HomeMy WebLinkAbout13-14843 CITY OF ZEPHYRHILLS
' S335-8TH STREET ,� ,�
(813)780-0020 ���+3
BUILDING PERMIT '
Permit Number: 14843 Address: 39544 MEADOWOOD LOOP
Perrr�it Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-1190
Improv. Cost: 3,304.32
Date Issued: 12/19/2013 Name: HERRON FURMAN
Total Fees: 82.50 Address: 39544 MEADOWOOD LOOP
Amount Paid: 82.50 ZEPHYRHILLS FL 33542
Date Paid: 12/19/2013 Phone: 813-778-2626
Work Desc: REPLACE 2 DOOR UNITS SIZE/SIZE
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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 MfSC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� 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 performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
s W —
CONTRACTOR SI� N TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
..�.. ......, v�.� ..� .�..r...�........ . .�....... •rr••---•--•
, `, Building Department
lhO�ti A
Date Rsceived Z� � � Phone Contact for Permittin �0 3 2�� - �''`3 �S
�2 M A�1 t��-R 2� ^J Owner Phone Number $�13^'7 F -Z 6 2 C
Owner's Nama .
Owners Address 3 � m�do� Lo G A Owner Phone Number
Fee 8lmple Titleholder Name Owner Phone Number
Fee Simple TRleholder Addresa
� X 1 1�'
JOB A�1QRE33 �R S� /')'l c� •�e!� G O c !P Z t P l+�e Y I„ �I Y �=L LOt#
SUBDNIBION MEAa�Du�d+c�e1 f STATts 1 PARCEL ID# l 3^2�"�l ' �i''�O •Gncx�c'� • l 1`td
(OBTAINED PROM PROPERTY TAX NOTIG�E)
WORK PRf,�POSED e NEW CONS7R 8 ADD/ALT �� SIGN [� [� DEMOLiSW
INSTALL REPAIR
PROt�OBED U3E Q
SFR Q COMM �� OTHER
TYPE OF CONBTRUCTION Q BLOCK Q FRAME � STEEL Q �-
DESCRIPTION OF WORK ���GG � ,�/0�+2 Gr ���'S S:'zt. Si�t� �'�- `�`i a' FL ��c'/o
BUIL�IN(3 SIZE � SQ FOOTA(iE C� HEI(3Ht
QBUILDING $ -3���r 3 VALUATION OF TOTAL CONSTRUCTION
C]ELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBINC3 ($� J/L �� �
�_. �,j��' (��
[�]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION t���
�]GAS [� ROOFING [� SPECIALTY �� OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO G �
, i2,�3 �-1�
BUILDER " ` MPANY L�w-e S �loMt Gea��2� ��L
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � �O� � �� ��A ��`'� �L��� License# �`o .S(� I'
ELECTRICWN COMPANY
81GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
31ONA'NRE REGISTERED Y/ N FEE CURRE� Y/N
Addrass License# �
MECHANICAL COMPANY
SI�3NATURE REGISTERED Y/ N FEE CURRE� Y/N
Addresa License# �
OTHER COMPANY
SIONATURE REOISTERED Y! N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon.
titinimum t�n(10)wo�icing days after su�mittal date. ReauirQd snsite,Gonstructfo�Pl�ns,Stormwater Plans w/Silt Fence installed,
Sanitary-Fadlltles 8 1 dumpster;Site Work Pertnit for subdivlsions/large pro)ects
COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWction.
Minfmum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilides 81 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compBance
SICiN PERMIT Attach(2)sets of Engineered Plans.
IfRRPROPERTY SURVEY requlred for all NEW consUucUon.
Directlons:
Fill out applicaUon completely.
Uwner&ConUactor sign back of applfcation,notarized
H over s2500,a Notice oi Commencement is required. (A1C upgrades over i7S00)
'• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTIN(i (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED R�STRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictio�s"
which rnay be more res#ticEiv�than County cegulatfans. The undersfgneci assumes cesponsibility for compliance with any
appkiaable deed restrictions.
