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Permit Windows 1255 Begonia St 2012 $!�J.)UN ' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD =� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 fit Application Number . . . . . 12-00001459 Date 10/16/12 Property Address . . . . . . 1255 BEGONIA ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4136 ---------------------------------------------------------------------------- Application desc window replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SESSIONS VALERIE J FLORIDA HOME IMPROVEMENT 1255 BEGONIA ST ASSOCIATES INC ATLANTIC BEACH FL 322331844 4070 SW 30 AVE FT LAUDERDALE FL 33312 (954) 792-4415 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . . 4136 Expiration Date . . 4/14/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 116 . 50 116 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. . . � o o � � DING PERMIT APPLICATION � ITY OF ATLANTIC BEACH EIS. . Ji4ceminole Road, Atlantic Beach, FL 32233 OCTQCT �� 2012 (904) 247-5826 Fax (904) 247-5845 Job Address: 1155 bz 6 on% S S`( AAg,-,b G M,A A- Permit Number: '- Legal Description 6e c. fl . AA\an-6 G b � (At (o (b%%, 22.1 Parcel# t110`1Cv- 0000 'Floor Area o q. t. q. t Valuation of Work$ q 115(o Proposed Work heated/cooled in Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa indoor/door• Use of existing/proposed structure(s)(circle one): Commercial �es If an existing structure,is a fire sprinkler system installed? (Circle ono (I/AD Florida Product Approval# c`)0-S8 . 'IL t .10 For multiple products use product approval �y i Describe in detail the type of work to be performed. 9lctCe 0 vq-r)-T d E LOV)C O(LQS <-Aa - sZ Property Owner Information: Name:\� 01\,p1', e. ,. SQ 5`zi oc)S Address: I Z' 5 'meant S 1 City do State';K_ "�Qa033 Phone 40#0 Op CO(Ce & R E-Mail or Fax#(Optional) Contractor Information: Company Name: 1t. • �W*-apt n of-w-we.nfi S OC Qg uali i $Agent: lt) Address: 4 o1 o cAA_�. 'S a City VVQ\VLPW State -I\- Zip 3311 Office Phone g0`l'1 cel t-141cp Job Site/Contact Number Cfo41 61 44 I S u Al Fax# State Certification/Registration# �C.[)c.c 143c'iCU Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for apenod of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y614i NOTICE OF COMMENCEMENT. I hereb certify that 1 have read and examiuod isx§p ation and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whe( er specs red, erein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state,or to. t ting construction or the performance of construction. �gnature of Owner Signature of Contractor Print Name lsubs *be(d .Q(.. ....e........ . .........5��5`�'iC� .................... Print Name .1�4 .JQ......... "J4.fv�..�.�.......... fj Sworn to and before me i Sworn o and subsc 'b d before this�_Day 20 1Z this �Day of O 201 CAV Notary Public r' MY COMMISSION#EE 629279 7r-AROUNA AAnNQmber 23,2016 .'py p•4,$ Notary pubNc underw�lters MISSIO #EE 829279 Revised 01.26.10 �y0.�` Bonded TtKu EXPIRES:December 23,2016 '','•R Bonded Thru Notary Public Undenxrfters o:�.. 'roperty Appraiser-Property Details http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=17104... SESSIONS VALERIE 7 Primary Site Address Official Record Book/Page Tile# 1255 BEGONIA ST 1255 BEGONIA ST 09717-00489 9418 ATLANTIC BEACH,Fl-32233-1844 Atlantic Beach Fl-32233 1255 BEGONIA ST Property Detail Value Summary RE# 171046-0000 Tax District USD3 Value Method CAMA CAMA P122e1ty Use 0800 MULTI-FAMILY UNITS 2-9 Total Building Value $94,861.00 $89,170.00 #of Buildings 1 Extra Feature Value $626.00 $547.00 18-34 38-2S-29E Land Value(Market) $33,375.00 $33,375.00 Legal �' SEC H ATLANTIC BEACH Land Value(Aaric.) $0.00 $0.00 Subdhdsion 03119 ATLANTIC BEACH SEC H Just(Market)Value $128,862.00 $123,092.00 TotalArea 5100 Assessed Value $117,496.00 $116,752.00 The sale ofthis property may result in higher property taxes.For more information go Cap DMf/Portabifty Amt $11,366.00/$0.00 $6,340.00/$0.00 to Save Our Homes and our Propea Tax Estimator.Property values,exemptions and Exemptions $45,066.00 See below other Information listed as'In Progress'are subject to change.These numbers are part of the 2012 working tax rol and will not be certfied until October.Learn how the Taxable Value $72,430.00 See below Property Appraiser's Office values property. Taxable Values and Exemptions—In Progress If there are no exemptions applicable to a taxing authority,the Taxable Value Is the same as the Assessed Value listed above In the Value Summary box. County/Municipal Taxable Value SIRWMD/FIND Taxable Value School Taxable Value Assessed Value $116,752200 Assessed Value _......._.....__.............$116,752.00 Assessed Value _ _ _ $116,752.00 - ._._._..__..____...........___..............._._..........._._.-_. _....... ..._._.......... ...._............ Homestead Exemption(HX� $25,000.00 Homestead Exemption(HX) _ $25,000_00 Homestead E)T ten(HX) _$25,000_00 __...__._._._..............