HomeMy WebLinkAbout14-15665 i.
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CITY OF ZE HYRHILLS ,�
' ' S335-8T STREEf
, (813)7 0-0020 ,�15665
BUILDIN PERMIT �
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,��. ' ���PERMIT�INF,ORMi4TI0A1 _ �-. _� '"� ,,�t2.:-?.'��.S��y;��LO,CATION'INF�.ORMA6=IO:N`rr:;� - ���-�;����^��.
Permit Number: 15665 Address: 38901 6TH AVE � '
! 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14200-0120
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Improv. Cost: 1 725.00 �:_ ' „,_:,_�-
Date Issued: 9/17/2014 � Name: PONTICELLO ANITA
Total Fees: 67.50 Address: 39155 SHEFFEY LN
Amount Paid: 67.50 DADE CITY FL 33525-9612
Date Paid: 9/17/2014 Phone: 813-312-6232
Work Desc: REPLACE 3 WINDOWS SIZE/SIZE- RITTEN PERMISSION
°�" =e;�'CONTRi4CTOR S Y" � � � �''APPLIC�ATION°FEES ' � � " `�� ' °T'
LOWE'S HOME CENTERS I C BUILDING FEE 67.50
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�;.:3,_ ���,.��T� .�T, . = � � �Ins'�ections� �e iiiced'4� �;_.•.,�. .'���`���„ �...��.,:�_ �::��.�x�,� ���
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FOOTER 2ND ROUGH PLUMB MI C INSULATION CEILING
FOOTER BOND DUCTS INSULATED S WER MISC.
ROUGH ELECTRIC LINTEL MI C MISC. �
1ST ROUGH PLUMB PRE-METER IN ULATION WALL MISC.
DUCTS INSTALLED WATER MI C DRIVEWAY
PRE-SLAB SHEATHING MI C. MISC.
CONSTRUCTION POLE FRAME MI C. MISC.
REINSPECTION FEES: Reinspection fees will comply wi h Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following rea ons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not ade when inspections called d)work not ready for
inspection when called e) permit not posted on job site fi) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there ay be additional restrictions applicable to this property that
may be found in the public records of this county, and there ay 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 o commencement may result in your paying twice for
improvements to your properly. If you intend to obta n financing,consult with your lender or an attorney
before recording your no ice of commencement."
Complete Plans, Specifications Must Accompany Appli tion. All work shall be pertormed in accordance with
City Codes and Ordinances. O OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD ROM WEATHER
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Buildfng D partment Ze-�� Y 1�r�ll S
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Date Recelved, _2 ��
� Phone,Contact for P., rmittin �t 3 - - (�;
Owner's��Name�°' � '_ 1'Z� �q�!r1 q S � 1 Owner Phone Numb r g 13-3 J 2 = ��3 2
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Owners Address 3 g`�p Owner Phone Numb r
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Fee Slmple Titleholder Name i Owner Phone Numb r
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Fee 3lmple Titleholder Address ; �
JOBADDRESS � �� I �� v�Q_ ��j� �,�\\� FL, '3 j" '7� LOT# 12 -� i 3
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SUBDIVISION Ci"ty rry-�Q(���1\S PARCEL ID# I -� °Z� ' d�� ' 1 �QQ '(, '�O
� (OBTAINED FROM P OPERTY TAX NOTICE)
WORK:PROP03ED NEW CONSTR ADD/ALT SIGN [� �] DEMOLISH
B INSTALL 8 REPAIR
PROPOSED.USE Q.� SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q i BLOCK Q FRAME STEEL Q
,��i,^
DESCRIPTIONOFWORK f�G"�ACQ� � " � � `"i' S:Z�ISi �=L 'fobp��.s
T=L..`�q IZ�ial .S
9UILDING SIZE ; SQ FOOTA(iE� HE�GHT'
QBUILDIN(3 $ , I ,�� VALUATION OF T TAL CONSTRUCTION
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QELECTRICAL $ ; AMP SERVICE Q PROG ESS ENERGY Q W.R.E.C,.
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[�PLUMBING $ ' [n�
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QMECHANICAL $ VALUATION OF M CHANICAL.INSTALLATION 4
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OGAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE REA �]YES NO
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BUILDER "" `�nn� �� ��OMPAN �ow-eS ldoM�, Ce�7�2s �n/��
SIGNATURE 'L�/�� �� � REGISTERE Y/ N FE CURRE� Y/N
Address O QOl� � d�✓ ��A��cy 3Y-$7�' Licens # .�ro� .S(� � �
ELECTRICIAN COMPAN
SiGNATURE RECaISTERE Y/ N FE CURRE� Y/N ; -
Address Licens #
PLUMBER � COMPAN � �
51GNATURE REGISTERE Y/ N FE CURRE� Y/N -
Address Llcense# � !
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MECHANICAL COMPA
51GNATURE REGISTERE Y/ N FE CURRE� Y/N ,` �
Address � I Lfcense#
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OTHER COMPAN I
31GNATURE REGISTERE Y/ N - Fe CURRE� Y/N :
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Address � Lfcense#
4ESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Ener y Forms;R�O-W Permit for ew constructlon,
Mlnimum ten(10)wo'rking days after submittal date. Requlred nsite,Constructlon Plans,S ormwater Plans wl Silt Fence installed,
Sanitarv:FaciilUes 81 dumpster,Sfte Work Permit for subdivisi nsAarge.p♦ro�ects
--;,�NiiYiERCf/�L -Attach(3)�mplete sats-of�Buflding Plans�p�us a`L!fe Saf3ty PQ O��t�-�JE[�VE�iiergy-Fonn�.- -O=VIi�Pem:lt=for-�ew-constructlon::-�__- -_ _..:
Minimum ten(10)working days after submfttal date. Required nsite,ConstrucUon Plans,S ormwater Plans w/Silt Fence-installed;
Sanitary Facilities 81 dumpster.Site Work Permit for all new pr jects.All commerclal requir ments must meet compllance
31GN PERMIT Attach(2)sets of Englneered Plans. i
"""PROPERTY SURVEY requlred for all NEW construction.
)irections:
Fill out appNcatfon completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is requlred. (AIC upgrades ov r a7500)
• Agent(for the contractor)or Power of Attomey.(for the ownet)iNould be someo e with notarized letter from owner authorizing same
)VER THE COUNTER PERMITTING � - (Front of Application.Only;)
Seroofs ff shingles Sewers Service Upgrades A/C Fences(Plot/Su ey/Footage)
Driveways-Not over Counter if on public roadways..needs ROVV
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NOTICE t3f DEED RE$TR{CTI�NS: he undersigned understands that thls permit may be subject'to"deed°restrictions° '
whicb rnay be more res.tfictive than Co nty cegulattans. The'undersEgned assumes.responstbilltp for compllance wifii any
applicable deed restrlctlons. ' �
UNLICENSEQ CONTRACTORS AN CONTRACTOR RESPONSiBiLiTiES: (f the owner has hired a cantractor ar
contracfors to undertak�work, they m.y be requlred ta be Ilcensed in accardarice with sfate and local reguiafians. If the
confracfar (s nof licensed as required by law, bo#h the awner and contracEor may be clted for,a misdemeanor violat(an
under state law. If th"e�owner nr inten ed confractor are uncertain as ta wha# licensing reqt�irements may apply for khe
; intended work, they are advised to cori act the Pasca Caunfy Buiiding inspectian Divisian—Licensing Section at 727-847-
� 8009: Furthermore, if the owner ha hired a contractar ar contractors, he is advised to have the cantractor(s) sign
j porkions of the "contractor Block° of th s application for which they vt+ili be responslble. If yau, as the owrter slgn as the
i contractar, that may be an indlcation t at he Is nat properiy licensed and is not enti�fed to permitting privileges fn Pasco
i County. ' .
