HomeMy WebLinkAbout1303 W 7 St 04-1276 interior remod windows and doorsPERMIT ADDRESS
CONTRACTOR
ADDRESS ` Ld44 `n,
PHONE NUMBER
PROPERTY OWNER t + ^ *oct aV jpC,%
SUBDIVISION
PERMIT #C* • 1 a1 b DATE
PERMIT DESCRIPT[ON3 , efi*%4 S4L s
PERMIT VALUATION
SQUARE FOOTAGE
ADDRESS 1
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTOR c
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PLUMBING CONTRACTOR c7
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MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
CITY OF SANFORD PERMIT APPLICATION
Permit #
Date: C1 1 09
Job Address: l.v th
Description of Work:
Historic District: Zoning: Value of Work: S
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of W er Closets Plumbing Repair— Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage: 1_
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (
Attach Proof of Ownership & Legal Description)
Owners Name & Address: A 3 I i ! o[ p Q (t r f, ly Cf (C Q oil /=1 3a S S
Phone: ( -
ContractorName&Address:)'J`'}Q 1UMh)nQ t LO ('(dtJM e1:1Q (rI P- '3ag S
State License Number: 1 vLo
f Q7 1
W
Phone Faxl !y / r — ^ / / Contact Person: Phone: — ()
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer.
Phone:
Address:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 1 understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, etc.
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 regulatingconstructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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 1 will notify the owner of the property of the require` ents of Florid Law, ;w, FS 713.
D1 3aaA/ SignatureofOwner/Agent Date Signature of Contractor/Agent Date Print
Owner/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is _ Personally Known to Me or Produced
ID APPLICATION
APPROVED BY Special
Conditions: Bldg: "
Zoning: Init &
Date) P
i t Contractor/Age s Nam rSXt °
Date EXPIRES:
November 12, 2006 Bonded
Thru Budget Notary Services Contractor/
Agent i Personally nown to Me ° l ProducedID4`1L1tJ — j - \U ' U Initial &
Date) Utilities:
FD: Initial &
Date) (Initial & Date)
CITY OF SANFORD PERMIT APPLICATION
Permit # : c(A —1 1 0
Job Address:
Description of Work:
Historic District:
Date:
Permit Type: Building _-/—" Electrical — Mechanical Plumbing _V"_ Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures _
Plumbing/New Residential: # of Water Closets _
Replacement New (Duct Layout & Energy Cale. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type:_ # of Stories: # of Dwelling Units: Flood Zoae: (FEMA form required for other than X)
Parcel #:
n (
Attach Proof of Ownership & Legal Description)
Owners Name & Address:
Phone' / y
Contractor Name & Address: f
in 4 ..IG f% gf'4_S'5 41 State License Number: C 62
Phone & Fax: Contact Person: Phone: Gl6 — r17 7 77
Bonding Company: V /' -
Address:
Mortgage Lender' e
Address:
Architect/Engineer:
Address:
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-rneetstandar I I s ebb construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PL.BINGSIGNLLOLRNACES;=BOILERS, IJM HEATERS, TANKS, and
AIR CONDITIONERS, etc. _...
OWNER'S AFFIDAVIT: 1 certify that all of the foregdinginforinati t ill be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR'FAI.LU CO O COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU T N T OB 1 CING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM
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.
Sfeptance o ermit is verification t 1 notify the owner of the property of the requirements of Florida Lien Law, FS 713. will
f • a- S' urc of Owner/Agent Date igtta re of Contractor/Agent Date
Y lee c;
rin o Print O zerfA1ertr s Na
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Pnm GontractorfAgo 's me c
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Notary-S3Florida
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0 0 0 u e of otary-State of D egnatur Florida Date E
ro r
CL
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Ow er/Agent is s nally Known o Me r
T
oduced ID I V
Co tractor/Agent is PersonallyKnown to Me or
Produced ID k 2e 20'WOC7 o-
APPLICATION APPROVED BY: Bldg.. 3 -11 —y(J "Zoning:
Initial & Date) (Initial & Date)
Special Conditions:
Utilities: FD:
Initial & Date) (Initial & Date)
