HomeMy WebLinkAbout170 Country Club Cir; 17-2070; INTERIOR & EXTERIOR RENOVATIONSCITY OF SANFORD
m, BUILDING & FIRE PREVENTION
i 17 PERMIT APPLICATION
oApplicationNo: 0
BY. —
Documented Construction Value: $ 10,075.55
Job Address: 170 Country Club Cir Historic District: Yes No
Parcel ID: 35-19-30-521-OA00-0150 Residential X Commercial
Type of Work: New Addition Alteration 0 Repair Demo Change of Use Move El
Description of Work: Interior and exterior renovations to back room of house only. See attached -
scope of work and layout. /
Plan Review Contact Person: Title: RLC;d'cz
Phone: 9L{ 7-qL-A-SloS8' Fax:
Name Wanda Gramlin
Street: 170 Country Club Cir
Property Owner Information
Phone: 407-474-0809
City, State Zip: Sanford, FL 32771
Name Corinthian Builders, Inc.
Street: 2175 Marquette Ave
Resident of property? : Yes
Contractor Information
Phone: 407-403-5658
Fax: 407-322-8641
City, State Zip: Sanford, FL 32773 State License No.: CGC 058246
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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 `
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 06 28 17
I hereby name and appoint: , 'A026 5— G" 2. r c,
an agent of. Corinthian Builders, Inc.
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):
The specific permit and application for work located at:
170 Country Club Cir - Sanford, FL 32771
Street Address)
Expiration Date for This Limited Power of Attorney: 1231 17
License Holder Name: Richard Kovacsik
State License Number:
Signature of License Holder:
STATE OF FLO IDA
COUNTY OF `
The foregoing instr en was acknowledged before me this day of ,
204 , by Mre who is personally known
to me or who has produced as
identification and who did (did not) take an oath.
Notary Seal)
2otrR. Pre4n WRIACORVILLE
MY COMMISSION # GG 051629
m EXPIRES: December 27, 2020
Bonded Tluu Budget Nomry SOM—
Rev. 08.12)
Signature
Print or type name
Notary Public - State of _
Commission No.
My Commission Expires:
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
k
mapagement 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.
l -3d--/ 7
Signature of Ownerr/Agent ` Date
Print Owner/Agent's Name
AAC)A A n i ()( ,301-
Signature of Notary -State of Florida Date
ro09 11k, MARIACORVILLE
o
MY COMMISSION # GG 051629
EXPIRES: December27,2020A.ei"0-10- Bonded Thru Budget Notary Servkea
Owner/Agent is Personally Known to Me or
Produced ID Type of ID 1I>L
Signature of Conti r/Agen ' e
ki&ad-
Print Contractor/Agent's Name
glM A «~, aA-, Z,
Signature of Notary -State of Florida Date
wa
c
MARIA CORVILLE
ofl
MY COMMISSION 9 GG 051629
m„ or EXPIRES: December 27, 2020
Bonded Thm Budget Notary Servhs
Contractor/Agent i Personally Known to Me or
Produced ID V Type of ID P j_il_
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. , ' t)UTILITIES:
COMMENTS:
ENGINEERING:
V-V"\
IN
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: SC :X%
J
Revised: June 30, 2015 Permit Application
6/28/2017 SCPA Parcel View: 35-19-30-521-OA00-0150
Property Record Card
i ae teronrncn,cra Parcel: 35-19-30-521-OA00-0150
PA7?lp Owner: GRAMLIN WANDA J
t ` Property Address: 170 COUNTRY CLUB CIR SANFORD, FL 32771
Parcel Information j Value Summary
Parcel( 35-19-30-521-OA00-0150
Owner GRAMLIN WANDA J
E
Property Address = 170 COUNTRY CLUB CIR SANFORD, FL 32771
Mailing = 170 COUNTRY CLUB CIR SANFORD, FL 32771-7502
Subdivision Name COUNTRY CLUB MANOR UNIT 2
i Tax DistrictS1-SANFORD DOR
Use Code ` 01-SINGLE FAMILY Exemptions €
00-HOMESTEAD(1997) Legal
Description LOT
15 BLK A COUNTRY
CLUB MANOR UNIT 2 PB
11 PG 100 Taxes
2017
Working j 2016 Certified Values
i Values Valuation
Method Cost/Market Cost/Market Number
of Buildings 1 j.... ........._. ......_.........
1
Depreciated
Bldg Value 41 856 34,315 Depreciated
EXFT Value Land
Value (Market) 12,500 10 500 Land
Value Ag Justi'
Market Value " 54,356 44,815 Portability
Adj Save
Our Homes Adj 15,546 6 808 .., Amendment
1 Adj P&
G Adj i $0 i $0 Assessed
Value 38,810 38 012 Tax
Amount without SOH: $397.00 2016
Tax Bill Amount $261.00 Tax
Estimator Save
Our Homes Savings: $136.00 Does
NOT INCLUDE Non Ad Valorem Assessments Taxing
Authority Assessment Value Exempt Values Taxable Value County
General Fund 38,810 25,000 13,810 Schools
38,810 ; 25,000 ' 13,810 City
Sanford 38,810 , 25,000 ' 13,810 SJWM(
Saint Johns Water Management) 38,810 25,000 ' 13,810 County
Bonds 38,810 25,000 13,810 Sales
j. ___. _... ........ ......... ..
Description €
Date Book i Page Amount Qualified Vac/Imp WARRANTY
DEED 5/1/1996 j 03070 1776 $15,700 No Improved WARRANTY
DEED 5/1/1996 03070 1777 $15,700 No Improved WARRANTY
DEED 5/1/1996 03070 1775 i $15 700 No Improved PROBATE
RECORDS 4/1/1996 03063 0750 ? _—$100 No Improved i
Find
Gornparablo Sales I
Land
Method
1 Frontage Depth Units Units Price Land Value LOT
0.00 = 0.00 1 $12,500.00 12 500 j
Building Information Is
Bed/Bath count incorrect? Click Here 1C #
Description Year Built ; Fixtures Bed Bath Base Area Total SF Living SF Ext Wall ( Adj Value ` Repl Value Appendages http://
parceldetai1.scpafl.org/ParceIDetaiIInfo.aspx?PID=351 930521 0A0001 50 1 /2
Board of County Commissioners ORDER
FLORIDA Woderd- Master
Agreement No.: CC-9192-13/AMM Dated: Aorii 7,. 2014 Master
Agreement Title: NMSA for Community Services Residential HOME,5HIP NSP & CDBG Rehabilitations h
ehDroectTTitle:aw 4 ._ ect at 17n C.,Mt i;1a i 3-"u-,10 COUM Sattfe-A Ct 32771 Contractor: Carinthian
Builders Inc. 2175 Marquette
Ave. Sanford, FL
32773 ATTACHMENTS TO
THIS WORK ORDER: METHOD OF COMPENSATION: X] Scope
of services - Attachment "A" [X] fixed fee basis X] Addenda -
Attachment "B" X Bid
Pa Items- Attachment "C" time basis -
not -to -exceed 1 Y [ ]
time basis -limitation of funds X] Rehabilitation
Standards - Attachment "D" [X] retainage shall be withheld TIME FOR
COMPLETION: The Work to be provided by the CONTRACTOR shall be substantially completed as described In
subsection 14.13 of the General Conditions, within ninety (90) calendar days after the date when the
Contract Time begins to run as provided in subsection 2.2 of the General Conditions. The Work shall be finally
completed, ready for Final Payment in accordance with subsection 14.9 of the General Conditions, within fifteen
15) calendar days after the actual date of Substantial Completion. Failure to meet the completion time
shall be grounds for Termination of both the Work Order and the Master Agreement for Default. WORK
ORDER,
AMOUNT SEVENTY-TWO THOUSAND TWO HUNDRED SEVENTY-FIVE AND 1401100 DOLLARS (S72f275
00) procurement Analyst)
OC #811479
Work Order—
Contracts, Rev 11/14/11 BOARD OF
COUNTY COMMISSIONERS SEMINOLE COUNTY,
FLORIDA By: / 1_
ZJQ4 Diane Reed,
Procurement Administrator Date: —_!,7e
02 /. a.Q l 7 As authorized
by Section 3.554 Seminole County Administrative
Code. CERTIFIED COPY -
GRANT MALOY OM #495
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
SEMINAR COONTY,
WDA 3
REQUIRED INSPECTION SEQUENCE
H P#
BUILDING PERMIT
Min Max Ins ection Descri tion
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Prepour
Lintel / Tie Beam / Fill / Down Cell
p Sheathing —Walls
Sheathing — Roof
Roof Dry In
Frame
Z o Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Firewall
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Zo Final Door
o Final Window
Final Screen Room
Final Pool Screen Enclosure
Final Single Family Residence
Final Building (Other)
Address:
II Min 1Max I Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
Min Maxi Ins ection Descri tion
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
min I Max
Mechanical Roug
Mechanical Final
Gas Unde
Gas Roug
Gas Final
REVISED: June 2014
RECORD COPY
City of Sanford
Building and Fire Prevention
PERMIT CONDITIONS
Application #: 17-2070
Address: 170 Country Club Circle
Description of Work: Residential Alteration
These comments are provided for the permit listed above only.
