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HomeMy WebLinkAbout13-14765 � CITY OF ZEPHYRHILLS 5335—8TH STREET (si3)�so-oo20 1476 BUILDING PERMIT Permit Number: 14765 Address: 3804 LAUREL VALLEY BLVD LOT 51 Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s):51 Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0000-00100-0510 Improv. Cost: 6,000.00 Date Issued: 11/27/2013 Name: MAJESTIC OAKS LLC Total Fees: 97.50 Address: 3804 LAUREL VALLEY BLVD LOT 51 Amount Paid: 97.50 ZEPHYRHILLS 33542 Date Paid: 11/27/2013 Phone: Work Desc: INSTALLATION GLASS WINDOWS (5) INTO SCRN RM L 7.5 C�=:� ;a � J �6 - /� / �� .� � . -� 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. a 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 foilowing reasons: a) wrong address b)condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this 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 Fax-813-780-0021 Building Department Date Received Phone Contact for Pertniltin �J 7 d'- - IQ�P y� OwnersName /��i�/� //�,�h`i OwnerPhoneNumber /O/�p /�' /07�7 Owners Address 6 9 ���ir,»�I- et( .�r� ,3/`\ Owner Phone Number Fee Simple Titleholder Name Owner Phone Number -� Fee Simple Titleholder Address JOB ADDRESS J 8O� p`i u�1L/ � (�(�E I{�� L07# C� SUBDIVISION /��/� �$TJC (.S PARCEL IDp o"�"o1V"p7���QQ-��00-(�'f�� (OBTAINED FROM PROPERTY TAl(NOTICE) WORK PROPOSED B NEW CONS7R B ADDlALT � SIGN 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 C�' � ��h(;J Q W 1 pM BUILDING SIZE �Q�/��� ��� � SQ FOOTAGE �S�• HEIGHT C� BUILDING $�/��D O VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING �� � � � ^� ,r' '� l QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I QGAS � ROOFING O SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER � �COMPANY `�/l ONS%IGCLe77O/Y --� SIGNATURE REGISTERED Y J N FEE CURRE� Y/N Address Q� » �2 j/S�,di[� � � / � License# C:L��C�s77Cj� ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address license# MECHANICAL COMPANY �- SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N Address License# I111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1 j set of Energy Fortns;R-O-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 8 1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complele sets of Building Plans plus a Life Safety Page,(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pla�s w/Silt Fence installed, Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. "'"PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely Owner 8 Contractor sign back of application,notarized If over 52500,a Notice of Commencement is requfred. (NC upgrades over 57500) " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized lelter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIOUSurvey/Footage) Driveways-NOt over Counter if on public roadways neetls 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 idenUfied at the time of permitting. ft 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 WaterlSewer Impact fees are due,they must be paid prior to permit issuance in accordance with app�icable Pasco County ordinances. CONSTRUCTfON 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"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 certity that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construc[ion,zoning and land development. Application is hereby made to obtain a permit to do work and installadon as indicated. I certify that no