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HomeMy WebLinkAbout11-12390 CITY OF ZEPHYRHILLS 5335 - 8TH STREET • ' �ai3��so-oozo 12390 BUILDING PERMIT Permit Number: 12390 Address: 39044 SOUTH 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: EASY ACRES Est. Value: Parcel Number: 13-26-21-0100-00000-0060 Improv. Cost: 2,759.00 Date Issued: Name: ALBRITTON, VERNON CURTIS Total Fees: 75.00 Address: 39044 SOUTH AVE Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/29/2011 Phone: (813)782-8557 Work Desc: REPLACE 4 WINDOWS SIZE/SIZE �i G �(� 1��� ..� 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 compiy 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 wnstruction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site � plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before re�cording your notiae 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. � CONTRA TOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �d� License * �--� MECHANICAL COMPANY SIGNATURE �c�s�r�o Y/ N � cua�n Y/ N Address License * OTHER COMPANY � SIGNATURE �c,�sre�o Y/ N F� curx�n Y/ N Address License # 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets M Building Plans; (1) set of Enerpy Fortns; R-O-W Peimit for new consWCtion, Miramum ten (10) worlcirg days after submittal date. Required onsite, Constructpn Plans, Stortnwater Plans w/ Sitt Fence installed, Sarotary Facili6es & i d�mpster; Ske Work Pertnil fa subdivisbnsllarge projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fams. R-0.W Permit for new consWCfion. Minimum ten (10) working days aRer submittal date. Required onsite, CansWction Plans, Stormwater Plans w/ Sitt Fence installetl, Sanitary Facili6es & 1 dumpster Si[e Work Permit for all new projeds. All cammertial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engir�eered Plans. ""PROPERTY SURVEY required for all NEW constniction. Directions. Fill out application completety. Owner 8 Contractor sign badc of applica5on, notarized If OVB� 52500. a Notice of Cemmnneomanf is ronuiro.l �eic ........d� ....e. e�erv�� 613780-0020 City �f Zephyrhilis Permit Application Fax-813-780-0021 Building Department • � Date Received � Z — phone Contact for Permitting IT R 7 rrT Ownefe Name Owner Phone Number �� Owners Address Owner Phone Number �—� Fee Simple TitlehoWer Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # � SUBDIVISION � PARCEL IDp �� " (06fAINED FROM OPERiY TAX NO CE) WORK PROPOSED e NEW CONSTR B ADDlALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK / BUILDING SIZE SQ FOOTAGE HEIGHT � ��UILDING $ � VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. „ ���(� O `r 1 �PLUMBING $ � /�� ��C�! �I `Y�'/^ „ � V QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � CL� l Ca��'�- QGAS Q ROOfING Q SPECIALTY Q OTHER (�,'� L/� �� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO __� „ t � . J �"'��_ BUILDER � COMPANY y/V� SIGNATURE REGIS7eRED Y/ N FEE CURaEn Y/ N Address _ � ����^ (LLicense � ELECTRICIAN COMPANY SIGNATURE r�c,�s�rseo Y/ N F� cua�n Y/ N Address License # �—� PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREh Y/ N Address License � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N F� cuRrtEn Y/ N Address License i OTHER COMPANY —� SIGNATURE REGISTERED Y/ N FEE CURREf. Y/ N Address License � 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Permit for new consVuction, Minimum ten (10) worfcing days after submittal date. Required onsite, ConsWC[ion