This sheet must remain with the approved set of plans and be made
available to the inspector at the time of inspection.
All conditions must be met and strictly adhered to.
Scope of Work:
See attached
Notes:
1. The exterior wall framing is not permitted to be replaced or altered in any way. Window
openings must remain unchanged.
2. Wall Sheathing shall be attached 6 inches on the edges and 12 inches in the field.
FBC 2304.6)
3. All components are required to be accessible for inspection.
4. Any new insulation shall be minimum R-13 for wood framed walls (R-4.0 min. for CMU)
REVIEWED FOR ;CODE COMPLIANCE
PLANS EXAMINER
DATE
SANFORD BUILDING DIVISION # 1 7_ 2 0 7 0
A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
LICENSE TO PROCEED WITH THE WORK AND NOT AS
AUTHORITY TO VIOLATE, CANCEL, ALTER OR SETASIDEANYOFTHEPROVISIONSOFTHETECHNICAL
OF A PERMITCODS, NOR SHALL ISSUANCE
THE BUIDING OFFICIAL FOM THEREAFTERENT 0S.A/Vj,
REOUiRING A CORRECTION OF ERRORS IN PLANS,
CONSTRUCTION OR VIOLATIONS OF THIS CODE
If you experience any difficulty, please call 407.688.5150 for assistance.
170 Country Club Cir — Scope of Work
Renovation to room at back of house only
1. Remove siding, dry -in and wall sheathing
2. Install any missing insulation from exterior
3. Install new wall sheathing, dry -in and siding material
4. Replace exterior door
5. Replace three windows
6. New aluminum soffit and fascia
7. Replace interior door
8. Remove carpet and install tile
9. Paint interior and exterior
7/3/2017 parceldetail.scpafl.org/FootprintPage.aspx?PID=3519305210A000150&BLDGNO=1 &PAGENO=1
Parcel: 35-13-30-521-OAOO-0150 Building No.: 1 Page No: 1
l70 C,Q C". --
http://parceIdetai1.scpafl.org/FootprintPage.aspx?PID=3519305210A000150&BLDGNO=1&PAGENO=1 1/1
City o Sanford
Building and Fire Preventiol
Permit # #
1 7- 2 0 7 0
Sp Lion Form
S ANF OFtD
z
OFPAR,`
Project Location Address 170 Country Club Cir - Sanford, FL 32771
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 Plastpro Series N Fiberglass door FL15180.11
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hung PGT Industries 5400 SH FL239.9
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category/ Subcategory Manufacturer
3.'Panel Walls
Product
Description
Florida Approval #
including decimal)
Sidin James Hardie Building Prod ct Cement panel FL13223-R3
Soffits
Storefronts
Curtain Walls
Wall I mixiar
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
5.5hutters
Manufacturer Product
Description
Florida Approval #
include decimal)
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
Applicant's Name Corinthian Builders. Inc.
Please Print)
June 2014
3/1/2017 Florida Building Code Online
BCIS Home Log In ':. User Registration Hot Topics 1 Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search
b
o
Product Approval
z* USER: Public User
Product Approval Menu > Product or ADplication Search > Apolication List > Application Detail
FL # FL15180-R1
Application Type Revision
Code Version 2014
Application Status Approved
Comments
Archived
Product Manufacturer Plastpro Inc. / Nanya Plastics Corp.
Address/Phone/Email 5200 W CENTURY BLVD.
LOS ANGELES, CA 90045
440) 969-9773 Ext16
rickw@rwbldgconsultants.com
Authorized Signature Vivian Wright
rickw@rwbldgconsultants.com
Technical Representative Scott Johnson
Address/Phone/Email 5200 W Century Blvd.