US.oc
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
PARCEL DETAIL t d Back
W 7TH ST
Seminole Count%
jioper
ss
rourr
01 K. Nirsl tit.
fll
1119ard Fl. 32771 V STH ST 407-
660-794M GENERAL
2004 WORKING VALUE SUMMARY 25-
19-30-5AI-0916- Value Method: Market Parcel
Id: 0050 Tax District: S1 SANFORD Number of Buildings: 1 Owner:
BURCH RUBEN E & Exemptions: 00- Depreciated Bldg Value: $69,823 BERNICE
HOMESTEAD Depreciated EXFT Value: $1,852 Own/
Addr: 1303 W 7TH ST Land Value (Market): $4,185 Address:
PO BOX 1464 Land
Value Ag: $0 City,
State,ZipCode: SANFORD FL 32772 Just/Market Value: $75,860 Property
Address: 1303 7TH ST W SANFORD 32772 Assessed Value (SOH): $63,757 Subdivision
Name: SEMINOLE PARK Exempt Value: $63,757 Dor:
01-SINGLE FAMILY Taxable Value: $0 2003
VALUE SUMMARY Tax
Value(without SOH): 0 SALES
2003 Tax Bill Amount: 0 Deed
Date Book Page Amount Vac/Imp Savings Due To SOH: 0 Find
Comparable Sales within this Subdivision 2003 Taxable Value: 0 DOES
NOT INCLUDE NON -AD VALOREM ASSESSMENTS
LAND
Land
Unit Land LEGAL DESCRIPTION PLAT Land
Assess Method Frontage Depth Units
Price Value LEG LOT 5 BLK 9 TR 16 SEMINOLE PARK PB 2 FRONT
FOOT & 50
125 .000 90.00 $4,185 PG
75 DEPTH
BUILDING
INFORMATION Bid
Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1
SINGLE FAMILY 1965 6 2,645 1,415 CB/STUCCO FINISH $69,823 $86,468 Appendage /
Sgft ENCLOSED PORCH FINISHED / 160 Appendage /
Sgft ENCLOSED PORCH FINISHED / 240 Appendage /
Sgft UTILITY FINISHED / 108 Appendage /
Sgft UTILITY FINISHED / 72 Appendage /
Sgft UTILITY FINISHED / 90 Appendage /
Sgft ENCLOSED PORCH FINISHED / 260 Appendage /
Sgft DETACHED UTILITY FINISHED / 284 Appendage /
Sgft OPEN PORCH FINISHED / 16 EXTRA
FEATURE Description
Year Bit Units EXFT Value Est. Cost New WOOD
UTILITY BLDG 1982 160 384 $960 ALUM
PORCH W/CONC FL 1989 126 410 $819 ALUM
CARPORT W/SLAB 1989 325 1,058 $2,113 re_
web.semi nole_county_title?parcel=2519305AI 09160050&cpad=7th&cpad_num=1303&c3/ 1/2004
NOTICE OF COMMENCEMENT
State of Florida
Permit No Tax Folio No. (PID)
County of Seminole
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address)
1303 7TH STREET WEST SANFORD, FLORIDA 32772
iip11i7 RlRl Allli[il®®®ill®i®11EilIIiIIDLEGALLOT5BLK9TR16
O
PARK
PLATSEMINOLEMRY MORSE, CLERIC OF CIRCUIT COWTPLATBOOK2PAGE75
SEMINOLE COUBaT1P
GENERAL DESCRIPTION OF IMPROVEMENT: BK 0521 l FRIG i F a3
GENERAL HOME REPAIR IMPROVEMENTS CLERK' S :0 2Sd?o4030292
R tEMED OU01/-2-04 lazIQ01411 PH
OWNER INFORMATION: RECORDING FEES &M
Name and address: RUBEN E BURCH & BERNICE BURCH RECORDED BY t holden
1303 7TH STREET WEST
SANFORD, FLORIDA 32772
Interest in property: FEE SIMPLE`
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER. (IF OTHER THAN OWNER)
CONTRACTO
Name and ad ess: J.F. VII CORPORATION
1050 LANDMARK LANE
CASSELBERRY, FLORIDA 32707 MAR 0 1 2004
SURETY (Bonding Company)
AAA t?
U 1 2 0
Name and address _
CERTIFIED CUPV
Amount of Bond MARYANNF MORS
CLERK OF mcurr COU
LENDER I OY1N'11 FLO I
Name and address: SEMINOLE COUNTY COMMUNITY DEVELOPMENT OFFICE
1101 EAST 1 sT STREET, SUITE 3301 urr r! FRx
SANFORD, FLORIDA 32771
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes:
Name and address
In addition to himself, Owner designates of
provided in Section 713.13(1)(b), Florida Statutes.
to receive a copy of the Lienor's Notice as
Expiration Date of Notice of Commencement
The expiration d to is 1 year from date of recording uwless a different date is specified)
Signature of Ow er v(z Signature of Owner Bernt c..e Ek)r-(-
PRY av OFFICIAL NOTARY SEAL
Sworn to and subscribed b fore me this 9th Day of February, 2004. o e, ANNIE WARD KNIGHT
C COMMISSION NUMBERy \p DD113988
My Commission Expires: MVCOMMISSION EXPIRES Notary
Public The
foregoing instrument was acknowledged before me this 9th day of February, 2004 by RUBEN E BURCH & BERNICE
BURCH (name of person acknowledged), who is personally known to me or who has produced rl A DI L 9620 -725 -20 - p4a-0 (type of identification) as identification and who did / did not take and oath>
E31020 - G -3G- 7 LkAprojectslcommunity
deMousing ActivitieslRehabilitation02O3knoticeofcommencementlburchrubenNoc.doc
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C ou.t\T 'Y
L CHOICE
Name: Ruben Burch
Address: 1303 W. 7th Street, Sanford, FL
SEMINOLE COUNTY HOMM REPAIR PROGRAM
WORK ORDER /. QUOTE SHEET
Irn spection was completed by: Larry
407-322-8128 Date of Inspection: 6/10/0332771
ITEMIZED DESCRIPTION OF WORK
I. Outside work
Tear down and haul away three (3) buildings in the back yard, includingslabs.
aul away all junk and debris in back yard. Consult with Owner. PERM IT6. Install a new roof.
1. Provide better attic ventilation. V2. Replace all water damaged roof structural material, fascia and rake boards, soffits panels, etc.
j/ C. Complete concrete driveway to edge of street, approximately 10, x 20'.
D. Install four (4) new exterior doors and (1) new steel security type screendoor.
1. Tear out existing 32" wide storm door at front of house and discard. a. Re -frame for the installation of a 36" wide, steel securicompletewithlocksetanddeadboldlock.
ty type screen door,
2. Install a new *wide front main entry door (inside front porch area). a. Tear out existing door and discard.
b. Install a new 32" wide, metal insulated, pre -hung, exterior door, with toplites, and new lockset and dead bolt lock.
3. Install a new 36" wide living room west.side service door. a. Tearout existing door and discard.
b. Install a new 36" wide, metal insulated, pre -hung, exterior door, with top4. Install a new 32" wide back breezeway service door. a. Tear out existing door and discard.
b. Install a new 32" wide, metal insulated, pre -hung, exterior door, with toplites, and new lockset and dead bolt lock.
5. Install a new 32" wide back service door.
a. Tear out existing door and discard.
b. Install a new 32" wide, metal insulated, pre -hung, exterior door, with toplites, and new lockset and dead bolt lock.
E. Install new windows and screens throughout house. Approximately (12) I. Remove anchored burglar bars from bedroom windows and discard. 2. Install new windows and trim.
1 of 3
Burch, Ruben
04.1 ;-> t,
s
OFFICE COPY
PLANS REVIEWED
CITY OF SANFORD
F. Install new roof coverings. Repair any water damaged roof structural
material fascia and rake boards, soffit material. Add continuous ridge vents to
improve attic ventilation.