Plans, Stortnwater Plans w! SiR Fence installed, Sanitary Facilities & 1 dumpster; Site Work Pertnit for subdivisrons/large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fams. R-O-W Permit for new consWcGan. Minimum ten (10) waking days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sitt Fence installed, Sanitary Faalities & 1 dumps[er Site Wor1c Permit for all new projeds. All commeraal requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW constnx:tion. Directions: - - - Fill out application completely Owner 8 ConVactor sign back of application, notarized If over;2500, a Notice of Commencement is required. (A/C upgrades over i7�) " Agent (for the conlrador) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Onty) Reroofs 'rf shingles Sewers Service Upgrades A/C Fences (PlotlSurvey/Footage) Driveways-Not over Counter rf on public road�rays..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 CONTRAC70RS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake woric, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division--Licensing Section at 727-847- 8009 Furthermore, rf the owner has hired a contractor or corrtractors, 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 properiy 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 identfied at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer 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 Agricutture and Consumer Affairs. If the applicant is someone other than the "owne�', 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 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 govemment agencies may apply to the intended work, and that it is my responsibility to identiiy 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. - Artny Corps of Engineers-Seawalls, Docks, Navigable Watervvays. - Department of Heatth 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Rurnvays. 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 certity 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 adversey affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached pertnit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If 1 am the AGENT FOR THE OYYNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commenang construdion. I understand that a separate permit may be required for electricaf work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inGuded 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 justfiable cause for the extension. If woric 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 1MTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTO Subsaibed and swom to (or affim�ed) before me this Subscribed a swonf"to (o atfirm�d) before me this by by � i, � �,q r Who is/are personalty known to me or has/have produced Who is/are person known to me or has/have produced as identificalion. as identificatlon. Notary Public i - ry Public """'� JACQUELIN Commission No. Com ' 'o ss `'`' mber 12, 2014 - x res Dece Name of Notary ryped, printed or stamped Name of Not � ed�1lMeAipy Fan Insxence ir . . �� � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS J�'� �-� ,,1 _I� � � 1 - Contractor/Homeowner: �,, i vt�"6 j/��� �1 � Date Received: � j- � �- � � , Site: _ � �� �� �� •�C�i `E �, � - � f , Permit Type: ��- ,� � �,c.i�y"2�C� � Sr�� cf )1� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comme t heet shall e kept with the permit and/or plans. �� /� Kalvi Switz r P s Examiner Date Contractor and/or Homeowner (Required when comments are present) T STATE OF FLORIDA � __��, � DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION °� � CONSTRUCTI�N INDUSTRY LICENSING BOARD (850) 487-1395 �"� �� TALLAHASSEE STR FL T 32399-0783 NYMAN, ALFRED W JR SEARS HOME IMPROVEMENT PRODUC'TS INC P O BOX 522290 LONGWOOD FL 32752 i _ -- ��:_ � - - �:;-�• _ .:,;r :�,_: - _;• .,', ._ � �.,.