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Permit 770 Amberjack Lane~. Application Number Property Address Application type description Property Zoning . Application valuation . ---------------------------- Application desc 7 REPLACEMENT WINDOWS ---------------------------- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 09-00001394 Date 10/15/09 770 AMBERJACK LN RESIDENTIAL OTHER TO BE UPDATED 4131 -------------------------------------- -------------------------------------- Owner Contractor SELF, LEWIE F. SEARS HOME IMPROVEMENT 770 AMBERJACK LANE 7255 SALISBURY ROAD ATLANTIC BEACH FL 32233 SUITE 1 JACKSONVILLE FL 32256 (904) 470-0115 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee 55.00 Plan Check Fee 27.50 Issue Date Valuation 4131 Expiration Date 4j13/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL 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 * Wind debris protection shall be provided when 25% of more of the homes windows are replaced; on those new windows, unless the windows are rated 'impact resistant'. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ------- Permit Fee Total Plan Check Total Grand Total 55.00 55.00 .00 .00 27.50 27.50 .00 .00 82.50 82.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOI~E ROAD, ATLANTIC BEACH, FL 32233 OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845 BU I LDI NG-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY ~~~~~RES _: ~_ ~ . ,'~?- ,~;, ~, ': _ °.!r_ <';~.'' v'i"~Cf.1f~TJQI`11U~~4F1`r ~~S~~ii ~~ ,31 ~~, , In•J^JCt~ (~~~F~;bs~7~wy~ . ~'i~E. AL+OESCRIF,7.T1Q~1._,,. ;-:^. .'~~.-., ~'~iO S`di,?`x ..~-'!'_- !:' ~;: `~ ~5.. C1_AS.~Q ~ ~';.::i~-'~~¢~~i;;.~.:1,`~.?~~- 6~.~5 a~STR(3~CT17f2E~ =:' 7 Q©~~ ~~L~u LOT BLOCK_ SUB UIVISIUN /~ ^ NEW BUILDING ^ DEMOLITION ^ ADDITION ^ CONVERTING USE ^ RESIDENTIAL ^ COMMERCIAL ip7? pE$CRLPTIOIT0:~~1'(.QRY,'~ r. ~ . ~.`>=' ! ~' ALTERATION ^ ACCESSORY BLDG. 8 F1J~E~SP„j~J(1~L~L3 ' .: ~~~ ~ /~I~•~~N/ /~/l~~,L,~~y~ ~/GAF ~R C. ~'° fl~+~~ L7! J~ ~- ^ REPAIR ^ POOL! SPA ^ MOVE ^ OTHER ^ YES ^ N1A ^ NO +~ e ~ ~ e P. RQPER7Y OWNER ~ ' .9.1;~_ '' ' .'CO_N_ TRACTOR ~'~ -:.,: ,;,,__ ~- ~", ~s~; yo14RCHITECT,°1,pENGINEER~,~,~`. «P 9. NAME: C,Edv~~ ~ ~.SE~~ 15. COMPANY NAME: .~ 23. COMPANY NAME: 16. NAME: /~~L J ~//~~IV 24. LICENSEE NAME: 10. ADDRESS: '~~~ ~jY1BE~2~.5~c.~' G'~1/ ' 17. STATE OF FLORIDA LICENSE NO.: ~' ~Cc~J~o25.~cS 25. STATE OF FLORIDA LICENSE NO / f~~ /~' y~+ /n{ d ~,., /~ 18. ADDRESS: ~ ~ ~~rE 26. ADDRESS: 11.OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: ~~ ? ~ 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 13"Ct'_Lt PHONE: f~'1 ~ ~ 21. CELL PHONE: 29. CELL PHONE: 14. EMAIL ADDRESS: FE SJNI>tt~~3 ITk H04DER Y ~( e,, w ~ISo7riE~--r~Ar~,'pY/,I~~R3 - r.,z.~, .~ 22. EMAIL ADDRESS: AN ~• IBONaIMG COM~ , ~_dr~~~.,~4~~ ~ ,..~~~s~k ~ ~ ~.. 30. EMAIL ADDRESS: y , ., ~^ , et :~, ~.~m MOR GAt3E,LE 17ER ..:?e~ .. ~~.~ -vf ~.,. . . 31. NAME: 33. NAME: 35: NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: 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 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 a period 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, Air Conditioners, etc. 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. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. ~ 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. Sigrli~dJ ~~ ~ Date: 6 ~ :.S "~>'~ ~Signed:_S ~,~!~ T Before me this ~- day of Q _, 2007 in the county of Before me this Duval, State of Florida, has persona y appeared L,~EN! ~ F BE'G` ttr~ 1i--P? • 77_~~- _- TTTTY~ y herin by himself !herself and a ~ ~qt~ ~? ~p stBTlh~idtte~ re true and accurate. ~ IL(?