HomeMy WebLinkAbout13-13990 CITY OF ZEPHYRHILLS
5335-$TH STREET �
�si3)�so-oo20 ' � �3990
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BUILDING PERMIT
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Permit Number: 13990 Address: 4735 4737 9TH ST
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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-03000-0060
Improv. Cost: 3,008.13 "� � ;;�� � �,,,� _
Date Issued: 3/27/2013 'Name: MUELLER CYNTHIA
Total Fees: 82.50 Address: 31810 CARRIAGE HOUSE RD
Amount Paid: 82.50 WESLEY CHAPEL FL 33543
Date Paid: 3/27/2013 Phone: 813-782-4634
Work Desc: REPLACE 1 DOOR & 8 WINDOWS SIZE/SIZE
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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 called e) permit not posted on job site� plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifi tions Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONT CT R SI ATUR PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: L�G(,�
Date Received: 3-�3-%3
�7.3s / 5�737 �
site: �__ �S/
Permit Type: � U C-���I�OZ�-�, `S� z�( "�G�-
�r��.�� �P/� ��h� �
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.
Kalvi Switz r-P Examiner Date Contractor and/or Homeowner.
(Required when comments are present)
Pasco County Parcel: 14-26-21-0010-03000-0060 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, March 09, 2013
Parcel ID 14-26-21-0010-03000-0060 (Card: 001 of 002)
Classification � 08 - Multi-Family - Less than 5 units
Mailing Address Property Value
MUELLER CYNTHIA A Ag Land $o
31810 CARRIAGE HOUSE RD Land �io,346
WESIEY CHAPEL FL 33543-5131 Building g33,9o8
Phvsical Address - See All 2 addresses Extra Features
(First Shown) $203
4735 9TH ST ,7ust Value �44,457
ZEPHYRHILLS FL 33542-6069
ASS2SS2d (Non-School Amendment 1) �ai,063
Leqal Descriation (First 4 Lines) Non-School Taxable Value #41,063
MOORES ADDN PB 1 PG 57 S 25 FT School District Taxable Value $44,457
LOT 6 & ALL LOT 7 BLK 30 �Narning: A significant taxable value increase may
occur when sold.
OR 3570 PG 69 Click here for details and info. regarding the posting
of exemptions.
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
�1 0800 MULTI FAMT OOR3 6,600.00 SF $1.55 1.00 $10,230
�� 0800 MULTI FAMT OOR3 375.00 SF $0.31 1.00 $116
Additional Land Information
Acres 0.16 Tax Area 30ZH FEMA X Residential Code ZHLGLP7
Code � C�
Buildina Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 002)
Year Built 1979 Stories 1.0
Exterior Wall i Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 r BAS 1,144 $56,742
2 FSA 408 r- $6,051
Extra Features (Card: 001 of 002)
Line Description �-Year Units Value �
1 UDU-M 1989 r- 1 � $120
2 CON PTO 1988 120 � $83
Sales History
Previous Owner LAWSON ROBERT W &
Month/Year Book/Page Type Code Condition Amount
04/1996 3570 / 0069 Quit Improved $0
Claim
http:Uappraiser.pascogov.com/search/parcel.aspx?sec=14&twn=26&rng=21&sbb=0010&b... 3/13/2013
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Buflding Department
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Date Raceived �� 13_ �3 phone¢ontact i.or Pe Ittin 13 2�4 _ '�'1965
Owner's Name Ci�� M u e,ll eR (i u�li,,�l pwner Phone Numbor �t"S - 7 &'7� ` �/`3 Y
Owner's Address Owner Phone Number �1 O� - �.88 - `�`t�8
Fee 8imple Titleholder Name � Owner Phons Numbsr �
Fee 3lmpie Tftleholder Address
JOB ApDR�SS �� 3 �{ 4 7 37 C'/�f� ST ZeP�,a y l��!/S �L 3 3 S�/� LOT* �
SUBDNI310N M�t=,�L�S A Gl�� PARCEL ID# i �°2�`�� - b a�fl 'G�'3 C'o�9 - fj C��'Q
(OBTAINEb fROM PROPERTY TAX NOTIC�E)
WORK:PRR�AO$ED NEW CONSTR ADO/ALT [� SION Q [� DEMOUSH
INSTALL 8 aEPA1R
PROR�BED.USE Q SFR � COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEEL Q
DESCRIP'f10N OF WORK l�c�'�/�C� / doc�2 i,.,v�l + �'J /„��,�/U/c.,1 t,e,v +1'S S:t,��5 i t� �-"L f 1 Z t7�, f
BUILDIN(i SIZE 8Q FOOTAOE�� HEI(iHT ] �` ����, r
�BUILDINO a 3�o�` � -3 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROCiRESS ENERGY Q W.R.E.C.
QPLWMBINO � �L I �]Q��
f� .�/ �
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QOAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
G C��.�1 1'�L'l'�
BUILDER �COMPANY i.Or,�-CS �loM�, Gea��2� �n!t-
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address o �o� � �'3 ��'A�d�' �z���' License# C.6G I SO ��-�
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
PLUMBER COMPANY
810NATURE � REGISTERED Y/ N FEE CURRE� Y/N
Addresa License# r `�
MECHANICAL COMPANY
31�3NATURE REGI3TERED Y/ N FEE CURItE� Y/N
Address Ucense# �
OTHER � COMPANY
SI�NATURE REOISTERED Y/ N FEE CURRE� Y/N
Address License# I
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)aet of Energy Forms;R-O-W Pertnit for new constructlon,
Minfmum ten(10)working days after submittal date. Required onsite,Constructlon Pians,Stortnwater Plans w/Silt Fence installed,
Sanitary FadlfUes a 1 dumpster;SEte Work Pertnft for subdfvlslons/iarge proJects
COMMERCULL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new constructlon.
Minimum ten(10)work(ng days after submittal date. Requlred onsite,t;onstrucrion�lans,Stormwater t ians wi�iii Fe�ca insiaiied,
Sanitary Fadlitles 81 dumpster.Site Work Pertnit for all new projects,All commercial requirements must meet compliance
SION PERMIT Attach(2)sets of Engfneered Plans.
•""'PROPERTY SURVEY required for all NEW construcUon.
Directions:
Ftll out applicatlon completely.
Owner&Contractor sign back of applicatlon,notarfzed
If over f2500,a Notice of Commencement is roqulred. (AIC upgrades over;7S00)
"' Agent(for ihe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTINO (Front of Applicatlon Only)
Reroofs If shingies Sewers SeMce Upgrades A/C Fences(PIoVSurvey/Footage)
Drlveways-Not over Counter it on pubflc roadways..needa ROW
NOTICE OF DEED RESTRICTION Coune re u atgvns. uThe unde sigaied afssumest resp nsibilbty for compl anee�with�ny
which enay be more restrietive than tY 9
appticable deed restrictions.
UNLICEN3E� GONTi�►�TORhe ma beweq�uired o be IEic�ensed$i BaccoEdancef th s ate and local�egulations. Ifrthe
contractors to undertake work, y Y
conFractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanorlvifQ�fi�he
under state law. If the owner or �Co�aact t enPastco County Building Inspectioni Division—Licensing �e�tion at7 7-847-
intended work, they are advised to
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) s gn
portfons of the "contractor Block" of thhat hel�(saniot properly Iicensed�'and is not entbtled t permittingeprfvil ges�in Pasco
contractor, that may be an indication t
County.
TRIf11NSP6RTATlON IMPACT/UTILITIE8IMPACT AN�RE�OURC� ���o t�he�on trEStion of n webu�di gsnchanan of
that Transportation impact Fees and Recourse Recovery Fees may app Y �� °
use in existing buildfngs, or expansion of exfsnia�g buanaigg{nat such ee,iasPmay be due wil abea dentffied at he time�of
90-07, as amended. The undersigned also u
permitting. It Is further understood that Transpo�tation Impact Fees and Resource Recovery Fees must be paiit p�itir to
receiving a "certi�cate of occupancy" or final power release. If the project does not involve a certrficate of occupancy or
final power release,
the fees must be paid prior to permit-issuance. Furthermore, if Pasco County Water/Sewer Impgct
fees are due,they must be paid prior to permit(ssuance in aecord�nce with appiicable Pasco County or•inarr�es.
CON�TRUCTION L1EN LaW(Chapter 713, Florida Statut�s, as arrre�nded): 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 Lauv--Morr�eovirr�er�s
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the appiicant is someone
other than the"owner", I eert�fy 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'3 AFFIDAVIT: I certffy that all the info�mation in this application is accurate and that aIE•work
will be done in complfance with aii applicable laws regulating construction, zoning and land development. Appiication 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 regutating
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 inte�ided work, and�t�iart�(t is
my responsibiliry to i en{tof Environtmental Protecton Cypress Bayheads,SW tla9d Areasnand E viro mertt'�rllyitSer�s�ve
Departm
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Dist�ict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigabie Waterways.
- Depa�tment of Health 8� Rehabilit�tive Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Auiation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flo�d Zone"V" unless expressly permitted.
If the flll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at tfine of permitting whfch is p�epared 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 perrriitted building using stem wall
construction, I certify that fill will be used only to flil the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
- the owner may be cited for viola#�r�g:
properties. If use of fill is found to adversely �ffect adjacent properties,
the conditivns of the building permit issued under tMe 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 A�ENT�OR THE OWNER, I P�onig I iunderstand that a�s parat permit may be rieQ g ecl fortiel8ctrical work,
this affidavit prior to commencing construct(
plumbing, signs, wells, pools, air conditioning, gas, or other instailations not specificaliy included in the applica�lon: A
permit issued shall be construed to be a 1(cee3enor shall i s aincehof a pe mitprevent thehBu dirig tOfficial from thereafter
set aside any provisions of the technical cod ,
requiring a correction of errors in plans, conss c tmmenced wi#hln sixamonthseof perm t iss aince,uor�if wolrk authoerized by
unl�ss the work authorized by such permit i
the permit is suspended or abandoned fouildinerioOd�ciali fo6a perfo�d nottohextceedtninetyf(90) days and will demanstsa e
may be requested, in writing, from the B 9
th job is considered abandone
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, �
1Np{t1�WG TO OWNER: YOUR FAtLURE TO RECORD A NOTIF Y�U IhtTEND TO BT�kIN FMMIAANG�N�, CONSULT
PAYING TWICE FOR IMPROVEIkAENTS TO YOUR PROPE��MG vnua NOTICE 0��O��N�
uf'TL_5.�+�.�Q,.�-:�.rac��R,QR AN ATTO�Rf�EY B�FOR�RECO
FLORft3A JURAT(F•S. 117.03)
CONTRACTOR
OWNER OR A(iHNT Subscribed and swom to(or afflrtned)before me thts
Subscribed and swom to(or aftirmed)before me this by
_y bY Who s/are persor�a�lY known to me o�has/have prod�ed
Who isfare personally known to me or haslhave produced e$�denWicaBon.
as fdendticatlon.
Notary Public
Notary Public
Commissfon No.
Commission No.
Name of Notary tyPed�Printed or stamped
Name of Notary typed,Printed or stamped
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arpductAanrovaL.Men.0>P�dvct.ar...Avnl�caUan Soarcn>ADR1�Gd.qA/I.CISf>A tloh Do !f
FL # FL11206-R6
App!lcatlon Type Revlsion
Code Verslon 2010
Applicatlon Status Approve
* ved by OCA.Approva/s by DCA shall be revlewed and ratifled by the POC
and/or the Cmmmisslon if necessary.
Comments
Archived �
Producl Manufacturer Pella Corpo��tlon
Address/Phone/Emall 102 Maln St.
Pella, IA 50219
(641)621-6096
pe!laproduct�pproval@pella.com
Authorized Signature TROY FARR
tbfarr@pella.com
Technlca!Representative loseph Hayden
Address/Phone/Emall 102 Maln Sfreet
Pella, IA 50219
(641)621-6Q96
/ahayden�mpella.com
Quality Assu�ance Rep�esentative Andrew Nelson
Add�ess/Phone/Email 102 Maln St
Pella, IA 50219
(641)621-3804
nelsona@pella.com
Category Wlndows
Su6category S/ngle Nung
Compllance Method Certlflcat/on Mark or List/ng
Certlflcatlon Agency Wlndow and Doo�Manufacturers As:soc/at/on
Valldated By James L. Buakner, P.E. at CBUCK EnglneeNng
• ValldatJon Checklis[-Ha�dcopy Rece/ved
Refe�enced Standard and Year(of Standard) Standard �
AAMA 101/1,5.2-97 Y�
1997
AAMA 101/1:5.2/NAFS-02 2002
AAMA/WDMA/CSA 101/I.S.2/A440-OS 2005
Equlvalence of Product Standards
Certlfled By �; A�r
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Product App�ova!Method - .
Method 1 Op'tlon A '�;-� rJ'- �
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Date Submltted 11/03/2011 ' \ �
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Florida Building Code Unline ra�C� u� �
Date Vallda[ed 11/07/2011
Date Pending fBC Approval
Date Approved 11/10/201 i
---------------...-------�-__...._._._ _____. --•--------•------ --
Summary of Producls
� # Mode! Number or Name D scr/ tlon
i11206.1 Serfes 10 F/an ed SIn !e Hun VI 1 f/an ed S/n /e Hun W/ndow 54"x 90"
�Lim/ts of U C rtlf/catlon Ayency Cr�rtiflcale
Approved o�us VHZ:N FL11206 R6 C CAC CCL for Pella 6-30-09 411-H-1032.01-03 vdf
� Approve for outs/de HV : Yes Qpallty Assurance Confrac!Exp/ratlon Date
pa Resls nf:No 0.6/10/2013
! Des gn Press re: +30/-30 Shstallatlon Instruci/ons
; Other:Conflg atlons of g/ass onform to latest ASTM E1300 �I��Q¢ R II 1 �if
�standard, Verlf/ed Sy: War�en W. ,3chaefer, P.E. 44135
Created by Independent Third Party: Yes
E'va/uat/on Reports
PL11206 R6 AE 1414. df
' reated b Inde endent Th/rd Pa : Yes
;i 1206.2 Serles i 0 F/an ed S/n !e Hun Vln 1 f/an ed S/n le Hun Window 52-1/8"x 73"
i Lir»!ts of Use C.rtiflcation Agency Certiflca[e
�+ Approved for use/n HVH2:No FL21206 R6 C CAC�L for Pefla 6-30-09 411•H-1032.05-07.odf
Approved for use outs/de HVHZ: Yes Qp' alJty Assurence Contract Explrallon Dafe
� Impact Resistanf:No Q4/20/2013
j Desfyn Pressu�e: +50/-50 Inslallal/on instruct/ons
� Other:Conflguratlons of g/ass conform to latest ASTM E1300 FL112 6 R6 !1 141�if
istandard, Verlfled By: Warren W. Schaefer, P.E. 44135
Greated by Independent Thlyd Party: Yes
Evafuatlon Reporls
P.6?.�9�R4_..A_��41_4���1
� reated b Inde endent Thlyd Pa : Yes
�11206.3 Se�/es 10 F/an ed S/n /e Hun VIn /F/an ed Sin !e Hun W/ndow 36"x 62"
I L/mits of Use C rt/ficaHon Apency Cer!/flcate
� Approved for use in HVHZ:No �L1.1�2Q6 R6 ��'q��s:.l,.fQr_Pg!1a�.3Q-0�411-H,IQ�2_�i�p�Jf
� Approved fo�use ou�slde HVHZ: Yes Qualfty Assurance Contracf Explrat/on Date
; Impact Res/stant:No d2/1i/2013
� Des/gn Pressure: +55/-55 Ihstal/ation instructlons
; Other:Configuratfons of glass conform to latest ASTM E1300 �!�11206_R6 11 141��if
;standard. Verif/ed By: Warren W. Schaefer, P.E, 44135
Created by Independenl Third Party: Yes
Eva/uation Reports
ES�i���A��4�4�!�f
�reated 6 Inde endent Thlyd Part : Yes
;11206.4 Serfes i 0 F/an ed Sln !e Hun V n /F/an ed S/n !e Hun Wlndow 36"x 90"
i L!m/ts of Use
� C�rtlf/cation Agency Certlflcate
i Approved for use in HVHZ:No L11206 R6 C CAC�:L fo�Pe/la 6-30-0�4i1-H-1032.09-Il.odf
; App�oved for use outslde HVH2: Yes Qua/!fy Assurance Contract Expira!!on Date
; tmpact Reslstant:No Q2/09/2013
; Des/gn Pressure: +50/-50 Ihstallat/on Instruc[lons
� Other:Conflguretlons of glass conform to latest ASTM E1300 �LZ2Qf��6 11 141g_p�lf
I s[andard. Verlfled By: War�en W, Schaefer, P,E. 44135
Created by Independen!•Thlyd Party: Yes
Eva/uat/on Reports
fL11206 R6 AE 14��f
C'reated b Inde endenl�Thlyd Pa : Yes
;i 1206.5 Ser/es 10/20 HJgh Performance Sing/e V�nyl High Performance��Ing/e Nung 71vin Compos/te(72"x 65-
Hun 1 2"
I L!mlts of Use C�rtlflcation Agency Certiflcate
� Approved for use in HVHZ:No � 120 R6 C CAC 4�1-H-1093.odf
; Approved for use outsfde HVHZ: Yes L11206 R6 C CAC 411-H-1095.Odf
i Impact Res/stant:No Quallty Assurante Coniract Expiratfon Date
; Des/gn Pressure: +50/-50 i1/17/2013
� Other:Conf/guratlons of glass conform to lates[ASTM E1300 Inslallat/on Inslructlons
;standard, kL1i206 R6 11 Or�w/nq_I572.pdf
Ve�ifled By: Warren W, .Schaefer, P,E. 44135
Created by Independenf Th/�d Party; Ves
Eva/uaUon Reports
F i1206 R6 AF Drdwln4 1372.�f
; �reated b Inde enden(�Thlyd Pa : Yes
��11206.6 Ser/es 10/20 High Performance Sing/e Vinyl Hlgh Performance Sing/e Hung Wlndow(42"x�2")
Hun
i LImlts of Use C'ertlflcation Agency Certlffcate
http://www.floridabuilding,org/pr/pr_app_dtl.aspx?param=wGEVX QwtDqs6 W GOndIUH... 2/27/2012
r ioriaa tsuiiaing �one �niine rd�c � u� �
� Approved for use rn HVH2:No f(.11206 R6 C CAC CCL for Pella 10-20-09 411-H-1046 01 odf
; Approved for use outsJde HVH2: Yes Q�allty Assurance Confract Exp/ration Dafe
; Impact Reslstant:No 0'8/07/2013
i Deslgn Pressure: +50/-50 I�ista!/allon Instruct/ons
Other:Conflguratlons of g/ass conform fo/a[est ASTM E1300 fL11206 R6 II p�awlna 1572•v�f
�standard. Verrfled By: War�en W. Schaefer, P.E, 44i35
� Creafed by Independent Thl�d Party: Yes
� Evalua!!on Reports
FLI1206 R6 AE Drawlno 1572.ndf
� G�eated b Inde endent Th/rd Pa : Yes
i 11206.7 Serles 10/20 S!n /e Hun V% I Sln /e Hun Wlndow 48"x 72"
i L/m/ts of Use C rt/flcatJon Ageney Certiffcate
i Approved for use!n HVHZ:No f{.11206 R6 C C CCL for Pella 10-20-09 411-H-1043 OS ndf
� Approved for use ouls/de NVH2: Yes QUalJty Assurance Contract Explratlon Date
i Impact ResJstant:No 0�8/04/2013
� Deslg»Pressure: +35/-35 Ir�slallalfon Inslructlons
I Olher:Conf/guratlons of g/ass conform to/atest ASTM E1300 F�11206 R6 11 Drawina 2572.vdp
�standard. VeNfled 8y: Warren W. :�chaefer, P.E. 44.135
� Created by lndependent Th/rd Party: Yes
E�a/uat/on Reports
F�j�Q�R��q.��c��v!,�9_15J_.�2df
Q eated 6 lnde endent Th/�d Pa : Yes
�11206.8 Serles 10/20 S/n /e Hung VI l S/n le Hun W/ndow 48"x 59-1/2"
'L/mlts of Use C rtlf/cat/on Ayency Cert/flcate
Approved fo�use!n HVHZ:No (,�,�,,�Q{Z.R6 C .�,q����..[Qr_p�l�,t0-24-Q�q11_H_IQ43,QQ�P�lf
� Approved for use oucs/de HVH2: Yes Q�ral/ty Assu�ance Contract Exp/�atlon Date
j Impact Reslstant:No 0'/04/20i3
; Deslgn Pressure: +35/-35 I�sta!/aHon instructions
j Olher:Conflguratlons of g/ass confo�m to lafest ASTM E1300 f�1120§ R¢ 11 Ora�vina 1572 vdf
�standard. VeNf/ed By: Warren W. S�chaefer, P.E. 44135
I Oreated by Independent Thlyd Party: Yes
Eya/uation Reports
' El�.d3QS`�R.S�9��Qg�72;Adf
i dreated 6 Inde endent Th/rd Pa : Ves
;11206.9 Ser/es 10/20 51n /e Hun V� 1 S/n /e Hun W/ndow 36"x 59-1/2"
�L/mirs of Use C rt/f/callon Agency CArt/flcete
Approved lor use In HVH2:No CAC CC�,for Pe/!a 10-20-09 41�-H-1043 17,p�f �
� Approved for use outsJde HVH2: Yes Q al!!y Assurance Conlrsc�Exp/ralfon Dale
impact Resistant:No 08/03/2013
� Desfgn Pressure: +35/-35 Ir}afal/atJon Instruct/ons
�' Olher:Conflguratlons of glass conform to/atest ASTM E1300 �1 i206 R6 11 Drawlnp 1572.vdf
standard. � Verlfled By: Warren. W. Schaefer, P.E. 44135
� Qreated by Independent Th/rd Party: Yes
� Eva/uet/on Reports
Fl,11206 R6 AE Dra�o 1572.pdf
Created 6 lnde endent Th/�d Pa : Yes
i 11206.10 Serles 10/20 S/n le Hun Vi l SIn /e Hun W/ndow 48"x 84"
Llmits of Use C rt/f/catton Ayency Cort/f/cate
' Approved for use!n HVHZ:No F 11206 R6 C Ca� �r-
i Approved for use outside HVH2: Yes �' L for Pella 10-20-09 41�-N-rnea » .,af
i F�.11206 R6 - rar- �r�,for Pe/la 10-ZO-09 411-H-1043.2s.n�r
; Impact Res/stant:No Q}�al/!y Assurance Contracf Explra!!on Date
� Des/gn Pressure: +35/-35 08/07/2013
j Other:Conf/guret/ons of g/ass conform to/atest ASTM E1300 1�}stallailon inslruct/ons
standard, f'L11�206 R6 11 Draw/na 1572.vdf
� Verified By: Warren W. �,chaefer, P.E. 44135
Qreared by Independenf Th/rd Party: Yes
Eva/uaHon Reports
�206 R6 AE Orawlno i572.pdf
Created b Inde endent Thlyd Pa : Yes
�'11206.11 SeNes 1 a/20 Srn /e Hun Vl l Sln le Hun W/ndow(36"x 72")
Limits of Use C$rtlffca[Jon Apency CortlBcate
Approved for use!n HVHZ:No H-iO4?13 vdf
1 �,for Pel/a 10-20-09 a f�-
Approved for use outside HVHZ: Yes Q all[y Assu�ance Contract Exp/rallon Dale
; impect Res/atant:No 0�/03/2013
� Des/gn Pressure: +35/-35 I sta//stJon Instrucllons
� Other:Conf/guratlons of g/ass cortfo�m to/atest ASTM E1300 ��Q¢R�1I D�w(ny�,572�pdf
�standard. 1/er/fied By: Warren W. 5chaefer, P.E. 44135
� L��eated by Independent Thl�d Party: Yes
� E�Yaluatlon Reports
' fL11206 R6 AE Dra vino 1572.ndf
Created b Inde e»denf Thlyd Part ; Yes
�11206.12 Series 10/20 S/n /e Hun Vr l S/n /e Hun Tw/n Com os/te 72"x 53,5"
;Lim/ts of Use C�rtHfcatlon Agency Cartlf/cate
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqs6 WGOndIUH... 2/27/2012
Florida Building Code Online rage 4 or �
i Approved for use/n HVH2:No f�11206 R6 C CAC 41�-H-1094.ndf
i
� Approved for use oulslde HVNZ: Yes Qpai/ty Assurance Contract Explration Date
; Impact ResJs[ant:No ]fi/17/2013
� Deslgn Pressure: +35/-35 lnstalJat/on Instruct/ons
i Other:Configuratlons of glass conform to/atest ASTM E1300 f�.11206 R6 1I Draw/no 1572.vdf
;standard. Verlfled By: Warren W, 5chaefer, P.E. 44135
I Oreated by Independent Th/rd Party, Yes
Eyaluation Reports
; fL.11206_R6_AE Drew�n91572.Ddf
� Greated b Inde endent Th/rd Pa : Yes
11206,13 SeNes 10/20 S/n le Nun VI l S/n !e Hun Twln Com oslte 96"x 53.5"
L/mlts of Usa C rtlf/catlon Ageney Cert/flcate
Approved for use/n HVH2:No 11206 R6 C CAC 411-H-1099.cdf
Approved for use oulslde HVHZ: Yes Q allty Assurance Contract Exp/ratlon Date
Impact Resistant:No 1�1/19/2013
IDeslQn Pressure: +35/-35 Zr�sta/latlon instruetlons
i O[her:Conflgurat/ons of g/ass conform to/atest ASTM E1300 FL11206 R6 11 Drawlnu 1572.ndf
i standard. UeNf/ed By: Warren W. 5chaefer, P.E. 44�35
Oreated by Independent Thlyd Partyr Yes
� fi�a/uatlon Reports
1.�QS�R�..9.��xnQ.�Z�f
! reated b Inde endent Th/�d Pa : Yes
;11206.14 Se�les 10/20 Sin !e Hun Vl !5!n le Hun Tw/n Com oslte 96"x 72"
i L/mits o/Use C�rtlflcatlon Agency C�rtifJca[e
� Approved for use ln HVHZ:No P I.�:�Q6 g¢���-�-10,��Qdf
f Approved for use outside HVHZ: Ves �1206 R6 C CAC�1-H-i10D•DC/f
Impact Reslstanl:No Q�aNty Assurance Contract Exp/ratlon Dafe
' Deslyn Pressure: +30/-30 1!1/18/2013
O�her:Conflguratlons of g/ass conform to/atest ASTM E1300 Ir�slallatlon Instructlons
;standard. F�.i1206 R6 tl Draw/na 1572 vdf
�erJfled By: Warren W. Schaefer, P.E. 44135
Greated by Independent Th/rd Party: Yes
E�aluation Reports
1 AE,��a��(pa 1572.ndf
�reated b Inde endent Th/rd Pa : Yes
i 11206.15 SeNes i 0/20 S/n /e Hun V/n /Sln le Hun Twln Com osite 72"x 72"
�Llmits of Use C�rtlf/caHon Ayency Certlflcale
I Approved for use in HVHZ:No �1-H-1092.vdf
� Approved for use oulside HVHZ: Yes Q ality Assurance Contract Explratlon Date
i Impact Resislant:No 1�2/17/2013
i DesJgn Pressure: +35/-35 1qs!allatlon InstrucNons
� Other:Conflgurat/ons of g/ass conform to/atest ASTM E1300 PL11106 R6 II Orawina i572.ndf
;standard. I�erlfied 8y: Warren W. 5chaefer, P.E. 44135
' G�reated by Independent Thlyd Party: Yes
; Evaluation Reports
I 11206 R6 AF Ora�g i572.vdf
reated b Inde endent Thlyd Pa : Yes
i 11206,16 SeNes 10/20 S/n le Hun Vln I F/xed Wlth S/n le Hun Flankers 108"x 72"
L/mits of Use C rtif/cat/on AQency Certlflcale
Approved for use in HVH2:No ��11206_R6 C CAC CC'L for Pella 411-H-950-02��f
� Rpproved tor use outslde HVHZ; Yes QWaI/ty Assurance Conl�act Explratlon Date
Impatt Reslstant:No ii0/03/2015
; Deslgn Pressure: +30/-30 IAsla/lalJon Instructlons
� Other:Conflguretlons of glass conform to latest ASTM E1300 PL11206 R6 II Drawln,�i572.2df
I standard. I�er/f/ed By: Warren W. Schaefer, P.E. 44135
Greated by Independent Th/rd Party: Yes
E�a/uallon Reports
�.1�206 R6 AE �rawlnp i572.vdf
reated b Inde endent Thlyd Pa : Yes
�11206.17 Serles 10/20 Sln /e Nun V n 1 S/n le Hun Tr! /e Com oslte 108"x 72"
i L!m/ts of Use CbrtfflcaHon Agency Certiffcate
� Approved for use in HVHI:No � Z06 R6 C �AC�1-H-1090.vdf
i Approved for use outslde HVHI: Yes �'L�i120{L,B6 C CAC 411-H-11�1.vdf
iimpac!Reslstant:No QNality Assuranca Contraet Explratlon Date
� Desfgn Pressure: +35/-35 0,3/31/2014
� Olher:Conf/gurations of g/ass conform to/atest ASTM Ei300 I stallatlon InslrucNons
standard. �11206 R�rvfn�t i572.v�f
erJfled By: Warren W. Schaefe�, P.E. 44135
reated by Independent Th/rd Party: Yes
i E aluallon Reports
! �11 6 R r /no 2572.odf
i reated 6 Inde endent Thlyd Pa : Yes
�11106.18 SeNes 10/20 S/n !e Hung r�yl 5/ngle Hung Tr/ple Composlte(i08"x 53.5')
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?pa:ram=wGEVXQwtDqs6 WGOndIUH... 2/27/2012
r ioriaa t�uiiaing Loae uniine rage � or �
�Lim/ts of Use C@rtiflcatlon Ayency Certlficate
jApproved for use Jn HVHZ:No FL11206 R6 C CAC 411-H-1098.ndf
Approved for use outside HVHZ: Yes Q�►ality Assurance Cont�ac!Explratlon Date
IImpacf Reslstant:No IQ/19/2013
DesJgn Pressure: +35/-35
i Idsfa/laHon Inst�ucHons
� Other:Configuratlons of glass conform to latest ASTM E1300 fLi1206 R6 11 D�a�lny 2572.qdf
i standard. Ve�lf/ed 8y, Wa�ren W. ;,chaefer, P.E. 44i35
i Qreated by lndependent Third Party: Yes
; EvaluaHon Reports
fL11206 R6 AE Orewlno 1572.vdf
Greated b Inde endent Thlyd Pa : Yes
i 11206.19 Ser/es 10/20 S/n /e Hun VI l Flxed Over S/n !e Kung Composlte(30"x 76"
;tlmlts of Use Cert/ficat/on Agency C�rtJflcale
I Approved for use/n HVHZ:No Fl,11206 R6 C CAC 411-H-1091.ndf
� Approved for use outslde HVHZ: Yes Q►�a/!ty Assurance Contract Exp/rat/on Dale
Impacf Reslstant:No il/10/2013
� Des/gn Pressure: +35/-35 insla/la!!on Insl�ucNona
; Other:ConfJgurations of gfass conform to/atesf ASTM E130� FL11206 R6 ll Orawlna 1572.Ddf
;standard. Verif/ed By: Warren W. 5chaefer, P.E. 44135
! Created by Independent Th/rd Party: Yes
" E�'a/uat/on Reports
i fL` 11206 R6 AE D�awlnQ 1572.odf
dreated b Inde endent Thlyd Pa : Yes
i 11206.20 Se�les 10/20 Sln le Hun VJ I Flxed Over S/n le Hun Com oslte 46"x 76"
�L/mlts of Use C rtli/csdon Agency Cert/flcsle
� Approved for use/n HVH2:No �'i.11206 R6 C CAC 411-H-1089.odf
Approved for use outs/de HVHZ: Yes Q}�al!!y Assurance ConMac�Expirellon Da�e
� Impaet Resfstant:No Ii1/11/2013
, Des/yn Pressure; +30/-30 Installatlon InstruCtlons
I Other:Conf/guret/ons of g/ass conform to/atest ASTM E1300 �1,,jQ,��,¢ II D�ary)�u i572 Ddf
�standard. IJ,erlfied 8 Warren W. 5chaefer,
� Y: P.E. 44135
� dreated by lndependen[Thlyd Party: Yes
i fvafusUon Reports
� f 11206 R6 AE Drawing 157�.vdi
� reated b inde endent Thlrrl Pa : Yes
http://www,floridabuilding.org/pr/pr_app_dtl.aspx?patam=wGEVXQwtDqs6 WGOndIUH... 2/27/2012
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Product Approval
USER:Pubdc User
PrGdMGCbQRCOYdI Mgn.w>PrgdV_SS_9CAPAliSdt9n SGdrth>ApRLl4all9_�._!�(SL> P!/w[fon De /
FL# i FL4904-RS
Application Type Revlsion
Code Version 20i0
Application Status Approv
*Ap ved by OCA.Approvals by DCA shall be reviewed and ratified by the POC
/or the Commission if necessary.
Comments
Archived
Product Manufacturer Masonite Inte�national
Address/Phone/Email i955 Powis Road
West Chicago, IL 60185
(615)441-4258
sschreiber@masonite.com
Authorized Signature Steve Schreiber
sschreibe�@masonite,com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Exterior poors
Subcategory Swinging Exterior poor Assemblies
ComplianCe Method Certification Mark or Listing
Certification Aqency Natlonal Accreditation&Management Institute,
Validated By Nationa!Accreditation&Management Institute,
Referenced Standard and Year(of Standard) Standard Year
TAS 201 l994
TAS 202 1994
TAS 203 yggq
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 10/IZ/2011
Date Validated 03/18/2012
Date Pending FBC Approval
Date Approved 03/26/2012
_-- _
ISummaryof Products ______________________--�___----. ---__.__.__-----�------------.-----.____.__._._..__._____---._�__._.__�
http://www.floridabuilding.org/pr/pr_app dtl.aspx?param=wGEVXQwtDqteluIwHNbblSc... 3/28/2012
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Mode/, Number or Name Descri lion
4904.1 Wood-edge Stee!Slde-Hinged Door 6'-8"Opaque I/S and O/S Single Door
I Unrts
j Llmlts Use Certlficat/on Agency CerH�cate
oved for use!n FL4904 RS C CAC N1006110 01 ndf
� Approved for us side HVHZ: es Qua/ity Assurance Contract Explratlon Date
� Impact Reslst t: es i2/31/2014
i Design Press re: +76.0/-76.0 Inslallaifon Inst�uctions
i Other:Evalu ed for use In loca ns adhe�ing to the Florrda fL4904 RS 11 fL0128 vdf
�Bulldlnq Code i ding ih Velocify Hurricane Zone, and VerlRed By; Natlona/Accredltation&Management Institute,
�where pressure requvements as determined by ASCE 7, Minimum Created by Independent Thlyd Party:
�Deslgn Loads for Bu1/dln5ls and Other Structures, does not exceed Eva/ualfon Reports
Ithe desfgn pressures listed. 3'-0"x 6'-8"max nominal s/ze. When fL4�04 RS AE 504A vdf
larqe missile�mpact reslstance is requi�ed, hurricane p�otective Created by Independent Thlyd Party: Yes �
i s stem is NOT re uired. See DWG-MA-FL0128-OS for details.
�49�4•Z Wood-edge Stee/Slde-Hinged Door 8'-0"Opaque 1/S and 0/S Single Door
Unlcs
�Llm/ts of Use
� Certifica!!on Agency Certfflcate
� Appr ved for use in NVHZ: Yes FL4904 RS C CAC N1006110 02 p�f
pp oved for use outsJde HVHZ: Yes Qua/ity Assurance Conlract Exp/ratfon Dale
� Impac!Resfslant: Yes 12/31/2014
i Deslgn Pressure: +70.0/-70.0 InstalJat/on Inst�uctions
Other:Evaluated for use In IocatJons adhe�ing to the Florida FL4904 RS II FL0129 odf
j Building Code Including the High Velocity Hurrlcane Zone, and Verifled By; Nat/ona/Accred/tation&Management Institute,
�where pressu�e requir•ements as determined by ASCE 7, Minimum Created by Independent Thi�d Party:
�Deslqn Loads for Buildings and Other St�uctures, does not exceed Eva/uaffon Reports
i the design pressures listed. 3'-0"x 8'-0"max nominal slze. When fL4904 RS AE 503A�df
;i la�qe misslle lmpacc reslstance is requl�ed, hurricane protective Created by Independent Thlyd Pa I
system!s NOT required. aee DWG-MA-FL0129-OS for detaJls. rtY: Yes
;4904 3 Wood-edge Stee!Slde-Hinged Door 6'-B"Opaque I/5 and O/S Door w/or w/o Sidelltes
Units
�Llmifs of Use
' Approved for use in HI/HZ: Yes Cert/flcatfon Agency CerNFcate
' Approved for use outslde HVHZ: Yes fL4904 R5 C ,�AC IV1006110:Q�1_pdf
� Impact Reslstanf: Yes Quallty Assurance Contrac[Explrat/on Date
� Design Pressure: +55.D/-55.0 12/31/2014
Installation Inslruc[ions
' Other:Evaluated for use in locations adhering to the Florida fL4904 RS II FL0128 ndf
;Sullding Code inc/uding the Hlgh Ve/ocity Hurricane Zone, and Verifled By: Nat/ona/Accreditation&Management Institute,
i where pressure�equlremc�nts as determined by ASCE 7, Minlmum Created by Independent Third Party:
'Desrgn Loads for Bulldings and Other St�uctures, does nof exceed Evaluatlon Reports
!the design pressures listed. 12'-0"x 6'-8"max nominal s/ze. When FL4904 R AE 50 A odf
�large misslle lmpact reslstance is requl�ed, hurricane protective Created by Independent Thl�d Party: Yes
;system is NOT required on opaque panels, buf is requlred on glazed
i panels. See DWG-MA-FL0128-OS fo�details.
!4904,4 Wood-edge Stee/Slde-Hinged Door 8'-0"Opaque I/5 Door w/or w/o 51delites
j Units
'L�im/ts of Use Certlficaflon Agency Cerflf/cate
; pproved for use in HVHZ: Yes fL4904 RS C CAC N1006110_02, df
� Approved for use outslde HVHZ: Yes -•P
Impact Reslstant: Yes Q�a�+�Y Assurance Contract Expiration Date
� Design Pressure: +45.U/-50.0 IZ/31/2014
Inslal/ation instruclions �
O[her. Evaluated for use In locations adhering to the Florrda FL4904 RS II FL0129 odf
�Buildrng Code induding the Hlgh Veloclty Hurrlcane Zone, and Verified By;Nationa/Accredrtation&Management Instrtute,
�where pressure requirements as determined by ASCE 7, Minimum Created by Independent Third Party:
;Design Loads for Buildings and Other Structures, does not exceed Eva/uallon Reports
j�the design pressures listeU. 12'-0"x 8'-0"max nominal slze. When FL4904 R5 AE 501A odf
large misslle impact resrst3nce is required, hurricane protective Created by Independent Th/rd Party: Yes
;system is NOT requlred on opaque panels, but is requrred on glazed
�panels. See DWG-MA-FLOI29-OS for details.
;4904.5 �1 Wood-edqe Stee!Side-Hinged Door 8'-0"Opaque O/S w/or w/o Sidelltes
J Units
L�lmfls of llse � Certification Agency CertJffcate
pp�oved for use/n HVHZ: Yes fL4904 RS C CAC N1006110 02�df
Approved for use outsfde HVHZ: Yes Qualrty Assurance Contrac!Ex /ralion Date
, Impact Resistan[: Yes 12/31/2014 p
' Design P�essure: +50.0/-45 0
Insta/latlon Insl�uctfons
� Other:Evaluated for use/n locafions adhering to the Florida FL4904 RS 1I FL0129.odf
;euilding Code includrng che�Hlgh Velocity Hu�ricane Zone, and Verified By:Nationa/Accredltat/on&Management Institute,
i where pressure requirements as determined by ASCE 7, Mlnimum C�eated by Independent Thi�d Party.•
i Design Loads fo�Bulldings and Other St�uctures, does not exceed Eva/uat/on Reports
�the design pressures listed, 12'-0"x 8'-0"max nominal size. When FL4904 RS AE SOIA df
�large missile impact reslstance Is required, hurricane protective Created by Independent Thi�d Party; Yes
;system is NOT requrred on opaque panels, but is required on g/azed
�panels. See DWG-MA-fL0129-OS fo�detaiJs.
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqteluIwHNbblSc.., 3/28/2012
riuriva r3uiiuiii� �,Ul1G Vi11111C , Q�� J �l �
i 4904.6 Wood-edge Stee/Side-Hinged Door 6'-8"G/azed 1/5 and O/5 Door w/or w/o S/de!ltes
� Units
i Limits of Use Certificaf/oh Agency CertffTcate
I Approved for use In HWH2: Yes FL4904 RS C CAC NI006�tn n3�
� Approved for use outsfde HVHZ: Yes Qualfty Assurance Contrac!Expfralion Date
i Impact Resistant:No 12/31/2014
" Design Pressure: +50..5/-50.5 Instal/allon Instructlons
i Olher:Evaluated for use�in locations adhering to the Florlda FL4904 RS II FL0130.Ddf
i Building Code including the High Velocity Hurrlcane Zone, and Verified By: Nationa/Accreditation&Management Institute,
I�where pressure requirements as derermined by ASCE 7, Minlmum Created by lndependent Third Party:
Design Loads for Buildings and Other Structures, does not exceed Eva/uatlon Reporfs
�the design pressures llsted. 12'-0"x 6'-8"max nominal slze. When FL4904 R5 AE 502A odf
i large misslle impact resisfance fs�equi�ed, hurrlcane protective Creafed by Independenf Thlyd Party: Yes
;system Is required. See DWG-MA-FL0130-OS for details.
�4904.7 Wood-edge Stee/S/de-Hinged Door 8'-0"G/azed 1/S Door w/or w/o Sidelltes
i
Units
;Limits of Use Certification Agency Certificate
; Approved for use in HVHZ: Yes F44�Q4_(2� C �l� IV�QQ¢��Q,Q4..Q�f
Approved for use outslde HVHZ: Yes Quallty Assurance Contract Expirafion Date
; Impac[Res/stant:No 12/31/2014
; Design Pressure: +40.0/-45.0 Installation Instruclfons
; Olher:Evaluated for use In locations adhering to the Florida FL4904 RS II�L0131 odf
�Building Code including the Nigh Velocity HurNcane Zone, and Verifled By:Nat/ona/Acc�ed/tat/on&Management Institute,
!where pressure requlrements as determined by ASCE 7, Minlmum Created by Independent Th1rd Party:
;Design Loads fo�Buildinga�and Othe�St�uctures, does not exceed Evaluatlon Reports
��the design p�essures lrsted. 12'-0"x 8'-0"max nomina/size. When FL4904 RS AE 501A p�if
large missJle impact resistance Is requi�ed, hurricane p�otective Created by Independent ThJrd Party; Yes
isystem rs required. See DWG-MA-FL0131-OS for details.
�4904.8 Wood-edge Stee/S/de-Hinged Door 8'-0"G/azed O/S Door w/or w/o S/delites
; Units
�Limits of Use � Certificatlon Agency Certif/tate
; Approved for use!n HVHZ: Yes fL4�4 RS
�.CAC NI006110.04. f
; Approved for use oulside HVH2: Yes Qualify Assurance Contract Expl�[ion Date
i Impac!Resistanf:No 12/31/2014
� Deslgn Pressure: +45.U/-40.0 Instalfat/on InstruCtions
� Other:Evaluated for use in locations adhering to the Florida FL4�4 RS 11 FL0131 Odf
!Building Code including the High Velocity Hu��icane Zone, and Ve�ified By: Nationa/Accreditation&Management Institute,
i where pressure requi�eme�nts as dete�mined by ASCE 7, Mlnlmum Created by Independent Third Party•
'Deslgn Loads for 8u1/dings and Other Structures, does not exceed Eva/uat/on Reports
i the design p�essures/isteci. i2'-0"x 8'-0"max nom/na/slze. When F,�g,�Q4 R�AE �q1A_pdf
i large missl/e impact resistance Is requl�ed, hurrJcane protective Created by Independent Th/rd Party: Yes
s stem is re ulred. See DWG-MA-FL0131-OS for deta!ls.
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PRULA 5 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
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�:�:)�di3ER�1��:11 h�reby gives notice fhat�n�i.��roveme��s vailI be r�ade�o real property,and in accordance with Section 71.3.13 of
:�.u_�xida Statutss,Yl�e fallowiag informatioa� is provid�d in ki�is NOTICE OF COMMENCEMENT.
��s�ription af propez^�y e al d crf�tia�):���"�Q cXi�C�.�il1 f 7 7 S �' [�1� � ��t r � �f� N�S 3�
::; 5�eet(�o�}Ad'slress:�35 �3� ._o��t�.` ���5�o �'y ��
venerai description of' prove er�ts:_
;wner Information
�}Name an�addrass:_�� - / l�S �G �5��.2-
T9 'I"��p'-�-
3) Name and add�ess of fe�simple ti�ehoider�if�iher tti _o�er) �,¢..�
:)In:erest i�:presperty Ownea°
�ontractor Inforanation
ij Name and address: I.owes Hoa�e Cente�s, inc. r.v.r�ox 731993 Orlando.FL 32878
��Telephone No: l�vv 7- Sc,����C3� Fax Nfl: �
Surety informagion
3)Name and address: ?�'�
�}A,mount of Bond: t�A
�;'�elephone�To:,Nr�
�ender '
})3�Tsme and arldress: NA
;1 T�tephone Na: 1�tA Fax No: �A
i�e�zity of pers�n within the State of Florida designatad by owner upon whom n�otices o�r other documents may be served
er�ame and.a�dress 1`1A
a?Telephone 1�To: 1`IA Fax No. NA
��a addition to himself,own�r designates ihe follcwing person to receive a copy of t1�e Lisnbr's Notice as provided iri SeCtioit 713.13(T)(b),
�ricia Statutes; �
:i?Vame and address: 1vA.
�)'Telephone No. NA F�No. Y�A
�xpiration date of Netice of Cominencement(the expiration d�te�s o�e year fxott�the date of�recording unless a differ�t�f dat�is
:�ified):
sRNYNG TO O�VNER:ANY PAYMTiv'�'S�IAI)E B5I'��i�OW1�R AF�'ER TI�E EXPIRA�'IONOF 7CHfS N�T'ICE OF'
1MA�LN�EME1vT'ARE CONSIIDERIED IIYIPROPE�i PAYIeI�t+iT�iJ1�IDEIt Ci3�#P.TER 713,PAR'I`1;SECTI(1N 713.I3.�'LORIDA
�3 UTES CA�F RESULT IN YOUR�elY7.�IG TWI�£�OY2 IMP120�E�✓tENTS T�YOUR PROPE�ZTI'..�NOTICE OF CUII�'MEN�MENT
i�T B�REC�RDED ANID PO�'i'�ID ON T�.T�BSI'I'E BEF��T�E�'Ik2ST INSPECTION.IF YOU INTEND'FO OBTAA�f�FINAAiCiNGy,
�S�JJi,T YOiJit�.EIdDEid�?�A��i�7"�'0�2N��'�E��I�E C��.����1G�§3'O�C OR ItECORDING YOUR NOTICE OF
I�IMENC�11��?��'a
e of Florida
�, ~ , �,,4r,� (Z�"""
s��y ef G��C_L' ^ ,o. ������uuna��Ri
Sigr.atusa ef Ov/r,.er or Owner' Au?6oriud Officg\r�/D—irte,ctodpaztner/ManB$a � J'N ,//���i
4._.\�c�� � ,.t C..\��Q,/-, , ... � f�
Pri„'lvasne . � �V,18�?�'•�9 �i
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f�rego€ng i�tFUme?�t+tras kt�o �e ed before?�,°;has day of ;�/�O.t"��-�1 .20 ��,by t.(�;�Yi1t� �Ci:��7k': ►�.� :7�`
�-A�"":�� ���� (tvpe oa'au;hori*y,e.a.officer,tcusfee,attomey in fact
�_�'�W��'`� � :�#EE862232
�—-- 1 (name of pa,-ty on behatf af whom instru was cut 1 �, �' Q`�
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_�?�?3y�no�,m OA Prodviced Identi��cation Notar}Signature �--�• " 'r %���i,'A�.,����c�-`���
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�es:i�a pussuant to SecYion 92.525,Florida Statutes.Under�er,alt±es o£perjury,I dec:�e that i hava read the foregoiag ec►d that the facts stated'in it aze tiue to:ttte best of
;rs�iedge and belie€
�:�i�#! _ , �°
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PAULA S O'N�i , L R E� CONif�TF;i�LLER
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