HomeMy WebLinkAbout12-13024 CITY OF ZEPHYRHILLS
5335-8TH STREET
. (si3)�so-oo20 13024
BUILDING PERMIT
Permit Number: 13024 Address: 4546 BLOSSOM BLVD
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: ORANGE BLOSSOM RANCH
Est. Value: Parcel Number: 15-26-21-017D-00500-OOCO
Improv. Cost: 2,513.01
Date Issued: 5/07/2012 Name: BRADLEY, VERONICA
Total Fees: 75.00 Address: 4546 BLOSSOM BLVD
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/07/2012 Phone: 813-779-2368
Work Desc: REPLACE DOUBLE DOOR UNIT SIZE/SIZE
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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.
REINSPECTlON 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� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
.
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF / / � � BUILDINa
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
� • • - �
ADDR 55 D E PERMIT�,
�S� �� � � �- 1 a�-�F
THIS JpB HAS NOT BEEN COMPLETEO. The foliowing additions or corrections shcll be mcde before the job
will be accepted.
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it is unlawful for any Carpenter,Contractor,Bui�der,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the woric with flooring,lath,earth " '
or other materia�,until the proper inspector has had ample time to approve 780-0020 FOR RE-INSPECTION-- ��us �'1O�
the installation.
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OFFICE HOURS 7 30AM-4 30 PM MON-FRI INSPECTOR � �� (Z�';/�(x��
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2012077126
Rept:1433527 Ree: 10.00
DS: 0.00 IT: 0.00
NOTICE OF CQ�I�IMEN ElVf_ENT 05/07/12 E. Munguia, Dpty Clerk
PermitNo. � C,('Oti -- PAULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLEF
Tax Folio No. � .��� % '(�D '��d —a0�17 050R7BK2 �6�q, 1PGo 3526
THE UNDERSIGNED hereby gives notic�that the improvements will be made to real property,and in accordance wi Section 1.3.13 of
the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. �,1����,���G� f/
1. Description ofproperty(le al sc �i tian)�/iC ��Y)'! � C��c� 5 �� �
����
a)Street(job)Address: Z , ' h� l l S ��-3�SY2 � 7�'g7 c�f�. �
2. General description impr ve ents: �/
3. Owner Information /� j /
a)Name and address:_�`1l�._�JU�'Yi��1 ��b ��OSSc� ��✓U ��v✓����� ��- �j��(�-
b)Name and address of fee simple titleholder(if other than owner)
c)Interest in properiy Owner
. ontractor Information
Name and addressi Lowes Home Centers.Inc..P. O.Box 781 9 Orlando,FL 32878 _
b)Telephone No:_�o'y—k�2.--�0 C�' Fax No: GL
5. Surety Information �
a)Name and address�_NA
b)Amount of Bond: NA
c)Telephone No:_NA
6. Lender
a)Name and address: NA
b)Telephone No: NA Fax No: NA
7. Identity of persan within the State of Florida designated by owner upon whom notices or other documents may be served
a)Name and address NA
b)Telephone No: NA Fax No. NA
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Iv*��tice as provided in Section'11�.13(T)(b),
Florida Statutes;
a}Name and address: NA
b)Telephone No. NA Fax No. NA
9.Expiration date of Natice of Comrnencement(the expiration date is one year from the date of recording unless a different d�te is
speci�ed):
WARNYNG TO OWNER:ANY PAYM]:NTS MADE BY THE OWNER AFTER THE EXPIRATION OF THIS NOTICE OF
COMMENCEMENT ARE CONSIDERIED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13.FLORIDA ,
STATUTES CAN RESULT tN YOLTI�PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP�RTY.A NOTICE OF C011�MEN�EMENT
MUST BE R�CORDED AND POSTED ON THE JOBSITE BEFORE THE FIItST INSPECTION.�'YOU INTEND TO OBTAII�i�FINA�VCING,
CONSULT YOUR LENDER OR AN A7'TORN�Y BEI�ORE COMMENCING�WOR�C OR RECORD'!NG YOUR NOTICE OF
COMMENCEMENT. '
State of Florida
County Of �� `_ 10. � � � ��
�" Signeturo of Owna or Ownar's Authoriud ORicer/DireetodPutar/bLoeger
_°��.► KEITHBAHLHEIM RR� �( ��o+�?-c � �
MY COMMISSION#FEE137457 Print Name
D�IRES:OCT 12,2015 �r� Y
The fore m@AAl��dpl me this Z��day of ('er 0/L by P'� J�n,2��..-,
� (type of authority,e. .officer,trusteq attomey'in fact
for (name of parry on behalf of whom instrument was exe
Personally Known OR Produced IdentificFdion_ Notary Signature
T}�pe of Identificafion Produced��� Name(Print)__�E� g �� ��,�,�,�
...qND_.
Verifiaarion pursuant to Section 92.525,Fioride Statutes.Under penaities of perjury,I deciare that I have read the foregoing and that the facts stated in it are true to the best of
my knowledge ar�d belief:
STORE#� ` i,,`�S -
� Signatuie of Natural 1'erson Signing(in tine 10 Abovee �
uTA�E s�� ��C?I�IDl�,�,� TY�OF QASCt'�
TNIS IS T0 GERTiFti'?�iai•��FOREGOING IS P��
TR�E AND CORRECT COPY OF TN�UGi�UMENT
ON FiLE QR OF PUE�1��tECORD IN TH'IS OFFICE
WiTNESS f�Y i�AiVD AN. �FFiCIAL SEA�.'fHl�
PAU-�DAY QF • �-, �g.�'1vZ- �
p�NtiL� C � �� .�'TROLI�ER
i• '
�Y ' , �DEPUT4'CLERK
"„' ""'"""' vi�y VI LG�JIIy111111.7 r�iiiiii r�N�iwauv�i �a..-..�,,,,,,,,,,,,,�.�
Building Department
7'�6Nt�H
Date Received � � � r/�, Sr3 `L.(oc! _ ��65
Phone Contact for Permittln
Owner's Name 212 C � Owner Phone Number g�.3- 7 9 - �.3(o g
Owne�'s Address �7�'S/ � $Sp� �u d Owner Phone Number
,
Fee 3lmple Titleholder Name Owner Phone Number ��
Fee Simple Titleholder Address
JOB ADDRES8 S 1 p S SO�YL I ���h�//2,Y1! ( (� 1=� �.3S�L LOT# �
SUBDIVI310N f} � �pS r+1 � 'C�-• PARCEL ID# �S`�"Z'� "017� ' OSOO -ODGO
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED U8E Q SFR Q COMM [� OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q OTHER T�
DE3CRIPTION OF WORK r.l-'��- � 0 2 N c'tS Sr��S�Z� L gZ2g�� -}-,, � _
BUILDIN(3 81ZE SQ FOOTAGE HEIGHT
[� BUILDING �$ ,��/3' � r VALUATION OF TOTAL CONSTRUCTION
� ./.��
[� ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
0 PLUMBING $
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �'
3����
[� GAS Q ROOFINO �] SPECIALTY
Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES [�NO
BUfLDER �^�� � � d
SIGNATURE � � 1 COMPANY +e� , .
REGISTEREO N FEE CURRENT Y/N
Address � �d�l $j 9'q 3 � O FL 3Z�S7$ Ucense# C�.�0��-f-(�
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED Y/ N F'EE CURRENT Y/N
Address License# �
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRENT Y/N
Address (�--
License# �
MECHANICAL
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRENT Y/N
Address �
License#
OTHER
SIGNATURE COMPANY
REGISTERED Y/ FEE CURR6NT Y/N
Address
License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permtt for new constructlon,
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facfiitles 8�1 dumpster;Site Work Permit for subdtvisions/large proJects
COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms, R-O-W Permit`for new construcUon.
Mtnimum#en(10)working iiays a!tgf c'1Fjl�7I!�3I d3t9. RBGUIfd(�OI1SIt8,ConscrucUon Plans,Stormwater Plans w/Silt Fencs installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for all new pro)ects.All commercial requirements must meet compllanCe
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'"PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor stgn back of appllcaUon,notarized
+• If over;2500,a Notice of Commencement Is required. (A/C upgrades over E5000)
Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs • Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter If on public roadways„needs ROW
!
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "d6ed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORB AND CONTRlACTOR RESPONSIBILITIES: If the owner has hired a contractor or
eontractors to undertake work, they may be requfred to be Iicensed fn accordance with state and local regulations. If the
contractor fs not licensed as required by law, bpth the owner and contractor may be cited for a misdemeanor vivlativn
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 Inspectian Division—Licensing Section at 727-847-
8009. Furthermo�e, if the owner has hired a 'contractor or contractors, he is advised to have the contractor(s) sign
cont�ctorf thatYmay betanBndication that he'ifs niot p�operly Iicensedi�and is not enttled to permitting privilegesgn Pasco
Counry.