work or installaGon has commenced prior to issuance of a permit and that all work will be perfortned 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 work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering Waterwurses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Welfs, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following resVictions 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 fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certiTy 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 violadng 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. ff 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 elecVical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inGuded in the application. A pertnit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninery(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.117.0,3) OWNER OR AGENT�G '1 CONTRACTOR���,c.�� Syq,�ribed and swqrn to(or e0 before me this Subscribed and swor to affir�ed)b fore me this //-�(c�/3 by 9Ypf �r.�'P� [/"o�O'/3 by �ree 1G �Y Who is/are personally kridwn to me or has/have produced Who is/are personally kno to me or has/ ave produced as identfication. as ident�cation. � / 1 �l:� ��.,►w�.r�t +���' v � � � Notary Public � �_Notary Public Commission No l�C/��( (_7 Commission No._�� (���y ,`NppY P�II, N ,,qu�,, , e or s ampe ;�,-�.t s SARAu ELI7AHETN VALENT;NF :'a �°�6'�; SARAN ELIlABETH VALFNT+NE ���`. ' Notar PuDuc • State of Flor,�a � = Y 'r.' �'.°= Notary PuDlic-State ol hur,��a ?r' ar;My Comm Expires Aug 22,2014 ,s' :�c My Comm.Expires Aug 22,2014 ��',; �°:�'� Commission #EE 19799 '.;fUF�tO�� ;;;;.� Commission#�EE 19799 ����,,,, , LEONARD G. "GEOFF" WOOD, P.E. 3704 BRUTON ROAD PLANT CITY, FLORIDA 33565 (863) 646-5517 DATE: 11/21/13 B&H Construction Zephyrhills, Fl. Re: JACK YOUNG Address: 3804 LAUREL VALLEY BLVD Lot# ZEPHYRHILLS, FL Dear Sirs, This letter is to certify that I have reviewed the construction of the existing structure, and found it to be structurally adequate to receive glass windows in this pre approved existing screen room. As always, should you have any questions, please feel free to call me at time. L nard G. ood 3704 Bruton Road Plant City, Florida 33565 r�or �� FOA. H 4 H Con,wctlon Of Cmtal F7.y�c. 7'Dac� d+rli md ylani mcc�tLc 2010 � � GdcBuildin Satiaal609 M uJ I�Oa1JN. 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CI�'F/15�� FOR: �X 9/16" s�x ,w�a„ �/(Z)N ot �.�,�. �,��5+� `(� TDe� dardi md y7�nt mect thc 2010 ����' SID$ d u'din Codc 8uildio Scctioa1609 � � �/1 !��/�/ NARD 6 Gp 73 � FASTEN l"X 3"OB TO CONCRETE t,�oN�n o.romrr��Moon W/# 10 X 3"TAPCONS 24"OC � �p,,�/L�J� �� k"°''�` �a.�.�.a.rmn (1) 6"ON EACH SIDE OF DOOR :;p;,,'.,:»�, ,�...�.w,p��ws,� rwn.�u n .�'lorida Building Code Online Page 1 of 2 ;�,kt� , ,. ` , ,,_ R ° k.�� :I :i,.:' �t�� A� ! ��. _ �. _ . , � ...:� k•_� � . _ � _ .._.�i�.�1. ' ' – - -- - .�_ _ __ - _ . ���.iY..�t��i,�`:.aZ��l�'s�n,.�'sw_.,�'c�4��.'�'�'s��i, F��':�a;,����pe�l?c BQS Home Loy In User Reqistration Hot Topics Submit Surcharge Stats&Facu Publications FBC SWff BCIS Site Map Links Search ' Busines��`� _ Professi nal ��.� PERd b,`��Approval Regulation Product Aooroval Menu>Product or Aooli�ation Search>Appliqdon L4t t.--�'_:?�:i�.�__:,�L,'-•_.