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Home My WebLink About11-12139 CITY OF ZEPHYRHILLS ✓,,! 5335 - 8TH STREET (si3)�so-oo20 12139 � ' BUILDING PERMIT Permit Number: 12139 Address: 5225 10TH ST HISTORIC Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-18200-0060 Improv. Cost: 2,800.00 Date Issued: 7/19/2011 Name: DELGADO, GLORIA Total Fees: 75.00 Address: 5225 10TH ST HISTORIC Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/19/2011 Phone: (813)715-4693 Work Desc: REPLACE 4 WINDOWS SIZE/SIZE 75. � ��'�i ., w � ��( � � 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 calied 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 properly. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commenceme " CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i �`fl � � i� , :�t�'�.., . � •�. j�;�� ,��. ►�ej�irl �� «„ � . � 91 �f��M� "j City of Zephyrhills BUILDING PLAN REVIEW COMMENTS � Contractor/Homeowner: ��(,/ }4-� � ��'� `��11/C /�t�.� Date Received: 7- � 3- // Site: � 22 � � d � �� Permit Type: �(.�r�'l��w �c� f) �Q C e Sr7.��S� 2� Approved w/no comments: ❑ Approved w/the below comments: � Denied w/the below comments: � This comment sheet shall be kept with the permit and/or plans. ,CS-( Kalvin S ze Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) �,.s-�uu-u��u City of Zephyrhiils Permit Application Fax-813-780-0021 Buiiding Department Date Received �� ! phone Contact for Permitting 7'�� v � — �� . `_ � Owner's Name Owner Phone Number Owner's Address �a a� 0� � r t-� '� Owner Phone Number � Fee Simple Titleholder Name � Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �� S � LOT # � SUBDIVISION , PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEw CoNSTR � ADD/ALT 0 SIGN [� Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR � COMM � OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL [� DESCRIPTION OF WORK C Q L I ,,r, w3 1 fNr►.� W�•vdo tv BUILDING SIZE � SQ FOOTAGE � HEIGHT BUILDING $ ` VALUATION OF TOTAL CONSTRUCTION ol ��.� ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ ') q � �V U C� �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION .�� 3� �GAS Q ROOFING Q SPECIALTY �] OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER \ \ � COMPANY M LL �c�d /�p yyte �,r ,E �' SIGNATURE � dr n l S f}/� .V A ` REGISTERED Y! N FEE CURRE� Y! N Address SQ ULm��QT��, �e,qc7� �.I9R (3 � 77 License# C��/p � � 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 & 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 Fonns. 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 all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. """PROPERTY SURVEY requlred 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 upg�ades over 57500) ** 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 Appiication Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with 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 aceordance with state and local regulations. If the contractor is not licensed as requi�ed by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy" or final power release. If the project does not involve a. c�rtificate 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 "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance 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 apptication, 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 N TICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR � �'--°" Subscribed and sworn to (or affirmed) before me this Subscribed and swo (or afflrmed) before me this b 7'l2-// b o i.