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HomeMy WebLinkAbout13-14001 � ` CITY OF ZEPHYRHILLS 5335-8TH STREET �si3��so-oo20 4001 BUILDING PERMIT V 5 °LA'.' ti .a7`�^�a �}� ��d 1 ,'r, ,�kr,�f�-u- �__�; .,4?' � _-�} �., Permit Number: 14001 Address: 6712 NORTH LAKE DR 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: SILVER OAKS Est. Value: Parcel Number: 03-26-21-0150-00000-0170 Improv. Cost: 4,253.61 b;�:<'% ���=1��;��;��-� ��.�;a Date Issued: 3/27/2013 Name: LAFLEHE LARRY& CAROL Total Fees: 90.00 Address: 6712 NORTH LAKE DR Amount Paid: 90.00 ZEPHYRHILLS, FL 33542 Date Paid: 3/27/2013 Phone: 989-255-0166 Work Desc: REPLACE 7 WINDOWS SIZE/SIZE (5 OPENINGS) '.r�';�f:3 .,.i ( I� ,nP 1,. �k �$�..N -'��'i i1d�P'i,:7 k'�. L.. '�, ' ra 'w rd.� .'i.:?!,ti3l i��� �" 'i .�x.� i, r,'.{' '�''a'� �� . �� r- � /\� � , ! ! l s ,�: ;� I IL 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 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 wmmencement 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 Acxompany Application.All work shall be performed in acxordance with , Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER .:�r',r � F+ -- ---�- ---.�.�"—�'_ "__�..���� . .-..�.�.. •v-avvr.n�va'aa..L� Vi' ' .a"!'_���������'�°, . ..�.i�_`1C::�G �-_ :-'�i Z��L��; � ���_ � I{�. � � Signature of Owr.e w O�wnery�' Au • '- �-✓ , F�. •� �:. � 1tiN1/!///���. Pri;,t Nama �,,���/ii -��1 , ����� '��1 G *�� � =i?YB�Gt??�i^Sk?'J?518I1��735 QiYi d ed befara m.°.�?25�t�`dy 0� r Y\�L� .ZQ '��j � A�� �1,� _ i��� ����'��••��� 'i '1'�L�{Y'�ul i ����� r �-?�s�-+ y�1��� .l. ! . {lype o.authoriry,e.g,o£ficer,tnasYee,attonuy in fact) � , � _ �•>+ •�— {nane af paety on behaif of whc�n ins e as e cu =�: ��� ;*_ " � - .: ���� . .-_��:;�:�.�;c�: OR�:o�uceci?de�i:i c�tt?on �C Notar�Signa�ure �-'" ��' �`��'� � ,,� �;,��!! �. � ,_�4enti:;���;cr=roduc:c'1 .L��-� Ma,rtle{t�riilf) ����ti1Lt✓- !�-tr ��� STA'�� ,p����` _'��"" ��/I/��1Ip11fIl����,� ..;.�a::�n�,�-s:�ar.:t�Sect€o�9i.525,�1QYida.S#arates.�inder�er�s�ties of perjzy,I ciecf�e aitat I hay�re�d tlte frnegoing ati►cf that the facts stsfed in it are tnie ta:the best of b'V a.n.i.'_"�i i�°rf _^,'4r:CQ w s_ R � �� � \ %� _ �'�. /"I 1.•� - - i ii�iii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii 2013044881 Rcpt:1503726 Ree: 10.00 ��'������ ��`���I�I�����'�z° D5: 0.00 IT: 0.00 -- 03/12/13 S. Shultz, Dpty Clerk --'i�.i.lYV, ,. --�f=���. c� -��, y�/.� —nnD 06 --p/�a =-��:�;��.��������ere�y gi���n��ice���.;�re:;r�pro�em��:s r�ill be made:o,�a�properiy,and in accordance with Sectian 713.13 of ..__�,:��a 5��3�es,;:se�o1�a;�i�g u-?€�rr.at:�v :s YE�vi�ird���his N�TICE�F COcti�iENCENiENT. __ _:_c���;s_��?��F�r�pr��;z=� ����c�'�������;:_ c�/(/'i`+C../QJGC�o, I � � 7��� ��4/'9�3 ._ v�°e��;��;�a�rbss: � �' '//) '�°v�'PiT"S�_:t�,�.���w/i�c�} Q�� ��aitlL��tg.iS:L$. � / / � ^ n �l..Jt, .. 'axdi'.�'�i�!'_L$i1�5: � /`/�1 _\`',�'0.i?�!'v°G',fi�y�'G�Gi�'9G.rf�u' �� t..lJLL _T,a�C /✓/ . .�/���i'�✓1/l�l�J��/`�+ �. �' id�n?�?��ad�r�ss �f�e�s= ���Etie� ci�:(ii�zhe tha�o�nmer) �- 3,3��-- _; :�;_be-v�3 L��r_��$�;� ���e� . ���!��?���r���c����_:u� �;::'��=�v�.����ares°s: ��o=:�es?�Gcs�e Csn�e�� 3nc. P_U�.��x 7�i��3 C3rland�.RL 32878 �; �'8d���?OsiB�T•L: ��"3°, �'°4�.G..."P°SS s����27t�lfl. �i r ��a=ety�f�rm��ion . �.`•:a�s^-3T3e a���L3C�F`853: �A PRULR S 0'NEIL,Ph D Pp5C0 CLERK & COMPTROLLER �i�o�='?�3f�on�': 1�V'A 03/12/13 03:26 m 1 of 1 /� v;3�fe�hm�e�o:_l�� OR BK ���1 P� 1�'T� ���c�er �;�istne as~�d adcir�ss: IV� °�? Teiephon�t�io: . I�IA Fax No: AtA ' � � _ >��ntfty bf persan vrithin the State of Floric�a designat�d hy owner upon U+hotri nAtiees ar other iiocuments may.be served , �iar:�e�r�.aadxess NA � ' ' �; �sle�?�o�s 3�'�•_I�� ra�l�to. 1�IA - i�a�ciciiiicn ts�hzmself, �wner designates�e follo�ix�g perso�to re�eive a eopy of the L,ien�r's�tice�s.provided iri Sectiou?1�,:13(7,)([ij; �r?�a�#atuies; � �;�4 a�-r�e an�I acisiress: I�� ���'`"rl���or,�No. 1�1r� _Fax No. ' �V'� , ' . �,x�iratiar,sa.'xe of�Tb�a�e of Commenceme�t(th��x���°atio�d����m�e year fxom the.date of�r��rding unl�ss.a i�ifferent-d�ate:is -y�.��a��): �,�Ilei�'�'{;t)'�T�i�13c AAd�'�'�'�t?�j1�1'�`���������t��1I�12 AF�E�B`%'�E E�LPIRATION 03?'�HIS Nb'IZGE'OF � ����TC�t��3�'�RE C01�1����D�P�tt3�c'��PAl'1�IE1�T'�`3 U1�EIt CHt�'I'ER 713,PAR'�2�SEGT�dN 713.�3:�FLQILjDA '- '=-=`¢I�'���������`�5'f)d����Y��'I'�,�/i���'�R ild�Id�V�t�NTS'I'O 3�(�IT�2.�ROPERfiY:_t��I5T01ZCE O�''�OhIlKEN�Ni�NT': =�'�����C��2AE��1�:�3 PS➢�?'����t'I'�E.����IT�BE�'��3�I2,��y�,e1'H�s��'ItR�T IN�FECTIC3N:II�'I'OU TNTEND'��pBTAII�TLNI�CINCs;` •°l�:J:)'�?��11��.r����a���?�f�.��'��.