HomeMy WebLinkAbout621 S Park Ave 17-1536; GARAGE DOORCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S 2.000.00
Job Address: 621 S Park. Ave Historic District: Yes R No
Parcel ID: 25-19-30-5AG-0803-0100 Residential [A Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Replace existing dilapidated wood garage door with metal door. CHI Doors Florida
Product Approval F1.15074-R3.
Plan Review Contact Person: Amandaii Title:
Phone: 863-243 --3f0_ 1 Fax:
Name Amanda Fall
Email:
Property Owner Information
Phone: 863-243-3201
Street: 621 S Park Ave Resident of property,T: yes
Cite, State Zip: Sanford. FL 32771 ,.
Contractor Information
Name Phone:
Street: Fax:
Cite, State Zip: State License No.:
Name:
Street:
Cite, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender;
Address:
WARNING 7*0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO\INIENCENIENT MAYRESULT IN YOUR PAYING '"
VICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF 1'OU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has O commencedpriortotheissuanceofpermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructionin
this jurisdiction. 1 understand that a separate permit must 'be secured for electrical work, plumbing, signs, wells, pools, furnaces,
boilers, heaters. tanks, and air conditioners, etc. FBC
105.3 Shall be inscribed ss ith the date of application and the code in effect as orthat date: 5`" Edition (2014) Florida Building Code Revised.
Junc 30, 2015 Pcrmit Application Scanned
by CarnScanner
NOTICE:: In addition to the requirements of this permit, there may he additional restrictions applicable to this property that may be
fount) in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713,
The City of Sanford requires payment of a plan review fee at the tittle of permit submittal. A copy of the executed contract is required
in order to calculate n plan review charge and will be considered the estimated construction value of the job at the time of submittal.
Tile actual construction value will be figured based on the current 1CC Valuation "rable in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value.
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and that all work ivill
be done in compliance with all applicable laws regulating construction and zoning.
ncnature of Ot ner/Agent Date
Amanda Nall
Print Oti ncr/Agem's Name
signature ofContmctor/Agcnt Date
Print Contractor/Agent's Name
Signaturcof\btnry-St3tcofFlorida Date
NOTARY PUBLIC
STATE OF FLORIDA
Coma* FF241973
t E.Vims 6/18/2019
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID -X Type of lb F Oc- Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ® Electrical Mechanical Plumbing Gas[:] Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
of Stories:
Neliv Construction: Electric -# of Amps Plumbing - # of Fixtures,
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: ' li UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING: 4F e.-i-t-t
COMMENTS:
Revised, June 30.2015 Permit Application
Scanned by CamScanner
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pPAS o ._---
OUILDING PERMIT
Min max
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REQUIRED INSPECTION SEQUENCE
1 ^1 - 5'3c. Address:
Ins2ection Description
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Prepour, .
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Firewall
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Final Single Family Residence
Final Building (Other)
Min Max Ensl2ection Descri Lion
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
F1CmII:lV!{4"ltA.W' l4Y v:
4
a v .aw....^ri r ..
6..'.`t',; ..E. ruT X.» .<, -s> ::
Min Marc Inspection Descri tion
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
ME-CHA IICcAUPERMu
Min -Max inspection Descri2tionn
Mechanical Rough
Mechanical Final
Min Max J<ns ecti®n Descri tion
Gas Underground
Gas Rough
Gas Final
REVISED: June 2014
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions forhomeownersfromqualif},ing as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SiGN THiS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (initial to the left of each statement)
uuuerstana trial state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of4/It le the property listed, may act as my own contractor with certain restrictions even though I do not have alicense.
i understana tnat building permits are not required to be signed by a property owner unless he or she is
tJ responsible for the construction and is not hiring a licensed contractor to assume responsibility.
1 understand that, as an owner -builder. I am the responsible party of record on a pen -nit. I understand that i
v ma} protect myself from potential financial risk by hiring a licensed contractor and having the permit filedinhisorhernameinsteadofmyownname. I also understand that a contractor is required by law to belicensedinFloridaandtolisthisorherlicensenumbersonallpermitandcontracts.
1 unuerstana trial I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed S75,000. The building or
Al)residence must be for my own use or occupancy. It may not be built or substantially improved for sale orJlease. If a buildim or residence that I have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially improved itforsaleorlease, which violates this exemption.
CM I I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
i understano tnat i may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom 1GfJI employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the properly owner is providing his or her own labor
and materials. 1, as an owner -builder, may be held liable and subjected to serious financial risk for anyiinjuriessustainedbyanunlicensedpersonorhisorheremployeeswhileworkingonmyproPert}, My
homeowners insurance may not provide coverage for those injuries. l am willfully acting as an owner -
builder and am aware of tile limits of my insurance coverage for injuries to workers on my property.
t understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I musttjcomplyI-vith laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers; compensation
for the employee. 1 understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
Scanned by CamScanner
I agree that, as the part' legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
1 understand that the construction must comply with all applicable laws, ordinances, building codes, and
7.oninL regulations,
a/,j I am of aware of construction practices and I have access to the Florida Building Codes.
