HomeMy WebLinkAbout13-14123 CITY OF ZEPHYRHILLS
5335-8TH STREET
(ais)�so-oo20 14123
BUILDING PERMIT
Permit Number: 14123 Address: 5740 16TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-08100-0210
Improv. Cost: 10,218.00
Date Issued: 5/14/2013 Name: PIPES, TODD
Total Fees: 135.00 Address: 5740 16TH ST
Amount Paid: 135.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/14/2013 Phone: (813)767-0443
Work Desc: REPLACE 17 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 fl plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRA SIGNATURE PERMIT OFFI R
PE MIT 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: �/�,���/1�p� �U-l0 F �G{ �rr��pt�_
Date Received: �—��—�13
Site: S��b �6 r"' �'T'
Permit Type: GJ��� �c �P�1 Cc C t' Y�'I�� (� 7)
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.
� � ��" �
Kalvin itzer—P Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received I -- � -( 3 Phone Contact for Permittln `,� �
Owner's Name /u c� /I' Owner Phone Number
Owner's Address J 7 �7y► � Owner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
Fee 3imple Titleholder Address
JOB ADDRESS 7 U ��7� f LOT# ��
SUBDIVISION Zs � J,'I� PARCEL 1D# ��" - ��D6/p -(��'/OU - G,�/U
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e N TALLSTR 8 REPAIR � SIGN Q Q DEMOLISH
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK "��� � ,�,,,f � i��t� -
BUILDING SIZE �— � SQ FOOTAGE C� HEIGHT
QBUILDING $ /D Z VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�,.---
QPLUMBING $ �
/C/L� �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � - t ( �
�GAS Q ROOFING Q SPECIALTY 0 OTHER
� `�1
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FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO /1+ �(1('/�
U I ..✓.
BUILDER / 1� COMPANY ��" e�/ �✓o�IO� o !� /� �
SIGNATURE �-^ � REGISTERED / N FEE�.('ctlftRE�
Address ��� l���i�„' ll� ,� Li nse# �G �/�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N F CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address Llcense#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)wo►king days after submlttal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FadUtles 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construcUon.
Directtons:
Fill out applicatlon completely.
Owner�Contractor sign back of application,notarized
If over i2500,a Notice of Commencement Is required. (A/C upgrades over 57500)
'" 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 Appflcation Only)
Reroofs if shingles Sewers Servlce Upgrades AJC 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 unde�take 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 hi�ed 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, wiil be identified at the time of
permitting. It is further �nderstood 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 County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florlda 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 Flo�ida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�", I certify that i have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or 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
ce�tify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal 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 d�ainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill 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 forth 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 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 COMMENCEM NT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affir ed) efor�me this Subscribed and swom to(or a n )befo9�me this
by p..l d�G. N, by �/ d����,�
Who is/are personally known me or has/have duced Who islare personally knovm to me or has/h de p ication.
as identlfica8�n.
Notary Public Notary Public
Commisslon No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
T • Window and Sliding
��tf^'�v BaYam� Patio Door Contra�t
��.SG�lay�e S�edt�e�c.L�t� Showroom Location:
FL Contractor's License# „ 5910 Suite B Breckenridge Prkwy.Tampa, FL 33610
SCC131'l50943 1.866.WIND.189 866-946-3189
2� Name �, c� ,. e-Mni� : c .% - , Home Phone /� _
Address : ��- � CustomerlD#• y% �_ WorkPhone
Cit lSUZip � � (l� _ 3�� „� Celi Phone
WlndOws Options
DOUble Hung 1L Half Screen $10 c �
Series# Model# Full Screen $2z f ��
6000 DH Weld/Weld 0501 $240 /7 Double Locks(>30"wide) $9 < �
6000 DH WeIdlWeld 0501HP $260 �� Argon Gas $2� '
4'�_
(Oversized Windaws) �� Foam Insulation Wrap $12 ��;
�_ 4000 DH WeIdlWeld 0201 $200 �` G�U t 2 DP Rated Glass N/C ����
(Premium Grade) Beige Color Vinyl $32
Othe�Styles Wood Grain-Inside Surface $90
Picture Window $329 SolarZone Low-E-Glass (SHGC>.27) $45
2 Lite Slider $329 � SolarZone Elite LE-Glass (SHGC<27 $65 c' �
3 Lite Slider $520 �_ Tempered Glass Sq Ft. $7/Sq.ft �
Casement/Awning $289 j Obscure Glass $30 5���
Series 6000 Upcharge-Add $40 � Lifetime Glass Break Warranty $25 �_`'� '
