HomeMy WebLinkAbout14-15361 \(
, � CITY OF ZEPHYRHILLS
5335-8TH STREET �
(si3)�so-oo20 1 5 6'1
BUILDING PERMIT �
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PERMIT INF�ORMATI.ON� �_ L.00�eTION�INFiORMA�TIO,N� :
Permit Number: 15361 � Address: 37710 NEWPORT DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: " CITY OF ZEPHYRHILLS
' Est. Value: Parcel Number: 03-26-21-0130-00000-0300
Improv. Cost: 8,250.00 ��� ; � - �� .. OaWNER INFsORM�ATIO.N .
Date Issued: 6/10/2014 Name: FERN, MICHELE
Total Fees: 120.00 Address: 37710 NEWPORT DR
Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/10/2014 Phone: (813)715-4510
Work Desc: REPLACEMENT 10 WINDOWS SIZE/SIZE
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RANDALL MULLINS CONST CTIO INC BUILDING FEE 120.00
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FOOTER 2ND ROUGH PLUMB MISC � INSULATION CEILING
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 fl 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
Ci Codes an dinances. NO OCCUPANCY BEFO C.O.
' �
CTOR SIG URE PERMIT OFFI R
PERMIT E PI IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
� 813-780-0020 City of Zephyrhills Permit Application Fax-813-78�-0021
Building Department
• * � ' f�C�'�f'y'"1_I_t� Z� -�-rr-r�r�
Date Received phone ConWct for Pertnitting
Ownets Name t "� dwner Phone Number � � o��
Owners Address- r � � Owner Phane Number �— �
Fee Simple Tideholder Name ' Owner Phone Number �— �
Fee Simple Titleholder Address
J08 ADDRESS 7f � - �OT# �_��
SUBDIVISION �y. ��� PARCEL.ID#
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(09TAiNED FROM PROPER7Y T OTtCE)
WORK PROPOSED e NEW cONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PRQPQSED USE Q S�R Q COMM OTHEFt t
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTtQN 4P WQt2K �� �/�c�
BUII.DING SIZE SQ FOOTAGE� HEIGHT
UILDING r?i,�'6"� VALUATION OF TOTAL CONSTRUCTION
L �
QEl�ECTRIC,4I. �� AMP SERVECE � PROC�ftESS ENERGY Q W.R.E.C.
QPLUMBING � �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� ` �
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QGAS Q ROOFING Q SPECIALTY � OTHER n�,, ` �n-� �F�
�V�.�n��'�"'
FINISHED FI.00R ELEVATIONS FLOOD ZONE AREA QYES NO 1
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&Ui�DER �� COMPANY
``�,.,.,6IGNATURE ���� REGI57ERED Y/ N FEE CURRE� Y/N
Address License# r— �
ELECTRICIAN � � COMPANY �
SIGNATURE REGISTERED Y/ N FEE GURREt� Y 1 N
Address License# r^ �
PLt7MBER � � COMPANY �
SIGNATURE REGIS7EftED Y/ N FEE CURRE� Y I N
Address License# � ��
MECHANICAL � � COMPANY �
'� SIGNATURE � REGIST@RED Y/ N FEE CURREh Y 1 N
� Address License# �— �
OTHER � GOMPANY —�
SIGNATURE REGISTERED Y/ N FEE CURR6� Y/N
Address License# �— ��
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PermitfornewconsUuction,
Minimum ten(10)working days aRer submitta!date. Required onsite,CortsUVCtlon Plans,Stormwater P1ans w!Sitt Fence instatied,
Sanitary Fadlities&1 dumpsker,Site Wark Permit for su6divisionsftarge projects
COMMERCIAL Attach(3)compleCe sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new wnsWdion.
Minimum ten(10)working days after submiftal date. Required onsite,ConsWCtion Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&t dumpster.Site Work Permit for aii new projects.Aii commercial requirements must meet compliance
SIGiV PERMIT Attach(2}sets of Engineered Plans.
- ""PROPERTY SURVEY required for all NEW construdion.
