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HomeMy WebLinkAbout223 Belgian Way; 17-2218; GARAGE DOORfi AVE JUL 2 0 2017 BY. CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION r A lication No: / y/ d a i Documented Construction Value: $ 1,950.00 Job Address: 223 BELGIAN WAY SANFORD, FL 3273 Historic District: Yes No 0 Parcel ID: "36-19-30-534-1200-0050 Residential Commercial Type of Work: New Addition Alteration Repair El Demo Change of Use Move Description of Work: REPLACE EXISTING GARAGE DOOR SIZE FOR SIZE Plan Review Contact Person: CHARLES MERINO Phone: 3212848290 Name KEPPELER, JANICE & NEIL Street: 223 BELGIAN WAY City, State Zip: SANFORD, FL 32773 Name WILLIAM WALDEN Street: 244 OBRIEN RD City, State Zip: FERN PARK FL 32730 Name: Street: City, St, Zip: Bonding Company: Address: Fax: 8772250658 Title: INSTALL MANAGER Email: CMERINO@PRECISIONDOOR.NET Property Owner Information Phone: 407-474-2345 Resident of property? : YES Contractor Information Phone: 321-284-8290 Fax: 877-225-0658 State License No.: CRC1330671 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 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 commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I 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 with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management 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 time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table 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: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID W tJCL 07/19/17 Signature of Contractor/Agent Date WILLIAM WALDEN Print Contract Agent'; 41MISSIQN 4 IIDAW40114 EXPIRiYS December 01, 2019 Contractor/Agent is X Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building i Electrical Mechanical Plumbing[] Gas[] Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: 7• ZO Revised: June 30, 2015 Permit Application REQUIRED INSPECTION SEQUENCE BP# 11 • BUILIDING )PERMIT Min Max ICns ection I<Descri tion 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) ELECTRICAL IP.ERMIT Min Marc I<ns eetion IIDescri tion Electric Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final Electric Final Min Max Ins ection IlDescri tion Plumbing Underground Plumbing Sewer Plumbing Tub Set Plumbing Final ME C HAN'I CAL-'--1P ER1VY I I . Min Mays Inspection Description Mechanical Rough Mechanical Final Min Mays Insj2ection J<Descrn tion Gas Underground Gas Rough Gas Final REVISED: June 2014 PRECISION DOOR SERVICE OF CENTRAL FLORIDA KEPPELER, NEIL Sales Order Date: 07-19-17 244 OBRIEN RD 223 BELGIAN WAY Technician: Chris Salcido FERN PARK, FL 32730 SANFORD, FL 32773 Work Order#: 3658797 407) 583-6351 (407) 474-2345 Sales Order # 02420077 Contractor Number CRC1330671 Part # Description Quantity Unit Price Ext Price Tax Garage needs to be cleared out to behind the opener for new door/opener installation 1 0.00 0.00 N148852 169946 City Permit 1 125.00 125.00 N SANFORD 164594 130 MPH Wind Load 1 0.00 0.00 N 15 inch Radius Track 1 0.00 0.00 59175 Torsion Spring Assembly 1 0.00 159189 16x7 Garage Door 1 1493.00 1493.00 N HAAS 2480 159199 Enduring 100 Non Insulated 1 0.00 0.00 N HEAVY-DUTY EXTERIOR STEEL - DURABLE, RELIABLE, LOW MAINTENANCE 159202 Short Panel Design 1 0.00 0.00 Lifetime Warranty on Hardware 1 0.00 0.00 159211 Lifetime Warranty on Paint finish 1 0.00 0.00 N SAHARA TAN 151296 Precision Door Service Premium Upgraded High Cycle Parts* 1 0.00 0.00 N Compared to Industry Standards 8749 Limited Lifetime Warranty on Hardware Installed 10 0.00 0.00 N Limited Lifetime 152377 Lifetime Warranty on All Labor 1 0.00 0.00 N 6890 5 1/4" Stem 2" Nylon Sealed Bearing Roller 10 15.95 159.50 N Precision Nylon 2" Diameter 5 1/4" Shaft 13-bb Sealed Nylon Roller w/Dust Cap 6963 Torsion Cable set 8'6 1 89.95 89.95 N 8'6" 1/8 7x19 Torsion Cables 9074 End Bearing Plate RH 1 59.95 59.95 N End Bearing Plate w/Flange and bearing right hand 45061 End Bearing Plate LH 1 59.95 59.95 N End Bearing Plate w/Flange and bearing left hand 6908 Center Bearing Plate LHRw/Bearing ea.Vb esa.aa N Center Bearing Plate - Single Clipped Corners 45057 10' PDS Drum - RH 1 59.95 59.95 N Precision Cable Drum 10' Right Hand 45058 10' PDS Drum - LH 1 59.95 59.95 N Precision Cable Drum 10' Left Hand 6928 8' -16' Torsion Shaft 1 129.95 129.95 N Galvanized Tube Shaft Continued... Part # Description QuantityUnit Price Ext Price Tax 135595 Operator Reinforcement Bracket for Wind Loaded Garage Doors 1 79.95 79.95 N Bracket displaces the pull from the garage door opener across the entire center style, preventing garage door panel failure in the event of a unbalanced garage door system. 132883 Double Car Garage Door Install 1 0.00 0.00 N 8749 Limited Lifetime Warranty on Hardware installed 1 0.00 0.00 N Limited Lifetime 109268 Package Savings 1-789.10-789.10 N 45059 Spring Guard 1 0.00 0.00 N PDS Torsion Spring Warning Guard 41397 Liftmaster 8550w 1 699.95 699.95 N Belt driven, DC Motor, Battery Backup, 2 remotes, wall control and wireless keypad. 41520 Liftmaster 7' Belt and Rail Assembly 1 0.00 0.00 N 41472 45212 45380 485LM Battery Backup 0.00 0.00 N 0.00 0.00 N 0.00 0.00 148228 Liftmaster Lifetime Warranty on Motor 1 0.00 0.00 N 148232 Liftmaster Lifetime Warranty on Belt 1 0.00 0.00 N 148229 Liftmaster 5 Year Warranty on Parts 1 0.00 0.00 N 148230 Liftmaster 1 Year warranty on Accessories 1 0.00 0.00 N 148231 Liftmaster 1 Year Warranty on Battery Backup 1 0.00 0.00 N 156052 150 off New Garage Door 1 150.00 150.00 N 151294 100 off New Liftmaster Garage Door Opener 1 100.00 100.00 N 100604 Angie's List 5%off total invoice *Angle's List website* 1-117.95-117.95 N CAN BE COMBINED WITH OTHER COUPON*** SUBTOTAL FOR 16X7 $1,950.00 Taxable Subtotal $0.00 s_ _tifl NonTaxable Subtotal $1,950.00 Sales Tax (0.0%) $0.00 Invoice Total: $1,950.00 Total Payment: $400.00 Balance Due: $1.550.00 7/19/2017 SCPA Parcel View: 18-20-31-505-0000-0920 3 Legal Description LOT 92 BAKERS CROSSING PH 1 PB 60 PGS 27 - 29 Taxes Property Record Card Parcel: 18-20-31-505-0000-0920 Owner: KEPPELER JANICE & NEIL Property Address: 223 BELGIAN WAY SANFORD, FL 32773 Value Summary 2017 Working 2016 Certified j Values Valuation Method Cost/Market CostlMarket Number of Buildings 11 Depreciated Bldg Value 127 732 120,991 Depreciated EXFT Value Land Value (Market) 34 000 32,000 Land Value Ag i Just/Market Value "' E...... .. ___ _. 