G. Repair rain gutters and downspouts on carport roof.
H. Paint exterior.
1. Power wash all surfaces.
2. Caulk/puddy holes, cracks, gaps to exclude water.
3. Spray paint sealer.
4. Paint walls, doors, trim soffits, hardware.
5. Touch up and clean up.
II. Inside work.
A. Upgrade electric service throughout the house.
1. Tear out, or repair, all amateur wiring at the sub -panel, main panel, branch
circuits, devises that do not satisfy the current NEC standards.
2. Assure the service drop and overhead wire roof and ground clearances
satisfy current NEC standards.
3. Install a 20 amp branch circuit to kitchen for over -the -range microwave
oven, if/and as required.
4. Wire for a kitchen sink garbage disposer and switch. Wire for dishwasher.
5. Install wired smoke detectorstcode.
6. Install GFCls/code.
7. Assure all receptacles and switches work properly. Replace worn out ones,
if/and as required.
B. Install a new kitchen, complete with new cabinets, countertops, sink,
garbage disposer, dish washer, over -the -range microwave oven, refrigerator,
and sheet vinyl floor.
C. Repair and upgrade the guest bathroom.
1. Tear out existing vanity sink cabinet and sinks, and discard. 4-
2. Install new tub/shower control volve, shower stand pipe, shower head.
3. Install new sheet vinyl floor. (Consult with owner.)
4. Instlal new vanity cabinet with new sinks and fittings.
5. Install a new ceiling vent fan, new light fixture, and medicine cabinet.
6. Repair wall and ceiling finish in preparation for painting, if/and as required.
D. Install a new master bathroom.
1. Tear out shower stall walls and shower pan.
2. Install new control valve, shower stand pipe, and shower head.
3. Install new water -proof wallboard in shower surround.
4. Install a new drain and shower pan.
5. Install new ceramic the floor and surround. Grout and clean.
6. Install new faucet assembly, supply lines, and shutoff valves on existing
7. Install a new ceiling vent fan, new light fixture, and medium cab.
8. Repair wall and ceiling finish in preparation for painting, if/and as required.
9. Install new sheet vinyl floor over terrazo (Consult with owner.)
E. Repair water damaged ceiling. Finishes throughout -house.
1. Front, family room.
d
2 of 3 Burch, Ruben
2. Formal living room.
3. Back bedroom.
4. Utility room.
5. Back storage room.
FOUgh
G. AOL s.
1. Paint ceiling flat latex.
2. Paint walls, doors, and woodwork semi -gloss latex. 3. Paint second coat, if/and as required.
4. Touch up and clean up.
H. Install new finish flooring throughhoou. t the house. (Consult owner.)
1—New-sheet-Vin I flooring.
a. Kitchen.
b. Kitchen eating area.
C. Both bathrooms.
d. Foyer.
e. Family room.
F. Bedroom hallway.
2. Wall-to-wall carpeting.
a. Living room.
b. Four (4) bedrooms.
U
3 of 3
Burch, Ruben
FAX I®002/015
S
Kew^
J
Ie a'eview Ger!ificate Certificate #
3026447B Intetttek
Testing Services This
certifies that Intertek Testing Services/ETL Semko has reviewed structural load test data
and documentation supplied by Masonite/Prerridor Exterior Door Products on the product
lines indicated below to determine the appropriate design load and impact ratings as
specified by Miami -Dade County, Florida Protocol PA202 and the appropriate impact rating
as specified by Miami -Dade County Protocol PA201 and PA203 or ASTM E1996 and
ASTM E1886. The
data supplied was reviewed for applicability in support of the data contained in the Masonite/
Premdor Product Performance Data Manual for the product line and product models
indicated below. ITS/BTL Semko certifies that the test reports provided are consistent
with the Masonite Certificate of Performance sheets (COP's) contained in the product
performance data manual specified herein. The attached Masonita/Premdor COP/
Test Report Validation Matrices (uniquely numbered by product model) provides correlation
infonnation for each product model reviewed indicating the test lab, report number(
s), product size and installation information and ratings for design load and applicability
of the large missile impact test. All applicable COP's and Matrices must bear the
Warnock Hersey verification stamp ' . Product
Line: Castlegate Entry Doors Product
Models: Wood -Edge Steel Door Units (Matrix #3026447B-001) Metal -
Edge Steel Door Units (Matrix #3026447B-002) Fiberglass
Door Units (Matrix #3026447B-003) Flush
Glazed Door Units (Matrix #3026447B-004) 1TS/
E71-Semko has no direct knowledge of the tests conducted and has made no attempt to verify the accuracy
or correctness of the data submitted. The review conducted was only to determine that the manufacturer'
s claims as represented in the COP's are correct representations of the data supplied from the
laboratories. MIETL Semko's review !oval for structural performance results only and did not include review
of air infiltration or water penetration test results. ISSUED:
6-14-02 01
BY:
y. Jim
Turgeson, Project Manager Revision
Date: March 10, 2003 Supercedes
Certificate #3026447B Issued
June 14, 2002
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1' A4II 1 WOOD -
EDGE STEEL DOORS Glazed
Units 6'8" Height — Inswing X
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WLCA41-0 Not
Listed 314.
082'10+2 50.5 NO 1'
2"r8"+1'
20+0 1`
To, +
1'0' 37 +
12' 17 +
22' 1'0' COP-
WL-CA4144-M 01-M14.00 50.5 NO 1'
0' + 210" + 1'0" 1'
2" + 2'8"a•17 1'
0' + r8" + 1'0' 1'
0" + 3'0" + 1'0' t'
2' + 210" + 1'2" 17 +
31" a 17' 2'
6' + 2'6' + 2'8' rl* +
r6' + 2'8' 2'
1D' + 210" + 2'10' 3'
0"+TV+TO" OL
OXXO 2'
6" + 2'6" COP-
WL-CM142-M 01-0314.08 0.5 NO 2'
8'+ re' 210' +
210' 3'
0' + TO' 2'
6'+21'+2'8'+2'8" COP-
WI.•CM145-02 01.0314.08 50.5 NO 2'
6' + 2T + 2'6' + 21- 2'
10" + 210' + 210' + 210" 3'
0' + TO' + 3'0" + 37 Notes:
rra.
wr«.•r 1.
