HomeMy WebLinkAboutSUBMITTED PAPERSI v r- '-
OFFICE USE ONL
DATE FILED: �� a7
PLAN REVIEW FEE: Mr fl.. V U RECEIPT NO.: PERMIT NUMBER: I3 - ao66
CONCURRENCY FEE. RECEIPT NO.: CERT. CAP. NO.:
1.
2.
3.
4.
5.
9.
10.
11.
12.
13.
14.
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS D ; ISI N
2300 Virginia Avenue C
Ft. Pierce, FL 34982-5652 8 Y
772-462-1553 St. Lucie COun
ty
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: 36-S- '11�1
PROJECT'NAME: / > N SITE PLAN NAME:
PROPERTY TAX ID #: 34ez 2 - g--3 0- acq v i " Of) O -- 6
LEGAL DESCRIPTION (attach extra sheets if necessary):
i5r/ 3,; � Z" / y3
PLAT BOOK c -,;1" . PAGE NO. /% / - :;?3-7. BLOCK NO. _ 8. LOT NO.
PARCEL SITE (ACRE 7,SQ FT.): � LOT DIMENSIONS: �� Z-41' ./-K 0 lei
COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
0, f%
.a -
SETBACKS (ACTUAL) FRONT:
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ]
[ ] RESIDENTIAL [ ]
�]' OTHER (SPECIFY) _
DESCRIPTIION OF PROPOSED USE:
I
SQ. FT OF 'CONSTRUCTION:
RIGHT SIDE:
LEFT SIDE:
EXPANSION/ADDITION [ ] INTERIOR RENOVATION
COMMERCIAL [ ] INDUSTRIAL
_ � P
16. VALUE OF CONSTRUCTION: $
15. SF. FT 1 st FLOOR:
The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the vahic`.;is $2500 or more, a
RECORDED Notice of Commcnccmcnt must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6/25/09
A
OWNER INFORMATION
NAME:
ADDRESS:
CITY: � Az �u � STATE:
PHONE (DAYTIME): Cn7� 03 C'y
roc---
Email:
ZIP:.����
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
ZIP:
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: ST. LUCIE COUNTY CERT #:
BUSINESS NAME:'
QUALIFIERS NAME:
ADDRESS: �I'&O;k
CITY: /=/ STATE: ZIP: r 3 %;'U-7
PHONE (DAYTIME): (7?, � 1�y CO FAX NO. 7�a ��/- Email: e/��
�T
ARCHIT/ENGINEER: �'cialt 7
ADDRESS: _8126
CITY: STATE: ZIP:
PHONE (DAYTIME): 0 '77S/
BONDING COMPANY:
ADDRESS:
CITY: STATE:
MORTGAGE LENDER
ADDRESS:
CITY: STATE:
ZIP:
ZIP:
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
3
i
,l
OFFICE USE ONLY
SECTION
a
TOWNSHIP
RANGE
a
MAP NO.
ZONING
�S r
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1' FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC
LOT SPLIT
LOT SPLIT
Before 1/1990
After 1/1990
REQUIRED
APPROVED
REPORT
HABITABLE
RADON
PERMIT
CODE
O
AREA
FEE
FEE
(RADON)
LIBRARY
PUBLIC BLD
PUBIC BLD
PARKS
.IMPACT
IMPACT FEE
IMPACT
IMPACT
FEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
ROAD
CREDIT
Y
N
LAW ENF
IMPACT
IMPACT
IMPACT
FEE
FEE
FEE
FIRE/EMS
DRIVEWAY
Y
N
DRIVEWAY
ADMINISTRATIVE
IMPACT
REQUIRED
FEE
VARIANCE FEE
FEE
SPECIFY
MECHANIC ROOF
NON -CONFORMING
MISCELLANEOUS
SUBS
ELECTRIC GAS
LOT OF RECORD
FEES
REQUIRED
PLUMBING
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DA
I;kl
12,41-62
RECEIVED
611.3
DATE
COMPLETED
INITIALS
i
CERTIFICATION: '
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. 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 the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building pen -nit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE 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 JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
ZN
owME-0,6k CONTftA7CTOR SIGN" TURE
STATE OF FLORIDA
COUNTY OF 'S k , \- V c
The foregoing instrument was acknowledged before
me this 5� day of �i J
by C f 0, 5-A'1'�
201"') ,
who is personally, known or has produced
�\ 4 a!s - \ \i - 1661 \ A 6' O as identification.
