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Home My WebLink About13-13881 CITY OF ZEPHYRHILLS �-�� 5335-8TH SIREET /'" � (813)780-0020 '`13881 BUILDING PERMIT Permit Number: 13881 Address: 39014 MANOR DR LOT 14 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-0050-00000-0140 Improv. Cost: 3,532.24 Date Issued: 2/14/2013 Name: FRAME, DEBBIE Total Fees: 82.50 Address: 39014 MANOR DR Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542 Date Paid: 2/14/2013 Phone: (8��-966�- �"��Z- q37� Work Desc: REPLACE 8 WINDOWS SIZE/SIZE � / � N � . 2 �� % � ,� � � � � L FOOTER BOND DUCTS INSULATED SEWER MISC._ ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MiSC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b)condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when cailed 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 counry, 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 commencement." Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. � - �� a CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 02/15/2013 07 43 FAX 8132699902 PERMITS-R-US �002/002 �� . � I IIINIIII�1nn11NhI�IIN�I�IInINi�lnlullilllllll �� :, � ze�3eze�� . , : � ', ' . ��Pti'3497045 Rec: 10.00 ' I " . � 8.00 Z1': 0.0� a� + 'Q�'C �� ' ' 02/14/33 C. Miner, Dply Clerk ' . � ' PAULA S.0'I�IL,ph.C,PR5C0 �1lltt NO, 82/i4/13 s�4 q CLEF�K & COMPTROI,LER �Folio No. � 0 D•��8�—pl� , p� g� �� 1 of i � PG ��Z� '. �;T�iDERSIGNBA b�ereby►giv�;s notic�that�e improvementawill be'made to'real pr.opatY,and�ua accordance with Section 713.13 of � �Fiorida Statutes,the�nllowi�a� rif�srmatioa i�provid'ed in this NaTICE OF coI�JENCEiv�'NT, � � , D��75�. +��saription of A�1�3+(� d��cripli�an): ,�� '� ��Q� � , , �dt� � . a)5U'Eet Qob)AdtlRSS�_�� . . , , . . Geaer�l descriptl o£' ve�aere�s: ' , �� • , • . )�Nemeandaddr�ssn : i�� ' Q�� (� '.�—� I �� .�� )Nat�e end addFess of�c'simp e tlt�r'�old'er(if othex tJisa own�r) ' � o)I�erest in P�P�Y • e�' • . . � . � ��1 , � �trsot��rma�ion , � � � , ' � xame�ttd aadress:�,y� , b)Telep�o�ae No:_'tJ�,e 7^3��,�,�;_ 0� Fax No: GZ,. ` . );Neme�'e�d sddte�ss:�,NA� • ' � ' � , ' ' ' ;.' . 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' :�,�, ' . , � '�'�'x ''�R�VB11�N'r8�;Y��TY:;A' � 'q� ' , ST BE��ED Al��OSTI.DaOK THE JOB��'OR�T$�1�ST II� � ,$..CL1�1�T AiSULT YtIU,R LR1�E�#'O�2 AIV ��'TO�iNB�Y�BEFQR��O Sp��N:.II+'YOi1�1TEND�`bg�.itII�� ' MMEIITCEII�NT. , � NA�NCWG�W�B�C QR�tECbRb�l+tG XOtJ�t'NOY'YC�;O�"';• '�.' ' � ��` � , • , . , � � � � � • . . , � . , , • . e of Florida � ' ' , � • � . �nry Of ' GSCA ' 10.�� "`.^.' � '�i�c�'-� ' ' �',``;+�' , � � . , , 91�e O�mer or OwneP��O� • ' '�•—�,► �; ', ' � •,'a��'.a v. , ; �� r ��,.� � �u � �'� � � � � � t�egol�g fns"' t rvaa ledged u�n roe tl�is��r dPy � � � ' ' ,:.��••••�� , ' � � , af VA(� 1'�,bv � �'• , , -.�.—(4'P��'au�horib'�a�.q6ioer. eqomeY In aoe , � , . , r�0,; •; . <' . „��Crmme of party on bohetf of w4om I eet vv<a �' �•� :' � `�� .� . " , mai(y iiriown OR Prod�,ced Identii aRion_� Nalary Slgnahua y'lJ�c../, , �� : ��, � ; • _ :of I�ea't�iaetEon Produced_��... Naltte Pruot ' � � ' •�'�•�� * • � � W�r t � ' , ., ,. ,, . •... ..., , acs�on purswot to Satio�32.525,Florit•a 8tatutes.Undet pa�eidas of perjury I deda;+e thpr i beve�ead�tfa '�"' ��i�1Edr�' ',..� ,. , nawlcdgo and b�lo£ � � � ��°u►6 4!d,��4'�, �Y11 1bl�e`be�'t ef� , ' �� . � � c;�..