HomeMy WebLinkAbout101 Wild Elm Ct - BR17-000229 - Garage Doort%M ^C Q A 1L1C^E2
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
It- 11, 11-FIZI, Vlh
It
Application No- JAN 12,017
3I'll y: ocumented Construction Value:$ IkJVU,*u
Job Address: Historic District: Yes 0 No D
Parcel ID: ner Residetial9CommcialElALType
of Work: NewE] Addition 0 AtterationEl ReDairE] DemoEl Change of UseEl Move, El Description
of or Plan
Review Contact Person. S-&(L) Title:__ ail..
C'`rs Property
Owner Information Plorne-
u4o'x AL Street:
Resident of prt)perty?: City,
State Zip: 30 D 25 rmation
Name
Phone: Street:
Fax:,--Lt pu:;;
StateCity, S 2 Zip. iJ State License No.: 3 Name:
Street:
City,
St, Zip: Bonding
Company: 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 THEJOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTFND TO OBTAIN FINANCINC,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINC YOUR NOTICE OF COMMENCEMENT.
Application
is hereby rnade to obtain a pertnit todo the work and installations as indicated. I certify that no work, or installation has commenced prior
to the issuance of a pc; it and that all work will be nerfonned to meet standards of all laws refyulatini, 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. F"(' 1053
Shall I* instrib,(41 with the date of application and tire code in effect as of thqt dow 511 Edition (2014) Florida Building Cod Rcvise& 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 ofthis 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 ofthe requirements of Florida Lien Law, FS 711
The City (if Sanford requires payment of a plan review fee at the time (yf 1-yernin 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 Ov%mer/Agent Date
Print Owner/Agent's Name
Signature of Notary -State co' llorida Date
Owner/Agent is___ Personally Known to Me or
Produced 11) Type of 11)
7
le
Narne
ME
DEME eu OnOyCOMM'S'RtON # !!F 178648EXPRES: FebrijaT 25, 201980ndedThruN,1 Un'jeqwfiters
Contractor/Agent is — Personal sown to Me or
Produced ID fype of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building[] Electrical[] Mechanical[] Plumbingo GasE] RoofEJ
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min, Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes E] NoE] of Heads
76' 4& APPROVALS: ?',ON,IN(,'T- IJ'rll,,,ITI'ES:
ENGINEERING: FIRE:
COMMENTS:
Fire Alarm Permit: YesF] No []
WASTE WATER:
BUILDING:-54- -k
Revised',huic Sr, 2015 Permit Applicatim
SCPA Parcel Vie 11-2 p hi-507- 000-0810 Page 1 of 2
Rqc-,nld Card
Parcel Information Value Summary
Parcel 11-20-30-507- 0810 2017 Working Certified
Values ValuesOwnerFRIEDELJOHNM & Sf IE:RRIE E
Valuation Method Cost/Market Cost/Market
Propedy Address 101 Wll D ELM CT SANFORD, FL :32773-L 25
Nola T (A lOsidarys 1 5
Matting 101 WLD ELM CT SANFORD, FL 32773- 625
Depreciated Bldg Value 82,644 $79,599
Subdivision Name LAKE PH 3 x,r, G k
Depreciated FXFT Value 7,176 $7,176
Tax Di ict 1-SANFORD
Land Value {Market} 21,000 $21,000
DDR Use Code 01-SINGLE FAMILY Land. Value Ag
Exemptions HOME TEAD(1 ) L,rv,e .5 110,870 $107,775
aY Portalsk4y Ad1
t
T Save Our Hurries Adi
tn'
31,120 :21i.ii29
root s .<.x g e
7T Arnendmenf I Adj
a' IJ v E}GAd{ iI $0
3 Assessed Value 79,700 $79,146
s Tax Arnount without SOH: $1,34T06
n 773,17
AC,"h ,` - Save ourt'IUt"Y'Ya °*riL''Nti1cS:'af,.
i
t tip
Does NOT INCLUDE Non Ad Valorem Assessments
ii t l I,
n. ...... .. ... . , w.a.. ..
Legal Description
LOT 81
HIDDEN TAKE PH 3 UNIT 3
PB 27 PC' S 50 & 51
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
Schools 79,700 25, 000 ,700
City Sanford 79,700$29,700
SJ (Saint Johns Water Management) 79,700 50,00D $29,700
County Bonds 79,700 S50S $29,700
County General Fund 79,700 50,000 $29,700
Sales
Description Date Book Page Amount Qualified Vacdt p
WARRANTY DEED 8/1/1983 14 '': 50,300 Yes Improved
m d ,.on l
Land
Method Frontage Depth Units Units Price- Land Value
LOT 0.00 000 1 21,000.00 21,000 ,
Building Information
s „ ,,He0
Description Year Built Fixtures Bed Bath' Base AreaActual/Effective Total SF Living SF Ext Wall Adj Value Repl Value Appendages
1 SINGLE 1983 6 1,262 1,790 1,262 CON $82,644 97,803 Description AreaFAMIYBLOCK
Pernifts
lilt :// . celd tail. 0 1 .or / rc, ll) t llty, s1a ' 1 —11203050700000810 /' 31
N,, i s € S et I'my, 0)1,152)3 tttaaae: y7r.S2#),,7650
fslo erftw-
dressi
itformation Customer
titre ,
r Ahd
arAd ,fpt
Phoraid
Measure Faxed: a.,
M...
