1878 BEACH AVE - 2ND FL PERMIT City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Departmen )
!!!� 800 Seminole Road /e /` J
Dll 4bg w /�e!;
, Atlantic Beach, Florida 32233-5445
Phone(904)24,7-5826 • Fax(904)247-5845
Ent v% E-mail: building-dept @coab.us Date routed: S/5.
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /14 8tcA D- • ment review required Yes No
Applicant: 31) .-16 Planning &Zoe'••
-Mg-At ministrator
Project: a h A ciao le -fib i-00� Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signatui 1y Pe V/tow S w P (-`--
Other Agency Review or Permit Required
Review e - Mailed a-6- C9��
of Permi 3'is' m
p L4,111. 7-h-er.o Yl1
Florida Dept. of Environmental Protection r
Florida Dept. of Transportation n /O� a l//7i� /
St.Johns River Water Management District CYOI
Army Corps of Engineers
Division of Hotels and Restaurants P!�n Re 1// `.,W
Division of Alcoholic Beverages and Tobacco a nod% '`
OOther:
APPLICATION STATU. V
Reviewing Department First Review: ElApproved.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review:
❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH FILE COPY
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 1878 Beach Ave - Atlantic Beach,FL Permit Number: /5 R/1D�D ioy`e
Legal Description 42-14 09-2S-29E BEACHSIDE Parcel# Lot 33 Block 1
n Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ "f, 000 Proposed Work heated/cooled 147 non-heated/cooled
Class of Work(circle one): New I •.ition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial it =11:11
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No I►II.
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: Bedroom Addition on 2nd Floor
Property Owner Information:
Name: Walls,Thomas Address: 1878 Beach Ave
City Atlantic Beach State FLZip 32233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Bosco Building Contractors,Inc. Qualifying Agent: Todd A.Bosco
Address: 2158 Mayport Rd City Atlantic Beach State FL Zip 32233
Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320 Fax# 904-241-0326
State Certification/Registration# CBC 1250212
Architect Name&Phone# Tommy Davis 904-716-8652
Engineer's Name&Phone# Geoff Gartner 904-241-8010
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 f work is not commenced within six(6)months,or if construction or work is suspended or abandoned fora period 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 YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this placation and know the same to be true and correct. All provisions of laws and ordin' ces governing this
type of work will be complied with whether sped led herein or not. The granting of a permit does not presume to give authori j late or cancel the
provisions of any other federal,state,or law regulating construction or the performance of construction.
Signature of Owner Signature of Contrac
Print Name (l)4'Ll'S Print Name Todd A. Bosco
Swo and subscribed before me Sworn t and subscribed before me
this 4 Day of !7,1-7 ,2011 this Day of /`l - ,20 l `
•
Notary Public Notary Public
WILLIAM L.POPE WILLIAM L.POPE
Notary Public,State of Florida Notary Public,State of Florittvised 01.26.10
My Comm.Expires Oct.19,2015 My Comm.Expires Oct.19,2015
Commission No.EE 128745 Commission No.EE 128745
NOTICE OF COMMENCEMENT
Permit No./5-R4DO'/O5S9 Tax Folio No.
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
1878 Beach Ave Atlantic Beach.FL 32233-42-14 09-2S-29E 04162 BEACHSIDE Lot 33 Block 1
2. General Description of improvements:
Bedroom Addition on 2nd Floor.
3. Owner Information:
a)Name and Address: Thomas Walls 1878 Beach Ave Atlantic Beach,FL 32233
b)Interest in property:General _
c)Name and address of simple titleholder(if other than owner):
4. Contractor Information:
a)Name and Address: Bosco Building Contractors,Inc.2158 Mayport Rd.Atlantic Beach, FL 32233
b)Phone Number:(904)241-0320
5. Surety Information:
a)Name and Address:
b)Phone Number.
c)Amount of Bond:$
6. Lender Information:
a)Name and Address:
b)Phone Number.
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13(1)(a)7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:
8. In addition to himself/herself,Owner designates of to receive a
copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
a)Name and Address:
b)Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,
SECTION '13.13, FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are -e to the best of my knowledge and belief.
Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
The foregoing instrument was acknowledged before me this 4-# day of /1't ,20 1 S-,
by irk. 4 as for
,;4<Li l
(Name of Person) (Type of Authority,i.e.Officer/Anomey) (Name of Party Instrument was Executed for)
WILLIAM L.POPE ,, .
Notary Public,State of Florida NOTARY PUBLIC,STATE OF FLORIDA
My Comm Expires Oct.19,2015 Print Name:
Commission No.EE 128745
,gPersonally Known
Doc*2015101018.OR BK 1-153 Page�".:.
IdentificatiorfType:
Number Pages 1
Recorded 05042015 at 1211 PM.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Revised 3/15/12
COUNTY
RECORDING 51000
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U8/201t Florida Building Code Online
owl
FLORIDA DEPARTMENT OF tI t 4 -, ^ �e "',"� --
Business & Professional Regulation - _"� _
HOME ABOUT DBPR DBPR DIYI. �`�� DIM
flo da Denartmentcf BCIS Home Log In User Registration � Mot Topics Submit Surcharge Stets&Facts Publications FBC Staff BCIS Site Map Unks Search
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Regulation
UkMUrlhdenBy.Bty111tlttgNy. Product Approval Menu>Product or Application Search>Application List>Application Detail
OFFICE OF THE ': FL# FL5167-R16
SECRETARY,'
Application Type Revision
Code Version 2010
Application Status Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed and ratified
by the POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Simonton Windows
Address/Phone/Email 1 Cochrane Ave
Pennsboro, WV 26415
(800) 746-6687 Ext 2329
tiffany.davies @simonton.com
Authorized Signature Tiffany Davies
tiffany.davies @simonton.com
Technical Representative Tiffany Davies
Address/Phone/Email PO Box 1646
5300 Briscoe Road
Parkersburg, WV 26102
(800) 542-9118 Ext 9329
tiffany..davies@simonton.com
Quality Assurance Representative AAMA
Address/Phone/Email 1827 Walden Office Square
Suite 550
Schaumburg, IL 60173
(847) 303-5664
webmaster @aamanet.org
Category Windows
Subcategory Double Hung
I
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Association
Referenced Standard and Year (of Standard) Standard Year
AAMA 450 2006
AAMA 450 2010
AAMA/WDMA/CSA 101/I.S.2 A440 2005
AAMA/WDMA/CSA 101/I.S.2 A440 2008
Equivalence of Product Standards
Certified By
I
htlps://www.floridabuilding.or g/pr/pr_app_dtl.aspx?param=wGEVXOwtDgtZ M Iu87g0KmCtAC 9nEO%2bU 7k FyB%2fF E6Tt5bisVQH uN i Fgo/%3d%3d 1/6
