HomeMy WebLinkAbout11-12488 CITY OF ZEPHYRHILLS
' S335 - 8TH SIREET ` "
' (si3)�so-oo20 12488
' BUILDING PERMIT
Permit Number: 12488 Address: 4846 ROLLINS ST
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: WINTERS
Est. Value: Parcel Number: 14-26-21-0000-00200-0000
Improv. Cost: 3,559.00
Date Issued: 11/02/2011 Name: WINTERS MOBILE HOME PRK INC
Total Fees: 82.50 Address: 38022 WINTER DR
Amount Paid: 82.50 ZEPHYRHILLS FL 3542
Date Paid: 11/02/2011 Phone: (508)726-4387
Work Desc: REPLACEMENT WINDOW SIZE/SIZE 10
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty aonstruction 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 fnancing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRAC R SIGNATURE PERMIT OFFI R
P MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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��o-r�u-uuzu City of Lephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received ~ ?j `� ` Phone Contact for Permittln �� G� -- �4 �
Owner's Name. W��w��/ �,, .� �"low. {�►�I uw+a� Owner Phone Number _
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �— �
Fee Simple Titleholder Address
JOB ADDRESS 7 �/i A LOT # �
SUBDIVISION �+� T�r ( r PARCEL ID# J 7'��^ Z -� 0 0 0� 0 p .. d 0 D O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q
DESCRIPTIONOFWORK (.�i�ou f• riw��.�. Iitc �ir Ii c^ �d N1�7���II "
BUILDING SIZE � SQ FOOTAGE� HEIGHT
�BUILDING $?! VALUATION OF TOTAL CONSTRUCTION
>7
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C.
�PLUMBING $ �}' (��V`�
�' �
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �
OGAS 0 ROOFING Q SPECIALTY 0 OTHER �✓ �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY ' �d,s,/ �Ci � a � �q iJ �
SIGNATURE REGISTERED Y N FEE CURRE� / N
Address 0 li��fini�',� �� - License# ��G �sO 9
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
MECHANICAL � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities 8� 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (3) complele 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 Pla�s, Stormwater Pians w/ Silk Fence installed,
Sanitary Facilities 8 1 dumpster. Site Work Pe�mit for all new projects. All commercial requirements must meel 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. (A/C upgrades over 57500)
" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner auihorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in 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, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy" or final power release. If the project does not involve a 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 Florida Department of Agriculture and Consumer Affairs. If the applicant is sorneone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using sfem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit 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, poofs, air conditioning, gas, or other installations not specifically included in the application A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned
�
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM
FLORIDA JURAT {F S 117 03)
OWNER O AGE �� CONTRACTOR .//�t_--
Sybscribe worn to (or�r em b ore me this Subscribed and sworn to (or a ned efore e this
!0 -1Y- �1 by . /� •2� � /! by
Who is/are personally known to me or has ve produced Who is/are personally known to me or has/have pro uced
as iden ication. as iden ' ication.
Notary Public �� Notary Public
Commisslon No. Commisslon No. __
Name of Notary typed,:�i[rit�7cY or stamped "�«' ��'� Name of Notary typed, printed or stamped
x ,
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �,�� �p� I �yf � � �K P�
Date Received: � Q- Z7— ((
Site: �� T1� K�� ���� tiS �
Permit Type: � (� (� � .11,� � � �'� �Gtf_ � 5 � �/S ! L�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
,
This comment sheet shall be kept with the permit andlor plans.
