HomeMy WebLinkAbout13-14764 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(si3pso-oo20 147�
BUILDING PERMIT
Permit Number: 14764 Address: 37647 NEWAL AVE
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR RIDGE
Est. Value: Parcel Number: 03-26-21-0130-00000-0210
Improv. Cost: 8,000.00
Date Issued: 11/27/2013 Name: CARIGNAN, CONSTANCE TRUSTEE
Total Fees: 112.50 Address: 37647 NEWAL AVE
Amount Paid: 112.50 ZEPHYRHILLS, FL. 33542
Date Paid: 11/27/2013 Phone: (813)788-1158
Work Desc: CONSTRUCT ALUMINUM STRUCTION 8 X 16
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SHEATHING
FINAL �
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
; �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' � 813-780-0020 City of Zephyrhills Permit Application Fau-813-780-0021
Budding Department
Date Received Phone Contact for Permittin �3 ��a' — �� +
Z-rlT
1 ���Owner's Name � '7' Owner PFfone Number "
Owners Address 7 y' �� Owner Phone Number ��
Fee Simple Titleholder Name � Owner Phone Number ��
Fee Simple Titleholder Address �
JOB ADDRESS 3Z �F � lJ'Ci LOT A � f'S�
SUBDIVISION � PARCEL ID8 O3��i���"D��D—�'�C�'��
(OBTAINED FROM PROPERTV TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER �
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q �—�
DESCRIPTION OF WORK ; (le �
BUILDING SIZE C)/`��l� SQ FOOTAGE I�S HEIGHT �
UILDING $ VALUATION OF TOTAL CONSTRUCTION
� .
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION - lyi ���'��jl�
�; (
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA �YES NO
BUILDER � �COMPANY �'17 CA(1STrl�T'1.61�1 �
SIGNATURE REGISTERED Y! N FEE CURREf. Y/N
Address �5 )Dl'I'r r/ � Z/�l� �icense# C�lJJr���'ol� I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License# ��
PLUMBER � � COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address License# ��
MECHANICAL COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# ��
OTHER COMPANY �
SIGNATURE REGISTERED Y/ N PEE CURRE� Y/N
Address License# ��
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Buildmg Plans plus a Lde 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,Stortnwater Plans w/Sik Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects All commercial requirements must meet comphance
SIGN PERMIT Attach(2)sets of Engineered Pla�s.
""PROPERTY SURVEY required for all NEW construction.
Directions:•
Fill out application completely
Owner&CoMrector sign back of application,notanzed
If over s2500,a Notice of Commencement is required. (A!C upgrades over 57500)
" Agent(for the contractor)or Power of Atlorney(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(PIOUSurvey/Footage)
Oriveways-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 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 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 hired a conVactor or contractors, he is advised to have the conVactor(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 IMPACTNTILITIES 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 WatedSewer 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,F00.00 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"owner",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
certify that I understand that the regulations of other govemment agencies may apply to the intended wark,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies inGude but are raot 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, WeUand 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 2one "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 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 aifect 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 condiGons set forth in
this affidavit prior to commencing oonsVuction. 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 OfficiaN 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 COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) ,I
OWNER OR AGENT CONTRACTOR rl.YLeC i�o��� -
Subscribed and swoj�to(or ed)before me this Subscribed and sworJ�t irmeQ)before me this
�/ob'� by bll" ��a0'/.3 by QY� �CYAL°.
Who is/are personall� y k' n to me or has/have produced Who is/are personally k n to me or has/have produced
as identifcation as identification.
.�� y lMx�r�tA.�l lX.l Notary Public �"��-��� Notary Public
Commission No._� �—1�-I-! Commission No.� �`1� 1�
,.��u�.
,.•':�"Y°�e'� SARAH ELIZABETH VAIENTINE . `a�P"
�20� ��,'-; �o��' �e�;., SARAH ELI2ABETH VALENTINE
. . : Notary Public-State ot Florida ??; ;°'? Notary Public-State of Florida
;�,` a�;My Comm.Expires Aug 22,2014 ;' '�: My Comm.Expirea Auq 22,2014
"%,',FaF����' Commission N EE 19799 �1rFaF��cF: Commission�FE 19799
�,�,,,,,
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
/
Contractor/Homeowner: �� � ��`S C'��'1
Date Received: l l� 2� -1 �
Site: � /U'�i.c.`�4 �-I'v`�-.
