HomeMy WebLinkAbout14-15425 ' CITY OF ZEPHYRHILLS
5335-STH STREEr
(si3»so-oozo �54
BUIL�ING PERMIT
P@rmit Number= 'I5425 Address= 5826 '17TH ST
PBrmit Typg: A��ITION/ALTERATION ZEPHYRHILLS. FL_
Class of Worlc: 434-A��/ALT RESI�ENTIAL Township: Range= Boolc-
Proposed Use: SINGLE FAMILY RESI�ENTIAL Lot(s)=20,2� 8 22 Blocic: Sgction:
Squarg FeSt= Subdivision: CITY OF ZEPHYRHILLS
Est_ Valua: Parcgl Numbar: 'I'I-26-2'1-00'10-07500-0200
Improv_ Cost= 7,280.00
Uate Issued= 6/24/20'14 Name= BOYETTE, ASHLEY
Total Fggs= 'I�2_50 Addr@ss: 5826 '17TH ST
Amount Paid: '1�2_50 ZEPHYRHILLS, FL. 33542
Uatg Paid: 6/24/20'14 PF�one= (8'13)778-3738
Worlc Ugsc= REPL.ACE �3 WIN�OWS SIZE/SIZE
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FOOTER BON� �VCTS INSl.1LATE� SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
'IST ROUGH PLUMB PRE-METER INSl.1LAT10N WALL MISC_
OVCTS INSTALLE� WATER MISC �RIVEWAY
PRE-SLAB SHEATHING MISC MISC.
CONSTRVCTION POLE FRAME MISC MISC.
REZNSPECTION FEES: Reinspec[ion fees will oomply witF� Plorida Statute 553.80�2)(c)wF�en extra inspec[ion
trips are necessary due to any one of the foilowing reasons: aj wrong address b)cor�demned worlc resu�ting
from fau�ty construction c) repairs or corrections not made when inspections�a11ed d)worlc not ready for
inspec[ion when called e� permit not posted on job site� plans not at job site g) worlc not ac�cessible_
NOTICE: In addition to tF�e requirements of this permit, there may be additional restrictions applicable to this property that
may be found in tF�e 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 recoM a noti�e of commencement may resul!in your paying twice for
improvements to your properly. If you �ntend to obtain tir�ancing�consu�t with your�ender or an aitorney
before re�orsfing your notice oP�ommencement."
Complete Plans�Specifcations Must Accompany Applioation. AI� worlc shail be perFOrmed in accordance with
City Codes and OMinances_ NO OCCUPANCY BEFO C.O_
�� _
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES ZN 6 MONTHS WITHOUT APPROVE� INSPECTION
CALL FOR INSPECTION - S HOUR NOTICE REQUIRE�
PROTECT CAR� FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
ContractorlHomeowner: ���'l.l�����t��� Cl/t,l t Yt��Gt.�
Date Received: � �` � - ��
Site: S� 2-(a � � �`� ��
Perrnit Type: ��'1� ��� I�} j�'rfiGt'42.�s .�'l�S
Approved w/na comments: Approved w/the below carnments: ❑ Denied w/the below cornrnents: ❑
This comment sheet shail be kept with the permit andlor plans.
,��.�� .�'..�.:��.,, .�uN � � z���
Kalvin Switzer-Plans Examiner Date Contractar andlor Homeowner
(Required when comments are present)
, I II�III IIIII IIIII II��I IIIII IIIII IIIII Illll IIIII IIIII illl III!
, 2014096057
Rept:1620056 Rec: I0.Q0
DS: 0.00 IT: 0.00
� PermitNumber ��______� _ _ __ �16116I1q K. McCutcheon, Dpty Clerk
Parce!!D Number 19-2&-21-Od10-07500-019d �RllLA S 0`NEIL,Ph D PqSCO CLERK & COMpTRp�LER
Nt?TICE OF GOMMENCEMENT �sll�jl4 12:36 m 1 of 1
State of Florida �� B� ���� �'G 1���
C aunty of Pinellas
THE UNDERSIGNED hereby gives notice that improvements wiN be made to certain real properfy, and in accordance with Section 713.13 of the
Florida Statutes,fhe fafiowing information is provided in this NOTiCE OF COMMfNCEMENT.
