HomeMy WebLinkAbout14-15376� ;: ,�' CITY OF ZEPHYRHILLS
� 4 5335-8TH STREET
(si3)�so-oo20 15 76
� BUILDING PERMIT �
����-PERIVIIT�INFORIIfIAtT.ION�`' z,=�:a� '��.�:��� ���k �.t..' �.�-�=�LO;CA�£ION�INFO,RMATI:O`N�:. �' �_�� . __.e �
Permit Number: 15376 ' Address: 38309 IRONWOOD PL
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: DRIFTVVOOD
Est. Value: Parcel Number: 02-26-21-021A-OOG00-0030
Improv. Cost: 4,120.00 ���°'�`��=,� �" R',, 'OWNER�INF�O:RM�►TiION -
��..�„�.
Date Issued: 7/14/2014 Name: STAHL PATRICIA A
Total Fees: 90.00 Address: 38309 IRONWOOD PL
Amount Paid: 90.00 ZEPHYRHILLS FL 33542-6623
Date Paid: 7/14/2014 Phone: 8134691727
Work Desc: REPLACE 2 WINDOWS SIZE/SIZE
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�;.��CON3�RA►CTOR�S ���� � .�� :�'=�ARPLICATION�FEES �°�������.�°� ���:r;`�$���
PELLA WINDOWS&DOOR BUILDING FEE 90.00
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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 �NSULATION 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 performed 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
� �_
� Print Form
` -� - Y a�saso-oozo City of Zephyrhills Permit Appiication FaX-8�3-� -
Building Department �;-,<
vU
Date Received �C Phone Contact for Permitting l� � — ( � � �
Owner's Name �(/�,'�"V {C�(Ol. S��-� � Owner Phone Number (b 13 J "T� 1 ` l ( °?7
Owner's Address 3 p�� I rOc�I W O�d S �O�G� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �S�D� I V�DI�W O0� �I GLGQ LOT# �
SUBDIVISION �Y I�TW�O� "°t" 2C' ��S PARCEL ID# oa-a�-a i- o��� -oo OD— L7�.30
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q MOVE O DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR 0 COMM Q OTHER CON O lUltAf�
TYPE OF CONSTRUCTION � BLOCK 0 FRAME 0 STEEL Q OTHER
DESCRIPTION OF WORK �e ��`� � W11��t.,S S(Ze S!2�
BUILDING SIZE SQ FOOTAGE HEIGHT
� BUILDING $ � ( I � �.W � TION OF TOTAL CONSTRUCTION \�J��
.��
� ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � Q W.R. .
f �
� PLUMBING $ �al��
(l� Z�' � ��rr���—
� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �j M/l
l //) `j�,(��,Lt
0 GAS 0 ROOFING 0 SPECIALTY � OTHER `� ^ �lti`'
�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO
—1 �
BUILDER James Rowland � .D COMPANY PWD-Orlando, Inc. ' �S
SIGNATURE REGISTERED Y N FEE CURRENT N
Address 350 W. State Rd. 434, Longwood, FL 32750 License# CBC046712
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address I I License# I
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely '
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$5000)
'* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
,
�, . .
NOTICE OF L1EED RESTRICTlONS: The undersigned understands that this permit may be subject to"deed" restric#ions"
which rnay be more restrictive than Caunty regulations. The undersigned assumas responsibility far compliance with any
applicable deed res#rictions.
llNL10ENSED CONTRAGTORS AND CONTRACTOR RESPQNSiSi�iTIES: lf the awner has hired a contractar or
contractors to undertake work, they may be required to be licensed in accordance with state and (ocal regulations. lf tfie
contractar is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under sfate iaw. If the owner or intended cantractar are uncertain as ta 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-
80Q9. Furthermare, if the awner has hired a contractor or contractars, he is advised ta have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsibfe. If you, as the owner sign as tF�e
cantractar, that may be an indication that he is not properly licensed and is not entitled ta 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 construc#ion of new buildings, change of
use in existing buildings, ar expansion of existing buildings, as specified in Pasco County Ordinance number 89-q7 and
90-07, as amended. The undersigned alsa understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understoad that Transportation impact Fees and Resource Recovery Fees must be paid priar to
receiving a "certificate of accupancy" ar final power release. If the praject daes not involve a certificate of accupancy or
finai power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterJSewer lmpact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ardinances.
