HomeMy WebLinkAbout11-12419 CITY OF ZEPHYRHILLS
• , 5335 - 8TH STREET
c8�3>>80-0020 ; a 2419
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
Permit #:12419 Issued: 10/10/2011 Address: 3843 LACOSTE ST LT 135
Permit Type: ALUMINUM ZEPHYRHILLS, FL.
Class of Work: ALUMINUM PACKAGE Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 18,000.00 Total Fees: 307.50 Subdivision: MAJESTIC OAKS
Amount Paid: 307.50 Date Paid: 10/10/2011 Parcel Number: 24-26-21-0030-00000-1210
Name: B& H CONSTRUCTION OF CENTRAL FL. Name: NHC FL 115 LLC
Addr: 4025 MORRIS BRIDGE RD Address: 3843 LACOSTE ST LT 135
TAMPA FL 33543 ZEPHYRHILLS, FL. 33542
Phone: (813)782-1064 Lic: Phone: (813)783-7518
Work Desc: INSTALLATION SHED W/CONCRETE/GLASS RM/CARPORT TOTAL SQ FT 494)
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SLAB SHEATHING
RAISED SLAB
DRIVEWAY
FRAME
ELECTRICAL ROUGH
1ST ROUGH PLUMB
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. if you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Must Accompany Application. All work shall be pertormed in acxordance
with City Codes and Ordinances. NO OCCUPANCY BEFORE C O.
� _
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C NTRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF / / ' � � � BUILDIN�
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
�• • - •
ADDRE55 DATE PERMIT f
i � O S�P lZ"��`l 2 l y
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be mcde before tha job
will be accepted.
�!7/�131� T� �u� '� �4 rr ��
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It is unlawFul for any Carpenter contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material until the proper inspector has had ample time to approve 780-0020 FOR RE-INSPECTION
the installation.
OFFICE HOURS 7.30 AM - 5 PM MON.-FRI. INSPECTOR
. �� ������
. �„�.
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ,�� j� ��y��' ��{C ��
Date Received: �� —� --�/
site: � ��� �Gc �D S� ��
Permit Type: �� �.,� u ,� �
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This co ent she s e kept with the permit and/or plans.
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K in Swi r Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received � �� <"`
Phone Contact for Permittlng jj� �� _��/
� � � � t � � I � � � i 1
Owner's Name Owner Phone Number
Owner's Address �S �d Owner Phone Number ��
Fee Simple Titleholder Name � Owner Phone Number
Fce Simple Tkleholder Address —�
JOB ADDRESS �E�3 �Acas� .� • LOT N N..� S
SUBDIVISION �/A PARCEL IDN �T e�L/ � �I �Oa.� O "�DOO — /, � O
(08TAMIED FROM PROPER7V TA)( NOTICE)
WORK PROPOSED e NEW CoNSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TVPE OF CONSTRUCTION Q BIOCK Q FRAME � STEEL Q
w M�s /ro - A ei-I �F + t> o,v D r
DESCRiPTION OF WORK /'�p � �
BUILDING SIZE SQ FOOTAGE `�' / HEIGHT
QBUILDING $�? ,SOO' VALUATION OF TOTAL CONSTRUCTION
LECTRICAL $, . AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
o•�
�PLUMBING $ � ` � / � ` C ^
� 7 '�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUILDER i� J �� I 1� COMPANY �N �NSTj24lL� TjDf� �
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N
Address 7(.6IS�/D/7'/S � � License # S� �
ELECTRICIAN ��COMPANY � ,�TQ
SIGNATURE REGISTERED Y/ N F� curtaen Y/ N
Address � /� � Z' License # �0�075 ��
PLUMBER / /� COMPANY � fL u �
S��TV� L' �� ` REOISTFRED Y/ N FEE CURREA Y/ N
Address C C l LV l/ � Il License # � �
MECHANICAL � COMPANY —�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Addresa License #
OTHER COMPANY
SIGNATURE REC,ISTFRED Y/ N FEE CURREh Y/ N
�d�� License # �
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11111111111111111111111
RESIDENTIAL Atfach (2) Plot Plans; (2) sets of Building Plans; (t ) set of Energy Fortns; R-O-W Pertnit for new construclion,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary FadliGes & 1 dumpster; Site Work Pertnit for subdivisionsAarge projects
COMMERCIAL Attach (3) complete sels of Building Plans plus a Life Safety Page; (1) set of Energy Fortns. R-O-W Pertnit for new constniction.
Minimum ten (10) working days after submittal date. Required onsite, Consiruction Plans, Stortnwater Plans w/ Silt Fence insfalled,
Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projecLS. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engi�eered Plans.
"'•PROPERTY SURVEY required for all NEW construction.
D�reet�ons: •
Fiil out application completely
Owner & Contractor sign back of appliption, notarized
If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500)
" Agent (for the contrector) or Power of AKomey (for the owner) would be someo�e with notarized letter from owner authorizing same
OVER THE COUNTER PERMIITING (Fmnt W ApplicaGOn Only)
Reroofs H shingles Sewers Service Upgrades A/C Fences (PIoUSurveylFootage)
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
conVactors to undertake work, they may be required to be licensed in acwrdance with state and local regulations. If the
conVactor is not licensed as required by law, both the owner and contrador 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 applicafion 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 dces not invoive 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 vafuation 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
Protecdon 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 certiTy that all the information in this application is accurate and that all work
will be done in compliance with ali applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certity 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 regulaGons, 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 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 restricbons 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 votume" 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 fhe area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inGuded in the application. A
permit issued shall be consVued 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 NOTICE OF COMMENCEMENT
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR�tL.tE' �2�-G�
Q Su ,, b�scrib�� and swo to (or f before me this ubs 'bed and swor toQo a�ed) bsfo� me this
/ �bY � a by Y'GC C
Who is/are personally k n to me or has/have produced Who is/are personallv kne to me or has/have produced
as identification. as identification.
' Notary Public ' _Notary Public
Cammission No. Commission No.
Name o otary �e , p n d r Name of Notary typ ,
a o��' 4 �sLn Notary P���c State ot Florida
, Bruce q qspe1 = o� Mr ��� Notary PuW� State of Flonda
9�� � My Commission DD989010 � ' B N� A Asbe1
�oF��� Expirespg/22�y014 ���,P` MYCommissionDD9880f0
or n� Expires 06/y2/2p�4
�'�TICE �F C���MENCEMENT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Pei7n�i No Rcpt : 1391681 Ree : 10 . 00
'ra� Fo>>o t�oa�l aG ��o_�•iaio D5: 0.00 iT: 0.00
— 10/03/11 K. Gareia, Dpty Clerk
THE 11 NDERSIGNED hereby gives not�ce that improvements wi11 be made �o cena�n real properry, and m accordance w�th Sect�on
713 I 3 �f the Flonda Statutes the follo �v mg mfonnatio � is provided m this NOTICE nF CnMA1ENCEMENT
I�1R�n� DIQ156 C�oMMW�IiC�- Pt+0.5tG pN�-�6 3'�RriS ID7-!l� J.OT /a/ 7?1�2ls. t SfY'
1 Descnphon of property (legu! drscriptiun): /ivG c�s� d�? &�S 7�(s 87
a) Street (job) Address: 3843 l.cicas�e �'�. � � �� --- --- - --
2 Genera] description of improvements��e ru,rsi �` - ---- ---- -
a' � yg �? � 1�.,.� o F�o�v Q r�� .��''z-4�v�—� .�r�s it �n �Cdr� —
3 Owner lnfonnation N1A(;-FL. //T �rLG - -------- -
��
a) Name and address: � 99/ EL) nm�lhp,�k �,,s � 3/O 5�1[S�R� , �tZ 8'� S'/ - a ejQ3 � �
� \ D
b) Name and address of fee sunple titleho)der (�rother than owner) —
m
,� �} � W cn
�� ,. c) lnteresi in property W o
` 4 Contractor Infonnation — ''"
�� �+N �ons�Fru..e..i�ur. o� Cu+�ra.l A �rc.,. "� �
a) Naiue and address: 4�D�S tlM1erriS �i e-�de � Z h�rl�►��s� �� �e�3 �m �
b)Telephone No.: 78a-�(�y Fax No. (Opt )��3 S-(eS'$S� �" �
S.Surery Infonnation � �
�m v
a) Name and address. �
3
b) Amount of Bond: �
c) Telephone No.: � °
6.Lender Fax No. (Opt.) _ •� � �
r
O A
a) Name and address: -n ,�
Phone No. �'� °�
7 Identity of person within the State of Florida designated by ovmer upon whom notices or other dceuments may be served: N
3
a) Na�ne and address: �o
b) Telephone No.: Fax No. (Opt.) � °
8.In addition to himself, owner desi8oates t6e foliowing person to receive a copy of the Lienor's Noticc as prov�ded in Section �
713 13(1 xb), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the eYpir9tioo date is ooe year from lhe date of recording unless a different date
is specified):
�'VARNING TO OWNER: ANY PAYMENT'S MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYIVIENTS UNDER CIiAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PA�'IIVG TWICE FOR II►SPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MiJST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FiRST
1NSPECTION. iF YOU IIV7'END TO OBTAIN FIlVAIVCI]VG, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCDVG WORK OR RECORDIlVG YOUR NOTICE OF COMIVV�NCEMENT.
