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HomeMy WebLinkAbout12-12771 CITY OF ZEPHYRHILLS - 5335-8TH STREET �''f (si3)�so-oozo 12771 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit#:12771 Issued: 2/17/2012 Address: 39541 CHARIOT LN LT 225 Permit Type: ALUMINUM ZEPHYRHILLS, FL. Class of Work: ALUMINUM PACKAGE Township: Range: Proposed Use: RV PARK Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 11,000.00 Total Fees: 135.00 Subdivision: MAJESTIC OAKS Amount Paid: 135.00 Date Paid: 2/17/2012 Parcel Number: 24-26-21-0000-00100-0090 Name: SUN STATE ALUMINUM INC Name: MAJESTIC OAKS LLC Addr: 6154 FT KING RD Address: 39541 CHARIOT LN ZEPHYRHILLS, FL 33542 ZEPHYRHILLS, FL. 33542 Phone: (813)788-7308 Lic: RX0060171 Phone: (813)783-7518 Work Desc: 45 X 14 CARPORT, SHED W/ CONCRETE � z 7�� � SLAB SHEATHING RAISED SLAB DRIVEWAY FRAME ELECTRICAL ROUGH 1ST ROUGH PLUMB REINSPECTION FEES: Reinspecaon 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� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications and Must Accompany Application.All work shall be performed in acxordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. � � � CON CT RS SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�� � ' �*'� '� ,at �� City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: L�j;(..Yl�� 1�1�l u�e /1 �Gvi Date Received: Z-/- /Z.- ,/ Site: _ �.J y� ��/l(�-r�C)� ��. Permit Type: �-�-J-� �� �pd,-�, ��j � Q�C.�e-� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet s all be kept with the permit and/or plans. �-/� Kalvin witzer lans Examiner Date Contractor and/or Homeowner (Required when comments are present) 813-780-D02D City ot G�pnyrnins rc:�nu�HNN���a����� � . Building Department Date Received �—" 7i f�hone Contact for Permitting �/� ?dQ • -- 5��7' -H1-I'i . Owner's Name �/ � T E- e � Owner Phone Number Owner's Address 3�s y� ���Q� �� Owner Phone Number Fee 5imple Titleholder Name Owner Phone Nurriber[ Fee Simple Titleholder Address �,,�y�- � ' LOT# �� JOB ADDRESS � `�y ' �n-�"""� • �t� WG da�tl' PAI�CEL ID# �02-� 'a��OO���I�^w�v SUBDIVISION • (OI3TAINED FROM PROPERTYTAX NOTICE) WORK PROPOSED ' NEW CONSTR e ADD/ALT 0 SIGN 0 MOVE �] DEMOLISH � INSTALL REPAIR PROPOSED USE' 0 SFR ' 0 • COMM � OTHER TYPE OF CONSTRUCTION 0 BLOCK � FRAME ' .0 STEEL 0 dTHER D[SCRIPTIONOFWORK CQil.. IT CI��� � COAGLQ.-J�- • BUILDING SIZE �s � x /�(� SG!fOOTAG[ �cl�� HEIGI-IT � � BUILDING $ �� Q�I� � VALUATION OF TOTAL CONSTRUCTION � ELECTRICAL $ , AMP S�RVICE 0 PROGRESS ENERGY Q W.R.E.C. • 2�7( ' ��P���IBT s��w���� � PLUMBING $ � � t813,788-53�� E/�C 1�-i22}-7��� � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / `� • '�.���°�-� � GAS � R O O F I N G � S P E C I A L T Y 0 O T h I G R . � FINISHED F L O O R C L E V A T I O N S 1=LOOD ZONE AREA [�YES ONO BUILDER ///�� ����� COMPANY �&n cl > �� . � � FEE CURRENT Y!N SIGNATURE ` /1��-a�i-tKl/,(� . � REGISTERE� Y/ N Address ��� �� � . License# ELECTRICIAN • COMPANY SIGNATURE REGISTERE� Y/ N FEE CURRENT Y 1 N . License# � Addres� PLUMBER COM1'ANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N License# Adclress MECHANICAL COMPANY . SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N License# � Address ' OTHER � COMPANY ' SIGNATURE REGISTERED Y/ N PEE CURRENT Y/N License# I Address RESID�NTIAL Attach(2)Plof Plans;(2)sets of Building Plans;(1)set of Cnergy Forms;R-O-W Permft for new construction, Minimum ten(10)worl<ing days after submitta!data. Required onsite,Construc�ion Plans,Stormwater Plans w/Silt Fence fnstalled, Sanitary Facil(ties&1 dumps�er;Sife Worlc Permit for subdivisionsllarge projects COMMERCIAL• Attacli{3)complete sets of Building Plans pius a Life Safety f'age;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)worlcing days after submittal date. Required onsite,Construcfion Plans,Stormwater Plans w/Silt Fence installed, Sanitary�acilities&1 dumpster.Site Wori<Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach.(2)sets of Engineered Plans. ****PROPERTY SURVEY roquired for ail NEW construction. ' ,,�--'-'-'-I-1-I-t-I-rn-mri-rrri-ri-ri-ri-rP`�'�� -i-Fhl+��-F;-ri-i-�-f-f-t-f-H-I-1-H-1-H-1-1-1+1-1-l-1-I-1-1-1-1-f-1-I-I-I-f-I-I-I-1-f-1-I-I-I-1-}-H-H-H-1-1-I-I-H-{-1-1-I-1-(-f-1-i-H+1-I-f-H-I-1-i-1-M-Fi°i-i-n-ri-��� Directions: , , Fill out application completely. , Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$5000) ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same - OVER THE COUNTER PERMITTING (Front of Applicafion Only) � Reroofs Sewers Service.Upgrades A/C 1=ences(PlotlSurvey/Footage) Driveways-Not over Counter if on public roadways.:needs ROW NOTICG OF DECD RCSTRICTIONS: The�undersigned understands fihat fihis permit may be subjecfi to "deed" restricfiions" which may be more restricfiive fihan County regulafiions. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR [�ESPONSIBILITIGS: lf the owner has hired a contractor or contractors to undertake work, fihey may be required to be licensed in accordance wilh state and local regulafiions. If the contractor is not licensed as required by law, both fihe owner and coniractor m�y�be cited �For a misdemeanor violation under state law. If the owner or infiended contractor are uncertain as to whafi licensing requirements may apply for the intended work, fihey are advisecl fio•coniact the Pasco County Building Inspection Division—Licensing Section at 727-8�7- 8009. f=urthermore, if the owner has hired a coniractor or contractors, he is advise.d to have the contractor(s) sign portions of'the "contractor 131oc1<" oF fihis application For which they will be resnonsible. If you, as the owner sign as the contractor, that may be an indication that he is riot properly licenseci and is not enfiitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RCSOURCG RL-COVCRY FCES: The undersigned understands that Transportation Impact 1=ees and Recourse Recovery Fees may apply to the construction o�f 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, ihafi such �Fees, as may be due, wiil be identified at the time of permitting. Ii is �Furlher unclerstood fihat Transportation Impact Fees and Resource Recovery Fees must be paid prior to r�ceiving a "certificate of occupancy" or final power release. I��the projeci does noi involve a certificate of occupancy or iinal power release, the fees must be paid prior to permit issuance. Furfihermore, if Pasco Counfiy WaterlSewer Impacfi fees are due, they must be paid prior to permifi issuance in accordance with applicabie Pasco County ordinances. CONSTRUCTION LIL-N LAW (Chapter 7�13, Florida 5tatutes, as amended): If valuation oF work is $2,500.00 or more, l certify ihat I, the applicant, have been nrovided with a co�y o�f the "Florida Consiruciion Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculfiure and Consumer Affairs. If the applicant is someone other than the "owner", I certify thafi I have.obiained a copy of the above described document and promise in good�faith to deliver ifi to the owner �rior to commencement. CONTRACTOR'S/OWNER'S AF1=IDAVIT: I certi�Fy thafi ali fihe information in this application is accurate and that all woric �� will be done in compliance wifih all applicable laws regulating construction, zoning and land developmenfi. Application is hereby made to obtain a permii to do work and installafiion as indicated. I certify fihat no woric or installation lias commenced prior to issuance of a permifi and fihafi all worlc will be perFormed to meefi standards of all laws regulaking construction, County and City codes, zoning regulations, and land develo�ment regulations in the jurisdiction. I also certify that I understand thafi fihe regulations of other government agencies may apply to ihe intended work, and fihat it is my responsibilifiy to identify wl�afi actions I