HomeMy WebLinkAbout11-12297 CITY OF ZEPHYRHILLS --''
5335 - 8TH STREET
�si3��so-oo20 � 22g7
BUILDING PERMIT
Permit Number: 12297 Address: 39232 8TH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0310-00000-0980
Improv. Cost: 2,773.61
Date Issued: 9/01/2011 Name: KREMPLEWSKI, MAE
Total Fees: 75.00 Address: 39232 8TH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/01/2011 Phone: (813)782-3433
Work Desc: REPLACE WINDOW & SLIDER
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FOOTER BOND DUCTS INSULATED S 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 foilowing 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.
"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 commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Randall Mullins Construction, Inc.
5733 Myerlake cir Clearwater, Fl 33760
Office 727-239-0033 Fax 727-239-7102
License #CBC1252808
City of Zephyrhiils
5335 8 Street
Zephyrhills FI 33542
December_2,.2011
'RE: Permit #12297 �
39232 8 Ave - -
To Whom it May Concern:
Please cancel the above referenced permit. We have not, and will not be
doing any work at the residence.
If you have any questions please feel free to contact me.
Sincerely,
p � � �
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R ndall Mullins
Contractor
,
Sworn to and subscribed before me thi �� C �
� day of C 2011
by Randall Mullins who is personall ~ own to me. �
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`' Notary P
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V:rpirv� ��rn;pl�Y
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �'tUtQ �/ d' �� , ��i S � S�^�,ry�
Date Received: �'j � � -- � `
Site: .�'`� Z 3 Z �}' � ��
Permit TYPe� Rt�� �4C-P G�i����ll S'iGt < iJ r�/L
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Approved w/no comments: ❑ Approved w/the below comments: Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
✓�� �
Kal 'n it – Plans Examiner Date Contract d/or Homeowner
(Required when comments are present)
09/01/2011 15:43 FAX 7275�98835 DURAM,,DE � 001
L�USINESS TAX RECEIPT
City o£ Largo
2010 -• 203.1 FI� # 2U11004506
D�'� DURFMAOF fn1YNDC �nTS & DQU�iS INC
�usiness Name 6 Maila.z�g Address Physical Ad�3ress, Qvm :r, Phone
L�UFi�1Nl.�.L7E WINDQWS & D�n�s iNC
5 7 3 3 19XERaAY.;E C k
5733 MYEFLAI<F CIR C�EARW;?TER, E''L 3'�"-60
cr �"L 33760-2809
727-23a-0033
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svrr�nn�� CONTRACTOR � "
C�.assificati�n NA=CS No. 4r� P.mount
Nnnres±dential Construction, Nec 1592 1,`��J ' 5150.00
PCCLB:REG 9/30/?O11S7qTE:C6C2252808 9/32/2012
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�ngagir�g in any 2�usiness occupation is subject to 2oning 'restrict.:ons, The collcction of
-.his Susiness Ta::/Aciministrative Serviee Charge does not czuthor�.z�: th; haldEr Co operate
�� v� olal;ion of ��r�y C�ty ordinance, law or regulation. Eac�1 hold��r i� solely responsit le
Ecar notifying thE: Communi�y Developrnent Department, ,in wtiting, o:: an; change in status,
to:.•atxo� ox ownea shio. Renewal notices wi11 b� s�nt to the last :•cnow i address ar.d owner
)I record. I ssuar.ce i5 'in no way intEnded as a:� appxova.l or disap±�roti �'1 or thr� hclders
:ompetence or sk:ll.
Chis Business Ta;. Receipt expires 30 September 2Q11. Penaiti.es arE; pr�•sidecl by F.S. 20° i�
1ot renewed befo�•e 1 Octc,ber 2011 Additional penaJ.ite� of �p to :?250 may apply if not
:�et?�wed ksy 31 Dec:eini�e= 2011.
THIS IS NOT A BILL NO REE'�TNpS
POST IN A CONSpICU0U5 PI�P.CE
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-- -• -- .�.- - - - -- - - - . __ _ „_ _„ C:DPR302.6.. RFT
��s-7so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Re�eived �� � phone Contact for Permitting --
y-rti
Owner's Name /��/�'� Owner Phone Number O�✓ ���Z" J�
Owner's Address ✓" 1�3� �. ' Owner Phone Number � �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS Z � � LOT # �
SUBDIVISION PARCEL � a���� r �3�Q" �`��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NSWA�ONSTR e REPAIR � SIGN 0 MOVE C] DEMOLISH
PROPOSED USE � SFR 0 COMM d OTHER / 0
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL O OTHER
DESCRIPTION OF WORK �/�loYi Sl�l I/JCf � S�� �
BUILD G SIZE C SGl FOOTAGE HEIGHT
BUILDING $ ��� , � VALUATION OF TOTAL CONSTRUCTION
� ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0
� PLUMBING $ � �
0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��
� GAS 0 ROOFING 0 SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO
BUILDE� ��S ' COMPAN � 11` r • U� �'
SIGNATUR REGISTERED Y/ N FEE CURRENT Y/ N
AddreO�s- 3 ��( 4�G • '�'Zi �j License # (i�J�i �2 S 2 Do
O�
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 REGtSTERED Y/ N FEE CURRENT Y/ N
Address C License #
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �
RESID�NTIAL 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, Stormwaler 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 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 required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AIC upgrades over $5000)
" Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER TNE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: unt �e ula ons. The undersign d a esponsibilty for compl ance t w'th arry
which may be more restrictive than Co y 9
applicabte deed restrictions.