4IEl�DI� Florida Building Code Online
Product Approval Method Method 1 Option A
Date Submitted 11/24/2014
Date Validated 12/15/2014
Date Pending FBC Approval
Date Approved 12/17/2014
Summary of Products
PL Model,Number or Name DescriptIsn
5167.1 07-09, 07-10 and 07-20 Reflections 5500, Prism Platinum, Sears 9300,Amcraft Grand
Estates Premier Vinyl Double Hung
Umits of Use Certification Agency Certificate
Approved for use In HVHZ: No FL5167 R16 C CAC 07-09 DH 36x63 R50.odf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 07-09 DH 37x76 R PG65.pdf
Impact Resistant: No FL5167 R16 C CAC 07-09 DH 37x84 R PG60.pdf
Design Pressure: N/A FL5167 R16 C CAC 07-09 DH 44x64R50.pdf
Other:48x80 (+/-25 PSF), 56x84 (+/-25 PSF), 53x76(+/-50 FL5167 R16 C CAC 07-09 DH 47x71 R PG50.odf
PSF), 36x63 (+/-50 PSF), 44x64 (+/-50 PSF), 47x71 (+/-50 FL5167 R16 C CAC 07-09 DH 48x80 R25,pdf
PSF), 37x84 (+/-60 PSF), 37x76 (+/-65 PSF) FL5167 R16 C CAC 07-09 DH 53x76 R50,ndf
FL5167 R16 C CAC 07-09 DH 56x84 R PG25.odf
FL5167 R16 C CAC 07-10 07-20 waiver to 07-09.odf
Quality Assurance Contract Expiration Date
04/19/2015
Installation Instructions
FL5167 R16 II IN0066 07-09 07-10 07-20 DH 1X.pdf
FL5167 R16 II IN0067 07-09 07-10 07-20 DH 2X.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3248 07-09 07-10 07-20 DH.pdf
Created by Independent Third Party: Yes
5167.2 07-09, 07-10 and 07-20 Reflections 5500, Prism Platinum, Sears 9300, Amcraft Grand
Estates Premier Vinyl Double Hung with Transom
Milks of Ilse Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-09 DH w Transom 53x130 R
Approved for use outside HVHZ: Yes pG50.odf
Impact Resistant: No FL5167 R16 C CAC 07-10 07-20 waiver to 07-09.pdf
Design Pressure: +50/-50 Quality Assurance Contract Expiration Date
Other: 53x130 04/19/2015
Installation Instructions
Fl 5167 R16 II IN0063 07-09 07-10 07-20 DH w Transom
2X.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.3 07-09, 07-10 and 07-20 Reflections 5500, Prism Platinum, Sears 9300, Amcraft Grand
Estates Premier Vinyl Double hung H-Mulled Triple
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-09 DH Triple 126x76 R PG50.odf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 07-09 DH Triple 160x76 R PG50.pdf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +50/-SO 04/19/2015
Other: 160x76, 126x76 Installation Instructions
F15167 R16 II IN0555 07-09 07-10 07-20 DH Twin-
Triole.odf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.4 07-09, 07-10 and 07-20 Reflections 5500, Prism Platinum, Sears 9300, Amcraft Grand
Estates Premier Vinyl Double Hung Triple with Transom Triple
Omits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-09 OH Triple w Transom Triple
Approved for use outside HVHZ:Yes 109x88 R PG3S.odf
Impact Resistant: No FL5167 R16 C CAC 07-10 07-20 waiver to 07-09.odf
halls://www.floridabuilding.org/pr/pr_app dtl.aspx?param=wGEV%QwtDgtZMlu87g0KmCtAC9nE0%2bU7kPyB%2fFE6Tt5bisVQHuNiFg%3d%3d 216
'y@ e. Florida Building Code Online
Design Pressure: +35/-35 Quality Assurance Contract Expiration Date
Other. 109x88 01/31/2017
Installation Instructions
FL5167 R16 II IN0556 07-09 07-10 07-20 DH Triple w
Transom TriDle.Ddf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.5 07-20 (Nailing Fin Installation) Reflections 5500, Prism Platinum, Sears 9300 Vinyl Double
Hung
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-20 DH 37x76 R PG65(ext.).Ddf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 07-20 DH 53x76 R PG50(ext,),pdf
Impact Resistant: No FL5167 R16 C CAC 07-20 DH 56x84 R PG25 (ext,).pdf
Design Pressure: N/A Quality Assurance Contract Expiration Date
I Other: 56x84 (+/-25 PSF), 53x76(+/-50 PSF) &37x76 07/28/2016
(+/-65 PSF) Installation Instructions
FI 5167 R16 11 IN0179 07-20 DH 2X,pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.6 42-19 ProFinish Brickmould 600 Vinyl Double Hung
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 42-19 DH 36x63 R PG50(ext.l.odf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 42-19 DH 36x74 R PG50(ext,).pdf
Impact Resistant: No FL5167 R16 C CAC 42-19 DH 48x80 R PG35 (ext,).pdf
Design Pressure: N/A FL5167 R16 C CAC 42-19 OH 52x71 R PG35 (ext,),pdf
Other: 52x71 (+/-35 PSF), 48x80 (+/-35 PSF), 36x63 (+/-50 Quality Assurance Contract Expiration Date
PSF), 36x74 (+/-50 PSF) 09/14/2016
Installation Instructions
FL5167 R16 II IN0130 42-19 DH 1X.pdf
FL5167 R16 II IN0148 42-19 DH 2X.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3249 42-19 DH.Ddf
Created by Independent Third Party:Yes
5167.7 42-19 ProFinish Brickmould 600 Vinyl Double Hung Twin
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 42-19 OH Twin 73x63 R PG35 (ext.l.Ddf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 42-19 DH Twin 73x76 R PG50 (ext,).pdf
Impact Resistant: No FL5167 R16 C CAC 42-19 DH Twin 89x63 R PG30 (ext.),Ddf
Design Pressure: N/A FL5167 R16 C CAC 42-19 DH Twin 97x80 R PG30 (ext.).pdf
Other: 89x63 (+/-30 PSF), 97x80 (+/-30 PSF), 73x63 Quality Assurance Contract Expiration Date
(+/-35), 73x76 (+/-50 PSF) 10/05/2016
Installation Instructions
FL5167 R16 II IN0150 42-19 DH Twin 2X.Ddf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.8 42-19 ProFlnish Brickmould 600 Vinyl Double Hung Triple
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 42-19 DH Triple 109x74 R PG35
Approved for use outside HVHZ: Yes jext,),Ddf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +35/-35 10/05/2016
Other: 109x74 Installation Instructions
FL5167 R16 II 1N0151 42-19 OH Iriple 2X.Ddf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.9 43-17 1 Profinish Contractor, ProFinish Master and Amcraft Grand
Estates New Construction Vinyl Double Hung
Limits of Use Certification Agency Certificate
https://www.floridabui Idi ng.org/pr/pr_app_dtl.aspx?par am=wGEVXQwIDgIZM I u87g0KmCtAC 9nEO%2bU 7kFyB%2fF E6Tt5bi sVQH uN i Fg%3d%3d 3(6
4/8/201., Florida Building Code Online
Approved for use in HVHZ: No FL5167 R16 C CAC 43-17 DH (Fin) 44x63 R PG35(ext.).odf
Approved for use outside HVHZ: Yes FL5167 R16 C CAC 43-17 DH (Fin) 48x80 R PG30(ext.).odf
Impact Resistant: No FL5167 R16 C CAC 43-17 DH 26x76 R50.odf
Design Pressure: N/A FL5167 R16 C CAC 43-17 DH 32x62 R50.odf
Other: 36x72 (+/-30 PSF), 48x80 (+/-30 PSF), 53x71 (+/-35 FL5167 R16 C CAC 43-17 OH 36x63 R PG45.odf
PSF, 44x63 (+/-35 PSF), 48x80 (+/-35 PSF), 36x63 (+/-45 FL5167 R16 C CAC 43-17 DH 36x72 R30.odf
PSF), 44x63 (+/-45 PSF), 26x76 (+/-50 PSF) & 36x74 (+/-50 FL5167 R16 C CAC 43-17 DH 36x74 R50.odf
PSF), 32x62 (+/-50 PSF) FL5167 R16 C CAC 43-17 DH 44x63 R45,pdf
FL5167 R16 C CAC 43-17 DH 48x80 R35.pdf
FL5167 R16 C CAC 43-17 DH 53x71 R35.odf
Quality Assurance Contract Expiration Date
04/20/2015
Installation Instructions
FL5167 R16 II 1N0096 43-17 DH 2X.odf
FL5167 R16 II 1N0254 43-17 DH 1X.odf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3250 43-17 DH,pdf
