HomeMy WebLinkAbout14-15099 CITY OF ZEPHYRHILLS
5335-8TH SIREET '
(si3)�so-oozo ��gg
BUILDING PERMIT %
Permit Number: 15099 Address: 5316 8TH ST HISTORIC
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-15200-0190
Improv. Cost: 8,596.38
Date Issued: 3/20/2014 Name: SOMMERS, THERESA M.
Total Fees: 127.50 Address: 5316 8TH ST HISTORIC
Amount Paid: 127.50 ZEPHYRHILLS, FL. 33542
Date Paid: 3/20/2014 Phone:
Work Desc: REPLACE 13 WINDOWS SIZE/SIZE -APPROVED BY HISTORICAL BD 3/18/14
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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.
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 f) 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 Acaompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CON CT SIG TURE PERMIT OFFI R
PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� ZEPHYRHILLS HISTORIC PRESERVATION BOARD MINUTES
A Historic Preservation Board Meeting was held on Tuesday, March 18, 2014, in the Robert
H. Johnson Council Chambers of the Municipal Building. Chairman Geiger called the meeting to
order at 5:10 p.m. as a quorum was present. Roll call was taken. Present were members John
Geiger, Rose Hale, Marian Riopelle and Tracy Sullivan. Staff Present was Todd Vande Berg and
Main Street Liason Gina Granger.
Rose Hale moved to accept the November 25, 2013, minutes as presented. Motion was
seconded by Marian Riopelle. Motion passed unanimously.
NEW BUSINESS
(1) Application for a Historic District "Certificate of Appropriateness" submitted bv Theresa Sommers
for propertv located at 5316 8th Street (Replacement of 13 windows)
Mr. Vande Berg reviewed the materials in the agenda package and explained the
background of the Community Redevelopment Area (CRA) grants. He stated that part of the
contractual agreement with Gina Granger (Main Street Director) was to assist in the administration
of these grants. She has been a big help and instrumental in assisting staff through the application
process. This is the first CRA grant that has been reviewed by the Board because the subject
property is a historical contributing structure and a Certificate of Appropriateness is required prior to
the installation of the replacement windows.
After discussion, Tracy Sullivan moved to approve the Certificate of Appropriateness
submitted by Theresa Sommers for the property located at 5316 8th Street for the replacement of 13
windows. Motion seconded by Rose Hale. Motion passed unanimously.
Meeting adjourned at 6:00 p.m.
� APPLlCATION FOR A HISTORIC DISTRICT
"CERTIFiCATE OF APPROPRIATENESS" �
ey stat�•Application#. Corrtributing:�'�e' /No Date Submitfed.• � i� f
� . (Applicar�Please prdvide information betwsen fhe doub/e lines)
.
� C�Property Address or Location: �� � � �� ��° • � ���1�
Ovmer'sName: t !�'�.:5�� ..�[/v;tii���� Phone:,�S'SL� �-��-��i%f.i
AppiicanYs Name&Company(ifd�er+ent):
ApplicanYs Mailing Address: ��f� ����`–�' �£'���-i.�.�G��r �LS� � ���ll�
App. Contact info: Phone:�'%i �!� �� Fax: � Emaii•
. 7-Zti�i'��;r��`-�t�•t,�il-ei:����'i�'�
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Type of Property: Residential Commercial ✓ Public or O�Cier
PROPOSED RESTORATION/RENOVATIONS/REPAIRS 1 RELOCATION/ETC:
Exterior WaAs � Si9na9e
Exterior poors • Ughting
_�Windows . New Main Building or Addition to Existing Buiidtng
Por�ches New Accessory.Bidg.(garage,carpo�t,sfied)
Awnings or Canopies New deck,ramp,patio.etc.
Fencing Building,Oemolition or Relocation
Exterior PaiMing&Cobr Char�ges General Repairs(describe beiow)
- ` Roofing Other(describe below)
Detailed description o proposed ric: (attach other sheets if necessary) �"� � �,�i,r���,�j t�:�» C!�U,j _
� �
- — - -. .. .