Permit Type: I�i "7� �� S-�Gf
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.
� ��'�/
K vin S r—Plans Examiner Date Contractor and/or Homeowner,
(Required when comments are present)
,
LEONARD G. "GEOFF" WOOD, P.E.
3704 BRUTON ROAD
PLANT CITY, FLORIDA 33565
(863) 646-5517
DATE: 11/18/13
B&H Construction
Zephyrhills, Fl.
Re: GERALD CARIGNAN
Address: 37647 NEWAL AVE Lot# 21
ZEPHYRHILLS, FL
Dear Sirs,
This letter is to certify that I have reviewed the above referenced
Structure to determine the structural adequacy of the existing structure
To receive the proposed attached structure. The proposed structure is
A 16' X 8' shed extention, off the rear of home. No load will be applied
To the home because we are installing a 2"x 6" fourth wall beam.
As always, should you have any questions, please feel free to call
me at time.
�"�
eonard G. Wood � �
3704 Bruton Road T OF
FOR;
Plant City, Florida 33565 H�H CNUINCACA
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GARAGE DOOR BEAM OR SIvI BEAI►2
TO WOOD WALL CQNNECTTON
GARAGE DOOR SUPPORT BEAl�i AND INTERMEDIATE
BEAM FASTENED TO WOOD WqLL WITH 2"X 1 ]/2"
3"X 12"PANS FASTIIVED TO RECEIVER CHANNEL W/#10 X 2"SMS FI20M CHANNEL
AI-UIv�U1VI BEAMS W/#B X INTO WOOD(1)SCREW PER EqCH 2"OF BEAM. SMB TO
1"TFK SCREWS. FASTEN PANS RECEIVER CHANNEL W/#�8 X 9/d 6"SMS ON EACH SIDE
TO WOOD WAI.LS W/#8 X l" WITH(])SCREW PER EACH 2°OF BEAM
SMS. HOTH AFPLICATIONS
F�,QUIRE 3/4"X 3/16"/4,LUI1�]IIM 2"X 4"CONSTRUCTION USE(3)12D NAII.S
WASIiBRS(4)PER PAN 16"OC TOP AND BOTTOM OF EACH STUD IN FIRST GARAGE OR SHED FASTENED TO
ON RAKES PI.?,TE. TOP PLATE TO FIRST PI.ATE USE(1) HOME W/#10 X 3 1/2"SMS 24"OC
12D NAIL 24"OC. MAX HEIGHT OF 2"X 4"
WALL IS 1 Z',THEREAFI'ER 2"X 6"STUD
WALLS WILL BE REQUIRED. 2"x 6"STUD FASTENERS OR PROCEEDURES
CONSTRUCT'ION USE(4)12D NAILS TOP AND DO NOT CHANGE FOR PT WOOD
BOTTOM OF EACH STUD IN FIIiST PLATE-
TOP PI.ATE TO FIRST PLATE USE(2)12D
NAILS 24"OC IN TOP PLATE. WOOD STUDS
16"OC FASTENED TO 2"X a"Ox 6"BASE EXT'ERIOR PER OWNER SPECIFICATION
PLATE W/SIMPSON H�1 OR EQUIVALENT APPROVED SIDING OF CHOICE OVER
TOP PLATE W/ AN�SHALL BE FASTENED TO DOUBLE HOUSE WRAP, 1/2"CDX OR OSB
CORNERS LAPPED Z"X a'°TOP PLATE W/SA4PSON H-2.5 SHEATHING,FASTENED 3"OC ON
HURRICANE CLIP OR EQUIRALENT pER1METER OF WALL AND 6"OC IN
CLIPS SHALL BE INSTALLED ALL DOUBLE AND TRIPLE THE FIELD. IF IN A FLOOD ZONE,PT
W/1 1/2"X.148 BRIGHT HEADERS WILL USE LSTA STUDS AND SHEATHING WILL BE
SMOOTH SHANK FULL ROUND SA4PSON 18 STRAP FASTENED �QUIIiED WITH THE SAME
HEAD NAILS. W/] 1/2"X.148 IN EACH HOLE FASTENING AND PROCEEDURES
OR
SA�PSON H 2.S` . THERMOPLY NAILED 3"OC ON
O�gQ� PERIIvlETER OF WALL AND 6"OC
- IN TI�FYELD OR STAPLED W/
?/16"CROWN STAPI.ES AT SAME
CENTERS,HOUSE WRAP IS NOT
� , REQUIItED.