musl fialce to be in compliance. Suci� agencies include bufi are not limited to: - Department of Environmenfal Protecfion-Cypress [3ayheads, Wetland Areas and Environmentally Sensitive Lands, WaterlWastewater Tre�tment. - Southwest Florida Water Managemenfi Districfi-Wells, Cypress Bayheacis, Wetland Areas, Aliering Watercourses. - Army Corps of Engineers-Seawalls, Qocks, Navigabfe W�fierways. - Departmenl of I-lealth & Rehabilitative Services/Environmental Health Unifi-Welis, Wastewater Treatment, Septic Tanks. - US Env.ironmental Profection Agency-Asbesfios abalement. Federal Aviation Authority-Runways. I undersfiand that fihe following restrictions apply to�the use o�Ffill:� Use of fill is nof allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A", ifi is understood thai a drainage plan addressing a "compensating volume" will be submitfied at fiimE of permitting which is prepared by a professional engineer licensed by the Siate of Florida. lf the �Fill materi�l is to be �used in Flood Zone "A" in connecfiion with a permitted building using stem wall � construction, I cerfiify that fill will be used only to�(ill ihe area within fihe sfiem wall. If.�ill materiai is to be used in any area, I certify that use of such •Fill will nofi adversely afFecfi adjacent properties. If.use ofi fill is found to advers�ly affect adjacenf properties, the owner may be cited for violating the conditions of the building permifi issued under the attached permit application, �For (ols less than one (1) acre which are elevated by fill, an engineered drainage plan is required. lf I am the AGENT FOR ThIE OWNGR, I promise in good�faiih fio inform the owner o�f the permififiing conditions set Forth in this affidavit �rior to commencing construction. I understand thal a separate permifi may ue required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other install�tions noi specifically included in the application. A permit issued shall be construed fio be a license io proceed with ihe work and not as aufihority to.violate, cancel, alter, or set asicle any provisions of the fiechnical codes, nor shall issuance of a permit prevent the f3uilding Oificial��rom thereafter requiring a correction oF errors in plans, construction or violafiions o�F any codes. Every permit issued shall become invalid unless the work authorized by such permii is commenced wifihin six months of nermit issuance, or iF work authorized by the permit is suspended or abandoned�For a period o�F six(6) months after the iime the woric is commenced. An extension may be requested, in writing, from the Building 'Official �for a period not to exceed nineiy (90) days and will demonstrate the ob is considered abandoned. justifiable cause for fhe extension. i�t worlc ceases for ninety (90) consecutive days, j WARNING TO OWNER: YOUR.rA1LURE TO RECORD A NOT[CC �F COMMENCEMENT MAY RESULT 1N YOUR PAYING TWICC FOR IMPROVEMENTS TO YOUR PROI'CRTY. It=YOI:1 INTEND TO OBTAIN I=INANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RCCORDING YOUR NOTICE OF COMMENCEMENT. �LORIDA JURAT(1=:S.117.03 . � • CONTRACTOR w � � 'a'c-- OWNER OR AGENT ��- bscribed and sworn to,(�a��ed)b re �,is p� O�ubscribed and sworn to( afFUmed)b�for�e,m e this �''"- d����Y � TM• �0lW+ � °Cse �!��-/ 'a1------ Who is/are personallvlsnawn to me or has/have produced Who islare pers�'Nn to me or has�lSa�en fi afi na as identifcation. G��r��., O- Notary Public %��� Notary Public Commissf No. Commission No. �:. _�j , S��zanne Bahr ., . Suzanne Bahr � � omtni3s��`� � ' Name of Notary ryped,printed or st : Expires :ti GV.22,2014 Name of Notary typed�, , xpire. NOV.22,2014 � BOi"DEDTf?RC�.t:._S-r;� �,,.\1�NGCO,INC. B01'DED THRC ATI.L�� t P6\'!)LtiGC0.,1NC. � �� �� � � THAT PART OF �AST 80.00 FT OF NW1/4&THAT PART OF WEST 1/2 OF €�ASCO P�R�AT�'"'�CE NE1/4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST AND �813�.