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HomeMy WebLinkAbout200 Springview Dr (2)CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION AUG 1 6 201611 Application No: 6' ;. 3 d- (,o Do.cumented Construction Value: $ o006, • 6-;2' Job Address: 900 Srnrjna vt Ill 61- - Historic District: Yes No T Parcel ID: jb-2b DOaO- 040o`0 Residentialx Commercial Type of Work: New Addition Alteration, Repair Demo Change of Use Move Description of Work: Plan Review Contact Person: 6m Title: 6W,/ n. Phone: W7, EJ4, 919V Fax: Email: cl e rr laan r u l1Aa: cry Property Owner Information Name J'akhnq C—leanDr MpyrYt Phone: D7— 30 • Jr % Street: '11/1Resident of property? : -- City, State Zip:;' a4, (,w, %L • 302772 Contractor Information Name l"L oi- i2C., Phone: qO7- !P f le Street: 7c9-4( 1?7DJGs G Fax: Qr27 — 1pI4- M City, State Zi!p: GU I ll SDI^/l4,j , ct t ra? att`rs 1 oZ`O$ State License No.:[. Architect/ Engineer Information ?!!du9' ;1z!eJVUAMT 0301408 Name: _ Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender. Address: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON 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. 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. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5t' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application y 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 peratits required from other governmeAtal 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. tit Signature of Contractor/Agent Date Print Contractor/Agent's Name S 057116 Signature o fWvtary-State of Flo a Date Si hat - --D oua ty OF. 5 al l tuo 1_ E = `" wY ` ,: DE©BIE B N 9 FF 1MYCOMMIS510N # FF 178648 a€ EXPIRES: February 25, 2019 Bonded Thru Notary Public Unde writor, f Owner/Agent is Personally Known to Me or Contractor/Agent is Personall Known to Me or Produced 1D c Type of ID fG hL- M 66D -263 -s3- q6?-0 Produced Ili Type of 1D / L. MAURA VARGAS e r I O y Z NOTARY, PUBLIC • STATE OF FLORIDA Commakm #I'FF 021IN aJw»^.mt7 BELOW IS FOR OFFICE USE ONLY WOND THRU Notary Public Undetwtiters Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof Construction Type:_ Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: 7 UTILITIES: ENGINEERING: E.&h,--- COMMENTS: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: SF Z`l • Revised: June 30, 2015 Permit Application t-Ili> P operty.Recotd Card Cwric-r. .. Q 4i AOvnY Nt11b. Prope!1'y Address: Parcel Information VaAie Summary Paroet 11040-30-506.0000 0620 2016 womung 2015 Certified Oxman MOORER JOHNNY J E ELEANOR C Vahl@S Vast es Property Address 200 SPRINGIIIEW DR SANFORD, FL 327739963 Valuation Mengel CastlMarket Cosumad( et MaNing 200 SPRINGVIEW DR SANFORD, Ft 327735963 Number a8ud6ww I 1 Subdivision Name - - - Bldg Value $ 100,186 $ 87.030 Depreastod EtFT Value Tax Dl6bid S1S:ANFORD` Land Value (IiAarket) $25, 000 E20.000 DOR Use Cade 01SINGLE FAMILY Lard Value Ag Exemptions OO410MESTEAD(1999) jas, r t,uK^ t__aue _ E125.186 E107.030 Portability Adj I! O Sm a Our Hanes Adj 537,19E $19,651 R5 7Q M Artxendmxem 1 Adi" PEG Adj 30 EO O Assessed Value $87, 991 $87,379 Tax Amount vrlatoxt SOH. ;; 1,356.86 956.94 b eV a _gt_ma ar cI Save Our Homes Savings: $399.92 I y l Does NOTINCLUDE Non Ad Valorem Assessments Semmoip. (wrty GiS a Legal Description LOT 62 GROVEVIEW VILLAGE 2ND ADD REPLAT PS26PGS7E8 Taxes Taxing Authority Assessment Value Exempt Vales Taxable Value County General FwW 87, 991 $50,000 $37.991 Schools 87.991 US." $ 62.991 CRY Sanford 87,991 $ 50,000 $37,991 SJWM(SaintJohns. Water Management) 87,991 $50,000 $37,991 County Bonds 387,991 SW, 000 $37,991 Sales Description Das Book Page Arnowrt Qualified. _ Vaclirnp WARRANTY DEED 71171991 E83,W0 Yes Impoved WARRANTY DEED 12717198E ....