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HomeMy WebLinkAbout13-14693 CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oo20 19�6�3 BUILDING PERMIT ,�� Permit Number: 14693 Address: 5113 21 ST ST Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-0000-03600-0000 Improv. Cost: 3,800.00 Date Issued: 11/06/2013 Name: TACKETT, LAWRENCE & DONNA Total Fees: 82.50 Address: 5113 21 ST ST Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542 Date Paid: 11/06/2013 Phone: (813)780-8077 Work Desc: REPLACEMENT 7 WINDOWS SIZE/SIZE 1 1 (N� , � / � . -- � �/ �� � � � 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 t) plans not at job site g)work not acxessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Acoompany Application.All work shail be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. , -, _ �- - CONTRACTOR SIGNA URE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER o�r�ov-�v�v v�ay v� �.vp���������., � ..��.��.. .r�..__...... Building Depafinent O � �CA Date Rece�ved Phone Gontact for Permittin Cb 3 2-�� -- 9�j' �OS Owner'a Nama �G^�^�� �TAG/C 'r Owner Phone Number �C 3 --?$C) -�O'i"7 Owner's Address ���3, "Z I ST S� Z{►o�1s i-L 3 3 Sy'7i- pwner Phone Number � .� Fee 8imple Tftleholdsr Name � � Owner Phone Numbsr Fee Simple Tkleholder Address JOB ApDRE33 'Jr 1 I � �1 ST ST Ze�?h�y h�i�S i=� 3 3 5�,{� LOt# � SUBQkVISION C.� Dt- ZePl+,�- l��ll S PARCEL ID# 1�"�6-�I - ��'�'�- �� 3 b� --v�c�n' \ (OBTAINED FROM PROPERTY TAX NOTICE) WORI4:PROPOSED NEW CONSTR� ADD/ALT [� SIGN Q Q DEMOLISH INSTALL REPAIR PRORO.SED.U3E SFR Q COMM Q OTHER TYPE OF CON8TRUCTION BLOCK Q FRAME Q STEEL Q DE3CRIPTIONOFWORK I��P��►�-�- , vJ►.v�ci�„1 �,�,�1�fiS � I GP� -;ti1�3S SiZ2. SiZ¢ F"L t z gtl . z + , �{ BUILDiN(i 81ZE � SQ FOOTA(iE� HEI(iHT �L i 1 1 5 2 , 3 QBUILDING $ VALUATION OF TOTAL CONSTRUCTION � p4 e e QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �V4� QPLUMBING $ L �� � �+ � U,/ [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �1 U " . � �4� QGAS Q ROOFING Q SPECIALN Q OTHER �� C�'� � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO G C�-R.� �..�� BUILDER ` COMPANY L 0�-eS NoM�, CBa�'e2s �eJ�. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address o �o� � R'� ��'A�d�' �z���' License# �G6G l Sd ��1 7 ELECTRICIAN � COMPANY SIGNATURE REGISTERE� Y/ N FEE CURREA Y/N Address License# � PLUNBER COMPANY 31ONATURE REGISTERED Y/ N FEE CURRE� Y!N Address License# � I MECHANICAL � COMPANY SIGNATURE REGISTERED Y/ N FEE CURREh Y/N Address License# � OTHER � COMPANY SI�NATURE REf31STEREp Y/ N FEE CURRE� Y!N Addreas Ucense# � � REStDENT1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new constructlon, Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Sift Fence installed, Sanitary FadliUes&1 dumpster;Site Wor1c Permlt for subdivisfons/iarge proJects CONMERCIAi. R�tisch�3}cAmpi�ta�eis af Building Qla�s plus 2 LIfB S�fB�y P3�8;f,1)set of Enerc�y Fortns.R-O-W Permit for new consbuctlon. Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Sitt Fence insialled, Sanitary Facllit(es 8 1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance 31(3N PERMIT Attach(2)seb of Engineered Plans. ""'*PROPERTY SURVEY requfred for all NEW construcGon. Directlons: Fill out app8cation completely. Owner&Contractor sign back of application,notarized ff over i2500,a Notica of Commencement is roquited. (A!C upgrades over s7500) "• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Applicatlon Only) Reroofs if shfngles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) D►Iveways-Not over Counter if on public roadways..needs ROW NOTIC�OF DEED R�87RICTION3: The undersigned understands that this permit may be subJect to"deed"restrictions" which cnay be more re�#tietive than County regulations. The