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HomeMy WebLinkAbout12-13599 CITY OF ZEPHYRHILLS 5335-8TH STREET �sis)�so-oo20 `13599 Y BUILDING PERMIT Permit Number: 13599 Address: 3421 PYRITE DR Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: RV PARK Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE RV RESORT Est. Value: Parcel Number: 24-26-21-0080-00000-2930 Improv. Cost: 3,800.00 Date Issued: 11/13/2012 Name: PAYSON, ROGER 8 CAROLYN Total Fees: 142.50 Address: 25 PINECROFT AVE Amount Paid: 142.50 HOLDEN, MA 01520-2459 Date Paid: 11/13/2012 Phone: 508-735-8146 Work Desc: 12 X 42 LANAI STORAGE BLDG HOMEOWNER � ' ✓ �l� 2 ' t7"~��� l C- � C, �� T ,•,� C r�e '� �-I ��� � ►�-,�''�-`�j �� b�` +'l ("3�� �-i�p� C�h � I 5a � o� �+� c a-a--� �/ ' �re.r: � '�d't.�n'e�r- � (��I`�i�-kv,r�za -r UY��t , �'' �Y � �ocfr ��u ��'r►,� - �{_ r3-iz 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 wmply 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)aondemned 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 property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of oommencement." Complete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. � , � CO TO ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 24-26-21-0080-00000-2930 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, November 10, 2012 Parcel ID 24-26-21-0080-00000-2930 (Card: 001 of 001) Classification 00 - Vacant Residential Mailing Address Property Value PAYSON ROGER P&CAROLYN Ag Land �p 25 PINECROFT AVE �nd $33,538 HOLDEN MA 01520-2459 Building �p Physical Address Extra Features $2,204 3421 PYRITE DR ZEPHYRHILLS FL 33540-7429 7ust Value $35,742 Leqdl DeSCriDtiOn (First 4 Lines) Assessed (Non-School Amendment 1) $32,407 See Plat for this Subdivision Non-School Taxable Value ;32,407 THE EMERALD POINTE RV RESORT �hool District Taxable Value �35,742 PHASE SIX PB 48 PG 006 Warning: A significant taxable value increase may occur when sold. LOT 293 Click here for details and info. regarding the posting of exemptions. OR 8674 PG 3322 Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value � 0100 SFR OOC2 2,448.00 SF $13.70 1.00 $33,538 Additional Land Information Acres 0.06 Tax Area 30ZH FEMA Code -- Residential Code EMPTIPl Building Information (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) Line Description Year Units Value �-1 � DWC 2005 1,482 $2,204 Sales History Previous Owner SPENCER RICHARD L&BETTY J Month/Year Book/Page Type Code Condition Amount 03/2012 8674/ 3322 WDeedty �1 Vacant $43,800 11/2003 5640/ 0482 Warranty � Vacant Deed $25,000 11/2003 5640 / 0480 WD��ty � Vacant $25,000 http://appraiser.pascogov.com/search/parcel.aspx?sec=24&twn=26&rng=21&sbb=0080&... 11/13/2012 0 , �� �, City of Zephyrhills BUILDING PLAN REVIEW COMMENTS ,�:._.__-- Contractar/H meQWner: U �i�4- � T�rn�o'��,,Q,... Date Received: /� ��Z Site: 3��/ �yr��e. �r Permit Type: Lr.z�� � S�+�cc�e �-c,t,,�����r ZX � L Approved w/no comments:❑ Approved w/the below comments: , Denied w/the below comments: ❑ � / � ' _ �i �<1 C �, ' � 1 c � I { � �� d 1 Ar� i , s , �� -, � • � This comment sheet shall be kept with the permit and/or plans. � ' ( - { % /� ;J �� Kalvin Swit ` —Plans Examiner Date Co tractor andl ,Homeowner (Required when comments are present) s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department /� � Date Received ' -(Q-� Z Phone Contact for Pennittin ._ Owner's Name G. a Owner Phone Number �"?�s D/�� Owners Address ,�I..L � Q �� �,l � Owner Phone Number Fee Simple Titleholder Name Owner Phone Numbar Fee 3imple Titleholder Addresa 3 �1 � D JOB AD�RESS LOT� �7`� SUBDIVISION Ti�c- � e�l�✓�at.c� PARCEL 10� a-y-o� -�/-QD�D- dG�')- a9�D �IDr f (08TAINED FROM PROPERTY T/UC NOTICE) WORK PROP03ED NEW CONSTR ADD/ALT C� SIGN Q Q DEMOIISH INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM �� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK < �/L(L(. GI� / , BUILDING SIZE �bt-X �OZ- SQ FOOTAGE SOS� HEIGHT �BUILDING a 3 SG� °o VALUATION OF TOTAL CONSTRUCTION [�ELECTRICAL $ OU AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. 