TRAI�SPORTATION IMPACT/UTILITIES IMPA�7 AND RESOURCE RECOVERY FEES: The undersigned unde�stands
that Transportation Impact Fees and Recourse F�ecovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as spec(fied in Pasco County O�dinance number 89-07 and
90-07, as amended. The undersig�ed also understands, that such fees, as may be due, will be identified at the time of
perrrtitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate vf occupancy" or final power release. If the project does not involve a certfflcafe of occupancy or
flnai power release, the fees must be pafd prior to permit issuance. Furthermo�e, if Pasco County Water/Sewer Impact
fees are due, they must be pafd prior to permit issuance in accordance with applicable Rasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida 3tatutes, as amended): If valuation of work is $2,500.00 or more, I
certify that i, the applicant, have been provided with a copy vf the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I centify that all the (nformation in this application is accurate and th�t ail work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Appiication is
hereby made to obtafn a permit to do work and instailation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that ail work wfll be performed to meet standards of all laws regulating
consCruction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso
ce�tify tt�at I understand that the regulatians 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 complfance. Such agencfes include but are not limited to:
- Depa�tment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Dfstrict-Wells, Cypress Bayheads, Wetland Areas, Altering
' Watercourses.
- Army Corps of Engineers-Se�walls, Docks, Navigable Waterways.
- Department of Health 8� Reh�bilitative Services/Environmentai Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
� - US�Environmentai Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
i understand that the following restrfctfoFlS apply to the use of flll:�
Use of flll is not allowed in Flood Zone"V" uniess expressly permitted.
If the fill material is to be used in Flood Zone °A", it is understood that a drafnage•pian addressing a
"compensattng volume" will be submitted at time of permitting which is prepared by a,professfonal engineer
Iicensed by the State of Florida.
- if the fill material is to be used in Flood Zone "A" in connectfon with a permitted building using stem wali
const�uction, I ce�tify that fill will be used oniy 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 ffll is found to �dversely affect adJacent prope�ties, 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 fnform the owner of the permitting conditions set forth in
this affidavit privr to commencing construction. I understand that a separate permit may be required for electrical work,
piumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically ihcluded in the application. A
permit issued shail be constn.ied to be a license to proceed with the work and not as authority to,violate, cancel, alter, or
set aside any provisions of the technicai codes, nor shall issuance of a permit prevent the Bu(Iding Official from thereafter
requiring a correctfon of errors in plans, construetion or violations of any codes. Every permit issued shall become invalid
unless the work 8uthorized 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 s(x(6)months after the time the work is commenced. An extension
may be requested�the e�xtension. f work icefa e�forininety(90)rcon ecutive days, th�job is�c ns de ed bia d nedstrate
justifiabie cause fo
W A R N I N G T O O W N E R: YOUR �AILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENT3 TO YC�UR PRQPE l�T Y. I F Y O U I N T E N D T O O B T A I N F I N AMENT.' C O N S U L T
('AMME�ICE
WITH YOUR LENDER OR AN ATTORNEY BE�ORE RECQRDING YOUR NQTICE OF -
FLORIDA JURAT(F.S.11 . 3) ,. � � r �J
OWNER OR A(3ENT. ' CONTRACTU �
Subsc.�ibed and swo o(or aflirmed)before me this Subscrlbed and s m to(or afflrmed)be re me this
b bY
VYho is/are personaliy knovm to me or has/have produced Who I nally known to me or has/h ia�ve���on.
asidenUflcatlon.
Notary Pubiic
Notary Public
Commisslon No. Commisslon No. '
ed, rinted or stamped Name of Notary typed,printed or stamped
Name of Notary typ P
Pasco County Parcel: 15-26-21-017D-00500-OOCO 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, April 28, 2012
Parcel ID 15-26-21-017D-00500-OOCO (Card: 001 of 001)
Ciassification 04 - Condominium
Mailing Address Property Value
BRADLEY VERONICA S Ag Land $0
4546 BLOSSOM BLVD Land $4,734
ZEPHYRHILLS FL 33542-5669
Physital Address Building $20,299
Extra Features $0
4546 BLOSSOM BLVD
ZEPHYRHILLS FL 33542-5669 7ust Value �25,033
Le4.71 DeSCriDtion (First 4 Lines) Assessed (Save Our Homes) $25,033
Homestead 196.031 - $25,000
See Plat for this Subdivision.�''
ORANGE BLOSSOM RANCH CONDO Non-School Additional Homestead Exemption - $0
4TH ADD PB 22 PG 64 BLDG 5 Taxable Value #0
UNIT C&COMMON ELEMENTS Warning: A significant taxable value increase may occur when sold.
OR 7897 PG 1087 Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zoniny Units Type Price Condition Value
�1 0400 CONDO OOR4 1.00 �T $4,734.00 1.00 $4,734
Additional Land Information
Acres 0.00 Tax Area ZH FEMA Code X Residential Code 4 BR
Buiidina Information - Use 04 - Condominium (Card: 001 of 001)
Year Built 1985 Stories 1.0
Exterior Wall i Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring i Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 B�A 648 $0
2 FEP 108 $0
3 F T 36 $0
Extra Features (Card: 001 of 001)
line Description Year Units Value
�— 1 � FEP 1985 108 $1,919
2 FST 1985 36 $457
�— 3 �� C ND 1985 1 $17,447
4 RP RT 1985 1 $476
Sales History
Previous Owner FLIS FRIEDA&CORSINI C M &
Year Month Book/Paye Type Amount
2008 08 7897/ 1087 WD $55,000
2004 11 6114/0499 WD $42,000
2000 �� 09 4448/ 1584 WD $39,000
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ackno�rl6dges havitiQ.receiared"a copy of.'this p�ipJ�i�t.b�fior�' �R,.
tro,ri�nenovetiorsae to•6s �� b�9eq`i►�fornniir�•Gu9't'ort�ervftliepotenti�f'riskot:tlle:leai!•Fi�card�+icpasi�aa;
�r• p�m,ea�•in au�tohmsrs�amn�;�n,h.;, . � . . . .
PHOTO RELEASE:Crrstomer granti t�Lovye's•and Lowe's 4mployees�tho right to lake photographs of�all woiic pertormed at the Premise�nelated td this
Contract,and.irrevocabl'y grants te LpvYe'd.all.right;qtle eg;i.In'tQrASt it�anB to 1he�hotographs'tor use in a�f markets and medla;.worldwWe,�In�perpetuity.
CUStom�r,�authorizes.l.awe's to: copyrigFit, use and..publis?i•tFre ra ha'ire��• iint end/or elecfronice agre�es tfist�atie's:,m.�r;use such
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are aubject ta� VERY LIMlTED•ttEV1EW BYA.EOURT FQR M�RE DE'TAILS:'Rsviwvlhs sectiot�tittet�AR�FTlYAT10�!`AGREEAAENT,�WA"jV�R bl�JURY
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Florida Building Code Online Page 1 of 4
}+��� Product Approval �
y' USER.Publit User
• �
Prodvc(AORfQ�al MGn✓>ProQvct ccqqa/rGat!9n Sear�h>Applf�pU4C16�Sf>APpllce[/on Detall
FL # FL 5
Application Type Afflrmatl�
Code Version 2010
Application Status �\ Approved
Comments `�
Archived
Product Manufacturer Masonite InternaHonal
Address/Phone/Emall 1955 Powls Road �I,L�'VUif,� �tj�L��U��,l��J�,���.I���L
West Chlcago, IL 60185 PREVAILING C��3EC, i
(615)441-4258 FLOkI�f�,BUILD��1,G
sschrelber@masonite.com CODE,NATIONAL F.LECTP,IC CODE AND
CITY OF ZEPHYRHILLS OR.I�I?��NCES
Authorized Signature Steve Schreiber
sschreiber@masonite.com
Technical Representative
Address/Phone/Email
` '"='�f C 1+��
Quality Assu�ance Representative �'�TY �HT���— Z
Address/Phone/Emai1 ~ �F�E� _
�'�AIVS ITYRHIL�� — -
�XA
Category Exterfor poors M�NE�?
Subcategory Swinging F.xterior poor Assemblies ���---
Compliance Method Certlflcatlon Mark o�LJsting
Certification Agency Natlona!Accreditatfon&Management Instltute,
Validated By Natlona!Accred/tation&Management Institute,
Referenced Standard and Year(of Standard) ndar Year
ASTM E1S86 2002
ASTM E1996 2ap2
ASTM E330 2002
TAS 202 1994
Equlvalence of Product Standards
Certified By
<�I affirm that there are no changes in the new FJorrda Building Code which
affect my product(s)and my product(s)are in compllance w/fh the new
florlda Build/ng Code.