The Historic Preservation Board requines that the fodowing information MUST be inciuded with an application prior ta the �
application being accepted by sta[f:
• Detailed Plans.induding a site nlan and elevation(s):
. Color and material samoles:
• Manufadurer's sales literature:
• �hotoaraohs:and
• My other suonortina documentation to show that the proposed work is consistent with the adopted Departmerrt
of Mterio�Standards.
..- � _ _��k�:r�5� _�;�"ti i�tn c���
SiG TURE OF THE OWNER and/or APPLICANT
� (Applicarrt do NOT write BQOW this line)
ACTION TAKEN: Date: tVf�,i'<��i /��� � ��'�
�y Staff: Approved � Denied Reason for Denial:
(�rBy HPB: Approved � Approved with modfications noted below'and/or on attached sheets
Denied
`HPB Condition(s)of Approvai: 9�I�I ) �.
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Signed: �' � /� ,/.,.-- Date: ,� I� - �. � I �—
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a�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Ftec�ived� � "��"� phone Contact for Permlttin __ ,3�,�L.
Owner's Name f�.Q,✓Q 5 �� rV7 0✓S Owner Phone Number U � 3 '"7�7�� 9
Owner's Address cS� Owner Phone Number
Fee Simple Titleholder Name � � Owner Phone Number
Fee 3imple Titleholder Address
JOB ADDRESS I �" ,5 LOT# �
SUBDIVISION � (�� Z ,L h � PARCEL ID# ` ' " ^CJOCO•^ r E7c� — DP O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONS7R I� ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL n REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q� FRAME Q STEEL Q
' l ` /� i j1��n
DESCRIPTION OF WORK C� C� Lv� i Q'OZ
/ �
BUILDING SIZE � � SQ FOOTAGE�� HEIGHT pL
UILDING �/,, � VALUATION OF TOTAL CONSTRUCTION
F� �- .
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� � ��� ,. ��
QGAS Q ROOFING Q SPECIALTY 0 OTHER '���c, ,�L�V 3-/j���
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO (J��`' h�'3�''�`
�� �' ,�c � _�
BUILDER � y��—' �' � ,� COMPANY �: % ` W l r� �D/' f j/t e
SIGNA�URE v RE�ISTEREC Y/ FEE CURRE� J N , ' •--
Address License# � ��oZ S 7��,�
ELECTRICIAN � COMPANY
SIGNATURE REcisreReo Y/ N FEE CURRE� Y/N
Address License#
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y!N
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
tttti . . . - .-
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Fadlltles&1 dumpster;Site Work Permit for subdivlsions/large projects
COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
••""PROPERTY SURVEY required for all NEW consUuction.
Directlons:
Fill out application completely.
Ovmer&Contractor sign back of application,notarized
If over i2500,a Notice of Commencement Is required. (A/C upgrades over 57500)
•' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ' ���'I��' �-;S�l/y]�
Date Received: - �f���
Site: _ � 3� Ic7 CS�� S�
Permit Type: /�� 1�'C'C� � � ' �/S►�?r�
� ����� s� �
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.
�Q�=,i,, • MAR � 4 2014
Kalvin Switzer- Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
"viiiiiiiiiiiiiiiiiii�iiiiiiiiii«iui�iii�iiii�iiaiiiiiiiiii _.
2034036772
Repf,:1'387411 R�e: 10.00
DS: 0.00 IT: 0.00
03/11/14 B. MeBa�, Opty Clerk
PpULii 5.0'NEIL,Ph.D.PR5C0 CLERK L COMPTROLLER
03/�Ri BK4 �0�a� 1PG�f 1311_
NOTICE OF COMMENCEMENT
Permit No. •
Property Identification No. ��� v��p—a-� bD�a ��g 2�a- o�9a
TFIE iJNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the rlorida"otatutes;[ne foiiowing informatiun is providai in the NO'Pi�E t�F CvMMENCEMEN'I'. -
1. Description of property(! a/ducripNon:) C/��i-z C PlT a T �d�/ . �.x �....
a) Street Address: /
2. General description of improvements /n
�3. Owner Information ..
a) Name and address��� � S�svh�»o.is �S 31(0�ic'�`5+ Z�D�w+�j••+ ?�l�S �3 3 S`YZ.
b) Name and address of feo simple titleholder(if other than owner)
c) Interest in properry �.�k21
`� Contractor Information ��) / � ,�-���� " lA' ,,�/ ��
a) Name and address: ' A�OA�i 2.LJ W��1.d0l�� l�DI07�S ���i�vLG�C3�B7 �L/� ��/`'rWC-
- b) 7'elephoneNo.: ' 7�� Q'S$1 FaxNo.( t.) � x2,���L��
5. Surety Information
a} Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt.)
