HomeMy WebLinkAbout14-15241 ` CITY OF ZEPHYRHILLS �`
' ' — ' S335-8TH STREET •'a
' �sis)�so-oozo 15241
BUILDING PERMIT �''�
PERMIT INFORMATION LOCATION INFORMATION `
Permit Number: 15241 Address: 39724 COG HILL LP LT 158
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: � MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0030-00000-1460
Improv. Cost: 25,600.00 OWNER INFORMATION
Date Issued: Name: NHC FL115 LLC (SCHAFFER, DEBORAH
Total Fees: 367.50 Address: 6991 E CAMELBACK�RD STE B 310
Amount Paid: 3ic7��° SCOTTSDALE AZ 85251
Date Paid: ���I Phone: (610)405-8451
Work Desc: ROOM ADDITION & UTILITY RM W/CONCRETE 350 SQ
CONTRACTOR S � APPLICATION FEES
SUN STATE ALUMINUM INC BUILDING FEE 247.50 ELECTRICAL FEE , 60.00
JAMES O MORTON ELECTRIC CO.,INC. MECHANICAL FEE 60.00
BAHR'S PROPANE GAS&A/C,INC.
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Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILI G
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) 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 fi� 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
� '.
FORMS
FLORIDA BUILDING CODE,ENERGY CONSERVATI�ON
FORM 402-2010 Residential Building Thermal Envelope Approach ALL CLIMATE ZONES
Scope:Compliance with Section 402 of the Rorida Building Code,fnergy Conservation,shall be demonstratetl by the use of Form 402 for single-and multiple-Tamily residences oi three
stories or less in height,additions to existing residential buildings,renovations to existing residential buildings,new heafing cooling and water heating systems in ex'isCin9 buildings,as
applicable.To comply,a building must,meet or exceed all of the energy efficiency requirements on Table 402A and all applicable mandatory requirements summarized in Table 4028 of this
torm.Ii a bmlding does not comply with this method or Alternate Form 402,it may still comply under Section 405 oi the florida Building Code,Energy Conservaiion.
PROJECT NAME: SG�G�TL� BUILDER: �j -r'Q-�{ �` �.µ� �,�,�
ANDADDRESS: �jq'j2H Go9 I"�<<< Loo� pERMITTING ( �
Z h rh;lfs F(. OFFICE: �( � �Q �l {• I S
OWNER: �i O�•- (�e. C�FF�( PERMIT NO.: 'Sz j � J RISDICTION NO.: ����p(�j�
� Generallnstruetions:
1.New construction which incorporates any oi the following features cannot comply using this method:glass areas in excess oi 20 pe�cent oi conditioned iloor area,electric resistance
heat and air handlers located in attics.Addilions<_600 sq.ft.,renovations and equipment�hangeouts may comply 6y this method with exseptions given.
2.RII in all the applicabie spaces of the"To Be Installed"column on Table 402A with the iniormation requested.All"To Be Installed"values must be equal to or more efficient than the
required levels.
3.Complete page 1 based on the"To Be Installed"column iniormation.
4.Read the requirements of Table 402B and check each hox to indicate your intent to comply with ali applicable items.
5.Read,sign and date the"Prepared By"certification statement at the bottom of page 1.The owner or ownets agent must also sign and date the form.
Please Print CK
1. New construction,addition,or existing building 1, � lpw
2. Single-family detached or multiple-family attached 2 Sj�'l e,
3. If multiple-family-No,of units covered by this submission 3. -
4. Is this a worst case?(yes/no) q, �J D
5. Conditioned floor area(sq.ft.) 5, a 7$
6. Glass type and area: /- �.
a.U-factor 6 a. •�P�
b.SHGC 6b. ��
c.Glass area 6C. �.°I sq.ft.
7. Percentage of giass to floor area 7, a b %
8. Fioor type,area or perimeter,and insulation:
a.Slab-on-grade(R-value) 8a.R= lin.ft.
b.Wood,raised(R-value) _ 8b.R=�� a�A sq.ft.
c.Wood,common(R-value) 8c.R- sq.ft.
d.Concrete,raised(R-value) 8d.R= sq,ft.
e.Concrete,common(R-value) 8e.R c sq.ft.