UNL'I�ENBED CQN°f'i�4�TORS' AND CON'TRACTOR RE3PONSIBILITIES: If the owner has hired a contractor or
contractors to undertak�work, they may be required to be licensed in accordance with state and local regul�tions. If the
contractor-is not licen$ed as required 6y law, both the owner and contractor may be cited for a misdemeanor viotation
under state law. If the;,owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, tMey ar� advised to contact the Pasco County Buiiding Inspection Division—Licensing Se�tion at 727-847-
8009. Furthermore, if fhe owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
po�tfons of the "contractor Block" of this application for which they will be responsibie. If you, as the owner sign as the
contraetor, that may be an indication that he fs not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRdNSPf1RTATION IMP�►CTIUTILITIES IMPACT AND RESOURCE RECOVERY FEE3: The undersigned understands
that Transportation Imp�ct Fees and Recourse Recovery Fees may apply to the construction of new buil�ings, chan e af
use in existing buildings, or,expansion of exiating,buildings, as speci�ed in Pasco County Ordinance number 89-0�ar�� "'
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identi�ed at the time of
permitting. It is further understood that Transportatfon Impact Fees and Resource Recovery Fees must be paid pr`br to
receiving a "certifir,ate of occupancy° or final power release. If the project does not involve a cerkificate of occupancy or
final power release, t.he-fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Imp�et
fees �re due,they mLSt tae:p.aid prior to permit issuance in aecordance with applicable Pasco County ordinanees:
CON�TRUCTION LIEN�►W(Chapter T13, Florida Statutes, as amended): If valuation ofiwork is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—MomBOwr�er�s
Protection Guide" prepared by the florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I eertify that I have obfiained a copy of the above described document and promise in good faitkt�to
deliver it to~the"owner"�prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this appiication is accurate and that alk=wo�k
will be done in compliance with ali applicable laws regulating construction, zoning and land development. App�ication 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 pe�formed to meet standards of all laws reguisting
construction, County and City codes, zoning regulations, and land development regulatfons in the jurisdiction. ( also
certify that I understand that the regulations of other government agencies may apply to the inte�ided work, and thaE it is
my responsibiliry to identify what actfons I must take to be in comptiance. Such agencies inelude but are not limited to:
- Department of Environmental Protection-Cypress Ba�rheads, Wetland Areas and Environmentally Sensf#ive
Lands, Water/Wastewate�Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetiand Areas, Altering
Watereourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depark�nent of Health � Rehabilit�tive Services/Environmental Health Unit-Wells, Wastewater Tr�atment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal A�iation Authority-Runways.
I undecstand'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 fs 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 professionai engineer
licensed by the Stete of Florida.
- If the fili material is to be used in Flood Zone "A" in eonnection with a permitted building using stem wal�
construction, I certify thaf fill will be used only to fiil the area within the stem walL
- If fill material is to be used in any area, I certify that use of such fitl wiil not adversely affect adjaeent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for viola#ing;
the eondi�ions of the building permit issued under the attached permit application, for Iots less than one (4)
acre which are elevated by fill, an engineered drainage plan 1s required.
