HomeMy WebLinkAbout620 Sarita St 10-414 (partial demo/remodel)NFORD
. . . . . . . CITY OF S�A
CITY OF SANFORD
DEC 0 ZOOS -� BUILDING & FIRE PREVENTION
PERMIT APPLI49f"" � �/Of�,��
/ i
a Y Q
Application No:� � I � � r � D�Ocumented Construction Value: $
Job Address: X 2 c, S ?Yl f S t Historic District: Yes ❑ No ❑
Parcel ID:
Description of Work: '-r2A&v1CJ
Plan Review Contact Person: IZ \yl, o Title:
Phone: jo`7 ZZI - 6/&-8 Fax:
_ E-mail: ID D 13 SW Uerl e- i�AAVWuNle. ; >--i
Property Owner Information -/d? _ c/7I If - 3Z 7,3C iu-)
Name _�l1.eTl�-3XGw0A k_#UtG407 Phone: 4o -7-J-74 - 42e1& 60-4cs)
Street: &2 O S A4 t -rA ' . Resident of property?: `iL55
City, State Zip: tJ _O
NameLjlLb��jw,n/v�
Street:
City, State Zip:
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information �^
Phone: ted' °% 22 s 5 (o 0
Name: ,& v ( D SSV I✓T
Street: -1 % S 6 -
City, St, Zip: ('02 0 {=L.
Bonding Company:
Address
Building Permit ❑
Square Footage:
No. of Dwelling Units:
Fax:
E-mail: t>D'13 i✓AtLT14c,1, )K,!Q rT
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction 'Type:
Flood Zone:
Electrical ❑
New Service. °No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
yo P Ve/
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures: —
Fire Sprinkler/Alarm ❑ No. of heads:
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 issgance 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 regulating 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. 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date
Print Owner/Agent's Name
oke J -y- i� 0 �.
Signature of Notary -State of Florida Date
otiisv vu .
s �, BB'IE'BL�'O
MY COMMISSION = DD629096
� EXPIRES: February 25, 2011 k.,
Owner/Agent i '�°;�sonallOwwt&Me or
.,,>A.A _ w c
Produced ID 3'ype o
APPROVALS: ZONING:
COMMENTS:
Rev 11.08
L_
ENGINEERING:
UTILITIES:
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida
Contractor/Agent is
Produced ID
Date
_ Personally Known to Me or
Type of ID
WASTE WATER:
BUILDIN
Property AddressL/22 a SIR/ ti - YZ_
do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
Signature of Owner -Bu
Form of
Photo ID)
Date
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
I am of aware of construction practices and I have agcess to the Florida Building Codes. .
-
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
and the Florida Department of Revenue. I also understand that I may contact the Florida
`
_Services,
Construction Industry Licensing Board at 1-850-487-1395 or at www.Lnyflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
i
information that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property AddressL/22 a SIR/ ti - YZ_
do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
Signature of Owner -Bu
Form of
Photo ID)
Date
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
? :
Altamonte Springs, Casselberry,'Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (initial to the left of each statement)
Rev. 9.14.2009
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
!,
license.
`
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law, to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
C
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
Ac
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
des '��ion
sl ��c�.�
c
Civil Engineering ® CADD Services m,: Construction Administration
City of Sanford
300 N. Park Avenue
cc
Sanford, FL 32772 OFF1
January 27, 2010
RE: Engineer of Record
Curtis & Brenda Knight r
620 Sarita Street
Sanford, FL
Dear Sir:
In accordance with Chapter 61 G15-27 of the Florida Administrative Code, I Chad S.
Linn, PE with design solutionsfi, Inc. formally accept the professional engineering
responsibilities for the above referenced project.
Sincerely,
Chad S. Linn, PE
PE #57524
6239 Edgewater Drive - Building N2, Suite 313 e Orlando, Florida 32810
0: 407.532.8323 • F: 407.532.8324
www.designsolutionsfl.com • info@designsolutionsfl.com
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Florida Building Code Online
01
Page l of 3
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/ Phone/ Emali
Category
Subcategory
Compliance Method
Certification Agency
Validated By
Exterior Doors
Swinging Exterior Door Assemblies
Certification Mark or Usting
National Accreditation & Management Institute,
National Accreditation & Management Institute,
Referenced Standard and Year (of Standard) S_taltd rA
TAS 202
Equivalence of Product Standards
Certified By
Product Approval Method Method I Option A
Date Submitted 12/24/2008
Date Validated 12/30/2008
Date Pending FBC Approval 01/07/2009
Xear
1994
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3
BCISHome I Log In I User Registration I Hot Topics I Submit Surcharge I Stats & Facts I Publications FBC
Product Approval
:xn
ift USER: Public User
PLO4-Ua.ADDLO.'La1.MeRLl > B2od.u,Ct_Of 6ppj[W 0jLSe=bL> ApOlk.etlon LJSI > AppliCation Detail
Fl #
FL5508-R2
Application Type
Revision
Code Version
2007
Application Status
Approved
Comments
+'"•^I
F
Archived
i..]
Product Manufacturer
Masonite International
Address/Phone/Email
One North Dale Mabry
Suite 950
Tampa, FL 33609
(615)441-4258
sschreiber@masonite.com
Authorized Signature
Steve Schreiber
sschreiber@masonite.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/ Phone/ Emali
Category
Subcategory
Compliance Method
Certification Agency
Validated By
Exterior Doors
Swinging Exterior Door Assemblies
Certification Mark or Usting
National Accreditation & Management Institute,
National Accreditation & Management Institute,
Referenced Standard and Year (of Standard) S_taltd rA
TAS 202
Equivalence of Product Standards
Certified By
Product Approval Method Method I Option A
Date Submitted 12/24/2008
Date Validated 12/30/2008
Date Pending FBC Approval 01/07/2009
Xear
1994
Search I
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Florida Building Code Online
Date Approved 02/03/2009
Page 2 of 3
Summary of Products
FL #
JIMlodel, Number or Name
Description
5508.1Flush
Glazed Fiberglass Side-
6'-8" Glazed IIS Double Door w/ or w/o Sidelites
=Hinged
Door Units
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: Yes
_FL550�R�C CAC_NLQQ5221=R3,PDF
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant: No
12/31/2010
Design Pressure: +50.5/-55.0
Installation Instructions
Other: Evaluated for use in locations adhering to the
FL5S08 RZ II F1550$_6_8 Glaed�icF�orp_df
Florida Building Code including the High Velocity
Verified By: National Accreditation & Management
Hurricane Zone, and where pressure requirements as
Institute,
determined by ASCE7, Minimum Design Loads for
Created by Independent Third Party:
Buildings and Other Structures, does not exceed the
Evaluation Reports
design pressures listed. 12'-0" x 6-8" max nominal size.
