HomeMy WebLinkAbout14-15179 CITY OF ZEPHYRHILLS
' S335-8TH STREET
(si3)�ao-oo20 15',,7
BUILDING PERMIT
Permit Number: 15179 Address: 4742 17TH ST
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: 14-26-21-0010-02700-0120
Improv. Cost: 1,572.00
Date Issued: 4/14/2014 Name: MAHILUM FLORDELIZA D
Total Fees: 67.50 Address: 27 BENSON ST
Amount Paid: 67.50 BLOOMFIELD NJ 07003-2721
Date Paid: 4/14/2014 Phone: 201-341-2724
Work Desc: REPLACE 2 WINDOWS SIXE/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 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 following reasons: a)wrong address b) wndemned 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 counry, 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
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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. CONTRACTOR SIGN U E PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Building Department
Date Re�e ved � � -��j� Phone�ontact for PermltNn $ �� Z 6 S
Owner'a me (� � /i r f� i L i.�M Owner Phone Number 2 a! ' 3`"� 1 ' �-�2�-(
Owner's dress Owner Phone Number I �„ �
Fee Simpl Titleholder Nama � Owner Phone Number � �
Fee Simpl Tkleholder Address
JOB ADD ESS �1 �� 1 1 �'1 S� ZP.��tRY�i I I i S F L 3 3 S�f 2- LOT# i l
SUBDIVI3 ON M�v�2e S /sT Rd�,I � PARCEL ID# �`f -��-2/ ' O�lo - ��."70�- (� t�-�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK P P08ED e NEW CONSTR B ADD/ALT Q SI(3N Q Q DEMOIISH
INSTALL REPAIR
PROP08 D USE Q SFR [� COMM � OTHER
TYPE OF ONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIP ION OF WORK iA�+2 �- w i ,.o i•+i1'S �r�-e. Si F�- 1�b��
BUILDIN S�ZE �� 8Q FOOTA(3E� HEI(3HT ��
� UILDING S � ,S-1� ��D VALUATION OF TOTAL CONSTRUCTION
�] LECTRICAL $ AMP SERVICE Q PROC3RESS ENERGY Q W.R.E.C.
Q LUMBINC3 �� �i—' �/ q
Q ECHANICAL 3 VALUATION OF MECHANICAL INSTALLATION
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Q AS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS � FLOOD Z�REA QYES NO
P c: ca�e.a �'
BUILDER �J� C MPANY (.QW. S NoM�, Gea��2s` � iJ C-
SIGNATU E ' � � � REOISTERED Y r N FEE CURRE� Y/N
Aaa gs c> �o� � � �i3 ��'A�t�� �z���' ucense# G�oG � SO ��1�
ELECTRI IAN COMPANY
SIGNATU E REGISTERED Y/ N FEE CURRE� Y!N
Add ss License# � �
PLUMBE � COMPANY
81(3NATU E REGI3TERED Y/ N FEE CURRE� Y/N
Add as Llcense#
MECHAN AL COMPANY
SIGNATU E REGISTERED Y/ N FEE CURRE� Y/N
Add sa t License# �
OTHER COMPANY
31(3NATU E REOISTERED Y/ N FEE CURRE� Y/N
Add ss Llcense# I
RESIDEN IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construct�on,
Minlmum ten(10)w�n►king days after submittal date. Requlred onsite,Construction Plans,Stotmwater Plans w!Silt Fence Installed,
�an!tar�FadllUes� 1 Cumpster;Site Wark Permit for subdlvisi�nsAarge projects
COMME IAL Attach(3)complete sets of Bufiding Plans plug a life Safety Page;(1)set of Energy Forms.R-v-W Pe�mit fa�naw oona��cUcr..
Minimum ten(10)working days after submittal date. Required onsite,Constructton Plans,Stormwater Plans w/Slit Fence installed,
Sanitary FadllNes 81 dumpster.Site Woric Permit for all new projects.All commerclal requirements must meet compliance ,
SICiN PE MIT Attach(2)sets of Engineered Plana.
•'""PROPERTY SURVEY requlred for all NEW consUucUon.
Direction :
Fill o t appNcation completely.