3dd. �S� OPLUMBING a 1�I � � �� �]MECHANICAL a VALUATION OF MECHANICAL INSTALLATION � yP,��l a"n �]GAS �] ROOFING Q SPECIALTY 11',� _�L [_] OTHER �r�� � e��f� � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO j�t� �a t'G r� I" BUILDER x ��� COMPANY ��� SIGNATURE �" �� REGISTERED Y/ N FEE CURREA Y/N Address ��dl� /'y� .Q/�' . Z- f . License# �"` ` EIECTRICIAN k 1 ,�� COMPANY 1�(V�� SIGNATURE ` l I � REGISTERED Y/ N fEE CURRE� Y/N Address �ya� /y .�I�. G � � � 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 Addreas 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)woiicing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, Sanitary Fadlitles 8 1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcrion. Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Pians w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. """PROPERTY SURVEY requlred for all NEW constructlon. - -�.����������.����..�.�.�. Directions ""' Fill out applicatlon completely. Owner 8 Contractor sign back of applicaUon,notarized It over 52500,a Notice of Commencement(s requtrod. (AIC upgrades over:7500) " 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 Applicatlon Oniy) 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 �estrictive than County regutations. The undersigned assumes responsibility for compliance with any applicable deed rest�ictions. 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 ticensing 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 wfll be responsible. If you, as the owner sign as the cont�actor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTlUTILITIES 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 ce�tificate of occupancy or final power release, the fees must be paid prior to permit issuance. Fu�thermore, 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 "Fiorida Construction Lien Law—Homeowner's Protectio� Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I 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 instatlation has commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws �egulating 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 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. 1 understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone"V"unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is io be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of�II 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 englneered 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. t understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, 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 invatid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE Of COMMENCEMENT. FLORIDA JURAT(F.S. 7.03) � X OWNER OR AGENT Li�---� _ x CONTRACTOR me this ��bec�ibQd and swom (or affl p� Subscribed and swom to(0 lflrm )b re me thls �y�L by ��� �d—�'�d' bY Who isla�,epersonally knovm to me o has/have produced Wh��re personally known to me or hasR�ave produced �1�� as idet�tlficatlon. as idenUflcaBon. � � � c , ��u^'`�v�f Notary Public �-�'�"` ��l� Notary Public Commfssion No. Commission No. ,�'U.�. _ , . ,. .,��iDA :u� ,n,i T.,r.. . Name of Notary typed,,#� ntea or starhp�d ��� Name of Notar�y ;W�Irlkdd o 5t,am}�ed'' ;r� � , �'J13 _ . . . ,�,�,��. . „_..».�.�.,��.�.�.�•�..�..�...,��.,w�.»��.,.�..... PASOO PERMIT SERVICE �� �� z��� (813) 788-5314 „ I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII�IIII IIIII IIIII IIII IIII ' FAX 1;��7`����� 2012185371 (t�U� /d� r3 PeRnit No. • Parcei ID No �1�-�I `�v��(�—WVw "o��� �P �' • NOTICE OF COMMENCEMENT State of �!