DGT-12-2025Permit Number: DGT -10 -12 -2025 I
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
inspection Number: INSP - 180734
Inspection Date: April 03, 2013
Inspector: Rodriguez, Jorge
Owner: PUYANIC, DAVID
Job Address: 9259 N BAYSHORE Drive
Miami Shores, FL
Project <NONE>
Contractor: DENMAR CONSTRUCTION GROUP
Permit Type: Decks/Gazebos/Trellises
Inspection Type: Final
Work Classification: Deck - Wood
Phone Number
Parcel Number 1132050270580
Phone: (954)372 -6623
Building Department Comments
INSTALLATION OF NEW WOOD DECK ON THE
BACKYARD
Infractio Passed Comments
INSPECTOR COMMENTS False
Passed
Inspector Comments
% ,i
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
April 04, 2013
Page 1 of 1
/oJi3 p�,�
lJ
B ii(L-
ILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit Type: BUILDING
JOB ADDRESS: 9259 North Bayshore Drive
FBC 20 (
Permit No. `'mil
Master Permit No. 1Z.— yr 7
ROOFING
City: Miami Shores County: Miami Dade zip: 33138
Folio/Parcel #: 11- 3205 -027 -0580
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): David Puyanic
Address: 9259 North Bayshore Drive
Phone#: 305 - 365 -2600
City: Miami Shore
State: FI
Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: b titnsa P C. aei<in/4 J/an G rav f/ Phone #: 9 Cif " 37 2 `GO y
Address: 3( «G N W q 7 fc, W a%
City: Ci ui►/','S r State: PC. Zip: 3 31 S 1
Qualifier Name: L d w +`y f C la, 4 Phone#: 7t C. 2 e - f/ g?
State Certification or Registration #: CG G, IS 1 45 ; 1 Certificate of Competency #:
Contact Phone #: 7$4 — 2. $ ✓f — f f 4' Email Address: , / cal a 6
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ ig / 0 O v Square/Linear Footage of Work:
Type of Work: OAddition DAlteration 17New Repair/Replace ODemolition
Description of Work: Scope is to install a 300 sqft deck on existing deck foundation. Existing deck was removed by pervious owner
only foundation remains.
Color thru tile:
********* **** * * *** ** *** * **** ** ** * ** ** * *F es*** xt********* ** *** ***** * * ** * *** * * * ***** * ****
Submittal Fee $ Permit Fee $ i_ 7 Qrj
CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AI'JN'IDAVIT: 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 c ition to the�suance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith t a copy of the tice of commencement and construction lien law brochure will be delivered to the person
whose property is sub• ti' attachmen Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspec on w 'ch occur en (7) days after the building permit is issued In the absence of such posted notice, the
inspection will yt be a roved a reinspection fee will be charged.
Signature Signature `_ —.o -
wner or Agent d Con .� or
The foregoing instrument was acknowledged before me this 22r The foregoing instrument was acknowledged before me this 23
day of Oda :4r , 20 12 , by (%:Laid ®u ly'e , day of OC/o4 {r' , 20 !Z, by i dwi5 -C C !cit4 ,
who is ersonally known me or who has produced Al% who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
My Commission Expires:
/Parch /7, ZeAr-
APPROVED BY
AjW"t//3
Plans Examiner
Structural Review
(Revised 3 /1212012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
NOTARY PUBLIC:
Sign:
Print: Q S (Cot
My Commission Expires4
Lo COMMISSION # D0850706
citif EXPIRES: JAN.11,2013
, se WWW.AAR0NN0TARY.com
/0 -2 ‘ /2 Zoning
Clerk
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: C61-\2;:).0 ZZ DATE: 161p
1
Contractor
o Owner
a Architect
Pi
Address:
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL:
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No: DGT 12 -2025
Job Name:
Building Critique Sheet 3rd
1) Provide plans from a licensed architect or engineer.
Provide HRS /DOH approval.
STOPPED REVIEW
Page 1 of 1
Plan review is not complete, when all items above are corrected, we will do a
complete plan review.