Created by Independent Third Party:
When impact resistance is required, hurricane protective
system is required. See anchor detail DWG-MA-FL0140-
05 for additional Information.
5508.2
Flush Glazed Fiberglass Side-
6'-8" Glazed 0/S Double Door w/ or w/o Sidelites
Hinged Door Units
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: Yes
FJ 5508 g2� CC�vZQ05Z2�EL3 PAF
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant: No
12/31/2010
Design Pressure: +55.0/-55.0
Installation Instructions
Other: Evaluated for use In locations adhering to the
EI-S0_$�2�LEL55Q8 6 8_GJazedJl_acher_,pdf
Florida Building Code including the High Velocity
Verified By: National Accreditation & Management
Hurricane Zone, and where pressure requirements as
Institute,
determined by ASCE7, Minimum Design Loads for
Created by Independent Third Party:
Buildings and Other Structures, does not exceed the
Evaluation Reports
design pressures listed. 12'-0"x 6'-8" max nominal size.
Created by Independent Third Party:
When impact resistance Is required, hurricane protective
system is required. See anchor detail DWG-MA-FL0140-
05 for additional informatlon.
5508.3
Flush Glazed Fiberglass Side-
8'-0" Glazed I/S Double Door w/ or w/o Sidelites
Hinged Door Units
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: Yes
E1550&_R2_.C-C6-C�-NIQ0622J--R3,ED.F .
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant: No
12/31/2010
Design Pressure: +43.0/-45.0
Installation instructions
Other: Evaluated for use in locations adhering to the
ELSSQ$ R2 IT�L50� 8 0 Gl@��dJ{QG1toLAdf
Florida Building Code including the High Velocity
Verified By: National Accreditation & Management
Hurricane Zone, and where pressure requirements as
Institute,
determined by ASCE7, Minimum Design Loads for
Created by Independent Third Party:
Buildings and Other Structures, does not exceed the
Evaluation Reports
design pressures listed. 12'-0" x 8'-0" max nominal size.
Created by Independent Third Party:
When
When impact resistance Is required, hurricane protective
system Is required. See anchor detail DWG-MA-FL0141-
05 for additional information.
5508.4
Flush Glazed Fiberglass Side-
8'-0" Glazed O/S Double Door w/ or w/o Sldelltes
HIn ed Door Units
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: Yes
,EL5S.0$_R2 C CAC Ni0Q62.2_L-R3_jjQF
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant: No
12/31/2010
Design Pressure: +47.0/-40.0
Installation Instructions
Other: Evaluated for use in locations adhering to the
F_i 5S_Q8_R2 ZI E1508_8 0 Gla_z�dA_ac�iordf.
Florlda Building Code including the High Velocity
Verified By: National Accreditation & Management
Hurricane Zone, and where pressure requirements as
Institute,
determined by ASCE7, Minimum Design Loads for
Created by Independent Third Party:
Buildings and Other Structures, does not exceed the
Evaluation Reports
design pressures listed. 12'-0" x 8'-0" max nominal size.
Created by Independent Third Party:
when impact resistance is required, hurricane protective
system is required. See anchor detail DWG-MA-FL0141-
05 for additional information.
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Florida Building Code Online
QCA Administration
Department of Community affairs
Florida Bblldlny Code Online
Codes and Standards
_ 2555 Shumard Oak Boulevard
Tallahassee, Fulda 32399-2100
(850) 487-1824, Fax (850) 414-8436
® 2000-2005 The State V Florida. All rights reserved. Copyright and_Djssialmer
Product Approval Accepts:
vnl&yn t;;r
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rrefrr.
Page 3 of 3
http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgt2g7jKEgbCBs... 12/8/2009
r
SIDE -HINGED FIBERGLASS DOOR UNIT
W-8' FLUSH GLAZED DOUBLE DOOR WITH/ WITHOUT SIDEUTES
GENERAL NOTES
I. EVALUATED FOR USE IN LOCATIONS ADHERING TO
THE FLORIDA' BUILDING CODE AND WHERE PRESSURE
REQUIREMENTS AS DETERMINED BY ASCE 7, MINIMUM
DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES,
DOES NOT EXCEED THE DESIGN PRESSURES LISTED.
2. HURRICANE PROTECTNE SYSTEM (SHUTTERS) IS REQUIRED.
3. POLYURETHANE CORE FLAME SPREAD INDEX OF 50.
AND SMOKE DEVELOPED INDEX OF 60 PER ASTU EB4.