9. Wall type,area and insulation:
a.Exterior. 1. Masonry(Insulation R-value) 9a-1. R= sq.ft.
2. Wood frame(Insulation R-value) 9a-2. R=� ��sq.ft.
b.Adjacent: 1. Masonry(Insulation R-value) 9b-1. R= sq.ft.
2. Wood frame(Insulation R=value) 9b-2. R= 1�'i �D sq.ft.
10. Ceiling type,area and insulation:
a.Under attic(Insulation R-value) 10a.R= sq.ft.
b.Single assembly(Insulation R-value) 10b.R=�� �7 R sq.ft.
11. Air distribution system:Duct insulation,location,Qn
a.Duct location,insulation 11 a. R- �_
b.AHiJ location ii b. U�-�-"F5�c{e
c.Qn,Test report attached(<0.03;yes/no) 11 c.Test report attached? Yes No
12. Cooling system:
��,pe 12a.Type: C2+,-'f�"ti-�
b.Efficiency 12b.SEER/EER: � 3
'13. Heatingsystem: i3a.Type: �'-}�c.�' ��ct�+,��
a.Type 13b.HSPF/COP/AFUE: 7-�
b.Efficiency
14. HVAC sizing calculation:attached 14. Yes ol�
15. Hot water system: .
a.Type 15a.Type: P�P[�+►^�G
b.Ef6ciency 15b.EF• 2.
�I hereby certity that the plans and specitications covered by the calculatlon are in compliance vaith the Florida Review of plans and specifications covered hy this calcuiation indicates compliance with the Florida
Energy Code. Energy Code.Before construction is o (ted Rhi�xiill be inspected tor compliance in
accordance with Seciion 553.06��.� l
PREPAHEDBY: �'� DATE: o�tS��� �/
COOE OFPICIAL: X�
I hereby cediry that is Iding fsln c 'ance vith the Florida Energy Code: i/� �� ✓ `���, J-7 F)
OWNER AGENT: DATE:r f DATE: ( J� , /� (
C.4 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION ,
a��-7ao-oozo Gi�ry o1'��pnyrni�is r�r�►�,LhN��«�n����� .
Building DopartmenL•
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Y SULip1V1510N [0137AINED f-ROM PROPGRTYTAX NOTICC)
• � ADD/ALT ]�] SIGN 0 MOVE [� DGMOLISI-I .
iNORIt PROPOSGD ' NCW CONSTR ❑ ���AIR .
�: INSTALL • • . OT!-(CR
PROPOSGD USC' � ' � pLOCit � COMM CI OTI-IER
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AMP SCRVICC PROGRGSS GN�RGY •
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SPCCIAL.TY � OTHER �
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1=1NISI-IED FLOOR�LGVATIONS. FLOOD ZONCAREA [�YGS ���
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SIGNATURC
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Adclress : ��L y j__ • •
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CLCCTRICLAN C\ � O A � ` [�EGISTGRL-� ' �Y/ N FGG CURRCNT Y/N
SIGNATURG '
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SIGNATURL- . .,.._/ r
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RCStD�NTIAL Atfach(2)f�ot'f'lans;(2)s�[s oi I3uil�inc�Plans;('1)sel of Gnerc�y 1=orms;R-o-�1 Permltfor new construcHon,
Mlnimum ten(10)worl<ing days after suUmillal dale. Required onsito,Co�struc[ion Plans;StormwaLor Plans w!Silt f'ence installed,
Sanitary f=acilitles&1 dumpsier;5ite Worlc Permii•for suUdivisionsllarge projecls
COMMCRGIAC Attacli(3)complete sets of Buildinc�Plans plus a Life Safety Pag�;(1)sel of Gnerc�y.'1=orm S or�mwat r nl ns�wl Slll'I=�n�o(nstalled,
Minimum[en(10)worlcing days after submittal date. R�quired onsife,Construction Plans,
Sanitary 1=acilifiies&1 dumpster.Silo Worlc P�rmft�Cor all new nrojec[s.All commercial requiramenls musL meel compliance
' SIGN PCRMIT Att�ROPERTY SURVEY r hu'tred(or all NEW constructlon. � �
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DirecEions: . • '
F(11 ouCapplicalion completely. , •
Owner&ConG'actor sic�n bacic of application,notarizod
If over�2500,a Notice ot Commencemenfi is requir�cl. (AlC upc�rades over:G5000?