If any sheets are voided, remove them from the plans and replace with new
revised sheets and include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 762 -4859
Siff ofa 1
SIP Of SGlevt '
NORTH Scale: 1' = 20'
GTY
Found 112'
Iron Pipe
No id.
" BAY LURE "
( P.B. 44 - PG.63 )
(Lot 4 - Block 4
N90 °00'00 "W 167.51'
Chain Link Fence
(4' high)
Found
Drill Hole
40.11U
S90 °00'00 "E 167 3
TotCd RAN I
Found 112'
Iron Pipe
No Id.
APPROVED
:ZONING DEP4
LDG DEPT
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COI INTY RULES AND REGULATIONS
Grat12-2o25
a
New Deck Layout
Please note that New
Deck will be installed
on existing foundation.
Please refer to attached details
Found
Drill Ho
V.4
z
U
rn
Not Valid Without At Pages
fi/ ?6IEL PROFESSIONAL /#O8,4 6f oO ! 7iV4?
10665 S.W. 19011, STREET. SURF 3210. WW1. FLORIDA 33157
PHONE: tat) 262 -2992 FM: (305)971.8383
LE. No. 64631
B00#o,14'q sUATff
odgind Dates I Field Dote: I Revision Date: I bV: 1 JOB N.9 01/13/2012 01/11/2012 01/1312012 R.U. 8-9829
1
TO
10674770/1/ ,IMP
SCALE: 1' =100'
C LXI Me
OCT 2 2012
u
MART -H- • BAYSHARE — — DRIVE
83.0'
83.0.
83.0'
'/>
83,0'
83.0'
.14
so
-^o
6
g
Q
3
83.0
83.0'
C-)
83.0
,83.0'/
83.0
83,0'
BISCAYNE
BAY
441 DESCd'/PT/ON,•
FOLIO: 11-3205-027-0580
LOT 5, BLOCK 4, BAY LURE, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 44, AT PAGE 63,
OF THE PUBLIC RECORDS, OF MIAMI -DADE COUNTY, FLORIDA.
Pkllpfi�l1AAME&
9259 N. BAYSHORE DRIVE, MIAMI, FLORIDA 33138
HOOD ?ON E / N f 0 k r 4 T/ 0 N,
FLOOD ZONE: VE
DATE OF FIRM: 09-11 -2009
cEe171f ?z•
David Alexander Puyanic
Northern Trust Company, ISAOA
COMMUNITY: 120652
SUFFIX: L
A11OkEU#177DH8ArY0/•Ofi 2•
A/C
CONC.
(M)
(R)
R/W
U.E
PS.
PG.
rO.a
—n-
-o-
-OH—
=DENOTES NR GONDIROMNG UNIT
=DENOTES CONCRETE
=DENOTES MEASURE
=DENOTES RECORD
=DENOTES RIGHT • OF WAY
=DENOTES CEMERUNE
=DENOTES OLIN EASEMENT
=DENOTES PIA/ BOOK
=DENOTES PAGE
=DENOTES WATER METER
=DENOTES WOOD POWER POLE
=DENOTES WOOD FENCE
=DENOTES CHAIN MX FENCE
=DENOTES WON FENCE
=DENOTES OVERHEAD WIRES
=DENOTES FOUND RON PIPE ONO ID.)
=DENOTES FOUND NAIL AND DISC
PANEL 0306
ELEVATION: 11.0 FEET
SURVEYOR'S CERTIFICATION:1 HEREBY CERTIFY THAT THIS "BOUNDARY
SURVEY" IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY
PREPARED UNDER MY DIRECTION. THIS COMPLEES WITH THE MINIMUM
TECHNICAL STANDARDS, AS SET FORTH BY THE STATE OF FLORIDA BOARD
OF PROFESSIONAL SURVEYORS AND MAPPER IN CHAPTER 61G17 -6, FLORIDA
ADMINISTRATIVE CODE PURSUANT TO 472. ' 7, FLORIDA STATUTES.
SIGNED ):
MIGUE
NOT
HE*, • iC " AND
THE ORIGINAL o•
FOR THE FIRM
S.M. No. 5101-STATE OF FLORIDA
ENBC i .iC SIGNATURE AND AUTHENTICATED
RIMS MAP 1S N. AUD WITHOUT THE SIGNATURE AND
OF A LICENSE SURVEYOR AND MAPPER.