�'l¢� County of_ /'�CO THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the follawing infortnatlon is provided in this Notice of Commencement: / d o - �- -�1. DescripUon of Property: Parcel Identiflcation No. � ��b' /�/� � /'��"� �h"` p�J �� /�G�i ` � O� ,� 3Je� °�'' Street Address: � . 3�.�v ff 7� 2. General Descriptfon of Improvement �'�e.ti.�e 6v:�.1�i9 � 3. Owner Informatfon or�essee infortnation if the Lesaee contracted for the impravement: er P Jon �3 �ret! �'�ii^i�c ,Or • s�/ �s�/l� Address State Interest in Property: Name of Fee Simple Tideholder: (If different from Owner listed above) Address • �� /� _ ! City State 4. Contractor: OLCJ�2/^ /J' y11'tCT'Or/" Name — Address Rept:1472148 R�e: 10.00 — D5: 0.00 IT: 0.00 Contractors Telephone No.: 10/30/12 D. Bon i 1 1 a, DptY C 1 erk e 5. Surety: Name Address State Amourrt of Bond: s PAULR 5 0'NEIL,Ph D PASCi CLOf i GOMPTROLLER 10/30/12 0�2��� p� ���� 6. Lender: OR BK 0 Name �� City State Lender's Telephone No.: 7. Persons within the State of Flo�ida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(�,Flo�ida Statutes: Name �d�$ ��b State Telephone Number of Designated Person: 8. In additlon to himself,the owner designates of to receive a copy of the Uenor's Notice as provided in Sectlon 713.13(1)(b),Florida Statutes. Telephone IVumber of Person or Entity Designated by Owner: 9. Expiration date of Notice of Commencemerrt(the expiraUon date may not be before the completion of construction and flnal payment to the corrtractor,but w(II be one year from the date of recording unless a dlfferent date is spedfied): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER TIiE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING 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 FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perJury,I declare that I have read the foregoing notice of commenceme t and that the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDAhOT;I^`:"`�T,'"' ��''•''�"'''�ORIDA COUNTY OF PASCO ,�" �� , , " .;�'*,.�,�Vl? '� F :�.,,,fi.^: , ,,;,, )1)�25164 ���`� � �, .,-',A � l _ �. �� 2013 Signature of er or Lessee, rs or Lessee's Authorized - ' ` • Officer/DiredoNPartneHManage ao:�;;���.ix� .�;._L,,.,,;,�•,,;�,;co.,�c. � � � S�n � Signato s �ce The foregoing instrumerrt was acknowledged before me this02� day o ,2p�eZ by /�!/" /DeC(,��jQ/� a dwl�-� (type of autho�ity,e.g.,officer,trustee,attomey in fact)for - ��� (name q�p on be�alf of whor instrum nt was executed). Personaily Known❑QR Produced Identificatlon� Notary Signature �- Type of Identiftcation Produced� Name(Print) � � wpdatalbcsfioticecommencement,pc053048 'f d�C1 � •`t • �� ��°��''�t S '" " �l : �n 7H,Srs OF��pRiDA � ' , CQUNTY p�pqSCO ' �`�a�� TRUE qND CERTfFY 7HAT THE FOREGpING IS V � �` ON FILE OR �RRECT�OPY 0�TNE�C? A C � w� OF PUBLIC RECORD IN T �C�ME1�r � . . # SS MY HqND HrS OFFICE ,�� • � * p S o DA pF ,FFICIAL SEA(.TNIS . �OnP H1X�f' 8Y & COMpTR L� — CLE.Rh DISCL03IIR8 STATRI�NT F08 Oiirffit CITY OF ���ATLI.S BIIILD� DBPARTMSNT I, Cc have read aad fnlly naderstaad aad agree to pravis'amss of this iastrument. � The undersigned statas and affirme that he or she is desirous of construeting, reaovatiag, adding to or reroofiag his os her ar�n do�t.cile, �h.at he or ahe actualZy occupies, or wi31 occupy by said domicile, and same is not for seat� lease or saI.e_ That he or she shal.l camnpiy �vith the fa3.iowi.a�g conditions: l. That the oovaer and he or she alon.e shall act as the bni.lder far a1], phases of coastxuctioa. 2_ That the owner ovill comply av�.tih all provi.sioas of the City o� Zephyrhills o=d4Tf-�n�es and codes pertiaeat to the bnildiaq. 3_ That ia the eveat vario�s phases of coastsuctioa ase subcantracted, he will engage oaly properly liaeased snbcoatractors aad mill. personall.y supesvise such ovorlt_ 4_ That ia the event �the Building Snspector shall req+ure �orrections to be made, the owaer �rill assume full responsibility to iasnre they, are made, and upon completioxe wil]. ca1Z foz� a reiaspection before proceediag with the buiiding. 