Own r&Contractor sfgn back of appllcation,nota�ized
If ov r t2500,a Notice of Commencement is required. (AIC upgrades over tt500)
"' Age t(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner autho�izing same
OVER TH COUNTER PERMiTTIN(3 (Front of Applicadon Only)
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIotlSurvey/Footage)
Drlv ways-Not over Counter ff on public roadways..needs ROW
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: l�—� -�
Date Received: �— 3� ��
s�te: � 7 � � � � �' S�
Permit Type: ��l�lC��e M � W!)'lG(G2t,� 2 s�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'�"�L'y' APR 1 4 2014
Kalvin Switzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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� � :. � CONTRACT# - - . .
FLORIDA SERVICES�SOLUTfONS�.IN.�TALLE:D SAL�� GO�NTRACT �
LOWE'8 AUTHORIZE� E3ENTATIV NV CusTOMER L,�
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LOWE'8 CONTRACTOR LICENSE NUMBEti �� � �" � t1v�3E
CGC1608417
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This k ony a quote tor tha merd�ridite and�eMoas Drhted bnbw.'�t�h b�comW en apriama�upon piym�i�t Upai p�rym�nt,uw�aNke apn�emn4 h�dudinp ihe!padfla�N�PMied peges ot thb
doeum�M,lho T�m�s and Conditlau Indud�d wNh this doaxnent�nd anll dTNr addanda snd aq�d�rta(�b.hu�o,ahdl batetertsd to Midn u thk:��•'
PI,FASE READ ALL TERMS AND CONDITIONS ON 7HE REVBRBE 81DE OF TH[8 PAGE AND POU.OW1Na PAOE9 BEfORE SIONINO.
INST/LL.IATION STREET ADDRESS CITY STATE • nP
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NOTICE TO CUSTOMER—PRICE CALCULATIONS:in order to prope y perform the Installation of ceRain Goods,the Contract Price may include more
Goods than actually wiQ be instaile d b ase d on t he measur e d square f o o t a ge of the Pro ject Area.As a r�esutt,fhe parfies agree that the lump-sum Price
stated in this ConVact Is calculated upon both the value of estlmated(3oods requi�ed to fufflll the Contract(including waste),which may exceed Ihe actual
square footage of the Project Area,and the labor which may be esttmated based on the amount of Goods roquired to fultill the Contrect(including waste).
By slgning this Cor�traci bebw.Customer adcnowiedges receipt of thts notice and agrees and undersNands that the P�ice inciudes these costs whtch may
not be refunded once the Installadon Services are performed.
NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the
pamphlet Renovate Rfght By signing this Conttact,Cuslomer acknowledges Contract Total � �7 Z
having recefved a copy of lhis pamphlet before work began infoRning Customer
of the potential risk of the lead hazsrd axposure trom ranovation activHy to be *applicable taxes included �
performed In Cuatomor's dwallin unit.
NO7E: rotted wood is scovered du ng nsta ation a t�onal charges w il appfy.You wit given a quote and a change order
must be com�leted and si�ned by the customer for any additional charges. Customer must initial.
NOTICE TO OWNER�� ACCORDING TO f OL R{DA'S CONSTRUCTION LIENdLAW (S� ECTIONSt713.001 713.37, FLORIDA
STATUTES ,THOSE WHO WORK ON YOUR PROPERTY OR PROVI�E MATERU4LS AND SERVICES AND ARE NOT PAID IN
FULL HAV�A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY.THIS CLAIM IS KNOWN�AS A
CONSTRUCTION LIEN. I�' YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS,
SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR
PROPERTY EOR PAYMENT,EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR tN FULL.IF YOU FAIL TO PAY YOUR
CONTRACTOR,YOUR CONTRACTOR AAAY ALSO HAVE A LIEN ON YOUR PROPERTY.THIS MEANS IF A LIEN IS FILED YOUR
PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS,OR OTHER SERVICES THAT YOUR ,
CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FA{LED TO PAY.TO PROTECT YOURSELF,YOU SHOULD STiPULA7E �
IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE YOUR�CONTRACTOR IS REQUIRED TO PROVIDE Y�U WITH A
WRtTrEN RELEASE OP LIEN FROM ANY PERSON OR COM�'ANY THAT HAS PROVIDED TO YOU A"NOTICE TO OWNER."