•�-' S/a R+� 4 Who islare personally known to me or has/have produced Who is/are p rsonally nown to me or has/have produced as IdenUfication. �CP s� _ as identification. � -, Notary PubUc ' � / �' Notary Public ,� '' JACQUELINE ES Commission No. Com on : ' ' � , ,' E� � �eCember 12, 2014 Name of Notary typed, printed or stamped Name of No a , .,.� Plan Review Windows & Doors 1) Need manufacturing installation specifications. 2) Must 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) This 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. Pasco County Parcel: 11-26-21-0010-18200-0060 001 Page 1 of 2 Data Current as Of: Weekly Archive - Saturday, July 09, 2011 Parcel ID 11 (Card: 001 of 001) Ciassification 01 - Single Family Mailing Address Property Value DELGADO GLORIA ENEIDA REVOC Ag Land �p LIVING TRUST ��d �23�828 5225 lOTH ST Building $45,241 ZEPHYRHILLS FL 33542-5023 Physical AddresS Extra Features $1,672 5225 lOTH ST Market Value ;70,741 ZEPHYRHILLS FL 33542-5022 Assessed (Save Our Homes) $70,741 Le9al Description (First 4 Lines) Homestead 196.031 -$25,000 See Plat for this Subdivision 1'' Non-School Additional Homestead Exemption -$20,741 CITY OF ZEPHYRHILLS PB 1 PG 54 Non-School Taxable Value �25,000 LOTS 6 7& 8 LESS THE S 10 Ff School District Taxable Value $45,741 OF LOT 8 BLOCK 182 Warning: A significant taxable value increase may occur when sold. OR 4818 PG 516 & 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 � 0100 SFR OOR4 8,400.00 SF $2.72 1.00 $22,848 � 0100 SFR OOR4 2,800.00 SF $0.35 1.00 $980 Additional Land Information Acres 0.26 Tax Area 30ZH FEMA Code � Residential Code ZHLHLP2 Buildinc� Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1945 Stories 1.0 Exterior Wall 1 Tile or Wood Frame Stucco Exterior Wall 2 Concrete Block Stucco Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall i Plastered Interior Wall 2 None Flooring i Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line Description � Sq. Feet Repl. Cost New 1 BAS 1,259 $54,301 2 _ r FOA 36 $388 3 �— FSA 204 � $3,062 4 FOP 92 � $992 5 — 1 FGR 480 $8,281 Extra Features (Card: 001 of 001) Line Description Year Units � Value 1 UDU-M 1989 � 1 � $402 � 2 DWA 2003 320 $337 l 3 PVCF S F_� 2003 68 $120 � 4 CLFENCE 2003 1,048 $813 Sales History Previous Owner DELGADO GLORIA Year Month Book/Page Type Amount 2007 04 � 7436 / 0547 WD $0 2001 � 12 4818 / 0516 WD $96,500 ��— � http://appraiser.pascogov.com/search/parcel.aspx?sec=11 &twn=26&rng=21 &sbb=0010&b... 7/ 12/2011 Pasco County Building Schematic Page 1 of 1 . ' Generalized Building Schematic 11-26-21-0010-18200-0060 Card: 001 zo za Fcit za za 16 13 17 6 F � 22 6 12 FSA 12 � 22 6 � 17 +� 17 ..� 25 � � BJ16 � � �� 19 1� , 4 4 14 F1� 6 12 Z z� 18 Pasco County Property Appraiser Page Layout Modified: 10/4/2010 3:18:46 PM The Local Time Is: 7/12{2011 9:06:05 AM http://appraiser.pascogov.com/search/traverse/traverse.aspx?parce1=212611001018200006... 