�� .�� : . . .,. . � . , ; , . . ' ' si�na0ua�ofNea�rsl reroon si _.�.�--�"'� g�aing(in Une 10)Above a i�-�ov-vvcv v��y vi LcNi�y�i mio i vi�n��r�'.�+��vu.�v�� ,�'��_�� Building Department � � � �� Date Recetved � -� - 13 Phono aMact f�pr Pe_ Ittin � � � - Owners Name FI M Owner Phone Number g r 3 -7 8'�-�'I 3 7 Owner'sAddress ��O / /)')A No�2 �� OwnerPhoneNumber � Fee 8lmple 77tleholder Name � � Owner Phone Numbsr � � Fee Simple Tkleholder Addross JOB ApDRE33 ��C.� M t� � �t, Gr ��p�R �+;�/S j=� 3 3 S�/z LOt# � `� 3UBDNISION Ze r'nY�'- l�It-�s I�TS rlp� PARCEL ID�t 1�- �-6- 2�- �'p�� -O d n c•c� °C'►I `�l C (OBTAINED FROM PROPERTY TAX NOTIGE) WORIC PR4F�0$ED e NEW CONSTR 8 ADD/ALT Q SI(3N Q [� DEMOLISW INSTALL REPAIR PROR08ED USE Q SFR � COMM Q OTHER TYPE OF CON87RUC710N Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK 7��%ACe � (.J r n!c1�0...� Cr�/�/'S S�Le.!Si2 Z �[ l/ � BUILOIN�i 81ZE 8Q FOOTA(iE� HEI(iHT �_� BUILDIN(3 S �- � �� VALUATION OF TOTAL CONSTRUCTION [�]ELECTRICAL $ , AMP SERVICE Q PROCiRESS ENERGY Q W.R.E.C. QPLUMBINC3 $ � ��-'�., "��'[�� QMECHANICAL $ VALUATION OF MECHANICAL INSTALD�TION / �� /��" � l 3c�/ 0C3AS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO G C��a 1�.�'l� BUILDER COMPANY l..ow�S �lom�, GeN"'�G2� ��l� SIGNATURE � ' •-'�'e' REOISTERED Y/ N FEE CuRRE� Y/N naare� o C�o� B 43 a�'A�+`�d�' �LS��' License# �Gf�G l SOS�l7 ELECTRICWN � COMPANY SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N Address Ucense# � PLUMBER � COMPANY 810NATURE REOISTERED Y/ N FEE CURRE� Y/N Addrosa Ucense# � MECHANICAL COMPANY SI�iNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Ucense# OTHER COMPANY SKiNATURE REOISTERED Y/ N FEE CURRE� Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)aet of Energy Fortns;R-O-W Pertnit f�or new constructlon, Minimum ten(10)wo�icing days after submfttal date. Requfred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installeti, Sanksry�FShcitles d�1 dumpster,31te Work Permit for subdivisions/large proJects COMMERCIAL Attach(3)complete sst�ef Bullding Plans plua a Lffe Safety?aga;(1)set of Energy Forms.R-O-W Permit for new constructlon. Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Sift Fence installed, Sanitary FadllNes 8 1 dumpster.Site Work Permit for all new pro)ects.All commercial requirements must meet compliance SICiN PERMIT Attach(2)sets of Engineered Plans. ""'•PROPER'fY SURVEY required for all NEW constructlon. Directions: Fill out applicatlon completely. Owner&Contractor sign back of appl(catlon,notarized H over:2600,a Notice of Commencement is roquired. (A/C upgrades over iT500) "• Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMI7TIN0 (Front of ApplicaUon Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) D�Iveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTION3: The undersigned understands that this permit may be sub)ect to"deed" restrictians" whi�h:rnay be more.restricEive than County �egulatfons. The undersig�ed assumes responsibillty for compliance wlth any app�+aable deed restrictfons. UNLI(�I��D CAN°F't�►�TORS AND C�W�PRACTOR REaSPONSIBILITIES: If the owner has hired a cqntr�ctor or contractors to undertake work, they may be required to be licensed in accordance wifh state and local regulations. If the cont�acter is not lic�nsed as required by law, both the owner and contractor may be cited for a