-__ ...._.._ S71,400 Yes Improved Find Comparebte Sates Land Method Frontage Depth LkMs lints Price Land Vatae LOT 0.00 0.00 1 25,000.00 $25.000 Building Intortnation Description Year BuiltActual/ Etfectwe Fixtures Bed Balfi Base Area Tatai SF l irifg SF E7d IAtal Adj Value Rapt Velxe Appendages 1 SINGLE 1985 6 3 1,575 2.050 1,675 CONC $100.188 $115.488 Description Area FAMILY BLOCK GARAGE 440.00 FINISHED F 2016-07-28 12:07 0264EX 4073331117 Home, Important additional information regarding Customer's r o e: This "Agreement' consists of this page, the fol' Supplement if applicable, and any drawings or Change Ord between the Customer identified on the Invoice and Th, Agreement shall be performed by a licensed and insured thi perform arohitectural or engineering services, nor does it ma apt and )ts Authorized Service Provider will perform install Payment Schedule: Payment is required immodiately as follows: Payment: S_-Pffia: Q7D1_.S- Sales Tax: 3___p_0Q Total Amount of Sale. $ PQAA-;s 2"707 s 4073331117 >> +1 407 209 0090 P 1/1 i Page 5 of 10 N0. f a 4-94i78 nent Agreement LEAD THIS hts may be contained in an attached State Supplement. ving General Terms and'Conditions, the Invoice, the State s expressly made a part of,this Agreement. The Agreement is Home Depot. Any installation services provided under this party Authorized Service Provider. The Home Depot does not structural changes to dwellings -or other structures. The Horne or services In accordance with applicable law. Due in full Immediately. If applicable. Includes all applicable discounts, rebates, and taxes. Excludes fipance charges." Any intern st payrnents or other finance charges will be determined by Customers separate csniho(dcr or loan agreement, to which The i Home Depot is NOT a party, and will be in addition to Customer's p yment under this Agreement. Customer is subject to the terms and onditiuns of the cardholder or loan agreement, as applicable. No f nds should bo made payable to Autnonzr?d Service Provider; hcwover, Authorizod Service Provider may collect Customer's prey eni(s) made payable to'Thb Horne Depot. Anticipated ellver I Installation Schedule Delivery Date: D - Start Date: 7 Finish Dato: 08/28/2016 Acceptance and Authorization: Customer authorizes The Home Depot to order and arrange for the delivery of all goods and services included on the Invoice:. Customer further agrees anc understands that Ihis Agreement is the erjtire Agreement between Customer and The Home Depot with regard to said goods and services and supersedes all 0-iordiscussionsandagreements, either oral or written relatinq to said goods and'serviees, This Agreement can not; be assignod or amended except by a writing signed by Customer and The Home Depot. Customer acknowledges and agrees that Customer has read, understands, voluntarily accepts th terms of and is entitled to and has received a complete copy of this Agreement at the time Customer signs the Agreement, Installation Professional's license number and perrnitting information oily need to Ue provided later and as such this information may be omitted at the time this Agreement is igned. Electronic Si mnature: The parties to the Agreement agree that the