undersigned assumes responsibility for compliancQ with any app�icable deed restrictions. UNLIGEN�ED C�N°r'RACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or contractors to undertak�work, they may be required to be licensed in accordance with state and local regulat(ons. If the contrac�or is not licen$�d as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may appiy for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Se�tion at 727-847- 800.9. Furthermore, if the owner has hired a contractor or contractors, he (s advised to have the contractor(s) sign portions of thatuma trbetanBndicat on that heliis niot p�ope ly Ilcensed'la d isenot e tbtled t permittingeprivil gesgn Pasco contractor, t Y County. TRdNSP6RTATlON IMPi0.CT/tlTIUTIES IMPACT AND R�SOURCE RECOVERY FEES: The undersigned understan s that Transpartation Imp�ct Fees and Recourse Recovery Fees may apply to the construction of new buildings, chan e of � use in existing buildfng�, 'or expansion of existing buildings, as specffied in Pasco County Ordinance number 89-0 and 90-07, as amended.. The undersfgned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportatfon Impact Fees ar�d Resource Recovery Fees must be paid pr`It�r to receiving a "cer�iflcate of occupancy" or final power release. If the project does not invoive a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Imp2ct fees�ce-due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordimartEes. CON$TRUCTION LIEN L�FrIV(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, i ce�tify that I, the appllcant, have been provided with a copy of the °Florida Construction Lien Lavu Momevwr�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 faith to deliver it to the"owner" prior to commencement. CONTRACTOR'SIOWNER'3 AFFIDAVIT: I ce�tify that all the information in this application is accurate and that all work will�be done in compliance with ali 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 wfll be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and tand development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the inteFlded work, �nd tha� it is my responsibfli e�enttof Environtmental P otect on�Cypress Bayheads,SW tlagd Areasnand E viro menta IytSensitive Dep Lands,Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering - Southwest Flarida Water Management District-Wells, Cyp Y Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Auiation Authority-Runwa.ys. I undetstand 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 flil 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 Sta#e of Florida. If the fill materiai is to be used in Flood Zone "A" in connection with a permitted building using ster� wall construction, I certify that fili will be used oniy to ffll 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 propertfes. If use of�II is found to adversely affect adjacent properties, the owner may be cited for violating�. the conditions of the building permit issued under the attached permit application, for Iots less than one (1) acre which are elevated by fill, an eng(neered drainage plan is required. If i am the AGENT F`OR Ti�� OWNER, � ctionis I lunderstanid that a�s parat permit may bemequ�ir d for ielectr cal work, this affidavit prior to commencing constru piumbing, signs, wells, pools, air conditioni�g, gas, or other installations not specifically included in the applicatiun: permft issusd shali be construed to be a licensenor shall ssuaincehof a pe mitp event thehBu Ii ding Official from ther�eafter set aside any provisions of the technical codes, requiring a correction of errors in plans, const cot�men eidl within s za onths of perm t p sualncesuo aif wo�rk auth ezed by unless the work authoci�zed by such permit is the permit is suspended