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Building Permit Application
%2 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 dimpbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION' � Addressrro01 f ,JJr/�¢_s S X_r(- Legal Description: (ai1� _P_ei i 1 ' Property Tax ID #: — ZZ ~ Lot No. Site Plan Name:�.J-' /A Block No. Project Name: : N� Yr-' Setbacks Front_ Back: ��_ Right Side; �� Left Side: Z i DETAILED DESCRIPTION OF WORK: CONSTRUCTION INroRMATION: rorme under this permit—checKall A-aaitional wor to fi ❑Gas ❑HVAC apply: Shutters ❑ Windows/Doors Gas Tank Piping _ ❑Electric ❑ Plumbing ❑Sprinklers Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: 5 Ft. of First Floor: � ❑ Height: Cost of Construction: $ 2• S, (D Utilities Sewer Septic Building OWNER/LESSEE: CONTRACTOR: Name ',, nQZel N kyC'Cn 1 Address:jx( _Q 1 r._ "l&ea\t.-S- City:'FO.A' 0-00e Stater Zip Code: ] -t!Cu8 z- _ Fax: Phone No.!5kq 30(.," Z( � E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: WAYNE THOMAS BURNETT Company: FHIA,LLC Address: 3044 SW 42ND ST City: HOLLYWOOD Zip Code: 33312 State: FL Fax: 954-792-7977 Phone No. 954-792-4415 E-Mail: PERMIT_ S@FHAPRODUCTS.COM 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: Hoi_LYMOD 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: — OWN :R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao ine wum wig 01SLa aLJV1103111U1 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 structure. conflict leasle c consult with pyour Hlome Owners Association and review your deed ws or and a trithat t ons awhich may alprohibit such 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, co It with lender or an attorney before commeDcing work or recording our Notice of Commenc me of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA STALURIDA COUNTY OF 50' i Lic Lvc e— COUNTY OF The forgoing instrument was acknowledged before me this J day of A10 20 qby Name of person roaking statement Personally Known OR Produced Identification Type of Identification REVIEWS I FRONT I ZONING COUNTER REVIEW DATE RECEIVED i COMPLETED Rev. 8/2/17 BIRKIHS 071722 ne 9, 2021 Thef gainginstru thiVr day of er IN Personal !NY Type of 100%Wpon No. I: Holder acknowledge before me 0 J 20_ by ig, 2021 MIGUEL A MERCADO ff-COMMISUffili GG095745 EXPIRES April 19, 2021 SUPERVIS REVIEWOR I REVIEW I PLANS V EVI WON I SEREV EWLE MRE lV ERNyOjVE JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 4644309 OR BOOK 4348 PAGE 2626, Recorded 11/21/2019 08:04:25 AM 986298 Permit No. NOTICE OF COMMENCEMENT Tax Folio No.2433-221-0005-040-2 State of Florida County of St. Lucie The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Leeal DesrYon of Property: (and street address if available): JJOT 1 BLK 1 UNREC RAINTREE FnRRSj 3 601 W WILDERNESS DR General description of improvement: WINDOWS AND DOORS _ owner information or lessee information if the Lessee contracted for the Improvement: Name DAVID ATKTNS 3601 W WILDERNESS f}R FORT PIERCE EI`'�4q82_ Address Interest in property: Name and address of fee simple titleholder (if different from Owner listed above): Contractors Name: FHIA LLC Contractor Address: 3044 SW 42 St Fort Lauderdale, FL 33319 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, Phone Number: Lender's address: Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13{1) (a)7., Florida Statutes: Name: Address: Phone Number: In addition to himself or herself, Owner designates of Lienors Notice as 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 construction and final payment to the contractor, but will be 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE 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. of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of and beliefs — (Signature of Owner or Lessee, or Ownee5 or Lessee's Authorized Officer/Directar/Partner/Manager Owner (signatoWs Tiitle/office) / The foregoing instrument was acknowledged before me this n day of 1 +r O 1� , 20 1 By `n S a., (9 M C it for Name of Pe rs TvDa authority le.. officer, trustee) Party on behalf of whom instrument was executed apt a" LAUREN BI} Snaily k n!ror produced Identification (Si re of N ary u is - State of Florida) i� :r NQtaly Public - State of Florida (Print, Type, or Stamp Commissioned Name of COMITi8skm # Gdy6?