ChLd,
this Inux, if Ml )te mF °°()rde 13
Whue M111) 0 chac. ttsas Asa €CH) CA
k C43t df srsatsraCid DaIL
zatcatstrvisa-) 0 3,w. `rssaesh u-'e Rr
e t $ Ivainw. OakI i) iI
32 13 4 32 23 31 32 33 34 35 00
000000 000 6"mvp (tt a?) t -TUR . iarnr,ar tca) 0 )
Taus -r n uc) E f era m 4 e) ED
t t0 a)r a
T+
t
t
3 4l.t9 g t c'tir; ? rt%rR t ro+ 'k d? 1) f}'$
It Za 2 ), 14 15 td i"sdb ratsisCsi:
hAp
iatcta (i) TAcf. Star, 2 si& f3) 0
2 C 3 ld a, Dual LHawL (LI 31 a ti ) (` ) f
Fit} Cl 0 0 Cl 0 Li DhC Dual i. (D) 0 C;rntasam S,e%Td 171 C, „t w..,..,.,.....
W., x OC*, ( % t (
U I f # rdaax.;ek,(n Ez r—ven ica ash s.
i ease s t) rraaaa tus) ng. d171 o
aSs. T zrasea q# a
cEZ
Tr rsfzrtr UP).
N
3" 61 91 a Starat ( 2 S( ing ( St7) Frack.
Size: 3tnal
ia3rd ,.....Gis)s > )_ tit
tom,
i aau a°a. ia,st( ce u dvv, ) { ) . ) LDtxsrz*a mw ectfca
ra-
sgatrtsr 7C -gs bottom totop): _w.. ., surd
Lit
r) Lt t v«:t arrEl 5
i 0 sect Lift:DIR Rear F1?h U tt..a 41cht RP
tar tes iia12 "
a 32' iw.taR(0) Odr-r sSrt a )
fr~clsavulij Ws aaa r'
arSRKW QuDle Itludude Materials lwtaUff., _ .. 75 i re
a
pp''nn pp
Js m
Service Order Vier
t
01/20117 0af3 oo
Contact Latoya Hamilton
Phone 407-221-9467 IS -
Cell Phone 407-942-3030 1723 Premier Row
Technician Orlando, FL 32809
407-331-0804
Customer Invitation Date Pte 'd 01/16/17
160 Kelly Orde Method BUILDER
Sanford, FL 32773 Scheduled 02/07/17
Contract#
G mer * 06-11476Equipment
1312171s2fo1303
Problem Door Install
Sal r n HOUSE RLA NDO
Coverage i/i
Territory 61 Estimate Actual
Priority 4 Labor $.00 $804
Type BS Parts $.00 $63.1
Email iCharges $.00
Other $150,00
10-12 - Install 16' ' 73W4 White - Nor-lnsuiated - Solid -"fear & Haul - Needs City of
Sanford Building Po It
Line Item Desc Desc Deso ,sty, U Bill Unit Amt . 0/
0 Price Billed 20
KMOR BUILDER 1.000 Hrs 100.00 80.00000 80,00 LABOR
30 *
73W40OD13 73 4 16 x 7 Non 241- 4.S Psf 1,000 EA 100,00 963,00000 96100 raW
panel kwlated design load 70
THD TW AND 1.000 10100 M ;00 HAUL
06t. 80
PERM EE PERMIT FEE t.000 100X0 150.00000 150,00 Subtotal $
1,193.00 Eat
Tax $ 00 S/
fit Total $1,193.00 Total
Paid $.00 Amount
Due $1,19100
Florida Building Code Online Page I of 6
aw
al
BCTS Home Log In User Registration Hot Topics Submit surcharge Slats 8, FxcLs Publications RIC Staff BCIS Site Map Links Search
iProduct ApprovalUSER: Pubbc Use'sdbrApsialleatiori
Detalt Ft- #
FL15279--R4 Application
Type Revision Code
Version 2014 Application
Status Approved Appraved
by LAiPR. Approvals by DHPRshali hf,-, reviewed and ratified by
the KK and/or the Coran-ussion if necessary, Comments
Archived
REVIEWED
FOR CODE COMPLIANCE Product
Manutacturer Clopay Building products Company Addressis'
lutione/Frnad 8585 Duke Blvd. R Mason, OH 45040 PE 513)
770 6062 mwesterfield@c1opay,
cole DATE Authorized
Signature Scott Hamilton shamitton@clopay.
