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Building Permit# XSOb — L'21YI
Planning & Development Services Department
Building & Regulations Division
Product Review Affidavit
Owners Name Lakewood Park United Methodist Church
Applicant:
St. �ucteCoFO
Uhty
Goldern Homes
Product
Opening Design
Pressures
Product Rated
Desl n Pressure
Manufacturer
Model Number
Product Approval
Number
Glass
Type
Method of Attachment
Windows
Mullions
Fixed Glass
Block Glass
Skylights
sliding Glass Doors
Swing pe Doors
-34.8/+31.9
+65/-70
BulldemHanl m
Fiberglass Flush
FL3 11321-RI
2xBuck vert.( 6) 1/4" Tap -con Min 1 1/4" Embedment
French Doors
2 xBuck header (2) 114" Tap -con Min 1 1/4" Embedment
Gars a Doors
Dr frame Vert. (6) #10 x 21/2" & 1 each hinge
Hurricane Protection
Dr frame header (2) #10 x 2 1/2"
Roof Ventilation
Rooting Matedaiw,r
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Revised 07/22/2014 ��Q.•\✓ENSF ��.
I have reviewed the above components or cladding and I have approved their use i ` s c " e prodtl sprovide adequate resistance to the
wind loads and forces specified by current code provisions. _
Rand`' Mosby�'�
Name: J Signature: V AT seal
Design Prof: Randy L Mosby PE cert.No.22326
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Building Permit #
1406-0149
Planning & Development Services Department
Building & Regulations Division
Product Review Affidavit
Owners Name Lakewood Park united Methodist Church Applicant:
cS
lu��e y FO
Golden 1es
Product
Opening Design
Product Rated
Manufacturer
Model Number
Product Approval
Glass
Method of Attachment
Pressures
Desi n Pressure
Number
Tvpe
Windows
Mullions
Fixed Glass
Block Glass
Skylights
Sliding Glass Doors
Swing Type Doors
-34.8/+31.9
+65/-70
Builders Hardware
Fiberglass Flush
FL#11321-RI
Per Rlfr Sec's
French Doors
Garage Doors
Hurricane Protection
Roof Ventilation
Roofing Material
Revised 07/22/2014 Service Door to Bell Tower
I have reviewed the above components or cladding and I have approved their us n s/st c o cts pro'd�adeq [ate resistance �o fhe
No. 22326
wind loads and forces specked by current code provisions.
Lakewood Park United Methodist Church = -d
Name Signature: seal
Rand L Mosby, P.E. 22 %�O�'•, STATE OF ((�\
Design Prof: y y Cert. No. Dat c 07/0 /15 �'•. �CORIOP,. 'G��
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