808 AMBERJACK LN RES24-0044 PRODUCT APPROVAL REV. 4-18-24City of Jacksonville - Planning and Development
Building Inspection Division Permit Number:
PRODUCT APPROVAL INFORMATION SHEET (PAIS)
(revised July 30, 2015)
Project Name:
Project Address:
Contractor:
Manufacturer Product Description Code Version FL# (include suffix)Expiration
ACME 36" Exterior Widget 2017 12345.01 12/31/2017
A.Exterior Doors
1.Swinging
2.Sliding
3.Sectional
4.Roll-up
5.Automatic
6. Other
B.Windows
1.Single Hung
2.Horizontal Slider
3.Casement
4.Double Hung
5.Fixed
6.Awning
7.Pass-through
8.Projected
9.Mullion
10.Wind Breaker
11.Dual Action
12.Other
Category/Subcategory
EXAMPLE
As required by Florida Statute 553.842 and Florida Administrative Code 9B-72, please provide the information and product approval number(s) for the building components listed
below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval
number for any of the applicable listed products. Information regarding statewide product approval may be obtained at: www.floridabuilding.org.
Ply Gem Steel Doors 2020 229.1 09/15/2024
Ply Gem windows Sliding Glass Door 2020 14634.1 12/31/2022
Ply Gem windows Single Hung Non Impact 2020 16103.1 12/31/2022
Garage Door Wayne-Dalton Garage Door 2020 9174.2 12-31-2035
12/21/25
11/30/2026
2020WAYNE DALTON 9174.2 12-31-2035
PLY GEM SLIDING GLASS DOOR 2020 14634.1
GARAGE DOOR
2023 14634.2
2023
2023
Masonite 2023 5465.1 12/31/2026
RES24-0044
Amberjack Home
808 Amberjack Lane Atlantic Beach FL 32233
T.M Construction & Roofing
C. Panel Wall
1. Siding
2. Soffits
3. EIFS
4. Storefront
5. Curtain Walls
6. Wall Louvers
7. Glass Block
8. Membrane
9. Greenhouse
10. Synthetic Stucco
11. Other
D. Roofing Products
1. Asphalt Shingles
2. Underlayments
3. Roofing Fasteners
5. Built-up Roofing
6. Modified Bitumen
7. Single-ply Roofing
8. Roofing Tiles
9. Roofing Insulation
10. Water-proofing
12. Roofing Slate
15. Roof Tile Adhesive
17. Other
14. Cement-adhesive
coats
16. Spray-applied
Polyurethane Roofing
13. Liquid-applied
Roofing
4. Non-structural Roof
Metal
11. Wood
Shingles/Shakes
James Hardie Hardie Plank Lap Siding 2020 13192.2 12/31/2023
Ply Gem Siding Vinyl Soffit Mastic 2020 32502.1 12/31/2023
GAF ASphalt Shingles 2020 10124.1 12/16/2022
12/31/2023Owens Corner Roof Underlayments 2020 15216.1
12/16/25
2023 13192.2 03/31/2026
Petersen Aluminum 2023 23157.1 09/22/2026
2023
2023 12/31/2026
12/16/2025
E. Shutters
1. Accordion
2. Bahama
3. Storm Panels
4. Colonial
5. Roll-up
6. Equipment
7. Other
F. Structural Components
2. Truss plates
3. Engineered Lumber
4. Railing
5. Coolers/Freezers
6. Concrete Admixtures
7. Material
8. Insulation Forms
9. Plastics
10. Deck-roof
11. Wall
12. Sheds
13. Other
G. Skylights
1. Skylight
2. Other
1.
2.
In addition to completing the above list of manufacturers, product description and State approval number for the products
used on this project, it is the Contractor's or Authorized Agent's responsibility to have a legible copy of each manufacturer's
printed instructions, along with the list above, on the job site available to the inspector.
1. Wood
Connector/Anchor
H. New Exterior Envelope
Products
MITEK Threaded Rod 2020 578.1 12/31/2023
12/31/2022MitekHigh Strength Connector Plate 2020 2197.2 12/16/2025
2023
2023 01/01/2027
01/01/2027