Signature of Notar DEANNA GIVENS
"v'P`�I ; Nol P bIic -State of Florida
Commission No.ti`b $ �y�}�Expires Dec 16, 2016
.•_MY
• "o= Commission # EE 856761
���� iF OF F nC•`�� Bonded Through National Notary Assn.
CONTRACTIOICSIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before
me this S`1111 day of b k c— , 20 13
by Cc o.• n. �1 Q,� S�� 1'�
who is personally known or has produced
\N ya3- \ \1- 6a\ - Iq 6 '�b as identification.
Signature of N
Commission No.
NOTE: TWO (2) SIG ATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNERBUILDER, THE OWNER MUST PERSONALLY APPEAR.TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THt FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. '
For specific instructions see appropriate permit 4hecklist.
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DMSION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
(Company/InIndNi dual Name) will be using the following sub -contractors for the
'i�+ �!
project located at �(� S �� �-G a'�r�► .aC �`r�`-r�
(Street address or Property Tax ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
-
— (JO�AC9 /_-2.
Plumbing1�`��
HVAC/
Mechanical
Roofing
Gas
ni FIC'F IiISF ONTN:
PERMIT ISSUE DATE:
NUMBER:
I ••
N
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
i
St..Lucie County Contractor Certification Number: 2098
State of Florida Certification Number (if applicable): ER0000122
ILaw's. -Electric,I.nc_
have agreed to be the
(Company Name/Individual Name)
Ielectrizal
(Type of Trade)
sub -contractor for
(PrimaryContractor)
for the',projcct located at �( �" �("� �.�,.,,�
(Project Street Address or Property Tax ID #)
I
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
I
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
I
I
BUSINESS QUALIFIER (Name of the Individual sho%vn on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
I
James
0GPATUKE PRINT NAME
Business Name: Law'-s Rlec-tric,Ia-c.
Address:
i
City/State7Zip:
i
Phone:
OFFICE USE ONLY:
W_ Law
218 Beach Avenue
Port St_ Lucie. F7_ 34952
772-464-3969 email:
PERMIT # ISSUE DATE
I
/,� 7— —,-_2 o
DATE
�Prw �� � � 3ia -��� � •
oft
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: q� zo
State of Florida Certification Number (if applicable):
have agreed to be the
(Company N
�u sub -contractor for ati y ��� ,• y /�,G
(Type of Tra le) (Primary Contractor)
for the project located at
(Project Street Address or Property Tax ID #)
It is understood; that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name: e !
Address: q//
City/State/Zip: t arc P 3 Y!? a
Phone: 77%'Sr?� +'EGS email: �w��v�e����®/15Q�/� • ✓�e!
ATURE P T NAME DATE
STATE OF FLORIDA, COUNTY OF� �J
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME Y OF ` —e,,6X 61-e , 20 J 3
BY [/ z LFC6%D WHO IS PERSONALLY KNOWN OR HAS PRODUCED
( )
AS&ATUREOFNO'T
Tj v/ j� STAMP
PUB PRINT NAME OF NOTAR
i"• STEVEN E. GREENWOOD
Commission EE 0)W
Expires June 22, 2D15
BerM TW Tmy Fein mamma $W,1*7019
OFFICE USE ONLY:
PERMIT# ISSUE DATE
i
JOSEPH E. SMITH, QJERK OF THE CIRCUIT COURT - SA LUCIE COUNTY
FILE # 3909132 PWOK 3589 PAGE 1743, Recorde/20/2013 at 10:42
NOTICE OF COMMENCEMENT
Permit No. %3/2— 06)64 Tax Folfo No. r3 yr9- �O OUST- dUU•-G
State of Florida County of St. Lurie
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.
I
Legal ptlon of Proper/y (and street address if avaiia/bl ): 1 / ��ty /J�� (-�
Jl • / q-A st^�-L-+_+1�
General description of improvement:lJD�i.% Cio�nn v rxrr a �Grx �.a.. I lc_y�
Owner Information or Lessee �tif ormation If the Lessee contracted for the Improvement:
Name �i�.r�-A /�eeytti•-
Address Arai .�� . AA r -
Interest in property:
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name:
Number:
Surety (if applicable, a copy of the payment bond Is. attached): Amount of bond: $
Name and address: Phone frumber. _
Lender Name: hone Number:
Lender's address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.23 1)(a)Y., Florida Statutes:
Name: Phone Number.
