HomeMy WebLinkAbout14-15362 ,
` CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 �.5$�62
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Perm�it Number: 15362 Address: 6245 SILVER OAKS DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-012A-00000-1140
Improv. Cost: 4,726.00 OWNER INFORMATION
Date Issued: 6/10/2014 Name: GACZEWSKI, JIM
Total Fees: 90.00 Address: 6245 SILVER OAKS DR
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/10/2014 Phone: (813)782-7965
Work Desc: REPLACEMENT 4 WINDOW SIZE/SIZE
CONTRACTOR S APPLI'CATION FEES
RANDALL MULLINS CONST CTION INC B ILDING FEE 90.00
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Ins ections Re uired
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� 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 properly 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 dnd Ordinances. NO OCCUPANCY BEFO C.O.
�
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CONTRACTOR SIG T E PERMIT OFFI R
PERMIT E RES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER �
, ais-�so-oo20 _ _ _ City of Zephyrhills Permit Application Fax813-780-0021
\ �` Building Department
Date Received �'� — I Phone Contact for Pertnitting - �,
Owners Name � � ���5' Owner Phone Number ` �
Owners Address -/ S L �' � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
, Fee Simple Titieholder Address
JOBADDRESS _ � ��� -�rLL S LOT# �
SUBDIVISION PARCEL ID#� '
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CON57R B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM �OTHER u/S
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
r�
DESCRIPTION OF WORK �
BUILDING SIZE-' SQ FOOTAGE� HEIGHT
✓BUILDING S ��7 /9 VALUATION OF TOTAL CONSTRUCTION
/ W
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �L��
� � J
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
l �
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
,r ,�
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER �C�MPANY �r-�1LL U ,S
SIGNAT REGISTERED Y/ N FEE CURRE� Y/N
Address 3 S cj /�'�`y� c.��l0 Q License# �acv oZ��!
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEECURRE� 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#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consVuction,
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Stortnwater Plans w/Siit Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requiremenls must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Pians.
""PROPERTY SURVEY required for ali NEW construction.
Directions: ` •��°'�
Fiil out application completely
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" 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(Plot/Survey/Footage)
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
�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,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
� - Department of Health & 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:
i - 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 Iess 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 FINANCING,CONSULT
WITH YOUR LENDER OR AN ATI'ORNEY.B�FORE RECORDING YOUR NOTICE OF COMME MENT.
FLORIDA JUR,4T(F.S.1 .7:03) - � /! _ ---_ _ __ _ �
� �
' OWNERORAGE � CONTRA OR —
Sub crib �sw 1 or affirtne before lhis Su ribe a rn or aifirme r e this
��a������l��j[{� by Sl1�ef°
o is�re persona�y known to me or has/have produced o is/re personally known to me�sfiave produce
as identifica6on. as identification.
Notary Public Notary Public
�
isu o 's a.
t ed N e o tary typed,prin d or stamped
,:i�`'"�"8��; LEIGli ANN GILLIAM ,••�"�
;•:►.... a'•..
_• ._ :'o PYP 4; LEIGH ANN GILLfAM
• MY COMMISSION#FF002554 �_ � °-
'°�±` .......;�`•{ `•' •' MY COMMISSION#FF002554
• ••!FOFno?..• EXPIRES March 27,2017 `:'�4���oP� �p�RES Macch 27,2017
. .,,���,,.,.• .,,�. oP,:
407)398-0753 FlorldallotarySeryice.com ••..oF!`,.
, , (40713?8-0153 FloridallotaryService.com
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2014083148 I
Pertnit No. Parcel ID No �/"��•-/1 ji'-��h �� %° �J��
NOTICE OF COMMENCEMENT
State of T�L�r/V�l�}- County of �,��}
THE UNDERSIGNED hereby gives notice that improvement will be made to certain reai property,and in accordance with Chapter 713,Florida Statutes,
the following infortnation is provided in this Notice of Commencement•
1. Description of Property• Parcelldent�cation No.
SVeetAddress: _ � /�� ' � '��
2. General Description of Improvement
" Rcpt:1605174 Rec: 10.00
3. Owner Infortnation or Lessee infortnation if the Lessee contraded for the improvement: DS: 0.00 I T: 0.00
— � 05/23/14 L. Sagastume, Dpty Clerk ,
�I ame ���U��"��]
ddress City � tat�
InterestinProperty: ��L J�� pRULA S .0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
Name of Fee Simple Titleholder. 05/23/14 12•09p�ma 1 of 1 �
(If different from Owner listed above) OR BK ���K pG ����
tid
Address City . aiate
4. ConUactor '' +i
,�.�_. ��m�-. - �'L
Address / ity State
Contractors Telephone No..7a��.>>K �(��
5. Surety:
Name
Address City Stale
Amount of Bond: $ Telephone No.
6. Lender. i
Name
Address Ciry State
Lenders Telephone No.
7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes: _
Name
Address City ' State
Telephone Number of Designated Person:
S. In addition to himseif,the owner designates of_
to receive a copy of lhe Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner
9. E�iration date of Notice of Commencement(the e�iration date may not be before the campletion of consWction and final payment to the
contrador,but will be ane year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
. RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foreg ' 'ce of com en ement and that the facts stated therein are Uue to the best
of my knowledge and beiief.