com SANf- ')!,VISION Technical
Representative A PERMIT iSSUED SHALL BE CONSTR'L)ED 10 BE A Add
ress/Phone/Enia iIUCENSE10 P1,10CEEDWITH 'rHE WORK AND NOTAS AUTHORITYTO
WLAI , E, GAINCEL, ALTER OR SET AS0E ANY
OF THE PROWSIONS OF TiiE T ECHNICAL Quality Assurance
Representative CODES, NOR SHALL ISSUANCE OF A PE. RW'PREVF,,NT Acidress/Ptionp/
f-mail Tl fE KALDING OFF10AL FROM THEREAFTER REOURING A
CORRECTION OF ERRORS IN PLANS, CONS-TRUCTION
OR vaxnONS OF 7HtS CODE Category ExteriorDoorsSubcategorySectional
Exterior Door Assemblies Compliance Method
Certification Mark or Listing CertifirAtarn Agency
Intertek Tesfing Serssires NA, Inc, Validated By
Gary PfueWer V Validation
Checklist - Hardcopy Received Referenced Standard
and Year (of Standard) 5-tand'ArAY"-r ANSI/DASMA
108 2005 ANSI/DASMA
I t5 2005 . ... .. AS I'
ME1886 2002 ASTM E1996
2002 ASTM E330
2002 Equivalence of
Product Standards Certified By
Florida Licensed Professional Engineer or Architect i 1,
1 HW PA
MAI I",, 1EG"EIVE.
Product Approval
Method Method 1 Option A JAN 2 3 '62.017 liti,p,
s-:H%vww.floridabuilding.or t!,/pr/l)rl app dti.aspx?par,-titi=NEVXQxktl,)clv3yVVKJZIQ... 1/17/2017
F16rida Building Code Online Page 2 of 6
Date Submitted 03/19/2015
Date Validated 06/12/2015
Date Pending FBC Approval
Date Approved 06171/2015
G3o to Page 0 0 Page l/80 0
FL# Model, Number or Name Description
15279A 001 W3-09 DSIE- 1A 171 . 2050, 1-3/8" Doubte-skin Insulated EPS (exterior skin 27 coca. rain.;
2051, 2053, 4050, 4051, 4053, 62, interior skin 29 ga. min.) Single -Car (tip to 9'0" wide)
64, 65, 67G, 621G, 64G, SDP38, WTNr)CODFR W3 Garage Door
SH-38, ISRP38, 134, 135, 136,
6130, 6131, 6133
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No H 7Q_ 1 4 1: ( AC_ Cj,eH1,qr V•th p"! ,op!
Approved for use outside HVHZ* Yes
Impact Resistant: N/A 6(:_,)i_' _kjf,
Design Pressure. +20 PSF/-20 PSF Onality Assurance CentristExpiration Date
Othen The, OPTIONAL glazing available for this product 05/21/2028
meets the wind load requirement-, of the building code but Installation Instructions
DOFS NO t meet the impact resistant feqWrennent for fl
windborne debris regions. The product without glazing DOfS Verified By: Intertek Testing Set vices NA, Inc.
cornply with the impact resistant requirement for windborne Created by Independent Third Party:
debris regions (ref 1609.1.4 FBC) Evaluation Reports
Created by Independent'l-hird Party:
15279,2 002 W3-09 DSTE-IA471. GDISP, Gallery/Artistry/Expressions: 1-318" Double -skin Insulated
CRISP, GD11P, GRIi P, ARISP, EPS (exterior skin 27 ga, min,; interior skin 27 (Is, min.)
AR1LP, ED ISP, EDILP, 4132, 2132, Singte-Car (up to 9'0' wide) W] NDCODECiy W3 Garage Door
6132, ISFC38, MFC38
Limits of Use CertiCicaturn Agency Certificate
Approved for use in HVHZ: No i 14_ C R e J, on', yva Qnbli0 q, J)" Approved for
use outside HVHZ. Yes Of lr.spo tJon,p, Impact Resistant,
N/A I 1C-CACW j k,,s jg °;k Design Pressure: +20
PSF/- 21 PgF Quality Assurance Contract Expiration Date Other. The OPTIONAL
glazing available for this product 05/21/2028 meets the wind
load requirements of the building code hot Installation Instructions DOES NOT rneet
the impact, resistant requirement for i L s. r . k,! i', 1 5 v 0 t pfif windborne debris regions,
The product without glazing DOES Verified By: Intertek Testing 'Services NA, Inc. comply with the
impact resistant requirement for windbome Created by Independent Third Party; debris regions (ref
1609,1.4 FBC-), Evahmition Reports Created by independent
I hud Party. 15279.3 003
W3-09 DSI1J-1A17I: 9130, Double -skin Insulated PUR (exterior skin 27 ga. min.; 9131, 9133, HDP13,
HDPF13, interior skin 27 ga, rnin.) Single -Car (up to 9'0' wide) FiDPI-13, 7130,
7131, 7133, 8130, WINDCODES W3 Garage Door 8131, 8133 Limits
of Use
Certification Agency Certificate Approved for use
in HVHZ- No il,15°0 P4 C Approved for use
outside, HVHZ- Yes ot" i'll"I'14 :",,;Tl t,m j,,111? Imp"It Resistant.
