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12-13480
Zephyrhills
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2012
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12-13480
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Last modified
7/18/2013 11:13:15 AM
Creation date
7/18/2013 11:13:13 AM
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Building Department
Company Name
SUMMERHILL
Building Department - Doc Type
Permit
Permit #
12-13480
Building Department - Name
GROSS,WILLIAM & CAROL
Address
5105 SUMMERHILL DR
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°OdJR1B1�r`�: �� FRM B1-02 <br /> � �� Rsv No: 6 P°o'� 1 °r 1 <br /> �CEYSTON� Structural Performance <br /> ��� �- Certification <br /> Authorization Re ort <br /> Requ�d e�' PRO 61-03 <br /> CAR& Product iD Number. g1 g - 125.0 <br /> Issue Date: 3/10/2011 <br /> Revision Date: 8/1/2011 <br /> Expiration Date: 1/18/2015 <br /> Company Code: 819 <br /> This Certification Authorization Report(CAR) is issued by Keystone Certificatians, Inc. (KCI}after full validation review <br /> of the product qualification documents for the product named below. This report is onfy valid when signed by an oificer <br /> of KCI, and indicates the produd as manufactured by the oompany named below has been tested and meets the <br /> requirements of the referenced standard and is eligible for the application of Keystone Certfication Program certfflqtion <br /> labels. Licensee stipulates in affoong c�rtifiqtlon labels to products, that thase products are representative of the <br /> specimen evaluated and documented for certification authorization.Onty produds bearing such a certification label shall <br /> be considered certified. The information in th(s report can be verified at www.keystoneoerts.com. <br /> Licensee Information: Product Information: <br /> �, Doers�ndow MFG. Model: DuraGardXT Rep DH w/Comp Reinf <br /> 4901 Oak Fair Blvd. Operator Type: H <br /> Tampa FL 33610 Config: EM/1M/AVBR, GS-1/8"Ann IG <br /> Max�dth: 54 <br /> Max Height 75 <br /> Referenced Standard: Product Rating: ' <br /> AAMA/WDMA/CSA 101/I.S.2/A4�40-OS Class R-PG30 1372x1905(54x75}Type H WTP=7.5 <br /> Qualifying Test Information: <br /> Test Report No: ATI-A5889.03-501-44 <br /> Test Report Expiration: 1/18/2015 <br /> Authorized Signature: Ke stone Certifications, Inc. <br /> �Igitally signed by Steven Urich y <br /> ' DN:cn—�Steven Urich,o�ceysto�,e 564 Old York Road, Suite 5 <br /> ��L. �� L� cerurcadoru,mc,ou, Etters, Pennsylvania 17319 <br /> email=surich�akeystonecerts_com, PhOne: 717-932$500 <br /> `�5 Fax: 717-932-8501 <br /> Date:2011.08.01 11:4553-04'00' <br /> � <br /> W W W.KEYSTONEC ERT''.COM <br />
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