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Building & Regulations Division
Product Review Affidavit
Building Permit # :31-C,- /186 - 0,299 Owners Name0 Ti& �U,vc\ Applicant: &re n1 .r, Co v+�o��iv
Product
Opening Design
Pressures
Product Rated
Design Pressure
Manufacturer
Model Number
Product Approval
Number
Glass
Type
Method of Attachment
Windows
Mullions
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Fixed Glasssjad S,p
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1"
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Slock Glass
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Skylights
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Sliding Glass Doors
Swing Type Doors
French Doors
Garage Doors
Hurricane Protection
Roof Ventilation
Roofing Material
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I have reviewed the above components or cladding and I. have approved their use in this structure. These products provide adequate resistance to the
wind loads and forces specified by current code provisions.
Name:
kVg rJ NU"A-N Signature: s` �;•" �@ �'•, ��i
Design Prof: �N6LN — Cert. No. SZ l Z 1 Date:
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,N 71
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