161,732 152,991 Portability Adj Save Our Homes Adj 54 885 48,342 Amendment 1 Adj P&G Adj 3...... 0 0 Assessed Value P........._.._ 106,847 104,649 Tax Amount without SOH: $2,253.00 2016 Tax Bill Amount $1,284.00 Tax Estimator Save Our Homes Savings: $969.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 106,847 i 50 000 1 56 847 , City Sanford 106,847 : 50 000 56 847 I Schools 106,847 25,000 81,847 County Bonds 106,847 50 000 56,847 SJWM S amt Johns Water Management) 106,847 50 000 Sales Description Date 1 Book Page Amount Qualified Vac/Imp E..- A ....._.. 1 WARRANTY DEED 7/1/2005 05909 0545 175 000 Yes Improved I CORRECTIVE DEED 12/1/2002 04625 0990 100 l No Vacant WARRANTY DEED 9/1/2002 04560 i 1379 149 800 € Yes Improved WARRANTY DEED 5/1/2002 0441_6 0365 390,000 1 No Vacant Find Comparable Scales i Land Method Frontage Depth Units Umts Price an Value LOT 1 ? 34,000.00 34 000 Building Information Is Bed/Bath count incorrect? Click Hers Description Year Built i { III Fixtures .Bed (Bath Base Area I Total SF Living SF j Ext Wall III Adj Value I f 444 Repl Value i Appendages http://parceidetail.scpafl.org/Parcel Detail I nfo.aspx?PI D=18203150500000920 1 /2 Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 07-19-17 I hereby name and appoint: Thomas Beesi an agent of Precision Door Service Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): IN The specific permit and application for work located at: 223 BELGIAN WAY SANFORD, FL 32773 Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: William Walden State License Number: CRC1330671 N/A Signature of License Holder: STATE OF FLORIDA COUNTY OF Seminole The foregoing instrument was acknowledged before me this 19 day of JULY , 200, by William Walden ho is r'dpersonally known to me or who has produced :) as deg ' cation and who did (did not) take a/oa kit o h 9' I gn re O N R 940, F w, wNo`aYaNotarySeal) I c C 1, 2019 Print or type name Notary Public - State of _ Commission No. My Commission Expires: Rev. 0812) Florida 7/132017 , parceldetail.scpafl.org/FootprintPage.aspx?PID=18203150500000920&BLDGNO=1 &PAGEN0=1 RECORD COPY Parcel: 18-20-31-505-0000-0920 Building No.: 1 Page No: 1 PLAN EXAMINER DATE SANFORD BUILDING DIVISION 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 l\\- DING SANF0R 10 PAR http://parceidetaii.scpafl.org/FootprintPage.aspx?PID=l 8203150500000920&BLDGNO=1 &PAGEN0=1 1 /1 3 Door Width 16'- 2" Shown See chart below for other door widths Top Bracket Strut & Strut Attachment PI IjMln_6 (street 2 of 3) r Detail J (rhset2of3) E Door Height 8' - 0" Shown See chart below for other door heights D Slide Lock or Lock Bars sheat 2 of 3) NOff: track "'cnfq;wUt;o'. '!t'ave Ie 0. deer Mehin%', (I'Ms nut cffn'-' t 'ne w7r'd !000 ,4 'A the Boor. I Flag Bracket D@Wl_lj (sheet 2 of 3) Jamb Bracket Detail F (sheet 2 of 3) 6q' 3- t IL 541* 3" 364" 3" eztion nt Bottom BracketEnd Hinges Strut & Strut Attachment Intermediate Hinge 4" +1- 3' Detail C (street 2 of 3) Detait.B(sheei Detail E (sheet 2 of 3) Detail D (sheet 2 of 3) 10;' +1- 3. Digitally signed by John E. Scates, P.E. Date: 2016.08.04 13.48:26 -05'00' i, nrc..kf--, mjorvit;e.yawn c,e IQ, be 2 b,?Iuter , Model Nuffdw di — SC4 PANr2460& R246D88UES Total #6fg ja PANC246I& R2461SEMM