163 Belvedere Street-RES21-0345 PRODUCT APPROVAL REVISION 3-21-23_1City of Atlantic Beach Planning & Development
Building Inspection Division
Permit Number: _____________________________
PRODUCT APPROVAL INFORMATION SHEET (PAIS)
Project Address: 163 Belvedere Street-32233
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.
Category/
Subcategory
Manufacturer Product Description Code
Version
FL#Expiration
A. Exterior Doors
1. Swinging Masonite International Exterior Fiberglass Door 2020 5507.1 5/31/2025
1. Swinging Masonite International Fiberglass Side Hinged Door Unit
Opaque Ins swing single or
double w/or w/o side light
2020 22363.3 5/31/2025
2. Sliding MI Window and Doors General
Aluminum Company
910/3910 SGD 2020 17880.1 2/25/2024
Garage Doors Wayne Dalton Garage Doors 5120/6100/9100 16’w/8-9’ max h 2020 9174.2 12/31/2035
B. Windows
1. Single Hung MI Window and Doors General
Aluminum Company
3540 SH 2020 17676.1 04/12/2027
2. Single Hung MI Window and Doors General
Aluminum Company
3540 SH 2020 17676.7 04/12/2027
RES-21-0345
C. Panel Wall
1. Siding James Hardi Bldg. Products Fiber-cement Lap Siding 2020 13192.1 12/31/2023
2. Siding James Hardi Bldg. Products Hardie Fiber Cement Panel Siding 2020 13223.2 12/31/2023
3. Siding James Hardi Bldg Products Hardie Fiber Cement Shake 2020 13192.4 12/31/2023
2. Soffits Kaycan LTD Vinyl/Aluminum series 2020 16503.1 12/31/2023
D. Roofing Products
1. Asphalt Shingles Tamko Shingles 25 year Elite 2020 18355.1 06/29/2023
2. Underlayments Techno SB 25 Synthetic roof underlayments 2020 12512.2 04/30/2024
E Shutters
F. Structural
Components
Wood Connector/Anchor Simpson
Strong Tie Co
Set Epoxy/Epoxy Adhesive 2020 17449.1 12/08/2023
Truss Plates MiTek Industries, Inc.MII 16 2020 2197.2 12/31/2024
Truss Plates MiTek Industries, Inc.MT20 2020 2197.4 12/31/2024
Engineered Lumber Weyerhaeuser TJI 210 2020 1630.2 03/31/2023
Engineered Lumber Weyerhaeuser TJI 110 2020 1630.1 03/21/2023
Engineered Lumber Boise Engineered Wood Products Versa-Lam 2020 1644.1 01/01/2035
Wood Connectors Simpson Strong-Tie Co.HTT4, HTT5, HTT5-3/4 2020 10655 12/31/2023
Hurricane Tie Simpson Strong-Tie Co.H2A, H2.5T, H8, HGA10 2020 10446.6 12/31/2023
Straight Strap Simpson Strong-Tie Co.LSTA9, LSTA12, LSTA15,
LSTA18, LSTA21, LSTA24,
2020 10852.5 12/31/2023
LSTA30, LSTA36
Post Base Simpson Strong-Tie Co.ABA44, ABA44R, ABA46,
ABA46R, ABA66, ABA66R
2020 10860.1 12/31/2023
Medium Twist Straps Simpson Strong-Tie Co.MSTA30, MSTA36, ST6215,
ST6224, ST9, ST18, ST22, ST12,
MSTC28, MSTC40, MSTC52
2020 13872.12 12/31/2023
Girder Tiedown Simpson Strong-Tie Co.LGT2, LGT3-SDS2.5,
LGT4-SDS3
2020 11473.7 12/31/2023
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.
Contractor/Authorized Agent: Roger Zeigler
Company Name:American Classic Homes LLC
Mailing Address:4550 St Augustine Rd
City: Jacksonville State:Florida Zip Code:32207
Telephone Number: (904) 351-0308 Fax Number: (866) 329-6692
E-mail Address:Office@achllc.net