UNLICENSED CONTRA`C�TORheAN1D� ONeq Aea�to b e E en�sed th s ate and local If
contractors to undertake , Y
contractor is not licensed a ef o contactor are uncerta n as to what I ce sing r qu� emen may appiy
under state law. If the own
intended work, they are advised � st h l �ed e a contractor t or B co l n�t ag torsp he is advised to I have he c nt actor(s) s ign
8009. Furthermore, if the o
portions of the "contract anBndication that he is n p�ope ly I censed s not enttled t y permitting e pr v I gesgn Pasco
contractor, that may be
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
that Transportation Impact Fees ans n of ez sting build ngs, as speciPed in�Pasco County O dina ce number 89 07 and
use in existing buildings, or exp
that such fees, as may be due,
will be identified at the time o
90-07, as amended. The undersigned also understands,
permitting. Ik 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, 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 F�orida 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 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 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 En Protect on�Cypress Bayheads SW tlagd A eas and Environmentally Sensitive
- Department of
Lands, WaterlWastewater Treatment. ress Ba heads, Wetland Areas, Altering
- Sou t hwes t F l o r i d a Water Management District-Wells, Cyp Y
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic �Fanks.
- US Envi�onmental 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 �� to adve 5ely affect adjacent propertiesf I the Il owner may cit d for v�olat ng
properties. If use of fill is foun
the conditions of the building permit issued under ihe attached permit application, for lots less than one (
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, � P tio I derstand that a�separat permit may be eq g ed for I electr c I�work
this affidavit prior to commencing constru
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 �o�es e nor sh II is ua a pe miaprevent the Iding O ceal from ther
set aside any provisions of the technical c ,
requiring a correction of errors in plans, constru o ct �menced within six months of perm t Pssua wo authorized by
unless t he wor k a u t h o r i z e d b y s u c h p e r m i t i s c
the permit is suspended or abandoned for �Pn r��ff.°c al fo6a per no to h xc ed t n nety r (90) days and will demo�nstrate
may be requested, in writing, from the Buil g
the ob is considered abandone
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, j
WARNING TO OWNER: YOUR FAILURE TO R PROPERTY TIF YOU INTEND OBTA NMANANC NG, CONSU T
PAYING TWICE FOR IMPROVEMENTS TO YOU
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU OTIC OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
ONTRACTOR
OWNER OR AGENT sc bed and swo to (or affirm efore me th
Subscrlbed and sworn to (or affirmed) before me this bY
by o are per o o as/have produced
Who is%a�e personally known to me or has/have produced as identification.
as Identlfication. / ��
/
,.----�.�-- " �'
- Notary Public
Notary Public
p,i�c Z/90 sa�+dx3 . o,�� /
co £zb�����'�7tf� .
Commission No. zOieZ�o� piwe��A � �,d`
n ti�
Name of Notary typed, printed or stamped
f oa
d
_.�_""_'_._..—_'___ _'___._"_'__—�
,, ___"_'._'_"'_.—_.____"
Al�lt . v' 'v' l� r �✓ �
STATE OF ELORIDA
DEPARTMENT OF BUSINESS AIVD PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LIC�NSIN� BOARD
$EQ#L1006070060'
•• - LICENSE NBR
06/07/2010�090466622 CBC1252808
The BUILDING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2012
MULLINS, RANDALL L
RANDALL MULLINS CONSTRUCT20N INC
9351 DELRAY DR
NEW PORT RICHEY FL 34654
CHARL�E CRIST CHARLIE LIEM
GOVFRNOR INTERIM SECRETARY
__ .____,.,___,� D ISPLA Y AS REC�UIRED BY LAW
s�H l IIIIIIIIIIIIIIIIIIIIiINlllllilllllllllllllllllllliliillllll \ -
. . �- 2011128799 ��
. , -
. � NnTICE OF CONriVIEN�CE\�IENT -- - - - -- - - - - ,
' � Rept:1384005 Rse: 10.00
::��' DS : 0. 00 IT : 0. 00
�"�' pec�utNa, 08/18/11 C. Cook Dpf.y Clerk
T3JC FO�10 NO. � ✓
THE Wi DERSIG�TED hereby gives notice that improvements•wiIl be made to certain rea] property, and in accordancz with Section
i 13 13 of the Florida Statutes, the follotving inforcnation is pro�•ided in this NOTICE OF COl-I1�IE10E:l�iE\Z'
1 Descnption ofproperty {le�al descri rion Q� ��1 Y�S 3'�
a) StreeC (job) Address: 2 '"' �
2.General descnptyan of im ovementis•
, �ze: �%��D
3.Owner Information l/� • :�,) � �`�'�'1 �. , 7��2,�►��� �L 33�2"le
a) Name and address� _y�«d�
b) Name and address of fee simp(e t�tl holder {ir other than otk�ner) I
c) Interest'in property ��'�
�.Contractor Information (�� `� ( 33�.(0
a) Name and address: �� �� � `�'� ��'`�""
b) Tcicphone No.. ._ ' `�r Fa.Y No. (Orc.) "72 — —
S.Surety InformatiQn
a) Name and address: _ -- - coMpTRO��ER —
bj Amount of Bond: 1 of l
pRUI.Q 5 0'NEIL,Ph D PASCO GLERK
c) Telephone No_: Fa "� 08/18/ 1 ' 4 a �� 91 -
6.Lender OR gK ����
a) Name and address: �
Phone No.