`.;.: ��,v���;;��°�k. ISearch Criteria Refine Search ,�-�-''-��'- i�'s-'�;"''� ICode Versfon 2010 FL# ALL �Application Type ALL Product Manufacturer Custom Window Systems Inc. ICategory WindowsSubcategory Single Hung Application Status ALL Compliance Method ALL Quality Assurence Entity ALL Quality Assurance Entity Contrad ExpiredALL Product Model, Number or NameALL Product Description ALL IApproved for use in HVHZ ALL Approved for use outside HVNZ ALL IImpact Resistant ALL Desfgn Pressure ALL ,Other ALL Search Results-Appl(catlons -- — ----- ------------- FL# Tyoe Manufacturer Validated Bv Status F�163-RS Revision Custom Wlndow Systems Inc. Steven M.Urich,PE Approved HistOry Cateyory:Windows (717)932-8500 Subeatego : Sln le Hun FL4091-R6 Revisfon Custom Window Systems Inc. Steven M. Urich, PE Approved Historv Category:Windows (717)932-8500 Subcate o :Sin le Hun FL5823-RS Revision Custom Window Systems Inc. Steven M.Urich,PE Approved Histarv Category:Windows (717)932-8500 Subcat o :Sin le Hun FL13263-Ri Revision Custom Window Systems Inc. Steven M.Urich,PE Approved Historv Cateyory:Windows (717)932-8500 Subcat o :Sin le Hun FL14853-Ri Reviston Custom Window Systems Inc. Steven M.Urich,PE Approved Historv Cate�ory:Windows (717)932-8500 Subcat o :Sin le Hung FL14855-Ri Revision Custom Wtndow Systems Inc. Steven M.Urtch,PE Approved Historv Gteyory:Windows (717)932-8500 Subca o :Sin le Hun FL15699 New Custom Window Systems Inc. Keystone Certiflcatlons,Inc. Approved * Catepory:Windows (717)932-8500 Subcat o :Sin le Hun FL15800 New Custom Window Systems Inc. Keystone Certiflcatlons,Inc. Denied* Cateyory:Windows (717)932-8500 Subcat o :Sin le Hun FL15801-R1 Revision Custom Window Systems Inc. Keystone CertlFlcations,Inc. Approved* Historv Cateyory:Windows (717)932-8500 Subcst o :Sin le Hun FL16177 New Custom Window Systems Inc. Steven M.Urich,PE Approved Category:Wfndows (717)932-8500 Subcat o :Sin le Hun *Approved by DBPR.Approvals by DBPR shall be rcvkwed and ratifled by the POC and/or the Commisslon M nece�ary. � Cantac[Us 1940 North Monroe Street.Tallahasc—ci a�aoo phone:850-487-1824 The State of Fiorida Is an AA/EEO employer Coovrlaht 2007-2013�tate of Florida ; prfyacv SU[ement Acc�IbiliN SLtemeM :Refund Statement Under Florida law,email addresses are pubifc 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 entiry Ins[ead,conWC[[he ofRce by phone or by t2ditional mall.If you have any ques[ions,please contact 850.487.1395. *Pursuant[o Sectlon 455.275(1),Flo�ida Statutes,eRective October 1,2012,littnsees Ilcensed under Chap[er 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for ofl`icial communlcatlon wkh the Iicensee.However email addresses are public record.If you do not wish to suDPly a persona�address,please provide the Department with an emall address which can be made avallable to the public. To determine if you are a Iicensee under Chapter 455,F.S.,please dldc herc, Product Approval Acppts; �� t�hc:k � http://www.floridabuilding.org/pr/pr_app_lst.aspx 11/22/2013 •Florida Butlding Code Online Page 1 of 2 f � � ���.: : � - - ,�" �"� � .,` v,s y"���^ � ���, ���� ,���'�"� �`� ,�.t .s. s-���.- -s � :""` t' �„�"' 6 ` 1 c� '� I � � 9���v�� r r 3( , +�° i°� 'i � �3i ._:<�, .r. _ � �y�,�� �?� � � ' - ��'fi °_ � . �,."°.�'r�a.. .. . . .�::. . .�._ -'�'� ,.. _, . '' .�� `'��' - ;�;,�;tl� �F�3���-;"r�?