Documentatlon from approved Evaluation or Valldation Entlty Yes No N/A
Product Approval Method Method 1 Option A
Date Submitted 02/06/2012
Date Valldated 02/06/2012
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquftCwaMPtp3 T... 2/27/2012
Florida Building Code Online Page 2 of 4
Date Pending•fBC Approval ,
Date Approved 02/13/1012
.._,_ _.._.... .----- - --- - --._.. .---..._ ___._..._..____ _- -. _.. .-- ---_.._._.----- _-____�--------.._..---
5ummary of Producrs
;FL # Model,Number or Name DescN tlon
�8228.1 Flber lass Slde-HIn ed Door Unit 6'-8"O a ue I/5 and O/S S/ngle Door
Limits of Use � Certlffcatlon Agency Certlficate
Approved for use in HVHZ: Yes FL8228 RS C CAC N1006900.Oi.Odf
:. Approved for use oulside HVHZ: Yes Quafity Assurance Contract fxpirafion Date
; Impact Reslstant: Yes 12/31/2014
� Design Pressure: +85.D/-85.0 Insla/lat/on Instructfons
� Other:Evaluated for use In locations adhering to the Florida FL8228 RS 11 FL0160Dx.odf
Building Code lncluding the High Ve/ocity Hurrlcane Zone, and Verlfled By,Natlona!Accredltat/on 8c Management Instltute,
where pressure requirements as determined by ASCE 7, does not Created by Independent Thlyd Party:
exceed the deslgn pressures Ilsted. 3'-0"x 6'-8"max nomina/slze. Eva/ualion Reports
Hurricane protec[Ive system requlred In HVHZ, but not requlred In FL$228 R5 AE 504A...pdp
the Wind 8orne Debris Reg/on. See DWG-MA-FL016�-07 for Created by Independent Thlyd Party: Yes
additiona!information.
8228.2 Flber lass Side-Hinged Door Unit 8'-0"D a ue I/S and O/S Sin /e Door
Limlts of Use CertlflcatJon Agency CertJflcafe
Approved for use fn HVHZ: Yes FL�228 RS C CAC NI006900,02.�f
Approved for use outRlde HVHZ: Yes Qua!!ty Assurance Conlracf Explrallon Dafe
Impact Reslstant: Yes 12/31/2014
Desfgn Pressure: +70.0/-70.0 Installat/on Instructfons
Other:Evaluated for use!n locations adhering to the Florida FL8228 RS II fL0161Dx.Ddf
BuildJng Code lncluding the High Velocity Hurricane Zone, and Verlf/ed By:Nationa/Accreditatlon&Management Institute,
where pressure requlrements as determined by ASCE 7, does not Created by Independent Third Party:
exceed the design pressures llsted. 3'-0"x 8'-0"max nominal size. Evaluatfon Reports
Hurrlcane protective syslem requlred in HVHZ, but not required in FL8228 RS AE 503A.adf
the Wind Borne Debrls Region. See DWG-MA-FL0161-07 for Created by Independenf Third Party: Yes
additional Information.
8228.3 Fiber lass Slde-Hinged Door Unit 6'-8"O aque Insw/n S/n /e or poub/e Door w/o�w/o Sldelltes
Lim/ts of Use Cert/flca[lon Agency Certlflcale
Approved for use in HVH2: Yes fL8228 RS C CAC N1006900.OI.ndf
Approved for use outslde HVHZ: Yes Quallty Assu�ance Contract Expfration Date
, Impac!Resistant: Yes 12/31/2014
; Deslgn Pressure: +50.5/-50.S Installat/on Instructlons
Other:Evaluated for use!n locations adhering to the Florlda FL8228 RS 11 FL0160Dx.vdf
i Building Code including the High Veloclty Hurricane Zone, and Verlfied 8y: Natlona/Accredltatlon&Management Institute,
where pressure requi�ements as derermJned by ASCE 7, does not Created by Independent ThJrd Party:
exceed the design pressures lis[ed. 12'-0"x 6'-8"max nomina/slze. Eva/uatfon Reports
Hurrlcane protective system�equlred in HVHZ, but not required!n fL8228 RS A,E 502A,pdf
�the Wind Borne Deb�is Region. See DWG-MA-FL0160-07 for Created by Independent Third Party: Yes
additional Informa tion.
'8228.4 Fiber /ass 5/de-Nin ed Door Unit 6'-8"O a ue Outsw/n 5/n /e or poub/e Door w/or w/o Slde/ltes
,Limifs of Use Certlflca!/on Agency Cert/f/cale
! Approved for use!n HVNZ: Yes fL�B228 RS C CAC NI006900 Ol, f
i Approved for use outside HVHZ: Yes Quallty Assurance Contract Exp/rafion Date
; impact Resistant: Yes 12/31/2014
Design Pressure: +55.0/-50.5 Installalfon Insfructfons
Other:Evaluated for use!n locations adhering to che Flo�lda FL8228 RS 11 FL0160Dx.odf
Bullding Code including the High Velocity Hurricane Zone, and Verl�ed By: Nationa!Accreditatlon&Management Institute,
where p�essure requirements as determined by ASCE 7, does not Created by Independent Third Party:
exceed the design pressures!lsted. 12'-0"x 6'-8"max nominal slze. Evn/uation Reporls
Hurricane protective system requlred rn HVHZ, but not required In fL8228 RS AE 502A.ndf
the Wrnd Borne Debris Region. See DWG-MA-FLOi60-07 for Created by Independent Third Party: Yes
additional rnformatlon.