�� Special Shape W/Operating Sash $559 5��(l OrieUCottage Style 60/40 $26
Specialty Windows Colonial/Contoured Grids $37
Exterior Color $150
$ $
$ Value Plus Package-VPP ;59
$ � �Energy Star Package-ESP E79 j� '
�- AM/-QualMed paihrer
$ ��/ Additional Labor Charqes
PRE 1978 BUILT HOMES(Federal Lead Containment L w) , i Remove Aluminum Window $50 ' L�'✓
M Home Was Built In The Year 't��'-- Remove Steel Window $70
Y � Initials:
t , Concrete Block Bore/TapCon Set $30 � Z v
OO�S Remove Aluminum In Stucco $110 3jC�
Vinyi Rolling Patio Door 5'-5205-6'8" $1,420 Remove Steel In Stucco $130
Vinyl Rolling Patio Door 6'-5206-&'8" $1,490 Structural Mullion for multi-unit $90
Vinyl Rolling Patio Door 8'-5208-6'8" $1,675 Custom JamblSill Cutback $80
$ Door Jamb/Concrete Sill Cutback $110
$ Install Exterior Capping $125
$ Install Custom InUExt Trim $40
$ Repair Sill OR Jamb $15/Ft
$ 2nd Story Charge $10
$ Bay Window Finish 8 Trim $300
$ J-Channel Manufactured Home $20
$ � _ �
The buyer is responsible for the removal and re-installation of any existlng secunty system,6urplar bars or A/C unifs and for removing all w�ndow coverings and/or obsW� prior to
insfallation.Additional cha es for removin items ara at Ne tollowin rates:A/C Unit-S5o CurtainsBlindsE25/Window� Fumiture�7olltem�Shutters-55o ea INIT� �
�n ow o agrees o ms vnn ows an oors as no a ove a on c o er orm an to pe orm o er serhces as spec a ve or
the price quoted on this form No other promises,expressed or implied,are made except those expressed in writing o�this agreement.
`H Window World seeks legal counsel to enfarce obligations under this conVact,Customer agrees to pay reasonable attomeys fees and costs.
You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this
transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day
THIS IS A CUSTOM ORDER NOT FOR RESALE!
o e ra wo i no in wri ma Customer Agrees to the tertns of payment as follows:
- Total List Price $ �
i
/ �� �-� �i' Trip Charge/Set-up 8 Administrative Fee$ 100 $ 100.00
( / Site Specific Engineering$200 $ �
Fire Marshall Plan Review(St.Pete Only)-$55.00 $ _ �('/,
�-r.�-�
,�^ $_?� Permit+$119 Acquisition Fee $ �=� ��
N�n�,�� �:�.c-r�c«;�-� ��� =�-���
Total Amount E •Z/. -
1,�ti� v-2-�/21t���E- CK# Custom Order Deposit 50% $ �
Balance Paid to Installer upon Completion $ ()'l
WINDOW WORLD Amount Financed $ J j `��-
GARE ,.`F.��Y
Loan Approval# - �-M.�-•�-
Round Up&Contnbute to St.Jude $ ��
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w����� o���� ���«�� F��e RnkCWY ������, o��� E��m.�, Owner Date
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��� Product Aooroval Menu>Product or Aoolication Search> II i n i >Applicati¢n Detail
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•.a��; _ � ,> FL# FL11720-R6 '
a�:^m;�;M�f ��.
,�fl , .- � ,��;:,F�;,;� Application Type 42evision � _
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X�;�•-;; Code Version r 2010 �
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������' � Application Status Approved =
Comments � +
Archived � , ' ; -ti
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Product Manufacturer Associated Materials Inc. p
Address/Phone/Emall 3773 State Road
Cuyahoga Falls,OH 44223
(330)922-2108
mfernbaugh@alside.com ,-
Authorized Signature Vivian Wright " ���—��
rickw@rwbidgconsultant$9c'�ii��
Technical Representative �/
Address/Phone/Email �
Quality Assurence Representative
Address/Phone/Email
Category Windows
Subcategory Double Hung
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 Lyndon F. Schmidt, P.E.
developed the Evaluation Report
Florida License PE-43409
Quality Assurance Entity Architectural Testing, Inc.
Quality Assurance Contract Expiration Date 12/31/2014
Validated By Ryan J. King, P.E.
Validation Checklist- Hardcopy Received
Certificate of Independence FL11720 R6 COI Certificate Of Indeoe�dence.odf
Referenced Standard and Year(of Standard) Standard Year
101/I.5.2 1997
ANSI/AAMA/NWWDA 101/I.S.2/A440 2005
ANSI/AAMA/NWWDA 101/I.S.2/A440 2008
ASTM E1886/E1996 2002
Equivalence of Produd Standards
Certiffed By
Sections from the Code
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Florida Building Code On.line Page 2 of 4
Product Approval Method Method 1 Option D
Date Submitted il/04/2011
Date Validated 11/07/2011
Date Pending FBC Approval 11/11/2011
Date Approved 12/06/2011
___ ___- —------- --
;Summary of Products i
!FL# Model,Number or Name Description (
- �11720.1 a. Model 0201 Extruded Vinyl Double Hung Window"Non-ImpacY'
�Limits of Use Installation Instructions
Approved for use in HVHZ: No FL11720 R6 II INST 11720.1.odf
i Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 I
� Impact Resistant: No Created by Independent Third Party: Yes �
( Design Pressure: N/A Evaluation Reports
i Other:See INST 11720.1 for Design Pressure Ratings, FL11720 R6 AE EVAL 11720.i.odf
�any additional use limitations, installation instructions Created by Independent Third Party: Yes
and product particulars.