or abandoned for a period of six (6) months after the time the work is coms and will demon trate may be requested, in writine'sion f work icease�or'ninety(90)rconsecutive days, ths job is�cons,dered abandoned. Justifiable cause for the ext '�� YOUR FAILURE TO RECORD A NOTICE OF COMM�NCEIiA�NT MAY RESU�T IN; Y=.QUR WARN)�IG TO 0�111N.E,1�,. PAYING TWICE FOR IMPROVEMENTS TO YOU RE RECORDING Y�u �NTENtD TOO OBTAIN FMIA�NC�WT� CONSULT T . N ATTOGRNEY B F FLORI�A JURAT'(F.S. 1 .0�) _ ONMER OR A ' CONTRACTOR Subsalbed and to or affirmed)before me thls Subscrfbed and swom to(or afflrmed)before me this .,.________by ___�_____.by Who(sJare persoAally known to me or hasmave prod�ued Who is/are personally known�fo me or haslhave produced as IdenHfication. as fdentlflcaUon. Notary Public Notary Publfc Commissfon No. Commission No. Name of Notary lyPed,printed or stamped Name of Notary typed,printed or stamped ,� . i i�iiii iiiii iiiii iiiii iiiii i i�i iiiii ii�i�iiiii iiiii iiii i�ii : ,�,� � 201318A317 � Rcpt:1559385 Rec: 10.00 DS: 0.00 IT: 0.00 10/28/13 L. Korb, Dpty Clerk - _ ,'1-� /,-�;n^"fr�: £�FY-:�F'�5-�`�..�x � � _ - `�'•' _d_ -���.�_ - , PqULA S 0'NEIL,Ph D PASCO GLERK & COMPTROLLER �__. 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"'--,�� � J �_e�.:,. � '�i_.'� _�r_^� ,� i , - -'7 , _.CcE __ _a.2S�:P.�f:'�_:s'``..;'`�'�{' _.�_.'-"- _ _.�-��� �,t- - _.� — �4�i �,�..y � .� ' � � v`G,r`._;.D Y . . . . . . ,. . � `_�.-�_��e" - ,-G_�H'-�OS���.��.Q:_�.F�E_5���i i_�=P:i�EL��-=:. � �� g��H�ve, � , ' �. � • nc ��► T r �# �`��eT,� • � ��''"t!~ C C,°�fi-�'—�.�G Z c, r...Y r �': •••# / 9, ,f88� �!'� �� l� t�.,, �' ��t. -._._.. �i` , • � O���RIDA ♦` � � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: � � (,�� Date Received: ��j • Z.�,— �3 Site: � � � .3 2 � S� -S � Permit Type: l (.l.t l Y�'�,C,,� �� ��C� S Z��`ii�, 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. 1 �` � Kalvi S zer lans Examiner ate Contractor and/or Homeowner (Required when comments are present) �. CON7RAC7# 0 4 2 3�5� INSTALLED 3ALE3 SPECIALIST � N�MBER' � ' CUSTO Q ` ' �� �. � � ��`C. � , ,���- -�. 1 .:�y.I tc �- D �� STORE NO. � STREE7ADDAESS _ STHEETADORESS • , ,_;�' Y �-��°" 1 �.-��l t }::;1 v� ���' 1=' '� l�t` `_=T'� �. .:_ ;� C�y STA7E 21P CITY ( ( STATE ZIP ,� ' /•� l %..�� F"��- 1 1��• � 15 � '�` ..�' ��-- .--• G:� .�1-�l. " l-:1 I `J � L.. �.� YELEPHONE C. �J J �. / 7ELEPHONQ; �J ...j y �J.—.• `�•:�y`,��� t� ,��.-�' . '�t�;'�-� � �� . �J" ) � t1 �J�> , LOWE'S CONTRACTOR UCENSE NUMBER" CA9H BANK �ci D�1T� CAR� ClWi6E t�� 1°' t :j � .il .�y. STREETADORESS ^ CITY STATE ZIP � `::..>F:� �a -.�.� �; Addi[Ional1 Speclflcatlons: The Environmerrtal�Pr.otection Agency.(EPA) has requeste�# that MaNls Lowe's notity installation customers that a lead based paint hazard may exist in dwellings butR 'Tax prior to 1978. See pamphlet EPA 747-K-99-001 for details. �� �' �,�' 1 i � � 1V`:���� �� ._C '�'1 ���l�+c; r' ��::1�t-'� •rax � � � �lx..�',r�t� — ht �1� �L l ��, � rrs �N X o ' T�a� �,��. �� �� 1�;� " . ��� t �' � X ..., �� ' '' �N� �� �' ' -i'�:tv�� --�. ,- . h � � .� �- �� �' �< � �UN. � � �, �- t�; ����.i � �:��� {,�� ':�,i1��.� T�J/ ��14�:''�/'':�'S 4 "f �+� .i'f�Y� �v!� d 'a�'D� '�.,'�(+�.�:i '1� .�'.. WoHc Is to commence upon reasonable availaWlit�i of Conbactor which Is aMicipated to.be�jRl1��� ��U�1.�L�� [fill In d�te]. Estimated compfeUon date is Yt(l�t'�ti� 1��.� '�.�l.