STATE OF FLOR
COUNry OF
: o� °�� Notary p�a� State oi Florida
. Bivice A Asbe1 igna e o r or Ownrr's Authorized Offcer/DirecWr/Partnrr/Managrr
� �' � My�Commission DD98901p
�o,n.o' e ireaosnzno�a - � ��P�1G
Aim Nuce
The foregoing instrumcnt was aclmowlcdgcd beiorc mc this � da of se
Y rn�J t , 2011 , by �-
� (type of authority, e.g. officer, trustee,
attoroey io f�ct) for (name oi par If of whom in ument was eYecuted).
Personally Knov�m OR Produced Identification Notary Signature
Type of Identification Produced Name (print) _����/L�^ /y( • /`f _�/3� f�
�,.�-;.�• ,
� _. .�"""`�'.�:
.� _
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, l declare that 1 have read t6e foregoing and that
the facts stated in it are true to the best of my knowledge and belief
FORMSRJOC ,,,:,d,�� = o� ° �� O �e� n Notary Public Sfate W Fiorida ��� L Lse
i
, Bruce A Asbe� Sip,narivc of�tural pe�on Signing (in linr i/ ] 0) Abovr
� . �,'� My Commission DD9890t0
osn� Expires 06/22/Zp�4
STATE OF FLORIDA, COUN;�XQF.RASC�D
THIS IS TG CERTIFY THATTH'�,��EGOING ISA
TRUE AND CORRECT COPY OFTHE.QCICUMENT
ON FILE OR OF PUBLIC RFCQRD IN THiS Of`f ICE
WIT�E�S_MYHANQA �f��ICI LSEALTHiS'
°u'� DAY OF ' 2.�
PAULA � NEIL. ERK & COMP.TRp. LER .
� �
� '� DEPUTY CLEF�K
�
�i125 MOm� Bridgc EtOad
- _�.__..... �ephyrfiiits, �I. 835�3
�+��"���.���^��� 81�-T�1064P1�on�
�`�t�X�'lf+Oml�'16�t. �ip� 813-T15�i� �ox
�t@- '► 4��l2�6 Toli Free
www.biuwnatru�ioai�.c�m MVeb Sit�
Jean Mark Mare&co 8eebe A/1sit91
3&43 Lacoste Street 813714-�1
h �Ns. F1ori0a C?�ka
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1-518-41 &3f127 RP TAG #:
e � �
Caniract is for ev �e+d t� Ejd�i#� A, whi�.fi i� �tt�Clted.
W8 Pl�Op038 #x�y tc i�ttash rt�eri�s amd labw �rlpt� in �t� wl�t 9bCSre , iar � eun+ d:
E' #hac�santt do�ars e�d 00/'ifl0 d�rs. S 1�Q0.00
Pbyitwiet b De me�e as kA�o�:
A� m�lerkd k guuarmpad m be as spedAM. A8 wpk b be +ea�p�t §� a
n�er�C�eOiny Yf �ndIMA P►at�
alaradon tr� da±r�iqn kotn �hovn �pta hwdu�p rs� i� be �ouird ��
uNa�w�e+randas,snddfltre�aas�n�chupaarerar�daboa+e�e�pOnntic. �:
�a�k oadlOrd upon �kkeR aod�Nnl� a depgrs 6s�raRM o�r aontoi.
Ow� b cArry �a.lmlid� itd cl�n+io�aar�r �anC�. Our �ro�Ju� xi f�iy �� �' P� ��
�ua�ea b7 �+'s c,�p�an �aran�e. Y►�Fldf�wxl by �f lf not acaepbed r�#t d8y8.
Ac�tpt�nc� of Ptc�ah �t,r �„w w�ea. � ena ,�i,�'
axwu�s sre � a�e n�xby�. rrxt,r�e � tc ao t►a+w� aa �t�� .,�i'Lf�:y.�.... S
�s, f�+ri es made �at
Da€e 01 Ac�BP�e� f7� !�� �� Itf �D// Si�+�dufB:
••Cctsf�m �Ier�e Addf�ons �t� !f's Besfi"
t 4b23 3+rtacris 13rid�,q� 3t�ad
.-.�. .�....� Tie�,hyrhitls, rL 33543
����,�, ���,,�� 81 $13$7iS�S8� Fa�x
i
Q�E•'QfI�E1��tfl�Q�. �G 800-22412UK ToI] F'ree
www.bhcanstructianinc.com W+ob Site
�1[�I�l� A.
Apri� 19. 2Q I l
leau:
�ircg h+e,r� from �& H�o�ts�ru�tion; l�vantod ta �ak yc�� f�ar thr n+�w jab and would lik,c �+ou to
help me ma3ce sure we're c�n #he samc pag�. I'm sendir�g a nev►• dr�awin� with same notes.
Gla�s R�om: Wiri�ws sre s�de s�id+er wi#h broazc tint, one prinae entry daor with aa aperat�le wir�drsw,
�4" kick plate t�at mat�chcs tbc gEsss room ki�ck plate. 'Thc steel door bctv►re�n �isss room and shed will
bc chosen thi� fa1L Elec�ric will be discussed in m+�rc c�ctail with y+�ur �n-laws and elec�iciaa.
Walls: Add 4fl' of 2x�4 swd vva]ls includes vinyi sidi�one shed door��one st�el door�$3SU.tl() a�lc�tteci)
t 3' of s�eci w�1I wi}I be insula�ed,
�lass Roarn: Add 3I' ofal�uuin� stud walls wiih single par�e wixid�aws,�c�ne prime �ntry d� above
ant� betaw windows wiIl b�c insutat�ri, thc kick platc will lx iasulat,�d. �
C2.00fi 7he roof i� �onstructed witl� 3" metal on metal e�itc �eels, a fan beam will be ir�talleci in thc
glass raom ar+�s, and the fan is not included.
Carport: T�e carport w�l be co�►stcuctez� with struetural grade posts, beams, and will stop at front of
hnme.
C7f�sidc �uttcr end vafenco is e.stim�tcxl.
�:oncreLe: Nevv �crete wiil t�e instalied u�1er shed a�ea with ct�te apprave� foQters; ��' ri6bon aill
be insialled nc:xt to exisrir�g roncr�te to inrxr.ase width '�x48'.
