HomeMy WebLinkAbout13-14547 CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14547
BUILDING PERMIT
Permit Number: 14547 Address: 37510 LORENA AVE
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: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-1380
Improv. Cost: 5,800.00
Date Issued: 9/19/2013 Name: TAGGART, WILLIAM & DIANE
Total Fees: 1_57.50 � Address: 37510 LORENA AVE
Amount Paid: 157.50 ZEPHYRHILLS, FL. 33542
Date Paid: 9/19/2013 ° Phone: .E � �'J
Work Desc: CONVERT CARPORT TO GARAGE
7.5 .
JAMES O MORTON ELECTRIC CO.,INC.
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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 PEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are neoessary due to any one of the following reasons: a)wrong address b)wndemned 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�o your properly. If you intend to obtain financing,wnsult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
c..e�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
STAT� O� F�..nRID�, Gt�€.E�iT>' G� ��'.�'�+u�� Q�C�
�N!s ��_ ,�, , ;_�;,-1;;=Y T�-���-Tr;�. ��;�=�c}irv�is a ���v c��PC+
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W'ITNESS f�Y HAND N� C)�-Or{G�;,L S�ML?HfS • A
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BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: �S�C �1
Date Received: 1 '� � 2- � �3
Site: 31 S ( � L� r en� ��"U`-�.
Permit Type: � V�-� �/z+� �O� � � ��`��-
Approved w/no comments:� Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet , all pt with the permit and/or plans.
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Kalvin Switzer— ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-�313-780-0021
Building Department
Date Received �' � 2'�� Phone Contact for Pertnittin I 7 — �D�
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Owners Name \�. �C Owner Phone Number
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Owner's Address �� (� Iw`f� nC�_ V L Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number ��
Fee Simple Titleholder Address �
JOB ADDRESS 1"�l��� LOT# [I�O
SUBDIVISION l.((��[� ' �ir'lZ��� PARCEL IDA 34-a s-ai^Q�q a 'Dva�+� '"' � ��
(OBTAINED FROM PROPERTV TAl(NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN � Q DEMCILISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER �
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q ��
DESCRIPTIONOFWORK ��hJ«� CaSD��C'T �1J U��GL �
BUILDINC SI2E � SQ FOOTAGE ���'�✓ HEIGHT �
BUILDING $ � Q VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ p� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ j t h���
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
��,� `� �
�GAS � ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER • •�.1 � • �OMPANY• �• •�.ST•C�� • • • •�'�
SIGNATURE � REGISTERED Y! N FEE CURRE� Y/N
Address 7 �!�/1/Z�.s / ��� License# I��7a�
,i1� M i c
ELECTRICIAN LCOMPANY 1�1 pC'Tfl� [I��, �
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Address V�1� � � License# L� ���[ J�J I
PLUMBER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—�
OTHER COMPANY �
SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N
Address License# ��
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sel of Energy Fortns;R-0-W Permit for new construction,
Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 submirial date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 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 construdion.
Dfrections:•
Fill aut apphcation completely
Owner 8 Contractor sign back of application,notarized
If over E2500,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 Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIOUSurveylFootage)
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 resVictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES. If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
conVactor 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 conUactor are uncertain as to what licensing requirements may apply for the
interrded work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a conVactor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES 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,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco 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,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law--Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�',I certiTy 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.
COMTRACTOR'SIOWNER'S AFFIDAVIT I certity 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
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watenvays.
- 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 drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fiIl 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 peRnit 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 inGuded in the application. A
permit issued shall be consVued 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 wri6ng,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.
WAR�NING 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
FLORIbA JURAT(F.S.117 3)
OWNER OR AGEN� CONTRACTOR �_)1J��C�_�
S scribed and swory to or a ed)b fore me this bscrib and swom F [r ffirm befone me this
'/ '/ by G> //-/ by -
Who is/are personally kn to me or has/have produced Who is/are personally known me or has/have produced
�� as identfication. as identfication.
�' ' Natary Public tary Public
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Com siq��fp�, Commission No. ""��
=;�� �'k Commissfan#EE 105G42 :�` ;:; misalnn#EE 105G42
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LEONARD G. "GEOFF" WOOD, P.E.
3704 BRUTON ROAD
PLANT CITY, FLORIDA 33565
(863) 646-5517
DATE: 09/5/13
B&H Construction
Zephyrhills, Fl.
.-'�i.L���R��S�i:ALI.C'�\1i'L°Y'��'ITIf,ALL
Re: WILLIAM TAGGART �P�EV,�ILPv'G CODES,FL:)R.I�?,'�BUILDiNv
Address: 37510 LORENA AVE. I,�$,�`$aTI0;1AL ELECTitIC COD�AND
ZEPHYRHILLS, FL. C?T�'OF 7,I��'Til'RHILLS ORD1NAl�'CES
Dear Sirs,
KEVlI�W DATE ��" � 7 �
T his le tter is to c e rt i f y t ha t I have review e d t he a bove re ferenc e d ��N'�F Z EJ�HYRHILL�
s t r u c t u r e t o d e t e r m i n e t he s t r uc t u ra l a dequacy o f t he exis ting s t r uc t ure P�-A N5 EXAMINER___ (,S _
to receive the proposed attached structure. The proposed structure is
a 13' X 19' garage walls between existing posts,under existing roof
and on existing concrete with footers.
As always, should you have any questions,please feel free to ca11
me at y time.
�`
Leonard G. Wood s�r�oF �
3704 Bruton Road FoR.
Plant City, Florida 33565 B&H�°'�tri�°°
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AI,IJIvIINUM BEAMS W/#8 X
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TO WOOD WALLS W/#8 X 1" SIDE WALL WITH 2"X 1 1!2"RECEIVER CHANNEL.
SMS. BOTH APPLICATIONS CHANNEL IS FASTENED TO STUD WALL W/#10 X 2"
REQUIRE 3/4"X 3/16"ALUMINUM SMS,SM BEAM TO CHANNEL W/#8 X 9/16"SMS ON
WASHERS(4)PER PAN 16"OC ��SIDE W/(i)SCREW PER EACH 2"OR BEAM
ON RAKES
2"X 4"STUD WALLS 16"OC
DOUBI.E 2"X 4"TOP USE(3)12D NAILS TO TOP
PI..ATE W/CORNERS AND BOTTOM OF EACH STUD
i,APPED TO DOUBLE 2"X 4"PT TOP
PLATE W/CORNERS LAPPID F���OR PROCEEDURES
CI.IFS SHAI,L BE IAtSTALLED DO NOT CIiANGE POR PT WOOD
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II�WB.L USE ISTA HOME W/#�10 X 3 1/2"SMS 24"OC
ROIJND HEAD NA.IL.S SIlVIPSON 18 STRAp p��p,p
_ � �V/1 1/`l"X.I48 IN EA('�BOI�E g��iOR PER OWNFR SpEC�ICATION
, SIlVBSON H 2S APPROVID�SIDING OF CHOICE OVFR
� OR EQUN HOUSB WRAP,�4"C�R OR OSB
SHFATf�Q�TG,FASTSIV�3"OC Ohl
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+ STVI3S AND SHEATHIIVG WII,L HE
' , � REQiJIItP.D Wl7A THE SAME
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OR
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FASTENED TO CONCRETE W/1/2"
' DIAMETER WEDGE OR SLEEVE
SII►�SONH ANCHORS 24"OC W/(1)ANCHOR
oR WTTyI]V 6"OF EACH DOOR WITH A
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WALL PROTECTION. M�c�3���-�31
. Florida Building Code Online Page 1 of 1
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Busines����
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Regulation
ProduR Aooroval Menu>Product or Aoohcatron Search>Application List
A+*T.�� Search Criteria Refine Search,
�� a Code Version 2010 FL# 5302 '
Application Type ALL Product Manufacturer ALL
Category ALL Subcategory ALL
IApplication Status ALL Compliance Method ALL
iQuality Assurance Entity ALL Quality Assurence Entity Contract Expired ALL
�Product Model, Number or NameALL Product Description ALL
�,Approved for use in HVHZ ALL Approved for use outside HVHZ ALL �,
iImpact Resistant ALL Design Pressure ALL ',
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----------- -- -- — —
Search Results-Applications �
FL# Type Manufadurer Validated Bv Status �
FL5302-R4 Revision Amarr Garage Doors Steven M. Urich, PE Approved I
History Category: Exterior poors
Subcate o :Sectional Exterior poor Assemblies(717 932-8500
FL5302-RS Revision Amarr Garage Doors Steven M. Urich, PE Validated
Category: Exterior poors 'i
Subcate o :Sectional Exterior poor Assemblies(717 932-8500 il
*Approved by DBPR.Approvals by DBCR shall be reviewed and ratified by the POC and/or the Commission if necessary
Contac[Us 1940 North Monrce Street.Tallahassee FL 32399 phone:550-487-1824
The State of Florida is an AA/EEO employer Coovriaht 2007-2010 State of Florida. Privacv Statement AccessibiliN SWtement Refund Statement
under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records reques[,do not
send eleRronic mail to this entity Instead,contact the o�ce by phone or by traditional mail.If you have any questions,please contac[850.487.1395.
xPursuant to Section 455.275(1),Florida Statutes,effective Oc[ober 1,2012,Iicensees licensed under Chapter 455,F.S.must provide the Department
with an email address if they have one.The emails prowded may be used for official communication with the licensee.hlowever email addresses are public
record.If you do not wish to supply a personal address,please provlde[he Department with an email address which can be made available to the public.
To determine if you are a licensee under Chapter 455,F.S.,please click haro
Product Approval Acoepb:
� � � �
�c.�curih'>u uu..