If I am the AQENT FOR'TWE OWN�R, I promise in good faith to infor-m the owner of the permikting canditions set forth ir�
this affidavit prior to commencing construction. i understand that a separate permft may be required for el�ctrical work,
plumbing, signs, weNs, pools, air conditioning, gas, or other installations not specifically included in the applicakyor� A,. -
permit issued shaii be constr�ed to be a license to proceed with the work and not as authority to:vlolate, cancel, alt�r,�ar `
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 authori�,ed by such permit is commenced wi#hin six months of permit issuance, or if work authorized by
the permit(s suspende,�d or ab�ndoned for a period of six (6) rnonths after the time the work is commenced. An extension'
may be requested, in w�iting, from the Building Official for a period not to exceed ninety (90) days and wilt demonstrate
juslifiable cause for the extension. If work ceases for ninety(90)consecutive days, th�job is considered abandoned,
WARMI�G TO OMINE�: YOUR FAILURE TO RECORD A' NOfiiCE OF C4MMENEEM�NT MAY F�6SULT IN Y�IUR
PAYING TWICE FOR IMP-ROVEMENTS 30 YOUR PROPERTY. IF YOU INTEMD TO OBT/ktM FIMAMCIN�, CONSULT
yyITM�Q���p����C�AN ATTQRNEY B�.FORE R�COl�DING YOUR NOTI�E OF �ONlMLN�LIKAEN`�•
FLOFtt[�A JURl1T(F.S.117.t��)
OWNER OR A(iENT CONTRACTOR
Subsatbed and swom M(or affirmed)before me this Subscrfbed and swom to(or afflrtned)before me this
by bY
Who islare personally known fo me or has/have produced Who Is/are Pe�sona�ly knovmto rne br hasRiave prodtl�ed
as IdentlflcaUon. as IdentlBcation.
Notary Pubifc Notary Pubifc
Commisslon No. Commisslon Na
Name of Notary lyped�printed or stamped Name of Notary typed,printed or stamped
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ��l��,��'C�
Date Received: �Z—� / '-� �
Site: `3q�� �L�� %!1� ,
�
Permit Type: ' �� �.��� S% �(/S%�
Approved w/no comments Approved w/the below comments: � Denied w/the below comments: ❑
This comment sheet sh e kept with the permit and/or plans.
�
l�r��i' f
Kalvin S ' er Plan x iner Date Contractor and/or Homeowner
(Required when comments are present)
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Florida$uilding Code Online Yage 1 ot 3
Product Approval
�tUSER:Public User
Product Avorova!Menu>Producf or Avnlication Search>Aoolication List>Applicatfon Deta/l
FL # FL4904-RS
App/ication Type Revision
Code Version 2010
Applrcation Status Approved
*Approved by 08PR.Approvals by DBPR shall be reviewed and ratified by the
POC and/or the Commission if necessary.
Comments
Archived '
Product Manufacturer Masonite Internationaf
Address/Phone/Email i955 Powis Road
West Chicago, IL 60185
(615)441-4258
sschreiber@masonite.com
Authorized Signature Steve Schreiber
sschreiber�a masonite.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Exterior poors
Subcategory Swinging Exterior poor Assemblies
Compliance Method Certification Mark or Listing
Certification Agency Nationa!Accreditation&Management Institute,
Validated By Nationa!Accreditation&Management Institute,
Referenced Standard and Year(of Standard) Standard Year
TAS 201 i 9g4
TAS 202 1994
TAS 203 1994
Equivalence of P�oduct Standards
Certifred By REVIEW DqTE�,�/�`- `�
C)TY OF Z�PHYRM! �----
�'L�NS EXAIIitIN�F� �����
Product Approva/Method Method 1 Option A ~
Date Submitted i0/12/2011 , ,.,
Date Valydated 03/18/20i2 -�f� t �`�'��� �i1��, � ' � � . ��
Date Pending FBC Approval � �'�� ��'' � � ����`�
�\l� .xi_
Date Approved 03/26/20i2 �'r�r�E +i;C„=��i�
(_i. � . , „ ;.:`� `i!��_.,��
,..._.�_�.___ - --..._.... _.....__ _ _ ..._. _ _._.. _._._ __.._��__ __. . .�. �
,Summary of Products --
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqteluIwHNbblSc... 6/26/2013
Florida$uilding Code Online Page 2 of 3
FL# Model,Number or Name Description
4904.1 Wood-edge Steel Side-Hinged Door 6'-8"Opaque I/5 and O/S Single Door
Units
Limits of Use Cerfi�cation Agency Certi�cate
Approved for use in HVHZ: Yes FL4904 RS C CAC NI006110 01 pdf
� Approved for use ou[side HVHZ: Yes Quality Assurance Contract Expiration Date
� Impact Resistant: Yes 12/31/2014
� Design Pressure: +76.0/-76.0 installatfon Instructions
� Olher:Evaluated for use in locations adhering to the Florida FL4904 R5 1I FL0128.Ddf
Building Code including the High Velocrty Hurricane Zone, and Verified By: Nationa/Accreditation&Management Institute,
where pressure requirements as determined by ASCE 7, Minimum Created by Independent Third Party:
Design Loads for euildings and Other Structures, does not exceed Evaluatlon Reports
the design pressures listed. 3'-0"x 6'-8"max nominal size. When FL4904 RS AE 504A.Ddf
large missile impact resistance is required, hurricane protective Created by Independent Third Party: Yes
system is NOT�equired. See�WG-MA-FLOi28-OS for details.