7/12/2011 � Measure Sheet Customer: Gloria Delgado Address 5225 10th street Zephyrhills 33542 Phone 1-813-783-2126 Window Sizes TYPE Series Screen Obscure Grids Color DH,PW,2L 1/2, Yes or T,PD FuII,N/A Yes or No No 1 DinningRoom 513/4 49.375 DH 1800 1/2 N/A N/A White 2 DinningRoom 515/8 49.375 DH 1800 1/2 N/A N/A White 3 Office 51 3/4 49.375 DH 1800 1/2 N/A N/A White 4 Office 25 1/8 48.875 DH 1800 1/2 N/A N/A White S - 1/4 -0.125 6 - 1/4 -0.125 7 - 1/4 -0.125 $ - 1/4 -0.125 9 - 1/4 -0.125 10 - 1/4 -0.125 11 - 1/4 -0.125 12 -1/4 -0.125 13 - 1/4 -0.125 14 -1/4 -0.125 15 - 1/4 -0.125 16 - 1/4 -0.125 17 - 1/4 -0.125 18 -1/4 -0.125 19 -1/4 -0.125 20 - 1/4 -0.125 Materials that are needed Mulls 0 Screws 76 Snap Flange 3 Shims 80 Caulk 6 � �° ALLGOUD I�OME IMPROVEMENTS�` ,��. � � Co orate Office Tampa ' � � � r . ..;� 275 Commercial Drive 7250 Ulmerton Rd., Suit D Na L�i �- `� !�';�� -' �4� Fairfield. Ohio 45014 Largo, Florida 337'71� A L L G � O D 513 8ss-24�-290o i S � c. �� 1 S�T 4�� www.MyAllgoodI�ome.com Faac:513-247-2929 Fax:513-2,47-2929 � i Cincinnati Pittsburgh Tampa � "We'll Save Yon Alot Of Money" I(we) hereby contract with Allgood Home Improvemenu the following work. This contract, made this �� Day of !3'��1'� , 20 (� �L� Owner's Name �Z _F� �'---1 �� .-t.�d� t, Ph# Home �i �� Work Cell Address � � � _S f c� �"f¢ : �.-� E - Ci - �G ��=�� t �, -� - �� ty - State t C.. Zip�'�SY �. Job address. (If different than above) S� � Allgood Home Improvements will custom manufacture the following goods as described: # Location ype Model # c�a ci� coi« �ua Measurement �J. F Measurement u�_ �esc�;pfion / Note W H W H 1 ; �d ; �; �p.:: u'' ��t�� i ��, �( f ��'� �� t� s"lA '��s X .� L� �� Z x �1 �� . 2 �,.�i��r:.�[ ��' t�� @ ' �+::�' �� 1.: x �i� (�� (, x tt .: f t , �° � • 3 ��t �f 1i 1 �� f� ��` �� a�� ;� � �- X �i> �-�, a X � � : „ 4 � p / �.: (////�� t �/ �� 'l�. ( ��}L� �/�v j ! l' L....b:r �U � �! - ` .� ,7 X +'( �ij X �a i t � L� ! � 5 - r X X 6 x x 7 � x x 8 � � I x x 9 � x x 10 � � � X X� 11 — x x 12 � � x x 13 x x 14 , x x 15 , x x .� WARRANTY ON: ,[�WINDOWS ❑ ENTRY DOOR ❑STORM DOOR PRODUCT j��- � i Y�'� Y�ts �nxs LABOR c,t Y�� r'� c'` YEARS YFass v�►Rs WINDOW GLASS THERMAL SEALAND BREAKAGE I—t �''7 � EARS. ❑ SEE ATTACI�D AGREEIVIENT � G O��'` ❑Bay Window ❑Bow Windo�v ❑Garden wndo�v ❑Sliding Door pEndy Door ❑ Storm Door i`-" f� � L- TERMS AND CONDTTIONS APPLY TO ALL ATTACHED AGREEMENTS AND FUTURE ADDENDUMS. o�r�6�i7 ro NOTFS: ' r� p� �.1L� �'�' . � � r� r�.�u� TERMS �F SALE NOTICE The Buyer(s) agree(s) to pay Ailgood a sum as follows� ,. ANY HOLDER OF THIS CONSUMER CREDIT I HAVE READ (A) Cash Price of Work $ c,� r '�' �� CONTRACT IS SUBJECT TO ALL CLAIMS ANDAGRF.E wiTH /Q� n.........�..r„o.�t �e��o hv Clwncr �� AND DEFENSES WHICI-F THE DEBTOR THETERMS AND AC# '� =� ,�' '� "=� �' � STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICIIdSING BOARD SE(,� L11060900715 � - LICENSE NBR 06/09/2011 107069504 CBC1253637 The BUILDING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2012 HOWARD, DANIEL SCOTT ALLGOOD HOME IMPROVEMENTS 275 COMMERCIAL DRIVE FAIRFIELD OH 45014 RICK SCOTT KEN LAWSON • GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW PERMIT AGENT AUTHORIZATION FORM ALL INFORMATION IS TO BE TYPED OR LEGIBI,Y PRINTED I, Daniel Scott Howard Lic# CBC1253637, hereby authorize the following to act as my agent(s) in obtaining permits in the State of Florida. Name of Agent John J Sarna Driver's License No. 5650-470-58-420-0 State of Florida This letter supercedes any