�ti[fEll In date]. � NOTICE TO CUSTOMER All items Ilsted in this contract and spec�ication sheet(s)are to be installed under oonditlons agreed upon at time of purchase and at the phce appea�ing on this oontract form, This assumes sound existing substructures,superstructure and poiMs of attachmerrts. Extra labor oc ma4er(al Incident to installatian necessitated by defective substnactures,superstructure,points of attachmertt,or the moving of fixtures or appliar�ces to be bitled at extra cost to customer. � DO NOT SIGN THIS CONTRACT UNTfL COMPLETE AND YOU HAVE READ THE'IERMS AND CONDIi'IONS CONTAINED ON THE REVERSE SIDE OF THIS CONTRACT. BY SICiNING BELOW,YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDER- STAND AND AGRE�TO THE TERMS AND CONDI'fIONS SET FOFiTH ON THf REVERSE SIDE OF THIS CON'i'RACT.Y.OU ARB ENTITLED TO A COPY OF THIS CONTRACT AT THE�IME OF SIGNATURE • �-; -���;�> f'. ,,--�.._ ".��, �._ ..�� � WITNESS OUR HAND(3)AND SEAL(S)BELOW 7HIS "'`••�. DAY OF !_�'�., i�-_..��1•��-E� !`-�-�•���•� . ;�' "+? ;'S �:r��.:,��.�„/ � 1 `�•'Gt.-r..�•.•!r,7� ' {Seal} /~r' '' Owner � ._, ;� ; �,`,- .� - �`� y� °, :-�, {�; �� �see� �sea�) Speciali or Above � , ' • . . . .Spouse. :_. •.-. . . . • , '�ctm, ,,,.x :�:; �., .�. t• � ' ' . S ,:*�.K;:",,,�,..`';, . . ��`•c:.��::��':.... . . . . ;; �fr;v^Y3�3: �.•' , .. ... . . . .Y . .. r ����� v '� �„�� _. .� - k�� '`} �4 `� � �`' � f,�f �J'� � � � � � � � � � � ( � a v� � o � �j �` �y' `� � . � � � � �: � :�, � �.,,1 _. � � �. ,� �, w J� U ' � 1 9.�� '.� � —.=, �r+.� � � �-' -� s- 1� �� � � � � � � � � � � � x � � � � �^ k S .�; � ,� �.D � � u o° S" (� .� -� � r-''3 � �� . � E � � _ �s � � .,r., � � 1 R -� -1 " ° �-< `� �� w � , o '� � � � � � � � � � 3 w � n 1 � � `" � � � �_ � � � � � � � � i� � � � � -r� �` ��, �� � c�� - �.. � � � ' � a °�' � �` � � '� � � .� � � � � �,� ,� � x t,,,, ,� � � j � � � � � � � � � � � -. " "� � � � � , � � � � o � � �, � �` � c' d a-- w .-.� � ����� � � � � � � � o � �� � � � o SYTo,e� ) ��'`-� �� � z � l I � �'d RlF L7.G1�:6A t-L j I l s � dao��uauado�enaQ�Cs��oH �90�06 �6 ZZ 3�0 Florida t3uilding C;ode Unline ragc � �� � 5 < ,,;�,,. , roduct Approval ' USER.Publlc Use� , Producf Aoorova/Menu>Vroduc[o�Aaollcat/on Search >Aotlbca[IOn G5t>Appllcat/o FL # F 2811-Ri Application Type Revision Code Version , 20i0 App/ication Status Approved � Comments i Archived Product Manufacture� Pella Corporation Address/Phone/Email 102 Main St. Pella, IA 50219 (641) 621-6096 pellaproductapp�oval@pella.com AZ L uo A�� �KS��� Authorized signature TROY FARR �,OD AjL1i�C L l,(�t��,�3 tbfarrCa�pella.com r Ef��� ('()f��s, L�-��,,� �=,�,J�;� ,,TIOi4'qL �'t'�OkjD �'�1��� Technical Representative Joseph Hayden —•�ut�� ���f'('�D, `�gUL Address/Phone/Email i02 Main Street �rr��r ' rf�C C� 1 D��G (641) 62i 6096 �����lOrTa���en� jahayden@pella com ~S ��"E�1�&': Quality Assurance Representative Ali Zarghami '�'��,,,ti trY Address/Phone/Email 102 Main St �%�� ��,�:�,$��� /� '� Pella, IA50219 �`''�'«�;.��a,-,�.,��� yL ` (641) 621-1000 g��,.�'�� � �� zarghamia@pella com ��r�q� Category Windows ` �� Subcategory Horizonta/Slider Compliance Method Eva/uation Report from a florida Registered Architect or a Licensed Florida Professiona/Engrneer � Eva/uat/on Report-Hardcopy Received Florida Engineer orArchitect Name who developed the Warren W. Schaefer, P.E. Evaluation Report Florida License PE-44135 Quality Assu�ance Entity Architectura/Testing, Inc. Quality Assurance Contract Expiration Date 12/31/2014 Validated By Terrence E Lunn, PE Vahdation Checkhst-Hardcopy Received Certificate of Independence FL2281 i R1 COI certificatlon of indeo ndence Ddf Referenced Standa�d and Year(of Standard) Standard Year AAMA 101/I 5 2-97 1997 AAMA/WOMA/CSA 101/I 5.2/A440-OS 2005 Equivalence of Product Standards Certifred By Sections from the Code http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvEm1 fWvK4b... 6/17/2013 Florida Building Code Online ra�G � �l � ProductApprova/Method Method 1 Option D Date Submitted 09/12/20i 1 Date Validated 09/18/2011 Date Pending FBC Approva! 1o/i2/2011 Date Approved i2/06/20i1 - -----.-------�_.