Fillable Window/Door Replacement and/or Impact Shutter Permit Form (Pinellas County Government)

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Window/Door Replacement and/or Impact Shutter Permit Form (Pinellas County Government)

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Window/Door Replacement and/or Impact Shutter Permit Form
A Layout Diagram that identifies & locates each replacement Window/Door
or Shutter install must be provided with this Permit Form.
Project Address: ___________________________________________________________________________________
Owner’s Name: _________________________________ Contractor’s Name: ____________________________
Applicant/Contact Name: ____________________________ Contact Phone #: ______________________________
Florida Product Approval Schedule: Identify location of the product(s) on your Layout Diagram
Per PC Gulf Beaches - CCC: Where required, glazing installed shall meet the requirements for marine turtle nesting areas.
Impact Non-Impact Florida Product Approval # or NOA #
Layout Diagram
Location # or #'s
The Exposure Category is determined by the structures distance from the shoreline of open water.
Link to P.C. map with measuring tool: https://egis.pinellas.gov/apps/webgispublic/
For additional information see the Exposure Category Diagram in the Window/Door Permit Reference Guide.
Exposure B: a structure located at least 1,500 ft from the shoreline of open water
Exposure C: a structure located at least 600 ft from the shoreline of open water & less than 1,500 ft
Exposure D: a structure located within 600 ft of the shoreline of open water
1.) Select your Exposure & the opening(s) max.
height above grade for each floor level.
2.) Complete the FL-Product Approval Schedule
below: impact/non-impact, FL-# with the
specific decimal & Diagram Location #,
continue list on another page if necessary.
*FL-products specified must exceed the +/- C&C
pressures as calculated based on the FBC.*
Exposure C
145 mph Risk Category II
Max. C&C Pressures (0 - 15 ft. Hgt.)
_____ +27.6 psf / -36.3 psf (10sf wall Zone 5)
Max. C&C Pressures (15 - 20 ft. Hgt.)
_____ +29.4 psf / -38.7 psf (10sf wall Zone 5)
Max. C&C Pressures (20 - 25 ft. Hgt.)
_____ +30.8 psf / -40.5 psf (10sf wall Zone 5)
Max. C&C Pressures (25 - 30 ft. Hgt.)
_____ +31.9 psf / -42.0 psf (10sf wall Zone 5)
Note: Component & Cladding (C&C) Pressures listed
are based on heights identified & a 10sf area at wall
Zone 5 (worst case).
**Contractor can calculate C&C pressures for increased heights & areas
not listed for wall Zones 4 & 5 as necessary and provide this information
on his Layout Diagram.**
Exposure B
145 mph Risk Category II
Max. C&C Pressures (0 - 30 ft. Hgt.)
_____ +22.8 psf / -30.0 psf (10sf wall Zone 5)
Exposure D
145 mph Risk Category II
Max. C&C Pressures (0 - 15 ft. Hgt.)
_____ +33.5 psf / -44.1 psf (10sf wall Zone 5)
Max. C&C Pressures (15 - 20 ft. Hgt.)
_____ +35.3 psf / -46.5 psf (10sf wall Zone 5)
Max. C&C Pressures (20 - 25 ft. Hgt.)
_____ +36.7 psf / -48.3 psf (10sf wall Zone 5)
Max. C&C Pressures (25 - 30 ft. Hgt.)
_____ +37.8 psf / -49.8 psf (10sf wall Zone 5)
Layout Diagram for Window/Door Replacement and/or Impact
Shutter Install
Your Layout Diagram will identify & locate each Window/Door replacement
and/or Impact Shutter install: This Diagram must be submitted with your
Window/Door Replacement and/or Impact Shutter Permit Form.
Project Address: _____________________________________________________________________
Floor Level/Story ________ Max. Window Height From Grade ________ Diagram # ____ of ____
1. This diagram will be used to depict the location of the existing windows/doors and to identify which window/door units are being replaced.
2. Draw a plan view outline of the structure. The structure shape/configuration must match, scale is not required.
3. The front of the structure faces the bottom of the page.
4. Mark the location of the units to be replaced with an “X” and identify the units with a location number that corresponds with your
Florida Product Approval Schedule location number.
5. Identify the unit size (width x height) and the unit type (SH = Single Hung, DH = Double Hung, SGD = Sliding Glass Door, etc.)
6. Provide a separate Layout Diagram for each Floor Level/Story where window/door units are being replaced or shutters are being installed.
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WindowDoor Replacement andor Impact Shutter Permit Form (Pinellas County Government)

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Completed 8 January 2021

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