11720.2 b. Model 0301 Extruded Vinyl Double Hung Window with Nail Fin-
"Non-Impact"
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL11720 R6 II INST 11720.2.�df
Approved for use outside HVHZ:Yes Verifled By: Lyndon F.Schmidt, P.E. 43409
IImpact Resistant: No Created by Independent Third Party:Yes
� Design Pressure: N/A Evaluatfon Reports
Other:See INST 11720.2 for Design Pressure Ratings, FL11720 R6 AE EVAL 11720.2.odf
any additional use Iimitatlons, Installation fnstructfons Created by Independent Third Party: Yes
and product particulars.
I 11720.3 c. Model 0401 Extruded Vinyl Double Hung Window-"Non-Impact"
i Limits of Use Installation Instructions
; Approved for use in HVHZ: No FL11720 R6 II INST 11720.3.odf
! Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409
I Impact Resistant: No Created by Independent Third Party:Yes
IDesign Pressure: N/A Evaluation Reports
� Other:See INST 11720.3 for Design Pressure Ratings, FL11720 R6 AE EVAL 11720.3.odf
'any additional use Iimitations, Installatlon Instructions Created by Independent Third Party: Yes
and product particulars.
11720.4 d. Model 0501 Extruded Vinyl Double Hung Window-"Non-Impact"
ILimits of Use Installation Instructions
Approved for use in HVH2: No FL11720 R6 II INST 11720.4.odf
Approved for use outside HVHZ:Yes Verifled By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: No Created by Independent Third Party:Yes
iDesign Pressure: N/A Evaluatfon Reports
Other: See INST 11720.4 for Design Pressure Ratings, FL11720 R6 AE EVA�11720.4.odf
any additional use Iimitations, installation instructions Created by Independent Third Party:Yes
and product particulars.
i 11720.5 e. Model 0501 HP Extruded Vinyl Double Hung Window-"Non-Impact"
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL11720 R6 II INST 11720.5.odf
� Approved for use outside HVHZ:Yes Verifled By: Lyndon F.Schmidt, P.E.43409
� Impact Resistant: No Created by Independent Third Party: Yes
; Design Pressure: N/A Evaluation Reports
Other: See INST 11720.5 for Design Pressure Ratings, FL11720 R6 AE EVAL 11720.5.odf
j any additional use Iimitatfons, installation instructions Created by Independent Third Party: Yes
i and product particulars.
j 11720.6 f. Model 0601 Extruded Vinyl Double Hung Window-"Non-Impact" �
I Limits of Use Installation Instructions ,
! Approved for use in HVH2: No FL11720 R6 II INST 11720.6.odf i
� Approved for use outside HVH2:Yes Verified By: Lyndon F. Schmidt, P.E.43409 I
; Impact Resistant: No Created by Independent Third Party: Yes �
i Design Pressure: N/A Evaluation Reports I
i Other: See INST 11720.6 for Design Pressure Ratings, FL11720 R6 AE EVAL 11720.6.odf i
any additional use limitations, installation instructions Created by Independent Third Party:Yes
;and product particulars. i
� 11720.7 g. Model 8001 Extruded Vinyl Double Hung Window-"Non-ImpacY' (
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Florida Building Code Online Page 3 of 4
j�imits of use Installation Inst�uctions i
;' Approved for use in HVHZ: No FL11720 R6 II INST 11720.7.�df
'; Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409
; Impact Resistant: No Created by Independent Third Party: Yes
i Design Pressure: N/A Evaluation Reports
' Other: See INST 11720.7 for Design Pressure Ratings, FL11720 R6 AE EVAL 11720.7.odf �
any additional use limitations, installation instructions Created by Independent Third Party: Yes
I,and product particulars.
i 11720.8 h Model 9001 Extruded Vinyl Double Hung Window-"Non-Impact" (
i Limits of Use Installation Instructions
i Approved for use in HVHZ: No FL11720 R6 II INST 11720.8.Ddf
� Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: No Created by Independent Third Party: Yes �
! Design Pressure: N/A Evaluation Reports �
� Other: See INST 11720.8 for Design Pressure Ratings, FL11720 R6 AE EVAL 11720.8.odf
i any additional use limitations,installation instructions Created by Independent Third Party: Yes
i and product particulars.