Dcrectwns:•
FiII out apptication compietely
Owner&Contrador sign back of application,notarizsd
If over Ez500,a Nokice of Commencement is requlred. {AIC upgrades over 57500a
" Agent(far the wntractor}or Power af Aitomey{for the owner)woutd bs someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs it shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Faotage)
Driveways-Not over Counter if on public roadways..needs ROW
�_ _ — —
. • � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application 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 pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand 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 is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,alter, or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN��ING,CONSULT
WITH YOUR LENDE R AN ATTORNE EFORE RECORDING YOUR N�1@E �E�AENT.
FLORIDA JURAT(F . 17.03) � - ` �
OWNER R ENT C NT �
, S aib a d o b ore me th bscri e n o or affirm )b f re me th'
y �(/ JV�b � _
o i are ersona knovm to me or hasRiave produced s/ar persona q kn wn to me or haslhave produced
as identification. as identifica6on.
Notary Public Notary Public
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'�ssio o i ion . 1
Nan of t typed,prinled or stamped Na e No typed,printe or s mped
;�i°`��'P`°��=_ LEIGH ANN (aILLIAM :i�`"`�'`�fg'�P"e��: LEIGH ANN GILLIAM
"� t MY COMMISSION#FF002554 `* ��j:���). '� MY COMMISSION#FF002554
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„oR,�,,.r• EXPIRES March 27,2017 `°•".�oP•,�oe.•° EXPIRES March 27,2017
(407 398•0153 FlorldallotarySentice,com 407�398-0153 FloridallotaryService.com
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NOTIGE OF GOMMEFlCEtOlEHT
State pf��—CJf��I� County of �•F�-'��`��
THE UNDERSIGh1EP hereby gives notice that Itnprovement will be made to ceriain reat property,and in acco�+dance with Chapfer 713,Ftarida Statutes,
Ihe foilowing intotmation is provided in fhis No6ce ot Cammencemenl;
1. DescripUan oF Praperty: Parcel Ident�cation No. _ -� �
Streei Address:�� +� 1 V ' } / � � ty
2. Ge eral Descriptian oF Improvement � � % �
�'��� I II Illli IIIII 1i111 f111)i1i1 IIII
3. o er Informationor Lessee infortnation ff the Lessee contraded for lhe improvement:_ I Iiilll iil(I lilll lllli Ilill I i �
{� 2014083147
f ��TTc� ! I�-
� .,.� Na e
Address C� State
I�terestinProperty: �Cpt:1605174 Rec: 10.00 I
Name of Fee Simple Titleholder. �$: �.�8 Y T: �.Q1�
i
��rai�erenkfromow�errst�de�,�} �jg��3j14 L. Sagastume, Dpty Clerk ;
Address ; Ciry Slale�
q. Contractar.
� �„ sm _ `�/ 7�`
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/ dress ' / ,�/ City Stata
Can#ractot's Telephone No.:�7���� ��`�'� pp��q g {}�NEIL,Ph D PRSGO GLERK & GOCIPTROLLER
5. Surety: ' 05/23J14 12:09pm 1 of 1
Name OR BK ���`� P� 331�
� Addtess City State
Amount af Bond: $ Tefephane No.:
6. Lender.
-� Name
Address Giry Siate
Lendet's Telephone No.:
7. Persons within the State of Florida designated by the ovmer upon whom notices or other docwnenis may be served as provided by
� SecEion 713.13(1}{a)(7),�lorida Statutes:
Name
Address City Staie _
II Telephone Number of Designaied Person:
� 8. in addiQon fa himsetf,the ovmer designates of� .
lo receive a copy of lhe Lienor's Notice ss provided in Sectian 713.13(1xb),Floride Sfatutes.
Tetepttone Number of Fe[san or Entity Designated by Qvmer.