** AgenL(for the contractor)or I'ow�r of P:Ltorney(for U�o owner)would b�someone wit11 notarized Ietter�From owner autliorizing same
•OVGR TI-IC COUNTCR P�RMITTING (f-'ront of Application Only) .
Reraofs ' Sowors Sorvic�Upgrades A/C 1=ences(PlollSuiveyll=ootage)
p►•iveways-Nol over Counter ifi on public roadways.:needs ROW
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ���,�,{r��
Date Received: �— 2'�/�(�
Site: c..�� 7 2� � �j��/
Permit Type: 3�0 S� • Q ��l-��Jv�, �{,�l/ ,(°yn
-� � �
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.
�`�ia�°,�v;,, � , APR� 3 0 7_Q14
Kalvin Switzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
�--� Page No. of Pages
, � _ .. C�C41�t��Ct
� SUN STATE ALUMINUM, INC. �
� 6154 Fort King Rd.
ZEPHYRHIL:LS, FL 33542 .
(813) 788-7308 -
PHONE � 1 �� I DAT �� ��� � �
„�.lJ MITTF�D�TO . � �,^� �i�j /f �� �-
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JOB NAME
STREEf �
CITY,SFATE and ZIP CODE JOB LOCATION
� � JOB PHONE
ARCHITECT DATE OF PLANS
We hereby su mit specfiications and estimate,S,for;----
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, ��e �It hereb t mater' and labor—co te in a cordance with above specifications, for the sum of:
� dollars($ � t � �•
Payment to be made as fo ows:
All unpaid balences subJect to�1.5%monthly interest fee. •---`"�^�-—~�
All material is guaranteed to be as specified.All work to be compieted in a workmanlike Authorized �/"`�- `� --'—"�-
manner according to standarcl practices.Any alteratfon or deviation from above specifications Si nat f - - ,
involving extra costs will be executed onty upon wririen orders,and will become an extra
9 "
charge over and above the estimate. All agreemenLS contingent upon strikes, accldents , is pfOpoSal nt8y be
or delays beyond our control.Owner to carry fire,tomado and other necessary insurance. W�thdrawn by us if not accepted within days.
Our workers are fully covered by Workman's�Compensation Insurance.
,�LCCe�I�YCCP Df �Cl�OT�L��C}—The above prices,specifications �,,�`�'~ �eAn
E�`�/i� 'V" r 1/
and conditions are satisfactory�and are hereby accepted. You are authorized Signatur .
to do the work as specified. Payment will be made as outlined above.
tance: Signature ���'`^"""� _
Date of Accep
6�I�SCO P�RARti'SEt�1+tCE � C"L✓� ff� Z���E�
(813)786-5�t4 �•�
� FAX i' 'e-7 ' � . . '
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2014066081
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Rcpt:1898528 Rse: 10.00
DS: 0.00 IT: 0.00
• 04�2�/14 D. Bonllla, Dply Clerk
NOTICE OF COMIV�NCEMENT
PRULR 5.0'NEIL,Ph.D.PH5C0 CLEtiK L COMPTROLLEN .
PcrmitNo. 040RgBK �OGa'T FGo 21`�2
PropertyIdentificationNo. e2-y-�2G—ei/— QGLl�I'�� ���Ov
THE UNDERSIGNEU hereby give informs you that the improvement will be made t�certaia real property,and in accordance with
Sec6on T 13.13 of the Florida Statutes,the followiag information is provided in this NOTICE OF COMMENCENtENi'.
