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Building Permit application
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4572395 OR BOOK 4274 PAGE 81, Recorded 05/23/2019 02:35:21 PM Permit No. State of Florida County of St. Lurie NOTICE OF COMMENCEMENT Tax Fouo No. - The undersigned herebygives notke that improvement will be madeto certain real property, and in accordance with Chapter 713, Florida Statutes, the following infarma*m is provided in this Notice of Commencement. L4gal Oascrf of (and street address if available): ^ r.n 1 General description of limprknrement Owner info mWon or lessee IrMorrfm onffdwle a wAracted for the imprwwnant: Name lam(°L a 1-e C co \-c Address -4�70 A,1'-L NJ,PnA, 0 i err e t-=t_ - 4 u -. Interest in property: Name and address of fee simple titleholder (if different from Owner listed above); contramr1sName: FHIA LLG Contractor Address: 3044 SW 47_St Fort Landerdale, FL 33119 Phone Number: 954-792-4415 Surety (If applicable, a copy of the payment bond is attached): Amount of bond: $ Name and address: Phone number: Lender Name: _ Lender's address: Number: Persons *min the state of Florida desiglnbed by Owner upon wham nollm or oOw documents may be served as provided by Section 71111 11(a)7q Florida statutes: Name: Phone Number: Address: In addition to himself or herself, Owner designates of to receive a copy of the Uenor's Notice as provided in section 713.13(11(b), Florida Statutes. Phone number of person or entity designated by owner: 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 COMMENCEMENTARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 723.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON T W JOB SITE BEFORE THE FIRST INSPECTION. 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'** read fo Ing commer l;e -t and that the facts stated therein are true to the best of kriqiledge and bell ( ignat er or Lessee, or Own s or L see's A o ' ffic /Oirectar/Partner/Manager 9—i MIGUEL A NtERCADQ C}wner •: MY COMMISSION # U1309574-5 (Signat 's Tide/Office) EXPIRES April ill, 2D21 The foregoing instmment was acknowledged before me this Z1. day of S 26 , By l "I 0-ki le C CG 1e as Name of Person/O A for Type of authority (e.g. officer, trustee) Party on behalf of whom Instrumentwas executed (SIFnature ota Ilc-StateofFlorida) (Print,Tyl5e, er mp Commissioned Name of Notary Public) Persoregy km --orproduced Idenlificatlon Type of Identification produced _ L 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 I PERMIT APPLICATION FOR: Window/door III I PROPOSED IMPROVEMENT LOCATION: Address: 3508 AVE N, FORT PIERCE FL 34947 Legal Description: SUNLAND GARDENS Property Tax ID #: 2405-601-0406-000-0 Lot No. Site Plan Name: MICHELE C COLE Block No. 22 Prefect Name: MICHELE C COLE Setbacks Front 2 Back: 1 Right Side: 3 Left Side: 3 DETAILED DESCRIPTION OF WORK: REPLACE 9 WINDOWS WITH IMPACT. SIZE FOR SIZE. CONSTRUCTION INFORMATION: Additional work to orme under this permit —check a apply: 11HVAC n Gas Tank Gas Piping _ Shutters Q Windows/Doors 11 Electric ElPlumbing Sprinklers ❑ Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 12,037.00 S Ft. of First Floor: _ Utilities:Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name MICHELE C COLE Name: WAYNE THOMAS BURNETT Address: 3508 AVE N Company: FHIA, LLC City: FORT PIERCE State: FL Address: 3044 SW 42ND STREET Zip Code: 34947 Fax: City: HOLLYWOOD State: FL Phone No. 772-971-5758 Zip Code: 33312 Fax: E-Mail: Phone No. 954-792-4415 Fill in fee simple Title Holder on next page I if different E-Mail: PERMITS@FHAPRODUCTS.COM from the Owner listed above) State or County License: CG0#061890 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 SW42ND ST Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ou Li it wui r, a„niAci aLiu" aa =a• 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 financing, consult with lender or an attorney before commencing work gpotording yg �yotice�of Commencement. ST. as Agornt for owner I Sig nllturko�?44et6r/License Holder OF FLORIDA �T" LVr.,(e rY OF the forgoing instrument was acknowledged before me this Lr day of J 20ty by Name of person aking statement Personally Known OR Produced Identification Type of Identificat io STATK Of FLORIDA 16( Q COUN OF S7 The forgoing instrument was acknowledgpi before me this I day of c3' 20_ by Name of perso king statement Personally Known OR Produced Identification _ Type of Identificati 74 Produced (Signature of N i1MRf*A # GG095745 (Signature P :SMta eC� # GG095745 EXPIRES�j ri 19.2021 "+,g EXPIRES gyl 2021 Commission No. hull) Commission No. 1 REVIEWS I FRONT ZONING l COUNTER REVIEW DATE RECEIVED COMPLETED Rev. 8/2/17 SUPERVISREVIEWOR REVIEW I I PLANSVREVI WEGETATION I S ATURTEV EWLE MR GRO VEWVE c.� . 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IRA Scanned by CmnScanner Site Address: 3508 Avenue N Map ID: 24/05N ownership Michele C Cole 3508 Ave N Fart Pierce, FL 34947 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Parcel ID:2405-601-0406-000-0 Account#: 18672 See/Town/Range: 05135S/40E Zoning: RS-4 Use Type: 0100 Jurisdiction: Saint Lucie County Legal Description SUNLAND GARDENS BLK 22 ELY 112 OF LOT 16, ALL OF LOTS 17,18 AND 19 (0.64 AC) (OR 3188.1204: 609-2755: 951-731) Current Values Historical Value Just/Market: $109.800 Assessed: $69,213 Year JustlMarket Assessed Exemptions: $44,713 Taxable: $24,500 2018 $109,800 $69213 2017 $102,800 S67,790 2016 $76.800 $58,365 ' Sale History Date BooVI'age Sale Code Deed Grantor 04-14-2010 3188/1204 0137 WD Riggins Sr EnousJ 08-25-2003 2135 / 0685 XX01 QC Riggins Shonta D 04-12-1995 0951/0731 XX01 WD Cole Michele C Primary Building Information Finished Area ofthis building: 1,565 SF Gross Sketched Area: 2.025 S F Exterior Data View: Roof Cover: Metal Roof Structure: Hip Building Type: HC} Year Built: 1990 Frame: Grade: C+ Effective Year: 1990 Primary Wall: CB Stucco Story Height: 1 Story No. Units: I Secondary Wall: Interior Data Bedrooms: 3 A/C %: 100% Electric: MAXIMUM Primary Int Wall: Full Baths: 2 Heated %: 100% Heat'rype: FTcdHotAir Avg HgtlFtoor: 0 Half Baths: 0 Sprinkled %: N/A% Heat Fuel: ELEC Primary Floors: Carpet Total Areas Finished/Under Air (SF): 1,565 Gross Sketched Area (SF ): 2,625 Land Size (acres): 0.64 Land Size (SF): 27,978 Total Building Count: 2 Special Features and Yard Items Type Qty Units Year Blt Driv-Concret I 720 1990 UTILITYAVG 1 198 2003 CHAINLINK 4' I 597 2012 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. BOARD OF PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COMMISSIONERS F L . R I • --j Building &Code Regulation CHECKLIST FOR RESIDENTIAL/COM IERCYAL BUILDING PERMIT Pro'ect Location: Date: Permit Number: Technician: Required 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 ^ NIA_ Recorded Warrany Deed, if applicable....................................................... Yes No NIA` Recorded Notice of Commencemement (prior to issuance or inspection) ............... Yes_ No _ NIA Utility Agreement or Payment Receipt (prior to issuance) ................................. Yes No NIA Vegetation Removal Application with copy of survey ..................................... Yes No NIA Plans. Calculations & Attachments ( 3 copies commercial, 2 copies residential) Complete set of plans with Engineer / Architect Raised Seal ........................... Yes No NIA Truss Plans reviewed and approved by Engineer / Architect ............................ Yes No NIA Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No N/A� Approved Site Plans........................................................................... Yes^ No NIA_ Sealed Survey with Dimensions, Finished floor ........................................... Yes No NIA Elevations and Setbacks.............................................................. Yes_ No NIA_ Plot plan with Setbacks............................................................... Yes_ No NIA, 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 "J" 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 _ N/A RV and Mobile Home Tie -Down Only (2 copies) Permit Worksheet (Tie -Down Diagram) ................................................... Yes No _ N/A_ Manufacture Set -Up and Installation Manual .............................................. Yes_ No N/A Manufacture Blocking Documents.......................................................... Yes, No ____ N/A Signed Penetrometer Test (I copy)......................................................... Yes_ No _ NIA_ StairDetails.................................................................................... Yes_ No _ N/A_ Mobile Horne Inspection Report for Relocation (used only) ........................... Yes No N/A Copy of Title for Relocation (used only) ................................................... Yes No N/A Private Property not in a mobile home park Class "A" Approval from Planning or file # ................................................ Yes No NIA COMMENTS Revised 7/27/18 I FHA - DIAGRAM SHEET NO CHANGE IN FENESTRATION MEMURE DATE NWASk"W46 TECH PROPOSED SIZE FOR SIZE TM vTjill's-h 9 CUMMOVS NAME FHA LEMNUMUR TYPE OF PROMM ROOF MMHt FLOOR NUMBER TOTAL # OF FLOORS o f �l Y55 �.r 1W j fn x _F 1 '�]ya ; 1 , I T i 1 •I .t I I �f I I CO -n �49 �3 CN ONIX 5, ct) o- m r -z 1/4/2018 Florida Building Code Online Business & Professional Regulation acIs Ham. I Lag In I User Registration Hot Topics I Submit Surcharge Stats ff Facts I r1j-'rarns =ir, Sr>fi aCIS Site Map Linf ari' Florida DprProduct Approval r^ USER: Public user Product Aaoraval Menu > Product or Aoolication Search > Aooficatian List a Application Detail FL # FL16736-R2 Application Type Revision Code Version 2017 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Emall Authorized Signature Technical Representative Address/Phone/Email Custom Window Systems Inc. 1900 SW 44th Avenue Ocala, FL 34474 (352)368-6922 Ext245 kpine@cws.cc Kevin Pine kpine@cws.cc ]ay Lathrop 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 Ext 221 amonteverde@cws-cc Category Windows Subcategory Horizontal Slider 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 R Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Standard Year 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:llwww.floddabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDquBobl%2flZm6TgPohLz6ontod5HABPugYUIX1aFJrTCXA%3d%3d 1/2 1/4/2018 Florida Building Code Online Sections from the Code C Product Approval Method Method 1 Option D Date Submitted 09/28/2017 Date Validated 09/29/2017 Date Pending FBC Approval 10/03/2017 Date Approved 12/12/2017 Summary of Products FL # Model, Number or Name Description 16736.1 HS-8200 PVC Horizontal Slider HS-8200 PVC Horizontal Slider, IMPACT, 74" x 63", XO or OX. Limits of Use Installation Instructions Approved for use In HVHZ: Yes FL16736 R2 1I CWS-871C.pdf Approved for use outside HVHZ: Yes Verified By: Lucas A. Turner 58201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: +60/-60 Evaluation Reports Other: Large Missile, 74" x 63", DP +/- 60 psf. Outer lite in FL16736 R2 AE EvalR .00rt871C,pdf I.G. must be safety glazed when used above 30 ft. in HVHZ. Created by Independent Thlyd Party: Yes Glass complies to ASTM E1300-04. 