[>~'rt ~. Huntsman Notary Public at Large, State of = ~Om~bZ`rif'b>=''?n562043 ^ Personally wn ~~~"' "~~ , 1I2S: " "~~ ~ b, B~yD • TiiRF1 A3'fIC nr~ND.~'G G41„ INC. Produced I nti at' n -\ \® ~® Notary Signature. =~ COAB FORM BLDG01: REVISED: 8!2/2007 -. <~ State of ' Date: ~~ as f ~~~.+P , 2007 in the county of has personally appeared herin by himself /herself and affirms that all true and accurate. Notary Public at Large, State of ~;Parsonally Known ^ Produced Identification - PY ~j F !L E CO - ,.~~. ~~ Expires: JUNE 28, CITY OF ATLANTIC BEACH SEE PERMITS FUR ADDITIONAL REQUIREM~,EN~TS AND CONDITIONS. .REVIEWED BY: ~~! ~,~_ DATE: ~ ~„~ :. r .. ~ ~ ~~?~~ ~. it~ ~ ~ j. ~` .. - - --,~~~-~,...~w_ .<3 Home Log In User Registration Hot Topics _ Submit Surcharge Stats & Facts ;Publications 1 FBC Staff ~ BCIS Site Map ;Links Search { Product Approval t i ? - ~~ ~--j USER: Public User ~~f L r Product Aooroval Menu > Product or Aooli~ation Searci > Application List > Application Detail FL # Application Type Code Version Application Status Comments _. Archived FL10924 New 2007 Approved Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Wincore Window Company, LLC 250 Staunton Avenue Parkersburg, WV 26104 (304)485-7463 Ext217 jmiller@wincorewindows.com Luis Lomas rl lmas@Irlomaspe.com Windows Double Hung Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer ^ Evaluation Report -Hardcopy Received Luis R. Lomas PE-62514 Keystone Certifications, Inc. 12/31/2011 Steven M. Urich, PE ^ Validation Checklist -Hardcopy Received FL10924 RO COI 510704.~df Standard AAMA/WDMA/CSA 101/I.S.2/A440 Year 2005 Sections from the Code .-S~v;~,,~ City of Atlantic Beach ~S r ~ ~ ~ Building Department E:.;`t ~ 800 Seminole Road } =~> .- ~~ Atlantic Beach, Florida 32233-5445 ' Phone (904) 247-5826 Fax (904) 247-5845 ~'~'~~JFtfJ`' E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLI ATION STATUS First Review: Approved. ^Denied. Comments: J~~1'~ r ~? '` ~:S n. L ~ ja c +~ Ets "~ n C~ bc~ P ~ +~ 't T 1 ~•t ~ ~ i! f ~ ~ t ` ~i ~ C t ( ~, ~ d`J~ s `~ , ~'Q. ~F r ~~ . APPLICATION REVIEW AND TRACKING FORM Property Address: ~ ~Q ~~f ~C ~ ~-~ Applicant: ~~ rI'I ~a~~ ~~h Project: / r' p-~~~ ~Yt ! l,[ )1714 !~-~ Revevv fee ~_ APPLICATION NUMBER (To be assigned by the Building Department.) D~ . /39~ Date routed:. t review required Ye No Buil ' Planning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Dept Signature;- Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date F{orida Dept. of Environmental Protection Florida Dept, of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: Reviewing Department (Circle one.) ~UILDING _~,-.. PLANNING & ZONING TREE ADMIN. PUBLIC WORKS PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: r~ ~ 9 "O Second Review: [Approved as revised. ^Denied. Comments: Reviewed by: Date: Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: revised 05/14/09 ~~~..~, ~~~ ~- ~~ ~ .~ City of Atlantic Beach Building Department r:. ~`~ 800 Seminole Road ~~ // ~~ "''`"`~~ Atlantic Beach, Florida 32233 ~'(,,v/ Lc' /~ ~.