Door arrsngemenas using fawn panels than what is shown in the above dtart also comply under the product approvals shown.
2.
Assembly deta0s are evalhabls from the Wsenb IntsmatimW wobslts (www.mnwittr.mm) or from the technical center. 00 3.
Instaildlon instrucWn3 are svarlsWe from the Ma3w to latemafl0nal website (www.msaontte com) or from the tsCMieal j-0psOA CORK.
4.
A W design praeeu e revirement for a z"c bu kft design 6 peogmhlc toeaft is determined by ASCE 7 (Minimum vmoM
asn1
r n.
m ar W.
eie' ASSUNM°D"') de*
n loads for buildings and other structures). National. slate or loci building code spec0y the edgan ruored. K 5.
Masonite Irdertrational structural, cyclic, air, water, forcal entry/or impact tasting is dune in accordance with Miami -Daft 8CCO
protocol PA201, PA202 8 PA203. 6titry
Systems T
tire+
14 r or
woft PWSd r" I"kWM rrsIMcMif aapt at Nwo er &
me r Mp worm""
12/18/2003 08:49 FAX I@ 0081015
X
Unit
anW a uIIIT
ON
l
lYP.
6 per vertical hembv member
2 per horizontal framing member
Htaga and drib plain regaMe bao
2.1/2" long scfaaa per locations.
Width of door unit plus 1/2"
Height of door unit plus 114'
esnlrek rkn-e Tr10ad AlvYw draea>r 01626M711 M"71. fi0:Sw4C ramo liftV
nnpra , tOA r eeeo -logo to m"am
Latching Hardware:
SINGLE DOOR
Compliance requires that GRACE 3 or Defter (ANSUBHMA A156.2) cylindrical and deadlock hardwares be installed.
UNITS COYEIIED BY COP DOCUMENT 0246-, DM*, 3241-, 3248, 31t61- or 32M
Compliance requires that B" GRADE 1 (ANSI/BHMA A1156.16) surface bolts be instal.ed on Woh aide of active door pand — (1) at top
and (1) at bottom.
Based on required Design Presaure — see COP sheet for details.
Notes:
1. Anchor olculat(ons have been carried out with the IM181(last) futerwr rating from the different fastmoe a bent considered for use. Jamb and
head fasteners analyzed for this unit 4lclude #8 and 010 woad screws or 3/16" Topcons. Threshold fasteners analyzed for We unit include #8 and
MO wood screws, 3/18' Tapaona, or Liquid Naits Builders Cholce 490 (or eqW stndural adheetw).
2. The wood screw single SW design values come from Table 113A of ANSUAF & PA NOS for scuthem pine lumber veer s We member tlddoless o1
I.1/4" and achievement of minimum embedment. The 3/16" Tapoon Single over design values cams from the rrW end ELCO Dade Country
approvals respKdvey, each with mirdmum 1-1/4' embedment
3. Wood budre by others, mutt be urdwred property to transfer lands to the structure.
tr4010, lace
oNswli"04V"mPa" 1• _rAU4 Adn
ill Pum"/Alai 6 &no ~ ru
121-16/2003 08:49 FAX 1A 00T/015
4
x
Unit
3
6 per vertiea! framing member for
TV height end smaller
0 per vertica framing member far
hetims grow than ro'
6 4 per horizontal framing member
Ntags and striker plow uegw re two
2-12' loop rinser Oar location.
Widlh of door unit plus 12'
Height of door unit plus 1/4'
SINGLE DOOR
Latching Hardware:
Compliance requires that GRADE 3 or bolter (ANSUSHMA A156.2) cylindrical so deadlock hardware be installed.
MrS COVERED BY COP DOCUMEW 0240% tf266', 3241 32M, 1261' ar 3266
Complianoe requires that /' GRADE 1 (ANSVBMMA A155.16) surface bone be installed on latch side of aoWe door pool — (1) at top
and (1) at bottom.
Sawed on required Design Pressure — see COP sheet for daiaffs.
Notes:
1. Anchor caloulatlons have been canted out with the fastener rating from the different tastanara being considered for use. Jamb ud had fasteners
wWWd for this unit include 10d common naffs. Threshold tbsgners analyzed for this unit include Liquid Nails Hulders Choice 400 (or equal
structural adhsslvs).
2. The common nail ample shear design values come from ANSVAF 6 PA NDS for southern pine lumber with a side member thida! of 1-1/4" and
achievement of minimum embedmem of 1.1/4".
3. wood bucks by others, must be anchored propery to transfer loads to the structure.
khxh lq 200
enWMk1*QrW=drVdWbW Mldnor.WIC&MA..
Mao oat WOW arm UM11 One wGWA KAm
72116/2003 08:49 FAX kJ 007/015
Unit
x
6
N11D"WMAOOO 1O?
6 '.;
6 per vertical framing member for
TO, height and emww
0 per vertica Yarning member far
heights gnawer than 7'0'
4 per horizotdal imming member
Nloge and sift plates require two
2-1/2' long BMW /er loafloa.
I .#
Width of dour unit plus 12"
Height of door unit plus 1/4'
iAM am co?rtw Arport V*hM raft
004: A026MM-001, 00Z, 00,'ON 9WAW
tbwls Cam). aN ussm" Wdot
Latching Hardware:
compliance requires that GRADE $ or batter (ANSI/BHMA A156.2) cylindrical and deadlock hardware be installed.
UNITS COVERED BY COP DOCUMENT 02401. EBB% 3241 % 3246, 3261 • or 3206
compliance requires that 6' GRADE i (ANS11811MA A156.161 surface bane be instelied on latch side of active door panel — (1) st top
and (1) at bottom-
Based on required Design Pressure — see GOP sheet for details.
a Notes:
1. Anchor eelculatlons have been carried out with the fastener rating from the dflerent teSteners being considered for use Jamb and head fasteners
analyzed forthis unit include 10d common nails. Threshold fasteners analyad fathi3 unit include Liquid Nails BuBders Choice 490 (or equal
structural adhselve).