16736.2 H5-8200 PVC Horizontal Slider HS-8200 PVC Horizontal Slider, IMPACT, 111" x 63", XOX. Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL1673r. R2 Tr CWS-869C.pdf Approved for use outside HVHZ: Yes Verified By: Lucas A. Turner 58201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: +60/-60 Evaluation Reports Other: Large Missile, 111" x 63", DP +/- 60 psf. Outer lite in FL16736 R2 AE EvalReDort869C.Ddf I.G. must be safety glazed when used above 30 ft. in HVHZ. Created by Independent Third Party: Yes Glass Complies to ASTM E1300-04. contact Lin :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: R50.487-1824 The State of Florida is an AA/EEO employer. Copyright 2002-2013 State of Florida.:: Privacy statement :: eMessihility 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 mall 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(i), 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 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 here_ Product Approval Accepts: rr Credit Card Safe https:IANwwfloridabuilding.org/prlpr app dtl.aspx?param--wGEVXQwtDqu8obl%2flZm6TgPohLz6ontOd5HABPugYUIX1aFJrTCXAIA3d%3d 212 URNER ENGINEERING & CONSULTING, INC. 1239 Jabara Ave. North Port, FL 34288 Ph. 941-3 80-1574 FBPE C.O.A. #29779 Evaluation Report 871C August 29, 2017 Product Description: Series 8200 PVC Horizontal Slider Window, Large Missile Impact (HVHZ), XO or OX 74"x63" unit size with design pressures of +/-60 psf (Fin or Flange window) 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 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-871C, signed and sealed by Lucas A. Turner, P.E. 3) Test Reports NCTL-210-3887-1, 4A, -2, and -2A, by National Certified Testing Laboratories, Orlando, FL, signed and sealed by Gerard J. Ferrara, with testing performed: TAS 201, 202, 203 `94, ASTM E 1886 `02/04/05, ASTM E 1996 `04/06/09, and AAMAIWDMA/CSA 101/I.S.2/A440 `08 4) Supplemental Calculations to support CWS-871C, signed and sealed by Lucas A. Turner, P.E. Installation: Units must be installed according to approval document CWS-871C. Limitations of Use: This product: • Maybe used up to the sizes and daylight openings indicated in CWS-871C • Achieves design pressures of +/-60 psf * Is Large Missile impact resistant and does not require the use of shutters • May be used in the High Velocity Hurricane Zone • Requires Kuraray (Dupont) PVB Interlayer per Miami -Dade N.O.A. 16-1117.02t * Requires Quanex (Milaon) white rigid PVC framing per Miami -Dade N.O.A. 17-0206.1 Ot 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. Lucas Turner 2017-08-30 16:09+20:00 %0 A *� � r t No 58201 STATE; OF ���•Oc`'� O t41''4 8/29/2017 's •*•;....••••' •` Lucas A. Turner, P.E. �`*6011,,wi ties `��� FL PE #58201 z � mlo R w -I1 �OCpm raA�+z'�n 92029 mc?�wM m gmoom O wZ: in o z. I of zy m 67� m w: Mo z a ra z y: bT �wIV:.. 0 c x Z w � a w N m NO NKW ya s E90 N- 4 r 10 m V CO N A 41 N O ID-�T-I! mwDz_m6 mo Xom�v �zDC0OcMnZr��ToSo.. 0R 0. y0mmm n2 �5 =m0o . z m m ME. �AO 20-2A �3pOgo m wzG?Gz W az2C!) 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SYSTEMS, INC. ANY a fp y a c m N 'O O o �'� REPRODUCTION IN PART OR AS A r5i A y o G N r y o m .= m R �= ., WHOLE WITHOUT THE WRITTEN a'aa�ll O C1 o m A j `�.�0�'•.,• ' aC,� PERMISSION OF CUSTOM WINDOW RI A cn -f w y �" in �i�ry fi •d�y��+t SYSTEMS, INC IS PROHIBITED. 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D� y mrn m m F �p Nm m ED m � 9 Man apt TwM 0 DD m z C aq►►►a�w"gyo,�,� PROPRIETARY AND CONFIDENTIAL $ zg c ���d;,.•....�i!.