previously submitted letter { s ) of suthorization . This letter must contain only the people you want to pull permits in your name. To make changes to this letter, you must submit a new letter. This letter will delete and replace any previous authorization letter and the information contained thereon. This authorization �ill remain in effect until cancelled in �riting by the undersigned license holder. License Holder's Signature STATE OF N DY� C�� (�� I1 Qi COUNTY OF �� U�� v n Sworn to (or affirmed) a subscribed before me this �_, day of �l�.Y) �i , 20 � � by Daniel Scott Howard `` PG�ENSCEy'.,�� ;� ,�pR Y � _ <r O NOTARY PUBLIC =� Z �U Z � : Pu��' z: Signature of Notary �• ; J� . �' .qcKSON�;:�� Name of Notary Typed, Printed, or Stamped "" �' My Commission expire�: ��,(,�'1� ��, ?i�� Personally Known ✓ OR Produced Identification 1 NO�� OF CO�NCEMENT I IIIIiI IIII! IIIII IIIII IIIII iIIiI IIIII IIIII IIIII IIIII IIII IIII 2011106919 Rcpt:1377426 Rec: 10.00 Petmit No: DS : 0. 00 I T: 0. 00 TaxFolioNo. — _(jQ/ ,� _ � 07/12/11 L. Sagastume, Dpty Clerk THE UNDERSIGNED hereby gives norice that improvements w�li be made to certsin mai m 713.13 of the Florida Statutes, the foliowing information is provided in this NOTICE OF COMMENCEMEIVT. ��th Section 1 .Descriprion of property (JegQ[ �[�� . �� a) Street (job) Address: �' �' h � 2.General description of improvements: � e.c a/, � ' i "L �� t l�. e. t �' Iv da w W• s .. 3 .Ownerinformation p�� ' � a) Name and address: ^�'� a� 10 � 4 Y'a r L�^ � b) Name and address of fee s�mple Mlehol fd� , ther than ow�er) �� LL � ��' 3� �'/ Z� c) Interest in pr�p�- - �n��or Information ' a)Nameandaddress: �qL � �d �/'h� ��Sl'1 r�L .�,�.�� RvAd. S�' %�2.t� �� b) Telephone No.: �{'� � y � �� Fax No. (Opt,) /— �^� � S.Surety Information ��y'�_ ��7 q � a) Name and address_ b) Amount of Bond: c) Telephone No.: 6.Lender Fax No_(Opt�RU�q S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER a) Name and address: 07 OR BKl �5�2 P � 0 2 , � 29 7. Identity of person witiun the State of Florida designated by owner Phone No. a) Name and address: upon whom notices or other documents may be served: b) Telephone No.: Fax No. (Opt) 8.In addition to himse(f awn� designates the followin 713.13(lxb), Florida Statutes: g Person to receive a copy ofthe Lienor's Notice as provided in Section a) Name and address: b) Telephone No.: F � No ( � t ) 9.Expiration date of Notice of Commencement (the expiratioa date is one year from the date of recording anless a different date is specified): �'VARMNG TO OWNER: ANy pqyME� �E BY THE pWNER qFTEg THE E�p�TION OF THE NOTICE OF COMMENCEMENT ARE CONSmERED IlVIPROPER PAYMEIVTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESIJI,T IN YOUR PAYING TWICE FpR IlyIpROyEME1V� TO YOUR PROPERTY. A NOTICE OF COIVIl�LEIVCEMENT MUST BE RECORDED AND POSTED ON THE JOB STTE BEFORE THE FIRST INSPECTION IF YpiT INTEND TO OBTAIN F[NANCiNG, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMIVIENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA re eu�e�r.��••�ynR.esc�r.e�..u��. a � ee �� us .. .� courrrYOFr��g ,�qN� �,. �,UINN�S3 � 10. � 3 � '� N �� • ptr._ _ Si ature of Owr�er or lPartnor er 0.S< < �,�jtY T4 Gomm# DD0691575 ; owner°s q,a1, p�;��p�� ; _' ��, Expires 7/2/2011 �O 2 � �' � �e L � �. N e G/�1 c� O , �a„ Florida Notary Assn.. Inc � •� i=R"� ... w e.11F � 4 ��I\/��\■ � T'he foregoing instrument was aclrnowledged before me this � day of �� 20 �� b Y t?