�
http://www.floridabuilding.org/pr/pr_app_lst.aspx 9/11/2013
Florida Building Code Online Page 1 of 4
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usines �,'�
Professi�nal . SERtdP b,`��Approval
Regulation
�
Product Ao�roval Menu>Produc[or Aool�cation Sear[h>Aooliwtion List>Application Detail
A;�;��� FL# FL5302-R4
�� Application Type Revision
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer Amarr Garage Doors
Address/Phone/Email 165 Carriage Court
Winston-Salem, NC 27105
(336)251-1309
danny.joyner@amarr.com
Authorized Signature Brandon Gentle
brandon.gentle@amarr.com
Technical Representative Brandon Gentle
Address/Phone/Email 165 Carriage Court
Winston-Salem, NC 27105
(336)251-1308
brandon.gentle@amarr.com
Quality Assurance Representative Danny Joyner
Address/Phone/Email Amarr Garage Doors
165 Carriage Court
Winston-Salem, NC 27105
djoyner@amarr.com
Category Exterior poors
Subcategory Sectional Exterior poor Assemblies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
� Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who Thomas L. Shelmerdine
developed the Evaluation Report
Florida License PE-0048579
Quality Assurance Entity Intertek Testing Services NA Inc.-ETL/Warnock Hersey
Quality Assurance Contract Expiration Date 01/O1/2015
Validated By Steven M. Urich, PE
� Validation Checklist- Hardcopy Received
Certificate of Independence FL5302 R4 COI Statement of Inde�endence 2013.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM E 330 2002
DASMA 108 2005
Equivalence of Product Standards
http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqunL7seVZMFL... 9/11/2013
Florida Building Code Online Page 2 of 4
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 06/24/2013
Date Validated 06/26/2013
Date Pending FBC Approval 07/OS/2013
Date Approved 08/23/2013
Date Revised 08/26/2013
Summary of Products
FL# Model,Number or Name Descrl ion
5302.1 Stratford(M600)and Heritage Dwg. IRC-6009-110-11,Thru 9'wide.
(M950)
�imits of Use Installation Instrudions
Approved for u5e in HVHZ: No FL5302 R4 II IRC-6009-110-11 Drawina 7-10 FL.odf
Approved for use outside HVHZ:Yes Verified By:TOM SHELMERDINE 0048579
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +19.1/-22.6 Evaluatio� Reports
Other: Design Pressure+19.1/-22.6, Not for use in FL5302 R4 AE IRC-6009-110-11 Reoort 7-10 FL.odf
HVHZ. Glazing option shall not be used in wind-borne Created by Independent Third Party:Yes
debris region unless strudure is designed as partially i
enclosed or door is a re lacement door. ;
�
5302.2 Stratford(M600)and Heritage Dwg. IRC-6009-100-51,Thru 9'wide. �
(M950) i
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5302 R4 II IRC-6009-100-11 drawinq 7-10 I
Approved for use outside HVHZ:Yes sealed.odf
Impact Resistant: No Verified By:TOM SHELMERDINE 0048579
Design Pressure: +15.8/-18.7 Created by Independent Third Party: Yes
Other: Design Pressure+15.8/-18.7,Not for use in Evaluation Reports �
HVHZ. Glazing option shall not be used in wind-borne FL5302 R4 AE IRC-6009-100-11 reoort 7-10
debris region unless structure is designed as partially sealed.odf
enclosed or door is a replacement door. Created b Inde endent Third Party: Yes
5302.3 Stretford(M600)and Heritage Dwg.IRC-6009-120-15,Thru 9'wide.
M950)
Limits of Use Installatfon Instructions
Approved for use in HVH2: No FL5302 R4 II IRC-6009-120-15 Drawina 7-10 FL pdf
Approved for use outside HVHZ:Yes Verifled By:TON SHELMERDINE 0048579
Impact Res(stant: No Created by Independent Third Party: Yes
Design Pressure: +22.8/-26.9 Evaluation Reports
Other: Design Pressure+22.8/-26.9, Not for use in FL5302 R4 AE IRC-6009-120-15 Reoort 7-10 FL.odf
HVHZ.Glazing option shall not be used in wind-borne Created by Independent Third Party:Yes
debris region unless structure is designed as partially
enclosed or door is a replacement door.
5302.4 Stratford (M600)and Heritage Dwg.IRC-6009-130-15,Thru 9'wide.
M950)
Limits of Use Installation Instrudlons
Approved for use in HVFIZ: No FL5302 R4 II IRC-6009-130-15 Drawinq 7-10 FL.odf
Approved for use outside HVHi:Yes Verifled By:TOM SHELMERDINE 0048579
Impact Resistant: No Created by Independent Third Party• Yes
Design Pressure: +26.7/-31.6 Evaluation Reports
Other: Design Pressure+26.7/-31.6, Not for use fn FL5302 R4 AE IRC-6009-130-LS Reoort 7-10 FL.odf
HVHZ. Glazing option shall not be used in wind-borne Created by Independent Third Party:Yes
debris region unless strudure is designed as partially i
enclosed or door is a replacement door.