N/A i tj,,,52,`9 RA C 4'A(,,,_W3 tmg_ 11 Design Pressure. +20
PSF/-20 PSF Quality Assurance Contract Expiration Date Other: The OPTIONAL
glazing available for this product 05/21/2028 meets the wind
load requirements of the building code but Installation Instructions DOES NOT meet
the impact resistant requirement for fl, i, ljl I'll, -RIA1 J1windborne debris regions,
The product without glazing DOES Verified By: Intertek Testing Services NA, Inc, comply with the
impact resistant requirement for efindborne Created by Independent Third Party: debris regions (ref
1609.1A FBC) Evaluation Reports Created by Independent
Third Party„ l52Y9A 1704 W3-
16 USIE-1AIii: 20!>O, 1-3/8' Double -skin insulated EPIS (exterror skin Z/ ga. oun.; 2051, 2053, 4050,
4051, 4053, 62, interior skin 29 go. min.) Double -Car (92" to 16'0" wide) 64, 65, 62G,
62LG, 64G, SDP38, WINDCODEO W3 Garage Door SFL38, SRP38, 134,
135, 136, 6130,6131,6133
Limits of Use
Certification Agency Certificate Approved for use
in HVHZ: No J""A t CNI Approved for use
outside HVHZ: Yes Impact Resistant: N/
A AN 1 0-sign Premsurp-, +
20 PSF,1-21 PSI' QuPlity Assifranice Cionirprt FWPjrathP" I>M'P Other: The OPTIONAL
glazing available for this product 05/21/2028 meets tire wind
load requirements of the building code but Installation Instructions DOES NOT meet
the impact resistant requirement for 1, 1, `,4 11", windborne debris regions.
The product without glazing DOES Verified By: Intertek Testing Services NA, Inc, comply with the
impact resistant requirement for windborne CreatccJ by Independent Third Party: debris regions (ref
1609.1A FBC) Evaluation Reports Created by independent
Third Party: https:,//Nv",-vN.
11(,)ridabuilding.org/pr/pr app dtf.aspx?[)aram=N,.,(j'EVXQ "wtt.)qv3yVVK'JZIQ... 1/17/2017
F16rida Building Code Online
005 W3-16 DSIE-IA471. GDISP, Gallery/Artistry/Expressions: 1-3/8" Double -skin Insulated
GRISP, GDILP, GRILP, Alt1 F, EPS (exterior skin 27 ga. ann,; interior skin 27 ga, min.)
ARILP, EDISP, EDILP, 4132, 2132 Double Car (9'2' tip to 16'0' wide) WINDCODEkil) W3 Garage
6132, SFC38, MFC38 Ditor
Limits of Use
Approved for use in HVHZ. No
Approved for use outside HVHZ. Yes
Impact Resistant: N/A
Design Pressure- +20 PSF/-21 PSF
Other: The OPTIONAL glazing available for this product
meets the wind load requirements of the building code but
DOES NOTmeet the impact resistant requirement for
wiridborne debris regions, The product without glazing DOES
coinTAY'An'th the ino.'virt rasa tant for windhorne
debris regions fret 1609.1.4 FBC).