C�NSTRUCTiON �fEN �AW(Chapter 713, Florida Statutes, as amended}: lf valuatian of wark is$2,504.00 ar more, !
certify that 1, the applicant, have been provided with a copy of the "Florida Construction l�ien Law—F{omeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
ofher than the"awner", 1 certify that I have abtained a copy af the abave described document anci promise in gaod faith ta
deliver it to the"owner" prior to commencement.
CONTRAC70R'S/OWNER'S AFFlDAV1T: l cerkify that all the informatian in this application is accurate and that all work
will be done in compliance with all applicable laws regulating consfruction, zoning and iand development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or ins#allatian has
camrnenced priar ta issuance of a permit and that a11 work will be performed ta meet standards of ali laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that 1 understand that the regulations of other government agencies may app{y ta the intended wark, and that it is
my responsibility ta identify what actions � must take to be in compliance. Such agencies include buf are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlWastewater Treatmenf.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Dacks, Navigable Waterways.
- Department af Health & Rehabilitative Setvices/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#he use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fi11 material is ta be used in Fioad Zane "A", it is understoad that a drainage plan addressing a
"compensating volume" will be submitted at time af permitting which is prepared by a professianal engineer
licensed by the State of Flarida.
- If the fill material is to be used in Flaod Zone "A" in connection with a permitted building using stem wall
construction, 1 certify that fil!will be used only to fill the area within the stem wall.
- If fiiE maferiai is to be used in any area, 1 certiiy fhat use af such fill wi11 nat adversely affecf adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditians of the building permit issued under the attached permit applicatian, far lats Sess #han one (1}
acre which are elevated by fill, an engineered drainage plan is required.
!f I am the AGENT FOR 7HE OWNER, ! promise in good faith to inform the owner of the permitting conditians set farth in
this a�davit prior fa commencing construction. 1 unc3erstand that a separate permit may be required far electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shali be cans#rued #o be a license to proceed vuith #he wark and not as autharity ta violate, cancel, alter, ar
set aside any provisions af the technical codes, nor shall issuance of a permi#prevent the Building Official from thereafter
requiring a correction ot errors in plans, construction or violations of any codes. Every permit issued shall become invalid
j unless the work aufhorized by such permit is commenced within six manths of permit issuance, or if work authorized by
the permit is suspended ar abandoned for a period of six (6) months after the time the wark is commenced. An extension
may be requested, in writing, from the Building Offcial for a period not ta exceed ninety {90} days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(9Q)consecutive days,the jab is considered abandoned.
WARNiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN7 NfAY RESULT 1N YOUR
, PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
Wi3H YOUR LENDER CtR AN AT3 N BEFORE RECORDING YtJUR NOTICE OF C CEMENT.
FLORIDA JURAT(F.S.117.0
OWNER QR AGENT CONTE2ACTOR �
Sub rib d and sworn to(o ffirmed before me this Su,b s ri d and sworn to(or affirmed)before me this
Z- / by_�,F727�"✓�7`"t..-�2�f i1/G k� ?i/ by /�7,:�42T�'✓ .�?"u'n-Lin/6�
W a i�sonally known to me or hasthave produced Who islare personally known to me or E�aslhave praduced
as identification. as identification.
