Permit Folder 366 6th St9. NAME:
C~~UI~G{l. C 1~~~- 15. COMPANY NAME:
ERICAN WINDOW 23. COMPANY NAME:
// 1s. NAME: PRODU
2633 POWERS AVE. 24. LICENSEE NAME:
10. ADDRESS:
~~~ tD~ ~. 17. STS
G Ci2~I20-"1 25. STATE OF FLORIDA LICENSE NO..
18. ADDRESS: 28. ADDRESS: / d
11.OFFICE PHONE'
2.38 ^ .~~ 12. FAX NO.: 19.0E I E PHONE:
~~ (~ Za ~I'Jl 20. FAX NO.: 27.OFFICE NE: 28. FAX NO.:
13. CELL PHONE: 21. CELL PHONE: 29. LL PHONE:
14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS:
31. NAME: ,r/' I33. NAME: - 35. NAME:
32. ADDRESS: '~/ 34. ADDRESS: 38. 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 (li) 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 bylaw.
~ 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 NOTIC~AF COMMENCEMENT
Signed:
Before me this
Duval, Stat orida, has
Date: !?/f/~9
3lgned ~~`'~-- Date: ~Z J t~
3efore me this S day of ~~ ~ , w, 20 the county of
)uval, State of Florida, has personally appeared
~ ~;~~-~
~~ n the county of
herin by himself / herself'efid affirms that all statements and declarations are
Uve and accurate. ~/ ~ j~
N~~ota~~ry Public at Large, State of r ~ ,County of Y u~~
Iff"Personally Known -'~~ °''~ i~ J
^ Produced Identiflcatlon - '"'""~~''{ °~t`t` ~ ,~. ~'"'°*~
Notary Signature: I =~~ ~~T ~,~~
L ^
lerin by himself /herself and affirms that all statements and declarations are
rue and accurate. ~LC..~s~
Votary Public at Large, State of ~ . County of
I~ersonallyKnown 'f' ,,~~++~'' ,,~~~.• G+ J
• M' y"'""" ATLANTIC BEACH * MY COMMISSION # DD 102756 ~ ,~
EXPIRES: EXPI s4aat;~,,~>wr~.'
fr~rffOF R Bonded ThN eudilr~MITS FOR ADDITIONAL ~~. op
REQUIREMENTS AND CONDITIONS. '~oF ~ Ikmde "~1°1"~
COAB FORM BLDG01: REVISED: 1116/ 07 `~ ~ ~ ~ ~ ~ ~ ~ 0
REVIEWED BY: DATE:
..~
.~l • •• , ~ ' ~ ~ .
' ~~ ~ ~
. .. ~ ~10~'~•CE O.F CON~ME~lC•~MEN~' ,
--~ .~
State of Flortd '~
• o~-~b7
Tfie'tlndersi ed hereby gives rrot;cethatimprovements uuill-be madi3 tb.c~rtain ~real.proPeriY, and in
' 'aarordancs with• gec~on 71313 of the ftodda Statutes the foilowing• informa~on is provided M Otis
' NOTICEOF COMf~ENCEMENT, ~ • . .
Legal de ption of ' rop jlnclude S , Ardrese, ff avaUable) l.~4~ ~~- 0 ~~'
. VGIICIiY Y I~JYVII VI IIU~lIV~R7ru !w ~ .
Qvmer
~~ ~ Address ~lo~ ~-•:'=~ ~'~•' ~ ~, • ~~iZ233'~'
Oamer's Interest in site of the Improvemen
Fee Simple Title holder. (if other than owrterl.
N$me ~ ~ .
Address . ~~~ wttvoo .~. ;~ ,
P . Corttracto'r Paoc~~c_-~ ~ .
u~ , ,._, _..•
~~ ----~ -
Address = 2833 P~+~~F_ FL 3227 •
Surety
' ~ Address ~ ~ ~ ~ oust of band $
.~-.. i4rty person mahtrtg a~loan for the construction of the lmiprnvements:.
'-`~ Name ~ ~ • ;
~~ . • Address .