�Iectria, plumbin�
Permit an�l dx�awiutgs includdd.
Tat�l for abc�ve $�8,�O.OiI , .�`�`���
/-�fi4+;t ��; :24���
LE�11i�R�3 G. "GECSFF" WOOD, P.E.
4034 THE FENWAF
MULBERRY, FL 33860
(863)646-551? ,
Date: 09/26/ 11
B&H Construction
Zephyrhill, Fl.
Re: Jean 8a Mark Moresco Mod. #:
Address: 3843 Lacosta St. Lot #:
Zephyrhills, F.
Dear Sirs,
This letter is to certify that I have reviewed the above referenced
structure to determine the structural adequacy of the e�usting structure
to receive the attached structure. The proposed structure is a,
10'x 13' Shed on new concrete, a 13'x 18' glass room w/ insulated
windows and a 10'x 13' Carport.
As always, should you have any questions, please feel free to call
me at any time,
S� rely, SHEET .! pF r�
FOR: B&H CONST OF CEN FLA
onard G. Wood 4025 MORRIS BRIDGE ROAD
ZEPHYRHILLS, F[ARIDA 33543
4034 The Fenway 800-224-1206 FAX (g�3j7)5-6585
Mulberry, FL 33860 THESE STANDARDS AND PLANS
MEEf THE 2007 FBCR 1609
W1TH 2O09 SUPPLIMENTS
MAX WIND I 10 MPH
LEONARD G. "GEOFF"Wppp pE
LEONARD G. "GEOFF' Wppp pE
ENGMEER q 47377
4034 TiiE FENWAY
MULBERRY F1ARIDA 3386�
TELEPHONE/ FAX 863-ba6-5517
MOBILE iJ 863-430-271'J
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FL# M n f urer alidat 8 S
fU561- Revision Elite Aluminum Corporation James L. Buckner, P.E. at CBUCK Approved ,
� Rl Category: Roofing Engineering
i Hi tor Subcateqory: Products Introduced as a Result of (561) 491-9927 �
New Technology �
!'Approved by DCA. Approvals by DCA shall be re viewed and ratified by the POC and/or the Com mission if necessary _ �
Department o/ Commun/ry AKafrs
FlorMa Bulfd/np Code On/Jne
Coda snA Sbndards
2555 Shumsrd Onk Bou/evard
TaNahassee, Florlda 31399-2100
(850) 487-1824, Fax (850) 414-8436
O 2000-2010 7he State of Florlda. All rights reserved.
Privacv 5[atement ��oovriaht Statement I A��sibiliN Statement � Plua-in Softwa�E I� stomer Service Survev � Gontact U5
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�<..��> �ti. �,.r, i . FL # FL7561-RI
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°''�"'��'�"�°��''"'�` ApplicationType Revision
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Product Manufacturer Elite Aluminum Corporation
Address/Phone/Email 4650 Lyons Technology Parkway
Coconut Creek, FL 33073
(954) 949-3200
bpeacock@elitealuminum.com
Authorized Signature Do Kim
dk@dokimengineering. net
Technical Representative Dan Cooke
Address/Phone/Email 1801 NW 64th Street
Ft. Lauderdale, FL 33309
(954) 491-3700
elitealum@aol.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Products Introduced as a Result of New Technology
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Archited Name who Do Kim, P.E.
developed the Evaluation Report
Florida License PE-49497
Quality Assurance Entity CI Professional Services
Quality Assurance Contrad Expiration Date 11/30/2014
Validated By James L. Buckner, P.E. at CBUCK Engineering
Validation Checklist - Hardcopy Received
Certificate of Independence FL7561 Ri COI Cert of Indeoendence.ndf
Referenced Standard and Year (of Standard) g��dard Year
ADM 1 2005
ASTM E72 2005
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Archited
FL7561 R1 Equiv Certificate of Equivalencv.adf
http://www.floridabuilding.org/pr/pr_app_dtl. aspx?param=wGEVXQwtDqsqJkzX72BeuC... 3/23/2011
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Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 09/05/2008
Date Validated 09/10/2008
Date Pending FBC Approval 09/17/2008
Date Approved 10/14/2008
3ummary of Products i
I FL it Model, Number or Name Deseription
{ 7561.1 Aluminum/Aluminum Composite 3"/4"/6"x0.024"xilb EPS Composite Panel,
� Panels 3"/4"/6"x0.032x11b EPS Composite Panel,
j 3"/4"/6"x0.024"x21b EPS Composite Panel,
� 3"/4"/6"x0.030"x21b EPS Composite Panel,
� Limits of Use Installation Instructions
� Approved for use in HVH2: Yes FL7561 R1 II Elite Installation dwa-RS.odf
Approved for use outside HVHZ: Yes Verified By: Do Kim, P.E. CE 49497 I
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +80/-80 Evaluation Reports
Other: In HVHZ, not to be used in structures considered FL7561 Rl AE Elite FL7561-R1 Evaluation.odf
living areas per FBC Sedion 1613 unless impact Created by Independent Third Party: Yes
� � protedion is provided. See installation drawing for --- — -- -- --�
allowable design pressures and spans.
_ Back Nex�
Depsrhnant o/Commun/!y A/h/rs
Fbrlds eW/dl� Code On/!ne
Codea �nd Sbndarda
2553 Shumard Oak Bou/evard
Ta/khassee, F/oHda 32399-2100
(850) 487-1824, F2x (850) 414-8436
�O Z000-2010 The State of Florida. All righ[s reserved.
Vrivacv Statement � Coovrioht Statement I 9Gcessibilitv Statement I Plua-In Software I �^`-•-^^"' Service Survev I Contac[ Us
Product APprOVal Atcepts:
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Search Results - Applications
FL# T e Manufacturer Validated Bv Status �
FL4092-R4 Revision Custom Window Systems Inc. Steven M. Urich, PE Approved '
Historv Category: Windows (717) 932-8500 f
Subcate o : Horizontal Slider
I'Approved by DCA. Approvals by DCA shall be reviewed and ratified by the POC and/or the Commission if necessary �I
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2555 Shumard Oak Boulevard
Tallahassee, Florida 32399-1100
(850J 487-18�4, Fax (850) 414-8436
� 2000-2030 The State of Florida. All rights reserved.
Pnvacv Statement � Coovriah[ Statement � Accessibilitv Sta[ement � plua-in SoRware � Customer Service Survev � Contad Us
Product Approval Aooepts:
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http://www.floridabuilding.org/pr/pr app_lst.aspx 9/30/2011
Florida Building Code Online Page 1 of 2
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BCIS Home Log In User Registration Hot Topics SubmR Surcharge S[ats & Facts Publications FBC Staff BCIS Site Map Links Search
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�Product Approval
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Product Aooroval Menu > Produc[ or Ao�hcation Search > Aoohcation List > Application Detail
�����,� FL # FL4092-R4
� Application Type Revision
_ `� ,`. �_"" Code Version 2007
� . Application Status Approved
c �'��� Comments
� b Archived
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Product Manufacturer Custom Window Systems Inc.
Address/Phone/Email 1900 SW 44th Avenue
Ocala, FL 34474
(352)368-6922 Ext207
mlafevre@cws.cc
A�thorized Signature Michael LaFevre
mlafevre@cws.cc
Technical Representative Michael LaFevre ##
Address/Phone/Email 1900 SW 44th Avenue
Ocala, FL 34474
(352) 368-6922 Ext207
MLaFevre@cws.cc
Quality Assurance Representative Jeff Thompson
Address/Phone/Email 1900 SW 44th Ave.
