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HomeMy WebLinkAboutBUILDING PERMITJOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4558990 OR BOOK 4260 PAGE 2946, Recorded 04/25/2019 04:04:26 PM t1aeAq NOTICE OF COMMENCEMENT Permit No. Tax Folio No.11P-100'0004-000 -S' State of Florida County of SL Lucie The undersigned herebygives notice that improvement will be madeto certain real property, and in aco rrdence with Chapter 713, Florida Statutes, the following information Is provided in this Notice of Commencement. an of Property: (and street address If available): 0 ti - f�- c�+ LN General description of improvement: n Owner information or lessee htformadon ffthe Lessee contracted for the Improvement: Name Address 5ZIQ e Interest In property: Name and address of fee simple titleholder (If different from Owner listed above): Contractor's Name; EH A. LLC ContrartorAddress. RDAA S,j E 42 St Fort Lauderdale, F'L 33312 Phone Number: 954-792-4415 Surety (if applicable, a copy of the payment bond is atta&ed): Amount of bond: $ Name and address. Phone number: Lendar Name: Phone Number. Lender's address: Persons within the State of Florida designated by Owner upon whom nodoes or other docume ft may be served as provided by Section 713.13(1) (a)7., Florida Statutes: Name: Phone Number: Address: - In addition to himne$ or herself, Owner designates of Uenoes Noticeas provided in Section 713.13{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 constructlon and final payment to the contractor, but will be 1 year from the data of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF OOMMENCEMENTARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 723.13, FLORIDA STATUTES, AN D 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 INSPIXTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty 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 my knovvledggrand beW. j r, or Owners or Lessee's Authorized (Signatory's Title/Office) The foregoing instrument was acknowledged before me this U- day of , 20 k , i By mac yL ova( siq -- as (7 U r1P_ ?' for Name of T pe of a LAUREN BIRKINS of Notary Pu lit- stat •;* Notary Public - Stele d Fbft Type, or Stamp Commissi ry iftISSion # GG 071722 >, My Comm. Expires June 9. 2021 Party on behalf of whom Instru ment was executed rially known or produced Identification of identification produced oil ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: _ Building Permit Application Planning and development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: � �G.n L\J Legal Description: :'e-, _—s - Property Tax ID #: Lot No. Site Plan Name: GJ� Block No. Project Name: l V, G� LS Setbacks Front Back: Right Side: Z_ Left Side: DETAILED DESCRIPTION Of WORK: CONSTRUCTION INFORMATIi4N: Additional work to De Derf6rmedunder this permit -check all apply: ❑HVAC Gas Piping Shutters ❑ Windows/Doors LJ Gas Tank ❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ a . Utilities:Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name M W!9J \SVN _ Name: WAYNE THOMAS BURNETT Address: 1 Company: FHIA,LLC City: State: Address: 3044 SW 42ND ST Zip Code: ! -ACIS l Fax: City: HOLLYWOOD State: FL Phone No.`? - ZS- Zip Code: 33312 Fax: 954-792-7977 E-Mail: Phone No. 954-792-4415 Fill in fee simple Title Holder on next page ( if different E-Mail: PERMITS@FHAPRODUCTS.COM from the Owner listed above) State or County License: CGC061890 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: WAYNE THOMAS BURNETT Address: Address: City: State: City: HOLLYWOOD State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: 3044 SW 42ND ST Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use 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 Commence erlt must be recorded and posted an the jobsite before the first inspection. If you intend to obtain fina VQns It with lender or an attorney before commencing work or recording your Notice of Comm c Lessee/Contractor as Agent for Owner I *na-fPr, ."ntractor/License Holder STATE OF FLORIDA — I STAVE OF FLORIDA 9 T COUNTY OF 5+- Lu.C'12.... COUNTY OF The for ring instrument was acknowledged before me this Z day of 1NAs Z 1 J 20111� by Aa& "A !!