�iiZFnti ion produced _ °F� My Comm. EXMMS June 9,.2021 Page 1 of 9 i Floridz Florae improvers nt Broward: 954-792-4415 Associates Miami Dade: 305-545-4469 License No. CGC 061890 / Q844818 Fax: 954-792-2170 3044 SW 42nd St. `pFa" 40mr; Web: www.fhaproducts.com Ft. Lauderdale, FL 33312 1so�*`�� Ismail: infofhaproducts.carn Home Improvement Contract Ds�jld Atkins / 98629 919-306-2146 Data. 10/28/2019 3601 W Wilderness DR dav-da0728@yahoo.com. Rep: Eddie Salmeron Fort Pierce FI 34982 This Contract is made and entered into this date of 10/28/2019 by and between Florida dome Improvement , Inc, a Delaware Corporation known as ("Contractor" or "FHIA"), and Owner(s) named above of the property located at the address listed above known as ("Owner"), The Contractor agrees to perform the work described below at the property listed above: 1) Remove existing units to be replaced (Norse: Removed Items likely to be damaged.) 2) Prepare opening as necessaryzo rocoivo replacement units. 3) Total number of windows being instailed 10 t) Total number of doors being installed 2 t` 6) Work NOT to be completed: �/ �► Frond door, door in master bath and door in garage 'G 6) If applicable, remove the following shutter panels, ands/or security bars. (specify) /i 7) Special Instructions: Homeowner has a lifetime warranty on vinyl, labor, accidental and hurricane glass breakage. 8) Cleanup job debris and provide necessary ;permits and insurance. !f applicable, in the event that Contractor is unable for whatever reason to obtain proper permits prior to commencement of any work, Contractor shall refund any previous payment and this transaction shall be automatically cancelled. )Additional Work: (No finish work other than normal installation is to be done unless noted below) Woodbuck frames, Stucea, drywall, caulking, permits, engineering, inspection. (no touch up paint) + David Atkins / 986298(Customer's Initials) Homeowner's Association NO Total Contract Price (including all discounts) -_ $25,900 Warranty: Contractor will provide provide warranty information to Owner within 30 days after completion and final payment. Schedule. Contractor Shall Commence the work 7 days after execution of this Contract (The "Commencement Date) and shall endeaver to complete all work hereunder within 120 days after the commencement date. Miscellaneous: This Contract and the accompanying worksheet contain the entire agreement between the parties. By signing this Contract, Owner agrees and acknowledges that it has received the accompanying worksheet. This Contract may not be changed orally but only by a Change Order or Other written amendment signed by both parties. The waiver by any party of a breach of any provisians of this Contract shall not operate or be construed as a waiver of any written amendment or waiver of any subsequent breach by any party. You the buyer, may cancel this Contract at any time prior to ^. idnfght on the third business dey after the, state ns thls Contra^t- i_eapTuDig'iial.com 1.5.3 jq Page 2 of 9 FHIA iietail Price $31,354 Wholesale Club miscount $3,135 FHA FacebooL Marketing $2,257 Dollar Discount $62 "T.