��y THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE G 3 13 n w p $ PROPERTY OF CUSTOM WINDOW O x 1 p Z Z r Oa^ c T s�;9 m* m $:m_ :r O m wr F; SYSTEMS, INC. ANY REPRODUCTION IN PART OR AS A D W r C aD 3 0 w O m o- O 1 r y o m ti .m'• m '�;: 'y�y1� WHOLE WITHOUT WRITTEN o w A n o a $' m ,. ��� PERMISSION OF CUSTOM WINDOW INC IS PROHIBITED. m w &e in g11 SYSTEMS, ;, MBtt 4a tarr.r{ y Business & Professional R lula#ioru BCIS Home I Log In I User Registration Hat Toplcs y Submit Surcharge I Stets a Facts rsr aLYT BCIS Site Map F�Oriu�i3 Jr/►Product Approval d .. 1 USER: Pu61k User Product Anoroval Menu > Searth > Application List > Application Detail FL # FL6890-R6 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 kpine@cws.cc Technical Representative Jay Lathrop Address/Phone/Emall 1900 SW 44th Ave Ocala, FL 34474 (352)368-6922 Ext291 liathrop@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 Casement 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 7 Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Standard Year AAMA(WDMA/CSA 101/I.S.2/A440-05 2005 ASTM E1886-05 2005 ASTM E1996-05 2005 PA/TAS 201/202/203 1994 Equivalence of Product Standards Certified By https;Rwww.floridabuilding.org/prlpr app_dti.aspx?param=wGEVXQwtDqu4Bg7NtwGgnY8C[MsOVDVxRfBg2vaMoE%3d 112 1 /412018 Sections from the Code Florida Building Code Online Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Products Method 1 Option D 09/26/2017 09/29/2017 10/08/2017 12/12/2017 FL # Model, Number or Name Description 6890.1 8400 Vinyl Casement 8400 Vinyl Fig/Fin Casement. Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL6890 lab II CWS-161D_ndf Approved for use outside HVHZ: Yes Verified By: Lucas A. Turner 5B201 Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: +67.5/-67.5 Evaluation Reports Other: 8400 Vinyl Casement, Large Missile, DP = +/- 67.5 FL6390 R6 AE EvalReport161D.odf psf, Max. size 37" x 72". Outer lite in I.G. to be fully tempered Created by Independent Third Party: Yes when used 30 ft. above grade in HVHZ. Glass complies with ASTM E1300-04. �9aofc Pta::t Contact Us :: 2601 Blair Stone Road. Tallahassee Fl- 32399 Phone: 850-487-IR24 The State of Florida is an AA(EEO employer. Copyright 20a7-2013 State of Florida_ :: P=iyaC Statement :: Accessibility Statement :: Refund jdtemept Under Florida law, email addresses are public records. If you do not want your e-mall address released in response to a pubic -records request, do not send electronic mall to this entity. Instead, contact the office by phone or by traditional mall. 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 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 public. To determine If you are a licensee under Chapter 455, F.S., Please tick hzi:L. Product Approval Accepts: ®® eChx^ Credit Card Safe hops:llwww.floddabuilding.org/prlpr app_df.aspx?param=wGEVXQMDqu4Bg7NfwGgnY8C[MsOVDVxRttBg2vaMoE%3d 212 URNER ENGINEERING & CONSULTING, INC. 1239 Jabara Ave. North Port, FL 34288 Ph. 941-380-1574 FBPE C.O.A. #29779 Evaluation Report 161D August 28, 2017 Product Description: Series 8400 PVC Casement Window, Large Missile Impact, DP67.5, 37" x 72" unit size with HS laminated glass, or 37" x 63" unit size with annealed laminated glass Manufacturer: Custom Window Systems, Inc. 1900 SW 44g 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 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-161D, signed and sealed by Lucas A. Turner, P.E. 3) Test Reports NCTL-210-3673-1, 4A, -2, -2A, and NCTL-210-3674-1, 4A, -2, -2A, from National Certified Testing Laboratories, Orlando, FL signed and sealed by Gerard J. Ferrara, P.E. a. Testing Performed: TAS 201/202/203 1994, AAMAIWDMA/CSA 101/I.S.2/A440- 2005, and ASTM E 1886/1996 2002/2005 