FASTEN BOX PAN RECEIVER
CHANNEL TO HOST WALL W/
#10 X 2"SCREWS @ 12"OC MAX
WALLS ARE FASTENED TO
�'�` CONCRETE W/1/2"DIAMET'ER
�'a� WEDGE OR SLEEVE ANCHORS
? � ` - 24"OC WITH(l)ANCHOR WITH
� ' j IN 6"OF EAC;H DOOR WITH A
� MINIMUM 3"PENETRATION
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, �� Er�on�
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a„co�c.sr�ox co�,�c�n � ,.�,.�r;,,�",,,
� ERRTH gIT�,�V/6X6—903f10 9dW UP TO A 72"X�0"PREHIJATG DOOR ��*��W
NYESH OR FIHERNIESH Vd/6 A�tII, .i.,ca,�+�++�nw
INSTALLED PER MArTLJFACTtJgiERS *'"+--''N"�"'�,�
M.4t�a n
, VI3QLJENE VRPQR BARRIER� SPECIFiCATIOI�S, ----
TERASII'B TRE/�T]vFENT, USB
2500 pSI C01�CRETE MIIV. USE
72"X 12"MOTdf3LITHIC F�OTER
W/]#S RE�AR M1N CONT,
• Florida Building Code Online Page 1 of 1
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�Application Type ALL Product Manufacturer ALL
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�Quality Assurance En[ity ALL Quality Assurance Entl[y Cont2R Exp(re0 ALL I
Product Model,Number or Name ALL Produc[Desaip[ion ALL
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L177 -R4 Editorlal Change Metals USA BuIlGing Products ChHstlan Langley,PE Approved
Historv ��7�Rooflnp (954)333-8965 �
Subu ory:Metal Rooflng
�•Approved by DB�R.Approvals by DBPR shaN be revkwed and raqfled by[he POC and/or the Commisslon If ne�xssary. I
Contnct Us 1940 North Monroe StreeL Tallahassee fL 32399 Phone:850-487-1824
The S[nte of Florida is an AA/EEO employer Cowdnht 20074010 Sfa[e of Florlda. Privacv Statement d�f�Li�GQROL 0.efund Statement
Under FlorWa law,emait addresses are public records.If you do not want your e-mail address rcleasM In response m a pubNc-rccords requ'st,do not send ekcWnk
mall to thLs entfry Iretead,coMact the oMce by phone or by Vaditlonal mail.If you Aave any pu'stb�,pkase mnhct 850.<87.1395.�Pursuant M Sectlon 155.275
(1),Florlda StaLrtes,eRectWe October 1,2012,licensees licens�d uMer Chap[er 455,F.S.must provide Me Department wMh an email sddress N they Mve one.The
emalk provided may De uaeA for oMtlal mmmunuatlon wltA the Ilcensee.However emall addrases are publk record.If you do not wish to supply a personal address,
pkase provide the Department wl[h an emall addrcss whidi can be made avaikbk to Me public.7o determine if you are a pcensee einder Chapter 455,F.S.,ptease
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Comments
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ProCuc[Manufacturer MeWls USA Bullding Groducts
Address/Phone/Email 7815 American Way
Groveland,FL 34736
(352)787-7766
bka u tma n n�m etals usa.com
Authorized Signature Bill Kaufmann
bkaufmann�metalsusa.com
Technical RepresenWtive Bfll Kaufmann
Address/Phone/Email 7815 ameriwn Way
Groveland,FL 34736
(800)342-9077
bkaufmann�metalsusa.com
Quality Assurance Representa[ive BILL KAUFMANN
Address/Phone/Email 7815 AMERICAN WAY
GROVELAND,FL 34736
(352)787-7766 EM 227
b ka utma n n�m eta Is usa.mm
Category Roofing
SubcategOry Metdl ROOfing
Compliance Method Evaluadon Report from a Fiorida Reqistered Architect or a Licensed Florida
Professional Engineer
� Evaluation Report-Hardcopy Received
Florida Englneer or Architect Name who developed[he Thomas C WIIliams
Evalua[ion Report
Florida License PE-54877
Quallty Assuronce Entity UL LLC
Quallry Assurance Contract E�iratlon Date 09/29/2015
ValiCatetl By Christian Langley,PE
� Validation Checklist-Hardrnpy Received
CertlfiCate OfIndEp2ndEnCE FL1779 R4 COI COI.odf
Referenced SWndarO an0 Vear(ot SWndard)
Equivalence of Produd SWndards
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Sectlons from[he Code
1714
ProCud Approval Method Me[hod 2 Option B
Florida Building Code Online Page 2 of 2
Da[e Submitted 02/OS/2013
Date Validated 02/12/2013
Date Pending FBC Approval 02/20/2013
Date Approved 04/09/2013
5ummary of Products �
,FL if Model,Number or Name DescH tlon �
i
�1779.1 3"X 12"ALUMINUM RISER PAN X A24" aluminum roof panels used in resldential or commerctal applications of
AND.030",TWIN-VEE'W"PAN X.026" engineered mobile home roofover systems,carports,screen rooms,patio i
&.034" covers,awnings,pnopies,walkway covers,and she05.