1.DescripHoa of Property(legal descriptioa:) � /3� ��. LC, ,�
e�S�t Ada��s: 3 y�a� o�
2.Geaesal description of improvmm�+*us; .
a-� �r d �- r��
3.Owner Information � / _/�� �/�� ' // ,
a)Name and address: �6C-E7J f Gi`(.¢�`�sw c�pToL �K,/� /� e�l ��
, b)Name aad addtess of fee sunple titlehoIder(if other than ocvner)
c)Intaest ia property
4.Conhactor Tnfom�ation �
a�rr�e�a saan�: .1'c�.,c J�e,./- ..4��, . Zic . G/s3� F� �t,y 2� s.�/�i{—�
� b)Telephone No.: Fax No.(Opt) � �
S.Surery Infocmadon �
e)Name and address: •
b)Amoimt bf Bond:'
c)Telephone No.: Fax No.(Op�)
6.Lender '
a)Name and address: '
. Phona No.
7.Identity of person within the State of Florida designated by owner upoa whom notices or other documents may be served:
a)Name and address: '
b)Telepfione No.: Fax No.(Opt,) �
8.In addition to himself,owner designates the following person to receivo a copy of the Lienor's Notice as provided in Sectian
713.13(1)(b);Florida Statutes: • �
a)Namc and address: � • •
. b)Telephone No.: FaxNo.(Opt) �
9.Expiration date of Notice of Co�encement(tha expaadon date is one year fromthe date of zecordiag unless a difftront date is
speeified): � � �
WARNING TO OWNEIt: ANiY PAYMENT5 MADE BY T�OWNER AF1'ER TSE EXPIRATION OF THE NOTICE OF
� COMMENCENIENT ARE CONSIDERED IlVIPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYIIVG TWiCE FOR IIIZPROVEMENI'S TO YOUR PROPERTY.
A 1�IOTICE OF COMMENCEMEIVT MUST BE RECORDED AND POSTED ON THE JOB STTE BEFORE'i'HE kTRST
� INSPECTION. IF�YOU INTEND TO OBTA,II�1 l<�TANCING,CONSULT YOUR LEPIDER OR AN ATTORNEY BEFORE
COMM�NCING WORK OR RECORDING YOUR NUTICE OF COMDSENCEMENT.
, STATE OPFLO a°��STACIE LYNN HARTWIG �/ '
COUK[Y OF PAS �'� MY COMMISSION aRFF084887 "F � �
. ',Za;;a� EXPIRES October 21,2017 Sign 1iu�e o�,f�O,,wn`a�Owna's Arutho[�t_ rofficc1Ditectodpuma/Manager
(aoi�asa�otsa F1w�daNa rvlee.com �i�1.U'�/' � V C/(G�Y�� .
�
, � Print Name
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Th or goin,�ins ent aclatowledged beforo me this`�day of .20/J°�by� � �
� �C ¢r as DGr,fQ i^ (typo of authority,e.g.officer,trustee,etoomey
. in fact)for s (name-of pazty on behalf of whom inst[ument wes executed).
� Personaily Known_OR Pmduced Idenrification,� Notary Signa � dz� J�4/L!{�✓G,
� TypeofIdc�dificationProduced� • Neme(print) ��E I��1 . �L1^�! .
6 b
� Verification pi¢suant to'Section 92.525,Florida S�L�s.Under penalties of pefiay,I declaze tbat I have read ffie foregomg and that
the facts stetcd ia it st,e mu m the best of my latowledge and belief.
.