15279.6 006 W3-16 DSIU-.IA171: 9130,
9131, 9133, HDPI3, HDPF13,
HDPL13, 7130, 7131, 7133, 8130,
8131, 8133
Limits of Use
Approved for use in "VHZ- No
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure. +20 PSF/-21 PSF
Other. The OPTIONAL glazing available for this product
meets the wind load requirements of the building code but
DOES NOT meet the impact resistant requirement for
windtiorne debris regions, The product without glazing DOES
cornply with the impact resistant requirement for windborne
debris regions (ret 1609,1,4 FBC),
15279.7 007 W3-16 PAN-2F153: 73, 1500,
75, 190, 84A, 94, 42, 48, 55, 426,
48B, 55S, 4RST, 6RST, 4PSF, 6RSF
Limits of Use
Approved for use in 14VHZ. No
Approved for use outside HVHZ: Yes
Impact Rismiatarit, N/A
Design Pressure, +20 PSF/ - 21 PSF
Other., I he OP i IONAL glazing available for this product
meets the wind load requirements of the building code but
DOES NOT meet the impact resistant requirement for
windborne debris regions. The product without glazing DOES
corriply with the impact resistant requirement for windborne
debris regions (ref 1609.1.4 FBC),
15279,8 008 W4 09 DSIE 1F171: 4300,
4301, 4310, 4400, 4401, HOG,
HDGL, HDGF, 66, 66G, 67, 67G,
68,SP200,SF200,5E200,6200,
6201,6203
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ. Yes
Impact Resistant: No
Design Pressure: +28 PSFJ-29 PSF
Other. The OPTIONAL glazing available for this product,
meets the whit; toad recloiremeotb of tire buiidiiig code, but
DOES NOT meet tire impact resistant requirement for
windborne debris regions, The product without glazing DOES
comply with the impact resistant requirement for windborne
debris regions (ref 1609.1,4 FBC).
15279,9 009 W4-09 DSIE-lF471: GD2SP,
GR25P, GD2LP, GR21-P, AR2SP,
ARM`, EWSP, EMP, 4302,
HUGL, 6102, SrLbri, Mt-L68
Certification Agency Certificate
JJS,179 RA, l, CM ,eU`r vMh'pr!'c't
141,4 C (AC W3 i,tmo bge,,,k 'df
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instiructions
13279 FZ4 H 104o,,18 Ple'v_,,
Verified By: Interlock Testing Services NA, Inc,
Created by independent Third Partin,
Evaluation Reports
Created by Independent Third Party:
Double -skin Insulated NUR (exterior skin 27 go. min,;
interior skin 27 ga. min,) Double- Car (92.' to 16'0' wide)
WINDCODE(ip W3 Garage Door
Certification Agency Certificate
I{. C ', ettot 'Alltkh WC,")t0f COH43, tj"W,,,?:,00
4'11"S tk'HJ3fflV
152,9 P,1 C CIAU W3 h,4im, h *,Itai
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instructions
1 168 jZe -,, 0 1,,,,rt.:
Verified By: Intertek Testing Services NA, Inc.
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
Steel Pan (min. 25 go.) Double -Car (9'2" to 16'0' wide)
WINDCODE@ W3 Garage Door
Certification Agency Certificate
1 tA'-,2:11 k4 ,,-,(_AC N 'rM"'Aand
Quallity Assurance Contract Expiration Date
05/21/2028
Installation Instructions
K4 T! 11' 1,
Verified By: Intertek Testing Services NA, Inc.
Created by Independent Third Party:
Evaluation Reports
Created by ladependio it Third Party:
2" Double, skin Insutated EPS (exte.hor skin 27 go, min,;
interior skin 27 pa, min.) Siralle-Car (tip to 9'0' wide)
WINDCODECR) W4 Garage Door
Certification Agency Certificate
H 152/9 !,,d and1 cif. CCM, j tvrv w 1pr jqr'J' II
152',/9 CAC W 4il slu'J"Igjnt', I I "I - 'jl" gj! Quality Assurance
Contract Expiration Date 05/21/
2028 lowtaillatio" lostruotions
Verified By:
Intertek Testing Services NA, Inc, Created by
Independent Third Party: Evaluation Reports
Created by
Independent Third Party: Gallery/Artistry/
Expressions: 2" Double -skin Insulated EPS exterior skin
27 ad. miner.; interior skin 27 ga. non.) Single - Car (up
to 9'0" wide) WINDCOM4 W4 Garage Door Limits of
Use Certification Agency Certificate Approved for
use in HVHZ: No 1, j 2 7 9 f1, A` L, L oi "'v t h p ju i, Approved for
use outside HVHZ. Yes Impact Resistant.
No i 1_15,,'"'I P4 C W4,J 'U'jq_!t,, k_j,?df Design Pressure.
4 28 PSF/ -29 PSF Quality Assurance Contract Expiration Date Other: The
standard glazing available for this product 05/21/2028 meets the
wind load requirements of the building code but Installation Instructions PIA k
B https://xv-,
N,w.florid,ibuilding.org/pr/pr". "dti.aspx'?p,ar,imm:%v(jl-VX'Q'wtl)qv3yVVKJZIQ... MW2017
Fl6rida Building Code Online Page 4 of 6
DOES NOT meet the impact resistant requirement for
vandborne debris regions.