Created by Independent Third Party: Yes
5167.10 43-17 Profinish Contractor, ProFinish Master and Amcraft Grand
Estates New Construction Vinyl Double Hung T-mulled Twin
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 43-17 DH Twin 72x74 R PG45.odf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 43-17 DH Twin 73x63 R PG35.pdf
Impact Resistant: No FL5167 R16 C CAC 43-17 DH Twin 89x63 R30.odf
Design Pressure: N/A FL5167 R16 C CAC 43-17 OH Twin 96x80 R PG25.odf
Other. 96x80 (+/-25 PSF), 89x63 (+/-30 PSF), 73x63 (+/-35 Quality Assurance Contract Expiration Date
PSF) &72x74 (+/-45 PSF) 10/30/2016
Installation Instructions
FL5167 R16 II IN0099 43-17 DH Twin 2X.odf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.11 43-35(Two-Step Sill) 6100 Vantage Pointe, Asure, Prism Gold, Grand Estates Vinyl
Double Hung
limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 43-35 DH 36x72 R30.odf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 43-35 DH 44x63 R25.odf
Impact Resistant: No FL5167 R16 C CAC 43-35 DH 46x84 R25.pdf
Design Pressure: N/A FL5167 R16 C CAC 43-35 DH 48x80 R35.odf
Other.44x63 (+/-25 PSF), 46x84 (+/-25 PSF), 36x72 (+/-30 FL5167 R16 C CAC 43-35 DH 52x71 R35.odf
PSF), 48x80 (+/-35 PSF), 52x71 (+/-35 PSF) Quality Assurance Contract Expiration Date
01/24/2016
Installation Instructions
FL5167 R16 II 1N0105 43-35 DH 2X.odf
FL5167 R16 II IN0568 43-35 DH 1X.odf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3251 43-35 DH.odf
Created by Independent Third Party: Yes
5167.12 43-35(Two-Step Sill)and 43-50 6100 Vantage Pointe,Asure, Prism Gold, Grand Estates Vinyl
(Three-Step Sill) Double Hung Twin with Transom
Limits of Use Certification Agency Cert$eate
Approved for use in HVHZ: No FL5167 R16 C CAC SIM 43-35 DH AAMA 450 73x111
Approved for use outside HVHZ:Yes R35.odf
Impact Resistant: No FL5167 R16 C CAC SIM 43-50 DH AAMA 450 73x111
Design Pressure: +35/-35 R35.odf
Other: 73x111 Quality Assurance Contract Expiration Date
01/24/2016
Installation Instructions
FL51()7 R1_6_jINQ535 43-35 43-50 DH Twin with Transom
j �X__.Pcif
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.13 43-40 and 43-45 Reflections 5050, Reflections 5300, Prism Bronze, Prism Ultra
Gold Amcraft Grand Estates, Amcraft Grand Estates Plus,
THD 6100 Vantage Pointe Vinyl Double Hung
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtZMIu87g0KmCIAC9nEO%2bU7kPyB%2fFE6TI5bisVQHuNiFg%3d%3d 4/6
•48/2016' Florida Building Code Online
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 43-40 DH 32x62 R50.Ddf
Approved for use outside HVHZ: Yes FL5167 R16 C CAC 43-40 DH 36x63 R45.Ddf
Impact Resistant: No FL5167 R16 C CAC 43-40 DH 36x72 R30,Ddf
Design Pressure: N/A FL5167 R16 C CAC 43-40 DH 36x74 R50.Ddf
Other: 36x72 (+/-30 PSF), 52x71 (+/-35 PSF), 48x80(+/-35 FL5167 R16 C CAC 43-40 DH 44x63 R PG45.odf
PSF), 36x63 (+1-45 PSF), 44x63 (+/-45 PSF), 32x62 (+/-50 FL5167 R16 C CAC 43-40 OH 48x80 R35.Ddf
PSF), 36x74 (+/-50 PSF) FL5167 R16 C CAC 43-40 DH 52x71 R35.0df
FL5167 R16 C CAC 43-45 waiver to 43-40.pdf
Quality Assurance Contract Expiration Date
09/12/2016
Installation Instructions
FL5167 R16 II IN0432b 43-40 43-45 DH 2X.Ddf
FL5167 R16 II IN0434 43-40 43-45 DH 1X.Ddf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3252 43-40 43-45 DH,odf
Created by Independent Third Party: Yes
5167.14 43-50(Three-Step SIN) 6100 Vantage Point.,Asure, Prism Gold, Grand Estates Vinyl
Double Hung
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 43-50 DH 32x62 R50,odf
Approved for use outside HVHZ: Yes FL5167 R16 C CAC 43-50 DH 36x63 R45.Ddf
Impact Resistant: No FL5167 R16 C CAC 43-50 DH 36x74 R50.Ddf
Design Pressure: N/A FL5167 R16 C CAC 43-50 DH 44x63 R45,pdf
Other. 52x71 (+/-35 PSF), 36x63 (+/-45 PSF), 44x63 (+/-45 FL5167 R16 C CAC 43-50 DH 52x71 R35,odf
PSF), 32x62 (+/-50 PSF), 36x74 (+/-50 PSF) Quality Assurance Contract Expiration Date
01/25/2016
Installation Instructions
FL5167 R16 II IN0432 43-50 DH 2X,Ddf
FL5167 R16 II IN0569 43-50 DH 1X.Ddf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3253 43-50 DH.pdf
Created by Independent Third Party: Yes
5167.15 75-75, 75-09, 07-75, 07-09, 07-10 Reflections 5500, Prism Platinum, Sears 9300, Generations,
and 07-20 Impressions 9800, THD 6500 Vantage Pointe, Amcraft Grand
Estates Premier/Premium Plus, Grandura Vinyl Double Hung
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-10 07-20 to 07-09 Waiver,Ddf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 07-75 75-09 07-09 to 75-75 Waiver,odf
Impact Resistant: No FL5167 R16 C CAC 07-75 DH 48x80 R PG35.odf
Design Pressure: N/A FL5167 R16 C CAC 07-75 DH 53x74 R PG3O.odf
Other.48x80(+/-25 PSF), 53x74 (+/-30 PSF), 48x80(+/-35 FL5167 R16 C CAC 07-75 DH 53x80 R40,Ddf
PSF), 52x71 (+/-35 PSF), 53x80 (+/-40 PSF), 36x63 (+/-50 FL5167 R16 C CAC 75-75 OH 36x63 R PG50.Ddf
PSF), 36x74 (+/-50 PSF) FL5167 R16 C CAC 75-75 DH 36x74 LC50.pdf
FL5167 R16 C CAC 75-75 DH 48x80 LC PG25.pdf
FL5167 R16 C CAC 75-75 DH 52x71 R PG35,Ddf
Quality Assurance Contract Expiration Date
03/25/2015
Installation Instructions
FL5167 R16 II IN0113 75-75 75-09 07-75 07-09 07-10 07-20
PH 2X.Ddf
FL5167 R16 II IN0132 75-75 OH 1X.Ddf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3254 75-75 DH.Ddf
Created by Independent Third Party: Yes
5167.16 75-75, 75-09, 07-75, 07-09, 07-10 Reflections 5500, Prism Platinum, Sears 9300, Generations,
and 07-20 Impressions 9800, 6500 Vangtage Pointe, Amcraft Grand
Estates Premier/Premium Plus, Grandura Vinyl Double Hung
H-Mulled Triple
Limits of Use Certification AgencyCertiificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-10 07-20 waiver to 07-09.odf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 07-75 75-09 07-09 to 75-75 Waiver,Ddf
Impact Resistant: No FL5167 R16 C CAC 75-75 DH Triple 109x74 R PG50.Ddf
Design Pressure: +50/-50 Quality Assurance Contract Expiration Date
Other: 109x74 (+/-50 PSF) 09/13/2016
Installation Instructions
FL5167 R16 II IN0060 75-75 OH Triple or Twin 2X,pdf
Verified By: American Architectural Manufacturers
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtZM Iu87gOKmCIAC9nEO%2bU7kPyB%2fFE6Tt5bisVQHuNiFg%3d%3d 5/6
4/812015 Florida Building Code Online
Association
Created by Independent Third Party:
'Evaluation Reports
Created by Independent Third Party:
5167.17 75-75, 75-09, 07-75, 07-09, 07-10 Reflections 5500, Prism Platinum, Sears 9300, Generations,
and 07-20 Impressions 9800, THD 6500 Vangtage Pointe, Amcraft Grand
Estates Premier/Premium Plus, Grandura Vinyl Double Hung
H-Mulled Twin with Transom
Limits of Use Certiffication Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 75-75 DH Twin w Transom 73x111 R
Approved for use outside HVHZ: Yes JG50.odf
Impact Resistant: No FL5167 R16 C CAC ACP-05 SIM 75-75, 07-09, 07-75, 07-09.
