409 Mako Dr RESA23-0002 3 of 5 Product Approval Form 409 Mako Dr
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 Mike Jones at 12:18 pm, Feb 01, 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
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