WS-02-21-504Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
276 NE 93RD ST, Miami Shores, FL 33138 1132060133490
Contacts
FRANK AND ANDEA RANDAZZO Owner HOME OWNER Contractor
276 NE 93 ST, MIAMI SHORES, FL 331382827 HOME OWNER
Other:3056097129
Inspection Requests:
Description: install new front door Valuation: $ 3,500.00
Total Sq Feet: 0.00
MJ
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Scanning Fee
$9.00
Technology Fee
$2.75
Windows/Shutters Fee
$60.00
Total:
$128.95
Payments
Date Paid Amt Paid
Total Fees
$128.95
Credit Card
02/26/2021 $50.00
Credit Card
03/25/2021 $78.95
Amount Due:
$0.00
Building Department Copy
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
I Z�
Date
March 25, 2021
Page 2 of 2
Miami Shores Village
RECEIVED
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
BY:
FBC 20 20
Master Permit No. WS-W-2A- 5n2"F
Sub Permit No
❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 2!q 6, IV L-
City: Miami Shores County: Miami Dade Zip: 3 \ 3
Folio/Parcel#: -LC(
0 � � 3 \ el 7 Is the Building Historically Designated: Yes NO .X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �51�1— �, c2 `� Phone#: �J 00
Address: d�—� �C, N f
City: � 4 L'�) State: L Zip: _� l
Tenant/Lessee Name: Phone#:
Email
r—
CONTRACTOR: Company Name: 0 V✓ kA/— Phone#:
Address:
City: State:
p:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: 1pjST :' '�-C_ P -L-o 1� !�y�� ID-3 1�11
Specify color of color thru tile:
Submittal Fee $ 5V Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $ _
Notary $,
Double Fee $ _
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $'
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zi
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. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWN R or GENT
The foregoing instrume t w ack owledged before me this
day of
� 20
w is �r�onally known�o�
me or who has produced
identification and who did take an oath.
NOTARY PUBL :
Sign:
Print:
Signatu
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
as me or who has produced
20 , by
, who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
as
Seal: dQANC.FEfi1�R Seal:
ICY COMMISSION / 00 256151
air -
APPROVED BY I � Plans Examiner Zoning
Structural Review
Clerk
(Revised 02/24/2014)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: �� �iV` t� 1� e�-)—SATE:
ADDRESS: I')—"( (D N L,5" S 1— M VOm N S u-,,t F L
39
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have
read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption
allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a
cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or
lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built
for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make
sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on
your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and
with -holdings tax and provide workers' compensation for that employee, all as prescribed by law, Your construction must comply with all
applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an
exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain
restrictions even though I do not have a license.
Initial
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and
is not hiring a licensed contractor to assume responsibility.
Initial
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits and, ontra ts•
Initial
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial
building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially
improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or lease violates the exemption.
Initial
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial
- ' 6. .1, understand than may Clot hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It
is my. responsibility to ensure that the persons whom I employ have the license required by law and by ty or municipal ordinance.
Initial
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously
implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the
work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow
these may subject to serious financial risk.
Initial
9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and
requirement that govern owner -builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.
Initial
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States
Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbpr/pro/cilb/index.htmi
Initial
11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
CD 1/
r� � "� t� 3 � \ � ✓ Initial
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on
this disclosure.
Initial
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or
employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder
permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property
owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this day of`20___`-�
ByA 0-- 0-' �MIVZDwh. was personally known to me or who has
Produced there License or :EL D C__- as identification.
WN R
NOTARY
SELENA ARANDA
MY COMMISSION # GG 971705
EXPIRES: March 22, 2024
Bonded Tt wu Notary Public undeer ten
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Inspection requirements for:
Windows, Doors, Skylights or Fixed Glass (cladding) Permits
Upon issuance of permits for the scope of work involving the removal, changing and/or
replacement of any type of windows, doors, sidelites, skylights or fixed glass (cladding)
the permit holder or qualifier bearing his signature on the permit application shall abide
by the requirements of this department and comply with the following statement:
Upon obtaining window and/or door permits for the installation of same, it is the
responsibility of the permit holder to request window/door framing in -progress
inspection, prior to concealment of any horizontal or vertical clip mullion, bucks, shims,
etc. Inspector will also verify anchor type, edge distance, embedment and spacing. The
purpose for this inspection, is for the verification of conformance with Product
Approval (NOA).