9. E�iraGan date oF Notice of Commencement(the e�iratian date msy not be be(ore the cwnpletion of con.,Hruction end final parymerrt to the
eonUador,but wilE be nne year from the date of recording unless a diffeient date is speeified):
WARNING TO OWNER: ANY PAYMEMTS MADE SY TliE OWNER RFTER THE EXPIRA'iION OF THE NOTiCE OF CdMMENCEMENT
ARE C4NSIDEREp iMPf2pPER PAYMENTS UNDER CHAPTER 713, PA{2T 1, SECTION 773.13, FL0121DA STAME5, AND CAN
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS T4 YOUR pROPERTY. A N0110E OF COMMENCEMENT MUST BE
RECORDEQ AND POSTED ON THE JQ8 SITE BEFORE 7HE FtRST tNSPECTIQN. 1F YOU iNTEND TO QBFAIN FiNANCtNG,GONSULT
Wil}I YOUR�ENDER.OR At+]ATTORNEY BEFORE GOMMEl+lCING WORK OR RECORDINC,YOUR NOTICE OF COMMEF7GEMENF.
Under penalty of perjury,I declare that 1 have read the foregoing notice of comrnencernerri and that the fads ststed therein are true to the best
of my knowledge and behef.
STATE OF FLORipA �„(�. �I�rV V'"�"�-'
COUNTY OF PASCO
ignature of Owner or Lessee,or Ormer's or Lessee's Authofized
Oifice�JDfrecfotlPaMerlMarraper
� Signet�s T�le/Offi�ce/
The ioregoing instrument was acknowiedged betore me this�d�f��l 4/ ��L1 L by f� ���.�_=__��1�L l��
�,��?.,..t �d-
s ��i(/<'u'` � (type of authority,e.g.,officer,trustee,ariomey in fad)for
� 7 {na pa on a ' ent was e�cuted}. '
Personally Known[]�Produ der'ficalion I � Notary Signa
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Type ot Identi8catian Produced� Nsme{Print} ,•– .�� °
;=o�'p��"e�;:.. GFRALCIINC M SCHWEIGER
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'N'���'oe�` EXPIRES October 19,2017
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THIS IS TO CMRTi�Y TNAT THE FG�EGO!�!G IS A
TRUE Af�Q CORRECT COPY OF TNE DOCUP�ENT
ON Fil_E�OR OF FUBLIC ECQRD )IJ THIS G�FfCE
WI S,��Y HAND l�� FlCIAL SE,4L TN�JS
� D.AY Or 2 U�
PAULA S O'NEi LE ' iV�!'TP,OLLF_
BY DEPUTY CLERK ,
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City of Zephyrhilis
BUILDING PLAr1 REVIEW COMMENTS
CantractorlHomeowner: ���`Q'r� ���lll�'l�
Date Received: +��� I� �I
Site: ��7Tfd ���t1�b�-�-���...
Permit T -l[C�'t� L��'�C�,�j` � ��Sl7.e�
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This co��ment sheet shall be kept with the permit andlor plans.
�a����� �����
J�� Q � 2094
Kalvin Switzer—Pians Examiner I)ate Contractor andlor Homeowner
(Required when comments are present)
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PAXMENT'TO BE MADE B'Y CHECK PAYABLE TC?"FIOME PERFC1RMAlVCE ALLIANCE ING."WI�C�I CHECK IS DUE AND
FAXABI.�AT�iUME PERFQRMANCE ALLIANCE�tC. t,�F6'�C��iT'T�E.A3}AR�83 SET Ft}RTH ABt3VE.
ALI,���E I1�5C0'[lN�B FIA.V E��LEN APPL�EGb. Y. .. �a<. .�• .s ap6• �>.��rtt.
