HomeMy WebLinkAbout12-13599 CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis)�so-oo20 `13599
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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 � '
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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 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.
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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
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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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: ❑
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This comment sheet shall be kept with the permit and/or plans.
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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 /�
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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#
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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.
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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� � ,
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PASOO PERMIT SERVICE
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(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.
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Produd Aooroval Menu>Product or Aoohcation Search>Aoolication List>Application Detail
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��•� - Application Type Revision
..• «.. Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer Custom Window Systems Inc.
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. Urich, PE
Validation Checklist-Hardcopy Received
Certificate of Independence FL161 R4 COI EvalRe�CWS-176C lGuardian Doorl.odf
Referenced Standard and Year(of Standard) Standard Year
AAMA/101/I.S.2-97 1997
ASTM E 1300-04 2004
Equivalence of Product Standards
http:Ufloridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDqvyf4ngAXh1045csMG... 4/5/2012
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Busines�r�'�
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Product Aooroval Menu>Product or Aooli a ion�aar h>Aoolication List>Application Detail
��+;���, � . fL# FL239-R17
�'�-� .= Application Type Revision
.-,�--�,.,- + � Code Version 2010
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*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
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