. FL11206 RS II SS72 odf
Verified By: Warren W. Schaefer, P.E 44135
Created by Independent Third Party: Yes
Evaluation Reports
F1,1_1206 RS AE � 57� nrif
Ge-eated by Independent Third Party: Yes
11206.6 Series 10/20 High Performance Vinyl High Performance Single Hung Window (42" x 72")
Single Hung
20f5
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Florida Building Code Online http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param-
� Limits of Use Certlfication Ayency Certificate
Approved for use in HVH2: No , F�11206 RS C CAC CCL for Pella SO-20-09 411-H-
Approved for uce outslde HVHZ: Yes 1046.Ol.odf
Impact Recistant: No Quality Assurance Contract Expiration Date
Desiyn Pressure: +50/-SO 08/07/2013
Other: Configurations of glass conform to latest ASTM Installation Instructions
E1300 standard FL11206 RS II 1572 odf
Verified ey: Warren W. Schaefer, P,E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL11206 R5 AE 1572.odf
Created by Independent Third Party: Yes
11206.7 Series 10/20 Single Hung Vinyl Single Hung Window (48" x 72")
Limlts of Use Certiftcation Apency Certificate
Approved for use in HVH2: No FL11206 R5 C CAC CCL for Pelia 10-20-09 411-H-
Approved for use outside HVH2: Yes 1043.OS.odf
Impact Resistant: No Quality Assurance Contract Expiration Date
Desipn Pressure: +35/-35 08/04/2013
Other: Configuretions of glass conform to latest ASTM Installation Instructions
E1300 standard. FL11206 RS II 1572 odf
Verifled By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Pa�ty: Yes
Evaluatlon Reports
FL11206 RS AE 1572�df
Created by Independent Third Party: Yes
11206.8 Series 10/20 Single Hung Vinyl Single Hung Window (48" x 59-1/2")
.._.. ..�...._...._.__...._. ... _. �.. _. _.. _.. ..._...__....�........__._. ..��.�__.��.._.�_..____._...._._.�__.._._.��.._._.�._._�..._.�.___..._._.....__..�.._
Limits of Use Certificatfon Ayency Certificate
Approved for use in NVH2: No FL11206 R5 C CAC CCL for Pella 10-20-09 411-H-
Approved for use outside HVH2: Yes 1043.09.odf
Impact Resistant: No Quality Assurance Contract Expiration Date
Desi�n Pressure: +35/-35 OS/04/2013
Other: Configurations of glass conform to latest ASTM Installation Instructions
E1300 standard. FL11206 R5 II 1572.odf
Verified By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL11206 R5 AE 1572 odf
Created by Independent Third Party: Yes �
---._..._.__.__.�__...__�_..._...�_.. _._.�._�..._._..... _....�..�.. .._.._....__._.._........_..._.. .._. _..�._....�_...._...._.. .__.�__��...._.�.�.�_.�.._.___....._-----__.___...____.___.�.�____..
11206.9 Ser(es 10/20 Single Hung Vinyl Single Hung W(ndow (36" x 59-1/2")
Limlts of Use Certification Ayency Certlflcate
Approved for use in HVH2: No FL,_i_�24.�_R�� �gC ��L fQr,P�L�,1Q �Q-0�.4,��-H_
Approved for use outside HVH2: Yes 1043.17.Zdf
Impact Resfstant: No Quality Assurance Contraet Expiration Date
Design Pressure: +35/-35 OS/03/2013
Other: Configurations of giass conform to latest ASTM Installatlon Instructions
E1300 standard FL11206_RS_II 1572,..pdf
Verified By: Warren. 1N. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluatlon Reports
FL11206 R5 AE 1572 �df
Created by Independent Third Party: Yes
11206.10 Series 10/20 Single Hung Vinyl S(ngle Hung Window (48" x 84")
Limitc of Use Certification Apency Certiflcate
Approved for uce in HVH2: No FL11206_RS_C CAC CCL. for_Pell_a.10-20.-09.411-H-
Approved for use outside HVH2: Yes 1043.21.ocJf
Impact Resistant: No FL11206 RS G CAC CCL for Pelia SO-20-09 411 H
Desipn Pressure: +35/-35 1043,25.odf
Other: Configuretions of glass conform to latest ASTM Quality Assurance Contract Expiration Date
E1300 standard. 08/07/2013
Installation Instructions
FL11206 R5 II 1572 odf
Verified By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluatlon Reports
FL11206 RS AE 1572.odf
Created by Independent Third Party; Yes
11206.11 Series 10/20 Single Hung Vinyi Single Hung Window (36" x 72")
Limits of Use Ce�tification Ayency Certiftcate
Approved for use in HVH2: NO �Ll � 206 RS C o�' C'r'� fnr polla � n�n no e�� H
Approved for use outside HVH2: Yes 1043 13 odf
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Impact ReC�stant: No , Quality nssuranee Contract Exp�raUOn Date
. Desipn Pressure: +35/-35 08/03/2013
Other: Configurations of glass conform to latest ASTM Installation Inrtructlonc