�
Notary Public Natary Public
C ission No. C%2�t7l�Z�t� Commis o No. �L''�D��2.'7�
f�+1 t As✓Hlir� t/o(� C�"�Z./J"�''rr�v.Iirr/
Name of o a f ped pri�nfedq`o�r s�t��ped Name of Notary t� ed, rinted r t ed
Qt�Y°Ua� i�okary Public Stata of Flarida etP4Y pveG Ivotary Public State a!Flodda �
� = s�� ; John H Christia��son ,� ? �� : John H Christiansan
'2�=r�_, a My Commission EE017274 �?G o My Commission EE017274
9jFa��o°� Expires 10/15/2014 4�'q�p�oo- Expir?s 10/15/2014
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Permit Number -° I{INIII{III1111111111�11111I11lllll111111[Illl[1f1�1�1[llll
Parcel ID Number Qa'o26 �� ( `OalfF—��C��fi�"f1Cs�30 201408933@
�'��-r��v ��%7 ' --
��QB� �6��ads��o� �. �1oa� Rcpt:1607548 ���: �0.a�
pS: @.00 TT: 0.00
��0 S$�t�E ROad 434 We�� 06/04/14 L. Korb, Dpty C 1 erk �
Longwaod, FL 32750 �
407-839-Q6Qp off 4Q7-339-7742 f�c
NOTICE fJF COMMENCEMENT PRULR S 0'NEIL,Fh D PRSCO CLERK & GOCIPTR4L�ER
State of Florida P 06t04114 ��$�� 1 of�1���
County of �'S�'� 'OR BK ���.�� P� i
The undersigned hereby gives notice that the impravement(s} wii! be made to certain rea! praperty, and in accordance with
Chapter 713, F(orida Statutes,the foliowing'srsformation is provided in this Notice of Commencement.
1. pescription of property(legal description of the property,and street address if available)
Address 3�13�0°I [v��woo� 'Pf�.Ce eoi�khit�s� }r-�-- �35��
Legal Description �RIrT�ao� o� ZE�'tfy�i-f-tL�-s Conis>,p �N-�-SE 1 Lt N ti"T 3 �L-..t5���
2. 6eneral description of irnprovement(s)
(n1(d�JJau.� '2��'�t���M�N!
3. Owner Information
Name �/n.-�-Y�r�L�(n .S-(�.� � Phone&Fax Number
Address 3 8�ag' �V'pv�t�ladc� �(�7�*.n(n,,.fr�n.�C(� �C� 3,�5';�f a�
interest in Praperty pt,�rJU�'L.
4. Fee Simple Title Holder(if other than owner shown above� �
, Name �I� Phone&Fax Nurnber '
Ad d ress
S. Contractor P��`Qy����, ���-.
Name__ � Phone&Fax Number `�'O�,� �'3� `"��P��
address 350 �+�-�e.. �o�cd- �f 3� tn.TL� „U,I oa� F(..._ 3,�..7 so
6. Surety(if any)
NameN�A Phone$e Fax Number
AddressN/A
7. Lender(if any}
NameN�A Phone&Fax Number
AddressN/A
8. Persons with the State of F(orida designated by Owner upon who notices or other dacuments may be served as
provided by 713,13(1)ta}7, Flarida Statutes, �
Name Phane&Fax Number --
Ad d ress
9. In addition to himself or herself, Owner designates the fallowing to receive a copy of the Lienor's Notice as provided in
713.13(1) (b), Flarida Statutes.
Name Phone&Fax Number
Address -�
20. Expiration date af Natice af Commencement (the exp'sratian date is one year fram the date af recording unless a
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AF7ER THE EXP1RATiON OF THE NO710E OF
COMMENCEMENT ARE CONSiDERED IMPROPER PAYMENTS UNDER CNAPTER 713, PART 1, SECTiON 713.13, FLCtR1DA
STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR 1MPROVEMENTS TO YOUR PR4FER3Y. A NO'fICE OF
COMMENCEMENT MUST BE RECORDEi} AND POSTED ON TFiE JQS StTE BEFORE TNE FERST 1NSPECTiQN. IF YQU INTENfl TO
OBTAIN FFNANCItUG,CONSULT YOUR L NDER QR AN ATTORNEY SEFORE COMMENCiiVG W4RK OR RECC?RDING YOUEt 1VOTICE
{ OF CQMMENCEME T. ,�. � ,, � _
� 11. _. _ �G%r2�2�,1^ f,._.� , }�.F�7"R l G�/..► ST%�N L , -
Signature of Owners or Owners Authorized Officer/Director/Partner/Manager Print Name
' Sworn ta(or affirmed}and subscribed befare me this 2��day of �uN� ,20 �`�' by_P�#-7f��Cat+.ST�}NG-- as
t�Wn�y'�-- (type of autharity, e.g. officer, trustee, attorney irt fact) far S't.2F {name of party on
behalf of wham instrument was executed. .� personally known to me or produced
as identification.
