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409 MAKO DR RESA23-0002 Soffits REVISION 2-17-23 Page 1 of 4 Updated 06/21/21 PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) *Project Address: _________________________________________________________________________ Permit #: ___________________________ *Owner/Project Name: _______________________________________________________________________________________________________ As required by Florida Statute 553.842 and Florida Administrative Code Rule 61G20-3, 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. Category/Subcategory Manufacturer Product Description Limitation of Use State # Local # A. EXTERIOR DOORS 1. Swinging 2. Sliding 3. Sectional 4. Garage 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 409 Mako Dr, Atlantic Beach, Fl 32233 RESA23-0002 Gilbert Addition Jeldwin Sliding glass door Non hvz FL11109.1 Silverline Single Hung Fixed Window NON HVZ FL14918 By Toni Gindlesperger at 1:41 pm, Feb 17, 2023By Mike Jones at 2:54 pm, Mar 03, 2023 Page 2 of 4 Updated 06/21/21 Category/Subcategory Manufacturer Product Description Limitation of Use State # Local # C. PANEL WALL 1. Siding 2. Soffits 3. EIFS 4. Storefronts 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 4. Nonstructural metal roof 5. Built-up roofing 6. Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Plygem Vinul Soffits HVHZ FL32502 Owens Corning Asphalt Roof Shingles Non HVZ FL10674-R17 Page 3 of 4 Updated 06/21/21 Category/Subcategory Manufacturer Product Description Limitation of Use State # Local # E. SHUTTERS 1. Accordion 2. Bahama 3. Storm panels 4. Colonial 5. Roll-up 6. Equipment 7. Other F. STRUCTURAL COMPONENTS 1. Wood connector/anchor 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 H. NEW EXTERIOR ENVELOPE PRODUCTS 1. 2. Page 4 of 4 Updated 06/21/21 In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the ones listed in this document must be approved by the Building Official. *Contractor Name (Print Name):_________________________________ *Contractor Signature: ___________________________________________ *Company Name: __________________________________________________________________________________________________________ *Mailing Address: __________________________________________________________________________________________________________ *City: _______________________________________________ *State: ______________________ *Zip Code: _______________________________ *Telephone Number: ___________________________________ *E-mail Address: _______________________________________________________ Cell Phone Number: _____________________________________ Fax Number: _________________________________________________________ Mike WagnerMike Wagner MJ Wagner Construction Inc 315 Hunters Lake Way Ponte Vedra Fl 32081 (239) 825-6820 Mike@buildmjw.com (239) 825-6820 NA By Mike Jones at 2:55 pm, Mar 03, 2023 By Mike Jones at 2:55 pm, Mar 03, 2023 By Mike Jones at 2:56 pm, Mar 03, 2023 2/16/23, 11:24 AM Florida Building Code Online https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquMtWf6FvK8%2f8ZLFJCsjM%2bUmxlRGV%2bjFoktCxiRwRJ4tQ%3d%3d 1/2 BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications Contact Us BCIS Site Map Links Search Product Approval USER: Public User Product Approval Menu > Product or Application Search > Application List > Application Detail FL #FL32502 Application Type New Code Version 2020 Application Status Approved Comments Archived Product Manufacturer Ply Gem Siding Group Address/Phone/Email 2405 Campbell RoadSidney, OH 45365 (937) 498-6720 alan.hoying@plygem.com Authorized Signature Alan Hoyingalan.hoying@plygem.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Panel Walls Subcategory Soffits Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed FloridaProfessional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed the Evaluation Report Allen Reeves Florida License PE-19354 Quality Assurance Entity Intertek Testing Services NA, Inc. - QA Entity Quality Assurance Contract Expiration Date 12/31/2023 Validated By Ted Berman, PE Validation Checklist - Hardcopy Received Certificate of Independence FL32502_R0_COI_2020 FBC - COI - Mastic Soffit.pdf Referenced Standard and Year (of Standard)Standard Year AAMA 1402 2009 ASTM D3679 2017 Equivalence of Product Standards Certified By Sections from the Code By Mike Jones at 2:56 pm, Mar 03, 2023 2/16/23, 11:24 AM Florida Building Code Online https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquMtWf6FvK8%2f8ZLFJCsjM%2bUmxlRGV%2bjFoktCxiRwRJ4tQ%3d%3d 2/2 Product Approval Method Method 1 Option D Date Submitted 07/13/2020 Date Validated 09/30/2020 Date Pending FBC Approval 10/01/2020 Date Approved 12/16/2020 Summary of Products FL #Model, Number or Name Description 32502.1 Mastic Soffits Vinyl and Aluminum Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: N/A Other: See Product Evaluation Report for Product Design Pressures. Installation Instructions FL32502_R0_II_2020 FBC - Installation Detail - Mastic Soffit.pdf Verified By: Allen Reeves 19354 Created by Independent Third Party: Yes Evaluation Reports FL32502_R0_AE_2020 FBC - Product Calculations - MasticSoffit.pdf FL32502_R0_AE_2020 FBC - Product Evaluation Report - Mastic Soffit.pdf Created by Independent Third Party: Yes Back Next Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida. :: Privacy Statement :: Accessibility Statement :: Refund Statement 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 electronicmail 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 Section455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they haveone. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply apersonal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter455, F.S., please click here . Product Approval Accepts: