HomeMy WebLinkAbout412 Pine Ave (2)Application No: I I - l 4-
00
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 300.00
Job Address: 412 Pine Ave. Sanford. FL 32771 Historic District: Yes No
Parcel ID: 30-19-31-515-1800-0030 Zoning:
Description of Work: Install bath exhaust fan, hook up water heater change out, install 12volt smoke detector
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name Fstella Williams Phone: 407-417-474q
Street: 412 Pine Ave. Resident of property? : Yes
City, State Zip: Sanford FI 3 771
Contractor Information
Name M Ellis Electrical Inc Phone: 352-457-5699
Street: 4234 S_ Bluff Lake Rd_ Fax: 352-429-0655
City, State Zip: Mascotte, FL 34753 State License No.: EC1300-3559
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit IX
Square Footage:
No. of Dwelling Units:
Electrical IX
New Service - No. of AMPS:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical 13 (Duct layout required for new systems)
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 issuance of a permit and that all work, will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand tat 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 4ignature ate
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
UTILITIES:
FIRE:
Michael Ellis
Print Contractor/Agent's Name
T)A N 0I i,l''Rh_1 f`-10 263110
0,o P ., BRANDI STOUGH
l j Notary Public - State of Florida
i My Comm. Expires Sep 19; 2014
Commission # EE 27219
CEO Bonded Through National Notary Assn.
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID k\.
WASTE WATER:
BUILDING:
r -.
M. Ellis Electrical Inc.
Phone: 352-457-5629
Fax: 352-429-0065
EC13003559
10/19/2010
City of Sanford Permits
PO Box 1788
Sanford, FL 32772
Permit Technical,
Please see the enclosed application for electrical permit. Along with business license,
electrical license, and insurance certificate. I have also enclosed a check for the
registration fee.
Please call if I need anything else to get this permit. I will pay for the permit with a
credit card, please call when it is ready so I can pay for it' and arrange to pick it up or
have it mailed. Thank you, Peggy Ellis
Regards,
Peggy A. Ellis
Office Manager
M. Ellis Electrical, Inc.
352-400-5635 Phone
352-429-.0655 Fax
peggyel,lis@embarqmail.com
Acivr,r*d( Ca.r IK Fv.L i '
i7' !o/j/Fj
CITY OF SANFORD
C g 201
BUILDIN PERMIT APPLICATION j0
Application No:
I I r
I Documented Construction Value:
Job Address: q Historic District: Yes No
Parcel ID• Zoning:
Description of Work: It 'E
Plan Review Contact Person:
Phone - Fax: E-mail:
Property Owner Information
Title:
Name 1%- e G I iCt`( Phone:
Street: i' j .n rResident of property?:.
City, State Zip:
Contractor Information
Name Mo `) 7—I'"s_ P,J c `-on4,f Phone:
Street: 0 ._ NA S k Fax: I
City, State Zip: 1S Q State License No.: Ci C__1 J Z$ I
Architect/Engineer Information
Name: Phone:
Street: _77' h,1jZ5- Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical (Duct layout required for new systems)
No. of Stories:
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
si.oa
f
I
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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date --.r.
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
k)(g -lo
Signature of Contractor/Agent - Date
Ci'-j—
Print Contractor/Agent's Name
PP"\0 ,I ; Io.k /J
Signature of Notary -State of Florida Date
DEBTIE.13LAR_rCSN
n ' ,uw1iSS!ON DU629096
r FS: February 25, 2011
FL Notary Discount Ass,„, Co. 3:
Contractor/Agent is Personallyown to Me or
Produced ID Type of ID '`-> >— e`q JoJ/, A
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING: fe / !o
COMMENTS:
Rev 11.08
i'... Work Wi 1p for Weatherization Program
To Contactor.