j 11720 9 i. Model"i"201 Extruded Vinyl"TiIY' Double Hung Window- "Non-
Impad" I
I Limits of Use Installation Instructions �
iApproved for use in HVH2: No FL11720 R6 II INST 11720.9.�df
Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E. 43409 i
� Impact Resistant: No Created by Independent Third Party: Yes
� Design Pressure: N/A Evaluation Reports �
� Other: See INST 11720.9 for Design Pressure Ratings, FL11720 R6 AE EVAL 11720.9.odf
�any additional use limitations,installation instructions Created by Independent Third Party: Yes
�and product particulars.
i11720.10 j. Model"i"-201 Extruded Vinyl"Tilt"Double Hung Window- "ImpacY'
ILimits of Use Installation instructions
Approved for use in HVHZ: No FL11720 R6 II Inst 11720.10.�df
� Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409
! Impact Resistant:Yes Created by Independent Third Party:Yes
iDesign Pressure: N/A Evaluation Reports
' Other: See INST 11720 10 for Design Pressure Ratings, FL11720 R6 AE EVAL 11720.10.�df
j any additional use limitations, installation instructions Created by Independent Third Party: Yes
�and product particulars.
�11720.11 k. Model V101 Extruded Vinyl Double Hung Window with Naii Fin-
� "NOn-Impact" �
j Limits of Use Installation Instrudions
� Approved for use in HVHZ: No FL11720 R6 II INST 11720.11.odf
Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409
Impact Resistant: No Created by Independent Third Party:Yes
i Design Pressure: N/A Evaluation Reports
i Other: See INST 11720.11 for Design Pressure Ratings, FL11720 R6 AE EVAL 11720.11.�df
j any additional use limitations, installation instructions Created by Independent Third Party: Yes
�and product particulars.
I
j 11720.12 I. Model V121 Extruded Vinyl Twin Double Hung Window with Integral
I Mullion and Nail Fin-"Non-Impact"
i�imits of Use Installation Instructions
'; Approved for use in HVHZ: No FL11720 R6 II INST 11720.12.odf
Approved for use outside HVHZ:Yes Verified By• Lyndon F. Schmidt, P.E.43409
; Impact Resistant: No Created by Independent Third Party:Yes
Design Pressure: N/A Evaluation Reports
! Other: See INST 11720.12 for Design Pressure Ratings, FL11720 R6 AE EVAL 11720.12.odf
�any additional use limitations,installation instructions Created by Independent Third Party: Yes
i and product particulars.
�.------- ---------------------------
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Gontact Us 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824
The Sta[e of Florida is an AA/EEO employer Goovriaht 2007-2010 State of Florfda. Privacv SWtement; Accessibtiltv Statement::Refund Sta[ement
Under Florida law,e-mail addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not
send electronic mail to thls en[ity Instead,contact the office by phone or by traditional mail.If you have any questions regarding DBPR's ADA web
accessibility,please contact our Web Master at webmaster�dbor.state.Fl.us.
Product Approval ACClpts:
� � �� �
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Plorida Building Code Online Page 4 of 4
�N� u�curitr�,:�n<,��
vnnS�qn �
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquzHEnMXJwe... 5/21/2012
R R W Building Consultants, Inc.
WConsulting and Engineering Services for the Building Industry
B P O Box 230 Vulrico,FL 33595 Phonc R13.659.9197
CFbrida Board of Professional Engineers Cerlificu[e of Authoriza[ion No.9813
i i
� �� i
�
Product
Category Sub Category Manufacturer Product Name
Associated Materials Inc. Mode10201
Window Double Hung 3773 State Road Extruded Vinyl
Cuyahoga Falls,OH 44223 Double Hung Window
Phone 330.922.2108 "Non-ImpacY'
Scope: Product Evaluation report issued by R W Building Consultants,Inc.&Lyndon F Schmidt,P.E.(System ID#1998)for
Associated Materials Inc.,based on Rule Chapter No.9N-3,Method 1 D of the State of Florida Product Approval,Dept.of
Community Affairs-Florida Building Commission.
RW Building Consultants and Lyndon F Schmidt,P.E.do not have nor will acquire financial interest in ihe company manufacturing
or distributing the product or in any other entity involved in the approval process of the product named herein.
Limltatlons:
1. This product has been evaluated and is in compliance with the 2007/2010 Florida Building Code structural requirements excluding the
"High Velocity Hurricane Zone"
2. Product anchors shall be as listed and spaced as shown on details.Anchor embedment to base material shall be beyond wall dressing
or stucco.
3 When used in areas requiring wind borne debris protection,this product is required to be protected with an impact resistant covering that
complies with Section 1609.1.2 of the Florida Building Code.