1) LEGAL DESCRIPTION PROVIDED BY OTHERS.
2) EXAMINATION OF THE ABSTRACT OF THE TITLE WILL HAVE TO BE MADE TO DETERMINE
RECORDED INSTRUMENTS, IF ANY, AFFECT THIS PROPERTY.
3) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER
RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT.
4) UNDERGROUND PORTION OF FOOTING. FOUNDATIONS OR OTHER IMPROVEMENTS
WERE NOT LOCATED.
b) ONLY VISIBLE ON ABOVE GROUND ENCROACHMENTS LOCATED.
6) WALL TIES ARE THE FACE OF THE WALL
7) FENCE OWNERSHIP NOT DETERMINED.
8) BEARINGS REFERENCED TO UNE NOTED AS B.R.
9) BOUNDARY SURVEY MEANS A DRAWING AND /OR GRAPHIC REPRESENTATION OF
THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE
AND /OR NOT TO SCALE.
10) NO IDENIIRCATION FOUND ON PROPERTY CORNERS UNLESS NOTED.
11) NOT VALID UNLESS SEALED WITH THE SIGNINGS SURVEYORS EMBOSSED SEAL
12) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN.
13) ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED.
14) THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED.
18) THIS BOUNDARY SURVEY HAS BEEN PREPARE FOR THE EXCLUSIVE USE OF THE ENTITIES
NAME HEREON. THE CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED PARTIES.
ALL BEARINGS AND DISTANCES SHOWN HEREON ARE
RECORD AND MEASURE UNLESS OTHERWISE NOTED.
BHEf7 / Of 2
Not Valid Without All Pages
"(41t1 C EaPP//UOs1 MAID SORVEWAV ate
PROFESSIONAL SURVEYOR AND MAPPER
10666 S.W. 1901h SKEET. SURE 3210. MIAMI. FLORIDA 33157
PHONE: (305) 262.2992 FAX: (305)971.8383
11.13. No. 64631
80UNDR;eq SLf lef
Original Dale: Vela Date: Revision Dade. I Drawn by. I JOB No.
01113)2012 01/11/2012 I 01/13/2012 M.U. 8.9829 /
FILL GEL
STRINGERS • 2' -O'G /G
STRINGER6 d cot'
JAN 8 203
1' f,' 2'x10' PT JOIST a 1+6' G
11 m
17
1"M)tt OS'
ki*DA
tb0,0t114
2'xS'PT
2 -&'2' KWIK
. 11T I BOLT
• LU 2 -10
8Y SIMPSON
TYP. E/ JOIST
x
+1 18,'-0°
gal
1'x6' DECKING
8' -10'
EXISTING
2'x10'• 16'G /C
1'x6' DECKING
W/ 2010e TECK SELF
DRILLED SCREW
— STRINGERS ® 2' -0' C/C
11 11'
2'x6'P t
02406' 406' C/C
KWIK HILT! BOLT
x6' EMS.
SECTION
EXISTING 4' CONC SLAB
711
SCALE: 34'
I 0'
3'x3'x'4.'x6' CLIP L
2- 014'X4' KWIK HILTI BOLTS
2- $b'X4' THRU BOLTS
EXISTING CONC. TB
1
1
Scctists
9,0-7-09
*19b6? 41-11(47
MI!Am:i"
Florida Building Code Online
Ronda 9epa entl
Busines t
Professi al
Reguiation
:f4l�f�;r
BCIS Home Log In
User Reg! on I Hot Topics ; Submit Surcharge Stats & Facts
Product Approval
USER: Public User
Page 1 of 4
Publications FBC Staff ; XIS Site Map
Product Approval Menu > Product or Application Search > Anollmtion List > Application Detail
FL #
Application Type
Code Version
Application Status
Comments
Archived
Product Manufacturer
Address /Phone /Email
Authorized Signature
Technical Representative
Address /Phone /Email
Quality Assurance Representative
Address /Phone /Email
Category
Subcategory
Compliance Method
Evaluation Entity
Quality Assurance Entity
Quality Assurance Contract Expiration Date
Validated By
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
FL10655 -R2
Editorial Change
2010
Approved
Simpson Strong -Tie Co.