7. Identity of person within the State of Flonda designa�ed by owner upon whom notices or other documents may be served:
a) Name and address:
b) Te3ephone No.: ' Fax �Io. (Opt.)
8.In addition to himself, owner des�gnates the follo�ving person to receive a copy of the Lienor's Notice as pro�zded in Section
I 713 13(1)(b), Florida Statutes: � ,
a) Name and address:
b) Telephone No._ :- ' Fax No (Qpt.)
9.E:cpiration date of Notice of Cornmencement (the espiration date is one year from the date oF recording unless a differeni date
is specified): '
I
�ti'ARVING TO O�VNER: ANY PAYMENTS b1ADE BY THE OVVNER AFTER THE �YPIRATIOi�' OF TFIE NOTICE OF
COhI��IE�iCENIENT ARE CONSIDER�D IlVIPR�PER PAY'!-IENTS UNDER CHAPTER 713, PA.RT L SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT I� YOL'R PAYING TWICE FOR Il�i IPR�VEl�IE1'TS TO YOUR PROPERTY.
A\ OTICE OF CONIi�IENCEMENT A'IUST BE RECORD
ED AND POSTED ON TIiE JOB STTE�SEFORE THE FIRST
L•� SPECTIO`i. IF YOU INTEND TO OBTAL�i FIN.��i C I N G, C O N S U L T Y O U R L E N D E R O R � Y A T T O R N E Y B E F O R E
CO?�IME�iCING WORK OR RECORDING YOUR NOTICE OP COiI�lNIENCEI�iENT.
�
ST:1TE OF FLORtDA �I��C��i /� ) NyIO/YJ?/�
Signam e o Ownar or �vner's A thorize fsicerlDiracce:rParcner/lvlanager
�� Q.. � /� � C �..� S � �
Prin[ ; iacne _
� The foregoing instrument was aclmowledged beforz me this � day of 20�, b}'
I Gr _ �
� (type of authorit�-, e.g. o�cer, trustee,
attorney in fact) for � Y ` - ` (name of party on alf of ti��hom instrumen as ese t� dl.
r
Personally Known OR Produccd Identification V Notary Si�1
' { j�— s�c7 r�� v ti►T` P �'B Not Pub�iq State ot F1
Ty�e of Identification Produced 1� Name (print) .'
�s�=---�:� �:..
C 4 4�.t.
?r`="`"% L �' -� ;,� � '_� A K `My Cammiysi0� DD888023
. .�•��.:�_:.: v
ti'enficat�on pursuant to Section 92.525, Florida Stacutes. Under penalties of p�t� �ecl�i`@'������ the for oing and that
the facts statcd in it are true to the best of my ]mowledge and b ief.
I FORJISVOC.rvad:Oa7
Si a re of amra] Person igni (in line 10.) Above
STAT� C}F FL.Oh�IDA, CQUNTY C!F PASCO
THIS IS TO CERTIFY TNAi THE FOREGOI�;G IS A
TRUE AND CC�4R�CT GOPY OF THE DOCUMENT
ON F�LE OR C�F ?tJ6�IC RECORD !N THIS OFFICE
,�JITNE MY HAND �1 ' OFFlCIAL SEAL THfS �
�� DNY GF � 2 t'� 1
PAUL S O NEIL, CLER�C & CC)MPTROLLEf?
i
�v �
-ti.�� ___ DEPUTy CLERK
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.
; ,Randall Mulli�s Construc#io�n Inc.
. �
State Certi�ed Building Contrac#or License Number: C8C12528q8
935�1 Delray Drive
New Port Richey, Ft 34654
(727) 848-8142
A subsidiary of :
[?uramade Wfndows 8 Do�rs, Inc.
