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Home My WebLink About300 Krider RdJob Address: 300 KRIDER RD CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 16 C976 1 _ mented Construction Value: S 3393.00 Historic District: Yes No Parcel ID: 07-20-31-505-OCOO-0150 Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: REPLACE 2 SGD SIZE FOR SIZE Plan Review Contact Person: Title: Phone: Fax: Name LINDA DEJESUS Email: Property Owner Information Street: 300 KRIDER RD City, State zip: SANFORD, FL 32773. 291, 11 " I t1=1101111 Resident of property? : Contractor Information Name MICHAEL TILLMAN / WINDOW WORLD Phone: 407-389-1400 Street: 3882 CENTER LOOP City, State zip: ORLANDO, FL 32808 Name: Street: City, St, Zip: Bonding Company: Address: Fax: 407-389-1402 State License No.: CGC1514205 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT'S 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 worl< 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 la%vs regulatirig construction in this jurisdiction. I understand that a separate permit nust 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: 51' Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records 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 1 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 tee 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 informatio s accu *e and that, all work will be done in co pliance with all applicable laws regulating construc 'on and zon' signature of 0 r/Agent Date /J gnature f ntractor/Agent Date MICHAEL TILLMAN Print O s Name Print tractor/Age Name N1111NN w f V // mi Sienature of Nota t Signature oNotaryPublicdateo1IF SAMANTHA SCHMIDT Commission #r FF 93MyComm. Expires May 2 '+ Notary Public - State of Florida Commission # GG 021394 Po' My Comm. Expires Aug 15, 2020 Bonde rough National Notary Assn. Owner/Agent is Personally Known to Me or Contrac n e or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas[–] Root Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads _ Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: _ BUILDING4—jFlO'z& Revised: June 30- 2015 Permit Application I Assessment Value Exempt Values Pcpperty Record Gard I M1w.rFATSPORRA Parcel: U7 1-i1-50G-Of,UO Ci1C0 98,435 25,000 Owner: DEJESUS LINDA D & DA COSTA E RNE .TO & Ji?AC1iJ(NA Schools Property Address: 300 KRIDER RD SANFORD, FI_ 12773 25,000: Parcel Information 74,870 Value Summary Parcel 07-20-31-505-0000-0150 2016 Working 2015. Certified 73,435 Values Values caner I D & DA COSTA ERNESTO & JOAQUINA 73,435 County Bonds Valuation Method Cost/Market Cost/Market Property Address 300 KRIDER RD SANFORD, FL 32773- 73,435 Sales i Number of Buildings 1 1 Mailing `300 KRIDER RD SANFORD, FL 32773 Description Date Amount Depreciated Bldg Value 92,840 81,564 Subdivision Name 7 NORA UINI 'S ; AILL 2ErL QUITCLAIM DEED 5/1/2004 05301"7,39 I Depreciated EXFT Value Improved Tax District S1 SANFORD 8/1/1992 02,.,16" f ^ r; 79,000 Land Value (Market) 19AC0 17.500 DOR Use Code 01 SINGLE FAMILY Land Value Ag 48,000 Exemptions 00 HOMESTEAD(2005) Ju,tMatke, v lue 111,840 99A64 Portability Adj . 25,000 No Vacant Save Our Homes Adj 11,970 5,888 01017 1?Rc Amendment I Adj 1,435 0 i P&G Adj 0 0 i Assessed Value 98,435 93,176 Land Tax Amount without SOH: $1,200.59 2015 Tax j Bill Arneunt $1,080.76 ax i_s..mat.. Depth Units Units Price Save Our Homes Savings: $119.83 Land Value I'RIMI._Iv.,,A;1 s, HeI'. 1 19,000.00 I ' Does NOT INCLUDE Non Ad Valorem Assessments Seminole Cr unty GIS Legal Description E 30 FT OF LOT 15 & ALL LOT 16 BILK C SANDRA UNITS 1 & 2 REPLAT PB 17 PG 12 Taxes Taxing Authority I Assessment Value Exempt Values Taxable Value County General Fund 98,435 25,000 73,435 Schools 99,870: 25,000: 74,870 City Sanford 98,435 25,000 73,435 SJWM(Saint Johns Water Management) 98,435 25,000: 73,435 County Bonds 98,435 25,000 73,435 Sales Description Date Book Page Amount Qualified Vac/Imp QUITCLAIM DEED 5/1/2004 05301"7,39 100 No Improved WARRANTY DEED 8/1/1992 02,.,16" f ^ r; 79,000 Yes Improved WARRANTY DEED 4/1/1992 02420 0061 48,000 No Vacant WARRANTY DEED 4/1/1987 718;2 1.5 t 25,000 No Vacant WARRANTYDEED 1/1/1974 01017 1?Rc 478,600 No Vacant Land Method Frontage Depth Units Units Price Land Value LOT 1 19,000.00 19,000 Building Information Name: Install F City, St; e aF ti Simply the Best for Less" 3882 Center Loop, Orlando, FL 32808 407) 389-1400 • 1 -800 -NEXT -WINDOW • (407) 389-1402 Fax windowworldorlando.com / CGC 1514205 t hi nA ni"%L r(c) tTJU//i %TIM Phone (H):(J Phone (W): Phone (other): DOUBLE HUNG SLIDER / SPECIALTY & FIXED GLASS Series 4000 DH Insulated 101U1 189 2 Lite Slider Insulated 369 Series 4000 DH Insulated 102-114UI 240 2 Lite Slider Insulated < 90 UI 259 Series 4000 DH Insulated over 114UI 340 3 Lite Slider Insulated > 121 UI 649 Series 6000 DH Insulated 114UI 275 _ 3 Lite Slider Insulated < 121 UI 449 Series 6000 DH Insulated over 114U1 375 Fixed Glass Insulated 339 Half Screens 15 —Colonial Grids < 90 UI 79 Full Screens 40 Colonial Grids > 90 UI 99 Solar Zone Elite Low -E Glass 79 i Solar Zone Elite Low -E /Argon 99 Argon Gas 20 Almond Color 69 Colonial Grids 49 Half Screens 15 Contoured Grids 59 Full Screens 40 Beige Color 69 Tint Gray/Bronze 59 Wood Grain, Interior (4000 or 6000) 95— 95ArchitecturalArchitecturalExteriorColor159 IMPACT PATIO DOORSSeries201DH $ Series 3102 2 Lite Slider Vinyl Sliding Patio Door 5'x 6'8" X 1854 L Series 3104 Fixed Glass Vinyl Sliding Patio Door 6'x 6'8" 974 Series 511 Sliding Patio Door Ft. $ Vinyl Sliding Patio Door 8'x 6' 8" 1074 Vinyl Sliding Patio Door 9'x 6'8" Vinyl Sliding Patio Door 12'x 6'8" 1244— 1244MISCELLANEOUS1510— 1510CustomMISCELLANEOUS Custom Exterior Cap & Wrap 59 _ Vinyl Sliding Patio Door 6'x 8' 1835 Prep to Code/Trim Kit 99 _ Vinyl Sliding Patio Door 8'x 8' 2375 Mull to Form Multi -Unit 65 Vinyl Sliding Patio Door 9'x 8' 2975 Tempered DH Sash (BSO) (TSO) Tempered $ 9/Sq. 40 Ft. Vinyl Sliding Patio Door 12'x 8' Screen Sliding Door$ 3375 60FixedUnits) Obscured Glass 49 Grids Patio Door 169 Lead Abatement Procedure 79 Solar Zone Elite Low -E / Argon 20g 1 x 4 PT Buck (Volusia Only) 40 _ Removal & Install 250 Code Compliant Plywood Services>1 01 Ul 85 Custom Exterior Trim 95 Code Compliant Plywood Services < 1011JI 65 Beige Color 199 Lead Abatement Procedure Sliding 129 Architectural Exterior Color 429 Code Compliant Plywood Sliding 169 Customer agrees to make themselves available to the city and/or county inspectors for a final inspection NO EXTRA WORK IF NOT IN WRITING visa I+4+e-9-: q I1 Received plywood code (Volusia) Ple,oe ee reverse for addijlonal terms & conditions Salesman St. Jude's Donation $ -16 Extra Labor $ & Setup & Disposal Fee $ $ 100.00 Permit & Fees $ $ 259.00 Total Amount $ ` 77 Custom Order Deposit 50% $ F t / CK# Balance Paid to Insaller upon Completion $ CHECK RETURN FEE $59 Buyer agrees that he has read and understands all terms and conditions on front and back of this ntract and agr s to every term and condition. Date Owner Date White Copy - Original Yellow Copy - Customer RECORD COPY City ®f Sanford Building and Fire Preventi®n Product Approval Specificati®n Form aNIFORD, Permit ## #16 - 2 7 3 7 Project Location Address 300 KRIDE FL 32773 As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any cf the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuiiding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product I Category / Subcategory Manufacturer Product F Florida Approval Description (include decimal) Exterior Doors S-- 1. Ex_ Slidin —_ _ ,A - --- I U _ _-- _ 3. 3_ Sectional_ - Rol! Up - i — i- -------- - Automatic -- — — ---------- Other --- 2. Windows ' wE ED FOR CODE COMPLIANCE — Single Hung _ —! Horizontal SliderPLANS EXAMINER —`--- Casement Double Hung — 13ATE— — — -- i Fixed Awning _—RD R1 III QING DIVISION_— Pass Through Projected — "•: HALE-BE-6C3PdSfFi IEB-T${3E A —-------- 1 WITH THE WORK AND NOT AS _ Mullions AUTHORITYTO VIOLATE, CANCEL, ALTER OR SETAbIDEAM-CF. I HE PROVISIONS OF THEWindBreaker -- CODES NOR SALL ISSLIANCE OF pERM Fv -- Dual Action THE BUIL IND OFFICIAL FROM THEREAFTER Other REQUIRING A ^: I ION. T.,...^ U T, I r - y -- June 2014 I Category / Subcategory Manufacturer Product Florida Approval # Descri tion( including decimal) 3. Panel Walls I Siding_ --- Soffits Storefronts Walls Curtain Wall Louver r Glass block---- Memb.rane-- Greenhouse E.P.S Composite i Panels Other 4. Roofing Products Asphalt Shingles 1 Underia ments 1 Roofing Fasteners Nonstructural i Metal Roofing I Wood Shakes and L -Shingles I Roofing tiles Roofing Insulation _ Waterproofin Built up roofing System Modified Bitumen Single Ply Roof Systems lateRoofingslate Cements/ Adhesives / Coating - I ---Liquid applied ------- Roofing Systems Roof Tile adhesive Spray Applied Polyurethane I Roofing E.P.S. Roof Panels Roof Vents Other JUIle 20114 Category / Subcategory Manufacturer Product Florida Approval Description i (include decimal) 5. Shutters Accordion Bahama _ Colonial Roll up Equipment Other C. Sk li hts j Skylights Other 7_Structural Components VVood Connectors / Anchors Truss Plates Engineered Lumber 1 Railing— Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Dec /k Roof Wail Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name MICHAEL TILLMAN Please Print) rune 2014 a 2 3 4 6 7 3 9 10 1.1 12 14 15 16 17 18 19 20 21 22_ WINDOW MEASUREMENTS sheet 4 .1 NAME ADORESS city state zip TYPE OF CONSTRUCTION DEIESUS 11 OF STORIES 300 KkIQc"R ROAD SANFORD FL 32773 r - -- - TYPE OF WINDOWS: VINYL of 1 WEASURED BY 0 SC,D DOUG RUS JDATE 1 L t! of —2 I AGE 1 9/30/2016 — OF - C: SIZE (WXH) MODEL LEG OBSCURED TEMP GRID MULL FS P.M LOC 60 X -80 61.05 XO I FAM RM 60 X 80 6105 XO BED RM I- - X - X -- X X =-- X-- X - f X- X X - x r-- X X — X INSTALLERS NOTES: SCREWED IN = block SEE ATTACHED DRAWING DETE -S'U S 30o KRIO 0 0 Page I of I iittp:!/wvryv.sepafl.org/DXB.axd?PID=0720311505000001 GOR J)XC che=644eb4f6-3841-4... 7/10/2015 1 ASSOCIATED MATERIALS 3 I N C O R P O R A T E D 3773 STATE ROAD CUYAHOGA FALLS, OH 44223 MODEL 61051610616775 EXTRUDED VINYL SLIDING PATIO DOORS MON-impAcr, GENERAL NOTES 1. This product has been evaluated and is in compliance with the 5th Edition (2014) Florida Building Code (FBC) structural requirements excluding the "High Velocity Hurricane Zone" HVHZ). 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressng or stucco. 3. When used in areas requiring wind borne debris protection this product is required to be protected with am impact resistant covering that complies with Section 1609.1.2 of the FBC. 4. For 2 stud framing construction, anchoring of these units shat) be the same as that shown for 2x buck masonry construction. 5. Site conditions that deviate from the detalis of this drawing require further engineering analysis by a licensed engineer or registered architect. iABLf OF CONTENTS — SNEEf# DESCRIPTION PRESSURE (PSFT. I Typical elevation, design pressures &general notes _—_—_ 2 3 Horizontal cross section __.._.___._....._........... r Vertical cross sections ._.__ 4 Buck and frame anchoring DIMENSION 5 Bill of materials and components 74.50" x 79-.50" I4__.._........_..._..._..._._ 74.50" MAX. OVERALL FRAME WIDTH ---^ { LLI w c OVERAU ,' MAX. MAX. -,DESIGN PRESSURE (PSFT. TYPEFRAME PANEL D LO° NEGATIVEDIMENSION... DIMENSION DIMENSIQN 1.POSITIVE W/O SILL 74.50" x 79-.50" i 32.27" x 69.37" 25.0 1 I W/ SILL _ 74.50" x 79,50" 37.04"x75.82" 32.2T' x 69.37' 40,0 40.0 MOLDING DATE: 3111/09 SCALE: N.T.S. Dwr.. BY: DWS CHK. BY: LFS DFUwMD NO.: FL -12323.1 SHEET I oF5 MAX. -,DESIGN PRESSURE (PSFT. TYPEFRAME PANEL D LO° NEGATIVEDIMENSION... DIMENSION DIMENSIQN 1.POSITIVE W/O SILL 74.50" x 79-.50" 37.04" x 75.82" 32.27" x 69.37" 25.0 25.0 MOLDING W/ SILL _ 74.50" x 79,50" 37.04"x75.82" 32.2T' x 69.37' 40,0 40.0 MOLDING DATE: 3111/09 SCALE: N.T.S. Dwr.. BY: DWS CHK. BY: LFS DFUwMD NO.: FL -12323.1 SHEET I oF5 011111111 ul I, .. •' j Mm 1.11 •t O N 2 o ry h o p 2 2 0J m . 0- A. N 0z c o° d bey o z FMB. {TYP.) -- Al ( , }',) If a 'm N N CD) INTERIOR (a21 j of le I `- ) F o 4r v v Oy M G1 w J 5 — j71., 202 poi i f ) EXTERIOR ` J o oATF- 3111/09G e O 2 HORIZON-1 CROSS SECTION ; N pwsHORIZONTALCROSSSECTION 2 2X Buck Construction 2 Shown w/1 X sub-buck CHK. Kr: LFS DRAW NG NC.: m o FL-12323.1 o N sRr 2 of 5 r r 3 3 X Q i ENOTE: Sheet Metal Screws must Penetrate `'o•••• • R a min. of 3 threads through af.leost two • ° % n 2( sheet; of metal. Matntoin a mWmum _: j X SpT edgedtstonae. H oZ ir,o, o O a maam z0 I. vo a U I ii o° jd I, INTERIOR—_ EXTERIOR E, 1_lam o Z jLL J!. 00 8czw r I- o J L!: !p an. m wln I 1. G1__ 2 VERTICAL CROSS SECTION w 0 U 3 Shown. w/ Steel Stud framing option o - a a INTERIOR f .--- --------- _..-.L... EXTERIOR vFA J U f-- DnD w Po o il; 3 r 0 0 P I o. j z c 0 m a 8O INTERIOR EXTERIOR z Gl tare 3111109 0 a SCALE: N.T.S. COG. By -,DWS o 1 VERTICAL CROSS SECTION MWM Na.: iFs 3 2X Buck Construction 3 VERTICAL CROSS SECTION FL -12323.1 o 3 Shown w/ Direct to Masonry option at, SHEET 3 of 5 p O z A CONCRETFANCHOR NOTES; 1, Concrete anchor locations at the comers may be adjusted to maintain the min. edge distance to mortarjoints. 2. Concrete anchor locations noted as "MAX. ON CENTER" must be adjusted to maintain the min. edge distance to mortarjoints, additional concrete anchors may be required to ensure the "MAX. ON CENTER" dimension are riot exceeded. 3 Concrete anchor table 3!' (TYP.) MIN. CLEARANCE MIN, -CLEARANCE ANCHOR ANCHOR?ti11N TO MASONRY TO A:DJACEN7.; TYPE SIZE EMBEDMENT EDGE,.