digital signatures of the. parties Included in this Agreement are intended to authenticate this writing and to hive the same force and effect as the use of manual signatures - Customer acknowledges that he or she is the person named on The Horne Depot contract number Identified on the point of Sale device. CANCELLATION: CUSTOMER MAY CANCE OBLIGATION BY DELIVERING WRITTEN NOTI THIRD BUSINESS DAY AFTER SIGNING TI ATTACHED HERETO CONTAINS A FORM TO LAW IN CUSTOMER'S STATE. under such circum business d?ys r The Home DgQot's receipt of Customer' Authurtzed Service Provider's Full BusinesslTrada Nitme, Address and L,censo No. or No(s)., as applit.a04e Ucense No(ai. AuthonmPd Sorviue Provider's Tel. Nu Home Depgr U.S.A Inc., 2455 PaoQs Puny THIS AGREEMENT WITHOUT PENALTY OR E TO THE HOME DEPOT BY MIDNIGHT ON THE S AGREEMENT. THE STATE SUPPLEMENT II ISE IF ONE IS SPECIFICALLY PRESCRIBED BY ! ances, Customer's payment(s) will be returned within ten (10) nnticp 07/2912016 Data i i x _ Assooale'S1Authorimd Service- Providers Fu;l Siynaiure AssocMle: Please print your sal -sperson's tica as nutntwe, if applicable. N.w., Wag 8,3, Atlanta, GP.nrg(a 309:i9 . ir:'gt 1 Page 5 01 1Q No. H0264-9478 r Copy THIS INSTRUMENT PREPARED BY: Name: 'Decker Doors Inc. Address: 724 Brooks Ct Winter Springs FL 32708 NOTICE OF COMMENCEMENT Permit Number; U f"i::f.lRU;:I'"i oi::.:...:........ ....: Parcel ID Number 10-20-30-506-0000-0620 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. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) Lot 62 Grovevievv Village 2nd add Replat PB 26 PGS 7 & 8 200 Sprinqview Or Sanford FL 32773 2. GENERAL DESCRIPTION OF IMPROVEMENT: Replace exterior doors. 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Johnny and Eleanor Moorer 200 Sprinqview Dr Sanford FL. 32773 Interest in property: 100% Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: Decker Doors, Inc. Phone Number: 407-696-0830 Address: 724 Brooks Ct. Winter Springs, FL. 32708 5. SURETY (If applicable, a copy of the payment bond is attached): Name: NIA Address: Amount of Bond: 6. LENDER: Name. N/A Address: Phone Number: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Address: 8, In addition, Owner designates Phone Number: of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from 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 1, 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 0 Authorized State of t, V unty of The foregoing instrument wa<_c ackno ledged before me this 09 day of /,U Usl 20 6 t by (: 1 e a V) oV (7 U Y c f` Who is personally known to me OR Name of person making statement _ who has produced identification type of Identification produced: FL A = ( 660 - 3 2 Johnny or Eleanor Moorer Print Name and Provide Signatory s Title/Offioe) INAUF A VARGAS NOTARY PUBLIC- STATE OF FLORIDA e Notary S gnauus CCI SSION # FF 021195 l { E:3 June 28, 2017EXPIRE Ct=R71FI€DCOPY— MARYANNE MORSE BONDED THRU Notary Public Underwriter§. CLERK. OF THE CIRCUIT COURT AND r 4 m •, t u C". OMPTROLLn. a ` } It v' " U'; 1; l• Q S IV a i N ORIDrri qo UH}Y4 1e, = t+ • V t1 c C:l- Mr FlL•T'tFi'Y CLERK P" City of Sanford r Doors -Windows Application Checklist r All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: All permit applications must be complete prior to acceptance. A complete application shall include the following: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). pG Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). Two (2) copies of