5302.5 Stratford(M600)and Heritage Dwg.IRC-6009-140-15,Thru 9'wide.
(M950) j
i
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5302 R4 II IRC-6009-140-15 Drawino 7-10 FL.�df
Approved for use outside HVHZ:Yes Verified By:TOM SHELMERDINE 0048579 I
Impact Resistant: No Created by Independent Third Party:Yes
Design Pressure: +31.0/-35.1 Evaluation Reports �
� Other: Design Pressure+31.0/-35.1, Not for use in FL5302 R4 AE IRC-6009-140-:LS Reqort 7-10 FL.odf �
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqunL7seVZMFL... 9/11/2013
Florida Building Code Online Page 3 of 4
HVHZ. Glazing option shall not be used in wind-borne Created by Independent Third Party: Yes
debris region unless structure is designed as partially
enclosed or door is a replacement door.
5302.6 Stratford (M600)and Heritage Dwg.IRC-6009-150-15,Thru 9'wide.
M950
Limits of Use Installation Instructions
Approved for use in HVHZ: No F�5302 R4 II IRC-6009-150-,.5 drawinq 7-10
Approved for use outside HVHZ:Yes sealed.odf
Impact Resistant: No Verified By:TOM SHELMERDINE 0048579
Design Pressure: +35.6/-42.1 Created by Independent Third Party: Yes
Other: Design Pressure+35.6/-42.1, Not for use in Evaluation Reports
HVHZ.Glazing option shall not be used in wind-borne FL5302 R4 AE IRC-6009-150-15 re�ort 7-10
debris region unless structure is designed as partially sealed.pdf
enclosed or door is a replacement door. Created by Inde endent Third Party: Yes
5302.7 Stratford (M600)and Herita9e Dwg.IRC-6009-169-15,Thru 9'wide.
(M950)
Limits of Use Installation Instructions
Approved for use in HVH2: No FL5302 R4 II IRC-6009-169-_'�5 drawinq 7-10
Approved for use outside HVHZ:Yes sealed.pdf
Impact Resistant: No Verified By: TOM SHELMERDINE 0048579
Design Pressure: +45.3/-51.2 Created by Independent Third Party: Yes
Other: Design Pressure+45.3/-51.2, Not for use in Evaluation Reports
HVHZ.Glazing option shall not be used in wind-borne FL5302 R4 AE IRC-6009-169-15 reoort 7-10
debris region unless structure is designed as partially sealed.odf
enclosed or door is a re lacement door. Created b Inde endent Third Part : Yes
5302.8 Stratford (M600)and Heritage Dwg.IRC-6016-100-15, 10'Thru 16'wide.
M950)
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5302 R4 II IRC-6016-100-7�5 Drawinq 7-10 FL.pdf
Approved for use outside HVHZ:Yes Verified By•TOM SHELMERDINE 0048579 I
Impact Resistant: No Created by Independent Third Party Yes I
Design Pressure: +15.2/-17.2 Evaluation Reports
Other: Design Pressure+15.2/-17.2, Not for use in FL5302 R4 AE IRC-6016-100-15 Reoort 7-10 FL.pdf
HVHZ. Glazing option shall not be used in wind-borne Created by Independent Third Party. Yes
debris region unless structure is designed as partially
enclosed or door is a re lacement door.
5302.9 � Stratford (M600)and Heritage Dwg IRC-6016-110-15, 10'Thru 16'wide.
M950
Limits of Use Installation Instrudions
Approved for use in HVHZ: No FL5302 R4 II IRC-6016-110-:�5 Drawina 7-10 FL.pdf
Approved for use outside HVHZ:Yes Verified By:TOM SHELMERDINE 0048579
Impact Resistant: No Created by Independent Third Party. Yes
Design Pressure: +18.3/-20.8 Evaluation Reports
Other: Design Pressure+18.3/-20.8, Not for use in FL5302 R4 AE IRC-6016-110-15 Report 7-10 FL.pdf
HVHZ.Glazing option shall not be used in wind-borne Created by Independent Third Party: Yes
debris region unless structure is designed as partially
enclosed or door is a re lacement door.
5302.10 Stratford (M600)and Heritage Dwg.IRC-6016-120-15, 10'Thru 16'wide.
M950)
Limits of Use Installation Instrudions
Approved for use in HVHZ: No FL5302 R4 II IRC-6016-120-i.5 Drawina 7-10 FLpdf
Approved for use outside HVHZ:Yes Verifled By:TOM SHELMERDINE 0048579
Impact Resistant: No Created by Independent Third Party:Yes
Design Pressure: +21.8/-24.8 Evaluation Reports
Other: Design Pressure+21.8/-24.8, Not for use in FL5302 R4 AE IRC-6016-120-15 Reoort 7-10 FL.odf
HVHZ.Glazing option shall not be used in wind-borne Created by Independent Third Party:Yes
debris region unless structure is designed as partially
enclosed or door is a re lacement door
5302.11 Stratford(M600)and Heritage Dwg.IRC-6016-130-15, 10'Thru 16'wide.
(M950)
Limits of Use Installation Instructions
Approved for use In HVHZ: No FL5302 R4 II IRC-6016-130-7.5 Drawinq 7-10 FL.odf
Approved for use outside HVHZ:Yes Verifled By:TOM SHELMERDINE 0048579 �
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure: +25.6/-29.1 Evaluation Reports
Other: Design Pressure+25.6/-29.1, Not for use in FL5302 R4 AE IRC-6016-130-15 Report 7-10 FL.pdf ;
HVHZ.Glazing option shall not be used in wind-borne Created by Independent Third Party• Yes
debris region unless strudure is designed as partially
enclosed or door is a re lacement door. i
5302.12 Stratford (M600)and Heritage Dwg.IRC-6016-140-17, 10'Thru 16'wide. i
M950 i
Limits of Use Installation Instructions
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqunL7seVZMFL... 9/11/2013
Florida Building Code Online Page 4 of 4
Approved for use in HVHZ: No FL5302 R4 II IRC-6016-140-17.qdf i
Approved for use outside HVHZ:Yes Verified By:TOM SHELMERDINE 0048579 �
Impact Resistant: No Created by Independent Third Party. Yes '
Design Pressure: +30.1/-33.8 Evaluation Reports ;
Other: Design Pressure+30.1/-33.8, Not for use in FL5302 R4 AE IRC-6016-140-17 reoort 7-10
HVHZ.Glazing option shall not be used in wind-borne sealed.odf
debris region unless structure is designed as partially Created by Independent Third Party: Yes
enclosed or door is a replacement door. '
5302.13 Stratford (M600)and Heritage Dwg.IRC-6016-140-24, 10'Thru 16'wide !
(M950) �
Limits of Use Installation Instructions �
Approved for use in HVH2: No FL5302 R4 II IRC-6016-140-"l_4 drawinq 7-10
Approved for use outside HVH2:Yes sealed.odf !
Impact Resistant: No Verifled By:TOM SHELMERDINE 0048579 '
Design Pressure: +29.7/-33.8 Created by Independent Third Party• Yes !
Other: Design Pressure+29 7/-33.8, Not for use in Evaluation Reports
HVHZ. Glazing option shall not be used in wind-borne FL5302 R4 AE IRC-6016-140-24 reoort 7-10
debris region unless structure is designed as partially sealed.odf !
enclosed or door is a re lacement door. Created b Inde endent Third Part : Yes
5302.14 Stratford (M600)and Heritage Dwg IRC-6016-145-24, 10'Thru 16'wide.
M950)
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5302 R4 II IRC-6016-145-?4 drawinq 7-10 II
Approved for use outside HVHZ:Yes sealed.odf I
Impact Resistant: No Verified By:TOM SHELMERDINE 0048579
Design Pressure: +31.9/-37.2 Created by Independent Third Party:Yes �i
Other: Design Pressure+31.9/-37.2, Not for use in Evaluation Reports
HVHZ. Glazing option shall not be used in wind-borne FL5302 R4 AE IRG6016-145 24 report 7-10 'i
debris region unless structure is designed as partfally sealed.odf
enclosed or door is a replacement door. Created by Independent Third Party:Yes
5302.15 Stratford (M600)and Heritage Dwg.IRC-6018-110-15, 16'2 thru 18'wide. I
M950
Lfmits of Use Installation Instructions I�
Approved for use in HVH2: No FL5302 R4 II IRC-6018-110-:L5 Drawinq 7-SO FL.pdf i
Approved for use outside HVHZ:Yes Verified By:TOM SHELMERDINE 0048579
Impact Resistant: No Created by Independent Third Party. Yes
Design Pressure: +18.2/-20 6 Evaluation Reports
Other: Design pressure+18.2/-20.6, Not for use in FL5302 R4 AE IRC-6018-110�15 Reoort 7-10 FL.pdf i
HVHZ. Glazing option shall not be used in wind-borne Created by Independent Third Party Yes i
debris region unless structure is designed as partially
enclosed or door is a replacement door. i
5302.16 Stratford (M600)and Heritage Dwg.IRC-6018-120-15, 16'2 thru 18'wide
M950 I
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5302 R4 II IRC-6018-120-:LS Drawinq 7-10 FL.pdf
Approved for use outside HVHZ:Yes Verified By:TOM SHELMERDINE 0048579
Impact Resistant: No Created by Independent Third Party• Yes
Design Pressure: +21.6/-24.5 Evaluation Reports
Other: Design pressure+21.6/-24.5, Not for use in FL5302 R4 AE IRC-6018-120-15 Reoort 7-10 FL.pdf
HVHZ. Glazing option shall not be used in wind-borne Created by Independent Third Party• Yes
debris region unless structure is designed as partially I
enclosed or door is a re lacement door.
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C�nWC[Us 1940 North Monrce Street.Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer Convriaht 2007-2010 State of Florida. Pnvacv Statement AccessibiNri Statement Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not
send electrornc mail to this entity Instead,contac[the office by Dhone or by traditional mail.tf you have any questions,please contad 850.487.1395.
*Pursuant to Section 455.275(1),Flonda Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department
with an email address if they have one.The emails provided may be used for official communication with the Iicensee.However email addresses are Dublic
record.If you do not wish to sup0ly a Dersonal address,please provide the Department with an email address which can be made available to the public.