�Limlta o/Use [nshllatfon fnstrudions '
�Approved for use In HVH2:No FL1779 R4 II Drewina.odf �
Approved for use outside HYHZ:Yes Verified By Thomas C Willlams P.E.54877
Imp�et Resistant:No Created by Independent Third Party�Yes
�Desiqn Prcuure:N/A Ersluatbn Raports
�OMer:refer to engineering&installation sheets for spans&design FL1779 R4 AE Eval.odf
;pressures Created by independent Third Party•Yes
�aaif� �
ConUCt Us 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824
The Sta[e of Florlda Is an AA/EEO empbyer Cowrlaht 2007-2010 SGte of Florlda.;.Privaw SGtement Act�slbilltv SlatemeM flefuM Starement
Under Florida Ww,emall addresses are Oublk records.Tf you do not want your e-mall address rcleased In lesponse to a publlrraords request,do not send elec[ronic
mall to[hls entity.Ins[ead,contact the ortice by phone or Dy traditbnal mall.If yw have any questlo�u,pkase aontrQ 850.487.1395.•�ursuant M Section 455.275
(1),Flor10a Stntuhs,effective Octaber 1,2012,Ilcensees Ilcensed under Chapter 455,F.S.must provide tAe DepartrneM wi[h an emaU addras N tliey have one.The
emails provided may be used(or oftidal communleatlon wlth the Ikensec.Mowever emall eddresses arc publk record.7f you do not wish to suppy a personal addras,
plwse provWe the Department with an emall address wAkh can be made avaiWble m Me publlc.To de[ertnlne If you are a Ilcensee under Chapter 455,F.S.,please
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aroduct Aooroval Menu>Product or Aoolication Search>wppliwtion List
�.�!� �Search Criteria Refine Search
�� �Code Version 2010 FL# 5302
;Application Type ALL Product Manufacturer ALL
jCategory ALL Subcategory ALL
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!�Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
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IOther ALL
Search Results-Applications
FL# Tvoe Manufacturer Validated B Status
FL5302-R4 Revision Amarr Garage Doors Steven M. Urich, PE Approved
Historv Category: Exterior poors
Subcat o : Sectional Exterior poor Assemblies 717 932-8500
FL5302-R5 Revision Amarr Garage Doors Steven M. Urich, PE Pending FBC Approval
Category: Exterior poors
Subcate o :Sectional Exterior poor Assemblies 717 932-8500
'*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary
Contact Us 1940 North Monroe Street.Tallahassee FL 32399 Qhane:850-487-1824
The State of Florida is an AA/EEO employer Convriaht 2007-2013 State of Florida. Privacv Statement Accessibilin Statement Refund Statemen[
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 electronic mail to this entity Instead,contact the office by phone or by tradkional mall.If you have any questions,please contaR 850.487.1395.
'Pursuant to Section 455.275(1),Florida Statutes,effec[ive Oc[ober 1,2012,Iicensees Ucensed under Chapter 455,F.S.must provide the Department
with an email address if they have one.The emails Drovided may be used for ot►icial communication with the licensee.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 cari be made available to the public.