—. .. Amend 1 Homestead(HB)__ _ __$22 167.00 Amend 1 Homestead(HB) _ $22.]67.00 Taxable Value $91,752.00 Taxable Value $69,585.00 Taxable Value $69,585.00 Sales History Book/Page Sale Date Sale Price Deed Instrument Type Code guallfW/Unauailfled yVawcant/Improved09717-00489 8/11/2000 $110,000.00 W D-Warranty Deed Quaffied ed 08481-01546 10/15/1996 $72,100.00 WD-Warranty Deed Qualfied ed 05724-00366 11/17/1983 $54,000.00 WD-Warranty Deed Unquai('ied ed 000.00 WD-Warranty Deed Unquaiiied Vacant 05084-01198 2/11/1980 $100.00 QC-Qut Clain Unqualified Vacant 04117-00002 3/1/1976 $3,000.00 W D-Warranty Deed Unqualified Improved ' Extra Features -41LN I Feature Code Feature Description Bldg. Length Width Total Units Value -1 FPPR7 Freplace Prefab 1 0 0 1.00 $547.00 Land&Legal Land Legal LN Code Use Description zoning Front Depth Category Units Land Tvoe Value LN Legal Description 1 18-34 38-2S-29E APTS 10 UNITS OR Front II I 1 0810 LESS F ARS-2 50.00 102.00 Common 50.00 Footage $33,375.00 2 SEC H ATLANTIC BEACH _.,,,,, _.._............. _ _.,..,....., 3 LOT 6BLK221 Buildings Building 1 _ Budding 1 Ste Address Element Code Detail 1255 BEGONIA STIr., Atlantic Beach FL 32233 Exterior Wal 6 6 Vert Sheet Siding US Exterior Wall 16 16 Tlle/Frame Stucco Building Type 0801-DUPLEX SOH Roofing Structure 3 3 Gable or Hip Year Bu! 1982 Roofing Cover 3 3 Asph/Comp Shingle Building Value $89,170.00 Interior Wall 5 5 Drywall FUAsas Int Flooring 11 11Cerami:Clay Tie Gross Heated Effective Int Flooring 14 14 Carpet Type Area Area Area & iFsv:.gP J _ Heating Fuel 4 4 Electric Unfin Screened Porch 150 0 38 Heating Type 4 4 Forced-Ducted _..... Ar Condtioning 3 3 Central , Finished upper 1011 1011 960 story i Base Area 1011 1011 1011 Element Code Fin Screened 105 0 37 Stories 2.000 Purch Beurooms 4 uuu Fin Screened 110 5 0 37 Rooms/units 12.000 Porch Doc # 2012217990, OR BK 16094 Page 1677, Number Pages: 1, Recorded 10/05/2012 at 12:51 PM, JIM FULLER CLERK CIRCUIT COURT DUVAI, COUNTY RECORDING p-erin 7 $10.00 NOTICE OF COMMENCEMENT State of �Yt Tax Folio No. 1 I Dy(p _oQc� O wnrM County of—Do U c To Whom It May Concern: I a j The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of 6, ! the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. t Legal Description ofproperty being improved:1 j •?)4 bF� .,) ?q `jeL 4 1 ,Ajj cin�C CS I C. 1 n (y (�11�, 2Z1 1255 3�F or,'� a 5-t WC,,n4i( `660 Tl -67-23-!, ®wC Address of property being improved: 12';)5 -L ZZ General description of improvements: t[1 dCA a�cj ,�,-tt ,I ` 1 r r. Owner: u QI Q(I Q, �C�S�tt�� Address:1Z,S,5 ��60�1�, STGt/l Cl C, OpLn ) Owner's interest in site of the improvement: (fit e�t19 a L Z 7 3� Fee Simple Titleholder(if other than owner): Name: Contractor: fto lda Ila m 4nptavenwtltAsBa Address: 4070 9W 30th Ave Hollywood,FL 33312 Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person malting a loan for the construction of the improve m nts Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designate by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax o: In addition to himself, owner designates the following perso to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)ye elate of recording unless a different date is specified): G THIS SPACE FOR RECORDER'S USE ONLY 0WNERR/R Signedy" =y Date: 101,12 Bef9(e me .. day of in the County of Duval,State Of Florida,has personally appeared �J S C�YIs Notary Public at targe,State of Florida,Coply of Duval. My commission expires:_ Personally Known: or Produced Identification: C tiE t6 STATE OF FL0Ft0A DUVAIL CCUN.T'1' 1, UNDERSIGNED ClarkrftNrcuit& County'Courts,Dtval Cote± 901!da, VO Mr"Y tF.RT!•,'•f tae vvtti:ln and fOragoing Is a true snd vorrai;l coil-Dfho Ori;�-q.:a!£s it aaJ¢nrti(tn t'eCord 8nd flln in til0 a°i;'C6 ct(i:i:a ark at Clrct: l COtltll}=Cearts of Duval cour^y,Fbi;�3. ON iNE33 my hand nnru Er.?I rif Cie•k,.f u'it gait a coinity Courts at�It1Gf30i'1-ilfi,FiCtIU.,felt:'f',;;ai:i�f .,,Ai1,7Lt13, jlM 1'tA7 KH Cmr4:'!mvit aad Col"MV ioutt3 6r D d l vvtSii.`y,FlGtttI$Oj A ` Uspuly 'ICA 77, Gc/� FHA—DIAGRAM SHE Measure Date !q] --Ziv _1Z Customer Name Lead Number Type of Property Floor Number Measur�Iech } t I i 34 3/8 x 351/2 35 1/4 x 481/2 -50) FL7058.5 (+/-50) FL7058.5 i +.. { ' 35 3/8 x 48 5/8 35 3/8x48 3/8 - , (+/-50) FL7058.5F -- , (+/-50) FL7058.5 ? t -4— 34 7/8 x 48 3/8 (+/-50) FL7058.5 51 x 48 5/8 (+/-35) FL7058.5 j I Lit i I I ! I ! 34 7/8 x 36 5/8 513/8 x 48 3/4 �1-�-1I ! i { (+/-35) FL7058.5 (+/-50) FL7058.5 , t i ( + i I tt 1 t ' i L ' PLIANCE CITY OF ATLANTIC BEACH Tx` SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS. FILE COPS REVIEWED BY: DATE: FHA—DIAGRAM SHE Measure Date Customer Name Lead Number Type of Property Floor Number Measure Tech -r- i 35 3/8 x 36 36 x 49 5/8 I ' 35 7/8 x 49 3/8 { 1 (+/-50) Fl 7058-5 s z I 108 x 49 3/8 I e I (+/-50) FL1844.8 f j , I 1 i 36 x 37 (+/-50) FL7058.5 I I I I , { i I � • I l e i i t 11 ~ i i { i { i l I I ! i Florida Building Code Online bttp://mww.floridabuilding.org/pr/prapp_ d.aspx?paran-r=wGEVXQ r +MHIM t��'�n`.. :t- PdrtC?lElttCBCS Rome Log In User Registration Ho[Topics Submk Surcharge Stats&Facts !, Publ'rations FBC Staff BC6 Site Map Links Search - ProductalProfess iQ aI � USER;Pubk User eeaa}ion Product Approval Menu>Pmdutt or Annicaen 5 ar h>Appi ation is >A Noation Detail ry FL# FL7056-R6 K� s Application Type Revision Code Version 2010 Application Status roved *Approved by DCA.Approvals by DCA shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived - Product Manufacturer PGT Industries Address/Phone/Email 1070 Technology Drive Nokomis, FL 34275 (941)486-0100 Ext 22318 druark@pgtindustries.com Authorized Signature Jens Rosowski jrosowski@pgtindustries.com Technical Representative ]ens Rosowski Address/Phone/ 1070 Technology Drive Nokomis,FL 34275 (941)486-0100 Ext 21140 jrosowskl@pgLindusLries.com Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications,Inc. Validated By Steven M.Urich,PE kJ Validation Checklist-Hardcopy Received Referenced Standard and Year(of Standard) Standard Year AAMA 506 2008 HAMA/WDMA/CSA 101/IS2/A440 2005 AAMA/WDMA/CSA 101/IS2/A440 2008 ANSI/AAMA/WDMA 101/I.S.2/NAFS 2002 