FL(}RlDA'S CONSTRUCTION LIEN LAW IS COMPLEX,AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
PHOTO RELEASE:Customer grents to Lowe's and Lowe's employees and independent contractors the r�ght to take phoeographs of the Premises where
installation Services will be pedormed and all work performed at the Premises related to thls Contract,and irrevocebly grar�ts to LOwe's all ripht,title and
interest in and to the photographs for use in all markets and media,worldwide,ln perpetuity.Customer authoriZas Lowe's to copy�ight,use and publish the
photographa tn prtnt artd/or electronicaHy,and agreea that Lowe's may use such photographs for any lawful purpose,lnduding,but not Umited to,marketing,
advertising,publicity,illushation,training and Web ca�tenL By iniHeling here,Customer agrees to the foregoing. [Customer to initlal to lhe le�j.
Wo �cOmro��et�oo r sonable ava[lability►of Contractor andior any spac I order or ku�r�na •Ciood(s)which is anUcipated to be
��h'✓1 7� CxC�� [fill ln dato].Estimatad campia8on dato is�n_V r`���h� [flll in date].
Said esdmated substantlal co pletion date is not of the essence.A statement of any contlngencies that would rrtaterialy change satd estimated substantial
completion date is as follows: '
(ff applicable,insert a statement of such contingendes).
Thi's Contract providea that all claims by Customar or Lowe'a wlll bo rosolved by BINDING ARBITRATION.Customer and Lowe's GIVE UP THE RIGHT
TO GO TO COURT to e�,force this Contrae4(EXCEPT for mattaro fhat msy be taken to SMALL CLAfM8 COUR'1).Lowe's and Custome�'S rights wil!be
determined by a NEUTRAL ARBITI2ATOR and N�T a judpe or jury. Lowa's and Customer are entitled to a FAJR HEARING. But the arbitratlon
proceduras are SIMpLER AND MORE LIMITED THAN RULES APPUCABLE IN COURT.Arbitrator declstons are as enfon;eable as any court order and
ai2&UbjaCt to NERY LIMffED REVIEW BY A COURT.FOR MORE DETAILS: Revievr the secUon titled ARBITRATION AOREEMeM',WAfVER OF dURY
TRIA�AND WAiVER OF CLASS ACTION ADJU�ICATION found In tha Tertns and Conditions of thts Contract
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Page 1 of 3 Pella � � �`�s
. � N��''fr�L����N� Re�iabilt L7
Other
PSE Pricing Worksheet -- 1Nindows
(Complete and Fax to Instailer)
Custamer: L17� f'14�i�w�v� Siore: ,���
Phone(home�: �l- 3y1'Z�Z� Phone(cell): • Phone(other):
Instal{Address: N��.Z !-7�'' S�'��x}J.jj�,� 335�1'L
Di rections:
�. Draw the walls where windows are being replaced and label them front, back, i.side or R side
(as seen from the streety �
2. Draw the windows that are being replaced on each wafl drawing
3. Place a capital fetter beside each window in the drawing. 1Nlndows uvlth the same dimensions
wiil have the same (etter. Complete the information an the next page using the carresponding
letter. �
Front �,r„�,,,s '�
Left
p�,�k�
Back � .
Right . -
��"a(�z l�s�-1
�r� � c� �o3
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��Z d 8L£IZSLf 68�« 8a068£$£68 5L ��dos� 6�i=t5l 86-£0-�10Z
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Florida Building Code Online Page 1 of 3
Ap�roval
USER:Publk User �
Product Anoroval Menu>Product or Annllcatlon Search>Annllcatlon Lfs[>AppHutlon Detsll
FL # FL16603
Applicatlon Type New
Code Version 2010
Applicatlon Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratifled 6y the
POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Pella Corporation
Address/Phone/Ema1/ 102 Main St.
Pella,IA 50219
(642)621-6096
pellaproductapproval@ pella.com
Authorized Signature TROY FARR
tbfarr@pella.com
Technical Representative TROY FARR
Address/Phone/Email 18600 NE WILKES ROAD
PORTLAND, OR 97230
(503)405-9176
tbfarr@pel/a.com
Quality Assurance Representative TROY FARR ; �
Address/Phone/Emall 18600 NE WILKES ROAD �
PORTLAND, OR 97230 �
(503)405-9176 , _
tbfarr@pella.com
Category Wlndows
Subcategory Single Hung
Compliance Method CertlfJcat/on Mark or List/ng
Certification Agency W/ndow and Door Manufacturers Assoc/a�����v �`l����•--�-+;---+-7-E�-F�
Validated By Terrence E. Lunn, PE �y�j'Y (�� �,���{`y'���'_,�_�
;�I Validation Checklist-Hardcopy Recet,�d��� F�����y��� .