2. The common nail single shear design values come from ANSUAF 6 PA NDS for southern pine lumber with a side member thidmm of 1-114" and
achievement W minimum embedment of 1.1/4".
3. Waod buoke by oMars, must be anchored properly to transfer loads to the structure.
JIM
MIA 1%2tr03
0w Gmk1*4lffipm of P*jd h w•vsowt mac rpvc+lauvw.
MPS and wdm d140 6"dw mme waft swa
i
A
Architectural Testing
AAMAfiqWWDA 101/13.2-97 TEST REPORT
Rendered t1D:
MI.HOME PRODUCTS, INC.
P.O. Box 370
Gratz, Pennsylvania 17030-0370
Report No: 01-40351.05
Test Dates: 10/22/01
And: 10/23/01
Report Date: 03/20/02
Expiration Date: 10/23/05
Project Summary: Architectural Testing, Inc. (ATI) was contracted by MI Home Products, Inc.
to witness performance testing on a Series/Model 740/744/3740, aluminum single hung window
at MI Home Products, Inc.'s test facility in Elizabethville, Pennsylvania The sample tested
successfully met the performance requirements for a H-R45 52 x 72 rating.
Test Specification: The test specimen was evaluated in accordance with A
101/l.S.2-97, Voluntary Specifications for Aluminum, Vinyl (PVC) and Wood Windows and Cslaas
Doors.
Test Specimen Description
Series/Model: 740/744/3740
Type Aluminum Single Hung Window With Nail Fin
Overall Size: V 4-1/8" wide by 5' •5/8" high
Active Sash Size: 4' 2-3/4" wide by 2' 11-5/8" high
Fixed Daylight Opening Size: 4' 1 /8" wide by 2' 9" high
Screen Size: 4' .-7/8" wide by 2' .-5/16" high
Finish: All aluminum was polished
Glazing Details: The active sash and fixed lite were glazed with one sheet of 1/8" thick
clear tempered glass. Each sash was channel glazed using a fleuble vinyl gasket. SIMI.
130 Deny Court V ';•+ ,. •
York. PA 17402-9405
Y
a• :• ^,
Phone. 717.764.7700
far 7 Z e .y'oR ep 2 ei Z
www.a rchtestoom
Mtrrgl ' [ Ml
AAMA/NWWDA 101/!.S.2-97
TEST REPORT SUMMARY
Rendered to:
Aff HOME PRODUCTS, INC
SERIES/MODEL: 740/744/3740
TYPE: Aluminum Single Hung Window with Nail Fin
Title of Test Results
Rating H R45 52 x 72
Overall Design Pressure 45 psf
Operating Force 24 lb max.
Air Infiltration 0.10 ain/fe
Water Resistance 6.75 psf
Structural Test Pressure 67.5 psf
70.8 psf
Deglazing Passed
Forced Entry Resistance Grade 10
Reference should be made to Report No. 01-40351.05 for complete test specimen descriptig q,,,
data.
For ARCHMCTURAL TESTING, INC.
ILf.
C-
MAH:baw20 A144 Cy Zo*2.". I
01-40351.05
Page 2 of 4
Test Specimen Description: (Continued)
Weatherstripping:
Descripdorr uaatit+ lr,ocation
0.330" high by 0.187" 1 Row Fixed meeting rail interlock
backed polypile
with center fin
0.170" high by 0.187" 1 Row Fixed lite, stiles and top rail
backed polypile
with center tm
3/8" diameter hollow 1 Row Bottom rail
bulb gasket
0.310" high bry 0.187" 1 Row Active sash stiles
backed polypile
with center 5n
0.150" high by 0.187" Row Active sash stiles
wide polypile
Frame Construction: All frame members were constructed of extruded aluminum with
coped, butted and sealed corners fastened with two screws each. Fixed meeting rail was
secured utilizing one screw in each end directly through exterior face into jamb. Silicone
was utilized around exterior meeting rail/jamb joinery.
Sash Construction: All sash members were constructed of extruded aluminum with coped
and butted comers fastened with one screw each.
Screen Construction: The screen fiame was constructed from roll -formed aluminum
members with plastic keyed comers. The screening consisted of a fiberglass mesh and was
secured with a flexible vinyl spline.
Hardware:
Description Quanti $c 'gg
Plastic tilt latch 2 One each end of the interior
Meeting rail
Metal sweep lock 2 13" from meeting rail ends
Balance assembly 2 One per jamb
Screen tension spring 2 One per end of screen stile 11.
Tilt pin 2 One each end of bottorrbet\; ' •r t S 1 I i L •;
i i'•'i. t'Svls• s r.
L .,./1T1 • ter'
11 C
4
01-40351.05
Page 3 of 4
Test Specimen Description: (Continued)
Drainage: Sloped sill
Reinforcement: No reinforcement was utilized
Installation: The test M91sen was installed into the #2 2 x 8 Spruce -Pine -Fir wood buck
with 1" galvanized roothrough the nail fin every 8" on center. Polyurethane was used
as a sealant under the nail fin and around the exterior perimeter. Test
Results The
results are tabulated as follows: Parag=
Title of Test - Test Method Results All 2.
2.1.6.1 Operating Force 24 lbs 30 lbs max Air
lafiltration (ASTM E 283) 1.
57 psf (25 mph) 0.10 chn/S 030 cf nW max. Note #
l: The tested specimen meets the performance levels specified in AAMAINWWDA I011I.
S. 1-97 for air infiltration. Water
Resistance (ASTM E 547-96) - with
and without screen) WTP =
6.75 psf No leakage No leakage 2.
1.4.1 Uniform Load Deflection per ASTM E 330 Measurements
reported were taken on the meeting rail) Loads
were held for 52 seconds) 15.
0 psf (positive) 0.86"0 0.29" max. 15.
0 psf (negative) 0.81 "* 0.29" max. Exceeds
L1175for deflection, but meets all other test requirements. 2.1.