��`������u��lv110'3�Sr�.C.�aa�WOR�::OR RECORDIN�G��'�UR�NOTiG'�OF � i:%;.��?:��..'�i'�i��;�. 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Signat�rs of Owr.le oc OQwa�.et4}' Au o' ��� �B�' 1.--,� 1 /� o��T'{/j���L:. 1111111H/��� Pri;,tNama • n � fy,9���i��� ' ```�-�� .� i -�--> ` ��9 • °��rtigo:�a:�:����ent was oivi dged bef�re ra�e this day cf ��1 L� 2��,by__ I A 1��u'Vl 1C1� ;;�a�� y���8�?p �•. � _ 'Y�L�c'fvl� U l!���C of suthoriry,e.g.o�cer,tnuYee,aiton�ey in fa�t) ' ;` 'Z' �� ; � -- '�� (�`P- .�� �''� (nsr;a�af party oh Eehalf of whc�tns e as e cu ='�: ��� : _-:�!:,��.�e:s:; OR�_o�uced Ide�tificsition ���� � �-- � .�#EE852�32�; .�` �C NotarS Sig�ature �� �a . ir,� �� •'�:rs�d�;, -c�F```. � ,:i�er._:;�2_;cr�:r�duc;� .L�L— Mame(�ri7t) l�l:�I�ti1Gi� �� �1�V��-� ������,$�A������` --��—. i���i�nnu������ �;'.MaK:aa��+-suar!:t�5rciion 9i.525,�'loPida J#ar32es.Under�er��I:ies of�erjt;y,I c#ecta�e�:at I ha read the foregoing and that the facts ststed id ii are tnie fo:the best of _ _,.��eci�°an�.�.=vf. bb' �J .-.f.' 4� �� ,�=�. � � �;�g?�?��c€1�'a�sc�s�ers e€Si�ia�g Cin Iine 10)Alsove. ,��o��►s� o . . .� -a�� 'i.�st ,� STATE QF FLQRlpA, CQUt�"��t��'�AS�b �_--�. TFi��"a �`a 7Q�CF't I�+`"Y 7t�1.AT !�'1� t°4F��C','�pl�lC'a�J fa � . �; ` � � TRU�AN� C�R��Gl'i;G�Y Q�T�I� C)GCUMENT � • " ' ,,,,r,,E'"` • ON FILE ':',;;J� r�l.i���u j��Ct�f�G iN T;-1iS 4FFiCE � ;"`�3�^ . fA WITNES° �Y�-��a�Ji.t 1�,;vU FIC1�1!_S�:AL THIS �. 1 � �. y hY�f� � � ��• � �.Z` PAULA S Q'NEItf,�CLERK&C�M TRC3LLER �`��, • ' �Q,C` -�/,����G�'�1� ,- ,;�"1d�%'� �Y' .___ ��-_:!.i.Y �L�RK �� i_ �% � ' �r City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �d�r1��°S 7`����° � 2��i� Date Received: ..J " � �'�3 Site: lU ��Z ��I'�-� /a /'(�' �Y Permit Type: � C.G�/}'Y'�C�S' S ! � S� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. � � �y-�3 Kal n Sw er ans Examiner Date Contractor and/or Homeowner (Required when comments are present) aio-rov-vvcv v�ty �i c.cNiipiinna i a��ii�ar-�NNnw.�..�� Building Department /�'f GN�G H Date Rocalved �'�,j' ��J Phone Cot�tacti.or PertniWn �3 2(�R " �`� �°s Owner's Name �-ARft � t � ' Owner Phone Number ��g-�5S' � � �'�O Owners Address N Owner Phone Number Fee 8imple Tkleholdsr Nams Ownar Phons Numbsr �- Fee Slmple Tftleholde�Address JOB AQDRE3S �l "� oz L���- �� 2eP/+.cv�►;�l s �c 3�S Y 2.. LOT# �1 SUBD ,N.ISION S S rc+1e►J �$`� PARCEL ID�! C�`3-�iL�- - �OOC� - � " � 1 � S�`�2 0�ks (OBTAINED FROM PROPERTY TAX NOTIGE) WORlC:PRt�O$fD B NEW CONSTR 8 ADD/ALT Q SIGN [� C] DEMOUSH INSTALL f7EPAIR PROROS�ED.USE Q SFR � COMM Q OTHER TYPE OF CONSTRUCTaON Q BLOCK Q FRAME L� STEEL Q DESCRIPTION OF WORK �A �I W i:d G�.J �zv S S�'Lt S��2e T'�i Z.S i r BUILDIN(i 81ZE S61 FOOTA�iE�� HEI�3HT FL �,J'�7 ;� . BUILDING S L �-°���u .�� • b VALUATION OF TOTAL CONSTRUCTION �"'°' [�]ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBINO S � I���1 QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � O(;qg Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �. A-�e.t� �'l' BUILDER COM�NY L o�S Norot Gea��2s , �!L SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N Address � �Olt O ��J ��A�te,�v ��-�7g' License# ��o�. � .sO O�� � ELECTRICWN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# I � PLUMBER COMPANY 310NA7URE REf31STERED Y/ N FEE CURRE� Y/N Addross License# I MECHANICAL COMPANY SIONATURE REGISTERED Y/ N FEE CURRE� Y/N Address Ucense# � OTHER COMPANY SIONA7URE RE(iISTERED Y/ N FEE CURRE� Y/N Address License# � RESID�NTIAL Attach(2)Plot Plans;(2)seta of Building Plans;(1)aet of Energy Forms;R-O-W Permit for new constructlon, Minimum ten(10)working dayx after submittal date. Requlred onsite,Constructlon Plans,Stormwater Plans w/Siit Fence installed, Sanitary Fadlltles 81 dumpsiar;8ite Work Pe�r�.:t�or aubdivlsicrosllarge�roJocts COMMERCIAL Attach(3)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcKfon. Minfmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary FadllUes�1 dumpster.Site Work Permit for all new proJects.All commerdai requirements must meet compliance 31(3N PERMIT Attach(2)sets of Engineered Plans. "•""PROPERTY SURVEY required for all NEW constructlon. Directions: Ftll out appifcadon completely. Owner&Contractor stgn back of applicatlon,notarized H ovsr�500,a Notics o1 Commencement Is roquired. (A/C upgrades over s7500) '• Agerrt(for the contractor)or Power of Attomey(for the ov►mer)would be someone with notarfzed letter from owner authorizing same OVER THE COUNTER PERMITTINl3 (Front of Applicadon Only) Reroofs if shingles Sewers Serv(ce Upgrades A/C Fences(Plot/Survey/Footage) D�Iveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be