1 understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial,.
Services, and the Florida Department of Revenue. I also understand that I may contact ttte Florida`. a/j Construction Industry Licensing Board at 1-550-487-1395 or at www.tnvflorida.com/dbpr/pro./cilb/ for
more information about licensed contractors.
am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the pane legally and financially responsible for the proposed construction activity at the address00
listed below.
1 agree to notify the building department immediately of any additions, deletions, or changes to any of the
lii`L information that 1 have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while \working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property Address: 621 S Park Ave, Sanford, FL 32771
1, Amanda Nall , do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application riled and agree to the
conditions specified above.
a t /Jai// _ 5 6/17
Signature of Owner -Builder hate
Form of Identification_ l:ce. sr byoa -013, -8'`- 5&0 -0
Must be Photo ID)
A violation of this exemption is a misdemeanor of the first degree punishable by a tertn of itnprisonntent
not exceeding l year and a S1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued. __-:r
on Dom i ncJw,e Z,
nlos-/
NO DOMINGUEZ
PUBUC
6TATE OF FLORIDA
CIMOW FF241973
Ewres 6/IWO19
Scanned by CamScanner
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Product Approval Menu > Product or Aoolication Search > Application Lis[ > Application Detail
FL #
Application Type
Code Version
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Comments
Archived
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Address/Phone/Email
Authorized Signature
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Address/Phone/Email
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Address/Phone/Email
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Subcategory
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the Evaluation Report
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Validated By
Certificate of Independence
FL15074-R3
Revision
2014
Approved
C.H.I. Overhead Doors
1485 Sunrise Drive
Arthur, IL 61911
217) 543-2135 Ext4273
phunter@chiohd.com
REVIEWED FOR CODE COMPLIANCE
PLANS EXAMINER
e.-(- 11
DATE
Pat Hunter SANFORD BUILDING DIVISION
phunter@chiohd.com
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 OF THE 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 THIS CODE
Exterior Doors
Sectional Exterior Door Assemblies
Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
John E. Scates
PE-51737
Architectural Testing, Inc.
12/31/2018
Gordon Thomas, P.E.
W Validation Checklist - Hardcopy Received
FL15074 R3 COI Cert of Ind Scates 2015s.12df
Referenced Standard and Year (of Standard) Standard
ASTM E1886
ASTM E1996
ASTM E330
DASMA 108
DASMA 108
DASMA 115
Equivalence of Product Standards pgjufffCertifiedByH1.5'T®RIC W ith theAllworkmustbedoneinstrict, accordance
Sections from the Code Approved Certificate of pP10Pri"e"sdesscope
Building does not aPPfOve any work outsiblefar compliancePermitApplicantiscoleyrespons
Year
2005
2009
2002
2002
2005
62005
a
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquS73Fr2ZyiPkP... 6/1 /2017
Florida Building Code Online Page 2 of 6
Product Approval Method Method 1 Option D
Date Submitted 04/15/2015
Date Validated 04/26/2015
Date Pending FBC Approval 05/01/2015
Date Approved 06/23/2015
Summary of Products
Go to Page F__1 0
FL # I Model, Number or Name I Description
15074.1 ke; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: N/A
Other: Sectional doors provided for windload applications.
Tested in accordance with ASTM E330 and ANSI/DASMA
108, which are accepted test methods per 5th edition (2014)
Florida Building Code Section 1715. See drawing FZ4-09-
02315 for pressures and widths 34.8(psf)/-39.3(psf) at 06'-
00" wide through 10.2(psf)/-11.5(psf) 13'-10" wide.
0 0 Pagel/ 204)
06'-00" wide through 13'-10" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Installation Instructions
FL15074 R3 II BJA Jamb Attach s.pdf
FL15074 R3 II Supplemental Instructions Sand s.odf
Verified By: John E. Scates, P.E. FL-51737
Created by Independent Third Party: No
Evaluation Reports
FL15074 R3 AE Evaluation Report s.pdf
FL15074 R3 AE FZ4-09-02315 spdf
Created by Independent Third Party: Yes
15074.2 keI; 221x, 228x, 421x, 428x, 521x, Up to 09'-00" wide by 20' high steel clad sandwich or
528x, 591x, 598x laminated sectional door with polystyrene or thermally
broken polyurethane insulation.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +23.2/-26.2
Other: Sectional doors provided for potential "code -plus"
applications. Large Missile impact (9 pound missile) and
cycling tests conducted in accordance with ANSI/DASMA
115, ASTM E1886 and ASTM E1996. Static tests conducted
in accordance with ASTM E330 and ANSI/DASMA 108. These
are accepted test methods per 5th edition (2014) FBC
Sections 1609 and 1715. See drawing FZ4i-09-02515 for
pressures 23.2(psf)/-26.2(psf) at widths up to 09'-00".