4.2 Uniform Load Structural per ASTM E 330 Measurements reported
were taken on the meeting rail) Loads were
held for 10 seconds) 22.5
psf (positive) 0.01" 020" max. 22.5
psf (negative) <0.01" 0.20" max. 2.2.
1.6.2 Deglazing Test per ASTM E 987 In operating
direction at 70 lbs Top rail
0.06"/120A 0.50"/100'/0 Bottom rail
0.06"/12% 0.50"/100°,gtttH++1t:iy In remaining
direction at 50 lbs '';' 1., Left stile
0.03"/6% 0*/1pD' • .,,;~ Right stile
0.03"/6% 0,0 0%". 53., y
Z
o
MA•fCN ZOsZ •ley b'Y••..*•*Ill c``
01-40351.05
Page 4 of 4
Test Results: (Continued)
Paraaraph Title of Test - Test Method Res to Allowed
Forced Entry Resistance per ASTM F 588-97
Type: A
Grade: 10
Lock Manipulation Test No entry No entry
Test Al thru A5 No entry No - entry
Test A7 No entry No entry
ock Manipulation Test No entry No entry
0,,,,.ptional Performance
Uniform Load Deflection per ASTM E 330
Measurements reported were taken on the meting rail)
Loads were held for 52 seconds)
45.0 psf (positive) 0.91"*
0.97"*
0.29' max.
0.29" max. 45.0 psf (negative)
Exceeds L1175 for deflection, but meets all other test requirements.
Uniform Load Structural per ASTM E 330
Measurements reported were taken on the meeting rail)
Loads held for 10 seconds)
67.5 psf (positive) 0.14" 0,20" max.
67.5 psf (negative) 0.19" 020" maiL
@ 70.8 psf (negative) 02V 020" max
Detailed drawings, representative samples of the test specimen, and a copy of this report will be
retained by ATI for a period of four years. The above results were secured by usung the
designated test methods and they indicate compliance with the performance requirements of the
above referenced specification. This report does not constitute certification of this product,
which may only be granted by the certification program administrator.
For ARCETrECTURAL TESTING, INC:
4--t-'d / -
Mark A Hess
Technician
MAH:baw
0140351.05
V
AANLA/NWWDA 101ALS.2.97
TEST REPORT SUMMARY
Rendered to:
MI HOME PRODUCTS, INC.
SERIES/MODEL: 740/744/3740
TYPE: Aluminum Picture Window with
Vertical Mullion
Title of Test Results
Rating F-R40 108 x 52
Overall Design Pressure 40 psf
Air Infiltration 0.02 cfm/fe
Water Resistance 6.00 psf
Structural Test Pressure 60.0 psf
Forced Entry Resistance Grade 10
Reference should be made to Report No. 01-40486.05 for complete test specimen description and
data. 1\0N 11111./f
For ARCHITECTURAL TESTING, INC. T .•Ylt:;,tr,
Mark A. Hess, Technician v :. ST U . Lq
4
rim • , , ' • a.
C. '
MAH:baw r 1 lootf f 1
4ryt1' il,I,/
11ly
26 AtAACAI 2001.
r
BetterBik Doors & Windows
650 West Market Street
P.O. Box 370 717.36.3300
Gratz, PA 17030-0370 717.36:.3596 Fax
LOWE'S
NEW FLORIDA CODE
BETTERBILT PRODUCTS
Approved products to 140-mph wind zone:
3740 series aluminum single hung window
3240 series vinyl single hung window
470HP series patio door
3910 series vinyl patio door
Please note: Our size limitations have changed in
order to pass the new Florida code.
Some larger window units are no longer available due
to the new Florida code.
Any questions please contact our customer service
team.
A division of
THIS FENESTRATION PRODUCT COMPLIES* WITH THE
NEW FLORIDA BOIL DING CODE
FOR RESIDENTIAL BUILDINGS WITH A MEAN ROOF HEIGHT OF 30 FT. OR LESS,-"
EXPOSURE "B' (WHICH IS INLAND OF A LINE THAT IS 1500 FT. FROM THE COAST),
AND WALL ZONE 15' (INSTALLED NEAR THE CORNER OF THE BUILDING).
PER ASTME1800; THE CORRECT GLASS THICKNESS, BASED ON THE NEGA77VE
DESIGN PRESSURE (DP) LISTED BELOW, HAS BEEN INSTALLED IN THIS*UNIT.
THE GLASS THICKNESS IS BASED ON ITS' WIDTH,' HEIGHT, AND ASPECT RATIO.
WIND ZONE: 140 MPH
DESIGN PRESSURE (DP): f 35.3 I - 47.2
THIS PRODUCT MEETS THE REQUIREMENTS FOR STRUCTURAL LOADS,. WATER AND
AIR INFILTRATION PER ATTACHED AAMA PERFORMANCE LABEL BE ADVISED THAT
IF LOADS ARE PLACED UP TO OR EXCEEDING THE TESTED LEVELS, THIS PRODUCT
MAY BE ALTERED IN SUCH A WAY THAT FUTURE PERFORMANCE WILL BE REDUCED.
COMPLIANCE MUST INCLUDE INSTALLATION ACCORDING TO
MANUFACTURER'S INSTRUCTIONS AND FLORIDA CODE REQUIREMENTS.
MIP-466
FWA
r EMD R (ENTERGY BRAND }O D EDGE)
3'-0 x 6'-8 STEEL DOOR WITH BUMPER THRESHOLD
IN A WOOD FRAME
UTS/ING/INSWING DOORS
37 1/2'
M A X
7/16' x I 3/4' lg. STAPLES
3> PER SIDE
4'
4'
ITOP OP DOOR TO 8 7 1 6'
r OF NIN(E
17 1/2'
CTYP.)