�h Name of person making statement Personally Known ✓ OR Produced Identification Type of Identification (Signature Commission REVIEWS DATE RECEIVED DATE COMPLETED Rev. 8/2/17 My Comm. FRONT I ZONING COUNTER REVIEW Luc: r The forgoing instrumentGw,as acknowledgeq before me this ?V day of (( , 20 17 by Name of per on making statement Personally Known OR Produced Identification Type of Identification Produced 01MM1140 (Signature - State of Florida f 9 GG 071722 Commi i sires June 9, 2021 u 4lAtsuak (A IM;I11IRCjAGO MY COMMISSION # G0096745 flfl8 April 19(WAV SUPERVISOR I PLANS VEGETATION SEATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW OA r""dw t*� �d�*L� �wfq-Ul— FRI* lummm R. m WON 'a" 14 tww"m It UP w3us Opmr""W'. ja$j"4AT1 L sc"v V�Qrh-_— v'r sus !".Mmv �"t"viA Oim'l j 'As 'Mk Pao? Ov", i^a r"n* rej�!! 9L.9k .'4 wa ii !:�:'t - WNMNA evn� komx;r A%7A.' q;ro xi* k. filty Willi, 'O."M f" eq, ot)- N F ITH, R, "A IAM 7AA �e Z;7 'ihtMET ........ ....... .... t -We '�—'eqvA.'l Mn'x Tva-mt.-a aN n�' Nu- yW-lm r F", — d1w JJ' ivl A' "004 ape e:--j wk I , Fi -a 14wi cnr&vt 0? Sim go kt mv 4..'t GrAr 'w *05T I b'?m bfmy piny, cat 4d aft Ch" *0 tN;, I OWnW) Hoi"F . WES NO k� Michelle Franklin, CFA-- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5210INDJAN BEND LN See/Town/Range: 12/34S/39F. Map ID: 13112S Zoning: RS-4 Ownership Mark J Walsh Carleen L Walsh 5210 Indian Bend LN Fort Pierce, FL 34951 Legal Description HOLIDAY PINES S/D-PHASE II -A- LOT 173 (MAP 13/12S) (OR 4249- 1414) Current Values Just/Market Value: $188,700 Assessed Value: $188,700 Exemptions: $0 Taxable Value: $188,700 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Coliector's Office Download TRIM for this parcel: Download PDF Parcel ID: 1312-800-0004-000-5 Account #: 4415 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,983 Gross Sketched Area (SF): 4,239 Land Size (acres): 0.36 Land Size (SF): 15,750 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. BOARD OF PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COUNTY COMMISSIONERS Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT Pro'ect Location: Date: Permit Number: Technician: Re aired Documents: Application completely filled out with Notarized Signatures ............................ Yes No NIA Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes_ No NIA _ Owner / Builder Affidavit (signed in office) ................................................. Yes No NIA Filled Land Affidavit (prior to issuance)...................................................... Yes No N/A Recorded Warrany Deed, if applicable....................................................... Yes_ No _ N/A Recorded Notice of Commencemement (prior to issuance or inspection) ............... Yes_ No NIA Utility Agreement or Payment Receipt (prior to issuance) ................................. Yes No N/A Vegetation Removal Application with copy of survey ..................................... Yes No N/A Plans, Calculations & Attachments (3 copies commercial, 2 copies residential) Complete set of plans with Engineer / Architect Raised Seal ........................... Yes No N/A Truss Plans reviewed and approved by Engineer / Architect ............................ Yes_ No _ N/A Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/A Approved Site Plans........................................................................... Yes_ No _ N/A Sealed Survey with Dimensions, Finished floor ........................................... Yes No N/A Elevations and Setbacks.............................................................. Yes_ No _ N/A Plot plan with Setbacks............................................................... Yes_ No N/A_ Health Department approval stamped on survey and floor plan ........................ Yes_ No _ NIA Health Department Food Establishment Permit stamped on floor plan ................ Yes No NIA Manual "T" or Manual "N" Calculations................................................... Yes_ No _ NIA_ Signed Energy Calculations (1 original signature) ....................................... Yes No NIA Sealed Wind Load Compliance Certification ............................................... Yes No NIA Product Review Affidavit..................................................................... Yes_ No _ NIA Other: Health Department Permit Paperwork....................................................... Yes No _ NIA CD for Fire Department if commercial or multi -family ................................... Yes No NIA DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............ Yes No — NIA Pool Barrier Affidavit.......................................................................... Yes No _ NIA_ Ground Sign Landscape Affidavit (signs) ................................................... Yes_ No NIA Burn Rate for Sign Cabinets.................................................................. Yes No NIA_ RV and Mobile Home Tie -Down Only (2 copies) Permit Worksheet (Tie -Down Diagram) ................................................... Yes, No _ NIA Manufacture Set -Up and Installation Manual .............................................. Yes_ No NIA Manufacture Blocking Documents.......................................................... Yes_ No _ NIA Signed Penetrometer Test (1 copy)......................................................... Yes_ No — NIA_ StairDetails.................................................................................... Yes_ No J NIA Mobile Home Inspection Report for Relocation (used only) ........................... Yes No NIA Copy of Title for Relocation (used only) ................................................... Yes No NIA Private Property not in a mobile home park Class "A" Approval from Planning or file # ................................................ Yes No NIA COMMENTS Revised 7/27/18 FHA -DIAGRAM SHEET NO•CHANGEINFENESTRATION MEASUR NS TECH ML45M DATE or PROPOSED SIZE FOR SIZE TM CLwto.IRER'S kwE FHA LEAD NLRiAM T11n Of PaM"y nooFmWAff R R NUMWX TOTAL# OF FLOORS SYt e4lGq Rotl54e-- 1 12.. ` i I yo,!j i I. j E.. I. I ' i xCr�, 1. l7 T rn V izj X � 1 i t GI G)c, i X r; oYI�Q �5/ ! j ! i I •�I� �T�+of I .I i i I I. I !. .ii I �- II Ii! f}! L rMO i. l N%'�r • I � � ! I ; is .. i I i I � I ! , ,,, � 53 noIOo? { 1 I I oRrn , i -y I Nis .�i �- I I r 1 � 1/4/2018 Florida Building Code Online Business & Professional `-gw i 60S Home I Log In I User Registration Hot Topics 1l' 44101 Submit Surcharge stats A Facts p4lbliroar K I uC Ste I ae I5 Site Map Uri Sew+ Approval 4USER: OrProduct Public User Product Annroval Menu a Product or Annllcatlon Search > AnnheAtlnn List a ApplicWon Detail * +Y FL # FL16177-R2 - ' Application Type Revision Code Version 2017 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Custom Window Systems Inc. 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 245 kpineLMcws.cc Kevin Pine kpine0cws.cc ]ay Lathrop 1900 SW 44th Ave Ocala, FL 34474 (352) 368-6922 Ext 291 jlathrop@cws.cc Quality Assurance Representative Arturo Manteverde Address/Phone/Email 1900 5W 44th Ave Ocala, FL 34474 (352) 368-6922 Ext 221 amonteverde@bcws.cc Category Windows Subcategory Single Hung 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 the Lucas A. Turner Evaluation Report Florida License PE-58201 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 07/21/2020 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Standard Y= AAMA/WDMA/CSA/101/I.S.2/A440-08 2008 ASTM E1886-05 2005 ASTM E1996-09 2009 PA TAS 201/202/203 1994 Equivalence of Product Standards Certified By https://www.floddabuilding.org/prlpr app_&I.aspx9param=wGEVXQwtDgvyf4ngAXhlOyBQtjDbmBlPrafAGHlxisggUObEAbzoQ%3d%3d 1/2 1/4/2018, Sections from the Code Florida Building Code Online B Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Products Method 1 Option D 09/28/2017 09/29/2017 10/03/2017 12/12/2017 FL # Model, Number or Name Description 16177.1 SH-8100 PVC Single Hung SH-8100 PVC Single Hung Impact Resistant window. Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL16177 R2 H CWS-812C.pdf Approved for use outside HVHZ: Yes Verified By: Lucas A. Turner 58201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: +70/-70 Evaluation Reports other: SH-8100 PVC Impact, no sill anchors required. Safety FL16177 R2 AE Evalikeaort812C.pdf glazing required an outer lite above 30 ft. In HVHZ. Glass Created by Independent Third Parry: Yes complies to ASTM E1300-04. Beclr PI®xt Contact Us :: 29n1 Blair Stone Read. Tallahassee FL 32399 Phone: S50-487-1824 The State of Florida Is an AA/EEO employer. :: Privacy Statement :: e.==aatilxb. Stat?1pgnt :: 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 mall to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 950.487.1395, "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 offldal 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 pubic. To determine if you are a licensee under Chapter 455, F.S., please click hn[r Product Approval Accepts: M Credit Card Safe Mips:/A~.flaridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgvyf4ngAXhi0y8CMDbmBlPrafAGHlxisgtjUObEAbzoQ%3d%3d 2/2 URNER ENGINEERING & CONSULTING, INC. 1239 Jabara Ave. North Port, FL 34288 Ph. 941-380-1574 FBPE C.O.A. #29779 Evaluation Report 812C August 29, 2017 Product Description: Series 8100 PVC Single Hung, Large Missile Impact, 51 7/8" x 61 3/4" unit size, +/-70 PSF, no anchors in sill Manufacturer: Custom Window Systems, Inc. 1900 SW W Ave, Ocala, FL 34474 Statement of Compliance: This report evaluates the above -listed product per the requirements of FAC Product Approval Rule Chapter 61 G20-3.005 (4). This product complies with the requirements of the 6ffi Edition (2017) Florida Building Code including the High Velocity Hurricane Zone. The product testing standards performed are outlined below. Technical Documentation: 1) This report, prepared by Lucas A. Turner, P.E., at 1239 Jabara Ave., North Port, FL 2) Approval drawing CWS-812C, signed and sealed by Lucas A. Turner, P.E. 3) Test Report NCTL-210-3 815- 1 A, -2, and -2A, by National Certified Testing Laboratories, Orlando, FL, signed and sealed by Gerard J. Ferrara, with testing performed: TAS 201/2021203- 94, ASTM E 1886-02/04/05, 1996-02/04/06/09, and AAMAIWDMA/CSA 101/I.S.2/A440-08 4) Supplemental Calculations to support CWS-812C, signed and sealed by Lucas A. Turner, P.E. Installation: Units must be installed according to approval document CWS-812C. Limitations of Use: This product: • May be used in O/X configuration in sizes and with max. glass DLO heights as shown in CWS- 812C • Is impact resistant and does not require the use of shutters • May be used in the High Velocity Hurricane Zone • Requires 7/8" Insulating Glass consisting of 1/8 Annealed or Tempered outboard lite (Tempered required above 30 R in HVHZ) — Air — 5116 Laminated (1/8Ann-.090PVB-1/8Ann) inboard lite • Requires Kuraray (Dupont) PVB Interlayer per Miami -Dade N.O.A. 16-1117.02t • Requires Quanex (Mikron) white rigid PVC framing per Mianu-Dade N.O.A. 17-0206.10' t I have evaluated the materials in these NOAs and find that they comply with the requirements of the 6`h Ed. (2017) Florida Building Code for use in this product. Certification of Independence: I do not have, nor do I intend to acquire, nor will I acquire, a financial interest in Custom Window Systems or in any company manufacturing or distributing products for which this report is being issued I do not have, nor do I intend to acquire, nor will I acquire, a financial interest in any other entity involved in the testing or approval process of this product. Ci4s,s Lucas , r No 582131 Turner 1/G i • � r 2017-08-30 STATE OF ,Z 16:11+20:00 '�, ,;•.c �..; ,` 8/29/2017 �!.,.••' 0� Lucas A. 