the floor plan indicating size, type and location of windows/doors. Completed and signed Statewide Product Approval Specification Form. Two (2) copies of the manufacturer's installation instructions. Contact Person information entered in Naviline? Application forms stamped received and initialed These guidelines were compiled to assist the applicant in preparing a windows / doors permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. Revised: February 2015 RECORD COPY A PERMIT ISSUED SH LICENSE TO PROCEED AUTHORITY TO VIOLi ASIDE ANY OF THE PR CODES, NOR SHALL IS; THE BUILDING OFF REQUIRING A CORRE! CONSTRUCTION OR REVIEWED POR CODE COMPLIANCE PLANS EXAMINER S Zg-i(a DATE BE CONSTRUED TO BE A TH THE WORK AND NOT AS CANCEL, ALTER OR SET SIONS OF THE TECHNICAL NCE OF A PERMIT PREVENT AL FROM THEREAFTER DN OF ERRORS IN PLANS, LATIONS OF THIS CODE i AG e 16-2326 Florida Building Code Online https://www.floridabuilding.org/pr/pr app_dtl.aspx?pararn=wGE... W ` , p3 y "%'teaAr Y°" e k 1` rw•. . . f'&uT •,„ww.u....,..2kra , z;a...... , az.a.... .u,,.. ,. ,u ab . k..m.m ^,...,, r.,,,.aS a,...xsi.,:, .:..x.•m 4c..; x, BCIS Home Log In User Registration Hot Topics Submit Surcharge ' Stats & Facts Publications FBC staff BCLS Site Map Links Search Business CofeSSibn i *USER: ProductAPProyal j" Public User Prpdu4t Approval Menu > Product or Applicafig n_.Search > Replication Lit > Application Detail FL # FL12509-R3 Application Type Revision Code Version 2014 Application Status Approved Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived FIT Product Manufacturer JELD-WEN Address/ Phone/Email 3737 Lakeport Blvd Klamath Falls, OR 97601 800) 535-3936 fbcl@jeld- wen.com Authorized Signature Kaede McLaughlin fbcl@jeld- wen.com Technical Representative JELD-WEN Corporate Customer Service Address/ Phone/Email 3737 Lakeport Blvd. Klamath Falls, OR 97601 800) 535-3936 customerserviceagents@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 National Accreditation & Management Institute Validated By National Accreditation & Management Institute, Referenced Standard and Year (of Standard) Standard Year ASTM E330 2002 ASTM E331 2000 TAS 202 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A 1 of 3 6/29/2015 5:13 PM Florida Building Code Online https://www.floridabuiIding.orgipr/pr app_dtl. aspx?param=wGE... Date Submitted Date Validated Date Pending FBC Approval Date Approved of Prod FL # Model, Number or Name 12509.1 Finishield/Gladiator Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: +45/-45 Other: 12509.2 , Finishield/Gladiator Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: +55/-55 Other: 12509.3 Finishield/Gladiator Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: +45/-45 Other: 12509.4 Finishield/Gladiator Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: +55/-55 Other: 01/13/2015 01/14/2015 01%21/2015 Description 12'-5" x 6-10", Glazed Steel Wood Edge Inswing Door with Sidelites Certification Agency Certificate Fta_2509 R3_C CAC NIO.0.9.56_l._Ra_NCiP..... Quality Assurance Contract Expiration Date 10/31/2020 Installation Instructions F1-1.25.09 R3 1I_J_W 1.92008._SS201.5_-01-07.,pdf Verified By: Hermes F. Norero, PE FL PE # 73778 Created by Independent Third Party: Yes Evaluation Reports FL12509 R3AE._ PER3319 SS 201.5 01-07.pdf Created by Independent Third Party: Yes 12'-5" x 6-10", Glazed Steel Wood Edge Inswing Door with Sidelites Certification Agency Certificate r L125_09 R3_C_CAC N1.0.09861 _R4 NOPCpd.f Quality