*. .:.... .....ANCHOR.. ITW H 4" (TYP.) i 2" 4" TAPCON z o m oZ o B" (TYP.) -- ELCO M 1/4" 1.1/4" maam ULTRACON 0 c r h— 8" (TYP.) cLi o J a \ice 4" (TYP.) -- W n: ozo g 8" (TYP.j G II II I 1 HEAD & JAMB HEAD & JAMB I X w 2X BUCK TYP.) 4j TYP.) I I a z ^ n I) I 2X BUCK—. C) 0 z` BUCKo 1 1 TTOfD IR\'\ o1XBUCK - r SONRY I I I I I MEETING STILE I OPSOONRY MEETING STILE f ' SHOWN FOR I I Sh;01VN FOR I II REF. ONLY ZO I I REF. ONLY 11 L U 4 1 II TYP.) ' MASONRY BUCK ANCHORING en FRAME ANCHORING MASONRY OPENING--, 2X Suck) d THIS ANCHOR REQUIRED FOR DP > 25 P.S.F. o CONCRETFANCHOR NOTES; 1, Concrete anchor locations at the comers may be adjusted to maintain the min. edge distance to mortarjoints. 2. Concrete anchor locations noted as "MAX. ON CENTER" must be adjusted to maintain the min. edge distance to mortarjoints, additional concrete anchors may be required to ensure the "MAX. ON CENTER" dimension are riot exceeded. 3 Concrete anchor table WOODSC.RFW INSIAL1Anury rvVrrnINSIAL1AnUryrvVrra. I. Mountain a ntlnimum 5/8"edge dLstance, 1"end distance. & I"o.c. spacing of wood screws to amvent the splitting of wood. MIN. CLEARANCE MIN, -CLEARANCE ANCHOR ANCHOR?ti11N TO MASONRY TO A:DJACEN7.; TYPE SIZE EMBEDMENT EDGE,.*. .:.... .....ANCHOR.. ITW H 1/4" 1-114" 2" 4" TAPCON z o m oZ o U N •• a V (7 p Z U u ELCO M 1/4" 1.1/4" maam ULTRACON 0 c u 9Z WOODSC.RFW INSIAL1Anury rvVrrnINSIAL1AnUryrvVrra. I. Mountain a ntlnimum 5/8"edge dLstance, 1"end distance. & I"o.c. spacing of wood screws to amvent the splitting of wood. LE: N.T.S. DWS m BY: LFS } rc WING NO.: N FL -T2323.1 aa ET 4 Or 5 a Q 1 O zz z p' O` m v-' J J O aND ltt f•II f• z o m oZ o U N •• a V (7 p Z U u a XV p o asNCmaam 0 c u 9Z cLi o J a \ice 4" (TYP.) -- W n: ozo g 8" (TYP.j O I LL tD I) C) 0 BUCKo TTOfD o1XBUCK - r SONRY I I w m STEEL I I U VZO U 4HEAD & JAMB ITYP.) ' MASONRY I - MEETING STILE In OPENING--, I SHOWN FOR o z REF. ONLY I W N E61 i m FRAME ANCHORING 1 X Buck Direct to Masonry, Steel Stud) o THIS ANCHOR REQUIRED FOR DP > 25 P.S.F. LE: N.T.S. DWS m BY: LFS } rc WING NO.: N FL -T2323.1 aa ET 4 Or 5 a Q j 1.28" (- - . .......... 'i oz ice•' joinLncoIR 0.08" '4N* N ``` z dm o 0.(76" — .. O N , Zm o gj 0 9 o x z a oLl o " Ern zz mo o ci REINFQRCEMEh7 E an G Go. NORlZUMAC RAIL a m d a v EooZ u c ai o a 6 o o i. ii - - 0.065' w M I _ o 3 —I U.S2" 2.44" - n cn 1 SILL 6.NGIEADAMR INTERLCCRST1iK u i y`- C-- W I cl T}iE APPROVED WHITE RIGID PVC EXTERIOR EXTRUSIONS FOR WINDOWS ARE TO BE PRODUCED -- o nI a BY EXTRUDERS LICENSEES IN "AAMA CERTIFICATION PROGRAMS FOR RIGID FVC EXTRUSIONS'. I ml i E i i o of o OSS STILE 4 SASH STOP I I x GLASS BITE g o 0.065' c 0 ¢ 2 I 075' w 5 91 I o f u 1 /8" TEMPERED ' L t a AIR SPACE hG, I0TEMPERED r...._ — JL _ 11 e I 3/71/0820 . I o 5 N. Ts. I owc. ev: DWS CHK. nr: -LFS u 'RAME NEAD FRAME SILL - — onsvnrmuo.: y 2 FRAME JAMB i---' 3 FL -12323.1 I+eer S of 5 BILL Of MATERIALS REM R DESCRIPTION MATERIA( A IX BUCK SG>=0.55 WOOD B 2X BUCK SG >= 0.55 _ WOOD C' 1 /4"MAX. SHIM SPACE - D 1(4" X 2-3/4"PFH ELCO OR ITW CONCRETE SCREW STEEL E MASONRY -3,000 PSI MIN. CONCRETE CONFORMING TO ACI CONCRETE 301 OR HOLLOW BLOCK CONFORMING TO ASTM C90 F 1/4"x3-1 /4" PFH ELCO OR ffW CONCRETE SCREW STF.EI_ G #10 X 2-3(4"PPH WOOD SCREW STEEL K #10 PPH SELF-DRILLIIJG SMS STEEL X. STEEL STUD Min. Thk .033" (ASTM A653 GRADE 33 Fy=33 KsiMillin, Fu=45 Ksi Min) STEEL 1 EXTRUDED VINYL FRAME HEAD (BY ROYAL) '_ PVC /COMP'. 2 EXTRUDED VINYL FRAME_ JAM BY ROYAL) * FVC ! COMP. 3 FRAMESILL(BYROYAL)' PVC!CO":P_- 4 SASH STOP (BY ROYAL) PVC 5 STILE (BY ROYAL) '............. FVC 6 SII_IANGLEADAPTER STEEL 7 INTERLOCK STILE (BY ROYAL) * - ------- PVC __._._. PVC 3 HORIZONTAL RAIL (BY ROYAL) ` _ F'JC 1U SL!lNG PATIO GC:JR ROLLER ASSEMoLY - 12 - P.O:I TNG PAT() DUUF, SCREEN - 20 I aTFRCEFT SPACER STEEI. I y2 STEAL STILE REINFORCEMENT VK ABY ROYAL).STEEL 613OM15 Florida Building Code Online FL # FL12323-R4 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Associated Materials Inc. Address/Phone/Email 3773 State Road Cuyahoga Falls, OH 44223 330) 922-2108 mfernbaugh@alside.com Authorized Signature Vivian Wright rickw@rwbldgconsultants.