7o determine if you are a Iicensee under Chapter 455,F.S.,please click here
Product Approval Ac�epts:
�� ��
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http://www.floridabuilding.org/pr/pr_app_lst.aspx 11/20/2013
Florida Building Code Online Page 1 of 4
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Product A��roval Menu>Product or Aoolica[ion Search>A�olication�st>Application DeWil
�� �� FL# FL5302-R4
a 3�T-��:� 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 27305
(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 Receiveci
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/W�rnock Hersey
Quality Assurance Contract Expiretion Date O1/O1/2015
Validated By Steven M. Urich, PE
� Validation Checklist- Hardcopy Received
Certificate of Independence FL5302 R4 COI Statement of Indeoendence 2013.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM E 330 2002
DASMA 108 2005
Equivalence of Product Standards
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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/O1/2013
Date Approved 08/23/2013
Date Revised 08/26/2013
Summary of Products I
FL# Model,Number or Name Descri tion ;
5302.1 Stratford (M600)and Heritage Dwg.IRC-6009-110-11,Thru 9'wide. �
M950
i
Limits of Use Installation Instrudions �
Approved for use 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 Evaluation Reports �
Other: Design Pressure+19.1/-22.6, Not for use in FL5302 R4 AE IRC-6009-110-11 Re�ort 7-10 FL.pdf I
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.
I
5302.2 Stratford(M600)and Heritage Dwg.IRC-6009-300-i1,Thru 9'wide.
(M950 �
Limits of Use Installation Instructions i
Approved for use in HVHZ: No FL5302 R4 II IRC-6009-100-11 drawina 7-10
Approved for use outside HVHZ:Yes sealed.odf
Impact Resistant: No Verifled 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 i
debris region unless structure is designed as partially sealed.�df
enclosed or door is a re lacement door. Created by Inde endent Third Pa : Yes
5302.3 Stratford(M600)and Heritage Dwg.IRC-6009-120-15,Thru 9'wide.
M950
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5302 R4 II IRC-6009-120-15 Drawina 7-10 FL.odf
Approved for use outside HVHZ:Yes Verified By: TON SHELMERDINE 0048579
Impact Resistant: 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-LS Report 7-10 FL.�df
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 �
�
5302.4 Stratford (M600)and Heritage Dwg.IRC-6009-130-15,Thru 9'wide. !
M950
Limits of Use Installation Instructlons I
Approved for use in HVHZ: No FL5302 R4 II IRC-6009-130-15 Drawinq 7-10 FL.�df I
Approved for use outside HVH2: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 in 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 structure is designed as partially
enclosed or door is a re lacement door
5302.5 Stratford(M600)and Heritage Dwg.IRC-6009-140-15,Thru 9'wide.
M950)
Limits of Use Installation Instructions i
� Approved for use in HVH2: No FL5302 R4 II IRC-6009-140-15 Drawma 7-10 FL.odf �
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-6009-140-15 Reoort 7-10 FL.odf ;
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Florida Building Code Online Page 3 of 4
HVHZ. Glazing option shall not be used in wind-borne Created by Independent Third F�arty:Yes �
debris re9ion unless structure is designed as partially �i
enclosed or door is a replacement door. i
5302.6 Stratford(M600)and Heritage Dwg.IRC-6009-150-15,Thru 9'wide.
M950 i
Limits of Use Installation Instructions i
Approved for use in HVHZ: No FL5302 R4 II IRC-6009-150-15 drawinq 7-10
Approved for use outside HVH2:Yes sealed.odf
Zmpact Resistant: No Verified By:TOM SHELMERDINF 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 reoort 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 Heritage Dwg.IRC-6009-169-15,Thru 9'wide.
(M950) i
Limits of Use Installation Instrudions
Approved for use in HVHZ: No FL5302 R4 II IRC-6009-169-15 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 I
Other: Design Pressure+45.3/-51.2, Not for use in Evaluation Reports i
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 partfally seaied.odf �
enclosed or door is a re lacement door. Created b Inde endent Third Fart : Yes �
5302.8 Stratford (M600)and Fleritage Dwg.IRC-6016-100-15, 10'Thru 16'wfde. i
(M950
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5302 R4 II IRC-6016-300-15 Drawing 7-10 FL.�df i
Approved for use outside HVHZ:Yes VerlFled By:TOM SHELMERDINE 0048579 �
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-IS Report 7-SO FL.odf i
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 replacement door. i
5302.9 Stratford(M600)and Heritage Dwg.IRC-6016-110-15, 10'Thn� 16'wide. �
M950
Limits of Use Installatfon Instructions
Approved for use in HVHZ: No FL5302 R4 II IRC-6016-110-15 Drawina 7-10 FL.�df �
Approved for use outside HVH2:Yes Verifled 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-l5 Reoort 7-10 FL.�df
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.