Acknowledgement:
ate Print Name
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APPROVED I BY I —DATE
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SUBJECT TO COMPLIANCE WITH ALL FEDERAL
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2/26/2021 Florida Building Code Online
BCIS Home Log In User Registration Hut Topics Submit Surcharge Stats & Facts i Publications Contact Us BCIS Site Map Links Search
db'pi Product Approval
=' USER: Public User
Product Approval Menu > Application Detail
FL #
FL15210-R7
Application Type
Revision
Code Version
2020
Application Status
Approved
Comments
Archived
Product Manufacturer Plastpro Inc. / Nanya Plastics Corp,
Address/Phone/Email 5200 W CENTURY BLVD.
LOS ANGELES, CA 90045
(440)969-9773 Ext16
rickw@rwbldgconsultants.com
Authorized Signature Vivian Wright
rickw@rwbldgconsultants.com
Technical Representative Scott Johnson
Address/Phone/Email 5200 W Century Blvd,
Los Angeles, CA 90045
(440)969-9773 Ext18
scottjohnson@plastproinc.com
Quality Assurance Representative Ron O'Connell
Address/Phone/Email 5200 W Century Blvd.
Los Angeles, CA 90045
(440)969-9773 Ext16
ronoconnell@plastpro.com
Category Exterior Doors
Subcategory Swinging Exterior Door Assemblies
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 the Lyndon F. Schmidt, RE
Evaluation Report
Florida License
PE-43409
Quality Assurance Entity
National Accreditation and Management Institute
Quality Assurance Contract Expiration Date
12/31/2021
Validated By
Ryan J. King, P.E.
Validatk)n Qlegklist`=`Hardcopy Received
Certificate of Independence
AL PIQ i`<Z C(`,,'I th)J&,,'rtificate of Independence,pd
Referenced Standard and Year of Standard) )
Rand ar.,, AIL
Year
AS i)192�,9, , ` L ;
1996
y ASTM O2t4l
1999
ASTR D631 °
1998
ASTM D638
2003
ova • ASTM E1300...a •
2004
r e ASI M f-R4 ; ; 0
2005
•ail 1 t;2(- . .• •.
1995
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgv3yVVKJZI QRCFPqu8gbCgpTT5HYBxRCwCEp[ LejMsLBg%3d%3d
1/4
2/2b/ZU21
Florida Building Code Online
G 155
TAS 201, 202, 203
2005
1994
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method
Florida Licensed Professional Engineer or Architect
FL15210 R7 Equiv of Standards (c)_pdf
Method 1 Option D
Date Submitted
07/21/2020
Date Validated
07/30/2020
Date Pending FBC Approval
08/05/2020
Date Approved
10/13/2020
Summary of Products
........................ .................... .......... _............................ ......_......................._............................_....._.._................._.............._................................................
......._........._.....
FL # Model, Number or Name Description
a. Smooth/Wood Grain/White Wood 6'8 "Impact" Opaque Fiberglass Single Door -
Grain/Rustic/Mahogany Series O Inswing/Outswing (X - Configuration)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15210 R7 II (c) Inst 15210.1.pdf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15210.1 for Design Pressure Ratings, any FL1.�210 .RI AE _(c)_Eyal 1.210I..p�f
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15210.2 b. Smooth/Wood Grain/White Wood 6'8 "Impact" Opaque Fiberglass Single Door with Sidelite or
Grain/Rustic/Mahogany Series O Sidelites - Inswing/Outswing (OX or XO; OXO - Configurations)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15210 R7 II (c) Inst 15210.2.pdf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15210.2 for Design Pressure Ratings, any FL15210 R7 AE (c) Eval 15210.2.pdf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15210.3 c. Smooth/Wood Grain/White Wood 68 "Impact" Opaque Fiberglass Double Door with or without
Grain/Rustic/Mahogany Series O € Sidelites - Inswing/Outswing (XX; OXXO - Configurations)
Fiberglass Door
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL15210 R7 II (c) Inst 15210,3.pdf
Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409
Impact Resistant: Yes Created by Independent Third Party: Yes
Design Pressure: N/A Evaluation Reports
Other: See INST 15210.3 for Design Pressure Ratings, any FL15210 R7 AE (c) Eval 15210.3.pdf
additional use limitations, installation instructions and product Created by Independent Third Party: Yes
particulars.