4 Site conditions that deviate from the details of drawing FL-11720.1 require further engineering analysis by a licensed engineer or
registered architect.
5 For 2X stud construction,anchoring of the assemblies shall be as shown for 2X buck masonry construction.
6 See drawing FL-11720 1 for size and design pressure limitations.
Supporting Documenis:
1. Test Report No. Test Standard Testin4 Laboratorv Siqned bv
ATI 97028.02-501-47 AAMA/WDMA/CSA 101/1.5.2/A440-08 Architectural Testing, Inc. Lynn George
2. Drawinp No. Prepared bv Siqned&Sealed by
No. FL-11720 1 RW Building Consultants, Inc.(CA#9813) Lyndon F.Schmidt,P.E.
3 Calculations Prepared bv Signed&Sealed bv
Product Anchoring RW Building Consultants, Inc. (CA#9813) Lyndon F Schmidt, P.E.
Buck Anchoring RW Building Consultants, Inc.(CA#9813) Lynd�n F Schmidt,P.E.
4. Qualitv Assurance
Certificate of Participation issued by Architectural Testing, Inc., certifying that Associated Materials Inc.is
manufacturing products within a quality assurance program that complies with ISO/IEC 17020 and Guide 53.
G��-�-
Lyndon F.Schmidt,P.E.
FL PE No.43409
11/4/2011
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� "' �:�;�j jr;�°�t BCIS Home Log In User Registration Ho[TOpics Submi[Surcharge S[ats&Facts Publications FBC Staff 6CI5 Sfte Map Links Search
Bu�sines�� '
'" Product Approval
Professional �� USER:Gublic User
.�,:,-
��-��f�a�t�_ ,,;
�jj��� Produc[Aooroval Menu>Product or Aoolication Search>Aoolication List>Appllcation Detail
. . FL# FL10465-RS
Application Type Revision
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufadurer Associated Materials Inc.
Address/Phone/Email 3773 State Road
Cuyahoga Falls,OH 44223
(330)922-2108
mfernbaugh@alside.com
Authorized Signature Vivian Wright
rickw@rwbldgconsultants.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Single Hung
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida PPofessional Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who Lyndon F. Schmidt, P.E.
developed the Evaluation Report
Florida License PE-43409
Quality Assurance Entity Architectural Testing, Inc.
Quality Assurance Contract Expiretion Date 12/31/Z014
Validated By Ryan J King, P.E.
Validation Checklist-Hardcopy Received
Certificate of Independence FL10465 R5 COI Certificate Of Inde�endence.odf
Referenced Standard and Year(of Standard) Standard Year
101/I.5.2 1997
AAMA/W DMA/CSA 101/I.S.2/A440 2005
AAMA/W DMA/CSA101/I.S.2/A440 2008
ASTM E1886 2005
ASTM E1886 2002
ASTM E1996 2002
ASTM E1996 2005
Equivalence of Product Standards
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Florida Building Code Online Page 2 of 4
Certified By
Florida Licensed Professional Engineer or Architect
FL10465 R5 Equiv EOUIVALENCY OF STANDARDS.pdf
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted il/16/2011
Date Validated 11/21/2011
Date Pending FBC Approval 12/06/2011
Date Approved 01/31/2012 •
�— --------- — -------- --------------- --—- —
!Summary of Products i
FL# Model,Number or Name Description �
10465.1 a. Model 0100 Extruded PVC Single Hung Window with Nailing Fin"Non- �
ImpacC' i
;Limits of Use Installation Instructions I
i Approved for use in HVHZ: No FL10465 R5 II INST 10465.1.�df
; Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 �
; Impact Resistant: No Created by Independent Third Party:Yes i
j Design Pressure: N/A Evaluation Reports
� Other: See INST 10465.1 for Design Pressure Ratings, FL10465 R5 AE EVAL 10465.1.odf �
�any additional use limitations,fnstallation instructions Created by Independent Third Party•Yes
iand product particulars.
i 10465.2 b. Model D100 Extruded PVC Single Hung Window with Nailing Fin-
utilizes Sill Extender"Non-Impact"
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10465 R5 II INST 10465.2.odf
� Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 (
� Impact Resistant: No Created by Independent Third Party: Yes '
I Design Pressure: N/A Evaluation Reports
� Other: See INST 10465.2 for Design Pressure Ratings, FL30465 R5 AE EVAL 10465.2.�df
�any additional use Iimitations, Installatlon instructions Created by Independent Third Party: Yes i
and product particulars.
10465.3 c. Model OSHP Extruded PVC Single Hung Window with Nailing Fin"Non-
� Impact"
�Limits of Use Installation Instructions
I Approved for use in HVHZ: No FL10465 R5 II INST 10465.3.odf
IApproved for use outside HVHZ:Yes Verified ey• Lyndon F. Schmidt, P.E. 43409
Impact Resistant: No Created by Independent Third Party: Yes �
� Design Pressure: N/A Evaluation Reports i
Other: See INST 10465.3 for Design Pressure Ratings, FL10465 R5 AE EVAL 10465.3.odf I
�any additional use limitations, installation instructions Created by Independent Third Party: Yes I
�and product partfculars. I
i 10465.4 d Model 0700 Extruded PVC Single Hung Window-"Non-Impact" �
i Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10465 R5 II INST 10465.4.odf
� Approved for use outside HVHZ:Yes Verified By: Lyndon F Schmidt, P E.43409
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
; Other: See INST 10465.4 for Desi�n Pressure Ratings, FL10465 RS AE EVAL 10465.4.�df
�any additional use Iimitations,installation instructions Created by Independent Third Party:Yes
'and product particulars.
�10465 5 e. Model 07HP Extruded PVC Single Hung Window-utilizes Sill Extender�
"Non-ImpacY' I
'Limits of Use Installation Instructions �
, Approved for use in HVHZ: No FL10465 R5 II INST 10465.S.odf !
� Approved for use outside HVH2:Yes Verifled By: Lyndon F Schmidt, P.E.43409 (
�� Impact Resistant: No Created by Independent Third Party: Yes i
Design Pressure: N/A Evaluation Reports
! Other: See INST 10465.5 for Design Pressure Ratings, FL10465 RS AE EVAL 10465.S.odf '
�any additional use limitations, installation instructions Created by Independent Third Party• Yes ;
:and product particulars.
;10465.6 f. Model 02A0 Extruded PVC Single Hung Window-"NOn-Impact" �
� � �
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqudsDrIH6I48%... 8/24/2012
Florida Building Code Online Page 3 of 4
;Limits of Use Installation Instructions
' Approved for use in HVHZ: No FL10465 R5 II INST 10465.6.odf �
� Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409
, Impact Reslstant: No Created by Independent Third Party: Yes j
! Design Pressure: N/A Evaluation Reports '
' Other: See INST 10465.6 for Design Pressure Ratings, FL10465 R5 AE EVAL 10465.6.odf �
j any additional use Iimitations, Installation instructions Created by Independent Third Party Yes
;and product particulars. i
; 10465 7 g. Model 3100 Extruded PVC Single Hung Window with Nailing Fin"Non- �
�
i Impact" j
iLimits of Use Installation Instructions �
Approved for use in HVHZ: No FL10465 R5 II INST 10465.7.odf �
� Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409
i Impact Resistant: No Created by Independent Third Party• Yes �
( Design Pressure: N/A Evaluation Reports i
, Other: See INST 10465.7 for Design Pressure Ratings, FL10465 R5 AE EVAL 10465.7.odf (
i any additional use Iimitations, installation instructions Created by Independent Third Party: Yes
�and product partfculars.
�
10465.8 h. Model 3100 Extruded PVC Single Hung Window-"Non-ImpacY'
!Umits of Use Installation Instrudions �
I Approved for use in HVHZ: No FL10465 R5 II INST 10465.8.�df �
; Approved for use outside HVHZ:Yes Verified B L ndon F Schmidt, P.E. 43409 �
Y� Y �
� Impad Resistant: No Created by Independent Third Party. Yes ;
Design Pressure: N/A Evaluation Reports
i Other: See INST 10465.8 for Design Pressure Ratings, FL�0465 RS AE EVAL 10465.8.odf
j any additional use limitations,installation instructions Created by Independent Third Party: Yes
�and product particulars.
i 10465 9 f Model 3100"High Performance Extruded PVC Single Hung Window-"ImpacY'
j Impact Window"
�Limits of Use Installatton Instructions
! Approved for use in HVH2: No FL10465 R5 II INST 10465.9.odf i
' Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 i
� Impact Resistant:Yes Created by Independent Third Party: Yes I
' Design Pressure: N/A Evaluation Reports i
� Other: Note-Window does not meet requirements for FL10465 R5 AE EVAL 10465.9.odf �
use in "Wind Zone 4" (basic wind speed greater than 140 Created by Independent Third Party•Yes I
mph)as defined in ASTM E1996-02. See INST 10465.9 i
for Design Pressure Ratings,any additional use
Iimitations, installation instructlons and product
!particulars.
10465.10 '. Model 3100"High Performance Extruded PVC Single Hung Window with Nailing Fin �
Impact Window" "Impact" (
j Limits of Use Installation Instructions �
; Approved for use in HVHZ: No FL10465 RS II INST 10465.10.odf j
Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 �
Impact Resistant:Yes Created by Independent Third Party: Yes
;' Design Pressure: N/A Evaluation Reports �
� Other: Note-Window does not meet requirements for FL10465 R5 AE EVAL 10465.10.odf �
�use in"Wind Zone 4"(basic wind speed greater than 140 Created by Independent Third Party• Yes i
;mph)as defined in ASTM E1996-02. See Inst 10465.10 i
;for Design Pressure Ratings,any additional use ,
i limitatlons, installation instructions and product
�particulars.