�_�14 LYING WEST OF MAJESTIC OAKS COMMUNITY-PHASE ONE AS PER PB 35 �AX��.���� PGS 107-112 EXC NORTH 20 FT THEREOF FOR RD R/W& MAJESTIC OAKS �.,� COMMUNITY PHASE ONE PB 35 PG 107-112 LOT 1 THRU 16 INCL& LOTS 19 �d'3�, G�J Y�,��, THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87 Z '��� J`s.�y NOTICE OF COMMENCEMENT IIIIIIIIIIIIIIIIfIIiIIIIIIIIIIIIiIIIIIIIIIiIiIIIIIIIIIiIIiII Rcpf,:143147g Ree: 10.00 Permit No DS: 0.00 01/23/12 K. Gareia0 Dpty Clerk Properiy Identificat�on No o�OZ.b �-� D�Od - dd�dd�dp0 THE UNDERSIGNED hereby gives not�ce that improvements will be made to certain real properiy, and �n accordance with Section 713 13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT 1 Description of property(legal descri tion:) �4� bZo?� (� �� � �� a)Street Address• �� � �,�� � �.. 2. Genera(description of improvements C�w n d/� itGt.� � Owner Informahon �— a)Name and address._Q4,!/j � T.Q�q(/� c���/l �,/��O-T �Il� o IW��� r-/ o.rry/�`' b)Name and address of fee simple trtlehol er(if other than owner) �� ��w�� c)Interest in property 4 Contractor Information � a)Name and address�u-/1 Cr�� ��� . �C , ��"� ��.-� �C/ `�,,,��,-�/ b)Telephone No • Fax No (Opt.) � ��Z�— �a,,, 5 Surety Information a)Name and address: b)Amount of Bond. c)Telephone No.: Fax No (Opt.) 6 Lender m D a)Name and address o��D Phone No. '" 7 I dentity o f person within the State of Florida designated by owner upon whom notices or other documents may be served. �N m a)Name and address. �� b)Telephone No Fax No.(Opt.) � 8 In add�tion to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section �N v 713 13(i}��),;;or�da Statutes. � � a)Name and address• N b)Telephone No. Fax No (Opt.) �'+° 9 Exp�ration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date ts �o m Specified). ��,� N~°` � (O ° � WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE 1VOTICE OF � � � MMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, � r FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY �3EFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA � COUNTY OF PASCO ` ignature o wner or O er's Authorized OfficedDirector/PartnedMana�;er �L.U!'a� 7��4AU� Print Name — The rego;n instrument was acknowledged before me this p2-��day of 2d1 20��b �Q-f/!� �'r' 2 as` / ' ' Y (ty e of authority,e.g.officer,trustee, attorney in fact)for C� (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identification /' Notary Signature_ ��� i^V-�LL_�l,t�/,f Type of Identification Produced � Name(print) `� /'�.�/L �L/"���4 y Verification pursuant to Section 92.525,Florida Statutes.Under enalttes of perjury,I declare that T have read the foregomg and that the facts stated in it are true to the best of my knowledge and be hOT�s«5'PL-';-'^ `�T'�Tr�''�,ORIDA Signature of ral Person 'gning Above FORMS/NCC,rvsd2007 ." C; ���?'!'�'j� ��'��-,"�. --t_ . =.�:�.^v92r,'64 =��'` � � . :.0 C�T.16 2013 Eo:����,��_ ....._:�csc.,Li;c;co.,�tc. . e STAT�Q�' ��,ORIDA,�COUNTY OF PaSCO THIS iS TC?CERTIFY THAT THE FOREGOING IS R TRUE AND CORRECT COPY OF THE DqCUMEN7 UN FILE OR OF PUBLIC RE�ORq lN TF�S OFFIGE WIT��MY HAND A d�FICtA�SEAL THIS �_DAY OF � -{ 2�3� PAULA S O'N , RK&� �TRQ��ER;� gY � �EPUTY CLERK ����II��1 PageNo. of Pages 1 ; ��`"..�' �� �C"�I��'�3....° �lw3.i AYB� ,A�C�C'S��y �9`�'ia� �e � \�— i �i�.54 For� Kir►g.�d. T � � � ZFPHY�HiLLS, �'L 3�5d.2 � ��s33 �$�-���� ' , PROAASAl.SUBMITTED TO PHONE- ' ATE � \` �� � �` f � STREET JOB NAT�iIE � � � �� � �\�L��L��;�� `c�(�c.� Q �� �� � C� �~ CITY,STATE and ZIP C „1-- JOB LOCATION +- - ,�1� � ,.,r �.^..�^ <<� _, � ARCHiTECT DATE OF PLANS , . '`�! �`��JOB PHONE � \ � We hereby submit specifications and estimates for• � � ' � p�i .1 C` �t ��!-�J�.��,� J i ,' � `�� � �� X��� ��� , _' , , �' ; Ir�°s0� � 5 � �� � � � r � � �c�..�. 1� � �z��� ���� � (�.. tp � � ; ; ; � � � � , , � i � i �,���9.