�' BCIS Home Log In User Regfstration Hot Topia Submi[Surcharge SWts&Facts Publfcations FBC SWff BCIS Site Map Links Search Busines ��'� � � Product Approval Professi nal �,� USER:PUbIicUSer Regulation �� Product Aoproval Menu>Produc[or AoohcaUOn Search>A�Dlica[ion List>ApplicatlOn Dlpil '�'"�'�"'abe'�3&-;.s�se�_._ -,�;' � FL# FL13263-R1 � :"���' P Application Type Revislon Code Version 2010 Application Status Approved Comments Archived Product Manufacturer Custom Window Systems Inc. Address/Phone/Emaii 1900 SW 44th Avenue Ocala,FL 34474 (352)368-6922 Ext 207 mlafevre@cws.cc Authorized Signature Michael WFevre mlafevre@cws.cc Technica�Representative Brian Tenace Address/Phone/Emall 1900 SW 44th Ave. Ocala,FL 34474 (352)368-6922 Ext291 btenace@cws.cc Quality Assurance Representative Jeff Thompson Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352)368-6922 Ext 221 jthompson@cws.cc Category Windows Subcategory Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer � Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who Lucas A.Turner developed the Evaluation Report Florida License PE-58201 Quality Assurance Entity Keystone Certifications,Inc. Quality Assurance Contrect Expiratton Date 07/21/2020 Vaildated By Steven M. Urich, PE � Validation Checklist-Hardcopy Received Certificate of Independence FL13263 Rl COI EvalReo CWS-515A(SH-3500 Alum Struc) pdf Referenced Standard and Year(of Standard) Standard year AAMA/W DMA/101/I.S.2/A440-OS 2005 ASTM E 1300-04 2004 Equivalence of Product Standards http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvRk6bsvZ66F... 11/22/2013 Florida Building Code Online Page 2 of 2 Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 11/14/2011 Date Validated 12/04/2011 Date Pending FBC Approval 12/15/2011 Date Approved O1/31/2012 - — ----— -- ISummary of Products � IFL# Model,Number or Name DescN lon 13263.1 SH-3500 Aluminum Single Hun . SH-3500 Alum.Sin le Hun in Aluminum Structures. Limits of Use Installation Instructlons Approved for use(n HVHZ: No FL13263 Rl II CWS-515A(SH-3500 Alum Struc) pdf Approved for use outside HVMZ:Yes Verified By: Lucas A.Turner 58201 Impact Resistant: No Created by Independent Third Party:Yes j Design Pressure: +35/-35 Evaluation Reports Other:SH-3500 Single Hung in Alum. Structures, Max. FL33263 R1 AE EvalReo CWS-S15A(SH-3500 Alum t size 56"x 91". Strucl.odf I Created b Inde endent Third Part :Yes Back Next �nWCt Us 1940 No h Mon 5 et Tallaha F �»oa phone:850-487-1824 The SWte of Florida is an AA/EEO employer Convrlaht 2007-2013 State of florida. Rivacv S[atement Aoressibitltv Sta[ement Refund Statement under Florida law,emall addresses are public records.If you do nM want your e-mall address rekased in response to a public-records reQuest,do not send electronic mail to this entity.instead,contaR the olflce by phone or by tradi[ional mall.If you have any questloru,please contact 850.487.1395. *Pursuant to Sectlon 455.275(1),Florida Statutes,efFective October 1,2012,Iicensees licensed under Chapter 455,F.S.must provide the Departrnent with an email address if they have one.The emafls provided may be used for ofticial communication with the Ilcensee.However emafl addr�5ses are public record.If you do not wish to supply a personal address,please proWde the Department with an email address which can be made available to the public. 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BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Fads Publicatlons FBC 5[aff BQS Site Map Links Search Busines j�'� � � Product Approval Professi naI (�Rw USER.PublicUser Regulation Product Aooroval Menu>Product or Aoolica[ion Search>Application List �%i�"�:' . - - ca"Si� , �Search Crlteria Refine Search � ����""'�`� ' ICode Version 2010 FL# 161 '�:����" ;_�-=���-� �: iApplication Type ALL Product Manufacturer ALL ��'�.