�
=o��`Y�°„Ua�n Notary Pubtic State of�lorida
Signat ry of Nrytary� � Seal � � JOh���hrEstianson
� "� � t � '�� ': o �y Commission EE01�274
/ tlw �a�c�a� Expires 16195/2d14
Name(print} �
--a�v a--
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and
�hat the facts stated are true to the best of my knowledge and belief. ,�,, , ,
��r��_... �����` , �
, Signatory of Natura(Person Signing(in('tne#11)A6ove
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� ,e °-�'�� 7MIS IS 1�0 CERTIF=Y TH�1T TNE FOREGOlNG IS A
r. TF�IfE H!�!D GORR�CT CUF'Y GF THE DdCUMENT
� "° ° � 0(�!F{LE OR aF PUBLIC RECORD iN THIS OFFiCE
� , In�od�,eTp,�,t : � IiVITN S���Y N,AidD A OFi=iCIAL SEAL THIS
�.,.�-0.,,, � --��DAY OF R-�-- 2 d
� z� , '�� � � PAULA S O'NctL., � RiC&COMPTROL.LE
'S'A�+� � $� � � �Y_,,,. �-,v ^,t !n tr ,��yL� n�pl ITY CLERK
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Rep Name: DAVE OSBORNE Date: 5/9/2014
Quote No: 5654575 Customer: PATRICIA STAHL
Address: 38309 IRONWOOD PLACE
���,' ZEPHYRHILLS,FL 33542
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CODE: ASCE 7-10-Chapter 26&Chapter 30
AesiRn Pressure Calculation Parameters
� Occupancy Category: II (Figure 26.5-1A)
Enclosure Classification: Enclosed Design Wind Speed(100- 200 mph): 137
Topographical Factor(Kzt): 1 (relatively Elat�ound) Mean Roof Height(h) from above(30'max): 30
-Wind Directionality
Factor(Kd): 0.85 Exposure Category(B,C or D): B
Roof Pitch: Greater than 2/12 or 100
Aesign Pressures for Comoonents and Cladding in accordance ASGE 7-10 Chapter 26&Cha tep r 30
pP calculated using DP Converted to meet
- ASCE 7-10 WDMA requirements
Quote Line Description Wall Opng. Posirive Negarive Max.Positive Negative
No. Zone Width Opng.Height Pressure Pressure Pressure Pressure
60 2 WIDE SINGLEHUNG S 75 75 30.8 -39.2 18.5 -23.5
65 2 WIDE SINGLEHUNG 5 75 75 30.8 -39.2 18.5 -23.5
Select 0 0 - - - -
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Select 0 0 - - - -
� Select 0 0 - - - -
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" Select 0 • 0 - - - -
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Select 0 0 - - - -
. Select 0 - 0 - - - -
Select 0 0 - - - -
Select 0 0 - - - -
SeleM 0 0 - - - -
Select 0 0 - - - -
Select 0 0 - - - -
Select 0 0 - - - -
Select 0 0 - - - -
For Use By Pella Personnel Only
This calculation was not reviewed by a Prafessional Engineer unless a raised stamp is present
y� RI
ustomer: Patricia Stahl Project Name: Stahl,Patricia, Order Number: 7214DOW7D Quote Number: 5654575
Line:# , Location: ° ,. , .. , . , • ,. . . . . ,
. ',• '�� . Attnbutes - . . , ..
15 DISPOSAL ' -�;
ADDPRRMCOR020001 - Delivery& Disposal caty -
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"Cine# Cocation: , __ : .,;, . . , . , , .
