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712 Amberjack Ln RES23-0275 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: DURBIN TIMOTHY R 712 AMBERJACK LN ATLANTIC BEACH FL 32233-4205 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 171126 0000 ROYAL PALMS UNIT 01 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 712 AMBERJACK LN RESIDENTIAL WINDOWS/DOORS Replace sliding patio door $6000.00 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. 2 BUILDING NOTICE OF COMMENCEMENT INFORMATIONAL Notes: No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department 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: 12/27/2023 PERMIT NUMBER RES23-0275 ISSUED: 12/27/2023 EXPIRES: 6/24/2024 RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 BUILDING PERMIT 455-0000-322-1000 0 $85.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $131.50 2 of 2Issued Date: 12/27/2023 PERMIT NUMBER RES23-0275 ISSUED: 12/27/2023 EXPIRES: 6/24/2024 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 Replace sliding patio door 712 AMBERJACK LN N/A RES23-0275 rt` Li BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY Re City of Atlantic Beach Building Department PERMIT# 525 1'7 800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process ate:,'• v Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address 71 2 /7IY?f7e/ IQc L/), RE# 1.7 I 1 Z(a -o O Legal Description 5i4y le .4'!!/Ij 'e` /l/` j,JValuationofWork(Replacement Cost) `" 2 DOCS Heated/Cooled SF Non-Hated/Cooled SF Class of Work: New Addition Alteration Repair EMove EDemo Pool Window/Door Use of existing/proposed structure(s): Commercial ['Residential • If existing structure, is a fire sprinkler system installeed?:Yes ENO Will tree(s) be removed in association with proposed project? 1:7] ta Yes (Must submit separate Tree Removal Permit) l,lvo Describe in detail the type of work to be performed: V4e e 6/;dim9 A /D Dor' d 6ccee'1 c'd i iC/5-e. Florida Product Approval# l 6 f 2 ; 5 For multiple products use Product Approval Information Sheet) Property Owner Information NameN ljYJ pil jy 1JL/4liO? Phone w._ w-122 Address 7/2 /i-/nd jcac A ii?, City,l7T Q/j % State FZ. Zip 32Z 33 Email MyIC'D 2 22l,4 /owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Phone Address City State Zip Qualifying Agent State Certification/Registration# Email Job Site Contact Number Worker's Compensation Insurer OR Exempt Expiration Date Architect's Name Email Phone Engineer's Name Email Phone Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS, and AIR CONDITIONERS,etc. 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 city/county,and there may be additional permits required from other governmental entities such as water management districts,state agencies, or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 7 c z— nature of Owner or Agent) Signature of Contractor) i ned and sworn to(or ffirmed)before me t is z day of Signed and sworn to(or affirmed) before me this day of t' c-, . Z Y I, ., j o r b I r\ by Signature of Notary Q _ e Ott Signature of Notary Personally Known OR [ ] Produced Ide ific ion Personally Known OR [ ] Produced Identification Type of Identification: k-"Th L. Type of Identification: TONI GINDLESPERGER i MY COMMISSION#HH 407122 F EXPIRES:October 6,2027 Owner Builder Affidavit ALL INFORMATION HIGHLIGHTED IN r,--City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 r- 23- °2-75-Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/ BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US ) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: 7/2 dinkrii2c., Lii . 41/42474 /lPC- 22 5".-3 Owner Name: —7;1 OM)1OM)/ DV,-c ./31 Phone Number: 6264-0sq-/ e( Mailing Address: 5 1tr' (25 aho_e City: I State: Zip: Notarized Signature of Owner VX17, `l The fo> going instt ment was ac nowledged before me this 7C )day of L_ , 20 Z-n the State of Florida, County of I-9 L. 4rr Signature of Notary Public 0k.! Personally Known OR [ ] Produced Identification Type of Identification: Updated 10/24/18 P.•' "'..v, TONI GINDLESPERGER a. 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O O_ c C C N O L C E L v g._ NN , O O N E C sl - Wy] 01- ,,..cEE000E31- ....in vlE'-.3‹ 0- -0 ...-. z N M?N 00 O N M 7u 0 4 4 1 2-lite Sliding Patio Door Installation Instructions PATIO DOOR y These installation instructions presume the installer has a basic S1MONTONworkingknowledgeofconstructionandwindow/door installation. WINDOWS & DOORS IMPORTANT: READ THE INSTRUCTIONS AND FAMILIARIZE YOURSELF WITH THE DOOR PARTS AND PIECES BEFORE BEGINNING ASSEMBLY AND INSTALLATION. NOTE: THE INOVO PATIO DOOR AND SCREEN ARE NOT FIELD REVERSIBLE Tools & Materials you will need for installation: Measuring Tape Square Hammer or Rubber Mallet Shims 4' Level Screw Gun or Drill & Drill bits: 7/64"drill bit & #2 Phillips Bit (4"in length) Utility Knife High-Performance Premium Silicone Caulking 1) box#8 x 1.25" Phillips flathead screws minimum for New Construction installation) - 1"minimum structural embedment. 