;8228.5 Fiber lass Side-Hin ed Door Unit 8'-0"O a ue Inswin Sin /e or pouble Door w/or w/o Sidelites
Limfts of Use Certlf/Catfon Agency Cert/flcate
Approved fo�use in HVHZ: Yes fL8228 RS C CAC NI006900.02.odf
App�oved for use outside HVHZ: Yes Quality Assurance Contract Exp/rat/on Date
� Impact Resistant: Yes 12/31/2014
; Design Pressure: +50.5/-50.5 Insrallalfon Instruct/ons
� Other:Evaluated for use in locations adhering to the Fforida FL8228 RS II fL016iDx.�df
Building Code Includrng tl�e High Veloclty Hurricane Zone, and Verlfled By: Natlona/Accreditatlon&Manaqement Institute,
where pressure requirements as determined by ASCE 7, does not Created by Independent Third Party:
exceed the design pressures Ilsted. 12'-0"x 8'-0"max nomina!slze. Evaluatlon Reports
Hurricane protective system requlred in HVHZ, but not required!n FL8228 RS AE 501A.pdf
the Wind Borne Debris Rergion. See DWG-MA-FL0161-07 for Created by Independent Thlyd Party: Yes
additional Jnformation.
�8228.6 �Ffberglass Sfde-Hinged Door Unit 8'-0"O a ue Outswln S!n !e or pouble Door w/or w/o S/delites
�Limits of Use CeKiflcation Agency Certtflcate
http:l/www.floridabui lding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquftCwaMPtp3 T... 2/27/2012
Florida Building Code Online Page 3 of 4
� Approved ior use In HVHZ: Yes FL8.�28 RS C CAC N1006900.02.vdf
; Approved for use outside HVHZ; Yes Quality Assurance Contrac!Expfratlon Date
' ImFtact Resistant: Yes 17./31/2014
� Design Aressure: +55.0/-50.5 Installalfon Instructfons
� Other:Evaluated fo�use In locations adhering to the Florida FL8228 RS II FL0161Dx.pdf
i euilding Code including I:he High VeJoclty Hurrlcane Zone, and Verifled By: Nat/ona/Accreditat/on&Management lnstltute,
;where pressure requi�ements as determined by ASCE 7, does not Created by Independent Thlyd Party:
;exceed the design pressures listed. 12'-0"x 8'-0"max nominal slze. Eva/uatlon Reports
�Hurricane protective system requlred In HVHZ, but not requfred in fL8228 R5 AE 501A.Odf
!the Wlnd Borne Debris Reglon. See DWG-MA-FL0161-07 for Ci�ated by Independent Thlyd Party: Yes
�addltlona!Information.