TRANSPORTATiON IMPACTlUTiLiTi S IMPACT AND RESOURCE RECOVERY FEES: The undersigned undetstands
that Transportatian Impacf Fees and ecourse Recovery Fees may appiy to the constructian of new buildEngs, change of
use in existing bulldings, or expanslo. af existing bulldings, as specifiied in Pasoo County Clydinance numbar 89=07'and
90-07, as amended. The undersigne also understands, that such fessf as may be due, wil! b,e ideniified af the time of
permitting. It is further understood th t Transportation impact Fees and Resource Recovery Fees must be pald prEor#o
recelving a "ce�kificate of.occupancy° r final power reiease. If the projact does naf invalve a ce�tificate of accupancy or
finai pawer releasa, the-fees must be paid prior to permlt.issuance. Furthermore, if Pasco Counfy Water/Sewer Impact
fees are due,.they must be pafd priar t permlt issuance fn accordance�wlth app!lcable Pasco County ordEnances:
CONSTRUCTION L1EN I.AW(Chapt r 713, Florida Statutes, as amendedj: if va(ctation of work!s$2,500A0 ar more, 1
certify that I, the appllcant, have b n provided with a copy of the "Fiorida Consfruction l.ie.n Law=Homeowner's
Protection Guide" prepared by the FE Ida De�partment of Agriculture and Consumer Affairs. If the applicant is someone
other fhan fhe°owner", t ce�tify that i ve abtained a copy af the above described document and pramise in gaad faikh to
deliver it to the"owner"prior to comm ncement. ,
GQNTRACTOR'S/OWNER'S AFFID IT: I certlfy that al) the infarmation In fhis applicatian is accurate and that ail work
wili�be done in comp!lance wi#h a4! ap licable laws regulating constructlon, zoning and land develapment. Application is
hereby made #o obtain a permit to o wark and instaliation as indlcated. 1 certify that no work or instaNa#ian has
commenced prlor to issuance of a p rmit and that a1i work wiN be performed to mest standards of aii iaws regu#ating
cons#ruckfon, County and City cades, zoning regulations, and land development regulations in fhe Jur(sd(cfton. i a(so
ce�tify#hat I understand that the regui tions of ottier government agencies may apply to the interided work, and�tfiat it is
my respansibHi#y fo idenfify what actio s 1 must take to be in campiiance. Such agencies inciude but are not limited ta:
- Departmen# of Enviromm �tal Protection-Cypress Bayheads, Vllefland Areas and Environmenfalty Sensitive
Lands,Wate�lWastewatec Trea#ment.
- Southwes� Ffarida Wa# r Management Distclo#-We!!s, Cypress Bayheads, Ylfetland Areas, Altering
Watercourses.
- _ Army Corps of Engineers- eawallst Docks, Navigable Waterways. ;
• Department of Health & Rehabilltative ServEceslEnvlronmenta! Nealth Unit-We!!s, Wastewater Treatment,
Septic Tanks.
- US Environmental Protec on Agency-Asbestos abafement. :
- Federal Aviation Authority Runways.
i understand that the following restrictf ns apply ta the use of flll.�
- ' Use of fill is not ai(awed in Fiood Zone uV"unless expressiy permiEted.
- tf #he flll mater(ai is fo e used in Fiood Zone °A", if is undersfood tfiat a drainage pian addressing a
Naampensating valume" ill be submitted at time of•permiffing wh(ch is prepared by a professional engineer
ficensed by the State af F rida.
- If the fili material is to b used in Fiood Zone uA" in cannection with a permitted buflding using stem waif
cons#ruction, (cert(fy thaf ill wlll be used only to�II the area within the stem wa(I.
- {f fi!! materlal !s to be u ed In any area, ! certify that use of such flll w!!I not adversely affect adJacent
praperties. if use of fiii i #ound to adversely affect�adJacant propertles, the owner may be cEted Far violating:
fhe conditians of the bui( ing permit issued under the attached permit app(ication,, far lats iess than one (1.)
acre whlch are elevated b �l(t an englneered drainage plan 1s requtred.
If! am the AGENT i�C?R THE QWNE , ! promise in good falth ta inform,the ownec of the petmitting conditions sst:forth (n
this affidavit prior to cammencing co structfan. t understand that a separate permlt may be requErerl for electrical wark,
plumbtn�, signs, we((s; pools, air co.difianing, gas, or other in'staiiatians naf s.peciffcalfy, included in the appiicativn. A.
permit issued shall be construed to b a license to proceed wttfi the work and not as authocity fa,vlolate, cancei, ait�r,�or
set aside any pravtsions of the techni al codes, nar shall issuance of a p$rmit prevent the Buildlrig Oiflcial#rom thereafter
requir(ng a cor�ection of errors in pian , construction or violafions of any codes. Every permit issued•shaN become invalid
uniess the work authorized by such ermlt Is commenced wifh(n six monfhs of permif issuance, or if work aufhorized by
the permlt!s suspended-or abandone for a perEod of slx{6) months affer the time the wark!s commenced. An extenslan
may be requested, in writing, frbm th Buiiding Officiai for a period nat fo exeeed nlnety (90) iiays and.will demonstrate
Justifiable cause for the exfens(on. If ork ceases for ninefy(90)consecutive days, th�Jo6 is considered abandoned.
WARNlNG TQ OWNER: YflUR FA LURE YO RECORD A NClTICE (?F COMMENCEMENT MAY RESUL.T IN YQUR
PAYF�G TWiCE FC1R�iViF?ROV�ME �'S TCb YO�t� �R�PERTY. .9e Y1�U !N'i��1D'��CIBTAIN EtNANC9NG, GCENSULT
' WITH YOUR LE DER dR AN ATTO NEY EFORE RECORDi G Y U OT C +D CO MENCEMENT.
FLQRIDA JURAT(F.S.117.0�} �
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OWNER OR AGENT CONTRACTO �" GX�'
Subscribed and swom to{or afflrmed)before e ihls Subscribed and s om#o(or affirmedj•bef re me fhis
by y �
Who fs/are personally knovm'to me or has/hav' produaed Who Is/are-personatly known to me or has/ttave;produced
as Identlflcatt n. as ideriBBcatlon.
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Nofary Publlc � q '' Nofary Public
Comm(ssto o, ='s �� �P�res June 29,2018
Gommission No. ,. .,,
' �swance 800.3A5•7019
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Name oi Notary typed,pdnted or stamped Name of otary•typed,printed'or stamped
I,,Anita Ponticello,owner of the house located at 3 901 Gth Aye,Zephyrhills,FL 3�542,authorize
rriy son•Fabrizio Calmasini to handle all matters on my behalf in reference to my property located
at at 38901 6th Ave,Zephyrhills,FL 33542 and aut orize the installation of the windows army
house as per the contract that Fabrizio already si�n d(an paid in full)with Lowes,I understand
the ins[allation will be performed by Lowe's locate in Zephyrhills
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NATASFlA Il HANSBUR6 I
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� MY C0�11�ON NFf126061 ;
p�$;dAN 30,2117 �+
dpp4pdiNOna11�SmE MIS�INCO ;
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�acqu�line Bo es
From: Jacqueline Boges
Sent: Wecinesday, September 1Q, 201 1:48 PM
To: 'MONICA WATSON'
Subject: 38903 6TH AVE
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Nello Monica,
389016t�'ave is showing ownership as Anita Panticello and you have ownership as Fabrizo Calmasini we need
deed or closing paper shawing new ownership.
Thanks
Jackie Bages-SCSS
813-780-0020 ext 3513
Faith makes thir�gs possible...�ove makes a1) thi gs easy
Dwight L. Moody
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IC\3' ' � iit»r ::. ,
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City of Zep yrhills
BUILDING PLAN REV EW COMMENTS
ContractorfHomeawner: �1�����s?