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-oRM9MOC,rvw2oo7 . Sip�aNre ofN�Wral Pason Signing Above, ,
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, (DIRECTLYTOSUBSTRATE) "
FL4NGE FRAME. � �
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� � (DIRECTLY 70 SUBSTRATE) � HEAD INSTALLATION
(USING�X BUCKSTRIP)
SU T �
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' ANCHORS ANCHORS
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. FIANGE FRAME. :a'��;'�,�GENSF '• 'P
JAMB INSTALLATION Q'� '•.'Jz �
� SHIM (USING 1X BUCKSTRIP)_ �t� No.58705
SHIM _ ' �;
BST TE 1X - � -j��: �
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FLANGE FRAME, � ' STA E�F
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� 51LL INSTALLATION J�R�SOWSK�I OBf08111 ALUMINUM 6063-T6 �r,�����
(DIRECTLYTO SUBSTRATE) FLANGE FRAME. .wr�ina+xna���¢sm�"
INSTAUATION NOTES: � SILL INSTALLATION � �0°��� �
(USING�X BUCKSTRIPJ � °mv� •
1)SEE SHEET 1 FOR ANCHORAGE,SUBSTRATE AND SPACING RE�UIREMENTS. �mo iECriNO�o�Y oaivE
. 2)GLASS SHOWN AS El(AMPLE MAY VARY 6Y SERIES AND DESIGN PRESSURE RE�UIREMENTS. NOKaM15,FLSa275 "'"' �
3)FORSMOOTHSASHOPERATION,THEANCHORS MUSTBEFLATHEADS. FLCERT.OFAUTH.:282se SINGLE HUNG�INSTALLATION „ •
' � 4)MAX.SHIM THICKNESS TO BE 1/4". ' q.Lynn Miller,P.E. s'a°"4'°°r ' b°�" st'°'e °""{°^�' Q"' �
6)FLANGE MAY 8E REMOVED TO CREATE EOUAL-LEG FRAME-USE FLANGE FRAME INSTALLATION. P,E,i158705 SH-200&200PT NTS 2 of 3 1032411JR
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(`' -i :: Product Approval
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Product Aooroval Menu>Produd or Aoolication Search>Apolication List>Application Detail ' '
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��,���:�^�� FL# FL239-R17 '
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����'�r`a .�;;�E��� Code Versian 2010
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Application Status - Approved
*Approved by DCA.Approvals by DCA shall be reviewed and
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Comments
Archived
Product Manufacturer PGT Industries
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext22318
druark@pgtindustries.com
Authorized Signature Jens Rosowski
jrosowskf@pgtindustries.com
� - Technical Representative Jens Rosowskl
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext21140
jrosowski@pgtindustries.com
Quality Assurance Representative
Address/Phone/Email
Category Wfndows
Subcategory Singie Hung
Compliance Method Certification Mark or Listing
Certification Agency - Miami-Dade BCCO-CER
Validated By Miami-Dade BCCO-VAL
Referenced Standard and Year(of Standard) Standard Year ,
TAS 201, 202,203 1994
TAS 202 1994
Equivalence of Product Standards
Certified By _
Product Approval Method Method 1 Option A
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Busines �?� -�-
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` FL# FL5691-R2 �
:�,��_',����� Application Type Affirmation
�����a��;,;c,._��-,-���-'� Code Version 2010
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� Comments
Archived
, Product Manufacturer Therma-Tru Corporation
Address/Phone/Email 118 Industrial Drive _
" Edgertan, OH 43517
(419)298-1740
sjasperson@tttechnologies.us
Authorized Signature Steve]asperson �
sjasperson@tttechnologles.us
Technlcal Representative
Address/Phone/Emall
Quality Assurance Representative
Address/Phone/Email
Category Exterior poors �
Subcategory Swinging Exterior poor Assemblies
Compliance Method Evaluatfon Report from a Florida Registered Architect
or a Licensed Florida Professional Engineer
Evaluation Report-Hardcopy Received
, Florida Engineer or Architect Name who developed the Wendell W. Haney
Evaluation Report
Florida Llcense PE-54158
Quality Assurance Entity National Accreditatlon and Management Institute
Quality Assurance Contract Expiretion Date 12/31/2012
Validated By L.F. Schmldt, P.E.