=,�;r,�: : .�... :-�, r. � ` ;,; �; :-:<='' .':%:: ;�z=;, ;�`=: :� � ��f � �- �� "R�' �:.�`� ��:. i` ``�;: '-":•,'=�nT,,�,��'0�r�5�RID'�1:u,��.',;::��.,.ti;. _ a.:i?i_r;;�.,::.'...>r,��. Congratulations? With this license you become one of the nearly one million :. '�,. ;;`~-•-�-' '='°"= �� . ; ��P;��k!_�NT��3�-,�3I�u_� - -, - �. '5�:, =�_. ; Floridians licensed by the Department of Business and Professional Regulation. �}��;... �;,�:..: t �.��� ; .,,, Our professionals and businesses range from architects to yacht brokers, from =° ��., �_:,r_�:���-��� � �� ^ - � t �- � •-_:;..�:� �;;.:�' �' ""-'�4 �.F i...v,'r 'c`c"_ ""' f. 3:1s- �=s �e� "_ . '_ ';:i;'`_ boxers to barbeque restaurants, and they keep Florida's economy strong. ;;r ?' �- `i- z:~'�'�� ^�� �¢ '�:_",:`��="°t�` ��4 ',.�,� +i`= �;': f'��;,��=� _ : �s„��"�::����r�=�:s�:� ,= �r �- ,...,: ._ :- . . _ _ _ ,,...., s d � :��:�=�- _ � -� .= Every day we work to improve the way we do business in order to serve you better,� _. ��-::� �:;:; ;,�.: _���?, � _,_ �_: __ ;��.,;;��-�:'',= `�:�-='`=-�� �; �;`.. ;: For information about our services, lease lo onto www.m floridalicense.com. %��',r; {''� P 9 Y '£�''�SR'�'• F�- � L"'�.flAA. �."-'.-=>��: ,;.,,.r ...,, .. ,.. -,� �. ' �>.�: �.?��?•; There you can find more information about our divisions and the regulations thaf ���. �-�: _�, __ :t :; r: =_- : '� _. im act ou, subscribe to de artment newsletters and learn more about the :-. ��� :�-���� _"�.��� ` P Y P ������ g: 4t ,� a. .:;, .,` R` �.P.$�kp,tr��'�=:_,:_ ��� �'v,.: ,;,Y' , ::r',, _ , ` _ . .. ,:, DepartmenYs initiatives. _ �;.,,.:__;. _;'. = - :�E�'�5. '" '��.��i'' �_ ; ,,. -, � '= , �`�_ ;_�f. �-�- . _ �-.y"'._.',. r _ �T : -'-..���. ' ' jti, t• � .S�z l -c'- �� =� �.7 -_=t :f: ��;?.�, ` '__ `�3 � - i� �'+r��rrs•.:,. >,�. • ,t`, ;_,,�,..,:-:`��"_•: �L�: r' � `_ r:: ;:, �:i�:::'°% Our mission at the Department is: License Efficiently, Regulate Fairl We ;";:, ::7,== -����;�,; ==�;,,,? �:���,s, :�_;� -:... `.\: N _ ��' y' ��r,.. ` `:, :.�, . ;,���� �� g �.: •:�,'I�: ;;� constantly strive to serve you better so that you can serve your customers. ��`�� '� ""� �--�-�=�_, ::=� .*:'�s:�s,. :,�:•.;�:: '' Thank you for doing business in Florida, and congratulations on your new license. :_��'�$'-�������.�����r���`�`�°��x'='�;�°��er� .���,�,:�s. � cF ; , r_;_� �r,�%iit�qu'__�G�:��t�(���:�,i'�3,�;2�';':= 4 tf"&G, '_ --., ; ;y�.� . . -�Y'`-::. _ _,�. - ^:`- - . r-`� - _ _ � < -• _.�,. �,•,� -- = - 'P _- y - ' �; `.. _,.:,� :.. 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SEARS HOME IMPR�VEMEAtT PRODUCT PO BQX 52229Q l.ONG1N�OC3 FL 32752 �'d 6bL£-599 (£ L8) '�ll �epol s;iwaad d90� LO 6 L 6Z deS A : °'�°'� CERTIFICATE OF LIAB�LITY iNSURANCE °"'�""'"'�°"'�"' 07l07IdU„ THIS CERTIFICATE IS ISSIJED AS q M1qF1'ER pF INFORMATION ONLY AND CONFERS NO WGHTS UPON TNE CER7IFICATE MOLDER TMS CERTIFICATE OOES NOT AFFIRMATi{IELY OR NEGATTVELY ANEND, EXTENp OR ALTER TFIE COVERqGE AFFORDEd BY iHE POUCIES BE�OW. 7HiS CERTIFICA7E pF INSURANCE DOES NOT CONSTITUTE q CONTRACT BETIMEEN THE ISSUING INSURER(5), AVTHORIZED REPRESEP(TATIVE