' _ Att[Ibutes - • � - -
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0 AWAY FROM DOOR Impervia, 2-Wide Single Hung, 74 X 73.75, �rown c�ty
� i . - 1
� 1:Non-Standard SizeNon-Standard Size Single Hung,Equal
Frame Size: 36 3/4 X 73 3/4
� , � � � PK# General Information: Standard,Duracast�, Block,No Foam Insulated,3",1 11/16"
Exterior Color/Finish: Brown
� .:a•+a �� .,^�.,�. 637 Interior Color/Finish: Brown
� Glass: Insulated Tempered In Bottom Sash Only Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: Cam-Action Lock, Brown
Screen: Half Screen,Conventional Fiberglass
Grille: No Grille,
Vertical Mull 1: FactoryMull, 1/2"Integral Mullion
2:Non-Standard SizeNon-Standard Size Single Hung,Equal
Frame Size: 36 3/4 X 73 3/4
General Information: Standard, Duracast�,Block,No Foam Insulated,3", 1 11/16"
Exterior Color/Finish: Brown `
Interior Color/Finish: Brown
Glass: Insulated Tempered In Bottom Sash Only Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Hardware Options: Cam-Action Lock,Brown
Screen: Half Screen,Conventional Fiberglass
Grille: No Grille,
Vertical Mull 1: FactoryMuil, 1/2"Integral Mullion
Wrapping Information: No Exterior Trim, No Interior Trim, Pella Recommended Clearance,Perimeter Length=296",Glazing Pressure=205.
Rough Opening:74-1/2"X 74-1/4"
Customer Notes: FPAS
WINDOW�12�_ 6 9�
MU�_L' 3844.1
INSTARMCOR020002-2 Wide Non-Wood Window Drywall Return Qty 1
QUOMATMCOM030020-Aluminum Frame Expander Qty 25
For more information regarding the finishing, maintenance, service and warranty of all Pella�products,visit the Pella�website at www.pella.com
Printetl on 5/27l2014 Contract-Detailed Page 2 of 11
Customer: Patricia Stahl �Y� ��
Project Name: Stahl,Patricia, Order Number: 7214DOW7D Quote Number: 5654575
Cine# � LocationE...�,. :.,,. .„... ., . ,;.. . . , .. <. . . . . .
- • . Attributes" - � � � � �
65 NEXT TO DOOR IrppgNla, 2-Wide Single Hung, 74 X 73.75, �rown caty � -
� 1
"' 1:Non-Standard SizeNon-Standard Size Single Hung,Equal ^
r-.
"' Frame Size: 36 3/4 X 73 3/4
) � � ! � PK# General Information: Standard,Duracast�,Block,No Foam Insulated,3", 1 11/16"
� Exterior Color/Finish: Brown
• ;.a.r;, �,. .r_,,ra - 637 Interior Color 1 Finish: Brown
Glass: Insulated Tempered Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exteflof Hardware Options: Cam-Action Lock,Brown
Screen: Half Screen,Conventional Fiberglass
Grille: No Grille,
Vertical Mull 1: FactoryMull, 1/2"Integral Mullion
2:Non-Standard SizeNon-Standard Size Single Hung,Equal
Frame Size: 36 3/4 X 73 3/4
General Information: Standard,Duracast(�,Block,No Foam Insulated,3", 1 11/16"
Exterior Color/Finish: Brown
Interior Color/Finish: Brown
Glass: Insulated Tempered Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Hardware Options: Cam-Action Lock,Brown
Screen: Half Screen,Conventional Fiberglass
Grille: No Grille, �
Vertical Mull 1: FactoryMull, 1/2"Integral Mullion
Wrapping Information: No Exterior Trim, No Interior Trim,Pella Recommended Clearance, Perimeter Length=296",Glazing Pressure=205
I
Rough Opening:74-1l2"X 74-1/4"
Customer Notes: FPAS
WINDOVIIS 126�02.9
MUEL.13844.1_%� �
INSTARMCOR020002-2 Wide Non-Wood Window Drywall Return Qty �
QUOMATMCOM030020-Aluminum Frame Expander Qty 25
For more information regarding the finishing, maintenance,service and warranty of all Pella�products,visit the Pella�website at www.pella.com ,
Printed on 5/2712014 Contract-Detailed Page 3 of 11
�`� � Florida BL2ilding Code Online Page 1 of 5
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t i�^:j:�'�;a:7:i�i�i'=� BCIS Home ; Log In ; User Registratlon Hot ToOics � Submit Surcharge Statr&Facts f PublicaUons FBC S[aff : BCIS Site Map Links Search
Busiries���15 �� �
Professiorial `�4 �-{product Approval
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�''�'`°�""'�-' FL� FL12602-RS
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Appiication Type Revision
Code Version 2010
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified
by the POC and/or the Commission if necessary.