4.. PLASTICS TESTING OF FIBERGLASS FACING:,
TES! DESCRIPTION DESIGNATION RESULT
SELF IGNMON TEMP ASTM D1829 803 'F > 650 'F
RATE OF BURNING ASTM 0635 0.79 IN MIN
SMOKE DENSITY ASTM 02843 48.9R
TENSILE STRENGTH SASTM 0638 -7,3R OIFF
5_ PLASTICS TESTING OF LITE FRAME MATERIAL:
TEST DESCRIPTION DESIGNATION RESULT
SELF ICNRION 7E]AP ASTM 01829 960 'F >-.650 'F
RATE QF DENSITY
ASTM 0635 0.98 IN MIN
SMOKE DENSRY ASTM 028<3 59:IR
TENSILE STRENGTHS ASTM 0790-B.ISR' qFF
'
COMPARATIVE TENSILE STRENGTH AFTER WEATHERING
4500 HOURS XENON ARG METHOD I-
i
° • o
SINGLE DOOR UNIT IX)UHLE DOOR UNIT SINGLE DOOR UN t7 S1NGtf DOOR LINR
WITH SIDELITE JVlTtI SIDEtfTE
TABLE OF CONTENTS
SHEET j DESCRIPTION
1 TYPICAL ELEVATIONS & G NERAL NOTES
2 ANCHORING LOCATIONS & DETAILS
ANCHORING LOCATIONS &DETAILS
149' MAX. OVERALL ntWC N107H
25" MAX 36.375' MAX.
01.0: PANEL V110TH 37.5" MAX.
VI/ASTRAGAL FRAME WIDTH
0
N
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aQ
3
DOUBLE ODOR UNIT WISIDELITFS
cotaba1110.:. -'R2.
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SINGLE DOOR UNIT W/SIOELRFS
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8' SEE DETAIL 3" 6"
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—
w
111r6`
6- 3"
6•
�tl
� a
U
a SEE DETAIL
w
0
p vT
a G
to
3• 3~ t 3.1
SEE DETAIL
F A6krdnb[M
Ce1h:
Rnda�IdBi:
IkbAene
118 x 2-1/2"
18 x 2--1/2"
0
DETAIL "D"
1.375' fft— 7
T
INSWING THRESHOLD
#10x2,
#8 x 2-1/2"
#10 x 5/8"
#10 x 1-1/4„
#10 x 5/8'.
#i0 x 3/4"
#10 x 2" DETAlL '"'E" ASTRAGA
DETAIL "C" ATTACH ASTRAGAL RETAINER BOLT
STRIKE PLATE TO FRAME
AS SHOWN.
0.962''
T
OUTSWING THRESHOLD
HIGH DAM O/S THRESHOLD
IEE DETAIL
C.
G.
ASTRAGAL RETAINER BOLT HOLE
MUST BE DRILLER. THROUGH
THE THRESHOLD & INTO THE
STRUCTURE DEEP ENOUGH
FOR A 1.375" THROW
DETAIL "F" ASTRAGAL
ALUM, STEEL OR BUTYL
SPACER
DOW 995DOW 995
OR EQUAL` OR EQUAL
TYPICAL GLAZING DETAIL
!Aa. �: Sws
cw an
SEE DETAIL
"6' SHT. 2
Y
1
w
ci
p N
W �
U
SEE DETAIL
} t) SHT. 2
D
w
ul
a C
io
ATTACHMENT DETAIL
KWIKSET MAXIMUM SECURITY SERIES: GRADE 2
1. ANCHOR ANALYSIS FOR LOADING CONDITIONS PREPARED,
I 1 1
_
SIGNED AND SEALED BY HAROLD E. RUPP, PE
I I I
(FLORIDA #.15935) WITH THE LOWEST (LEAST)
4" X 4" FULL MORTISE BUTT HINGES.
FASTENER RATING FROM THE DIFFERENT FASTENERS
., • ..
BEING CONSIDERED > OR .USE. JAMB, HEAD, AND
_ *
THRESHOLD FASTENERS ANALYZED FOR THIS UNIT INCLUDE MI<J
#10 WOOD SCREWS OR 3/16" TAPCONS. A PHYSICAL
_ o.2s
.25
SHIM MUST BE PLACED IN SHIM SPACE. AT EACH ANCHOR
'o
LOCATION.
CL
W
li/ B
2. THE W000.SCREW SINGLE. SHEAR DESIGN VALUES COME FROM
G H
II 11
B
—
11 j
ANSI/AF&PA NDA FOR SOUTHERN PINE LUMBER AND ACHEIVEMENT
J'6
OF 1-1/2'` MINIMUM EMBEDMENT. THE TAPCON MUST ACHIEVE
TYPICAL
MINIMUA EMBEDMENT OF 1<-1/4".
ANCHOR INSTALLATION
3. WOOD BUCKS BY OTHERS MUST BE ANCHORED PROP8RLY TO
TRANSFER LOADS TO STRUCTURE,
4. MINIMUM DESIGN VALUE STRENGTH OF ANCHORS 171 LBS.
6"
KWIKSET MAXIMUM SECURITY SERIES: GRADE 2
e'
I 1 1
_
1 I
8. 6'j
I I I
2.
4" X 4" FULL MORTISE BUTT HINGES.
w
'o
W
li/ B
I II
G H
II 11
B
—
11 j
w
J'6
8'
r 3.
8'
g`
HARDWARE I;rHFhI It F
1.
KWIKSET MAXIMUM SECURITY SERIES: GRADE 2
CYLINDRICAL AND DEADLOCK HARDWARE TO BE INSTALLED
AT 5-1/2" CENTERLINE.
2.
4" X 4" FULL MORTISE BUTT HINGES.
td�vdur,bltMe)
Card�onllo.:
Det �
N.T.S.
er.. sm
NC NO::
-MA -F1014(
3 OF
NA.H NO'T'ICE OF PRODUCT EINE
'ERTIEICATION
Certification No.:
Date:
Revision Date:
Certification Program:
Company:
Code:
NI006221-113 Page 1
09/23/2005
12/18/2008
Structural
Masonite International
M-703-1
The "Notice of Product Line Certification' is valid only when Administrator's Seal is applied to the upper
left hand portion of this form and a certification label is applied to the product. This certification sea]
represents product conformity to the applicable specification and that all certification criteria has been,
satisfied.
The products and systems listed below are approved for listing in the Directory of Certified Products at
www.NAMICertification.com. Please review, and advise NAMI immediately if data, as shown requires
corrections.