� �
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Kalvin S'tzer — Pl iner Date Contractor and/or Homeowner
(Required when comments are present)
Pasco County Parcel: 14-26-21-0000-00200-0000 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, October 22, 2011
Parcel ID 14-26-21-0000-00200-0000 (Card: 001 of 005)
Classification 28 - Rental MH/RV Park
Mailing Address Property Value
WINTERS MOBILE HOME PARK INC Ag Land $0
38022 WINTER DR Land $2,194,257
ZEPHYRHILLS FL 33542-5544 Building $238,035
Phvsical Address - See All 236 addresses (First Extra Features $16,388
Shown)
38022 CROSS DR Market Value �2,448,680
ZEPHYRHILLS FL 33542-5590 Assessed (Non-School Amendment
1 � $2,448,680
L@9dl DeSC�IDt1011 (First 4 Lines)
COM AT NW COR OF SEC FOR POB Taxable Value �2,448,680
TH NOODG 03' S5"W 221.64 TO
SLY R/W LN OF SR 54 TH N64DG
32' S2"E 67.92 FT TH S68DG 18'
Land Detail (Card: 001 of 005)
Line Use Description 2oning Units Type Price Condition Value
1 0210 TRLR PARK OOM2 209.00 !�T $10,200.00 1.00 $2,131,800
2 0220 RV PARK OOM2 15.00 UT $5,203.00 0.80 $62,436
3 9500 SUBMERGED OOM2 0.10 AC $210.00 1.00 $21
Ad ditional Land Information
Acres 23.20 A ea 30ZH ��e � Residential Code RMHPCL2 Commercial Code RMHPCL2
Buildina Information - Use 12 - Stores / Office SFR (Card: 001 of 005)
Year Built 1954 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Plywood Panel Interior Wall 2 Drywall
Flooring 1 Hardwood Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line Description Sq. Feet Repl. Cost New
1 FOP 374 $5,243
2 BAS 4,561 $254,413
Extra Features (Card: 001 of 005)
Line �Description Year Units Value
1 FDU 1983 408 $1,224
2 FDU 1983 338 $1,014
3 UDU-M � 1991 1 $100
Sales History
Previous Owner N/A
Year Month Book/Page Type Amount
1978 �— 07 0955 / 0076 r $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=14&twn=26&rng=21 &sbb=0000&... 10/28/2011
ti� Notice of Commencement IIIIIIIIIIIIIIIIIII�IIIIrIIIIIIIIIIIIIIIIIIIIIIIIII'
0 11163579 � IIIIIIII
Permit No.
Properly Identification No. I�'ZG'Z� �JD00 ' a0�00 ' 000 0
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real properly, and in
section 713.13 of the Florida Sfatutes, the folbwing information is provided in this NOTICE OF COMMENCEMENT.
1 Description of properly (legal desaiption: ) � y� z � 2/- D 0 0 0' 6 �,? p o ^ U o o�
a.) Street Address: 4846 Rolli�s St Zephyrhills, FL 33542
Rcpl:1394762 Ree: 10.00
2. General description of improvements: Replacement wndow Inshallation. DS : 0. 00 I T : 0.(d0
10/20/11 M. Dodd, Dp4,y Clerk
3. Owner Informa6on W�^T•fJ M�, ��j H° tis A/'k
a.) Name and Address Ronald or Gloria Dumais 4846 Rollins SL Zephyrhills FL 33542 ppULR S 0' NE I L Ph D PASCO CLERK & COMPTROLLER
b.) Name and address of fee simple title holder (if other than owner) 10/20/ 11 12 • 10 m 1 of 1
c.) Interest in properry Owner OR BK �� �2 PG 2CJ3 �
4. ConVactor Information
a.) Name and address Steven Irwin Rogillio 5910-8 Breckenridqe Parkway Tampa, FL 33610
b.) Telephone No. (866) 946-3189 Fax No. (opt)
5. Surety Information Q F- V �
a.) Name and address: � W t� u? W �
b.) Amount of Bond: � ��9 � a�: � � }
F- �.
c.) Telephone No. Fax No. (opt) �' C� cn � �� O �
6. Lender ��� � � � � a�
1y ���U n- L
a.) Name and Address Q T—�-. ? �
Phone No. u- � �� i�. L?
� .�C�-;
7 Identi of n within the State of Florida des' nated pon y � F" �- � J �
tY P�� �g by owner u whom rrotices or other documents ma be served: �.. `� f
a.) Name and add2ss: Q� C �� -� �
b.) Telephone No: Fax No.(opt): _�_ f r,�_ �
e •
S.In addiGo� to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section ,_ -',-± �-� � l '-
713.13(1)(b), Florida Statutes: ti. :�;� � , ;-- ?- i�
a.) Name and Address "_ �', �� �
� � �.. �,
b. Tele hone No. � � - °- ��
) P Fauc No. (opt.) � � � ��
r=� ,✓ .. -' ;:
>; v1 �.. �u v. ��
9. Expiration date of Notice of Commencement ( the expiration date is one year from the date of recording unless a different date is �,__ i,��: ' t� �
specified): �`.� `n ""' � i-- 4t
CnI--F-OS m
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION713.13,
FLORIDA STATUTES, AND CAN RESULT DSF YOUR PAYfNG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FlNANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE Of FLORIDA COUNT! OF � �
Pasco x -
S' of Owner or 5 A Whaized OffieedDirecta/PaMer / AAanager O```" ��� �...
v '��L
Ronald or Gloria Dumais •�,s
Print Name � �� "
a : , .�'
The foregoing instrument was acknowledged before me this 11 day of October 202011 by Ronald or Gloria Dumais ' �"' ���,,
�
as (Type of authority, e.g. ofticer, trustee, attomey in fact) T � O �
�� ( name of party on behalf of whom instrument was execut ). � m��
Personaly Known Or Produced Identifiption X Notary Signature � � d��
� O
Type of Identifiqtion Produced � � Name (print) . Joseph John Pogash � N � Z
� � .
verification pursuant to Section 92.525, Florida Statues. Under penalties of perjury, I declare the 1 have read th oin and that the N��
facts stated in it are true to the best of my knowledge a�d belief. 9 ° V� y
N �'A =
• �
FORMS/NOC.rvsd2007 X �
nature W Natural Person Signing Above
PASCO COUNTY BUILDING PERMITS DATE: 10/19/11
OR PROPERTY ID: 14 26 21 0000 00200 0000
CEL IS LOCAT$D IN CITY ZH SC TP RG SUBD BLOCK LOT
N . WINTERS MOBILE HOME PARK INC NAME 2:
ST LNl: 38022 WINTER DR ST LN2:
CITY: ZEPHYRHILLS STATE: FL ZIP: 33542-5544 TIFZN: 3
-------------LEGAL DESCRIPTION FOR PROPERTY---------------------------------
COM AT NW COR OF SEC FOR POB TH NOODG 03' 55"W 221.64 TO
SLY R/W LN OF SR 54 TH N64DG 32' 52"E 67.92 FT TH S68DG 18'
29"E 687.42 FT TH S44DG 36' 24"E 70.23 FT TH S17DG 56'
14"E 194.87 FT TH S21DG 34' 12"W 176.96 FT TH S57DG 43'
57"W 97.68 FT TH SOODG 41'57"W 319.83 FT TH S09DG 40' 41"E
70.30 FT TH S02DG 17' 05"W 457.69 FT TH N89DG 52' 31"W
668.92 FT TO WEST BDY OF SEC TH NOODG 47' 02"E 1300.47 FT
TO POB OR 955 PG 76
OR 3949 PG 1347
RETURN WITH PF10
NEXT-FUNCTION: LD
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; r��_�TM �,,� ,, -�,\ Window and Sliding
�; ,�'� � �y �� �' Patio Door Contract
s�� ��� �^- �-�� l Showroom 5910 Breckenridge Prkwy
FL Cont►acors License # SCC131150943 Location: Tampa, FL 33610
PO BOX 588 Jackson, Loufslana 70748 1.866.WIND.189 (866-946-3189)
Name Dumais, Ronald or Gloria E HOme PhOn6 (508) 726-4387
Address 4846 Rollins St. Customer ID #: 112267 Work Phone
Ci lSUZ Zephyrhilis FL 33542 Cell Phone
Windows O ta ions
Series Mode1 # 9 Half Screen $10 VPP
Double Hunq Futl Screen $22
10 4000 DH WeId/Weld 020� $200 2,000 9 Double Locks (> 30" wide) $9 VPP
6000 DH Weld/Weld 0501 $240 9 Argon Gas $21 VPP
6000 DH Weld/Weld 0501HP $260 9 Foam Insulation Wrap $'12 VPP
(oversaed wndows) 9 DP Rated Glass N/C INC.
Beige Color Vinyl $32
Other SlYles Wood Grain - Inside Surtace $90
PictureWindow $329 9 SolarZoneLow-E-Glass(sH�c> $45 VPP
2 Lite Slider $329 0 Low-E Elite Glass (SHGC<.27) $65
3 Lite Slider $520 Exterior Color $138
Casement / Awning $289 Tempered Glass Sq Ft $7/Sq.ft
Series 6000 Upcharge - Add $40 Obscure Glass $30
Special Shape W/Operating Sash $559 9 Lifetime Glass Break WarraMy $25 VPP
Specialty Windows OrieUCottage Style 60/40 $26
0 Colonial / Contoured Grids $37
$ Grooved Glass Grids $7/Sq.ft
$
$_ 9 i � Value Plus Pack - VPP 359 531
$_ �[�r AMI - Qual"fiied Partner
$ Additional Labor Charsies
PRE 1978 BUILT HOMES (Federal L d Containme 10 Remove Aluminum Window $50 500
My Home Was Built In The Year Initials: Remove Steel Wndow 370
Concrete Bbck Bore / TapCon Set $30
Vinyl Rolling Patio Door 5' - 5205-6'� $1,420 Remove Aluminum In Stucco $110
Vinyl Rolling Patio Door 6' - 5206-6'; $1,490 Remove Steel In Stucco $130
Vinyl Rolling Patio Door 8' - 5208-6'� 31,674 SVuctural Mullion for multi-unit $90
$ Custom Jamb/Sill Cutback $80
$ Install Exterior Capping S75
$ Install Custom InVExt Trim $40
$ Repair Sill OR Jamb $15 / Ft
$ Install Mullion for multi-unit $30
$ 2nd Story Charge S10
$ Bay Window Finish 8 Trim $300
$ J-Channel Manufactured Home $20
$ 1 R/R AWNING $200 200
$
The buyar is responsible for the removal and re-installation of any existing security system, burglar bers or A/C un@s and for removing aB window
coverings and/or obstructions prior to installation. AddAional charges for removing items are at the tollowing rates: AIC Unil-$50; Curtains/&irWs
$25�ndow; FumiWre-S10lllem; Shutters-$50 pair INIT:
•Window Wo�1d aprees to install windows and doon as noted above and on tha attached order form and to pertorm other services as spedfied above for the price
quotad on thia foim. No other promises, expreued or implied, are made except those expressed in writin0 on this agraemenl.