`�'������•°�.• iCategory ALL Subcategory ALL ;Application Status ALL Compliance Method ALL IQuality Assurance Entity ALL Quality Assurance Entity Contract Expired ALL �Product Model, Number or NameALL Product Description ALL Approved for use in HVHZ ALL Approved for use outside HVHZ ALL Impact Resistant ALL Deslgn Pressure ALL Other ALL � -- - -- — — - ---- — — -- -- ----- -- — ---- — --- �Search Results-Applications �FL# Tvpe Manufacturer Validated Bv Status !Fu61-R4 Revisfon Custom Window Systems Inc. Steven M. Urich, PE Approved Historv Category: Exterior poors Subcategory:Swin ing Exterior poor Assemblies(717)932-8500 �*Approved by DBPR.Approvals by DBPR shall be reviewed and ratifled by the POC and/or the Commission if necessary Contact Us 1940 North Mon t t.Tallaha�s F 3 Phone:850-487-1824 The SWte of Florida is an AA/EEO employer Coovriaht 2007-2010 S[ate of Florlda. Privacv Sta[ement Accessibilitv Statement Refund Statement Under Florida law,e-mail addresses are public records.If you do not want your e-mail address released in response to a public-remrds request,do not send electronic mail to this entity [nstead,conUd the�ce by phone or by traditional mail.If you have any questions regarding OBP0.'s ADA web acceuibility,please contact our Web Master at webma=ter�dbor.state.Fl.us. Droduct Approval Accepta: � � eChECk � �t•c'Ufll�'�,!1 tt:.�� �..,.�,�` -. r r rru.e•a v:r�F•� httn://www.floridabuildine.or�/nr/nr ann lst.asnx 4/4/2012 Florida Building Code Online Page 1 of 2 q� ��� , �`; ;J;:.�:, , ,,,`;� ���ta;a: , .jr;,; , �: �'� �'_ ''. ' �, " �^+�+�,�.IiV �' " : - .., .. - - ' -. ' - ' �. "`�'°""`_.�t�.g"':';";�._;�7*d��`•���":U_,„±";�i,,:•-•....N...,�-1 Fi�"��:3.,'=Dd't�"�^�� BCIS Home Log[n User Regis[ration Hot Topics Submit Surcharge 5[a[s&Fac[s Pubhcations FBC S[aff BCIS Site Map Links Search Busines �`} Professi�nal +�,�►P ERd�e tUApproval � �egula�io� Produc[ADOroval Menu>Produc[or ADDIicaUOn Search>ADDhcation Lis[>Appliwtion Detail µ��... ,�r FL# FL161-R4 "�$,�;�� .��., • � = Application Type Revision =r�""�'�""-'a�"""`��`:� Code Version 2010 ,_ !'�,��_;��.. . � Application Status Approved Comments Archived Product Manufacturer Custom Window Systems Inc. Address/Phone/Email 1900 SW 44th Avenue Ocala, FL 34474 (352)368-6922 Ext207 mlafevre@cws.cc Authorized Signature Michael LaFevre mlafevre@cws.cc Technical Representative Brian Tenace Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352)368-6922 Ext291 btenace@cws.cc Quality Assurance Representative Jeff Thompson Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352) 368-6922 Ext221 jthompson@cws.cc Category Exterior poors Subcategory Swinging 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 Lucas A.Turner developed the Evaluation Report Florida License PE-58201 Quality Assurance Entity Keystone Certifications,Inc. Quality Assurance Contract Expiration Date 03/O1/2014 Validated By Steven M Urich, PE Validation Checklist- Hardcopy Received Certificate of IndependenCe FL161 R4 COI EvalRe�CWS-176C(Guardian Door) pdf Referenced Standard and Year(of Standard) Standard Year AAMA/101/I.S.2-97 1997 ASTM E 1300-04 2004 Equivalence of Product Standards httn://www.floridabuildine.org/nr/�r ann dtl.asnx?naram=wGEVXOwtDawf4n�AXh1045... 