462 David St RES21-0341 DoorOWNER:ADDRESS:CITY:STATE:ZIP:
GRISHCHENKO OLEG V 103 25TH AVE S UNIT 32 JACKSONVILLE
BEACH FL 32250
COMPANY:ADDRESS:CITY:STATE:ZIP:
LOWES HOME CENTERS
INC 4948 TELSON PL ORLANDO FL 32812
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170652 0200 SALTAIR SEC 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
462 DAVID ST RESIDENTIAL
WINDOWS/DOORS replace door $1802.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
IN-PROGRESS INSPECTIONS ARE REQUIRED FOR EXTERIOR SIDING, WINDOW, AND DOOR INSPECTIONS, AND SHOULD BE SCHEDULED FOR THE FIRST
DAY OF WORK.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 11/18/2021
PERMIT NUMBER
RES21-0341
ISSUED: 11/18/2021
EXPIRES: 5/17/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
BUILDING PERMIT 455-0000-322-1000 0 $60.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
2 of 2Issued Date: 11/18/2021
PERMIT NUMBER
RES21-0341
ISSUED: 11/18/2021
EXPIRES: 5/17/2022
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
462 DAVID ST
170652-020010-16 21-2S-29E .068 SALTAIR SEC 3 PT LOT 735 RECD O/R
19932-2115
1802.00
Replacing 1 Door size for size
11646.2
NATALIE GRISHCHENKO
FL 32217 (904) 299-7248Atlantic Beach
462 DAVID ST
Lowes Home Centers Pete Cafaro
PO Box 781993 Orlando FL 32878
(904) 570-0989 (904) 570-0989
CGC1508417 vwood063088@gmail.com
N/A
N/A
XWC1647266 (FL)04/01/2022
2
November 2021 Pete Cafaro
Date Submitted 09/25/2020
Date Validated 09/25/2020
Date Pending FBC Approval
Date Approved 10/02/2020
Summary of Products
FL #Model, Number or Name Description
11646.1 311/312/378 Sliding Glass Door R-PG35*-1797x2019 (71x80)-SD (311), R-PG35-2407x2019
(95x80)-SD (312), R-PG30-1899x2426 (75x96)-SD (312),
R-PG35-1829x2083 (72x82)-SD (378)
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: N/A
Other: All doors shall utilize safety glazing in accordance
with the FBC. All frame components are fabricated from
extruded vinyl (PVC).
Certification Agency Certificate
FL11646_R13_C_CAC_NI013248.01-R2.pdf
FL11646_R13_C_CAC_NI013248.02-R2.pdf
FL11646_R13_C_CAC_NI013248.03-R2.pdf
FL11646_R13_C_CAC_NI013248.04-R3.pdf
FL11646_R13_C_CAC_NI013248.05-R3.pdf
FL11646_R13_C_CAC_NI013248.06-R3.pdf
FL11646_R13_C_CAC_NI013248.07-R3.pdf
FL11646_R13_C_CAC_NI013248-R2.pdf
Quality Assurance Contract Expiration Date
06/30/2022
Installation Instructions
FL11646_R13_II_ATR023 SS 2017-01-17.pdf
Verified By: Hermes F. Norero FL PE #73778
Created by Independent Third Party: Yes
Evaluation Reports
FL11646_R13_AE_PER5453 SS 2018-01-09.pdf
Created by Independent Third Party: Yes
11646.2 332/388 Sliding Glass Door SD-R40 72 x 96 (388), SD-R50 72 x 82 (388), SD-R50 71 x
96 (332), SD-R50 95 x 80 (332)
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: N/A
Other: All doors shall utilize safety glazing in accordance
with the FBC. All frame components are fabricated from
extruded vinyl (PVC).
Certification Agency Certificate
FL11646_R13_C_CAC_NI013250.01-R2.pdf
FL11646_R13_C_CAC_NI013250.02-R2.pdf
FL11646_R13_C_CAC_NI013250.03-R2.pdf
FL11646_R13_C_CAC_NI013250-R2.pdf
FL11646_R13_C_CAC_NI013252.01-R2.pdf
FL11646_R13_C_CAC_NI013252.02-R2.pdf
FL11646_R13_C_CAC_NI013252.03-R2.pdf
FL11646_R13_C_CAC_NI013252-R2.pdf
Quality Assurance Contract Expiration Date
02/28/2022
Installation Instructions
FL11646_R13_II_ATR025 SS 2020-04-17.pdf
Verified By: Hermes F. Norero FL P.E. #73778
Created by Independent Third Party: Yes
Evaluation Reports
FL11646_R13_AE_PER6637 SS 2020-04-17.pdf
Created by Independent Third Party: Yes
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Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida. :: Privacy Statement :: Accessibility 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 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 click here .
Product Approval Accepts:
Florida Building Code Online https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqs...
2 of 2 1/14/2021, 12:02 PM
Digitally signed by Hermes F Norero
Reason: I am approving this document
Date: 2020.04.17 13:07:15 -04'00'