Person within ire State of FTorida•.destgi~ated yowner upon whims rtoti~es or other documents"tray b'e
served a~ provided bry Secttah T13.13(1)(a) 7, FJorfida Statutes.
Name .
Address . . ~ • .
In add(tlon to himself, owner de`s~gna#es
. Of - _~ _ .
. to t~eceive•a 'copy of the Uet~o s Nr~filee asp~i~det in geotlon 7t3.1~ 1 b , Fiorlda Statutes.
. ~.: ~ E~Uationdat~ of Notice of t~n~mencelAer~tit , a$ traUon date is one ,4~ ~ ear room the date.of
..: _;...; tecording u a diffecent'da Is spe~Ied~~ xP f) y ,
.. ,.
.. . • ' . Pt1Ate~Nuno tft'Owaer . ..
..
. ~ i . Notary.Rubber,St~mp Seal` 1 r tuvi r~iied • ~ ' ~ •
• iipoa•t6s $oltowL~.tQead~oa otWe ABraot ..
_._.,.._
Doc # 2009289689, OR 8K 15085 rage 2113, ~~ ~ ~ ~ ~ •
Number Pages:1 of p~
Recorded 12/03/2009 at 11:58 AM, ••
JIM FULLER CLERK CIRCUIT COURT DUVAL o~cy'S
COUNTY '
"~ RECORDING $10.00 .
acetic
/1
,~ * ~roowa~t~oona~is
''~` ' '.~ ; :~,~' . .' • ' ' ~ , ,fir t7(PIRES: May t3, 2012 ~ ' .
:•. • •• ~ ~~>6 tl~°'- ~IdId71198Y~gBEN01MyS11Nce! r.^ ' -
-r .',
BCIS Home 4 Log In (Hot Toplcs ~ Submlt Surcharge ~ Stats & Facts , Publlcatlons I FBC Staff i BCIS Site Map ~ Llnks ~ Sean
'Product Approval
USER: Publlc User
Product Approval Menu > Product or Application Search > Application 41st > Application Detail
FL #
Application Type
Code Version
Application Status
Comments
Archived
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Certification Agency
Referenced Standard and Year (of
Standard)
Equivalence of Product Standards
FL251-R6
Revision
2004
Approved
PGT Industries
1070 Technology Drive
Nokomis, FL 34275
(941) 480-1600 ext 1124
Iturner@pgtindustries.com
Lucas Turner
Iturner@pgtindustries.com
Lucas A. Turner
1070 Technology Drive
Nokomis, FL 34275
(941) 480-1600
Iturner@pgtindustries.com
Exterior Doors
Sliding Exterior Door Assemblies
Certification Mark or Listing
Miami-Dade BCCO - CER
Standard
TAS 201, 202, 203
TAS 202
Year
1994
1994
http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgsEt2PTaRd5bm5ECcr1FWoGJi4... 5/30/200 i
~'4 L~~r~J City of Atlantic Beach
a~'~ q~ ~f1 Building Department
~; ~ 800 Seminole Road
...._ ~ Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 Fax (904) 247-5845
!,~;it~ ` E-mail: building-dept@coab.us
City web-site: httpa/www.coab.us
Reviewed by:
APP'LfCATION REVIEW AND TRACKING FORM
Property Address• ~ ~ (~ lG~
Applicant: ~ ~~Crm j"h,/ ~~
Project: ~ i ~ ,~ y W ~ D ~ip-C.
APPLICATION NUMBER
(To be assigned by the Building Department:)
/0 - aaj8
Date routed: ~ 7
D ent review re wired Ye No
®uil in
annm & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Revlew:fee $ ~ ~~ Dept Signature-_
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Florida Dept. of Environmental Protection
Florida Dept. of Transpo-tation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotefs and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
,TtflN STATUS
Reviewing Department First Review:
(Circle one.) Comments;
~ BUILDIN~,
PLANNING & ZONING
TREE ADMIN.
PUBLIC WORKS
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES
^Denied.
Date: /'~""~C~
Second Review: DApproved as revised. ^Denied.
Comments:
Reviewed by: Date:
Third Review: Approved as revised. ^Denied.
Comments:
Reviewed by:
Date:
Revised o5raa~as