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YOU B[GN 1�6 A(:�t�!'j'[. IF XOLf CANCYI.THL4 AC:itL�b�Ki'.7'� MAY Z�1dC K&Zt ALI.O�[ZART O[+'ANY C'..A�DOW.�I
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NCYI'E: RSTAIL sA,LES 7'AX MUBT BE CHAR+GI�ilNIde'8tft 1�CUL9TQMICR S[GIYS T�FOLI'.�OwIl�TGs I a�
t�tt I owh M�s Laad aa wtich 3��stsn+ewtf I so fr►Pr�ri�!s p'+r�eaw�wl!!d!lsid. F�trtlssrmore.x�svs lti�d s dnelaratbe witl�tly
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NOTICE � � t3 : ACCORI3ING TG+
FI,,p - � FLf1R�I7►A ST�iTiJTE$)i
"THOSE WHO WORK ON YOUR PROPER, OIt PROVZDE MATERIAi.S A�NII► S,ERVICES ANL1
ARE NUT PAID IN FULL �1.VE A�, RIGST TO �EII�FURCE 'T�IR �''t..�tiM FQR PAYMENT
AGAINST�',fOUR PRUPERTY. TS�3 CLAIM I3 KNCIWN.AS A CONSTRUCITON LIEN IF YCMUR
CCi1�iT[iACTOR, OR A SUBCONTRA.CI�OR F.A�i.3 TQ PAY' SUSCOl'�7'TRACTdRB, SXIB-
SUBGY3�1�T'RAGTQ�itS OTt MA.TERIAI. S�PPLIE��S,._TSE Y'EO�"'L� WAO� ARE t?WB� M+C?NE`Y
MAY L�O(.lK TO YbUR PROFF.�[TY FC/R PA ' NiEN I', EVEN 1F YOU SAYE PAIn YOUR
CON'I'RAGTOR II�i F�JLL. IF'�ClU F.AII, TO PAY YOUR CON17tAGTOR, YOiTIt C���L�D �I'UR
MAY AI.50 HAVE A LIF.N ON YOUR PR�PERTY. T�S MEA►Ni'�3 IF A LYEN IOS YOI3It
PROPER'T'Y COULD BE 30LD AGAYNST YOUR WiLL TO PAY FOR LABaR�_M.A OR
t�T�ER,�ItViCES TS'AT YOUR CQNZ'.[tACTC1R OR A SLTI3C+pNTi:tAGTUR MAY SAVE F
TCM PAY. TU PROTECT YOiSRSI�LF YQU SHa1ULD BTTPULATE IN TffiS CONT.RACT.THA'T
BEFt]►RE ANY PAYMENT LS MADE, �Y'OLTR C+DNTRAGTOR IS REQ UIRED TO PROVID� Y4ti
WIT,g A WRITI'�N RELEASE UF LIEN FR.UM�� �']�N �7►R Ct?MPA�Y T�iT I3'A.5
PROVIDED TO� YOU A '�NOTYCE TO OWNER" ItIDA'S CONSTRUGTI4N LIF.N LAYV I5
Cp�1+ZpI,,EIC ANg IT I,S RLi.^pM�►+iENDED THAT YCi[T CClNBLTLT AN ATIYC3RN�S:Y,.
i F�REBY CERTlFY TI-Ll'I'I NAVB RBAI?AND FULLY LJNL'fBR.S'Y`AND'I'flEi PRdVISIUN3 OF'�HIS WI�TAACT
RO I3I�T�TBtiMS�AND CoND IONS ONTHERCF.�IF�i"A"AINED 4�f"I'FIE RBVSRSL 3ID$ AND I AL#RE� TQ .ALi.d'F TF�
Ht31ktE i��I�P�RMA2�tGE A►LLIANCE INC.