Ocala, FL 34474
(352) 368-6922 Ext221
jthompson@cws.cc
Category Windows
Subcategory Morizontal Slider
Compliance Method Evaluation Repor[ from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who Roberto Lomas
developed the Evaluation Report
Florida License PE-62514
Quality Assurance Entiry Keystone Certifications, Inc.
Quality Assurance Contract Expiration Date 07/21/2020
Validated By Steven M. Urich, PE
Validation Checklist - Hardcopy Received
Certificate of Independence FL4092 R4 COI 510873 (Eval Rep HS-8200 Non-
Imoact XOX XO).odf
Referenced Standard and Year (of Standard) SWndard Year
AAMA/ W DMA/ 101/I.S. 2/A440-05 2005
Equivalence of Product Standards
http://www.floridabuilding.org/pr/pr_app_dtl. aspx?param=wGEVXQwtDquz931%2b4g5fa... 9/30/2011
Florida Building Code Online Page 2 of 2
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 09/08/2009
Date Validated 09/10/2009
Date Pending FBC Approval 09/21/2009
Date Approved 10/13/2009
�Summary of Products �
FL # Model, Number or Name Descri ion
4092.1 8200 Vinyl Flange/Fin Horizontal 8200 Vinyl Flange and Fin Horizontal Sliding Window
Slidin Window
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL4092 R4 II CWS-340A (HS-8200 Non-Im�act
Approved for use outside HVHZ: Yes XOX XO).odf
Impact Resistant: No Verified By: Roberto Lomas 62514
Design Pressure: N/A Created by Independent Third Party: Yes
Other: HS-8200, 54 x 62, 2 lite, DP 45 PSF; HS-8200, Evaluation Reports
125 5/8 x 62, 3 lite, DP 30 PSF FL4092 R4 AE 510873A (Eval Reo HS-8200 Non-
Imoact XOX XOl.odf
Created b Inde endent Third Part Yes
4092.2 HS-8200 Vinyl Flg/Fin Horizontal HS-8200 Vinyl Flange/Fin Horizontal Sliding Window
Slidin Window
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL4092 R4 II CWS-223A (HS-8200 Non-Imoact
Approved for use outside HVHZ: Yes 72x7Z).�df
Impact Resistant: No Verified By• Roberto Lomas 62514
Design Pressure: +N/A/-N/A Created by Independent Third Party: Yes
Other: HS-8200, 72" x 72", 2 lite, DP 40 PSF. Evaluation Reports
FL4092 R4 AE 510865A(EvalReo HS-8200 Non-
Impact 72x72).odf
Created b Inde endent Third Part : Yes
Back Next
Depariment of CommunHy AI/s/rs
F/orlda Bul/dlnp Code On/!ne
Codes end Shndards
2555 Shumard Oak Boulevard
Tallahassee, Florida 32399-2100
(850) 487-1824, £ax (850) 414-8436
O 2000-2010 The State of Florida. Ali nghts reserved.
Privacv Statement � Coovriaht Statement � AccessibiliN Statemen[ � Pluo-in SoRware � Customer Servfce Survev � f_ontatt Us
Product Approval Accepts:
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' Fldrida Building Code Online Page 1 of 2
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BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search
f'`\ �Product Approvai
( 1 j �� F`q s USER: Public USer
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Prod�ct Aooroval Menu > Product or AoohcaUOn Search > Aoohca[ion List > Appliwtion Detail
��������� FL # FL161-R3
Application Type Revision
Code Version 2007
,wyw�� Application Status Approved
� Comments
�,�� � Archived
Product Manufacturer Custom Window Systems Inc.
Address/Phone/Email 1900 SW 44th Avenue
Ocala, FL 34474
(352) 368-6922 Ext207
mlafevre@cws.cc
Authorized Signature Michael LaFevre
mlafevre@cws.cc
Technicai Representative Michael LaFevre ##
Address/Phone/Email 1900 SW 44th Avenue
Ocala, FL 34474
(352) 368-6922 Ext207
MLaFevre@cws.cc
Quality Assurance Representative Ralph Emminger ##
Address/Phone/Email 1900 SW 44th Avenue
Custom Wi�dow Systems, Inc.
Ocala, Fl 34474
(352) 368-6922 Ext 208
Ralph@cws.cc
Category Exterior poors
Subcategory Swinging Exterior poor Assemblies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who Roberto Lomas
developed the Evaluation Report
Florida License PE-62514
Quality Assurance Entity Keystone Certifications, Inc.
Quality Assurance Contract Expiration Date 07/21/2020
Validated By Steven M. Urich, PE
Validation Checklist - Hardcopy Received
Certificate of Independence FL161 R3 COI 511038 jEval Re� Guardian Doorl.odf
Referenced Standard and Year (of Standard) Standard Year
ANSI/AAMA/WDMA 101/I52-97 1997
Equivalence of Product Standards
http://www.floridabuilding.org/pr/pr_app_dtl. aspx?param=wGEVXQwtDqvyf4ngAXh 104... 9/30/2011
� Fl�rida Building Code Online Page 2 of 2
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 03/04/2009
Date Validated 05/05/2009
Date Pending FBC Approval 05/il/2009
Date Approved 06/09/2009
---- -- - -- -- ----- - -- - - - -- --
�Summary of Products
FL # Model, Number or Name Descri tion
161.1 Guardian Hinged Door Guardian Hinged Door w/ Glazed Insert (Operable or
Fixed .
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL161 R3 II CWS-1768 (Guardian Doorl.odf
Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Desiqn Pressure: +40/-40 Evaluation Reports
Other: Not for use in HVHZ. Primarily used with Screen FL161 R3 AE 511038A (Eval Re� Guardian Doorl.odf ;
Rooms. Created b Inde endent Third Part : Yes
161.2 Guardian Hin ed Door Guardian Hin ed Door w/ Solid Core.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL161 R3 II CWS-242A (Guardian Door no olass).odf
Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +40/-40 Evaluation Reports
Other: Not for use in HVHZ. Primarily used with Screen FL161 R3 AE 511050A (Eva� Re� Guardian Door no
Rooms. lass . df
Created b Inde endent Third Part : Yes
Back Next
Department o/Communit� Alfalrs
Fbrlda Bu!/d/ny Code On/Ine
Codes and Shndirds
2555 Shumard Oak Boulevard
Tallahassee, Flonda 32399-2100
(850) 487-1824, Fax (850) 414-8436
p 2000-2010 The State of Florida. Alt rights reserved.
Privacv Statement � foovriaht Statement � A «ibiliN 5 at m nt � Plua-in SoRware �(' ��tom r 5 rvi a S�rvev � Contact Us
Product Approval Aaeptc:
� � eChtck �
ti�'LUCIl1"�ti I icli �
v.ns.�.., �
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I FL# �/pC Manufacturer Validated Bv Status
i FL1722- Revision Elixir Industrfes Georgia Door Division American Architectural Manufacturers Approved ;
� R3 Category: Exterior poors Associatfon
Historv Subcategory: Swinging Exterior poor (847) 303-5859
Assemblies
�*Approved by DCA Approvals by DCA shall be revlewed and ra[ified by the POC and/or the Commission if necessary _ __ _�
Dep�rtment of Commun/ty AMa/rs
Fbrlds Bu!/d/np Code On/Ine
Codea and Sbndards
2555 Shumard Oak Boulevard
Tallahassee, Floiida 32399-2100
(850) 487-1824, Fax (850) 414-8436
B 2000-2010 The State of Florida. All rights reserved.