2221 Country Lane
McKinney, TX 75070
(972) 439-3029
rshackelford@strongtie.com
Randall Shackelford
rshackelford@strongtie.com
Randall Shackelford
1720 Couch Drive
McKinney, TX 75069
(800) 999-5099
rshackelford@strongtie.com
Pat Woodall
1720 Couch Drive
McKinney, TX 75069
(800) 999 -5099
pwoodall@strongtie.com
Structural Components
Wood Connectors
Evaluation Report from a Product Evaluation Entity
ICC Evaluation Service, LLC
Benchmark Holdings, L.L.C.
11/29/2012
Jeffrey P. Arneson, P.E.
Validation Checklist - Hardcopy Received
FL10655 R2 COI ICC Cert of Inde p de
ennce pdf
Standard
ASTM D1761
N.A. SPEC FOR DESIGN OF COLD FORMED STEEL
CONSTRUCTION
NATIONAL DESIGN SPECIFICATION FOR WOOD
CONSTRUCTION
Florida Licensed Professional Engineer or Architect
Year
2000
2001
2005
http: / /www.floridabuilding.org/pr /pr_ app_ dtl. aspx ?param= wGEVXQwtDgtBNbEY5V %... 10/23/2012
_Florida Building Code Online
Sections from the Code
Page2of4
FL10655 R2 Equiv 2010 Self Affirmation Simpson.odf
Product Approval Method Method 1 Option C
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
04/25/2012
04/26/2012
05/02/2012
06/11/2012
Summary of Products
Go to Page
•
0 0 Pagel /90 0
FL #
Model, Number or Name
Description
10655.1
HHUS210 -2
Joist Hanger
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.2 kIHUS26 -2
Joist Hanger
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 R2 II ESR- 2549.odf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.3 1HHUS28 -2
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 'R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.odf
10655.4 HHUS410
Joist Hanger
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.5 IHHUS46
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 R2 II ESR- 2549.odf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.6 HHUS48
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.7 HSUL210 -2
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
http: / /www.floridabuilding .org/pr /pr_app_dtl.aspx ?param= wGEVXQwtDgtBNbEY5V %... 10/23/2012
Florida Building Code Online
Page 3 of 4
10655.8 kiSUL214 -2
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.9 IHSUL26 -2
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: When resisting wind uplift supplemental
connectors may be required to acheive 700# uplift for
HVHZ.
Installation Instructions
FL10655 R2 II ESR- 2549,pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR -2549 pdf
10655.10 HSUL410
Joist Hanger
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.11 HSUL414
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR -2549 pdf
10655.12 IHSUL46
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: When resisting wind uplift supplemental
connectors may be required to acheive 700# uplift for
HVHZ.
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.13 11SUR210 -2
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.odf
10655.14 IHSUR214 -2
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.15 HSUR26 -2
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: When resisting wind uplift supplemental
connectors may be required to acheive 700# uplift for
HVHZ.
Installation Instructions
FL10655 R2 II ESR -2549 pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes.
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.16 1HSUR410
Joist Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.17 1HSUR414
Joist Hanger
http: / /www.floridabuilding.org/pr /pr_ app_ dtl. aspx ?param= wGEVXQwtDgtBNbEY5V %... 10/23/2012
Florida Building Code Online
Page 4 of 4
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
installation Instructions
FL10655 R2 II ESR- 2549.Ddf
VeHfled By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.18 HSUR46
Joist Hanger
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: When resisting wind uplift supplemental
connectors may be required to acheive 700# uplift for
HVHZ.
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.19 HU210
Joist Hanger
Limit§ of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other: When resisting wind uplift supplemental
connectors must be used to acheive 700# uplift for
HVHZ.
