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Permit Doors 780 Aquatic 2011 s Jr. J c - ilk, 6 s CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD j�� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002151 Date 6/30/11 Property Address 780 AQUATIC DR Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 1375 Application desc DOOR REPLACEMENT Owner Contractor TRIBOU, SUSAN GEORGE BURTON CONSTRUCTION INC 780 AQUATIC DRIVE 1 SUNNY ROAD ATLANTIC BEACH FL 32233 ORMOND BEACH FL 32174 (386) 676 -2837 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 60.00 Plan Check Fee . . 30.00 Issue Date . . . Valuation . . . . 1375 Expiration Date . 12/27/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total 30.00 30.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 94.00 94.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 1-- )W . ( .- c_ ` P, i1 per - r - A' Pak Permit Number: // 0 2 /g/ Legal Description 3g---; / 3 s1'- ,4.5 - a..9 E tt-- a Parce # t t ) 2('S-( -tea, (� c) Valuation of Work $ 1 O 1c - D Class of Work (circle one): New Addition Alteration Repair • - Demolition pc o1/spa windo door Use of existing /proposed structure(s) (circle one): Commercial • esi s en l If an existing structure, is a fire sprinkler system installed? (Circle one : - - No C Florida Product Approval # For multiple products use product approval form . Describe in detail the type of work to be performed � � �1( ) OZ S 2--2_ Property Owner Information: Name:S4Q(60 -) 7r2.tb Address: u l C t � City Pat-t.c1,-A'ek 4-‘-- _ State gzip 3.1 3 3 Phone 9 pc _R 6 51:7 t( 7 E -Mail or Fax # (Optional) �J [ ¥ *Contractor Information: Company Name: > Iz , iZ` — cry C',s j, ,.,c Qualifying Agent: G t tt f� • ■ _ Address: - 1-TV . t City ' i. - Pt `. State Zip 3a. (7 L Office Phone .. - ,..) , d- _.r. Jo r s - • N u . ,-,,-„ , --- - 6 G'7<. State Certification/Registration # s. • 119 1 ; 1 1 ` Architect Name & Phone # Y lr 11 , . u . • ' Engineer's Name & Phone # • . ,, "' ; ;. �_. • . Fee Simple Title Holder Name and Addres. 1 • 1 ' I. Bonding Company Name and Address , ! t; Mortgage Lender Name and Address / D . 1 . •�,Q/ I, �_ _ _ Application is hereby made to, obtain a permit to do the work and installations as i ndicated. 1 certi that no woV o r in to a o " k eery 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 if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod 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 YOITR PROPERTY, IF VOIT INTEND TO OBTAIN F!NANCING, CON WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that I have read and examined this applic on and know the same to be true and correct. All provisions of laws and ordinances governing this type 03 work will be complied wit whether specified ere'n or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, st. • or local law re latin construction or the performance of construction. Signature of Owner 4 c G�..� AA-14-1-'.' Signature of Contracto Print Name -93c Te /I Print Name 6eo, te ork Sworn to and subscribed . me Sworn to and subscribed before me this D of IA , , 20 this fi Day of - -(4 , 20 L j 1' NO ary PU1J11 4. ffN, RODNEYWILUAMS Notary Publil ���' F RODNEY N WOOD * t . } * MY COMMISSION # DD 763650 , M Y %F bseril 14 Nf Sri > EXPIRES: March 2, 2012 '?oF _ FXPJRP.S July 2s.att 4 4 . 