31 /16'
TYP. CIN_ HINGE;
a10 x 1 1/4' MINIMUM EMBEDMENT
A
5> PER SIDES
ALTERNATE, 3/16' PFH TAPCONS -.
w/1 1/2' MINIMUM EMBEDMENT 31
x 1 3/4' SCREWS
JAMBS JAMBS TO THRESHOLD
C2> PER SIDE
I '
4'--+-----+
R.H. INSWING
L.H. INSWING
R.H. OUT S W ING
L.H. OUTSW ING
B
10 x 2' SCREWS
2) PER HINGE
KWIKSET
660 DEADLOCK
KWIKSET -
200 LOCKSET
4'
5 1/2'
A
43 11/16'
TOP OF DOOR
TO (L OF LOCK
B1 11/16
M A X
8 x 2' F.H.W.S.
10 x 1 1/4' MINIMUM EMBEDMENT
ALTERNATE, 3/16' PFH TAPCONS
w/1 1/2' MINIMUM EMBEDMENT
C2> @ THRESHOLD
C22 HEADER 4'
OUTSWING
CVIEW FROM EXTERIOR) NOTES,
1.>
WOOD BUCKS BY OTHERS. MUST BE ANCHORED PROPERLY
TO TRANSFER LOADS TO THE STRUCTURE. QUALIFY
PRECEDING
FOLLOWING
DRAWINGS
NSTALLAT
ONS.DED
TO A.
WOOD FRAME CONSTRUCTION WHERE DOOR SYSTEM
IS ANCHORED TO A MINIMUM TWO BY WOOD OPENING.
i.
PPaovmnscoMxvwaw,narsae B.
MASONRY OR CONCRETE CONSTRUCTION WHERE a,
L ,wocooa DOOR SYSTEM• IS ANCHORED, TO' A MINIMUM TWO .BY aura /
q t e STRUCTURAL WOOD BUCK. C.
MASONRY OR CONCRETE CONSTRUCTION WHERE Paooucrco"
Prof-omsncw DOOR SYSTEM IS ANCHORED DIRECTLY TO CONCRETE 8tj'
Lmmc OODe dOMPUANCE CIVICS OR MASONRY WITH OR WITHOUT A NON-STRUCTURAL ceaPrn„
tr, wp on_ o-t .ot- ONE BY WOOD BUCK. 3.
ALL ANCHORING SCREWS TO BE #10 WITH MINIMUM
1 1/4' EMBEDMENT INTO WOOD SUBSTRATE. M
1311015-E\- ' 911
E JEFFERSON "SHE E TOF 6 P
1
E_ KS,
667 REVISION
LETTER C
I/V GAP MAX.
5
61 11/16' INTERIOR79 5/16'
MAX
ti •
i By woo azw,
SECTION B-B_
INSWING
2 BY VOOD BUCK B10 x I I/V MINIMUM EMBEDMENI OR
11 3/16' PFH TAPCONS VITH
4.563' 11/2' MIN. EMBEDMENI (iYP)
2) PER HEAD JAMB
O
101
00040 60%
co
WE;
Bior
1
cua
A
910 x 1 1/1' MINIMUM EMBEDMENI OR
3/16' PFH iAPCONS VITH
I 1/2'MIN. EMBEDMENT (iYP)
2) PER HEAD JAMB
i UN113 SHAH E MIALLED RY AT LIA11H P01011 A CNRPY DR
m SUCH THAT 0E ANQE Elva TIME OF Wm (R DV(RHAIG
10 SRL IS LCSS THAN 6 H E& IRIESS ml IS 0610 IN
04111W ARIAS MERE TIE WIT AND 0E AAWAA AK DKI 01
01 VATCR INFIITRATIOK
ERE VAifR 911911
DUR[IUII IS CEO
VIQE VAT RfLiRAi l
Ewa] R ml 10
Positive Not Approved r s
Negjtive Not Anorovedx 76 nsf
MATERIALS LiST
IRN Na DESCRIP111N PART FIBER CQOERTS
Q V1110-60 JAMB EV-12 1 /4' x 4 916' NIL. 10 K V00D
O COMPRESSION VEATHERSTRIP ILQXKAL
VIED-STRIKEEV-10 4'x4 /16- NTL.T
40 FIXED iIR(SI D
5O iOP CHANNEL EV-05
STEEL SKIN 26 go. U11 +22 -NO) I!N ICI MA 19
FOAX COK BASF FOAM - DENSITY ZO TO Z51bsd
BOTIUI CHANAEI
VOOD LOCK BLOCK EV-08 VIDE
D STRIKE STILE CV-07 1 II/16' X ISAV X 19 5/16' NTL TO BE V93
VOOD HINGE STILE EV-06 1 II/16, X I5/16, X 19 5/16, NTL TO BE VOOD
LOCK FIVER PLATE EV-09 A50 THICK PLASTIC
Hiff CV-15 J911HiCK (STEEL)
VMD-HINGE JAMB 11/4' x 4 9/16' N11.10 BE VMD
0 x 3/1' V000 SCREWS 4) SCREVS PER HINGE
110 x 2' FHV.S. 2) SCREVS PER HITTOE
O 10RVSV=IVrDOWI
RVI
acmanewe"
V emmm=
110' x 3/4' FHVS 2) SCREVS PER HINGE
18 x 2' FRV.S. 2) AT EACH STRIKE PLATE
IOCKSEi VIKSET BRAND 200 LOCK
DADS Cl1 R HDOIFICATIONS m JO
IWIS Ulm 01, iLE ' C ' 1j
U199. Ullll Ell, III RL 111
DADS C01Y HODIFICATIO)rs tu JD
A ADDED PAL[ 4 (D00R STU) n-i RS
liR I Im1m all n
P1RI[ u
mit: I Illll: I II . , I Rif - -
RUN ENiO MIK
m
RUAa9» A
31-1015-EW
SHEET 2 of 6
U19 c
2 X WOOD BUCK
13 INTERIOR
I Ir -
Jw --c> 3-- 1 0 @
HT[RIOR
1 1/4' MIN EMBEDMENT OF SCREW INTO WOOD OR
3/16' PFH TAPCONS W/1 I/2' MINIMUM EMBEDMENT
37,50'
MAX
SETO A -A INWING
2 X WOOD BUCK
I/4' GAP MAX.