' STATE OF FLORIDA
COUNTY OF PASCO �
Sig ure f Owner or esse or Owners or Lessee's Authorized
Offic r/D'ectodPartner/Ma er
I Signato 's TiUe/Office.
���` r` �i /� �� ��^�(
. The foregoing insWment was acknowled/g�ed�bef�orte�m,e ethi�, �day of_,���(/ ,2��by-.-_1 !L)} f ����V k3/ ��
G�G,7-/�c��� — (type of authority,e.g.,officer,truste�,attomey in fad)for
ti (name f _ alf whom ins rfient was e�uted).
Personally Known❑OR Produced I n' catio �/ Notary Signa re
�-
Type of Identification Produce / Name(Print) - �
;=ot�"YI°°a��: GERALDINE M SCHWEIGER -
=� � , MY COMMISSION#FF039925
'9r�?°` EXPIRES October 19 2017
�
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THiS iS TO C�RT[FY�i'�iRT TH�F�RF��l�a iS A
TRU�;=+i�r�CC��K�.���`��Y G�TI-I%uOCU�hEN i
ON FILE OF;OF l ^± ..�'L���� 1�1 k-i!S CFFICE
' S P��iY Fi ,! ,IvD C�FFICi�,L SEJ� 11-IIS
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PAULA S O'NE & OiVI� TROLLcR
BY DEPUTY CLERK
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�ontractorlHomeowner: r��Q�� ��t�iCL t t���
' Date Received: � `-Z ��7""
��t�: t��-��s �'`���- z��-���
Permit Type: �j�11 L� �� �i�2Gt ��i,�,.S' ���-�5��?�..--�
Approved w/no comments: Approved w/the below camments: ❑ Denied w/the below comments: ❑
This cornznent sheet shall be kept with the permit ar�dlor plans.
��t���,n,�a ..�.�;���.,c,� J��I � � 70�4 ~� `'.
�
�alvin Switzer-Plans Examiner Date Cantractor andJor Homeawner
(Required when comments are pxesent) �
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�.�� : .�a�dall 1Vl�llins..:���nst�uction,. Inc.
::J . : ; - - . t•,� License#CBC�252808� .
AHome i�erlormance ' A SIIbSI(�laTy Of HOIIII��PeI�OIIIlaI1C@ AI11aI1C@s I11C. �
L !. 1 A N C E � 2850 Scherer Drive-Unit SSO
w►aw.hpawlndows.com
. , .�St. Petersburg, 33716 r �
� . � , ' � ' Phone: 727=538-4140�F�: '727-53$=4217 '
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PURCHASER NAIVIE: � -•- :, . .Fho�e:: � � � . , , , • .> Datc:
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Address: �„Z. .� ,. '��L.V� �S f _ Ce lhone� T f � E-maif
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Sales Rep; y�_ •. � C�stomer Atternatrve Phane:
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C�eneraiDescripaonoflNork: ,.�tnl���+�'1 '!�� '�in'i�c..t;,Q`t`tt�'�p` .. 'K' ti��i��Lt:.: � ".Z ovr-� �Z�'"�-��' ;,�� �:.-.Gr"t.
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-which.is'further deseribed�in the`detail'ed` i�cation �eet�attacheil�h� �as�Exhibit"A":aad inid ed� e - . , ' , .
sh ereto at b :th _ acties.;
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The above work wili be completsd in a�cordsttce�with�the tertns;conditians end�sgecifi�ations herein;.wit�t'TiaYaie`nt to.lxe mai�e scet�rt�ncc with the
fatlovviing Payme�t schedials: , : , � �� , , __ , � , - r., , � . - '-„ ' . . . � • - �.
1. PFtICE� .: � _ . _.., _ ;�.... ��5�•'� � .._, , � f.. -_ - . : � � " ` '.. .. _' ;
... 2. TAX. . . ..S- � . .._ , , _ . �� �
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=3. TQTAL� _ . .__ .. $ ~ _`, ,, s=;�- � .. - -.,.- ,.:T.• � _.. .._ . ,., . �; � .
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' 4. �DOWPtPAYMEIV'r:`,,�,, $ � ....:�:�2„ o:;,.., `-� 1;�lI��....I�PON'COMPLETI.ON�OPWORK �
Se BALANCE ...- � �.. '`-$. ` : R10T.AFTER�THE�FINAL INSPECTION
_ .... _ ., . °�:: _ _ ,_ _:_ „ ;� , �;; •_ _ . . . , �
PAY104ENT TO�1BE MA.DE BY CI�IE�K H'A3IABLE�"O"HOME PIERFORIVIANC�AI:I:1Alo10E`INC°',WHICH.CHE�K.LS DiJE AND
PAYABL:EATI�OME'P�RF'CDRiVIANGEAA,:LI�NCE:INC,.t}FFIGE'A3`-''I'I3EADDRESSSET'FORTTFI=ABOYE. � , , �
ALL APP�.ICABd.E I➢ISCOUNTS HC,�!'VE.BEEN APPLIED. � :. -�; ,.,;„�.. , , � . ' % •t w � , '� � � , . - . ,.
• ,r � � . - -� �. . ., -< < � � �.�.��. �,�:�• � . . , ,. . • , .