4/4/2012 Florida Building Code Online Page 2 of 2 Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 12/O1/2011 Date Validated 12/16/2011 Date Pending FBC Approval 12/21/2011 Date Approved 01/31/2012 Summary of Products i FL# Model,Number or Name Description i i61.1 Guardian Hinged Door Guardfan Hinged Door w/Glazed Insert(Operable or Fixed . �Limits of Use Installation Instructions ; Approved for use in HVHZ: No FL161 R4 II CWS-176C(Guardian Doorl.pdf I Approved for use outside HVH2:Yes Verified By: Lucas A.Turner 58201 i Impact Resistant: No Created by Independent Third Party Yes i Design Pressure: +40/-40 Evaluation Reports iOther: Not for use in HVHZ. Primarily used with Screen FL161 R4 AE EvalRe�CWS-ll6C (Guardian Door).pdf i Rooms. Created b Inde endent Third Pa • Yes �161.2 Guardian Hin ed Door Guardian Hinged Door w/Solid Core. !Limits of Use Instatlation Instructions � Approved for use in HVHZ: No FL161 R4 II CWS-2428 (Guardian Door no qlass).pdf i Approved for use outside HVHZ:Yes Verified By• Lucas A.Turner 58201 i Impact Resistant: No Created by Independent Third Party: Yes ; Design Pressure: +40/-40 Evaluation Reports ! Other: Not for use in HVHZ. Primarily used with Screen FL161 R4 AE EvaiRep CWS-242B(Guardian Door no �Rooms. lass . df � Created by Independent Third Pa : Yes Back Next ConWCt Us 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-18Z4 The State of Florida Is an AA/EEO employer Coovrlaht 2007-2010 State of Florida. Privacv Statement Accessi6ilitv SWtement Refund Statemen[ Under Florida law,e-mail addresses are public records.If you do not want your e-mafl address released in rcsponse to a public-records request,do not send electronic mail ta this entity Instead,contact the office by phone or by traditional mail.If you have any questions regarding DBPR's ADA web aaessibility,please contaR our Web Master at webmaster�dbor.��te.Fl.us. 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W �� d m W m Y� Q� � w ',���� ,.. ., �j��'/ ��< �� z°� _� LL � �J� � o �yy � ac.J w J � ''S,•z Nw •J� �— '�,t = m� w �a;w, �r, t w Q.Qe .: � ZIQ- � =y;U o � p:�� ;r � g? � .�:.> z �,�'•�;: a < % s `�c ai v m �m U i���',;n 1 « pPO;�,�� LL� � � ���4un�t���� W �a, Z �= tirr � y g wo �w °�o � Z Wm � � �o�o W� °o =� � ��w� �w ZU m� �m Q °¢�°� QZ OI=-� ZQ Z~ OQ W� aQy U� O� sZ �� � i�a� Zm H� Q— Ww z �_ u'� g�n w�- ok o�°y Wm QO f�m � �� oya� F- Z z u�z �� �o� W Z� p?-N ��a ?#� 2 UJa �2qF� U O a�eo�o � � � J ��03 � � Q U' r Szap 80�� LLl � �t� } aaa� H � Z W LLw Z �zo �w O �;- S � p�N �� a Fy¢ Z� � �ya 1 3F p � w ui z wZ HR' z� n�W ww �33 gw C7 N Z O w � �Um � O LL � Ou� ~ .ep eD o= ? p D p. � 0 • 0 W � • � D z . . • n o � D U � . , w 'I O J rn �� ��� D v .• D � <' � W D > . e � LL n � Ds I I �W � O Z � � Z Z jw U LL W1- �F Z� Z � o �p Z ?� w ZVO rn� w 00 C7 U O WlU OZ= �""O fn W W Wm F- ¢lQ �OQ �� W� Z Z ga �w �w Wm F� gZ Qow oU �� � � a'� f�0 Q— �'t02' =z a•O V tV vUi�¢ ?u� �m Z�U�j w0 w> �ci Nci �.,rn.� v�c� a m k �(�� l_N City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �l� l. � ��'�S��C C—�C�}-� Date Received: I 1— Z� � ��� Site: '��G � �-�L1,�r�� !/�l�y QI U� -5���'� �Z�'►'� �t-t rt,t�1.