Privacv Statement � Coovrwht 5[atement � AccesSibiliN Statement � Plua-in Software �['!�ctomer Service Survey I Contact U5
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Product Manufadurer Elixir Indus[ries Georgia Door Division
Address/Phone/Emaii 1215 Pope Drive
Douglas, GA 31533
(770)459-8183
bpowers@elixirind.com
Authorized Signature Robert Powers
bpowers@elixirfnd.com
Technical Representative PTC
Address/Phone/Email 1535 N. Cogswell Street
Ste. C25
Rockledge, FL 32944
(321) 690-1788
info@ptc-corp.com
Quality Assurance Representative
Address/Phone/Email
Category E�erior poors
Subcategory Swinging Exterior poor Assemblies
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Association
Referenced Standard and Year (of Standard) Standard Year
ASTM E330 2002
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted OS/18/2009
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvOQpGQvtVm... 4/ 18/2011
� Florida Building Code Online rage � �i �
Date Validated 07/16/2009
Date Pending FBC Approval 08/12/2009
Date Approved 10/13/2009
--- �
�Summary of Products �
j FL # Model, Number or Name Descri ion
� 1722.1 402-14 Vin I Steel Out-Swin in Re ular poor - 14"x14" Window :
Limits of Use Certification Agency Certificate
� Approved for use in HVHZ: No FL1722 R3 C CAC 402-14.pd`
� Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
j Impact Resistant: No 11/20/2011
i Design Pressure: +33 3/-50 Installation Iostrudions
, Other: FL1722 R3 II DWG 402-14.pdf
Verifled By: Paui E. Winter 22693
( Created by Independent Third Party: Yes
� Evaluation Reports
FL1722 R3 AE eval wout storrn doors.odf
� Created b Inde endent Third Pa : Yes
� 1722.2 402-205 Vinyl Steel Out-swinging Regular poor - 20" slider
j window
� Limits of Use Certificatlon Ayency Certificate
i Approved for use in MVH2: No FL1722 R3 C CAC 402-205.pdf
Approved for use outside HVH2: Yes Quality Assurance Contract Expiration Date
� Impact Resistant: No il/20/2011
i Design Pressure: +40/-45 Installatlon Instructions
' Other FL1722 R3 II DWG 402 20S.Gdf
! � Verified By Paul E. Winter 22693
i Created by Independent Third Party Yes
; Evaluation Reports
� FL1722 R3 AE eval wout storm doors.�df
! Created by Inde endent Third Part : Yes
i 1722.3 407 Vinyl Steel Out-swinging Regular poor - Blank (no
� window
! Limits of Use CertiticaYion Agency CertiFcate
i Approved for use in HVH2: No FL1722 R3 C CAC 407.odf
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiratlon Date
Impact Resistant: No 11/20/2011
Design Pressure: +50/-50 Installation Tnstrudions
� Other: FL1722 R3 II DWG 407.Ddf
� Verified By. Paul E. Wtnter 22693
� Created by Independent Third Party: Yes
i
Evaluation Reports
i FL1722 R3 AE eval wout storrn doors.odf
� Created b Inde endent Third Part : Yes
I 1722.4 430 W9 Vinyl Steel Out-swinging Regular poor - 9-Lite Window
1'8" x 3'0"
Limits of Use Certification Ayenry CertiRcate
Approved for use in HVHZ: No FL1722 R3 C CAC 430 W9.odf
Approved for use outside HVHZ: Yes Quality Assurance Contrad Expiration Date
Impad Resistant: No 11/20/2011
Design Pressure: +40/-40 Installation Instrudions
Other: FL1722 R3 II DWG 430 W9.odf
Verified By: Paul E. Winter 22693
Created by Independent Third Party� Yes
Evaluation Reports
FL1722 R3 AE eval wout storm doors.adf
Created b Inde endent Third Part : Yes
1722.5 6400-W9 Steel Clad In-swin Door with Fullview Storm Door
Llmits of Use Certification Agency Certificate
� Approved for use in HVH2: No FL1722 R3 C CAC 6400-W9.pdf
i Approved for use outside HVHZ: Yes Quality Assurance Contrad Expiration Date
j Impad Resistant: No 11/20/2011
! Design Pressure: +65/-65 Installation Instrudions
! Other: FL1722 R3 II DWG 6400 W9.udf
Verified By• Paul E. Winter 22693
Created by Independent Third Party� Yes
Evaluation Reports
FL1722 R3 AE eval w storm doors.pdf
Created by Inde endent Third Part : Yes
j 1722.6 8500-Oval Steel Clad In-sw(n Door wlth Full View Storm Door
� Limits of Use Certification Agency Certificate
http://www. floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvOQpGQvtVm... 4/ 18/2011
, Florida Building Code Online rage � ui �
� Approved for use in HVMZ: No FL1722 R3 C CAC 8500-OVAL.pdf
� Approved for use outs(de HVHZ: Yes Quaiity Assurance Contrad Expiration Date
! Impact Resistant: No 11/20/2011
! Design Pressure: +65/-65 Installation Instructions
; Other: FL1722 R3 II DWG 8500.pdf
Verifled By: Paul E. Winter 22693
i Created by Independent Third Party: Yes
Evaluation Reports
FL1722 R3 AE eval w storm doors.pdf
; Created b Inde endent Thfrd Part : Yes
i
� 1722.7 9000 Steel Clad In-swin Door with Fuliview Storm Door
� Limits of Use Certification Agency Certiflcate
I Approved for use in HVHZ: No FL1722 R3 C CAC 17024 9000 IS.pdf
i ppproved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
i Impad Resistant: No 11/20/2012
� Design Pressure: +65/-65 Installatio� Instructions
� Other: FL1722 R3 II 9000 series docr.pdf
Verified By Paul E. Winter 22693
� Created by Independent Third Party� Yes
Evaluation Reports
i FL1722 R3 AE eva11414.pdf
� Created b Inde endent Third Party: Yes
� 1722.8 9401-W9 Steel Clad In-swin Door with Full-view Storm Door
� Limits of Use Certification Agency Certificate
i Approved for use in HVHZ: No FLll22 R3 C CAC 17024 9400 IS.odf
! Approved for use outside HVHZ: Yes Quallty Assurance Contract Expiration Date
� Impact Resistant: No 11/20/2012
i Design Pressure: +60/-60 Installation Instructions
I Other: FL1722 R3 II 9400 series docr.ptlf
Verified By: Paul E. Winter 22693
i Created by Independent Third Party Yes
� Evaluation Reports
; FL1722 R3 AE eva11414.odf
I Created b Inde endent Third Part : Yes
� 1722.9 STR 7000 Oval Standard Residential Door with Full-view Storm Door
' Limits of Use Certiflcation Agency Certiflcate
� Approved for use in HVH2: No FL1722 R3 C CAC STR 7000-OVAL.�df
Approved for use outside HVHZ: Yes Quality Assurance Contrad Expiration Date
; Impad Resistant: No 11/20/2011
i Design Pressure: +60/-65 Installation Instructlons
i Other: FL1722 R3 II DWG 7000.qdf
Verified By: Paul E. Winter 22693
i Created by Independent Third Party• Yes
i Evaluation Reports
� FL1722 R3 AE eval w storm doors.odf
i Created b Independent Thlyd Pa : Yes
� -- —.....--_.._.._.._ _... _..__ _--...._ ..... ___.. _.--- --�_ . _ ....._---... --.
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Deprtment o/ Communlry A/Ia/rs
F/or/da Bu/Wlnp Code On/!ne
Codes and Sbndards
2555 Shumard Oak Boulevard
Tallahasseg florida 32399-2100
(850) 487-1824, Fax (850) 414-8436
p 2000-2010 The Sta[e of Florida. All rights reserved.