CONT1tAC,1' �
PURCIIASER NAME:� > ��
Addreas � �' 1 /r? IC (�.L�j I! �.� J �� (�i 1 �J � ��2 ���J '� �� 1 � ! � �
�,ri
� 9 2 3 �z � k�. �---_
�-� �--� -�. Iiu s�.�� Z,
3ales Rep: .� 3 S% Z--
� � �- ��,, �,� ,�.� Cell Phone:
<3or,eral L�sc. of Worlc.�l�I6`T'/��-t (, �> C'•s� r'c. ° l s� �� Sc r'._c �. a �._ � ... ���
� �� � � X t�.' <l`' S I �1 J / „>�� �/.-� �7-- �,.r �
- which is ftuthet desctibed itt the detaltr.d sNeciTication sheet 4ttaohed het+eto as Sxhlblt "A' attd 1nlYialod by tha pe�t.�os.
T2re above wocic will be completecl in accordencc wlth t6o t�rr,s, conditions and speci8cazions hm�sin, with
following paymeat achedule: PaY�n�t to be mad� eacordence w�� �
1. PRICE S oZ ��1 3. �- 1
2. TAX s
3. TOTAL $ "7 - 7 3 - t- �
4. DO W N PAYMENT $--� - �.��
5. BALANCE $ c�S _ UP�N COMPLETION OF WORK
PAYMEI�IT TO BE MADE I;Y CHECK PA,XABLE TO "DURAMADE WINDOWS & DOORS. INC:' WHICH CHECK IS
DUE AND PAYABLE AT DURAMADE'S OFF'ICE AT THE ADDRESS SET FORTH ABOVE.
ALL APPLICABLE DISCOUNTS HAVE BEE1V AppLIED.
BiiV1CA•a AtCti'P'M ANCr•
PRO�VII]II �W�N Nd'�i'I�'C N T�Hi 96 L[.LYt�ilY Y l�� , B�80�� V 7YI.T�G� OR SY Q MAI 6 L A ' iIS N TIC�E M� �V YGT1C'T�A T YOU D�O NOT
V GOODA9GOR� ��u�CA�C�L qp p� �T��M.►�Y�]��A[.t. OY �'�J� �C 8H D(�
T1i18
PAY!►fIJV"f.
lYOTL: R�TAIL SAI.�3 TAX MUS'!' H$ C�IARGED UNLE39 THE CU3TOMER SIGNB 7'H� FOLLp�yWG; I eertll�
t6at I own the ��ad oo w�hicb th� atructure I am troprovin� fs peren�nosqy �M=d, gurttiarmore, l Aava t11ed � d��� wiW tLa
Property Appralser requestlna the atructure be sas�V �u realty aad (t bearf tu �Rp^ deaaL
31Qo�ture: �
TA O Y NO C REG IN CONSTRUG 1'ION ACCpRDING TO
�� �FLORIDA,, STATi7TES),
THOSE WII� 'VypgK p�I yOUR PROPER OR PROVmE MATERIA�,B A1�D SERVICE3 AND
ARE NOT PAID iN P'IT�,L gpVE �j gIG�-YT TO EN�+'ORCE THEIR CLAIM FOR PAYMENT
AGAINST YOUR PROPERTY_ TfIIS CI..A,tM IS KNOyVN AS A CONSTRUCI'ION LIEN. IF YpUR
CONZ'RACTOR OR A SUBCONTRACTOR FAII,3 TO PAY SUBCpNTRAL'1'p�t5� S�J�
SUBCONTRpCI'Og3 OR MATERIAI, sIJ�PI,I�gs 7 HE PEOPLE WI30 pR1C OWED MONEY
MAY LOOK TO YbUR pRpPERTY FOR PAYII�ENT, EV�N IF YOU HAVE pq�p yp�g
CONTR,�CTpg �N , �'�JLL. LF YOU FAIL TO PA`Y 'S,tOUR CONTRqCTpR, yOUR CONTRACTpR
MA►Y ALS�? HA'VE A LIEN ON YOUR PROPERTY_ THIS 1�ZEA1�iS EF A LIF,N' LS F'II,,ED YOUR
PROPERT"Y COiJI,D BE SOLD AGAINST YOUR WII,L TO PAY FOR I,AI30 MAT�R�A� OR
OTHER SERVICES THAT Y�UR CONTRpCTOR OR A SUBCpNT'ItqCI'pg �y gAyE P.AI�.ED
TO PAY. 't'O PROTEGT YOURSELF YOU 3HOULD STIPI.TI.ATE IN '1'�1Y3 Cp1VTgACj' Z
BEFO1tE pNy �AYMENT IS MADCi ,�S(OUR CONTRACT'OR �S REQ UIRED TO PROVIDE YOU
WITH A WR.ITTEN RELEASE OF LIEN FROM AriY PERSpN (3R COMYANY THAT HAS
PROVIDED TQ YOU A�NOTIC�i 1'p OVyNER"_ FLQRIDA'S CONSTRUG'�'�ON LIEN LAVy I3
COMFLE� AND IT I�g g,ECpMM��� T YOU CONSULT AN t�,T`Z'pl��, y,
1NCLL7p a THE TSRM CONDIT ON�S CONTA7NH� N E�R�SVBIiS$ IDE�AND I�AaREE TO ALL�OF�'TF�
PROVISION3, 'i�RM.S p�]� �pNDITION3 THEREpp,
p Duramadt Windowe Bc n T�oors Inc.