misdemeano� vlolation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Se�tion 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 °contracto� Block" of this application for which they will be responsible. if you, as the owner sign as the contraetor, that may be an indication that he is not properly licensed and is not entitled to permitting privfleges in Pasco County. TRI�FfSPORTATtON IMP�►CTIUTILITIE8 IMPACT AN�RE��UR�E RECO�/EI�Y FEE3: The undersi�ned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, chan e af � `=- use in existing buildings, or expansion of existing buildings, as specifled in Pasco County Ordinance number 89=ti' 'air�� 90-07, as ame�ded.. The undersigned also understands, that such fees, as may be due, will be identffied at the time of permittfng. It fs further understood that Transportation impact Fees and Resource Recovery Fees must be paid pfibr to receiving a "cert�i�cate of oceupancy" or final power �elease. If the project does not involve a ce�tificate of occupancy or final power release, the fees must be pafd prior to permit issuance. Furthermore, if Pasco Coun�y Water/Sewer imp�ct fees �re-due,they must be paid prior to permit f"ssuance in accordance with applicable Pasco County o�dinarxces. CO�1$TRUCTION LIEN 1.�4W(Chapter 713� Florlda Statut�, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Lavu—MoEn�owr�er!s P�otection Gutde" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applieant is someone other than the°owner", I eertify that I have obtained a copy of the above described document and promise in good faith to deliver it to�the powner"�prior to commencement. CONTR�►CTOR'810WNER'8 AFFIDAVIT: I certify that all the information fn this application is accurate and that alE•w�rk will be done in compliance with all applicable laws regulating construction, zoning and land development. Application (s hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installat(on has commenced prior to issuance of a permit and that all work wiil be performed to meet standards of all laws regut�ting construction, County and City codes, zoning regulations, and land development regulations in the jurisdictfon. I also certify that I understand that the regulations of other government agencies may apply to the inteflded work, and`f�iaf it is my responsibDile a�enttof Environtmental Pr tect on Cypress Bayheads SVN tland Areasnand Enviro menta11yt3en�ifive P Lands, WaterlWastewater Treatment. - Southwest Florida Water Management District-WeNs, Cypress Ba�heads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawaiis, Docks, Navigable Waterways. - Depa�kment of Health 8� Rehabilft�tive Services/Environmentai Health Unit-WeNs, Wastewater Treatment, Septic'fanks. - US Environmental Protection Agency-Asbestos abatement. Federal Ar�iation Authoriiy-Runways. i understand that ti�e foilowing restrictfons apply to the use of flll: Use of fill is not allowed in Flo�d Zone"V"unless expressly permitted. if the flil material is to be used in Flood Zone "A", it is unders#dod that a drainage pian addressing a "compensating volume" will be subm(tted at time of permitting which is prepared by a professional engineer licensed by the St�e of Ftorida. If the flll material is to be used in Flood Zone "A" in connection wf#h a perrriitted building usfng stem wall cons�ruction, I certify thaf fill wlll be used only to flil the area within the stem wall. If fill materiai is to be used in any area, I certify that use of such flil wiil not adversely affect adjacent - the owner may be cited for viola#�ng; properties. If use of flll is found to adversely af#ec!�adJacent properties, the conditions of the buiiding permit issued under tMe attached permit application, for lots less than on� (4.) acre which are elevated by flll, an engineered drainage plan is required. If I am the A(3EMT P�R T�IE OWNoR�tructi nig I funderstanid that a�eparat permit mhay be riequi ed fort�el�ct�ecal work, this affidavit prior to commenc(ng piumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the applicatian: permit issued shall be constrWed tonicai codesenor shall i s aincehof a pe mitprevent thehBu li ding `Official from thereafter set aside any provisions of the tech requiring a correction of errors in planermit is otmmenceidlwithin si a onths of perm t p suafnce, o�if wolrk authorized by u n l�s s t h e w o r k a u t h o r i z e d b y s u c h p the permit is suspended or abandro the Build ngi�Offlciali fo6a period notto exeeed tninety r(90) da.ys and wiil demonstrate may be requested, in writing, fro n justifiabte cause for tfie extension. If work ceases for ninety(90)consecutive days, th�job is considered abandone . WA�MJI�G T.O O�IIINER� YOUR FAtLURE TO REPR�RP�A�T��Y��T�BTAtw.FfMA��C�ONS LT PAYING TWICE FOR IMPROVEME�N�TS TO YOUR 1 -y�„ G� FLORIE�A JUF�AT(F•S.11 .fl3) � �� OWNER OR A(iEN " CONTRACTO � Subsciibed and swom to{or affirmed)before me thl Subscribed and swo (or aiflrmed)before me this ____�..----bY bY Who is/are personally known to me or haslhave produced Who slare perso�ally known to rne or hasfhave pro�dr.�ed as identlficedon. as Identlflcatlon. Notary Public Notary Public Commission No. Commission No. Name of Notary typed�Printed or stamped Name of Notary typed,Printed or stamped � BU10iA0181�1C71 Rq Px�r�,liQy Alt nghta reeervr�.-0221 ' w • . � � �,� v ' CONTRACT# O 2 3 3 v�J g _�^_.. EX��f RI�R SOltfT10NS 11�$TAtt�D SALE� C�3N�'R/�C'�'�� . ' ' ' ' - - .._ _ . . . . =•--- � f in:>rP:' D SAI.t'>:;r=Fr.�ni i.3T Nt AABER. � C.I,It��UMF.H r.—_._...._ •. .�•...." . •� � � � ... �r. Yrr�. . IZaa _, �,1 � �rz.i�t ; �e.b�►�- �r�;m�-,� - -- .� . ----- .. .... . STC1ht '��I ��-,tJ�i)RES� � u�R PDDRC£.5 -........ . .. .— � �� . ►�_I �► �4�- _-� � cpi,.W..m�r.,a.� f� ..... �— 9 ATC .._.. u�., _.___� STATF ...-- -.. .:G�...-- - � _ i ��1�.. . 'L. .�3s�.� `��. �, h.�1t5 . �-�- 33SIz_ � � � P 1� L ....__ . .._ . --•--•-- .... .. _......_�_ , - . fELEPFIONF TFt Ff+HqNE .�L3�S- �o�� _ . . +� � Y � �.... _ .__.._._J Up�T��1 LOWF;S C:C)N'!F�qf•TOR LiC[NSC NUMRFR `- M r...w�+ , ..ize,� �iT-'�} �� ... RF.A r • . , . f/. �I I I � ..cNnar,i.. ' �-- _.1 U U ._". 7Ttis i5 o�+�Y G OUOW fu�!!K:me:rrl�nndiae snd a9rvke6 p�i��lw!Lrluw. Thin 4�ppi�s6 aa�apie6lnBM upnn peyYHMit: UWon IraYmem,'IF�S mNm�pmSlrt,�nGl70k1p�116 YpBdlkallJl OOM01ltB0{�Ygl6 Ot.ri�6 �kxa�ment,t�e Terrrr.•urnl�:ondroons�nduCeC wM thy iSar.um�mt and.any otl�adtleiba and altatlf�r�r�L�he.m�.xh.i8 bc retaRed�o.h�in•as thfs°C.ontr�Ct.• . �LfASf kE/�D a!TF.RMS A1JD COC10I170N.4•'qIV TH�REVfk$L�SID�OF THIS PllG6 AND FQI I f)WING PA{iFS H.E�ORE SKiNINl3: � . , s., - .,.. .,_, ' . . ' '...•. I ' •- • ' • -.". .._..__..., ..�__ � . , _�_'. .� . ...� w .. . _- �..M.r�M.�r�rr.-::" �� NSFALLATION STRFtI ADR SS c:ITY STAT6 T 7.