'If Window Wwld seeks legal counsel to enforce obligations under this conVad, Customer agrees to pay reasonable atlomeys tees ard costs.
You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this
transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day
THIS IS A CUSTOM ORDER NOT FOR RESALE!
No extra work if not in writinp! Customer Agrees to the tertns of payment as follows:
Total List Price $ 3,231.00
Trip Charge / Site Setup & Administrative Fee $100 $ 100.00
Site Specific Engineeringl Fee $200 $ 0.00
Fire Marshall Plan Review (St. Pete Only) $55 $ 0.00
$ 109 Pertnit +$� 19 Acquisition Fee $ 228.00
Total Amount $ 3,559.00
CK #�� Custom Order Deposit 50% $ 1,780.00
Balance Paid to Installer upon Completion $ 1,779.00
Amt Financed $ 0_00
WINDOW WORLD
CARE � Round Up & ConVibute to St Jude $��
Loan Approval # -
(813) 727-6072 visn nM�c r�vc �. oa�e s�. code
153 Joe Pogash 10/11/2011 � '�- 10/11/2011
Emp. # Estima� Date O er Date
W4Mwv Worltl d Ta^q� BeY,
10/11/2011
W�bCOp�-plprwl V -F Copy- OnnpeCopy-EtlFNa Owner Date
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m�' $;,.h'
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'�� _ '�� ����` =� � Product Approval
`� { � ��'`� ���� �` USER. Public User
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"� ��''�� Product Aooroval Menu > r r li i r h li i i > Application Detail
:s,r'� . ,�?:�..
�,�# ,��y*=� �',: FL # FL11720-RS
=`- Application Type Revision
; �ri�v�•����� ���
,=�F���+ . Code Version ' 2007
�;�.ti'�;�,"�'��ri' , �i
r . ; �� Application Status Approved
.#- ';'�"
"�`�� Comments
.x ���� �� '���" COMPLYWITHA
•r?�::�=�'q������ Archived WORKSHALL �NG
�,� __�;. �=-,. , - '-` ALL
�.. .�„� �. . �:�:: r:�.�� : ��
pitEVAILING CODES, FL��DA BUIL
Product Manufacturer Assoc�a ateria�s �nc. NATIONALELECTRIC CODE AND
Address/Phone/Email 3 State Road C � D �'
Cuyahoga Falis, oH aazz�CITY OF ZEPHYRHILLS ORDINANCES
(330)922-2108
mfernbaugh@alside.com
Authorized Signature Vivian Wright
rickw@rwbidgconsultants.com �
REVIEW Q,�T� � �Z� � _---
Technical Representative CITY OF ZEPi�YRH(L�.�=.
Address/Phone/Email P�qNS EXAMINER
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Double Hung
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 Lyndon F Schmidt, P E.
developed the Evaluation Report
Florida Llcense PE-43409
Quality Assurance Entity Architectural Testing, Inc.
Quality Assurence Contract Expiration Date 12/31/2011
Validated By Ryan ] King, P.E.