1.Description of property(leg�l description): 2H MB 1 PG 54 LOT 19 BLK 75 OR 6917 PG 1171
a)Streef(jRb)Address: 5826 17TH ST ZEPHYRNitLS FL 33542-4451 �
2.Genera)description of improvemenks: WINDOW OR DOOR REPLACEMENT '
3.Owner tnformation or Lessee information if the Lessee contracted for the imprave�nent: �
a)Name and address: BOYETTE ASHLEY 5826 17TH ST ZEPHYRNlLLS FL 33542-4451
b}Name and address of fee simple titleholder(if different than Owner listed above) '^ Y�
c)Interest in property: owNERS ��� �
d.Cantractar Information v �^� �^ � �
a}Name and addfeSS: NEWSOUTH WlNDOW SOLUTIONS 49Q1 OAK FAIR BLVD TAMPA FL 33&i0
b)Telephone No.: 813-826-6000 �.T�Fax Na.•(optional) 813-626_6001 _ ^�
5Surety(if applicable,a copy of the payment bond is attached)
a)Name and address:
�_.__ �.
b)Te(ephane No.� -- --._ u—.�__ ^ �_�
c�Amaunt of Band: $
����—�_
— — ---- — --�—_.
6.�.ender J
aj Name and address:
� �.�� �
b)Tefephone No.: — --
7.Persons within the State of Fbrida designa[ed by Owner upan whom natices or other documents may be served as provided by Sectian
713.13(1)(a)7.,Florida Stakutes:
a}Name and address:
__ _.__. �_
b)Telephone No.: Fax Na.;{optional) ,
-- ���_. �.__
8.a.ln additian to himself or herself,Qwner designates _ T_ of _ u�
to receive a copy of the Lienor's Nofice as provided in Section 713 13(1){b�,Florida Sta#utes.
b)Phone Number of Person ar entity designated by Owner
9.Expiratian da#e af notice of cammencemenk(fhe expiratian date may not be before the completion of construction and final payment to the
contractor,but wil!be 1 year from the date of recarding unless a different date is specified}: i� ,20
WARNING TO QWNER: ANY PAYMENTS MAClE BY TNE OWNER AFTER THE EXPiRAT10N 0�THE NOTiGE dF COMMENCEMENT ARE
GQNSfQERED IMPRflPER PAYMENTS UNDER CHAPTER 713,PART I,SECTIdN 713.13,FLORIDA 5TATUTES AND CAN RESUlT!N YOUR
PAYlNG TWiCE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE QF CpMMENGEMENT MUST BE RECORDED AND P�STED ON THE
iNSPECTiON. iF YOU INTEND TO OBTAIN FINANCING,GONSULT YOUR LENDER OR AN ATTQRNEY BE�ORE COMMENCICdG WORK dR
RECORDING YOUR NOTlCf OF COMMENCEMENT. ^
Under penalty of perjury,!declare that!have read the faregoing notice af commencemenf and thaf the facfs sfafed therein are true to the best af my
knowledge and fief ''
� � _Z��
(Signa of er or Less ,or Owne s essee's(Authorized Q�icerlDirectorlPartnerlManager) {Print ame and Provid Signatary's itle10 icej / �
The fore o� ing i%strument�ya�ackno��efore me this ��___�_._ day of�,vT" >20�tl �
�Y ��i i F'L-- ��O as j�� /1,1��__ (rype of authority,e.g.officer,trustee,attarney in fact)
for � �� � __ ,as —._
{Name pf Person) {type of authaity,. e.g.officer,wstee,attomey in fact}
for {name of p rty on behalf af wham instrument was executed}.