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THIS DRAWING IS THE SOLE PROPERTY OF CUSTOM WINDOW r 0. nz= i SYSTEMS, INC. ANY > M n g c REPRODUCTION IN PART OR AS A WHOLE WITHOUT THE WRITTEN C c+ m ? �•.�P�'.,, /ir�F'i"y���� ��p`� PERMISSION OF CUSTOM WINDOW INC IS PROHIBITED. Z ' Gi a SYSTEMS, I a m j � m o 2 N N N 0 o z0 C �� �r��, PROPRIETARY AND CONFIDENTIAL y `� Z ca m e w i 4 T �� cy?� ��i� THE INFORMATION CONTAINED IN Zap ro p y �o p' ,� - o ;9y THIS DRAWING IS THE SOLE .� r 2 � O m � n3 o 0: p . PROPERTY OF CUSTOM W INDOW p _ x $� ww 7�P 9k _' e9 m * to z; m x SYSTEMS, INC. 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ANY REPRODUCTION IN PART OR AS A WHOLE WITHOUT THE WRITTEN PERMISSION OF CUSTOM WINDOW SYSTEMS, INC IS PROHIBITED. _ Z w — .o-4 n�= Rl s a G GI Z m r m m O y T bap o R c3 A � w O z Y y m m r o.. y N oV 0 se se se I- 0 y ai $ m G2) m�$��Zrr � r r z m ,,Zz�gz Om w xz 00 z z � 1 m A AC r 7ro F 4a fA�Z$ c:00 VV �0�z zm QFn zcmr n� GIOCO UFO Dm gm;Z 0� m0 zurm4 0D3c V� % t'f P'nm� mj Fo Omz >a v ml in mm =mm =; m (A 0 0z y nmG) i % s m� m g z r a m 0 u 2mm oz3m DPW _ x M 0 0 :c m rD 0 mom r.+ 2 i 19o°-mD cAC m p m � O= M t m Nraa� V m m W I m ro N q�m m m mt_>y m� m 0� m mm mR $�w N p A m )V:5 �m C m m mz mx wmg M-4 A mz w3 mz Vie ; Hog � mm 2 P3�C 3 I -Ho 7rl,mm., mo � m y m 4 y��m Z-wr p0im O0R9 x m 19 20Zy Mom X Ml 2. o �+ 0 p PROPRIETARY AND CONFIDENTIAL THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTY OF CUSTOM WINDOW SYSTEMS, INC. ANY REPRODUCTION IN PART OR AS A WHOLE W ITHOUT THE WRITTEN PERMISSION OF CUSTOM WINDOW SYSTEMS, INC IS PROHIBITED. n 0 9 m 1/4/2018 5 ProfessionalBusiness & Regulaticio __ aCIS Home I Lag In I User Registration Hat Topics Florida Building Code Online Submit Surcharge Slats & Facts i pubkrtl" 'r'IYC 510 1 aCIS Site Map i Link, Sddad, FforOa . Product Approval (A d pr USER: Public User Rroduei Annroval Menu > 5aarch > Ahnilcatlon List > Application Detail 01P, FL # FL5823-R8 Application Type Revision Code Version 2017 Application Status Approved Comments Archived Product Manufacturer Custom Window Systems Inc. Address/Phone/Emall 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 245 kpine@cws.cc Authorized Signature Kevin Pine kpine@cws.cc Technical Representative ]ay Lathrop Address/Phone/Email 1900 SW 44th Ave Ocala, FL 34474 (352)368-6922 Ext291 jlathrop@cws.cc Quality Assurance Representative Arturo Monteverde Address/Phone/Email 1900 SW 44th Ave Ocala, FL 34474 (352)368-6922 Ext221 amonteverde@cws.cc Category Windows Subcategory Single Hung 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 the Lucas A. Turner Evaluation Report Florida License PE-58201 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 07/21/2020 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence EL S823 R8 COI_EvalRenort155D.odf Referenced Standard and Year (of Standard) Standard YAK AAMA/WDMA/CSA/101/I. S.2/A440-05 2005 ASTM E1886-02 2002 ASTM E1886-05 2005 ASTM E1996-02 2002 ASTM E1996-05 2005 PA/TAS 201/202/203 1994 https:I/www.floddabuilding.org/prlpr app dtl.aspx?param=wGEVXQwtDgvMdF6zR4iHLrSiEW2m3mv6FSF7O61cmWE%3d 1/3 1/4/2018 Florida Building Code Online Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 09/28/2017 Date Validated 09/29/2017 Date Pending FBC Approval 10/02/2017 Date Approved 12/12/2017 Summary of Products FL # Model, Number or Name Description 5823.1 8100 Vinyl Single Hung 8100 Vinyl Single Hung (Impact) Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL5823 R8 II CWS-155D,pdf Approved for use outside HVHZ: Yes Verified By: Lucas A. Turner 58201 Impact Resistant: Yes Created by Independent Third Parry: Yes Design Pressure: N/A Evaluation Reports Other: Large Missile, see Installation dwgs. for Max. size and DP. Outer lite in I.G. must be safety glazed when used above Created by Independent Third Party: Yes 30 ft. in HVHZ. Glass complies to ASTM E1300-04. 5823.2 SH-8100 Cont. Hd. & Sill SH-8100 Cont. Hd. & Sill (double Single Hung), Impact, 74 1/8" x 63". Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL5823 118 II CWS-440C„pdf Approved for use outside HVHZ: Yes Verified By: Lucas A. Turner 58201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: Max. unit size 72-7/8" x 61-3/4". Outer lite In I.G. FI5823 R8 AE EvalReoort440C.pdf must be safety glazed when used above 30 ft. In HVHZ. Glass Created by Independent Third Party: Yes complies to ASTM E1300-04. 5623.3 SH-8100 Cont. Hd. & Sill 5H-8100 Cont. Hd. & Sill (double Single Hung), Impact, 74 1/8" x 72". Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL5823 R8 II CWS-491C_ndf Approved for use outside HVHZ: Yes Verified By: Lucas A. Turner 50201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: +67.5/-67.5 Evaluation Reports Other: Large Missile, DP = +/- 67.5 psf, Max. size 74-1/8" x FL5823 118 AE EvalReport491C.odf 72". Outer lite in T.G. must be safety glazed when used above Created by Independent Third Party: Yes 30 ft. in HVHZ. Glass complies to ASTM E1300-04. 5823.4 SH-8100 Vinyl Single Hung Oriel SH-8100 Vinyl Single Hung Oriel Window w. HD FMR, 5 HI sash. Limits of Use Installation Instructions Approved for use In HVHZ: Yes FL5823 R8 II CWS-295ELM Approved for use outside HVHZ: Yes Verified By: Lucas A. Turner 58201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure., +70/-70 Evaluation Reports Other: Large Missile, 52" x 96" w/ 5 HI sash, +/- 70 psf. FLANGE ONLY. Outer lite in I.G. must be safety glazed when Created by Independent Third Party: Yes used above 30 ft. in HVHZ. Glass complies to ASTM E1300-04. aaets P i Contact The State of Florida Is an AA/EEO employer. Under Florida law, email addresses are public records. If you do not want your e-mall 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 4S5, 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 pubic 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 pubic. To determine If you are a licensee under Chapter 455, F.S., please click bars. Product Approval Accepts: https:lAv".floddabuilding.org/prlpr app_dtl.aspx7param=wGEVXQwtDgvMdF6zR4iHLrSiEW2m3mv6FSF7061cmWE%3d 2/3 1/4/2018 Florida Building Code Online rm01®9R® Credit Card Safe https:llwww.floridabuilding.orglprlpr app_dfl.aspx?param=wGEVXQwtDgvMdF6zR4iHLrSiEW2m3mv6FSF7061cmWE%3d 313 URNER ENGINEERING & CONSULTING, INC. 1239 Jabara Ave. North Port, FL 34288 Ph. 941-380-1574 FBPE C.O.A. #29779 Evaluation Report 491C September 7, 2017 Product Description: Series 8100 PVC Single Hung Window, Large Missile Impact, Continuous Head and Sill, twin configuration with integral mullion, 74 1/8" x 72" unit size (36 3/8" max. single unit width), 75 3/8" x 73 1/4" flange size, with 1/8 (Ann or Temp) — Air — 1/8-.090PVB-1/8 glass Manufacturer: Custom Window Systems, Inc. 1900 SW 44`" Ave, Ocala, FL 34474 Statement of Compliance: This report evaluates the above -listed product per the requirements ofFAC Product Approval Rule Chapter 61G20-3.005 (4). This product complies with the requirements of the 6 h Edition (2017) Florida Building Code including the High Velocity Hurricane Zone. The product testing standards performed are outlined below. Technical Documentation: 1) This report, prepared by Lucas A. Turner, P.E., at 1239 Jabara Ave., North Port, FL 2) Approval drawing CWS-491 C, signed and sealed by Lucas A. Turner, P.E. 3) Test Report NCTL-210-3621-1, -IA, -2, -2A, National Certified Testing Laboratories, Orlando, FL, signed and sealed by Gerard J. Ferrara, P.E. a. Testing Performed: TAS 201/202/203 1994, including impact at midspan of integral mullion. AAMA/WDMA/CSA 10 1 J. S.2/A440-05. ASTM E1886/1996- 05, including impact at midspan of integral mullion 4) Supplemental Calculations to support CWS-491 C, signed and sealed by Lucas A. Turner, P.E. Installation: Units must be installed according to approval document CWS-491C. Limitations of Use: This product: • May be used in twin unit configuration O/X — integral mullion — O/X with continuous head and sill in sizes up to 74 1/8" x 72" unit size (36 3/8" max. single