` ' - � - .' - Stt�YER'3ttiGHTTtI'CANCEL' , • ,_ � , - ,-
THI^�IS A BQ�ME 50LICTTATtON SALE,AND-IF'XOU,DO NOT WANT!d'SE GOODS OR�SERdICF4,�YOU'MAY CA7VCEI:'1'HL4 AGREEII�:N1'BY
PRQYtDIrIG 1trRfTP�N NOTiCE T{?TH�SF.Y.L�R YlY PERSON:BY TELEG�IM.OR BY MAIL.:Tffi.S NOTIGE MUSi':INDICATE°THAT YOITAO:NOT
'WAI�1'f THE�OODS Oit SERVICES`AND'3MUS'P.BE DEI3VERED OR POSTMAR3CED BEFORE`MIDNYGHT OF'I�'THIIiD BiTSINE.tiS DAY:AFfER '
YOU SI�GN TffiS AGatEEMEN7f. dF Y(DU CANCEE.'CHIS�AGREEMENT;THE�SELLER MAY•NOT'KEEP AI:ti OR'PART QF'ANY CASS"X10WN
PAYM�N'I'. "
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NOTE: R�'PAIL SALES"Y'AX-M[UST BE CRARGED:UNLE3S THE.CUSTOMER SIGNS THE"FOI:LCIWING: =I:caertify
46�t I vwn the Is�ud on x6ich,the.�oc�ure;I-am�em�pm»ng.is_pormaaeatiy-aSuc�d. .Fu otore,I`�have�fiied'a dcclac�tion�with'ttie
Property Apprais�r reqnesting the;shvcture�tie assessed.r�s'realty-and it bea"; `,."RP""- � :� �� - . ` ._
. .. � .. . . - , . ., _ , ., _ ... .. - , .
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� STA U�tY�rcNO�CI�E �I�iGARDING:�C�NSTR - : ON��°�L -S:, , =JACC.G11tDING TO
FLO � . � . - . ; FLORIDA.`.STATUTES),
TIi05]G WHO WORI� 01�I-Y�UIi.FROPERTY QR FROY�}E �MATERIAI.S .AND SERYICES A►ND
AR� ,NOT .PAID-.IN, FiTi.i:��.��E� ,t�,_RIGHT� �di.�ENFOItCE�>�THEIR:��CLAIIVi� �FOR:--PAXMENT
AGAINST YOUI2.PIt1DPERTY. THIS CLAIM�IS KNOWN�AS A CONSTRUC"TION`I:IEN:'�`IF':YOUR
CONTRACTOlt�'-=�R A S�TBCONTRACTOR:---FAIL'S.. �TO.` PAY.- ;SZBCtJN'CItACTORS,�`� `SUB-
SUBCONTI2AC'.�'ORS,°Olt A�AATERIAI. SUPPL:IERS, THE PEOPI:E WHO:.ARE::.OWED�=MONEY
MAY LOOK TQ Y4UR PRUPERTY FQlt PAY1I+I�NT, EVEN- IF YOU _HAVE. .PAID. YOUR
' CONTRACTOR IiY:I�'ULL. <IF Y�U FAIL TO=PA�YOUR.�CUNTRACTOR;,YOUR;CONTRA,.CTOR
1V�'AY ALSO �AVE A LIEN�ON Yal� PROP.ER7'Y: 'THIS�'MEANS`:IF A:�LIEN�IS";`FILED":YOUR
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Pasco �o�nty F'rod�ct Approval �p�cifcation C�ver Sheet
-�"���u�'"'� As required by Florida Statute 553842 and Flarida Administrative Code 98-72 lease rovide the -
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�,��������� .;�y information and praducf approva( number(s) on fhe buildmg camponents lisfed beiow if they are to be
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_ .���F$�.�� � utilized on the construction project for which you are appiying for a building permit.
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=�.«. G NOTE: It is the responsibility of the permit holder to have the printed installation instructions on the jobsite
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Wind Speed: M.P.H. Exposure Category: Protection Required: Yes No
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Symbol Number Product . Prodacf Manu'facturer Series.or � FI or Miami Width � Height Pasitive Negative �
on Plan of Units Gate a � Si.tbeate a. Model# A roval# ` Pressure Presstare
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A 3 Windaw Sin le hun Silverline 200012001 12468.1 52 in 62 in 35 Q 35 0
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Randall Mullins Construction:•-Inc. - A Subsidiarv of Nome Performance Afliance, lnc.
License#: CBC1252808
2850 Scherer Drive - U.nit�550 -St. Petersburg, 33716
(727j 538-4140 - Fax �727j 538-4217
EXCEPTION SHEET WITH DRA�VING
W.tNDOW S�ZE TYPE SERIES SCREEN OBSCIIRE GRIDS CULfJR
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Professib�al ��= P�Rd�u�atuAPProval
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FL# � �� FL15099-R2
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Code Verslon 2410 �f�>
Applicatlon Status Approved ,. ��- • � �fj
Comments ��
Archived L_ � �..
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Product Manufacturer poers Window ManufactuHng,LLC `�.,,4`�� �•4��'`"�
AddressJPhone(Emal! 4901 Oak Falr Btvd.