Design Pressure: +50/-50 75-10 75-20 DH frame.odf
Other: 73x111 *Glazing complies with ASTM E 1300-04. Quality Assurance Contract Expiration Date
09/13/2016
Installation Instructions
FL5167 R16 II IN0062 75-75 DH Twin w Transom,odf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE B5764.03-122-34-r0.odf
Created by Independent Third Party:Yes
MISI
Contact Us:: 1940 Nprth Monroe Street.Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer.Copynght 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 electronic
mall 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 Section
455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have
one.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 a
personal 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 Chapter
455,F.S., please click here.
Product Approval Accepts:
https://www.flori dabui ldi ng.org/pr/pr_app_dtl.aspx?par am=wGEVXOwtDgtZ M Iu87g0KmCtAC 9nEO%2bU 7kPyB%2fF E6Tt5bisVQH uN i Fg%3d%3d 6/6
11812015 • Florida Building Code Online
F.ORIOA OCPARttnCNT OF
Business & Professional Regulation
DBFI U:':IS IONS=
Florida pepartmentd BCIS Home Log In User Registration I Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search
Busines 4
Professib IGI Product Approval
'USER: Public User
Regulation
Product Approval Menu>Product or Application Search>Application List>Applkation Detail
►OFFICE OFTHE. -.. FL# FL10124-R14
SEC-
Application Type Revision
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer GAF
Address/Phone/Email 1 Campus Drive
Parisppany, NJ 07054
(973) 872-4421
lindareith @trinityerd.com
Authorized Signature Beth McSorley
lindareith @trinityerd.com
Technical Representative Beth McSorley
Address/Phone/Email 1361 Alps Road - Bldg 11-1
Wayne, NJ 07470
(973) 872-4421
BMcSorley @gaf.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 09/15/2015
Validated By John W. Knezevich, PE
Validation Checklist - Hardcopy Received
Certificate of Independence Ft 10124 R14 COI 2014 04 COI Nieminen,pdf
Referenced Standard and Year (of Standard) Standard Year
ASTM D3161 (Class F) 2006
ASTM D3462 2007
ASTM D7158 (Class H) 2007
TAS 107 1995
Equivalence of Product Standards
Certified By
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdMQNZD6Zesy3BpT6YGGOoRaxOA%2bowUcfG7w%3d%3d 1/2
41812015" Florida Building Code Online
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 12/17/2014
Date Validated 12/18/2014
Date Pending FBC Approval 12/20/2014
Date Approved 02/23/2015
Date Revised 03/31/2015
Summary of Products
FL it Modell,Number of Name Description
10124.1 I GAF Asphalt Roof Shingles Fiberglass reinforced 3-tab, laminated, 5-tab and hip/ridge
asphalt shingles
Limits of Use InstallatlM Instructions
Approved for use in HVHZ: No FL10124 R14 II 2014 12 FINAL ER GAF Asphalt
Approved for use outside HVHZ: Yes 5_hingles FL10124-R14,pdf
Impact Resistant: N/A Verified By: Robert Nieminen PE-59166
Design Pressure: N/A Created by Independent Third Party: Yes
Other: Refer to ER, Section 5. Evaluation Reports
FL10124 R14 AE 2014 12 FINAL ER GAF Asphalt
Shingles FL10124-R14.odf
Created by Independent Third Party: Yes
(Back Cal
Contact Us:: 1940 North Monroe Street,Tallahassee Fl 32399 Phone: 850-487-1824
The State of Honda is an AA/EEO employer.Copyright 2007-2013 State of Florida,::Privacy Statement::tkccessibilitv 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 electronic
mail to tlas entity. Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395. 'Pursuant to Section
455.275(1), Florida Statutes,effective October 1, 2012, licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have
one.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 a
personal 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 Chapter
455, F.S., please click here.
Product Approve!Accepts:
L' J 1 in To
lira, •
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•
F..ORIOA DEPARTMENT OF It I Ifilr-- ,
Business & Professional Regulation •
. .. r, 177: OBPR 011PR Oicisior.s oarAcT OBPR
Florida r)enmerltw SOS BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BS Site Map links Search
Businearss,
'in•roducticUser
Profession'-al Ap l
'r7 USER: Public User
Regulation
littnuelfidentiy.Regulatefaidy. Product Approval Menu>Product or Application Search>Application list>Applkation Detail
II OFFICE OF THE r FL# FL5167-R16
SECRETARY
Application Type Revision
Code Version 2010
Application Status Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed and ratified
by the POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Simonton Windows
Address/Phone/Email 1 Cochrane Ave
Pennsboro, WV 26415
(800) 746-6687 Ext 2329
tiffany.davies @simonton.com
Authorized Signature Tiffany Davies
tiffany.davies @simonton.com
Technical Representative Tiffany Davies
Address/Phone/Email PO Box 1646
5300 Briscoe Road
Parkersburg, WV 26102
(800) 542-9118 Ext 9329
tiffany_,davies@simonton.com
Quality Assurance Representative AAMA
Address/Phone/Email 1827 Walden Office Square
Suite 550
Schaumburg, IL 60173
(847) 303-5664
webmaster @aamanet.org
Category Windows
Subcategory Double Hung
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Association
Referenced Standard and Year (of Standard) Standard Year
AAMA 450 2006
AAMA 450 2010
AAMA/WDMA/CSA 101/I.S.2 A440 2005
AAMA/WDMA/CSA 101/I.S.2 A440 2008
Equivalence of Product Standards
Certified By
I
https://www.fl oridabui ldi ng.org/pr/pr_app_dlI.aspx?par am=wGEVXQwtDgtZ M l u87gDKm CtAC 9nE0%2bU 7kPyB%2fF E6Tt5bisVQH uN i Fg%3d%3d 1/6
'4/092015\ Florida Building Code Online
Product Approval Method Method 1 Option A
Date Submitted 11/24/2014
Date Validated 12/15/2014
Date Pending FBC Approval
Date Approved 12/17/2014
Summary of Products
------- ----- ---- - ----
R• Modal,Number or Nam* Description
5167.1 07-09, 07-10 and 07-20 Reflections 5500, Prism Platinum, Sears 9300, Amcraft Grand
Estates Premier Vinyl Double Hung
limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-09 DH 36x63 R50.Pdf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 07-09 DH 37x76 R PG65.vdf
Impact Resistant: No FL5167 R16 C CAC 07-09 DH 37x84 R PG60.pdf
Design Pressure: N/A FL5167 R16 C CAC 07-09 DH 44x64R50.pdf
Other.48x80 (+/-25 PSF), 56x84 (+/-25 PSF), 53x76(+/-50 F15167 R16 C CAC 07-09 DH 47x71 R PG50.pdf
PSF), 36x63 (+/-50 PSF), 44x64 (+/-50 PSF), 47x71 (+/-50 FL5167 R16 C CAC 07-09 DH 48x80 R25,pdf
PSF), 37x84 (+/-60 PSF), 37x76 (+/-65 PSF) FL5167 R16 C CAC 07-09 DH 53x76 R50.odf
FL5167 R16 C CAC 07-09 DH 56x84 R PG25,odf
FL5167 R16 C CAC 07-10 07-20 waiver to 07-09,odf
Quality Assurance Contract Expiration Date
04/19/2015
Installation Instructions
FL5167 R16 II IN0066 07-09 07-10 07-20 DH 1X,pdf
FL5167 R16 II IN0067 07-09 07-10 Q7-20 DH 2X.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3248 07-09 07-10 07-20 DH.pdf
Created by Independent Third Party: Yes
5167.2 07-09,07-10 and 07-20 Reflections 5500, Prism Platinum, Sears 9300, Amcraft Grand
Estates Premier Vinyl Double Hung with Transom
Limits of Use C*rtftati n Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-09 DH w Transom 53x130 R
Approved for use outside HVHZ: Yes FG50.odf
Impact Resistant: No FL5167 R16 C CAC 07-10 07-20 waiver to 07-09,pdf
Design Pressure: +50/-50 Quality Assurance Contract Expiration Date
Other. 53x130 04/19/2015
Installation Instructions
FL5167 R16 II IN0063 07-09 07-10 07-20 DH w Transom
2X.pdf -- ---
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
I Created by Independent Third Party:
5167.3 07-09, 07-10 and 07-20 I Reflections 5500, Prism Platinum, Sears 9300, Amcraft Grand
Estates Premier Vinyl Double Hung H-Mulled Triple
Limits of Use Certification Agency C*ft$cate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-09 DH Triple 126x76 R PG50,odf
Approved for use outside HVHZ: Yes FL5167 R16 C CAC 07-09 DH Triple 160x76 R PG50.odf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +50/-50 04/19/2015
Other. 160x76, 126x76 Installation Instructions
FL5167 R16 II IN0555 07-09 07-10 07-20 DH Twin-
Triole,odf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.4 107-09,07-10 and 07-20 1 Reflections 5500, Prism Platinum, Sears 9300, Amcraft Grand
Estates Premier Vinyl Double Hung Triple with Transom Triple
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-09 DH Triple w Transom Triple
Approved for use outside HVHZ: Yes '109x88 R PG35.odf
Impact Resistant: No FL5167 R16 C CAC 07-10 07-20 waiver to 07-09.odf
Imps://www floc dabtilding.org/pr/pr_app_dtl.asirx'?p gram=wGEVXQwtDgtZMIu87g0KmCtAAC9nEO%2bU7kPyB%2fFE6Tt5bisVQHuNiFg%3d%3d 2/6
4/8/2015 Florida Building Code Online
Design Pressure: +35/-35 Quality Assurance Contract Expiration Date
Other: 109x88 01/31/2017
Installation Instructions
FL516/ R16 II IN0556 07-09 07-10 07-20 DH Triple w
Transom Triple.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.5 07-20 (Nailing Fin Installation) Reflections 5500, Prism Platinum, Sears 9300 Vinyl Double
Hung
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-20 DH 37x76 R PG65 (ext.).pdf
Approved for use outside HVHZ: Yes FL5167 R16 C CAC 07-20 DH 53x76 R PG50(ext.).pdf
Impact Resistant: No FL5167 R16 C CAC 07-20 DH 56x84 R PG25 (ext.).pdf
Design Pressure: N/A Quality Assurance Contract Expiration Dab
Other: 56x84 (+/-25 PSF), 53x76 (+/-50 PSF) &37x76 07/28/2016
(+/-65 PSF) Installation Instructions
FL5167 R16 II IN0129 07 20 1M 2X.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.6 42-19 ProFinish Brickmould 600 Vinyl Double Hung
Limits of Use Certification Agency Grtificate
Approved for use in HVHZ: No FL5167 R16 C CAC 42-19 DH 36x63 R PG50(ext.).pdf
Approved for use outside HVHZ: Yes FL5167 R16 C CAC 42-19 DH 36x74 R PG50(ext.).pdf
Impact Resistant: No FL5167 R16 C CAC 42-19 DH 48x80 R PG35 (ext.).odf
Design Pressure: N/A FL5167 R16 C CAC 42-19 DH 52x71 R PG35 (ext.).pdf
Other: 52x71 (+/-35 PSF), 48x80 (+/-35 PSF), 36x63 (+/-50 Quality Assurance Contract Expiration Dab
PSF), 36x74 (+/-50 PSF) 09/14/2016
Installation Instructions
FL5167 R16 II IN0130 42-19 DH 1X.pdf
FL5167 R16 II IN0148 42-19 DH 2X.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation*.ports
FL5167 R16 AE PER3249 42-19 DH.odf
Created by Independent Third Party: Yes
5167.7 42-19 Proflnish Brickmould 600 Vinyl Double Hung Twin
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 42-19 DH Twin 73x63 R PG35 (ext.).odf
Approved for use outside HVHZ: Yes FL5167 R16 C CAC 42-19 DH Twin 73x76 R PG50(ext.).pdf
Impact Resistant: No FL5167 R16 C CAC 42-19 DH Twin 89x63 R PG30(ext.).pdf
Design Pressure: N/A FL5167 R16 C CAC 42-19 DH Twin 97x80 R PG30 (ext.).pdf
Other: 89x63 (+/-30 PSF), 97x80 (+/-30 PSF), 73x63 Quality Assurance Contract Expiration Date
(+/-35), 73x76(+/-50 PSF) 10/05/2016
Installation Instructions
FL5167 R16 II IN0150 42-19 DH Twin 2X.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.8 42-19 ProFinish Brickmould 600 Vinyl Double Hung Triple
LNnits of Use Certdication Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 42-19 DH Triple 109x74 R PG35
Approved for use outside HVHZ: Yes (ext.).pdf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +35/-35 10/05/2016
Other: 109x74 Installation Instructions
FL5167 R16 II IN0151 42-19 DH Triple 2X.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.9 43-17 Profinish Contractor, ProFinish Master and Amcraft Grand
Estates New Construction Vinyl Double Hung
Limits of Use Certification Agency Certificate
https:/lwww.fl oridatwi Idi ng.orglpr/pr_app_dtl.aspx?param=wGEVXQwtDgtZ M I u87g0KmCtAC 9nEO%2bU 7kPyB%2fF E6Tt5bisVQH uN i Fg%3d%3d 3/6
4/8/2015 Florida Building Code Online
Approved for use in HVHZ: No FL5167 R16 C CAC 43-17 DH (Fin)44x63 R PG35 (ext,).odf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 43-17 DH (Fin)48x80 R PG30(ext,).odf
Impact Resistant: No FL5167 R16 C CAC 43-17 DH 26x76 R50.odf
Design Pressure: N/A FL5167 R16 C CAC 43-17 DH 32x62 R50.odf