0, Fed' Bonded Thru Budget Notary Services (407) 396.0153 Flo ( NOW) 0116144.0001 nt' 014 ( 4 0 ; 41))01 t q t (Ei�w 0 74 is )el 4; I r l w 1 W4 +r � F Nm'1l� � • '' '�.leu. z t aCti, qtr t. kl 1 t re °° is- ao ',;Iding Code Compliance Office Text Size: Reset Big Siccer Product Information • Product Information for N.O.A. 07-0731.01 NOA 07_0731.01 File Classification High velocity hurricane zone Category Doors Subcategory Swinging Material Steel Applicant Jel! -Wen, no (OR) Status File Approved Expiration_Date A.ugust/15!2012 Impact_Rate [ None ] .........Maximum Desinn Pressure Pos ti as Maximum _Design_Pressure_tJegative 65 Description Series "Jelud -'Wen STEEL" 6'8" 'ME Outswing Glazed Insulated Steel Door w /wo Sidelights - N.I. Home ] Privacy Statement I Di 1 Using Our Site 1 About Us 1 Phone Directory 1 Contact_ s, © 2008 Miami -Dade County. All rights reserved. M IAM i•cADE • k!' lattp. //www. naianaidauc .gov/buildingcode /pc- result app. . 01 &Bass.. . /16/:2008 � ir.ti.-- G,. iii i w, �k ,F .wndtio,„ rte kl , o i7 tt, R) 0; , . ,.a;ru F W. .,:,4=alr MIAMI DE COUNTY MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 372 -6339 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov /buildingeode JeId -Wen, Inc. (OR) 3737 Lakeport Boulevard Klamath Falls, OR 97601 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where aiiowed by the Authority Having Jurisdiction (AHJ ). This NOA shah not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perfonn in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "Jeld -Wen STEEL" 6'8" W/E Outswing Glazed Insulated Steel Door w /wo Sidelights - N.I. APPROVAL DOCUMENT: Drawing No. S -2105, titled "Series Wood Edge Glazed Steel Outswing Door up to 9' -0" x 6' -8" with & without Sidelites ", sheets 1 through 8 of 8, dated 12/13/2001 with revision D dated 10/01/2007, prepared by PTC, LLC, signed and sealed by Eric S. Nielsen, P.E., bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and'expiration date by the Miami -Dade County Product Control Division. T� ISSILE IMPACT R AT!NG N Impact Resista Imp Art Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ', unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting th p of this prod TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and /or manufacture of the ro a s. ii,' t f h i s js j - .7 __ seine _ p product or process. 1.�i LLJe of this NO -- — endorsement cif any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises and renews NOA # 02- 1216.09 and consists of this page 1 and evidence pages E -1 and E- 2, as well as approval document mentioned above. The submitted documentation was reviewed by Jaime D. Gascon, P.E. L4st0A No. 07- 0731.01 / Expiration Date: August 15, 2012 Approval Date: November 15, 2007 Page 1 IEPt�' To 7,s b Cdf M'" 1M9"i m r 74 - xiglIV"1, m X;� e In' '.: asr3d�..,�m .,� Jeld -Were. Inc. (OR) NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. S -2105, titled ` Wood Edge GIazed Steel Outswing Door up to 9' -0" x 6' -8" with & without Sidelites ", sheets 1 through 8 of 8, dated 12/13/2001 with revision D dated 10/01/2007, prepared by PTC, LLC, signed and sealed by Eric S. Nielsen, P.E. B. TESTS i. Test reports on 1) Air infiltration Test, PA 202 -94 (� 2) Uniform SLaL1. Air Pressure Test, PA 202 -94 3) Water Resistance Test, PA 202 -94 4) Forced Entry Test, PA 202 -94 along with marked -up drawings and installation diagram of DoorCraft series OXXO configuration Outswing and Inswing opaque wood edge steel door, prepared by Certified Testing Laboratories, Test Report No. CTLA-961W, dated 10/23/2002, signed and sealed by Ramesh C. Patel, P.E. (Submitted un der NOA# 02- 1216.09) 2. Test reports on 1) Air Infiltration Test, PA 202 -94 2) Uniform Static Air Pressure Test, PA 202 -94 3) Water Resistance Test, PA 202 -94 4) Forced Entry Test, PA 202 -94 along with marked -up drawings and installation diagram of DoorCraft series OXXO configuration Outswing and Inswing glazed wood edge steel door, prepared by Certified Testing Laboratories, Test Report No. CTLA -697W, dated 11/11/01, signed and sealed by Ramesh C. Patel, P.E. with addendum letter dated April 11, 2002 also signed and sealed by Ramesh C. Patel, P.E. (Submitted under NOA## 02- 1216.09) 3. Test reports on 1) Air infiltration Test, PA 202 -94 2) Uniform Static Air Pressure Test, PA 202 -94 3) Water Resistance Test, PA 202 -94 4) Forced Entry Test, PA 202 -94 along with marked -up drawings and installation diagram of DoorCraft series OXXO configuration Outswing and Inswing opaque wood edge steel door, prepared by Certified Testing Laboratories, Test Report No. CTLA -697W, dated 11/11/2001, signed and sealed by Ramesh C. Patel, P.E. (Submitted under NOA# 02- 1216.09) Jaime D. Gascon, P.E. Chief, Product Control Division NOA No. 07- 0731.01 1 Expiration Date: August 15, 2012 Approval Date: November 15, 2007 E -1 . ,. ,,, A, ,, 74 1 4V:Vr n3V4 tIl, : ,,.,I„. erc,., Yir, 41, " ■ .a Jeld -Wen, Inc. (OR1 NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED B. TESTS (Continuous) 4. Test reports on: 1) Tensile Test, ASTM D 638 -03 along with marked -up drawings and installation diagram of the "Trinity Lite Frame ", prepared by Certified Testing Laboratories, Test Report No. CTLA- 1078H, dated 10/24/02, signed and sealed by Ramesh C. Patel, P.E. with addendum letter dated April 11, 2002. (Submitted under NOA# 02- 1216.09) D. Tc3i i cpUi L3 X71. 1) Self Ignition Test, ASTM D 1929 -96 2) Surface burning characteristics Test, ASTM E -84 along with marked -up drawings and installation diagram, prepared by Intertek Testing Services, Test Report No. ITS J9906660 -001, dated 04/08/1999, signed and sealed by Douglas Tucker, P.E. (Submitted under NOA# 02- 1216.09) C. CALCULATIONS 1. Anchor verification calculations and structural analysis, complying with FBC -2004, prepared by PTC, LLC, dated 06/29/2007, signed and sealed by Eric S. Nielsen, P.E. Complies ASTM E1300-98/02 D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. None F. STATEMENTS 1. Statement letter of conformance, no financial interest and independence, PTC, LLC, dated 06/26/2007, signed and sealed by Eric S. Nielsen, P.E. G. OTHER 1. Notice of Acceptance No. 02- 1216.09, issued to Jeld -Wen, Inc. (OR) for their Series "Wood Edge Glazed Door w/ & w /out Sidelites up to 8'4 x 6'8 Outswing ", approved on 01/30/2003 and expiring on 08/15/2007. , Jaime D. Gascon, P.E. Chief, Product Control Division NOA No. 07- 0731.01 Expiration Date: August 15, 2012 Approval Date: November 15, 2007 E -2 f .ii r ,,,,=*:,,f.fnc; , ..1 t'iut " a , 7 i t,. z, F . =5,;C itil, , r Y 1i,:.lb$A4 . 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O ,o f O �m nn mm D d %ne " -J m , 6 e; ' PRODUCT: _ - , I N WOOD EDGE GLAZED OUTSWING JEW-WEN, INC. E , p N , ti STEEL DOOR UP TO 9' -0' x 6' -8' r •b N o z , D 10/01/07 aS F OUESTE0 BY Masi -tom Ce YeITH & WITHOUT SIDELIT>=S LAKEPORT BLVD. _ _ ' � Uo f 2 PI I o B 0/22/02 WO 7T3NI1Y F(J,Ff } 2004 F6O JMJ PART OR AS,SEM3LY: KLAMATH ALL OR. E s. • . A 03/15/02 GENERAL REVTSON TRx VERTICAL CROSS SECTIONS PH. 541.8&2.3451 I No #1 M ; 1 7J AND BILL OF 1tATERLALS - . • . De n; , 6filg 1,' a Uzi% iltr0 44, ''' '. '4C/410$'&0. ,' ' ' ...1‘,'„,Va1' tt „weir .x o z rn A N O _ _, O e V, 1 z • . • /ii l - O ma O m e • o i_. .� 0 z AA 2g ^mi xo e � � -1 0 A - T ,,, _ A y I -) p nom N� CD r -IQ O O 0 1. -- iDCI A cm O 0 0 l� m \m a SP Z _ \ o e I t : .... z sk- o ® , 0 n v N L,,_ _ _. e A.-a n el) n o el pi / T� o cn MI�'I 6 : - ' Q �WOI z m - __ cn rtt ": G7A A � e o N tin � — o CC b7 0 n - —' -- -- _ n o z °z� I P s ° - i.. ._- EC ' �� 1 ICJ-tI ��___ t!1 N � 1 , ♦ SIPS \l i v i ...-__. —, = _....... 1 ,.., ...I.._ ., O ' ? fl � m 1 gi p -.T pll A f CO �g c ;G- 3 c3 k 5 • PRODUCT: Z' � i ;i VI o BCE GLAZED SILLL OUTSINNC JELD -WEN, INC. -' ' - v cc,R UP TO 9' -0" x 6' -8' _ N 0 z ;' 0 10/01 07 ,.s REQUESTED BY ucw� Ca KM Zr wrTHOUr swFU ES LAKEPORT BLVD. o al is w C ..126/07 MOWED TO MEET THE 2004 FBC - JON PART OR ASSEMBLY: KLAMATH FALLS, O. 97601 #1 • 1' _ V , Z - o B 10/22/02 A00E'D Tamer FRAW ZRK NORJZONTAL CROSS PH. 541.882.3451 € A 03 15 02 GENERAL REVISION r7GNS (v :i0 REVISIONS rB�YN SEC - it 04, '„ et 4.,k),. , . .. , n. . ,ufi °t "1'4114 ', , ,.Vip, mm Jti.' iyl ,, t„ . 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T\ lig L....1J (..7 ..., 1....).3 c "? , (- (---- , (..,. c__...7 ... I , , , r t!,ay r � ;; City of Atlantic Beach APPLICATION NUMBER �: '"'� � Building Department f (To be assigned by the Building Department.) 800 Seminole Road 1) /c r `R. - <v.. Atlantic Beach, Florida 32233 -5445 . Phone (904) 247 -5826 • Fax (904) 247 -5845 4"•:,./0 E -mail: building-dept@coab.us Date routed: — Bi City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM • Property Address: 7 0 0 u-g-77 6 .^ ent review required Yey No Building Applicant: 9f die £ - 3j (77 n Planning & Zoning pp Tree Administrator Project: -� O d h ?y1/4- d6 /7) h/ Public Works Public Utilities Public Safety Fire Services Review fee $ '',t2'' tiept Sig;ture r 4;a: . 14,!:,,,,,, y Other Agency Review or Permit Required Review or Receipt Date i t 1 g y q of Permit Verified By __ ((G k Florida Dept. of Environmental Protection (V Q- - )(j Florida Dept. of Transportation ii ,‘) St. Johns River Water Management District 1 \� Army Corps of Engineers v Division of Hotels and Restaurants 16\ Division of Alcoholic Beverages and Tobacco Other: APPyCATION STATUS Reviewing Department First Review: ' Approved. ❑Denied. (Circle one.) Comments: C UIL - D s ING PLANNING & ZONING Reviewed by: f I? Date: 61-1/ TREE ADMIN. Second Review: ['Approved as revised. ❑ nied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: EApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10