�� i v� [_Z3 Cf� l� r c"�l'� �t,c)'��u1,ts ) Permit Type: v , 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. C ' �����/ Kal ' 't r Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) NOTICE OF,C��N�MENT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIiIIIIIIIIIIIIIIiIiIIIII 20132 �------- --- -- -- -� 'Rcpt:1565862 �Rec: 10:00 Pemvt No. DS: 0.00 I T: 0.00 TauFolioNo.o��{�aL-�/-GOL90-DC�/[� - �O D 11�2�/13 C. Miner, DptY Clerk , _ THE UNDERSIGNED hereby�ves notice tliat iroprovements will be made to certain real property,and in accordance with Sccrion 713.13 of the Florida Statutes,the following information is rovid d in this NOTICE OF COMMENCEMENT. --r�c,,} {� aC �as�.8a.00 fl o r�w�!�}�«T+i,�rr�}a�Wr.�+ '/a o�r %JL'/.� oF sr.�-a�f ���� 1.Description ofproperty(legnl des ' fio�):N � af'LH ,► ,�i,�� r a)Street(job)Ad�ess:3 0 �M►red a i F 335�.� 2.General description of impmvements: W� 3 Owner Inforn�ation /�1NC,� FI-I►S L.� a)Name and address:lo�i41 E Qu�.a1ba�K I� ��4L$3 iG Se�t�aS�.t�-t.. 85a5'1 � b)Namo and address of fee simple tideholder(if othcr than owner) c)Interest in property 4.Con�actor Information ��rwN O�+�stcLLc-`+�oti l �r�c. . a)Name and address: `lo�S �(1loc��s�k' t� �c�. Ze�h�r�n���5�1=1 335� b)Telephone No.: $13-"2!S-(v��— �Fax No.(Opt.) l�v'�1�-1a5& � �urery Information ^ a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7 Identity of petson within the State of Florida desi�ated by owner upon whom notices ar other documarts may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) 8.In addition to himself,owner designates the following peison to receive a copy of thc Lienar's Notice as providcd in Soction 713.13(1)(b),Florida Sratutes: �, a)Name and address: b)Telephone No.: Fax No.(Opt.) ' 9.Expiration date of Notice of Commencement(the expiration date is one year from tlte date of recording unless a difl'erent date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATTON OF THE NOTICE OF COMII�NCEMENT ARE CONSIDERED IIVIPROPER PAYMENTS LTNDER CHAPTER 713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYIIVG TWICE FOR II1�ROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB STTE BEFORE'I�FIRST � INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMHIENCIlVG WORK OR RECORDING YOUR NOTICE OF COM1VVi�NCEMENT. , 6TATE OF FLORIDA i COUNTYOF�Q$CO �O. ' � Si pf or Owaer's Authorized OfficulDirectnr/Parmer/Maneger i r � , PrintNsme i I The forogoing instnunent was aclaiowlcdged befare me this,�.[¢_day of �0✓eM b�C�' 20�,by �'e , �'L��D'C� as (type of suthority,e.g.og'icer,trustee, attorney in fact)tor� (aame oi party n behalf of whom' trnm t was eiecated}. � Personally Known_OR Produced.Idenrification_ Notary Signature ' I Type of Identification Produced Name,(piint) , �-AND- Verification pursuant to Section 92.525,Florida Statutes.TJnder penalties of perjury,I declaze that I have read the foregoing and that the facts stated in it are hve to the best of ray lcuowiedge and belief. Fo�sirroc,+� --- - -,.,.. - _ ° �2.Rr ���/�t! i ���e ' SARAH ELIIABETN VALENTINE �Sigaa of attual Puson Signing(in line#10.)Above ,«o:�„••,,. g' �`�� Natary Public-Slate ut Florida -- - -- • •�� NRULR 5 0'NEIL,Ph 0 PASCO CLERK & COMPTROLLER ;,�, .�,My Comm.Expiree Aup 22,2014 �'�:;�q��d;•• Commission M EE 19799 .110R7BK3 $9�a3 PG�2�10 STATE OF FLORIDA, COUNTY OF PASCO �•�'��''�'`�'�`� THIS IS TO CERTiFY THA7 THE FC�REGOWG IS A '"'� � �� ` ' ` � `0`�a r TRUE AND CORRECT COPY OF THE QCICUMENT ��" ��'s � . ,.r . d ON FILE OR OF PUBLIC RECURD IN TNiS QFFICE � :� , � � WITNESS MY HAND AND OFFICIAL SEAL TMIS ��.�;;N�' •�,:„, .,,, ;_;, _ � �c �� DAY OF��11��0�_ ✓ 2 Q�� '�T - � " PAULA S O' I , L R COMPTROLLER �1i' � � �,� � �_;� ' �Y DEPUTY CLERK * • x��� * �q�OF Ft.���P