320 5th St RES23-0163 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
HALE NATHAN PATRICK JR 320 5TH ST ATLANTIC BEACH FL 32233-5346
COMPANY:ADDRESS:CITY:STATE:ZIP:
PELLA WINDOW AND
DOOR 4306 Shader Road Ste 100 Orlando FL 32808
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169832 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
320 5TH ST RESIDENTIAL
WINDOWS/DOORS
Replacing 2 non-impact
windows $2480.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $65.00
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: 8/16/2023
PERMIT NUMBER
RES23-0163
ISSUED: 8/16/2023
EXPIRES: 2/12/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $101.50
2 of 2Issued Date: 8/16/2023
PERMIT NUMBER
RES23-0163
ISSUED: 8/16/2023
EXPIRES: 2/12/2024
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
Replacing 2 non-impact windows
320 5TH ST
PELLA WINDOW AND DOOR
RES23-0163
RES23-0163
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications Contact Us BCIS Site Map
Product Approval
USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL #FL16811-R4
Application Type Revision
Code Version 2020
Application Status Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed an
POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella, IA 50219
(641) 621-6096
pellaproductapproval@pella.com
Authorized Signature TROY FARR
tbfarr@pella.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Fixed
Compliance Method Certification Mark or Listing
Certification Agency Window and Door Manufacturer Association
Validated By T.E. Lunn, PE, LLC
Validation Checklist - Hardcopy Received
Referenced Standard and Year (of Standard)Standard
AAMA/WDMA/CSA 101/I.S.2/A440-08
AAMA/WDMA/CSA 101/I.S.2/A440-11
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 10/30/2020
Date Validated 11/03/2020
Date Pending FBC Approval
Date Approved 11/10/2020
Summary of Products
FL #Model, Number or Name Description
16811.1 250 Series Fixed Window 108" x 60" vinyl non-impact single window
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +30/-30
Other: Configurations of glass shall conform to the current ASTM
E1300 standard and shall be safety glazed when required by FBC
section 2406.
Certification Agency Certificate
FL16811_R4_C_CAC_CCL 411-H-1460.22-23.pdf
Quality Assurance Contract Expiration Date
04/16/2023
Installation Instructions
FL16811_R4_II_Drawing 1866.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16811_R4_AE_Drawing 1866.pdf
Created by Independent Third Party: Yes
16811.2 250 Series Fixed Window 72" x 72" vinyl non-impact single window
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +30/-30
Other: Configurations of glass shall conform to the current ASTM
E1300 standard and shall be safety glazed when required by FBC
section 2406.
Certification Agency Certificate
FL16811_R4_C_CAC_CCL 411-H-1460.18-19.pdf
FL16811_R4_C_CAC_CCL 411-H-1460.20-21.pdf
Quality Assurance Contract Expiration Date
04/10/2023
Installation Instructions
FL16811_R4_II_Drawing 1866.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16811_R4_AE_Drawing 1866.pdf
Created by Independent Third Party: Yes
16811.3 250 Series Fixed Window 60" x 60" vinyl non-impact single window
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +50/-50
Other: Configurations of glass shall conform to the current ASTM
E1300 standard and shall be safety glazed when required by FBC
section 2406.
Certification Agency Certificate
FL16811_R4_C_CAC_CCL 411-H-1460.14-15.pdf
FL16811_R4_C_CAC_CCL 411-H-1460.16-17.pdf
Quality Assurance Contract Expiration Date
04/10/2023
Installation Instructions
FL16811_R4_II_Drawing 1866.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16811_R4_AE_Drawing 1866.pdf
Created by Independent Third Party: Yes
16811.4 250 Series Fixed Window 96" x 72" vinyl non-impact multiple window syste
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +30/-30
Other: Configurations of glass shall conform to the current ASTM
E1300 standard and shall be safety glazed when required by FBC
section 2406.
Certification Agency Certificate
FL16811_R4_C_CAC_CCL 411-H-1460.24-25.pdf
FL16811_R4_C_CAC_CCL 411-H-1460.26-27.pdf
Quality Assurance Contract Expiration Date
05/08/2023
Installation Instructions
FL16811_R4_II_Drawing 1866.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16811_R4_AE_Drawing 1866.pdf
Created by Independent Third Party: Yes
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