ASTM E1886 2002 ASTM E1886 2005 ASTM E199.6 2002 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect FL7058 R6 Eauiv 1996-05 to 02 Eauiv.nddf 1 of 3 4/5/2012 9:04, Florida Building Code Online http://www.floridabuilding.org/pr/pr app_dtl.aspx?paraii>=-wGEVXQ Product Approval Method Method 1 Option A Date Submitted 01/17/2012 Date Validated 02/06/2012 Date Pending FBC Approval Date Approved 02/16/2012 Summary of Products FL# Model,Number or Name Description 7058.1 DH-460 _ z Vinyl Double Hung Window Limits of Use Certification Agency Certificate Approved for use In HVHZ:No FL7058 R6 C CAC 190-178CAR.pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:No 05/24/2012 Design Pressure: +50/-50 Installation Instructions Other:Please see the Installation Instructions for design FL7058 R6 II DH_46%pdf pressure,size and anchorage information. Verified By:A. Lynn Miller,P.E.58705 Created by Independent Third Party: No Evaluation Reports j FL7058 R6 AE Prod Eval-131-1-460.0 Created by Independent Third Party: No 7058.2 DH-560 i WinGuard Vinyl Double Hung Window Limits of Use Certification Agency Certificate Approved for use in HVHZ: No i FL7058 R6 C CAC 190-179CAR.Ddf l Approved for use outside HVHZ:Yes FL7.058 116 C CAC 190-212CAR.pdf Impact Resistant:Yes Quality Assurance Contract Expiration Date Design Pressure: +50/-50 05/25/2012 Other: Please see the Installation Instructions for design Installation Instructions i pressure,size and anchorage information. f17051 P II DH-560.bdf Verified 8 :A.Lynn Miller,P.E.58705 Created by Independent Third Party: No Evaluation Reports I FL7058 R6 AE Prod Eval-DH-560 odf Created by Independent Third Party: No 1.7058.3 DH-2160 Vinyl Double Hung Window(Fin) Limits of Use Certification Agency Certificate i ` Approved for use in HVHZ: No FL7058 R6 C CAC Certifications DH-2160b Ddf 1 Approved for use outside HVHZ:Yes I Quality Assurance Contract Expiration Date { Impact Resistant:No 1 01/25/2014 Design Pressure: N/A ;Installation Instructions Other: Please see the Installation Instructions for design 1 FL7058 R6 II DH-2160.ndf pressure,size and anchorage information. Verified By:A.Lynn Miller,P.E.58705 } Created by Independent Third Party:No ` Evaluation Reports f FL7058 R6 AE Prod Eva]-DH-2160.Ddf Created by Independent Third Party: No l 7058.4 DH-2260 Vinyl Double Hung Window Limits of Use i Certification Agency Certificate k Approved for use in HVHZ:No FL7058 R6 C CAC DH-2260 Certification pdf I Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:No 10/22/2013 i Design Pressure: N/A Installation Instructions Other.Please see the Installation Instructions for design € FL7058 R6 II DH-2260.pdP j pressure,size and anchorage information. Verified By:A.Lynn Miller,P.E.58705 Created by Independent Third Party: No Evaluation Reports FL7058 R6 AE Prod Eval-DH-2260.pdf i Created by Independent Third Party:No 7D58.5 !DH-2360 Vinyl Double Hung Window L_ r 2 of 3 4/5/2012 9:04 Florida Building Code Online bttp://www.floridabuilding.org/pr/Pr�_app_dd.aspx?param=wGEVX� Limits of Use Certification Agency Certificate i Approved for use in HVHZ:No FL7058 R6 C CAC DH-2360 Certificationsb Ddf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:No 02/25/2013 Design Pressure:N/A Installation Instructions Other:Please see the Installation Instructions for design FL7058 R6 II DH-2360 Ddf pressure,size and anchorage information. ; Verified By:A.Lynn Miller,P.E.58705 Created by Independent Third Party: No Evaluation Reports FL7Q58 R6 AE Prod Eval-DH-2360 odf Created by Independent Thi rd Party: No i 7058.6 DH-2760 Vinyl Double Hung Window _ : r Limits of Use Certification Agency Certificate Approved for use In HVHZ:No # FL705,$ R6 C C?C 19n_74¢ICAR.Ddf Approved for use outside HVHZ:Yes I FL7058 R6 C CAC 190=753CAR.g_df 1. Impact Resistant:Yes I Quality Assurance Contract Expiration Date 1 Design Pressure: N/A 02/03/2014 Other:Please seethe Installation Instructions for design !Installation Instructions pressure,size and anchorage Information. FL7058 R6 II DH-2760.I)df Verified By:A. Lynn Miller,P.E. 58705 I Created by Independent Third Party: No Evaluation Reports FL7058 R6 AE Prod Eval-DH-2760.pdf Created by Independent Third Party: No ;Back Next Contact Us::1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1924 The State of Florida is an AA/EEO employer.Copyright 2007-2010 State of Florida.::Privacy Statement::Accessitdlty statement::Refund SmtemerR Under Florida law,e-mail addresses are public records.It you do not want your e-mail address released in response to a public-records request,do not send electronic mal to this entity.Instead,contact the office by phone of by traditional mai.If you have any questions regarding DSPR's ADA web accessibility,please contact our Web Master at webmasterCddbpcstate.ftus. Product Approval Accepts: ® .{!ak ettt" %Cciit'it4"i MR-5 .. .... :.F 3 of 3 4/5/2012 9:04, 107D Technology Dr. N.Venice,FL 34275 Tel.941-480-1600 , pgtindustries.com Product Evaluation Report Date: February 6,2012 Product Description: Double Hung,$eries 2360 Florida:Product Approval#; 7058 Manufacturer: PGT industries 1070 Technology Dr. North Venice,FL 34275 (941)486-0100 Statement of Compliance:The product listed in this evaluation report,meets the requirements of the Florida Product Approval Rule,9N-3.This product complies with the requirements of-the 2007&2010 Florida Building Code. TechnicalDocumentation: Elevation,anchorage/installation drawings and Test Reports: Drawing#: 1022111JR Test Report(s);ATI-94579(anchors) ATI-88626 A7I-90764 Installation: Units to be Installed as per the attached installation drawings. Umits of Use: 1.Maximum Design Pressures and sizes to be as listed in the test report, unless attached documentation shows lower DP's or smaller sizes. 2.This product is-not impact Resistant and requires shutters in windborne debris regions. 3.This product is not for use in the High Velocity Hurricane Zone(HVHZ). Certification of Independence:A,Lynn Miller,P.E.is employed by PGT Industries,and therefore has a financial interest in the company or any company manufacturing or r distributing products for which this report is being-issued,but does not,nor \�(Ni AlIZ4 iwill squire a financial interest in any other entity involved in the approval .process of this product. 140.5B LIJ Z. -o �V0S = . . i�t�� •. fi�oRj � A.Lynn Miller,P.E. P.E.#58705 FL Cert.of Auth.#29296 KC:ICRA'1rCATONs.iwc. ` Document Tide: DOCUMMl30. I RM B 1-02 CERTIFICATION AUTHORIZATION REPORT ""Si°II 3 � 1 of IZt pef"zasy; PRO B1-03 FMA Keystone Certification Program Certification Authorization Report CAR & Product ID Number: 190 - 486 CAR Issue Date: 03/02/2009 CAR Expiration Date: 02/25/2013 Company Code: 190 This Certification Authorization Report(CAR) is issued by Keystone Certifications, Inc_ (KCI)after full validation review of the product qualification documents for the product named below_ This report is only valid when signed by the President of KCI,and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products, that those products are representative of the specimen evaluated and documented for certification authorization_ Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts.com. Company Information: Product Information: PGT Industries Model: DH 2360 PVC Double Hung 1070 Technology Dr. Operator Type: H PO Box 1529 Configuration: EM/IM/AV/BR, GS 1/8"Ann IG Nokomis FL 34274 Max Width: 54 Max Height: 91 Referenced Standard: Product Rating: AAMA/WDMA/CSA 101/IS2/A440-05 H-LC35 1372x2311 (54x91) Qualifying Test Information: Test Report No: ATI-88626.01-401-47 Test Report Expiration: 02/25/2013 Authorized Signature: Keystone Certifications, Inc. 1790 Old Trail Road, Suite D Etters, Pennsylvania 17319 Phone: 717-932-8500 Marcia Falke,President Fax: 717-932-8501 www.keystonecerts.co m VCEYSTQI , Document Title: DocmrentNo. FRM B 1-02 CERTIFICATION AUTHORIZATION REPORT o"Mon 3 Pam' 1 Of 1 P-jriredBy PRO B1-03 FMA Keystone Certification Program Certification Authorization Rpnnrt CCARduct ID Number: 190 - 487CAR Issue Date: 03/02/2009 Expiration Date: 02/25/2013 Company Code: 190 This Certification Authorization Report(CAR) is issued by Keystone Certifications, Inc. (KCI)after full validation review of the produc# qualification documents for the product named below. This report is only valid when signed by the President of KCI,and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products,that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts.com. Company Information: Product Information: PGT Industries Model: DH 2360 PVC Double Hung 1070 Technology Dr. Operator Type: H PO Box 1529 Configuration: EM/IM/AWBR Nokomis FL 34274 Max Width: 48 Max Height: 86 Referenced Standard: Produ AAMANVDMA/CSA 101/IS2/A440-05 H-LC50 1219x2184 (48x86) Qualifying Test Information: Test Report No: ATI-88626.01-401-47 Test Report Expiration: 02/25/2013 Authorized Signature: Keystone Certifications, Inca 1790 Old Trail Road, Suite D �Q Etters, Pennsylvania 17319 Phone: 717-932-8500 Marcia Falke,President Fax: 717-932-8501 www.keystonecerts.com {SYST01 C6R3f1.W'['[OMG.illC. Docmwnt Tyle: Docmnent No. ry q �'RM BI-02, CERTIFICATION AUTHORIZATION REPORT Re"'nn 3 Pav: 1 at: I reg,zimaaz: PRO B1-03 FMA Keystone Certification Program Certification Authorization Report CAR & Product ID Number: 190 - 488 CAR Issue Date: 03/02/2009 CAR Expiration Date: 04/07/2013 Company Code: 190. This Certification Authorization Report(CAR) is issued by Keystone Certifications, Inc. (KCI)after full validation review of the product qualification documents for the product named below. This report is only valid when signed by the President of KCI, and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products,that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts.com_ Company Information: Product Information: PGT Industries Model: DH 2360 PVC Double Hung 1070 Technology Dr. Operator Type: H PO Box 1529 Configuration: EM, GS 1/8"Ann IG Nokomis FL 34274 Max Width: 32 Max Height: 56 Referenced Standard: Product Rating: AAMA/WDMA/CSA 101/IS2/A440-05 H-LC50*813x1422 (32x56) Qualifying Test Information: Test Report No: ATI-90764.01-401-47 Test Report Expiration: 04/07/2013 Authorized Signature: Keystone Certifications, Inc. 1790 Old Trail Road, Suite D Etters, Pennsylvania 17319 to' Phone:717-932-8500 Marcia Falke,President Fax: 717-932-8501 www.keystonecerts.com SYSTON , DocumeucTtk: Dwuw,-W No. FRIM B1-02 CERTIFICATION AUTHORIZATION REPORT Rei' 3 raw: 1 "f' I rtaq"redBr- PRO B 1-03 FMA Keystone Certification Program Certification Authorization Report CAR & Product ID Number: 190 - 495 CAR Issue Date: 04/07/2009 CAR Expiration Date: 04/07/20113 Company Code: 190 This Certification Authorization Report(CAR) is issued by Keystone Certifications, Inc. (KCI)after full validation review of the product qualification documents for the product named below. This report is only valid when signed by the President of KCI,and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products, that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts.com_ Company Information: Product Information: PGT Industries Model: DH 2360 PVC Double Hung 1070 Technology Dr. Operator Type: H PO Box 1529 Configuration: EM, GS 1/8"Ann IG Nokomis FL 34274 Max Width: 44 Max Height: 75 Referenced Standard: Product.Rating: AAMA/WDMA/CSA 101/1S2/A440-05 H-LC30 1118x1905 (44x75) Neg DP=40 Qualifying Test Information: Test Report No: ATI-90764.01-401-47 Test Report Expiration: 04/07/2013 Authorized Signature: Keystone Certifications, Inc. 1790 Old Trail Road, Suite D Ettefs, Pennsylvania 17319 Phone: 717-932-8500 Marga Falke,President Fax: 717-932-8501 www.keystonecerts.com mctttneat Title: Doc,n,tNo. FRM B 1-02 CER'T'IFICATION AUTHORIZATION REPORT Re"S"'n 3 Page: Required B}' PRO B1-03 FMA Keystone Certification Program Certification Authorization Report CAR & Product ID Number: 190 - 496 CAR Issue Date: 04/07/2009 CAR Expiration Date: 04/07/2013 Company Code: 190 This Certification Authorization Report(CAR) is issued by Keystone Certifications, Inc- (KCI)after full validation review of the product qualification documents for the product named below. This report is only valid when signed by the President of KCl, and indicates the product as manufactured by the company named below has been tested and meets tfie requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products,that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified_ The information in this report can be verified at www.keystonecerts.com. Company Information: Product Information: PGT Industries Model: DH 2360 PVC Double Hung 1070 Technology Dr. Operator Type: H PO Box 1529 Configuration: EM, GS 1/8"Ann IG Nokomis FL 34274 Max Width; 44 Max Height: 62 Referenced Standard: Product Rating: AAMA/WDMA/CSA 101/IS2/A440-05 H-LC50* 1118x1575*(44x62') Qualifying Test Information: Test Report No: ATI-90764.01-401-47 Test Report Expiration: 04/07/2013 Authorized Signature: Keystone Certifications, Inc. 1790 Old Trail Road, Suite D Etters, Pennsylvania 17319 Phone: 717-932-8500 Marcia Falke,President Fax: 717-932-8501 www.keystonecerts.com Domarnt Title: Docwnent leo. FRM B 1-02 CERTIFICATION AUTHORIZATION REPORT "e""" 3 wee: 1 of 1 x�y ass: PRO B1-03 FMA Keystone Certification Program Certification Authorization Report CAR & Product 1D Number: 190 - 497 CAR Issue Date: 04/07/2009 CAR Expiration Dater 04/07/2013 Company Code: 190 This Certification Authorization Report (CAR) is issued by Keystone Certifications, Inc. (KCI)after full validation review of the product qualification documents for the product named below. This report is only valid when signed by the President of KCI,and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products,that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts.com. Company Information: Product Information: PGT Industries Model: DH 2360 PVC Double Hung 1070 Technology Dr. Operator Type: H PO Box 1529 Configuration: EM, GS 1/8"Ann IG Nokomis FL 34274 Max Width: 36 Max Height: 75 Referenced Standard: Product Rating: AAMA/WDMA/CSA 101/IS2/A440-05 H-LC40* 914x1905"(36x75'*) Neg DP=50 Qualifying Test Information: Test Report No: ATI-90764.01-401-47 Test Report Expiration: 04/07/2013 Authorized Signature: Keystone Certifications, Inc. 1790 Old Trail Road, Suite D • �Q Etters, Pennsylvania 17319 Phone: 717-932-8500 Marcia Falke,President Fax: 717-932-8501 www.keystonec-erts.com Ddctm mt Title: Documient i o. FR1VI B 1-02 CERTIFICATION AUTHORIZATION REPORT ReVISM 3 1 oc 1 Requhw By: PRO B 1-03 FMA Keystone Certification Program Certification Authorization Report CAR & Product ID Number: 190 - 498 CAR Issue Date: 04/07/2009 CAR Expiration Date: 04/07/2013 Company Code: 190 This Certification Authorization Report(CAR) is issued by Keystone Certifications, Inc_ (KCI)after full validation review of the product qualification documents for the product named below. This report is only valid when signed by the President of KCI,and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels_ Licensee stipulates in affixing certification labels to products,that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts_com. Company Information: Product Information: PGT Industries Model: DH 2360 PVC Double Hung 1070 Technology Dr. Operator Type: H PO Box 1529 Configuration: EM, GS 1/8"Ann IG Nokomis FL 34274 Max Width: 48 Max Height: 68 Referenced Standard: Product Rating: AAMANVDMA/CSA 101/IS2/A440-05 H-LC45* 1219x1727*(48x68") Qualifying Test Information: Test Report No: ATI-90764.01-401-47 Test Report Expiration: 04/07/2013 Authorized Signature: Keystone Certifications, Inc. 1790 Old Trail Road, Suite D Etters, Pennsylvania 17319 Phone: 717-932-8500 Marcia Falke,President Fax: 717-932-8501 www.keystonecerts.com oX r aN w r ¢ gra C �tyi b � m �. i� •- �'�6 F' N N w 09 O T.OW x a° m Q8 45m..0 06 of 4O J w T a s 3 94 0 E 0 w JT -2 z s m �— o spa co m m o o ptxsp iL g To }dt g �o� w 1Q p 0� mzzoow \\\ \\\ W PZF"� ® aim w p �< r NO �2m gam$ < _ v o3z a U� E Ela LL 8 pig N V Z a F- � '%ply*•.....-LD •-O \ \�\ zmra w n riftiiiiR J at I ��zio � y 7 W ~ a Q F �2 U Z _m LU wZE� OG J �mg ° d ^ m m m m a4 � u E 6 6 �4 NLL� Sc. u'� w Z rn m rn to u tL q �n o in 0 0 0 0 „ M Ift Q Q I(1 I(1 Yl W S 2 0 t¢-giW7 2RpO Zi o � 0 m kCL Gzi h m 0ui v 0e7i ui v � " zU65Z �N> z ui W =0H WJr YN Id-P bp74 � JlL Oj W WW SKU :0) �rX j G G C C G mOjWz�a=2 0� ~�< U9N rc< md0 6 y_og Fw J 0 0 0 0 0 u9?�y z p.LL� <2o~m WF- SSP mvN Wo Nomm �, Qpo o= W z GmwWm:3 W Y4UNp O� z�2 O��K Q2 � OW Cw� °'�z mr d — — m m m y f yfr N W��O wy~ OO W .0 yLLjj�O6 JJli'100 SP ��?