5. That the owner sha3.l assnme full responsibility for the construction aad wi7l aot expect supervisian of his work from the City of Zephyrhills Bnildiag DEQwrf-*nnnt. 6. That prioi to final i.nspectioa aay additioaal fees, includiag reinspeation fees, must be pa3d ia fu].1. A orritten request fr� this office shall aoastitute aa official aotice to pay additional fees. 7. That the owaer shall comp].y �vi.th all City, State and 8ederal lav�s ia regard to social secur3.ty, workmaa's compeasation, liea lavrs, etc., where applicable. 8. That the awaer shall comp�.y �►i.th al� the sa.fety cades issued by the Rlarida Iadustrial Commissioa. 9. State law requ:ires constxuction to be done by licensed coatractors. You have applied for a permit under aa exemptioa to that lax. The PXemptiqn al.lovPs you, as the awner of your property, to act as your owa coatsactor ovith certaia restsiatioas evea. though you do aot have a Iiaease. You mnst provide disect onsite superwi.sioa of the constructioa yourself. You may build or improve a one-family or tma-€amily residenae or a farm autbuildiag. Yon may also bui.ld or i.mprave a commerc3al bu%lding, prrnrided your costs do not exceed $25,0�0. The buildiag or resideaae mast be for your owa usa er occupaacy. It �iay aot be built or svbstaafa.ally imLoroved for sale or lease. Zf you sell. or lease a .build3.ag you have built or substaat3a11y impsoned yovrseZf �va.thi�s I. year aftes the constructiaa is complete, the law �.11 presume that you Hui.3t or substantially impraved if for sale or lease, which is a vialation of this exemptioa. Yon may not hire aa unlicensed persoa to act as yonr contractor or ta supervise people morking on your bv:i.Idi.ng. It is your responsibility to make snre that peaple employed by you have liceases r�+,;red by state la�a an.d by caunty or mnaicipal liaensiag ora;*+�++�es. You may aot de2ega�e t.lie respoasibility £ar s�pexva.siag wark to a liceased com.tractor who is aot licensed to perform the �ork beiag doae. Aay pesson vrorkiag oa yout building �rho is aet licensed must �ork uader yowc direat supezvi.sioa aad must be employed I�y you, v�hich meaas that yon must deduat F.I.C.A. aad ari.�hholdiag tax and provi.de �vorkers' coaapeasation far that �nplayee, alI as presaribed by lam. Yovr constzucti�. must co�pl.y 9rith a11 agplicable laa�s, ordinances, bnil.diag codes, and zoaiag lations. X�ss ��` � _ �� /G -�.3--J�- , �� � w�sss� ` J p�� # � 3�. 0� I i � ; � � --- - -- - ._._._._______� I l y.4� � -I � I � ; � � � � � � i ' , � -, � � � ti � . r. � � ; � � �- �_ ; ; ,�, '� ; � o� '; i � ; j � � � i ��, � ; � ' � , � i , f � . � � i ' i , � � , /�, �0 � ' ' 0�4���I���'�DI'�'G � w���S11:���'�;�L0�1�C���P�� ; s� ; pR��,��1L��'���L��!����;��^�CFS � tiATI C��b'` ,� t� al�tl�� , �� ��T�t�F �F� ( � !c � ;I . ' ' �j �� � ; � � . 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Address/Phone/Email 1900 SW 44th Avenue Ocala, FL 34474 (352)368-6922 Ext 207 mtafevre@cws.cc Authorized Signature Michael LaFevre mlafevre@cws.cc Technical Representative Brian Tenace Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352) 368-6922 Ext291 btenace@cws.cc Quality Assurance Representative JefF Thompson Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352) 368-6922 Ext221 jthompson@cws.cc Category Exterior poors Subcategory Swinging Exterior poor Assemblies Compiiance Method Evaluation Report from a Florlda Registered Architect or a Licensed Florida Professional Engineer Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who Lucas A.Turner developed the Evaluation Report Florida License PE-58201 Quality Assurance Entity Keystone Certifications,Inc. Quality Assurance Contract Expiration Date 03/O1/2014 Validated ey Steven M. 