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Building Permit Application
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 4570973 OR BOOK 4272 PAGE 2596, Recorded 05/22/2019 11:15:01 AM j'8zX? Permit No. State of Florida, County of St. Lucie NOTICE OF COMMENCEMENT Property Tax ID No. -412-OW3-000-9 The Undersigned hereby Ilm 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. Legal Description of property and address if available sz 36 41 FROM NW COR OF LOT 13 ELK 1 r1ARRIS SID RUN SELY ALG ELY W W FEG R1MUPTV08 UCWMAINVrTff :M%MIRTRFQ%T11CWX 7Crr, TUG05=Fr, IN W70Fr.TffW17LUFITWM OM 1124-;(C;=1-M6A. IMM& 9tFMPi.-,M34W General description of improvements Windows OwnerAessee Stephanie J Green Address 109 MoJn St Fort Pierce, FL 949ti2 Interest In property: Owner Fee Simple Title holder Of other than owner) NIA Address NIA Contractor FHIA, LLC Phone # 954-7924415 Address 3044 OW42 ST. HOLLYWOOD, FL. 33312 Fax # 407-4728380 Surety N/A Phone # NIA Address WA Fax # NIA Amount of Bond WA Lander NIA Phone # N/A Address W!A Fax # WA Persons within the State of Florida designated by Owner upon whom notices orotber documentsmay be serve asprovided by Section 713.13 (a) 7., Florida Statues: Name WA Phone # NIA Address INA Fax # NIA In addition to himself, owner designates WA of Phone# WA Fax# N/A to receive a copy ofthe Lienor's Notice as provided in Section 713.13 (1) ft Florida Statutes. Expiration date of notice of commencement Is one year from the date of recording unless a different date is specified. WARMING TO OWNER: ANY PAYMOM ]MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CH.713.13, F_S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICZ OF COMMENCEMENT MUST BE RECORDED AND PORT= ON THE JOB SITE BEFORE THE FIRST INSPECT ION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCMENT. I 1C State of Florida, County of LC r- �? Acknowledged before the this Ap day of 20 7, by e<,) , who is pWrsozially known to me or who has produced as identification. Signature of Notary Type or Print Name of Notary Oiul �No fmgeai) Title: Notary Public Commission Number •, No 1 PUb;ie State of nodda Tt- �My Commission EXOMS 3/1012020 Commission No. FF 97MI 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: Window/door PROPOSED IMPROVEMENT LOCATION: Address: ' 01 _� -T-� pi`crc c e`-c. 3kC, r- - Legal Description: 32 36 41 FROM NW COR OF LOT 13 BLK 1 HARRIS SID RUN SELY ALG ELY RNY FEC RR 204.7 FT TO S LI OF MAIN ST TH E 355.34 FT FOR POB, TH CONT E 70 FT, TH S 176.22 FT, TH W 70 FT, TH N 176.22 FT TOPOB (OR 1184-365; 2211-2644) Property Tax ID M. 3532-412-0003-000-9 Lot No. 13 Site Plan Name: 109 Main St Fort Pierce, FL 34982 Block No. Project Name: Stephanie J Green Setbacks Front Back: Right Side: DETAILED DESCRIPTION OF WORK: Replace 9 Windows W/Impact. Size for size. Left Side: CONSTRUCTION INFORMATION: Additional work to orme under this perm -check a apply: �HVAC 0 Gas Tank Gas Piping _ Shutters Q Windows/Doors 1 Electric El Plumbing O Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 10,158 Utilities: Sewer 0Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameStephanie J Green Name: BURNETT WAYNE Address:109 Main St Company: FHIA, LLC City: Fort Pierce State: FL Address: 3044 SW 42 ST Zip Code: 34982 Fax: City: HOLLYWOOD State: FI Phone No. -4 1Z -341 -- 6'z-`QA Zip Code: 33312 Fax: 407-4728380 E-Mail: Phone No. 954-7924415 Fill in fee simple Title Holder on next page (if different E-Mail: orlandopermits@fhaproducts.com from the Owner listed above) State or County License: FI If value of construction is $2500 or more, a RECORDED Notice of Commencement Is requires. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: ! Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: 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 Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain fina n consult with lender or an attorney before commencin work or recordin our Notice of Comm 1 5ignat re of Owner/ see/Contractor as Agent for Owner n ontractor/License Holder STATE OF FLORI A STATE OF FLORIDA COUNTY OF COUNTY OF ^V L-U-c- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this Ik day of 20_b by this 16 day of M.-, , 2011 by C-%_ t4 Name of person making statement Personal) nown �—OR Produced Identification flame of person making statement Personally Known OR Produced Identification Type of ntification Produ d ��" �yG � . Type of Identification Produc �'�_`j` d f?y� Q !L\� p�� C" d� �� J, 1\ Q `+ I natur Notary Public- State of Flo a�Q, tut Notary Public- State o a 7C5 {� Commission No. Commission No. �,�PVQUC �C' A REVIEWS S O FIR S ZONING SUPERVISOR PLANS S VEGETATIO&ra R .S9ATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Pr6perty Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 109 MAIN ST Sec/Town/Range: 32/36S/41 E Map ID: 35/32S Zoning: RS-2 Ownership Stephanie J Green 109 Main St Fort Pierce, FL 34982 Legal Description 32 36 41 FROM NW COR OF LOT 13 BLK 1 HARRIS S/D RUN SELY ALG ELY R/W FEC RR 204.7 FT TO S LI OF MAIN ST TH E 355.34 FT FOR POB, TH CONT E 70 FT, TH S I76,22 FT, TH W 70 FT, TH N 176.22 FT TOPOB (OR t 184-365; 2211-2644) Current Values Just/Market Value: Assessed Value: Exemptions: Taxable Value: in - 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. $147,800 $96,230 $50,000 $46,230 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Parcel ID: 3 532-412-0003 -000-9 Account #: 116341 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,776 Gross Sketched Area (SF): 2,556 Land Size (acres): 0.28 Land Size (SF): 12,250 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. https://www.pasle.org/RECard/ 5/6/2019 Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Building Information (I of �) Building Type: Year Built: No. Units: Roof Cover: Primary Wall: View: Bedrooms: Primary Int Wall: Primary Floors: Heat Type: Heated %: Electric: Finished Area: 960 SF Gross Sketched Area:1,740 SF Exterior Data HC Grade: 1979 Effective Year: 1 Story Height: Dim Shingle Roof Structure: CB Stucco Secondary Wall: Frame: 3 Drywall Carpet FrcdHotAir 100% MAXIMUM Interior Data Full Baths: Half Baths: Avg Hgt/Floor: Heat Fuel: A/C %: Interior Sprinkler %: Sketch Area Legend M C 1984 1 Story Gable 1 0 0 ELEC 100% 0% Sub Area Description Area Fin. Area Perimeter APSA Aluminium Porch (Screen) Average 192 0 56 BAS BASE AREA 960 960 128 OPAA Open Porch Attached Average 60 0 46 PATA Patio Average (Plain Slab) 240 0 68 URAH Utility Room Attached High 288 0 72 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. C Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. https://www.paslc.org/RECard/ 5/6/2019 f. Florida Building Code Online Page 1 of 2 L - 1;11 �.,�•71�'�l!R1 �.'}: :? T�t<cii�,'€'�f��lirl� +��t���l��t4'�[tj�l =S Fume I ►g in I User aeon pot Topics I Submt Surcharge I stat5 a Faun (Joor `�a Product Approval ,-if a_ USER Public User pSQ{�uct Amrosal Heau .i.Produer or AoalfcaFtan Seercb > Aaoiicetien List a ilppOciaUan Delail FL # 15177-112 Application Type Revision Code Version 2017 Application Status Approved Comments Archived Q 01ii-N, Ir Pnbucaauaos f Fae Stair I acis site Hap I untcas I search Pmdstct Manufacturer Custom .Window Systems Inc. Address/Pllone/Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 3W6922 Ext 245 kpme0rws.cc Authorized Signature Kevin Pine kpme0cws cc Technical Representative lay Lathrop Address/Phone/Emall 1900 SW 44th Ave Ocala, FL 34474 (352) 368-6922 :EXt 291 ?lathrop0cws cc Quality Assurance Representative Arturo Monteverde Address/Phone/Emall 1900 SW 44th Ave Ocala; FL 34474 (352). 360r692Z Exit 221 amonteverde0cws. cc: Category Windows Subcategory Sirtgte Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Ucensed Florida Professional Engineer © Evaluation Report - Hardcopy Received Florida "Engineer or Architect Name who developed the Evaluation Report Florida Ucense Quality assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Lucas A. Turner PE-58201 Keystone Certifications, Inc. 07/21/2020 Steven M. Urich, PE ® Validation Checklist - Hardcopy Received Fi 16177 R2 COI EvalRebort812C.pdi Standard Year AAMAMMA/CSA/101/I S2/A440-08 2008 ASTM E1886-05 2005 ASTM E1996-09 2009 PA TAS 201/202/203 1994 http://www.floridabuilding.org/pr/pr�--app_ijtl.aspx9 pamm—37� wGEVQwtDgvyf4ngA10... 12/14J2017 Florida Building Code Online Page 2 of 2 Sections from the Code Product Approval Method Method I Option o Date Submitted 0.9/28/2017 Date Validated 09/23/2011 Date Pending FOC Approval 10/W/2017 Date Approved. 121f2/2017 Summary of Products I FL ;P Model, Number or Name Description 16177.1. SH-8100 PVC Single Hung SH-8100 PVC Single Hung Impact Resistant window. Lbn of Use Installation Instructions Approved for use in HVHZr Yes FL16177 R2 II CWS-812 — ndf Approved for use outside HVHZ: Yes Verified By: Luca$ A Turner 58201 Impact Resistant, Yes Created by Independent Third Party: Yes Oesign Pressure: +70/-70 Lvaluation Reports others SH-8100 PVC Impact, no sill anchors required. FUW7 R2 AE-EyalReo0AN= ndf Safety glazing required on outer lite above 30 ft. In HVHZ. Created try Independent Third Party Yes glass oomphes to ASTM E1300-04 Phone: 85b-4e7-te24 The State or Florida Is an AA WO employer..convpplt 211,07-200 State nV FhMda_ Pirbacy2aliguilto Accembrbty StatemenRefund Statement Under Ronda taw, emalladdresses are public records, if you do not want your e-mall address released in response to a publk-returdS request, do not send electronic Oran to this entity Instead, contact the office by phone or by traditional man. Ir you have any questfu s. please contact 650-467.1395. -Pursuant to section455,275(1), Florida Statures, eRectIve October 1, 2012, Icanserif licensed under Chapter 455, F.S. must provide the Department with an mug address If they have one The ernails provided may be used for nincial commurneatran with the boensne. However email addresses are public record if you do not wish to supply a personeiaddres5, piqase 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$., please dick Jim Product Approval Accents; E f M Credit Card Safe http:lAvww.floridabuilding.org/prlpr_app_dtl.aspx?param=wGEVXQwtDgvyf4ngAXhl0... 12/14/2017 TURNER ENGINEERING .. CONSULTING, Mr- 1239 Jabara Ave. North Port, FL 34288 Ph. 941-380-1574 FBPE C.O.A. #29779 Evaluation Report 912C August 29, 2017 Product Description: Series 8100 PVC Single Hung, Large Missile Impact; 517/8" x 61 3144" unit size, +/ 70 PSF, no anchors in sill Manufacturer: Custom Window Systems, Inc. 1900 SW 446 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 6" 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-210-3815-1 A, -2, and -2A, by National Certified Testing Laboratories, Orlando, FL, signed and sealed by Gerard L Ferrara, with testing performed: TAS 201/202/203- 94, ASTM E 1886-02/04/05, 1996-02/04/06/09, and AAMA/WDMA/CSA 10l/I.8,21A440-08 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 OIX 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 118 Annealed or Tempered outboard lite (Tempered required above 30 fi 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 Miami Dade N.O.A. 17-0206.10t t I have evaluated the materials in these NOAs and find that they comply with the requirements of the 6& 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. Lucas Turner 2017-08-30 16:11 +20:00 '"iem+ `v : No 5a2,01 P `w STATE OFfill z� 8/29/2017 Lucas A. Turner, P.E. FL PE #58201 � `U3.L16lH02Jd St aNt'SW3ISAS �� „ Z MOUN M WOIMO d0 NOLSS1Wi SO `.p` .