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
VeHfled By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.pdf
10655.20 HU210 -2
Joist Hanger
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL10655 R2 II ESR- 2549.pdf
Verified By: Randall Shackelford P.E. 68675
Created by Independent Third Party: Yes
Evaluation Reports
FL10655 R2 AE ESR- 2549.adf
Go to Page Page 1 /
9
Back
Next
Contact Us •• 1940 North Monroe Street, Tallahassee FL 32399 Phone* 850 -487 -1824
The State of Florida Is an AA/EEO employer. Copyright 2007 -2010 State of Florida. • • privacy Statement :: Acossibility 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), 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 emaiis 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 dick here .
Product Approval Accepts:
MEgE
r eciitSA FEE'
http: / /www.floridabuilding .org/pr /pr_app_dtl.aspx ?param= wGEVXQwtDgtBNbEY5V %... 10/23/2012
ICC EVALUATION SERVICE, INC.
Evaluate • Inform • Protect
Los Angeles Business/Regional Office • 5360 Workman Mill Road • Whittier, CA 90601
(562) 699 -0543 phone • (562) 695 -4694 fax
Certification of independence for Evaluation
ICC Evaluation Service, Inc.
(1) ICC Evaluation Service, Inc., does not have, nor does it intend to acquire or will it acquire,
a financial interest in any company manufacturing or distributing products for which
evaluations are issued.
(2) ICC Evaluation Service, Inc., is not owned, operated or controlled by any company
manufacturing or distributing products it evaluates.
(3)
ICC Evaluation Service, Inc., does not have, nor will acquire, a financial interest in any
company manufacturing or distributing products for which reports are being issued.
(4) ICC Evaluation Service, Inc., does not have, nor will acquire, a financial interest in any
other entity involved in the approval process of the product.
www.icc-ae.org
n Nosse - President
ICC Evaluation Service, Inc.
Bo.,ne..a teBron., Om.. P 5360 Wo.,.men Mw Ro.a, Wh.itrmr, California 90601 P (562) 699 -0543
Region., Office P 900 Montm.0 Road, S..w. A, Birmingham, Ai.i..m. 35213 P (205) 599 -9800
Reg,nnad Office P 4051 We.. F,o..moor Rood, Co. .y Club H,u., In,.... 60478 P (708) 799 -2305
- DocuSigri Envelope ID: DEC13AF2- 3A09- 4A50- B071 -0C6CF7FD2B38
Jeffrey P. Arneson
JaxApexTechnology, Inc.
4745 Sutton Park Court, Suite 402
Ja d sonviile, FL 32224
December 30, 2011
Ra ndy Sha ckel ford, P.E.
Si mpso.n Strong Tie Company
2221 Country Lane
McKinney, TX 75069
RE: Self- Affirmation Lett r for the following Active Fl orida Product Approval Applica tions:
9589, 10007, 10441, 10444, 10446, 10447, 10456, 10531, 10655, 10667, 10849, 10852, 10854, 10856, 10860, 10861, 10864,
10865, 10866, 11166, 11169, 11468, 11470, 11473, 11478, 11496, 12708, 13904
To Whom It May Concern:
Per chapters 17 and Chapter 35 of the 2010 FBC, testing of joist hanger p rodu cts may to be performed in accordance with
ASTM D1761- 88(2000) for both Non HVHZand HVHZ jurisdictions. Per Chapter23, Calculations maybe performed using AF &PA
NDS -05, AI5I 5100 -07 (Non HVHZ),and AISI SG02- 01 (HVHZ).
AISI 5100 -07 is an updated version of the previous 2001 edition referenced in the 2007 Code. Though there are changes to the
organization of the standa rd, the new language does not affect the applicability of connector cape dties. ASTM D1761-88(2000)
and AISI SG02- 0lstandards remain unchanged from the 2007 Code.
Upon review of the most arrrentstanda rds, we have found no signifi cant revisions that impa ctthei rap plicabili ty Iowa rds
Simpson's current substantiation of thei r metal connector products. In addition, we have found no language in the 2010 FBC
thatwould impa ct the applicability of the Code provisions to Simpson's current substantiation of their products.
Therefore, pursuant to Chapte r 9N-3.008 Section (f),we have determined that the 2010 edition of the Florida Building Code
does not requi re a material or substantive change to the currentiyapproved applications, and as such, the current products
comply with the 2010 Flori da Building Code requirements.