Date Received: �-- Z�--�
szte: ,��/� LG' ��+�e .
Permit Type: �,� 1��° � Gy�/..t' S' S ,
Approved w/no camments: Appraved w/the below co ents. ❑ Denied w/the below camments: ❑ �
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This comrnent sheet shall be kept with the permit andlor pI s.
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Kalvin S ' 1 Examiner Dat Contraetar andJor Homeowner
(Required when comments are present)
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, 8310075328 HR Donndiay 19.Ai rlgqb raservod—O6B7
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L•C1WES AU'jHOR12ED REPR ENt'ATNE • NUNfBER: Cl95TOMER� � r '
( k,..Q.��� ��„z�, lSy���G'� Fa�r� c� • C.ec�ri�51»r
s,���4��� S��9 Z�ss���i �v� �3�9�j��H` �e
.��e. Jv{►�,�5 �A� �35y� c`�.� h rl►�11s � � �-� 335�'�Z..
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� /3 Za�a ������T�R�t�����v�BER � �X «� �4
GARD CMAitGE
tNSTALLATI4N&7R�Ei'ADDRESS CT?Y ' S7ATE ' ZtP
�.�,.eS �..��It rns#�q11 � �f,.e.r�,a�s �4r d , Pe . ai�a►,� c��n�1 ,n�«�.,� , II.L,,,/t J��.�
! �� e. �e��e �-ow-� �d �olr�t�l r>c�s, s t�i,rrTl. �,�t � r� .
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NO'itC�T4 GUSTOMER-i'RiC�.CALCUI,ATlONS:1n order to{�r.ope�ly perfa .the Ipstatla#ion,4f-cerfairt�G.ot�s,.th�Con#r.a�#Price,:ma}�inclut�e mare�
Goods than.actually wiit be instaAed baised on.the measqred squar.e•footage o.f. e.ProJeC�Area.As a.resuit�•.he.;paities.;ag�Qa thaE the.�u�p-sum_Price
stated:in this Gontrack Is•calculated,upon bath�the value of estirr�a#ed�.Goods.raq Ired to.fufflil the.�ontr.act�(incf� 'ing:,wast�);•whlcj�,may exceed.the actual
square footage af itie Project�Area,and,tl�e.la6er.which-may be estlmatad based on�the amsaunt:oF Ge�ds jequf ed.tafulfA.�e;GontracE.{�nclading was#e}.
By signing this Gon#ract•belo±rr,Customer acknowleelges receipt of thts:nofEce an agrees.a�d undersiands f}iat the PRCe ineiudes•these casts whkh may
not be refunded once the.Mstallatlon Servlces are performed. '
NOTtCE�'O Ct�3�OMER; Federal taw requires i.awe's#o provtde yon wlth t e . .
' pamphtst Renavate Right By sigratrrg this Cantract,�u&tomer acknowtedg � -�. �`�
Contract To 1
having receivsd a copy of thls pamphlet before work began infom�hig Gust rcter �Z '�
ot the poten8al risic di the lead haz�rd e�nseus frcm renovatlon activityr�to e *ap{�licabl�:taxes f1Gltl��d /
performed#n Custamer's dwelHng u�if.. .
N07E:if•rotted wood Is discoversd uring instaldation:addltlonal c arges vut�l a'ppiy Ynu w�i�be givein a quote and a char�ge arder
�must�be campfeted and s�q r�ed by�e�custot�er for any addittena! arges. C�st �er mu�t�f�J'ial.
"Any warK ar mafertai not specitied is r�ot Included in this�araract.An changes ar ad' a�wlft be at an addFttvrtal c'ha ge.for#h mate�al a�d taEiar.
NOTiCE TO i3WNER: ,.- ��C�DRQIN.G�TQ F�.ORIDA'S �CQ�S ��#ON LI�'� LA1�U TIC�'VS 71�.001�713.3? FLORIb,�
STA'�'[�i'�S),T#�SE�YVHQ 1NQR!{.ON XflUR PRQPERTY Q#t� . '��iTE#���i1.S.�i S£#�VICES AND AR��1�3T PA#�3 �N
FUtL,��IVE.A�H7'Tfl t`�1�'�RCE TH��'t CLA#�!�tlit P{1'�t - .'�"��ST Y�3L1.R'�ti �ER�'Y..THiS CLAI�I��S 1CNai�1��4S A .
CONSTR#lCT�OW LIE{V. !F, YOUit �Ct�+1TRJ�e��'flR •OR ,� �1����?C'�#t fAI 5 'f0 PAY Sl�$�Ot�7"R�►C�tS,
Sil6-SUBCt�N�C�{3RS, {�R�A'�EA�:���P�ERS,�T�fl . ��'����A�tE {� EO �it0�1�Y�I�IAA�` �:(}QK TO Y'CJI�R.
PROPERTY�FbR�P.�Y�I�J�l7',.�V��f�F YOi�'H�1�`E A�.�€A►DY P . . '��Ri Ct�A�"flR 1N�13Lt.fF Y�I��F�11L TO P�4Y Y�UR
C4�d'TRA�'��R;YflUR CQN�'RACTt?R M�►�'AL�Q H�►V��A.�+l . �i3[��PER'f`�'.T 1S i�l��iS�l�A�E{�1S F�.:EU YQUR
PRt}isERTY C�DULD�£SflLD.AG�,�NST Y�}UR�3.#�fi{#P�Y'� 1.�##�3 l��i#ER�i. �R t3T�ifR SERVICES THA�'YUt�R
' CON'�ACTOR bR�Sl�G0�173tA�G1"i�R�IAY'#�A1��{.�fl �P�1�:"�`fl��T Y �RSfk�,l�{)U'�S#�OULD.ST(PULATE
, IN Ti�IS CON�'RA�T�T#�T 8�ft�R�AN'Y�PAY����S�#A�,Y' �R�;C�!��i��`�R��S Qt3�£t3 T{��R��DF Y'OU{I�7H�A
WRI'T'f�N�REi.�►SE���.iE�1 F��Vt A�Y f.ERS'O�i t��3�' T�i�►'f�1�,:��A�tt'VID 13 TO YdU�A'�NO�E TO OYV(�E�t"
FLORIDA'S�D�tS�'�t�'C�'!�N�.1E�I�AW 1�Ct�l�'�.EK,�D li'IS � l�C�+t�'�NAT !�U�nA1SUl,T AN ATTORI��1F.
PHOTO REL�ASE:Cusfomer grants to tovG�s�ai►d'�o�nie's�emptaqaes�and'Ihde�t i�ent eGnti�b'[i�i'�Me•rTgFit.to �'ke photagraptis of the Premises where
, Installatlon Servfces will�be.perfo�rried•and•a11 work�perforxned.a�•th�e��F'remises•rel t�d to��kFiis•Qdnt�ac�,and�:irre �biygr�nts to.Lawe's all•ri9ht,titleand
inter�st in•attd ta th�p�aptagraphs fot�use.in.alb markets and rrtedla;worldriulde,'ir� rpefui#y.�Gustorzteraeifhorize i�owe's to copytighf,use�acid publish'fEtie
photographs•In prirrt.at�dlor.etectronicaliy,and�agrees that Lowe's may,use s�ch ph EograP}�s for•any jawfUl+purpo ,�indu�ng,bu4 nat lirtritad to,marketing,
advertising,•publidty,�illusttatipn,tralning�and Web content 8y initialEng heie,Cust meragFees;tothe:#oregoing. ' (Crrstort►er.tod�ftiahto•tk�e•leftj.
.W�a._� to�coq�r�riCq�t�pg�reasortatste�avaitabili�yr.�af C.ontcactorarid/ar aay speci$F o r,•vr.r,�r�tomer;� ,��@oor•t(s}whtah•Js anficipated ta.be, •
�✓1 .7 V .�+R J. .. • [fi1P in�ate]..EslHnated�ompletiarrada a is •�!'�✓i. .,!�..,(7�. W1,4.n. . •[1HF•In date]:•
Said•esi[mated substant}a�on riats ls�.not•of-th$psse�ce..A s#atetrtent•c�f ny ca�ttngencles:tttat i++rould' ater�atEy change.sald�es#matet�subsfar#iai
campi'etion da#a ts as.foitdw�; • '
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� �f appti�Cable,�'nsert�.stat ment of such continge�cies}�-''
This-�bnft'act ptbvides.fhatal)ciait»s byj�ustomer�or L•owe's.wYil.be resoive by.�BiNDIf+IGAFiBi'i!t!A'#10N. �ustoinpr and I»owe's:C�,l{�E�ll,�'.rR3�'�FtGHT
7Q.G0°F�P�017RT•ta�eni»i�a�this.Contract;FF.JC+EF�.'T'fn�mat�orsa•that.:��d-t+d airo..�/A•Q�A7�I.+/�l�Jw�C.Clf\ IbT. �.r.:�)�.,.„J..---._�__,„_ . . ....
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PSE Pricing Work heet -- Windo s ��°''�
� (Complete and x to Installer)
Customer: LIDr^� Stare. � �S�
Phone(home):gl3"�17�fi'L3�.-- Phane(cell): Phone(ather):
Install Address: ��g� ' b�h �U�-- y� �r� �3`„� �-
Di'rections: �
1, � Draw the walls where windows are being replac d and labe! them fr nt, back, L side ar R side
(as seen from the street�
2, Draw fihe windows that are being r�placed on e ch wall drawing
3. ; Place a capital ietter besicle each utindow in the rawing. W'sndows ith the same dimensions
will have the same letter. Cornplete the informa ian on the next pag using the carresponding
; fetter.
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3y(';�� Product Approval •
�`�,,� USER:Public User
ProduCl AOOroval Menu>Product o�AopllCalion Search>Aonllcatron List>AppllcatloyD'e a!/
/
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�L # !FL12S11-R
Application Type ;''� Revision, j
Code Version r'j + 2010 �
; Appflcation Status ; Approved `
i
! Comments ; ;
Archived _. �
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;
Product Manufacfurer �Pella Cor o ation
Address/Phone/EmaU 102 M,��.
. Pella,IA 50 19
'` (641) 621- 096
\ pellaproduc approval@pella.com
Authorized Signature TROY FARR
tbfarr@pell .com
I Technical Representative �oseph Hay en ALL W�RK SN..ALL COi�iPLI'�IITN iti.L
Add�ess/Phone/Email Pei a,ylA 50 19t Fl�'EVAlLING�ODES,rLOFZIDA BUILDIl'1G
(691)621- 096 CODE,NATIONAL ELECTP�IC L01?E Ai.l�
; �anayden� ella.com CITY OF ZE.P��'I=��i�T,L�QRI}L.,��p,,T���
Quality Assurance Representative Ali Zargha i
Address/Phone/Email 102 Main S
iPella, !A 50 19 � _
� (641)621-1000 ���j�ti�
r�fa�� —��
zarghamia pella.com CpTY�F
j P ����yRHfLLS
� cateyory windows L��S E)(,q���tVER �
� Subcategory Horizontal S ider
; Compliance Method Evaluation eport from a Florida Registere Architect or a Licensed Florida
; Professlonal Englneer
i _' Evaluati n Report-Nardcopy Received
�
iI=lorida Engineer or Architect Name who developed the Warren W. chaefer, P.E.
i Evaluation Report
iFlorida License PE-44135
iquality Assurance Entlty Architectura Testing, Inc.
Quality Assurance Contract Explration Date 12/31/20i4
� Validated By Terrence E. unn, PE
_, Valldatlo Checklist-Hardcopy Receive
f� Certiflcate of Independence FL12811 RI COI certlflcatlon of Jnde end nce. df
I
I
I Referenced Standard and Year(of StandardJ Standard Year
i AAMA 101/I 5.2-97 1997
AAMA/WDM /CSA 101/I,S.2/A440-OS 2005
I Equrvalence of Product Standards
I Certified By
Sections from the Code
I
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�http://www.floridabuilding.org/pr/pr_app_dtl.aspx?pa am=wGEVXQwtDqv m1fWvK4b... 6/20/2014
riuriva �uitui[i� wuc viiiiiiC • us� � �• �
. '
' I
; P oduct Approval Method Method 1 ption D
IDate Submitted 09/S2/201
Date Validated 09/18/201
i Date Pending FBC Approval 10/12/201
Date Approved SZ/06/20i
I
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Summary of Products
;rFL# Model, Number or Name escription
;12811.1 -1 Series 10 Sliding Window eries 10 Vinyl Flanged XO or Sliding Window(73 x 62)
I Limits of Use nstallation Instructions
i App�oved for use in HVHZ:No FL12811 R1 II Drawln 1598. df
; Approved for use outside NVNZ: Yes Verified By: Warren W. Schaef r, P.E. 44135
; Impac[Resistant:No Created by Independent Thlyd arty: Yes ;
Design Pressure: +30/-30 valuatlon Reporls ;
� Other:G/ass shal!conform to the latest ASTM E2300 standard. FL12811 R1 AE Evaluation re ort WWS148. df
C�eated by Independent Thlyd arty: Yes
12811 2 �Series 10 Sliding Window eries 10 Vinyl Flanged XO or Sliding Window(73 x 50)
;Limits of Use nstallation Insfructions
; Approved for use fn HVNZ:No FL12811 RI 17 Drawin 1598. df
; Approved for use outside HVNZ: Yes Verified By: Warren W. Schaef �, P.E. 44135
Impact Resistant:No Created by Independent Thlyd arty: Yes
� � Design Pressure: +37/-49 valuation Reports
' ; Other:G/ass shall conform to the latest ASTM E1300 standard. FL12811 RI AE Evaluation re ort WW5148. df
; ; Created by Independent Thlyd art : Yes
, �
, ;12811.3 Series 10 Sliding W/ndow eries 10 Vlnyl Flanged XO or O Sliding Window(73 x 38)
, ;Limits of Use nslal/ation Instruc[lons
� � Approved for use in HVNZ:No Li2811 RI II Drawin 1598. df
, i Approved for use oufside HVHZ: Yes erified By: Warren W. Schaef r, P.E. 44135
Impact Resistant:No reated by Independent Third arty: Yes
� Design Pressure: +37/-49 valuation Reports
' ! OYher:Glass shall conform to the/atest ASTM E1300 standard. L12811 R1 AE Evaluation re ort WW5148.pdf
reated by Independent Thlyd arty: Yes
� '�17_811.4 Series 10 Sliding Window eries 10 Viny!Flanged XOX Sli ing Window(110 x 62) '
I
l.imits of Use nstallation Instructions
' Approved for use in HVNZ:No L12811 R1 II Drawino 1598. df
i ' Approved for use outside HVHZ: Yes erified By: Warren W. Schaef r, P.E. 44135
I ; Impact Resistant:No �eated by Independent Thlyd arty: Yes
i ; Design Pressure: +30/-30 valualion Reports ;
Other:Glass shall conform to the latest ASTM E1300 standard. Li2811 RI AE Evaluation re ort WW5148. df
� � reated by Independent Third arty: Yes �
i :
� i 12811.5 Series 10 Sliding Window eries 10 Vinyl Flanged XOX Sli ing Window(110 x SO)
j ;Limits of Use sra//ation Instructions
� � Approved for use in HVNZ:No L1281i RI 11 D�awin 1598. df
' , Approved for use oufside NVHZ: Yes erified By: War�en W. Schaef , P.E. 44135
� ; Impact Resistanf:No reated by Independent Thlyd arty: Yes
j ! Design Pressure: +31/-41 va/uation Reports
' ; Other:Glass shall conform to the latest ASTM E1300 standard. L12811 RI AE Evaluation re ort WW5148. df
reated by Independent Third arty: Yes
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73 MAX FRAME N'IDTH — 710" MAX. FRAMF WIDTH ��:
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6'� MAX. 12�' MAX O.C. 12 MAX. O.C. 6�� MA%. 6�� MAX. MAX. 12�' fvtAX. O.C.— —MAX. W �� �
O.C. O.C. e
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6" MAX. I � I
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FRAME SCREWS WHERE � FRAME SCREWS � � � �
� SHOWN. SEE "FRAME I 33 1/4 MAX. D.L.O. I I WHERE SHOWN. SEE I 51 1/2" I �
_ � ANCHOR REQUIREMENTS � � "FRAME ANCHOR MAX. D.L.O.