Total NOTICE DoorNodw.,-- BkLj T-- Height cr, o 5upp erncnt to v cAM44F 4 PAN C2470&R267C SERIES. orts Side -7,j- a thos!3 kh'or*, o IN51737 PLAN C2410 & R2410SERES. PANC247i 8. R 71 SERES 61-0* 3 4 4 f'ohh sior,d-o'd c'-'r o thes_ jPAN C2460& R24WSERESPAN C2472 & R2472 SUVES 6%Z 4 5 4 tH rocedures are noi% folicwed. i-1-;' 1PANC248I&R2401SERE6. PAN R2560 SEMES PAN C2011 SERIES 4 '!'CY nt'5 o'- us desig,ed. STATE OF i PAN C2482 & F2482 SERFES. PAN R2561 SERIES PAN C2015SEPJES 6'-6- 4 5 5 The 5!, this cor fn o re acec. B Ii PAN R2680 SERIES P R2570SERIES PAN C2411SERIES I PAN R2581 SERIESPANR2571SERIESPANC2415SERIESPANR2582SERIES. PAN R2572 SERIES PAN C2511 SERIES Door Width End Stillal.-. 1-1- Center rnpact Up To Stu" Knillas ReststaM 19-2' 38.0 42.4 Singe 1 4 2 3 1 6 2 NO IZ-2' 31,7 35.4 Single 5 2 5 2 a 2 NO 1*-T 27.2 30.4 Single 6 3 6 2 ly .51 NO le-r 3 NO 23-9 181 373 No 20 2' Sa 9 6'-T p a s.CUC' n with inc"ha, 11- Iyte or 0 sol;C: 7'-Cr 4 4 1 5 cr, 1, the,,: e ho strut d st:le i,-3, Jt fvno V%- .33-e. 7'- 4 NOTIM 7ray - e ate se ? r ocor is rermitted. cti- a 5 iTFe li e sect;o con be j50 onywhele SnIep- 4 i i 101 1he W1110, clli: Qrl N -e lie 7T 5 6 j I rot the top sec " r 8 Or 4 1"ted is on 'G e FL #116660. 39 is 2. 1 This zrdwet is des:,;,ei 0^d said by "SF. The AHJ or Erciinee, of Pe-ord is responsible for oeIe—Knq Inc-.Mn,anlurm lor,, he'qht :s '6 U. 111111111111111LUMMEZ, 16 2' PAN MW SERIES WILMS WLND A PSP fe,Iwi,ed f;' C'Y given A;f -dol,. even th,s all:ov tr,, t,,stcd LOAD SECTIONAL DOOR j MEML91= DESIGN MESSURE +U*, XlP9Fo,,.) o,civitie AIit, o, h brook to or chgle. :-he maX We, s"po";'tg of hj." t, ),ac"!S/r0cpcl;cs i In."112 p M . .. ................... . -....... hQU10 ncntaneC. .. IIIIIIIIIIIIIIII&M S4= 9tart 3 4 F-L l6 7(&O,s9— r? co 61 Ej W Ell 2-.------1-.. i .... ...... us.4 Nu'r 16- See DE]AIL K Tor pkj811 MIL At)JQ5,rASL[ T()p F,iXj--LjRE 12 Go le SCREW 14- 11`3/4- Hex ftlshv Head Self D,.Ili nq (4 pe, P-,acke:) 0 STiL.ES i Go Golvon:2'a Steel DETAIL A a- LOW HEADROOM TOP BRACKET 4 P' - ! S-f NUT 7 " 1 c See LELA& K fof push nul m mocarriert. K SCREW I , / 4" X 3/4' Hex Wasnor Heno filgf ( 2 per L C"V , HEADROi.D.M TOP r; RA,'Y,F f 7 112" , 4" F STRUT 18 GO 50 KSi 30;,on;zed S!.--1 31- 1. 2SCREW 1, 4 X 3/4" He. Heed Sell Drilling (2 atr End do rote*rrerliate $Ges'i WT ANTI lVI Hr)lff 0 C. io 0 0 0 LLD. P— IJ1/4"- RE& DENTW UGH17 COMVEPCIAt- DETAIL K A K 1AL. For StStandard,Hl ql, For avinaord. e.za flead, com & ve,*;=1 L:rt & Ve-;co: U`N; -apoce of '14" be"ween V12" 7rzlCk 01111 2" Trcck n r.r IN: i l,' -3" -,ac old 1 -! *- " 7 , .. K- sirrqlf • FrIc Si 1 S 'es t1l. roller d the out5ioe edge OF '1 e ALTERNATE BOTTOM BRACKETS 1,111fir ho c!cr W,T(,h is flea .' Set v 1he PUEh I't.JLLF .am"kr:-oilwl R- RMED AT j: ou Gulvonized Steel NTERMELMIE HU4-E 18 or 14 Go Si"! 