HomeMy WebLinkAbout1513 S Summerlin Aves RECEIVED
MAR 2'8 2011
f
Application No: _ 11-AIC7
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 4 I 0 -ACT. °Fa
Job Address: PnIr
Parcel ID:
Description of Work: I(.alo-tG
Historic District: Yes No gel,"
Zoning:
5"t :S(Xe &RzeE
Plan Review Contact Person:
l) S -O 5 LD CIYWW Title
n.
Phone: 12 7 ( --?47- !2j 53 Fax: L4Lwj—g90i- SDI1 , E-mail:
Property Owner Information
Name ':rkl'i1 n J% 5 o/1/Y1 M , n.to S Phone:
Street: , 1 j S • Nyl in &L( ik-o" Resident of property?
City, State Zip: *r-M4 4_ 3Zn
i
Contractor Information
Name tl 1 52/dt 1.dc' Phone:
Street: % l i I i rn Fax:
G IZ iSCity, State Zip: --rAOA&A Z' 1 State License No.:
Architect/Engineer Information
Name: Phone: , ,
Street: Fax: a,a
City, St, Zip: E-mai
Bonding Company: Mortgage Lender:
Address: Address: =
Building Permit Q
Square Footage:
PERMIT INFORMATION
Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
i
Electrical Plumbing
New Service — No. of AMPS: New Construction - No. of Fixtures: _
Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads:
14,
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. Ifthe 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
PrintOwner/Agent's Name
Date
Signature ofNotary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: Aft 3 -m4 UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
M - - - - -P
Sig a of Contractor/Agent D to
Print Contractor/Agent's e
Signature of Notary -State ofFlorida t; • .
1COMM/.% anua
ys O • SO oo:• Contractor/
Agent is A
fKnown e or Produced
ID • qrf
OF FlOA 0//tl t ,,., ..,... WASTEWxWk: BUILDING:
i
Mews off 5
U///E Work Write Up 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 yourcompany through licensed
contractors such as Plumbing, Electrical, HVAC, Roofing Etc. It is your responsibility to puff 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
will 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. AN Work and Punch List
Items must be 100% complete. Prices & items may be subject to change, to meet budget requirements. If so, price and item changes will 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 will then sign as (Acceptance of Bid) and send back to you. Work may begin. AN specifications, terms and conditions shall be as described in the
OWNER/CONTRACTOR AGREEMENT and the FLORIDA WEATHERIZATION HANDBOOK, MATERIALS, INSTALLATION and WORKMANSHIP STANDARDS.
Item # Description of Materials/Services Required Priority # Material Labor Total
1 Replace windows W1, W2, W 3, W 4, W 7 1 900.00 500.00 1,400.00
2 Replace door D1 front w/ deadbolt, lockset, & peephole 1 150.00 75.00 225.00
3 Replace sliding glass door @ living 1 250.00 200.00 450.00
4
5
6
7
8
9 ON rr ew. PM
10
11
12
13
14
15
16
17
18
NAME: Thomas Cummings DATE: 2/7/2011 2,075.00
Built 1963 JOB# itcummings2-11
ADDRESS: 11613 S. Summerlin Sanford FL, 32771 PHONE: 407-221-6346
Notice to Bid
Please inspect the property and submit the work -write up with your cost tome NO LATER THAN 2-11-2011. Ifyour bid meets the criteria, you will
be contacted with the Notice Proceed With Work, signed, wjith a time frame f to be completed in. This house requires LSW complianceTo)
I0 'f Slgnature: Date: IContractor. Sy "" J
Addendum to Bid: Date:
MOW
Notice To Proceed With Work
Your contract and proposal for homeowner repairs and upgrades at the above mentioned address. Owners have been examined and
accepted bythe Weatherization Program staff. Items have meet the approval ofthe client. Items mentioned above are to be completed within the specified
time frame. You may begin work on XX-XX-2011. You shall complete all work on or before XX-XX-2011.
Acceptance of Bid: Date: Jay Curbow / Weatherization Manger
MOW (may proceed) Meals on Wheels Etc.