Items listed on the work write up may not pertain to your core business function. These items should be bid under the umbrella of your company through licensed
contractors such as Plumbing, Electrical, HVAC, Roofing Etc. It is your responsibility to pull permits and provide results pertaining to your business function
according to Local Municipality and Code and or provide the same from licensed contractors pertaining to Plumbing, Electrical, HVAC, Roofing Etc. You are
required to provided Certified Payroll for all work performed on residence, for your company and all sub -contractors hired by you. Any house or trailer built pre 1978
Wit require EPA Lead -Safe Work Practice or Lead Testing to be performed by a EPA Lead -Safe Certified Firm. Photos of EPA Lead -Safe Work Practice or
Documentation Supporting Negative Test Results are required for agency documentation & client file. If additional items are needed in conjunction with a Work
Write Up Item, you must provide an addendum explaining repair. In order for payment to be processed you must provide the Payment Request Form, Signed Invoice
Release of Lien, Passed Permits, LSW Documentation for pre -1978 homes & Davis Bacon Compliance.Additional info may be required. All Work and Punch List
Items must be 100% complete. Prices & items maybe subject to change, to meet budget requirements. If so, price and item changes wilt be agreed upon verbally.
The bid will then be adjusted, signed by MOW as (Addendum to Bid), and sent back to you. You are required to sign as (Acceptance of Addendum to Bid) and send
back to MOW. MOW wilt then sign as'(Acceptance of Bid) and send back to you. Work may begin. All specifications, terms and conditions shall be as described in the
OWNER/CONTRACTOR AGREEMENT and the FLORIDA WEATHERIZATION HANDBOOK, MATERIALS, INSTALLATION and WORKMANSHIP STANDARDS.
Item # :::.: `..: :::..::'..:: a e awls/Seru:rces:Re. ulred:<::::; :::.:::.. .::Pn a.. .:Materia! h otai!i..: esrtp#jon...a...f :NF......r..:...:...:.:........_..............q........................................................................................
1 Install Smoke Detectors @ Hall, & Living Addendum Price Change 9-20-2010 H&S $ 50.00 $ 50.00 QV $ 100.00
2 Repair Sink Faucet @ Kitchen (Faucet very leaky) H&S $ 100.00 $ 75.00 $ 175.00
3 Install Ventilation Fan W/ Damper On -15 Minute Timer in Bath ( Vented to Exterior) H&S $ 137.00 $ 137.00 $ 274.00
4 Install 1 A.C.Filter Leave 1 w/ client / provide installation instruction Required $ 20.00 $ 20.00 $ 40.00
5 Install 1 Low Flow Showerhead Required $ 21.00 $ 21.00 $ 42.00
6 Install Water Saver Aerator @ Kitchen & Bath Required $ 21.00 $ 21.00 $ 42.00
7 Wrap HWH Required $
8 Insulate HWH Lines Required $ 60.00 $ 40.00 $ 100.00
9 Replace Door Dt, Front W/ Deadbolt, Lockset, & Peephole 1 $ 285.00 $ 250.00 $ "I`535:'.00in
10 Install Threshold & Weather-stripping @ Door D2 Back 1 $ 125.00 $ 125.00 $ 250.00
11 Insulate Attic To R-30 ( 1020 sq ft. ) 2 $ 433.00 $ 433.00 $ 866.00
12 Batt, weather-strip, Build Dam at Least 1" Over Insulation @ Attic Access 2 $ 50.00 $ 50.00 $ 100.00
13 Solar Screen / South = 1 4 $ 37.00 $ 37.00 $ 74.00
14 CFL @ Beds, Living, Dining, Bath, & Laundry Total= 19 6 $ 60.00 $ 40.00 $ 100.00
15 Seal Supply @ Bed 2 W/ Mastic 7 $ 20.00 $ 30.00 $ 50.00
16 Install Energy Star Refrigerator ( Of Same Size, Freezer Top, NO Upgrades) a $ 725.00 $ 100.00 $ 825.00
17 AC Service & Clean ( Provide Dated Service Sticker When Complete) 9 $ 220.00 $ 220.00 $ 440.00
18 Install 40 gal. Electric HWH W/ Pan / Plumb Relief line to Exterior 10 $ 650.00 $ 150.00 $ 800.00
PERMITS Addendum / must show material & labor 9-20-2010 $ 50.00 0 $ 50.00 $ 100.00
NAME: JEstella Williams DATE: 9/14/2010 $. 4,913.00
Built 1996 JOB # ewilliams9-10
ADDRESS: 412 Pine Ave. Sanford, FL.32771 PHONE: 407) 417 4749
TiUtlG4'aRiBli. .. .
1..(.4..0..7....)...4...
Please inspect the property and submit the work -write up with your cost tome NO LATER THAN 09-14-2010. If your bid meets the criteria, you will
be contacted with the Notice To Proceed With Work, signed, with a time frame for work to be completed in.
IZ9- QContractor:Signature: Date: I
GAddendumtoBid: Date:
MOW
Noilae To €'roceed With 1Nvrk
Your contract and proposal for homeowner repairs and upgrades atlthe above mentioned'address. Owners have been examined and
accepted by the Weatherization Program staff. Items have meet the approval of the client. Items mentioned above are to be completed within the specified
timeframe. You may begin work on 09-21-2010. You shall complete all work on or before 09-27-2010.
Acceptance of Bid: Date: Jay Curbow / Weatherization Manger
MOW (may proceed) Meals on Wheels Etc.
A ce of 2801 S. Financial Ct. Sanford FL, 32773
Ad ndum to Bid: Office: 407-333-8877 ext.114 / Fax 407-829-2468
CONTRACTOR (sign & send back) Cell: 321-3884829
DBPR - REEVES, TRAVIS JAMES; Doing Business As: MATANZAS DEVELOPMEN... Page 1 of 1
6:22:07 AM 10/19/2010
Licensee Details
Licensee Information
Name: REEVES, TRAVIS JAMES (Primary Name)
MATANZAS DEVELOPMENT AND CONSTRUCTION CORP (DBA
Name)
Main Address: 151 LAKYN DR
CROSSVILLE Tennessee 38571
License Mailing: P.O. BOX 460
BUNNELL FL 32110-0460
County: FLAGLER
Licensel-ocation: 109 4TH STREET
BUNNELL FL 32110
County: FLAGLER
License Information
License Type: Certified Residential Contractor
Rank: Cert Residental
License Number: CRC1328793
Status: Current,Active
Licensure Date: 07/24/2006
Expires: 08/31/2012
Special Qualifications Qualification Effective
Construction Business 07/24/2006
View Related. License Information
View License Complaint
Terms of Use I I Privacy Statement
https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=AO5390493 F3 79B98076... 10/19/2010
Product Manufacturer JELD-WEN
Address/Phone/Email 3737 Lakeport Blvd
Klamath Falls, OR 97601
800) 535-3936
fbc@jeld-wen.com
Authorized Signature Janet Gerard
fbc@jeld-wen.com
Technical Representative Steve Saffell
Address/Phone/Email 3737 Lakeport Blvd
Klamath Falls, OR 97601
541) 882-3451 Ext 2900
stevesa@jeld-wen.com
Quality Assurance Representative
Address/Phone/Email
Category Exterior Doors
Subcategory Swinging Exterior Door Assemblies
Compliance Method Certification Mark or Listing
Certification Agency Miami -Dade BCCO - CER
Validated By Miami -Dade BCCO - VAL
Referenced Standard and Year (of Standard) Standard
TAS -201
TAS -202
TAS -203
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 07/21/2008
Date Validated 07/23/2008
Date Pending FBC Approval 07/28/2008
Date Approved 09/15/2008
Summary of Products
1.
FLModel, Number or Name
Steel, Steel Edge in Wood Frame
Description
T-0" x 6'-8", Opaque, Single Door, I
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136_RO C CAC_08-0208.06.
Approved for use outside HVHZ: Yes FL11136_RO_C_CAC_2007 Comp
Impact Resistant: Yes Quality Assurance Contract Exph
Design Pressure: +80/-80 02/11/2013
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA FL11136_RO_II_08-0208.06.pdf
Verified By: Miami -Dade BCCO - C
Created by Independent Third Parr
Evaluation Reports
Created by Independent Third Parr
9. ..-.,,.._... _.. .......... ............. ........... ......... .-__.. .-.
11136.2 Steel, Steel Edge in Wood Frame T-0" x 6-8", Opaque, Single Door,.
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136_RO_C_CAC_08-0208.07.
Approved for use outside HVHZ: Yes FL11136_RO_C_CAC_2007 Comp
Impact Resistant: Yes Quality Assurance Contract Exph
Design Pressure: +80/-80 02/11/2013
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA FL11136_RO_I108-0208.07.pdf
Verified By: Miami -Dade BCCO - C
Created by Independent Third Parr
Evaluation Reports
Created by Independent Third Parr
1. ........_..............
1.1136.3 Steel, Steel Edge in Wood Frame 5'-4" x 6'-8", Opaque, Single Door,
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136_RO_C CAC_07-0709.03.
Approved for use outside HVHZ: Yes FL11136_RO_C_CAC_2007 Comp
Impact Resistant: Yes Quality Assurance Contract Expii
Design Pressure: +60/-60 08/08/2012
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA. Side-lites are not Impact Rated and Require Miami -Dade HVHZ FL11136_RO_II_07-0709.03.pdf
Approved Shutters. Verified By: Miami -Dade BCCO - C
Created by Independent Third Parr
Evaluation Reports
I Created by Independent Third Part
11136.4 Steel, Steel Edge in Wood Frame 8'-4" x 6'-8", Opaque, Single or Dou
Out -swing
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136_RO_C_CAC_07-0618.10.
Approved for use outside HVHZ: Yes FL11136_RO_C_CAC_2007 Comp
Impact Resistant: Yes Quality Assurance Contract Expii
Design Pressure: +60/-60 07/03/2012
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA. Side-lites are not Impact Rated and Require Miami -Dade HVHZ FL"11136RO_II_07-0638.10.pdf
Approved Shutters. Verified By: Miami -Dade BCCO - C
Created by Independent Third Part
Evaluation Reports
Created by Independent Third Part
11136.5 Steel, Steel Edge in Wood Frame 12'-0" x 6-8", Opaque, Single or Do
3 Out -swing
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136_RO C_CAC_07-0820.08.
Approved for use outside HVHZ: Yes FL11136,R0_C--CAC_2007 Comp
Impact Resistant: Yes Quality Assurance Contract Exph
Design Pressure: +61/-61 08/22/2012
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA. Side-lites are not Impact Rated and Require Miami -Dade HVHZ FL11136_RO_II_07-0820.08.pdf
Approved Shutters. Verified By: Miami -Dade BCCO - C
Created by Independent Third Part
Evaluation Reports
Created by Independent Third Part
11136.6 Steel, Steel Edge in Wood Frame T-0" x 8'-0", Opaque, Single Door, I
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136_RO_C_CAC_08-0208.06.
Approved for use outside HVHZ: Yes FL11136_RO_C_CAC_2007 Comp
Impact Resistant: Yes QualityAssurance Contract Exph
Design Pressure: +61/-65 02/11/2013
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA. FI.11136_RO_II_08-0208:06.pdf
Verified By: Miami -Dade BCCO - C
Created by Independent Third Parr
Evaluation Reports
Created by Independent Third Part
11136.7 Steel, Steel Edge in Wood Frame_ T-0" x 8'-0", Opaque, Single Door,
J
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136_RO_C_CAC-08-0208.07.
Approved for use outside HVHZ: Yes FL11136_RO_C_CAC_2007 Comp
Impact Resistant: Yes Quality Assurance Contract Exph
Design Pressure: +61/-65 02/11/2013
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA. FL11136_RO_II_08 0208.07.pdf
Verified By: Miami -Dade B000 - C
Created by Independent Third Part
Evaluation Reports
Created by Independent Third Part
11136.8 Steel, Steel Edge in Wood Frame 8'-4" x 8'-0", Opaque, Single or Dou
In -swing
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136_RO_C_CAC_07-0618.08.