Personaliy Known ❑ Praduced ID (� (���/�
Type of ID ���t9�—�/%-->? �?�.�Natary Signature �`�` � ,
Print name r � c ,,�� �t� �, '
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''�`"���`�;: RtCHARD TUWNE MCCOY
:_
-" . MY CQMMISSION#FF07Q608
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't.'.�oF,;�;:d?�,' EXPlRES November t4,2017
(4Q�)�-o�� FtaridaNataryService.com
. , s�'saao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received g�3 �G�Z _ 5�'� g 8�
• - ��� Phone Contact for Permitting
�rrm-r -r-r
Owners Name S�(,('�� '(� "rT' Owner Phone Number g�3 - 'n S- 3 o ti s
Owners Address S�2` � I��T Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S�Z L I�� � LOT# ��
SUBDIVISION 2-H �''�¢ PARCEL ID# I� '2 6�Z ( '00 I O — d 1�OD - d 1�O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK /`f�C,c�C� 13 w�N�a,r.•f 5��: Fir�t S�LG�
BUILDING SIZE SQ FOOTAGE� HEIGHT
�BUILDING $ �2 $� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C� �((�� Z /
I�v 5
QGAS Q ROOFING Q SPECIALTY � OTHER (�� �2
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �22
.
BUILDER �"`1 ., y`r�` ��COMPANY NG`�+S�N W��"'��S
SIGNATURE L----� ��44C'►�'� � REGISTERED Y/ N FEE CURRE� Y/N
Address N�O 1 OAt 1'94 iQ d�' t,v 1� TIhMPA 3 3 6�v �icense# CR.0 l 33 0 8 2 2 ---�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
P�UMBER 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#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllll
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 L'rfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construdion 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. (A/C upgrades over E7500)
*' 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(PIoUSurvey/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"
whPch 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
Counry.
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"owne�' 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 performed 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 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 adversety 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 O�cial 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT %� � CONTRACTOR 'i� ��,
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by tyuto T,.�'•� bY QNM �•.M�✓
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as ident�cation. as identification.
�` 'i" JOEL E.BACON
":�' i � �N�tary Public :� on#FF 137073 Notary Public
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Na of Notary typed,printed or stamped N e of Notary ryped,printed or stamped
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. NewSouth 4901 Oak Fair Blvd •Tampa, FL 33610
813-626-6000 •813-626-6001 fax
WINDOW so�ur�oNS www.NewSouthWindow.com
Made in t�e. o ...for the South. Date � 1�' /�
To �S�/[ �lJ � �L E-mail QO E� � 1 �977 I�L�_!1-O,,/ .,,/� ,
S��-� ��� Home Phone �`" Jd�✓GeII Phone
City�� R- ���� State 1' � Zip S��y ( )
3 J Business Mr./Mrs.
Replacement Windows•Entry&Patio Doors•Storm Doors•Impact Resistant Windows&Doors
WHOLESALE&RETAIL WINDOW CONTRACT
NewSouth Window Solutions agrees to measure,manufacture or furnish and service the following custom made windows for the amount STIPULATED BELOW:
All NewSouth Vantage Series�ndows include Double Pane,LoE glass with Argon gas,and 12 point fusion welded corners.
Ali eVantage windows are Sashlite""sealed and vacuum tested with a foam enhanced sash and frame.
Color Options(whole window) hite ❑Tan ChemBond Options(eMerior only) ❑ Interior Colors White ❑Tan Colors may vary slighty from sample (Initial)
(write in color)
QUANTITY OBSCURE��}'s` ❑YES O QUANTRY pVC�OILTRIM TEMPERED GLASS ❑ YES
WITHOUT GRIDS& 'P WRNOUT GRIDS& �OLOR:
GRIDS STYLE ATION: GRIDS STYIE LOCATION: NO
` �vantage � �,�antage � �''�Tantage
D BL G VANTAGE SERIES CASEMENT
/ 2 __ -SCREEN (FULLSCREEN)
rJ � .
❑Full Screen
2 LITE SLIDER VANTAGE SERIES
(HALF-SCREEN) DOUBLE CASEMENT
(TWO FULL SCREENS)
O FuIlScreen
PICTURE DOUBLE CASEMENT
WINDOW VANTAGE SERIES WITH FIXED CENTER
(NO$CREEN)
3 LITE SLIDER
y ♦ PICTURE WINDOW r� AWNSN E&]HOPPERTILT WINDOW
VANTAGE SERIES L-�
(TWO SCREENS) Color option of White or Tan only.