In addition to himself or herself, Owner designates of
Uenor's Notice as provided in Section 13 13(1)(b), Florida Statutes.
Phone number of person or entity designated by owner:
to receive a copy of the
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date Is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORETHE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WiTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
and belief.
of Owner or Lessee, or OwnePs"or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The foregoing instru.{m_ennt was acknowledged before me this �O day of k, 20 r�j
BY- T�Trfl2rt�C W`P.t/fir as OW0As for
Name of Person Type of authority (e.g.officertrustee) Party on behalf of whom Instrument was executied
Personally known _or produced Identification-Z
(Signature of Not Pub is -St f Florida) v=' "' "•Hut26eN7U1FZ
(Print, Type, or Stamp Commissioned Name of No%:�virese/212014
JBLIC Type of Identification produced_�j L
.'r FLORIDA
r OD997823
STATE OF FLORIDA
ST.
TI
TRl
ORI
By:
Dat_
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I
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2010
FL#
15279
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Search Results - Applications
FL#
Tvlpe
Manufacturer
lVallidated By
Status
FL15279-R1
History
Revision
Clopay Building Products Company
Category: Exterior Doors
Subcategory: Sectional Exterior Door Assemblies
Gary Pfuehler
(513) 519-6566
Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary.
Contact Us :: 1940 North Monroe Street, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Cooyrioht 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :
;Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -record:
electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contac
*Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must prov
with an email address if they have one. The emalls provided may be used for official communication with the licensee. However emai
record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made'aN
To determine if you are a licensee under Chapter 455, F.S., please click here .
Product Approval Accepts:
Page 1 of 6
Must, e6t& 9 ®. ♦ # 4 9 OtWhl
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Florida Departmentof BCISIHome I Log In I User Registration Hot Topics I Submit Surcharge I Stats & Facts Publications
Busines
Professi I gar 'Product Approval
USER: Public User
Regulation
Product Approval Menu > Product or Application Search > Application List > Application Detail
FBC Staff BCIS Site Map Links Search
I
FL'#
FL15279-R1
Application Type
Revision
Code Version
2010
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 n
Product Manufacturer Clopay Building Products Company
Address/Phone/Email 8585 Duke Blvd.
Mason, OH 45040
(513) 770-6062
mwesterfield@clopay.com
I
Authorized Signature Scott Hamilton FILE C P
shamilton@clopay.com
I
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
I
Category
Subicategory
Compliance Method
Certification Agency
Validated By
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Exterior Doors
Sectional Exterior Door Assemblies
Certification Mark or Listing
Intertek Testing Services NA Inc. - ETL/Warnock Hersey
Gary Pfuehler
R Validation Checklist - Hardcopy Received
Standard
Year
ANSI/DASMA 108
2005
ANSI/DASMA 115
2005
ASTM E1886
2002
ASTM E1996
2002
ASTM E330
2002
Florida Licensed Professional Engineer or Architect
FL15279 R1 Eauiv 20120306 - FBC - DASMA 115 eauiv.odf
Page 2 of 6
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Method 1 Option A
06/18/2012
06/21/2012
07/02/2012
e f i ,«• `a � � r �
Summary of Products
Go to Page Page 4 / 7
JFL # IlModel,
Number or Name
ILDescription
15279.61
661 W5-16 PANSP-2F156: 76SP,
Steel Pan (min. 25 ga.) Double -Car (9'2" to 16'0" wide)
76VSP
IWINDCODE@ W5 Garage Door
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15279 R1 C CAC Letter with proof of contract and proof
Approved for use outside HVHZ: Yes
of inspection.odf
Impact Resistant: Yes
FL15279 R1 C CAC W5 Listing Intertek.pdf
Design Pressure: +32 PSF/-37 PSF
Quality Assurance Contract Expiration Date
Other: Solid doors (no glazing) or doors with optional
05/21/2028
impact -resistant glazing are impact -resistant (large missile
Installation Instructions
impact).
FL15279 P1 II 103723-A-Rev08.pdf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Partv:
I15279.62
062 W5-16 SPO-217449: Grand
Steel Pan (min. 24 ga.) with Overlay Double -Car (9'2" up to
Harbor, Stone Manor
16'0" wide) WINDCODE@ W5 Garage Door
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15279 R1 C CAC Letter with proof of contract and proof
Approved for use outside HVHZ: Yes
of inspection.ndf
Impact Resistant: N/A
FL15279 R1 C CAC W5 Listing Intertek.pdf
Design Pressure: +30 PSF/-30 PSF
Quality Assurance Contract Expiration Date
Other: The OPTIONAL glazing available for this product
05/21/2028
meets the wind load requirements of the building code but
Installation Instructions
DOES NOT meet the impact resistant requirement for
FL15279 R1 II 103553-Rev06.pdf
windborne debris regions. The product without glazing DOES
Verified By: Intertek Testing Services NA Inc. -
comply with the impact resistant requirement for windborne
ETL/Warnock Hersey
debris regions (ref 1609.1.4 FBC).
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.63 063 W5-16 W-1B899: Reserve Reserve Wood Double -Car (9'2" To 16'0" wide)
Collection RHxx WINDCODE@ W5 Garage Door
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +30 PSF/-33.5 PSF
Other: The OPTIONAL glazing available for this product
meets the wind load requirements of the building code but
DOES NOT meet the impact resistant requirement for
windborne debris regions. The product without glazing DOES
comply with the impact resistant requirement for windborne
debris regions (ref 1609.1.4 FBC).
64 11064 W5-16-B AL-1F499: Avante TM
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +30 PSF/-30 PSF
Other: The OPTIONAL glazing available for this product
meets the wind load requirements of the building code but
DOES NOT meet the impact resistant requirement for
windborne debris regions. The product without glazing DOES
comply with the impact resistant requirement for windborne
debris regions (ref 1609.1.4 FBC).
Certification Agency Certificate
FL15279 R1 C CAC Letter with proof of contract and proof
FL15279 R1 C CAC W5 Listing Intertek.pdf
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instructions
FL15279 R1 II 102536-Rev06.odf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
Full View Aluminum Residential WINDCODE@ W5 Sectional
Door, 12'3" to 16'2" wide
Certification Agency Certificate
FL15279 R1 C CAC Letter with proof of contract and proof
FL15279 R1 C CAC W5 Listing Intertek.pdf
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instructions
FL15279 R1 II 103447-Rev04.pdf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Page 3 of 6
ME
1
11 Created by Independent Third Party:
15279.65 =r��
5-16-C AL-1F499: Avant eT"^
Full View Aluminum Residential WINDCODE@ W5 Sectional
Door, 12'3" to 16'2" wide
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15279 Rl C CAC Le , ith : f o c oof
of inspection.pdf
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +32 PSF/-32 PSF
FL15279 Rl C CAC W i q er k.paf
Quality Assurance Cora' x 'rati
Other: The OPTIONAL glazing available for this product
05/21/2028
meets the wind load requirements of the building code but
Installation Instructions
DOES NOT meet the impact resistant requirement for
FL15279 Rl II 103446-Rev04.pdf
windborne debris regions. The product without glazing DOES
Verified By: Intertek Testing Services NA Inc. -
comply with the impact resistant requirement for windborne
ETL/Warnock Hersey
debris regions (ref 1609.1.4 FBC).
Created by Independent Third Party:
Evaluation Reports
11 Created by Independent Third Party:
15279.66
066 W5-16-HY DSIE-1A171: 2050,
Double -skin Insulated EPS (exterior skin 27 ga. min.;
2051, 2053, 4050, 4051, 4053, 62,
interior skin 29 ga. min.) Double -Car (9'2" to 16'0" wide)
64, 65, 62G, 62LG, 64G, SDP38,
WINDCODE@ W5 Garage Door
SFL38, SRP38, 134, 135, 136,
6130, 6131, 6133
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15279 Rl C CAC Letter with proof of contract and proof
of inspection.pdf
Approved for use outside HVHZ: Yes
Impact Resistant: No
FL15279 Rl C CAC W5 Listing Intertek.odf
Design Pressure: +32 PSF/-32 PSF
Quality Assurance Contract Expiration Date
Other: The standard glazing available for this product
05/21/2028
meets the wind load requirements of the building code but
Installation Instructions
DOES NOT meet the impact resistant requirement for
FL15279 Rl II 102185-B-Revl2.odf
windborne debris regions.