____._.__...-----._.—__._____..___.___. ...______ _________��._ Summary of Products FL# Model,Number or Name Description 12811 1 Series 10 Sliding Window Series 10 Vinyl Flanged XO or OX Sliding Window 73 x 62J Limits of Use Installation Instrucfions App�oved for use in HVHZ:No FL12811 Ri II Orawino 1598.odf Approved for use oufside HVH2: Yes Verified By� Warren W. Schaefer, P.E. 44135 Impact Resistant:No Created by Independent Thrrd Party• Yes Design Pressure: +30/-30 Evaluation Reports Other:Glass shall conform to the latest ASTM Ei300 standard. FL128i1 RI AE Evaluation reDOrt WW5148.Ddf Created by Inde endent Third Party: Yes 12811.2 Series 10 Sliding Window Series 10 Vinyl Flanged XO or OX Sliding Wlndow 73 x 50 Limits of Use Insta/lation Instructfons Approved for use in HVHZ: No FL12811 RI 11 Drawin4 1598.pdf Approved for use outside HVHZ: Yes Verified By Warren W, Schaefer, P.E. 44i35 Impact Resistant:No Created by Independent Third Party: Yes Design Pressure: +37/-49 Evaluation Repo�ts Other:G/ass shall confo�m to the/atest ASTM E1300 standard, fL12811 Ri AE Evaluation reoort WW5148.Ddf Created by Independent Third Part : Yes 128i 1.3 Series 10 Sliding Window Series 10 Vrn I Flan ed XO o�OX Slidln Wlndow 73 x 38 Limits of Use Installation Instructions App�oved for use in HVHZ:No FL12811 R1 II Drawino 1598.odf Approved for use outside HVHZ: Yes Verified ey: Warren W. Schaefer, P.E. 44135 Impact Resistant:No Created by Independent Third Party: Yes Design Pressure: +37/-49 fvaluation Reports Other:G/ass shall conform to the/atest ASTM E1300 standard. FL12811 R1 AE Eva/uation re�ort WWS148 odf Created by Independent Thrrd Part : Yes 12811 4 Series 10 Sliding Window Senes 10 Viny/Flanged XOX Sliding Window 110 x 62 Limits of Use Installation instructions Approved for use in HVHZ:No FL12811 RI 11 Drawinq 1598.odf Approved for use outside HVHZ: Yes Verified By. Warren W. Schaefer, P.E. 44i35 Impacf Resistanf:No Created by Independent Third Party: Yes Design Pressure: +30/-30 Evaluation Reporis Other:G/ass shall confo�m to the latest ASTM E1300 standard. FL12811 Ri AE Evaluation renort WWSi48 ndf Created by Independent Third Party: Yes 12811 5 Series i0 Sliding Window Series 10 Viny/F/anged XOX S/iding Window(i10 x 50 Limits of Use Installation Instruttlons Approved for use in HVHZ:No FLi281 i RI 11 Drewino 1598 odf Approved for use outside HVHZ: Yes Verified By: Warren W. 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(CA 6809) 2000 PRO�INE PL4CE P W �seo �son1 co�aT NoarN g�?. �� WAR W. SCHAEFER P.E. P��H GMDENS,R J]�iB GERYSBURG, PA 173ZS � P.E.N0. 44135� PHONE:581-7�4-]�7a 71�-334-0099 � M � Florida Building Code Online Page 1 of 4 Product Approva/ USER:Pu60c User Product Aoorova!Menu>Produd or Avolicafion Search>Apnlrcation Lisf>AppllcsUon De FL# F 1152-RS Application Type ffirmation Code Version 2010 Application Status Approved Comments Archived Product Manufacture� Pella Corporation Address/Phone/Email 102 Maln St. Pella,IA 50219 (641) 621-6096 pellaproductapproval@pella.com Authorized Signature Joe Hayden Sandi Robinson �LL �� pellaproductapproval@pella.com � .- c°�F�,tJ'lf�t���s�''�L . Technical Representative loseph Hayden CfJ'y �V,��,�C��f f�f ji Address/Phone/Email Pe�,�IA 50219t ��Z�1�f�l�hl f'��z�1Q,1� d f�, (64i) 621-6096 j�j, �t�`� �I��ji �1��1 jahayden@pella.com Ljs�o �j���, QUll � Qualrty Assurance Rep�esentative Andrew Nelson ��I�'`�0������C 1C�s'l� Address/Phone/Email 102 Main St Pe!la,IA 50219 ��'�,. (641) 62i-3804 � ��� . nelsona@pella.com '�1'j�r�L�f�� ���������� Category windows �� ��,4-' '' Subcate9ory Double Hung ���,� ������ �� � '� Compliance Method Certification Mark or listing \`� Certification Agency Window and Door Manufacturers Association Validated By 7ames