Privacv Statement � Coovnaht Statement � AccessibiliN Statement � Plua-in SoRware � f���r�ma� Service S�rvev I S?�tact Us
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Product Aooroval Menu > Product or Aooh atwn caa��ti > qoohcation Lis[ > ApplicatWn Detail
�.����. +� FL11136
#
Application Type New
, � , Code Version 2007
�P!�yl� ! Application Status Approved
� ° j' Comments
Archived
:-� �� ..i -
Product Manufacturer JELD-WEN
Address/Phone/Email 3737 lakeport Blvd
Klamath Falls, OR 97601
(800)535-3936
fbc@jeld-wen.com
Authorized Signature ]anet Gerard
fbc@jeld-wen.com
Technical Representative Steve Saffell
Address/Phone/Email 3737 Lakeport Blvd
Klamath Falls, OR 97601
(541)882-3451 Ext2900
stevesa @ jeld-wen. com
Quality Assurance Representative
Address/Vhone/Email
Category Exterior poors
Subcategory Swinging Exterior poor Assemblies
Compliance Method Certification Mark or Listing
Certification Agency Miami-Dade BCCO - CER
Validated By Miami-Dade BCCO - VAL
Referenced Standard and Year (of Standard) �
SWnda d Year
TAS-201 1994
7A5-202 1994
TAS-203 1994
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
http://www.floridabuilding.org/pr/pr app dtl.asnx?varam=wC�EVX(�wrT��traCisl„��:.,,,; i 7 �� i ��ni n
. Florida Building Code Online , Fage 2 af 4
Date Submitted 07/21/2008
Date Validated 07/23/2008
Date Pending FBC Approval 07/28/2008
Date Approved 09/15/2008
Summary of Products
FL � Model, Number or Name Description
11136.1 Steel, Steel Edge in Wood Frame 3'-0" x 6'-8", Opaque, Single Door, In-swing
Limits of Use Certification Agency Certificate
Approved for use in HVH2: Yes FL11136 RO C CAC 08-0208.06 odf
Approved for use outside HVHZ: Yes FL11136 RO C CAC 2007 Comoliance Letter for NOA
; Impact Resistant: Yes 08-0 08.06. df
� ' Design Pressure: +80/-80 Quality Assurance Contract Expiration Date
Other: Product must be installed per manufactures 02/il/2013
instructions as stated on NOA Installation Instructions
FL11136 RO II 08-0208 06 odt
Verified By: Miami-Dade BCCO - CER
� Created by Independent Third Party•
� Evaluation Reports
; Created by Independent Third Party:
� 11136.2 Steel, Steel Edge in Wood Frame 3'-0" x 6'-8", Opaque, Single Door, Out-swing
j Limits of Use Certification Apency Certificate
' Approved for use in HVHZ: Yes FL31136 RO C CAC OS-0208 07 odf
� Approved for use outside NVHZ: Yes p�>>>3� on � re� Z007 Comoliance Letter f r NOA
, Impad Resistant: Yes 08-020 .07.� df �--
! Design Pressure: +80/-80 Quality Assura�ce Contract Expiration Date
I Other: Product must be installed per manufactures 02/11/2013
i instructions as stated on NOA Instatlation Instructions
F111136 RO II 08-02�R 07 odt
i Verified By: Miami-Dade BCCO - CER
i Created by Independent Third Party:
j Evaivation Reports
! Created b inde endent Third Party:
� 11136.3 Steel, Steel Edge in Wood Frame 5'-4" x 6'-8", Opaque, Single Door, With or Without Side-
i lites, In•swing
' �imits of Use Certification Ayency Certi�cate
j Approved for use in HVHZ: Yes
, F�11136 R0� CAC 07-0709 0� ��f
� Approved for use outside HVH2: Yes 531136 RO C CAC 2007 Com�liance Le ter TAS-
i Impact Resistant: Yes 201 2.PDF
� Desiyn Pressure: +60/-60 Quality Aasurance Contract Expiration Date �
Other: Produd must be i�stalled per manufadures 08/08/2012
� instructions as stated on NOA. Side-lites are not Impact Installation Instructions
Rated and Require Miami-Dade HVHZ Approved Shutters. FL11136 RO II 07-0709 03 odf
i
� ' Verified By: Miami-Dade BCCO - CER
Created by Independent Third Party•
I Evaluation Reports
Created b Inde endent Third Party:
I 11136 4 Steel, Steei Edge in Wood Frame 8'-4" x 6'-8", Opaque, Single or poubie Door, With or
Without Side-lites, Out-swing
Limits of Use Certification A9en Certificate
I Approved for use in NVHZ: Yes F R �
0 C CAC 07-0618 � ���f
� Approved for use outside HVHZ: Yes �31136 RO C CA nn7 Comolian P� P�YP� S TAS-
j � Impad Resistant: Yes 201 .PDF
Desiyn Pressure: +60/-60 Quality Assurance Contract Expiration Date
I Other: Product must be installed per manufactures 07/03/2012
I instruc[ions as stated on NOA. Side-lites are not Impact Installation Instructions
Rated and Require Miami-Dade HVFIZ Approved Shutters. FL11136 RO II 07-06 8 10 df
i
� Verified By: Miami-Dade BCCO - CER
Created by independent Third Party:
Evaluation Reports
, Created by Indepe�dent Third Party:
j 11136.5 Steel, Steel Edge in Wood Frame 12'-0" x 6'-8", Opaque, Single or pouble Doo�, With or
I � Without Side Out
Limits of Use Certification Aye�y �ert���ate
� Approved for use in HVHZ: Yes FL11136 RO S CAC 07-0820 08 ❑df
I Approved for uae outside HVHZ: Yes FL11136 RO C �AC 2nn� ��..+.+r nce Letter
Impact Resistant: Yes �1.2.3.PDF �` T � s �
j Design Pressure: +61/-61 Quality Assurance Contract Expiration Date
� � Other: Product must be installed per manufactures 08/22/2012
instructions as stated on NOA. Side-lites are not Impact Inatallation Inatructions
� Rated and Require Miami-Dade HVHZ Approved Shutters. FL31136 RO 11 07-0820 08 odf
� Venfied By: Miami-Dade BCCO - CER
http://www.flaridabuildinQ.org/nr/nr ann �ltl asnx?nara. , , „, ,,,,,,,,
Florida Building Code Online � Page 3 of 4
Created by Independent Third Party
, Evaluation Reports
Created by Independent Third Party.
11136.6 Steel, Steel Edge in Wood Frame 3'-0" x 8'-0", Opaque, Single Door, In-swing
Limits of Use Certification Agency Certificate
Approved for use in HVH2: Yes FL11136 RO C CAC 08-0208.06 odt
Approved for use outside HVHZ; Yes FL11136 RO C,CAC 2007 Com liance Le ter for NOA
Impact Resistant: Yes �-- t
08-0208•96.�df
Design Pressure: +61/-65 Quality Assurance Contract Expiration Date
Other: Product must be installed per manufactures 02/il/2013
instructions as stated on NOA. Installation Instrudions
FL11136 RO II 08-0208.06 odt
Verified By. Miami-Dade BCCO - CER
Created by Independent Third Party.
Evaluation Reports
Created by Independent Third Party
� 11136.7 Steel, Steel Edge in Wood Frame 3'-0" x 8'-0", Opaque, Single Door, Out-swing
; Limits of Use Certifcation Aqency Certificate
' Approved for use in HVHZ: Yes FL11136 RO C CAC OS-0208 07 odf
Approved for use outside HVH2: Yes FL31136 RO C CAC 2 07 Com_ �lian� Letter for NOA
; Impact Resiatant: Yes _ � f
� Desiyn Pressure: +61/-65 Quality Aasurance Contrad Expiration Date
; Other: Produd must be installed per manufactures 02/il/2013
! instructions as stated on NOA. Installation Instructions
FL11136 RO II 08-0208 07 �df
Verified By. Miami-Dade BCCO - CER
� Created by Independent Third Party.