sub)ect to"deed"restrictians" whi�h rr�ay be more r�strietive than County regulations. The undersigned assumes responsibiliry for compliance with any app�iaable deed resMctions. UNLIGEN�JrED CANT'RA�TORS AND COW'�RACTOR RESPONSIBILITIES: If the owner has hired a cqntractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regul�tions. If the con�actor is not Iicensed as required by law, both the owner and contractor may be cited for a misdemeanor viotation 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 portfons 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. TRI�1►f3PfiRTATtON IMPACT/UTILITIES IMPACT AND RE�OURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may�pply to the construction of new buildings, chan e of use in existing buildin�s, or expansion of existing buildings, as specffied in Pasco County Ordinance number 89-0�an� 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transpo�tatfon Impact Fees and Resource Recovery Fees must be paid pritir to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final pow+er rel�ase, the fees must be paid prior to permit-issuance. Furthermore, if Pasco County Water/Sewer Impact fees �re due,_they must be pald prior to permit fssuance in aecvrdance with applicable Pasco County ordinances. CO�ISTRUCTION"LIEN L�'►W(Chapter 713, Florida 8tatut�s, as amended): If valuatfon 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—Homeowr�er's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I eertify that i have obtained a copy of the above described document and promise in good faitk�.to deliver it to the"owner"prior to commencement. CONTRACTOR'SIOWNER'3 AFFIDAVIT: I certify that all the information in this application is accurate and that aIF work will be done in compliance with all appiicable laws regulating construction, zoning and land devetopment. Appfication is hereby made to obtain a permit to do work and installation as (ndicated. 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 also certify that I understand that the regulations of other government agencies may apply to the intended work, and thart it is my responsibility to identffy what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Ba�heads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management Dist�Iet-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis, Docks, Navigabie Waterways. - Depa�ment vf Health 8� Rehabfiit�tive Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federai Aviation Authority-Runways. I understand tMat tF�e following restrictions apply to the use of fiil: Use of flll 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 drainagQ 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 cons�ruction, I c�rtify that fill will be used only to flll the area with(n the stem wall. If flli material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of flll is found to adversely affiect adJace�t properties, the owner may be cited for viola#�ng, the conditiuns of the building permit issued under tMe attached permit appiication> for lots less than one (1) acre whfch are elevated by fill, an engineered drainage plan is required. If i ar�the A(3EMT FOR TF�E �WNER, I promise in good faith to (nform�the owner of the permitting conditians set forth in this afFidavit prior ta commencing construction. I understand that a separate permit may be requireci for electrical work, plumbing, signs, wells, poots, air conditionir�g, gas, or other fnstallations not specifically included in the appiicaEfon: R permit issued shall be constr�ed to be a license to proceed with the work and not as authority to.ulolate, cancel, alt'�r, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buildirig Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit lssued�shall become fnvatid unl�ss the work authorized by such permit is commenced vvithin six months of permft 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 extenslon may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate just�iabie cause for the extension. If work ceases for ninety(90)consecutive days, th�job is considered abandoned. WARblWG TD OWNER: Y�UR FAILURE TO RECORD A NOTICE OF COMM�M�EM�NT MAY RESULT IM, Y�iCIR PAYfNG TVNICE FOR IMPROVEMENTS TO YOUf�PROPER't'Y. IF YOU Ih1TE1�D TO OBTktN-FINANGIN�, CONSULT � . - N QRNE F R �RQ G 'Y " Ti FLORt�A JURAT(F.S.117.03) OVYNER OR AGENT CONTRACTOR Subsaibed and swom M(or a(flrmed)before me this Subscrlbed and swom to(or affirmed)before me this ky by Who islare personally known to me or haslhave produced Who s/are personally known to me or hasTha�ve p�%�du�d as idenUficatlon. Notary Pubiic Notary Pubiic Commission No. Commisslon No. ed, rinted or stamped Name of Notary typed,Printed or stamped Name of Notary typ P � �., ,., . ... _ . . „ _ ,. , . _ , , ,� .._ ` f,ipl'p'2A0181,�2017.RR Dorutetley,AN tk3ht:rc�vW.=`�^� � •• - -..� ..... ., ...�---—-'-.___ ._ .-_.,�r.�.,...--_... ..��. . . .._...._-......_. .. .....��_...,�.-,--_..-«....__. ...�—. . ..-.. . • _ � „ .�;•, :�•,.�,.. ��j. i Y.. -x �+;e� �' „ix^r .�Ap�. +' "�'- .c.,�. �° �py�F'r�'r� :rr'.."',�.,�;_�,3�i:,,�g 5�.-":r, , _ .f." � :f^.5 yn'.�; . �'�'' i K �,�, (`�. ,�:�: 5��. :`•�,.:' .�, a� . . . � �° i}A. '.:�.i '�;b���,^� � � 5'. {�",�kr �.�p+' "g x�t' ,�fi' �.r ti•' �•' �` . �• �y� 'F.:':• i-� � ' � ,•��� �7�',.S.�f. ;'h�-.. • ~� R•d!•'�'�. r �!�1 �Y�: � • ••• ' — T •y 'N r� '� �,�+_� . M`' . �f �i i:'I�.���: • ' y�ti r - ;-,'w. '��^' - I �; r_..a�;r•,rt.,_�,.`��.�:;.,x'�•.-� CQNT{�ACT# �������.,_ � y oK 'r.i ., f'+ _ • '�' ;;. . -•'." r ' �-Y,�+=� . . , ,;��: :�.,. , a.• ,, ;;ei�� • y,"s :!-+%:p' '� , • , . �,' �`. :.' ..`i 'l ' �.•°' t�' . :7C '�.' • . 'f"� ��� �.a�::. . .� ' • " ' C �C��„/�1�_���� '� -��{�u1� �'. � ..r;t, .�:� . '��A��ie�Vf�t:�i�I4�.��. ..a i..�y,... I. ,�'A , •.c.;����f..:•,y:: � ..ti�C ,1F.�_• ., 1. y /._ 1... '•:�Lf�•v .�5.. ;; ,;•. �,_ �'-• � r (�iNRTAI LFD C,nI.C�£,CPCCIALISI �, ` --� NUMRFR: •k�'�;'" ;�! CL�ISTOMEF2 `� � I __ � , -, .: � � �<�.•, ,..> � �_� �-,1 °�� ;�r: �..�rrr �..s� �G, Q.�.... —J" ��,� STORE NO. � £TR�F',E'T/�L1UkE5$.� . -„ �P...�;e'.i�=• STRE�T Ai�l.� E�� ' •',. �_ ' / . r- '� � :��_ l��?� �t;�� �� .,`� ���2 �tJv�,.�, .�„a' . �� ...�.� . . - .�:, c:irr !� �r� ; �� cr�j l �.� „.. , ' ' .. .:.- � ' ''^!,�.er',.`s';� � J'��� �''�''`" L..Q .._—�--�,•—�C..— — .._��S'„/�•... tr:, •� � ;�_.-_._ .._ _ u.�. " '" i;! e' .. ._ . ' TFI FPI I(�DIC ,r .` TELEF'HUNF. `",� r ` f ' �'°' ' �%;`��k.,J �� '.;�}'/� , �g`� ' ��a U1��. .� �::.- , __ . _�'; `=••. _ . ��+a . � • . , ._ D LOWC."',CUN'IFtAC'I'C)k 1 IC.EN3G NUMBER ';�• �`, CA`������~'�++�� :.. u%a% :' REO ';r-^�. 1 �:�:-��^��}r� �_. _. ,�' :!'':� ti. ,'.�-���. Cw�rtc:e 'r��;='s �,� , ' �;�. ', .� _. . . . •;" .' -. ..y�•" . " .• ^. 'r G 1. 't .`�'�, �.�t• �_�o�t�+t• �!". •}. yw�' +µj.', � � yF. 1iw rtc. ut#vicee .+lp. ,�f�sY?1��-. ..���...�P�,;��hElr.;. Tn18 IB OrIN 8 7UOle tOf Mt@�+�i'wnd' aifH� Dh�dtl ' '. �.. .,�y ; ?' .s`,:• . tlocun .ttwTem,s:u�d� �ionifLxlefb9 dqE�rt�raltd ,� y^ �°,+•i:. . ^ ; wa4. t'�� 1�� �.�: i�l.�l15f'R��3•0.i.I,T;ERNIS�ND'��s� �:a''y ,.�Y�`. •.:'r .i,�:x�� .•.',: o••. a""v''' �•.h.'.iy"r, nIF R�lt� ., '>�»>r. ;si :•. •,::..•?�' ,•�:� � , • - •� . . ��- IN;TALLATION 9TitEET ADRE9�3 } `�^ ,�y ` y CITY STA� z _ .• •:, •'. �. ; -' _ _ • _ .... _. .• .'. ..• , . -7 �(7�� � �._...•: ��_-__ ... . --•� � ..... ... "',:•'•—�r---• •`�nr''-;,-.¢-,'�—'' . :..": _ IP ..� �.._�'��,: ~,;�_}l. % t.�,,;�c.�1a.,.5 .1 ..�,,.v,� �'t��!�v.�.9...�.'!� ��� _. �� �� .;�,�;c�, �.���,� 1 t,-,,�r;�c S , � ,�2 � oy� .� �,S ..���.,C k.,1+ .��.. �' ,'�i� � ._ �';-�f-.:>� c.��' r�, �h� _.��r Ss �a� _ ��.,t�. �n..4 ��'�4c v ...�.�.h p...���-, _.._._r' 1:7 •��'•r�;a ; 1_���.,.� rt � - 1i.'.ai f- • _ . ... ._ � . _._ . � � � � Contract Total j J���` / j appticable taxes inc(uded `�J 'b ( I ..,.......�_ ___. ...._ --... . _ NOTICE TO CUSTOMER: Federal law requires Lowa's to provide •you with the�pampt�let Renovate Right. By si�ning this Coatract, Cuatomer acknowledges having reeeived a copy of this painpltlet ha�lore worlc Ds�an informiqg Cuatomer of�he potential risk of the lead haza�+d•exp4sure from renovation activit�r to be performed in Customer's dwelling unit � ' ' PI10T0 RELEASE:Cu�tomer grants to Lrn�'s and Lawc's empfoyees the�righi to take photog[�ephs of all worlc qertormod at the Premises�lated to this (;rantr�c:t,;,nd irrevr,cably grants to Lowe's afl right,tiHe and intarsst in and•to the photoyr8phs for uso in all.maJicets and me.r3la,woridwide,in perpetuity C:�.istomer authnri�.es t.ow�'s ln copyright, use and pubtish the.phqtngraphs in print and/or efectronlcally, and agrees ihat LUwe's may use such p!iotographs for any lawful purpose, inclu�fir ot limited to,marketing, edvertlsing; publicity, itlustralion, training and Web r,flrrtent, By init+aling hc,ru,Cirstomcr agrees to the foregoing,---I��ublamer to initial to the l�eft]. , . Work is to commy�ce upon reasonable availability of Contractor and/or any'�pacial ord�or cy�atomsr de Good(s)whieh is antiaipatad to be f, ��:-_.;�_ �,� C�G',�_[fille in date].Estimated cempletion dato Is•G.,�F,in. b fV�o��,�, Iflll In date]. Said uslirrialod sub�t�aiGal cx�rt�plotion dato is not of the essence. A statement�f ariy conttngsncies that would materia�ly r.hartgs said esdmated substantiel i complctlun dala Is as follows:� ___ � � • ' _. (If applicable,9nsert a statmenl ot su<:ti ccmungoncics). 