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PtSit NO 7/ 16' See D_FI& I X for push.. rl,;t placement- IMB SRAC , KET z Ga Golvon: M1 SIT -el 801 & NUT 1/ 4-20 X 5/8' C,frioge Bait k 1/4- 20 fie. washer Nu`: per jcmo Briciet) SLIDE LOCK or LOCK BARS Irlor qj.reci with cperator) TEK SCRIEW 1/4- X 3/4- Hes vilcisher h%Xf Self (:6l;l,.. g (4 per 1 1.ae Lock) DETAIL H TFK Sl-p- w 1/ 4" Hex He .f Head eif Dri.: ing (3 Der ar"tarn se-'r;ket) Q Gc Oat*vart.z Steel PiSI-4 NtjT 7/16- See QE--k, L for pus.) nu' p! a c ani e n t. f30T:QV1- SEAL DETAIL C DETAIL J z14 A 2 31/4 1;TrRtJT F 60 7V KSI CO3vcrdzedl St"i 23' 4 TEK SC-W 1/4' X 3/4" Re, Yva.ne- Read Set, -Drial ns oer End 'Xes) NOTE; Delc-r- some j" S 0!T_iLted fcr ciorl y. Ljc-uole rrr-d sflies onci end cjr.dwoce rric b rec"j.red o,, vv:c. er or rieov-er dears. S, Sc4p zz/ Z: Ncl. 51737 AC, 7 STXm OF 0. W*--"' 1" 0 15 X Ib/, 0R%1DN400dc, 1/4-20 3' 21 Fo. r7,a'e L),:,c For H-4"wal & Cc,ro,! ton, ';sqs 75007 lve,Vs G,! T,„ckl Po. do P.E. # 51757 nrTgifi".r =eoi pw,ided only for FL #16660M9 ,,f w:nc load1onsll,ictiol de.j:;s. DESC111111PT111111111; l;2'PAN 2l1WSMF$Iw1 JPMT LOAD SWrIONAL DODR aesbNPRESSILM 21.* 46. 7PSF mft— AM OR 7/6/16 OUR 8): Sa Shect 3 I j FASTENER TO CONTINUE PAST HEADER F I I 7 - 2 X 6 GRADE 2 OR BETTER SOUTHERN - o I i' PINE JAMBS. SEE CHART FOR WOOD JAMB ATTACHMENT TO BUILDING STRUCTURE. i I El OPENING HEIGHT j MAXIMUM ON CENTER SPACING J FIRST FASTENER 4" to 10" ABOVE THE FLOOR I= OPENING WIDTH I B SECTION IE L JE 1 ION SEC jlK0) N i. II I A 99P1 pIs { SECTIONS, 4 SECTIONS 4 5 6 7.......B1._.:.. _:.._..__ _ W- __. ......._ MODEL NUMBERS AND LITE OPTIONS NOTE. CLASS OPTIONS ARE AVAILABLE IN DSB MINIMUM TEMPERED AND INSULATED GLASS UNITS LITE OPTIONS AVAILABLE q q Lop SECTION L EQ BE ION a t. L. ( L.E SEC TION SECI ION q i bSECTIONNSEONEl! LIE I SE SEC'ION j iI Ej qj S BECrKM S SECTIONS SSECTKM 7 SECTIONS 1 SECTIONS T SECTIONS 7 SECrIONS i SECTIONS WITH LITE SECTION ANYWHERE EXCEPT THE TOP AND BOTTOM SECTION STRUT CONFIGURATION MODEL NUMBERS CARR14pETi RANCH 1STANDRiD. Commi— 1 AVAILABLE I j 2AII6 PAN C2011 SERIES-- 2/[12 X IN --.. PA C20t5 SERIES PAN C2411 SERIES - j X i X X X a.._._.- - PAN C2415 SERIES X X PAN C2511 SERIES 1XX PANC2410&R2410SERES X X X-I PAN C2460 & R2460 SEREST X PAN C2461 & R2461 SERFS; X s jPAN C2470 & R2470SEREST ` X IPAN C2471 & R2471 SERIES' AN C2472 & R2472 SER!ESJ X PAN C24808 R2480SERESI PAN C2481 8 R2481 SHtES - X PAN 92462 & R2482SERESI X PAN.R2560 SERIES X. j PAN R2501 SERIES I X ri PAN R2570 SERIES_ X I PAN R2571 SERIES X j ' PAN R2572 SERIES X J--- i PAN R2580 SERIES X PAN R2581SERIES PANR2582BERIES 1 X 3B1/Y 1 381/2" 171W 1 2111Z 211R' - xi21lY, x1011ri x10iN'; x81rr x3lW it I DAY LIGHT OPENING 1DLOj-WOEY TALL J 1j E BNcJJ////// j NO.51737 jO•P'•.LOR10%' p ' f I coies. P.E, 75007 For:,,1 P.E. N 7377... FL #1f3 60.38 A Tb PAN 2 w SL70ES WAlrES WIND LOAD SE(,-r10NAL DOOR pBS[GN PRESSURE t23.9140 PAP te+P>eR aNRf we 716/IA BWnm AtV9 i MINIM: See Shea 3 I City of Sanford Building and. Fire Prevention Product Approval Specification Form Permit # Project Location Address 223 BELGIAN WAY SANFORD, FL 32773 As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal) 1. Exterior Doors Swinging Sliding Sectional HAAS 2480 FL16660.39-R6 Roll U Automatic Other - OVERHEAD 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category/Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal) 5. Shutters Accordion Bahama Colonial Roll up Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature waa-,Y-, ) &it4-\ Applicant's Name cAA _-,-t-s- Yn n Please Print) June 2014