Approved for use outside HVHZ: Yes FL11136_RO_C_CAC_2007 Comp
Impact Resistant: Yes Quality Assurance Contract Exph
Design Pressure: +47/-47 07/03/2012
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA. Side -liter are not Impact Rated and Require Miami -Dade HVHZ FL11136_RO_II_07-0618.08.pdf
Approved Shutters. Verified By: Miami -Dade BCCO - C
Created by Independent Third Parr
Evaluation Reports
Created by Independent Third Part
11136.9 Steel, Steel Edge in Wood Frame 8'-4" x 8'-0", Opaque, Single or Dou
Out -swing
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136 RO_C_CAC_07-0618:06.
Approved for use outside HVHZ: Yes FL11136_RO_C_CAC_2007 Comp
Impact Resistant: Yes Quality Assurance Contract Exph
Design Pressure: +47/-47 07/03/2012
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA. Side-lites are not Impact Rated and Require Miami -Dade HVHZ FL11136_RO_II_07-0618.06.pdf
Approved Shutters. Verified By: Miami -Dade BCCO - C
Created by Independent Third Part
Evaluation Reports
Created by Independent Third Part
11136.10 Steel, Steel Edge in Wood Frame 5'-4" x 6'-8", Full Lite, Single boor, V
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136—RO_C_CAC_07-0618.07.
Approved for use outside HVHZ: Yes FL11136_RO_C_CAC_2007 Comp
Impact Resistant: No Quality Assurance Contract Exph
Design Pressure: +60/-60 07/03/2012
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA. Side-lites and Door are not Impact Rated and Require FL11136_RO_II_07-0618.07.pdf
Miami -Dade HVHZ Approved Shutters. Verified By: Miami -Dade BCCO - C
Created by Independent Third Parr
Evaluation Reports
Created by Independent Third Part
11136.11 Steel, Steel Edge in Wood Frame 8'-4" x 6'-8", Full Lite, Single or Dou
Out -swing
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136_RO_C CAC_07-0618.09.
Approved for use outside HVHZ: Yes FL11136_RO_C—CAC_2007 Comp
Impact Resistant: No Quality Assurance Contract Exph
Design Pressure: +42/-42 07/03/2012
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA. Side-lites and Doors are not Impact Rated and Require FL11136_RO_II_07-0618.09.pdf
Miami -Dade HVHZ Approved Shutters. Verified By: Miami -Dade BCCO - C
Created by Independent Third Part
Evaluation Reports
Created by Independent Third Part
11136.12 Steel, Steel Edge in Wood Frame 8'-4" x 8'-0", Full Lite, Single or Dou
In -swing
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136 RO_C_CAC_07-0509.06.
Approved for use outside HVHZ: Yes FL11136_RO-_C—CAC_2007 Comp
Impact Resistant: No Quality Assurance Contract Exph
Design Pressure: +55/-55
Other: Product must be installed per manufactures instructions as stated
on NOA. Side-lites and Doors are not Impact Rated and Require
Miami -Dade HVHZ Approved Shutters.
11136.13
06/27/2012
Installation Instructions
FL 11136_RO_I1_07-0509.06. pdf
Verified By: Miami -Dade BCCO - C
Created by Independent Third Parr
Evaluation Reports
Created by Independent Third Parr
Steel, Steel Edge in Wood Frame 8'-4" x 8'-0", Full Lite, Single or Dou
Out -swing
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL11136 ROC CAC 07-0709.05.