Validatlon Checklist - Hardcopy Received
Certificate of Independence FL11720 R5 COI Certificate of Independence pdf
Referenced Standard and Year (of Standard) Standard Year
101/I. S.2 1997
ANSI/AAMA/NWWDA 101/I.S.2/A440 2005
ASTM E1886/E1996 2002
Equivalence of Product Standards
Certified By
Sections from the Code
http://www.fl oridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquzHEnMXJwex... 8/4/2011
Florida Building Code �nline Page 2 of 4
Product Approval Method Method 1 Option D
Date Submitted 12/15/2010
Date Validated 12/23/2010
Date Pending FBC Approval 12/29/2010
Date Approved 02/O1/2011
_ ._ ----- -._._..._.__.._._—. ._. - --- __ _._____._____ ._._._...- --- .-_-- .— --. - --- - - --
---_. ._. __._,
� Summary of Products �
_______„_._.�- � I FL # Model, Number or Name Description i
j
11720 1 a Model 0201 Extruded Vinyl Doubie Hung Window "Non-ImpacY' �
Limits of Use Installation Instructions �
Approved for use in HVHZ: No FL11720 R5 II INST 11720.1.odf I
� Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
; Impact Resistant: No Created by Independent Third Party: Yes �
� Design Pressure: N/A Evaluation Reports :'
Other: See INST 11720.1 for Design Pressure Ratings, F�11720 RS AE EVAL 11720 1 pdf �
� any additionai use Iimitations, instailation instructions Created by Independent Third Party. Yes ;
i and product particulars. i
! 11720.2 b. Model 0301 Extruded Vinyl Double Hung Window with Nail Fin -
�
"Non-Impact" '
� Limits of Use installation Instructions �
Approved for use in HVHZ: No FL11720 RS II INST 11720 2 pdf (
� Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 �
! Impact Resistant: No Created by Independent Third Party• Yes i
� Design Pressure: N/A Evaluation Reports �
; Other: See INST 11720.2 for Design Pressure Ratings, FL11720 RS AE EVAL 11720.2.pdf ;
; any additional use Iimitations, installation Instructions Created by Independent Third Party. Yes i
� and product particulars. �
� 11720.3 c. Model 0401 Extruded Vinyl Double Hung Wfndow -"Non-ImpacY'
i Limits of Use Installation Instructions !
� Approved for use in HVHZ: No FL11720 R5 II INST 11720 3�df �
I Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 I
� Impact Resistant: No Created by Independent Third Party. Yes
; Design Pressure: N/A Evaluation Reports i
i Other: See INST 11720.3 for Design Pressure Ratings, FL11720 RS AE EVAL 11720 3 pdf
I any additlonal use Iimitat(ons, Installation Instructions Created by Independent Third Party: Yes
� and product particulars.
11720 4 d. Model 0501 Extruded Vinyl Double Hung Window -"Non-Impact" �
I Limits of Use Instailation Instructions #
' Approved for use in HVHZ: No FL11720 R5 II INST 11720 4 pdf (
� Approved for use outside HVHZ: Yes Verified By. Lyndon F. Schmidt, P.E. 43409
� Impact Resistant: No Created by Independent Third Party: Yes �
' Desi n Pressure: N A !
9 / Evaluation Reports i
� Other: See INST 11720.4 for Design Pressure Ratings, FL11720 RS AE EVAL 1�720 4 odf �
' any additional use limitations, installation instructions Created by Independent Third Party: Yes �
i and product particulars. �
; 11720.5 e. Model 0501 HP Extruded Vinyl Double Hung Window -"Non-Impact"
; Limits of Use Installation Instructions
� Approved for use in HVHZ: No F�11720 R5 II INST 11720 5�df �
� Approved for use outside HVHZ: Yes Verifled By: Lyndon F. Schmidt, P.E. 43409 �
� Impact Resistant: No Created by Independent Third Party: Yes �
i Design Pressure: N/A Evaluation Reports
, Other: See INST 11720.5 for Design Pressure Ratings, FL11720 RS AE EVAL 11720 S pdf
I any additlonal use Iimitations, installation instructions Created by Independent Third Party: Yes !
� and product particulars. !
I
' 11720.6 f. Model 0601 Extruded Vinyl Double Hung Window -"Non-ImpacY' �
� Limits of Use �
I Installation Instructions
Approved for use in HVHZ: No FL11720 RS II INST 11720 6 �df j
� Approved for use outside HVHZ: Yes Verified By Lyndon F. Schmidt, P.E. 43409 j
; Impact Resistant: No Created by Independent Third Party: Yes �
•; Design Pressure: N/A Evaluation Reports i
; Other: See INST 11720 6 for Design Pressure Ratings, FL11720 R5 AE EVAL 11720 6 odf �
' any additional use Iimitations, installation instructions Created by Independent Third Party: Yes �
� and product particulars. i
� 11720 7 g Model 8001 Extruded Vinyl Double Hung Window -"Non-Impact" i
I
http://www. floridabuilding. org/pr/pr_app_dtl. aspx?param=wGEVXQwtDquzHEnMXJwex... 8/4/2011
, Florida Builc.ing Code Online Yage 3 ot 4
� Limits of Use Installation Instructions �
� Approved for use in HVHZ: No FL11720 R5 II INST 11720.7.pdf �
i Approved for use outside HVHZ: Yes Verified By• Lyndon F. Schmidt, P.E. 43409 ;
; Impact Resistant: No Created by Independent Third Party• Yes f
j Design Pressure: N/A Evaluation Reports �
; Other: See INST 11720 7 for Design Pressure Ratings, FL11720 RS AE EVAL 11720.7.pdf
� any additional use limitations, installation instructions Created by Independent Third Party. Yes �
� and product particulars. �
�
� 11720.8 h. Model 9001 Extruded Vinyl Double Hung Window -"Non-Impact" ;
i Limits of Use Installation Instructio�s
', Approved for use in HVH2: No FL11720 R5 II INST 11720.8.pdf �
� Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 �
� Impact Resistant: No Created by Independent Third Party• Yes (
� Design Pressure: N/A Evaluation Reports �
; Other: See INST 11720.8 for Desfgn Pressure Ratings, FL11720 R5 AE EVAL 11720.8.odf �
� any additional use Iimitations, installation instructions Created by Independent Third Party: Yes �
I and product particulars. �
� 11720.9 i. Model "i" 201 Extruded Vinyl "TiIY' Double Hung Window -"NOn- �
i ImpacY' (
I Limits of Use Instaliation Instructions
� Approved for use in HVHZ: No FL11720 RS II INST 11720.9.pdf
� Approved for use outside HVHZ: Yes Verified By• Lyndon F Schmidt, P.E. 43409 �
! Impact Resistant: No Created by Independent Third Party: Yes j
' Design Pressure: N/A Evaluation Reports !