7tiis Contract provides tfiat al{tlaims by Cus4omar or LoWO's will be resoNed by BINDING AI281TRAT10N.Custome�and Lowe'S G�1/H UP THE RIGFiT TO GO TO COURT to onforoe this Contract(EXCEPT for mattcrs that may be taken to SMALL CLAIMS'CU�RTJ.t.owe's.and Customer's rights wIIF be detcrmined by a NEUTRAL ARBITRATOR and NOT a judge or Jury. Lowe's and Custcmar are er�tlt!'ed to 's FAIR H�ARING. Sut the arbkrdt{on procedures are SIMPF.ER AND MOR�LIMITED THAN RULES APPLICABLE IN COURT.Arbitra'eor decf'sTons aro as enforceabEe as any'court ord'e�and are subjeot to VERY kIMIT�P R�VIEW BY q COURT. FOR Mbl��D�7A1LS:Ravlevk the soction titled AR8ITRATION pGR��MENT,WAIVER OF JURY TRIAL AND W�AIVER OF CLASS ACTION ADJUDkCATION fo�nd.i�t�F►y,T�t,m.6 And Con�ltl�,pf;t�ls Contr$ct.,, , , �C/� �� 0 0 � � � �T- � � .�� � d � o � � C' � � � �� � — �-,� �, � � � � � . ' �� � � S'"1-o 2G�.. � �i�`-1 �r� i ► ��7°� r L 1 Z-g ► � �� �� q� Florida Building Code Onl3ne . Page 1 of 2 Product Approval USER:Publlc User � PCC7dULIA00!Gvdl M�n.V>P!OCI[G�..O(ARR(�GA.CIQn.SCdrGh>ADRIlG@C�.OR I�SC> PP/!wt! Deta!/ FL# FL12811-R1 Application Type Revision Code Version 2010 Application Status Approved ,�� _ Comments ' Archived Product Manufacturer Pella Corporation � Address/Phone/Email 102 Main St. Pella,IA 50219 (641)621-6096 pellaproductapprova!@pelfa.com �i� �;if,1, . , ��'��:�,��1j �•l ','�='-;I.a.? ( '-,�r711.-�t r Authorized Signature TROY FARR (�y���, 1�'�' ' %T!J � ; , ,-,, �"T;_� �i) `1 tbfarr@Pella.com � fL. . ,`;'^;'�, _1 r ` �i`').� 1`i'ir P r,:j, ,f 7.,_ �' ,. � ,� - + _ 3� _ /� `'- , ii�f (_di+.i: ' � ?� ' 9 '.'r,�,,_ ,�,�_� TechnlcalRepresentaNve Joseph Hayden "`�--J tiJi,:�i� � ,�,_��,-`;� Address/Phone/Email 102 Main Street "4 Pella, IA 50219 (641)621-6096 (�E���� jahayden@pella.com �� („j�.;��`. Quality Assurance Representative All Zarghaml p '������`�'�'�F',t���`�� // � Address/Phone/Email 102 Main St N`S�°�����;� � -� ij Pella, !A 50219 ( (641)621-1000 - zargham/a@pella,com Category Windows Subcategory Horizonta/Sllder Compliance Method Evaluat/on Report from a Florida Registe�ed Arch/tect or a Licensed F/orida ProfessJona/Englneer `� Evaluatlon Report-Hardcopy Received F/orida Englneer or Architect Name who developed the Warren W. Schaefer,P.E. Evaluation Report Florida License PE-44135 Quality Assu2nce Entity Architectura/Testing, Inc. Quality Assurance Contract Expiration�ate 12/31/2014 Validated By Terrence E. Lunn, PE -� Validation Checklist-Hardcopy Received Certificate of Independence FL12811 R1 COI certiflcat/on of indeoendence ndf Referenced Standard and Year(of Standard) S n a Y�� AAMA i01/LS.2-97 1997 AAMA/W�MA/CSA IOi/LS.2/A440-OS 2005 Equlva/ence of Product Standards Certlfled By Sections from the Code http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvEm 1 f WvK4b... 3/12/2012 Florida Building Code Online Page 2 of 2 Product Approva/Method Method 1 Option D Date Submitted 09/12/2011 Date Validated 09/18/201 i Date Pending FBC Approva! 10/12/2011 Date Approved 12/06/2011 Summary of Products ��_------_____.._______—..--_--._._�� _—��--.-----. __�� FL# Model,Numbe�or Name Descri tfon 12811.1 Series 10 Sliding Window Series 10 V/n /F/an ed XO or OX SIld/ng Wlndow 73 x 62 Limits of Use Installa[!on Instructions Approved for use in HVHZ:No FL12811 R1 II Drawino 1598.Odf Approved for use outside HVHZ: Ves Verified By: Warren W. Schaefer, P.E. 44135 Impact Resistant:No Created by Independent Thi�d Party: Yes Design Pressure: +30/-30 Evaluation Reports Other:G/ass shal!conform to the latest ASTM E1300 standard. FL12�1,1 R1 AE Ey_�luation repQrt_WW5148.pdf Created b Inde endent Third Pa : Yes 12811.2 Series 10 Sliding Window Series 10 Vln /F/an ed XO or OX 5/!d!n Window 73 x 50 LimJts of Use Insta//at/on instructlons Approved for use in HVHZ:No FL.