unit width), 75 3/8" x 73 114" flange size, with max. glass daylight heights of 31 15/16" on the fixed panel and 32" on the sash • Achieves a max. design pressure of +67.5/-67.5 psf • Is impact resistant and does not require the use of shutters • May be used in the High Velocity Hurricane Zone • Requires 1/8 outboard (Annealed or Tempered, Tempered required above 30 ft in HVHZ) -- Air — 1/8Ann-.090PVB- 1/8Ann glass minimum Page 1 of 2 Lucas Turner 2017-09-16 09:27+20:00 t«��y�zw�Rr;�ls ►� OREfir. #4 -.r No 582[l1 :■ h . no,■ :9 -. STATIE OF ; �v z�z 9/07/2017 Lucas A. Turner, P.E. FL PE #58201 Limitations of Use, cont'd: • Requires Kuraray (Dupont) PVB Interiayer per Miami -Dade NOA 16-1117.02t • Requires Quanex (Mikron) white rigid PVC framing per Miami -Dade NOA 17-0206.10t t I have evaluated the interlayer and framing materials in these Kuraray (Dupont) and Quanex (Mikron) NOAs and find that they comply with the requirements of the 6`h Ed. (2017) Florida Building Code for use in this product. Certification of Independence: I do not have, nor do I intend to acquire, nor will I acquire, a financial interest in Custom Window Systems or in any company manufacturing or distributing products for which this report is being issued. I do not have, nor do I intend to acquire, nor will I acquire, a financial interest in any other entity involved in the testing or approval process of this product. Page 2 of 2 9/07/2017 Lucas A. Turner, P.E. 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ANY y RI m S m 2 m 0 m • F� '� �:� REPRODUCTION IN PART OR As A WHOLE WITHOUT THE WRITTEN _ C -n m n �' m A p �' p�y� ya �.�Pi •.•,•• f ��.•� PERMISSION OF CUSTOM WINDOW Z m ,,ilM� Ran ,' SYSTEMS, INC IS PROHIBITED. I G) I N 1/4/2018 Florida Building Code Online i Professional t, BCIS Home I Log In I User Registration Hot Topics Submit Surcharge Stats & Facts 1 NwWkwOmN W 9W BCIS Site Map Uelo A sett rn Florida Product Approval d� r (A USER: Public User Product Approval Menu > Pmduct nr Anntcatlon Search > Application fist > Application Detail h FL # FL9520-R7 Application Type Revision Code Version 2017 Application Status Approved Comments Archived Product Manufacturer Custom Window Systems Inc. Address/Phone/Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext245 kpine@cws.cc Authorized Signature Kevin Pine kpine0cws.cc Technical Representative ]ay Lathrop Address/Phone/Email 1900 SW 44th Ave Ocala, FL 34474 (352) 368-6922 Ext291 jlathrop0cws.cc Quality Assurance Representative Arturo Monteverde Address/Phone/Email 1900 SW 44th Ave Ocala, FL 34474 (352)368-6922 Ext221 amonteverde@cws.cc Category Windows Subcategory Mullions 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 the Lucas A. Turner Evaluation Report Florida License PE-58201 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 07/21/2020 Validated By Steven M. tlrich, PE Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Standard Year AAMA 450-10 2010 ASTM E1886-05 2005 ASTM E1996-09 2009 PA TAS 201/202/203 1994 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect https:/Avww.floridabuilding.org/pr/pr app_dfl.aspx7param=wGEVXQwtDgvlHvmuJRWcZ12gTuypubl HD0tAVcZHZl0%3d 1 /2 1/4/2018 Florida Building Code Online Sections from the Code Product Approval Method Method 1 Option D Date Submitted 09/29/2017 Date Validated 10/02/2017 Date Pending FBC Approval 10/05/2017 Date Approved 12/12/2017 SurnirnarY of Products FL* Model, Number or Name Description 9520.1 3" Alum. Tube Mullion 3" Alum. Tube Mullion, Horizontal & Vertical, Fin & Flange applications. (IMPACT) Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL9520 R7 11 CWS-836B,pdf Approved for use outside HVHZ: Yes Verified By: Lucas A. Turner 58201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: Large Missile Impact; See Installation Instructions and FL9520 R7 AE EvalRenort836B,pdf Evaluation Report for complete list of Limitations and Created by Independent Third Party: Yes Conditions of Use. 9520.2 4" Alum. Tube