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who developed Lyndon F. Schmidt, P.E. the Evaluation Report Florida License PE•43409 Quality Assurance Entity Architectural Testing, Inc. Quality Assurance Contract Expiration Date 12/31/2016 Validated By Ryan J. King, P.E. Validation Checklist - Hardcopy Received Certificate of Independence FL12323 R4 COI Certificate Of Independence.odf Referenced Standard and Year (of Standard) Standard Year AAMA/W DMA/CSA101/I.S.2/A440 2005 AAMA/WDMA/CSA101/I.S.2/A440 2008 ASTM E1886 2005 ASTM E1886 2002 ASTM E1996 2002 ASTM E1996 2004 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect FL12323 R4 Eouiv Eauivalenct Of Standards.odf httpJ/floridabUldirg.org/prlpr_app dtl.aspx?param=wGEVXQwtDgtF2AezuarjgJ5yfNe2SGUYUANZJdPE%2fTYYHkE2zygJyg%3d%3d 1/5 6/3(k2015 Florida Building Code O dine Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Products to Page Q FL # I Model, Number or Name 12323.1 1 a. Model 6105/6106/6175 Method 1 Option D 04/30/2015 04/30/2015 05/10/2015 06/22,/2015 Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: See INST 12323.1 for Design Pressure Ratings, any additional use limitations, installation instructions and product particulars. 12323.2 1 b. Model 8105/8106/8175 Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: See INST 12.323.2 for Design Pressure Ratings, any additional use limitations, installation instructions and product', particulars. 12323.3 j c. Model 9105/9106/9175 0 0 Page 1/ 2 0 0 Description Extruded Vinyl Sliding Patio Door - (XO or OX Configuration - Nominal 6'0 x 6'8) Installation Instructions FL1-)323 R4 II Inst 12323.1.odf Verified By: Lyndon F. Schmidt, P.E. 43409 Created by Independent Third Party: Yes Evaluation Reports FL12323 P4 AE Eval 1232.3.1.odf Created by Independent Third Party: Yes Extruded Vinyl Sliding Patio Door - (XO or OX Configuration - I Nominal 60 x 6'8) i Installation Instructions FL12323 R4 II Inst 12323.2.odf Verified By: Lyndon F. Schmidt, P.E. 43409 Created by Independent Third Party: Yes Evaluation Reports FL12323 R4 AE Eval 12323.2.odf Created by Independent Third Party: Yes Extruded Vinyl Sliding Patio Door - (XO or OX Configuration - Nominal 6'0 x 6'8) Limits of Use installation Instructions Approved for use in HVHZ: No FL12323 R4 II Inst 12323.3.odf i Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports I Other: See INST 12323.3 for Design Pressure Ratings, any FL12323 R4 AE Eval 12323.3.odf additional use limitations, installation instructions and product f Created by Independent Third Party: Yes i particulars, 12323.4 d. hlodel 6108 Extruded Vinyl Sliding Patio Door - (XO or OX Configuration - ! Nominal 6'0 x 8'0) Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: See INST 12323.4 for Design Pressure Ratings, any additional use limitations, installation instructions and product particulars. 12323.5 { e. Model 8108 Limits of Use I. Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: See INST 12323.5 for Design Pressure Ratings, any additional use limitations, installation instructions and product particulars. L.-._.....-- ..... _._.._._._................ _...,..................._..................... ..... .....__........... .... 12323.6 ( f. Model 9108 Installation Instructions FL12323 R4 II Inst 12323.4.pdf Verified By: Lyndon F. Schmidt, P.E. 43409 Created by Independent Third Party: Yes Evaluation Reports FL12323 R4 AE Eval 12323.4.odf Created by Independent Third Party: Yes Extruded Vinyl Sliding Patio Door - (XO or OX Configuration - Nominal 6'0 x 8'0) Installation Instructions F1-12323 R4 II Inst 12323.5.odf Verified By: Lyndon F. Schmidt, P.E. 43409 Created by Independent Third Party: Yes Evaluation Reports FL12323 R4 AE Eval12323.5.odf Created by Independent Third Party: Yes Extruded Vinyl Sliding Patio Door - (XO or OX Configuration - http•J/floridabi ilding.org/prlpr app_Ml.aspx?param=wGEVXQwtDgtF2AezuarjgJ5yfNe2SGUYUANZJdPE%a2fT-YYHkE2zygJyg%3d%3d 215 6/3@!2015 Florida BUildirry Cade Online Limits of Use Installation Instructions Approved for use in HVHZ: No EL12323 R4 II Inst 12323-12. odf Approved for use outside HVHZ: Yes ! Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No I Created by Independent Third Party: YesDesignPressure: N/A Evaluation Reports Other: See INST 12323.12 for Design Pressure Ratings, any i FL12323 R4 AE Eval 12323.12..odfadditionaluselimitations, installation instructions and product 1 Created by Independent Third Party: Yes particulars. j 12323.13 m. Model 11"i"5/1l"i"6/11"i"8 ( Extruded Vinyl Sliding Patio Door with Nailing Fin - (XO or OX httpJ/floridabdldirig.org/pr/pr_app dtl.aspx?param=wGEVXQwtDgtF2AezuarjgJ5yfNe2SGUYUANZJdPE%2fTYYHkE2zygJyg%3d%3d 36 Nom i n 160._x.._8 ............................_...................._-..._........... ._.. .......................... ----........ ........... ......... .... Limits of Use Installation Instructions Approved for use in HVHZ: No FL12323 R4 II Inst 12323 6.pdf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A I Evaluation Reports Other: See INST 12323.6 for Design Pressure Ratings, any 1 FL12323 R4 AE Eval 12323.6.odf additional use limitations, installation instructions and product I Created by Independent Third Party: Yes particulars. 