Validation Checklist-Hardcopy Received
Certlficate of Independence FL5891 R2 COI CERT OF INDEPENDENCE.Ddf
Referenced Standard and Year(of Standard) Standard Year
Accepted Engfneerfng Practice 2007
SSTD 12 1999
TAS 202 1994
Equivalence of Product Standards
Certified By
Sections from the Code
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� o� _ _ °� g /7X BUCK INSTALLAT10N � o c� - SEE NOTE 1 - 8 "J , I,
• 9 W/1 X BUCK INSiALLATION �Zo `r a TYP; HEAD k JAMBS �o I
. � TfP. HEAD dc JAMBS SEE NOTE 1
_ SEE NOTE 1 `. _ _ _ ^ �
• SEE NOTE i �� ¢N • SEE NOTE 1 4 0
SEE � �v SEE N07E 1 in �,_
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W/2X BUC.K 2
INSTALLATION '
1. 1/4"ff W concrete screws anchoring frame and/or sill require a mrnimum 2-1/7'clearance to � 0 v>
masonry edges,a 1-1/4"minimum embedment and a minimum 3"clearance to adjacent _ p
' B W/1X BUCK �� �
°' concrefe screws. SubsiifuHon of equal concrete screws from a different supplier may have INSTALLATION
q d/ferent edge distance and centerdfstance requlrements. Concrete screw locafions at fhe � SEE NOTE 2 p �
mcomers,and,at mullion tocations,may be adjusted to maintain ihe minimum edge distance to
3� matarjoinh.If concrete screw locaflons noted as"MAX.ON CEN7ER"must be adusted to �
, o mainiain the minimum edge distonce fo morfarjoints,addifional concrefe screws may be
' required to ensure ihe moximum on centerdimension is not exceeded. DETAIL "'6" DETAIL "2" ?
N
� 2. 3/16"RW concrete screws anchoring frame and/or s11 require a minimum 2-5/8"clearance fo ,,., i
m masonry edges,a 1-1/4"minimum embedment and a minimum 2-I/4"ciearance to adjacent W�2X BUCK 2 a �
concrete screws unless ofhenvise noted by concrete screw manufacfurer. INSTALLATION B � m
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3. 7he sidelite is direct set into the jamb with(12J#8 x7'pfh.wood screws.There are(4J at each W��X BUCK �2 � z �
� vertica(jamb,from fhe top down at 13.5',31';48.5'&66".There are(2J at fhe header at 4"from �NSTALLATION 1 � C n��; 2 2� �2 Z
- ihe ouhrde corners of the frame..ihere are(2)at the si1G 4"from the outside comers. SEE NOTE 1 s� N.T.S. °
� . 9
vxc.a�': JK m
4• For optiona!sidelite consiruction with staples,sidelife is direct set into the jamb with(4J�/6"X 1 1 cNK ar: LFS 3
„ : 1?/4"16 ga.stap(es along each jamb(6"from ends and equally spaced fhereaffer). � • � orU+nNC iro.: �
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���sa�'�r�:,� �s.sY�3 FL# FL697-R3
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it�`�':�F,-�� Application Type Revision
?'��-��- + ,:�4�,�'-�^,' Code Version 2010.
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Application Status Approved
Comments ,.
Archived �
Product Manufacturer Amarr Garage Doors
Address/Phone/Email 165 Carriage Court
- Winston-Salem, NC 27105 ,
(336) 251-1309
danny.joyner@amarr.com
Authorized Signature Brandon Gentle ,
brandon.gentle@amarr.com
Technical Representative Brandon Gentle
Address/Phone/Email 165 Carriage Court
Winston-Salem, NC 27105
(336)251-1308
brandon.gentle@amarr.com
. quality Assurance Representative Danny]oyner
Address/Phone/Email Amarr Garage Doors
165 Carriage Court
Winston-Salem, NC 27105
djoyner@amarr.com
Category Exterior poors
Subcategory Sectional Exterior poorqssembl(es
' Compliance Method Evaluatfon Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
' Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who Thomas L. Shelmerdine
� developed the Evaluation Report �
Florida License PE-0048579 -
Quality Assurance Entity • Intertek Testing Services NA Inc.-ETL/Warnock Hersey
Quality Assurance Contrect Expiretion Date 01/01/2015
Validated 8y Steven M. Urich, PE
�' Validatfon Checklist-Hardcopy Received
Certificate of Independence FL697 R3 COI Statement of Indeoendence revised.odf
Referenced Standard and Year(of Standard) Standard Year
ANSI/DASMA 108 2005
TAS-201 1994
' � • TAS-Z02 1994
• TAS-203 1994
http://floridabuilding.org/pr/pr_app_dtl.as�px?param=wGEVXQwtDqt 1 BIzdQeYmrRgn 13... 4/26/2012