10465.11 k. Modei V100,V140,V144,V146 Extruded PVC Single Hung Window with Nailing Fin"Non- �
Impact" (
'Limits of Use Installation Instructions
� Approved for use in HVHZ: No FL19465 R5 II INST 10465.11.odf
Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: No Created by Independent Third Party: Yes '
Design Pressure: N/A Evaluation Reports �
Other: See INST 10465.11 for Design Pressure Ratings, FL10465 RS AE EVAL 10465.11.�df �
any additional use limitations,installation instructions Created by Independent Third Party: Yes �
i and product particulars. �
10465.12 I. Model V100,V140,V144,V346 Extruded PVC"Twin"Single Hung Window with Nailing �
Fin"Non-Impact" i
Limits of Use Installation Instructions ,
Approved for use in HVHZ: No FL10465 RS II INST 10465.12.�df '.
� Approved for use outside HVHZ:Yes Verified By: Lyndon F Schmidt, P.E.43409 �
' Impact Resistant: No Created by Independent Third Party. Yes ;
� Design Pressure: N/A Evaluation Reports i
' Other: See Inst 10465.12 for Design Pressure Ratings, FL10465 RS AE EVAL 10465.12.odf
any addit(onal use limitations,installation instructions Created by Independent Third Party Yes
and product particulars. �
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Florida Building Code On.line Page 4 of 4
, 10465 13 m. Model V200,V140,V144, Extruded PVC Single Hung Window with Nailing Fin "NOn-
V146 Impact"
Limits of Use Installation Instructions
Approved for use in HVH2: No FL10465 RS II INST 10465.13.�df
Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409
' Impact Resistant: No Created by Independent Third Party. Yes
� Design Pressure: N/A Evaluation Reports �
Other: See INST 10465.13 for Design Pressure Ratings, FL10465 RS AE EVAL 10465.13.odf ;
��any additional use limitations, installation instructions Created by Independent Third Party: Yes �
;and produd particulars. '
'10465 14 n Model V220 Extruded PVC"Twin"Single Hung Window with Nailing �
Fin"Non-Impact" I
�Limits of Use Installation Instructions i
' Approved for use in HVHZ: No FL10465 RS II INST 10465.14.odf
Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409
Impact Resistant: No Created by Independent Third Party•Yes i
, Design Pressure: N/A Evaluation Reports I
; Other: See INST 10465.14 for Design Pressure Ratings, FL10465 RS AE EVAL 10465.14.odf �
;any additional use limitations, installation instructions Created by Independent Third Party: Yes
and product particulars.
i
' 10465 15 0. Model V230 Extruded PVC"Triple"Single Hung Window with Nailing
iFin "NOn-Impact"
�Limits of Use Installation Instructions
Approved for use in HVH2: No FL10465 RS II INST 10465.15.odf '
iApproved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 i
Impact Resista�t: No Created by Independent Third Party:Yes
� Design Pressure: N/A Evaluation Reports {
� Other: See INST 10465 15 for Design Pressure Ratings, FL10465 R5 AE EVAL 10465.15.odf
!any additional use limitations, installation instructions Created by Independent Third Party: Yes
'and product particulars.
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Contact lls 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer Coovriaht 20o7-2010 State of Florida Privacv Statemen[ Accessibilitv 5[atement Refund Statement
Under Florida law,email addresses are Oublic records.If you do not wan[your e-mail address released In response to a Dublic-records reques[,do not
send eiectronic mail to this entity instead,contac[the office by phone or by tradltionai mail.If you have any questions,piease contact 850.487.1395.
*PUrsuant to Section 455.275(1),Fiorida SWtutes,effective October 1,2012,Iicensees licensed under Chap[er 455,F.S.must provide the Department
wi[h an email address if they have one.The emails provided may be used for official communitation with the licensee.However email addresses are public
record.[f you do not wish to supply a personat address,please provide the Department with an email address which can be made available to the public.
To determine if you are a Ilcensee under Chapter 455,F.S.,please click here
Vroduct Approval Accepts:
� � eCFiek �
`, tiCS'UT[IY.�Ii l:ci��
1,�� ��
YPnS:(rn
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R W R W Building Consultants, Inc.