12323.7 g. Model 6109 1 Extruded Vinyl Sliding Patio Door - (OXO Configuration - Nominal 9'0 x 6'8) I.- -........_............._......................................... ........... .... _................ .._....... .............. ......_..... Limits of Use Installation Instructions 1 Approved for use in HVHZ: No i FL12323 R4 II Inst 12323.7.pdf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 12323.7 for Design Pressure Ratings, any FL12323 R4 AE Eval 12323.7.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes 1 particulars. j 12323.8 h. Model 8109 -I Extruded Vinyl Sliding Patio Door - (OXO Configuration - i Nominal 9'0 x 6'8) --- -_- j Limits of Use i Installation Instructions { Approved for use in HVHZ: No FL12323 R4 II Inst 1)323 8 adf ± j Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 fImpactResistant: No Created by Independent Third Party: Yes Design Pressure: N/A I Evaluation Reports 1 Other: See INST 12323.8 for Design Pressure Ratings, any FL12323 R4 AE Eval 12323.8,odf additional use limitations, installation instructions and product; Created by Independent Third Party: Yes 1 particulars. 12323.9 ti. Model 9109 I Extruded Vinyl Sliding Patio Door - (0X0 Configuration - 1 Nominal 9'0 x 6'8) Limits of Use I Installation Instructions ! Approved for use in HVHZ: No FL12323 R4 II Inst 12323.9.pdf 1 Approved for use outside HVHZ: Yes 1 Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No i Created by Independent Third Party: Yes Design Pressure- N/A Evaluation Reports Other: See INST 12323.9 for Design Pressure Ratings, any FL12323 R4 AE Eval 12323.9.odf additional use limitations, installation instructions and product i Created by Independent Third Party: Yes particulars. tA 12323.10 1 j. Model 6122 Extruded Vinyl Sliding Patio.Door - (OXO Configuration -' i 1 Nominal 12'0 x 6'8) Limits of Use Installation Instructions Approved for use in HVHZ: No FL12323 R4 II Inst 12323.10.ndf Approved for use outside HVHZ: Yes 1 Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes 1 Design Pressure: N/A I Evaluation Reports Other: See INST 12323.10 for Design Pressure Ratings, any FL12323 R4 AE Eval 12323.10.gdf additional use limitations, installation instructions and product Created by Independent Third Party: Yes I particulars. I .._... -_ __..._-..__.._..._.._............... ........ ................. .............. _..._............ .... ...... .... 12323.11 k. Model 8122 I_.......'.__._..............__...._._.._...._................_.......-._..._...........__._...._..._......_....._....._..........._._...._. 1 Extruded Vinyl Sliding Patio Door - (OXO Configuration - i Nominal 12'0 x 6'8) j --_._._._ ------ --- ----___....._._._.__...._......... __-____._.-.-._........ ..........-- - Limits of Use Installation Instructions Approved for use in HVHZ: No FL12323 R4 II Inst 12323.1l.odf Approved for use outside HVHZ: Yes Impact Resistant: No Verified By: Lyndon F. Schmidt, P.E. 43409 Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 12323.11 for Design Pressure Ratings, any FL12323 R4 AE Eval 12323.11.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 12323.12 I. Model 9122 i Extruded Vinyl Sliding Patio Door - (OXO Configuration - Nominal 12'0 x 6'8) Limits of Use Installation Instructions Approved for use in HVHZ: No EL12323 R4 II Inst 12323-12. odf Approved for use outside HVHZ: Yes ! Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No I Created by Independent Third Party: YesDesignPressure: N/A Evaluation Reports Other: See INST 12323.12 for Design Pressure Ratings, any i FL12323 R4 AE Eval 12323.12..odfadditionaluselimitations, installation instructions and product 1 Created by Independent Third Party: Yes particulars. j 12323.13 m. Model 11"i"5/1l"i"6/11"i"8 ( Extruded Vinyl Sliding Patio Door with Nailing Fin - (XO or OX httpJ/floridabdldirig.org/pr/pr_app dtl.aspx?param=wGEVXQwtDgtF2AezuarjgJ5yfNe2SGUYUANZJdPE%2fTYYHkE2zygJyg%3d%3d 36 6/3012015 Florida Building Code Online i Configuration - Nominal 8'0 x 6'10) Limits of Use I Installation Instructions FL7 2323 R4 II Inst 12323.13.odf iApprovedforuseinHVHZ: No Approved for use outside HVHZ: Yes i Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No N/A Created by Independent Third Party: Yes j Evaluation ReportsDesignPressure: Other: See INST 12323.13 for Design Pressure Ratings, any ( FL12323 R4 AE Eval 12323.13.pdf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. 