Comments
� Archived t"mm
Product Manufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella,IA 50219
(641)621-6096
pellaproductapproval@pel om
L`WO C SII.SLL CQMPLY WITH ALL
Authorized Signature Andrew Morse PREVAILING CODES,FLORIDA BUILDING
� morsea�@Pe��a.�o CODE,NATIOT;AL ELECTR.TC CODE,�II�TD
Technical Representative Joseph Hay n
CITY 0;ZEI'`rI'i'R.uILLS G2n_�].�NCES
Address/Phone/Email 102 Main reet
Pella,IA 0219
(641)6 1-6096 - �
jahay n@pella.com
��E:r�� �,��� JUN 0 9° 2014
Quality Assurence Repres2ntative Pat rtscheller C�� - __._._,_ '
Address/Phone/Email 102 ain Street �F���'MYRI-�f�.�.�
, Pella IA 50219 ,P-�J.��S
(641 621-1000
PJBO cheller@pella.com � ��
Category Wiridow
Subcategory Single Hun
Compliance Method Certification Mar r Listing
Certification Agency Window and Door Manufacture
Validated By Terrence E. Lunn,PE
-�: Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA 101/I.5.2-97 1997
AAMA 101/I.S.2/NAFS-02 2002
AAMA/WDMA/CSA 101/I.5.2 2005
AAMA/WDMA/CSA 101/I.S.2/A440-08 2008
Equivalence oF Product Standards
Certified By
Product Approval Method Method 1 Option A
http://floridabuilding.or�/pr/pr_app_dtl.aspY?param=tivGEVXQwtDqtkfS%2fv%2fpAtoDU... 6/2/2014 ,
� � � Florida Buildinb Code Online Page 2 of 5
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Date Submitted 11/ZO/2013
Rate Validated li/20/2013
Date Pending FBC Approval -
Date Approved 11/25/2013
Summar of Products
FL# Model,Number or Mame Description
12602.1 Pella Impervia Single Hung 35.5"x 59.5"Single Hung
Limits of Use . Certification Agency Certificate
Approved for use in HVNZ:No. FL12602 RS C CAC FL1260Z.1 CCL for Pella 11-20-13
Approved for use outside HVHZ:Yes 411-H-1123.odf
Impact Resistant:No Quality Assurance Contract Expiration Date
Design Pressure:+50/-50 12/22/2017
Other:Confguretions of glass shall conform to current Installation Instructions
ASTM E1300 standard. FL12602 RS II Sinale Hunq Drawino 1653 odf
Verified By: Warren W. Schaefer,P.E.44135
Created by Independent Third Party:Yes
Evaluation Reports
FL12602 RS AE Sinale Huno Drawina 1653�df
Created by IndependentThird Party:Yes
12602.2 Pella Impervia Single Hung 47.5"x 77.5"Single Hung
Limits of Use Certification Agency CerYificate
Approved for use in HVHZ: No , FL12602 RS C CAC FL12602.2 CCL for Pella 1i-20-13
Approved for use outside HVHZ:Yes 411-H-1123.odf
Impact Resistant:No Quality Assurance Contract Expiration Date
Design Pressure: +30/-30 iZ/22/2017
Other:Configurations of glass shall conform to current Installation Instructions
ASTM E1300 standard FL12602 RS II Sinale Hunq Drawino 1653.odf
. Verified By: Warren W. Schaefer,P.E.44135
Created by Independent Third Party: Yes
Evaluation Reports , �
FL1260Z RS AE Sinale Huna Drawina 1653 odf
Created by Independent Third Party:Yes
12602.3 Pella Impervia Single Hung 47.5"x 95.5"Single Hung
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL12602 RS C CAC CCL for Pella 5-29-12 411-H-1388 odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 11/29/Z015
Design Pressure: +25/-25 Installation Instructions
Other:Configurations of glass shall conform to current FL12602 RS II Sinole Huna Drawinq 1653.odf