.R�.���� BY-
� A5:
, . PRODUCT APPROVAL SPECIFIGATIC7N �HEET
Location:37>� Project Name:
As required by Flarida Statute 553.842 and Florida Administrative Code 98-72, please provide the infarmatian and the
product approval number(s) on the building components listed below if they will be utilized on the construction project for
which you are applyio�g for a bui0ding permit an or afte�Apri1 1, 2004. We recommend you contact your bcal product
supplier should you not know the product approval number for any af the applicable listed products. More infarmation
about statewide product approval can be obtained at www.floridabuiltfing.org
Cat� o /Subcatego Manufacturer Product Description A prova{ Nur�ber(s)
A. EXTERIOR DOORS
1. Swinging
2 Sliding
3 Sectional
4. Roll up
5. Automatic
6 Other
B. 1NINClOWS
1 Sin le hun �
2. Horizontal Slider �
3. Casement
4. Double Hun � �,
5. Fixed
6. Awnin
7. Pass-thrau h
8 Pra'ected
9. N�ullion
10. Wind Breaker
11 Dual Action
12. O#her
C. PANEL WALL
1 Sidin
2. Soffits
3. EIFS
4. Starefronts
5 Curtain walls
6. Wa1( louver
7. Glass black
8. Membrane
9 Greenhause
10. Other
D. RQOFIl�G PRODUCTS
1. As halt Shin les
2. Underla ments
3. Raafin �asteners
4. Non-structural Metal Rf
5. Built-U Roofin
6. Modified Bitumen
7. Sin le PI Roofin S s
8. Roofin Tiles
9. Roofin (nsulation
10. Waterproofin
11. Wood shin (es /shakes
12 Roofin Slate
nzm�.ma- i �f� WP.IICI}P.' ��'\V�b'SI(�nc�rmil�nro FffPr.tive Anril 3 �{�{�d
Category/Subcate ory cont.) Manufacturer Product Description Approval Number(s)
13. Liquid Applied Roof S s
14. Cements-Adhesives—
Coatin s
�, 15. Roof Tile Adhesive
16. Spray Applied
� Polyurethane Raof
17 Other
i E. SHUTTERS
1. Accordian
'
2 Bahama
i 3. Storm Panels
i
4. Co(onial
' 5.. Roll-up
6. Equipm�nt
7 Others
F. SKYLIGHTS
1. Skylight
� 2. Other
G. STRl1CTURAL '
COMPONENTS
1. Wood connector/anchor
2. Truss lates
3. En ineered lumber
4. Railin
5. Coolers-freezers
6. Concrete Admixtures
7. Material
8. Insulation Forms
9. Plastics
1 Q. Deck-Roof
11. Wall
��, 12, Sheds
'�� 13. 4ther
I H. NEW �XTERtOR
' ENVELOPE PRODUCTS
1
2.
The products listed be(ow did not demanstrate product approval at plan review. I understand that at the
time of inspection af these products, the following informatian must be available to the inspector on the
jobsite; 'i} copy of the product approval, 2) the performance characteristics which the product was tested
and certified to comply with, 3} copy of the applicable manufacturers instal(ation requirements.
I understand these products may have to be removed if approva! cannot be demonstrated during inspection
�-.� �
,
�' �--�-� l � �
Contrac or Co tractor's Authorized nt Signature Print Name ate
�
' Location Permit# (FQR STAFF USE+QNLY}
Q2l02104—2 of 2 Website: www.ticperniits.or� Effective April 1,2004
Florida Building Code Online Page 1 of 4
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Florida De rmiente` BCIS Home � Log In � User Registration � Hot Topla �Submit Surcharge I Stats&Facts �Publlcations FBC S[aff ; BCIS Slte Ma �
� � p I Unks �Search ,
Busines (�?� �-.�.
Professi��i�al Lz:s� PERduc tUApproval
�
Regulation ��
� Product Aooroval Menu>Produc[or AoollWtlon Search>Apolfca[lon List>Appliwtion Detafl
t?ai'��,o�-,-rt� �,� FL# � �/����'� FL15385
- .c¢%.�� 4C.w
, ��`r: " SA. 1!'�'
-�--=���--� .-.--=A A Ilcation T e
�
PP YP New
Code Verslon 2010
Appllcation Status Approved
*Approved by DBPR.Approvals by DBPR shall be revlewed and
ratified by the POC and/or the Commisslon if necessary.
Comments 15385.1 and 15385.4 have an explred Certiflcatfon Agency
Certiflcate and Quallty Assurance Contract. RR
Archlved ��
Product M
anufacturer poers Wlndow Manufacturing, LLC ��� � �
� ��
Address/Phone/Email 4901 Oak Fair Blvd.
Tampa, FL 33610 ��/7� �/��
(813)626-6000 �
, danochsteln@doerswindow.com �U���
j ��S
� Authorized S( nature
9 Vivian Wrfght
rlckw@rwbldgconsultants.com
Technlcal Representative
Address/Phone/Emall
�Quality Assurance Representative
Address/Phone/Email
• Category Windows
Subcategory Double Hung
Compllance Method Certlflcatlon Mark or Lfsting
Certiflcation Agency Keystone Certlflcatlons,Inc.