Installation Instructions
FL15074 R3 II BJA Jamb Attach s.pdf
FL15074 R3 II Supplemental Instructions Sand _s.pdf
Verified By: John E. Scates, P.E. FL-51737
Created by Independent Third Party: No
Evaluation Reports
FL15074 R3 AE Evaluation Report s.pdf
FL15074 R3 AE FZ4i-09-02515 s.pdf
Created by Independent Third Party: Yes
15074.3 kj; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
Up to 09'-00" wide by 20' high steel clad sandwich or
laminated sectional door with polystyrene or thermally
broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.pdf
Approved for use outside HVHZ: Yes FL15074 R3 II Supplemental Instructions Sand s.pdf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: Yes
Design Pressure: +38.3/-43.5 Created by Independent Third Party: No
Other: Sectional doors provided for potential "code -plus" Evaluation Reports
applications. Large Missile impact (9 pound missile) and FL15074 R3 AE Evaluation Report s.pdf
cycling tests conducted in accordance with ANSI/DASMA FL15074 R3 AE FZ8i-09-02515 s.odf
115, ASTM E1886 and ASTM E1996. Static tests conducted Created by Independent Third Party: Yes
in accordance with ASTM E330 and ANSI/DASMA 108. These
are accepted test methods per 5th edition (2014) FBC
Sections 1609 and 1715. See drawing FZ8i-09-02515 for
pressures 38.3(psf)/-43.5(psf) at widths up to 09'-00".
15074.4 Ig; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
06-00" wide through 16'-06" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach sxdf
Approved for use outside HVHZ: Yes FL15074 R3 II Supplemental Instructions Sand s odf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: No
Design Pressure: N/A Created by Independent Third Party: No
Other: Sectional doors provided for windload applications. Evaluation Reports
Tested in accordance with ASTM E330 and ANSI/DASMA FL15074 R3 AE Evaluation Reoort s.pdf
108, which are accepted test methods per 5th edition (2014) FL15074 R3 AE FZ5-10-02315 s.pdf
Florida Building Code Section 1715. See drawing FZ5-10- Created by Independent Third Party: Yes
02315 for pressures and widths 45.5(psf)/-51.3(psf) at 06'-
00" wide through 10.0(psf)/-11.3(psf) at 16-06" wide.
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquS73Fr2ZyiPkP... 6/ 1 /2017
Florida Building Code Online Page 3 of 6
15074.5 Ih; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
06'-00" wide through 17'-08" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.pdf
Approved for use outside HVHZ: Yes FL15074 R3 II Supplemental Instructions Sand s.pdf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: No
Design Pressure: N/A Created by Independent Third Party: No
Other: Sectional doors provided for windload applications. Evaluation Reports
Tested in accordance with ASTM E330 and ANSI/DASMA FL15074 R3 AE Evaluation Report s.pdf
108, which are accepted test methods per 5th edition (2014) FL15074 R3 AE FZ6-10-02315 s.pdf
Florida Building Code Section 1715. See drawing FZ6-10- Created by Independent Third Party: Yes
02315 for pressures and widths 57.4(psf)/-65.2(psf) at 06'-
00" wide through 10.0(psf)/-11.4(psf) at 17'-08" wide.
15074.6 IkI; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
06'-00" wide through 10'-00" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.odf
Approved for use outside HVHZ: Yes FL15074 R3 II Supplemental Instructions Sand s.pdf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: Yes
Design Pressure: N/A Created by Independent Third Party: No
Other: Sectional doors provided for potential "code -plus" Evaluation Reports
applications. Large Missile impact (9 pound missile) and FL15074 R3 AE Evaluation Reoort s odf
cycling tests conducted in accordance with ANSI/DASMA FL15074 R3 AE FZ9i-10-02515 s.pdf
115, ASTM E1886 and ASTM E1996. Static tests conducted Created by Independent Third Party: Yes
in accordance with ASTM E330 and ANSI/DASMA 108. These
are accepted test methods per 5th edition (2014) FBC
Sections 1609 and 1715. See drawing FZ9i-10-02515 for
pressures and widths 49.9(psf)/-56.7(psf) at 06-00" wide
through 44.7(psf)/-51.5(psf) at 10'-00" wide.
15074.7 Im; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
Up to 10'-00" wide by 20' high steel clad sandwich or
laminated sectional door with polystyrene or thermally
broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.pdf
Approved for use outside HVHZ: Yes FL15074 R3 II Supplemental Instructions Sand s.odf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: Yes
Design. Pressure: +49.9/-56.7 Created by Independent Third Party: No
Other: Sectional doors provided for potential "code -plus" Evaluation Reports
applications. Large Missile impact (9 pound missile) and FL15074 R3 AE Evaluation Report s.pdf
cycling tests conducted in accordance with ANSI/DASMA FL15074 R3 AE FZlli-10-02515 s.pdf
115, ASTM E1886 and ASTM E1996. Static tests conducted Created by Independent Third Party: Yes
in accordance with ASTM E330 and ANSI/DASMA 108. These
are accepted test methods per 5th edition (2014) FBC
Sections 1609 and 1715. See drawing FZlli-10-02515 for
pressures 49.9(psf)/-56.7(psf) at widths up to 10'-00".