Mullion 4" Alum. Tube Mullion, Horizontal & Vertical, Fin & Flange applications. (IMPACT) Limits of Use Installation Instructions Approved for use In HVHZ: Yes FL9520 R7 11 Q&S-fi3Z5,l2df Approved for use outside HVHZ: Yes Verified By: Lucas A. Turner 58201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: Large Missile Impact; See Installation Instructions and FL9520 R7 AE EvaIReDort837B.ndf Evaluation Report for complete list of Limitations and Created by Independent Third Party: Yes Conditions of Use. 9520.3 5 1/2" Alum. Tube Mullion 5 1/2" Alum. Tube Mullion, Horizontal &Vertical, Fin & Flange applications. (IMPACT) Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL9520 R7 II CWS-838B_odf Approved for use outside HVHZ: Yes Verified By: Lucas A. Turner 58201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: Large Missile Impact; See Installation Instructions and FL9520 R7 AE Evallkenort8388.odf Evaluation Report for complete list of Limitations and Created by Independent Third Party: Yes Conditions of Use. Sack EE Contact LJs :: 2601 Blair Stone Road. Tallahassee FL32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Coevriaht 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 pubic 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 ncensee under Chapter 455, F.S., please click haw - Product Apprmral A.cceptse rn Credit Card Safe https://www.floridabuilding.org/prlpr app dtl.aspx7param=wGEVXQwtDgvlHvmuJRWcZl2gTuypubl NDOfxVcZHZIO%3d 2/2 URNER ENGINEERING & CONSULTING, INC. Product Description: PVC 4" Mullion H-1759 1239 Jabara Ave. North Port, FL 34288 Ph. 941-380-1574 FBPE C.O.A. #29779 Evaluation Report 837B September 26, 2017 Manufacturer: Custom Window Systems, Inc. 1900 SW 4,e Ave, Ocala, FL 34474 Statement of Compliance: This report evaluates the above -listed product per the requirements of FAC Product Approval Rule Chapter 61G20-3.005 (4). This product complies with the requirements of the 6th Edition (2017) Florida Building Code including the High Velocity Hurricane Zone. The product testing standards performed are outlined below. Technical Documentation: 1) This report, prepared by Lucas A. Turner, P.E., at 1239 Jabara Ave., North Port, FL 2) Approval drawing CWS-837B, signed and sealed by Lucas A. Turner, P.E. 3) Test Reports NCTL-210-3833-1B, -1C, -4, -4A, -5, -5A, -6, and -6A, from National Certified Testing Laboratories, Orlando, FL signed and sealed by Gerard J. Ferrara, P.E. a. Testing Performed: TAS 201/202/203-94, ASTM E 1886-02/04/05, ASTM E 1996- 04/06/09, and AAMA 450-06 4) Supplemental Calcs. to support CWS-837B, signed and sealed by Lucas A. Turner, P.E. Installation: Units must be installed according to approval document CWS-837B. Limitations of Use: This product: • May be used up to the sizes and design pressures as shown in CWS-837B, using clips as shown in CWS-837B • Is Large Missile Impact Resistant and does not require the use of shutters • May be used in the High Velocity Hurricane Zone • May only be used with Custom Window System, Inc. windows, please see separate individual window unit approvals for applicable design pressures and for more details. The lower of the individual window design pressures and the mullion design pressures shall apply to the entire assembly. • Requires 6063-T6 aluminum mullion and clip extrusions. Certification of Independence: I do not have, nor do I intend to acquire, nor will I acquire, a financial interest in Custom Window Systems or in any company manufacturing or distributing products for which this report is being issued. I do not have, nor do I intend to acquire, nor will I acquire, a financial interest in any other entity involved in the testing or approval process of this product. Lucas Turner 2017-09-28 07:34+20:00 0t��yti«i�lys+ f�1 2 Ns No 58201 �. ,SPA" t.*Xl zz 9/26/2017 Lucas A. Turner, P.E. FL PE #58201 wpm O�m �z inz �1ay SCzpm r -I�CZ�4iZ � Z �myCi s � p�2 rAi 1i1 r z? 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