{P ` � ��,�, �S �►�, _ ._. ... __ __ . . �. . . ,_. . .. . . �.��5_.w�� r,s_�h � ��Th<.-r� _ .��a.�1ndvt�S� �:�� .. .� ..��.�r,c�,,�. ,��-s . ►�A��als� 1��a�, �n�l. o�m�-�_...--- _ . ...._ . .. � ........_ .- .. . .. .�. .. .....� . �.� ......�. ...�� J Contract Total 2 f_, "applicable Laxes included ��J� • �� NOTICE TO CUSTOMER: Federal law requiras Lowe's to provido you wlth the pamphlet Renovate Rlght. 6y Signing this Contratt, CuslollteC aoknowiedgea having receivsd a copy ot this pamphfet hafore work began lnforming Custome�of the poLantlal rlak of the lead hazard exposure from ranovation activiry to be performed in Cus4omer's dwelling unit pHOTO RELFASE:Customer gr8r�ts to Lowe's and Lpwe's emp►oyees the right tp tak�pli�tographe ot ali work�rf�rmed at the Prr.rnisos related tn this Contrac.�t,and lrrev�cably grants to Lowe's pll ri�ht title and inturast in and to th�photographs for usy In afl markets and msdia,worldwide,in perpetuity. CusEOmer autl�orizes Lowe's tu �pyright, use and publiKh ihe photographs in pri�ri�ndlor electronically, and agreea that Lowe's may use Suc•h photogr�phs for any iawfut purpnse, inclvding,hul nnt limited to,m�rkptiny, advertising, publicity, illustration, training and Web amteni. By initiaiing � here.�Customsr aUr�s t�thPinm.r�oing. _ _ �G��ctnm�;to Initial to the lek]. i Work i�,o Com ce u on reasonabie availablllty of Contractor and/nr a��y spe�ial order or eystomer enade(3ood(s)whkh is anticipatad eo be ��LJJ � ` fille in date].Estimated eornpi�ion date is �n'�,n f��11 in data]- j S:�id estim�ted sutsstantial co p aGon esate is not of the oss�ar�ce. A statement of any continyenuex that would ma er'sally change sseid eez4imated subste�nHal I completion date is as follows. ..• •- - _.... _. _._. •-• •••........ ' -••— --- •-- ---. .. _ fi!applicable,insert a statment of such contingencaes). � Th{s Co�trect provides thet all claims by Customer or lowr's will be reaoivod by BINDING ARB�TRA710N.Customer and Lowe a GNE UP THE RiGIfT � TO GA t0 COURT to enforce tl�is Contract(EXCEP7 for matters that may be taken to SIu�AL.I.CLAIMS COUR'n. Lowe's and CustomeC's�ights wifl be i determined by a NEUTitAt�qRg1TRATbR and NOT a judgo or jury. Lowe's dnd �ustomer er�a entit�afi.to,;a,,,F p�oCetltues are SIMPLER At�ID�JNORE:WWIT{�Q�b1AN<RIlL'C'S�APl��IoG/�BLEAAt•CGNlCI•.'J41�a1�` "��'• ' '' •" '• ' " •?;� � are subJ�ct to VERY LINilTEfl REVIEW gr A CoU�T FpR MpRE DEiAiLS;Review thc soctlon tlttied ARBt'SfiAT7vN AGREI�MENT,WA1vER oF dl7RY ' TR�AL AND WAIVER OF CLA8S ACTION ADJUDICATION found in tfie Terms and Conditlo►►s of this Cormact. ...�..._..,.��i: :,,_.._._...... Pella � :�. !�� 'i; I � °"�""�`�� Reliabilt Q ��' '�� 1 � >. a=�=��=�"'� Peachtree Q Page 1 of 3 t.et'��ild SonlOthitt9�''a9�t1Mp►'' �thEr P5E Drawing Worksheet - Windows (Complete and Fax to Installer) Customer: Store: Phone(home) Phane(ceH): Phone(other); Install Address- Directions: 1. Draw the walls where windows are beinq repiaced and label them front,back, �side or R side(as seen from the street) 2. Draw the windows that are being replaced on each wall drawing 3. Plate a capital letter beside each window in the drawing. Windows with the same dimensions will hdve the same letter. Complete the information on the next page using the corresponding letter. 