Evaluation Reports
� Created by Independent Third Party:
; 11136.8 Steel, Steel Edge in Wood Frame 8'-4" x 8'-0", Opaque, Single or pouble Door, With or
� Without Side-lites, In-swing
� Limits of Use Certification A�ency Certificate
i Approved for use in HVHZ: Yes FL11136 RO C �AC 07-0618.08_odf
, Approved for use outaide HVN2: Yes FL11136 RO C CAC 2007 Comoliance Letter S. 1A5-
Impact Resistant: Yes P F
� Desiyn Pressure: +47/-47 Quality Assurance Contract Expiration Date �
; Other: Product must be installed per manufactures 07/03/2012
instructions as stated on NOA. Side-lites are not Impact Installation Instructions
� Rated and Require Miami-Dade HVHZ Approved Shutters. FLi1136 RO II 07-0618 08 odf
; Verified By: Miami-Dade BCCO - CER
j Created by Independent Third Party:
Evaluation Reports
� Created by Independent Third Party:
11136.9 Steel, Steel Edge in Wood Frame 8'-4" x 8'-0", Opaque, Single or pouble Door, With or
Without Side-lites, Out-swing
I Limits of Use Certification Ayency Certificate
Approved for use in HVH2: Yes FL11136 RO 07-0618 06 odf
� Approved for use outside HVH2: Yes FL11136 RO C CAC 2007 Somoliance e r 5 TAS•
� Impact Resistant: Yes P F
i Desiyn Pressure: +47/-47 Quality Assurance Contract Expiration Date
� � Other: Product must be installed per manufactures 07/03/2012
instructions as stated on NOA. Side-lites are not Impact Inatallation Inatrudions
� Rated and Require Miami-Dade HVHZ Approved Shutters. FL11136 RO II 07-0618 06 odf
� Verified By: Miami-Dade BCCO - CER
Created by Independent Third Party:
I Evaluation Reports
Created by Independent Third Party:
� 11136.10 Steel, Steel Edge i� Wood Frame 5'-4" x 6'-8", Full Lite, Single Door, With or Without
Side-lites, In-swing
I Limits of Use CertiTication Ayency Certlficate
Approved for use in HVHZ: Yes
I FL11136 Rp� CAC 07-0618. 7 pdt
; Approved for use outside HVNi: Yes FL11136 RO C CAC 2007 Comoliance Letter 5 TAS_
� Impact Resistant: No 0 P F
Desiyn Pressure: +60/-60 Quality Assurance Contrad Expiration Date
Other: Product must be installed per manufactures 07/03/2012
I instructions as stated on NOA. Side-lites and Door are Installation Instructions
I not Impact Rated and Require Miami-Dade HVHZ FLi1136 RO _II 07-0618.07.odf
Approved Shutters. Verified By: Miami-Dade BCCO - CER
i Created by Independent Third Party:
� Evaluation Reports
Created by Independent Third Parcy:
i 11136 li Steel, Steel Edge in Wood Frame 8'-4" x 6'-8", Full Lite, Single or pouble Door, With or
Without Sfde-lites, Out-swing
httU://www.floridabuilding nro/nr/nr ar�r� r�tl �C/ 1 Y 7 ilAtOm - ..> l��VVll...ail_aa..�..i���. • . . ,. . ,�,,. _
. Flonda Bu�lding Code Online � • Page 4 of 4
Limits of Use Certification Agency Certificate
Approved for use in HVH2: Yes FL11136 RO C CAC 07-0618.09.odt
Approved for use outside HVH2: Yes FL11136 RO C CAC 2007 Comoliance Letter S TAS-
Impact Resistant: No 202.PDF
Oesign Pressure: +42/-42 Quality Assurance Contract Expiration Date
Other: Product must be installed per manufactures 07/03/2012
instructions as stated on NOA. Side-lites and Doors are Installation Instructions
not Impact Rated and Require Miami-Dade HVHZ FL11136 RO II 07-0618.09.odf
Approved Shutters Verified By• Miami-Dade BCCO - CER
Created by Independent Third Party
Evaluation Reports
Created by Independent Third Party
11136 12 Steel, Steel Edge in Wood Frame 8'-4" x 8'-0", Full Lite, Single or pouble Door, With or
Without Side-lites, In-swing
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FLi1136 RO C CAC 07-0509 06 odt
Approved for use outside HVHZ: Yes FL11136 RO C CAC 2007 Comoli�nce Letter 5. TAS
Impact Resistant: No 202.PDF —
Design Pressure: +55/-55 Quality Assurance Contract Expiration Date
Other: Produd must be installed per manufactures 06/27/2012
instructions as stated on NOA. Side-lites and Doors are Tnstallation Instructions
not Impact Rated and Require Miami-Dade HVHZ FL11136 RO II 07-0509 06 �df
Approved Shutters. Verified By: Miami-Dade BCCO - CER
Created by Independent Third Party•
Evaluation Reports
Created by Independent Third Party:
' 11136.13 Steel, Steel Edge in Wood Frame 8'-4" x 8'-0", Full Lite, Single or pouble Door, With or
Without Side-lites, Out-swing
i Limits of Use Certi�cation Agency Certifcate
Approved for use in HVHZ: Yes FL11136 RO C CAC 07-0709 OS odf
' Approved for use outaide HVN2: Yes FLl_ 1136 RO C C�__2007 Com liance Letter 5._TA�
Impact Resistant: No 2 ,pDF –
� Design Pressure: +55/-55
i Quallty Assurance Contract Expiration Date
i Other: Produd must be installed per manufactures 07/18/2012
; instructions as stated on NOA. Side-lites and Doors are Inatallatfon Instrudions
not Impad Rated and Require Miami-Dade HVHZ FL11136 RO II_g7-0709.OS.odt
� Approved Shutters. Verified By. Miami-Dade BCCO - CER
Created by Independent Third Party:
' Evaluation Reports
� ________ Created by Independent Third Party.
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PASCO COUNTY BUSII�T �: �� "�'.f��� �� �� �: �. � �, � � � � f � �� � � v1`�
Issued pursuant and subject to,Florida Statutes and Pasco C��unty Or�lin�;nces. Issu�r�:e ci�r•s net cer!ity c:�i��E;�i;;n:;,� ;:;i-i
zoning or other laws. This receipt ;nust bc� {�o:>>F�r cu;�:,,�,cuou:.l,� n{�I,.c� ul 1��.:.,�,�, �_ .:x�;u�:: Se,,!..;r: ;,,� ,-
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ACCOUNT N0: 022156 T�X COI�I TYPE OF BUSINESS �
—, -- - SIC - CQDE� --- 1731: - 02 ---- -- l'A��'O('c�t`N'1'1'1�1.UR1[).� ELECTRICAL CONTRACTOR
,�'`,��"L�2+�''•. LOCATION ADDRESS�
JAMES 0 MORTON ELECTRIC CO INC: �T• 36906 EILAND BLVD
PO BOX 1537 � � � � ''' ZEPHYRHILLS
ZEPHYRHILLS FL 33539-1537 :� µ ` �:�
'•."°�.,,�,,,,��' •� DATE RECEIPT AMOUNT
••• ' 08/17/11 451410 31.25
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"_ ____ ____—__"__.______ _ --_"_ _______. ___._ "_ __ _ ___ __� _ __. "
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� � CERTIFICATE QF COMPEfENCY � ; �' ' UEVELOPMENT REVI W J
DEVELOPMENT REVIEW SERVICES UEPL ; CAfiD
CONTRACTOR LICENSING j
� s�RVicES �r-!� �
• COi�l LICE!�SING
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E Ei_L.;�; T CA�::,--i`"Cii��i i�:;�;!^_� t_i( ; ; _ Be it known that• ,,,_
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E HAVING MEf THE COMPETENCY REQUIREMENT FOR , , _ i .,. _�,. �,
THE LICENSE TERM EXPIRING. � : �, , y •-: • �� � ' •--� - ,
! , .:. ' . --! ,._ �
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SIGNATUf3E ' � � ' � � � ,
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IT SHALL [3E THE RESPONSIB�LITY UF THL
LICENSEE7U KtEPALLINSUFCANCE, f30NDS, UNOER ScG� 1� i'/;SCI)'.,UU�vl :;UUc_ ri; :� i;iE(
ADDNESSES'AND PHONE NUMBERS CURREf�T P{�OV�SI(��'�;S A CEIi r{t=1C/�TE �Ji= CVf�.�li'iY�l Fi�!'�Y
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6UILDItJG OFFIC!AL � ,;,;1 �'
Oct 10 11 10:16a ELAINE RIEGLER INSURANCE 8137887133 p,1
Certificate of Insurance
This certifies that State farm Fire and Casualty Company Bfoomnqton minois
fTwTl H�M State Farrn (ieneral Insura�ece Company 6loomington, ilNnois
State Farrn Fire and Cawalty Company, axwa, or�nrio
IN�YlANC� State Farm Fbrida Insurance Company, v+Fn�er r+aven, Floriaa
S`tate Farm Lbyds, Dallas, Texas
insures the followin0 palicyhotder forthe covera�ges indicated below:
Policyholder JAMES O MORTON ELECTRIC CO INC
Address of policyholder PO BOX 1537 36906 EILAND BLVO ZEPHYRHILLS, FL 33542
�ocaEian af operations
Description of opera�ons ELECTRICAI. WORK
The policies listed be(ow have bee� issued to the po�cyholder forthe poticy periods shown. The insurance described in these policies is
subject to all the terms, exclusians, and condfians of �ose poiicies. The limils of babilily► shovm may have been redaiced by any paid daims.