15074.8 nf; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
06'-00" wide through 19'-00" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.pdf
Approved for use outside HVHZ: Yes FL15074 R3 II Supplemental Instructions Sand s.pdf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: No
Design Pressure: N/A Created by Independent Third Party: No
Other: Sectional doors provided for windload applications. Evaluation Reports
Tested in accordance with ASTM E330 and ANSI/DASMA FL15074 R3 AE Evaluation Report s.pdf
108, which are accepted test methods per 5th edition (2014) FL15074 R3 AE FZ4-12-02315 s.pdf
Florida Building Code Section 1715. See drawing FZ4-12- Created by Independent Third Party: Yes
02315 for pressures and widths 66.4(psf)/-77.2(psf) at 06'-
00" wide through 10.0(psf)/-11.2(psf) at 19'-00" wide.
15074.9 rf; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: N/A
Other: Sectional doors provided for windload applications.
Tested in accordance with ASTM E330 and ANSI/DASMA
108, which are accepted test methods per 5th edition (2014)
Florida Building Code Section 1715. See drawing FZ4-16-
02315 for pressures and widths 76.0(psf)/-86.2(psf) at 06'-
00" wide through 10.0(psf)/-11.0 (psf) at 24'-08" wide.
06'-00" wide through 24'-08" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Installation Instructions
FL15074 R3 II BJA Jamb Attach s.pdf
FL15074 R3 II Supplemental Instructions Sand s.pdf
Verified By: John E. Scates, P.E. FL-51737
Created by Independent Third Party: No
Evaluation Reports
FL15074 R3 AE Evaluation Report s.pdf
FL15074 R3 AE FZ4-16-02315 s.pdf
Created by Independent Third Party: Yes
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Florida Building Code Online Page 4 of 6
15074.10 I rf; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +22.2/-24.7
Other: Sectional doors provided for potential "code -plus"
applications. Large Missile impact (9 pound missile) and
cycling tests conducted in accordance with ANSI/DASMA
115, ASTM E1886 and ASTM E1996. Static tests conducted
in accordance with ASTM E330 and ANSI/DASMA 108. These
are accepted test methods per 5th edition (2014) FBC
Sections 1609 and 1715. See drawing FZ4i-16-02515 for
pressures and widths 22.2(psf)/-24.7(psf) at 10'-00" wide
through 22.2(psf)/-24.7(psf) at 16-00" wide.
10'-00" wide through 16-00" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation
Installation Instructions
FL15074 R3 II BJA Jamb Attach s.pdf
FL15074 R3 II Supplemental Instructions Sand s.pdf
Verified By: John E. Scates, P.E. FL-51737
Created by Independent Third Party: No
Evaluation Reports
FL15074 R3 AE Evaluation Report s.pdf
FL15074 R3 AE FZ4i-16-02515 s.pdf
Created by Independent Third Party: Yes
15074.11 rg; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
06'-00" wide through 25'-10" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.odf
Approved for use outside HVHZ: Yes FL15074 R3 II Suoolemental Instructions Sand s odf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: No
Design Pressure: N/A Created by Independent Third Party: No
Other: Sectional doors provided for windload applications. Evaluation Reports
Tested in accordance with ASTM E330 and ANSI/DASMA FL15074 R3 AE Evaluation Report s.pdf
108, which are accepted test methods per 5th edition (2014) FL15074 R3 AE FZ5-16-02315 s.pdf
Florida Building Code Section 1715. See drawing FZ5-16- Created by Independent Third Party: Yes
02315 for pressures and widths 84.2(psf)/-95.8(psf) at 06'-
00" wide through 10.1(psf)/-11.2(psf) at 25'-10" wide.
15074.12 rh; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
10'-00" wide through 16-00" wide through 16-00" wide by
20' high steel clad sandwich or laminated sectional door with
polystyrene or thermally broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.ndf
Approved for use outside HVHZ: Yes FL15074 R3 II Suoolemental Instructions Sand s.odf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: Yes
Design Pressure: +30.6/-34.1 Created by Independent Third Party: No
Other: Sectional doors provided for potential "code -plus" Evaluation Reports
applications. Large Missile impact (9 pound missile) and FL15074 R3 AE Evaluation Report s.pdf
cycling tests conducted in accordance with ANSI/DASMA FL15074 R3 AE FZ6i-16-02515 s.pdf
115, ASTM E1886 and ASTM E1996. Static tests conducted Created by Independent Third Party: Yes
in accordance with ASTM E330 and ANSI/DASMA 108. These
are accepted test methods per 5th edition (2014) FBC
Sections 1609 and 1715. See drawing FZ6i-16-02515 for
pressures and widths 30.6(psf)/-34.1(psf) at 10'-00" wide
through 30.6(psf)/-34.1(psf) at 16'-00" wide.