112323.14 n. 1--1--- T.._...._.__...___......_......__..._...__...._........__.__.__-....,..-_...._._..........._..____. Model 51"i"5/51"i"6/51"i"8 r Extruded Vinyl Sliding Patio Door - (XO or OX Configuration - Nominal 8'0 x 610) Limits of Use Installation Instructions Approved for use in HVHZ: No FL12323 R4 II Inst 12323.14.pdf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 j I Impact Resistant: No Created by Independent Third Party: Yes j Design Pressure: N/A Evaluation Reports Other: See INST 12323.14 for Design Pressure Ratings, any FL12323 R4 AE Eval 12323.14.pdf additional use limitations, installation instructions and product j Created by Independent Third Party: Yes 1 particulars. i j 12323.15o. Model 11"i"9 Extruded Vinyl Sliding Patio Door with Nailing Fin - (OXO I Configuration - Nominal 9'0 x 6'10) i F-._....__._ ------ -------- _._......_...--._._......_._....... _...... _......................_................................_._......-----.-.---.._._...._.._.....__.._ Limits of Use Installation Instructions Approved for use in HVHZ: No FL12323 R4 II Inst 12323.15.pd I Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 j Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 12323.15 for Design Pressure Ratings, any FL12323 R4 AE Eval 12323.15.odf additional use limitations, installation instructions and product i Created by Independent Third Party: Yes j r particulars. r 12323.16 ( p. Model 51"i"9 Extruded Vinyl Sliding Patio Door with Nailing Fin - (OXO IjConfiguration - Nominal 9'0 x 6'10) Limits of Use I i Installation Instructions j Approved for use in HVHZ: No FL12323 R4 II Inst 12323.16.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 i Impact Resistant: No Created by Independent Third Party: Yes i Design Pressure: N/A Evaluation Reports j Other: See INST 12323.16 for Design Pressure Ratings, any FL12323 R4 AE Eval 12323.16.odf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars. i a 12323.17 q. Model 1105/1106 Extruded Vinyl Sliding Patio Door with Nailing Fin - (XO or OX Configuration_ Nominal 6'0 x 6'8) -- - -- - Limits of Use — — - Installation Instructions Approved for use in HVHZ: No i FL12323 R4 II Inst 12323.17.pdf j Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 j Impact Resistant: No j Created by Independent Third Party: Yes I Design Pressure: N/A i Evaluation Reports I Other: See INST 12323.17 for Design Pressure Ratings, any FL12323 R4 AE Eval 12323.17.odfljadditionaluselimitations, installation instructions and product Created by Independent Third Party: Yes particulars. 12323.18 R. Model 51i5/Sli6/5Li8 r I Extruded Vinyl Sliding Patio Door- (XO or Configuration- j Nominal 8'0 x 6'8) Limits of Use - — — OX I Installation Instructions i Approved for use in HVHZ: No HVHZ: 'fes j FL12323 R4 II Inst 12323.18.odf Verified By: Lyndon F. Schmidt, P, E. 43409Approvedforuseoutside Created by Independent Third Party: YesImpactResistant: Yes j Design Pressure: N/A I Evaluation Reports j Other: See INST 12323.18 for Design Pressure Ratings, any i FL12323 R4 AE Eval 12323.18.ndf additional use limitations, installation instructions and product I Created by Independent Third Party: Yes particulars. _................ _._.................. ........ ._..... .................... ....... -.__...... .............__._._._ r 12323.19 ( s. Model 6200 Extruded Vinyl Sliding Patio Door - (XO or OX Configuration - Nominal 6'0 x 6'8) j Limits of Use Installation Instructions Approved for use in HVHZ: No FL12323 R4 H Inst 12323.19.odf Approved for use outside HVHZ: Yes I Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A j Evaluation Reports Other: See INST 12323.19 for Design Pressure Ratings, any ; FL12323 R4 AE Eval 12323.19.odf additional use limitations, installation instructions and productCreated by Independent Third Party: YesIparticulars. 12323.20 1 t. Series 5200 Model 5202, 5205, 1 Extruded Vinyl Sliding Patio Door - (XO or OX Configuration - I htgp://flcridabuilding.org/pr/pr_app Ml.aspx?param=wGEVXQwtDgtF2AezuarjgJ5yNe2SGUYUANZJdPE%2fTYYHkE2zygJyg%3d%3d 4/5 6/30/2015 Florida Building C(xte Online 5206, 5208 _........... Nominal IIU x II'C) i.........._c _......._....._.__...._......_._._..............._..............._................_........................._.............