E1300 standard � FL11206 RS II 1572 �df
Verified By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reporl�
FL112_Q6 R5 AE_1572.�df
Created by Independent Third Party: Yes
11206.12 Series 10/20 Single Hung Vinyl Single Hung Twfn Composite (72" x 53.5")
_.�___..�...._._...._._...._. .. _ .._____....__..__._�..�___..._---.�..._.__.___.____.._._.__.__..._._.__._._._..._.��__�»_
Limits of Use Certification Apency Certificate
Approvad for uce in HVH2: No FL11206 RS C CAC 411-H-1094 odf
Approved for use outside HVH2: Yes Quality Assurance Contract Expiration Date
impaet Resistant: No li/17/2013
Desipn P�essure: +35/-35 installation Instructions
Other: Configurations of glass conform to latest ASTM FL3.1206_R5_II 1572,.pdf
E1300 standard. Verified By: INarren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL11206 R5 AE 1572.pdf
Created by Independent Third Party: Yes
11206.13 Serles 10/20 Single Hung Vinyl Single Hung Twin Composite (96" x 53.5")
Limits of Use Certiflcation Aflency Certlficate
Approvad for use in HVH2: No FL11206 RS C CAC 411-H-109q ��f
Approved for use outcide HVHZ: Yes Quality Ae�urance Contract Expiration Date
Impact Resistant: No 11/19/2013
Desipn Pressure: +35/-35 Installation In�tructions
Other: Configuretions of glass conform to latest ASTM FL11206 RS II 1572 odf
E1300 standard. Ver(fied By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL11206 R5 AE 1572 odf
Created by Independent Third Party: Yes
11206.14 Series 10/20 Single Hung Vinyl Single Hung Twin Composite (96" x 72")
Limits of Use Certification Ayency Certiflcate
Approved for use in HVHZ: No FL11206 R5 C CAC 411-H-1096 odf
Approved for use outside HVH2: Yes FL11206 R5 C CAC 411-H-1100 odf
Impact Resistant: No Quality Acsurance Contract Expiration Date
Deslyn Pressure: +30/-30 il/18/2013
Other: Conffgurations of glass conform to latest ASTM Installation 2nstructions
E1300 standard. FL11206 RS II 1572 odf
Verifled By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluatlon Reports
FL11206 RS AE 1572 odf
Created by Independent Third Party: Yes
11206.15 Serles 10/20 Single Hung Vinyl Singie Hung Twin Composite (72" x 72")
Limits of Use Certification Ayency Certiflcate
Approved for use tn HVH2: No FL11206 RS C CAC 411-H-SO 2 odf
Approved for use outslde HVH2: Yes Quality Asaurance Contract Expiration Date
Impact Resistant: No li/17/2013
Dasiyn Prescure: +35/-35 Installation Instructions
Other: Configurations of glass conform to latest ASTM FL1.12Q6 II 1.�72..p�1f
E1300 standard. Verified By: Warren N/. 8chaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL11206 R5 AE 1572 p�f
__ _ Created by Independent Third Party; Yes
11206.16 Ser(es 10/20 Single Hung Vinyl Fixed With Single Hung Flankers (108" x 72")
Limits of Use Certiflcation Ayency Certificate
Approved for use in HVH2: No FL1,1206 R5 C CAC CCL for Pella 7_29-08 411-H-�SO.�df
Approved for uce oulside HVH2: Yes Quality Assurance Contract Expiration Date
Impact.Resi�tant: No 12/27/2011
Desipn Pre�sure: +30/-30 installation In�tructions
Other: Configurations of glass conform to latest ASTM FL11206 RS II 1�72,pdf
E1300 standard, V�rified By: Warren W. Schaefer, P.E. 44135
�reated by Independent Third Party: Yes
Evalualion Repofts
FL11206 R5 AE 1572 odf
Created by Independent Third Party: Yes
4 of 5
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11206 17 I Serles 10/20 Single Hung . Vinyl Single Hung Tripie Com posite ( x 72")
_.�.__.._.__._�._......_.�....._...... .... .__.. .._.. _.._._....,...__. _..._.. .._..._...._.,._.�_._.—..___._��._�._ y�._ _..�.._._---�.__.___.�.___.._.
� Limits of Wse Certification A enc Certlficate
Approved for use in HVH2: No ' FL11206 R5 C GAC 411-H-1090 odf
Approved for use outside HVH2: Yes FL11206 R5 C CAC 411-H-1101 odf
impact Reoistant: No Quality Aosurance Contract Expiration Date
Desipn Pressure: +35/-35 03/31/2014
Other: Configurations of glass conform to latest ASTM Installation Instructions
E1300 standard. FL11206 RS II 1572 odf
Verified By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL11206 RS AE +572 odf
Created by Independent Third Party: Yes
__._._.__...�__...._..._.._._.. _...... .._....�. ............ .._..�.._....�.. .�....�_�..��»..�._.___-________..�_.__..__�__...._..._...---_.�..�_.�_.