L. Buckner, P.E. at CBUCK Engineering , Valldation Checklrst-Ha�dcopy Received Referenced Standard and Yea�(of Standard) Standard Year AAMA IOi/1.5.2-97 Igg� AAMA 101/I 5.2/NAFS-02 2002 AAMA/WDMA/CSA l0i/I.5.2/A440-OS 2005 Equivalence of Product Standards Certrfied By I affirm that there are no changes in the new F/orida Building Code which affect my product(s)and my product(s)are in compliance with the new Florida Building Code. Documentation from app�oved Evaluation or Validation Entity yes No N/A Product Approval Method Method 1 Option A http://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDQttaGsIp3GvulV... 5/20/2013 Florida Building Code Online Yage 2 ot 4 Date Submitted i2/09/2011 Date Validated � 12/09/2011 Date Pending FBC Approva! Date Approved 12/14/2011 Summary of Producfs --- --�----^—��--�—�-----~ FL# Model,Number or Name Description 15152.1 Series 20/25 Double Hung Vinyl Double Hun Window(48"x 62') Limits of Use Certification Agency Certi�tale � Approved for use in HVHZ:No FLi1152 RS C CAC 411-H-859.31-.35.Odf � Approved for use outside HVHZ: Yes FL11152 R5 C CAC 411-H-862.36-.39.odf ( Impact Resistanl:No Quality Assurance Contract Expiration Date Design Pressure: +25/-25 04/18/2015 � Other:Configurations of glass shall conform to current ASTM Insfallafion Instructions i E1300 standard. fLi1152 RS II Installation Drawino 1596 C.odf Verified By: Warren W. Schaefer, P.E. 44135 � Created by Independent Third Party: Yes Eva/uation Reports FL11152 RS AE Installation Drawino 1596 C odf � Created b Independent Third Pa : Yes 11152.2 Series 20/25 Double Hung Vinyl Double Hung Window(36"x 72') Limits of Use Certification Agency Certificate Approved for use in HVHZ:No FL1i152 RS C CAC 411-N-859.24-27 Odf Approved for use outside HVH2: Yes FL11152 RS C CAC 411-H-862 28-3I Ddf Impac[Resistant:No Quality Assurance Contract Expiration Date Design Pressure: +30/-30 04/18/2015 Other:Configurations of glass shall conform to current ASTM Installation Instructions Ei300 standard. FL11152 RS 17 Installation Drawina 1596 C vdf I Verified By: Warren W. Schaefer, P.E. 44135 � Created by Independent Third Party: Yes � Eva/uation Reports i fL11152 RS AE Installation Drawing i596 C odf Created by Independent Third Party: Yes (11152.3 Series 20/25 Double Hung Vinyl Double Hung Window(36"x 62') Limits of Use Certification Agency Certi�cate Approved for use in HVHZ:No FL11152 RS C CAC 411-H-859.28-3i odf Approved for use outside HVHZ: Yes FLI1152 RS C CAC 411-N-862.32-.35 odf Impac!Resistant:No Quality Assurance Contract Expiral/on Date Design Pressure: +35/-35 04/18/2015 Other:Configurations of g/ass shall conform to current ASTM Installation Instructions E1300 standard. FL11152 RS 11 Installatron D�awino 1596 C adf Verified By• Warren W. Schaefer, P E. 44135 � Created by Independent Third Party: Yes Eva/uation Reports �� FL11152 R5 AE Installation Drawino 1596 C odf � Created 6 Inde endent Third Part : Yes 11152.4 Series 20/25 Double Hung Vinyl Double Hun Twin Composite 89"x 78" ,Limits of l/se Certificatfon Agency Certi�cate IApproved for use in HVHZ:No FLIii52 RS C CAC CCL for Pella 7-14-1i 411-H-866 12-i5 odf i Approved for use outside HVHZ: Yes FL1i152 RS C CAC CCL for Pella 7-14-i1 411-H-86718-21 odf Impact Resistant:No Quality Assurance Conlract Expfration Date Design Pressure: +20/-20 04/18/2015 Ofher:Confrgurations of glass sha/l conform to current ASTM Installation insfructions �E1300 standard FL11152 RS II Installation Orawrno 1596 C odf i Verified By. Wa�ren W. Schaefer, P.E. 44135 i Created by Independent Third Party: Yes Evaluation Reports � FLI i I5� RS AE Installation Orawino 1596 C odf � Created by Independent Th1�d Party: Yes i ;Ii152.5 Series 20/25 Double Hung Vinyl Double Hung Twin Composite(96-1/2"x 