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Tampe,FL 33610 �'°--..�. Q
(813}626-6dd0
danochste3r�@doerswindaw.com ' �
Authorized Signature Vivian Wright '�
rickw(qlrwbtdgconsu►tants.com
Technlcal Representative
Address/Phone/Emall ���l��(��°�� lttjt A �
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Qua��ty Assurance ttepresentadv ���Y�����HYR�-j J(_�� z�4
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Category Wfndows ��'�+
Subcategory Flxed
Campllance Methad Evaluation Report from a Florida Reglstered Archttect or a ltcensed
Florlda Professiona�Engineer
{-1 Evaivatlon Report-Hardcapy Received
Florida Engtneer or Archttect Name who Lyndon P.Schmldt,P.E.
developed the Evatuatlon Report �--- ��' �,,
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Ftorida Ucense PE-43408 . r^-"�:.;, q '-{ C,r���
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Quaiity Assurance Entity Keystone Certtficatlons,-Inc: _ ,, r-Lt��,I�E��'''" i�
Quality Assurance Contract Explratlon Date 121�1/2Q24 ��:r��' � �,�;��t��T' �����,f11•�
V011daked By RyBnJ.King,P.E. j';���rr'������j���'�'������p�1���n�
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Certittcate of Independence FL15099 R2 COI Certificate Of Independence.odf
Referented Standard ant!Year(of Standard) g#andasd Y ar
AAMAf WDMAJCSAlU1(I.S.2JA440 24d8
A5TM E13U0 2Q04
ASTM E1$86 2005
ASTM E199b 2008
TAS 2d1,242,2d3 1944
Equfvalence of Product Standards
Certifled 6y FloHda Licensed Professlonal Engineer or Archltect
FL15099 R2 Eauiv Eoulvalencv of Standards.�df
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Sections from the Code
Product Approval Method Method 1 Optlon D '
Date Submitted 02J28j2013
Date Vattdated 02J28J28I3 ,
Date Pending F6C Approval 03/06/2013
pate Approved 04/09/2013
Summary at Products
I
iFL# Model,Number or Name Descri tlon
15099.1 a.dura�artf Picture Window Direct Glazed°Non-Impact"Picture Wlndow utilizing a
Nafi Ffo InstatfatEon
Limlts of Use installatton instrtectlons
Approved for�e in HVHZ:No FL15099 R2 II INST 15099.i.pdf
Approved far use ontslde t1VH2:Yes Vertfled By:lyndon F,Schmtdt,P.E.43409
impact Reslstant:No Created by independent Tritrd Party:Yes
Destgn Pressure:NJA Evaluatton Reports
Other NST 15099.1 for Destgn Pressure Ratings, �ii5499 R2 AE E1lA1.15099.1.ndf
any ai use itmitatlons,installation InstrucNons Created by Independent Thlyd Party:Yes
C� raduct arttculars.
15099.2 b.duraGard Picture Wtndaw Dicect Glazetf"Nan-Im act"Plcture Wfndow
Limits ot Use Insta!latfon Instrudtons
Approved fo usa in HVHZ:No FLi5o99 R2 II INST 15049.2.odP
Approved! r use aotslde HVttZ:Yes Ve�ifled By:Lyndon F.Schrnldt,P.E.43489
Impact R istant:Na Created by Independent Third Party:Yes
t res�ure:NJA EvatuaHon Reports
Other:See INST 15099.2 for Design Pressure Ratings, fl.15499 R2 AE �VAL 1�494.2.adf
any additional use I�mitadons,Instat(atlon instructions Created by Independent Third Party:Yes
and roduct artfculars
15044.3 c.Doers Shapes Dlrect Glazed"Non-Impact"Plctvre Windaw(Geametrfc
Sha es utlllzln a Nall Fin InsCaUation
Limlts of Use � Ins#allation Instruetlons
' Appraved tor ase!n HYHZ:No Fli5tI99 R2 II INST 15D99.3.ndf
Approved tor use oulside HVHZ:Yes YeriFled By:Lyndon F.Schmidt,P.E.434Q9
Impact Reststant:No Created by Independent Thlyd Party:Yes
Design Pressure:N/A Evalaation Reports
Other.See INST 15099.3 for Deslgn Pressure Ratings, FL15099 R2 AE EVAL 15099.3.ndf
= any addltlona!use lfmitations,Insbiiatton instructtans Created by Independent Thtrd Party:Yes
and roduck articulars
15099.4 d.Doers Shapes Dlrect Glazed"Non-Impact"Plcture Wtndow{Geometrlc
Sha es
I.Emtts of Use ZnstaltatEon Instrnttions
Approved for use in HVHZ:No FL15099 R2 Ii iNS'f 15099.4.ndf
Approved far use outsFde HVFIZ:Yes VeHFled By:Lyndon F.SchmidC,P.E.43409
Impact Reslstant:Na Created 6y IndegenQent Thlyd Party:Yes
Design Pressure:N/A Evaluatlon Reports
Other.See INST 15d99.4 far Qesign Pressure Ratings, Ft2509g R2 AE EVAL 1�099.4.odf `
any additlonal use Iimitadons,Installatlon Insdvctlons Created by Independenk Thlyd Party:Yes
and roduck articutars
� 15d99.5 e.DuraGard Pickure Wtndow Sash tn Frame Giazed"Non-Im act"Picture Window
Llmfts of Use = , InstaOatEo»instructions
Approved for use In MVMZ:No � FL15099 R2 II INST 15099.5.ndf
Appmved for.use oukside HVtiZ:Yes VeHfled By:Lyndon F.Schmidt,P.E.43404
• Impact R�sls#ant:No Created by Independent Thirci Party:Yes
Design Pressure:N/A Evaluallon Reports
Other.See INST 15099.5 for Deslgn Pressure Ratings, FL15099 R2 AE EVA4 15U99.5.odf
any addltional use Ilmitatlons,Installadon Instructlons Created by IndependentThlyd Party:Yes
and roduct articulars
15099.6 f.DureGard Picture Window Direct Glazed"Impact"Picture Wlndow utiflzing a Nall Fln
InsCailattan
Limits of Use ;nsta!lallon instructlons
Appraved tar use(n HVHZ:No FL15099 R2 II INST 15099.8.�f
Approved ior use outside FIVHZ:Yes Verifled By:lyndon P.Schmidt,F.E.43409
xmpact Reststants Yes Created by Independent Third Party:Yes
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1 aviiva Luiiv.ui,��..vuc vuiuic , • Cil�,.'C J Ul J
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Design Pressare:tVjA Evatuatlon Repaets
Other.See INST 15U99.6 for Design Pressure Ratings, FL15099 RZ AE EVAL 15099.6.odE
any additionai use iimitakions,instaliation Instructions Created by IndependentThird Party:Yes
and roduct arttwlars
15099.7 g.Dura6ard Picture Wfndow Direct Glazed"Im act"Ptcture Wlndow
Limits of Use Installatton Instructlons
Approved tar use in HVHZ:No � hLiSd99 R2 II INST 15099.7..�df
Approved tor use outslde HVHZ:Yes Verifled By:Lyndon F.Schmidt,P.E.43409
Xmpaet ReslstanL Yes Created by Independent Third Parly:YeS
deslgn Pressure:N/A Evaiaation Reportss
Other:See INST 15099.7 for Design Pressure Radngs, FL15U99 R2 AE EVAI 15099 7 odf
any addikionai use limitallons,instaNatton instructions Created by Independehk Third Party:Yes
and roduct articutars
� 15Q99.8 h.Serles 4044 Mode!4550 Exhvded Vlnyl ElxeQ"Impact"Wtndow with Na!ling Ffn
O cnnfl uration; Max Slze 74 x 78
Limits af use insta{lakion instructions
Approved far use!n NYH2:Yes FL15099 R2 II INST 15099.$.pdf
Approved for use oukside HVH2:.Yes VerlFled By: Lyndon F.Schmldt,P.E.43409
=mpact Reststan�:Yes Crea#ed by Independent Thlyd Party:Yes
Deslgn P,ressure:N!A Evaluatlon Reports
Other:See INST 15094.8 for Design Pressure Radngs, FL15099 R2 AE EVAL 15099.8,odf
any additionai use timitatlons,insta!lation tastructions Created by Tndependent Thlyd Party:Yes
and roduct arkiculars
15099.9 I.SeHes 4000 Model 4650 Eactrvded Vinyl Flxed"ImpaCt"Window wtth Plange(O
conflguratlan;Max Size?3 x 77
�.Imfts of U�e I�staHattan instrucEEons
Approved for use In HVHZ:Yes FLi5099 R2 II INST 3.�099.9.odf
Approved tor ose autside ttVFf2:Yes Verifled By:Lyndon F.Schmidt,P.E.43409
Impact Reslstan�Yes Created by Independent Thlyd Party:Yes
Dasign Pressure:N/A Evaluatton Reports
t}ther:See IIVST 15099,4 For DesEgn Pressure Rattngs, FLi5099 R2 AE EVAI 15D99.9.odF
any addiGonal use Iimitatlons,Installatlan instructlons Created by Independent Third Party:Yes
and roduct art►culars
25094.IQ .SeHes 4000 Modet 4fi00 Exdvded Vinyi Fixed Wtndow with Nailing Fln(O
co�fl uratlon• Max 5lze?4 x 78
Llmits af Use Instaliation Instructians
Approved for use le HVHZ:No FLi� R2 II INST 15{399.i4.ndf
Approved tor use outslde FlVFlZ:Yes VeriBed By:Lyndon F.Schmtdt,P.E.43409
Impact Resistant:No Created by Yndependenk Thl�d Party:Yes '
DesEg�Psessure:NJA Evaluatlon Reports
Other:See INST 15099.10 for Deslgn Pressure Ratings, fL15U99_R2 AE EVAt 15099,1U:odf
any addtdanal use Bmitations,instat�ation Instructions Created by Independent Thlyd Party:Yes
and rodtsct arttculars
15099.11 k.Serles 400Q Model 4600 Extruded Vinyl Ffxed Wlndow with�fange{O
confl uration• Max Size 73 x 77
ttmtts af Use !ns#alla#ion Instruetlans
Approved for use!n HYHZ:No fLi5449 R2 II INST 35499.ii.odf
Approved for use outside HVHZ:Yes Verifled By:Lyndon F.5chmldt,P.E.43409
ImFact Resistan#:No CreaYed by Independent'�htrd Party:Yes
Design Pressuro:N/A Evaluatlon Reports
Other.See INST iS099.11 for Design Pressure Ratings, FLiS099 R2 AE EVAL 15099.i�pdf
any addltlonal use Hmitattons,instailatlon(nstructlons Created by Independent Thlyd Party:Yes
, and roduct ardculars
Back Ne�ct
Gantad Us::i�Nflrth Monrne.Sheet.Taltahassee Ft 32399 fhone:850-487•1824
The State of Florida fs an AaJEEO employer.Couvrtaht 20n7-2013 State of Ftorlda.::�cv 5tatemeM::Access@Sfttv Stakement::ReFund Statement �
Under FloHda law,email addresses are public remrds.24 you do not want your e-mai!address reteased In response to a publlo-recards reqttest,da not
send eteehonlc mal{W thIs entity.Instead,aantact the aHice by phane or by tradltionai mail.if you have any quesUans,please contact 850.487.1395.