ASTM E1300 standard. Verified By: Warren Schaefer,P.E.44135
Created by Independent Third Party:Yes
Evaluation Reports
FL12602 RS AE Sinale Hunq Drawina 1653 odf
Created by Independent Third Party:Yes
12602.4 Pella Impervia Single Hung 35.5"x 65.5"Single Hung
Limits of Use � Certification Agency Certificate
Approved for use in HVHZ:No FLSZ602 RS C CAC CCL for Pella 5-29-12 411-H-1379 �df
Approved for use outside.HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No' 11/29/2015
Design Pressure: +50/-50 Installation Instructions �
Other:Configuretions of glass shall conform to current FL12602 RS II Sinqle Hunq Drawina 1653.odf
ASTM E1300 standard. Verified By: Warren W.Schaefer,P.E.44135
Created by Independent Third Party: Yes
Evaluation Reports
FL12602 RS AE Sinale Huno Drawino 1653 odf
Created by Independent Third Party:Yes
12602.5 Pella Impervia Single Hung 47.5"x 77.5"Single Hung w/HP Water Kit
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL12602 RS C CAC CCL for Pella 5-29-12 411-H-1381.odf �
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 04/26/2016
Design Pressure:+SO/-50 Installation Instructions
Other:Configurations of glass shall conform to current FL12602 RS II Sinqle Hunq Drawina 1653 odf
ASTM E1300 standard. VeciFied By; Warren W. Schaefer, P.E.44135 �
r Created by Independent Third Party:Yes ,
, Evaluation Reports
FL12602 RS AE Sinale Hunq Drawina 1653.,odf
Created by Independent Third Party: Yes �
12602.6 Pella Impervia Single Hung 36.75"x 65.5"Single Hung w/HP Water Kit
I http:Ufloridabuilding.org/pr/pr_app_dti.asp�?param=tivGEVXQ�vtDqtkfS%2fv%2fpAtoDU... 6/2/2014
' ' ' Florida Building Code Online Pa�e 3 of 5
� �
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1260� RS C CAC CCL for Pella 5-29-12 411-H-1390.odf
Approved for use outside HVH2:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 03/08/2016
Design Pressure: +50/-50 Installation Instructions
Other:Configurations of glass shall conform to current FL12602 RS II Sinale Hunq Drawino 1653.odf
ASTM E1300 standard. Verified By: Warren W. Schaefer,P.E.44135 �
Created by Independent Third Party: Yes
Evaluation Reports
FL12602 RS AE Sinole Huno Drawina 1653.odf
Created by Independent Third Party:Yes
12602.7 Pella Impervia Single Hung 47,5"x 77.5"Single Hung
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL12602 RS C CAC CCL For Pella 5-29-iZ 411-H-1380.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 02/08/2016
Design Pressure:+40/-40 Installation Instructions
Other: Configuretions of glass shall conform to current FL1Z602 RS II Sinale Hunq Drawinq 1653.odf
ASTM E1300 standard. Verified By: Warren W.Schaefer,P.E.44135
Created by Independent Third Party• Yes
Evaluation Reports
i FL12602 RS AE Sinqle Hunq Drawinq 1653.odf
Created by IndependentThird Party: Yes
• 12602.8 Pella Impervia Single Hung 36.75"x 65.5"Single Hung
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FLSZ602 RS C CAC CCL for Pella 5-Z9-12 411-H-1389.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No il/29/ZO15
Design Pressure:+40/-40 Installation InstrucYions