OR PROpUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cert�cate holder is an ADDfiTONqL fNSURID, the policy(ies) must be endorsed. If SUBROG,4T10N IS WAIVEO suqect to ., the terrna and conditions of the policy, certsin policies may require an endo►semenG q 8q�e„t on thi$ ceniffcat� does not confer rigMs to the ;� certifica�e holder in lieu of such endasement(s� m aROOUC�a ' ��� c Aon Risk Servic2s Central, inc, d 'O ChiC2ga Il OffiCe (866) 783-Ti22 FAX � 200 EdSt Rdndolph �' q�N C�� 953-5390 m Ch�Cdga IL 60601 USA ���; o _ pISURER(8) AFFORDIMti CUVERAOE NA1C k iNSUr�o Sears Holdings forporation +���a Inder.nity Insurance Co of Narth qne�i�� 43575 dba Sears Home Irprovemeat Products, inc ��R� A�E American Insurance Compa�y 22667 nttn: aisk �+ianagewerrt E3-219A �� 3333 ae�erly Road Hoffnldrt EstdtES IL 60179 USA ryg��p�p NBURHt E: COVERAGES ��� CERTIFlCATE NUMBER: 570043199018 REVISION NUMBER THIS fS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELDW HAVE BEEN ISSUED TQ TFiE fNSURED NAAAEC ABOVE FOR THE POLICY PERIOD IMDICATED. NOTIMTHSTANqNG ANY REQUIREMEN7, TFRM pR CONDITION OF AHY CONTRACT OR OTHER �OCUMENT WITH RESPECT TO WHICH THfS CER7IFICATE M/1Y BE ISSUED OR MAY PERTAIN, THE INSURANCE qFFORDE� BY THE POUCIES D'eSCRIBED HEREIN IS SUBJEC7 TO ALL THE TEW�AS, IXCLUSIONS AND CONDRfONS OF SUCH POLICIES. lIMITS SHOWN MAy HAVE BEEN REDUCED BY Pqip CLAINS. LTR n'PE OK INBI�iqNCE V��i BhONYf1 iIg 3f ry e 6ENERALLIAB�JIY � PQICYNIJNBEit �$ HG � EACHOxURRENCE SS,OOO,000 % COVMERqAL 6ENEkAL LIABN..ITY � CJUNSMACE X❑ OCCUR PREMSES ac• Nranm s S a�0 � DU� AAEbEXP�A�yonepe�wn) EX[lude(1 PERSONAL 3 ADV INJUFY SS � �UO � UDO °� 3ENERALAGGREC,Ii7E SS�OOO,OOO � f3EN'L AQGREGA7E UWT APPi.1E5 PER: 7� P<)UCY �a LOC ���TS'C�OMPfOPAIX' SS�OOO�ODO � B ~��� u�Ty LSAN08690649 ° 8 LSA1108696637 � ZO 108 01 012 C�IAENEpg�ryC,�El111NT 55,000,000 � nwrnuto 08/O1/2011 OS/02/2012 °� ACL C'MMED SCNED.LED BODILV INJURY{ Perpenao) O x AUTOB AUT08 BODILY RUU.7Y z (PsracedenQ 3 7C HRED AUTOS X NOKON�D PROPERTY O�iA�UGE � AUTOB , � Z UNBRELULWB OCCUR � excess uas cun�s.M,� eaey oecuwe� �j DEO �7� a6cFE6nTE B ������� WLRC46482803 �MrtoYr�ts u�Brimr 0 Dl 011 8/ 1 2 11 yyC ��� NJYPROPRk"TOR/PMTI�Rr�ECIPyE Y/N CA MA X TORYURfT8 A � N H!A SCFC46482827 ELE�ICHACCpg9T nr.,b.m,�„o,,,.,� os�oinou osioxizou si,000,000 e ye `' �""� � E.L asensE•en �orEE SZ , OOO , OOO DESCRIPTbN OF OPER/,7pN5 p�y„ EL qSEASEPOtlCyluxr 52,000,000 � oESCpIVT1aV oF aPERwnONS l locATlon�s / VEMCLES (An�ah ACORD �Ot, nddtiend n.nrrfa � etlrdV�. Hmon apam b requi�d) A fred w. Nyman, 7r. License �F p�t[1249510, CGC012538, CCC1329316 located @ 1024 Florida central parkway, �ongwood, FL 32750. � De17 R. Hoyt iicense tfCGC1517994, CRCO27383 Tocated @ 1024 slorida Centra] aarkway, �ongxrood, FL 327i0. � � � CER71qCATE MOLDER � CANCELLATIOM � SHOULO ANY OF 771E ABOVE OEStliIBED vOUCEB BE CAMCEILED BEFdpE THE EkPRATfOAI DATE THEREOF, NOTICE YNLL BE OELNERED N 11 CCORQANCE YfTFI TFE POLICY pRON610Ng. City af zePhyrhills AVTNORREDREPREEEWTA716E 5335 Ei9htN Street Zephyrhi115 FL 34240 USa � � `�� ��tt�ad �d�e4 Js�aa. ACORD 25 (2010/fl5) C�f g83-2010 ACORD CORPORA71pM, qy �g� �s�,ed. The ACpitp neme and �ago are registered marks of ACORD Z'd lbLE �£ l8) '�ll �epol s;iw�ad d�0� l0 6 6 6Z d8S � �� STATE OF FLORIDA -- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET ��.�� TALLAHASSEE FL 32399-0783 NYMAN, ALFRED W JR SEARS HOME IMPROVEMENT PRODUCTS INC P O BOX 522290 LONGWOOD FL 32752 � _ _ - _ _ _ - - ,`,=. =={ -�,.. - f. � - <-. - <.