Validated By Ryan J. King, P.E.
G) Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA101/I.S.2/A440 2005
AAMA/W DMA/CSAS01/I.S.2/A440 2008
ASTM E1886 2005
ASTM E1996 2005
Equivalence of Product Standards
Certifled By Florida Llcensed Professional Engineer or Architect
FL15385 RO Eauiv of STANDARDS odf
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtH8572qvdWI... 3/28/2014
FloY�ida Building Code Online , Page 2 of 4
Product Approvat Methad Method 1 Optian A
Date SubmEtted 03J27J2012
Date Validated 04/04/2012
Date Pending FBC Approvai
I ' Date Approved 04/18/2012
Surnmary of Praducts
, FL# Madel,Number or Name Descri tion
, 15385.1 a.DuraGard VInyI Dauble Hung DuraGard New Canstruction(Nait FIn}V3ny] Double Flung
, Wlndow utilizes Aluminum Reinforcement(X/X-
configur8tlon; Max Size 44 x 75
, Limits af Use Cer#ificat►on Agency Certificate
Approved for use tn HVH2: No FL15385 RO C CAC $19- 10 .0 KS CERT.odf
Approved for use outside HVHZ:Yes FL15385 RO C CAC 814- 111.0 KS CERT.pdf
Impact Resista»Y: Na Qua(Ity Assurance Contract Exp3rat3oe Date
Design Pressure:N/A 06/17/2012
Other:See TNST 15385.1 for Design Pressure Ratings, Installatfon Instructlons
'� any add(t(ona]use 1lmltat(ons,tnstallation instructions PL15385 R4 II_INST 15385.i.pdf
I and product part(culars. Veriffed By: Lyndon F.5chmidt,P.E. 43409
Created by Independent Thlyd Party:Yes
EvaEuatton Reports
� FL153$5 RO AE EVAL 15385.1.ndf
Created by Inde endenk Thlyd Pa : Yes
' 15385.2 b.DuraGard Vinyl Double Nung puraGard New Construct(on{Nall FIn)VInyI Double Hung
Window utiiizes Compasite Re(nforcement(X/X-
� conflguratlon; Max Slze 44 x 75)
LimEts of Use Cert(ficatton Agency CertE£cate
Approved for use in HVHZ:No FL15385 RO C CAC $19- 1E2.0 KS CERT.pdf
� Approved for use outsfde HVHZ:Yes FL1538S RO C CJ4C $19- 113.0 KS CERT.odf
Impact Resistant:No Quality Assurance Contract ExpEratEon Date
Design Pressure:NJA d2j04J2614
Other:See INST 15385.2 for Design Pressure Ratings, Installation Tnstructlons
any addltional use lim(tattons,Installatlon�Instructians F�15385 RO II IldST 15385.2.odf
and praduct particulars. Verified By: Cyndon F.Schmldt, P.E.43409
Created by Independent Thlyd Party:Yes
Evaluatian Reports
FLI53$5 R4 AE E1lAL 15385.2.odf
Created b Inde endent Thlyd Party:Yes
15385.3 c.DuraGard Vlnyl Double Hung DuraGard New Constructlon(Nali Fln)Vtnyi Doubie Hung
Window uttltzes Camposite 3tetnforcement(XjX-
confl uration; Max Size 54 x 7S
Lirnits of Use CertifiCatfon Agency CertifiGate
Approved foc nse in HVHZ:No Ri53$5 RO G CAC 819-124,0 KS CERT.ndP
Approved for use outsPde HVHZ.Yes Quality Assurance Contract Expiratlon Date
Impact Reslstant: No OS/18/2015
Deslgn Pressure:NJA Iasta0atlon I�structlons
Other:See INST iS385.3 for Design Pressure Ratings, FL15385 RO II Inst 15385.3.pdf
any additional use Iimltations,Installation Instructlons Verlfled By: Lyndon F.Schmidk, P.E.43409
and product particulars. Greated by Independent Third Party:Yes
Evatuation Reports
FL15385 RO AE EVAL 15385.3.Ddf
Created b Fnde endent Th(rd Party:Yes
15385.4 d. DuraGard Vinyl Dauble Hung DuraGard Replacement Vinyl Dauble Hung Window