= I d _ -
= I fOR REQUIREMENTS. I p = I ON THIS SHEET FOR p
� REQUIREMENTS. � I
w 8 C1 D o w 8 C7 o C1 B
� 2 � � Z � Z � �x ¢� 2 � ° Z ° x 2 ° z � °
� C2 INSTALLATION CLIPS � �.. ¢ INSTALLATION CLIPS OPPOSITE OPPOSITE
X 2 WHERE SHOWN. SEE _ Q
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� ��� REQUIREMENTS TP$LE' N �� REQUIREMENTS TABIE" N �g n�
� � I ON THIS SHEET FOR I 1O I ON THIS SHEEf FOR » � � � 4�a Q o
16" MAX. � �OCN REOUIREMENTS. (CLIPS I I �oCK REQUIREMENTS. (CLIPS ��K � 16" MAX. = a Z a o
O.C. � � MAY ALSO BE USED � � � MAY ALSO BE USED I O.C. o o�`"'
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EXTERIOR ELEVATION: EXTERIOR ELEVATION: }3 Z�
XO OR OX WINDOW XOX WINDOW �o w`° m
SCALE: 3/4" = 7'-0" SCALE: 3/4" = 1'-0" 03 z�p�N
CORNER CONSTRUCTION: � Z ��
FRAMF�MEAIBERS PRE MITEREO h FULLY wELDED. w Z W a�'^�
SASH.Ma�seRS u�e�r�m��uu.Y w�o�u. ALLOWABLE DESIGN PRESSURE GENERAL NOTES: �o W oo5;
EVALUA710N 0�THIS PRODUCT IS BASED ON APPUGBLE STANDMDS AND/OR 1. iH6E WINOOW SYSTEMS HAVE BEEN TESfE�.ANPLYLE➢k APPROVED FOR OESICrv PRESSURES NOT TO �f�l� W Z�c��
XO OR OX UNfTS & XOX UNRS EXCEED TNOSE SHOWN IN THE'P1.LOWABLE DESIGN PRESSURE TABLE(5). ��u z
INFORNATION&RESUUS FROM nPPLICPBLE TEST REPORTS. 7HE FLORI�A BUIIDING 2 OPENINGS,BUCKING&6UCKING FlSTENERS MUSf BE PROPERLY OESICNED&INSTAILED TO TRPNSfER
CODE VERSION CONSiDERED WfiH 1H15 EVA�UATION WAS THnT IN FORCE AT THE TIME ALLOWABLE PRESSURE W�ND LOH7S TO THE STRUCTURE. V�o m a
OF THE EVALUATION. IN 7}tE EVFNT OF COOE VERSION CHaNGES/UP�ATES OR IN J �tn N�
7HE EVENT THAT NEN'OR AD�RIONAL TESIING IS COMPLETED ON THIS PRODUCT, MAX. WINDO�N FRAME 3. ALL HARDWARE k FA57ENER5 SHALL BE IN ACCOftDANCE WRH THESE ORAWINGS&SHALL NOT VARt' Z n�
PRIOR TO SfATING COOE COMPLIANCE WRH TNE SfATE.THE N+WUFAC7URER SHN.L POSITIVE NEGATIVE UNlE55 SPE(7FlCNLLT MEMIONED ON THE ORAWINGS. SPECIFlEO ANLHOR EMBED TO 6ASE NATERIAL SHALL , �3 U a
CONFlRM WITH THE EYALIW710N ENCINEER OF RECORO THAT EVERYIHING SPECIFIFD SIZE (IN) BE BEYONO WPLL FlN@i OR SR1CC0. . ' ,. a
PSF PSF 4. 7H6E WINDOW SYSTEAIS HAVE BEEN OF9GNED IN ACCORDANCE WITH ANO MEEf 7}fE REOUIREMQJT$OF � ''f'`� 'r�'•. °u 3�+1'
HEF2E-IN IS CURREIJT WRF7 ALL CURRENi TESTING,CODES AND APPUCABI£ � � � � THE FLORIOA BUILpINC COOE(FBC)INCLUDING HICH VELOQN HURRICJWE ZONES(HVIIZJ. �'t�Y. '.,,i�'`�y, ,
STPNDARDS. XO OR OX UNITS 5. THESE WWDOWS ARE NON-IIAPACT RATFD&MUSt BE SHUiTEREO WITH A FLORIDA CODE APPROVED ��u;',�,��6 f� '�:ri�: -
FRAME ANCHOR REQUIREMENTS TABLE a�73 X 62 30 30 SHUfiER wHERE REONREO BY CODE. _-.S:::e� -7 ''.�",�+ . a
6. P1L ANCHORS SECURINC WIN�OW FRAAlE TO PRESSURE TREATEO BUCKS OR WOOD FRAIAING S1nLL BE�-�..��-� � l?`'d°: ~
(Z173 X $0 37 49 CMABLE OF RESISTING LORROSION CIUISFD HY THE PRESSURE TREATING CHE�IICI�f.S W THE WOOD. �':�;.`�' �` `:"? 'Z W,i
OPENING IYPE fRPhfE/CUP/NAIL FlN TO MINIMUM MINIMUM (" 7, DETERNINE THE POSRIVE!c NEGATIVE DESIGN LOPDS TO USE WHEN REFERENCINC THESE WCUTAEMS-TN'� � ��. ��4'"" o �
(SUBSTRATE) OPENING FASfENER IYPE E�18ED E�cE oisr. 73 X 38 3� 49 A�CORQ4NCE WITFI 7HE GOVERNING LODE AND GOVERNMG WIND VF10CI7Y. fOR WIND LOAD CALCUTATIONS�r � O U/ f�;� a ip
��� FRAME SCREWS & WSTALLATION CLIP SCREWS XOX UNRS IN ACCOROANCE WITX THE FLORIpA BUILDING COOE,A DIRECTIONNJfY FACTOR OF Ntl=0.85 NAY BE "' � ,+� �a`. •.r U Np
MIN.2%4 WOOD FRAAIE OR BUCK APPUED PQ2 1HE fSCE-7 STPNpARp, . : � r;�, � Py z
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N0. 10 SIAS OR WOOD SCREY! 1 1/6 3/4' «�1�O X 52 3O 3O 8. IdAIERIPIS,INCLUDINC BUT NOT LJMRID TO STEEL SCREN5,THAT COME INTO CONTACT�VIi}i O7HER -.Yy ti = ¢ 3w
(AIIN.CR.3 k G=0.55) DISSIfAIUR MATERIALS SHALL MEEf 7HE REOUIRQAENTS OF FLORIOA BUILDMC CODE CHAPTEF2 20. �`' w � `� i
AIIN.1B GA 33 K51 METAL STUO N0. 10 GR.5 SQF TPP/DRILL SCREW FULL t/2� �Z�110 X 50 31 41 9,TO 7HE BESi OF OUR KNOWLEDCE,iHE N7NDOwS SHOWN HEREIN ARE OUALItt r55URED BY A FLORIDA �1��,{"^:';;;�`„` V d
IAIN. 1/8"iHK AJ6 STEEL N0. f0 GR.5 SELF TAF/DRILL SCREW FULL i/z' �'1STEEL REINFORCEMENT ON BOTH MEETING STATE APPROVEO CEKiiF]CAPON/OA ENTITY k SHAlL BE IFHElED IN ACCORDMICE WfIH THE FBC AND THE ���' �
MIN.1/8"THK 6063-TS ALUAI. N0. 10 GR.S SELF TAP/ORiLL SCREw FULL I/2' STILES 9N-3 FLORIOA BUIIDWG COUMISSION SPECIFlCATIONS. THESE ORAWINGS SHOW ALL APPUG18l,E F�VATION, . � 3
COMBINATION,INSTAIlATION @ CONPARAi�yE pN/yY$�5 CONOITIONS AS DEfERMINED THROUGH TESTiNG B
C-90 CMU/2500 PSi CONCRETE «1 1/4�CONCREfE SCREY! i i/a' Z• a�STEEL REINFORCEMENT ON THE OPERABLE ENGINEERING MTIONA�ANA�Y$I5. WINDOW ASSEN9LY SHP11 BE IN ACCORDANCE WITH THESE ORAWINGS. ORAwING No. REV.