Assurance Contract Expiration Date 10/31/2020 Installation Instructions FL12509 R3 11 JW192008 SS 2015-01-07.Ddf Verified By: Hermes F. Norero, PE FL PE#73778 Created by Independent Third Party: Yes Evaluation Reports FL12509 R3 AF_PER3319 SS.201-5_-01-0.7,pdf Created by Independent Third Party: Yes 12'-5" x 6-10", Glazed Steel Wood Edge Outswing Door with Sidelites Certification Agency Certificate FL12509 R3 C CAC_NT009861-R4 NOPC.Ddf Quality Assurance Contract Expiration Date 10/31/2020 Installation Instructions FL12509 R3 II 3W122008 SS 2015-01-07 odf Verified By: Hermes F. Norero, PE FL PE #73778 Created by Independent Third Party: Yes Evaluation Reports FL12509 R3 AE PER3320 SS 2015=01__07..pdf Created by Independent Third Party: Yes 12'-5" x 6'-10", Glazed Steel Wood Edge Outswing Door with Sidelites Certification Agency Certificate FL1.2509__13_ C__C..A.C__N1009861__R4___N.O..PC pdf Quality Assurance Contract Expiration Date 10/31/2020 Installation Instructions FL12509_R3_II JIW122008SS 2015-01-07. f Verified By: Hermes F. Norero, PE FL PE #73778 Created by Independent Third Party: Yes Evaluation Reports FL1.2509_R3 AE PER3320_55.201.5=01_-07_pdf Created by Independent Third Party: Yes LBackNext Contact Us :: 1940 North Monroe street, Tallahassee FL 32399 Phone 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Fbrida :: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455. 275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal 2 of 3 6/29/2015 5:13 PM 398 East Dania Beach Blvd. BUILDING DROPS Suite338 Dania Beach, FL 33004 A Perfect Solution in Every Drop 954.399.8478 PH Certificate of Authorization: 29578 954.744.4738 FX contact@ buildingdrops.com Product Evaluation Report Of JELD-WEN, inc. Finishield/Gladiator Steel Door, Wood Edge Glazed 12-Ox6-8 Inswing Door System for Florida Product Approval Report No. 3319 Current Florida Building Code Method: 1— A (Certification) Category: Exterior Doors Sub — Category: Swinging Exterior Door Assemblies Product: Finishield/Gladiator Steel Door, Wood Edge Glazed 12-Ox6-8 Inswing Door System Material: Steel/Wood Product Dimensions: 148-1/2"X 81-3/4" (Maximum) Prepared For: 371371 Lakeport Blvd, Klamath Falls, OR. 977601 Prepared by: I'lernies F. Nor ertr, P.E. Florida Professional Engineer # 73778 Date: 1 1 / 11 /2014 Contents: 1111tllrriri F. O ZZ 7 S'lr) Evaluation Report Pages 1 — 4 j NA1- `'GY rr1111111 Digitally signed by Hermes F. Norero, P.E. Reason: I am approving this document Hermes F. Norero, P.E. Date: 2015.01.07 14:37:57-05'00' Florida No. 73778 BUILDING DROPS A Perfect Solution in Every Drop Certificate of Authorization: 29578 Manufacturer: JELD-WEN, inc. Product Category: Exterior Doors Product Sub -Category: Swinging Exterior Door Assemblies Compliance Method: State Product Approval Method (1)(a) Product Name: Finishield/Gladiator Steel Door, Wood Edge Glazed 12-0x6-8 Inswing Door System 148-1/2" X 81-3/4" (Maximum) Date: 11/11/2014 Report No: 3319 Scope: This is a Product Evaluation Report issued by Hermes F. Norero, P.E. (FL # 73778) for JELD-WEN, inc. based on Method 1a of the State of Florida Product Approval, Florida Department of Business and Professional Regulation - Florida Building Commission. Limits of Use: Hermes F. Norero, P.E. does 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 current Florida Building Code. See Installation Instructions JW192008, signed and sealed by Hermes F. Norero, P.E. (FL # 73778) for specific use parameters. 