-.. Limits of Use Instal.ation Instructions Approved for use in HVHZ: No FL12323 R4 II Inst 12323.20.pd Approved for use outside HVHZ: Yes 1 Verified 6y: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A j Evaluation Reports Other: See INST 12323.20 for Cesign Pressure Ratings, any FL12323 R4 AE Eval 12323.20.pdf additional use limitations, installation instructions and product Created by Independent Third Party: Yes particulars, I Go to Page : lam' f1-!':,-,1 LgDta 0(1) Page 1/ 2 0 0 Conta Us :: 1940 Ncrth Monroe Street. rallahassee FI. 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:. 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 anemail 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 address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: httpJIfloridabuilding.org/pr/pr_app_dtl.aspx?pararrl=wGEVXQwtDgtF2AezuarjgJ5yfNe2SGUYUANZJdPE%2fTYYHkE2zygJyg%gad%3d 55 Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 10/06/2016 I hereby name and appoint: JORGE TORRES an agent of: WINDOW WORLD Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): The specific permit and application for work located at: 300 KRIDER RD SANFORD, FL 32773 Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name State License Number: MICHAEL TILL CGC15 Signature of License Holder: STATE OF FLORIDA COUNTY OF -Q. The fo egoing instrument was acknowledged before me this day of : 10 200 , by _ —Ai C,.Kck Q,( —A M-04/) _ who is m,15csonally known to me or who has produced _ identification and who did (did not} t an oath. Signature Notary Seal) Rev. 08.12) M1, Print or type name Notary Public - Stae o Commission No. ?(7 My Commission Expires: Y as SCHMIDTSAMANTHA Notary Public - State of Florida Commission # GG 021394 FOP My Comm. Expires Aug 15, 2020 aonded through Nalional Notary Assn Rev. 08.12) M1, Print or type name Notary Public - Stae o Commission No. ?(7 My Commission Expires: Y as r City of Sanford Doors -Windows Application Checklist 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). 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 REQUIRED INSPECTION SEQUENCE ' REVISED: June 2014 Address: Z az> KG ,t-ek w - ELECTRICAL PERMIT Min Max Inspection IlDescri ti®n Electric Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final Electric Final z s m.c Min Max Inspection Descri tion Plumbing Underground Plumbing Sewer Plumbing Tub Set Plumbing Final MECHANICAL PERM -IT Min Max ction Description Mechanical Roug Mechanical Final Min I Max I Inspecti®n ]L escr inti®n Gas Underl Gas Rough Gas Final I89111111111111111111111111111(11111111 THIS INS UMENT PED I'{i'lh:°i ihihlL`_ h1tJh`i=1 `ii{`i%I`il)L_ 1.;t)IJI`I{iOfC: Cal1'fi_ Ti• Ct)URT = C7)hil'TROL t_E'fiAddress:F'_r> rL c sCL.EftK ti , '?Ii16IiIc/t.58 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number. 1)-7" 5-037' G C Co - 0 1 S 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. OF PROPERTY: (Legal desc option of the property and street address if available) , F- 1n>r IC' ;- A1t In-- 1G, N1 l 0 pctnnrn U/1tf-S 1 k r 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRXCTED FOR THE IMPROVEMENT: Nameandaddress:,,,;ndn dem SSU s 11 310 166C6v rcl 1 ejrdl FC Interest in property: Fee Simple Tilde Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: t.y0t( C, Phone Number: C(G I — d^• _ < <' O G Address: 34TH 0 i -n 4-fr LUD,o 6 /- (01-d d F 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Phone Number. Address: Amount of Bond: 6. LENDER: Name: Phone Number. Address: 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. Name: Phone Number. Address: a. In addition to himself or herself, Owner designates of to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number of person or entity designated by owner: S. Expiration Date of Notice of Commencement (The expiration date 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 I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT' ORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under pe allies of perjury, 1 declare that I have read the foregoing and that the facts stated in it aretrue to the of ] knowled an lief. 1 i 11819/ 1 j DEJESUS S' d a or s or Lmmm s (Print Name and Provido SigrteLays Tdte/Ofrico) Autlar¢ed Olriaer,01rorior/p ) ( State of .. .D2._ County of —) PI AJ6L ren The foregoing Instrument was acknowledged before me this _ day of Qom[ u l r%Z- 20 by /! NuIT 'Jc: cJ(1S` Who is personally known to me Nome of person making statement OR who has produced Iden6flieadon type of identification produced: o Pnr LAS R. RUSH Notary Signature Notary Public - State of Florida YFF,i91efprCeoltCMyComm. Expires Jan 5, 2018 tERKCommiss(on # FF 080879IEDCOPY- MARYANNEMORSE h( OFTH& COURTANDUL0 112016 A rPlt `Ect.. rt" tow•?; 0 qY DEPUTt CL.cRK