��-=��;...;��,�=�#'�?����;C�i= _ =�;s�i��'��qi3r�A`�..:�f.:- - ..� � .� , Congratulations! With this license you become one of the neariy one million -= ~'�`��= -- -`'�_- - y�" �� ;`�`'�=='�� - t �-=�:_ ��,. � ��T�`P, � �M�N:T' sY'J��BiIS3��8�5=__`�1N.�:;..,�;_ Floridians licensed by the Department of 8usiness and Professional Regulation. f �g $ ���� h ���� : ,,- : �_, ; � . , ; ,, ` , z ;k='._,. ,. 6.. �'`�' "_ Our professionals and businesses range from architects to yacht brokers, from �= �- � -�� �� �•�•�=:::- -rt � x�--:,::,�v-. :.-,_s�._ �-` •�-__. boxers to barbe ue restaurants, and the kee Florida's eco�om stron '�' � ?' ' �' �� � �''� � '�����''"�`� :-`-' � " - 4 Y P Y 9• � �,; - . ,___ �?�' � �- . --•` "_; <�?= -• '-. ;::: �"�z- �;;�' : � .�_--� ' i `'� �`�' "f��= �-•�-� �-. �,�c��;��;� �_. _ . � �,� Eve da we work to im rove the wa we do business in order to serve ou better' `_"`���"� �`'�''">�� =- '-- ��:� �' "' ��� `� '� = rY Y P Y Y ,_~:;���:s:�=�Y� _=..: :�� =.s=_;.=;� .,��.<��,:;•,�`:<`..'-'.'?,:_ For information about our services, please log onto www.myfloridalicense.com. F�;��-:,C-�LIt `. .F�-� •����t; .,,�:�- .„;_ t; :. y ,, ... �;. �_°=�-=a.�::'- There ou can find more information about our divisions and the re ulations that k,_, _t,-^� -:; ��'"'' a_��:}4:`�..� �::s5.� �;� `=_=-. Y 9 F:.' . : . • , : _�;_r impact you, subscribe to depa�tment newsietters and learn more about the ;i,� ;:��;�,a ;= -�: . ` _,�;,�s�#� •_,-;-. , _..� , aa;;_. �_:._ ..: ,-. -.,-_._ ,>x = De artmenYs initiatives. - --� �'�-�: — _ -° �=�t #� - � ; , - :- P =_ �= :' _ --� - � � :-"_:, �F; -; � � ,= zr=ti� _ --- �-=z,,' - : �� ,`='::`°•�.; :.-� _ � _ �,,`�:`� - ,:` .,-r :;j��:= _ .;� -_ +:� = 1's<., = _°=;_: atth De artment is: License Efficientl Re ulate Fairl We �.�r-��1�` =-�'�`?`����- u� - - _:r;:.::.== Our mission e P Y� 9 Y '-' :,'� ,_ ` �,;,� : :; �ti-: • n ��;' ..€�� ' "� , ��`'���� ��::: �: ,. constantl strive to serve ou better so that ou can serve our customers. _�_ - - - J '��`'��;�- �`� ��='�'' �� -'' =• ^'"' Y Y Y Y -_ ��>>�s�aC��iE���'.wdd��- he �;o�`iin� Thank you for doing business in Florida, and congratulations on your new license! -- =�i_: :������a ���-.��--- r�?�` 12�-�.����i�.s��_ :-�_, � �" i8o�-� �. _ � �. � � � r�� ;:_- - � .�.�,- _ - - _ - ,: �, -- _ - -; a_,., :,,�,>;.;_;=. = r..�, ;;.:- DETACH HERE - _ ,:,�.�. - ,..�; - - - _,r� - - - - - - .i; .�. :k;;;^: , =F,r.��'i .;ti �.,., ;.�.�.�. �;3`-�.= , : , •s - ;r:.: � - - .air. .�'�-,„". �.�k'%'=` ..rt.:., LP__ ,r'.. ;1°� _•%:9.`'"�"'.-'il::t"-' ::�'::n." - ,a. - '\. .� 1 'r±� �:�:= - -i_.• _- ��. _ _ �_. �,.�...�, : ' a ( �5:�_' y` r-� ? ..�i r.1_;. _ " 'I.:'r�i' t"'� ::{=.....�..' -i/ }., :;l_v: .::/.,i�= ��:":� :�< :':a'.:.f. .�� .'i.c/`''• _ j $ � . ^�X�l ' !.•'\,�="�::'i �lai_ ..1�..✓r�.. �.� ":"�:iA.-,.-,_l.-Si:�.��,�,:��'•�•?�;'.'.=.' _ - - .s^e. .\%� _ ,d� � y' /' .�."�'w - - :r.. 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'�,. :`�.� .A � � ., K _ = t f ` r � � `� T � ��`[��C�I�� , . ,, . f�"'?' , ,. } BCIS Home Log In User Reg�stration Hot Topics Submit Su rge St � Facts Publications FBC S[aff BCIS Site MaD �inks Search '¢.. i '` '�� '' "' #' ' �Product A roval ' PP '_"': r �7� � y �� ; ��;° '� USER: Public User '�';�. i �,,� � �*^ ���'� Product Aooroval Menu > Produc[ or AoohcaGOn Search > hcation List > Applica�tion Detail � ' � ;,.x, xa;'�: ` ���;, a. / � �;.