� t'` � as ' (type of authority, e.g, officer, trastee, attomey in fact) for �--1 r�U� �' �p ��,;, (name of party on alf hom instrument was ea�uted). Personally Known OR Produced Identification � Notary Signature � Type of Identification Produced ��. 1�. ,- (� — °j'�- Name (print) ,,� �� Verification pursuant to Section 92.525, Florida Statutes. U OR p�nalfies of e' the facts stated in it are true to the best of my know•ledge and belief p��'' I declare t}�at I have read the foregoing and that For�se�oc.nsazoto Signahue ofNatural Person Sig�ing (in line # 10.) Above r lonqa tsu�lding t;ode Unlme Page 1 of 3 � ; ��;. � ; � :. ;� � �t_. - �:. � : �.�. a ' b � r � �+�`�� ;. �.. � ;� r , ,.�:T�'� ° �I .. . �:r$'� �a ��y BG/S Nome Log tn User Reqis[ratbn Hot Topi < SuEmrt Surc�arge Stats 8 Facts Publicatrons FBC SWR BCIS Stte Map �nks Searth � � �� Product Approval • , �� USER: Gublit User i '� oroduct Aoo val n1e_ > ProducT �r Fool�ca[ on 5 r h> 4 I�ca[ Lis[ > AOpllq(bn {I = t: �� FL # FL5167-R7 "� '�'' "''"� Applicatlon Type Revision . �ine- . �x•µ=� ��-%-i CodeVerslon 2007 ,?' ..'§ �-a --A� APPlica[IOnStatus APProved �-�a �»'<.w•„..�sa�" `APProved DCA. Approvals by DCA shall be reviewed and �,�`; ,;", _'„ s'�;"'�'�;;,� retlfied by e POC and/or the Commissfon if necessary Comments Archived Product Manufac[urer Simonton Windows Address/Phone/Emall 1 Cochrane Ave Pennsboro, WV 26415 (800)746-6687 Ext2329 tiffany_d aviesC2DSi monton.com Autharized Signature Tiffany Davies tiffany_davies�si monton. com Technical RepresenWtive Tiffany Davfes ALL WORK SHALL COMPLY WITH ALL Address/Phone/Email ro a�x l�ae pItEVAILING CODES, FLORIDA BUILDING Parkersburge WV 2610�LODE NATIONAL ELECTRIC CODE AND �eoo> sai-9iis eM ��F ZEPHYRH[I.LS ORDMANCES tiffany_davles@sim ont Quality Assurance Representative AAMA Address/Phone/Email 1827 Walden OfRce Square Suite 550 Schaumburg, IL 60173 (847) 303-5664 ° �'U��W DATE � webmaster�aamanet.ory �;��'�, �� zEAHy�y�LLS Cate9orY W�ndows �'�-ANS ��XAMINER 1`7 Subcategory Double Hung '°�'�--�—.�,.._ Compliance Method CeRificabon Mark or Listing CertiFlcatlon Agency American Architec[ural Manufacturers Association Validated By American Architectural Manufacturers Assxla[ion Referenced Standard and Year (of Standard) SWndard Year AAMA 450 2006 AAMA/WDMA/CSA 101/I.5.2 A440 2005 Equivalence of Product Standards Certifled By http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtZM1u87qOKm... 7/ 12/2011 h lorida �3uilding Code Online Page 2 of 3 Product Approval Method Method 1 Option A Date Submitted 03/04/2011 Date Validated 03/25/2011 Da[e Pending FBC Approval Date Approved 04/08/2011 �Summary of Products Go [o Page � � Q paye z� 2 d�� FL X Modal, Number or Name Dascrl ion I 5167.21 43-40 Refiectlons 5300, Reflectlons 5050, Prism Ultra Gold,Prism Bronze, AmcreR Grand Estates Plus, Amcraft �! rand Estates, Impresslons 9400, TMD 6100, Vinyl DH i Limits of Use Certiticatlon Ayency CertiMCate � Approved for use in HVMZ: No FL5167 R7 C CAC 43-40 DH 36x72 R30 odf Approved for use outside HVH2: Yes Quallty Assurance Contract Expintlon Date ; Impact Reslstant: No 04/16/2013 � Deslgn Pressure: +30/-30 Installadon Instructions � Other: 36x72 FL5167 R7 II IN0432 43-40 