6. Lender
a) Name and address:
7. Identity of pason within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receivc a copy of the Lienor's Notice az provided in Section
'113.13(1)(b),Florida StaNtes: '
a) Name and address:
b) Tekphone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one yeaz from the date of recording unless a diffecent date is
spxified):
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED[MPROPER PAYMENTS UNDER CHAPTER 913,PART 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FdR IPROVEMENTS TO YOUR PROYERTY.A
NOTICE OF COMMEPTCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTADV FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT.
STATE OF FLOIUDA (�
COUNTY OF PASCO �� ��� _T�C� 0 1 Ls.� �Mu w.w �� — �Q�!at O1 ,
� • �e��e Si Nro OF Owner or r'a Avtlwrized Of6ca/Dir�orlPa�er/Mwger
� 1d(dY COMMISSION t FF 34079 -C�.D r�� .56 v�n w�1-S- `�_Cr�c..�L
nwp` Fy�j�������� Priet Name I
�T' n `
The fotegoing instrument was acknowledged before me this�day of 1�1Q1'('� ,20�by`�LYP 1'Ll_I:n.�wrs 4�rn�
as (type of authority,e.g.otTicer,trustee,attomey in fact)for j
(name of party on behalf of w6om instrument was eacceuted).
Personally Known_OR Produced Identification� Notary Signature £yj
Type of Identification Yroduced rFl 1yL.�5�.�.�S•f SS•a Name(print)�lli`ll�: �. t,srYY�j
Verification pursuant to Section 92.525,Florida Statutes.Undapenalties of perjury,I dxlare that 1 have read the foregoing and that the facts statcd
in it are we to the bcst of my lrnowledge end bel ief. �a----�— ����QQ���
FORMSMOC.mROD7 ` `A\Li19'� ;'
Si�nwe efNrurY Pmen Slydy Aheve
�.��,'`'o� ��
ST�,TE�3F FLQfZII7A. COUNTY OF PASCO � , �
, .: ' : :_'t'�iFY THA'i'THE FOREGOING I�A � •
?RUE ANI�CORRECT COPY OF THE DOCUMENT G
ON FILE OR OF PU3UC i1ECORD IN THIS OFFICE � � ' �
r,t Gnd'�v.
WITNESS MY HAND AND OFFICIAL SEAL THIS .* ' E 7.�r : *
�_� DAY OF �a�1 2(� 1�-J i' �; •
AUP LA S. O'NEIL, CLERK& COMPTROLLER * - • *
. -'� a88�� '
Bl', �Y�P�c �C_.� •�DEPUTY CLERK '� • •
��:'�pFFLOR�Op
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, Sliding Glass Doors,
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R ���� ,:, NATtONAL HEADQUARTERS and MANUFACTURING PACILtT1ES Roll Shutters,Yanels,
������ 1367 Martln lttlher King Ave.Dunetlin,Florid8 34898
� M�g,)pC, t�z» 738-0227 • Fax ��a�> >ss-s»� Accordion Shutters,
www.trayviewwindowsdoors.com Home Improvement
License#Cf3C1257Q22
SALES REP _ �-•�OGt� (s�,.. _____ DATE �_��r��� PAGE � OF �
ESTIMATED TIME UF INSTALLAT�ON �"Co W EEKS JOB NO._ _ _�J�o�j `�_
�--_^"__"–___ —cT
OWNER'S NAME HOME PHONE
ADDRESB�,;i� !t�__$"F"'L _ _ W ORK PHONE �f 3 '�7$S'"' 3 3 LQ
CITY j� STATE _ ZIP _ OTHER PHONE
JC36 AD�RESS��'��� � �_ CONDO/ASSOC. #
-- �L.� _'�:�`a yZ PHONE__�I_�- �g�=—..��,jp .-.-�,__ ELEV.