=:: �_�?w: �,�= u : FL # � FL20230-R1 , '"� �° �' "�`� "§ s Application Type Revision �s.. s .� ,: - ' I �; F. �' �: ,':� Code Version � 4 �p� � �n�� �. �m•.,, _ . Application Status `� Approved tt '�,�.�..,,�� - ,��� . Comments 1 .�"�,,. �.: \ � ,��; �, , a �� Archived . � �" , �"'.. � ti \ Product Manufacturer Wincore Wind w Company, LLC �� Address/Phone/Email 2 Staunt Avenue � — � � (304) 485-74 3 ��z��rW QAT�_ - _ F �___,. jmiller@wincore�l�r5�� ����'�`�� �j �_��, Authorized Signature Luis Lomas �'�-AN� �XAfViINFF� ---���---- rllomas@Iriomaspe.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email pj.,LWORK SHALL COMPLY W�TH AL cate o pREVAILING COD ELECORID CODE DND Sub at gory �"�� H� CODE,NATIONA LS ORDINANCES CITY OF ZEPHYRHIL Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Validated By Keystone Certifications, Inc. Referenced Standard and Year (of Standard) Standard Year AAMA/WDMA/CSA 101/IS2/A440 2005 Equivalence of Produd Standards Certified By Product Approval Method Method 1 Option A Date Submitted 02/10/2009 Date Validated 02/13/2009 Date Pending FBC Approval 02/16/2009 Date Approved 04/07/2009 http://www.floridabuilding.org/pr/pr_app_dtl. aspx?param=wGEVXQwtDquGotOkaJvZZy... 9/20/2011 Florida Building Code Online Page 2 of 2 Summary of Products FL # Model, Number or Name Descri 'ow a23U.1 5408.PYC D()tl6f.� FIUNG 811C DdCJBLE HUNG iNITlQOW 52x63 � i Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL10230 Rl C CAC 456-125CAR odf Approved for use outside HVH2: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 12/31/2011 Design Pressure: +40/-40 Installation Instructions Other: FL10230 R1 II 08-00374A �df Verified By: Luis R. Lomas P.E. 62514 Created by Independent Third Party: Yes Evaluation Reports FL10230 R1 AE 510553A �df FL10230 R1 AE NOA 07-0208.07.pdf Created by Independent Third Party: Yes 10 PY� DOUBLE MUNG $Q P1�C DQAIBLE HUNG WINDfJW 36x72 Lirri�s�ot'U+s� Certification Agency CerCIR7�ate Approved for use in HVHZ: No FL10230 Rl C CAC 456-401CAR.odf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 12/31/2011 Design Pressure: +50/-50 Installation Instructions Other: FL10230 R1 II 08-00375A.odf Verified By� Luis R. Lomas P.E. 62514 Created by Independent Third Party. Yes Evaluation Reports FL10230 R1 AE 510555A odf FL10230 Ri AE NOA 07-0208.07 odf Created by Independent Third Party• Yes 10230.3 5400 PVC DOUBLE HUNG 5400 PVC DOUBLE HUNG WINDOW 46x77 Limits of Use Certification Agency Certiflcate Approved for use in HVHZ: No FL10230 Rl C CAC 456-199CAR Ddf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 12/31/2011 Design Pressure: +35/-35 Installation Instructions Other: FL10230 R1 II 08-00376A.odf Verified By: Luis R. Lomas P.E. 62514 Created by Independent Third Party: Yes Evaluation Reports FL10230 R1 AE 510557A Ddf FL10230 Rl AE NOA 07-0208 07 odf Created by Independent Third Party Yes Back Next DepaKment of Commun/ty aKairs Florlda Bui/ding Cade On/Ine Codes anC Sbndards 2555 Shumard Oak Boulevard Ta!lahassee, Florida 32399-2100 (850) 487-18Z4, Fdx (850) 414-8436 OO 2000-2030 The State of Florida. All right5 reserved. Privacv Statement I Coovrioht S[atemen[ � Accessibilitv Statement � Plua-in Software � Customer Service Survev I Contact Us Produd Approval Accepts; � u^.M1ecA � �IY�U['It\".l� li: � VMltl�� �� TIY�I�! , http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquGotOkaJvZZy... 9/20/2011 _ r*i 3 p� _ _"- � X W -_ _-_ _. 