utllizes Aluminum Relnforcement(X/X-conflguratlon;
Max Slze 44 x 75
LimPts of Use CertlflCatlon Agency CertiFCate
Approved for use In HVHZ:No FL15385 RO C CAC 814-109.0 KS CERT_Ddf
Approved for ase outside NYHZ:Yes fL15385 RO C CAC 819-211.0 KS C�RT.adf
impact Resistant:No C�uality Assurance Cantract ExpPration Date
Design Pressure: N/A q6/17/2q12
Other:See INST l5385.4 for Desfgn Pressure Ratings, InstaitatEon Instracttons
a�y addltlonal use timitatlons,Installation instructtons F115385 RO II INST 15385.4.�df
and product particulars. Verifled By: Lyndon F. Schmidt, P.E.43409
Created by Independent Thtrd Party:Yes
Evalnatlon Reports
FL153S5 RO AE EVAL15385,4.odf
Created h Inde endent Thlyd Party:Yes
15385.5 e. DuraGard V3nyI Doubie Nung DuraGard Reptacemenfi Vinyi Doubie Hung Wtndow
utilizes Aluminum Reinforcement(X/X-conflguration;
�
Max Slze 54 x 75
http://www.floz�dabuilding.org/px/pr_app_dtl.aspx?param=wGEVXQwtDqtH8572qvdWl... 3/28l2414
Florida Building Code Online , Page 3 of 4
, Limits of Use Certificatton Agency Certificate
Approved for use in HVHZ: No FL15385 RO C CAC 819- 126.0 KS CERT.pdf
I�) Approved for use outside HVHZ;Yes Quaifty Assurance Contract Expiration Date
Impact Resistant:No O1Ji8J2d15
Design Pressure: N/A Installation Instruckions
Other:See INST 25385.5 for Desigr�Pressure Ratings, FLl5385 RQ II INST i5385.5.pdf
any addltional use Iimltations,3nstal(atlon instructions Verlfled By: Lyndan F.Schmidt, P.E.43409
and product particulars. Created by Independent Thlyd Party:Yes
Evaluatiun Reports
F�Z5385 R4 AE EVA�I5385.S.odf
Created by Independent Third Party:Yes
15385.6 f. DuraGard Vfnyl Doubie ttung DuraGard Repiacement Vinyl Doubie Hung Wtndow
utlllzes Compastte Retnforcement{XjX-conflguration;
Max Size 44 x 75
Limits of Use Gertification Agency Certiflcate
Approved for use tn FiVHZ: No FL15385 RO C CAC 819-312A KS CERT.odf
Approved for use outside HVHZ:Yes FL15385 RO C CAC 819-113.0 KS CERT.odf
Impact Resistant:No QuaUty Assurance Cantract Explratlon Date
Design Pressnre:NJA 02J04J20i4
Other:See INST 15385.6 for Design Pressure Ratings, Instailation Ynstructions
any addltional use Ilmitatlons, installatlon Instructions FL15385 RO II INST 15385.6.pdf
and product particulars. Vertfled By: Lyndon F.Schmidt,P.E.43404
Created by Independent Third Party: Yes
Evaluation Reports
FL15385 R4 AE EVAL 15385.6.odf
Created b Inde endentThfrd Parly:Yes
15385.7 g. OureGard Vlny!Double Hung DuraGard Replacement Vlnyl Qouble Mung Window
utElizes CompoSite Relnforcement{XJX-conflgurat3an;
Max Size 54 x 75) �
L(mits of Use Certificatfon Agency Certiflcate
Approved for use in HVHX: No FLi5385 RO C +CAC 819-125A KS CERT.adf
Approved for use outslde HVHZ:Yes Quality Assurance Cantract Expiratfon Date
Impact Resistant: No O1/18/2015
Design Pressure:N/A Installatlon Instructtons
Other:See INST 15385.7 for Design Pressure Ratings, FL35385 RO lI INST 15385.7,adF
any additianal use Ilmitation5,installatlon Instructlons Verlfied By: Lyndon F, Schmidt, P.E.43409
and producC pastEculars. Created by Independent Thlyd Party:Yes
Evatuatlon Reports
FL153$5 RO AE EVA�15385.7.ndf