i Other: See INST 11720 9 for Design Pressure Ratings, FL11720 R5 AE EVAL 11720.9.pdf :
I any additional use limitations, installation instructlons Created by Independent Third Party• Yes �
i and product particulars. �
i 11720 10 . Model "i"-201 Extruded Vinyl "TiIY' Double Hung Window -"Impact" i
i
! Limits of Use Installation Instructions j
� Approved for use in HVHZ: No FL11720 R5 II INST 11720.SO.�df ;
I Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 j
I Impact Resistant: Yes Created by Independent Third Party: Yes
� Design Pressure: N/A Evaluation Reports
j Other: See INST 11720.10 for Design Pressure Ratings, FL11720 R5 AE EVAL 11720.10.gdf
any additional use Ilmitations, installation instructions Created by Independent Third Party: Yes i
and product particulars. i
i 11720.11 k. Model V101 Extruded Vinyi Double Hung Window with Nail Fin - ;
"Non-Impact"
; Limits of Use Installation Instructions
! Approved for use in HVHZ: No FL11720 RS II INST 11720.11.�df '
I
; Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 (
Impact Resistant: No Created by Independent Third Party: Yes �
; Design Pressure: N/A Evaluation Reports
; Other: See INST 11720.11 for Design Pressure Ratings, FL11720 R5 AE EVAL 11720.11.�df
' any additional use limitations, instailation instructions Created by Independent Third Party. Yes
� and product particulars.
� 11720.12 I. Model V121 Extruded Vinyl Twin Double Hung Window with Integral i
Mullion and Nail Fin -"NOn-ImpacY' j
� Limits of Use Installation Instructions j
Approved for use in HVHZ: No FL11720 R5 II INST ill20 12 pdf �
� Approved for use outside HVHZ: Yes Verified By. Lyndon F Schmidt, P.E. 43409 i
� Impact Resistant: No Created by Independent Third Party: Yes I
� Design Pressure: N/A Evaluation Reports �
� Other: See INST 11720.12 for Design Pressure Ratings, FL11720 R5 AE EVAL 11720.12.pdf j
any additional use limitations, installation instructions Created by Independent Third Party: Yes '
i
and product particulars. ;
�-_ __._..._.. __....._ ____ __ _.---....._..____ __...._..._--- — -- _.._.�_ _...__� __..__---------..........___-----.._..-- --._ _.._......._..-----__..._._...._----...�
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Deyartment of Commun/ty Alfalrs
Flor/da Bulld/ny Code Onllne
Codes and Standards
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7allahassee, Rorida 32399-2100
(850) 487-1824, Fax (850j 414-8436
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� 0 ecr��k �
http://www. fl oridabuilding. org/pr/pr_app_dtl. aspx?param=wGEVXQwtDquzHEnMXJwex... 8/4/2011
, Florida Building Code Online Yage 4 ot 4
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Architectural Testing
AAMA 1701.2-95 AND 1704-01 TEST REPORT
Rendered to:
ASSOCIATED MATERIALS, INC.
SERIES/MODEL: 0201 / A201
PRODUCT TYPE: PVC Double Hung Window
Report No.: 97205.01-501-47
Test Date: 12/14/09
Through: O1/29/10
Report Date: 02/15/10
Expiration Date: O1/29/14
1140 Lincoln Avenue
Springdale, PA 15144
phone 724-275-7100
fax. 724-275-7102
www archtest.com
�
. ���
Architectural Testing
AAMA 1701.2-95 AND 1704-01 TEST REPORT
Rendered to
ASSOCIATED MATERIALS, INC.