15279.10 010 W4-09 DSIU 117171: 9200,
9201, 9203, HDP20, HDPF20,
HDPI-20, 7200, 7201, 7203, 8200,
8201,8203
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
laspact Resistant. N/A
Desig" Pr",sareT 4 28 PSF/-?i) PSF
Other. The OFT TONAL glazing available for this product
meets the wind load requirements of the building code but
DOES NOT meet the impact resistant requirement for
windborne debris regions, The product without glazing DOES
comply with the impact resistant requirement for windborne
debris regions (ref 1609, 1.4 FBC).
Verified By Intertek Testing Services NA, Inc,
Created by Independent Third Party:
Evaluation Reports
Created by Independent I hird Party:
Double •skm Insulated PUR (exterior skin 27 ga, min.;
interior skin 27 ga. rain,} Single -Car (up to 9'0" wide)
WINDCODE(ly W4 Garage Door
Certification Agency Certificate
C CAC Lotii S Wqh pr',Ipf of "'ol"tra'c"
1'pd
Contract pvpirmion Pote
05/21/2028
Installation Instructions
R4 11 1 4 8,3 q W, I
Verified By: Intertek Testing Services NA, Inc.
Created by Independent Third Party:
Evatuation Reports
Created by Independent I hird Party:
15279.11 0IIW4-09DSflJ0-IK479;Canyan DoubieSkin InsWated PUR(exterior skin 27 go. rnin,;
Prdgc,Trctat.stone iritcrior kl 27ga' rnin') With overfay single Car (tip to 9'0" 1 1 wide) WINDCODE@ W4 Garage Door
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant., N/A
Design Pressure: +28 PSF/ 29 PSF
Other, The OPTIONAL glazing available for this product
meets the wind load requirements of the buitdft code but
DOES MDT meet the impact resistant requirement for
windborne debris regions. The product without glazing DOES
comply with the impact resistant requirement for windborne
debris regions (ref 1609.1 A FBC),
Certification Agency Certificate
RJ52,19 f,4 C CA( ` ' W11 J,stmk
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instructions
f
Verified By: Intertek Testing Services NA, Inc,
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party
15279,12 012 W4-09 PAN- 2F1 51 : 73, 1500, Steef Pan (nun, 25 ga,) Single Car (up to 9'0" wide)
75, 190, 84A, 94, 76, 42, 48, 55, WINDCODEN) W4 Garage Door
4213, 4813, 55S, 4RST, 6RST, 4RSF,
6RSF, 2RS-T, GD5S, GD5SV, GR5S,
GR55V, AR16, WSW, FONS,
ED5SV
Limits of Use
Approved for use In HVHZ. No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +25 PSF/-32 PSF
Other. The standard glazing available for this product
meets the wind toad requirements of the building code but
DOES NOT rneet the impact resistant requirement for
windborne debris wegions.
15279.13 013 W4,09 PAN -2F441 : (34S, GS4,
G4L, CIA, GD4S, GD4L, GR4S,
GR4L, G4SV, GS4V, CALV, GL4V,
GD4SV, GC)4fV, GR4SV, GR41-V,
E4S, E41-, FD4S, F114i, 14SV, F41V,
FD4SV, ED4LV, SS4, S14, AMS,
AR41-, SS4V, SL4V, AR4SV, AR41-s'
Limits of Use
Approved for use in HVHZ. No
Approved for use outside HVHZ. Yes
Impact Resistant- No
Design Pressure-, 4.25 PSF/-32 PSF
Other. They standard glazing available fore this product
meets the wind load requirements at the truitchng code but
DOLS NOT mcct the knicact resistant roquirenrent faw
windborne debris regions.
15279,14 014 W4-09 SPO-21`449: GrandIHarbor, Stone Manor
Certification Agency Certificate
M'j! - sp(""O'q, !"ptM
EN
Quality Assurance Contract Expiration Daft
05/21/2028
Installation Instructions
P
Ven ed lay: Intertek I eating Services NA, lnc
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
Gallery/Artistry/Expressions: Steel Pan (min. 24 go,) Single -
Car (up to 9'0" wide) WINDCODEN) W4 Garage Door
Certification Agency Certificate
P, 4 CA th voo, o np, P1,
i wlg = i,'
Quality Assurance Contract Expiration Daft
05/21/2028
Installation Instructions
Verified By: Intertek Testing Services NA, Inc.
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
Steel Pan (min, 24 go,) with Overlay Single -Car (UP to
9Y)"wide) WINDCODE(R) W4 Garage Door
https://-,,N,-vk7w.tloridabuilding.org/pr/l,)r _app__dti.aspx?t),-train, ('TL VXQNNql)qv3yVVK.IZI Q... 1/17/2017
F16rida Building Code Online
Limits of Use
Approved for use in HVHZ- No
Approved for use outside HVHZ.- Yes
Impact Resistant: N/A
Design Presstare. il 25 PSF/ 32 PS4-
Other: The OPTIONAL glazing available for this product
meets the wind load requirements of the building code but
DOES NOT meet the impact resistant requirement for
windborne debris regions. The product without glazing DOES
comply with the impact resistant requirement for windborne
debris regions (ref 1609.1.4 FBC).