15210.4 d. Smooth/Wood Grain/White Wood
Grain/Rustic/Mahocany Sens O
......... ........ ..
Fiberglass Door
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: N/A
Other: See INST 15210.4 for Design Pressgre Ratings`; ant
additional use limitations, installation instructions cnd prod&A
particulars.
6'8 "Imr)act" dazed Fiberglass Single Door - Inswing/Outswing
(„ �-.o,ifi(uration)
_., .. ...... ...... .. .. .... ..... ...... .... ........... .........
J nstallatibn Instructions
FL.15210 R7 II (4) Inst 15210.4.pdf
Verified By: Lyndon F. Schmidt, P.E. 43409
11Veated`o;v Ind'ggendentThird Party: Yes
evaluation Rap,)rts
FL1t)2 0 R7 AE-(c) Eval 15210.4.pdf
wCreated by Independent Third Party: Yes
15210.5 ! e. Smooth/Wood G 96"Wpite Woon 6`E%`'ImBact" %;lazed Fiberglass Single Door with Sidelite or
Grain/Rustic/Mahogaey Series G Sidelite5 - Inswing/Outswing (OX or XO; OXO - Configurations)
Fiberglass Door Y • • ` `, • Y ` `
• • • . Y Y • • • • •
https:Hfloridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgv3yVVKJZI QRCFPqu8gbCgpTT5HYBxRCwCEpILejMsLBg%3d%3d 2/4
R ,W.
B
C
July 29, 2020
To Whom It May Concern:
R W Budding Consultants, Inc.
Consulting and Engineering Services for the Building Industry
P.O. Box 230 Valrico, FL 33595 Phone 813.659,9197
Florida. Board of Professional Engineers Registry License No. 9813
FL-15210 Equivalency of 'Standards
ASTM D 635-98 Equivalent to ASTM D 635-14
The products referenced in this Product Approval have been tested in accordance with ASTM D 635-98. It has
been deten-nined by Lyndon F. Schmidt, P.E. and RW Building Consultants, Inc. that ASTM D 635-98 is
equivalent to ASTM D 635-14, which is the reference standard and year that has been adopted by the 7th
Edition (2020) Florida Building Code.
ASTM D 1929-96 Equivalent to ASTM D 1929-16
The products referenced in this Product Approval have been tested in accordance with ASTM D 1929-96. It has
been determined by Lyndon F. Schmidt, P.E. and RW Building Consultants, Inc. that ASTM D 1929-96 is
equivalent to ASTM D 1929-16, which is the reference standard and year that has been adopted by the 7th
Edition (2020) Florida Building Code.
ASTM D 2843-99 Equivalent to ASTM D 2843-16
The products referenced in this Product Approval have been tested in accordance with ASTM D 2843-99. It has
been determined by Lyndon F. Schmidt, P.E. and RW Building Consultants, Inc. that ASTM D 2843-99 is
equivalent to ASTM D 2843-16, which is the reference standard and year that has been adopted by the 7th
Edition (2020) Florida Building Code.
ASTM E 84-05 Equivalent to ASTM E 84-I6
The products referenced in this Product Approval have been tested in accordance with ASTM E 84-05. It has
been determined by Lyndon F. Schmidt, P.E. and RW Building Consultants, Inc, that, for the purpose of this
product evaluation, .ASTM E 84-05 is equivalent to ASTM E 84-13A which is the reference standard and year
that has been adopted by the 7th Edition (2020) Florida Building Code.
ASTM G 26-95 & G155-05a Equiyal+-nt to ASTM G 155-13
The products referenced in this Product Approval have been tested in accordance with ASTM G 26-95 & G155-
05a. It has been determined by Lyndon F. Schmidt, P.E. and RW Building Consultants, Inc. that ASTM G 26-
95 & G155-05a are equivalent to ASTM G 155-13, which is the reference standard and year that has been
adopted by the 7th Edition (2020) Florida Building Code.