�4904.2 Wood-edge Steel Side-Hinged Door 8'-0"Opaque 1/S and O/5 Single Door
Units
Limits of Use Certi�catfon Agency Certi�cate
i Approved for use in HVH2: Yes FL4904 RS C CAC N1006110.02.odf
� Approved for use outside HVHZ: Yes Quality Assurance Contracf fxpiration Date
Impact Resistanl: Yes 12/31/2014
Design Pressure: +70.0/-70.0 Installation Inslrucfions
Other:Evaluated for use in locations adhering to the Fforida FL4904 RS II FL0129.vdf
Building Code including the High Velocity Hurricane Zone, and Verified By: Nationa!Accreditation&Management Institute,
�where pressure requirements as determined by ASCE 7, Minimum Created by Independent Third Party:
Deslgn Loads for Buildings and Other Structures, does not exceed Eva/uation Reports
,the design pressures listed. 3'-0"x 8'-0"max nomina/size. When FL4904 RS AE 503A.Ddf
large missile impact resistance is required, hurricane protective Created by Independent Third Party: Yes
system is NOT required. See DWG-MA-FLOi29-OS for detai/s.
4904.3 Wood-edge Steel Side-Hinged Door 6'-8"Opaque I/5 and O/S Door w/or w/o Sldelltes
Units
Limits of Use Certification Agency Certificate
� Approved for use in HVHZ: Yes FL4904 RS C CAC N7006110.OI.odf
Approved for use outside HVH2: Yes Quality Assurance Contract Expiration Date
Impact Resistant: Yes 12/31/2014
Design Pressure: +55.0/-55.0 Installation Instructions
� Other:Evaluated for use rn locatrons adhering to the F/orida FL4904 RS 11 FL0128.odf
Building Code including the High Velocity Hurricane Zone, and Verified By: National Accreditation &Management Institute,
where pressure requirements as determined by ASCE 7, Minimum Created by Independent Third Party:
Design Loads for Buildings and Other Structures, does not exceed Eva/uation Reports
the design pressures listed. 12'-0"x 6'-8"max nominal size. When FL4904 RS AE 502A.odf
large missile impact resistance is required, hurricane protective Created by Independent Third Party: Yes
system is NOT required on opaque panels, but is requrred on gfazed
panels. See DWG-MA-FL0128-OS for details.
;4904.4 Wood-edge Stee/Side-Hrnged Door 8'-0"Opaque 1/5 Door w/or w/o Sidelites
' Units
i
Limits of Use Certi�cation Agency Certificate I
Approved for use in HVHZ: Yes FL4904 RS C CAC N1006110.02.Ddf
Approved for use outside HVHZ: Yes Quality Assurance Confrac!Expiration Date
Impact Resistant: Yes 12/3i/2014
Design Pressure: +45.0/-50.0 Installation Instructions
Other:Evaluated for use in locations adhering to the Florida FL4904 RS II FL0129.odf
Building Code including the High Velociry Hurricane Zone, and Verified By: National Accredrtation&Management Institute,
where pressure requirements as determined by ASCE 7, Minlmum Created by Independent Third Party:
Design Loads for Buildings and Other Structures, does not exceed Eva/uation Reports
the design pressures listed. 12'-0"x 8'-0"max nomrnal size. When FL4904 RS AE SOlA.ndf
�large mrssile impact resistance is required, hurricane protective Created by Independent Third Party: Yes
�system is NOT required on opaque panels, but is required on g/azed
j panels. See DWG-MA-FL0129-OS for defai/s.