DH 2X odf Verlfled By• Amerlcan Architectural Manufac[urers � ssxiatlon Created by Independent Third Party• Evaluadon RepoKs Created b inde endent Third Party• � 5167.22 43-40 Reflections 5300, Reflectlons 5050, Prism Ultra Gold, Prism Bronze, Impresslons 9400, Amcraft Grand Estates PIuS, Amcraft Grand Esta[es, TND 6100,VIny1 DH ! Llmits of Use CertMwdon Ayancy Certiflwte . Approved for use fn MVHZ: No FL5167 R7 C CAC 43-40 DH 44x63 R35 odf ', Approved for use outslda MVHZ: Yes FL5167 R7 C CAC 43-40 DH 48x80 R35 odf �� ', Impact Rasistant: No FL5167 R7 C CAC 43-40 DH 52x71 R35 �df i ' Desipn Prassure: +35/-35 Qualky Assurance Contrad Expiretion DMe , Otber. 52x71, 48x80, 44x63 03/12/2013 I Indallallon Instrudions FL5167 R7 II IN0432 43-40 DH 2X odf �� Verifled By� American Archltec[u21 Manufac[urers Association � Created by Independent Third Party• Eveluadon Reports Created b Inde ndentThird Pa � 5167.23 43-40 Reflectlons 5300, Reflettions 5050, Vrism Ultra i Go1d,Prlsm Bronze, Amcraft G2nd Estates Plus, AmcraR � G2nd Estates, Impresslons 9400, THD 6100, Vinyl DH � Limib of Use Certiflcatlon Ayency CertMCate ' Approved for use In HVHI: No PL5167 R7 C CAC 43-40 DH 36x63 R45 odf Approved for use ou4ide HVMZ: Yes Quality Assuraoce Contract Explration Date Impact Reaistant: No 04/16/2013 Desiyn Prassure: +45/-45 Installadon Instrudions �� Other: 36x63 FL5167 R7 II IN0432 43-40 DH 2X odf Verifled By� American Archltectural Manufacturers Assoc�anon � Created by Indepen0ent Third Party� Evaluation Reports Created b Inde ndent Third Party: '; i 5167.24 43-40 ReTlectlons 5300, ReFlectlons 5050, Prism Ultre ' Go1d,Prism Bronze, Amcraft Grand Estates Plus, Amcraft � G2nd Es[ates, Im resslons 9400, THD 6100, Vinyl DH � �� Limits ot Use CertNleatlon Agency Certlflcate i , Approved for ufe in HVH2: NO F�5167 R7 C CAC 43-40 DH 32z62 R50 odf '� Approved (or use outside HVMZ: Yes FL5167 R7 C CAC 43-40 DH 36x74 R50 odf i , Impact Resistant: No Quality Aswrance Contract Expiratlon Date ' Design Pressure: +50/-50 03/12/2013 �� Otber: 32x62, 36x74, Installation Instrudions FL5167 R7 II IN0432 43-40 DH 2X otlf Verifled By: American Architec[ural Manufacturers AssociaGOn i Created by Independent Third Party: Evaluatlon Reports http://www. floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtZMlu87qOKm... 7/ 12/2011 Florida Building Code Online Page 3 of 3 Crea[ed by Inde endent Third Pa 5167.25 75-75 9800, Generatlons, Amc2ft Grend Esta[es Premium Plus, ', Polar Wa11,5500, Prism Platinum, 9300, SB SOOVL, THD 6500, Vin I DH Llmits of Use Certifleation Agancy CertlBcate Approved for use in HVH2: No FL5167 R7 C CAC 75-75 DH 52x71 R35 odf Approved for use oubide HVHZ: Yes Quality Assurance Contrad Expiratlon Date Impact Resiatant: No 07/31/2013 � Design Pressure: +35/-35 Installadon Instructtons ' Other: 52x71 FL5167 R7 II IN0113 07J5 75-75 DH 2X �df Verified By• American Architec[ural Manufadurers wciatlon Created by Independent Third Party� Evaluadon Reports Created b Inde endent Third Pa 5167.26 75-75 9800, Generatlons, Amcreft Grand Estates Premium PIus,Polar Wa11,5500, Prism Platinum, 9300, SB 100VL, � D 6500, Vin I DH i , Limib ot Use Cerdflcation Ayency Certiflute �� Approved for use in HVH2: No FL5167 R7 C CP,C 75-75 DH 36x63 LC50 odf �I Approved for use outside HVHZ: Yes FL5167 R7 C CAC 75-75 DH 37x74 HCL50 � Impaet Resistant: No 1152013.