72') �Limifs of Use Certification Agency Certificate Approved for use in HVHZ:No FL11152 RS C CAC CCL for Pella 7-14-11 411-H-866 16-i9 odf Approved for use outside HVH2; Yes FL11252 RS C CAC CCL for Pella 7-14-11 411-H-867 22 25 odf Impact Resistant:No Quality Assu�ance Contrac!Expi�ation Date Design Pressure: +25/-25 04/18/2015 Other:Configurations of g/ass shall confo�m to current ASTM Insta!lation Instruclions E1300 standard. FL21152 RS II Installation Orawino 1596 C odf Verified By. Warren W. Schaefer, P.E, 44135 Created by Independent Third Party: Yes Evaluation Reports http://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDattaGsIp3Gvu1V... 5/20/2013 Florida Building Code Online Yage 3 ot 4 ��I . FL11152 RS AE Installation Drawino i596 C.pdf Created by Independent Third Pa : Yes 11i52.6 Se�ies 20/25 Double Hun � Vin I Double Hun Tw/n Com osite 72-1/2"x 72" Limifs of Use Certification Agency Certificate Approved for use in HVHZ:No FL11152 R5 C CAC CCL for Pella 7-14-11 411-H-866.32-.35.pdf Approved for use outside HVH2: Yes FL11152 R5 C CAC CCL for Pella 7-14-11 411-H-867.38-.41.Ddf impact Resistant:No Quality Assurance Contract Explratlon Dafe Design Pressure: +35/-35 04/i 8/2015 Ofher:Configurations of glass shall conform to cur�ent ASTM Installation Instructlons E1300 standard. FL11152 RS II Installation Orawina i596 C.ndf Verified By• Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports I FL11152 R5 AE Installation Drawina 1596 C.odf ; Created b Independent Third Party: Yes i '11152J Series 20/25 Double Hung Vin I Double Hun Tri le Com osite 89"x 78" Limits of Use Certification Agency Certit7cate Approved for use in HVHZ:No FL11152 RS C CAC CCL for Pella 7-2i-ii 411-H-872.12-.15.odf App�oved fo�use outside HVHZ: Yes FL11152 RS C CAC CCL for Pella 7-21-11 411-H-873 12-IS odf Impac[Resistant:No Quality Assurance Contract Expiration Date Design Pressure: +30/-30 04/i 8/2015 Other:Configuretions of g/ass shall conform to current ASTM Inslaflation Instructions E2300 standard. FL21152 RS II Installation Drawina 1596 C.ndf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL11152 RS AE Installation Orawina 1596 C odf Created by Independent Third Party: Yes 11152.8 Se�ies 20/25 Double Hung Vinyl Double Hung Trip/e Composlte(108"x 72') Limits of Use Certification Agency Certificate Approved fo�use in HVH2:No FLi1152 RS C CAC CCL for Pella 7-21-11 411-H-872 16-19 odf Approved for use outside HVHZ: Yes FL11152 RS C CAC CCL for Pella 7-21-i1 411-H-873 16-i9 odf Impact Resistant:No Quality Assura»ce Confract Expiration Date Design Pressu�e: +25/-25 04/18/2015 � Other:Configuratrons of glass shall conform to cu�rent ASTM installation InstruCtions �E1300 standard. FL11152 RS 77 Installation D�awino 1596 C Ddf � Verified By; Warren W. Schaefe� P.E. 44135 Created by Independent Third Party: Yes Eva/uation Reports i FL1i152 RS AE Installation Drawino i596 odf j Created by Inde endent Third Party: Yes '11152.9 Serles 20/25 Double Hung Vinyl Double Hun Triple Composite(108"x 62') Limits of Use Certi�cation Agency Certificate � Approved for use in HVHZ:No FL11152 RS C CAC CCL for PeNa 7-21-11 411-H-872 20-23 odf Approved for use oufside HVHZ: Yes FLIi152 RS C CAC CCL for PeHa 7-2i-11 411-H-873 20-23 Ddf � Impact Resistant:No Qualily Assu�ance Contract Expiration Dale � Design Pressure: +35/-35 04/18/2015 � Other:Configurations of glass shall conform to current ASTM Instalfation Instructions i E2300 standard. FL11152 R5 11 Installation Drawino 1596 C odf Verified By: Warren W. Schaefer, P.E. 44135 i Created by Independent Third Party: Yes Evaluation Reports ' FL11152 R5 AE Installation Drawina 1596 C odf Created by Independent Third Party: Yes 11152.10 Series 20/25 Double Hung Vinyl Double Hung