The use of Simpson metal connector products approved under the FL numbers referenced herein is subject to the same
limitations as those - provided for in the wrrentevaluation reports.
,`v«Unrrrryrrr
Kind Rega rds�e;� ceir'� o
.�•.�
J 34 .x,0,
Sa: rro.58544 '.01 1
Prifki,1? *v* 9
72/30/2011
Jax Apex Technol4;A; hwr`
Jeffrey P. Ameson
Vice President, Engineering
Jax Apex Technology, Inc.: FBPE CA No. 7547: 4745 Sutton Park Court, Suite 402: Jacksonville, FL 32224
DormSign Envelope ID: DEC13AF2- 3A09- 4A50- B071 -0C6CF7FD2B38
Jeffrey P. Arneson
JaxApexTechnology, Inc.
4745 Sutton Park Court, Suite 402
I Jacksonville, FL 32224
December 30, 2011
Randy Shadcelford, P.E.
Simpson Strong Tie Company
2221 Country Lane
MCKI nney, TX 75069
RE: Self- Affirmation Letter for the following Active Florida Product Approval Applications:
9589, 10007, 10441, 10444, 10446, 10447, 10456, 10531, 10655, 10667, 10849, 10852, 10854, 10856, 10860, 10861, 10864,
10865, 10866, 11166, 11169, 11468, 11470, 11473, 11478, 11496, 12708, 13904
To Whom It !Via yConcern:
Per dha pte rs 17 and Chapter 35 of the 2010 FBC, testing of joist hanger products may to be pe rfo need in accordance wi th
ASTM D1761- 88(2000) for both Non HVHZand HVHZ jurisdictions. Per Chapter23, Calculations maybe performed using AF &PA
NDS -05, AISI 5100 -07 (Non HVHZ),and AISI SG02 -01 (HVHZ).
AISI S100 -07 is an updated version of the previous 2001 edition referenced in the 2007 Code. Though there are changes to the
organization of the standa rd, the new language does not affect the applicability of connector cepadties. ASTM D1761- 88(2000)
and AISI SG02 -0l standards remain unchanged from the 2007 Code.
Upon review of the most current standa rds, we have found no significant revisions that impactthei rapplicability towa rds
Simpson's current substantiation of thei r metal connector products. In addition, we have found no language in the 2010 FBC
tha t would impact the applicability of the Code provisions to Sim pson's current substantiation of thei r products.
Therefore, pursuant to Chapter 9N-3.008 Section (f), we have determined that the 2010 edition of the Florida Building Code
does not require a material or substantive change to the currently approved applications, and as such, the current products
comply with the 2010 Florida Building Code requirements.
The use of Simpson metal connector products approved under the FL numbers referenced herein is subject to the same
limitations as those•provided for in the wrrentevaluation reports.
```�tlrrrrrpr��� .•
Kind Regards, 1:0,...... ...®y�,o
b ,.e.
�a. tso, eases :sp=
t/, ?? "o .era...* *5
07131314013213®44' =TB OF .44 :
'.�`':toxpw.. rL; 17/30/2011
Jax Apex Technoft> ; too
Jeffrey P. Arneson --
VI ce President, Engineering
Jax Apex Technology, Inc.: FBPE CA No. 7547: 4745 Sutton Park Court, Suite 402: Jacksonville, FL 32224
Florida Building Code Online
Busines
Professi al
Reg u.aton
BQS Home ( Log In
ceiicitt�ti. R gtdaie+[�ieip;
Page.1 of 4
User Registration Hot Topics Submit Surcharge Stats & Facts I Publications FBC Staff 1 BCIS Site Map I Links ` Search
Product Approval
USER: Public User
Product Aonroval Menu > Product or Application Search > Application List > Application Detail
FL # FL11473 -R2
Application Type Editorial Change
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer Simpson Strong -Tie Co.