Other: 36x72 (+/-30 PSF), 48x80 (+/-30 PSF), 53x71 (+/-35 FL5167 R16 C CAC 43-17 OH 36x63 R PG45.Ddf
PSF, 44x63 (+/-35 PSF), 48x80 (+/-35 PSF), 36x63 (+/-45 FL5167 R16 C CAC 43-17 DH 36x72 R30,Ddf
PSF), 44x63 (+/-45 PSF), 26x76 (+/-50 PSF) &36x74 (+/-50 FL5167 R16 C CAC 43-17 DH 36x74 R50.odf
PSF), 32x62 (+/-50 PSF) FL5167 R16 C CAC 43-17 DH 44x63 R45.odf
FL5167 R16 C CAC 43-17 DH 48x80 R35.odf
FL5167 R16 C CAC 43-17 DH 53x71 R35.odf
Quality Assurance Contract Expiration Date
04/20/2015
Installation Instructions
FL5167 R16 II IN0096 43-17 DH 2X.odf
FL5167 R16 II IN0254 43-17 DH 1X.odf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AL PER3250 43-17 DH.pdf
Created by Independent Third Party: Yes
5167.10 1 43-17 Profinish Contractor, ProFinish Master and Amcraft Grand
Estates New Construction Vinyl Double Hung T-mulled Twin
Limits of Use Certification Agency Certilicate
Approved for use in HVHZ: No FL5167 R16 C CAC 43-17 DH Twin 72x74 R PG45.odf
Approved for use outside HVHZ: Yes fL5167 R16 C CAC 43-17 DH Twin 73x63 R PG35.odf
Impact Resistant: No FL5167 R16 C CAC 43-17 OH Twin 89x63 R30.Ddf
Design Pressure: N/A FL5167 R16 C CAC 43-17 DH Twin 96x80 R PG25.odf
Other: 96x80 (+/-25 PSF), 89x63 (+/-30 PSF), 73x63 (+/-35 Quality Assurance Contract Expiration Date
PSF) &72x74 (+/-45 PSF) 10/30/2016
Installation Instructions
Fl 5167 R16 II IN0099 43-17 DH Twin 2X.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.11 143-35 (Two-Step Sill) 6100 Vantage Pointe, Asure, Prism Gold, Grand Estates Vinyl
Double Hung
Limits of Use Certifkatlon Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 43-35 DH 36x72 R30.odf
Approved for use outside HVHZ: Yes FL5167 R16 C CAC 43-35 DH 44x63 R25.odf
Impact Resistant: No FL5167 R16 C CAC 43-35 DH 46x84 R25.Ddf
Design Pressure: N/A FL5167 R16 C CAC 43-35 DH 48x80 R35.Ddf
Other:44x63 (+/-25 PSF), 46x84 (+/-25 PSF), 36x72 (+/-30 FL5167 R16 C CAC 43-35 DH 52x71 R35.Ddf
PSF), 48x80 (+/-35 PSF), 52x71 (+/-35 PSF) QuaNty Assurance Contract Expiration Date
01/24/2016
Installation Instructions
FL5167 R16 II IN0105 43-35 DH 2X.Ddf
FL5167 R16 II IN0568 43-35 DH 1X.Ddf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3251 43-35 DH.odf
Created by Independent Third Party: Yes
5167.12 43-35(Two-Step Sill)and 43-50 6100 Vantage Pointe,Asure, Prism Gold, Grand Estates Vinyl
(Three-Step Sill) Double Hung Twin with Transom
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC SIM 43-35 DH AAMA 450 73x111
Approved for use outside HVHZ: Yes R35.Ddf
Impact Resistant: No FL5167 R16 C CAC SIM 43-50 DH AAMA 450 73x111
Design Pressure: +35/-35 R35.Ddf
Other: 73x111 Quality Assurance Contract Expiration Date
01/24/2016
Installation Instructions
FL5167 R16 I: INCS S 43-35 43-50 DH in with Transom
2X.odf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.13 43-40 and 43-45 Reflections 5050, Reflections 5300, Prism Bronze, Prism Ultra
Gold Amcraft Grand Estates,Amcraft Grand Estates Plus,
•
'THD 6100 Vantage Pointe Vinyl Double Hung
https//www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtZMIu87g0KmCtAC9nEO%2bU7kPyB%2fFE6Tt5bisVQHuNiFg%3d%3d 4/6
4/8/2015 Florida Building Code Online
Limits of Use Certification Agency Grtmcate
Approved for use in HVHZ: No FL5167 R16 C CAC 43-40 DH 32x62 R50.odf
Approved for use outside HVHZ: Yes FL5167 R16 C CAC 43-40 DH 36x63 R45.odf
Impact Resistant: No FL5167 R16 C CAC 43-40 DH 36x72 R30.odf
Design Pressure: N/A FL5167 R16 C CAC 43-40 DH 36x74 R50,pdf
Other: 36x72 (+/-30 PSF), 52x71 (+/-35 PSF), 48x80(+/-35 FL5167 R16 C CAC 43-40 OH 44x63 R PG45.Ddf
PSF), 36x63 (+/-45 PSF), 44x63 (+1-45 PSF), 32x62 (+/-50 FL5167 R16 C CAC 43-40 DH 48x80 R35.Ddf
PSF), 36x74 (+/-50 PSF) FL5167 R16 C CAC 43-40 DH 52x71 R35,pdf
FL5167 R16 C CAC 43-45 waiver to 43-40.odf
Quality Assurance Contract Expiration Date
09/12/2016
Installation Instructions
FL5167 R16 II IN0432b 43-40 43-45 DH 2X.odf
FL5167 R16 II IN0434 43-40 43-45 DH 1X.odf
Verified By: American Architectural Manufacturers
i Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3252 43-40 43-45 DH.pdf
Created by Independent Third Party: Yes
5167.14 43-50(Three-Step Sill) 6100 Vantage Pointe, Asure, Prism Gold, Grand Estates Vinyl
Double Hung
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 43-50 DH 32x62 R50.odf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 43-50 DH 36x63 R45.odf
Impact Resistant: No FL5167 R16 C CAC 43-50 DH 36x74 R50.odf
Design Pressure: N/A FL5167 R16 C CAC 43-50 DH 44x63 R45.odf
Other. 52x71 (+/-35 PSF), 36x63 (+/-45 PSF), 44x63 (+/-45 I FL5167 R16 C CAC 43-50 DH 52x71 R35.Ddf
PSF), 32x62 (+/-50 PSF), 36x74 (+/-50 PSF) Quality Assurance Contract Expiration Date
01/25/2016
Installation Instructions
FL5167 R16 II IN0432 43-50 DH 2X,pdf
FL5167 R16 II IN0569 43-50 DH 1X,pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3253 43-50 DH.pdf
Created by Independent Third Party: Yes
5167.15 75-75, 75-09, 07-75, 07-09, 07-10 Reflections 5500, Prism Platinum, Sears 9300, Generations,
and 07-20 Impressions 9800,THD 6500 Vantage Pointe, Amcraft Grand
Estates Premier/Premium Plus, Grandura Vinyl Double Hung
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-10 07-20 to 07-09 Waiver.odf
Approved for use outside HVHZ: Yes FL5167 R16 C CAC 07-75 75-09 07-09 to 75-75 Waiver.odf
Impact Resistant: No FL5167 R16 C CAC 07-75 DH 48x80 R PG35,pdf
Design Pressure: N/A FL5167 R16 C CAC 07-75 DH 53x74 R PG30,pdf
Other. 48x80 (+/-25 PSF), 53x74 (+/-30 PSF), 48x80(+/-35 FL5167 R16 C CAC 07-75 DH 53x80 R40,odf
PSF), 52x71 (+/-35 PSF), 53x80 (+/-40 PSF), 36x63 (+/-50 FL5167 R16 C CAC 75-75 DH 36x63 R PG50.odf
PSF), 36x74 (+/-50 PSF) FL5167 R16 C CAC 75-75 DH 36x74 LC50.odf
FL5167 R16 C CAC 75-75 DH 48x80 LC PG25,Ddf
FL5167 R16 C CAC 75-75 DH 52x71 R PG35,odf
Quality Assurance Contract Expiration Dab
03/25/2015
Installation Instructions
FL5167 R16 II IN0113 75-75 75-09 07-75 07-09 07-10 07-20
PH 2X.Ddf