4904.5 Wood-edge Stee/Srde-Hinged Door 8'-0"Opaque O/5 w/or w/o Sidelires
� Units
(Limifs of Use Certi�cation Agency Certiflicate
� Approved for use in HVHZ: Yes FL4904 RS C CAC NI006110.02.Ddf
Approved for use outside HVHZ: Yes Quality Assurance Contratt Expiration Date
� Impact Resislant: Yes 12/31/2014
j Design Pressure: +50.0/-45.0 Insta!lation Inslructions
; Other:Evaluated for use in locations adhering to the F/orida FL4904 RS II FL0129.pdf
Building Code rncludinq the High Velocity Hurricane Zone, and Verif/ed ey: National Accreditation&Management Institute,
where pressure requirements as determined by ASCE 7, Minimum Created by Independent Third Party:
Design Loads for Buildings and Other Structures, does not exceed Eva/uation Reports
the design pressures listed. 12'-0"x 8'-0"max nominal size. When FL4904 RS AE SOIA.odf
large missile impact resistance is required, hurricane protective Created by Independent Third Party: Yes
system is NOT required on opaque panels, but is requrred on glazed
panels. See DWG-MA-FL0129-OS for details.
http://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDqteluIwHNbblSc... 6/26/2013
Flarida Building Code Online Yage :i ot �
, �
�I4904.6 Wood-edge Steel Side-Hin9ed Do�r 6'-8"Glazed I/5 and O/S Door w/or w/o Sidelites
Units
Lim;ts of Use Certification Agency Certifcate
Approved for use in HVHZ: Yes FL4904 RS C CAC NI006110.03.Ddf
Approved for use ouiside HVHZ: Yes Qualily Assurance Contract Expiration Date
Impact Resistant:No 12/31/2014
Design Pressure: +50.5/-50.5 InstaUation Instructions
Other:Evaluated for use in locations adhering to the Florida FL4904 RS II FL0130.pdf
,8uilding Code including the High Velocity Hurricane Zone, and Verified ey: National Accreditation&Management Institute,
�where pressure requirements as determined by ASCE 7, Minimum Created 6y Independent Third Party:
i Design Loads for Buildings and Other Structures, does not exceed Eva/uafion Reports
I the design pressures listed. 12'-0"x 6'-8"max nominal size. When FL4904 RS AE 502A.odf
�large missile impact resistance is required, hurricane protective Created by Independent Third Party: Yes
3 system is required. See DWG-MA-FL0130-OS for details.
'4904.7 Wood-edge Steel Side-Hinged Door 8'-0"Glazed 1/S Door w/or w/o Sidelltes
Units
Limits of Use Certificatfon Agency Certlficate
Approved for use in HVHZ: Yes FL4904 R5 C CAC NI0061i0.04.Ddf
Approved for use outside HVHZ: Yes Quality Assurance Contracf Expiration Date
Impact Resisiant:No 12/31/2014
Design Pressure: +40.0/-45.0 Installafion InstruCtions
Other:Evaluated for use in locations adhering to the Florida FL4904 RS II FL013i.pdf
�Building Code induding the High Velocity Hurricane Zone, and Verlfied By: National Accreditation&Management InstiYute,
1 where pressure requirements as determined by ASCE 7, Minimum Created by Independent Thlyd Party:
Design Loads for 8uildings and Other Structures, does not exceed Eva/uation Reports
the design pressures listed. 12'-0"x 8'-0"max nominal size. When FL4904 RS AE SOIA.odf
�large missile impact resistance is required, hurricane protective Created by Independent Third Party: Yes
j system is required. See DWG-MA-FL0131-OS for details.