�]
Refe�enced Standard and Year(of Standard) Standard year
AAMA/WDMA/CSA 101/I.S.2/A440-08 2008
Equiva/ence of Product Standards
Certified 8y
Product Approva/Method Method 1 Option A
Date Submltted 10/30/2013
Date Validated 11/OS/2013
Date Pending FBC Approval
Date Approved 11/10/2013
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsHepnq4%2fS6e... 1/1/2014
Florida Building Code Online Yage "Z of 3
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iSirmmary of Products
iFL# Model,Number or Name Descr/ption
i 16603.1 PeNa 10 Series Sin /e Hun Window 36"x 90"V/n l Non-!m act Sin !e Hun Window
i Limtts oi Use Certificatfon Agency Certi�cate
� Approved for use in HVHZ:No FL16603 RO C CAC CCL-411-H-1032 36x90.vdf
; Approved for use outslde HVH2: Yes QualiLy Assurance Contract Expiration Date
; Impact Resfsta»t:No 08/22/2016
; Design Pressure: +40/-40 Insta/laHon Instructlons
1 Other:Conf/guratfons of g/ass shall conform to the cu�rent ASTM FL16603 RO !I 1414.odf �
�Ei300 standard. FJxed check rafl shall have Pella s contou�shaped Verified By: Warren W. Schaefer P.E. 44135
'steel reinforcement 8t active check reil&active sash sti/es shall Created by Independent Third Party: Yes
have Pella's"C"shaped�elnforcement. Evalusdon Reports
fL16603 RO AE 1414.vdf
Created b Inde endent Third Pa : Yes
�16603.2 Pella 10 SeNes S/n !e Hun Wlndow 54"x 90"V!n /Non-im act S/n le Hun Wlndow
Limifs of Use Cerllficaf/on Ayency Cert!//cate
Approved for use in HVHZ:No FL16603 RO C CAC CCL-411-H-1032 54x90.odf
Approved for use outslde HVHZ: Yes Quallty Assurance Contratt Explralfon Date
� Impact Resistant:No 07/09/2016
� Design Pressure: +45/-45 Insta/latfon Instructlons �
Other:Configuret/ons of g/ass shall conform to the current ASTM FL16603 RO II 1414.vdf �
�E1300 standard. Active check re!l, flxed check rall and actJve sash Ver/f/ed By: Warren W. Schaefer P.E. 44135 I
st!les shall have Pella s contour shaped aluminum re/nforcement. Created by Independent Thlyd Party: Yes
Evsluation Reports
FL16603 RO AE 1414.odf
� Creafed b Inde endent Thlyd Pa : Yes
�16603.3 Pella i0 SeNes Sin le Nun Wlndow 54"x 63"Vin !Non-!m act Sin le Hun W/ndow
�Limits of Use Certificatfon Ageney Certlf/cate
j Approved for use in HVHZ:No FL16603 RO C CAC CCL-41i-H-1032 54x63.vdf
� Approved for use outsfde HVHZ: Yes Quality Assurance Contract Expi�affon Dale
I Impact Resistanl:No 07/09/2016
I, Design P�essure: +50/-50 Installatfon Instructfons
+ Other:Conf/gurations of g/ass shall conform to the current ASTM FL16603 RO II 1414.odf
'E1300 s[andard. Active check raf/, flxed check rall and active sash Verif/ed By: Warren W. Schaefer P.E. 44135
�stl/es sha!l have Pella's contou�shaped a/um/num re/nforcement Creafed by Independent Th/rd Party: Yes
; Evafuafion Reports
FL26603 RO AE 1414.Ddf
� Crea[ed b Inde endent Third Pa : Yes
16603.4 Pella 10 SeNes S/n /e Hun Wlndow 48"x 73"Vin /Non-!m act Sin le Hun Wlndow
L/mifs of Use Certification Agency Cert/ffcate
� Approved for use in HVM2:No FL16603 RO C CAC CCL-411-H-1032 48x73 vdf
� Approved for use outside HVHZ: Yes Qua/fty Assurance Contract Expfration Date
i Impact Res/stant:No 07/09/2016