Other:Configuretions oF glass shall conform to current FL12602 RS II Sinale Huno Drewina 1653.odf
ASTM E1300 standard. Verlfied By: Warren W. Schaefer,P.E.44135
Created by IndependentThird Party:Yes
Evaluation Reports
FL12602 RS AE Sinole Hunq Drawinq 1653.odf
� Created by IndependentThird Party:Yes
1�602.9 Pella Impervia Single Hung 36.75"x 83.5"Single Hung
Limits of Use Certification Agency Certificate
' Approved for use in HVHZ:No FL12602 RS C CAC CCL for Pella 5-29-12 41?-H-1391.pdf
� Approved for use outside HVHZ:Yes Quality Assurance Contrect Expiretion Date
Impact Resistant:No il/29/2015
Design Pressure: +40/-40 Installation Instructions
Other:Configurations of glass shall conform to current FL12602 RS II Sinqle Huna Drawina 1653.odf
ASTM E1300 standard. Verified By: Warren W.Schaefer,P.E.44135
Created by Independent Third Party: Yes
Evaluation�Reports
FL12602 RS AE Sinqle Huna Drawinq 1653.odf
Created by Independent Third Party:Yes
12602.10 Pella Impervia Single Hung 36.75"x 83.5"Single Hung w/HP Water Kit
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL12602 RS C CAC CCL for Pella 5-29-12 411-H-1392.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 03/08/2016
Design Pressure: +50/-50 Installation Instructions
Other:Configurations of glass shall conform to current FL12602 RS II Sinole Huna Drawino 1653.odf
ASTM E1300 standard. Verified By: Warren W.Schaefer,P.E.44135
Created by Independent Third Party: Yes
Evaluation Reports
FL12602 RS AE Sinole Hunq Drawina 1653.odf
Created by Independent Third Party: Yes
12602.11 Pella Impervia Single Hung 47,5"x 83.5"Single Hung
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL12602 RS C CAC CCL for Pella 5-29-12 411-H-1393.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 12/09/2015
Design Pressure: +40/-40 Installation Instructions
Other:Configuretions of glass shall conform to current FL1260Z RS II Sinqle Huna Drawinq 1653.odf
ASTM E1300 standard. Verified By: Warren W. Schaefer,P.E.44135
Created by Independent Third Party:Yes
Evaluation Reports
FL12602 RS AE Sinqle Hunq Drawinq 1653_odf
Created by Independent Third Party: Yes
12602.12 Pella Impervia Single Hung 47.5"x 83.5"Single Hung w/HP Water Kit
I
littp://floridabuilding.org/pr/pr_app_dtl.aspx?parain=wGEVXQwtDqtkfS%2fv%2fpAtoDU... 6/2/2014
Customer: Patricia Stahl Project Name: Stahl,Patricia, Order Number 7214DOW7D Ouote Number 5654575
�.�i'roject Checklist has been reviewed
,r".��.� l cl.:� . �.�►-,�L J � � - � . �.� � � , ;
Customer Name (Please print) Pell ales Re ame (PI e print) .C�PCJEI'TO�IS:, � � . � .
��� ' ����� ' Taxable Subtota! �3,026.90
�-
Customer Signature esf ep Signature Sales Tax @ 0% $0 00
��7�I� ���%"Ur� Non-taxable Subkotal $1,093.10
Date Date Tot�1 $4,120.04
Deposit Received $Q 00
Credit Card Approval Signature Amount Due $4,120.00
3�s �O g I �oti�oefJ PLv�c� 2e� �-y��,��s �L 3 � S�l2-
\ �s � � U . � R l� G
�.��'.�lUOC� (.a���� Q� ►V►�
ir
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For more information regarding the finishing,maintenance,service and warranty of a!I Pell�products,visit the Pella�website at www.peUa.com
Printed on 5/7/2014 Contract-Detailed � Page 9 of 9