To determine if you are a licensee under Chapter 455,F.S.,Dlease click haro
Produd Approval Aeoepts:
� � � �
X`LLfIS\'�t)l l<tt�
�
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqunL7seVZMFL... 9/11/2013
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Busines ,�,'
t E Product Approval
Professi nal �USER:PUbIicUSer
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._...�.u� " �Code Version 2010 fl# 1722 I
IApplication Type ALL Product Manufacturer ALL �
�Category ALL Subcategory ALL
�Application Status ALL Compliance Method ALL �
Quality Assurance Entity ALL Quality Assurance Entity Contract Expired ALL
Product Model, Number or Name ALL Product Description ALL
Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
�Impact Resistant ALL Design Pressure ALL �
�Other ALL �
�Search Results-Appl(cations i
�FL# Tvoe Manufacturer Validated Bv Status i
FL1722- Revision Elixir Industries Georgia Door Divlsion American Architectural Manufacturers Approved
R4 Category: Exterior poors ASSOCiation * i
History Subcategory: Swinging Exterior poor (414)614-1535 !
Assemblies i
�*Approved by DBPR.Approvals by DBPR shall be reviewed and 2tified by the POC and/or the Commission if necessary I
Gontact Us 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer Coovriaht 2007-2010 State of Florida. :Privacv Statement AccessibiliN 5tatement Refund SWtement
Under Florida law,email addresses are public records.If you do not want your e-mail address released In response to a public-remrds request,do not
send elec[ronic mail to this entity Instead,mntac[the o�ce by phone or by tradRional mail.If you have any questions,please contact 850.487.1395.
*PUrsuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the DeDartment
with an email address if they have one.The emails provided may be used for official communication with the Ilcensee.However email addresses are public
record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.
To determine if you are a licensee under Chapter 455,F.S.,please clidc here
Product Approval Aooapts:
�� eCherk �
K•cvritC,u uut.
�
http://www.floridabuilding.org/pr/pr_app_lst.aspx 6/24/2013
, Florida Building Code Online Page 1 of 4
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`r�<-'
... _�.�z�.. . Application Type Revislon
Code Version 2010
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and
ratifled by the POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Elixir Industries Georgia Door Division
Address/Phone/Email 1215 Pope Drive
Douglas,GA 31533
(770)459-8183
bpowers@elixirind.com
Authorized Signature Robert Powers
bpowers@elixirind.com
Technical Representative PTC Product Desfgn Group
Address/Phone/Email PO Box 520775
Longwood, FL 32752
(321)690-1788
info@ptc-corp.com
Quality Assurance Representative
Address/Phone/Email
Category Exterior poors
Subcategory Swinging Exterior poor Assemblies
Compliance Method Certiflcation Mark or Listing
Certification Agency American Architecturel Manufacturers Association
Validated By American Architectural Manufacturers Associatfon
Referenced Standard and Year(of Standard) Standard Year
ASTM E330 2002
Equivalence of Produd Standards
Certified By
Product Approval Method Method 1 Option A
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvOQpGQ��tVm... 6/24/2013
Florida Buildin Code Online Page 2 of 4
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Date Submitted 03/06/2012
Date Validated 03/09/2012
Date Pending FBC Approval
Date Approved 03/14/2012
iSummary of Products
FL# Model,Number or Name Descri ion
1722.1 402-14 Vin I Steel Out-Swin in Re ular poor- 14"x14"Window I
Limits of Use Certification Agency Certfficate
� Approved for use In HVHZ: No FL1722 R4 C CAC EXR 402-14 E330.odf
� Approved for use outside HVHZ:Yes Quality Assurance Contrad Expiration Date
Impact Resistant: No 09/14/2015
Design Pressure: +40/-40 Installation Instrudions
Other: FL1722 R4 II ELIX0050 RevO 402-14.�df
� Verified By: Robert J.Amoruso,P.E. FL License No.
49752
� Created by Independent Third Party.Yes
i Evaluation Reports
� FL1722 R4 AE PER 1951 RevO 411-0916.pdf
Created b Independent Third Party:Yes
1722.2 402-205 Vinyl Steel Out-swinging Regular poor-20"slider
window
Limits of Use Certification Agency Certiflcate
Approved for use in HVH2: No FL1722 R4 C CAC EXR 402-205 E330.odf
� Approved for use outside HVH2:Yes Quality Assurance Contrad Expiratio�Date
Impact Resistant: No 09/14/2015
Design Pressure: +40/-45 Installation Instrudlons
Other: FL1722 R4 II ELIX0051 RevO 420-20S.odf
Verified By: Robert J Amoruso, P.E. FL License No.
� 49752
I Created by Independent Third Party•Yes
Evaluation Reports
� fL1722 R4 AE PER 1951 RevO 411-0916.�df
Created by Inde endent Third Pa :Yes
1722.3 407 Vfnyl Steel Out-swinging Regular poor- Blank(no
window
Limits of Use Certiftcation Agency Certificate
Approved for use In HVHZ: No FL1722 R4 C CAC EXR 407 E330.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 09/14/2015
� Design Pressure: +40/-45 Installation Instrudions
I Other: FL1722 R4 II ELIX0052 RevO 407.odf
� Verified By: Robert J.Amoruso, P.E. FL License No.