FL5167 R16 II IN0132 75-75 DH 1X.odf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE PER3254 75-75 DH,Ddf
Created by Independent Third Party: Yes
5167.16 75-75, 75-09, 07-75, 07-09, 07-10 Reflections 5500, Prism Platinum, Sears 9300, Generations,
and 07-20 Impressions 9800, 6500 Vangtage Pointe, Amcraft Grand
Estates Premier/Premium Plus, Grandura Vinyl Double Hung
H-Mulled Triple
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 07-10 07-20 waiver to 07-09,odf
Approved for use outside HVHZ:Yes FL5167 R16 C CAC 07-75 75-09 07-09 to 75-75 Waiver.odf
Impact Resistant: No FL5167 R16 C CAC 75-75 DH Triple 109x74 R PG50.odf
Design Pressure: +50/-50 Quality Assurance Contract Expiration Date
Other: 109x74 (+/-50 PSF) 09/13/2016
Installation Instructions
FL5167 R16 II IN0060 75-75 DH Triple or Twin 2X.odf
Verified By: American Architectural Manufacturers
https//www.fl oridabui ldi ng.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtZ M I u87g0KmCtAC 9nEO%2bU 7kPyB%2fFE6Tt5bisVQHuN i Fg%3d%3d 516
•41812015• Florida Building Code Online
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.17 75-75, 75-09, 07-75, 07-09, 07-10 Reflections 5500, Prism Platinum, Sears 9300, Generations,
and 07-20 Impressions 9800, THD 6500 Vangtage Pointe, Amcraft Grand
Estates Premier/Premium Plus, Grandura Vinyl Double Hung
H-Mulled Twin with Transom
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R16 C CAC 75-75 DH Twin w Transom 73x111 R
Approved for use outside HVHZ:Yes PG50.odf
Impact Resistant: No FL5167 R16 C CAC ACP-05 AIM 75-75, 07-09. 07-75. 07-09,
Design Pressure: +50/-50 75-10. 75-20 DH frame.odf
Other: 73x111 *Glazing complies with ASTM E 1300-04. Quality Assurance Contract Expiration Date
09/13/2016
Installation Instructions
FL5167 R16 II IN0062 75-75 DH Twin w Transom.odf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
FL5167 R16 AE 85764.03-122-34-r0.odf
Created by Independent Third Party: Yes
Back cm
Contact Us:: 1940 North Monroe Street.Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer.Copyright 2007-2013 State of Florida. :: Pnvecv 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 electronic
mail 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 Section
455.275(1),Flonda Statutes,effective October 1, 2012,licensees licensed under Chapter 455, F.S.must provide the Department with an email address if they have
one.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 a
personal 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 Chapter
455,F.S., please click here.
Product Approval Accepts:
nt%
https://www.fl or idabui ldi ng.org/pc/pr_app_dtl.aspx?par am=wGEVXQwtDgtZ M Iu87g0Km CtAC 9nEO%2bU 7kPyB%2fF E6Tt5bisVQH uN i Fg%3d%3d 6/6
154. Florida Building Code Online
F;OPIOO CEPAPTME. OF :I C l
Business & Professional Regulation l�J/
rOBPR NOME ABOUT DBP . 71E1510 `^ ';t 7.11
Florida Den rtrnefltc( BUS Home Log In User ROglsUftIOn I Hot Topics Submit Surcharge Stets&Facts Publications FBC Staff BUS Site Map Links Search
Busines /1
Professional USER PublicApproval User
Regulation
License efficiently.Regulus fairly. Product Approval Menu>Product or Application Search>Application List>Application Detail
►OFFICE WF.M.....,.. ,; FL# FL10124-R14
Application Type Revision
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer GAF
Address/Phone/Email 1 Campus Drive
Parisppany, NJ 07054
(973) 872-4421
lindareith @trinityerd.com
Authorized Signature Beth McSorley
lindareith @trinityerd.com
Technical Representative Beth McSorley
Address/Phone/Email 1361 Alps Road - Bldg 11-1
Wayne, NJ 07470
(973) 872-4421
BMcSorley @gaf.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 09/15/2015
Validated By John W. Knezevich, PE
Validation Checklist - Hardcopy Received
Certificate of Independence FL10124 R14 COI 2014 04 COI Nieminen,pdf
Referenced Standard and Year (of Standard) Standard Year
ASTM D3161 (Class F) 2006
ASTM D3462 2007
ASTM D7158 (Class H) 2007
TAS 107 1995
Equivalence of Product Standards
Certified By
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdMQNZD6Zesy3BpT6YGGOoRaxOA%2bowUcfG7w%3d%3d 1/2
4/8/2015 Florida Building Code Online
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 12/17/2014
Date Validated 12/18/2014
Date Pending FBC Approval 12/20/2014
Date Approved 02/23/2015
Date Revised 03/31/2015
Summary of Products
FL# Model, Number or Name Description
10124.1 GAF Asphalt Roof Shingles fiberglass reinforced 3-tab, laminated, 5-tab and hip/ridge
asphalt shingles
Omits of Use Installation Instructions
Approved for use in HVHZ: No FL10124 R14 II 2014 12 FINAL ER GAF Asphalt
Approved for use outside HVHZ:Yes Shingles FL10124-R14,odf
•
Impact Resistant: N/A Verified By: Robert Nieminen PE-59166
Design Pressure: N/A Created by Independent Third Party: Yes
Other: Refer to ER, Section 5. Evaluation Reports
fL10124 R14 AE 2014 12 FINAL ER GAF Asphalt
Shingles FL10124-R14.Ddf
L Created by Independent Third Party: Yes
QM MG
Contact Us :: 1940 North Monroe Street,Tallahassee FL 32399 Phone: 850-487-1924
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 electronic
mall 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 Section
455.275(1), Florida Statutes,effective October 1,2012, licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have
one.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 a
personal 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 Chapter
455,F.S.,please click bere_.
Product Approval Accept.:
xruritt..tttittcs
Credit SAFE
https://www.floridabuildirg.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdMQNZD6Zesy3BpT6YGGOoRax0A%2bowUcfG7w%3d°/n3d 2/2
Ordered By: r - tC c
9 #
.0.0 301(11O111 :,
a
LAWRENCE R. PATTERSON P.A. 6 — _.
rha u, tetra Si d • o
ATTORNEY AT LAW
'
3 v
PROPERTY ADDRESS 1878 BEACH AVENUE ATLANTIC BEACH,Florida 32233 SURVEY NUMBER: FL1208.1328
FIELD WORK DATE:8/23/2012 REVISION DATE(S):(rev.1 8/29/2012) (rev.1 8/24/2012)
FL1208.1328
BOUNDARY SURVEY FILE COPY
` DUVAL COUNTY
.
.