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.67
067 W5-16-HY DSIE-1A171: 2050,
Double -skin Insulated EPS (exterior skin 27 ga. min.;
2051, 2053, 4050, 4051, 4053, 62,
interior skin 29 ga. min.) Double -Car (9'2" to 16'0" wide)
64, 65, 62G, 62LG, 64G, SDP38,
WINDCODE@ W5 Garage Door
SFL38, SRP38, 134, 135, 136,
6130, 6131, 6133
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15279 Rl C CAC Letter with proof of contract and proof
of insoection.pdf
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
FL15279 Rl C CAC W5 Listing Intertek.odf
Design Pressure: +32 PSF/-32 PSF
Quality Assurance Contract Expiration Date
Other: Solid doors (no glazing) are impact -resistant (large
05/21/2028
missile impact).
Installation Instructions
FL15279 R1 II 102185-A-Rev12.odf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
11
Created by Independent Third Party:
15279.68
OF68 W5-16-HY PAN-2F143: 84A,
Steel Pan (min. 24 ga.) Double -Car (9'2" to 16'0" wide)
94, 4RST, 4RSF, 48, 48B
IWINDCODEO W5 Garage Door
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15279 R1 C CAC Letter with proof of contract and proof
of inspection.odf
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
FL15279 Rl C CAC W5 Listina Intertek.pdf
Design Pressure: +34 PSF/-35 PSF
Quality Assurance Contract Expiration Date
Other: Solid doors (no glazing) or doors with optional
05/21/2028
impact -resistant glazing are impact -resistant (large missile
Installation Instructions
impact).
FL15279 R1 II 101922-A-Revll.pdf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
11
Created by Independent Third Party:
15279.69
069 W5-16-HY PAN-21=153: 84A,
Steel Pan (min. 25 ga.) Double -Car (9'2" to 16'0" wide)
94, 73, 75, 1500, 190, 4RST, 4RSF,
WINDCODE@ W5 Garage Door
6RST, 6RSF, 48, 42, 55, 48B, 42B,
55S
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15279 Rl C CAC Letter with proof of contract and proof
Page 4 of 6
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +32 PSF/-32 PSF
Other: Solid doors (no glazing) or doors with optional
impact -resistant glazing are impact -resistant (large missile
impact).
FL15279 Rl C CAC W5 Listina Intertek.pdf
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instructions
FL15279 R1 II 101922-A-Revll.pdf
Verified By: Intertek Testing Services NA Inc. -
TL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.70 070 W5-16-HY PAN-2F153: 84A, Steel Pan (min. 25 ga.) Double -Car (9'2" to 16'0" wide)
94, 73, 75, 1500, 190, 4RST,, SF, WINDCODE® W5 Garage Door
6RST, 6RSF, 48, 42, 55, 48B, 42B,
55S
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +32 PSF/-32 PSF
Other: The standard glazing available for this product
meets the wind load requirements of the building code but
DOES NOT meet the impact resistant requirement for
windborne debris regions.
15279.71 11071 W5-20 AL-SF499: Avantelm
.1mits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +30 PSF/-30 PSF
Other: The OPTIONAL glazing available for this product
neets the wind load requirements of the building code but
)DES NOT meet the impact resistant requirement for
vndborne debris regions. The product without glazing DOES
:omply with the impact resistant requirement for windborne
iebris regions (ref 1609.1.4 FBC).
Agency
Quality Assurance Contract Expiration bale
05/21/2028
Installation Instructions
FL15279 R1 II 101922-B-Revll.pdf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
Full View Aluminum Residential WINDCODE@ W5 Sectional
Door, 16'3" to 20'2" wide
Certification Agency Certificate
FL15279 R1 C CAC Letter with proof of contract and proof
FL15279 Rl C CAC W5 Listing Intertek.pdf
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instructions
FL15279 R1 II 103448-Rev05.pdf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.72 072 W6-09 DSIE-1A171: 2050, Double -skin Insulated EPS (exterior skin 27 ga. min.;
2051, 2053, 4050, 4051, 4053, 62, interior skin 29 ga. min.) Single -Car (up to 9'0" wide)
64, 65, 62G, 62LG, 64G, SDP38, WINDCODE® W6 Garage Door
SFL38, SRP38, 134, 135, 136,
6130, 6131, 6133
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +37 PSF/-37 PSF
Other: The OPTIONAL glazing available for this product
meets the wind load requirements of the building code but
DOES NOT meet the impact resistant requirement for
windborne debris regions. The product without glazing DOES
-omply with the impact resistant requirement for windborne
debris regions (ref 1609.1.4 FBC).