15279A5 015 W4 -16 DSIF-I1 171 : 4300,
4301, 4310, 44G6, 4401, WX,
HDGL, HDGF, 66, 66G, 67, 67G,
68, SP200, SF200, SE200, 6200,
6201,6203
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant. No
Design Pressure. +25,5 PSr'/-25.5 PSr
Other. The standard roanng available for this product
meets the wind load requirements of the building code but
DOES NOT meet the impact resistant requirement for
windborne debris regions.
15279,16 016 W4-16 DSIE-IF471: GD2SP,
Gk'2SI1, GD2LP, GR21-P, AR2,7P,
ARA P, FIVSP, ED21 P, 4302,
HDGC, 6202, SFC68, MFC68
Limits of Use
Approved for use in HVHZ- No
Approved for use outside HVHZ: Yes
Impact Resistant. No
Design Pressure; +25,5 PSF/-25.5 PSF
Orthen The standard gWing available for this product
wripets the wind road rr s.aireaviraak s of the tniActing code but
DOES NOT most the inrpact resistant requirement for
windborne debris regions.
15279.17 017 W4-16 DSlEO-IF479: I Coachman/Settlers/Affinity
Limits of Use
Approved for use in Hviriz. No
Approved for use outside HVHZ. Yes
Impact Resistant: N/A
Design Pressure: -+ 25 PSF/-25 PSF
Other-, The omONAL glazing available for this product
meets the wind load requirements of the building code but
DOES NOT meet the impact resistant requirement for
windborne debris regions. The product without glazing DOES
comply with the impact resistant requirerroert for Mraltrome,
debris regions (ref 1609A A FBC),
15279A8 018 W4-16 DSIU-lF171: 9200,
9201, 9203, HDP20, HDPF20,
HDPL20, 7200, 7201, 7203, 8200,
8201,8203
Limits of Use
Approved for aw In HVJKZ- No
Approved for use outside KVHZ; Yes
Impea ftaslvlrwdIVA Design
Pressure* +25.5 PSF/-25.5 PSF Other:
The OPTIONAL glazing available for this product, meets
the wind load requirements of the building code but DOES
NOT meet the impact resistant requirement for, 0001
N iii OW6 A Mil 0 4 1 i " 0 C, debris
regions (ref 1609. 1A FBC) Certification
Agency Certificate 1,
5121 19 P 4 C, CA', L("'Je I VV I, 'h 'p Vot fco I "v "")nd 1,1,1o"A 4
oMniA ssarrance ContractExpiration nate 05/21/
2028 Installation Instructions
1 Rs
is 201-13541) Rt'V06Verified By: Intertek
Testing Services NA, Inc, Created by Independent
Third Party: Evaluation Reports Created
by Independent
third Party: 2" Double -skin
Insulated FPS (exterroi Fkin 27 gar. mim; intuvior skin 27
qa. niiii,) [bauble Cat (9'2" W IG'O' widt-) WINDCODEO W4 Garage
Door Certification Agency Certificate
and Yoqf. k,
AC _W4
j i a "')fflJ "I QualityAssuranceContract
Expiration Date 05,121/2028
InstallationInstructions Verified
By: Intertek
Testing Services NA, Inc. Created by Independent
Third Party: Evaluation Reports Created
by Independent
Third Party: Gallery/Artistry/Expressions:
2' Double -skin Insulated EPS exterior, skin 27
spa , ruin.; interior skin 27 ga, rnrn,) Double - Car (9'2"
amps tp I AT, Moe) Myff)(XV r1 W4 Garage E'ovsr Certification AgencyCertificate
5) 7 9,
N,r., iA C, 1, eI t h 'i ie 5 P,
I C i.,A` W, I stl,L-,',,rted k, i Quality AssuranceContract Expiration ['
late 05/21/2028 Installation
Instroictions Verified By:
Intertek I
eating Services NA, Inc, Created by Independent Third
Party. Evaluation Reports Created by
Independent Third
Party: Double Skin Insulated FPS (
exterior skin 27 ga, min,; interior skin 27ga, niin,)
with Overlay Double -Car (up to 16'0" wide) WINDCODECio
W4 Garage Door Certification AgencV Certificate fAx
i eHer V'
Oh j"noof u'd 4MCAC
W4pff
Quality Assurance Contract Expiration
Date 05/21/2028 Installation
Instructions j 4
11 t
x A,,, Verified By: Intertek Testing
Services NA, Inc, Created by Independent Third
Party: Evatuatior" Reports Cleated by
Ind els.,
ndoit Milli Party, Double -skin Insulated PUR (
exterior skin 27 go, min,; interior skin 27 ga,
min.) Double -Car (9W to 16'0' wide) WINDCODECip W4 Garage Door
Certification Agency Certificate R'
i C 1
L"M"t With 'pro"'A t 'Ind A,(,'- W-11- 4"
fity Assurance Contract
Expiration Date 05/21/2028 Installation
Instructions Verified By:
Intertek Testing
Services NA, Inc, Created by Independent Third
Party: Evaluation Reports Created by
Independent Third
Party: https:HN,k,N,
vw.floridabttilding.org/pr/pr"_Iapp, dti.a,%px?pw-ain=:Nv(,'IEVXQNNtDqv3yVVKJZIQ... 1/17/2017
F16rida Building Code Online
15279A9 019 W4- Ifs DSIUO-IK479: CanyonIRidge/Brookstone
t4rift Of U"
Approved for use in HVHZ: No
Approved for use outside HVHZ. Yes
Impact Resistant: N/A
Design Pressure: 4,25.5 PSF-/-25,5 PSF
Other: The OPTIONAL glazing available for this product.