(i)SCRNYS SHALI DE PAN IIEAO OR HE%NEFD SCREw MEETING STILE & ALUMINUM THE MNdUFACNftER'S OUAIfIY ASSURANCE SPECIFlCAl10N5 k TESnNC REPORTS 1598 B
REINFORCEMENT ON THE FIXED MEETING 10.CERPFlGITIDN OF THESE WINDOWS SNALL BE CONSIOERED V010 If THEY ME INSTALLED WITHOUT A SHEEf N0.
(2,HEADTA CONSE R HLiI KWH ECON IIL W.ADE ED STEELR RESfIEx,11V+RAMSEf/RED STILE BUILDING PERIAIT FROM THE APPLICABLE LOCAL BUILDING DEPARTMENI OR IF THEY ARE INSTly�D BY Z
( qNYONE Otl�Ea iMqr�n uCEnSE�COMRACTOR ExaERiENCED vriiM w6u00w ihSTJy1qTI0NS � aF J
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FRAME ANCHOR PER ELEVATION FRAMF. ANCHOR PF,R FIF,VATION / on+N e+ crcwKm er.
SUBSTRATE &Y OTHERS J SUSSTRATE BY OTHERS PER � A" MAX. SHIM n.. .es.
' AT EACx aNCNOR FRAME W40TN— n�,1•� M�;'�
SEALANT BY 07HERS PER "FRAMC ANCHOR $EALqNT BY OTHERS / "FRAME ANCHOR
SEHIND FLANGE REOUlRcMENTS TABtE" 8EHlND ftANGE REOUiREMENTS TA8LE�
2 3
--- " '. � SUBSTRA7E BY
" - QTHEftS PER SEE GIAZIN6 °'
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—_—� SHIM AT _,_,_.�AT EACFt ANCHOR REQUiREM£NTS ` �q r � ` SNEE� 3 _
EACH ANCH6R `� ' ��l'�` TA6LE� -
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SEALANT 8Y� SEAIANT HY� a� I o
OTHERS � OTHERS 7 I fRAME ANCHOR (� s
6 � 1 O � PER ELEVATION � 2� �
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2z EXTERIOR w EXTERIOR �
N 8Y SEALANT BY
= DETNL ON w 07NERS BEHIND� '
EXTERIOR c? r SNEET 3 ¢ ��E - OTHERS
SEE GLAZJNG = � g INS7ALLA710N
DETAR 6N ,,, � ? CUP PER �:•i.' .
� SHEEt 3 ¢ ELEVATION
� � SECTIO?�f g t`�- Z w N
ts 3 "' aEALANT BY�i��� SCAIE. t/7 FUII � 4 �a��
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2 2 INSTALLATION T � °z°`'o
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� ELEVATION SHIM AT FACH CUP W c>cr='�
z �a��
SEAIAM BY _ . . lNSTALLATION CLIP SGR£W PER '� w O '�
4TN£RS :��' y h-�, _ _ • -. " ' • ELEVATION (2 PER CUP) u- a N�
�1/4" MAX. �
SHiM A7 SEALAfJT BY
- O7HERS `�
- FiANGE ANCH4R RE4UIftEMiENTS TABLE° � a
''' INSTALI.ATION CLIP SCA�E. t j2 FULI. 2 COPlTINUOUS WOOD MEMBER LESS IN SIZE
�.-''`. .-. THAN A 2X_ BUCK TO 8E MIN. 2 1 j2` QEEF � �
, =��" - SCREW PER EIEVAT{ON h70T REQUIRED WHEN SHIM SPACE IS WITH�N z
"^��" • ' ' ' ' - (2 PER CUP) Al.LOWABLE DIMENSIONS SHOWN IN SEC7lONS). m
. .• . . : tj4" MAX. SIiiM .s csa
SEAUNT BY OTHERS SECTION p� 5UBSTRATE BY OTHERS AT EACH ANCHOR SF.AtAN7 BY OTHERS >° �"� m
SENIND FLANGE W'4 `
SCAIf. 1 j2 Flttt 2 PEft "FRAME ANCFtdR BENINp FLANGE SU6STRA7E BY a? zv e�N
REOUIREMENTS TABLE' SUBSTRATE BY _ t r 67HERS PER «-3 �
QTHERS PER - _ "FRAME ANCHOR �C� Wg��i I
"FRAME ANCHOR ' REQUIREMENTS �? °-__" �
4 2 REQUIREktENTS - �'�A TABLE' u�Wi� uz E��
4 TABLE" .' :, .�:� i`
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27 P� PRAME ANCNOR 4�N�T BY � fRAME SCREtiY PER �Ynz$ a
1 8 PER EI.EVA710N a � EFRAME APSG OR z 3 c a j^�
SEE GtAZtNG 2 j R E Q UIR EM t N T S „ s t�t�.
10 10 DEfAIL ON — ' SABi.E" :�'S.o;:.
SNEET 3 SFAIANi BY �'i EER - "'•°`•.�
EX7ERIOR " •.�+;'�!!
� o OTHERS BEHINO `�+*' ^
23 � 5 FLANGE • F. � •• w� -
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29 SHEET 3 ExTEeioR ��• TO 5UBSTRATE WITN SPAC£R "�`. �
EXTERtOft gEA{ANT BY • .t.� ¢ �.' '...'
S EC T I O N �� S E C T I O N �2 O T H E R S � (HEAO SECTION SHOWN; SlDES ARE INSTAILED TNE SAME)�t, � �a Y'� � ;,
SCALE. 1/2 FULL 2 SCAI.E. i/2 FULI 2 � "� " (SILL OOES NOT APPLY) ,: . �.�g,,.
{FOR DEfAlI N4T SHOWN, SEE OTHER SEGTIONS) �;�"E?j(-`y':'���
(F1XED MEETING STILE WITH (FIXED MEETING STILE W(TH STEEt � '-ARn�n c,NO:�R�.
ALUMiNUM ftE(N�ORCEMEVT} RElNFQRCEMENT) SEC'f10__� 15�$ B
(FOR DETAIL NOT SHOWN, SEE SECTION C7/2) SCALE. 1/2 FULL 7 sr+r�r rao.