`F��`-__-G_���Q ��..i�-s� � BY �I,Y�� � !',4-��
c aser A5:
r
; �" PI\ELLAS COUNTY CONSTRUCTION --~—
j LICENSING BOARD
� THIS CERTIF[ES THAT Randall L Mullins
j DBA Randal] Mullins Construction Inc
i
I
' STATE CERT # I-CBC1252808
HAS F11.ED HIS/NER LICENSE AND PROOF OF REQUIRh'D
LIA3ILf'TY AND WpRKERS' CpMPENSA7'fON
INS�RANCE WI�'H 7HIS BOAkD
IN GQOi) STANpING liNTIL September 30, 2U11
llATE UF ISSU.ANCE 06/21/201U
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____._ _____.. •' Produd Aooroval Menu > Produc[ or Aoolication Search > Aoolication List > Appllcstion Detall `\\� ��
.�`�. "�, � • FL # FL14262 t �
Application Type ,�� New `
- Code Version 2007 r
' 'r� ,, Application Status � Approved
( *Approved by DCA. Approvals by DCA shall be reviewed and ratifie
������� the POC and/or the Commission if necessary.
Comments
Archived
\
Product Manufacturer � Gorell Enterprises Inc.
Address/Phone/Email \ 1380 Wayne Ave.
Indiana, PA 15701 .QL� �
�� 46�-1839 p Dr �� S�A
rgibson@gorell.com l�Vf�jLrn,C LL �'�M
��DE, NqT10N� F L�RID ` � 11NA �L
Authorized Signature Richard Gibson
rgibson@gorell.com � YOF��Ep ��SC je �, ��
TechNcal Representative 1 �� 7A � Y CES vU
Address/Phone/Email
Quality Assurance Representative �" p'�- .
Address/Phone/Email -�� F , � `� s y
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Category Windows �°,,(�� � --�,�-��, e ` �-,t` f
Subcategory Single Hung k � �-,�� � ���'ti���� �� ` �/
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Compliance Method Certification Mark or Listing �--� ���
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Associatlon
Referenced Standard and Year (of Standard) Standard 1 e
AAMA/WDMA/CSA 101/I.S.2/A440 201
Equivalence of Product Standards
Certifled By
Product Approval Method Method 1 Option A
Date Submitted 11/17/2010
Date Validated 12/22/2010
Date Pending FBC Approval
Date Approved 12/26/2010
http://www. floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu... 3/ 17/2011
riuiiva Duiiuiii� wuc viliulC rd�C L �1 �
Summary of Products
FL # Model Number or Name Descri tion
14262.1 G5004 sin le hun DP50 sin le hun 46" x 90"
Limits of Use Certification Agency Certificate
Approved for use in HVH2: No FL14262 RO C CAC G5004 DP50 AAMA APC 46 x 90.0
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 08/31/2014
Design Pressure: +50/-50 Installation Instructions
Other: FL14262 RO II P5004 fastener without sto�s 10-i1-1(
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created b Inde endent Third Part :
14262.2 G5004 sin le hun DP50 sin le hun 54" x 78"
Limits of Use Certification Aqency Certiflcate
Approved for use in HVHZ: No FL14262_ RO C CAC G5004 DP50 AAMA APC 54 x 78.p
Approved for use outside HVHZ: Yes Quality Assurance Contraet Expiration Date
Impact Resistant: No 09/28/2014
Design Pressure: +50/-50 Installation Instructions
Other: FL14262 RO II P5004 fastener without stoos 10-11-1(
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created b Inde endent Third Part :
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Department of Commun/ty AfYsirs
Florlds Bulldiny Code OnlJne
Codes and Stendsrds
2555 Shumard Oak Boulevard
Tallahassee, Florlda 32399-2100
(850) 487-1824, Fax (850) 414-8436
OO 2000-2010 The State of Florida. All rights reserved.
Privacv StatemeM � Loovriaht Statement � Accessibilitv Statement � Plua-in Software � Customer Service Survev ��ontact Us
Produd Approval Accepts:
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sccuritcau rw:.s
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'�' Product Approval
� e � i USER: Public User
ProduR Aooroval Menu > Produd� �Search > Appliution Llst
Search Criteria � � Refine arch
Code Version 2007 FL# ti� 7885.2
•� <•• Application Type ALL Produd Manufacturer ALL
� ' � � Category ALL Subcategory ALL
�; Application Status ALL Compllance Method i ALL
Quality Assurance Entity ALL Quality Assurance Entity Contraqt Expired ALL
Product Model, Number or Name ALL Product Description ''L / ALL
" ' Approved for use in HVHZ ALL Approved for use outside HVr�c ALL
Impact Resistant ALL Design Pressure j ALL
Other ALL
Search Results - Applicat ns -------- -�--- ----- -----i---- - — ---
FL# T e Manufa er Valida ed B tus
FU885- Revlsion VI Win Tech National Accreditation & Approved
R2 FL#: FV885.2 -�-___�-- —` Management Institute,
Historv Model: SL FSPDS lilx79 (804) 684-5124
Description: ShoreLine French Sliding Patlo Door SldeLite
Combinatlon. Non Impact. Tempered. 111 x 79. Clip
Install
Category: Exterior poors
Subcate o: Slidln Exterior poor Assemblfes
"Approved by DCA. Approvals by DCA shall be reviewed and ratlfled by the POC and/or the Commisslon If necessary.