Acceptance of 2801 S. Financial Ct. Sanford FL, 32773
Addendum to Bid: Date: Office: 407-333-8877 ext.1141 Fax 407-829-2468
1
B
ARVIT . OFFIC
R W Building Consultants, Inc.
C
Report No.:
Date:
Product Category:
Product sub -category:
Product Name:
Consulting and Engineering Services for the Building Industry
P.O. Box 230 Valneo, FL 33595 Phone 813.6399197 FaWmila 813.7U.9989
Florida Board of Professional FJigin=s Cergfim a of Authorization No. 9813
Product Evaluation Report
FL-5600.1 R 1
March 4, 2009
Exterior Doors
Sliding
Series 550W600/5700
Extruded Vinyl Sliding Patio Doors
Non -Impact"
Manufacturer. Silverline Building Products Corporation
I Silverline Drive
Notch Brunswick, NJ 68902
Phone: 732.435.1000
Scope: This is a Product Evaluation report issued by R W Building Consultants, Inc. and Lyndon F.
Schmidt, P.E. (System ID # 1998) for Silverline Building Products based on Rule Chapter No.
9B-72.070, Method Id ofthe State of Florida Product Approval, Department ofCommunity
Affairs -Florida Building Commission.
RW Building Consultants and Lyndon F. Schmidt; P.E. do not have nor will acquire financial
interest in the company manufacturing or distributing the product or in any other entity involved
in the approval process of the product named herein.
This product has been evaluated for use in locations adhering to the Florida Building Code (2007
Edition).
See Drawing No.: FL-5600.1 prepared by R W Building Consultants, Inc. and signed and sealed
by Lyndon F. Schmidt. P.E. (FL # 43409) for specific use parameters.
Lyndon F. Schmidt, A.E.
FL # 43409)
March 4, 2009
PF 853 Sheet I of 3
Silver Lir
WINDOW8*00ORS
an Andersen Company
18ILVEMNEDRIVE, N0MBMJkSWJCKW0M
SERIES SSW / 56W / 57W
EXTRUDED VINYL
SLIDING PAW DOORS
NON -IMPACT"
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to bow acterUdwi be beyond wal dmulng or stucco.
3. Whmwdhaeon mqkftwind bane protected with
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PERUIT - - 11. OFFICE
Product Manufacturer Generat Aluminum Company
Addtem/Phone/Eman 1001 W. Cosby Rd.
Carnoiiton, TX 75006
972) 242-5271 tact 207
ivan.paredes0liacim-com
Authorized Signature Ivan Paredes
1van.paredes9gacM,corn
Tedu tat Representative Ivan Paredes
AddtessfPhone/Eman 1001 W. Crosby RD.
Carrollton, TX 75006
tvan.paredesAgacbc.com
Quality Assurance RepreserMve Ted Sctabadc
Addres%MHO eJEM11 1001 W. Crosby Rd
Carrollton, TX 75056
Wd.scrobad*ga=.com
Category Windows
9ubcamum Single Hung
Compliance Method EValuetlon Reportftom a Raitda RegIstared Ard toed Or Ucensed
Florida Professional Engineer
evaluation Report- Hardcopy Received
Fkx Wa Engineeror Ardiltact Name auto Roberto Lamas
developed the Evaluation Report
Rod" LIMA a P8.67.514
Quality Assurance Entity Nations{ Accreditation and Management Institute
Quality Assurance Contract Ecpiratton Date 12JUM13
Validated By Steven M. Urlch, PE
Validation Cheddist - tterdcoW Reoelved
CertiAcate of Independence FL13e5.0_R0—C0J Cett+"ix Qf INgPendgncrr110
RefprenCed Standard and Year (of standard) Stemdei9 Ypr
AANA/WDMA/CSA 101/Is.2/A440-05: zoos
ASTM E 1886 2002
AM E 1886 2005
ASTM E 1996 200E
ASTM E 1906 2002
h#tp://wv w.f oridabuikUng.oWpr/pr. Vpdt wpx?pram` wOEVXQwM(WO/o2bFd42duxg... 912 010
SEE ANCHOR Qvm
A'0 NOTE 7
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LEVATIQN
VIEWED FROM EXTERIOR
HOTM
1) THE mwuci %cm Hamm S DmGm AND mmoAduRm TO COMPLY Ww RFDIRRH en
OF THE f=0A BUILDING CODE
2) WSW= OPE KID TO ge OESlM TO PROPERLY TRANSFER ALL LOAZ TO WRUCRM
MASO M OPENING DEM 6 THE RESPOWINL FY OF THE ARCie = OR ENGWER OF REOM.
3) WMXMFRK RESPItaAiD TMFOR AINM SIRUCMGL DAEORITY Or WHOOW WMIN0 AND
ALL INOW
4) WNOOW FFIAIIC NATFJaR TO BE ALU ?UM ALLOY 6093
5) AU. FASSMM, NUS AND WAVERS SHALL BE MADE OF CORROSION RMSUNT MRMdAL_
e) SHY AS REWRED AT EACH R45t&WION ANCHOR WITH LOAD HS MNG SHIM, SHIM WHEIM
SPICE OF i/Ir OR CREAM OCCURS. NIMIC M ALLOWAME SKM ST7M:TT 10 9E 1/4•,
7) FOR ANCHWH6 INTO WSONRY USE 3/1r ITW TWOM OF %%FTC W LENGTH TO ALIMt A t
1/4' WRMW ELIBEplO:71T INTO 31RSMM WrW 2 1/r MNM UM EDGE 06"W. LOCATEAfKF[OAS IN PREPWICHEO HO1.E5 AT HEAD AIM a MBS REFER TO ANCHOR CHART FOR NUMOM
OF W HORS REOUIFED,
0) APAPPRY ROTIMPACTPECTK SYSTEM js$p ON THIS PROMR7 IN WIND BORNE DF t15
0) CAULIt 0EHN0 MTNDOW RAIIOE AT HEAD AND 4wo,,pPOLL MM= W ATTACHED TD THE
10) U FOR P TptI t MOtFND ExtFRioR OF MkiDOw"
1t) WME WATER RESWANCE TEST RMUIUENT OF 1511 OF OESIOI'M LOAD APPLIES, PW ME
DE M PRE5SURE IS UMITM TO 4OPSF ME TO WATER TEST PRESSURE OF VSF ACHIEVED RM
12) ATAWABLE OFgESS a1MAN CF 1 ] WAS NOT UNI IN THE ON OF Ta PRODUCT SHOWN
HOOK WIND LOAD OUIRMON FAt Cd-1.e WAS = FOR WOW NICHOR CAL.CUL4W)140,
13) WE S NOT LISTED USE 41btt LARGER = fan TIc APPROMWE am=
14) LIIItS MUST BE GLAZED IN ACI:QVMCE WITH ASTM E13M
1101 Ot>xxrlI . WE 1, u"Mm A
RLV9M PER 2007 IBC I 0/I8/00 1 R.L B1UPbKWPERF0CCW0tFM111/16/00 1 R L Alaximu»
design promum capediy chart iylth 3/16' Annealedor f/,
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0 A.W 4 40. 6.40.0 2OD 9L' 01640. Oe.R00 4ZW4LW. 40 0 0 40,0 WrW 50.0 Minimum number
of androls M&girh*d llnlld tarchand "
no Y16* OW Tipcan, thtltwidth Eit
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Jamb Mead Jamb h%ed Jamb Pfaad Jamb Jamb I&q
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2 4 3 4 4 3 4 4 42.Q
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t7 ltltkp Or07 GENERAL ALUMINUM
111IItr U i LD*/ COMPANYOFTEXAS. LP 1001 W.
CRQSBY RD. CARROLLTON, TX 75006 y CEkdR tA t4• •+M=
11 1SERIES1450
SH WINDOW RECTANGULAR 44Xa4 OP
CHARTS
AND NOTESAT ELEVATION, OP _• A. FL
00263 N
rionaa jouivaing t,oae t-nume X-ast; A ul .7
r/
ASi M E 330
Equtvatence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method I Option D
Date Submitted 06128/2010
Date Validated 07/04/2010
Date Pending FBC Approval 07114/2010
Date Approved 08/10/2010
Date Revised 1110Z/2010
2002
ummary of Products
Go to page _ 0 0 Page 1/ x 0 0
Iter or Name DesAm on
13850.1 5f ries 110 uminum S/H l " x 84" Annealed 3116'. Per
lauon instructions.
Umlta of uae nstaliation Instructions
Approved fbr use In tiYHZ: No FL13850. RO II t1A0259B Rectangular.pdf
Approved for use outside HVHZ: Yes FL1385d_RplI_FIA0Z60B DeslgnQr.pdf
Impact Realatarit: No Verified By: Luis R. Lomas, P.E. 62514
Raslgn Pressures N/A Created by IndependentThlyd Party: Yes
Otltars See attached dtawh>Qs for the Installation lus3tan Reporfst
Iproduct peribrmance, Ilmtts/DP and other FL13850_R4 A"10337-1 I;vatuatlon.pdf
limits of use. Created by indepMdent Third Party: Yes
13850.2 es 1100 C. Head and Sill Aluminum S/H (Fin) 887 x 72" Annealed DSB. Perr. Manufacturer's Installation Instructions.
Umit s of Use Installation Instructions
Approved for use In HVHZ: No Ft,1385.0 RO If_F4,00253A.RWangLilar_pdf
Approved br use outtstde HVHZ: Yes F1.1385"O-J L00254A VesigwMf
Impact ReslMnv No Verified By: Luis R. Lomas, P.E. 62514'
Design Pressure: N/A Created by Independent Third party: Yes
Others See attached drawings for the installation Evolunttan Reports
instrucions, product performance, Ilmlts/DP and other FL13$50 RO AE 510334-1 Evaluation,pOf
emits of use. I Created b ,Inde ent Ttdrd : Yes
13850.3 rles 1450 Aluminum S/H (Flange) 44" x 84" Annealed 3/1fr . Per
Manufacturer's installation instructions.
Umits of use Installation Instructions
Approved for use In HVHZ: No 1 850 RO II FLOO263 8 ReOtan ular pOf
Approved for use outal le HVHZ: Yes Fi138 00R0 QFLOQ2648 Dell Mr.plf
Resistanti No verifted By:. Luis R. Lomas, P.E. 62514
Design manure: N/A Created by Independent Third Patty: Yes1ImpatttOther: See attached drawings for the installation evvatastlon Reports
nsti%W(m% product perfbrmanoe, limits/DP and outer FL13850 RD qE S1033g-1 Eva1uattionzP0
limits of use. I Created by Independent Third, Pa : Yes
13850.4 es 1450 C. Head and SIB Aluminum S/H (Flange) 73" x 71' Annealed DSB. Per
Manufacturer's Installation Instructions.
Unrtte of use InsgilaUon Instructions
Approved br use to HVHZ: No K13850_RORiI_FL0Q046A Rer;tanguiar,pdf
Approved for use oubslda HVti2: Yes 1`1.33850:.110 U:. FLOO107A Designer.pdf
Impact Resistants No Verified By: Luis IL Lomas, P.E. 62514
Design Pressurm N/A Created by independent Third Party: Yes
Other. See attached drawings for the Installation Evaluation Reports
Instructions, product performance, Iimits/DP and outer FL1385Q RO AE 510050-1 Evpluji.0on.ptlf
limits of use. Created by 11ndependeftThIrd Pa : Yes
13850.5 es 1550/1570 Aluminum S/H (Flange) 44" x 84" Insulated Annealed
B. Per Manufacturer's Installation Instructlons.
Unfits of use Dnctaliatlon Instructions
Approved for use In HVHZ: Na F11385p AQI FLQ43¢SB Rectangul7r q4f'
Approved for use outptde HVIM, Yes FL13850 RO lI FL002665, Designer.pdf
Impact Reaistant: No verified By: Luis R. Lomas, P.E. 62514
hup://www.tlori&building.o*or/pr epp dtl.aspx?pamm=wGEVXQwtDgveio2bFd42dux... 11/30/2010
FERM.
00T-25-2009 04:28 FROM: TO:14076885152 P.2/7
r'ldn(ta ftil(ling Wl1e Uniine .e^age k oz w
FF IC E
PrCRadAGmDvel.Maw > P aaua a cerwnon ;..Rn > Rvalemewn u i o.en
FL # FL11136
Application Type New
Code version 2007
Application Status Approved
Comments
Archived
Product Manufacturer 7ELD-WEN
Address/Phone/Emalf 3737 Lakeport Blvd
Klamath Fallr,, OR 97601
800)535-3936
fbc®je d-wen,com
Authorized Signature 3anet Gerard
tbc®jeld-wen.com
Technical Representative Steve Saffell
Address/Phone/Emall 3737 Lakeport Blvd
Klamath Falls, OR 97601
541) 862-3451 ext 2900
StevesaoJeld-wen.com
Quality Assurance Representative
Addre so/Phone/Email
Category Exterior Oaora
Subeategory Swinging Exterior Door Assemblies
Compliance Method Certncation Mark or Listing
Certification Agancy Mlaml-Dade BCCO - CER
Validated By Miami -Dade BCCO • VAL
Refaranced Standard and:Year (of Standard) StandKd Y. 1Wr
TAS-201 1994
TAS-202 1"4
TAS-203 1994
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
http://www.floridabWlding.orglprlpi app dd.aspic?param—wGEVXQvvtDgttaGslp3Gvui5... 3/29/2011
OCT-25-2009 04:28 FROM: TO:14076885152
Florida Building Cade Online
C
Date Submitted 07/21/2008
Date Vallciated 07/23/2008
Date Pending. FSC Approval 07/28/2008
Date Approvea 09/%5/20ou
P.3/7
Page 2 of 4
Sum of Products —._.. _..._
FL D Model Number or Na Deserl on
11136.1 Steel Steel Edge In W Frame 3'-0' x 6'-l9" 0 ua Sin le Door In -swirl
umfts of U Ce
r use In HVH2: Yes df
Approved for use outside HvNZ: Yes F611I36_R0__SA.rZ00?. Qgmpllantt tetter.ioC.N9A
Impact Resistant: YeS R-020A.06.pdf
Design Pressure: +80/-80 Quality Assurance Contract Expiration OVA
Other. Product must be Installed per manufactures OZ/11/2013
Instn,ctlon6 as stated ad NOA Installation Instructions
FL11136—RO LI-08-0208.O6,A.df
Verifed By: Miami -Dade BCCO - CER
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Paft
11136.2 Steel Steel Exi a In Wood Frame 31-0" x 6'-B' Opaque, single Moor Out -owing
umlta of use Certifleauon Agency Certificate
Approved for use in HVHZ: Yes FLIX136_PO_CAC—O8-OZ09,07....Of
Approved for use outside HVHZ., Yes FL,11136,.,R0_Q_CAC„ Z007 Compliancetel1crJ?r NQA
Impact Rsslafant: Yes 0$-0208:07-pdf
Design Pressure•. 4801-80 Quality Assurance Contract Expiration Date
Other. Product must b6 Installed per manuf3c Wre8 02/11/2013
Instructions as stated on NOA Instagation Instructions
FL11136_R0-, iIOS-020$.07-pdr Verified
By: Mlaml-Dade BCCO - CER Created
by Independent Third Party: Evaluation
Reports Created
ivy independent Yird Pa 1113613
Steel, Steel Edge In Wood Frame 5'-4" x 6'-8% Opaque, Single Door, With or Without Side- Iltes
In -swirl umlts
of Use Certification Agency Certificate Approved
for use In HVHZ Yes FLU13.6ZR0_(:-CAC-07-0709,.03,pdf. Approved
for use outside mvHZ; Yes FLI113Fi...Ro..C_CAG_2007 Compliance Letter S, TAS- Impact
Resistant; Yes p:4z,3_PPF Design
Pressure: 460/,60 uality Assurance Contract. Expiration Date Other,
Product must be Installed per manufactures 08/08/2012 Instructions
as stated on NOA. Side -fires are not Impact Installation Instructions Rated
and Require Mlamr-Dade HVHZ Approved Shutters. FL11136..,110 II.07-070.9.03.pdF Verified
By: Mlami-Dade BCCO - CER Created
by Independent Third Party: Evaluation
Reports Created
by independent Third Party: 11136.
4 ktad, Steel Edge in Wood Frame 8'-4- X 6'-8', opaque, Single Of Double Door, With or Without
Side-IKcs DUt-SWIn Limits
of use Certification Agency Certificate ApprovedforuseInt"Z; Yes Fl I:LI26_RQ_C_CAC_07-0618.10.pdf ApprovedforuseoutsideHVHZ: Yes FL11136_I?0_C_CqC,_Z0.0.7, Com0lance.i.Otter S, TAS- ImpacZAssistant: Yes 01,2,3,P0F Design
Prmmurs: *607-60 ul,llty Assurance Contrast Expiration Date Other. •
Product must bq Installed per manufactures 07/03/2022 lnsbucttons
as stated onrNOA. Side-iltes are not Impact Installation Instructions Acted
and Require Mlaml=Dade WHZ Approved Shutters, FL11136-R0, K 0'1-06?0_10.-Pof Verified
By: Miami -Dade BCCO • CER Created
by Independent Third Party: Evaluation
Reports Created
by indgendent Third Pa 11136.
5 DWI, steelEdge In Wood Frame 12'-0" x 6'-B", Opaque, Single or Double Door, With or Without
Side-lite6 Out -swirl Limits
of Use Certification Agency Cortiffcate Approved
for use In HVHZc Yees60._C G G 07-08Z01O8.01' Approved
for use eutslde NVHZ: Yes FLi1.P6_R0_r_G4C_2007 Compllaoce,.Wher.5.,.TA5- ImpactResistant; Yes: 01,Z.3,.PQF DesignPressure: +61/-61 Quality Assurance Contract expiration Date Others
Product must be: Installed per manufactures 08/22/2012 InsbvetIM
as stated On NOA. Sldrlltes are not Impact stallation Ipsiructims Rated
and Require Mlaml-Dade HVHZ Approved Shutters F.L"A36_RO_I_07,08Z0.08.Odf llttp://
vvww.floridabuilding.org/pr/pr app dtl.aspx?param--wGEVXQwtnyttaC,slp3Gvui5... 3/29/2011
OCT-25-2009 04:29 FROM: TO:14076885152 P.4/7
MAW MIAMI-DADE COUNTY, PLORll)A
SIM M13TR0•DADE FLAOLER BUILDING
BUILDING CODE COMPLIANCE OFFICE (8CCO) 14o WEST FLAGLER S'imET, SuXI'E 1603
PRODUCT CONTROL DIVISION MIAMI. PLOPJ DA 33130-1563
305) 375-2901 FAX (305) 375-2908
NOTICE OF ACCEPTANCE (NOA) www.buildingeodoonHoo.com
Jeld Wen Ice.
3737 TAkgmrr Blvd.
Kids nth FaIIs, OR 97601
SCOPE'
This NOA is being issued under the •applicable rules and regulatians governing the use of construction materials.
Thedocumentation submitted has been reviewed by MiamiDade 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 AM (in amas other thaw 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 mariner, the manufacturer will incur the expense of such testing and the AH1 may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, ifitis datermined by Miami -Dade County Product Control Division that this product or
material fails to mat the requirements ofthe applicable building code,
This product is approved as described herein, and has been designed to comply with the Florida. Building Code,
including the High Velocity hurricane Zone.