Window(48"x 78') Limits of Use Certifieatfon Agency Certi�cate � Approved for use in HVH2:No FL11152 RS C CAC 421-H-859 20-23 vdf I Approved for use outside HVH2: Yes FLI1152 RS C CAC 411-H-862 20-23 odf I rmpact Resistant:No Qualify Assurance Conlract Expiration Date Design Pressu�e: +20/-20 01/10/2015 Other:Configuretions of glass shall conform to current ASTM Insfapafion Instructions �E1300 standard. FLi1152 RS II Installation Drawina 1596 C vdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party• Yes Evalualion Reports FL11152 RS AE Installation Orawino 2596 C odf ' Created by Independent Third Party: Yes 11152.11 Series 20/25 Double Hung Vinyl Double Hun Twin Composite 96-1/2"x 53" Limits oi Use Certifrcation Agency Certi�cate Approved for use in HVHZ:No FL1i152 RS C CAC CCL for Pella 7-14-11 411-H-866 24-27 odf Approved for use outside HVHZ: Yes FL11152 RS C CAC CCL for Pella 7-i4-I1 411-H-867 30-33 odf Impact Resistant:No Quality Assurance Contract ExpiratJon Date Design Pressure: +35/-35 04/18/2015 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqttaGsIp3 Gvu1V... 5/20/2013 Florida Building Code Online Page 4 of 4 ,1 Ofher:Confiquratrons of g/ass shall conform to current ASTM • Installation Insfructions E1300 standard. FL11152 RS II Installation Drawina 1596 C.vdf Verified By• Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Eva/uation Reports FL11152 RS AE Installation Drawing 1596 C.odf � Created by Independent Third Party: Yes i i1152.i2 Series 20/25 Double Hung Vinyl Double Hun Twin Composite 96-1/2"x 62" �Limits of Use Certification Agency Certi�cate Approved for use in HVH2:No FL11152 RS C CAC CCL for Pella 7-14-11 411-H-866 20-23 ndf Approved for use outside HVHZ: Yes FL11152 RS C CAC CCL fo�Pella 7-14-11 411-H-867 26-29 odf Impact Resistant:No Qua/ity Assurance Contract Expiration Date Design Pressure: +30/-30 04/I S/2015 Other:Configurations of g/ass shall conform to current ASTM Installation Instructions E1300 standard. FL11152 RS 7I Installatlon Drawlna 1596 C odf Verified By: Warren W. Schaefer, P.E. 44135 � Created by Independent Third Party: Yes Evaluation Reports I FL11152 RS AE Installation Drawino 1596 C odf � �reated by Independent Third Party: Yes j 11152.13 Series 20/25 Hrgh Performance Double Vrnyl High Performance Double Hung Twin Composite(72-1/2"x Hung 72") Limits of Use Certi�cation Agency Certi�ca[e Approved for use in HVH2:No FL11152 RS C CAC CCL for Pella 7-i4-11 4i1-H-866 28-31 odf Approved for use outside HVHZ: Yes FL11152 RS C CAC CCL for Pella 7-i4-11 41i-H-867 34-37�df Impact Resistant:No Qualify Assurance Contrac!Expiration Dale Design Pressure: +50/-50 04/I S/2015 Other:Configurations of g/ass shall conform to current ASTM Installation Instructions E1300 standard. High performance windows shall have metal tilt FLI i152 RS 11 Installatron Drawino 1596 C odf �latches on the bottom sash inte�lock. Verifred By• Wa�ren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes � Evaluation Reports i FL11152 RS AF Installation Drawrna 1596 C odf Created b Independent Third Pa : Yes 11152.14 Series 20/25 High Performance Double Vinyl High Performance Double Hung Window(48"x 72") Hung �Limits of Use Certi�cation Agency Certifcate Approved for use in HVHZ:No FL11152 RS C CAC 41i-H-859 48-51 Odf Approved for use outside HVHZ: Yes FL11152 RS C CAC 411-H-862 24-27 ndf Impact Resisfant:No Quality Assurance Contract Expiration Date Design Pressure: +50/-50 04/25/2015 Other:Configurations of glass shall conform to current ASTM Instal/afion Instructions E1300 standard. High performance windows sha!!have metal tilt FL11152 RS 11 Installation Orawina 1596 C odf /atches on[he bottom sash interlock. Verified By• Warren W. 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