Address /Phone /Email
2221 Country Lane
McKinney, TX 75070
(972) 439 -3029
rshackelford@strongtie.com
Authorized Signature Randall Shackelford
rshackelford@strongtfe.com
Technical Representative Randall Shackelford
Address /Phone /Email
1720 Couch Drive
McKinney, TX 75069
(800) 999-5099
rshackelford@strongtie.com
Quality Assurance Representative Pat Woodall
Address /Phone /Email
Category
Subcategory
Compliance Method
1720 Couch Drive
McKinney, TX 75069
(800) 999-5099
pwoodall@strongtle.com
Structural Components
Wood Connectors
Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who Jeffrey Arneson
developed the Evaluation Report
Florida License PE -58544
Quality Assurance Entity Benchmark Holdings, L.L.C.
Quality Assurance Contract Expiration Date 11/29/2012
Validated By Mark R. Barrow, PE
Validation Checklist - Hardcopy Received
Certificate of Independence FL11473 R2 COI Arneson Cert of Independence2007.pdf
Referenced Standard and Year (of Standard) Standard Year
AF &PA NDS 2005
AISI NA Spec for Design of Cold- Formed Steel Structures 2001
ASTM D1761 -88 2000
http : / /www.floridabuilding.org /pr /pr_ app_ dtl. aspx ?param= wGEVXQwtDgv8JygqZ9Wu... 10/23/2012
Florida Building Code Online
Equivalence of Product Standards
Certified By
Sections from the Code
Page 2 of 4
Florida Licensed Professional Engineer or Architect
FL11473 R2 Equiv 2010 Self Affirmation Simpson.pdf
Product Approval Method Method 1 Option D
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
03/14/2012
04/26/2012
05/07/2012
06/11/2012
Summary of Products
FL #
Model, Number or Name
Description
11473.1
1DETAL
Double Embedded Truss Anchor
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.2 IFGTR, FGTRE, FGTRHL, FGTRHR
Girder Retrofit Anchor
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.3 HETA12, HETA16, HETA20
Embedded Truss Anchor
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.4 1HETA24, HETA40
Embedded Truss Anchor
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
VeHfled By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.5 JHETAL12, HETAL16, HETAL20
Embedded Truss Anchor
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.6 1HGAM10, HM9
Masonry retrofit connector
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.7 DHGUM5.25, HGUM5.50
Beam /Girder Hanger for Masonry
http: / /www.floridabuilding .org/pr /pr_app_dtl.aspx ?param= wGEVXQwtDgv8JygqZ9Wu... 10/23/2012
Florida Building Code Online
Page 3 of 4
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other;
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.odf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.8
HGUM7.00, HGUM7.25,
HGUM9.00
Girder /Beam Hanger for Masonry
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.9 QHHETA12, HHETA16, HHETA20
Heavy Embedded Truss Anchor
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure; N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.10 HHETA24, HHETA40
Heavy Embedded Truss Anchor
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.11 1HTSM16, HTSM20
Heavy Twist Strap for Masonry
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.12
LGUM26-2, LGUM28 -2, LGUM210-
2
Beam /Girder to Masonry Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.13
LGUM26-3, LGUM28 -3, LGUM210-
3
Beam /Girder to Masonry Hanger
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.14
LGUM26 -4, LGUM28 -4, LGUM210-
4
Beam /Girder to Masonry Hanger
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
installation. Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.15 LGUM46, LGUM48, LGUM410
Beam /Girder Hanger for Masonry
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
http: / /www.floridabuilding.org/pr /pr_ app_ dtl .aspx ?param= wGEVXQwtDgv8JygqZ9 Wu... 10/23/2012
Florida Building Code Online
Page 4 of 4
Impact Resistant N/A
Design Pressure: N/A
Other:
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.16 LTA1
Embedded Truss Anchor
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.17
META12, META14, META16,
META18
Embedded Truss Anchor
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.18
META20, META22, META24,
META40
Embedded Truss Anchor
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
o
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.19
MSTAM24, MSTAM36, MSTCM40,
MSTCM60
Strap Tie for Masonry
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
11473.20 1MTSM16, MTSM20
Twist Strap for Masonry
Limits of Use
Approved for use In HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: N/A
Other:
Installation Instructions
FL11473 R2 II SIM 200804 MasonryProds.pdf
Verified By: Randall Shackelford P.E. 68675 (TX)
Created by Independent Third Party: Yes
Evaluation Reports
FL11473 R2 AE SIM 200804 MasonryProds.pdf
Created by Independent Third Party: Yes
Back
Next
Contact Us :: 1940 North Monroe Street. Tallahassee FL 32399 Phone: 850 -487 -1824
The State of Florida is an AA/EEO employer. Coov ght 2007 -2010 State of Florida • • Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your a -mall 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 mall. 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 dick hem..