�2811_RS 11 OrawinQ 1.59$.p�f Approved for use outside HVHZ: Yes Veritlecl8y: Warren W. Schaefer, P.E. 44135 Impact Reslstant:No Created by Independent Third Party: Yes Design Pressure: +37/-49 Eva/uation Reports Other:Glass shall conform to the latest ASTM E1300 standard. FL22811_RI_AE Evaluation.report.WWS148,pdf Created b Inde endent Thlyd Pa : Yes 12811.3 Series 1 D Sliding Window Series 10 Vlny/F/anged XO or OX Sliding Wlndow(73 x 38 Limits of Use Insta//atfon Instructions Approved for use fn HVHZ:No FL22811_R1 7I Dr�wing_1_�,9�pdf Approved for use outside HVH2: Yes Ve�ifled By: Warren lN. Schaefer, P.E. 44i35 Impact ResJstant:No Created by Independent Third Party: Yes Design Pressure: +37/-49 Evaluation Reports Other:Glass shall conform to the latest ASTM E1300 standard. FL12811 Ri AE Evaluation report WWS148 adf � Created by Inde endent Third Party: Yes '1281 i.4 Series 10 Sliding Window Series 10 Vrny/F/an ed XOX Sliding Window(110 x 62 Llmits of Use InstaUation Instruetions Approved for use in HVHZ:No FL128i1 RI II Drawina 1598 ndf Approved for use outside HVHZ: Yes Verifled By: Warren W. Schaefer, P.E. 44i35 impact Resistant:No Created by Independent Third Party: Yes Design P�essure: +30/-30 Evaluation Reports Other:G/ass shall conform to the latest ASTM E2300 standard. FL1281 i Ri AE Evaluatlon report WWS14�df Created b Inde endent Thr�d Pa : Yes 128i1.5 Series 10 Slidin Window Serles 10 Vin 1 Flan ed XOX 5/ldin Window 110 x 50 Limits of Use Installation Instruct/ons Approved for use in HVHZ:No FL128i 1 RI II Drawina 1598,pdf Approved for use outside HVHZ: Yes Verified By: Warren W. Schaefer, P.E. 44135 Impact Resistant:No Created by Independent Third Party: Yes Design Pressure: +31/-41 Evaluatlon Reports Other:G/ass shall conform to the latest ASTM E1300 standard. FL12811 R1 AE Eva/uat/on revo WW5148 odf Created by Inde endent Third Pa : Yes http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvEm1 fWvK4b... 3/12/2012 .. � _ _ ,'o i � 62" MAX. Ff2AME HEIGHT �� Y'i °�m€�Q'j $ � "�mQ^c'z"1 A rn m �! m •� �C 0 �o .�o� •� e$�V c �i�� m��� �� � , � ('1� Nm � X X ��� � �� �� �� � �' �� �� � � � N� � �c � ��°�'� b�� �� ����� �,y� � — ---- --- — -- — —� �v 2 f7 N y� � €�F �$m ���"�' Fa �� � �SA � � �v�A m � �� �� �� � ����� \ � �o � .'6�� � � � ��"�'��� ��,O � m�'.�v?m ^�? �: = R Eo__ �'d k� o �� a� az u, c°z�m� � n $ �O� �:,£�'�9 o y q� m �`��F�� �F � _ minp�� x � � $�°z� �, U�� � � n� � ��,�m�� o(��y -ziw� f t� �� � A��� A � �!1� r�7if ���N �� �� � O� �CGtO � _. 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CERTIFICATION� SERIES 10 VINYL NON-IMPACT FLANGED HORIZONTAL ND' RE�ISON DESCRIPTON e�' a,TE �F �� � SUDING WINDOW .� vuam m naon miw w.s a�oyo, - �^ AUG 1 � coaw�iurts �unUF�cnInER ei ucuto ro nwmrt u�xaw� ws ayiuii � �`� o�o� �,.-'' W. W. SCHAEFER ENGINEERING PELU1 CORPOR4T10N W� . & CON�U STI�NC`PA.�(HCA 6809) 2000 PROLINE PLACE � v.iu e�cueoas,n a�aie GE7lYSBURG, PA 17325 �Y��',� W� P.E�NOµ13��P.E. PMONE:581-744-]a2t 717-334-�099 g M 3 m�n ov� Z� � . � -_rl (J� Z S O V1 A� �� y � m cn w o '�m - i �� cnm :. ��� _ Z p � � Z 1 '��,. 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' �,�i:if �n o < . �a � lfC � .�>.' c CAno �p•.m SERIES 1 O VINYL NON-IMPACT FLANGED HORIZONTAL No. nensia+ocscmrtion er wrz ��� N�� t� ��q$ 'A- SLIDING WINDOW � � � AU � 'j,p�SULTMITS WWUFACNRER � � � � 3r 1 �1. W. SCHAEFER ENGINEERING PELLA CORPORATION Q � � o '�� j CONSULi1NG, PA. (CA 6809) 2000 PROLINE PLACE g�� �. . ��� p� �� vui�4eucH°TMr.w�ocWns r�iRi3��e GETTYS8U334 0099325 �' �. 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CE I SERIES 10 VINYL NON—IMPACT FLANGED HORIZONTAL �• R�KK+o��+ ar wre �"��� �, SLIDING WINDOW �F�� COn3ULTANTS M4IUFACNRFR " F� W. W. SCHAEFER ENGINEERING PELLA CORPORATION � de CONSULTiNG, P.A, (CA 6809) 2000 PROLINE PLACE Q W �seo iwm eouar NorerH GEfTYSBURG, PA 17325 �'�'� W. WAR W. SCHAEFER P.E. PNJI BEACn GIROENS.fL ]311e � � P.E.N0, 4413$ PHONE 561-711-7�]a 717-334-0099 � Florida Building Code Onl�ne Page 1 of 3 Product Approval USER:Public User �duct Avarova!Menu>Vroduct or Annlica[!on Search>Apnlication llst>ApplluGon Deb/f FL# FL6694-R7 Application Type Affirmation Code Versron 2010 Application Status Approved Comments Archived Product Manufacturer Pelfa Corporation Address/Phone/Email 102 Main St. Pella,IA 50219 (641)621=6096 pellaproductapproval@pella.com Authorized Signature Joe Hayden Sandi Robinson pellaproductapprova!@pella,com Technica/Representatrve Joseph Hayden Address/Phone/Emall 102 Main Street Pella,IA 502i9 (641)621-6096 jahayden@pella.com Quality Assurance Representative Andrew Nelson Address/Phone/Emarl 102 Main St Pella, IA 50219 (641)621-3804 nelsona@pella.com Category Windows Subcategory Fixed Compliance Method Certrfication Mark or Listing Certifrcation Agency Wlndow and Door Manufacturers Association Validated By James L. Buckner, P.E. at CBUCK Engineerfng 1 Validation Checklist-Nardcopy Received Referenced Standard and Year(of Standard) Standard y�� AAMA 101/I.S.2-97 1997 AAMA 101/I.S.2/NAfS-02 2002 AAMA/WDMA/CSA 101/I.5.2/A440-OS 2005 Equivalence of P�oduct Standards Certlfied By r',I a�rm that there are no changes in the new flo�lda Building Code which affect my product(s)and my product(s)are in compliance with rhe new F/orida Building Code. Documentation from approved Evaluation or Validation Entity �.Yes :°'IVo ` N/A FLC694 R7 COC Comoliance Letter FL6694 odf http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtlhIuRSktJcu58... 