49752
Created by Independent Third Party: Yes
Evaluation Reports
FL1722 R4 AE PER 1951 RevU 411-0916.odf
Created b Independent Third Party: Yes
i 1722.4 430 W9 Vinyl Steel Out-swinging Regular poor-9-Lite Window
1'8"x 3'0"
I Limits of Use Certiflcation Agency Certiflcate
Approved for use in HVHZ: No FL1722 R4 C CAC EXR 430-W9 E330.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 09/14/2015
Design Pressure: +33/-40 Installation Instrudions
Other: FL1722 R4 II ELIX0053 RevO 430-W9.pdf
i
Verifled By: Robert J.Amoruso, P.E. FL License No.
49752
Created by Independent Third Party:Yes
Evaluation Reports
FL1722 R4 AE PER 1951 RevO 411-0916�df
Created b Inde endent Third Party:Yes
1722.5 6400-W9 Painted Steel In-swing Doorwith 9-Lite Window(1'8"x
3'0" and Full View Storm Door
�Limits of Use Certiflcation Agency Certificate
! Approved for use in HVHZ: No FLll22 R4 C CAC EXR 6400-W9 E330.pdf
Approved for use outside HVH2:Yes Quality Assuraace CoMract Expiration Date
! Impact Resistant: No 09/14/2015
� Design Pressure: +56/-60 Installation Instructions
� Other: FL1722 R4 II ELIX0035 RevO G400-W9.odf
Verified By: Robert].Amoruso, P.E. FL License No.
49752
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvOQpGQvtVm... 6/24/2013
Florida Buildin Code Online Page 3 of 4
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� Created by Independent Third Party:Yes
, Evaluation Reports
! FL1722 R4 AE PER 1951 RevO 411-0916.pdf
I� Created b Independent Third Pa :Yes
1722.6 8500 W9 Steel Clad In-swing Door with 9-Lite Window(1'8"x
3'0" and Full View Storm Door
�Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1722 R4 C CAC EXR 8500-W9 E330.pdf
Approved for use outside HVH2:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 09/15/2015
Design Pressure: +50/-50 InsWllation Instructions
Other: FL1722 R4 II ELIX0036 RevO 8500-W9.pdf
Verified By: Robert l.Amoruso, P.E. FL License No.
49752
I Created by Independent Third Party•Yes
I Evaluation Reports
FL1722 R4 AE PER 1951 RevO 411-0916.pdf
Created by Inde endent Third Pa :Yes
1722.7 9000 Steel Clad In-swfng Door(no window)and Full View
Storm Door
Limits of Use Certification Agency Certifcate
Approved for use in HVHZ: No FL1722 R4 C CAC EXR 9000 GO E330.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impad Resistant: No 09/14/2015
Design Pressure: +60/-60 Installation Instructions
Other: FL1722 R4 II E�IX0037 RevO 9000.pdf
Verified By: Robert].Amoruso, P.E. FL Ucense No.
49752
Created by Independent Thfrd Party Yes
Evaluation Reports
FL1722 R4 AE PER 1951 RevO 411-0916.odf
j Created b Inde endent Third Part :Yes
�1722.8 9400-W9 Steel Clad In-swing Door with 9-Lite Window(1'8"x
� 3'0")and Full View Storm Door
�Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1722 R4 C CAC EXR 9400-W9 E330.odf
Approved for use outside HVHI:Yes Quality Assurance Contract Expiration Date
Impaet Resistant: No 09/14/2015 '
� Design Pressure: +60/-60 Installation Instructions
I Other: FL1722 R4 II ELIX0038 RevO 9400-W9.pdf
Verified By: Robert J.Amoruso, P.E. FL License No.
49752
Created by Independent Third Party Yes
Evaluation Reports
FL1722 R4 AE PER 1951 RevO 411-0916.pdf
Created b Inde endent Third Pa :Yes
1722.9 STR 7000 Oval Standard Residentfal Door with 20-1/2"x 56"Oval and
Full Vfew Storm Door
Limits of Use Certiflcatlon Agency Certiflcate
Approved for use in HVH2: No FL1722 R4 C CAC EXR STR 7000-Oval E330.pdf
Approved for use outside HVH2:Yes Quality Assurance Contrad Expiration Date
Impact Reststant: No 09/14/2015
Design Pressure: +60/-60 InStallation Instructions
Other: FL1722 R4 II ELIX0039 RevO STR-7000.pdf
, Verified By Robert J.Amoruso, P.E. FL License No.
' 49752
Created by Independent Third Party:Yes �
Evaluatlon Reports
FL1722 R4 AE PER 1951 RevD 411-0916.odf
Created b Inde endent Third Pa :Yes
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*Pursuant to Section 455.275(1),Florida Statu[es,effective OROber 1,2012,licensees licensed under Chapter 455,F.S.must prov�de the Department
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remrd.tf you do not wish to supply a personal address,please provide the Department with an email address which can be made avatlable to the public.
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. NU7'IC'E UF L'UM1�fENC;EMEf�''T 2013162724 ^ �- -- - ---- - -\.