4, Label each existing window with the type of exterior material surrounding the window(for example:brick,vinyl, wood clapboard,etc.). Also, label existing windaw type(for example:aluminum,wood,vinyl). � � _ —_ �_—}------ ,,--. --- —_._— --- — — �_.. .�. - J .,S�aSE�rs�c 4 �� `y ,,^ � �� `�` � � � � jo3xyL �5"X 35� ��`�S � l�, �. 5l,d�cY' S-rfl�Q 1 ��4 �—t- 1 ) 1 !o � . Sy' :la�-^.M.:..:l:�t+i�� } �� Pella "� ;" I , ;: ; ��:.��.;: ;: ;;; � Reliabilt p `�M.M��'`' Peachtree Q Page 1 of 3 tret'�Bt�ld 5pmethirtg�'qg�ttMpt`' �th�r PSE Drawing Worksheet - Windows (Complete and Fax to Installer) Customer: Store: Phone(home): Phane(cel!): Phone(other); Install Address: Directions: 1. Draw the walls where windows are beinq replaced and labet them front,back, L side or R side(as seen from the street) 2. Draw the windows that are being replaced on each wall drawing 3. Place a capltal letter beside each window in the drawing. Windows with the same dirnensions will have the same letter. Complete the information on the next page using the corresponding letter. 4. Label each existing window with the type af exterior material surrounding the window(for example:brick,vinyl, wood clapboard,etc.). Also, label existing window type(for example:aluminum,wood,vinyl). � I _ __ ws��s� -�r� _____._ ___--�J�—__.._. - ��,4 `y � � �� ALL WOR£:Sii.�LL i:i��,9Pi.�'�1ITII ALI.. PREVAILING COD1;S, hL0�Z1DA BUII.I)1T�G CODE,NATION aL EL�,_.C'TKIC CODE A�,`D C1TY OF 7EPHYR�t?LL�.0'�n?��''�%'-� �` � � �o3xyL 3'Sx 3� ��`�S .�' �, �� '' S1��.� �a��s�w -� �� . �- � _�PNYRMILL��___ . , .. � ;�i_:�,to�� i iCA�t/1IN�� - -- cr. s-r��Q 1 $s�'� �-� � ? � � � , s� Florida Building Code Online Page 1 of 2 , Product Approval USER:PuDllc User P.CQQUCZ/�AAfQYd1 MC!!.0>?rOdVG[9�AOAL�GdC(0�Sfl@�Ch>Appl,l�'d(%A�G1S(>�4PP��t1on Deta1/ FL# FL11161-R2 AppliCation Type Affirmation Code Version 20i0 Application Status Approved Comments Archived � Product Manufacturer Pella Corporatlon Address/Phone/Email 102 Main St. Pella, IA 50219 (641)621-6096 pellaproductapproval@pella.com Authorized Signature Joe Hayden Sandi Robinson pellaproductappro va!@pella.com Technical Representative Alan Hughes Address/Phone/Email 2000 P�oline Place Gettysburg, PA 17325 (7i7)338-1165 hughesaj@pella.com Quality Assurance Representative Ali Zarghamr Address/Phone/Emai! 102 Main St Pella, IA 50219 (641) 621-i000 za�ghamia@pella.com Category Windows Subcategory Horizontal Slider Compliance Method Certifrcation Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By James L. Buckner, P.E. at CBUCK Engineering Validation Checklist-Hardcopy Rece/ved Referenced Standard and Year(of Standard) Stan ard Year AAMA 101/1.5.2-97 Igg� AAMA/WOMA/CSA 101/1.S.2/A440-OS 2005 Equivalence of Product Standards Certified By I affirm that there are no changes in the new Florida Bulldrng Code which affect my product(s)and my product(s)are in compllance wlth the new Florida Building Code. Documentation from approved Evaluation or Validation Entity yes No N/A fL11161 R2 COC Compliance Letter FL1116I vdf http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqttaGsIp3 Gvuna... 