Company: Masonite International Corporation
1955 Powis Road
West Chicago, EL 60185
Product Line: Masonite Fiberglass Flush -Glazed Side-Hineed Door Units
Test Report: CTLA 945W & CTLA-945W-1
Section 1: General Description of the Products and Systems under this Certification
11 Frame: The frame jambs consist of finger jointed pine with all congers
coped, butted, and sealed using three 2" long wire staples (.04375").
1.2 Mullion Construction: Where used, each mullion . constructed of
laminated lumber with a pine cap and attached to the header and threshold
with three #10 x 3" Philips Flat Head Wood Screws.
1.3 Glazing: Where used, the overall insulated glass was glazed into a rigid
cellular vinyl frame. Consisted of symmetric monolithic insulated glass
with 3mm (0.118) tempered glass with aluminum, steel or butyl spacer.
1.4 Door Leaf Construction: Each fiberglass door leaf was constructed from
0.075" thick fiberglass composite material. Top rail and stiles constructed
from wood, with or without composite edge band.
National Accreditation & Management Institute, Inc.
11870 Merchants Walk Suite 202 -Newport News, VA 23606
TEL(757) 594.8658 FAX(757)594-8659
Section 2: Registered Suppliers
2.1 Door Lites:
2.2 Astragal:
Certification No.: NI006221-R3 Page 2
Revision Date: 12/18/2008
Marley
Endura Ultimate or DLP
Section 3: Additional Supportive Test or Acceptance Data Provided with
Certification Documentation included:
3.1. Fiberglass Composite (Including raw composite, painted composite
and stained and top coated composite -Tested for Tensile & Elongation
Properties per ASTM D638, both before and after weathering for
4500 hours per ASTM G26 Xenon Are Method 1. Test performed by
Universal Laboratory, Inc. -Test Report 27009/27009 -A/27009 -B.
3.2 Skin material tested to ASTM D635, ASTM D2843 and ASTM D1929
And conditioned for not less than 40 hours per ASTM D618. "Rate of
Burn, Self Ignition Temperature and Smoke Density Tests" to
Fiberglass Skin conducted by ETC Laboratories, Test Report ETC -
98 -417-7139.0.
33 Miami -Dade Building Code Compliance Notice of Acceptance for Lite
Frame Material, NOA#08-0422.07.
3.4 Surface Burning Characteristics for Foam Filled Door performed by
Omega Point Laboratories to ASTM E84-98, "Standard Test Method
for Surface Burning Characteristics of Building Materials -Report No.
15977-104313.
3.5 ASTM E1300 Glass Load Resistance Report provided by National
Certified Testing Laboratories NCTL-110-9735-1.
3.6 Anchor Calculations for:
Anchor Performance Calculation Report -Performed by Harold E.
Rupp, P.E. (Florida No. 15935.)
3.7 National Accreditation & Management Institute, Inc. W -1362/W-1416
See additional Pages of Certification for Certified Product Line Matrix(s) and Installation Details. If you
have any questions regarding this certification, please contact NAME at (757)594-8658.
NationaI Accreditation & Management Institute, Inc.
11870 Merchants Walk State 202 -Newport News, VA 23606
TEL(757) 594.8658 FAX(757)594-8659
Company:
Product:
NOTICE OF PRODUCT CERTIFICATION
Masonite International Corporation Certification No.:
1955 Powis Road Certification Date:
West Chicago, IL 60185 Expiration Date'
Revision Date -
N1006221 -R3 Page 3
09/23/2005
12/31/2010
12/18/2008
Fiberglass Flush Glazed Inswing or Outswing Door w/ and w/o Non -Impact Rated Sidelites (w/Wood Frame unless noted)
Specifications Tested To: TAS 202-94
The "Notice of Product Certification" Is only valid If the NAMI Certification Label has been applied to the product as described within this document. The certification
label represents product conformity to the applicable specification and that all certification criteria has been satisfied. This product has been approved for listing within
NAMI's Certified Product Listing at www.Nanilcertifleation.cont. NA-rII's Certification Program is accredited by The American National Standards Institute (ANSI).
Configuration
Inswing
GlazedDesign
Missile
Test Report Number
or
or
Maximum
Pressure
Impact
Drawing Number &
Outswin
O a ue
Size
Pos/Ne
Rated
Comments
X
Single
I/S
Glazed
3'0" x 6'8"
+50.51-55.0
No
CTLA-945W
Maximum Panel Size: 3'0" x 6'8-'
X
O!S
Glazed
3'0" x 6'8"
+551-55
No
Anchor Detail -MA -FIA 140-05
CTLA-945W
Single
Maximum Panel Size: 3'0" x 6'8"
XX
US
Glazed
6'0" x 6'8"
+50.51-55.0
No
Anchor Detail-MA-FL0140-05
CTLA-945W
Double
Maximum Panel Size: 3'0" x 6'8"
XX
O/S
Glazed
6'0" x 6'8"
+551-55
No
Anchor Detail -MA -171-0140-05
GFLA-945W
Double
Maximum Panel Size: 3'0" x 6'8"
XO/OX
I/S
Glazed Door
6'0" x 618"
x-50.51-55.0
Door -No