Los Angeles, CA 90045
440) 969-9773 Ext18
scottjohnson@plastproinc.com
Quality Assurance Representative Ron O'Connell
Address/Phone/Email 5200 W Century Blvd.
Los Angeles, CA 90045
440) 969-9773 Ext16
ronoconnell@plastpro.com
Category Exterior Doors
Subcategory Swinging Exterior Door Assemblies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Lyndon F. Schmidt, P.E.
the Evaluation Report
Florida License PE-43409
Quality Assurance Entity National Accreditation and Management Institute
Quality Assurance Contract Expiration Date 12/31/2018
Validated By Ryan J. King, P.E.
Validation Checklist - Hardcopy Received
Certificate of Independence FL15180 R1 COI CERTIFICATE of INDEPENDENCE.odf
Referenced Standard and Year (of Standard) Standard Year
ASTM D1929 1996
ASTM D1929 2006
ASTM D2843 1999
ASTM D635 - 1998
ASTM D638 2003
ASTM E1300 2004
ASTM E84 2005
https://www.floridabuilding.org/pr/pr app o.aspx?param=wGEVXQwtDgsidcHd6ieP8HCLWJ4zwVnPCNLpdxOYYZLitBVMYkYFBkA%3d%3d 1/5
3/1/2017 Florida Building Code Online
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Products
Go to Page
ASTM G26
TAS 201, 202, 203
Florida Licensed Professional Engineer or Architect
FL15180 R1 Equiv Equivalency Of Standards.odf
Method 1 Option D
04/24/2015
04/26/2015
04/28/2015
06/23/2015
1995
1994
0 0 Pagel/ 2 0 0
FL # Model, Number or Name Description
15180.1 a. Smooth/Wood 68 "Impact" Glazed Fiberglass Single Door - Outswing (X -
Grain/Rustic/Mahogany Series N Configuration)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 RI II Inst 15180.1.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.1 for Design Pressure Ratings, any FL15180 Rl AE Eval 15180.1.0f
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.2 b. Smooth/Wood 68 "Impact" Glazed Fiberglass Single Door with "Impact"
Grain/Rustic/Mahogany Series N Sidelite - Outswing (OX or XO - Configuration)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 Rl II Inst 15180.2.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.2 for Design Pressure Ratings, any FL15180 R1 AE Eval 15180.2.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.3 c. Smooth/Wood 6'8 "Impact" Glazed Fiberglass Single Door with "Impact"
Grain/Rustic/Mahogany Series N Sidelites - Outswing (OXO - Configuration)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 Rl II Inst 15180.3.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.3 for Design Pressure Ratings, any FL15180 Rl AE Eval 15180.3.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.4 d. Smooth/Wood 68 "Impact" Glazed Fiberglass Double Door - Outswing (XX -
Grain/Rustic/Mahogany Series N Configuration)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 Rl II Inst 15180.4.1)df
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.4 for Design Pressure Ratings, any FL15180 Rl AE Eval 15180.4.0f
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.5 e, Smooth/Wood 6'8 "Impact" Glazed Fiberglass Double Door with "Impact"
https://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDgsidcHd6ieP8HCLWJ4zwVnPCNLpdxOYYZutBVMYkYFBkA%3d%3d 2/5
3/1/2017 Florida Building Code Online
Grain/Rustic/Mahogany Series Sidelites - Outswing (OXXO - Configuration)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 R1 II Inst 15180.5.1)df
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.5 for Design Pressure Ratings, any FL15180 RI AE Eval 15180.5.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.6 f. Smooth/Wood Grain Series N 8'0 "Impact" Glazed Fiberglass Single Door - Outswing (X -
Fiberglass Door Configuration)
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 RI II Inst 15180.6.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by'Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.6 for Design Pressure Ratings, any FL15180 RI AE Eval 15180.6.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.7 g. Smooth/Wood Grain Series N 8'0 "Impact" Glazed Fiberglass Single Door with "Impact"
Fiberglass Door Sidelite - Outswing (OX or XO - Configuration)
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 RI II Inst 15180.7.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.7 for Design Pressure Ratings, any FL15180 R1 AE Eval 15180.7.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.8 h. Smooth/Wood Grain Series N 8'0 "Impact" Glazed Fiberglass Single Door with "Impact"
Fiberglass Door Sidelites - Outswing (OXO - Configuration)
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 R1 II Inst 15180.8.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.8 for Design Pressure Ratings, any FL15180 R1 AE Eval 15180.8.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.9 i. Smooth/Wood Grain Series N 8'0 "Impact" Glazed Fiberglass Double Door - Outswing (XX -
Fiberglass Door Configuration)