~l~ . ,~~~~~~r Telephone (904) 247-5800 Fax (904) 247-5845 www.coab.us WIND-BORNE DEBRIS PROTECTION AFFIDAVIT Date:, - ~ Permit #: Property Address: ~ ~O ~~~~,1~ /~~ ~ N . I understand the Florida Building Code requires replacement windows in a Wind-home Debris Zone be impact glass or have openings provided with wind-borne debris protection. I recognize the structure involved is located in a Wind-home Debris Zone. I am in the process of having windows replaced which require this protection but have elected not to have the required protection installed by my window contractor. I understand that before a final inspection may be approved, the required window protection must be provided. If the required window protection is not provided it will be a violation of State law and the City of Atlantic Beach may take appropriate code enforcement action which may result in fines beings made against this property. I also understand that my insurance company may not reimburse me for damages suffered due to the lack of required window protection. I agree to have the required window protection installed on or before: ~-~J ~ ~ ~~ ~~) I will be using the following material to provide the window protection: (check one) A. t~ Plywood per the Florida Building Code B. Other approved method (Provide Florida Product Number) ~~ N of Homeowner's Insurance Company ~ ' (Signature of Property Own ~ (Date) (Print Name) STATE OF FLORIDA COUNTY OF DUVAL The foregoing instrument was aclcnowled ed before me this ~~ day of ~ ~ , 20~by /~ ~'~5 s~.a..~ (name of person aclrnowtedging). S o o bli fate of Florida Personally Down N~ r~1~hiStlB~ ~~n Type of Identification ~ ~obert A. H man -~---.- •~,~ ,,,~ ra-p}res: JUNF 11, 2010 BONDED T}a}t ~~ AI(~r'l"Iti; BANDING C4., INC. This Instrlrment Prepared b ~.' ~ j Name: _ ~ ~~T 'i`, f,~~~0'~ `_ SEARS NOME IMPRO~MENT PRODUCTS, INC. 1024 Florida Central Parkway Longwood, FL 32750 Phone. 407-551-6000 Pernut No. Uoc # <uv<4~~~it3, ('yrE; is=~ .i 5is3a rage i 5 i 5, Number °a~e~ '{ Recorded i o v5 '?UO~± ar ! v.5~ f1t4't. JIN1 ~U~ LER GLERh; CIRCUIT COURT CUVAL COt~NTY RECORD fhtG ~1u.0i) J - ~~ NOTICE OF COMMENCEMENT ~~ Tax Folio No. / ,~/`_! >,!~• '' ~ ~'''" "~ ~u „v ~ ~. THE tJND1/RSIGNED hereby gives, informs you that the improvement will be made to certain real property, and in accordance ~~~ith Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of propetty (legal description:) /a',r~i,/ ~ ~ '. ~~r - - ° _ ~ `a a) Street Address: ` 2. General description of improvements: _ 3. Owner Information , a} Name and address: -~ b) Name and address of fee ; c} Interest in property: r;i, 4 Contractor Information• ~'' ' Z 6 ~ ' .~ A ; r , ~e f~ >'- ~ le titleholder (if other than owner) rcr~e- ?t: • i~1. • ~ "} ~, ~ f D r . - ~, ~,. ~~~i) a) Name and address: SL'ARS HOME IMPROVEMENT PRODUCTS INC •• ~'--~'~~ ~~~ ~''~' /r/ ,,~o~,..i~~ 1024 FLORIDA CENTRAL PARKWAY, LONGWOO_ D, FL 32750 b) Telephone No: 407-551-6000 Fax No. (Opt.) 407-767-8536 5. Surety hlformation: ,,. a) Name and address: /~('r •~ b) Amount of Bond: _ c) Telephone No.: __ Fax No. (Opt.) ____ 6, Lender // ~ a) Name and address: -- Phone No.: 9 --- 7. Identity of person within the State of Florida designated by owner upon who notices or other documents may be served: a) Name and address: ~V `~ ----- b) Telephone No.: \s' ---- 8. In audition to himself, owner designates the following person to receive a copy of the Lien or's Notice as provided in Section 713.13 (1) (b), Florida Stahites: , a) Name and address: ~ , u ~ `" b) Telephone No.: =,~ r ~ Fax No. (Opt.) _ 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified:) r~i'~;~ WARNING TO OWNER: ANY PAYI\'IENTS MADE BY THE OWNER AFTER `I'HE EXPIRATION OF TILL NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR I'ROPERTl'. A NOTICE OF COMMENCEMENT 11IUST BF, RECORDED AND POSTED ON THE JOB SITE BEFORr TIIE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN Al"TORNEY BEFORE COMMENCING 'WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STA`fE OF FLORIDf, a COUNTY OF ~~A~~!_~~!''~-/ NfJT~~RYPiiBL1C-;;'T~','!'F Oi' FLORIDA Signature of Owner or Own s Authorized Officer/Director/Partner/Manager _ ~~, ~~` ~i0~t'.I't:.