-Otal Contrail -It Price i`inCludi a ail discounts, $25,900 Deposit 0.00 Balar ya Quo $25,900 Balzrice Fora of Peyment Finance Vinyl lmp2c?. Windows :.. Window Style 2 Lit-j Roller th+iidow Braid Custom Window Systems Glass Type Solar Max with Neat Technology Quantity 1 Location Dining Room Insulated Included Grid/Pai:tern 'Standard Grids intarier Color White f F A size 61 X 49 Exterior Color White Window Styr: Glass'ijfpe 2 Lite Roller SolarMax with Neat Technology Windol,y Sranc. Qua tltlty Custom Window Systems 1 Location :..wing Room Insulated Included Grid/Pattern` Standard Grids Interior Color White F A Size 68 X 62 Exterior Color White Window Style 2 Lite Roller Window Brand Custom Window Systems Glass Type Solar Max with Neat Technology Quantity 1 Location Bedroom 1 Insulated Included Ca Grid/Pattern Standard Grids Interior Color White 1 F A Size 688XX �622 Exterior Color White Window Style 2 Lite Roller Window Brand Glass Tyae Solar Max with meat Technology Quantity Location Bedroom 2 Insulated Grid/Pattern Siandard Grids Interior Coiar F A Size 52 X 49 E::taric: Colot, Window Style 2 Lite Roller Window Brand j Glass 'type Solar Max with Neat Technology Quantity Location Bedroom 2 Insulated Grid/Pattern Standard Grids Interior Color F A Size 52 X 37 Exterior Color Window Style 2 Lite Roller Window grand Glass Type Solar Max with Neat Technology Quantity Location Master Bedroom Insulated Grid/Pattern Standard Grids interior Color F A size 52 X 37 Exterior Color LaOP70 ighaf.cam 1.5.3 Custom Window Systems 1 Included White White Custom Window Systems 1 Included White White Custom Window Systems 1 Included White White Window Style 2 Lite Roller Window Brand Glass Type ,,Solar Ma'A- rocz., ,� Quantity Location Master Bathroom Insuated Grid/Pattern Standard Grids interior Cola, A Size 24 X 24 Exterior Color Window Style Single Hung Window Brand Glass Typo :Sol&r Max .Frith Neat Technology Ouat;.ity Location Family Room Insulated Grid/PaUern Standard Grids interior Color Size 25 X 49 Exterior Color Window Style Single Hung !r",lindo:v Brand Glass Type Solar Max with Neat Technology Quantity Location Family Room Insulated Grid/Pattern Standard Grids Interior Color Size 25 X 49 Exterior Color kolin tow Style 2 Lite roller Window Brand Glass Tyree Solar Mzx with Neat Tccimology Quan1ty Loeaticr: Garage insuiated Grid/Pattern Standard Grids interior Color F A_ Size 51 X 24 Exterior Color - Page 3 of 9 Custom Window Systems 1 Included White White Custom Window Systems 1 Included White White Custom Window Systemz 1 Included White White Custom Window Systems 1 Included WhKe White Vin i Irn Vic} Sliding Glass Doors Door Style Energy Storm Saver SGD 2 panel Door Brand Custom Window Systems Glass Type Solar Max with Neat Technology Quantity 1 Location Master Bedroom Insulated Included Size 60 X 80 F A Interior Color Exterior Color White Door Style Energy Storm Saner SGD 2 Lapel Dnnr Brand Custom Window Systems Glass Type Solar Max wii:h Neat Technology Quantity 1 Location Kitchen Insulated Included Size 60 X 80 A F Interior Color i Exterior Color White i Finance Details Amount Financed _ $25,900 Estimated Monthly Payment $278.17 Term Quoted 180 Months Interest Rate Discussed /[quoted 9.9% Finance Plan 9.9% 180 Months FINANCING APPROVAL AND TERMS ARE SUBJECT TO A CREDIT REVIEW BY THIRD PARTY LENDERS By selecting the finance option for the partial or ful! payment of the project, the Owner agrees to sign all finance ec,mpietion forms the final day of installation. The scheduling and completion of the final inspection will be scheduled for the next available day and ALL checklist Items, parts, replacement or damaged product reorders will be completed in a timely manner as part of our service policy. Leaj7odigi1ai.cam i.6.3 Page 4 of 9 a) Do not sign this Contract or any financing documents in blank. You are entitled to a copy of the contract at the time you sign. b) The financial documents provided by the lender to this home improvement contract may create a lien to your property. c) Be sure you understand all provisions of the Contract and financial documents before you sign. David Atkins / 986298 10/28/2019 Date This space intentionally left blank LeapToDigital.cam 1.5.3 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 3601 W WILDERNESS DR Sec/Town/Range. 