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 R1 II Inst 15180.9.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.9 for Design Pressure Ratings, any FL15180 RI AE Eva[ 15180.9.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.10 j. Smooth/Wood Grain Series N 8'0 "Impact" Glazed Fiberglass Double Door with "Impact"
Fiberglass Door Sidelites - Outswing (OXXO - Configuration)
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 R1 II Inst 15180.10.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.10 for Design Pressure Ratings, any FL15180 RI AE Eval 15180.10.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.11 k. Smooth/Wood 68 "Impact" Opaque Fiberglass Single Door -
Grain/Rustic/Mahogany Series N Inswing/Outswing (X - Configuration)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 R1 II Inst 15180.11.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.11 for Design Pressure Ratings, any FL15180 R1 AE Eval 15180.11.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
https://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDgsidcHd6ieP8HCLWJ4zwVnPCNLpdxOYYZtABVMYkYFBkA°/"3d°/"3d 3/5
3/1/2017 Florida Building Code Online
15180.12 I. Smooth/Wood 6'8 "Impact" Opaque Fiberglass Single Door with "Impact"
Grain/Rustic/Mahogany Series N Sidelite - Outswing (OX or XO - Configuration)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 R1 II Inst 15180.12.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.12 for Design Pressure Ratings, any FL15180 R1 AE Eval 15180.12.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.13 m. Smooth/Wood 6'8 "Impact" Opaque Fiberglass Single Door with "Impact"
Grain/Rustic/Mahogany Series N Sidelites - Outswing (OXO - Configuration)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 R1 II Inst 15180.13.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.13 for Design Pressure Ratings, any FL15180 RI AE Eval 15180.13.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.14 n. Smooth/Wood 6'8 "Impact" Opaque Fiberglass Double Door -
Grain/Rustic/Mahogany Series N Inswing/Outswing (XX - Configuration)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 R1 II Inst 15180.14.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.14 for Design Pressure Ratings, any FL15180 R1 AE Eval 15180.14 odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.15 o. Smooth/Wood 68 "Impact" Opaque Fiberglass Double Door with "Impact"
Grain/Rustic/Mahogany Series N Sidelites - Outswing (OXXO - Configuration)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 RI II Inst 15180.15.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.15 for Design Pressure Ratings, any FL15180 R1 AE Eva[ 15180.15.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.16 p. Smooth/Wood Grain Series N 8'0 "Impact" Opaque Fiberglass Single Door -
Fiberglass Door Inswing/Outswing (X - Configuration)
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 RI II Inst 15180.16.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure:. N/A Evaluation Reports
Other: See INST 15180.16 for Design Pressure Ratings, any FL15180 R1 AE Eval 15180.16.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.17 q. Smooth/Wood Grain Series N 8'0 "Impact" Opaque Fiberglass Single Door with "Impact"
Fiberglass Door Sidelite - Outswing (OX or XO - Configurations)
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 RI II Inst 15180.17.odf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15180.17 for Design Pressure Ratings, any FL15180 RI AE Eva[ 15180.17.odf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15180.18 r. Smooth/Wood Grain Series N 8'0 "Impact" Opaque Fiberglass Single Door with Sidelites -
Fberglass Door Outswing (OXO - Configuration)
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15180 R1 II Inst 15180.18.1)df
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
https://www.floridabuilding.org/pr/pr_app 00.aspx?param=wGEVXQwtDgsidcHd6ieP8HCLWJ4zwVnPCNLpdxOYYZutBVMYkYFBkA%3d%3d 4/5
MIAMI-DA®E
MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208
BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.aov/eeonomy
PGT Industries, Inc.
1070 Technology Drive
North Venice, FL 34275
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction
materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER -
Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority
Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right
to have this product or material tested for quality assurance purposes. If this product or material fails to
perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may
immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER
reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control
Section that this product or material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building
Code, including the High Velocity Hurricane Zone.