�---- Rec: 10.00
Rept:1550995 IT: 0.80
Pernui Nu. D5: 0.00 t Clerk
Tax folio No 3¢�cK-al-Q�QO-QQL�-/380 09/19/13 C. Mine�, DP Y --
THE IINDEkSJGNEll hcrcb,y gi��cs nniice that imrrovemrnis wi)I be madc io cenain rca!proj+erry,and in accordanre w�ih Scction
"r I 3 13 oi ihc Fiurida�St�tuies ihe fnll��wing infi�nnation ic pi�,vided in i is Nn7'1CR nF(�nMME�'C"EMEN'I
G,!°j�NS� /�oiti�or.c3'- �has a BNE
1 Description o1 property(legal drscripNon):��3�_f f�la�.9�f�/O�_iCpZ/�$_0� �!'S( Pc�t lD�� _ .__. _ ...
a)Strcei(joA)Address• �_7.�'J. .GoR�N/.�j�dC ZdP%h/IZH�.l�$,IC/�3S�f/ _
2 General deccription of improvemen�s: �o�,.,tire��' C'o�'pD� .�p qar� _. ,_ ._ _ ___
�a
3 Oamer lnforma[ion - -• • - --• - - - -- - - -- — - -- • - -- . ._ - - -- - �--
a)Name and address•���IiAM T�rT 37Si�._l���,g,�Irv�_ r��yr.h�//S��/_ 33SS!� _
b1 Namc and address of fce sunplc� holdcr lif other Ihan nwncr)` _�___ ..____`.
c)lnteres�in properry.-•-- --- —• - ---------.•— ---
4 Con�ractor lnfornwtion "3a+�N �onsrrr.�.��na,y aFC�M r��, F! i�vc.
� a)Namc and address:���? �s �� � ��) T��N.//2N.ClS F/ 335�3 __
b)Tekphone No.• _8/3-7$�-�ls.}� Fax No.lO�pt.) �'�8-?/SloSB� _
5.5urery Informaaon
e)Name and eddress; _
b)Amwmt of Bond: --- - ----,---
c)Ttlephone No.: _ F�x No.(Opt.) _
6.L.ender
s)Na�nt and address: -- - - —- ----- —
Phonc No.
7. ldentiry otpeiwn within the Ststc of Florida designated by owner upt��whom nrnices or other dceuments may be scrved:
a)Name and address:
b)Telephone No.: Fax No.lOpt.) .
S.ln addition�o himseff,awner designa�es t6c following pason to rcceive a copy o!�hc Lienor's Notice as provided in Section
�13.13(1 Kb),Floaida Sututes:
a►Name and addrcas:
b)Telephone No.: Fax No.(Opt.)
9•Fxpirttiom dau otNotice otConunenoernent(the e=piraUoo date ic one yerr froin Ihe date of recording anlecs M difierent date
is spccified);
WARNIING TO OWNER: AM'PAYNIEN7'S MADE B1'THE OWNER AFTER THE EXPDU7'lON OF THE NOTtCE OF
COMM�NCFMEN7'ARE CONSIDERED IMPROPER PA�T�T'S UNDER CHAPTE3t 913,PART I,SECTION 713.13,
F1ARIDIA ST'A7ITPFS,AND CAN RESULT IN YOUR PAYDVG 71VICE FOR II�3PROVEN�NI�TO YOIIR PROPER7Y.
A NOTIQ�OF COMI►¢NCEMEM'MUST BE RF,CORDED A,riD pp6TEp ON TIiE�OB S1TE BEFORE THE F�tST
1N5PE�70N. IF YOU INTEND TO OBTAIN FINANC7NG,CONSULT YOUR I.ENDER OR AN ATTORNEY BEFORE
COMMI�TCING WORK OR RECORDING YOUR NOTICE OF COIVDVI�NCEi►�NT.
STAfIOi � �� � +�
�o�a �,o_ �
Sipiuture ofUroer a►Orner•t A OlUmrDirsnw�Pan�/Mwjei
����iarn IC�ti'qr�
Prio�N�me
Thc foregoing mmumen�was acknawledged before me Mis._,��aay of��7t'�r3E2,20�,by Lc�./�irrM
�
���� as (type of autbority,e.g.otficer,truttcc,
aftorney io fscc)for (name o!partv on beDd1 of wbo inttr menl rvas eYetutcd).
Personatly Known_OR Produced ldentification_ Notary Signaw ,P Q
Type ofldrntificaiion Produced Name(print)��7Ll�I'1 V'^-+�'L�i� '
:^5 - ' ;�
I Verit�cation pursuant to Section 92.525,Florida Statutes.Undcr yen��ies of pujury,l declare tha�I have read tbe foregoing and tha�
I the facts s�ated in it arc we to I►K best of my knowledge and beliet.
' . .
� F011MS'NOCr�.ei007 ��/�,y.�,,, � �/�
,,,��n,. �Signrnuc of Nsnual Pctson SiFn' lina k 10.)Abovc
I `��.J����%��- SARAH EUZABETH VALENTINE -- • ___ ___
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