1993 Colina Ct RES22-0142 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
JACKSON & JENNIFER
SHORT 1993 COLINA CT ATLANTIC BEACH FL 32233-4530
COMPANY:ADDRESS:CITY:STATE:ZIP:
Renewal by Andersen of
Florida DBA JLM Windows 997 W Kennedy Blvd Orlando Fl 32810
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169506 1066 SELVA NORTE UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1993 COLINA CT RESIDENTIAL
WINDOWS/DOORS
WINDOW AND DOOR -
Renewed $16952.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING PERMIT 455-0000-322-1000 0 $135.00
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $25.88
BUILDING PLAN CHECK 455-0000-322-1001 0 $67.50
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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: 7/12/2022
PERMIT NUMBER
RES22-0142
ISSUED: 7/12/2022
EXPIRES: 5/5/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.79
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.53
TOTAL: $284.70
2 of 2Issued Date: 7/12/2022
PERMIT NUMBER
RES22-0142
ISSUED: 7/12/2022
EXPIRES: 5/5/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
RES22-0142
11/17/21, 1:28 PM Florida Building Code Online
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Product Approval
USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL #FL19563-R4
Application Type Affirmation
Code Version 2020
Application Status Approved
Comments
Archived
Product Manufacturer Andersen Corporation
Address/Phone/Email 100 Fourth Avenue North
Bayport, MN 55003
(651) 264-5308
alan.barstad@AndersenCorp.com
Authorized Signature Alan Barstad
alan.barstad@AndersenCorp.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Horizontal Slider
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed the
Evaluation Report
Hermes F. Norero, P.E.
Florida License PE-73778
Quality Assurance Entity Window and Door Manufacturers Association-QA
Quality Assurance Contract Expiration Date 12/16/2030
Validated By Locke Bowden P.E.
Validation Checklist - Hardcopy Received
Certificate of Independence FL19563_R4_COI_COI Andersen SS 2015-08-31.pdf
Referenced Standard and Year (of Standard)Standard Year
AAMA/WDMA/CSA 101/I.S.2/A440 2008
AAMA/WDMA/CSA 101/I.S.2/A440 2011
Equivalence of Product Standards
Certified By
Sections from the Code
I affirm that there are no changes in the new Florida Building
Code which affect my product(s) and my product(s) are in
compliance with the new Florida Building Code.
11/17/21, 1:28 PM Florida Building Code Online
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqs%2fmGFoyT6raZOyLCWc3g2NkaCv8YaxovX6KjYP%2fm7COA%3d%3d 2/2
Documentation from approved Evaluation or Validation Entity Yes No N/A
Product Approval Method Method 1 Option D
Date Submitted 08/04/2020
Date Validated 08/04/2020
Date Pending FBC Approval
Date Approved 08/10/2020
Summary of Products
FL #Model, Number or Name Description
19563.1 Renewal Series Renewal Glider Window
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: N/A
Other: See Installation Instructions, AWD243, and Evaluation
Report, PER5898, for sizes, design pressures, and installation
requirements.
Installation Instructions
FL19563_R4_II_AWD243 SS 2018-12-17.pdf
Verified By: Hermes F. Norero, P.E. FL PE No. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL19563_R4_AE_PER5898 SS 2018-12-16.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),
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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:
Digitally signed by Hermes F. Norero, P.E.
Reason: I am approving this document
Date: 2018.12.17 15:52:37 -05'00'