• N31iR�M3min0HMM31OHM tl 8!LIVMO I cI NI NOIiOrMONd'U . 4� Q AW IJNfSW318AS MOUNIM WQLSM 10 A.LV3dMd yU e• (j ` Enos 3H1 sf ONfM a MHt j CO +�_ Nf p3NFYLNOO NOUVMC M 3M w 93 Eip 2mz 9389 Men zM W C3< D _ 9 n woaa octi" � 5z � o� d u°IRawx Ssm om� r°�a rc �� F Dg xe'� m g ga . f°m ¢ o u 3` W9ga�F tL F o o F: a aW 21, �d Z OE� c 0 v a N PJ R id m A . ; W W y:3 vY IL f t't Z Q a � Q Z �umitrtri m a e73J18iHDLId fil ON! 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's1 oC.22 o13MAMISMA0123d0�d mo;u v 2= .yjf IL F � 310S SKL M ONIMVaO SIHI t m t • r�~� z F- �e N1.C(3NNA00N0LLVWUCA13Hlz 0) 0 •' "I so1r1Y1� `, Z M n ow. a d a �NEU � 7 gTT _-jz m gib 1- ag f a mm Gm 0..E zoo -A R� 0 .0� a� W� �o 0 ® Ell F MfmILW 6 a �gm s N LU a-�'` g a' x } W 's Smz6 SFuadkW mw m X IL �m Z O1.. 2 G E> 1 0 YZ = 25 a j � g � w ME � 1{�u1Q �5z 4� mm 6�z mIL 9mm .mLL oW.m? W m s x hrr±� ti n �a � � Z �Sma'�+"u m�, 4 � pF�g��am y �o 3 :nm�� woe oit'ae��o mm0� o� a I�t 11� � r � � 0 m p} fl�i Florida Building Code Online Page 1 of 2 ec1S WM f Log in I user UgIsWW. plot roi* s J sgbmd swdiarrog I its & Facts ¢`L�`' Product Approval i; 7' �r='1.� �5;4 . — , usrR. Pudic User Emil, g Aaorovai Menu a Product or.Ap21jw= Smochs Aoolkadun lest > ca Go Dell :. _-•.: ✓- =_: FL # FL95Z0 R7 L Paz_ �- -- Appflratlon Type Revision Code Version 2017 Application Status Approved Publications I FSC Staff �, BCI5 5ite Ma6 I Links [ 500 Comments Archived 0 Product Manufacturer Custom Window Systems Inc. AddreWPhone/Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext245 kpine@cws. W Authorized Signature Kevin Pine kpine0cm.cc Technical Representative Jay Lathrop Address/Phone/Email 1900 SW 44th Ave Ocala, FL 34474 (352) 368-6972 Ext291 3lathrop@cws.cc Quality. Assurance Representative Arturo Monteverde Address/Phone/Email 1900 SW 44th Ave Ocala, FL 34474 (352) 368-5972 East 221 amonteverde@cws cc Category Windows Subcategory Mullions Compliance. Method Evaluation Report from a Ronda Registered Architect or a Licensed Honda Professional Engineer :0 Evaluation Report - Hardcapy Received Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Lucas A. Turner PE-58201 Keystone Certifications, Inc 07/21/2020 Steven M Unch, PE ® Validation Checklist - Hardcopy Received FL9520 R7 COI EvalRev0rt8366.vdf Standard Year AAMA 450-10 2010 ASTM E1886-05 2005 ASTM E1996-09 2009 PA TAS 2011202/203 1994 Florida Licensed Professional Engineer or Architect FL9520 R7 uiv FL9520 valen F hup://www.floridabuilding.orgtpr/pr app—dtI.aspx?param=vGEVXQwtDgvIHvmuJRWc... 12/14/2017 Florida Building Code Online Page 2of2 Sections from the Code Product Approval Method Method i Option D Date Submitted 09/2912017 Date Validated 10/02/2017 Date Pending FBC Approval 101OW2017 Date Approved 12112/2017 :Summary of Products L 7N Model, Number or Name Description 9520-i 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 II C+NS-836B.odf Approved for use outside HVHZ. Yes Verified By, Lucas A. Turner 58201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressures: N/A. Evaluation Reports Other: Large Missile impact, See Insiallatlon. Instructions FL2520 R7 AE EvalRenorl:83¢H.adf and Evaluation Report for complete list of Limitations and Created by Independent Third Party: Yes Conditions of Use 9520.2 4" Alum, Tube Mullion. 44 Alum. Tube Mullion, Horizontal & Vertical, Fin & Flange applications. (IMPACT) Limits of Use Installation Instructions Approved for use In HVHZ. Yes FL9520 R7 II Cy05.837B.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 Installatlon Instructions FL9520 R7 AE. EvalReaort& 7B.adf and 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 Insltallation Instructions Approved for use in HVHZ: Yes FL2520 R7 II CWS-838B.Ddf Approved for use outside HVHZ: Yes Verified By-. Lucas..A. Turner 58201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: WA Evaluation Reports Other: Large Missile Impact; See Ifistallatlon Instructions FL9520 R7 AE EvalRecmrr838B Ddf and Evaluation Report for complete list of limitations and Created by Independent Third Party: Yes Conditions of Use. each Next Contact u �i 2661 Blair Stone Road. Tailpluissee FL 32399 Phone BM-4117�118 The State of Florida is art ANEW employer Comnoht 2007-2013 State of I'londa.. c- enva[v5tatemenRefund Statement Under flodda law, email addresses am public records IF you do not want your e-mall address mleesed In response t4 a public -records request, do. not send elecbpnic mad to this entity Iiiataad, mnmctthe office by phone or by tmdhornal mail if you have any questions, plmse contact 850 497 1395 -Pursuant to .section 45S"'I", Fdoilda Statutes, enecuve October 1. 2D12, licensees beensed under CMpW 455, F 5 must provide the Department with an email address if they have one The emals provided may be used for official communication with the gggrexe. However email addresses are public record If you do not wish to supply a personal address, please provide theDepartment with an small address whidi can be made available to then public To determine of you are a hcensce under Chapter 455, FS., plase didt,hw- Product. Approval Accepts: t..WJ. ® ® RR W2 Credit Card. Safe http://www.floridabuilding.orglpr/pr_app_dtl.aspx?param--wC.'EVXQwtDgvlHvmuJRWc.. 12/1412017 UN . ENGINEERING c& CONSULTING, INC. Product Description PVC 3" Mullion H-1758 1239 Jabara Ave. North Port, FL 34288 Ph, 941-38,0-1574 FBPE C O A. #29779 Evaluation Report S36Br September 26, 2017 Manufacturer. Custom Window Systems, Inc. 1900 SW 44'h Ave, Ocala, FL 34474 fttement of Compliance: This report evaluates the above -listed product per the requirements of FAG Product Approval Rule Chapter 61 G20-3.005 (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-83613, signed and sealed by Lucas A. Turner, P.E. 3) Test Reports NCTL 210-3833-1, 4A, -2, -2A, -3, and -3A, from National Certified Testing Laboratories, Orlando, FL signed and sealed by Gerard J. Ferrara, P.E. a. Testing Performed: TAS 201/202/203-94, ASTME 1886-02/04/05, ASTM E 1996- 04/06/09, and AAMA 450-06 4) Supplemental Cabs. to support CWS-836B, signed and sealed by Lucas A. Turner, P.R. Installation: Units must be installed according to approval document CWS-83.61B. Limitations of Use: This product. • May be used up to the saes and design pressures as shown in CWS- 836B, using clips as shown in CWS-836B + 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 cKtrusions. 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. €W ' ♦ia: Lucas - =! �Va 58201 Turner 2017-09-28 STATE OF 07:30+20:00fill 1110 Y� 9/26/2017 Lucas A. Turner, P.E. FL PE 458201 t731181HONd EN DN1'SNl31SAS lQj* 1�1 �'•i . � z P �, .n.r..wy �y 'f iw 1L n [ MOONIMYYOJ.Sf1O d0 NOISS1WH3d +` Q : ' ti p'Li r- y m 0 d' �. 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