Certification Agency Certificate
FL15279 R1 C CAC Letter with proof of contract and proof
FL15279 RI C CAC W6 Listing Intertek.pdf
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instructions
FL15279 R1 II 101654-Rev13.pdf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Partv:
15279.73 073 W6-09 DSIE-11`171: 4300, Double -skin Insulated EPS (exterior skin 27 ga. min.;
4301, 4310, 4400, 4401, HDG, interior skin 27 ga. min.) Single -Car (up to 9'0" wide)
HDGL, HDGF, 66, 66G, 67, 67G, 68, WINDCODE® W6 Garage Door with Optional Impact-
SP200, SF200, SE200, 6200, 6201, Resistant Lites
6203
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +37 PSF/-40 PSF
Other: Solid doors (no glazing) or doors with optional
impact -resistant glazing are impact -resistant (large missile
impact).
Certification Agency Certificate
FL15279 Rl C CAC Letter with proof of contract and proof
FL15279 Rl C CAC W6 Listing Intertek.pdf
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instructions
FL15279 R1 II 101526-A-Revl6.pdf
Page 5 of 6
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.74 074 W6-09 DSIE-11`171: 4300, Double -skin Insulated EPS (exterior skin 27 ga. min.;
4301, 4310, 4400, 4401, HDG, interior skin 27 ga. min.) Single -Car (up to 9'0" wide)
HDGL, HDGF, 66, 66G, 67, 67G, 68, JWINDCODE@ W6 Garage Door
SP200, SF200, SE200, 6200, 6201,
6203
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +37 PSF/-40 PSF
Other: The standard glazing available for this product
meets the wind load requirements of the building code but
DOES NOT meet the impact resistant requirement for
windborne debris regions.
Certification Agency Certificate
FL15279 Rl C CAC Letter with proof of contract and proof
FL15279 Rl C CAC W6 Listing Intertek.odf
Quality Assurance tract Expiration Date
05/21/2028
Installation Instr
FL15279 R1 II 10 9 1 ; - 16 df
Verified By: Intert; c T j Iry -
=TL/Warnock Hersey y
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.75 075 W6-09 DSIE-1F471: GD2SP, Gallery/Artistry/Expressions: Double -skin Insulated EPS
GR2SP, GD2LP, GR2LP, AR2SP, (exterior skin 27 ga. min.; interior skin 27 ga, min.) Single-
AR2LP, ED2SP, ED2LP Car (up to 9'0" wide) WINDCODE® W6 Garage Door
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL15279 R1 C CAC Letter with proof of contract and Droof
Approved for use outside HVHZ: Yes of inspection.odf
Impact Resistant: Yes FL15279 Rl C CAC W6 Listing Intertek.pdf
Design Pressure: +38 PSF/-42 PSF Quality Assurance Contract Expiration Date
Other: Solid doors (no standard glazing) are impact- 05/21/2028
resistant (large missile impact). Installation Instructions
FL15279 R1 II 103954-A-Rev03.pdf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.76
076 W6-09 DSIE-1F471: GD2SP,
Gallery/Artistry/Expressions: Double -skin Insulated EPS
GR2SP, GD2LP, GR2LP, AR2SP,
(exterior skin 27 ga. min.; interior skin 27 ga. min.) Single-
AR2LP, ED2SP, ED2LP
Car (up to 9'0" wide) WINDCODE@ W6 Garage Door
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15279 Rl C CAC Letter with proof of contract and proof
Approved for use outside HVHZ: Yes
of inspection.pdf
Impact Resistant: No
FL15279 Rl C CAC W6 Listino Intertek.pdf
Design Pressure: +38 PSF/-42 PSF
Quality Assurance Contract Expiration Date
Other: The standard glazing available for this product
05/21/2028
meets the wind load requirements of the building code but
Installation Instructions
DOES NOT meet the impact resistant requirement for
FL15279 R1 II 103954-B-Rev03.pdf
windborne debris regions.
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.77 077 W6-09 DSIEO-1M479:
Coachman/Settlers/Affinity
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +38 PSF/-42 PSF
Other: Solid doors (no standard glazing) are impact -
resistant (large missile impact).