meets the wind load requirements of the building code but
DOES NOT nlylet the impact resistant requirement for
debrisrettiom(red1609,1AF
Double Skin Insulated PUR (exterior skin 27 ga. rinin,;
interior skin 27ga, niin,) with Overlay Double Car (9'2" to
16'0' wide) WINDCODEO W4 Garage Door
Certificateen Agency Certifictate
of'l
H,152/Q PA C ',A(' W4 hlhng
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instructions
R-1 R4 I I-R, f
Verified By: Intertek Testing Services NA, Inc.
Created by Independent Third Party:
Evaluation Reports
Created by independent Third Party:
15279,20 020 W4-16 PAN- 73, 1500, Steel Pan (min. 25 ga.) Double -Car (97' to 16'0' wide)
75,84A, 94, 42, 48, 55, WINDCODEtid W4 Garage Door
4RST, 6RST, 4RSF, 6RSF, GD!
GD,-,SV, GR5S, GR5SV, ARSS,
AR,5SV, ED5S, ED5SV
Limits of Use
Approved for use in HVHZ; No
Approved Jor use outscildre WVWZ- Yes
Impact Resistant: No
Design Pressure. +24 PSF/-24.5 PSF
Other- The standard glazing available for this product
DOES NOT rneet the impact resistant rectuff'ement for
windborne debris regions,
Go to Page
Cerfilication Agericy, Cerfituarte
15 9 RA C CAC [eU,"r ","iUl l ontsqd 'Mki
i 1A 5279 C CA"" W''1 k'ptff
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instructions
Verified By: Intertek Testing Services NA, Inc,
Created by Independent Third Party:
Evaluation Relycifts
Created by Independent Third Party.
40 0 Page 1 / 8 0 0
Qrlt= Its :: 2&QI-WA-1r21kdoJcia1 JailAbassee-FL-32391) Phodill.-MAIZAtRA
The State of Florida isan AA/EEC erntsoyer. PspcMjjvrjty.Sbirlarnr g,ot Rtirfinddabrihinatrtt Under
Florida law, email addresses are public records, If you do not want your, e-nobi address released 0 response to a pubho-recordsrequest, do rot send electronic
mail to this entity. Instead, contact the office by phone or by traditional mail. If youbase any directions, please contact 850.487,1395. -pursuant to Section
455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, cS, must provide theDepartment with an email address if they
have one. 'The enact provided may ba, ored for officialcommunkation with the ficensee, However ern ail addresses are public record. If youdo not wish to supply
a personal address, fawise provide the Department with an email address when can be made available to the cook. To detemune if you are a licensee under. Chapter
455, F,S,, orease rfick Sget,, Product
Approval Accepts. WD
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Building and Fire Prevention
Clity of Sanford
Product Approval Specification Form
Prqiect Location Address —A
As required by Florida Statute 553,842 and Florida Administrative Code 9N-3, please provide theinformationandproductapprovalnumber(s) on the building components listed below if they are to beutilizedonthe, construction project for which you are applying for a building permit. We recommend that
you contact your locaj, product supplier should you riot, know the product approval number for any of theapplicablelistedproducts. 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 ProductApprovalcanbeobtainedat1A,,,ww,fio
The following infonnation must be available on the jobsite for inspections: I . This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Applicant's Signature
Applicant'sam
PleasePrint)
hine 20f
I , ew I I'V, 't I
REQUIRED INSPECTION SEQUENCE
Address:
ELECTRICAL PERMIT
7-7-- 77MaxMinInsVection Description
lee ic ough
Pre -Power Final
Mechanical Loug
Mechanical Final
Min 1 Max