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ITEM � ITEM DESCRIPTION _ _ �, MANUFACTURFR NOTFS , I on.qyr. c�ev.�m:
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-�-I 7.075 � � vwr..z °.r�uioe
.__.__._ PARTS 0.060 � � f1
1 NEAD VINY!' � II �
2 SILL k JNAB VINYL � Qa � 1 700 '� 0.060
VINY� 2.060 p �J-�-� 2.060 t.S65 �
3 "a17tE &t2Alt ,I �
4 INTERLOCK STILE ACTIVE SASH VINYL II f
5 MiERIOCK STILE �MACTNE 5ASti VINYL , !] 0.060 �.�fi0 `L qO INTERLOCK S11LE m
6 ANTI-UF[CLIP VINYI �STiIE & (ACTlVE SASH� a
O� �Sllt, & dAMB �
7 HEAD FiILER � VINYI �
$ GIRZiNG BEAD VINYI W
g INSTAILATION CLIP VINYL �2.581� �06� � > >60 � 1.210 � �---0.191 �
10 SiILE REINFORCEIAENT ACTIVE iNTERIOCK 18 GA. CALVANIZED S7EEl � � 0.065� �
11 Sl'1lE REINF6RCElAENT AT INACTNE tNTERIOCK USED WISH b06]-T6 ALUMINUM �334 ��8�`� 0.865
� 0.410 _.1_ 0.02D
XO k OX UNITS WITH A FRAME HEIGHT GREATER THAN I a
t
38'&AtL X6X UNtTS g NTl- IFf
12 S11LE RFJNFORCEMEN7 AT INACTIVE INTERLOCK USED WITN 7 6 GA. GALVANIZED STEEL $�INiERIOCK 571LE �p 7O HEAD FlLLER �g G ING BEAD
%0 & OX UNITS Wf(Fi A FRAFdE HEIGHT OF 38'OR LESS 11tyA eqH}
HAROWARE o.375
16 ROU.ER TR4CK ASSEMBI.Y AIMSBERRY/FESTEK VIK-81p0
17 IdCK BETEL�I 0.840-�---�_L � o U n
18 LQCK KEEPER B�� � � N �� rn
SEALS & SEALANTS 1.325--� '--f-J"-0.293 0,050 0.800 � qa°"¢o
22 WEATt3ER57RiP U�TRAFAB P t1: W53i 919G � z �z��
� 2.OD0 3.000 --i- ��tir�
23 WEATHERSTRIP ULTRAFAB W22241NW Q 06q 7 � �� � � U a m n
FASTENERS REINFORCEMENT z g o�_
27 N0. 6 X 3f4" WOOD SCREW 2 PER LOCK lNTQ REINFORCEMENT �AGTNE � w� n
28 N0. 6 X 5/8"WOOD SCREW 2 PER I.00K KEEPER INTO REINFORCEMENT I K LL a o
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29' N0. 6 X 2 1 f 2" WOOD SCREw 2 A7 FACH SN7ER�OCK ENd LOCATION �p U W
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� �s��� Product Approval �
�_ USER:PubUC User
Product Avn�oval Menu>Producl or Aapllcatlon Search>Anallcation Llst>Appllcatlon De a/I
FL # FL16603
Application Type New
Code Version 20i0
Application Status Approved
*Approved by OBPR, Approvals by DBPR s ll be reviewed and ratified by the
POC and/o the Commisslon if necessary.
Comments
Archlved ._.- '
Product Manufacturer Pella Corp ation
Address/Phone/Emall 102 Maln t.
Peila,IA 5 219
(641)621- 096
pellaprodu tapproval@pella.com
Authorized Signature TROY FAR
tbfarr@pel .com
Technical Representative TROY FAR
Address/Phone/Email i8600 NE ILKES ROAD
PORTLAND OR 97230
(503)405- 176
tbfarr@pel ,com
Quality Assurance Representative TRDY FAR
Address/Phone/Email 18600 NE ILKES ROAD
PORTLAND OR 97230
(503)405- 176
[bfarr@pel .com
i Category Windows
� Subcategory Single Nun
' Compliance Method Certificatio Mark or Listing
� Certification Agency Window an Door Manufacturers Associatlo
� Validated By Terrence E Lunn, PE
� ::?.; Validat n Checkllst-Hardcopy Recelve
i
�
; Referenced Standard and Year(of Standard) Standard Year
AAMA/WD A/CSA 101/1.5.2/A440-08 Z008
; Equivalence of Product Standards
! Certified By
I
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! Product Approva!Method Method 1 ption A
i
� Date Submitted 10/30/201
i Date Validated 11/05/201
J Date Pending FBC Approval
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• � riate Approved 11/10/201
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�Summary of Products '
;FL# Model,Number or Name escription
i 16603.1 Pella 10 Series Single Hung Window 6"x 90"Vinyl Non-lmpact Sin le Hung Wlndow �
j Limits of Use erti�calion Agency Certi�c te i
i Approved for use in HVHZ:No FL16603 RO C CAC CCL-41 -H-1032 36x90. df
� Approved for use oufside HVHZ: Yes uality Assurance Contract xpiration Date !
i Impact Resistant:No 08/22/2016 i
�
; Design Pressure: +40/-40 nsta/lation Instructions (
i Other:Configurations of g/ass shall conform to the current ASTM FL16603 RO II 1414.odf �
j E1300 standard. Fixed check rail shall have Pe/!a's contour shaped Verified By: Warren W. Schaef r P.E. 44135 I
j steel reinforcement&active check rail&active sash stl/es shall Created by Independent Third arty: Yes ,
;have Pella s"C"shaped relnforcement, valuafion Reports ;
� FL16603 RO AE 1414.pdf �
� Created by Independent Thi�d arty: Yes �
�16603.2 Pella 10 Series Single Hung Window 4"x 90"Vinyl Non-Impact Sin le Hung Window
;Limits of Use ertification Agency Cerfific te i
i Approved for use in NVHZ:No FL16603 RO C CAC CCL-41 -H-1032 54x90. df ;
! Approved for use outside HVHZ: Yes uality Assurance Contract xpiralion Date �
' Impact Resistant:No 07/09/20i6 �
j Design Pressure: +45/-45 nstallafion Instructions �
� Other:Configuratrons of g/ass shall conform to the current ASTM L26603 RO II 1414, df '
IE1300 standard.Active check rail, fixed check�a!l and active sash erified By: Wa�ren W. Schaef r P.E, 44135 j
i strles shall have Pella s contour shaped aluminum reinforcement. reated by Independent Third arty: Yes �
! valuation Reports !
i L16603 RO AE 1414. df I.
' reated by Independent Third arty: Yes ;
�
i16603.3 Pella 10 Series Single Hung Wlndow 4"x 63"Vinyl Non-impact SIn le Hung Window �
;Limits of Use erfification Agency Certific te �
� Approved for use in HVNZ:No L16603 RO C CAC CCL-41 -H-1032 54x63. df I
I Approved for use outside HVHZ: Yes uality Assurance Contract cpiration Date �
j Impact Resistant:No 7/09/2016 �
i Design Pressure: +50/-50 stallation Instructions
; ; Other:Configurations of g/ass shall confo�m to the current ASTM L16603 RO II 1414. df '
�
� I E1300 standard.Active check rall, fixed check rall and active sash erifled By: Warren W. Schaef r P.E. 44135
�stiles shall have Pella s contour shaped aluminum reinforcement. reated by Independent Third arty: Yes
valuation Reports !
i L16603 RO AE 1414. df �
� reated by Independent Third arty: Yes
�16603.4 Pella 10 Se�ies Single Hung Window 4 "x 73"Vlnyl Non-impact Sin e Hung Window �
� �Limits of Use rfification Agency Certific te
' i Approved for use in HVHZ:No L16603 RO C CAC CCL-411-H-1032 48x73. df
! j Approved for use outsfde HVHZ: Yes uality Assurance Contract rpiration Date �
i j Impact Resistant:No 7/09/2016 �
+ Design Pressure: +50/-50 I stallation Instructions i
i � Other:Configurations of g/ass shall conform to the current ASTM L16603 RO 77 1414. df (
�E1300 standard. Active check rall, fixed check rail and active sash erified By: Wa�ren W. Schaef P.E. 44135
� �stiles shall have Pella s contour shaped aluminum relnforcement. reated by Independent Thlyd arty: Yes
� E aluation Reports
, 16603 RO AE 14i4. df
, reated by Independent Third arty: Yes ;
' ;16603.5 Pella 10 Series Single Hung Window 3 "x 62"Vlnyl Non-impact Sing e Hung Window i
i ;Limits of Use C rtification Agency Certifica e ,
! App�oved for use in HVHZ:No 16603 RO C CAC CCL-411 H-1032 36x62. df !