15074.13 tf; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: N/A
Other: Sectional doors provided for windload applications.
Tested in accordance with ASTM E330 and ANSI/DASMA
108, which are accepted test methods per 5th edition (2014)
Florida Building Code Section 1715. See drawing FZ4-18-
02315 for pressures and widths 50.7(psf)/-56.4(psf) at 09'-
06" wide through 11.4(psf)/-12.7(psf) at 26'-.00" wide.
15074.14 tf; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +22.2/-24.7
Other: Sectional doors provided for potential "code -plus"
applications. Large Missile impact (9 pound missile) and
cycling tests conducted in accordance with ANSI/DASMA
115, ASTM E1886 and ASTM E1996. Static tests conducted
in accordance with ASTM E330 and ANSI/DASMA 108. These
are accepted test methods per 5th edition (2014) FBC
09'-06" wide through 26-00" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Installation Instructions
FL15074 R3 II BJA Jamb Attach s.odf
FL15074 R3 II Suoolemental Instructions Sand s.pdf
Verified By: John E. Scates, P.E. FL-51737
Created by Independent Third Party: No
Evaluation Reports
FL15074 R3 AE Evaluation Report s.pdf
FL15074 R3 AE FZ4-18-02315 s.pdf
Created by Independent Third Party: Yes
16-00" wide through 18'-00" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Installation Instructions
FL15074 R3 II BJA Jamb Attach s.pdf
FL15074 R3 II Supplemental Instructions Sand s.odf
Verified By: John E. Scates, P.E. FL-51737
Created by Independent Third Party: No
Evaluation Reports
FL15074 R3 AE Evaluation Report s.pdf
FL15074 R3 AE FZ4i-18-02515 s.pdf
Created by Independent Third Party: Yes
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquS73Fr2ZyiPkP... 6/ 1 /2017
Florida Building Code Online Page 5 of 6
Sections 1609 and 1715. See drawing FZ4i-18-02515 for Ipressuresandwidths22.2(psf)/-24.7(psf) at 16'-00" wide
through 22.2(psf)/-24.7(psf) at 18'-00" wide.
15074.15 th; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
16'-02" wide through 18'-00" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.pdf
Approved for use outside HVHZ: Yes FL15074 R3 II Supplemental Instructions Sand s.pdf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: Yes
Design Pressure: N/A Created by Independent Third Party: No
Other: Sectional doors provided for potential "code -plus" Evaluation Reports
applications. Large Missile impact (9 pound missile) and FL15074 R3 AE Evaluation Report s.pdf
cycling tests conducted in accordance with ANSI/DASMA FL15074 R3 AE FZ6i-18-02515 s.pdf
115, ASTM E1886 and ASTM E1996. Static tests conducted Created by Independent Third Party: Yes
in accordance with ASTM E330 and ANSI/DASMA 108. These
are accepted test methods per 5th edition (2014) FBC
Sections 1609 and 1715. See drawing FZ6i-18-02515 for
pressures and widths 30.3(psf)/-33.7(psf) at 16-02" wide
through 30.1(psf)/-33.5(psf) at 18'-00" wide.
15074.16 tk; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
10'-00" wide through 28'-00" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.pdf
Approved for use outside HVHZ: Yes FL15074 R3 II Supplemental Instructions Sand s.pdf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: No
Design Pressure: N/A Created by Independent Third Party: No
Other: Sectional doors provided for windload applications. Evaluation Reports
Tested in accordance with ASTM E330 and ANSI/DASMA FL15074 R3 AE Evaluation Report s.pdf
108, which are accepted test methods per 5th edition (2014) FL15074 R3 AE FZ9-18-02315 s.pdf
Florida Building Code Section 1715. See drawing FZ9-18- Created by Independent Third Party: Yes
02315 for pressures and widths 86.8(psf)/-96.7(psf) at 10'-
00" wide through 19.9(psf)/-22.2(psf) at 28'-00" wide.
15074.17 vf; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
08'-00" wide through 26'-00" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.pdf
Approved for use outside HVHZ: Yes FL15074 R3 II Supplemental Instructions Sand s.pdf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: No
Design Pressure: N/A Created by Independent Third Party: No
Other: Sectional doors provided for windload applications. Evaluation Reports
Tested in accordance with ASTM E330 and ANSI/DASMA FL15074 R3 AE Evaluation Report s.pdf
108, which are accepted test methods per 5th edition (2014) FL15074 R3 AE FZ4-20-02315 s.pdf
Florida Building Code Section 1715. See drawing FZ4-20- Created by Independent Third Party: Yes
02315 for pressures and widths 69.0(psf)/-76.8(psf) at 08'-
00" wide through 14.4(psf)/-16.1(psf) at 26'-00" wide.