DESCRIPTION: Series "5400" PVC Single Hung Window — N.I.
APPROVAL DOCUMENT: Drawing No. MD-SH5400-01 titled "Single Hung Window Installation - NI",
sheets 1 through 12 of 12, dated 05115115, prepared by manufacturer, signed and sealed by Anthony Lynn
Miller, P.E., bearing the Miami -Dade County Product Control Section Approval stamp with the Notice of
Acceptance number and approval date by the Miami -Dade County Product Control Section.
MISSILE IMPACT RATING: None
LABELING: Each unit shall bear a permanent label with 'the manufacturer's name or logo, city, state,
model/series, and following statement: "Miami -Dade County Product Control Approved", unless otherwise
noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been
no change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change
in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement
of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure
to comply with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and
followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is
displayed, then it shall be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its
distributors and shall be available for inspection at the job site at the request of the Building Official.
This NOA consists of this page I and evidence pages E-1 and E-2, as well as approval document mentioned
above.
The submitted documentation was reviewed by Manuel Perez, P.E.
NOA No. 15-0519.06
7%2pji'S Expiration Date: July30,2020
1 Approval Date: July 30, 2015
Page 1
PGT Industries, Inc.
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
A. DRAWINGS
1. Manufacturer's die drawings and sections.
2. Drawing No. MD-SH5400-01 titled "Single Hung Window Installation - NI", sheets 1
through 12 of 12, dated 05115115, prepared by manufacturer, signed and sealed by
Anthony Lynn Miller, P.E.
B. TESTS
1. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202-94
2) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94
3) Water Resistance Test, per FBC, TAS 202-94
4) Forced Entry Test, per FBC 2411.3.2.1, and TAS 202-94
5) Large Missile Impact Test per FBC, TAS 201-94
6) Cyclic Wind Pressure Loading per FBC, TAS 203-94
along with marked -up drawings and installation diagram of a series 5500 PVC single
hung window, prepared by Fenestration Testing Laboratory, Inc., Test Report No.
FTL-7964, dated 11/15/14, signed and sealed by Idalmis Ortega, P.E.
C. CALCULATIONS
1. Anchor verification calculations and structural analysis, complying with FBC-511
Edition (2014), dated 05115115, prepared by manufacturer, signed and sealed by
Anthony Lynn Miller, P.E.
2. Glazing complies with ASTM E1300-09
D. QUALITY ASSURANCE
1. Miami —Dade Department of Regulatory and Economic Resources (RER).
Manuel a z, P E.
Product Control Ekam' er
NOA No. I5-0519.06
Expiration Date: July 30, 2020
Approval Date: July 30, 2015
E - 1
PGT Industries. Inc.
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
E. MATERIAL CERTIFICATIONS (CONTINUED)
1. Notice of Acceptance No. 12-1120.02 issued to Royal Window and Door Profiles,
Plant 13 for their "White Rigid PVC Exterior Extrusions for Windows and Doors"
dated 02/28/13, expiring on 02/28/18.
2. Notice of Acceptance No. 14-0529.13 issued to Royal Window and Door Profiles,
Plant 13 for their "Bronze and Lighter Shades of Cap Coated Rigid PVC Exterior
Extrusions for Windows and Doors" dated 04116115, expiring on 04/16/20.
3. Notice of Acceptance No. 14-0529.14 issued to Royal Window and Door Profiles,
Plant 13 for their "Performance Core Rigid PVC Exterior Extrusions for Windows
and Doors" dated 04/16/15, expiring on 04/16/20.
F. STATEMENTS
1. Statement letter of conformance, complying with FBC -2010 and FBC-54h Edition
2014), dated May 15, 2015, issued by manufacturer, signed and sealed by Anthony
Lynn Miller, P.E.
2. Statement letter of no financial interest, dated May 15, 2015, issued by manufacturer,
signed and sealed by Anthony Lynn Miller, P.E.
3. Proposal issued by Product Control, dated 6/26/14 and revised on 8/19/14, signed by
Jaime Gascon, P.E. Supervisor, Product Control Section.
G. OTHERS
1. . None.
E-2
Manuel Per , P. .
Product Control E ami er
NOA No. 15-VH9.06
Expiration Date: July 30, 2020
Approval Date: July 30, 2015