DeparGneiH of Lommunity A/falrs
Florlda Bu/ldfnp Code Onllne
Codes and SbnWrda
2555 Shumard Oak Bou/evard
Tallahassee, FloAda 32399-2100
(850) 487-1624, Fax (850) 414-8436
� 2000-2010 The State of Florida. All rights reserved.
Privacv Statement � Coovriaht Statement � Accessibitltv Statement � Plua-In Software � Cus[omer Service Survev � Contact Us
Produd Approval Accapls:
� � � �
� �� �'QRK SHALL COA4pLY WITH ALL
T"r ,':e , ING CODES, FLORIDA BUILDING
°����� , ATIpNALELECTRICCODEAIVI�
CITY a�` �EPHYRHILLS ORDINANCES
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.: �= '� • i; �;.
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�`��r�,. � �" FL # ! FU885-R2
��� "�-'�- Applfcation Type Rev(sion
� �
'� ' ;. - Code Version 2007
� , c� .�. Application Status Approved
4_,_�_ "'�� � Comments
� U :_:�.
-�> b'�` M u � Archived
�`: p'}fi's .'y ..;h � ��
Product Manufacturer Vi Wln Tech
Address/Phone/Email 2400 Irvin Cobb Drive D � '
Paducah, KY 42003 �y LL W �l� S]�f�LL
(270) 538-4411 �VAIL ��MI'Ly
Ihall@viwintech.com CpDE N � C' ���S, �'j,���
Authorized Signature Lori Hall C1TY �FZEPj�}�L���1C�'pD� AND �
Ihall@viwintech.com
RDI]yq�yC�
Technical Representative Lori Hall
Address/Phone/Email 2400 Irvin Cobb Drive
Paducah, KY 42003 a�j.
(270) 443-9622 Ext 2Z2' ����p��•
ihall@vlwintech.com �;�'� ��, ��`(! � �_
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Quality Assurance Representative Eldon Reel � p��, F �ei �C ��
Address/Phone/Email 2400 Irvin Cobb Drfve ��vl/rLj� ��`��`+
Paducah, FL 42003 �'
(800) 788-1050 ' „ ���
ereel@vlwintech.com
Category Exterlor poors
Subcategory Sliding Exterior poor Assemblies
Compllance Method Certiflcation Mark or Listing
Certification Agency National Accreditatlon & Management Instltute,
Validated By National Accreditation & Management Instltute,
Referenced Standard and Year (of Standard) Standard Year
AAMA/W DMA/CSA101/I. S.2/A440 2005
ASTM E1886 2005
ASTM E1996 2004
TAS 201 1994
TAS 202 1994
TAS 203 1994
Equfvalence of Product Standards
Certlfled By Approved Testing Lab
FL7885 R2 Equiv VIWinTech ASTM Letter of Eauivalencv.pdf
http://www.�loridabuilding.org/pr/pr app_dtl.aspx?param=vvGEVXQwtDqtLGbvibiqX07o... 8/17/2011
.,...,...,. ._........... �..,.... .......... t a�G G Vl J
Product Approval Method Method i Option A
Date Submitted O1/27/2009
Date Validated 02/13/2009
Date Pending FBC Approval 02/16/2009
Date Approved 04/07/2009
Summary of Products
FL # Model Number or Name Descrf tion
7885.1 SL FSPD I 7196 ShoreLine French Sllding Patlo Door. Impact Rated. 71 x
96. CII Install.
Limlts of Use Certifieation Agency Certificate
Approved for use ia HVHZ: Yes FL7885 R2 C CAC NI006819-R3.odf
Approved for use outside HVH2: Yes Quslity Assurance Contrad Expiration Date
Impact Resistant: Yes 12/31/2011
Design Pressure: +50/-50 Installation Instrudlons
Other: When used In HVHZ color of frames to be WHITE FL7885 R2 II 08-000346.odf
only rigid PVC. Verifled By: Luls R. Lomas, P.E. FL 62514
Created by Independent Third Party: Yes
Evaluatlon Reports
FL7885 R2 AE 08062009.odf
FL7885 R2 AE 511130.odf
R7885 R2 AE butacite 090.�df
Created b Inde endent Third Pa : Yes
7885.2 SL FSPDS lllx79 ShoreLine French Sliding Patio Door SldeLite
Combinatfon. Non Impact. Tempered. lil x 79. Clip
Install
LlmitS of Use Certificatlon Aqency Certiflcate
Approved for use In HVH2: No FL7885 R2 C CAC NI008001A-R2.odf
Approved for use outside HVMZ: Yes Quality Assurance Contract Expiration Date
Impatt Resistant: No 12/31/2011
Design Pressure: +50/-50 Installation Instructlons
Othe�: APPROVED CONFIGURATIONS: XOO, OOX FV885 RZ II 08-00173A.�df
Verifled By: Luls R. Lomas, P.E. FL 62514
Created by Independent Third Party: Yes
Evaluatlon Reports
FL7885 R2 AE 08062009.Ddf
FL7885 RZ AE 511135.odf
Created b Inde ndent Third Pa : Yes
7885.3 SL fSPDT 7196 ShoreLIne French Sllding Patio Door Transom
Combfnation. Non Im act. 71 x 96. CII Install.