3773 State Road
Cuyahoga Falls, Ohio 44223
Report No 97205 01-501-47
Test Date� 12/14/09
Through Ol/29/10
Report Date 02/15/10
Expiration Date O 1/29/ 14
Project Summary. Architectural Testing, Inc. was contracted by Associated Materials, Inc to
wrtness teshng on a Series/Model 0201 / A201 PVC double hung windows at the Associated
Mater�als, Inc. test facilrty in Cuyahoga Falls, Ohio The specimen tested successfully met the
pei�foimance requirements in accordance with AAMA 1701.2-95, for all areas in Wind Zone III
per 24 CFR 3280.403(c) Test specimen descriprion and results are repoc here�n The
sample �vas pi by the client.
Test Speeifieations• The test spec�inen was evaluated in accordance with the following
AAMA 1701 2-95, Primui-v Windou�s urid Slidittg Clus�.c Doo�• Voltu�t�n-�� Stund�rrd fo�-
Utilr�utrort i�1 Manufucizu Hou.sing �
AAMA 1704-01, Volu��tury Stundurd for Egres.s Wr�7dow Systems for Uhl��ution in
Munufuctin�ec! Hnusrng
Code of Federal Regulations, Part 3280-Mariufuctrrrd Homc Co�z��truct�o�r uT1d Sufetv
Stcmdurds, Subpail D, Section 3280 305(c)(1)(ii)(B).
Test Specimen Description
Series/Model• 0201 / A201
Product Type• Poly Vinyl Chloride (PVC) Double Hung Window
Overall Size 914 mm (36") wide by 1981 mm (78") high
1140 Lincoln Avenue
Springdale, PA 15144
phone. 724-275-7100
fax. 724-275-7102
www.archtest.com
. �
I ��� 97205 O 1-501-47
Architectural Testing Page 2 of6
Test Specimen Description• (Continued)
Bottom Sash Size• 857 mm (33-3/4") wide by 976 mm (38-7/16") high
Top Sash Size� 832 mm (32-3/4") wide by 951 mm (37-7/16") high
Screen Size 822 mm (32-3/8") wide by 981 mm (38-5/8") high
Overall Area. L8 m� (19 5 ft�)
Finish. All PVC was white
Glazing Details. The sash were exterior glazed wtth nominal 13/16" thick sealed insulating
glass fabi fi two sheets of 1/8" cleai• annealed glass and a U-shaped steel spacei-
system embedded in sealant, single sealed. The insulating glass was set against a double-
sided adhesive tape and secured with r�gid vinyl glazing beads.
Weatherstripping�
Description uant�t Location
0 187" backed by 0.260" 1 Row Head insei sill, lock rail
h�gh center fin pile
0 187" backed by 0.350" 1 Row Extenor meeting rail (exterior),
high center fin pile top ra�l, sash stiles (exterior)
0 187" backed by 0 300" 1 Row Sash stiles (intel
h�gh center fin pile
0 187" backed by 0.550" 1 Row Exterior meeting rail (mterior)
high vmyl �acket/foam-
tilled bulb
0 187" backed by 0 400" i Row Bottom rail
d�a., offset vinyl jacket/
foam-filled bulb
1" by 1/2" by 0 250" high 4 Meetmg i one at each end
adhesive-backed pile pad
Frame Construction� The PVC frame was of mitered and welded corner constiuction. A
sna��-in PVC adapter was located at the head.
1140 Lincoln Avenue
Springdale, PA 15144
phone• 724-275-7100
fax• 724-275-7102
www.archtest com
�
rF' 97205 01-501-47
Architectural Testing Page3of6
Test Specimen Description. (Continued)
Sash Construction The PVC sash were of mitered and welded corner constiuction.
Screen Construction The sct fi was constiucted with foi aluminum The
cor wei square-cut and secui using plastic corner keys. The fiberglass mesh screen
cloth was held-in-place with a flexible vinyl spline.
Hard�vare
Desci-iption uantit Location
Metal button cam lock 2 Lock rail, one 8-1/2" in from
and keeper each end, mating keepers at exterior
meeting 1
Plastic tilt latch 4 Top corner of sash
Metal pivot bar 4 Bottom corner of sash
Constant force balance 4 One pei
system with lock�ng tilt shoes
Drainage.