5302.10 Stretford(M600)and Heritage Dwg.IRC-6016-120-15, SO'Thni 16'wide. I
M950
Limlts of Use Installation Instructions
Approved for use in HVHZ: No FL5302 R4 II IRC-6016-120-15 Drawino 7-10 FL�df
Approved for use outside HVFIZ:Yes Verffled By:TOM SHELMERDINE 0048579
Impact Resistant: No Created by Independent Third Party:Yes
Design Pressure: +21.8/-24.8 Evaluation Reports
Other: Desfgn Pressure+21.8/-24.8, Not for use in FL5302 R4 AE IRC-6016-120-:15 Re�ort 7-10 FL.odf i
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, SO'Thru 16'wide.
M950)
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5302 R4 II IRC-6016-130-1.i Draw�na 7-10 FL.odf
Approved for use outside HVHZ:Yes Verified By. TOM SHELMERDINE 0048579 I
Impact Resistant: No Created by Independent Third P,arty• 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-;.5 Report 7-10 FL.odf I
iHVHZ.Glazing option shall not be used in wind-borne Created by Independent Third P�arty: Yes �
,debris region unless structure is designed as partially
j enclosed or door is a replacement door.
�5302.12 Stratford (M600)and Heritage Dwg. IRC-6016-140-17, 10'Thru 16'wide.
' M950 �
�Limits of Use Installation Instructions
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Florida Building Code Online Page 4 of 4
Approved for use in HVNZ: No FL5302 R4 II IRC-6016-140-17.Ddf i
Approved for use outside HVH2:Yes Verified By:TOM SHELMERDINF 0048579
Impact Resistant: No Created by Independent Third Farty: Yes i
Design Pressure: +30.1/-33.8 Evaluation Reports i
Other: Design Pressure+30.1/-33.8, Not for use in FL5302 R4 AE IRC-6016-140-17 report 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 F�arty: Yes
enclosed or door is a replacement door
I
5302.13 StratFord(M600)and Heritage Dwg.IRC-6016-140-24, 30'Thru 16'wide
M950)
Limits of Use Installation Instructions �
Approved for use in HVHZ: No FL5302 R4 II IRC-6016-140-24 drawinq 7-10
Approved for use outside HVH2:Yes sealed.�df
Impact Resistant: No Verified By: TOM SHELMERDINF 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 reqort 7-10
debris region unless structure is designed as partially sealed.odf
enclosed or door is a re lacement door. Created b Inde endent Thfrd 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-6016-145-24 drawinq 7-10
Approved for use outside HVHZ:Yes sealed.odf
Impact Resistant: No Verified By:TOM SHELMERDINE 0048579
Design Pressure: +31.9/-37.2 Created by Independent Third F�arty: Yes
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 IRC-6016-145-24 reqort 7-10
debris region unless structure is designed as partially sealed.�df �
enclosed or door is a re lacement door. Created b Inde endent Third Fa :Yes
5302.15 Stratford(M600)and Heritage Dwg.IRC-6018-110-15, 16'2 thru 18'wide.
M950
Limits of Use Installation Instrudlons i
Approved for use in HVHZ: No FL5302 R4 II IRC-6018-110-15 Drawinq 7-10 FL.odf i
Approved for use outside HVH2:Yes Verified By:TOM SHELMERDINE 0048579 i
Impact Resistant: No Created by Independent Third F�arty. Yes
Design Pressure: +18.2/-20.6 Evaluation Reports i
Other: Design pressure+18.2/-20.6, Not for use in FL5302 R4 AE IRC-6018-110-15 Reoort 7-10 FL.odf i
HVHZ. Glazing option shall not be used in wind-borne Created by Independent Third Farty:Yes
debris region unless strudure is designed as partially �
enclosed or door is a re lacement door. I
5302.16 Stratford (M600)and Heritage Dwg.IRC-6018-120-15, 16'2 thru 18'wide i
M950 i
Limits of Use Installatfon Instructions
Approved for use in HVHZ: No FL5302 R4 II IRC-6018-120-15 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-SO FL.odf j
HVHZ. Glazing option shall not be used in wfnd-borne Created by Independent Third Farty:Yes
debris region unless structure is designed as partially
enclosed or door is a re lacement door.