15074.18 vg; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
13'-04" wide through 26-00" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.pdf
Approved for use outside HVHZ: Yes FL15074 R3 II Supplemental Instructions Sand s.pdf
Verified By: John E. Scates, P.E. FL-51737ImpactResistant: No
Design Pressure: N/A Created by Independent Third Party: No
Other: Sectional doors provided for windload applications. Evaluation Reports
Tested in accordance with ASTM E330 and ANSI/DASMA FL15074 R3 AE Evaluation Report s.pdf
108, which are accepted test methods per 5th edition (2014) FL15074 R3 AE FZ5-20-02315 s.pdf
Florida Building Code Section 1715. See drawing FZ5-20- Created by Independent Third Party: Yes
02315 for pressures and widths 50.5(psf)/-56.3(psf) at 13'-
04" wide through 16.5(psf)/-18.4(psf) at 26'-00" wide.
15074.19
528x,2591x,gh steel clad2598x21x, 428x, 521x, I s9'-00" wide through 26'-00" wide by 20'
andwich or
b o
urinated section Il dsoo
at
polystyreneoror thermallyul
Installation
Instructions FL15074
R3 II BJA Jamb Attach s.pdf FL15074
R3 II Supplemental Instructions Sand s.pdf Verified
By: John E. Scates, P.E. FL-51737 Created
by Independent Third Party: No Evaluation
Reports FL15074
R3 AE Evaluation Report s.pdf FL15074
R3 AE FZ6-20-02315 s.pdf Created
by Independent Third Party: Yes http://
www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquS73Fr2ZyiPkP... 6/ 1 /2017
Florida Building Code Online Page 6 of 6
02315 for pressures and widths 79.0(psf)/-88.8(psf) at 09'- I00" wide through 18.9(psf)/-21.3(psf) at 26'-00" wide.
15074.20 vhI; 221x, 228x, 421x, 428x, 521x,
528x, 591x, 598x
10'-00" wide through 20'-00" wide by 20' high steel clad
sandwich or laminated sectional door with polystyrene or
thermally broken polyurethane insulation.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL15074 R3 II BJA Jamb Attach s.odf
Approved for use outside HVHZ: Yes FL15074 R3 II Supplemental Instructions Sand s.pdf
Verified By:. John E. Scates, P.E. FL-51737ImpactResistant: Yes
Design Pressure: N/A Created by Independent Third Party: No
Other: Sectional doors provided for potential "code -plus" Evaluation Reports
applications. Large Missile impact (9 pound missile) and FL15074 R3 AE Evaluation Report s.idf
cycling tests conducted in accordance with ANSI/DASMA FL15074 R3 AE FZ6i-20-02515 s.pdf
115, ASTM E1886 and ASTM E1996. Static tests conducted Created by Independent Third Party: Yes
in accordance with ASTM E330 and ANSI/DASMA 108. These
are accepted test methods per 5th edition (2014) FBC
Sections 1609 and 1715. See drawing FZ6i-20-02515 for
pressures and widths 43.0(psf)/-48.3(psf) at 10'-00" wide
through 32.0(psf)/-36.0(psf) at 20'-00" wide.
Go to Page = 0
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4) 0 Page l/20 0
Contact Us :: 2601 Blair Stone Road Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida :: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send
electronic mail to this entity. Instead, 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, effective 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 record. If you do not wish to -
supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under
Chapter 455, F.S., please click here .
Product Approval Accepts:
Eti E
Credit Card
Sak
Sf Cilr1 , __ -CS" r
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquS73Fr2ZyiPkP... 6/1 /2017
B
G7
4 0
I T-0" (see notes for other widths)
Optional Standard Lites
4D see window options)
2
Top Fixture
2
Intermediate
t7' HingeIQV
3B
2
End Hinge
f
4A
2
Bottom Fixture
This door has been evaluated in accordance with ASTM E 330-02 and ANSI/DASMA 108-02 and 108-05.
Per ASCE 7-10, Design Pressures (DP) typically meet or exceed the requirements for the following wind speeds.
Tko P,,..-„rP "n" wird sneeda are for Thigh doors on 30' tall buildings.
Width Design Pressure Wind Speed Windows Backer plates
19'-00" 10.0 si) / - 11.2 (sf) 105 (m h YES 4
18'-00" 11.1 (sf) /- 12.5 ( sf) 111 (mph) YES 3
16-00" 114.1(psf) 15.9 sf) 124 (mph) YES 3
15-00" 116.0 s /- 18.0 s 132 (mph) YES 3
14'-00" 118.4(psf) /- 20.7 s 141 (mph) YES 3
13'-00" 121.3 (psf) / - 24.0 (psf) 152 (mph) I YES 3
12'-00" 25.0 s /- 28.2 (s 164 (m h) 2
11'-00" 29.8 (psf) /- 33.6 ( sf) 178 (mph) 2
10'-00" 36.0 (psf) / - 40.6 (sf) 195 (mph) 2
09'-00" 44.3 (s /- 51.5 (psf)216 mph) MNOTES 1
08'-00" 49.8 (psf) / - 57.9 sf) 228 (mph) S1
0T-00" 57.0 s / - 66.2 s 242 m h S1
06'-00" 66.4 s /-77.2( sf 260 (m h S1
Backer plate quantity is minimum per section.