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'° '" Application Status Approved *Approved by DCA.Approvals by DCA shall be reviewed and ratified by the POC and/or the Commission If necessary. Comments Archived Product Manufacturer PGT Industries Address/Phone/Email 1070 Technology Drive Nokomis, FL 34275 (941)486-0100 Ext 22318 druark@pgtindustries.com Authorized Signature )ens Rosowski jrosowski@pgtindustrfes.com Technical Representative Jens Rosowski Address/Phone/Email 1070 Technology Drive Nokomis, FL 34275 (941)486-0100 Ext21140 jrosowski@pgtindustries.com Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Single Hung Compliance Method Certification Mark or Listing Certification Agency Miami-Dade BCCO-CER Validated By Miami-Dade BCCO-VAL Referenced Standard and Year(of Standard) Standard Year TAS 201,202, 203 1994 TAS 202 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A http:/lfloridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquS 1 Bu8CAEmBE70C... 4/9/2012 Y ` �Q � � � � � � 80 0 Z �� ° '� �� °o . � :� � O s� e � o� _ yR 4Y D �m� Q ��VBC y. b� W Q �m� > p���•$ � Q o� W �j� �"� ci W :`�m'ac� m � � W � �— o � W � F- r 4 —! f � m � Z � � a � o F, j I � � � � ���o�oaorr�mm Z � 1- It y � _ �—__ \ �y, Q 'H :� ? m > Z =� � "w I \� \� � Z W � ' � am I LL I- ` :�� � � ?ai ? c p J O �n � j � '� J � E ;W w F :�� i T Q .'�!y W (n N � L I �~ ~ w ?��i�<w� ; & � � � Z �Z � ~ i W N �uiwOO�ti�yaF r- W � I I ZOa~arOOG�ju� r- � (� V�rJ --� 1�"1 � � �1�2J�OZIYNJ � � "' U � Z W W Q O��S-2�f r- Z � � � WJWZZ7a�OS-eQ O O " Z � O � � d p (7wa__ Oc)wa q � T�, � = O :n � � N eo 11.� a � �£ m� �W J = S � � gW � `� z � 3C7 F� c r �%+ ;nOaf�'J raFW F = yF '� ao U= �n � N ti7� � �Ny�O�N V' �m� m= � W �n�� � W'� � �5� �m Z Z O¢ pr`xi�'' � `i U U � LLH O._ Su O O W� O � �N �Zm� Q � F � ru o O I � Q � W LL W � �.. !�IN� t� N OZ W � O� �ZaZ W o J o x II � �d g W ~ - 3 o r -J Z 3 W � \����iiiii��� � � � � Z .�`� �3� �'', . � �� � � d,J m ��� \\� m �W 4Q .E v2`:' � �.�G�;, W a m Qm 1 I � � fn W a � a a : °� N TI I I � � J W M -�: p y 0 O'.Q_y�j� m v�i > ` -j-----�- ------ ---� � I- W Q= _ ;Z � p a p?Z=�� �n � I Z � �N - W N�' ��2w Q d W � J j Z � .'��}y J z y � y- � ; u" � 20 � �CI�.\a =W��a-►-� -� N .t. rGLLC�J � a � //��f,YbT ! `O�� UKZW �OZ� KKH� � � //���lllll����\\ �CSg�¢ u�.WW� �rW Z� LL ��Z� �v� �U m m f. oi � _ � .6 � N W f N = > W � � o ZW � W ZU' O �"'n ~ pm d' �i �i o Z�wW �azy m � 3�g� 'h w zy � \ \\ w° o =N�° °os= N a w Zz3�yJ Z � ho o g � ��,G Ny�m GN�~ W� �j � MW�� � � m J 3 � � u' pZm � �G m��O x�n � LL K�{��nO � z w� ° = aUp ��Z�p 7VJ?} ~= O w KFO� ql NW �� . y4 ;� �g�i c�u.�`c3 c°��Zg�a�i �xo �d �(� �zp�Z� � g w� � ��y m�K�K �QNQO �Jm y W �(LaW 2 W Qp ¢ �� Z F� �C��� �y K arI� LL N J a J 7 O� X W �� I O � t�j<e ���y, O'rL�¢ �V a NW Z W O� J N N � w � � Q�W ¢�O�O �a W S qJQOQ W j W 1-�f=Il W g �N \ I \ I p U` $� z ¢� t�-HCxirt w��s ��Q3 a � ~za � = rc� \\ \\ W � WWyy(7 4' OS �' � �v}�� y m � � S� U' �=ry =7�0= �Z W Z �f1J W W � tl3S W� U� < ?�Q ¢ S F�S W 7 N(0 N Q�om a�� 7 LL• �yS y�7 OS �." a w �Z ro z°w� Wo��� �•e9�'w =o'm N a~i � a� Qa � w� J �Q K OW� J� OO p<700 F�W K W �LL�U 22 Y 2� Z R WZ � ��O f��W W �}W�Q y�jJF aF N 2Z��6� Of7J J O W (J� q W 2 XLL 2 W yS Ry Z N N !'J K w F_ �V Z �NaVZ WtllNyT(j m�GH �Q� f K NN�vIaJ �QaO Y� N� V V� D ZOa r/10�SyW m�OC zV,WO � a W�uQj�G�y r� �N O Q O� �p ��a �1=prw �'��F Ozt)i f �iC� J O W I \ \ 3 � o= Z ��a oQ5��� S1<g �¢a � r"'- wxo=h-� �� LL p° i � � o Z y� � S>Y 3rawp N�o� ��m � � w��o� wa � �cZ7 a z -0� ? 4�� oi�&J �Zgz oza y a <�LL��a ^o o v, o �0 3 =wz� N �o p c� twi� �Vx ��VOO'm Fa�O U�'� � zS FO � � z LLO o wx � iZ °��Fm <w�j'jm z��y o�n � r~UO So �$ zpz N �S W 26� y�m4 Z �{LZV =Uy�a/ W �W �C��LL N<p Z UQ i __ W WIL ZO~ WO�-y �IYIL� Q0R' � N d1�Cpp0 F-? 7 =F Ti . 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