Double Skin Insulated EPS (exterior skin 27 ga. min.;
nterior skin 27ga, min.) with Overlay Single -Car (up to,9'0"
,vide) WINDCODE@ W6 Garage Door
Certification Agency Certificate
FL15279 R1 C CAC Letter with proof of contract and proof
FL15279 Rl C CAC W6 Listino Intertek.pdf
Quality Assurance Contract Expiration Date
05/21/2028
Installation Instructions
FL15279 R1 II 103223-A-Revll.pdf
Verified By: Intertek Testing Services NA Inc. -
=TL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.78 078 W6-09 DSIEO-1M479: Double Skin Insulated EPS (exterior skin 27 ga. min.;
Coachman/Settlers/Affinity interior skin 27ga. min.) with Overlay Single -Car (up to 9'0"
Page 6 of 6
II Ilwide)
WINDCODEO W6 Garage Door
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15279 Rl C CAC Letter with proof of contract and proof
of inspection.Ddf
Approved for use outside HVHZ: Yes
Impact Resistant: No
FL15279 Rl C CAC W6 Listino Intertek.Ddf
Design Pressure: +38 PSF/-42 PSF
Quality Assurance Contract Expiration Date
Other: The standard glazing available for this product
05/21/2028
meets the wind load requirements of the building code but
Installation Instructions
DOES NOT meet the impact resistant requirement for
FL15279 Rl II 103223-B-Rev11.Ddf
windborne debris regions.
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.79
079 W6-09 DSIU-1A171: 9130,
Double -skin Insulated PUR (exterior skin 27 ga. min.;
9131, 9133, HDP13, HDPF13,
interior skin 27 ga. min.) Single -Car (up to 9'0" wide)
HDPL13, 7130, 7131, 7133, 8130,
WINDCODE@ W6 Garage Door
8131, 8133
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15279 R1 C CAC Letter with proof of contract and proof
of inspection.pdf
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
FL15279 Rl C CAC W6 Listing Intertek.Ddf
Design Pressure: +37 PSF/-37 PSF
Quality Assurance Contract Expiration Date
Other: The OPTIONAL standard glazing available for this
05/21/2028
product meets the wind load requirements of the building
Installation Instructions
code but DOES NOT meet the impact resistant requirement
FL15279 `Rl II 104180-Rev0l.Ddf
for windborne debris regions. The product without standard
Verified By: Intertek Testing Services NA Inc. -
glazing DOES comply with the impact resistant requirement
ETL/Warnock Hersey
for windborne debris regions (ref 1609.1.4 FBC).
Created by Independent Third Party:
Evaluation Reports
11
Created by Independent Third Party:
15279.80
080 W6-09 DSIU-1F171: 9200,
Double -skin Insulated PUR (exterior skin 27 ga. min.;
9201, 9203, HDP20, HDPF20,
interior skin 27 ga. min.) Single -Car (up to 9'0" wide)
HDPL20, 7200, 7201, 7203, 8200,
WINDCODE® W6 Garage Door with Optional Impact-
8201, 8203
Resistant Lites
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
FL15279 Rl C CAC Letter with proof of contract and proof
of inspection.Ddf
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
FL15279 R1 C CAC W6 Listing Intertek.Ddf
Design Pressure: +37 PSF/-40 PSF
Quality Assurance Contract Expiration Date
Other: Solid doors (no standard glazing) or doors with
05/21/2028
optional impact -resistant standard glazing are impact-
Installation Instructions
resistant (large missile impact).
FL15279 Rl II 104184-A-RevOl.pdf
Verified By: Intertek Testing Services NA Inc. -
ETL/Warnock Hersey
Created by Independent Third Party:
Evaluation Reports
11
Created by Independent Third Party:
Go to Page 4 Page 4 / 7
r � V
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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 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 an email
address If they have one. The emalls 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:
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BUILDING CODE OR THE INTERNATIONAL BUILDING CODE (BASTED ON
ASCE7-10) FOR THE FOLUO'MNG CONDITIONS: 1) ENCLOSED
BUILDING, 2) DOOR HAS 2' OF WIDTH IN BUILDING'S END ZONE, 3)
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- DESIGN ENGINEER: MARK WES HELD, P.E
FLORIDA P.E. J48495, NC P.E j23832, TENS P.E. /91513
OE�GN LOADS: + .0 P.
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1/26/96
B u i I d i n g Products Th, depicted herein th. !y
MODEL 73 75 84A 94; 1 @
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PIF�ns Ke- Of KM Cbpay Corporatlon and may not W nprodueed ORAVN BY.
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FLORIDA PRODUCT UC T APPROVAL 15279
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