!8228J Fiberglass Side-Hin ed Door UMt 6'-8"G/azed Inswing S/ng/e or poub/e Door w/or w/o Sidelltes
i Ltmlfs of Use Certlflcatio»Agency CertifTcate
� Approved for use Jn NVHZ: Yes fL8228 RS C CAC N1006900.03,pdf
; Approved for use outs/de HVH2: Yes Quallty Assurance Contract Expfratlon Date
; Impact Reslstant:No 12/31/2014
Desfgn Pressure: +52.0/-52.0 Insta/latfon Instrucllons
� Other:Eva/uated for use in/ocations adhering to the F/orlda F�$128 RS II FL0162Dx.pdf
;Bullding Code lncfuding t•he N/gh Veloc/ty Hurrlcane Zone, and Verlfled By: Nationa/Accredltatlon&Management Insf![ute,
�where pressure requlrenrents as determined by ASCE 7, does not Created by Independent Thlyd Party:
�exceed rhe design pressures listed. 12'-0"x 6'-8"max nominal slze. Evaluatfon Reports
HurNCane protective syst.em required!n HVHZ and the W/nd Borne FL8228 R5 AE 502A.�df
Debrls Region. See OWG-MA-FL0162-07 for add/tlonal Informat/on. Created b Inde endent Third Pa : Yes
8228.8 Fiberg/ass Side-Nin ed Door Unit 6'-8"G/azed Outswln Sin /e or poub/e Door w/or w/o Sidelites
;Lim/ts of Use Certlflcatfon Agency Certfffcate
� Approved for use in NVH2: Yes FL8228 RS C CAC NI006900.03.vdf
Approved for use out+ide HVHZ: Yes Quality Assurance Contract Exp/ratlon Date
; Impact Resistant:No 12/31/2014
i Design Pressure: +55 0/-55.0 Installation Inslructions
; Other:Evaluated for use in locations adhering to the Florlda �728 RS II FL0162Dx.odf
j 8urlding Code including the H/gh Velociry HurNcane Zone, and Verlfled By:Nat/ona/Accred/tatlon&Management Instltute,
�where pressure requirements as determined by ASCE 7, does not Created by Independenf Thlyd Party:
exceed the deslgn pressures listed. 12'-0"x 6'-8"max nomina!s/ze. fva/uation Reports
�Nu�rlcane pro[ective sysl:em requlred In HVNZ and the Wlnd 8orne FL8X28 RS AE 502A.vdf
Debris Re lon. See DWG-MA-FL0162-07 for addltional fnformation. Created b Inde endent Thlyd Pa : Yes
8228,9 Fiberg/ass Side-Hinged Door Unit 8'-D"G/azed Insw/n SIn /e or poub/e Door w/or w/o S/delltes
�Umlts of Use Certfficatfon Agency Certlficate
Approved for use in HVHZ: Yes FL8228 RS C CAC N1006900.04.odf
Approved for use outside HVHZ: Yes Qua!!ty Assurance Contract Explration Date
� Impact Resfstanl:No 12/31/2014
� Design Pressure: +40,0/-45.0 Insta/latlon Instructions
i Ofher:Evaluated for use!n locations adhering to the F/orrda FL8228 RS 11 FL01630x.vdf
;Bullding Code!ncluding the High Velocity Hurricane Zone, and Verlfled By: Nat/ona!Accred/tatlon&Management Inst![ute,
'where pressu�e requirements as determined by ASCE 7, does not Created by Independent Third Party:
;exceed the des/gn pressures listed, i2'-0"x 8'-0"max nominal slze. Eva/uatlon Reports
Hurricane protective system requlred In HVHZ and the W/nd 8orne �sz28 RS AE SOIA.odf
Debris Re lon. See DWG-MA-FL0163-07 for additional lnformation. Created b Inde endent Thlyd Part : Yes
'8228.10 Flberg/ass S/de-Hin ed Doo�Unit 8'-0"G/azed Outswin Sin !e o�Doub/e Door w/or w/o S/delltes
'Limits of Use Cert/flcat/on Agency Certiflca[e
' Approved for use in HVHZ: Yes fL8228_RS C CAC N1006900.04.vdf
, Approved fo�use oufside NVHZ: Yes Qual/ty Assuranee Contract Exp/ra!!on Dale
� Impact Resistanl:No 12/3i/1014
; DesJgn Pressure: +43.0/-47.0 installatlon Instruct/ons
Other:Evaluated for use in locatJons adhering to the Florfda FL8128 RS ll FL0163Dx.odf
;BuJlding Code including the Hlgh Velodty Hurricane Zone, and Verlf/ed By: Natlona/Accreditation&Management Instltute,
;whe�e pressure requirements as determined by ASCE 7, does not Created by Independent Third Party:
�exceed the design pressures listed. 12'-0"x 8'-0"max nomina/slze. Eva/uat/on Reports
i Hurrlcane protective system requlred in HVHZ and the Wlnd 8orne �$228 R5 AE 50iA.ndf
Debris Reglon. See DWG�MA-FL0163-07 for addltlonal information. Creafed b Inde endent Third Pa : Yes
8228,11 Fiberglass Slde-Hinged Door Unit 6'-8"Impact G/azed Inswing Sing/e or poub/e Door w/or w/o
Sldeli[es
Lim/ts of Use Certificatlon Agency Certlflcale
Approved for use in HVHZ:No FL8228 RS C CAC N1006900.OS.ndf