1) Phillips and (1) Flathead screwdriver Individual Installation Pack Contents: Please read all instructions Package Installation thoroughly, and make sure you Qty.Location Description have the following items on hand: 1 Jamb Installation/Keeper Screw Pack&Hole Covers(10 ea.) assembled patio door, panels, top- hung screen, handle set. Failure to 1 Operable Lock Handle Assembly follow the recommended installation Panel instructions will void the warranty 1 Head Sash Bumper with Screws* 1 Head Screen Bumper* Please read all instructions 1 Sill Footbolt (optional)* thoroughly before beginning the installation of the patio door. Items will ship in the handle box. Remove from packaging and flip on correct side irliv y 1 Remove shipping protection(vinyl tubes)before installation Page 2 INSTALLATION INSTRUCTIONS OCheck opening for proper size before installing frame. Check to see if the sill is level. If the sill is not level, correct at this time. Allow a 1/2" gap around the perimeter when you measure opening width and height. Plumb ----- _ As Square I Ayr '1---v N,- V Level s = Preparing the opening: Apply a Install door frame into opening sill end minimum 1/2" bead of silicone first. Make sure the caulking compound caulking along the sill of the rough makes a perfect seal between the door opening in a crisscross pattern. sill and the floor. mo ...,.:_ -- -_ __ ...,§ a ' it4 PI111 ! New Construction Tips Step 2: Apply a continuous 3/16"-1/4" bead of silicone caulk around exterior face of rough opening, about 1/2" from edge to MAINTAIN A PERMANENT SEAL between sheathing and nailing fins. 4 Shim frame so that it is plumb, level and square. i. E` ; I I ,. C II l ,Il 1 1/ uJ + I'. Page 3 INSTALLATION INSTRUCTIONS Remove the interior track cover New Construction Tips from the fixed panel end jamb. Securely fasten frame to opening Step 5: Set unit into rough opening so that the operable panel will using the No. 10 X 2 1/2" screws be on the inside of the house. From the outside, place a corrosion resistant fastener long enough to penetrate a structural member at 4 provided, place four (4) screws in least 1"minimum in the top corner of the nailing fin. Shim where each jamb at the pre-punched hole necessary to make unit plumb and square. Be sure to leave a 1/8'•- locations. Shims should be placed 1/4" space between the frame and the rough opening. Once the unit at all anchorage locations of the is level, place a fastener in the opposing top corner of the nailing fin. Begin securing the frame in the rough opening by placing a fastener jamb to prevent bowing of the through every other pre-punched hole on the nailing fins. Make frame. Fasteners are to be long adjustments in fastener length for different sheathing thickness or enough to penetrate a structural applications. Flashing applications vary greatly; to meet the specific requirements please check your local/regional code. member at least 1 "minimum. Insert hole covers in installation screw holes in operating panel jamb. Replace track cover. Adjust the operable panel rollers up or 6 down at the outside face of the sliding panel. Open and close the panel to check operation. Also, check that the panel and frame havefevenrevealsfromtoptobottom. Insert hole li 1 8x covers in roller adjustment holes. Install the sash/panel bumper in the track in the head at the fixed panel end, against the jamb track cover (detailed photos on simonton.com/installation). Insert 11A":‹ .---9 insulation between the door frame and the rough opening. Avoid bowing the frame by over packing the insulation. Trim around the interior of the head and jambs. Once final installation and adjustment is complete insert two (2) #10 X 2 1/2" keeper screws into the keeper. Finish II off the exterior of the door. Seal the entire 1 I perimeter of the door with the proper grade of sealant. Trim and cap off where necessary. Do not cover weeps. I ii i PL Weep Hole/ Handleset 4 Foot bolt(optional)Installing the screen Includes an interior and An "Optional" foot bolt is Please refer to the exterior handle and keyed available which includes a bolt included information lock. Assembly instruction assembly and locking plate. packet for step by step to attach the Lock Handle Assembly instructions for this instructions on how to the panel can be found in are enclosed in the packet with to install the screen. the packet with the the foot bolt set. The foot bolt Lock Handleset. WILL NOT be factory installed. iNvioozrosza Page 4 INSTALLATION INSTRUCTIONS a 1 3 Vi 7 I I 4.563 ..II,. 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LICENSE OUSINESS I 1 O Q.l-Y. UT IT_..`U ..5----I-7';-c--4---_ ._..P.a...AO.t' 6957 IAA:17-4. 82, '36--6957 WILSON BOUL :vARD. JACKSONVILLE, FLORIDA. 32,210 , 904-772-0702 (1',4 - NO.) 9044772--9C 3F ur'J EBY CERTIFY TO iNDEpeivoce per FLOR!D 71TLE 4M TIMOTHY R AU4B/M THAT 'il•IIS SURVEY IS A TRUE AND CORRECT REPRESENTATION OF LANDS DESCRIBED IH THEABOVECAPTION; THAI 1HIS SURVEY PROPERLY AND ACCURATELY INDICATES THE LOCATION OF ALL IMPROVEMENTS ONSAIDPROPERTY; 'MAT THIS SURVEY WAS PREPARED UNDER MY DIRECT SUPERVISION, AND THAT THIS SURVEY MEETSTHEMINIMUMTECHNICALSTANDARDSASSETFORTHBYTHEFLORIDAHOARDOFPROFESSIONALLANDSURVEYORS, INCHAPTER6!G17 FLORIDA ADMINISTRATIVE CODE. PURSUANT ?0 SECTION 472.027-FLORIDA STAT- 5. A__ -_I HEREBY CERTIFY THAI 11 IL' ABbW. LOT A. SI•lOWN oo73--- vooiHEREON LIES WITHIN ALLObD HAZARD AREA ZONE tea -_- - _._--. .- ON FLOOD INSURANCE RATE MAP-- C _ _„ _•-_ -.-..-. 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