Anchor CTLA 945W 140-05
Single w/Sidelite
Glazed Sidelite
Sidelite-No
Maximum Panel Size: 3'0" x 6'8"
X010X
O/S
Glazed Door
6'0" x 6'8"
+55/-55
Door -No
Anchor Detail-MA-FL0140-05
CTLA-945W
Single w/Sidelites
Glazed Sidelite
Sidelite-No
Maximum Panel Size: 3'0'• x 6'8"
OXO
I/S
Glazed Door
9'0"x6'8"
+50.5/-55.0
Door -No
Anchor Detail-MA-FL0140-05
CTLA-945W
Single w/Sidelites
Glazed Sidelites
Sidelites-No
Maximum Panel Size: 3-0"x 6-8"
OXO
O/S
Glazed Door
9'0"x 6'8"
+55/-55
Door -No
Anchor Detail-MA-FLA140.05
CTLA-945W
Single w/Sidelites
Glazed Sidelites
Sidelites-No
Maximum Panel Sizo 3'W'x 6'8"
OXXO
I/S
Glazed Doors
12'6" x 6'8"
+50.5/-55.0
Doors -No
Anchor Detail-MA-FLA140-05
CTLA-945W
Double w/Sidelites
Glazed Sidelites
Sidelites-No
Maximum Panel Size: 3'W'x 6'8`-
OXXO
O/S
Glazed Doors
p
1276" x 6'8 "
+551-55
Doors -No
Anchor Detail-MA-F1A140-05
CTL.A-945W
Double wlSidelites
Glazed Sidelites
Sidelites-No
Maximum Panel Size: 3W x 618"
National
Accreditation
& Management
Institute. Inc.111870
Merchantc
Walk c„ita
Anchor Detail-MA-FL014"S
ae,.... 17 A 1QLnL
Tel-757.594.8658/Fax-757.594.8659
NAMI AUTHORIZED SIGNATURE:
NOTICE OF PRODUCT CERTIFICATION
Company: Masonite International Corporation Certification No.: NI006221-R3 Page 4
1955 Powis Road Certification Date: 09/23/2005
West Chicago, IL 60185 Expiration Date: 12/31/2010
RevisionDate: 12/18/2008
Product: Fiberglass Flush Glazed Inswing or Outswing Door w/ and w/o Non -Impact Rated Sidelites (w/Wood Frame unless noted)
Specifications Tested To: TAS 202-94
The "Notice of Product Certification" is only valid if the NAIII Certification Label has been applied to the product as described within this document. The certification
label represents product conformity to the applicable specification and that all certification criteria has been satisfied. This product has been approved for listing within
NAMI's Certified Product Listing at wmy.Namicertifleation.com. NAMI's Certification Program is accredited by The American National Standards Institute (ANSI).
nationai Accreditation & Management institute, Inc./11870 Merchants Walk Suite 202/Newport News, VA ¢06
Tel-757.594.8658/Fax-757.594.8659
NAMI AUTHORIZED SIGNATURE:
Inswing
Glazed
Design
Missile
Test Report Number
Configuration
or
or
Maximum
Pressure
Impact
Drawing Number &
Outswing
Opaque
Size
Pos/Neg
Rated
Comments
X
I/S
Glazed
3'0" x 8'0"
+43/45
No
CTLA-945w-1
Single
Maximum Panel Size: 3'0" x 8'0"
Anchor Dctail-MA-FL.0141-05
X
O/S
Glazed
3'0" x 8'0"
+47/40
No
CTLA-945w-1
Single
Maximum Panel Size: 3'0" x 8'0"
Anchor Detail-MA-FL0141.05
XX
I/S
Glazed
6'0" x 8'0"
+43/45
No
CTLA-945w-1
Double
Maximum Panel Size: 3'0"x 8'0"
Anchor Detail-MA-FL0141-05
XX
O/S
Glazed
610" x 8'0"
+47/40
No
CTLA-945w-1
Double
Maximum Panel Size: 3'0" x 8'0"
Anchor Detail-MA-FLA141-05
XO/OX
US
Glazed Door
6'0" x 8'0"
+43/45
Door -No
CTLA-945w-1
Single w/Sidelite
Glazed Sidelite
Sidelite-No
Maximum Panel Size: 3'0"x 8'0"
AnchorDetail-MA-Ft-0141-05
XO/OX
O/S
Glazed Door
6'0" x 8'0"
+47/40
Door -No .
CTLA-945w-1
Single w/Sidelites
Glazed Sidelite
Sidelite-No.
Maximum Panel Size: 3'0"x 8'0"
Anchor Detait-MA-FL0141-05
OXO
I/S
Glazed Door
9'0" x 8'0"
+43/-45
Door -No
CTLA-9451V-1
Single w/Sidelites
Glazed Sidelites
Sidelites-No
Maximum Panel Size: 3'0"x 8'0"
Anchor Detail-MA-FL0141-05
OXO
O/S
Glazed Door
910" x 8'0"
+47/-40
Door -No
CTLA-945w-1
Single w/Sidelites
Glazed Sidelites
Sidelites-No
Maximum Panel Size: 3'0" x 8'0"
Anchor Detail-MA-FL0141.05
OXXO
I/S
Glazed Doors
12'6" x 8'0"
+43/-45
Doors-NoCOLA-945w-1
Double w/Sidelites
Glazed' Sidelites
Sidelites-No
Maximum Panel Size: 3'0" x 8'0"
Anchor Dctail-MA-FL0141.05
OXXO
O/S
Glazed Doors
12'6" x 8'0"
+47/-40
Doors -No
Cr1 A -945w-1
Double w/Sidelites
Glazed Sidelites
Sidelites-No
Maximum panel Size: 3'0" z 8'0"
Anchor retail-MA-FL014'1-05
nationai Accreditation & Management institute, Inc./11870 Merchants Walk Suite 202/Newport News, VA ¢06
Tel-757.594.8658/Fax-757.594.8659
NAMI AUTHORIZED SIGNATURE:
TAPCON
C9nereie W Masonry Ope^t^9 SIZE
WINDOW 10
Outside OFnensSor, 1�' Ulu.
12 18 1/8 x 25
Per,ETRAnoN
_ Perimeter Caulk, _ _ .� . ._ _.. __ ... ..13._.. 8.1�et3.3/
14 49 j
,- cavil 8etee
;18.8/8 x-,62:
Flonge:onE Buck
Cit<t,t ct•1'ii I t
FASTENER LOCATIONS'
1. Shun` a`s required of each installation anchor as shown.
OP35.1 TO D60
2. Anchor 'must. be -of a length to have 1 1/4.' penetration
- t t A!!9L VA Y.t?Fn'•79 �...:.� r en
Into mo'4pnry or concrete. -
f
3. Caulk between window flange and buck.
caulk--ful perInTeter -of- window: - _... _ ... _
5..