i Design Pressure: +50/-50 Installatlon Instructions
; Other. Configurations of g/ass sha!!conform to the cu�rent ASTM FL16603 RD II 1414.vdf �
'E1300 standard.AcNve check ra1/, fixed check rall and act/ve sash Verifled By: Warren W. Schaefer P.E. 44135
stifes shall have Pella's con[our shaped a/uminum re/nforcement. Created by Independent Third Party: Yes
� Fvaluallon Reports
! FL16603 RO AE 1414.ndf
� Created 6 Inde endent Thlyd Pa : Yes
�16603.5 Pella 10 Serles Sin le Hun W/ndow 36"x 62"VJn /Non-im act S/n le Nun Wlndow
�Limits of Use Certlficat/on Agency Certif/cate
; Approved for use in HVHZ:No FL16603 RO C CAC CCL-411-H-1032 36x62 odf
i Approved for use outside HVHZ: Ves Quality Assurance ConMac[Exp/ration Date
( Impact Reslstant:No 05/11/2016
Design Pressure: +55/-55 instal/atfon Instructions '
� Other:Configurations of g/ass shal!conform to the cu�rent ASTM FL16603 RO II 1414.Ddf
�E1300 standard. Flxed check rail shall have Pella s contour shaped Verified By: Warren W. Schaefer P.E. 44135
�stee/reinforcement&active check rail&active sash stlles shal! Created by Independent Thlyd Party: Yes
I have Pella s"C"shaped relnforcement. Evaluation Reports
i FL16603 RO AE 1414.Odf
i Created 6 Inde endent Thlyd Pa : Yes
16603.6 Pe!!a 10 Serles S/ngle Hun Wlndow 36"x 73"V/n /Non-im act Sin le Hun Wlndow
LimJts of Use Cerdficatlon Ayency Certiflcate
App�oved for use in HVHZ:No FL16603 RO C CAC CCL-411-H-1032 36x73 pdf
Approved for use outside HVH2: Yes Qua/ity Assu�ance Contract Explra!!on Date
Impacf Resistant:No 07/09/2016
Design Pressure: +60/-60 Installatlon Instructfons
j Other:Configuretlons of glass shall conform to the current ASTM FL16603 RO II 1414.ndf ,
�E1300 standard. Fixed check rail shall have Pella's contour shaped Verif/ed By: Warren W. Schaefer P.E. 44135
ialuminum relnforcement&active check rall shall have Pella s"C" Created by Independent Third Party: Yes
shaped reinforcement. Evaluatton Reports
� FL16603 RO AE 1414.odf
�
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsHepnq4%2fS6e... 1/1/2014
Florida Building Code Online Page 3 of�3
� � Created b independent Thlyd Pa : Yes
16603.7 Pella 10 Serles 5/n /e Hun Window 52-1/8"x 50"V/n I Non-lm act S/n le Hun Wlndow
Lfmits of Use Certification Agency Cert/Rcate
Approved for use in HVHZ:No FL16603 RO C CAC CCL-41i-H-i032 52.125x50.vdf
Approved for use outsfde HVH2: Yes Quallty Assurance Contract Expf�atlon Dale
Impact Resistant:No 07/09/2016 �
Des/gn Pressure: +60/-60 InstallatJon Instructlons i
Other:Configuretlons of g/ass shall conform to the current ASTM fL16603 RO 17 1414.vdf
E1300 standard.Act/ve check ra11, fixed check reil and active sash Verlfled By: Warren W. Schaefer P.E. 44135
st!!es shall have Pella s contour shaped aluminum reinforcement. Created by Independent Thlyd Party: Yes
i Evaluat/on Reports
fL16603 RO AE 1414.odf
� Created b Inde endent Third Pa : Yes
�_..._...._._._.. _......____---. .._---._.......__..._....._._._...-- -----__._._. _------ - ---— -- �
http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqsHepnq4%2fS6e... 1/1/2014
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