'Pursuant[o SecGOn 455,275(1),Flortda Statutes,eHective Qdober 1,2012,Ilttnsees licensed undv Chapter 455,P.S.must provlde tht Qepartment
wlth an email address if they have one.The ematis provtded may be used for affida)communtwt�on witfi the ifcensee.However emall addresses are public
remrd.If you do not wish to supply a personal address,please provlde the Departmeni wlth an ema!!add�ess which can be made avatfabfe ta the publkc.
To deterrntne if you are a ttcensee under Chapter 4S5,f.5.,ptease dick here.
Pradact Agproval Aaepts:
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Professi��! 9;�� P ERduc t Approval
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Product Aporoval Menu>Product or Aoolicatlon earth>Aoolication List>Appllwtlon DeWll / (
F*-,--� � / �, � �� ��,„.�-
' ,�-,>:,;;,�. �,# FL# ��/ /�� ' // FL15376-R2 � � (�/
I"1r`•=i�;e�.;aa� � , 4 ` t�
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�-�=��'��''f•`�S I� .- APPlicatton Type RBVlslon
Code Version 2010 �� v �
Applicat(on Status Approved �" t1
Comments U
Archived [,:; � �
Product Manufacturer poers Wlndow Manufacturing, LLC �"'"'r- �
AddresslPhoneJEma!! 49Q1 Qak fa(r elvd. ���
Tampa,Ft,33fi10
($13)626-6000
danochsCeln@doerswlndaw,com
Autharized Signature Vivian Wrlght
rickw@rnbidgconsuitants.com
Technical Representative
AddressJPhone/Ema!!
Quallty Assurance Representative
Address/Phone/Emall ,
' Category Wlndows
Subcategory Hortzontal SIlder
Compliance Method Evaluatlon Report from a Florlda Reglstered Archltect or a Licensed
I Fiorida Professlonal Engineer
��!] Evaluatlon Report-Hardcopy Recelved
� Florlda Engineer or Architect Name who Lyndon F.Schmfdt,P.E.
developed the Evaluaklon Report
�lorida License PE-434Q4
� Qua(ity Assurance Entity Keystone Certlflcatlons,Inc.
, Quality Assurance Cantract Explration Date 12/31/2014
VaI(dated Sy Ryan J.Ktng,P.E.
(�..1 Valldation Checklist- Hardcopy Recelved
Certificate of Independence FL15376 R2 COI CertiFicate Of Inde endence. df
Referenced Standard and Year(of Standard) Standard Year
AAMA(W pMA(CSAl01f I.S.2/A440 2005
' AAMAJWi7MAjCSA1diJI.S.21A440 2dd$
�, ASTM E1300 2004
TAS 201,242,203 1944
Equivalence af Product Standards
CertlfEed Sy
Sections from the Code ,
� hrip://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtH8572qvdWL.. 11/21/2013
�
F,larida Building Code Online � , , Page 2 of 4
Product Appraval Method Method 1 Optlon D
Date Submitted 12/19/2012
Date Validated 02l14/2013
Date Pend(ng FBC Approvai 12j24/2012
' Date Approved 02/27/2013
Summa af Products �V 4
FL# Modei,Number or Name Rascrlptlon
15376.1 a. duraGard Vlnyl Horizontal DuraGard ReplacemenC Vinyl Harizontal Sllding Wlndow
Sllder utfllzes Aluminum Relnforcement(XX-conflguratlon;
Max Size 72 x 65
Limlts of Us Installatlon Instructions
roved f r use In HVH2: No FLi5376 R2 II If�ST 15376.i.odf
Apg or use autslde HVHZ:Yes Verified By: lyndon F.Schmidt,P.E.43409
Impact Resistant:No Created by Independent Third party:Yes
Design Pressure: N/A Bvaluation Reports
Other:See INST 15375.2 for Design Pressure Raflngs, P1153�6 R2 AE EVA�15376.2.odf
any additionai use Ifimitations,(nsCatlatlon instructtons Created by Independent Third Party:Yes
and roducC articuiars.
15376.2 b.DuraGard Vtnyi Norizantal DuraGard Replacement VInyI Fiorizantal SIIding Window
S�ider utiiizes Composite Reinforcement(XX-conflguratlon;
Max Size 71 x 56)
Lim[ts of Use Installatian Instructions
Approved for use in HVHX:No FL153�6 R2 II INST 15376.2.odf
Approved for use outslde HVHZ:Yes Veriffed By: Lyndon F.Schmldt, P.E.43409
Impact Resistant:No Created by Independe�t Thtrd Party:Yes
Design Pressure:N/A Evaluation Reports
Other:See INST 15376.2 for Deslgn Pressure Ratings, FL15376 R2 AE EVRL 15376,2.odf
any addltionai usa limltatlons,lnstailatfon fnstruct(ons Created by Independent Thlyd Party:Yes
and roduct particutars.