Approved for use outside HVHZ: Yes FL11136_RO_C_CAC_2007 Comp
Impact Resistant: No Quality Assurance Contract Expii
Design Pressure: +55/-55 07/18/2012
Other: Product must be installed per manufactures instructions as stated Installation Instructions
on NOA. Side-lites and Doors are not Impact Rated and Require FL11136_RO_II_07-0709.05.pdf
Miami -Dade HVHZ Approved Shutters. Verified By: Miami -Dade BCCO - C
Created by Independent Third Part
Evaluation Reports
Created by Independent Third Parr
B"Next
Department of Community Affairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee, Florida 32399-2100
850) 487-1824, Fax (850) 414-8436
2000-2010 The State of Florida. All rights reserved.
Privacy Statement I Copyright Statement I Accessibility Statement I Plug-in Software I Customer SE
Product Approval Accepts:
y, WN Eez.k
Trusted t
FFMIAMIDADER11 Ie
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA
Jeld Wen Inc.
3737 Lakeport Blvd.
Kalamath Falls, OR 97601
MIAMI-DADE COUNTY, FLORIDA
METRO-DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130-1563
305) 375-2901 FAX (305) 375-2908
www.buildingcodeonline.com
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted
by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by
the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes. If this product or material fails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code,
including the High Velocity Hurricane Gone.
DESCRIPTION: Series 'W-8" & 8'-0"" Single Inswing opaque Steel Doors
APPROVAL DOCUMENT: Drawing No "DC9970-1", titled 'W-8" & 8'-0 Single Inswing Opaque Steel
Edge",sheets 1 through 5 of 5, dated 12-07-07 and last revised on 02-05-08, prepared by the manufacturer, signed
and sealed by Nimesh Bhaysar, P.E., bearing the Miami -Dade County Product Control renewal stamp with the
Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division.
MISSILE IMPACT RATING: Large Missile Impact Resistant
Limitation: Units are not rated where water infiltration is needed, unless complies with exception per FBC.
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This NOA renews NOA # 02-1211.11 and consists of this page l and evidence page, as well as approval
document mentioned above.
The submitted documentation was reviewed by Ishaq I. Chanda, P.E.
NOA No 08-0208.06
Expiration Date: February 11, 2013
Approval Date: March 20, 2008
Page 1
Jeld Wen Inc.
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
A. DRAWINGS
l . Manufacturer's parts and sections drawings.
2. Drawing No "DC9970-1", titled "6'-8" & 8'-0 Single Inswing Opaque Steel Edge", sheets 1
through 5 of 5, dated 12-07-07 and last revised on 02-05-08, prepared by the manufacturer,
signed and sealed by Nimesh Bhaysar, P.E.
B. TESTS (Photo copies from files # 02-1211.11), original test report conducted per SFBC, 201,
202 and 203-94, now termed as FBC, TAS 201, 202 and 203-94.
1. Test report on
1) Air Infiltration Test, per TAS 202-94
2) Uniform Static Air Pressure Test, Loading per TAS 202-94
3) No Water Resistance Test performed.
4) Large Missile Impact Test per FBC, TAS 201-94
5) Cyclic Wind Pressure Loading per FBC, TAS 203-94
6) Forced Entry Test, per PA 202-94
along with marked -up drawings and installation diagram of single outswing andinswing
residential insulated steel doors, prepared by Certified Testing Laboratories, Test Report No(s)
Test Report No. CTLA455W, dated October 11, 1999 and CTLA650W, dated January 03, 2001
and, both signed and sealed by Ramesh Patel, P.E.
C. CALCULATIONS:
1. Anchor calculations prepared by O.M. Engineering Services Inc., dated 02-06-08, signed and
sealed by Nimesh Bhaysar, P. E.
D. QUALITY ASSURANCE BY;
1, Miami -Dade County Building Code Compliance Office (BCCO).
E. - MATERIAL CERTIFICATIONS (Photo copies from files # 02-1211.11)
1. Tensile Test prepared by Certified Testing Laboratories, Test Report No. CTLA455W, dated
October 11, 1999, for steel samples, tested per ASTM E8 -93a, signed and sealed by signed
and sealed by Ramesh Patel, P.E.