3/13/2013 Florida Building Code Online , Page 2 of 3 Product Approval Method Method 1 Option A Date Submitted 12/21/2011 Date Validated 12/21/2011 Date Pending FBC Approval Date Approved 12/22/201i ---------____..____ .______._.__...__.__. _----.._.-------.-.--.--- — — Summary of Products FL# Model,Number or Name Destriptfon 6694.1 Serie 10/20 Viny/fixed window 90"X 76') Limits of Use Certification Agency Certifcate Approved for use in HVHZ:No FL6694 R7 C CAC 411-H-1083.odf Approved for use outside HVH2: Yes FL6694 R7 C CAC 4i1-H-1085.ndf Impact Resistant:No Quality Assurance Contract Expiration Date � Design Pressure: +25/-25 12/OS/2013 � Other:Configurations of glass conform to latest ASTM E2300 Insfallation Instructions i standard. FL6694 R7 11 1473.odf Verified By: Warren Schaefer 44135 Created by Independent Third Party: Yes Evaluation Reports FL6694 R7 AE 1473.Ddf ( Created b Independent Third Party: Yes �6694.2 Series 10 Vin 1 Flange Fixed Window(96"x 60') Limits of Use Cert/�cation Agency Certi�cate Approved for use in HVHZ:No FL6694 R7 C G4C 411-H-i033.01-02.vdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistanf:No 05/06/2013 Design Pressure: +35/-35 Insfallafion Instructions Other:Configuretions of glass conform to latest version of ASTM FL6694 R7 11 1430.odf �Ei300. Veri�ed By: Warren Schaefer 44135 ( Created by Independent Third Party: Yes � Evaluation Reports FL6694 R7 AE 1430.Ddf Created by Independent Third Party: Yes 6694.3 Series 10 Vin l F/an e Fixed Window(75"x 51-7/8') Limits of Use Certfflcation Agency Certificate Approved for use in HVHZ:No FL6694 R7 C CAC 411-H-1033.04-OS.vdf Approved for use outside HVHZ: Yes Qual/ty Assurance Contract Expiratio»Date impact Resfstant:No OS/06/2013 Design Pressure: +55/-55 Installation Instruct/ons Other:Configurations of glass conform to/atest version of ASTM FL6694 R7 77 1430.Ddf E1300. Verified By: Warren Schaefer 44135 Created by Independent Third Party: Yes � Evaluation Reports � FL6694 R7 AE 1430.Ddf � Created by Independent Third Party: Yes 6694.4 Series 10/20 Vinyl fixed window(108"x 64" Limits of Use Certlfication Agency Certifcale Approved for use in HVHZ:No FL6694 R7 C CAC 411-H-1082.odf Approved for use outside HVHZ: Yes FL6694 R7 C CAC 411-H-1084.odf , Impact Resisfant:No Quality Assurance Contract Expiration Date Design Pressure: +25/-25 12/OS/2013 Other:Configuretions of glass conform to/aYest ASTM E1300 Insta!/ation Instructions standard. FL6694 R7 11 1473.Odf Verified By: Warren Schaefer 44135 Created by Independent Third Party: Yes Evaluafion Reports FL6694 R7 AE 1473.odf Created 6 Inde endent Third Pa : Ves 6694.5 Series 10/20 VIn !flxed Window 60"x 60" Limf[s of Use Certiffcation Agency Certificate Approved for use in HVHZ:No FL6694 R7 C CAC 411-H-IOSO.ndf Approved for use outside NVHZ: Yes FL6694 R7 C CAC 411-H-i081.odf Impact Resislant:No Quality Assurance Contract Expiration Date Design Pressure: +50/-50 11/30/2013 Other:Configuratrons of glass conform to latest ASTM E2300 Insta!lation Znstructions standard. FL6694 R7 11 i473.odf Verified By: Warren Schaefer 44135 Created by Independent Third Party: Yes http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtlhIuRSkUcuS 8... 3/13/2013 Florida Building Code Online Page 3 of 3 � Evaluation Reports � FL6694 R7 AE 1473.Ddf i Created b Independent Third Party: Yes http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtlhIuRS kUcuS 8... 3/13/2013 . m� P ������� �wP��P��f�Y�N � , ���m ��m�� ���������� ����$�� � �v� �� � ������ �� ������������� A � �^ � ' �� g�m �§������������������ �� �� � o j ` - � '� � J�p ��� � �������� ����� A ''� ��I�* y��t rn F����4�'� m ,�� ��R� F� � @j� � � �� � � � ! y Z� ��� ����G� � � � ��q� v�����3 � � ��" �F,°� ����� ��n����������f �R��t��� � N o j N ������€����€������ ����������� � Z � �� �� ��� ���� � � F �€��� N��v�� ��� �� ��� ��� � ���€� �� f' � Z A���� ��e��� ����� �� � �� �� �� '. � ����� ������ ����� g� ���� ��� � , Z � �� ��� � ����� ����� �� ���� � ---FRAME DIMENSION � � � N �� �� m �� ��� � �� �� � o g�m ZA � �a" 8 � e _� , ��� _ _ � � �y ���� ��� �__�_� ��������€ Z..�-o � � ;,-,� . ���s =00 � �� ,: ,�' �o�� �?