See window options for more pressure restrictions based on window
Optional Larger I =`
see window opti
Flag
Bracket
2A
2
Strut
4D
2
End Stile
2A Track
2 Bracket
Strut Attachment
Supporting structural
el menu to be designed by
registered professional
engineer for specified wind
loads. If door is not
electrically operated, a lock
must be installed.
Maximum door height: 20'-0"
Maximum section height: 2f" John E. Scales, P.E.
3121 Fairgate Drive
Carrollton, Texas 75007
7
Florida P.E. # 51737
FL
3
Professional Engineer's seal
Digitall;
Date: 2015.04.21.,1 5i22:15-05'00'
No. 51737
0 STATE OF ly
Ile
IOWi `,`
for verification of windload construction details.
2
1 /2"
1/4"
Track bracket quantities shown are for use with
grade 2 or better spruce -pine -Fir (SPF) or southern
pine jambs.
Supplemental Instructions contain details for
doors up to 20'-0" high. These are required in
addition to this drawing for installation. Always
use supplemental instructions in addition to this
drawing during door installation.
000 tits
w
3-30-2015
Models: 221X, 228X, 421X, 428X,
521X,528X,591X,598X
66A (psf) /- 77.2 (psf) at 06-00 through
10.0 (psf) / - 11.2 (psf) at 19'-00"
C.H.I. Drawing: FZ4-12-02315
page 1—of-2
C
B
4 3 46, 2 1
Details on some views may have been omitted for clatity.
Strut (if applicable) not shown for clarity.
059) galvanized steel top
fixture. Each fixture attached The vertical wood jamb fasteners may be counter sunk to provide a flat mounting surface. (,086) galvanized steel
D with four 1/4" x 3/4" screws. See jamb attachment details for more information about attaching jambs to structure. flag bracket fastened to 0 0 0 CEO
D
wood jamb with three
2" x 7/16" (nominal) stop molding to be secured with 5/16" x 1-5/8" wood lag
o push nut minimum 8d nail or 2-t/2" long screw on 5" spacing. screws.
Stop molding not required when door is more than 1" wider than opening.
034) end stile
nominal (.0155) galvanized steel minimum
Flag bracket attached
to horizontal track
with two 1/4" x 5/8"
track bolts and nuts.
man
109) galvanized steel top
Flag bracket attached;
vertical track with two 1
C
fixture. Each fixture attached
with two 1/4" x 3/4" screws. (.023) backer plate 2" (min) x .045 (min)
x 5/8" track bolts and nuts.
C
at each hinge location. galvanized steel track
Or two 1/4" x 11/32" rivets.
End Hinge
I(.102) galvanized steel track
push nut p galvanized steel fastened V
Intermediate Hinge bracket fastened to wood jamb
to section with (.058) galvanized steel with one 5/16" x 1-5/8" wood
034) end stile Q six 1/4" x 3/4" screws.
Q fastened to section with lag screw per bracket. °
four 1/4" x 3/4" screws.
o
b
Optional low head room top bracket push nut
Each track bracket attached with
one 1/4" x 5/8" track bolt and tmt.
Or two 1/4" x 11/32" rivets.
2" (max. for .069 thick) 2 3/4" 2 3/4"
B
B 4" (max. for .109 thick)
nominal 0 2" min. 3-1/2" (min.) stem \ John E. Scates, P.E. min.)
1/2" 111111///
10 ball I 1 sCq ////
3121 Fairgate Drive
min.) roller
Carrollton, Texas 75007withnylonorsteeltread. \\ •.._.., L 1 7/8" Florida P.E. # 517377371
O° No. 51737 % O ksi051)50 galvanized steel
000 O 3" strut attached with two 1/4" x 3/4" ; i * OOO nts
steel bottom ID * ' 102) galvanized •
Q
a LJLJscrewsperstileorhingeplate. OF
a LILI
3-30-2015bracketEachbracketattached - •0 , STATE • NJ
with four red 1/4" x 3/4" screws.