�4904.8 Wood-edge Stee/Side-Hinged Door 8'-0"Glazed O/S Door w/or w/o Sidelites
Units
I Limits of Use Certification Agency Certi�cate
1 Approved for use in HVHZ: Yes FL4904 RS C CAC N10061 i 0.04.odf
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impaef Resistant:No 12/31/2014
Design Pressure: +45.0/-40.0 Insta/lation Instructions
Other:Evaluated for use in locations adhering to the Florida FL4904 R5 11 FL013i.odf
Building Code including the High Velocity Hurricane Zone, and Verified By: NaHona/Accreditation&Management Instrtute,
where pressure requirements as determined by ASCE 7, Mrnimum Created by Independent Third Party:
Design Loads for Buildings and Other Structures, does not exceed Eva/uatfon Reports
the design pressures Irsted. 12'-0"x 8'-0"max nomina/size. When FL4904 RS AE SOIA.Ddf
j large missrle impact resistance is required, hurrrcane protective Created by Independent Third Party: Yes
�system is re uired. See DWG-MA-FL0131-OS for details.
http://www.floridabui lding.org/pr/pr_app_dtl.aspx?param=wGEV X QwtDqte luI wHNbbl S c... 6/26/2013
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Florida Building Code Online Page 1 of 2
Product Approval
�:USER:Public User
Product Aonroval Menu>Product or Annlicatlon Search>Aav!lcatlon List>Appdcstlon Deh(I
FL# F114010-RI
Application Type Afflrmation
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer Pella Corporation
Address/Phone/Emai1 102 Main St.
Pella,IA 50219
(641)621-6096
pellaproductapproval@pella.com
Authorized Signature Joe Hayden Sandi Robinson
pellaproductapproval@pella.com
Technica/Representative Joseph Hayden
Address/Phone/Email 102 Maln Street ���/���P��-�- 11 %�
Pella,IA 50219 _, �..�v`` �`�l
(641)621-6096 a�`r�'` � `--`---..-�
�� ��:e��°����#��_�..�i
jahayden@pella.com �,,
'-���i t--,�f� l�
� ����
Quality Assurance Representative Andrew Nelson --��.._.
Address/Phone/Email 102 Main St
Pella, !A 50219
(641)621-3804 � 7_'p���T ��i t -.,�
nelsona@pella.com , � '!� ��- �l's>;j � 1?�� `
1 ' s`���1 i'e<<a,�,r ,�� � �;l � .. _ .
• � i i',, � � ,4;
Gategory ExteriorOOOrs � '` L � ', : i° �,�.L (()j' , ,
Subcategory SlidingExteriorpoorAssemblies s ' .1� _�,,`.j` `�
�
.�'t_ �iL �_.���. ;�
Compliance Method Certification Mark or Listing
Certification Agency Window and Door Manufacturers Assoclation
Validated By Terrence E. Lunn, PE
` I Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA 101/1.5.2-97 1g97
AAMA 101/I.S.2/NAFS-02 2001
AAMA/WDMA/CSA 101/L5.2/A440-OS 2005
Equivalence of Product Standards
Certified By
i`�:1'I afflrm that there are no changes in the new F/oNda Bul/ding Code which
affect my producY(s)and my product(s)are in compllance with the new
Florida Building Code.