2. Test Report No. ITS -J99006660-001, prepared by Intertek Testing Services NA, Inc., issued
to Jeld-Wen Research and Development, dated April 8, 1999, for samples of foam, tested per
ASTM E 84-94 "Standard Test Methods for Surface Burning Characteristics of Building
Materials" and ASTM D 1929-91A "Standard Test Method for Ignition Properties of
Plastics"; signed and sealed by Douglas Keith Tucker, P.E.
F. STATEMENTS
1. Letter of conformance & "No financial interest" dated February 01, 2008,. signed and sealed
by Nimesh Bhaysar, P.E.
2. Laboratory Statement of compliance, part of the test report CTLA455W & CTLA650W,'
signed and sealed by Ramesh Patel, P.E.
F. OTHER
1. This NOA renews NOA # 02-1211.11, expiring February 11, 2008.
shaq 1 Chanda, P.E.
Product Control Examiner
NOA No 08=0208.06
Expiration Date: February 11, 2013
Approval Date: March 20, 2008
E-1
JEI. RWENo Steel
6'-8" & 8'-0" SINGLE INSWING OPAQUE STEEL EDGE
IMPACT STEEL 'DOOR IN WOOD FRAME
GENERAL NOTES
1. THIS PRODUCT IS DESIGNED TO COMPLY WITH THE FLORIDA
2004 BUILDING CODES ('.V/2005, 2006 SUPPLEMEMTS) AND
HIGH VELOCITY HURRICANE ZONES" (HVHZ) REQUIREMENTS.
2. WOOD BUCKS BY OTHERS, MUST BE ANCHORED PROPERLY
TO TRANSFER LOADS TO THE STRUCTURE.
3. PRODUCT ANCHORS SHALL BE AS LISTED AND SPACED
AS SHOWN ON DETAILS. ANCHOR EMBEDMENT TO BASE
MATERIAL SHALL BE BEYOND WALL DRESSING OR STUCCO.
4. IMPACT RESISTANT SHUTTERS NOT REQUIRED.
5. DESIGN PRESSURE RATING SHALL BE AS FOLLOWS:
FOR 6'8" WOOD FRAMES - SEE TABLE SHEET 1
FOR 8'0" WOOD FRAMES - SEE TABLE SHEET 1
6. THIS SYSTEM WAS TESTED FOR 2.86 LBS. WATER PRESSURE
AS PER ASTM -E331.
7. THIS PRODUCT DOES NOT MEET THE WATER REQUIREMENTS
FOR "HVHZ".
INSWING IMPACT STEEL EDGE DOOR
Common to all frame conditions)
DOOR LEAF CONSTRUCTION:
Face sheets: 24 ga. (0.020") minimum thickness, Galvanized
Steel A-525 commercial quality - AKDQ per ASTM 620 with
minimum average yield strength Fy=26,240 psi.
Core design Expanded polystyrene with 1.0 to 1.25 lbs.
density, by JELD-WEN.
Panel Construction, Steel face sheets glued to expanded
polystyrene (EPS), with steel top and bottom rails and
steel stiles with a wood lock block reinforcement. The
hinge stile contains a MDF board for added hinge support.
Frame Construction (Bath Frame Types); The head jambs
and side jambs are mortised, butted and joined using (3)
7/8" x 2" wire staples. An aluminum adjustable inswing -
threshold was unitilized at the sill. An optional aluminum
ADA threshold is available.