Pof�y Perloti Limits oi Uability
Pdicy Number Type of Insurance Eflecttve Date : Expr�on Dabe (at beginntng of polky period)
Comprehensive BODlIY I,VJ�IRY AAD
Busines.s Liability PROPERN DAMAG�
------- - - -- -- ----------
----"-'- ------'...' "" ---��'--- ---"' ------" � --� �-
This insurance includes: Products - Camp3eted Op�ons
Contractual Liability Each Occurrence $
Personal Injury
Advertising Injury General Aggregate g
Product = Completed $
Operafions Aggregate
Policy Period BO !LY INJ RY AND PROPERTY DAMAGE
Pollcy Number EXCESS LIABILITY Efiective Date 6 Expiration Date (Combined Singie Limit)
� ���� Each Occurrence �
[] Other A egate $
Pollcy � erlod
Etf�ective DaGe i Ex aRion Dabe Part 1- Work�s Co ensa�� - Statuto
- Workers' Corr�ensation a3122/11 D3/22N 2 art II - Employers Liability
and Employers Liability Each Acadent $ 100,000.00
Disease - Each Employee $ 10Q�000.00
�isease - Policy Limit $ 500,OQ0.00
Po1kY Penad Umfts of Liability
Pollcy Number T e of Insurance Ef'lective Dabe : Expiration Dabe (at Inning ot licy 'od)
7HE CERTIFICATE OF INSURANCE iS NOT A CONTRACT OF 1NSURANCE AND NEITHER AFFIRMAIiVELY N10R NEGATNELY
AMENDS, EXTENDS OR ALTERS TNE COVERAGE APPROVED BY ANY POLICY DESCRIBED H�REIN.
Name and Address of Gertification Fidder If any of the described policies are canceled before
their expration date, State Farm� will�y Lo mail a
written notice ta the certificate holder 3 � days
CITY OF ZEPHYRHILLS before cancellation. If we tail to mail such notice, no
5335 8TH STREET obligation or liability wpl be irnposed on State Farrn or
ZEPHYRHILLS, FL 33542 ii.s agerris or representatives.
Ai�Qc?d
t�9S
Signature of rize eprese�fative
INSRIRANC ACCT REP 10/10111
Title pape
ELAINE RlEf3LER
Agent Name
Telephone Number �813) 783�5500
RgenYs Code Stam�
A�nt Ccde 2+66
�ooizso
A=0 Coce F875
'OE399.9 03-16200P
Oct 1011 10:16a ELAINE RIEGLER INSURANCE 8137887133 p.2
Certificate of Insurance
This certifies that 3ta1e Farm Fire and Casualty Company, eioo�con, urr,o�
`T.T' ""." gt�te Farm General Insurance Company, sioorn�nyton, i�ino�s
State Farm Fire and Casualty Company, Aurora, ontario
,,,,,,�.,�. Stabe Fa�rn Fbrida Insurance Company Wirrter Haven. Florida
' Statie FaRn Uoyds, Dallas, Texas
insures the foNowing policyholder for the coverages mdicated helaw�
Policyholde� JAMES O MORTON ELECTRIC CO INC
Address of poEicyholder PO BOX 7 537 36906 EIIAND BLVD 2EPHYRHILLS, FL 33542
Location of operations
Description of ope�ations E�ECTRICAL WORK
The policies listed be�ow have been issued ta the poNcyholder forthe paticy periods shown, The insurance described in these policies is
subject to all the terms, exclusions, and conditions of those policies. The limifs af liability shown may have been reduced by any paid daims.
Poficy Perlod Llmlts of Liability
Pdicy Number Type of Insurance Eftective Dab� : Explratlon Date (at beginning of policy period)
98 Cornprehensive 03/2?J71 D3/22112 BODILY INJURY AND
Business Liability ; PROPERTY DAMAGE
..__.__ - -- -- ---...-------�----------------------
--------•- ------------ ------------- ----- ------- -- --- -
This insurance includes: Products - Completed Oper2tions
Contractual Liabitity Each Occurrence g 1,QOd,000.00
Personal Injury General Aggregate $ 2,400,000.00
Advertising Injury
Product Completed $ 2,OOO,Q00.00
Operations Aggr+egate
Pollcy riod 8(jD1LY INJURY AND P#tOPER Y DAMAGE
Pdicy Number EXCESS LIA$IL[TY E?fecflve Dabe ; Expiration Date (Combined Single Limit)
❑ �"'�� Each Occurrence $
� other A99regate $
Policy Period
EtFectl�e DaLe : Ex radon Date Part I- Workers Compensation - Statuto
Workers' Compensation Part II - Employers �iabiNty
and Employers Liability Each Accident $
Disease - Each Empl4yee $
Disease - Policy Limit $
Pol�y Period Llmlts of Liabifity
Pdicy Number Type of Insurance Eflect�ve qate i Expiration � �at beginning of policy period)
THE CERTIFICATE OF INSURAl+iCE IS NOT A CON7RACT �F INSURANCE AND NEITHER AFFIRMATiVELY N012 NEGATIVELY
AI4A ENpS, EXTENDS OR ALTERS THE COVERAGE APPRaVED BY ANY POLICY DESCRIBED HEREIN.
Name and Address of Certificatian Holder If any of the desaibed poliaes are canceled before
their expiration date, State Farm� will try to mail a
written notice to the certificate holder 30 days
CITY OF ZEPHYRHIL.LS before cancellation. If we fail to rnail such notice, no
5335 8TH STREET obligation or liabiliiy will be imposed on State Farm ar
ZEPHYRHILLS, FL 33542 its ageMs or representatives.
.` ' ,.r
Signature af A ed R aer►t�
INSURANC CCT REP 10/10l11
Title �e
ELAlNE RIEGLER
Ayent Name
TelepAone Number (8'�3) 783-8500
AcenYs Coce Stamp
ABerx Co�e 2456
AFO Code F975
1001Z60 106389.� 03-�640C9