6/18/2012 Florida Building Code Online Page 2 of 2 . - Product Approva!Method Method 1 Optlon A Date Submltted • 12/21/20i1 Date Valldated 12/21/2011 Date Pending FBC Approval Date Approved 01/OS/2012 Summary of Products ^ V FL# Model,Number or Name DescripHon 11161.1 Serles 10/20 Sliding Wlndow Vinyl Slidln Wlndow OX orXO, 73-1/2"x 60" Limlts of Use Certlfication Agency Certi�cate Approved for use in HVHZ:No FL1 i 161 R2 C CAC CCL for Pella 6-30-09 411-H-1025 OS-07 odf Approved for use outside HVHZ: Yes Quality Assurance Contract Explration Dale impact Resistant:No OS/OS/2013 Deslgn Pressure: +30/-30 InstaJlallon Instruc!lons , Other:Conflguretlons of g/ass conform to latesf ASTM E1300 fL11161 R2 1I 1597.pdf Verlfled By: Wa�ren W. Schaefer, P.E. 44135' Created by Independent Thlyd Party: Yes Eva/uatlon RepoKs FL11161 R2 AE 1597.Ddf Created b Inde endent Thlyd Part : Yes 11161.2 Serles 10/20 Slidin Window Vin I Slidrn Window OX or XO, 73-1/2"x 36" L/mits of Use Certlflcatfon Ageney CertlfJeale Approved for use in HVHZ:No FL11161 R2 C CAC CCL for Pella 6-30-09 41 i-H-1025 09-11�df Approved for use outslde HVHZ: Yes Quality Assurance Conlracf Expirat/on Date Impact Reslstant:No OS/OS/2013 Des►gn Pressure: +35/-35 Installatlon Instruct/ons Ofher:Conf/guratlons of g/ass conform to latest ASTM E1300. FL11161 R2 II 1597 pdf Verlfled By: Warren W. Schaefer, P.E. 44135 Created by Independent Thlyd Party: Yes • Eva/uation Reports FL11161__R2 AE 1„�97,,pdf CreatecJ b Inde endent 7'hird Part : Yes 11161.3 Series 10/20 Sliding Wlndow Vln !Slydin Wlndow(XOX, 108"x 60" Limits of Use Certiflcatfon Agency Certiflcate Approved for use in HVHZ:No FL11161_R2 C CAC C�L_for P�l�_.¢-,�Q;Q9,411=H.IQ26..Q��Q�.pdf Approved for use outside HVHZ: Yes Quallty Assurance Contract ExpJ�atJon Date impact Reslstant:No OS/06/2013 , Deslgn Pressure: +20/-20 Installatfon Inslrucffons � O�her:Conflgurations of glass Conform to latest ASTM E1300. FL11161 R2 II 1597.�df I Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party• Yes IEva/uation Reports FL11161_R2 AE 1�97�f Created b Inde endent Third Pa : Yes 11161.4 Se�/es 10/20 SUdin Window Vin I Slydin Window XOX, 108"x 48" L/m/ts of Use Certlflcat/on Agency Cert/f/cate Approved for use in HVNZ:No FL11161 R2 C CAC CCL for Pella 6-16-09 411-H-1031 1-03 odf Approved for use outs/de HVHZ: Yes Quality Assurance Contract Expiratfon Oate Impact Resistant:No OS/07/2013 Design Prossure: +30/-30 Installation Instruclfons Other:Configurations of g/ass conform to la[est ASTM E1300. FLI i 161_R2 II 1597.pdf Verlfied 8y; Warren W, Schaefe�, P.E, 44135 Created by lndependent Thlyd Party: Yes Evaluation Reports FL11161 R2 AE 1597 ndf C�eated b Independent Third Pa : Yes 1116i.5 Ser/es 10/20 Slldln Window Vln I Slidln Window XOX i08"x 36" L/mits ol Use Cert/ffea�lon Agency CertffJcate Approved for use in HVHZ:No FL11161 R2 C CAC CCL for Pelfa 6-30-09 411-H-1026 09 11 odf Approved for use oufslde HVH2: Yes Qualrty Assurance Contrat�Expi�atfon Date Impact Reslstant:No OS/06/2013 Desfyn Pressure: +35/-35 Installat/on Instrucffons Other:Configuratlons of glass conform to latest ASTM E1300. FL11161 R2 II 1597 pdf Verified By• Warren W Schaefer, P.E 44135 � Created by Independent Third Party: Yes ! Eva/uallon Reports I FL11161 R2 AE 1597 Ddf � . 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City of Zephyrhills BUILDING PLAN REVIEW COMMENTS / ' �l Contract��'Homeowner: --- � �` �,�� ;�� Date Received: �� =�� Site: - ' � . � Pernut Type: `'" '� , ', � ,� .�.� i Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. ,-'l - .- . _,y,3 vin Swi, Plans Examiner Date Contractor and/or Homeowner (Required when comments are present)