Limits of Use Certificatlon Agency Cartiftcate
Approved for use in HVHZ: No FL7885 R2 C CAC NI008001-Rl.odf
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiratlon Date
Impact Resistant: No 12/31/2011
Design Pressure: +50/-50 Installatfon instrudfons
Other: APPROVED CONFIGURATIONS: O/XO, O/OX. FL7885 R2 II 08-00172A.�df
Verifled By: Lufs R. Lomas, P. E. FL 62514
Created by Independent Third Party: Yes
Evaluatlon Reports
FU885 R2 AE 08062009.�df
FU885 R2 AE 511135.odf
Created b Inde endent Third Part : Yes
Back Next
Depsrtment of CommunRy AMalrs
floNda Bulld/np Code Onllne
Codes and Shnderds
2555 ShumarC Oak Boulevard
Tallahassee, Florida 32399-1100
(850) 487-1824, FeX (850) 414-8436
� 2000-2010 The State of Florida. All riqhts reserved.
http: //www. �loridabuilding. org/pr/pr_app_dtl. aspx?param=vvGEVXQwtDqtLGbvibiqX07o... 8/ 17/2011
i a�.a..+.+ +�.-..,...�.b ..v.... v...u.v 1 0.�1+ J Vl J
Privacv Statement I CoovNaht Statement � AccessiblliN Statement � Pluo-in SoRware � Customer Service Survev � Contact Us
Product Approval Accepts:
� � eCUsl. �
SCCUI1tV!.i3. r�c t��
Y�rlSlyn ' .�
TfY{t!A
Yl11�lr �
http://www floridabuilding.org/pr/pr_app_dtl.aspx?param=vvGEVXQwtDqtLGbvibiqX07o... 8/17/2011
�----�---�---� NQTICE OF PRODUCT CERTIFICATI4N -��
_. �.�...
�. _ �� .� =
. I �� -
°.� CERTIFICATIUN NO: NI0t16819-R3 ,
� DATE: 11/1�/2006 �
� CERTIFICATION PR4GRAM: Structural �
'4' COMPANY: ViR'�gTech �
CODE: V-5$3-1 �
_ REVISION DATE: O1/15/2009 �
: �
The "Notice of Product Certification" is valid only when Administrator's Seal is applied to �e upper left hand �
portion of this foim and a certification label is applied to the produc� This certification seal represents product �
conformity to the applicable specificadoa and that all certification criteria has been satisfied. �
The produci described below is approved for listing in the Directory of Certified Products at '�
www.NAMICertification.com. Please review, and advise NAMI immediately if data, as shown, requires corrections. '-
r
C�MPANY NAME AND ADDRESS PRODUCT DESCRIPTION `
ViWfnTech Windows and Doors Series "SL FSPD i 7196" Vinyl ��
2400 Irvin Cobb Drive Impact Rated Sltd�ng Glass Door �
Paducah, KY 42003-OS88 Configuration: XO
Glazing: IG-5/32"Tempecr�dGlass/I.awinate5J32"
- AnnealedGlassl0.090"SeaStorm Glass by
Cardinal w/DuPont Butacite PVB/5/32"Annealed '
- Glass
Frame:W-t810mm(71") H-2440mm(96") .,
��
Panel: W-940mm(37"} H-2350mm(92.63") �-
�:
Y
i
SPECIFICATION PRUDUCT RATING �
�
AAMA/WDMA/CSA141/I.S.�IA440-05 SD-R50 1810 g 2440 (71 x 9� �
�
TAS 201/202/283-94 Design Pressure: +50%50 psf �
ASTM E18$6-OS/E1996-84 Wind Zone 4Missiie Level D
ASTM F58&04 FER-Passed =
Large Missile pact Rated
., Product Tested By: National Certified Testi.ng Laboratories �
�
3 Report No: NCTLr110-10418-1/10418-3 (Impact 1 {StructuraUFER) �'
�
: Expiration Date: A,�rll 30. 2010 �
" Administratar's Signature: a'
5.
1
:� NATIONAL ACC ITATION AND
� MANAGEMENT INSTITUTE, INC.
11870 Merchants Walk, Suite ZOZ `
Nev►�port News, VA 23606 �
TEL: (75'7) 594-8658 FAX: ('15'n 594-8659 '
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Huu-1y—��11 13�14 HOCKf�1AN INSURANCE AGENCY 213 281 1086 P.01i01
�,
ACORL�� DATE(MINlDD/YYY'I) �,
�,, CERTIFICATE OF LIABIL.ITY lNSURANCE oar�s»�
THIS CERTIFICATE !3 ISSUED AS A MA'TTER OF INFORMAT]ON ONLY AND CONFERS NO RIGHTS UPON THE CERTiFICATE HOLDER. THI$ ;�,,,,
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER TH� COVERAGE AFFORDED BY THE POLIGIE8 �'.;
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CON7RACT SE?WEEN THE 15SUING INSURER(5), AUTHORIZEO ,,
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTAt�T: If the c6rt�flcate holder fg an ADDITIONAL INSURED the policy(ies) must be endorsed_ If SUBROGATION IS WAIVED, subject to .�-,.
the terms and conditions of the po(lcy, certain pollcles may require an endorsement. A 5qtement on this Gertlftcate does not confer rights to the .,
certificate holder In lie� of such endorsement s.
DRODUCER GOMTACT
813-636�OD0 w,ME Gafl Walunas
Hockman Insuranca Agency, Inc. 813-261-1086 PHON ~ A 813-281-1086 '�' ��
3d38 Cotwefl Avenue No,_EM��. ,,, arc No :
Tampa, FL 33614 E-MA
Hockman Inaurance Agency, Ina aoortESS: __„_ ,,_ M ,__
INSURE AFFORDING COVE _., NAIC il
. w wsuReRa:fdorthPointelnsurance __ _�_
fNBURED Randal� Mulllns Construction IN9 eJRERe �
Inc., 8 Randell Mullins - ---' ' " ""
9351 Del ray Dr INSURER C: � _, ,_ ._
New Port Richey, FL 34654-5655 INSURERD; __ � �
INSURER E ' _ v �
INSURER F : � � � 1 '
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: '
THIS 15 TO CERTIFY THNT THE POUGES OF IN9URANCE LISTED BELOW HAVE OEEN ISSUED TO THE INSURED NAMED AsOVE FOR THE POLICY PERIOp ,° '
INO�CATED NOTWI7NSTANDING ANY REqUIREMENT, TERM OR CONDlT10N OF ANY �ONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 7Ff16 °~
CERTIFICATE MAY 9E ISSUED OR MAY PERTAIN, TNE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLIC�ES, LIMITS SNOWN MAY HAVE BE�N REDUCED SY PAID CLAIMS,
IN3R �ypE OF IN6URANCE sV POLICY NUMBER MMl�DlYYr MMlDD/YYYY LIM178
OEN�RAL LIACIUTY
EACN OCCURRENCE 5 � ���"
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CLAIMS-MADE � OCCUR nnEp EXA (� one erson) � si'Q ,
I i � � � PERSO S ADV �NJUR1' � �e0� f ��
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�� � GENERALAGGREGATE_ E 2 ,��N� ,
GEN'L AOOREGATE �IM�7 �PPL�ES PER: PRODUCTS - GOMP/OP AOG 5 2 ���i
r— i - , .-. ,.-,-
PRO
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AUTOMOBILE LIABILITY ' M NEO SINGL.E LIMIT
(Ea acciaenq
ANY AUTO BOD�LY INJURY (Per pereon) 5
A�L OWNE❑ � SCHEDULEO BDDILY INJURY (POr �Ccidenf) S --�� �
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I OEO RE7ENTION $ I — �— g —
-
WORKER$ COMPENSATION i WC S7ATU- OTN� '
AND EMPLOYERB' LIABIUTY 'I _. f3.,, ,,.._
I ANY PROPRIETOR/PARTNERIEXECUTIVE Y � µ E.�. £ACH ACCI�ENT S "
j OFFICER/MEMBBR ExCLUDED7 a� N I A i � s
(Meneetory {n NH) � E L. D�SEASE - EA EMPLOYEE 3 '�
II yoo deacriDe unaer r---- .
DESCRIPTI N OF OPEFiATIONS D910w E.L. DISEASE - POUCY L{MIT I S �� .
i
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D@3CRIDTION OF OPERATIONS ! LOCATIONS / VEH�GIES (AK�ch ACORD 707, AdCltlona� Ram�rxn ScneUUle, I� mcro spaco Is req�IroA) �
CERTIFtCATE_HOL..:.�_ _ �, � � T � CANCEI.LATION
— 1
SHOULD ANY OF THF A80V£ DE3CRIBED POUCIES 8E CANCELLED B�FOEI'E;' s , ;
CIL of Ze h rhills THE EXPIRATION DATE TMEREOF, NOTIGE WIL� BE DELIVEREO 'IN=. ";
Y P Y ACCORDANCE WITFi TH� POLICY PftOV1SfON$.
5335 8` Street
Zephyrhills FI 33542 AUTHOR�ED REPRESENTATIVE
/ L.�.-. �
� 1968-2U10 ACORD CORPORATION. All rights resarvod'. ,
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