��-��U� �� �--�_, �\ ���—.. � � �� -��,t�. � � , � � , � �� ; �P �CQ�JQSP Cereb�jr o furrri,sh material and labor—complete in,accordance with above specifications, for the sum of: � `\� `y —_''�.--_ ollars($ ` �� ). ; Payment to be made as follows: � � _� 1 �--�' v I ' s__-- i .� All materiai is guaranteed to be as specified. AI�v�tor�to�be completed in a workmanlike " _ manner according to standard practices.Any alteration or deviation from above specifications AUtI) ized - involving extra costs will be executed only upon written orders, and will become an extra �na� charge over and above the estimate. AII a'�jreements contingent upon strikes, accidents� �_.��� � or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. — ��ote: i�is propOSal may be ; Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within _ dByS. � � g I �rrP���IYIrP O1 �r��JDSFII —The above prices, specifications � `' ! � �� 1 and conditions are satisfactory and are hereby accepted. You are authorized Sign�tur �� � � to do the work as specified Payment will be made as outlined above. ( / ��-- f v Date of Acceptance: Signature � i t � S!'.�11- /''= /C�. , , �D, c�d � _._�..__ j i � ' /� �' � ', � � � � Pr�t�vs�D i �stfE� � I g :� �0/L?� , i j , . �...�_ l, � i � a � ,I � i i � ; � � i � �c,,, n o, � � � w �� �? � � i � � i !g � ,���? i ��`� �. � i I �' �� � i �i¢� � O I . d � � �i i �d��L � � � i � � 1 , � , ; ; a , � ' � , �{ � ! � I�' ; i 7� �� ; 1 y, �D � � I /�. 00�LL 0�•�LL COMPLY WITH ALL I{ �CZ�DES,FLORIDA BUILDING � �� CODE,NATIONAL EI,ECTRI I � I� C1T -� � C CODE AND I � Y OF�E�gYRHILLS ORDINANCES � ° � �° � i a" � �� '� I g� REVr��W . ' crT o.�,;� ,Z-�.-I Z., Y�F'ZE:P ---_�._�__._._ _____._ 1 � �L,�NS , HYl�MILL� `�.:_ � �M1NE �3 9��/ C�/,,f���_U% L�¢/�/� L�` ��S .�!> T.�" � ,�.,� � �-��J � �° a-�` 02�'0 - J�`-- ���- c.''C'. ��G'-G%.}�C,. r'lorida Building Code Online Page 1 of 2 *:� . � a i�r;!a.+r�r s r�a�'»e�� ��'�.�� � BCIS Home i Log In User Registration Hot Topics ; Submit Surcharge Stats&Facts Publicatlons F8C Staff BQS Site Map Links Search � ��, � ' '�� . Product Approval � # r�t � USER:Public User � I il Produd Aooroval Menu>Product or Aoolication Search>Aoolication List>Application Detail I� � FL# FL161-R3 Application Type Revision ' .� 1� ` � Code Version 2007 Application Status Approved Comments I �� .' j Archived i I Product Manufacturer Custom Window Systems Inc. Address/Phone/Email 1900 SW 44th Avenue I Ocala, FL 34474 (352)368-6922 Ext207 mlafevre@cws.cc Authorized Signature M(chael LaFevre ' mlafevre@cws.cc I Technical Representative Michael LaFevre## Address/Phone/Emafl 1900 SW 44th Avenue Ocala,FL 34474 I (352)368-6922 Ext207 M La Fevre@cws.cc ' i Quatity Assurance Representatfve Ralph Emminger## � Address/Phone/Email 1900 SW 44th Avenue Custom Window Systems,Inc. Ocala, FL 34474 (352)368-6922 Ext208 � Ralph@cws.cc � i Category Exterior poors I Subcategory Swfngfng Exterior poor Assemblfes �� Compliance Method Evaluatton Report from a Fiorida Registered Architect or a Licensed i Florfda Professional Engfneer w Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who Roberto Lomas developed the Evaluation Report Florida Lfcense PE-62514 i Quality Assurance Entity Keystone Certiflcations,Inc. Quality Assurance Contract Expiration Date 07/21/2020 Validated By Steven M. Urich,PE I �i Validatton Checklist-Hardcopy Received � Certificate of Independence FL161 R3 COI 511038 fEval Reo Guardian Doorl odf I Referenced Standard and Year(of Standard) Standard Year ANSI/AAMA/WDMA 101/IS2-97 1997 Equivalence of Product Standards I � http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvyf4ngAXh 10... 11/11/2010 ! � � � o � 2 W � � � a $ � g � � � � a p� co y n Z s � < �u u� � g � r w g = � fa � � � � y F- W y N fR � ¢ � S � W ° � � � < p = �� O V1 � Q � � 3 Q o r � p � - . F- � j O,rt � � � a 2 P 20 d� � � � < � � w � �� 8W N 3 ? LL 5 � v- � g � W � aQ �¢ S ? 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