Documentatlon from approved Evaluation or Validatlon Entity ,yes `:':No :�'N/A
FL14010 Rl COC Comvliance Letter fL14010 Ddf
http://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXOwtDQtGLR%2bvCB... 7/11/2013
Florida Building Code Online rage L ot L
�
Product Approval Method Method 1 Option A
Date Submitted 12/22/2011
Date Validated 12/22/2011
Date Pending FBC Approval
DaYe Approved 01/OS/2012
�_---------------.._._-----__.__._.�----____._�---._�___�.---
Summary of Products � ��
FL# Model,Number or Name Descri tion
14010.1 350 SERIES VINYL SLIDING DOOR-OXXO 146"X 100"
LimPts of Use Certircatfon AQency Certificate
Approved for use in HVHZ:No FL240i0 R1 C CAC 411-H-1125.Ddf
Approved for use outside HVHZ: Yes Quality Assuranca Contract Expiration Date
Impacf Resistant:No 06/16/2014
Design Pressure: +50/-50 Installatfon Instructfons
Other:Configurations of glass conform to latest version of ASTM FL14010 R1 17 i712.ndf
Ei300. Verlfred By: Warren W. Schaefer, P,E. 44135
Created by Independent Third Party: Yes
fvaluation Reports
FL14010 RI AE 1712.odf
Created b Inde endent Third Pa : Yes
14010.2 350 SERIES VINYL SLIDING DOOR-OXO 146"X 100"
Limits of Use Cert3�cation Ayency Certtfltate
Approved for use in HVHZ;No FLi4010 R1 C CAC 411-H-i12�.odf
Approved for use outside HVHZ: Yes Quapty Assurance Contract Expiration Date
impact Resistant:No 04/09/2014
Design Pressure: +50/-50 Installation Instructions
O[her:Configuretions ofglass conform to latest version ofASTM FLi40i0 Rl 11 17i2.odf
E2300. Verifled By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL14010 Ri AE 17i2 Ddf
Created b Inde endent Thlyd Party: Yes
140i 0.3 350 SERIES VINYL SLIDING DOOR-OX/XO(95.5"X 100"
Limits of Use Certlffcation Ayency Certificaie
Approved for use in HVH2:No FL14010 RI C CAC 411-H-1120 odf
Approved for use outside HVHZ: Yes Qua/ity Assurance Contract Expiration Date
Impact Resistant:No 04/09/2014
Design Pressure: +50/-50 Installation Instructfons
Other:Configurations of glass conform to latest version of ASTM FL14010 Ri II 17i2 odf
Ei300. Verified 8y: Warren W. Schaefer, P.E. 44i35
Created by Independent Third Party: Yes
Evaluation Reports
PL14010 RI AE 1712.Odf
Created b Independent Third Pa : Yes
14010.4 350 SERIES VINYL SLIDINC DOOR-O 48"X 100')
Limits of Use Certf�cation Agency Certi�cate
Approved for use fn HVHZ:No FL14010 RI C CAC 411-H-1120 Ddf
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 04/09/2014
Design Pressure: +50/-50 Insta!/atfon Instructfons
Other:Configurations of gfass conform to latest version of ASTM FL14010 Rl II i712 odf
E1300. Verlfied By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL24010 R1 AE 1712 odf
—��-LL--_���W.Y� _�_ � Created b Inde endent Third Party: Yes
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtGLR%2byCB... 7/11/2013
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'Permit Number
Parcel ID Number r�--�;ti�-21 -p �y�_�c�Q��=M j� c� � Rcpt,:1573325 Rec: 10.00 ,
_._......_ ___. _.___...�._.____�__._.�____.
DS: 0.00 IT: 0.00
N O T I C E O F C O M M E N C E M E N T 01/06/14 K. Kraengel , Dpty Clerk �
State of Fiorida €„ �
County of ,.. .,. . ... . .
THE UNDERSIGNED herepy gives notice that improvements wili be made to certain real properry, and in accordance with Section 713.13 of the
Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(lega!description): MQpd� o�,��, Es,, Te,s Pg i 5 P� �p L�T i t R o f�._.32�3_ �°��2 3 p
_ � -- ------.__...._..__..__ �i.— - — - - --
a)Street(job)Address: �`i 5'-f'�! ,r+eAolou,6 ._:.(_...L.._......._....._2.:�,PhR _....,,_...irs F� 3�s
......... ............ .................. ...__..............�.. a��
_. . ..............y �..........................................................y...2.... ... ... ....... . .. . ..