TABLE:
L I N 3°1 9'00"W 129.38'(P) •
N 3°1742"W 1 29.44' (M)
LOT 32
BLK I
z , 5A,
N 89°22'15" E 100.12'(M)
d d
slRC N 89°29'00"E 100.I 2'(P) 0 1/2"PIKC • -
L3N7337 LBN1435
11
� 1,
0.2'OfF .:r ...6 a 20.1'
30.2' :i" 21.1' . ...:t.
N• GARAGE V., t..LOT I 0 (\ 2I 2 51Y, — N .,..., O•� 41
BLK 1 0 0 L RES#187B 3.0' O. iS•33 LOT 33 .... ..... °:o• • . dr
d O BLK I a '...:'': O 1 , ,
en I O� '': u' 1 d ° .t
e }.
cr)to I I0.1 33.7 56.2' r �^ , p.
Z Z
7.5'ESMT. _ _ vO
Alli
1.2'OFF ' 6 W.F.(TYP•) ® ,� ^?
•
I/2'FIRC t ilk
11-1 NO ID `5 89°29'00"W 100.12'(I') z LB//6702 I
5 89°20'05"W 1 00.05'(M) ° I 12
LOT 9 0 0 —I
13LK I LOT 34 L I/ ./ I
BLK I
I FIPC
ILLEGIBLE
@P.C.
NOTES:
f n!r VS LOT APPEARS TO BE SERVICED BY CITY WATER AND SEWER
1.3,:f.,„g1i p FENCE OWNERSHIP NOT DETERMINED
I hereby certify at i6 'vetch o".., ,: . the hereon described
property has••e made uffirteriny direct,. ,-nd to me best of my
knowledge a d elief,it is a true and accu-1:representation of a
survey that thaaninirnwnl fete sr n•ards set forth by the
Florida Boa. f Professional Lang Su .1 as described in Chapter 30 0 15 30 ii i 1
5J-17 of the •'� •Adm'•ry...I.A Cede/
d5r0,4, uxva'tolt GRAPHIC SCALE (In Feet)
1 inch = 30' ft.
i
Mark A.Johnson \'�, �
State or Florida Professloral Surveyor and Mapper
License No.6572
Use of This Survey for Purposes other than Intended,Without Written Verification,will be at the User's Sole Risk and Without Liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
FLOOD INFORMATION: POINTS OF INTEREST
B performing a search with the local governing municipality or www. 1.CONCRETE DRIVEWAY OVER 15'EASEMENT 2.CONCRETE OVER 7.5'EASEMENT, 3.
Y p 9 9 p Y I AIR CONDITIONER PAD OVER 7.5'PRIVATE EASEMENT 4.6'WOOD FENCE OVER 7.5'
fema.gov,the property appears to be located in zone X.This Property was EASEMENT 5.WALL OVER 7.5'EASEMENT
found in THE CITY OF ATLANTIC BEACH,community number 120075,
dated 04/17/89. r__ –—GAIL STUCK ___ ,,,,
,.,..,...s,
.....„, —
CLIENT NUMBER:12-6534 DATE: 8/24/2012
REALTOR® KELLER
BUYER:THOMAS DAVID WALLS I 904-651-4050 WILLIAMS,.
WWW.SM00THSALESWITHGAIL.COM
SELLER:JAMES&BEVERLY STUCK --
CERTIFIED TO:THOMAS DAVID WALLS;OLD REPUBLIC NATIONAL TITLE
ilINSURANCE COMPANY;LAWRENCE R.PATTERSON,ATTORNEY,
P.A.;SUNTRUST MORTGAGE INC.;ITS SUCCESSORS AND/OR
ASSIGNS;AS THEIR INTERESTS MAY APPEAR www.surveystars.cc
Land Surveyors, Inc. P 866-735-1916' F866-744-28
-, . _ .___._ , _� __,:_ ;,..,,.i ,,.,u o� I Re 717, 17770 Towne Lake Drive.Suite 55.Ft.Myers,FL 331
l Orderer fay: ..
i
f. ,11.11.MAI III
LAWRENCE R. PATTERSON, P.A. „13, ito,. :_
10 1111W
1 ATTORNEY AT LAW r �'us
PROPERTY ADDRESS: 1878 BEACH AVENUE ATLANTIC BEACH, Florida 32233 SURVEY NUMBER: FLi208.1328
FIELD WORK DATE:8/23/2012 REVISION DATE(S):(rev.1 8/29/2012) (rev.1 8/24/2012)
f FL1208.1328
BOUNDARY SURVEY JOB COPY
DUVAL COUNTY THIS PLAN MUST BE
I TABLE: ON JOB SITE FOR
L I N 3°19'00"W 1 29.38'(P)
•
N 3°17'42"W 1 29.44' (M) EACH INSPECTION
LOT 32 • -
BLK
NI
z O N 89°22'15"E 100.12'(M) o
d N 89°29'00"E 100.12' (P) o I/2'FIRC SRC
1.13#7337 LBN1435 01#
1 d1/.
0.2'OFF
30.2' 21.1' • . . ..• el,
i 1 . a, N 1 STY, t�
LOT 10 �I 2 5TY. „p GARAGE o l i
0 RE5#I878 3.0' t" nl N•. O e' p
BLKI p Ci �' �.: 21.2' 1.
33 E- ' LOT 336:5 t. !:•' ;= . b: �i
i I O n BLKI ai 6?fse
N- I O— • : •� O ,':,.§,...,..,, o o' a �`
... •; "!!!/ :( ate. pa
Z Z 1 10.1 33.7' 56.2' tn' ,
7.5'ESMT-9.--7"--..4 - ; y •r� , 5 ,�•�
I,2'OFF , 6'W.F.(TYP.) ®- . .:...;� A iv-O
FIP I/2'FIRC 1 ,11
u, NO ID S 89°29'00"W 100.12'(P) z LBN6702I 1
5 89°20'05"W 1 00.05' (M) 0 1 12 '
z
LOT 0 ° —I
DLK I LOT 34 I ,• ,A4
BLK I
I FIPC
ILLEGIBLE
Qa P.C.
• NOTES:
PAX a toH ys0 LOT APPEARS TO BE SERVICED BY CITY WATER AND SEWER
FENCE OWNERSHIP NOT DETERMINED
I hereby certly r at•ibretch o •• • the hereon described
property has••e made ui( T Iy direct. , •nd to the best of my
knowledge a d'elief,it is a true and accu..t:representation of a
survey thh> - -:•die-minimum to ...:-Is:n y ands set forth by the
Florida Boa• . Professional La •,Su : d';'as described in Chapter 30 0 15 30 \
5J-17 of the <.Admi OP Cade ., \
4,
4.104,44 SuR3of� GRAPHIC SCALE (In Feet)
1 inch = 30' ft. Ito
Mark A.Johnson i-r1r-,
• Stale of Florida Professional Surveyor and Mapper
License No.6572
j Use of This Survey for Purposes other than Intended,Without Written Verification,will be at the User's Sole Risk and Without Liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
FLOOD INFORMATION: POINTS OF INTEREST
By performing a search with the local governing municipality or www. AIR CONDITIONER PAD OVER E7.5'PRIVATE EASEMENT CONCRETE 4.WOOD FENC O ER 75' 3.
fema.gov,the property appears to be located in zone X.This Property was EASEMENT 5.WALL OVER 7.5'EASEMENT
found in THE CITY OF ATLANTIC BEACH,community number 120075,
dated 04/17/89.
CP
, GAIL s.rucK ,117,)
CLIENT NUMBER:12-6534 • DATE: 8/24/2012 KELLER
REALTOR®
BUYER:THOMAS DAVID WALLS 904'65 -4050 WILLIAMS..,
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