O
j •, •: Models: 221X, 228X, 421X, 428X,
push nut ic'•.;cIOR OP'' \\ 521x, 528x, 591X, 598X
ss ' 109) galvanized steel bottom bracket. Each . \ 66.4 (psf) / - 77.2 (psf) at 06'-00" through
push nut / TONAL
10.0 (psf) /- 11.2 (psf) at 19'-00" p bracket attached with four red 1/4" x 3/4" screws. O 11111Vinyl u ll 1 t,,
weatherstrip
Aluminum extrusion Optional low head room bottom bracket C.H.I. Drawing:FL4-12-02315
Professional Engineer's seal provided only for verification of windload construction details. page-2—of-2,
4 3 2 1 1
0
This Instrument Prepared By
Claud B. Nelson, Esquire
Stenstrom, McIntosh, Colbert,
8 Whigham, P.A.
1001 Heathrow Park Lane, Suite 4001
Lake Mary, Florida 32746
Return To:
Ms. Christine Dalton
Community Planner/Historic Preservation Officer
Planning and Development Services Department
City Nall
300 North Park Avenue
Sanford, Florida 32771
Tax Parcel Identification Number: 25-19-30-5AG-0803-0100
HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD DEVELOPMENT
ORDER RELATING TO 621 SOUTH PARK AVENUE AND ISSUING
CERTIFICATE OF APPROPRIATENESS
On May 24, 2017 the Historic Preservation Board of the City of Sanford issued
this Development Order issuing a Certificate of Appropriateness relating to and
touching and concerning the following described property: 621 South Park Avenue,
Seminole County Tax Parcel Identification Number: 25-19-30-5AG-0803-0100.
FINDINGS OF FACT
Property Owner: Michael and Amanda Nall
621 S. Park Avenue
Sanford, Florida 32771
Applicant: Michael Nall
621 S. Park Avenue
Sanford, Florida 32771
Project: To install heavy metal gauge carriage style garage doors, on
the real property located at 621 South Park Avenue,
Requested Development Approval: The Applicant has requested board approval to
remove the existing wood garage door that is not original to the structure and install a
new carriage style metal garage door, on the real property located at 621 South Park
Avenue.
Scanned by CamScanner
CONCLUSIONS OF LAW
a). Pursuant to Section 8.0 of Schedule °S" of the City's Land Development
Regulations as set forth in the Code of Ordinances of the City of Sanford, the Historic
Preservation Board has reviewed the proposed Certificate of Appropriateness and all
matters relating thereto in accordance with the procedures for altering historic
landmarks or structures within historic districts as set forth in Schedule "S".
b). Schedule S states:
1) New garage doors may be constructed out of wood or fiberglass
and shall not exceed a maximum width of nine feet (9') for a single
door on front loaded garages and sixteen feet (16) on alley -facinggarages. (S-35)
2) 16' garage doors must be architectural, carriage -style doors that
complement the main building and garage building. (S-35)
c). The proposed material for the garage door is metal, and the installation of
these doors is approved based on the requirement that the doors be carriage style and
constructed of heavy gauge metal that will withstand impact and therefore will not be
susceptible to denting or other damage.
d). The proposed garage doors are carriage style and will have the
appropriate carriage style hardware.
e). The purpose and intent of Schedule "S" have been met in the context of
the approval set forth herein.
f). To the extent that a conclusion of law as set forth herein also constitutes a
factual finding, then such shall be taken to be so as part of this Development Order.
g). The proposed Certificate of Appropriateness is hereby found and
determined to comply with the aforestated requirements.
2
Scanned by CamScanner
h). Additionally, the Certificate of Appropriateness sought is hereby found and
determined to be consistent with the City of Sanford Comprehensive Plan and
development of the property as proposed would.be consistent with and in compliance to
applicable land development regulations and all other applicable regulations and
ordinances as set forth in the Code of Ordinances of the City of Sanford.
ORDER
NOW, THEREFORE, IT IS ORDERED THAT:
1). The aforementioned application for a Certificate of Appropriateness is
APPROVED.
2). This Development Order granting approval of a Certificate of
Appropriateness touches and concerns the aforedescribed property.
Done and Ordered on the date first written above.
As approved and authorized for execution by the Historic Preservation Board of
the, City of Sanford at its meeting of May 24, 2017.
ATTEST.
Cynthia Porter, City Clerk
3
HISTORIC PRESERVATION BOARD
OF THE CITY OF SANFORD
Tammy Agnini, Chairman
Date:
Nunc pro tune to May 24, 2017.
111111111111111110
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JOINDER AND APPROVAL OF CONDITIONS' BY PROPERTY OWNER
IN WITNESS WHEREOF, the subject Property Owner has signed and sealed
these presents, through its authorized officer and representative, the day and year
written below and AGREES to all of the terms and conditions of this Development
Order approving a Certificate of Appropriateness.
ATTEST.'
Jennifer Gofldway, Board Clerk6M 1
Signature
of Witness # 2 Printed
Name: ACKNOWLEDGMENT
STATE
OF FLORIDA ) COUNTY
OF SEMINOLE ) The
foregoing was sworn to and subscribed before me this 2-'5- day of Yy,
A.D. 2017, by nMark Nall, who is personally known to me or who produced A
as `' identification. Pe's o U
WITNESS
my hand and official seal in the County and State aforesaid this 2- day
of , A.D. 2017. Notary
PuIMc, My
Commission Expires: t I 3 h 7 4
o„
a , l'All'Ek M GOLLOWAY NOW
y Public . State of Florida My
Comm. Explres Nov 3.2017 v4
A Commission i FF 043235 Scanned
by camScanner