15376.3 c. DuraGard Vlnyl Morizontal DuraGard New Constructlon(Nafl Fln)Vlnyl Horizontal
Slider S(Ed3ng Wlndow utlllzes Aluminum Relnforcement{XX-
conflguration; Max Size 72 x 65)
Llmits of Use Installation Instructians
Approved far ase in HVNZ:No FL153?6 R2 iI INS715376.3.fldf
Approveal for use outside HVHZ:Yes Verifled By: Lyndon F.Sch�nidt, P.E.43409
Impact Resistant: No Created by Independent Third Party:Yes
Design Pressure:N1A Evaluation Reports
Other:See FNST i5376.3 for Desigr+Pressure Rat{ngs, FL15375 R2 AE EVAL 15376.3.odf
any addltianal use Ilmitations,fnstallation instrucklons Created by IndependenC Third Party:Yes
and product particulars
15376.4 d.DuraGard Vinyl Horizontal DuraGard New Construction(Nail Fin)Vinyl Horizontal
Sllde� Sliding Window utilfzes Composite Relnforcement(XX-
Conf�guration, Max S[ze 71 x 56�
l.Tmits of Use Instaliation Instructians
Approved for use in HVHZ: No FLi5376_R2 IT INST SS376.4.pdf
Approved for use outside HYHZ:Yes Verified By: Lyndan F.Schmldt,P.E.434Q9
Impact Resistant:No Created by Independent Third Party:Yes
Design Pressure: N/A Eealuation Reports
Other:See INST IS376.4 far Design Pressure Ratings, F�i53?6 R2 AE EVAL 2537b.4.�df
any addEtlonai use limitatlons,tnstallation instructions Created by Independent Third Party:Yes
and roduct articulars
153765 e.Sashifte Vlnyi Horizontai Siider Sashiite Reptacement Vlny(HorEzanta!Silding Windaw
utiltzes Aluminum Reinforcement(XX-conflguration;
Max Size 72 x 6q) �
Limits of tise Instattatian Instructions ' `
Appraved far use in HVHZ:No 'FLI53�6 R2 TI IPUST 15376.S.pdf
Approved�or use outside H!lHZ:Yes Verlfled By: Lyndon F. Schmidt, P.E.43409
Impact Resistant:No Created by Independent Thlyd Pas-ty:Yes
Design Fressure:NJA Evatuat�on Reparts
Other:See INST 15376.5 for Design Pressure Ratings, FL15376 R2 AE EVAL 15376.5.odf
any additional use Ilmitatlons,Installation Instructlons Created by Independent Thlyd Party:Yes
and product parttculars
15376.6 f. DuraGard Vlnyl Harizontal DuraGard Replacement Vlnyl Horizontal Sliding Window
Sllder utlllzes Aluminum Relnforcement{XOX-conflgttratton;
http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqtH8572qvdWI... 1 J./21/2013
F��rida Building Code Online , . � Page 3 of 4
Max Size 112 x 63 �
Limiks of Use Installatlon Instructlons
Appraved for use�n HVHZ:No FL15376 R2 II INST 15376.6.odf
Approved for use outside HVH2:Yes Verlfied By: Lyndon F.Schmidt,P.E.43409
Impact Resistant: No Created by Independent Third Party: Yes
Design Pressure:N/A Evaluation Reports
Other;See INST 15376.6 for Design Pressure Ratings, FL15376 R2 AE EVAL 15376.6.adf
any additional use Iimltations,Installation instructions Created by Independent Third Party:Yes
and roduct particulars
15376.7 g.Sertes 4d00/Mode�4554 Extruded VInyI Hortzontal Sliding"Impact"Window with
Nalling Fin (O/X or X/O-conFlguratlon; Max Size 76 x
65
Limtts of Use InstailaYton Instructlans
Approved for use in HVHZ:Yes FL15376'R2 II Inst 15376.7.qdf
Approved far use outside HYHZ:Yes Verlfied By: Lyndon F.Schm(dt,F.E.43409
ImpacE Rasistant:Yes Created by Independent Third Party:Yes
Design Pressure: N/A Evaluation Reports
Other:See INST 15376.7 far Design Pressure Ratings, PL15376 R2 AE EVAL 15376.7.pdf
any add]tional use llmitatEans,instailatlan Instructlons Created by Independent Third Party:Yes
and produck articulars
15376.8 h.Series 4400 J Modei 455Q E�ctruded V{nyi Horizontai Slidtng"Impact°Window with
Flange OjX or XJO-conflguration; Max Size 75 x b4
Limits of Use Installation Instructlons
Approved for use in iiVHZ:Yes FLi5376 R2 Ii inst i5375.8.odf
Approved far�use outside HVHZ:Yes Verified By: Lyndon F.Scfimidt,P.E.43409
Impact Reslstant:Yes Created by Independent Third Party:Yes
Design Pressure:N(A Evaluation Reports
Other:See INST 25376.$for Design Pressure Ratings, FL15376 R2 AE EVAi.1537b.8.odf
any additional use Ilmltations,Installation Instructlans Created by Independent Third Party:Yes
and product particulars
15376.9 i.Series 400d J Modei 4500 Extruded Vlnyi Horizontai Sliding Window with Nailing Fln
O/X or XJO-canflguretion; Max Size 74 x 74
Lfm3ts af Use Instaliation Znstrnctlons �
Approved'Por use tn Ni/HZ:No FL25375 R2 II inst iS376.9,odF
Approved far use outslde HVHZ:Yes Verlfled By: Lyndon F. Schmldt, P.E.43409
Impact R�sfstant:Na Created by Independent Th[rd Party:Yes