.t v : Com. seta Ki ,
If exact indow size is not given, use anchor quantity for
� � uN u13 ,i Ana
next I&46 window in chort.
-6.
V
Gloss thickness will vary with window size and design load,
7. Letter designations on the topcon location chart Indicate where
4 vza#d r3�i �y au„�;
onchors'ore to be installed using the elevotfon as a key.
B. All fact ny applied holes not designated for topcon
a: v,.
anchor
should be filled with 8 screws. of sufficient length to provide
5/!'�” embedment into:wood buck.
min. _.
Puratd.c? tau U' Q }tc?e ..-
36 x 49 5/8
..
TAPCON
C9nereie W Masonry Ope^t^9 SIZE
WINDOW 10
Outside OFnensSor, 1�' Ulu.
12 18 1/8 x 25
Per,ETRAnoN
_ Perimeter Caulk, _ _ .� . ._ _.. __ ... ..13._.. 8.1�et3.3/
14 49 j
,- cavil 8etee
;18.8/8 x-,62:
Flonge:onE Buck
Cit<t,t ct•1'ii I t
FASTENER LOCATIONS'
UO TO OP3S
OP35.1 TO D60
C. D
C, 0
C 0
2. 1/24 49 5/8;
C, 0
C. 0
C. 0
C. D
0.0
C, 0
25
-8y
S:w:
C 0'
23 1/2 i 37 3/8
C<0
C 0
2. 1/24 49 5/8;
C:.p
C G
25 1/2 x 62 -:
G, O
c, fl :.:
25:1/2 .x.71 1/4.
C, D
36x 25 :-
.x
C 0
36 37 3/e
F D
C, 0
36 x 49 5/8
C, 0
C, 0
36 x 55 1/4
C. 0
0, C. D
36 -x 82
C D
8, C. 0
36 x 71 1/4
8, C, 0
8, C. 0
52 1/,8 x 25
C 0
C, D
52 1/8 x 37 3/8
C. 0
C, D
62 1/8 x 49 5/8
C. 0
B, C, 0
S2 1/8 x 55 1/4
8,.C, 0
B, C. 0
52 1/8 x 62
B. C, 0
0, C. D
51 1/8 x 71 1/4
B, C. D
A. U. C. D
241/4 x 60 1/4
C. 0
C, 0
36 1/4 x 48 1/4
0.0
C, 0
361/4 x 60 1/4
C, 0
8, C, 0
48 1/4 x 60 1/4
B, C.
B, C, 0
52 1/8 x 71 1/4
.D
8, C, D
B, C, D
6th ;7, �- ° \" ° " B ,tr INSTALLATION INSTRUCTIONS,
Cavil eelreen Flange and Pre-Cast-CastSJl ,•=p; iS tC
"" &FASTENER SCHEDULE
*'TAPCON' TYPE HARMED MASONRY SCREWS INCLUDE TAPCON. RAWL. & SIMPSON ........—'—.—'�: �/ f:'.n��t �w���-�--SINGLE-HUNG
S:w:
vfvc
NONE
1 01 1
r�STi -x
P
,We.
!� Conerele or Masonry Opening _ TQF—
Perimeter Caulk
By other
Pre—Cast SIA
By Other
Sill
v Stool By Others
o
I.4 R 0
Caulk Between Flanpo end Pre—Cast Sill
A
1. Shim as required of"each Installation anchor as shown, with load bearing shim.
2. Anchor must ,be of sufficient length to provide 1 1/4" min. embedment
Into masonry or concrete.
J. Caulk between window flange and buck.
4, Caulk full perimeter of window.
5. If exact window size is not given, use anchor quantity for
next larger window in chart.
6. Gloss thickness will vary with window size and design load, and must comly
with ASTM E1300. C�tIAIl.tLL71IDIDiWllllW1..
7. Letter designations on the topcon location chart Indicate where
anchors are to be installed using the elevation as a key.
8. All factory applied holes not designated for topcon' should be filled with.
#8 screws of sufficient Ith. to provide 5/8` min, embedment into wood buck_
TAPCON LOCATION CHART
CODE WINDOW ID FASfENM LOCATIONS
Concrete or Masonry Opening SIZE . SIZE OP36 TO DP52 DP52,1 TO DP70.6
Outside Oknrnst.n rPENS RAV N 12 18 1/8 x 25 A. C A C
Perimeter Caulk I 13 18 1/8 x 37 3/8 A C A, C
14 18 1/B x 49 5/8 A C A C
Caulk Between 15 18 1/B x 62 A C A, B, C
Flange and Buck 16 1B 1/8 x 71 1/4 A, C A, B, C
a'a 1/232 25 1/2 x25 A,C A C
1/2 33 25 1/2 x 37 3/8 A C A. C
1/2 34 25 1/2 x 49 5/8 A C A, B, C
1 /2 35 25 1/2 x 62 A B, C A, B, C
a n 1/2 36 25 1/2 x 71 1/4 A, B, C A B. C
•e
Jamb22 Mx25 AC A C
4 c 23 36 x 37 3/8 A C A. B. C
q 24 36 x 49 5/8 A, B. C A B. C
245 38 x 55 1/4 A, B, C A, B. C
A•O 25 36x62 A.B.0 A 8.0
c 26 38 x 71 1/4 A. B. C A, B, C. D
32 52 1/8 x 25 A, C A C
{�"*'�•SHN N 52 1/0 x 37 3/a h C h t9, c
BUCK d a a 34 52 1/8 x 49 5/8 A. B. C A, B. C
345 52 1/8 x 55 1/4 A B. C A B. C. D
35 52 1/0 x 62 A B, C A. B. C. D
Topc.n 36 52 1/8 x 71 1/4 A 8, C, 0 A B, C, D, E
Inside Dimension wood Buck By Other
0 D
A
Caulk Between
Buck and Opening *"TAPCM* TYPE HARDENED MASONRY SCREWS
INCLUDE TAPCON, RAWL, rk SIMPSON
Design Pressure vakies listed ab.ve are In PGF
INSTALLATION INSTRUCTIONS
S.W.
1/15/02
& FASTENER SCHEDULE
r>�
We
•
v
V
° af
in
ndg
andPy
Z
o
v ,
By others
F
Wood Huck by Others
Q
,imet u k,
Others
Mtwe' flag t.
d buck
rx>
_La]
Head
1
44
Ac
Fk"e
Neo
windaw
Fwl.kr
•�
o
�
Glass
O
31
as Required
It
e
s
Flange Type
winder* Frame S11
Perimeter Caulk
By other
Pre—Cast SIA
By Other
Sill
v Stool By Others
o
I.4 R 0
Caulk Between Flanpo end Pre—Cast Sill
A
1. Shim as required of"each Installation anchor as shown, with load bearing shim.
2. Anchor must ,be of sufficient length to provide 1 1/4" min. embedment
Into masonry or concrete.
J. Caulk between window flange and buck.
4, Caulk full perimeter of window.
5. If exact window size is not given, use anchor quantity for
next larger window in chart.
6. Gloss thickness will vary with window size and design load, and must comly
with ASTM E1300. C�tIAIl.tLL71IDIDiWllllW1..
7. Letter designations on the topcon location chart Indicate where
anchors are to be installed using the elevation as a key.
8. All factory applied holes not designated for topcon' should be filled with.
#8 screws of sufficient Ith. to provide 5/8` min, embedment into wood buck_
TAPCON LOCATION CHART
CODE WINDOW ID FASfENM LOCATIONS
Concrete or Masonry Opening SIZE . SIZE OP36 TO DP52 DP52,1 TO DP70.6
Outside Oknrnst.n rPENS RAV N 12 18 1/8 x 25 A. C A C
Perimeter Caulk I 13 18 1/8 x 37 3/8 A C A, C
14 18 1/B x 49 5/8 A C A C
Caulk Between 15 18 1/B x 62 A C A, B, C
Flange and Buck 16 1B 1/8 x 71 1/4 A, C A, B, C
a'a 1/232 25 1/2 x25 A,C A C
1/2 33 25 1/2 x 37 3/8 A C A. C
1/2 34 25 1/2 x 49 5/8 A C A, B, C
1 /2 35 25 1/2 x 62 A B, C A, B, C
a n 1/2 36 25 1/2 x 71 1/4 A, B, C A B. C
•e
Jamb22 Mx25 AC A C
4 c 23 36 x 37 3/8 A C A. B. C
q 24 36 x 49 5/8 A, B. C A B. C
245 38 x 55 1/4 A, B, C A, B. C
A•O 25 36x62 A.B.0 A 8.0
c 26 38 x 71 1/4 A. B. C A, B, C. D
32 52 1/8 x 25 A, C A C
{�"*'�•SHN N 52 1/0 x 37 3/a h C h t9, c
BUCK d a a 34 52 1/8 x 49 5/8 A. B. C A, B. C
345 52 1/8 x 55 1/4 A B. C A B. C. D
35 52 1/0 x 62 A B, C A. B. C. D
Topc.n 36 52 1/8 x 71 1/4 A 8, C, 0 A B, C, D, E
Inside Dimension wood Buck By Other
0 D
A
Caulk Between
Buck and Opening *"TAPCM* TYPE HARDENED MASONRY SCREWS
INCLUDE TAPCON, RAWL, rk SIMPSON
Design Pressure vakies listed ab.ve are In PGF
INSTALLATION INSTRUCTIONS
S.W.
1/15/02
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Permit No.
Tax Folio No.
NOTICE OF COMMENCEMENT
hate of Florida
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.
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MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 07327 Pg 0487; tipg)
CLERK'S # 2010010144
RECORDED 01/28/2010 10:27:0; AM
RECORDING FEES 10.00
RECORDED BY T Smith
Description of p Operty: (legal description of the property, and street address if available)
_ S, "'i , FL 9.7,.,.7 7 3 2c -
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Ep e -,-oar S1
2. General description of improvement:
3. Owner information: Name: u-f-tt s t` Vk
G � o Ste, � rr S �5' e v
��Addrcss:
rfiterest in property: ` u-'tc
c. Name and address of fee simple titleholder (if other than owner): Name: _ -
Address:
4. Contractor Name:__z 1 Phone number:: 9`FRTIFIED
c. Address: _ _ E
5. Surety Name__ rtroK
F CIRCUIT COURT
Address: — — OpU", F'
b. Amount of bond: $
6. Lender: Name: --- -- --- cLER'
Address: _
b. Lender's phone number: n j� l
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may {}fie Fe -rive as
provided by Section 713.13(1)(a)7., Florida Statutes: Name:
Address: _
8.a. in addition to himself or herself, Owner designates Ofliacr suO`-5 to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
b. Phone number of person or entity designated by owner: a, / Gd 'z 3
9. Expiration date of notice of commencement (the expiration date is 1. year from the date of recording unless a different
date is specified) —
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.,,
Signature of Owner or Owner's A lhorized Officer/
The foregoing instrument was acknowledges
authority, .. , e.g. officer, trustee, attorneys
Signature 'of Notary Public
Personally Known _ _ OR Produc4i
ltlr /Manager Signatory's Title/Office
�z
day of (year) , by (name of person) as (type of
iiOWnaN artv on behalf of whom instrument was executed) .
Verification pursuant to Section 92.525, FloridVrtry
the facts stated in it are true to the best of my know
Signature of Natural Person Signing Above
Rev. date 3/2004
Type of Identification Produced _ __—
,k er penalties of perjury, I declare that I have read the foregoing and that
and belief
r-
273
M
IFORD
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CITY OF SANFORD
FEB 2 NibILDING & FIRE PREVENTION
PERMIT APPLICATION
\1
os,tuApPlicationNo: Documenhon.Vaiue: $
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Job Address: K-) Historic District: Yes ❑ No 0—
Parcel ID•
De cription of Work:
Plan Review Contact Person:
Phone:
Name
Street:
City, State Zip:
Zoning:
l Z-1,1 A i.