� Approved for use outside HVHZ: Yes Q ality Assurance Conrract E piralion Date i
� i Impact Resistant:No 0 /11/2016 '
i � Design Pressure: +55/-55 I stallation Instrucfions �
Other:Configurat(ons of g/ass shall conform to the current ASTM F 16603 RO II 1414. df
i ;E1300 standard. Fixed check ra11 shall have Pella's contourshaped rified By: Warren W. Schaefe P.E. 44135 �
� !stee/reinforcement&active check ra11&actJve sash stiles shall eated by Independent Third rty: Yes
i ;have Pella's"C"shaped reinforcement. E aluafion Reports
; ; F 16603 RO AE 1414. df
; ; C eated by Independent Thlyd rty: Yes
': '16603.6 Pella 10 Series Single Hung Window 3 "x 73"Vinyl Non-impact Sing e Hung Window ;
� Limits of Use C rtification Agency Certi�ca e '
' i Approved for use in HVHZ:No � F i6603 RO C CAC CCL-411 N-1032 36x73. df
I ! Approved for use outside NVHZ: Yes Q ality Assurance Contract E cpiration Date �
� i Impact Resistant:No 0 /09/2016 (
; Design Pressure: +60/-60 In tallation Instructions ;
Other:Configurations of g/ass shall conform to the current ASTM F 16603 RO 77 i414. df
E1300 standard. Fixed check ra1/shall have Pella's contourshaped V rlfied By: Warren W. Schaefe P.E. 44i35 I
I
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� ! '�aluminum relnfo�cement&active check rai!shal!have Pella's"C.' Created by lndependent Thlyd arly; Yes �
� i shaped reinforcement. Evaluation Reports '
j FL16603 RO AE 1414.pdf �
Created by Independent Third arty: Yes (
i
;16603.7 Pella 1 D Series Single Hung Window 52-1/8"x 50"Viny/Non-impact Single Nung Wlndow j
i Limits of Use Certification Agency Certific te �
; Approved for use in HVHZ:No FL16603 RO C CAC CCL-41 -H-1032 52.125x50. df ;
, I Approved for use outsfde HVHZ: Yes Quality Assurance Contract xpiratio»Date ;
� ; Impact Resistant:No 07/09/20i6
; Design Pressure: +60/-60 Installation Instructions
; Other:Configurations of g/ass shall conform to the current ASTM FL16603 RO 77 14i4.odf �
i E1300 standard. Active check ra1l, fixed check rai!and active sash Verifled By: Warren W. Schaef r P.E. 44135 �
!stiles shall have Pe/la's contour shaped aluminum reinforcement. Created by Independent Third arty: Yes '
; Evaluation Reports I
� PL16603 RD AE i414.odf i
� Created by Independent Thlyd arty: Yes i
_...................__._..__..__..._........................................._._._................_.....-----._.............................._._.............._............_._.._...._.....----.......__...........__...............------.._...._....................._...----._..._....__........................_...---......_............,
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Tn�.S[ORAwwCS nRE MPUGBtE ON�Y f0 1N PN�'JUCL ORfw BY: C✓.CC�tCU BY:
C*ENERA� NOTES: SPECIFlED.THEY Vl.Y NOT BE USCD(tlR TNE I�SSEYFn.Y ilN w.vi
1. Au FASTENER5 SFwLL BE IN aCCORDnNCC wrtN iHESE DkAVnNGS. SPECiFlED u+a/oa�u5uuwno.0 vr a+r ott�R v�uci r+oR ucr v�nr: c+ac
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2 OPENINCS,Bl1CKING k BUGKING FASTENERS MUSf BE PROPERLY DFSICIJFD k Of ANY Pk00uR r+oT vr24DUCED Br'ME wWV�MTUqER
rtJSTALLED TO TRANSfER wlNp LOADS TO iHE SiRUClURE FOR MAX. FRAME WIDTN, SEE sr. oN n�cst a�vnN . s S s ^
s. n��rwu-�SwncT wtrm vnNOOw sstEU rn�sruunoes NzF iN KcaxonHCe NOTE BELOw �s��a
MlITFI M!D MEEf THE REQUIREUEMS OF THE FLORIDA BUIIDING LODE(FBC). �„�" $ ° $ ^
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F'W.MIKG SI�UII HE GPASLE OF kESiSflNC CORROStON f?llSED BY ME PRESSURE S� �Y`. Z MAX, 6 Ml�. � � � �' �
TREATING CHE311C,LL5 IN 7HE WOOD. O.C.
5, NAiERWS,INCtU41NG BUT N{?T tMREO TO STEEI.SLREWS.2HAT CAaeE INIO
COMACf WRF1 O1HER D�59uilAR uATERWS SHnU.MEE7 TME REOUIRQtENfS OF � �
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CQiliA5516N SPEC�fiGS76N5. WIN06W fS4Eu8LY IS HOT PARi'OF?HIS 4RAtNNG AN6
SHALL BE fN PLCQRQWCE WI'fH ME MANUFPLfURER'S QWLfiY lSSURANCE z �
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THE iNSTPilE6 WINDOWS t5 N6T PARi OF TNtS INS[N1AitON CERiIFiC'AlION. TtipT W REMOVED WHEN H O W a�
RESi'ONSIBIL(IY SFWl 8E TH4T OF'iHE 4MIUFACIURQt&/OR INSfALLER. � ( � REQUIREf? 8Y ¢ � ? d.
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coaE u+o,wrvasc�s�u+oaxas. nT s�:t EXTERIOR ELEVATION: `� �o�
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FRAME ANCHOR REQUIREMENTS TABI.E scy��: 3/a• � ��_p- � „3�
OPENING iYPE FRAME 70 OPENING FASTENER MINIMUM MINIMUM �3dS
{SUesr�a�) m'� �aB�o EDGE a�sr. NOTE: FOR MAX. WINt70W FRAME
(�) FRAME SCREWS DIMENSIONS ANQ ALLOWABLE 1N�,11"„"���lj a
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MIN. i f8"THK 8063-TS ALUM. NQ. 10 GR. 5 SEIf TAPjQRit1 5CR£W FUII 1/2" ��uj•;�}Z n�v�O�
C-90 CMU/2500 PSI CONCREfE (Z) 7/4" CONGREfE SCREW 7 1/4' 2" ""-6�,'••. `Oj�� �
{t)FRAME SCREYiS SHALL 8E PAN HEAD OR HEX HEAD SCREtiV '-biLJ•�.kP�Q��� ING N0. R .
(2}C6NCREtE SGREWS SttAt� BE EECO U�TRACONS (C.S.), E�CO CRE7E-RE% (S.S.}, tTW i 4�� �
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�, REQUIREMEMS TA6lE" ' E7(pANSiON FOAM �
" . AROUNQ PERIMETER
" �3/8' MAX. SHIM A7 OF WINDOW FRAME �
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ELEVATION o
SEAI.ANT BY � �
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PEF2IMETER OF . z
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