Approved for use outside HVHZ: Yes Qua/fty Assurance Contract Expfratfon Date
Impact Res/stant: Yes 12/31/2014
; Desfgn Pressure: +52.0/-52.0 Insta//atfon Instructfons
; Other:Eva/uated fo�use In locat/ons adhering to the FloNda FL8228 RS II FL0162Dx.vdf
8u1/ding Code not including the H/gh Veloc/ty Hurricane Zone,and Verifled By: NaHona!Accred/tatlon&Management Instltute,
where pressu�e requirements as decermined by ASCE 7 do not Created by Independent Thlyd Par[y:
!exceed the deslgn pressures listed. 12'-U"x 6'-8"max nomina/sJze. Eva/uallon Reports
See DWG-MA-fL0i62-07 for additional lnformatlon. FL8128 RS AE 502A.odf
Created 6 Inde endent Third Pa : Yes
�8228.12 �Fiber9fass Slde-Hinged Door Unit 6'-8"Impact G/azed Outswing Single or pouble Door w/or w/o
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquftCwaMPtp3 T... 2/27/2412
Florida Building Code Online Page 4 of 4
���, SldelJtes•
;LImlts of Use Certlf/caUon Agency Certificate
; Approved for use in t1VHZ:No �L8228 RS C CAC NI006900.OS.pdf
; Approved for use out.side HVHZ: Yes Qua/Ity Assurance Contrac!Exp/ralfon Dafe
� Impact Resislant: Yes 1?./31/2014
i Deslgn Pressure: +55.0/-55.0 Installaflon Instructfons
� Other:Evaluated for us•e!n/ocations adhering to the Florlda fL8228 RS 11 fL01620x vdf
I Burldrng Code not Including the High Velocfty Hu�ricane Zone, and Verlfled 8y: Nationa/Accredltatlon&Management Institute,
!where pressure requirements as dete�mined by ASCE 7 do not Created by Independent Th/rd Party:
;exceed che deslgn p�essures Ilsted. 12'-0"x 6'-8"max nomina!s/ze. Evaluation Reports
See DWG-MA-FL0162-07 for additlona!information. FL�22� RS AE 502A.adf
Created b Inde endenf Third Part : Yes
i 8228.13 Fiberglass Side-Hinged Door Unit 8'-0"Impact G/azed Inswing Sing/e or pouble Door w/or w/o
S/delltes
Limits of Use Certff/cation Agency Certificate
Approved for use in NVHZ:No FL8218 RS C CAC NI006900.06.odf
Approved for use outside HVHZ: Yes Qua!!!y Assurance Coniract Expira[lon Date
; Impact Resistant: Yes 12/31/2014
� Design Pressure: +40.0/-45.D Installatfon Instrucffons
Ofher:Evaluated for use in locations adhering to the FloNda FL8228 RS II fL0163Dx.pdf
Building Code not including the High Veloclty Nurrlcane Zone, and Ver/fled By:Natlona!Accred/tat/on&Management Institute,
where pressure requlrerrients as determined by ASCE 7 do not Created by lndependent Thl�d Party:
�exceed the design pressures listed. 12'-0"x 8'-0"max nom/na/size. Evaluatlon Reports
!See OWG-MA-fL0163-0"l for additional lnformatlon. fL_$22�_RS AE �Q1A,pdf
Created b Inde endent Thlyd Pa : Yes
;8228.14 Fiberg/ass Side-Hinged Door Unit 8'-0"Impact Glazed Outswing Single or pouble Door w/or w/o
Slde!lfes
;Limits of Use CertlficaHon Agency Certfffcate
; Approved for use in NVNZ•No FL8228 RS C CAC N1006900 06 p�f
I Approved for use outsfde HVHZ: Yes Qualily Assurance Co»tract ExpJration Date
' 7mpacf Resistant: Yes 12/31/2014
� Design Pressure: +43.0/-47.0 Inslal/atJon Inst�uct/ons
; Other:Eva/uated for use In locations adhering to the F/orlda �8228 RS 11 FL01630x�f
�8uilding Code not including the Nigh Ve/odty Hur�icane Zone, and Verlfled By:Nationa!Accred/tat/on&Management Institute,
�where pressure requlrements as determined by ASCE 7 do not Created by Independenf Thlyd Party:
exceed the deslgn pressures llsted. 12'-0"x 8'-0"max nomina!size. Evalua!!on Reports
,See DWG-MA-FL0163-07 for addltional lnformatlon. FL8228 RS AE 501A.odf
Created 6 Inde endent Thlyd Part : Yes
http://www.floridabui lding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquftCwaMPtp3 T... 2/27/2012
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� REVISIONS & D�aLS
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CiTy of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � Q j,� S
Date Received: � �-�y-
site: _ �f S T S� �ll��saYN ,�/ �L
Permit Type: z ��J� �i�/Si�
Approved w/no comments:J� Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
��/�
Kalv Switz lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)