Bayview Windows, Doors & More, I(1C. ("Seller")will turnish all labor, materials a�d equipment necessa�y to instalt the foliowing
products at the above address:
ROOM/IOCATiON OPENING SIZE QTY STYLE W�NDOWISHUTTEp WINDOW/DOOR
REF. WIDTH X HEIGHT SIZES GLA3S GRID H GRID V OPTIONS
W IDTH X HEIGHT a'SHUTTER TYPE
s 1� x � / � X `
X X
X X
X X
X �'C X +•
X X
X � X 1 `
X VL�O ✓1
x X
X �d �K u
x x
x X ,
x x
ADDITIONAL SCOPE OF WORK AND OPTIONS NOT SNOWN ABOVE.
---��L���__ttLt�_������__� _ Window/Shutter frame color
___'_ �f� t�AVtaf-t C� � G�/��i"}s.. �+ /G� '�/1�+-[�[,Mel l
-- �����,E t.J�_� il.C.-1 K��1YD•L,�
TERMS
❑ (5Q'o)DOW N, BAIANCE (50°.0)ON COMPLETION TOTAL CONTRACT AMOUNT $ ���R��',��_��Sy�)
❑ 1!3 DEPOSIT, 1/3 ON SCHEDULE, 1/3 ON COMPLETION DEPOSIT PAID WITH ORDER $ ��J�C�j
"""•"cuT nUEUPON SCHEDULING $ __ __
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MECAWind Version 2 . 1 . 0 . 6 per ASCE 7-10
Developed by MECA Enterprises, Inc. Copyriqht 2014 c. ;e.mec aenrerr�r'_sss.cc.:�
Date : 3/11/2014 Project No. : 5699
Company Name : Bayview Windows,Doors & More Designed By : John Griffin
Address : 1367 MLK Jr. Ave Description .
City : Dunedin Customer Name : Sommers
State : FL Proj Location : 5316 8th St Zephyrhills, F1 33
File Location: C:\Program Files\MECAWind\Default.wnd
Directional Procedure Al1 Heights Building (Ch 27 Part 1 )
A11 pressures shown are based upon STRENGTH Design, with a Load Factor of 7
Basic Wind Speed(V) = 145.00 mph
Structural Category = II Exposure Category = B
Natural Frequency = N/A Flexible Structure = No
Importance Factor = 1 .00 Kd Directional Factor = 0.85
Alpha = 7.00 Zg = 120G.00 ft
At = 0.14 Bt = 0.84
Am = 0.25 Bm = 0.45
Cc = 0.30 1 = 320.00 ft
Epsilon = 0.33 Zmin = 30.00 ft
Slope of Roof = 8.35 : 12 Slope of Roof(Theta) = 34.82 Deg
Ht: Mean Roof Ht = 20.00 ft Type of Roof = Gabled
RHt: Ridge Ht = 24.00 ft Eht: Eave Height = 16.00 ft
OH: Roof Overhang at Eave= 1 .50 ft Roof Area = 1205.00 ft^
2
Bldg Length Along Ridge = 43.00 ft Bldg Width Across Ridge= 20.00 ft
Gust Factor Category I Rigid Structures - Simplified Method
Gust1 : For Rigid Structures (Nat. Freq.>1 Hz) use 0.85 = 0.85
Gust Factor Category II Rigid Structures - Complete Analysis
Zm: 0.6*Ht = 30.00 ft
lzm: Cc* (33/Zm) ^0. 167 = 0.30
Lzm: 1* (Zm/33) ^Epsilon = 309.99 ft
Q: (1 / (1+0.63* ( (B+Ht) /Lzm) ^0.63) ) ^0.5 = 0.92
Gast2: 0.925* ( (1+1 .7*lzm*3.4*Q) / (1+1 .7*3.4*lzm) ) = 0.88
Gust Factor Summary
Not a Flexible Structure use the Lessor of Gust1 or Gust2 = 0.85
Table 26.11-1 Internal Pressure Coefficients for Buildings, GCpi
GCPi : Internal Pressure Coefficient = +/-0. 18
Figure 27.4-1 External Pressure Coefficients
Cp - Loads on Main Wind-Force Resisting Systems
--------------- ------ ----------- ----------- •
Leeward Wall -0.29 -12.24 -1 .96
Side Walls -0.70 -22.12 -11 _85
Wall Elev Kz Kzt qz Press Press Total
ft psf +GCpi -GCpi +/-GCpi
