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m Building&Regulations Division
Product Review Affidavit
Building Permit# Owners Name tJ�'I Applicant:
Product Opening Design Product Rated Manufacturer Model Number Product Approval Glass Method of Attachment
Pressures Design Pressure Number Type
Windows
Mullions
Fixed Glass
Block Glass
LOP
Skylights
Sliding Glass Doors R
Swing Type Doors AVIA
French Doors
Garage Doors
Hurricane Protection
Roof Ventilation
Roofing Material
Revised 07/22/2014
I have reviewed the above components or cladding and I have approved their use in this structure. These products provide adequate resistance to tht
wind loads and forces specified by current code provisions.
Name: Signature: seal
Design Prof: Cert.No. Date: