PERMIT DOCUMENTS 1
• Page 2 April 18, 2017
INSTALLATION AFFIDAVIT
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WINDOW & DOOR (replacement)
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To: City of Boynton Beach, Florida
Department of Development- Building Division
Field Inspection Section
100 East Boynton Beach Blvd., PO Box 310
Boynton Beach, FL 33425-0310
Re: Permit No. 6-2 —I 1C15
From: i .-. .-i'=p '71 flLTli,4N - RP/4 T,11O. Cz- P .1%✓c(Contractor)
Otic .Tti0usl7 r4?, sT #6 L4�c Watery- (Contractor's Address)
334/
/}Niue= STL— iOLC (Owner/s Name)
/9 iernLrvTe oR A 3343 (Property Address)
gR.TIFICATION SELECTION: (Please check all that apply)
Certification of Window Buck and Door Buck Installation
o Certification of Mull Tube Installation
❑ Other (glass block, etc)
I, D1W V 5Cd1-2-1-1/.4n, , am a licensed contractor
(license,No. SGC/3/25_22.2a____)and do hereby certify that all work(as Indicated above)
has been performed and installed at the above address in accordance with the Florida Building
Code, Existing Building,as amended,and Manufacturer's Installation Instructions/NOAI Product
Approvals sub 1 e .
/o//q/T2
Signature of ualifier Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
The foregoiN instrument was acknowle.ge&• : $ r is - this Io Ii h 117 (date) by
Te (i y • S K.11 i're,et , who Is '•ersonally known to me or who has produced
•• (tIpe o1..e i . 6; .- .entificatlon and who did (did not)
take an oath. • •• • •• ••• •
• • •• (SEAL)
Signature of person taking acicromr•tedgDrflSlt :•: .:• : •.• 0 '
Name of,officer taking acknowledgement-typed, printed or stamped
Title or rank . • . . . • Serialaumber
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••• •• • • ��.,, CHELSEA L.MCMANUS
:°'' * MY COMMISSION#GG083009
IXPIRES:MAR 14,2021
• •••• • • : : •• •• �`"� Bonded through 1st State Insurance
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The City of Boynton Beach
DEVELOPMENT DEPARTMENT
F BUILDING DIVISON
100 E.Boynton Beady Boulevard
P.O.Box 310
— - Boynton Beady,Florida 33425-0310
n (r TEL: 561-742-6350
FM: 561-7426357
www.boynton-beach.org
MEMORANDUM NO. 16-008
Retrofit of Windows, Doors, Garage Doors, Shutters and Skylights FBC
Existing Building, Alteration Level I
Retrofit of Windows, Doors, Garage Doors, Shutters and Skylights, for detached one and two
family dwellings,and multiple single family dwellings,(townhouses)with common roof height<30
feet.
1. Window or door buck, and mull bar inspections are not required. The buck shall comply with
Section FBC 1710.10 specifically, unless otherwise tested; buck shall extend beyond the interior face of
the window or door frame such that full support of the frame is provided.
Except: Projects other than detached one and two family dwellings; and multipie single family dwellings;
(townhouses)! A Licensed Contractor, Registered Architect, or Professional Engineer shall provide a
Window and Door buck and Mull Tube Installation Affidavit at Final Inspection.All Window,Sliding Glass
Door and Door Inspections are required to have inspections performed prior to the concealment of the
attachments.
> 110.1.3 Affidavit for inspection.With specific prior approval of, and in a format acceptable to the
building official,an affidavit-for eertlficatIonof inspection may be accepted from the permit
qualifier when ad-co-rope-riled by extensive photographic evidenceof sufficient detail to
bernonstrate, code compliance' The photographic evidence shall be comprehensive in the
display of the installation and/or construction and job location identifiers. The affidavit and
accompanying photographs shall be provided to the inspector onsite, at the next scheduled
Inspection. If the photographs are found to be Insufficient by the building official to demonstrate
compliance with this code and/or the permitted document,or clearly display location Identifiers,or
are missing,the inspector shall require the contractor to obtain the services of a Registered Florida
Professional Engineer to inspect and certify the installation and/or construction.
2. A Florida Professional Engineer or Architect may modify the buck or fasteners as specified in a
Notice of Acceptance.Such modification must be documented with a signed and sealed letter or drawing.
Note: 1013.8 Window sills. In Occupancy Groups R-2 and R-3,one-and two-family and multiple family
dwellings, where the opening of the sill portion of an operable window is ionated more than 72
inches (1829 rnm) above the finished-grade or other surface below; the lowest part of the clear
opening of the window shall be at a heigbt npt less if-1j 3j•inr<hes 5915 mm) above the finished floor
surface of the room in which the wlhdbl6 is:locdted.:Ope4aple sections of windows shall not permit
openings that allow passage of a 4-incl[-1iarlietef f102'vrm)sit}terCwhere such openings are located
. ... . .. .
within 36 inches(915 mm)of the finished nor. .. .
If you have any questions or need any futber jntormatien.plpase contact me in the Building Division at
561.742.6350. Thank you. • • • . .
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