4) Supplemental Calculations to support CWS-161D, signed and sealed by Lucas A. Turner, P.E. Installation: Units must be installed according to approval document CWS-161D. Limitations of Use: This product: • May be used in X config. in unit sizes up to 36" x 72" with 1/8" (HS or Temp.) outboard, -air- 1/8HS-090PVB-1/8HS laminated inboard glass, or in unit sizes up to 36" x 63" with 1/8" (Ann. or Temp.) outboard, -air- 1/8Ann-090PVB-1/8Ann laminated inboard glass • Requires outer lite in I.G. to be fully tempered when used in HVHZ above 30 ft of grade • Requires max. glass daylight sizes as shown in CWS-161D • Achieves design pressures of +/-67.5 psf • Is large missile impact resistant and does not require the use of shutters • May be used in the High Velocity Hurricane Zone • Requires Kuraray (Dupont) PVB Interlayer per Miami -Dade N.O.A. #16-1117.02t • Requires Quanex (Milcron) white rigid PVC framing per Miami -Dade NOA # 17-0206.1 Ot 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, not will I acquire, a financial interest in any other entity involved in the testing or approval process of this product. Lucas Turner Z 8/28/2017 2017-08-30 -o s it = Lucas STATE OF A. Turner P.E. 16:01 +20:QO r��r��C+•h•4 0 R t 0.1 ��*. FL PE #58201 iBO �Ocoz sAS2ZU a�rznm�z ZmN m 9 a 3: n O m p roo°' ` c m z z: oaE E c D m rmn': o Z N co [n Aio i\1� m c� 0 � G1 m m O oO m o z A �11 o �o�77m f0 om Oo �1 W -O N 3�1 �mm�Ty�oN A W =? 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ANY REPRODUCTION IN PART OR AS A y R1 p D 3 m a i _ < o m �r O 1 a m �i �, y o m I n �+:„; WHOLE WITHOUT THE WRITTEN iamb A O m m O y y a' m 'JJJG►�'•.,. �`,`` JJ,,N� ;.� PERMISSION OF CUSTOM WINDOW W ti a m Rt+ i' day I SYSTEMS, INC IS PROHIBITED. X N W X t V CA � v N N U m m Gj B `IW m x �II v m Q $ m Z r �ri PROPRIETARY AND CONFIDENTIAL p m _ T .•`g'?.•'•• •' _�iP',j. THE INFORMATION CONTAINED IN rn A `D .•ilk m n ! �y THIS DRAWING IS THE SOLE 3 y r $ p m = O.p d. p• PROPERTY OF CUSTOM WINDOW m p o x z i w C }� ' z• y m* in m' SYSTEMS, INC. ANY a ic m $ s v m m oT� 0 1`� � 0 z:m- REPRODUCTION IN PART OR AS m 3 N = •• D r y c rZ ;y r '� : y ? WHOLE WITHOUT THE WRITTEN Z N 0 m o N A N �+ •.�O�N., �� PERMISSION OF CUSTOM WINDOW p w r in �i���F�rji11 `g3�� SYSTEMS, INC IS PROHIBITED. .m N m oLn Om p CA � � V m 9 O Z 5 I 1 m �uu r Z m aad ca - Z o m z o m m m m N cO' st�sssd ►rC ' PROPRIETARY AND CONFIDENTIAL c Z n m 2 m '`��.•'... 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ANY REPRODUCTION IN PART OR AS A D 3 � m g a WHOLE WITHOUT THE WRITTEN n r PERMISSION OF CUSTOM WINDOW A SYSTEMS, INC IS PROHIBITED. m W c'o WD w0 Op w� �Z vm Z �� m0 A 3W Z rmn 3 cci m C y � N o� O W gX Q 7om y m wm m m rn Do 5� O ai w z rn p �o '.m z w .z � 0 rn � W �m w� �vo 0m D �m nn 0� m� i m Qo m A oT �m a Po zz mO Zm ORm Z " v, N m i rxn Am �$ w0 N O m zz � y s o m 0 � o T SO m o m T Z M 0 m z v v 0 m w w O m C m co a ao a mym,Z �r00 m zzm wwo oom ooi rOd 0c ID C � A �^m Cz xwx mL1D z =om rn-qm m mr mr"z v0 WC� nir mZn m[] w m zm70a � 00 Z gin 0Io mA Q C mmow �m wz co m m zm 10 m m Iz O� Qw C m m mp w� �0 y z S O z;u w 0 N m c m Ir C m 0 z 0 ra C ID p mz m n y m 0 z z w m= al� 91 z 0 m 0 2 O A Z c (!1 z D 0 z z oz m 0 _ z w x z 0 W m v z w c m N Fin z m m zn Z x m x z R c z 0� n =�mr� :FODmm� D.c 0 aitrrn+z �. v m m 4 N o= z� �y mp G?, m� =n =x z z� wS O z �z n= A ma m0 °sco m 2 w G7 m2 m� zw O� O mp v m x 3 Lo C, 0 m m K n c2p z 70 co C O� / x x I �G I m N m x ;i Z z o z z al w w m ps IF X z P jx\ z 0 _ m I 1 U THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTY OF CUSTOM WINDOW SYSTEMS. INC. ANY REPRODUCTION IN PART OR AS A WHOLE WITHOUT THE WRITTEN DERMISSION OF CUSTOM WINDOW SYSTEMS. INC IS PROHIBITED. 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ANY n 3 y a o f z p y,: g` REPRODUCTION IN PART ORASA ifl ` 3 z v �y.T n '►?: y� WHOLE WITHOUT THE WRITTEN (� O m O y d N m .�O�N., 1;,� PERMISSION OF CUSTOM WINDOW p ao N y m ����►R" 41��`���� SYSTEMS, INC IS PROHIBITED. 1/4/2018 Florida Building Code Online Professional SCIS Home I Log In I User Registration I Hot Topics I Submit Surcharge I Stats & Facts BCIS Site Map Product Approval A USER: Public User Nr product AnoLqyal Menu a Product or Aantratian Search a Aeellratlon List > Application Detail FL # FL16177-112 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 Ext245 kpine@cws.cc Kevin Pine kpine@cws.cc Jay Lathrop 1900 SW 44th Ave Ocala, FL 34474 (352) 368-6922 Ext 291 jlathrop@cws.cc Quality Assurance Representative Arturo Monteverde Address/Phone/Email 1900 SW 44th Ave Ocala, FL 34474 (352)368-6922 Ext221 amonteverde0cws.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 d Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Standard YAU 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:IAvww.floridabuilding.orglprlpr app_dtl.aspx?param=wGEVXQwtDgvyf4ngAXh10y8QtjDbmBlPrafAGHlxlsgtjUObEAbzoQ%3d%3d 112 1/4/2018 Sections from the Code Florida Building Code Online 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 TFL # Model, Number or Name Description 16177.1 hka 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 II CWS-812C.odf 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: 5H-8100 PVC Impact, no sill anchors required. Safety FL16177 R2 AE EvalReport812C.Odf glazing required on outer like above 30 ft. in HVHZ. Glass Created by Independent Third Party: Yes complies to ASTM E1300-04. 3ax!t Fle^t2 Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phane: 850-487-1 The State of Florida Is an AWED employer. Conyrlaht 21107-2013 State of Florida.:: Privacy Statement :: AcceariM9^w Statement ;; Refund Statement Under Florida law, email addresses are public records. If you do not want your a -mall address released in response to a pubhc-reoards request, do not send electronic mall to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850.487.1395, *Pursuant to Section 455.275(1), FMda 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 emailg provided may be used for official communlmtion 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 licensee under Chapter 455, F.S., please click b=L. Product Approval Accepts: ® mChx. Credit Card Safe https:lAwm.floridabuilding.org/pr/prapp_dil.aspx?param=wGEVXQwtDgvyf4ngAXhlOy8QtjDbmBlPrafAGHlxlsggUObEAbzoQ%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 44'h 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'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.h., 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-210-3815-1A, -2, and -2A, by National Certified Testing Laboratories, Orlando, FL, signed and sealed by Gerard J. Ferrara, with testing performed: TAS 2011202/203- 94, ASTM E 1886-02/04/05, 1996-02/04/06/09, and AAMA/WDMA/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 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 1/8 Annealed or Tempered outboard lite (Tempered required above 30 ft in HVHZ) - Air - 5/16 Laminated (1/8Ann-.090PVB-1/8Ann) inboard lite • Requires Kuraray (Dupont) PVB Interlayer per Miami -Dade N.O.A. 16-1117.021 • Requires Quanex (Mikron) white rigid PVC framing per Miami -Dade N.O.A. 17-0206.101 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. � � a • �+ . Vey ��� •' Lucas -` = No 56201Za Turner 2017-08-30 'A ;' STATe OF 16:11+20:00 •. �.'` 'f fi •. t.•'.� 8129/2017 Lucas A. Turner, P.E. 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