---------------- ------ ----- ----- ------- ------- ------- ---------
Windward 24.00 0.66 1 .00 30.07 15_31 25.59 27.55
Windward 20.00 0.62 1 .00 28.55 14_27 24.55 26_51
Windward 10.00 0.57 1 .00 26.29 12.74 23.02 24.98
Note: 1) Total = Leeward GCPi + Windward GCPi
Roof - Dist from Windward Edge Cp Pressure Pressure
+GCpi(psf) -GCpi(psf)
--------------------------------- ------ ---------- ----------
0.0 ft to 10.0 ft -0.90 -26.98 -16.70
10.0 ft to 20.0 ft -0.90 -26.98 -16.70
20.0 ft to 40.0 ft -0.50 -17.27 -6.99
40.0 ft to 43_0 ft -0.30 -12.42 -2.14
MECAWind Version 2 . 1 . 0 . 6 ASCE 7-10
Developed by MECA Enterprises, Inc. Copyright 2014 n^..^n>.;>,ec.se-.ter�,r�ses.:,c:r
Date : 3/11/2014 Project No. : 5699
Company Name : Bayview Windows,Doors & More Designed By : John Griffin
Address : 1367 MLK Jr. Ave Description .
City : Dunedin Customer Name : Sommers
State : FL Proj Location : 5316 8th St Zephyrhills, F1 33
File Location: C:\Program Files\MECAWind\Default.wnd �
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Wind Pressure on Components and Cladding (Ch 30 Part 1 }
A11 pressures shown are based upon STRENGTH Design, with a Load Factor of 1
Width of Pressure Coefficient Zone "a" = 3 ft
Description Width Span Area Zone Max Min Max P Min P
ft ft ft"2 GCp GCp psf psf
--------------------------------------------------------------------------
SH 1 , 2,3,12, 13 2.83 5.17 14.6 4 0.97 -1 .07 36.89 -40.09
SH 4,5,6,8.9,10, 2.33 5.17 12.0 .00 .00 16.00 -16.00
Khcc:Comp. & Clad. Table 6-3 Case 1 = 0.70
Qhcc: .00256*V^2*Khcc*Kht*Kd = 32.05 psf
Florida Building Code Online http://www.floridabuilding.org/pr/pr_app_dtl.aspx?pararr�wGEVX...
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�I .'lIIA� aroduct Aooroval Mer.0>Product or Auplication Search>Applkation List>AppG�ation Detail
e�ot�
•< • •� FL# FL14855-R1
Application Type Revision
Code version 2010
Application Status Approved
Comments
Arch ived
Product Manufacturer Custom Window Systems Inc.
Address/Phone/Email 1900 SW 44th Avenue �
Ocala, FL 34474
(352)368-6922 Ext 207
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 Ext 291
btenace@cws.cc
Quality Assurance Representative ]eff Thompson
Address/Phone/Email 1900 SW 44th Ave.
Ocala, FL 34474
(352) 368-6922 Ext 221
jthompson@cws.cc
Category Windows
Subcategory Single Hung
Compfiance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who devefoped Lucas Turner
the Evaluation Report
Florida License PE-58201
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurance Contrect Expiration Date 07/21/2020
Validated By Steven M. Urich, PE
"+'' Validation Checklist- Hardcopy Received
Certificate of Independence FL14855 R3 COI EvalReo CWS-635A(SH=8500 NI .pdf �
Referenced Standard and Year(of Standard) �tandard Year
AAMA/W DMA/CSA/101/I.5.2/A-440 2005
ASTM E 1300 2004
Equivalence of Product Standards
Certified By
1 of 2 3/11/2014 9:30 AM
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