Title:
Fax: E-mail:
Property Owner Information
Phone:
Resident of property? :
Contractor Information
Named �Lr/� a Phone: Zi-,, % 3 2
Street: G,/ /�O�',d moi` Fax:
City, State Zip: 0� L" State License No.:
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit ❑
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service – No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
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 regulating 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. 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
21221/G
Signature of Owner/Agent Date Signat}yre 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 Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
's
of Notary tate of Florida Date
JO ANN M. JOHNSON
*# MY COMMISSION # DD 761978
r4","",e
EXPIRES: March 23,2012
Ntlded Thtu Budget Notary SeMm
Contractor/Agent is Personally Knowq to Me or
Produced ID -- Type of ID %—f, `—
UTILITIES: WASTE WATER:
BUILDING:
JONES ELECTRIC
689 W. OXFORD DR. DELTONA, FL 32725 (386) 574-0377
PROPOSAL
Ciiri/L�®
PROPOSAL SUBMITTED TO
STREET JOB NAME
6-90 s4alf,*
CITY, STATE AND ZIP CODE JOB LOCATION
S /9--_ fC/`/) 7c -
WE
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WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
lei '11) L 16/10 1 ' Z" v
WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR -COMPLETE IN ACCORDANCE WITH ABOVE
SPECIFICATIONS, FOR THE SUM OF
dollars($.
PAYMENT TO BE MADE AS FOLLOWS:
NOTICE TO OWNER
UNDER THE MECHANICS' LIEN LAW, ANY CONTRACTOR, SUBCONTRACTOR, LABORER, MATERIALMAN OR
OTHER PERSON WHO HELPS TO IMPROVE YOUR PROPERTY AND IS NOT PAID FOR HIS LABOR, SERVICES OR
MATERIAL, HAS A RIGHT TO ENFORCE HIS CLAIM AGAINST YOUR PROPERTY.
UNDER THE LAW, YOU MAY PROTECT YURSELF AGAINST SUCH CLAIMS BY FILING, BEFORE COMMENCING SUCH
WORK OF IMPROVEMENT, AND ORIGINAL CONTRACT FOR THE WORK OF IMPROVEMENT OF A MODIFICATION
THEREOF, IN THE OFFICE OF THE COUNTY RECORDER OF THE COUNTY WHERE THE PROPERTY IS SITUATED AND
REQUIRING THAT A CONTRACTOR'S PAYMENT BOND BE RECORDED IN SUCH OFFICE. SAID BOND SHALL BE IN
AN AMOUNT NOT LESS THAN FIFTY PERCENT(50%) OF THE CONTRACT PRICE AND SHALL, IN ADDITION TO ANY
CONDITIONS FOR THE PERFORMANCE OF THE CONTRACT, BE CONDITONED FOR THE PAYMENT IN FULL OF THE
CLAIMS OF ALL PERSONS FURNISHING LABOR, SERVICES, EQUIPMENT OR MAT IALS FOR THE WORK
DESCRIBED IN SAID CONTRACT. AUTHORIZED
SIGNATURE
NOTE THIS PROPOSAL MAY
WITHDRAWN BY US IF NOT ACCEPTE ITHI 5,�? ? 116/ DAYS
ACCEPTANCE OF PROPOSAL -THE ABOVE
PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY SIGNATURE
AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO
THE WORK AS SPECIFIED PAYMENT WILL BE MADE AS OUTLINED ABOVE.
DATE OF ACCEPTANCE SIGNATURE/,4i,/;X111
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City of Sanford
p,�
uild�rng & Fire Prevention Division
OF
JAN ZdO Response to Comments
Plans Examiner ❑ Michael Christensen
y� 11Richard Denman
Application #: i (/ '-`4 Submittal Date:
Project Address:
Contact Person: Zi✓ILG
Contact Phone #: -321 Y
City of Sanford
Building Division
300 N. Park Ave
Sanford, Florida 32771
Phone: 407.688.5150
Fax: 407.688.5152
PLAN REVIEW COMMENT
Date: December 16, 2009
Contact Person: David Sweet
Contact Phone Number: 407-221-5168 Contact Fax Number: 3t)5- a9 p
Contact E-mail Address: ddbsweet@earthlink.net
Permit Application Number: 10-414
Project Description: Addition
Job Address: 620 Sarita St.
The following is a list of the areas of the submitted plans that contained deficiencies in
the required information. The deficiencies noted must be addressed before the
construction documents and Permit Application can be processed. Changes to
construction documents shall be submitted on the same size format as the original
submittal. Changes to construction documents that require a Florida Licensed Design
Professional's seal and signature must be submitted with the appropriate seal and
signature.
STRUCTURAL
S-1 Indicate the roof pitch on the plans, submit two revised plan pages that are signed
and sealed by the Engineer of Record.
S-2 There is a conflict between the insulation indicated on the plans and the insulation
indicated on the Energy Efficiency document. Bear in mind that the space at the
rafters is only 7 '/ inch. Please correct the conflict and resubmit three (3) correct
Electrical Energy Efficiency documents for this project.
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plan page.
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S-4 Provide two (2) sets of Florida Product Approval documentation and two (2) sets
of the manufacturer's installation instructions for the windows to be installed.
Any error or omission in this construction document review shall not be construed to
grant approval of any violation of any of the adopted codes or municipal ordinances of
this jurisdiction.
Please direct any questions you may have to Richard Denman at (407) 688-5150. You
may also contact me by e-mail at "richard.denman(a)sanfordfl. ov ".
Respectively,
efia4d S. Daunaa
Building Inspector / Plans Examiner