1B IIIEJJ MITI, IK ' [C K d DE COMITY HOOTICA GNS
f118b1t UtIJJ IDIfI, JI! ONt ffEl A DAD PAGE 1(00 fP1111NS) -6.1
puE {y JCj ee, f1Q MD
ar cG,wa, PC INIERGY
PRooucrcanaotahsoe 0R.. 61If - - lNlt SfXE.
m MR ENTRY MIN 31115-Nonm14c720-07-0111,0I0 /"1
SHEE13 OF 6 NAM
Concrete or Masonry Opening Topcon
V ° p
a
z F=
fa .
p °
v.
L v
Perimeter Caulk, By Others
Also between flange and buds
m
Head --
T_
Flange Type
Window Head
In
oExtwlor
0
v /
0' Glass as Required J j?
Perimeter Caulk
By others
D
Pre —Cast SDI ,•-
By others J
Caulk Between Buck
and Masonry Opening
By Others
Wood Buck by Others
Flange Type
Window Frame Sill
Stool By Others.
Caulk Between Flange and Pre —Cast Sill
1. Shim as required at each installation anchor as . shown, with load bearing shim. 2. Anch )r must, be of sufficient length to provide 1 1/4" min.. embedment
into r Tasonry. or concrete.
3. Caulk between window flange and buck.
4. Caulk full perimeter of window.
5. If ex( act window size is not given, use anchor quantity for
next I larger window in chart.
6. Glass ; thickness will vary with window size and design load, and; must comly
with ) kSTM E1 300.
7, Lette r designations on the topcon location chart indicate Nrhere
ancho rs are -to. be installed using the elevation as a key.
8. All- fc ctory applied holes not designated for topcon* should be ':filled with
8 sc -ews of, sufficient Ith. to provide 5/8" min. embedmenit into wood buck.
TAPCON * LOCATION CHART
CODE WINDOW ID FASTENER LOCATIONS
Eatrtor
Concrete or Masonry Opening SIZE SIZE OP36 TO OP52 DP52.1 JO 01370.8
Outside Oir ensian 1} MIN.
PENETRATION 12
13
18 1/8 x 25
19 1/8 x 37 3/8
A, C
A. C
A, C
A, CPerimeterCaulk1j8x495/8141 A,C A,C
Caul, I Between 15 18 1/8 x 62 A, C A. B. C
Flange and Buck 16 18 1/8 x 71 1/4 A. C A. B. C
4 V.
1 /2 34, 25 1 /2 x 25 a C a C
1 /2 31
1 /2 34
25.1 /2 x 37 3/8
25 1 /2 x 49 5/8
A, C
A. C
A. C
A. B. C
1 /2 3; 25 1 /2 x 62
2. < 1 /2 x 71 1/4
A, B. C
A, 8, C
A. B. C
A, B, C
a 1 /2 31
4
Jamb 22 36x25
36x373 /8
A,C
A. C
A,C
A, B. CQV • 23
36 x /8495 A, B. C A. B. C424
245 3651/4 A, B. C A, B. C
4
4 •
v 25
26
36 x6 36
x 71 1/4 A.
8, C A.
8, C A.
B, C A,
B. C. D 32
621/8x25 A.0 A.0 4"*
A.S
HIM 33 52-1/8 x 37'3/8 A. C A, B. C BUCK
p 4
34 52 1/8 x 49 5/8 A. B. C A. B. C 4.
43 521/8 x 55 1/4 A, B. C A, B. C. D 3
5 52 1/8 x 62 A. B. C A. B. C. D Tapeon
36 52 1/8 x 71 1/4 A, B, C, D A, 8, C, D, E Inside
Dimens ion Wood Buck By Others D
D Caulk
Between Buck
and Opening iLANffk&
IL 0-ANTO I
A -- A A xUS• E
E 8
B 1N,
C C
C" r , •. EXTERIOR
ELEV/ r 02
TAPCON•
TYPE HARDENED MASONRY SCREWS i
INCLUDE
TAPCON, RAWL. & SIMPSON Design
Pressure values Ilsted above are In PSF v
INSTRUCTIONS
SCHEDULE
V/ . , . -,
NGLE HUNG claw
er DAM S.
W. 1/15/02 04rrwrc
sit am..
NONE
1 or 1 INST740
CITY OF SANFORD PERMIT APPLICATION
Permit # : Cn> L1 - l a 7i, ^^
11
Date:
Job Address: 1 30-3 L l 7' 15 t..
II-
5--n farcJ F/
Description of Work: (Apora.
Historic District: Zoning: Value of Work: $
EMEND
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: Ne t e— # of AMPS _I Addition/Alteration Change of Service _1,!n Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
6.31 Trtxnh
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
L.
Contact Person:
Attach Proof of Ownership & Legal Description)
Phone:
State License Number: 68 %A L 3 7 _
Phone:
Phone:
Fax:
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.
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 regiiiating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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 rncord:; 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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner/Agent Date Srg rc Co gent Date
7 G i-) V 4sc 1.
Print Owner/Agent's Name Print Contract Agent's me
Signature of Notary -State of Florida Date a SoiW
z -
ffVQ1EaA. DE GRA E Date _
MY COMMISSION t DO 16426
EXPIRES: November 12, 2006
a°e Bon d Thru B pet Notary ServicesOwner/Agent is _Personally Known to Me or ContractortAWh4 rs ersona y K own o Me or
Produced ID •—G Produced ID {'
APPLICATION APPROVED BY: Bldg: 'Zoning: Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
3-15-20A 9:03AM FROM P.1
POWER OF ATTORNEY
Date: A I C)4
do hereby authorize T, cam r) 0, P 1
to pull the permit for \2, 0
type of pergit aftcts
Signatwe
AuitIF'r!i`E RAWLES. g
Notary Public - Stan o1Florida D gay
U rt: rt ia Cis, wrist Jun 30, 20M Commisnrar, +
t 70 130143 timnl ?
Iotary Assn. Notary '
Personally
known to m or drivers license # to
my of c on - day of 20*
t} 0r