Created b Independent Thtrd Party:Yes
15385.8 h. Sashiite Vinyi Doubie Hung Sashiite Repiacement Vlnyi Doubie Hung Window utillzes
Aluminum Relnforcement(X/X-conflguratlon; Max Size
54 x 75}
LPmits of Use Certiflcation Agency Certiflcate �
Approved for use in HVHZ: Na FL15385 RO C CAC $19-129 KS CERT.odf
Approved for use outside NYHZ:Yes h115385 RO C CAC 814-130 KS CERT.odf
Impact Resistant:No Ft15385 RO C CAC 819-131 KS CERT.pdf
Desfgn Pressure: N/A Quallty Assurance Cantract Expiration Date
Other:See IEVST 15385.8 for Deslgn Pressure Ratings, 03J14/2025
any addltionat use llmltations,Instal(atton Instructlons Installation Instructions
and producC particulars. R15385 RO II INST 15385.8.pdF
Verifled 8y: Lyndon F. Schmtdt,P.E.43449
Created by Zndependent Thtrd Party:Yes
EvaluaCion Pteports
FL15385_RO AE EVAL 15385.8.�df
Created by Inde endent Third Pa :Yes
15385.9 i. DuraGard Vinyl Double Hung DuraGard Replacement Vlnyl Double Hung"Impact"
Window utiltzes Composlte Relnforcement(X/X-
conflguratian; Max Stze 40 x 72}
Limits of Use Certiflcatlon Agency Certlficate
Approved for use In HVHZ: No FL25385 RO C CAC 819-216.0 KS CERT.odf
Approv�d for use autsEde HVH2:Yes FL15385 R4 C CAC 814-202 KS CERT,odf
Impact Reslstant:Yes Quallty Assurance Contraet Explratlon Date
Desfgn Pressure: N/A 09/09/2014
Other:See TNST 15385.9 for Deslgn Pressure Ratings, Installatian I»structlons
any eddltionat use Ilmitations,instailatton instructions FL15385 RO II fNST 15385.9.ndf
and product particulars. (Excludes Wind Zone 4) Verifled By: Lyndon F.Schmidt, P.E. 43409
Created by Independent Third Party:Yes
Evatuation Reports
FL15385 RO AE EVAL 15385.9.Ddf
Created b Inde endent Third Party;Yes
Back Mext
http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqtH8572qvdWI... 3f28/2014
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See ths Cerli�cQf'�ost Age.ncy C�rliE'scrr#e fiorsues.spec�ic�ara ond ratings. f � � �
2 Product anchors shaN be as listed and spaced�rs showrt on detaiis.Anchor embedment � m
I fo bose mtsferioi stiali be beyonQ wall cltessing oc stucco, /
3. When used m taeas requc'utg wind bome debris.protection this product is requaed to be ��/
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FBC.
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II 4. For�cslud framing corutn�ctfon,anchoring of ihese units sho�be the wme as that —
shown fot 2x huck tnnsoray cots53iuction.
5: Site ooniiiiions thot deviafe from the detrnls of fhis�w�ing require furfher engineering
i�t�ofysL4 by a Scem�d engkteeror segktered orchStect.
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2 VetliCal E,tmritot►tdi cross sec#onS scuE: N.7.S.
3 Verticcd 8.holizont�l cro5s secfions wra er: JK a
4 suck& anch �s�aa"X�s.tr �.1r X a3.e7° Gl +4f1,0 -40.0 Aoomorui.
a+w ar: Lf'S 3
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COtJCREfE ANCFIOR NOIE.S:
o i.Substttutlona/equatconcreteonctjarsNorn.odHTerentsvAP��Yhcriediiferentedge
�" d,stance ond center'drsfance requ�merits.
2.Coricrete anchoi tocantiom at fhe comeis may be actJusted to.mpfitain fhe min,edge
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