B Consulting and Engineering Services for the Building Industry
C P.O Box 230 Valrico,FL 33595 Phone 813.659.9197
Florida Board of Professional Engineers Certificate of Authori�ation No.9813
Product
Category Sub Category Manufacturer Product Name
Associated Materials Inc. Model 02A0
Window Single Hung 3773 State Road Single Hung Window
Cuyahoga Falls,OH 44223 "Non-ImpacY'
Phone 330.922.2108
Scope: Product Evaluation report issued by R W Building Consultants, Inc.&Lyndon F.Schmidt,P.E.(System ID#1998)for
Associated Materials Inc.,based on Rule Chapter No.9N-3, Method 1 D of the State of Florida Product Approval,Dept.of
Community Affairs-Florida Building Commission.
RW Building Consultants and Lyndon F.Schmidt,P.E.do not have nor will acquire financial interest in the company
manufacturing or distributing the product or in any other entity involved in the approval process of the product named
herein.
Limitafions:
1 This product has been evaluated and is in compiiance with the 2007/2010 Florida Building Code structural requirements excluding the
"High Velocity Hurricane Zone".
2. Product anchors shall be as listed and spaced as shown on details.Anchor embedment to base material shall be beyond wall dressing
or stucco.
3. When used in areas requiring wind borne debris protection,this product is required to be protected with an impact resistant coveri�g
that complies with Section 1609 1.2 of the Florida Building Code.
4. Site conditions that deviate from the details of drawing FL-10465.6 require further engineering analysis by a licensed engineer or
registered architect.
5 See drawing FL-10465.6 for size and design pressure limitations.
Supporting Documents:
1. Test Report No. Test Standard Testinq Laboratorv Siqned bv
ATI 70677.02-501-47 AAMA/WDMA/CSA 101II.S.2/A440-05 Architectural Testing, Inc. Michael L.Mackereth
2. Drawinq No. Preaared bv SiQned 8�Sealed bv
No.FL-10465.6 RW Building Consultants, Inc.(CA#9813) Lyndon F.Schmidt,P.E.
3. Calculations Prepared bv Sianed 8�Sealed bv
Product Anchoring RW Building Consultants,Inc.(CA#9813) Lyndon F.Schmidt,P.E.
Buck Anchoring RW Building Consultants,Inc.(CA#9813) Lyndon F.Schmidt,P.E.
4. Qualitv Assurance
Certificate of Participation issued by Architectural Testing, Inc.,certifying that Associated Materials Inc.is
manufacturing products within a quality assurance program that complies with ISO/IEC 17020 and Guide 53.
Lyndon F.Schmidt,P.E.
FL PE No.43409
11/15/2011
PF 1362 Sheet 1 of 1
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2013068884
Rcpt:1514057 Ree: 10.00
Permit Number DS: 0.00 IT: 0.00
Property ID Number 11-26-21-0010-08100-0210 04/19/13 L. Ser i o, Dpty C i erk
N O T/C E O F C O M M E N C E M E N T PAUI_q 5 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
04/19/13 02:08 m 1 of 1
State of Florida OR BK ���� PG 1 1��
County Of Pasco
THE UNDERSIGNED hereby gives notice that improvements witi be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,the foliowing information is provided in this NOTICE OF COMMENCEMENT
1.Description of property(legal description): ZEPHYRHILLS PB 1 PG 54 LOTS 21 &22&NORTH1/2 OF LOT 20 BLOCK 81 OR 5341 PG 521
a.)Street(job) Address: 5740 16th St. Zephyrhilis, FL 33542
2.General description of improvements: Replacement Window Installation.
3.Owner information or Lessee information if the Lessee contracted for the improvement:
a.)Name and address: Pipes, Todd 5740 16th Sk 2ephyrhills FL 33542
b.)Name and address of fee simple titleholder(if different than Owner listed above)
c.)Interest in property Owner
4.Contractor Information
a.)Name and address: Steven Irwin Rogillio 5910-B Breckenridge Pkwy Tampa FL 33610
b.)Telephone No.: (866)946-3189 Fax No..(optional)
S.Surety(if applicable,a copy of the payment bond is attached)
a.)Name and address:
b.)Telephone No.
c.)Amount of Bond: a
6.Lender
a.)Name and Address
b)Telephone No.
7.Person vvithin the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
a.)Name and address:
b.)Telephone No: Fax No..(optional)
8.a.ln addition to himself or herself,owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b.)Telephone No.• Fax No. (optional)
9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 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 RECORDED AND POSTED ON
THE INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YO NOTICE OF COMMENCEMENT.
Under penalty of p ,I declare t I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
� my knowledge a eli ��r : •
! •r-��/ %!�<�
Todd Pipes
(Signature of Owner or Lessee, r efs or Lessee's(Authorized O(rycer/Director/PartnedManager) (Print Name and Provide Signatorys Title/Office)
The foregoing instrument was acknowledged before me this sth day of April 2013
by Todd Pipes as
(lype of authairy,e.g.Uustee,attomey in fact)
for ,as
(Name of Person) (type of auUwrity,e.g.Wstee,attomey in fact)
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Print Name Joseph o ogash - ---
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