Product Approval Accepts:
M ER IM
sccuritvxc
fdi
http: / /www.floridabuilding.org/pr /pr_ app_ dtl. aspx ?param= wGEVXQwtDgv8JyggZ9Wu... 10/23/2012
111 r
Product Approval Administrator
Ted Berman and Associates, LLC
5401 Collins Ave., CU11 -C
Miami Beach, FL 33140
Dear Sir or Madam:
As a Florida engineer employed by Jas Apex Technology, Inc. who performs evaluation services for
Simpson Strong-Tie, I certify that I have no financial interest in the manufacturing, sales, or
distribution of any product by Simpson Strong-Tie. I further certify that my involvement with
Simpson Strong-Tie and the Florida Product Approval process complies with, and shall always
comply with, all criteria as stated in Florida Administrative Code Chapter 9B- 72.110.
JAX APEX TECHNOLOGY, INC, FBPE CA NO. 7547
4745 SUTTON PARK COURT4745 SUTTON PARK CT., SUITE 402 • JACKSONVILLE, FL • 32224
PHONE: 904 - 821 -5200 • FAX: 904- 992 -8700
•. fl cuStgn Envelope ID: DEC13AF2- 3A09- 4A50- 8071 -0C6CF7FD2B38
Jeffrey P. Arneson
JaxApexTechnology, Inc.
4745 Sutton Park Court, Suite 402
Jadcsonville,FL 32224
December 30, 2011
Randy Sha&elford, P.E.
Si mpson Strong Tie Company
2221 Country Lane
McKi nney, TX 75069
RE: Self- Affirmation Letter for the following Active Florida ProductApproval Applications:
9589, 10007, 10441, 10444, 10446, 10447, 10456, 10531, 10655, 10667, 10849, 10852, 10854, 10856, 10860, 10861, 10864,
10865, 10866, 11166, 11169, 11468, 11470, 11473, 11478, 11496, 12708, 13904
To Whom It May Concern:
Per cha piers 17 and Chapter 35 of the 2010 FBC, testing of joist hanger products may to be performed in a ccordance with
ASTM D1761- 88(2000) for both Non HVHZand HVHZ jurisdictions. Per Cha pter 23, Calculations maybe performed using AF &PA
NDS -05, AISI S100- 07(Non HVHZ),and AISI SG02-01 (HVHZ).
AISI S100-07 is an updated version of the previous 2001 edition referenced in the 2007 Code. Though there are changes to the
organization of the st ndard, the new language does not affect the applicability of connector capacities. ASTM D1761-88(2000)
and AI SI SG02 -01 standards remain unchanged from the 2007 Code.
Upon review of the most current standa rds, we have found no significant revisions that impact thei rap plicabilitytrwa rds
Si mpson's current substantiation of their metal connector products. In addition, we have found no language in the 2010 FBC
that would impa ct the applicability of the Code provisions to Simpson's current substantiation of their products.
Therefore, pursuant to Chapter9N -3.008 Section (f), we have determined that the 2010 edition of the Florida Building Code
does not require a material or substantive change to the currentiyapproved applications, and as such, the current products
comply with the 2010FIori da Building Code requirements.
The use of Simpson metal connector products approved under the FL numbers referenced herein is subject to the same
limitations as those provided for in the arrentevaluation reports.
Kind Regards,4eab 6$ ®�,��
uausignaa qc 'a: NO. 58644
r1�la�� 1
A, .* 11
N�8788140E28E8W
s1 r o J /30/2011
-`A �. 12
JaxApexTechnorm w``
Jeffrey P. Arneson
Vice President, Engineering
Jax Apex Technology, Inc.: FBPE CA No. 7547: 4745 Sutton Park Court, Suite 402: Jacksonville, FL 32224