TABLE OF CONTENTS
SHT # DESCRIPTION
1 TYPICAL ELEVATIONS & GENERAL°NOTES
2 VERTICAL CROSS SECTIONS & BOM
3 HORIZONTAL CROSS SECTIONS
4 ANCHORING LOCATIONS & DETAILS
5 UNIT COMPONENTS
0
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A B A B Of a 2 2 2 2 PRODUCTRF.NEWED
as eomplyiaK with the Florida
Biddiag Code ' r m
Aeeeptaace No OL -42.0 0
SINGLE INSWING UNIT (X) SINGLE INSWING UNIT (X) Esp° IPIft_FEJ&Jt:L't3
SCALE' f =>'-0" SCALE.' f " =i'-0" $y 11tia , • h a o
Tdwwa.ae niact CoatmP.: 2 e
DiYb4Pa
ALL DOOR MODELS ARE VIEWED s
FROM THE INTERIOR SIDE
DESIGN PRESSURE RATING
WHERE WATER INFILTRATION
REQUIREMENT IS NEEDED
ERE WATER INFILTRA70N
REQUIREMENT IS NOT NEEDED
6'8" (X) 80.Opsf 80.Opsf 80.Opsf 80.Opsf
B'0" (X) 61.0psf 65.0psf 61.Opsf 65'.Opsf
UNIT SHALL BE INSTALLED AT LOCATION PROTECTED BY OVERHANG
SUCH THAT OVERHANG RATIO (OH) = OH LENGTH/OH HEIGHT GREATER
THAN 1.0
NIMESH BHA'9AP
FLORIDA P.E. NO. 56851
oM ia/.ANEERING saruEs. Irx.
P c:N rix —o"
12/07/07
AS NOTED
DC9970-1
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NIMESH 8HAVSAR —:12/07/07
FLORIDA P.E. N0. 5686'
sem: AS NOTED
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NIMESH 8HAVSAR —:12/07/07
FLORIDA P.E. N0. 5686'
sem: AS NOTED
OW0. Err: EAG
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DRAIYING NO.:
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36" MAX PANEL WIDTH
22
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7-/ 13
SEE DETAIL A-
EXTERIOR ON SHEET 5
1
27 2
1 1/4° 1/4" MAX. SHIM SPACE------
1 1/4"'MAIN. EMB.
L H \ HORIZONTAL CROSS SECTION TYP.
3JWOOD INSTALLATION SCALE 3" =/'-O-
37
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37 3/4" MAX. FRAME WIDTH —
36" MAX PANEL WIDTH
31 32
22
17
21 25 26 INTERIOR 5
9 20
23
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2 5 8 \\ SEE DETAIL A 26 13
MIN. a . ON SHEET 5 EXTERIOR
1 1 /4"
1 1/4"
MIN. EMB.
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4. 1 HORIZONTAL CROSS SECTION TYP.
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NIMESH BHAVSAR DATE: 12/07/07
FLORIDA P.F. NO. 5626 " t
SCALE:AS NOTED
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SEE DETAIL D
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SEE DETAIL 8
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ANCHORING LOCATIONS
INSWING SINGLE UNIT (X)
SCALE. 16" =1'-0"
6 14
6
a
0
8 17
DETAIL A DETAIL B
SCALE` 3/8" =1'-0" SCALE 3/8" =1'-0"
SEE DETAIL A6' 6"-
6" 1
1'-0 37116" 7 9
NP.
1'-0 3716" 4-
5'
1'-0
19%
16" -
1'-0 3%1 7 9
NP. _
1'-0 9%16
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1'-0 3%16" SEE DETAIL B
T _
1'-0 5Y16" C
ALL DOOR MODELS ARE VIEWED
FROM THE EXTERIOR SIDE
11 ,i DT
6'=-
ANCHORING LOCATIONS
INSWINC SINGLE UNIT (X)
SCALE 16" =1'-0"
DETAIL C
SCALE 3" -1'-0"
DETAIL D
SCALE 3"
SEE DETAIL D
i
8
2
2'
SEE DETAIL C
DETAIL A
PRODUCT RENEWED
to romwng with the furms
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SCALE. 6" =1'-D" SCALE.• 6" =1'-0" SCALE.• 6" =1'-0" CO Y
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SCALE• 3" =1'-0" SCALE- 1/4" =1'-0" p o o w
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NIMESH BHAI, DATE: 12/07/07
FLORIDA P.E. N0.-568tl
scueAS NOTED
DWG. BY: EAG
CHK. BY:S. SAFFEL
Y
DRAWING N0:
ow cuan¢aiNcc. xc. DC9970-1
v.o a>. saoov=
Oi4AN00. FL v3958 , C ,. G I