� N0 v LL ai C C L C i g 2 w N ClYQw� m S LL f NUWjP w z J�w W ZU w q Pd d N O d d o� m�n Wamau �� c�NN < opo <oF m qz€; um�q= w>ZH c~iY�NC z0 _oma Oa�¢¢w aio`;a� r�coig Kr">c U 0.UJ>Jy0 gpC O2pri- pw00 ]Wv ZFgpyz �oN [=CZV7 G7 ¢ w W w uxi w N m000 00(~10W OLL�V z<U t_q.W J.t.W K-¢m fw0.d ��ZZ fwlJ�jx M6 a O �Orx,. cYc��p '< =�m NQg62< 4�rrO Natio rK Q.O157, 06 Zmzm mxW� � mpa Up p~-'W g�� v��i e~4� `q �az53 °�'m C, wawfwz9Owaa� p`�¢y V}x.. 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AIR ' w ME srimtisk+ _ .,.,:.... $..... .. �.. ..:: .,..ter_-t...:ma n. a:+•.o. �Iodlb;}atarL7,r,:jjtb SCIS Home Log In User Registration i Hot Topic I Submit Surcharge Stats&Facts Publications !, FBC Staff BCIS Site Map Links I Search j Busines�f Professil-11 J: use Pub Approval ° <I Gubic user 00P Product Anoroval Menu>Product or Annlc hon Search> nDetail ' InFL# FL1844-R11 C Application Type Revision ER" Code Version 2010 Application Status Approved y DCA.Approvals by DCA shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived Product Manufacturer PGT Industries Address/Phone/Email 1070 Technology Drive Nokomis, FL 34275 (941)486-0100 Ext 22318 druark@pgtindustries.com Authorized Signature Jens Rosowski irosowskl@pgtindustrles.com Technical Representative ]ens Rosowski Address/Phone/Email 1070 Technology Drive Nokomis,FL 34275 (941)486-0100 Ext 21140 jrosowski@pgtlndustries.com Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Horizontal Slider Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications,Inc. Valldated By Steven M.Urich,PE Validation Checklist-Hardcopy Received Referenced Standard and Year(of Standard) Standard Year AAMA/WDMA/CSA 101/I.S.21A440 2005 ANSI/AAMA/NWWDA 101/I.S.2 1997 ANSI/AAMA/WDMA 101/I.S.2/NAFS 2002 ASTM E-1886 2002 ASTM E-1886 2005 ASTM E-1996 2002 ASTM E-1996 2006 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect FLIB44 P11 Eauiv 1996-05 to 02 EQiuiv,pdf I of4 3/13/2012 2.37 PM Florida Building Code Online http://www.floridabuilding.org/pr/pr_app_dtl.aspx?paraul Florida Building Code Online http:/hvww.floridabuilding.org/pr/pr_app_dfl.aspx?parauT-=wGEVXQ.. 1844.5 HR-710 j W[nGuard Horizontal Roller Window with Integral Nailing Fin Limits of Use j Certification Agency Certificate s Approved for use in HVHZ: No FL1844 R11 C CAC Certification-HR-710,pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes i 07/26/2012 Design Pressure: N/A I Installation Instructions Other:Please see the Installation Instructions for design FL1844 R11 II HR-710,pdf pressure,size and anchorage information. I Verified By:A.Lynn Miller, P.E.58705 Created by Independent Third Party: No Evaluation Reports ' ! FL2844 R11 AE Prod Evel HR-710.odf ? Created by Independent Third Party: No i 1844.6 HR-2110 I Vinyl Horizontal Roller with Integral Nailing Fin Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL1844 R11 C CAC 190-461CAR.pdF Approved for use outside HVHZ:Yes FL1844 R11 C CAC 110-462CAR.Ddf Impact Resistant:No FL1844 R11 C CAC 120-463CAR.ndf Design Pressure: N/A FL1844 R11 C CAC 190-464CAR.odf Other:Please see the Installation Instructions for design ?Quality Assurance Contract Expiration Date pressure,size and anchorage information. 02/21/2014 Installation Instructions I FL1844 R11_II HR-2110.1?df Verified By:A.Lynn Miller, P.E.58705 i Created by Independent Third Party: No I I Evaluation Reports ! FL1844 R11 AE Prod Eval HR-2110.pdf i Created by Independent Third Party: No I � 1844.7 HR-2210 i Vinyl Horizontal Roller i Limitsof Use j Certification Agency Certificate I Approved for use In HVHZ: No i FL1844 R11 C CAC HR72210 Certification.pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No i 10/22/2013 Design Pressure:N/A i Installation Instructions Other:Please see the Installation Instructions for design I FL1844 R11 II HR72210.odf 1 pressure,size and anchorage information. I Verified By:A.Lynn Miller, P.E.58705 Created by Independent Third Party: No Evaluation Reports I FL1844 R11 AE Prod Eval HR-Z210.pdf i Created by Independent Third Party: No i 1844.8 HR-2310 !5pectraGuard Vinyl Horizontal Roller Lim. s of Use Certification Agency Certificate Approved for use in HVHZ:No FL1844 R11 C CAC HR-2310 Certification.Ddf j Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 02/16/2013 Design Pressure., N/A Installation Instructions Other:Please see the Installation instructions for design FL1844 RII II HR-2310,Wf pressure,size and anchorage information. Verified By: A.Lynn Miller,P.E.58705 Created by Independent Third Party: No Evaluation Reports FL1844 R11 AE Prod Eva[HR-2310.odf Created by Independent Third Party: No Back Next Contact Us::1940, N%)Lth Monroe Street.TalWhilggee FL 32399 Phone:850-487-1824 The State of Florida's an AA/EED employer.Copyr aht 20(17-20 IQ State of Florida::Privacy Statement::Accessibility, St tiame_S::Refund Statement under Florida law,e-mail addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions regarding DBPR's ADA web accessibility,please contact our Web Master at webmaster0d-hnrs ar tr fine, Product Approval Accepts: ®gig 13 3 of 3/13/2012 2:371'1v 1070 Technology Dr. N.Venice,FL 34275 Tel.943-484-1600 ® pgtindustries.com Product Evaluation Report Date:January 3,2012 Product Description: Horizontal Roller,Series 2310 1 Florida Product Approval#: 1844 Manufacturer. PGT industries ' 1070 Technology Dr. North Venice,FL 34275 (941)486=0100 Statement of Compliance:The product listed in this evaluation report,meets the requirements of the Florida Product Approval Rule,9N-3,This product complies with the -requirements of the 2007&2010 Florida Building Code. i Technical Documentation: Elevation,anchorage/installation drawings and Test Reports: Drawing#: 720811JR Test Report(s): ATI-88623 ATI-88823 ATIh94579 Installation: Units to be installed as per the attached installation drawings. Limits of Use: 1.Maximum Design Pressures and sizes to be as listed in the test report, unless attached documentation shows lower DP's or smaller sizes. 