1. This product has been evaluated and is in compliance with the current Florida Building Code, including the "High Velocity Hurricane Zone" (HVHZ). 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment into substrate material shall be beyond wall dressing or stucco. 3. When used in areas requiring wind borne debris protection this product complies with Section 1609.1.2 of the current Florida Building Code and does require an impact resistant covering. 5. Site conditions that deviate from the details of drawing JW192008 require further engineering analysis by a licensed engineer or registered architect. 6. See Installation Instructions JW192008 for size and design pressure limitations. Hermes F. Norero, P.E. Florida No. 73778 Page 2 of 4 BUILDING DROPS A Perfect Solution in Every Drop' Date: 11/11/2014 b: Certificate of Authorization: 29578 Report No: 3319 Quality Assurance: The manufacturer has demonstrated compliance of products in accordance with the Florida Building Code for manufacturing under a quality assurance program audited by an approved quality assurance entity through National Accreditation & Management Institute, Inc. (FBC Organization #QUA1789). Performance Standards: The product described herein has been tested per: TAS 202-94 ASTM E 331-00 ASTM E 330-02 Referenced Data: 1. Product Testing performed by National Certified Testing Laboratory, Inc. FBC Organization # TST1589) Report #: NCTL-210-3558-1, Report Date: 10/07/2008 Report #: NCTL-210-3558-1A, Report Date: 10/21/2008 2. Quality Assurance National Accreditation and Management Institute FBC Organization #: QUA1789) 3. Material Testing for 'Dylite' EPS Core performed by Intertek ETL Semko: ASTM E 84-05 Report #: 3113726SAT-001 Date: 02/05/07 4. Component Approval: HP Polypropylene by ODL, Inc. Miami -Dade NOA: 13-0219.03, Exp. Date: 01/17/16 Equivalence of Test Standard(s): The following test standards have been evaluated for differences in test methodology, if any, between the edition(s) of the test standard(s) listed below and those edition(s) referenced in the current Florida Building Code. The manufacturer has tested their products to the following test standard edition(s): 1) ASTM E84-05 Chapter 35 of the current Florida Building Code references the following editions of the above mentioned test standards: 1) ASTM E84-09 After review of the above mentioned referenced standards and editions, it has been found that no significant technical changes have been made to the test standards that would affect the results. All referenced standards have been found to be equivalent. All materials test results meet minimum requirements of the current FBC, including HVHZ provisions. Hermes F. Norero, P.E. Florida No. 73778 Page 3 of 4 BUILDING DROPS A Perfect Solution in Every Drop Certificate of Authorization: 29578 Installation: 1. Approved anchor types and substrates areas follows: Through Frame Installation: Date: 11/11/2014 Report No: 3319 A. For two by (2X) wood buck substrate, use #10 Wood Screw type installation anchors of sufficient length to achieve a minimum embedment of 1.50" into the wood substrate. B. For concrete or masonry substrate where one by (1X), non-structural, wood bucking is employed, use 3/16" diameter ITW Tapcon type concrete screw anchors of sufficient length to achieve minimum embedment of 1.25" into concrete or masonry. C. For concrete or masonry substrate where wood bucking is NOT employed, use 3/16" diameter ITW Tapcon type concrete screw anchors of sufficient length to achieve minimum embedment of 1.25" into concrete or masonry. Refer to Installation Instructions (JW192008) for anchor spacing and more details of the installation requirements. Design Pressure: Design Pressure Without Surface Bolts With Surface Bolts Inswing Positive 45 PSF* Positive 55 PSF* Negative 45 PSF Negative 55 PSF 1. Product has not been rated for water infiltration. If authority having jurisdiction requires that product meets this requirement, product shall be used when installed at location protected by overhang such that overhang OH) ratio = OH length/OH height is 1.0. Hermes F. Norero, P.E. Florida No. 73778 Page 4 of 4 NOTICE OF PRODUCT CERTIFICATION Company: Jeld-Wen Exterior Doors Certification No.: NI009861-114 Page 3 3737 Lakeport Boulevard Certification Date: 04/14/2009 Klamath Falls, OR 97601 Expiration Date: 10/31/2020 Revision Date: 01/14/2015 Product: Series "Gladiator/Finishield" Glazed Wood Edge Steel Doors w/ or w/o Side-Lites w/Wood Frame unless noted) Specification: TAS 202-94/ASTM E283-04/E330-02/E331-00 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 withinNAMI's Certified Product Listingat ww-w.Namice rtification.com. NAMI's Certification Pro ram is accredited b The A N mecanA. I S Inswing Glazed Design Missile ria Iona tandards Institute ANSI . Test Report Number Configuration or orMaximum Pressure Impact Drawing Number & Outswing Opaque Size Pos/Neg Rated Comments X I/S or Glazed 37' x 6' 10" 45/45 No NCTL-210-3558-1/210-3558-IA Single O/S Max Panel Size: 3'0" x 67'Daylight Opening: 1'9" x 5.3" w/o Surface Bolts Installation Details: JW 122008(1-14)/JW 192008(1-14) X I/S or Glazed 3'2" x 6' 10" 551-55 NO NCTL-210-3558-1/210-3558-1A Single O/S Max Panel Size: 3'0" x 67'Daylight Opening. 1'9" x 513" w/Surface Bolts Installation Details: JW122008( 1-14)/JW 192008(1-14) OX/XO I/ S or Glazed 6'3" x 6' 10" 45/45 No NCTL-210-3558-1/210-3558-1A Single w/Sidelite O/S Max Panel Size: 3'0" x 6'7"Daylight Opening: 1'9" x 5'Y w/o Surface Bolts Installation Details: JW122008( 1-14)/JW192008(1-14) OX/XO I/ S or Glazed 6'3" x 6' 10" 55/-55 No NCTL-210-3558-1/210-3558-IA Single w/Sidelite O/S Max Panel Size: 3'0" x 67'Daylight Opening: 1'9" x 5'3" w/Surface Bolts Installation Details: JW I22008(1-14)/JW 192008(1-14) XX I/S or Glazed 67' x 6' 10" 45/45 No NCTL-210-3558-1/210-3558-IA Double O/S MaxPanel Size: 3'0" x 6'7"Daylight Opening: 1'9" x 5'Y w/o Surface Bolts Installation Details: JW 122008(l-l4)/JW l 92008(1-14) XX I/S or Glazed 6'2" x 6' 10" 55/-55 No NCTL-210-3558-1/210-3558-IA Double O/S Max Panel Size: 3'0" x 67'Daylight Opening: 1'9" x 5'3" w/Surface Bolts Installation Details: JW122008( 1-14)/JW192008(1-14) National Accreditation & Management Institute, Ine./4794 George Washington Memorial Highway/Hayes, VA 23072 Tel: (804) 684- 5124/Fax: (804) 684-5122 NAMI AUTHORIZED SIGNATURE: NOTICE OF PRODUCT CERTIFICATION Company: Jeld-Wen Exterior Doors Certification No.: NI009861-R4 Page 4 3737 Lakeport Boulevard Certification Date: 04/14/2009 Klamath Falls, OR 97601 Expiration Date: 10/31/2020 Revision Date: 01/14/2015 Product: Series "Gladiator/Finishield" Glazed Wood Edge Steel Doors w/ or w/o Side-Lites w/Wood Frame unless noted) Specification: TAS 202-94/ASTM E283-04/E330-02/E331-00 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.Namicertification.com. NAMI's Certification Program is arcredited by The Amrriran Nafinnal Qfanrlarde rnefifnfo lANQn Inswing Glazed Design Missile Test Report Number Configuration or or Maximum Pressure ImpactP Drawing Number & Outswing Opaque Size Pos/Neg Rated Comments OXX/XXO I/S or Glazed 9'3" x 6' 10" 45/45 No NCTL-210-3558-1/210-3558-IA Double w/Sidelite O/S Max Panel Size: 3'0" x 67'Daylight Opening: 1'9" x 5'3" w/o Surface Bolts Installation Details: JW 122008(1-14)/JW 192008(1-14) OXX/XXO I/S or Glazed 9'3" x 6' 10" 55/-55 No NCTL-210-3558-1/210-3558-1A Double w/Sidelite O/S Max Panel Size: 3'0" x 6`7"Daylight Opening: 1'9" x 5_3" w/Surface Bolts Installation Details: JW 122008(l-14)/JW 192008(l-l4) OXO US or Glazed 9'4" x 6' 10" 45/45 No NCTL-210-3558-1/210-3558-IA Single w/Sidelites O/S x 6'7"Daylight Opening: 1'9" x 5'3" Max Panel Size: 3'0w/o Surface Bolts Installation Details: JW 122008(1-14)/JW 192008(1-14) OXO I/S or Glazed 9'4" x 6' 10" 55/-55 No NCTL-210-3558-1/210-3558-1A Single w/Sidelites O/S Max Panel Size: 3'0" x 67'Daylight Opening: 1'9" x 5'3" w/Surface Bolts Installation Details: JW122008(1-14)/JW192008(1-14) OXXO I/S or Glazed 12'5" x 6' 10" 45/45 No NCTL-210-3558-1/210-3558-1A Double w/Sidelites O/S Max Panel Size: 3'0" x 6'7"Daylight Opening: 1'9" x 5'3" w/o Surface Bolts Installation Details: JW I22008(1-14)/JW 192008(1-14) OXXO I/S or Glazed 12'5" x 6'10" 55/-55 No NCTL-210-3558-1/210-3558-1A Double w/Sidelites O/S Max Panel Size: 3'0" x 6'7"Daylight Opening: I V' x 5'3" w/Surface Bolts Installation Details: JW 122008(1-14)/JW 192008(1-14) National Accreditation & Management Institute, Inc./4794 George Washington Memorial Highway/Hayes, VA 23072 Tel: (804) 684-5124/Fax: (804) 684-5122 NAMI AUTHORIZED SIGNATURE: REQUIRED INSPECTION SEQUENCE BP# Il . 7 _S 71_ Address: ov BUILDING PERMIT Min Max Ins ection Description Footer / Setback Stemwall Foundation / Form Board Survey Slab / Mono Slab Prepour Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In Frame Insulation Rough In Firewall Screw Pattern Drywall / Sheetrock Lath Inspection Final Solar Final Firewall Final Roof Final Stucco / Siding Insulation Final Final Utility Building Final Door Final Window Final Screen Room Final Pool Screen Enclosure Final Single Family Residence Final Building (Other) ELECTRI,CA+L PERMIT , Min Max Inspection Descri tion Electric Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final Electric Final Min Max Inspection Descri tion Plumbing Underground Plumbing Sewer Plumbing Tub Set Plumbing Final IMN IK HAOCAL BURMIT Min Max Inspection Description Mechanical Rough Mechanical Final Inspection Description MinMaxGas Underground Gas Rough Gas Final REVISED: June 2014 LIMITED POWER OF ATTORNEY I hereby name and appoint: Printed Name of Appointee QG Company Name of Appointee to be my lawful attorney -in -fact to act for me in applying to Government Commercial/Residential .Permitting for a permit enabling work to be performed at the location below -described and to sign my name and do all things necessary to this appointment: 1O Section QCD— Township Range. c—Q _ Subdivision Block Lot Address of Property Address Signed:.7- oer*W contractor signature Certified Contractor J mh / T. -AW.& ,— _ printed nerve Contractor Ucense #:_ 4rBC State of Rod ) County of PQI q Q aro thia=. -\ esub bed before_yday of . ) Oy — Q0 by ems of person admowiedged) who is perwally brown to me or who has produced _(identification). Notary Public Comnission Core& t !. LESLIE A TISCHLER FOrdApai+ord aYomy/f04250Vbv ; :•'., s MY COMMISSION # EES46474 EXPIRES October 24, 2016