33/3 5 S/40E Map ID: 24/33N Zoning: RS-3 - Con Ownership David L Atkins 3601 W Wilderness DR Fort Pierce, FL 34982 Legal Description 33 35 40 FROM PT 30 FT S AND 75 FTE OF NW COR OF SEC RUN S 89 DEG 34 MIN 46 SEC E // TO N SEC LI 124.40 FT TO PC OF CURVE CONC SWLY, R 25 FT, DELTA 92 DEG 02 MIN01 SEC, TH ELY AND SLY ALG ARC OF CURVE 40.16 FT, TH S 02 DEG 27 MIN IS SEC W H TO W SEC LI 119.10 FT, TH N 89 DEG 34 MIN 46 SEC W 150.30 FT, TH N 02 DEC) 27 MIN 15 SEC E 145 FT TO POB (KNOWN AS LOT I BLK I UNREC RAINTREE FOREST) (0.50AC) Current Values Just/Market Value: $130,500 Assessed Value: S102,152 Exemptions: $50,000 Taxable Value: $52,152 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. 'Faxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Parcel ID: 2433-221-0005-040-2 Account #: 33043 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,664 Gross Sketched Area (SF): 3,832 Land Size (acres): 0.5 Land Size (SF): 21,780 All information i� 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. -02 BOARD OF PLANNING & DEVELOPMENT COUNTY SERVICES DEPARTMENT COMMISSIONERS . r Building & Code Regulation CHECKLIST FOR RESIDENTLAL/COMMERCIAL BUILDING PERART Project 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 Wan -any Deed, if applicable....................................................... Yes No N/A Recorded Notice of Commencemement (prior to issuance or inspection) ............... Yes_ No _ N/A 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 NIA 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 "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 N/A — Other: Health Department Permit Paperwork....................................................... Yes_ No — NIA CD for Fire Department if commercial or multi -family ................................... Yes No NIA DEP, SFWNID 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 Stair Details.................................................................................... Yes No 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 Na NIA COMMENTS Revised 7/27/18 FHA - DIAGRAM SHEET NO CHANGE IN FENESTRATION 4"`�` • �.��� �.���Rs-r4-�-a-:�rc—.cam MEpSURINGI'ECH MEASURE DATE PROPOSED SIZE FOR SIZE ,�, MATT CUSTOMER'S NAM FHA LEAD NUMBER TYPE OF PROPERTY ROOF HEIGHT FLOOR NUMBER TOTAL # OF FLOORS ik I ao' ... S! .. co CD j m j =Cr n., W y y S 'ib of wm c 'roem om ..p Or a QrsTXLa o� m+ o iomsidpb : 3 N I d I tLo- 1 ' W m n'• X 1 Florida Building Code Online Page 1 of 2 8 us n e ss P ra fessio na I BOS Home � Log In I User Regfstratlon Hat Topics Submit surcharge Stats & Facts hffilrall mr Cels'aor YI 1 "Iwd A11ill. µIlls 4-0 f Florida Product Approval u9ER: Public User Pmdud Aeomval Menu AnnllrvMnn I Ict I AppillMdon Damll FL # FL16736-R2 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 Ext291 jlathrop@cws.cc Authorized Signature Kevin Pine kpine@cws.cc Technical Representative lay Lathrop Address/Phone/Email 1900 SW 44th Ave Ocala, FL 34474 (352) 368-6922 Ext 291 jlathrop@cws.cc Quality Assurance Representative Arturo Monteverde Address/Phone/Emall 1900 SW 44th Ave Ocala, FL 34474 (352)368-6922 Ext221 amonteverdeLscws.cc Category Windows Subcategory Horizontal Slider Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer L.I Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Lucas A. Turner the Evaluation Report Florida License PE-56201 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 07/21/2020 Validated By Steven M. Urich, PE Q1 Validation Checklist - Hardcopy Received Certificate of Independence FL16736 R2 COI EvalRenort871C.ndf Referenced Standard and Year (of Standard) ffdandard Year AAMA/W DMA/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.floridabuilding.orglpr/pr app_dtl.aspx?param=wGEVXQwtDquSoblYo2ffZm6... 6/6/2019 Florida Building Code Online Page 2 of 2 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 10/03/2017 Date Approved 12/12/2017 Sunarnary of Products FL # Model, Number or Name Description 16736.1 167365.!