2.This product is not Impact Resistant and requires shutters in windborne debris regions. 3.This product is not for use In the High Velocity Hurricane Zone{HVHZ). Certification of Independence: A.Lynn Miller,P.E.Is employed by PGT Industries,and therefore has a financial interest In the company or any company manufacturing or distributing products for which this report is being issued,but does not,nor will aquire.a financial interest in any other entity Involved in the approval ()Cly LYNIV 411, �rif� process of this product. No.58705 ` cif p 1 T"F cu5C(� ONAL �,•� A.Lynn'fVlill�t;��E. P.E.##58705 FL Cert.of Auth.#129296 ,YSTONs� Docent Title. Docun mt No. FRM B 1-02 CERTIFICATION AUTHORIZATION REPORT Re`-- � �� 1 Of i tzegcai�a PRO B I-03 FMA Keystone Certification Program Certification Authorization Report CAR& Product ID Number: 190 - 480 CAR Issue Date: 02/25/2009 CAR Expiration Date: 02/19/2013 Company Code: 190 This Certification Authorization Report(CAR)is issued by Keystone Certifications, Inc. (KCI) after full validation review of the product qualification documents for the product named below. This report is only valid when signed by the President of KCI,and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products, that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts.com. Company Information: Product Information: PGT Industries Model. 2310 PVC Horizontal Slider 1070 Technology Dr. Operator Type: HS PO Box 1529 Configuration: EM/IM, GS-1/8"Ann IG Nokomis FL 34274 Max Width: 72 Max Height: 60 Referenced Standard: Product Rating: AAMA/WDMA/CSA 101/IS2/A440-05 HS-LC35 1829x1524 (72x60) XX Qualifying Test Information: Test Report No: ATI-88623.01-401-47 Test Report Expiration:" 02/19/2013 Authorized Signature: Keystone Certifications, Inc. �aui, Q 1790 Old Trail Road, Suite D " Etters, Pennsylvania 473'!9 /' Phone: 717-932-8500 Marcia Falke,President Fax: 717-932-85071 w ww.keystonecerts_com ' CL'llY1P1GATKYlV1D.lT1G. - Document Title: Document No. FRM Bl-02 CERTWICATION1 AUTHORIZATION REPORT 1 3 P34' 1 °f 1 PRO BI-03 FMA Keystone Certification Program Certification Authorization Report CAR & Product ID Number: 190 - 481 CAR Issue Date: 02/25/2009 CAR Expiration Date: 02/19/2013 Company Code: 190 This Certification Authorization Report(CAR)is issued by Keystone Certifications, Inc. (KCI)after full validation review of the product qualification documents for the product named below. This report is only valid when signed by the President of KCI, and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products, that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts.com. Company Information: Product Information: PGT Industries Model: 2310 PVC Horizontal Slider 1070 Technology Dr. Operator Type: HS PO Box 1529 Configuration: EM/IM Nokomis FL 34274 Max Width: 72 Max Height: 54 Referenced Standard: Product Rating: AAMA/WDMA/CSA 101/IS2/A440-05 HS-LC50 1829x1372*(72x54*) XX Qualifying Test.Information: Test Report No: ATE-88623.01-401-47 Test Report Expiration: 02/19/2013 Authorized Signature: Keystone Certifications, Inc. 1790 Old Trail Road, Suite D Etters, Pennsylvania 17319 Phone: 717-932-8500 Marcia Falke, President Fax: 717-932-8501 www.keystonecerts.com O 71 Gr.'erria�-naNa nia. nocimiew Tide: Doauwent No. FRM B 1-02 CERTIFICATION AUTHORIZATION REPORT � '°° 3 Pam' 1 . Or. 1 R-R*ed a%c PRO B 1-03 FMA Keystone Certification Program Certification Authorization Report CAR & Product ID Number. 190 - 482 CAR Issue Date: 03/02/2009 CAR Expiration Date: 02/16/2013 Company Code: 190 This Certification Authorization Report(CAR)is issued by Keystone Certifications, Inc. (KCI)after full validation review of the product qualification documents for the product named below_ This report is only valid when signed by the President of KCI,and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products,that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts.com. Company Information: Product Information: PGT Industries Model: HR2310 PVC Equal Lite Horizontal Slider 1070 Technology Dr. Operator Type: HS PO Box 1529 Configuration: EM/IM, GS-1/8"Ann IG Nokomis FL 34274 Max Width: 108 Max Height: 60 Referenced Standard: Product Rating: AAMA/WDMA/CSA 101/IS2/A440-05 HS-LC40 2743x1524 (108x60)XOX Qualifying Test Information: Test Report No: ATI-88823.01-401-47-R1 Test Report Expiration: 02/16/2013 Authorized Signature: Keystone Certifications, Inc. 1790 Old Trail Road, Suite D ,Q Etters, Pennsylvania 17319 ' • Phone: 717-932-8500 Marcia Falke,President Fax: 717-932-8501 www.keystonecerts.com j{gYSTONgl CIERIIPC.A'SlON{[S. 1qG. Document Title: Document No. FRM B 1-02 CERTIFICATION AUTHORIZATION REPORT Reli.011 3 rage: ReT-wed B PRO B 1-03 FMA Keystone Certification Program Certification Authorization Report CAR & Product ID Number: 190 - 483 CAR Issue Date: 03/02/2009 CAR Expiration Date: 02/16/2013 Company Code: 190 This Certification Authorization Report(CAR) is issued by Keystone Certifications, Inc. (KCI)after full validation review of the product qualification documents for the product named below. This report is only valid when signed by the President of KCI, and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels_ Licensee stipulates in