NO
n
Lyndon F. Schmidt, P.E.
FL No. 43409'
Registry License No. 9813 6 a�=
r
f t
Scope:
R ,W R W Building Consultants, Inc.
BConsulting and Engineering Services for the Building industry
C P.O. Box 230 Valrico. Ft. 33595 Phone 81.3.659.9197
Florida Board of Professional Engineers Registry License No. 9813
Product Evaluation report issued by R W Building Consultants, Inc. & Lyndon F. Schmidt, P.E. (System ID # 1998) for
Plastpro Inc., based on Rule Chapter No. 61 G20-3, Method 1 D of the State of Florida Product Approval, Department of
Business & Professional Regulation.
RW Building Consultants and Lyndon F. Schmidt, P.E. do not have nor will acquire financial interest in the company
manufacturing or distributing the product or in any other entity involved in the approval process of the product named
herein.
Limitations:
1. This product has been evaluated and is in compliance with the 7th Edition (2020) Florida Building Code (FBC) structural requirements
including the "High Velocity Hurricane Zone".
2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressing
or stucco.
3. When used in the "HVHZ" this product complies with Section 1626 of the Florida Building Code and does not require an impact
resistant covering.
4. When used in areas outside of the "HVHZ" requiring wind borne debris protection this product complies with FBC Sections 1609.1.2 &
R301.2.1.2 and does not require an impact resistant covering. This product meets missile level "D" and includes Wind Zone 4 as
defined in ASTM E 1996 and FBC Sections 1609.1.2.2 & R301.2.1.2.1.
5. For 2x stud framing construction, anchoring of these units shall be the same as that shown for 2x buck masonry construction.
6. Site conditions that deviate from the details of drawing FL-15210.1 require further engineering analysis by a licensed engineer or
registered architect.
7. Outswing configurations meet water infiltration requirements for "HVHZ". All other configurations do not meet the water infiltration
requirements for the "HVHZ" and must be installed only in non -habitable areas or at habitable locations protected by an overhang or
canopy such that the angle between the edge of canopy or overhang to sill is less than 45 degrees.
8. See drawing FL-15210.1 for size and design pressure limitations.
Supporting Documents:
1. Test Report No.
Test Standard
TEL 01390365
TAS 201-94, 202-94 & TAS 203-94
TEL 01391846
TAS 201-94, 202-94 & TAS 203-94
ETC-05-255-16776.0
ASTM D 635-98, 638-03, 1929-96 & 2843-99
ASTM G 26-95
ETC-06-255-17412.0
ASTM E 84-05
ETC-07-209-19303.0
ASTM D 635-98, 638-03, 1929-96 & 2843-99
2. Drawing No. Prepared by
No. FL-15210.1 RW Building Consultants, Inc. (#9813)
3. Calculations Prepared by
Anchoring RW Building Consultants, Inc. (#9813)
4. Quality Assurance
Certificate of Participation issued by National Accreditation and Manageiaetd
Institute, certifying that Plastpro, Inc. is manufacturing prod ucts`within a cua'Ay,
assurance program that complies with ISO/IEC 17020 and Guide 53., .
Sheet 1 of
Testing Laboratory Signed by
Testing Evaluation Lab., Inc. Lyndon F. Schmidt, P.E.
Testing Evaluation Lab., Inc. William Shelton, P.E.
ETC Laboratories Joseph L. Doidan, P.E.
ETC Laboratories Joseph L. Doldan, P.E.
ETC Laboratories Ben Meunier
Signed & Sealed by
Lyndon F. Schmidt, P.E.
by
�1 r,Hj1 ���� Lyndon F. Schmidt, P.E.
..
pe9.�
`rrr ra` Lyndon F. Schmidt, P.E.
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PLASTPRO INC. Lyndon F. Schmidt �i/l�s '•?�• ' (7
( FIB�RGLASS DOOj2 P.E. No. 43409
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PART( OR AK=ME'-V. , �. A BUILDING CONSULTANTS. INC.
( C ( ' t , U( P.O. Box 230, Valrico, FL 33595
c LBILL. IF, MAJERW S c � ( ( Phone No.: 813.659.9197
L c L 6 L L L C FBPE Registry No. 9813