�df Design Pressure: +50/-50 Quality Assurance Contract Expiratlon Date Other: 36x74, 36x63 09/17/2013 Installadon Instrudlons PL5167 R7 II IN0113 07-75 75-75 DH 2X.odf VeAFled By• American Archi[ectural Manufac[urers AssociaUon Created by Independen[ Third Party� Evaluadon Reports Created b Inde endent Third Pa � 5167.27 75-75 9800, Generatlons, Amcreft Grand Estates Premfum PIUS,POIar Wa11,5500, Prism Platinum, 9300, SB IOOVL, HD 6500, Vin I DH Llmits ot Use Certlflcation Ayency Certiflwte ��, Approvld for uf! In XVHZ: No FL5167 R7 C CAC 75-75 DH 36x72 R55 �df ! Approved for use outside liVX2: Yes Quality Assurance Contrad Explration Date 'i Impact Reslsbnt: No 07/17/2013 � Dasign Pressuro: +55/-55 Installatlon Instructfons �' Other: 36x72 FL5167 R7 II IN0113 07-75 75-�5 DH 2X.odt VeAFled By• American Architec[urai Manufacturers ASSOCIatlon Created by Independent Trilyd Party• Evaluatlon Reports Created b Independent Third Party: Go to Page � � O Page 2/ 2 0'� r eack I Next MyslOwMt olComis�m/tr A/I 4a Plorld� BWldlnD CoO� Ontl� CoWS sM Sbnd�N� 2555 Shumar0 Qak BoWevaN TalhMSSee, Fbrlds 32399-2100 (HSO)187-1824, fdx (850) 410-8436 � 2000-2010 The SWte M Floritla. NI nqf� reurvM. Pnvacv Stnfemm[ � Goovrioht SG[ement � A UEdib SG[emeM �%ua-in SoRware � Cus[omer Servke Survev � ContaR Us ProOuct APVroval Acppb: � � e `�� .cuntv.�: ii v.vis:w , � r.u��.a http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtZMlu87qOKm... 7/ 12/2011 D � H' MAX. 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'.. p �� O �C m s � � rne � 6� o m z g 0 Q> z O � p -� Q p,� A Z � �O J � S o{3 g'� o � n o �n � "� (na fO � � 3' ° _° Dm � � � 4� N wz ^ c n° � o � m � Q a v �o � o l� � � o' m m -° � S�° � ° � '• r�n � � �^ � � D D o 1G o i ' � o �' �� ?� � c o b i u ^ o � n �" '� �y, S ro. _ � i o o- N o g N o S w j � $ r7 ��. �� ' " (Validator/OperationsAdministrator) CERTIFICATION PROGRAM AUTHORIZATION FOR PRODUCT CERTIFICATION Simonton Nfindows 1 Ccehrane Ave. Pen�boro, WV Z6415 Attn: Paficia Robison The product described below is hereby approved for listing in the next issue of the AAMA Certified Products Directory The approval is based on suocessful compleHon of tests, and the reporting to the Administrator of the resuRs of tests, accompanied by related drawings, by an AAMA Accredited Laboratory 1 The listing below will be added to the ne�d published AAMA Certified Produds Directory SPECIFICATION AAIMAIWDMA/CSA 101II.S.2lA440-05 RECORD OF PRODUCT TESTED H-R35-1321x1803 (Sac71) COMPANY AND PLANT LOCATION �� SERIES MODEL 8 PRODUCT MqX�MUM SIZE TESTED NO. DESCRIPTION Simonton Windows - Pennsboro, WV SIM-1 43�0 DH FRAME SASH Simonton Wlndows - Paris, IL SIM-2 (PVCxX/XNOG)(INS GL) 1321 mm x 1803 mm 1245 mm x 892 mm Simonton YVindaMS - McAlester, OK SIM-4 (MODIFxREINF)(TILT)�ASTM) (4'4" x 5'11") (4'1" x 2'11") 2. This Cer6fiption will e�ire March 12, 2013 and requires validation undl then by continued listing in the curreM AAMA Certified Produds Directory 3. Product Tested and Reported by� Architecturel Testlng, Inc. Report No. 89925.01501�7 Date of Report: Apri121, 2009 Validated tor Certiflcafion �� ed Laboratories, Inc. Authorized for CeRiflcatlon Date: April 23, 2009 �'� ' Cc: AAMA �' ��,,�,,� '�" / , JGS Ameri�chifectural Nlan�dure Association ACP-04 (Rev 8/U6)