affixing certification labels to products, that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts.com. Company Information: Product Information: PGT Industries Model: HR2310 PVC Equal Lite Horizontal Slider 1070 Technology Dr. Operator Type: HS PO Box 1529 Configuration: EM/IM Nokomis FL 34274 Max Width: 108 Max Height: 54 Referenced Standard: Product Rating: AAMANVDMA/CSA 101/IS2/A440-05 HS-LC50 2743x1372 (108x54)XOX Qualifying Test Information: Test Report No: ATI-88823.01-401-47-R1 Test Report Expiration: 02/16/2013 Authorized Signature: Keystone Certifications, Inc. 1790 Old Trail Road, Suite D �. Etters, Pennsylvania 17319 Phone: 717-932-8500 Marcia Faike,President Fax: 717-932--8501 www.keystonecerts.com t..... � __._t noct mem Tins: Document No. FRM B 1-02 CERTIFICATION AUTHORIZATION REPORT Rouion 3 Page' I of 1 Required Ry: PRO B 1-03 FMA Keystone Certification Program Certification Authorization Report CAR & Product ID Number: 190 - 484 CAR Issue Date: 03/02/2009 CAR Expiration Date: 02/16/2013 Company Code: 190 This Certification Authorization Report(CAR)is issued by Keystone Certifications, Inc. (KCI)after full validation review of the product qualification documents for the product named below_ This report is only valid when signed by the President of KCI, and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products,that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts.com. Company Information: Product Information: PGT Industries Model: HR2310 PVC Horizontal Slider(1/4-1/2-1/ 1070 Technology Dr. Operator Type: HS PO Box 1529 Configuration: EM/IM, GS-5/32"Ann 1G and 118"Ann IG (sash) Nokomis FL 34274 Max Width: 108 Max Height: 60 Referenced Standard: Product Rating: AAMA/WDMA/CSA 101/IS2/A440-05 HS-LC35 2743x1524 (108x60) XOX Qualifying Test Information: Test Report No: ATI-88823.01-401-47-R1 Test Report Expiration: 02/16/2013 Authorized Signature: Keystone Certifications, Inc. 1799 Old Trail Road, Suite D Etters, Pennsylvania 17319 Phone: 717-932-8500 Marcia Falke,President Fax: 717-932-8501 www.keyston ecerts_corn Document Title: Document Na. FRM B 1-02 CERTIFICATION AUTHORIZATION REPORT �`"'im 3 -2' 1 °t 1 G. Req—Od$y. PRO B 1-03 . FMA Keystone Certification Program Certification Authorization Report CAR & Product 1D Number: 190 - 485 CAR Issue Date: 03/02/2009 CAR Expiration Date: 02/16/2013 Company Code: 190 This Certification Authorization Report(CAR)is issued by Keystone Certifications, Inc, (KCI)after full validation review of the product qualification documents for the product named below. This report is only valid when signed by the President of KCI,and indicates the product as manufactured by the company named below has been tested and meets the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program certification labels. Licensee stipulates in affixing certification labels to products,that those products are representative of the specimen evaluated and documented for certification authorization. Only products bearing such a certification label shall be considered certified. The information in this report can be verified at www.keystonecerts.com. Company Information: Product Information: PGT Industries Model: HR2310 PVC Horizontal Slider(114-1/2-1/ 1070 Technology Dr. Operator Type: HS PO Box 1529 Configuration: EM/IM, GS-5/32"Ann IG and 1/8"Ann IG (:;ash) Nokomis FL 34274 Max Width: 108 Max Height: 54 Referenced Standard: Pro AAMA/INDMA/CSA 101/IS2/A440-05 EIC HS-LC50 2743x1372 (108x54)XOX Qualifying Test Information: Test Report No: ATI-88823.01-401-47-R1 Test Report Expiration: 02/16/2013 Authorized Signature: Keystone Certifications, Inc. 1790 Old Trail Road, Suite D Etters, Pennsylvania 17319 ' Phone: 717-932-8500 Marcia Fake,President Fax: 717-932-8501 www-keyston a certs.co m L11111r p.J Z w LLLLN Q! m {n o� z F� in ui to aHR.tu 2 �WZ,Os WDD pynQZ €a aLO bLL �iC Eo kw a d J LL T T U Tk Tj m QQw W w Ou7a TO8 p� }a in gw Eo a n _ IM' q. �.� \\\ w00ps1-au mF IX 3 �1-m �l-r3v N va., .Nr�ZN- z 9z pW5o 0x Qa O No Z_ Z > a a a a ® EEy I L S L O v N y o� m N a Z w W W y(• WT 'm0 Uim OKJ fz Q pS U m �1_-W F Z W e c WWF w LU a_1 rtU �O }.•_ W w mZ o ttqq� o w�' 1t U`3 O }� art zg� 1a�U0 � .p r2�rqW� �NSZom ��am fippCU FOO �� LL 0 m ca it q��zFm wW ��o ¢mm�� oz90 gw g az . yxpw 00 D u� OLl¢ O�aaCO wZu, D�ii > Wp � a � mt-Nm vim m m L- �1a-�Oo� mu>z T 3mW xr ¢ Q Q m ro ❑swi_ r� ¢�o�� ?m � j,.�um�,-Wz �a o D� w-w ma Asa m WmoQo �m o�Z fla Woo iw 5 �o10 IS�Y W�'Zi- a¢ UYH N O ZOO Q m W U.a�1LL. 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(02 !4 �o `uaw 4 my j o Q W F ? d pU�' W W!��- XG OC m}soKz h N m� as 4CWD _ Z Pa gz W o a o[9 a~ �� z aW Rd^WOuiWUOQ 0C7 K W4� ey., 2QWOLU 0 y 2K0 00O ZZ=w p1 qm W Ya V 4!- Ya Z W SN m m=w 0 �m g!s m OZ AZO Z 60 x 0 1= Zi �1utm W ui O WU a� �� Q�QU? gN LL X LL X X vi Z City of Atlantic Beach APPLICATION NUMBER Building Department 800 Seminole Road (To be assigned by the Building Department])=� i ` Atlantic Beach, Florida 32233-5445 - t� Phone(904)247-5826 • Fax(904)247-5845 �.URI, - E-mail: building-deptQcoab.us Date routed: �o � City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �z /�• rtment review required Yew No j0� Building Applicant: _ / � /7i� i7�Pl��f/I1f/!� Planning&Zoning Tree Administrator Project: l/y mz)aa) Zc Ig(M f/lr Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APP CATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING&ZONING Reviewed by: Date: t� 9��2- TREE ADMIN. Second Review: Approved as revised. E]DerVed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127/10