~. ~ xUti>_SITial1 ~.. ~_~ !~=; ~'J `ln;; : C.z?mrussion ;` DD5620~}~ _' d' ~ -- -'~~,,,;,,;>~' E;,,~ires: ,,~C'r;1E f ~., 20~U PRINT NAME i3cno~D ritftii~~r~-yt?a~tcvuyD}NG Co., WC. a ' ;~a I'he foregoing, instnrment was acknoy/ledged before me this ~ day of _ " ~ -~_~ ~ ~'~ ~ ~~'"~ 20 t a r ~ , by ~~ ~~ ~ , : ~ >.~_ - ~ ~ ~ ~ ,~, .:, ,~ ~ as ,~:~ `.'~., (type of authority, e.g. NOTES atch existing• Install perimiter sutcco band tom ac 1`c Payne horizontal Install 3 5'x5' (aPProx) aluminum frame +Y slider windows. Windows are removable Pane with removeable screen• Egress area for middle window ex alumsnum member's on perimiter. Posts to be 2x4,pat o extruded member. Categor/ 3 Sunroom All dims to be field verified ~''''~-` New Windows / 15'-4» 2x4 patio ®perimiter tasin~ ~°~ - 2x4 smb ®posts <: CITY OF ATLANTIC BEACH 840 SEMINOLE ROAD ~ ' ~ ~ ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00032334 Date 2/15/06 Property Address 770 AMBERJACK LN Tenant nbr, name INSTALL 1 CU & 1 AHU Application description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ----------------_-------- ------------------------ SELF, LEWIE F. ADMIRAL AIR 770 AMBERJACK LANE 565 HENDERSON RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 (904) 908-5252 Permit MECHANICAL PERMIT Additional desc . Permit Fee 79.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary ----------------- Permit Fee Total Plan Check Total Grand Total Charged Paid ---------- ---------- 79.00 79.00 .00 .00 79.00 79.00 Credited Due ---------- ---------- .00 .00 .00 .00 .00 .00 PERMIT iS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i ^.'Y '.''' l1' suxL c o~~~ciAL CITY OF ATLANTIC BEACH ,. MECHANICAL PERMIT APPLICATION _ -~ - T~ate• t t ~ -( 1 ~.o ~ l Owner of Property: ~.,, ~ ~ I CL--- ~- 4 Job Address: i a ~ ~ f^C~'~`'~~~'~' Contractor: ~ ~~~ ~«--~`- ~~-'~-- ~ ~ ~ ~`~~ V In consideration of permit given for doing the work as described in the above statement, we hereby agr to perform-said work in accordance-with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic. Beach ordinances and standards of nod dice listed therein- III. GENERAL INFORMATION A. of heating fuel: Electric B• IS OTHER CONSTRUCTION BEING DONE ON THIS ^ Gas: _LP `Natural -Central Utility BUILDING OR STTE? ^ Oil ^ Other- Specify IF YES, GIVE NU1vIBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT. TO BE NATVxE of woRx ' ^ Residential or Commercial .INSTALLED ^ New Building (Provide co~lete list ofcomponents~on back of this form) ^ Existing Building Recessed _ Central _ F ^ Heat /Space ^ Replacement of existing system _ ^ Air Conditioning: Room ^ New Installation (No system previously installed) ^: Dud System: Material Thickness ^ Extension or add-on to existing system Maximum capacity cfnt ^ Other- Specify ^ Refrigeration ^ Cooling tower: Capacity gpm ^ Fire sprinklers: Number of heads ^ Elevator : _ Manli$_Esealator_(Number) ^ Gasoline pumps (Number) THIS SPACE FOR OFFICE USE OPiLY (Received) ^ Tanks (1`lum~) ^ LPG containers (23umber) Remarks ^ Unfired pressure vessel ^ Boilers permit Approved by Date O Other-Specify permit Fee LIST ALL E UIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Desaiptioa Model Number Menu cturer Capacity pproving t ~ V N ~~ ~O~TIJurQi1 Tons) ~~A ency 1 ~ ,S 1-- HEATING -FURNACES, BOILERS, FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving BT A enc TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Cont$ined Manufacturer No. A enc 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Faz: (904) 247-5845 • htta:J/www.eLaUantic-beach.fl.as 1114103