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DS: 0.00 IT: 0.00 SEARSHOMEIMPROVEMENT PRODUCTS, MC 09/26/11 L. Sagastume, Dpty Clerk 1024 Florida Central Parkway Longwood, FL 32750 PqULR S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER Phone 40 7-551-6000 09/26/11 11:44am 1 of 1 OR BK ���2 p � ��� NOTICE OF COMMENC�MENT Pennrt No Tax Folio No t � •� THE LJNDERSIGNED hereby gives, informs you that the improvement will be made to certain real property, and in ac with Section 713.13 of the Florida Statutes, tlie following information is provided in this NOTICE OF COMMENCEMCNT. cordance 1 Description of property (legal description.) � .,�,.� - 7 . � /r a) Stree Address: ' r 2 General description of improvements: u,��; J ., �� 3 Owner Information � --__ a) Name and address. .3 � b) Name and address of fee simple titleholder (if ot e than owner) �`f c) Interest in property• �,j� 4 Contractor Information a) Name and address• SEARS HOME IMPROVEMENT PRODUCTS INC. 1024 FLORIDA CENTRAL pARI{Wpy LONGWOOD FL 32750 b) Telephone No. 407-551-6000 5 Surety Information. Fax No (Opt.) 407-767-8536 a) Name and address b) Amount of Bond: c) Telephone No.: 6 Lender Fax No (Opt.) ---__ a) Name and address -----_ Phone No . 7 Identity of person within the State of Florida designated by owner upon who notices or other documents ma be serve a) Name and address. y � b) Te(epllone No . 8 In addition to llimself, owner designates the following person to receive a copy of tlie Lien or's Notice as rovided i �, Section 713 13 (1) (b), Florida Statutes• — a) Name and address• P n b) Telephone No : 9 Expiration date of Notice of Commencement (the expiration date is one year phe date of recording unless a di date is specified.) fferent WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE �XPIRATION OI' OF COMMENCEMEIVT ARE CONSIDER�D IMPROPER PAYMENTS UNDER CHAPTER 713 Ppk 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTHE NOTiCE PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE'JOB S 1� SrCTION THE FIRST INSP�CTIOIV. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUa LE S TO YOUR ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEME 'TC HGrORE NDCR OR AN STATE OF FLORIDA � COUNTY OF �,� �, �___ � `����.�.��- G���� �?�� ���; _ , �=a-"•=r'��� �f ^wr�cr or uwner's Authorized Officer/Director/Parmer/Manager Y :.� •�� t �}�.j ,, PRINT NAME The toregoing instrument was acknowledged before me this � `'�: r_.L,' . � �l Z day of _�S�.l�"i-�►'t��� c: ��c�, irustee., attorne � f�" as y y m fact, er � ' Z ��> � party on behalf of whom instrument was executed) (�Ype of authonty, e g. -----_ (name of Personally Known OR Produced Identification � � Notary Signature � . Type of Ident�fication Produced A'f%L�Yt+ Jc�-Si.�t;� Name (print) L � , Verification pursuant to Section 42.525, Florida Statutes. Under pealties of er'u I declare t] a� e the facts stated in it are true to the best of my lcno�v]edge and belief. p � ry ' t I have read the foregou�g and that NOTARY PUBLIGSTATE OF FLORIDA �_) V`"'•/;,-r -^� � -� �:.- [�� L^���± F ORMS/NOC/VER2007 � � �nce Hullinger �rgnar,�� f*. _ �i:Commission #DD883738 " "` , �a�U,ai rerson S�gning Above — -. ;�`..�` Expires: JULY 19 2013 B() �� T��B A7'�NTlE ) Qf), INB. ��LORIDA, COUNTY C�F 4���CC� � CERTIFY THA'T T�H� i=pR�uUsNG IS A , a�iD CORRECT COPY t�F THE U.1i�Ui�11ENT _E OR OF PUBUC REC,�_�F�D If�� �-�oS vFFICE ��} MY HAND C� CIA�. S�H�_ fl-il / DAY 0 i ,_f; S C 'tVEI , C '= �. �v�fi+'�itOLLER , , , —' :iEPU i Y CLERK .