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ConWCt Us 1940 North Monrce Street.Tallaha<=_FL 32344 pflone:850-487-1824
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Rept:1565862 Rec: 10.00 �
Permii No. DS: 0.00 IT: 0.00
Tax Folio No D3-a�-al-Di3a-�U00C���G3�0 ,11/27/13 C. Miner, Dpty Clerk
THE LITJDERSIGNEU hrrcby gi��es noiice tha�imnrovemrnis wi)i bc rr�aa�ro ccnain real ro
i I 3 13 of ihe Fiurida.to�u�ec�i e fMl�,wing inti�nn.�tian is piovideci in ihis NnTiCF_nF('(ll1 MFn'f FMFfY'►�nce with Sertion
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1 Description of property(Itg�/drsrriplianJ: �`�9/ �6 7�---
aj Street(f�1i)Address•3�G4T NCWG..1 AU� $,�/�X�tf�,5� F/ 3ss�a--- - -- - - - �--• - -
2 General dtacription of improvema�is:3'�e� �tmSi�Jti% -- -
3 Owna lnfonnation eR�/b�AN ��°Na�Y"TllccST'// ._. - - - _ . ._ _ . _� _ ��
a)Name and addrcss:-37�`+.Z!�e�Q/t2v� Z.e�/��,_.�.5 FI �35'i�,---
b►Nsme and�ddrcaa of ke enriple iitleholder(if orher than owTer) �'_a_ _ _ __
c)tateresl in property � ----- -----•
Cona�accoi Worma�ion �t+�N�.►st�u.c�sor� of Ca�.�h+�.l �i�,. ------- ----- _.--
� a)1Vame and address: 4�15 MQ�'�„�.s-�-,�
b)Tekphone No.:SJ3-78�-�4 335�43
S.Sure�y Infom�ation Fa�r e.(Opi.►813-?IS-[��S
a)Name and�d�:
b)M�ount ot Boud: ---
6 c)Telepbone No:� —•— .—
.�� � FauNo.(ONW)
•)Name snd addrosa: �
�.I�ritY�D�+�n witbin the Staic of F�orids desi �e No. �L �-___
a)Name and addnea: ��d by owmu upon wbom omiocs o�otber docwnenta may be arved:
8.1n addivao�tolrimself orovner dai F�x No.(Opr.)
113.1311 xb).Floawia Sntu�a• �s�es 1bc follp�ving pas�to��s�y�.���'s Ntrdce as prrvided in SaUo�
e)Naa�e�d addrsss: '
b)Tdephooe No.: Fax No.(Opt•)
9-�P���daa oiNotice otC�t(tbe e:pinNor dste i�one yqr froo l�e date of reeordioe eokcs�dil�erent date
is syee(}{ed);
��W�r'�0�►ER: AM'PAYI�NTS MADE.B�'?�IE pVVN���T��y�TION OF T'HT NOT)CE OF
�CE�1V7'ARE CONSmERED�MpROPER tAY���p���?l3,PART I,SF.C7`ION 9I3.13,
A NOTIC�OF�'�D CAN REStILT�V YOUR PAYWG 7yy10E�pR fl►�ROVF•I►p+'XIS Tp YpUR PROTER7Y.
MMENCEMEM'MUST BE RF,CpRDED ANp tOS7F.D ON TH��108 S1TE BEFpR�Tgg�r
�1VSPEC770N. Q'YOU INTEND Tp OBT�IN FIN,UV��CpN�,T YOUIt l:E1VDEi2 OR AN A77'OR1VEy eg,Fp�
COMI►�NCIIVG WORK OR Rl�'.CORDING VOUR N077CE OF C�011'[I�NC�MENT.
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Notary Signetar _
Type otldmiificaiion p��� � N����
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Verification purauam eo Section 92.525,Florida Starotes.U�a peashies of perjury�1 declare�hat 1 have read the t
the faets stated in it are pv����►K besy of my knowledge and belief. �O1pg��t
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`°• •°'• Nohry PuDlic-State of Flonda �------_-------,– - •
��� i�;My Comm.Explres Aug 22,2014 NQ���-R S 0'NEIL,Ph p FRSCO CLERK 8 COMPTR ELO L R
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:iTA�E UF FL(�RICA,COUNTY OF PASEO
THIS IS TG CERTIFY THAT THE FOREGOING IS A ���°,,+D! : � C'j�
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR O�PUBLIC RECORD IN THIS OFFICE y � ��
WITNESS MY HAND A,�V[�OFF SEAL THIS � - '
�� DAY OF rV � �� 'n�.;«rw� '
� ULA S O'NEII.,CIERK COMPTROLLER Tru�t , *
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