�� 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 II CWS-871C.odf 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 Evallkeport871C.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. 16736.2 MS-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 FL16736 R2 II CWS-869C.Ddf 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 EvalReoort869C.odf 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. Back Next CAMart UFL ;; 2an1 feair CFnne RMA. TallahaReee FL 32399 Phnne: WL111 7-19" The State of Florida Is an Ag1EEO employer. CneeWoht 2097-2013 State of Florida.:: EduaQLstar ment :: ;: Refund Statiarne 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 (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 malls 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 Y you are a licensee under chapter 455, F.S., please dick here.. Product Appronl Accepts: m wlm Credit Card Safe https://www.floridabuilding.org/prlpr app dtl.aspx?param=wGEVXQwtDqu8obl%2f[Zm6... 6/6/2019 URNER ENGINEERING & CONSULTING, INC. 1239 Jabara Ave. North Port, FL 34288 Ph. 941-380-1574 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 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 61 G20-3.005 (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-871 C, signed and sealed by Lucas A. Turner, P.E. 3) Test Reports NCTL -210-3887-1, -lA, -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 AAMA/WDMA/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: • May be 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 (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 e 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 ssisssttR� rFle, 5620140 , #� f' STATE OF 0,0,-•.• `''�; 8/29/2017 �,� t •• 0�.`' Lucas A. Turner, P.E. i`�i�r �wahfA sr FL PE #58201 2 5 C~ N2 � 1Ng<Z 1 02 ril O OC;NNCT' m Dm30m T r a.; r 8 NZ, m e Oi zy O� co r: N: in aia i�+� r m o 0� n mm x=mrn. N C� o I _ O� 4-n g;z zm �rpoM V c I m m 1, n 1 co ao �I m U A p N — 2 i rMD I,xO mr N3FrCOC r2Czmv upmZy VS_�bz0fVv nC .v7 25�00��rc ,�0n ,mv0 z 090m m'24cO 25�2 TpoEmw z 2 MC gm0 �2iy-4m z mzo�mrnr,c S r� mO��G1^ ov�^v:0 �C� m my 0 C= L nrOz Zmmm ROtp'mgNOzZa OHM ., zN AZZ Q Oby L7 z09zO=�z�mv�N ��Om'Zg$���rn°c'�myZ zNc Q mm m�rmO�mrnmmaCz iOA V OTy mzm-pxm OO�N0 60H = Z 'a Am.Nm�zA20M o0zaz omn Om_ M5 m=m �2iz mq-1 xC OWmO 20 —NOin rl ffi C=im c'.j i z o `p �NZN �OZ mm m �M' a z 5P7b�o1c70o NN co �mY N G1 N L$�+� mZN C C mNor mc�m v=m �^ m AIr a N DNm� Omc D zv O2C z N x M nmm g m v z z v zD v �9 o o PROPRIETARY AND CONFIDENTIAL =N Z fir'•.. �p��i� THE INFORMATION CONTAINED IN 7�7 pp n THIS DRAWING IS THE SOLE ,� �, W p $ 2 y c 0.0. PROPERTY OF CUSTOM WINDOW CD SYSTEMS, INC. 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G0 Florida Building Code Online Page 1 of 2 I aCLS Home i Log In User iteglstratlan Hot Topics Submit Surcharge Stets a Facts +'+mr�lon COnMO I# ' -*Pl �.ld ' I,MIk yznr- dda _r Product Approval uses: cuWlc user gpp = > pmdud or aonucatlon search > gpWLQtIwLut a Appl[eatian OWii I FL # FL11103-R4 Application Type Revision Code Version 2017 Application Status Approved *Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived Product Manufacturer Custom Window Systems Inc. Address/Phone/Emall 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext291 jlathrop@cws.cc Authorized Signature Jay Lathrop jlathrop*cws.cc Technical Representative Jay Lathrop Address/Phone/Emall 1900 SW 44th Ave Ocala, FL 34474 (352) 368-6922 Ext291 jisthrop@cws.cc Quality Assurance Representative Jay Lathrop Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352) 368-6922 Ext291 jlathrop@cws.cc Category Exterior Doors Subcategory Sliding E erlor D�A..r,�brl.� Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Validated By Steven M. llrlch, PE M Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) m Year AAMA/WDMA/CSA 101/I.S.2/A440-05 2005 ASTM E1886-CIS 2005 ASTM E1996-05 2005 TAS 201/202/203 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 option A https:llwww.floridabuilding.org/prlpr app_dtl.aspx?param=vGEVXQwtDgttaGsIp3Gvut... 5/30/2019 Florida Building Code Online Page 2 of 2 2 Date Submitted 04/09/2019 Date Validated 04/11/2019 Date Pending FBC Approval Date Approved 04/18/2019 Summary of Products FLA Model, Number or Name Description 11103.1 SGD-8900 PVC Sliding Glass Door. SGD-8900 PVC Sliding Glass Door. L m of use Certification Agency Certificate Approved for use in HVNZ: Yes FI 11103 R4 C CAC CAR 138-1096.ndf Approved for use outside HVHZ: Yes FL11101 P44 C CAC CAR 138-1327.odf Impact Resistant: Yes FL11103 R4 C CAC CAR 138-1612.ndf Design Pressure: +60/-60 FL11103 R4 C CAC CAR 138-537.mdf Other: Large Missile, DP = +/- 60 psf, Max. panel size 4' x Quality Assurance Contract Expiration Date 8'. Config. Include OXXO, OXo, OX, X0. Glass complies to 05/29/2021 ASTM E1300-04. Installation Instructions Verified By: Lucas A. Turner 58201 Created by Independent Third Party: Yes Evaluation Reports F1111.03 R4 AE EvalRenort298D.odf Created by Independent Third Party: Yes Fade Next C2ablu; jA :: 26n1 Blelr Stone Rand. rallahasaea FL 32399 Phone: ASD-487-1824 The State of Florida Is an AA/EEO employer. c, eewrmht zno7.2m3 state of Flocida.:: PCb,acv gUtZn set :: e,-r. IhjIItvcrar.n m ;; a�ad c+aroa,Pat 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 eledronic mall to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 1150.487.1395. -Pursuant to Section 455.275 (1), Florida Statutes, elrecbve Odober 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address Irthey have one. The smalls provided may be used for MOW communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provlde the Department with an email address which can be made avallable to the public To determine ff you are a licensee under Chapter 455, F.S., please dick bel Product Apprevml Accepts: M W1 ® 9 Credit Card Safe https:llwww.floridabuilding.orglprlpr app_dtl.aspx?paratn=wGEVXQwtDgttaGsIp3Gvut... 5/30/2019 URNER ENGINEERING & CONSULTING, INC. 2428 Old Natchez Trace Trl. Camden, TN 38320 Ph 941-380-1574 FBPE C.O.A. #29779 Evaluation Report 298D April 8, 2019 Product Description: Series 8900 PVC Sliding Glass Door, LM Impact, 4'x8' nominal panel size max. with SG Interlayer, 4'x6'8" nominal panel size max. with PVB Interlayer 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 61G20-3.005 (4). This product complies with the requirements of the 6t' 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 2428 Old Natchez Trc Trl, Camden, TN 2) Approval drawing CWS-298D, signed and sealed by Lucas A. Turner, P.E. 3) Test Reports NCTL-210-3956-1 and -lA, from National Certified Testing Laboratories, Orlando, FL, signed and sealed by Gerard J. Ferrara, P.E., and Test Report CWS-021-02-01, from PRI Construction Materials Technologies, Tampa, FL, signed and sealed by Zachary R. Priest, P.E. a. Testing Performed: TAS 201/202/203 1994, AAMA/WDMA/CSA 101/I.S.2/A440- 2008, and ASTM F 1896/1996 2005 4) Supplemental calculations to support CWS-298D, signed and sealed by Lucas A. Turner, P.E. Installation: Units must be installed according to approval document CWS-298D. Limitations of Use. This product: * May be used in up to 48 7/8" x 93 1/2" panel sizes (96" max. door height) with GIass Type A (SG), and up to 48 7/8" x 77 1/2" panel sizes (80" max. door height) with Glass Type B (PVB), with max. glass daylight sizes as shown in CWS-298D ■ 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 • Glass Type A requires Kuraray (Dupont) SentryGlas Interlayer per Miami -Dade NOA #17-0808.02 • Glass Type B requires Kuraray (Dupont) PVB Interlayer per Miami -Dade NOA #17-1114.14 • Requires Quanex (Mikron) white rigid PVC framing per NOA #17-0206.10. I have evaluated the material in this NOA and find that it complies with the requirements of the 6s' 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. 