�� ��� �F •� �$� `„2� ��� �'2��� �"'��z m z� S= � � � �¢��� o 0 0 � D A '•' ��Z�n moary* �� � � w �y i �'2 o�zom m � �ao�AZ � i �c "� ^�� ������ �� �Y' �3s� F � � ��� zm�= ��� ��� �g � �BmiAi��� +('ipza��n R,� ��� �c_°c`�v�Ai �1��, �� �v� m ��� m��� �oNm� v_'�-I •R �m Z�mz ��� ro�� g ����R����� �'AmX� g c� � . . 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O.C. � � Ri1FlCA71 � , �y �''<.: SERIES 10 NON—IMPACT FlANGE PICTURE WINDOW N0. R[�ISpN OE5CPopIqN er o„�c pg ���'F '. i�O. '�"• ��''.y.a,�SIILTANTS WHUFACIL F� wam�onN[Cm mr �.rt a/�yb 7��'i *°a � l✓ , Mj' �V'� Ec CONH SU T1NG PNq ERING PEL1A CORPORATION oi urw+m m xn sr.rouca �.0 m�np w �� �� �� � � �g~c ee9s n.wurNCr�;surte c-za � 2000 PROUNE PLACE a vuavn w�ew mn�o r.u. ayiw p��� vu n GETTYSBURG, PA 17325 •W. '\ _�+ PAW BE1Cl1 ONtDENS.Fl, ]]4f0 h ,< rHONE:sm-ns-400x r�x:sei-ns-wos 717-334-0099 � � . r ioriaa tsuiiaing �;one un�ine Yage 1 ot 'Z � Product Approval � USER:Publfc Use� - P�QONCt Al7A�QYAI MC!!SI>Prp�pCt O�ACAIICdtJ9�..SGAlKh>ADG11Cd�(A�GISf>ADpIlutlOn Dete!l FL # FL11372-R1 Appllcation Type Revlsion Code Verslon 2010 Application Sta[us Approved Comments Archlved , ; Product Manufacturer Pefla Corporation Address/Phone/Emall 102 Main St. Pella, IA 50219 (641)61i-6096 pella productappro val@pe//a.com AuthoNzed Signature TROY FARR tbfarr@pella.com Technica!Representative A/an Hughes Address/Phone/Emall 2000 Prollne P/ace Geftysburg, PA 17315 (717)338-1165 hughesaf@pella.com Quality Assurance Representatrve Ali Zarghami Address/Phone/Email i02 Maln St Pefla, !A 50219 (641)621-1000 zargham/a@pella.com Category Wlndows Subcategory Mullions ComplJance Method Eva/uat/on Report f�om a Flor/da Reglstered A�ch/tect or a Licensed F/orlda Profess/ona/Englneer `r Eva/uatlon Report-Hardcopy Recelved Florida Englneer or Architect Name who developed the Warren W. Schaefer, P.E. Evaluation Report Florida Llcense PE-44135 Quallty Assurance Entity Archltectura/Testing, Inc. Quallty Assurence Contrect Expiratron Date 12/3i/2014 Valldated By Terrence E. Lunn, PE ? Valldat/on Checklist-Hardcopy Recelved Certrficate of Independence Fl 11372 R1 COI certiflcat/on of/ndeo ndence p�lf Referenced Standard and Year(of Standa�d) Standard AAMA 101/I.5.2-97 �� 1997 AAMA 101/1.5.2/NAFS-02 2002 AAMA/WDMA/CSA 101/I.S.2/A440-OS 2005 Equivalence of Product Standards Certlfied By Sections from the Code http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvILSK 15S Wldz... 2/27/2012 Florida Building Code Unlipe rage � ot � Product Approval Method Method 1 OptJon D Date Submltted 09/12/2011 Date Validated 09/18/2011 Date Pending FBC Approval 10/12/2011 Date Approved 12/06/2011 _ _. ._.. _. .__.._..._._._...._..._._�..... .._.�._..__.� 'Summary of Products ;FL# Model Number or Name Descri tion �11372.1 Se�les 10 Vertical Mullion Vert/ca/Non-Impact mulllon Series 10 5ing/e Hung/Plcture Windows i L/mits of Use Insta!!at/on instrucfions � Approved for use in HVHZ:No FL11372 R2 17 Drawing 1612.pdf Approved for use outs/de HVHZ: Yes Ver/f/ed By: Warren W. Schaefer, P.E. 44135 � Impact Resistant:No Created by Independent Thlyd Party: Yes � Design Pressure: +65/-65 Evaluation Reports � Other: This mullion system!s not approved for use!n the Hlgh FL11372 RI AE Eva/uation report WWS145 vdf �Velocity Hurricane Zones(HVHZ). Mullion Assembly,pressure and Created by Independent Thlyd Party: Yes !installatlon requlrements are to be as speclf/ed In the attached ;drawing No. i612.1ob requlred design wlnd pressure shall be �calculated In accordance with the F/orlda Bullding Code Chapter 16 and ASCE 7 Mlnlmum Deslgn Loads for Bulldings and Other Structures. http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvILSK 15 S Wldz... 2/27/2012 • Q v A L�5 Lw kNCRN9 = H��� � Q ���P��� � r,� �o�m� ���������� ��� ��jS����������������+ ����€������������ �pp�� ��p���� �q�5���y�M��' � �,�� � ����� qs�`dpa��yy^y'������ � �cR�o����+j �C�N'�Z �g� U� +I�� � � � �{} S�" �qrn���f� �� � �+i� .�N� C� yg ����� �� sQ =���f� y�� �� � � � � � � ��,��`g^ +�+�� g���� �� �� ' � }�Ma��"���$ �, ������8� �����w �� Z ''�'�t�i � �� �� �� ��� � ���RQ�{{j�?�w�Gt �SR�� � M� A ��y� � �$ }1� (q� m 0�,.��' O �AS � A � ��p���' ,d��� �;�r��g r�� ���� � � � t'j'� ��� � � � � ���� � ��� � �� t�� � � ��� �� � £Ng�_ ��������� ���� ��R�� � ���� �� ��� �� � ��� �� �� =��o� �� y� ��� € ���� �� �'� �g�� �� �� � �° ff � � vd� �[+ �9 =��iSon �����^�£ � wy°0���� � �V � „F�y� �� �� �'i ��� S� 2� ��°C�]� o��� ���� �����F����+� 7 $�FSO �� Qi; � y� � '�o ����8 �����,� � $�,�����Q ,�� � �� � �� �� �� ��� S� R � c� ����� � � �� � � � o �s �� � �� €�� � �� Z zy A�3�S � �'� � ��^' �� � � � �. � s O �m � �� ��� � �� � � � � �� 4 �b � Tn °o � � � FOR MAX. 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