11206.18 Series SO/20 Single Hung Vinyl Singie Hung Triple Composite (108" x 53.5")
Limits of Use Certification Ayency Certlficate
Approved for use in HVHZ: No FL11206 RS C CAC 411-H-1098 odf
Approved for use outside HVH2: Yes Quality Assurance Contraet Expiration Date
Impact Resistant: No 11/19/2013
Design Pressure: +35/-35 Installation Instructions
Other: Configurations of glass conform to latest ASTM FL11206 RS II 1572 odf
E1300 standard. Verifled By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL11206 RS AE 1572 odf
Created by Independent Third Party: Yes
_----._�._._.�._�_.._..._.�_�...._. ..._�.._..__.�..._....�.____._�.�._.,.�...._.._.�_._.._._._..._�._ .��---..._�.._�._..__.__�._.____..._�.___��__�....�_..�
11206.19 Serles 10/20 Single Hung Vlnyi Fixed Over Single Hung Composite (30" x 76")
Limitr of Uce Certification Ayency Certiflcate
Approved for use in HVH2: No FL11206 RS G CAC 411-H-10ai ��
Approved for use outside HVH2: Yes Quality As�uranee Contract Expiration Date
Impaet Resistant: No 11/10/2013
Design Pressure: +35/-35 Inctallation Instruetionc
Other: Configurations of glass conform to latest ASTM F.4,���Q_�_�5,u�.5.7�,.R.�f
E1300 standard. Verified By: Warren W. Schaefer, P,E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL11206 R5 AE 1572 odf
Created by Independent Third Party: Yes
11206.20 Series 10/20 Single Hung Vinyl Fixed Over Single Hung Composite (46" x 76")
Limits of Use Certiflcation Aqeney Certificate
Approved for uce in HVH2: No FL11206 R5 C CAC_4_li_H=.1089.pdf
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resiatant: No 11/11/2013
Desiyn Pressure: +30/-30 Installation instruetions
Other: Configurations of glass conform to latest ASTM FL31206 RS II 1572 odf
E1300 standard. Verified By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluatlon Reports
FL11206 RS AE 1572 odf
Created by Independent Third Party: Yes
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Florida Building Code Online Page 1 of 2
Product F,:,proval M�nu > Product or Aoplication Search > ADplication List > Applieation Detail
FL # FL
Application Type , ew
Code Version . 2007
Application Status Approve
Comments `
Archived
Product Manufacturer Pella Corporation REVIEW DA°f� � 1 � ' l_,
Address/Phone/Email 102 Main St. CITY OF ZEPHYRNILLS
Pella, IA 50219 pLANS EXAMINER
(641) 621-3494 -- _-.
robinsonsj@pella.com
Authorized Signature Hughes Alan
hughesaj@pella.com
ALL WORK SHALL COMPLY WITH AI.L
Technical Representative Alan Hughes pREVAILING CODES,FLORIDABUILDING
Address/Phone/Email 2000 Proline Place CODE,NATIONALELECTRIC
Gettysburg, PA 17325 CITY OF ZEPHYRHILLS ORDINANCES
(717)338-1165
hughesaj@pella.com
Quality Assurance Representative Ali Zarghami
Address/Phone/Email 102 Main St
Pella, IA 50219
(641)621-1000
zarghamia@pella.com
Category Windows
Subcategory Mullions
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 Warren W. Schaefer, P.E.
developed the Evaluation Report
Florida License PE-44135
Quality Assurance Entity Architectural Testing, Inc.
Quality Assurance Contract Expiration Date 12/31/2011
Validated By James L. Buckner, P.E. at CBUCK, Inc.
� Validation Checklist - Hardcopy Received
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDq 15 S W1dzHipZDpHN3U... 3/19/2009
Florida Building Code Online Page 2 of 2
C�rtificate of Independence FL11372 RO COI Certificate of independence pdf
Referenced Standard and Year (of Standard) Standard Year
AAMA 101/I.S.2-97 1997
AAMA 101/I.S.2/NAFS-02 2002
AAMA/WDMA/CSA 101/I.S.2/A440-05 2005
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 09/12/2008
Date Validated 09/12/2008
Date Pending FBC Approval 10/19/2008
Date Approved 12/10/2008
Summary of Products
FL # Model, Number or Name Description
11372.1 Series 10 Vertical Mullion Vertical Non-impact mullion Series 10 Single Hung /
Picture Windows
Limits of Use Installation Instructions
Approved for use in HVH2: No FL11372 RO II 1612 pdf
Approved for use outside HVHZ: Yes Verified By: Warren W. Schaefer, P.E. 44135
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +65/-65 Evaluation Reports
Other: This mullion system is not approved for use FL11372 RO AE Evaluation Report pdf
in the High Ve�ocity Hurricane Zones (HVHZ). Mullion Created by Independent Third Party: Yes
Assembly, pressure and installation requirements are
to be as specified in the attached drawing No. 1612.
Job required design wind pressure shall be calculated
in accordance with the Florida Building Code Chapter
16 and ASCE 7 Minimum Design Loads for Buildings
and Other Structures.
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtD 15 S W1dzHipZDpHN3 U... 3/19/2009
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