HomeMy WebLinkAbout13-13913 CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 13913
� BUILDING PERMTT
Permit Number: 13913 Address: 3430 TOURMALINE DR LT#284
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: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0000-00100-2840
Improv. Cost: 15,000.00
Date Issued: 2/22/2013 Name: KELLY LINDA S REV TRUST &JAMES
Total Fees: 225.00 Address: 115 OLD CONYERS DR
Amount Paid: 225.00 STOCKBRIDGE GA 30281-2641
Date Paid: 2/22/2013 Phone: 770-364-6503
Work Desc: LANAI EXTENSION 12 X 22
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 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 wnstruction c) repairs or wrrections 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 properly 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 pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� ._.-`�. >
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 ONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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_��1�1}�-$...5� jµ/�:
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contract rlHomeo�
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Date Received: -` -� — f�/iy� � �
Site: ���,��. �J,'�G(.� �.,: 4L.//f�
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Pernut Type: �.� �` -�,� ,�,,�i�2�, �,�L� 9� .41�i
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet sha11 be kept with the permit and/or plans.
��1�-���
alv' tzer-Plans Examiner Date Contractor andlor Homeowner
(Required when comments are pres t)
a�a-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received � -- -- � phone Contact for Permittin 77(� ��0�` -- ��
Owner's Name �/ �-�4� �! Owner Phone Number ��Q Q�f �•CXJ,(�-
Owner's Address �3 Y3o Tdarm� � ur' Owner Phone Number —�
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS 3 73v ������.L�A-Q �� � LOT# ��7
SUBDIVISION �/��-(-�" �Q�/�1� PARCEL ID# 'Zy°�'6`�� ��– �Q��– a��
(OBTAINED FROM PROPERTY TAX NOTICE)
V110RK PROPOSED I X 1 NEW CONSTR e ADD/ALT �] SIGN Q � DEMOLISH
� INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �� X a� C ��-�-L �� GLyJ
BUILDING SIZE ��- X a-�' � SQ FOOTAGE o�-�7� HEIGHT
(�IBUILDING $/�- ,,,y� � VALUATION OF TOTAL CONSTRUCTION
��� l/(.(J
�ELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ �i/ 2G�'/�
--�f � J/
OMECHANICAL $ VALUATION OF MECHANICAI INSTALLATION
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLO�#D ZONE AREA QYES NO
�.�J
BUILDER ' � COMPANY ����
SIGNATURE �� REGISTERED Y I N FEE CURRE� Y/N
Address �� License# �
ELECTRICIAN � COMPANY OCc�� �
SIGNATURE � REGISTERED Y 1 N FEE CURRE� Y/N
Address D�Q License# � �
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# —�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �icense#
OTHER � COMPANY
SIGNATURE � REGISTERED Y! N FEE CURRE� Y!N
Address License# r—
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)working days aRer submittal date. Requfred onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Pem►it for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Buflding Plans plus a l.ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitfes 8 1 dumpster.Site Work Permit for all new projects.All commercial reguirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW construction.
Dfrectfons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commenceme�t is required. (A/C upgrades over s7500)
"' 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 if shingles 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"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any.
applicable deed restrictions.
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 licensing 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 will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITtES 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 speci�ed in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, wilt 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 certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Cou�ty 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 "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 "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'SIOWNER'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 installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I a�so
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 a�e 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 & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Fede�al Aviation Authority-Runways.
I 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 materiat is to 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 engineered 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 fo�th in
this affidavit prior to commencing construction. I 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 invalid
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 YOU1t
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR NDER OR AN ATTORNEY BEFORE RECORDING OUR NOTICE OF COMMENCEMENT.
FLORtDA JURAT . . 117.03)
OWNER OR AGEN CONTRACTOR
Subs�,rtb and s r t {�L�f�rm+e-d�beforMe me th' /� Sub��']7h��n bwo to ��ed)befQre me /
e2/j`'��� b ✓�./l� /'/ �! J � y /!f
Who is/ar�person nown to me or has/have r_ p oduce Who isla[��Pe y known to me or ha as den ro�Van:
{�C_ as idenUficaUon. fJ
�
�'^� Notary Public ��� �'�� Notary Public
Commission No. Commission No. �pT:'-�,'� � �
r U7' "�?i1,1 '
,,.J y`�57 -
Name of Notary typed,prid starnped -1?� 'b-t Name of Notary ryped,printed or stamped'» "�
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a y3° ���/'��//�-l��e ��' 2013028512
72-��r�t.-l�/ � .��d
Pertnit No.
Parcel ID No �tY- �-6-�/-D�0— d�/���l`�
NOTICE OF COMMENCEMENT
State of /"�/d�l(C(, County of ��f�
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,a�d in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commence ent: -,u/ /� �p
1 DescripGon of Property� Parcel Identification No. �� �7 �� ��� �`'��-""
Street Address: �T 3� ��U�,^�-���e �� z /� �`�^70
2. General�escription of Improvement '
L� �X �Jion
3. Owner Information or Lessee info ation if the Lessee contracted for the improvement:
�it..�.r ��-�� ,,t-�/r�
c� YJU me �/�e ��• /�-1 T'_/ �h7�'�`ll
� Address C' State
Interest in Property:
Name of Fee Simple Titleholder
(If different from Owner listed above)
Address _ /',,� � City State
4. Contractor {�r lJ ���4C
Name
Address CitY State
Contractors Telephone No..
5. Surety'
Name
Address
City State
Amount of Bond: $ Telephone No.
6. Lender
Name
Ciry State
Address
Lender's Telephone No.
7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes.
Name
City State
Address
Telephone Number of Designated Person:
of
8. In addition to himself,the owner designates
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes
Telephone Number of Person or Entity Designated by Owner•
g Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and finai payment to the
contractor,but wiil be one year from the date of recording unless a different date is specified}:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE 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
WITHOYOUR LEND R OR AN ATTOR EY BIEFORE�COMMENC NG WORK ORIRECO D NG YOUR NOTI�CE OF COMMENCEMENTSULT
Under penalty of pe�jury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge an,d belief,,TT�
I�OT .:Pi:,;' �F FZQPIDA
STATEOFFLORI ''�: � =L ' -="�l�'ly �
COUNTY OF PAS �,:.�....._ .. _ -DD326164
��m`:• �:. ._ _, e,�T.I6,2013 i u e of Owner or Lessee,or Owner's or Lessee's thorized
so��i�z'xxt;r,:�1:i�csoxD�GCO.,IItc. fficer irector/PaAner/M�anager -��/
�� ��� � �
�` Signatory's TitlelOffice � �/�
r� /\ /
The foregoing instrument was acknowledged before me this�T day of ,20i�by ��-��
as• W�! (type of authority,e.g.,officer,truste , ttorney i�fact)for
(name of arty behalf�of whom i ment executed).
Personally Known 0 OR Produced Identification� Notary Signature
�
Type of Identification Produced ��' Name(Print) �{
Rcpt:1497126 Ree: 10.00
DS: 0.00 IT: 0.00
02/14/13 K. Garcia, Dpty Clerk
pqULA S 0'NEIL,Ph D PRSCi CLOf 1 COMPTROLLER
020R BK ���� P� 2312
wpdata/bcs/noticecommencement_pc053048
Pasco County Parcel: 24-26-21-0080-00000-2840 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, February 16, 2013
Parcel ID 24-26-21-0080-00000-2840 (Card: 001 of 001)
Classification 00 - Vacant Residential
Mailing Address Property Value
KELLEY LINDA S REV TRUST Ag Land �o
KELLEY LINDA S & Land �33,538
KELLEY JAMES M CO-TRUSTEES Building $o
115 OLD CONYERS DR
STOCKBRIDGE GA 30281-2641 Extra Features �ii,2�o
Physical Address 7ust Value �44,808
3430 TOURMALINE DR ASS2SS2CI (Non-School Amendment 1) $44,808
ZEPHYRHILLS FL 33540-7437
Lec�al Description (First a �ines) Taxable Value �44,808
See Plat for this Subdivision
THE EMERALD POINTE RV RESORT
PHASE SIX PB 48 PG 006
LOT 284
OR 7351 PG 163
Land Detail (Card: 001 of 001)
Line Use Description 2oning 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 �Residential Code EMPTLPI
Code
Building Information (Card: 001 of 001)
Unimproved Parcel 00 - Unimproved
Extra Features (Card: 001 of 001)
Line —� Description � Year Units Value
1 � DWC 2004 1,188 $1,678
2 FEA 2004 168 $5,413
� 3 � FST � 2004 96 r $1,599
4 A C-1 2004 1 � $41
5 FSA 2006 144 $2,539
Sales History
Previous Owner WHITT SHEILA K
Month/Year I Book/Page Type C de Condition Amount
01/2007 7351 / 0163 Warranty� Vacant $80,000
Deed
01/2004 5687 / 1042 Warranty� Vacant $31,000
Deed
12/2003 5687 / 1040 Warranty� Vacant $25,000
Deed
http://appraiser.pascogov.com/search/parcel.aspx?sec=24&twn=26&rng=21&sbb=0080&b... 2/21/2013
DISCLOSIIRB STAT8�8NT FOR OWNSR
, . CIT3C OF Z$Ptrvosrsr.r.S HIII7rDIN(� DBPARTl��lBNT
_, 7G�/J'lAf iC.ILI��I{,� have read aad fn1ly vnderstaad and
aqree to the provi.si of this instrnateat. -
The undersigaed states aad affirme that he ar she is desirons of constrncting,
renavat3.ag, adding to or reroofiag i�is or her o7aa do�nicile, that he or she
actually occnpies, or will occupy by said domicile, aad same is aot for
reat, lease or saZe. Tlzat he or she shall c�ply �v3.th the fol7.o�.ng coadi.tioas:
1.. That the oovner and he or she alane shall act as the bai.Ider far alZ phases of
constxv.ctioa.
2. That fiise ov�m.er v�3.11 comply �vifli a].1 provisions of the City of Zephyrhills
ordiaances and codes pertiaeat to the bnildiag.
3_ That ia the event varions phases of caastructioa are subcontsacted, he v�3.I1
eagage only prcper].y liceased subcoatractors and �.11 personally supenrise
suc,h woric.
4. That ia the eveat the Buildiag Iaspector shall r�+�;re correctioas to be made,
the owaes will assume full respoas3bility fia iasure they. are made, and upoa
completioa wil3. call for a reiaspect3on before proceediag with the buildiag.
5. Tha.t the owner shalZ assume full respoasibility fos the aonstrnction aad will
not expect supervisiaa of his work from the City of Zephyrhills Hnildi.ng
Depaxtmeat.
6. That prior to fiaal inspeatioa aay additioaal fees, i.acludiag rainspection
fees, must be paid ia full. A vrrittea, reqnest from this af£ice shall.
constitute an official aotice to pay adda.tianal fees.
7. That the aaraer shall comply svith all City, State aad Federal lav�ss 3.n regard to
social security, worl�aa's compeasation, liea lav�s, etc., where applicabie.
8- That the o�vaer shall comply avith all the safety cades issued by the Flori.da
Iadustrial Coam�i.ssioa.
9. State law requires coastruction to be doae by licensed coatractors. You have
applied for a permit under an exemptian to that law. The eaemptica allows
you, as the amner of your property, to act as yonr own coa�kractor with certaia
restrictioas even though you do not have a licease. You must provide direct
oasite supervision of the coastsaction yourself. You may buiid or improve a
one-fami.ly or t�ro-family reside�ce ar a farm outbui.ldiag. You may also bua,Id
or improve a cwmaercial bvildiug, prrnsided your costs do not exceed $25,OQ0.
The buildiag or resideace must be Eor your owa use or occupaacy. It may aot
be built or substantially improved for sale or lease_ If yov, sel.l or lease a
.buil.ding you have built or substaatially impsoved yourself withia 1 ye2Y after
the coa.struction is complete, the laa will presume that you built or
substaatially improved if for sale or lease, which is a violation of this
exemPti.on- You may aot hire aa unliceased person ta act as your contractor or
to supervise people v�orking on your building_ It is your responsibility to
make sure that people emiployed by you have licenses required by state law aad
by cpuaty or mnaicipal licen.siag ordira++�es. You may nat delegate the
respansibility for s�exvisiag qvork to a licensed. contractor who is not
licens�d to perform the work being done. Aay persoa ovorkiag oa yot� building
who is aot licensed mnst �vork uader your direct supervisioa aad must be
empZayed by you, which meaas tha.t yon must dednct F.I.C.A. and. avit..hholdiag tax
and provi.de �vorkers' coanpensatioa for that employee, ali as prescribed. by la�v_
Your constructioa. must ca�ply vPi.th a11 applicable Iaavs, ordinances, buildiag
codes, aad zoaing r tioas.
O�Pi�fffii'S SI �� �
��ss �� ov - ze ,- -
�so� - 3 —
��S P$R�T #
Procedure for Lot Improvement Requests
(Please refer to "Rules and Regulations')
1. All requests are to go to Chairman of the Property Evaluation Committee, for the committee
to review. There is a�i,old�r„l�led "Pronertv Eva[ttation � I�aoroverteabs" in the libr�r�
for Lot o�vaers xo.nlsce t�ir ooe�nie,t�d fornu in and these forms w►iU be uick�l an 6�om
tbe Librarv b�►I�e ProOertv Evslastioa com�mitt�e. --
2. Any requ�est which is NOT filled out properly or in detail, which includes, complete plan
layout,elevations (where applicable), written details of improvement being requested, includin.g
color, ctc,and any other information pertinent to the processing of the reqwcst, w�iII be�
to the Lot ow�er for eo� �re b�i�revie7ved bv the Committee.
3. Committee will review requests and visit the site of the request as necessary.
4. After the Committee has approved or denied the request, it wili be presented to the Board of
Directors for their appmval or denial.
5. There will be NO more one day approvals or lasi minute approvals. Request will take 7- 14
days for appropriate review and consideration, thus giving the Committee and Board mcmbcrs
time to review and consider the request in a thorough manner.
b. The original request will be stamped approved or denied, and after being copied the onginal
will go into to the members file and the copy retumed to the Lot or�ner by the Board of Director
liaison to the committee.
7. The committee will follow up on requests to determine that the request as presented and
approved is being adhered to.
A.s the owner of Lot# ,,2�`-� , I understand the Property Evaluation Com.mittee and/or the
Board of Directors will enter the properly to follow the external progress of the consttuction or
improvement,as submitted on the Lot Improvement Request.
_ �
t er's Signa�ure Date
4/03/06
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' Florida Building Code Online Page 1 of 2
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r, FL# FL161-R4
y`�; = Application Type Revfsion
::. 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
mlafevre@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 Ext 221
jthompson@cws.cc
Category Exterior poors
Subcategory Swfnging Exterior poor Assemblies
Compliance Method Evaluation Report from a Florida 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 Ucense PE-58201
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurence Contract Expiration Date 03/O1/2014
Validated By Steven M. Urich, PE
Validation Checklist- Hardcopy Received
Certificate of Independence FL161 R4 COI EvalReo CWS-176C(Guardian Doorl odf
Referenced Standard and Year(of Standard) Standard Year
AAMA/101/I.S.2-97 1gg7
ASTM E 1300-04 2004
Equivalence of Product Standards
http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvyf4ngAXh 1045csMG... 4/5/2012
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Busines��,��
�Product Approval
Professi � na I �� �SER:P�b����5e�
Regulation
Product Aooroval Menu>Product or Aoolication Search>Aoolication List>Application Detail
_ :�r� « FL# FL993-R8
- Application Type Revision
• »•-°4 Code Version 2010
f�°°'�•"�i1 Appiication 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 Kinro,Inc
Address/Phone/Email 4381 Green Oaks Bivd. W.
Arlington,TX 76016
(574) 533-8337 Ext271
rmanthey@Icil.com
Authorized Signature Rob Manthey
rickw@rwbldgconsultants.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By Ryan]. King, P.E.
Validation Checklist- Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/I.5.2/A440 2005
AAMA/WDMA/CSA 101/I.S.2/A440 2008
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 02/10/2012
http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqt9b2DeMSK%2bPSpT... 4/4/2012
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