5,Ia-t, R E 11r'`rYlr rRE`yi�l��yfi{ram 4 No 58201 Lucas * * 4/8/2019 Turner r -y 4. : ir, Lucas A. Turner, P.E. 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ANY , _ - Z m m I; T j ,n W �crM :♦$s yam` REPRODUCTION IN PART OR AS A WHOLE WITHOUT THE WRITTEN 3 vm@ o13 ♦♦♦p`�,, USTOM WINDOW pERMISSION OF SYSTEMS, INC CIS PROHIBITEDCa M z0 m i me Mea, MM ii I 1/4/2018 Florida Building Code Online Business ■ Professional Regulation r���Ei(ilYl �ilPiiiYi► aI CIS Home I Log In User Registration Hot Topics Submit Surcharge Stats a Facts I fuh@raticrs, I reC Styli' I 8CIS site Map I Anh- I ff'['`N N US dr 4Product Approval USER: Pubic User Product ADoroVal Menj.L > Product or AooIcattgn Search > Application List > Application Detail FL # FL16177-R2 Application Type Revision Code Version 2017 Application Status Approved Comments Archived Product Manufacturer Custom Window Systems Inc. Address/Phone/Email 1900 5W 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) 360-6922 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 Nung 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-SB201 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 07/21/2020 Validated By Steven M. Urich, PE f Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Standard Year AAMA/WDMA/CSA/101/1.5.2/A440-08 2008 ASTM E1886-05 2005 ASTM E1996-09 2009 PA TAS 201/202/203 1994 hops://www.floridebuilding.org/prlpr app O.aspx?param-nrGEVXQwtDgvyf4ngAXhlOyBQtjDbmBiPrafAGHlxlsgtjUObFAbzoQ%3d%3d 112 1/4/2018 Florida Building Code Online 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 10/03/2017 Date Approved 12/12/2017 Summary of Products 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 It CWS-812CCndf 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 EvalRe ortei c.odf glazing required on outer lite above 30 ft. In HVHZ. Glass Created by Independent Third Party: Yes complies to ASTM E1300-04. Eacls ileac QDtgct lls :: 2601 Blair Stone Road. Tallahassee FL 37399 phone: 850-487-1824 The State of Florida Is an AA/1EO employer. Convrfoht 1007-2013 state of Florida.:: Edyli y Statement :: Accessibility Staterne :: Refund Statement Under Florida law, email addresses are pubic records. If you do not want your e-mail address released In response to a public-reoords request, do not send electronic mail to this entity. Instead, contact the offlce 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 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 pubic. To determine If you are a licensee under Chapter 455, F.S., please click haL. Product Approval Accepts: ®®® Credit Card Safe https://www.floridabuilding.org/prlpr_app dtl.aspx?param=wGEVXQwtDgvyf4ngAXh10y"DbmBIPrafAGHlxisggUObEAbzoQ%3d%3d 2/2 URNER ENGINEERING & CONSULTING. INC. 1239 Jabara Ave. North Port, FL 34288 Ph. 941-380-1574 FBPE C.O.A. 429779 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 40 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-812C, signed and sealed by Lucas A. Turner, P.E. 3) Test Report NCTL-210-3815-IA, -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, 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 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 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. 16-1117.02t • 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`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 w .' No 56201 ' ; P Turner 2017-08-30 16:11 +20:00 ;,•. , p. _�,`.� 8/29/2017 #�r4'0 A Lucas A. Turner P.E. {,r�01�lAL-����� FL PE #58201 Fluster,10I aZ (y7 rpn 0 F QiNz � 5pyZ0� � amo: ? m z y z ,'• m m - : o:aa z : to aornAwN:' Ln al x _Z C) R ? m v m cn 0 4 _u o � � X c CA cn X m W CD ' (C(}} � V 0 60 � � C N � pN � is ma m D7 G) m � Z � V X O 5W � r T Wrn a o nss� m -- -- ' f!) 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