Descnption uantit Location
1" wide by 5/16" high 2 Extei�ior face ofsill, one at
weepslot (with flap) each end
1-1/4" wide by 1/2" 2 Sill/jamb �ntersection, one at each
deep weepslot end
1" w�de by 3/16" high 2 Intermediate sill wall, one at
weepslot cach end
3/4" w�de by 3/16" deep 2 Sill sci tl�ack, one at
weepslc�t each end
3/8" wide by 1/8" deep 4 Bottom sash rail and exterior
�veepslot meeting rail, one at each end
1140 Lincoln Avenue
Springdale, PA 15144
phone: 724-275-7100
fax• 724-275-7102
www archtest.com
. �
��� 97205 01-50]-47
Architectural Testing Page4of��
Test Specimen Description: (Continued)
Reinforcement� The lock rail contained a custom-shaped, formed steel reinforcement,
l�eference Drawing No UY0095. The extei meeting rail, all sash stiles, and bottom rail
contained a custom-shaped, foi steel reinfoi•cement, reference Drawing No UY0094
lnstallation The unit was installed in a wood buck constr of Spruce-Pme-Fir
construction lumber and secured through the jambs using four #8 x 2-1/2" long screws, one
at the top aiid bottom of each jamb. The exterior and interior pei•imeter was sealed with a
silicone sealant, with the exception of an approximate 4" long void at each interior sill
ce�rner A nominal 1/8" gap was maintained at the perimeter between the buck and window
fi�ame
Test Results The teinperature during testing was 67° F The results are tabulated as follows
Para�.;i Title of Test - Test Method Results Allowed
1-� 2 1 Structural Perfot Test per ASTM E 330
(Loads were held for 10 seconds)
1�•2 1 I 25 0 psf (positive) No damage No damage
1.4'• 1 2 12 5 psf (negative) No damage No dama e
�
I� 2? Air Infiltration Test pei ASTM E 283
1 57 psf (25 mph) 0 13 cfm/tt� 0.5 cfin/ft� max
�`� �-� Water Resistance Test per ASTM E 547
(with and wrthout insect screen)
2 86 sf
P No leakage No ]eakage
AAMA 1704-01
3 1 1 Clear opening width 31-5/8" 20"
3 1 2 Clear opening hcight 32_3/4�� 24��
3• 1-3 Clear open�tig ai�ea 7 2 ft� 5 0 ft'
3 �� � Locks and ]atches 4 lbf
20 lbf
3 ��� Operable sash 16 lbf 20 lbf
-� 2 3 Removable screen 4 lb 5 lb
1140 Lincoln Avenue
Springdale, PA 15144
phone 724-275-7100
fax 724-275-7102
www archtest.com
. �
f � 97205 01-501-47
Architectura( Testing Page 5 of6
Test Results (Contlnued)
Optional Performance 24 CFR 3280.305
Unifoim Load Sti•uctural per ASTM E 330
(Loads were held for l0 seconds)
58 0 psf (positive) No damage No damage
58 0 psf (negative) No damage No damage
Tape and film were used to seal against air leakage during structural testing. In our opmion, the
tape and fil�n did not influence the i of the test.
Drawing Reference. The tcst specimen di�awings have been reviewed by Al Testing
and are representative of the test spec�men reported herein
Name Company
Mai•sli Fei-nbaugh Assoc�ated Materials, Inc
Rob Cutlip Associated Materials, Inc
J�c� All�son Archrtcctural Testing, Inc
Dctailed di data sheets, representative samples of test specimens, a copy of this report, or
other pei project documentat�on wrll be retained by Archrtectural Testing, Inc. for a penod
�f four years fi•om the original test date At the end of this retention period, such mater�als shall
be discarded without notice and the service life of this report will expire.
Resulis obtained are tested values and wei secured by using the designated test methods If test
specimen contains glazing, no conclusions of any kmd regat•ding the adequacy or inadequacy of
the glass �n the test specimen can be made. This repo► does not constitute cei oi� this
product noi� an opinion or endorsement by this laboratoiy It is the exclusive proper of the
cl�ent sc> nained herein and i o�lly to the specimen(s) tested This repoi may not be
reprc�duced, except in full, without UIe wi approval of Architectural Testing, Inc
Fc�r AR('HITECTURAL TESTING, INC•
-' G�
D'grtalty Signed by' ,loseph E Allison
Digitally Sig by� Lynn George
Joseph E Allison Lynn George
Senior Technician Director - Regiona] Operations
Jr.n �i�i
Attachments (pages) Th�s report is complete only when all attachments listed are mcluded
Appendir-A Drawings (14)
1140 Lincoln Avenue
Springdale, PA 15144
phone• 724-275-7100
fax 724-275-7102
www.archtest.com
. �
��� �»�os ot-sot-a�
Architectural Testing Pagebofh
Revision Log
Rev. # Date Pa�e(s) Revision(s)
� 02/15/10 N/A Original repoi issue
1140 Lincoln Avenue
Springdale, PA 15144
phone 724-275-7100
fax. 724-275-7102
www archtest.com
. �
frr 97205 01-501-47
Architectural Testing
Appendix A
Drawings
1140 Lincoln Avenue
Springdale, PA 15144
phone 724-275-7100
fax 724-275-7102
www archtest.com