Design Pressure:NJA Evaivation Reports
Other:See INST 15376.9 far Design Pressure Ratings, FL1�37fi ►t2 AE Evai 15376.9.�rdf
any additlonal use![mitatlons,Installatton Instructlons Created by Independent Thfrd Party;Yes
, and roduct articulars
' 15376.10 . Series 4000/Model 4500 Extruded Vlnyi Morfzontal Sllding Wlndow with Nalling Fin
�� X/OJX-configuration; Max Sfze 113 x 65
i Lfmits of Use Installation Instructlons �
Approved for use in HVHZ:No F115376 R2 II INST 15376.10.ndf
Approved�or use outside tIVHZ;Yes Verifled By: Lyndon F.Schmldt,F.E.43409
Impact Resistant:No Created by Independent Third Party:Yes
Design Pressure: N/A Evaluatian Reports
Other:See INST 15376.10 for Design Pressure Ratings, FL15375 R2 AE Eva!iS375.10.pdf
any addttlonal use 13m1tat(ans,Installatian 3nstructions Created by Independent Thlyd Party:Yes
and roduct articulars
153T6.11 k.Series 400Q J ModeE 4500 Extruded Vtnyl t4or(�antal SIlding Wtndow wEth Flange
(OJX or XJO-canfiguration; Max Size 73 x 64
Limits of Use Tnstallation Instructians
Approved for use in HVHZ:No Ft15376 R2 II Inst 1537fi fi adf
Approved for use outside HVH2:Yes Verifled By: Lyndon F. Schmidt,P.E.4�3409
Impact Resistant: No Created by IndependenC Third Party:Yes
Design Pressure:NfA . Evaluation Reports
Other;See INST i5376.11 for Design Pressure Ratings, FL15376 R2 AE EvaS i5375.ii.odf
any additlonal use Ilmltations,installatlon Instructlons Created by Independent Third Party:Yes
and product particulars `
6ack Nexk
Con�rt Us::194d North Monroe 5treet.Taflahassee FL 32399 phone:850-487-1824
The Sta[e of Flor(da Is an AA/EEO emplayer.Copvriaht 2007-2013 State of Florida.::Privacv Statement::Accessfbliltv Statemenk::Refund Statement
Under Fiarida Iaw,emall addresses are publlc remrds.If yov do not waet yeur e-mait addrnss reteased tn response to a pub2to-records request,do not
send electronlc maii to thls entity.Instead,mntact the offlce by phone ar by haditional mall.If you have any questtons,please contact 850.487.1395.
"PUrSUant to Sectlon 455.275(1),Florida Statutes,effective Oc[ober 1,2012,Iicensees Ilcensed under Chapter 455,F.S.must provide the Department
' with an emall address If they have one.The emalls provlded may be used for offlctal communlcation wlth the Iicensee.However ema!!addresses are pubitc
recotti.If you do not wish to suppty a persflnal address,please provide the Department with an emaSS address wfsfch q�be made availabie to ihe pubttc.
http://www.flori.dabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqtH8572qvdWI... 11l21/2013
L
Florida Building Code Online , . . Page 4 of 4
To detecm[ne if you are a!(censee ander Chapter 455,�.5.,please click�
Prodoct Approval Accepts:
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Product Manufacturer poers Window Manufacturing,LtC
AddressJPhonelEmal! 49014ak Fair Bivd.
Tampa,F!.33610
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danochste(n@doerswindow.com
Authorized Signature Vivfan Wright ' _
rlcicw@ rwbldgconsulcants.com
Techriicai Representattve
SddressJPho�ejEmatt°" �-""
Quaiity Assurance Representattve - r , �
AddressjPhonel�mal! ,
Category Windows
Subcategary Muiltacts
Camptiance Methad Evaluerion Report from a florida ttegistered Arch�tect or a Llcensed
Fiorida Professlonai Engineer
C! Evaluatlon Report-Hardcopy Recefved
floHda Enginesr er Archttect Name wha tyndan P.Schmidt,P.E.
devetoped the Evaluation Report
Florlda Licens� PE-43409 �
Qualtty Assurance fntity Keystane Certtflcatlons,Inc.
Qualfty Assurance Cantract E3cpiratlon Date 12/31l�015
VaUdated By Ryan].Kiny, P.E.
�J Valtdation Checkffst-Hardcopy Recetved
Certtflcake of Independenca FL15417 R1 COI Certiflcate of Indenendence.odf
Referenced Standard and Year{of Standard)
Equtvaience oP Product Standards
Certlt7ed By
Sections from the Code
" 1715.S.S
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Limits ot use _ '
Approved fo�use in HVHZ:No =ns�'altation instruetions
Approved for use outside HVHZ:Yes �-15417 Ri II Ins 154+�� �+Q
=mpact Resistant:Yes Verifled By; Lyndon F.Schmidt,P.E.43409
Design Pre9sure:N/A Created by Independent Third Parly;Yes
Other.See INST 15417.6 Por Design pressure Ratlngs, E�aluation Reports
spedftc use Iimltatlons,InstallaUon fnstructlons and �15417 Ri A ��a� ,r,,+, oa�
roduct articulars, Created by Independent Third Party:Yes
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