1D.F,SCRIMON: Series "61-S" & 9'-0"" Single Inswing. opaque Steel Doors
APPROVAL DOCUMENT: Drawing No "D "70-1", tided "6'-8" & 8'-0 Single Inswing Opaque Steel.
Edge", sheets I through 5 of 5, dated 12-07.07 and last revised on •02-05-08, prepared by the manufacturer, signed
and sealed byNimesh Bhaysar, P.E., bearing the 1VliarmDade Comty Product Control renewal stamp with the
Notice of Acceptance number and expiration date by the MiamiDade County Product Control Division,
AM= 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 u permanent label with the n=ufactumr's name or logo, city, state and
following statement; "Miami Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL ofthis 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 perfom=ce of this product,
TERMINATION of this NOA will elccur after the expiration date or if there has been; xMvision or change in the
Materials, use, and/or manufacfau+e ofthe product or process. Misuse ofthis NOA aa• an endorsement ofsty
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 ofNOA.
ADVERTWJR1 ENT.- 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 ofthe NOA is displayed, their 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 thejob site at the request ofthe Building Official.
This NOA renews NOA # 62-1211.11 and consists of this page 1 and evidence page, as well as approval
document mentioned above.
The submitted doeummtation was reviewed by Ishaq L Chanda, Pam.
NOA No 08A208.06
Expiration Date: February 311 7,013
Approval Date: March 20, 2(i08
page 1
OCT-25-2009 04:29 FROM: TO:14076885152 P.5/7
Aeld Wes Inc.
N T10E Off' ACCEPTAIVGT: EVIDENCE SUBMITTEp
A. DRAWINGS
1. Manufacturers parts and sections drawings.
2. Drawing No "DC9970-1", titled "6'-8" & 8'-0 Single Inswing Oparquo Steel Edge", sheets 1
through 5 of5, dated 12-07.07 and last revised on 02.05-09, prepared. by the manufacturer,
signed and scaled by: Nimesh 13hawaar, 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 FSC, TAS 201. 202 and 203-94.
1. Test report on
I) Air MItration Test, per TAS 202-94
2) Uniform Stalk Air Pressure Test, ,Loading per TAS'202-94
3) No Water Resistance Test. performed,
4) urge Missile Impart Test per FBC, TAS 201-94
5) Cyclic Wind Pressurd Loading per FBC, TAS 203-94
6) Foreed Entry Test, per PA 202r94
along with marked -up drawings and installation diagram of single outswing and inswing
residential insulated steel doors, pmpared by Cortified Testing Laboratories, Test.Report No(s)
Test Report No.. CTLA455% 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. Engincering Strviccs Inc., dated 02-06-08, signed and
sealed'by Nimesh Rliaysar, P. E.
D. QUALI.'I'Y ASSURANCE DY;
1. Miami Dade County Building Code Compliance Office (BCCO).
E. MATIZIUAL CERTMCi ATIONS (Photo copies from files # 02-1211.11)
1. Tensile Test prepared by Certified Testing Laboratories, Test Rcport.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, ITS499006660-001, prepared by Intertek Tasting Services NA, Inc., issued
to Jeld-Wen Research and Development; dared April 8,1999, for samples of foam, tested per
ASTM E 84-94 "Standard Test Methods for Surface Buming Characteristics of Building
Ma wrials" and ASTM D 1929-91A "Standard Test Method for ignition Properties of
Plastics"; signed and sealed by Douglas Keith Tucker, P.E.
F. STATEMENTS
I. I.chcr of conformance & "No financial interest" dated February 01, 2008, signed and sealed
by Nimesh Bhaysar, P.E.
2. Laboratory Statement of compliance, part ofthe test report CTLA455W & C71A650W,
signed and sealed by Ramesh Patel, P.E.
F. OTHER
1. This NOA renews NOA # 02-1211.11, expiring February 11, 2008.
l4 cr41 1. L ,%64A.
haq-I Chnnda, P.L
Product Control Rummer
NOA No 084308.06
Expiration Date: February 11, 2013
Approval Date: March 20, 2008
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