2.General description of improvements: _ �c,�;� R.�lAc�.�v�¢.�T.....,......
_...............................................................................................................................................................................
3.Owner Information or Lessee information if the Lessee contracted for the improvement:
a)Name and address: �K2..,�.q,�......_�-._.._!-Ft._rz�_c,.�7....._^_._3_qSYY r+-1�n�lo����.1.....LO�_�.....Le�'ha't..�.�._►i_s........,(=�......_3._3.._sY2
............................................................... . .
....................._...
b)Name and address of fee simple titleholder(if different than Owner listed above) —
_.___._-- ---..__.__.____�_..........._.._---......_......._..._._
c) Interest in property: _m._:w...*XR......................................._........................._.
..........................................................__..................................................................
_......_.....__......._....._....._..........................._..................._..........
24. ntractor Information
' a)Name and address: � ' . • � •
_.�.-..v��.l�S 1-\cvv� C.������ �►2.�r --�n 3ox 7sri j`1������n�l�.. ._.�L
b)Telephone No.: � ' � -; Fax No.: o tional �
.._..�4_�Z..)...4 _�..-_�.�_5,�....__---............._........_...___...._ ( P ) ..._-...- -..........:._......_......................--..._...._..._....._3..3.8.�....�..........
5.Surety(if applicable,a copy of the payment bond is attached)
a)Name and address: .,�
b)Telephone No.: �...___..............__..._...._......_.__..__..._.........._......................__................_......................._.............................Pau�a s.o'4E 11P30am Sc 1 c�of 1�OMPTROLLER ''
c)AmountofBond: $ 01/06/1 �} pG 2g��
_................................._........._...................._....................................... _. OR BK �� I �
6.Lender ..._..........._......................_..._........... ....
__..........................................................
a)Name and address: ��A�
_............... ........_................___......_...._......_...._ __........................................................_......._................._.._........._......_................................
................................ ......__...............
b)Telephone No.:
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes:
a)Name and address: �(�.,t�
............_................................................................_..........._......................................................................................................... ............................................_.................................................................................
b)Telephone No.: Fax No.: o tional
-........._................_.................... ................_......................
� p ) ........................... ....................................................................................................................
8.a.ln addition to himself or herself,Owner designates __ _____ � _` of
- _..- --.._.__._..__..__........____._
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b)Phone Number of Person or entity designated by Owner:
.._.._................. ..........................................._........................._...._..............................._...._.............................._._...................................................
9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the
_
contractor,but will be 1 year from,the date of recording unless a different date is specified): ,20
? WARNING TO OWNER: ANY PAYMENTS MADE BY THE OVIMER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR ;
PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON ;
THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN i
; A7TORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. '
_............................._..............-�--- ...__..........._.........._...........�--._..._....._.._............_......_......----............._....._....._.._...................._.._.._..-�--.._._...---....... ---._......_.........._._......._........................_.......................................... ......... i
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my
knowle e and belief. �
L� � ' J
_ _ ____..__. � _---- ____ _�,�.,� . ��____
(Signature of Owner or Lessee,or Owners or Lessee's(Authorized OfficedDirectodPartnedManager) (Print Name anfl Provide Signatory's T elOffice)�
The fore 'ng instrument�a owledged before me this � day of i�s�G�i�� ,20 �.�
__..._.... ...—...__..........._--
bY _....._.,.._�r��?� • � as (type of authority,e.g.officer,trustee,attomey in fact)
for � � ,as
_.._.._.._.__-----.-.....___
....___._. ___._...__._..___
(Name of Person) e '��� � '�
fOf (tyP of authority,...e.g.officer,trustee,atlomex,Fn igol�ll//��
....................................................................................__.
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(name of party on behalf of whom instrument was exec .���```�PJ.BAB/����i���
Personally Known Q Produced ID � !���� /� .��1�:��' • G���$
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