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
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FOOTER BOND DUCTS INSULATED SEWER MISC
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE—METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE—SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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
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,
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 ��
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,�-�-''-��'- i�'s-'�;"''� ICode Versfon 2010 FL# ALL
�Application Type ALL Product Manufacturer Custom Window Systems Inc.
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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
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;�;,�;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.
To detertnine if you are a Iicensee under Chapter 455,F.S.,please click here
Product Approval Acaepts:
� � eChck �
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� ����""'�`� ' ICode Version 2010 FL# 161
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;Application Status ALL Compliance Method ALL
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�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:
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,�r FL# FL161-R4
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.��., • � = Application Type Revision
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� 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.
Vroduct ADV�ovai Acaepts:
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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