PICTURE WINDOW WITH PATIO DOORS �5/0 x 6/8(591/2"x 791/2'�
❑6/0 X 6/8 (71 1/2"X 79 1/2")
DOUBLE HUNGS Indicate direction ❑6/0 X 8/0(71 1/2"X 951/2")
� � VANTAGE SERIES of slide pg/0 X 6/8(951/2"X 791/2")
(Tw0 HALf SCREENS). ❑XO Of❑OX ❑g/O X 6/8(1071/2"X 791/2")
�� ❑HALf ❑EYEBROW 1 ❑TRAP ❑OTHER
SHAPED WINDOWS(NOT FOAM ENHANCED) �% "� RoUND ��/ � � (DRAw IN SPACE)
�
GRID STYLES ❑STANDARD ❑CONTOUR ❑BRASS/GOLD/PENCIL ` Was this home built prior to 1978? Yes�No
❑Colonial ❑Prairie ❑open P 'ie ' if yes,the undersigned agress to the terms and
�� � conditions of the NewSouth Lead Safe Work
�� Practices�Add n
��..!,,:.� �*�
-- .-"` �
Buyer's Signature
TOTAL NUMBER OF WI DO 9N THIS ORDER• _ � r
OTHE �4� :.�ir 4�1 �s' �G". 4! n,l/'• � /srt i'/ ..t .!_"y��I ' ' f'�!�(��C.�,2 i'J /G'sa�t a'` C.,;,
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i ,� �1 � f !� • � ,t�j ,�'L < "� � �'c' r �i.^'� [
`'P�Cu `omer a rees to allow NewSouth to dis la a ard si n until 3o da s after com letion. TWO YEARS FREE IN HOME SERVICE
� BUYER'S RIGHT TO CANCEL Total price* $ ° -���
BUYER MAY CANCELTHIS CONTRACT BY DELIVERING WRITTEN NOTICE
TO THE SELLER AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD Down payment $ rr��,�,l:.
BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. BUYER MAY
. QUAt35tTY pgSCUREG(��S �-���C]YE5 �O 4UANTITV pVCCOItTRIM TEMPEREDGtA55 ❑YES
WRHOUT GRIDS& WRHOUT GRIDS& COLpR:
GRIDS STYLE LOCATION: GRIDS S7YLE LOCATION: NO
' ��jantage o $,�antage � ,�'�anta,ge
D 8L , G VANTAGE SERIES CASEMEN7
I� (MALf°SCREEN)
❑ (FUI.I SCREEN)
O FultStreen
2 LITE SUDER VANTAGE SERtES
(HALF-SCREEN) DOUBLE�ASEMENT
(TWO FULL$GREENS)
❑FuIlScreen
PICTURE DOUBLE CASEMENT
WINDdW VANTAGE SERIES WtTH FtXED CENTER
{N4 S{REfN}
3 LiTE SLiDER � AWNING&HOPPERTILT WINDOW
y, �„ PICTURE WINDOW
{FULI.SCREEN)
VANTAGE SERIES Cotor option of White arTan only.
tTWO SCREENS)
PATtO OOORS ��a x S18(591t2"x 79112"}
PICTURE WiNDOW WtTH ❑6/0 X 6/8 (71 1/2"X 791/2'�
o ❑ DOUBLE HUNGS Indicate direction
VANTAGE SERIES O 6/0 X 8/0(71 1/2"X 951/2"�
of sirde O8I4 X 6J8{95112"X 791J2"}
t7W0 HAL�SCREENS). ❑XQ Of O OX
C]9/0 X 6/$(1071/2"X 791/2")
�` �HALF �EYESROW � p TRAP ❑OTNER
SHAPED WINDOWS(NOT FOAM ENHANCED) RQU�� �� tDRAW iN SPACE}
L—=:--_I
GRID STYi.ES ❑STANDRRD ❑CONTt}t1R ❑BRASSIGOLCIIPEIVClL 3 Was this home built priorta 1978? Yes C7 No
❑Colonial ❑Prairie ❑Open Pr 'ler� If yes,the undersigned agress to the terms and
'� �� j conditians a#the NewSouth Cead 5afe Work
( Practices dd n
–—� ,.-�" � �� t -�
Buyerz Signature
TOTAL NUMBER OF WIQf,DOV1�5 QN THtS ORDEft• f . ,,�J t / 'f
OTHE,R �41 ��L`�'� �.t t4JC.:• 4'I n,1 r• � u: y ,c �YG'� ' 1`/7►1� •2YJ j.Cf✓,..t l T'+'t,�,,,
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,! ,�� f, _,e ' f' / .�e'r l:r I'�i r . �-^ � �c' �
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tfi Customer a rees to allow NewSouth to dis !a a ard si n untii 30 da s after com letion. TWO YEARS FREE IN FIQME SERVICE
,
BUYER'S RIGHT TD CANCEL Tota1 price* $ ' -� '
BUYER MAY�ANCELTHIS CONTRACT BY DELIVERING WRITTEN NOTICE
TO THE 5ELLER AT ANY TIME PRIlJR TO MIDNIGHT 4F THE THlRD Dawn payment $ r���
BUSINESS DAY AFTER 7HE DATE OF 7HiS TRANSACTION. BUYER MAY
USE THIS CONTRACT AS THA1"NOTICE BY WRITING"I HEREBY CANCEL" �alance payable an �, .
AT THE Bt�TTOM AND AD�ING BUYER'S NAME ARID AQDRESS.THE Installation/Delivery $_ ��'-'�'
NOTICE MUST BE DELIVEREDTOTHE SELLER AT7HE ADpRE55 SHOWN
ABOVE. Bank Finanting O Cash on Campletian
All material is guaranteed to be as specified.All work is to be completed in a workmanlike manner acco.ydiRg ta standards and practices,This
contract is valid only with praper signatures.NewSouth shail not be held responsible far time and�ate�ial detays,sirikes,ads of God ar any
other matters beyand its control.Owner agrees that the equity in this property is security for this,c`�bntr�ct.Si ce this contract calls for made to
orcier gaads,it is not su6ject to cancellatian except as stated above.Start installation approxirr��itely�"�" � w�eks ftom above date.Verbal
promises can cause misunderstandings,therefore this contract constitutes the entire understandil�g of the partj�"s,and no other understanding,
coi{ateral,verbal ar atherwise,sha{I be binding,unless signed by both parties. NewSouth to rem aul away all job related debris.All
saies and isco n ailotted.All charges inci ed above.Thank you far your order. �
, _f...---
x � x � ' ��� t�
Buyer's Signature NewSo th Repres ai�- -
'" _ `.,«-
X X ,
B�ayer's Signature NewSouth Manufacturing Authorized fficer
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=: r� � BCIS Home Log In ` User Registration Hot Topics Submit Surcharge � Stats&Facts � Publications , FBC Staff : BCIS Site Map Links Search
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Busines�{(�;`� �
ProfessiV��l Produtt Approval
USER:Public User
�PC�U�dt10!1 .
��. Product Aooroval Menu>Produt[or Aoolication Search>Aoolication List>Appliution Datsil � � ' : -
. - �I'�� ' ' ; j.
_�� �soy��. FL# FL15378 ` ' � . _ ! , , -,�T��.. �,
'����� � �, .i � �l
Application Type New � - � _ `
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 This product application has Expired Certification Agency Certificates
and/or Quality Assurance Contracts. RR
Archived ��:,
Product Manufacturer NewSouth Window Solutions
Address/Phone/Email 4901 oak fair blvd
tampa,FL 33630
(513)284-0129
danochstein@newsouthwindow.com
Authorized Signature Vivian Wright
rickw@rvvbidgconsultants.com
Technical Representative RE1�lcW Di�T��_���._'��.'4
Address/Phone/Email CiTY OF LEPHYRHII_.��
Quality Assurance Representative P�-/�NS ����_ �
Address/Phone/Email
Category Windows
Subcategory Double Hung
Compliance Method Certification Mark or Listing
Certification Agency Keystone Certifications,Inc.
Validated By Ryan J. King,P.E.
�l? Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/W DMA/CSA 101/I.S.2/A440 2005
AAMA/W DMA/CSA101/I.S.2/A440 2008
ASTM E1886 2005
ASTM E1996 2005
Equivalence of Product Standards
Certified By Fiorida Licensed Professional Engineer or Architect
FL�5378 RO Eouiv of STANDARDS.Ddf
Product Approval Method Method 1 Option A
Date Submitted 03/26/2012
Date Validated 04/04/2012
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtH85 72qvdWIe... 6/10/2014
� Florida Building Code Online Page 2 of 4
Date Pending FBC Approval
• Date Approved 04/18/2012
Summa of Products
FL# Model,Number or Name Description
15378.1 a.Vantage Vinyl Double Hung Vantage New Construction(Nail Fin)Vinyl Double Hung
Window utilizes Aluminum Reinforcement(X/X-
configuretion; Max Size 44 x 75)
Limits of Use Certification Agency Certificate
Approved for use in HVH2:No FL15378 RO G GAC 818-1Oq 0 KS CERT gdf
Approved for use outside HVHZ:Yes FL15378 RO C GAC 818-i11 0 KS CERT p�f
Impact Resistant:No Quality Assurance Contract Expiration Date
Desiyn Pressure: N/A 06/17/2012
Other:See INST 15378.1 for Design Pressure Ratings,any I�stallation Instructions
additional use limitations,installation instructions and FL15378 RO II INST 15378,1,�df
product particulars. Verified By: Lyndon F.Schmidt,P.E.43409
Created by Independent Third Party:Yes
Evaluation Reports
FL15378 RO AE EVAL 15378.1.�df
Created by Independent Third Party:Yes
15378.2 b.Vantage Vinyl Double Hung Vantage New Construction(Nail Fin)Vinyl Double Hung
Window utilizes Composite Reinforcement(X/X-
configuretion; Max Size 44 x 75)
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL15378 RO C CAC 818-112.0 KS CERT.odf
Approved for use outside HVHZ:Yes FL15378 RO C CAC 818-113 0 KS CERT pdf
Impact Resistant:No Quality Assurance tontract Expiration Date
Design Pressure:N/A 02/04/2014
Other:See INST 15378.2 for Design Pressure Ratings,any Installation Instructions
additional use limitations,installation instructions and FL15378 RO II Inst 15378.2.odf
product particulars. Verified By: Lyndon F.Schmidt,P.E.43409
Created by Independent Third Party: Yes
Evaluation Reports
FL15378 RO AE EVAL 15378.2.odf
Created by Independent Third Party:Yes
15378.3 c.Vantage Vinyl Double Hung Vanta9e New Construction(Nail Fin)Vinyl Double Hung
Window utilizes Composite Rei�forcement(X/X-
configuretion; Max Size 54 x 75)
Limits of Use Certifcatioo Ayency Certificate
Approved for use in HVH2:No FL15378 RO C CAC 818-124.0 KS CERT.Qdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No Ol/18/2015
Desiyn Pressure:N/A Installation Instructions
Other:See INST 15378.3 for Design Pressure Ratings,any FL15378 RO II INS7 15378.3.odf
additional use limitations,installation instructions and Verified By: Lyndon F Schmidt,P.E.43409
product particulars. Created by Independent Third Party: Yes
Evaluation Reports
FL15378 RO AE EVAL 15378.3.odf
Created by Independent Third Party:Yes
15378.4 d.Vantage Vinyl Double Hung Vantage Replacement Vinyl Double Hung Window utilizes
Aluminum Reinforcement(X/X-configuration; Max Size 44
x 75)
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL15378 RO C CAC 818-109.0 KS CERT.�df
Approved for use outside HVH2:Yes FL15378 RO C CAC 818-111.0 KS CERT.pdf
Impact Resistant:No Quality Assurance Contract Expiration Date
Design Pressure:N/A 06/17/2012
Other:See INST 15378.4 for Design Pressure Ratings,any InsWllation Instructions
additional use limitations,installation instructions and FL15378 RO II INST 15378.4.odf
product particulars. Verified By: Lyndon F.Schmidt,P.E.43409
Created by Independent Third Party•Yes
Evaluation Reports
FL15378 RO AE EVAL 15378.4.odf
Created by Independent Third Party:Yes
15378.5 e.Vantage Vinyl Double Hung Vantage Replacement Vinyl Double Hung Window utilizes
Aluminum Reinforcement(X/X-configuration; Max Size 54
x 75)
Limits of Use Certification Agency Certi�cate
Approved for use in FIVH2:No FL15378 RO C CAC 818-126.0 KS CERT.odf
Approved for use outside HVH2:Yes Quality Assurance Contrad Expiration Date
Impact Resistant:No O1/18/2015
Design Pressure:N/A InsWllation Instrudions
Other:See INST 15378.5 for Design Pressure Ratings,any FL15378 RO II INST 15378.S.�df
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtH85 72qvdWIe... 6/10/2014
� Florida Building Code Online Page 3 of 4
additional use limitations,installation instructions and Verified By: Lyndon F. Schmidt,P.E.43409
product particulars. Created by Independent Third Party:Yes
Evatuation Reports
FL15378 RO AE EVAL 15378.S.pdf
Created by Independent Third Party•Yes
15378.6 f.Vantage Vinyl Double Hung Vantage Replacement Vinyl Double Hung Window utilizes
Composite Reinforcement(X/X-configuration; Max Size 44
x 75)
Limits of Use Certifiwtion Agency Certi�cate
Approved for use in HVHZ:No F�5378 RO C CAC 818-112.0 KS CERT pdf
Approved for use outside HVH2:Yes FL15378 RO C CAC 818-11'�0 KS rFRr nrff
Impact Resistant:No Quality Assurance Contract Expiration Date
Design Pressure:N/A 02/04/2014
Other:See INST 15378.6 for Design Pressure Ratings,any Installation Instructions
additional use limitations,installation i�structions and FL15378 RO II INST 15378 6 odf
product particulars. Verified By: Lyndon F.Schmidt,P.E.43409
Created by Independent Third Party:Yes
Evaluation Reports
FL15378 RO AE EVAL 15378 6 pdf
Created by Independent Third Party:Yes
15378.7 g.Vantage Vinyl Double Hung Vantage Replacement Vinyl Double Hung Window utilizes
Composite Reinforcement(X/X-configuration; Max Size 54
x 75)
Limits of Use Certification Agency Certificate
Approved for use in HVH2:No FL15378 RO C CAC 818-125 0 KS ERT odf
App�oved for use outside HVH2:Yes Quality Assurance Contrad Expiration Date
Impact Resistant:No O1/18/2015
Design Pressure: N/A Installation Instrudions
Other:See INST 15378.7 for Design Pressure Ratings,any FL15378 RO II INST 15378.7 odf
additional use limitations,instatlation instructions and Verified By: Lyndon F.Schmidt,P.E.43409
product particulars. Created by Independent Third Party:Yes
Evaluation Reports
FL15378 RO AE EVAL 15378 7 p�f
Created by Independent Third Party:Yes
15378.8 h.eVantage Vinyl Double Hung Vantage Replacement Vinyl Double Hung Window utilizes
Aluminum Reinforcement(X/X-configuration; Max Size 54
x 75)
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No FL15378 RO C CAC 818-129-0 KS CERT odf
Approved for use outside HVNZ:Yes FL15378 RO C CAC 818-130 0 KG rFaT odf
Impact Resistant:No FL15378 RO C CAG 818-131 0 KS CERT pdf
Desiyn Pressure:N/A Quality Assurance Contract Expiration Date
Other:See INST 15378.8 for Design Pressure Ratings,any 03/14/2015
additional use limitations,installation instructions and Installation InstruMions
product particulars. FL15378 RO II INST 15378 8 odf
Verified By• Lyndon F.Schmidt,P.E.43409
Created by Independent Third Party:Yes
Evaluation Reports
FL15378 RO AE EVAL 15378 8 pdf
Created by Independent Third Party:Yes
15378.9 i. iVantage Vinyl Double Hung Vantage Replacement Vinyl Double Hung Window utilizes
Composite Reinforcement(X/X-configuration; Max Size 40
x 72)
Limits of Use Certification Agency Certificate
Approved for use in HVH2:No FL15378 RO C CAC 818-116 0 KS FaT nnf
Approved for use outside HVHZ:Yes FL15378 RO C CAC 818-202 KS CERT�df
Impact Resistant:Yes Quality Assurance Contrad Expiration Date
Design Pressure: N/A 09/09/2014
Other:See INST 15378.9 for Design Pressure Ratings,any InsWllation Instructions
additional use limitations,installation instructions and FL15378 RO II INST 15378.9.odf
product particulars. (Excludes Wind Zone 4) Verified By: Lyndon F.Schmidt,P.E.43409
Created by Independent Third Party: Yes
Evaluation Reports
FL15378 RO AE EVAL 15378 9 pdf
Created by Independent Third Party•Yes
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Con[ac[Us 1940 North Monroe Str [ Tallaha« F Phone:550-487-1824
The Sta[e of Florida Is an AA/EEO employer Coovriaht 2007-2013 S[ate of Florida Privatv Stafement pt[essibAitv Statement Refund Statement
Under FloriOa law,email addresses are public records.[f you do not want your e-mail address release0 in response to a public-records request,do not send
elec[ronic mail[o this entiry.Ins[ead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to
Section 455.275(1),Florida Statutes,effec[ive October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if
they have one.The emails provided may be used for official communication with the licensee.However email addresses are public recorA.If you do not wish[o
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtH85 72qvdWIe... 6/10/2014
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� R � R W Building Consultants, Inc.
B Consulting and Engineering Services for the Building IadusEry
("� P.O.Box 230 Valrico,FL 33595 Phone 813.659.4197
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Flarida Board of Professionai Engineers Certificete of Authorization No.9813
Product Sub Categary Manufacturer Product Flame
Category
NewScuth Window Solutlons Vantage
wndows Double Hung 4901 4ak Fair Blvd Double Hung Wi�dow
Tampa,FL 33&10 "Nan-impaat"
513 284.0129
Scope: Praduct Evaluation report issued by R W Building Consultants,Inc.&Lyndon F Schmidt,P.E.(System ID#1998)for
NewSauth Window Solutions,based on ftuie Chapter Na.9N-3,Method 1A af the State of Florida Product Approval,Dept.
of Basiness&Professional Regutation.
RW Buitding Gonsuttants and Lyndon F.Schmidt,P.E.da no#have nor will acquire financial interest in the company
manufacturing or distributing the product oc in any ather entity invoived in#he approvai process of the producf named
herein.
Llmitations:
1 This product has been evaluated and is in compliance with the 2010 Florida Building Code(FBC)structural requirements excluding the
'"High Vetocity Hurricane Zane"{HVHZ}.See the CertificaGan Agency Certificafe far sizas,speciflications and ratings.
2. Product anchors shall be as listed and spaced as shown on details.Anchor embedment to base material shall be beyond wall dressing
or stucco.
3. When used in areas requiring wind bome debris protectian,this produc#is required ta be prote�ted with an impact resis#ant covering
that complies with Section 1609.1.2 of the Florida Building Cade.
4 For 2x stud framing canstruction,anchoring of these units shali be the same as that shown far 2x buck masanry construction.
5. Site conditions that deviate from the details of drawing FL-15378.7 require further engineering analysis by a licensed engineer pr
registered architect.
6. See drawing FL-15378.7 for size and design pressure limitatians.
Supporting Dacumenfs:
1. Test Reuort No. Tes#Standard Testinq Laboratarv Siqned bv
ATI A5889.03-501-44 AAM,A/WDMNGSA 101JI.S.2/A440-08 Architecturat Testing,Inc. Lynn George
2. Drawing No. Prepared bv Siqned 8�Sealed bv
No.FL-15378.7 RW Building Consultants,Inc.(CA#9813) Lyndon F.Schmidt,P.E.
3. Calculations Prepared bv ���n�d�5���$��Y
Anchoring RW Building Consultants,Inc.(CA#9813) Lyndon F Schmidt,P.E.
4. {qualetv Assurance
Certificate of Participation issued by lteystone Certiiications,Inc.,certifying that NewSouth Window Solutions is
manufacturing products within a quality assurance program that complies with ISO/IEC 17020 and Guide 53
C���_
iy�aon F scr,m�ds,�.�.
FL PE No 43409
3728/2012
PF 1651 Sheei 1 af 1